{"text_format":"3","workbook":"xlsx","n_sheets":14,"sheets":["User Control","Select ECPs","Facility ECPs","Individual ECPs","IP Template","FP Template","Specialty Types","DataValidationFields","SplashScreen","IP Export","FP Export","County Names","HPSA","Errors"],"not_rendered":{"macros":1,"defined_names":158,"comments":2},"read":"whole","date_system":"1900"}

{"sheet":"User Control","index":0,"n_rows":32,"n_cols":25,"rows_kept":32,"merged":[[1,2,1,9],[2,2,2,9],[4,2,4,3],[4,6,4,9],[5,6,6,9],[7,6,8,9],[9,2,9,3],[9,6,9,9],[10,2,10,3],[10,6,10,9],[11,2,11,4],[11,6,11,9],[12,2,12,3],[13,6,13,9],[14,2,14,4],[14,6,14,9],[15,6,16,9],[17,2,17,3],[17,6,17,9],[18,2,18,4],[18,6,18,9],[20,6,22,9],[21,2,21,3],[22,2,22,4],[26,2,26,3],[27,2,27,3],[30,2,30,3],[31,2,31,4]]}
["If macros are disabled, press and hold the ALT key and press the F, then I and then N key. After that, select the \"Enable All Content\" options by pressing enter.\nNote: You can also press the 'C' key to select \"Enable All Content\".\n\nInstruction can be found in cells C3 through J38.\n\nAction Keyboard Shortcut:\nCreate Individual Tab: CTRL + SHIFT + I\nCreate Facility Tab: CTRL + SHIFT + F\nImport Network IDs: CTRL + SHIFT + N\nValidate: CTRL + SHIFT + W\nCreate Documents: CTRL + SHIFT + E"]
[{"$nulls":12},"Current Tabs","Number of Rows per Tab","Number of Validation Errors","Delete Tab? If you would like to delete a provider tab please click 'Delete' for the corresponding tab. WARNING!: Deleted tabs cannot be recovered.","IND Tab Number","FAC Tab Number"]
[null,null,"User Control & Details for Template",{"$nulls":9},"Facility ECPs",{"$f":"Fac_ECP_Row_Count","v":0},0,{"$nulls":3},"Source Systems","Networks","Network Number","No. of Individual Tabs","No. of Facility Tabs","Issuer's Selected State","Number of Selected Network IDs"]
[{"$nulls":12},"Individual ECPs",{"$f":"Ind_ECP_Row_Count","v":0},0,{"$nulls":3},"HIOS","AKN001",1,0,0,null,"No"]
[null,null,"Issuer Information",{"$nulls":3},"Notes & Instructions",{"$nulls":11},"SERFF","AKN002",2]
[null,null,"Issuer ID:*",{"$nulls":3},"1.  Enter all Issuer Information, then create a new tab using the buttons below to enter data"]
[null,null,"Source System:*"]
[null,null,"State:*",{"$nulls":3},"2.  Ensure automatic calculation is turned on.\nFormulas -> Calculation Options -> Automatic\n "]
[null,null,"Is this an Alternate ECP Standard Issuer?*","No"]
[null,null,"Actions",{"$nulls":3},"3. Data can be entered manually or Copy & Pasted into each tab"]
[null,null,"1.          Create New Provider Tab",{"$nulls":3},"4.  All fields with an asterisk (*) are required"]
[null,null,"Please enter all Issuer Information above before creating a new tab.",{"$nulls":3},"5.  Validate data (using the \"Validate\" button below) after entering in all information"]
[null,null,"   A.  New Individual Provider (MD/DO) Tab"]
[{"$nulls":6},"Exporting Data:"]
[null,null,"   B.  New Facility, Pharmacy, Non-MD/DO Tab",{"$nulls":3},"1.  Data must pass all validation checks before being exported. Any invalid entries will be displayed in the 'Errors' tab and must be corrected. "]
[{"$nulls":6},"2.  Click \"Create Documents\" to export data from all provider tabs."]
[]
[null,null,"2.          Import Network IDs",{"$nulls":3},"3.  When prompted, select the folder in which you wish to save the files."]
[null,null,"Click the Import Network IDs button to import a list from the Network ID template.",{"$nulls":3},"4.  All files will be saved as XML files."]
[]
[{"$nulls":6},"Warning: Files larger than 50mb cannot be uploaded to HIOS/SERFF. Please ensure that each exported XML file is less than 50mb. On average, tabs with less than 100,000 records should be okay. "]
[null,null,"3.          Validate Data"]
[null,null,"Validate information entered into all tabs. Warning: Depending on data size, validation may take several minutes."]
[]
[{"$nulls":6},"Validation Status"]
[{"$nulls":6},"Incomplete"]
[null,null,"4.          Create Supporting Documents"]
[null,null,"Perform data validation & export data to XML files."]
[]
[]
[null,null,"5.          Delete an Exisiting Tab? "]
[null,null,"Refer to Column P on this tab if you would like to delete an existing tab."]

{"sheet":"Select ECPs","index":1,"n_rows":12309,"n_cols":32,"rows_kept":2250,"cut":true,"bounds":{"rows_first":1000,"rows_last":250,"rows_between":1000,"halvings":1}}
["Action Keyboard Shortcut:\nShow All ECPs: CTRL + SHIFT + U\nClear All: CTRL + SHIFT + C\nShow Selected ECPs: CTRL + SHIFT + G\nInsert Selected ECPs: CTRL + SHIFT + M"]
["Add ECP?","Row Number","Site Name","Organization Name","National Provider Identifier","ECP Category\n(General ECP Standard Issuers Only)","Number of Medical FTEs or Bed Count","Number of Dental FTEs","Site Street Address 1","Site Street Address 2","Site City","Site State","Site Zip Code","Site County","Org Street Address 1","Org Street Address 2","Org City","Org State","Org Zip Code","Org County","POC 1 Name","POC 1 Title","POC 1 Phone #","POC 1 Phone Ext","POC 1 Email","URL 1","POC 2 Name","POC 2 Title","POC 2 Phone #","POC 2 Phone Ext","POC 2 Email","URL 2"]
[null,201900002,"Adak Medical Clinic","EASTERN ALEUTIAN TRIBES, INC. (EAT)","1285796094","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638",8,1,"2105 Main St","PO Box 2105","Adak","AK","99546-2105","Aleutians West","3380 C Street, Ste.100","","Anchorage","AK","99503","Aleutians East","Jennifer Harrison","Executive Director","907-277-1440","","jenniferh@eatribes.net","www.eatribes.org","Edgar Smith","Director of Operations","907-277-1440","","edgars@eatribes.net","www.eatribes.org"]
[null,201900003,"Akhiok Village Clinic","KODIAK AREA NATIVE ASSOCIATION (KANA)","1205883907","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",1,1,"3rd Ave","","Akhiok","AK","99615","Kodiak Island","3449 East Rezanof Drive","","Kodiak","AK","99615","Kodiak Island","Amy Durand","Grants Coordinator","907-486-9890","","amy.durand@kodiakhealthcare.org","","Andy Teuber","President/CEO","907-486-9800","","",""]
[null,201900004,"Yukon-Kuskokwim Health Corporation Akiachak Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Main St","PO Box 51089","Akiachak","AK","99551-0089","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900005,"Yukon-Kuskokwim Health Corporation Akiak Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"148 Post Rd","PO Box 216","Akiak","AK","99552","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900006,"ANESIA KUDRIN MEMORIAL CLINIC","Eastern Aleutian Tribes, Inc.","1558423392","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers, Tribal Health Program operated under P.L. 93-638",1,1,"113 Main St","PO Box 113","Akutan","AK","99553-0113","Aleutians East","3380 C Street, #100","","Anchorage","AK","99503","Aleutians East","Jennifer Harrison","Executive Director","907-277-1440","","jenniferh@eatribes.net","","Edgar Smith","Director of Operation","907-277-1440","","edgars@eatribes.net","www.eatribes.org"]
[null,201900007,"Yukon-Kuskokwim Health Corporation Alakanuk Clinic","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Anderson Street Clinic Drive","PO Box 288","Alakanuk","AK","99554-0288","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900008,"ALLAKAKET HEALTH CLINIC","Tanana Chiefs Conference (DENA' NENA' HENASH)","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"Koyokuk River Junction","","Allakaket","AK","99720","Yukon Koyukuk","122 First Avenue, Suite 600","","Fairbanks","AK","99701","Fairbanks North Star","Crystal L Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/Chairman","907-452-8251","","",""]
[null,201900009,"SVT Health & Wellness","SELDOVIA VILLAGE TRIBE","1336178847","Federally Qualified Health Centers, Rural Health Clinics",1,0,"34361 Old Sterling Hwy","","Anchor Point","AK","99556-9500","Kenai Peninsula","880 E End Rd","","Homer","AK","99603","Kenai Peninsula","Emily Read","SVTHW Director","907-226-2208","","eread@svt.org","","Uran Piedra","Tribal Controller","907-226-2228","686","upiedra@svt.org",""]
[null,201900010,"Quyana Club House","Southcentral Foundation","1144274986","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",0.9,0,"225 Eagle St","","Anchorage","AK","99501-2626","Anchorage","4501 Diplomacy DR","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900011,"Pediatric Cardiology of Alaska","Pediatric Cardiology of Alaska","1528203551","Other ECP Providers",2,0,"3841 Piper St","Suite T345","Anchorage","AK","99508-4694","Anchorage","P.O. Box 5371","M/S RC- 406","Seattle","WA","90145-5005","King","Eileen O'Connor","Sr. Director Contracting and Payor Relations","206-987-5209","","eileen.oconnor@seattlechildrens.org","http://www.seattlechildrens.org/clinics-programs/heart/contact-locations/pediatric-cardiology-alaska/","","","","","",""]
[null,201900012,"Bleeding Disorder Center of Alaska","Providence Medical Group","1093956278","Hemophilia Treatment Centers",5,0,"3851 Piper St","Suite U120","Anchorage","AK","99502","Anchorage","3300 Providence Drive","Suite U239","Anchorage","AK","99508","Anchorage","Kyme Groller","Nurse Coordinator","907-212-6712","","kyme.groller@providence.org","","Laura Schulz","Medical Director","907-212-6885","","laura.schulz2@providence.org",""]
[null,201900013,"The Pathway Home","Southcentral Foundation","1639102882","Inpatient Hospitals (other than children's hospitals), Tribal Health Program operated under P.L. 93-638",30,0,"4000 San Ernesto Ave","","Anchorage","AK","99508-2874","Anchorage","4501 Diplomacy DR","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900014,"Anchorage Health Center","Planned Parenthood of the Great Northwest and the Hawaiian Islands","1083700686","Family Planning Providers, Sexually Transmitted Disease Clinics",2,0,"4001 Lake Otis Pkwy","Suite 101","Anchorage","AK","99508-5200","Anchorage","2001 E. Madison Street","","Seattle","WA","98122","King","Scott Boyd","Chief Financial Officer","206-328-7731","","scott.boyd@ppgnhi.org","http://www.plannedparenthood.org/health-center/alaska/anchorage/99508/anchorage-health-center-3254-91810","Nika Graci","Federal Programs Administrator","208-893-6356","","nika.graci@ppgnhi.org","http://www.plannedparenthood.org/health-center/alaska/anchorage/99508/anchorage-health-center-3254-91810"]
[null,201900015,"Dena A Coy Residential","Southcentral Foundation","1184678559","Inpatient Hospitals (other than children's hospitals), Urban Indian Health Program",14,0,"4130 San Ernesto Ave","","Anchorage","AK","99508-2875","Anchorage","4501 DIPLOMACY DRIVE","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900016,"Alaska Native Medical Center (inpatient hospital)","Alaska Native Tribal Health Consortium","1437368891","Indian Health Service, Inpatient Hospitals (other than children's hospitals), Tribal Health Program operated under P.L. 93-638",167,0,"4315 Diplomacy Dr","","Anchorage","AK","99508-5926","Anchorage","4000 Ambassador Drive","","Anchorage","AK","99508","Anchorage","Roald Helgesen","CEO","907-729-2876","","rhelgesen@anthc.org","","Jennifer Mitchell","Senior Director Revenue Cycle","907-729-1946","","jamitchell@anthc.org",""]
[null,201900017,"Alaska Native Medical Center (multiple outpatient ECP categories)","Alaska Native Tribal Health Consortium","1437368891","Dental Providers, Family Planning Providers, Indian Health Service, Other ECP Providers, Ryan White Providers, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638",1,14,"4315 Diplomacy Dr","","Anchorage","AK","99508-5926","Anchorage","4000 Ambassador Dr","","Anchorage","AK","99508","Anchorage","Roald Helgesen","CEO","907-729-2876","","rhelgesen@anthc.org","","Jennifer Mitchell","Senior Director Revenue Cycle","907-729-1946","","jamitchell@anthc.org",""]
[null,201900018,"Alaska Native Medical Center - Southcentral Foundation Clinics","Southcentral Foundation","1437189339","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",136.5,0,"4315 Diplomacy Dr","","Anchorage","AK","99508-5926","Anchorage","4501 Diplomacy Dr","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900019,"SCF ANMC CLINIC","SOUTHCENTRAL FOUNDATION DENTAL CLINICS","1861533408","Dental Providers",0,1,"4315 Diplomacy Dr","Dental Clinic","Anchorage","AK","99508-5926","Anchorage","4501 DIPLOMACY DRIVE","","ANCHORAGE","AK","99508","Anchorage","KATHRYN SUZANNE MILLER CPC, CDC","PATIENT ACCOUNTS MANAGER","907-317-6070","","SMILLER@SOUTHCENTRALFOUNDATION.COM","","JENNIFER WIESKAMP","PATIENT ACCOUNTS MANAGER","907-350-4810","","JWIESKAMP@SOUTHCENTRALFOUNDATION.COM",""]
[null,201900020,"Anchorage Native Primary Care Center Behavioral Health Clinic","Southcentral Foundation","1124064894","Community Mental Health Centers, Tribal Health Program operated under P.L. 93-638",11,0,"4320 Diplomacy Dr","","Anchorage","AK","99508-5925","Anchorage","4501 DIPLOMACY DRIVE","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900021,"Behavioral Health Fireweed","Southcentral Foundation","1932159076","Community Mental Health Centers, Tribal Health Program operated under P.L. 93-638",1.7,0,"4341 Tudor Centre Dr","","Anchorage","AK","99508-5904","Anchorage","4501 DIPLOMACY DRIVE","","Anchorage","AK","99508","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900022,"SCF FIREWEED DENTAL CLINIC","SOUTHCENTRAL FOUNDATION DENTAL CLINICS","1861533408","Dental Providers",0,1,"4341 Tudor Centre Dr","Fireweed Dental","Anchorage","AK","99508-5904","Anchorage","4501 DIPLOMACY DRIVE","","ANCHORAGE","AK","99508","Anchorage","KATHRYN SUZANNE MILLER CPC, CDC","PATIENT ACCOUNTS MANAGER","907-317-6070","","SMILLER@SOUTHCENTRALFOUNDATION.COM","","JENNIFER WIESKAMP","PATIENT ACCOUNTS MANAGER","907-350-4810","","JWIESKAMP@SOUTHCENTRALFOUNDATION.COM",""]
[null,201900023,"Anchorage Neighborhood Health Center, Inc.","ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.","1669475166","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",15,3.5,"4951 Business Park Blvd","","Anchorage","AK","99503-7174","Anchorage","4951 Business Park Blvd","","Anchorage","AK","99503-7174","Anchorage","Tammy Green","Chief Executive Officer","907-743-7368","","tgreen@anhc.org","","Katherine L Blank","Chief Financial Officer","907-743-7321","","kblank@anhc.org","www.anhc.org"]
[null,201900024,"Clinical Services - Department of Health and Human Services","Municipality of Anchorage","1104979806","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",3,0,"825 L St","Suite No. 102","Anchorage","AK","99501-3337","Anchorage","825 L St","","Anchorage","AK","99501-3337","Anchorage","Janet Johnston","Clinical Services Supervisor","907-343-4649","","johnstonjm@muni.org","http://www.muni.org/Departments/Health/DirectServices/Pages/default.aspx","Blanche Moreman","Division Manager","907-343-4703","","moremanba@muni.org","http://www.muni.org/Departments/Health/DirectServices/Pages/default.aspx"]
[null,201900025,"SEARHC Jessie Norma Jim Health Center","Southeast Alaska Regional Health Consortium (SEARHC)","1215983945","Federally Qualified Health Centers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",2,0,"725 Relay Rd","","Angoon","AK","99820","Hoonah Angoon","3100 Channel Drive","Suite 300","Juneau","AK","99801","Juneau","Rachel Stauffer","Patient Financial Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900026,"ANIAK SUB-REGIONAL CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1689857658","Federally Qualified Health Centers",2,0,"269 Morgans Rd","PO Box 269","Aniak","AK","99557-0269","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Susan Hoeldt","SRC Administrator","907-675-4556","","susan_hoeldt@ykhc.org","","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org",""]
[null,201900027,"YUKON-KUSKOKWIM HEALTH CORPORATION ANVIK CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Charlie Wulf Road #89","PO Box 89","Anvik","AK","99558-0089","Yukon Koyukuk","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900028,"ARCTIC VILLAGE HEALTH CLINIC","COUNCIL OF ATHABASCAN TRIBAL GOVERNMENTS","1578753067","Federally Qualified Health Centers, Indian Health Service",1,0,"100 Main St","","Arctic Village","AK","99722","Yukon Koyukuk","3rd And Spruce St","","Fort Yukon","AK","99740","Yukon Koyukuk","Joyce W Hughes","Grants/Contracts Manager","907-662-7527","527","jhughes@catg.org","www.catg.org","Melinda L Peter","Health Director","907-662-7529","529","mlpeter@catg.org","www.catg.org"]
[null,201900029,"APIAI Atka Village Clinic","Aleutian Pribilof Islands Association, Inc. (APIAI)","1093939233","Federally Qualified Health Centers, Indian Health Service",1,0,"900 A Health Ln","","Atka","AK","99547","Aleutians West","1131 E International Airport Rd","","Anchorage","AK","99518-1408","Aleutians West","Dimitri Philemonof","President/CEO","907-276-2700","","dimitrip@apiai.org","www.apiai.org","Jessica Mata Rukovishnikoff","Primary Care Services Regional Administrator","907-276-2700","265","jmataruko@apiai.org",""]
[null,201900030,"Yukon-Kuskokwim Health Corporation Atmautluak Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"101 Boardwalk Way","PO Box 6588","Atmautluak","AK","99559-6588","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900031,"Samuel Simmonds Memorial Hospital (inpatient hospital)","Arctic Slope Native Association","1306933643","Inpatient Hospitals (other than children's hospitals), Tribal Health Program operated under P.L. 93-638",10,0,"7000 Uula St","","Barrow","AK","99723","North Slope","PO Box 29","","Barrow","AK","99723","North Slope","Luke Welles","Vice President of Finance","907-852-4611","352","luke.welles@arcticslope.org","www.arcticslope.org","Richard Hall","Hospital Administrator","907-852-4611","137","richard.hall@arcticslope.org","www.arcticslope.org"]
[null,201900032,"Samuel Simmonds Memorial Hospital (multiple outpatient ECP categories)","Arctic Slope Native Association","1306933643","Dental Providers, Outpatient Hospital Clinics, Tribal Health Program operated under P.L. 93-638",22,5,"7000 Uula St","","Barrow","AK","99723","North Slope","PO Box 29","","Barrow","AK","99723","North Slope","Luke Welles","Vice President of Finance","907-852-4611","352","luke.welles@arcticslope.org","www.arcticslope.org","Richard Hall","Hospital Administrator","907-852-4611","137","richard.hall@arcticslope.org","www.arcticslope.org"]
[null,201900033,"BEAVER HEALTH CLINIC","COUNCIL OF ATHABASCAN TRIBAL GOVERNMENTS","1205027505","Federally Qualified Health Centers, Indian Health Service",1,0,"101 Main St","","Beaver","AK","99724","Yukon Koyukuk","3rd And Spruce St","","Fort Yukon","AK","99740","Yukon Koyukuk","Joyce W Hughes","Grants/Contracts Manager","907-662-7527","527","jhughes@catg.org","www.catg.org","Melinda L Peter","Health Director","907-662-7529","529","mlpeter@catg.org","www.catg.org"]
[null,201900034,"Yukon-Kuskokwim Health Corporation Womens Care and Support Center","Yukon-Kuskokwim Health Corporation","1821476599","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",2,0,"1260 A Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559-0528","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","James Sweeney","VP of Hospital Services","907-543-6953","","james_sweeney@ykhc.org","","Patricia Smith","Patient Care Services Administrator","907-543-6270","","patricia_smith@ykhc.org",""]
[null,201900035,"Yukon-Kuskokwim Health Corporation McCann Treatment Center","Yukon-Kuskokwim Health Corporation","1194945170","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"5016 Noel Polty Blvd.","PO Box 528","Bethel","AK","99559-0528","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","James Sweeney","VP of Hospital Services","907-543-6953","","james_sweeney@ykhc.org","","Patricia Smith","Patient Care Services Administrator","907-543-6270","","patricia_smith@ykhc.org",""]
[null,201900036,"BETHEL FAMILY CLINIC","BETHEL FAMILY CLINIC","1124078019","Federally Qualified Health Centers",2.5,0,"631 Main St","","Bethel","AK","99559","Bethel","631 Main St","","Bethel","AK","99559","Bethel","LaTesia Guinn","Executive Director","907-543-3773","","lguinn@bethelclinic.org","","","","907-543-3773","","",""]
[null,201900037,"Yukon Kuskokwim Delta Regional Hospital","Yukon-Kuskokwim Health Corporation","1063567691","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",167,0,"700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559-0528","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","James Sweeney","VP of Hospital Services","907-543-6953","","james_sweeney@ykhc.org","","Patricia Smith","Patient Care Services Administrator","907-543-6270","","patricia_smith@ykhc.org",""]
[null,201900038,"Yukon-Kuskokwim Health Corporation Behavioral Health","Yukon-Kuskokwim Health Corporation","1346466232","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",2,0,"829 Chief Eddie Hoffman Hwy","Suite 150","Bethel","AK","99559","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","James Sweeney","VP of Hospital Services","907-543-6953","","james_sweeney@ykhc.org","","Patricia Smith","Patient Care Services Administrator","907-543-6270","","patricia_smith@ykhc.org",""]
[null,201900039,"Yukon-Kuskokwim Health Corporation Dental","Yukon-Kuskokwim Health Corporation (YKHC)","1326262726","Dental Providers",0,21,"829 Chief Eddie Hoffman Hwy","Suite 184","Bethel","AK","99559","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559-0528","Bethel","James Sweeney","VP of Hospital Services","907-543-6953","","james_sweeney@ykhc.org","","Patricia Smith","Patient Care Services Administrator","907-543-6270","","patricia_smith@ykhc.org",""]
[null,201900040,"FRANK TOBUK SR. HEALTH CENTER","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"1 Bettles Rd","","Bettles","AK","99726","Yukon Koyukuk","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal L Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900041,"CHALKYITSIK VILLAGE CLINIC","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"8 Kutchin Rd","","Chalkyitsik","AK","99788","Yukon Koyukuk","122 1st Ave.","","Fairbanks","AK","99701","Fairbanks North Star","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900042,"YUKON-KUSKOKWIM HEALTH CORPORATION CHEFORNAK CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Panruk Rd","PO Box 49","Chefornak","AK","99561-0049","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900043,"Chugachmiut Chenega Bay Clinic","Chugachmiut Association","1700057676","Indian Health Service, Other ECP Providers",3,0,"625 Main St","","Chenega Bay","AK","99574","Valdez Cordova","1840 Bragaw St Ste 110","","Anchorage","AK","99508-3463","Anchorage","Jan Vanderpool","Executive Director","907-562-4155","","jan@chugachmiut.org","","","","","","",""]
[null,201900044,"YUKON-KUSKOKWIM HEALTH CORPORATION CHEVAK CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"212 Willow St","PO Box 212","Chevak","AK","99563-0212","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900045,"BBAHC Chignik Bay Clinic","Bristol Bay Area Health Corporation (BBAHC)","1871654582","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Chignik Bay","AK","99564","Lake and Peninsula","PO Box 130","","Dillingham","AK","99576-0130","Bristol Bay","Robert J. Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900046,"Chignik Lagoon Clinic","Bristol Bay Area Health Corporation (BBAHC)","1578623641","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Chignik Lagoon","AK","99576","Dillingham","6000 Kanakanak Rd","","Dillingham","AK","99576","Dillingham","Robert J Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900047,"BBAHC Chignik Lake Clinic","Bristol Bay Area Health Corporation (BBAHC)","1962563676","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"36 Alder Rd","","Chignik Lake","AK","99548","Lake and Peninsula","PO Box 130","","Dillingham","AK","99576-0130","Bristol Bay","Robert J. Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900048,"Chistochina Clinic","Mt. Sanford Tribal Consortium","1609990670","Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.5,0,"Mile Post 34.5 Tok Cut Off Highway","","Chistochina","AK","99586","Valdez Cordova","P.O. Box 357","","Gakona","AK","99586","Valdez Cordova","George Drinkwater","Health Services Director","907-259-4498","","gtd@mstc.org","","Evelyn Beeter","President / CEO","907-822-5399","302","ebeeter@mstc.org",""]
[null,201900049,"CIRCLE VILLAGE CLINIC","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"161 Steese Hwy","","Circle","AK","99733-9800","Yukon Koyukuk","122 1st Ave","","Fairbanks","AK","99701","Fairbanks North Star","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900050,"BBAHC Clarks Point Clinic","Bristol Bay Area Health Corporation (BBAHC)","1922160464","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Clarks Point","AK","99569","Dillingham","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert J. Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","9394","bjensen@bbahc.org",""]
[null,201900051,"TLCHC-COFFMAN COVE","ALASKA ISLAND COMMUNITY SERVICES","1689729980","Federally Qualified Health Centers",0.1,0,"105 NW Kodiak Drive","","Coffman Cove","AK","99918","Prince Of Wales Hyder","232 Wood St","","Wrangell","AK","99929","Wrangell","Mark Walker","CEO","907-874-2373","","mark.walker@akics.org","","Georgianna Buhler","CFO","907-874-2373","","",""]
[null,201900052,"ANNA LIVINGSTON MEMORIAL CLINIC","EASTERN ALEUTIAN TRIBES, INC.","1124180963","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers, Tribal Health Program operated under P.L. 93-638",1,1,"65 Main St","","Cold Bay","AK","99571","Aleutians East","3380 C St Ste 100","","Anchorage","AK","99503-3949","Aleutians East","Jennifer Harrison","Executive Director","907-277-1440","","jenniferh@eatribes.net","www.etribes.org","Edgar Smith","Director of Operations","907-277-1440","","edgars@eatribes.net","www.etribes.org"]
[null,201900053,"Copper River Native Association","Copper River Native Association (CRNA)","1164745691","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",2,0,"Mile 111.5 Richardson Hwy","PO Box H","Copper Center","AK","99573-0508","Valdez Cordova","Mile 111.5 Richardson Hwy","PO Box H","Copper Center","AK","99573-0508","Valdez Cordova","Arleen Lenard","Patient Financial Services Director","907-822-8847","","alenard@crnative.org","http://crnative.org/","Eirik Brennan Mcferrin","Health Director","907-822-8819","","emcferrin@crnative.org","http://crnative.org/"]
[null,201900054,"CRNA Wrangell Mountain Dental Clinic","Copper River Native Association (CRNA)","1306987532","Dental Providers",0,1,"Mile 111.5 Richardson Hwy","PO Box H","Copper Center","AK","99573-0508","Valdez Cordova","Mile 111.5 Richardson Hwy","PO Box H","Copper Center","AK","99573","Valdez Cordova","Arleen Lenard","Patient Financial Services Director","907-822-8847","","alenard@crnative.org","www.crnative.org","Eirik Mcferrin","Health Director","907-822-8819","","emcferrin@crnative.org","www.crnative.org"]
[null,201900055,"Ilanka Community Health Center","Native Village of Eyak","1821074535","Federally Qualified Health Centers, Tribal Health Program operated under P.L. 93-638",2,0,"705 Second St","","Cordova","AK","99574","Valdez Cordova","110 Nicholoff Way","PO Box 1388","Cordova","AK","99574","Valdez Cordova","Cindy Frohnapfel","Business Office Coordinator","907-424-3622","","cindy.frohnapfel@eyak-nsn.gov","","Cindy Bradford","Deputy Health Director","907-424-3622","","cindy.bradford@eyak-nsn.gov",""]
[null,201900056,"YUKON-KUSKOKWIM HEALTH CORPORATION CROOKED CREEK CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"401 Main St","PO Box 49","Crooked Creek","AK","99575-0049","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900057,"Interior Alaska Medical Clinic","CROSS ROAD MEDICAL CENTER","1346677754","Federally Qualified Health Centers",1,0,"2730 Alaska Hwy","","Delta Junction","AK","99737","Southeast Fairbanks","Mile 187 Glenn Hwy","","Glennallen","AK","99588","Valdez Cordova","Susan Sura","Grants Manager","907-822-5686","","ssura@crossroadmc.org","www.crossroadmc.org","Joel Medendorp","CEO","907-822-5686","23","jmedendorp@crossroadmc.org","www.crossroadmc.org"]
[null,201900058,"Kanakanak Hospital Inpatient","Bristol Bay Area Health Corporation (BBAHC)","1962688309","Indian Health Service, Inpatient Hospitals (other than children's hospitals), Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",11.6,0,"6000 Kanakanak Rd","","Dillingham","AK","99576","Dillingham","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert J. Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900059,"Kanakanak Hospital Outpatient","Bristol Bay Area Health Corporation","1831270842","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Outpatient Hospital Clinics, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",11.6,3.35,"6000 Kanakanak Rd","","Dillingham","AK","99576-0130","Dillingham","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert J Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy M Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900060,"Dot Lake Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"8 Charles St","","Dot Lake","AK","99737","Southeast Fairbanks","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal L Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900061,"BO ZT OW ZHO Eagle Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"Long Lake Rd","","Eagle","AK","99738","Southeast Fairbanks","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal L Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900062,"TLCHC-EDNA BAY","ALASKA ISLAND COMMUNITY SERVICES","1508912668","Federally Qualified Health Centers",0.1,0,"1 Edna Bay Rd","","Edna Bay","AK","99901-9803","Ketchikan Gateway","232 Wood St","","Wrangell","AK","99929","Wrangell","Mark Walker","CEO","907-874-2373","","mark.walker@akics.org","","Georgianna Buhler","CFO","907-874-2373","","",""]
[null,201900063,"Yukon-Kuskokwim Health Corporation Eek Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"2 Council St","PO Box 69","Eek","AK","99578-0069","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900064,"BBAHC Egegik Clinic","Bristol Bay Area Health Corporation (BBAHC)","1699836007","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Egegik","AK","99579","Lake and Peninsula","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert J. Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900065,"BBAHC Ekwok Clinic","Bristol Bay Area Health Corporation (BBAHC)","1104988799","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Ekwok","AK","99580","Dillingham","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert J. Clark","President/CEO","907-842-5201","6400","rclark@bbach.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900066,"EMMONAK SUB-REGIONAL CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1124201199","Federally Qualified Health Centers",2,0,"215 Kwiguk St","PO Box 246","Emmonak","AK","99581-0246","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Susan Hoeldt","SRC Administrator","907-675-4556","","susan_hoeldt@ykhc.org","","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org",""]
[null,201900067,"Alaska Island Community Clinic Excursion Inlet Cannery Site","ALASKA ISLAND COMMUNITY SERVICES","1861740284","Federally Qualified Health Centers",0.05,0,"Cannery Site","","Excursion Inlet","AK","99827","Haines","232 Wood St","","Wrangell","AK","99929","Wrangell","Mark Walker","CEO","907-874-2373","","mark.walker@akics.org","","Georgianna Buhler","CFO","907-874-2373","","",""]
[null,201900068,"Stevens Village Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"122 1st Ave","","Fairbanks","AK","99701-4871","Fairbanks North Star","2 Riverway St.","","Stevens Village","AK","99774","Yukon Koyukuk","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900069,"INTERIOR COMMUNITY HEALTH CENTER","INTERIOR COMMUNITY HEALTH CENTER","1588739015","Dental Providers, Federally Qualified Health Centers",3.7,2.1,"1606 23rd Ave","","Fairbanks","AK","99701-6407","Fairbanks North Star","1606 23rd Ave","","Fairbanks","AK","99701-6407","Fairbanks North Star","Thomas Martin","CFO","907-455-4567","","thomas.martin@inhc.org","","","","907-455-4567","","",""]
[null,201900070,"Chief Andrew Issac Health Center","Tanana Chiefs Conference, Inc. (TCC)","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",60,16,"1717 W Cowles St","","Fairbanks","AK","99701-5926","Fairbanks North Star","122 1st Ave Ste 600","","Fairbanks","AK","99701","Fairbanks North Star","Victor Joseph","President/Chairman","907-452-8251","","victor.joseph@tananachiefs.org","","","","","","",""]
[null,201900071,"Fairbanks Health Center","Planned Parenthood of the Great Northwest and the Hawaiian Islands","1083700686","Family Planning Providers, Sexually Transmitted Disease Clinics",2,0,"1867 Airport Way","Suite 160B","Fairbanks","AK","99701-4062","Fairbanks North Star","2001 E. Madison Street","","Seattle","WA","98122","King","Scott Boyd","Chief Financial Officer","206-328-7731","","scott.boyd@ppgnhi.org","http://www.plannedparenthood.org/health-center/alaska/fairbanks/99701/fairbanks-health-center-2603-91810","Nika Graci","Federal Programs Administrator","208-893-6356","","nika.graci@ppgnhi.org","http://www.plannedparenthood.org/health-center/alaska/fairbanks/99701/fairbanks-health-center-2603-91810"]
[null,201900072,"Anna Hoblet Memorial Clinic","EASTERN ALEUTIAN TRIBES, INC.","1841352689","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers, Tribal Health Program operated under P.L. 93-638",1,1,"49 Main St","","False Pass","AK","99583","Aleutians East","3380 C St Ste 100","","Anchorage","AK","99503-3949","Aleutians East","Edgar Smith","Executive Director","907-277-1440","","jenniferh@eatribes.net","www.eatribes.org","Edgar Smith","Operation Director","907-277-1440","","edgars@eatribes.net","www.eatribes.org"]
[null,201900073,"YUKON FLATS HEALTH CENTER","COUNCIL OF ATHABASCAN TRIBAL GOVERNMENTS","1871704395","Dental Providers, Federally Qualified Health Centers, Indian Health Service",5,1,"1 Spruce St","","Fort Yukon","AK","99740","Yukon Koyukuk","3rd And Spruce St","","Fort Yukon","AK","99740","Yukon Koyukuk","Joyce W Hughes","Grants/Contracts Manager","907-662-7527","527","jhughes@catg.org","www.catg.org","Melinda L Peter","Health Director","907-662-7529","529","mlpeter@catg.org","www.catg.org"]
[null,201900074,"BIRCH CREEK VILLAGE CLINIC","COUNCIL OF ATHABASCAN TRIBAL GOVERNMENTS","1225228729","Federally Qualified Health Centers, Indian Health Service",1,0,"101 Main St","","Fort Yukon","AK","99740","Yukon Koyukuk","3rd And Spruce St","","Fort Yukon","AK","99740","Yukon Koyukuk","Joyce W Hughes","Grants/Contracts Manager","907-662-7527","527","jhughes@catg.org","www.catg.org","Melinda L Peter","Health Director","907-662-7529","529","mlpeter@catg.org","www.catg.org"]
[null,201900075,"Edgar Nollner Health Center","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",2,0.05,"77 Antoski Rd","","Galena","AK","99741","Yukon Koyukuk","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal L Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Josephine Malamute","Director","907-452-8251","3607","",""]
[null,201900076,"Girdwood Health Clinic","Girdwood Health Clinic Inc","1851662233","Federally Qualified Health Centers",1.4,0,"131 Lindblad Ave","","Girdwood","AK","99587-1130","Anchorage","131 Lindblad Avenue","PO Box 1130","Girdwood","AK","99587-1130","Anchorage","Jill Veatch","Office Manager","907-783-1355","","j.veatch@ghcak.org","girdwoodhealthclinic.org","Tawny Buck","Executive Director","907-783-1355","","t.buck@ghcak.org","girdwoodhealthclinic.org"]
[null,201900077,"Robert Marshall Building","Copper River Native Association","1306987532","Community Mental Health Centers, Dental Providers, Tribal Health Program operated under P.L. 93-638",6,1,"111 Richardson Hwy","","Glennallen","AK","99588","Valdez Cordova","PO Box H","","Copper Center","AK","99573","Valdez Cordova","Paul Rude","CEO","907-822-5241","","paulrude@crnative.org","www.crnative.org","Kris Winter","Health Services Director","907-822-5241","0119","kwinter@crnative.org","www.crnative.org"]
[null,201900078,"Cross Road Medical Center","CROSS ROAD MEDICAL CENTER","1609871391","Federally Qualified Health Centers",3,0,"Mile 187 Glenn Hwy","","Glennallen","AK","99588","Valdez Cordova","Mile 187 Glenn Hwy","","Glennallen","AK","99588","Valdez Cordova","Susan Sura","Grants Manager","907-822-3203","","ssura@crossroadmc.org","www.crossroadmc.org","Joel Medendorp","CEO","907-822-5686","23","jmedendorp@crossroadmc.org","www.crossroadmc.org"]
[null,201900079,"BBAHC Goodnews Bay Clinic","Bristol Bay Area Health Corporation (BBAHC)","1194886895","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Goodnews Bay","AK","99589","Bethel","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert J. Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900080,"YUKON-KUSKOKWIM HEALTH CORPORATION GRAYLING CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"49 Main St","PO Box 110","Grayling","AK","99590-0110","Yukon Koyukuk","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900081,"Alaska Island Community Services Gustavus Community Clinic","ALASKA ISLAND COMMUNITY SERVICES","1902178627","Federally Qualified Health Centers",1,0,"42 Dolly Varden Ln","","Gustavus","AK","99826","Hoonah Angoon","232 Wood St","","Wrangell","AK","99929","Wrangell","Mark Walker","CEO","907-874-2373","","mark.walker@akics.org","","Georgianna Buhler","CFO","907-874-2373","","",""]
[null,201900082,"HAINES HEALTH CENTER","SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM","1932184298","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",8,1,"131 1st Ave S","","Haines","AK","99827","Haines","3100 Channel Drive","Suite 300","Juneau","AK","99801-7809","Juneau","Rachel Stauffer","Patient Finanical Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900083,"INTERIOR COMMUNITY HEALTH CENTER","INTERIOR COMMUNITY HEALTH CENTER","1609942754","Federally Qualified Health Centers, Rural Health Clinics",1,0,"Usibelli Spur Rd","","Healy","AK","99743","Denali","1606 23rd Ave","","Fairbanks","AK","99701-6407","Fairbanks North Star","Thomas Martin","CFO","907-455-4567","","thomas.martin@inhc.org","","","","","","",""]
[null,201900084,"YUKON-KUSKOKWIM HEALTH CORPORATION HOLY CROSS CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"21 3rd St","PO Box 95","Holy Cross","AK","99602-0095","Yukon Koyukuk","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900085,"Kachemak Bay Family Planning Clinic","Kachemak Bay Family Planning Clinic","1477684561","Family Planning Providers, Sexually Transmitted Disease Clinics",1,0,"3959 Ben Walters Ln","","Homer","AK","99603-7707","Kenai Peninsula","3959 Ben Walters Ln","","Homer","AK","99603","Kenai Peninsula","Catriona Reynolds","Interim Executive Director","907-235-3436","","catriona@kbfpc.org","http://kbfpc.org/","Catriona Reynolds","Clinic Manager","907-235-3436","","catriona@kbfpc.org",""]
[null,201900086,"SVT Health & Wellness","SELDOVIA VILLAGE TRIBE","1336178847","Dental Providers, Federally Qualified Health Centers, Rural Health Clinics",3,1,"880 E End Rd","","Homer","AK","99603-7201","Kenai Peninsula","880 E End Rd","","Homer","AK","99603","Kenai Peninsula","Emily Read","SVTHW Director","907-226-2208","","eread@svt.org","","Uran Piedra","Tribal Controller","907-226-2228","686","upiedra@svt.org",""]
[null,201900087,"SEARHC Hoonah Health Center","Southeast Alaska Regional Health Consortium (SEARHC)","1285849943","Federally Qualified Health Centers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",4,0,"490 Gartina Highway","","Hoonah","AK","99829","Hoonah Angoon","3100 Channel Drive","Suite 300","Juneau","AK","99801-7809","Juneau","Rachel Stauffer","Patient Financial Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900088,"HOOPER BAY SUB-REGIONAL CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1316180029","Federally Qualified Health Centers",2,0,"Airport Rd","PO Box 49","Hooper Bay","AK","99604-0049","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Susan Hoeldt","SRC Administrator","907-675-4556","","susan_hoeldt@ykhc.org","","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org",""]
[null,201900089,"Marilyn E. Koyukuk Evans Health Center","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"204 Blue Ave","","Hughes","AK","99745","Yukon Koyukuk","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal L Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900090,"Rose Ambrose Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"166 Spring Camp Rd","","Huslia","AK","99746","Yukon Koyukuk","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal L Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900091,"SEARHC Alma Cook Health Center","Southeast Alaska Regional Health Consortium (SEARHC)","1073728168","Federally Qualified Health Centers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",2,0,"Eight Street Extension","","Hydaburg","AK","99922","Prince Of Wales Hyder","3100 Channel Drive","Suite 300","Juneau","AK","99801","Juneau","Rachel Stauffer","Patient Financial Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900092,"Igiugig Clinic","Southcentral Foundation","1144699216","Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.4,0,"4030 Salmon Way","","Igiugig","AK","99613","Lake and Peninsula","4501 Diplomacy Dr","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900093,"NILAVENA SUBREGIONAL CLINIC","Southcentral Foundation","1912954272","Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.92,0,"101 Airport Rd","","Iliamna","AK","99606","Lake and Peninsula","4501 Diplomacy Dr","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900094,"SEARHC Ethal Lund Medical Center","Southeast Alaska Regional Health Consortium (SEARHC)","1942284765","Dental Providers, Other ECP Providers, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",38,11,"1200 Salmon Creek Ln","","Juneau","AK","99801-7861","Juneau","3100 Channel Drive","Suite 300","Juneau","AK","99801-7809","Juneau","Rachel Stauffer","Patient Finanical Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900095,"FRONT STREET COMMUNITY HEALTH CENTER","Front Street Health Center","1205255957","Federally Qualified Health Centers",1,0,"225 Front St","","Juneau","AK","99801-1244","Juneau","225 Front St","","Juneau","AK","99801-1244","Juneau","Mark Walker","consultant","907-874-2373","","mark.walker@akics.org","","Georgianna Buhler","consultant","907-874-2373","","",""]
[null,201900096,"Juneau Health Center","Planned Parenthood of the Great Northwest and the Hawaiian Islands","1083700686","Family Planning Providers, Sexually Transmitted Disease Clinics",2,0,"3231 Glacier Hwy","","Juneau","AK","99801-7842","Juneau","2001 E. Madison Street","","Seattle","WA","98122","King","Scott Boyd","Chief Financial Officer","206-328-7731","","scott.boyd@ppgnhi.org","http://www.plannedparenthood.org/health-center/alaska/juneau/99801/juneau-health-center-3865-91810","Nika Graci","Federal Programs Administrator","208-893-6356","","nika.graci@ppgnhi.org",""]
[null,201900097,"Bartlett Regional Hospital","Bartlett Regional Hospital","1891849261","Inpatient Hospitals (other than children's hospitals)",57,0,"3260 Hospital Dr","","Juneau","AK","99801-7808","Juneau","3260 Hospital Drive","","Juneau","AK","99801","Juneau","Alan C Ulrich","Chief Financial Officer","907-796-8402","","aulrich@bartletthospital.org","www.bartletthospital.org","Chuck Bill","Chief Executive officer","907-796-8438","","cbill@bartletthospital.org","www.bartletthospital.org"]
[null,201900098,"SEARHC Kake Health Center","Southeast Alaska Regional Health Consortium (SEARHC)","1114973849","Federally Qualified Health Centers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",1,0,"105 Totem Way","","Kake","AK","99830","Petersburg","3100 Channel Drive","Suite 300","Juneau","AK","99801-7809","Juneau","Rachel Stauffer","Patient Financial Services Manager","907-364-6644","6644","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900099,"YUKON-KUSKOKWIM HEALTH CORPORATION UPPER KALSKAG CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Lot 3 Block 11 Tract C","PO Box 9","Kalskag","AK","99607-0009","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900100,"Kaltag Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"32 2nd St","","Kaltag","AK","99748","Yukon Koyukuk","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900101,"Karluk Health Clinic","KODIAK AREA NATIVE ASSOCIATION (KANA)","1205883907","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",1,1,"26 Alex Brown St","","Karluk","AK","99608","Kodiak Island","3449 Rezanof Dr E","","Kodiak","AK","99615-6952","Kodiak Island","Amy Durand","Grants Coordinator","907-486-9890","","amy.durand@kodiakhealthcare.org","","Andy Teuber","President/CEO","907-486-9800","","",""]
[null,201900102,"SEARHC Kasaan Health Center","Southeast Alaska Regional Health Consortium (SEARHC)","1962616821","Federally Qualified Health Centers, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",1,0,"First And Jones","","Kasaan","AK","99950","Ketchikan Gateway","3100 Channel Drive","Suite 300","Juneau","AK","99801-7809","Juneau","Rachel Stauffer","Patient Finanical Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900103,"Yukon-Kuskokwim Health Corporation Kasigluk Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"9 Akulmiut","PO Box 99","Kasigluk","AK","99609-0099","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900104,"PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA - DENTAL","PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.","1700984614","Dental Providers",0,2,"395 Main Street Loop","","Kenai","AK","99611-7727","Kenai Peninsula","230 EAST MARYDALE AVENUE","","Soldotna","AK","99669","Kenai Peninsula","AL WALL","CEO","907-260-7314","","CEO@PCHSAK.ORG","WWW.PCHSAK.ORG","JENNIFER YOUNGBERG","CFO","907-260-7312","","JYOUNGBERG@PCHSAK.ORG","WWW.PCHSAK.ORG"]
[null,201900105,"Dena'ina Health Center (Kenai)","Kenaitze Indian Tribe (KIT)","1932114600","Dental Providers, Family Planning Providers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",6,3,"508 Upland St","","Kenai","AK","99611-8026","Kenai Peninsula","PO Box 988","","Kenai","AK","99611-0988","Kenai Peninsula","John Molina, MD, JD","Health Systems DIrector","907-335-7566","","jmolina@kenaitze.org","","Misa Pham","Healthcare Revenue Cycle Administrator","907-335-7560","","mpham@kenaitze.org",""]
[null,201900106,"PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC. - KENAI MEDICAL AND BEHAVIORAL HEALTH CENTER","PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.","1700984614","Federally Qualified Health Centers",2,0,"805 Frontage Rd","","Kenai","AK","99611-9104","Kenai Peninsula","230 E Marydale Ave","","Soldotna","AK","99669-7648","Kenai Peninsula","AL WALL","CEO","907-260-7314","","CEO@PCHSAK.ORG","WWW.PCHSAK.ORG","JENNIFER YOUNGBERG","CFO","907-260-7312","7312","JYOUNGBERG@PCHSAK.ORG","WWW.PCHSAK.ORG"]
[null,201900107,"Ketchikan Indian Community","KIC Tribal Health","1043533946","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",4.75,3,"2960 Tongass Ave","","Ketchikan","AK","99901-5742","Ketchikan Gateway","2960 Tongass Ave","","Ketchikan","AK","99901","Ketchikan Gateway","John R Reeves III","Health Administrator","907-228-9264","9264","jreevesiii@kictribe.org","","Arlene Dilts Jackson","Tribal Administrator","907-228-9299","9299","adjackson@kictribe.org",""]
[null,201900108,"KING COVE CLINIC","EASTERN ALEUTIAN TRIBES, INC.","1649332446","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers, Tribal Health Program operated under P.L. 93-638",3,3,"100 Slocum Dr","","King Cove","AK","99612","Aleutians East","3380 C St Ste 100","","Anchorage","AK","99503-3949","Aleutians East","Jennifer Smith","Executive Director","907-277-1440","","jenniferh@eatribes.net","www.eatribes.org","Edgar Smith","Director of Operations","907-277-1440","","edgars@eatribes.net","www.eatribes.org"]
[null,201900109,"BBAHC King Salmon Clinic","Bristol Bay Area Health Corporation (BBAHC)","1891856894","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","King Salmon","AK","99613","Bristol Bay","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900110,"Yukon-Kuskokwim Health Corporation Kipnuk Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"101 Council Drive","PO Box 183","Kipnuk","AK","99614-0183","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900111,"SEARHC Alicia Roberts Medical Center","Southeast Alaska Regional Health Consortium (SEARHC)","1306173752","Dental Providers, Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",8,2,"7300 Klawock Hollis Highway","","Klawock","AK","99925","Prince Of Wales Hyder","3100 Channel Drive","Suite 300","Juneau","AK","99801","Juneau","Rachel Stauffer","Patient Financial Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900112,"SEARHC Klukwan Health Center","Southeast Alaska Regional Health Consortium (SEARHC)","1306173752","Federally Qualified Health Centers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",1,0,"11 Chilkat Ave","","Klukwan","AK","99827","Haines","3100 Channel Drive","Suite 300","Juneau","AK","99801-7809","Juneau","Rachel Stauffer","Patient Financial Services Manager","907-364-6644","6644","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900113,"Kodiak Community Health Center","Kodiak Island Health Care Foundation","1326047044","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",4.5,1.5,"1911 E Rezanof Dr","","Kodiak","AK","99615-6602","Kodiak Island","1911 E. Rezanof Drive","","Kodiak","AK","99615","Kodiak Island","Judy C Rathje","Executive Director","907-481-5000","5005","jrathje@kodiakchc.org","","Maggie Nevin","Operations Director","907-481-5000","5006","mnevin@kodiakchc.org",""]
[null,201900114,"KANA (Mill Bay Health Clinic)","KODIAK AREA NATIVE ASSOCIATION (KANA)","1205883907","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",3,1,"2414 Mill Bay Rd","","Kodiak","AK","99615-6654","Kodiak Island","3449 East Rezanof Drive","","Kodiak","AK","99615","Kodiak Island","Amy Durand","Grants Coordinator","907-486-9890","","amy.durand@kodiakhealthcare.org","","Andy Teuber","President/CEO","907-486-9800","","",""]
[null,201900115,"KANA (Alutiiq Enwia Clinic-Kodiak)","KODIAK AREA NATIVE ASSOCIATION (KANA)","1205883907","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",4,1,"3449 E Rezanof Dr","","Kodiak","AK","99615-6952","Kodiak Island","3449 Rezanof Dr E","","Kodiak","AK","99615-6952","Kodiak Island","Amy Durand","Grants Coordinator","907-486-9890","","amy.durand@kodiakhealthcare.org","","Andy Teuber","President/CEO","907-486-9800","","",""]
[null,201900116,"Kokhanok Clinic","Southcentral Foundation","1043689169","Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.4,0,"1008 Main St","","Kokhanok","AK","99606","Lake and Peninsula","4501 Diplomacy Dr","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900117,"BBAHC Koliganek Clinic","Bristol Bay Area Health Corporation (BBAHC)","1013079607","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Koliganek","AK","99576","Dillingham","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900118,"Yukon-Kuskokwim Health Corporation Kongiganak Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"23 Main Way","PO Box 5089","Kongiganak","AK","99545-5089","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900119,"YUKON-KUSKOKWIM HEALTH CORPORATION KOTLIK CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"35 Main St","PO Box 20268","Kotlik","AK","99620-0268","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900120,"Maniilaq Association","Maniilaq Association","1316995210","Inpatient Hospitals (other than children's hospitals), Tribal Health Program operated under P.L. 93-638",17,0,"436 5th Ave and Stevens Way","PO Box 43","Kotzebue","AK","99752-0043","Northwest Arctic","733 Second Ave.","PO Box 256","Kotzebue","AK","99752-0256","Northwest Arctic","Paul Hansen","Hospital Administrator","907-442-7150","","phansen@maniilaq.org","www.maniilaq.org","Timothy Schuerch","President/CEO","907-442-7677","","timothy.schuerch@maniilaq.org","www.maniilaq.org"]
[null,201900121,"Maniilaq Association","Maniilaq Association","1316995210","Community Mental Health Centers, Dental Providers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",1,17,"436 Fifth And Stevens Way","PO Box 43","Kotzebue","AK","99752-0043","Northwest Arctic","733 Second Ave.","PO Box 256","Kotzebue","AK","99752-0256","Northwest Arctic","Viola Babcock","Hospital Administrator","907-442-7136","","viola.babcock@maniilaq.org","www.maniilaq.org","Viola Babcock","Director of Patient Financial Services","907-442-7136","","viola.babcock@maniilaq.org","www.maniilaq.org"]
[null,201900122,"Koyukuk Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"100 Spruce St","","Koyukuk","AK","99754","Yukon Koyukuk","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900123,"Yukon-Kuskokwim Health Corporation Kwethluk Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"49 Airport Rd","PO Box 69","Kwethluk","AK","99621-0069","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900124,"Yukon-Kuskokwim Health Corporation Kwigillingok Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"69 North Main St","PO Box 69","Kwigillingok","AK","99622-0069","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900125,"Larsen Bay Health Clinic","KODIAK AREA NATIVE ASSOCIATION (KANA)","1205883907","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",1,1,"3rd St","","Larsen Bay","AK","99624","Kodiak Island","3449 Rezanof Dr E","","Kodiak","AK","99615-6952","Kodiak Island","Amy Durand","Grants Coordinator","907-486-9890","","amy.durand@kodiakhealthcare.org","","Andy Teuber","President/CEO","907-486-9800","","",""]
[null,201900126,"BBAHC Levelock Clinic","Bristol Bay Area Health Corporation (BBAHC)","1366502767","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Levelock","AK","99625","Lake and Peninsula","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900127,"YUKON-KUSKOKWIM HEALTH CORPORATION LIME VILLIAGE CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"1 Clinic Rd","General Delivery","Lime Village","AK","99557","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900128,"YUKON-KUSKOKWIM HEALTH CORPORATION LOWER KALSKAG CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Church Road 1","PO Box 9","Lower Kalskag","AK","99626-0009","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900129,"Manley Hot Springs Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"Mile 160 Elliot Hwy","","Manley Hot Springs","AK","99756","Yukon Koyukuk","122 1st Ave","","Fairbanks","AK","99701","Fairbanks North Star","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900130,"BBAHC Manokotak Clinic","Bristol Bay Area Health Corporation (BBAHC)","1740340991","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Manokotak","AK","99628","Dillingham","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900131,"YUKON-KUSKOKWIM HEALTH CORPORATION MARSHAL CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"1305 Allman Ave","PO Box 10","Marshall","AK","99585-0010","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900132,"McGrath Sub-Regional Health Center","Southcentral Foundation","1063467223","Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",2.21,0,"10 DNR Rd","","McGrath","AK","99627","Yukon Koyukuk","4501 DIPLOMACY DRIVE","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900133,"YUKON-KUSKOKWIM HEALTH CORPORATION MEKORYUK CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"43 Airport Rd","PO Box 43","Mekoryuk","AK","99630-0043","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900134,"Mentasta Lake Clinic","Mt. Sanford Tribal Consortium","1609990670","Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.5,0,"Mile 7 Mentasta Spur Rd","","Mentasta Lake","AK","99586","Valdez Cordova","P.O. Box 357","","Gakona","AK","99586","Valdez Cordova","George Drinkwater","Health Services Director","907-259-4498","","gtd@mstc.org","","Evelyn Beeter","President / CEO","907-822-5399","302","",""]
[null,201900135,"Evelyn Alexander \"To Draak\" Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"203 Lakeview St.","","Minto","AK","99758","Yukon Koyukuk","122 1st Ave.","","Fairbanks","AK","99701","Fairbanks North Star","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900136,"YUKON-KUSKOKWIM HEALTH CORPORATION MOUNTAIN VILLAGE CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Old Airport Rd","PO Box 32207","Mountain Village","AK","99632-0207","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900137,"CAMAI COMMUNITY HEALTH CTR, INC.","BRISTOL BAY, BOROUGH OF","1679718019","Federally Qualified Health Centers",2.5,0,"2 School Rd","Camai Community Medical Clini","Naknek","AK","99633","Bristol Bay","1 Main St","","Naknek","AK","99633","Bristol Bay","Stephen Herting","Executive Director","907-246-6155","311","director@camaichc.org","www.camaichc.org","Heidi Maupin","Executive Administrative Assistant","907-246-6155","316","hmaupincchc@gmail.com","www.camaichc.org"]
[null,201900138,"BBAHC Naknek Clinic","Bristol Bay Area Health Corporation (BBAHC)","1770645780","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Naknek","AK","99633","Bristol Bay","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.rg",""]
[null,201900139,"Chugachmiut Nanwalek Clinic","Chugachmiut Association","1902077829","Indian Health Service, Other ECP Providers",3,0,"64834 Nikita St","","Nanwalek","AK","99603","Kenai Peninsula","1840 Bragaw St Ste 110","","Anchorage","AK","99508-3463","Anchorage","Jan Vanderpool","Executive Director","907-562-4155","","jan@chugachmiut.org","","","","","","",""]
[null,201900140,"Yukon-Kuskokwim Health Corporation Napakiak Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"1082 Mission Rd","PO Box 70","Napakiak","AK","99559","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900141,"Yukon-Kuskokwim Health Corporation Napaskiak Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"6044 Board Walk Way","PO Box 6044","Napaskiak","AK","99559-6044","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900142,"TLCHC-NAUKATI","ALASKA ISLAND COMMUNITY SERVICES","1952422859","Federally Qualified Health Centers",0.1,0,"Naukati Community Church","","Naukati","AK","99921","Prince Of Wales Hyder","232 Wood St","","Wrangell","AK","99929","Wrangell","Mark Walker","CEO","907-874-2373","","mark.walker@akics.org","","Georgianna Buhler","CFO","907-874-2373","","",""]
[null,201900143,"NELSON LAGOON CLINIC","EASTERN ALEUTIAN TRIBES, INC.","1003970062","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers, Tribal Health Program operated under P.L. 93-638",1,1,"40 Main St","PO Box 40","Nelson Lagoon","AK","99571-0040","Aleutians East","3380 C St Ste 100","","Anchorage","AK","99503-3949","Aleutians East","Jennifer Harrison","Executive Director","907-277-1440","","jenniferh@eatribes.net","www.eatribes.org","Edgar Smith","Director of Operations","907-277-1440","","edgars@eatribes.net","www.eatribes.org"]
[null,201900144,"Mary C. Demientieff Health Clinic (Nenana)","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.8,0.05,"806 G St","","Nenana","AK","99760","Yukon Koyukuk","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900145,"BBAHC New Stuyahok Clinic","Bristol Bay Area Health Corporation","1720148976","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","New Stuyahok","AK","99636","Dillingham","PO Box 130","","Dillingham","AK","99576","Denali","Robert J Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900146,"YUKON-KUSKOKWIM HEALTH CORPORATION Newtok Clinic","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"5508 Airport Way","PO Box 5508","Newtok","AK","99559-5508","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900147,"YUKON-KUSKOKWIM HEALTH CORPORATION NIGHTMUTE CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Kuuraralria St","PO Box 90011","Nightmute","AK","99690-0011","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900148,"Nikolski Village Clinic","Aleutian/Pribilof Islands Association, Inc. (APIAI)","1730303975","Federally Qualified Health Centers, Indian Health Service",1,0,"111 Lakeview Rd","","Nikolski","AK","99638","Aleutians West","1131 E International Airport Rd","","Anchorage","AK","99518-1408","Aleutians West","Dimitri Philemonof","President/CEO","907-276-2700","","dimitrip@apiai.org","www.apiai.org","Jessica Mata Rukovishnikoff","Primary Care Services Regional Administrator","907-276-2700","265","jmataruko@apiai.org",""]
[null,201900149,"Ninilchik Village Tribal Council (Ninilchik Community Clinic","Ninilchik Village Tribe","1609093723","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",3,0,"15765 Kingsley Rd","","Ninilchik","AK","99639-9759","Kenai Peninsula","PO Box 39070","","Ninilchik","AK","99639-0070","Kenai Peninsula","Ivan Encelewski","Executive Director","907-567-3313","","ivan@ninilchiktribe-nsn.gov","","Janet Mullen","Tribal Health Director","907-567-3370","4","jmullen@ninilchiktribe-nsn.gov",""]
[null,201900150,"Nondalton Clinic","Southcentral Foundation","1740659192","Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.4,0,"69 Main St","","Nondalton","AK","99640","Lake and Peninsula","4501 Diplomacy Dr","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900151,"BBAHC Aleknagik Clinic","Bristol Bay Area Health Corporation (BBAHC)","1235291246","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","North Aleknagik","AK","99555","Dillingham","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900152,"Northway Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"9.1 Mile Northway Village","","Northway","AK","99764","Southeast Fairbanks","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900153,"Nulato Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"10 Nikaghun St.","","Nulato","AK","99765","Yukon Koyukuk","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900154,"YUKON-KUSKOKWIM HEALTH CORPORATION NUNAM IQUA CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"29 Main St","PO Box 29","Nunam Iqua","AK","99666-0029","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900155,"Yukon-Kuskokwim Health Corporation Nunapitchuk Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"103 Johnson Sloop","PO Box 50","Nunapitchuk","AK","99641-0050","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900156,"Old Harbor Health Clinic","KODIAK AREA NATIVE ASSOCIATION (KANA)","1205883907","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",1,1,"600 Birch St","","Old Harbor","AK","99643","Kodiak Island","3449 Rezanof Dr E","","Kodiak","AK","99615-6952","Kodiak Island","Amy Durand","Grants Coordinator","907-486-9890","","amy.durand@kodiakhealthcare.org","","Andy Teuber","President/CEO","907-486-9800","","",""]
[null,201900157,"Yukon-Kuskokwim Health Corporation Oscarville Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"103 Oscarville Lane","PO Box 6149","Oscarville","AK","99559","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900158,"Ouzinkie Health Clinic","KODIAK AREA NATIVE ASSOCIATION (KANA)","1205883907","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",1,1,"3rd And C St.","","Ouzinkie","AK","99644","Kodiak Island","3449 Rezanof Dr E","","Kodiak","AK","99615-6952","Kodiak Island","Amy Durand","Grants Coordinator","907-486-9890","","amy.durand@kodiakhealthcare.org","","Andy Teuber","President/CEO","907-486-9800","","",""]
[null,201900159,"Pedro Bay Clinic","Southcentral Foundation","1952770307","Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.25,0,"2516 Mountain Circle Dr","","Pedro Bay","AK","99647","Lake and Peninsula","4501 Diplomacy Dr","","Anchorage","AK","99508-5919","Lake And Peninsula","Jim Lamb","Director of Revenue Cycle","907-729-5453","","jlamb@scf.cc","","Ronald Olson","VP Finance","907-729-4939","","lolson@scf.cc",""]
[null,201900160,"SEARHC Pelican Health Clinic","Southeast Alaska Regional Health Consortium (SEARHC)","1659585479","Federally Qualified Health Centers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",1,0,"167 Salmon Way","","Pelican","AK","99832","Hoonah Angoon","3100 Channel Drive","Suite 300","Juneau","AK","99801-7809","Juneau","Rachel Stauffer","Patient Finanical Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900161,"BBAHC Perryville Clinic","Bristol Bay Area Health Corporation (BBAHC)","1528128782","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Perryville","AK","99648","Lake and Peninsula","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert J. Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900162,"SEARHC Petersburg Clinic","Southeast Alaska Regional Health Consortium (SEARHC)","1447438502","Dental Providers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",0,1,"202 Gjoa St","","Petersburg","AK","99833","Petersburg","3100 Channel Drive","","Juneau","AK","99801-7809","Juneau","Rachel Stauffer","Patient Finanical Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900163,"BBAHC Pilot Point Clinic","Bristol Bay Area Health Corporation (BBAHC)","1174683825","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Pilot Point","AK","99649","Lake and Peninsula","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900164,"YUKON-KUSKOKWIM HEALTH CORPORATION PILOT STATION CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"5089 Airport St","PO Box 5089","Pilot Station","AK","99650-0089","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900165,"YUKON-KUSKOKWIM HEALTH CORPORATION PITKA'S POINT CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"River Front","PO Box 164","Pitka's Point","AK","99658-0164","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900166,"Platinum Clinic","Bristol Bay Areah Health Corporation (BBAHC)","1285796870","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Platinum","AK","99651","Bethel","6000 Kanakanak Rd","","Dillingham","AK","99576","Dillingham","Robert J Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900167,"TLCHC-POINT BAKER","ALASKA ISLAND COMMUNITY SERVICES","1578600490","Federally Qualified Health Centers",0.1,0,"Community Building","","Point Baker","AK","99927","Prince Of Wales Hyder","232 Wood St","","Wrangell","AK","99929","Wrangell","Mark Walker","CEO","907-874-2373","","mark.walker@akics.org","","Georgianna Buhler","CFO","907-874-2373","","",""]
[null,201900168,"Port Alsworth Clinic","Southcentral Foundation","1770953903","Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",2.4,0,"1 Flight Line Rd","","Port Alsworth","AK","99653-9801","Lake and Peninsula","4501 Diplomacy Dr","","Anchorage","AK","99508-5519","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","jlamb@scf.cc","","Ronald Olson","VP Finance","907-729-4939","","lolson@scf.cc",""]
[null,201900169,"Chugachmiut Anesia Anahonak Moonin Clinic (Port Graham)","Chugachmiut Association","1902077837","Indian Health Service, Other ECP Providers",3,0,"5530 Main St","","Port Graham","AK","99603","Kenai Peninsula","1840 Bragaw St Ste 110","","Anchorage","AK","99508-3463","Anchorage","Jan Vanderpool","Executive Director","907-562-4155","","jan@chugachmiut.org","","","","","","",""]
[null,201900170,"BBAHC Port Heiden Clinic","Bristol Bay Area Health Corporation (BBAHC)","1740342658","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","Port Heiden","AK","99613","Bristol Bay","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900171,"Port Lions Health Clinic","KODIAK AREA NATIVE ASSOCIATION (KANA)","1205883907","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",1,1,"500 Molina","","Port Lions","AK","99550","Kodiak Island","3449 Rezanof Dr E","","Kodiak","AK","99615-6952","Kodiak Island","Amy Durand","Grants Coordinator","907-486-9890","","amy.durand@kodiakhealthcare.org","","Andy Teuber","President/CEO","907-486-9800","","",""]
[null,201900172,"TLCHC-PORT PROTECTION","ALASKA ISLAND COMMUNITY SERVICES","1710033501","Federally Qualified Health Centers",0.05,0,"Community Building","","Port Protection","AK","99927","Prince Of Wales Hyder","232 Wood St","","Wrangell","AK","99929","Wrangell","Mark Walker","CEO","907-874-2373","","mark.walker@akics.org","","Georgianna Buhler","CFO","907-874-2373","","",""]
[null,201900173,"Yukon-Kuskokwim Health Corporation Quinhagak Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Main Carter Rd","PO Box 149","Quinhagak","AK","99655-0149","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900174,"Rampart Health Clinic","DENA' NENA' HENASH","1821201278","Black Lung Clinics, Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"10 Wiehl Way","","Rampart","AK","99767","Yukon Koyukuk","122 1st Ave","","Fairbanks","AK","99701","Fairbanks North Star","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900175,"Altona Brown Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"74 Ruby Rd","","Ruby","AK","99768","Yukon Koyukuk","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900176,"YUKON-KUSKOKWIM HEALTH CORPORATION Russian Mission Clinic","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"1 Main Rd","PO Box 58","Russian Mission","AK","99657-0058","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900177,"St. George Traditional Clinic","Aleutian Pribilof Islands Association, Inc. (APIAI)","1013079755","Federally Qualified Health Centers, Indian Health Service",1,0,"934 Main St","","Saint George","AK","99591","Aleutians West","1131 E International Airport Rd","","Anchorage","AK","99518-1408","Aleutians West","Dimitri Philemonof","President/CEO","907-276-2700","","dimitrip@apiai.org","www.apiai.org","Jessica Mata Rukovishnikoff","Primary Care Services Regional Administrator","907-276-2700","265","jmataruko@apiai.org",""]
[null,201900178,"ST MARY'S SUB-REGIONAL CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1851574826","Federally Qualified Health Centers",2,0,"310 Hospital Rd","PO Box 310","Saint Marys","AK","99658-0310","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Susan Hoeldt","SRC Administrator","907-675-4556","","susan_hoeldt@ykhc.org","","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org",""]
[null,201900179,"ST PAUL HEALTH CENTER","Southcentral Foundation","1922405406","Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",5.45,0,"1000 Polovina Turnpike Rd","","Saint Paul","AK","99660","Aleutians West","4501 Diplomacy Dr","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900180,"Sand Point Health Center","Eastern Aleutian Tribes, Inc (EAT)","1346662608","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers, Tribal Health Program operated under P.L. 93-638",1,1,"172 Red Cove Rd","","Sand Point","AK","99661","Aleutians East","3380 C St, #100","","Anchorage","AK","99503","Aleutians East","Jennifer Harrison","Executive Director","907-277-1440","","jenniferh@eatribes.net","www.eatribes.org","Edgar Smith","Director of Operations","907-277-1440","","edgars@eatribes.net","www.eatribes.org"]
[null,201900181,"YUKON-KUSKOKWIM HEALTH CORPORATION SCAMMON BAY CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"128 Front St","PO Box 150","Scammon Bay","AK","99662-0150","Kusilvak","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900182,"SVT Health & Wellness","SELDOVIA VILLAGE TRIBE","1336178847","Federally Qualified Health Centers, Rural Health Clinics",1,0,"206 Main St","","Seldovia","AK","99663","Kenai Peninsula","880 E End Rd","","Homer","AK","99603","Kenai Peninsula","Emily Read","SVTHW Director","907-226-2208","","eread@svt.org","","Uran Piedra","Tribal Controller","907-226-2228","686","upiedra@svt.org",""]
[null,201900183,"Chugachmiut North Star Health Clinic","Chugachmiut Association","1750618856","Indian Health Service, Other ECP Providers",3,0,"201 3rd Ave","","Seward","AK","99664","Kenai Peninsula","1840 Bragaw St Ste 110","","Anchorage","AK","99508-3463","Anchorage","Jan Vanderpool","Executive Director","907-562-4155","","jan@chugachmiut.org","","","","","","",""]
[null,201900184,"Seward Community Health Center","City of Seward","1356772024","Federally Qualified Health Centers",4,0,"417 1st Ave","","Seward","AK","99664","Kenai Peninsula","PO Box 2895","","Seward","AK","99664","Kenai Peninsula","Patrick Linton","Executive Director","907-224-8505","","plinton@sewardhealthcenter.org","www.sewardhealthcenter.org","","","","","",""]
[null,201900185,"YUKON-KUSKOKWIM HEALTH CORPORATION SHAGELUK CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Main St","PO Box 54","Shageluk","AK","99665-0054","Yukon Koyukuk","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900186,"Mt. Edgecumbe Hospital (Sitka) - SEARHC","Southeast Alaska Regional Health Consortium (SEARHC)","1720062524","Dental Providers, Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",39,4,"222 Tongass Dr","","Sitka","AK","99835-9416","Sitka","3100 Channel Drive","Suite 300","Juneau","AK","99801-7809","Juneau","Rachel Stauffer","Patient Financial Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900187,"Sitka Medical Center","SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM","1538521026","Outpatient Hospital Clinics",5,0,"700 Katlian St","Suite E","Sitka","AK","99835-7359","Sitka","3100 Channel Dr, Ste 300","","Juneau","AK","99801","Sitka","Rachel Stauffer","PFS Manager","907-463-6644","","rachels@searhc.org","","James Marks","Revenue Cycle Director","907-463-4000","","jamesm@searhc.org",""]
[null,201900188,"DAHL MEMORIAL CLINIC","SKAGWAY, CITY OF","1063574200","Federally Qualified Health Centers",4,0,"350 14th Ave","","Skagway","AK","99840","Skagway","7th & Spring","","Skagway","AK","99840","Skagway","Michelle Moss O'Boyle","Executive Director","907-983-2255","6","s.oboyle@skagway.org","www.dahlclinic.org","Este Fielding","Administrative Manager","907-983-2255","5","e.fielding@skagway.org","www.dahlclinic.org"]
[null,201900189,"YUKON-KUSKOKWIM HEALTH CORPORATION SLEETMUTE CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"43 Main St","PO Box 43","Sleetmute","AK","99668-0043","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900190,"Soldotna Health Center","Planned Parenthood of the Great Northwest and the Hawaiian Islands","1083700686","Family Planning Providers, Sexually Transmitted Disease Clinics",2,0,"130 E Redoubt Ave","","Soldotna","AK","99669-8012","Kenai Peninsula","2001 E. Madison Street","","Seattle","WA","98122","King","Scott Boyd","Chief Financial Officer","206-328-7731","","scott.boyd@ppgnhi.org","http://www.plannedparenthood.org/health-center/alaska/soldotna/99669/soldotna-health-center-2604-91810","Nika Graci","Federal Programs Administrator","208-893-6356","","nika.graci@ppgnhi.org","http://www.plannedparenthood.org/health-center/alaska/soldotna/99669/soldotna-health-center-2604-91810"]
[null,201900191,"PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC. - SOLDOTNA MEDICAL AND BEHAVIORAL HEALTH CENTER","PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.","1700984614","Federally Qualified Health Centers",6,0,"230 E Marydale Ave","","Soldotna","AK","99669-7648","Kenai Peninsula","230 EAST MARYDALE AVENUE","","Soldotna","AK","99669","Kenai Peninsula","AL WALL","CEO","907-260-7314","","CEO@PCHSAK.ORG","WWW.PCHSAK.ORG","JENNIFER YOUNGBERG","CFO","907-260-7312","7312","JYOUNGBERG@PCHSAK.ORG","WWW.PCHSAK.ORG"]
[null,201900192,"BBAHC South Naknek Clinic","Bristol Bay Area Health Corporation (BBAHC)","1417018193","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"Main St","","South Naknek","AK","99670","Bristol Bay","PO Box 130","","Dillingham","AK","99576-0130","Dillingham","Robert J. Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900193,"YUKON-KUSKOKWIM HEALTH CORPORATION STONY RIVER CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Birch Road","General Delivery","Stony River","AK","99557-9999","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900194,"C'eyiits' Hwnax Life House Community Health Center","Southcentral Foundation","1043632037","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",0.2,0,"11495 N Callison St","","Sutton","AK","99674-8116","Matanuska Susitna","4501 DIPLOMACY DRIVE","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900195,"SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED","Sunshine Community Health Center","1790802486","Dental Providers",0,1,"34300 Talkeetna Spur Rd","","Talkeetna","AK","99676","Matanuska Susitna","34300 Talkeetna Spur Road","","Talkeetna","AK","99676","Matanuska Susitna","Melody West","Executive Director","907-733-2273","","mwest@sunshineclinic.org","www.sunshineclinic.org","Valera Brickel","Finance Director","907-733-9216","","vbrickel@sunshineclinic.org",""]
[null,201900196,"SUNSHINE COMMUNITY HEALTH CENTER","SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED","1922071117","Dental Providers, Federally Qualified Health Centers",2.6,1,"Mile 4.4 Talkeetna Spur Rd","","Talkeetna","AK","99676","Matanuska Susitna","Mile 4.4 Talkeetna Spur Rd","","Talkeetna","AK","99676","Matanuska Susitna","Melody West","Executive Director","907-733-2273","","mwest@sunshineclinic.org","www.sunshineclinic.org","Valera Brickel","Finance Directer","907-733-9216","","vbrickel@sunshineclinic.org",""]
[null,201900197,"Tanacross Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"1000 Tanacross Blvd.","","Tanacross","AK","99776","Southeast Fairbanks","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal L Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900198,"Chugachmiut Tatitlek Clinic","Chugachmiut Association","1801067723","Indian Health Service, Other ECP Providers",3,0,"411 Old Village Rd","","Tatitlek","AK","99677","Valdez Cordova","1840 Bragaw St Ste 110","","Anchorage","AK","99508-3463","Anchorage","Jan Vanderpool","Executive Director","907-562-4155","","jan@chugachmiut.org","","","","","","",""]
[null,201900199,"Thorne Bay Health Clinic","Southeast Alaska Regional Health Consortium (SEARHC)","1376758037","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"120 Freeman Drive","","Thorne Bay","AK","99919","Prince Of Wales Hyder","3100 Channel Drive","Suite 300","Juneau","AK","99801","Juneau","Rachel Stauffer","Patient Finanical Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900200,"BBAHC Togiak Clinic","BRISTOL BAY HEALTH CORPORATION","1093877680","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Outpatient Hospital Clinics, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"344 Main St","","Togiak","AK","99678","Dillingham","6000 Kanakanak Rd","","Dillingham","AK","99576","Dillingham","Robert J Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900201,"Upper Tanana Health Center","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",3,0.05,"123 Tok Cut-Off","","Tok","AK","99780","Southeast Fairbanks","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal L Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900202,"Tetlin Health Clinic","DENA' NENA' HENASH","1821201278","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.2,0.02,"303 Easton Rd","","Tok","AK","99780","Southeast Fairbanks","122 1st Ave Ste 600","","Fairbanks","AK","99701-4871","Fairbanks North Star","Crystal L Stordahl","Director","907-452-8251","","crystal.stordahl@tananachiefs.org","","Victor Joseph","President/CEO","907-452-8251","","",""]
[null,201900203,"TOOKSOOK BAY SUB-REGIONAL CLINIC","YUKON-KUSKOKWIM HEALTH CORPORATION","1497938476","Federally Qualified Health Centers",2,0,"101 Airport Rd","PO Box 37028","Toksook Bay","AK","99637-0028","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Susan Hoeldt","SRC Administrator","907-675-4556","","susan_hoeldt@ykhc.org","","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org",""]
[null,201900204,"Yukon-Kuskokwim Health Corporation Tuluksak Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"194 2nd St","PO Box 194","Tuluksak","AK","99679-0194","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900205,"Yukon-Kuskokwim Health Corporation Tuntutuliak Clinic","Yukon-Kuskokwim Health Corporation","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"101 Army Way","PO Box 8017","Tuntutuliak","AK","99680-0017","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900206,"YUKON-KUSKOKWIM HEALTH CORPORATION Tununak Clinic","YUKON-KUSKOKWIM HEALTH CORPORATION","1447477815","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"Washeteria Rd","PO Box 102","Tununak","AK","99681-0102","Bethel","700 Chief Eddie Hoffman Hwy","PO Box 528","Bethel","AK","99559","Bethel","Rahnia Boyer","VP of Village Health","907-543-6240","","rahnia_boyer@ykhc.org","","","","","","",""]
[null,201900207,"BBAHC Twin Hills Clinic","BRISTOL BAY HEALTH CORPORATION","1487716825","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0.04,0.02,"521 Main St","","Twin Hills","AK","99576","Dillingham","6000 Kanakanak Rd","","Dillingham","AK","99576","Dillingham","Robert J Clark","President/CEO","907-842-5201","6400","rclark@bbahc.org","","Brandy Jensen","Revenue Cycle Manager","907-842-9394","6394","bjensen@bbahc.org",""]
[null,201900208,"Indian Creek Health Center","Southcentral Foundation","1609232040","Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.4,0,"101 Indian Creek Rd","","Tyonek","AK","99682","Kenai Peninsula","4501 DIPLOMACY DRIVE","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900209,"Iliuliuk Family and Health Services, inc.","Iliuliuk Family and Health Services, inc.","1376520692","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Other ECP Providers",12,6,"34 Lavelle Ct","","Unalaska","AK","99685","Aleutians West","34 lavelle Court","","Unalaska","AK","99685","Aleutians West","Eileen Scott","Executive Director","907-581-1202","","escott@ifhs.org","","","","","","",""]
[null,201900210,"Oonalaska Wellness Center","Aleutian/Pribilof Islands Association, Inc. (APIAI)","1689610313","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"34 Lavelle Ct","","Unalaska","AK","99685","Aleutians West","1131 E International Airport Rd","","Anchorage","AK","99518-1408","Aleutians West","Dimitri Philemonof","President/CEO","907-276-2700","","dimitrip@apiai.org","www.apiai.org","Jessica Mata Rukovishnikoff","Primary Care Services Regional Administrator","907-276-2700","265","jmataruko@apiai.org",""]
[null,201900211,"APIAI","Aleutian Pribilof Islands Association, Inc. (APIAI)","1417992215","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"529 Biorka Drive","","Unalaska","AK","99685","Aleutians West","1131 E International Airport Rd","","Anchorage","AK","99518-1408","Aleutians West","Dimitri Philemonof","President/CEO","907-276-2700","","dimitrip@apiai.org","www.apiai.org","Tara Ford","Community Health Services Regional Adminsitrator","907-276-2700","222","taraf@apiai.org",""]
[null,201900212,"MYRA ROBERTS CLINIC","COUNCIL OF ATHABASCAN TRIBAL GOVERNMENTS","1063602563","Federally Qualified Health Centers, Indian Health Service",1,0,"101 Main St","","Venetie","AK","99781","Yukon Koyukuk","3rd And Spruce St","","Fort Yukon","AK","99740","Yukon Koyukuk","Joyce W Hughes","Grants/Contracts Manager","907-662-7527","527","jhughes@catg.org","www.catg.org","Melinda Peter","Health Director","907-662-2587","529","mlpeter@catg.org","www.catg.org"]
[null,201900213,"Valley Native Primary Care Center","Southcentral Foundation","1386680056","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",24.6,0,"1001 S Knik Goose Bay Rd","","Wasilla","AK","99654-8083","Matanuska Susitna","4501 Diplomacy DR","","Anchorage","AK","99508-5919","Anchorage","Jim Lamb","Director of Revenue Cycle","907-729-5453","","Jlamb@SouthcentralFoundation.com","","Ronald L. Olson","VP Finance","907-729-4939","","lolson@SouthcentralFoundation.com",""]
[null,201900214,"Mat-Su Health Services, Inc.","MAT SU HEALTH SERVICES INC","1184725210","Community Mental Health Centers, Federally Qualified Health Centers",5.14,0,"1363 W Spruce Ave","","Wasilla","AK","99654-5327","Matanuska Susitna","1363 W Spruce Ave","","Wasilla","AK","99654-5327","Matanuska Susitna","Kevin Munson","CEO","907-352-3210","","kmunson@matsuhealthservices.org","","","","","","",""]
[null,201900215,"Mat-Su Public Health Center State of Alaska, DHSS, DPH, SOPHN","State of Alaska Dept. of Health & Social Services, DPH/WCFH","1053447912","Other ECP Providers",1,0,"3223 E Palmer Wasilla Hwy","State Of Alaska Dept. Of Health & Social Services","Wasilla","AK","99654-7277","Matanuska Susitna","3601 C St","PO Box 240249","Anchorage","AK","99503-5923","Matanuska Susitna","Sonja Engle","Nurse Manager","907-352-6600","","Sonja.engle@alaska.gov","","Sheila Ohman","Team Leader","907-352-6626","","Sheila.ohman@alaska.gov",""]
[null,201900216,"TLCHC-WHALE PASS","ALASKA ISLAND COMMUNITY SERVICES","1881749430","Federally Qualified Health Centers",0.05,0,"Community Building","","Whale Pass","AK","99927","Prince Of Wales Hyder","232 Wood St","","Wrangell","AK","99929","Wrangell","Mark Walker","CEO","907-874-2373","","mark.walker@akics.org","","Georgianna Buhler","CFO","907-874-2373","","",""]
[null,201900217,"WHITTIER CLINIC","EASTERN ALEUTIAN TRIBES, INC.","1467515148","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers, Tribal Health Program operated under P.L. 93-638",1,1,"301 Kenai St","","Whittier","AK","99693","Valdez Cordova","3380 C St Ste 100","","Anchorage","AK","99503-3949","Aleutians East","Jennifer Harrison","Executive Director","907-277-1440","","jenniferh@eatribes.net","www.eatribes.org","Edgar Smith","Director of Operations","907-277-1440","","edgars@eatribes.net","www.eatribes.org"]
[null,201900218,"Willow Community Health Center","SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED","1699892307","Dental Providers, Federally Qualified Health Centers",1,0.2,"24091 Long Lake Rd","","Willow","AK","99688","Matanuska Susitna","Mile 4.4 Talkeetna Spur Rd","","Talkeetna","AK","99676","Matanuska Susitna","Melody West","Executive Director","907-733-2273","","mwest@sunshineclinic.org","www.sunshineclinic.org","Valera Brickel","Finance Director","907-733-9216","","vbrickel@sunshineclinic.org",""]
[null,201900219,"Alaska Island Community Services","ALASKA ISLAND COMMUNITY SERVICES","1851649305","Federally Qualified Health Centers",5,0,"232 Wood St","","Wrangell","AK","99929","Wrangell","232 Wood St","","Wrangell","AK","99929","Wrangell","Mark Walker","CEO","907-874-2373","","mark.walker@akics.org","","Georgianna Buhler","CFO","907-874-2373","","",""]
[null,201900220,"Wrangell Medical Center","Southeast Alaska Regional Health Consortium (SEARHC)","1487836391","Other ECP Providers",1,0,"310 Bennett St.","","Wrangell","AK","99929","Wrangell","3100 Channel Drive","Suite 300","Juneau","AK","99801","Juneau","Rachel Stauffer","Patient Finanical Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900221,"Yakutat Tlingit Tribe","Yakutat Tlingit Tribe","1871529628","Indian Health Service, Other ECP Providers",3,0,"606 Forest Hwy #10","","Yakutat","AK","99689","Yakutat","PO Box 418","","Yakutat","AK","99689-0418","Yakutat","Victoria L. Demmert","President","907-784-3238","","vldemmer@gmail.com","","Rhoda Jensen","Health Director","907-784-3275","118","rjensen@y-chc.org",""]
[null,201900222,"YAKUTAT COMMUNITY HEALTH CENTER","YAKUTAT TLINGIT TRIBE","1871529628","Federally Qualified Health Centers",3,0,"712 Ocean Cape Rd","","Yakutat","AK","99689","Yakutat","606 Forest Hwy #10","","Yakutat","AK","99689","Yakutat","Rhoda Jensen","Health Director","907-784-3275","118","rjensen@y-chc.org","","Cathy Wassillie","YCHC Finance Manager","907-784-3275","120","cwassillie@y-chc.org",""]
[null,201900223,"Yakutat Health Center","Southeast Alaska Regional Health Consortium (SEARHC)","1033323605","Other ECP Providers",1,0,"712 Ocean Cape Rd","","Yakutat","AK","99689","Yakutat","3100 Channel Drive","Suite 300","Juneau","AK","99801","Juneau","Rachel Stauffer","Patient Finanical Services Manager","907-364-6644","","rachels@searhc.org","www.searhc.org","","","","","",""]
[null,201900224,"Henry County Health Department Abbeville Branch","State of Alabama Department of Public Health","1639214901","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"505 Kirkland St","","Abbeville","AL","36310-2736","Henry","505 Kirkland Street","","Abbeville","AL","36310","Henry","Corey Kirkland","Asst. Area Administrator","334-585-2660","","corey.kirkland@ADPH.STATE.AL.US","http://www.adph.org","","","334-206-5350","","",""]
[null,201900225,"Abbeville Family Health Center","SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES","1740580422","Federally Qualified Health Centers",2,0,"615 Ozark Rd","","Abbeville","AL","36310-2629","Henry","1414 Elba Hwy","","Troy","AL","36079-6020","Pike","John A Little","Chief Executive Officer","334-670-6726","","jlittle@sarhaonline.com","","Pamylon Bowers","Director of Operations","334-670-6726","","pbowers@sarhaonline.com",""]
[null,201900226,"Med-Assist Doctors Group","Med-Assist Doctors' Group","1245290154","Rural Health Clinics",11,0,"3442 US Highway 431","","Albertville","AL","35950-0203","Marshall","3442 US Hwy 431 N","","Albertville","AL","35950","Marshall","Debbie Bonds","Office Manager","256-593-1234","112","debbiebonds@med-asst.com","www.med-asst.com","Penny Davis","Credentialling Clerk","256-593-1234","111","pennydavis@med-asst.com","www.med-asst.com"]
[null,201900227,"Smart Start Pediatrics LLC","Smart Start Pediatrics LLC","1982020756","Rural Health Clinics",3,0,"460 AL Highway 75 N","","Albertville","AL","35951-3838","Marshall","460 AL HWY 75 N","","Albertville","AL","35951","Marshall","LaShea Dalton","Office Manager","256-891-0300","","ldalton@smartstartpediatrics.com","","Tracy Bell","Owner","256-891-0300","","tbell@fortpaynepeds.com",""]
[null,201900228,"Tallapoosa Co. Health Dept.","State of Alabama Dept. of Public Health,","1295878643","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"2078 Sportplex Blvd","","Alexander City","AL","35010-4472","Tallapoosa","2078 Sportplex Blvd","","Alexander City","AL","35010-4472","Tallapoosa","Mark Johnson","Clinic Administrator","256-329-0531","","mark.johnson@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900229,"Covington County Health Department","State of Alabama Department of Public Health","1134262330","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"23989 Alabama Hwy 55","","Andalusia","AL","36420","Covington","23989 Alabama Hwy 55","","Andalusia","AL","36420","Covington","Ricky Elliott","Clinic Administrator","251-937-5859","","ricky.elliott@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900230,"Andalusia Regional Hospital","LifePoint Health","1821078494","Inpatient Hospitals (other than children's hospitals)",32,0,"849 S Three Notch St","","Andalusia","AL","36420-5325","Covington","330 Seven Springs Way","","Brentwood","TN","37027","Davidson","Ian Andes","Sr. Director Managed Care","615-920-7362","","Ian.Andes@LPNT.net","","Shirley Smith","CFO","334-428-7005","","",""]
[null,201900231,"ANNISTON QUALITY HEALTH CARE","QUALITY OF LIFE HEALTH SERVICES INC","1568412666","Dental Providers, Federally Qualified Health Centers",4,2,"1316 Noble St","","Anniston","AL","36201-4643","Calhoun","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900232,"Calhoun County Health Department","State of Alabama Department of Public Health","1861535312","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1.5,0,"3400 McClellan Blvd","","Anniston","AL","36201-2128","Calhoun","3400 McClellan Blvd","","Anniston","AL","36201-2128","Calhoun","Mary Gomillion","Clinic Administrator","256-237-1896","","mary.gomillion@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900233,"Calhoun Quality Health Care","QUALITY OF LIFE HEALTH SERVICES INC","1013339209","Federally Qualified Health Centers",2,0,"601 Leighton Ave","","Anniston","AL","36207-5743","Calhoun","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900234,"HEALTH SERVICES CENTER INC","Health Services Center, Inc.","1477642601","Ryan White Providers, Sexually Transmitted Disease Clinics",2.25,0,"608 Martin Luther King Dr","","Anniston","AL","36201-7344","Calhoun","608 Martin Luther King Dr","","Anniston","AL","36201-7344","Calhoun","Sonia Preston","Clinical Director","256-832-0100","","spreston@hscal.org","http://www.hscal.org/","Sean Holmes","Chief Information Officer","256-832-0100","","sholmes@hscal.org","http://www.hscal.org/"]
[null,201900235,"Clay Quality Health Care","QUALITY OF LIFE HEALTH SERVICES INC","1598187783","Dental Providers, Federally Qualified Health Centers",2,1,"40745 Highway 77","","Ashland","AL","36251-4807","Clay","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900236,"Athens Family Health Center","CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.","1881705994","Federally Qualified Health Centers",1,0,"1005 W Market St","Suite B","Athens","AL","35611-2454","Limestone","110 Walker Ave NE","","Huntsville","AL","35801-4739","Madison","Carleton H. A. Pyfrom, Sr.","President and CEO","256-534-8659","1403","cpyfrom@cnahsi.com","www.cnahsi.com","Kriska Gurley","Executive Assistant","256-534-8659","1403","kgurley@cnahsi.com","www.cnahsi.com"]
[null,201900237,"Limestone County Health Department","State of Alabama Department of Public Health","1467595892","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"20371 Clyde Mabry Dr","","Athens","AL","35611-6764","Limestone","20371 Clyde Mabry Dr","","Athens","AL","35611-6764","Limestone","Judy Smith","Clinic Administrator","256-340-2113","","judy.smith@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900238,"Dr. John T. Cooper","self","1821032012","Other ECP Providers",2,0,"212 S Main St","","Atmore","AL","36502-2448","Escambia","212 S. Main Street","","Atmore","AL","36502","Escambia","JOHN TAYLOR COOPER","Optometrist","251-391-0375","","JCOOPEROD@AOL.COM","","John T. Cooper","Owner","251-391-0375","","jcooperod@aol.com",""]
[null,201900239,"ACH Primary Care","ACH Primary Care","1659510931","Rural Health Clinics",2.5,0,"402 Medical Park Dr","","Atmore","AL","36502-3004","Escambia","402 Medical Park Dr","","Atmore","AL","36502-3004","Escambia","Brian G. Bruley","Clinic Director","251-368-6261","0","brian.bruley@infirmaryhealth.org","","Dawn Luker","Patient Services Clerk II","251-368-6261","0","dawn.luker@infirmaryhealth.org",""]
[null,201900240,"West Escambia Family Medical Center","FRANKLIN PRIMARY HEALTH CENTER, INC.","1912327446","Federally Qualified Health Centers",1,0,"408 Medical Park Dr","","Atmore","AL","36502-3016","Escambia","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900241,"Buford L Rolin Health Clinic","Poarch Band of Creek Indians","1902916489","Dental Providers, Federally Qualified Health Centers, Tribal Health Program operated under P.L. 93-638",5,2,"429 Buford L Rolin Dr","","Atmore","AL","36502-5190","Escambia","5811 Jack Springs Road","","Atmore","AL","36502","Escambia","Edith Tullis Jackson","Health & Elder Services Division Director","251-368-9136","2231","ejackson@pci-nsn.gov","","Kelly Dirting","Revenue Cycle Director","251-368-9136","2351","kdirting@pci-nsn.gov",""]
[null,201900242,"ACH Family Physicians","ACH Family Physicians","1093994758","Rural Health Clinics",1.5,0,"611 E Laurel St","","Atmore","AL","36502-3014","Escambia","611 E Laurel St","","Atmore","AL","36502-3014","Escambia","Brian G. Bruley","Clinic Director","251-368-6261","0","brian.bruley@infirmaryhealth.org","","Dawn Luker","Patient Services Clerk","251-368-6261","0","dawn.luker@infirmaryhealth.org",""]
[null,201900243,"Escambia County Health Department, Atmore Branch","State of Alabama Department of Public Health","1528101953","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"8600 Highway 31","Suite 17","Atmore","AL","36502-2686","Escambia","8600 Highway 31 North","Suite 17","Atmore","AL","36502-2629","Escambia","Ricky Elliott","Clinic Administrator","251-937-5859","","ricky.elliot@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900244,"Autaugaville Family Health Center","HEALTH SERVICES, (INC)","1992727853","Federally Qualified Health Centers",0.6,0,"203 N Taylor St","","Autaugaville","AL","36003-2663","Autauga","PO Box 70365","","Montgomery","AL","36107-2613","Montgomery","Veronica R Johnson Thompson","Provider Credentialing Specialist","334-420-5038","","veronica.thompson@hservinc.org","","Susie Jones","Chief Financial Officer","334-420-5029","","susie.jones@hservinc.org",""]
[null,201900245,"North Baldwin Family Health Center","FRANKLIN PRIMARY HEALTH CENTER, INC.","1740536036","Federally Qualified Health Centers",2,0,"201 Dolive St","","Bay Minette","AL","36507-3226","Baldwin","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900246,"BALDWIN COUNTY DEPT BAY MINETTE BRANCH","BALDWIN CO HEALTH DEPT","1578606018","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"212 Courthouse Sq","","Bay Minette","AL","36507-4812","Baldwin","312 Courthouse Square Ste 29","","Bay Minette","AL","36507","Baldwin","Ricky Elliott","Area Administrator","251-937-6935","","ricky.elliott@adph.state.al.us","","","","334-206-5350","","",""]
[null,201900247,"North Baldwin Rural HIV Clinic","MOBILE, COUNTY BOARD OF HEALTH","1740543669","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",32,0,"312 Courthouse Sq","","Bay Minette","AL","36507-4809","Baldwin","251 N Bayou St","","Mobile","AL","36603-5827","Mobile","Angelia Lewis","Chief Executive Officer","251-690-8833","8833","alewis@mchd.org","","Jacqueline F. Thomas","Chief Operations Officer","251-690-8876","8876","jfthomas@mchd.org",""]
[null,201900248,"Planned Parenthood Southeast--Birmingham Center","Planned Parenthood Southeast, Inc.","1609829282","Family Planning Providers, Sexually Transmitted Disease Clinics",1.2,0,"1211 27th Pl S","","Birmingham","AL","35205-1806","Jefferson","241 Peachtree Street NE, Suite 400","","Atlanta","GA","30303","Fulton","Sara Woodson","CFO","404-567-8285","","sara.woodson@ppse.org","","","","","","",""]
[null,201900249,"NORTHSIDE DENTAL CLINIC","ALABAMA REGIONAL MEDICAL SERVICES","1417025917","Dental Providers",0,1,"1333 19th St N","","Birmingham","AL","35234-2512","Jefferson","PO Box 11523","","Birmingham","AL","35202-1523","Jefferson","Pamela Weaver","Front Desk Supervisor","205-212-5604","","pweaver@arms.healthcare","","Sharon Greenhill","ADMINISTRATIVE TO ASSISTANT to COO","205-212-5644","","sgreenhill@arms.healthcare",""]
[null,201900250,"Central Health Center","JEFFERSON COUNTY HEALTH DEPARTMENT","1497816565","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2.5,0,"1400 6th Ave S","","Birmingham","AL","35233-1502","Jefferson","14006th Ave S","","Birmingham","AL","35233-1502","Jefferson","Toni Bellina","Clinic Administrator","205-933-1569","","toni.bellina@jcdh.org","http://www.adph.org","","","334-206-5350","","",""]
[null,201900251,"MEDICAL PLAZA/CORPORATE OFFICE","ALABAMA REGIONAL MEDICAL SERVICES","1417025917","Black Lung Clinics, Family Planning Providers, Federally Qualified Health Centers",5.55,0,"1600 20th St S","","Birmingham","AL","35205-4998","Jefferson","PO Box 11523","","Birmingham","AL","35202-1523","Jefferson","Pamela Weaver","Front Desk Supervisor","205-212-5604","","pweaver@arms.healthcare","","Sharon Greenhill","ADMINISTRATIVE ASSISTAN to COO","205-212-5644","","sgreenhill@arms.healthcare",""]
[null,201900252,"CHILDREN'S HOSPITAL OF ALABAMA MAIN CAMPUS","CHILDREN'S HOSPITAL OF ALABAMA","1205935012","Children's Hospitals (inpatient only)",345,0,"1600 7th Ave S","","Birmingham","AL","35233-1711","Jefferson","1600 7th Ave S","","Birmingham","AL","35233-1711","Jefferson","Nancy Corona","Director of Reimbursement","205-638-9607","","nancy.corona@childrensal.org","www.childrensal.org","Jenny Wakeford","Controller","205-638-6778","","jenny.wakeford@childrensal.org","www.childrensal.org"]
[null,201900253,"Children's Rehabilitation Service Birmingham Office","Alabama Department of Rehabilitation Services","1134273063","Hemophilia Treatment Centers",8,0,"1600 7th Ave S","","Birmingham","AL","35233-1711","Jefferson","602 South Lawrence Street","","Montgomery","AL","36104","Montgomery","Kim McLaughlin","Hemophilia Program Coordinator/Specialist","334-293-7132","","kim.mclaughlin@rehab.alabama.gov","","Melinda M Davis","CRS Director","334-293-7049","","melinda.davis@rehab.alabama.gov",""]
[null,201900254,"CHILDREN'S HOSPITAL OF ALABAMA SOUTH CAMPUS","CHILDREN'S HOSPITAL OF ALABAMA","1205935012","Outpatient Hospital Clinics",123,0,"1940 Elmer J Bissell Rd","","Birmingham","AL","35243-2941","Jefferson","1600 7th Ave S","","Birmingham","AL","35233","Jefferson","Nancy Corona","Director of Reimbursement","205-638-9607","","nancy.corona@childrensal.org","www.childrensal.org","Jenny Wakeford","Controller","205-638-6778","","jenny.wakeford@childrensal.org","www.childrensal.org"]
[null,201900255,"The Kirklin Clinic","University of Alabama Health Services Foundation, P.C.","1093768723","Other ECP Providers",1,0,"2000 6th Ave S","","Birmingham","AL","35233-2110","Jefferson","500 22nd Street South, Suite 506","","Birmingham","AL","35233-3110","Jefferson","Raheel M. Farough","VP, Managed Care & Venture Support","205-934-6230","","rfarough@uabmc.edu","","","","","","",""]
[null,201900256,"AIDS Alabama, Inc.","AIDS Alabama","1811014020","Ryan White Providers",1,0,"3529 7th Ave S","","Birmingham","AL","35222-3210","Jefferson","3529 7th Avenur S.","3521 7th Avenue S.","Birmingham","AL","35222","Jefferson","Elaine M. Cottle","Executive Director","205-324-9822","8185","elaine@aidsalabama.org","","Mitchell Tarver","Clinical Director","205-324-9822","8211","mitchell.tarver@aidsalabama.org",""]
[null,201900257,"Ensley Health Center","ALABAMA REGIONAL MEDICAL SERVICES.","1699179440","Federally Qualified Health Centers",1,0,"417 19th Street Ensley","","Birmingham","AL","35218-1601","Jefferson","PO Box 11523","","Birmingham","AL","35205-1523","Jefferson","Pamela Weaver","Front Desk Supervisor","205-212-5604","","pweaver@arms.healthcare","","Sharon Greenhill","Administrative Assistant to COO","205-212-5644","","sgreenhill@arms.healthcare",""]
[null,201900258,"CHC - Woodlawn","CHRIST HEALTH CENTER, INC.","1821234246","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",5.2,2,"5720 1st Ave S","","Birmingham","AL","35212-2522","Jefferson","5720 1st Ave S","","Birmingham","AL","35212-2522","Jefferson","Robert R Record","CEO","205-380-9455","157","rrecord@christhealthcenter.org","","Mike Benedict","COO","205-380-9455","136","mbenedict@christhealthcenter.org",""]
[null,201900259,"Eastern Health Center","State of Alabama Department of Public Health","1306907472","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"601 West Blvd","","Birmingham","AL","35206-1300","Jefferson","601 West Blvd","","Birmingham","AL","35206-1300","Jefferson","Toni Bellina","Clinic Administrator","205-930-1549","","toni.bellina@jcdh.org","http://www.adph.org","","","334-206-3530","","",""]
[null,201900260,"UNIVERSITY OF ALABAMA HOSPITAL (inpatient hospital)","University of Alabama Hospital","1154435824","Inpatient Hospitals (other than children's hospitals)",1115,0,"619 19th St S","","Birmingham","AL","35233-1900","Jefferson","500 22nd Street South, Suite 506","","Birmingham","AL","35233-3110","Jefferson","RAHEEL FAROUGH","VP, MANAGED CARE VENTURE SUPPORT","205-934-6230","","rfarough@uabmc.edu","www.uab.edu","","","","","",""]
[null,201900261,"UNIVERSITY OF ALABAMA HOSPITAL (multiple outpatient ECP categories)","University of Alabama Hospital","1154435824","Dental Providers, Ryan White Providers",1,13,"619 19th St S","","Birmingham","AL","35233-1900","Jefferson","619 19TH STREET SOUTH","","BIRMINGHAM","AL","35233","Jefferson","RAHEEL FAROUGH","DIRECTOR MANAGED CARE VENTURE SUPPORT","205-934-6230","","rfarough@uabmc.edu","www.uab.edu","","","","","",""]
[null,201900262,"Birmingham Health Care Metro Facility","ALABAMA REGIONAL MEDICAL SERVICES","1780990473","Federally Qualified Health Centers",1,0,"712 25th St N","","Birmingham","AL","35203-2400","Jefferson","PO Box 11523","","Birmingham","AL","35202-1523","Jefferson","Pamela Weaver","Front Desk Supervisor","205-212-5604","","pweaver@arms.healthcare","","Sharon Greenhill","Administrative Assistant to COO","205-212-5644","","sgreenhill@arms.healthcare",""]
[null,201900263,"University of Alabama at Birmingham","UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION","1093768723","Dental Providers, Ryan White Providers",37,1,"908 20th St S","","Birmingham","AL","35205-2610","Jefferson","500 SOUTH 22ND ST","","BIRMINGHAM","AL","35294","Jefferson","RAHEEL FAROUGH","DIRECTOR MANAGED CARE VENTURE SUPPORT","205-934-1917","","rfarough@uabmc.edu","www.uab.edu","","","","","",""]
[null,201900264,"SARDIS CITY MEDICAL CENTER","QUALITY OF LIFE HEALTH SERVICES INC","1225089675","Federally Qualified Health Centers",3.5,0,"1989 Sardis Dr","","Boaz","AL","35956-2344","Etowah","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900265,"Brewton Family Dental Center","FRANKLIN PRIMARY HEALTH CENTER, INC.","1700206703","Dental Providers",0,2,"1115 Azalea Pl","","Brewton","AL","36426-1318","Escambia","1303 Dr. Martin Luther King Jr. Ave","","Mobile","AL","36603","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900266,"Escambia County Health Department","State of Alabama Department of Public Health","1437292869","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"1115 Azalea Pl","","Brewton","AL","36426-1318","Escambia","1115 Azalea Place","","Brewton","AL","36426-1318","Escambia","Ricky Elliot","Clinic Administrator","251-937-5859","","ricky.elliot@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900267,"Lower Alabama Family Medical Center","FRANKLIN PRIMARY HEALTH CENTER, INC.","1699194951","Federally Qualified Health Centers",2,0,"1205 Belleville Ave","","Brewton","AL","36426-1304","Escambia","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","2514348188","charles.white@franklinprimary.org","","","","","","",""]
[null,201900268,"Dr. John T. Cooper","Same","1821032012","Other ECP Providers",2,0,"301 Saint Joseph Ave","","Brewton","AL","36426-2025","Escambia","212 S. Main St","","Atmore","AL","36502","Escambia","JOHN TAYLOR COOPER","Optometrist","251-391-0375","","JCOOPEROD@AOL.COM","","John T. Cooper","Owner","251-391-0375","","jcooperod@aol.com",""]
[null,201900269,"NORTHEAST ALABAMA HEALTH SERVICES, INC. - NORTH SAND MOUNTAIN","NORTHEAST ALABAMA HEALTH SERVICES, INC.","1356498505","Federally Qualified Health Centers",9,0,"29810 AL Highway 71","","Bryant","AL","35958-5240","Jackson","309 Taylor St","","Scottsboro","AL","35768-2421","Jackson","Deborah Culpepper","CEO","256-259-5313","369","dculpepper@neahsi.com","www.neahsi.com","Lisa Day","Finance Assistant","256-259-5313","224","lday@neahsi.com","www.neahsi.com"]
[null,201900270,"Choctaw County Health Department","State of Alabama Department of Public Health","1699818179","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"1001 S Mulberry Ave","","Butler","AL","36904-2813","Choctaw","1001 S Mulberry Ave","","Butler","AL","36904-2813","Choctaw","Ricky Elliot","Clinic Administrator","334-295-1000","","ricky.elliot@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900271,"Choctaw Urgent Care Center","Rush Hospital/Butler, Inc.","1013355106","Rural Health Clinics",4,0,"1404 E Pushmataha St","","Butler","AL","36904-2728","Choctaw","PO Box 908","","Meridian","MS","39302-0908","Lauderdale","Darrell Wildman","Treasurer","601-703-9992","","darrell.wildman@rushhealth.com","","Dale Armour","Executive VP/COO","601-703-9192","","dale.armour@rushhealth.com",""]
[null,201900272,"Choctaw General Hospital","Rush Hospital/Butler, Inc.","1184993727","Inpatient Hospitals (other than children's hospitals)",25,0,"401 Vanity Fair Ave","","Butler","AL","36904-3032","Choctaw","PO Box 908","","Meridian","MS","39302-0908","Lauderdale","Darrell Wildman","Treasurer","601-703-9992","","darrell.wildman@rushhealth.com","","Dale Armour","Executive VP/COO","601-703-9192","","dale.armour@rushhealth.com",""]
[null,201900273,"Wilcox County Health Department","State of Alabama Department of Public Health","1588707863","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"107 Union St","","Camden","AL","36726-1728","Wilcox","107 Union St","","Camden","AL","36726-1728","Wilcox","Ricky Elliot","Clinic Administrator","334-295-1000","","ricky.elliot@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900274,"YELLOW BLUFF - CAMDEN HEALTH CENTER","Rural Health Medical Program, Inc","1760561419","Federally Qualified Health Centers",1.4,0,"2210 Highway 221","","Camden","AL","36726-4233","Wilcox","713 JL Chestnut Blvd","PO Box 2213","Selma","AL","36702-2213","Dallas","Keshee Smith","CEO","334-874-7428","122","smithk@rhmpi.com","","Meneka Johnson","CCO","334-874-7428","125","johnsonm@rhmpi.com",""]
[null,201900275,"Pickens County Health Department","State of Alabama Department of Public Health","1083757280","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"80 William E Hill Dr","","Carrollton","AL","35447-3231","Pickens","80 William E Hill Dr","","Carrollton","AL","35447-3231","Pickens","Tammy Yager","Clinic Administrator","205-554-4500","","tammy.yager@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900276,"Castleberry Medical Clinic","DW McMillan Memorial Hospital","1396125258","Rural Health Clinics",1,0,"1674 Cleveland Ave","","Castleberry","AL","36432","Conecuh","PO Box 908","","Brewton","AL","36427","Escambia","Michael Myrick","CLINIC MANAGER","251-296-2456","1203","mmyrick@dwmmh.org","","Stacy Hines","Director","251-867-8061","8429","shines@dwmmh.org",""]
[null,201900277,"Cherokee Quality Health Care","QUALITY OF LIFE HEALTH SERVICES INC","1851676605","Dental Providers, Federally Qualified Health Centers",2,1,"4055 AL Highway 9","Suite F","Cedar Bluff","AL","35959-5173","Cherokee","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900278,"Cherokee Health Clinic","Centre RHC Corp","1225087422","Rural Health Clinics",5,0,"395 Northwood Dr","","Centre","AL","35960-1045","Cherokee","395 Northwood Drive","","Centre","AL","35960","Cherokee","Amber Morris","Director of Physician Practices","256-927-9162","","amber_morris@quorumhealth.com","","Sherry Walker","Office Manager","256-927-4600","230","sherry_walker@quorumhealth.com",""]
[null,201900279,"Cherokee County Health Department","State of Alabama Department of Public Health","1386787869","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"833 Cedar Bluff Rd","","Centre","AL","35960-1005","Cherokee","833 Cedar Bluff Rd","","Centre","AL","35960-0176","Cherokee","Mary Gomillion","Clinic Administrator","256-547-6311","","mary.gomillion@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900280,"Bibb County Health Department","State of Alabama Department. of Public Health","1295878734","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"281 Alexander Ave","","Centreville","AL","35042-2953","Bibb","281 Alexander Ave.","","Centreville","AL","35042-0126","Bibb","Tammy Yager","Clinic Administrator","205-554-4500","","tammy.yager@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900281,"Cahaba Medical Care","Cahaba Medical Care","1316201809","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers",13,1,"405 Belcher St","","Centreville","AL","35042-2946","Bibb","405 Belcher Street","","Centreville","AL","350422946","Bibb","John B. Waits, MD","CEO","205-926-2992","","John.Waits@cahabamedicalcare.com","www.cahabamedicalcare.com","Lacy Smith","COO","205-926-2992","","lacy.smith@cahabamedicalcare.com",""]
[null,201900282,"Washington County Health Department","State of Alabama Department of Public Health","1619010816","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"14900 Saint Stephens Ave","","Chatom","AL","36518-6715","Washington","14900 Saint Stephens Ave","","Chatom","AL","36518-6715","Washington","Ricky Elliott","Clinic Administrator","251-937-5859","","ricky.elliot@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900283,"Citronelle Clinic","MOBILE, COUNTY OF","1053406280","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",32,7,"19250 N Mobile St","","Citronelle","AL","36522-2122","Mobile","251 N Bayou St","","Mobile","AL","36603-5827","Mobile","Angelia Lewis","Chief Executive Officer","251-690-8833","8833","alewis@mchd.org","","Jacqueline F. Thomas","Chief Operations Officer","251-690-8876","8876","","http://www.adph.org"]
[null,201900284,"Clanton Family Health Center","HEALTH SERVICES, (INC)","1700808664","Federally Qualified Health Centers",1,0,"107 Medical Center Dr","","Clanton","AL","35045-2331","Chilton","PO Box 70365","","Montgomery","AL","36107-0365","Montgomery","Veronica R Johnson Thompson","Provider Credentialing Specialist","334-420-5038","","veronica.thompson@hservinc.org","","Susie Jones","Chief Financial Officer","334-420-5029","","susie.jones@hservinc.org",""]
[null,201900285,"Chilton County Health Department","State of Alabama Department of Public Health","1356484836","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"301 Health Center Dr","","Clanton","AL","35045-2349","Chilton","301 Health Center Dr","","Clanton","AL","35045-2349","Chilton","Connie King","Clinic Administrator","334-277-8464","","connie.king@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900286,"Barbour County Health Department - Clayton Branch","State of Alabama Department of Public Health","1770626194","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"39 Browder St","","Clayton","AL","36016-2079","Barbour","39 Browder St","","Clayton","AL","36016-2079","Barbour","Corey Kirkland","Clinic Administrator","334-792-9070","","corey.kirkland@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900287,"CLAYTON FAMILY HEALTH CENTER","SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES","1710048053","Federally Qualified Health Centers",1,0,"7 Western Byp","","Clayton","AL","36016-2013","Barbour","1414 Elba Hwy","","Troy","AL","36079-6020","Pike","John A Little","Chief Executive Officer","334-670-6726","","jlittle@sarhaonline.com","","Pamylon Bowers","Director of Operations","334-670-6726","","pbowers@sarhaonline.com",""]
[null,201900288,"LAWRENCE RURAL HEALTH CLINIC-COURTLAND","Attentus Moulton, LLC","1033155791","Rural Health Clinics",2,0,"350 Tennessee St","","Courtland","AL","35618-3357","Lawrence","202 Hospital Street","","Moulton","AL","35650","Lawrence","Martha Everly","Clinic Manager","205-637-8033","","martha.everly@lawrencemedicalcenter.com","","Connie Blankenship","Billing Credentialing Manager","256-522-2212","","connie.blankenship@lawrencemedicalcenter.com",""]
[null,201900289,"South DeKalb Family Medical Assoc., PC","South DeKalb Family Medical Assoc., PC","1538487020","Rural Health Clinics",2,0,"15239 AL Highway 68","","Crossville","AL","35962-3481","De Kalb","15239 AL Hwy 68W","","Crossville","AL","35962","DeKalb","Debbie Bonds","Office Manager","256-593-1234","112","debbiebonds@med-asst.com","www.med-asst.com","Penny Davis","Credentialling Clerk","256-593-1234","111","pennydavis@med-asst.com","www.med-asst.com"]
[null,201900290,"CULLMAN QUALITY HEALTH CARE","QUALITY OF LIFE HEALTH SERVICES INC","1467402768","Dental Providers, Federally Qualified Health Centers",2,1,"2016 Main Ave SW","","Cullman","AL","35055-5239","Cullman","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900291,"Cullman County Health Department","State of Alabama Department of Public Health","1891838223","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"601 Logan Ave SW","","Cullman","AL","35055-4520","Cullman","601 Logan Ave SW","","Cullman","AL","35055-4520","Cullman","Judy Smith","Clinic Administrator","256-340-2113","","judy.smith@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900292,"Tallapoosa County Health Department - Dadeville Clinic","State of Alabama Department of Public Health","1104969559","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"220 W Lafayette St","","Dadeville","AL","36853-1327","Tallapoosa","220 W Lafayette St","","Dadeville","AL","36853-1327","Tallapoosa","Mark Johnson","Clinic Administrator","256-329-0531","","mark.johnson@adph.state.al.us","http://www.adph.org","","","334-206-3530","","",""]
[null,201900293,"Family Health Care Clinic, Inc., --Decatur","FAMILY HEALTH CARE CLINIC, INC.","1184857195","Federally Qualified Health Centers",5,0,"1304 13th Ave SE","Suite A","Decatur","AL","35601-4316","Morgan","4635 Highway 80 E","","Pearl","MS","39208-4226","Rankin","Margaret Ann Gray","President and CEO","601-825-7280","5005","drmgray1@bellsouth.net","familyhealthcareclinic.com","Clinton Mayes","VP and COO","601-825-7280","5003","cmayes@familyhealthcareclinic.com",""]
[null,201900294,"Medical East of Decatur","Medical East of Decatur","1659518553","Rural Health Clinics",7,0,"2941 Point Mallard Pkwy SE","","Decatur","AL","35603-5716","Morgan","2941 Point Mallard Pkwy","","Decatur","AL","35603","Morgan","Jeanne Lindsay","Office Manager","256-432-2822","","jlindsay9253@gmail.com","","","","","","",""]
[null,201900295,"Morgan County Health Department","State of Alabama Department of Public Health","1548303977","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"510 Cherry St NE","","Decatur","AL","35601-1970","Morgan","510 Cherry St NE","","Decatur","AL","35601-1970","Morgan","Judy Smith","Clinic Administrator","256-340-2113","","judy.smith@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900296,"Dothan Family Health Center","SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES","1194087593","Federally Qualified Health Centers",3,0,"1450 Ross Clark Cir","Suite 400","Dothan","AL","36301-4770","Houston","1414 Elba Hwy","","Troy","AL","36079-6020","Pike","John A Little","Chief Executive Officer","334-670-6726","","jlittle@sarhaonline.com","","Pamylon Bowers","Director of Operations","334-670-6726","","pbowers@sarhaonline.com",""]
[null,201900297,"Houston County Health Department","State of Alabama Department of Public Health","1114060316","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"1781 E Cottonwood Rd","","Dothan","AL","36301-5309","Houston","1781 E Cottonwood Rd","","Dothan","AL","36301-5309","Houston","Corey Kirkland","Clinic Administrator","334-678-2800","","corey.kirkland@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900298,"Winston County Health Department","State of Alabama Department of Public Health","1164565370","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"110 Legion Rd","","Double Springs","AL","35553-2365","Winston","110 Legion Rd","","Double Springs","AL","35553-2365","Winston","Ronnie Moore","Clinic Administrator","205-383-1231","","ronnie.moore@adph.stae.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900299,"DOZIER FAMILY HEALTH CENTER","SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES","1063573301","Federally Qualified Health Centers",1,0,"18131 Dozier Hwy","","Dozier","AL","36028-2719","Crenshaw","1414 Elba Hwy","","Troy","AL","36079-6020","Pike","John A Little","Chief Executive Officer","334-670-6726","","jlittle@sarhaonline.com","","Pamylon Bowers","Director of Operations","334-670-6726","","pbowers@sarhaonline.com",""]
[null,201900300,"Eclectic Family Health Center","HEALTH SERVICES, (INC)","1982626842","Federally Qualified Health Centers",1,0,"30 Main St","","Eclectic","AL","36024-5614","Elmore","PO Box 70365","","Montgomery","AL","36107-0365","Montgomery","Veronica R Johnson Thomspn","Provider Credentialing Specialist","334-420-5038","","veronica.thompson@hservinc.org","","Susie Jones","Chief Financial Officer","334-420-5029","","susie.jones@hservinc.org",""]
[null,201900301,"ENTERPRISE CHILDREN'S CENTER AND FAMILY MEDICINE","SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES","1891856134","Federally Qualified Health Centers",4,0,"105 E Watts St","","Enterprise","AL","36330-2511","Coffee","1414 Elba Hwy","","Troy","AL","36079-6020","Pike","John A Little","Chief Executive Officer","334-670-6726","","jlittle@sarhaonline.com","","Pamylon Bowers","Director of Operations","334-670-6726","","pbowers@sarhaonline.com",""]
[null,201900302,"Coffee County Health Department","State of Alabama Department. of Public Health","1487797965","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"2841 Neil Metcalf Rd","","Enterprise","AL","36330-8003","Coffee","2841 Neil Metcalf Rd","","Enterprise","AL","36330-8003","Coffee","Corey Kirkland","Clinic Administrator","334-347-9574","","corey.kirkland@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900303,"Eufaula Internal Medicine","SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES","1710933098","Federally Qualified Health Centers",3,0,"23 Veteran Blvd","","Eufaula","AL","36027-4444","Barbour","1414 Elba Hwy","","Troy","AL","36079-6020","Pike","John A Little","Chief Executive Officer","334-670-6726","","jlittle@sarhaonline.com","","Pamylon Bowers","Director of Operations","334-670-6726","","pbowers@sarhaonline.com",""]
[null,201900304,"Barbour County Health Department - Eufaula Clinic","State of Alabama Department of Public Health","1487797924","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"634 School St","","Eufaula","AL","36027-2430","Barbour","634 School St","","Eufaula","AL","36027-2430","Barbour","Corey Kirkland","Clinic Administrator","334-687-4808","","corey.kirkland@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900305,"Medical Center Barbour","Medical Center Barbour Hospital","1548773450","Inpatient Hospitals (other than children's hospitals)",17,0,"820 W Washington St","","Eufaula","AL","36027-1822","Barbour","820 West Washington Street","","Eufaula","AL","36027","Barbour","Michele Waters","Director Senior Care Center","334-688-7185","","mwaters@medctrbarbour.org","","Christy Moore","Director of Nursing","334-688-7274","","clmoore@medctrbarbour.org",""]
[null,201900306,"Eutaw Health Center","Whatley Health Services, Inc","1831133958","Federally Qualified Health Centers",2,0,"200 Morrow Ave","","Eutaw","AL","35462-1106","Greene","2731 MLK Jr. Blvd","","Tuscaloosa","AL","35401","Tuscaloosa","Justin Ross Rolling","CFO","205-614-6061","","jrolling@whatleyhealth.org","","Deborah Tucker","","205-614-6135","","dtucker@whatleyhealth.org",""]
[null,201900307,"Greene County Health Department","State of Alabama Department of Public Health","1205979408","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"412 Morrow Ave","","Eutaw","AL","35462-1109","Greene","412 Morrow Ave","","Eutaw","AL","35462-1109","Greene","Tammy Yager","Clinic Administrator","205-372-9361","","tammy.yager@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900308,"Greene County Hospital","Greene County Health Services","1043389398","Inpatient Hospitals (other than children's hospitals)",5,0,"607 Wilson Ave","","Eutaw","AL","35462-1136","Greene","509 WILSON AVENUE","","Eutaw","AL","35462","Greene","Alma Cole","CLINICAL MANAGER","205-535-9857","","alma.cole@gcheutaw.com","","Elmore Patterson","CEO","205-372-3388","212","elmore.patterson@gcheutaw.com",""]
[null,201900309,"Greene County Physicians Clinic","Greene County Health Services","1043389398","Family Planning Providers, Rural Health Clinics",5,0,"607 Wilson Ave","","Eutaw","AL","35462-1064","Greene","509 WILSON AVENUE","","EUTAW","AL","35462","Greene","Alma Cole","CLINICAL MANAGER","205-535-9857","","alma.cole@gcheutaw.com","","TIFFANY GRISBY","CFO","205-372-3388","302","TIFFANY.GRISBY@GCHEUTAW.COM",""]
[null,201900310,"Eva Family Health Center","CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.","1972869931","Federally Qualified Health Centers",1,0,"4208 Eva Rd","Suite B","Eva","AL","35621-7629","Morgan","110 Walker Ave NE","","Huntsville","AL","35801-4739","Madison","Carleton H. A. Pyfrom, Sr.","President and CEO","256-534-8659","1403","cpyfrom@cnahsi.com","www.cnahsi.com","Kriska Gurley","Executive Assistant","256-534-8659","1403","kgurley@cnahsi.com","www.cnahsi.com"]
[null,201900311,"EVERGREEN PRIMARY CARE","EVERGREEN MEDICAL CENTER LLC","1427366871","Rural Health Clinics",2,0,"100 Edwina St","","Evergreen","AL","36401-3319","Conecuh","101 CRESTVIEW AVE","","EVERGREEN","AL","36401-3333","Conecuh","SHARON JONES","CFO","251-578-2480","","SJONES@EVERGREENMEDICAL.ORG","","TOM MCLENDON","CEO","251-578-2480","","TMCLENDON@EVERGREENMEDICAL.ORG",""]
[null,201900312,"Conecuh County Health Department","State of Alabama Department of Public Health","1164565586","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"102 Wild Ave","","Evergreen","AL","36401-2134","Conecuh","102 Wild Ave","","Evergreen","AL","36401-2134","Conecuh","Chad Kent","Clinic Administrator","251-578-1952","","chad.kent@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900313,"Evergreen Family Medical Center","FRANKLIN PRIMARY HEALTH CENTER, INC.","1912327479","Federally Qualified Health Centers",1,0,"316 S Main St","","Evergreen","AL","36401-3325","Conecuh","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900314,"Falkville Medical Clinic, LLC","Falkville Medical Clinic, LLc","1518301837","Rural Health Clinics",2,0,"434 E Pike Rd","","Falkville","AL","35622-5109","Morgan","434 E Pike Rd","","Falkville","AL","35622","Morgan","Jessica Flores","Operations Manager","256-784-2200","","jessica.familycarefirst@gmail.com","","","","","","",""]
[null,201900315,"Fayette County Health Department","State of Alabama Department of Public Health","1588707780","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"215 1st Ave NW","","Fayette","AL","35555-2331","Fayette","215 First Ave NW","","Fayette","AL","35555","Fayette","Tammy Yager","Clinic Administrator","205-932-5260","","tammy.yager@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900316,"Flomaton Medical Center","DW McMillan Memorial Hospital","1497852735","Rural Health Clinics",4,0,"174 Highway 113","","Flomaton","AL","36441-4556","Escambia","PO Box 908","","Brerwton","AL","36427","Escambia","Michael Myrick","CLINIC MANAGER","251-296-2456","1203","mmyrick@dwmmh.org","","Stacy Hines","Director of Physician Services","215-867-8061","8439","shines@dwmmh.org",""]
[null,201900317,"Family Health Care Clinic, Inc. --Florence","FAMILY HEALTH CARE CLINIC, INC.","1730312745","Federally Qualified Health Centers",1,0,"216 Marengo St","Suite A","Florence","AL","35630-6034","Lauderdale","4635 Highway 80 E","","Pearl","MS","39208-4226","Rankin","Margaret Ann Gray","President and CEO","601-825-7280","5005","drmgray1@bellsouth.net","","Clinton Mayes","VP and COO","601-825-7280","5003","cmayes@familyhealthcareclinic.com",""]
[null,201900318,"Lauderdale County Health Department","State of Alabama Department of Public Health","1588707913","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"4112 Chisholm Rd","","Florence","AL","35630-7345","Lauderdale","4112 Chisholm Rd","","Florence","AL","35630","Lauderdale","Ronnie Moore","Clinic Administrator","256-764-7453","","ronnie.moore@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900319,"South Baldwin Family Health Center","FRANKLIN PRIMARY HEALTH CENTER, INC.","1932416195","Federally Qualified Health Centers",2,0,"1628 N McKenzie St","Suite 102","Foley","AL","36535-2275","Baldwin","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900320,"FORT MITCHELL CLINIC PC","FORT MITCHELL CLINIC PC","1568748242","Rural Health Clinics",1.5,0,"2 Gilmore Rd","","Fort Mitchell","AL","36856-4442","Russell","2 GILMORE RD","","FORT MITCHELL","AL","36856","Russell","RAJIV L SRIVASTAVA","ADMINISTRATOR","334-664-1960","3327","LSRAJIV@GMAIL.COM","","RITU CHANDRA","MEDICAL DIRECTOR","334-664-1960","3312","DOCRITU@HOTMAIL.COM",""]
[null,201900321,"Fort Payne Pediatrics","Fort Payne Pediatrics, LLC","1356746085","Rural Health Clinics",4,0,"1359 Old Water Works Rd SW","","Fort Payne","AL","35968-3347","De Kalb","1359 Old Waterworks Road","","Fort Payne","AL","35968","DeKalb","Morgan Pinholster","HR Manager","256-997-5900","116","mpinholster@fortpaynepeds.com","","Jessica Cushen","Office Manager","256-997-5900","113","jcushen@fortpaynepeds.com",""]
[null,201900322,"Fort Payne Pediatrics # 1","Fort Payne Pediatrics, LLC","1033477393","Rural Health Clinics",2,0,"1906 Glenn Blvd SW","Suite 100A","Fort Payne","AL","35968-3546","De Kalb","1906 Glenn Blvd. Suite 100-A","","Fort Payne","AL","35968","DeKalb","Morgan Pinholster","HR Manager","256-997-5900","116","mpinholster@fortpaynepeds.com","","Jessica Cushen","Office Manager","256-997-5900","113","jcushen@fortpaynepeds.com",""]
[null,201900323,"Dekalb County Health Department","State of Alabama Department of Public Health","1679616874","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",3,0,"2401 Calvin Dr SW","","Fort Payne","AL","35967-1100","De Kalb","2401 Calvin Dr SW","","Fort Payne","AL","35967-1100","DeKalb","Mark Johnson","Clinic Administrator","256-845-1931","","mark.johnson@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900324,"VALLEYHEAD CLINIC, LLC","VALLEYHEAD CLINIC, LLC","1528467388","Rural Health Clinics",5,0,"2605 Gault Ave N","Suite 200","Fort Payne","AL","35967-3700","De Kalb","2605 GAULT AVE N, STE 200","","FORT PAYNE","AL","35967","DeKalb","KAYLA WORMSLEY","CLINIC COORDINATOR","256-451-1250","","MANAGER.CLINIC@HOTMAIL.COM","","JANICE HUCKABEE","OFFICE MANAGER","256-451-1250","","JANICE.PMC@HOTMAIL.COM",""]
[null,201900325,"NORTHEAST ALABAMA HEALTH SERVICES, INC. - FORT PAYNE","NORTHEAST ALABAMA HEALTH SERVICES, INC.","1831346386","Federally Qualified Health Centers",9,0,"3840 Gault Ave N","","Fort Payne","AL","35967-5211","De Kalb","309 Taylor St","","Scottsboro","AL","35768-2421","DeKalb","Deborah Culpepper","CEO","256-259-5313","221","dculpepper@neahsi.com","www.neahsi.com","Lisa Day","Finance Assistant","256-259-5313","224","lday@neahsi.com","www.neahsi.com"]
[null,201900326,"DeKalb Clinic","Fort Payne RHC Corp","1184679938","Rural Health Clinics",2,0,"415 Medical Center Dr SW","","Fort Payne","AL","35968-3421","De Kalb","415 Medical Center Drive SW","","Fort Payne","AL","35968","De Kalb","Amber Morris","Director of Physician Practices","256-927-9162","","amber_morris@quorumhealth.com","","Karen Barnett","Practice Manager","256-997-2820","","karen_barnett@quorumhealth.com",""]
[null,201900327,"Frisco City Family Medical Center","FRANKLIN PRIMARY HEALTH CENTER, INC.","1982024402","Federally Qualified Health Centers",2,0,"53 Mulberry St","","Frisco City","AL","36445-4484","Monroe","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900328,"NORTHEAST ALABAMA HEALTH SERVICES, INC. - FYFFE","NORTHEAST ALABAMA HEALTH SERVICES, INC.","1104973353","Federally Qualified Health Centers",10,0,"34617 AL Highway 75","","Fyffe","AL","35971-3488","De Kalb","309 Taylor St","","Scottsboro","AL","35768-2421","Jackson","Deborah Culpepper","CEO","256-259-5313","221","dculpepper@neahsi.com","www.neahsi.com","Lisa Day","Finance Assistant","256-259-5313","224","lday@neahsi.com","www.neahsi.com"]
[null,201900329,"ROBERTA O. WATTS MEDICAL CENTER","QUALITY OF LIFE HEALTH SERVICES INC","1366492597","Federally Qualified Health Centers",3.3,0,"1020 Tuscaloosa Ave","","Gadsden","AL","35901-3005","Etowah","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900330,"GADSDEN FAMILY & STUDENT HEALTH SOLUTIONS","QUALITY OF LIFE HEALTH SERVICES INC","1184673535","Dental Providers, Federally Qualified Health Centers",1.2,1,"1216 Wilbanks Ave","","Gadsden","AL","35903-2024","Etowah","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900331,"J.W. STEWART NEIGHBORHOOD HEALTH CENTER","QUALITY OF LIFE HEALTH SERVICES INC","1750332243","Federally Qualified Health Centers",2.5,0,"1409 Springfield Ave","","Gadsden","AL","35903-2819","Etowah","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900332,"Quality of Life Health Complex","Quality of Life Health Services, Inc.","1447200977","Dental Providers, Federally Qualified Health Centers",6.5,2,"1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900333,"PROCARE - COLLEY HOMES","QUALITY OF LIFE HEALTH SERVICES INC","1023069416","Federally Qualified Health Centers",2,0,"420 N 6th St","","Gadsden","AL","35901-3244","Etowah","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-439-6303","","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900334,"Canterberry Family Practice","QUALITY OF LIFE HEALTH SERVICES INC","1902856214","Federally Qualified Health Centers",2,0,"502 N 27th St","","Gadsden","AL","35904-1580","Etowah","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Devlopment Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900335,"Etowah County Health Department","State of Alabama Department of Public Health","1346383775","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1.5,0,"709 E Broad St","","Gadsden","AL","35903-2452","Etowah","709 E Broad St","","Gadsden","AL","35903-2452","Etowah","Mary Gomillion","Clinic Administrator","256-547-6311","","mary.gomillion@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900336,"Geneva Family Health Center","SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES","1659658391","Federally Qualified Health Centers",1,0,"100 W Lake Professional Park","Suite 1","Geneva","AL","36340-1200","Geneva","1414 Elba Hwy","","Troy","AL","36079-6020","Pike","John A Little","Chief Executive Officer","334-670-6726","","jlittle@sarhaonline.com","","Pamylon Bowers","Director of Operations","334-670-6726","","pbowers@sarhaonline.com",""]
[null,201900337,"Ivy Creek Clinic","Ivy Creek of Butler, LLC","1245372168","Rural Health Clinics",3,0,"125 Church St","","Georgiana","AL","36033-4268","Butler","125 Church Street","","Georgiana","AL","36033-4519","Butler","Patti Cook","Administrator","334-376-2205","2207","pcook@georgianahospital.com","","","","","","",""]
[null,201900338,"Butler Primary Care","Ivy Creek of Butler, LLC","1477979672","Rural Health Clinics",2,0,"138 Jones St","","Georgiana","AL","36033-4510","Butler","138 Jones Street","","Georgiana","AL","36033-4519","Butler","Patti Cook","Administrator","334-376-2205","2207","pcook@georgianahospital.com","","","","","","",""]
[null,201900339,"Dekalb Quality Health Care","QUALITY OF LIFE HEALTH SERVICES INC","1417191594","Dental Providers, Federally Qualified Health Centers",2,1,"12062 AL Highway 227","","Geraldine","AL","35974-3562","De Kalb","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900340,"GILBERTOWN MEDICAL/DENTAL CENTER","FRANKLIN PRIMARY HEALTH CENTER, INC.","1093775918","Dental Providers, Federally Qualified Health Centers",2,1,"140 Front St","Suite 4","Gilbertown","AL","36908-5510","Choctaw","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900341,"Health Partners of Goodwater","Russell Medical Center","1174990626","Rural Health Clinics",2,0,"21342 Alabama Hwy 9","","Goodwater","AL","35072","Coosa","3316 Highway 280","","Alexander City","AL","35010","Tallapoosa","Tammy V. Coker","CRNP-FNP","256-743-1300","","tcoker@russellmedcenter.com","","Jim Peace","CEO Russell Medical","","","jpeace@russellmedicalcenter.com",""]
[null,201900342,"South Alabama Medical Clinic","South Alabama Medical Clinic","1811288038","Rural Health Clinics",4,0,"10075 Grand Bay Wilmer Rd S","","Grand Bay","AL","36541-5003","Mobile","10075 Grand Bay Wilmer Rd. S.","","Grand Bay","AL","36541","Mobile","Cherri Bedwell","Office Manager","251-865-1852","","cbedwell@southalabamamedicalclinic.com","","Lloyd Sean Stokes","Managing Partner","251-865-1852","","sstokes@southalabamamedicalclinic.com",""]
[null,201900343,"Hale County Health Department","State of Alabama Department of Public Health","1164565594","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"670 Hall St","","Greensboro","AL","36744-2516","Hale","670 Hall St","","Greensboro","AL","36744-2516","Hale","Stacey Adams","Clinic Administrator","334-624-3018","","stacey.adams@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900344,"Hale County Health Center","Whatley Health Services, Inc","1285655936","Dental Providers, Federally Qualified Health Centers",3,1,"800 Hall St","","Greensboro","AL","36744-2517","Hale","2731 MLK Jr. Blvd","","Tuscaloosa","AL","35401","Tuscaloosa","Justin Rolling","CFO","205-777-8521","","jrolling9435@yahoo.com","","Deborah Tucker","CEO","205-614-6135","","dtucker@whatleyhealth.org",""]
[null,201900345,"Butler County Health Department","State of Alabama Department of Public Health","1043353592","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"350 Airport Rd","","Greenville","AL","36037-8822","Butler","350 Airport Rd","","Greenville","AL","36037-8822","Butler","Ricky Elliot","Clinic Administrator","334-382-3154","","ricky.elliot@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900346,"Clarke County Health Department","State of Alabama Department of Public Health","1508909086","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"22600 Highway 84","","Grove Hill","AL","36451-5481","Clarke","22600 Highway 84 E","","Grove Hill","AL","36451-5481","Clarke","Ricky Elliott","Clinic Administrator","251-937-5859","","ricky.elliot@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900347,"Grove Hill Healthcare","Grove Hill Healthcare","1396796611","Rural Health Clinics",5,0,"295B S Jackson St","","Grove Hill","AL","36451-3231","Clarke","295 South Jackson Street","","Grove Hill","AL","36451","Clarke","William Wiggins","Office Manager","251-275-3173","","williamwiggins.ghmh@gmail.com","","Roxanne Smith","Administrative Assistant","251-275-3173","","rsmith@grovehillmemorial.org",""]
[null,201900348,"Marshall County Health Department","State of Alabama Department of Public Health","1265575468","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"150 Judy Smith Dr","","Guntersville","AL","35976-4500","Marshall","150 Judy Smith Dr","","Guntersville","AL","35976-4500","Marshall","Judy Smith","Clinic Administrator","256-340-2113","","judy.smith@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900349,"MORROW CLINICS INC","MORROW CLINIC'S INC","1992816185","Rural Health Clinics",2,0,"34867 US Highway 43","PO Box 221","Hackleburg","AL","35564-4281","Marion","34867 us hwy 43","P.O.Box 221","Hackleburg","AL","35564","Marion","Jerita Whitehead","Office Manager","205-935-3744","","jerita10@yahoo.com","","","","","","",""]
[null,201900350,"Family Care First, Inc","Family Care First, Inc","1861765638","Rural Health Clinics",3,0,"1023 Highway 13","","Haleyville","AL","35565-1638","Winston","1023 AL hwy 13","","Haleyville","AL","35565","Winston","Jessica Flores","Operations Manager","205-486-5050","","jessica.familycarefirst@gmail.com","","","","","","",""]
[null,201900351,"Hamilton Primary Care Center","Marion Regional Medical Center","1205254356","Rural Health Clinics",7.08,0,"1256 Military St S","","Hamilton","AL","35570-5003","Marion","1256 Military Street South","","Hamilton","AL","35570","Marion","James P Stanzell","Chief Compliance officer","662-377-4148","","jim.stanzell@nmhs.net","","","","","","",""]
[null,201900352,"Marion County Health Department","State of Alabama Department of Public Health","1356484554","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"2448 Military St S","","Hamilton","AL","35570-6673","Marion","2448 Military St S","","Hamilton","AL","35570-6673","Marion","Ronnie Moore","Clinic Administrator","205-921-3118","","ronnie.moore@adph.state.a.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900353,"SOUTHVIEW MEDICAL CLINIC, LLC","SOUTHVIEW MEDICAL CLINIC, LLC","1033554357","Rural Health Clinics",3,0,"222 Arkadelphia Rd NE","","Hanceville","AL","35077-4700","Cullman","222 ARKADELPHIA RD NE","","HANCEVILLE","AL","35077-1210","Cullman","KAYLA WORMSLEY","CLINIC COORDINATOR","256-451-1250","","MANAGER.CLINIC@HOTMAIL.COM","","JANICE HUCKABEE","OFFICE MANAGER","256-451-1250","","JANICE.PMC@HOTMAIL.COM",""]
[null,201900354,"Geneva Co. Health Dept.","State of Alabama Dept. of Public Health","1255474680","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"300 County Road 41","","Hartford","AL","36344-5177","Geneva","300 County Road 41","","Hartford","AL","36344","Geneva","Corey Kirkland","Asst. Area Administrator","334-684-2256","","corey.kirkland@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900355,"LOWNDES COUNTY HEALTH DEPARTMENT","LOWNDES CO HEALTH DEPT","1740323948","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"507 E Tuskeena St","","Hayneville","AL","36040-2666","Lowndes","507 E. TUSKEENA STREET","","HAYNEVILLE","AL","36040","Lowndes","RICKY ELLIOTT","ACTING AREA ADMINISTRATOR","334-548-2564","","RICKY.ELLIOTT@ADPH.STATE.AL.US","","","","334-206-5350","","",""]
