Email Received From: txproviderupdatesubmission@bcbstx.com  Sub : Re: Enrollment Status || Normandy Urgent Care Center & Imperial Valley Urgent Care Center || Group & Providers || BCBS || : Case Number - 03164645  Good afternoon,  I have researched your request and listed the provider’s record numbers linked to the Tax ID below.   Provider Name	Provider record #	779 Normandy	16272 Imperial Valley John, Jeny	8PU638	Yes	Yes Joseph, Molly	8PR752	Yes	No Brown, Brittany	8MF387	Yes	No Thomas, Cini	8LW737	Yes	No Stephen, Ani	8MC701	Yes	No Rauf, Abdur	8CU663	Yes	No Kourouma , Odette Tiranke	8ME162	Yes	No Joseph, Vibitha	8MH707	Yes	No Jacob, Jaya	8PR751	Yes	No George, Jeemol	8ML243	Yes	No  All of the providers listed show the Normandy location as their primary service address.  However, the providers I indicated "No" in the column above do not have the Imperial Valley address listed as an additional location.  To add this address to these providers’ records, please submit a Demographic Change Request form via the following link information:   https://www.bcbstx.com/forms/provider/update_info.html Click on the link for Demographic Change Form - https://hcscproviderintake.secure.force.com/TXDemographUpdate  For any questions regarding network contracting, credentialing, network or PAR effective dates or status requests, please contact your network representative. If you do not know who your representative is, please click here and look under Network Management Office Locations - https://www.bcbstx.com/provider/contact_us.html#localnetwork There you will find the phone (local and/or toll free number) and fax contact methods.  Thank you,  Network Operations & Solution Delivery Blue Cross Blue Shield of Texas