You don't need to get the OpenPCI drivers as the MMCD which should come with the Mediator has drivers for Virge, Voodoo 3/4/5, network and sound cards. And when you register with Elbox as a Mediator owner they will send the latest versions of the drivers to your email. You also need Warp3D and Picasso96.
Join the Amiga mediator Yahoo mailing list (
http://groups.yahoo.com/group/Amiga-Mediator) where you will be able to get more help on setting it all up.
You need an 030 minimum and some fast RAM too, but a PPC isn't necessary.