[null,201900356,"Hayneville Family Health Center","HEALTH SERVICES, (INC)","1598788218","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",2,1,"511 E Tuskeena St","","Hayneville","AL","36040-2666","Lowndes","PO Box 70365","","Montgomery","AL","36107-0365","Montgomery","Veronica R Johnson Thompson","Provider Credentialing Specialist","334-263-2301","","veronica.thompson@hservinc.org","","George Waldrop","Chief Financial Officer","334-420-5029","","george.waldrop@hservinc.org",""]
[null,201900357,"Henry Co. Health Dept. Headland Branch","State of Alabama Dept. of Public Health","1760525190","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"2 Cable St","","Headland","AL","36345-2136","Henry","2 Cable St","","Headland","AL","36345-2136","Henry","Corey Kirkland","Asst. Area Administrator","334-693-2220","","corey.kirkland@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900358,"Cleburne Quality Health Care","QUALITY OF LIFE HEALTH SERVICES INC","1467620989","Dental Providers, Federally Qualified Health Centers",3,1,"64 Giles St","","Heflin","AL","36264-1738","Cleburne","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900359,"Cleburne Co. Health Dept.","State of Alabama Dept. of Public Health","1376686543","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"90 Brockford Rd","","Heflin","AL","36264-1677","Cleburne","Box 36","","Heflin","AL","36264-0036","Cleburne","Mary Gomillion","Area Administrator","256-463-2296","","mary.gomillion@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900360,"MIDWAY MEDICAL CLINIC, LLC","MIDWAY MEDICAL CLINIC, LLC","1386984649","Rural Health Clinics",2,0,"111 Brooklyn Rd","","Holly Pond","AL","35083-6478","Cullman","111 BROOKLYN RF","","HOLLYPOND","AL","35083-6478","Cullman","KAYLA WORMSLEY","CLINIC COORDINATOR","256-451-1250","","manager.clinic@hotmail.com","","JANICE HUCKABEE","OFFICE MANAGER","256-451-1250","","JANICE.PMC@HOTMAIL.COM",""]
[null,201900361,"Douglas Medical Center","QUALITY OF LIFE HEALTH SERVICES INC","1033371562","Federally Qualified Health Centers",2,0,"8225 AL Highway 75","","Horton","AL","35980-8473","Marshall","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900362,"Madison Co. Health Dept.","State of Alabama Dept. of Public Health","1285777615","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"301 Max Luther Dr NW","","Huntsville","AL","35811-1724","Madison","Box 17708","","Huntsville","AL","35810-7708","Madison","Lawrence Robey","Local Health Officer","256-539-3711","","lawrence.robey@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900363,"Thrive Alabama - The Davis Clinic","AIDS Action Coalition of Huntsville, Inc d/b/a Thrive Alabama","1770635633","Ryan White Providers",4,0,"600 Saint Clair Ave SW","Suite 3","Huntsville","AL","35801-5057","Madison","600 St Clair Ave","Bldg 3","Huntsville","AL","35801","Madison","Jitesh Parmar","Chief Operating Officer","256-536-4700","155","jparmar@thrivealabama.org","http://www.thrivealabama.org","Mary Rozier-Hachen","Director of Clinical Services","256-536-4700","138","mhachen@thrivealabama.org","http://www.thrivealabama.org"]
[null,201900364,"Huntsville Family Health Center","CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.","1407891336","Dental Providers, Federally Qualified Health Centers",6,1,"751 Pleasant Row NW","","Huntsville","AL","35816-2537","Madison","110 Walker Ave NE","","Huntsville","AL","35801-4739","Madison","Carleton H. A. Pyfrom, Sr.","President and CEO","256-534-8659","1403","cpyfrom@cnahsi.com","www.cnahsi.com","Kriska Gurley","Executive Assistant","256-534-8659","1403","kgurley@cnahsi.com","www.cnahsi.com"]
[null,201900365,"Crestwood Medical Center","ALABAMA REGIONAL MEDICAL SERVICES","1093119109","Federally Qualified Health Centers",1.4,0,"7001 Crestwood Blvd","Suite 822","Irondale","AL","35210-2344","Jefferson","PO Box 11523","","Birmingham","AL","35202-1523","Jefferson","Pamela Weaver","Front Desk Supervisor","205-212-5604","","pweaver@arms.healthcare","","Sharon Greenhill","Administrative Assistant to COO","205-212-5644","","sgreenhill@arms.healthcare",""]
[null,201900366,"Mostellar Medical Center","Bayou La Batre Area Health Development Board, Inc.","1396794426","Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",12,0,"12701 Padgett Switch Rd","","Irvington","AL","36544-4011","Mobile","12701 Padgett Switch Road","","Irvington","AL","36544-4011","Mobile","Judi L. Steiner","Risk Managemen/Credentialing Coordinator","251-824-2174","5251","jsteiner@mostellarmedical.org","www.mostellarmedical.org","Alice Elizabeth (Beth) Edwards","Director of Operations","251-824-2174","5275","bedwards@mostellarmedical.org","www.mostellarmedical.org"]
[null,201900367,"BHC - WALKER PRIMARY CARE","Baptist Health Centers","1033451992","Rural Health Clinics",2,0,"3400 Highway 78 E Ste 321","East Medical Arts Tower","Jasper","AL","35501-8951","Walker","1130 22nd Street South, Suite 1000","","Birmingham","AL","35205","Jefferson","Greg Smith","Executive Director of Payor & Provider Relations","205-715-5213","","greg.smith2@bhsala.com","","","","","","",""]
[null,201900368,"Walker Co. Health Dept.","State of Alabama Dept. of Public Health","1497898761","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"705 20th Ave E","","Jasper","AL","35501-4071","Walker","705 20th Ave E","","Jasper","AL","35501","Walker","Ronnie Moore","Area Administrator","205-221-9775","","ronnie.moore@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900369,"Capstone Rural Health Center- Jasper Cottage","CAPSTONE RURAL HEALTH CENTER, THE","1821043837","Federally Qualified Health Centers",1,0,"714 12th St W","","Jasper","AL","35501-4519","Walker","5947 Highway 269","","Parrish","AL","35580-3847","Walker","Foster D Jones","Executive Director","205-292-9929","","fdjones@capstoneclinic.org","","Cheryl Schober","Billing Manager","205-724-9028","9028","cschober@capstoneclinic.org",""]
[null,201900370,"BHC Jemison","Baptist Health Centers","1760446876","Rural Health Clinics",2,0,"25420 US Highway 31","","Jemison","AL","35085-7868","Chilton","1130 22nd Street South, Suite 1000","","Birmingham","AL","35205","Jefferson","Greg Smith","Executive Director of Payor & Provider Relations","205-715-5213","","greg.smith2@bhsala.com","","","","","","",""]
[null,201900371,"BHC LINCOLN","Baptist Health Centers","1770547804","Rural Health Clinics",2,0,"47344 US Highway 78","","Lincoln","AL","35096-6748","Talladega","1130 22nd Street South, Suite 1000","","Birmingham","AL","35205","Jefferson","Greg Smith","Executive Director of Payor & Provider Relations","205-715-5213","","greg.smith2@bhsala.com","","","","","","",""]
[null,201900372,"Marengo Co. Health Dept.","State of Alabama Dept. of Public Health","1093858425","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"303 Industrial Dr","","Linden","AL","36748-2002","Marengo","303 Industrial Dr.","","Linden","AL","36748-0877","Marengo","Stacey Adams","Asst. Area Administrator","334-295-4205","","stacey.adams@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900373,"Clay Co. Health Dept.","State of Alabama Dept. of Public Health","1134262611","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"86892 Highway 9","","Lineville","AL","36266-6949","Clay","86892 Highway 9","","Lineville","AL","36266-6949","Clay","Mark Johnson","Asst. Area Administrator","256-396-6421","","mark.johnson@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900374,"Sumter Co. Health Dept.","State of Alabama Dept. of Public Health","1700929908","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"1121 N Washington St","","Livingston","AL","35470-5415","Sumter","1121 N Washington St","","Livingston","AL","35470-5415","Sumter","Ricky Elliott","Acting Area Administrator","205-652-7972","","ricky.elliott@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900375,"Rush Medical Group/Livingston","Kemper CAH, Inc.","1982040317","Rural Health Clinics",3,0,"1221 N Washington St","","Livingston","AL","35470-5410","Sumter","1314 19th Ave","","Meridian","MS","39301","Lauderdale","Darrell Wildman","Treasurer","601-703-9992","","darrell.wildman@rushhealth.com","","Dale Armour","Executive VP/COO","601-703-9192","","dale.armour@rushhealth.com",""]
[null,201900376,"LOXLEY FAMILY MEDICAL CENTER","FRANKLIN PRIMARY HEALTH CENTER, INC.","1447229208","Federally Qualified Health Centers",2,0,"1083 E Relham Dr","","Loxley","AL","36551-2406","Baldwin","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900377,"LOXLEY FAMILY DENTAL CENTER","FRANKLIN PRIMARY HEALTH CENTER, INC.","1982886727","Dental Providers",0,2,"3147 1st Ave","","Loxley","AL","36551","Baldwin","1303 Dr. Martin Luther King jr. Avenue","","Mobile","AL","36603","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900378,"Crenshaw Co. Health Dept.","State of Alabama Dept. of Public Health","1982747309","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"15 Hospital Dr","","Luverne","AL","36049-7341","Crenshaw","15 Hospital Dr","","Luverne","AL","36049-7341","Crenshaw","Corey Kirkland","Asst. Area Administrator","334-335-2471","","corey.kirkland@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900379,"Maplesville Office","Cahaba Medical Care Foundation","1316201809","Federally Qualified Health Centers",1,0,"9431 Highway 22","","Maplesville","AL","36750","Chilton","405 Belcher St","","Centreville","AL","35042","Bibb","Kay Cox","COO","205-277-2384","","kay.cox@cahabamedicalcare.com","","Lacy Smith","CMO","205-926-2992","","lacy.smith@cahabamedicalcare.com",""]
[null,201900380,"MARION HEALTH CENTER","RURAL HEALTH MEDICAL PROGRAM, INC.","1437238151","Federally Qualified Health Centers",2,0,"1313 Washington St","","Marion","AL","36756","Perry","713 JL Chestnut Blvd","PO Box 2213","Selma","AL","36702-2213","Dallas","Keshee Smith","CEO","334-874-7428","122","smithk@rhmpi.com","","Meneka Johnson","CCO","334-874-7428","125","johnsonm@rhmpi.com",""]
[null,201900381,"Perry County Health Department","State of Alabama Department of Public Health","1457494882","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"1748 S Washington St","","Marion","AL","36756-3406","Perry","1748 S Washington St","","Marion","AL","36756-3406","Perry","Ricky Elliot","Clinic Administrator","334-295-1000","","ricky.elliot@adph.state.al.us","http://www.adph.org","","","334-206-3530","","",""]
[null,201900382,"Marion Clinic","Vaughan Regional Medical Center - Marion Clinic","1770600066","Rural Health Clinics",3,0,"1768 S Washington St","","Marion","AL","36756-3406","Perry","1015 Medical Center Pkwy","","Selma","AL","36701","Dallas","Malinda Stewart","Office Manager","334-683-9085","","sherpri.small@lpnt.net","","Sherpri Small","Regional Director","615-509-5945","","sherpri.small@lpnt.net",""]
[null,201900383,"Southwest Alabama Health Services","Bayou La Batre Area Health Development Board, Inc.","1396794426","Federally Qualified Health Centers, Other ECP Providers",2,0,"7777 Highway 43","","McIntosh","AL","36553-6621","Washington","12701 Padgett Switch Road","","Irvington","AL","36544-4011","Mobile","Janet Eddings","Office Manager","251-944-2842","303","jeddings@mostellarmedical.org","www.mostellarmedical.org","Alice Elizabeth (Beth) Edwards","Director of Operations","251-824-2174","5275","bedwards@mostellarmedical.org","www.mostellarmedical.org"]
[null,201900384,"Western Health Center","State of Alabama Dept. of Public Health","1376603050","Family Planning Providers, Sexually Transmitted Disease Clinics",2.5,0,"631 Bessemer Super Hwy","","Midfield","AL","35228-3013","Jefferson","631 Bessemer Super Highway","","Midfield","AL","35233","Jefferson","Toni Bellina","Clinic Administrator","205-930-1569","","toni.bellina@jcdh.org","http://www.adph.org","","","334-206-3530","","",""]
[null,201900385,"H.E. SAVAGE CENTER","FRANKLIN PRIMARY HEALTH CENTER, INC.","1104895952","Federally Qualified Health Centers",1,0,"1201 Spring Hill Ave","","Mobile","AL","36604-2717","Mobile","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900386,"Medical Mall - Administrative Site","FRANKLIN PRIMARY HEALTH CENTER, INC.","1679532303","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers",27,5,"1303 Martin Luther King Jr Ave","","Mobile","AL","36603","Mobile","1303 Martin Luther King Jr. Ave.","","Mobile","AL","36603","Mobile","Charles White","Chief Executive Officer","251-432-4117","","charles.white@franklinprimary.org","www.franklinprimary.org","Michelle Bernard","Ryan White Program Manager","251-436-7633","","michelle.bernard@franklinprimary.org","www.franklinprimary.org"]
[null,201900387,"J.R. Thomas Wellness, Fitness, and Rehabilitation Center","FRANKLIN PRIMARY HEALTH CENTER, INC.","1710117213","Federally Qualified Health Centers, Other ECP Providers",2,0,"1361 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900388,"Children's Rehabilitation Service Mobile Office","Alabama Department of Rehabilitation Services","1134273063","Hemophilia Treatment Centers",8,0,"1610 Center St","Suite A","Mobile","AL","36604-1512","Mobile","602 South Lawrence Street","","Montgomery","AL","36104","Montgomery","Kim McLaughlin","Hemophilia Program Coordinator/Specialist","334-293-7132","","kim.mclaughlin@rehab.alabama.gov","","Melinda M Davis","CRS Director","334-293-7049","","melinda.davis@rehab.alabama.gov",""]
[null,201900389,"MAYSVILLE MEDICAL CENTER","FRANKLIN PRIMARY HEALTH CENTER, INC.","1225006679","Federally Qualified Health Centers",2,0,"1956 Duval St","","Mobile","AL","36606-1145","Mobile","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900390,"UNIVERSITY OF SOUTH ALABAMA FAMILY SPECIALTY CLINIC","UNIVERSITY OF SOUTH ALABAMA","1700241015","Ryan White Providers",1.06,0,"2451 USA Medical Center Dr","Mastin Building, Ste 102","Mobile","AL","36617-2300","Mobile","2451 USA Medical Center Drive","Mastin Building 400-G","Mobile","AL","36617","Mobile","Theresa Miller, MHS, PA-C","Physician Assistant/Program Coordinator","251-471-7844","","tprovince@health.southalabama.edu","","John Vande Waa, DO","Physician/Program Director","251-471-7895","","jvandewa@health.southalabama.edu",""]
[null,201900391,"Women's and Children's Health Center, Newburn","MOBILE, COUNTY OF","1124042718","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",32,0,"248 Cox St","Suite A","Mobile","AL","36604-3303","Mobile","251 N Bayou St","","Mobile","AL","36603","Mobile","Angelia Lewis","Chief Executive Officer","251-690-8833","","alewis@mchd.org","","Jacqueline F. Thomas","Chief Operations Officer","251-690-8876","","jfthomas@mchd.org",""]
[null,201900392,"Family Oriente Primary Health Care Clinic, LLC","Mobile County Health Department/Family Oriented Primary Health Care Clinic, LLC","1063439065","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",20,5,"251 N Bayou St","","Mobile","AL","36603-5827","Mobile","251 North Bayou Street","","Mobile","AL","36603","Mobile","Angelia D. Lewis","Chief Executive Officer","251-690-8833","","alewis@mchd.org","","Jacqueline F. Thomas","Chief Operations Officer","251-690-8876","","jfthomas@mchd.org",""]
[null,201900393,"Dauphin Island Parkway Health Center","MOBILE, COUNTY OF","1164846283","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",32,7,"2601 Dauphin Island Pkwy","","Mobile","AL","36605-3472","Mobile","251 N Bayou St","","Mobile","AL","36603-5827","Mobile","Angelia Lewis","Chief Executive Officer","251-690-8833","8833","alewis@mchd.org","","Jacqueline F. Thomas","Chief Operations Officer","251-690-8876","8876","jfthomas@mchd.org",""]
[null,201900394,"Central Plaza Towers Health Center","FRANKLIN PRIMARY HEALTH CENTER, INC.","1487988499","Federally Qualified Health Centers",1,0,"300 Bay Shore Ave","Bldg 306","Mobile","AL","36607-2009","Mobile","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900395,"EIGHT MILE CLINIC","MOBILE, COUNTY OF","1083709521","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",32,7,"4009 Saint Stephens Rd","","Mobile","AL","36612-1231","Mobile","251 N Bayou St","","Mobile","AL","36603-5827","Mobile","Angelia Lewis","Chief Executive Officer","251-690-8833","","alewis@mchd.org","http://www.adph.org","Jacqueline F. Thomas","Chief Operations Officer","251-690-8876","","","http://www.adph.org"]
[null,201900396,"Southwest Mobile Health Center","MOBILE, COUNTY OF","1649523432","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",32,7,"5580 Inn Rd","","Mobile","AL","36619-1904","Mobile","251 N Bayou St","","Mobile","AL","36603-5827","Mobile","Angelia Lewis","Chief Executive Officer","251-690-8833","","alewis@mchd.org","","Jacqueline F. Thomas","Chief Operations Officer","251-690-8876","","jfthomas@mchd.org",""]
[null,201900397,"THE HADLEY MEDICAL CENTER","FRANKLIN PRIMARY HEALTH CENTER, INC.","1497724256","Federally Qualified Health Centers",2,0,"572 Stanton Rd","","Mobile","AL","36617-2324","Mobile","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900398,"Planned Parenthood Southeast - Mobile Center","Planned Parenthood Southeast, Inc.","1609829282","Family Planning Providers, Sexually Transmitted Disease Clinics",0.4,0,"717 Downtowner Loop W","","Mobile","AL","36609-5503","Mobile","241 Peachtree Street NE, Suite 400","","Atlanta","GA","30303","Fulton","Sara Woodson","CFO","404-567-8285","","sara.woodson@ppse.org","","","","","","",""]
[null,201900399,"West Mobile Family Medical Center","FRANKLIN PRIMARY HEALTH CENTER, INC.","1154551703","Federally Qualified Health Centers",2,0,"801 S University Blvd","Suite D","Mobile","AL","36609-2949","Mobile","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900400,"Monroe Co. Health Dept.","State of Alabama Dept. of Public Health","1720121155","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"416 Agriculture Dr","","Monroeville","AL","36460-8686","Monroe","416 Agriculture Dr","","Monroeville","AL","36460-8686","Monroe","Chad Kent","Asst Area Administrator","251-575-3109","","chad.kent@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900401,"Chisholm Family Health Center","HEALTH SERVICES, (INC)","1538181490","Federally Qualified Health Centers",1.6,0,"100 E Vandiver Blvd","","Montgomery","AL","36110-1812","Montgomery","PO Box 70365","","Montgomery","AL","36107-0365","Montgomery","Veronica R Johnson Thompson","Provider Credentialing Specialist","334-420-5038","","veronica.thompson@hservinc.org","","Susie Jones","Chief Financial Officer","334-420-5029","","susie.jones@hservinc.org",""]
[null,201900402,"River Region Health Center","HEALTH SERVICES, (INC)","1205844719","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",12,2,"1845 Cherry St","","Montgomery","AL","36107-2613","Montgomery","PO Box 70365","","Montgomery","AL","36107-0365","Montgomery","Veronica R Johnson Thomspn","Provider Credentialing Specialist","334-420-5038","","veronica.thompson@hservinc.org","","Susie Jones","Chief Financial Officer","334-420-5029","","susie.jones@hservinc.org",""]
[null,201900403,"Capital Family Health Center","HEALTH SERVICES, (INC)","1548538010","Federally Qualified Health Centers",1,0,"2140 Upper Wetumpka Rd","","Montgomery","AL","36107-1342","Montgomery","PO Box 70365","","Montgomery","AL","36107-0365","Montgomery","Veronica R Johnson Thompson","Provider Credentialing Specialist","334-420-5038","","veronica.thompson@hservinc.org","","Susie Jones","Chief Financial Officer","334-420-5029","","susie.jones@hservinc.org",""]
[null,201900404,"Southside Family Health Center","HEALTH SERVICES, (INC)","1063654341","Family Planning Providers, Federally Qualified Health Centers",2.8,0,"2611 Woodley Park Dr","","Montgomery","AL","36116-3834","Montgomery","PO Box 70365","","Montgomery","AL","36107-0365","Montgomery","Veronica R Johnson Thompson","Provider Credentialing Specialist","334-420-5038","","veronica.thompson@hservinc.org","","Susie Jones","Chief Financial Officer","334-420-5029","","susie.jones@hservinc.org",""]
[null,201900405,"Montgomery AIDS Outreach Inc.","Montgomery AIDS Outreach, Inc.","1689651408","Ryan White Providers",5.1,0,"2900 McGehee Rd","Suite A","Montgomery","AL","36111-2146","Montgomery","2900 McGehee Road","","Montgomery","AL","36111","Montgomery","Ashley Tarrant","Chief Operations Officer","334-386-0854","","atarrant@maoi.org","www.maoi.org","Benita Hillis","Chief Finance Officer","334-386-0855","","bhollis@maoi.org","www.maoi.org"]
[null,201900406,"Montgomery County Health Department","State of Alabama Dept. of Public Health","1639212061","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"3060 Mobile Hwy","","Montgomery","AL","36108-4027","Montgomery","3060 Mobile Hwy","","Montgomery","AL","36108","Montgomery","Connie King","Asst. Area Administrator","334-293-6400","","connie.king@adph.state.al.us","http://www.adph.org","","","334-206-5350","","","http://www.adph.org"]
[null,201900407,"Montgomery Primary Healthcare Center","HEALTH SERVICES, (INC)","1528082336","Dental Providers, Federally Qualified Health Centers",6,3.2,"3060 Mobile Hwy","","Montgomery","AL","36108-4027","Montgomery","PO Box 70365","","Montgomery","AL","36107-0365","Montgomery","Veronica R Johnson Thomspn","Provider Credentialing Specialist","334-420-5038","","veronica.thompson@hservinc.org","","Susie Jones","Chief Financial Officer","334-420-5029","","susie.jones@hservinc.org",""]
[null,201900408,"Children's Rehabilitation Service","Alabama Department of Rehabilitation Services","1134273063","Hemophilia Treatment Centers",8,0,"602 S Lawrence St","","Montgomery","AL","36104-4787","Montgomery","602 S Lawrence St","","Montgomery","AL","36104","Montgomery","Kimberly McLaughlin","Hemophilia Program Coordinator","334-293-7132","","kim.mclaughlin@rehab.alabama.gov","","Melinda Davis","Children's Rehabilitation Service Director","334-293-7049","","melinda.davis@rehab.alabama.gov",""]
[null,201900409,"Morris Health Center","State of Alabama Department of Public Health","1033270103","Family Planning Providers",0.5,0,"590 Morris Majestic Rd","","Morris","AL","35116-1245","Jefferson","590 Majestic Road","","Morris","AL","35116-1245","Jefferson","Toni Bellina","Clinic Administrator","205-930-1569","","toni.bellina@jcdh.org","http://www.adph.org","","","334-206-3530","","",""]
[null,201900410,"LAWRENCE RHC, MOULTON/LAWRENCE URGENT CARE CENTER","Attentus Moulton,LLC","1124062286","Black Lung Clinics, Rural Health Clinics",6,0,"10939 Alabama Highway 157","","Moulton","AL","35650","Lawrence","202 Hospital Street","","Moulton","AL","35650","Lawrence","Martha Everly","Clinic Manager","205-974-3390","","martha.everly@lawrencemedicalcenter.com","","Connie Blankenship","Billing Credentialing","256-522-2212","","connie.blankenship@lawrencemedicalcenter.com",""]
[null,201900411,"Family Care First, Inc","Family Care First, Inc","1568758274","Rural Health Clinics",3,0,"11809 Alabama Highway 157","","Moulton","AL","35650","Lawrence","11809 Alabama Hwy 157","","Moulton","AL","35650","Lawrence","Jessica Flores","Operations Manager","256-905-0340","","jessica.familycarefirst@gmail.com","","","","","","",""]
[null,201900412,"Lawrence Co. Health Dept.","LAWRENCE COUNTY HEALTH DEPARTMENT","1013050442","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"13299 Alabama Hwy 157","","Moulton","AL","35650","Lawrence","13299 AL 157","","Moulton","AL","35650","Lawrence","Judy Smith","Area Administrator","256-974-1141","","judy.smith@adph.state.al.us","http://www.adph.org/","","","334-206-5350","","","http://www.adph.org"]
[null,201900413,"COMPLETE FAMILY CARE","ATTENTUS MOULTON, LLC","1699194308","Rural Health Clinics",2,0,"94 Medical Cir","","Moulton","AL","35650-1256","Lawrence","202 HOSPITAL STREET","","MOULTON","AL","35650","Lawrence","MARTHA EVERLY","CLINIC MANAGER","256-974-9216","0","MARTHA.EVERLY@LAWRENCEMEDICALCENTER.COM","","CONNIE BLANKENSHIP","BILLING CREDENTIALING MANAGER","256-522-2212","0","CONNIE.BLANKENSHIP@LAWRENCEMEDICALCENTER.COM",""]
[null,201900414,"North Mobile Health Center","MOBILE, COUNTY OF","1639474778","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",32,7,"950 W Coy Smith Hwy","","Mount Vernon","AL","36560-3201","Mobile","251 N Bayou St","","Mobile","AL","36603-5827","Mobile","Angelia Lewis","Chief Executive Officer","251-690-8833","","alewis@mchd.org","","Jacqueline F. Thomas","Chief Operations Officer","251-690-8876","","jfthomas@mchd.org",""]
[null,201900415,"BHC MUNFORD HEALTH CLINIC","Baptist Health Centers","1427012566","Rural Health Clinics",1,0,"48 Cedars Rd","","Munford","AL","36268-7191","Talladega","1130 22nd Street South, Suite 1000","","Birmingham","AL","35205","Jefferson","Greg Smith","Executive Director of Payor & Provider Relations","205-715-5213","","greg.smith2@bhsala.com","","","","","","",""]
[null,201900416,"Family Health Care Clinic, Inc.--Muscle Shoals","FAMILY HEALTH CARE CLINIC, INC.","1003049016","Federally Qualified Health Centers",1,0,"102 Physicians Dr","Suite B","Muscle Shoals","AL","35661-2100","Colbert","4635 Highway 80 E","","Pearl","MS","39208-4226","Rankin","Margaret Ann Gray","President and CEO","601-825-7280","5005","drmgray1@bellsouth.net","familyhealthcareclinic.com","Clinton Mayes","VP and COO","601-825-7280","5003","cmayes@familyhealthcareclinic.com",""]
[null,201900417,"Capstone Rural Health Nauvoo","CAPSTONE RURAL HEALTH CENTER, THE","1821043837","Federally Qualified Health Centers",1,0,"156 3rd Ave","","Nauvoo","AL","35578-3238","Walker","5947 Hwy 269","","Parrish","AL","35580","Walker","Foster D Jones","Executive Director","205-724-9018","9018","fdjones@capstoneclinic.org","","Cheryl Schober","Billing Manager","205-724-9028","9028","cschober@capstoneclinic.org",""]
[null,201900418,"New Market Clinic","CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.","1417068545","Federally Qualified Health Centers",2,0,"110 Clinic St","","New Market","AL","35761-8507","Madison","110 Walker Ave NE","","Huntsville","AL","35801-4739","Madison","Carleton H.A. Pyfrom, Sr.","President and CEO","256-534-8659","1403","cpyfrom@cnahsi.com","www.cnahsi.com","Kriska Gurley","Executive Assistant","256-534-8659","1403","kgurley@cnahsi.com","www.cnahsi.com"]
[null,201900419,"NEWTON FAMILY HEALTH CENTER","SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES","1780745034","Federally Qualified Health Centers",1,0,"193 Oates Dr","","Newton","AL","36352-4312","Dale","1414 Elba Hwy","","Troy","AL","36079-6020","Pike","John A Little","Chief Executive Officer","334-670-6726","","jlittle@sarhaonline.com","","Pamylon Bowers","Director of Operations","334-670-6726","","pbowers@sarhaonline.com",""]
[null,201900420,"Oakman Health Center","Whatley Health Services, Inc","1184642720","Federally Qualified Health Centers",1,0,"10290 Main St","","Oakman","AL","35579-5845","Walker","2731 MLK Jr. Blvd","","Tuscaloosa","AL","35401","Tuscaloosa","Justin Ross Rolling","CFO","205-614-6061","","jrolling@whatleyhealth.org","","Deborah Tucker","CEO","205-614-6135","","dtucker@whatleyhealth.org",""]
[null,201900421,"BLOUNT COUNTY QUALITY HEALTH CARE","QUALITY OF LIFE HEALTH SERVICES INC","1912191644","Dental Providers, Federally Qualified Health Centers",3,1,"1000 Lincoln Ave","","Oneonta","AL","35121-2537","Blount","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900422,"Blount Co. Health Dept.","State of Alabama Dept. of Public Health","1104969641","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"1001 Lincoln Ave","","Oneonta","AL","35121-2533","Blount","Box 208","","Oneonta","AL","35121-0004","Blount","Mary Gomillion","Area Administrator","205-274-2120","","mary.gomillion@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900423,"BHC BLOUNT AND ETOWAH","Baptist Health Centers","1720042963","Rural Health Clinics",3.5,0,"150 Gilbreath Dr","Suite 201","Oneonta","AL","35121-2827","Blount","1130 22nd Street South, Suite 1000","","Birmingham","AL","35205","Jefferson","Greg Smith","Executive Director of Payor & Provider Relations","205-715-5213","","greg.smith2@bhsala.com","","","","","","",""]
[null,201900424,"Unity Wellness Center","East Alabama Health Services, LLC","1972729598","Ryan White Providers",1,0,"122 N 20th St","Bldg 26","Opelika","AL","36801-5442","Lee","East Alabama Health Services LLC d/b/a Unity Wellness Center","2000 Pepperell Parkway","Opelika","AL","36801","Lee","Lee Wilkins","Funding Manager","334-749-3593","204","lee.wilkins@eamc.org","www.unitywellnesscenter.org","Tracy Wynne","Clinical Operations Manager","334-749-3593","205","tracy.wynne@eamc.org","www.unitywellnesscenter.org"]
[null,201900425,"Lee Co. Health Dept.","State of Alabama Dept. of Public Health","1922141357","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"1801 Corporate Dr","","Opelika","AL","36801-6861","Lee","1801 Corporate Dr","","Opelika","AL","36801-6861","Lee","Connie King","Asst. Area Administrator","334-745-5765","","connie.king@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900426,"Dale Co. Health Dept.","State of Alabama Dept. of Public Health","1043353246","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"532 W Roy Parker Rd","","Ozark","AL","36360-1006","Dale","532 W Roy Parker Rd","","Ozark","AL","36360-1006","Dale","Corey Kirkland","Asst. Area Administrator","334-774-5146","","corey.kirkland@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900427,"Capstone Rural Health Center","CAPSTONE RURAL HEALTH CENTER, THE","1821043837","Federally Qualified Health Centers",3,0,"5947 Highway 269","","Parrish","AL","35580-3847","Walker","5947 Highway 269","","Parrish","AL","35580-3847","Walker","Foster D Jones","Executive Director","205-724-9018","9018","fdjones@capstoneclinic.org","","Cheryl Schober","Billing Manager","205-724-9028","9028","cschober@capstoneclinic.org",""]
[null,201900428,"Shelby Co. Health Dept.","State of Alabama Dept. of Public Health","1326181769","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"2000 County Services Dr","","Pelham","AL","35124-6149","Shelby","Box 846","","Pelham","AL","35124-0846","Shelby","Mary Gomillion","Area Administrator","205-664-2470","","mary.gomillion@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900429,"St. Clair Co. Health Dept.","State of Alabama Dept. of Public Health","1235272675","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"1175 23rd St N","","Pell City","AL","35125-9310","Saint Clair","Box 627","","Pell City","AL","35125-0627","Saint Clair","Mark Johnson","Asst. Area Administrator","205-338-3357","","mark.johnson@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900430,"MAIN STREET MEDICAL CLINIC LLC","MAIN STREET MEDICAL CLINIC LLC","1306145289","Family Planning Providers, Rural Health Clinics",1,0,"1508 Cogswell Ave","","Pell City","AL","35125-1243","Saint Clair","1508 Cogswell Ave","","Pell City","AL","35125","Saint Clair","Sue Suggs, CRNP","CRNP","205-814-1598","","mainstmedical@centurytel.net","","","","","","",""]
[null,201900431,"Susie E. Allen Health Center","Quality of Life Health Services, Inc.","1831568237","Dental Providers, Federally Qualified Health Centers",2,1,"1500 11th Ave","","Phenix City","AL","36867-4915","Russell","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne Rowe","CEO","256-492-0131","6334","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900432,"Russell Co. Health Dept.","State of Alabama Dept. of Public Health","1417090853","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"1850 Crawford Rd","","Phenix City","AL","36867-4222","Russell","1850 Crawford Rd","","Phenix City","AL","36867-4222","Russell","Connie King","Asst. Area Administrator","334-297-0251","","connie.king@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900433,"PHIL CAMPBELL MEDICAL CLINIC","Morrow Clinics, Inc","1124138763","Rural Health Clinics",2,0,"2930 Highway 237","","Phil Campbell","AL","35581-3529","Franklin","2930 Hwy 237","P O Box 817","Phil Campbell","AL","35581","Franklin","Patti Baker","Office Manager","205-993-5642","","morrowdo@centurytel.net","","","","","","",""]
[null,201900434,"PINE APPLE HEALTH CENTER","RURAL HEALTH MEDICAL PROGRAM, INC.","1295804391","Federally Qualified Health Centers",2.4,0,"867 County Road 59","","Pine Apple","AL","36768-3525","Wilcox","713 JL Chestnut Blvd","PO Box 2213","Selma","AL","36702-2213","Dallas","Keshee Smith","CEO","334-874-7428","122","smithk@rhmpi.com","","Meneka Johnson","CCO","334-874-7428","125","johnsonm@rhmpi.com",""]
[null,201900435,"VALLEYHEAD CLINIC, LLC DBA PISGAH MEDICAL CLINIC","VALLEYHEAD CLINIC, LLC DBA PISGAH MEDICAL CLINIC","1679827497","Rural Health Clinics",7,0,"6110 Co. Rd. 88","","Pisgah","AL","35765","Jackson","6110 CO. RD. 88","","PISGAH","AL","35765","Jackson","KAYLA WORMSLEY","CLINIC COORDINATOR","256-451-1250","","manager.clinic@hotmail.com","","JANICE HUCKABEE","OFFICE MANAGER","256-451-1250","","JANICE.PMC@HOTMAIL.COM",""]
[null,201900436,"Autauga Co. Health Dept.","State of Alabama Dept. of Public Health","1043353584","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"219 N Court St","","Prattville","AL","36067-3003","Autauga","219 N Court St","","Prattville","AL","36067-3003","Autauga","Connie King","Asst. Area Administrator","334-361-3743","","connie.king@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900437,"AIELLO/BUSKEY MEDICAL CENTER","FRANKLIN PRIMARY HEALTH CENTER, INC.","1144298597","Federally Qualified Health Centers, Ryan White Providers",2,0,"424 S Wilson Ave","","Prichard","AL","36610-3910","Mobile","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900438,"DR. ALBERT THOMAS MEDICAL CENTER","FRANKLIN PRIMARY HEALTH CENTER, INC.","1881015261","Federally Qualified Health Centers, Ryan White Providers",5,0,"510 S Wilson Ave","","Prichard","AL","36610-3912","Mobile","1303 Dr Martin L King Jr Ave","","Mobile","AL","36603-5341","Mobile","Charles White","CEO","251-434-8188","","charles.white@franklinprimary.org","","","","","","",""]
[null,201900439,"Ramer Family Health Center","HEALTH SERVICES, (INC)","1932122652","Federally Qualified Health Centers",1,0,"5422 State Highway 94","","Ramer","AL","36069-5008","Montgomery","PO Box 70365","","Montgomery","AL","36107-0365","Montgomery","Veronica R Johnson Thomspn","Provider Credentialing Specialist","334-420-5038","","veronica.thompson@hservinc.org","","Susie Jones","Chief Financial Officer","334-420-5029","","susie.jones@hservinc.org",""]
[null,201900440,"ROANOKE RURAL HEALTH CLINIC","REGIONAL HEALTH MANAGEMENT CORP","1497041834","Family Planning Providers, Rural Health Clinics",4,0,"1950 Main St","","Roanoke","AL","36274-2512","Randolph","PO BOX 2345","","ANNISTON","AL","36202","Calhoun","DEBBIE SELLERS","MANAGER","334-863-2311","","dsellers@rmccares.org","","","","","","",""]
[null,201900441,"Randolph Co. Health Dept.","State of Alabama Dept. of Public Health","1700929148","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"320 Main St","","Roanoke","AL","36274-1436","Randolph","320 Main St","","Roanoke","AL","36274-1436","Randolph","Mark Johnson","Asst. Area Administrator","334-863-8981","","mark.johnson@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900442,"Baldwin Co. Health Department","State of Alabama Dept. of Public Health","1861535288","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"23280 Gilbert Dr","","Robertsdale","AL","36567","Baldwin","Box 369","","Robertsdale","AL","36567","Baldwin","Ricky Elliott","Area Administrator","251-947-1910","","ricky.elliott@adph.state.al.us","https://www.adph.org","","","334-206-5350","","",""]
[null,201900443,"Family Health Care Clinic, Inc. --Rogersville","FAMILY HEALTH CARE CLINIC, INC.","1588992333","Federally Qualified Health Centers",1,0,"16410 Highway 72","","Rogersville","AL","35652-8117","Lauderdale","4635 Highway 80 E","","Pearl","MS","39208-4226","Rankin","Margaret Ann Gray","President and CEO","601-825-7280","5005","drmgray1@bellsouth.net","familyhealthcareclinic.com","Clinton Mayes","VP and COO","601-825-7280","5003","cmayes@familyhealthcareclinic.com",""]
[null,201900444,"Family Health Care Clinic, Inc. --Russellville","FAMILY HEALTH CARE CLINIC, INC.","1831322841","Federally Qualified Health Centers",1,0,"318 Coffee Ave NE","","Russellville","AL","35653-2331","Franklin","4635 Highway 80 E","","Pearl","MS","39208-4226","Rankin","Margaret Ann Gray","President and CEO","601-825-7280","5005","drmgray1@bellsouth.net","familyhealthcareclinic.com","Clinton Mayes","VP and COO","601-825-7280","5003","cmayes@familyhealthcareclinic.com",""]
[null,201900445,"Franklin Co. Health Dept.","State of Alabama Dept. of Public Health","1396888590","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"801 Highway 48","","Russellville","AL","35654-8330","Franklin","Box 100","","Russellville","AL","35653-0100","Franklin","Ronnie Moore","Area Administrator","256-332-2700","","ronnie.moore@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900446,"Jackson Co. Health Dept.","State of Alabama Dept. of Public Health","1679616007","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"204 Liberty Ln","","Scottsboro","AL","35769-4133","Jackson","204 Liberty Ln","","Scottsboro","AL","35769-4133","Jackson","Judy Smith","Area Administrator","256-259-4161","","judy.smith@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900447,"NORTHEAST ALABAMA HEALTH SERVICES, INC. - SKYLINE","NORTHEAST ALABAMA HEALTH SERVICES, INC.","1093862237","Federally Qualified Health Centers",9,0,"21680 AL Highway 79","","Scottsboro","AL","35768-5904","Jackson","309 Taylor St","","Scottsboro","AL","35768-2421","Jackson","Deborah Culpepper","CEO","256-259-5313","369","dculpepper@neahsi.com","www.neahsi.com","Lisa Day","Finance Assistant","256-259-5313","224","lday@neahsi.com","www.neahsi.com"]
[null,201900448,"Kids First Pediatrics","Kids First Pediatrics","1295964682","Rural Health Clinics",3,0,"23800 John T Reid Pkwy","","Scottsboro","AL","35768-2841","Jackson","1359 Old Water Works Rd SW,","","Fort Payne","AL","35968","De Kalb","BethWeldon","Practice Manager","256-999-0808","","beth.weldon@kidsfirst-peds.com","","","","","","",""]
[null,201900449,"PREMIER MEDICAL CLINIC, LLC","PREMIER MEDICAL CLINIC, LLC","1083955173","Rural Health Clinics",4,0,"506 Harley St","","Scottsboro","AL","35768-4219","Jackson","506 HARLEY STREET","","SCOTTSBORO","AL","35768","Jackson","KAYLA WORMSLEY","CLINIC COORDINATOR","256-451-1250","","manager.clinic@HOTMAIL.COM","","JANICE HUCKABEE","OFFICE MANAGER","256-451-1250","","JANICE.PMC@HOTMAIL.COM",""]
[null,201900450,"NORTHEAST ALABAMA HEALTH SERVICES, INC. - SCOTTSBORO","NORTHEAST ALABAMA HEALTH SERVICES, INC.","1528115607","Federally Qualified Health Centers",9,0,"70 Freedom Ln","","Scottsboro","AL","35769-3763","Jackson","309 Taylor St","","Scottsboro","AL","35768-2421","Jackson","Deborah Culpepper","CEO","256-259-5313","369","dculpepper@neahsi.com","www.neahsi.com","Lisa Day","Finance Assistant","256-259-5313","224","lday@neahsi.com","www.neahsi.com"]
[null,201900451,"Northeast Alabama Health Services, Inc. - Section","NORTHEAST ALABAMA HEALTH SERVICES, INC.","1457418659","Federally Qualified Health Centers",9,0,"60 Main St N","","Section","AL","35771-7168","Jackson","309 Taylor St","","Scottsboro","AL","35768-2421","Jackson","Deborah Culpepper","CEO","256-259-5313","369","dculpepper@neahsi.com","www.neahsi.com","Lisa Day","Finance Assistant","256-259-5313","224","lday@neahsi.com","www.neahsi.com"]
[null,201900452,"Dallas Co. Health Dept.","State of Alabama Dept. of Public Health","1700929130","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"100 Samuel O Moseley Dr","","Selma","AL","36701-6729","Dallas","100 Samuel O Moseley Dr","","Selma","AL","36701-6729","Dallas","Stacey Adams","Asst. Area Administrator","334-874-2550","","stacey.adams@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900453,"Dallas County Health Center","RURAL HEALTH MEDICAL PROGRAM, INC.","1992040950","Federally Qualified Health Centers",1.6,0,"228 Selma Ave","","Selma","AL","36701-5825","Dallas","713 JL Chestnut Blvd","PO Box 2213","Selma","AL","36702-2213","Dallas","Keshee Smith","CEO","334-874-7428","122","smithk@rhmpi.com","","Meneka Johnson","CCO","334-874-7428","125","johnsonm@rhmpi.com",""]
[null,201900454,"Semmes Clinic","Mobile County Board of Health","1083629661","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",32,7,"3810 Wulff Rd E","","Semmes","AL","36575-5256","Mobile","251 North Bayou St.","","Mobile","AL","36603-5287","Mobile","Angelia Lewis","Chief Executive Officer","251-690-8833","","alewis@mchd.org","","Jacqueline F. Thomas","Chief Operations Officer","251-690-8876","","jfthomas@mchd.org",""]
[null,201900455,"Colbert Co. Health Dept.","State of Alabama Dept. of Public Health","1255474672","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"1000 S Jackson Hwy","","Sheffield","AL","35660-5761","Colbert","1000 S. Jackson Hwy","","Sheffield","AL","35660","Colbert","Ronnie Moore","Area Administrator","256-383-1231","","ronnie.moore@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900456,"Sipsey Health Center","Whatley Health Services, Inc","1356369078","Federally Qualified Health Centers",1,0,"3805 Sipsey Rd","","Sipsey","AL","35584","Walker","2731 MLK Jr. Blvd","","Tuscaloosa","AL","35401","Tuscaloosa","Justin Ross Rolling","CFO","205-614-6061","","jrolling@whatleyhealth.org","","Deborah Tucker","CEO","205-614-6135","","dtucker@whatleyhealth.org",""]
[null,201900457,"Slocomb Family Health Center","SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES","1023290608","Federally Qualified Health Centers",2,0,"162 S Dalton St","","Slocomb","AL","36375-5669","Geneva","1414 Elba Hwy","","Troy","AL","36079-6020","Pike","John A Little","Chief Executive Officer","334-670-6726","","jlittle@sarhaonline.com","","Pamylon Bowers","Director of Operations","334-670-6726","","pbowers@sarhaonline.com",""]
[null,201900458,"BAPTIST HEALTH CENTER BLOUNT & ETOWAH","Baptist Health Centers","1023143484","Rural Health Clinics",1.5,0,"180 Medical St","","Snead","AL","35952-6468","Blount","1130 22nd Street South, Suite 1000","","Birmingham","AL","35205","Jefferson","Greg Smith","Executive Director of Payor & Provider Relations","205-715-5213","","greg.smith2@bhsala.com","","","","","","",""]
[null,201900459,"SYLACAUGA PEDIATRIC CLINIC","SYLACAUGA PEDIATRIC CLINIC","1912948373","Family Planning Providers, Rural Health Clinics",6,0,"115 W Clay St","","Sylacauga","AL","35150-3413","Talladega","115 WEST CLAY ST","","Sylacauga","AL","35150","Talladega","KASAYA REYNOLDS","INS/OFFICE MANAGER","256-245-3267","","SYLAPEDS@GMAIL.COM","","","","","","",""]
[null,201900460,"Talladega Co. Health Dept. Sylacauga Clinic","State of Alabama Dept. of Public Health","1659414092","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"311 N Elm Ave","","Sylacauga","AL","35150-1992","Talladega","311 N Elm Ave","","Sylacauga","AL","35150-1992","Talladega","Mary Gomillion","Area Administrator","256-249-3807","","mary.gomillion@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900461,"Talladega Co. Health Dept.","State of Alabama Dept. of Public Health","1568505907","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"1004 South St E","","Talladega","AL","35160-2621","Talladega","Box 455","","Talladega","AL","35160","Talladega","Mary Gomillion","Area Administrator","256-362-2593","","mary.gomillion@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900462,"BHC TALLADEGA FAMILY MEDICINE","Baptist Health Centers","1861456923","Rural Health Clinics",3,0,"101 Stephen J White Memorial Blvd","","Talladega","AL","35160-2106","Talladega","1130 22nd Street South, Suite 1000","","Birmingham","AL","35205","Jefferson","Greg Smith","Executive Director of Payor & Provider Relations","205-715-5213","","Greg.Smith2@bhsala.com","","","","","","",""]
[null,201900463,"TALLADEGA QUALITY HEALTH CARE","QUALITY OF LIFE HEALTH SERVICES INC","1740230945","Dental Providers, Federally Qualified Health Centers",3,1,"110 Spring St N","","Talladega","AL","35160-2040","Talladega","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900464,"Pediatric Care Center","Pediatric Care Center","1932443868","Rural Health Clinics",2,0,"200 Battle St E","","Talladega","AL","35160-2420","Talladega","200 East Battle Street","","Talladega","AL","35160","Talladega","Angela M. Martin, M.D. F.A.A.P.","Doctor","256-237-4877","","michi4358@aol.com","","Donnette Hollingsworth","Office Administrator","256-237-1184","","donnetteh2005@yahoo.com",""]
[null,201900465,"BHC Talladega","Baptist Health Centers","1184688244","Rural Health Clinics",4,0,"320 Coosa St E","","Talladega","AL","35160-2276","Talladega","1130 22nd Street South, Suite 1000","","Birmingham","AL","35205","Jefferson","Greg Smith","Executive Director of Payor & Provider Relations","205-715-5213","","greg.smith2@bhsala.com","","","","","","",""]
[null,201900466,"BHC TALLADEGA PEDIATRICS","Baptist Health Centers","1669436721","Rural Health Clinics",4,0,"722 Stone Ave","","Talladega","AL","35160-2219","Talladega","1130 22nd Street South, Suite 1000","","Birmingham","AL","35205","Jefferson","Greg Smith","Executive Director of Payor & Provider Relations","205-715-5213","","greg.smith2@bhsala.com","","","","","","",""]
[null,201900467,"BHC-TALLADEGA OB/GYN","Baptist Health Centers","1285808584","Rural Health Clinics",2,0,"724 Stone Ave","","Talladega","AL","35160-2219","Talladega","1130 22nd Street South, Suite 1000","","Birmingham","AL","35205","Jefferson","Greg Smith","Executive Director of Payor & Provider Relations","205-715-5213","","greg.smith2@bhsala.com","","","","","","",""]
[null,201900468,"Tanner Medical Clinic, LLC","Tanner Medical Clinic, LLC","1376881870","Rural Health Clinics",3,0,"20104 Swanner Blvd","","Tanner","AL","35671-3651","Limestone","20104 Swanner Blvd","","Tanner","AL","35671","Limestone","Jessica Flores","Operations Manager","256-686-3334","2566863334","jessica.familycarefirst@gmail.com","","Jessica Flores","operations Manager","256-686-3334","","jessica.familycarefirst@gmail.com",""]
[null,201900469,"Family Health Care Clinic, Inc. --Town Creek","FAMILY HEALTH CARE CLINIC, INC.","1508099151","Federally Qualified Health Centers",1,0,"1841 AL Highway 20","","Town Creek","AL","35672-2500","Lawrence","4635 Highway 80 E","","Pearl","MS","39208-4226","Rankin","Margaret Ann Gray","President and CEO","601-825-7280","5005","drmgray1@bellsouth.net","familyhealthcareclinic.com","Clinton Mayes","VP and COO","601-825-7280","5003","cmayes@familyhealthcareclinic.com",""]
[null,201900470,"SARHA Doctors Center","SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES","1578625125","Federally Qualified Health Centers",9,0,"1412 Elba Hwy","","Troy","AL","36079-6020","Pike","1414 Elba Hwy","","Troy","AL","36079-6020","Pike","John A Little","Chief Executive Officer","334-670-6726","","jlittle@sarhaonline.com","","Pamylon Bowers","Director of Operations","334-670-6726","","pbowers@sarhaonline.com",""]
[null,201900471,"Pike Co. Health Dept.","State of Alabama Dept. of Public Health","1891838231","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"900 S Franklin Dr","","Troy","AL","36081-3812","Pike","900 S Franklin Dr","","Troy","AL","36081-3812","Pike","Corey Kirkland","Asst. Area Administrator","334-566-2860","","Corey.Kirkland@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900472,"Crescent East Health Center","Whatley Health Services, Inc","1427078716","Federally Qualified Health Centers",1,0,"120 51st Ave E Apt B","","Tuscaloosa","AL","35404-5380","Tuscaloosa","2731 MLK Jr. Blvd","","Tuscaloosa","AL","35401","Tuscaloosa","Justin Ross Rolling","CFO","205-614-6061","","jrolling@whatleyhealth.org","","Deborah Tucker","CEO","205-614-6135","","dtucker@whatleyhealth.org",""]
[null,201900473,"Tuscaloosa Co. Health Dept.","State of Alabama Dept. of Public Health","1689717951","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"2350 Hargrove Rd E","","Tuscaloosa","AL","35405-2612","Tuscaloosa","PO Box 70190","","Tuscaloosa","AL","35407-0190","Tuscaloosa","Tammy Yager","Area Administrator","205-562-6900","","tammy.yager@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900474,"Whatley Health Services, Inc","Whatley Health Services, Inc","1063422756","Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers",44,0,"2731 Martin Luther King Jr Blvd","","Tuscaloosa","AL","35401","Tuscaloosa","2731 MLK Jr. Blvd","","Tuscaloosa","AL","35401","Tuscaloosa","Justin Ross Rolling","CFO","205-614-6061","","jrolling@whatleyhealth.org","","Deborah Tucker","CEO","205-614-6135","","dtucker@whatleyhealth.org",""]
[null,201900475,"James O. Ellis Health Center","Whatley Health Services, Inc","1063606358","Federally Qualified Health Centers",2,0,"3532 Greensboro Ave","","Tuscaloosa","AL","35401-7002","Tuscaloosa","2731 MLK Jr. Blvd","","Tuscaloosa","AL","35401","Tuscaloosa","Justin Ross Rolling","CFO","205-614-6061","","jrolling@whatleyhealth.org","","Deborah Tucker","CEO","205-614-6135","","dtucker@whatleyhealth.org",""]
[null,201900476,"Tuskegee Quality Health Care","QUALITY OF LIFE HEALTH SERVICES INC","1770929028","Dental Providers, Federally Qualified Health Centers",3,1,"1201 Notasulga Rd","","Tuskegee","AL","36083-7131","Macon","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","265-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900477,"Macon Co. Health Dept.","State of Alabama Dept. of Public Health","1376686709","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"812 Hospital Rd","","Tuskegee","AL","36083-1541","Macon","812 Hospital Rd","","Tuskegee","AL","36083-1541","Macon","Connie King","Asst. Area Administrator","334-727-1800","","connie.king@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900478,"Bullock Co. Health Dept.","State of Alabama Dept. of Public Health","1801939350","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"103 Conecuh Ave W","","Union Springs","AL","36089-1317","Bullock","103 W Conecuh Ave","","Union Springs","AL","36089","Bullock","Connie King","Asst. Area Administrator","334-738-3030","","connie.king@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900479,"Family Health Clinic of Union Springs, Inc","Family Health Clinic of Union Springs, Inc","1871701482","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics",1,0,"309 Prairie St N","","Union Springs","AL","36089-1418","Bullock","309 Prairie Street North","","Union Springs","AL","36089","Bullock","Carol Holder","CRNP, Administrator","334-473-8795","","cmholder2@gmail.com","","","","","","",""]
[null,201900480,"UNIONTOWN HEALTH SERVICES","RURAL HEALTH MEDICAL PROGRAM, INC.","1033298757","Dental Providers, Federally Qualified Health Centers",1.8,0.8,"330 Old Hamburg Rd","","Uniontown","AL","36786-2614","Perry","713 J L Chestnut Blvd","PO Box 2213","Selma","AL","36702-2213","Dallas","Keshee Smith","CEO","334-874-7428","122","smithk@rhmpi.com","","Meneka Johnson","CCO","334-874-7428","125","meneka.johnson@rhmpi.com",""]
[null,201900481,"UNIONTOWN SATELLITE","PERRY COUNTY HEALTH DEPARTMENT","1174666374","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"54 Hamburg-Duncan Rd","","Uniontown","AL","36786","Perry","1748 S. Washington","","Livingston","AL","35470","Perry","Ricky Elliott","Acting Area Administrator","205-652-7972","","ricky.elliott@adph.state.al.us","http://www.adph.org/","","","334-206-5350","","",""]
[null,201900482,"Chambers Co. Health Dept.","State of Alabama Dept. of Public Health","1184767501","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"5 Medical Park N","","Valley","AL","36854-3607","Chambers","5 North Medical Park Dr.","","Valley","AL","36854-3665","Chambers","Mark Johnson","Asst. Area Administrator","334-756-0758","","mark.johnson@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900483,"HORIZON HEALTHCARE, LLC","HORIZON HEALTHCARE, LLC","1952659419","Rural Health Clinics",4,0,"126 Commerce Ave","","Valley Head","AL","35989-4259","De Kalb","126 COMMERCE AVE","","VALLEYHEAD","AL","35989-4259","Jackson","KAYLA WORMSLEY","CLINIC COORDINATOR","256-451-1250","","MANAGER.CLINIC@HOTMAIL.COM","","JANICE HUCKABEE","OFFICE MANAGER","256-451-1250","","JANICE.PMC@HOTMAIL.COM",""]
[null,201900484,"Vernon Health Center","Whatley Health Services, Inc","1114101383","Federally Qualified Health Centers",3,0,"230 Hospital Dr","","Vernon","AL","35592-5251","Lamar","2731 MLK Jr. Blvd","","Tuscaloosa","AL","35401","Tuscaloosa","Justin Ross Rolling","CFO","205-614-6061","","jrolling@whatleyhealth.org","","Deborah Tucker","CEO","205-614-6135","","dtucker@whatleyhealth.org",""]
[null,201900485,"Lamar Co. Health Dept.","State of Alabama Dept. of Public Health","1831232032","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"300 Springfield Rd","","Vernon","AL","35592-4648","Lamar","Box 548","","Vernon","AL","35592-0548","Lamar","Tammy Yager","Area Administrator","205-695-9195","","tammy.yager@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900486,"Wadley Cornerstone Clinic","QUALITY OF LIFE HEALTH SERVICES INC","1699919779","Federally Qualified Health Centers",2,0,"203 Tallapoosa St","","Wadley","AL","36276","Randolph","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6303","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900487,"W. T. SCRUGGS MEDICAL CENTER","QUALITY OF LIFE HEALTH SERVICES INC","1588615959","Federally Qualified Health Centers",2,0,"4350 Cleveland Ave","","Walnut Grove","AL","35990","Etowah","1411 Piedmont Cutoff","","Gadsden","AL","35903-2708","Etowah","Wayne C Rowe","CEO","256-492-0131","6334","wayne.rowe@qolhs.com","","Amelia Wofford","Planning & Development Officer","256-439-6306","","amelia.wofford@qolhs.com",""]
[null,201900488,"West Blocton Health Center","Whatley Health Services, Inc","1275628836","Federally Qualified Health Centers",1,0,"345 Magnolia St","","West Blocton","AL","35184","Bibb","2731 MLK Jr. Blvd","","Tuscaloosa","AL","35184","Tuscaloosa","Justin Ross Rolling","CFO","205-614-6061","","jrolling@whatleyhealth.org","","Deborah Tucker","CEO","205-614-6135","","dtucker@whatleyhealth.org",""]
[null,201900489,"Elmore Co. Health Dept.","State of Alabama Dept. of Public Health","1619010048","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.5,0,"6501 US Highway 231","","Wetumpka","AL","36092-2837","Elmore","6501 US Highway 231","","Wetumpka","AL","36092-2837","Elmore","Connie King","Asst. Area Administrator","334-567-1171","","connie.king@adph.state.al.us","http://www.adph.org","","","334-206-5350","","",""]
[null,201900490,"Wilmer Medical Clinic","Wilmer Medical Clinic","1649667577","Rural Health Clinics",1,0,"6353 2nd St","","Wilmer","AL","36587-4453","Mobile","6353 2nd street","","Wilmer","AL","36587","Mobile","Cherri Bedwell","Office Manager","251-865-1852","","cherribedwell@yahoo.com","","Lloyd Sean Stokes","Managing Partner","251-865-1852","","sstokes@southalabamamedicalclinic.com",""]
[null,201900491,"Woodstock Office","Cahaba Medical Care Foundation","1316201809","Federally Qualified Health Centers",2,0,"28921 Highway 5","","Woodstock","AL","35188-3613","Bibb","405 Belcher St","","Centreville","AL","35042","Bibb","Kay Cox","COO","205-277-2384","","kay.cox@cahabamedicalcare.com","","Lacy Smith","CMO","205-926-2992","","lacy.smith@cahabamedicalcare.com",""]
[null,201900492,"Northeast Alabama Health Services, Inc. - Woodville","NORTHEAST ALABAMA HEALTH SERVICES, INC.","1649327883","Federally Qualified Health Centers",10,0,"13624 County Road 8","","Woodville","AL","35776-6162","Jackson","309 Taylor St","","Scottsboro","AL","35768-2421","Jackson","Deborah Culpepper","CEO","256-259-5313","369","dculpepper@neahsi.com","www.neahsi.com","Lisa Day","Finance Assistant","256-259-5313","224","lday@neahsi.com","www.neahsi.com"]
[null,201900493,"Sumter County Health Center","Whatley Health Services, Inc","1801817549","Federally Qualified Health Centers",1,0,"415 Derby Dr","","York","AL","36925-2117","Sumter","2731 MLK Jr. Blvd","","Tuscaloosa","AL","35401","Tuscaloosa","Justin Ross Rolling","CFO","205-614-6061","","jrolling@whatleyhealth.org","","Deborah Tucker","CEO","205-614-6135","","dtucker@whatleyhealth.org",""]
[null,201900494,"ALTHEIMER CLINIC","JEFFERSON COMPREHENSIVE CARE SYSTEM, INC","1730385105","Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Sexually Transmitted Disease Clinics",1,0,"309 S Edline","","Altheimer","AR","72004-8559","Jefferson","PO BOX 1285-1285","","PINE BLUFF","AR","71613-1285","Jefferson","SANDRA J BROWN","CEO","870-543-2380","1101","SBROWN@JCCSI.ORG","","","","","","",""]
[null,201900495,"Amity Community Health Center","CABUN Rural Health Services, Inc","1629017405","Federally Qualified Health Centers",11,0,"210 N Main St","PO Box 218","Amity","AR","71921-9733","Clark","402 Lee Street","PO Box 1196","Hampton","AR","71744","Calhoun","Melanie Sheppard","CEO","870-798-4064","2227","melanies@cabun.org","","Susan Johnston","CIO","870-798-4064","2245","susanj@cabun.org",""]
[null,201900496,"Clark County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"605 S 10th St","","Arkadelphia","AR","71923-7013","Clark","605 South 10th Street","","Arkadelphia","AR","71923","Clark","Kathy Loden","Administrator","870-246-4471","","Kathy.Loden@arkansas.gov","","","","","","",""]
[null,201900497,"1st Choice Healthcare Ash Flat","1ST CHOICE HEALTHCARE, INC.","1962824672","Federally Qualified Health Centers",3,0,"308 Highway 62 W","","Ash Flat","AR","72513-9415","Sharp","1001 N Missouri Avenue","","Corning","AR","72422-1716","Clay","Brigitte McDonald","CEO","870-857-3399","","bmcdonald@1stchoice-ar.org","","Debra Finley","COO","870-857-3334","","dfinley@1stchoice-ar.org",""]
[null,201900498,"Sharp County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"724 Ash Flat Dr","","Ash Flat","AR","72513-9103","Sharp","724 Ash Flat Drive","","Ash Flat","AR","72513","Sharp","Renee Brink","Acting Administrator","870-994-7364","","Renee.Brink@arkansas.gov","","","","","","",""]
[null,201900499,"Little River County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"150 Keller St","","Ashdown","AR","71822-2810","Little River","150 Keller Street","","Ashdown","AR","71822","Little River","Gayle Vermeer","Administrator","870-898-3831","","Linda.Vermeer@arkansas.gov","","","","","","",""]
[null,201900500,"ARcare - 10","ARCARE","1497716062","Federally Qualified Health Centers",55,0,"400 Highway 64 E","","Augusta","AR","72006-5150","Woodruff","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","steven.colllier@arcare.net","www.arcare.net","","","","","",""]
[null,201900501,"Woodruff County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"623 N 9th St","","Augusta","AR","72006-2129","Woodruff","P.O. Box 542","","Augusta","AR","72006","Woodruff","Debra Neal","Administrator","870-347-5061","","Debra.Neal@arkansas.gov","","","","","","",""]
[null,201900502,"ARcare - 29","ARCARE","1598023293","Federally Qualified Health Centers",1,0,"800 Main St","","Augusta","AR","72006-2449","Woodruff","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","STEVEN.COLLIER@ARCARE.NET","WWW.ARCARE.NET","","","","","",""]
[null,201900503,"ARcare-16","ARCARE","1710948419","Federally Qualified Health Centers",1,0,"170 Highway 167 N","","Bald Knob","AR","72010-4058","White","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","PROSERVICES@ARCARE.NET","WWW.ARCARE.NET","","","","","",""]
[null,201900504,"Barling Family Clinic","RIVER VALLEY PRIMARY CARE SERVICES","1619232295","Federally Qualified Health Centers",2,0,"815 Fort St","Suite B","Barling","AR","72923-2180","Sebastian","9755 W State Highway 22","P.O. Box 130","Ratcliff","AR","72951-9000","Logan","Nikki McKinney","Credentialing","479-790-5110","","nikkim@rvpcs.org","","","","","","",""]
[null,201900505,"ARcare - 35","ARCARE","1669662615","Federally Qualified Health Centers",1,0,"1175 Vine St","","Batesville","AR","72501-3526","Independence","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900506,"Independence County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"120 Weaver Ave","","Batesville","AR","72501-7314","Independence","120 Weaver Avenue","","Batesville","AR","72501","Independence","Sonia Nix","Administrator","870-793-8847","","Sonia.Nix@arkansas.gov","","","","","","",""]
[null,201900507,"ARcare - 41","ARCARE","1053676718","Federally Qualified Health Centers",1,0,"2450 Batesville Blvd","","Batesville","AR","72501-7782","Independence","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900508,"ARcare - 48","ARCARE","1235542937","Federally Qualified Health Centers",2,0,"4100 Harrison St","","Batesville","AR","72501-9419","Independence","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900509,"Bearden Health Center","CABUN Rural Health Services, Inc","1265476402","Federally Qualified Health Centers",11,0,"150 N School St","PO Box 198","Bearden","AR","71720-9594","Ouachita","402 Lee Street","PO Box 1196","Hampton","AR","71744","Calhoun","Melanie Sheppard","CEO","870-798-4064","2227","melanies@cabun.org","","Susan Johnston","CIO","870-798-4064","2245","susanj@cabun.org",""]
[null,201900510,"White County/Beebe Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"306 N Gum St","","Beebe","AR","72012-3230","White","306 Gum","","Beebe","AR","72012","White","Trudy Noble","Administrator","501-882-5128","","Trudy.Noble@arkansas.gov","","","","","","",""]
[null,201900511,"Saline County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1612 Edison Ave","","Benton","AR","72015-4630","Saline","1612 Edison Avenue","","Benton","AR","72015","Saline","Karen Mays","Administrator","501-303-5650","","Karen.Mays@arkansas.gov","","","","","","",""]
[null,201900512,"Carroll County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"402 Hailey Rd","","Berryville","AR","72616-5077","Carroll","402 Hailey Road","","Berryville","AR","72616","Carroll","Lisa Holt","Administrator","870-423-2923","","Lisa.Holt@arkansas.gov","","","","","","",""]
[null,201900513,"Access Medical Clinic","Bradley Bibb, MD PLLC","1437569837","Rural Health Clinics",1,0,"3519 Highway 63","","Black Rock","AR","72415-9022","Lawrence","49 Hwy 62/412","","Ash Flat","AR","72513","Sharp","Malinda Goodman","Office Manager","870-994-7301","","malindagoodman@myaccessmedicalclinic.com","www.myaccessmedicalclinic.com","Brad Bibb, MD","Owner","870-994-7301","","bibbbrad@gmail.com","www.myaccessmedicalclinic.com"]
[null,201900514,"Mississippi County/Blytheville Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1299 N 10th St","","Blytheville","AR","72315-1614","Mississippi","1299 North 10th Street","","Blytheville","AR","72315","Mississippi","Walter Holloway","Administrator","870-763-7064","","Walter.Holloway@arkansas.gov","","","","","","",""]
[null,201900515,"Great River Medical Center","Mississippi County Hospital System","1316180748","Inpatient Hospitals (other than children's hospitals)",70,0,"1520 N Division St","","Blytheville","AR","72315-1448","Mississippi","PO Box 167","","Blytheville","AR","72315","Mississippi","Rhonda Cunningham","Revenue Cycle Director","870-868-7462","","Rhonda.Cunningham@mchsys.org","","Chris Raymer","CEO","870-838-7000","","Chris.Raymer@mchsys.org",""]
[null,201900516,"Healthy Partners","EAST ARKANSAS FAMILY HEALTH CENTER, INC.","1659506095","Dental Providers, Federally Qualified Health Centers",2,1,"605 N 2nd St","","Blytheville","AR","72315-2034","Mississippi","900 N. 7th St","","West Memphis","AR","72301-2001","Crittenden","Susan E Ward-Jones","CEO","870-733-6300","","swjones@eafhc.org","","Jacqueline Bell","Administrative Assistant","870-733-6301","","jbell@eafhc.org",""]
[null,201900517,"Logan County/Booneville Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"721 W 1st St","","Booneville","AR","72927-4567","Logan","721 West 1st Street","","Booneville","AR","72927","Logan","Paula Beaty","Administrator","479-675-2593","","Paula.Beaty@arkansas.gov","","","","","","",""]
[null,201900518,"Monroe County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"306 Martin Luther King Dr","","Brinkley","AR","72021","Monroe","306 W. Kings Drive","","Brinkley","AR","72021","Monroe","Misty Williams","Administrator","870-734-1461","","Misty.Williams@arkansas.gov","","","","","","",""]
[null,201900519,"ARcare-70","ARCARE","1669433363","Federally Qualified Health Centers",2,0,"615 N Main St","","Brinkley","AR","72021-2507","Monroe","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900520,"Lonoke County/Cabot Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"118 S 1st St","","Cabot","AR","72023-3007","Lonoke","118 South First Street","","Cabot","AR","72023","Lonoke","Milton Garris","Administrator","501-843-7561","","Milton.Garris@arkansas.gov","","","","","","",""]
[null,201900521,"ARcare - 46","ARCARE","1679994412","Federally Qualified Health Centers",1,0,"5830 Highway 5","","Cabot","AR","72023-7328","Lonoke","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900522,"ARCARE - 93","ARCARE","1255635496","Federally Qualified Health Centers",3,0,"614 N Grant St","","Cabot","AR","72023-2656","Lonoke","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900523,"OCMC ExpressCare Clinic","Ouachita County Medical Center","1780039206","Outpatient Hospital Clinics",2,0,"638 California Ave SW","","Camden","AR","71701-4604","Ouachita","PO BOX 797","","Camden","AR","71711","Ouachita","Joe Michael Givens","Administrative Project Coordinator","870-836-1415","","jgivens@ouachitamedcenter.com","","Peggy L. Abbott","President and CEO","870-836-1200","","pabbott@ouachitamedcenter.com",""]
[null,201900524,"Ouachita County Medical Center","Ouachita County Medical Center","1245284769","Inpatient Hospitals (other than children's hospitals)",98,0,"638 California Ave SW","","Camden","AR","71701-4604","Ouachita","PO BOX 797","","Camden","AR","71711","Ouachita","Joe Michael Givens","Administrative Project Coordinator","870-836-1415","","jgivens@ouachitamedcenter.com","","Peggy L. Abbott","President and CEO","870-836-1200","","pabbott@ouachitamedcenter.com",""]
[null,201900525,"Ouachita County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"740 California Ave SW","","Camden","AR","71701-4606","Ouachita","740 California Avenue SW","","Camden","AR","71701","Ouachita","Rebecca Wright","Administrator","870-836-5033","","Rebecca.Wright2@arkansas.gov","","","","","","",""]
[null,201900526,"ARcare - 17","ARCARE","1033170576","Federally Qualified Health Centers",1,0,"821 E Park St","Hwy 70","Carlisle","AR","72024-9024","Lonoke","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","www.arcare.net","","","","","",""]
[null,201900527,"ARcare-26","ARCARE","1437436573","Federally Qualified Health Centers",1,0,"2624 Highway 42","","Cherry Valley","AR","72324-8674","Cross","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900528,"Mid Delta Health Center","MID-DELTA HEALTH SYSTEMS INC","1255346060","Dental Providers, Federally Qualified Health Centers",4,2,"245 Madison St","","Clarendon","AR","72029-2706","Monroe","245 Madison St","","Clarendon","AR","72029-2706","Monroe","Alvin J Sliger","Executive Director","870-747-3381","","asliger@mid-delta.org","","Mary Scemons","Credentialist/Outreach Enrollment Assister","870-747-3381","","mscemons@mid-delta.org",""]
[null,201900529,"Johnson County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"6 Professional Park Dr","","Clarksville","AR","72830-4432","Johnson","6 Professional Park Drive","","Clarksville","AR","72830","Johnson","Holly Foster","Administrator","479-754-2949","","Holly.Foster@arkansas.gov","","","","","","",""]
[null,201900530,"HOPE MEDICAL CLINIC, INC","Hope Medical Clinic, Inc.","1013245471","Rural Health Clinics",2,0,"145 Shake Rag Rd","","Clinton","AR","72031-6682","Van Buren","145 Shake Rag RD","","Clinton","AR","72031-6682","Van Buren","Stefanie Shaver","Office Manager","501-745-7161","","sshaver@hope-medical.com","","Nichole Clark","APRN / Owner","501-745-7161","","nclark@hope-medical.com",""]
[null,201900531,"Clinton Medical Clinic","Conway Regional Medical Center","1265421861","Rural Health Clinics",1,0,"2526 Highway 65 S","Suite 203","Clinton","AR","72031-6678","Van Buren","2302 College Avenue","","Conway","AR","72032","Faulkner","Stephanie Cothran","Business Office Manager PCSN","501-745-2122","","scothran@conwayregional.org","","Billy Henry","PCSN Director","501-327-1325","","billy.henry@conwayregional.org","conwayregional.org"]
[null,201900532,"Ozark Medical Clinic","Ozark Medical Clinic","1366614935","Rural Health Clinics",4,0,"2526 Highway 65 S","Suite 201","Clinton","AR","72031-6678","Van Buren","2526 Hwy 65 South","Ste 201","Clinton","AR","72031","Van Buren","Casey Branscum","Office Supervisor","501-745-3388","","cdbranscum@practice-plus.com","","","","","","",""]
[null,201900533,"BMRHC-Clinton","Boston Mtn Rural Health Center, Inc.","1376631846","Federally Qualified Health Centers",2,0,"465 Medical Center Parkway","","Clinton","AR","72031","Van Buren","305 S. Glade Street","","Marshall","AR","72650","Searcy","Becky Blair","Chief Financial Officer","870-448-5733","2008","beckyblair@bmrhc.net","","","","","","",""]
[null,201900534,"Van Buren County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"526 Quality Dr","","Clinton","AR","72031","Van Buren","P.O. Box 452","","Clinton","AR","72031","Van Buren","Donna Branscum","Administrator","501-745-2485","","Donna.Branscum@arkansas.gov","","","","","","",""]
[null,201900535,"COLLEGE STATION CLINIC","JEFFERSON COMPREHENSIVE CARE SYSTEM,INC","1932305737","Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers, Sexually Transmitted Disease Clinics",2,0,"4206 Frazier Pike","","College Station","AR","72206","Pulaski","PO BOX 1285","","PINE BLUFF","AR","71613-1285","Jefferson","SANDRA J. BROWN","CEO","870-543-2380","1101","SBROWN@JCCSI.ORG","","","","","","",""]
[null,201900536,"ARcare 24","ARCARE","1831487404","Federally Qualified Health Centers",4,0,"1500 Museum Rd","Suite 104","Conway","AR","72032-4761","Faulkner","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900537,"Faulkner County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"811 N Creek Dr","","Conway","AR","72032-4712","Faulkner","811 North Creek Drive","","Conway","AR","72032","Faulkner","Monica Wilson","Administrator","501-450-4941","","Monica.Wilson@arkansas.gov","","","","","","",""]
[null,201900538,"1st Choice Healthcare Corning","1ST CHOICE HEALTHCARE, INC.","1942256508","Federally Qualified Health Centers",5,0,"1300 Creason Rd","","Corning","AR","72422-1716","Clay","1001 N Missouri Avenue","","Corning","AR","72422-1716","Clay","Brigitte McDonald","CEO","870-857-3334","","bmcdonald@1stchoice-ar.org","","Debra Finley","COO","870-857-3334","","dfinley@1stchoice-ar.org",""]
[null,201900539,"Clay County/Corning Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"301 N Missouri Ave","Suite 18","Corning","AR","72422-1603","Clay","301 North Missouri #18","","Corning","AR","72422","Clay","Linda Hutchison","Acting Administrator","870-857-6281","","Linda.Hutchison@arkansas.gov","","","","","","",""]
[null,201900540,"ARcare - 20","ARCARE","1154382844","Federally Qualified Health Centers",1,0,"125 Oak St","","Cotton Plant","AR","72036-5089","Woodruff","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900541,"Ashley County/Crossett Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1300 W 5th Ave","","Crossett","AR","71635-2500","Ashley","1300 West 5th Street","","Crossett","AR","71635","Ashley","Tammy Cook","Administrator","870-364-2115","","tammy.cook@arkansas.gov","","","","","","",""]
[null,201900542,"Yell County/Danville Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1309 E 8th St","","Danville","AR","72833-8012","Yell","1309 East 8th Street","","Danville","AR","72833","Yell","Elizabeth Case","Administrator","479-495-2741","","Elizabeth.Case@arkansas.gov","","","","","","",""]
[null,201900543,"Yell County/Dardanelle Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"719 N 5th St","","Dardanelle","AR","72834-3415","Yell","719 North 5th Street","","Dardanelle","AR","72834","Yell","Elizabeth Case","Administrator","479-229-3509","","Elizabeth.Case@arkansas.gov","","","","","","",""]
[null,201900544,"DQMC Family Clinic","DeQueen Medical Center","1124549316","Outpatient Hospital Clinics",3,0,"1314 W Collin Raye Dr","","De Queen","AR","71832-2135","Sevier","1306 W Collin Raye Dr","","DeQueen","AR","71832","Sevier","Angela Martin","Nurse Practioner; Clinic Manager","870-642-2273","","angie.martin@dqmc.org","","Gloria Machuca","Receptionist","870-642-2273","","",""]
[null,201900545,"Cossatot Community Health Clinic","HEALTHY CONNECTIONS INC","1871868703","Federally Qualified Health Centers",2,0,"183 College Dr","","De Queen","AR","71832-3929","Sevier","136 Health Park Dr","","Mena","AR","71953-9072","Polk","Tony Calandro","CEO","479-437-3449","","t.calandro@healthy-connections.org","","","","","","",""]
[null,201900546,"Sevier County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"304 N 4th St","","De Queen","AR","71832-2829","Sevier","304 North 4th Street","","DeQueen","AR","71832","Sevier","Deborah Hedge","Administrator","870-642-2535","","Deborah.Hedge@arkansas.gov","","","","","","",""]
[null,201900547,"DECATUR MEDI-CLINIC","Spavinaw Clinics, Inc","1023028016","Rural Health Clinics",2,0,"346 N Main St","","Decatur","AR","72722-9732","Benton","346 N Main St","","Decatur","AR","72722","Benton","Peggy Beal","Office Manager","479-752-3233","","pbeal@cox-internet.com","","","","","","",""]
[null,201900548,"Dermott Medical and Dental Clinic","MAINLINE HEALTH SYSTEMS INC","1386758043","Dental Providers, Federally Qualified Health Centers",3,0.5,"300 S School St","","Dermott","AR","71638-2127","Chicot","233 N Main St","","Portland","AR","71663-9230","Chicot","Tafta McCain","Executive Director","870-538-5414","","tmccain@mainlinehealth.net","","Tafta McCain","Chief Financial Officer","870-538-5414","","",""]
[null,201900549,"Prairie County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"204 Main St","","Des Arc","AR","72040-7902","Prairie","204 Main Street","","Des Arc","AR","72040","Prairie","Rose Knupp","Administrator","870-256-4430","","Rose.Knupp@arkansas.gov","","","","","","",""]
[null,201900550,"ARCARE30","ARCARE","1871554576","Federally Qualified Health Centers",1,0,"405 Highway 11 N","","Des Arc","AR","72040-3140","Prairie","117 S SECOND ST","","AUGUSTA","AR","72006","Woodruff","STEVEN COLLIER, MD","CEO","870-347-3374","","PROSERVICES@ARCARE.NET","WWW.ARCARE.NET","","","","","",""]
[null,201900551,"Arkansas County/DeWitt Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1616 S Madison St","","Dewitt","AR","72042-3003","Arkansas","1606 South Madison","","DeWitt","AR","72042","Arkansas","Lisa Roberson","Administrator","870-946-2934","","lisa.roberson@arkansas.gov","","","","","","",""]
[null,201900552,"Ferguson Rural Health Clinic","Dewitt Hospital and Nursing Home","1043276942","Rural Health Clinics",1,0,"1641 S Whitehead Dr","PO Box 32","Dewitt","AR","72042-2994","Arkansas","1641 South Whitehead Drive","p.o. box 32","DeWitt","AR","72042","Arkansas","Rhonda Reed","Clinic Director","870-233-2076","","rreed@dhnh.org","","","","","","",""]
[null,201900553,"DePaul Health Center","Daughters of Charity Services of Arkansas","1366527145","Rural Health Clinics",1.8,0,"145 W Waterman St","","Dumas","AR","71639-2139","Desha","161 South Main Street","","Dumas","AR","71639","Desha","Lisa Goodgame","CFO","870-382-3080","3804","LGoodgame@DCSARK.org","","Angela Anderson","Clinical Coordinator","870-382-3080","3805","Angela.Anderson@DCSARK.org",""]
[null,201900554,"Desha County/Dumas Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"751 Highway 65 S","","Dumas","AR","71639-3003","Desha","751 Hwy 65 South","","Dumas","AR","71639","Desha","Carolyne Blissett","Administrator","870-382-2377","","Leslie.Blissett@arkansas.gov","","","","","","",""]
[null,201900555,"Delta health services","delta memorial hospital","1295767689","Rural Health Clinics",3,0,"811 Highway 65 S","","Dumas","AR","71639-3006","Desha","P.O box 887","","Dumas","AR","71639","Desha","Ashley Anthony","CEO","870-382-4303","8126","agibson@deltamem.net","","vicki allen","CFO","870-382-4303","8234","vallen@deltamem.net",""]
[null,201900556,"Earle Family Health Center","East Arkansas Family Health Center, Inc","1912370198","Federally Qualified Health Centers",1,0,"216 Arkansas St","","Earle","AR","72331-2217","Crittenden","900 N. 7th St","","West Memphis","AR","72301-2001","Crittenden","Susan Ward-Jones","CEO","870-733-6300","","swjones@eafhc.org","","Jacqueline Bell","Administrative Assistant","870-733-6301","","jbell@eafhc.org",""]
[null,201900557,"Crittenden County/Earle Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"841 Ruth St","","Earle","AR","72331-1337","Crittenden","841 Ruth Street","","Earle","AR","72331","Crittenden","Crystal Moore","Administrator","870-792-7393","","Crystal.Moore@arkansas.gov","","","","","","",""]
[null,201900558,"Union County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"301 American Rd","","El Dorado","AR","71730-6554","Union","301 American Road","","El Dorado","AR","71730","Union","Danna Taylor","Administrator","870-863-5101","","Danna.Taylor@arkansas.gov","","","","","","",""]
[null,201900559,"ARcare - 18","ARCARE","1568602472","Federally Qualified Health Centers",2,0,"227 Pine Bluff Hwy","","England","AR","72046-2234","Lonoke","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900560,"EUDORA CLINIC","MAINLINE HEALTH SYSTEMS INC","1619082724","Federally Qualified Health Centers",1,0,"579 E Beouff St","","Eudora","AR","71640-3090","Chicot","233 N Main St","","Portland","AR","71663-9230","Ashley","Gary A Nichols","Executive Director","870-538-5414","","gnichols@mainlinehealth.net","","Tafta McCain","Chief Financial Officer","870-538-5414","","",""]
[null,201900561,"Ozark Medical Clinic Fairfield Bay","Ozark Medical Clinic Fairfield Bay","1477960581","Rural Health Clinics",4,0,"383 Dave Creek Pkwy","","Fairfield Bay","AR","72088-3631","Van Buren","383 Dave Creek Parkway","","Fairfield Bay","AR","72088","Van Buren","Casey Branscum","Office Supervisor","501-745-3388","","cdbranscum@practice-plus.com","","","","","","",""]
[null,201900562,"Community Clinic Fayetteville Medical","ST. FRANCIS HOUSE NWA, INC.","1013384288","Federally Qualified Health Centers",1.85,0,"3162 W Martin Luther King Blvd","","Fayetteville","AR","72704-7684","Washington","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900563,"Washington County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"3270 N Wimberly Dr","","Fayetteville","AR","72703-4032","Washington","3270 Wimberly Drive","","Fayetteville","AR","72703","Washington","Robin Thomas","Administrator","479-521-8181","","Robin.Thomas@arkansas.gov","","","","","","",""]
[null,201900564,"Fayetteville Health Center","Planned Parenthood of Arkansas and Eastern Oklahoma, Inc.","1831185412","Family Planning Providers",2,0,"3729 N Crossover Rd","Suite 107","Fayetteville","AR","72703-5538","Washington","4401 W 109th St.","Suite 200","Overland Park","KS","66211","Johnson","Shirish Malla","Project Manager, Operations & Strategic Initiatives","913-345-4662","4662","Shirish.malla@ppgreatplains.org","http://www.ppgreatplains.org","Amanda Addison","VP of Health Services","913-345-4659","4659","amanda.addison@ppgreatplains.org","http://www.ppgreatplains.org"]
[null,201900565,"Community Clinic: A Healthcare Ministry of St. Francis House NWA","ST. FRANCIS HOUSE NWA, INC.","1740578897","Federally Qualified Health Centers",1,0,"375 N Rupple Rd","Owl Creek School Based Health Center","Fayetteville","AR","72704-6110","Washington","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900566,"Dallas County Medical Center","Board of Governor of Dallas County Medical Center","1306826029","Inpatient Hospitals (other than children's hospitals)",2,0,"201 N Clifton St","","Fordyce","AR","71742-3026","Dallas","201 North Clifton","","Fordyce","AR","71742","Dallas","Brittany Hobson","Accounting","870-352-6321","","bhobson@dallascountymedicalcenter.com","","Tamara Dixon","Administrative Assistant","870-352-6363","","tdixon@dallascountymedicalcenter.com",""]
[null,201900567,"Dallas County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"201 N Spring St","","Fordyce","AR","71742-3315","Dallas","201 North Spring Street","","Fordyce","AR","71742","Dallas","Donna Ferguson","Administrator","870-352-7198","","Donna.Ferguson@arkansas.gov","","","","","","",""]
[null,201900568,"St. Francis County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"413 N Division St","","Forrest City","AR","72335-3231","Saint Francis","413 North Division","","Forrest City","AR","72335","Saint Francis","Tracy Mathews","Administrator","870-633-1340","","Tracy.Mathews@arkansas.gov","","","","","","",""]
[null,201900569,"Sebastion County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"3112 S 70th St","","Fort Smith","AR","72903-5068","Sebastian","3112 S. 70th Street","","Fort Smith","AR","72903","Sebastian","Jo Wester","Administrator","479-452-8600","","Jo.Wester@arkansas.gov","","","","","","",""]
[null,201900570,"RVPCS - Northside Clinic","RIVER VALLEY PRIMARY CARE SERVICES","1023163193","Federally Qualified Health Centers",4.6,0,"4900 Kelley Hwy","","Fort Smith","AR","72904-5000","Sebastian","9755 W State Highway 22","P.O. Box 130","Ratcliff","AR","72951-9000","Logan","Nikki McKinney","Credentialing","479-790-5110","","nikkim@rvpcs.org","","","","","","",""]
[null,201900571,"St Elizabeth Health Center","Daughters of Charity Services of Arkansas","1689775231","Dental Providers, Rural Health Clinics",2.25,1,"407 S Gould Ave","","Gould","AR","71643-5041","Lincoln","161 South Main Street","","Dumas","AR","71639","Desha","Lisa Goodgame","CFO","870-382-3080","3804","LGoodgame@DCSARK.org","","Angela Anderson","Clinical Coordinator","870-382-3080","3805","Angela.Anderson@DCSARK.org",""]
[null,201900572,"OCH GRAVETTE SPECIALTY CLINIC","SGOH ACQUISITION, INC.","1568643005","Outpatient Hospital Clinics",3,0,"1101 Jackson St SW","","Gravette","AR","72736-9121","Benton","2828 N NATIONAL AVE","","Springfield","MO","65803","Greene","LINDA REID","MEDICAL STAFF DIRECTOR","417-837-4004","","LREID@OCHONINE.COM","","BETH HILL","CFO","417-837-2012","","BHILL@OCHONLINE.COM",""]
[null,201900573,"OCH OF GRAVETTE HOSPITAL","SGOH ACQUISITION, INC.","1568643005","Inpatient Hospitals (other than children's hospitals)",25,0,"1101 Jackson St SW","","Gravette","AR","72736-9121","Benton","2828 N NATIONAL AVE","","Springfield","MO","65803","Greene","LINDA REID","MEDICAL STAFF DIRECTOR","417-837-4004","","LREID@OCHONLINE.COM","","BETH HILL","CFO","417-837-2012","","BHILL@OCHONLINE.COM",""]
[null,201900574,"BMRHC - Green Forest","Boston Mtn Rural Health Center, Inc.","1174857825","Federally Qualified Health Centers",1,0,"1103 W Main St","","Green Forest","AR","72638-2311","Carroll","305 S. Glade Street","","Marshall","AR","72650","Searcy","Becky Blair","Chief Financial Officer","870-448-5733","2008","beckyblair@bmrhc.net","","","","","","",""]
[null,201900575,"Greenbrier Family Medicine","Conway Regional Medical Center","1548362437","Rural Health Clinics",4,0,"110 N Broadview St","","Greenbrier","AR","72058-9475","Faulkner","Cownay Regional Medical Center","2302 College Avenue","Conway","AR","72032","Faulkner","Stephanie Cothran","Business Office Manager PCSN","501-745-2122","","scothran@conwayregional.org","","Billy Henry","Director PCSN","501-327-1325","","billy.henry@conwayregional.org","conwayregional.org"]
[null,201900576,"Mainline Health Systems, Inc.","Mainline Health Systems, Inc.","1033584586","Federally Qualified Health Centers",0.5,0,"1119 S Main St","Hamburg High School Clinic","Hamburg","AR","71646-8983","Ashley","233 N. Main","","Portland","AR","71663","Ashley","G. Allan Nichols","Executive Director","870-538-5414","","gnichols@mainlinehealth.net","","Tafta McCain","Chief Financial Officer","870-538-5414","","tmccain@mainlinehealth.net",""]
[null,201900577,"Hamburg Elementary Clinic","Mainline Health Systems, Inc.","1699130468","Federally Qualified Health Centers",1,0,"206 S. Bartlett","","Hamburg","AR","71646","Ashley","233 N. Main St.","","Portland","AR","71663","Ashley","G. Allan Nichols","Executive Director","870-538-5414","","gnichols@mainlinehealth.net","","Tafta McCain","Chief Financial Officer","870-538-5414","","tmccain@mainlinehealth.net",""]
[null,201900578,"Ashley County/Hamburg Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"401 N Cherry St","","Hamburg","AR","71646-3003","Ashley","401 North Cherry","","Hamburg","AR","71646","Ashley","Tammy Cook","Administrator","870-853-5525","","tammy.cook@arkansas.gov","","","","","","",""]
[null,201900579,"Calhoun County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1119 Prestress Dr","","Hampton","AR","71744-8811","Calhoun","1119 Prestress Drive","","Hampton","AR","71744","Calhoun","Arnell Washington","Administrator","870-798-2808","","arnell.washington@arkansas.gov","","","","","","",""]
[null,201900580,"CABUN Rural Health Services, Inc.","CABUN RURAL HEALTH SERVICES, INC.","1912946807","Dental Providers, Federally Qualified Health Centers",11,1,"402 S Lee St","PO Box 1196","Hampton","AR","71744-8615","Calhoun","402 S Lee St","PO Box 1196","Hampton","AR","71744-8615","Calhoun","Melanie J Sheppard","CEO","870-798-4064","2227","melaniej@cabun.org","","Susan Johnston","CIO","870-798-4064","2245","susanj@cabun.org",""]
[null,201900581,"PoinsettCounty/Harrisburg Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"119 N Main St","","Harrisburg","AR","72432-1929","Poinsett","119 North Main Street","","Harrisburg","AR","72432","Poinsett","Janice Mitchusson","Administrator","870-578-4480","","Janice.Mitchusson@arkansas.gov","","","","","","",""]
[null,201900582,"Boone County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1622 Campus Ave","","Harrison","AR","72601-5524","Boone","1622 Campus","","Harrison","AR","72601","Boone","Tammi McCutchen","Administrator","870-743-5244","","tammi.mccutchen@arkansas.gov","","","","","","",""]
[null,201900583,"ARcare - 40","ARCARE","1396706099","Federally Qualified Health Centers",1,0,"100 E Front St","","Hazen","AR","72064","Prairie","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900584,"ARcare - 85","ARCARE","1780645481","Federally Qualified Health Centers",3,0,"1511 Highway 25B","","Heber Springs","AR","72543-1701","Cleburne","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900585,"Cleburne County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"2319 Highway 110 W Ste C","Judge Claude Dill Office Complex","Heber Springs","AR","72543-3464","Cleburne","2319 Hwy 110 West, Suite C","Judge Claude Dill Office Complex","Heber Springs","AR","72543","Cleburne","Hazel Thompson","Administrator","501-362-7581","","Hazel.Thompson@arkansas.gov","","","","","","",""]
[null,201900586,"Phillips County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"110 Shirley Hicks Dr","","Helena","AR","72342","Phillips","P.O. Box 2627","","Helena West Helena","AR","72390","Phillips","Karen Hopper","Administrator","870-572-9028","","Karen.Hopper@arkansas.gov","","","","","","",""]
[null,201900587,"Helena Family Health Center","EAST ARKANSAS FAMILY HEALTH CENTER, INC.","1518218668","Federally Qualified Health Centers",1,0,"513 Porter St","","Helena","AR","72342-3217","Phillips","215 E Bond Ave","","West Memphis","AR","72301-3550","Crittenden","Susan E Ward-Jones","CEO","870-732-6520","","swjones@eafhc.org","","Jacqueline Bell","Administrative Assistant","870-733-6301","","jbell@eafhc.org",""]
[null,201900588,"Bell-Winston Clinic, P.A.","Bell-Winston Clinic, P.A.","1306832845","Rural Health Clinics",1,0,"626 Poplar St","","Helena","AR","72342-3140","Phillips","626 Poplar Street","","Helena","AR","72342","Phillips","Donna Ryan","clinic administrator","870-338-8163","","bwc@suddenlinkmail.com","","Eugenia Newsom","Billing Supervisor","870-338-8163","","eugenia@suddenlinkmail.com",""]
[null,201900589,"Wadley Regional Medical Center at Hope","Steward Healthcare System LLC","1922353754","Inpatient Hospitals (other than children's hospitals)",79,0,"2001 S Main St","","Hope","AR","71801-8124","Hempstead","111 Huntington Avenue","Suite 1800","Bonston","MA","02199","Suffolk","Thomas Gilbert","CEO and President","903-798-8002","","thomas.gilbert@steward.org","www.steward.org","Bonny Sorensen","CFO and Vice President","903-798-8003","","bonny.sorensen@steward.org","www.steward.org"]
[null,201900590,"Hope Migrant/Community Health Center","CABUN RURAL HEALTH SERVICES, INC.","1376583757","Family Planning Providers, Federally Qualified Health Centers",11,0,"205 Smith Road","PO Box 1654","Hope","AR","71802-1654","Hempstead","402 Lee Street","PO Box 1196","Hampton","AR","71744","Calhoun","Melanie Sheppard","CEO","870-798-4064","2227","melanies@cabun.org","","Susan Johnston","CIO","870-798-4064","2245","susanj@cabun.org",""]
[null,201900591,"Hempstead County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"808 W 5th St","","Hope","AR","71801-5020","Hempstead","808 W. 5th Street","","Hope","AR","71801","Hempstead","Jeannine Wilson","Administrator","870-777-2191","","Jeannine.Wilson@arkansas.gov","","","","","","",""]
[null,201900592,"Premier Central Pediatrics","Premier Central Inc","1265477582","Rural Health Clinics",1,0,"900 S Main St","","Hope","AR","71801-6525","Hempstead","900 S Main St","","Hope","AR","71801","Hempstead","Sandra Sooman","physician","870-703-2563","","soomansak@hotmail.com","","Lea Cearley","LPN","870-722-6567","","pcpediatrics@gmail.com",""]
[null,201900593,"ARcare - 23","ARCARE","1619389244","Federally Qualified Health Centers",1,0,"805 Third St","","Horseshoe Bend","AR","72512-3736","Izard","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900594,"Healthy Connections, Inc. Hot Springs","Healthy Connections, Inc","1881060853","Black Lung Clinics, Federally Qualified Health Centers",2,0,"102 Chippewa Ct","","Hot Springs","AR","71901-7109","Garland","136 Health Park Drive","","Mena","AR","71953","Polk","Tony Calandro","CEO","479-437-3449","","t.calandro@healthy-connections.org","www.healthy-connections.org","","","","","",""]
[null,201900595,"Garland County Local Health Unit","Arkansas Department of Health","1497966808","Family Planning Providers, Sexually Transmitted Disease Clinics",4,0,"1425 Malvern Ave","","Hot Springs","AR","71901-6316","Garland","1425 Malvern Ave","","Hot springs","AR","71901","Garland","Chris Rowland","Administrator","501-624-3394","","chris.rowland@arkansas.gov","http://www.healthy.arkansas.gov","","","","","",""]
[null,201900596,"Madison County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"709 N College St","","Huntsville","AR","72740-8838","Madison","709 North College Avenue","","Huntsville","AR","72740","Madison","Shana Villines","Administrator","479-738-2612","","Shana.Villines@arkansas.gov","","","","","","",""]
[null,201900597,"BMRHC - Huntsville","Boston Mtn Rural Health Center, Inc.","1467543892","Federally Qualified Health Centers",2.5,0,"934 N Gaskill St","","Huntsville","AR","72740-8903","Madison","305 S. Glade Street","","Marshall","AR","72650","Searcy","Becky Blair","Chief Financial Officer","870-448-5733","2008","beckyblair@bmrhc.net","","","","","","",""]
[null,201900598,"Pulaski County/Jacksonville Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"3000 N 1st St","","Jacksonville","AR","72076-1802","Pulaski","3000 North First Street","","Jacksonville","AR","72076","Pulaski","Patricia Henderson","Administrator","501-982-7477","","Patricia.Henderson@arkansas.gov","","","","","","",""]
[null,201900599,"Newton County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"506 W Court St","","Jasper","AR","72641","Newton","P.O. Box 451","","Jasper","AR","72641","Newton","Erika Houston","Administrator","870-446-2216","","Erika.Houston@arkansas.gov","","","","","","",""]
[null,201900600,"Boston Mtn Rural Health Center, Inc.","Boston Mtn Rural Health Center, Inc.","1609243674","Federally Qualified Health Centers",1,0,"609 West Clark St","BMRHC - Jasper School Based","Jasper","AR","72641","Newton","305 S. Glade Street","","Marshall","AR","72650","Searcy","Becky Blair","Chief Financial Officer","870-448-5733","2008","beckyblair@bmrhc.net","","","","","","",""]
[null,201900601,"ARcare - 55","ARCARE","1760443469","Federally Qualified Health Centers",2,0,"1530 N Church St","","Jonesboro","AR","72401-1515","Craighead","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900602,"ARcare - 22","ARCARE","1326365776","Federally Qualified Health Centers",5,0,"2816 Fox Meadow Ln","","Jonesboro","AR","72404-9346","Craighead","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900603,"ARCARE59","ARCARE","1154776532","Federally Qualified Health Centers",3,0,"416 E Washington Ave","","Jonesboro","AR","72401-3108","Craighead","PO BOX 497","","Augusta","AR","72006-0497","Woodruff","STEVEN COLLIER, MD","CEO","870-347-3304","","STEVEN.COLLIER@ARCARE.NET","www.arcare.net","","","","","",""]
[null,201900604,"Craighead County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"611 E Washington Ave","Suite B","Jonesboro","AR","72401-3001","Craighead","611 E. Washington Avenue, Suite B","","Jonesboro","AR","72401","Craighead","Amy Howell","Administrator","870-933-4585","","Amy.Howell@arkansas.gov","","","","","","",""]
[null,201900605,"ARcare - 80","ARCARE","1245291947","Federally Qualified Health Centers",3,0,"606 W Wilbur Mills Ave","","Kensett","AR","72082-9051","White","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900606,"ARcare - 65","ARCARE","1801081294","Federally Qualified Health Centers",1,0,"1009 Highway 18","","Lake City","AR","72437-9622","Craighead","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900607,"Chicot County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1740 Highway US-65","","Lake Village","AR","71653","Chicot","1740 Highways 65 & 82 South","","Lake Village","AR","71653","Chicot","Yolanda \"Jill\" Porter","Administrator","870-265-2236","","Yolanda.Porter@arkansas.gov","","","","","","",""]
[null,201900608,"Lake Village Clinic","Lake Village Clinic","1306801212","Rural Health Clinics",7,0,"2918 Louis Sessions St","","Lake Village","AR","71653-9749","Chicot","2918 Louis Sessions St","","Lake Village","AR","71653","Chicot","Suzanne Wright","Office Manager","870-265-5343","114","showell@lakevillageclinic.com","","Tom Bryant","Administrator","870-265-5343","111","tbryant@lakevillageclinic.com",""]
[null,201900609,"River Valley Primary Care Services Inc.","RIVER VALLEY PRIMARY CARE SERVICES","1699010991","Federally Qualified Health Centers",1.2,0,"635 Childers Ave","Lamar School District Health Center","Lamar","AR","72846-8161","Johnson","9755 W State Highway 22","P.O. Box 130","Ratcliff","AR","72951-9000","Logan","Nikki McKinney","Credentialing","479-790-5110","","nikkim@rvpcs.org","","","","","","",""]
[null,201900610,"EAST ARKANSAS FAMILY HEALTH CTR","EAST ARKANSAS FAMILY HEALTH CENTER, INC.","1922139062","Dental Providers, Federally Qualified Health Centers",1,1,"102 W Broad St","","Lepanto","AR","72354-2200","Poinsett","900 N. 7th St","","West Memphis","AR","72301-2001","Crittenden","Susan E Ward-Jones","CEO","870-733-6300","","swjones@eafhc.org","","Jacqueline Bell","Administrative Assistant","870-733-6301","","jbell@eafhc.org",""]
[null,201900611,"Lewisville Family Practice Center","CABUN Rural Health Services, Inc","1437193646","Federally Qualified Health Centers",11,0,"1117 Chestnut St","PO Box 1013","Lewisville","AR","71845-1013","Lafayette","402 Lee Street","PO Box 1196","Hampton","AR","71744","Calhoun","Melanie Sheppard","CEO","870-798-4064","2227","melanies@cabun.org","","Susan Johnston","CIO","870-798-4064","2245","susanj@cabun.org",""]
[null,201900612,"Lafayette County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"113 Chestnut St","","Lewisville","AR","71845","Lafayette","113 Chestnut Street","","Lewisville","AR","71845","Lafayette","Melissa Ward","Administrator","870-921-5744","","Melissa.Ward@arkansas.gov","","","","","","",""]
[null,201900613,"Community Clinic: A Healthcare Ministry of St. Francis House NWA","ST. FRANCIS HOUSE NWA, INC.","1053714295","Federally Qualified Health Centers",1,0,"201 E School St","Lincoln School Based Health Center","Lincoln","AR","72744-8885","Washington","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900614,"Arkansas Children's Hospital","Arkansas Children's Inc.","1194776757","Children's Hospitals (inpatient only)",342,0,"1 Childrens Way","","Little Rock","AR","72202-3500","Pulaski","1 Children's Way","","Little Rock","AR","72202","Pulaski","Sheena Olson","Managed Care Contracts Manager","501-364-4080","","olsonsj@archildrens.org","","Carol Hudgens","Vice President, Patient Financial Services","501-364-1079","","hudgenscm@archildrens.org",""]
[null,201900615,"Arkansas Children's Hospital, Center for Bleeding Disorders","Arkansas Children's Inc.","1194776757","Hemophilia Treatment Centers",4,0,"1 Childrens Way","","Little Rock","AR","72202-3500","Pulaski","1 Children's Way","","Little Rock","AR","72202","Pulaski","Sheena Olson","Managed Care Contracts Manager","501-364-4080","","olsonsj@archildrens.org","","Cassandra O'Neal/Kimo Stine","Coordinator/Medical Director","501-364-1076","","cloneal@uams.edu",""]
[null,201900616,"Arkansas Children's Hospital Dental Clinic","Arkansas Children's Inc.","1194776757","Dental Providers",0,22,"1 Childrens Way","","Little Rock","AR","72202-3500","Pulaski","1 Children's Way, Slot 664","","Little Rock","AR","72202","Pulaski","Sheena Olson","Managed Care Contracts Manager","501-364-4080","","olsonsj@archildrens.org","","Carol Hudgens","Vice President, Patient Financial Services","501-364-1079","","hudgenscm@archildrens.org",""]
[null,201900617,"LITTLE ROCK CHC","JEFFERSON COMPREHENSIVE CARE SYSTEM,INC","1194922849","Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Sexually Transmitted Disease Clinics",2,0,"1100 N University Ave","Suite 125","Little Rock","AR","72207-6356","Pulaski","PO BOX 1285","","PINE BLUFF","AR","71613-1285","Jefferson","SANDRA J. BROWN","CEO","870-543-2380","1101","SBROWN@JCCSI.ORG","","","","","","",""]
[null,201900618,"ARCARE88","ARCARE","1770948663","Federally Qualified Health Centers",2,0,"11219 Financial Centre Pkwy","","Little Rock","AR","72211-3800","Pulaski","PO BOX 497","","Augusta","AR","72006-0497","Woodruff","STEVEN COLLIER, MD","CEO","870-347-3304","","PROSERVICES@ARCARE.NET","www.arcare.net","","","","","",""]
[null,201900619,"OPEN HANDS CLINIC","JEFFERSON COMPREHENSIVE CARE SYSTEM,INC","1689870065","Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Sexually Transmitted Disease Clinics",1,0,"1225 Dr Martin Luther King Dr","","Little Rock","AR","72202-4743","Pulaski","PO BOX 1285","","PINE BLUFF","AR","71613-1285","Jefferson","SANDRA J. BROWN","CEO","870-543-2380","1101","SBROWN@JCCSI.ORG","","","","","","",""]
[null,201900620,"Pulaski County/Central Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"3915 W 8th St","","Little Rock","AR","72204-2028","Pulaski","3915 W. 8th Street","","Little Rock","AR","72204","Pulaski","Vickie Jones","Administrator","501-280-3100","","Vickie.Jones@arkansas.gov","","","","","","",""]
[null,201900621,"Arkansas Department of Health Women's Health Section","Arkansas Department of Health","1497966808","Family Planning Providers",4,0,"4815 W Markham St","Slot H-16","Little Rock","AR","72205","Pulaski","4815 W. Markham Street, Slot H-16","","Little Rock","AR","72205","Pulaski","Bradley Planey","Family Health Branch Chief","501-661-2021","","Bradley.Planey@arkansas.gov","","","","","","",""]
[null,201900622,"Little Rock Health Center","Planned Parenthood of Arkansas and Eastern Oklahoma, Inc.","1831185412","Family Planning Providers",1.5,0,"5921 W 12th St","Suite C","Little Rock","AR","72204-1623","Pulaski","4401 W 109th St","Suite 200","Overland Park","KS","66211","Johnson","Shirish Malla","Project Manager, Operations & Strategic Initiatives","913-345-4662","4662","Shirish.malla@ppgreatplains.org","http://www.ppgreatplains.org","Amanda Addison","VP of Health Services","913-345-4662","4662","amanda.addison@ppgreatplains.org","http://www.ppgreatplains.org"]
[null,201900623,"Pulaski County/Southwest Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"8901 Dailey Dr","","Little Rock","AR","72209-6238","Pulaski","8901 Dailey Drive","","Little Rock","AR","72209","Pulaski","Carol Waller","Administrator","501-565-9311","","Carol.Waller@arkansas.gov","","","","","","",""]
[null,201900624,"ARcare-47","ARCARE","1831510700","Federally Qualified Health Centers",2,0,"1310 N Center St","","Lonoke","AR","72086-2011","Lonoke","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900625,"Lonoke County/Lonoke Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"306 N Center St","","Lonoke","AR","72086-2849","Lonoke","306 N. Center","","Lonoke","AR","72086","Lonoke","Milton Garris","Admnistrator","501-676-2268","","Milton.Garris@arkansas.gov","","","","","","",""]
[null,201900626,"UAMS FMC Magnolia","UAMS FMC Magnolia","1841557725","Rural Health Clinics, Ryan White Providers",14,0,"1617 N Washington","","Magnolia","AR","71753-2046","Columbia","1617 N. Washington St","","Magnolia","AR","71753-2046","Columbia","Maria Coday","Business Manager","870-562-2588","1207","mcoday@uams.edu","","Janet Hicks","Director of Practice Management","501-686-7650","","jshicks@uams.edu",""]
[null,201900627,"Columbia County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"207 S Jefferson","","Magnolia","AR","71753-3901","Columbia","207 South Jefferson","","Magnolia","AR","71753","Columbia","Twana Hendricks","Acting Administrator","870-235-3798","","Twana.Hendricks@arkansas.gov","","","","","","",""]
[null,201900628,"Hot Spring County Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"2204 E Sullenberger Ave","","Malvern","AR","72104-4806","Hot Spring","2204 E. Sullenberger","","Malvern","AR","72104","Hot Spring","Suellen Simpson","Administrator","501-332-6972","","Suellen.Simpson@arkansas.gov","","","","","","",""]
[null,201900629,"Lee County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"141 Hicky St","","Marianna","AR","72360","Lee","141 N. Hicky Street","","Marianna","AR","72360","Lee","Veronica Sellers","Administrator","870-295-2400","","Veronica.Sellers@arkansas.gov","","","","","","",""]
[null,201900630,"Lee County Cooperative Clinic","Lee County Cooperative Clinic","1669480836","Dental Providers, Federally Qualified Health Centers",5,1,"530 Atkins Blvd","","Marianna","AR","72360-2198","Lee","530 West Atkins Blvd","","Marianna","AR","72360","Lee","April Peer","Chief Financial Officer","870-298-4266","","apeer@lccc.us.com","","Clifton Collier","Chief Executive Officer","870-295-5225","103","ccollier@lccc.us.com",""]
[null,201900631,"Poinsett County/Marked Tree Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"102 Liberty St","","Marked Tree","AR","72365-2231","Poinsett","102 Liberty Street","","Marked Tree","AR","72365","Poinsett","Janice Mitchusson","Administrator","870-358-3615","","Janice.Mitchusson@arkansas.gov","","","","","","",""]
[null,201900632,"Access Medical Clinic Marked Tree","Bradley Bibb, MD PLLC","1831595057","Rural Health Clinics",1,0,"202 Newsome Dr","","Marked Tree","AR","72365-2021","Poinsett","49 Hwy 62/412","","Ash Flat","AR","72513","Sharp","Malinda Goodman","Office Manager","870-994-7301","","malindagoodman@myaccessmedicalclinic.com","www.myaccessmedicalclinic.com","Brad Bibb, MD","Owner","870-994-7301","","bibbbrad@gmail.com","www.myaccessmedicalclinic.com"]
[null,201900633,"Searcy County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"742 Airport Rd","","Marshall","AR","72650-7603","Searcy","742 Airport Road","","Marshall","AR","72650","Searcy","Elizabeth Seftar","Administrator","870-448-3374","","Elizabeth.Seftar@arkansas.gov","","","","","","",""]
[null,201900634,"Boston Mountain Rural Health Center, Inc. - Marshall","Boston Mtn Rural Health Center, Inc.","1720096027","Federally Qualified Health Centers",3,0,"Hwy 65 North","","Marshall","AR","72650","Searcy","305 S. Glade Street","","Marshall","AR","72650","Searcy","Becky Blair","Chief Financial Officer","870-448-5733","2008","beckyblair@bmrhc.net","","","","","","",""]
[null,201900635,"Mayflower Medical Clinic","Conway Regional Medical Center","1851389605","Rural Health Clinics",3,0,"606 Highway 365","","Mayflower","AR","72106-9595","Faulkner","2302 College Avenue","","Conway","AR","72032","Faulkner","Stephanie Cothran","Business Office Manager PCSN","501-745-2122","","scothran@conwayregional.org","","Billy Henry","Director PCSN","501-327-1325","","billy.henry@conwayregional.org","conwayregional.org"]
[null,201900636,"ARcare - 42","ARCARE","1558782888","Federally Qualified Health Centers",2,0,"8 N Railroad Ave","","Mayflower","AR","72106-9430","Faulkner","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900637,"ARcare - 50","ARCARE","1801857503","Federally Qualified Health Centers",2,0,"801 N Edmonds Ave","","McCrory","AR","72101-8279","Woodruff","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900638,"Desha County/McGehee Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"200 E Ash St","","McGehee","AR","71654-1737","Desha","200 East Ash","","McGehee","AR","71654","Desha","Carolyne Blissett","Administrator","870-222-3910","","Leslie.Blissett@arkansas.gov","","","","","","",""]
[null,201900639,"Izard County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"149 Haley St","","Melbourne","AR","72556","Izard","149 Haley Street","","Melbourne","AR","72556","Izard","Sharon Arnold","Acting Administrator","870-368-7790","","Sharon.Arnold@arkansas.gov","","","","","","",""]
[null,201900640,"ARCARE100","ARCARE","1831442938","Federally Qualified Health Centers",1,0,"54 Tate Springs Rd","","Melbourne","AR","72556-8633","Izard","117 S SECOND ST","","AUGUSTA","AR","72006","Woodruff","STEVEN COLLIER, MD","CEO","870-347-3374","","PROSERVICES@ARCARE.NET","WWW.ARCARE.NET","","","","","",""]
[null,201900641,"Healthy Connections, Inc. Mena Street Clinic","HEALTHY CONNECTIONS INC","1962822916","Federally Qualified Health Centers",2,0,"1201 Mena St","","Mena","AR","71953-4280","Polk","136 Health Park Dr","","Mena","AR","71953-9072","Polk","Tony Calandro","CEO","479-437-3449","","t.calandro@healthy-connections.org","","","","","","",""]
[null,201900642,"Healthy Connections, Inc.","HEALTHY CONNECTIONS INC","1588646491","Dental Providers, Federally Qualified Health Centers",2,2,"136 Health Park Dr","","Mena","AR","71953-9072","Polk","136 Health Park Dr","","Mena","AR","71953-9072","Polk","Tony Calandro","CEO","479-437-3449","","t.calandro@healthy-connections.org","www.healthy-connections.org","","","","","",""]
[null,201900643,"Ouachita River Health Center: Acorn Campus","HEALTHY CONNECTIONS INC","1437416658","Federally Qualified Health Centers",2,0,"139 School Ln","","Mena","AR","71953-8432","Polk","136 Health Park Dr","","Mena","AR","71953-9072","Polk","Tony Calandro","CEO","479-437-3449","","t.calandro@healthy-connections.org","","","","","","",""]
[null,201900644,"Polk County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"702 Hornbeck Ave","","Mena","AR","71953-4422","Polk","702 Hornbeck Avenue","","Mena","AR","71953","Polk","Brenda Huff","Administrator","479-394-2707","","Brenda.Huff@arkansas.gov","","","","","","",""]
[null,201900645,"Monticello Community Health Center","MAINLINE HEALTH SYSTEMS INC","1205163540","Federally Qualified Health Centers",2.5,0,"766 H L Ross Dr","","Monticello","AR","71655-5706","Drew","233 N Main St","","Portland","AR","71663-9230","Ashley","Gary A Nichols","Executive Director","870-538-5414","","gnichols@mainlinehealth.net","","Tafta McCain","Chief Financial Officer","870-538-5414","","tmccain@mainlinehealth.net",""]
[null,201900646,"Drew County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"940 Scogin Dr","","Monticello","AR","71655-5732","Drew","940 Scogin Drive","","Monticello","AR","71655","Drew","Karen Brown","Administrator","870-367-6234","","Karen.Brown@arkansas.gov","","","","","","",""]
[null,201900647,"Conway County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"100 Hospital Dr","","Morrilton","AR","72110-4516","Conway","100 Hospital Drive","","Morrilton","AR","72110","Conway","Jaynie Jones","Administrator","501-354-4652","","Jaynie.Jones@arkansas.gov","","","","","","",""]
[null,201900648,"Montgomery County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"346 Luzerne St","","Mount Ida","AR","71957","Montgomery","P.O. Box 695","","Mount Ida","AR","71957","Montgomery","Echo Donahou","Administrator","870-867-2331","","Echo.Donahou@arkansas.gov","","","","","","",""]
[null,201900649,"Montgomery County Community Clinic","HEALTHY CONNECTIONS INC","1265627616","Dental Providers, Federally Qualified Health Centers",2,1,"534 Luzerne St","","Mount Ida","AR","71957-9449","Montgomery","136 Health Park Dr","","Mena","AR","71953-9072","Polk","Tony Calandro","CEO","479-437-3449","","t.calandro@healthy-connections.org","","","","","","",""]
[null,201900650,"Baxter County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"206 Bucher Dr","","Mountain Home","AR","72653-3400","Baxter","206 Bucher Drive","","Mountain Home","AR","72653","Baxter","Lou Anne McLendon","Administrator","870-425-3072","","lou.mclendon@arkansas.gov","","","","","","",""]
[null,201900651,"Stone County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"204 Whitfield Ave","","Mountain View","AR","72560-9160","Stone","204 Whitfield Avenue","","Mountain View","AR","72560","Stone","Rhonda White","Administrator","870-269-3308","","Rhonda.White@arkansas.gov","","","","","","",""]
[null,201900652,"Mountainburg Family Clinic","RIVER VALLEY PRIMARY CARE SERVICES","1639302896","Federally Qualified Health Centers",2,0,"4 Hwy 71 N.E.","","Mountainburg","AR","72946","Crawford","9755 W State Highway 22","P.O. Box 130","Ratcliff","AR","72951-9000","Logan","Nikki McKinney","Credentialing","479-790-5110","","nikkim@rvpcs.org","","","","","","",""]
[null,201900653,"Mulberry Family Clinic","RIVER VALLEY PRIMARY CARE SERVICES","1275766909","Federally Qualified Health Centers",2.2,0,"437 N Main St","","Mulberry","AR","72947-8574","Crawford","9755 W State Highway 22","P.O. Box 130","Ratcliff","AR","72951-9000","Logan","Nikki McKinney","Credentialing","479-790-5110","","nikkim@rvpcs.org","","","","","","",""]
[null,201900654,"Pike County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"15 Caddo Dr","","Murfreesboro","AR","71958","Pike","P.O. Box 413","","Murfreesboro","AR","71958","Pike","Teresa Morris","Administrator","870-285-3154","","Teresa.Morris@arkansas.gov","","","","","","",""]
[null,201900655,"Howard Memorial Hospital","Howard Memorial Hospital","1851484695","Inpatient Hospitals (other than children's hospitals)",12,0,"130 Medical Cir","","Nashville","AR","71852-8606","Howard","130 Medical Circle","","Nashville","AR","71852","Howard","Debra J. Wright","Chief Executive Officer","870-845-8004","","debraw@howardmemorial.com","howardmemorial.com","William J. Craig","Chief Financial Officer","870-845-8003","","williamjc@howardmemorial.com","howardmemorial.com"]
[null,201900656,"Howard County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"201 E Hempstead St","Suite 2","Nashville","AR","71852-2518","Howard","201 E. Hempstead, Suite 2","","Nashville","AR","71852","Howard","Donna Webb","Administrator","870-845-2208","","Donna.Webb@arkansas.gov","","","","","","",""]
[null,201900657,"Jackson County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1505 N Pecan St","","Newport","AR","72112-2867","Jackson","1505 North Pecan","","Newport","AR","72112","Jackson","Sonia Nix","Acting Administrator","870-523-8968","","Sonia.Nix@arkansas.gov","","","","","","",""]
[null,201900658,"ARcare - 45","ARCARE","1255392957","Federally Qualified Health Centers",1,0,"2000 McLain St","","Newport","AR","72112-3661","Jackson","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900659,"Pulaski County/North Little Rock Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"2800 Willow St","","North Little Rock","AR","72114-2230","Pulaski","2800 North Willow","","North Little Rock","AR","72114","Pulaski","Carey Woods","Administrator","501-791-8551","","Carey.Woods@arkansas.gov","","","","","","",""]
[null,201900660,"SMC Hospital","Mississippi County Hospital System","1366685992","Inpatient Hospitals (other than children's hospitals)",20,0,"611 W Lee Ave","","Osceola","AR","72370-3001","Mississippi","PO Box 108","","Blytheville","AR","72315","Mississippi","Rhonda Cunningham","Revenue Cycle Director","870-838-7462","","Rhonda.Cunningham@mchsys.org","","Chris Raymer","CEO","870-838-7000","","Chris.Raymer@mchsys.org",""]
[null,201900661,"Mississippi County/Osceola Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"720 W Lee Ave","","Osceola","AR","72370-3004","Mississippi","720 West Lee","","Osceola","AR","72370","Mississippi","Walter Holloway","Administrator","870-563-2521","","Walter.Holloway@arkanas.gov","","","","","","",""]
[null,201900662,"Franklin County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"799 W River St","","Ozark","AR","72949-3100","Franklin","799 West River Street","","Ozark","AR","72949","Franklin","Brandi Stricklin","Administrator","479-667-2555","","Brandi.Stricklin@arkansas.gov","","","","","","",""]
[null,201900663,"1st Choice Healthcare Paragould","1st Choice Healthcare, Inc.","1730568189","Federally Qualified Health Centers",2,0,"1 Medical Dr","","Paragould","AR","72450-4017","Greene","1001 N Missouri Avenue","","Corning","AR","72422","Clay","Brigitte McDonald","CEO","870-857-3334","","bmcdonald@1stchoice-ar.org","","Debra Finley","COO","870-857-3334","","dfinley@1stchoice-ar.org",""]
[null,201900664,"Paragould Doctors Clinic","Doctors' Health Group, Inc.","1134246747","Rural Health Clinics",8.5,0,"4000 Linwood Dr","Suite A","Paragould","AR","72450-7224","Greene","800 S. Main St.","","Paragould","AR","72403","Craighead","Chad Garrett","Administrative Assistant","870-239-8503","1241","cgarrett@drsclinic.net","","Jakita Lell","Clinic Administrator","870-239-8503","1235","jlell@drsclinic.net",""]
[null,201900665,"Greene County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"801 Goldsmith Rd","","Paragould","AR","72450-9509","Greene","800 Goldsmith Road","","Paragould","AR","72450","Greene","Laura Thaxton","Acting Administrator","870-236-7782","","Laura.Thaxton@arkansas.gov","","","","","","",""]
[null,201900666,"Logan County/Paris Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"150 S Lowder St","","Paris","AR","72855-4204","Logan","150 South Lowder Street","","Paris","AR","72855","Logan","Paula Beaty","Administrator","479-963-6126","","Paula.Beaty@arkansas.gov","","","","","","",""]
[null,201900667,"COOPER CLINIC PA","Cooper Clinic, PA","1891908166","Rural Health Clinics",3,0,"303 S 5th St","","Paris","AR","72855-4501","Logan","303 S 5th St","","Paris","AR","72855","Sebastian","Melissa Astin","Director, Business Services","479-274-2004","","melissa.astin@cooperclinic.com","","Cathy Garner","Practice Manager","479-274-2201","","cathy.garner@cooperclinic.com",""]
[null,201900668,"ARcare - 25","ARCARE","1083675524","Federally Qualified Health Centers",1,0,"5787 Highway 64","","Parkin","AR","72373-9003","Cross","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900669,"Perry County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1039 N Fourche Ave","","Perryville","AR","72126-8545","Perry","1039 North Fourche Avenue","","Perryville","AR","72126","Perry","Willa Darlene Spinks","Administrator","501-889-5156","","Willa.Spinks@arkansas.gov","","","","","","",""]
[null,201900670,"Clay County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1009 S Garfield Ave","","Piggott","AR","72454-7610","Clay","1009 South Garfield","","Piggott","AR","72454","Clay","Linda Hutchison","Acting Administrator","870-598-3390","","Linda.Hutchison@arkansas.gov","","","","","","",""]
[null,201900671,"PINE BLUFF","JEFFERSON COMPREHENSIVE CARE SYSTEM, INC","1154386597","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers, Sexually Transmitted Disease Clinics",12,1,"1101 S Tennessee St","","Pine Bluff","AR","71601-5801","Jefferson","PO BOX 1285","","PINE BLUFF","AR","71613-1285","Jefferson","SANDRA J BROWN","CEO","870-543-2380","1101","SBROWN@JCCSI.ORG","","","","","","",""]
[null,201900672,"Jefferson County/University of Arkansas at Pine Bluff Satellite Clinic","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1200 University Dr","","Pine Bluff","AR","71601-2780","Jefferson","1200 N. University Drive","","PINE BLUFF","AR","71601","Jefferson","Angela Parker","Administrator","870-535-2142","","Angela.L.Parker@arkansas.gov","","","","","","",""]
[null,201900673,"Jefferson County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"2306 Rike Dr","","Pine Bluff","AR","71603-3933","Jefferson","2306 Rike Drive","","PINE BLUFF","AR","71603","Jefferson","Angela L. Parker","Administrator","870-535-2142","","Angela.L.Parker@arkansas.gov","","","","","","",""]
[null,201900674,"Randolph County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1304 Pace Rd","","Pocahontas","AR","72455-4305","Randolph","1304 Pace Road","","Pocahontas","AR","72455","Randolph","Lori Bergman","Acting Administrator","870-892-5239","","Lori.Bergman@arkansas.gov","","","","","","",""]
[null,201900675,"1st Choice Healthcare Pocahontas","1ST CHOICE HEALTHCARE, INC.","1366498735","Federally Qualified Health Centers",5,0,"141 Betty Dr","","Pocahontas","AR","72455-3602","Randolph","1001 N Missouri Avenue","","Corning","AR","72422-1716","Clay","Brigitte McDonald","CEO","870-857-3334","","bmcdonald@1stchoice-ar.org","","Debra Finley","COO","870-857-3334","","dfinley@1stchoice-ar.org",""]
[null,201900676,"Portland Elementary Clinic","Mainline Health Systems, Inc.","1649636986","Federally Qualified Health Centers",0.25,0,"314 Highway 160 E","","Portland","AR","71663-9262","Ashley","233 N. Main","","Portland","AR","71663","Ashley","G. Allan Nichols","Executive Director","870-538-5414","","gnichols@mainlinehealth.net","","Tafta McCain","Chief Financial Officer","870-538-5414","","tmccain@mainlinehealth.net",""]
[null,201900677,"Community Clinic: A Healthcare Ministry of St. Francis House NWA","ST. FRANCIS HOUSE NWA, INC.","1518389089","Federally Qualified Health Centers",1,0,"801 Viney Grove Rd","Prairie Grove School Based Health Center","Prairie Grove","AR","72753-2623","Washington","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900678,"Nevada County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1501 W 1st St N","","Prescott","AR","71857-3309","Nevada","1501 West First North","","Prescott","AR","71857","Nevada","Debbie Henderson","Administrator","870-887-2004","","Deborah.Henderson@arkansas.gov","","","","","","",""]
[null,201900679,"RIVER VALLEY PRIMARY CARE SERVICES INC.","RIVER VALLEY PRIMARY CARE SERVICES","1952349003","Dental Providers, Federally Qualified Health Centers",2,2,"9755 W State Highway 22","PO Box 130","Ratcliff","AR","72951-9000","Logan","9755 W State Highway 22","P.O. Box 130","Ratcliff","AR","72951-9000","Logan","Nikki McKinney","Credentialing","479-790-5110","","nikkim@rvpcs.org","","","","","","",""]
[null,201900680,"FAMILY CARE CLINIC OF RECTOR","PIGGOTT COMMUNITY HOSPITAL","1679564413","Rural Health Clinics",2,0,"715 E 9th St","","Rector","AR","72461-2705","Clay","1206 GORDON DUCKWORTH DR","","Piggott","AR","724541911","Clay","JAMES MAGEE","Executive Director","870-598-3881","201","james.magee@pch-health.com","http://pch-health.com","LINDA ORT","Finance Director","870-598-3881","209","linda.ort@pch-health.com","pch-health.com"]
[null,201900681,"Rector Medical Clinic","Doctors Health Group, Inc.","1073575734","Rural Health Clinics",1.5,0,"807 E 9th St","","Rector","AR","72461-2406","Clay","800 S. Main St.","","Jonesboro","AR","72403","Craighead","Chad Garrett","Administrative Assistant","870-239-8503","1241","cgarrett@drsclinic.net","","Jakita Lell","Clinic Administrator","870-239-8503","1235","jlell@drsclinic.net",""]
[null,201900682,"REDFIELD CLINIC","JEFFERSON COMPREHENSIVE CARE SYSTEM,INC","1124224928","Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Sexually Transmitted Disease Clinics",1,0,"1101 Evening Sunset Circle","","Redfield","AR","72132","Jefferson","PO BOX 1285","","PINE BLUFF","AR","71613-1285","Jefferson","SANDRA J BROWN","CEO","870-543-2380","1101","SBROWN@JCCSI.ORG","","","","","","",""]
[null,201900683,"Cleveland County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"409 E Magnolia St","","Rison","AR","71665-8395","Cleveland","409 East Magnolia","","Rison","AR","71665","Cleveland","Gwendolyn Paul","Administrator","870-325-6311","","Gwendolyn.Paul@arkansas.gov","","","","","","",""]
[null,201900684,"RISON CLINIC","JEFFERSON COMPREHENSIVE CARE SYSTEM,INC","1396941191","Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Sexually Transmitted Disease Clinics",1,0,"505 Sycamore St","","Rison","AR","71665","Cleveland","PO BOX 1285","","PINE BLUFF","AR","71613-1285","Jefferson","SANDRA J. BROWN","CEO","870-543-2380","1101","SBROWN@JCCSI.ORG","","","","","","",""]
[null,201900685,"Benton County/Rogers Local Health Unit","Arkansas Department of Health Women's Health Services","1497966808","Family Planning Providers",4,0,"1200 W Walnut St","Suite 2200","Rogers","AR","72756-3572","Benton","1200 W. Walnut Street, Suite 2200","","Rogers","AR","72756","Benton","Loy Bailey","Administrator","479-986-1300","","james.bailey@arkansas.gov","","","","","","",""]
[null,201900686,"Community Clinic Rogers Medical","ST. FRANCIS HOUSE NWA, INC.","1710160098","Family Planning Providers, Federally Qualified Health Centers",7.3,0,"1233 W Poplar St","","Rogers","AR","72756-4245","Benton","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Benton","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900687,"Community Clinic Rogers Dental","ST. FRANCIS HOUSE NWA, INC.","1891980405","Dental Providers",0,1.75,"3710 W Southern Hills Blvd","","Rogers","AR","72758-8041","Benton","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900688,"Pope County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"203 Weir Rd","","Russellville","AR","72802-9405","Pope","203 Weir Road","","Russellville","AR","72808","Pope","Judy Bradley","Administrator","479-968-6004","","Judy.Bradley@arkansas.gov","","","","","","",""]
[null,201900689,"Fulton County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"510 S Main St","","Salem","AR","72576-9422","Fulton","510 S. Main Street","","Salem","AR","72576","Fulton","Wanda Koelling","Administrator","870-895-3300","","Wanda.Koelling@arkansas.gov","","","","","","",""]
[null,201900690,"White County/Searcy Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"112 Brantley Rd","","Searcy","AR","72143-8315","White","112 Brantly Road","","Searcy","AR","72143","White","Trudy Noble","Administrator","501-268-6102","","Trudy.Noble@arkansas.gov","","","","","","",""]
[null,201900691,"ARcare - 75","ARCARE","1861642985","Federally Qualified Health Centers",2,0,"406 Rodgers Dr","","Searcy","AR","72143-7433","White","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900692,"Grant County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"700 E Center St","","Sheridan","AR","72150-2514","Grant","700 East Center","","Sheridan","AR","72150","Grant","Jessica Wells","Acting Administrator","870-942-3157","","Jessica.Wells@Arkansas.gov","","","","","","",""]
[null,201900693,"Benton County/Siloam Springs Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"101 W University St","","Siloam Springs","AR","72761-2663","Benton","101 W. University","","Siloam Springs","AR","72761","Benton","Loy Bailey","Administrator","479-549-3794","","james.bailey@arkansas.gov","","","","","","",""]
[null,201900694,"Community Clinic: A Healthcare Ministry of St. Francis House NWA","ST. FRANCIS HOUSE NWA, INC.","1083034029","Federally Qualified Health Centers",0.5,0,"1500 N Mount Olive St","Siloam Springs School Based Health Center","Siloam Springs","AR","72761-9509","Benton","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900695,"Community Clinic Siloam Springs Medical","ST. FRANCIS HOUSE NWA, INC.","1417197245","Federally Qualified Health Centers",1.5,0,"500 S Mount Olive St","Suite 200","Siloam Springs","AR","72761-3602","Benton","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900696,"Community Clinic: A Healthcare Ministry of St. Francis House NWA","ST. FRANCIS HOUSE NWA, INC.","1609272640","Federally Qualified Health Centers",1,0,"2878 Powell St","George School Based Health Center","Springdale","AR","72764-7333","Washington","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900697,"Community Clinic: A Healthcare Ministry of St. Francis House NWA","ST. FRANCIS HOUSE NWA, INC.","1891181848","Federally Qualified Health Centers",1,0,"420 N West End St","Elmdale School Based Health Center","Springdale","AR","72764-3002","Washington","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900698,"Community Clinic Springdale Dental","ST. FRANCIS HOUSE NWA, INC.","1619083458","Dental Providers",0,2.4,"610 E Emma Ave","","Springdale","AR","72764-4634","Washington","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900699,"Community Clinic Springdale Medical - Family Practice","ST. FRANCIS HOUSE NWA, INC.","1356759385","Family Planning Providers, Federally Qualified Health Centers",4.95,0,"610 E Emma Ave","","Springdale","AR","72764-4634","Washington","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900700,"Community Clinic Springdale Medical","ST. FRANCIS HOUSE NWA, INC.","1699785089","Federally Qualified Health Centers",4.2,0,"614 E Emma Ave","Suite 300","Springdale","AR","72764-4469","Washington","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900701,"Washington County/Dr. Joseph Bates Outreach Clinic","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"614 E Emma Ave","Suite 247","Springdale","AR","72764-4459","Washington","614 East Emma Avenue, Suite 247","","Springdale","AR","72764","Washington","Robin Thomas","Administrator","479-751-3630","","Robin.Thomas@arkansas.gov","","","","","","",""]
[null,201900702,"Community Clinic: A Healthcare Ministry of St. Francis House NWA","ST. FRANCIS HOUSE NWA, INC.","1023328002","Federally Qualified Health Centers",1,0,"900 Powell St","Jones School Based Health Center","Springdale","AR","72764","Washington","614 E Emma Ave Ste 300","","Springdale","AR","72764-4469","Washington","Kathy Grisham","CEO","479-751-7417","6070","kgrisham@communityclinicnwa.org","www.communityclinicnwa.org","Amanda Echegoyen","Patient Financial Services Manager","479-751-7417","6167","aechegoy@communityclinicnwa.org","www.communityclinicnwa.org"]
[null,201900703,"Star City Community Health Center","MAINLINE HEALTH SYSTEMS INC","1154757920","Dental Providers, Federally Qualified Health Centers",2,1,"110 N Drew St","","Star City","AR","71667-5704","Lincoln","233 N Main St","","Portland","AR","71663-9230","Ashley","Gary A Nichols","Executive Director","870-538-5414","","gnichols@mainlinehealth.net","","Tafta McCain","Chief Financial Officer","870-538-5414","","tmccain@mainlinehealth.net",""]
[null,201900704,"Lincoln County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"214 S Lincoln Ave","","Star City","AR","71667-5202","Lincoln","214 South Lincoln","","Star City","AR","71667","Lincoln","Amanda Bradshaw","Administrator","870-628-5121","","Amanda.Bradshaw@arkansas.gov","","","","","","",""]
[null,201900705,"Stephens Community Clinic","Ouachita County Medical Center","1740227370","Rural Health Clinics",2,0,"113 W Ruby St","","Stephens","AR","71764-8803","Ouachita","PO BOX 797","","Camden","AR","71711","Ouachita","Joe Michael Givens","Administrative Project Coordinator","870-836-1415","","jgivens@ouachitamedcenter.com","","Peggy L. Abbott","President and CEO","870-836-1200","","pabbott@ouachitamedcenter.com",""]
[null,201900706,"Strong Clinic","CABUN Rural Health Services, Inc","1821032046","Federally Qualified Health Centers",11,0,"253 South Concord","PO Box 565","Strong","AR","71765-0565","Union","402 Lee Street","PO Box 1196","Hampton","AR","71744","Calhoun","Melanie Sheppard","CEO","870-798-4064","2227","melanies@cabun.org","","Susan Johnston","CIO","870-798-4064","2245","susanj@cabun.org",""]
[null,201900707,"Arkansas County/Stuttgart Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1602 N Buerkle St","","Stuttgart","AR","72160","Arkansas","1602 Buerkle Road","","Stuttgart","AR","72160","Arkansas","Lisa Roberson","Administrator","870-673-1609","","lisa.roberson@arkansas.gov","","","","","","",""]
[null,201900708,"ARcare - 90","ARCARE","1437110129","Federally Qualified Health Centers",1,0,"300 Main St","","Swifton","AR","72471-8809","Jackson","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900709,"East Texas Border Health Clinic dba Genesis Primecare-Arkansas","East Texas Border Health Clinic dba Genesis Primecare","1093186249","Federally Qualified Health Centers",2,0,"1205 E 35th St","","Texarkana","AR","71854-2746","Miller","P. O. Box 1326","502 East Rusk Street","Marshall","TX","75671","Harrison","Carla Roadcap","Chief Executive Officer","903-927-3782","13","carla.roadcap@genesisprimecare.org","","Leigh Ann Richmond","Credentialing Specialist","903-927-3782","20","leighann.richmond@genesisprimecare.org",""]
[null,201900710,"Miller County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"503 Walnut St","","Texarkana","AR","71854-5286","Miller","503 Walnut","","Texarkana","AR","71854","Miller","Julie Huntley","Administrator","870-773-2108","","Julie.Huntley@arkansas.gov","","","","","","",""]
[null,201900711,"Poinsett County/Trumann Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1204 W Main St","","Trumann","AR","72472-2925","Poinsett","1204 West Main Street","","Trumann","AR","72472","Poinsett","Janice Mitchusson","Administrator","870-483-5761","","Janice.Mitchusson@arkansas.gov","","","","","","",""]
[null,201900712,"Truman Family Health Center","EAST ARKANSAS FAMILY HEALTH CENTER, INC.","1578889622","Dental Providers, Federally Qualified Health Centers",2,1,"417 W Main St","","Trumann","AR","72472-3116","Poinsett","900 N. 7th St","","West Memphis","AR","72301-2001","Crittenden","Susan E Ward-Jones","CEO","870-733-6300","","swjones@eafhc.org","","Jacqueline Bell","Administrative Assistant","870-733-6301","","jbell@eafhc.org",""]
[null,201900713,"Crawford County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"2040 Chestnut St","","Van Buren","AR","72956-5321","Crawford","2040 Chestnut Street","","Van Buren","AR","72956","Crawford","Michelle Hammer","Administrator","479-474-6391","","Ronna.Hammer@arkansas.gov","","","","","","",""]
[null,201900714,"Conway Regional Medical Clinic-Vilonia","Conway Regional Medical Center","1063798858","Rural Health Clinics",2,0,"1122 Main St","Suite 7","Vilonia","AR","72173-8902","Faulkner","2302 College Avenue","","Conway","AR","72032","Faulkner","Stephanie Cothran","Business Office Manager PCSN","501-745-2122","","scothran@conwayregional.org","","Billy Henry","Director PCSN","501-327-1325","","billy.henry@conwayregional.org",""]
[null,201900715,"Scott County Local Health Unit","Arkansas Department of Health Local Health Unit","1497966808","Family Planning Providers",4,0,"316 Featherston St","","Waldron","AR","72958","Scott","316 Featherston St","","Waldron","AR","72958","Scott","Darla Mortimore","Administrator","479-637-2165","","Darla.Mortimore@arkansas.gov","","","","","","",""]
[null,201900716,"Lawrence County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"1050 W Free St","","Walnut Ridge","AR","72476-1752","Lawrence","1050 West Free Street","","Walnut Ridge","AR","72476","Lawrence","Karen Sagaskey","Acting Administrator","870-886-3201","","Karen.Sagaskey@arkansas.gov","","","","","","",""]
[null,201900717,"Lawrence County Family Clinic, P. A.","Lawrence County Family Clinic, P. A.","1740317452","Rural Health Clinics",4,0,"1210 W Main St","","Walnut Ridge","AR","72476-1005","Lawrence","1210 West Main","","Walnut Ridge","AR","72476","Lawrence","Anita Marlin","Assistant Office Manager","870-886-3543","","cmklcfc@sbcglobal.net","","Karen Patterson","Office Manager","870-886-3543","","kplcfc@sbcglobal.net",""]
[null,201900718,"1st Choice Healthcare Walnut Ridge","1ST CHOICE HEALTHCARE, INC.","1598711152","Federally Qualified Health Centers",4,0,"201 Colonial Dr","","Walnut Ridge","AR","72476-1410","Lawrence","1001 N Missouri Avenue","","Corning","AR","72422-1716","Clay","Brigitte McDonald","CEO","870-857-3399","","bmcdonald@1stchoice-ar.org","","Debra Finley","COO","870-857-3334","","dfinley@1stchoice-ar.org",""]
[null,201900719,"Bradley County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"208 Bragg St","","Warren","AR","71671-2500","Bradley","P.O. Box 118","","Warren","AR","71671","Bradley","Alicia Outlaw","Administrator","870-226-8440","","robin.outlaw@arkansas.gov","","","","","","",""]
[null,201900720,"Crittenden County/Mid-South Community College Satellite Clinic","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"2000 W Broadway St","","West Memphis","AR","72301-3829","Crittenden","2000 West Broadway","","West Memphis","AR","72301","Crittenden","Crystal Moore","Administrator","870-735-4334","","Crystal.Moore@arkansas.gov","","","","","","",""]
[null,201900721,"East Arkansas Family Health Center, Inc.","EAST ARKANSAS FAMILY HEALTH CENTER, INC.","1871599613","Dental Providers, Federally Qualified Health Centers, Ryan White Providers",7.2,2.2,"900 N 7th St","","West Memphis","AR","72301-2001","Crittenden","215 E Bond Ave","","West Memphis","AR","72301-3550","Crittenden","Susan Ward-Jones","CEO","870-733-6301","","swjones@eafhc.org","http://www.eafhc.org","Jacqueline Bell","Administrative Assistant","870-733-6301","","jbell@eafhc.org",""]
[null,201900722,"Crittenden County/West Memphis Local Health Unit","Arkansas Department of Health Women's Health Services","1497966808","Family Planning Providers",4,0,"901 N 7th St","","West Memphis","AR","72301-2001","Crittenden","901 North 7th Street","","West Memphis","AR","72301","Crittenden","Crystal Moore","Administrator","870-735-4334","","Crystal.Moore@arkansas.gov","","","","","","",""]
[null,201900723,"Wilmot Elementary Clinic","Mainline Health Systems, Inc.","1790140564","Federally Qualified Health Centers",0.25,0,"2764 Hwy. 165 S","","Wilmot","AR","71676","Ashley","233 N. Main","","Portland","AR","71663","Ashley","G. Allan Nichols","Executive Director","870-538-5414","","gnichols@mainlinehealth.net","","Tafta McCain","Chief Financial Officer","870-538-5414","","tmccain@mainlinehealth.net",""]
[null,201900724,"ARcare - 60","ARCARE","1487615183","Federally Qualified Health Centers",2,0,"601 Julia Ave E","","Wynne","AR","72396-3506","Cross","117 S 2nd St","","Augusta","AR","72006-2309","Woodruff","Steven F Collier","CEO","870-347-3304","","proservices@arcare.net","","","","","","",""]
[null,201900725,"Cross County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"701 Julia Ave E","","Wynne","AR","72396-3515","Cross","701 Julia Avenue East","","Wynne","AR","72396","Cross","Kitty Bingham","Administrator","870-238-2101","","Kitty.Bingham@arkansas.gov","","","","","","",""]
[null,201900726,"BMRHC - Yellville","Boston Mtn Rural Health Center, Inc.","1487909107","Federally Qualified Health Centers",2,0,"358 East Valley St","","Yellville","AR","72687-9087","Marion","305 S. Glade Street","","Marshall","AR","72650","Searcy","Becky Blair","Chief Financial Officer","870-448-5733","2008","beckyblair@bmrhc.net","","","","","","",""]
[null,201900727,"Marion County Local Health Unit","Arkansas Department of Health Women's Health Section","1497966808","Family Planning Providers",4,0,"707 Highway 202 W","","Yellville","AR","72687-9333","Marion","707 Hwy 202 West","","Yellville","AR","72687","Marion","Valerie Shipman","Administrator","870-449-4259","","Valerie.Shipman@arkansas.gov","","","","","","",""]
[null,201900728,"DESERT SENITA COMMUNITY HEALTH AND DENTAL CENTER","AJO COMMUNITY HEALTH CENTER","1114037496","Dental Providers, Federally Qualified Health Centers",2.5,1,"410 N Malacate St","","Ajo","AZ","85321-2253","Pima","410 N Malacate St","","Ajo","AZ","85321-2253","Pima","Jonathan Leonard","CEO","520-387-5651","3007","jleonard@desertsenita.org","","Sherry Henley","Finance Manager","520-387-5651","3453","shenley@desertsenita.org",""]
[null,201900729,"United Community Health Center at Amado","UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.","1063732675","Dental Providers, Federally Qualified Health Centers",1.22,1.85,"28720 S Nogales Hwy","","Amado","AZ","85645-9997","Pima","1260 S Campbell Ave Bldg 2","","Green Valley","AZ","85614-0503","Pima","Wendy Kibby","Chief Operations Officer","520-407-5606","","wkibby@uchcaz.org","","Michelle J. Kitchell","","520-407-5604","","mjkitchell@uchcaz.org",""]
[null,201900730,"Apache Junction Satellite","SUN LIFE FAMILY HEALTH CENTER, INC.","1508276940","Federally Qualified Health Centers",3,0,"2080 W Southern Ave","","Apache Junction","AZ","85120-7455","Pinal","865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","Travis Robinette","CEO","520-381-0303","","travisr@slfhc.org","slfhc.org","Kim Collins","COO","520-381-0302","","kim.collins@slfhc.org","slfhc.org"]
[null,201900731,"Broadway FQHC","Horizon Health and Wellness, Inc.","1619236478","Community Mental Health Centers, Federally Qualified Health Centers, Other ECP Providers, Rural Health Clinics",1,0,"477 E Broadway Ave","Bldg B","Apache Junction","AZ","85119-5201","Pinal","625 N Plaza Dr","","Apache Junction","AZ","85120","Pinal","Lila Hernandez","Procurement Coordinator","520-836-1688","61837","Lila.Hernandez@hhwaz.org","","Dr. Fred Karst","Chief Operating Officer","480-983-0065","","fred.karst@hhwaz.org",""]
[null,201900732,"Pinal County Public Health Services District Apache Junction Clinic","Pinal County Public Health Services District Apache Junction","1427481175","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"575 N Idaho Rd","Suite 301","Apache Junction","AZ","85119-4000","Pinal","575 N Idaho Rd Ste 301","","Apache Junction","AZ","85119-4000","Pinal","Tom Schryer","Health Director","520-866-7301","","tom.schryer@pinalcountyaz.gov","http://pinalcountyaz.gov/Departments/PublicHealth/Pages/OfficeLocations.aspx","Kore Redden","Assistant Director","520-866-7331","","kore.redden@pinalcountyaz.gov",""]
[null,201900733,"Plaza FQHC","Horizon Health and Wellness, Inc.","1235560087","Community Mental Health Centers, Federally Qualified Health Centers, Other ECP Providers, Rural Health Clinics",6,0,"625 N Plaza Dr","","Apache Junction","AZ","85120-5501","Pinal","625 N Plaza Dr","","Apache Junction","AZ","85120","Pinal","Lila Hernandez","Procurement Coordinator","520-836-1688","61837","Lila.Hernandez@hhwaz.org","","Dr. Fred Karst","Chief Operating Officer","480-983-0065","","fred.karst@hhwaz.org",""]
[null,201900734,"United Community Health Center at Arivaca","UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.","1922050319","Dental Providers, Federally Qualified Health Centers",0.4,1.85,"17388 W 3rd St","","Arivaca","AZ","85601","Pima","1260 S Campbell Ave Bldg 2","","Green Valley","AZ","85614-0503","Pima","Wendy Kibby","Chief Operations Officer","520-407-5606","","wkibby@uchcaz.org","","Michelle J. Kitchell","","520-407-5604","","mjkitchell@uchcaz.org",""]
