SAMPLE for the demonstration: a fictional certificate, not a real document. In real use this is the scan or PDF the coordinator attaches.

Hospital or surgery center privileges

Ridgeline Health Partners credential file

Issued toCaleb Foster, PA-C
CredentialHospital or surgery center privileges (CUMB)
NumberCUMB-PRV-DEMO-4101
Issued byCumberland Surgery Center medical staff office
Valid fromSep 18, 2026
Valid throughSep 18, 2028

Fictional provider and number. Close this tab to return to the Credential Tracker.