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 toDr. Julian Moore, MD
CredentialHospital or surgery center privileges (CUMB)
NumberCUMB-PRV-DEMO-4121
Issued byCumberland Surgery Center medical staff office
Valid fromJan 14, 2025
Valid throughJan 14, 2027

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