[null,201900735,"NORTH COUNTRY HEALTHCARE - ASH FORK","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",0.7,0.2,"112 Park Ave","","Ash Fork","AZ","86320","Yavapai","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900736,"Adelante Healthcare Avondale","ADELANTE HEALTHCARE, INC.","1467761809","Federally Qualified Health Centers",4,0,"3400 N Dysart Rd","Suite F121","Avondale","AZ","85392-1009","Maricopa","9520 W Palm Ln Ste 200","","Phoenix","AZ","85037-4403","Maricopa","Richard Miller","Chief Financial Officer","623-583-3001","1209","rmiller@adelantehealthcare.com","www.adelantehealthcare.com","Eric Battis","Chief Operations Officer","623-583-3001","1222","ebattis@adelantehealthcare.com","www.adelantehealthcare.com"]
[null,201900737,"MIHS - Avondale Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1982022133","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",3.87,1,"950 E Van Buren St","","Avondale","AZ","85323-1506","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900738,"Cochise Health and Social Services - Benson","Cochise Health and Social Services","1215968250","Family Planning Providers, Other ECP Providers, Sexually Transmitted Disease Clinics",1.2,0,"126 W 5th St","","Benson","AZ","85602-6550","Cochise","1415 Melody Lane, Bldg A","","Bisbee","AZ","85603","Cochise","Mary Gomez","Director","520-432-9404","","mgomez@cochise.az.gov","","Ray Falkenberg","Deputy Health Director","520-432-9414","","",""]
[null,201900739,"COPPER QUEEN COMMUNITY HOSPITAL","Bisbee Hospital Association","1518968767","Inpatient Hospitals (other than children's hospitals)",14,0,"101 Cole Ave","","Bisbee","AZ","85603-1327","Cochise","101 Cole Ave","","Bisbee","AZ","85603-1327","Cochise","James Ehasz","CFO","520-432-2042","","jehasz@cqch.org","","","","","","",""]
[null,201900740,"Copper Queen Medical Assoiciates-Bisbee","Bisbee Hospital Association","1508137209","Rural Health Clinics",7,0,"101 Cole Ave","","Bisbee","AZ","85603-1327","Cochise","101 Cole Ave","","Bisbee","AZ","85603-1327","Cochise","James Ehasz","CFO","520-432-6450","","jehasz@cqch.org","","","","","","",""]
[null,201900741,"Chiricahua Community Health Centers, Inc.","Chiricahua Community Health Centers, Inc.","1942241443","Federally Qualified Health Centers",50,0,"108 Arizona St","","Bisbee","AZ","85603-1804","Cochise","1100 F Ave","","Douglas","AZ","85607-1920","Cochise","Samantha Tardibuono","Credentialing Specialist","520-459-3012","7519","credentials@cchci.org","","","","","","",""]
[null,201900742,"Cochise Health and Social Services - Bisbee","Cochise Health and Social Services","1215968250","Family Planning Providers, Other ECP Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1.2,0,"1415 W Melody Ln","Bldg A","Bisbee","AZ","85603-3027","Cochise","1415 Melody Lane, Bldg A","","Bisbee","AZ","85603","Cochise","Mary Gomez","Director","520-432-9404","","mgomez@cochise.az.gov","","Ray Falkenberg","Deputy Health Director","520-432-9414","","rfalkenberg@cochise.az.gov",""]
[null,201900743,"BOUSE MEDICAL CLINIC","LA PAZ REGIONAL HOSPITAL","1235154147","Rural Health Clinics",2,0,"440314 E Plomosa Rd","","Bouse","AZ","85325","La Paz","1200 MOHAVE ROAD","","PARKER","AZ","85344","La Paz","CARL FLANAGAN","CFO","928-669-7400","","CFLANAGAN@LAPAZHOSPITAL.ORG","","YOLANDA M HOLT","BO DIRECTOR","928-669-7313","","YHOLT@LAPAZHOSPITAL.ORG",""]
[null,201900744,"Adelante Healthcare Buckeye","ADELANTE HEALTHCARE, INC.","1801954441","Dental Providers, Federally Qualified Health Centers",2,1,"306 E Monroe Ave","","Buckeye","AZ","85326-2706","Maricopa","9520 W Palm Ln Ste 200","","Phoenix","AZ","85037-4403","Maricopa","Richard Miller","Chief Financial Officer","623-583-3001","1209","rmiller@adelantehealthcare.com","www.adelantehealthcare.com","Eric Battis","Chief Operations Officer","623-583-3001","1222","ebattis@adelantehealthcare.com","www.adelantehealthcare.com"]
[null,201900745,"NORTH COUNTRY HEALTHCARE - BULLHEAD CITY","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",3,0,"2585 Miracle Mile","Suite 116","Bullhead City","AZ","86442-7562","Mohave","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900746,"Clarence Wesley Health Center","San Carlos Apache Health Care Corporation","1417330713","Dental Providers, Family Planning Providers, Tribal Health Program operated under P.L. 93-638",2.5,1,"101 Medical Dr","","Bylas","AZ","85530","Graham","PO Box 787","","Peridot","AZ","85542-0787","Graham","Deven Parlikar","Chief Executive Officer","928-475-1200","","dparlikar@gmail.com","","Victoria Began","Chief Nursing Office","928-475-1208","1208","victoria.began@scahealth.org",""]
[null,201900747,"Cameron Dental","Tuba City Regional Health Care Corporation","1134382211","Dental Providers, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program",0,5,"25 Miles South of Tuba City AZ","","Cameron","AZ","86020","Coconino","167 N Main St","","Tuba City","AZ","86045-0600","Coconino","Lynette Bonar","Chief Executive Officer","928-283-2094","","lynette.bonar@tchealth.org","","Alvina Tunney-Patterson","Chief Compliance Officer","928-283-2452","","alvina.tunney-patterson@tchealth.org",""]
[null,201900748,"2nd Street Integrated Care","Horizon Health and Wellness, Inc.","1043687775","Community Mental Health Centers, Other ECP Providers, Rural Health Clinics",1,0,"115 W 2nd St","","Casa Grande","AZ","85122-4406","Pinal","625 N. Plaza Drive","","Apache Junction","AZ","85120","Pinal","Lila Hernandez","Procurement Coordinator","520-876-1837","","Lila.Hernandez@hhwaz.org","","Dr. Fred Karst","Chief Operating Officer","480-983-0065","","fred.karst@hhwaz.org",""]
[null,201900749,"Sun Life Center for Children","Sun Life Family Health Center","1417286568","Federally Qualified Health Centers",4,0,"1856 E Florence Blvd","","Casa Grande","AZ","85122-5303","Pinal","865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","Kim Charles Collins","COO","520-381-0302","","kim.collins@slfhc.org","","Travis Robinette","CEO","520-381-0303","","travisr@slfhc.org",""]
[null,201900750,"Center for Women","SUN LIFE FAMILY HEALTH CENTER, INC.","1548690332","Federally Qualified Health Centers",8,0,"1864 E Florence Blvd","","Casa Grande","AZ","85122-5457","Pinal","865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","Travis Robinette","CEO","520-381-0303","","travisr@slfhc.org","slfhc.org","Kim Collins","COO","520-381-0302","","kim.collins@slfhc.org","slfhc.org"]
[null,201900751,"Pinal County Public Health Services District Casa Grande","Pinal County Public Health Services District Casa Grande","1366875056","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"820 E Cottonwood Ln","Suite E","Casa Grande","AZ","85122-2758","Pinal","820 E Cottonwood Ln Ste E","","Casa Grande","AZ","85122-2758","Pinal","Tom Schryer","Director","520-866-7301","","tom.schryer@pinalcountyaz.gov","http://pinalcountyaz.gov/Departments/PublicHealth/Pages/OfficeLocations.aspx","Kore Redden","Assistant Director","520-866-7331","","kore.redden@pinalcountyaz.gov",""]
[null,201900752,"SUN LIFE FAMILY HEALTH CENTER","SUN LIFE FAMILY HEALTH CENTER, INC.","1891913166","Dental Providers, Federally Qualified Health Centers",14,4,"865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","Travis Robinette","CEO","520-381-0303","","travisr@slfhc.org","slfhc.org","Kim Collins","COO","520-381-0302","","kim.collins@slfhc.org","slfhc.org"]
[null,201900753,"MIHS - Chandler FHC WHH SWN San Tan","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1225456429","Federally Qualified Health Centers, Other ECP Providers",1.3,0,"1465 W Chandler Blvd","Bldg A Ste B","Chandler","AZ","85224-6237","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900754,"Chandler Health Center","Planned Parenthood Arizona","1083694160","Family Planning Providers",15,0,"610 N Alma School Rd","Suite 48","Chandler","AZ","85224-3689","Maricopa","4751 N 15th Street","","Phoenix","AZ","85014-2500","Maricopa","Patricia Gross","COO","602-263-4275","","pgross@ppaz.org","http://www.plannedparenthood.org/ppaz/","Jodi Liggett","VP of Public Policy","602-263-4226","","","http://www.plannedparenthood.org/ppaz/"]
[null,201900755,"MIHS - Chandler Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1427476670","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",6.02,1,"811 S Hamilton St","","Chandler","AZ","85225-6308","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900756,"Chinle Comprehensive Healthcare Facility (inpatient hospital)","Chinle Indian Health Service","1508800129","Indian Health Service, Inpatient Hospitals (other than children's hospitals)",60,0,"Hwy 191 Hospital Turnoff","","Chinle","AZ","86503-8000","Apache","PO Drawer PH","","Chinle","AZ","86503","Apache","Eric Ritchie","Clinical Director","928-674-7001","9286747019","eric.ritchie@ihs.gov","","Ron Tso","CEO","928-674-7001","9286747011","Ron.Tso@ihs.gov",""]
[null,201900757,"Chinle Comprehensive Healthcare Facility (multiple outpatient ECP categories)","Chinle Indian Health Service","1508800129","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",1,13,"Hwy 191 Hospital Turnoff","","Chinle","AZ","86503-8000","Apache","PO Drawer PH","","Chinle","AZ","86503","Apache","Eric Ritchie","Clinical Director","928-674-7001","9286747019","eric.ritchie@ihs.gov","","Ron Tso","CEO","928-674-7001","9286747011","Ron.Tso@ihs.gov",""]
[null,201900758,"Cibecue Health Center","DHHS IHS Phoenix Area","1427335181","Dental Providers, Indian Health Service, Other ECP Providers",3,1,"North Cromwell Rd","","Cibecue","AZ","85911","Navajo","North Cromwell Road","","Cibecue","AZ","85911","Navajo","Racheal Allen","Revenue Manager","928-338-5509","","racheal.allen@ihs.gov","","Mitzi Classay","Supervisor Billing Technician","928-338-3532","","mitzi.classay@ihs.gov",""]
[null,201900759,"Canyonlands Healthcare - Clifton","Canyonlands Healthcare - Clifton","1134568660","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"10A Ward Canyon Rd","","Clifton","AZ","85533-8233","Greenlee","10A Ward Canyon Rd","","Clifton","AZ","85533-8233","Greenlee","Christopher Hansen","CEO","928-645-6600","","c.hansen@cchcaz.org","","Holly Smith","CFO","928-645-9675","5555","h.smith@cchcaz.org",""]
[null,201900760,"Congress Hospital Clinic","Community Hospital Association, Inc.","1609144393","Outpatient Hospital Clinics, Rural Health Clinics",1.3,0,"26750 B Santa Fe Road","","Congress","AZ","85332","Yavapai","520 Rose Lane","","Wickenburg","AZ","85390","Maricopa","Michael V. Ellis","CFO","928-668-1805","","mike.ellis@wickhosp.com","http://wickhosp.com/service/community-clinics/","James F. Tavary","CEO","928-684-4360","","jim.tavary@wickhosp.com","http://wickhosp.com/"]
[null,201900761,"Pinal County Public Health Services District Coolidge Clinic","Pinal County Public Health Services District Coolidge","1528113859","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"119 W Central Ave","","Coolidge","AZ","85128-4405","Pinal","119 W Central Ave","","Coolidge","AZ","85128-4405","Pinal","Tom Schryer","Director","520-866-7301","","tom.schryer@pinalcountyaz.gov","http://pinalcountyaz.gov/Departments/PublicHealth/Pages/OfficeLocations.aspx","Kore Redden","Assistant Director","520-866-7331","","kore.redden@pinalcountyaz.gov",""]
[null,201900762,"COOLIDGE SATELLITE","SUN LIFE FAMILY HEALTH CENTER, INC.","1033321989","Federally Qualified Health Centers",2,0,"1284 N Arizona Blvd","","Coolidge","AZ","85128-3206","Pinal","865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","Travis Robinette","CEO","520-381-0303","","travisr@slfhc.org","slfhc.org","Kim Collins","COO","520-381-0302","","kim.collins@slfhc.org","slfhc.org"]
[null,201900763,"Yavapai Co. Community Health Services Cottonwood Clinic","Yavapai County Community Health Services","1659317022","Dental Providers, Federally Qualified Health Centers",14,2,"51 S Brian Mickelsen Pkwy","","Cottonwood","AZ","86326-3610","Yavapai","51 S Brian Mickelsen Pkwy","","Cottonwood","AZ","86326-3610","Yavapai","Debbie Savoini","Interim Director","928-442-5281","","debbie.savoini@yavapai.us","","Kevin Goss","Business Manager Clinical Services","928-777-7539","","Kevin.Goss@yavapai.us","http://www.chcy.info/?page_id=291"]
[null,201900764,"Sunset Community Health Center","SUNSET COMMUNITY HEALTH CENTER","1063433720","Other ECP Providers",1,0,"Avenue 64 E","Sunset CHC School-Based Clinic, Dateland School - Hyder School District No.16","Dateland","AZ","85333","Yuma","2060 West 24th Street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Officer","928-819-8802","","drogers@sunset-chc.org","","Whitney Sims","Chief Financial Officer","928-819-8803","","wsims@sunset-chc.org",""]
[null,201900765,"COPPER QUEEN MEDICAL ASSOCIATES-DOUGLAS","Bisbee Hospital Association","1942217088","Rural Health Clinics",12,0,"100 E 5th St","","Douglas","AZ","85607-2859","Cochise","101 Cole Ave","","Bisbee","AZ","85603-1327","Cochise","James Ehasz","CFO","520-432-6450","","jehasz@cqch.org","","","","","","",""]
[null,201900766,"Cochise Health and Social Services - Douglas","Cochise Health and Social Services","1215968250","Family Planning Providers, Other ECP Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1.2,0,"1012 N G Ave","Suite 101","Douglas","AZ","85607-2020","Cochise","1415 Melody Lane, Bldg A","","Bisbee","AZ","85603","Cochise","Mary Gomez","Director","520-432-9404","","mgomez@cochise.az.gov","","Ray Falkenberg","Deputy Health Director","520-432-9414","","rfalkenberg@cochise.az.gov",""]
[null,201900767,"Chiricahua Community Health Centers, Inc.","Chiricahua Community Health Centers, Inc.","1942241443","Dental Providers, Federally Qualified Health Centers",40,6,"1100 F Ave","","Douglas","AZ","85607-1919","Cochise","1205 F Avenue","","Douglas","AZ","85607","Cochise","Jessica King","Chief Administrative Officer","520-364-1429","7522","jaking@cchci.org","","","","","","",""]
[null,201900768,"Chiricahua Community Health Centers, Inc.","Chiricahua Community Health Centers, Inc.","1942241443","Federally Qualified Health Centers",50,0,"815 E 15th St","","Douglas","AZ","85607-1631","Cochise","1100 F Ave","","Douglas","AZ","85607-1920","Cochise","Samantha Tardibuono","Credentialing Specialist","520-459-3012","7519","credentials@cchci.org","","","","","","",""]
[null,201900769,"Canyonlands Healthcare - Duncan","Canyonlands Healthcare - Duncan","1033275706","Family Planning Providers, Federally Qualified Health Centers",1,0,"227 Main St","","Duncan","AZ","85534-9790","Greenlee","227 Main St","","Duncan","AZ","85534-9790","Greenlee","Christopher Hansen","CEO","928-645-6600","","c.hansen@cchcaz.org","","Holly Smith","CFO","928-645-9675","5555","h.smith@cchcaz.org",""]
[null,201900770,"MIHS - El Mirage Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1073931218","Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",4.12,0,"12428 W Thunderbird Rd","","El Mirage","AZ","85335-3113","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900771,"Cliff Whetton Clinic","Chiricahua Community Health Centers","1457489890","Dental Providers, Federally Qualified Health Centers",30,8,"10566 N Highway 191","","Elfrida","AZ","85610-9021","Cochise","1205 F Avenuea","","Douglas","AZ","85607","Cochise","Gary McPherran","CFO","520-364-1429","3333","mmcpherran@cchci.org","www.cchci.org","","","","","",""]
[null,201900772,"Eloy Satellite","SUN LIFE FAMILY HEALTH CENTER, INC.","1588876429","Federally Qualified Health Centers",2,0,"205 N Stuart Blvd","","Eloy","AZ","85131-2507","Pinal","865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","Travis Robinette","CEO","520-381-0303","","travisr@slfhc.org","slfhc.org","Kim Collins","COO","520-381-0302","","kim.collins@slfhc.org","slfhc.org"]
[null,201900773,"Pinal County Public Health Services District Eloy Clinic","Pinal County Public Health Services District Eloy","1770916470","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"302 E 5th St","","Eloy","AZ","85131-2111","Pinal","302 E 5th St","","Eloy","AZ","85131-2111","Pinal","Tom Schryer","Director","520-866-7301","","tom.schryer@pinalcountyaz.gov","http://pinalcountyaz.gov/Departments/PublicHealth/Pages/OfficeLocations.aspx","Kore Redden","Assistant Director","520-866-7331","","kore.redden@pinalcountyaz.gov",""]
[null,201900774,"NORTH COUNTRY HEALTHCARE - FLAGSTAFF WEST","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers, Sexually Transmitted Disease Clinics",1.3,0,"1120 W University Ave","Suite 101","Flagstaff","AZ","86001-2851","Coconino","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900775,"Native American Cardiology Program","Native American Cardiology Program","1568739605","Indian Health Service, Other ECP Providers",0.75,0,"1215 N Beaver St","","Flagstaff","AZ","86001-3126","Coconino","1215 N Beaver St Ste 201","","Flagstaff","AZ","86001-3126","Coconino","Henry Van Dyk, M.D.","Director","928-214-3920","","Henry.vandyk@tchealth.org","","Diane Steuart","Business Office Manager","928-214-3870","","Diane.Steuart@ihs.gov",""]
[null,201900776,"NACA Family Health Center","Native Americans for Community Action (Flagstaff, AZ)","1053326751","Community Mental Health Centers, Federally Qualified Health Centers, Urban Indian Health Program",2,0,"1500 E Cedar Ave","Suite 26","Flagstaff","AZ","86004-1642","Coconino","2717 N Steves Blvd Ste 11","","Flagstaff","AZ","86004-3959","Coconino","Dr. Curtis Randolph","Interim Chief Executive Officer","928-773-1245","260","crandolph@nacainc.org","","Gerald Clark","Chief Financial Officer","928-526-2968","128","gclark@nacainc.org","www.nacainc.org"]
[null,201900777,"NORTH COUNTRY HEALTHCARE - THE GUIDANCE CENTER INTEGRATION CLINIC","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Community Mental Health Centers, Federally Qualified Health Centers",0.5,0,"2187 N Vickey St","Suite B","Flagstaff","AZ","86004-6121","Coconino","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900778,"North Country Healthcare","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers, Sexually Transmitted Disease Clinics",0.21,0,"2384 N Steves Blvd Suite B","NORTH COUNTRY HEALTHCARE - PONDEROSA HIGH SCHOOL BASED HEALTHCARE","Flagstaff","AZ","86004-6105","Coconino","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900779,"Flagstaff Health Center","Planned Parenthood Arizona","1083694160","Family Planning Providers",10,0,"2500 S Woodlands Village Blvd","Suite 12","Flagstaff","AZ","86001-6373","Coconino","4751 N 15th Street","","Phoenix","AZ","85014-2500","Maricopa","Patricia Gross","COO","602-263-4275","","pgross@ppaz.org","http://www.plannedparenthood.org/ppaz/","Jodi Liggett","VP of Public Policy","602-263-4226","","jliggett@ppaz.org","http://www.plannedparenthood.org/ppaz/"]
[null,201900780,"Coconino County Public Health Services District","Coconino County Public Health Services District","1962529610","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"2625 N King St","","Flagstaff","AZ","86004-1884","Coconino","2625 N King Street","","Flagstaff","AZ","86004","Coconino","Marie Peoples","Chief Health Officer","928-679-7222","7330","mpeoples@coconino.az.gov","http://www.coconino.az.gov/index.aspx?NID=235","Mike Oxtoby","Assistant Chief Health Officer","928-679-7241","","moxtoby@coconino.az.gov",""]
[null,201900781,"Sacred Peaks Health Center","Sacred Peaks Health Center","1376773341","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",50,0,"3480 E Route 66","","Flagstaff","AZ","86004-4032","Coconino","167 N Main St","","Tuba City","AZ","86045-0600","Coconino","Lynette Bonar","Chief Executive Officer","928-283-2797","","lynette.bonar@tchealth.org","","Alvina Tunney-Patterson","Chief Compliance Officer","928-283-2452","","alvina.tunney-patterson@tchealth.org",""]
[null,201900782,"Florence Satellite","Sun Life Family Health Center","1902278252","Federally Qualified Health Centers",3,0,"150 S Main","","Florence","AZ","85132","Pinal","865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","Travis Robinette","CEO","520-381-0303","","travisr@slfhc.org","slfhc.org","Kim Collins","COO","520-381-0302","","kim.collins@slfhc.org","slfhc.org"]
[null,201900783,"Wassaja Memorial Health Center","Fort McDowell Yavapai Nation","1053418533","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",2.5,0,"16240 N Fort McDowell Rd","","Fort McDowell","AZ","85264-3402","Maricopa","16240 N Ft McDowell Rd","","Ft McDowell","AZ","85264","Maricopa","Demetra Barr","Medical/Health Division Director","480-789-7890","7878","dbarr@ftmcdowell.org","www.fmyn.org/clinic","Cormelia \"Meya\" Castillo","Bsiness Administrator","480-789-7890","","ccastillo@ftmcdowell.org",""]
[null,201900784,"Valley View Medical Center","LifePoint Health","1811086994","Inpatient Hospitals (other than children's hospitals)",83,0,"5330 S Highway 95","","Fort Mohave","AZ","86426-9225","Mohave","330 Seven Springs Way","","Brentwood","TN","37027","Davidson","Ian Andes","Sr. Director Managed Care","615-920-7581","","Ian.Andes@LPNT.net","","Emma Canlas","CFO","928-788-7004","","",""]
[null,201900785,"Adelante Healthcare Gila Bend","ADELANTE HEALTHCARE, INC.","1386702942","Federally Qualified Health Centers",1,0,"100 N Gila Ave","","Gila Bend","AZ","85337","Maricopa","9520 W Palm Ln Ste 200","","Phoenix","AZ","85037-4403","Maricopa","Richard Miller","Chief Financial Officer","623-583-3001","1209","rmiller@adelantehealthcare.com","www.adelantehealthcare.com","Eric Battis","Chief Operations Officer","623-583-3001","1222","ebattis@adelantehealthcare.com","www.adelantehealthcare.com"]
[null,201900786,"MIHS - Glendale Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1952720708","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",6,0.96,"5141 W Lamar Rd","","Glendale","AZ","85301-3423","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900787,"Glendale Health Center","Planned Parenthood Arizona","1083694160","Family Planning Providers",10,0,"5771 W Eugie Ave","","Glendale","AZ","85304-1241","Maricopa","4751 N 15th Street","","Phoenix","AZ","85014-2500","Maricopa","Patricia Gross","COO","602-263-4275","","pgross@ppaz.org","http://www.plannedparenthood.org/ppaz/","Jodi Liggett","VP of Public Policy","602-263-4226","","","http://www.plannedparenthood.org/ppaz/"]
[null,201900788,"Terros Glendale Care Clinic","Terros","1699173245","Community Mental Health Centers, Federally Qualified Health Centers",2,0,"6153 W Olive Ave","Suite 1","Glendale","AZ","85302-4564","Maricopa","3003 N Central Avenue, Suite 200","","Phoenix","AZ","85012","Maricopa","Jennifer Siozos","Health Center Administrator","480-628-7113","","jennifer.siozos@terros.org","","Debbie Tinsely","Director of Operations and Contracts","602-685-6000","","debbie.tinsley@terros.org",""]
[null,201900789,"Canyonlands Healthcare - Globe Integrated","Canyonlands Healthcare","1891169561","Federally Qualified Health Centers",0.5,0,"111 W Blake St","","Globe","AZ","85501-2177","Gila","827 Vista, PO Box 1625","","Page","AZ","86040-1625","Coconino","Christopher Hansen","CEO","928-645-9675","5507","c.hansen@cchcaz.org","","Holly Smith","CFO","928-645-9675","5555","h.smith@cchcaz.org",""]
[null,201900790,"Canyonlands Healthcare - Globe","Canyonlands Healthcare - Globe","1417218876","Family Planning Providers, Federally Qualified Health Centers",2,0,"5860 S Hospital Dr","Suite 102","Globe","AZ","85501-9449","Gila","827 Vista Ave","PO Box 3486","Page","AZ","86040","Coconino","Liz Latham","CEO","928-645-6600","","liz.latham@cchcaz.org","","Christopher Hansen","CEO","928-645-9675","5507","c.hansen@cchcaz.org",""]
[null,201900791,"Mountain Park Health Center - Goodyear","MOUNTAIN PARK HEALTH CENTER","1922105204","Federally Qualified Health Centers, Other ECP Providers",4,0,"140 N Litchfield Rd","Suite 200","Goodyear","AZ","85338-1226","Maricopa","2702 N 3rd St Ste 4020","","Phoenix","AZ","85004-4608","Maricopa","Tara Cahn","Contracts Administration Manager","602-586-2981","","tcahn@mphc-az.org","","Beckie Brown","Credentialing Manager","602-586-3025","","bbrown@mphc-az.org",""]
[null,201900792,"NORTHY COUNTRY HEALTHCARE - GRAND CANYON","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers, Sexually Transmitted Disease Clinics",3.02,0,"1 Clinic Rd","","Grand Canyon","AZ","86023","Coconino","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900793,"Continental Family Medical Center","UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.","1093766867","Dental Providers, Federally Qualified Health Centers",2.11,1.85,"1260 S Campbell Ave","Bldg 2","Green Valley","AZ","85614-0503","Pima","1260 S Campbell Ave Bldg 2","","Green Valley","AZ","85614-0503","Pima","Wendy Kibby","Chief Operations Officer","520-407-5606","","wkibby@uchcaz.org","","Michelle J. Kitchell","","520-407-5604","","mjkitchell@uchcaz.org",""]
[null,201900794,"United Community Health Center Continental Pediatrics","UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.","1275715286","Dental Providers, Federally Qualified Health Centers",1.51,1.85,"1260 S Campbell Ave","Bldg 1","Green Valley","AZ","85614-0503","Pima","1260 S Campbell Ave Bldg 2","","Green Valley","AZ","85614-0503","Pima","Wendy Kibby","Chief Operations Officer","520-407-5606","","wkibby@uchcaz.org","","Michelle J. Kitchell","","520-407-5604","","mjkitchell@uchcaz.org",""]
[null,201900795,"MIHS - Guadalupe Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1861811614","Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",2.73,0,"5825 E Calle Guadalupe","","Guadalupe","AZ","85283-2664","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900796,"PALOMINAS / HEREFORD RURAL HEALTH CLINIC","Bisbee Hospital Association","1225438104","Rural Health Clinics",5,0,"10524 E Highway 92","","Hereford","AZ","85615-8371","Cochise","101 Cole Ave","","Bisbee","AZ","85603-1327","Cochise","James Ehasz","CFO","520-432-6450","","jehasz@cqch.org","","","","","","",""]
[null,201900797,"NORTH COUNTRY HEALTHCARE - HOLBROOK","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",3.5,0,"2109 Navajo Blvd","","Holbrook","AZ","86025-1822","Navajo","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900798,"Canyonlands Healthcare - Chilchinbeto","Canyonlands Healthcare","1154380392","Black Lung Clinics, Dental Providers, Family Planning Providers, Federally Qualified Health Centers",1,1,"E Hwy 160 To Rte 59","","Kayenta","AZ","86033","Navajo","PO Box 1625","","Page","AZ","86040-1625","Coconino","Christopher Hansen","CEO","928-645-6600","","c.hansen@cchcaz.org","http://www.canyonlandschc.org","Holly Smith","COO","928-645-9675","5555","h.smith@cchcaz.org",""]
[null,201900799,"Kayenta Health Center","Kayenta Health Center","1174692529","Dental Providers, Indian Health Service, Other ECP Providers",28,3,"Highway 163 Phs/I.H.S. Dr","","Kayenta","AZ","86033","Navajo","PO Box 368","","Kayenta","AZ","86033-0368","Navajo","Ethelyn Bailey","HSA","928-697-4004","","ethelyn.bailey@ihs.gov","","Frank Dayish","Chief Executive Officer","928-697-4235","","frank.dayish@ihs.gov",""]
[null,201900800,"Dennehotso Health Clinic (Kayenta Service Unit)","Indian Health Service-Navajo Area","1821167297","Indian Health Service, Other ECP Providers",1,0,"Hwy 160 Building 2000","","Kayenta","AZ","86033","Navajo","POB 368","","Kayenta","AZ","86033","Navajo","Ethelyn Bailey","HSA","928-697-4004","","ethelyn.bailey@ihs.gov","","Frank Dayish","Chief Executive Officer","928-697-4235","","frank.dayish@ihs.gov",""]
[null,201900801,"Kearny Clinic","Cobre Valley Regional Medical Center","1992967780","Rural Health Clinics",1.25,0,"100 S Tilbury Dr","","Kearny","AZ","85137-1218","Pinal","Cobre Valley Regional Medical Center","","Globe","AZ","85501","Gila","Frank Stapleton","Administration, Regional Clinics Director","928-402-1131","","fstapleton@cvrmc.org","","","","","","",""]
[null,201900802,"Kearny Integrated Care","Horizon Health and Wellness, Inc.","1003353459","Community Mental Health Centers, Other ECP Providers, Rural Health Clinics",1,0,"374 W Alden Rd","","Kearny","AZ","85137-1208","Pinal","625 N. Plaza Drive","","Apache Junction","AZ","85120","Pinal","Lila Hernandez","Procurement Coordinator","520-876-1837","","Lila.Hernandez@hhwaz.org","","Dr. Fred Karst","Chief Operating Officer","480-983-0065","","fred.karst@hhwaz.org",""]
[null,201900803,"NORTH COUNTRY HEALTHCARE - KINGMAN","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",5.85,0,"1510 N Stockton Hill Rd","","Kingman","AZ","86401-5173","Mohave","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900804,"NORTH COUNTRY HEALTHCARE - KINGMAN INTEGRATION","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",0.15,0,"3705 Western Ave","Suite B","Kingman","AZ","86409-3077","Mohave","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900805,"Mohave County Department of Public Health","MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH","1740326727","Other ECP Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"700 W Beale St","","Kingman","AZ","86401-5711","Mohave","700 W. Beale St.","","Kingman","AZ","86401","Mohave","Lynne Valentine-RN","Nurse Manager","928-753-0714","","Lynne.Valentine@mohavecounty.us","","Kathryn Griffith RN-PHN","Immunization Program Coordinator","928-753-0714","4301","Kathryn.Griffith@mohavecounty.us",""]
[null,201900806,"Havasu Regional Medical Center","LifePoint Health","1780761866","Inpatient Hospitals (other than children's hospitals)",226,0,"101 Civic Center Ln","","Lake Havasu City","AZ","86403-5607","Mohave","330 Seven Springs Way","","Brentwood","TN","37027","Davidson","Ian Andes","Sr. Director Managed Care","615-920-7362","","Ian.Andes@LPNT.net","","Christina Dimambro","CFO","928-453-0422","","",""]
[null,201900807,"NORTH COUNTRY HEALTHCARE - LAKE HAVASU CITY","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",5.3,0,"2090 Smoketree Ave N","","Lake Havasu City","AZ","86403-5806","Mohave","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900808,"LeChee Health Facility","Tuba City Regional Health Care Corporation","1831448398","Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",50,0,"3 Miles South of Page Az","Coppermine Rd","Lechee","AZ","86040","Coconino","167 N Main St","","Tuba City","AZ","86045-0600","Coconino","Lynette Bonar","Chief Executive Officer","928-283-2797","","lynette.bonar@tchealth.org","","Alvina Tunney-Patterson","Chief Compliance Officer","928-283-2452","","alvina.tunney-patterson@tchealth.org",""]
[null,201900809,"Canyonlands Healthcare - Beaver Dam","CANYONLANDS COMMUNITY HEALTH CARE","1780653741","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",1.5,1,"3272 E Rio Virgin Rd","","Littlefield","AZ","86432-3200","Mohave","827 Vista Ave","PO Box 1625","Page","AZ","86040","Coconino","Christopher Hansen","CEO","928-645-9675","5507","c.hansen@cchcaz.org","","Holly Smith","CFO","928-645-9675","5555","h.smith@cchcaz.org",""]
[null,201900810,"Pinal County Public Health Services District Mammoth","Pinal County Public Health Services District Mammoth","1720411424","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"110 N Main St","","Mammoth","AZ","85618","Pinal","110 N Main St","","Mammoth","AZ","85618","Pinal","Tom Schryer","Director","520-866-7301","","tom.schryer@pinalcountyaz.gov","http://pinalcountyaz.gov/Departments/PublicHealth/Pages/OfficeLocations.aspx","Kore Redden","Assistant Director","520-866-7331","","kore.redden@pinalcountyaz.gov",""]
[null,201900811,"Many Farms Dental Clinic","Many Farms Dental Clinic","1942484910","Dental Providers",0,1,"Highway 191 Lake Rd.","","Many Farms","AZ","86538","Apache","POB 397","","Many Farms","AZ","86538","Apache","Patrick Yazzie","Business Office Supervisor","928-674-7030","","patrick.yazzie@ihs.gov","","Ron Tso","Chief Executive Officer","928-674-7011","","ron.tso@ihs.gov",""]
[null,201900812,"Marana Health Center BH","MARANA HEALTH CENTER, INC.","1689864597","Community Mental Health Centers, Federally Qualified Health Centers",7,0,"13395 N Marana Main St","Bldg B","Marana","AZ","85653-7008","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Clint Kuntz","CEO","520-682-4111","6254","ckuntz@mhchealthcare.org","","","","","","",""]
[null,201900813,"Pinal County Public Health Services District Maricopa Clinic","Pinal County Public Health Services District Maricopa","1972936946","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"41600 W Smith Enke Rd","Bldg 15","Maricopa","AZ","85138-2702","Pinal","41600 W Smith Enke Rd, Bldg 15","","Maricopa","AZ","85138-2702","Pinal","Tom Schryer","Director","520-866-7301","","tom.schryer@pinalcountyaz.gov","http://pinalcountyaz.gov/Departments/PublicHealth/Pages/OfficeLocations.aspx","Kore Redden","Assistant Director","520-866-7331","","kore.redden@pinalcountyaz.gov",""]
[null,201900814,"Maricopa Family Practice","SUN LIFE FAMILY HEALTH CENTER, INC.","1548472475","Federally Qualified Health Centers",6,0,"44572 W Bowlin Rd","","Maricopa","AZ","85138-4558","Pinal","865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","Travis Robinette","CEO","520-381-0303","","travisr@slfhc.org","slfhc.org","Kim Collins","COO","520-381-0302","","kim.collins@slfhc.org","slfhc.org"]
[null,201900815,"MARICOPA SATELLITE","SUN LIFE FAMILY HEALTH CENTER, INC.","1881073443","Federally Qualified Health Centers",2,0,"44765 W. Hathaway Rd","","Maricopa","AZ","85139","Pinal","865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","Travis Robinette","CEO","520-381-0303","","travisr@slfhc.org","slfhc.org","Kim Collins","COO","520-381-0302","","kim.collins@slfhc.org","slfhc.org"]
[null,201900816,"Planned Parenthood Mesa Health Center","Planned Parenthood Arizona","1083694160","Family Planning Providers, Ryan White Providers, Sexually Transmitted Disease Clinics",10,0,"1235 S Gilbert Rd","Suite 7","Mesa","AZ","85204-6006","Maricopa","4751 N. 15th St.","","Phoenix","AZ","85014","Maricopa","Patricia Gross","Chief Operating Officer","602-263-4200","","pgross@ppaz.org","","Kate Thomas","Center Manager","602-263-5085","","kthomas@ppaz.org",""]
[null,201900817,"Adelante Healthcare Mesa","ADELANTE HEALTHCARE, INC.","1891853446","Dental Providers, Federally Qualified Health Centers",11,1,"1705 W Main St","","Mesa","AZ","85201-6920","Maricopa","9520 W Palm Ln Ste 200","","Phoenix","AZ","85037-4403","Maricopa","Richard Miller","Chief Financial Officer","623-583-3001","1209","rmiller@adelantehealthcare.com","www.adelantehealthcare.com","Eric Battis","Chief Operations Officer","623-583-3001","1222","ebattis@adelantehealthcare.com","www.adelantehealthcare.com"]
[null,201900818,"MIHS - Desert Vista Behavioral Health Center (inpatient hospital)","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1073576740","Inpatient Hospitals (other than children's hospitals)",126,0,"570 W Brown Rd","","Mesa","AZ","85201-3227","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900819,"MIHS - Desert Vista Behavioral Health Center (other ecp providers)","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1073576740","Other ECP Providers",126,0,"570 W Brown Rd","","Mesa","AZ","85201-3227","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900820,"MIHS - Mesa Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1306265145","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",5.6,0.98,"59 S Hibbert","","Mesa","AZ","85210-1414","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900821,"MARIPOSA CHC-MESQUITE BUILDING","MARIPOSA COMMUNITY HEALTH CENTER, INC.","1104122563","Dental Providers, Federally Qualified Health Centers",17,7,"1835 N Mastick Way","","Nogales","AZ","85621-1064","Santa Cruz","1852 N Mastick Way","","Nogales","AZ","85621-1063","Santa Cruz","Ed Sicurello","CEO","520-761-2128","","esicurello@mariposachc.net","www.mariposachc.net","Tia Duncan","Senior Director of Administrative Services","520-761-2128","","tduncan@mariposachc.net",""]
[null,201900822,"MARIPOSA COMMUNITY HEALTH CENTER, INC.","MARIPOSA COMMUNITY HEALTH CENTER, INC.","1417985474","Dental Providers, Federally Qualified Health Centers",17,7,"1852 N Mastick Way","","Nogales","AZ","85621-1063","Santa Cruz","1852 N Mastick Way","","Nogales","AZ","85621-1063","Santa Cruz","Ed Sicurello","CEO","520-761-2128","","esicurello@mariposachc.net","www.mariposachc.net","Tia Duncan","Senior Director of Administrative Services","520-761-2128","","tduncan@mariposachc.net",""]
[null,201900823,"ORACLE SATELLITE","SUN LIFE FAMILY HEALTH CENTER, INC.","1902018856","Federally Qualified Health Centers",2,0,"1870 W American Ave","","Oracle","AZ","85623-6015","Pinal","865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","Travis Robinette","CEO","520-381-0303","","travisr@lfhc.org","slfhc.org","Kim Collins","COO","520-381-0302","","kim.collins@slfhc.org","slfhc.org"]
[null,201900824,"Oracle FQHC","Horizon Health and Wellness, Inc.","1710366737","Community Mental Health Centers, Federally Qualified Health Centers, Other ECP Providers, Rural Health Clinics",1,0,"980 E Mt Lemmon Hwy","","Oracle","AZ","85623","Pinal","625 N. Plaza Drive","","Apache Junction","AZ","85120","Pinal","Lila Hernandez","Procurement Coordinator","520-836-1688","61837","Lila.Hernandez@hhwaz.org","","Dr. Fred Karst","Chief Operating Officer","480-983-0065","","fred.karst@hhwaz.org",""]
[null,201900825,"Summit Healthcare Community Clinic","Summit Healthcare Regional Medical Center","1770700767","Federally Qualified Health Centers, Rural Health Clinics",2,0,"2931 S Highway 260","PO Box 937","Overgaard","AZ","85933-0937","Navajo","2200 E Show Low Lake Road","","Show Low","AZ","85901","Navajo","Page L. Osborn-Oldham","Clinic Manager","928-535-3616","7819","posbornoldham@summithealthcare.net","summithealthcare.net","Ken Allen","OOC","928-537-4375","","kallen@summithealthcare.net","summithealthcare.net"]
[null,201900826,"Canyonlands Healthcare - Urgent Care","CANYONLANDS COMMUNITY HEALTH CARE","1669441564","Family Planning Providers, Federally Qualified Health Centers",3,0,"440 N Navajo Dr","","Page","AZ","86040","Coconino","827 Vista Ave","","Page","AZ","86040","Coconino","Christopher Hansen","CFO","928-645-9675","5507","c.hansen@cchcaz.org","","Holly Smith","CFO","928-645-9675","5555","h.smith@cchcaz.org",""]
[null,201900827,"Canyonlands Healthcare - Lake Powell","Canyonlands Healthcare","1619945904","Black Lung Clinics, Family Planning Providers, Federally Qualified Health Centers",3.5,0,"467 Vista Ave","","Page","AZ","86040","Coconino","827 Vista Ave","PO Box 1625","Page","AZ","86040","Coconino","Christopher Hansen","CEO","928-645-9675","5507","c.hansen@cchcaz.org","","Holly Smith","CFO","928-645-6600","5555","h.smith@cchcaz.org","http://www.canyonlandschc.org"]
[null,201900828,"Canyonlands Healthcare","Canyonlands Healthcare","1932103462","Black Lung Clinics, Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",18,3,"827 Vista Ave","","Page","AZ","86040","Coconino","467 Vista Avenue","","Page","AZ","86040","Coconino","Christopher Hansen","Chief Executive Officer","928-645-9675","5555","c.hansen@cchcaz.org","","Holly Smith","Chief Fiancial Officer","928-645-9675","5555","h.smith@cchcaz.org",""]
[null,201900829,"Colorado River Service Unit - Parker Hospital/ Peach Springs Health Center/Supai Clinic/Chemehuevi Clinic/Moapa Clinic","Colorado River Service Unit - Parker Hospital/ Peach Springs Health Center/Supai Clinic/Chemehuevi Clinic/Moapa Clinic","1851678585","Dental Providers, Indian Health Service, Rural Health Clinics",30,6,"12033 Agency Rd","","Parker","AZ","85344-7718","La Paz","12033 Agency Rd","","Parker","AZ","85344","La Paz","ELIZABETH HELSEL","Chief Executive Officer","928-669-2137","","ELIZABETH.HELSEL@IHS.GOV","","","","","","",""]
[null,201900830,"LA PAZ HEALTHCARE PARKER CLINIC","LA PAZ REGIONAL HOSPITAL,INC DBA","1083639983","Rural Health Clinics",2,0,"601 W Riverside Dr","Suite 3","Parker","AZ","85344-5119","La Paz","1200 MOHAVE ROAD","","PARKER","AZ","85344","La Paz","CARL FLANAGAN","CFO","928-669-7400","","CFLANAGAN@LAPAZHOSPITAL.ORG","","YOLANDA M HOLT","BO DIRECTOR","928-669-7313","","YHOLT@LAPAZHOSPITAL.ORG",""]
[null,201900831,"Parker Medical Center, Ltd","Parker Medical Center, Ltd","1720433832","Rural Health Clinics",2,0,"905 S Fiesta Ave","","Parker","AZ","85344-5152","La Paz","905 South Fiesta Avenue","","PARKER","AZ","85344","La Paz","Alicia Shillito","Manager","928-916-0399","","parkermedicalcenter@outlook.com","","Robyn Anderson","biller","928-279-4802","","parkermedicalcenter@outlook.com",""]
[null,201900832,"FAMILY HEALTH CENTER","MARIPOSA COMMUNITY HEALTH CENTER, INC.","1003837618","Dental Providers, Federally Qualified Health Centers",17,7,"101 N Taylor Ln","","Patagonia","AZ","85624-9600","Santa Cruz","1852 N Mastick Way","","Nogales","AZ","85621-1063","Santa Cruz","Ed Sicurello","CEO","520-761-2128","","esicurello@mariposachc.net","www.mariposachc.net","Tia Duncan","Senior Director of Administrative Services","520-761-2128","","tduncan@mariposachc.net",""]
[null,201900833,"NORTH COUNTRY HEALTHCARE - PAYSON","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",2,0,"708 S Coeur D Alene Ln","","Payson","AZ","85541-5662","Gila","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900834,"Peach Springs Health Center","Peach Springs Health Center (included in Colorado River Service Unit)","1265719934","Indian Health Service, Other ECP Providers",5,0,"943 Hualapai Way","","Peach Springs","AZ","86434","Mohave","PO Box 129","","Peach Springs","AZ","86434-0129","Mohave","Jane Preston","Acting Director","928-769-2910","","leslie.preston@ihs.gov","","Kathleen Nelson","HIM Director","928-669-3245","","kathleen.nelson@ihs.gov",""]
[null,201900835,"SUNSITES MEDICAL CLINIC","Northern Cochise Community Hospital","1013060367","Rural Health Clinics",2,0,"223 N Frontage Rd","","Pearce","AZ","85625","Cochise","901 W Rex Allen Dr","","Willcox","AZ","85643","Cochise","Marcie Merriman","Director Rural health Clinics","520-826-1088","","mmerriman@ncch.com","","","","","","",""]
[null,201900836,"Adelante Healthcare Peoria","ADELANTE HEALTHCARE, INC.","1770991291","Federally Qualified Health Centers",6,0,"15525 N 83rd Ave","Suite 104","Peoria","AZ","85382-5820","Maricopa","9520 W Palm Ln Ste 200","","Phoenix","AZ","85037-4403","Maricopa","Richard Miller","Chief Financial Officer","623-583-3001","1209","rmiller@adelantehealthcare.com","www.adelantehealthcare.com","Eric Battis","Chief Operations Officer","623-583-3001","1222","ebattis@adelantehealthcare.com","www.adelantehealthcare.com"]
[null,201900837,"San Carlos Apache Healthcare Corporation","San Carlos Apache Health Care Corporation","1265813075","Dental Providers, Family Planning Providers, Tribal Health Program operated under P.L. 93-638",19.4,5,"103 Medicine Way Rd","","Peridot","AZ","85542","Gila","PO Box 787","","Peridot","AZ","85542-0787","Graham","Deven Parlikar","Chief Executive Officer","928-475-1200","","dparlikar@gmail.com","","Victoria Began","Chief Nursing Office","928-475-1208","1208","victoria.began@scahealth.org",""]
[null,201900838,"MIHS - Seventh Avenue FHC WHH POCN Comunidad","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1356760102","Federally Qualified Health Centers, Other ECP Providers",1.29,0,"1035 E Jefferson St","Suite B","Phoenix","AZ","85034-2295","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900839,"MIHS - Pendergast Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1073916896","Dental Providers, Federally Qualified Health Centers, Other ECP Providers",1.55,0.57,"10550 W Mariposa St","Suite 1","Phoenix","AZ","85037-5082","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900840,"MIHS - McDowell Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1629497474","Dental Providers, Federally Qualified Health Centers, Other ECP Providers",5.7,1,"1101 N Central Ave","Suite 200","Phoenix","AZ","85004-1844","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900841,"MIHS - 7th Avenue Walk-in Clinic","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1083033831","Federally Qualified Health Centers, Other ECP Providers",6.6,0,"1201 S 7th Ave","","Phoenix","AZ","85007-3917","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900842,"MIHS - Seventh Avenue Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1336568187","Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",4,0,"1205 S 7th Ave","","Phoenix","AZ","85007-3913","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900843,"Red Mountain Service Center","Valle del Sol","1225317944","Federally Qualified Health Centers",1.5,0,"1209 S 1st Ave","","Phoenix","AZ","85003-2692","Maricopa","3807 N. 7th Street","","Phoenix","AZ","85014","Maricopa","Kurt R. Sheppard","President and CEO","602-258-6797","122","kurts@valledelsol.com","www.valledelsol.com","Carmen Heredia","Chief of Arizona Operations","602-258-6797","132","carmenh@valledelsol.com","www.valledelsol.com"]
[null,201900844,"NOAH Balsz Health Center","Neighborhood Outreach Access to Health","1790189991","Dental Providers, Federally Qualified Health Centers",1,1,"1300 N 48th St","","Phoenix","AZ","85008-5803","Maricopa","3634 N Drinkwater Blvd","","Scottsdale","AZ","85251-5622","Maricopa","Wendy Armendariz","Chief Executive Officer","480-882-6073","","wendy.armendariz@honorhealth.com","www.noahhelps.org","Julia Nierad","Chief Financial Officer","480-882-5917","","julia.nierad@honorhealth.com",""]
[null,201900845,"Wesley Health Center","Wesley Health Center","1396910436","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers",6.38,0,"1300 S 10th St","","Phoenix","AZ","85034-4516","Maricopa","1300 S 10th Street","","Phoenix","AZ","85034","Maricopa","Jaree Chambers","COO","602-368-9603","","jchambers@wccphx.net","","Sonya Wilkins","CFO","602-368-9888","","swilkins@wccphx.net",""]
[null,201900846,"NOAH Palomino Health Center","Neighborhood Outreach Access to Health","1972907129","Dental Providers, Federally Qualified Health Centers",1,0.2,"15833 N 29th St","","Phoenix","AZ","85032-3704","Maricopa","3634 N Drinkwater Blvd","","Scottsdale","AZ","85251-5622","Maricopa","Wendy Armendariz","Chief Executive Officer","480-882-6073","","wendy.armendariz@honorhealth.com","www.noahhelps.org","Julia Nierad","Chief Financial Officer","480-882-5917","","julia.nierad@honorhealth.com",""]
[null,201900847,"Wesley Health Center - Golden Gate","Wesley Health Center","1144696097","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers",6.38,0,"1625 N 39th Ave","","Phoenix","AZ","85009-2149","Maricopa","1300 S 10th Street","","Phoenix","AZ","85034","Maricopa","Jaree Chambers","COO","602-368-9603","","jchambers@wccphx.net","","Sonya Wilkins","CFO","602-368-9888","","swilkins@wccphx.net",""]
[null,201900848,"MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH SERVICES","MARICOPA, COUNTY OF","1881928760","Dental Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",9,2,"1645 E Roosevelt St","","Phoenix","AZ","85006-3638","Maricopa","4041 N. Central Ave.","Suite 1400","Phoenix","AZ","85012","Maricopa","Bob England","Director","602-506-6601","","bobengland@mail.maricopa.gov","www.wearepublichealth.org","Corinne Velasquez","Clinic Administrator","602-506-6657","","CorinneVelasquez@mail.maricopa.gov",""]
[null,201900849,"Mountain Park Health Center - Sunrise","MOUNTAIN PARK HEALTH CENTER","1386027852","Federally Qualified Health Centers",1,0,"17624 N 31st Ave","","Phoenix","AZ","85053-1935","Maricopa","2702 N 3rd St Ste 4020","","Phoenix","AZ","85004-4608","Maricopa","Tara Cahn","Contracts Administration Manager","602-586-2981","","tcahn@mphc-az.org","","Beckie Brown","Credentialing Manager","602-586-3025","","bbrown@mphc-az.org",""]
[null,201900850,"St. Luke's Medical Center","Steward Healthcare System LLC","1427009026","Inpatient Hospitals (other than children's hospitals)",276,0,"1800 E Van Buren St","","Phoenix","AZ","85006-3742","Maricopa","111 Huntington Avenue","Suite 1800","Boston","MA","02199","Suffolk","James Flinn","President","602-251-8116","","james.flinn@steward.org","www.steward.org","Christopher Flores","Chief Financial Officer","602-251-8622","","christopher.flores@steward.org","www.steward.org"]
[null,201900851,"Phoenix Children's Hospital (children's inpatient hospital)","Phoenix Children's Hospital","1760480503","Children's Hospitals (inpatient only)",411,0,"1919 E Thomas Rd","","Phoenix","AZ","85016-7710","Maricopa","1919 E THOMAS RD","","Phoenix","AZ","85016","Maricopa","RENEE CLARKE","DIR PAYER RELATIONS AND CONTRACT SERVICES","602-933-2600","","RCLARKE@PHOENIXCHILDRENS.COM","www.phoenixchildrens.com","CHAD JOHNSON","SVP, PHOENIX CHILDREN'S CARE NETWORK","602-933-0308","","CHAD.JOHNSON@PHOENIXCHILDRENS.COM","www.phoenixchildrens.com"]
[null,201900852,"Phoenix Children's Hospital (multiple outpatient ECP categories)","Phoenix Children's Hospital","1760480503","Dental Providers, Hemophilia Treatment Centers, Other ECP Providers, Ryan White Providers",429,33,"1919 E Thomas Rd","","Phoenix","AZ","85016-7710","Maricopa","1919 E THOMAS RD","","Phoenix","AZ","85016","Maricopa","RENEE CLARKE","DIR PAYER RELATIONS AND CONTRACT SERVICES","602-933-2600","","RCLARKE@PHOENIXCHILDRENS.COM","www.phoenixchildrens.com","CHAD JOHNSON","SVP PHOENIX CHILDREN'S CARE NETWORK","602-933-0308","","CHAD.JOHNSON@PHOENIXCHILDRENS.COM","www.phoenixchildrens.com"]
[null,201900853,"Health Care for the Homeless","Maricopa County","1417204157","Federally Qualified Health Centers",4,0,"220 S 12th Ave","","Phoenix","AZ","85007-3101","Maricopa","4041 N. Central Ave.","Suite 1400","Phoenix","AZ","85012","Maricopa","Corinne Velasquez","Division Administrator","602-506-6657","","corinnevelasquez@mail.maricopa.gov","","Vicki Copeland","Physician","602-372-2102","","vickicopeland@mail.maricopa.gov",""]
[null,201900854,"NHW Community Health Center","Native Health","1982830410","Dental Providers, Federally Qualified Health Centers, Urban Indian Health Program",2.18,1,"2423 W Dunlap Ave","Suite 140","Phoenix","AZ","85021-5818","Maricopa","4041 N Central Ave","Building C","Phoenix","AZ","85012","Maricopa","Patricia Patron","COO","602-279-5262","3134","ppatron@nachci.com","nativehealthphoenix.org","Deanna Sangster","Health Services Administrator","602-279-5262","3409","dsangster@nachci.com",""]
[null,201900855,"MIHS - Comprehensive Healthcare Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1164840302","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",26.97,4.2,"2525 E Roosevelt St","","Phoenix","AZ","85008-4948","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900856,"MIHS - Maricopa Medical Center (children's inpatient hospital)","Maricopa County Special Health Care District dba Maricopa Integrated Health System","1073576740","Children's Hospitals (inpatient only)",71,0,"2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900857,"MIHS - Maricopa Medical Center (inpatient hospital)","Maricopa County Special Health Care District dba Maricopa Integrated Health System","1073576740","Inpatient Hospitals (other than children's hospitals)",254,0,"2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900858,"MIHS - Maricopa Medical Center (other ecp providers)","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1073576740","Other ECP Providers",325,0,"2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900859,"MIHS - Maricopa Behavioral Health Annex (inpatient hospital)","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1073576740","Inpatient Hospitals (other than children's hospitals)",93,0,"2619 E Pierce St","","Phoenix","AZ","85008-6092","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900860,"MIHS - Maricopa Behavioral Health Annex (outpatient hospital clinics)","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1073576740","Outpatient Hospital Clinics",93,0,"2619 E Pierce St","","Phoenix","AZ","85008-6092","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900861,"Northeast Phoenix Health Center","Planned Parenthood Arizona","1083694160","Family Planning Providers",10,0,"3131 E Thunderbird Rd","Suite 48","Phoenix","AZ","85032-5641","Maricopa","4751 N 15th Street","","Phoenix","AZ","85014-2500","Maricopa","Patricia Gross","COO","602-263-4275","","pgross@ppaz.org","http://www.plannedparenthood.org/ppaz/","","","","","",""]
[null,201900862,"MIHS - South Central Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1891114641","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",5.8,0.99,"33 W Tamarisk St","","Phoenix","AZ","85041-2422","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900863,"Circle the City Medical Respite Center","CIRCLE THE CITY","1932588795","Federally Qualified Health Centers",10.5,0,"333 W Indian School Rd","","Phoenix","AZ","85013-3205","Maricopa","300 W Clarendon","Suite 200","Phoenix","AZ","85013-3205","Maricopa","Brandon Clark","Chief Executive Officer","602-776-9000","","bclark@circlethecity.org","","","","","","",""]
[null,201900864,"Parsons Family Health Center","Circle the City","1487033247","Federally Qualified Health Centers",10.5,0,"3522 N 3rd Ave","","Phoenix","AZ","85013-3903","Maricopa","300 W Clarendon","Suite 200","Phoenix","AZ","85013","Maricopa","Brandon Clark","Chief Executive Officer","602-776-9000","","bclark@circlethecity.org","","","","","","",""]
[null,201900865,"NOAH Calavar Family Health Center","Neighborhood Outreach Access to Health","1275086191","Federally Qualified Health Centers",1,0,"3525 W Calavar Rd","","Phoenix","AZ","85053-5512","Maricopa","3634 N. Drinkwater Blvd.","","Scottsdale","AZ","85251","Maricopa","Wendy Armendariz","Chief Executive Officer","480-882-6073","","wendy.armendariz@honorhealth.com","www.noahhelps.org","Julia Nierad","Chief Financial Officer","480-882-5917","","julia.nierad@honorhealth.com","www.noahhelps.org"]
[null,201900866,"Central City Phoenix","Valle del Sol","1255614079","Federally Qualified Health Centers",1.5,0,"3807 N 7th St","","Phoenix","AZ","85014-5005","Maricopa","3807 N. 7th Street","","Phoenix","AZ","85014","Maricopa","Kurt R. Sheppard","President and CEO","602-258-6797","122","kurts@valledelsol.com","www.valledelsol.com","Carmen Heredia","Chief Of Arizona Operations","602-258-6797","132","carmenh@valledelsol.com","www.valledelsol.com"]
[null,201900867,"Mountain Park Health Center - Gateway","MOUNTAIN PARK HEALTH CENTER","1386741668","Federally Qualified Health Centers, Other ECP Providers",12,0,"3830 E Van Buren St","","Phoenix","AZ","85008-6920","Maricopa","2702 N 3rd St Ste 4020","","Phoenix","AZ","85004-4608","Maricopa","Tara Cahn","Contracts Administration Manager","602-586-2981","","tcahn@mphc-az.org","","Beckie Brown","Credentialing Manager","602-586-3025","","bbrown@mphc-az.org",""]
[null,201900868,"MIHS - Maryvale Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1295154045","Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",3.53,0,"4011 N 51st Ave","","Phoenix","AZ","85031-2601","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900869,"Native Health Central","Native Health","1700904075","Dental Providers, Federally Qualified Health Centers, Urban Indian Health Program",3,2,"4041 N Central Ave","Bldg C","Phoenix","AZ","85012-3313","Maricopa","4041 N Central Ave","Building C","Phoenix","AZ","85012","Maricopa","Patricia Patron","COO","602-279-5262","3134","ppatron@nachci.com","nativehealthphoenix.org","Deanna Sangster","Health Services Administrator","602-279-5262","3409","dsangster@nachci.com",""]
[null,201900870,"Phoenix Indian Medical Center","Phoenix Indian Medical Center","1083643738","Dental Providers, Indian Health Service, Ryan White Providers",143,15,"4212 N 16th St","","Phoenix","AZ","85016-5389","Maricopa","4212 N 16th St","","Phoenix","AZ","85016-5389","Maricopa","Michael Weahkee","Chief Executive Officer","602-263-1200","","michael.weahkee@ihs.gov","","Ms. Deanna Dick","Chief Operations Officer","602-263-1200","","deanna.dick@ihs.gov",""]
[null,201900871,"Mountain Park Health Center - Atkinson","MOUNTAIN PARK HEALTH CENTER","1740663210","Federally Qualified Health Centers",1,0,"4315 N Maryvale Pkwy","","Phoenix","AZ","85031-1942","Maricopa","2702 N 3rd St Ste 4020","","Phoenix","AZ","85004-4608","Maricopa","Tara Cahn","Contracts Administration Manager","602-586-2981","","tcahn@mphc-az.org","","Beckie Brown","Credentialing Manager","602-586-3025","","bbrown@mphc-az.org",""]
[null,201900872,"Maryvale Health Center","Planned Parenthood Arizona","1083694160","Family Planning Providers",10,0,"4616 N 51st Ave","Suite 210","Phoenix","AZ","85031-1721","Maricopa","4751 N 15th Street","","Phoenix","AZ","85014-2500","Maricopa","Patricia Gross","COO","602-263-4275","","pgross@ppaz.org","http://www.plannedparenthood.org/ppaz/","","","","","",""]
[null,201900873,"MIHS - Sunnyslope FHC WHH SWN Highland","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1730508524","Federally Qualified Health Centers, Other ECP Providers",0.91,0,"4707 N 12th St","Suite B","Phoenix","AZ","85014-4009","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900874,"Planned Parenthood Central Phoenix","Planned Parenthood Arizona","1083694160","Family Planning Providers",10,0,"4751 N 15th St","","Phoenix","AZ","85014-3707","Maricopa","4751 N. 15th St.","","Phoenix","AZ","85014","Maricopa","Patricia Gross","Chief Operating Officer","602-263-4275","","pgross@ppaz.org","","Rick Valle","Center Manager","602-263-5385","","rvalle@ppaz.org",""]
[null,201900875,"Adelante Healthcare - central Phoenix","ADELANTE HEALTHCARE, INC.","1205200565","Federally Qualified Health Centers",1,0,"500 W Thomas Rd","Suite 870","Phoenix","AZ","85013-4218","Maricopa","9520 W. Palm Lane Ste 200","","Phoenix","AZ","85037-4403","Maricopa","Richard Miller","Chief Financial Officer","623-583-3001","1209","rmiller@adelantehealthcare.com","www.adelantehealthcare.com","Eric Battis","Chief Operations Officer","623-583-3001","1222","ebattis@adelantehealthcare.com","www.adelantehealthcare.com"]
[null,201900876,"Mountain Park Health Center - Christown","MOUNTAIN PARK HEALTH CENTER","1487037958","Dental Providers, Federally Qualified Health Centers, Other ECP Providers",2,1,"5517 N 17th Ave","","Phoenix","AZ","85015-2516","Maricopa","2702 N 3rd St Ste 4020","","Phoenix","AZ","85004-4608","Maricopa","Tara Cahn","Contracts Administration Manager","602-586-2981","","tcahn@mphc-az.org","","Beckie Brown","Credentialing Manager","602-586-3025","","bbrown@mphc-az.org",""]
[null,201900877,"Mountain Park Health Center - Baseline","MOUNTAIN PARK HEALTH CENTER","1558308825","Dental Providers, Federally Qualified Health Centers, Other ECP Providers",31,8,"635 E Baseline Rd","","Phoenix","AZ","85042-6583","Maricopa","2702 N 3rd St Ste 4020","","Phoenix","AZ","85004-4608","Maricopa","Tara Cahn","Contracts Administration Manager","602-586-2981","","tcahn@mphc-az.org","","Beckie Brown","Credentialing Manager","602-586-3025","","bbrown@mphc-az.org",""]
[null,201900878,"Mountain Park Health Center - Maryvale","MOUNTAIN PARK HEALTH CENTER","1740387018","Dental Providers, Federally Qualified Health Centers, Other ECP Providers",23,8,"6601 W Thomas Rd","Suite 4","Phoenix","AZ","85033-5742","Maricopa","2702 N 3rd St Ste 4020","","Phoenix","AZ","85004-4608","Maricopa","Tara Cahn","Contracts Administration Manager","602-586-2981","","tcahn@mphc-az.org","","Beckie Brown","Credentialing Manager","602-586-3025","","bbrown@mphc-az.org",""]
[null,201900879,"Adelante Healthcare Phoenix","ADELANTE HEALTHCARE, INC.","1144419284","Federally Qualified Health Centers",6,0,"7725 N 43rd Ave","Suite 510","Phoenix","AZ","85051-5771","Maricopa","9520 W Palm Ln Ste 200","","Phoenix","AZ","85037-4403","Maricopa","Richard Miller","Chief Financial Officer","623-583-3001","1209","rmiller@adelantehealthcare.com","www.adelantehealthcare.com","Eric Battis","Chief Operations Officer","623-583-3001","1222","ebattis@adelantehealthcare.com","www.adelantehealthcare.com"]
[null,201900880,"Desert Mission Community Health Center","Neighborhood Outreach Access to Health","1649659236","Dental Providers, Federally Qualified Health Centers",2.4,1.6,"9201 N 5th St","","Phoenix","AZ","85020-2532","Maricopa","3634 N. Drinkwater Blvd.","","Scottsdale","AZ","85251","Maricopa","Wendy Armendariz","Executive Director","480-882-6073","","wendy.armendariz@honorhealth.com","www.noahhelps.org","Julia Nierad","Chief Financial Officer","480-882-5917","","julia.nierad@honorhealth.com",""]
[null,201900881,"MIHS - Sunnyslope Family Health Center","Maricopa County Special Health Care District dba Maricopa Integrated Health System \"MIHS\"","1114346962","Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",3.8,0,"934 W Hatcher Rd","","Phoenix","AZ","85021-3139","Maricopa","2601 E Roosevelt St","","Phoenix","AZ","85008-4973","Maricopa","Barbara Harding","Sr VP Ambulatory Services & CEO MHCGC","602-344-1129","","Barbara.Harding@mihs.org","","","","","","",""]
[null,201900882,"Pinon Health Center","Pinon Health Center","1396761565","Dental Providers, Indian Health Service, Other ECP Providers",12,2,"Navajo Route 4","2 Miles East of Pinon","Pinon","AZ","86510","Navajo","PO Box 10","","Pinon","AZ","86510-0010","Navajo","Cornelia Lapahe","Business Office Supervisor","928-725-9657","","cornelia.lapahe@ihs.gov","","Darlene Chee","HSA","928-725-9532","","darlene.chee@ihs.gov",""]
[null,201900883,"Hopi Health Care Center (Keams Canyon Service Unit)","Hopi Health Care Center (Keams Canyon Service Unit)","1356628028","Dental Providers, Indian Health Service, Other ECP Providers",9,5,"Hwy 264 Milepost 388","","Polacca","AZ","86042","Navajo","PO Box 4000","Hwy 264 Milepost 388","Polacca","AZ","86042-4000","Navajo","Daryl Melvin","Chief Executive Officer","928-737-6085","6085","daryl.melvin@ihs.gov","","IsaBelle Grover","Supervisoroy Health Systems Specialist","928-737-6085","6085","isabelle.grover@ihs.gov",""]
[null,201900884,"Yavapai Co. Community Health Services Prescott Clinic","Yavapai County Community Health Services","1659317022","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",14,2,"1090 Commerce Dr","","Prescott","AZ","86305-3700","Yavapai","1090 Commerce Dr","","Prescott","AZ","86305-3700","Yavapai","Debbie Savoini","Interim Director","928-442-5581","","debbie.savoini@yavapai.us","http://www.chcy.info/?page_id=291","Kevin Goss","Business Manager Clinical Services","928-777-7539","","Kevin.Goss@yavapai.us",""]
[null,201900885,"Northland Cares","Northland Cares","1033213053","Rural Health Clinics, Ryan White Providers, Sexually Transmitted Disease Clinics",2,0,"3112 Clearwater Dr","Suite A","Prescott","AZ","86305-7187","Yavapai","3112 Clearwater Drive","Suite A","Prescott","AZ","86305","Yavapai","Donald Sadler","Board of Directors Member","928-776-4612","11","ncsupport@northlandcares.org","www.northlandcares.org","Laurie Silver","Executive Director","928-776-4612","14","lsilver@northlandcares.org","www.northlandcares.org"]
[null,201900886,"Yavapai Co. Community Health Services Prescott Valley Clinic","Yavapai County Community Health Services","1659317022","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",14,2,"3212 N Windsong Dr # 2","","Prescott Valley","AZ","86314-2255","Yavapai","3212 N Windsong Dr # 2","","Prescott Valley","AZ","86314-2255","Yavapai","Debbie Savoini","Interim Director","928-442-5581","","debbie.savoini@yavapai.us","","Kevin Goss","Business Manager Clinical Services","928-777-7539","","Kevin.Goss@yavapai.us","http://www.chcy.info/?page_id=291"]
[null,201900887,"LA PAZ MEDICAL SERVICES","LA PAZ REGIONAL HOSPITAL dba","1013932938","Rural Health Clinics",2,0,"150 E Tyson Rd","","Quartzsite","AZ","85359","La Paz","1200 MOHAVE RD","","PARKER","AZ","85344","La Paz","CARL FLANAGAN","CFO","928-669-7400","","cflanagan@lapazhospital.org","","YOLANDA M HOLT","BO DIRECTOR","928-669-7313","","yholt@lapazhospital.org",""]
[null,201900888,"MARIPOSA CHC - RIO RICO","MARIPOSA COMMUNITY HEALTH CENTER, INC.","1013213404","Dental Providers, Federally Qualified Health Centers",17,7,"1103 Circulo Mercado","Suite E","Rio Rico","AZ","85648-6249","Santa Cruz","1852 N Mastick Way","","Nogales","AZ","85621-1063","Santa Cruz","Ed Sicurello","CEO","520-761-2128","","esicurello@mariposachc.net","www.mariposachc.net","Tia Duncan","Senior Director of Administrative Services","520-761-2128","","tduncan@mariposachc.net",""]
[null,201900889,"Sunset Community Health Center","SUNSET COMMUNITY HEALTH CENTER","1063433720","Other ECP Providers",1,0,"5151 S Ave","Sunset CHC School-Based Clinic, Mohawk Valley School - Mohawk Valley School District No.17","Roll","AZ","85347","Yuma","2060 West 24th Street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Officer","928-819-8802","","drogers@sunset-chc.org","","Whitney Sims","Chief Financial Officer","928-819-8803","","wsims@sunset-chc.org",""]
[null,201900890,"DHHS IHS PHOENIX AREA DESERT VISIONS YOUTH WELLNESS CENTER","DESERT VISIONS YOUTH WELLNESS CENTER","1104195353","Indian Health Service, Other ECP Providers",2,0,"198 South Skill Center Rd","PO Box 458","Sacaton","AZ","85147-0008","Pinal","POB 458","198 SOUTH SKILL CENTER ROAD","SACATON","AZ","85147","Pinal","Holly M Elliott","CHIEF EXECUTIVE OFFICER","520-562-4205","4205","holly.elliott@ihs.gov","https://www.ihs.gov/phoenix/index.cfm/adolescenttreatmentcenters/","EUGENA CROSSLAND","CHIEF NURSE OFFICER","520-562-4250","4250","eugena.crossland@ihs.gov","https://www.ihs.gov/phoenix/index.cfm/adolescenttreatmentcenters/"]
[null,201900891,"MT GRAHAM REGIONAL MEDICAL CENTER","MT GRAHAM REGIONAL MEDICAL CENTER","1275588345","Inpatient Hospitals (other than children's hospitals)",49,0,"1600 S 20th Ave","","Safford","AZ","85546-4011","Graham","1600 S 20th Avenue","","Safford","AZ","85546","Graham","Debi Connolly","Director of Revenue Integrity","928-348-4019","","debrac@mtgraham.org","","Angie Hernandez","Lead","928-348-4021","","angela@mtgraham.org",""]
[null,201900892,"Canyonlands Healthcare - Safford","Canyonlands Healthcare - Safford","1861558595","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",3.5,1,"2016 W 16th St","","Safford","AZ","85546-4026","Graham","827 Vista","PO Box 1625","Page","AZ","86040","Coconino","Christopher Hansen","CEO","928-645-6600","","c.hansen@cchcaz.org","","Holly Smith","CFO","928-645-9675","5555","h.smith@cchcaz.org",""]
[null,201900893,"United Community Health Center at Sahuarita Heights","UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.","1487978201","Dental Providers, Federally Qualified Health Centers",1.25,1.85,"2875 E Sahuarita Rd","","Sahuarita","AZ","85629-9434","Pima","1260 S Campbell Ave Bldg 2","","Green Valley","AZ","85614-0503","Pima","Wendy Kibby","Chief Operations Officer","520-407-5609","","wkibby@uchcaz.org","","Michelle J. Kitchell","","520-407-5604","","mjkitchell@uchcaz.org",""]
[null,201900894,"NORTH COUNTRY HEALTHCARE - ST JOHNS","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",1.75,0,"625 N 13th W St","","Saint Johns","AZ","85936","Apache","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900895,"TRI-VALLEY MEDICAL CENTER","LA PAZ REGIONAL HOSPITAL, INC DBA","1629093539","Rural Health Clinics",2,0,"39726 Harquahala Mine Rd","","Salome","AZ","85348","La Paz","1200 MOHAVE RD","","PARKER","AZ","85344","La Paz","CARL FLANAGAN","CFO","928-669-7400","","CFLANAGAN@LAPAZHOSPITAL.ORG","","YOLANDA M HOLT","BO DIRECTOR","928-669-7313","","YHOLT@LAPAZHOSPITAL.ORG",""]
[null,201900896,"Maternal Child Health","San Carlos Apache Tribe","1639519002","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638, Tuberculosis Clinics",1,0,"103 Medicine Way Rd","P.O Box 0 Dhhs Bldg 15","San Carlos","AZ","85550","Gila","San Carlos avenue, bldg 3","","San Carlos","AZ","85550","Gila","Brena Kennedy","Manager","928-475-1530","1535","brena.kennedy@scat-nsn.gov","","Lois James","Billing Supervisor","928-475-2798","1125","lois.james@scat-nsn.gov",""]
[null,201900897,"San Carlos Apache Wellness Center","San Carlos Apache Tribe","1821218801","Community Mental Health Centers, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",0.25,0,"5 San Carlos Blvd.","","San Carlos","AZ","85550","Gila","3 San Carlos Blvd.","","San Carlos","AZ","85550","Gila","Velda Williams","Executive Director, Department of Health and Human Services","928-475-2798","1104","velda.williams@scat-nsn.gov","","Brenda Schildt","Program Manager, Wellness Center","928-475-1500","1501","brenda.schildt@scatwellness.net",""]
[null,201900898,"SUNSET CHC - SAN LUIS DENTAL","SUNSET COMMUNITY HEALTH CENTER","1508947946","Dental Providers",0,1,"801 N 2nd Ave","","San Luis","AZ","85349","Yuma","2060 West 24th street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Officer","928-819-8802","","drogers@sunset-chc.org","","Whitney Sims","Chief Financial Officer","928-819-8803","","wsims@sunset-chc.org",""]
[null,201900899,"SUNSET CHC- SAN LUIS","SUNSET COMMUNITY HEALTH CENTER","1043324932","Dental Providers, Federally Qualified Health Centers",6,1,"815 E Juan Sanchez Blvd","","San Luis","AZ","85349","Yuma","2060 West 24th Street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Officer","928-819-8802","","drogers@sunset-chc.org","","Whitney Sims","Chief Financial Officer","928-819-8803","","wsims@sunset-chc.org",""]
[null,201900900,"SAN MANUEL SATELLITE","SUN LIFE FAMILY HEALTH CENTER, INC.","1467666206","Federally Qualified Health Centers",2,0,"23 S McNab Pkwy","","San Manuel","AZ","85631-1156","Pinal","865 N Arizola Rd","","Casa Grande","AZ","85122-6011","Pinal","Travis Robinette","CEO","520-381-0303","","travisr@slfhc.org","slfhc.org","Kim Collins","COO","520-381-0302","","kim.collins@slfhc.org","slfhc.org"]
[null,201900901,"Pinal County Public Health Services District San Tan Valley Clinic","Pinal County Public Health Services District San Tan Valley","1730512708","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"36375 N Gantzel Rd","","San Tan Valley","AZ","85140-7333","Pinal","36375 N Gantzel Rd","","San Tan Valley","AZ","85140-7333","Pinal","Tom Schryer","Director","520-866-7301","","tom.schryer@pinalcountyaz.gov","http://pinalcountyaz.gov/Departments/PublicHealth/Pages/OfficeLocations.aspx","Kore Redden","Assistant Director","520-866-7331","","kore.redden@pinalcountyaz.gov",""]
[null,201900902,"Behavioral Health Services","Salt River Pima-Maricopa Indian Community","1497000293","Community Mental Health Centers, Tribal Health Program operated under P.L. 93-638",2,0,"10005 E Osborn Rd","Bldg 32","Scottsdale","AZ","85256-4019","Maricopa","10005 E. Osborn Rd","","Scottsdale","AZ","85256","Maricopa","John Godfrey","Assistant Director of Health and Human Services","480-362-2727","","john.godfrey@srpmic-nsn.gov","","Violet Mitchell-Enos","Director of Health and Human Services","480-362-5480","","violet.mitchell-enos@srpmic-nsn.gov",""]
[null,201900903,"Salt River Health Center","Salt River Health Center","1093739740","Dental Providers, Family Planning Providers, Indian Health Service",7,2,"10005 E Osborn Rd","","Scottsdale","AZ","85256-4019","Maricopa","10005 E Osborn Rd","","Scottsdale","AZ","85256-4019","Maricopa","CAPT Michael D. Weahkee","Chief Executive Officer","602-263-1200","1894","michael.weahkee@ihs.gov","","Ms. Deanna Dick","Chief Operating Officer","602-263-1200","1567","deanna.dick@ihs.gov",""]
[null,201900904,"Cholla Health Center","Neighborhood Outreach Access to Health","1477956290","Dental Providers, Federally Qualified Health Centers",1,1,"11130 E Cholla St","Bldg I","Scottsdale","AZ","85259-3922","Maricopa","3634 N Drinkwater Blvd","","Scottsdale","AZ","85251-5622","Maricopa","Wendy Armendariz","Chief Executive Officer","480-882-6073","","wendy.armendariz@honorhealth.com","www.noahhelps.org","Julia Nierad","Chief Financial Officer","480-882-5917","","julia.nierad@honorhealth.com",""]
[null,201900905,"NOAH Heuser Family Health Center","Neighborhood Outreach Access to Health","1881098036","Federally Qualified Health Centers",7,0,"7301 E 2nd St","Suite 210","Scottsdale","AZ","85251-5620","Maricopa","3634 N Drinkwater Blvd","","Scottsdale","AZ","85251-5622","Maricopa","Wendy Armendariz","Chief Executive Officer","480-882-6073","","wendy.armendariz@honorhealth.com","www.noahhelps.org","Julia Nierad","Chief Financial Officer","480-882-5917","","julia.nierad@honorhealth.com",""]
[null,201900906,"Scottsdale Health Center","Planned Parenthood Arizona","1083694160","Family Planning Providers",10,0,"7901 E Thomas Rd","Suite 106","Scottsdale","AZ","85251-6541","Maricopa","4751 N 15th Street","","Phoenix","AZ","85014-2500","Maricopa","Patricia Gross","COO","602-263-4275","","pgross@ppaz.org","http://www.plannedparenthood.org/ppaz/","","","","","",""]
[null,201900907,"NORTH COUNTRY HEALTHCARE - SELIGMAN","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",0.7,0,"22585 W Oak St","","Seligman","AZ","86337","Yavapai","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900908,"Santa Rosa Health Center","Santa Rosa Health Center","1770581639","Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",1,0,"HC01","","Sells","AZ","85634-9802","Pima","Route 15","","Sells","AZ","85634","Pima","Priscilla Whitethorne","Service Unit Director (CEO)","520-383-7251","","priscilla.whitethorne@ihs.gov","","Diane Shanley","Deputy Service Unit Director","520-383-7285","","diane.shanley@ihs.gov",""]
[null,201900909,"Sells Indian Hospital (inpatient hospital)","Sells PHS Indian Hospital","1487652426","Indian Health Service, Inpatient Hospitals (other than children's hospitals)",14,0,"Hwy 86 & Topawa Rd","","Sells","AZ","85634","Pima","PO Box 548","","Sells","AZ","85634-0548","Pima","Priscilla Whitethorne","Service Unit Director (CEO)","520-383-7251","","priscilla.whitethorne@ihs.gov","","Diane Shanley","Deputy Service Unit Director","520-383-7285","","diane.shanley@ihs.gov",""]
[null,201900910,"Sells Indian Hospital (multiple outpatient ECP categories)","Sells PHS Indian Hospital","1487652426","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",1,4,"Hwy 86 & Topawa Rd","","Sells","AZ","85634","Pima","PO Box 548","","Sells","AZ","85634-0548","Pima","Priscilla Whitethorne","Service Unit Director (CEO)","520-383-7251","","priscilla.whitethorne@ihs.gov","","Diane Shanley","Deputy Service Unit Director","520-383-7285","","diane.shanley@ihs.gov",""]
[null,201900911,"San Simon Health Center","San Simon Health Center","1588834998","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",2,2,"West Hwy 86 Mile Marker 74","","Sells","AZ","85634","Pima","Route HC01","PO Box 8150","Sells","AZ","85634","Pima","Priscilla Whitethorne","Service Unit Director (CEO)","520-383-7251","","priscilla.whitethorne@ihs.gov","","Diane Shanley","Deputy Service Unit Director","520-383-7285","","diane.shanley@ihs.gov",""]
[null,201900912,"Inscription House Health Center","Inscription House Health Center","1740359108","Dental Providers, Indian Health Service, Other ECP Providers",10,2,"Hwy 98 & Navajo Rt 1","","Shonto","AZ","86054","Navajo","PO Box 7397","","Shonto","AZ","86054-7397","Navajo","Ellamae Dayzie","HSA","928-672-3000","","ellamae.daysie@ihs.gov","","Frank Dayish","Chief Executive Officer","928-672-3117","","frank.dayish@ihs.gov",""]
[null,201900913,"NORTH COUNTRY HEALTHCARE - SHOW LOW INTEGRATION","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",0.1,0,"2600 E Show Low Lake Rd","","Show Low","AZ","85901-7931","Navajo","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900914,"Vista Pediatrics","Chiricahua Community Health Centers","1821309089","Federally Qualified Health Centers",30,0,"155 Calle Portal","Suite 700","Sierra Vista","AZ","85635-2973","Cochise","1205 F Avenue","","Douglas","AZ","85607","Cochise","Gary McPherran","CFO","520-364-1429","3333","mmcpherran@cchci.org","www.cchci.org","","","","","",""]
[null,201900915,"Cochise Health and Social Services - Sierra Vista","Cochise Health and Social Services","1215968250","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1.2,0,"4115 E Foothills Dr","","Sierra Vista","AZ","85635-6311","Cochise","1415 Melody Lane, Bldg A","","Bisbee","AZ","85603","Cochise","Mary Gomez","Director","520-432-9404","","mgomez@cochise.az.gov","","Ray Falkenberg","Deputy Health Director","520-432-9414","","rfalkenberg@cochise.az.gov",""]
[null,201900916,"Sierra Vista Dental","Chiricahua Community Health Centers","1629499397","Dental Providers",0,8,"4525 Campus Dr","","Sierra Vista","AZ","85635-2232","Cochise","1205 F Avenue","","Douglas","AZ","85607","Cochise","Gary McPherran","CFO","520-364-1429","3333","mmcpherran@cchci.org","www.cchci.org","","","","","",""]
[null,201900917,"Sunset Community Health Center","SUNSET COMMUNITY HEALTH CENTER","1063433720","Other ECP Providers",1,0,"1011 N Somerton Ave","Sunset CHC School-Based Clinic at Somerton Middle School","Somerton","AZ","85350","Yuma","2060 West 24th Street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Officer","928-819-8802","","drogers@sunset-chc.org","","Whitney Sims","Chief Financial Officer","928-819-8803","","wsims@sunset-chc.org",""]
[null,201900918,"SUNSET COMMUNITY HEALTH CENTER, INC.","SUNSET COMMUNITY HEALTH CENTER","1962507376","Dental Providers, Federally Qualified Health Centers",9,1,"115 N Somerton Ave.","","Somerton","AZ","85350","Yuma","2060 West 24th Street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Officer","928-819-8802","","drogers@sunset-chc.org","","Whitney Sims","Chief Financial Officer","928-819-8803","","wsims@sunset-chc.org",""]
[null,201900919,"White Mountain Regional Medical Center","White Mountain Communities Hospital, Inc. d/b/a White Mountain Regional Medical Center","1699766592","Inpatient Hospitals (other than children's hospitals)",25,0,"118 S Mountain Ave","","Springerville","AZ","85938-5104","Apache","118 South Mountain Avenue","","Springerville","AZ","85938","Apache","Gregory J. Was","Chief Executive Officer","928-333-7145","","greg.was@wmrmc.com","www.wmrmc.com","Sammie Finch","Chief Nursing Officer","928-333-7338","","sammie.finch@wmrmc.com","www.wmrmc.com"]
[null,201900920,"NORTH COUNTRY HEALTHCARE - SPRINGERVILLE","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",3,0,"488 S Mountain Ave","","Springerville","AZ","85938-5103","Apache","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900921,"NORTH COUNTRY HEALTHCARE - ST JOHNS INTEGRATION","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",0.08,0,"470 West Cleveland","","St Johns","AZ","85936","Apache","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900922,"SUPAI HEALTH CLINIC","SUPAI HEALTH CLINIC","1942318654","Indian Health Service, Rural Health Clinics",1,0,"1 Main St","","Supai","AZ","86435","Coconino","PO Box 129","","Supai","AZ","86435-0129","Coconino","ELIZABETH HELSEL","CEO CRSU","928-669-2137","","ELIZABETH.HELSEL@IHS.GOV","","","","","","",""]
[null,201900923,"Supai Health Clinic","DHHS IHS Phoenix Area","1184901829","Indian Health Service, Other ECP Providers",2,0,"129 Main Streer","PO Box 129","Supai","AZ","86435-0129","Coconino","12033 Agency Road","","Parker","AZ","85344","La Paz","Jane Preston","Acting Director","928-769-2910","","leslie.preston@ihs.gov","","Kathleen Nelson","HIM Director","928-669-3245","","kathleen.nelson@ihs.gov",""]
[null,201900924,"Superior Clinic","Cobre Valley Regional Medical Center","1649245135","Rural Health Clinics",1.75,0,"1134 W US Highway 60","","Superior","AZ","85173-3400","Pinal","5880 S Hospital Drive","","Globe","AZ","85501","Gila","Frank Stapleton","Administration, Regional Clinics Director","928-402-1131","","fstapleton@cvrmc.org","","","","","","",""]
[null,201900925,"Adelante Healthcare Surprise","ADELANTE HEALTHCARE, INC.","1205994761","Dental Providers, Federally Qualified Health Centers",13,2,"15351 W Bell Rd","Suite 100","Surprise","AZ","85374-4580","Maricopa","9520 W Palm Ln Ste 200","","Phoenix","AZ","85037-4403","Maricopa","Richard Miller","Chief Financial Officer","623-583-3001","1209","rmiller@adelantehealthcare.com","www.adelantehealthcare.com","Eric Battis","Chief Operations Officer","623-583-3001","1222","ebattis@adelantehealthcare.com","www.adelantehealthcare.com"]
[null,201900926,"Four Corners Regional Health Center ( part of Shiprock Service Unit)","Four Corners Regional Health Center ( part of Shiprock Service Unit)","1477615789","Dental Providers, Indian Health Service, Other ECP Providers",9,6,"Us Hwy 160 Navajo Rt 35","","Teec Nos Pos","AZ","86514","Apache","HC 61 Box 30","","Teec Nos Pos","AZ","86514","Apache","Marcita Lee","Business Office Supervisor","928-656-5253","","marcita.lee@ihs.gov","","Virgina Daniels","HSA","928-656-5253","","virginia.daniels@ihs.gov",""]
[null,201900927,"Mountain Park Health Center - Tempe","MOUNTAIN PARK HEALTH CENTER","1376640656","Federally Qualified Health Centers, Other ECP Providers",7,0,"1492 S Mill Ave","Suite 312","Tempe","AZ","85281-5676","Maricopa","2702 N 3rd St Ste 4020","","Phoenix","AZ","85004-4608","Maricopa","Tara Cahn","Contracts Administration Manager","602-586-2981","","tcahn@mphc-az.org","","Beckie Brown","Credentialing Manager","602-586-3025","","bbrown@mphc-az.org",""]
[null,201900928,"Tempe St. Luke's Hospital","Steward Healthcare System LLC","1225086028","Inpatient Hospitals (other than children's hospitals)",276,0,"1500 S Mill Ave","","Tempe","AZ","85281-6699","Maricopa","111 Huntington Avenue","Suite 1800","Boston","MA","02199","Suffolk","James Flinn","President","602-251-8116","","james.flinn@steward.org","www.steward.org","Christopher Flores","Chief Financial Officer","602-251-8622","","christopher.flores@steward.org","www.steward.org"]
[null,201900929,"Tempe Health Center","Planned Parenthood Arizona","1083694160","Family Planning Providers, Sexually Transmitted Disease Clinics",10,0,"1837 E Baseline Rd","","Tempe","AZ","85283-1501","Maricopa","4751 N 15th Street","","Phoenix","AZ","85014-2500","Maricopa","Patricia Gross","COO","602-263-4275","","pgross@ppaz.org","http://www.plannedparenthood.org/ppaz/","","","","","",""]
[null,201900930,"Tsaile Health Center (Chinle Service Unit)","Indian Health Service-Navajo Area","1538185715","Dental Providers, Indian Health Service, Other ECP Providers",7,1,"Junction Navajo Route 12 & 64","","Tsaile","AZ","86556","Apache","Junction Navajo Route 12 & 64","","Tsaile","AZ","86556","Apache","Melissa Begay","Business Office Supervisor","928-724-3612","","melissa.begay@ihs.gov","","Fawn Damon","HSA","928-724-3715","","fawn.damon@ihs.gov",""]
[null,201900931,"Tuba City Regional Health Care Corporation","Tuba City Regional Health Care Corporation","1548294424","Federally Qualified Health Centers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",50,0,"167 N Main St","","Tuba City","AZ","86045","Coconino","PO Box 600","","Tuba City","AZ","86045-0600","Coconino","Lynette Bonar","Chief Executive Officer","928-283-2797","","lynette.bonar@tchealth.org","","Alvina Tunney-Patterson","Chief Compliance Officer","928-283-2452","","alvina.tunney-patterson@tchealth.org",""]
[null,201900932,"EL PUEBLO HEALTH CENTER","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1104116029","Federally Qualified Health Centers, Ryan White Providers",15.8,0,"101 W Irvington Rd","","Tucson","AZ","85714-3050","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN, PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia S. Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900933,"EL RIO BROADWAY HEALTH CENTER","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1386934214","Federally Qualified Health Centers, Ryan White Providers",4.37,0,"1101 E Broadway Blvd","","Tucson","AZ","85719-5807","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN, PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia S. Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900934,"ORTIZ COMMUNITY HEALTH CENTER","MARANA HEALTH CENTER, INC.","1730248972","Federally Qualified Health Centers",1,0,"12635 W Rudasill Rd","","Tucson","AZ","85743-9724","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Clint Kuntz","CEO","520-682-4111","6254","ckuntz@mhchealthcare.org","","","","","","",""]
[null,201900935,"FLOWING WELLS FAMILY PRACTICE","MARANA HEALTH CENTER, INC.","1245399468","Federally Qualified Health Centers",3,0,"1323 W Prince Rd","","Tucson","AZ","85705-3114","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Clint Kuntz","CEO","520-682-4111","6254","ckuntz@mhchealthcare.org","","","","","","",""]
[null,201900936,"St. Elizabeth's Health Center, Inc.","St. Elizabeths Health Center, Inc.","1023409760","Dental Providers, Federally Qualified Health Centers",4.4,1.2,"140 W Speedway Blvd","Suite 100","Tucson","AZ","85705-7687","Pima","140 W. Speedway Ste 100","","Tucson","AZ","85705","Pima","Jane Bakos","CEO","520-628-7871","","JaneB@saintehc.org","www.saintehc.org","Alex Wheeler","Administrative Assistant","520-628-7871","","AlexW@saintehc.org","www.saintehc.org"]
[null,201900937,"Pima County Health Department - Theresa Lee Public Health Center","Pima County Health Department","1134425150","Family Planning Providers, Sexually Transmitted Disease Clinics",5.5,0,"1493 W Commerce Ct","","Tucson","AZ","85746-6016","Pima","3950 S. Country Club Rd., STE 100","","Tucson","AZ","85714","Pima","Francisco Garcia, MD","Health Department Director","520-724-7931","","francisco.garcia@pima.gov","http://webcms.pima.gov/government/health_department/","Shauna McIsaac, MD","Medical Officer","520-724-7857","","shauna.mcisaac@pima.gov","http://webcms.pima.gov/government/health_department/"]
[null,201900938,"EL RIO SOUTHWEST HEALTH CENTERS","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1750672929","Dental Providers, Federally Qualified Health Centers, Ryan White Providers",7.83,6.29,"1500 W Commerce Ct","Bldg 1","Tucson","AZ","85746-6031","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN, PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia S. Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900939,"Arizona Hemophilia & Thrombosis Center","Arizona Cancer Center","1689879967","Hemophilia Treatment Centers",3,0,"1515 N Campbell Ave","","Tucson","AZ","85724-1000","Pima","1515 N Campbell Ave","","Tucson","AZ","85724","Pima","Mary Lou Damiano","Assistant Director, AzHTC","520-626-7584","","mdamiano@email.arizona.edu","","","","","","",""]
[null,201900940,"United Community Health Center at Three Points","UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.","1316999790","Dental Providers, Federally Qualified Health Centers",2.4,1.85,"15921 W Ajo Hwy","","Tucson","AZ","85735-2032","Pima","1260 S Campbell Ave Bldg 2","","Green Valley","AZ","85614-0503","Pima","Wendy Kibby","Chief Operations Officer","520-407-5606","","wkibby@uchcaz.org","","Michelle J. Kitchell","","520-407-5604","","mjkitchell@uchcaz.org",""]
[null,201900941,"Ellie Towne Health Center","MARANA HEALTH CENTER, INC.","1497032460","Dental Providers, Federally Qualified Health Centers",1,1,"1670 W Ruthrauff Rd","","Tucson","AZ","85705-1253","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Clint Kuntz","CEO","520-682-4111","6254","ckuntz@mhchealthcare.org","","","","","","",""]
[null,201900942,"Santa Catalina Health Center","MARANA HEALTH CENTER, INC.","1750440905","Federally Qualified Health Centers",3,0,"16701 N Oracle Rd","Suite 135","Tucson","AZ","85739-9102","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Clint Kuntz","CEO","520-682-4111","6254","ckuntz@mhchealthcare.org","","","","","","",""]
[null,201900943,"EL RIO SPECIAL IMMUNOLOGY","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1700100948","Federally Qualified Health Centers, Ryan White Providers",3.6,0,"1701 W Saint Marys Rd","Suite 100","Tucson","AZ","85745-2621","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN, PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia S. Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900944,"MARANA HEALTH CENTER OBSTETRICS AND GYNECOLOGY","MARANA HEALTH CENTER, INC.","1407915630","Federally Qualified Health Centers",4,0,"2055 W Hospital Dr","Suite 115","Tucson","AZ","85704-7823","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Clint Kuntz","CEO","520-682-4111","6254","ckuntz@mhchealthcare.org","","","","","","",""]
[null,201900945,"West Side Health Center","MARANA HEALTH CENTER, INC.","1316104573","Federally Qualified Health Centers",1,0,"2202 W Anklam Rd","","Tucson","AZ","85709-0002","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Clint Kuntz","CEO","520-682-4111","6254","ckuntz@mhchealthcare.org","","","","","","",""]
[null,201900946,"EL RIO OB/GYN ASSOCIATES","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1932490109","Federally Qualified Health Centers, Ryan White Providers",5.7,0,"225 W Irvington Rd","","Tucson","AZ","85714-3054","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN, PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia S. Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900947,"Margaret Sanger Health Center","Planned Parenthood Arizona","1083694160","Family Planning Providers",10,0,"2255 N Wyatt Dr","","Tucson","AZ","85712-2150","Pima","4751 N 15th Street","","Phoenix","AZ","85014-2500","Maricopa","Patricia Gross","COO","602-263-4275","","pgross@ppaz.org","http://www.plannedparenthood.org/ppaz/","","","","","",""]
[null,201900948,"MHC Primary Care Health Center","MARANA HEALTH CENTER, INC.","1679724124","Federally Qualified Health Centers",4.5,0,"2355 N Wyatt Dr","Suite 101","Tucson","AZ","85712-2120","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Clint Kuntz","CEO","520-682-4111","6254","ckuntz@mhchealthcare.org","","","","","","",""]
[null,201900949,"Pima County Health Department - TB Clinic","PIMA COUNTY HEALTH DEPARTMENT","1134425150","Tuberculosis Clinics",5.5,0,"2980 E Ajo Way Unit B","","Tucson","AZ","85713-6268","Pima","3950 S. Country Club Rd., STE 100","","Tucson","AZ","85714","Pima","Francisco Garcia, MD","Health Department Director","520-724-7931","","francisco.garcia@pima.gov","http://webcms.pima.gov/government/health_department/","Shauna McIsaac, MD","Medical Officer","520-724-7857","","shauna.mcisaac@pima.gov","http://webcms.pima.gov/government/health_department/"]
[null,201900950,"EL RIO NORTH WEST MEDICAL","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1114218385","Federally Qualified Health Centers, Ryan White Providers",7.8,0,"320 W Prince Rd","","Tucson","AZ","85705-3526","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN, PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia S. Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900951,"El Rio Northwest Dental","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1558780023","Dental Providers",0,1.89,"340 W Prince Rd","","Tucson","AZ","85705-6168","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN, PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia S. Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900952,"Pima County Health Department -North Clinic","Pima County Health Department","1134425150","Family Planning Providers, Sexually Transmitted Disease Clinics",5.5,0,"3550 N 1st Ave","Suite 300","Tucson","AZ","85719-1722","Pima","3950 S. Country Club Rd., STE 100","","Tucson","AZ","85714","Pima","Francisco Garcia, MD","Health Department Director","520-724-7931","","francisco.garcia@pima.gov","http://webcms.pima.gov/government/health_department/","Shauna McIsacc","Medical Officer","520-724-7857","","shauna.mcisaac@pima.gov","http://webcms.pima.gov/government/health_department/"]
[null,201900953,"CLINICA DEL ALMA","MARANA HEALTH CENTER, INC.","1972662294","Federally Qualified Health Centers",4,0,"3690 S Park Ave","Suite 805","Tucson","AZ","85713-5042","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Jania Arnoldi","CFO","520-682-4111","","jarnoldi@mhchealthcare.org","","","","","","",""]
[null,201900954,"KEELING HEALTH CENTER","MARANA HEALTH CENTER, INC.","1376603837","Federally Qualified Health Centers",1,0,"435 E Glenn St","","Tucson","AZ","85705-4664","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Clint Kuntz","CEO","520-682-4111","6254","ckuntz@mhchealthcare.org","","","","","","",""]
[null,201900955,"FREEDOM PARK HEALTH CENTER","MARANA HEALTH CENTER, INC.","1023177250","Federally Qualified Health Centers",1,0,"5000 E 29th St","","Tucson","AZ","85711-6401","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Clint Kuntz","CEO","520-682-4111","6254","ckuntz@mhchealthcare.org","","","","","","",""]
[null,201900956,"Tucson Women's Center","Planned Parenthood Arizona","1083694160","Family Planning Providers",10,0,"5240 E Knight Dr","Suite 112","Tucson","AZ","85712-2122","Pima","4751 N 15th Street","","Phoenix","AZ","85014-2500","Maricopa","Patricia Gross","COO","602-263-4275","","pgross@ppaz.org","http://www.plannedparenthood.org/ppaz/","","","","","",""]
[null,201900957,"TUCSON BIRTH AND WOMEN'S HEALTH CENTER","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1255518528","Federally Qualified Health Centers",6.5,0,"5979 E Grant Rd","Suite 107","Tucson","AZ","85712-2368","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN, PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900958,"EL RIO CLINIC AT CODAC BEHAVIORAL HEALTH EAST","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1023308962","Federally Qualified Health Centers, Ryan White Providers",1,0,"630 N Alvernon Way","","Tucson","AZ","85711-1843","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN, PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia S. Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900959,"Pima County Health Department - East Clinic","Pima County Health Department","1134425150","Family Planning Providers, Sexually Transmitted Disease Clinics",5.5,0,"6920 E Broadway Blvd","","Tucson","AZ","85710-2839","Pima","3950 S. Country Club Rd., STE 100","","Tucson","AZ","85714","Pima","Francisco Garcia, MD","Health Department Director","520-724-7931","","francisco.garcia@pima.gov","http://webcms.pima.gov/government/health_department/","Shauna McIsaac, MD","Medical Officer","520-724-7857","","shauna.mcisaac@pima.gov","http://webcms.pima.gov/government/health_department/"]
[null,201900960,"EL RIO SOUTHEAST HEALTH CENTER","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1033400205","Federally Qualified Health Centers, Ryan White Providers",5.51,0,"6950 E Golf Links Rd","","Tucson","AZ","85730-1017","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN, PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia S. Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900961,"EL RIO PASCUA YAQUI HEALTH CENTER","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1962770370","Federally Qualified Health Centers, Ryan White Providers",4.88,0,"7490 S Camino de Oeste","","Tucson","AZ","85746-9308","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN, PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia S. Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900962,"Pascua Yaqui Tribe/Health Center","Pascua Yaqui Tribe/Health Center","1477868396","Dental Providers, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",20,20,"7490 S Camino de Oeste","","Tucson","AZ","85746-9308","Pima","7474 S. Camino De Oeste","","Tucson","AZ","85757","Pima","Rosa M. Rivera","Yoeme Health Program Administrator","520-879-6163","","rosa.rivera@pascuayaqui-nsn.gov","","Rosa M. Rivera","Yoeme Health Program Administrato","520-879-6163","","rosa.rivera@pascuayaqui-nsn.gov",""]
[null,201900963,"San Xavier Health Center","San Xavier Health Center","1437157302","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics",5,4,"7900 S J Stock Rd","","Tucson","AZ","85746-7012","Pima","7900 S.J. Stock Rd","","Tucson","AZ","85746","Pima","Priscilla Whitethorne","Service Unit Director (CEO)","520-383-7251","","priscilla.whitethorne@ihs.gov","","Diane Shanley","Deputy Service Unit Director","520-383-7285","","diane.shanley@ihs.gov",""]
[null,201900964,"East Side Health Center","MARANA HEALTH CENTER, INC.","1821324948","Federally Qualified Health Centers",1,0,"8181 E Irvington Rd","","Tucson","AZ","85709-4001","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Jania Arnoldi","CFO","520-682-4111","","jarnoldi@mhchealthcare.org","","","","","","",""]
[null,201900965,"EL RIO SANTA CRUZ NEIGHBORHOOD","EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.","1487602736","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",90.86,21.81,"839 W Congress St","","Tucson","AZ","85745-2819","Pima","P.O. Box 1231","","Tucson","AZ","85702","Pima","Nancy Johnson, RN PhD","CEO","520-309-2012","","NancyJ@elrio.org","www.elrio.org","Celia Hightower","CFO","520-670-3705","","CeliaSH@elrio.org","www.elrio.org"]
[null,201900966,"Wilmot Family Health Center","MARANA HEALTH CENTER, INC.","1295986735","Federally Qualified Health Centers",3,0,"899 N Wilmot Rd","Suite B","Tucson","AZ","85711-1712","Pima","13395 N Marana Main St","","Marana","AZ","85653-7008","Pima","Clint Kuntz","CEO","520-682-4111","6254","ckuntz@mhchealthcare.org","","","","","","",""]
[null,201900967,"United Community Health Center","UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.","1528311958","Dental Providers, Federally Qualified Health Centers",1.72,1.85,"13299 E Colossal Cave Rd","United Community Health Center at Old Vail Middle School","Vail","AZ","85641-9001","Pima","1260 S Campbell Ave Bldg 2","","Green Valley","AZ","85614-0503","Pima","Wendy Kibby","Chief Operations Officer","520-407-5606","","wkibby@uchcaz.org","","Michelle J. Kitchell","","520-407-5604","","mjkitchell@uchcaz.org",""]
[null,201900968,"SUNSET CHC, INC. - WELLTON","SUNSET COMMUNITY HEALTH CENTER","1245344316","Federally Qualified Health Centers",1,0,"10425 Williams St","","Wellton","AZ","85356","Yuma","2060 West 24th Street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Officer","928-819-8802","","drogers@sunset-chc.org","","Whitney Sims","Chief Financial Officer","928-819-8803","","wsims@sunset-chc.org",""]
[null,201900969,"Sunset Community Health Center","SUNSET COMMUNITY HEALTH CENTER","1063433720","Other ECP Providers",1,0,"29126 E San Jose Ave","Sunset CHC School-Based Clinic, Wellton Elementary School- Wellton Elementary School District No. 24","Wellton","AZ","85356-6722","Yuma","2060 West 24th Street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Officer","928-819-8802","","drogers@sunset-chc.org","","Whitney Sims","Chief Financial Officer","928-819-8803","","wsims@sunset-chc.org",""]
[null,201900970,"Whiteriver Indian Hospital","DHHS IHS PHOENIX AREA","1427335140","Dental Providers, Indian Health Service, Other ECP Providers",33,5,"200 West Hospital Dr","","Whiteriver","AZ","85941","Navajo","200 W Hospital Dr","PO Box 860","Whiteriver","AZ","85941-0860","Navajo","Racheal Allen","Revenue Manager","928-338-5509","","racheal.allen@ihs.gov","","Mitzi Classay","Supervisor, Billing Technician","928-338-3532","","mitzi.classay@ihs.gov",""]
[null,201900971,"Wickenburg Community Hospital & Clinics","Community Hospital Association Inc.","1841282852","Inpatient Hospitals (other than children's hospitals)",19,0,"520 Rose Ln","","Wickenburg","AZ","85390-1447","Maricopa","520 Rose Lane","","Wickenburg","AZ","85390","Maricopa","Michael V. Ellis","C.F.O.","928-668-1805","","mike.ellis@wickhosp.com","http://wickhosp.com/","James F. Tavary","C.E.O.","928-684-4360","","jim.tavary@wickhosp.com","http://wickhosp.com/"]
[null,201900972,"Wickenburg Community Clinic","Community Hospital Association, Inc.","1225274210","Outpatient Hospital Clinics, Rural Health Clinics",6,0,"523 Rose Ln","","Wickenburg","AZ","85390-1448","Maricopa","520 Rose Lane","","Wickenburg","AZ","85390","Maricopa","Michael Ellis","CFO","928-668-1805","","mike.ellis@wickhosp.com","http://wickhosp.com/","James F. Tavary","CEO","928-684-4360","","jim.tavary@wickhosp.com","http://wickhosp.com/"]
[null,201900973,"Adelante Healthcare Wickenburg","ADELANTE HEALTHCARE, INC.","1083772545","Federally Qualified Health Centers",1,0,"811 N Tegner St","Suite 113","Wickenburg","AZ","85390-5410","Maricopa","9520 W Palm Ln Ste 200","","Phoenix","AZ","85037-4403","Maricopa","Richard Miller","Chief Financial Officer","623-583-3001","1209","rmiller@adelantehealthcare.com","www.adelantehealthcare.com","Eric Battis","Chief Operations Officer","623-583-3001","1222","ebattis@adelantehealthcare.com","www.adelantehealthcare.com"]
[null,201900974,"Cochise Health and Social Services - Willcox","Cochise Health and Social Services","1215968250","Family Planning Providers, Other ECP Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1.2,0,"450 S Haskell Ave","","Willcox","AZ","85643-2790","Cochise","1415 Melody Lane, Bldg A","","Bisbee","AZ","85603","Cochise","Mary Gomez","Director","520-432-9404","","mgomez@cochise.az.gov","","Ray Falkenberg","Deputy Health Director","520-432-9414","","rfalkenberg@cochise.az.gov",""]
[null,201900975,"SULPHUR SPRINGS MEDICAL CENTER","Northern Cochise Community Hospital","1013060367","Rural Health Clinics",3,0,"900 W Scott St","","Willcox","AZ","85643-1017","Cochise","901 W Rex Allen Dr","","Willcox","AZ","85643","Cochise","Marcie Merriman","Director Rural Health Clinics","520-384-4421","","mmerriman@ncch.com","","","","","","",""]
[null,201900976,"NORTH COUNTRY HEALTHCARE - WILLIAMS","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers, Sexually Transmitted Disease Clinics",7.4,0,"301 S 7th St","","Williams","AZ","86046-2324","Coconino","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900977,"NORTH COUNTRY HEALTHCARE - WINSLOW","NORTH COUNTRY HEALTHCARE, INC.","1053587261","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",3.75,0.8,"620 Lee St","","Winslow","AZ","86047-2435","Navajo","2920 N 4th St","","Flagstaff","AZ","86004-1816","Coconino","Linc Pehrson","Business Office Manager","928-522-9400","9800","lpehrson@nchcaz.org","www.northcountryhealthcare.org","","","","","",""]
[null,201900978,"SUNSET CHC, INC. Yuma SITE","SUNSET COMMUNITY HEALTH CENTER","1063433720","Federally Qualified Health Centers",17,0,"2060 W 24th St","","Yuma","AZ","85364-6123","Yuma","2060 West 24th Street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Officer","928-819-8802","","drogers@sunset-chc.org","","Whitney Sims","Chief Financial Officer","928-819-8803","","wsims@sunset-chc.org",""]
[null,201900979,"Yuma County Dept. of Public Heath","Yuma County Public Health Services District","1063503530","Family Planning Providers, Ryan White Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"2200 W 28th St","","Yuma","AZ","85364-6935","Yuma","2200 W 28th St","","Yuma","AZ","85364-6935","Yuma","Diana Gomez","Director of Public Health","928-317-4550","","diana.gomez@yumacountyaz.gov","http://yumacountyaz.gov/departments-and-services/health","Jose Trigueros","Administrative Health Services Manager","928-317-4550","","jose.trigueros@yumacountyaz.gov","http://yumacountyaz.gov/departments-and-services/health"]
[null,201900980,"Yuma OP Facility","Horizon Health & Wellness","1609255488","Community Mental Health Centers",2,0,"3180 E 40th St","","Yuma","AZ","85365-7772","Yuma","625 North Plaza Drive","","Apache Junction","AZ","85120","Pinal","Lila Hernandez","Procurement Coordinator","520-876-1837","","Lila.Hernandez@hhwaz.org","","Fred Karst","Chief Operating Officer","480-983-0065","","fred.karst@hhwaz.org",""]
[null,201900981,"Sunset Community Health Center","SUNSET COMMUNITY HEALTH CENTER","1063433720","Other ECP Providers",1,0,"600 S 21st Ave","Sunset CHC School-Based Clinic, Pecan Grove Elementary - Yuma Elementary School District No. 1","Yuma","AZ","85364-2727","Yuma","2060 West 24th Street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Officer","928-819-8802","","drogerse@susnet-chc.org","","Whitney Sims","Chief Financial Officer","928-819-8803","","wsims@sunset-chc.org",""]
[null,201900982,"Sunset Community Health Center-North Yuma","Sunst Community Health Center","1366812166","Federally Qualified Health Centers",4,0,"675 S Avenue B","","Yuma","AZ","85364-2749","Yuma","2060 West 24th Street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Office","928-819-8802","","drogers@sunset-chc.org","","Whitney Sims","Chief Financial Officer","819-819-8803","","wsims@sunset-chc.org",""]
[null,201900983,"4th Ave. Integrated Care","Horizon Health and Wellness, Inc.","1770962466","Community Mental Health Centers, Other ECP Providers, Rural Health Clinics",1,0,"791 S 4th Ave","Suite B","Yuma","AZ","85364-3067","Yuma","625 North Plaza Drive","","Apache Junction","AZ","85120","Pinal","Lila Hernandez","Procurement Coordinator","520-836-1688","61837","Lila.Hernandez@hhwaz.org","","Dr. Fred Karst","Chief Operating Officer","480-983-0065","","fred.karst@hhwaz.org",""]
[null,201900984,"Sunset Community Health Center","SUNSET COMMUNITY HEALTH CENTER","1063433720","Other ECP Providers",1,0,"930 S Ave C","Sunset CHC School-Based Clinic, Rancho Viejo - Crane Elementary School District No. 13","Yuma","AZ","85364-3237","Yuma","2060 West 24th Street","","Yuma","AZ","85364","Yuma","David Rogers","Chief Executive Officer","928-819-8802","","drogers@sunset-chc.org","","Whitney Sims","Chief Financial Officer","928-819-8803","","wsims@sunset-chc.org",""]
[null,201900985,"Sean R. Thomas, M.D., Inc","American Desert Medical Clinic","1154336246","Rural Health Clinics",3,0,"6186 Adobe Rd","","29 Palms","CA","92277-2652","San Bernardino","6186 Adobe Road","","29 palms","CA","92277","San Bernardino","Valerie Dobbins","Office Manager","760-228-3366","","vdobbins760@gmail.com","","","","","","",""]
[null,201900986,"Alhambra Health Center","Planned Parenthood Pasadena and San Gabriel Valley, Inc","1861636177","Family Planning Providers",2,0,"330 S Garfield Ave","Suite 300","Alhambra","CA","91801-3893","Los Angeles","2333 Lake Ave.","2nd Floor","Altadena","CA","91001","Los Angeles","Bethany Eshleman","C.O.O.","626-794-5737","107","beshleman@pppsgv.org","plannedparenthood.org/pppsgv","Cheri Pogue","Sr. Director of Patient Services","626-794-5737","168","cpogue@pppsgv.org",""]
[null,201900987,"Southern Indian Health Council, Inc - Alpine Clinic","Southern Indian Health Council, Inc.","1346247947","Dental Providers, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",4,2,"4058 Willows Rd","","Alpine","CA","91901-1668","San Diego","4058 Willows Rd","","Alpine","CA","91901-1668","San Diego","Carolina Manzano","Chief Executive Officer","619-445-1188","","cmanzano@sihc.org","","","","","","",""]
[null,201900988,"XL Clinic","Pit River Health Service","1891762985","Dental Providers, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",1,0.5,"150 BIA Route 76A","Box 6","Alturas","CA","96101-4502","Modoc","36977 Park Ave","","Burney","CA","96013","Shasta","Jeremy Wheeler","Financial Director","530-335-0333","","jeremyw@pitriverhealthservice.org","www.pitriverhealthservice.org","Glenna Moore","Executive Director","530-335-0330","","glenna.m@pitriverhealthservice.org","www.pitriverhealthservice.org"]
[null,201900989,"AltaMed Medical and Dental Group - Anaheim, Lincoln","AltaMed Health Services Corporation","1538303516","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",4.5,2.95,"1814 W Lincoln Ave","","Anaheim","CA","92801-6730","Orange","2040 Camfield Ave","","Los Angeles","CA","90040","Los Angeles","Nena Davis","Vice President, Development","323-889-7343","","ndavis@la.altamed.org","www.altamed.org","","","","","",""]
[null,201900990,"AltaMed Medical Group - Anaheim Lincoln West","AltaMed Health Services Corporation","1235376047","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",3.7,0,"1820 W Lincoln Ave","","Anaheim","CA","92801-6730","Orange","2040 Camfield Ave.","","Los Angeles","CA","90040","Los Angeles","Nena Davis","Vice President, Development","323-889-7343","","ndavis@la.altamed.org","www.altamed.org","","","","","",""]
[null,201900991,"Anaheim Clinic","Planned Parenthood of Orange and San Bernardino Cos.","1710975727","Family Planning Providers, Sexually Transmitted Disease Clinics",14,0,"303 W Lincoln Ave","Suite No. 105","Anaheim","CA","92805-2936","Orange","700 S Tustin St","","Orange","CA","92866","Orange","Jessica Chinen, CPA","Director of Financial Services","714-633-6373","137","jessica.wu@PPOSBC.org","http://www.plannedparenthood.org/orange-san-bernardino","","","","","",""]
[null,201900992,"Happy Valley Family Health Center","Shasta Community Health Center","1013931476","Federally Qualified Health Centers",1,0,"16300 Cloverdale Rd","","Anderson","CA","96007-8209","Shasta","1035 Placer Street","","Redding","CA","96001-4245","Shasta","C. Dean Germano","CEO","530-246-5704","","dgermano@shastahealth.org","","Robin Glasco","COO","530-246-5739","","rglasco@shastahealth.org",""]
[null,201900993,"Anderson Family Health Center","Shasta Community Health Center","1942225719","Dental Providers, Federally Qualified Health Centers",2.79,1,"2801 Silver St","","Anderson","CA","96007-4239","Shasta","1035 Placer Street","","Redding","CA","96001-1125","Shasta","Harold Carlson","Chief Planning and Development Officer","530-246-5817","","hcarlson@shastahealth.org","shastahealth.org","Robin Glasco","Chief Operating Officer","530-246-5739","","rglasco@shastahealth.org","shastahealth.org"]
[null,201900994,"Family Medical Center - Angels Camp","Mark Twain Medical Center","1942362561","Rural Health Clinics",2.38,0,"222 S Main St","","Angels Camp","CA","95222-9359","Calaveras","768 Mountain Ranch Road","","San Andreas","CA","95249","Calaveras","Debbie Esparza","Director of Managed Care","209-467-6546","","Debbie.Esparza@DignityHealth.Org","","Chris Roberts","CFO/VP of Finance","209-754-2614","","Chris.Roberts@DignityHealth.Org",""]
[null,201900995,"Planned Parenthood Antioch","Planned Parenthood Northern California","1215095575","Family Planning Providers, Sexually Transmitted Disease Clinics",2,0,"1104 Buchanan Rd","Suite C10","Antioch","CA","94509-4226","Contra Costa","2185 Pacheco Street","","Concord","CA","94520","Contra Costa","Reyna Navarro","Medical Client Services Administrative Coordinator","925-887-5233","","rnavarro@ppnorcal.org","","","","","","",""]
[null,201900996,"Anza Indian Health - Outreach Office","Riverside San-Bernardino County Indian Health, Inc. - Morongo Clinic","1659424885","Dental Providers, Federally Qualified Health Centers, Tribal Health Program operated under P.L. 93-638",0.5,0.25,"39100 Contreras Rd","Suite C","Anza","CA","92539-8724","Riverside","11980 Mount Vernon Ave","","Grand Terrace","CA","92313-5172","San Bernardino","Jess Montoya","Director","909-864-1097","4702","jmontoya@rsbcihi.org","","Charlen Taylor","Controller","909-864-1097","4737","ctaylor@rsbcihi.org",""]
[null,201900997,"Potawot Health Village (UIHS)","United Indian Health Service, Inc.","1497751572","Dental Providers, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",5,4,"1600 Weeot Way","","Arcata","CA","95521-4734","Humboldt","1600 Weeot Way","","Arcata","CA","95521-4734","Humboldt","Sherri Provolt","CEO","707-825-5000","","sherri.provolt@crihb.org","","David.Rosen","CEO","707-825-5000","","david.rosen@crihb.org",""]
[null,201900998,"Family Medical Center - Arnold","Mark Twain Medical Center","1790846301","Rural Health Clinics",1.77,0,"2182 Highway 4","","Arnold","CA","95223-9908","Calaveras","768 Mountain Ranch Road","","San Andreas","CA","95249","Calaveras","Debbie Esparza","Director of Managed Care","209-467-6546","","Debbie.Esparza@DignityHealth.Org","","Chris Roberts","CFO/Vice President of Finance","209-754-2614","","Chris.Roberts@DignityHealth.Org",""]
[null,201900999,"Arvin Community Health Center","Clinica Sierra Vista","1518969211","Dental Providers, Federally Qualified Health Centers",6,4,"1305 Bear Mountain Blvd","","Arvin","CA","93203-1231","Kern","1430 Truxtun Ave","P.O. Box 1559","Bakersfield","CA","93302-1559","Kern","Cindy Stewart","Chief of Managed Care/Credentialing","661-635-3050","2169","mccred@clinicasierravista.org","","","","","","",""]
[null,201901003,"ADVENTIST HEALTH MEDICAL OFFICE AVENAL RHC","ADVENTIST HEALTH REEDLEY","1215110879","Family Planning Providers, Other ECP Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics",1.16,0,"216 E Fresno St","","Avenal","CA","93204-1525","Kings","372 W. CYPRESS AVENUE","","REEDLEY","CA","93654","Fresno","DERRICK GRUEN","VICE PRESIDENT","559-537-0037","37","derrick.gruen@ah.org","https://www.adventisthealth.org/central-valley/Pages/OHAM/OrgUnitDetails.aspx?OrganizationalUnitId=2847","Madeline Andrade","Site Manager","559-386-5364","","AndradM3@AH.org",""]
[null,201901013,"Central Bakersfield Community Health Center","Clinica Sierra Vista","1659373017","Federally Qualified Health Centers",9,0,"301 Brundage Ln","","Bakersfield","CA","93304-3248","Kern","1430 Truxtun Ave","P.O. Box 1559","Bakersfield","CA","93302-1559","Kern","Cindy Stewart","Chief of Managed Care/Credentialing","661-635-3050","2148","mccred@clinicasierravista.org","","","","","","",""]
[null,201901030,"Bear Valley Community Healthcare District","Bear Valley Community Healthcare District","1073553756","Inpatient Hospitals (other than children's hospitals)",9,0,"41870 Garstin Dr","","Big Bear Lake","CA","92315","San Bernardino","PO Box 1649","","Big Bear Lake","CA","92315","San Bernardino","Shelly Egerer","Administration Assistant","909-878-8214","","shelly.egerer@bvchd.com","","Garth Hamblin","CFO","909-878-8276","","garth.hamblin@bvchd.com",""]
[null,201901040,"Southern Indian Health Council - Campo Clinic","Southern Indian Health Council","1922090885","Dental Providers, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,1,"36350 Church Rd","","Campo","CA","91906-2715","San Diego","4058 Willows Rd","","Alpine","CA","91901","San Diego","Carolina Manzano","Chief Executive Officer","619-445-1188","302","cmanzano@sihc.org","","","","","","",""]
[null,201901046,"ADVENTIST HEALTH MEDICAL OFFICE CARUTHERS EAST RHC","ADVENTIST HEALTH REEDLEY","1881930964","Family Planning Providers, Other ECP Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics",4.5,0,"2357 W Tahoe Ave","","CARUTHERS","CA","93609","Fresno","372 W CYPRESS AVENUE","","REEDLEY","CA","93654","Fresno","DERRICK GRUEN","VICE PRESIDENT","559-537-0037","37","derrick.gruen@ah.org","https://www.adventisthealth.org/central-valley/Pages/OHAM/OrgUnitDetails.aspx?OrganizationalUnitId=2847","Mary Pat Chavez","Site Manager","559-864-5200","","ChavezMP01@AH.org",""]
[null,201901063,"Coachella Valley Clinic","Planned Parenthood of the Pacific Southwest","1336174325","Family Planning Providers, Sexually Transmitted Disease Clinics",1.4,0,"49-111 Hwy 111","#6A","Coachella","CA","92236","Riverside","1075 Camino del Rio South","","San Diego","CA","92108","San Diego","Francis Pickford","Vice President of Finance","619-881-4535","","fpickford@planned.org","http://www.plannedparenthood.org/pacific-southwest/","","","","","",""]
[null,201901073,"Planned Parenthood Concord","Planned Parenthood Northern California","1982763090","Family Planning Providers, Sexually Transmitted Disease Clinics",3,0,"2185 Pacheco St","","Concord","CA","94520-2309","Contra Costa","2185 Pacheco Street","","Concord","CA","94520","Contra Costa","Reyna Navarro","Medical Client Services Administrative Coordinator","925-887-5233","","rnavarro@ppnorcal.org","","","","","","",""]
[null,201901079,"Solano Street Medical Clinic","St. Elizabeth Community Hospital","1609246461","Rural Health Clinics",4,0,"2620 Solano St","","Corning","CA","96021","Tehama","2550 Sister Columba Drive","","Red Bluff","CA","96080","Tehama","Kristine Kuebli","Director of Rural Health Clinics","530-529-8202","","kristine.kuebli@dignityhealth.org","","","","","","",""]
[null,201901089,"Delano Community Health Center","Clinica Sierra Vista","1316949837","Federally Qualified Health Centers",6,0,"1508 Garces Hwy","Suite 1","Delano","CA","93215-3687","Kern","1430 Truxtun Ave","P.O. Box 1559","Bakersfield","CA","93302-1559","Kern","Cindy Stewart","Chief of Managed Care/Credentialing","661-635-3050","2169","mccred@clinicasierravista.org","","","","","","",""]
[null,201901106,"Sycuan Medical & Dental Center","Sycuan Band of Kumeyaay Nation","1427197078","Dental Providers, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",3,2,"5442 Sycuan Rd","","El Cajon","CA","92019-1816","San Diego","2 Kwaaypaay Court","","El Cajon","CA","92019","San Diego","Salvatore J. Falco","Administrative Director","619-445-0707","114","salf@sycuanmed.org","","Teresa Mogielnicki","Medical Director","619-445-0707","110","teresam@sycuanmed.org",""]
[null,201901112,"El Monte Comphrensive Health Center","Los Angeles County, Department of Health Services","1881607547","Family Planning Providers",2,0,"10953 Ramona Blvd","","El Monte","CA","91731-2629","Los Angeles","10953 Ramona Blvd.","","El Monte","CA","91731","Los Angeles","Delia Casarez","Program Manager","323-869-8579","","dcasarez@dhs.lacounty.gov","","Judith Dannelle Pietersz","Clinical Program Manager","323-869-8579","","jpietersz@dhs.lacounty.gov",""]
[null,201901122,"Neighborhood Healthcare ~ Valley Parkway","NEIGHBORHOOD HEALTHCARE","1720264641","Federally Qualified Health Centers",5,0,"728 E Valley Pkwy","Suite A","Escondido","CA","92025-3052","San Diego","425 N Date St Ste 203","","Escondido","CA","92025-3413","San Diego","Tracy L Ream","CEO","760-520-8375","","tracyr@nhcare.org","","Lisa Daigle","CFO","760-737-6901","","lisad@nhcare.org",""]
[null,201901139,"ADVENTIST HEALTH MEDICAL OFFICE FOWLER RHC","ADVENTIST HEALTH REEDLEY","1093732554","Family Planning Providers, Other ECP Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics",3.73,0,"119 S 6th St","","Fowler","CA","93625-2439","Fresno","372 W CYPRESS AVENUE","","REEDLEY","CA","93654","Fresno","DERRICK GRUEN","VICE PRESIDENT","559-537-0037","37","derrick.gruen@ah.org","https://www.adventisthealth.org/central-valley/Pages/OHAM/OrgUnitDetails.aspx?OrganizationalUnitId=2847","Charlotte Montelongo","Site Manager","559-834-1614","","MontelS1@AH.org",""]
[null,201901145,"North Fine Community Health Center","Clinica Sierra Vista","1720347149","Federally Qualified Health Centers",3,0,"1945 N Fine Ave","Ste 100","Fresno","CA","93727-1528","Fresno","1430 Truxtun Ave, suite 400","P.O. Box 1559","Bakersfield","CA","93302-1559","Kern","Cindy Stewart","Chief of Managed Care/Credentialing","661-635-3050","2169","mccred@clinicasierravista.org","www.clinicasierravista.org","","","","","",""]
[null,201901155,"Family First Clinic","PLANNED PARENTHOOD MAR MONTE","1023062593","Family Planning Providers, Sexually Transmitted Disease Clinics",4.1,0,"6095 N 1st St","","Fresno","CA","93710-5444","Fresno","1691 The Alameda","","San Jose","CA","95126","Santa Clara","Jennifer Stork","Director of Payor Development & Mgmt","408-795-3618","","jennifer_stork@ppmarmonte.org","http://www.plannedparenthood.org/mar-monte/","Dominique Lee","VP of Services","408-795-3688","","dominique_lee@ppmarmonte.org","http://www.plannedparenthood.org/mar-monte/"]
[null,201901172,"INDIAN VALLEY MEDICAL CLINIC","Plumas District Hospital","1881068708","Rural Health Clinics",0.75,0,"176 Hot Springs Rd","","Greenville","CA","95947-9747","Plumas","1065 Bucks Lake Road","","Quincy","CA","95971","Plumas","Andy Werking","Insurance Contracting Specialist","916-366-5763","","awerking@sbcglobal.net","","Caleb Johnson","Chief Financial Officer","530-283-2121","7952","cjohnson@pdh.org",""]
[null,201901177,"ADVENTIST HEALTH MEDICAL OFFICE HANFORD RHC","ADVENTIST HEALTH REEDLEY","1417930892","Dental Providers, Family Planning Providers, Other ECP Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics",20,3,"1025 N Douty St","","Hanford","CA","93230-3722","Kings","372 W. CYPRESS STREET","","REEDLEY","CA","93654","Fresno","DERRICK GRUEN","VICE PRESIDENT","559-537-0037","37","derrick.gruen@ah.org","https://www.adventisthealth.org/central-valley/Pages/OHAM/OrgUnitDetails.aspx?OrganizationalUnitId=2847","Rebecca Flores","Site Manager","559-537-0243","","FloresRL@AH.org",""]
[null,201901189,"Hesperia Clinic","San Bernardino County Public Health","1578535845","Federally Qualified Health Centers",3,0,"16453 Bear Valley Rd","","Hesperia","CA","92345-1752","San Bernardino","351 North Mt View Avenue","","San Bernardino","CA","92415","San Bernardino","Winfred Kimani","Public Health Program Coordinator","760-956-4432","","wkimani@dph.sbcounty.gov","http://www.sbcounty.gov/dph/publichealth/","Melanie Bird","Nurse Manager","909-383-3013","","Melanie.Bird@dph.sbcounty.gov",""]
[null,201901206,"MARTIN ROCHA MD INC","MARTIN ROCHA MD INC","1962435586","Rural Health Clinics",1,0,"251 N Hwy 173","","Lake Arrowhead","CA","92352","San Bernardino","251 N Hwy 173","","Lake Arrowhead","CA","92352","San Bernardino","Martin Rocha, MD","CEO","909-336-3670","","martinrochamd@gmail.com","","","","","","",""]
[null,201901216,"Bartz-Altadonna Community Health Center","BARTZ-ALTADONNA COMMUNITY HEALTH CENTER","1811279763","Federally Qualified Health Centers",4.15,0,"43322 Gingham Ave","Suite 105","Lancaster","CA","93535-4569","Los Angeles","43322 Gingham Ave Ste 105","","Lancaster","CA","93535-4569","Los Angeles","Emma Gutierrez","CEO","661-874-4355","","emma@bachc.org","www.bachc.org","Mary Cummings","CFO","661-874-4050","109","maryc@bachc.org","www.bartz-altdonna-chc.org"]
[null,201901222,"La Maestra Lemon Grove Clinic","LA MAESTRA FAMILY CLINIC, INC.","1891011599","Dental Providers",0,1,"7967 Broadway","","Lemon Grove","CA","91945-1809","San Diego","4060 Fairmount Ave","","San Diego","CA","92105-1608","San Diego","Alejandrina Areizaga","VP","619-961-0819","","aareizaga@lamaestra.org","www.lamaestra.org","Michael Dew","Director of Contracts","619-269-1302","3131","mdew@lamaestra.org",""]
[null,201901232,"Loma Linda University Children's Hospital","Loma Linda University Health","1366866345","Children's Hospitals (inpatient only)",343,0,"11234 Anderson St","Suite A","Loma Linda","CA","92354-2804","San Bernardino","11234 Anderson St.","Suite A","Loma Linda","CA","92354","San Bernardino","Gary Eusebio","Executive Director of Contracting","909-558-5643","5643","geusebio@llu.edu","","Sondra Leno","VP of Finance","909-558-7650","7650","SLeno@llu.edu",""]
[null,201901249,"AltaMed Medical Group @ Hollywood Pres Med Ctr","AltaMed Health Services Corporation","1437414190","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",2.02,0,"1300 N Vermont Ave","","Los Angeles","CA","90027-6098","Los Angeles","2040 Camfield Ave","","Los Angeles","CA","90040","Los Angeles","Nena Davis","Vice President, Development","323-889-7343","","ndavis@la.altamed.org","www.altamed.org","","","","","",""]
[null,201901255,"Martin Luther King Jr., Outpatient Center","Los Angeles County, Department of Health Services","1063525871","Family Planning Providers",5,0,"1670 E 120th St","","Los Angeles","CA","90059-3026","Los Angeles","1670 East 120th Street","","Los Angeles","CA","90059","Los Angeles","Delia Casarez","Program Manager","323-869-8579","","dcasarez@dhs.lacounty.gov","","Judith Dannelle Pietersz","Clinical Program Manager","323-869-8579","","jpietersz@dhs.lacounty.gov",""]
[null,201901265,"Planned Parenthood Basics, Baldwin Hills/Crenshaw","Planned Parenthood Los Angeles","1568791390","Family Planning Providers",1,0,"3637 S La Brea Ave","","Los Angeles","CA","90016-5311","Los Angeles","400 W 30th St","","Los Angeles","CA","90007-3320","Los Angeles","Linda Pahl","Chief Financial Officer","213-284-3200","3210","Linda.Pahl@pp-la.org","http://www.plannedparenthood.org/los-angeles/","Margie Slater","Director of Revenue Cycle","213-284-3200","3218","Margie.Slater@pp-la.org",""]
[null,201901282,"St. John's Louis C. Frayser Health Center","St. John's Well Child and Family Center","1013057371","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,1,"5701 S Hoover St","","Los Angeles","CA","90037-4045","Los Angeles","808 W 58th St.","","Los Angeles","CA","90037-4045","Los Angeles","James Mangia","President & CEO","323-541-1600","4000","jimmangia@wellchild.org","www.wellchild.org","Maria Genie","Executive Assistant","323-541-1600","4001","mgenie@wellchild.org","www.wellchild.org"]
[null,201901288,"Dorothy Hecht Health Center","Planned Parenthood Los Angeles","1801985049","Family Planning Providers",4,0,"8520 S Broadway","","Los Angeles","CA","90003-3335","Los Angeles","400 W 30th St","","Los Angeles","CA","90007-3320","Los Angeles","Linda Pahl","Chief Financial Officer","213-284-3200","3210","Linda.Pahl@pp-la.org","http://www.plannedparenthood.org/los-angeles/","Margie Slater","Director of Revenue Cycle","213-284-3200","3218","Margie.Slater@pp-la.org",""]
[null,201901298,"Madera Clinic","PLANNED PARENTHOOD MAR MONTE","1003860446","Family Planning Providers, Sexually Transmitted Disease Clinics",1.8,0,"500 E Almond Ave","Suite 1","Madera","CA","93637-5600","Madera","1691 The Alameda","","San Jose","CA","95126","Santa Clara","Jennifer Stork","Director of Payor Development & Mgmt","408-795-3618","","jennifer_stork@ppmarmonte.org","http://www.plannedparenthood.org/mar-monte/","Dominique Lee","VP of Services","408-795-3688","","dominique_lee@ppmarmonte.org","http://www.plannedparenthood.org/mar-monte/"]
[null,201901315,"Merced Health Center","Planned Parenthood Mar Monte","1598719189","Family Planning Providers, Sexually Transmitted Disease Clinics",2,0,"3166 Collins Dr","","Merced","CA","95348-3132","Merced","1691 The Alameda","","San Jose","CA","95125","Santa Clara","Jennifer Stork","Director of Payor Development & Management","408-795-3618","3618","jennifer_stork@ppmarmonte.org","www.ppmarmonte.org","Dominique Lee","Vice President of Patient Services","408-795-3688","3688","dominique_lee@ppmarmonte.org","www.ppmarmonte.org"]
[null,201901325,"GVHC - ROBERTSON ROAD","GOLDEN VALLEY HEALTH CENTERS","1205810389","Federally Qualified Health Centers",1.68,0,"1121 Hammond St","","Modesto","CA","95351-3509","Stanislaus","737 W Childs Ave","","Merced","CA","95341-6805","Merced","Tony Weber","CEO","209-385-5551","","tweber@gvhc.org","","","","","","",""]
[null,201901331,"GVHC - HANSHAW","GOLDEN VALLEY HEALTH CENTERS","1780668863","Federally Qualified Health Centers",1.98,0,"1717 Las Vegas St","","Modesto","CA","95358-5500","Stanislaus","737 W Childs Ave","","Merced","CA","95341-6805","Merced","Tony Weber","CEO","209-385-5551","","tweber@gvhc.org","","","","","","",""]
[null,201901348,"Operation Samahan","Operation Samahan, Inc.","1801907449","Federally Qualified Health Centers",2,0,"2743 Highland Ave","","National City","CA","91950-7410","San Diego","1428 Highland Avenue","","National City","CA","91950","San Diego","Fe Seligman","Grants Director","619-471-5433","","feseligman@operationsamahan.org","","Dirk Zirbel","Interim CEO","310-699-0998","","dzirbel@operationsamahan.org","www.operationsamahan.org"]
[null,201901358,"North Hollywood","Comprehensive Community Health Centers","1871573360","Federally Qualified Health Centers",7,0,"12157 Victory Blvd","","North Hollywood","CA","91606-3204","Los Angeles","801 S Chevy Chase Dr","Suite 20","Glendale","CA","91205","Los Angeles","David Lontok","EVP","818-265-2221","","davidlo@cchccenters.org","","","","","","",""]
[null,201901374,"Children's Hospital Oakland Claremont Clinic","UCSF Benioff Children's Hospital Oakland","1003961251","Federally Qualified Health Centers",21,0,"5220 Claremont Ave","","Oakland","CA","94618-1033","Alameda","747 52nd Street","","Oakland","CA","94609-1809","Alameda","Doris Lopez","Interim FQHC Executive Director","510-428-3788","","PCRCDLo@mail.cho.org","","Kelley Meade, MD","Medical Director, FQHC Services","510-428-3885","2793","kmeade@mail.cho.org",""]
[null,201901382,"LifeLong Medical Care - Howard J Daniel Clinic","LIFELONG MEDICAL CARE","1619145307","Federally Qualified Health Centers, Ryan White Providers",4.14,0,"9933 MacArthur Blvd","","Oakland","CA","94605-4853","Alameda","2344 6th St","","Berkeley","CA","94710-2412","Alameda","Marty Lynch","CEO","510-981-4123","","mlynch@lifelongmedical.org","www.lifelongmedical.org","Marie Loverde","Executive Assistant","510-981-4100","","mloverde@lifelongmedical.org","www.lifelongmedical.org"]
[null,201901392,"ADVENTIST HEALTH MEDICAL OFFICE ORANGE COVE RHC","ADVENTIST HEALTH REEDLEY","1235154006","Family Planning Providers, Other ECP Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics",1.5,0,"1455 Park Blvd","","Orange Cove","CA","93646-9322","Fresno","372 W CYPRESS AVENUE","","REEDLEY","CA","93654","Fresno","DERRICK GRUEN","VICE PRESIDENT","559-537-0037","37","derrick.gruen@ah.org","https://www.adventisthealth.org/central-valley/Pages/OHAM/OrgUnitDetails.aspx?OrganizationalUnitId=2847","Elizabeth Hernandez","Site Manager","559-626-0882","28845","HernanEH@AH.org",""]
[null,201901398,"Family Medicine Practice","Oroville Hospital","1740583095","Rural Health Clinics",4.58,0,"2721 Olive Hwy","Suite 1/4/5/9","Oroville","CA","95966","Butte","2767 Olive Highway","","Oroville","CA","95966","Butte","Jo L. Dilbeck","Chief Reimbursement Officer","530-712-2102","","jdilbeck@orohosp.com","","Ashok P. Khanchandani","VP of Finance","530-532-8509","","akhanchandani@orohosp.com",""]
[null,201901419,"ADVENTIST HEALTH FEATHER RIVER PARADISE RHC","ADVENTIST HEALTH FEATHER RIVER","1912092792","Dental Providers, Family Planning Providers, Other ECP Providers, Rural Health Clinics",44.66,2,"5125 Skyway","","Paradise","CA","95969-5624","Butte","5974 Pentz Rd","","Paradise","CA","95969-5509","Butte","Lisa Shaffer","Practice Manager","530-876-2502","","ShaffeLM@AH.org","www.adventisthealth.org/feather-river","Armando Romo","Practice Manager","530-876-2516","","RomoAA@AH.org",""]
[null,201901425,"ChapCare Lake","Community Health Alliance of Pasadena","1063748242","Federally Qualified Health Centers",4,0,"1800 N Lake Ave","","Pasadena","CA","91104-1228","Los Angeles","455 W Montana St","","Pasadena","CA","91103","Los Angeles","Sergio Bautista","COO/CFO","626-993-1222","1222","Sbautista@chapcare.org","","Margaret B. Martinez","CEO","626-993-1227","1227","mmartinez@chapcare.org",""]
[null,201901431,"Wahid medical corporation","Wahid medical Corp","1679767925","Rural Health Clinics",1,0,"1108 Ward Ave","Bldg A Set 1","Patterson","CA","95363-8529","Stanislaus","1108 ward avenue","Bldg A ste 1","Patterson","CA","95363","Stanislaus","Ali Abdul Wahid","Md","209-892-1300","","Wahid@wahidmedical.com","","","","","","",""]
[null,201901452,"Family HealthCare Network - Porterville Dental Center","FAMILY HEALTHCARE NETWORK","1558554519","Dental Providers",0,3,"1133 W Poplar Ave","","Porterville","CA","93257-5839","Tulare","305 E Center Ave","","Visalia","CA","93291-6331","Tulare","Kerry Hydash","President & CEO","559-737-4700","","khydash@fhcn.org","www.fhcn.org","Chad Vawter","Chief Financial Officer","559-737-4700","","cvawter@fhcn.org","www.fhcn.org"]
[null,201901458,"PLUMAS DISTRICT HOSPITAL","Plumas District Hospital","1326094269","Inpatient Hospitals (other than children's hospitals)",24,0,"1065 Bucks Lake Rd","","Quincy","CA","95971-9599","Plumas","1065 Bucks Lake Road","","Quincy","CA","95971","Plumas","Andy Werking","Insurance Contracting Specialist","916-366-5763","","awerking@sbcglobal.net","","Caleb Johnson","Chief Financial Officer","530-283-2121","7952","cjohnson@pdh.org",""]
[null,201901468,"Redwoods Rural Health Center, Inc.","Redwoods Rural Health Center, Inc.","1235206087","Dental Providers, Federally Qualified Health Centers",4.13,2,"101 West Coast Rd","","Redway","CA","95560-0769","Humboldt","Po Box 769","","Redway","CA","95560-0769","Humboldt","Tina Tvedt","Executive Director","707-923-2783","336","ttvedt@rrhc.org","","Sandra Wageman","Lead Biller","707-923-2783","313","swageman@rrhc.org",""]
[null,201901485,"DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM","DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM","1619377942","Indian Health Service, Other ECP Providers",1,0,"9010 Magnolia Ave","Sherman Indian School Clinic","Riverside","CA","92503-4431","Riverside","9010 Magnolia Avenue","","Riverside","CA","92503-4431","Riverside","CAPT Michael D. Weahkee","Chief Executive Officer","602-263-1200","1567","michael.weahkee@ihs.gov","","Ms. Deanna Dick","Chief Operating Officer","602-263-1200","1567","deanna.dick@ihs.gov",""]
[null,201901491,"Capital Plaza Health Center","Planned Parenthood Mar Monte","1316991714","Family Planning Providers, Sexually Transmitted Disease Clinics",3,0,"1125 10th St","","Sacramento","CA","95814-3503","Sacramento","1691 The Alameda","","San Jose","CA","95125","Santa Clara","Jennifer Stork","Director of Payor Development & Management","408-795-3618","3618","jennifer_stork@ppmarmonte.org","www.ppmarmonte.org","Dominique Lee","Vice President of Patient Services","408-795-3688","3688","dominique_lee@ppmarmonte.org","www.ppmarmonte.org"]
[null,201901501,"Health For All - Franklin","Health For All","1841209087","Federally Qualified Health Centers",1,0,"5385 Franklin Blvd","Suite K","Sacramento","CA","95820-4717","Sacramento","420 I Street","Suite 7","Sacramento","CA","95814","Sacramento","Chuck Wiesen","CEO","916-441-2811","301","cwiesen@health-forall.org","www.health-forall.org","Khou Vue","Billing Manager","916-441-2811","303","khou@health-forall.org","www.health-forall.org"]
[null,201901518,"Friedman Optometry","Friedman Optometry","1679628069","Other ECP Providers",2,0,"2150 N Waterman Ave","Suite 201","San Bernardino","CA","92404-4811","San Bernardino","2150 North Waterman Ave Suite 201","","San Bernardino","CA","92404","San Bernardino","Brandon Friedman, O.D.","Owner","909-881-2020","","friedmanoptometry@gmail.com","www.friedmanoptometry.com","Bay Reynolds","Office Manager","909-881-2020","","friedmanoptometryappointments@gmail.com","www.friedmanoptometry.com"]
[null,201901524,"FAP","Foothill AIDS Project","1356629083","Ryan White Providers",1,0,"670 N Arrowhead Ave","Suite A","San Bernardino","CA","92401-1102","San Bernardino","233 W Harrison Ave","","Claremont","CA","91711","Los Angeles","Maritza Tona","Executive Director","909-482-2066","310","mtona@fapinfo.org","","Camila Cristiani","Grants Manager","909-482-2066","302","camila@fapinfo.org",""]
[null,201901534,"FamilyHealth - Youth Counseling Center","Family Health Centers of San Diego, Inc","1437678364","Community Mental Health Centers, Federally Qualified Health Centers",2,0,"2130 National Ave","","San Diego","CA","92113-2209","San Diego","823 Gateway Center Way","","San Diego","CA","92102-4541","San Diego","Felipe Garcia-Bigley","Director - Care Coordination Services","619-876-4456","4456","felipegb@fhcsd.org","www.fhcsd.org","Martha Ontiveros","Director - Billing and Compliance","619-515-2561","2561","marthao@fhcsd.org","www.fhcsd.org"]
[null,201901551,"Mid-City Community Clinic-Adults","San Diego Family Care","1306827332","Federally Qualified Health Centers",5.65,0,"4290 Polk Ave","","San Diego","CA","92105-1524","San Diego","6973 Linda Vista Road","","San Diego","CA","92111","San Diego","Roberta L. Feinberg","CEO","858-279-9676","","feinberg@lvhcc.com","sdfamilycare.org","","","","","",""]
[null,201901563,"Oak Park Family Health Center","Family Health Centers of San Diego","1336525906","Federally Qualified Health Centers",2,0,"5160 Federal Blvd","","San Diego","CA","92105-5429","San Diego","823 Gateway Center Way","","San Diego","CA","92102","San Diego","Felipe Garcia-Bigley","Director - Care Coordination Services","619-876-4456","","felipegb@fhcsd.org","www.fhcsd.org","Martha Ontiveros","Director of Billing and Compliance","619-515-2561","","marthao@fhcsd.org","www.fhcsd.org"]
[null,201901568,"San Diego Children's Dental Clinic","San Ysidro Health Center","1477730737","Dental Providers",0,3,"8110 Birmingham Way","","San Diego","CA","92123-2758","San Diego","4004 Beyer Blvd","","San Ysidro","CA","92173","San Diego","Kevin Mattson","CEO","619-662-4100","","kmattson@syhc.org","www.SYHC.org","","","","","",""]
[null,201901585,"Women's Community Clinic","Women's Community Clinic","1629498118","Family Planning Providers",4.5,0,"1833 Fillmore St Fl 3","","San Francisco","CA","94115-3181","San Francisco","1833 Fillmore St.","3rd Floor","San Francisco","CA","94115","San Francisco","Elizabeth Steinfield","Clinic Director","415-820-7308","","liz@womenscommunityclinic.org","","Carlina Hansen","Executive Director","415-820-7304","","carlina@womenscommunityclinic.org",""]
[null,201901595,"LoPrest Health Center","San Francisco Medical Center Outpatient Improvement Programs, Inc","1528143401","Federally Qualified Health Centers",0.7,0,"551 Minna St # 555","","San Francisco","CA","94103-2831","San Francisco","229 7th Street","","San Francisco","CA","94103","San Francisco","Asa Satariano","CCO/HR Manager","415-503-6055","","asa.satariano@smhcsf.org","","Charles Range","Chief Executive officer","415-503-6054","","charles.range@smhcsf.org",""]
[null,201901601,"San Jose Clinic","Planned Parenthood Mar Monte","1043263189","Family Planning Providers, Sexually Transmitted Disease Clinics",4.75,0,"1691 The Alameda","","San Jose","CA","95126-2203","Santa Clara","1691 The Alameda","","San Jose","CA","95125","Santa Clara","Jennifer Stork","Director of Payor Development & Management","408-795-3618","3618","jennifer_stork@ppmarmonte.org","www.ppmarmonte.org","Dominique Lee","Vice President of Patient Services","408-795-3688","3688","dominique_lee@ppmarmonte.org","www.ppmarmonte.org"]
[null,201901611,"Ashland Community Clinic","Tiburcio Vasquez Health Center, Inc.","1720405491","Dental Providers, Federally Qualified Health Centers",10,10,"16110 E 14th St","","San Leandro","CA","94578-3002","Alameda","33255 Ninth Street","","Union City","CA","94587","Alameda","David Vliet","Chief Executive Officer","510-690-6050","","dvliet@tvhc.org","www.tvhc.org","Wilfredo Lacro","VP of Business Development","510-460-3846","","wlacro@tvhc.org","www.tvhc.org"]
[null,201901628,"Santa Ana Clinic","Planned Parenthood of Orange and San Bernardino Cos.","1063481562","Family Planning Providers, Sexually Transmitted Disease Clinics",13,0,"1421 E 17th St","","Santa Ana","CA","92705-8505","Orange","700 S Tustin St","","Orange","CA","92866","Orange","Jessica Chinen","Director of Financial Services","714-633-6373","137","jessica.wu@PPOSBC.org","http://www.plannedparenthood.org/orange-san-bernardino/","","","","","",""]
[null,201901634,"Santa Barbara Clinic","Planned Parenthood California Central Coast","1811926058","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",6,0,"518 Garden St","","Santa Barbara","CA","93101-1606","Santa Barbara","518 Garden St","","SANTA BARBARA","CA","93101-1606","Santa Barbara","Yolanda Robles","VP of Clinical Operations","805-722-1512","","yolanda.robles@ppcentralcoast.org","https://www.plannedparenthood.org/planned-parenthood-california-central-coast","","","","","",""]
[null,201901644,"Santa Rosa Community Dental Center","SANTA ROSA COMMUNITY HEALTH CENTERS","1023439759","Dental Providers",0,12,"1110 N Dutton Ave","","Santa Rosa","CA","95401-4606","Sonoma","Santa Rosa Community Health Centers","3569 Round Barn Circle","Santa Rosa","CA","95403","Sonoma","Noeleen Farrell","Director of Corp Compliance and Assurance","707-387-3265","","noeleenf@srhealthcenters.org","www.srhealthcenters.org","Kai Nissley","Chief Operations Officer","707-303-3600","3430","kain@srhealthcenters.org","www.srhealthcenters.org"]
[null,201901661,"ADVENTIST HEALTH MEDICAL OFFICE SELMA CENTRAL RHC","ADVENTIST HEALTH","1811914377","Family Planning Providers, Other ECP Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics",3.75,0,"2141 High St","","Selma","CA","93662-3065","Fresno","372 W CYPRESS AVENUE","","REEDLEY","CA","93654","Fresno","DERRICK GRUEN","VICE PRESIDENT","559-537-0037","37","derrick.gruen@ah.org","https://www.adventisthealth.org/central-valley/Pages/OHAM/OrgUnitDetails.aspx?OrganizationalUnitId=2847","Altalie Rosales","Site Manager","559-891-2611","","RosaleAG@AH.org",""]
[null,201901667,"Death Valley Health Center","Clinica Sierra Vista","1972505469","Federally Qualified Health Centers",2,0,"140 N State Highway 127","PO Box 158","Shoshone","CA","92384-0158","Inyo","1430 Truxtun Ave","P.O. Box 1559","Bakersfield","CA","93302-1559","Kern","Cindy Stewart","Chief of Managed Care/Credentialing","661-635-3050","2169","mccred@clinicasierravista.org","","","","","","",""]
[null,201901677,"ChapCare Vacco","Community Health Alliance of Pasadena","1578808200","Federally Qualified Health Centers",4.5,0,"10408 Vacco St","","South El Monte","CA","91733-3328","Los Angeles","455 W Montana St","","Pasadena","CA","91103","Los Angeles","Sergio Bautista","COO/CFO","626-993-1222","1222","Sbautista@chapcare.org","","Margaret B Martinez","CEO","626-993-1227","1227","mmartinez@chapcare.org",""]
[null,201901694,"Lassen Indian Health Center","Susanville Indian Rancheria","1770564049","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638",2,3,"795 Joaquin St","","Susanville","CA","96130-3628","Lassen","795 Joaquin Street","","Susanville","CA","96130","Lassen","Jacqueline J. Bae","CEO/COO","530-251-5184","","jbae888@yahoo.com","","JJ Bae","","530-257-2542","","",""]
[null,201901704,"Family HealthCare Network - Three Rivers Health Center","FAMILY HEALTHCARE NETWORK","1558454256","Federally Qualified Health Centers",1,0,"41651 Sierra Dr","","Three Rivers","CA","93271-9678","Tulare","305 E Center Ave","","Visalia","CA","93291-6331","Tulare","Kerry Hydash","President & CEO","559-737-4700","","khydash@fhcn.org","www.fhcn.org","Chad Vawter","Chief Financial Officer","559-737-4700","","cvawter@fhcn.org","www.fhcn.org"]
[null,201901710,"Family HealthCare Network - Tulare Pediatrics","FAMILY HEALTHCARE NETWORK","1043664766","Federally Qualified Health Centers",4.5,0,"1008 N Cherry St","","Tulare","CA","93274-2212","Tulare","305 E. Center Ave.","","Visalia","CA","93291","Tulare","Kerry Hydash","President & CEO","559-737-4700","","khydash@fhcn.org","www.fhcn.org","Chad Vawter","Chief Financial Officer","559-737-4700","","cvawter@fhcn.org","www.fhcn.org"]
[null,201901727,"Van Nuys Adult Health Center","NORTHEAST VALLEY HEALTH CORPORATION","1629079009","Federally Qualified Health Centers, Ryan White Providers",5,0,"6551 Van Nuys Blvd","Suite 201","Van Nuys","CA","91401-1490","Los Angeles","1172 N Maclay Ave","","San Fernando","CA","91340-1328","Los Angeles","Kimberly Wyard","Chief Eexecutive Officer","818-898-1388","41620","KimWyard@nevhc.org","","Theresa Nitescu","Chief Operations Officer","818-898-1388","41624","MissyNitescu@nevhc.org","http://www.nevhc.org/programs-a-services/primary-and-preventive-care/hiv-testing-and-treatment.html"]
[null,201901737,"Family HealthCare Network - Visalia Oak Health Center","FAMILY HEALTHCARE NETWORK","1821186727","Federally Qualified Health Centers",16,0,"400 E Oak Ave","","Visalia","CA","93291-5034","Tulare","305 E. Center Ave.","","Visalia","CA","93291","Tulare","Kerry Hydash","President & CEO","559-737-4700","","khydash@fhcn.org","www.fhcn.org","Chad Vawter","Chief Financial Officer","559-737-4700","","cvawter@fhcn.org","www.fhcn.org"]
[null,201901748,"SALUD CLINIC","COMMUNICARE HEALTH CENTERS","1710087515","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers, Ryan White Providers, Sexually Transmitted Disease Clinics",4.93,1,"500 Jefferson Blvd","Suite B180","West Sacramento","CA","95605-2394","Yolo","2051 John Jones Rd","","Davis","CA","95616-9701","Yolo","Robin Affrime","CEO","530-753-3498","","robina@communicarehc.org","","","","","","",""]
[null,201901761,"Kaweah delta Woodlake health clinic","Kaweah delta health care district","1154614097","Rural Health Clinics",2.2,0,"180 E Antelope Ave","","Woodlake","CA","93286-1506","Tulare","400 W. Mineral king","","Visalia","CA","93291","Tulare","David W. Garrett","Rural health clinic director","559-592-7300","7395","dgarrett@kdhcd.org","","","","","","",""]
[null,201901771,"Northeast Colorado Health Department","Northeast Colorado Health Department","1013911437","Family Planning Providers",0.5,0,"77 Main Ave","","Akron","CO","80720-1439","Washington","700 Columbine Street","","Sterling","CO","80751","Logan","Tamera Hort","Public Health Nursing Manager","970-522-3741","1241","tammyh@nchd.org","","Trish McClain","Deputy Director","970-867-4918","2248","trishm@nchd.org",""]
[null,201901777,"Alamosa Family Medical Center","VALLEY WIDE HEALTH SYSTEMS, INC.","1801883459","Federally Qualified Health Centers",5,0,"1710 1st St","","Alamosa","CO","81101-2302","Alamosa","128 Market St","","Alamosa","CO","81101-2290","Alamosa","Suzanne DeVore","Decision Support Analyst","719-587-1022","","devores@vwhs.org","","","","","","",""]
[null,201901787,"Children's Hospital Colorado, Anzchutz Medical Campus (multiple outpatient ECP categories)","Children's Hospital Colorado","1336245828","Dental Providers, Family Planning Providers, Outpatient Hospital Clinics",745.15,66.66,"13123 E 16th Ave","","Aurora","CO","80045-7106","Adams","13123 East 16th Avenue","","Aurora","CO","80045-7106","Adams","Elizabeth Nowak","Executive Director, Payer Strategy & Network Development","720-777-6068","","elizabeth.nowak@childrenscolorado.org","www.childrenscolorado.org","Zach Zaslow","Government Affairs Manager","720-777-6555","","zach.zaslow@childrenscolorado.org","www.childrenscolorado.org"]
[null,201901804,"Clinica Family Health - People's Clinic","CLINICA CAMPESINA FAMILY HEALTH SERVICES","1184613234","Federally Qualified Health Centers",12.43,0,"2525 13th St","","Boulder","CO","80304-4104","Boulder","1345 Plaza Ct N Ste 1A","","Lafayette","CO","80026-2832","Boulder","Simon Smith","President and CEO","303-665-2599","","simon.smith@clinica.org","clinica.org","Betsy David","Chief Financial Officer","303-665-3036","1120","bdavid@clinica.org","clinica.org"]
[null,201901810,"Brighton Salud Family Health Center","PLAN DE SALUD DEL VALLE, INC.","1780717579","Dental Providers, Federally Qualified Health Centers",9,2,"1860 E Egbert St","","Brighton","CO","80601-2475","Adams","203 S Rollie Ave","","Fort Lupton","CO","80621-1508","Weld","Rosario Morales","President/CEO","303-892-6401","2066","jsantistevan@saludclinic.org","","","","","","",""]
[null,201901820,"Button Family Practice, P.C.","Button Family Practice, P.C.","1144269739","Rural Health Clinics",7,0,"715 S 9th St","","Canon City","CO","81212-4911","Fremont","715 S. 9th Street","","Canon City","CO","81212","Fremont","Dennis Johnson","Office Manager","719-269-8820","","djohnson.bfp@live.com","","","","","","",""]
[null,201901837,"Health Center at Academy Suite 3500","Peak Vista Community Health Centers","1962740381","Federally Qualified Health Centers",11,0,"3207 N Academy Blvd","Suite 3500","Colorado Springs","CO","80917-5100","El Paso","3205 N. Academy","Suite 130","Colorado Springs","CO","80917","El Paso","Pamela J. McManus","President & CEO","719-344-6453","","pam.mcmanus@peakvista.org","","Christi Garriott","VP of Business Intelligence & Revenue","719-344-6454","","christi.garriott@peakvista.org",""]
[null,201901847,"Kids First Health Care at Commerce City","Kids First Health Care","1639200702","Other ECP Providers",1.37,0,"4675 E 69th Ave","","Commerce City","CO","80022-2343","Adams","4675 E. 69th Avenue","","Commerce City","CO","80022","Adams","Devra Fregin","Director of Practice Management","303-853-3282","","dafregin@adams14.org","www.kidsfirsthealthcare.org","Amber Picinic","Associate Director","303-853-3293","","apicinic@adams14.org","www.kidsfirsthealthcare.org"]
[null,201901853,"Rocky Mountain Youth Clinics","Rocky Mountain Youth Clinics","1730295296","Other ECP Providers",1,0,"401 N Dolores Rd","Southwest Open School","Cortez","CO","81321-4213","Montezuma","9197 S. Grant St., Suite 100","","Thornton","CO","80229","Adams","Paul Eschen","Director of Finance","303-450-3690","1122","peschen@rmyclinics.org","www.rmyclinics.org","Barb Tafoya","Finance Administrator","303-450-3690","1121","barb@rmyclinics.org","www.rmyclinics.org"]
[null,201901870,"Clinica Family Health Services - Pecos Clinic","CLINICA CAMPESINA FAMILY HEALTH SERVICES","1548256522","Dental Providers, Federally Qualified Health Centers",18.58,3.6,"1701 W 72nd Ave","Suite 300","Denver","CO","80221-2727","Adams","1345 Plaza Ct N Ste 1A","","Lafayette","CO","80026-2832","Boulder","Simon Smith","President and CEO","303-665-2599","","simon.smith@clinica.org","clinica.org","Betsy David","Chief Financial Officer","303-665-3036","1120","bdavid@clinica.org","clinica.org"]
[null,201901880,"FAMILY CRISIS CENTER","DENVER HEALTH AND HOSPITALS AUTHORITY","1104973338","Federally Qualified Health Centers",3.9,0,"2929 W 10th Ave","","Denver","CO","80204-3363","Denver","777 Bannock St","","Denver","CO","80204-4507","Denver","Peggy Baikie","Program Manager","720-944-3745","","Peggy.Baikie@dhha.org","http://www.denverhealth.org","","","","","",""]
[null,201901886,"WESTWOOD FAMILY HEALTH CENTER","DENVER HEALTH AND HOSPITALS AUTHORITY","1619918794","Family Planning Providers, Federally Qualified Health Centers",7.63,0,"4320 W Alaska Pl","","Denver","CO","80219-2454","Denver","777 Bannock St","","Denver","CO","80204-4507","Denver","Tara Thomas-Gale","Family Planning Coordinator","303-436-4182","","Tara.Thomas-Gale@dhha.org","http://denverhealth.org/MedicalServices/PrimaryCare/OurServices/FamilyPlanning.aspx","","","","","",""]
[null,201901903,"Denver Health","DENVER HEALTH AND HOSPITALS AUTHORITY","1427161371","Federally Qualified Health Centers",1.05,0,"911 S Hazel Ct","KEPNER MIDDLE SCHOOL","Denver","CO","80219-3418","Denver","777 Bannock St","","Denver","CO","80204-4507","Denver","Tara Thomas-Gale","Practice Administrator","303-602-6767","","Tara.Thomas-Gale@dhha.org","http://www.denverhealth.org","","","","","",""]
[null,201901913,"Columbine Center Behavioral Health","Axis Health System","1417295783","Community Mental Health Centers",5.1,0,"281 Sawyer Dr","Suite 100","Durango","CO","81303-3409","La Plata","185 Suttle St.","","Durango","CO","80303","La Plata","Matt Payne","Senior Director of Integration","970-335-2421","","mpayne@axishealthsystem.org","www.axishealthsystem.org","Debbie White","Senior Director of Finance","","","dwhite@axishealthsystem.org","www.axishealthsystem.org"]
[null,201901919,"ENGLEWOOD HEALTH CENTER","METRO COMMUNITY PROVIDER NETWORK, INC.","1841458882","Federally Qualified Health Centers",4,0,"3515 S Delaware St","","Englewood","CO","80110-3529","Arapahoe","3701 S Broadway","","Englewood","CO","80113-3611","Arapahoe","BOB CUNNINGHAM","VICE PRESIDENT OF FINANCE","303-761-1977","1156","bob.cunningham@mcpn.org","http://mcpn.org/","JANET PINKUL","CONTROLLER","303-761-1977","1159","janet.pinkul@mcpn.org","http://mcpn.org/"]
[null,201901937,"Summit Community Care Clinic, Inc.","Summit Community Care Clinic, Inc.","1437575792","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",0.3,0.1,"158 School Rd","Summit Middle School","Frisco","CO","80443","Summit","PO Box 4337","","Frisco","CO","80443","Summit","Lori Bowman","Data Coordinator/Billing","970-423-8831","","lbowman@summitclinic.org","","Erin Major","School Based Health Center Program Director","970-423-8831","","emajor@summitclinic.org",""]
[null,201901947,"MONFORT CHILDREN'S CLINIC","SUNRISE COMMUNITY HEALTH","1871890152","Dental Providers, Federally Qualified Health Centers",4.5,1,"100 N 11th Ave","","Greeley","CO","80631-2011","Weld","2930 11th Ave","","Evans","CO","80620-1011","Weld","Janie Newhard","Credentialing Specialist","970-350-4602","","jnewhard.sunrise@nocoha.org","","Shelly Rios","CWO","970-350-4672","","srios.sunrise@nocoha.org",""]
[null,201901953,"Planned Parenthood of the Rocky Mountains--Greeley","Planned Parenthood of the Rocky Mountains, Inc.","1881743631","Family Planning Providers, Rural Health Clinics",1,0,"3487 W 10th St","Suite B","Greeley","CO","80634-5361","Weld","7155 E 38th Ave","","Denver","CO","80207-1630","Denver","kate hayes","Director of Payer Relations","303-813-7769","","kate.hayes@pprm.org","","","","","","",""]
[null,201901963,"Northeast Colorado Health Department","Northeast Colorado Health Department","1013911437","Family Planning Providers",0.5,0,"118 W 3rd St","","Julesburg","CO","80737-1542","Sedgwick","700 Columbine Street","","Sterling","CO","80751","Logan","Tamera Hort","Public Health Nursing Manager","970-522-3741","1241","tammyh@nchd.org","","Trish McClain","Deputy Director","970-867-4918","2248","trishm@nchd.org",""]
[null,201901980,"High Plains Adult Community Health Center","HIGH PLAINS COMMUNITY HEALTH CENTER, INCORPORATED","1770865644","Federally Qualified Health Centers, Rural Health Clinics",1,0,"2221 Wellness Way","","Lamar","CO","81052-3867","Prowers","201 Kendall Dr","","Lamar","CO","81052-3939","Prowers","Laurie Larrick","Vice President of Human Resources","719-336-0261","140","laurie.larrick@highplainschc.net","","Shae Emick","Vice President of Operations","719-336-0261","146","shae.emick@highplainschc.net",""]
[null,201901986,"Lincoln Community Hospital Limon Clinic","Lincoln Community Hospital & Nursing Home","1720107519","Outpatient Hospital Clinics",6,0,"2110 6th St","","Limon","CO","80828","Lincoln","PO Box 248","","Hugo","CO","80821","Lincoln","Kevin Stansbury","CEO","719-743-2421","3230","kstansbury@lchnh.com","http://www.hugohospital.com","Kathy Richie","Compliance Officer","719-743-2421","3243","krichie@lchnh.com","http://www.hugohospital.com"]
[null,201901996,"Edward M. Kennedy Health Clinic or Dental Services or Physical Therapy Services","VALLEY WIDE HEALTH SYSTEMS, INC.","1821085994","Dental Providers, Federally Qualified Health Centers",3,1,"925 2nd Ave","","Monte Vista","CO","81144-1432","Rio Grande","128 Market St","","Alamosa","CO","81101-2290","Alamosa","Suzanne DeVore","Decision Support Analyst","719-587-1022","","devores@vwhs.org","www.vwhs.org","","","","","",""]
[null,201902013,"Pueblo Community Health Center","PUEBLO COMMUNITY HEALTH CENTER","1013261023","Federally Qualified Health Centers",1,0,"625 N Monument Ave","Risley Middle School SBWC","Pueblo","CO","81001-5706","Pueblo","110 E Routt Ave","","Pueblo","CO","81004-2006","Pueblo","Catie Shannon","Director of Revenue Cycle","719-543-8711","156","cshannon@pueblochc.org","www.pueblochc.org","Cindy Pratt","Chief Financial Officer","719-543-8711","295","cpratt@pueblochc.org","www.pueblochc.org"]
[null,201902023,"Solvista Health","West Central Mental Health Center, Inc dba Solvista Health","1265565824","Community Mental Health Centers",1,0,"111 Vesta Rd","","Salida","CO","81201-9327","Chaffee","3225 Independence Rd","","Canon City","CO","81212","Fremont","Rhonda Ducommun","Business Assistant","719-204-2090","2229","Rhondad@Solvistahealth.org","SolvistaHealth.org","Kay Martin","COO","719-275-2351","2202","KayMartin@SolvistaHealth.org","SolvistaHealth.org"]
[null,201902029,"Steamboat Springs","Northwest Colorado Visiting Nurse A","1265787857","Federally Qualified Health Centers",6.3,0,"940 Central Park Dr","Suite 101","Steamboat Springs","CO","80487-8853","Routt","940 Central Park Drive","Suite 101","Steamboat Springs","CO","80487","Routt","Stephanie Anderson","Chief Operating Officer","970-871-7636","","sanderso@nwcovna.org","www.nwcovna.org","Gisela Garrison","Health Center Director","970-871-7669","","ggarrison@nwcovna.org","www.nwcovna.org"]
[null,201902046,"Jeffco Family Health Services Center","METRO COMMUNITY PROVIDER NETWORK","1184961492","Dental Providers, Federally Qualified Health Centers",15,3,"7495 W 29th Ave","","Wheat Ridge","CO","80033-8002","Jefferson","3701 S BROADWAY","","ENGLEWOOD","CO","80113","Arapahoe","BOB CUNNINGHAM","VICE PRESIDENT OF FINANCE","303-761-1977","1156","bob.cunningham@mcpn.org","http://mcpn.org/","JANET PINKUL","CONTROLLER","303-761-1977","1159","janet.pinkul@mcpn.org","http://mcpn.org/"]
[null,201902056,"Optimus Health Care, Inc.","Optimus Health Care, Inc.","1669445946","Dental Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",1,1,"1734 Central Ave","Warren Harding High School Based Health Center","Bridgeport","CT","06610-2763","Fairfield","982 East Main Street","","Bridgeport","CT","06608","Fairfield","Elena Reyes","Admin Assistant","203-696-3260","3885","ereyes@opthc.org","","Linda Ugarte","Admin Assistant","203-696-3260","3357","lugarte@opthc.org",""]
[null,201902062,"Southwest Community Health Center","Southwest Community Health Center, Inc.","1699703686","Dental Providers, Federally Qualified Health Centers, Ryan White Providers",11,3,"46 Albion St","","Bridgeport","CT","06605-2602","Fairfield","46 Albion St.","","Bridgeport","CT","06605-2602","Fairfield","Katherine S. Yacavone","CEO","203-332-3501","","kyacavone@swchc.org","","Lynn Sosa","TB Program Director","860-509-7723","","",""]
[null,201902072,"Optimus Health Care, Inc.","Optimus Health Care, Inc.","1669445946","Dental Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",1,1,"700 Palisade Ave","John F Kennedy School Based Health Center","Bridgeport","CT","06610-3457","Fairfield","982 East Main Street","","Bridgeport","CT","06608","Fairfield","Elena Reyes","Admin Assistant","203-696-3260","3885","ereyes@opthc.org","","Linda Ugarte","Admin Assistant","203-696-3260","3357","lugarte@opthc.org",""]
[null,201902089,"FCHC@110 Connecticut Blvd.","FIRST CHOICE HEALTH CENTERS, INC.","1215923131","Federally Qualified Health Centers",6,0,"110 Connecticut Blvd","","East Hartford","CT","06108-3013","Hartford","94 Connecticut Blvd","","East Hartford","CT","06108-3013","Hartford","Eugene Market","CEO","860-289-6413","","emarket@firstchc.org","","","","","","",""]
[null,201902095,"Operation Hope","Southwest Community Health Center, Inc.","1699703686","Federally Qualified Health Centers",1,0,"50 Nichols Ave","","Fairfield","CT","06825-1928","Fairfield","46 Albion St.","","Bridgeport","CT","06605-2602","Fairfield","Katherine S. Yacavone","CEO","203-332-3501","","kyacavone@swchc.org","","","","","","",""]
[null,201902105,"UCFS Health Center - Griswold","UNITED COMMUNITY SERVICES INC","1467482539","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers",2.63,0,"76 Main St","","Jewett City","CT","06351-2226","New London","34 E Town St","","Norwich","CT","06360-2326","New London","Beth A. Mullin","CFO","860-889-2375","1226","bmullin@ucfs.org","ucfs.org","Allison Keefe","Director of Outpatient Revenue","860-889-2375","1260","akeefe@ucfs.org","ucfs.org"]
[null,201902122,"Community Health Center, Inc.","Community Health Center, Inc.","1952591851","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers",1,1,"23 Oregon Rd","Wilcox Technical High School SBHC","Meriden","CT","06451-3716","New Haven","635 Main Street","","Middletown","CT","06457","Middlesex","Margaret Flinter, APRN, PhD","SVP/Clinical Director","860-347-6971","3622","Margaret@chc1.com","www.chc1.com","Robert Block, CPA","CFO","860-347-6971","3676","BlockR@chc1.com","www.chc1.com"]
[null,201902129,"Venture Academy SBHC","Community Health Center, Inc.","1952591851","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers",1,1,"883 Paddock Ave","","Meriden","CT","06450-7044","New Haven","635 Main Street","","Middletown","CT","06457","Middlesex","Margaret Flinter, APRN, PhD","SVP/Clinical Director","860-347-6971","3622","Margaret@chc1.com","www.chc1.com","Robert Block, CPA","CFO","860-347-6971","3676","BlockR@chc1.com","www.chc1.com"]
[null,201902139,"Community Health Center, Inc.","Community Health Center In","1952591851","Federally Qualified Health Centers",1,0,"322 Slater Rd","Gaffney Elementary School Based Health Center","New Britain","CT","06053-3458","Hartford","675 Main Street","","Middletown","CT","06457","Middlesex","Margaret Flinter","SVP/Clinical Director","860-347-6971","3622","flintem@chc1.com","www.chc1.com","","","","","",""]
[null,201902156,"Cornell Scott-Hill Health Corporation","CORNELL SCOTT-HILL HEALTH CORPORATION","1902921380","Federally Qualified Health Centers",0.1,0,"259 Edgewood Ave","CS-HHC at Augusta Lewis Troup School","New Haven","CT","06511-4106","New Haven","400 Columbus Ave","","New Haven","CT","06519-1233","New Haven","Michael R Taylor","CEO","203-503-3280","","mmckinna@cornellscott.org","","","","","","",""]
[null,201902166,"CORNELL SCOTT-HILL HEALTH CENTER","Cornell Scott Hill Health Corporation","1902921380","Federally Qualified Health Centers, Ryan White Providers",19,0,"428 Columbus Ave","","New Haven","CT","06519-1233","New Haven","400 Columbus Avenue","","New Haven","CT","06519-1233","New Haven","Michael R. Taylor","CEO","203-503-3280","2035033280","mmckinna@cornellscott.org","","","","","","",""]
[null,201902172,"Fair Haven Community Health Clinic Inc","FAIR HAVEN COMMUNITY HEALTH CLINIC INC","1104803444","Dental Providers, Federally Qualified Health Centers",1,1,"560 Ella T Grasso Blvd","Riverside Academy School Based Health Center","New Haven","CT","06519-1827","New Haven","374 Grand Ave","","New Haven","CT","06513-3733","New Haven","Suzanne Lagarde","Ceo","203-752-5129","","s.lagarde@fhchc.org","","Jeannette DeJesus","COO","203-752-5134","","j.dejesus@fhchc.org",""]
[null,201902189,"Generations Family Health Center, Inc.","GENERATIONS FAMILY HEALTH CENTER, INC.","1346228905","Federally Qualified Health Centers",4.5,0,"330 Washington St","Suite 510","Norwich","CT","06360-2733","New London","40 Mansfield Avenue","","Willimantic","CT","06226-2018","Windham","Arvind Shaw","Chief Executive Officer","860-456-6200","","ashaw@genhealth.org","www.genhealth.org","Debra Daviau Savoie, MBA","Chief Financial Officer","860-456-6271","","dsavoie@genhealth.org","www.genhealth.org"]
[null,201902199,"Franklin Street Community Health Center","Community Health Center Inc","1730311143","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Tuberculosis Clinics",5,2,"141 Franklin St","","Stamford","CT","06901-1014","Fairfield","675 Main Street","","Middletown","CT","06457","Middlesex","Margaret Flinter","SVP/Clinical Director","860-347-6971","3622","flintem@chc1.com","www.chc1.com","","","","","",""]
[null,201902205,"Stratford Community Health Center","Optimus Health Care, Inc.","1669445946","Dental Providers, Federally Qualified Health Centers, Tuberculosis Clinics",1,1,"727 Honeyspot Rd","","Stratford","CT","06615-7172","Fairfield","982 East Main Street","","Bridgeport","CT","06608","Fairfield","Elena Reyes","Admin Assistant","203-696-3260","3885","ereyes@opthc.org","","Linda Ugarte","Admin Assistant","203-696-3260","3357","lugarte@opthc.org",""]
[null,201902226,"Children's HTC","Children's National Medical Center","1912939703","Hemophilia Treatment Centers",4,0,"111 Michigan Ave NW","","Washington","DC","20010-2916","District of Columbia","111 Michigan Avenue NW","","Washington","DC","20010","District of Columbia","George Fredrick Francois","Center Director","202-476-5153","","Gfrancoi@cnmc.org","","Christine Guelcher","APNP Team Lead","202-476-3622","","Cguelche@cnmc.org",""]
[null,201902232,"N Street Village","UNITY HEALTH CARE, INC.","1093915357","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",0.3,0.1,"1333 N St NW","","Washington","DC","20005-3601","District of Columbia","1220 12th St SE Ste 120","","Washington","DC","20003-3733","District of Columbia","Ardell W. Butler","CFO","202-715-7930","","abutler@unityhealthcare.org","www.unityhealthcare.org","Karin Werner","VP","202-715-7950","","kwerner@unityhealthcare.org",""]
[null,201902238,"Elaine Ellis Center of Health","ELAINE ELLIS CENTER OF HEALTH","1427331461","Federally Qualified Health Centers",2.2,0,"1605 Kenilworth Ave NE","","Washington","DC","20019-2010","District of Columbia","1605 Kenilworth Avenue, NE","","Washington","DC","20019-2010","District of Columbia","Jacquelyn Walker","Chief Executive Officer","202-803-2340","112","jwalker@eechealth.com","","Timothy Walker","Chief Operating Officer","202-803-2340","112","tw@eechealth.com",""]
[null,201902259,"Minnesota Avenue Health Center","UNITY HEALTH CARE, INC.","1376847061","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",17,0,"3924 Minnesota Ave NE","","Washington","DC","20019-2661","District of Columbia","1220 12th St SE Ste 120","","Washington","DC","20003-3733","District of Columbia","Ardell W. Butler","CFo","202-715-7930","","abutler@unityhealthcare.org","www.unityhealthcare.org","Karin Werner","VP","202-715-7950","","kwerner@unityhealthcare.org","http://www.unityhealthcare.org"]
[null,201902265,"So Others Might Eat (SOME)","UNITY HEALTH CARE, INC.","1295803856","Dental Providers, Federally Qualified Health Centers",2,1.38,"60 O St NW","","Washington","DC","20001-1259","District of Columbia","1220 12th St SE Ste 120","","Washington","DC","20003-3733","District of Columbia","Vincent A. Keane","CEO","202-518-6409","","KWerner@UnityHealthCare.org","","Anne Loiret","Director, Billing and Reporting","202-797-8806","1133","aloiret@some.org",""]
[null,201902271,"Henrietta Johnson Medical Center Claymont","Henrietta Johnson Medical Center","1760874549","Federally Qualified Health Centers",0.8,0,"3301 Green St","","Claymont","DE","19703-2052","New Castle","601 New Castle Avenue","","Wilmington","DE","19801","New Castle","Ephraim Kaba","CEO","302-655-6187","232","ekaba@hjmc.org","www.hjmc.org","shay scott","Director of Fund Development","302-655-6187","230","sscott@hjmc.org","www.hjmc.org"]
[null,201902292,"Porter State Service Center","Delaware Dept. of Health and Social Services, Div. of Pub. Health FP Proj.","1013089895","Family Planning Providers, Sexually Transmitted Disease Clinics",2,0,"511 W 8th St","","Wilmington","DE","19801-1449","New Castle","511 W 8th St","","Wilmington","DE","19801-1449","New Castle","Javar Simpson","Clinic Manager","302-777-2860","","javar.simpson@state.de.us","http://dhss.delaware.gov/dhss/dph/chs/chsfamilyplanning.html","","","302-577-2111","","","http://www.christianacare.org/hiv"]
[null,201902298,"COMMUNITY HEALTH CENTER-APOPKA DENTAL CARE","COMMUNITY HEALTH CENTERS, INC.","1972800563","Dental Providers",0,2,"210 E 7th St","","Apopka","FL","32703-5328","Orange","110 S WOODLAND ST","","WINTER GARDEN","FL","34787-3546","Orange","MARGARET BRENNAN","PRESIDENT/CEO","407-905-8827","","M.BRENNAN@CHCFL.ORG","WWW.CHCFL.ORG","MARK DICKINSON","EXEC VP/CFO","407-905-8827","","M.DICKINSON@CHCFL.ORG","WWW.CHCFL.ORG"]
[null,201902311,"C. L. Brumback Primary Care Clinic - Belle Glade (Dental)","Health Care District of Palm Beach County","1720474075","Dental Providers",0,1,"38754 State Road 80","","Belle Glade","FL","33430-5615","Palm Beach","902 Clint Moore Rd.","Suite 138","Boca Raton","FL","33487","Palm Beach","Christopher F. Irizarry, MPA","Vice President and Executive Director of Clinic Services","561-642-1005","1005","cirizarr@hcdpbc.org","clbrumbackprimarycareclinics.org","Marcia Young, MHA, BA","Director of Operations","561-642-1015","1015","mayoung@hcdpbc.org","clbrumbackprimarycareclinics.org"]
[null,201902326,"Lawton Chiles Children and Family Healthcare Center","Manatee County Rural Health Services, Inc.","1467481960","Dental Providers, Federally Qualified Health Centers, Tuberculosis Clinics",7,5,"1515 26th Ave E","","Bradenton","FL","34208-7707","Manatee","700 8th Avenue West","Suite 101","Palmetto","FL","34221","Manatee","Linda Snyder","Director, Specialized Programs and Contracts","828-247-6678","","Lsnyder@mcrhs.org","www.mcrhs.org","","","","","",""]
[null,201902332,"River Landings OB/Gyn","Manatee County Rural Health Services, Inc.","1245562842","Federally Qualified Health Centers",3,0,"5460 63rd St E Unit B","","Bradenton","FL","34203-7808","Manatee","700 8th Avenue West","Suite 101","Palmetto","FL","34221","Manatee","Linda Snyder","Director, Specialized Programs and Contracts","828-247-6678","","Lsnyder@mcrhs.org","www.mcrhs.org","","","","","",""]
[null,201902342,"CLARK CLINIC INC","Clark Clinic Inc","1376733857","Rural Health Clinics",9,0,"212 S Florida St","","Bushnell","FL","33513-6703","Sumter","212 S Florida St","","Bushnell","FL","33513","Sumter","Amber Espericueta","COO","352-793-2441","","clarkclinicamber@gmail.com","","","","","","",""]
[null,201902359,"Crestview Multi-Providers","SACRED HEART HEALTH SYSTEM","1922032424","Other ECP Providers",10,0,"550 W Redstone Ave","Suite 200","Crestview","FL","32536-6429","Okaloosa","5151 N 9th Ave","","Pensacola","FL","32504","Escambia","Becky McQueen","Director, Managed Care","850-416-7024","","Rebecca.McQueen@shhpens.org","","Justin Labrato","VP, Sacred Heart Medical Group","850-475-4736","","jlabrato@shhpens.org",""]
[null,201902365,"DORIS ISON HEALTH CENTER","COMMUNITY HEALTH OF SOUTH FLORIDA, INC.","1336152347","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers",93,12,"10300 SW 216th St","","Cutler Bay","FL","33190-1003","Miami-Dade","10300 SW 216th St","","Miami","FL","33190","Miami","BRODES H. HARTLEY, JR","President/CEO","305-252-4853","","CHARTLEY@CHISOUTHFL.ORG","WWW.CHISOUTHFL.ORG","BLAKE HALL","COO","305-252-4853","","ABHALL@CHISOUTHFL.ORG","WWW.CHISOUTHFL.ORG"]
[null,201902375,"Florida Hospital Deland","Adventist Health System/Sunbelt Inc.","1649367269","Inpatient Hospitals (other than children's hospitals)",451,0,"701 W Plymouth Ave","","Deland","FL","32720-3236","Volusia","900 Hope Way","","Altamonte Springs","FL","32714","Seminole","Kevin Lay","FH Division VP Managed Care","407-357-1900","","Kevin.Lay@AHSS.org","","","","","","",""]
[null,201902392,"Specialty Care Center","North Broward Hospital District, dba Broward Health","1689692246","Federally Qualified Health Centers, Ryan White Providers",4,0,"1111 W Broward Blvd","","Fort Lauderdale","FL","33312-1638","Broward","1800 NW 49th St.","","Fort Lauderdale","FL","33309","Broward","Scott A DiMarzo","Director","954-355-4953","","sdimarzo@browardhealth.org","www.browardhealth.org","Jasmin Shirley","Vice President Community Health Services","954-355-5903","","jshirley@browardhealth.org","www.browardhealth.org"]
[null,201902402,"Downtown Ft. Myers Center","FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.","1326090390","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",35,12,"2232 Grand Ave","","Fort Myers","FL","33901-3717","Lee","P.O. Box 1357","","Fort Myers","FL","33902","Lee","Melinda Black","Supervisor of Administrative Services","239-931-3873","","mblack@hcnetwork.org","www.fhcswf.org","Jorge Quinonez, M.D.","E.V.P./Chief Medical Officer","239-278-3600","3245","jquinonez@hcnetwork.org","www.fhcswf.org"]
[null,201902408,"Renaissance Preserve Office","FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.","1326090390","Federally Qualified Health Centers",0.2,0,"4211 Romeo Ln","","Fort Myers","FL","33916-4810","Lee","2256 Heitman St","","Fort Myers","FL","33901-3744","Lee","Frank Mazzeo","President / CEO","239-278-3600","","fmazzeo@hcnetwork.org","","","","","","",""]
[null,201902425,"COMMUNITY HEALTH CENTER - SOUTH LAKE FAMILY, PEDIATRIC & DENTAL CARE","COMMUNITY HEALTH CENTERS, INC.","1922197243","Dental Providers, Federally Qualified Health Centers",3,2,"1296 W Broad St","","Groveland","FL","34736-2012","Lake","110 S Woodland St","","Winter Garden","FL","34787-3546","Orange","MARGARET BRENNAN","PRESIDENT/CEO","407-905-8827","","M.BRENNAN@CHCFL.ORG","WWW.CHCFL.ORG","MARK DICKINSON","EXEC VP/CFO","407-905-8827","","M.DICKINSON@CHCFL.ORG","WWW.CHCFL.ORG"]
[null,201902435,"Citrus Health Network, Inc.","Citrus Health Network, Inc.","1275647752","Community Mental Health Centers, Federally Qualified Health Centers, Ryan White Providers",36,0,"4125 W 20th Ave","","Hialeah","FL","33012-5874","Miami-Dade","4175 West 20 Ave","","Hialeah","FL","33012","Miami","Olga Golik","In-House Counsel","305-424-3010","3010","olgag@citrushealth.com","","Maria Alonso","Chief Operating Officer","305-424-3100","3058250300","maria@citrushealth.com",""]
[null,201902441,"South Broward Community Health Services - Hollywood","South Broward Hospital District","1780667923","Ryan White Providers",48,0,"4105 Pembroke Rd","","Hollywood","FL","33021-8103","Broward","3501 Johnson Street","Administration","Hollywood","FL","33021","Broward","Walter Bussell","Chief Financial Officer","954-265-5812","5204","wbussell@mhs.net","www.mhs.net","Sandra Dilts","Vice President of Managed Care","954-265-7732","7732","sdilts@mhs.net","www.mhs.net"]
[null,201902451,"Women's Care FSU (Immokalee)","COLLIER HEALTH SERVICES, INC.","1609827211","Federally Qualified Health Centers",2,0,"1441 Heritage Blvd","","Immokalee","FL","34142-2260","Collier","1454 Madison Ave W","","Immokalee","FL","34142-2200","Collier","Yerania Lopez","Director of Clinical Operations","239-658-3002","","ylopez@healthcareswfl.org","www.healthcareswfl.org","Thomas Van Pelt","Director Administrative Operations","239-658-3027","","tvanpelt@healthcareswfl.org","www.healthcareswfl.org"]
[null,201902468,"Nemours Specialty Children's Care","The Nemours Foundation","1699014415","Hemophilia Treatment Centers",5,0,"807 Childrens Way","","Jacksonville","FL","32207-8426","Duval","10140 Centurion Parkway North","","Jacksonville","FL","32256","Duval","Ray Hejmanowski","Practice Administrator","904-697-3528","","ray.hejmanowski@nemours.org","","Gina McCarter","","850-473-4501","","gina.mccarter@nemours.org",""]
[null,201902474,"Primary Care Medical Services","Department of Health In Osceola County","1710375456","Federally Qualified Health Centers",11,0,"1875 Fortune Rd","","Kissimmee","FL","34744-4428","Osceola","1875 Fortune Road","","Kissimmee","FL","34744","Osceola","Belinda Johnson-Cornett","CEO","407-343-2016","","belinda.johnson-cornett@flhealth.gov","","Daniella Sullivan","FQHC Operations Director","407-343-2014","","daniella.sullivan@flhealth.gov",""]
[null,201902484,"SCHC Womens Care Of Lakeland","Suncoast Community Health Centers, Inc","1487621314","Family Planning Providers, Federally Qualified Health Centers",5,0,"1729 Lakeland Hills Blvd","","Lakeland","FL","33805-3016","Polk","13110 Elk Mountain Drive","","Riverview","FL","33579","Hillsborough","Robert Rodriguez","CPA, Chief Financial Officer","813-349-7563","7563","rrodriguez@suncoast-chc.org","www.suncoast-chc.org","Sonia Goodwin","Chief Operations Officer","813-653-6264","6264","sgoodwin@suncoast-chc.org","www.suncoast-chc.org"]
[null,201902496,"Lehigh Acres Adult Medical Office","FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.","1326090390","Federally Qualified Health Centers",1,0,"5220 Lee Blvd","","Lehigh Acres","FL","33971-1021","Lee","2256 Heitman St","","Fort Myers","FL","33901-3744","Lee","Frank Mazzeo","President / CEO","239-278-3600","","fmazzeo@hcnetwork.org","","","","","","",""]
[null,201902508,"Kendall Health Center","Planned Parenthood of South, East and North Florida, Inc.","1831443811","Family Planning Providers",1,0,"11440 N Kendall Dr","","Miami","FL","33176-1044","Miami-Dade","2300 N Florida Mango Rd","","West Palm Beach","FL","33409-6416","Palm Beach","Compliance Officer","Compliance Officer","561-472-9975","","public_affairs@ppsenfl.org","","Administrative Assistant to COO","Admin Asst","561-472-9975","","public_affairs@ppsenfl.org",""]
[null,201902518,"JTCHC-Dental Center Miami Gardens","Jessie Trice Community Health Center, Inc.","1750543393","Dental Providers",0,1,"18360 NW 7th Ave","","Miami","FL","33169-4410","Miami-Dade","5607 N.W. 27 Avenue","Suite 1","Miami","FL","33142","Miami-Dade","Ana L. Garcia","Managed Care Administrator","305-637-6400","15185","algarcia@jtchc.org","http://www.jtchc.org","Eleace Sawyers","VP, Planning & Business Development","305-805-1700","23154","ESawyers@jtchc.org","http://www.jtchc.org"]
[null,201902535,"Beverly Press Health Center","Miami Beach Community Health Center","1821251612","Federally Qualified Health Centers",8.2,0,"1221 71st St","","Miami Beach","FL","33141-3647","Miami-Dade","710 Alton Road","","Miami Beach","FL","33139","Miami","Mark Delvaux","CFO","305-538-8835","1713","mdelvaux@mbchc.com","miamibeachhealth.org","Sorangely Menjivar","COO","305-538-8835","1409","sorangelym@mbchc.com","miamibeachhealth.org"]
[null,201902545,"Florida Community Health Center, Moore Haven","FLORIDA COMMUNITY HEALTH CENTER INC","1194071944","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Tuberculosis Clinics",2,1,"1021 Health Park Dr","","Moore Haven","FL","33471-6206","Glades","4450 S Tiffany Dr","","West Palm Beach","FL","33407-3241","Palm Beach","Michael F Gervasi","Chief Executive Officer","561-844-9443","335","mgervasi@fchcinc.org","www.fchcinc.org","Kathy Amato","Chief Financial Officer","561-844-9443","311","kamato@fchcinc.org","www.fchcinc.org"]
[null,201902551,"Dental Care East","Collier Health Services, INC","1609827211","Dental Providers",0,3,"1749 Heritage Trl # 801","","Naples","FL","34112-7591","Collier","1454 Madison Ave W","","Immokalee","FL","34142-2200","Collier","Susan Melican","Director Revenue Cycle","239-658-3134","","smelican@healhtcareswfl.org","www.healthcareswfl.org","Thomas Van Pelt","Director Adminsistrative Operations","239-658-3027","","tvanpelt@healthcareswfl.org","www.healthcareswfl.org"]
[null,201902568,"North Port Health Center","Community Health Centers of Sarasota County","1861715906","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",5,2,"6950 Outreach Way","","North Port","FL","34287-3405","Sarasota","2200 Ringling Boulevard","","Sarasota","FL","34237","Sarasota","Linda L. Stone, Ph.D.","CEO","941-861-2954","","linda.stone@flhealth.gov","","","","","","",""]
[null,201902578,"Lakeshore Medical Adults","FLORIDA COMMUNITY HEALTH CENTER INC","1952351306","Federally Qualified Health Centers",6,0,"1100 N Parrott Ave","","Okeechobee","FL","34972-2129","Okeechobee","4450 S Tiffany Dr","","West Palm Beach","FL","33407-3241","Palm Beach","Michael F Gervasi","Chief Executive Officer","561-844-9443","335","mgervasi@fchcinc.org","www.fchcinc.org","Kathy Amato","Chief Financial Officer","561-844-9443","311","kamato@fchcinc.org","www.fchcinc.org"]
[null,201902584,"Orlando Regional Medical Center","Orlando Health","1184709057","Inpatient Hospitals (other than children's hospitals)",511,0,"1414 Kuhl Ave","","Orlando","FL","32806-2008","Orange","1414 Kuhl Avenue","","Orlando","FL","32806-2008","Orange","Michael Stubee","Chief Operating Officer, Managed Care","407-481-7156","","Michael.Stubee@orlandohealth.com","","Enisa Baltic","Sr. Managed Care Specialist","407-481-7133","","Enisa.Baltic@orlandohealth.com",""]
[null,201902594,"Arnold Palmer Hospital for Children","Orlando Health, Inc.","1184709057","Children's Hospitals (inpatient only)",104,0,"92 W Miller St","","Orlando","FL","32806-2032","Orange","1414 Kuhl Avenue","","Orlando","FL","32806-2008","Orange","Michael Stubee","Chief Operating Officer, Managed Care","407-481-7156","","Michael.Stubee@orlandohealth.com","","Enisa Baltic","Sr. Managed Care Specialist","407-481-7133","","Enisa.Baltic@orlandohealth.com",""]
[null,201902611,"Pembroke Pines Health Center","Planned Parenthood of South, East and North Florida, Inc.","1548514508","Family Planning Providers",2,0,"263 N University Dr","","Pembroke Pines","FL","33024-6715","Broward","2300 N Florida Mango Rd","","West Palm Beach","FL","33409-6416","Palm Beach","Compliance Officer","Compliance Officer","561-472-9975","","public_affairs@ppsenfl.org","","Administrative Assistant to COO","Admin Asst","561-472-9975","","public_affairs@ppsenfl.org",""]
[null,201902617,"SACRED HEART MEDICAL GROUP - GORTON","SACRED HEART HEALTH SYSTEM","1922032424","Other ECP Providers",1,0,"1549 Airport Blvd","Suite 200D","Pensacola","FL","32504-8634","Escambia","5151 N 9th Ave","","Pensacola","FL","32504","Escambia","Becky McQueen","Director, Managed Care","850-416-7024","","Rebecca.McQueen@shhpens.org","","Justin Labrato","VP, Sacred Heart Medical Group","850-475-4736","","jlabrato@shhpens.org",""]
[null,201902627,"Sacred Heart Hospital (multiple outpatient ECP categories)","SACRED HEART HEALTH SYSTEM","1922032424","Dental Providers, Other ECP Providers, Rural Health Clinics, Ryan White Providers",1,20,"5151 N 9th Ave","","Pensacola","FL","32504-8795","Escambia","5151 N 9th Ave","","Pensacola","FL","32504-8721","Escambia","Becky McQueen","Director, Managed Care","850-416-7024","","Rebecca.McQueen@shhpens.org","","Henry Stovall","President, Sacred Heart Hospital","850-416-7681","","Henry.Stovall@shhpens.org",""]
[null,201902644,"St. Lucie County Health Department","Florida Department of Health","1649329236","Family Planning Providers, Ryan White Providers, Sexually Transmitted Disease Clinics",2.5,0,"5150 NW Milner Dr","","Port Saint Lucie","FL","34983-3392","Saint Lucie","5150 NW Milner Drive","","Port Saint Lucie","FL","34983-3392","Saint Lucie","Robbie Fiore","Family Planning Coordinator","850-245-4465","","Robbie.Fiore@flhealth.gov","www.floridahealth.gov","Angela Roberson","Community Nursing Director","772-462-3800","3945","Angela.Roberson@flhealth.gov","www.floridahealth.gov"]
[null,201902650,"Ruskin Health Center","Suncoast Community Health Centers, Inc","1891925061","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",7,4,"2814 14th Ave SE","","Ruskin","FL","33570-5471","Hillsborough","13110 Elk Mountain","","Riverview","FL","33579","Hillsborough","Robert Rodriguez","CPA, Chief Financial Officer","813-349-7563","7563","rrodriguez@suncoast-chc.org","www.suncoast-chc.org","Sonia Goodwin","Chief Operations Officer","813-653-6264","6264","sgoodwin@suncoast-chc-org","www.suncoast-chc.org"]
[null,201902660,"North Sarasota Walk-in","Manatee County Rural Health Services, Inc.","1982929709","Federally Qualified Health Centers",2,0,"1945 Northgate Blvd","","Sarasota","FL","34234-2143","Sarasota","700 8th Avenue West","Suite 101","Palmetto","FL","34221","Manatee","Linda Snyder","Director, Specialized Programs and Contracts","828-247-6678","","Lsnyder@mcrhs.org","www.mcrhs.org","","","","","",""]
[null,201902677,"Palms Medical Group - Starke","TRENTON MEDICAL CENTER","1801826268","Federally Qualified Health Centers",2,0,"550 Georgia St","","Starke","FL","32091-1816","Bradford","911 S Main St","","Trenton","FL","32693-3239","Gilchrist","Anita Riels","CEO","352-463-4501","","ariels@palmsmg.org","","","","","","",""]
[null,201902685,"Neighborhood Medical Center Smith Williams Center","NEIGHBORHOOD MEDICAL CENTER INC.","1487869467","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Ryan White Providers, Sexually Transmitted Disease Clinics",5,3,"2295 Pasco St","","Tallahassee","FL","32310-0908","Leon","438 W Brevard St","","Tallahassee","FL","32301-1004","Leon","Nellie Graham","Human resources","850-577-0045","","ngraham@neighborhoodmedicalcenter.org","","jeanne Freeman","Interm CEO","850-284-5183","","jfreeman@neighborhoodmedicalcenter.org",""]
[null,201902694,"West Tampa Health Center","Tampa Family Health Centers Inc","1104866870","Federally Qualified Health Centers",2,0,"2103 N Rome Ave","","Tampa","FL","33607-3509","Hillsborough","PO Box 82969","","Tampa","FL","33682","Hillsborough","Edward Kucher","Chief Operating Officer","813-866-0930","1311","EKucher@HCNetwork.org","http://www.tampachc.com/","Joseph G. Giacomo","Chief Financial Officer","813-866-0930","1316","JGGiacomo@HCNetwork.org","http://www.tampachc.com/"]
[null,201902711,"North Nebraska Health Center","Tampa Family Health Centers","1649548017","Dental Providers, Federally Qualified Health Centers",6,4,"8108 N Nebraska Ave","","Tampa","FL","33604-3103","Hillsborough","PO Box 82969","","Tampa","FL","33682","Hillsborough","Edward Kucher","Chief Operating Officer","813-866-0930","1311","EKucher@HCNetwork.org","http://www.tampachc.com/","Joseph G. Giacomo","Chief Financial Officer","813-866-0930","1316","JGGiacomo@HCNetwork.org","http://www.tampachc.com/"]
[null,201902721,"TREASURE COAST COMMUNITY HEALTH, INC. South County","TREASURE COAST COMMUNITY HEALTH, INC.","1891740916","Dental Providers, Federally Qualified Health Centers",4.2,2.8,"1545 9th St SW","","Vero Beach","FL","32962-4312","Indian River","2182 Ponce de Leon Circle","","Vero Beach","FL","32960-5338","Indian River","Vicki L Soule","Chief Executive Officer","772-571-1986","","vsoule@tcchinc.org","www.tcchinc.org","Christine Hyde","Credentialing Manager","772-257-8224","339","chyde@tcchinc.org","www.tcchinc.org"]
[null,201902727,"Central Florida Health Care, Inc., -Wauchula","CENTRAL FLORIDA HEALTH CARE, INC.","1750378956","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",41,11,"204 E Palmetto St","","Wauchula","FL","33873-2732","Hardee","47 NW 5th St","","Winter Haven","FL","33881","Polk","Jennifer Birge","Patient Account Representative","863-268-7850","4301","jbirge@cfhconline.org","","Ann Claussen","CEO","863-291-5110","","aclaussen@cfhconline.org",""]
[null,201902744,"Central Florida Health Care, Inc., -Magnolia","CENTRAL FLORIDA HEALTH CARE, INC.","1134586043","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",41,11,"201 Magnolia Ave SW","","Winter Haven","FL","33880-2943","Polk","47 NW 5th St","","Winter Haven","FL","33881","Polk","Jennifer Birge","Patient Account Representative","863-268-7850","4301","jbirge@cfhconline.org","","Ann Claussen","CEO","863-291-5115","","aclaussen@cfhconline.org",""]
[null,201902754,"East Albany Medical Center","Albany Area Primary Health Care, Inc.","1780608992","Family Planning Providers, Federally Qualified Health Centers",13,0,"1712 E Broad Ave","Suite A","Albany","GA","31705-2611","Dougherty","204 N Westover Blvd","","Albany","GA","31707-2983","Dougherty","Shelley Spires","CEO","229-888-6559","6209","Shelley.Spires@aaphc.org","","David Morris","Operations Manager","229-639-3100","","",""]
[null,201902760,"Mirian Worthy Women's Health Center","ALBANY AREA PRIMARY HEALTH CARE, INC","1134366834","Family Planning Providers, Federally Qualified Health Centers",8,0,"401 S Madison St","","Albany","GA","31701-3111","Dougherty","204 N Westover Blvd","","Albany","GA","31707-2983","Dougherty","Shelley Spires","CEO","229-888-6559","6209","Shelley.Spires@aaphc.org","","Clifton Bush","Operations Manager","229-888-3636","","",""]
[null,201902770,"CHILDRENS HEALTHCARE OF ATLANTA AT SCOTTISH RITE","CHILDRENS HEALTHCARE OF ATLANTA AT SCOTTISH RITE","1922178789","Children's Hospitals (inpatient only)",618,0,"1001 Johnson Ferry Rd","","Atlanta","GA","30342-1605","Fulton","1001 Johnson Ferry Rd","","Atlanta","GA","30342-1605","Fulton","Doug Moses","Senior Reimbursement Advisor","404-358-1443","","doug.moses@choa.org","","","","","","",""]
[null,201902787,"Mercy Care at St. Luke's","SAINT JOSEPHS MERCY CARE SVCS","1598906448","Federally Qualified Health Centers",1,0,"420 Courtland St NE","","Atlanta","GA","30308-3405","Fulton","424 Decatur St SE","","Atlanta","GA","30312-1848","Fulton","Alan Bradford","VP Operations","678-843-8646","","abradford@mercyatlanta.org","","Erica Stokes","VP Finance","678-843-8530","","estokes@mercyatlanta.org",""]
[null,201902793,"Grady Memorial Hospital (multiple outpatient ECP categories)","Grady Memorial Hospital Corporation","1992799050","Community Mental Health Centers, Family Planning Providers",50,0,"80 Jesse Hill Jr Dr SE","","Atlanta","GA","30303-3031","Fulton","80 Jesse Hill Jr Dr SE","Box 26019","Atlanta","GA","30303","Fulton","Melinda St George","Director Managed Care","404-616-6695","","mstgeorge@gmh.edu","","Melissa Beaupierre","Policy and Contract Manager","404-616-6230","","mbeaupierre@gmh.edu",""]
[null,201902803,"East Georgia HealthCare Center, Inc.","EAST GEORGIA HEALTHCARE CENTER, INC.","1801239389","Family Planning Providers, Federally Qualified Health Centers",1,0,"1636 Hatch Pkwy S","","Baxley","GA","31513-4376","Appling","215 N Coleman St","","Swainsboro","GA","30401-3530","Emanuel","Jennie Wren Denmark","CEO","478-237-6262","","jwdenmark@eghc.org","www.eghc.org","Bea Payne","Office Coordinator","912-557-3300","","bpayne@eghc.org","www.eghc.org"]
[null,201902820,"Georgia Mountains Health-Chatsworth","GEORGIA MOUNTAINS HEALTH SERVICES, INC.","1144419813","Federally Qualified Health Centers",2,0,"1008 N 3rd Ave","","Chatsworth","GA","30705-2118","Murray","165 Blue Ridge Overlook","","Blue Ridge","GA","30513","Fannin","Steven Miracle","CEO","706-946-5610","","Smiracle@gamtnhealth.org","","Lourdes Seda","Office Manager","706-517-2273","","",""]
[null,201902830,"Columbus Department of Public Health","Columbus Department of Public Health","1427017201","Dental Providers, Family Planning Providers, Ryan White Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",6,1,"2100 Comer Ave","","Columbus","GA","31904-8725","Muscogee","2100 Comer Avenue","","Columbus","GA","31904","Muscogee","Sherrie Martin","Billing Specialist","706-321-6206","","Sherrie.Martin@dph.ga.gov","","Loretta Willis","Public Health Nurse Coordinator","706-321-6420","","Loretta.Willis@dph.ga.gov",""]
[null,201902836,"Crisp Urgent Care and Medical Center","SOUTHWEST GEORGIA HEALTH CARE, INC","1124266499","Family Planning Providers, Federally Qualified Health Centers",3,0,"602 E 16th Ave","Suite B","Cordele","GA","31015-1782","Crisp","220 ALSTON ST","","RICHLAND","GA","31825","Stewart","Linda Young","Administrative Secretary","229-273-8881","10","lyoung@swghc.org","","","","","","",""]
[null,201902853,"Community Health Center","Recovery Consultants of Atlanta","1851482376","Federally Qualified Health Centers",2,0,"4229 Snapfinger Woods Dr","","Decatur","GA","30035-3440","DeKalb","3423 Covington Drive","Suite B","Decatur","GA","30032","DeKalb","Cassandra Collins","CEO","404-289-0313","222","cassandra@recoveryconsultants.org","www.recoveryconsultants.org","","","","","",""]
[null,201902863,"Duluth Center--Ric Crawford Clinic","Positive Impact Health Centers","1790861995","Ryan White Providers",3.55,0,"3075 Breckinridge Blvd","Suite 415","Duluth","GA","30096-4981","Gwinnett","3075 Breckinridge Blvd.","","Duluth","GA","30096","Gwinnett","Karen W. Cross","Director of Client Services","678-990-6415","","karen.cross@pihcga.org","www.pihcga.org","Rosemary Donnelly","Director of Clinical Care","678-990-6426","","rosemary.donnelly@pihcga.org",""]
[null,201902870,"DMC INTERNAL MEDICINE AND FAMILY HEALTH RHC","DMC PHYSICIAN GROUP LLC","1124430020","Rural Health Clinics",3,0,"118 Norman Dorminy Dr","","Fitzgerald","GA","31750-8858","Ben Hill","117 Kite Rd","ATTN DEBORAH DRIGGERS","Swainsboro","GA","30401","Emanuel","CAREY SHIMADA","REGIONAL CREDENTIALING SPECIALIST","801-628-8260","","CSHIMADA@ERHOSPITAL.COM","","DEBORAH DRIGGERS","","478-289-1303","","DDRIGGERS@EMANUELMEDICAL.ORG",""]
[null,201902887,"Southside Medical Center Spalding","Southside Medical Center","1053789511","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",2.5,1,"409 W Solomon St","","Griffin","GA","30223-2831","Spalding","1046 Ridge Ave., SW","","Atlanta","GA","30315-1640","Fulton","David Williams","President/CEO","404-456-0245","","dwilliams@smcmed.com","www.southsidemedical.net","Quentin Huguley","Revenue Manager","404-688-1350","6929","qhuguley@smcmed.com","www.southsidemedical.net"]
[null,201902897,"DISTRICT 3-3","CLAYTON COUNTY BOARD OF HEALTH","1104911924","Dental Providers, Family Planning Providers, Ryan White Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",3,1,"1117 Battlecreek Rd","","Jonesboro","GA","30236-2407","Clayton","1117 Battle Creek Road","","Jonesboro","GA","30236-2407","Clayton","Olatanwa Adewale","Program Manger, Office of Infectious Diseases","678-610-7193","","olatanwa.adewale@dph.ga.gov","","Caroline Hawkins","District Nursing and Clinical Director","678-610-7196","","caroline.hawkins@dph.ga.gov",""]
[null,201902903,"Lee Medical Arts Center","ALBANY AREA PRIMARY HEALTH CARE, INC","1568497030","Family Planning Providers, Federally Qualified Health Centers",9,0,"235 Walnut Ave S","","Leesburg","GA","31763-4367","Lee","204 N Westover Blvd","","Albany","GA","31707-2983","Dougherty","Shelley Spires","CEO","229-888-6559","6209","Shelley.Spires@aaphc.org","","Erica Robinson","Operations Manager","229-759-6508","","",""]
[null,201902913,"First Choice Primary Care, Inc.","First Choice Primary Care, Inc.","1083145981","Federally Qualified Health Centers",18,0,"3741 Houston Ave","","Macon","GA","31206-2415","Bibb","PO Box 4363","","Macon","GA","31208","Bibb","LaKita Stewart","BILLING SUPERVISOR","478-787-4266","138","lstewart@firstchoiceprimarycare.org","","Katherine McLeod","CEO","478-787-4266","104","kmcleod@firstchoiceprimarycare.org",""]
[null,201902930,"Moultrie Convenient Care","Southwest Georgia Health Care, Inc.","1518347418","Family Planning Providers, Federally Qualified Health Centers",2,0,"1401 S Main St","","Moultrie","GA","31768-5811","Colquitt","220 Alston Street","","Richland","GA","31825","Stewart","Linda Young","Administrative Secretary","229-273-8881","10","lyoung@swghc.org","","","","","","",""]
[null,201902936,"AID Atlanta-Newnan","AID Atlanta Inc.","1144646340","Ryan White Providers",1.2,0,"770 Greison Trl","Suite H","Newnan","GA","30263-6401","Coweta","1605 Peachtree St NE","","Atlanta","GA","30309-2433","Fulton","Nicole Roebuck","Acting Executive Director","404-870-7720","","nicole.roebuck@aidatlanta.org","www.aidatlanta.org","Alexis Howell","Eexcutive Assistant","404-870-7711","","alexis.howell@aidatlanta.org","www.aidatlanta.org"]
[null,201902946,"South Central Family Medicine","SOUTH CENTRAL PRIMARY CARE CENTER","1558445742","Family Planning Providers, Federally Qualified Health Centers",1,0,"664 Main St N","","Pearson","GA","31642-7549","Atkinson","406 W 5th St","","Ocilla","GA","31774-1421","Irwin","Robert B Tucker","CEO","229-468-9166","","RTUCKER@SCPCCGA.ORG","","LUCY PEDRAZA","LPN","912-422-3131","","",""]
[null,201902963,"J C Lewis Primary Health Care Center, Inc.","J C LEWIS HEALTH CENTER","1922301472","Federally Qualified Health Centers",5,0,"125 Fahm St","","Savannah","GA","31401-2391","Chatham","125 Fahm St","","Savannah","GA","31401-2391","Chatham","KADESIA GOLDEN","MEDICAL BILLER","912-721-6751","","KGOLDEN@JCLEWISHEALTH.ORG","","SUPRENA JOINER","FRONT DESK MANAGER","912-721-6751","","SJOINER@JCLEWISHEALTH.ORG",""]
[null,201902969,"MEMORIAL HEALTH UNIV MED CEN, INC (children's inpatient hospital)","Children's Hospital","1528177367","Children's Hospitals (inpatient only)",459,0,"4700 Waters Ave","","Savannah","GA","31404-6220","Chatham","4700 Waters Avenue","","Savannah","GA","31404","Chatham","James Martin Johnston","Director, Ped Hem/Onc","912-350-8016","","martinjohnston@memorialhealth.com","","","","","","",""]
[null,201902979,"Oakhurst Medical Centers, Inc.","Oakhurst Medical Centers, Inc.","1417011487","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",19,1,"5582 Memorial Dr","","Stone Mountain","GA","30083-3215","DeKalb","5582 Memorial Drive","","Stone Mountain","GA","30083","DeKalb","Billie Inclan","Director of HR","404-564-9345","","Billie.Inclan@oakmed.org","","Jeff Taylor","CEO","404-298-8998","","Jeff.Taylor@oakmed.org",""]
[null,201902996,"PRIMARY HEALTH CARE CENTER OF DADE, INC.","PRIMARY HEALTH CARE CENTER OF DADE, INC.","1699016527","Dental Providers, Federally Qualified Health Centers",1.41,0.67,"134 Rhea McClanahan Dr","Tiger Creek Elementary School","Tunnel Hill","GA","30755-7328","Catoosa","13570 N Main St","","Trenton","GA","30752-2012","Dade","Diana Allen","CEO","706-620-4494","8549","allend@primaryhealthcarecenter.org","http://www.primaryhealthcarecenter.org/locations/tiger-care-clinic","Amy Buffington","Administrative Services Manager/Credentialing","706-620-4494","8542","BUFFINGTONA@PRIMARYHEALTHCARECENTER.ORG",""]
[null,201903006,"MCKINNEY COMMUNITY HEALTH CENTER, INC.","MCKINNEY COMMUNITY HEALTH CENTER, INC.","1487665733","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",5,2,"218 Quarterman St","","Waycross","GA","31501-3547","Ware","218 Quarterman St","","Waycross","GA","31501-3547","Ware","Ola A Smith","CEO","912-287-0301","108","bwilson@mckinneyhealth.com","http://www.mckinneymedicalcenter.com/","Stephanie Gill","A/R Billing Supervisor","912-287-9140","126","sgill@mckinneyhealth.com","http://www.mckinneymedicalcenter.com/"]
[null,201903012,"Neighborhood Improvement Project, Inc. dba Medical Associates Plus @ Wrens","NEIGHBORHOOD IMPROVEMENT PROJECT, INC.","1760815773","Family Planning Providers, Federally Qualified Health Centers",2.1,0,"501 E Broad St","","Wrens","GA","30833-1185","Jefferson","2467 Golden Camp Rd","","Augusta","GA","30906-5515","Richmond","J.R. Richards","CEO","706-790-4440","105","jrrichards@mapbt.com","www.mapbt.com","Wesley Wood","CFO","706-790-4440","","wwood@mapbt.com","www.mapbt.com"]
[null,201903029,"KOKUA KALIHI VALLEY MAIN CLINIC","KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES","1114074622","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",10.85,9.45,"2239 N School St","","Honolulu","HI","96819-2539","Honolulu","2239 N School St","","Honolulu","HI","96819-2539","Honolulu","David D Derauf","Executive Director","808-791-9400","316","david@kkv.net","www.kkv.net","Jo Ayers","COO","808-791-9413","","Jayers@kkv.net",""]
[null,201903039,"WHCHC -- Kealakehe","WEST HAWAII COMMUNITY HEALTH CENTER INC","1053703066","Dental Providers, Federally Qualified Health Centers",3,2,"74-5214 Keanalehu Dr","","Kailua Kona","HI","96740","Hawaii","75-5751 Kuakini Hwy Ste 203","","Kailua Kona","HI","96740-1753","Hawaii","Richard J Taaffe","CEO","808-326-3884","","rtaaffe@westhawaiichc.org","","","","","","",""]
[null,201903045,"WHCHC -- Kealakekua Keiki Health","WEST HAWAII COMMUNITY HEALTH CENTER INC","1841463080","Dental Providers, Federally Qualified Health Centers",1,2,"81-6627 Mamalahoa Hwy","Suite 106","Kealakekua","HI","96750-8180","Hawaii","75-5751 Kuakini Hwy Ste 203","","Kailua Kona","HI","96740-1753","Hawaii","Richard J Taaffe","CEO","808-326-3884","","rtaaffe@westhawaiichc.org","","","","","","",""]
[null,201903059,"Waianae Coast Comprehensive Health Center","Waianae District Comprehensive Health and Hospital Board, Incorporated","1992730956","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",36.73,9.58,"86-260 Farrington Hwy","","Waianae","HI","96792-3128","Honolulu","86-260 Farrington Hwy.","","Waianae","HI","96792","Honolulu","James Z. Chen","CFO","808-697-3300","","jchen@wcchc.com","","Richard P. Bettini","President & CEO","808-697-3300","","wcchc@wcchc.com",""]
[null,201903073,"BELMOND CLINIC","Belmond Community Hospital dba Iowa Specialty Hospital Belmond","1841536745","Rural Health Clinics",5,0,"403 1st St SE","","Belmond","IA","50421-1201","Wright","403 1st St SE","","Belmond","IA","50421","Wright","Kelly Leu","Business Office Leader","515-532-9231","9231","kelly.leu@iaspecialty.com","","Greg Polzin","CFO","641-444-5623","5623","greg.polzin@iaspecialty.com",""]
[null,201903079,"Fox River Medical Clinic","Van Buren County Hospital","1578641593","Rural Health Clinics",7,0,"14983 275th St","","Cantril","IA","52542-8087","Van Buren","Van Buren County Hospital","","Keosauqua","IA","52565","Van Buren","Kara McEntee","CFO","319-293-8722","","kara.mcentee@vbch.org","","Ray Brownsworth","CEO","319-293-8725","","ray.brownsworth@vbch.org",""]
[null,201903100,"ALEGENT HEALTH MERCY HOSPITAL","Catholic Health Initiatives, Payer Strategy","1265517759","Inpatient Hospitals (other than children's hospitals)",148,0,"800 Mercy Dr","","Council Bluffs","IA","51503-3128","Pottawattamie","7261 Mercy Road","South Building, Third Floor","Omaha","NE","68124","Douglas","Ilsa Barnard","Directory, Payer Strategy and Operations","402-717-7275","","IlsaBarnard2@catholichealth.net","","","","","","",""]
[null,201903106,"Community Health Care, Inc. River Dr Clinic","Community Health Care, Inc.","1932193224","Dental Providers, Federally Qualified Health Centers",22,6,"500 W River Dr","","Davenport","IA","52801-1014","Scott","500 W River Dr","","Davenport","IA","52801-1014","Scott","Thomas J Bowman","CEO","563-336-3112","","tbowman@chcqca.org","","","","","","",""]
[null,201903112,"Rosenfield Center","Planned Parenthood of the Heartland","1144260027","Family Planning Providers",18,0,"1000 E Army Post Rd","","Des Moines","IA","50315-5939","Polk","818 5th Ave","Suite 200","Des Moines","IA","50309-1307","Polk","Felicia Jenkins","Credentialing Specialist","515-235-0462","","felicia.jenkins@ppheartland.org","http://www.ppheartland.org","Jamie Bussell","Chief Financial Officer","515-235-0420","","jamie.bussell@ppheartland.org","http://www.ppheartland.org"]
[null,201903133,"Earlham Medical Clinic","Madison County Memorial Hospital","1497810097","Rural Health Clinics",1,0,"125 W 1st St","PO Box 516","Earlham","IA","50072-7705","Madison","300 W. Hutchings Street","","Winterset","IA","50273","Madison","Shelley Weeks","Clinic Director","515-462-2950","541","sweeks@madisonhealth.com","","","","","","",""]
[null,201903139,"UnityPoint Clinic Family Medicine Fonda","UnityPoint Clinic","1831468073","Rural Health Clinics",0.3,0,"101 N Main St","","Fonda","IA","50540-7729","Pocahontas","800 Kenyon Road","","Fort Dodge","IA","50501","Webster","Doris J Hott","Director of Operations","712-660-1423","","Doris.Hott@unitypoint.org","","Justin Wieck","Clinic Administrator","712-662-6301","","Justin.Wieck@unitypoint.org",""]
[null,201903149,"Cornerstone Family Practice - Garnavillo","Guttenberg Municipal Hospital","1386996544","Rural Health Clinics",8,0,"101 E Watson St","","Garnavillo","IA","52049-9718","Clayton","PO Box 550","","Guttenberg","IA","52052","Clayton","Lisa Manson","Clinic Operations Officer","563-252-5526","","lisa.manson@guttenberghospital.org","","","","","","",""]
[null,201903166,"UNIVERSITY OF IOWA HOSPITAL & CLINICS (inpatient hospital)","University of Iowa Health Care","1376544320","Inpatient Hospitals (other than children's hospitals)",726,0,"200 Hawkins Dr","","Iowa City","IA","52242-1009","Johnson","200 Hawkins Dr","","Iowa City","IA","52242-1009","Johnson","Megan Threlkeld (Fee for Service contact)","Director, Payor Relations","319-467-8983","","megan-threlkeld@uiowa.edu","https://www.uihealthcare.org/","Jennifer Vermeer (Value-based contact)","AVP for Health Policy and Population Health","319-467-7092","","jennifer-vermeer@uiowa.edu","http://www.uihealthalliance.com/uiha/"]
[null,201903172,"CHC/SEIA Keokuk Clinic","Community Health Centers of Southeastern Iowa, Inc.","1558340968","Federally Qualified Health Centers, Rural Health Clinics",7,0,"400 N 17th St","","Keokuk","IA","52632-3452","Lee","1706 W. Agency Rd.","","West Burlington","IA","52655","Des Moines","Ronald W. Kemp","CEO","319-753-2300","100","rkemp@chcseia.com","","Diane Rouse","CFO","319-753-2300","105","drouse@chcseia.com",""]
[null,201903182,"UnityPoint Clinic Family Medicine Laurens","UnityPoint Clinic","1346519527","Rural Health Clinics",1,0,"307 Highway 10","","Laurens","IA","50554-1307","Pocahontas","800 Kenyon Road","","Fort Dodge","IA","50501","Webster","Doris J Hott","Director of Operations","712-660-1423","","Doris.Hott@unitypoint.org","","Ann Wise","Clinic Administrator","712-335-5632","","Ann.Wise@unitypoint.org",""]
[null,201903199,"Trinity Muscatine Public Health","UnityHealth Care dba Trinity Muscatine","1952440455","Family Planning Providers, Sexually Transmitted Disease Clinics",0.45,0,"1609 Cedar St","","Muscatine","IA","52761-3426","Muscatine","1609 Cedar Street","","Muscatine","IA","52761","Muscatine","Christy Roby Williams","Director of Public Health","563-263-0122","","Christy.RobyWilliams@unitypoint.org","","Holly Barrett","Fiscal Manager","563-263-0122","","Holly.Barrett2@unitypoint.org",""]
[null,201903209,"Paullina Mercy Medical Clinic","Baum Harmon Mercy Hospital","1306880968","Rural Health Clinics",1,0,"108 E Groesbeck St","","Paullina","IA","51046-7748","Obrien","255 N Welch AVe","","Primghar","IA","51245","Obrien","Debra Prins","Clinic OFfice Manager","712-957-2312","","prinsd@mercyhealth.com","","","","","","",""]
[null,201903215,"RICEVILLE CLINIC","Mitchell County Regional Health Center","1689766206","Rural Health Clinics",0.55,0,"109 Westward Dr","","Riceville","IA","50466-7550","Howard","109 Westward Drive 6","","Riceville","IA","50466","Mitchell","Gregory J Burkel","CFO","641-732-6003","","burkelgj@mercyhealth.com","","","","","","",""]
[null,201903232,"Regional Family Health-Strawberry Point","Regional Family Health","1811039886","Rural Health Clinics",1.75,0,"111 E Mission St","","Strawberry Point","IA","52076","Clayton","709 W Main Street","PO Box 359","Manchester","IA","52057-0359","Delaware","Lori Weber","Business Services Manager","563-927-7533","","lweber@regmedctr.org","","Michelle Paris","Provider Support Coordinator","563-927-7904","","mparis@regmedctr.org",""]
[null,201903242,"WCHC Family Medicine","Washington County Hospital and Clinics","1669802955","Rural Health Clinics",4.8,0,"1230 S Iowa Ave","","Washington","IA","52353-1144","Washington","400 E Polk St","","Washington","IA","52353","Washington","Brett Antczak","Chief Clinic Officer","319-863-3904","","bantczak@wchc.org","www.wchc.org","Shelli Cleverley","Finance Director","319-863-3919","","scleverley@wchc.org","www.wchc.org"]
[null,201903244,"Allen Women's Health Dept.","Allen Women's Health","1891772927","Family Planning Providers, Sexually Transmitted Disease Clinics",2,0,"233 Vold Dr","","Waterloo","IA","50703-1256","Black Hawk","233 Vold Dr","","Waterloo","IA","50703-1256","Black Hawk","Sandy Kahler","Clinic Manager","319-235-5095","","Sandy.kahler@unitypoint.org","http://www.allenwomenshealth.org","","","","","",""]
[null,201903266,"St. Luke's Hemophilia Center","St. Luke's Regional Medical Center","1770586794","Hemophilia Treatment Centers",6,0,"190 E Bannock St","","Boise","ID","83712-6241","Ada","100 E. Idaho St.","","Boise","ID","83712","Ada","Bob Mueller","VP Revenue Cycle","208-706-7310","","muellerr@slhs.org","","","","","","",""]
[null,201903276,"FAMILY HEALTH SERVICES - BUHL MEDICAL AND DENTAL CLINIC","FAMILY HEALTH SERVICES CORPORATION","1003862525","Federally Qualified Health Centers",3,0,"725 Fair St","","Buhl","ID","83316-6442","Twin Falls","794 Eastland Dr","","Twin Falls","ID","83301-6856","Twin Falls","Aaron Houston","CEO","208-734-3312","","sescalante@fhsid.org","","","","","","",""]
[null,201903282,"HEALTH WEST - CHUBBUCK CHC","Health West Inc.","1629499751","Federally Qualified Health Centers",3,0,"880 W Quinn Rd","","Chubbuck","ID","83202-2454","Bannock","500 S. 11th Ave","Ste. 400","Pocatello","ID","83201-4880","Bannock","Mindy Benedetti","CEO","208-232-7862","1120","mindy@healthwestinc.org","www.healthwestinc.org","Amy Tovey","DOO","208-232-7862","1107","atovey@healthwestinc.org","www.healthwestinc.org"]
[null,201903292,"ADAMS COUNTY HEALTH CENTER, INC.","ADAMS COUNTY HEALTH CENTER INC","1710915897","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Other ECP Providers",4,2,"205 N Berkley St","","Council","ID","83612-5015","Adams","205 N Berkley Ave","","Council","ID","83612","Adams","Denise Langston-Groves","Executive Director/CFO","208-253-4242","1005","deniseg@ctcweb.net","achcid.org","Cindy Miller","Billing Clerk","208-253-4242","1027","achc@ctcweb.net","achcid.org"]
[null,201903309,"St. Mary's Hospital - Grangeville Clinic","St. Mary's Hospital","1710203237","Outpatient Hospital Clinics",1,0,"617 W North St","","Grangeville","ID","83530-1239","Idaho","701 Lewiston St.","","Cottonwood","ID","83522-0137","Idaho","Pam MdBride","Chief Grants Officer","208-816-0794","","pam.mcbride@smh-cvhc.org","","Matthew Forge","Chief Administrative Officer","208-962-2316","","matthew.forge@smh-cvhc.org",""]
[null,201903315,"FAMILY HEALTH SERVICES - JEROME MEDICAL/DENTAL/BEHAVIORAL HEALTH CLINIC","FAMILY HEALTH SERVICES CORPORATION","1730135310","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers",3,1,"114 Pioneer Ct","","Jerome","ID","83338-5193","Jerome","794 Eastland Dr","","Twin Falls","ID","83301-6856","Twin Falls","Aaron Houston","CEO","208-734-3312","","secalante@fhsid.org","","","","","","",""]
[null,201903325,"Lewis and Clark Health Center","COMMUNITY HEALTH ASSOCIATION OF SPOKANE","1235372707","Federally Qualified Health Centers",3.69,0,"338 6th St","","Lewiston","ID","83501-2420","Nez Perce","203 N Washington St Ste 300","","Spokane","WA","99201-0254","Spokane","Lindsey Ruivivar","CEO","509-444-8888","","lruivivar@chas.org","www.chas.org","John Browne","CFO","509-444-8888","","jbrowne@chas.org","www.chas.org"]
[null,201903342,"Terry Reilly Nampa 1st Street Clinic","Community Health Clinics Inc","1477560654","Federally Qualified Health Centers",16,0,"207 1st St S","","Nampa","ID","83651-3703","Canyon","PO Box 9","","Nampa","ID","83653","Canyon","Heidi Traylor","Chief Executive Officer","208-318-1255","1255","hhart@trhs.org","www.trhs.org","Brian Baldwin","Chief Financial Officer","208-318-1255","1255","bbaldwin@trhs.org","www.trhs.org"]
[null,201903348,"CLEARWATER VALLEY HOSPITAL & CLINICS","Clearwater Valley Hospital and Clinics, Inc.","1255449013","Inpatient Hospitals (other than children's hospitals)",23,0,"301 Cedar St","","Orofino","ID","83544-9029","Clearwater","301 Cedar St.","","Orofino","ID","83544-9029","Clearwater","Pam McBride","Chief Grants Officer","208-816-0794","","pam.mcbride@smh-cvch.org","","Lenne Bonner","President","208-476-8008","","lenne.bonner@smh-cvhc.org",""]
[null,201903358,"HEALTH WEST - PRESTON CHC","Health West Inc.","1033595541","Federally Qualified Health Centers",1,0,"655 S 4th E","Suite 600","Preston","ID","83263-1624","Franklin","500 S. 11th Ave","Ste. 400","Pocatello","ID","83201-4880","Bannock","Mindy Benedetti","CEO","208-232-7862","1120","mindy@healthwestinc.org","www.healthwestinc.org","Amy Tovey","DOO","208-232-7862","1107","atovey@healthwestinc.org","www.healthwestinc.org"]
[null,201903375,"Salmon River Clinic","Salmon River Clinic Hospital District","1083796569","Rural Health Clinics",1,0,"110 Niece Avenue","PO Box 129","Stanley","ID","83278-0129","Custer","PO Box 129","","Stanley","ID","83278","Custer","Amy Klingler","Administrator","208-774-3565","","amy@salmonriverclinic.org","www.salmonriverclinic.org","Cassandra Brown","Front Office Manager","208-774-3565","","cassie@mtecom.net","www.salmonriverclinic.org"]
[null,201903385,"Hamdard-Addison","HAMDARD CENTER FOR HEALTH & HUMAN SERVICES NFP","1609875053","Federally Qualified Health Centers",1.13,0,"228 E Lake St","","Addison","IL","60101-2889","Dupage","228 E Lake St Ste 300","","Addison","IL","60101-2872","Dupage","kiran siddiqui","COO","773-465-4600","227","ksidd@hamdardcenter.org","www.hamdardcenter.org","Shawn Bailey","Manager","630-835-1430","29","sbailey@hamdardcenter.org","www.hamdardcenter.org"]
[null,201903391,"JCH Medical Group-Alton OB","Jersey Community Hospital","1922403096","Other ECP Providers",2.8,0,"2 Saint Anthonys Way","Suite 105","Alton","IL","62002-4580","Madison","390 Maple Summit Road","","Jerseyville","IL","62052","Jersey","Beth KIng","CFO","618-498-6402","8350","bking@jch.org","jch.org","Dawn Stumpf","Credentialing Coordinator","618-498-7518","232","dawnstumpf@jch.org","jch.org"]
[null,201903408,"Aurora Health Center","Planned Parenthood of Illinois","1831506773","Family Planning Providers",2.8,0,"3051 E New York St","","Aurora","IL","60504-5160","Dupage","18 S Michigan Ave Fl 6","","Chicago","IL","60603-3200","Cook","Edward Mbewe","CFO","312-592-6878","","edwardm@ppil.org","","Yamelsie Rodriguez","COO","312-592-6817","","yamelsier@ppil.org",""]
[null,201903418,"BELLEVILLE PEDIATRIC & ADOLESCENT HEALTH CENTER","Southern Illinois Healthcare Foundation","1376588871","Federally Qualified Health Centers",2.5,0,"2900 Frank Scott Pkwy W","Suite 950","Belleville","IL","62223-5010","Saint Clair","2041 Goose Lake Rd","","Sauget","IL","62206-2822","Saint Clair","Larry W McCulley","President and CEO","618-332-0694","","lmcculley@sihf.org","","Patrice Howard","Family Planning Coordinator Vice President of Administration","618-332-0694","","phoward@sihf.org",""]
[null,201903424,"Benton Community Healthcare","Southern Illinois Medical Group","1518920073","Rural Health Clinics",2,0,"203 Bailey Ln","","Benton","IL","62812-2266","Franklin","1239 E Main St","","Carbondale","IL","62901","Jackson","Petra Massetto","Practice Manager","618-457-5200","68085","petra.massetto@sih.net","","","","","","",""]
[null,201903433,"ACCESS Blue Island Family Health Center","ACCESS COMMUNITY HEALTH NETWORK","1114005337","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",6.6,0,"13000 Maple Ave","","Blue Island","IL","60406-2318","Cook","600 W Fulton St Ste 200","","Chicago","IL","60661-1262","Cook","Thea Kachoris-Flores","Director, Planning and Development","312-526-2071","","thea.kachorisflores@achn.net","","","","","","",""]
[null,201903452,"Aunt Martha's Carpentersville Community Health Center","Aunt Martha's Youth Service Center, Inc.","1538209077","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",6,1,"3003 Wakefield Dr","","Carpentersville","IL","60110-2422","Kane","19900 Governors Highway","","Olympia Fields","IL","60461","Cook","Maria Borrayo","Manager of Healthcare Plans and Patient Access","708-825-7511","","mborrayo@auntmarthas.org","","Audrey Pennington","Executive VP of Health","773-802-7645","","aapennington@auntmarthas.org",""]
[null,201903458,"Women & Family Medical Group","Memorial Hospital Association","1205887742","Rural Health Clinics",3,0,"630 Locust St","","Carthage","IL","62321-1459","Hancock","1454 North County Road 2050","","Carthage","IL","62321","Hancock","Stephanie Meyers","Practice Manager","217-357-2173","","smeyers@mhtlc.org","","Nornil","Villaflores","217-357-2173","","nvillaflores@mhtlc.org",""]
[null,201903468,"TCA Health, Inc.","TCA HEALTH, INC. NFP","1184757353","Dental Providers, Federally Qualified Health Centers",8,2,"1029 E 130th St","","Chicago","IL","60628-6908","Cook","1029 E 130th St","","Chicago","IL","60628-6908","Cook","VERONICA CLARKE","CEO","773-995-6300","213","VCLARKE@TCAHEALTH.ORG","","Shamiah Hayes","Senior Accounting Manager","773-995-6300","216","shayes@tcahealth.org",""]
[null,201903485,"PRIMECARE WEST TOWN","PrimeCare Community Health","1225010911","Federally Qualified Health Centers",7.11,0,"1431 N Western Ave","Suite 406","Chicago","IL","60622-1774","Cook","1431 N Western Ave","Suite 401","Chicago","IL","60622-1797","Cook","Stephen S. Stabile","CEO","312-491-5085","","stephen.stabile@primecarechi.org","","Joseph Moldovan","CFO","312-491-5034","","joseph.moldovan@primecarechi.org",""]
[null,201903491,"AHF Healthcare Center - Chicago (Hyde Park)","AIDS Healthcare Foundation","1578920492","Other ECP Providers",2,0,"1552 E 52nd St","","Chicago","IL","60615-4110","Cook","6255 W. Sunset Blvd.","21st Floor","Los Angeles","CA","90028","Los Angeles","Donna Stidham","Chief, Managed Care","323-436-5025","","donna.stidham@aidshealth.org","www.aidshealth.org","","","","","",""]
[null,201903501,"Loop","Planned Parenthood of Illinois","1467869230","Family Planning Providers",2.3,0,"18 S Michigan Ave","Suite 600","Chicago","IL","60603-3206","Cook","18 S Michigan Ave Fl 6","","Chicago","IL","60603-3200","Cook","Edward Mbewe","CFO","312-592-6878","","edwardm@ppil.org","","Yamelsie Rodriguez","COO","312-592-6817","","yamelsier@ppil.org",""]
[null,201903518,"Asian Human Services Family Health Center, Inc","Asian Human Services Family Health Center, Inc","1164439279","Dental Providers, Federally Qualified Health Centers",5,1,"2424 W Peterson Ave","Suite 1","Chicago","IL","60659-4128","Cook","2424 W. Peterson Ave","","Chicago","IL","60659","Cook","Muhammad W. Paracha, MD., MPH.","Executive Director","773-761-0010","","mparacha@ahschicago.org","","","","","","",""]
[null,201903528,"Howard Brown Health Diversey","Howard Brown Health Center","1417473851","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",1,0,"2800 N Sheridan Rd","Suite 211","Chicago","IL","60657-6161","Cook","4025 N. Sheridan Rd.","","Chicago","IL","60613-2010","Cook","Carla Hess","Director of Grants Management","773-388-8686","","carlah@howardbrown.org","","","","","","",""]
[null,201903534,"Esperanza Little Village","ESPERANZA HEALTH CENTERS","1477812030","Federally Qualified Health Centers",20,0,"3059 W 26th St","","Chicago","IL","60623-4131","Cook","2001 S California Ave Ste 1","","Chicago","IL","60608-2884","Cook","Jeffery McInnes","Revenue Cycle Manager","773-584-6200","","jmcinnes@esperanzachicago.org","www.esperanzachicago.org","Dan Fulwiler","CEO","773-584-6200","","dan@esperanzachicago.org","www.esperanzachicago.org"]
[null,201903551,"ACCESS Centro Médico","ACCESS COMMUNITY HEALTH NETWORK","1194803213","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",2.6,0,"3700 W 26th St","","Chicago","IL","60623-3824","Cook","600 W Fulton St Ste 200","","Chicago","IL","60661-1262","Cook","Thea Kachoris-Flores","Director, Planning and Development","312-526-2071","","thea.kachorisflores@achn.net","","","","","","",""]
[null,201903561,"American Indian Health Service-Chicago","American Indian Health Service-Chicago","1760572671","Federally Qualified Health Centers, Indian Health Service",1.13,0,"4081 N Broadway St","","Chicago","IL","60613-2117","Cook","4081 N Broadway St","","Chicago","IL","60613-2117","Cook","Kenneth Scott","Executive Director","773-883-9100","","krscott11@aol.com","www.aihschgo.org","Bobbie Bellinger","Administrative Director","773-883-9100","","bbellinger4@aol.com","www.aihschgo.org"]
[null,201903567,"Erie Helping Hands Health Center","ERIE FAMILY HEALTH CENTER, INC.","1952598468","Federally Qualified Health Centers",9.25,0,"4747 N Kedzie Ave","","Chicago","IL","60625-4420","Cook","1701 W Superior St","","Chicago","IL","60622-5646","Cook","Lee Francis","CEO","312-432-7394","","lfrancis@eriefamilyhealth.org","","Scott Spencer","Controller","312-432-7389","","sspencer@eriefamilyhealth.org",""]
[null,201903584,"PrimeCare Portage Park","PRIMECARE COMMUNITY HEALTH INC","1437440229","Federally Qualified Health Centers",3.15,0,"5645 W Addison St","","Chicago","IL","60634-4403","Cook","1431 N Western Ave Ste 401","","Chicago","IL","60622-1797","Cook","Stephen S. Stabile","CEO","312-491-5085","","stephen.stabile@primecarechi.org","","Joseph Moldovan","CFO","312-491-5034","","joseph.moldovan@primecarechi.org",""]
[null,201903594,"Howard Brown Health 63rd Street","Howard Brown Health Center","1255791331","Federally Qualified Health Centers, Ryan White Providers",3.5,0,"641 W 63rd St","","Chicago","IL","60621-2032","Cook","Howard Brown Health Center","4025 N. Sheridan Rd.","Chicago","IL","60613","Cook","Joanna Mruz","Billing Manager","773-388-8991","","joannam@howardbrown.org","www.howardbrown.org","","","","","",""]
[null,201903600,"ACCESS Booker Family Health Center","ACCESS COMMUNITY HEALTH NETWORK","1538247762","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",3.9,0,"654 E 47th St","","Chicago","IL","60653-4224","Cook","600 W Fulton St Ste 200","","Chicago","IL","60661-1262","Cook","Thea Kachoris-Flores","Director, Planning and Development","312-526-2071","","thea.kachorisflores@achn.net","","","","","","",""]
[null,201903610,"ACCESS Auburn-Gresham Family Health Center","ACCESS COMMUNITY HEALTH NETWORK","1629156807","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",0.8,0,"8234 S Ashland Ave","","Chicago","IL","60620-4625","Cook","600 W Fulton St Ste 200","","Chicago","IL","60661-1262","Cook","Thea Kachoris-Flores","Director, Planning and Development","312-526-2071","","thea.kachorisflores@achn.net","","","","","","",""]
[null,201903630,"Warner Hospital and Health Services","Warner Hospital and Health Services","1235211301","Inpatient Hospitals (other than children's hospitals)",17,0,"422 W White St","","Clinton","IL","61727-2272","Dewitt","422 West White Street","","Clinton","IL","61727","Dewitt","Donna Wisner","CFO","217-935-9571","3204","donna.wisner@warnerhospital.org","","Paul Skowron","CEO","217-935-9571","3201","paul.skowron@warnerhospital.org",""]
[null,201903634,"Henry County Health Department-Colona","Henry County Health Department","1851394829","Family Planning Providers, Sexually Transmitted Disease Clinics",0.5,0,"103 1st St","","Colona","IL","61241-9742","Henry","103 1st Street","","Colona","IL","61241","Henry","Sandra Sommer","Director of Clinic Services","309-852-0197","250","ssommer@henrystarkhealth.org","","","","","","",""]
[null,201903644,"Decatur","Planned Parenthood of Illinois","1144637075","Family Planning Providers",1.3,0,"3021 N Oakland Ave","","Decatur","IL","62526-1607","Macon","18 S Michigan Ave Fl 6","","Chicago","IL","60603-3206","Cook","Edward Mbewe","CFO","312-592-6878","","edwardm@ppil.org","","Yamelsie Rodriguez","COO","312-592-6817","","yamelsier@ppil.org",""]
[null,201903661,"FAMILY CARE ASSOCIATES OF EFFINGHAM, SC","Family Care Associates of Effingham S.C.","1649255266","Rural Health Clinics",12,0,"1106 N Merchant St","","Effingham","IL","62401-2128","Effingham","1106 N Merchant St","","Effingham","IL","62401-0665","Effingham","Janice Westendorf","Practice Manager","217-342-7000","287","jwestendorf@familycareassociates.com","www.familycareassociates.com","Taryn Rohr","Clinical Manager","217-342-7000","242","trohr@familycareassociates.com","www.familycareassociates.com"]
[null,201903671,"VNA Health Care","VNA Health Care","1629102819","Family Planning Providers, Federally Qualified Health Centers",3,0,"620 Wing St","","Elgin","IL","60123-2800","Kane","400 N. Highland Ave","","Aurora","IL","60506","Kane","Kristin Fuhr","AVP of Quality, Education and Risk Management","630-482-8196","8196","kfuhr@vnahealth.com","www.vnahealth.com","Chrissie Howorth","VP of Philanthropy and Business Relations","630-482-8132","8132","choworth@vnahealth.com","www.vnahealth.com"]
[null,201903677,"Fairfield Community Health Center","CHRISTOPHER RURAL HEALTH PLANNING CORP","1902170632","Federally Qualified Health Centers",4.4,0,"209 NW 11th St","","Fairfield","IL","62837-1218","Wayne","4241 State Highway 14 W","P","Christopher","IL","62822-0155","Franklin","Kim Mitroka","CEO","618-724-1608","","kmitroka@crhpc.org","","Brenda Spotanski","CIO","618-724-1608","","bspotanski@crhpc.org",""]
[null,201903694,"Macoupin County Maple Street Clinic","Macoupin County Public Health Department","1538444906","Dental Providers, Federally Qualified Health Centers, Other ECP Providers",4.2,3,"109 E Maple St","","Gillespie","IL","62033-1473","Macoupin","805 North Broad Street","","Carlinville","IL","62626-1075","Macoupin","Kent Tarro","CEO","217-854-3223","224","Ktarro@mcphd.net","www.mcphd.net","Peggy Garrison","CFO","217-854-3223","223","pgarrison@mcphd.net","www.mcphd.net"]
[null,201903704,"Chestnut Health Systems - Granite City","Chestnut Health Systems","1609144815","Other ECP Providers",4,0,"50 Northgate Industrial Dr","","Granite City","IL","62040-6805","Madison","1003 Martin Luther King Dr.","","Bloomington","IL","61701","Mclean","Karen Rettick","CFO","309-820-3581","3581","krettick@chestnut.org","","","","","","",""]
[null,201903710,"JCH Medical Group-Hardin","Jersey Community Hospital","1417352527","Rural Health Clinics",2.2,0,"106 S Water St","","Hardin","IL","62047","Calhoun","390 Maple Summit Road","","Jerseyville","IL","62052","Jersey","Beth KIng","CFO","618-498-6402","8350","bking@jch.org","jch.org","Dawn Stumpf","Credentialing Coordinator","618-498-7518","232","dawnstumpf@jch.org","jch.org"]
[null,201903727,"Johnston City Community Health Center","CHRISTOPHER RURAL HEALTH PLANNING CORP","1053593533","Federally Qualified Health Centers",3.7,0,"14410 Route 37","","Johnston City","IL","62951-3166","Williamson","4241 State Highway 14 W","P O Box 155","Christopher","IL","62822-0155","Franklin","Kim Mitroka","CEO","618-724-1608","","kmitroka@crhpc.org","","Brenda Spotanski","CIO","618-724-1608","","bspotanski@crhpc.org",""]
[null,201903737,"Henry and Stark County Health Department","HENRY COUNTY HEALTH DEPARTMENT","1851394829","Family Planning Providers, Tuberculosis Clinics",1,0,"4424 US Highway 34","","Kewanee","IL","61443-8377","Henry","4424 US Hwy 34","","Kewanee","IL","61443","Henry","Sandra Sommer","Director of Clinic Services","309-852-0197","250","ssommer@henrystarkhealth.org","","","","","","",""]
[null,201903743,"Litchfield Family Practice Center","Litchfield Family Practice Center","1235189499","Rural Health Clinics",17,0,"1285 Franciscan Dr","","Litchfield","IL","62056-1778","Montgomery","1285 Franciscan Drive","","Litchfield","IL","62056","Montgomery","Meghan Elizabeth Hyam","Administrator","217-324-1031","","mhyam@lfpc.net","","Babs Binney","Insurance Manager","217-324-1032","","bbinney@lfpc.net",""]
[null,201903753,"SBL Martinsville Clinic","Sarah Bush Lincoln Health Center","1285006973","Rural Health Clinics",3,0,"890 E Ridgelawn Rd","","Martinsville","IL","62442-2551","Clark","1000 Health Center Dr.","","Mattoon","IL","61938","Coles","Julie Kastl","Director","217-258-2576","","jseba@sblhs.org","","","","","","",""]
[null,201903770,"WABASH PRIMARY CARE ASSOCIATES","Wabash Primary Care Associates","1932224508","Rural Health Clinics",2,0,"1123 Chestnut St","","Mount Carmel","IL","62863-1212","Wabash","1123 Chestnut Street","","Mount Carmel","IL","62863","Wabash","Karissa Turner","VP Hospital Operations","618-263-6280","","kturner@wabashgeneral.com","","Raven Hart","Clinic Operations Manager","618-263-6276","","rhart@wabashgeneral.com",""]
[null,201903776,"Physician Rural Health Clinic of Jefferson County","Physician Rural Health Clinic of Jefferson County","1790713899","Rural Health Clinics",2,0,"3307 Broadway St","Suite 130","Mount Vernon","IL","62864-2387","Jefferson","3307 Broadway","Suite 130","Mt. Vernon","IL","62864","Jefferson","Pauline Annette Becker","Receptionist","618-244-2560","","cfmc1988@gmail.com","","Dr. Veena Gupta","Medical Director","618-244-2560","","cfmc1988@gmail.com",""]
[null,201903786,"PCC LAKE STREET FAMILY HEALTH CENTER","PCC COMMUNITY WELLNESS CENTER","1073536991","Federally Qualified Health Centers",8.8,0,"14 Lake St","","Oak Park","IL","60302-2606","Cook","14 Lake St","","Oak Park","IL","60302-2606","Cook","Robert Urso","President and CEO","708-524-7686","","rurso@pccwellness.org","","Patrick Garrick","Chief Financial Officer","708-406-3927","","pgarrick@pccwellness.org",""]
[null,201903803,"HCHC @ HUMAN SRVC CTR","HEARTLAND COMMUNITY HEALTH CLINIC","1336193861","Federally Qualified Health Centers",1,0,"228 NE Jefferson Ave","","Peoria","IL","61603-3802","Peoria","2214 N University Street","","Peoria","IL","61604","Peoria","Charles Bandoian","CEO","309-680-7657","","charlesbandoian@heartlandchc.org","","","","","","",""]
[null,201903819,"Preferred Family Healthcare dba Clarity Healthcare","PREFERRED FAMILY HEALTHCARE, INCORPORATED","1871969964","Dental Providers, Federally Qualified Health Centers",3,3,"639 York St","Room 208","Quincy","IL","62301-3919","Adams","900 E. LaHarpe Street","","Kirksville","MO","63501-4520","Adair","Mark Conover","VP of Healthcare Services","573-603-1460","","mconover@clarity-healthcare.org","http://www.clarity-healthcare.org/","","","","","",""]
[null,201903820,"Champaign-Urbana Public Health District WIC Clinic","COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS","1942619606","Federally Qualified Health Centers",0.2,0,"520 E Wabash Ave","","Rantoul","IL","61866-3018","Champaign","205 W Randolph St Ste 2222","","Chicago","IL","60606-1814","Champaign","Susan Bauer","Executive Director","312-795-0000","","sbauer@chpofil.org","www.chpofil.org","Nicolas Garcia","Director of Finance","312-795-0000","223","ngarcia@chpofil.org","www.chpofil.org"]
[null,201903837,"Rural Health Center of RoodhouseThomas H. Boyd Memorial Hospital","Thomas H. Boyd Memorial Hospital","1144313180","Rural Health Clinics",8,0,"132 W Lorton St","","Roodhouse","IL","62082-1569","Greene","800 School Street","","Carrollton","IL","62016","Greene","Deborah Campbell","CEO","217-942-6946","1200","dcampbell@boydhcs.org","","Jim Johnson","CFO","217-942-6946","1303","jjohnson@boydhcs.org",""]
[null,201903847,"SALEM MEDICAL CENTER","SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.","1376588848","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",5.25,1,"1275 Hawthorn Rd","","Salem","IL","62881-1028","Marion","2041 Goose Lake Rd","","Sauget","IL","62206-2822","Saint Clair","Larry W McCulley","President and CEO","618-332-0694","","lmcculley@sihf.org","","Patrice Howard","Family Planning Coordinator Vice President of Administration","618-332-0694","","phoward@sihf.org",""]
[null,201903853,"Family Healthcare Center","Shelby Memorial Hospital","1750350922","Rural Health Clinics",4,0,"200 S Cedar St","","Shelbyville","IL","62565-1838","Shelby","200 S Cedar St","","Shelbyville","IL","62565","Shelby","Lisa Miller","Practice Manager","217-774-3961","4413","lmiller@mysmh.org","","Jean Hudson","Administrative Assistant","217-774-3961","2661","jhudson@mysmh.org",""]
[null,201903870,"ACCESS Des Plaines Valley Health Center","ACCESS COMMUNITY HEALTH NETWORK","1871671990","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",3.6,0,"7450 W 63rd St","","Summit Argo","IL","60501-1816","Cook","600 W Fulton St Ste 200","","Chicago","IL","60661-1262","Cook","Thea Kachoris-Flores","Director, Planning and Development","312-526-2071","","thea.kachorisflores@achn.net","","","","","","",""]
[null,201903880,"Cass County Health Department - Cass County Health Clinic","COUNTY OF CASS","1164596375","Dental Providers, Federally Qualified Health Centers",4,2,"331 S Main St","","Virginia","IL","62691-1571","Cass","331 S Main St Frnt","","Virginia","IL","62691-1571","Cass","Teresa Armstrong RN, BSN","Administrator","217-452-3057","301","tarmstrong@casscohealth.org","","Sarah Fanning","Billing","217-452-3057","323","",""]
[null,201903886,"Belvidere Medical Clinic","Lake County Health Department/Community Health Center","1174552293","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers, Sexually Transmitted Disease Clinics",9,7,"2400 Belvidere Rd","","Waukegan","IL","60085-6165","Lake","3010 Grand Ave.","","Waukegan","IL","60085-6165","Lake","Kim Burke","Director, Managed Care","847-377-8000","8758","KBurke@lakecountyil.gov","","","","","","",""]
[null,201903907,"Bloomington Health Center","Planned Parenthood of Indiana and Kentucky, Inc.","1891743092","Family Planning Providers",0.66,0,"421 S College Ave","","Bloomington","IN","47403-1592","Monroe","200 S Meridian St Ste 400","","Indianapolis","IN","46225-1076","Marion","Cheryl Gatzmer","CFO","317-637-4378","","cheryl.gatzmer@ppink.org","http://www.plannedparenthood.org/planned-parenthood-indiana-kentucky/","","","","","",""]
[null,201903913,"CARLISLE MEDICAL CLINIC","MSO CLinics, INC","1699194704","Rural Health Clinics",1.2,0,"8685 Old Hw 41 S","","Carlisle","IN","47838","Sullivan","PO BOx 230","","Sullivan","IN","47882-0230","Sullivan","Sam Roberts","Practice Manager","812-268-3318","","sam.roberts@schosp.com","","","","","","",""]
[null,201903919,"Columbus Health Center","Planned Parenthood of Indiana and Kentucky, Inc.","1891743092","Family Planning Providers",0.83,0,"3200 Sycamore Ct","Suite 2C","Columbus","IN","47203-1552","Bartholomew","200 S Meridian St Ste 400","","Indianapolis","IN","46225-1076","Marion","Cheryl Gatzmer","CFO","317-637-4378","","cheryl.gatzmer@ppink.org","http://www.plannedparenthood.org/planned-parenthood-indiana-kentucky/","","","","","",""]
[null,201903940,"Community HealthNet Inc","COMMUNITY HEALTHNET","1952332298","Federally Qualified Health Centers",1,0,"1021 W 5th Ave","","Gary","IN","46402-1703","Lake","1021 W 5th Ave","","Gary","IN","46402-1703","Lake","Janet Seabrook","Executive Director","219-880-1190","","jseabrook@garychc.org","","Bonita Brown","Billing/Credentialing","219-979-2721","","bbrown@garychc.org",""]
[null,201903946,"Jane Pauley Community Health Center at Greenfield","JANE PAULEY COMMUNITY HEALTH CENTER, INC.","1730488818","Federally Qualified Health Centers",2,0,"1107 N State St","","Greenfield","IN","46140-1207","Hancock","8931 E 30th St Ste 100","","Indianapolis","IN","46219-1501","Marion","Marc Hackett","Executive Director","317-355-8696","","mhackett@ecommunity.com","","","","","","",""]
[null,201903952,"Eskenazi Health Center Cottage Corner","The Health & Hospital Corp of Marion County","1194077503","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",5.5,1,"1434 Shelby St","","Indianapolis","IN","46203-1945","Marion","1434 S. Shelby St","","Indianapolis","IN","46203-1945","Marion","Nancy A Buxser","COO","317-880-5101","","nancy.buxser@eskenazihealth.edu","https://ehub.eskenazihealth.edu/","Lisa Smitha","Family Planning Coordinator","317-880-5115","","","http://www.eskenazihealth.edu"]
[null,201903973,"Midtown Health Center","Planned Parenthood of Indiana and Kentucky, Inc.","1891743092","Family Planning Providers",0.1,0,"3750 N Meridian St","Suite 100","Indianapolis","IN","46208-4300","Marion","200 S Meridian St Ste 400","","Indianapolis","IN","46225-1076","Marion","Cheryl Gatzmer","CFO","317-637-4378","","cheryl.gatzmer@ppink.org","http://www.plannedparenthood.org/planned-parenthood-indiana-kentucky/","","","","","",""]
[null,201903979,"SHALOM HEALTH CARE CENTER, INC.","SHALOM HEALTH CARE CENTER, INC.","1992924633","Federally Qualified Health Centers",1,0,"4575 W 38th St","Indiana Math and Science Academy West","Indianapolis","IN","46254-3313","Marion","3400 Lafayette Rd Ste 200","","Indianapolis","IN","46222-1147","Marion","Leonardo R Ortega","CEO","317-269-7199","","mcarlson@shalomhealthcenter.org","https://www.shalomhealthcenter.org/home/school-based-clinics/","","","","","",""]
[null,201903989,"Eskenazi Health Center Pecar","Eskenazi Health","1093054447","Family Planning Providers",1,0,"6940 N Michigan Rd","","Indianapolis","IN","46268-2800","Marion","720 Eskenazi Avenue","","Indianapolis","IN","46202","Marion","Lisa Smitha","Program Director","317-880-5115","","lisa.smitha@eskenazihealth.edu","","","","","","",""]
[null,201904004,"Eastside Health Center","Planned Parenthood of Indiana and Kentucky, Inc.","1891743092","Family Planning Providers",0.1,0,"9385 E Washington St","","Indianapolis","IN","46229-3029","Marion","200 S Meridian St Ste 400","","Indianapolis","IN","46225-1076","Marion","Cheryl Gatzmer","CFO","317-637-4378","","cheryl.gatzmer@ppink.org","http://www.plannedparenthood.org/planned-parenthood-indiana-kentucky/","","","","","",""]
[null,201904013,"Knox Winamac Community Health Centers, Inc.","Knox Winamac Community Health Centers","1629248919","Federally Qualified Health Centers",4.3,0,"1002 S Edgewood Dr","","Knox","IN","46534-8226","Starke","1002 S. Edgewood Drive","","Knox","IN","46534","Starke","Kathy Robb","Executive Director","574-772-6030","24","k.robb@kwchc.net","","Eileen Blanke","Chief Financial Officer","574-772-6030","27","e.blanke@kwchc.net",""]
[null,201904023,"NorthShore Dr. Fernando Rivera Dental Center","NORTHSHORE HEALTH CENTERS, INC","1356530505","Dental Providers",0,1,"3099 Central Ave","","Lake Station","IN","46405-2207","Lake","PO BOX 1430","3207 Willowcreek Rd.","Portage","IN","46368","Porter","Janice Wilson","CEO","219-764-6052","","jwilson@northshorehealth.org","","","","","","",""]
[null,201904040,"MeridianMD","Meridian Health Services","1770808362","Federally Qualified Health Centers",45,0,"100 N Tillotson Ave","","Muncie","IN","47304-3987","Delaware","240 N. Tillotson","","Muncie","IN","47304","Delaware","Amelia Clark","VP Community Health","765-288-1928","","amelia.clark@meridianhs.org","","","","","","",""]
[null,201904050,"Stacy McKay Health & Education Center","NORTHSHORE HEALTH CENTERS, INC","1467490300","Dental Providers, Federally Qualified Health Centers",3,1,"6450 US Highway 6","","Portage","IN","46368-5110","Porter","PO Box 1430","3207 Willowcreek Rd.","Portage","IN","46368","Porter","Janice Wilson","CEO","219-764-6052","","jwilson@northshorehealth.org","","","","","","",""]
[null,201904056,"Community Health Center of Jackson County","Indiana Health Centers, Inc.","1134227689","Dental Providers, Family Planning Providers",5.3,1,"113 N Chestnut St","","Seymour","IN","47274-2176","Jackson","8003 Castleway Drive","","Indianapolis","IN","46250","Marion","Tracy Nagel","CF\"O","317-576-1335","4128","tnagel@ihcinc.org","","Elvin Plank","President/CEO","317-576-1335","4124","eplank@ihcinc.org",""]
[null,201904073,"HealthLinc - Valparaiso","HEALTHLINC, INC.","1528262581","Dental Providers, Federally Qualified Health Centers",8,3,"1001 Sturdy Rd","","Valparaiso","IN","46383-4126","Porter","951 Transport Dr","","Valparaiso","IN","46383-8434","Porter","Beth A Wrobel","CEO","219-465-9500","","bwrobel@healthlincchc.org","healthlincchc.org","Joan E Bondi","CFO","219-465-9514","","jbondi@healthlincchc.org","healthlincchc.org"]
[null,201904083,"ARK CITY CLINIC PA","Ark City Clinic, P.A.","1164464525","Rural Health Clinics",7,0,"510 W Radio Ln","","Arkansas City","KS","67005-4098","Cowley","510 W. RADIO LANE","","ARKANSAS CITY","KS","67005","Cowley","Diann Bonifield","Administrator","620-442-2100","110","dbonifield@arkcityclinic.com","arkcityclinic.com","Tammy Vanderpool","Office Manager","620-442-2100","107","tvanderpool@arkcityclinic.com","arkcityclinic.com"]
[null,201904089,"Augusta Family Practice","Augusta Family Practice, PA","1508060864","Rural Health Clinics",5,0,"1306 State St","","Augusta","KS","67010-1126","Butler","1306 State Street","","Augusta","KS","67010","Butler","Connie Rausch","Administrative Assistant","316-775-9191","4","connie@augustafamilypractice.net","","Lynette Scheid","CEO","316-775-9191","4","lynette@rauschclinics.com",""]
[null,201904106,"CRMC Medical Group","Coffeyville Regional Medical Center","1407147903","Rural Health Clinics",6,0,"1400 W 4th St","","Coffeyville","KS","67337-3306","Montgomery","1400 W. 4th Street","","Coffeyville","KS","67337","Montgomery","Jessica McMahan","Director Patient Financial Services","620-252-1530","1530","jessicam@crmcinc.org","","Becky McCune","Senior Director of Practice Management and New Business Development","620-688-6566","1610","beckym@crmcinc.org",""]
[null,201904116,"Genesis Family Health (Dodge City)","UNITED METHODIST WESTERN KANSAS MEXICAN- AMERICAN MINISTRIES, INC.","1528254463","Federally Qualified Health Centers",1,0,"1700 Avenue F","","Dodge City","KS","67801-4541","Ford","122 W Laurel","","Garden City","KS","67846-5128","Finney","Laura Dykstra","COO","620-275-1766","242","ldykstra@genesisfh.org","","Connie Monzon","Billing Manager","620-271-7400","","cmonzon@genesisfh.org",""]
[null,201904122,"ELLIS FAMILY CARE CENTER","ELLIS FAMILY CARE CENTER","1194830679","Rural Health Clinics",5,0,"1000 Washington St","","Ellis","KS","67637-1615","Ellis","320 N 13th","","WaKeeney","KS","67672","Trego","David Augustine","CEO","785-743-2182","175","daugustine@tclmh.org","","","","","","",""]
[null,201904132,"Finney County Health Department","Finney County Health Department","1881668622","Rural Health Clinics",2,0,"919 W Zerr Rd","","Garden City","KS","67846-2777","Finney","919 Zerr Rd","","Garden City","KS","67846","Finney","Colleen Drees","Assistant Director","620-272-3600","","cdrees@finneycounty.org","","Sandy Carabajal","Business Manager","620-272-3600","","scarabajal@finneycounty.org",""]
[null,201904149,"Herington Municipal Hospital","Herington Municipal Hospital","1215908454","Inpatient Hospitals (other than children's hospitals)",25,0,"100 E Helen St","","Herington","KS","67449-1697","Dickinson","100 E Helen St","","Herington","KS","67449","Dickinson","Alan Meisinger","Administrator","785-258-2207","138","ameisinger@heringtonhospital.com","","Dawn Scott","Revenue Cycle Manager","785-258-2207","","dscott@heringtonhospital.com",""]
[null,201904155,"Hillsboro Clinic","Hillsboro Community Hospital","1063792919","Rural Health Clinics",4,0,"101 Industrial Rd","","Hillsboro","KS","67063-9602","Marion","101 Industrial Rd","","Hillsboro","KS","67063","Marion","Marion Regier","CEO","620-877-4283","","mregier@hchks.com","www.hchks.com","Julie Gardner","Clinic Manager","620-947-1421","","jgardner@hchks.com","www.hchks.com"]
[null,201904165,"Sheridan County Public Health Department","Sheridan County Public Health Department","1205899150","Other ECP Providers",1,0,"940 8th St","","Hoxie","KS","67740","Sheridan","940 8th","","Hoxie","KS","67740","Sheridan","Melissa Wachendorfer","RN/Administrator","785-675-2101","","mw.sheridan@ruraltel.net","","Crystal Smith","Office Manager","785-675-2101","","cs.sheridan@ruraltel.net",""]
[null,201904182,"STANTON COUNTY FAMILY PRACTICE","Stanton County Hospital","1679880363","Rural Health Clinics",2,0,"404 N Chestnut St","","Johnson City","KS","67855-5001","Stanton","404 N Chestnut St","","Johnson City","KS","67855","Stanton","Peggy Carrithers","Manager","620-492-1400","177","pcarrithers@stantoncountyhospital.com","","","","","","",""]
[null,201904193,"Rush County Memorial Hospital","Rush County Medical Clinic","1699877050","Rural Health Clinics",3,0,"801 Locust St","","La Crosse","KS","67548-9673","Rush","PO Box 520","","La Crosse","KS","67548","Rush","Brenda Legleiter","CEO","785-222-2545","319","blegleiter@rcmhosp.hpmin.com","","","","","","",""]
[null,201904199,"Haskell Indian Health Center","Haskell Indian Health Center","1700915782","Dental Providers, Indian Health Service, Other ECP Providers",6,2,"2415 Massachusetts St","","Lawrence","KS","66046-4808","Douglas","2415 Massachusetts St","","Lawrence","KS","66046-4808","Douglas","Kelly Battese","Chief Executive Officer","785-843-4824","","kelly.battese@ihs.gov","","Chelsea Anglin","Administrative Officer","785-843-4828","","chelse.anglin@ihs.gov",""]
[null,201904216,"Marshall County Health Department","Marshall County Health Department","1457393019","Rural Health Clinics",1,0,"600 Broadway St","","Marysville","KS","66508-1840","Marshall","600 Broadway St","","Marysville","KS","66508-1840","Marshall","Sue Rhodes","Administrator","785-562-3485","","sue@marshallcohealth.org","","Mary Weeks","Office Manager","785-562-3485","","mary@marshallcohealth.org",""]
[null,201904226,"Prairie View Inc","Prairie View Inc","1558426486","Community Mental Health Centers",9,0,"1901 E 1st St","PO Box 467","Newton","KS","67114-5010","Harvey","1901 E. 1st Street","PO Box 467","Newton","KS","67114-0467","Harvey","Lisa Ramsey","CFO","316-284-6351","","ramseylr@pvi.org","","Mary Lou Tate","Patient Accounts Director","800-992-6292","","tateml@pvi.org",""]
[null,201904232,"Decatur Health Systems","Decatur Health Systems","1821019605","Inpatient Hospitals (other than children's hospitals)",8,0,"810 W Columbia St","","Oberlin","KS","67749-2450","Decatur","810 W Columbia","","Oberlin","KS","67749","Decatur","Natasha Weishapl","Business Office Manager","785-475-2208","226","nweishapl@decaturhealthsystems.org","","Kris Mathews","Chief Operating Officer","785-475-2208","229","kmathews@chmccook.org",""]
[null,201904249,"VIA CHRISTI HOSPITAL PITTSBURG INC (dental provider)","VIA CHRISTI HOSPITAL PITTSBURG INC","1831125087","Dental Providers",0,3,"1 Mt Carmel Way","","Pittsburg","KS","66762-7587","Crawford","8200 E Thorn","","Wichita","KS","67226","Sedgwick","Courtney Herrill","Manager Managed Care Contracts","316-719-1403","","courtney.herrill@viachristi.org","","Carol Karp","Chief Financial Officer","316-858-4933","","carol.karp@viachristi.org",""]
[null,201904259,"GOVE COUNTY MEDICAL CENTER","GOVE COUNTY MEDICAL CENTER","1932192465","Inpatient Hospitals (other than children's hospitals)",21,0,"520 W 5th St","","Quinter","KS","67752-9705","Gove","520 W 5th Street","","Quinter","KS","67752-9705","Gove","Coleen Tummons","CEO","785-754-3341","5155","ctummons@govecountymedicalcenter.org","","Sheree Flax","CFO Assistant","785-754-3341","5132","sflax@govecountymedicalcenter.org",""]
[null,201904265,"Cheyenne County Health Department","Cheyenne County Health Department","1134150659","Other ECP Providers",1,0,"221 W 1st St","","Saint Francis","KS","67756-3540","Cheyenne","221 W 1st St.","","Saint Francis","KS","67756","Cheyenne","Tia Sager","CEO","785-332-2104","","sjenkins@cheyennecountyhospital.com","","Shawna Blanka","Quality","785-332-2104","","sblanka@cheyennecountyhospital.com",""]
[null,201904275,"Smith County Memorial Hospital","Great Plains of Smith Co., Inc.","1700985116","Inpatient Hospitals (other than children's hospitals)",25,0,"614 S Main St","","Smith Center","KS","66967-3001","Smith","614 S. Main","P.O. Box 349","Smith Center","KS","66967","Smith","Allen Van Driel","Chief Executive Officer","785-282-6845","214","avandriel@smithcohosp.org","","Viola Babcock","Chief Financial Officer","785-282-6845","246","vbabcock@smithcohosp.org",""]
[null,201904292,"TREGO COUNTY LEMKE MEMORIAL HOSPITAL","TREGO COUNTY LEMKE MEMORIAL HOSPITAL","1922001015","Inpatient Hospitals (other than children's hospitals)",5,0,"320 N 13th St","","Wa Keeney","KS","67672-2002","Trego","320 N 13th","","WaKeeney","KS","67672","Trego","David Augustine","CEO","785-743-2182","175","daugustine@tclmh.org","","","","","","",""]
[null,201904298,"FAMILY PRACTICE ASSOCIATES (WETMORE)","Rural Health Resources of Jackson County","1003152430","Rural Health Clinics",8,0,"323 2nd St","","Wetmore","KS","66550-9618","Nemaha","1110 Columbine Dr","","Holton","KS","66436","Jackson","Bart Kenton","CFO","785-364-2116","4111","bkenton@rhrjc.org","","Carrie Saia","CEO","785-364-2116","4101","csaia@rhrjc.org",""]
[null,201904308,"Wichita Health Center","Planned Parenthood Great Plains","1679614838","Family Planning Providers, Sexually Transmitted Disease Clinics",1,0,"2226 E Central Ave","","Wichita","KS","67214-4406","Sedgwick","4401 W 109th St # 200","","Overland Park","KS","66211-1303","Johnson","Amanda Addison","Vice President of Health Services","913-345-4659","","Amanda.addison@ppgreatplains.org","http://www.ppgreatplains.org","Shirish Malla","Project Manager,Operations & Strategic Initiatives","913-345-4662","","shirish.malla@ppgreatplains.org","http://www.ppgreatplains.org"]
[null,201904325,"Cowley County Kansas","City-Cowley County Health Department","1497800684","Family Planning Providers",3,0,"320 E 9th Ave","Suite B","Winfield","KS","67156-2867","Cowley","320 E 9th Street","Suite B","Winfield","KS","67156","Cowley","Thomas Langer","Administrator","620-221-1430","5551","tlanger@cowleycounty.org","","","","","","",""]
[null,201904331,"Albany Elementary Healthy Kids Clinic","Cumberland Family Medical Center, Inc.","1942682547","Federally Qualified Health Centers",1,0,"819 3rd St","","Albany","KY","42602-1635","Clinton","360 Keen Street","","Burkesville","KY","42717-1080","Cumberland","Cheryl Green","Director of Business Administration","270-858-6644","2320","cgreen@cumberlandfamilymedical.com","www.cumberlandfamilymedical.com","Ken Kimsal","CFO","270-858-6644","","kkimsal@cumberlandfamilymedical.com","www.Cumberlandfamilymedical.com"]
[null,201904341,"Carlisle County Health Center","Purchase District Health Center","1346277563","Family Planning Providers, Federally Qualified Health Centers",1,0,"62 John Roberts Dr","","Bardwell","KY","42023-8000","Carlisle","P.O. Box 2357","","Paducah","KY","42002-2357","Mccracken","Joanie Allen","Account Clerk III","270-444-9625","102","joaniej.allen@ky.gov","","R. Kent Koster","Public Health Director","270-444-9625","111","kent.koster@ky.gov",""]
[null,201904358,"Cumberland County Elementary Healthy Kids Clinic","Cumberland Family Medical Center, Inc.","1033591615","Federally Qualified Health Centers",1,0,"150 Glasgow Rd","","Burkesville","KY","42717-9695","Cumberland","360 Keen Street","","Burkesville","KY","42717-1080","Cumberland","Cheryl Green","Director of Business Administration","270-858-6644","2320","cgreen@cumberlandfamilymedical.com","www.cumberlandfamilymedical.com","Ken Kimsal","CFO","270-858-6644","","kkimsal@cumberlandfamilymedical.com","www.cumberlandfamilymedical.com"]
[null,201904368,"Hickman County Health Center","Purchase District Health Department","1437186657","Family Planning Providers, Federally Qualified Health Centers",1,0,"370 S Washington St","","Clinton","KY","42031-1325","Hickman","P.O. Box 2357","","Paducah","KY","42002-2357","Mccracken","Joanie Allen","Account Clerk III","270-444-6925","102","joaniej.allen@ky.gov","","R. Kent Koster","Public Health Director","270-444-9625","111","kent.koster@ky.gov",""]
[null,201904378,"Westlake Family Practice","Adair County Hospital District","1396992970","Rural Health Clinics",7,0,"902 Westlake Dr","","Columbia","KY","42728-1149","Adair","901 Westlake Drive","Columb ia","KY","KY","42728","Adair","Gidgett Warren","CNO/Clinic Director","270-384-4753","1111","gidgett.warren@wrhs-ky.com","","Neal Gold","CEO","270-384-4753","1154","neal.gold@wrhs-ky.com",""]
[null,201904392,"Holmes TLC","HealthPoint Family Care, Inc.","1508889742","Federally Qualified Health Centers",2,0,"200 Home Rd","","Covington","KY","41011-1942","Kenton","1401 Madison Ave.","","Covington","KY","41011-3313","Kenton","Pamela Smallwood","Chief Operating Officer","859-655-6222","","psmallwood@healthpointfc.org","","","","","","",""]
[null,201904402,"Women's Care of the Commonwealth","Cumberland Family Medical Center, Inc.","1215918917","Federally Qualified Health Centers",9,0,"333 S 3rd St","","Danville","KY","40422-2016","Boyle","360 Keen Street","","Burkesville","KY","42717","Cumberland","Cheryl Green","Director of Business Administration","270-858-6644","2320","cgreen@cfmcky.com","","Ken Kimsal","CFO","270-858-6655","","kkimsal@cfmcky.com",""]
[null,201904408,"BLOUNT RURAL HEALTH CENTER","Helping Hands Health Clinic, INC","1346670189","Rural Health Clinics",2,0,"810 S Main St","","Elkton","KY","42220-8812","Todd","810 South Main","PO Box 277","Elkton","KY","42220","Todd","Anita Jo Powell","Executive Director","270-265-6504","","hhhc102@bellsouth.net","","Angela Markham","Administrative Assistant","270-265-5600","202","angelahhhc@bellsouth.net",""]
[null,201904418,"Fleming County Hospital","LifePoint Health","1881726347","Inpatient Hospitals (other than children's hospitals)",101,0,"55 Foundation Dr","","Flemingsburg","KY","41041-9815","Fleming","330 Seven Springs Way","","Brentwood","TN","37027","Davidson","Walter Franz","Sr. Director Managed Care","615-920-7361","","Walter.Franz@LPNT.net","","Theresa Fite","CFO","606-759-3117","","",""]
[null,201904435,"Community Health Centers of Western Kentucky, Inc","Community Health Centers of Western Kentucky, Inc","1306848650","Federally Qualified Health Centers",1,0,"10220 Dixie Beeline Hwy","","Guthrie","KY","42234-9310","Todd","480 Hopkinsville Street","","Greenville","KY","42345","Muhlenberg","Roger Arbuckle","CEO","270-338-5777","1022","chcwk@bellsouth.net","","","","","","",""]
[null,201904441,"Methodist Convenience Care","Methodist Hospital","1417264060","Outpatient Hospital Clinics",2,0,"110 2nd St","","Henderson","KY","42420-3136","Henderson","1305 N. Elm Street","","Henderson","KY","42420","Henderson","Carey Sue Ginn","Quality Improvement Specialist","270-830-4697","","cginn@methodisthospital","","Sarah Wilson","Enrollment Specialist","270-631-2412","","swilson@methodisthospital.net",""]
[null,201904451,"Matthew 25 AIDS Services Inc.","Matthew 25 AIDS Services","1457355125","Ryan White Providers",2,0,"452 Old Corydon Rd","","Henderson","KY","42420-4645","Henderson","452 Old Corydon Rd","","Henderson","KY","42420","Henderson","Cynthia Burton","Administrator","270-826-0200","","cburton@matthew25clinic.org","www.matthew25clinic.org","","","","","",""]
[null,201904468,"Mercy Primary Care - Irvine","Marcum & Wallace Memorial Hospital","1811132525","Rural Health Clinics",4.75,0,"1100 Richmond Rd","","Irvine","KY","40336-7231","Estill","60 Mercy Ct","","Irvine","KY","40336","Estill","Morgan Fowler","Director of Operations - Primary Care","606-723-2115","8213","mlfowler@mercy.com","","","","","","",""]
[null,201904474,"Jamestown Family Medical Center","Cumberland Family Medical Center, Inc.","1972862407","Federally Qualified Health Centers",4,0,"1417 N Main St","","Jamestown","KY","42629-2411","Russell","360 Keen St","","Burkesville","KY","42717-7915","Cumberland","Cheryl Green","Director of Business Administration","270-858-6644","2320","cgreen@cfmcky.com","www.cumberlandfamilymedical.com","Ken Kimsal","CFO","270-858-6655","","kkimsal@cfmcky.com","www.cumberlandfamilymedical.com"]
[null,201904484,"Women's Care of the Bluegrass/Family Care of the Bluegrass","Cumberland Family Medical Center, Inc.","1811304496","Federally Qualified Health Centers",2,0,"1180 Glensboro Rd","","Lawrenceburg","KY","40342-9034","Anderson","360 Keen St","","Burkesville","KY","42717-7915","Cumberland","Cheryl Green","Director of Business Administration","270-858-6644","2320","cgreen@cfmcky.com","www.cumberlandfamilymedical.com","Ken Kimsal","CFO","270-858-6644","","kkimsal@cfmcky.com","www.cumberlandfamilymedical.com"]
[null,201904501,"Walnut Hill Elementary Healthy Kids Clinic","Cumberland Family Medical Center, Inc.","1356723951","Federally Qualified Health Centers",1,0,"2834 S US 127","","Liberty","KY","42539-8350","Casey","360 Keen Street","","Burkesville","KY","42717-1080","Cumberland","Cheryl Green","Director of Business Administration","270-858-6644","2320","cgreen@cumberlandfamilymedical.com","www.cumberlandfamilymedical.com","Ken Kimsal","CFO","270-858-6644","","kkimsal@cumberlandfamilymedical.com","www.cumberlandfamilymedical.com"]
[null,201904511,"Newburg","Park DuValle Community Health Center, Inc.","1780698506","Dental Providers, Federally Qualified Health Centers",2,1,"2237 Hikes Ln","","Louisville","KY","40218-2203","Jefferson","2237 Hikes Lane","","Louisville","KY","40218","Jefferson","Ann Hagan-Grigsby","Interim CEO","502-774-4401","1221","ahagan@pdchc.org","","Jennifer Hendricks","Credentialing Specialist","502-774-4401","1247","jhendricks@pdchc.org",""]
[null,201904517,"FAMILY HEALTH CENTER - IROQUOIS","FAMILY HEALTH CENTERS, INC.","1356394670","Family Planning Providers, Federally Qualified Health Centers",5.5,0,"4100 Taylor Blvd","","Louisville","KY","40215-2342","Jefferson","2215 Portland Ave","","Louisville","KY","40212-1033","Jefferson","William B Wagner","CEO","502-778-4201","","bwagner@fhclouisville.org","www.fhclouisville.org","Sam Riddick","CFO","502-772-8561","","","http://www.fhclouisville.org/iroquois.htm"]
[null,201904534,"Grace SBHC Hacker Elem","GRACE COMMUNITY HEALTH CENTER, INC.","1568625648","Dental Providers, Federally Qualified Health Centers",2,1,"84 Hooker Rd","","Manchester","KY","40962-8202","Clay","1019 Cumberland Falls Hwy","Suite B201","Corbin","KY","40701","Whitley","Michael Stanley","C.E.O.","606-526-9005","208","mstanley@gracechc.com","","Chad Stevens","C.F.O.","606-521-3942","105","chad.stevens@gracechc.org",""]
[null,201904544,"Jackson County Health Department","Cumberland Valley District Health Department","1437291473","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"456 Main St S","","McKee","KY","40447-7083","Jackson","P.O. Box 158","470 Manchester Square, Ste 200","Manchester","KY","40962","Clay","Christie Green","Public Health Director","606-598-5564","116","christiel.green@ky.gov","","Tammy Byrd","Administrative Specialist","606-598-5564","153","tammyf.byrd@ky.gov",""]
[null,201904550,"Women's Care of Lake Cumberland","Cumberland Family Medical Center, Inc.","1073063418","Federally Qualified Health Centers",1,0,"39 Jim Hill Service Rd","","Monticello","KY","42633-7900","Wayne","360 Keen St.","","Burkesville","KY","42717","Cumberland","Cheryl Green","Director of Patient Financial Services","270-858-6644","2320","cgreen@cfmcky.com","","Ken Kimsal","CFO","270-858-6644","","kkimsal@cfmcky.com",""]
[null,201904563,"White House Clinic - Mt. Vernon","HEALTH HELP, INCORPORATED","1437407723","Dental Providers, Federally Qualified Health Centers",4,1,"116 Progress Dr","","Mount Vernon","KY","40456-8590","Rockcastle","1010 Main St S","","Mc Kee","KY","40447-7089","Jackson","Stephanie Moore","CEO","859-626-7700","","stephanie.moore@whitehouseclinics.com","","","","","","",""]
[null,201904578,"Community Family Clinic, PLLC","Community Family Clinic, PLLC","1518302892","Rural Health Clinics",9,0,"17 Miller Dr","","Owingsville","KY","40360-2212","Bath","17 Miller Drive","","Owingsville","KY","40360","Bath","Kandi Hughes","Billing Manager","606-768-4549","","kandih73@yahoo.com","","","","","","",""]
[null,201904584,"HomePlace Clinic","Mountain Comprehensive Care Center, Inc.","1578811774","Federally Qualified Health Centers",1,0,"1110 S Mayo Trl","Suite A","Paintsville","KY","41240-1273","Johnson","104 South Front Ave","","Prestonsburg","KY","41653","Floyd","Rachel Willoughby","Program Director","606-886-8572","","rachel.willoughby@mtcomp.org","www.mtcomp.org","Carrie Hackworth","BILLING COORDINATOR","606-788-1345","","carrie.hackworth@mtcomp.org",""]
[null,201904594,"Community Medical Clinic","PENNYROYAL HEALTHCARE SERVICE INC.","1124319942","Federally Qualified Health Centers",5,0,"310 Hawthorne St","","Princeton","KY","42445-1622","Caldwell","310 Hawthorne Street","","Princeton","KY","42445","Caldwell","Kecia Fulcher","CEO","270-365-0227","000","kfulcher@communitymedicalclinic.org","","Casey Payne","CFO","270-365-0227","","cpayne@pennyroyalcenter.org",""]
[null,201904611,"SALYERSVILLE MEDICAL CENTER","Salyersville Medical Center","1215984711","Rural Health Clinics",1,0,"601 E Maple St","","Salyersville","KY","41465-9470","Magoffin","601 E Maple St","","Salyersville","KY","41465","Magoffin","Judy Hankins","Credentialing Manager","606-432-0174","","jhankins@setel.com","","Stephanie Warrix","Information Resources Manager","606-432-0174","","stephanie.warrix@aacenter.com",""]
[null,201904617,"Shepherdsville Family Health Clinic","Shepherdsville Family Health Clinic","1902856123","Rural Health Clinics",1.5,0,"130 W Joe B Hall Ave","","Shepherdsville","KY","40165-6028","Bullitt","181 Hwy 44 East","Suite 1","Shepherdsville","KY","40165","Bullitt","Karen Marie Scheich","APRN/President","502-921-1231","","kmsaprn@gmail.com","","Rebecca Houston","Office Manager","502-921-1231","","rjhouston@windstream.net",""]
[null,201904627,"RED RIVER PEDIATRICS","Red River Pediatrics","1013954510","Rural Health Clinics",2,0,"321C E College Ave","","Stanton","KY","40380-2325","Powell","321C E College Ave","","Stanton","KY","40380","Powell","Judy Hankins","Credentialing Manager","606-663-9797","","jhankins@setel.com","","Stephanie Warrix","Information Resources Manager","606-432-0174","","stephanie.warrix@aacenter.com",""]
[null,201904644,"Mountain Comprehensive Health Clinics","MOUNTAIN COMPREHENSIVE HEALTH CORPORATION","1568710762","Federally Qualified Health Centers",0.3,0,"3125 Highway 931 S","Cowan Elementary School","Whitesburg","KY","41858-8966","Letcher","226 Medical Plaza Ln","","Whitesburg","KY","41858-7425","Letcher","L.M. (Mike) Caudill","Chief Executive Officer","606-633-4823","1389","lmcaudill@mtncomp.org","www.mchcky.org","Teresa Fleming","Director of Financial Affairs","606-633-4823","1387","tfleming@mtncomp.org","www.mchcky.org"]
[null,201904654,"Williamsburg Family Medicine Center","Williamsburg Family Medicine Center","1376689620","Rural Health Clinics",5,0,"475 N Highway 25 W","Suite 100","Williamsburg","KY","40769-1576","Whitley","475 Hwy 25WN","Suite 100","Williamsburg","KY","40769","Whitley","Debra Sharp","Administrative Assistant","423-784-3667","","sharpdebra@bellsouth.net","","Elsie Crawford","VP Operations","423-494-7155","","elsiejcrawford@aol.com",""]
[null,201904660,"Grace Community Health Center, Inc.","Grace Community Health Center Inc","1568625648","Federally Qualified Health Centers",2,0,"10130 Cutshin Rd","Hayes Lewis Elementary School","Yeaddiss","KY","41777","Leslie","1019 Cumberland Falls Hwy","Suite B201","Corbin","KY","40701","Whitley","Michael Stanley","CEO","606-526-9005","208","mstanley@gracechc.com","","Chad Stevens","CFO","606-526-9005","6002","chad.stevens@gracechc.org",""]
[null,201904677,"BASTROP OUTPATIENT RURAL HEALTH CLINIC","Sterlington Rehabilitation Hospital","1669658571","Rural Health Clinics",3,0,"510 S Washington St","","Bastrop","LA","71220-5033","Morehouse","10374 Hwy 165 N","SUITE a","Sterlington","LA","71280","Ouachita","Terri Mcnemar","Insurance","318-665-9950","110","tmcnemar@sterlingtonrehab.com","","Kathy Schroeder","CNO","318-665-9950","113","kschroeder@sterlingtonrehab.com",""]
[null,201904687,"Caring Clinic of Louisiana","HIV/AIDS Alliance for Region Two Inc","1679762421","Federally Qualified Health Centers, Ryan White Providers, Sexually Transmitted Disease Clinics",5,0,"4560 North Blvd","Suite 101","Baton Rouge","LA","70806-4043","East Baton Rouge","4550 North Blvd Ste 250","","Baton Rouge","LA","70806-4013","East Baton Rouge","Timothy Young","Chief Executive Officer","225-927-1269","","tyoung@haartinc.org","http://www.caringclinic.org","Kimberly Hood","Chief Operating/Compliance Officer","225-927-1269","","khood@haartinc.org","http://www.haartinc.org/"]
[null,201904693,"Family Health Care Clinic, Inc., --Bogalusa","FAMILY HEALTH CARE CLINIC, INC.","1457781486","Federally Qualified Health Centers",1,0,"609 Superior Ave","","Bogalusa","LA","70427-2630","Washington","4635 Highway 80 E","","Pearl","MS","39208-4226","Rankin","Margaret Ann Gray","President and CEO","601-825-7280","5005","drmgray1@bellsouth.net","familyhealthcareclinic.com","Clinton Mayes","VP and COO","601-825-7280","5003","cmayes@familyhealthcareclinic.com",""]
[null,201904710,"Grant Parish Health Unit","Louisiana Dept. of Health and Hospitals - Office of Public Health - Bureau of Family Health - Reproductive Health Program","1649355561","Family Planning Providers, Sexually Transmitted Disease Clinics",1,0,"340A Webb Smith Dr","","Colfax","LA","71417-1910","Grant","1450 Poydras Street","Suite 2032","New Orleans","LA","70112","Orleans","Carolyn Wise","Reproductive Health Program Manager","504-568-8176","","Carolyn.Wise@LA.Gov","http://www.dhh.louisiana.gov/index.cfm/directory/detail/4802/catid/192","","","","","",""]
[null,201904720,"Lafourche Parish Health Unit - Galliano","Louisiana Dept. of Health and Hospitals - Office of Public Health - Bureau of Family Health - Reproductive Health Program","1649355561","Family Planning Providers, Sexually Transmitted Disease Clinics",1,0,"133 W 112th St","","Cut Off","LA","70345-3629","Lafourche","1450 Poydras Street","Suite 2032","New Orleans","LA","70112","Orleans","Carolyn Wise","Reproductive Health Program Manager","504-568-8176","","Carolyn.Wise@LA.Gov","","","","","","",""]
[null,201904726,"Hospital Service District 1A Parish Of Richland State Of Louisiana","Hospital Service District 1A Parish of Richland State of Louisiana","1588917660","Federally Qualified Health Centers",0.6,0,"509 Main St","Delhi Elementary School","Delhi","LA","71232-2537","Richland","407 Cincinnati St","","Delhi","LA","71232-3007","Richland","Barbara Hutchinson","CEO","318-878-6650","","bhutchinson@delhihospital.com","","Lisa Dixon","COO","318-878-6650","","ldixon@delhihospital.com",""]
[null,201904744,"Washington Parish Health Unit - Franklinton","Louisiana Dept. of Health and Hospitals - Office of Public Health - Bureau of Family Health - Reproductive Health Program","1649355561","Family Planning Providers, Sexually Transmitted Disease Clinics",1,0,"120 11th Ave","","Franklinton","LA","70438-1161","Washington","1450 Poydras Street","Suite 2032","New Orleans","LA","70112","Orleans","Carolyn Wise","Reproductive Health Program Manager","504-568-8176","","Carolyn.Wise@LA.Gov","","","","","","",""]
[null,201904754,"Southeast Community Health Systems","Southeast Community Health Systems","1528297579","Federally Qualified Health Centers, Other ECP Providers",12,0,"1798 Highway 1042","SCHS - St. Helena Arts and Technology Academy","Greensburg","LA","70441-4241","Saint Helena","6351 Main Street","P O Box 770","Zachary","LA","70781","East Baton Rouge","Alecia Cyprian","Chief Executive Officer","225-306-2010","","acyprian@shchc.org","http://www.shchc.org/main/contact","Gail Williams Dunn","Chief Operating and Compliance officer","225-306-2017","9855147008","gwdunn@shchc.org",""]
[null,201904760,"David Raines Community Health Centers - Haynesville","David Raines Community Health Center, Inc.","1912903964","Federally Qualified Health Centers",1,0,"1953 Main St","","Haynesville","LA","71038-4907","Claiborne","3041 Martin Luther King Jr. Drive","","Shreveport","LA","71107","Caddo","Willie C. White, III","Chief Executive Officer","318-227-3342","","wwhite@davidraineschc.org","www.davidraineschc.org","Myrtis Edwards","Chief Operating Officer","318-227-3341","","medwards@davidraineschc.org","www.davidraineschc.org"]
[null,201904781,"St Charles Community Health Center Kenner","access Health Louisian","1992800718","Dental Providers, Federally Qualified Health Centers",32.23,1.04,"200 W Esplanade Ave","","Kenner","LA","70065-2489","Jefferson","843 Milling Ave","","Luling","LA","70070","Saint Charles","Dana Scallan","Billing Manager","504-575-3717","","dscallan@accesshealthla.org","","Tracie Dufrene","Credentialing","504-575-3712","","tdufrene@accesshealthla.org",""]
[null,201904787,"Surrey Street Community Health Center Extension Site","Iberia Comprehensive Community Health Center, Inc.","1316244338","Federally Qualified Health Centers",6,0,"1002 12th St","","Lafayette","LA","70501-6224","Lafayette","806 Jefferson Terrace Blvd","","New Iberia","LA","70560","Iberia","MoniqueDumond","Chief Financial Officer","337-365-4945","112","monique@icchc.org","www.icchc.org","Roderick Campbell","CEO","337-365-4945","","roderickcc@icchc.org","www.icchc.org"]
[null,201904797,"East Carroll Parish Health Unit","Louisiana Dept. of Health and Hospitals - Office of Public Health - Bureau of Family Health - Reproductive Health Program","1649355561","Family Planning Providers, Sexually Transmitted Disease Clinics",1,0,"403 2nd St","","Lake Providence","LA","71254-2605","East Carroll","1450 Poydras Street","Suite 2032","New Orleans","LA","70112","Orleans","Carolyn Wise","Reproductive Health Program Manager","504-568-8176","","Carolyn.Wise@LA.Gov","","","","","","",""]
[null,201904814,"Sabine Community Health Center","Iberia Comprehensive Community Health Center, Inc.","1114341666","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",6,4,"1050 N Robinson St","","Many","LA","71449-3536","Sabine","806 Jefferson Terrace Blvd","","New Iberia","LA","70560","Iberia","Monique Dumond","CFO","337-365-4945","112","moniquedumond@icchc.org","www.icchc.org","Roderick Campbell","CEO","337-365-4945","","roderickcc@icchc.org",""]
[null,201904820,"Avoyelles Hospital Rural Health Clinic","CLHG-Avoyelles LLC","1962924928","Rural Health Clinics",3,0,"597 Tunica Dr W","","Marksville","LA","71351-2628","Avoyelles","PO Box 249","","Marksville","LA","71351-2628","Avoyelles","Nell Madrigal","Practice Manager","318-253-0677","","nmadrigal@ahmgt.com","","Frances Deglandon","Controller","318-253-8611","","fdeglandon@ahmgt.com",""]
[null,201904830,"MER ROUGE OUTPATIENT RURAL HEALTH CLINIC","Sterlington Rehabilitation Hospital","1811171085","Rural Health Clinics",2.5,0,"220 West Davenport Ave","","Mer Rouge","LA","71261","Morehouse","10374 Highway 165 N","Suite A","Sterlington","LA","71280","Ouachita","Terri Mcnemar","Insurance","318-665-9950","110","tmcnemar@sterlingtonrehab.com","","Kathy Schroeder","CNO","318-665-9950","113","kschroeder@sterlingtonrehab.com",""]
[null,201904847,"Winn Community Health Center, Inc.","Winn Community Health Center","1083098610","Federally Qualified Health Centers",1,0,"2580 Highway 122","Verda School-Based Clinic","Montgomery","LA","71454-5540","Grant","427 W Lafayette Street","","Winnfield","LA","71483-3463","Winn","Deano Thornton","CEO","318-648-0375","","dthornton@winnchc.org","www.winnchc.org","Missy Hyman","CFO","318-648-0375","","mhyman@winnchc.org","www.winnchc.org"]
[null,201904853,"Assumption Rural Health","Our Lady of the Lake Assumption Community Hospital","1609860360","Rural Health Clinics",2,0,"143 Highway 402","Suite 4","Napoleonville","LA","70390-2217","Assumption","135 Hwy 402","","Napoleonville","LA","70390","Assumption","Rachel Ford","Office Supervisor","985-369-3600","232","rachel.ford@ololrmc.com","","","","","","",""]
[null,201904863,"EXCELth, Inc. Family Dental Clinic - Algiers","EXCELth, Inc.","1164792404","Dental Providers",0,1.2,"1111 Newton St","","New Orleans","LA","70114-2500","Orleans","1515 Poydras Street","STE 1070","New Orleans","LA","70112","Orleans","MICHAEL A. ANDRY","CEO","504-524-1210","4123","mandry@excelth.com","","Matilda Tennessee","Revenue Cycle Manager","504-524-1210","","mtennessee@excelth.com",""]
[null,201904880,"CrescentCare Health and Wellness Center","New Orleans AIDS TASK FORCE (NO/AIDS Task Force)","1689081648","Dental Providers, Federally Qualified Health Centers, Ryan White Providers, Sexually Transmitted Disease Clinics",7,1,"3308 Tulane Ave","","New Orleans","LA","70119-7100","Orleans","2601 Tulane Ave Ste 500","","New Orleans","LA","70119-7400","Orleans","Noel Twilbeck","CEO","504-821-2601","228","Noel.Twilbeck@crescentcarehealth.org","www.crescentcarehealth.org","Ellie Tinto-Poitier","Compliance and Risk Specialist","504-821-2601","750","Ellie.TintoPoitier@CrescentCareHealth.org","www.crescentcarehealth.org"]
[null,201904890,"Ruth U Fertel/Tulane CHC","Access Health Louisiana","1063759066","Dental Providers, Federally Qualified Health Centers",1,1,"711 N Broad St","","New Orleans","LA","70119-4206","Orleans","843 Milling Ave","","Luling","LA","70070","Saint Charles","Dana Scallan","Billing Manger","504-575-3717","","dscallan@accesshealthla.org","","Tacie dufrene","credetialing","504-575-3712","","tdufrene@accesshealthla.org",""]
[null,201904896,"St Charles Community Health Center Norco","Access Health Louisiana","1376784868","Dental Providers, Federally Qualified Health Centers",1,1,"16004 River Rd","","Norco","LA","70079-2040","Saint Charles","843 Milling Ave","","Luling","LA","70070","Saint Charles","Dana Scallan","Billing Manager","504-575-3717","","dscallan@accesshealthla.org","","Tracie Dufrene","Credentialing","504-575-3712","","tdufrene@accesshealthla.org",""]
[null,201904913,"RMC Surgery Clinic","RMC Surgery Clinic","1598944357","Other ECP Providers",2,0,"129 Christian Dr","","Rayville","LA","71269-3658","Richland","129 Christian Drive","","Rayville","LA","71269","Richland","James Barrett, Jr","CEO","318-728-8389","389","jamesb@richardsonmed.org","","Dianne Donald","Assistant CEO","318-728-8315","315","dianned@richardsonmed.org",""]
[null,201904923,"Bienville Community Health Center","Winn Community Health Center, Inc.","1740601418","Dental Providers, Federally Qualified Health Centers",2,1,"2826 Bienville Rd","","Ringgold","LA","71068-2588","Bienville","427 W. Lafayette Street","","Winnfield","LA","71483","Winn","Deano Thornton","Chief Executive Officer","318-648-0375","234","dthornton@winnchc.org","","David Adams","COO","318-648-0375","238","dadams@winnchc.org",""]
[null,201904929,"WEST FELICIANA PARISH HOSPITAL (outpatient hospital clinics)","WEST FELICIANA PARISH HOSPITAL","1164497533","Outpatient Hospital Clinics",4,0,"5266 Commerce St","","Saint Francisville","LA","70775-4409","West Feliciana","PO Box 368","","SAINT FRANCISVILLE","LA","70775","West Feliciana","Kathy Cheatham","Director","225-635-3811","482","kathyc@wfph.org","","","","","","",""]
[null,201904947,"Medical Center Family Dentistry","Catahoula Parish Hospital District #2","1225183916","Dental Providers",0,1,"710 Chisum Street","","Sicily Island","LA","71368","Catahoula","P. O. Box 8","","Sicily Island","LA","71368","Catahoula","Debra Miesch","CEO","318-389-5727","1012","dmiesch@cphd2.org","","Michelle Brown","Billing Manager","318-389-5727","1007","mbrown@cphd2.org",""]
[null,201904957,"Madison Parish Hospital","Madison Parish Hospital Service District","1851393409","Inpatient Hospitals (other than children's hospitals)",25,0,"900 Johnson St","","Tallulah","LA","71282-4537","Madison","900 Johnson Street","","Tallulah","LA","71282","Madison","Chasity Whitaker","Compliance Officer","318-651-5601","","chasity@madisonparishhospital.com","www.madisonparishhospital.com","Amanda McCool","Business Office Manager","318-651-5608","","amccool@madisonparishhospital.com",""]
[null,201904963,"St. Landry Family Healthcare","St. Landry Family Healthcare","1528481587","Rural Health Clinics",2,0,"6633 Highway 10","","Washington","LA","70589-4313","Saint Landry","6633 Hwy 10","","Washington","LA","70589","Saint Landry","Amelia Lyons","Practice Manager","337-826-7702","","Amelia.Lyons@lhcgroup.com","","Elliot Myers","Nurse Practitioner","337-826-7702","","Elliot.Myers@lhcgroup.com",""]
[null,201904973,"Winnsboro Health Clinic","Franklin Medical Center","1902851124","Rural Health Clinics",3,0,"2104 Loop Rd","Suite C","Winnsboro","LA","71295-3341","Franklin","2106 Loop Rd","PO box 1300","Winnsboro","LA","71295","Franklin","Keith Dewayne Butler","Director","318-435-4571","","dbutler@fmc-cares.com","","","","","","",""]
[null,201904990,"Action for Boston Community Development","Action for Boston Community Development","1205167459","Family Planning Providers",2,0,"178 Tremont St","","Boston","MA","02111-1006","Suffolk","178 Tremont Street","","Boston","MA","02111","Suffolk","Joan Whitaker","Director","617-348-6260","","joan.whitker@bostonabcd.org","","Denice Garrett","Coordinator For Clinical Billing","617-348-6256","","denice.garrett@bostonabcd.org",""]
[null,201904996,"Massachusetts General Comprehensive Hemophilia and Thrombosis Treatment Center","Massachusetts General Hospital","1801874573","Hemophilia Treatment Centers",2,0,"55 Fruit St","Yawkey 7b & 8b","Boston","MA","02114-2696","Suffolk","55 Fruit St.","","Boston","MA","02114","Suffolk","Eric Cronin","Program Coordinator","617-643-2986","2986","ecronin5@partners.org","","Eric F. Grabowski","Associate Professor of Pediatrics","617-726-2737","","egrabowski@partners.org",""]
[null,201905006,"BNHC At Vicente's","BROCKTON NEIGHBORHOOD HEALTH CENTER, INC.","1497148407","Federally Qualified Health Centers",9,0,"158 Pleasant St","","Brockton","MA","02301-3842","Plymouth","63 Main St","","Brockton","MA","02301-4042","Plymouth","Melvin E. Benson","CFO","508-894-3642","","bensonm@bnhc.org","www.bnhc.org","Susan G. Joss","CEO","508-894-3203","","josss@bnhc.org","http://www.bnhc.org/info.html"]
[null,201905023,"Upham's Eye and Dental Clinic","Upham's Corner Health Committee, INC.","1780780486","Dental Providers, Federally Qualified Health Centers",1.1,4.25,"636 Columbia Rd","","Dorchester","MA","02125-3416","Suffolk","500 Columbia RD","","Dorchester","MA","02125","Suffolk","Jagdeep Trivedi","Executive Director/CEO","617-287-8000","8133","JTrivedi@uphams.org","","Judy Welsh","Operation Manager, Division 4","617-825-9839","","JWelsh@uphams.org",""]
[null,201905033,"CHA Everett Family Health Center","Cambridge Health Alliance","1487603585","Family Planning Providers, Outpatient Hospital Clinics",10,0,"391 Broadway","","Everett","MA","02149-3470","Middlesex","1493 Cambridge Street","","Cambridge","MA","02139","Middlesex","Glover Taylor","Chief Compliance Officer","617-806-8701","8701","Gtaylor@challiance.org","http://www.challiance.org/Main/Home.aspx","Jill Batty","CFO","781-338-0301","301","Jbatty@challiance.org","http://www.challiance.org/Main/Home.aspx"]
[null,201905039,"HealthFirst Family Care Center Inc.","HEALTHFIRST FAMILY CARE CENTER, INC.","1962435933","Dental Providers, Federally Qualified Health Centers",8.8,5.6,"387 Quarry St","","Fall River","MA","02723-1025","Bristol","387 Quarry St Ste 100","","Fall River","MA","02723-1007","Bristol","Julie M Almond","CEO","774-627-1205","","almondj@healthfirstfr.org","http://www.healthfirstfr.org","","","","","",""]
[null,201905056,"Harwich Health Center","Outer Cape Health Services","1255629747","Federally Qualified Health Centers",3.5,0,"269 Chatham Rd","","Harwich","MA","02645-3309","Barnstable","P.O. Box 598","710 Route 28","Harwich Port","MA","02646","Barnstable","Andy Lowe","Chief Strategy Officer","508-905-2800","2217","alowe@outercape.org","outercape.org","Jayne Lowe","Director of Revenue Cycle","508-905-2800","2211","jlowe@outercape.org","outercape.org"]
[null,201905066,"Health Quarters: Lawrence Office","HealthQuarters, Inc.","1154459618","Family Planning Providers",1,0,"280 Merrimack St","Suite 501","Lawrence","MA","01843-1779","Essex","100 Cummings Center","Suite 220B","Beverly","MA","01915","Essex","Denise McIntosh","Regional Manager","978-552-5605","","denisem@healthq.org","","Renee LaForce","Director of Programs","978-522-5609","","reneel@healthq.org",""]
[null,201905072,"METTA HEALTH CENTER","LOWELL COMMUNITY HEALTH CENTER, INC.","1952307530","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers",7,0,"135 Jackson St","","Lowell","MA","01852-2103","Middlesex","161 Jackson St","","Lowell","MA","01852-2103","Middlesex","Dorcas C Grigg-Saito","CEO","978-746-7851","","dorcasgr@lchealth.org","","Robert Ebersole","CFO","978-322-8596","","roberteb@lchealth.org",""]
[null,201905089,"New Bedford Family Planning","Health Imperatives, Inc Massachusetts","1013051614","Family Planning Providers",1,0,"651 Orchard St","","New Bedford","MA","02744-1008","Bristol","942 West Chestnut street","","Brockton","MA","02301","Plymouth","Emily Gold","Director, Reproductive Health Services","508-274-6541","","egold@healthimperatives.org","http://www.healthimperatives.org/reprohealth","Jessica Cisternelli","Director of Clinic Operations","508-367-1963","","jcisternelli@healthimperatives.org",""]
[null,201905099,"CHP Neighborhood Health Center","COMMUNITY HEALTH PROGRAMS, INCORPORATED","1649408899","Federally Qualified Health Centers",5,0,"510 North St","","Pittsfield","MA","01201-5493","Berkshire","444 Stockbridge Rd","","Great Barrington","MA","01230-1295","Berkshire","Philip B Morrison","Chief Financial Officer","413-528-9311","1167","pmorrison@chpberkshires.org","communityhealthprograms.org","Cindy Duryea","Grants Manager","413-528-9311","1168","cduryea@chpberkshires.org","communityhealthprograms.org"]
[null,201905105,"South Cove Community Health Center - 435 Hancock St","South Cove Community Health Center","1700801263","Federally Qualified Health Centers",5,0,"435 Hancock St","","Quincy","MA","02171-2428","Norfolk","145 South Street","","Boston","MA","02111","Norfolk","Eugene Welch","Executive Director","617-521-6703","6703","ewelch@scchc.org","www.scchc.org","","","","","",""]
[null,201905118,"CHA Somerville Hospital (inpatient hospital)","Cambridge Health Alliance","1487603585","Inpatient Hospitals (other than children's hospitals)",181,0,"230 Highland Ave","","Somerville","MA","02143-1408","Middlesex","1493 Cambridge St","","Cambridge","MA","02139","Middlesex","Glover Taylor","Chief Compliance Officer","617-806-8701","8701","gtaylor@challiance.org","http://challiance.org/Main/Home.aspx","Jill Batty","SVP, CFO","781-338-0301","301","jbatty@challiance.org","http://challiance.org/Main/Home.aspx"]
[null,201905133,"Charles River Community Health","Action for Boston Community Development, Inc., Boston Family Planning","1750486106","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",12.5,7,"564 Main St","","Waltham","MA","02452-5516","Middlesex","564 Main St","","Waltham","MA","02452-5516","Middlesex","Elizabeth Browne","Executive Director","617-208-1511","","ebrowne@charlesriverhealth.org","","Kathy Kates, RN","Family Planning Coordinator","781-693-3800","","","http://www.charlesriverhealth.org/"]
[null,201905139,"EMKCHC-Worcester/Tacoma St.","Edward M Kennedy Community Health Center","1609842152","Dental Providers, Federally Qualified Health Centers, Ryan White Providers",34,3,"19 Tacoma St","","Worcester","MA","01605-3516","Worcester","650 Lincoln Street","","Worcester","MA","01605","Worcester","Antonia G. McGuire","President and Chief Executive Officer","508-854-2122","7311","toni.mcguire@kennedychc.org","www.kennedychc.org","Maria Coppenrath","Chief Financial Officer","508-854-2122","7324","maria.coppenrath@kennedychc.org","www.kennedychc.org"]
[null,201905149,"Baltimore Medical System","Baltimore Medical System","1346664562","Federally Qualified Health Centers",1,0,"100 Kane St","Patterson High School","Baltimore","MD","21224-1726","Baltimore City","3501 Sinclair Lane","","Baltimore","MD","21213","Baltimore City","Shirley Sutton","President & CEO","410-558-4891","","Shirley.Sutton@bmsi.org","http://bmsi.org/our-programs/school-based-health-centers/","Joe Martin","Executive Assistant","410-558-4973","","Joe.Martin@bmsi.org",""]
[null,201905166,"Essex Health Center","Baltimore County Health Dept.","1982974069","Family Planning Providers",5,0,"201 Back River Neck Rd","","Baltimore","MD","21221-3949","Baltimore","1538 Country Ridge Ln","","Baltimore","MD","21221-3906","Baltimore","Renee Youngfellow","Family Planning Coordinator","410-887-2708","","ryoungfellow@baltimorecountymd.gov","http://www.baltimorecountymd.gov/Agencies/health/healthservices/familyplanning.html","","","","","",""]
[null,201905176,"Lansdowne Health Center","Baltimore County Health Dept.","1578832374","Family Planning Providers",5,0,"3902 Annapolis Rd","Suite 1","Baltimore","MD","21227-2249","Baltimore","3902 Annapolis Rd","","Baltimore","MD","21227-2249","Baltimore","Renee Youngfellow","Family Planning Coordinator","410-887-2708","","ryoungfellow@baltimorecountymd.gov","http://www.baltimorecountymd.gov/Agencies/health/healthservices/familyplanning.html","","","","","",""]
[null,201905182,"EASTERN DENTAL CLINIC","Baltimore City Health Dept.-Oral Health Services","1679628846","Dental Providers",0,0.5,"620 N Caroline St Bsmt Level","","Baltimore","MD","21205-1839","Baltimore City","Baltimore City Health Dept.- Oral Health Services","1001 E. FAYETTE STREET","Baltimore","MD","21202","Baltimore City","Dr. Patricia L. Bell-McDuffie","DIRECTOR, ORAL HEALTH SERVICES","410-396-4501","","patricia.bell-mcduffie@baltimorecity.gov","","Dr. Adena Greenbaum","Asst. Commissioner; Div. of Clinical Services","410-396-1309","","adena.greenbaum@baltimorecity.gov",""]
[null,201905199,"Mt. Washington Pediatric Hospital Outpatient, Prince Georges County","Mt. Washington Pediatric Hospital","1639273337","Outpatient Hospital Clinics",1,0,"3001 Hospital Dr","","Cheverly","MD","20785-1189","Prince Georges","1708 W. Rogers Avenue","","Baltimore","MD","21208","Baltimore City","Mary Miller","CFO","410-578-5163","","mmiller@mwph.org","www.mwph.org","Jeneba Fofana","Finance Operations Manager","410-578-5062","","jfofana@mwph.org","www.mwph.org"]
[null,201905209,"Tri-State Community Health Center - Cumberland","Tri-State Community Health Center","1457301939","Federally Qualified Health Centers",7,0,"621 Kelly Rd","","Cumberland","MD","21502-2878","Allegany","109 Rayloc Drive","","Hancock","MD","21750","Washington","Sheila DeShong","COO","301-678-5187","226","sdeshong@tschc.com","","","","","","",""]
[null,201905215,"Women, Infants, and Children (WIC) Talbot County","CHOPTANK COMMUNITY HEALTH SYSTEM, INC.","1356388599","Dental Providers",0,0.05,"215 Bay St","","Easton","MD","21601-2782","Talbot","301 Randolph St","","Denton","MD","21629-1243","Caroline","JOSEPH M. SHEEHAN","CEO","410-479-4306","","jsheehan@choptankhealth.org","","Susan Johnson","VP of Quality Assurance","410-479-8393","","smjohnsonjsheehan@choptankhealth.org",""]
[null,201905232,"CCI - Family Services Inc.","COMMUNITY CLINIC, INC., THE","1790730281","Family Planning Providers, Federally Qualified Health Centers",2,0,"610 E Diamond Ave","Suite 300","Gaithersburg","MD","20877-5321","Montgomery","8630 Fenton St Ste 1200","","Silver Spring","MD","20910-3808","Montgomery","Kathleen Knolhoff","CEO & President","240-499-2609","","Kathleen.Knolhoff@cciweb.org","www.cciweb.org","Sheldon Kronzek","","240-638-1271","","Sheldon.Kronzek@cciweb.org","www.cciweb.org"]
[null,201905242,"Family Healthcare Of Hagerstown - Way Station","Walnut Street Community Health Center, Inc","1235498122","Federally Qualified Health Centers",1,0,"328 N Potomac St","","Hagerstown","MD","21740-3820","Washington","201 S. Cleveland Avenue","","Hagerstown","MD","21740","Washington","David Becker","CFO","301-745-3777","","david.becker@familyhch.org","www.familyhch.org","Kim Murdaugh","Executive Director","","","",""]
[null,201905248,"GARRETT COUNTY HEALTH DEPARTMENT","GARRETT COUNTY HEALTH DEPARTMENT","1568411619","Dental Providers, Family Planning Providers, Ryan White Providers, Sexually Transmitted Disease Clinics",2.2,1,"1025 Memorial Dr","","Oakland","MD","21550-4343","Garrett","1025 Memorial Dive","","Oakland","MD","21550-4343","Garrett","Jennifer Lee-Steckman","Family Planning Coordinator","301-334-7770","","Jennifer.Lee-Steckman@Maryland.gov","http://www.garretthealth.org/departments/Personal/Family.htm","Tammy Skiles","Administrator","301-334-7703","","tammy.skiles@Maryland.gov","http://www.garretthealth.org"]
[null,201905258,"Liberty Family Resource Center","Baltimore County Health Dept.","1174893259","Dental Providers, Family Planning Providers, Sexually Transmitted Disease Clinics",9,4,"3525 Resource Dr","","Randallstown","MD","21133-4733","Baltimore","3525 Resource Dr","","Randallstown","MD","21133-4733","Baltimore","Renee Youngfellow","Family Planning Coordinator","410-887-2708","","ryoungfellow@baltimorecountymd.gov","http://www.baltimorecountymd.gov/Agencies/health/healthservices/familyplanning.html","","","","","",""]
[null,201905275,"Community Clinic at WAH","COMMUNITY CLINIC, INC., THE","1790730281","Family Planning Providers, Federally Qualified Health Centers",4,0,"7620 Carroll Ave","","Takoma Park","MD","20912-6387","Montgomery","8630 Fenton St Ste 1200","","Silver Spring","MD","20910-3808","Montgomery","Kathleen Knolhoff","CEO & President","240-499-2613","","Kathleen.Knolhoff@cciweb.org","www.cciweb.org","Sheldon Kronzek","CFO","240-638-1271","","Sheldon.Kronzek@cciweb.org","www.cciweb.org"]
[null,201905281,"SOMERSET COUNTY HEALTH DEPARTMENT","SOMERSET COUNTY HEALTH DEPARTMENT","1205810777","Family Planning Providers, Sexually Transmitted Disease Clinics",0.3,0,"7920 Crisfield Hwy","","Westover","MD","21871-3922","Somerset","7920 Crisfield Highway","","Westover","MD","21871","Somerset","Lee Ann Ennis","RN, Community Health Program Manager","443-523-1764","","leeann.ennis@maryland.gov","","","","","","",""]
[null,201905291,"Seaport Community Health Center","PENOBSCOT COMMUNITY HEALTH CENTER, INC","1093136871","Federally Qualified Health Centers",4,0,"53 Schoodic Dr","","Belfast","ME","04915-7246","Waldo","103 Maine Ave.","PO Box 1358","Bangor","ME","04402-1358","Penobscot","Kenneth Schmidt","President & CEO","207-992-9200","1401","kschmidt@pchc.com","http://pchc.com/","Christine Finn-McLaughlin","CFO","207-992-9200","1443","cmclaughlin@pchc.com","http://pchc.com/"]
[null,201905303,"REGIONAL MEDICAL CENTER CALAIS","REGIONAL MEDICAL CENTER AT LUBEC ME INC","1740283977","Federally Qualified Health Centers",1,0,"5 Lowell St","","Calais","ME","04619-1712","Washington","43 S Lubec Rd","","Lubec","ME","04652-3620","Washington","Marilyn F Hughes","Chief Executive Officer","207-733-1090","2196","mhughes@rmcl.org","","Terry Rier","Executive Adminstrative Assistant","207-733-1090","2116","trier@rmcl.org",""]
[null,201905315,"MAYO REGIONAL HOSPITAL","Hospital Administrative District 4","1558319103","Inpatient Hospitals (other than children's hospitals)",25,0,"897 W Main St","","Dover Foxcroft","ME","04426-1029","Piscataquis","897 West Main Street","","Dover-Foxcroft","ME","04426","Piscataquis","Stephanie Koscielny","Practice Relations Coordinator","207-564-8401","","skoscielny@mayohospital.com","","","","","","",""]
[null,201905325,"Fort Kent Health Center","FISH RIVER RURAL HEALTH","1174741094","Federally Qualified Health Centers",5,0,"3 Mountainview Dr","","Fort Kent","ME","04743-1614","Aroostook","10 Carter St","","Eagle Lake","ME","04739","Aroostook","Alyssa St.Peter","Billing manager","207-444-5973","215","astpeter@frrh.org","","","","","","",""]
[null,201905342,"Katahdin Valley Health Center Millinocket","KATAHDIN VALLEY HEALTH CENTER","1003034406","Dental Providers, Federally Qualified Health Centers",11,2,"50 Summer St","","Millinocket","ME","04462-1400","Penobscot","529 South Patten Rd","","Patten","ME","04765","Penobscot","Claudette Humphrey","CEO","207-528-2285","","claudette.humphrey@kvhc.org","KVHC.ORG","Jaime Stanley","BILLING MANGER","207-528-2285","370","jaime.stanley@kvhc.org","KVHC.ORG"]
[null,201905352,"Sacopee Valley Health Center","Sacopee Valley Health Center","1952470411","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers",4.55,1,"70 Main St","","Porter","ME","04068-3527","Oxford","70 Main Street","","Porter","ME","04068","Oxford","Nancy Buck","HR and Facilities Coordinator","207-625-2214","","nbuck@svhc.org","www.svhc.org","Michelle Eastman","Controller","207-625-2235","","meastman@svhc.org","www.svhc.org"]
[null,201905358,"Rangeley Family Medicine","HealthReach Community Health Centers","1497729750","Federally Qualified Health Centers",1.25,0,"42 Dallas Hill Rd","PO Box 569","Rangeley","ME","04970-4032","Franklin","10 Water Street","Suite 305","Waterville","ME","04901","Kennebec","Constance R Coggins","President/CEO","207-872-5610","","constance.coggins@healthreach.org","","Kate Quimby","Clinic Practice Manager","207-864-3303","","",""]
[null,201905375,"Allegan Medical Clinic","Allegan Professional Health Services","1134281223","Rural Health Clinics",10.9,0,"551 Linn St","","Allegan","MI","49010-1595","Allegan","551 Linn Street","","Allegan","MI","49010","Allegan","David Beeson","Administrator","269-686-5801","","davidbeeson@aghosp.com","http://alleganhealth.com/","Lisa Striegle","Clinical Manager","269-686-5876","","lisastriegle@aghosp.com","http://alleganhealth.com/"]
[null,201905385,"Planned Parenthood of Michigan - Ann Arbor Health Center","Planned Parenthood of Michigan","1366525370","Family Planning Providers, Sexually Transmitted Disease Clinics",1.32,0,"3100 Professional Dr","","Ann Arbor","MI","48104-5131","Washtenaw","950 Victors Way","Suite 100","Ann Arbor","MI","48108-5217","Washtenaw","Taleia Collins","Medical Administrative Coordinator","734-926-4800","4816","taleia.collins@ppmi.org","","Amy Kruszkowski","Credentialing Coordinator","616-774-7005","3120","amy.kruszkowski@ppmi.org",""]
[null,201905391,"District Health Department No. 4-Atlanta","District Health Department No. 4","1760443584","Family Planning Providers, Sexually Transmitted Disease Clinics",2,0,"12519 State St","PO Box 183","Atlanta","MI","49709-9622","Montmorency","100 Woods Circle Suite 200","","Alpena","MI","49707","Alpena","Karen Nowicki-Compeau RN BSN","Family Planning Coordinator","989-356-4507","7960","kcompeau@dhd4.org","http://www.dhd4.org","Amy Fournier","Account Clerk","989-356-4507","7947","afournier@dhd4.org","http://www.dhd4.org"]
[null,201905401,"Calhoun County Public Health Department","Calhoun County Public Health Department","1699868703","Family Planning Providers, Other ECP Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2.5,0,"190 E Michigan Ave","Suite A100","Battle Creek","MI","49014-4019","Calhoun","190 E Michigan Ave","","Battle Creek","MI","49014","Calhoun","Michelle Thorne","Personal Health Manager","269-969-6334","","mthorne@calhouncountymi.gov","","Lynn Corrigan","Fiscal Support Specialist","269-969-6376","","lcorrigan@calhouncountymi.gov",""]
[null,201905418,"District Health Department No. 10","District Health Dept. No. 10","1316279045","Family Planning Providers, Sexually Transmitted Disease Clinics",0.02,0,"14485 Northland Dr","","Big Rapids","MI","49307-2368","Mecosta","1049 Newell St","P.O. Box 850","White Cloud","MI","49349","Newaygo","Sheryl Slocum","Clinic Supervisor","231-876-3054","3854","sslocum@dhd10.org","http://www.dhd10.org","Katelyn Travis","MU Coordinator","231-355-7530","7530","ktravis@dhd10.org","http://www.dhd10.org"]
[null,201905424,"Bay Mills Health Center","Bay Mills Indian Community","1053592089","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers, Indian Health Service",3,2,"12124 W Lakeshore Dr","","Brimley","MI","49715-9319","Chippewa","12124 W Lakeshore Dr","","Brimley","MI","49715-9319","Chippewa","Audrey Breakie","Health Director","906-248-8327","","abreakie@baymills.org","","Abby Kaunisto","Clinic Coordinator","906-248-8315","","akaunisto@baymills.org",""]
[null,201905434,"FAMILY MEDICAL CENTER","FAMILY MEDICAL CENTER OF MICHIGAN INC","1043501539","Dental Providers, Federally Qualified Health Centers",3.4,1,"130 Medical Center Dr","","Carleton","MI","48117-9461","Monroe","8765 Lewis Ave","","Temperance","MI","48182-9583","Monroe","Ed Larkins","CEO","734-850-6914","","elarkins@familymedical.org","","","","","","",""]
[null,201905451,"CENTRAL LAKE FAMILY HLTH CENTER","EAST JORDAN FAMILY HEALTH CENTER","1669680187","Federally Qualified Health Centers",0.83,0,"7960 W Old State Rd","","Central Lake","MI","49622-5149","Antrim","601 Bridge St","","East Jordan","MI","49727-9383","Charlevoix","Daniel McKinnon","Executive Director","231-536-2206","111","dmckinnon@ejfhc.org","","Diane Hawley","DOO","231-536-2206","102","dhawley@ejfhc.org",""]
[null,201905457,"THUNDER BAY COMMUNITY HEALTH SERVICE, INCORPORATED","THUNDER BAY COMMUNITY HEALTH SERVICE, INCORPORATED","1306244108","Federally Qualified Health Centers",1.35,0,"905 W Lincoln Ave","CHEBOYGAN INTERMEDIATE SCHOOL","Cheboygan","MI","49721-1858","Cheboygan","15774 State St","PO BOx 427","Hillman","MI","49746-7961","Montmorency","Michelle Styma","CEO","989-742-4583","","mstyma@tbchs.org","http://www.tbchs.org/centers.html","","","","","",""]
[null,201905467,"Deckerville Healthcare Services RHC","Deckerville Community Hospital","1780011247","Rural Health Clinics",3.2,0,"2433 Black River St","","Deckerville","MI","48427-9425","Sanilac","3559 Pine Street","","Deckerville","MI","48427","Sanilac","Tiffany Messing","Compliance Officer","810-376-7014","","messingt@deckervillehosp.org","","Kimberly Gentner","CFO","810-376-7024","","gentnerk@deckervillehosp.org",""]
[null,201905484,"Children's Hospital of Michigan (dental provider)","VHS Children's Hospital of Michigan, Inc.","1538471800","Dental Providers",0,2,"3901 Beaubien St","","Detroit","MI","48201-2119","Wayne","1445 Ross Ave., Ste 1400","","Dallas","TX","75202-2703","Dallas","Lisa Hutchings","CFO","313-745-6132","","lhutchin2@dmc.org","www.childrensdmc.org","Kimberly Lubbers","Managed Care Director","313-966-2550","","klubbers@dmc.org",""]
[null,201905492,"COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS)","COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC.","1982694196","Dental Providers, Federally Qualified Health Centers",7,1,"5635 W Fort St","","Detroit","MI","48209-3154","Wayne","5635 W Fort St","","Detroit","MI","48209-3154","Wayne","Percola Brooks","CFO","313-849-3920","5018","pbrooks@chasscenter.org","","Marylu Villarreal","COO","313-849-3920","5017","mvillarreal@chasscenter.org","https://chasscenter.org"]
[null,201905501,"Bell Health Center","Detroit Healthcare for the Homeless","1548649833","Federally Qualified Health Centers",2,0,"882 Oakman Blvd","","Detroit","MI","48238-3710","Wayne","15400 W McNichols","","Detroit","MI","48235","Wayne","Jamie Wetherell","Interim Executive Director","313-416-6232","","jwetherell@advantagehealthcenters.org","www.ahcdetroit.org","D. Nikkey Richardson","Revenue Cycle Manager","313-416-6220","","nrichardson@advantagehealthcenters.org",""]
[null,201905518,"Hurley Medical Center - Hemophilia Clinic","Hurley Medical Center","1598717480","Hemophilia Treatment Centers",350,0,"1 Hurley Plz","","Flint","MI","48503-5902","Genesee","1 Hurley Plz","","Flint","MI","48503","Genesee","William McGregor","Sen Dir Revenue Integrity","810-262-9905","","wmcgreg1@hurleymc.com","","","","","","",""]
[null,201905528,"Spectrum Health Gerber","Newaygo County General Hospital Association","1063836963","Inpatient Hospitals (other than children's hospitals)",25,0,"212 S Sullivan Ave","","Fremont","MI","49412-1548","Newaygo","212 S Sullivan Ave","","Fremont","MI","49412","Newaygo","Janice Myers","Remibursement Manager","616-643-9143","","janice.myers@spectrumhealth.org","","Lori Bearss","Sr Analyst","616-643-9236","","lori.bearss@spectrumhealth.org",""]
[null,201905534,"Health Department of Northwest Michigan","Northwest Michigan Community Health Agency","1932116191","Family Planning Providers",0.25,0,"95 Livingston Blvd","","Gaylord","MI","49735-9464","Otsego","220 W. Garfield","","Charlevoix","MI","49720","Charlevoix","Lisa Peacock","Community Health Supervisor/Family Planning Coordinator","231-587-4370","","l.peacock@nwhealth.org","www.nwhealth.org","Mary Williams","Reimbursement Coordinator","231-547-7633","","m.williams@nwhealth.org","www.nwhealth.org"]
[null,201905551,"Planned Parenthood of Michigan - Grand Rapids Health Center","Planned Parenthood of Michigan","1366525370","Family Planning Providers, Sexually Transmitted Disease Clinics",3,0,"425 Cherry St SE","","Grand Rapids","MI","49503-4601","Kent","950 Victors Way","Suite 100","Ann Arbor","MI","48108-5217","Washtenaw","Taleia Collins","Medical Administrative Coordinator","734-926-4800","4816","taleia.collins@ppmi.org","","Amy Kruszkowski","Credentialing Coordinator","616-774-7005","3120","amy.kruszkowski@ppmi.org",""]
[null,201905561,"District Health Department. #10.","District Health Department # 10","1316279045","Family Planning Providers, Sexually Transmitted Disease Clinics",0.02,0,"501 Norway St","","Grayling","MI","49738-1719","Crawford","1049 Newell St.","P.O. Box 850","White Cloud","MI","49349","Newaygo","Sheryl Slocum","Clinic Supervisor","231-876-3854","3854","sslocum@dhd10.org","http://www.dhd10.org","Katelyn Travis","MU Coordinator","231-355-7530","7530","ktravis@dhd10.org",""]
[null,201905567,"SAWYER FAMILY HEALTH CENTER","UPPER GREAT LAKES FAMILY HEALTH CENTER","1164893491","Dental Providers",0,1,"301 Explorer St","","Gwinn","MI","49841-2813","Marquette","506 CAMPUS DRIVE","","HANCOCK","MI","49930","Houghton","BECKY GAFFNEY","Business Office Director","906-483-1128","","rgaffney@portagehealth.org","","Donald Simila","CEO","906-483-1325","","donald.simila@uglhealth.org",""]
[null,201905588,"HESPERIA MEDICAL CENTER","Spectrum Health Gerber Memorial","1396878773","Rural Health Clinics",4,0,"78 N Division St","","Hesperia","MI","49421-5100","Oceana","212 S Sullivan Ave","","Fremont","MI","49412","Newaygo","Teresa Treiber","Manager Finance RHC and CAH","231-832-8509","","teresa.treiber@spectrumhealth.org","","Roxanne Brower","analyst","231-832-8533","","roxanne.brower@spectrumhealth.org",""]
[null,201905594,"Robert E Schall, MD","Hillsdale Medical Associates, PLC","1912239708","Other ECP Providers",1,0,"32 S Broad St","","Hillsdale","MI","49242-1859","Hillsdale","PO Box 743","","Hillsdale","MI","49242","Hillsdale","Deborah J Koehneke","Office Manager","517-439-0200","237","dkoehneke@comcast.net","","","","","","",""]
[null,201905600,"MIDMICHIGAN HEALTH PARK - HOUGHTON LAKE","MIDMICHIGAN HEALTH SERVICES, INC","1912998287","Federally Qualified Health Centers",9,0,"9249 W Lake City Rd","","Houghton Lake","MI","48629-9602","Roscommon","9249 W Lake City Rd","","Houghton Lake","MI","48629-9602","Roscommon","James Raschke","Executive Director","989-422-2105","","jim.raschke@midmichiganhs.org","","Bill Collin","Finance Director","989-202-4604","","bill.collin@midmichiganhs.org",""]
[null,201905621,"Planned Parenthood of Michigan - Jackson Health Center","Planned Parenthood of Michigan","1366525370","Family Planning Providers, Sexually Transmitted Disease Clinics",0.44,0,"2009 W Michigan Ave","","Jackson","MI","49202-4010","Jackson","950 Victors Way","Suite 100","Ann Arbor","MI","48108-5217","Washtenaw","Taleia Collins","Medical Administrative Coordinator","734-926-4800","4816","taleia.collins@ppmi.org","","Amy Kruszkowski","Credentialing Coordinator","616-774-7005","3120","amy.kruszkowski@ppmi.org",""]
[null,201905627,"Planned Parenthood of Michigan - Kalamazoo Health Center","Planned Parenthood of Michigan","1366525370","Family Planning Providers, Sexually Transmitted Disease Clinics",1.52,0,"4201 W Michigan Ave","","Kalamazoo","MI","49006-5810","Kalamazoo","950 Victors Way","Suite 100","Ann Arbor","MI","48108-5217","Washtenaw","Taleia Collins","Medical Administrative Coordinator","734-926-4800","4816","taleia.collins@ppmi.org","","Amy Kruszkowski","Credentialing Coordinator","616-774-7005","3120","amy.kruszkowski@ppmi.org",""]
[null,201905637,"District Health Department #10","District Health Department # 10","1316279045","Family Planning Providers, Sexually Transmitted Disease Clinics",0.02,0,"6180 W Sanborn Rd","Suite 1","Lake City","MI","49651-8848","Missaukee","1049 Newell St.","P.O. Box 850","White Cloud","MI","49349","Newaygo","Sheryl Slocum","Clinic Supervisor","231-876-3854","3854","sslocum@dhd10.org","http://www.dhd10.org","Katelyn Travis","MU Coordinator","231-355-7530","7530","ktravis@dhd10.org",""]
[null,201905654,"ICHD - Birch Health Center","INGHAM, COUNTY OF","1639422728","Federally Qualified Health Centers",2,0,"812 E Jolly Rd","","Lansing","MI","48910-6820","Ingham","5303 S Cedar St","","Lansing","MI","48911-3800","Ingham","Barbara Mastin","DHO / ED","517-887-4361","","bmastin@ingham.org","www.chc.ingham.org","Cheryl Gildner","Compliance Manager","517-887-4464","","cgildner@ingham.org","www.chc.ingham.org"]
[null,201905660,"OMH Medical Group Lewistion RHC","Otsego Memorial Hospital","1285867838","Rural Health Clinics",4,0,"3040 Bourn St","","Lewiston","MI","49756-8134","Montmorency","850 N. Otsego Ave.","","Gaylord","MI","49735","Otsego","Kevin A. Wahr","Chief Revenue Officer","989-731-7920","","kwahr@myomh.org","www.myomh.org","Bob Courtois","CFO","989-731-2238","","bcourtois@myomh.org","www.myomh.org"]
[null,201905670,"Mackinaw City Medical Clinic","Mackinac Straits Health System","1124283502","Rural Health Clinics",2,0,"420 S Nicolet St","","Mackinaw City","MI","49701-9657","Cheboygan","1140 N State ST.","","Saint Ignace","MI","49781","Mackinac","Laura Anderson","Clinic Manager","906-643-0439","","landerson@mshosp.org","","Kelly Champion","Administrative Assistant","906-643-6527","","kchampion@mshosp.org",""]
[null,201905677,"LMAS District Health Department","LMAS District Health Department","1578691242","Family Planning Providers",1,0,"300 Walnut St","Room 155","Manistique","MI","49854-1495","Schoolcraft","300 Walnut Street room 155","","Manistique","MI","49854-1495","Schoolcraft","Nicole Robinson","Family Planning Coordinator","906-387-2297","415","nrobinson@lmasdhd.org","http://www.lmasdhd.org","","","906-387-2297","","",""]
[null,201905694,"Sparrow Medical Group Muir","Sparrow Ionia Hospital","1144382250","Rural Health Clinics",1.5,0,"1044 Hayden Rd","","Muir","MI","48860-9767","Ionia","3565 S. State Rd.","","Ionia","MI","48846","Ionia","Michael Rich","Director of Regional Practices","989-584-3971","394","michael.rich@sparrow.org","","Lacey Sherlock","Performance Improvement Specialist","989-584-0105","","lacey.sherlock@sparrow.org",""]
[null,201905704,"DCS NEW HAVEN COMMUNITY SERVICES","DOWNRIVER COMMUNITY SERVICES INC","1679571392","Federally Qualified Health Centers",3.5,0,"58144 Gratiot Ave","","New Haven","MI","48048","Macomb","555 Saint Clair River Dr","","Algonac","MI","48001-1802","Saint Clair","Michael Baranowski","CEO","586-270-8055","251","mbaranowski@downrivercs.org","","Janice Daugherty","Billing Supervisor","586-749-5197","234","jdaugherty@downrivercs.org",""]
[null,201905721,"ONTONAGON FAMILY HEALTH CENTER","UPPER GREAT LAKES FAMILY HEALTH CENTER","1336563832","Family Planning Providers, Federally Qualified Health Centers",2,0,"751 S 7th St","","Ontonagon","MI","49953-1450","Ontonagon","506 CAMPUS DRIVE","","Hancock","MI","49930","Houghton","BECKY GAFFNEY","Business Office Director","906-483-1128","","rgaffney@portagehealth.org","","Donald Simila","CEO","906-483-1325","","donald.simila@uglhealth.org",""]
[null,201905731,"Mina Mskiki Gumik","Little Traverse Bay Bands of Odawa Indians","1124052816","Dental Providers, Federally Qualified Health Centers",2.2,1,"1250 Lears Rd","","Petoskey","MI","49770-9252","Emmet","1250 Lears Road","","Petoskey","MI","49770","Emmet","Sharon Sierzputowski","Health Director","231-242-1612","","ssierzputowski@ltbbodawa-nsn.gov","","Sandra DuBois","Medical Billing Specialist","231-242-1704","","sdubois@ltbbodawa-nsn.gov",""]
[null,201905737,"The Henderson Clinic","WELLNESS PLAN, THE","1447675434","Federally Qualified Health Centers",7,0,"44405 Woodward Ave","","Pontiac","MI","48341-5023","Oakland","2888 W Grand Blvd","","Detroit","MI","48202-2612","Oakland","Anthony King","CEO","313-202-6848","","aking@wellplan.com","www.wellplan.com","","","","","",""]
[null,201905754,"MIDMICHIGAN MEDICAL OFFICES - ROSCOMMON","MIDMICHIGAN HEALTH SERVICES, INC","1841457314","Federally Qualified Health Centers",2,0,"135 Lake St","","Roscommon","MI","48653-7658","Roscommon","9249 W Lake City Rd","","Houghton Lake","MI","48629-9602","Roscommon","James Raschke","Executive Director","989-422-2105","","jim.raschke@midmichiganhs.org","","Bill Collin","Finance Director","989-202-4604","","bill.collin@midmichiganhs.org",""]
[null,201905764,"GLBHC Integrated Care Saginaw","Great Lakes Bay Health Centers","1235483900","Community Mental Health Centers, Federally Qualified Health Centers",1,0,"500 Hancock St","","Saginaw","MI","48602-4224","Saginaw","501 Lapeer Ave","","Saginaw","MI","48607","Saginaw","Brenda Coughlin","President/CEO","989-759-6467","","bcoughlin@glbhealth.org","greatlakesbayhealthcenters.org","","","","","",""]
[null,201905770,"Mackinac Straits Rural Health Clinic (rural health clinics)","Mackinac Straits Health System","1124283502","Rural Health Clinics",1,0,"1140 N State St","Suite 1762","Saint Ignace","MI","49781-1048","Mackinac","1140 N State St","","Saint Ignace","MI","49781","Mackinac","Laura Anderson","Clinic Practice Manager","906-643-0439","","landerson@mshosp.org","","Kelly Champion","Administrative Assistant","906-643-6527","","kchampion@mshosp.org",""]
[null,201905780,"Chippewa Co. Health Dept.","Michigan Dept. of Community Health","1538382650","Family Planning Providers, Sexually Transmitted Disease Clinics",1,0,"508 Ashmun St","Suite 120","Sault Sainte Marie","MI","49783-1976","Chippewa","508 Ashmun St Ste 120","","Sault Sainte Marie","MI","49783-1976","Chippewa","Renee Tschirhart","Family Planning Coordinator","906-253-3184","184","rtschirhart@chippewahd.com","http://www.chippewahd.com","Sherri Buckley","Sr. Administrative Assistant","906-635-3591","591","sbuckley@chippewahd.com","http://www.chippewahd.com"]
[null,201905797,"District Health Dept. No. 2","District Health Dept. No. 2","1205805181","Family Planning Providers",0.07,0,"420 W Lake St","PO Box 98","Tawas City","MI","48763-8309","Iosco","420 W Lake St","PO Box 98","Tawas City","MI","48763-8309","Iosco","Marsha Schnautz","Family Planning Coordinator","989-345-5020","1802","mschnautz@dhd2.org","http://www.dhd2.org","Denise Bryon","Health Officer","989-345-5020","1800","dbryon@dhd2.org","http://www.dhd2.org"]
[null,201905803,"Berrien County Health Department","Berrien County Health Department","1326005109","Family Planning Providers",1,0,"21 N Elm St","Suite 6","Three Oaks","MI","49128-1600","Berrien","2149 East Napier Avenue","","Benton Harbor","MI","49022","Berrien","Peggy Hamel","Family Planning Coordinator","269-927-5663","","phamel@bchdmi.org","http://www.bchd.org","Stephanie Schadler","Clinic Coordinator","269-926-7121","5289","sschadler@bchdmi.org",""]
[null,201905813,"Thompson Community Center","Macomb County Health Department","1528159258","Family Planning Providers",2,0,"11370 Hupp Ave","","Warren","MI","48089-2505","Macomb","43525 Elizabeth","","Mt. Clemens","MI","48043","Macomb","Patricia Detrick","Program Manager","586-469-2055","","patricia.detrick@macombgov.org","","Lillian Schreiber","","586-469-5523","","lillian.schreiber@macombgov.org",""]
[null,201905830,"Wyoming Community Health Center","CHERRY STREET SERVICES, INC.","1184974263","Dental Providers, Federally Qualified Health Centers",2.5,3,"2929 Burlingame Ave SW","","Wyoming","MI","49509-2600","Kent","100 Cherry St SE","","Grand Rapids","MI","49503-4526","Kent","Chris J Shea","CEO","616-776-2129","","chrisshea@cherryhealth.com","","Linda Constantino","CFO","616-776-2128","","lindaconstantino@cherryhealth.com",""]
[null,201905836,"Riverwood Healthcare Aitkin Hospital","Riverwood Healthcare","1942277835","Inpatient Hospitals (other than children's hospitals)",25,0,"200 Bunker Hill Dr","","Aitkin","MN","56431-1865","Aitkin","200 Bunker Hill Dr","","Aitkin","MN","56431","Aitkin","Casey R Johnson","CFO","218-429-2387","2387","cjohnson2@riverwoodhealthcare.org","","Chad Cooper","CEO","218-927-5175","5175","ccooper@riverwoodhealthcare.org",""]
[null,201905846,"Sanford Bagley Medical Center","Sanford","1932472255","Inpatient Hospitals (other than children's hospitals)",15,0,"203 4th St SW","","Bagley","MN","56621","Clearwater","1305 W 18th St","","Sioux Falls","SD","57105-0401","Minnehaha","Torrey Sundall","Sr Director Corporate Contracting and Payor Analytics","605-312-7099","","torrey.sundall@sanfordhealth.org","www.sanfordhealth.org","","","","","",""]
[null,201905863,"Leech Lake Tribal Health","Leech Lake Tribal Council","1942310875","Federally Qualified Health Centers",6,0,"115 6th St NW","","Cass Lake","MN","56633-3428","Cass","190 Sailstar Dr","","Cass Lake","MN","56633","Cass","Angela Estey","Billing Specialist","218-335-4506","","angela.estey@llojibwe.org","","Carla Losh","Billing Manager","218-335-4535","","carla.losh@llojibwe.org",""]
[null,201905866,"Open Door Health Center - Clarkfield","Open Door Health Center","1245682905","Dental Providers",0,0.2,"1025 10th Ave","","Clarkfield","MN","56223-1301","Yellow Medicine","309 Holly Lane","","Mankato","MN","56001","Blue Earth","Douglas L. Jaeger, Jr.","Chief Executive Officer","507-388-2120","5500","jaeger.doug@odhc.org","www.odhc.org","Susan Jaeger","Chief Financial Officer","507-388-2120","","jaeger.susan@odhc.org","www.odhc.org"]
[null,201905880,"ESSENTIA HEALTH ST MARYS DETROIT LAKES","Essentia Health","1679561088","Inpatient Hospitals (other than children's hospitals)",37,0,"1027 Washington Ave","","Detroit Lakes","MN","56501-3409","Becker","421 N. 6th Avenue E.","","Duluth","MN","55805","Saint Louis","Catherine VonRueden","Vice President Payor Contracting & Strategy","218-786-6611","66611","catherine.vonrueden@essentiahealth.org","http://www.essentiahealth.org/Main/home.aspx","Ryan Hill","Administrator","218-314-7852","","ryan.hill@essentiahealth.org","http://www.essentiahealth.org/Main/home.aspx"]
[null,201905897,"Lake Region Healthcare - Fergus Falls Campus","Lake Region Healthcare","1093713372","Outpatient Hospital Clinics",1,0,"712 S Cascade St","","Fergus Falls","MN","56537-2913","Otter Tail","712 South Cascade Street","","Fergus Falls","MN","56537","Otter Tail","Courtney McNamee","Revenue Cycle Director","218-739-6653","","ckmcnamee@lrhc.org","","Brett Longtin","CFO/VP OF FINANCE","218-736-8000","8470","bllongtin@lrhc.org",""]
[null,201905907,"ESSENTIA HEALTH GRACEVILLE CLINIC","Essentia Health","1982673620","Rural Health Clinics",5,0,"115 W 2nd St # 157","","Graceville","MN","56240-4845","Big Stone","421 N 6th Avenue E","","Duluth","MN","55805","Saint Louis","Catherine VonRueden","VP, Population Care Management","218-786-1413","","catherine.vonrueden@essentiahealth.org","www.essentiahealth.org","Kim Bodensteiner","Chief Financial Officer","218-435-7633","","kim.bodensteiner@essentiahealth.org",""]
[null,201905913,"Gundersen Harmony Clinic","Gundersen Harmony Clinic","1548215361","Rural Health Clinics",8,0,"805 Main Ave S","","Harmony","MN","55939-6625","Fillmore","Gundersen Health System","1900 South Ave","LaCrosse","WI","54601","La Crosse","Harvey Miller","Contract Specialist","608-775-8722","58722","mchotline@gundersenhealth.org","","Sue Rochholz","Director - Managed Care","608-775-0531","50531","SLRochho@gundersenhealth.org",""]
[null,201905930,"Lac qui Parle Clinic","Madison Healthcare Services","1144266156","Rural Health Clinics",5.6,0,"900 2nd Ave","","Madison","MN","56256-1006","Lac Qui Parle","900 2nd Ave","","Madison","MN","56256","Lac Qui Parle","Erik Bjerke","CEO","320-698-7141","","ebjerke@mlhmn.org","","Carol Borgerson","CFO","320-698-7152","","cborgerson@mlhmn.org",""]
[null,201905940,"ESSENTIA HEALTH MENAHGA CLINIC","Essentia Health","1467798322","Rural Health Clinics",2,0,"212 Aspen Ave NE","","Menahga","MN","56464-3289","Wadena","421 N 6th Ave E","","Duluth","MN","55805","Saint Louis","Catherine VonRueden","VP, Population Care Management","218-786-6611","","catherine.vonrueden@essentiahealth.org","www.essentiahealth.org","Ryan Hill","Administrator","218-314-7852","","ryan.hill@essentiahealth.org","www.essentiahealth.org"]
[null,201905946,"SHC - Twin Cities","Shriners Hospitals for Children","1871636522","Children's Hospitals (inpatient only)",12,0,"2025 E River Pwky","","Minneapolis","MN","55414","Hennepin","2025 E River Pwky","","Minneapolis","MN","55414","Hennepin","Cari Craig","Corporate Director, Business Development","813-844-8668","","cacraig@shrinenet.org","","Jesse Jacobowitz","National Corporate Contract Manager","813-367-2026","","jjacobowitz@shrinenet.org",""]
[null,201905956,"Neighborhood HealthSource-Fremont Clinic","NEIGHBORHOOD HEALTHSOURCE","1811934763","Federally Qualified Health Centers",3.4,0,"3300 Fremont Ave N","","Minneapolis","MN","55412-2405","Hennepin","Neighborhood HealthSource","","Minneapolis","MN","55412","Hennepin","Steven J. Knutson","Executive Director","612-287-2428","","sknutson@neighborhoodhealthsource.org","","","","","","",""]
[null,201905973,"Sanford Clinic Mountain Lake","Sanford Clinic","1568469039","Rural Health Clinics",2.9,0,"308 8th St N","","Mountain Lake","MN","56159-1568","Cottonwood","1305 W 18th Street","","Sioux Falls","SD","57105-0401","Minnehaha","Torrey Sundall","Exec Dir of Corporate Contracting and Payor Analytics","605-328-9587","","torrey.sundall@sanfordhealth.org","","","","","","",""]
[null,201905979,"Renville County Hospital and Clinics","County of Renville d.b.a. Renville County Hospital and Clinics","1932387255","Rural Health Clinics",8,0,"100 Healthy Way","","Olivia","MN","56277-1117","Renville","100 Healthy Way","","Olivia","MN","56277","Renville","Nathan G. Blad","CEO","320-523-3575","","bladn@rchospital.com","www.rchospital.com","Nancy Anderson","CFO","320-523-3477","","andersonna@rchospital.com",""]
[null,201905989,"ESSENTIA PELICAN RAPIDS CLINIC","Essentia Health","1265876023","Rural Health Clinics",1,0,"301 N Broadway","","Pelican Rapids","MN","56572-4113","Otter Tail","421 N. 6th Avenue E.","","Duluth","MN","55805","Saint Louis","Catherine VonRueden","Vice President Payor Contracting $ Strategy","218-786-6611","66611","catherine.vonrueden@essentiahealth.org","http://www.essentiahealth.org/Main/home.aspx","Ryan Hill","Administrator","218-314-7852","","ryan.hill@essentiahealth.org","http://www.essentiahealth.org/Main/home.aspx"]
[null,201906006,"United Family Medicine at Sibley Plaza","UNITED FAMILY PRACTICE HEALTH CENTER","1942384193","Family Planning Providers, Federally Qualified Health Centers",1,0,"2423 7th St W","","Saint Paul","MN","55116-2839","Ramsey","1026 7th St W","","Saint Paul","MN","55102-3828","Ramsey","Brian Nasi","CEO","651-241-1134","","bnasi@unitedfamilymedicine.org","www.unitedfamilymedicine.org","Melissa Parker","COO","651-241-1084","","mparker@unitedfamilymedicine.org","www.unitedfamilymedicine.org"]
[null,201906016,"Sandstone Clinic","Gateway Family Health Clinic, Ltd","1356344451","Rural Health Clinics",18,0,"204 Lundorff Dr","","Sandstone","MN","55072-5051","Pine","204 Lundorff Drive","","Sandstone","MN","55072","Pine","Eric Nielsen","Administrator","218-485-2000","","enielsen@gatewayclinic.com","","","","","","",""]
[null,201906022,"SLEEPY EYE MEDICAL CENTER","Sleepy Eye Medical Center","1952370348","Inpatient Hospitals (other than children's hospitals)",16,0,"400 4th Ave NW","","Sleepy Eye","MN","56085-1109","Brown","400 4th Ave NW","","Sleepy Eye","MN","56085-1109","Brown","Kevin Sellheim","Administrator","507-794-3571","3005","ksellheim@semedicalcenter.org","semedicalcenter.org","","","","","",""]
[null,201906039,"Sanford Health Walker Clinic","Sanford Health","1043232069","Rural Health Clinics",5.71,0,"614 Michigan Ave W","","Walker","MN","56484-2276","Cass","1305 W 18th St","","Sioux Falls","SD","57105-0401","Minnehaha","Torrey Sundall","Sr Director Corporate Contracting and Payor Analytics","605-312-7099","","torrey.sundall@sanfordhealth.org","www.sanfordhealth.org","","","","","",""]
[null,201906049,"Sanford Clinic Windom","Sanford Clinic","1699772178","Rural Health Clinics",2.25,0,"591 2nd Ave N","","Windom","MN","56101-1927","Cottonwood","1305 W 18th Street","","Sioux Falls","SD","57105-0401","Minnehaha","Torrey Sundall","Exec Dir of Corporate Contracting and Payor Analytics","605-328-9587","","torrey.sundall@sanfordhealth.org","","","","","","",""]
[null,201906063,"ANNAPOLIS FAMILY CLINIC","BIG SPRINGS MEDICAL ASSOCIATION, INC","1225131501","Federally Qualified Health Centers",1,0,"202 N Allen St","","Annapolis","MO","63620-8778","Iron","110 S 2nd St","","Ellington","MO","63638-9400","Reynolds","Karen White","CEO","573-663-2313","3965","kwhite@mohigh.org","","Debbie Tarvid","COO","573-663-2313","3959","dtarvid@mohigh.org",""]
[null,201906073,"Swope Health Belton","SWOPE HEALTH SERVICES","1770907347","Federally Qualified Health Centers",3.5,0,"204 E North Ave","","Belton","MO","64012-2013","Cass","3801 Blue Pkwy","","Kansas City","MO","64130-2807","Jackson","David Barber","Chief Executive Officer","816-599-5550","","dbarber@swopehealth.org","www.swopehealth.org","Naimish Patel","Chief Financial Officer","816-599-5552","","npatel@swopehealth.org",""]
[null,201906083,"Cox Medical Center Branson","CoxHealth Network","1760443980","Inpatient Hospitals (other than children's hospitals)",122,0,"525 Branson Landing Blvd","","Branson","MO","65616-2052","Taney","3354 S. National Ave","","Springfield","MO","65807","Greene","Audra Lesly","Sr. Director, CoxHealth Network","417-269-6243","","audra.lesly@coxhealth.com","","David Raney","VP, CoxHealth Network","417-269-7434","","david.raney@coxhealth.com",""]
[null,201906089,"GRAND RIVER MEDICAL CLINIC","JOHN FITZGIBBON MEMORIAL HOSPITAL, INC","1922032549","Rural Health Clinics",10,0,"815 E Broadway St","","Brunswick","MO","65236-1468","Chariton","2305 South 65 Highway","","Marshall","MO","65340-3702","Saline","Nancy Harris","Director of Financial Services","660-831-3700","271","nharris@fitzgibbon.org","","Lori Benedick","Patient Accounts Manager","660-831-3700","728","lbenedick@fitzgibbon.org",""]
[null,201906099,"Cainsville Medical Clinic","NORTHWEST HEALTH SERVICES, INC.","1053433920","Federally Qualified Health Centers",1,0,"707 Victory Ln","","Cainsville","MO","64632-9506","Harrison","2303 Village Dr","","Saint Joseph","MO","64506-4954","Buchanan","Matt Younger","CEO","816-271-8201","","mattyounger@nwhealth-services.org","","Deb Mason","Executive Administrative Assistant","816-271-8262","","deborahmason@nwhealth-services.org",""]
[null,201906116,"Barry County Health Department","Barry County Health Department","1548384670","Family Planning Providers",1,0,"65 Main St","","Cassville","MO","65625-9400","Barry","PO Box 207","","Cassville","MO","65625","Barry","Carol Landstad","RN","417-847-2114","","carol.landstad@lpha.mo.gov","","Roger Brock","Administrator","417-847-2114","","Roger.Brock@lpha.mo.gov",""]
[null,201906122,"West Central Missouri Community Action Agency Clinton Christian Church","West Central Missouri Community Action Agency","1215188313","Family Planning Providers, Other ECP Providers",1.5,0,"1201 E Ohio St","","Clinton","MO","64735-2459","Henry","106 W. 4th Street","","Appleton City","MO","64724","Saint Clair","Cheryl Gutshall","Health Clinic Program Manager","660-476-2185","1204","cgutshall@wcmcaa.org","www.wcmcaa.org","Diann Rice","Health Clinic Reimbursement Specialist","816-322-5012","","drice@wcmcaa.org","www.wcmcaa.org"]
[null,201906132,"Columbia Health Center","Planned Parenthood Great Plains","1679614838","Family Planning Providers, Sexually Transmitted Disease Clinics",1,0,"711 N Providence Rd","","Columbia","MO","65203-4357","Boone","4401 W 109th St # 200","","Overland Park","KS","66211-1303","Johnson","Amanda Addison","Vice President of Health Services","913-345-4659","","Amanda.addison@ppgreatplains.org","http://www.ppgreatplains.org","Shirish Malla","Project Manager, Operations & Strategic Initiatives","913-345-4662","","shirish.malla@ppgreatplains.org","http://www.ppgreatplains.org"]
[null,201906149,"Apollo Healthcare","Apollo Healthcare","1245545391","Rural Health Clinics",2,0,"1031 E Karsch Blvd","","Farmington","MO","63640-3404","Saint Francois","1031 East Karsch Blvd","","Farmington","MO","63640","Saint Francois","Sunil G. Chand","MD","573-756-7880","","chandsmedical@yahoo.com","","Synthia Reese","Office Manager","573-756-7880","","",""]
[null,201906155,"Jordan Valley Community Health Center - Forsyth","ADVOCATES FOR A HEALTHY COMMUNITY INC","1033512454","Dental Providers",0,1,"15479 US Highway 160","","Forsyth","MO","65653-8150","Taney","618 N Benton Ave Ste 100","","Springfield","MO","65806-1105","Greene","Alison Lee","Executive Director of Finance","417-851-1551","1138","alilee@jordanvalley.org","www.jordanvalley.org","Lisa Odom","Vice President of Administration","417-851-1551","1194","lodom@jordanvalley.org","www.jordanvalley.org"]
[null,201906165,"OCH GOODMAN FAMILY CLINIC","SGOH ACQUISITION, INC.","1972050581","Rural Health Clinics",2,0,"125 E Main St","","Goodman","MO","64843-9784","McDonald","2828 N NATIONAL AVE","","Springfield","MO","65803","Greene","LINDA REID","MEDICAL STAFF DIRECTOR","417-837-4004","","LREID@OCHONLINE.COM","","BETH HILL","CFO","417-837-2012","","BHILL@OCHONLINE.COM",""]
[null,201906182,"Ozarks Resource Group","OZARKS RESOURCE GROUP","1639421050","Dental Providers, Federally Qualified Health Centers",4.8,2.6,"102 Jackson St","PO Box 125","Hermitage","MO","65668-9231","Hickory","102 Jackson St","PO Box 125","Hermitage","MO","65668","Hickory","Scott Crouch","CEO","417-745-2121","","scott.crouch@ozarkschc.com","www.ozarkschc.com","","","","","",""]
[null,201906192,"LAKE REGIONAL CLINIC-IBERIA","LAKE REGIONAL HEALTH SYSTEM","1891018784","Rural Health Clinics",8,0,"2333 Highway 17","","Iberia","MO","65486-9331","Miller","54 HOSPITAL DRIVE","","OSAGE BEACH","MO","65065","Camden","JESSICA HASTY","Managed Care Coordinator","573-348-8399","","JHASTY@LAKEREGIONAL.COM","","DAVID HALSELL","CFO","573-348-8388","","DHALSELL@LAKEREGIONAL.COM",""]
[null,201906198,"Stadium","Community Health Center of Central Missouri","1790922920","Federally Qualified Health Centers",1,0,"1905 Stadium Blvd","","Jefferson City","MO","65109-1961","Cole","PO Box 104780","","Jefferson City","MO","65110","Cole","Sarah Trowbridge","Director of Business Services","573-632-2777","5106","sarah.trowbridge@chccmo.org","","Jeff Davis","CEO","573-632-2777","","jeff.davis@chccmo.org",""]
[null,201906215,"Swope Health Maple Woods","Swope Health Services","1518402965","Federally Qualified Health Centers",0.2,0,"3100 NE 83rd St","Suite 1001","Kansas City","MO","64119-4460","Clay","3801 Blue Parkway","","Kansas City","MO","64130","Jackson","David R. Barber","CEO","816-599-5550","","dbarber@swopehealth.org","www.swopehealth.org","Naimish Patel","CFO/COO","816-599-5552","","npatel@swopehealth.org","www.swopehealth.org"]
[null,201906225,"Otto Bean Medical Clinic","SOUTHEAST MISSOURI HEALTH NETWORK","1710108766","Dental Providers, Federally Qualified Health Centers",10,4,"500 Russell St","","Kennett","MO","63857-2102","Dunklin","420 SEMO Dr.","","New Madrid","MO","63869-1942","New Madrid","Chris Jones","CEO","573-748-2404","","cjones@semohealthnetwork.org","","Aaron Griffin","Policy Director","573-748-2404","","agriffin@semohealthnetwork.org",""]
[null,201906231,"Northeast Family Health","NORTHEAST MISSOURI HEALTH COUNCIL, INC.","1962548974","Federally Qualified Health Centers",3,0,"1506 Crown Dr","","Kirksville","MO","63501-2553","Adair","1416 Crown Dr","","Kirksville","MO","63501-2548","Adair","Andy Grimm","CEO","660-627-5757","17","agrimm@nmhcinc.org","","Mandy Herleth","Director of Quality Improvement","660-627-5757","30","mherleth@nmhcinc.org",""]
[null,201906252,"FITZGIBBON PROFESSIONAL BUILDING","JOHN FITZGIBBON MEMORIAL HOSPITAL, INC","1215059985","Rural Health Clinics",20,0,"2305 S Highway 65","Bldg A","Marshall","MO","65340-3702","Saline","2305 South 65 Highway","","Marshall","MO","65340-3702","Saline","Holly Rayl","Director of Financial Services","660-831-3700","271","hrayl@fitzgibbon.org","","Lori Benedick","Patient Accounts Manager","660-831-3700","728","lbenedick@fitzgibbon.org",""]
[null,201906259,"Audrain County Health Department","Audrain County Health Department","1023099439","Other ECP Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"1130 S Elmwood Dr","PO Box 957","Mexico","MO","65265-1373","Audrain","PO Box 957","1130 S. Elmwood Drive","Mexico","MO","65265-0957","Audrain","Sandra M. Hewlett, MS, APRN, CBCN, FACHE","Administrator & CEO","573-581-1332","25","shewlett@audraincountyhealth.org","www.audraincountyhealth.org","Chris Schroeder, BS, CPA","Accounting & HR Manager","573-581-1332","35","cschroeder@audraincountyhealth.org","www.audraincountyhealth.org"]
[null,201906265,"SSM Health Medical Group - Family Medicine","SSM Regional Health Services","1790838316","Rural Health Clinics",2,0,"809 Medical Park Dr","Suite 101","Mexico","MO","65265-3753","Audrain","2505 Mission Drive","","Jefferson City","MO","65109","Cole","Brian Barry","Regional VP Ambulatory Network","573-681-3133","","Brian_Barry@ssmhc.com","","Donna Jacobs","President SSM Audrain Health Center","573-581-8100","","Donna_Jacobs@ssmhc.com",""]
[null,201906275,"Access Family Care-Medical Mt Vernon","Access Family Care","1932545977","Federally Qualified Health Centers",1,0,"101 W Patterson St","","Mount Vernon","MO","65712-1054","Lawrence","PO Box 758","","Neosho","MO","64850-9120","Newton","Sheila Long","CFO","417-451-9450","210","sheila.long@accessfamilycare.org","www.accessfamilycare.org","Don McBride","CEO","417-451-9450","212","don.mcbride@accessfamilycare.org","www.accessfamilycare.org"]
[null,201906292,"BOOTHEEL DENTAL CLINIC","SOUTHEAST MISSOURI HEALTH NETWORK","1457570681","Dental Providers",0,4,"202B Main St","","New Madrid","MO","63869-1911","New Madrid","420 SEMO Dr.","","New Madrid","MO","63869","New Madrid","Chris Jones","CEO","573-748-2404","","cjones@semohealthnetwork.org","","Aaron Griffin","Policy Director","573-748-2404","","agriffin@semohealthnetwork.org",""]
[null,201906298,"Central Ozarks Medical Center","RICHLAND MEDICAL CENTER INC","1891931978","Family Planning Providers, Federally Qualified Health Centers",5,0,"3870 Columbia Ave","","Osage Beach","MO","65065-8689","Miller","304 W Washington Ave","","Richland","MO","65556-7101","Pulaski","Robert Stiles","CEO","573-765-5131","","rstiles@centralozarks.org","www.centralozarks.org","Paul Bocci","CFO","573-765-5131","","pbocci@centralozarks.org","www.centralozarks.org"]
[null,201906308,"SSM Health Medical Group - Family Medicine","SSM Regional Health Services","1255340246","Rural Health Clinics",1.3,0,"1223 E Main St","","Perry","MO","63462-1410","Ralls","2505 Mission Drive","","Jefferson City","MO","65109","Ralls","Brian Barry","Regional VP Ambulatory Network","573-681-3133","","Brian_Barry@ssmhc.com","","Donna Jacobs","President SSM Audrain Health Center","573-582-8100","","Donna_Jacobs@ssmhc.com",""]
[null,201906325,"CoxHealth Center Republic","CoxHealth Network","1972849115","Rural Health Clinics",4,0,"820 S Illinois Ave","","Republic","MO","65738-1177","Greene","3354 S. National Ave","","Springfield","MO","65807","Greene","Audra Lesly","Sr. Director, CoxHealth Network","417-269-6243","","audra.lesly@coxhealth.com","","David Raney","VP, CoxHealth Network","417-269-7434","","david.raney@coxhealth.com",""]
[null,201906335,"Family Planning Clinic of Franklin Co.","Family Planning Clinic of Franklin Co.","1912999251","Family Planning Providers",1,0,"920 L St Clair Plaza Dr","","Saint Clair","MO","63077","Franklin","920 St Clair Plaza Dr","","Saint Clair","MO","63077","Franklin","Brenda Moran","Clinic Director","636-629-0300","","fpc@yhti.net","","","","","","",""]
[null,201906341,"Westside Clinic","Social Welfare Board","1497024145","Family Planning Providers",2,0,"904 S 10th St","Suite A","Saint Joseph","MO","64503-2400","Buchanan","904 S. 10th, Suite A","","Saint Joseph","MO","64503","Buchanan","Linda Judah","Executive Director","816-233-5188","101","lindajudah@socialwelfareboard.org","www.socialwelfareboard.org","Teresa Gall","Nurse Practitioner","816-344-5233","","teresagall@socialwelfareboard.org","www.socialwelfareboard.org"]
[null,201906358,"Betty Jean Kerr People's Health Centers","BETTY JEAN KERR - PEOPLE'S HEALTH CENTERS","1841668688","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",5,5,"4055 Lindell Blvd","","Saint Louis","MO","63108-3201","Saint Louis City","5701 Delmar Blvd","","Saint Louis","MO","63112-2617","Saint Louis City","Dwayne Butler","CEO","314-367-7848","1220","dbutler@phcenters.com","www.phcenters.com","Mark Sanford","Executive Vice President","314-367-7848","1209","msanford@phcenters.com","www.phcenters.com"]
[null,201906368,"FLORENCE HILL HEALTH CENTER","MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH CENTERS, INC.","1649312570","Dental Providers, Federally Qualified Health Centers",21,6,"5541 Riverview Blvd","","Saint Louis","MO","63120-2443","Saint Louis City","5471 Dr Martin Luther King Dr","","Saint Louis","MO","63112-4265","Saint Louis City","Angela Clabon","CEO","314-367-5820","2227","aclabon@mhdchc.org","","","","","","",""]
[null,201906374,"Family Health Center @ Salisbury","Family Health Center of Boone County","1346213535","Federally Qualified Health Centers",2,0,"307 S Broadway","","Salisbury","MO","65281-1037","Chariton","1001 W. Worley","","Columbia","MO","65203","Boone","Gloria Crull","CEO","573-886-6713","","gcrull@fhcmo.org","www.fhcmo.org","Jack Kelly","COO","573-886-6761","","jkelly@fhcmo.org","www.fhcmo.org"]
[null,201906395,"Jordan Valley Community Health Center - Benton","Advocates for a Healthy Community, Inc. dba Jordan Valley Community Health Center","1407954407","Federally Qualified Health Centers",0.5,0,"618 N Benton Ave","","Springfield","MO","65806-1102","Greene","PO Box 5681","","Springfield","MO","65801","Greene","Alison Lee","Executive Director of Finance","417-851-1551","1138","alilee@jordanvalley.org","","Brenda Tunstill","Corporate Compliance Officer","417-851-1551","1318","btunstill@jordanvalley.org",""]
[null,201906401,"SSM Health Medical Group - Family Medicine","SSM Regional Health Services","1659327393","Rural Health Clinics",1.5,0,"875 Hwy 5 South","","Tipton","MO","65081","Moniteau","2505 Mission Drive","","Jefferson City","MO","65101","Cole","Brian Barry","Vice President","573-681-3000","","brian_barry@ssmhc.com","","Brent Vanconia","President","573-681-3000","","brent_vanconia@ssmhc.com",""]
[null,201906407,"Putnam County Rural Family Clinic","Putnam County Memorial Hospital","1871833533","Other ECP Providers",1,0,"103 S 18th St","","Unionville","MO","63565-1642","Putnam","1926 S Oak St","","Unionville","MO","63565","Putnam","Angela Pettengill","Credentialing","660-947-2411","2226","apettengill@pcmhosp.com","","Susan Daniels","CFO","660-947-2411","2312","sdaniels@pcmhosp.com",""]
[null,201906428,"Nina Jurney's Family Medical Practice","Pioneer Health Services of Monroe County, Inc.","1790864577","Rural Health Clinics",1,0,"502 Jackson St","Suite 4","Aberdeen","MS","39730-3303","Monroe","110 Pioneer Way","","Magee","MS","39111","Simpson","Julie Gieger","CFO","601-849-6440","301","juliegieger@phscorporate.com","www.phscorporate.com","Heidi Nelson","Director of Clinic Services","662-304-4031","","heidinelson@phscorporate.com","www.phscorporate.com"]
[null,201906437,"Beaumont Family Health Center","Southeast Mississippi Rural Health Initiative, Inc.","1831167998","Federally Qualified Health Centers",1,0,"1411 Bradley Ave","","Beaumont","MS","39423-0235","Perry","P O Box 1729","","Hattiesburg","MS","39403-1729","Forrest","Dr. Geroldean Dyse","CEO","601-545-8700","2104","ldobbs@semrhi.com","www.semrhi.com","Lisa G Dobbs","Credentialing Coordinator","601-545-8700","2217","ldobbs@semrhi.com","www.semrhi.com"]
[null,201906441,"Cotton Plant Clinic","Cotton Plant Clinic","1447596325","Rural Health Clinics",1,0,"1755 County Road 81","","Blue Mountain","MS","38610-9657","Union","1755 County Road 81","","Blue Mountain","MS","38610","Union","Paula DeCanter, CFNP","Owner/Provider","662-538-4111","","pdecanter74@bellsouth.net","","Kristy Jarvis","Office Manager","662-538-0017","","krstyjarvis@yahoo.com",""]
[null,201906462,"Family Medical Associates (rural health clinics)","Covington County Hospital","1598769044","Rural Health Clinics",10,0,"701 S Holly Ave","","Collins","MS","39428-3894","Covington","701 S. Holly Ave","","Collins","MS","39428","Covington","Anissa Promise","Clinic Operation Manager","601-698-0328","","apromise@covingtoncountyhospital.com","","Sarita Walker","Clinic Coordinator","601-765-2746","","swalker@covingtoncountyhospital.com",""]
[null,201906468,"KEMPER FAMILY MEDICAL CENTER","GREATER MERIDIAN HEALTH CLINIC, INC","1982701223","Dental Providers, Federally Qualified Health Centers",2,1,"201 Birch St","","De Kalb","MS","39328-8017","Kemper","2701 Davis St","","Meridian","MS","39301-5708","Lauderdale","Wilbert L Jones","CEO","601-693-0116","","wjones@gmhcinc.org","www.gmhcinc.org","Cynthia Ransom Wells","Health Information and Credentialing Manager","601-693-0118","149","cransom@gmhcinc.org","www.gmhcinc.org"]
[null,201906478,"Jefferson Comprehensive Health Center","Jefferson Comprehensive Health Center, Inc","1962517185","Federally Qualified Health Centers",9,0,"225 Community Drive","","Fayette","MS","39069","Jefferson","P.O. Box 98","","Fayette","MS","39069","Jefferson","Shirley Ellis-Stampley","CEO","601-786-3475","20","sellis2020@aol.com","","Katrina Collins","Human Resources Director","601-786-3475","24","katrina_mln@yahoo.com",""]
[null,201906495,"Southeast Mississippi Rural Health Initiative, Inc.","Southeast Mississippi Rural Health Initiative, Inc.","1518907054","Federally Qualified Health Centers",2,0,"180 WSF Tatum Dr","N R Burger School and Community Clinic","Hattiesburg","MS","39401","Forrest","P O Box 1729","","Hattiesburg","MS","39403-1729","Forrest","Dr. Geroldean Dyse","CEO","601-545-8700","2104","ldobbs@semrhi.com","www.semrhi.com","Lisa G Dobbs","Credentialing Coordinator","601-545-8700","2217","ldobbs@semrhi.com","www.semrhi.com"]
[null,201906501,"Hattiesburg Family Health Center","Southeast Mississippi Rural Health Initiative, Inc.","1538136940","Dental Providers, Federally Qualified Health Centers",1,1,"66 Old Airport Rd","","Hattiesburg","MS","39401-8382","Forrest","5488 U S Hwy 49","","Hattiesburg","MS","39403-1729","Forrest","Dr. Geroldean Dyse","CEO","601-545-8700","2104","ldobbs@semrhi.com","www.semrhi.com","Lisa G Dobbs","Credentialing Coordinator","601-545-8700","2217","ldobbs@semrhi.com","www.semrhi.com"]
[null,201906511,"Jackson-Hinds Comprehensive Health Center","Jackson-Hinds Comprehensive Health Center","1376732313","Federally Qualified Health Centers",1,0,"1716 Isable St","Isable Elementary School","Jackson","MS","39204-2352","Hinds","3502 W. Northside Drive","","Jackson","MS","39204-2352","Hinds","Dr. Jasmin Owens Chapman","Chief Executive Officer","601-362-5321","","jhchc@comcast.net","www.jhchc.org","","","","","",""]
[null,201906528,"Leakesville Clinic","COASTAL FAMILY HEALTH CENTER","1801999479","Dental Providers, Federally Qualified Health Centers",3,0.6,"1616 Williams Dr","","Leakesville","MS","39451-5622","Greene","PO Box 475","","Biloxi","MS","39533","Harrison","Angel Greer","CEO","228-374-2494","1133","angel_greer@coastalfamilyhealth.org","https://coastalfamilyhealth.org","Donna Ramirez","Revenue Cycle Supervisor","228-374-2494","1114","dramirez@coastalfamilyhealth.org","https://coastalfamilyhealth.org"]
[null,201906534,"Liberty Clinic","Field Memorial Community Hospital","1669818480","Rural Health Clinics",1.5,0,"1410 Main Street E","","Liberty","MS","39645","Amite","178 Hwy 24 E","","Centreville","MS","39631","Amite","Angela Jackson","Clinic Administrator","601-888-3421","125","ajackson@fhsms.org","","Chad Netterville","Administrator","601-890-0545","","cnetterville@fhsms.org",""]
[null,201906544,"Pike County Medical Services, Inc.","Amite County Medical Services, Inc.","1609242056","Federally Qualified Health Centers",0.5,0,"300 Rawls Dr","Suite 1300","McComb","MS","39648-2866","Pike","102 West Freedom Drive","","Liberty","MS","39645","Amite","Pam Poole","Executive Director","601-657-4326","237","acmsinc@bellsouth.net","www.acmsinc.org","","","","","",""]
[null,201906561,"Scott Regional Medical Center","Scott Regional Medical Center, Inc.","1134278435","Inpatient Hospitals (other than children's hospitals)",25,0,"317 Highway 13 S","","Morton","MS","39117-3353","Scott","PO Box 2065","","Meridian","MS","39302-2065","Lauderdale","Darrell Wildman","Treasurer","601-703-9992","","darrell.wildman@rushhealth.com","","Dale Armour","Executive VP/COO","601-703-9192","","dale.armour@rushhealth.com",""]
[null,201906571,"New Augusta Family Health Center","Southeast Mississippi Rural Health Initiative, Inc.","1881661874","Federally Qualified Health Centers",2,0,"404 Main Street","","New Augusta","MS","39462","Perry","P O Box 1729","","Hattiesburg","MS","39403-1729","Forrest","Dr. Geroldean Dyse","CEO","601-545-8700","2104","ldobbs@semrhi.com","www.semrhi.com","Lisa G Dobbs","Credentialing Coordinator","601-545-8700","2217","ldobbs@semrhi.com","www.semrhi.com"]
[null,201906577,"Children's Clinic of Oxford, P.A.","Children's Clinic of Oxford, P.A.","1801916481","Rural Health Clinics",1,0,"2888 S Lamar Blvd","","Oxford","MS","38655-5347","Lafayette","SAME AS ABOVE","","Oxford","MS","38655","Lafayette","JOE HARRIS","MD","662-234-8286","","DRJOE47@MSN.COM","","BENTLEY DENHAM","Office Manager","662-234-8286","11","BDENHAM@OXFORDKIDS.COM",""]
[null,201906594,"Family Health Care Clinic, Inc., --Prentiss","FAMILY HEALTH CARE CLINIC, INC.","1144246398","Federally Qualified Health Centers",1,0,"910 Second St","","Prentiss","MS","39474-9117","Jefferson Davis","4635 Highway 80 E","","Pearl","MS","39208-4226","Rankin","Margaret Ann Gray","CEO","601-825-7280","5005","drmgray1@bellsouth.net","","","","","","",""]
[null,201906604,"Sunflower Rural Health Clinic","North Sunflower Medical Center","1154488393","Dental Providers, Rural Health Clinics",14,2,"840 N Oak Ave","","Ruleville","MS","38771-3227","Sunflower","840 North Oak","","Ruleville","MS","38771","Sunflower","Joanie M. Perkins","Chief Compliance officer","662-756-1703","","joanie.perkins@northsunflower.com","http://northsunflower.com/","Sam Miller","CEO","662-756-2711","","sam.miller@northsunflower.com","http://northsunflower.com/"]
[null,201906610,"Main Street Medical of Sebastopol","Independent Healthcare Mgmt, Inc.","1760778609","Rural Health Clinics",1,0,"17509 Hwy 21","","Sebastopol","MS","39359","Scott","110 Pioneer Way","","Magee","MS","39111","Simpson","Julie Gieger","CFO","601-849-6440","301","juliegieger@phscorporate.com","www.phscorporate.com","Heidi Nelson","Director of Clinic Services","662-304-4031","","heidinelson@phscorporate.com","www.phscorporate.com"]
[null,201906626,"North Mississippi Medical Center, Inc","North Mississippi Medical Center, Inc","1598875460","Inpatient Hospitals (other than children's hospitals)",644,0,"830 S Gloster St","","Tupelo","MS","38801-4934","Lee","830 S. Gloster Street","","Tupelo","MS","38801","Lee","James P Stanzell","Chief Compliance officer","662-377-4148","","jim.stanzell@nmhs.net","","","","","","",""]
[null,201906638,"Yalobusha Urgent Care Clinic","Yalobusha General Hospital","1386024438","Outpatient Hospital Clinics",3,0,"606 S Main St","","Water Valley","MS","38965-3468","Yalobusha","PO Box 728","","WATER VALLEY","MS","38965","Yalobusha","Calvin Johnson","Clinic Administrator","662-473-5271","","cjohnson@yalobushageneral.net","","Terry Varner","CEO","662-473-5907","","tvarner@yalobushageneral.com",""]
[null,201906644,"CATCHINGS CLINIC","Field Memorial Community Hospital","1881648376","Rural Health Clinics",5,0,"451 Bank St","","Woodville","MS","39669-6000","Wilkinson","178 Hwy 24 E","","Centreville","MS","39631","Amite","Angela Jackson","Clinic Administrator","601-888-3421","125","ajackson@fhsms.org","","Chad Netterville","Administrator","601-890-0545","","cnetterville@fhsms.org",""]
[null,201906654,"White Sky Hope Center - Rocky Boy","White Sky Hope Center - Rocky Boy","1811210578","Federally Qualified Health Centers, Tribal Health Program operated under P.L. 93-638",4,0,"535 Clinic Rd E","","Box Elder","MT","59521-8826","Hill","535 Clinic Rd E","","Box Elder","MT","59521-8826","Hill","Amber Nault","Revenue Generation Leader","406-395-4486","2095","anault@rbclinic.org","","Jill Monteau","Health Resource Division Chief","406-395-4486","2092","jmonteau@rbclinic.org",""]
[null,201906671,"Beaverhead Family Planning","Beaverhead Family Planning","1326227695","Family Planning Providers",0.15,0,"41 Barrett St","","Dillon","MT","59725-3508","Beaverhead","41 Barrett Street","","Dillon","MT","59725","Beaverhead","Sue Hansen","Clinic Administrator","406-683-4771","","shansen@beaverheadcounty.org","","","","","","",""]
[null,201906677,"Forsyth, MT","Rosebud Community Hospital, Inc. dba Rosebud Health Care Center","1194827451","Rural Health Clinics",3,0,"383 17th Ave N.","PO Box 268","Forsyth","MT","59327-0268","Rosebud","383 17th Ave N.","P.O. Box 268","Forsyth","MT","59327","Roosevelt","Ryan Tooke","CEO","406-346-2161","223","tooker@rosebudhealthcare.com","","Troy Ruff","Clinic Manager","406-346-2161","249","truff@rosebudhealthcare.com",""]
[null,201906687,"Fort Belknap Indian Community (Harlem Indian Hospital)","Fort Belknap Indian Community (Harlem Indian Hospital)","1942367842","Dental Providers, Indian Health Service, Other ECP Providers",6,3,"669 Agency Main St","","Harlem","MT","59526-9455","Blaine","669 Agency Main St","","Harlem","MT","59526-9455","Blaine","Alan Barlow","Chief Executive Officer","406-353-3191","","Alan.Barlow@ihs.gov","","Charlotte Lamebull","Administrative Officer","406-353-3121","","Charlotte.Lamebull@ihs.gov",""]
[null,201906704,"Ag Worker Health & Services - Lolo","MONTANA MIGRANT & SEASONAL FARM WORKERS COUNCIL INC","1679984025","Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",0.96,0,"9801 Valley Grove Dr","D","Lolo","MT","59847-8617","Missoula","3318 3rd Ave N Ste 100","","Billings","MT","59101-1900","Yellowstone","Carol Townsend","Executive Director","406-248-3149","","ctownsend@mtmigrantcouncil.org","http://mtmigrantcouncil.org","Claudia Stephens","Strategic Planning Specialist","406-248-3149","","cstephens@mtmigrantcouncil.org",""]
[null,201906714,"St. Luke Community Hospital","St. Luke Community Hospital","1336213446","Inpatient Hospitals (other than children's hospitals)",25,0,"107 6th Ave SW","","Ronan","MT","59864-2634","Lake","107 6th Ave SW","","Ronan","MT","59864","Lake","Paul Soukup","CFO","406-676-4441","291","psoukup@stlukehealthcare.org","","Chris Ellingson","","406-528-5495","","cellingson@stlukehealthcare.org",""]
[null,201906720,"Marias Healthcare Services, Inc. - Shelby","MARIAS HEALTHCARE SERVICES INC","1881697209","Federally Qualified Health Centers",5,0,"670 Park Ave","","Shelby","MT","59474-1663","Toole","670 Park Ave","","Shelby","MT","59474-1663","Toole","Jamie Brownell","CEO","406-434-3100","","jbrownell@mmcmt.org","","","","","","",""]
[null,201906737,"ANGIER MEDICAL CENTER","FIRST CHOICE COMMUNITY HEALTH CENTERS","1457374324","Federally Qualified Health Centers",1.5,0,"84 Medical Dr","","Angier","NC","27501-6087","Harnett","40 Autumn Fern Trail","","Lillington","NC","27546","Harnett","Sheila L. Simmons","Chief Executive Officer","910-364-0972","1600","slsimmons@firstchoicechc.org","www.firstchoicechc.org","","","","","",""]
[null,201906747,"Buncombe County Health Dept.","Buncombe County Dept. of Health and Human Services","1669537593","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",3.2,0,"53 S French Broad Ave","Suite 100","Asheville","NC","28801-3282","Buncombe","40 Coxe Ave","","Asheville","NC","28801-3308","Buncombe","Jannine Shepard","Health Director","828-250-5000","","jannine.shepard@buncombecounty.org","http://www.buncombecounty.org","Jennifer Mullendore","Medical Director","828-250-5000","","jennifer.mullendore@buncombecounty.org",""]
[null,201906753,"Mission Infectious Disease Associaties","Mission Infectious Disease Associates","1952736712","Rural Health Clinics, Ryan White Providers",8,0,"900 Hendersonville Rd","Suite 205","Asheville","NC","28803-1753","Buncombe","Mission Infectious Disease Associates","900 Hendersonville Road Suite 205","Asheville","NC","28803","Buncombe","Cheryl T Williams","Executive Director Physician Revenue Cycle","828-651-4160","0","cheryl.williams2@msj.org","","","","","","",""]
[null,201906763,"GOSHEN MEDICAL CTR - BEULAVILLE","GOSHEN MEDICAL CENTER, INC.","1639294309","Federally Qualified Health Centers",6,0,"119 Crossover Rd","","Beulaville","NC","28518-8801","Duplin","444 SW Center St","","Faison","NC","28341-8820","Duplin","Greg M Bounds","CEO","910-267-1942","","gbounds@goshenmed.com","","Teela Strickland","Credentialing Coordinator","910-267-2042","","tstrickland@goshenmed.com",""]
[null,201906780,"Charles Drew Community Health Center","Piedmont Health Services, Inc","1588768527","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",5.95,0,"221 N Graham Hopedale Rd","","Burlington","NC","27217-2971","Alamance","127 Kingston Drive","","Chapel Hill","NC","27514","Orange","Chiffon Jenkins","Director of Patient Accounts","919-933-8494","1492","jenkinsc@piedmonthealth.org","piedmonthealth.org","","","","","",""]
[null,201906786,"Blue Ridge Specialty Services - Yancey","Blue Ridge Regional Hospital","1063838712","Rural Health Clinics",4,0,"800 Medical Campus Dr","","Burnsville","NC","28714-9010","Yancey","800 Medical Campus Drive","","Burnsville","NC","28714","Yancey","Cheryl T Williams","Executive Director Physician Revenue Cycle","828-651-4160","","cheryl.williams2@msj.org","","","","","","",""]
[null,201906796,"Chapel Hill Community Health Center","Piedmont Health Services, Inc","1356712921","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",1.45,0,"1828 Martin Luther King Jr Blvd","Suite B14","Chapel Hill","NC","27514-7415","Orange","127 Kingston Drive","","Chapel Hill","NC","27514","Orange","Chiffon Jenkins","Director of Patient Accounts","919-933-8494","1492","jenkinsc@piedmonthealth.org","piedmonthealth.org","","","","","",""]
[null,201906811,"China Grove Family Medicine","CABARRUS COMMUNITY HEALTH CENTERS, INC.","1528304235","Federally Qualified Health Centers",2,0,"308 E Centerview St","","China Grove","NC","28023-2553","Rowan","202D McGill Ave NW","","Concord","NC","28025-4615","Cabarrus","Kim Wagenaar","CEO","704-792-2203","","kawagenaar@crchc.org","www.crchc.org","Cody McKinney","CFO","704-792-2208","","clmckinney@crchc.org",""]
[null,201906820,"COLLETTSVILLE MEDICAL CENTER","West Caldwell Health Council Inc","1346302429","Federally Qualified Health Centers",4,0,"4330 Collettsville Rd","","Collettsville","NC","28611-9000","Caldwell","4330 Collettsville Rd","","Collettsville","NC","28611-9000","Caldwell","Kelly C Melton","CFO","828-754-2409","105","kmelton@westcaldwellhc.org","","Thomas McRary","CEO","828-754-6850","240","tmcrary@westcaldwellhc.org",""]
[null,201906830,"Currituck Co. Health Dept.","North Carolina Dept. of Health and Human Services","1659468130","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",3,0,"2795 Caratoke Hwy","","Currituck","NC","27929-9609","Currituck","P O Box 189","","Elizabeth City","NC","27909-0189","Currituck","Jerry Parks","Health Directo","252-338-4404","","jparks@arhs-nc.org","http://www.arhs-nc.org","Battle Betts","Finance Director","252-338-4491","","bbetts@arhs-nc.org","http://www.arhs-nc.org"]
[null,201906847,"Health Care for the Homeless","Lincoln Community Health Center, Inc.","1942240544","Federally Qualified Health Centers",1,0,"412 Liberty St","","Durham","NC","27701-3408","Durham","1301 Fayetteville Street","","Durham","NC","27707-2325","Durham","Musa Ali","Pt Acct Super","919-956-4508","","hassan.ali@duke.edu","www.lincolnchc.org","William seagroves","CFO","919-956-4534","","william.seagroves@duke.edu",""]
[null,201906857,"CFHC Dental Center","Carolina Family Health Centers, Inc.","1093883852","Dental Providers",0,3,"8282 NC 58 S","Bldg A","Elm City","NC","27822-8079","Wilson","303 Green Street E","","Wilson","NC","27893-4105","Wilson","Annette Eatmon","Chief Operating Officer","252-293-0013","320","aeatmon@cfhcnc.org","www.cfhcnc.org","Paula McMillian","Chief Financial Officer","252-293-0013","323","pmcmillian@cfhcnc.org","www.cfhcnc.org"]
[null,201906863,"GMC FAISON DENTAL SERVICES","GOSHEN MEDICAL CENTER, INC.","1902084486","Dental Providers",0,2,"460 SW Center St","","Faison","NC","28341-8820","Duplin","444 SW Center St","","Faison","NC","28341-8820","Duplin","Greg M Bounds","CEO","910-267-1942","","gbounds@goshenmed.com","","Teela Strickland","Credentialing Coordinator","910-267-2042","","tstrickland@goshenmed.com",""]
[null,201906880,"GASTON FAMILY MEDICAL CENTER","Gaston Family Health Services","1548389125","Federally Qualified Health Centers, Ryan White Providers",4,0,"111 E 3rd Ave","","Gastonia","NC","28052-4343","Gaston","200 E 2nd Ave","","Gastonia","NC","28052","Gaston","Robert Spencer","CEO","704-616-2245","","rspencer@gfhs.info","","","","","","",""]
[null,201906890,"Gateway Community Health Centers, Inc.","GATEWAY COMMUNITY HEALTH CENTERS, INC.","1518247576","Federally Qualified Health Centers",4,0,"501 Main St","","Gatesville","NC","27938-9424","Gates","PO Box 297","","Gatesville","NC","27938-0297","Gates","Rose Turner","CEO","252-357-1226","","RTurner@GCHCHealth.com","","","","","","",""]
[null,201906896,"TAPM Family Medicine at Eugene","TRIAD ADULT AND PEDIATRIC MEDICINE, INC.","1063712727","Federally Qualified Health Centers",1.35,0,"1002 S Eugene St","","Greensboro","NC","27406-1308","Guilford","1002 S. EUGENE ST.","","Greensboro","NC","27406","Guilford","MICHELLE LEWIS","CEO","336-355-9715","","MLEWIS@TAPMEDICINE.COM","WWW.TAPMEDICINE.COM","","","","","",""]
[null,201906913,"CommWell Health of Harrells","TRI COUNTY COMMUNITY HEALTH COUNCIL, INC","1942223318","Federally Qualified Health Centers, Ryan White Providers",1,0,"194 Tomahawk Hwy","","Harrells","NC","28444-9765","Sampson","P.O.Box 227","","Newton Grove","NC","28366","Sampson","Pam Tripp","CEO","910-567-7006","","PTripp@commwellhealth.org","","Cheryl Stanley","CFO","910-567-7067","","CStanley@commwellhealth.org",""]
[null,201906923,"Mainstay","Blue Ridge Community Health Services, Inc.","1932464351","Federally Qualified Health Centers",1,0,"133 5th Ave W","","Hendersonville","NC","28792-4334","Henderson","PO Box 5151","","Hendersonville","NC","28793","Henderson","Belinda Elmore","Director of Patient Financial Services","828-692-4289","2201","belmore@brchs.com","","Brian Morton","CFO","828-692-4289","2250","bmorton@brchs.com",""]
[null,201906929,"Hendersonville Family Health Center","Blue Ridge Community Health Services, Inc.","1437593787","Family Planning Providers",21,0,"709 N Justice St","","Hendersonville","NC","28791-3454","Henderson","PO Box 5151","","Hendersonville","NC","28793-5151","Henderson","Belinda Elmore","Director of Patient Financial Services","828-692-4289","2201","belmore@brchs.com","","Brian Morton","CFO","828-692-4289","2250","bmorton@brchs.com",""]
[null,201906939,"Highlands - Cashiers Hospital","Highlands - Cashiers Hospital","1346456597","Children's Hospitals (inpatient only)",25,0,"190 Hospital Dr","","Highlands","NC","28741-7600","Macon","190 Hospital Drive","","Highlands","NC","28741","Macon","Cheryl T Williams","Executive Director Physician Revenue Cycle","828-651-4160","","cheryl.williams2@msj.org","","","","","","",""]
[null,201906956,"Kinston Community Health Center, Inc.","Kinston Community Health Center, Inc.","1104859313","Dental Providers, Federally Qualified Health Centers",11,2,"324 N Queen St","","Kinston","NC","28501-4932","Lenoir","324 North Queen Street","","Kinston","NC","28501","Lenoir","Darlene Ennett","CEO","252-522-4350","221","darlene.ennett@kinstonchc.org","www.kinstonhealth.org","Daphne Betts-Hemby","CFO","252-522-4350","238","daphne.hemby@kinstonchc.org","www.kinstonhealth.org"]
[null,201906962,"Davidson Health Services General Dentistry","Gaston Family Health Services","1154662369","Dental Providers",0,1,"32 Kirkwood Ave","","Lexington","NC","27292-4024","Davidson","200 east 2nd Ave.","","Gastonia","NC","28052","Gaston","Robert Spencer","CEO","704-616-2245","","rspencer@gfhs.info","","","","","","",""]
[null,201906972,"LUMBERTON HEALTH CENTER","ROBESON HEALTH CARE CORPORATION","1184681496","Federally Qualified Health Centers",2.6,0,"402 N Pine St","","Lumberton","NC","28358-5563","Robeson","60 Commerce Plaza","","Pembroke","NC","28372-7386","Robeson","Tim Hall","President and CEO","910-521-2900","118","gt_hall@rhcc1.com","www.rhcchealth.org","Al Bishop","Corporate Compliance Officer","910-521-2900","105","al_bishop@rhcc1.com","www.rhcchealth.org"]
[null,201906989,"Carteret Co. Health Dept.","North Carolina Dept. of Health and Human Services","1083738645","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"3820 Bridges St","Suite A","Morehead City","NC","28557-2979","Carteret","3820 Bridges St Ste A","","Morehead City","NC","28557-2979","Carteret","David Jenkins","Health Director","252-728-8552","5732","david.jenkins@carteretcountync.gov","http://www.carteretcountyhealth.com","Kimberly Davis","Nursing Supervisor","252-728-8550","","",""]
[null,201907000,"Mission Family Medicine Nebo","The McDowell Hospital","1821376542","Rural Health Clinics",45,0,"339 Nebo School Rd","","Nebo","NC","28761-6848","McDowell","339 Nebo School Road","","Nebo","NC","28761","Mcdowell","Cheryl T Williams","Executive Director Physician Revenue Cycle","828-651-4160","","cheryl.williams2@msj.org","","","","","","",""]
[null,201907006,"Newport Family Practice","Richard A Bloomfield","1114993276","Rural Health Clinics",3,0,"338 Howard Blvd","","Newport","NC","28570-7928","Carteret","338 Howard Blvd","","Newport","NC","28570","Carteret","Nena Hamilton","Office Mgr.","252-223-5054","","newportfamily@gmail.com","","Karen Allen","Insurance Clerk","252-223-5054","","newportfamilypractice@gmail.com",""]
[null,201907023,"Planned Parenthood Raleigh Health Center","Planned Parenthood South Atlantic","1811033210","Family Planning Providers",1,0,"100 S Boylan Ave","","Raleigh","NC","27603-1802","Wake","100 S Boylan Ave","","Raleigh","NC","27603-1802","Wake","Nancy Long","CFO","919-833-7526","6131","nancy.long@ppsat.org","http://www.plannedparenthood.org/planned-parenthood-health-systems","Emily Adams","VP of Patient Servcies","919-929-5402","5233","emily.adams@ppsat.org",""]
[null,201907033,"Rural Health Group at Halifax Regional Medical Center (multiple outpatient ECP categories)","Rural Health Group, Inc.","1528489895","Federally Qualified Health Centers, Ryan White Providers",2,0,"250 Smith Church Rd","","Roanoke Rapids","NC","27870-4914","Halifax","500 Jackson St.","","Roanoke Rapids","NC","27870","Halifax","Brian Harris","Chief Executive Officer","252-536-5929","","brian.harris@rhgnc.org","www.rhgnc.org","","","","","",""]
[null,201907039,"OIC Family Medicine Center at Fairview","Opportunities Industrialization Center","1922020908","Federally Qualified Health Centers",4,0,"111 S Fairview Rd","","Rocky Mount","NC","27801-6971","Edgecombe","402 E. Virginia St.","","Rocky Mount","NC","27802","Edgecombe","Brian Ellerby","Director of Integrated Health Care","252-446-3333","232","bellerby@oicone.org","www.oicone.org","","","","","",""]
[null,201907056,"Cleveland Co. Health Dept.","North Carolina Dept. of Health and Human Services","1720151525","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",10,0,"315 E Grover St","","Shelby","NC","28150-3919","Cleveland","315 E Grover St","","Shelby","NC","28150-3919","Cleveland","Dorothea Wyant","Executive Director","704-484-5200","","dorothea.wyant@clevelandcounty.com","http://www.ccncgov.com/public/health/homepage.htm","Tammy Griffin","Billing Specialist","704-484-5236","","tammy.griffin@clevelandcounty.com","http://www.ccncgov.com/public/health/homepage.htm"]
[null,201907066,"Greene Dental Services","Greene County Health Care, Incorporated","1568464386","Dental Providers",0,4,"6 Professional Dr","","Snow Hill","NC","28580-1333","Greene","7 Professional Dr","","Snow Hill","NC","28580","Greene","Beverly Stroud","CFO","252-747-8162","2204","bstroud@greenecountyhealthcare.com","www.greenecountyhealthcare.com","","","","","",""]
[null,201907072,"Dosher Medical-N Howe Street","J. Arthur Dosher","1831505346","Outpatient Hospital Clinics",1,0,"905 N Howe St","","Southport","NC","28461-3037","Brunswick","924 N. Howe Street","","Southport","NC","28461","Brunswick","Tom Siemers","President/CEO","910-457-3911","","tomsiemers@dosher.org","http://www.dosher.org","Dan Porter","Sr VP/CFO","910-457-3912","","danporter@dosher.ord","http://www.dosher.org"]
[null,201907082,"Spruce Pine Office","BAKERSVILLE COMMUNITY MEDICAL CLINIC INC","1770821589","Federally Qualified Health Centers",1,0,"36 Hospital Dr","","Spruce Pine","NC","28777-8943","Mitchell","86 N Mitchell Ave","","Bakersville","NC","28705-6502","Mitchell","Chuck Shelton","CEO","828-688-2104","","cshelton@mchp.care","thebchc.org","Kayle Buchanan","Executive Administrative Assistant","828-688-2104","","kbuchanan@mchp.care","thebchc.org"]
[null,201907099,"Edgecombe County Health Department","Edgecombe County Health Department","1770610602","Dental Providers, Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,1,"122 E Saint James St","","Tarboro","NC","27886-5016","Edgecombe","Edgecombe County Helath Department","122 E St. James Street","Tarboro","NC","27886","Edgecombe","Karen Lachapelle","Health Director","252-641-7531","","karenlachapelle@edgecombeco.com","","","","","","",""]
[null,201907105,"MID CAROLINA FAMILY MEDICINE, PA","MID CAROLINA FAMILY MEDICINE, PA","1497755953","Rural Health Clinics",2,0,"1038 Albemarle Rd","","Troy","NC","27371-8684","Randolph","1038 ALBEMARLE ROAD","","TROY","NC","27371-8684","Randolph","JUDY LEMONDS","PRACTICE MANAGER","910-572-1785","","jelmonds@midcarolinafm.com","","","","","","",""]
[null,201907115,"Goshen Medical Center - Warsaw Wellness Center","GOSHEN MEDICAL CENTER, INC.","1457477820","Federally Qualified Health Centers",2,0,"113 S Pine St","","Warsaw","NC","28398-1924","Duplin","444 SW Center St","","Faison","NC","28341-8820","Duplin","Greg M Bounds","CEO","910-267-1942","","gbounds@goshenmed.com","","Teela Strickland","Credentialing Coordinator","910-267-2042","","tstrickland@goshenmed.com",""]
[null,201907132,"Planned Parenthood Wilmington Health Center","Planned Parenthood South Atlantic","1124165451","Family Planning Providers",0.75,0,"1925 Tradd Ct","","Wilmington","NC","28401-6638","New Hanover","100 S Boylan Ave","","Raleigh","NC","27603-1802","Wake","Nancy Long","CFO","919-833-7526","6131","nancy.long@ppsat.org","http://www.plannedparenthood.org/planned-parenthood-health-systems","Emily Adams","VP of Patient Servcies","919-929-5402","5233","emily.adams@ppsat.org",""]
[null,201907138,"Bertie Co. Health Dept.","North Carolina Dept. of Health and Human Services","1841387263","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",3,0,"102 Rhodes Ave","","Windsor","NC","27983-9656","Bertie","PO Box 189","","Elizabeth City","NC","27907-0189","Bertie","Jerry Parks","Health Director","252-338-4404","","jparks@arhs-nc.org","http://www.arhs-nc.org","Battle Betts","Finance Director","252-338-4491","","bbetts@arhs-nc.org","http://www.arhs-nc.org"]
[null,201907148,"Yadkin County Medical Clinic","Yadkin County Human Services Agency","1427010834","Family Planning Providers",0.6,0,"638 W Main St","","Yadkinville","NC","27055-7804","Yadkin","PO Box 548","","Yadkinville","NC","27055","Yadkin","Jessica Wall","Assistant Director","336-849-7588","","jwall@yadkincountync.gov","","Kim Harrell","Director","336-849-7910","","kharrell@yadkincountync.gov",""]
[null,201907165,"Family HealthCare Fargo Dental","Family HealthCare","1033281050","Dental Providers",0,3.1,"301 Np Ave N","","Fargo","ND","58102-4835","Cass","301 NP Ave N","","Fargo","ND","58102","Cass","Patrick Gulbranson","Chief Executive Officer","701-239-2285","","pgulbranson@famhealthcare.org","","Mark Woolery","Chief Financial Officer","701-551-2442","","mwoolery@famhealthcare.org",""]
[null,201907175,"Valley Community Health Centers Dental Clinic","VALLEY COMMUNITY HEALTH CENTERS","1689878324","Dental Providers",0,3.25,"212 S 4th St","Suite 101","Grand Forks","ND","58201-4776","Grand Forks","212 S. 4th Street","Ste 101","Grand Forks","ND","58201","Grand Forks","Pat Lizakowski","business office","701-757-2100","2005","pat.lizakowski@valleychc.org","","Tiffany Schmidt","CFO","701-757-2100","2002","tiffaney.schmidt@valleychc.org",""]
[null,201907185,"Cavalier County Memorial Hospital Clinic","Cavalier County Memorial Hospital and Clinics","1730126640","Rural Health Clinics",6,0,"901 2nd St","","Langdon","ND","58249-2407","Cavalier","909 2nd street","","Langdon","ND","58249","Cavalier","Chris Wyatt","CEO","701-256-6180","180","chrisw@ccmhnd.com","","Darla Roder","Clinic Director","701-256-6120","236","darlar@ccmhnd.com",""]
[null,201907199,"Heart of America Johnson Clinic Towner","Good Samaritan Hospital Association DBA Heart of America Medical Center","1760908669","Outpatient Hospital Clinics",0.45,0,"2 3rd St SW","","Towner","ND","58788","McHenry","800 South Main Ave","","Rugby","ND","58368-2118","Pierce","Dustin Hager","CMO / Clinic Manager","701-776-5235","","dhager@hamc.com","","Ashley Wasvick","Administrative Assistant","701-776-5455","2842","awasvick@hamc.com",""]
[null,201907209,"Beatrice Medical Center","Beatrice Community Hospital DBA Beatrice Medical Center","1306284237","Rural Health Clinics",4.5,0,"805 W Court St","","Beatrice","NE","68310-3525","Gage","4800 Hospital Parkway","","Beatrice","NE","68310","Gage","Connie M Lovell","Practice Administrator","402-228-3366","","clovell@bchhc.org","","Eric Trusty","Practice Administrator","402-223-6761","","etrusty@bchhc.org",""]
[null,201907215,"Chadron Community Hospital (outpatient hospital clinics)","Chadron Community Hospital","1467675629","Outpatient Hospital Clinics",15,0,"825 Centennial Dr","","Chadron","NE","69337-9400","Dawes","825 Centennial Dr","","Chadron","NE","69337","Dawes","Sandra Summers","Revenue Cycle Director","308-432-0264","","Medicare@Chadronhospital.com","","Sandra Summers","Revenue Cycle Director","308-432-0264","","Medicare@Chadronhospital.com",""]
[null,201907236,"Central Health Center Kearney Center","Central Health Center, Inc.","1912086257","Family Planning Providers",2,0,"4503 2nd Ave","Suite 209","Kearney","NE","68847-2432","Buffalo","4503 2nd Ave","","Kearney","NE","68847-2432","Buffalo","Brady Kerkman","Chief Executive Officer","308-384-7625","202","bkerkman@centralhealthcenter.org","www.centralhealthcenter.org","","","","","",""]
[null,201907242,"Health 360","People's Health Center","1326436577","Dental Providers, Federally Qualified Health Centers",10,3,"2300 O St","","Lincoln","NE","68510-1123","Lancaster","1021 N 27th St.","","Lincoln","NE","68503","Lancaster","Brad Meyer","Chief Executive Officer","402-470-5424","","bmeyer@phclincoln.org","www.phclincoln.org","","","","","",""]
[null,201907248,"Peoples Family Health Services McCook Clinic","Peoples Family Health Services Inc","1356656623","Family Planning Providers, Sexually Transmitted Disease Clinics",0.1,0,"111 W C St","PO Box 367","McCook","NE","69001-3613","Red Willow","102 South Elm Street","","North Platte","NE","69101","Lincoln","Rachel Stahr","Executive Director","308-534-3075","","exdir@pfhs.org","","Pamela Johnson","Family Planning Coordinator","308-534-3077","","fpc@pfhs.org",""]
[null,201907269,"OneWorld Community Health Centers Northwest Omaha","OneWorld Community Health Centers, Inc.","1417388919","Dental Providers, Federally Qualified Health Centers",6,4,"4229 N 90th St","","Omaha","NE","68134-4136","Douglas","4920 S 30th St Ste 103","","Omaha","NE","68107-1656","Douglas","Andrea Skolkin","CEO","402-502-8842","","askolkin@oneworldomaha.org","www.oneworldomaha.org","Joel Dougherty","COO","402-502-8881","","jdougherty@oneworldomaha.org","www.oneworldomaha.org"]
[null,201907275,"OneWorld Women's Health Center","OneWorld Community Health Center, Inc.","1952330649","Family Planning Providers, Federally Qualified Health Centers",10,0,"4930 S 30th St","","Omaha","NE","68107-1521","Douglas","4920 S 30th Street","Suite 103","Omaha","NE","68107","Douglas","Andrea Skolkin","Chief Executive Officer","402-502-8845","","askolkin@oneworldomaha.org","www.oneworldomaha.org","Joel Dougherty","Chief Operating Officer","402-502-8881","","jdougherty@oneworldomaha.org","www.oneworldomaha.org"]
[null,201907281,"CHI HEALTH BERGAN MERCY","Catholic Health Initiatives","1508941097","Inpatient Hospitals (other than children's hospitals)",315,0,"7500 Mercy Rd","","Omaha","NE","68124-2319","Douglas","7261 Mercy Road","South Building, Third Floor","Omaha","NE","68124","Douglas","Ilsa Barnard","Director Payer Strategy and Operations","402-717-7275","","IlsaBarnard2@Catholichealth.net","chihealth.com","","","","","",""]
[null,201907302,"Winnebago Tribe of Nebraska Health","Winnebago Tribe of Nebraska","1497938542","Community Mental Health Centers, Dental Providers, Tribal Health Program operated under P.L. 93-638",2,5,"Hwy 77/75","","Winnebago","NE","68071","Thurston","225 So Bluff St","","Winnebago","NE","68071","Thurston","Mona Zuffante","Health Administrator","402-878-2294","1256","mona.zuffante@ihs.gov","","","","","","",""]
[null,201907308,"AVH Surgical Associates","AVH Surgical Associates","1679526644","Outpatient Hospital Clinics",25,0,"59 Page Hill Rd","","Berlin","NH","03570-3531","Coos","59 Page Hill Road","","Berlin","NH","03570","Coos","Michael Peterson","President","603-326-5602","","michael.peterson@avhnh.org","www.avhnh.org","Suzanne Landry","Sr. Director, Admin and Revenue Cycle Services","603-326-5608","","suzanne.landry@avhnh.org","http://avhnh.org/news-events-resources/contact-us"]
[null,201907318,"Planned Parenthood of Northern New England-Exeter","Planned Parenthood of Northern New England","1578529350","Family Planning Providers",0.94,0,"108 High St","","Exeter","NH","03833-2939","Rockingham","784 Hercules Drive","Suite 110","Colchester","VT","05446","Chittenden","Krystle Goodman","Director of Professional Revenue","802-448-9784","","krystle.goodman@ppnne.org","http://www.ppnne.org","Heather Bushey","CFO","802-448-9728","","heather.bushey@ppnne.org","www.ppnne.org"]
[null,201907335,"Weeks Medical Center - Physician Services","Weeks Medical Center","1548364003","Outpatient Hospital Clinics",15.15,0,"173 Middle St","","Lancaster","NH","03584-3508","Coos","173 Middle Street","","Lancaster","NH","03584","Coos","Michael Lee","President","603-788-5030","","michael.lee@weeksmedical.org","","Celeste Pitts","CFO","603-788-5321","","celestepitts@weeksmedical.org",""]
[null,201907341,"North Country Primary Care","Littleton Hospital Association","1811944523","Rural Health Clinics",8,0,"580 Saint Johnsbury Rd","","Littleton","NH","03561-3437","Grafton","PO Box 160","","Littleton","NH","03561","Grafton","Andrew Majka","Chief Financial Officer","603-444-9504","","amajka@lrhcares.org","littletonhospital.org","Amy Logue","Director PFS","603-444-9395","","alogue@lrhcares.org",""]
[null,201907351,"Moultonborough Family Medicine","Huggins Hospital","1639166077","Outpatient Hospital Clinics",2,0,"984 Whittier Hwy","","Moultonborough","NH","03254-3305","Carroll","240 South Main Street","","Wolfeboro","NH","03894","Carroll","Jeremy Roberge","President & CEO","603-569-7510","","jroberge@hugginshospital.org","www.hugginshospital.org","Henry Isaacson","Director of Budget & Reimbursement","603-569-7571","","hisaacson@hugginshospital.org","www.hugginshospital.org"]
[null,201907368,"DARTMOUTH HITCHCOCK PLYMOUTH","Dartmouth-Hitchcock Clinic","1548210198","Rural Health Clinics",5,0,"71 Highland St","","Plymouth","NH","03264-1233","Grafton","1 Medical Center Drive","","Lebanon","NH","03756-1000","Grafton","Lynn M. Guillette","Vice President, Payment Innovation","603-653-1255","","lynn.m.guillette@Hitchcock.org","","Tammy Benoit","Manager, Contract Administration","603-653-1256","","tammy.l.benoit@Hitchcock.org",""]
[null,201907374,"Tamworth Family Medicine","Huggins Hospital","1255587937","Outpatient Hospital Clinics",2,0,"577 White Mountain Hwy","","Tamworth","NH","03886-4631","Carroll","240 South Main Street","","Wolfeboro","NH","03894","Carroll","Jeremy Roberge","President & CEO","603-569-7510","","jroberge@hugginshospital.org","www.hugginshospital.org","Henry Isaacson","Director of Budget & Reimbursement","603-569-7571","","hisaacson@hugginshospital.org","www.hugginshospital.org"]
[null,201907385,"Rowe Health Center","Cottage Hospital","1275857328","Rural Health Clinics",6,0,"103 Swiftwater Rd","","Woodsville","NH","03785-1423","Grafton","103 Swiftwater Road","","Woodsville","NH","03785","Grafton","Steven Plant","Chief Financial Officer","603-747-9146","","splant@cottagehospital.org","","","","","","",""]
[null,201907402,"Bridgeton Adult & Specialty Medical Professionals","COMMUNITY HEALTH CARE, INC.","1700816816","Federally Qualified Health Centers",3.2,0,"70 Cohansey St","","Bridgeton","NJ","08302-1918","Cumberland","53 S Laurel St Fl 2","","Bridgeton","NJ","08302-1946","Cumberland","Claudia Villalpando","Asst VP of Business Services","856-451-4700","1167","cvillalpando@chcinj.org","","Richard Elwell","Executive VP of Business Services","856-451-4700","2045","relwell@chcinj.org",""]
[null,201907412,"PPMNJ- East Orange Clinic","Planned Parenthood of Metropolitan NJ","1508839804","Family Planning Providers",1.5,0,"560 Dr Martin Luther Kin","","East Orange","NJ","07018","Essex","238 Mulberry St","1st floor","Newark","NJ","07102","Essex","Joanna Lewin","V.P for Finance","973-622-3900","1223","joanna.lewin@ppmnj.org","http://www.plannedparenthood.org/ppmnj/","Kathy Butts","Controller","973-622-3900","1226","kathy.butts@ppmnj.org","www.ppmnj.org"]
[null,201907418,"PPNCSNJ TCNJ Clinic","Planned Parenthood of Northern, Central and Southern New Jersey, Inc.","1831570860","Family Planning Providers",1,0,"2000 Pennington Rd","","Ewing","NJ","08618-1104","Mercer","196 Speedwell Ave.","","Morristown","NJ","07960","Morris","Carolyn Lally","Director of Billing & Revenue Cycle","973-539-9580","","carolyn.lally@ppgnnj.org","www.ppgnnj.org","Triste Brooks","CEO","973-539-9580","","triste.brooks@ppnnj.org",""]
[null,201907435,"CarePoint Health - Neighborhood Health Center","Ryan White Program at CarePoint Health","1467645952","Ryan White Providers",5,0,"122-132 Clinton St","","Hoboken","NJ","07030-8519","Hudson","CarePoint Health Foundation, Inc.","176 Palisade Avenue","Jersey City","NJ","07306","Hudson","Gustavo Valdes Rivera, MPH, CSW","Program Director","201-792-6161","34208","Gustavo.Valdes@CarePointhealth.org","","Jacqueline Wright","Director of Grants & Foundation Relations","201-217-4716","","Jacqueline.Write@CarePointhealth.org",""]
[null,201907445,"Keyport Primary Care Center","Visiting Nurse Association of Central Jersey, Community Health Center Inc.","1003867250","Federally Qualified Health Centers",13,0,"35 Broad St","","Keyport","NJ","07735-1267","Monmouth","1301 Main St","","Asbury Park","NJ","07712-5359","Monmouth","Kristine McCoy","Executive Director, VNACJ Center for Primary Care and Public Health","732-502-5151","","Kristine.McCoy@vnahg.org","www.vnachc.org","Darlene Rice","Practice Manager","732-776-3921","","Darlene.Rice@vnahg.org","www.vnachc.org"]
[null,201907451,"Monmouth Family Health Center","MONMOUTH FAMILY HEALTH CENTER","1073558391","Federally Qualified Health Centers",24,0,"270 Broadway","","Long Branch","NJ","07740-7027","Monmouth","270 Broadway","","Long Branch","NJ","07740-7027","Monmouth","Marta Silverberg","CEO","732-923-7145","","msilverberg@mfhcnj.org","","Andrea Duncan","Director of patient accounts","732-413-2020","","aduncan@mfhnj.org",""]
[null,201907461,"Jersey Shore Medical Center (A - Team)","Jersey Shore University Medical Center","1346247368","Dental Providers, Ryan White Providers, Sexually Transmitted Disease Clinics",25,10,"1828 W Lake Ave","Suite 203","Neptune","NJ","07753-4663","Monmouth","1945 Route 33","","Neptune","NJ","07753","Monmouth","Joanna Wright","Director of the Women's & Children's Service line","732-776-4325","64325","joanna.wright@hackensackmeridianhealth.com","http://www.jerseyshoreuniversitymedicalcer","","","","","",""]
[null,201907478,"North Hudson Community Action Corporation Health Center @ North Bergen","North Hudson Community Action Corporation","1043465057","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",1,0,"1116 43rd St","","North Bergen","NJ","07047-2712","Hudson","800 31st Street","","Union City","NJ","07087","Hudson","Ed McGinnis","Director of Patient Financial Services","201-210-0100","10125","eginnis@nhcac.org","nhcac.org","Michael Shababb","Chief Financial Officer","201-210-0100","10107","michaels@nhcac.org","nhcac.org"]
[null,201907484,"Famcare Inc. Pennsville","Famcare, Inc.","1043318793","Family Planning Providers",4,0,"370 S Broadway","","Pennsville","NJ","08070-2655","Salem","370 S Broadway","","Pennsville","NJ","08070-2655","Salem","Dawn Hickman","CEO","856-881-9531","","dhickman@famcareinc.org","http://www.famcareinc.com","Rebecca Brady","COO","856-794-1235","1213","rbrady@famcareinc.org","http://www.famcareinc.com"]
[null,201907494,"Salem Center","Southern Jersey Family Medical Centers, Inc.","1104940493","Dental Providers, Federally Qualified Health Centers",3,4,"238 E Broadway","","Salem","NJ","08079-1108","Salem","1 N. White Horse Centre","","Hammonton","NJ","80371169","Atlantic","Linda Y. Flake","President/CEO","609-567-0434","4116","sjfmc@sjfmc.org","","Ronald Kaplan","CFO","609-567-0434","4142","Ronald.kaplan@sjfmc.org",""]
[null,201907511,"RiteCare at Vineland ShopRite","COMMUNITY HEALTH CARE, INC.","1699089847","Federally Qualified Health Centers",1.8,0,"1255 W Landis Ave","","Vineland","NJ","08360-3423","Cumberland","53 S Laurel St Fl 2","","Bridgeton","NJ","08302-1946","Cumberland","Claudia Villalpando","Asst VP of Business Services","856-451-4700","1167","cvillalpando@chcinj.org","","Richard Elwell","Executive VP of Business Services","856-451-4700","2045","relwell@chcinj.org",""]
[null,201907517,"North Hudson Community Action Corporation Health Center @ West New York","North Hudson Community Action Corporation","1659323442","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",12,2.8,"5301 Broadway","","West New York","NJ","07093-2622","Hudson","800 31st Street","","Union City","NJ","07087","Hudson","Ed McGinnis","Director of Patient Financial Services","201-210-0100","10125","eginnis@nhcac.org","nhcac.org","Michael Shababb","Chief Financial Officer","201-210-0100","10107","michaels@nhcac.org","nhcac.org"]
[null,201907527,"PMS - Alamogordo Behavioral Health Family Health Center","PRESBYTERIAN MEDICAL SERVICES, INC.","1518910553","Federally Qualified Health Centers",5.55,0,"1900 10th St","","Alamogordo","NM","88310-5053","Otero","1422 Paseo de Peralta Bldg 1","","Santa Fe","NM","87501-4304","Santa Fe","Sarah Howse","Director of Operational Support","505-982-5565","","sarah.howse@pmsnm.org","","","","","","",""]
[null,201907544,"Planned Parenthood of the Rocky Mountains -- San Mateo","Planned Parenthood of the Rocky Mountains","1851440945","Family Planning Providers, Sexually Transmitted Disease Clinics",4,0,"701 San Mateo Blvd NE","","Albuquerque","NM","87108-1434","Bernalillo","7155 East 38th Avenue","","Denver","CO","80207","Denver","kate hayes","Director of Payer Relations","303-813-7769","","kate.hayes@pprm.org","","","","","","",""]
[null,201907554,"LCDF ANTHONY MEDICAL","LA CLINICA DE FAMILIA, INC.","1699748921","Federally Qualified Health Centers",15,0,"855 N Main","","Anthony","NM","88021-9325","Dona Ana","385 CALLE DE ALEGRA","BLDG. A","LAS CRUCES","NM","88005","Dona Ana","FELISHA JOHNSON","Credentialing Specialist","575-528-5537","2437","FJOHNSON@LCDFNM.ORG","","VIRGIL MEDINA","Chief Operations Officer","575-526-1105","2461","VMEDINA@LCDFNM.ORG","WWW.LCDFNM.ORG"]
[null,201907559,"PMS - Artesia Family Health Center PSR","PRESBYTERIAN MEDICAL SERVICES, INC.","1518910553","Federally Qualified Health Centers",1,0,"2002 W Grand Ave","Room 2","Artesia","NM","88210-1676","Eddy","1422 Paseo de Peralta Bldg 1","","Santa Fe","NM","87501-4304","Santa Fe","Doug Smith","Executive Vice President","505-982-5565","","doug.smith@pmsnm.org","","","","","","",""]
[null,201907578,"La Clinica De Familia, Inc.","LA CLINICA DE FAMILIA, INC.","1962862938","Federally Qualified Health Centers",1,0,"800 S County Line Dr","LCDF CHAPARRAL SCHOOL BASE","Chaparral","NM","88081-7830","Dona Ana","385 CALLE DE ALEGRA","BLDG. A","LAS CRUCES","NM","88005","Dona Ana","FELISHA JOHNSON","Credentialing Specialist","575-528-5537","2437","FJOHNSON@LCDFNM.ORG","WWW.LCDFNM.ORG","VIRGIL MEDINA","Chief Operations Officer","575-526-1105","2461","VMEDINA@LCDFNM.ORG","WWW.LCDFNM.ORG"]
[null,201907588,"Crownpoint Hospital","Crownpoint Hospital","1114960093","Dental Providers, Indian Health Service, Other ECP Providers",52,3,"Hwy 191 Phs Dr","","Crownpoint","NM","87313","McKinley","PO Box 358","","Crownpoint","NM","87313-0358","McKinley","Francelia Mitchell","Business Office Supervisor","505-786-6387","","francelia.mitchell@ihs.gov","","Anslem Roanhorse","Chief Executive Officer","505-786-5291","","anslem.roanhorse@ihs.gov",""]
[null,201907594,"Luna County Health Office","STATE OF NEW MEXICO DBA DEPARTMENT OF HEALTH","1134257249","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"215 S Silver Ave","","Deming","NM","88030-3715","Luna","1190 S Saint Francis Dr Ste S-1150","","Santa Fe","NM","87505-4173","Santa Fe","Colleen Schaeffer","BEHR Billing Manager of New Mexico Department of Health, Public Health Division","505-827-0664","","Colleen.Schaeffer@state.nm.us","http://nmhealth.org/","Sandra Martinez","Deputy Director of New Mexico Department of Health, Public Health Division","505-827-9700","","SandraE.Martinez2@state.nm.us","http://nmhealth.org/"]
[null,201907604,"PMS Esperanza Family Health Center","Presbyterian Medical Services","1518910553","Dental Providers, Federally Qualified Health Centers",1.5,0.75,"903 C N. 5th St","","Estancia","NM","87016","Torrance","1422 Paseo de Peralta","","Santa Fe","NM","87504-2267","Santa Fe","Sarah Howse","Director of Operational Support","505-982-5565","","sarah.howse@pmsn.org","pmsnm.org","","","","","",""]
[null,201907621,"PMS Grants Family Counseling","PRESBYTERIAN MEDICAL SERVICES, INC.","1518910553","Federally Qualified Health Centers",2,0,"210 E Santa Fe Ave","","Grants","NM","87020-2443","Cibola","PO Box 2267","","Santa Fe","NM","87501","Santa Fe","Sarah Howse","Director of Operational Support","505-954-2334","","sarah.howse@pmsnm.org","","","","","","",""]
[null,201907627,"LA CASA DE BUENA SALUD INC","La Casa Family Health Center","1205957487","Federally Qualified Health Centers",1,0,"103 Don Pablo Ln","","Hondo","NM","88336","Lincoln","1515 W Fir St","","Portales","NM","88130-5703","Lincoln","Seferino M Montano","CEO","575-356-6695","3813","smontano@lacasahealth.com","www.lacasahealth.com","Carmen Pacheco-Munoz","COO","575-356-6695","3801","cpacheco@lacasahealth.com","www.lacasahealth.com"]
[null,201907637,"La Clinica De Familia, Inc.","LA CLINICA DE FAMILIA, INC.","1639553928","Federally Qualified Health Centers",1,0,"1950 Sonoma Ranch Blvd","LCDF CENTENNIAL SCHOOL BASE","Las Cruces","NM","88011-1701","Dona Ana","385 CALLE DE ALEGRA","BLDG. A","LAS CRUCES","NM","88005","Dona Ana","FELISHA JOHNSON","Credentialing Specialist","575-528-5537","2437","FJOHNSON@LCDFNM.ORG","WWW.LCDFNM.ORG","VIRGIL MEDINA","Chief Operations Officer","575-526-1105","2461","VMEDINA@LCDFNM.ORG","WWW.LCDFNM.ORG"]
[null,201907654,"PMS Magdalena Area Health Center","Presbyterian Medical Services","1518910553","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",1,0,"801 10th St","","Magdalena","NM","87825","Socorro","1422 Paseo de Peralta","","Santa Fe","NM","87504-2267","Santa Fe","Sarah Howse","Director of Operational Support","505-982-5565","","sarah.howse@pmsnm.org","pmsnm.org","","","","","",""]
[null,201907660,"PMS - MOUNTAINAIR FAM HLTH CTR","PRESBYTERIAN MEDICAL SERVICES, INC.","1518910553","Federally Qualified Health Centers",1.65,0,"105 E Pinon St","","Mountainair","NM","87036","Torrance","1422 Paseo de Peralta Bldg 1","","Santa Fe","NM","87501-4304","Santa Fe","Doug Smith","EVP","505-982-5565","","doug.smith@pmsnm.org","","","","","","",""]
[null,201907670,"PMS - QUESTA HEALTH CENTER","PRESBYTERIAN MEDICAL SERVICES, INC.","1518910553","Dental Providers, Federally Qualified Health Centers",2.15,1,"2573 Nm 522","","Questa","NM","87556","Taos","1422 Paseo de Peralta Bldg 1","","Santa Fe","NM","87501-4304","Santa Fe","Doug Smith","EVP","505-982-5565","","doug.smith@pmsnm.org","","Lisa Stephens","Grants & Contracts Manager","505-982-5565","","lisa.stephens@pmsnm.org",""]
[null,201907687,"Presbyterian Medical Services Inc","Presbyterian Medical Services Inc","1518910553","Family Planning Providers, Federally Qualified Health Centers",2.92,0,"2100 Yucca St","PMS Teen Health Center Santa Fe High School","Santa Fe","NM","87505-5456","Santa Fe","1422 Paseo de Peralta","","Santa Fe","NM","87504","Santa Fe","Sarh Howse","Director of Operational Support","505-982-5565","","sarah.howse@pmsnm.org","","Sarah Howse","Director of Operational Support","505-982-5565","","sarah.howse@pmsnm.org","pmsnm.org"]
[null,201907697,"Guadalupe Family Dental Clinic","DEBACA FAMILY PRACTICE CLINIC","1962743534","Dental Providers",0,2,"552 Highway 54","","Santa Rosa","NM","88435-2210","Guadalupe","546 N 10th St","","Fort Sumner","NM","88119","De Baca","Lisa Walraven","CEO","575-355-2420","","lisawwork@plateautel.net","www.debacaclinic.com","Heather McConnell","COO","575-355-2440","","heatherm@plateautel.net","www.debacaclinic.com"]
[null,201907703,"Northern Navajo Medical Center (Part of Shiprock Service Unit) (multiple outpatient ECP categories)","Northern Navajo Medical Center (Part of Shiprock Service Unit)","1780639971","Dental Providers, Family Planning Providers, Indian Health Service",146,9,"Hwy 491 N","","Shiprock","NM","87420","San Juan","PO Box 160","","Shiprock","NM","87420-0160","San Juan","Helena Burbank","Business Office Supervisor","505-368-6060","","helena.burbank@ihs.gov","","Fannessa Comer","Chief Executive Officer","505-368-6001","","fannessa.comer@ihs.gov",""]
[null,201907720,"Ben Archer Health Center","Ben Archer Health Center","1710903844","Dental Providers, Federally Qualified Health Centers",4,2,"1960 N Date St","","Truth Or Consequences","NM","87901-3701","Sierra","255 Highway 187","PO Box 370","Hatch","NM","87937","Dona Ana","Mary Rooker","CFO","575-267-3280","722","mrooker@bahcnm.org","","Mary Alice Garay","CEO","575-267-3280","721","mgaray@bahcnm.org",""]
[null,201907730,"Battle Mountain General Hospital District","Battle Mountain General Hospital","1245312321","Inpatient Hospitals (other than children's hospitals)",5,0,"535 S Humboldt St","","Battle Mountain","NV","89820-1988","Lander","535 South Humboldt Street","","Battle Mountain","NV","89820","Lander","Holly Heese","Compliance Officer","775-635-2550","161","hheese@bmgh.org","","Peggy Lindsey","CEO","775-635-2550","111","PLindsey@bmgh.org",""]
[null,201907736,"Carlin Community Health Center","NEVADA HEALTH CENTERS, INC.","1376621722","Federally Qualified Health Centers",1,0,"310 Memory Ln","","Carlin","NV","89822-9902","Elko","3325 Research Way","","Carson City","NV","89706-7913","Carson City","Walter Davis","Chief Executive Officer","775-887-1590","1161","wdavis@nvhealthcenters.org","www.nvhealthcenters.org","Patricia Schroeder","Provider Relations Manager","775-888-6610","1110","pschroeder@nvhealthcenters.org",""]
[null,201907756,"Community Health Nursing-Mineral County","NEVADA DEPT OF HHS, DIVISION OF PUBLIC AND BEHAVIORAL HEALTH","1962634097","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"331 1st St","","Hawthorne","NV","89415","Mineral","727 Fairview Dr A","","Carson City","NV","89701","Carson City","Theresa Carsten","Health Program Manager","775-684-5022","","tcarsten@health.nv.gov","","Greg Kitchingman","Clinical Director","775-684-5023","","gkitchingman@health.nv.gov",""]
[null,201907764,"First Person Complete Care","First Person Care Clinic","1548629132","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",2,1,"1200 S 4th St","Suite 111","Las Vegas","NV","89104-1046","Clark","1200 S. 4th Street","Suite 111","Las Vegas","NV","89104","Clark","Tina Drago","CEO","702-380-8118","5","tdrago@firstpersoncc.org","www.firstpersoncc.org","Ryan Jacob","Clinical Manager","702-380-8118","5","rjacob@firstpersoncc.org","www.firstpersoncc.org"]
[null,201907770,"Southern Nevada Health District-Decatur Public Health Center","Southern Nevada Health District","1275550212","Family Planning Providers, Other ECP Providers, Ryan White Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",4,0,"280 S Decatur Blvd","","Las Vegas","NV","89107-2936","Clark","P.O. Box 3902","","Las Vegas","NV","89127","Clark","Richard Cichy","Interim Chief Health Nurse","702-759-1000","","cichy@snhdmail.org","https://southernnevadahealthdistrict.org","Loni Benard","Materials Management Supervisor","702-759-1244","","benard@snhdmail.org","www.southernnevadahealthdistrict.org"]
[null,201907780,"Community Health Nursing-Pershing County","NEVADA DEPT OF HHS, DIVISION OF PUBLIC AND BEHAVIORAL HEALTH","1316179435","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"535 Western Ave","","Lovelock","NV","89419","Pershing","727 Fairview Dr A","","Carson City","NV","89701","Carson City","Theresa Carsten","Health Program Manager","775-684-5022","","tcarsten@health.nv.gov","","Greg Kitchingman","Clinical Director","775-684-5023","","gkitchingman@health.nv.gov",""]
[null,201907797,"DVH Hospital Alliance LLC","DVH Hospital Alliance LLC dba Desert View Hospital","1073963138","Inpatient Hospitals (other than children's hospitals)",25,0,"360 S Lola Ln","","Pahrump","NV","89048-0884","Nye","360 South Lola Lane","","Pahrump","NV","89048","Nye","Mary Williams","Business Office Manager","775-751-7508","","mary.williams@uhsinc.com","","Susan Davila","CEO","775-751-7500","","Susan.Davila@uhsinc.com",""]
[null,201907803,"Reno-Sparks Tribal Health Center","Reno-Sparks Tribal Health Center","1497700801","Community Mental Health Centers, Dental Providers, Tribal Health Program operated under P.L. 93-638",6,3,"1715 Kuenzli St","","Reno","NV","89502-1117","Washoe","1715 Kuenzli St","","Reno","NV","89502-1117","Washoe","Andrea Johnson-Harper","Director","775-329-5162","1900","aharper@rsicclinic.org","www.rsic.org","Jovino Lorenzo","Business Office Manager","775-329-5162","1910","jlorenzo@rsicclinic.org","www.rsic.org"]
[null,201907813,"Community Health Alliance - Nell J. Redfield Health Center, Sun Valley","Community Health Alliance","1427283860","Federally Qualified Health Centers",1,0,"5295 Sun Valley Blvd","Suite 5","Sun Valley","NV","89433-7955","Washoe","680 S. Rock Blvd.","","Reno","NV","89502-4113","Washoe","Chuck Duarte","Chief Executive Officer","775-329-6300","","cduarte@chanevada.org","www.chanevada.org","Diahann Barrera","Chief Finance Officer","775-329-6300","","dbarrera@chanevada.org","www.chanevada.org"]
[null,201907830,"Whitney M. Young Jr. Health Center Inc.","Whitney M. Young Jr. Health Center Inc.","1417924762","Dental Providers, Federally Qualified Health Centers, Ryan White Providers",24,7,"920 Lark Dr","","Albany","NY","12207-1300","Albany","920 Lark Drive","","Albany","NY","12207","Albany","David Shippee","President & CEO","518-591-4459","","dshippee@wmyhealth.org","","Elizabeth Cole","Chief Operating Officer","518-591-4453","","ecole@wmyhealth.org",""]
[null,201907840,"Bath Community Health","Finger Lakes Migrant Health Care Project, Inc.","1457689119","Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics",13,0,"117 E Steuben St","","Bath","NY","14810-1636","Steuben","14 Maiden Lane","","Penn Yan","NY","14527-1205","Yates","Mary Zelazny","CEO","315-531-9102","2102","maryz@flchealth.org","www.flchealth.org","Lawreen Duel","Family Planning Coordinator / Director of Operations","315-531-9102","2121","lawreen@flchealth.org","http://www.flchealth.org"]
[null,201907846,"HRHCare Brentwood","Hudson River HealthCare, Inc.","1659755817","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",15.88,2,"1869 Brentwood Rd","","Brentwood","NY","11717-4625","Suffolk","1200 Brown Street","3rd fl","Peekskill","NY","10566","Westchester","Allison DuBois","Chief Operating Officer","914-734-8503","78503","adubois@hrhcare.org","","James Sinkoff","Chief Financial Officer","914-734-8722","78722","jsinkoff@hrhcare.org",""]
[null,201907863,"James Monroe Annex","URBAN HEALTH PLAN, INC.","1962709980","Federally Qualified Health Centers",1,0,"1551 E 172nd St","","Bronx","NY","10472-2141","Bronx","1065 Southern Blvd","","Bronx","NY","10459-2417","Bronx","Alexandra Borbon","Director, Managed Care, Contracting and Credentialing","718-589-2440","4222","alexandra.borbon@urbanhealthplan.org","","Paloma Hernandez","President and CEO","718-991-4833","","paloma.hernandez@urbanhealthplan.org",""]
[null,201907873,"Susan's Place","CARE FOR THE HOMELESS","1013154657","Dental Providers, Federally Qualified Health Centers",1,1,"1911 Jerome Ave # 21","","Bronx","NY","10453-5707","Bronx","30 E 33rd St Fl 5","","New York","NY","10016-5337","New York","Geroge Nashak","Executive Director","212-366-4459","201","gnashak@cfhnyc.org","http://www.careforthehomeless.org/","William Herl","Chief Financial Officer","212-366-4459","223","wherl@cfhnyc.org","http://www.careforthehomeless.org/"]
[null,201907879,"HELP/PSI Harm Reduction Health Center at CitiWide","HELP/PSI SERVICES CORP.","1003093436","Federally Qualified Health Centers",2.5,0,"226 E 144th St","","Bronx","NY","10451-5909","Bronx","71 W. 23rd Street","Fl 8","Bronx","NY","10452-4050","New York","Carol Murphy","Chief Operating Officer","718-681-8700","4418","cmurphy@brightpointhealth.org","www.brightpointhealth.org","Barbara Zeller, MD","Chief Clinical Officer","718-681-8700","","bzeller@brightpointhealth.org","www.brightpointhealth.org"]
[null,201907896,"Morris heights Health Center","Morris heights Health Center","1184694291","Federally Qualified Health Centers, Ryan White Providers",5,0,"40 W Tremont Ave","The Arts Village School PS 306/MS 331","Bronx","NY","10453-5400","Bronx","85 W. Burnside Avenue","","Bronx","NY","10453","Bronx","Gabriel Vonleh","President and CEO","718-483-1270","2323","gvonleh@mhhc.org","http://www.mhhc.org/Our-Services/School-Based-Health-Centers.aspx","Claudette Phipps","VP- Development, Planning, Ext. Affairs","718-483-1270","2312","cphipps@mhhc.org",""]
[null,201907906,"Stevenson Family Health Center","The Institute for Family Health","1194073056","Dental Providers, Federally Qualified Health Centers",6.72,1.74,"731 White Plains Rd","","Bronx","NY","10473-2631","Bronx","2006 Madison Avenue","","New York","NY","10035","New York","Dr. Neil Calman","President and CEO","212-633-0815","","ncalman@institute.org","","Alan Woghin","VP of Finance and CFO","212-633-0815","1410","awoghin@institute.org",""]
[null,201907912,"MHHC at 233rd Street","Morris Heights Health Center","1184694291","Federally Qualified Health Centers, Ryan White Providers",1,0,"825 E 233rd St","","Bronx","NY","10466-3203","Bronx","85 W. Burnside Avenue","","Bronx","NY","10453-4015","Bronx","Gabriel Vonleh","President and CEO","718-483-1270","2323","gvonleh@mhhc.org","","Claudette Phipps","VP- Fund Development, Planning, Ext. Affairs","718-483-1270","2312","cphipps@mhhc.org",""]
[null,201907922,"Morris Heights Health Center","Morris Heights Health Center","1184694291","Dental Providers, Federally Qualified Health Centers",5,1,"965 Longwood Ave","Banana Kelly HS / Holcombe L. Rucker School / Co-Op Tech","Bronx","NY","10459-4058","Bronx","85 W. Burnside Avenue","","Bronx","NY","10453","Bronx","Gabriel Vonleh","President and CEO","718-483-1270","2323","gvonleh@mhhc.org","http://www.mhhc.org/Our-Services/School-Based-Health-Centers.aspx","Claudette Phipps","VP- Development, Planning, Ext. Affairs","718-483-1270","2312","cphipps@mhhc.org",""]
[null,201907933,"BUSHWICK FAMILY RESIDENCE","CARE FOR THE HOMELESS","1114263357","Federally Qualified Health Centers",0.66,0,"1675 Broadway","","Brooklyn","NY","11207-1495","Kings","30 E 33rd St Fl 5","","New York","NY","10016-5337","New York","George Nashak","Executive Director","212-366-4459","201","gnashak@cfhnyc.org","http://www.careforthehomeless.org/","William Herl","Chief Executive officer","212-366-4459","223","wherl@cfhnyc.org","http://www.careforthehomeless.org/"]
[null,201907946,"HELP/PSI Brooklyn Health Center","HELP/PSI SERVICES CORP.","1003093436","Federally Qualified Health Centers",4,0,"803 Sterling Pl","","Brooklyn","NY","11216-3903","Kings","71 W. 23rd Street","Fl 8","New York","NY","10010","New York","Carol Murphy","Chief Operating Officer","718-681-8700","4418","cmurphy@brightpointhealth.org","www.brightpointhealth.org","Barbara Zeller, MD","Chief Clinical Officer","718-681-8700","","bzeller@brightpointhealth.org","www.brightpointhealth.org"]
[null,201907956,"Planned Parenthood of Central and Western New York, Inc.","Planned Parenthood of Central and Western New York, Inc.","1306909957","Family Planning Providers, Sexually Transmitted Disease Clinics",13.95,0,"2697 Main St","","Buffalo","NY","14214-1701","Erie","114 University Ave","","Rochester","NY","14605-2929","Monroe","Christian Oleck","VP of Finance, CFO","585-546-2771","344","christian.oleck@ppcwny.org","https://www.plannedparenthood.org/planned-parenthood-central-western-new-york","Melinda Dubois","Vice President of Health Services","716-831-2200","5950","melinda.dubois@ppcwny.org",""]
[null,201907973,"Family Health Network - Cincinnatus SBHC","Family Health Network of Central New York, Inc","1043374853","Family Planning Providers, Federally Qualified Health Centers",1,0,"2809 Cincinnatus Rd","","Cincinnatus","NY","13040-9685","Cortland","17 Main Street, Suite 302","","Cortland","NY","13045","Cortland","Kate Alm","Director of Development","607-753-3797","5027","kalm@familyhealthnetwork.org","www.familyhealthnetwork.org","Walter Priest","Chief Executive Officer","607-753-3797","5040","wpriest@familyhealthnetwork.org","www.familyhealthnetwork.org"]
[null,201907983,"Reproductive Health Center","Livingston County Department of Health","1295753788","Family Planning Providers, Sexually Transmitted Disease Clinics",0.8,0,"3 Chestnut Ave","","Dansville","NY","14437-1601","Livingston","2 Murray Hill Drive","","Mt. Morris","NY","03878-1522","Livingston","Cindy Sheflin","Center for Preventive Services","585-243-7540","7295","csheflin@co.livingston.ny.us","www.livingstoncounty.us.doh/htm","Sandra Bradt","Supervising Public Health Nurse","585-243-7540","7538","sbradt@co.livingston.ny.us","www.livingstoncounty.us.doh/htm"]
[null,201907989,"Dunkirk Health Center","The Chautauqua Center","1760747521","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers",6,2,"319 Central Ave","","Dunkirk","NY","14048-2137","Chautauqua","319 Central Avenue","","Dunkirk","NY","14048","Chautauqua","Michael C Pease","CEO","716-363-6050","205","mpease@thechautauquacenter.org","","Rebecca Ruiz","Operations Director","716-363-6050","222","rruiz@thechautauquacenter.org",""]
[null,201908006,"Oswego County Opportunities, Inc. - The Ctr for Reproductive Health at Fulton","Oswego County Opportunities, Inc.","1740396324","Family Planning Providers",2.5,0,"522 S 4th St","Suite 500","Fulton","NY","13069-2936","Oswego","239 Oneida Street","","Fulton","NY","13069","New York","Inga Back","Coordinator","315-592-0837","","iback@oco.org","http://www.oco.org/","Ellen Holst","Senior Director","315-598-4715","1228","eholst@oco.org","http://www.oco.org/"]
[null,201908016,"Community Health Center of the North Country","United Cerebral Palsy Association of the North Country, Inc.","1467432765","Federally Qualified Health Centers",5,0,"77 W Barney St","","Gouverneur","NY","13642-1040","Saint Lawrence","4 Commerce Ln","","Canton","NY","13617-3739","Saint Lawrence","Anne Richey","Executive Director","315-386-1156","8310","anne@cpnorthcountry.org","http://www.chcnorthcountry.org","Pamela Mahaffy","Chief Financial Officer","315-386-1156","8320","pmahaffy@cpnorthcountry.org","http://www.chcnorthcountry.org"]
[null,201908022,"Cornerstone Family Healthcare at Highland Falls","The Greater Hudson Valley Family Health Center, Inc.","1689669079","Federally Qualified Health Centers",2,0,"127 Main St","","Highland Falls","NY","10928-4019","Orange","2570 U.S. Highway 9W","Suite 10","Cornwall","NY","12518","Orange","Linda S. Muller","President and CEO","845-220-3110","","lmuller@ghvfhc.org","www.ghvfhc.org","Chris Lennon","Grants Director","845-220-3154","","clennon@ghvfhc.org","www.ghvfhc.org"]
[null,201908039,"Springfield Gardens Family Inn","CARE FOR THE HOMELESS","1720324650","Federally Qualified Health Centers",0.6,0,"14680 Guy R Brewer Blvd","","Jamaica","NY","11434-5340","Queens","30 E 33rd St Fl 5","","New York","NY","10016-5337","New York","George Nashak","Executive Director","212-366-4459","201","gnashak@cfhnyc.org","http://www.careforthehomeless.org/","William Herl","Chief Finacial Officer","212-366-4459","223","wherl@cfhnyc.org","http://www.careforthehomeless.org/"]
[null,201908049,"Jamestown Health Center","The Chautauqua Center","1760747521","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers",3,2,"110 E 4th St","","Jamestown","NY","14701-5340","Chautauqua","319 Central Avenue","","Dunkirk","NY","14048","Chautauqua","Michael C Pease","CEO","716-363-6050","205","mpease@thechautauquacenter.org","","Rebecca Ruiz","Operations Director","716-363-6050","222","rruiz@thechautauquacenter.org",""]
[null,201908055,"HVCS Ulster","Hudson Valley Community Services, Inc. (HVCS)","1841339728","Ryan White Providers",1,0,"138 Pine St","","Kingston","NY","12401-4947","Ulster","40 Saw Mill River Road","","Hawthorne","NY","10532","Westchester","Andrea Straus","Executive Director","914-785-8265","","astraus@hudsonvalleycs.org","","Saqib Altaf","Deputy Executive Director","914-785-8210","","saltaf@hudsonvalleycs.org",""]
[null,201908076,"Planned Parenthood Nassau County - Massapequa","Planned Parenthood Nassau County","1427090190","Family Planning Providers",1,0,"35 Carmans Rd","","Massapequa","NY","11758-4703","Nassau","540 Fulton Ave","","Hempstead","NY","11550-4364","Nassau","Nancy O'Keefe","Senior VP for Health Services","516-750-2501","","nancy.okeefe@ppnc.org","","Tammy Umansky","CFO","516-750-2606","","tammy.umansky@ppnc.org",""]
[null,201908082,"Hudson River HealthCare Middletown","Hudson River HealthCare, Inc.","1932555737","Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",1,0,"24 Union St","","Middletown","NY","10940-4906","Orange","1200 Brown Street","3rd Floor","Peekskill","NY","10566","Westchester","Allison DuBois","Chief Operating Officer","914-734-8503","78503","adubois@hrhcare.org","","James Sinkoff","Chief Financial Officer","914-734-8722","78722","jsinkoff@hrhcare.org",""]
[null,201908088,"Hudson River HealthCare Monticello","Hudson River HealthCare, Inc.","1407910557","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",8.02,1,"23 Lakewood Ave","","Monticello","NY","12701-2021","Sullivan","1200 Brown Street","3rd Floor","Peekskill","NY","10566","Westchester","Allison DuBois","Chief Operating Officer","914-734-8503","78503","adubois@hrhcare.org","","James Sinkoff","Chief Financial Officer","914-734-8722","78722","jsinkoff@hrhcare.org",""]
[null,201908109,"Catherine M. Abate Health Center","COMMUNITY HEALTHCARE NETWORK, INC.","1699842500","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers",1,1,"150 Essex St","","New York","NY","10002-2301","New York","60 Madison Ave Ste 501","","New York","NY","10010-1683","New York","Elizabeth Howell","VP of Development","212-545-2404","","ehowell@chnnyc.org","www.chnnyc.org","Eva Rodriguez","Women's Health Manager","212-545-2415","","",""]
[null,201908115,"New Providence","Project Renewal, Inc","1598770018","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers",12,0,"225 E 45th St","","New York","NY","10017-3301","New York","200 Varick Street,","9th Fl.","New York","NY","10014","New York","Julia Nabiullina","Healthcare Contract Manager","212-620-0340","347","julia.nabiullina@projectrenewal.org","http://www.projectrenewal.org/","Aaron Felder","Director of Healthcare Operations and Planning, Primary Care Services","212-620-0340","443","Aaron.Felder@projectrenewal.org","www.projectrenewal.org"]
[null,201908130,"Covenant House","Covenant House NY/Under 21","1053588988","Federally Qualified Health Centers",5,0,"460 W 41st St","","New York","NY","10036-6801","New York","460W 41 street","460W 41 street","Manhattan","NY","10036","New York","Conny Pimentel","Medical Billing-Credentialing","212-613-0300","5315","cpimentel@covenanthouse.org","","Conny Pimentel","Medical Billiing-Credentialing","212-613-0300","315","cpimentel@covenanthouse.org",""]
[null,201908143,"Planned Parenthood Mid Hudson Valley - Newburgh","Planned Parenthood Mid Hudson Valley","1013035112","Family Planning Providers",1.2,0,"136 Lake St","Suite No. 11","Newburgh","NY","12550-5245","Orange","178 Church Street","","Poughkeepsie","NY","12601","Dutchess","Laura Bunora","Vice President of Health Center Operations","845-471-1530","122","Laura.Bunora@ppmhv.org","http://www.ppmhv.org","Lisa Murphy","Billing Manager","845-471-1530","138","Lisa.murphy@ppmhv.org","http://www.ppmhv.org"]
[null,201908149,"North Creek Health Center","Hudson Headwaters Health Network","1811091028","Family Planning Providers, Federally Qualified Health Centers",3,0,"126 Ski Bowl Rd","","North Creek","NY","12853-2607","Warren","9 Carey Rd.","","Queensbury","NY","12804","Warren","Trip Shannon","Chief Development Officer","518-761-0300","31115","tshannon@hhhn.org","www.hhhn.org","","","","","",""]
[null,201908159,"OPEN DOOR FAMILY MEDICAL CENTER, INC.","OPEN DOOR FAMILY MEDICAL CENTER, INC.","1467487637","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,1,"165 Main St","","Ossining","NY","10562-4702","Westchester","165 Main St","","Ossining","NY","10562-4702","Westchester","Lindsay C Farrell","CEO","914-502-1457","","lfarrell@odfmc.org","","Maria Mazzotta","CFO","914-502-1470","","mmazzota@odfmc.org","http://www.opendormedical.org/"]
[null,201908176,"Port Byron Community Health","Finger Lakes Migrant Health Care Project, Inc.","1114198819","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics",1,1,"60 Main St","","Port Byron","NY","13140-9767","Cayuga","14 Maiden Lane","","Penn Yan","NY","14527-1205","Yates","Mary Zelazny","CEO","315-531-9102","2112","maryz@flchealth.org","www.flchealth.org","Lawreen Duel","Family Planning Coordinator / Director of Operations","315-531-9102","2121","lawreen@flchealth.org","http://www.flchealth.org"]
[null,201908182,"Family Health Center of Port Ewen","The Institute for Family Health","1154695369","Federally Qualified Health Centers",2,0,"213 Broadway","","Port Ewen","NY","12466-7769","Ulster","2006 Madison Avenue","","New York","NY","10035","New York","Dr. Neil Calman","President and CEO","212-633-0815","","ncalman@institute.org","","Alan Woghin","VP of Finance and CFO","212-633-0815","1410","awoghin@institute.org",""]
[null,201908192,"AHF Healthcare Center - Jamaica, Queens NY","AIDS Healthcare Foundation","1558707299","Other ECP Providers",0.8,0,"16121 Jamaica Ave","","Queens","NY","11432-6113","Queens","6255 w sunset blvd","21st Floor","Los Angeles","CA","90028","Los Angeles","Donna Stidham","Chief, Managed Care","323-436-5025","","donna.stidham@aidshealth.org","www.aidshealth.org","","","","","",""]
[null,201908209,"Unity Family Medicine at St. Bernard's","ROCHESTER PRIMARY CARE NETWORK","1336366822","Federally Qualified Health Centers",2,0,"2260 Lake Ave","Suite 102","Rochester","NY","14612-5758","Monroe","259 Monroe Ave Bsmt B","","Rochester","NY","14607-3632","Monroe","Michael Leary","President/CEO","585-325-2280","","mleary@rpcn.org","","Karen Kinter","Executive Director","585-254-1850","","karen.kinter@rochestergeneral.org",""]
[null,201908219,"Jordan Health at Franklin","ANTHONY L JORDAN HEALTH CORPORATION","1104124494","Federally Qualified Health Centers",1,0,"950 Norton St","","Rochester","NY","14621-3732","Monroe","82 Holland St","","Rochester","NY","14605-2199","Monroe","Nicole Schembra","RN-Practice Manager","585-784-5940","","nschembra@jordanhealth.org","","Sandra Coleman","Director of Adolescent Health","585-784-5940","","scoleman@jordanhealth.org",""]
[null,201908225,"Cattaraugus Co. HD - Salamanca Clinic","Cattaraugus County Health Department","1134148570","Family Planning Providers, Other ECP Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"69 Iroquois Dr","","Salamanca","NY","14779-1326","Cattaraugus","69 Iroquois Dr","","Salamanca","NY","14779-1326","Cattaraugus","Susan A. Andrews","Director of Patient Services","716-701-3438","","saandrews@cattco.org","http://www.cattco.org","Patti G. Williams","Supervising Community Health Nurse","716-701-3422","","pgwilliams@cattco.org","http://www.cattco.org"]
[null,201908242,"Ellis Oupatient Child and Adolescent Mental Health","Ellis Hospital","1487644993","Community Mental Health Centers, Outpatient Hospital Clinics",1.4,0,"624 McClellan St","Suite 204","Schenectady","NY","12304-1020","Schenectady","1101 Nott St","","Schenectady","NY","12308","Schenectady","Marc Mesick","VP Finance and CFO","518-243-4144","","mesickm@ellismedicine.org","www.ellismedicine.org","Ross Leach","Director of Revenue Management","518-612-8672","","leachr@ellismedicine.org","www.ellismedicine.org"]
[null,201908252,"Planned Parenthood Hudson Peconic - Spring Valley","Planned Parenthood Hudson Peconic","1285701672","Family Planning Providers, Sexually Transmitted Disease Clinics",1.4,0,"25 Perlman Dr","","Spring Valley","NY","10977-5281","Rockland","4 Skyline Drive, suite 7","","Hawthorne","NY","10532","Westchester","Vincent Russell","President/CEO","914-467-7315","","vincent.russell@pphp.org","http://www.pphp.org","Ann Marie Bentsi-Addison","Regional Director, Patient Services and Operations, North","914-467-7331","","annmarie.bentsi-addison@pphp.org","http://www.pphp.org"]
[null,201908258,"Planned Parenthood of New York City - Staten Island Center","Planned Parenthood of New York City","1417959701","Family Planning Providers",0.8,0,"23 Hyatt St","","Staten Island","NY","10301-1801","Richmond","26 Bleecker Street","","New York","NY","10012","New York","Jonathan Segal","Chief Financial and Administrative Officer","212-274-7230","","jonathan.segal@ppnyc.org","http://www.ppnyc.org","","","","","",""]
[null,201908275,"Utica Community Health Center","ROCHESTER PRIMARY CARE NETWORK","1649587627","Dental Providers, Federally Qualified Health Centers",3,3,"1651 Oneida St","","Utica","NY","13501-4866","Oneida","259 Monroe Ave Bsmt B","","Rochester","NY","14607-3632","Monroe","Jennifer Yager","Social Work Lead","315-793-7600","7226","jyager@rpcn.org","http://www.rpcn.org","","","","","",""]
[null,201908285,"NORTH COUNTRY FAMILY HEALTH CENTER, INC.","NORTH COUNTRY FAMILY HEALTH CENTER, INC.","1609946821","Dental Providers, Federally Qualified Health Centers",1,0.8,"171 E Hoard St","North Elementary School","Watertown","NY","13601-1515","Jefferson","238 Arsenal St","","Watertown","NY","13601-2504","Jefferson","Joey Marie Horton","Executive Director","315-782-9450","","Jhorton@nocofamilyhealth.org","https://www.nocofamilyhealth.org/about-our-school-based-health-centers/","Deidra Parks","Billing Lead","315-782-9450","8072","dparks@nocofamilyhealth.org",""]
[null,201908291,"Planned Parenthood of Central and Western New York - Wimbledon Plaza Medical Center","Planned Parenthood of Central and Western New York, Inc.","1306909957","Family Planning Providers, Sexually Transmitted Disease Clinics",13.95,0,"240 Center Rd","","West Seneca","NY","14224-1947","Erie","114 University Ave","","Rochester","NY","14605","Monroe","Christian Oleck","VP of Finance, CFO","585-546-2771","344","christian.oleck@ppcwny.org","https://www.plannedparenthood.org/planned-parenthood-central-western-new-york","Melinda Dubois","Vice President of Health Services","716-831-2200","5950","melinda.dubois@ppcwny.org","https://www.plannedparenthood.org/planned-parenthood-central-western-new-york"]
[null,201908301,"Planned Parenthood Hudson Peconic - Yonkers","Planned Parenthood Hudson Peconic","1285701672","Family Planning Providers",1.2,0,"20 S Broadway # 11","","Yonkers","NY","10701-3713","Westchester","4 Skyline Drive, suite 7","","Hawthorne","NY","10532","Westchester","Vincent Russell","President/CEO","914-467-7315","","vincent.russell@pphp.org","http://www.pphp.org","Ann Marie Bentsi-Addison","Regional Director, Patient Services and Operations, North","914-467-7331","","annmarie.bentsi-addison@pphp.org","http://www.pphp.org"]
[null,201908319,"Ashland Co. Family Planning Clinic","Kno-Ho-Co. CAC","1356481436","Family Planning Providers",1.5,0,"1060 Claremont Ave","Suite No. 3","Ashland","OH","44805-3715","Ashland","120 N 4th St","","Coshocton","OH","43812-1504","Coshocton","Kelly Corrigan","Administrator","740-622-9801","1030","kcorrigan@knohoco.org","http://www.knohoco.org","","","","","",""]
[null,201908325,"Barnesville Family Health Center","Ohio Hills Health Services","1326089129","Federally Qualified Health Centers",6.1,0,"101 E Main St","","Barnesville","OH","43713-1005","Belmont","101 E Main St","","Barnesville","OH","43713-1005","Belmont","Jeffrey Britton","CEO","740-239-6447","1016","jbritton@ohiohillshealthservices.com","","Lana Phillips","Community Services Director","740-239-6447","1011","lphillips@ohiohillshealthservices.com",""]
[null,201908335,"Muskingum Valley Health Center","Muskingum Valley Health Center","1295118883","Federally Qualified Health Centers",3.5,0,"1330 Clark St","","Cambridge","OH","43725-9614","Guernsey","716 Adair Ave","","Zanesville","OH","43701","Muskingum","Daniel Atkinson","CEO","740-891-9090","","datkinson@mvhealthcenters.org","www.mvhccares.org","Melissa Leckrone","Executive Assistant","740-896-8395","","mleckrone@mvhealthcenters.org","www.mvhccares.org"]
[null,201908352,"Elm Street Health Center","City of Cincinnati","1457468860","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",5,2,"1525 Elm St","","Cincinnati","OH","45202-6957","Hamilton","3101 Burnet Avenue","","Cincinnati","OH","45229","Hamilton","Joyce A Tate","Assistant Health Commissioner/CEO","513-357-7362","","joyce.tate@cincinnati-oh.gov","","Martha Walter","Family Planning Coordinator","513-357-7485","","martha.walter@cincinnati-oh.gov","http://www.cincinnati-oh.gov/health/"]
[null,201908362,"University of Cincinnati Factor Program","University of Cincinnati","1679672158","Hemophilia Treatment Centers",3,0,"234 Goodman St","","Cincinnati","OH","45219-2364","Hamilton","231 Albert Sabin Way","","Cincinnati","OH","45267-0562","Hamilton","Elizabeth Billow","Medical Social Worker III","513-584-3237","","billoweh@ucmail.uc.edu","","Barb Day","Hem-Onc Business Director","513-558-2184","","kilgusba@ucmail.uc.edu",""]
[null,201908368,"CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER (multiple outpatient ECP categories)","CHILDREN'S HOSPITAL MEDICAL CENTER","1548212988","Community Mental Health Centers, Dental Providers, Hemophilia Treatment Centers",27.5,16,"3333 Burnet Ave","","Cincinnati","OH","45229-3039","Hamilton","3333 Burnet Ave","","Cincinnati","OH","45229-3026","Hamilton","Chris Scowden","AVP, Contracting & Payor Relations","513-636-8856","","chris.scowden@cchmc.org","www.cincinnatichildrens.org","","","","","",""]
[null,201908385,"Talbert House-Hamilton Avenue","HEALTHCARE CONNECTION, INC.,THE","1124201694","Federally Qualified Health Centers",1,0,"5837 Hamilton Ave","","Cincinnati","OH","45224-2923","Hamilton","1401 Steffen Ave","","Cincinnati","OH","45215-2338","Hamilton","Dolores J Lindsay","CEO","513-483-3080","","doloresl@healthcare-connection.org","","","","","","",""]
[null,201908395,"Neighborhood Family Practice","Neighborhood Health Care Incorporated","1437539517","Federally Qualified Health Centers",1.84,0,"11709 Lorain Ave","","Cleveland","OH","44111-5443","Cuyahoga","3569 Ridge Road","","Cleveland","OH","44102","Cuyahoga","Christine Porter","Controller","216-281-0872","114","cporter@nfpmedcenter.org","","Steve Demeter","Chief Financial Officer","216-281-0872","230","sdemeter@nfpmedcenter.org",""]
[null,201908401,"Care Alliance Health Center (Downtown)","Care Alliance Health Center","1396874426","Dental Providers, Federally Qualified Health Centers, Ryan White Providers",21,9,"1530 Saint Clair Ave NE","","Cleveland","OH","44114-2004","Cuyahoga","1530 St. Clair Avenue NE","","Cleveland","OH","44114-2004","Cuyahoga","Yulanda Lee","BILLING SUPERVISOR","216-535-9100","559","ylee@carealliance.org","www.carealliance.org","Terrance K Byrne","COO","216-781-6228","227","tbyrne@carealliance.org","www.carealliance.org"]
[null,201908418,"Neighborhood Family Practice","Neighborhood Health Care Incorpoarted","1477823565","Federally Qualified Health Centers",1.3,0,"6412 Franklin Blvd","","Cleveland","OH","44102-3153","Cuyahoga","3569 Ridge Rd","","Cleveland","OH","44102-5443","Cuyahoga","Christine Porter","Controller","216-281-0872","114","cporter@nfpmedcenter.org","","Steve Demeter","Chief Financial Officer","216-281-0872","230","sdemeter@nfpmedcenter.org",""]
[null,201908428,"Lower Lights Christian Health Center, Inc.","LOWER LIGHTS CHRISTIAN HEALTH CENTER INC","1770854473","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers",25.21,1,"1160 W Broad St","","Columbus","OH","43222-1352","Franklin","1160 W Broad St","","Columbus","OH","43222-1359","Franklin","Dana Vallangeon","CEO","614-274-1455","300","dana@llchc.org","","Lisa Skidmore","CFO","614-274-1455","320","lisas@llchc.org",""]
[null,201908434,"Lower Lights 5th. Avenue","LOWER LIGHTS CHRISTIAN HEALTH CENTER INC","1053799916","Federally Qualified Health Centers",2,0,"171 E 5th Ave","","Columbus","OH","43201-2860","Franklin","1160 W Broad St","","Columbus","OH","43222-1359","Franklin","Dana Vallangeon","CEO","614-274-1455","300","dana@llchc.org","","Lisa Skidmore","CFO","614-274-1455","320","lisas@llchc.org",""]
[null,201908444,"PrimaryOne Health","COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.","1346304151","Federally Qualified Health Centers",1,0,"3433 Agler Rd","Suite 2800","Columbus","OH","43219-3389","Franklin","1800 Watermark Dr Ste 420","","Columbus","OH","43215-1072","Franklin","Fikru L. Nigusse","Chief Financial Officer","614-859-1939","","fikru.nigusse@primaryonehealth.org","primaryonehealth.org","Regina D. Browder","Credentialing Specialist","614-859-1939","","regina.browder@primaryonehealth.org","primaryonehealth.org"]
[null,201908461,"Community Health Centers of Greater Dayton - Victor Cassano Health Center","COMMUNITY HEALTH CENTERS OF GREATER DAYTON","1265721542","Federally Qualified Health Centers",4,0,"165 S Edwin C Moses Blvd","","Dayton","OH","45402-8472","Montgomery","1323 W 3rd St","","Dayton","OH","45402-6714","Montgomery","Gregory Hopkins","Executive Director","937-586-9733","1023","ghopkins@chcgd.org","","","","","","",""]
[null,201908467,"Community Health Centers of Greater Dayton - Corwin Nixon Health Center","COMMUNITY HEALTH CENTERS OF GREATER DAYTON","1902047707","Federally Qualified Health Centers",1.9,0,"2349 Stanley Ave","","Dayton","OH","45404-1201","Montgomery","1323 W 3rd St","","Dayton","OH","45402-6714","Montgomery","Gregory Hopkins","Executive Director","937-586-9733","1023","ghopkins@chcgd.org","","","","","","",""]
[null,201908477,"PrimaryOne Health","COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.","1538569827","Federally Qualified Health Centers",38,0,"299 Cramer Creek Ct","","Dublin","OH","43017-2586","Franklin","1800 Watermark Dr Ste 420","","Columbus","OH","43215-1072","Franklin","Fikru L. Nigusse","Chief Financial Officer","614-859-1902","","fikru.nigusse@primaryonehealth.org","primaryonehealth.org","Regina D. Browder","Credentialing Specialist","614-859-1939","","regina.browder@primaryonehealth.org","primaryonehealth.org"]
[null,201908496,"GEORGETOWN PEDIATRICS","HEALTHSOURCE OF OHIO, INC.","1255372207","Federally Qualified Health Centers",2,0,"5160 State Route 125","","Georgetown","OH","45121-9518","Brown","5400 DuPont Cir Ste A","","Milford","OH","45150-2770","Clermont","Kimberly Patton","CEO","513-576-7700","3606","kpatton@hsohio.org","www.healthsourceofohio.org","Lisa Jackson","VP Marketing and Development","513-576-7700","3605","ljackson@hsohio.org","www.healthsourceofohio.org"]
[null,201908501,"Bever","Primary Health Solutions","1295102127","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Other ECP Providers",7,2,"210 S 2nd St","","Hamilton","OH","45011-2811","Butler","210 S. 2nd Street","Floor 2","Hamilton","OH","45011","Butler","Ken Folz","Chief Financial Officer","513-454-1468","","kefolz@myprimaryhealthsolutions.org","","Marc Bellisario","Chief Executive officer","513-454-1459","","marcb1@myprimaryhealthsolutions.org",""]
[null,201908511,"KENT HEALTH CENTER","Planned Parenthood of Greater Ohio","1750486171","Family Planning Providers",1,0,"138 E Main St Ste 202","2nd Floor","Kent","OH","44240-1408","Portage","206 E State Street","","Columbus","OH","43215","Franklin","Erica Wilson Domer","VP of Financial Services","330-535-2674","1161","Erica.Wilson@ppoh.org","","Lillian Williams","Director of Business Operations","330-535-2674","1123","Lillian.Williams@ppoh.org",""]
[null,201908528,"Hocking Valley Community Hospital","Hocking Valley Community Hospital","1295840007","Inpatient Hospitals (other than children's hospitals)",25,0,"601 State Route 664 N","","Logan","OH","43138-8541","Hocking","PO Box 966","","Logan","OH","43138","Hocking","Heather Smith","RCM Director","740-380-8127","8127","hasmith@hvch.org","","Julie Grow","CFO","740-380-8389","8389","jgrow@hvch.org",""]
[null,201908538,"Mansfield Health Center","Planned Parenthood of Greater Ohio","1760471452","Family Planning Providers",1,0,"384 Park Ave W","","Mansfield","OH","44906-3116","Richland","206 E State Street","","Columbus","OH","43215","Franklin","Erica Wilson Domer","VP of Financial Services","330-535-2674","1161","Erica.Wilson@ppoh.org","","Lillian Williams","Director of Business Operations","330-535-2674","1123","Lillian.Williams@ppoh.org",""]
[null,201908544,"Hopewell Health Centers - McArthur","HOPEWELL HEALTH CENTERS, INC.","1003903360","Dental Providers, Federally Qualified Health Centers",3,1,"31891 State Route 93","","Mc Arthur","OH","45651-9006","Vinton","1049 Western Ave","","Chillicothe","OH","45601-1104","Ross","Mark Bridenbaugh","CEO","740-773-1006","2004","mbridenbaugh@hopewellhealth.org","","","","","","",""]
[null,201908561,"Huron County Public Health","Huron County Public Health","1588619696","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.07,0,"180 Milan Ave","Suite 8","Norwalk","OH","44857-1168","Huron","180 Milan Avenue","Suite 8","Norwalk","OH","44857","Huron","Christina Cherry","Director of Nursing","419-668-1652","230","ccherry@huroncohealth.com","http://www.huroncohealth.com","Karen Boose","Director of Administrative Services","419-668-1652","257","kboose@huroncohealth.com","www.huroncohealth.com"]
[null,201908571,"Ottawa Co. Health Dept.","State of Ohio -- Dept. of Health Reproductive Health and Wellness Program","1669514303","Family Planning Providers, Sexually Transmitted Disease Clinics",0.25,0,"1856 E Perry St","","Port Clinton","OH","43452-1497","Ottawa","1856 E Perry St","","Port Clinton","OH","43452-1497","Ottawa","Nancy Osborn","Health Commissioner","419-734-6800","","nosborn@cros.net","http://www.ottawahealth.org","","","","","",""]
[null,201908577,"Portsmouth Clinic","Shawnee Family Health Center","1336173236","Community Mental Health Centers",6,0,"901 Washigton St","","Portsmouth","OH","45662","Scioto","901 Washington Street","","Portsmouth","OH","45662","Scioto","Cynthia Holstein","CEO","740-355-8686","","c.holstein@shawneemhc.org","","Jill Cottrill","CFO","740-354-7702","1266","j.cottrill@shawneemhc.org",""]
[null,201908587,"Family Health Services of Erie County","Family Health Services of Erie County","1831343805","Federally Qualified Health Centers",5,0,"1912 Hayes Ave","","Sandusky","OH","44870-4736","Erie","1912 Hayes Avenue","","Sandusky","OH","44870","Erie","Don Branum","CEO","419-502-2822","","donb@familyhs.org","","Amanda Corapi","Director of Strategic Initiative and Compliance","419-502-2829","","amandac@familyhs.org",""]
[null,201908604,"River East Community Health Center","Neighborhood Health Association of Toledo, Inc.","1063533164","Federally Qualified Health Centers, Urban Indian Health Program",1.2,0,"117 Main St","","Toledo","OH","43605-2091","Lucas","313 Jefferson Avenue","","Toledo","OH","43604-1004","Lucas","Tamara McMurray","Revenue Cycle Manager","419-720-7883","239","tmcmurray@nhainc.org","www.nhainc.org","Amie LW Gohlike","Director of Human Resources","419-720-7883","213","agohlike@nhainc.org","www.nhainc.org"]
[null,201908610,"Toledo Children's Hospital","The Toledo Hospital","1205837259","Children's Hospitals (inpatient only)",151,0,"2142 N Cove Blvd","","Toledo","OH","43606-3896","Lucas","2142 N. Cove Blvd","","Toledo","OH","43614","Lucas","Scott Fought","Vice President, Finance","419-291-5909","","scott.fought@promedica.org","","","","","","",""]
[null,201908620,"Kidz 1st Pediatrics","ONE Health Ohio","1265780746","Federally Qualified Health Centers",2,0,"1821 E Market St","","Warren","OH","44483-6627","Trumbull","726 Wick Ave","","Youngstown","OH","44505","Mahoning","Megan Kovacich","Marketing Director","330-747-9551","77185","mkovacich@onehealthohio.org","www.onehealthohio.org","Dionna Slagle","CFO","330-747-9551","77132","dslagle@onehealthohio.org","www.onehealthohio.org"]
[null,201908637,"Wooster Health Center","Planned Parenthood of Greater Ohio","1770789687","Family Planning Providers",0.5,0,"334 E Milltown Rd","","Wooster","OH","44691-1248","Wayne","206 E State Street","","Columbus","OH","43215","Franklin","Erica Wilson Domer","VP of Financial Services","330-535-2674","1161","Erica.Wilson@ppoh.org","","Lillian Williams","Director of Business Operations","330-535-2674","1123","Lillian.Williams@ppoh.org",""]
[null,201908643,"Genesis Hospital","Genesis Healthcare System","1598868655","Inpatient Hospitals (other than children's hospitals)",321,0,"2951 Maple Ave","","Zanesville","OH","43701-1406","Muskingum","2951 Maple Avenue","","Zanesville","OH","43701","Muskingum","Susan Reif","Mgr. Managed Care Contracting","740-454-4277","","sreif@genesishcs.org","","Christy Wilson","Director Managed Care","740-454-6260","","swilson@genesishcs.org",""]
[null,201908653,"Afton Community Health Center","Community Health Center of Northeast Oklahoma, Inc","1821410648","Federally Qualified Health Centers",3.2,0,"21965 Bison Dr","","Afton","OK","74331","Ottawa","PO Box 705","","Afton","OK","74331","Ottawa","Patrick Michael Peer","Chief Executive Officer","918-257-8029","21","ppeer@chcneo.org","www.chcneo.org","Janet Mendez, RN","Chief Operating Officer","918-257-8029","","jmendez@chcneo.org","www.chcneo.org"]
[null,201908670,"Washington County Health Department","Oklahoma State Department of Health","1184891525","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"5121 Jacquelyn Ln","","Bartlesville","OK","74006-7723","Washington","1000 NE 10th Street","","Oklahoma City","OK","73117-1207","Oklahoma","Leigh Newby","Revenue Officer","405-271-4042","56339","LeighN@health.ok.gov","http://www.ok.gov/health","Larry Bergner","Regional Director","918-335-3005","","",""]
[null,201908685,"Lincoln County Health Department","Oklahoma State Department of Health","1184891525","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"101 Meadow Ln","","Chandler","OK","74834-8786","Lincoln","1000 NE 10th Street","","Oklahoma City","OK","73117-1207","Oklahoma","Leigh Newby","Revenue Officer","405-271-4042","56339","LeighN@health.ok.gov","","Jay Smith","Regional Director","405-258-2640","","",""]
[null,201908687,"McIntosh County Health Department - Checotah","Oklahoma State Department of Health","1184891525","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"211 W Gentry Ave","","Checotah","OK","74426-2439","McIntosh","1000 NE 10th Street","","Oklahoma City","OK","73117-1207","Oklahoma","Leigh Newby","Revenue Officer","405-271-4042","56339","LeighN@health.ok.gov","http://www.ok.gov/health","Jill Larcade","Regional Director","918-473-5416","","",""]
[null,201908704,"Comanche Community Health Center","COMANCHE COUNTY HOSPITAL AUTHORITY","1427075498","Federally Qualified Health Centers",1,0,"513 Hillery Rd","Suite C","Comanche","OK","73529-1200","Stephens","3811 West Gore Blvd","Ste 6","Lawton","OK","73505","Comanche","Sean McAvoy","Executive Director","580-355-5242","2221","mcavoys@ccmhonline.com","","","","","","",""]
[null,201908714,"Edmond Health Center","Planned Parenthood Great Plains","1679614838","Family Planning Providers",1,0,"3431 S Boulevard","Suite 108","Edmond","OK","73013-5514","Oklahoma","619 NW 23rd St","","Oklahoma City","OK","73103-1415","Oklahoma","Shirish Malla","Project Manager, Operations & Strategic Initiative","913-345-4662","","Shirish.malla@ppgreatplains.org","","Amanda Addison","VP of Health Services","913-345-4659","","amanda.addison@ppgreatplains.org",""]
[null,201908720,"GSPHC - Enid Satellite Location","GREAT SALT PLAINS HEALTH CENTER, INC.","1245667732","Federally Qualified Health Centers",2,0,"1101 E Broadway Ave","","Enid","OK","73701-4410","Garfield","405 S Oklahoma Ave","","Cherokee","OK","73728-2545","Alfalfa","Tim Starkey","CEO","580-596-2800","","tstarkey@gsphealth.org","","","","","","",""]
[null,201908737,"Panhandle Counseling and Health Center, Inc.","Panhandle Counseling and Health Center, Inc.","1427464437","Federally Qualified Health Centers",1,0,"3247 Highway 54","","Guymon","OK","73942","Texas","Panhandle Counseling and Health Center, Inc.","","Guymon","OK","73942","Texas","Sarah Wagner","CEO","580-338-0072","","sarah.wagner@pchcofguymon.org","www.pchcofguymon.org","Paul Reed, DO","Medical Director","580-338-0072","","paul.reed@pchcofguymon.org","www.pchcofguymon.org"]
[null,201908747,"Hughes County Health Department","Oklahoma State Department of Health","1184891525","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"200 McDougal Dr","","Holdenville","OK","74848-2811","Hughes","1000 NE 10th Street","","Oklahoma City","OK","73117-1207","Oklahoma","Leigh Newby","Revenue Officer","405-271-4042","56339","LeighN@health.ok.gov","","Brenda S. Potts","Regional Director","405-379-3313","","",""]
[null,201908753,"Kiamichi Family Medical Center - Hugo","Kiamichi Family Medical Center, Inc.","1902269012","Federally Qualified Health Centers",1,0,"211 N 3rd St","","Hugo","OK","74743-3821","Choctaw","PO Box 180","","Battiest","OK","74722","Mccurtain","AMY GILBREATH","CEO","580-241-5294","234","amy@kiamichimed.org","www.kiamichimed.org","Scott Rickey","CFO","580-241-5294","","scott@kiamichimed.org",""]
[null,201908763,"CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.","CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.","1831291293","Dental Providers, Federally Qualified Health Centers",7.5,1,"527 W 3rd St","","Konawa","OK","74849-1415","Seminole","527 W 3rd St","","Konawa","OK","74849-1415","Seminole","Brenda Ware","CEO","580-925-3286","","brenda.ware@cofmc.org","","","","","","",""]
[null,201908780,"Kickapoo Tribal Health Center","Kickapoo Tribal Health Center","1265518203","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Tribal Health Program operated under P.L. 93-638",4,2,"105365 S Hwy 102","","McLoud","OK","74851","Pottawatomie","105365 S Hwy 102","","McLoud","OK","74851","Pottawatomie","Gloria Anico","Health Director","405-964-2081","261","gloria.anico@kthcmcloud.com","","Michele Ray","Business Office Director","405-964-2081","282","michele.deathrage@ihs.gov",""]
[null,201908786,"NeoHealth Muskogee","NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.","1942553946","Federally Qualified Health Centers",1,0,"1328 S York St","","Muskogee","OK","74403-7650","Muskogee","127 E Main St","","Hulbert","OK","74441-8901","Cherokee","Scott Rosenthal","CEO","918-772-3390","","scott.rosenthal@neohealth.org","neohealth.org","Crystal Steed","COO","918-772-3390","1118","crystal.steed@neohealth.org","neohealth.org"]
[null,201908796,"Will Rogers Health Center","Cherokee Nation Health Services","1891703716","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",7,0,"1020 Lenape Dr","","Nowata","OK","74048-4403","Nowata","100 S. Bliss Ave","","Tahleqauh","OK","74464","Cherokee","Cindy L. Collins","Health System Administrator","918-273-7500","","cindy-l-collins@cherokee.org","http://www.cherokee.org/Services/Health.aspx","mitchell thornbrugh","Chief Operating Officer","918-207-3726","","mitchell-thornbrugh@cherokee.org","http://www.cherokee.org/Services/Health.aspx"]
[null,201908813,"Northeast Partner","OCCHD","1124485263","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"2700 NE 63rd Street","","Oklahoma City","OK","73111","Oklahoma","2600 NE 63rd Street","","Oklahoma City","OK","73111","Oklahoma","Tiffany Elmore","Administrator","405-425-4328","","tiffany_elmore@occhd.org","","Patrick McGough","Director","405-419-4200","","patrick_mcgough@occhd.org",""]
[null,201908823,"Variety Care North Portland Health Center","VARIETY CARE, INC.","1669787453","Federally Qualified Health Centers",4,0,"5320 N Portland Ave","Suite A","Oklahoma City","OK","73112-2098","Oklahoma","3000 N Grand Blvd","","Oklahoma City","OK","73107-1818","Oklahoma","Lou R Carmichael","CEO","405-636-1675","","lcarmichael@varietycare.org","www.varietycare.org","Tim Reddout","CFO","405-632-6688","10144","treddout@varietycare.org","www.varietycare.org"]
[null,201908829,"Okmulgee County Health Department","Oklahoma State Department of Health","1184891525","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"1304 R D Miller Dr","","Okmulgee","OK","74447-6365","Okmulgee","1000 NE 10th Street","","Oklahoma City","OK","73117-1207","Oklahoma","Leigh Newby","Revenue Officer","405-271-4042","56339","LeighN@health.ok.gov","http://www.ok.gov/health","Brenda Potts","Regional Director","918-756-1883","","",""]
[null,201908846,"White Eagle Health Center","Ponca Tribe of Oklahoma","1699875724","Dental Providers, Other ECP Providers, Tribal Health Program operated under P.L. 93-638",3,1,"200 White Eagle Dr","","Ponca City","OK","74601-8315","Kay","200 White Eagle Drive","","Ponca City","OK","74601","Oklahoma","Modina Waters","Facility Director","580-765-2501","2222","modina.waters@ihs.gov","","Randy Ross","Development Officer","580-765-2501","2242","randy.ross@ihs.gov",""]
[null,201908856,"Ringwood Medical Clinic","Okeene Municipal Hospital and Schallmo Authority","1053478024","Other ECP Providers",0.25,0,"615 N Main","","Ringwood","OK","73768","Major","PO Box 389","","Okeene","OK","73763","Blaine","Shelly Dunham","CEO","580-822-4321","","sdunham@okeenehospital.com","","","","","","",""]
[null,201908870,"Citizen Potawatomi Nation","Citizen Potawatomi Nation","1194752949","Dental Providers, Federally Qualified Health Centers, Tribal Health Program operated under P.L. 93-638",5,3,"2307 Gordon Cooper Dr","","Shawnee","OK","74801-9007","Pottawatomie","1601 S. Gordon Cooper Dr","","Shawnee","OK","74801-9002","Pottawatomie","Chris Skillings","Director of Health Services","405-273-5236","","chris.skillings@potawatomi.org","","Keri Harjo","Clinic Manager","405-273-5236","","kharjo@potawatomi.org",""]
[null,201908880,"Adair County Health Department","Oklahoma State Department of Health","1184891525","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"600 W Hickory St","","Stilwell","OK","74960-3622","Adair","1000 NE 10th Street","","Oklahoma City","OK","73117-1207","Oklahoma","Leigh Newby","Revenue Officer","405-271-4042","56339","AleshiaO@health.ok.gov","","Jill Larcade, MPH, RN","Regional Director","918-696-7292","","",""]
[null,201908890,"Tahlequah Health Center","NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.","1366744534","Federally Qualified Health Centers",4,0,"1500 E Downing St","Suite 214","Tahlequah","OK","74464-3379","Cherokee","127 E Main St","","Hulbert","OK","74441-8901","Cherokee","Scott Rosenthal","CEO","918-772-3390","","scott.rosenthal@neohealth.org","neohealth.org","Crystal Steed","COO","918-772-3390","1118","crystal.steed@neohealth.org","neohealth.org"]
[null,201908896,"Mercy Hospital Tishomingo","Mercy Hospital Tishomingo","1932404431","Inpatient Hospitals (other than children's hospitals)",25,0,"1000 S Byrd St","","Tishomingo","OK","73460-3265","Johnston","4300 West Memorial Road","","Oklahoma City","OK","73120","Oklahoma","Gary Raju","Chief Financial Office, West Communities","405-752-3924","","gary.raju@mercy.net","","Diana Smalley","President Mercy West Communities","405-752-3085","","diana.smalley@mercy.net",""]
[null,201908917,"Cotton County Health Department","Oklahoma State Department of Health","1184891525","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"1501A S 7th St","","Walters","OK","73572-2463","Cotton","1000 NE 10th Street","","Oklahoma City","OK","73117-1207","Oklahoma","Leigh Newby","Revenue Officer","405-271-4042","56339","LeighN@health.ok.gov","","Brandie O'Connor","Regional Director","580-875-6121","","",""]
[null,201908923,"Waynoka Family Clinic","INTEGRIS Rural Health Inc","1124029293","Rural Health Clinics",3,0,"1084 N Nickerson St","","Waynoka","OK","73860-1251","Woods","5300 N. Independence","Suite 280","Oklahoma City","OK","73112","Oklahoma","Christy Aquino","Manager of Provider Credentialing","405-552-0155","","christy.aquino@integrisok.com","","","","","","",""]
[null,201908929,"Seminole County Health Department - Wewoka","Oklahoma State Department of Health","1184891525","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"200 S Brown St","","Wewoka","OK","74884-2622","Seminole","1000 NE 10th Street","","Oklahoma City","OK","73117-1207","Oklahoma","Leigh Newby","Revenue Officer","405-271-4042","56339","LeighN@health.ok.gov","http://www.ok.gov/health","Brenda Potts","Regional Director","405-257-5401","","",""]
[null,201908950,"Ariel Glen & Ariel South Community Clinic","MOSAICMEDICAL","1083633184","Federally Qualified Health Centers",1,0,"1700 SE Tempest Dr","","Bend","OR","97702-1884","Deschutes","375 NW Beaver St Ste 101","","Prineville","OR","97754-1802","Crook","MEGAN HAASE","CEO","541-447-0707","","megan.haase@mosaicmedical.org","www.mosaicmedical.org","Lori Kadlec","Revenue Cycle Manager","541-383-3005","","lori.kadlec@mosaicmedical.org","www.mosaicmedical.org"]
[null,201908956,"Mosaic Medical Complex Care Center","MOSAICMEDICAL","1083633184","Federally Qualified Health Centers",6,0,"2965 NE Conners Ave","Suite 280","Bend","OR","97701-7753","Deschutes","375 NW Beaver St Ste 101","","Prineville","OR","97754-1802","Crook","MEGAN HAASE","CEO","541-447-0707","","megan.haase@mosaicmedical.org","www.mosaicmedical.org","Lori Kadlec","Revenue Cycle Manager","541-383-3005","","lori.kadlec@mosaicmedical.org","www.mosaicmedical.org"]
[null,201908966,"Siskiyou Community Health Center CJ Dental","Siskiyou Community Health Center","1417326562","Dental Providers",0,0.25,"25647 Redwood Hwy","","Cave Junction","OR","97523-9332","Josephine","1701 NW Hawthorne Ave","","Grants Pass","OR","97526","Josephine","Kurt Higuera","CEO","541-955-6053","","khiguera@siskiyouhealthcenter.com","","Kimber Byrd","Billing Office Manager","541-472-4773","","kbyrd@siskiyouhealthcenter.com",""]
[null,201908983,"White Bird Medical and Dental Clinic","WHITE BIRD CLINIC","1700932795","Dental Providers, Federally Qualified Health Centers",2,4,"1400 Mill St","","Eugene","OR","97401-4259","Lane","341 E 12th Ave","","Eugene","OR","97401-3275","Lane","CHUCK GERARD","Clinic Coordinator","541-342-8255","109","chuckg@whitebirdclinic.org","whitebirdclinic.org","Renae Halina Myers","Medical Program Coordinator","541-484-4800","406","renaehalina@whitebirdclinic.org","whitebirdclinic.org"]
[null,201908989,"Chrysalis Behavioral Health","White Bird Clinic","1700932357","Community Mental Health Centers, Federally Qualified Health Centers",1,0,"350 E 11th Ave","","Eugene","OR","97401-3246","Lane","341 E. 12th Ave","","Eugene","OR","97401","Lane","Chuck Gerard","Clinic Coordinator","541-342-8255","109","chuckg@whitebirdclinic.org","Whitebirdclinic.org","Larry Weinerman","Chrysalis Program Coordinator","541-683-1641","205","chrysalis_coordinator@whitebirdclinic.org","whitebirdclinic.org"]
[null,201908999,"GRANTS PASS Health Center","Planned Parenthood of Southwestern Oregon","1225168792","Family Planning Providers, Sexually Transmitted Disease Clinics",1.6,0,"160 NW Franklin Blvd","","Grants Pass","OR","97526-1086","Josephine","3579 Franklin Boulevard","","Eugene","OR","97403","Lane","Louis Coffman","COO/CFO","541-246-1022","1016","louis.coffman@ppsworegon.org","","Kelly Hall","Director of Patient Services","541-246-1024","","kelly.hall@ppsworegon.org",""]
[null,201909016,"La Clinica del Carino Family Health Care Center Inc. d/b/a One Community Health - Hood River","LA CLINICA DEL CARINO FAMILY HEALTH CARE CENTER, INC","1851385918","Dental Providers, Federally Qualified Health Centers",12.25,4.35,"849 Pacific Ave","","Hood River","OR","97031-1956","Hood River","849 Pacific Ave","","Hood River","OR","97031-1956","Hood River","Dave Edwards","Chief Executive Officer","541-308-8354","","dedwards@onecommunityhealth.org","","Elizabeth Aughney","Clinical Integrations Director","541-386-6380","1307","eaughney@onecommunityhealth.org",""]
[null,201909022,"La Pine Community Health Center","La Pine Community Health Center","1063825776","Federally Qualified Health Centers",1,0,"51605 Coach Rd","La Pine School","La Pine","OR","97739-7556","Deschutes","PO Box 3300","","La Pine","OR","97739","Deschutes","Marie Manes","COO","541-876-1841","1841","mmanes@lapinehealth.org","","Charla DeHate","CEO","541-876-1835","1835","cdehate@lapinehealth.org",""]
[null,201909032,"VIRGINIA GARCIA MEMORIAL HEALTH CENTER- MCMINNVILLE","VIRGINIA GARCIA MEMORIAL HEALTH CENTER","1295997575","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers",1,1,"115 NE May Ln","","McMinnville","OR","97128-9272","Yamhill","1151 N Adair St","","Cornelius","OR","97113-8900","Washington","Gil M Munoz","CEO","503-359-8503","","gmunoz@vgmhc.org","","","","","","",""]
[null,201909049,"Virginia Garcia Memorial Health Center - Newberg","Virginia Garcia Memorial Health Center","1245661636","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers",1,1,"2251 E Hancock St","Suite 103","Newberg","OR","97132-2145","Yamhill","1151 N Adair St","","Cornelius","OR","97113-8900","Washington","Gil M Munoz","CEO","503-359-8503","8503","gmunoz@vgmhc.org","","Maria E Loredo","COO","503-359-8502","","mloredo@vgmhc.org",""]
[null,201909059,"Malheur County Health Dept. Ontario Clinic","MALHEUR CO HEALTH DEPT","1417087297","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.2,0,"1108 SW 4th St","","Ontario","OR","97914-4305","Malheur","1108 SW 4th St","","Ontario","OR","97914-4305","Malheur","Angela Gerrard","Health Department Director","541-889-7279","127","angela.gerrard@malheurco.org","http://health.malheurco.org/","Shelbi Schultz","Accounting Specialist","541-889-7279","117","shelbi.schultz@malheurco.org","http://health.malheurco.org/"]
[null,201909066,"CHI ST ANTHONY HOSPITAL FAMILY CLINIC","CHI ST ANTHONY HOSPITAL FAMILY CLINIC","1780880518","Rural Health Clinics",13.5,0,"3001 St Anthony Way","","Pendleton","OR","97801-3836","Umatilla","2801 ST ANTHONY WAY","","Pendleton","OR","97801","Umatilla","SCOT ATTRIDGE","CFO","541-278-3220","3220","scotattridge@chiwest.com","","","","","","",""]
[null,201909083,"Multnomah, County Of","MULTNOMAH, COUNTY OF","1851531354","Family Planning Providers, Federally Qualified Health Centers",0.16,0,"2225 SE 87th Ave","HARRISON PARK K-8 SCHOOL-BASED HEALTH CENTER","Portland","OR","97216-2006","Multnomah","426 SW Stark Street","9th Floor","Portland","OR","97204-2303","Multnomah","Vanetta M Abdellatif","Integrated Clinical Services Director","503-988-8887","","vanetta.m.abdellatif@multco.us","","Christy E Ward","Health Centers Division Ops Director","503-988-6642","","christy.ward@multco.us",""]
[null,201909093,"Lifeworks Satellite Clinic","NATIVE AMERICAN REHABILITATION ASSOCIATION INC","1346520251","Federally Qualified Health Centers, Urban Indian Health Program",1,0,"3716 NE M L King Blvd","","Portland","OR","97212-1111","Multnomah","1776 SW Madison St","","Portland","OR","97205-1715","Multnomah","Jacqueline A Mercer","CEO","503-224-1044","","narajam@aol.com","","Michael Watkins","COO","503-224-1044","276","mwatkins@naranorthwest.org",""]
[null,201909099,"Multnomah, County Of","MULTNOMAH, COUNTY OF","1588804975","Family Planning Providers, Federally Qualified Health Centers",0.67,0,"5405 SE Woodward St","FRANKLIN HIGH SCHOOL-BASED HEALTH CENTER","Portland","OR","97206-2168","Multnomah","426 SW Stark Street","9th Floor","Portland","OR","97204-2303","Multnomah","Vanetta M Abdellatif","Integrated Clinical Services Director","503-988-8887","","vanetta.m.abdellatif@multco.us","","Christy E Ward","Health Centers Division Ops Director","503-988-6642","","christy.ward@multco.us",""]
[null,201909116,"UCHC Roseburg Clinic","Umpqua Community Health Center","1396751772","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics",17,6,"150 NE Kenneth Ford Dr","","Roseburg","OR","97470-1042","Douglas","150 Kenneth Ford Drive","","Roseburg","OR","97470","Douglas","Mervyn Chambers","CEO","541-492-2051","","mchambers@umpquachc.org","","Dona Weissenfels","COO","541-672-9596","","dweissenfels@umpquachc.org",""]
[null,201909126,"NORTHWEST HUMAN SERVICES-HOAP AND HOTLINE SERVICES","NORTHWEST HUMAN SERVICES, INC.","1790865798","Federally Qualified Health Centers",0.2,0,"694 Church St NE","","Salem","OR","97301-2401","Marion","681 Center St NE","","Salem","OR","97301-3722","Marion","Paul Logan","CEO","503-588-5828","","plogan@nwhumanservices.org","","","","","","",""]
[null,201909132,"Santiam Orthopaedic Clinic","Santiam Memorial Hospital","1821433129","Outpatient Hospital Clinics",2,0,"1369 N 10th Ave","","Stayton","OR","97383-2037","Marion","1369 N 10th Ave","","Stayton","OR","97383","Marion","Terry Fletchall","CEO","503-769-2175","","tfletchall@santiamhospital.org","","Lynda Fraser","Clinic Director","503-769-9254","","lfraser@santiamhospital.org",""]
[null,201909142,"Sweet Home Health Center","Benton County","1801278015","Federally Qualified Health Centers, Rural Health Clinics",1,0,"799 Long St","","Sweet Home","OR","97386-3304","Linn","530 NW 27th Street","","Corvallis","OR","97330","Benton","Sherlyn Dahl","Executive Director","541-766-6835","","sherlyn.dahl@co.benton.or.us","","","","","","",""]
[null,201909159,"Autumn Street Community Health Center","PRIMARY HEALTH NETWORK, INC.","1992073183","Federally Qualified Health Centers",4,0,"99 Autumn St","","Aliquippa","PA","15001-1301","Beaver","100 Shenango Ave","","Sharon","PA","16146-1503","Mercer","Drew Pierce","CEO","724-375-5754","","dpierce@primary-health.net","http://primary-health.net/","","","","","",""]
[null,201909165,"Women's Health and Wellness Center","Family Health Council of Central Pennsylvania, Inc.","1457303885","Family Planning Providers",18,0,"501 Howard Ave Bldg F6","Blair Medical","Altoona","PA","16601-4810","Blair","501 Howard Ave","Blair Medical Building C","Altoona","PA","16601-4810","Blair","Susan Chew","Family Planning Coordinator","814-946-2020","","chewsk@upmc.edu","","","","","","",""]
[null,201909175,"Allegheny Health Center","Penn Highlands Brookville","1083762876","Rural Health Clinics",4,0,"22 Industrial Park Rd","","Brookville","PA","15825-7228","Jefferson","100 Hospital Road","","Brookville","PA","15825","Jefferson","Michael Galluzzi","Director","814-375-6350","","magalluzzi@phhealthcare.org","","Julie Peer","President","814-849-1461","","jpeer@phhealthcare.org",""]
[null,201909192,"Tri County Community Health Center","PRIMARY HEALTH NETWORK, INC.","1295087617","Federally Qualified Health Centers",3,0,"1555 Shawna Rd","","Cherry Tree","PA","15724-9003","Cambria","100 Shenango Ave","","Sharon","PA","16146-1503","Mercer","Drew Pierce","CEO","814-743-5449","","dpierce@primary-health.net","http://primary-health.net/","","","","","",""]
[null,201909202,"Adagio Health Clearfield","Adagio Health","1699869958","Family Planning Providers",1,0,"1036 Park Avenue Ext","","Clearfield","PA","16830-4028","Clearfield","960 Penn Avenue","Suite 600","Pittsburgh","PA","15222","Allegheny","Bill Gedman","Chief Financial Officer","412-288-2130","133","wgedman@adagiohealth.org","http://www.adagiohealth.org","Leslie Nettelmann","Chief Operating Officer","412-288-2130","182","lnettelmann@adagiohealth.org","http://www.adagiohealth.org"]
[null,201909208,"CHARLES COLE MEMORIAL HOSPITAL","Charles COLE MEMORIAL HOSPITAL","1326161662","Inpatient Hospitals (other than children's hospitals)",25,0,"1001 E 2nd St","","Coudersport","PA","16915-8161","Potter","1001 EAST SECOND STREET","","COUDERSPORT","PA","16915","Potter","TRACY LEET","REGULATORY AND NETWORK ANALYST","814-274-7407","","TRACY.LEET@COLEMEMORIAL.ORG","","","","","","",""]
[null,201909225,"Community Health Net Dental","COMMUNITY HEALTH NET","1447574785","Dental Providers",0,4.5,"1611 Peach St","Suite 465","Erie","PA","16501-2129","Erie","Community Health Net Dental","","Erie","PA","16501-1914","Erie","Ross Anthony Snow, MD","CEO","814-454-4530","227","chnadmin@community-healthnet.com","www.community-healthnet.com","Gwendolyn A. Galloway","Director of Administrative Services","814-454-4530","227","ggalloway@community-healthnet.com","www.community-healthnet.com"]
[null,201909235,"Brookville Hospital Family Practice - New Bethlehem","Penn Highlands Brookville","1477693653","Rural Health Clinics",3,0,"1323 Brookville St","","Fairmount City","PA","16224-1139","Clarion","100 Hospital Road","","Brookville","PA","15825","Jefferson","Michael Galluzzi","Director","814-375-6350","","magalluzzi@phhealthcare.org","","Julie Peer","President","814-849-1461","","jpeer@phhealthcare.org",""]
[null,201909244,"GALETON HEALTH CENTER","Charles COLE MEMORIAL HOSPITAL","1003988502","Rural Health Clinics",1.1,0,"30 River St","","Galeton","PA","16922-1203","Potter","1001 EAST SECOND STREET","","COUDERSPORT","PA","16915","Potter","TRACY LEET","REGULATORY AND NETWORK ANALYST","814-274-7407","","TRACY.LEET@COLEMEMORIAL.ORG","","","","","","",""]
[null,201909259,"Community Check-Up Center","Family Health Council of Central Pennsylvania, Inc.","1629193016","Family Planning Providers",0.4,0,"38 Hall Manor","","Harrisburg","PA","17104","Dauphin","38 Hall Manor","","Harrisburg","PA","17104","Dauphin","Linda Hengst","Clinic Administrator","717-233-1700","","cccdirector@comcast.net","http://www.communitycheckupcenter.org/","","","717-233-1700","","",""]
[null,201909269,"HYNDMAN AREA HEALTH CENTER, INC.","HYNDMAN AREA HEALTH CENTER INC","1992754014","Dental Providers, Federally Qualified Health Centers",3,1,"144 5th Ave","","Hyndman","PA","15545-7379","Bedford","144 5th Ave","","Hyndman","PA","15545-7379","Bedford","Jennifer Kauffman","CFO","814-709-9813","","jkauffman@hyndmanhealth.org","","George Barton","CEO","814-709-9801","","gbarton@hyndmanhealth.org",""]
[null,201909275,"La Comunidad Hispana","LA COMUNIDAD HISPANA, INC","1285984476","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",4.6,0,"731 W Cypress St","","Kennett Square","PA","19348-2419","Chester","731 W Cypress St","","Kennett Square","PA","19348-2419","Chester","Alisa M Jones","President and CEO","610-444-7550","252","ajones@lchps.org","http://www.lacomunidadhispana.org/","Amy Lambert","Director of Business Operations and Programs","610-444-7550","248","alambert@lchps.org","http://www.lacomunidadhispana.org/"]
[null,201909285,"SouthEast Lancaster Health Services at Philhaven","SouthEast Lancaster Health Services","1306213020","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",24,4,"812 N Prince St","","Lancaster","PA","17603-2732","Lancaster","333 North Arch Street","","Lancaster","PA","17603","Lancaster","Hilda Shirk","President & CEO","717-299-6372","11051","hilda.shirk@selhs.org","www.selhs.org","","","","","",""]
[null,201909302,"Sto-Rox Family Health Center","Sto-Rox Neighborhood Health Council Inc.","1154354553","Dental Providers, Federally Qualified Health Centers",5.55,2.35,"710 Thompson Ave","","Mc Kees Rocks","PA","15136-3808","Allegheny","710 Thompson Avenue","","McKees Rocks","PA","15136","Allegheny","Regis J. Ryan","Chief Executive Officer","412-771-6460","234","admin@storoxfqhc.org","","John L. Barczynski","Chief Clinical Officer","412-771-6460","227","jbarczynski@storoxfqhc.org",""]
[null,201909308,"Planned Parenthood Southeastern Pennslvania Media Health Center","Planned Parenthood Southeastern Pennsylvania","1306988498","Family Planning Providers",1.9,0,"216 W State St","","Media","PA","19063-3113","Delaware","1144 Locust Street","","Philadelphia","PA","19107","Philadelphia","Vera Bailey","CFO","215-351-5536","","vera.bailey@ppsp.org","http://www.plannedparenthood.org/ppsp/","Steven Crowley","Revenue Cycle Manager","215-351-5506","","steven.crowley@ppsp.org","http://www.plannedparenthood.org/ppsp/"]
[null,201909318,"Cornerstone Care Mt. Morris","Cornerstone Care","1194029819","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",2,1,"120 Locust Ave Ext","","Mt Morris","PA","15349-1355","Greene","120 Locust Ave Ext","","Mt Morris","PA","15349-1355","Greene","Denise Minor","Office Manager","724-324-9001","","dminor@cornerstonecare.com","","","","","","",""]
[null,201909335,"Fairmount Primary Care Center at Horizon House","DELAWARE VALLEY COMMUNITY HEALTH, INC.","1811202153","Federally Qualified Health Centers",1,0,"120 S 30th St # 2","","Philadelphia","PA","19104-3403","Philadelphia","1412 Fairmount Ave","","Philadelphia","PA","19130-2908","Philadelphia","Patricia Deitch","CEO","215-684-5344","","deitchp@dvch.org","dvch.org","Carla Wimbush","CFO","215-684-5344","","wimbushc@dvch.org","dvch.org"]
[null,201909345,"Kensington Hospital","Kensington Hospital","1114953619","Inpatient Hospitals (other than children's hospitals)",45,0,"136 Diamond St","","Philadelphia","PA","19122-1797","Philadelphia","136 W. Diamond Street","","Philadelphia","PA","19122-1721","Philadelphia","Eileen Hause","Chief Executive Officer","215-291-6001","","ehause@kensingtonhospital.org","","Maria Zukowski","Executive Assistant","215-426-8100","6502","mdimichele@kensingtonhospital.org",""]
[null,201909351,"BROAD STREET HEALTH CENTER","SPECTRUM HEALTH SERVICES, INC.","1881629012","Family Planning Providers, Federally Qualified Health Centers",1.48,0,"1415 N Broad St","Suite 224","Philadelphia","PA","19122-3325","Philadelphia","5201 Haverford Ave","","Philadelphia","PA","19139-1401","Philadelphia","Phyllis B Cater","President & CEO","215-471-2755","","pcater@spectrumhs.org","http://www.spectrumhs.org","Diane Lee","Chief Programs & Compliance Officer","215-235-7944","","dlee@spectrumhs.org","http://www.spectrumhs.org"]
[null,201909368,"Penn Dental Medicine-ICC (Ryan White funded)","The Trustees of the Univ. of Pennsylvania","1851370910","Dental Providers",0,6,"240 S 40th St Fl 2","Schattner Bldg - Dept Of Oral Medicine","Philadelphia","PA","19104-6030","Philadelphia","School of Dental Medicine - ATTN: CRSC/Insurance","240 S. 40th Street","Philadelphia","PA","19104","Philadelphia","Joe Wolk","Director, Patient Revenue","215-898-3576","","wolkj@upenn.edu","www.dental.upenn.edu","Nina Roulac","Manager of Central Registration and Financial Services","","","nroulac@upenn.edu","www.dental.upenn.edu"]
[null,201909378,"Temple Univ Kornberg School of Dentistry","Temple Univ Kornberg School of Dentistry","1730345471","Dental Providers",0,90,"3223 N Broad St","Temple Univ Kornberg School of Dentistry","Philadelphia","PA","19140-5007","Philadelphia","3223 North Broad St","","Philadelphia","PA","19140","Philadelphia","Laurie A MacPhail","DMD","215-707-7685","","macphail@temple.edu","","Barry R. Dahlen","Administration and Financial Affairs","215-707-5593","","bdahlen@temple.edu",""]
[null,201909384,"HEMOSTASIS AND THROMBOSIS CENTER","THE CHILDREN'S HOSPITAL OF PHILADELPHIA","1235209081","Hemophilia Treatment Centers",25,0,"3401 Civic Center Blvd # 11","Floor Ctrb","Philadelphia","PA","19104-4319","Philadelphia","Division of Hematology, The Children's Hospital of Philadelphia","11th floor CTRB, 3401 Civic Center Blvd.","Philadelphila","PA","19104","Philadelphia","REGINA BUTLER","CLINICAL MANAGER","215-590-2198","","BUTLER@EMAIL.CHOP.EDU","","Leslie J. Raffini, M.D.","Medical Director, HTC","215-590-3437","2155904493","raffini@email.chop.edu",""]
[null,201909401,"GPHA - Woodland Avenue Health Center","Greater Philadelphia Health Action, Inc","1952356867","Federally Qualified Health Centers, Ryan White Providers",15,0,"5000 Woodland Ave","","Philadelphia","PA","19143-5137","Philadelphia","432 N. 6th Street","","Philadelphia","PA","19123-4004","Philadelphia","Celeste Johns","Reimbursement Director","215-925-2400","1003","cjohns@gphainc.org","","","","","","",""]
[null,201909411,"THE SAYRE HEALTH CENTER","SAYRE HEALTH CENTER","1831209113","Federally Qualified Health Centers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"5800 Walnut St Rear","","Philadelphia","PA","19139-3836","Philadelphia","5800 Walnut St Rear","","Philadelphia","PA","19139-3836","Philadelphia","Kent Bream","Medical Director","215-474-4444","","bream@sayrehealth.org","www.sayrehealthcenter.org","Frederick Carey","Executive Director","215-474-4444","","fcareay@sayrehealth.org","www.sayrehealthcenter.org"]
[null,201909417,"Covenant House Mt. Pleasant Medical Center","Covenant House Inc.","1528392008","Family Planning Providers, Federally Qualified Health Centers",3,0,"8125 Stenton Ave # 27","","Philadelphia","PA","19150-3530","Philadelphia","251 E. Bringhurst Street","","Philadelphia","PA","19150","Philadelphia","Rosetta Smith, RN, BSN, MPH","Chief Executive Officer","215-844-1020","221","rsmith@covenanthousehealth.org","www.covenanthousehealth.org","Carolyn Richardson-Neal","Director, Reimbursement Services","215-844-1020","220","crichardson@covenanthousehealth.org","www.covenanthousehealth.org"]
[null,201909433,"CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC (dental provider)","UPMC","1164426896","Dental Providers",0,22,"4401 Penn Ave","","Pittsburgh","PA","15224-1334","Allegheny","2 Hot Metal Street","Quantum One, 1st Floor, Suite 079.2","Pittsburgh","PA","15203","Allegheny","Henry Churilla","Director Payor Contracting and Revenue Analysis","412-692-3176","","Henry.Churilla@chp.edu","","Nicholas Barcellona","CFO","412-692-7331","","barcellonanj@upmc.edu",""]
[null,201909445,"MFHS Pottsville Center","Maternal and Family Health Svcs.","1851545057","Family Planning Providers, Sexually Transmitted Disease Clinics",1,0,"2510 W Market St","","Pottsville","PA","17901-1830","Schuylkill","15 Public Square Suite 600","","Wilkes Barre","PA","18701","Luzerne","John Kearney","VP of Program Services and Business Initiatives","570-826-1777","213","john@mfhs.org","http://www.mfhs.org","","","","","",""]
[null,201909451,"Berks Community Health Center at 2nd Street","Berks Community Health Center","1649525569","Federally Qualified Health Centers",2,0,"430 N 2nd St","","Reading","PA","19601-2753","Berks","838 Penn Street","","Reading","PA","19602","Berks","Mary Kargbo","CEO","484-772-4091","","mkargbo@berkschc.org","www.berkschc.net","Michael Rossi","CFO","484-772-4097","","mrossi@berkschc.org","www.berkschc.org"]
[null,201909461,"MFHS Circle of Care","Maternal and Family Health Svcs.","1851545057","Family Planning Providers, Sexually Transmitted Disease Clinics",1.2,0,"640 Madison Ave","Fl 1; Pine St. Entrance","Scranton","PA","18510-1631","Lackawanna","15 Public Square Suite 600","","Wilkes Barre","PA","18701","Luzerne","John Kearney","VP of Program Services and Business Initiatives","570-826-1777","213","john@mfhs.org","http://www.mfhs.org","","","","","",""]
[null,201909478,"Medical Associates of Boswell","Medical Associates of Boswell","1871628651","Rural Health Clinics",5,0,"136 S Pine Ave","PO Box 340","Stoystown","PA","15563-6002","Somerset","136 S Pine Ave","PO Box 340","Stoystown","PA","15531","Somerset","Carla J Smith","Office Manager","814-893-5568","1422","mabfourbos@yahoo.com","","Linda Veres","IT","814-893-5568","1416","mabonebos@yahoo.com",""]
[null,201909484,"PhysicianCare, P.C.","PhysicianCare, P.C. Family Planning Administration","1750361945","Family Planning Providers",10,0,"71 Hospital Dr","","Towanda","PA","18848-9702","Bradford","71 Hospital Dr","","Towanda","PA","18848-9702","Bradford","Cheryl Henninger","Billing Manager","570-265-3000","","cheryl_ahs@yahoo.com","http://www.physiciancarepc.com","Nciole Cobb","Credentialing Department","570-265-0119","","ncobb@physiciancarepc.com","http://www.physiciancarepc.com"]
[null,201909494,"McAndrew Family Health Center","WAYNE MEMORIAL COMMUNITY HEALTH CENTERS","1952395121","Family Planning Providers, Federally Qualified Health Centers",2,0,"111 Main St","","Vandling","PA","18421-1711","Lackawanna","601 Park St","","Honesdale","PA","18431-1445","Wayne","Fred Jackson","Executive Director","570-253-8450","","jacksonf@wmh.org","","","","","","",""]
[null,201909511,"Reading Hospital and Medical Center","Reading Hospital","1669530069","Ryan White Providers",3,0,"301 S 7th Ave Ste 225","Dob","West Reading","PA","19611-1450","Berks","6th Ave and Spruce St","","West Reading","PA","19611","Berks","Glenn Young","Program Director","484-628-5488","5488","glenn.young@readinghealth.org","https://www.readinghealth.org/services/center-public-health/conditions-treatments/hiv/","Robert Paul","Director of Ambulatory Practices","484-628-4831","5831","robert.paul@readinghealth.org","https://www.readinghealth.org"]
[null,201909521,"Reproductive Health Center","The Williamsport Hospital","1063597334","Family Planning Providers, Sexually Transmitted Disease Clinics",2.5,0,"699 Rural Ave","Suite 202","Williamsport","PA","17701-3250","Lycoming","700 High Street","","Williamsport","PA","17701","Lycoming","Sally Wentzler","Clinic Director","570-321-3138","","swentzler@susquehannahealth.org","","","","","","",""]
[null,201909527,"2 Old County Road","East Bay Community Action Program","1609925122","Community Mental Health Centers, Federally Qualified Health Centers",2,0,"2 Old County Rd","","Barrington","RI","02806-1600","Bristol","2 Old County Road","","Barrington","RI","02806","Bristol","Bobbi Ozanian","Administrative Assistant","401-437-1008","165","bozanian@ebcap.org","","Dennis Roy","CEO","401-437-1000","126","droy@ebcap.org",""]
[null,201909544,"Blackstone Valley Community Health Dental","Blackstone Valley Community Health Center","1063574135","Dental Providers",0,4,"210 Main St","","Pawtucket","RI","02860-4008","Providence","39 East Avenue","","Pawtucket","RI","02860","Providence","Raymond Lavoie","Executive Director","401-312-5246","101","rlavoie@bvchc.org","www.bvchc.org","Sandra Pardus","Chief Executive officer","401-312-0081","115","spardus@bvchc.org","www.bvchc.org"]
[null,201909554,"The Providence Community Health Center at Chad Brown","The Providence Community Health Centers, Inc","1669596367","Federally Qualified Health Centers",1.25,0,"285A Chad Brown St","","Providence","RI","02908-3102","Providence","375 Allens Ave","","Providence","RI","02905-5010","Providence","Merrill R Thomas","CEO","401-444-0400","3130","mthomas@providencechc.org","www.providencechc.org","Denise Andrade","Sr. Project Manager","401-444-0400","3385","dandrade@providencechc.org","www.providencechc.org"]
[null,201909560,"Providence Community Health Centers at North Main Street","The Providence Community Health Centers, Inc.","1558650986","Federally Qualified Health Centers",1.26,0,"530 N Main St","","Providence","RI","02904-5762","Providence","375 Allens Ave","","Providence","RI","02905-5010","Providence","Merrill R Thomas","CEO","401-444-0400","3130","mthomas@providencechc.org","www.providencechc.org","Denise Andrade","Sr. Project Manager","401-444-0400","3385","dandrade@providencechc.org","www.providencechc.org"]
[null,201909570,"Thundermist Health Center of West Warwick- Dental","Thundermist Health Center","1588691620","Dental Providers",0,3,"1219 Main St","","West Warwick","RI","02893-4834","Kent","171 Service Avenue","Building 2","Warwick","RI","02886","Kent","Charles T Jones","Chief Executive Officer","401-767-4100","","chuckj@thundermisthealth.org","","Michael Ryan","Finance Director","401-767-4100","3041","miker@thundermisthealth.org",""]
[null,201909587,"Barnwell Health Dept.","South Carolina Dept. of Health and Environmental Control","1447331822","Family Planning Providers, Sexually Transmitted Disease Clinics",0.5,0,"11015 Ellenton St","","Barnwell","SC","29812-7307","Barnwell","2100 Bull Street","","Columbia","SC","29201","Richland","Stephanie Derr","Women's Health Division Director","803-898-0598","","derrsr@dhec.sc.gov","http://www.dhec.sc.gov","Charice Jones","Preventive Health Program Nurse Manager","803-576-2723","","jonesct@dhec.sc.gov","http://www.dhec.sc.gov"]
[null,201909593,"CSC Bennettsville Pediatric Center","CARE SOUTH CAROLINA INC","1639458672","Federally Qualified Health Centers",2,0,"210 W Main St","","Bennettsville","SC","29512-3122","Marlboro","201 S 5th St","","Hartsville","SC","29550-4211","Darlington","Ann Lewis","CEO","843-857-0111","","ann.lewis@caresouth-carolina.com","","Tracy B Beasley","Director Corporate Compliance and Contracting","843-857-0111","","tracy.beasley@caresouth-carolina.com",""]
[null,201909603,"CALHOUN FALLS FAMILY PRACTICE","CAROLINA HEALTH CENTERS, INC.","1871626259","Federally Qualified Health Centers",1.5,0,"535 Jackson St","","Calhoun Falls","SC","29628-1222","Abbeville","313 Main St, Ste B","","Greenwood","SC","29646-2757","Greenwood","Lisa Gilmer","Revenue Cycle Manager","864-941-8121","","lgilmer@carolinahealthcenters.org","","Sue Veer","CEO","864-396-0200","","sveer@carolinahealthcenters.org",""]
[null,201909618,"MARGARET J. WESTON HEALTH CENTER","RURAL HEALTH SERVICES, INC.","1790846608","Federally Qualified Health Centers",3.6,0,"4645 Augusta Rd","","Clearwater","SC","29842-7265","Aiken","1000 Clyburn Place","","Aiken","SC","29801","Aiken","Carolyn Emanuel-McClain","Chief Executive Officer","803-380-7012","","cmcclain@ruralhs.org","","Lisa Lewis","Executive Manager","803-380-7012","","llewis@ruralhs.org",""]
[null,201909627,"South Carolina Dept. of Health and Environmental Control","South Carolina Dept. of Health and Environmental Control","1679607162","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",31,0,"2100 Bull St","","Columbia","SC","29201-2104","Richland","2100 Bull Street","","Columbia","SC","29201","Richland","Nicholas Davidson","Director of Client Services","803-898-1685","","davidsne@dhec.sc.gov","www.dhec.sc.gov","","","","","",""]
[null,201909637,"HEALTH CARE PARTNERS OF S.C., INC.","HEALTH CARE PARTNERS OF SOUTH CAROLINA, INC.","1043395346","Federally Qualified Health Centers",7,0,"1608 Main St","","Conway","SC","29526-3572","Horry","1708 Oak St","","Conway","SC","29526-3086","Horry","Barlon Lundgren","Chief Executive Officer","843-488-6035","","blundgren@hcpsc.com","","","","","","",""]
[null,201909654,"Florence Co. Health Dept.","South Carolina Dept. of Health and Environmental Control","1679658942","Family Planning Providers, Sexually Transmitted Disease Clinics",0.5,0,"145 E Cheves St","","Florence","SC","29506-2526","Florence","2100 Bull Street","","Columbia","SC","29201","Richland","Stephanie Derr","Women's Health Division Director","803-898-0598","","derrsr@dhec.sc.gov","http://www.dhec.sc.gov","Krystle Benton","Preventive Health Program Nurse Manager","843-915-8765","","bentonks@dhec.sc.gov","http://www.dhec.sc.gov"]
[null,201909664,"Georgetown Health Services","St James Santee Family Health Center","1366568594","Federally Qualified Health Centers",3,0,"422 N Fraser St","","Georgetown","SC","29440-3260","Georgetown","P O Box 608","","McClellanville","SC","29510","Charleston","Sandra Gilliard","CEO","843-887-3274","17","gilliards@tds.net","","Gwen Brown","Administrative Assistant","843-887-3274","32","gilliards@tds.net",""]
[null,201909670,"NEW HORIZON FAMILY DENTAL CARE","NEW HORIZON FAMILY HEALTH SERVICES, INC","1720157290","Dental Providers",0,4,"1 Memorial Medical Dr","","Greenville","SC","29605-4407","Greenville","975 W. Faris Road","","Greenville","SC","29605","Greenville","Regina M. Mitchell","President & CEO","864-729-8330","2259","mmitchell@newhorizonfhs.org","www.newhorizonfhs.org","","","","","",""]
[null,201909687,"Family Health Centers at Holly Hill","Family Health Centers, Inc","1609279744","Federally Qualified Health Centers",1,0,"922 Holly St","","Holly Hill","SC","29059-2762","Orangeburg","3310 Magnolia Street","","Orangeburg","SC","29115","Orangeburg","Leon A. Brunson","Chief Executive Officers","803-531-6905","","leon.brunson@myfhc.org","","Melvin Cramer","Controller","803-531-5952","","melvin.cramer@myfhc.org",""]
[null,201909697,"Care Health Kershaw","CARE NET OF LANCASTER","1336403807","Federally Qualified Health Centers",3,0,"212 E Marion St","","Kershaw","SC","29067-1442","Lancaster","212 E Marion St","","Kershaw","SC","29067","Lancaster","Randall S Barre","CEO","843-991-0147","","sbarre@carehealthcenter.net","www.carehealthcenter.net","Shannon Hyde","Practice Manager","803-459-1547","","shyde@carehealthcenter.net","www.carehealthcenter.net"]
[null,201909703,"HopeHealth - Lake City","HOPEHEALTH INC","1831442854","Federally Qualified Health Centers",1.5,0,"241 Kelley St","","Lake City","SC","29560-2446","Florence","600 E Palmetto St","","Florence","SC","29506-2851","Florence","Carl Humphries","CEO","843-656-0345","","chumphries@hope-health.org","","Mark Vinson","CFO","843-656-0368","","mvinson@hope-health.org",""]
[null,201909720,"HopeHealth Manning Pediatrics","HOPEHEALTH INC","1336480300","Federally Qualified Health Centers",3,0,"12 W South St","","Manning","SC","29102-2925","Clarendon","600 E Palmetto St","","Florence","SC","29506-2851","Florence","Carl Humphries","CEO","843-656-0345","","chumphries@hope-health.org","","Mark Vinson","CFO","843-656-0368","","mvinson@hope-health.org",""]
[null,201909730,"Mt. Pleasant Health Center","South Carolina Dept. of Health and Environmental Control","1972693885","Family Planning Providers, Sexually Transmitted Disease Clinics",0.5,0,"1189 Sweetgrass Basket Pkwy","Suite 100","Mount Pleasant","SC","29466-7422","Charleston","1189 Sweetgrass Basket Pkwy Ste 100","","Mount Pleasant","SC","29466-7422","Charleston","Stephanie Derr","Women's Health Division Director","803-898-0598","","derrsr@dhec.sc.gov","http://www.dhec.sc.gov","Gemma Grady","Preventive Health Program Nurse Manager","803-898-0625","","gradygg@dhec.sc.gov","http://www.dhec.sc.gov"]
[null,201909736,"LRMC South Strand","Little River Medical Center Inc","1508120619","Federally Qualified Health Centers",3.6,0,"3236 Holmestown Rd Unit E1","","Myrtle Beach","SC","29588-7495","Horry","4303 Live Oak Dr","","Little River","SC","29566-9138","Horry","Pamela Davis","CEO","843-663-8001","","pdavis@lrmcenter.com","","Wendy Gimino","Executive Administrative Manager","843-663-8305","","wgimino@lrmcenter.com",""]
[null,201909757,"RIDGE SPRING FAMILY PRACTICE","CAROLINA HEALTH CENTERS, INC.","1538127352","Federally Qualified Health Centers",1,0,"201 Aiken Rd","","Ridge Spring","SC","29129-9169","Saluda","313 Main St, Ste B","","Greenwood","SC","29646-2757","Greenwood","Lisa Gilmer","Revenue Cycle Manager","864-941-8121","","lgilmer@carolinahealthcenters.org","","Sue Veer","CEO","864-396-0200","","sveer@carolinahealthcenters.org",""]
[null,201909763,"NCFMC Pediatric and Adolescent Center","COMMUNITY MEDICINE FOUNDATION, INC.","1902173891","Federally Qualified Health Centers",2,0,"225 S Herlong Ave","","Rock Hill","SC","29732-2730","York","1131 Saluda St","","Rock Hill","SC","29730-5776","York","Ernest G Brown","CEO","803-325-7744","237","ernestbrown@ncfmc.net","","DALE S JOHNSON","CFO","803-325-7744","237","djohnson@ncfmc.net",""]
[null,201909769,"Saluda Family Medicine, PA","Saluda Family Medicine, PA","1700921616","Rural Health Clinics",2,0,"102 R L Sawyer Md Dr","","Saluda","SC","29138-9199","Saluda","102 RL SAWYER MD DRIVE","","SALUDA","SC","29138-9199","Saluda","William C. Sawyer, M.D.","President","864-445-2173","","saludafamilymed@embarqmail.com","","Durand Hall","Office Manager","864-445-2173","","saludafamilymed@embarqmail.com",""]
[null,201909790,"SANDHILLS MEDICAL FOUNDATION Inc - Sumter Site","SANDHILLS MEDICAL FOUNDATION","1780742825","Federally Qualified Health Centers",2,0,"425 N Salem Ave","","Sumter","SC","29150-4115","Sumter","S. 7th Street","","McBee","SC","29101","Chesterfield","Chris Dixon","CEO","843-335-6758","","cdixon@sandhillsmedical.org","www.sandhillsmedical.org","","","","","",""]
[null,201909796,"WALTERBORO FAMILY PRACTICE ASSOCIATES, PA","Walterboro Family Practice Associates PA","1871532721","Rural Health Clinics",6,0,"107 Church St","","Walterboro","SC","29488-2901","Colleton","107 Church St","","Walterboro","SC","29488-2901","Colleton","Mary Avant Howe","Practice Administrator","843-549-1558","118","bethavanthowewfp@lowcountry.com","","Joseph F Flowers, MD","President","843-549-1558","","bethavanthowewfp@lowcountry.com",""]
[null,201909807,"JOHN A MARTIN PRIMARY HEALTH CARE","Community Health Foundation of Fairfield","1306907613","Rural Health Clinics",2,0,"56 US Highway 321 Byp N","","Winnsboro","SC","29180-7100","Fairfield","56 US Highway 321 Byp N","","Winnsboro","SC","29180-7100","Fairfield","Charles T. McElmurray","Medical Director","803-635-6099","104","Charles.McElmurray@uscmed.sc.edu","","Sonya O Stephenson","Practice Manager","803-635-6099","104","sonya.stephenson@uscmed.sc.edu",""]
[null,201909824,"DAKOTA FAMILY MEDICAL CENTER","RURAL HEALTH CARE, INC.","1750705232","Federally Qualified Health Centers",2,0,"101 S Front St","PO Box 27","Chamberlain","SD","57325-0027","Brule","202 Island Dr.","Suite 1","Fort Pierre","SD","57532-7303","Stanley","James M Hardwick","CEO","605-223-2200","","jimh@rurlahc.net","www.ruralhc.net","April Crago PA-C","Chief Clinical Officer","605-852-2815","","aprilc@ruralhc.net",""]
[null,201909830,"South Dakota Dept. of Health Custer County Community Health Services","South Dakota Dept. of Health Family Planning Program","1740204221","Family Planning Providers",0.5,0,"447 Crook St","","Custer","SD","57730-1551","Custer","447 Crook St","","Custer","SD","57730-1551","Custer","Judy Bottjen","Family Planning Coordinator","605-673-2847","","judy.bottjen@state.sd.us","","","","","","",""]
[null,201909840,"Moody County Public Health Services","Moody County Public Health Services","1760681175","Family Planning Providers",0.5,0,"309 N Prairie St","","Flandreau","SD","57028-1253","Moody","309 N Prairie St","","Flandreau","SD","57028-1253","Moody","Samantha VonEye","Family Planning Coordinator","605-997-3779","","samantha.voneye@state.sd.us","","","","","","",""]
[null,201909857,"Isabel Community Clinic","Horizon Health Care, Inc.","1205800075","Federally Qualified Health Centers",0.8,0,"118 N Main St","PO Box 97","Isabel","SD","57633-0097","Dewey","109 N Main","PO Box 99","Howard","SD","57349","Miner","Christina Konechne","Cheif operations Officer","605-772-4525","942","ckonechne@horizonhealthcare.org","","John Mengenhausen","Cheif Executive Officer","605-772-4525","900","jmengenhausen@horizonhealthcare.org",""]
[null,201909863,"Lake Preston Community Health Center","Horizon Health Care, Inc.","1629181904","Federally Qualified Health Centers",1,0,"709 4th St SE","","Lake Preston","SD","57249-2116","Kingsbury","109 N Main","PO Box 99","Howard","SD","57349","Miner","Christina Konechne","Cheif operations Officer","605-772-4525","942","ckonechne@horizonhealthcare.org","","John Mengenhausen","Cheif Executive Officer","605-772-4525","900","jmengenhausen@horizonhealthcare.org",""]
[null,201909873,"South Dakota Dept. of Health Bennett County Community Health Services","South Dakota Dept. of Health Family Planning Program","1740204221","Family Planning Providers",0.5,0,"202 Main St","","Martin","SD","57551","Bennett","PO Box 460","202 Main Street","Martin","SD","57551-0460","Bennett","Vicki Daly","Family Planning Coordinator","605-685-1089","","vicki.daly@state.sd.us","","","","","","",""]
[null,201909890,"Aurora County Community Health Clinic","Horizon Health Care, Inc.","1356459382","Federally Qualified Health Centers",0.9,0,"106 S Main St","PO Box 250","Plankinton","SD","57368-2264","Aurora","109 N Main","PO Box 99","Howard","SD","57349","Miner","Christina Konechne","Cheif operations Officer","605-772-4525","942","ckonechne@horizonhealthcare.org","","John Mengenhausen","Cheif Executive Officer","605-772-4525","900","jmengenhausen@horizonhealthcare.org",""]
[null,201909900,"Horizon Health Care Inc.","Horizon Health Care Inc.","1861563348","Federally Qualified Health Centers",1,0,"East Hwy 212 PO Box 300","Tiospaye Topa School","Ridgeview","SD","57652-0300","Dewey","109 N. Main Street","PO Box 99","Howard","SD","57349","Miner","Christina Konechne","Chief Operations Officer","605-772-4525","942","ckonechne@horizonhealthcare.org","http://www.horizonhealthcare.org/our-locations/tiospaye-topa-school-clinic/","Wade Erickson","Chief Financial Officer","605-772-4525","903","werickson@horizonhealthcare.org",""]
[null,201909906,"Sioux Falls, City Of","SIOUX FALLS, CITY OF","1902130818","Dental Providers, Federally Qualified Health Centers",1,1,"1722 E 8th St","Terry Redlin Elementary School","Sioux Falls","SD","57103-1712","Minnehaha","521 N Main Ave","Ste 100","Sioux Falls","SD","57104","Minnehaha","Jill Franken","Public Health Director","605-367-8760","","jfranken@siouxfalls.org","http://siouxfalls.org/en/health/falls-community-health","Amy Richardson","Public Health Finance & Information Officer","605-367-8760","","arichardson@siouxfalls.org","http://siouxfalls.org/en/health/falls-community-health"]
[null,201909923,"Sanford Vermillion Hospital","Sanford","1790721280","Inpatient Hospitals (other than children's hospitals)",25,0,"20 S Plum St","","Vermillion","SD","57069-3346","Clay","1805 W 18th St","","Sioux Falls","SD","57105","Minnehaha","Torrey Sundall","Sr Director Corporate Contracting and Payor Analytics","605-312-7099","","torrey.sundall@sanfordhealth.org","www.sanfordhealth.org","","","","","",""]
[null,201909933,"South Dakota Dept. of Health Jerauld County Community Health Services","South Dakota Dept. of Health Family Planning Program","1740204221","Family Planning Providers",0.5,0,"606 1st St NE","","Wessington Springs","SD","57382","Jerauld","602 1st St NE","","Wessington Springs","SD","57382","Jerauld","Marla Feistner","Family Planning Coordinator","605-539-1271","","marla.feister@state.sd.us","","","","","","",""]
[null,201909939,"CROCKETT COUNTY HEALTH DEPT.","Tennessee Department of Health","1134264450","Family Planning Providers, Rural Health Clinics, Ryan White Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1.2,0,"209 N Bells St","","Alamo","TN","38001-1755","Crockett","Tennessee Department of Health","710 JAMES ROBERTSON PKWY","Nashville","TN","38243","Davidson","Nancy Lutz-Vanderveer","Program Director 1","615-532-9686","","nancy.lutz-vanderveer@tn.gov","","","","","","",""]
[null,201909949,"Athens Women's Clinic, PC","Athens Women's Clinic PC","1760609218","Rural Health Clinics",3,0,"817 Cook Dr","","Athens","TN","37303-3485","McMinn","817 Cook Drive","","Athens","TN","37303","McMinn","Cynthia Smith","Practice Administrator","423-745-3394","4237453394","athenswomenclinic@comcast.net","","","","","","",""]
[null,201909966,"Family Health Care of Camden","Family Health Care of Camden","1164538195","Rural Health Clinics",1,0,"350 Hospital Dr","","Camden","TN","38320-1650","Benton","350 Hospital Drive","","Camden","TN","38320","Benton","Steven Cannady","Owner","731-584-3330","","stevencannady@gmail.com","","","","","","",""]
[null,201909972,"DODSON AVENUE COMM HEALTH CENTER","CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY","1609961549","Dental Providers, Federally Qualified Health Centers",9,2,"1200 Dodson Ave","","Chattanooga","TN","37406-3214","Hamilton","1200 Dodson Ave","","Chattanooga","TN","37406-3214","Hamilton","Joseph Winick","Interim Executive Director","423-778-2800","","joseph.winick@erlanger.org","","","","","","",""]
[null,201909982,"Cleveland Family Health Center","Ocoee Regional Health Corporation","1245442169","Federally Qualified Health Centers, Rural Health Clinics",2,0,"1420 Fritz St SE","","Cleveland","TN","37323-6009","Bradley","PO Box 308","","Benton","TN","37307","Polk","Susan Williams","BILLING SUPERVISOR","423-338-8995","1217","swilliams@ocoeerhc.com","","Bill Moats","President/CEO","423-338-8995","1212","bmoats@ocoeerhc.com",""]
[null,201909992,"Cumberland County Health Department","State of Tennessee Department of Health","1487705414","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",4,1,"1503 S Main St","","Crossville","TN","38555-5967","Cumberland","1100 England Drive","","Cookeville","TN","38501-0924","Putnam","Deborah K Johnson","Regional Director","931-528-7531","","debbie.johnson@tn.gov","","","","","","","http://health.state.tn.us/localdepartments.htm"]
[null,201910006,"MEDSOUTH MEDICAL CENTER, DYERSBURG","West Tennessee Medical Group, Inc","1750688479","Rural Health Clinics",6,0,"1700 Woodlawn Ave","","Dyersburg","TN","38024-2028","Dyer","620 Skyline","","Jackson","TN","38301","Madison","Bill Jones","Director","731-512-1500","","bill.jones@wth.org","","","","","","",""]
[null,201910016,"Williamson County Health Dept-Fairview","Tennessee Department of Health","1386797058","Dental Providers, Family Planning Providers, Rural Health Clinics, Ryan White Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2.2,1,"2629 Fairview Blvd","","Fairview","TN","37062-9084","Williamson","710 JAMES ROBERTSON PKWY, 7TH FLOOR","","Nashville","TN","37243","Davidson","Nancy Lutz-Vanderveer","Program Director 1","615-532-9686","","nancy.lutz-vanderveer@tn.gov","","","","","","",""]
[null,201910033,"Henderson Health Center","HARDEMAN COUNTY COMMUNITY HEALTH CENTER","1366637969","Federally Qualified Health Centers",1,0,"1132 Industrial Dr","","Henderson","TN","38340-1310","Chester","629 Nuckolls Rd","","Bolivar","TN","38008-1599","Hardeman","Linda Lovelace","CFO","731-658-3388","21","linda.lovelace@hardemanhealth.org","","","","","","",""]
[null,201910043,"Scott County Health Dept","Tennessee Department of Health","1780722520","Family Planning Providers, Ryan White Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",0.2,0,"344 Court St","","Huntsville","TN","37756-1404","Scott","710 James Robertson Pkwy 7th Floor","","Nashville","TN","37243","Davidson","Erica Jackson","ASA4","615-253-8537","","erica.jackson@tn.gov","","","","","","",""]
[null,201910049,"Fentress County Health Department","State of Tennessee Department of Health","1740331792","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",1,0,"240 Colonial Cir","Suite A","Jamestown","TN","38556-3924","Fentress","1100 England Drive","","Cookeville","TN","38501-0924","Putnam","Deborah K Johnson","Regional Director","931-528-7531","","debbie.johnson@tn.gov","","","","","","","http://health.state.tn.us/localdepartments.htm"]
[null,201910066,"One Stop Medical, LLC","One Stop Medical, LLC","1053548487","Rural Health Clinics",7,0,"325 Geri St","","Lawrenceburg","TN","38464-2392","Lawrence","325 Geri Street","Suite A","Lawrenceburg","TN","38464","Lawrence","Janice Kilburn","Office Manager","731-424-9797","","jkilburn1stop@yahoo.com","","","","","","",""]
[null,201910076,"Limestone Medical Center","Rural Health Services Consortium Inc.","1265432074","Federally Qualified Health Centers",2,0,"105 Limestone Ruritan Rd","PO 217","Limestone","TN","37681-2515","Washington","4966 Hwy 11W","P.O. Box 850","Rogersville","TN","37857","Hawkins","Linda W. Buck","CEO","423-921-1809","","Buckl@rhsctn.com","www.rhsctn.com","Faye Kern","Executive Assistant","423-921-1817","","kernf@rhsctn.com","www.rhsctn.com"]
[null,201910082,"Madison Family Clinic","United Neighborhood Health Services","1760661714","Federally Qualified Health Centers",4.5,0,"601 W Due West Ave","","Madison","TN","37115-4423","Davidson","711 Main St.","","Nashville","TN","37206","Davidson","Mary Bufwack","CEO","615-227-3000","1024","mbufwack@neighborhoodhealthtn.org","www.neighborhoodhealthtn.org","","","","","",""]
[null,201910099,"Pioneer Pediatrics","Pioneer Pediatrics PLLC","1184816720","Rural Health Clinics",5,0,"236 E Main St","","McMinnville","TN","37110-2508","Warren","236 East Main St","","McMinnville","TN","37110","Warren","Kara Hurst","office manager","931-815-5437","104","khurst@pioneerpeds.com","","","","","","",""]
[null,201910109,"Cherokee Health Systems - Frayser","CHEROKEE HEALTH SYSTEMS","1134128820","Other ECP Providers",2.38,0,"2574 Frayser Blvd","","Memphis","TN","38127-5829","Shelby","2018 Western Avenue","","Knoxville","TN","37921","Knox","Paula Berry-Armour","Credentialing Manager","423-317-9344","4340","paula.berry@cherokeehealth.com","","","","","","",""]
[null,201910115,"Raleigh Health Center","Christ Community Health Services Inc","1982686614","Federally Qualified Health Centers, Ryan White Providers",6,0,"3481 Austin Peay Hwy","","Memphis","TN","38128-3801","Shelby","2595 central ave","","Memphis","TN","38104","Shelby","shantelle leatherwood","cao","901-271-6328","","credentialing@christchs.org","","amber cupples","","901-271-6328","","amber.cupples@christchs.org",""]
[null,201910125,"Dental Providers","Le Bonheur Children's Hospital","1558365890","Dental Providers",0,5,"848 Adams Ave","","Memphis","TN","38103-2816","Shelby","848 Adams","","Memphis","TN","38104","Shelby","Helen Leitner","manager decision support","901-287-6943","","helen.leitner@lebonheur.org","","","","","","",""]
[null,201910142,"Mountain City Extended Hours Health Center","East Tennessee State University","1295779361","Rural Health Clinics",2,0,"1901 S Shady St","","Mountain City","TN","37683-2021","Johnson","365 Stout Drive","Box 70403","Johnson City","TN","37614-1703","Washington","Norma J Adams","Credentialing Specialist","423-439-4071","","adamsn@etsu.edu","","Betsy Kappes","Business Director","423-439-4068","","kappes@etsu.edu",""]
[null,201910148,"Matthew Walker Comprehensive Health Center-Nashville","Walker Comprehensive Health Center","1356405278","Dental Providers, Federally Qualified Health Centers",9,3,"1035 14th Ave N","","Nashville","TN","37208-3050","Davidson","1035 14th Avenue North","","Nashville","TN","37208","Davidson","Katina Beard","CEO","615-340-1292","","kbeard@mwchc.org","www.mwchc.org","Ida M. Williams, M.D.","Chief Medical Officer / Medical Director","615-324-9669","","michele.williams@mwchc.org","www.mwchc.org"]
[null,201910158,"Nashville General Hospital at Meharry","The Hosp. Authority of Metro Nashville d/b/a Nashville General Hospital","1568551455","Inpatient Hospitals (other than children's hospitals)",120,0,"1818 Albion St","","Nashville","TN","37208-2918","Davidson","Nashville General Hospital","1818 Albion Street","Nashville","TN","37208-2918","Davidson","Marc Overlock","General Counsel","615-341-4402","","marc.overlock@nashvilleha.org","","Joseph Webb","Chief Executive officer","615-341-4491","","joseph.webb@nashvilleha.org",""]
[null,201910175,"Cayce Family Clinic","United Neighborhood Health Services","1942482062","Federally Qualified Health Centers",3.5,0,"617 S 8th St","","Nashville","TN","37206-3819","Davidson","711 Main St.","","Nashville","TN","37206","Davidson","Mary Bufwack","CEO","615-227-3000","1024","mbufwack@neighborhoodhealthtn.org","www.neighborhoodhealthtn.org","","","","","",""]
[null,201910181,"Cherokee Health Systems - Newport","CHEROKEE HEALTH SYSTEMS","1124418819","Community Mental Health Centers, Federally Qualified Health Centers, Ryan White Providers",5,0,"215 Hedrick Dr","","Newport","TN","37821-2902","Cocke","2018 Western Avenue","","Knoxville","TN","37921","Knox","Paula Berry-Armour","Credentialing Manager","423-317-9344","4340","paula.berry@cherokeehealth.com","","","","","","",""]
[null,201910192,"Pikeville Clinic, LLC","Pikeville Clinic, LLC","1639472137","Rural Health Clinics",2,0,"3062 Main St","","Pikeville","TN","37367-5746","Bledsoe","3062 Main Street","","Pikeville","TN","37367","Bledsoe","Ruth Boynton","Owner","423-618-3696","","heather@emmausconsulting.net","","","","","","",""]
[null,201910209,"Christian Family Medicine","Christian Family Medicine","1043252620","Rural Health Clinics",4,0,"79 Highway 51 S","","Ripley","TN","38063-4580","Lauderdale","79 Hwy 51 South","","Ripley","TN","38063","Lauderdale","Howie Freeman","COO","731-343-0734","","howie@christianfamilymed.com","","","","","","",""]
[null,201910219,"Lifespan Women & Children Center","HARDIN COUNTY REGIONAL HEALTH CENTER","1003055286","Federally Qualified Health Centers",3,0,"105 Davis St","","Savannah","TN","38372-1855","Hardin","765 Florence Rd Ste A","PO Box 655","Savannah","TN","38372-5219","Hardin","Y T McGinley","CEO","731-925-2300","8988","janie.mcginley@lifespanhealth.com","www.lifespanhealth.com","Jennifer Williams","CFO","731-925-2300","8983","jennifer.williams@lifespanhealth.com","www.lifespanhealth.com"]
[null,201910225,"Trinity Medical Clinic","Trinity Medical Clinic","1013156629","Rural Health Clinics",1,0,"181 S Y Sq","","Selmer","TN","38375-1739","McNairy","181 South Y","","Selmer","TN","38375","McNairy","Rhonda Hunt","Owner","731-434-0200","","trinitymed38375@yahoo.com","","","","","","",""]
[null,201910242,"Vanderbilt-Ingram Cancer Center at Northcrest Medical Center","Vanderbilt University Medical Center","1396882205","Outpatient Hospital Clinics",13,0,"500 Northcrest Dr","Suite 521","Springfield","TN","37172-4066","Robertson","3319 West End Avenue","","Nashville","TN","37203","Davidson","Gayla Harvey","Sr VP","615-875-9453","","gayla.harvey@vumc.org","http://www.vanderbilthealth.com/","Sheri Haun","Assoc VP","615-936-6009","","sheri.haun@vanderbilt.edu","http://www.vanderbilthealth.com/"]
[null,201910252,"CHOTA COMMUNITY HEALTH SERVICES","CHOTA COMMUNITY HEALTH SERVICES","1407104458","Federally Qualified Health Centers",1,0,"395 Daugherty Spring Rd","Rural Vale Elementary School","Tellico Plains","TN","37385-5604","Monroe","1206 Highway 411","","Vonore","TN","37885-2455","Monroe","Laura Harris","CEO","423-442-7268","","lharris@chotahealth.org","https://www.chotahealth.org/","Melissa Gray","CFO","423-442-7268","","mgray@chotahealth.org",""]
[null,201910258,"Care Rite, PLLC","Care Rite, PLLC","1477827418","Other ECP Providers",11,0,"2055 US Highway 45 Byp S","","Trenton","TN","38382-3501","Gibson","1445 Highway 51 Bypass East","","Dyersburg","TN","38024-2127","Dyer","Patricia Faye Owen","Administration","731-286-1900","","powen@careritepllc.com","","Julia foster","Business Manager","731-286-1900","","julia@careritepllc.com",""]
[null,201910268,"CHOTA COMMUNITY HEALTH SERVICES","CHOTA COMMUNITY HEALTH SERVICES","1518912955","Federally Qualified Health Centers",1.25,0,"1206 Highway 411","","Vonore","TN","37885-2455","Monroe","1206 Highway 411","","Vonore","TN","37885-2455","Monroe","Laura Harris","CEO","423-442-7268","","lharris@chotahealth.org","","Melissa Gray","CFO","423-442-7268","","mgray@chotahealth.org",""]
[null,201910285,"Planned Parenthood of Greater Texas - Addison Health Center","Planned Parenthood of Greater Texas, Inc.","1740541424","Family Planning Providers, Sexually Transmitted Disease Clinics",2,0,"5290 Beltline Rd","Suite 134","Addison","TX","75254","Dallas","7424 Greenville Ave Ste 206","","Dallas","TX","75231-4534","Dallas","Sheila McKinney","Chief Operating Officer","214-363-2004","10125","sheila.mckinney@ppgt.org","http://www.plannedparenthood.org/greater-texas/","","","","","",""]
[null,201910291,"Woman's and Children Health Center","Stephen F Austin Community Health Center","1578730818","Federally Qualified Health Centers",2,0,"218 E House St","","Alvin","TX","77511-3544","Brazoria","1111 W Adoue","","Alvin","TX","77511","Brazoria","Mark Young","CEO","281-824-1480","1131","myoung@sfachc.org","","Rachel Martinez","CIO","281-824-1480","1103","rmartinez@sfachc.org",""]
[null,201910301,"Stonewall Rural Health Clinic","Stonewall Memorial Hospital District","1184057598","Rural Health Clinics",5,0,"819 N Broadway St","","Aspermont","TX","79502-2029","Stonewall","821 N Broadway","","Aspermont","TX","79502","Stonewall","Billie Carter","COO","940-989-3551","","billie.carter@smhdhealth.org","","","","","","",""]
[null,201910318,"CommUnityCare David Powell Clinic","TRAVIS COUNTY HEALTHCARE DISTRICT","1265460745","Federally Qualified Health Centers",8,0,"4614 N Interstate 35","","Austin","TX","78751-3401","Travis","1111 E Cesar Chavez St Ste B","","Austin","TX","78702-4209","Travis","Ashlee Hays","Provider Contracting Manager","512-978-9914","","ashlee.hays@communitycaretx.org","","Stacey Crawford","Grants Manager","512-978-9033","","stacey.crawford@communitycaretx.org","http://www.communitycaretx.org"]
[null,201910324,"El Buen Samaritano - Wallace Mallory Clinic","El Buen Samaritano - Wallace Mallory Clinic","1003099433","Family Planning Providers",8,0,"7000 Woodhue Dr","","Austin","TX","78745-5454","Travis","7000 Woodhue Dr","","Austin","TX","78745-5454","Travis","Iliana Gilman","Chief Executive Officer","512-439-0741","","igliman@elbuen.org","elbuen.org","Timothy Sayles","Chief Financial Officer","512-439-0745","","tsayles@elbuen.org","elbuen.org"]
[null,201910334,"LSCC Family Care Center at Bastrop","LONE STAR CIRCLE OF CARE","1306236187","Dental Providers, Federally Qualified Health Centers",3.8,1,"605 Old Austin Hwy","","Bastrop","TX","78602-5034","Bastrop","205 E University Ave Ste 200","","Georgetown","TX","78626-6821","Williamson","Rhonda Mundhenk","Chief Executive Officer","512-686-0152","","rmundhenk@lscctx.org","www.lonestarcares.org","Jon Calvin","Chief Financial Officer","512-686-0152","","jcalvin@lscctx.org",""]
[null,201910351,"South Texas Rural Health Services, Inc.- Big Wells","South Texas Rural Health Services, Inc.","1740512755","Federally Qualified Health Centers",1,0,"1502 Grand Ave.","","Big Wells","TX","78830","Dimmit","611 Thornton St.","","Cotulla","TX","78014","La Salle","Dori Trevino","Finance Officer","830-879-3047","209","fo.strhs@tachc.org","","","","","","",""]
[null,201910361,"New Horizon Medical Center","Brownsville Community Health Clinic Corp","1457659468","Dental Providers, Federally Qualified Health Centers",23,2,"191 E Price Rd","","Brownsville","TX","78521-3527","Cameron","191 E Price Road","","Brownsville","TX","78521","Cameron","Paula S. Gomez","Executive Director","956-548-7400","","psgomz.bchc@tachc.org","","Irma Vela","Provider Enrollment/Billiing Asst","956-621-3593","","ivela.bchc@tachc.org",""]
[null,201910366,"HealthPoint Memorial","BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.","1497183883","Federally Qualified Health Centers",5.5,0,"1301 Memorial Dr","","Bryan","TX","77802-5205","Brazos","1500 University Dr E Ste 100","","College Station","TX","77840-2600","Brazos","Eric Todd","CEO","979-846-1100","","etodd@healthpoint-tx.com","","","","","","",""]
[null,201910385,"ResourceCare Clyde","Shackelford County Community Resource Center","1215205265","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers",4.5,1,"1712 N Access Rd","","Clyde","TX","79510-3352","Callahan","PO Box 2435","","Albany","TX","76430","Shackelford","Meagan Marshall","CEO","325-762-2447","110","mmarshall@resourcecare.org","www.resourcecare.org","Tina Betcher","Billing Manager","325-893-4010","107","tbetcher@resourcecare.org","www.resourcecare.org"]
[null,201910395,"Family Planning Clinic and Men's Health Center","South Texas Family Planning & Health Corporation","1760535660","Family Planning Providers, Tuberculosis Clinics",4,0,"4455 S Padre Island Dr","Suite 30","Corpus Christi","TX","78411-5142","Nueces","4455 South Padre Island Drive","Suite 29","Corpus Christi","TX","78411","Nueces","Martha Zuniga","Executive Director","361-855-7333","11","marthazuniga@stfphc.org","","Cynthia Gonzales","Asst. Director / Education Director","361-855-7333","17","cynthiagonzales@stfphc.org",""]
[null,201910401,"ResourceCare Cross Plains","Shackelford County Community Resource Center","1881985299","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers",2,0,"301 S Main St","","Cross Plains","TX","76443-2581","Callahan","PO Box 2435","","Albany","TX","76430","Shackelford","Meagan Marshall","CEO","325-762-2447","110","mmarshall@resourcecare.org","www.resourcecare.org","Tina Betcher","Billing Manager","325-893-4010","107","tbetcher@resourcecare.org","www.resourcecare.org"]
[null,201910411,"Los Barrios Unidos Community Clinic, Inc.","LOS BARRIOS UNIDOS COMMUNITY CLINIC, INC.","1164417085","Dental Providers, Federally Qualified Health Centers",15,1,"3111 Sylvan Ave","","Dallas","TX","75212-4028","Dallas","809 Singelton Blvd","","Dallas","TX","75212","Dallas","Leonor Marquez","CEO","214-540-0323","","lmarquez@lbucc.org","","","","","","",""]
[null,201910428,"South Texas Rural Health Services - Dilley","South Texas Rural Health Services, Inc.","1548591753","Federally Qualified Health Centers",1,0,"606 W Leona St","","Dilley","TX","78017-3705","Frio","611 Thornton St.","","Cotulla","TX","78014","La Salle","Dori Trevino","Finance Officer","830-879-3047","209","fo.strhs@tachc.org","","","","","","",""]
[null,201910434,"UNITED MEDICAL CENTERS","UNITED MEDICAL CENTERS","1710980669","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics",10,1,"2525 N Veterans Blvd","","Eagle Pass","TX","78852-3302","Maverick","2525 N Veterans Blvd","P.O. Box 1470","Eagle Pass","TX","78852-3302","Maverick","William M.Worrell","Chief Executive Officer","830-773-8917","352","wworrell.umc@tachc.org","","Diamantina Camarillo","CPI Director","830-773-5358","365","tcamarillo.umc@tachc.org",""]
[null,201910444,"La Fe CARE Center - HIV/AIDS","CENTRO DE SALUD FAMILIAR LA FE, INC","1629040621","Federally Qualified Health Centers",25,0,"1505 Mescalero Dr","","El Paso","TX","79925-2019","El Paso","1314 E Yandell Dr","","El Paso","TX","79902-5529","El Paso","Salvador Balcorta","Chief Executive Officer","915-534-7979","","salvador.balcorta@lafe-ep.org","","Robert Gonzales","Chief Operations Officer","915-534-7979","","robert.gonzales@lafe-ep.org","http://www.lafe-ep.org"]
[null,201910461,"Ennis Regional Medical Center","LifePoint Health","1700805678","Inpatient Hospitals (other than children's hospitals)",64,0,"2201 W Lampasas St","","Ennis","TX","75119-5644","Ellis","330 Seven Springs Way","","Brentwood","TN","37027","Davidson","Ian Andes","Sr. Director Managed Care","615-920-7362","","Ian.Andes@LPNT.net","","Jack Wilcox","CFO","469-256-2158","","",""]
[null,201910467,"Ft. Hancock Clinic","Project Vida Health Center","1922376128","Federally Qualified Health Centers",1,0,"561 Knox Ave","","Fort Hancock","TX","79839","Hudspeth","561 S Knox","","Fort Hancock","TX","79839","Hudspeth","Bill Schlesinger","CEO","915-533-7057","207","w.schlesinger@pvida.net","","Cheryl Feldman","Chief Operating Officer","915-533-7057","250","c.feldman@pvida.net","www.pvida.net"]
[null,201910477,"AHF Healthcare Centers - Ft Worth - Tarrant County","AHF Healthcare Foundation Texas, Inc","1104190115","Other ECP Providers, Ryan White Providers",1.6,0,"400 N Beach St","Suite 104","Fort Worth","TX","76111-7070","Tarrant","6255 W. Sunset Blvd","21st Floor","Los Angeles","CA","90028","Los Angeles","Donna Stidham","Chief, Managed Care","323-860-5200","","donna.stidham@aidshealth.org","www.aidshealth.org","","","","","",""]
[null,201910494,"Lake Aire Medical Center","LONE STAR CIRCLE OF CARE","1669603361","Federally Qualified Health Centers",9.9,0,"2423 Williams Dr","","Georgetown","TX","78628-3200","Williamson","205 E University Ave Ste 200","","Georgetown","TX","78626-6821","Williamson","Rhonda Mundhenk","Chief Executive Officer","512-686-0152","","rmundhenk@lscctx.org","www.lscctx.org","Jon Calvin","Chief Financial Officer","512-686-0152","","jcalvin@lscctx.org",""]
[null,201910504,"GROVETON FAMILY MEDICAL CLINIC","Groveton Family Medical Clinic","1114149671","Rural Health Clinics",1.5,0,"110 Magee","","Groveton","TX","75845-4185","Trinity","110 N Magee","","GROVETON","TX","75845","Trinity","Candice Davis","Clinic Supervisor","936-642-0841","","cdavis.gfmc@gmail.com","","Roeina Mann","Billing Clerk","936-642-0841","","dfmed_2@valornet.com",""]
[null,201910510,"Planned Parenthood","Planned Parenthood Cameron County","1760488829","Family Planning Providers",0.6,0,"712 N 77 Sunshine Strip","Suite 18","Harlingen","TX","78550-8897","Cameron","2140 Babcock Rd","","San Antonio","TX","78229","Bexar","Adron Cooley","Revenue Cycle Manager","210-736-2244","304","adron.clark@ppsouthtexas.org","www.ppsouthtexas.org","Polin C. Barraza","Vice-Chair/Secratary","210-736-2244","334","polin.barraza@ppsouthtexas.org","www.ppsouthtexas.org"]
[null,201910527,"KIPP Sunnyside Campus","LEGACY COMMUNITY HEALTH SERVICES, INC.","1093068348","Federally Qualified Health Centers",1,0,"11000 Scott St","","Houston","TX","77047-1500","Harris","1415 California St","","Houston","TX","77006-2602","Harris","Katy Caldwell","Executive Director","832-548-5050","","kcaldwell@legacycommunityhealth.org","www.legacycommunityhealth.org","Melisa Garcia","VP of Clinical Business Services","832-548-5074","","mgarcia@legacycommunityhealth.org","www.legacycommunityhealth.org"]
[null,201910537,"HOPE Clinic - Alief","Asian American Health Coalition","1518345271","Federally Qualified Health Centers",3,0,"14438 Bellaire Blvd","","Houston","TX","77083-7520","Harris","7001 Corporate Dr # 120","","Houston","TX","77036","Harris","Andrea Caracostis","CEO","713-337-3640","","acaracostis@hopechc.org","www.hopechc.org","Penny Yang","CFO","713-275-0987","","pyang@hopechc.org","www.hopechc.org"]
[null,201910543,"STAR OF HOPE MEN'S SHELTER","HARRIS COUNTY HOSPITAL DISTRICT","1205900370","Federally Qualified Health Centers",1,0,"1811 Ruiz St","","Houston","TX","77002-1321","Harris","2525 Holly Hall St","","Houston","TX","77054-4108","Harris","Julie T. Rabat-Torki","Senior Manager - Government Reporting","713-566-6297","","julie.rabat-torki@harrishealth.org","","Linda Kinchen","Director - Ambulatory Care Services Healthcare for the Homeless","713-634-1051","","linda.kinchen@harrishealth.org",""]
[null,201910555,"EL CENTRO DE CORAZON-EASTWOOD","EL CENTRO DEL CORAZON","1932171667","Dental Providers, Federally Qualified Health Centers",2,1,"412 Telephone Rd","","Houston","TX","77023-1840","Harris","5001 Navigation Blvd","","Houston","TX","77011-1019","Harris","Marcie Mir","Chief Executive Officer","713-660-1880","1115","mmir@elcentrochc.org","","Ana Sierra","Sr. Program Manager","832-494-1758","","asierra@elcentrochc.org",""]
[null,201910571,"Sharpstown Health Services","City of Houston","1659664522","Dental Providers, Family Planning Providers, Ryan White Providers, Sexually Transmitted Disease Clinics",1,2.4,"6201 Bonhomme Rd","Suite 300","Houston","TX","77036-4365","Harris","6201 Bonhomme Rd Ste 300","","Houston","TX","77036-4365","Harris","Maria De La Cruz","Program Manager","832-393-5058","","maria.delacruz@houstontx.gov","http://www.houstontx.gov/health/index.html","","","","","",""]
[null,201910577,"YES Prep Gulfton","Legacy Community Health","1619342375","Federally Qualified Health Centers",1,0,"6565 De Moss Dr","","Houston","TX","77074-5099","Harris","PO Box 66308","","Houston","TX","77266-6308","Harris","Baine Herrera","Government Grant Writer","832-548-5118","","bherrera@Legacycommunityhealth.org","","","","","","",""]
[null,201910598,"Riverside Clinic","Walker County Hospital Corporation dba Huntsville Memorial Hospital","1700294295","Rural Health Clinics",10,0,"3638 State Highway 19","","Huntsville","TX","77320-0464","Walker","110 Memorial Hospital Drive","","Huntsville","TX","77340","Walker","Hollie Randgaard","Credentialing Specialist","936-439-1440","","hollie.randgaard@huntsvillememorial.com","","Elizabeth Pippo","Manager","936-439-4448","","elizabeth.pippo@huntsvillememorial.com",""]
[null,201910604,"Jasper","Jasper Newton County Public Health District","1659461788","Family Planning Providers",0.75,0,"139 W Lamar St","","Jasper","TX","75951-4014","Jasper","139 W LAMAR ST","","JASPER","TX","75951","Jasper","DANNY BRACKIN","Director","409-384-6829","237","dannybrackin920@msn.com","","Nadia Martindale","Clinic Supervisor","409-384-6829","224","nmartindale@jaspernewton.org",""]
[null,201910610,"KAUFMAN COMMUNITY HLTH CTR","COMMUNITY HEALTH SERVICE AGENCY INC","1669455101","Federally Qualified Health Centers",3,0,"101 N Houston St","Suite 5","Kaufman","TX","75142-1949","Kaufman","4500 Wesley St","","Greenville","TX","75401-5644","Hunt","Michelle Carter","CEO","903-455-5986","","mcarter.chsa@tachc.org","","Jill Alvarado","AR Manager","903-454-3025","146","jalvarado.chsa@tachc.org",""]
[null,201910631,"SOUTH CLINIC","GATEWAY COMMUNITY HEALTH CENTER INC","1255376976","Dental Providers, Federally Qualified Health Centers",5,1,"2007 S Zapata Hwy","","Laredo","TX","78046-6510","Webb","1515 Pappas St","","Laredo","TX","78041-1705","Webb","Cristina J. Hernandez","Director of Business Operations","956-718-6259","","cristinah.gateway@tachc.org","","","","","","",""]
[null,201910637,"Lamb Healthcare Center","Lamb Healthcare Center","1700854288","Inpatient Hospitals (other than children's hospitals)",42,0,"1500 S Sunset Ave","","Littlefield","TX","79339-4899","Lamb","1500 S. Sunset","","Littlefield","TX","79339","Lamb","Cindy Klein","CFO","806-385-6411","2002","cklein@lambhc.org","","Dennis Fleenor","CEO","806-385-6411","2004","dfleenor@lambhc.org",""]
[null,201910647,"Community Health Center of Lubbock","COMMUNITY HEALTH CENTER OF LUBBOCK, INC., THE","1548231046","Dental Providers, Federally Qualified Health Centers",7.5,1,"1610 5th St","","Lubbock","TX","79401-2622","Lubbock","1610 5th Street","","Lubbock","TX","79401","Lubbock","Michael P. Sullivan","Chief Executive Officer","806-765-2611","1108","msullivan@chcl.tachc.org","www.chclubbock.org","Barbra Moore","Interim Finance Director","806-765-2611","1011","bmoore@chcl.tachc.org","www.chclubbock.org"]
[null,201910664,"Madisonville Clinic","Walker County Hospital Corporation dba Huntsville Memorial Hospital","1306124714","Rural Health Clinics",10,0,"1613 E Main St","","Madisonville","TX","77864-2207","Madison","110 Memorial Hospital Drive","","Huntsville","TX","77340","Walker","Hollie Randgaard","Credentialing Specialist","936-439-1440","","hollie.randgaard@huntsvillememorial.com","","Elizabeth Pippo","Manager","936-439-4448","","elizabeth.pippo@huntsvillememorial.com",""]
[null,201910670,"Falls Community Rural Health Clinic","Falls Community Hospital & Clinic","1629173737","Outpatient Hospital Clinics, Rural Health Clinics",4,0,"307 Live Oak St","","Marlin","TX","76661-2365","Falls","322 Coleman","","Marlin","TX","76661","Falls","Jan Stimmel","Clinic Director","254-803-3561","2501","jstimmel@fallshospital.com","","Chris Sechelski","Credentialing Specialist","254-803-3561","2153","csechelski@fallshospital.com",""]
[null,201910680,"FRONTERA HEALTHCARE NETWORK - Menard Dental Clinic","FRONTERA HEALTHCARE NETWORK","1396976478","Dental Providers",0,1,"108 East San Saba","","Menard","TX","76859","Menard","604 Eaker Street","","Eden","TX","76837","Concho","Cam Kleibrink","Executive Director","325-869-5500","","camk@fronterahn.org","","Mindy Speck","CFO","325-869-5500","","mspeck@fronterahn.org",""]
[null,201910697,"EASTSIDE COMMUNITY CLINIC","EAST TEXAS COMMUNITY HEALTH SERVICES, INC","1255367090","Dental Providers, Federally Qualified Health Centers",10,3,"1309 S University Dr","","Nacogdoches","TX","75961-6486","Nacogdoches","1401 S University Dr","","Nacogdoches","TX","75961-6488","Nacogdoches","Robin L Moore","CEO","936-560-5413","1101","rmoore@etchc.com","www.etchc.com","Darla J. O'Neill","Outreach Coordinator","936-560-5413","1115","djoneill@etchc.com","www.etchc.com"]
[null,201910703,"Odessa Regional Medical Center","Steward Healthcare System LLC","1801852736","Inpatient Hospitals (other than children's hospitals)",206,0,"520 E 6th St","","Odessa","TX","79761-4527","Ector","111 Huntington Ave","Suite 1800","Boston","MA","02199","Suffolk","Stacey Gerig","President","432-582-8340","","stacey.gerig@steward.org","www.steward.org","Mona Mickle","Chief Financial Officer","432-582-8340","","mona.mickle@steward.org","www.steward.org"]
[null,201910713,"Harris County Public Health - Southeast Clinic","Harris County Public Health","1427172485","Dental Providers, Family Planning Providers, Other ECP Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,1,"3737 Red Bluff Rd","","Pasadena","TX","77503-3307","Harris","2223 West Loop South","","Houston","TX","77027","Harris","Douglas Graham","Director of Disease Control and Clinical Prevention Division","713-439-6116","","dgraham@hcphes.org","","","","","","",""]
[null,201910730,"Presidio County Medical Clinic","PRESIDIO COUNTY HEALTH SERVICES INC","1093890634","Federally Qualified Health Centers",4.2,0,"1501 N Erma Ave","","Presidio","TX","79845-4464","Presidio","P.O. Box 267","","Marfa","TX","79843","Presidio","Linda Molinar","CEO","432-729-1812","","cfo_pchs@yahoo.com","","Cynthia A. Esquivel","COO","432-729-1812","","hr_pchs@yahoo.com",""]
[null,201910740,"FCHC Rosebud Medical Clinic","Falls Community Hospital & Clinic","1194777540","Rural Health Clinics",1,0,"312 N Stallworth","","Rosebud","TX","76570-2254","Falls","322 Coleman","","Marlin","TX","76661","Falls","Jan Stimmel","Clinic Director","254-803-3561","2501","jstimmel@fallshospital.com","","Chris Sechelski","Credentialing Specialist","254-803-3561","2153","csechelski@fallshospital.com",""]
[null,201910752,"Planned Parenthood","Planned Parenthood South Texas Surgical Center","1316039456","Family Planning Providers",1,0,"2140 Babcock Rd","","San Antonio","TX","78229-4439","Bexar","2140 Babcock Rd","","San Antonio","TX","78229","Bexar","Adron Cooley","Revenue Cycle Manager","210-736-2244","304","adron.clark@ppsouthtexas.org","www.ppsouthtexas.org","Polin C. Barraza","Vice-Chair/Secratary","210-736-2244","334","polin.barraza@ppsouthtexas.org","www.ppsouthtexas.org"]
[null,201910764,"CENTROMED RESPITE CARE","EL CENTRO DEL BARRIO","1013139377","Federally Qualified Health Centers",1,0,"605 Belknap Pl","","San Antonio","TX","78212-3413","Bexar","3750 Commercial Ave","","San Antonio","TX","78221-3117","Bexar","Ernesto Gomez","President & CEO","210-334-3703","","egomez.cdb@tachc.org","www.centromedsa.com","Anna Serrano","VP & Chief Population Health Officer","210-334-3706","","aserrano.cdb@tachc.org","www.centromedsa.com"]
[null,201910774,"NUESTRA CLINICA DEL VALLE - PSJA SBHC","NUESTRA CLINICA DEL VALLE","1932516242","Federally Qualified Health Centers",1,0,"2900 N Raul Longoria Rd","","San Juan","TX","78589-9727","Hidalgo","801 W 1st St","","San Juan","TX","78589-2276","Hidalgo","Lucy Ramirez Torres","CEO","956-787-8915","231","admin.ncdv@tachc.org","www.nuestraclinicadelvalle.org","","","","","",""]
[null,201910780,"Sanderson Rural Health Center","Pecos County Memorial Hospital","1518216902","Rural Health Clinics",5,0,"213 Persimmon St","","Sanderson","TX","79848","Terrell","387 west i h 10","","Fort Stockton","TX","79735","Terrell","M Gallegos","director","432-336-4213","","mgallegos@pcmhfs.com","","","","","","",""]
[null,201910790,"Cogdell Family Clinic","Scurry County Hospital District dba Cogdell Family Clinic","1316962103","Rural Health Clinics",10,0,"1700 Cogdell Blvd","","Snyder","TX","79549-6162","Scurry","Scurry County Hospital District","1700 Cogdell Blvd","Snyder","TX","79549","Scurry","John H Everett, FACHE","CFO","325-574-7439","","cmh.jeverett@cogdellhospital.com","www.cogdellhospital.com","Ella R Helms","CEO","325-574-7437","","cmh.ehelms@cogdellhospital.com","www.cogdellhospital.com"]
[null,201910807,"Santa Fe Community Clinic","HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.","1306234521","Federally Qualified Health Centers",2,0,"600 S 25th St","Suite 115","Temple","TX","76504-5227","Bell","1600 Providence Dr","","Waco","TX","76707-2261","McLennan","Roland A Goertz","CEO","254-313-4201","","Rgoertz@wacofhc.org","","David Hunt","COO","254-313-4202","","dhunt@wacofhc.org",""]
[null,201910813,"Texarkana Bowie County Family Health Center","Women's Health and Family Planning Association of Texas","1902850324","Family Planning Providers",1,0,"902 W 12th St","","Texarkana","TX","75501-4303","Bowie","902 W 12th St","","Texarkana","TX","75501-4303","Bowie","Kelly Brush","Administrative Manager","903-798-3273","","kelly.brush@txkusa.org","www.citexarkana.tx.us/391/health","","","","","",""]
[null,201910823,"Tyler Family Circle of Care - Pediatrics","TYLER FAMILY CIRCLE OF CARE","1144575820","Federally Qualified Health Centers",6,0,"2990 N Broadway Ave","","Tyler","TX","75702-2149","Smith","PO Box 9929","","Tyler","TX","75711","Smith","Erich Koch","CFO","903-525-7497","","erich.koch@tmfhc.org","www.tylerfcc.org","","","","","",""]
[null,201910840,"BELLMEAD COMMUNITY CLINIC","HEART OF TEXAS COMMUNITY HEALTH CENTER, INC.","1164742680","Federally Qualified Health Centers",3,0,"3400 Bellmead Dr","","Waco","TX","76705-3081","McLennan","1600 Providence Dr","","Waco","TX","76707-2261","McLennan","Roland A Goertz","CEO","254-313-4201","","rgoertz@wacofhc.org","","David Hunt","COO","254-313-4202","","dhunt@wacofhc.org",""]
[null,201910846,"Watauga Immunization Clinic","Tarrant County Public Health","1194783183","Other ECP Providers",6,0,"6601 Watauga Rd","","Watauga","TX","76148-3331","Tarrant","1101 S. Main Street","Room 2400","Fort Worth","TX","76104","Tarrant","Linda Peterson","Clinic Charge Nurse/Registered Nurse","817-514-5036","","lmpeterson@tarrantcounty.com","http://www.tarrantcounty.com/en/public-health.html","Nancy Coon-Barksdale","Vaccine Division Manager/Registered Nurse","817-321-5452","","ngbarksdale@tarrantcounty.com","http://www.tarrantcounty.com/en/public-health.html"]
[null,201910856,"Woodsboro Medical Clinic","Refugio County Memorial Hospital District","1467495184","Rural Health Clinics",4,0,"120 Wood Avenue","","Woodsboro","TX","78393","Refugio","120 Wood Avenue","107 Swift Street","Woodsboro","TX","78393","Refugio","Lydia Schlabach","Administrative Assistant","361-526-2321","111","lschlabach@rcmhospital.org","","Susan Parker","Chief Financial Officer","361-526-2321","138","sparker@rcmhospital.org",""]
[null,201910873,"WAYNE COMMUNITY HEALTH HANKSVILLE","WAYNE COMMUNITY HEALTH CENTERS, INC.","1093863342","Federally Qualified Health Centers",0.25,0,"30 South Highway 95","","Hanksville","UT","84734","Wayne","128 S 300 W","","Bicknell","UT","84715-0303","Wayne","Regina Flanagan","CEO","435-425-3744","102","ginaf@waynechc.org","","Ramona Larsen","CFO","435-425-3744","103","rlarsen@waynechc.org",""]
[null,201910883,"Moab Regional Hospital","Moab Valley Healthcare, Inc","1770513236","Inpatient Hospitals (other than children's hospitals)",17,0,"450 Williams Way","","Moab","UT","84532-2185","Grand","450 W. Williams Way","","Moab","UT","84532","Grand","Jennifer Sadoff","Chief Executive Officer","435-719-3514","","jennifers@mrhmoab.org","www.mrhmoab.org","Craig Daniels","Chief Financial Officer","435-719-3503","","craigd@mrhmoab.org","www.mrhmoab.org"]
[null,201910889,"Planned Parenthood Ogden","Planned Parenthood Association of Utah","1073549614","Family Planning Providers",0.5,0,"4387 Harrison Blvd","Suite D8","Ogden","UT","84403-3267","Weber","4387 Harrison Blvd Ste D8","","Ogden","UT","84403-3267","Weber","Lesley Bailey","Director of Finance","801-532-1586","","lesley.bailey@ppau.org","","","","","","",""]
[null,201910906,"Community Health Center, Inc.","Community Health Centers Inc","1255757670","Dental Providers, Federally Qualified Health Centers",2,1,"1388 S Navajo St Suite C","Neighborhood Clinic at Mountainview School","Salt Lake City","UT","84104-3494","Salt Lake","Community Health Centers, Inc.","220 West 7200 South","Midvale","UT","84047","Salt Lake","Dexter Pearce","Executive Director","801-412-6920","","dpearce@chc-ut.org","www.chc-ut.org","James Christensen","Finance Director","801-412-6920","","jchristensen@chc-ut.org","www.chc-ut.org"]
[null,201910916,"Mountainlands Family Health Center Vernal Dental Clinic","MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC","1154739787","Dental Providers",0,1,"133 S 500 E","","Vernal","UT","84078-2728","Uintah","589 S. State Street","","Provo","UT","84606","Utah","Todd Bailey","Executive Director","801-429-2000","1155","todd@mountainlands.org","www.mountainlands.org","Eric Johnson","Financial Director","801-429-2000","1091","eric@mountainlands.org",""]
[null,201910922,"SOUTHSIDE COMMUNITY HEALTH CENTER","CENTRAL VIRGINIA HEALTH SERVICES, INC.","1831228444","Dental Providers, Federally Qualified Health Centers",2,1,"8380 Boydton Plank Rd","","Alberta","VA","23821","Brunswick","25892 N James Madison Hwy","","New Canton","VA","23123","Buckingham","RODERICK V MANIFOLD","Executive Director","434-581-3271","10700","ceo@cvhsinc.org","","","","","","",""]
[null,201910941,"Bedford Co Health Dept","Virginia Department of Health","1427018977","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"600 Bedford Ave","","Bedford","VA","24523-1966","Bedford","109 Governor Street, 13th Floor","","Richmond","VA","23219-3623","Richmond City","Office of Community Health Services;Lisa Park","Health Care Reimbursement Manager","804-864-7018","","lisa.park@vdh.virginia.gov","http://www.vdh.virginia.gov/LHD/CentralVirginia/index.htm","Patty S. Simpson","Administrative Office Services Supr. III","434-477-5955","","patty.simpson@vdh.virginia.gov","http://www.vdh.virginia.gov/LHD/CentralVirginia/index.htm"]
[null,201910950,"Buckingham Co Health Dept","Virginia Department of Health","1740386457","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",2,0,"80 Administration Dr","","Buckingham","VA","23921-3422","Buckingham","Piedmont Health District","111 South Street, 1st Fl","Farmville","VA","23901","Prince Edward","Lisa Park","Office Of Community Health Services","804-864-7018","","lisa.park@vdh.virginia.gov","","Alexander P Samuel","District Director","434-392-3984","131","alexander.samuel@vdh.virginia.gov",""]
[null,201910956,"UVA Infectious Diseases Clinic","Rector and Visitors of the University of Virginia","1194860445","Outpatient Hospital Clinics, Ryan White Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",15,0,"1 Hospital Dr","","Charlottesville","VA","22908-0001","Charlottesville City","P.O. Box 800545","","Charlottesville","VA","22908-0545","Charlottesville City","Katherine Hoffman","Grants & Contracts Administrator, ID Clinic","434-982-4478","","kh8x@virginia.edu","https://uvahealth.com/services/infectious-diseases/ryan-white-hiv-program","Pamela Bickley","Administrative Assistant ID Clinic","434-982-1688","","pab2u@virginia.edu",""]
[null,201910966,"CHESTERFIELD COUNTY HEALTH DEPARTMENT","Virginia Department of Health","1477572626","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",4,0,"9501 Lucy Corr Cir","","Chesterfield","VA","23832-6697","Chesterfield","109 Governor Street","","Richmond","VA","23219","Richmond City","Lisa Park","Health Care Reimbursement Manager","804-864-7108","","lisa.park@vdh.virginia.gov","http://www.vdh.virginia.gov/","Jeannine Uzel","Nurse Manager","804-748-1706","","jeannine.uzel@vdh.virginia.gov","http://www.vdh.virginia.gov/LHD/chesterfield/index.htm"]
[null,201910983,"Davenport Clinic","Stone Mountain Health Services","1992827604","Federally Qualified Health Centers",1,0,"3837 Helen Henderson Hwy","PO Box 309","Davenport","VA","24239-0309","Buchanan","276 Fieldstone Drive","","Jonesville","VA","24263","Lee","Malcolm Perdue","CEO","276-546-5310","","mperdue@stonemtn.org","","Jackie Neff","Executive Assistant","276-546-5310","3135","jneff@stonemtn.org",""]
[null,201910989,"Clinch River Health Services, Inc.","CLINCH RIVER HEALTH SERVICES, INCORPORATED","1558653741","Federally Qualified Health Centers",4,0,"17285 Veterans Memorial Hwy","","Dungannon","VA","24245-3937","Scott","17633 Veterans Memorial Hwy","","Dungannon","VA","24245-3929","Scott","Carolyn Bowen","Executive Director","276-467-2201","","cbowen@crhealth.org","www.crhealth.org","Mechelle Salyers","Front Office Manager","276-467-2201","","msalyers@crhealth.org","www.crhealth.org"]
[null,201910999,"Tri-Area Community Health Center at Ferrum","TRI-AREA COMMUNITY HEALTH","1053442848","Federally Qualified Health Centers",2.2,0,"40 Wiley Dr","","Ferrum","VA","24088","Franklin","14558 Danville Pike","","Laurel Fork","VA","24352-3982","Carroll","DEBRA SHELOR","Executive Director","276-398-2292","2213","dshelor@triarea.org","","","","","","",""]
[null,201911016,"Rockingham/Harrisonburg Health Dept","Virginia Department of Health","1023028909","Dental Providers, Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",3.5,1,"110 N Mason St","","Harrisonburg","VA","22802-4109","Harrisonburg City","Central Shenandoah Health District","1414 N. Augusta Street","Staunton","VA","24401","Augusta","Community Health Services","Lisa Park","804-864-7108","","lisa.park@vdh.virginia.gov","www.vdh.virginia.gov","Dr. Laura Kornegay","Health Director","540-332-7830","341","laura.kornegay@vdh.virginia.gov","www.thehealthdepartment.org"]
[null,201911026,"Hopewell Health Department","VDH - Crater Health District","1013946763","Family Planning Providers, Federally Qualified Health Centers",4,0,"1501 W City Point Rd","","Hopewell","VA","23860-3712","Hopewell City","Crater Health District","301 Halifax Street","Petersburg","VA","23803","Petersburg City","Roxanne Marr-Shears","Adminstrator","804-862-8934","8934","Roxanne.Marr-Shears@vdh.virginia.gov","","Cathy Jones","OSS Supervisor, Sr.","804-862-8937","8937","Cathy.Jones@vdh.virginia.gov",""]
[null,201911032,"Lee Co Health Dept","Virginia Department of Health","1699887539","Family Planning Providers, Ryan White Providers, Sexually Transmitted Disease Clinics",1,0,"134 Hill St","","Jonesville","VA","24263-7965","Lee","109 Governor St","","Richmond","VA","23219","Richmond City","Lisa Park","Office of Community Health Services","804-864-7108","","lisa.park@vdh.virginia.gov","","Michelle McPheron","Nurse Manager","276-328-1926","","michelle.mcpheron@vdh.virginia.gov","http://www.vdh.virginia.gov/LHD/lenowisco/index.htm"]
[null,201911049,"Thomas Jefferson Health District Louisa County Health Dept.","Virginia Department of Health","1902813231","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",3,0,"540 Industrial Dr","","Louisa","VA","23093-4146","Louisa","PO Box 7546","","Charlottesville","VA","22906","Albemarle","Office of Community Health Services;Lisa Park","Health Care Reimbursement Manager","804-864-7108","","lisa.park@vdh.virginia.gov","","Marilyn Pace","Clinic Director","540-967-3703","","marilyn.pace@vdh.virginia.gov","http://www.vdh.virginia.gov/LHD/ThomasJefferson/"]
[null,201911059,"Manassas","Greater Prince William Community Health Center - Evergreen","1770914939","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers",9.06,4.96,"9705 Liberia Ave","Suite 201","Manassas","VA","20110-1744","Manassas City","4379 Ridgewood Center Drive","Suite 102","Woodbridge","VA","22192","Prince William","Mark Meye","Director of Finance","703-680-7950","3109","mmeye@gpwhealthcenter.org","","George Barker","Executive Director","703-680-7950","3110","gbarker@gpwhealthcenter.org",""]
[null,201911065,"Mathews County Health Dept","Virginia Department of Health","1760444871","Family Planning Providers, Ryan White Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",3,0,"536 Church St","","Mathews","VA","23109-2293","Mathews","109 Governor St","","Richmond","VA","23219","Richmond City","Office of Community Health Services;Lisa Park","Financial Services Manager I","804-864-7018","","Lisa.Park@vdh.virginia.gov","","Lynn Buehler","Business Manager","804-758-2381","","Lynn.Buehler@vdh.virginia.gov",""]
[null,201911082,"Riverside Hospital, Inc.","Riverside Healthcare Association, Inc.","1366547747","Inpatient Hospitals (other than children's hospitals)",450,0,"500 J Clyde Morris Blvd","","Newport News","VA","23601-1929","Newport News City","608 Denbigh Boulevard","Suite 601","Newport News","VA","23608","Newport News City","Caleb Andrew Perez","Sr. Analyst, Payer Relations","804-305-1867","","Caleb.Perez@rivhs.com","https://www.riversideonline.com/","Mary Lou DelPrince","System Director of Payer Relations","757-534-6763","","Mary.DelPrince@rivhs.com","https://www.riversideonline.com/"]
[null,201911092,"Tazewell Community Health","SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INCORPORATED","1083745053","Federally Qualified Health Centers",2.55,0,"583C E Riverside Dr","","North Tazewell","VA","24630-9573","Tazewell","319 5th Ave","","Saltville","VA","24370-3418","Smyth","Bryan Haynes","CEO","276-496-4492","1004","bhaynes@svchs.com","","","","","","",""]
[null,201911098,"Fluvanna County Health Department","Virginia Department of Health","1831106327","Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",3,0,"132 Main St","","Palmyra","VA","22963-4179","Fluvanna","PO BOX 7546","","Charlottesville","VA","22906","Albemarle","Office of Comunity Health Services;Lisa Park","Health Care Reimbursement Manager","804-864-7108","","lisa.park@vdh.virginia.gov","","Marilyn Pace","Clinic Director","434-591-1960","","marilyn.pace@vdh.virginia.gov",""]
[null,201911108,"Hampton Roads Community Health Center","PORTSMOUTH COMMUNITY HEALTH CENTER, INC.","1134199193","Dental Providers, Federally Qualified Health Centers",8.4,3.2,"664 Lincoln St","","Portsmouth","VA","23704-4818","Portsmouth City","664 Lincoln Street","","Portsmouth","VA","23704","Portsmouth City","Barbara Willis","Chief Executive Officer","757-397-0042","312","bwillis@hrchc.org","www.hrchc.org","Deidra Singleton","Director of Patient Financial Services","757-397-0042","326","dsingleton@hrchc.org","www.hrchc.org"]
[null,201911126,"Creighton Resource Center","Virginia Department of Health","1972692143","Family Planning Providers, Sexually Transmitted Disease Clinics",5,0,"2150 Creighton Rd","","Richmond","VA","23223-4633","Richmond City","400 E. Cary Street","","Richmond","VA","23219","Richmond City","Lisa Park","Health Care Reimbursement Manager","804-864-7018","","lisa.park@vdh.virginia.gov","http://www.vdh.virginia.gov/lhd/richmondcity/","Danny Avula","Deputy Health Director","804-205-3721","","danny.avula@vdh.virginia.gov","http://www.vdh.virginia.gov/lhd/richmondcity/"]
[null,201911132,"Broad Rock Resource Center","Virginia Department of Health","1972692143","Family Planning Providers, Sexually Transmitted Disease Clinics",5,0,"4615 Ferguson Ln","","Richmond","VA","23234-1950","Richmond City","400 E. Cary Street","","Richmond","VA","23219","Richmond City","Lisa Park","Health Care Reimbursement Manager","804-864-7018","","lisa.park@vdh.virginia.gov","http://www.vdh.virginia.gov/lhd/richmondcity/","Danny Avula","Deputy Health Director","804-205-3721","","danny.avula@vdh.virginia.gov","http://www.vdh.virginia.gov/lhd/richmondcity/"]
[null,201911142,"Planned Parenthood Roanoke Health Center","Planned Parenthood South Atlantic","1134214968","Family Planning Providers",1,0,"2207 Peters Creek Rd NW","","Roanoke","VA","24017-1618","Roanoke City","100 S Boylan Ave","","Raleigh","NC","27603-1802","Wake","Nancy Long","CFO","919-833-7526","6131","nancy.long@ppsat.org","","Emily Adams","VP of Patient Servcies","919-929-5402","5233","emily.adams@ppsat.org",""]
[null,201911159,"Stony Creek Community Health Center","Stony Creek Community Health Center","1376515031","Federally Qualified Health Centers",2,0,"12454 Hartley St","PO Box 188","Stony Creek","VA","23882-3302","Sussex","12454 Hartley Street","PO Box 188","Stony Creek","VA","23882","Sussex","Joan Ivey","Executive Director","434-246-3501","","jivey@stonycreek.org","","","","","","",""]
[null,201911169,"Vansant Respiratory Care Center","Stone Mountain Health Services","1053668996","Black Lung Clinics",1,0,"1060 Anchorage Cir","Post Office Box 369","Vansant","VA","24656-7021","Buchanan","276 Fieldstone Drive","","Jonesville","VA","24263","Lee","Malcolm Perdue","CEO","276-546-5310","","mperdue@stonemtn.org","","Jackie Neff","Executive Assistant","276-546-5310","3135","jneff@stonemtn.org",""]
[null,201911175,"Virginia Beach City Health Dept","Virginia Department of Health","1053362996","Dental Providers, Family Planning Providers, Sexually Transmitted Disease Clinics, Tuberculosis Clinics",3,2,"4452 Corporation Ln","Suite 200","Virginia Beach","VA","23462-3173","Virginia Beach City","109 Governor St.","","Richmond","VA","23219","Richmond","Lisa Park","Health Care Reimbursement Manager","804-864-7018","","lisa.park@vdh.virginia.gov","","Nicole Taylor-Baptiste","Nurse Manager","757-518-2673","","nicole.taylor-baptiste@vdh.virginia.gov","http://www.vdh.virginia.gov/LHD/vabeach/index.htm"]
[null,201911192,"Planned Parenthood of Northern New England - Barre","Planned Parenthood of Northern New England","1578529350","Family Planning Providers, Sexually Transmitted Disease Clinics",0.88,0,"90 Washington St","","Barre","VT","05641-4239","Washington","784 Hercules Drive","Suite 110","Colchester","VT","05446","Chittenden","Krystle Goodman","Director of Professional Revenue","802-448-9784","","krystle.goodman@ppnne.org","www.ppnne.org","Heather Bushey","CFO","802-448-9728","","heather.bushey@ppnne.org","www.ppnne.org"]
[null,201911202,"Vermont Regional Hemophilia Treatment Center","University of Vermont","1083904213","Hemophilia Treatment Centers",4,0,"1 S Prospect St","","Burlington","VT","05401-3456","Chittenden","111 Colchester Ave.","Main Campus, Main Pavilion, Level 2","Burlington","VT","05401","Chittenden","Katie Michaud","Director, Cancer Services & Patient Access Center","802-847-4592","","katherine.michaud@uvmhealth.org","","","","","","",""]
[null,201911208,"RIVERSIDE HEALTH CENTER","COMMUNITY HEALTH CENTERS OF BURLINGTON, INC.","1083832851","Dental Providers, Federally Qualified Health Centers",13,4.9,"617 Riverside Ave","","Burlington","VT","05401-1601","Chittenden","617 Riverside Ave","","Burlington","VT","05401-1601","Chittenden","Jack Donnelly","CEO","802-864-6309","","jdonnelly@chcb.org","","","","","","",""]
[null,201911225,"Ludlow Dental","Springfield Medical Care Systems Inc","1376835405","Dental Providers",0,1,"8 Main St","","Ludlow","VT","05149-1106","Windsor","25 Ridgewood Road","","Springfield","VT","05156","Windsor","Joshua R. Dufresne, MBA","Chief of Practice Operations & HRSA Project Director","802-885-7620","","jdufresne@springfieldmed.org","","","","","","",""]
[null,201911235,"Kingwood Health Center","Gifford Health Care","1619427663","Federally Qualified Health Centers, Outpatient Hospital Clinics",0.6,0,"1422 VT Route 66","","Randolph","VT","05060-7718","Orange","PO Box 2000","","Randolph","VT","05060","Orange","Jennifer Ertel-Hickory","Project Manager","802-728-2339","","jmertel@giffordmed.org","","","","","","",""]
[null,201911241,"NCSS Health Center","RICHFORD HEALTH CENTER, INC.","1669802351","Federally Qualified Health Centers",0.2,0,"107 Fisher Pond Rd","","Saint Albans","VT","05478-6286","Franklin","44 Main St Ste 200","","Richford","VT","05476-1141","Franklin","Kathy J Benoit","Finance Director","802-255-5562","562","kjbenoit@notchvt.org","","","","","","",""]
[null,201911251,"Kingdom Internal Medicine","Northeastern Vermont Regional Hospital","1871870899","Rural Health Clinics",4.25,0,"714 Breezy Hill Rd","","St Johnsbury","VT","05819-8882","Caledonia","1315 Hospital Dr","PO Box 905","St Johnsbury","VT","05819","Caledonia","Laural Ruggles","VP Community Health Improvement","802-748-7590","","l.ruggles@nvrh.org","www.nvrh.org","Robert Hersey","CFO","802-748-7520","","r.hersey@nvrh.org","www.nvrh.org"]
[null,201911268,"HealthPoint Valley Cities Auburn","HEALTHPOINT","1972845691","Family Planning Providers, Federally Qualified Health Centers",0.4,0,"2704 I St NE","","Auburn","WA","98002-2411","King","955 Powell Ave SW Ste A","","Renton","WA","98057-2908","King","Thomas Trompeter","CEO","425-277-1311","","tjtrompeter@healthpointchc.org","","Vicki Hammond","CFO","425-203-0416","","vhammond@healthpointchc.org",""]
[null,201911274,"Eastgate Public Health Center","Public Health Seattle & King County","1922105154","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers, Sexually Transmitted Disease Clinics",7,2,"14350 SE Eastgate Way","","Bellevue","WA","98007-6458","King","401 Fifth Ave","","Seattle","WA","98104-1818","King","John Gilvar","Program Manager","206-369-3489","","john.gilvar@kingcounty.gov","http://www.kingcounty.gov/healthservices/health/locations.aspx","Fidelis Nkeze","Clinic Administrator","206-477-0555","","fidelis.nkeze@kingcounty.gov","http://www.kingcounty.gov/healthservices/health/locations/eastgate.aspx"]
[null,201911284,"Lummi Behavioral Health","Lummi Indian Business Council","1225158769","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"2665 Kwina Rd","","Bellingham","WA","98226-9291","Whatcom","2665 Kwina Rd.","","Bellingham","WA","98226","Whatcom","Stephanie Williams","Healthcare Business Office Director","360-312-2000","2285","StephanieW@lummi-nsn.gov","","Vanda Patterson","Health & Human Services Director","360-312-2000","2499","VandaP@lummi-nsn.gov",""]
[null,201911301,"Navos Public Health Center","Public Health Seattle & King County","1922105154","Family Planning Providers, Federally Qualified Health Centers",2,0,"1210 SW 136th St","","Burien","WA","98166-1214","King","401 5th Ave","","Seattle","WA","98104-1818","King","John Gilvar","Program Manager","206-263-8343","","john.gilvar@kingcounty.gov","http://www.kingcounty.gov/healthservices/health/locations.aspx","Jane Simpson","Clinic Administrator","206-205-6001","","jane.simpson@kingcounty.gov","http://www.kingcounty.gov/healthservices/health/locations.aspx"]
[null,201911311,"Lake Chelan Clinic","Chelan County Public Hospital District no. 2","1124438312","Rural Health Clinics",7,0,"219 E Johnson Ave","","Chelan","WA","98816-9160","Chelan","219 E. Johnson Ave","","Chelan","WA","98816","Chelan","Vickie Bodle","CFO","509-682-6105","","vbodle@lcch.net","","Kevin Abel","CEO","509-682-3300","","kabel@lcch.net",""]
[null,201911318,"Tri-State Memorial Hospital (inpatient hospital)","Tri-State Memorial Hospital","1760485221","Inpatient Hospitals (other than children's hospitals)",25,0,"1221 Highland Ave","","Clarkston","WA","99403-2829","Asotin","PO Box 189","","Clarkston","WA","99403","Asotin","Alex Town","CFO","509-758-4667","","atown@tsmh.org","","Don Wee","CEO","509-758-4650","","dwee@tsmh.org",""]
[null,201911335,"HealthPoint Midway","HEALTHPOINT","1922351527","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",6,5,"26401 Pacific Hwy S","","Des Moines","WA","98198-9247","King","955 Powell Ave SW Ste A","","Renton","WA","98057-2908","King","Thomas Trompeter","CEO","425-277-1311","","tjtrompeter@healthpointchc.org","","Vicki Hammond","CFO","425-203-0416","","vhammond@healthpointchc.org",""]
[null,201911345,"Summit Pacific Healthcare clinic","Grays Harbor County Public Hospital District No. 1","1942554183","Rural Health Clinics",6,0,"600 E Main St","","Elma","WA","98541-9560","Grays Harbor","600 E. Main Street","","Elma","WA","98541","Grays Harbor","Will Callicoat","CFO","360-346-2244","","willc@sp-mc.org","","","","","","",""]
[null,201911351,"Everett Health Center","Planned Parenthood of the Great Northwest and the Hawaiian Islands","1083700686","Family Planning Providers, Sexually Transmitted Disease Clinics",3,0,"1509 32nd St","","Everett","WA","98201-4302","Snohomish","2001 E Madison St","","Seattle","WA","98122-2959","King","Scott Boyd","Chief Financial Officer","206-328-7731","","scott.boyd@ppgnhi.org","https://www.plannedparenthood.org/planned-parenthood-great-northwest-hawaiian-islands","Nika Graci","Federal Programs Administrator","208-893-6356","","nika.graci@ppgnhi.org",""]
[null,201911368,"Coulee Medical Center","Coulee Medical Center","1457420218","Inpatient Hospitals (other than children's hospitals)",25,0,"411 Fortuyn Rd","","Grand Coulee","WA","99133-8718","Grant","411 Fortuyn Blvd","","Grand Coulee","WA","99133","Grant","Jamie Boyer","Revenue Cycle Director","509-633-1753","","boyerj@cmccares.org","http://www.cmccares.org/","Melanie Slatina","Director of Quality","509-633-1753","","slatinm@cmccares.org","http://www.cmccares.org/"]
[null,201911378,"SEA MAR KELSO BH","Sea Mar Community Health Centers","1881053353","Federally Qualified Health Centers",1,0,"1710 Allen St","","Kelso","WA","98626-4907","Cowlitz","1040 S. Henderson St.","","Seattle","WA","98108","King","Kathryn Reinitz","Credentialing Coordinator","206-474-2001","","credentialing@seamarchc.org","","","","","","",""]
[null,201911384,"Tri-Cities Community Health","TRI-CITIES COMMUNITY HEALTH","1225145105","Federally Qualified Health Centers",2,0,"830 W Vineyard Dr","TCCH - KENNEWICK SCHOOL BASED HEALTH CLINIC","Kennewick","WA","99336-5579","Benton","515 W. Court Street","","Pasco","WA","99301","Franklin","Juan A Cordova","CEO","509-543-1900","","acordova@mytcch.org","","","","","","",""]
[null,201911405,"Sea Mar CHC - Lynnwood 44th Ave. W.","SEA-MAR COMMUNITY HEALTH CENTER","1033399928","Federally Qualified Health Centers",2,0,"19707 44th Ave W","","Lynnwood","WA","98036-6757","Snohomish","1040 S Henderson St","","Seattle","WA","98108-4720","King","LaTashia Redd","Medical Biller","206-764-0502","","latashiaredd@seamarchc.org","","","","","","",""]
[null,201911411,"WAHLUKE FAMILY CLINIC","COLUMBIA BASIN HEALTH ASSOCIATION","1053539890","Dental Providers, Federally Qualified Health Centers",5.4,2.5,"601 Government Way","","Mattawa","WA","99349","Grant","140 E Main St","","Othello","WA","99344-1040","Adams","Greg Brandenburg","CEO","509-488-5256","8101","greg@cbha.org","","Kent Mosbrucker","CFO","509-488-5256","8102","kentm@cbha.org",""]
[null,201911417,"Morton Medical Center","Morton Medical Center","1952415432","Rural Health Clinics",3,0,"531 Adams St","","Morton","WA","98356-9323","Lewis","531 Adams Avenue","","Morton","WA","98356","Lewis","Charlene Hancock","Office Manager","360-496-5145","3604963563","mortonmedical@lewiscounty.com","","","","","","",""]
[null,201911438,"Odessa Memorial Hospital","Odessa Memorial Healthcare Center","1023122520","Inpatient Hospitals (other than children's hospitals)",25,0,"502 E Amende Dr","","Odessa","WA","99159-7003","Lincoln","502 E Amende Dr","","Odessa","WA","99159-0368","Lincoln","Barbara L Schlimmer","CLINIC MANAGER","509-982-2614","106","schlimb@omhc.org","","Monica P Sheldon","CEO","509-982-2611","115","sheldomp@omhc.org",""]
[null,201911444,"Valley View Health Center -Olympia","Lewis County Community Health Services","1104265925","Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",2,0,"3775 Martin Way E","Suite A","Olympia","WA","98506-5007","Thurston","2690 NE Kresky Ave","","Chehalis","WA","98532","Lewis","Holly Sliva","CFO","360-330-9595","2804","hsliva@vvhc.org","www.vvhc.org","","","","","",""]
[null,201911450,"KETTLE RIVER COMMUNITY HLTH CTR","NEW HEALTH PROGRAMS ASSOCIATION","1386608560","Federally Qualified Health Centers",1,0,"141 3rd Ave","","Orient","WA","99160-9418","Ferry","509 E Main Ave","","Chewelah","WA","99109-8964","Stevens","Desiree Sweeney","CEO","509-935-6001","","desirees@newhp.org","","Jesseca Jeanneret","Billing Dept Manager","509-935-4730","","jessecaj@newhp.org",""]
[null,201911471,"PCHS - Port Orchard Clinic","PENINSULA COMMUNITY HEALTH SERVICES","1205886934","Federally Qualified Health Centers",7.1,0,"320 S Kitsap Blvd","","Port Orchard","WA","98366-3778","Kitsap","400 Warren Ave Ste 200","","Bremerton","WA","98337-1408","Kitsap","Benjamin Potter","CFO","360-478-2366","","brpotter@pchsweb.org","","Jennifer Kreidler-Moss","CEO","360-478-2366","","jlkreidlermoss@pchsweb.org",""]
[null,201911477,"PCHS-Poulsbo Clinic","PENINSULA COMMUNITY HEALTH SERVICES","1013969351","Federally Qualified Health Centers",3.85,0,"19917 7th Ave NE","Suite 205","Poulsbo","WA","98370-6555","Kitsap","400 Warren Ave Ste 300","","Bremerton","WA","98337-1408","Kitsap","Benjamin Potter","CFO","360-478-2366","","brpotter@pchsweb.org","","Jennifer Kreidler-Moss","CEO","360-478-2366","","jlkreidlermoss@pchsweb.org",""]
[null,201911487,"REARDAN HEALTH CLINIC","Lincoln Hospital District #3","1639113830","Rural Health Clinics",14,0,"550 E Broadway Ave","","Reardan","WA","99029","Lincoln","10 Nicholls St.","","Davenport","WA","99122","Lincoln","Tim O'Connell","Chief Financial Officer","509-796-2979","1157","oconnetr@lhd3.org","","Tyson Lacy","CEO","509-725-2979","1168","lacyte@lhd3.org",""]
[null,201911500,"Neighborcare Health","NEIGHBORCARE HEALTH","1760733901","Family Planning Providers, Federally Qualified Health Centers",2,0,"1012 SW Trenton St","Highland Park School-Based Health Center","Seattle","WA","98106-2421","King","1200 12th Avenuse S","Suite 900","Seattle","WA","98144","King","Charisse Marshall","Billing Manager","206-548-3102","","charissem@neighborcare.org","","Janine Childs","CFO","206-548-3034","","JanineC@neighborcare.org",""]
[null,201911511,"45th Street Dental Clinic","Neighborcare Health","1578636346","Dental Providers",0,3,"1629 N 45th St","","Seattle","WA","98103-6701","King","1200 12th Avenue S","Suite 901","Seattle","WA","98144","King","Charisse Marshall","Billing Manager","206-548-3102","","Charissem@neighborcare.org","","Janine Childs","CFO","206-548-3034","","JanineC@neighborcare.org",""]
[null,201911521,"Odessa Brown Children's Clinic","Odessa Brown Children's Clinic","1134251747","Dental Providers, Family Planning Providers, Freestanding Cancer Centers, Other ECP Providers, Sexually Transmitted Disease Clinics",11,7,"2101 E Yesler Way","","Seattle","WA","98122-5999","King","P.O. Box 5371","M/S RC- 406","Seattle","WA","90145-5005","King","Eileen O'Connor","Sr. Director Contracting and Payor Relations","206-987-5209","","eileen.oconnor@seattlechildrens.org","http://www.seattlechildrens.org/contact/odessa-brown/","","","","","",""]
[null,201911538,"SEATTLE CHILDREN'S HOSPITAL (children's inpatient hospital)","SEATTLE CHILDREN'S HOSPITAL","1467536276","Children's Hospitals (inpatient only)",334,0,"4800 Sand Point Way NE","PO Box C- 5371","Seattle","WA","98105-3901","King","P.O. Box 5371","M/S RC- 406","Seattle","WA","90145-5005","King","Eileen O'Connor","Sr. Director Contracting and Payor Relations","206-987-5209","","eileen.oconnor@seattlechildrens.org","Seattlechildrens.org","","","","","",""]
[null,201911548,"Georgetown Dental Clinic","NEIGHBORCARE HEALTH","1306916556","Dental Providers",0,3,"6200 13th Ave S","","Seattle","WA","98108-2706","King","1200 12th Avenue S","Suite 901","Seattle","WA","98144","King","Charisse Marshall","Billing Manager","206-548-3102","","Charissem@neighborcare.org","","Janine Childs","CFO","206-548-3034","","JanineC@neighborcare.org",""]
[null,201911554,"Public Health Seattle & King County - Rainier Beach Teen HC","Public Health Seattle and King Co. Family Planning Program","1801953252","Family Planning Providers",1,0,"8815 Seward Park Ave S","","Seattle","WA","98118-4743","King","401 Fifth Avenue","","Seattle","WA","98104","King","Heather Maisen","Program Manager","206-263-8295","","heather.maisen@kingcounty.gov","","Anne Shinoda-Mettler","Clinic Administrator","206-205-1953","","Anne.Shinoda-Mettler@kingcounty.gov",""]
[null,201911571,"MASON GENERAL HOSPITAL & FAMILY OF CLINICS","Public hospital District No 1 of Mason county","1760568752","Inpatient Hospitals (other than children's hospitals)",25,0,"901 Mountain View Dr","","Shelton","WA","98584-4401","Mason","901 Mountain View Drive","","Shelton","WA","98584","Mason","Rick Smith","Chief Financial Officer","360-426-1611","","rsmith@masongeneral.com","","Jennifer Fitchitt","Director Medical Staff Services","360-427-9549","","jfitchitt@masongeneral.com",""]
[null,201911581,"NATIVE Project","The N. A. T. I. V. E. PROJECT","1326123670","Dental Providers, Federally Qualified Health Centers, Urban Indian Health Program",4,1,"1803 W Maxwell Ave","","Spokane","WA","99201-2831","Spokane","1803 W Maxwell Ave","","Spokane","WA","99201-2831","Spokane","Toni Lodge","Chief Executive Officer","509-325-5502","134","tlodge@nativeproject.org","","Maureen Rosette","COO/Risk Manager","509-325-5502","127","mrosette@nativeproject.org",""]
[null,201911587,"SHC - Spokane","Shriners Hospitals for Children","1992848857","Children's Hospitals (inpatient only)",12,0,"911 W 5th Ave","","Spokane","WA","99204-2901","Spokane","911 W 5th Ave.","","Spokane","WA","99204","Spokane","Cari Craig","Corporate Director, Business Development","813-281-8668","","cacraig@shrinenet.org","","Jesse Jacobowitz","National Corporate Contract Manager","813-367-2026","","jjacobowitz@shrinenet.org",""]
[null,201911604,"SEA MAR TACOMA DENTAL","Sea Mar Community Health Centers","1144378886","Dental Providers",0,2,"1112 S Cushman Ave","","Tacoma","WA","98405-3631","Pierce","1040 S. Henderson St.","","Seattle","WA","98108","King","Kathryn Reinitz","Credentialing Coordinator","206-474-2001","","credentialing@seamarchc.org","","","","","","",""]
[null,201911614,"Shoalwater Bay Tribe/Shoalwater Bay Wellness Center","Shoalwater Bay Indian Tribe/Shoalwater Bay Wellness Center","1063624740","Dental Providers, Federally Qualified Health Centers, Indian Health Service, Tribal Health Program operated under P.L. 93-638",2,1,"2373 Old Tokeland Rd.","Bldg E","Tokeland","WA","98590","Pacific","PO Box 130","","Tokeland","WA","98590-0130","Pacific","Michael Rogers","Tribal Administrator","360-267-8154","8154","mrogers@shoalwaterbay-nsn.gov","","","","","","",""]
[null,201911620,"YVFWC - TOPPENISH","YAKIMA VALLEY FARM WORKERS CLINIC","1508817313","Dental Providers, Federally Qualified Health Centers",21,3,"518 W 1st Ave","","Toppenish","WA","98948-1564","Yakima","518 W 1st Ave","","Toppenish","WA","98948-1564","Yakima","Carlos Olivares","Chief Executive Officer","509-865-5898","","CarlosO@yvfwc.org","","","","360-236-3423","","",""]
[null,201911630,"SEA MAR TUMWATER CHILD AND FAMILY","Sea Mar Community Health Centers","1841486339","Federally Qualified Health Centers",1,0,"6336 Littlerock Rd SW","","Tumwater","WA","98512-7332","Thurston","1040 S. Henderson St.","","Seattle","WA","98108","King","Kathryn Reinitz","Credentialing Coordinator","206-474-2001","","credentialing@seamarchc.org","","","","","","",""]
[null,201911647,"FAMILY MEDICAL CENTER","YAKIMA VALLEY FARM WORKERS CLINIC","1700839727","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",9,2,"1120 W Rose St","","Walla Walla","WA","99362-1662","Walla Walla","518 W 1st Ave","","Toppenish","WA","98948-1564","Yakima","Carlos Olivares","Chief Executive Officer","509-865-5898","","CarlosO@yvfwc.org","","","","","","",""]
[null,201911653,"Spokane Tribe of Indians","Spokane Tribe of the Spokane Res.","1467644294","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"6228 Old School Rd","","Wellpinit","WA","99040","Stevens","6195 Ford Wellpinit Road","P. O. Box 100","Wellpinit","WA","99040","Stevens","Carol Evans","Chairwomam","509-458-6504","","carole@Spokanetraibe.com","","Ann C Dahl","Director, Health and Human Services","509-258-7502","24","annd@spokanetribe.com",""]
[null,201911663,"WILBUR CLINIC","Lincoln Hospital District #3","1972547610","Rural Health Clinics",14,0,"214 E Main St","","Wilbur","WA","99185","Lincoln","10 Nicholls St.","","Davenport","WA","99122","Lincoln","Tim O'Connell","Chief Financial Officer","509-725-2979","1157","oconnetr@lhd3.org","","Tyson Lacy","CEO","509-725-2979","1168","lacyte@lhd3.org",""]
[null,201911680,"Bridge Community Health Clinic Antigo Dental","PRIMARY CONNECTION HEALTHCARE, INC","1457370744","Dental Providers",0,6,"1111 Langlade Rd","","Antigo","WI","54409-2787","Langlade","1810 N. 2nd Street","","Wausau","WI","54403","Marathon","Roger Rego","Co-Transitional Executive Director","715-848-4884","","rogerr@bridgeclinic.org","","","","","","",""]
[null,201911685,"Appleton Central Health Center","Planned Parenthood of Wisconsin, Inc.","1184897027","Family Planning Providers",0.5,0,"508 W Wisconsin Ave","","Appleton","WI","54911-4337","Outagamie","302 N Jackson St","","Milwaukee","WI","53202-5904","Milwaukee","Brian Tollakson","Chief Financial Officer","414-289-3728","","brian.tollakson@ppwi.org","","","","","","",""]
[null,201911697,"SSM Health St. Clare Hospital","SSM Health Care of Wisconsin, Inc.","1386641207","Inpatient Hospitals (other than children's hospitals)",43,0,"707 14th St","","Baraboo","WI","53913-1539","Sauk","707 14th Street","","Baraboo","WI","539131539","Sauk","Troy Walker","Director of Finance","608-356-1423","","Troy.Walker@ssmhealth.com","","Patrice Werdin","","608-356-1331","","Patrice.Werdin@ssmhealth.com",""]
[null,201911714,"GUNDERSEN TRI COUNTY HSPTL AND CLINICS BLAIR","Gundersen Tri County Hospital and Clinic - Blair","1659625192","Rural Health Clinics",2,0,"420 S Peterson Ave","","Blair","WI","54616-8861","Trempealeau","Gundersen Health System","1900 South Ave","LaCrosse","WI","54601","La Crosse","Brian Theiler","CEO","715-538-1712","1005","BJTheile@gundersenhealth.org","","Sue Rochholz","Director - Managed Care","608-775-0531","50531","SLRochho@gundersenhealth.org",""]
[null,201911724,"FAMILY HEALTH CENTER/MARSHFIELD CLINIC-LAKE HALLIE CENTER","FAMILY HEALTH CENTER OF A MARSHFIELD INC","1851632111","Federally Qualified Health Centers",11,0,"12961 27th Ave","","Chippewa Falls","WI","54729-5699","Eau Claire","1000 N Oak Ave","","Marshfield","WI","54449-5703","Wood","Greg Nycz","Executive Director","715-387-9137","","nycz.greg@marshfieldclinic.org","","Mary Dorsch","Assistant Director","715-389-4574","","dorsch.mary@marshfieldclinic.org",""]
[null,201911730,"FAMILY HEALTH CENTER/MARSHFIELD CLINIC-COLBY/ABBOTSFORD CENTER","FAMILY HEALTH CENTER OF A MARSHFIELD INC","1851632111","Federally Qualified Health Centers",7,0,"111 Dehne Dr","","Colby","WI","54421-9581","Marathon","1000 N Oak Ave","","Marshfield","WI","54449-5703","Wood","Greg Nycz","Executive Director","715-387-9137","","nycz.greg@marshfieldclinic.org","","Mary Dorsch","Assistant Director","715-389-4574","","dorsch.mary@marshfieldclinic.org",""]
[null,201911747,"CHIPPEWA VALLEY HOSPITAL (inpatient hospital)","Adventist Health System/Sunbelt Inc.","1194737817","Inpatient Hospitals (other than children's hospitals)",25,0,"1220 3rd Ave W","","Durand","WI","54736-1600","Pepin","900 Hope Way","","Altamonte Springs","FL","32714","Seminole","Cheryl Wenz","Director Managed Care","913-789-3937","","CHERYL.WENZ@shawneemission.ORG","","","","","","",""]
[null,201911757,"Eau Claire City-County Health Department","Eau Claire City-County Health Department Family Planning Program","1740263326","Family Planning Providers, Sexually Transmitted Disease Clinics",0.4,0,"720 2nd Ave","","Eau Claire","WI","54703-5413","Eau Claire","720 2nd Ave","","Eau Claire","WI","54703","Eau Claire","Paulette Magur","Nursing Supervisor","715-839-4720","","paulette.magur@co.eau-claire.wi.us","","Elizabeth Giese","Director","715-839-4718","","elizabeth.giese@co.eau-claire.wi.us",""]
[null,201911763,"Children's Hospital of Wisconsin - Walworth County Child Advocacy Center","Children's Hospital of Wisconsin","1750482022","Outpatient Hospital Clinics",298,0,"W4063 County Road NN","","Elkhorn","WI","53121-4338","Walworth","9000 W. Wisconsin Avenue","","Milwaukee","WI","53226-4874","Milwaukee","Kelly Abrams","Director Payer Contracting","414-266-6386","","kabrams@chw.org","http://www.chw.org","Julie Sperka","Director Revenue Integrity","414-266-6225","","jsperka@chw.org","http://www.chw.org"]
[null,201911773,"Fort HealthCare","Fort HealthCare, Inc.","1811916281","Inpatient Hospitals (other than children's hospitals)",72,0,"611 Sherman Ave E","","Fort Atkinson","WI","53538-1960","Jefferson","611 Sherman Avenue, East","","Fort Atkinson","WI","53538","Jefferson","James J. Nelson","VP Finance/CFO","920-568-5490","","james.nelson@forthc.com","forthealthcare.com","Diane R. Lunde","Director of Revenue Cycle","920-568-5178","","diane.lunde@forthc.com","forthealthcare.com"]
[null,201911790,"St. John's","N.E.W. Community Clinic","1487878328","Federally Qualified Health Centers",1,0,"411 St. John St","","Green Bay","WI","54301","Brown","622 Bodart St.","","Green Bay","WI","54301","Brown","Bonnie Kuhr","CEO","920-437-9773","","newcomm@newcommunityclinic.org","","","","","","",""]
[null,201911796,"Outreach Healthcare Clinic","NEW COMMUNITY CLINIC INC LTD","1487878328","Federally Qualified Health Centers",2,0,"879 Mather St","","Green Bay","WI","54303-3651","Brown","622 Bodart St","","Green Bay","WI","54301-4923","Brown","Bonnie Kuhr","CEO","920-437-9773","","newcomm@newcommunityclinic.org","","","","","","",""]
[null,201911806,"Aspirus Hurley Clinic","Aspirus Grand View","1992704753","Rural Health Clinics",2,0,"501 Granite St","","Hurley","WI","54534-1372","Iron","501 Granite St.","","Hurley","WI","54534","Iron","Tera Hamel","Clinic Director","906-932-7660","","tera.hamel@aspirus.org","","","","","","",""]
[null,201911823,"La Crosse","AIDS Resource Center of Wisconsin","1770721607","Community Mental Health Centers, Ryan White Providers",3,0,"505 King St","Suite 200","La Crosse","WI","54601-4062","La Crosse","820 N Plankintion Avenue","","Milwaukee","WI","53203","Milwaukee","Brian Van Den Heuvel","Director","414-225-1568","","brian.vandenheuvel@arcw.org","","","","","","",""]
[null,201911829,"Rusk County Memorial Hospital","Rusk County Memorial Hospital","1710970041","Rural Health Clinics",4,0,"900 College Ave W","","Ladysmith","WI","54848-2197","Rusk","900 College Ave W","","Ladysmith","WI","54848","Rusk","Sheryl Dunphy","Clinic Manager","715-532-5561","3118","sdunphy@ruskhospital.org","www.ruskhospital.org","Michelle Thorson","Business Department Manager","715-532-5561","1216","mthorson@ruskhospital.org","www.ruskhospital.org"]
[null,201911839,"Wingra Family Medical Center","Access Community Health Centers, Inc.","1669654307","Federally Qualified Health Centers",7.08,0,"1102 S Park St","Suite 100","Madison","WI","53715-1708","Dane","2901 W Beltline Hwy Ste 120","","Madison","WI","53713-4231","Dane","Judy Keel","Grants Manager","608-663-5109","","judy.keel@accesshealthwi.org","","","","","","",""]
[null,201911856,"FPHS Taylor County","FAMILY PLANNING HEALTH SERVICES, INC.","1538152491","Family Planning Providers, Rural Health Clinics, Sexually Transmitted Disease Clinics",2.8,0,"1257 N 8th St","","Medford","WI","54451-1283","Taylor","719 N 3rd Ave","","Wausau","WI","54401-2965","Marathon","Ruth Dayton","Finance Director","800-246-5743","1251","daytonr@fphs.org","","Jessica Scharfenberg","Executive Director","800-246-5743","1250","scharfenbergj@fphs.org",""]
[null,201911866,"Children's Hospital of Wisconsin - Mequon Clinic","Children's Hospital of Wisconsin","1750482022","Outpatient Hospital Clinics",298,0,"1655 W Mequon Rd","","Mequon","WI","53092-3254","Ozaukee","9000 W. Wisconsin Avenue","","Milwaukee","WI","53226-4874","Milwaukee","Kelly Abrams","Director Payer Contracting","414-266-6386","","kabrams@chw.org","http://www.chw.org","Julie Sperka","Director Revenue Integrity","414-266-6225","","jsperka@chw.org","http://www.chw.org"]
[null,201911874,"Hillside Family Health Center","Progressive Community Health Centers, Inc.","1376851311","Family Planning Providers, Federally Qualified Health Centers",2,0,"1452 N 7th St # 2","","Milwaukee","WI","53205-2301","Milwaukee","3522 W Lisbon Avenue","","Milwaukee","WI","53208","Milwaukee","Michelle Belanger","Executive Assistant","414-882-2028","","shelly.belanger@progressivechc.org","","Candice Cole","CFO","414-935-8000","433","candice.cole@progressivechc.org",""]
[null,201911890,"Wheaton Franciscan Inc.","Ascension Health","1427007384","Inpatient Hospitals (other than children's hospitals)",366,0,"5000 W Chambers St","","Milwaukee","WI","53210","Milwaukee","400 West River Woods Parkway","","Milwaukee","WI","53212","Milwaukee","Kenneth Shaw","Reimbursement Manager","414-465-3545","","kenneth.shaw@wfhc.org","","Ryan Roethle","Senior Reimbursement Analyst","414-465-3088","","Ryan.Roethle@wfhc.org",""]
[null,201911900,"Children's Hospital of Wisconsin (outpatient hospital clinics)","Children's Hospital of Wisconsin","1750482022","Outpatient Hospital Clinics",298,0,"9000 W Wisconsin Ave","","Milwaukee","WI","53226-4874","Milwaukee","9000 W. Wisconsin Avenue","","Milwaukee","WI","53226-4874","Milwaukee","Kelly Abrams","Director Payer Contracting","414-266-6386","","kabrams@chw.org","http://www.chw.org/","Julie Sperka","Director Revenue Integrity","414-266-6225","","jsperka@chw.org","http://www.chw.org"]
[null,201911906,"NorthLakes- Minong","Lakes Community Health Center","1811178825","Federally Qualified Health Centers, Other ECP Providers",2,0,"600 W Shell Creek Rd","","Minong","WI","54859-9302","Washburn","7665 US Hwy 2","","Iron River","WI","54847","Bayfield","Jason Akl","COO","715-372-5001","1211","jakl@northlakesclinic.org","","Breanna Popp","Operations Assistant","715-372-5001","1258","bpopp@northlakesclinic.org",""]
[null,201911916,"NECEDAH FAMILY MEDICAL CTR","Mile Bluff Medical Center","1447397492","Rural Health Clinics",3,0,"1408 Wheelihan Ave","","Necedah","WI","54646-8253","Juneau","1050 Division St","","Mauston","WI","53948","Juneau","Francis J Fish","CFO","608-847-6161","","jfish@milebluff.com","milebluff.com","James OKeefe","CEO","608-847-6161","","jokeefe@milebluff.com","milebluff.com"]
[null,201911933,"HSHS St Clare Memorial Hospital Oconto Falls Health Center","HSHS St Clare Memorial Hospital","1467583096","Rural Health Clinics",3,0,"835 S Main St","","Oconto Falls","WI","54154-1282","Oconto","855 S Main Street","","Oconto Falls","WI","54154","Oconto","Nicole Stapleton","Director of Clinic Services","920-848-6380","36380","nicole.stapleton@hshs.org","","","","","","",""]
[null,201911939,"Oshkosh Health Center","Planned Parenthood of Wisconsin, Inc.","1982878518","Family Planning Providers",0.4,0,"378 S Koeller St","","Oshkosh","WI","54902-5546","Winnebago","302 N Jackson St","","Milwaukee","WI","53202-5904","Milwaukee","Brian Tollakson","Chief Financial Officer","414-289-3728","","brian.tollakson@ppwi.org","","","","","","",""]
[null,201911949,"Plain Clinic","Sauk Prairie Memorial Hospital, Inc.","1134194004","Ryan White Providers",1.75,0,"825 Main St","","Plain","WI","53577-9668","Sauk","260 26th Street","","Prairie du Sac","WI","53578","Sauk","Carol J May","VP/CFO","608-643-7173","","carol.may@saukprairiehealthcare.org","www.saukprairiehealthcare.org","Nadia Hookham","Clinic Operations-Priimary Care Svc Director","608-643-7625","","nadia.hookham@saukprairiehealthcare.org","www.saukprairiehealthcare.org"]
[null,201911966,"FAMILY HEALTH CENTER/MARSHFIELD CLINIC-LAKEWOODS CENTER","FAMILY HEALTH CENTER OF A MARSHFIELD INC","1851632111","Federally Qualified Health Centers",1,0,"1215 W Knapp St","","Rice Lake","WI","54868-1307","Barron","1000 N Oak Ave","","Marshfield","WI","54449-5703","Wood","Greg Nycz","Executive Director","715-387-9137","","nycz.greg@marshfieldclinic.org","","Mary Dorsch","Assistant Director","715-389-4574","","dorsch.mary@marshfieldclinic.org",""]
[null,201911972,"Ripon Medical Center","Agnesian HealthCare, Inc.","1053362624","Inpatient Hospitals (other than children's hospitals)",18,0,"845 Parkside St","","Ripon","WI","54971-8505","Fond du Lac","430 E Division Street","","Fond du Lac","WI","54935-4560","Fond Du Lac","Barb Faber","Director, Managed Care & Professional Billing","920-926-8333","","faberb@agnesian.com","www.agnesian.com","Penny Claggett","System Accreditation/Risk Management/Safety Coordinator","920-745-3363","","claggettp@agnesian.com","www.agnesian.com"]
[null,201911982,"Kickapoo Valley Medical Clinic-VMH","Vernon Memorial Healthcare, Inc.","1376549824","Rural Health Clinics",3,0,"102 Sunset Ave","","Soldiers Grove","WI","54655-1400","Crawford","507 S. Main St.","","Viroqua","WI","54665","Vernon","Ashley Lagerquist","Manager-Patient Accounts","608-637-4769","","alagerquist@vmh.org","vmh.org","Mary Koenig","CFO","608-637-4230","","mkoenig@vmh.org",""]
[null,201911999,"NORTH SHORE MED CLINIC STURGEON BAY","MINISTRY DOOR COUNTY MEDICAL CENTER","1578892857","Rural Health Clinics",22,0,"323 S 18th Ave","","Sturgeon Bay","WI","54235-1401","Door","323 S. 18TH AVE","","STURGEON BAY","WI","54235","Door","BRIAN STEPHENS","CHIEF FINANCIAL OFFICER","920-746-3737","","BRIAN.STEPHENS@ministryhealth.org","","","","","","",""]
[null,201912009,"MINISTRY SACRED HEART HOSPITAL","Ministry Health Care","1598715401","Inpatient Hospitals (other than children's hospitals)",18,0,"401 W Mohawk Dr","Suite 100","Tomahawk","WI","54487-2273","Lincoln","222 W. College Ave., Suite 3B","","Appleton","WI","54911-5863","Outagamie","Michael S. Ballinger","Dir. - Man. Care Contracting","715-340-9699","","michael.ballinger@ministryhealth.org","","","","","","",""]
[null,201912015,"Hirsch Clinic-VMH","Vernon Memorial Healthcare, Inc.","1144226507","Rural Health Clinics",12,0,"407 S Main St","Suite 400","Viroqua","WI","54665-4000","Vernon","507 S. Main St.","","Viroqua","WI","54665","Vernon","Ashley Lagerquist","Manager-Patient Accounts","608-637-4769","","alagerquist@vmh.org","www.vmh.org","Mary Koenig","CFO","608-637-4230","","mkoenig@vmh.org",""]
[null,201912032,"Moundview Family Clinic at Westfield","Moundview Memorial Hospital & Clinics, Inc","1861829194","Rural Health Clinics",0.61,0,"207 N Pioneer Park Rd Unit 8","","Westfield","WI","53964-9092","Marquette","402 W Lake St","","Friendship","WI","53934-9699","Adams","Lori Wittig","Director of Clinic Operations","608-339-8318","","lwittig@moundview.org","","Don Heinz","CEO","608-339-6814","","dheinz@moundview.org",""]
[null,201912042,"Aspirus Riverview Hospital","Aspirus Riverview Hospital and Clinics, Inc.","1295754844","Inpatient Hospitals (other than children's hospitals)",44,0,"410 Dewey St","","Wisconsin Rapids","WI","54494-4715","Wood","PO Box 8080","","Wisconsin Rapids","WI","54495","Wood","Brian Schmick","Reimbursement Analyst","715-422-9331","","brian.schmick@aspirus.org","www.aspirus.org","","","","","",""]
[null,201912051,"Tri-State Community Health Center - Berkeley Springs","Tri-State Community Health Center","1083055081","Federally Qualified Health Centers",3,0,"261 Berkmore Pl","Suite 1A","Berkeley Springs","WV","25411-6247","Morgan","109 Rayloc Drive","","Hancock","MD","21750","Washington","Sheila DeShong","COO","301-678-5187","226","sdeshong@tschc.com","","","","","","",""]
[null,201912059,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1700252764","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"250 Worthington Dr","SIMPSON ELEMENTARY SCHOOL WELLNESS CENTER","Bridgeport","WV","26330-1449","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234","Upshur","RICHARD SIMON","CEO","304-924-6262","","rick.simon@ccwv.org","ccwv.org","Brock Malcolm","COO","304-924-6262","","brock.malcolm@ccwv.org","ccwv.org"]
[null,201912060,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1669868931","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"413 Johnson Ave","Bridgeport Middle School Wellness Center","Bridgeport","WV","26330-1309","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","Richard G Simon","CEO","304-924-6262","","rick.simon@ccwv.org","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912061,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1326434846","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"515 Johnson Ave","Bridgeport High School Wellness Center","Bridgeport","WV","26330-1311","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","Richard G Simon","CEO","304-924-6262","","rick.simon@ccwv.org","ccwv.org","Brock Malcolm","COO","304-924-6262","","brock.malcolm@ccwv.org","ccwv.org"]
[null,201912062,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1912392358","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"531 Johnson Ave","Johnson Elementary School Wellness Center","Bridgeport","WV","26330-1311","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","Richard G Simon","CEO","304-924-6262","","rick.simon@ccwv.org","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912063,"COMMUNITY CARE OF BRIDGEPORT","COMMUNITY CARE OF WEST VIRGINIA","1619348844","Family Planning Providers, Federally Qualified Health Centers",4,0,"65 Professional Pl","","Bridgeport","WV","26330-1889","Harrison","78 QUEENS ALLEY RD","","ROCK CAVE","WV","26234","Upshur","RICHARD SIMON","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912064,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1386083673","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"1 Copperhead Way","Marlinton Middle School Wellness Center","Buckeye","WV","24924","Pocahontas","78 Queens Alley Rd","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912065,"POCAHONTAS MEMORIAL HOSPITAL RURAL HEALTH CLINIC","Pocahontas Memorial Rural Health Clinic","1346523206","Inpatient Hospitals (other than children's hospitals)",25,0,"150 Duncan Rd","","Buckeye","WV","24924-9037","Pocahontas","150 Duncan Rd","","Buckeye","WV","24924-9037","Pocahontas","Rebecca Hammer","CFO","304-799-7400","1024","rhammer@pmhwv.org","pmhwv.org","Wanessa Cassell","Business Office Manager","304-799-7400","1030","wcassell@pmhwv.org","pmhwv.org"]
[null,201912066,"CARE XPRESS AND PEDIATRICS","COMMUNITY CARE OF WEST VIRGINIA, INC.","1255507810","Family Planning Providers, Federally Qualified Health Centers",2.5,0,"11 N Locust St","","Buckhannon","WV","26201-2231","Upshur","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912067,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1578811857","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"16 College Ave","Buckhannon Academy Elementary School Wellness Center","Buckhannon","WV","26201-2628","Upshur","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912068,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1104177674","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"50 Bu Dr","Buckhannon-Upshur High School Wellness Center","Buckhannon","WV","26201-9689","Upshur","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912069,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1992144273","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"553 Route 20 South Rd","Buckhannon-Upshur Middle School Wellness Center","Buckhannon","WV","26201","Upshur","78 Queens Alley Rd","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912070,"Community Health Center of NE Wetzel County","Clay-Battelle Health Services Association","1437214509","Family Planning Providers, Federally Qualified Health Centers",4,0,"Kenova, WV 25530","","Burton","WV","26562-9669","Wetzel","PO Box 72","","Blacksville","WV","26521","Monongalia","Janice Morris","Chief Executive Officer","304-432-8211","237","janice.morris@cbhealthwv.org","http://cbhealthwv.org/","Jason Whipkey","Chief Information Officer","304-432-8211","227","jason.whipkey@cbhealthwv.org","http://cbhealthwv.org/"]
[null,201912071,"Camden Family Health","Camden on Gauley Medical Center, Inc","1598749244","Dental Providers, Federally Qualified Health Centers",1,1,"10003 Webster Rd","","Camden on Gauley","WV","26208-7713","Webster","10003 Webster Road","","Camden on Gauley","WV","26208","Nicholas","Margaret E Groves","CEO","304-226-5725","131","meg@cog-wv.org","","Melissa D Rogers","COO","304-742-5725","117","mrogers@cog-wv.org",""]
[null,201912072,"Valley Health Upper Kanawha","Valley Health Systems, Inc.","1699740472","Black Lung Clinics, Dental Providers, Federally Qualified Health Centers",2,0.5,"408 Alexander Street","","Cedar Grove","WV","25039","Kanawha","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/upper-kanawha/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/upper-kanawha/"]
[null,201912073,"CRHS Tiger Center for Health","Southern WV Health System","1396052528","Federally Qualified Health Centers",1,0,"200 Vance St","","Chapmanville","WV","25508","Logan","7400 Lynn Avenue","","Hamlin","WV","25523","Lincoln","Tish Weaver","Credentialing Coordinator","304-824-5806","1235","Tish.Weaver@swvhs.org","www.swvhs.org","Stephanie Belford","COO","304-824-5806","1289","Stephanie.Belford@swvhs.org","www.swvhs.org"]
[null,201912074,"FamilyCare HealthCenter - Mary C. Snow West Side Elementary","WOMENCARE, INC.","1871872184","Federally Qualified Health Centers",1,0,"100 Florida St","","Charleston","WV","25302-1131","Kanawha","97 Great Teays Blvd Ste 6","","Scott Depot","WV","25560-9816","Putnam","MARTHA CARTER","CEO","304-760-6316","","martha.cookcarter@familycarewv.org","www.familycarewv.org","","","","","",""]
[null,201912075,"FamilyCare HealthCenter - Patrick Street","WOMENCARE, INC.","1972773224","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",5.5,2,"116 Hills Plz","","Charleston","WV","25387-2438","Kanawha","97 Great Teays Blvd Ste 6","","Scott Depot","WV","25560-9816","Putnam","MARTHA CARTER","CEO","304-760-6316","","martha.cookcarter@familycarewv.org","www.familycarewv.org","Kathy Howell","Family Planning Specialist","304-356-4456","","","http://www.familycarewv.org/locations_patrick_street_plaza.html"]
[null,201912076,"CAMC Memorial Hospital (inpatient hospital)","Charleston Area Medical Center","1952390239","Inpatient Hospitals (other than children's hospitals)",472,0,"3200 Maccorkle Ave SE","","Charleston","WV","25304-1227","Kanawha","501 Morris Street","","Charleston","WV","25301","Kanawha","Billy Comer","Reimb Mgr","304-388-6265","","billy.comer@camc.org","","Stephen Bell","VP Finance","304-388-6251","","stephen.bell@camc.org",""]
[null,201912077,"CAMC Memorial Hospital (multiple outpatient ECP categories)","Charleston Area Medical Center","1952390239","Dental Providers, Hemophilia Treatment Centers, Outpatient Hospital Clinics, Ryan White Providers",693,2,"3200 Maccorkle Ave SE","","Charleston","WV","25304-1227","Kanawha","501 Morris Street","","Charleston","WV","25301","Kanawha","Billy Comer","Reimb Mgr","304-388-6265","","billy.comer@camc.org","","Stephen Bell","VP Finance","304-388-6251","","stephen.bell@camc.org",""]
[null,201912078,"CAMC General Hospital","Charleston Area Medical Center","1952390239","Outpatient Hospital Clinics",181,0,"501 Morris St","","Charleston","WV","25301-1326","Kanawha","501 Morris Street","","Charleston","WV","25301","Kanawha","Billy Comer","Reimb Mgr","304-388-6265","","billy.comer@camc.org","","Stephen Bell","VP Finance","304-388-6251","","stephen.bell@camc.org",""]
[null,201912079,"CHARLESTON AREA MEDICAL CENTER","Charleston Area Medical Center","1952390239","Inpatient Hospitals (other than children's hospitals)",268,0,"501 Morris St","","Charleston","WV","25301-1326","Kanawha","501 Morris St.","","Charleston","WV","25301-1326","Kanawha","Stephen Bell","VP of Finance","304-388-6265","","billy.comer@camc.org","","Billy Comer","Reimbursement Manager","304-388-6265","","billy.comer@camc.org",""]
[null,201912080,"Women's Health Center of West Virginia, Inc.","Women's Health Center of West Virginia, Inc.","1073679254","Family Planning Providers",1.5,0,"510 Washington St W","","Charleston","WV","25302-2036","Kanawha","510 Washington Street, West","","Charleston","WV","25302","Kanawha","Sharon Lewis","Executive Director","304-344-9841","","salewis@suddenlinkmail.com","http://www.whcwva.com","Vania Riddle","Office Manager","304-344-9841","","vaniariddlewhc@suddenlinkmail.com","http://www.whcwva.com"]
[null,201912081,"CAMC Women and Children's Hospital (inpatient hospital)","Charleston Area Medical Center","1952390239","Inpatient Hospitals (other than children's hospitals)",146,0,"800 Pennsylvania Ave","","Charleston","WV","25302-3351","Kanawha","501 Morris Street","","Charleston","WV","25301","Kanawha","Billy Comer","Reimbursement Manager","304-388-6265","","billy.comer@camc.org","","Stephen Bell","VP - Finance","304-388-6251","","stephen.bell@camc.org",""]
[null,201912082,"CAMC Women and Children's Hospital (outpatient hospital clinics)","Charleston Area Medical Center","1952390239","Outpatient Hospital Clinics",90,0,"800 Pennsylvania Ave","","Charleston","WV","25302-3351","Kanawha","501 Morris Street","","Charleston","WV","25301","Kanawha","Billy Comer","Reimb Mgr","304-388-6265","","billy.comer@camc.org","","Stephen Bell","","304-388-6251","","stephen.bell@camc.org",""]
[null,201912083,"FamilyCare HealthCenter - Children's Medicine Center","WOMENCARE, INC.","1265792055","Federally Qualified Health Centers",6,0,"800 Pennsylvania Ave","","Charleston","WV","25302-3351","Kanawha","97 Great Teays Blvd Ste 6","","Scott Depot","WV","25560-9816","Putnam","MARTHA CARTER","CEO","304-760-6316","","martha.cookcarter@familycarewv.org","www.familycarewv.org","","","","","",""]
[null,201912084,"NORTH FORK ELEMENTARY SCHOOL CLINIC","PENDLETON COMMUNITY CARE, INC.","1386051035","Federally Qualified Health Centers",0.05,0,"1 School Ln","","Circleville","WV","26804","Pendleton","PO BOX 100","","Franklin","WV","26807","Pendleton","Jamie Hudson","CEO","304-358-2355","","jhudson@pcc-nfc.org","","Rebecca Eason","","304-358-2355","","reason@pcc-nfc.org",""]
[null,201912085,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1356780639","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"1 Eagle Way","Robert C Byrd High School Wellness Center","Clarksburg","WV","26301-9784","Harrison","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912086,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1194111468","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"1 Mountaineer Dr","Liberty High School Wellness Center","Clarksburg","WV","26301-5511","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","Richard G Simon","CEO","304-924-6262","","rick.simon@ccwv.org","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912087,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1538555891","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"1040 Wilsonburg Rd","Wilsonburg Elementary School Wellness Center","Clarksburg","WV","26301-6511","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","Richard G Simon","CEO","304-924-6262","","rick.simon@ccwv.org","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912088,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1346636792","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"1400 N 19th St","North View Elementary School Wellness Center","Clarksburg","WV","26301-1644","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","Richard G Simon","CEO","304-924-6262","","rick.simon@ccwv.org","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912089,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1851787121","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"1636 W Pike St","Adamston Elementary School Wellness Center","Clarksburg","WV","26301-2361","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","Richard G Simon","CEO","304-881-1190","","rick.simon@ccwv.org","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912090,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1164809802","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"2 Mountaineer Dr","Mountaineer Middle School Wellness Center","Clarksburg","WV","26301-5511","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","Richard G Simon","CEO","304-924-6262","","rick.simon@ccwv.org","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912091,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1619316999","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"443 Lee Ave","Washington Irving Middle School Wellness Center","Clarksburg","WV","26301-3648","Harrison","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912092,"Community Care of Clarksburg","COMMUNITY CARE OF WEST VIRGINIA, INC.","1053742668","Family Planning Providers, Federally Qualified Health Centers",1.5,0,"700 Oakmound Rd","","Clarksburg","WV","26301-9398","Harrison","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912093,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1992755789","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"1 Panther Dr","Clay High School Wellness Center","Clay","WV","25043","Clay","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912094,"Primary Care Systems","COMMUNITY CARE OF WEST VIRGINIA, INC.","1073562641","Family Planning Providers, Federally Qualified Health Centers",4,0,"122 Center St","","Clay","WV","25043-7046","Clay","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912095,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1669422432","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"168 Church St","Clay Elementary School Wellness Center","Clay","WV","25043-9420","Clay","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912096,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1093765869","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"236 Church St","Clay Middle School Wellness Center","Clay","WV","25043-9412","Clay","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912097,"Sherman Elementary Wellness Center","Hygeia Facilities Foundation, Inc.","1669819637","Federally Qualified Health Centers",1,0,"7487 Coal River Road","","Comfort","WV","25049-0369","Boone","37456 Coal River Road","","Whitesville","WV","25209","Boone","Terri L Jarrell","CFO","304-854-1323","","terri_hygeia@frontier.com","","Margaret L Martin","CEO","304-854-1323","","margmartin@frontier.com",""]
[null,201912098,"Camden Family Health","Camden on Gauley Medical Center, Inc.","1639418361","Federally Qualified Health Centers",1,0,"56 Park St","","Cowen","WV","26206-3302","Webster","10003 Webster Road","","Camden on Gauley","WV","26208","Webster","Margaret E Hickey","CEO","304-226-5725","131","meg@cog-wv.org","","Melissa D Rogers","COO","304-226-5725","117","mrogers@cog-wv.org",""]
[null,201912099,"Camden Family Health","Camden on Gauley Medical Center, Inc","1528491537","Federally Qualified Health Centers",1,0,"1 School St","","Craigsville","WV","26205","Nicholas","10003 Webster Road","","Camden on Gauley","WV","26208","Webster","Margaret E Hickey","CEO","304-226-5725","131","meg@cog-wv.org","","Melissa D Rogers","COO","304-226-5725","117","mrogers@cog-wv.org",""]
[null,201912100,"Camden Family Health","Camden on Gauley Medical Center, Inc.","1215394648","Federally Qualified Health Centers",1,0,"46 Red Oak Dr","","Craigsville","WV","26205-3102","Nicholas","10003 Webster Road","","Camden on Gauley","WV","26208","Webster","Margaret E Hickey","CEO","304-226-5725","131","meg@cog-wv.org","","Melissa D Rogers","COO","304-226-5725","117","mrogers@cog-wv.org",""]
[null,201912101,"Southern WV Health System at Delbarton","Southern WV Health System","1033490149","Federally Qualified Health Centers",2,0,"5027 Helena Ave","","Delbarton","WV","25670-1301","Mingo","7400 Lynn Avenue","","Hamlin","WV","25523","Lincoln","Tish Weaver","Credentialing Coordinator","304-824-5806","1235","Tish.Weaver@swvhs.org","www.swvhs.org","Stephany Crist","Billing Specialist","304-824-5860","1508","Stephany.Crist@swvhs.org","www.swvhs.org"]
[null,201912102,"Big Otter Elementary Wellness Center","COMMUNITY CARE OF WEST VIRGINIA, INC.","1619103041","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"59 Ossia Rd","","Duck","WV","25063-8500","Clay","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912103,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1043567456","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"271 Warrior Way","Pocahontas County High School Wellness Center","Dunmore","WV","24934-9048","Pocahontas","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912104,"EGLON CLINIC","PRESTON TAYLOR COMMUNITY HEALTH CENTER","1538277231","Federally Qualified Health Centers",1.6,0,"2604 Grange Hall Rd","","Eglon","WV","26716-8774","Preston","725 N Pike St","","Grafton","WV","26354-1270","Taylor","Linda Shriver","CEO","304-265-0312","","lmshriver@mountain.net","","June Griffith","COO","304-265-0312","","jgriffith@ptchc.com",""]
[null,201912105,"FamilyCare HealthCenter - Putnam Career Technical Center","WOMENCARE, INC.","1457783367","Federally Qualified Health Centers",0.2,0,"300 Roosevelt Blvd","","Eleanor","WV","25070","Putnam","97 Great Teays Blvd Ste 6","","Scott Depot","WV","25560-9816","Putnam","MARTHA CARTER","CEO","304-760-6316","","martha.cookcarter@familycarewv.org","www.familycarewv.org","","","","","",""]
[null,201912106,"FamilyCare HealthCenter - Eleanor","WOMENCARE, INC.","1255660056","Family Planning Providers, Federally Qualified Health Centers",3,0,"503 Roosevelt Blvd","","Eleanor","WV","25070","Putnam","97 Great Teays Blvd Ste 6","","Scott Depot","WV","25560-9816","Putnam","MARTHA CARTER","CEO","304-760-6316","","martha.cookcarter@familycarewv.org","","Kathy Howell","Family Planning Specialist","304-356-4456","","","http://www.familycarewv.org/locations_eleanor.html"]
[null,201912107,"Coplin Memorial Community Health Center","Coplin Health Systems","1518962232","Community Mental Health Centers, Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Sexually Transmitted Disease Clinics",13,0,"483 Court St","PO Box 609","Elizabeth","WV","26143-0609","Wirt","483 Court St","P.O> Box 609","Elizabeth,","WV","26143","Wirt","Cheryl Davis","HR Coordinator","304-275-3301","206","cdavis@wchsa.com","","Derek Snyder","CEO","304-275-3301","207","dsnyder@wchsa.com",""]
[null,201912108,"Arbor Community Health Center","Valley Health Care, Inc.","1710270954","Federally Qualified Health Centers",5.4,0,"105 Nathan St","","Elkins","WV","26241-3331","Randolph","PO BOX 247","","Mill Creek","WV","26280","Randolph","Robert Douglas Haddix","Grants Management","304-335-2050","107","haddixr@vhcwv.org","","","","","","",""]
[null,201912109,"Ritchie Regional Health Center Ellenboro Campus","Ritchie County Primary Care Association, Inc.","1518083070","Federally Qualified Health Centers",1,0,"107 School Road","","Ellenboro","WV","26346","Ritchie","P.O. Box 373","","Harrisville","WV","26362","Ritchie","William H. Snider, II","CEO","304-643-4005","108","rcpcasnider@gmail.com","http://ritchieregional.org/","Lisa Leach","COO","304-643-4005","107","lleach@rcpca.org","http://ritchieregional.org/"]
[null,201912110,"MVA Fairmont Clinic","MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC","1770697278","Federally Qualified Health Centers",11.86,0,"1322 Locust Ave","","Fairmont","WV","26554-1436","Marion","1322 Locust Ave","","Fairmont","WV","26554-1436","Marion","Eric Pulice","Administrator","304-367-8740","","contactus@mvahealth.org","mvahealth.org","","","","","",""]
[null,201912111,"MVA Pediatric Center","MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC","1770697278","Federally Qualified Health Centers",11.86,0,"1338 Locust Ave","","Fairmont","WV","26554-1436","Marion","1322 Locust Ave","","Fairmont","WV","26554-1436","Marion","Eric Pulice","Administrator","304-367-8740","","contactus@mvahealth.org","mvahealth.org","","","","","",""]
[null,201912112,"MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC","MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC","1770697278","Federally Qualified Health Centers",5,0,"1993 Airport Rd","East Fairmont High School","Fairmont","WV","26554-9138","Marion","1322 Locust Ave","","Fairmont","WV","26554-1436","Marion","Eric Pulice","Administrator","304-367-8740","","contactus@mvahealth.org","https://mvahealth.org/school-based-health-care/","","","","","",""]
[null,201912113,"North Marion Campus Wellness Center","MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC","1770697278","Federally Qualified Health Centers",11.86,0,"1 North Marion Dr","","Farmington","WV","26571-9717","Marion","1322 Locust Ave","","Fairmont","WV","26554-1436","Marion","Eric Pulice","Administrator","304-367-8740","","contactus@mvahealth.org","mvahealth.org","","","","","",""]
[null,201912114,"Valley Health Fort Gay","Valley Health Systems Inc.","1083694756","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",2.7,1,"71 Wayne St","","Fort Gay","WV","25514-8518","Wayne","3377 US Route 60","","Huntington","WV","25514","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/fort-gay/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/fort-gay/"]
[null,201912115,"Community Care Of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1790110047","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"HC 61 PO Box 14","Frametown Elementary School Wellness Center","Frametown","WV","26623-9802","Braxton","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912116,"PENDLETON County HIGH/MIDDLE SCHOOL CLINIC","PENDLETON COMMUNITY CARE, INC.","1205243961","Federally Qualified Health Centers",0.1,0,"147 Maple Ave","","Franklin","WV","26807","Pendleton","PO BOX 100","","Franklin","WV","26807","Pendleton","Jamie Hudson","CEO","304-358-2355","","jhudson@pcc-nfc.org","","Rebecca Eason","","304-358-2355","","reason@pcc-nfc.org",""]
[null,201912117,"Pendleton Community Care, Inc.","PENDLETON COMMUNITY CARE, INC.","1932516697","Federally Qualified Health Centers",0.1,0,"67 South Branch St","Franklin Elementary School Based Health Clinic","Franklin","WV","26807","Pendleton","PO BOX 100","","Franklin","WV","26807","Pendleton","Jamie Hudson","CEO","304-358-2355","","jhudson@pcc-nfc.org","","Rebecca Eason","","304-358-2355","","reason@pcc-nfc.org",""]
[null,201912118,"PENDLETON COMMUNITY CARE","PENDLETON COMMUNITY CARE, INC.","1417936535","Federally Qualified Health Centers",4.24,0,"82 Pine St","","Franklin","WV","26807","Pendleton","PO BOX 100","","Franklin","WV","26807","Pendleton","Jamie Hudson","CEO","304-358-2355","","jhudson@pcc-nfc.org","","Rebecca Eason","","304-358-2355","","reason@pcc-nfc.org",""]
[null,201912119,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1689921082","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"7619 Route 20 South Rd","French Creek Elementary School Wellness Center","French Creek","WV","26218","Upshur","78 Queens Alley Rd","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912120,"Valley Health Gallipolis Ferry","Valley Health Systems Inc","1194020677","Federally Qualified Health Centers",1,0,"15167 Huntington Rd","","Gallipolis Ferry","WV","25515-6615","Mason","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/gallipolis-ferry/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/gallipolis-ferry/"]
[null,201912121,"Braxton Community Health Center","Braxton Community Health Center","1639278518","Rural Health Clinics",4,0,"100 Hoylman Dr","","Gassaway","WV","26624-9318","Braxton","100 Hoylman Drive","","Gassaway","WV","26624","Braxton","Linda K Davis","Business Office Manager","304-364-1095","","linda.davis@braxtonmemorial.org","","Kimber Knight","CFO","304-364-1128","","kimber.knight@braxtonmemorial.org",""]
[null,201912122,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1447699723","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"113 5th St","Davis Elementary School Wellness Center","Gassaway","WV","26624-1224","Braxton","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912123,"Family Healthcare Associates","Family Healthcare Associates","1376572479","Rural Health Clinics",3,0,"113 3rd Ave","","Gilbert","WV","25621","Mingo","PO Box 1650","","Pineville","WV","24874","Wyoming","Stephanie Sizemore","Insurance billing manager","304-732-6735","","ssizemore@fhcawv.com","","MIchael Muscari","DO","304-732-6735","","mmuscari@fhcawv.com",""]
[null,201912124,"Southern WV Health System at Gilbert","Southern WV Health System","1942523931","Federally Qualified Health Centers",2,0,"202 Larry Joe Harless Dr","","Gilbert","WV","25621","Mingo","7400 Lynn Avenue","","Hamlin","WV","25523","Lincoln","Tish Weaver","Credentialing Coordinator","304-824-5806","1235","Tish.Weaver@swvhs.org","www.swvhs.org","Stephany Crist","Billing Specialist","304-824-5860","1508","Stephany.Crist@swvhs.org","www.swvhs.org"]
[null,201912125,"TYGART VALLEY TOTAL CARE CENTER","Grafton City Hospital","1336200344","Rural Health Clinics",7.68,0,"500 Market St","","Grafton","WV","26354-1283","Taylor","1 Hospital Plaza","","Grafton","WV","26354","Taylor","Tammy Barcus","Director of Quality & Patient Safety","304-265-0400","7156","tbarcus@graftonhospital.com","www.graftonhospital.com","Pat Shaw","CEO","304-265-0400","7151","pshaw@graftonhospital.com","www.graftonhospital.com"]
[null,201912126,"DENTAL CENTER OF TAYLOR COUNTY","PRESTON TAYLOR COMMUNITY HEALTH CENTER","1841308541","Dental Providers",0,1,"711 N Pike St","","Grafton","WV","26354-1221","Taylor","725 North Pike Street","PO Box 399","Grafton","WV","26354","Taylor","Linda Shriver","CEO","304-265-0312","","lmshriver@mountain.net","","June Griffith","COO","304-265-0312","","jgriffith@ptchc.com",""]
[null,201912127,"MEDICAL CENTER OF TAYLOR COUNTY","PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INC","1992813604","Black Lung Clinics, Federally Qualified Health Centers",3.4,0,"725 N Pike St","","Grafton","WV","26354-1270","Taylor","725 N Pike St","","Grafton","WV","26354-1270","Taylor","Linda Shriver","ceo","304-265-0312","","lmshriver@mountain.net","","June Griffith","COO","304-265-0312","","jgriffith@ptchc.com",""]
[null,201912128,"Community Care of Green Bank","COMMUNITY CARE OF WEST VIRGINIA, INC.","1164557237","Family Planning Providers, Federally Qualified Health Centers",2,0,"4498 Potomac Highlands Trl","","Green Bank","WV","24944","Pocahontas","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912129,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1194073486","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"5917 Potomac Highlands Trl","Green Bank Elementary-Middle School Wellness Center","Green Bank","WV","24944-9099","Pocahontas","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912130,"Community Dental Care of Green Bank","COMMUNITY CARE OF WEST VIRGINIA, INC.","1427305911","Dental Providers",0,2,"6404 Potomac Highlands Trl","","Green Bank","WV","24944","Pocahontas","78 QUEENS ALLEY RD","","ROCK CAVE","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912131,"Duval Yellowjacket Center for Health","Southern WV Health System","1457541229","Federally Qualified Health Centers",1,0,"5304 Straight Frk","","Griffithsville","WV","25521-9504","Lincoln","7400 Lynn Avenue","","Hamlin","WV","25523","Lincoln","Tish Weaver","Credentialing Coordinator","304-824-5806","1235","Tish.Weaver@swvhs.org","www.swvhs.org","Stephanie Belford","COO","304-824-5806","1289","Stephanie.Belford@swvhs.org","www.swvhs.org"]
[null,201912132,"Lincoln Primary Care Center, Inc.","Southern WV Health System","1942274543","Federally Qualified Health Centers",11,0,"7400 Lynn Ave","","Hamlin","WV","25523-1138","Lincoln","7400 Lynn Avenue","","Hamlin","WV","25523","Lincoln","Tish Weaver","Credentialing Coordinator","304-824-5806","1235","Tish.Weaver@swvhs.org","www.swvhs.org","Stephany Crist","Billing Specialist","304-824-5860","1508","Stephany.Crist@swvhs.org","www.swvhs.org"]
[null,201912133,"LCHS Panther Center for Health","Southern WV Health System","1962583054","Federally Qualified Health Centers",1,0,"81 Lincoln Panther Way","","Hamlin","WV","25523-1169","Lincoln","7400 Lynn Avenue","","Hamlin","WV","25523","Lincoln","Tish Weaver","Credentialing Coordinator","304-824-5806","1235","Tish.Weaver@swvhs.org","www.swvhs.org","Stephany Crist","Billing Specialist","304-824-5860","1508","Stephany.Crist@swvhs.org","www.swvhs.org"]
[null,201912134,"HARMAN HEALTH CENTER","PENDLETON COMMUNITY CARE, INC.","1427307222","Federally Qualified Health Centers",1.06,0,"1 Mott St","","Harman","WV","26270","Randolph","PO BOX 100","","Franklin","WV","26807","Pendleton","Jamie Hudson","CEO","304-358-2355","","jhudson@pcc-nfc.org","","Rebecca Eason","","304-358-2355","","reason@pcc-nfc.org",""]
[null,201912135,"HARMAN HEALTH CENTER","PENDLETON COMMUNITY CARE, INC.","1427307222","Federally Qualified Health Centers",1.06,0,"15 Mott St","","Harman","WV","26270","Randolph","PO BOX 100","","Franklin","WV","26807","Pendleton","Jamie Hudson","CEO","304-358-2355","","jhudson@pcc-nfc.org","","Rebecca Eason","","304-358-2355","","reason@pcc-nfc.org",""]
[null,201912136,"Harpers Ferry Family Medicine","University Healthcare Physicians","1659625739","Ryan White Providers",14,0,"171 Taylor St","","Harpers Ferry","WV","25425-3641","Jefferson","2500 Foundation Way","","Martinsburg","WV","25401","Berkeley","Aaron Henry","CFO","304-264-9202","2","henrya@wvumedicine.org","","","","","","",""]
[null,201912137,"Ritchie Regional Health Center","Ritchie County Primary Care Association, Inc.","1265404230","Family Planning Providers, Federally Qualified Health Centers",9,0,"135 S Penn Ave","","Harrisville","WV","26362-1371","Ritchie","P.O. Box 373","","Harrisville","WV","26362","Ritchie","William H. Snider, II","CEO","304-643-4005","108","rcpcasnider@gmail.com","http://ritchieregional.org/","Lisa Leach","COO","304-643-4005","107","lleach@rcpca.org","http://ritchieregional.org/"]
[null,201912138,"Valley Health - Harts Intermediate","Valley Health Systems, Inc.","1154697431","Federally Qualified Health Centers",1,0,"1246 McClellan Hwy","","Harts","WV","25524-9524","Lincoln","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/harts-intermediate/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/harts-intermediate/"]
[null,201912139,"Valley Health Harts","Valley Health Systems, Inc.","1649250309","Black Lung Clinics, Dental Providers, Federally Qualified Health Centers",1.1,1,"22 Fleming Dr","","Harts","WV","25524-9788","Lincoln","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shatlls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/harts/","Mandi Pitsenbarger","Executive Director","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/harts/"]
[null,201912140,"LITTLE MEADOW HEALTH CENTER","COMMUNITY CARE OF WEST VIRGINIA, INC.","1740310663","Family Planning Providers, Federally Qualified Health Centers",1,0,"100 Pickens Rd","","Helvetia","WV","26224","Randolph","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912141,"Community Care of Hillsboro","COMMUNITY CARE OF WEST VIRGINIA, INC.","1134538762","Family Planning Providers, Federally Qualified Health Centers",1,0,"7576 Seneca Trail","","Hillsboro","WV","24946","Pocahontas","78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","Richard G Simon","CEO","304-924-6262","","rick.simon@ccwv.org","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912142,"ARH Summers County Rural Health Clinic","Appalachian Regional Healthcare, Inc.","1730196049","Outpatient Hospital Clinics, Rural Health Clinics",6,0,"115 Summers Hospital Rd","","Hinton","WV","25951-5172","Summers","100 Airport Gardens Road","ATTN: Roy Milwee","Hazard","KY","41701","Perry","Roy Milwee","System Administrator Ambulatory Services","606-487-7766","","rmilwee@arh.org","","","","","","",""]
[null,201912143,"Summers County ARH Family Care Clinic","Appalachian Regional Healthcare, Inc.","1417317397","Outpatient Hospital Clinics, Rural Health Clinics",3,0,"197 Pleasant St","","Hinton","WV","25951-2540","Summers","100 Airport Gardens Road","ATTN: Roy Milwee","Hazarad","KY","41701","Perry","Roy Milwee","System Administrator Ambulatory Services","606-487-7766","","rmilwee@arh.org","","","","","","",""]
[null,201912144,"S K Shammaa MD Inc","S K Shammaa MD Inc","1881856516","Rural Health Clinics",2,0,"623 Temple St","","Hinton","WV","25951-2230","Summers","623 Temple St","POB 370","Hinton","WV","25951","Summers","Royce Ann Martin","Office Manager","304-466-1243","303","sahibshammaamd@yahoo.com","","Gayle Bugg","Office Manager","304-466-1243","305","skshammaamd@suddenlinkmail.com",""]
[null,201912145,"Valley Health Huntington High","Valley Health Systems, Inc.","1659346757","Federally Qualified Health Centers",1,0,"1 Highlander Way","","Huntington","WV","25701-5261","Cabell","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/huntington-high/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/huntington-high/"]
[null,201912146,"Valley Health Mountwest","Valley Health Systems, Inc.","1477926350","Federally Qualified Health Centers",1,0,"1 Mountwest Way","","Huntington","WV","25701-9804","Cabell","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/mountwest/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/mountwest/"]
[null,201912147,"Valley Health Spring Valley","Valley Health Systems, Inc.","1760458350","Federally Qualified Health Centers",1,0,"1 Timberwolfe Drive","","Huntington","WV","25704","Cabell","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/spring-valley/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/spring-valley/"]
[null,201912148,"Valley Health Huntington","Valley Health Systems Inc.","1710952056","Federally Qualified Health Centers",3,0,"1301 Hal Greer Blvd","","Huntington","WV","25701-3803","Cabell","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/huntington/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/huntington/"]
[null,201912149,"Cabell Huntington Hospital","Cabell Huntington Hospital","1073518007","Inpatient Hospitals (other than children's hospitals)",303,0,"1340 Hal Greer Blvd","","Huntington","WV","25701-3800","Cabell","1340 Hal Greer Boulevard","","Huntington","WV","25701-3800","Cabell","Greg Wageman","Director Managed Care, Budgeting and Decision Support","304-526-2170","","greg.wageman@chhi.org","","","","","","",""]
[null,201912150,"Hoops Family Children's Hospital at Cabell Huntington Hospital","Cabell Huntington Hospital","1073518007","Children's Hospitals (inpatient only)",71,0,"1340 Hal Greer Blvd","","Huntington","WV","25701-3800","Cabell","1340 Hal Greer Boulevard","","Huntington","WV","25701-3800","Cabell","Greg Wageman","Director Managed Care, Budgeting, and Decision Support","304-526-2170","","greg.wageman@chhi.org","","","","","","",""]
[null,201912151,"Valley Health A Woman's Place","Valley Health Systems, Inc.","1194790089","Family Planning Providers, Federally Qualified Health Centers",2.4,0,"1630 13th Ave","","Huntington","WV","25701-3812","Cabell","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/a-womans-place/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/a-womans-place/"]
[null,201912152,"Valley Health Westmoreland","Valley Health Systems, Inc.","1205801396","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers",2.1,1,"2908 Auburn Rd","","Huntington","WV","25704-2715","Wayne","3377 US Route 60","","Huntington","WV","25705","Cabell","Steve Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/westmoreland/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/westmoreland/"]
[null,201912153,"Valley Health Ear, Nose, and Throat","Valley Health Systems, Inc.","1366897720","Federally Qualified Health Centers",2,0,"3 Stonecrest Dr","","Huntington","WV","25701-9392","Cabell","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/ear-nose-and-throat-location/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/ear-nose-and-throat-location/"]
[null,201912154,"Valley Health at Prestera","Valley Health Systems, Inc.","1164604633","Federally Qualified Health Centers",1,0,"3375 US Route 60","","Huntington","WV","25705-2837","Cabell","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/valley-health-at-prestera/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/valley-health-at-prestera/"]
[null,201912155,"Valley Health East Huntington","Valley Health Systems Inc.","1720333461","Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers",6.4,1.9,"3377 US Route 60","","Huntington","WV","25705-2837","Cabell","3377 US Route 60","","Huntington","WV","25705","Cabell","Richard Weinberger","CFO","304-525-3334","5104","rweinberger@valleyhealth.org","http://valleyhealth.org/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/"]
[null,201912156,"Valley Health 10th Street","Valley Health Systems Inc.","1881054476","Federally Qualified Health Centers",1,0,"540 10th St","Suite 1","Huntington","WV","25701-2217","Cabell","3377 US Route 60","","Huntington","WV","25705","Cabell","Richard Weinberger","CFO","304-525-3334","5104","rweinberger@valleyhealth.org","http://valleyhealth.org/","Mandi","Pitsenbarger","304-525-3334","5102","mpits@valleyhealth.org",""]
[null,201912157,"Valley Health Southside","Valley Health Systems, Inc.","1710952031","Family Planning Providers, Federally Qualified Health Centers",3.15,0,"723 9th Ave","","Huntington","WV","25701-2718","Cabell","3377 US Route 60","","Huntington","WV","25701","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/southside/","Mandi Pitsenbarger","Executive Director","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/southside/"]
[null,201912158,"Valley Health Huntington Middle","Valley Health Systems, Inc.","1174831275","Federally Qualified Health Centers",1,0,"930 2nd St","","Huntington","WV","25701-3146","Cabell","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/huntington-middle-school/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/huntington-middle-school/"]
[null,201912159,"CAMC Teays Valley Hospital (inpatient hospital)","Charleston Area Medical Center","1952390239","Inpatient Hospitals (other than children's hospitals)",70,0,"1400 Hospital Dr","","Hurricane","WV","25526-9202","Putnam","501 Morris Street","","Charleston","WV","25301","Kanawha","Billy Comer","Reimb Mgr","304-388-6265","","billy.comer@camc.org","","Stephen Bell","VP Finance","304-388-6251","","stephen.bell@camc.org",""]
[null,201912160,"CAMC Teays Valley Hospital (outpatient hospital clinics)","Charleston Area Medical Center","1952390239","Outpatient Hospital Clinics",40,0,"1400 Hospital Dr","","Hurricane","WV","25526-9202","Putnam","501 Morris Street","","Charleston","WV","25301","Kanawha","Billy Comer","Reimb Mgr","304-388-6265","","billy.comer@camc.org","","Stephen Bell","VP Finance","304-388-6251","","stephen.bell@camc.org",""]
[null,201912161,"FamilyCare Women's Health & BirthCenter","WOMENCARE, INC.","1003085903","Family Planning Providers, Federally Qualified Health Centers",2,0,"3911 Teays Valley Rd","","Hurricane","WV","25526-9604","Putnam","97 Great Teays Blvd Ste 6","","Scott Depot","WV","25560-9816","Putnam","MARTHA CARTER","CEO","304-760-6316","","martha.cookcarter@familycarewv.org","www.familycarewv.org","Kathy Howell","Family Planning Specialist","304-356-4456","","","http://www.familycarewv.org/locations_birth_center.html"]
[null,201912162,"Big Otter Clinic","COMMUNITY CARE OF WEST VIRGINIA, INC.","1992754592","Family Planning Providers, Federally Qualified Health Centers",1.5,0,"797 Clinic Dr","","Ivydale","WV","25113-8263","Clay","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912163,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA","1851767818","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"6536 Main St","JANE LEW ELEMENTARY SCHOOL WELLNESS CENTER","Jane Lew","WV","26378-8505","Lewis","78 QUEENS ALLEY RD","","ROCK CAVE","WV","26234","Upshur","RICHARD SIMON","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912164,"Valley Health Stepptwon","Valley Health Systems, Inc.","1720054489","Black Lung Clinics, Federally Qualified Health Centers",1,0,"3 Adena Dr","","Kermit","WV","25674-8063","Wayne","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/stepptown/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/stepptown/"]
[null,201912165,"Southern Roane Medical Clinic","Roane General Hospital","1790745677","Rural Health Clinics",1,0,"1 Library Ln","Suite 2","Left Hand","WV","25251-9745","Roane","Roane General Hospital","","Spencer","WV","25251","Roane","Mariana G. Massey","Vice President Ambulatory Care","304-927-4444","820","mgmassey@rghwv.org","","","","","","",""]
[null,201912166,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA","1194191676","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"1 Lizemore Lion Rd","LIZEMORE ELEMENTARY SCHOOL WELLNESS CENTER","Lizemores","WV","25125","Clay","78 QUEENS ALLEY RD","","ROCK CAVE","WV","26234","Upshur","RICHARD SIMON","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912167,"Logan Wildcat Center for Health","Southern WV Health System","1023331220","Dental Providers, Federally Qualified Health Centers",1,1,"1 Wildcat Way","","Logan","WV","25601-3474","Logan","7400 Lynn Avenue","","Hamlin","WV","25523","Lincoln","Tish Weaver","Credentialing Coordinator","304-824-5806","1235","Tish.Weaver@swvhs.org","www.swvhs.org","Stephany Crist","Billing Specialist","304-824-5860","1508","Stephany.Crist@swvhs.org","www.swvhs.org"]
[null,201912168,"Logan Regional Medical Center","LifePoint Health","1750332565","Inpatient Hospitals (other than children's hospitals)",124,0,"20 Hospital Dr","","Logan","WV","25601-3452","Logan","330 Seven Springs Way","","Brentwood","TN","37027","Davidson","Walter Franz","Sr. Director Managed Care","615-920-7361","","Walter.Franz@LPNT.net","","Timothy Matney","CFO","304-831-1537","","",""]
[null,201912169,"Lisa Elliott Health Center","New River Health Association, Inc","1346426103","Dental Providers, Federally Qualified Health Centers",32,2,"79 Spyrock Loop Rd","","Lookout","WV","25868-1100","Fayette","908 Scarbro Road","","Scarbro","WV","25917","Fayette","Linda Hopkins-Carey","Credentialing Officer","304-469-2905","4117","linda.hopkins@nrhawv.org","","","","","","",""]
[null,201912170,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1114277050","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"128 College St","Lost Creek Elementary School Wellness Center","Lost Creek","WV","26385","Harrison","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912171,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA","1699024547","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"3003 Hawk Hwy","SOUTH HARRISON MIDDLE SCHOOL WELLNESS CENTER","Lost Creek","WV","26385","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234","Upshur","RICHARD SIMON","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912172,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA","1912258492","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"3073 Hawk Hwy","South Harrison High School Wellness Center","Lost Creek","WV","26385","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234","Harrison","RICHARD SIMON","CEO","304-924-6262","","rick.simon@ccwv.org","ccwv.org","Brock Malcolm","COO","304-924-6262","","brock.malcolm@ccwv.org","ccwv.org"]
[null,201912173,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1649610445","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"38 E Lyndon St","Lumberport Elementary School Wellness Center","Lumberport","WV","26386","Harrison","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-1065","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912174,"FamilyCare HealthCenter - Madison","WOMENCARE, INC.","1740450089","Family Planning Providers, Federally Qualified Health Centers",4,0,"515 Main St","","Madison","WV","25130-1417","Boone","97 Great Teays Blvd Ste 6","","Scott Depot","WV","25560-9816","Boone","MARTHA CARTER","CEO","304-760-6316","","martha.cookcarter@familycarewv.org","www.familycarewv.org","Kathy Howell","Family Planning Specialist","304-356-4456","","","http://www.familycarewv.org/locations_madison.html"]
[null,201912175,"Pioneer Health Center","Southern WV Health System","1447619416","Federally Qualified Health Centers",1,0,"1 Pioneer Path","","Man","WV","25635-1235","Logan","7400 Lynn Avenue","","Hamlin","WV","25523","Lincoln","Tish Weaver","Credentialing Coordinator","304-824-5806","1235","Tish.Weaver@swvhs.org","www.swvhs.org","Stephany Crist","Billing Specialist","304-824-5860","1508","Stephany.Crist@swvhs.org","www.swvhs.org"]
[null,201912176,"Family Healthcare Associates","Family Healthcare Associates","1902835010","Rural Health Clinics",5,0,"114 Main St","","Man","WV","25635-1212","Logan","PO Box 1650","","Pineville","WV","24874","Wyoming","Stephanie Sizemore","Insurance billing clerk","304-732-6735","","ssizemore@fhcawv.com","","MIchael Muscari","DO","304-732-6735","","mmuscari@fhcawv.com",""]
[null,201912177,"MVA Mannington","Monongahela Valley Association of Health Centers, Inc.","1083162796","Federally Qualified Health Centers",1,0,"118 Market St","","Mannington","WV","26582-1131","Marion","1322 Locust Avenue","","Fairmont","WV","26554","Marion","Nancy L. Vandergrift","President","304-367-8740","","nancy.vandergrift@mvahealth.org","","","","","","",""]
[null,201912178,"Community Care of Marlinton","COMMUNITY CARE OF WEST VIRGINIA, INC.","1164653457","Family Planning Providers, Federally Qualified Health Centers",2,0,"821 3rd Ave","","Marlinton","WV","24954-1015","Pocahontas","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912179,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1790033082","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"926 5th Ave Suite A","Marlinton Elementary School Wellness Center","Marlinton","WV","24954-1264","Pocahontas","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912180,"SHENANDOAH VALLEY MEDICAL SYSTEM, INC.","SHENANDOAH VALLEY MEDICAL SYSTEM, INCORPORATED","1083617823","Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Ryan White Providers, Sexually Transmitted Disease Clinics",30,3,"99 Tavern Rd","","Martinsburg","WV","25401-2890","Berkeley","99 Tavern Rd","","Martinsburg","WV","25401-2890","Berkeley","David Fant","CEO","304-596-2610","1062","dfant@svms.net","www.shencommhealth.com","","","","","","www.shencommhealth.com"]
[null,201912181,"Meadow Bridge Clinic","Rainelle Medical Center","1093883324","Black Lung Clinics, Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",2,0,"1502 Meadow Bridge Rd","","Meadow Bridge","WV","25976-9655","Fayette","Rainelle Medcial Center","176 Medical Center Drive","Rainelle","WV","25962","Greenbrier","Sabrina McKinney","BSN-RN, DON","304-438-6188","1041","smckinney@rmchealth.org","","Crystal Fox","LPN","304-484-7755","","cfox@rmchealth.org",""]
[null,201912182,"Sistersville General Medical Center","Sistersville General Hospital","1710203419","Rural Health Clinics",3,0,"100 Fair St","","Middlebourne","WV","26149-9525","Tyler","314 South Wells Street","","Sistersville","WV","26175","Tyler","Brandon Chadock","Interim CEO","304-447-2420","","b.chadock@sistersvillegeneral.com","","Trisha O'Neil","QA Director/ Clinic Director","304-447-2503","","toneil@sistersvillegeneral.com",""]
[null,201912183,"Valley Health Care, Inc","VALLEY HEALTH CARE, INC","1801861083","Federally Qualified Health Centers",11,0,"US Rt 219/250","","Mill Creek","WV","26280","Randolph","PO BOX 247","","Mill Creek","WV","26280","Randolph","Vevica L Gray","Administrative Assistant","304-335-2050","124","grayv@vhcwv.org","","Robert","Haddix","304-335-2050","107","haddixr@vhcwv.org",""]
[null,201912184,"Monongahela Valley Association of Health Centers, Inc.","Monongahela Valley Association of Health Centers, Inc.","1376902122","Federally Qualified Health Centers",0.2,0,"550 Camden Ave","Monongah Middle School Wellness Center","Monongah","WV","26554-1105","Marion","1322 Locust Avenue","","Fairmont","WV","26554","Marion","Nancy L. Vandergrift","President","304-367-8740","","nancy.vandergrift@mvahealth.org","","","","","","",""]
[null,201912185,"Monongahela Valley Association of Health Centers, Inc.","Monongahela Valley Association of Health Centers, Inc.","1285093039","Federally Qualified Health Centers",0.2,0,"628 Walnut St","Monongah Elementary School Wellness Center","Monongah","WV","26554-1136","Marion","1322 Locust Avenue","","Fairmont","WV","26554","Marion","Nancy L. Vandergrift","President","304-367-8740","","nancy.vandergrift@mvahealth.org","","","","","","",""]
[null,201912186,"Prudich Medical Center","Bluestone Health Association, Inc.","1043387327","Family Planning Providers, Federally Qualified Health Centers",2,0,"541 Simmons River Rd","","Montcalm","WV","24737","Mercer","3997 Beckley Road","","Princeton","WV","24740","Mercer","Sharon Kay Brim","COO","304-431-5499","126","kbrim@bluestonewv.org","","","","","","",""]
[null,201912187,"Hardy County Medical Services","Hardy County Medical Services","1083606230","Rural Health Clinics",3,0,"422 S Main St","","Moorefield","WV","26836-1238","Hardy","422 South Main Street","","Moorefield","WV","26836","Hardy","Christopher Hahn","Administrator","304-822-3838","6614","chris@hahnmedical.com","http://www.hahnmedical.com","","","","","",""]
[null,201912188,"West Virginia University Hospitals Inc.","West Virginia University Hospitals Inc.","1841271459","Inpatient Hospitals (other than children's hospitals)",497,0,"1 Medical Center Dr","","Morgantown","WV","26506-1200","Monongalia","One Medical Center Drive","","Morgantown","WV","26508","Monongalia","Justin Gibson","VP of Finance","304-598-4256","","gibsonju@wvumedicine.org","","Amy Stephens","Director of Finance & Reimbursement","304-598-4877","","stephensa@wvumedicine.org",""]
[null,201912189,"MT. STORM HEALTH CENTER","Mt Storm Health Center (PT)","1700819471","Federally Qualified Health Centers",1.4,0,"14311 George Washington Hwy","","Mt Storm","WV","26739","Grant","725 N Pike St","","Grafton","WV","26354-1270","Taylor","Linda Shriver","CEO","304-265-0312","","lmshriver@mountain.net","","June Griffith","COO","304-265-0312","","jgriffith@ptchc.com",""]
[null,201912190,"Family Healthcare Associates","Family Healthcare Associates","1700815800","Rural Health Clinics",3,0,"205 Howard Ave","","Mullens","WV","25882-1420","Wyoming","PO Box 1650","","Pineville","WV","24874","Wyoming","Stephanie Sizemore","Insurance billing manager","304-732-6735","","ssizemore@fhcawv.com","","MIchael Muscari","DO","304-732-6735","","mmuscari@fhcawv.com",""]
[null,201912191,"New Martinsville Health Center","New Martinsville Health Center","1225176563","Rural Health Clinics",2,0,"150 Paducah Dr","","New Martinsville","WV","26155-2710","Wetzel","150 Paducah Drive","","New Martinsville","WV","26155-2710","Wetzel","Sarah Cumberledge","Practice Manager","304-455-8134","","scumberledge@wetzelhealth.org","","Kitty Jo Lloyd","Accountant/Revenue Cycle Analyst","304-455-8230","","klloyd@wetzelhealth.org",""]
[null,201912192,"Wetzel County Hospital","Wetzel County Hospital","1750326880","Inpatient Hospitals (other than children's hospitals)",25,0,"3 E Benjamin Dr","","New Martinsville","WV","26155-2705","Wetzel","3 East Benjamin Drive","","New Martinsville","WV","26155-2705","Wetzel","Kitty Jo Lloyd","Accountant/Revenue Cycle Analyst","304-455-8052","","klloyd@wetzelhealth.org","","Brian K Felici","CEO","304-455-8111","","bfelici@wetzelhealth.org",""]
[null,201912193,"Wetzel Primary Care","Wetzel County Hospital","1609272343","Rural Health Clinics",4,0,"3 E Benjamin Dr","Suite B","New Martinsville","WV","26155-2705","Wetzel","3 East Benjamin Drive","","New Martinsville","WV","26155-2705","Wetzel","Kitty Jo Lloyd","Accountant/Revenue Cycle Analyst","304-455-8052","","klloyd@wetzelhealth.org","","Brian K Felici","CEO","304-455-8111","","bfelici@wetzelhealth.org",""]
[null,201912194,"Newburg Clinic","PRESTON TAYLOR COMMUNITY HEALTH CENTER","1154439859","Federally Qualified Health Centers",1.4,0,"2060 N Mountaineer Hwy","","Newburg","WV","26410-8994","Preston","725 N Pike St","","Grafton","WV","26354-1270","Taylor","Linda Shriver","CEO","304-265-0312","","lmshriver@mountain.net","","June Griffith","COO","304-265-0312","","jgriffith@ptchc.com",""]
[null,201912195,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1003256801","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"1302 Buckhannon Pike","Nutter Fort Intermediate School Wellness Center","Nutter Fort","WV","26301-4406","Harrison","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912196,"Oceana Medical Center","Hygeia Facilities Foundation, Inc.","1366502254","Black Lung Clinics, Family Planning Providers, Federally Qualified Health Centers",2,0,"26 Trinity Lane","","Oceana","WV","24870-0400","Wyoming","37456 Coal River Road","","Whitesville","WV","25209","Boone","Terri L Jarrell","CFO","304-854-1323","","terri_hygeia@frontier.com","","Margaret L Martin","CEO","304-854-1323","","margmartin@frontier.com",""]
[null,201912197,"Family Healthcare Associates","Family Healthcare Associates","1275562373","Rural Health Clinics",5,0,"926 Cook Parkway","","Oceana","WV","24870","Wyoming","PO Box 1650","","Pineville","WV","24874","Wyoming","Stephanie Sizemore","Insurance billing manager","304-732-6735","","ssizemore@fhcawv.com","","MIchael Muscari","DO","304-732-6735","","mmuscari@fhcawv.com",""]
[null,201912198,"Valley Health Cabell Midland","Valley Health Systems, Inc.","1417923236","Federally Qualified Health Centers",0.6,0,"2300 US Route 60","","Ona","WV","25545-9712","Cabell","3377 US Route 60","","Huntington","WV","25705","Cabell","Steve Shattls","Executive Director","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/cabell-midland-high-school/","Mandi Pitsenbarger","Executive Director/CEO","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/cabell-midland-high-school/"]
[null,201912199,"Ritchie Regional Health Center Jefferson Campus","Ritchie County Primary Care Association, Inc.","1700900818","Family Planning Providers, Federally Qualified Health Centers",1.6,0,"1200 Stephenson Ave","","Parkersburg","WV","26101-4889","Wood","P.O. Box 373","","Harrisville","WV","26362","Ritchie","William H. Snider, II","CEO","304-643-4005","108","rcpcasnider@gmail.com","http://ritchieregional.org/","Lisa Leach","COO","304-643-4005","107","lleach@rcpca.org","http://ritchieregional.org/"]
[null,201912200,"Ritchie Regional Health Center South Parkersburg Campus","Ritchie County Primary Care Association, Inc.","1568719458","Family Planning Providers, Federally Qualified Health Centers",1,0,"1513 Blizzard Dr","","Parkersburg","WV","26101-6424","Wood","P.O. Box 373","","Harrisville","WV","26362","Ritchie","William H. Snider, II","CEO","304-643-4005","108","rcpcasnider@gmail.com","http://ritchieregional.org/","Lisa Leach","COO","304-643-4005","107","lleach@rcpca.org","http://ritchieregional.org/"]
[null,201912201,"Parkersburg Family Care","Coplin Health Systems","1760733984","Family Planning Providers, Federally Qualified Health Centers, Rural Health Clinics, Sexually Transmitted Disease Clinics",14,0,"2610 Camden Ave","","Parkersburg","WV","26101-5652","Wood","483 Court St","P.O. Box 609","Elizabeth","WV","26143","Wirt","Cheryl J. Davis","HR Coordinator","304-275-8780","206","cdavis@wchsa.com","","","","","","",""]
[null,201912202,"Camden Clark Medical Center","Camden Clark Medical Center","1699704254","Inpatient Hospitals (other than children's hospitals)",254,0,"800 Garfield Ave","","Parkersburg","WV","26101-5340","Wood","800 Garfield Ave","","Parkersburg","WV","26101","Wood","Carolyn Allen","CFO","304-424-2202","","cballen@camdenclark.org","","David McClure","CEO","304-424-2204","","dkmcclure@ccmh.org",""]
[null,201912203,"Mountaineer Community Health Center","Mountaineer Community Health Center","1033299862","Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",1.05,0,"783 Winchester St","","Paw Paw","WV","25434","Morgan","PO Box 2","","Paw Paw","WV","25434","Morgan","Chad Hott","CEO","304-947-5500","","chad.hott.fnp@gmail.com","","","","","","",""]
[null,201912204,"PETERSTOWN WELLNESS CENTER","Monroe County Health Department","1962696682","Federally Qualified Health Centers",1,0,"108 College Dr","","Peterstown","WV","24963-1500","Monroe","200 Health Center Dr","","Union","WV","24983-8442","Monroe","Michelle Ballard","COO","304-772-3065","","mballard@monroehealthcenter.com","","Rebekah Stone","CFO","","","rstone@monroehealthcenter.com",""]
[null,201912205,"Peterstown Clinic","Monroe Health Center","1174725188","Federally Qualified Health Centers",3,0,"591 US Hwy 219","","Peterstown","WV","24963","Monroe","PO Box 580","","Peterstown","WV","24963-0580","Monroe","Michelle Ballard","COO","304-772-3064","","mballard@monroehealthcenter.com","http://www.monroehealthcenter.com","Rebekah Stone","CFO","304-772-3065","","rstone@monroehealthcenter.com",""]
[null,201912206,"The Myers Clinic, Inc","The Myers Clinic, Inc","1366446015","Rural Health Clinics",6,0,"3 Health Care Drive","PO Box 900","Philippi","WV","26416-0900","Barbour","3 Health Care Drive","Po Box 900","Philippi","WV","26416","Barbour","Christina Collins","Office Manager","304-457-2800","223","ccollins@myersclinic.org","","Kelly Holbert","Administrator","304-457-2800","222","kholbert@myersclinic.org",""]
[null,201912207,"Pine Grove Health Care RHC","Pine Grove Health Care RHC","1326186586","Rural Health Clinics",2,0,"13034 Shortline Hwy","","Pine Grove","WV","26419-0418","Wetzel","PO Box 418","","Pine Grove","WV","26419-0418","Wetzel","Kitty Jo Lloyd","Practice Manager","304-455-8134","","scumberledge@wetzelhealth.org","","Kitty Jo Lloyd","Accountant/Revenue Cycle Analyst","304-455-8230","","klloyd@wetzelhealth.org",""]
[null,201912208,"Family Healthcare Associates","Family Healthcare Associates","1225067317","Rural Health Clinics",4,0,"113 Main Ave","","Pineville","WV","24874","Wyoming","PO Box 1650","","Pineville","WV","24874","Wyoming","Stephanie Sizemore","Insurance billing manager","304-732-6735","","ssizemore@fhcawv.com","","MIchael Muscari","DO","304-732-6735","","mmuscari@fhcawv.com",""]
[null,201912209,"Valley Health Milton","Valley Health Systems, Inc.","1124323340","Federally Qualified Health Centers",1.2,0,"2801 Jackson Ave","","Point Pleasant","WV","25550-1713","Mason","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/point-pleasant-pediatrics/","Mandi Pitsenbarger","Executive Director/CEO","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/point-pleasant-pediatrics/"]
[null,201912210,"Jana Peters","Jana Peters","1396875746","Rural Health Clinics",5,0,"365 Courthouse Rd","","Princeton","WV","24740-2431","Mercer","365 Courthouse Road","","Princeton","WV","24740","Mercer","Lillie Poole","Office Manager","304-425-3922","","lilliepoole@janapeters.com","","Jana Peters","Owner","304-425-3922","","drjanapeters@janapeters.com",""]
[null,201912211,"Bluestone Health Association, Inc.","Bluestone Health Association, Inc.","1346266848","Black Lung Clinics, Dental Providers, Family Planning Providers, Federally Qualified Health Centers",6.2,0.8,"3997 Beckley Rd","","Princeton","WV","24740-7660","Mercer","3997 Beckley Rd","","Princeton","WV","24740-7660","Mercer","Sharon Kay Brim","COO","304-431-5499","126","kbrim@bluestonewv.org","","","","","","",""]
[null,201912212,"Rainelle Medical Center","Rainelle Medical Center","1437227766","Black Lung Clinics, Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",7,1,"176 Medical Center Dr","","Rainelle","WV","25962-1064","Greenbrier","176 Medical Center Drive","","Rainelle","WV","25962","Greenbrier","Sabrina McKinney","BSN-RN, DON","304-438-6188","1041","smckinney@rmchealth.org","","","","","","",""]
[null,201912213,"Ranger Health Center","Southern WV Health System","1801254388","Federally Qualified Health Centers",1,0,"59 Vanatters Crk","","Ranger","WV","25557-9719","Lincoln","7400 Lynn Avenue","","Hamlin","WV","25523","Lincoln","Tish Weaver","Credentialing Coordinator","304-824-5806","1235","Tish.Weaver@swvhs.org","www.swvhs.org","Stephany Crist","Billing Specialist","304-824-5860","1508","Stephany.Crist@swvhs.org","www.swvhs.org"]
[null,201912214,"Camden Family Health","Camden on Gauley Medical Center, Inc","1396119343","Federally Qualified Health Centers",1,0,"58 E Main St","","Richwood","WV","26261-1122","Nicholas","10003 Webster Road","","Camden on Gauley","WV","26208","Webster","Margaret E Groves","CEO","304-226-5725","131","meg@cog-wv.org","","Melissa D Rogers","COO","304-226-5725","117","mrogers365@cog-wv.org",""]
[null,201912215,"Jackson General Hospital","Community Health Association","1649277476","Inpatient Hospitals (other than children's hospitals)",25,0,"122 Pinnell St","","Ripley","WV","25271-9101","Jackson","122 Pinnell Street","","Ripley","WV","25271","Jackson","Brenda Greene","Medical Staff Coordinator","304-373-1507","","bgreene@jacksongeneral.com","","Stephanie McCoy","Chief Executive Officer","304-373-1475","","smccoy@jacksongeneral.com",""]
[null,201912216,"Morad-Hughes Health Center","Community Health Association","1871606517","Rural Health Clinics",10,0,"122 Pinnell St","","Ripley","WV","25271-9101","Jackson","122 Pinnell Street","","Ripley","WV","25271","Jackson","Brenda Greene","Medical Staff Coordinator","304-373-1507","","bgreene@jacksongeneral.com","","Dee Scritchfield","Practice Manager","304-373-1494","","dscritchfield@jacksongeneral.com",""]
[null,201912217,"Jackson General Clinic","Community Health Association","1134417975","Other ECP Providers",10,0,"200 Academy Dr","","Ripley","WV","25271-1157","Jackson","122 Pinnell Street","","Ripley","WV","25271","Jackson","Brenda Greene","Medical Staff Coordinator","304-373-1507","","bgreene@jacksongeneral.com","","Dee Scritchfield","Practice Manager","304-373-1494","","dscritchfield@jacksongeneral.com",""]
[null,201912218,"NORTH FORK PRIMARY CARE","PENDLETON COMMUNITY CARE, INC.","1417931379","Federally Qualified Health Centers",1.12,0,"16921 Mountaineer Dr","","Riverton","WV","26814-7521","Pendleton","PO BOX 100","","Franklin","WV","26807","Pendleton","Jamie Hudson","CEO","304-358-2355","","jhudson@pcc-nfc.org","","Rebecca Eason","","304-358-2355","","reason@pcc-nfc.org",""]
[null,201912219,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA","1104292168","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"1176 Oil Creek Rd","ROANOKE ELEMENTARY SCHOOL WELLNESS SCHOOL","Roanoke","WV","26447-8263","Lewis","78 QUEENS ALLEY RD","","ROCK CAVE","WV","26234","Upshur","RICHARD SIMON","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912220,"TRI-COUNTY HEALTH CLINIC","COMMUNITY CARE OF WEST VIRGINIA, INC.","1912932526","Family Planning Providers, Federally Qualified Health Centers",5,0,"78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","78 Queens Alley Rd.","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","rick.simon@ccwv.org","ccwv.org","Brock Malcolm","COO","304-924-6262","","brock.malcolm@ccwv.org","ccwv.org"]
[null,201912221,"Romney Medical Associates","Romney Medical Associates","1497747398","Rural Health Clinics",3,0,"22347 Northwestern Pike","","Romney","WV","26757-6343","Hampshire","22347 Northwestern Pike","","Romney","WV","26757","Hampshire","Christopher Hahn","Administrator","304-822-3838","6614","chris@hahnmedical.com","http://www.hahnmedical.com","","","","","",""]
[null,201912222,"Hampshire Rural Health Clinic","Hampshire Memorial Hospital","1881735660","Rural Health Clinics",12,0,"329 Sunrise Blvd","","Romney","WV","26757-4607","Hampshire","363 Sunrise Blvd.","","Romney","WV","26757","Hampshire","Kathryn Morales","Director of Finance","304-822-4944","","kmorale2@valleyhealthllink.com","","Mary Sas","Vice President of Nursing","304-822-4931","","msas@valleyhealthlink.com",""]
[null,201912223,"ROWLESBURG CLINIC","PRESTON-TAYLOR COMMUNITY HEALTH CTRS, INC","1093729857","Federally Qualified Health Centers",1.2,0,"1 Renaissance Square","","Rowlesburg","WV","26425","Preston","725 N Pike St","","Grafton","WV","26354-1270","Taylor","Linda Shriver","CEO","304-265-0312","","lmshriver@mountain.net","","june Griffith","COO","304-265-0312","","jgriffith@ptchc.com",""]
[null,201912224,"FamilyCare HealthCenter - St. Albans","WOMENCARE, INC.","1902166945","Family Planning Providers, Federally Qualified Health Centers",5,0,"12 Kanawha Ter","","Saint Albans","WV","25177-2750","Kanawha","97 Great Teays Blvd Ste 6","","Scott Depot","WV","25560-9816","Putnam","MARTHA CARTER","CEO","304-760-6316","","martha.cookcarter@familycarewv.org","www.familycarewv.org","","","","","",""]
[null,201912225,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1558752824","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"273 Education Way","Salem Elementary School Wellness Center","Salem","WV","26426","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","Richard G Simon","CEO","304-924-6262","","rick.simon@ccwv.org","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912226,"Salt Rock Medical Center","Southern WV Health System","1942509856","Federally Qualified Health Centers",1,0,"5490 State Rt 10","","Salt Rock","WV","25559-9736","Cabell","7400 Lynn Avenue","","Hamlin","WV","25523","Lincoln","Tish Weaver","Credentialing Coordinator","304-824-5806","1235","Tish.Weaver@swvhs.org","www.swvhs.org","Stephany Crist","Billing Specialist","304-824-5860","1508","Stephany.Crist@swvhs.org","www.swvhs.org"]
[null,201912227,"FamilyCare HealthCenter - Teays Valley","WOMENCARE, INC.","1194759290","Family Planning Providers, Federally Qualified Health Centers",7.5,0,"97 Great Teays Blvd","Suite 6","Scott Depot","WV","25560-9816","Putnam","97 Great Teays Blvd Ste 6","","Scott Depot","WV","25560-9816","Putnam","MARTHA CARTER","CEO","304-760-6316","","martha.cookcarter@familycarewv.org","www.familycarewv.org","","","","","",""]
[null,201912228,"Sherman Jr/Sr High Wellness Center","Hygeia Facilities Foundation, Inc.","1598102386","Federally Qualified Health Centers",1,0,"10008 Coal River Road","","Seth","WV","25181","Boone","37456 Coal River Road","","Whitesville","WV","25209","Boone","Terri L Jarrell","CFO","304-854-1323","","terri_hygeia@frontier.com","","Margaret L Martin","CEO","304-854-1323","","margmartin@frontier.com",""]
[null,201912229,"MVA Shinnston Medical Center","MONONGAHELA VALLEY ASSOCIATION OF HEALTH CENTERS, INC","1770697278","Federally Qualified Health Centers",11.86,0,"1 Columbia Rd","","Shinnston","WV","26431-1016","Harrison","1322 Locust Ave","","Fairmont","WV","26554-1436","Marion","Eric Pulice","Administrator","304-367-8740","","contactus@mvahealth.org","mvahealth.org","","","","","",""]
[null,201912230,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1649610437","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"200 Tetrick Rd","Big Elm Elementary School Wellness Center","Shinnston","WV","26431-9704","Harrison","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912231,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1861831323","Family Planning Providers, Federally Qualified Health Centers",1,0,"78 Jerry Toth Dr","Lincoln Middle and High School Wellness Center","Shinnston","WV","26431-8502","Harrison","78 Queens Alley Rd.","","Rock Cave","WV","26234","Upshur","RICHARD SIMON","CEO","304-924-6262","","rick.simon@ccwv.org","ccwv.org","Brock Malcolm","COO","304-924-6262","","brock.malcolm@ccwv.org","ccwv.org"]
[null,201912232,"Sistersville Rural Health Clinic","Sistersville General Hospital","1538485230","Rural Health Clinics",3.5,0,"305 Clay St","","Sistersville","WV","26175-1059","Tyler","314 South Wells Street","","Sistersville","WV","26175","Tyler","Brandon Chadock","Interim CEO","304-447-2420","","b.chadock@sistersvillegeneral.com","","Trisha O'Neil","QA Director/Clinic Director","304-447-2503","","toneil@sistersvillegeneral.com",""]
[null,201912233,"Sistersville General Hospital","Sistersville General Hospital","1861495335","Inpatient Hospitals (other than children's hospitals)",12,0,"314 S Wells St","","Sistersville","WV","26175-1098","Tyler","314 South Wells Street","","Sistersville","WV","26175","Tyler","Jodie Nicole Neff","Credentialing Contact","304-447-2478","","jneff@sistersvillegeneral.com","","Brandon Chadock","Director of Operations","304-447-2420","","b.chaddock@sistersvillegeneral.com",""]
[null,201912234,"ROANE COUNTY FAMILY HEALTH CARE","ROANE FAMILY HEALTH CARE","1861494528","Family Planning Providers, Federally Qualified Health Centers",9,0,"146 Williams Dr","","Spencer","WV","25276-1826","Roane","146 Williams Dr","","Spencer","WV","25276-1826","Roane","Kip D Smith","CEO","304-927-2241","","ksmith@rcfhc.org","","Lisa Webb","Family Planning Coordinator","304-927-8103","","lwebb@rcfhc.org","http://www.rcfhc.org"]
[null,201912235,"Roane General Medical Clinic","Roane General Hospital","1790745172","Rural Health Clinics",15,0,"200 Hospital Dr","","Spencer","WV","25276-1050","Roane","200 Hospital Dr","","Spencer","WV","25276","Roane","Mariana G. Massey","Vice President Ambulatory Services","304-927-4444","820","mgmassey@rghwv.org","","","","","","",""]
[null,201912236,"Roane General Medical Associates","Roane General Hospital","1922068469","Rural Health Clinics",15,0,"300 Hospital Dr","","Spencer","WV","25276-1049","Roane","200 Hospital Dr","","Spencer","WV","25276","Roane","Mariana G. Massey","Vice President Ambulatory Services","304-927-4444","820","mgmassey@rghwv.org","","","","","","",""]
[null,201912237,"Ritchie Regional Health Center St. Marys Campus","Ritchie County Primary Care Association, Inc.","1720104219","Federally Qualified Health Centers",1,0,"2330 North Pleasants Highway","","St. Marys","WV","26170","Pleasants","P.O. Box 373","","Harrisville","WV","26362","Ritchie","William H. Snider, II","CEO","304-643-4005","108","rcpcasnider@gmail.com","http://ritchieregional.org/","Lisa Leach","COO","304-643-4005","107","lleach@rcpca.org","http://ritchieregional.org/"]
[null,201912238,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1063808418","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"208 Kidd Ave","Norwood Elementary School Wellness Center","Stonewood","WV","26301-4833","Harrison","78 Queens Alley Rd","","Rock Cave","WV","26234-5890","Upshur","Richard G Simon","CEO","304-924-6262","","rick.simon@ccwv.org","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912239,"RURAL HEALTH CLINIC","SRMC","1750378345","Rural Health Clinics",5.5,0,"400 Fairview Heights Rd","","Summersville","WV","26651-9308","Nicholas","400 Fairview Heights Road","","Summersville","WV","26651","Nicholas","Jerri Kirkland","Risk Manager/Compliance","304-872-8470","","jkirkland@srmcwv.org","","Debbie Kincell","Business Office Director","304-883-0220","","dkincell@srmcwv.org",""]
[null,201912240,"Camden Family Health","Camden on Gauley Medical Center, Inc","1558340414","Federally Qualified Health Centers",1,0,"55 Friends R Fun Dr","","Summersville","WV","26651-9514","Nicholas","10003 Webster Road","","Camden on Gauley","WV","26208","Nicholas","Margaret E Hickey","CEO","304-226-5725","131","meg@cog-wv.org","","Melissa D Rogers","COO","304-226-5725","117","mrogers@cog-wv.org",""]
[null,201912241,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1104175058","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"100 Carter Braxton Dr","Braxton County Middle School Wellness Center","Sutton","WV","26601-9773","Braxton","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912242,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1396096863","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"200 Jerry Burton Dr","Braxton County High School Wellness Center","Sutton","WV","26601-9768","Braxton","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912243,"Community Care of Flatwoods","COMMUNITY CARE OF WEST VIRGINIA, INC.","1770917577","Family Planning Providers, Federally Qualified Health Centers",2,0,"266 Skidmore Ln","","Sutton","WV","26601-9271","Braxton","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912244,"COMMUNITY CARE OF FLATWOODS II","COMMUNITY CARE OF WEST VIRGINIA, INC.","1609042266","Family Planning Providers, Federally Qualified Health Centers",2,0,"273 Skidmore Ln","","Sutton","WV","26601-9272","Braxton","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912245,"Mountaintop Health Center","PRESTON TAYLOR COMMUNITY HEALTH CENTER","1245348945","Federally Qualified Health Centers",1,0,"30 Cortland Acres Ln","","Thomas","WV","26292-8066","Tucker","725 N Pike St","","Grafton","WV","26354-1270","Taylor","Linda Shriver","CEO","304-265-0312","","lmshriver@mountain.net","","June Griffith","COO","304-265-0312","","jgriffith@ptchc.com",""]
[null,201912246,"MONROE COUNTY HEALTH CENTER","Monroe County Health Department","1992734487","Federally Qualified Health Centers",4.5,0,"200 Health Center Dr","","Union","WV","24983-8442","Monroe","200 Health Center Dr","","Union","WV","24983-8442","Monroe","Michelle Ballard","COO","304-772-3065","","mballard@monroehealthcenter.com","","Rebekah Stone","CFO","304-772-3064","","rstone@monroehealthcenter.com","http://www.monroehealthcenter.com"]
[null,201912247,"MOUNTAIN VIEW WELLNESS CENTER","Monroe County Health Department","1346435906","Federally Qualified Health Centers",1,0,"620 School St","","Union","WV","24983","Monroe","200 Health Center Dr","","Union","WV","24983-8442","Monroe","Michelle Ballard","COO","304-772-3065","","mballard@monroehealthcenter.com","","Rebekah Stone","CFO","","","mballard@monroehealthcenter.com",""]
[null,201912248,"Planned Parenthood Vienna Health Center","Planned Parenthood South Atlantic","1801932199","Family Planning Providers",0.5,0,"522 Grand Central Ave","","Vienna","WV","26105-2169","Wood","100 S Boylan Ave","","Raleigh","NC","27603-1802","Wake","Nancy Long","CFO","919-833-7526","6131","nancy.long@ppsat.org","http://www.plannedparenthood.org/health-center/centerDetails","Emily Adams","VP of Patient Servcies","919-929-5402","5233","emily.adams@ppsat.org",""]
[null,201912249,"Walton Medical Clinic","Roane General Hospital","1639423411","Rural Health Clinics",15,0,"90 School Dr","","Walton","WV","25286-9774","Roane","Roane General Hospital","200 Hospital Dr","Spencer","WV","25276","Roane","Mariana G. Massey","Vice President Ambulatory Services","304-927-4444","820","mgmassey@rghwv.org","","","","","","",""]
[null,201912250,"Wardensville Medical Services","Wardensville Medical Services","1427040351","Rural Health Clinics",3,0,"325 East Main St","","Wardensville","WV","26851","Hardy","325 East Main Street","","Wardensville","WV","26851","Hardy","Christopher Hahn","Administrator","304-822-3838","6614","chris@hahnmedical.com","http://www.hahnmedical.com","","","","","",""]
[null,201912251,"Valley Health Wayne High","Valley Health Systems, Inc.","1194790022","Federally Qualified Health Centers",1,0,"100 Pioneer Rd","","Wayne","WV","25570-9504","Wayne","3377 US Route 60","","Huntington","WV","25705","Cabell","Steven Shattls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/wayne-high-middle/","Mandi Pitsenbarger","Executive Assistant","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/wayne-high-middle/"]
[null,201912252,"Valley Health -Wayne","Valley Health Systems, Inc.","1528038577","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",2.4,1,"42 McGinnis Dr","","Wayne","WV","25570-9553","Wayne","3377 US Route 60","","Huntington","WV","25705","Cabell","Steve Shatttls","EXECUTIVE DIRECTOR/CEO","304-525-3334","5107","shattls@valleyhealth.org","http://valleyhealth.org/location/wayne/","Mandi Pitsenbarger","Executive Director","304-525-3334","5102","mpits@valleyhealth.org","http://valleyhealth.org/location/wayne/"]
[null,201912253,"Webster County Memorial Hospital","Webster County Memorial Hospital","1699778704","Outpatient Hospital Clinics, Rural Health Clinics",20.58,0,"324 Miller Mountain Dr","","Webster Springs","WV","26288-1065","Webster","PO Box 312","","Webster Springs","WV","26288","Webster","Julie Clutter","Director of Accounting & Finance","304-847-5682","3100","juliec@wcmhwv.org","","Tina Riffle","Director of Clinical Operations/Quality/Risk","304-847-5682","5100","tinar@wcmhwv.org",""]
[null,201912254,"Family Medical Care Community Health Center","CHANGE, Inc.","1245244367","Dental Providers, Federally Qualified Health Centers",13.76,2,"3136 West St","","Weirton","WV","26062-4637","Hancock","3158 West St.","","Weirton","WV","26062","Hancock","Judy Raveaux","CEO","304-797-7733","311","jraveaux@changeinc.org","www.changeinc.org","Rita Coyne","COO","304-797-7733","324","rcoyne@changeinc.org","www.changeinc.org"]
[null,201912255,"CHANGE, Inc","CHANGE, Inc","1245244367","Dental Providers, Federally Qualified Health Centers",1,0.5,"3428 Pennsylvania Ave","Weirton Elementary School Based Health Center","Weirton","WV","26062-3923","Hancock","3158 West ST","","Weirton","WV","26062","Hancock","Judy Raveaux","CEO","304-797-7733","311","jraveaux@changeinc.org","www.changeinc.org","Rita Coyne","COO","304-797-7733","324","rcoyne@changeinc.org","www.changeinc.org"]
[null,201912256,"Family Healthcare Associates","Family Healthcare Associates","1215365028","Rural Health Clinics",3,0,"19771 Coal Heritage Rd","","Welch","WV","24801-9825","McDowell","PO Box 1650","","Pineville","WV","24874","Wyoming","Stephanie Sizemore","Insurance billing manager","304-732-6735","","ssizemore@fhcawv.com","","MIchael Muscari","DO","304-732-6735","","mmuscari@fhcawv.com",""]
[null,201912257,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA, INC.","1821349309","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"226 School St","West Milford Elementary School Wellness Center","West Milford","WV","26451-6815","Harrison","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912258,"WEST MILFORD COMMUNITY HLTH CTR","COMMUNITY CARE OF WEST VIRGINIA, INC.","1558563734","Family Planning Providers, Federally Qualified Health Centers",2,0,"597 Liberty St","","West Milford","WV","26451-6801","Harrison","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-881-1190","","rick.simon@ccwv.org","CCWV.ORG","BROCK.MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912259,"Ritchie Regional Health Center West Union Campus","Ritchie County Primary Care Association, Inc.","1790953412","Dental Providers, Family Planning Providers, Federally Qualified Health Centers",1,1,"117 West Main Street","","West Union","WV","26456","Doddridge","P.O. Box 373","","Harrisville","WV","26362","Ritchie","William H. Snider, II","CEO","304-643-4005","108","rcpcasnider@gmail.com","http://ritchieregional.org/","Lisa Leach","COO","304-643-4005","107","lleach@rcpca.org","http://ritchieregional.org/"]
[null,201912260,"Ritchie County Primary Care Association, Inc.","Ritchie County Primary Care Association, Inc.","1982003786","Dental Providers, Federally Qualified Health Centers",1,0.2,"151 Doddridge School Road","Doddridge School Campus","West Union","WV","26456","Doddridge","P.O. Box 373","","Harrisville","WV","26362","Ritchie","William H. Snider, II","CEO","304-643-4005","108","rcpcasnider@gmail.com","http://ritchieregional.org/","Lisa Leach","COO","304-643-4005","107","lleach@rcpca.org","http://ritchieregional.org/"]
[null,201912261,"Community Care of Weston","COMMUNITY CARE OF WEST VIRGINIA, INC.","1073944658","Family Planning Providers, Federally Qualified Health Centers",1.5,0,"149 Staunton Dr","","Weston","WV","26452-5604","Lewis","78 QUEENS ALLEY RD","","Rock Cave","WV","26234","Upshur","Richard G Simon","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912262,"Camden Family Health","Camden on Gauley Medical Center, Inc.","1861872541","Federally Qualified Health Centers",1,0,"300 Minuteman Dr","","Weston","WV","26452-2200","Lewis","10003 Webster Road","","Camden on Gauley","WV","26208","Webster","Margaret E Hickey","CEO","304-226-5725","117","meg@cog-wv.org","","Melissa D Rogers","COO","304-226-5725","117","mrogers@cog-wv.org",""]
[null,201912263,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA","1043686553","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"358 Court Ave","ROBERT BLAND MIDDLE SCHOOL WELLNESS CENTER","Weston","WV","26452-2008","Lewis","78 QUEENS ALLEY RD","","ROCK CAVE","WV","26234","Upshur","RICHARD SIMON","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912264,"Community Care of West Virginia, Inc.","COMMUNITY CARE OF WEST VIRGINIA","1841666807","Family Planning Providers, Federally Qualified Health Centers",0.5,0,"509 Berlin Rd","PETERSON-CENTRAL ELEMENTARY SCHOOL WELLNESS CENTER","Weston","WV","26452-8323","Lewis","78 QUEENS ALLEY RD","","ROCK CAVE","WV","26234","Upshur","RICHARD SIMON","CEO","304-924-6262","","RICK.SIMON@CCWV.ORG","CCWV.ORG","BROCK MALCOLM","COO","304-924-6262","","BROCK.MALCOLM@CCWV.ORG","CCWV.ORG"]
[null,201912265,"Wharton Medical Center","Hygeia Facilities Foundation, Inc.","1144381302","Black Lung Clinics, Federally Qualified Health Centers",1,0,"35767 Pond Fork Road","","Wharton","WV","25208-0089","Boone","37456 Coal River Road","","Whitesville","WV","25209","Boone","Terri L Jarrell","CFO","304-854-1323","","terri_hygeia@frontier.com","","Margaret L Martin","CEO","304-854-1323","","margmartin@frontier.com",""]
[null,201912266,"Raleigh-Boone Medical Center","Hygeia Facilities Foundation, Inc.","1467512152","Black Lung Clinics, Family Planning Providers, Federally Qualified Health Centers",2,0,"37456 Coal River Road","","Whitesville","WV","25209","Boone","37456 Coal River Road","","Whitesville","WV","25209","Boone","Terri L Jarrell","CFO","304-854-1323","","terri_hygeia@frontier.com","","Margaret L Martin","CEO","304-854-1323","","margmartin@frontier.com",""]
[null,201912267,"Yukon Medical Clinic","Yukon Medical Clinic","1942266887","Rural Health Clinics",2,0,"402 Marshall Highway","","Yukon","WV","24892","McDowell","PO Box 400","","Bradshaw","WV","24817","Mcdowell","Jennifer Sparks","Office Manager","304-875-2302","","ymcbmc@gmail.com","","Mahesh Patel","Owner","304-875-2302","","mbpatel101@gmail.com",""]
[null,201912268,"Arapahoe Health Center","Arapahoe Health Center","1104976372","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service",8,8,"14 Great Plains Rd","","Arapahoe","WY","82510-9144","Fremont","PO Box 1310","","Arapahoe","WY","82510","Fremont","Richard Brannan","Chief Executive Officer","307-856-9281","","richardbrannan@outlook.com","","","","","","",""]
[null,201912269,"Wind River Family & Community Health Care","Arapahoe/Wind River Family & Community Health Care","1285006379","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",5,0,"14 Great Plains Rd","","Arapahoe","WY","82510-9144","Fremont","14 Great Plains Road","","Riverton","WY","82501","Fremont","Garland Stiffarm","Tribal Director, Deputy Director, IHS","406-247-7076","","garland.stiffarm@ihs.gov","www.ihs.gov","Richard Brannan","Tribal CEO","307-349-0868","","richardbrannan@outlook.com","outlook.com"]
[null,201912270,"Outpatient and Prevention Center","White Buffalo Recovery Center","1902213093","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"24 Great Plains Rd","","Arapahoe","WY","82510-9144","Fremont","#24 Great Plains Rd","","Arapahoe","WY","82501","Fremont","Sunny Goggles","Director","307-856-0740","309","whitebuffalorecovery@gmail.com","","","","","","",""]
[null,201912271,"South Big Horn County Hospital","South Big Horn County Hospital District","1013919794","Inpatient Hospitals (other than children's hospitals)",6,0,"388 US Highway 20 S","","Basin","WY","82410-8902","Big Horn","388 US Highway 20 S","","Basin","WY","82410","Big Horn","John Adlesich","Chief Executive Officer","307-568-3311","3311","jadlesich@midwayclinic.com","www.midwayclinic.com","Beverly Bush","Director of Human Resources","307-568-3311","3311","bbush@midwayclinic.com","www.midwayclinic.com"]
[null,201912272,"University of Wyoming Family Medicine Residency Casper","UNIVERSITY OF WYOMING","1558657650","Federally Qualified Health Centers",12.1,0,"1522 E A St","","Casper","WY","82601-2217","Natrona","1000 E University Ave Dept 3434","","Laramie","WY","82071-2001","Albany","Lyle David Svoboda","Clinic Director","307-232-6079","","lsvoboda@uwyo.edu","","Kevin F Murray, MD","Director of Medical Education","307-766-2113","","kmurra10@uwyo.edu",""]
[null,201912273,"Casper-Natrona County Health Department","Casper-Natrona County Health Department","1275674608","Other ECP Providers",2,0,"475 S Spruce St","","Casper","WY","82601-1759","Natrona","475 S. Spruce St","","Casper","WY","826011759","Natrona","Rita Goehring","Disease Prevention Director","307-235-9340","750","rgoehring@cnchd.org","http://www.casperhealth.com/nursing-services/Family-planning/","Kelly Weidenbach","Executive Direcctor","307-235-9340","722","kelly.weidenbach@cnchd.org","http://www.casperhealth.com/nursing-services/Family-planning/"]
[null,201912274,"Cheyenne-Laramie County Family Planning","Cheyenne-Laramie County Health Department","1235286634","Family Planning Providers",1.7,0,"100 Central Ave","","Cheyenne","WY","82007-1330","Laramie","100 Central Ave","","Cheyenne","WY","82007","Laramie","Linda Thyfault","Clinic Administrator","307-633-4040","","lthyfault@laramiecounty.com","","Linda Thyfautl","Nurse Practitioner","307-633-4051","","lthyfault@laramiecounty.com",""]
[null,201912275,"Crossroads Healthcare Clinic","COMMUNITY ACTION OF LARAMIE COUNTY INC","1043436983","Federally Qualified Health Centers",1,0,"100 Central Ave","Suite 100","Cheyenne","WY","82007-1330","Laramie","200 W 17th St Ste 210","","Cheyenne","WY","82001-4479","Laramie","Melissa Ipsen","Program Director","307-632-8064","","melissa@calc.net","","","","","","",""]
[null,201912276,"HealthWorks","HealthWorks (formerly Cheyenne Health and Wellness Center)","1386632594","Dental Providers, Federally Qualified Health Centers",3,0.2,"2508 E Fox Farm Rd","","Cheyenne","WY","82007-2559","Laramie","2508 East Fox Farm Road","","Cheyenne","WY","82007","Laramie","Karim Tripodina","Development Director","307-635-3618","1016","ktripodina@wyhealthworks.org","","Janet Marschner","Chief Financial Officer/Interim CEO","307-433-8060","","jmarschner@wyhealthworks.org",""]
[null,201912277,"University of Wyoming Family Medicine Residency Cheyenne","UNIVERSITY OF WYOMING","1770681439","Federally Qualified Health Centers",8.7,0,"821 E 18th St","","Cheyenne","WY","82001-4775","Laramie","1000 E University Ave Dept 3434","Associate Vice President, Research","Laramie","WY","82071-2001","Albany","Dorothy C Yates","Associate Vice President, Research","307-766-5320","","dyates4@uwyo.edu","","Kevin F Murray, MD","Director Medical Education","307-766-2113","","kmurra10@uwyo.edu",""]
[null,201912278,"Northwest Wyoming Family Planning","Northwest Wyoming Family Planning","1063542090","Family Planning Providers",1,0,"1231 Rumsey Ave","","Cody","WY","82414-3607","Park","1231 Rumsey Ave","","Cody","WY","82414-3607","Park","Michelle Gutierrez","Clinic Administrator","307-527-5174","","nwfp@tctwest.net","","Christi Greaham","Office Manager","307-527-5174","","christi@tctwest.net",""]
[null,201912279,"Western Wyoming Family Health-Evanston","Western Wyoming Family Health-Evanston","1922152826","Family Planning Providers",1,0,"350 City View Dr","Room No. 102","Evanston","WY","82930-5327","Uinta","350 City View Dr","","Evanston","WY","82930-5327","Uinta","Sherry Reddick","Clinic Director","307-789-9520","","reddicks@sweet.wy.us","","Kathleen Shipley","Bookkeeper/Assistant","307-362-6813","","shipleyk@sweet.wy.us",""]
[null,201912280,"Wind River Dialysis Center","Eastern Shoshone Tribe","1790824530","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"11 Shipton Lane","","Fort Washakie","WY","82514","Fremont","14 North Fork Rd","PO Box 538","Fort Washakie","WY","82514","Fremont","Catherine E Keene","Executive Director Health Programs","307-332-6902","12","catherine@esthealth.org","","Christine Williams","CEO","307-332-2998","","christine@esthealth.org",""]
[null,201912281,"Eastern Shoshone Tribal Health","Eastern Shoshone Tribe","1902240070","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"28 Black Coal Rd","PO Box 250","Fort Washakie","WY","82514-0250","Fremont","14 North Fork Rd","PO Box 538","Fort Washakie","WY","82514","Fremont","Catherine E Keene","Executive Director Health Programs","307-332-6902","12","catherine@esthealth.org","","Claudia Russell","Deputy Director Tribal Health","307-332-6805","","claudia@esthealth.org",""]
[null,201912282,"Fort Washakie Health Center (Wind River Service Unit)","Fort Washakie Health Center (Wind River Service Unit)","1023174299","Dental Providers, Family Planning Providers, Federally Qualified Health Centers, Indian Health Service, Sexually Transmitted Disease Clinics",8,8,"29 Black Coal Dr","PO Box 128","Fort Washakie","WY","82514-0128","Fremont","29 Black Coal Drive","PO Box 128","Fort Washakie","WY","82514","Fremont","Alice Moore, MSW, PhD Cand.","Chief Executive Officer","307-332-7300","","Alice.Moore@ihs.gov","","","","","","",""]
[null,201912283,"Morning Star Care Center","Eastern Shoshone Tribe","1851481634","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",1,0,"4 North Fork Rd","PO Box 859","Fort Washakie","WY","82514-0859","Fremont","14 North Fork Rd","PO Box 538","Fort Washakie","WY","82514","Fremont","Catherine E Keene","Administrator","307-332-6902","12","catherine@esthealth.org","","Carley Clausen","Director of Nursing","307-332-6902","","carley@esthealth.org",""]
[null,201912284,"Eastern Shoshone Recovery Program","Eastern Shoshone Tribe","1265751309","Other ECP Providers, Tribal Health Program operated under P.L. 93-638",3,0,"7 Shipton Lane","PO Box 638","Fort Washakie","WY","82514","Fremont","14 North Fork Rd","PO Box 538","Ft. Washakie","WY","82514","Fremont","Kellie Webb, LAT","Program/Clinical Director","307-332-2203","","ers.director@gmail.com","","Catherine E Keene","Administrator Tribal Health","307-332-6902","13","catherine@esthealth.org",""]
[null,201912285,"Gillette Reproductive Health","Gillette Reproductive Health","1962524504","Family Planning Providers",0.5,0,"1304 W 4th St","","Gillette","WY","82716-3330","Campbell","1304 W 4th","","Gillette","WY","82716","Campbell","Julie Price","Clinic Administrator","307-682-8110","","julie@4grh.com","","","","","","",""]
[null,201912286,"Glenrock Health Center","Glenrock Health Center","1093758161","Rural Health Clinics",2,0,"925 West Brich","PO Box 786","Glenrock","WY","82637-0786","Converse","925 West Birch","PO Box 786","Glenrock","WY","82637","Converse","Melanie Cielinski","Administrator","307-436-9206","106","mcielinski@glenrockhealth.com","www.glenrockhealthcenter.com","Terri Simon","Office Manager","307-436-9206","100","tsimon@glenrockhealth.com","www.glenrockhealthcenter.com"]
[null,201912287,"Castle Rock Hospital District","Castle Rock Hospital District","1740206382","Rural Health Clinics",6,0,"1400 Uinta Dr","","Green River","WY","82935-5060","Sweetwater","Po Box 219","","Green River","WY","82935","Sweetwater","Todd Toolson","CFO","307-872-4530","","todd.toolson@crhd.org","","","","","","",""]
[null,201912288,"Washakie Family Planning","Washakie Family Planning Services","1871731406","Family Planning Providers",0.25,0,"417 S 2nd St","","Greybull","WY","82426-2235","Big Horn","417 S 2nd St","","Greybull","WY","82426-2235","Big Horn","Amanda Heinemeyer","Project Director","307-347-3866","","amanda.heinemeyer@wyo.gov","http://www.washakiecounty.net/public-health","","","307-347-3278","","",""]
[null,201912289,"SageWest Health Care Lander","LifePoint Health","1245337286","Inpatient Hospitals (other than children's hospitals)",159,0,"1320 Bishop Randall Dr","","Lander","WY","82520-3939","Fremont","330 Seven Springs Way","","Brentwood","TN","37027","Davidson","Ian","Andes","615-920-7362","","Ian.Andes@LPNT.net","","Jennifer Hamilton","CFO","307-335-6509","","",""]
[null,201912290,"Fremont County Family Planning","Wyoming Health Council","1134495195","Other ECP Providers",0.25,0,"450 N 2nd St","Room 350","Lander","WY","82520-2306","Fremont","450 N 2nd St Rm. 350","","Lander","WY","82520-2302","Fremont","Julie Twist","Project Director","307-332-1073","","julie.twist@wyo.gov","","Jamie Cardine","RN","307-349-0085","","jamie.cardine@wyo.gov",""]
[null,201912291,"Laramie Reproductive Health","Laramie Reproductive Health","1851410682","Family Planning Providers, Ryan White Providers, Sexually Transmitted Disease Clinics",2,0,"413 S 21st St","","Laramie","WY","82070-4323","Albany","413 S 21st St","","Laramie","WY","82070-4323","Albany","Richelle Keinath","Executive Director","307-745-5364","","richelle@laramiereproductivehealth.org","www.laramiereproductivehealth.org","Scott Cheney","Outreach and Education Coordinator","307-745-5364","","scott@laramiereproductivehealth.org",""]
[null,201912292,"North Big Horn Hospital","North Big Horn Hospital","1952379547","Inpatient Hospitals (other than children's hospitals)",15,0,"1115 Lane 12","","Lovell","WY","82431-9537","Big Horn","1115 Lane 12","","Lovell","WY","82431","Big Horn","Lori Smith","CFO","307-548-5215","","lsmith2@nbhh.com","","","","","","",""]
[null,201912293,"North Big Horn Hospital Clinic","North Big Horn Hospital","1750485793","Family Planning Providers, Outpatient Hospital Clinics, Rural Health Clinics",198,0,"1115 Lane 12","","Lovell","WY","82431-9537","Big Horn","1115 Lane 12","","Lovell","WY","82431","Big Horn","Lori Smith","CFO","307-548-5215","","lsmith2@nbhh.com","","Lori Smith","CFO","307-548-5215","","lsmith2@nbhh.com",""]
[null,201912294,"Weston County Health Services","Weston County Hospital District","1154402972","Inpatient Hospitals (other than children's hospitals)",12,0,"1124 Washington Blvd","","Newcastle","WY","82701-2972","Weston","1124 Washington Blvd.","","Newcastle","WY","82701","Weston","Maureen Kay Cadwell","CEO","307-746-3733","","mcadwell@wchs-wy.org","","Lynn Moller","CFO","307-746-3708","","lmoller@wchs-wy.org",""]
[null,201912295,"Pine Bluffs Clinic","UNIVERSITY OF WYOMING","1316340417","Federally Qualified Health Centers",1,0,"215 E. Main","Suite A","Pine Bluffs","WY","82082","Laramie","1000 E University Ave Dept 3434","","Laramie","WY","82071-2001","Albany","Dorothy C Yates","Associate Vice President, Research","307-766-5320","","dyates4@uwyo.edu","","Kevin F Murray, MD","Director Medical Education","307-766-2113","","kmurra10@uwyo.edu",""]
[null,201912296,"Western Wyoming Family Health-Pinedale","Western Wyoming Family Health","1922152826","Family Planning Providers",1,0,"619 E Hennick St","","Pinedale","WY","82941","Sublette","619 E Hennick St","","Pinedale","WY","82941","Sublette","Sherry Reddick","Clinic Director","307-276-3306","","reddicks@sweet.wy.us","","Kathleen Shipley","Bookkeep/Assistant","307-362-6813","","shipleyk@sweet.wy.us",""]
[null,201912297,"Heritage Health Center","Powell Health Care Coalition","1568846962","Federally Qualified Health Centers",2,0,"128 N Bent St","","Powell","WY","82435-2712","Park","128 N Bent","","Powell","WY","82435-2712","Park","Colette Behrent","Chief Executive Officer","307-764-4135","1601","cbehrent@heritagehealthcenter.org","","","","","","",""]
[null,201912298,"Ag Worker Health & Services - Powell","Montana Migrant & Seasonal Farmworkers Council, Inc.","1558735308","Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",0.01,0,"149 N Bent St","","Powell","WY","82435-2711","Park","3318 3rd Avenue North.","STE 200","Billings","MT","59101","Yellowstone","Claudia Stephens","Strategic Planning Specialist","406-248-3149","","cstephens@mtmigrantcouncil.org","http://mtmigrantcouncil.org","Carol Townsend","Executive Director","406-248-3149","","ctownsend@mtmigrantcouncil.org",""]
[null,201912299,"Ag Worker Health & Services","Montana Migrant and Seasonal Farmworkers Council, Inc.","1558735308","Federally Qualified Health Centers, Sexually Transmitted Disease Clinics",1,0,"233 E 2nd St","","Powell","WY","82435-1900","Park","3318 3rd Av N","","Billings","MT","59101","Yellowstone","Claudia Stephens","Strategic Planning Specialist","406-248-3149","0","cstephens@mtmigrantcouncil.org","mtmigrantcouncil.org","Carol Townsend","Executive Director","406-248-3149","0","ctownsend@mtmigrantcouncil.org","mtmigrantcouncil.org"]
[null,201912300,"Powell Valley Healthcare, Inc.","Powell Valley Healthcare","1497753115","Inpatient Hospitals (other than children's hospitals)",25,0,"777 Avenue H","","Powell","WY","82435-2260","Park","777 Avenue H","","Powell","WY","82435","Park","Mike Long","CFO","307-754-2267","","mlong@pvhc.org","","Joy Coulston","Controller","307-754-1115","","jCoulston@pvhc.org",""]
[null,201912301,"Western Wyoming Family Health-Rawlinns","Western Wyoming Family Health","1922152826","Family Planning Providers",1,0,"617 W Pine St","","Rawlins","WY","82301-5429","Carbon","617 W Pine St","","Rawlins","WY","82301-5429","Carbon","Sherry Reddick","Clinic Administrator","307-324-9395","","reddicks@sweet.wy.us","","Kathleen Shipley","Bookkeeper/Assistant","307-362-6813","","shipleyk@sweet.wy.us",""]
[null,201912302,"Sweetwater County CHC, Inc","Sweetwater Health Center & Pharmacy","1730407594","Federally Qualified Health Centers",1,0,"2620 Commercial Way","Suite 140","Rock Springs","WY","82901","Sweetwater","2620 Commercial Way Ste 140","","Rock Springs","WY","82901","Sweetwater","Misty Garcia","Interim Chief Executive Officer","307-212-4241","1003","mgarcia@bestdocsever.com","","","","","","",""]
[null,201912303,"Western Wyoming Family Health","Western Wyoming Family Health","1922152826","Family Planning Providers",2,0,"333 Broadway St","Suite 120","Rock Springs","WY","82901-6254","Sweetwater","333 Broadway","Suite 120","Rock Springs","WY","82901-7272","Sweetwater","Sherry Reddick","Clinic Administrator","307-362-6813","","reddicks@sweet.wy.us","","Kathleen Shipley","Bookkeeper/Assistant","307-362-6813","","shipleyk@sweet.wy.us",""]
[null,201912304,"Reproductive Healthcare of the Big Horns","Reproductive Healthcare of the Big Horns","1841313723","Family Planning Providers",2,0,"128 S Thurmond St","","Sheridan","WY","82801-4145","Sheridan","128 S Thurmond ST","","Sheridan","WY","82801","Sheridan","Amanda Blish Alexander","Clinical Coordinator","307-672-7054","","rhbhexdir@gmail.com","","","","","","",""]
[null,201912305,"Washakie Family Planning Services","Washakie Family Planning Services","1871731406","Family Planning Providers",0.25,0,"117 N 4th St","","Thermopolis","WY","82443-2732","Hot Springs","1007 Robertson Ave","","Worland","WY","82401","Washakie","Amanda Heinemeyer","Project Director","307-347-3866","","amanda.heinemeyer@wyo.gov","","","","307-347-3278","","",""]
[null,201912306,"Red Rock Family Practice","Red Rock Family Practice","1316914922","Rural Health Clinics",7,0,"120 N C Ave","","Thermopolis","WY","82443-2410","Hot Springs","120 N C Ave","","Thermopolis","WY","82443-2410","Hot Springs","Jenifer Grimm","Billing","307-864-5534","208","jeni@rrfp.org","","Stephanie Richert","Billing","307-864-5534","205","stephanie@rrfp.org",""]
[null,201912307,"Hot Springs County Counseling Services","Hot Springs County Counseling Services","1235350034","Community Mental Health Centers",1,0,"121 S 4th St","","Thermopolis","WY","82443-2634","Hot Springs","121 S. 4th St","","Thermopolis","WY","82443","Hot Springs","Allan Braaten","Executive Director","307-864-3138","","allan.braaten@hsccs.com","hsccs.com","Cheryl Stewart","Executive Admin Assistant","307-864-3138","","cheryl.stewart@hsccs.com","hsccs.com"]
[null,201912308,"Red Rock Family Practice","Red Rock Family Practice","1023247624","Rural Health Clinics",2,0,"1125 Charles Ave","","Worland","WY","82401-4021","Washakie","120 N C Ave","","Thermopolois","WY","82443","Hot Springs","Jenifer Grimm","Billing","307-864-8208","","jeni@rrfp.org","","Stephanie Richert","Billing","307-864-5534","205","stephanie@rrfp.org",""]

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["Remove ECP?","Row Number","National Provider Identifier (NPI)*","Provider Name Prefix","First Name Of Provider","Middle Name of Provider","Name of Provider*","Suffix of Provider","Physician/Non Physician*","Specialty Type (area of medicine)*","Provider Entity Name*","ECP Category (General ECP Standard Issuers Only)*","Street Address*","Street Address 2","City*"," State*","County*","Zip*","Network IDs*","Number of Medical FTEs or Bed Count*","Number of Dental FTEs*"]

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[{"$nulls":9},{"$f":"MAX(COUNTA(Ind_NPI_Col), COUNTA(Ind_1st_Name_Col), COUNTA(Ind_Last_Name_Col), COUNTA(Ind_Physician_Col), COUNTA(Ind_Specialty_Col), COUNTA(Ind_Street_Col),COUNTA(Ind_City_Col), COUNTA(Ind_State_Col), COUNTA(Ind_County_Col), COUNTA(Ind_Zip_Col), COUNTA(Ind_Network_Col))-1","v":0}]
["National Provider Identifier (NPI)* ","Provider Name Prefix","First Name of Provider*","Middle Initial of Provider","Last Name of Provider*","Suffix of Provider","Physician / Non-Physician*","Specialty Type  (area of medicine)*","Street Address*","Street Address 2","City*","State*","County*","Zip*","Network IDs*"]

{"sheet":"FP Template","index":5,"n_rows":2,"n_cols":10,"rows_kept":2,"hidden":true}
[{"$nulls":4},{"$f":"MAX(COUNTA(Fac_NPI_Col), COUNTA(Fac_Fac_Name_Col), COUNTA(Fac_Fac_Type_Col), COUNTA(Fac_Street_Col), COUNTA(Fac_City_Col), COUNTA(Fac_State_Col), COUNTA(Fac_County_Col), COUNTA(Fac_Zip_Col), COUNTA(Fac_Network_Col))-1","v":0}]
["National Provider Identifier (NPI)*","Facility Name*","Facility Type*","Street Address*","Street Address 2","City*","State*","County*","Zip*","Network IDs*"]

{"sheet":"Specialty Types","index":6,"n_rows":44,"n_cols":4,"rows_kept":44,"merged":[[1,2,1,3],[2,2,2,3]]}
["The instructions for populating the Specialty/Facility Types can be found from cell C3.\nIndividual Provider (MD/DO) Specialty Types table can be found in cells C5 through C44.\nFacility, Pharmacy, and Other Non-MD/DO Specialty Types can be found in cells D5 through D44."]
[null,null,"Instructions for populating the Specialty/Facility Types without using the drop-down menu"]
[null,null,"The lists below show the specialty/facility & pharmacy types that can be entered in the ECP/Network Adequacy template. Column C shows the Individual Provider (MD/DO) Specialty Types. Column D shows the Facility, Pharmacy, and Other Non-MD/DO Specialty Types.  Both sets of Specialty Types are allowed to be entered for a provider.  If you would like to enter more than 1 specialty/facility type for a record, please comma separate each type. For example, if you would like to assign 001 General Practice and 002 Family Medicine specialty types to a provider, please enter the types as \"001 General Practice, 002 Family Medicine\". Entering multiple specialty/facility types using any other convention will result in a validation error. The same comma separation technique can be used to assign multiple Network IDs to the same provider. For example, an issuer in Virginia with 3 Network IDs could assign network 1 and network 3 to the same provider by entering \"VAN001, VAN003\"."]
[null,null,"Individual Provider (MD/DO) Specialty Types","Facility, Pharmacy, and Other Non-MD/DO Specialty Types"]
[null,null,"001 General Practice","Pharmacy"]
[null,null,"002 Family Medicine","040 General Acute Care Hospital"]
[null,null,"003 Internal Medicine","041 Cardiac Surgery Program"]
[null,null,"004 Geriatrics","042 Cardiac Catheterization Services"]
[null,null,"005 Primary Care - Physician Assistant","043 Critical Care Services - Intensive Care Units (ICU)"]
[null,null,"006 Primary Care - Nurse Practitioner","044 Outpatient Dialysis"]
[null,null,"007 Allergy and Immunology","045 Surgical Services (Ambulatory Surgical Centers and Outpatient Hospital)"]
[null,null,"008 Cardiovascular Disease","046 Skilled Nursing Facilities"]
[null,null,"010 Chiropracty","047 Diagnostic Radiology (free-standing; hospital outpatient; ambulatory health facilities with Dx Radiology)"]
[null,null,"011 Dermatology","048 Mammography"]
[null,null,"012 Endocrinology","049 Physical Therapy (individual physical therapists providing care in Free-standing; hospital outpatient and ambulatory health care facilities)"]
[null,null,"013 ENT/Otolaryngology","050 Occupational Therapist"]
[null,null,"014 Gastroenterology","051 Speech Therapy"]
[null,null,"015 General Surgery","052 Inpatient Psychiatry (Free-standing inpatient psychiatric facility and psychiatric beds within an Acute Care Hospital)"]
[null,null,"016 Gynecology (OB/GYN)","054 Orthotics and Prosthetics"]
[null,null,"017 Infectious Diseases","055 Home Health"]
[null,null,"018 Nephrology","056 Durable Medical Equipment"]
[null,null,"019 Neurology","057 Ambulatory Health Care Facilities - Infusion Therapy/Oncology/Radiology"]
[null,null,"020 Neurological Surgery","061 Heart Transplant Program"]
[null,null,"021 Medical Oncology & Surgical Oncology","062 Heart/Lung Transplant Program"]
[null,null,"022 Radiation Oncology","064 Kidney Transplant Program"]
[null,null,"023 Ophthalmology","065 Liver Transplant Program"]
[null,null,"025 Orthopedic Surgery","066 Lung Transplant Program"]
[null,null,"026 Physical Medicine & Rehabilitation","067 Pancreas Transplant Program"]
[null,null,"027 Plastic Surgery","000 OTHER"]
[null,null,"028 Podiatry"]
[null,null,"029 Psychiatry"]
[null,null,"030 Pulmonology"]
[null,null,"031 Rheumatology"]
[null,null,"033 Urology"]
[null,null,"034 Vascular Surgery"]
[null,null,"035 Cardiothoracic Surgery"]
[null,null,"101 Pediatrics - Routine/Primary Care"]
[null,null,"102 Licensed Clinical Social Workers"]
[null,null,"103 Psychology"]
[null,null,"000 OTHER"]
[null,null,"Dental - General"]
[null,null,"Dental - Orthodontist"]
[null,null,"Dental - Periodontist"]
[null,null,"Dental - Endodontist"]

{"sheet":"DataValidationFields","index":7,"n_rows":3142,"n_cols":20,"rows_kept":3142,"hidden":true}
["Physician/ Non-Physician","Codes associated with column C in this tab","Facility/Specialty Types for ECPs Tabs","Codes associated with column E in this tab","Facility/Specialty Types for NA Tabs","States List","Contiguous State List","County Drop-Down List","State","County","StateCountyCheck","StCtyCode","FIPScode","SelectEcpCol","IndividualEcpCol","FacilityEcpCol","Provider","Codes associated with column S in this tab","ECP Categories","Networks"]
["Physician, Non-Physician",1,"Black Lung Clinics",1,"001 General Practice","AK","AK","Aleutians East, Aleutians West, Anchorage, Bethel, Bristol Bay, Denali, Dillingham, Fairbanks North Star, Haines, Hoonah Angoon, Juneau, Kenai Peninsula, Ketchikan Gateway, Kodiak Island, Kusilvak, Lake And Peninsula, Matanuska Susitna, Nome, North Slope, Northwest Arctic, Petersburg, Prince Of Wales Hyder, Sitka, Skagway, Southeast Fairbanks, Valdez Cordova, Wrangell, Yakutat, Yukon Koyukuk","AK","Aleutians East","AKALEUTIANS EAST",null,"02013",3,7,6,"Primary Care",19,"Black Lung Clinics"]
["Physician",2,"Community Mental Health Centers",2,"002 Family Medicine","AL","AL, FL, GA, MS, TN","Autauga, Baldwin, Barbour, Bibb, Blount, Bullock, Butler, Calhoun, Chambers, Cherokee, Chilton, Choctaw, Clarke, Clay, Cleburne, Coffee, Colbert, Conecuh, Coosa, Covington, Crenshaw, Cullman, Dale, Dallas, De Kalb, Elmore, Escambia, Etowah, Fayette, Franklin, Geneva, Greene, Hale, Henry, Houston, Jackson, Jefferson, Lamar, Lauderdale, Lawrence, Lee, Limestone, Lowndes, Macon, Madison, Marengo, Marion, Marshall, Mobile, Monroe, Montgomery, Morgan, Perry, Pickens, Pike, Randolph, Russell, Saint Clair, Shelby, Sumter, Talladega, Tallapoosa, Tuscaloosa, Walker, Washington, Wilcox, Winston","AK","Aleutians West","AKALEUTIANS WEST",null,"02016",4,11,4,"Specialty Care",9,"Community Mental Health Centers"]
["Non-Physician",3,"Dental Providers",3,"003 Internal Medicine","AR","AR, LA, MO, MS, OK, TN, TX","Arkansas, Ashley, Baxter, Benton, Boone, Bradley, Calhoun, Carroll, Chicot, Clark, Clay, Cleburne, Cleveland, Columbia, Conway, Craighead, Crawford, Crittenden, Cross, Dallas, Desha, Drew, Faulkner, Franklin, Fulton, Garland, Grant, Greene, Hempstead, Hot Spring, Howard, Independence, Izard, Jackson, Jefferson, Johnson, Lafayette, Lawrence, Lee, Lincoln, Little River, Logan, Lonoke, Madison, Marion, Miller, Mississippi, Monroe, Montgomery, Nevada, Newton, Ouachita, Perry, Phillips, Pike, Poinsett, Polk, Pope, Prairie, Pulaski, Randolph, Saint Francis, Saline, Scott, Searcy, Sebastian, Sevier, Sharp, Stone, Union, Van Buren, Washington, White, Woodruff, Yell","AK","Anchorage","AKANCHORAGE",null,"02020",5,3,3,"Pharmacy",6,"Dental Providers"]
[null,4,"Family Planning Providers",4,"004 Geriatrics","AZ","AZ, CA, CO, NM, NV, UT","Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz, Yavapai, Yuma","AK","Bethel","AKBETHEL",null,"02050",6,12,7,"Hospital",21,"Family Planning Providers"]
[null,5,"Federally Qualified Health Centers",5,"005 Primary Care - Physician Assistant","CA","CA, AZ, NV, OR","Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Fresno, Glenn, Humboldt, Imperial, Inyo, Kern, Kings, Lake, Lassen, Los Angeles, Madera, Marin, Mariposa, Mendocino, Merced, Modoc, Mono, Monterey, Napa, Nevada, Orange, Placer, Plumas, Riverside, Sacramento, San Benito, San Bernardino, San Diego, San Francisco, San Joaquin, San Luis Obispo, San Mateo, Santa Barbara, Santa Clara, Santa Cruz, Shasta, Sierra, Siskiyou, Solano, Sonoma, Stanislaus, Sutter, Tehama, Trinity, Tulare, Tuolumne, Ventura, Yolo, Yuba","AK","Bristol Bay","AKBRISTOL BAY",null,"02060",9,13,8,"Ancillary Services",23,"Federally Qualified Health Centers"]
[null,6,"Freestanding Cancer Centers",6,"006 Primary Care - Nurse Practitioner","CO","CO, AZ, KS, NE, NM, OK, UT, WY","Adams, Alamosa, Arapahoe, Archuleta, Baca, Bent, Boulder, Broomfield, Chaffee, Cheyenne, Clear Creek, Conejos, Costilla, Crowley, Custer, Delta, Denver, Dolores, Douglas, Eagle, El Paso, Elbert, Fremont, Garfield, Gilpin, Grand, Gunnison, Hinsdale, Huerfano, Jackson, Jefferson, Kiowa, Kit Carson, La Plata, Lake, Larimer, Las Animas, Lincoln, Logan, Mesa, Mineral, Moffat, Montezuma, Montrose, Morgan, Otero, Ouray, Park, Phillips, Pitkin, Prowers, Pueblo, Rio Blanco, Rio Grande, Routt, Saguache, San Juan, San Miguel, Sedgwick, Summit, Teller, Washington, Weld, Yuma","AK","Denali","AKDENALI",null,"02068",10,14,9,"NA",11,"Freestanding Cancer Centers"]
[null,7,"Hemophilia Treatment Centers",7,"007 Allergy and Immunology","CT","CT, MA, NY, RI","Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland, Windham","AK","Dillingham","AKDILLINGHAM",null,"02070",11,15,10,null,12,"Hemophilia Treatment Centers"]
[null,8,"Children's Hospitals (inpatient only)",8,"008 Cardiovascular Disease","DC","DC, MD, VA","District of Columbia","AK","Fairbanks North Star","AKFAIRBANKS NORTH STAR",null,"02090",12,16,11,null,26,"Children's Hospitals (inpatient only)"]
[null,9,"Inpatient Hospitals (other than children's hospitals)",10,"010 Chiropracty","DE","DE, MD, NJ, PA","Kent, New Castle, Sussex","AK","Haines","AKHAINES",null,"02100",13,18,13,null,27,"Inpatient Hospitals (other than children's hospitals)"]
[null,10,"Outpatient Hospital Clinics",11,"011 Dermatology","FL","FL, AL, GA","Alachua, Baker, Bay, Bradford, Brevard, Broward, Calhoun, Charlotte, Citrus, Clay, Collier, Columbia, DeSoto, Dixie, Duval, Escambia, Flagler, Franklin, Gadsden, Gilchrist, Glades, Gulf, Hamilton, Hardee, Hendry, Hernando, Highlands, Hillsborough, Holmes, Indian River, Jackson, Jefferson, Lafayette, Lake, Lee, Leon, Levy, Liberty, Madison, Manatee, Marion, Martin, Miami-Dade, Monroe, Nassau, Okaloosa, Okeechobee, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Putnam, Saint Johns, Saint Lucie, Santa Rosa, Sarasota, Seminole, Sumter, Suwannee, Taylor, Union, Volusia, Wakulla, Walton, Washington","AK","Hoonah Angoon","AKHOONAH ANGOON",null,"02105",14,17,12,null,28,"Outpatient Hospital Clinics"]
[null,11,"Indian Health Service",12,"012 Endocrinology","GA","GA, AL, FL, NC, SC, TN","Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Brooks, Bryan, Bulloch, Burke, Butts, Calhoun, Camden, Candler, Carroll, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Cherokee, Clarke, Clay, Clayton, Clinch, Cobb, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dade, Dawson, Decatur, DeKalb, Dodge, Dooly, Dougherty, Douglas, Early, Echols, Effingham, Elbert, Emanuel, Evans, Fannin, Fayette, Floyd, Forsyth, Franklin, Fulton, Gilmer, Glascock, Glynn, Gordon, Grady, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Lee, Liberty, Lincoln, Long, Lowndes, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pierce, Pike, Polk, Pulaski, Putnam, Quitman, Rabun, Randolph, Richmond, Rockdale, Schley, Screven, Seminole, Spalding, Stephens, Stewart, Sumter, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Terrell, Thomas, Tift, Toombs, Towns, Treutlen, Troup, Turner, Twiggs, Union, Upson, Walker, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Whitfield, Wilcox, Wilkes, Wilkinson, Worth","AK","Juneau","AKJUNEAU",null,"02110",2,2,2,null,13,"Indian Health Service"]
[null,12,"Tribal Health Program operated under P.L. 93-638",13,"013 ENT/Otolaryngology","HI","HI","Hawaii, Honolulu, Kauai, Maui","AK","Kenai Peninsula","AKKENAI PENINSULA",null,"02122",{"$nulls":4},14,"Tribal Health Program operated under P.L. 93-638"]
[null,13,"Urban Indian Health Program",14,"014 Gastroenterology","IA","IA, IL, MN, MO, NE, SD, WI","Adair, Adams, Allamakee, Appanoose, Audubon, Benton, Black Hawk, Boone, Bremer, Buchanan, Buena Vista, Butler, Calhoun, Carroll, Cass, Cedar, Cerro Gordo, Cherokee, Chickasaw, Clarke, Clay, Clayton, Clinton, Crawford, Dallas, Davis, Decatur, Delaware, Des Moines, Dickinson, Dubuque, Emmet, Fayette, Floyd, Franklin, Fremont, Greene, Grundy, Guthrie, Hamilton, Hancock, Hardin, Harrison, Henry, Howard, Humboldt, Ida, Iowa, Jackson, Jasper, Jefferson, Johnson, Jones, Keokuk, Kossuth, Lee, Linn, Louisa, Lucas, Lyon, Madison, Mahaska, Marion, Marshall, Mills, Mitchell, Monona, Monroe, Montgomery, Muscatine, Obrien, Osceola, Page, Palo Alto, Plymouth, Pocahontas, Polk, Pottawattamie, Poweshiek, Ringgold, Sac, Scott, Shelby, Sioux, Story, Tama, Taylor, Union, Van Buren, Wapello, Warren, Washington, Wayne, Webster, Winnebago, Winneshiek, Woodbury, Worth, Wright","AK","Ketchikan Gateway","AKKETCHIKAN GATEWAY",null,"02130",{"$nulls":4},15,"Urban Indian Health Program"]
[null,14,"Rural Health Clinics",15,"015 General Surgery","ID","ID, MT, NV, OR, UT, WA, WY","Ada, Adams, Bannock, Bear Lake, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Butte, Camas, Canyon, Caribou, Cassia, Clark, Clearwater, Custer, Elmore, Franklin, Fremont, Gem, Gooding, Idaho, Jefferson, Jerome, Kootenai, Latah, Lemhi, Lewis, Lincoln, Madison, Minidoka, Nez Perce, Oneida, Owyhee, Payette, Power, Shoshone, Teton, Twin Falls, Valley, Washington","AK","Kodiak Island","AKKODIAK ISLAND",null,"02150",{"$nulls":4},16,"Rural Health Clinics"]
[null,15,"Ryan White Providers",16,"016 Gynecology (OB/GYN)","IL","IL, IA, IN, KY, MI, MO, WI","Adams, Alexander, Bond, Boone, Brown, Bureau, Calhoun, Carroll, Cass, Champaign, Christian, Clark, Clay, Clinton, Coles, Cook, Crawford, Cumberland, DeKalb, Dewitt, Douglas, Dupage, Edgar, Edwards, Effingham, Fayette, Ford, Franklin, Fulton, Gallatin, Greene, Grundy, Hamilton, Hancock, Hardin, Henderson, Henry, Iroquois, Jackson, Jasper, Jefferson, Jersey, Jo Daviess, Johnson, Kane, Kankakee, Kendall, Knox, La Salle, Lake, Lawrence, Lee, Livingston, Logan, Macon, Macoupin, Madison, Marion, Marshall, Mason, Massac, McDonough, McHenry, McLean, Menard, Mercer, Monroe, Montgomery, Morgan, Moultrie, Ogle, Peoria, Perry, Piatt, Pike, Pope, Pulaski, Putnam, Randolph, Richland, Rock Island, Saint Clair, Saline, Sangamon, Schuyler, Scott, Shelby, Stark, Stephenson, Tazewell, Union, Vermilion, Wabash, Warren, Washington, Wayne, White, Whiteside, Will, Williamson, Winnebago, Woodford","AK","Kusilvak","AKKUSILVAK",null,"02158",{"$nulls":4},20,"Ryan White Providers"]
[null,16,"Sexually Transmitted Disease Clinics",17,"017 Infectious Diseases","IN","IN, IL, KY, MI, OH","Adams, Allen, Bartholomew, Benton, Blackford, Boone, Brown, Carroll, Cass, Clark, Clay, Clinton, Crawford, Daviess, Dearborn, Decatur, De Kalb, Delaware, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Fulton, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Hendricks, Henry, Howard, Huntington, Jackson, Jasper, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, LaGrange, Lake, Lawrence, Madison, Marion, Marshall, Martin, Miami, Monroe, Montgomery, Morgan, Newton, Noble, Ohio, Orange, Owen, Parke, Perry, Pike, Porter, Posey, Pulaski, Putnam, Randolph, Ripley, Rush, Scott, Shelby, Spencer, St Joseph, Starke, Steuben, Sullivan, Switzerland, Tippecanoe, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Warrick, Washington, Wayne, Wells, White, Whitley","AK","Lake And Peninsula","AKLAKE AND PENINSULA",null,"02164",{"$nulls":4},17,"Sexually Transmitted Disease Clinics"]
[null,17,"Tuberculosis Clinics",18,"018 Nephrology","KS","KS, CO, MO, NE, OK","Allen, Anderson, Atchison, Barber, Barton, Bourbon, Brown, Butler, Chase, Chautauqua, Cherokee, Cheyenne, Clark, Clay, Cloud, Coffey, Comanche, Cowley, Crawford, Decatur, Dickinson, Doniphan, Douglas, Edwards, Elk, Ellis, Ellsworth, Finney, Ford, Franklin, Geary, Gove, Graham, Grant, Gray, Greeley, Greenwood, Hamilton, Harper, Harvey, Haskell, Hodgeman, Jackson, Jefferson, Jewell, Johnson, Kearny, Kingman, Kiowa, Labette, Lane, Leavenworth, Lincoln, Linn, Logan, Lyon, Marion, Marshall, McPherson, Meade, Miami, Mitchell, Montgomery, Morris, Morton, Nemaha, Neosho, Ness, Norton, Osage, Osborne, Ottawa, Pawnee, Phillips, Pottawatomie, Pratt, Rawlins, Reno, Republic, Rice, Riley, Rooks, Rush, Russell, Saline, Scott, Sedgwick, Seward, Shawnee, Sheridan, Sherman, Smith, Stafford, Stanton, Stevens, Sumner, Thomas, Trego, Wabaunsee, Wallace, Washington, Wichita, Wilson, Woodson, Wyandotte","AK","Matanuska Susitna","AKMATANUSKA SUSITNA",null,"02170",{"$nulls":4},18,"Tuberculosis Clinics"]
[null,18,"Other ECP Providers",19,"019 Neurology","KY","KY, IL, IN, MO, OH, TN, VA, WV","Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Boone, Bourbon, Boyd, Boyle, Bracken, Breathitt, Breckinridge, Bullitt, Butler, Caldwell, Calloway, Campbell, Carlisle, Carroll, Carter, Casey, Christian, Clark, Clay, Clinton, Crittenden, Cumberland, Daviess, Edmonson, Elliott, Estill, Fayette, Fleming, Floyd, Franklin, Fulton, Gallatin, Garrard, Grant, Graves, Grayson, Green, Greenup, Hancock, Hardin, Harlan, Harrison, Hart, Henderson, Henry, Hickman, Hopkins, Jackson, Jefferson, Jessamine, Johnson, Kenton, Knott, Knox, Larue, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Lincoln, Livingston, Logan, Lyon, Madison, Magoffin, Marion, Marshall, Martin, Mason, McCracken, McCreary, McLean, Meade, Menifee, Mercer, Metcalfe, Monroe, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Ohio, Oldham, Owen, Owsley, Pendleton, Perry, Pike, Powell, Pulaski, Robertson, Rockcastle, Rowan, Russell, Scott, Shelby, Simpson, Spencer, Taylor, Todd, Trigg, Trimble, Union, Warren, Washington, Wayne, Webster, Whitley, Wolfe, Woodford","AK","Nome","AKNOME",null,"02180",{"$nulls":4},22,"Other ECP Providers"]
[null,20,"001 General Practice",20,"020 Neurological Surgery","LA","LA, AR, MS, TX","Acadia, Allen, Ascension, Assumption, Avoyelles, Beauregard, Bienville, Bossier, Caddo, Calcasieu, Caldwell, Cameron, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Grant, Iberia, Iberville, Jackson, Jefferson, Jefferson Davis, La Salle, Lafayette, Lafourche, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, Richland, Sabine, Saint Bernard, Saint Charles, Saint Helena, Saint James, Saint Landry, Saint Martin, Saint Mary, Saint Tammany, St John The Baptist, Tangipahoa, Tensas, Terrebonne, Union, Vermilion, Vernon, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana, Winn","AK","North Slope","AKNORTH SLOPE",null,"02185"]
[null,21,"002 Family Medicine",21,"021 Medical Oncology & Surgical Oncology","MA","MA, CT, NH, NY, RI, VT","Barnstable, Berkshire, Bristol, Dukes, Essex, Franklin, Hampden, Hampshire, Middlesex, Nantucket, Norfolk, Plymouth, Suffolk, Worcester","AK","Northwest Arctic","AKNORTHWEST ARCTIC",null,"02188"]
[null,22,"003 Internal Medicine",22,"022 Radiation Oncology","MD","MD, DC, DE, PA, VA, WV","Allegany, Anne Arundel, Baltimore, Baltimore City, Calvert, Caroline, Carroll, Cecil, Charles, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Montgomery, Prince Georges, Queen Annes, Saint Marys, Somerset, Talbot, Washington, Wicomico, Worcester","AK","Petersburg","AKPETERSBURG",null,"02195"]
[null,23,"004 Geriatrics",23,"023 Ophthalmology","ME","ME, NH","Androscoggin, Aroostook, Cumberland, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Sagadahoc, Somerset, Waldo, Washington, York","AK","Prince Of Wales Hyder","AKPRINCE OF WALES HYDER",null,"02198"]
[null,24,"005 Primary Care - Physician Assistant",25,"025 Orthopedic Surgery","MI","MI, IL, IN, MN, OH, WI","Alcona, Alger, Allegan, Alpena, Antrim, Arenac, Baraga, Barry, Bay, Benzie, Berrien, Branch, Calhoun, Cass, Charlevoix, Cheboygan, Chippewa, Clare, Clinton, Crawford, Delta, Dickinson, Eaton, Emmet, Genesee, Gladwin, Gogebic, Grand Traverse, Gratiot, Hillsdale, Houghton, Huron, Ingham, Ionia, Iosco, Iron, Isabella, Jackson, Kalamazoo, Kalkaska, Kent, Keweenaw, Lake, Lapeer, Leelanau, Lenawee, Livingston, Luce, Mackinac, Macomb, Manistee, Marquette, Mason, Mecosta, Menominee, Midland, Missaukee, Monroe, Montcalm, Montmorency, Muskegon, Newaygo, Oakland, Oceana, Ogemaw, Ontonagon, Osceola, Oscoda, Otsego, Ottawa, Presque Isle, Roscommon, Saginaw, Saint Clair, Saint Joseph, Sanilac, Schoolcraft, Shiawassee, Tuscola, Van Buren, Washtenaw, Wayne, Wexford","AK","Sitka","AKSITKA",null,"02220"]
[null,25,"006 Primary Care - Nurse Practitioner",26,"026 Physical Medicine & Rehabilitation","MN","MN, IA, MI, ND, SD, WI","Aitkin, Anoka, Becker, Beltrami, Benton, Big Stone, Blue Earth, Brown, Carlton, Carver, Cass, Chippewa, Chisago, Clay, Clearwater, Cook, Cottonwood, Crow Wing, Dakota, Dodge, Douglas, Faribault, Fillmore, Freeborn, Goodhue, Grant, Hennepin, Houston, Hubbard, Isanti, Itasca, Jackson, Kanabec, Kandiyohi, Kittson, Koochiching, Lac Qui Parle, Lake, Lake of the Woods, Le Sueur, Lincoln, Lyon, Mahnomen, Marshall, Martin, McLeod, Meeker, Mille Lacs, Morrison, Mower, Murray, Nicollet, Nobles, Norman, Olmsted, Otter Tail, Pennington, Pine, Pipestone, Polk, Pope, Ramsey, Red Lake, Redwood, Renville, Rice, Rock, Roseau, Saint Louis, Scott, Sherburne, Sibley, Stearns, Steele, Stevens, Swift, Todd, Traverse, Wabasha, Wadena, Waseca, Washington, Watonwan, Wilkin, Winona, Wright, Yellow Medicine","AK","Skagway","AKSKAGWAY",null,"02230"]
[null,26,"007 Allergy and Immunology",27,"027 Plastic Surgery","MO","MO, AR, IA, IL, KS, KY, NE, OK, TN","Adair, Andrew, Atchison, Audrain, Barry, Barton, Bates, Benton, Bollinger, Boone, Buchanan, Butler, Caldwell, Callaway, Camden, Cape Girardeau, Carroll, Carter, Cass, Cedar, Chariton, Christian, Clark, Clay, Clinton, Cole, Cooper, Crawford, Dade, Dallas, Daviess, DeKalb, Dent, Douglas, Dunklin, Franklin, Gasconade, Gentry, Greene, Grundy, Harrison, Henry, Hickory, Holt, Howard, Howell, Iron, Jackson, Jasper, Jefferson, Johnson, Knox, Laclede, Lafayette, Lawrence, Lewis, Lincoln, Linn, Livingston, Macon, Madison, Maries, Marion, McDonald, Mercer, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Nodaway, Oregon, Osage, Ozark, Pemiscot, Perry, Pettis, Phelps, Pike, Platte, Polk, Pulaski, Putnam, Ralls, Randolph, Ray, Reynolds, Ripley, Saint Charles, Saint Clair, Saint Francois, Saint Louis, Saint Louis City, Sainte Genevieve, Saline, Schuyler, Scotland, Scott, Shannon, Shelby, Stoddard, Stone, Sullivan, Taney, Texas, Vernon, Warren, Washington, Wayne, Webster, Worth, Wright","AK","Southeast Fairbanks","AKSOUTHEAST FAIRBANKS",null,"02240"]
[null,27,"008 Cardiovascular Disease",28,"028 Podiatry","MS","MS, AL, AR, LA, TN","Adams, Alcorn, Amite, Attala, Benton, Bolivar, Calhoun, Carroll, Chickasaw, Choctaw, Claiborne, Clarke, Clay, Coahoma, Copiah, Covington, DeSoto, Forrest, Franklin, George, Greene, Grenada, Hancock, Harrison, Hinds, Holmes, Humphreys, Issaquena, Itawamba, Jackson, Jasper, Jefferson, Jefferson Davis, Jones, Kemper, Lafayette, Lamar, Lauderdale, Lawrence, Leake, Lee, Leflore, Lincoln, Lowndes, Madison, Marion, Marshall, Monroe, Montgomery, Neshoba, Newton, Noxubee, Oktibbeha, Panola, Pearl River, Perry, Pike, Pontotoc, Prentiss, Quitman, Rankin, Scott, Sharkey, Simpson, Smith, Stone, Sunflower, Tallahatchie, Tate, Tippah, Tishomingo, Tunica, Union, Walthall, Warren, Washington, Wayne, Webster, Wilkinson, Winston, Yalobusha, Yazoo","AK","Valdez Cordova","AKVALDEZ CORDOVA",null,"02261"]
[null,28,"010 Chiropracty",29,"029 Psychiatry","MT","MT, ID, ND, SD, WY","Beaverhead, Big Horn, Blaine, Broadwater, Carbon, Carter, Cascade, Chouteau, Custer, Daniels, Dawson, Deer Lodge, Fallon, Fergus, Flathead, Gallatin, Garfield, Glacier, Golden Valley, Granite, Hill, Jefferson, Judith Basin, Lake, Lewis and Clark, Liberty, Lincoln, Madison, McCone, Meagher, Mineral, Missoula, Musselshell, Park, Petroleum, Phillips, Pondera, Powder River, Powell, Prairie, Ravalli, Richland, Roosevelt, Rosebud, Sanders, Sheridan, Silver Bow, Stillwater, Sweet Grass, Teton, Toole, Treasure, Valley, Wheatland, Wibaux, Yellowstone","AK","Wrangell","AKWRANGELL",null,"02275"]
[null,29,"011 Dermatology",30,"030 Pulmonology","NC","NC, GA, SC, TN, VA","Alamance, Alexander, Alleghany, Anson, Ashe, Avery, Beaufort, Bertie, Bladen, Brunswick, Buncombe, Burke, Cabarrus, Caldwell, Camden, Carteret, Caswell, Catawba, Chatham, Cherokee, Chowan, Clay, Cleveland, Columbus, Craven, Cumberland, Currituck, Dare, Davidson, Davie, Duplin, Durham, Edgecombe, Forsyth, Franklin, Gaston, Gates, Graham, Granville, Greene, Guilford, Halifax, Harnett, Haywood, Henderson, Hertford, Hoke, Hyde, Iredell, Jackson, Johnston, Jones, Lee, Lenoir, Lincoln, Macon, Madison, Martin, McDowell, Mecklenburg, Mitchell, Montgomery, Moore, Nash, New Hanover, Northampton, Onslow, Orange, Pamlico, Pasquotank, Pender, Perquimans, Person, Pitt, Polk, Randolph, Richmond, Robeson, Rockingham, Rowan, Rutherford, Sampson, Scotland, Stanly, Stokes, Surry, Swain, Transylvania, Tyrrell, Union, Vance, Wake, Warren, Washington, Watauga, Wayne, Wilkes, Wilson, Yadkin, Yancey","AK","Yakutat","AKYAKUTAT",null,"02282"]
[null,30,"012 Endocrinology",31,"031 Rheumatology","ND","ND, MN, MT, SD","Adams, Barnes, Benson, Billings, Bottineau, Bowman, Burke, Burleigh, Cass, Cavalier, Dickey, Divide, Dunn, Eddy, Emmons, Foster, Golden Valley, Grand Forks, Grant, Griggs, Hettinger, Kidder, LaMoure, Logan, McHenry, McIntosh, McKenzie, McLean, Mercer, Morton, Mountrail, Nelson, Oliver, Pembina, Pierce, Ramsey, Ransom, Renville, Richland, Rolette, Sargent, Sheridan, Sioux, Slope, Stark, Steele, Stutsman, Towner, Traill, Walsh, Ward, Wells, Williams","AK","Yukon Koyukuk","AKYUKON KOYUKUK",null,"02290"]
[null,31,"013 ENT/Otolaryngology",33,"033 Urology","NE","NE, CO, IA, KS, MO, SD, WY","Adams, Antelope, Arthur, Banner, Blaine, Boone, Box Butte, Boyd, Brown, Buffalo, Burt, Butler, Cass, Cedar, Chase, Cherry, Cheyenne, Clay, Colfax, Cuming, Custer, Dakota, Dawes, Dawson, Deuel, Dixon, Dodge, Douglas, Dundy, Fillmore, Franklin, Frontier, Furnas, Gage, Garden, Garfield, Gosper, Grant, Greeley, Hall, Hamilton, Harlan, Hayes, Hitchcock, Holt, Hooker, Howard, Jefferson, Johnson, Kearney, Keith, Keya Paha, Kimball, Knox, Lancaster, Lincoln, Logan, Loup, Madison, McPherson, Merrick, Morrill, Nance, Nemaha, Nuckolls, Otoe, Pawnee, Perkins, Phelps, Pierce, Platte, Polk, Red Willow, Richardson, Rock, Saline, Sarpy, Saunders, Scotts Bluff, Seward, Sheridan, Sherman, Sioux, Stanton, Thayer, Thomas, Thurston, Valley, Washington, Wayne, Webster, Wheeler, York","AL","Autauga","ALAUTAUGA",null,"01001"]
[null,32,"014 Gastroenterology",34,"034 Vascular Surgery","NH","NH, MA, ME, VT","Belknap, Carroll, Cheshire, Coos, Grafton, Hillsborough, Merrimack, Rockingham, Strafford, Sullivan","AL","Baldwin","ALBALDWIN",null,"01003"]
[null,33,"015 General Surgery",35,"035 Cardiothoracic Surgery","NJ","NJ, DE, NY, PA","Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union, Warren","AL","Barbour","ALBARBOUR",null,"01005"]
[null,34,"016 Gynecology (OB/GYN)",101,"101 Pediatrics - Routine/Primary Care","NM","NM, AZ, CO, OK, TX, UT","Bernalillo, Catron, Chaves, Cibola, Colfax, Curry, De Baca, Dona Ana, Eddy, Grant, Guadalupe, Harding, Hidalgo, Lea, Lincoln, Los Alamos, Luna, McKinley, Mora, Otero, Quay, Rio Arriba, Roosevelt, San Juan, San Miguel, Sandoval, Santa Fe, Sierra, Socorro, Taos, Torrance, Union, Valencia","AL","Bibb","ALBIBB",null,"01007"]
[null,35,"017 Infectious Diseases",102,"102 Licensed Clinical Social Workers","NV","NV, AZ, CA, ID, OR, UT","Carson City, Churchill, Clark, Douglas, Elko, Esmeralda, Eureka, Humboldt, Lander, Lincoln, Lyon, Mineral, Nye, Pershing, Storey, Washoe, White Pine","AL","Blount","ALBLOUNT",null,"01009"]
[null,36,"018 Nephrology",103,"103 Psychology","NY","NY, CT, MA, NJ, PA, RI, VT","Albany, Allegany, Bronx, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Kings, Lewis, Livingston, Madison, Monroe, Montgomery, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Otsego, Putnam, Queens, Rensselaer, Richmond, Rockland, Saint Lawrence, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, Suffolk, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wayne, Westchester, Wyoming, Yates","AL","Bullock","ALBULLOCK",null,"01011"]
[null,37,"019 Neurology",105,"Dental - General","OH","OH, IN, KY, MI, PA, WV","Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot","AL","Butler","ALBUTLER",null,"01013"]
[null,38,"020 Neurological Surgery",106,"Dental - Orthodontist","OK","OK, AR, CO, KS, MO, NM, TX","Adair, Alfalfa, Atoka, Beaver, Beckham, Blaine, Bryan, Caddo, Canadian, Carter, Cherokee, Choctaw, Cimarron, Cleveland, Coal, Comanche, Cotton, Craig, Creek, Custer, Delaware, Dewey, Ellis, Garfield, Garvin, Grady, Grant, Greer, Harmon, Harper, Haskell, Hughes, Jackson, Jefferson, Johnston, Kay, Kingfisher, Kiowa, Latimer, Le Flore, Lincoln, Logan, Love, Major, Marshall, Mayes, McClain, McCurtain, McIntosh, Murray, Muskogee, Noble, Nowata, Okfuskee, Oklahoma, Okmulgee, Osage, Ottawa, Pawnee, Payne, Pittsburg, Pontotoc, Pottawatomie, Pushmataha, Roger Mills, Rogers, Seminole, Sequoyah, Stephens, Texas, Tillman, Tulsa, Wagoner, Washington, Washita, Woods, Woodward","AL","Calhoun","ALCALHOUN",null,"01015"]
[null,39,"021 Medical Oncology & Surgical Oncology",107,"Dental - Periodontist","OR","OR, CA, ID, NV, WA","Baker, Benton, Clackamas, Clatsop, Columbia, Coos, Crook, Curry, Deschutes, Douglas, Gilliam, Grant, Harney, Hood River, Jackson, Jefferson, Josephine, Klamath, Lake, Lane, Lincoln, Linn, Malheur, Marion, Morrow, Multnomah, Polk, Sherman, Tillamook, Umatilla, Union, Wallowa, Wasco, Washington, Wheeler, Yamhill","AL","Chambers","ALCHAMBERS",null,"01017"]
[null,40,"022 Radiation Oncology",104,"Dental - Endodontist","PA","PA, DE, MD, NJ, NY, OH, WV","Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York","AL","Cherokee","ALCHEROKEE",null,"01019"]
[null,41,"023 Ophthalmology",108,"Pharmacy","RI","RI, CT, MA, NY","Bristol, Kent, Newport, Providence, Washington","AL","Chilton","ALCHILTON",null,"01021"]
[null,42,"025 Orthopedic Surgery",40,"040 General Acute Care Hospital","SC","SC, GA, NC","Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown, Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens, Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York","AL","Choctaw","ALCHOCTAW",null,"01023"]
[null,43,"026 Physical Medicine & Rehabilitation",41,"041 Cardiac Surgery Program","SD","SD, IA, MN, MT, ND, NE, WY","Aurora, Beadle, Bennett, Bon Homme, Brookings, Brown, Brule, Buffalo, Butte, Campbell, Charles Mix, Clark, Clay, Codington, Corson, Custer, Davison, Day, Deuel, Dewey, Douglas, Edmunds, Fall River, Faulk, Grant, Gregory, Haakon, Hamlin, Hand, Hanson, Harding, Hughes, Hutchinson, Hyde, Jackson, Jerauld, Jones, Kingsbury, Lake, Lawrence, Lincoln, Lyman, Marshall, McCook, McPherson, Meade, Mellette, Miner, Minnehaha, Moody, Oglala Lakota, Pennington, Perkins, Potter, Roberts, Sanborn, Spink, Stanley, Sully, Todd, Tripp, Turner, Union, Walworth, Yankton, Ziebach","AL","Clarke","ALCLARKE",null,"01025"]
[null,44,"027 Plastic Surgery",42,"042 Cardiac Catheterization Services","TN","TN, AL, AR, GA, KY, MO, MS, NC, VA","Anderson, Bedford, Benton, Bledsoe, Blount, Bradley, Campbell, Cannon, Carroll, Carter, Cheatham, Chester, Claiborne, Clay, Cocke, Coffee, Crockett, Cumberland, Davidson, Decatur, DeKalb, Dickson, Dyer, Fayette, Fentress, Franklin, Gibson, Giles, Grainger, Greene, Grundy, Hamblen, Hamilton, Hancock, Hardeman, Hardin, Hawkins, Haywood, Henderson, Henry, Hickman, Houston, Humphreys, Jackson, Jefferson, Johnson, Knox, Lake, Lauderdale, Lawrence, Lewis, Lincoln, Loudon, Macon, Madison, Marion, Marshall, Maury, McMinn, McNairy, Meigs, Monroe, Montgomery, Moore, Morgan, Obion, Overton, Perry, Pickett, Polk, Putnam, Rhea, Roane, Robertson, Rutherford, Scott, Sequatchie, Sevier, Shelby, Smith, Stewart, Sullivan, Sumner, Tipton, Trousdale, Unicoi, Union, Van Buren, Warren, Washington, Wayne, Weakley, White, Williamson, Wilson","AL","Clay","ALCLAY",null,"01027"]
[null,45,"028 Podiatry",43,"043 Critical Care Services - Intensive Care Units (ICU)","TX","TX, AR, LA, NM, OK","Anderson, Andrews, Angelina, Aransas, Archer, Armstrong, Atascosa, Austin, Bailey, Bandera, Bastrop, Baylor, Bee, Bell, Bexar, Blanco, Borden, Bosque, Bowie, Brazoria, Brazos, Brewster, Briscoe, Brooks, Brown, Burleson, Burnet, Caldwell, Calhoun, Callahan, Cameron, Camp, Carson, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Coke, Coleman, Collin, Collingsworth, Colorado, Comal, Comanche, Concho, Cooke, Coryell, Cottle, Crane, Crockett, Crosby, Culberson, Dallam, Dallas, Dawson, De Witt, Deaf Smith, Delta, Denton, Dickens, Dimmit, Donley, Duval, Eastland, Ector, Edwards, El Paso, Ellis, Erath, Falls, Fannin, Fayette, Fisher, Floyd, Foard, Fort Bend, Franklin, Freestone, Frio, Gaines, Galveston, Garza, Gillespie, Glasscock, Goliad, Gonzales, Gray, Grayson, Gregg, Grimes, Guadalupe, Hale, Hall, Hamilton, Hansford, Hardeman, Hardin, Harris, Harrison, Hartley, Haskell, Hays, Hemphill, Henderson, Hidalgo, Hill, Hockley, Hood, Hopkins, Houston, Howard, Hudspeth, Hunt, Hutchinson, Irion, Jack, Jackson, Jasper, Jeff Davis, Jefferson, Jim Hogg, Jim Wells, Johnson, Jones, Karnes, Kaufman, Kendall, Kenedy, Kent, Kerr, Kimble, King, Kinney, Kleberg, Knox, La Salle, Lamar, Lamb, Lampasas, Lavaca, Lee, Leon, Liberty, Limestone, Lipscomb, Live Oak, Llano, Loving, Lubbock, Lynn, Madison, Marion, Martin, Mason, Matagorda, Maverick, McCulloch, McLennan, McMullen, Medina, Menard, Midland, Milam, Mills, Mitchell, Montague, Montgomery, Moore, Morris, Motley, Nacogdoches, Navarro, Newton, Nolan, Nueces, Ochiltree, Oldham, Orange, Palo Pinto, Panola, Parker, Parmer, Pecos, Polk, Potter, Presidio, Rains, Randall, Reagan, Real, Red River, Reeves, Refugio, Roberts, Robertson, Rockwall, Runnels, Rusk, Sabine, San Augustine, San Jacinto, San Patricio, San Saba, Schleicher, Scurry, Shackelford, Shelby, Sherman, Smith, Somervell, Starr, Stephens, Sterling, Stonewall, Sutton, Swisher, Tarrant, Taylor, Terrell, Terry, Throckmorton, Titus, Tom Green, Travis, Trinity, Tyler, Upshur, Upton, Uvalde, Val Verde, Van Zandt, Victoria, Walker, Waller, Ward, Washington, Webb, Wharton, Wheeler, Wichita, Wilbarger, Willacy, Williamson, Wilson, Winkler, Wise, Wood, Yoakum, Young, Zapata, Zavala","AL","Cleburne","ALCLEBURNE",null,"01029"]
[null,46,"029 Psychiatry",44,"044 Outpatient Dialysis","UT","UT, AZ, CO, ID, NM, NV, WY","Beaver, Box Elder, Cache, Carbon, Daggett, Davis, Duchesne, Emery, Garfield, Grand, Iron, Juab, Kane, Millard, Morgan, Piute, Rich, Salt Lake, San Juan, Sanpete, Sevier, Summit, Tooele, Uintah, Utah, Wasatch, Washington, Wayne, Weber","AL","Coffee","ALCOFFEE",null,"01031"]
[null,47,"030 Pulmonology",45,"045 Surgical Services (Ambulatory Surgical Centers and Outpatient Hospital)","VA","VA, DC, KY, MD, NC, TN, WV","Accomack, Albemarle, Alexandria City, Alleghany, Amelia, Amherst, Appomattox, Arlington, Augusta, Bath, Bedford, Bland, Botetourt, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Colonial Heights City, Covington City, Craig, Culpeper, Cumberland, Danville City, Dickenson, Dinwiddie, Emporia City, Essex, Fairfax, Fairfax City, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henrico, Henry, Highland, Hopewell City, Isle of Wight, James City, King and Queen, King George, King William, Lancaster, Lee, Lexington City, Loudoun, Louisa, Lunenburg, Lynchburg City, Madison, Manassas City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Orange, Page, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Radford, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Russell, Salem, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, Wise, Wythe, York","AL","Colbert","ALCOLBERT",null,"01033"]
[null,48,"031 Rheumatology",46,"046 Skilled Nursing Facilities","VT","VT, MA, NH, NY","Addison, Bennington, Caledonia, Chittenden, Essex, Franklin, Grand Isle, Lamoille, Orange, Orleans, Rutland, Washington, Windham, Windsor","AL","Conecuh","ALCONECUH",null,"01035"]
[null,49,"033 Urology",47,"047 Diagnostic Radiology (free-standing; hospital outpatient; ambulatory health facilities with Dx Radiology)","WA","WA, ID, OR","Adams, Asotin, Benton, Chelan, Clallam, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Grays Harbor, Island, Jefferson, King, Kitsap, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, Yakima","AL","Coosa","ALCOOSA",null,"01037"]
[null,50,"034 Vascular Surgery",48,"048 Mammography","WI","WI, IA, IL, MI, MN","Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Saint Croix, Sauk, Sawyer, Shawano, Sheboygan, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood","AL","Covington","ALCOVINGTON",null,"01039"]
[null,51,"035 Cardiothoracic Surgery",49,"049 Physical Therapy (individual physical therapists providing care in Free-standing; hospital outpatient and ambulatory health care facilities)","WV","WV, KY, MD, OH, PA, VA","Barbour, Berkeley, Boone, Braxton, Brooke, Cabell, Calhoun, Clay, Doddridge, Fayette, Gilmer, Grant, Greenbrier, Hampshire, Hancock, Hardy, Harrison, Jackson, Jefferson, Kanawha, Lewis, Lincoln, Logan, Marion, Marshall, Mason, McDowell, Mercer, Mineral, Mingo, Monongalia, Monroe, Morgan, Nicholas, Ohio, Pendleton, Pleasants, Pocahontas, Preston, Putnam, Raleigh, Randolph, Ritchie, Roane, Summers, Taylor, Tucker, Tyler, Upshur, Wayne, Webster, Wetzel, Wirt, Wood, Wyoming","AL","Crenshaw","ALCRENSHAW",null,"01041"]
[null,52,"101 Pediatrics - Routine/Primary Care",50,"050 Occupational Therapist","WY","WY, CO, ID, MT, NE, SD, UT","Albany, Big Horn, Campbell, Carbon, Converse, Crook, Fremont, Goshen, Hot Springs, Johnson, Laramie, Lincoln, Natrona, Niobrara, Park, Platte, Sheridan, Sublette, Sweetwater, Teton, Uinta, Washakie, Weston","AL","Cullman","ALCULLMAN",null,"01043"]
[null,53,"102 Licensed Clinical Social Workers",51,"051 Speech Therapy",{"$nulls":3},"AL","Dale","ALDALE",null,"01045"]
[null,54,"103 Psychology",52,"052 Inpatient Psychiatry (Free-standing inpatient psychiatric facility and psychiatric beds within an Acute Care Hospital)",{"$nulls":3},"AL","Dallas","ALDALLAS",null,"01047"]
[null,55,"Dental - General",54,"054 Orthotics and Prosthetics",{"$nulls":3},"AL","De Kalb","ALDE KALB",null,"01049"]
[null,56,"Dental - Orthodontist",55,"055 Home Health",{"$nulls":3},"AL","Elmore","ALELMORE",null,"01051"]
[null,57,"Dental - Periodontist",56,"056 Durable Medical Equipment",{"$nulls":3},"AL","Escambia","ALESCAMBIA",null,"01053"]
[null,58,"Dental - Endodontist",57,"057 Ambulatory Health Care Facilities - Infusion Therapy/Oncology/Radiology",{"$nulls":3},"AL","Etowah","ALETOWAH",null,"01055"]
[null,59,"Pharmacy",61,"061 Heart Transplant Program",{"$nulls":3},"AL","Fayette","ALFAYETTE",null,"01057"]
[null,60,"040 General Acute Care Hospital",62,"062 Heart/Lung Transplant Program",{"$nulls":3},"AL","Franklin","ALFRANKLIN",null,"01059"]
[null,61,"041 Cardiac Surgery Program",64,"064 Kidney Transplant Program",{"$nulls":3},"AL","Geneva","ALGENEVA",null,"01061"]
[null,62,"042 Cardiac Catheterization Services",65,"065 Liver Transplant Program",{"$nulls":3},"AL","Greene","ALGREENE",null,"01063"]
[null,63,"043 Critical Care Services - Intensive Care Units (ICU)",66,"066 Lung Transplant Program",{"$nulls":3},"AL","Hale","ALHALE",null,"01065"]
[null,64,"044 Outpatient Dialysis",67,"067 Pancreas Transplant Program",{"$nulls":3},"AL","Henry","ALHENRY",null,"01067"]
[null,65,"045 Surgical Services (Ambulatory Surgical Centers and Outpatient Hospital)",0,"000 OTHER",{"$nulls":3},"AL","Houston","ALHOUSTON",null,"01069"]
[null,66,"046 Skilled Nursing Facilities",{"$nulls":5},"AL","Jackson","ALJACKSON",null,"01071"]
[null,67,"047 Diagnostic Radiology (free-standing; hospital outpatient; ambulatory health facilities with Dx Radiology)",{"$nulls":5},"AL","Jefferson","ALJEFFERSON",null,"01073"]
[null,68,"048 Mammography",{"$nulls":5},"AL","Lamar","ALLAMAR",null,"01075"]
[null,69,"049 Physical Therapy (individual physical therapists providing care in Free-standing; hospital outpatient and ambulatory health care facilities)",{"$nulls":5},"AL","Lauderdale","ALLAUDERDALE",null,"01077"]
[null,70,"050 Occupational Therapist",{"$nulls":5},"AL","Lawrence","ALLAWRENCE",null,"01079"]
[null,71,"051 Speech Therapy",{"$nulls":5},"AL","Lee","ALLEE",null,"01081"]
[null,72,"052 Inpatient Psychiatry (Free-standing inpatient psychiatric facility and psychiatric beds within an Acute Care Hospital)",{"$nulls":5},"AL","Limestone","ALLIMESTONE",null,"01083"]
[null,73,"054 Orthotics and Prosthetics",{"$nulls":5},"AL","Lowndes","ALLOWNDES",null,"01085"]
[null,74,"055 Home Health",{"$nulls":5},"AL","Macon","ALMACON",null,"01087"]
[null,75,"056 Durable Medical Equipment",{"$nulls":5},"AL","Madison","ALMADISON",null,"01089"]
[null,76,"057 Ambulatory Health Care Facilities - Infusion Therapy/Oncology/Radiology",{"$nulls":5},"AL","Marengo","ALMARENGO",null,"01091"]
[null,77,"061 Heart Transplant Program",{"$nulls":5},"AL","Marion","ALMARION",null,"01093"]
[null,78,"062 Heart/Lung Transplant Program",{"$nulls":5},"AL","Marshall","ALMARSHALL",null,"01095"]
[null,79,"064 Kidney Transplant Program",{"$nulls":5},"AL","Mobile","ALMOBILE",null,"01097"]
[null,80,"065 Liver Transplant Program",{"$nulls":5},"AL","Monroe","ALMONROE",null,"01099"]
[null,81,"066 Lung Transplant Program",{"$nulls":5},"AL","Montgomery","ALMONTGOMERY",null,"01101"]
[null,82,"067 Pancreas Transplant Program",{"$nulls":5},"AL","Morgan","ALMORGAN",null,"01103"]
[null,19,"000 OTHER",{"$nulls":5},"AL","Perry","ALPERRY",null,"01105"]
[{"$nulls":8},"AL","Pickens","ALPICKENS",null,"01107"]
[{"$nulls":8},"AL","Pike","ALPIKE",null,"01109"]
[{"$nulls":8},"AL","Randolph","ALRANDOLPH",null,"01111"]
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[{"$nulls":8},"LA","St John The Baptist","LAST JOHN THE BAPTIST",null,22095]
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[{"$nulls":8},"MI","Alpena","MIALPENA",null,26007]
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[{"$nulls":8},"MI","Charlevoix","MICHARLEVOIX",null,26029]
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[{"$nulls":8},"MI","Dickinson","MIDICKINSON",null,26043]
[{"$nulls":8},"MI","Eaton","MIEATON",null,26045]
[{"$nulls":8},"MI","Emmet","MIEMMET",null,26047]
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[{"$nulls":8},"MI","Grand Traverse","MIGRAND TRAVERSE",null,26055]
[{"$nulls":8},"MI","Gratiot","MIGRATIOT",null,26057]
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[{"$nulls":8},"MI","Houghton","MIHOUGHTON",null,26061]
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[{"$nulls":8},"MI","Iosco","MIIOSCO",null,26069]
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[{"$nulls":8},"MI","Isabella","MIISABELLA",null,26073]
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[{"$nulls":8},"MI","Kent","MIKENT",null,26081]
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[{"$nulls":8},"MI","Lake","MILAKE",null,26085]
[{"$nulls":8},"MI","Lapeer","MILAPEER",null,26087]
[{"$nulls":8},"MI","Leelanau","MILEELANAU",null,26089]
[{"$nulls":8},"MI","Lenawee","MILENAWEE",null,26091]
[{"$nulls":8},"MI","Livingston","MILIVINGSTON",null,26093]
[{"$nulls":8},"MI","Luce","MILUCE",null,26095]
[{"$nulls":8},"MI","Mackinac","MIMACKINAC",null,26097]
[{"$nulls":8},"MI","Macomb","MIMACOMB",null,26099]
[{"$nulls":8},"MI","Manistee","MIMANISTEE",null,26101]
[{"$nulls":8},"MI","Marquette","MIMARQUETTE",null,26103]
[{"$nulls":8},"MI","Mason","MIMASON",null,26105]
[{"$nulls":8},"MI","Mecosta","MIMECOSTA",null,26107]
[{"$nulls":8},"MI","Menominee","MIMENOMINEE",null,26109]
[{"$nulls":8},"MI","Midland","MIMIDLAND",null,26111]
[{"$nulls":8},"MI","Missaukee","MIMISSAUKEE",null,26113]
[{"$nulls":8},"MI","Monroe","MIMONROE",null,26115]
[{"$nulls":8},"MI","Montcalm","MIMONTCALM",null,26117]
[{"$nulls":8},"MI","Montmorency","MIMONTMORENCY",null,26119]
[{"$nulls":8},"MI","Muskegon","MIMUSKEGON",null,26121]
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[{"$nulls":8},"MO","Laclede","MOLACLEDE",null,29105]
[{"$nulls":8},"MO","Lafayette","MOLAFAYETTE",null,29107]
[{"$nulls":8},"MO","Lawrence","MOLAWRENCE",null,29109]
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[{"$nulls":8},"MO","Linn","MOLINN",null,29115]
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[{"$nulls":8},"MO","Macon","MOMACON",null,29121]
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[{"$nulls":8},"MO","Marion","MOMARION",null,29127]
[{"$nulls":8},"MO","McDonald","MOMCDONALD",null,29119]
[{"$nulls":8},"MO","Mercer","MOMERCER",null,29129]
[{"$nulls":8},"MO","Miller","MOMILLER",null,29131]
[{"$nulls":8},"MO","Mississippi","MOMISSISSIPPI",null,29133]
[{"$nulls":8},"MO","Moniteau","MOMONITEAU",null,29135]
[{"$nulls":8},"MO","Monroe","MOMONROE",null,29137]
[{"$nulls":8},"MO","Montgomery","MOMONTGOMERY",null,29139]
[{"$nulls":8},"MO","Morgan","MOMORGAN",null,29141]
[{"$nulls":8},"MO","New Madrid","MONEW MADRID",null,29143]
[{"$nulls":8},"MO","Newton","MONEWTON",null,29145]
[{"$nulls":8},"MO","Nodaway","MONODAWAY",null,29147]
[{"$nulls":8},"MO","Oregon","MOOREGON",null,29149]
[{"$nulls":8},"MO","Osage","MOOSAGE",null,29151]
[{"$nulls":8},"MO","Ozark","MOOZARK",null,29153]
[{"$nulls":8},"MO","Pemiscot","MOPEMISCOT",null,29155]
[{"$nulls":8},"MO","Perry","MOPERRY",null,29157]
[{"$nulls":8},"MO","Pettis","MOPETTIS",null,29159]
[{"$nulls":8},"MO","Phelps","MOPHELPS",null,29161]
[{"$nulls":8},"MO","Pike","MOPIKE",null,29163]
[{"$nulls":8},"MO","Platte","MOPLATTE",null,29165]
[{"$nulls":8},"MO","Polk","MOPOLK",null,29167]
[{"$nulls":8},"MO","Pulaski","MOPULASKI",null,29169]
[{"$nulls":8},"MO","Putnam","MOPUTNAM",null,29171]
[{"$nulls":8},"MO","Ralls","MORALLS",null,29173]
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[{"$nulls":8},"MO","Ray","MORAY",null,29177]
[{"$nulls":8},"MO","Reynolds","MOREYNOLDS",null,29179]
[{"$nulls":8},"MO","Ripley","MORIPLEY",null,29181]
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[{"$nulls":8},"MO","Saint Clair","MOSAINT CLAIR",null,29185]
[{"$nulls":8},"MO","Saint Francois","MOSAINT FRANCOIS",null,29187]
[{"$nulls":8},"MO","Saint Louis","MOSAINT LOUIS",null,29189]
[{"$nulls":8},"MO","Saint Louis City","MOSAINT LOUIS CITY",null,29510]
[{"$nulls":8},"MO","Sainte Genevieve","MOSAINTE GENEVIEVE",null,29186]
[{"$nulls":8},"MO","Saline","MOSALINE",null,29195]
[{"$nulls":8},"MO","Schuyler","MOSCHUYLER",null,29197]
[{"$nulls":8},"MO","Scotland","MOSCOTLAND",null,29199]
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[{"$nulls":8},"MO","Shannon","MOSHANNON",null,29203]
[{"$nulls":8},"MO","Shelby","MOSHELBY",null,29205]
[{"$nulls":8},"MO","Stoddard","MOSTODDARD",null,29207]
[{"$nulls":8},"MO","Stone","MOSTONE",null,29209]
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[{"$nulls":8},"MO","Wright","MOWRIGHT",null,29229]
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[{"$nulls":8},"MS","Amite","MSAMITE",null,28005]
[{"$nulls":8},"MS","Attala","MSATTALA",null,28007]
[{"$nulls":8},"MS","Benton","MSBENTON",null,28009]
[{"$nulls":8},"MS","Bolivar","MSBOLIVAR",null,28011]
[{"$nulls":8},"MS","Calhoun","MSCALHOUN",null,28013]
[{"$nulls":8},"MS","Carroll","MSCARROLL",null,28015]
[{"$nulls":8},"MS","Chickasaw","MSCHICKASAW",null,28017]
[{"$nulls":8},"MS","Choctaw","MSCHOCTAW",null,28019]
[{"$nulls":8},"MS","Claiborne","MSCLAIBORNE",null,28021]
[{"$nulls":8},"MS","Clarke","MSCLARKE",null,28023]
[{"$nulls":8},"MS","Clay","MSCLAY",null,28025]
[{"$nulls":8},"MS","Coahoma","MSCOAHOMA",null,28027]
[{"$nulls":8},"MS","Copiah","MSCOPIAH",null,28029]
[{"$nulls":8},"MS","Covington","MSCOVINGTON",null,28031]
[{"$nulls":8},"MS","DeSoto","MSDESOTO",null,28033]
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[{"$nulls":8},"MS","Franklin","MSFRANKLIN",null,28037]
[{"$nulls":8},"MS","George","MSGEORGE",null,28039]
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[{"$nulls":8},"MS","Grenada","MSGRENADA",null,28043]
[{"$nulls":8},"MS","Hancock","MSHANCOCK",null,28045]
[{"$nulls":8},"MS","Harrison","MSHARRISON",null,28047]
[{"$nulls":8},"MS","Hinds","MSHINDS",null,28049]
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[{"$nulls":8},"MS","Humphreys","MSHUMPHREYS",null,28053]
[{"$nulls":8},"MS","Issaquena","MSISSAQUENA",null,28055]
[{"$nulls":8},"MS","Itawamba","MSITAWAMBA",null,28057]
[{"$nulls":8},"MS","Jackson","MSJACKSON",null,28059]
[{"$nulls":8},"MS","Jasper","MSJASPER",null,28061]
[{"$nulls":8},"MS","Jefferson","MSJEFFERSON",null,28063]
[{"$nulls":8},"MS","Jefferson Davis","MSJEFFERSON DAVIS",null,28065]
[{"$nulls":8},"MS","Jones","MSJONES",null,28067]
[{"$nulls":8},"MS","Kemper","MSKEMPER",null,28069]
[{"$nulls":8},"MS","Lafayette","MSLAFAYETTE",null,28071]
[{"$nulls":8},"MS","Lamar","MSLAMAR",null,28073]
[{"$nulls":8},"MS","Lauderdale","MSLAUDERDALE",null,28075]
[{"$nulls":8},"MS","Lawrence","MSLAWRENCE",null,28077]
[{"$nulls":8},"MS","Leake","MSLEAKE",null,28079]
[{"$nulls":8},"MS","Lee","MSLEE",null,28081]
[{"$nulls":8},"MS","Leflore","MSLEFLORE",null,28083]
[{"$nulls":8},"MS","Lincoln","MSLINCOLN",null,28085]
[{"$nulls":8},"MS","Lowndes","MSLOWNDES",null,28087]
[{"$nulls":8},"MS","Madison","MSMADISON",null,28089]
[{"$nulls":8},"MS","Marion","MSMARION",null,28091]
[{"$nulls":8},"MS","Marshall","MSMARSHALL",null,28093]
[{"$nulls":8},"MS","Monroe","MSMONROE",null,28095]
[{"$nulls":8},"MS","Montgomery","MSMONTGOMERY",null,28097]
[{"$nulls":8},"MS","Neshoba","MSNESHOBA",null,28099]
[{"$nulls":8},"MS","Newton","MSNEWTON",null,28101]
[{"$nulls":8},"MS","Noxubee","MSNOXUBEE",null,28103]
[{"$nulls":8},"MS","Oktibbeha","MSOKTIBBEHA",null,28105]
[{"$nulls":8},"MS","Panola","MSPANOLA",null,28107]
[{"$nulls":8},"MS","Pearl River","MSPEARL RIVER",null,28109]
[{"$nulls":8},"MS","Perry","MSPERRY",null,28111]
[{"$nulls":8},"MS","Pike","MSPIKE",null,28113]
[{"$nulls":8},"MS","Pontotoc","MSPONTOTOC",null,28115]
[{"$nulls":8},"MS","Prentiss","MSPRENTISS",null,28117]
[{"$nulls":8},"MS","Quitman","MSQUITMAN",null,28119]
[{"$nulls":8},"MS","Rankin","MSRANKIN",null,28121]
[{"$nulls":8},"MS","Scott","MSSCOTT",null,28123]
[{"$nulls":8},"MS","Sharkey","MSSHARKEY",null,28125]
[{"$nulls":8},"MS","Simpson","MSSIMPSON",null,28127]
[{"$nulls":8},"MS","Smith","MSSMITH",null,28129]
[{"$nulls":8},"MS","Stone","MSSTONE",null,28131]
[{"$nulls":8},"MS","Sunflower","MSSUNFLOWER",null,28133]
[{"$nulls":8},"MS","Tallahatchie","MSTALLAHATCHIE",null,28135]
[{"$nulls":8},"MS","Tate","MSTATE",null,28137]
[{"$nulls":8},"MS","Tippah","MSTIPPAH",null,28139]
[{"$nulls":8},"MS","Tishomingo","MSTISHOMINGO",null,28141]
[{"$nulls":8},"MS","Tunica","MSTUNICA",null,28143]
[{"$nulls":8},"MS","Union","MSUNION",null,28145]
[{"$nulls":8},"MS","Walthall","MSWALTHALL",null,28147]
[{"$nulls":8},"MS","Warren","MSWARREN",null,28149]
[{"$nulls":8},"MS","Washington","MSWASHINGTON",null,28151]
[{"$nulls":8},"MS","Wayne","MSWAYNE",null,28153]
[{"$nulls":8},"MS","Webster","MSWEBSTER",null,28155]
[{"$nulls":8},"MS","Wilkinson","MSWILKINSON",null,28157]
[{"$nulls":8},"MS","Winston","MSWINSTON",null,28159]
[{"$nulls":8},"MS","Yalobusha","MSYALOBUSHA",null,28161]
[{"$nulls":8},"MS","Yazoo","MSYAZOO",null,28163]
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[{"$nulls":8},"MT","Big Horn","MTBIG HORN",null,30003]
[{"$nulls":8},"MT","Blaine","MTBLAINE",null,30005]
[{"$nulls":8},"MT","Broadwater","MTBROADWATER",null,30007]
[{"$nulls":8},"MT","Carbon","MTCARBON",null,30009]
[{"$nulls":8},"MT","Carter","MTCARTER",null,30011]
[{"$nulls":8},"MT","Cascade","MTCASCADE",null,30013]
[{"$nulls":8},"MT","Chouteau","MTCHOUTEAU",null,30015]
[{"$nulls":8},"MT","Custer","MTCUSTER",null,30017]
[{"$nulls":8},"MT","Daniels","MTDANIELS",null,30019]
[{"$nulls":8},"MT","Dawson","MTDAWSON",null,30021]
[{"$nulls":8},"MT","Deer Lodge","MTDEER LODGE",null,30023]
[{"$nulls":8},"MT","Fallon","MTFALLON",null,30025]
[{"$nulls":8},"MT","Fergus","MTFERGUS",null,30027]
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[{"$nulls":8},"NJ","Gloucester","NJGLOUCESTER",null,34015]
[{"$nulls":8},"NJ","Hudson","NJHUDSON",null,34017]
[{"$nulls":8},"NJ","Hunterdon","NJHUNTERDON",null,34019]
[{"$nulls":8},"NJ","Mercer","NJMERCER",null,34021]
[{"$nulls":8},"NJ","Middlesex","NJMIDDLESEX",null,34023]
[{"$nulls":8},"NJ","Monmouth","NJMONMOUTH",null,34025]
[{"$nulls":8},"NJ","Morris","NJMORRIS",null,34027]
[{"$nulls":8},"NJ","Ocean","NJOCEAN",null,34029]
[{"$nulls":8},"NJ","Passaic","NJPASSAIC",null,34031]
[{"$nulls":8},"NJ","Salem","NJSALEM",null,34033]
[{"$nulls":8},"NJ","Somerset","NJSOMERSET",null,34035]
[{"$nulls":8},"NJ","Sussex","NJSUSSEX",null,34037]
[{"$nulls":8},"NJ","Union","NJUNION",null,34039]
[{"$nulls":8},"NJ","Warren","NJWARREN",null,34041]
[{"$nulls":8},"NM","Bernalillo","NMBERNALILLO",null,35001]
[{"$nulls":8},"NM","Catron","NMCATRON",null,35003]
[{"$nulls":8},"NM","Chaves","NMCHAVES",null,35005]
[{"$nulls":8},"NM","Cibola","NMCIBOLA",null,35006]
[{"$nulls":8},"NM","Colfax","NMCOLFAX",null,35007]
[{"$nulls":8},"NM","Curry","NMCURRY",null,35009]
[{"$nulls":8},"NM","De Baca","NMDE BACA",null,35011]
[{"$nulls":8},"NM","Dona Ana","NMDONA ANA",null,35013]
[{"$nulls":8},"NM","Eddy","NMEDDY",null,35015]
[{"$nulls":8},"NM","Grant","NMGRANT",null,35017]
[{"$nulls":8},"NM","Guadalupe","NMGUADALUPE",null,35019]
[{"$nulls":8},"NM","Harding","NMHARDING",null,35021]
[{"$nulls":8},"NM","Hidalgo","NMHIDALGO",null,35023]
[{"$nulls":8},"NM","Lea","NMLEA",null,35025]
[{"$nulls":8},"NM","Lincoln","NMLINCOLN",null,35027]
[{"$nulls":8},"NM","Los Alamos","NMLOS ALAMOS",null,35028]
[{"$nulls":8},"NM","Luna","NMLUNA",null,35029]
[{"$nulls":8},"NM","McKinley","NMMCKINLEY",null,35031]
[{"$nulls":8},"NM","Mora","NMMORA",null,35033]
[{"$nulls":8},"NM","Otero","NMOTERO",null,35035]
[{"$nulls":8},"NM","Quay","NMQUAY",null,35037]
[{"$nulls":8},"NM","Rio Arriba","NMRIO ARRIBA",null,35039]
[{"$nulls":8},"NM","Roosevelt","NMROOSEVELT",null,35041]
[{"$nulls":8},"NM","San Juan","NMSAN JUAN",null,35045]
[{"$nulls":8},"NM","San Miguel","NMSAN MIGUEL",null,35047]
[{"$nulls":8},"NM","Sandoval","NMSANDOVAL",null,35043]
[{"$nulls":8},"NM","Santa Fe","NMSANTA FE",null,35049]
[{"$nulls":8},"NM","Sierra","NMSIERRA",null,35051]
[{"$nulls":8},"NM","Socorro","NMSOCORRO",null,35053]
[{"$nulls":8},"NM","Taos","NMTAOS",null,35055]
[{"$nulls":8},"NM","Torrance","NMTORRANCE",null,35057]
[{"$nulls":8},"NM","Union","NMUNION",null,35059]
[{"$nulls":8},"NM","Valencia","NMVALENCIA",null,35061]
[{"$nulls":8},"NV","Carson City","NVCARSON CITY",null,32510]
[{"$nulls":8},"NV","Churchill","NVCHURCHILL",null,32001]
[{"$nulls":8},"NV","Clark","NVCLARK",null,32003]
[{"$nulls":8},"NV","Douglas","NVDOUGLAS",null,32005]
[{"$nulls":8},"NV","Elko","NVELKO",null,32007]
[{"$nulls":8},"NV","Esmeralda","NVESMERALDA",null,32009]
[{"$nulls":8},"NV","Eureka","NVEUREKA",null,32011]
[{"$nulls":8},"NV","Humboldt","NVHUMBOLDT",null,32013]
[{"$nulls":8},"NV","Lander","NVLANDER",null,32015]
[{"$nulls":8},"NV","Lincoln","NVLINCOLN",null,32017]
[{"$nulls":8},"NV","Lyon","NVLYON",null,32019]
[{"$nulls":8},"NV","Mineral","NVMINERAL",null,32021]
[{"$nulls":8},"NV","Nye","NVNYE",null,32023]
[{"$nulls":8},"NV","Pershing","NVPERSHING",null,32027]
[{"$nulls":8},"NV","Storey","NVSTOREY",null,"32029"]
[{"$nulls":8},"NV","Washoe","NVWASHOE",null,32031]
[{"$nulls":8},"NV","White Pine","NVWHITE PINE",null,32033]
[{"$nulls":8},"NY","Albany","NYALBANY",null,36001]
[{"$nulls":8},"NY","Allegany","NYALLEGANY",null,36003]
[{"$nulls":8},"NY","Bronx","NYBRONX",null,36005]
[{"$nulls":8},"NY","Broome","NYBROOME",null,36007]
[{"$nulls":8},"NY","Cattaraugus","NYCATTARAUGUS",null,36009]
[{"$nulls":8},"NY","Cayuga","NYCAYUGA",null,36011]
[{"$nulls":8},"NY","Chautauqua","NYCHAUTAUQUA",null,36013]
[{"$nulls":8},"NY","Chemung","NYCHEMUNG",null,36015]
[{"$nulls":8},"NY","Chenango","NYCHENANGO",null,36017]
[{"$nulls":8},"NY","Clinton","NYCLINTON",null,36019]
[{"$nulls":8},"NY","Columbia","NYCOLUMBIA",null,36021]
[{"$nulls":8},"NY","Cortland","NYCORTLAND",null,36023]
[{"$nulls":8},"NY","Delaware","NYDELAWARE",null,36025]
[{"$nulls":8},"NY","Dutchess","NYDUTCHESS",null,36027]
[{"$nulls":8},"NY","Erie","NYERIE",null,36029]
[{"$nulls":8},"NY","Essex","NYESSEX",null,36031]
[{"$nulls":8},"NY","Franklin","NYFRANKLIN",null,36033]
[{"$nulls":8},"NY","Fulton","NYFULTON",null,36035]
[{"$nulls":8},"NY","Genesee","NYGENESEE",null,36037]
[{"$nulls":8},"NY","Greene","NYGREENE",null,36039]
[{"$nulls":8},"NY","Hamilton","NYHAMILTON",null,36041]
[{"$nulls":8},"NY","Herkimer","NYHERKIMER",null,36043]
[{"$nulls":8},"NY","Jefferson","NYJEFFERSON",null,36045]
[{"$nulls":8},"NY","Kings","NYKINGS",null,36047]
[{"$nulls":8},"NY","Lewis","NYLEWIS",null,36049]
[{"$nulls":8},"NY","Livingston","NYLIVINGSTON",null,36051]
[{"$nulls":8},"NY","Madison","NYMADISON",null,36053]
[{"$nulls":8},"NY","Monroe","NYMONROE",null,36055]
[{"$nulls":8},"NY","Montgomery","NYMONTGOMERY",null,36057]
[{"$nulls":8},"NY","Nassau","NYNASSAU",null,36059]
[{"$nulls":8},"NY","New York","NYNEW YORK",null,36061]
[{"$nulls":8},"NY","Niagara","NYNIAGARA",null,36063]
[{"$nulls":8},"NY","Oneida","NYONEIDA",null,36065]
[{"$nulls":8},"NY","Onondaga","NYONONDAGA",null,36067]
[{"$nulls":8},"NY","Ontario","NYONTARIO",null,36069]
[{"$nulls":8},"NY","Orange","NYORANGE",null,36071]
[{"$nulls":8},"NY","Orleans","NYORLEANS",null,36073]
[{"$nulls":8},"NY","Oswego","NYOSWEGO",null,36075]
[{"$nulls":8},"NY","Otsego","NYOTSEGO",null,36077]
[{"$nulls":8},"NY","Putnam","NYPUTNAM",null,36079]
[{"$nulls":8},"NY","Queens","NYQUEENS",null,36081]
[{"$nulls":8},"NY","Rensselaer","NYRENSSELAER",null,36083]
[{"$nulls":8},"NY","Richmond","NYRICHMOND",null,36085]
[{"$nulls":8},"NY","Rockland","NYROCKLAND",null,36087]
[{"$nulls":8},"NY","Saint Lawrence","NYSAINT LAWRENCE",null,36089]
[{"$nulls":8},"NY","Saratoga","NYSARATOGA",null,36091]
[{"$nulls":8},"NY","Schenectady","NYSCHENECTADY",null,36093]
[{"$nulls":8},"NY","Schoharie","NYSCHOHARIE",null,36095]
[{"$nulls":8},"NY","Schuyler","NYSCHUYLER",null,36097]
[{"$nulls":8},"NY","Seneca","NYSENECA",null,36099]
[{"$nulls":8},"NY","Steuben","NYSTEUBEN",null,36101]
[{"$nulls":8},"NY","Suffolk","NYSUFFOLK",null,36103]
[{"$nulls":8},"NY","Sullivan","NYSULLIVAN",null,36105]
[{"$nulls":8},"NY","Tioga","NYTIOGA",null,36107]
[{"$nulls":8},"NY","Tompkins","NYTOMPKINS",null,36109]
[{"$nulls":8},"NY","Ulster","NYULSTER",null,36111]
[{"$nulls":8},"NY","Warren","NYWARREN",null,36113]
[{"$nulls":8},"NY","Washington","NYWASHINGTON",null,36115]
[{"$nulls":8},"NY","Wayne","NYWAYNE",null,36117]
[{"$nulls":8},"NY","Westchester","NYWESTCHESTER",null,36119]
[{"$nulls":8},"NY","Wyoming","NYWYOMING",null,36121]
[{"$nulls":8},"NY","Yates","NYYATES",null,36123]
[{"$nulls":8},"OH","Adams","OHADAMS",null,39001]
[{"$nulls":8},"OH","Allen","OHALLEN",null,39003]
[{"$nulls":8},"OH","Ashland","OHASHLAND",null,39005]
[{"$nulls":8},"OH","Ashtabula","OHASHTABULA",null,39007]
[{"$nulls":8},"OH","Athens","OHATHENS",null,39009]
[{"$nulls":8},"OH","Auglaize","OHAUGLAIZE",null,39011]
[{"$nulls":8},"OH","Belmont","OHBELMONT",null,39013]
[{"$nulls":8},"OH","Brown","OHBROWN",null,39015]
[{"$nulls":8},"OH","Butler","OHBUTLER",null,39017]
[{"$nulls":8},"OH","Carroll","OHCARROLL",null,39019]
[{"$nulls":8},"OH","Champaign","OHCHAMPAIGN",null,39021]
[{"$nulls":8},"OH","Clark","OHCLARK",null,39023]
[{"$nulls":8},"OH","Clermont","OHCLERMONT",null,39025]
[{"$nulls":8},"OH","Clinton","OHCLINTON",null,39027]
[{"$nulls":8},"OH","Columbiana","OHCOLUMBIANA",null,39029]
[{"$nulls":8},"OH","Coshocton","OHCOSHOCTON",null,39031]
[{"$nulls":8},"OH","Crawford","OHCRAWFORD",null,39033]
[{"$nulls":8},"OH","Cuyahoga","OHCUYAHOGA",null,39035]
[{"$nulls":8},"OH","Darke","OHDARKE",null,39037]
[{"$nulls":8},"OH","Defiance","OHDEFIANCE",null,39039]
[{"$nulls":8},"OH","Delaware","OHDELAWARE",null,39041]
[{"$nulls":8},"OH","Erie","OHERIE",null,39043]
[{"$nulls":8},"OH","Fairfield","OHFAIRFIELD",null,39045]
[{"$nulls":8},"OH","Fayette","OHFAYETTE",null,39047]
[{"$nulls":8},"OH","Franklin","OHFRANKLIN",null,39049]
[{"$nulls":8},"OH","Fulton","OHFULTON",null,39051]
[{"$nulls":8},"OH","Gallia","OHGALLIA",null,39053]
[{"$nulls":8},"OH","Geauga","OHGEAUGA",null,39055]
[{"$nulls":8},"OH","Greene","OHGREENE",null,39057]
[{"$nulls":8},"OH","Guernsey","OHGUERNSEY",null,39059]
[{"$nulls":8},"OH","Hamilton","OHHAMILTON",null,39061]
[{"$nulls":8},"OH","Hancock","OHHANCOCK",null,39063]
[{"$nulls":8},"OH","Hardin","OHHARDIN",null,39065]
[{"$nulls":8},"OH","Harrison","OHHARRISON",null,39067]
[{"$nulls":8},"OH","Henry","OHHENRY",null,39069]
[{"$nulls":8},"OH","Highland","OHHIGHLAND",null,39071]
[{"$nulls":8},"OH","Hocking","OHHOCKING",null,39073]
[{"$nulls":8},"OH","Holmes","OHHOLMES",null,39075]
[{"$nulls":8},"OH","Huron","OHHURON",null,39077]
[{"$nulls":8},"OH","Jackson","OHJACKSON",null,39079]
[{"$nulls":8},"OH","Jefferson","OHJEFFERSON",null,39081]
[{"$nulls":8},"OH","Knox","OHKNOX",null,39083]
[{"$nulls":8},"OH","Lake","OHLAKE",null,39085]
[{"$nulls":8},"OH","Lawrence","OHLAWRENCE",null,39087]
[{"$nulls":8},"OH","Licking","OHLICKING",null,39089]
[{"$nulls":8},"OH","Logan","OHLOGAN",null,39091]
[{"$nulls":8},"OH","Lorain","OHLORAIN",null,39093]
[{"$nulls":8},"OH","Lucas","OHLUCAS",null,39095]
[{"$nulls":8},"OH","Madison","OHMADISON",null,39097]
[{"$nulls":8},"OH","Mahoning","OHMAHONING",null,39099]
[{"$nulls":8},"OH","Marion","OHMARION",null,39101]
[{"$nulls":8},"OH","Medina","OHMEDINA",null,39103]
[{"$nulls":8},"OH","Meigs","OHMEIGS",null,39105]
[{"$nulls":8},"OH","Mercer","OHMERCER",null,39107]
[{"$nulls":8},"OH","Miami","OHMIAMI",null,39109]
[{"$nulls":8},"OH","Monroe","OHMONROE",null,39111]
[{"$nulls":8},"OH","Montgomery","OHMONTGOMERY",null,39113]
[{"$nulls":8},"OH","Morgan","OHMORGAN",null,39115]
[{"$nulls":8},"OH","Morrow","OHMORROW",null,39117]
[{"$nulls":8},"OH","Muskingum","OHMUSKINGUM",null,39119]
[{"$nulls":8},"OH","Noble","OHNOBLE",null,39121]
[{"$nulls":8},"OH","Ottawa","OHOTTAWA",null,39123]
[{"$nulls":8},"OH","Paulding","OHPAULDING",null,39125]
[{"$nulls":8},"OH","Perry","OHPERRY",null,39127]
[{"$nulls":8},"OH","Pickaway","OHPICKAWAY",null,39129]
[{"$nulls":8},"OH","Pike","OHPIKE",null,39131]
[{"$nulls":8},"OH","Portage","OHPORTAGE",null,39133]
[{"$nulls":8},"OH","Preble","OHPREBLE",null,39135]
[{"$nulls":8},"OH","Putnam","OHPUTNAM",null,39137]
[{"$nulls":8},"OH","Richland","OHRICHLAND",null,39139]
[{"$nulls":8},"OH","Ross","OHROSS",null,39141]
[{"$nulls":8},"OH","Sandusky","OHSANDUSKY",null,39143]
[{"$nulls":8},"OH","Scioto","OHSCIOTO",null,39145]
[{"$nulls":8},"OH","Seneca","OHSENECA",null,39147]
[{"$nulls":8},"OH","Shelby","OHSHELBY",null,39149]
[{"$nulls":8},"OH","Stark","OHSTARK",null,39151]
[{"$nulls":8},"OH","Summit","OHSUMMIT",null,39153]
[{"$nulls":8},"OH","Trumbull","OHTRUMBULL",null,39155]
[{"$nulls":8},"OH","Tuscarawas","OHTUSCARAWAS",null,39157]
[{"$nulls":8},"OH","Union","OHUNION",null,39159]
[{"$nulls":8},"OH","Van Wert","OHVAN WERT",null,39161]
[{"$nulls":8},"OH","Vinton","OHVINTON",null,39163]
[{"$nulls":8},"OH","Warren","OHWARREN",null,39165]
[{"$nulls":8},"OH","Washington","OHWASHINGTON",null,39167]
[{"$nulls":8},"OH","Wayne","OHWAYNE",null,39169]
[{"$nulls":8},"OH","Williams","OHWILLIAMS",null,39171]
[{"$nulls":8},"OH","Wood","OHWOOD",null,39173]
[{"$nulls":8},"OH","Wyandot","OHWYANDOT",null,39175]
[{"$nulls":8},"OK","Adair","OKADAIR",null,40001]
[{"$nulls":8},"OK","Alfalfa","OKALFALFA",null,40003]
[{"$nulls":8},"OK","Atoka","OKATOKA",null,40005]
[{"$nulls":8},"OK","Beaver","OKBEAVER",null,40007]
[{"$nulls":8},"OK","Beckham","OKBECKHAM",null,40009]
[{"$nulls":8},"OK","Blaine","OKBLAINE",null,40011]
[{"$nulls":8},"OK","Bryan","OKBRYAN",null,40013]
[{"$nulls":8},"OK","Caddo","OKCADDO",null,40015]
[{"$nulls":8},"OK","Canadian","OKCANADIAN",null,40017]
[{"$nulls":8},"OK","Carter","OKCARTER",null,40019]
[{"$nulls":8},"OK","Cherokee","OKCHEROKEE",null,40021]
[{"$nulls":8},"OK","Choctaw","OKCHOCTAW",null,40023]
[{"$nulls":8},"OK","Cimarron","OKCIMARRON",null,40025]
[{"$nulls":8},"OK","Cleveland","OKCLEVELAND",null,40027]
[{"$nulls":8},"OK","Coal","OKCOAL",null,40029]
[{"$nulls":8},"OK","Comanche","OKCOMANCHE",null,40031]
[{"$nulls":8},"OK","Cotton","OKCOTTON",null,40033]
[{"$nulls":8},"OK","Craig","OKCRAIG",null,40035]
[{"$nulls":8},"OK","Creek","OKCREEK",null,40037]
[{"$nulls":8},"OK","Custer","OKCUSTER",null,40039]
[{"$nulls":8},"OK","Delaware","OKDELAWARE",null,40041]
[{"$nulls":8},"OK","Dewey","OKDEWEY",null,40043]
[{"$nulls":8},"OK","Ellis","OKELLIS",null,40045]
[{"$nulls":8},"OK","Garfield","OKGARFIELD",null,40047]
[{"$nulls":8},"OK","Garvin","OKGARVIN",null,40049]
[{"$nulls":8},"OK","Grady","OKGRADY",null,40051]
[{"$nulls":8},"OK","Grant","OKGRANT",null,40053]
[{"$nulls":8},"OK","Greer","OKGREER",null,40055]
[{"$nulls":8},"OK","Harmon","OKHARMON",null,40057]
[{"$nulls":8},"OK","Harper","OKHARPER",null,40059]
[{"$nulls":8},"OK","Haskell","OKHASKELL",null,40061]
[{"$nulls":8},"OK","Hughes","OKHUGHES",null,40063]
[{"$nulls":8},"OK","Jackson","OKJACKSON",null,40065]
[{"$nulls":8},"OK","Jefferson","OKJEFFERSON",null,40067]
[{"$nulls":8},"OK","Johnston","OKJOHNSTON",null,40069]
[{"$nulls":8},"OK","Kay","OKKAY",null,40071]
[{"$nulls":8},"OK","Kingfisher","OKKINGFISHER",null,40073]
[{"$nulls":8},"OK","Kiowa","OKKIOWA",null,40075]
[{"$nulls":8},"OK","Latimer","OKLATIMER",null,40077]
[{"$nulls":8},"OK","Le Flore","OKLE FLORE",null,40079]
[{"$nulls":8},"OK","Lincoln","OKLINCOLN",null,40081]
[{"$nulls":8},"OK","Logan","OKLOGAN",null,40083]
[{"$nulls":8},"OK","Love","OKLOVE",null,40085]
[{"$nulls":8},"OK","Major","OKMAJOR",null,40093]
[{"$nulls":8},"OK","Marshall","OKMARSHALL",null,40095]
[{"$nulls":8},"OK","Mayes","OKMAYES",null,40097]
[{"$nulls":8},"OK","McClain","OKMCCLAIN",null,40087]
[{"$nulls":8},"OK","McCurtain","OKMCCURTAIN",null,40089]
[{"$nulls":8},"OK","McIntosh","OKMCINTOSH",null,40091]
[{"$nulls":8},"OK","Murray","OKMURRAY",null,40099]
[{"$nulls":8},"OK","Muskogee","OKMUSKOGEE",null,40101]
[{"$nulls":8},"OK","Noble","OKNOBLE",null,40103]
[{"$nulls":8},"OK","Nowata","OKNOWATA",null,40105]
[{"$nulls":8},"OK","Okfuskee","OKOKFUSKEE",null,40107]
[{"$nulls":8},"OK","Oklahoma","OKOKLAHOMA",null,40109]
[{"$nulls":8},"OK","Okmulgee","OKOKMULGEE",null,40111]
[{"$nulls":8},"OK","Osage","OKOSAGE",null,40113]
[{"$nulls":8},"OK","Ottawa","OKOTTAWA",null,40115]
[{"$nulls":8},"OK","Pawnee","OKPAWNEE",null,40117]
[{"$nulls":8},"OK","Payne","OKPAYNE",null,40119]
[{"$nulls":8},"OK","Pittsburg","OKPITTSBURG",null,40121]
[{"$nulls":8},"OK","Pontotoc","OKPONTOTOC",null,40123]
[{"$nulls":8},"OK","Pottawatomie","OKPOTTAWATOMIE",null,40125]
[{"$nulls":8},"OK","Pushmataha","OKPUSHMATAHA",null,40127]
[{"$nulls":8},"OK","Roger Mills","OKROGER MILLS",null,40129]
[{"$nulls":8},"OK","Rogers","OKROGERS",null,40131]
[{"$nulls":8},"OK","Seminole","OKSEMINOLE",null,40133]
[{"$nulls":8},"OK","Sequoyah","OKSEQUOYAH",null,40135]
[{"$nulls":8},"OK","Stephens","OKSTEPHENS",null,40137]
[{"$nulls":8},"OK","Texas","OKTEXAS",null,40139]
[{"$nulls":8},"OK","Tillman","OKTILLMAN",null,40141]
[{"$nulls":8},"OK","Tulsa","OKTULSA",null,40143]
[{"$nulls":8},"OK","Wagoner","OKWAGONER",null,40145]
[{"$nulls":8},"OK","Washington","OKWASHINGTON",null,40147]
[{"$nulls":8},"OK","Washita","OKWASHITA",null,40149]
[{"$nulls":8},"OK","Woods","OKWOODS",null,40151]
[{"$nulls":8},"OK","Woodward","OKWOODWARD",null,40153]
[{"$nulls":8},"OR","Baker","ORBAKER",null,41001]
[{"$nulls":8},"OR","Benton","ORBENTON",null,41003]
[{"$nulls":8},"OR","Clackamas","ORCLACKAMAS",null,41005]
[{"$nulls":8},"OR","Clatsop","ORCLATSOP",null,41007]
[{"$nulls":8},"OR","Columbia","ORCOLUMBIA",null,41009]
[{"$nulls":8},"OR","Coos","ORCOOS",null,41011]
[{"$nulls":8},"OR","Crook","ORCROOK",null,41013]
[{"$nulls":8},"OR","Curry","ORCURRY",null,41015]
[{"$nulls":8},"OR","Deschutes","ORDESCHUTES",null,41017]
[{"$nulls":8},"OR","Douglas","ORDOUGLAS",null,41019]
[{"$nulls":8},"OR","Gilliam","ORGILLIAM",null,41021]
[{"$nulls":8},"OR","Grant","ORGRANT",null,41023]
[{"$nulls":8},"OR","Harney","ORHARNEY",null,41025]
[{"$nulls":8},"OR","Hood River","ORHOOD RIVER",null,41027]
[{"$nulls":8},"OR","Jackson","ORJACKSON",null,41029]
[{"$nulls":8},"OR","Jefferson","ORJEFFERSON",null,41031]
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[{"$nulls":8},"TX","Jim Wells","TXJIM WELLS",null,48249]
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[{"$nulls":8},"TX","Karnes","TXKARNES",null,48255]
[{"$nulls":8},"TX","Kaufman","TXKAUFMAN",null,48257]
[{"$nulls":8},"TX","Kendall","TXKENDALL",null,48259]
[{"$nulls":8},"TX","Kenedy","TXKENEDY",null,48261]
[{"$nulls":8},"TX","Kent","TXKENT",null,48263]
[{"$nulls":8},"TX","Kerr","TXKERR",null,48265]
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[{"$nulls":8},"TX","Kleberg","TXKLEBERG",null,48273]
[{"$nulls":8},"TX","Knox","TXKNOX",null,48275]
[{"$nulls":8},"TX","La Salle","TXLA SALLE",null,48283]
[{"$nulls":8},"TX","Lamar","TXLAMAR",null,48277]
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[{"$nulls":8},"TX","Lampasas","TXLAMPASAS",null,48281]
[{"$nulls":8},"TX","Lavaca","TXLAVACA",null,48285]
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[{"$nulls":8},"TX","Liberty","TXLIBERTY",null,48291]
[{"$nulls":8},"TX","Limestone","TXLIMESTONE",null,48293]
[{"$nulls":8},"TX","Lipscomb","TXLIPSCOMB",null,48295]
[{"$nulls":8},"TX","Live Oak","TXLIVE OAK",null,48297]
[{"$nulls":8},"TX","Llano","TXLLANO",null,48299]
[{"$nulls":8},"TX","Loving","TXLOVING",null,48301]
[{"$nulls":8},"TX","Lubbock","TXLUBBOCK",null,48303]
[{"$nulls":8},"TX","Lynn","TXLYNN",null,48305]
[{"$nulls":8},"TX","Madison","TXMADISON",null,48313]
[{"$nulls":8},"TX","Marion","TXMARION",null,48315]
[{"$nulls":8},"TX","Martin","TXMARTIN",null,48317]
[{"$nulls":8},"TX","Mason","TXMASON",null,48319]
[{"$nulls":8},"TX","Matagorda","TXMATAGORDA",null,48321]
[{"$nulls":8},"TX","Maverick","TXMAVERICK",null,48323]
[{"$nulls":8},"TX","McCulloch","TXMCCULLOCH",null,48307]
[{"$nulls":8},"TX","McLennan","TXMCLENNAN",null,48309]
[{"$nulls":8},"TX","McMullen","TXMCMULLEN",null,48311]
[{"$nulls":8},"TX","Medina","TXMEDINA",null,48325]
[{"$nulls":8},"TX","Menard","TXMENARD",null,48327]
[{"$nulls":8},"TX","Midland","TXMIDLAND",null,48329]
[{"$nulls":8},"TX","Milam","TXMILAM",null,48331]
[{"$nulls":8},"TX","Mills","TXMILLS",null,48333]
[{"$nulls":8},"TX","Mitchell","TXMITCHELL",null,48335]
[{"$nulls":8},"TX","Montague","TXMONTAGUE",null,48337]
[{"$nulls":8},"TX","Montgomery","TXMONTGOMERY",null,48339]
[{"$nulls":8},"TX","Moore","TXMOORE",null,48341]
[{"$nulls":8},"TX","Morris","TXMORRIS",null,48343]
[{"$nulls":8},"TX","Motley","TXMOTLEY",null,48345]
[{"$nulls":8},"TX","Nacogdoches","TXNACOGDOCHES",null,48347]
[{"$nulls":8},"TX","Navarro","TXNAVARRO",null,48349]
[{"$nulls":8},"TX","Newton","TXNEWTON",null,48351]
[{"$nulls":8},"TX","Nolan","TXNOLAN",null,48353]
[{"$nulls":8},"TX","Nueces","TXNUECES",null,48355]
[{"$nulls":8},"TX","Ochiltree","TXOCHILTREE",null,48357]
[{"$nulls":8},"TX","Oldham","TXOLDHAM",null,48359]
[{"$nulls":8},"TX","Orange","TXORANGE",null,48361]
[{"$nulls":8},"TX","Palo Pinto","TXPALO PINTO",null,48363]
[{"$nulls":8},"TX","Panola","TXPANOLA",null,48365]
[{"$nulls":8},"TX","Parker","TXPARKER",null,48367]
[{"$nulls":8},"TX","Parmer","TXPARMER",null,48369]
[{"$nulls":8},"TX","Pecos","TXPECOS",null,48371]
[{"$nulls":8},"TX","Polk","TXPOLK",null,48373]
[{"$nulls":8},"TX","Potter","TXPOTTER",null,48375]
[{"$nulls":8},"TX","Presidio","TXPRESIDIO",null,48377]
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[{"$nulls":8},"TX","Randall","TXRANDALL",null,48381]
[{"$nulls":8},"TX","Reagan","TXREAGAN",null,48383]
[{"$nulls":8},"TX","Real","TXREAL",null,48385]
[{"$nulls":8},"TX","Red River","TXRED RIVER",null,48387]
[{"$nulls":8},"TX","Reeves","TXREEVES",null,48389]
[{"$nulls":8},"TX","Refugio","TXREFUGIO",null,48391]
[{"$nulls":8},"TX","Roberts","TXROBERTS",null,48393]
[{"$nulls":8},"TX","Robertson","TXROBERTSON",null,48395]
[{"$nulls":8},"TX","Rockwall","TXROCKWALL",null,48397]
[{"$nulls":8},"TX","Runnels","TXRUNNELS",null,48399]
[{"$nulls":8},"TX","Rusk","TXRUSK",null,48401]
[{"$nulls":8},"TX","Sabine","TXSABINE",null,48403]
[{"$nulls":8},"TX","San Augustine","TXSAN AUGUSTINE",null,48405]
[{"$nulls":8},"TX","San Jacinto","TXSAN JACINTO",null,48407]
[{"$nulls":8},"TX","San Patricio","TXSAN PATRICIO",null,48409]
[{"$nulls":8},"TX","San Saba","TXSAN SABA",null,48411]
[{"$nulls":8},"TX","Schleicher","TXSCHLEICHER",null,48413]
[{"$nulls":8},"TX","Scurry","TXSCURRY",null,48415]
[{"$nulls":8},"TX","Shackelford","TXSHACKELFORD",null,48417]
[{"$nulls":8},"TX","Shelby","TXSHELBY",null,48419]
[{"$nulls":8},"TX","Sherman","TXSHERMAN",null,48421]
[{"$nulls":8},"TX","Smith","TXSMITH",null,48423]
[{"$nulls":8},"TX","Somervell","TXSOMERVELL",null,48425]
[{"$nulls":8},"TX","Starr","TXSTARR",null,48427]
[{"$nulls":8},"TX","Stephens","TXSTEPHENS",null,48429]
[{"$nulls":8},"TX","Sterling","TXSTERLING",null,48431]
[{"$nulls":8},"TX","Stonewall","TXSTONEWALL",null,48433]
[{"$nulls":8},"TX","Sutton","TXSUTTON",null,48435]
[{"$nulls":8},"TX","Swisher","TXSWISHER",null,48437]
[{"$nulls":8},"TX","Tarrant","TXTARRANT",null,48439]
[{"$nulls":8},"TX","Taylor","TXTAYLOR",null,48441]
[{"$nulls":8},"TX","Terrell","TXTERRELL",null,48443]
[{"$nulls":8},"TX","Terry","TXTERRY",null,48445]
[{"$nulls":8},"TX","Throckmorton","TXTHROCKMORTON",null,48447]
[{"$nulls":8},"TX","Titus","TXTITUS",null,48449]
[{"$nulls":8},"TX","Tom Green","TXTOM GREEN",null,48451]
[{"$nulls":8},"TX","Travis","TXTRAVIS",null,48453]
[{"$nulls":8},"TX","Trinity","TXTRINITY",null,48455]
[{"$nulls":8},"TX","Tyler","TXTYLER",null,48457]
[{"$nulls":8},"TX","Upshur","TXUPSHUR",null,48459]
[{"$nulls":8},"TX","Upton","TXUPTON",null,48461]
[{"$nulls":8},"TX","Uvalde","TXUVALDE",null,48463]
[{"$nulls":8},"TX","Val Verde","TXVAL VERDE",null,48465]
[{"$nulls":8},"TX","Van Zandt","TXVAN ZANDT",null,48467]
[{"$nulls":8},"TX","Victoria","TXVICTORIA",null,48469]
[{"$nulls":8},"TX","Walker","TXWALKER",null,48471]
[{"$nulls":8},"TX","Waller","TXWALLER",null,48473]
[{"$nulls":8},"TX","Ward","TXWARD",null,48475]
[{"$nulls":8},"TX","Washington","TXWASHINGTON",null,48477]
[{"$nulls":8},"TX","Webb","TXWEBB",null,48479]
[{"$nulls":8},"TX","Wharton","TXWHARTON",null,48481]
[{"$nulls":8},"TX","Wheeler","TXWHEELER",null,48483]
[{"$nulls":8},"TX","Wichita","TXWICHITA",null,48485]
[{"$nulls":8},"TX","Wilbarger","TXWILBARGER",null,48487]
[{"$nulls":8},"TX","Willacy","TXWILLACY",null,48489]
[{"$nulls":8},"TX","Williamson","TXWILLIAMSON",null,48491]
[{"$nulls":8},"TX","Wilson","TXWILSON",null,48493]
[{"$nulls":8},"TX","Winkler","TXWINKLER",null,48495]
[{"$nulls":8},"TX","Wise","TXWISE",null,48497]
[{"$nulls":8},"TX","Wood","TXWOOD",null,48499]
[{"$nulls":8},"TX","Yoakum","TXYOAKUM",null,48501]
[{"$nulls":8},"TX","Young","TXYOUNG",null,48503]
[{"$nulls":8},"TX","Zapata","TXZAPATA",null,48505]
[{"$nulls":8},"TX","Zavala","TXZAVALA",null,48507]
[{"$nulls":8},"UT","Beaver","UTBEAVER",null,49001]
[{"$nulls":8},"UT","Box Elder","UTBOX ELDER",null,49003]
[{"$nulls":8},"UT","Cache","UTCACHE",null,49005]
[{"$nulls":8},"UT","Carbon","UTCARBON",null,49007]
[{"$nulls":8},"UT","Daggett","UTDAGGETT",null,49009]
[{"$nulls":8},"UT","Davis","UTDAVIS",null,49011]
[{"$nulls":8},"UT","Duchesne","UTDUCHESNE",null,49013]
[{"$nulls":8},"UT","Emery","UTEMERY",null,49015]
[{"$nulls":8},"UT","Garfield","UTGARFIELD",null,49017]
[{"$nulls":8},"UT","Grand","UTGRAND",null,49019]
[{"$nulls":8},"UT","Iron","UTIRON",null,49021]
[{"$nulls":8},"UT","Juab","UTJUAB",null,49023]
[{"$nulls":8},"UT","Kane","UTKANE",null,49025]
[{"$nulls":8},"UT","Millard","UTMILLARD",null,49027]
[{"$nulls":8},"UT","Morgan","UTMORGAN",null,49029]
[{"$nulls":8},"UT","Piute","UTPIUTE",null,49031]
[{"$nulls":8},"UT","Rich","UTRICH",null,49033]
[{"$nulls":8},"UT","Salt Lake","UTSALT LAKE",null,49035]
[{"$nulls":8},"UT","San Juan","UTSAN JUAN",null,49037]
[{"$nulls":8},"UT","Sanpete","UTSANPETE",null,49039]
[{"$nulls":8},"UT","Sevier","UTSEVIER",null,49041]
[{"$nulls":8},"UT","Summit","UTSUMMIT",null,49043]
[{"$nulls":8},"UT","Tooele","UTTOOELE",null,49045]
[{"$nulls":8},"UT","Uintah","UTUINTAH",null,49047]
[{"$nulls":8},"UT","Utah","UTUTAH",null,49049]
[{"$nulls":8},"UT","Wasatch","UTWASATCH",null,49051]
[{"$nulls":8},"UT","Washington","UTWASHINGTON",null,49053]
[{"$nulls":8},"UT","Wayne","UTWAYNE",null,49055]
[{"$nulls":8},"UT","Weber","UTWEBER",null,49057]
[{"$nulls":8},"VA","Accomack","VAACCOMACK",null,51001]
[{"$nulls":8},"VA","Albemarle","VAALBEMARLE",null,51003]
[{"$nulls":8},"VA","Alexandria City","VAALEXANDRIA CITY",null,51510]
[{"$nulls":8},"VA","Alleghany","VAALLEGHANY",null,51005]
[{"$nulls":8},"VA","Amelia","VAAMELIA",null,51007]
[{"$nulls":8},"VA","Amherst","VAAMHERST",null,51009]
[{"$nulls":8},"VA","Appomattox","VAAPPOMATTOX",null,51011]
[{"$nulls":8},"VA","Arlington","VAARLINGTON",null,51013]
[{"$nulls":8},"VA","Augusta","VAAUGUSTA",null,51015]
[{"$nulls":8},"VA","Bath","VABATH",null,51017]
[{"$nulls":8},"VA","Bedford","VABEDFORD",null,51019]
[{"$nulls":8},"VA","Bland","VABLAND",null,51021]
[{"$nulls":8},"VA","Botetourt","VABOTETOURT",null,51023]
[{"$nulls":8},"VA","Bristol City","VABRISTOL CITY",null,51520]
[{"$nulls":8},"VA","Brunswick","VABRUNSWICK",null,51025]
[{"$nulls":8},"VA","Buchanan","VABUCHANAN",null,51027]
[{"$nulls":8},"VA","Buckingham","VABUCKINGHAM",null,51029]
[{"$nulls":8},"VA","Buena Vista City","VABUENA VISTA CITY",null,51530]
[{"$nulls":8},"VA","Campbell","VACAMPBELL",null,51031]
[{"$nulls":8},"VA","Caroline","VACAROLINE",null,51033]
[{"$nulls":8},"VA","Carroll","VACARROLL",null,51035]
[{"$nulls":8},"VA","Charles City","VACHARLES CITY",null,51036]
[{"$nulls":8},"VA","Charlotte","VACHARLOTTE",null,51037]
[{"$nulls":8},"VA","Charlottesville City","VACHARLOTTESVILLE CITY",null,51540]
[{"$nulls":8},"VA","Chesapeake City","VACHESAPEAKE CITY",null,51550]
[{"$nulls":8},"VA","Chesterfield","VACHESTERFIELD",null,51041]
[{"$nulls":8},"VA","Clarke","VACLARKE",null,51043]
[{"$nulls":8},"VA","Colonial Heights City","VACOLONIAL HEIGHTS CITY",null,51570]
[{"$nulls":8},"VA","Covington City","VACOVINGTON CITY",null,51580]
[{"$nulls":8},"VA","Craig","VACRAIG",null,51045]
[{"$nulls":8},"VA","Culpeper","VACULPEPER",null,51047]
[{"$nulls":8},"VA","Cumberland","VACUMBERLAND",null,51049]
[{"$nulls":8},"VA","Danville City","VADANVILLE CITY",null,51590]
[{"$nulls":8},"VA","Dickenson","VADICKENSON",null,51051]
[{"$nulls":8},"VA","Dinwiddie","VADINWIDDIE",null,51053]
[{"$nulls":8},"VA","Emporia City","VAEMPORIA CITY",null,51595]
[{"$nulls":8},"VA","Essex","VAESSEX",null,51057]
[{"$nulls":8},"VA","Fairfax","VAFAIRFAX",null,51059]
[{"$nulls":8},"VA","Fairfax City","VAFAIRFAX CITY",null,51600]
[{"$nulls":8},"VA","Falls Church City","VAFALLS CHURCH CITY",null,51610]
[{"$nulls":8},"VA","Fauquier","VAFAUQUIER",null,51061]
[{"$nulls":8},"VA","Floyd","VAFLOYD",null,51063]
[{"$nulls":8},"VA","Fluvanna","VAFLUVANNA",null,51065]
[{"$nulls":8},"VA","Franklin","VAFRANKLIN",null,51067]
[{"$nulls":8},"VA","Franklin City","VAFRANKLIN CITY",null,51620]
[{"$nulls":8},"VA","Frederick","VAFREDERICK",null,51069]
[{"$nulls":8},"VA","Fredericksburg City","VAFREDERICKSBURG CITY",null,51630]
[{"$nulls":8},"VA","Galax City","VAGALAX CITY",null,51640]
[{"$nulls":8},"VA","Giles","VAGILES",null,51071]
[{"$nulls":8},"VA","Gloucester","VAGLOUCESTER",null,51073]
[{"$nulls":8},"VA","Goochland","VAGOOCHLAND",null,51075]
[{"$nulls":8},"VA","Grayson","VAGRAYSON",null,51077]
[{"$nulls":8},"VA","Greene","VAGREENE",null,51079]
[{"$nulls":8},"VA","Greensville","VAGREENSVILLE",null,51081]
[{"$nulls":8},"VA","Halifax","VAHALIFAX",null,51083]
[{"$nulls":8},"VA","Hampton City","VAHAMPTON CITY",null,51650]
[{"$nulls":8},"VA","Hanover","VAHANOVER",null,51085]
[{"$nulls":8},"VA","Harrisonburg City","VAHARRISONBURG CITY",null,51660]
[{"$nulls":8},"VA","Henrico","VAHENRICO",null,51087]
[{"$nulls":8},"VA","Henry","VAHENRY",null,51089]
[{"$nulls":8},"VA","Highland","VAHIGHLAND",null,51091]
[{"$nulls":8},"VA","Hopewell City","VAHOPEWELL CITY",null,51670]
[{"$nulls":8},"VA","Isle of Wight","VAISLE OF WIGHT",null,51093]
[{"$nulls":8},"VA","James City","VAJAMES CITY",null,51095]
[{"$nulls":8},"VA","King and Queen","VAKING AND QUEEN",null,51097]
[{"$nulls":8},"VA","King George","VAKING GEORGE",null,51099]
[{"$nulls":8},"VA","King William","VAKING WILLIAM",null,51101]
[{"$nulls":8},"VA","Lancaster","VALANCASTER",null,51103]
[{"$nulls":8},"VA","Lee","VALEE",null,51105]
[{"$nulls":8},"VA","Lexington City","VALEXINGTON CITY",null,51678]
[{"$nulls":8},"VA","Loudoun","VALOUDOUN",null,51107]
[{"$nulls":8},"VA","Louisa","VALOUISA",null,51109]
[{"$nulls":8},"VA","Lunenburg","VALUNENBURG",null,51111]
[{"$nulls":8},"VA","Lynchburg City","VALYNCHBURG CITY",null,51680]
[{"$nulls":8},"VA","Madison","VAMADISON",null,51113]
[{"$nulls":8},"VA","Manassas City","VAMANASSAS CITY",null,51683]
[{"$nulls":8},"VA","Manassas Park City","VAMANASSAS PARK CITY",null,51685]
[{"$nulls":8},"VA","Martinsville City","VAMARTINSVILLE CITY",null,51690]
[{"$nulls":8},"VA","Mathews","VAMATHEWS",null,51115]
[{"$nulls":8},"VA","Mecklenburg","VAMECKLENBURG",null,51117]
[{"$nulls":8},"VA","Middlesex","VAMIDDLESEX",null,51119]
[{"$nulls":8},"VA","Montgomery","VAMONTGOMERY",null,51121]
[{"$nulls":8},"VA","Nelson","VANELSON",null,51125]
[{"$nulls":8},"VA","New Kent","VANEW KENT",null,51127]
[{"$nulls":8},"VA","Newport News City","VANEWPORT NEWS CITY",null,51700]
[{"$nulls":8},"VA","Norfolk City","VANORFOLK CITY",null,51710]
[{"$nulls":8},"VA","Northampton","VANORTHAMPTON",null,51131]
[{"$nulls":8},"VA","Northumberland","VANORTHUMBERLAND",null,51133]
[{"$nulls":8},"VA","Norton City","VANORTON CITY",null,51720]
[{"$nulls":8},"VA","Nottoway","VANOTTOWAY",null,51135]
[{"$nulls":8},"VA","Orange","VAORANGE",null,51137]
[{"$nulls":8},"VA","Page","VAPAGE",null,51139]
[{"$nulls":8},"VA","Patrick","VAPATRICK",null,51141]
[{"$nulls":8},"VA","Petersburg City","VAPETERSBURG CITY",null,51730]
[{"$nulls":8},"VA","Pittsylvania","VAPITTSYLVANIA",null,51143]
[{"$nulls":8},"VA","Poquoson City","VAPOQUOSON CITY",null,51735]
[{"$nulls":8},"VA","Portsmouth City","VAPORTSMOUTH CITY",null,51740]
[{"$nulls":8},"VA","Powhatan","VAPOWHATAN",null,51145]
[{"$nulls":8},"VA","Prince Edward","VAPRINCE EDWARD",null,51147]
[{"$nulls":8},"VA","Prince George","VAPRINCE GEORGE",null,51149]
[{"$nulls":8},"VA","Prince William","VAPRINCE WILLIAM",null,51153]
[{"$nulls":8},"VA","Pulaski","VAPULASKI",null,51155]
[{"$nulls":8},"VA","Radford","VARADFORD",null,51750]
[{"$nulls":8},"VA","Rappahannock","VARAPPAHANNOCK",null,51157]
[{"$nulls":8},"VA","Richmond","VARICHMOND",null,51159]
[{"$nulls":8},"VA","Richmond City","VARICHMOND CITY",null,51760]
[{"$nulls":8},"VA","Roanoke","VAROANOKE",null,51161]
[{"$nulls":8},"VA","Roanoke City","VAROANOKE CITY",null,51770]
[{"$nulls":8},"VA","Rockbridge","VAROCKBRIDGE",null,51163]
[{"$nulls":8},"VA","Rockingham","VAROCKINGHAM",null,51165]
[{"$nulls":8},"VA","Russell","VARUSSELL",null,51167]
[{"$nulls":8},"VA","Salem","VASALEM",null,51775]
[{"$nulls":8},"VA","Scott","VASCOTT",null,51169]
[{"$nulls":8},"VA","Shenandoah","VASHENANDOAH",null,51171]
[{"$nulls":8},"VA","Smyth","VASMYTH",null,51173]
[{"$nulls":8},"VA","Southampton","VASOUTHAMPTON",null,51175]
[{"$nulls":8},"VA","Spotsylvania","VASPOTSYLVANIA",null,51177]
[{"$nulls":8},"VA","Stafford","VASTAFFORD",null,51179]
[{"$nulls":8},"VA","Staunton City","VASTAUNTON CITY",null,51790]
[{"$nulls":8},"VA","Suffolk City","VASUFFOLK CITY",null,51800]
[{"$nulls":8},"VA","Surry","VASURRY",null,51181]
[{"$nulls":8},"VA","Sussex","VASUSSEX",null,51183]
[{"$nulls":8},"VA","Tazewell","VATAZEWELL",null,51185]
[{"$nulls":8},"VA","Virginia Beach City","VAVIRGINIA BEACH CITY",null,51810]
[{"$nulls":8},"VA","Warren","VAWARREN",null,51187]
[{"$nulls":8},"VA","Washington","VAWASHINGTON",null,51191]
[{"$nulls":8},"VA","Waynesboro City","VAWAYNESBORO CITY",null,51820]
[{"$nulls":8},"VA","Westmoreland","VAWESTMORELAND",null,51193]
[{"$nulls":8},"VA","Williamsburg City","VAWILLIAMSBURG CITY",null,51830]
[{"$nulls":8},"VA","Winchester City","VAWINCHESTER CITY",null,51840]
[{"$nulls":8},"VA","Wise","VAWISE",null,51195]
[{"$nulls":8},"VA","Wythe","VAWYTHE",null,51197]
[{"$nulls":8},"VA","York","VAYORK",null,51199]
[{"$nulls":8},"VT","Addison","VTADDISON",null,50001]
[{"$nulls":8},"VT","Bennington","VTBENNINGTON",null,50003]
[{"$nulls":8},"VT","Caledonia","VTCALEDONIA",null,50005]
[{"$nulls":8},"VT","Chittenden","VTCHITTENDEN",null,50007]
[{"$nulls":8},"VT","Essex","VTESSEX",null,50009]
[{"$nulls":8},"VT","Franklin","VTFRANKLIN",null,50011]
[{"$nulls":8},"VT","Grand Isle","VTGRAND ISLE",null,50013]
[{"$nulls":8},"VT","Lamoille","VTLAMOILLE",null,50015]
[{"$nulls":8},"VT","Orange","VTORANGE",null,50017]
[{"$nulls":8},"VT","Orleans","VTORLEANS",null,50019]
[{"$nulls":8},"VT","Rutland","VTRUTLAND",null,50021]
[{"$nulls":8},"VT","Washington","VTWASHINGTON",null,50023]
[{"$nulls":8},"VT","Windham","VTWINDHAM",null,50025]
[{"$nulls":8},"VT","Windsor","VTWINDSOR",null,50027]
[{"$nulls":8},"WA","Adams","WAADAMS",null,53001]
[{"$nulls":8},"WA","Asotin","WAASOTIN",null,53003]
[{"$nulls":8},"WA","Benton","WABENTON",null,53005]
[{"$nulls":8},"WA","Chelan","WACHELAN",null,53007]
[{"$nulls":8},"WA","Clallam","WACLALLAM",null,53009]
[{"$nulls":8},"WA","Clark","WACLARK",null,53011]
[{"$nulls":8},"WA","Columbia","WACOLUMBIA",null,53013]
[{"$nulls":8},"WA","Cowlitz","WACOWLITZ",null,53015]
[{"$nulls":8},"WA","Douglas","WADOUGLAS",null,53017]
[{"$nulls":8},"WA","Ferry","WAFERRY",null,53019]
[{"$nulls":8},"WA","Franklin","WAFRANKLIN",null,53021]
[{"$nulls":8},"WA","Garfield","WAGARFIELD",null,53023]
[{"$nulls":8},"WA","Grant","WAGRANT",null,53025]
[{"$nulls":8},"WA","Grays Harbor","WAGRAYS HARBOR",null,53027]
[{"$nulls":8},"WA","Island","WAISLAND",null,53029]
[{"$nulls":8},"WA","Jefferson","WAJEFFERSON",null,53031]
[{"$nulls":8},"WA","King","WAKING",null,53033]
[{"$nulls":8},"WA","Kitsap","WAKITSAP",null,53035]
[{"$nulls":8},"WA","Kittitas","WAKITTITAS",null,53037]
[{"$nulls":8},"WA","Klickitat","WAKLICKITAT",null,53039]
[{"$nulls":8},"WA","Lewis","WALEWIS",null,53041]
[{"$nulls":8},"WA","Lincoln","WALINCOLN",null,53043]
[{"$nulls":8},"WA","Mason","WAMASON",null,53045]
[{"$nulls":8},"WA","Okanogan","WAOKANOGAN",null,53047]
[{"$nulls":8},"WA","Pacific","WAPACIFIC",null,53049]
[{"$nulls":8},"WA","Pend Oreille","WAPEND OREILLE",null,53051]
[{"$nulls":8},"WA","Pierce","WAPIERCE",null,53053]
[{"$nulls":8},"WA","San Juan","WASAN JUAN",null,53055]
[{"$nulls":8},"WA","Skagit","WASKAGIT",null,53057]
[{"$nulls":8},"WA","Skamania","WASKAMANIA",null,53059]
[{"$nulls":8},"WA","Snohomish","WASNOHOMISH",null,53061]
[{"$nulls":8},"WA","Spokane","WASPOKANE",null,53063]
[{"$nulls":8},"WA","Stevens","WASTEVENS",null,53065]
[{"$nulls":8},"WA","Thurston","WATHURSTON",null,53067]
[{"$nulls":8},"WA","Wahkiakum","WAWAHKIAKUM",null,53069]
[{"$nulls":8},"WA","Walla Walla","WAWALLA WALLA",null,53071]
[{"$nulls":8},"WA","Whatcom","WAWHATCOM",null,53073]
[{"$nulls":8},"WA","Whitman","WAWHITMAN",null,53075]
[{"$nulls":8},"WA","Yakima","WAYAKIMA",null,53077]
[{"$nulls":8},"WI","Adams","WIADAMS",null,55001]
[{"$nulls":8},"WI","Ashland","WIASHLAND",null,55003]
[{"$nulls":8},"WI","Barron","WIBARRON",null,55005]
[{"$nulls":8},"WI","Bayfield","WIBAYFIELD",null,55007]
[{"$nulls":8},"WI","Brown","WIBROWN",null,55009]
[{"$nulls":8},"WI","Buffalo","WIBUFFALO",null,55011]
[{"$nulls":8},"WI","Burnett","WIBURNETT",null,55013]
[{"$nulls":8},"WI","Calumet","WICALUMET",null,55015]
[{"$nulls":8},"WI","Chippewa","WICHIPPEWA",null,55017]
[{"$nulls":8},"WI","Clark","WICLARK",null,55019]
[{"$nulls":8},"WI","Columbia","WICOLUMBIA",null,55021]
[{"$nulls":8},"WI","Crawford","WICRAWFORD",null,55023]
[{"$nulls":8},"WI","Dane","WIDANE",null,55025]
[{"$nulls":8},"WI","Dodge","WIDODGE",null,55027]
[{"$nulls":8},"WI","Door","WIDOOR",null,55029]
[{"$nulls":8},"WI","Douglas","WIDOUGLAS",null,55031]
[{"$nulls":8},"WI","Dunn","WIDUNN",null,55033]
[{"$nulls":8},"WI","Eau Claire","WIEAU CLAIRE",null,55035]
[{"$nulls":8},"WI","Florence","WIFLORENCE",null,55037]
[{"$nulls":8},"WI","Fond du Lac","WIFOND DU LAC",null,55039]
[{"$nulls":8},"WI","Forest","WIFOREST",null,55041]
[{"$nulls":8},"WI","Grant","WIGRANT",null,55043]
[{"$nulls":8},"WI","Green","WIGREEN",null,55045]
[{"$nulls":8},"WI","Green Lake","WIGREEN LAKE",null,55047]
[{"$nulls":8},"WI","Iowa","WIIOWA",null,55049]
[{"$nulls":8},"WI","Iron","WIIRON",null,55051]
[{"$nulls":8},"WI","Jackson","WIJACKSON",null,55053]
[{"$nulls":8},"WI","Jefferson","WIJEFFERSON",null,55055]
[{"$nulls":8},"WI","Juneau","WIJUNEAU",null,55057]
[{"$nulls":8},"WI","Kenosha","WIKENOSHA",null,55059]
[{"$nulls":8},"WI","Kewaunee","WIKEWAUNEE",null,55061]
[{"$nulls":8},"WI","La Crosse","WILA CROSSE",null,55063]
[{"$nulls":8},"WI","Lafayette","WILAFAYETTE",null,55065]
[{"$nulls":8},"WI","Langlade","WILANGLADE",null,55067]
[{"$nulls":8},"WI","Lincoln","WILINCOLN",null,55069]
[{"$nulls":8},"WI","Manitowoc","WIMANITOWOC",null,55071]
[{"$nulls":8},"WI","Marathon","WIMARATHON",null,55073]
[{"$nulls":8},"WI","Marinette","WIMARINETTE",null,55075]
[{"$nulls":8},"WI","Marquette","WIMARQUETTE",null,55077]
[{"$nulls":8},"WI","Menominee","WIMENOMINEE",null,55078]
[{"$nulls":8},"WI","Milwaukee","WIMILWAUKEE",null,55079]
[{"$nulls":8},"WI","Monroe","WIMONROE",null,55081]
[{"$nulls":8},"WI","Oconto","WIOCONTO",null,55083]
[{"$nulls":8},"WI","Oneida","WIONEIDA",null,55085]
[{"$nulls":8},"WI","Outagamie","WIOUTAGAMIE",null,55087]
[{"$nulls":8},"WI","Ozaukee","WIOZAUKEE",null,55089]
[{"$nulls":8},"WI","Pepin","WIPEPIN",null,55091]
[{"$nulls":8},"WI","Pierce","WIPIERCE",null,55093]
[{"$nulls":8},"WI","Polk","WIPOLK",null,55095]
[{"$nulls":8},"WI","Portage","WIPORTAGE",null,55097]
[{"$nulls":8},"WI","Price","WIPRICE",null,55099]
[{"$nulls":8},"WI","Racine","WIRACINE",null,55101]
[{"$nulls":8},"WI","Richland","WIRICHLAND",null,55103]
[{"$nulls":8},"WI","Rock","WIROCK",null,55105]
[{"$nulls":8},"WI","Rusk","WIRUSK",null,55107]
[{"$nulls":8},"WI","Saint Croix","WISAINT CROIX",null,55109]
[{"$nulls":8},"WI","Sauk","WISAUK",null,55111]
[{"$nulls":8},"WI","Sawyer","WISAWYER",null,55113]
[{"$nulls":8},"WI","Shawano","WISHAWANO",null,55115]
[{"$nulls":8},"WI","Sheboygan","WISHEBOYGAN",null,55117]
[{"$nulls":8},"WI","Taylor","WITAYLOR",null,55119]
[{"$nulls":8},"WI","Trempealeau","WITREMPEALEAU",null,55121]
[{"$nulls":8},"WI","Vernon","WIVERNON",null,55123]
[{"$nulls":8},"WI","Vilas","WIVILAS",null,55125]
[{"$nulls":8},"WI","Walworth","WIWALWORTH",null,55127]
[{"$nulls":8},"WI","Washburn","WIWASHBURN",null,55129]
[{"$nulls":8},"WI","Washington","WIWASHINGTON",null,55131]
[{"$nulls":8},"WI","Waukesha","WIWAUKESHA",null,55133]
[{"$nulls":8},"WI","Waupaca","WIWAUPACA",null,55135]
[{"$nulls":8},"WI","Waushara","WIWAUSHARA",null,55137]
[{"$nulls":8},"WI","Winnebago","WIWINNEBAGO",null,55139]
[{"$nulls":8},"WI","Wood","WIWOOD",null,55141]
[{"$nulls":8},"WV","Barbour","WVBARBOUR",null,54001]
[{"$nulls":8},"WV","Berkeley","WVBERKELEY",null,54003]
[{"$nulls":8},"WV","Boone","WVBOONE",null,54005]
[{"$nulls":8},"WV","Braxton","WVBRAXTON",null,54007]
[{"$nulls":8},"WV","Brooke","WVBROOKE",null,54009]
[{"$nulls":8},"WV","Cabell","WVCABELL",null,54011]
[{"$nulls":8},"WV","Calhoun","WVCALHOUN",null,54013]
[{"$nulls":8},"WV","Clay","WVCLAY",null,54015]
[{"$nulls":8},"WV","Doddridge","WVDODDRIDGE",null,54017]
[{"$nulls":8},"WV","Fayette","WVFAYETTE",null,54019]
[{"$nulls":8},"WV","Gilmer","WVGILMER",null,54021]
[{"$nulls":8},"WV","Grant","WVGRANT",null,54023]
[{"$nulls":8},"WV","Greenbrier","WVGREENBRIER",null,54025]
[{"$nulls":8},"WV","Hampshire","WVHAMPSHIRE",null,54027]
[{"$nulls":8},"WV","Hancock","WVHANCOCK",null,54029]
[{"$nulls":8},"WV","Hardy","WVHARDY",null,54031]
[{"$nulls":8},"WV","Harrison","WVHARRISON",null,54033]
[{"$nulls":8},"WV","Jackson","WVJACKSON",null,54035]
[{"$nulls":8},"WV","Jefferson","WVJEFFERSON",null,54037]
[{"$nulls":8},"WV","Kanawha","WVKANAWHA",null,54039]
[{"$nulls":8},"WV","Lewis","WVLEWIS",null,54041]
[{"$nulls":8},"WV","Lincoln","WVLINCOLN",null,54043]
[{"$nulls":8},"WV","Logan","WVLOGAN",null,54045]
[{"$nulls":8},"WV","Marion","WVMARION",null,54049]
[{"$nulls":8},"WV","Marshall","WVMARSHALL",null,54051]
[{"$nulls":8},"WV","Mason","WVMASON",null,54053]
[{"$nulls":8},"WV","McDowell","WVMCDOWELL",null,54047]
[{"$nulls":8},"WV","Mercer","WVMERCER",null,54055]
[{"$nulls":8},"WV","Mineral","WVMINERAL",null,54057]
[{"$nulls":8},"WV","Mingo","WVMINGO",null,54059]
[{"$nulls":8},"WV","Monongalia","WVMONONGALIA",null,54061]
[{"$nulls":8},"WV","Monroe","WVMONROE",null,54063]
[{"$nulls":8},"WV","Morgan","WVMORGAN",null,54065]
[{"$nulls":8},"WV","Nicholas","WVNICHOLAS",null,54067]
[{"$nulls":8},"WV","Ohio","WVOHIO",null,54069]
[{"$nulls":8},"WV","Pendleton","WVPENDLETON",null,54071]
[{"$nulls":8},"WV","Pleasants","WVPLEASANTS",null,54073]
[{"$nulls":8},"WV","Pocahontas","WVPOCAHONTAS",null,54075]
[{"$nulls":8},"WV","Preston","WVPRESTON",null,54077]
[{"$nulls":8},"WV","Putnam","WVPUTNAM",null,54079]
[{"$nulls":8},"WV","Raleigh","WVRALEIGH",null,54081]
[{"$nulls":8},"WV","Randolph","WVRANDOLPH",null,54083]
[{"$nulls":8},"WV","Ritchie","WVRITCHIE",null,54085]
[{"$nulls":8},"WV","Roane","WVROANE",null,54087]
[{"$nulls":8},"WV","Summers","WVSUMMERS",null,54089]
[{"$nulls":8},"WV","Taylor","WVTAYLOR",null,54091]
[{"$nulls":8},"WV","Tucker","WVTUCKER",null,54093]
[{"$nulls":8},"WV","Tyler","WVTYLER",null,54095]
[{"$nulls":8},"WV","Upshur","WVUPSHUR",null,54097]
[{"$nulls":8},"WV","Wayne","WVWAYNE",null,54099]
[{"$nulls":8},"WV","Webster","WVWEBSTER",null,54101]
[{"$nulls":8},"WV","Wetzel","WVWETZEL",null,54103]
[{"$nulls":8},"WV","Wirt","WVWIRT",null,54105]
[{"$nulls":8},"WV","Wood","WVWOOD",null,54107]
[{"$nulls":8},"WV","Wyoming","WVWYOMING",null,54109]
[{"$nulls":8},"WY","Albany","WYALBANY",null,56001]
[{"$nulls":8},"WY","Big Horn","WYBIG HORN",null,56003]
[{"$nulls":8},"WY","Campbell","WYCAMPBELL",null,56005]
[{"$nulls":8},"WY","Carbon","WYCARBON",null,56007]
[{"$nulls":8},"WY","Converse","WYCONVERSE",null,56009]
[{"$nulls":8},"WY","Crook","WYCROOK",null,56011]
[{"$nulls":8},"WY","Fremont","WYFREMONT",null,56013]
[{"$nulls":8},"WY","Goshen","WYGOSHEN",null,56015]
[{"$nulls":8},"WY","Hot Springs","WYHOT SPRINGS",null,56017]
[{"$nulls":8},"WY","Johnson","WYJOHNSON",null,56019]
[{"$nulls":8},"WY","Laramie","WYLARAMIE",null,56021]
[{"$nulls":8},"WY","Lincoln","WYLINCOLN",null,56023]
[{"$nulls":8},"WY","Natrona","WYNATRONA",null,56025]
[{"$nulls":8},"WY","Niobrara","WYNIOBRARA",null,56027]
[{"$nulls":8},"WY","Park","WYPARK",null,56029]
[{"$nulls":8},"WY","Platte","WYPLATTE",null,56031]
[{"$nulls":8},"WY","Sheridan","WYSHERIDAN",null,56033]
[{"$nulls":8},"WY","Sublette","WYSUBLETTE",null,56035]
[{"$nulls":8},"WY","Sweetwater","WYSWEETWATER",null,56037]
[{"$nulls":8},"WY","Teton","WYTETON",null,56039]
[{"$nulls":8},"WY","Uinta","WYUINTA",null,56041]
[{"$nulls":8},"WY","Washakie","WYWASHAKIE",null,56043]
[{"$nulls":8},"WY","Weston","WYWESTON",null,56045]

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[null,null,"Macros have been disabled for this workbook.  Please enable macros by:"]
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{"sheet":"IP Export","index":9,"n_rows":1,"n_cols":16,"rows_kept":1,"hidden":true}
["National Provider Identifier (NPI)","Provider Name Prefix","First Name of Provider","Middle Initial of Provider","Last Name of Provider","Suffix of Provider","Physician / Non-Physician","Specialty Type  (area of medicine)","Street Address","Street Address 2","City","State","County","Zip","Network IDs","FIPS Code"]

{"sheet":"FP Export","index":10,"n_rows":1,"n_cols":11,"rows_kept":1,"hidden":true}
["National Provider Identifier (NPI)*","Facility Name*","Facility Type*","Street Address*","Street Address 2","City*","State*","County","Zip","Network IDs","FIPS Code"]

{"sheet":"County Names","index":11,"n_rows":3145,"n_cols":5,"rows_kept":3145,"merged":[[1,2,1,4],[2,2,2,4]]}
["The instructions for using County Names used in the ECP/Network Adequacy Template can be found from cell C3.\nState table can be found in cells C5 through C3145.\nCounty Name table can be found in cells D5 through D3145.\nFips Code table can be found in cells E5 through E3145."]
[null,null,"County Names used in the ECP/Network Adequacy Template"]
[null,null,"The list below shows the county names that are used and accepted in the ECP/Network Adequacy template. If you aren't using the drop-down menus, please ensure that your county names match the names below. A different version of a county name will result in a validation error. The county names below are the same as those in the Service Area template. Only include the county name in the county field, do not include the FIPS code."]
[null,null,"State","County Name","FIPS Code"]
[null,null,"AK","Aleutians East","02013"]
[null,null,"AK","Aleutians West","02016"]
[null,null,"AK","Anchorage","02020"]
[null,null,"AK","Bethel","02050"]
[null,null,"AK","Bristol Bay","02060"]
[null,null,"AK","Denali","02068"]
[null,null,"AK","Dillingham","02070"]
[null,null,"AK","Fairbanks North Star","02090"]
[null,null,"AK","Haines","02100"]
[null,null,"AK","Hoonah Angoon","02105"]
[null,null,"AK","Juneau","02110"]
[null,null,"AK","Kenai Peninsula","02122"]
[null,null,"AK","Ketchikan Gateway","02130"]
[null,null,"AK","Kodiak Island","02150"]
[null,null,"AK","Kusilvak","02158"]
[null,null,"AK","Lake And Peninsula","02164"]
[null,null,"AK","Matanuska Susitna","02170"]
[null,null,"AK","Nome","02180"]
[null,null,"AK","North Slope","02185"]
[null,null,"AK","Northwest Arctic","02188"]
[null,null,"AK","Petersburg","02195"]
[null,null,"AK","Prince Of Wales Hyder","02198"]
[null,null,"AK","Sitka","02220"]
[null,null,"AK","Skagway","02230"]
[null,null,"AK","Southeast Fairbanks","02240"]
[null,null,"AK","Valdez Cordova","02261"]
[null,null,"AK","Wrangell","02275"]
[null,null,"AK","Yakutat","02282"]
[null,null,"AK","Yukon Koyukuk","02290"]
[null,null,"AL","Autauga","01001"]
[null,null,"AL","Baldwin","01003"]
[null,null,"AL","Barbour","01005"]
[null,null,"AL","Bibb","01007"]
[null,null,"AL","Blount","01009"]
[null,null,"AL","Bullock","01011"]
[null,null,"AL","Butler","01013"]
[null,null,"AL","Calhoun","01015"]
[null,null,"AL","Chambers","01017"]
[null,null,"AL","Cherokee","01019"]
[null,null,"AL","Chilton","01021"]
[null,null,"AL","Choctaw","01023"]
[null,null,"AL","Clarke","01025"]
[null,null,"AL","Clay","01027"]
[null,null,"AL","Cleburne","01029"]
[null,null,"AL","Coffee","01031"]
[null,null,"AL","Colbert","01033"]
[null,null,"AL","Conecuh","01035"]
[null,null,"AL","Coosa","01037"]
[null,null,"AL","Covington","01039"]
[null,null,"AL","Crenshaw","01041"]
[null,null,"AL","Cullman","01043"]
[null,null,"AL","Dale","01045"]
[null,null,"AL","Dallas","01047"]
[null,null,"AL","De Kalb","01049"]
[null,null,"AL","Elmore","01051"]
[null,null,"AL","Escambia","01053"]
[null,null,"AL","Etowah","01055"]
[null,null,"AL","Fayette","01057"]
[null,null,"AL","Franklin","01059"]
[null,null,"AL","Geneva","01061"]
[null,null,"AL","Greene","01063"]
[null,null,"AL","Hale","01065"]
[null,null,"AL","Henry","01067"]
[null,null,"AL","Houston","01069"]
[null,null,"AL","Jackson","01071"]
[null,null,"AL","Jefferson","01073"]
[null,null,"AL","Lamar","01075"]
[null,null,"AL","Lauderdale","01077"]
[null,null,"AL","Lawrence","01079"]
[null,null,"AL","Lee","01081"]
[null,null,"AL","Limestone","01083"]
[null,null,"AL","Lowndes","01085"]
[null,null,"AL","Macon","01087"]
[null,null,"AL","Madison","01089"]
[null,null,"AL","Marengo","01091"]
[null,null,"AL","Marion","01093"]
[null,null,"AL","Marshall","01095"]
[null,null,"AL","Mobile","01097"]
[null,null,"AL","Monroe","01099"]
[null,null,"AL","Montgomery","01101"]
[null,null,"AL","Morgan","01103"]
[null,null,"AL","Perry","01105"]
[null,null,"AL","Pickens","01107"]
[null,null,"AL","Pike","01109"]
[null,null,"AL","Randolph","01111"]
[null,null,"AL","Russell","01113"]
[null,null,"AL","Saint Clair","01115"]
[null,null,"AL","Shelby","01117"]
[null,null,"AL","Sumter","01119"]
[null,null,"AL","Talladega","01121"]
[null,null,"AL","Tallapoosa","01123"]
[null,null,"AL","Tuscaloosa","01125"]
[null,null,"AL","Walker","01127"]
[null,null,"AL","Washington","01129"]
[null,null,"AL","Wilcox","01131"]
[null,null,"AL","Winston","01133"]
[null,null,"AR","Arkansas","05001"]
[null,null,"AR","Ashley","05003"]
[null,null,"AR","Baxter","05005"]
[null,null,"AR","Benton","05007"]
[null,null,"AR","Boone","05009"]
[null,null,"AR","Bradley","05011"]
[null,null,"AR","Calhoun","05013"]
[null,null,"AR","Carroll","05015"]
[null,null,"AR","Chicot","05017"]
[null,null,"AR","Clark","05019"]
[null,null,"AR","Clay","05021"]
[null,null,"AR","Cleburne","05023"]
[null,null,"AR","Cleveland","05025"]
[null,null,"AR","Columbia","05027"]
[null,null,"AR","Conway","05029"]
[null,null,"AR","Craighead","05031"]
[null,null,"AR","Crawford","05033"]
[null,null,"AR","Crittenden","05035"]
[null,null,"AR","Cross","05037"]
[null,null,"AR","Dallas","05039"]
[null,null,"AR","Desha","05041"]
[null,null,"AR","Drew","05043"]
[null,null,"AR","Faulkner","05045"]
[null,null,"AR","Franklin","05047"]
[null,null,"AR","Fulton","05049"]
[null,null,"AR","Garland","05051"]
[null,null,"AR","Grant","05053"]
[null,null,"AR","Greene","05055"]
[null,null,"AR","Hempstead","05057"]
[null,null,"AR","Hot Spring","05059"]
[null,null,"AR","Howard","05061"]
[null,null,"AR","Independence","05063"]
[null,null,"AR","Izard","05065"]
[null,null,"AR","Jackson","05067"]
[null,null,"AR","Jefferson","05069"]
[null,null,"AR","Johnson","05071"]
[null,null,"AR","Lafayette","05073"]
[null,null,"AR","Lawrence","05075"]
[null,null,"AR","Lee","05077"]
[null,null,"AR","Lincoln","05079"]
[null,null,"AR","Little River","05081"]
[null,null,"AR","Logan","05083"]
[null,null,"AR","Lonoke","05085"]
[null,null,"AR","Madison","05087"]
[null,null,"AR","Marion","05089"]
[null,null,"AR","Miller","05091"]
[null,null,"AR","Mississippi","05093"]
[null,null,"AR","Monroe","05095"]
[null,null,"AR","Montgomery","05097"]
[null,null,"AR","Nevada","05099"]
[null,null,"AR","Newton","05101"]
[null,null,"AR","Ouachita","05103"]
[null,null,"AR","Perry","05105"]
[null,null,"AR","Phillips","05107"]
[null,null,"AR","Pike","05109"]
[null,null,"AR","Poinsett","05111"]
[null,null,"AR","Polk","05113"]
[null,null,"AR","Pope","05115"]
[null,null,"AR","Prairie","05117"]
[null,null,"AR","Pulaski","05119"]
[null,null,"AR","Randolph","05121"]
[null,null,"AR","Saint Francis","05123"]
[null,null,"AR","Saline","05125"]
[null,null,"AR","Scott","05127"]
[null,null,"AR","Searcy","05129"]
[null,null,"AR","Sebastian","05131"]
[null,null,"AR","Sevier","05133"]
[null,null,"AR","Sharp","05135"]
[null,null,"AR","Stone","05137"]
[null,null,"AR","Union","05139"]
[null,null,"AR","Van Buren","05141"]
[null,null,"AR","Washington","05143"]
[null,null,"AR","White","05145"]
[null,null,"AR","Woodruff","05147"]
[null,null,"AR","Yell","05149"]
[null,null,"AZ","Apache","04001"]
[null,null,"AZ","Cochise","04003"]
[null,null,"AZ","Coconino","04005"]
[null,null,"AZ","Gila","04007"]
[null,null,"AZ","Graham","04009"]
[null,null,"AZ","Greenlee","04011"]
[null,null,"AZ","La Paz","04012"]
[null,null,"AZ","Maricopa","04013"]
[null,null,"AZ","Mohave","04015"]
[null,null,"AZ","Navajo","04017"]
[null,null,"AZ","Pima","04019"]
[null,null,"AZ","Pinal","04021"]
[null,null,"AZ","Santa Cruz","04023"]
[null,null,"AZ","Yavapai","04025"]
[null,null,"AZ","Yuma","04027"]
[null,null,"CA","Alameda","06001"]
[null,null,"CA","Alpine","06003"]
[null,null,"CA","Amador","06005"]
[null,null,"CA","Butte","06007"]
[null,null,"CA","Calaveras","06009"]
[null,null,"CA","Colusa","06011"]
[null,null,"CA","Contra Costa","06013"]
[null,null,"CA","Del Norte","06015"]
[null,null,"CA","El Dorado","06017"]
[null,null,"CA","Fresno","06019"]
[null,null,"CA","Glenn","06021"]
[null,null,"CA","Humboldt","06023"]
[null,null,"CA","Imperial","06025"]
[null,null,"CA","Inyo","06027"]
[null,null,"CA","Kern","06029"]
[null,null,"CA","Kings","06031"]
[null,null,"CA","Lake","06033"]
[null,null,"CA","Lassen","06035"]
[null,null,"CA","Los Angeles","06037"]
[null,null,"CA","Madera","06039"]
[null,null,"CA","Marin","06041"]
[null,null,"CA","Mariposa","06043"]
[null,null,"CA","Mendocino","06045"]
[null,null,"CA","Merced","06047"]
[null,null,"CA","Modoc","06049"]
[null,null,"CA","Mono","06051"]
[null,null,"CA","Monterey","06053"]
[null,null,"CA","Napa","06055"]
[null,null,"CA","Nevada","06057"]
[null,null,"CA","Orange","06059"]
[null,null,"CA","Placer","06061"]
[null,null,"CA","Plumas","06063"]
[null,null,"CA","Riverside","06065"]
[null,null,"CA","Sacramento","06067"]
[null,null,"CA","San Benito","06069"]
[null,null,"CA","San Bernardino","06071"]
[null,null,"CA","San Diego","06073"]
[null,null,"CA","San Francisco","06075"]
[null,null,"CA","San Joaquin","06077"]
[null,null,"CA","San Luis Obispo","06079"]
[null,null,"CA","San Mateo","06081"]
[null,null,"CA","Santa Barbara","06083"]
[null,null,"CA","Santa Clara","06085"]
[null,null,"CA","Santa Cruz","06087"]
[null,null,"CA","Shasta","06089"]
[null,null,"CA","Sierra","06091"]
[null,null,"CA","Siskiyou","06093"]
[null,null,"CA","Solano","06095"]
[null,null,"CA","Sonoma","06097"]
[null,null,"CA","Stanislaus","06099"]
[null,null,"CA","Sutter","06101"]
[null,null,"CA","Tehama","06103"]
[null,null,"CA","Trinity","06105"]
[null,null,"CA","Tulare","06107"]
[null,null,"CA","Tuolumne","06109"]
[null,null,"CA","Ventura","06111"]
[null,null,"CA","Yolo","06113"]
[null,null,"CA","Yuba","06115"]
[null,null,"CO","Adams","08001"]
[null,null,"CO","Alamosa","08003"]
[null,null,"CO","Arapahoe","08005"]
[null,null,"CO","Archuleta","08007"]
[null,null,"CO","Baca","08009"]
[null,null,"CO","Bent","08011"]
[null,null,"CO","Boulder","08013"]
[null,null,"CO","Broomfield","08014"]
[null,null,"CO","Chaffee","08015"]
[null,null,"CO","Cheyenne","08017"]
[null,null,"CO","Clear Creek","08019"]
[null,null,"CO","Conejos","08021"]
[null,null,"CO","Costilla","08023"]
[null,null,"CO","Crowley","08025"]
[null,null,"CO","Custer","08027"]
[null,null,"CO","Delta","08029"]
[null,null,"CO","Denver","08031"]
[null,null,"CO","Dolores","08033"]
[null,null,"CO","Douglas","08035"]
[null,null,"CO","Eagle","08037"]
[null,null,"CO","El Paso","08041"]
[null,null,"CO","Elbert","08039"]
[null,null,"CO","Fremont","08043"]
[null,null,"CO","Garfield","08045"]
[null,null,"CO","Gilpin","08047"]
[null,null,"CO","Grand","08049"]
[null,null,"CO","Gunnison","08051"]
[null,null,"CO","Hinsdale","08053"]
[null,null,"CO","Huerfano","08055"]
[null,null,"CO","Jackson","08057"]
[null,null,"CO","Jefferson","08059"]
[null,null,"CO","Kiowa","08061"]
[null,null,"CO","Kit Carson","08063"]
[null,null,"CO","La Plata","08067"]
[null,null,"CO","Lake","08065"]
[null,null,"CO","Larimer","08069"]
[null,null,"CO","Las Animas","08071"]
[null,null,"CO","Lincoln","08073"]
[null,null,"CO","Logan","08075"]
[null,null,"CO","Mesa","08077"]
[null,null,"CO","Mineral","08079"]
[null,null,"CO","Moffat","08081"]
[null,null,"CO","Montezuma","08083"]
[null,null,"CO","Montrose","08085"]
[null,null,"CO","Morgan","08087"]
[null,null,"CO","Otero","08089"]
[null,null,"CO","Ouray","08091"]
[null,null,"CO","Park","08093"]
[null,null,"CO","Phillips","08095"]
[null,null,"CO","Pitkin","08097"]
[null,null,"CO","Prowers","08099"]
[null,null,"CO","Pueblo","08101"]
[null,null,"CO","Rio Blanco","08103"]
[null,null,"CO","Rio Grande","08105"]
[null,null,"CO","Routt","08107"]
[null,null,"CO","Saguache","08109"]
[null,null,"CO","San Juan","08111"]
[null,null,"CO","San Miguel","08113"]
[null,null,"CO","Sedgwick","08115"]
[null,null,"CO","Summit","08117"]
[null,null,"CO","Teller","08119"]
[null,null,"CO","Washington","08121"]
[null,null,"CO","Weld","08123"]
[null,null,"CO","Yuma","08125"]
[null,null,"CT","Fairfield","09001"]
[null,null,"CT","Hartford","09003"]
[null,null,"CT","Litchfield","09005"]
[null,null,"CT","Middlesex","09007"]
[null,null,"CT","New Haven","09009"]
[null,null,"CT","New London","09011"]
[null,null,"CT","Tolland","09013"]
[null,null,"CT","Windham","09015"]
[null,null,"DC","District of Columbia",11001]
[null,null,"DE","Kent",10001]
[null,null,"DE","New Castle",10003]
[null,null,"DE","Sussex",10005]
[null,null,"FL","Alachua",12001]
[null,null,"FL","Baker",12003]
[null,null,"FL","Bay",12005]
[null,null,"FL","Bradford",12007]
[null,null,"FL","Brevard",12009]
[null,null,"FL","Broward",12011]
[null,null,"FL","Calhoun",12013]
[null,null,"FL","Charlotte",12015]
[null,null,"FL","Citrus",12017]
[null,null,"FL","Clay",12019]
[null,null,"FL","Collier",12021]
[null,null,"FL","Columbia",12023]
[null,null,"FL","DeSoto",12027]
[null,null,"FL","Dixie",12029]
[null,null,"FL","Duval",12031]
[null,null,"FL","Escambia",12033]
[null,null,"FL","Flagler",12035]
[null,null,"FL","Franklin",12037]
[null,null,"FL","Gadsden",12039]
[null,null,"FL","Gilchrist",12041]
[null,null,"FL","Glades",12043]
[null,null,"FL","Gulf",12045]
[null,null,"FL","Hamilton",12047]
[null,null,"FL","Hardee",12049]
[null,null,"FL","Hendry",12051]
[null,null,"FL","Hernando",12053]
[null,null,"FL","Highlands",12055]
[null,null,"FL","Hillsborough",12057]
[null,null,"FL","Holmes",12059]
[null,null,"FL","Indian River",12061]
[null,null,"FL","Jackson",12063]
[null,null,"FL","Jefferson",12065]
[null,null,"FL","Lafayette",12067]
[null,null,"FL","Lake",12069]
[null,null,"FL","Lee",12071]
[null,null,"FL","Leon",12073]
[null,null,"FL","Levy",12075]
[null,null,"FL","Liberty",12077]
[null,null,"FL","Madison",12079]
[null,null,"FL","Manatee",12081]
[null,null,"FL","Marion",12083]
[null,null,"FL","Martin",12085]
[null,null,"FL","Miami-Dade",12086]
[null,null,"FL","Monroe",12087]
[null,null,"FL","Nassau",12089]
[null,null,"FL","Okaloosa",12091]
[null,null,"FL","Okeechobee",12093]
[null,null,"FL","Orange",12095]
[null,null,"FL","Osceola",12097]
[null,null,"FL","Palm Beach",12099]
[null,null,"FL","Pasco",12101]
[null,null,"FL","Pinellas",12103]
[null,null,"FL","Polk",12105]
[null,null,"FL","Putnam",12107]
[null,null,"FL","Saint Johns",12109]
[null,null,"FL","Saint Lucie",12111]
[null,null,"FL","Santa Rosa",12113]
[null,null,"FL","Sarasota",12115]
[null,null,"FL","Seminole",12117]
[null,null,"FL","Sumter",12119]
[null,null,"FL","Suwannee",12121]
[null,null,"FL","Taylor",12123]
[null,null,"FL","Union",12125]
[null,null,"FL","Volusia",12127]
[null,null,"FL","Wakulla",12129]
[null,null,"FL","Walton",12131]
[null,null,"FL","Washington",12133]
[null,null,"GA","Appling",13001]
[null,null,"GA","Atkinson",13003]
[null,null,"GA","Bacon",13005]
[null,null,"GA","Baker",13007]
[null,null,"GA","Baldwin",13009]
[null,null,"GA","Banks",13011]
[null,null,"GA","Barrow",13013]
[null,null,"GA","Bartow",13015]
[null,null,"GA","Ben Hill",13017]
[null,null,"GA","Berrien",13019]
[null,null,"GA","Bibb",13021]
[null,null,"GA","Bleckley",13023]
[null,null,"GA","Brantley",13025]
[null,null,"GA","Brooks",13027]
[null,null,"GA","Bryan",13029]
[null,null,"GA","Bulloch",13031]
[null,null,"GA","Burke",13033]
[null,null,"GA","Butts",13035]
[null,null,"GA","Calhoun",13037]
[null,null,"GA","Camden",13039]
[null,null,"GA","Candler",13043]
[null,null,"GA","Carroll",13045]
[null,null,"GA","Catoosa",13047]
[null,null,"GA","Charlton",13049]
[null,null,"GA","Chatham",13051]
[null,null,"GA","Chattahoochee",13053]
[null,null,"GA","Chattooga",13055]
[null,null,"GA","Cherokee",13057]
[null,null,"GA","Clarke",13059]
[null,null,"GA","Clay",13061]
[null,null,"GA","Clayton",13063]
[null,null,"GA","Clinch",13065]
[null,null,"GA","Cobb",13067]
[null,null,"GA","Coffee",13069]
[null,null,"GA","Colquitt",13071]
[null,null,"GA","Columbia",13073]
[null,null,"GA","Cook",13075]
[null,null,"GA","Coweta",13077]
[null,null,"GA","Crawford",13079]
[null,null,"GA","Crisp",13081]
[null,null,"GA","Dade",13083]
[null,null,"GA","Dawson",13085]
[null,null,"GA","Decatur",13087]
[null,null,"GA","DeKalb",13089]
[null,null,"GA","Dodge",13091]
[null,null,"GA","Dooly",13093]
[null,null,"GA","Dougherty",13095]
[null,null,"GA","Douglas",13097]
[null,null,"GA","Early",13099]
[null,null,"GA","Echols",13101]
[null,null,"GA","Effingham",13103]
[null,null,"GA","Elbert",13105]
[null,null,"GA","Emanuel",13107]
[null,null,"GA","Evans",13109]
[null,null,"GA","Fannin",13111]
[null,null,"GA","Fayette",13113]
[null,null,"GA","Floyd",13115]
[null,null,"GA","Forsyth",13117]
[null,null,"GA","Franklin",13119]
[null,null,"GA","Fulton",13121]
[null,null,"GA","Gilmer",13123]
[null,null,"GA","Glascock",13125]
[null,null,"GA","Glynn",13127]
[null,null,"GA","Gordon",13129]
[null,null,"GA","Grady",13131]
[null,null,"GA","Greene",13133]
[null,null,"GA","Gwinnett",13135]
[null,null,"GA","Habersham",13137]
[null,null,"GA","Hall",13139]
[null,null,"GA","Hancock",13141]
[null,null,"GA","Haralson",13143]
[null,null,"GA","Harris",13145]
[null,null,"GA","Hart",13147]
[null,null,"GA","Heard",13149]
[null,null,"GA","Henry",13151]
[null,null,"GA","Houston",13153]
[null,null,"GA","Irwin",13155]
[null,null,"GA","Jackson",13157]
[null,null,"GA","Jasper",13159]
[null,null,"GA","Jeff Davis",13161]
[null,null,"GA","Jefferson",13163]
[null,null,"GA","Jenkins",13165]
[null,null,"GA","Johnson",13167]
[null,null,"GA","Jones",13169]
[null,null,"GA","Lamar",13171]
[null,null,"GA","Lanier",13173]
[null,null,"GA","Laurens",13175]
[null,null,"GA","Lee",13177]
[null,null,"GA","Liberty",13179]
[null,null,"GA","Lincoln",13181]
[null,null,"GA","Long",13183]
[null,null,"GA","Lowndes",13185]
[null,null,"GA","Lumpkin",13187]
[null,null,"GA","Macon",13193]
[null,null,"GA","Madison",13195]
[null,null,"GA","Marion",13197]
[null,null,"GA","McDuffie",13189]
[null,null,"GA","McIntosh",13191]
[null,null,"GA","Meriwether",13199]
[null,null,"GA","Miller",13201]
[null,null,"GA","Mitchell",13205]
[null,null,"GA","Monroe",13207]
[null,null,"GA","Montgomery",13209]
[null,null,"GA","Morgan",13211]
[null,null,"GA","Murray",13213]
[null,null,"GA","Muscogee",13215]
[null,null,"GA","Newton",13217]
[null,null,"GA","Oconee",13219]
[null,null,"GA","Oglethorpe",13221]
[null,null,"GA","Paulding",13223]
[null,null,"GA","Peach",13225]
[null,null,"GA","Pickens",13227]
[null,null,"GA","Pierce",13229]
[null,null,"GA","Pike",13231]
[null,null,"GA","Polk",13233]
[null,null,"GA","Pulaski",13235]
[null,null,"GA","Putnam",13237]
[null,null,"GA","Quitman",13239]
[null,null,"GA","Rabun",13241]
[null,null,"GA","Randolph",13243]
[null,null,"GA","Richmond",13245]
[null,null,"GA","Rockdale",13247]
[null,null,"GA","Schley",13249]
[null,null,"GA","Screven",13251]
[null,null,"GA","Seminole",13253]
[null,null,"GA","Spalding",13255]
[null,null,"GA","Stephens",13257]
[null,null,"GA","Stewart",13259]
[null,null,"GA","Sumter",13261]
[null,null,"GA","Talbot",13263]
[null,null,"GA","Taliaferro",13265]
[null,null,"GA","Tattnall",13267]
[null,null,"GA","Taylor",13269]
[null,null,"GA","Telfair",13271]
[null,null,"GA","Terrell",13273]
[null,null,"GA","Thomas",13275]
[null,null,"GA","Tift",13277]
[null,null,"GA","Toombs",13279]
[null,null,"GA","Towns",13281]
[null,null,"GA","Treutlen",13283]
[null,null,"GA","Troup",13285]
[null,null,"GA","Turner",13287]
[null,null,"GA","Twiggs",13289]
[null,null,"GA","Union",13291]
[null,null,"GA","Upson",13293]
[null,null,"GA","Walker",13295]
[null,null,"GA","Walton",13297]
[null,null,"GA","Ware",13299]
[null,null,"GA","Warren",13301]
[null,null,"GA","Washington",13303]
[null,null,"GA","Wayne",13305]
[null,null,"GA","Webster",13307]
[null,null,"GA","Wheeler",13309]
[null,null,"GA","White",13311]
[null,null,"GA","Whitfield",13313]
[null,null,"GA","Wilcox",13315]
[null,null,"GA","Wilkes",13317]
[null,null,"GA","Wilkinson",13319]
[null,null,"GA","Worth",13321]
[null,null,"HI","Hawaii",15001]
[null,null,"HI","Honolulu",15003]
[null,null,"HI","Kauai",15007]
[null,null,"HI","Maui",15009]
[null,null,"IA","Adair",19001]
[null,null,"IA","Adams",19003]
[null,null,"IA","Allamakee",19005]
[null,null,"IA","Appanoose",19007]
[null,null,"IA","Audubon",19009]
[null,null,"IA","Benton",19011]
[null,null,"IA","Black Hawk",19013]
[null,null,"IA","Boone",19015]
[null,null,"IA","Bremer",19017]
[null,null,"IA","Buchanan",19019]
[null,null,"IA","Buena Vista",19021]
[null,null,"IA","Butler",19023]
[null,null,"IA","Calhoun",19025]
[null,null,"IA","Carroll",19027]
[null,null,"IA","Cass",19029]
[null,null,"IA","Cedar",19031]
[null,null,"IA","Cerro Gordo",19033]
[null,null,"IA","Cherokee",19035]
[null,null,"IA","Chickasaw",19037]
[null,null,"IA","Clarke",19039]
[null,null,"IA","Clay",19041]
[null,null,"IA","Clayton",19043]
[null,null,"IA","Clinton",19045]
[null,null,"IA","Crawford",19047]
[null,null,"IA","Dallas",19049]
[null,null,"IA","Davis",19051]
[null,null,"IA","Decatur",19053]
[null,null,"IA","Delaware",19055]
[null,null,"IA","Des Moines",19057]
[null,null,"IA","Dickinson",19059]
[null,null,"IA","Dubuque",19061]
[null,null,"IA","Emmet",19063]
[null,null,"IA","Fayette",19065]
[null,null,"IA","Floyd",19067]
[null,null,"IA","Franklin",19069]
[null,null,"IA","Fremont",19071]
[null,null,"IA","Greene",19073]
[null,null,"IA","Grundy",19075]
[null,null,"IA","Guthrie",19077]
[null,null,"IA","Hamilton",19079]
[null,null,"IA","Hancock",19081]
[null,null,"IA","Hardin",19083]
[null,null,"IA","Harrison",19085]
[null,null,"IA","Henry",19087]
[null,null,"IA","Howard",19089]
[null,null,"IA","Humboldt",19091]
[null,null,"IA","Ida",19093]
[null,null,"IA","Iowa",19095]
[null,null,"IA","Jackson",19097]
[null,null,"IA","Jasper",19099]
[null,null,"IA","Jefferson",19101]
[null,null,"IA","Johnson",19103]
[null,null,"IA","Jones",19105]
[null,null,"IA","Keokuk",19107]
[null,null,"IA","Kossuth",19109]
[null,null,"IA","Lee",19111]
[null,null,"IA","Linn",19113]
[null,null,"IA","Louisa",19115]
[null,null,"IA","Lucas",19117]
[null,null,"IA","Lyon",19119]
[null,null,"IA","Madison",19121]
[null,null,"IA","Mahaska",19123]
[null,null,"IA","Marion",19125]
[null,null,"IA","Marshall",19127]
[null,null,"IA","Mills",19129]
[null,null,"IA","Mitchell",19131]
[null,null,"IA","Monona",19133]
[null,null,"IA","Monroe",19135]
[null,null,"IA","Montgomery",19137]
[null,null,"IA","Muscatine",19139]
[null,null,"IA","Obrien",19141]
[null,null,"IA","Osceola",19143]
[null,null,"IA","Page",19145]
[null,null,"IA","Palo Alto",19147]
[null,null,"IA","Plymouth",19149]
[null,null,"IA","Pocahontas",19151]
[null,null,"IA","Polk",19153]
[null,null,"IA","Pottawattamie",19155]
[null,null,"IA","Poweshiek",19157]
[null,null,"IA","Ringgold",19159]
[null,null,"IA","Sac",19161]
[null,null,"IA","Scott",19163]
[null,null,"IA","Shelby",19165]
[null,null,"IA","Sioux",19167]
[null,null,"IA","Story",19169]
[null,null,"IA","Tama",19171]
[null,null,"IA","Taylor",19173]
[null,null,"IA","Union",19175]
[null,null,"IA","Van Buren",19177]
[null,null,"IA","Wapello",19179]
[null,null,"IA","Warren",19181]
[null,null,"IA","Washington",19183]
[null,null,"IA","Wayne",19185]
[null,null,"IA","Webster",19187]
[null,null,"IA","Winnebago",19189]
[null,null,"IA","Winneshiek",19191]
[null,null,"IA","Woodbury",19193]
[null,null,"IA","Worth",19195]
[null,null,"IA","Wright",19197]
[null,null,"ID","Ada",16001]
[null,null,"ID","Adams",16003]
[null,null,"ID","Bannock",16005]
[null,null,"ID","Bear Lake",16007]
[null,null,"ID","Benewah",16009]
[null,null,"ID","Bingham",16011]
[null,null,"ID","Blaine",16013]
[null,null,"ID","Boise",16015]
[null,null,"ID","Bonner",16017]
[null,null,"ID","Bonneville",16019]
[null,null,"ID","Boundary",16021]
[null,null,"ID","Butte",16023]
[null,null,"ID","Camas",16025]
[null,null,"ID","Canyon",16027]
[null,null,"ID","Caribou",16029]
[null,null,"ID","Cassia",16031]
[null,null,"ID","Clark",16033]
[null,null,"ID","Clearwater",16035]
[null,null,"ID","Custer",16037]
[null,null,"ID","Elmore",16039]
[null,null,"ID","Franklin",16041]
[null,null,"ID","Fremont",16043]
[null,null,"ID","Gem",16045]
[null,null,"ID","Gooding",16047]
[null,null,"ID","Idaho",16049]
[null,null,"ID","Jefferson",16051]
[null,null,"ID","Jerome",16053]
[null,null,"ID","Kootenai",16055]
[null,null,"ID","Latah",16057]
[null,null,"ID","Lemhi",16059]
[null,null,"ID","Lewis",16061]
[null,null,"ID","Lincoln",16063]
[null,null,"ID","Madison",16065]
[null,null,"ID","Minidoka",16067]
[null,null,"ID","Nez Perce",16069]
[null,null,"ID","Oneida",16071]
[null,null,"ID","Owyhee",16073]
[null,null,"ID","Payette",16075]
[null,null,"ID","Power",16077]
[null,null,"ID","Shoshone",16079]
[null,null,"ID","Teton",16081]
[null,null,"ID","Twin Falls",16083]
[null,null,"ID","Valley",16085]
[null,null,"ID","Washington",16087]
[null,null,"IL","Adams",17001]
[null,null,"IL","Alexander",17003]
[null,null,"IL","Bond",17005]
[null,null,"IL","Boone",17007]
[null,null,"IL","Brown",17009]
[null,null,"IL","Bureau",17011]
[null,null,"IL","Calhoun",17013]
[null,null,"IL","Carroll",17015]
[null,null,"IL","Cass",17017]
[null,null,"IL","Champaign",17019]
[null,null,"IL","Christian",17021]
[null,null,"IL","Clark",17023]
[null,null,"IL","Clay",17025]
[null,null,"IL","Clinton",17027]
[null,null,"IL","Coles",17029]
[null,null,"IL","Cook",17031]
[null,null,"IL","Crawford",17033]
[null,null,"IL","Cumberland",17035]
[null,null,"IL","DeKalb",17037]
[null,null,"IL","Dewitt",17039]
[null,null,"IL","Douglas",17041]
[null,null,"IL","Dupage",17043]
[null,null,"IL","Edgar",17045]
[null,null,"IL","Edwards",17047]
[null,null,"IL","Effingham",17049]
[null,null,"IL","Fayette",17051]
[null,null,"IL","Ford",17053]
[null,null,"IL","Franklin",17055]
[null,null,"IL","Fulton",17057]
[null,null,"IL","Gallatin",17059]
[null,null,"IL","Greene",17061]
[null,null,"IL","Grundy",17063]
[null,null,"IL","Hamilton",17065]
[null,null,"IL","Hancock",17067]
[null,null,"IL","Hardin",17069]
[null,null,"IL","Henderson",17071]
[null,null,"IL","Henry",17073]
[null,null,"IL","Iroquois",17075]
[null,null,"IL","Jackson",17077]
[null,null,"IL","Jasper",17079]
[null,null,"IL","Jefferson",17081]
[null,null,"IL","Jersey",17083]
[null,null,"IL","Jo Daviess",17085]
[null,null,"IL","Johnson",17087]
[null,null,"IL","Kane",17089]
[null,null,"IL","Kankakee",17091]
[null,null,"IL","Kendall",17093]
[null,null,"IL","Knox",17095]
[null,null,"IL","La Salle",17099]
[null,null,"IL","Lake",17097]
[null,null,"IL","Lawrence",17101]
[null,null,"IL","Lee",17103]
[null,null,"IL","Livingston",17105]
[null,null,"IL","Logan",17107]
[null,null,"IL","Macon",17115]
[null,null,"IL","Macoupin",17117]
[null,null,"IL","Madison",17119]
[null,null,"IL","Marion",17121]
[null,null,"IL","Marshall",17123]
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[null,null,"IL","Massac",17127]
[null,null,"IL","McDonough",17109]
[null,null,"IL","McHenry",17111]
[null,null,"IL","McLean",17113]
[null,null,"IL","Menard",17129]
[null,null,"IL","Mercer",17131]
[null,null,"IL","Monroe",17133]
[null,null,"IL","Montgomery",17135]
[null,null,"IL","Morgan",17137]
[null,null,"IL","Moultrie",17139]
[null,null,"IL","Ogle",17141]
[null,null,"IL","Peoria",17143]
[null,null,"IL","Perry",17145]
[null,null,"IL","Piatt",17147]
[null,null,"IL","Pike",17149]
[null,null,"IL","Pope",17151]
[null,null,"IL","Pulaski",17153]
[null,null,"IL","Putnam",17155]
[null,null,"IL","Randolph",17157]
[null,null,"IL","Richland",17159]
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[null,null,"IL","Saint Clair",17163]
[null,null,"IL","Saline",17165]
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[null,null,"IL","Schuyler",17169]
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[null,null,"IL","Shelby",17173]
[null,null,"IL","Stark",17175]
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[null,null,"IL","Tazewell",17179]
[null,null,"IL","Union",17181]
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[null,null,"IL","Warren",17187]
[null,null,"IL","Washington",17189]
[null,null,"IL","Wayne",17191]
[null,null,"IL","White",17193]
[null,null,"IL","Whiteside",17195]
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[null,null,"IL","Williamson",17199]
[null,null,"IL","Winnebago",17201]
[null,null,"IL","Woodford",17203]
[null,null,"IN","Adams",18001]
[null,null,"IN","Allen",18003]
[null,null,"IN","Bartholomew",18005]
[null,null,"IN","Benton",18007]
[null,null,"IN","Blackford",18009]
[null,null,"IN","Boone",18011]
[null,null,"IN","Brown",18013]
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[null,null,"IN","Cass",18017]
[null,null,"IN","Clark",18019]
[null,null,"IN","Clay",18021]
[null,null,"IN","Clinton",18023]
[null,null,"IN","Crawford",18025]
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[null,null,"IN","Dearborn",18029]
[null,null,"IN","Decatur",18031]
[null,null,"IN","De Kalb",18033]
[null,null,"IN","Delaware",18035]
[null,null,"IN","Dubois",18037]
[null,null,"IN","Elkhart",18039]
[null,null,"IN","Fayette",18041]
[null,null,"IN","Floyd",18043]
[null,null,"IN","Fountain",18045]
[null,null,"IN","Franklin",18047]
[null,null,"IN","Fulton",18049]
[null,null,"IN","Gibson",18051]
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[null,null,"IN","Hamilton",18057]
[null,null,"IN","Hancock",18059]
[null,null,"IN","Harrison",18061]
[null,null,"IN","Hendricks",18063]
[null,null,"IN","Henry",18065]
[null,null,"IN","Howard",18067]
[null,null,"IN","Huntington",18069]
[null,null,"IN","Jackson",18071]
[null,null,"IN","Jasper",18073]
[null,null,"IN","Jay",18075]
[null,null,"IN","Jefferson",18077]
[null,null,"IN","Jennings",18079]
[null,null,"IN","Johnson",18081]
[null,null,"IN","Knox",18083]
[null,null,"IN","Kosciusko",18085]
[null,null,"IN","La Porte",18091]
[null,null,"IN","LaGrange",18087]
[null,null,"IN","Lake",18089]
[null,null,"IN","Lawrence",18093]
[null,null,"IN","Madison",18095]
[null,null,"IN","Marion",18097]
[null,null,"IN","Marshall",18099]
[null,null,"IN","Martin",18101]
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[null,null,"IN","Monroe",18105]
[null,null,"IN","Montgomery",18107]
[null,null,"IN","Morgan",18109]
[null,null,"IN","Newton",18111]
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[null,null,"IN","Parke",18121]
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[null,null,"IN","Pulaski",18131]
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[null,null,"IN","St Joseph",18141]
[null,null,"IN","Starke",18149]
[null,null,"IN","Steuben",18151]
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[null,null,"IN","Switzerland",18155]
[null,null,"IN","Tippecanoe",18157]
[null,null,"IN","Tipton",18159]
[null,null,"IN","Union",18161]
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[null,null,"IN","Vermillion",18165]
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[null,null,"IN","Wabash",18169]
[null,null,"IN","Warren",18171]
[null,null,"IN","Warrick",18173]
[null,null,"IN","Washington",18175]
[null,null,"IN","Wayne",18177]
[null,null,"IN","Wells",18179]
[null,null,"IN","White",18181]
[null,null,"IN","Whitley",18183]
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[null,null,"KS","Anderson",20003]
[null,null,"KS","Atchison",20005]
[null,null,"KS","Barber",20007]
[null,null,"KS","Barton",20009]
[null,null,"KS","Bourbon",20011]
[null,null,"KS","Brown",20013]
[null,null,"KS","Butler",20015]
[null,null,"KS","Chase",20017]
[null,null,"KS","Chautauqua",20019]
[null,null,"KS","Cherokee",20021]
[null,null,"KS","Cheyenne",20023]
[null,null,"KS","Clark",20025]
[null,null,"KS","Clay",20027]
[null,null,"KS","Cloud",20029]
[null,null,"KS","Coffey",20031]
[null,null,"KS","Comanche",20033]
[null,null,"KS","Cowley",20035]
[null,null,"KS","Crawford",20037]
[null,null,"KS","Decatur",20039]
[null,null,"KS","Dickinson",20041]
[null,null,"KS","Doniphan",20043]
[null,null,"KS","Douglas",20045]
[null,null,"KS","Edwards",20047]
[null,null,"KS","Elk",20049]
[null,null,"KS","Ellis",20051]
[null,null,"KS","Ellsworth",20053]
[null,null,"KS","Finney",20055]
[null,null,"KS","Ford",20057]
[null,null,"KS","Franklin",20059]
[null,null,"KS","Geary",20061]
[null,null,"KS","Gove",20063]
[null,null,"KS","Graham",20065]
[null,null,"KS","Grant",20067]
[null,null,"KS","Gray",20069]
[null,null,"KS","Greeley",20071]
[null,null,"KS","Greenwood",20073]
[null,null,"KS","Hamilton",20075]
[null,null,"KS","Harper",20077]
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[null,null,"KS","Haskell",20081]
[null,null,"KS","Hodgeman",20083]
[null,null,"KS","Jackson",20085]
[null,null,"KS","Jefferson",20087]
[null,null,"KS","Jewell",20089]
[null,null,"KS","Johnson",20091]
[null,null,"KS","Kearny",20093]
[null,null,"KS","Kingman",20095]
[null,null,"KS","Kiowa",20097]
[null,null,"KS","Labette",20099]
[null,null,"KS","Lane",20101]
[null,null,"KS","Leavenworth",20103]
[null,null,"KS","Lincoln",20105]
[null,null,"KS","Linn",20107]
[null,null,"KS","Logan",20109]
[null,null,"KS","Lyon",20111]
[null,null,"KS","Marion",20115]
[null,null,"KS","Marshall",20117]
[null,null,"KS","McPherson",20113]
[null,null,"KS","Meade",20119]
[null,null,"KS","Miami",20121]
[null,null,"KS","Mitchell",20123]
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[null,null,"KS","Morris",20127]
[null,null,"KS","Morton",20129]
[null,null,"KS","Nemaha",20131]
[null,null,"KS","Neosho",20133]
[null,null,"KS","Ness",20135]
[null,null,"KS","Norton",20137]
[null,null,"KS","Osage",20139]
[null,null,"KS","Osborne",20141]
[null,null,"KS","Ottawa",20143]
[null,null,"KS","Pawnee",20145]
[null,null,"KS","Phillips",20147]
[null,null,"KS","Pottawatomie",20149]
[null,null,"KS","Pratt",20151]
[null,null,"KS","Rawlins",20153]
[null,null,"KS","Reno",20155]
[null,null,"KS","Republic",20157]
[null,null,"KS","Rice",20159]
[null,null,"KS","Riley",20161]
[null,null,"KS","Rooks",20163]
[null,null,"KS","Rush",20165]
[null,null,"KS","Russell",20167]
[null,null,"KS","Saline",20169]
[null,null,"KS","Scott",20171]
[null,null,"KS","Sedgwick",20173]
[null,null,"KS","Seward",20175]
[null,null,"KS","Shawnee",20177]
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[null,null,"KS","Smith",20183]
[null,null,"KS","Stafford",20185]
[null,null,"KS","Stanton",20187]
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[null,null,"KS","Trego",20195]
[null,null,"KS","Wabaunsee",20197]
[null,null,"KS","Wallace",20199]
[null,null,"KS","Washington",20201]
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[null,null,"KS","Wilson",20205]
[null,null,"KS","Woodson",20207]
[null,null,"KS","Wyandotte",20209]
[null,null,"KY","Adair",21001]
[null,null,"KY","Allen",21003]
[null,null,"KY","Anderson",21005]
[null,null,"KY","Ballard",21007]
[null,null,"KY","Barren",21009]
[null,null,"KY","Bath",21011]
[null,null,"KY","Bell",21013]
[null,null,"KY","Boone",21015]
[null,null,"KY","Bourbon",21017]
[null,null,"KY","Boyd",21019]
[null,null,"KY","Boyle",21021]
[null,null,"KY","Bracken",21023]
[null,null,"KY","Breathitt",21025]
[null,null,"KY","Breckinridge",21027]
[null,null,"KY","Bullitt",21029]
[null,null,"KY","Butler",21031]
[null,null,"KY","Caldwell",21033]
[null,null,"KY","Calloway",21035]
[null,null,"KY","Campbell",21037]
[null,null,"KY","Carlisle",21039]
[null,null,"KY","Carroll",21041]
[null,null,"KY","Carter",21043]
[null,null,"KY","Casey",21045]
[null,null,"KY","Christian",21047]
[null,null,"KY","Clark",21049]
[null,null,"KY","Clay",21051]
[null,null,"KY","Clinton",21053]
[null,null,"KY","Crittenden",21055]
[null,null,"KY","Cumberland",21057]
[null,null,"KY","Daviess",21059]
[null,null,"KY","Edmonson",21061]
[null,null,"KY","Elliott",21063]
[null,null,"KY","Estill",21065]
[null,null,"KY","Fayette",21067]
[null,null,"KY","Fleming",21069]
[null,null,"KY","Floyd",21071]
[null,null,"KY","Franklin",21073]
[null,null,"KY","Fulton",21075]
[null,null,"KY","Gallatin",21077]
[null,null,"KY","Garrard",21079]
[null,null,"KY","Grant",21081]
[null,null,"KY","Graves",21083]
[null,null,"KY","Grayson",21085]
[null,null,"KY","Green",21087]
[null,null,"KY","Greenup",21089]
[null,null,"KY","Hancock",21091]
[null,null,"KY","Hardin",21093]
[null,null,"KY","Harlan",21095]
[null,null,"KY","Harrison",21097]
[null,null,"KY","Hart",21099]
[null,null,"KY","Henderson",21101]
[null,null,"KY","Henry",21103]
[null,null,"KY","Hickman",21105]
[null,null,"KY","Hopkins",21107]
[null,null,"KY","Jackson",21109]
[null,null,"KY","Jefferson",21111]
[null,null,"KY","Jessamine",21113]
[null,null,"KY","Johnson",21115]
[null,null,"KY","Kenton",21117]
[null,null,"KY","Knott",21119]
[null,null,"KY","Knox",21121]
[null,null,"KY","Larue",21123]
[null,null,"KY","Laurel",21125]
[null,null,"KY","Lawrence",21127]
[null,null,"KY","Lee",21129]
[null,null,"KY","Leslie",21131]
[null,null,"KY","Letcher",21133]
[null,null,"KY","Lewis",21135]
[null,null,"KY","Lincoln",21137]
[null,null,"KY","Livingston",21139]
[null,null,"KY","Logan",21141]
[null,null,"KY","Lyon",21143]
[null,null,"KY","Madison",21151]
[null,null,"KY","Magoffin",21153]
[null,null,"KY","Marion",21155]
[null,null,"KY","Marshall",21157]
[null,null,"KY","Martin",21159]
[null,null,"KY","Mason",21161]
[null,null,"KY","McCracken",21145]
[null,null,"KY","McCreary",21147]
[null,null,"KY","McLean",21149]
[null,null,"KY","Meade",21163]
[null,null,"KY","Menifee",21165]
[null,null,"KY","Mercer",21167]
[null,null,"KY","Metcalfe",21169]
[null,null,"KY","Monroe",21171]
[null,null,"KY","Montgomery",21173]
[null,null,"KY","Morgan",21175]
[null,null,"KY","Muhlenberg",21177]
[null,null,"KY","Nelson",21179]
[null,null,"KY","Nicholas",21181]
[null,null,"KY","Ohio",21183]
[null,null,"KY","Oldham",21185]
[null,null,"KY","Owen",21187]
[null,null,"KY","Owsley",21189]
[null,null,"KY","Pendleton",21191]
[null,null,"KY","Perry",21193]
[null,null,"KY","Pike",21195]
[null,null,"KY","Powell",21197]
[null,null,"KY","Pulaski",21199]
[null,null,"KY","Robertson",21201]
[null,null,"KY","Rockcastle",21203]
[null,null,"KY","Rowan",21205]
[null,null,"KY","Russell",21207]
[null,null,"KY","Scott",21209]
[null,null,"KY","Shelby",21211]
[null,null,"KY","Simpson",21213]
[null,null,"KY","Spencer",21215]
[null,null,"KY","Taylor",21217]
[null,null,"KY","Todd",21219]
[null,null,"KY","Trigg",21221]
[null,null,"KY","Trimble",21223]
[null,null,"KY","Union",21225]
[null,null,"KY","Warren",21227]
[null,null,"KY","Washington",21229]
[null,null,"KY","Wayne",21231]
[null,null,"KY","Webster",21233]
[null,null,"KY","Whitley",21235]
[null,null,"KY","Wolfe",21237]
[null,null,"KY","Woodford",21239]
[null,null,"LA","Acadia",22001]
[null,null,"LA","Allen",22003]
[null,null,"LA","Ascension",22005]
[null,null,"LA","Assumption",22007]
[null,null,"LA","Avoyelles",22009]
[null,null,"LA","Beauregard",22011]
[null,null,"LA","Bienville",22013]
[null,null,"LA","Bossier",22015]
[null,null,"LA","Caddo",22017]
[null,null,"LA","Calcasieu",22019]
[null,null,"LA","Caldwell",22021]
[null,null,"LA","Cameron",22023]
[null,null,"LA","Catahoula",22025]
[null,null,"LA","Claiborne",22027]
[null,null,"LA","Concordia",22029]
[null,null,"LA","De Soto",22031]
[null,null,"LA","East Baton Rouge",22033]
[null,null,"LA","East Carroll",22035]
[null,null,"LA","East Feliciana",22037]
[null,null,"LA","Evangeline",22039]
[null,null,"LA","Franklin",22041]
[null,null,"LA","Grant",22043]
[null,null,"LA","Iberia",22045]
[null,null,"LA","Iberville",22047]
[null,null,"LA","Jackson",22049]
[null,null,"LA","Jefferson",22051]
[null,null,"LA","Jefferson Davis",22053]
[null,null,"LA","La Salle",22059]
[null,null,"LA","Lafayette",22055]
[null,null,"LA","Lafourche",22057]
[null,null,"LA","Lincoln",22061]
[null,null,"LA","Livingston",22063]
[null,null,"LA","Madison",22065]
[null,null,"LA","Morehouse",22067]
[null,null,"LA","Natchitoches",22069]
[null,null,"LA","Orleans",22071]
[null,null,"LA","Ouachita",22073]
[null,null,"LA","Plaquemines",22075]
[null,null,"LA","Pointe Coupee",22077]
[null,null,"LA","Rapides",22079]
[null,null,"LA","Red River",22081]
[null,null,"LA","Richland",22083]
[null,null,"LA","Sabine",22085]
[null,null,"LA","Saint Bernard",22087]
[null,null,"LA","Saint Charles",22089]
[null,null,"LA","Saint Helena",22091]
[null,null,"LA","Saint James",22093]
[null,null,"LA","Saint Landry",22097]
[null,null,"LA","Saint Martin",22099]
[null,null,"LA","Saint Mary",22101]
[null,null,"LA","Saint Tammany",22103]
[null,null,"LA","St John The Baptist",22095]
[null,null,"LA","Tangipahoa",22105]
[null,null,"LA","Tensas",22107]
[null,null,"LA","Terrebonne",22109]
[null,null,"LA","Union",22111]
[null,null,"LA","Vermilion",22113]
[null,null,"LA","Vernon",22115]
[null,null,"LA","Washington",22117]
[null,null,"LA","Webster",22119]
[null,null,"LA","West Baton Rouge",22121]
[null,null,"LA","West Carroll",22123]
[null,null,"LA","West Feliciana",22125]
[null,null,"LA","Winn",22127]
[null,null,"MA","Barnstable",25001]
[null,null,"MA","Berkshire",25003]
[null,null,"MA","Bristol",25005]
[null,null,"MA","Dukes",25007]
[null,null,"MA","Essex",25009]
[null,null,"MA","Franklin",25011]
[null,null,"MA","Hampden",25013]
[null,null,"MA","Hampshire",25015]
[null,null,"MA","Middlesex",25017]
[null,null,"MA","Nantucket",25019]
[null,null,"MA","Norfolk",25021]
[null,null,"MA","Plymouth",25023]
[null,null,"MA","Suffolk",25025]
[null,null,"MA","Worcester",25027]
[null,null,"MD","Allegany",24001]
[null,null,"MD","Anne Arundel",24003]
[null,null,"MD","Baltimore",24005]
[null,null,"MD","Baltimore City",24510]
[null,null,"MD","Calvert",24009]
[null,null,"MD","Caroline",24011]
[null,null,"MD","Carroll",24013]
[null,null,"MD","Cecil",24015]
[null,null,"MD","Charles",24017]
[null,null,"MD","Dorchester",24019]
[null,null,"MD","Frederick",24021]
[null,null,"MD","Garrett",24023]
[null,null,"MD","Harford",24025]
[null,null,"MD","Howard",24027]
[null,null,"MD","Kent",24029]
[null,null,"MD","Montgomery",24031]
[null,null,"MD","Prince Georges",24033]
[null,null,"MD","Queen Annes",24035]
[null,null,"MD","Saint Marys",24037]
[null,null,"MD","Somerset",24039]
[null,null,"MD","Talbot",24041]
[null,null,"MD","Washington",24043]
[null,null,"MD","Wicomico",24045]
[null,null,"MD","Worcester",24047]
[null,null,"ME","Androscoggin",23001]
[null,null,"ME","Aroostook",23003]
[null,null,"ME","Cumberland",23005]
[null,null,"ME","Franklin",23007]
[null,null,"ME","Hancock",23009]
[null,null,"ME","Kennebec",23011]
[null,null,"ME","Knox",23013]
[null,null,"ME","Lincoln",23015]
[null,null,"ME","Oxford",23017]
[null,null,"ME","Penobscot",23019]
[null,null,"ME","Piscataquis",23021]
[null,null,"ME","Sagadahoc",23023]
[null,null,"ME","Somerset",23025]
[null,null,"ME","Waldo",23027]
[null,null,"ME","Washington",23029]
[null,null,"ME","York",23031]
[null,null,"MI","Alcona",26001]
[null,null,"MI","Alger",26003]
[null,null,"MI","Allegan",26005]
[null,null,"MI","Alpena",26007]
[null,null,"MI","Antrim",26009]
[null,null,"MI","Arenac",26011]
[null,null,"MI","Baraga",26013]
[null,null,"MI","Barry",26015]
[null,null,"MI","Bay",26017]
[null,null,"MI","Benzie",26019]
[null,null,"MI","Berrien",26021]
[null,null,"MI","Branch",26023]
[null,null,"MI","Calhoun",26025]
[null,null,"MI","Cass",26027]
[null,null,"MI","Charlevoix",26029]
[null,null,"MI","Cheboygan",26031]
[null,null,"MI","Chippewa",26033]
[null,null,"MI","Clare",26035]
[null,null,"MI","Clinton",26037]
[null,null,"MI","Crawford",26039]
[null,null,"MI","Delta",26041]
[null,null,"MI","Dickinson",26043]
[null,null,"MI","Eaton",26045]
[null,null,"MI","Emmet",26047]
[null,null,"MI","Genesee",26049]
[null,null,"MI","Gladwin",26051]
[null,null,"MI","Gogebic",26053]
[null,null,"MI","Grand Traverse",26055]
[null,null,"MI","Gratiot",26057]
[null,null,"MI","Hillsdale",26059]
[null,null,"MI","Houghton",26061]
[null,null,"MI","Huron",26063]
[null,null,"MI","Ingham",26065]
[null,null,"MI","Ionia",26067]
[null,null,"MI","Iosco",26069]
[null,null,"MI","Iron",26071]
[null,null,"MI","Isabella",26073]
[null,null,"MI","Jackson",26075]
[null,null,"MI","Kalamazoo",26077]
[null,null,"MI","Kalkaska",26079]
[null,null,"MI","Kent",26081]
[null,null,"MI","Keweenaw",26083]
[null,null,"MI","Lake",26085]
[null,null,"MI","Lapeer",26087]
[null,null,"MI","Leelanau",26089]
[null,null,"MI","Lenawee",26091]
[null,null,"MI","Livingston",26093]
[null,null,"MI","Luce",26095]
[null,null,"MI","Mackinac",26097]
[null,null,"MI","Macomb",26099]
[null,null,"MI","Manistee",26101]
[null,null,"MI","Marquette",26103]
[null,null,"MI","Mason",26105]
[null,null,"MI","Mecosta",26107]
[null,null,"MI","Menominee",26109]
[null,null,"MI","Midland",26111]
[null,null,"MI","Missaukee",26113]
[null,null,"MI","Monroe",26115]
[null,null,"MI","Montcalm",26117]
[null,null,"MI","Montmorency",26119]
[null,null,"MI","Muskegon",26121]
[null,null,"MI","Newaygo",26123]
[null,null,"MI","Oakland",26125]
[null,null,"MI","Oceana",26127]
[null,null,"MI","Ogemaw",26129]
[null,null,"MI","Ontonagon",26131]
[null,null,"MI","Osceola",26133]
[null,null,"MI","Oscoda",26135]
[null,null,"MI","Otsego",26137]
[null,null,"MI","Ottawa",26139]
[null,null,"MI","Presque Isle",26141]
[null,null,"MI","Roscommon",26143]
[null,null,"MI","Saginaw",26145]
[null,null,"MI","Saint Clair",26147]
[null,null,"MI","Saint Joseph",26149]
[null,null,"MI","Sanilac",26151]
[null,null,"MI","Schoolcraft",26153]
[null,null,"MI","Shiawassee",26155]
[null,null,"MI","Tuscola",26157]
[null,null,"MI","Van Buren",26159]
[null,null,"MI","Washtenaw",26161]
[null,null,"MI","Wayne",26163]
[null,null,"MI","Wexford",26165]
[null,null,"MN","Aitkin",27001]
[null,null,"MN","Anoka",27003]
[null,null,"MN","Becker",27005]
[null,null,"MN","Beltrami",27007]
[null,null,"MN","Benton",27009]
[null,null,"MN","Big Stone",27011]
[null,null,"MN","Blue Earth",27013]
[null,null,"MN","Brown",27015]
[null,null,"MN","Carlton",27017]
[null,null,"MN","Carver",27019]
[null,null,"MN","Cass",27021]
[null,null,"MN","Chippewa",27023]
[null,null,"MN","Chisago",27025]
[null,null,"MN","Clay",27027]
[null,null,"MN","Clearwater",27029]
[null,null,"MN","Cook",27031]
[null,null,"MN","Cottonwood",27033]
[null,null,"MN","Crow Wing",27035]
[null,null,"MN","Dakota",27037]
[null,null,"MN","Dodge",27039]
[null,null,"MN","Douglas",27041]
[null,null,"MN","Faribault",27043]
[null,null,"MN","Fillmore",27045]
[null,null,"MN","Freeborn",27047]
[null,null,"MN","Goodhue",27049]
[null,null,"MN","Grant",27051]
[null,null,"MN","Hennepin",27053]
[null,null,"MN","Houston",27055]
[null,null,"MN","Hubbard",27057]
[null,null,"MN","Isanti",27059]
[null,null,"MN","Itasca",27061]
[null,null,"MN","Jackson",27063]
[null,null,"MN","Kanabec",27065]
[null,null,"MN","Kandiyohi",27067]
[null,null,"MN","Kittson",27069]
[null,null,"MN","Koochiching",27071]
[null,null,"MN","Lac Qui Parle",27073]
[null,null,"MN","Lake",27075]
[null,null,"MN","Lake of the Woods",27077]
[null,null,"MN","Le Sueur",27079]
[null,null,"MN","Lincoln",27081]
[null,null,"MN","Lyon",27083]
[null,null,"MN","Mahnomen",27087]
[null,null,"MN","Marshall",27089]
[null,null,"MN","Martin",27091]
[null,null,"MN","McLeod",27085]
[null,null,"MN","Meeker",27093]
[null,null,"MN","Mille Lacs",27095]
[null,null,"MN","Morrison",27097]
[null,null,"MN","Mower",27099]
[null,null,"MN","Murray",27101]
[null,null,"MN","Nicollet",27103]
[null,null,"MN","Nobles",27105]
[null,null,"MN","Norman",27107]
[null,null,"MN","Olmsted",27109]
[null,null,"MN","Otter Tail",27111]
[null,null,"MN","Pennington",27113]
[null,null,"MN","Pine",27115]
[null,null,"MN","Pipestone",27117]
[null,null,"MN","Polk",27119]
[null,null,"MN","Pope",27121]
[null,null,"MN","Ramsey",27123]
[null,null,"MN","Red Lake",27125]
[null,null,"MN","Redwood",27127]
[null,null,"MN","Renville",27129]
[null,null,"MN","Rice",27131]
[null,null,"MN","Rock",27133]
[null,null,"MN","Roseau",27135]
[null,null,"MN","Saint Louis",27137]
[null,null,"MN","Scott",27139]
[null,null,"MN","Sherburne",27141]
[null,null,"MN","Sibley",27143]
[null,null,"MN","Stearns",27145]
[null,null,"MN","Steele",27147]
[null,null,"MN","Stevens",27149]
[null,null,"MN","Swift",27151]
[null,null,"MN","Todd",27153]
[null,null,"MN","Traverse",27155]
[null,null,"MN","Wabasha",27157]
[null,null,"MN","Wadena",27159]
[null,null,"MN","Waseca",27161]
[null,null,"MN","Washington",27163]
[null,null,"MN","Watonwan",27165]
[null,null,"MN","Wilkin",27167]
[null,null,"MN","Winona",27169]
[null,null,"MN","Wright",27171]
[null,null,"MN","Yellow Medicine",27173]
[null,null,"MO","Adair",29001]
[null,null,"MO","Andrew",29003]
[null,null,"MO","Atchison",29005]
[null,null,"MO","Audrain",29007]
[null,null,"MO","Barry",29009]
[null,null,"MO","Barton",29011]
[null,null,"MO","Bates",29013]
[null,null,"MO","Benton",29015]
[null,null,"MO","Bollinger",29017]
[null,null,"MO","Boone",29019]
[null,null,"MO","Buchanan",29021]
[null,null,"MO","Butler",29023]
[null,null,"MO","Caldwell",29025]
[null,null,"MO","Callaway",29027]
[null,null,"MO","Camden",29029]
[null,null,"MO","Cape Girardeau",29031]
[null,null,"MO","Carroll",29033]
[null,null,"MO","Carter",29035]
[null,null,"MO","Cass",29037]
[null,null,"MO","Cedar",29039]
[null,null,"MO","Chariton",29041]
[null,null,"MO","Christian",29043]
[null,null,"MO","Clark",29045]
[null,null,"MO","Clay",29047]
[null,null,"MO","Clinton",29049]
[null,null,"MO","Cole",29051]
[null,null,"MO","Cooper",29053]
[null,null,"MO","Crawford",29055]
[null,null,"MO","Dade",29057]
[null,null,"MO","Dallas",29059]
[null,null,"MO","Daviess",29061]
[null,null,"MO","DeKalb",29063]
[null,null,"MO","Dent",29065]
[null,null,"MO","Douglas",29067]
[null,null,"MO","Dunklin",29069]
[null,null,"MO","Franklin",29071]
[null,null,"MO","Gasconade",29073]
[null,null,"MO","Gentry",29075]
[null,null,"MO","Greene",29077]
[null,null,"MO","Grundy",29079]
[null,null,"MO","Harrison",29081]
[null,null,"MO","Henry",29083]
[null,null,"MO","Hickory",29085]
[null,null,"MO","Holt",29087]
[null,null,"MO","Howard",29089]
[null,null,"MO","Howell",29091]
[null,null,"MO","Iron",29093]
[null,null,"MO","Jackson",29095]
[null,null,"MO","Jasper",29097]
[null,null,"MO","Jefferson",29099]
[null,null,"MO","Johnson",29101]
[null,null,"MO","Knox",29103]
[null,null,"MO","Laclede",29105]
[null,null,"MO","Lafayette",29107]
[null,null,"MO","Lawrence",29109]
[null,null,"MO","Lewis",29111]
[null,null,"MO","Lincoln",29113]
[null,null,"MO","Linn",29115]
[null,null,"MO","Livingston",29117]
[null,null,"MO","Macon",29121]
[null,null,"MO","Madison",29123]
[null,null,"MO","Maries",29125]
[null,null,"MO","Marion",29127]
[null,null,"MO","McDonald",29119]
[null,null,"MO","Mercer",29129]
[null,null,"MO","Miller",29131]
[null,null,"MO","Mississippi",29133]
[null,null,"MO","Moniteau",29135]
[null,null,"MO","Monroe",29137]
[null,null,"MO","Montgomery",29139]
[null,null,"MO","Morgan",29141]
[null,null,"MO","New Madrid",29143]
[null,null,"MO","Newton",29145]
[null,null,"MO","Nodaway",29147]
[null,null,"MO","Oregon",29149]
[null,null,"MO","Osage",29151]
[null,null,"MO","Ozark",29153]
[null,null,"MO","Pemiscot",29155]
[null,null,"MO","Perry",29157]
[null,null,"MO","Pettis",29159]
[null,null,"MO","Phelps",29161]
[null,null,"MO","Pike",29163]
[null,null,"MO","Platte",29165]
[null,null,"MO","Polk",29167]
[null,null,"MO","Pulaski",29169]
[null,null,"MO","Putnam",29171]
[null,null,"MO","Ralls",29173]
[null,null,"MO","Randolph",29175]
[null,null,"MO","Ray",29177]
[null,null,"MO","Reynolds",29179]
[null,null,"MO","Ripley",29181]
[null,null,"MO","Saint Charles",29183]
[null,null,"MO","Saint Clair",29185]
[null,null,"MO","Saint Francois",29187]
[null,null,"MO","Saint Louis",29189]
[null,null,"MO","Saint Louis City",29510]
[null,null,"MO","Sainte Genevieve",29186]
[null,null,"MO","Saline",29195]
[null,null,"MO","Schuyler",29197]
[null,null,"MO","Scotland",29199]
[null,null,"MO","Scott",29201]
[null,null,"MO","Shannon",29203]
[null,null,"MO","Shelby",29205]
[null,null,"MO","Stoddard",29207]
[null,null,"MO","Stone",29209]
[null,null,"MO","Sullivan",29211]
[null,null,"MO","Taney",29213]
[null,null,"MO","Texas",29215]
[null,null,"MO","Vernon",29217]
[null,null,"MO","Warren",29219]
[null,null,"MO","Washington",29221]
[null,null,"MO","Wayne",29223]
[null,null,"MO","Webster",29225]
[null,null,"MO","Worth",29227]
[null,null,"MO","Wright",29229]
[null,null,"MS","Adams",28001]
[null,null,"MS","Alcorn",28003]
[null,null,"MS","Amite",28005]
[null,null,"MS","Attala",28007]
[null,null,"MS","Benton",28009]
[null,null,"MS","Bolivar",28011]
[null,null,"MS","Calhoun",28013]
[null,null,"MS","Carroll",28015]
[null,null,"MS","Chickasaw",28017]
[null,null,"MS","Choctaw",28019]
[null,null,"MS","Claiborne",28021]
[null,null,"MS","Clarke",28023]
[null,null,"MS","Clay",28025]
[null,null,"MS","Coahoma",28027]
[null,null,"MS","Copiah",28029]
[null,null,"MS","Covington",28031]
[null,null,"MS","DeSoto",28033]
[null,null,"MS","Forrest",28035]
[null,null,"MS","Franklin",28037]
[null,null,"MS","George",28039]
[null,null,"MS","Greene",28041]
[null,null,"MS","Grenada",28043]
[null,null,"MS","Hancock",28045]
[null,null,"MS","Harrison",28047]
[null,null,"MS","Hinds",28049]
[null,null,"MS","Holmes",28051]
[null,null,"MS","Humphreys",28053]
[null,null,"MS","Issaquena",28055]
[null,null,"MS","Itawamba",28057]
[null,null,"MS","Jackson",28059]
[null,null,"MS","Jasper",28061]
[null,null,"MS","Jefferson",28063]
[null,null,"MS","Jefferson Davis",28065]
[null,null,"MS","Jones",28067]
[null,null,"MS","Kemper",28069]
[null,null,"MS","Lafayette",28071]
[null,null,"MS","Lamar",28073]
[null,null,"MS","Lauderdale",28075]
[null,null,"MS","Lawrence",28077]
[null,null,"MS","Leake",28079]
[null,null,"MS","Lee",28081]
[null,null,"MS","Leflore",28083]
[null,null,"MS","Lincoln",28085]
[null,null,"MS","Lowndes",28087]
[null,null,"MS","Madison",28089]
[null,null,"MS","Marion",28091]
[null,null,"MS","Marshall",28093]
[null,null,"MS","Monroe",28095]
[null,null,"MS","Montgomery",28097]
[null,null,"MS","Neshoba",28099]
[null,null,"MS","Newton",28101]
[null,null,"MS","Noxubee",28103]
[null,null,"MS","Oktibbeha",28105]
[null,null,"MS","Panola",28107]
[null,null,"MS","Pearl River",28109]
[null,null,"MS","Perry",28111]
[null,null,"MS","Pike",28113]
[null,null,"MS","Pontotoc",28115]
[null,null,"MS","Prentiss",28117]
[null,null,"MS","Quitman",28119]
[null,null,"MS","Rankin",28121]
[null,null,"MS","Scott",28123]
[null,null,"MS","Sharkey",28125]
[null,null,"MS","Simpson",28127]
[null,null,"MS","Smith",28129]
[null,null,"MS","Stone",28131]
[null,null,"MS","Sunflower",28133]
[null,null,"MS","Tallahatchie",28135]
[null,null,"MS","Tate",28137]
[null,null,"MS","Tippah",28139]
[null,null,"MS","Tishomingo",28141]
[null,null,"MS","Tunica",28143]
[null,null,"MS","Union",28145]
[null,null,"MS","Walthall",28147]
[null,null,"MS","Warren",28149]
[null,null,"MS","Washington",28151]
[null,null,"MS","Wayne",28153]
[null,null,"MS","Webster",28155]
[null,null,"MS","Wilkinson",28157]
[null,null,"MS","Winston",28159]
[null,null,"MS","Yalobusha",28161]
[null,null,"MS","Yazoo",28163]
[null,null,"MT","Beaverhead",30001]
[null,null,"MT","Big Horn",30003]
[null,null,"MT","Blaine",30005]
[null,null,"MT","Broadwater",30007]
[null,null,"MT","Carbon",30009]
[null,null,"MT","Carter",30011]
[null,null,"MT","Cascade",30013]
[null,null,"MT","Chouteau",30015]
[null,null,"MT","Custer",30017]
[null,null,"MT","Daniels",30019]
[null,null,"MT","Dawson",30021]
[null,null,"MT","Deer Lodge",30023]
[null,null,"MT","Fallon",30025]
[null,null,"MT","Fergus",30027]
[null,null,"MT","Flathead",30029]
[null,null,"MT","Gallatin",30031]
[null,null,"MT","Garfield",30033]
[null,null,"MT","Glacier",30035]
[null,null,"MT","Golden Valley",30037]
[null,null,"MT","Granite",30039]
[null,null,"MT","Hill",30041]
[null,null,"MT","Jefferson",30043]
[null,null,"MT","Judith Basin",30045]
[null,null,"MT","Lake",30047]
[null,null,"MT","Lewis and Clark",30049]
[null,null,"MT","Liberty",30051]
[null,null,"MT","Lincoln",30053]
[null,null,"MT","Madison",30057]
[null,null,"MT","McCone",30055]
[null,null,"MT","Meagher",30059]
[null,null,"MT","Mineral",30061]
[null,null,"MT","Missoula",30063]
[null,null,"MT","Musselshell",30065]
[null,null,"MT","Park",30067]
[null,null,"MT","Petroleum",30069]
[null,null,"MT","Phillips",30071]
[null,null,"MT","Pondera",30073]
[null,null,"MT","Powder River",30075]
[null,null,"MT","Powell",30077]
[null,null,"MT","Prairie",30079]
[null,null,"MT","Ravalli",30081]
[null,null,"MT","Richland",30083]
[null,null,"MT","Roosevelt",30085]
[null,null,"MT","Rosebud",30087]
[null,null,"MT","Sanders",30089]
[null,null,"MT","Sheridan",30091]
[null,null,"MT","Silver Bow",30093]
[null,null,"MT","Stillwater",30095]
[null,null,"MT","Sweet Grass",30097]
[null,null,"MT","Teton",30099]
[null,null,"MT","Toole",30101]
[null,null,"MT","Treasure",30103]
[null,null,"MT","Valley",30105]
[null,null,"MT","Wheatland",30107]
[null,null,"MT","Wibaux",30109]
[null,null,"MT","Yellowstone",30111]
[null,null,"NC","Alamance",37001]
[null,null,"NC","Alexander",37003]
[null,null,"NC","Alleghany",37005]
[null,null,"NC","Anson",37007]
[null,null,"NC","Ashe",37009]
[null,null,"NC","Avery",37011]
[null,null,"NC","Beaufort",37013]
[null,null,"NC","Bertie",37015]
[null,null,"NC","Bladen",37017]
[null,null,"NC","Brunswick",37019]
[null,null,"NC","Buncombe",37021]
[null,null,"NC","Burke",37023]
[null,null,"NC","Cabarrus",37025]
[null,null,"NC","Caldwell",37027]
[null,null,"NC","Camden",37029]
[null,null,"NC","Carteret",37031]
[null,null,"NC","Caswell",37033]
[null,null,"NC","Catawba",37035]
[null,null,"NC","Chatham",37037]
[null,null,"NC","Cherokee",37039]
[null,null,"NC","Chowan",37041]
[null,null,"NC","Clay",37043]
[null,null,"NC","Cleveland",37045]
[null,null,"NC","Columbus",37047]
[null,null,"NC","Craven",37049]
[null,null,"NC","Cumberland",37051]
[null,null,"NC","Currituck",37053]
[null,null,"NC","Dare",37055]
[null,null,"NC","Davidson",37057]
[null,null,"NC","Davie",37059]
[null,null,"NC","Duplin",37061]
[null,null,"NC","Durham",37063]
[null,null,"NC","Edgecombe",37065]
[null,null,"NC","Forsyth",37067]
[null,null,"NC","Franklin",37069]
[null,null,"NC","Gaston",37071]
[null,null,"NC","Gates",37073]
[null,null,"NC","Graham",37075]
[null,null,"NC","Granville",37077]
[null,null,"NC","Greene",37079]
[null,null,"NC","Guilford",37081]
[null,null,"NC","Halifax",37083]
[null,null,"NC","Harnett",37085]
[null,null,"NC","Haywood",37087]
[null,null,"NC","Henderson",37089]
[null,null,"NC","Hertford",37091]
[null,null,"NC","Hoke",37093]
[null,null,"NC","Hyde",37095]
[null,null,"NC","Iredell",37097]
[null,null,"NC","Jackson",37099]
[null,null,"NC","Johnston",37101]
[null,null,"NC","Jones",37103]
[null,null,"NC","Lee",37105]
[null,null,"NC","Lenoir",37107]
[null,null,"NC","Lincoln",37109]
[null,null,"NC","Macon",37113]
[null,null,"NC","Madison",37115]
[null,null,"NC","Martin",37117]
[null,null,"NC","McDowell",37111]
[null,null,"NC","Mecklenburg",37119]
[null,null,"NC","Mitchell",37121]
[null,null,"NC","Montgomery",37123]
[null,null,"NC","Moore",37125]
[null,null,"NC","Nash",37127]
[null,null,"NC","New Hanover",37129]
[null,null,"NC","Northampton",37131]
[null,null,"NC","Onslow",37133]
[null,null,"NC","Orange",37135]
[null,null,"NC","Pamlico",37137]
[null,null,"NC","Pasquotank",37139]
[null,null,"NC","Pender",37141]
[null,null,"NC","Perquimans",37143]
[null,null,"NC","Person",37145]
[null,null,"NC","Pitt",37147]
[null,null,"NC","Polk",37149]
[null,null,"NC","Randolph",37151]
[null,null,"NC","Richmond",37153]
[null,null,"NC","Robeson",37155]
[null,null,"NC","Rockingham",37157]
[null,null,"NC","Rowan",37159]
[null,null,"NC","Rutherford",37161]
[null,null,"NC","Sampson",37163]
[null,null,"NC","Scotland",37165]
[null,null,"NC","Stanly",37167]
[null,null,"NC","Stokes",37169]
[null,null,"NC","Surry",37171]
[null,null,"NC","Swain",37173]
[null,null,"NC","Transylvania",37175]
[null,null,"NC","Tyrrell",37177]
[null,null,"NC","Union",37179]
[null,null,"NC","Vance",37181]
[null,null,"NC","Wake",37183]
[null,null,"NC","Warren",37185]
[null,null,"NC","Washington",37187]
[null,null,"NC","Watauga",37189]
[null,null,"NC","Wayne",37191]
[null,null,"NC","Wilkes",37193]
[null,null,"NC","Wilson",37195]
[null,null,"NC","Yadkin",37197]
[null,null,"NC","Yancey",37199]
[null,null,"ND","Adams",38001]
[null,null,"ND","Barnes",38003]
[null,null,"ND","Benson",38005]
[null,null,"ND","Billings",38007]
[null,null,"ND","Bottineau",38009]
[null,null,"ND","Bowman",38011]
[null,null,"ND","Burke",38013]
[null,null,"ND","Burleigh",38015]
[null,null,"ND","Cass",38017]
[null,null,"ND","Cavalier",38019]
[null,null,"ND","Dickey",38021]
[null,null,"ND","Divide",38023]
[null,null,"ND","Dunn",38025]
[null,null,"ND","Eddy",38027]
[null,null,"ND","Emmons",38029]
[null,null,"ND","Foster",38031]
[null,null,"ND","Golden Valley",38033]
[null,null,"ND","Grand Forks",38035]
[null,null,"ND","Grant",38037]
[null,null,"ND","Griggs",38039]
[null,null,"ND","Hettinger",38041]
[null,null,"ND","Kidder",38043]
[null,null,"ND","LaMoure",38045]
[null,null,"ND","Logan",38047]
[null,null,"ND","McHenry",38049]
[null,null,"ND","McIntosh",38051]
[null,null,"ND","McKenzie",38053]
[null,null,"ND","McLean",38055]
[null,null,"ND","Mercer",38057]
[null,null,"ND","Morton",38059]
[null,null,"ND","Mountrail",38061]
[null,null,"ND","Nelson",38063]
[null,null,"ND","Oliver",38065]
[null,null,"ND","Pembina",38067]
[null,null,"ND","Pierce",38069]
[null,null,"ND","Ramsey",38071]
[null,null,"ND","Ransom",38073]
[null,null,"ND","Renville",38075]
[null,null,"ND","Richland",38077]
[null,null,"ND","Rolette",38079]
[null,null,"ND","Sargent",38081]
[null,null,"ND","Sheridan",38083]
[null,null,"ND","Sioux",38085]
[null,null,"ND","Slope",38087]
[null,null,"ND","Stark",38089]
[null,null,"ND","Steele",38091]
[null,null,"ND","Stutsman",38093]
[null,null,"ND","Towner",38095]
[null,null,"ND","Traill",38097]
[null,null,"ND","Walsh",38099]
[null,null,"ND","Ward",38101]
[null,null,"ND","Wells",38103]
[null,null,"ND","Williams",38105]
[null,null,"NE","Adams",31001]
[null,null,"NE","Antelope",31003]
[null,null,"NE","Arthur",31005]
[null,null,"NE","Banner",31007]
[null,null,"NE","Blaine",31009]
[null,null,"NE","Boone",31011]
[null,null,"NE","Box Butte",31013]
[null,null,"NE","Boyd",31015]
[null,null,"NE","Brown",31017]
[null,null,"NE","Buffalo",31019]
[null,null,"NE","Burt",31021]
[null,null,"NE","Butler",31023]
[null,null,"NE","Cass",31025]
[null,null,"NE","Cedar",31027]
[null,null,"NE","Chase",31029]
[null,null,"NE","Cherry",31031]
[null,null,"NE","Cheyenne",31033]
[null,null,"NE","Clay",31035]
[null,null,"NE","Colfax",31037]
[null,null,"NE","Cuming",31039]
[null,null,"NE","Custer",31041]
[null,null,"NE","Dakota",31043]
[null,null,"NE","Dawes",31045]
[null,null,"NE","Dawson",31047]
[null,null,"NE","Deuel","31049"]
[null,null,"NE","Dixon",31051]
[null,null,"NE","Dodge",31053]
[null,null,"NE","Douglas",31055]
[null,null,"NE","Dundy",31057]
[null,null,"NE","Fillmore",31059]
[null,null,"NE","Franklin",31061]
[null,null,"NE","Frontier",31063]
[null,null,"NE","Furnas",31065]
[null,null,"NE","Gage",31067]
[null,null,"NE","Garden",31069]
[null,null,"NE","Garfield",31071]
[null,null,"NE","Gosper",31073]
[null,null,"NE","Grant",31075]
[null,null,"NE","Greeley",31077]
[null,null,"NE","Hall",31079]
[null,null,"NE","Hamilton",31081]
[null,null,"NE","Harlan",31083]
[null,null,"NE","Hayes",31085]
[null,null,"NE","Hitchcock",31087]
[null,null,"NE","Holt",31089]
[null,null,"NE","Hooker",31091]
[null,null,"NE","Howard",31093]
[null,null,"NE","Jefferson",31095]
[null,null,"NE","Johnson",31097]
[null,null,"NE","Kearney",31099]
[null,null,"NE","Keith",31101]
[null,null,"NE","Keya Paha",31103]
[null,null,"NE","Kimball",31105]
[null,null,"NE","Knox",31107]
[null,null,"NE","Lancaster",31109]
[null,null,"NE","Lincoln",31111]
[null,null,"NE","Logan",31113]
[null,null,"NE","Loup",31115]
[null,null,"NE","Madison",31119]
[null,null,"NE","McPherson",31117]
[null,null,"NE","Merrick",31121]
[null,null,"NE","Morrill",31123]
[null,null,"NE","Nance",31125]
[null,null,"NE","Nemaha",31127]
[null,null,"NE","Nuckolls",31129]
[null,null,"NE","Otoe",31131]
[null,null,"NE","Pawnee",31133]
[null,null,"NE","Perkins",31135]
[null,null,"NE","Phelps",31137]
[null,null,"NE","Pierce",31139]
[null,null,"NE","Platte",31141]
[null,null,"NE","Polk",31143]
[null,null,"NE","Red Willow",31145]
[null,null,"NE","Richardson",31147]
[null,null,"NE","Rock",31149]
[null,null,"NE","Saline",31151]
[null,null,"NE","Sarpy",31153]
[null,null,"NE","Saunders",31155]
[null,null,"NE","Scotts Bluff",31157]
[null,null,"NE","Seward",31159]
[null,null,"NE","Sheridan",31161]
[null,null,"NE","Sherman",31163]
[null,null,"NE","Sioux",31165]
[null,null,"NE","Stanton",31167]
[null,null,"NE","Thayer",31169]
[null,null,"NE","Thomas",31171]
[null,null,"NE","Thurston",31173]
[null,null,"NE","Valley",31175]
[null,null,"NE","Washington",31177]
[null,null,"NE","Wayne",31179]
[null,null,"NE","Webster",31181]
[null,null,"NE","Wheeler",31183]
[null,null,"NE","York",31185]
[null,null,"NH","Belknap",33001]
[null,null,"NH","Carroll",33003]
[null,null,"NH","Cheshire",33005]
[null,null,"NH","Coos",33007]
[null,null,"NH","Grafton",33009]
[null,null,"NH","Hillsborough",33011]
[null,null,"NH","Merrimack",33013]
[null,null,"NH","Rockingham",33015]
[null,null,"NH","Strafford",33017]
[null,null,"NH","Sullivan",33019]
[null,null,"NJ","Atlantic",34001]
[null,null,"NJ","Bergen",34003]
[null,null,"NJ","Burlington",34005]
[null,null,"NJ","Camden",34007]
[null,null,"NJ","Cape May",34009]
[null,null,"NJ","Cumberland",34011]
[null,null,"NJ","Essex",34013]
[null,null,"NJ","Gloucester",34015]
[null,null,"NJ","Hudson",34017]
[null,null,"NJ","Hunterdon",34019]
[null,null,"NJ","Mercer",34021]
[null,null,"NJ","Middlesex",34023]
[null,null,"NJ","Monmouth",34025]
[null,null,"NJ","Morris",34027]
[null,null,"NJ","Ocean",34029]
[null,null,"NJ","Passaic",34031]
[null,null,"NJ","Salem",34033]
[null,null,"NJ","Somerset",34035]
[null,null,"NJ","Sussex",34037]
[null,null,"NJ","Union",34039]
[null,null,"NJ","Warren",34041]
[null,null,"NM","Bernalillo",35001]
[null,null,"NM","Catron",35003]
[null,null,"NM","Chaves",35005]
[null,null,"NM","Cibola",35006]
[null,null,"NM","Colfax",35007]
[null,null,"NM","Curry",35009]
[null,null,"NM","De Baca",35011]
[null,null,"NM","Dona Ana",35013]
[null,null,"NM","Eddy",35015]
[null,null,"NM","Grant",35017]
[null,null,"NM","Guadalupe",35019]
[null,null,"NM","Harding",35021]
[null,null,"NM","Hidalgo",35023]
[null,null,"NM","Lea",35025]
[null,null,"NM","Lincoln",35027]
[null,null,"NM","Los Alamos",35028]
[null,null,"NM","Luna",35029]
[null,null,"NM","McKinley",35031]
[null,null,"NM","Mora",35033]
[null,null,"NM","Otero",35035]
[null,null,"NM","Quay",35037]
[null,null,"NM","Rio Arriba",35039]
[null,null,"NM","Roosevelt",35041]
[null,null,"NM","San Juan",35045]
[null,null,"NM","San Miguel",35047]
[null,null,"NM","Sandoval",35043]
[null,null,"NM","Santa Fe",35049]
[null,null,"NM","Sierra",35051]
[null,null,"NM","Socorro",35053]
[null,null,"NM","Taos",35055]
[null,null,"NM","Torrance",35057]
[null,null,"NM","Union",35059]
[null,null,"NM","Valencia",35061]
[null,null,"NV","Carson City",32510]
[null,null,"NV","Churchill",32001]
[null,null,"NV","Clark",32003]
[null,null,"NV","Douglas",32005]
[null,null,"NV","Elko",32007]
[null,null,"NV","Esmeralda",32009]
[null,null,"NV","Eureka",32011]
[null,null,"NV","Humboldt",32013]
[null,null,"NV","Lander",32015]
[null,null,"NV","Lincoln",32017]
[null,null,"NV","Lyon",32019]
[null,null,"NV","Mineral",32021]
[null,null,"NV","Nye",32023]
[null,null,"NV","Pershing",32027]
[null,null,"NV","Storey","32029"]
[null,null,"NV","Washoe",32031]
[null,null,"NV","White Pine",32033]
[null,null,"NY","Albany",36001]
[null,null,"NY","Allegany",36003]
[null,null,"NY","Bronx",36005]
[null,null,"NY","Broome",36007]
[null,null,"NY","Cattaraugus",36009]
[null,null,"NY","Cayuga",36011]
[null,null,"NY","Chautauqua",36013]
[null,null,"NY","Chemung",36015]
[null,null,"NY","Chenango",36017]
[null,null,"NY","Clinton",36019]
[null,null,"NY","Columbia",36021]
[null,null,"NY","Cortland",36023]
[null,null,"NY","Delaware",36025]
[null,null,"NY","Dutchess",36027]
[null,null,"NY","Erie",36029]
[null,null,"NY","Essex",36031]
[null,null,"NY","Franklin",36033]
[null,null,"NY","Fulton",36035]
[null,null,"NY","Genesee",36037]
[null,null,"NY","Greene",36039]
[null,null,"NY","Hamilton",36041]
[null,null,"NY","Herkimer",36043]
[null,null,"NY","Jefferson",36045]
[null,null,"NY","Kings",36047]
[null,null,"NY","Lewis",36049]
[null,null,"NY","Livingston",36051]
[null,null,"NY","Madison",36053]
[null,null,"NY","Monroe",36055]
[null,null,"NY","Montgomery",36057]
[null,null,"NY","Nassau",36059]
[null,null,"NY","New York",36061]
[null,null,"NY","Niagara",36063]
[null,null,"NY","Oneida",36065]
[null,null,"NY","Onondaga",36067]
[null,null,"NY","Ontario",36069]
[null,null,"NY","Orange",36071]
[null,null,"NY","Orleans",36073]
[null,null,"NY","Oswego",36075]
[null,null,"NY","Otsego",36077]
[null,null,"NY","Putnam",36079]
[null,null,"NY","Queens",36081]
[null,null,"NY","Rensselaer",36083]
[null,null,"NY","Richmond",36085]
[null,null,"NY","Rockland",36087]
[null,null,"NY","Saint Lawrence",36089]
[null,null,"NY","Saratoga",36091]
[null,null,"NY","Schenectady",36093]
[null,null,"NY","Schoharie",36095]
[null,null,"NY","Schuyler",36097]
[null,null,"NY","Seneca",36099]
[null,null,"NY","Steuben",36101]
[null,null,"NY","Suffolk",36103]
[null,null,"NY","Sullivan",36105]
[null,null,"NY","Tioga",36107]
[null,null,"NY","Tompkins",36109]
[null,null,"NY","Ulster",36111]
[null,null,"NY","Warren",36113]
[null,null,"NY","Washington",36115]
[null,null,"NY","Wayne",36117]
[null,null,"NY","Westchester",36119]
[null,null,"NY","Wyoming",36121]
[null,null,"NY","Yates",36123]
[null,null,"OH","Adams",39001]
[null,null,"OH","Allen",39003]
[null,null,"OH","Ashland",39005]
[null,null,"OH","Ashtabula",39007]
[null,null,"OH","Athens",39009]
[null,null,"OH","Auglaize",39011]
[null,null,"OH","Belmont",39013]
[null,null,"OH","Brown",39015]
[null,null,"OH","Butler",39017]
[null,null,"OH","Carroll",39019]
[null,null,"OH","Champaign",39021]
[null,null,"OH","Clark",39023]
[null,null,"OH","Clermont",39025]
[null,null,"OH","Clinton",39027]
[null,null,"OH","Columbiana",39029]
[null,null,"OH","Coshocton",39031]
[null,null,"OH","Crawford",39033]
[null,null,"OH","Cuyahoga",39035]
[null,null,"OH","Darke",39037]
[null,null,"OH","Defiance",39039]
[null,null,"OH","Delaware",39041]
[null,null,"OH","Erie",39043]
[null,null,"OH","Fairfield",39045]
[null,null,"OH","Fayette",39047]
[null,null,"OH","Franklin",39049]
[null,null,"OH","Fulton",39051]
[null,null,"OH","Gallia",39053]
[null,null,"OH","Geauga",39055]
[null,null,"OH","Greene",39057]
[null,null,"OH","Guernsey",39059]
[null,null,"OH","Hamilton",39061]
[null,null,"OH","Hancock",39063]
[null,null,"OH","Hardin",39065]
[null,null,"OH","Harrison",39067]
[null,null,"OH","Henry",39069]
[null,null,"OH","Highland",39071]
[null,null,"OH","Hocking",39073]
[null,null,"OH","Holmes",39075]
[null,null,"OH","Huron",39077]
[null,null,"OH","Jackson",39079]
[null,null,"OH","Jefferson",39081]
[null,null,"OH","Knox",39083]
[null,null,"OH","Lake",39085]
[null,null,"OH","Lawrence",39087]
[null,null,"OH","Licking",39089]
[null,null,"OH","Logan",39091]
[null,null,"OH","Lorain",39093]
[null,null,"OH","Lucas",39095]
[null,null,"OH","Madison",39097]
[null,null,"OH","Mahoning",39099]
[null,null,"OH","Marion",39101]
[null,null,"OH","Medina",39103]
[null,null,"OH","Meigs",39105]
[null,null,"OH","Mercer",39107]
[null,null,"OH","Miami",39109]
[null,null,"OH","Monroe",39111]
[null,null,"OH","Montgomery",39113]
[null,null,"OH","Morgan",39115]
[null,null,"OH","Morrow",39117]
[null,null,"OH","Muskingum",39119]
[null,null,"OH","Noble",39121]
[null,null,"OH","Ottawa",39123]
[null,null,"OH","Paulding",39125]
[null,null,"OH","Perry",39127]
[null,null,"OH","Pickaway",39129]
[null,null,"OH","Pike",39131]
[null,null,"OH","Portage",39133]
[null,null,"OH","Preble",39135]
[null,null,"OH","Putnam",39137]
[null,null,"OH","Richland",39139]
[null,null,"OH","Ross",39141]
[null,null,"OH","Sandusky",39143]
[null,null,"OH","Scioto",39145]
[null,null,"OH","Seneca",39147]
[null,null,"OH","Shelby",39149]
[null,null,"OH","Stark",39151]
[null,null,"OH","Summit",39153]
[null,null,"OH","Trumbull",39155]
[null,null,"OH","Tuscarawas",39157]
[null,null,"OH","Union",39159]
[null,null,"OH","Van Wert",39161]
[null,null,"OH","Vinton",39163]
[null,null,"OH","Warren",39165]
[null,null,"OH","Washington",39167]
[null,null,"OH","Wayne",39169]
[null,null,"OH","Williams",39171]
[null,null,"OH","Wood",39173]
[null,null,"OH","Wyandot",39175]
[null,null,"OK","Adair",40001]
[null,null,"OK","Alfalfa",40003]
[null,null,"OK","Atoka",40005]
[null,null,"OK","Beaver",40007]
[null,null,"OK","Beckham",40009]
[null,null,"OK","Blaine",40011]
[null,null,"OK","Bryan",40013]
[null,null,"OK","Caddo",40015]
[null,null,"OK","Canadian",40017]
[null,null,"OK","Carter",40019]
[null,null,"OK","Cherokee",40021]
[null,null,"OK","Choctaw",40023]
[null,null,"OK","Cimarron",40025]
[null,null,"OK","Cleveland",40027]
[null,null,"OK","Coal",40029]
[null,null,"OK","Comanche",40031]
[null,null,"OK","Cotton",40033]
[null,null,"OK","Craig",40035]
[null,null,"OK","Creek",40037]
[null,null,"OK","Custer",40039]
[null,null,"OK","Delaware",40041]
[null,null,"OK","Dewey",40043]
[null,null,"OK","Ellis",40045]
[null,null,"OK","Garfield",40047]
[null,null,"OK","Garvin",40049]
[null,null,"OK","Grady",40051]
[null,null,"OK","Grant",40053]
[null,null,"OK","Greer",40055]
[null,null,"OK","Harmon",40057]
[null,null,"OK","Harper",40059]
[null,null,"OK","Haskell",40061]
[null,null,"OK","Hughes",40063]
[null,null,"OK","Jackson",40065]
[null,null,"OK","Jefferson",40067]
[null,null,"OK","Johnston",40069]
[null,null,"OK","Kay",40071]
[null,null,"OK","Kingfisher",40073]
[null,null,"OK","Kiowa",40075]
[null,null,"OK","Latimer",40077]
[null,null,"OK","Le Flore",40079]
[null,null,"OK","Lincoln",40081]
[null,null,"OK","Logan",40083]
[null,null,"OK","Love",40085]
[null,null,"OK","Major",40093]
[null,null,"OK","Marshall",40095]
[null,null,"OK","Mayes",40097]
[null,null,"OK","McClain",40087]
[null,null,"OK","McCurtain",40089]
[null,null,"OK","McIntosh",40091]
[null,null,"OK","Murray",40099]
[null,null,"OK","Muskogee",40101]
[null,null,"OK","Noble",40103]
[null,null,"OK","Nowata",40105]
[null,null,"OK","Okfuskee",40107]
[null,null,"OK","Oklahoma",40109]
[null,null,"OK","Okmulgee",40111]
[null,null,"OK","Osage",40113]
[null,null,"OK","Ottawa",40115]
[null,null,"OK","Pawnee",40117]
[null,null,"OK","Payne",40119]
[null,null,"OK","Pittsburg",40121]
[null,null,"OK","Pontotoc",40123]
[null,null,"OK","Pottawatomie",40125]
[null,null,"OK","Pushmataha",40127]
[null,null,"OK","Roger Mills",40129]
[null,null,"OK","Rogers",40131]
[null,null,"OK","Seminole",40133]
[null,null,"OK","Sequoyah",40135]
[null,null,"OK","Stephens",40137]
[null,null,"OK","Texas",40139]
[null,null,"OK","Tillman",40141]
[null,null,"OK","Tulsa",40143]
[null,null,"OK","Wagoner",40145]
[null,null,"OK","Washington",40147]
[null,null,"OK","Washita",40149]
[null,null,"OK","Woods",40151]
[null,null,"OK","Woodward",40153]
[null,null,"OR","Baker",41001]
[null,null,"OR","Benton",41003]
[null,null,"OR","Clackamas",41005]
[null,null,"OR","Clatsop",41007]
[null,null,"OR","Columbia",41009]
[null,null,"OR","Coos",41011]
[null,null,"OR","Crook",41013]
[null,null,"OR","Curry",41015]
[null,null,"OR","Deschutes",41017]
[null,null,"OR","Douglas",41019]
[null,null,"OR","Gilliam",41021]
[null,null,"OR","Grant",41023]
[null,null,"OR","Harney",41025]
[null,null,"OR","Hood River",41027]
[null,null,"OR","Jackson",41029]
[null,null,"OR","Jefferson",41031]
[null,null,"OR","Josephine",41033]
[null,null,"OR","Klamath",41035]
[null,null,"OR","Lake",41037]
[null,null,"OR","Lane",41039]
[null,null,"OR","Lincoln",41041]
[null,null,"OR","Linn",41043]
[null,null,"OR","Malheur",41045]
[null,null,"OR","Marion",41047]
[null,null,"OR","Morrow",41049]
[null,null,"OR","Multnomah",41051]
[null,null,"OR","Polk",41053]
[null,null,"OR","Sherman",41055]
[null,null,"OR","Tillamook",41057]
[null,null,"OR","Umatilla",41059]
[null,null,"OR","Union",41061]
[null,null,"OR","Wallowa",41063]
[null,null,"OR","Wasco",41065]
[null,null,"OR","Washington",41067]
[null,null,"OR","Wheeler",41069]
[null,null,"OR","Yamhill",41071]
[null,null,"PA","Adams",42001]
[null,null,"PA","Allegheny",42003]
[null,null,"PA","Armstrong",42005]
[null,null,"PA","Beaver",42007]
[null,null,"PA","Bedford",42009]
[null,null,"PA","Berks",42011]
[null,null,"PA","Blair",42013]
[null,null,"PA","Bradford",42015]
[null,null,"PA","Bucks",42017]
[null,null,"PA","Butler",42019]
[null,null,"PA","Cambria",42021]
[null,null,"PA","Cameron",42023]
[null,null,"PA","Carbon",42025]
[null,null,"PA","Centre",42027]
[null,null,"PA","Chester",42029]
[null,null,"PA","Clarion",42031]
[null,null,"PA","Clearfield",42033]
[null,null,"PA","Clinton",42035]
[null,null,"PA","Columbia",42037]
[null,null,"PA","Crawford",42039]
[null,null,"PA","Cumberland",42041]
[null,null,"PA","Dauphin",42043]
[null,null,"PA","Delaware",42045]
[null,null,"PA","Elk",42047]
[null,null,"PA","Erie",42049]
[null,null,"PA","Fayette",42051]
[null,null,"PA","Forest",42053]
[null,null,"PA","Franklin",42055]
[null,null,"PA","Fulton",42057]
[null,null,"PA","Greene",42059]
[null,null,"PA","Huntingdon",42061]
[null,null,"PA","Indiana",42063]
[null,null,"PA","Jefferson",42065]
[null,null,"PA","Juniata",42067]
[null,null,"PA","Lackawanna",42069]
[null,null,"PA","Lancaster",42071]
[null,null,"PA","Lawrence",42073]
[null,null,"PA","Lebanon",42075]
[null,null,"PA","Lehigh",42077]
[null,null,"PA","Luzerne",42079]
[null,null,"PA","Lycoming",42081]
[null,null,"PA","McKean",42083]
[null,null,"PA","Mercer",42085]
[null,null,"PA","Mifflin",42087]
[null,null,"PA","Monroe",42089]
[null,null,"PA","Montgomery",42091]
[null,null,"PA","Montour",42093]
[null,null,"PA","Northampton",42095]
[null,null,"PA","Northumberland",42097]
[null,null,"PA","Perry",42099]
[null,null,"PA","Philadelphia",42101]
[null,null,"PA","Pike",42103]
[null,null,"PA","Potter",42105]
[null,null,"PA","Schuylkill",42107]
[null,null,"PA","Snyder",42109]
[null,null,"PA","Somerset",42111]
[null,null,"PA","Sullivan",42113]
[null,null,"PA","Susquehanna",42115]
[null,null,"PA","Tioga",42117]
[null,null,"PA","Union",42119]
[null,null,"PA","Venango",42121]
[null,null,"PA","Warren",42123]
[null,null,"PA","Washington",42125]
[null,null,"PA","Wayne",42127]
[null,null,"PA","Westmoreland",42129]
[null,null,"PA","Wyoming",42131]
[null,null,"PA","York",42133]
[null,null,"RI","Bristol",44001]
[null,null,"RI","Kent",44003]
[null,null,"RI","Newport",44005]
[null,null,"RI","Providence",44007]
[null,null,"RI","Washington",44009]
[null,null,"SC","Abbeville",45001]
[null,null,"SC","Aiken",45003]
[null,null,"SC","Allendale",45005]
[null,null,"SC","Anderson",45007]
[null,null,"SC","Bamberg",45009]
[null,null,"SC","Barnwell",45011]
[null,null,"SC","Beaufort",45013]
[null,null,"SC","Berkeley",45015]
[null,null,"SC","Calhoun",45017]
[null,null,"SC","Charleston",45019]
[null,null,"SC","Cherokee",45021]
[null,null,"SC","Chester",45023]
[null,null,"SC","Chesterfield",45025]
[null,null,"SC","Clarendon",45027]
[null,null,"SC","Colleton",45029]
[null,null,"SC","Darlington",45031]
[null,null,"SC","Dillon",45033]
[null,null,"SC","Dorchester",45035]
[null,null,"SC","Edgefield",45037]
[null,null,"SC","Fairfield",45039]
[null,null,"SC","Florence",45041]
[null,null,"SC","Georgetown",45043]
[null,null,"SC","Greenville",45045]
[null,null,"SC","Greenwood",45047]
[null,null,"SC","Hampton",45049]
[null,null,"SC","Horry",45051]
[null,null,"SC","Jasper",45053]
[null,null,"SC","Kershaw",45055]
[null,null,"SC","Lancaster",45057]
[null,null,"SC","Laurens",45059]
[null,null,"SC","Lee",45061]
[null,null,"SC","Lexington",45063]
[null,null,"SC","Marion",45067]
[null,null,"SC","Marlboro",45069]
[null,null,"SC","McCormick",45065]
[null,null,"SC","Newberry",45071]
[null,null,"SC","Oconee",45073]
[null,null,"SC","Orangeburg",45075]
[null,null,"SC","Pickens",45077]
[null,null,"SC","Richland",45079]
[null,null,"SC","Saluda",45081]
[null,null,"SC","Spartanburg",45083]
[null,null,"SC","Sumter",45085]
[null,null,"SC","Union",45087]
[null,null,"SC","Williamsburg",45089]
[null,null,"SC","York",45091]
[null,null,"SD","Aurora",46003]
[null,null,"SD","Beadle",46005]
[null,null,"SD","Bennett",46007]
[null,null,"SD","Bon Homme",46009]
[null,null,"SD","Brookings",46011]
[null,null,"SD","Brown",46013]
[null,null,"SD","Brule",46015]
[null,null,"SD","Buffalo",46017]
[null,null,"SD","Butte",46019]
[null,null,"SD","Campbell",46021]
[null,null,"SD","Charles Mix",46023]
[null,null,"SD","Clark",46025]
[null,null,"SD","Clay",46027]
[null,null,"SD","Codington",46029]
[null,null,"SD","Corson",46031]
[null,null,"SD","Custer",46033]
[null,null,"SD","Davison",46035]
[null,null,"SD","Day",46037]
[null,null,"SD","Deuel","46039"]
[null,null,"SD","Dewey",46041]
[null,null,"SD","Douglas",46043]
[null,null,"SD","Edmunds",46045]
[null,null,"SD","Fall River",46047]
[null,null,"SD","Faulk",46049]
[null,null,"SD","Grant",46051]
[null,null,"SD","Gregory",46053]
[null,null,"SD","Haakon",46055]
[null,null,"SD","Hamlin",46057]
[null,null,"SD","Hand",46059]
[null,null,"SD","Hanson",46061]
[null,null,"SD","Harding",46063]
[null,null,"SD","Hughes",46065]
[null,null,"SD","Hutchinson",46067]
[null,null,"SD","Hyde",46069]
[null,null,"SD","Jackson",46071]
[null,null,"SD","Jerauld",46073]
[null,null,"SD","Jones",46075]
[null,null,"SD","Kingsbury",46077]
[null,null,"SD","Lake",46079]
[null,null,"SD","Lawrence",46081]
[null,null,"SD","Lincoln",46083]
[null,null,"SD","Lyman",46085]
[null,null,"SD","Marshall",46091]
[null,null,"SD","McCook",46087]
[null,null,"SD","McPherson",46089]
[null,null,"SD","Meade",46093]
[null,null,"SD","Mellette",46095]
[null,null,"SD","Miner",46097]
[null,null,"SD","Minnehaha",46099]
[null,null,"SD","Moody",46101]
[null,null,"SD","Oglala Lakota",46102]
[null,null,"SD","Pennington",46103]
[null,null,"SD","Perkins",46105]
[null,null,"SD","Potter",46107]
[null,null,"SD","Roberts",46109]
[null,null,"SD","Sanborn",46111]
[null,null,"SD","Spink",46115]
[null,null,"SD","Stanley",46117]
[null,null,"SD","Sully",46119]
[null,null,"SD","Todd",46121]
[null,null,"SD","Tripp",46123]
[null,null,"SD","Turner",46125]
[null,null,"SD","Union",46127]
[null,null,"SD","Walworth",46129]
[null,null,"SD","Yankton",46135]
[null,null,"SD","Ziebach",46137]
[null,null,"TN","Anderson",47001]
[null,null,"TN","Bedford",47003]
[null,null,"TN","Benton",47005]
[null,null,"TN","Bledsoe",47007]
[null,null,"TN","Blount",47009]
[null,null,"TN","Bradley",47011]
[null,null,"TN","Campbell",47013]
[null,null,"TN","Cannon",47015]
[null,null,"TN","Carroll",47017]
[null,null,"TN","Carter",47019]
[null,null,"TN","Cheatham",47021]
[null,null,"TN","Chester",47023]
[null,null,"TN","Claiborne",47025]
[null,null,"TN","Clay",47027]
[null,null,"TN","Cocke",47029]
[null,null,"TN","Coffee",47031]
[null,null,"TN","Crockett",47033]
[null,null,"TN","Cumberland",47035]
[null,null,"TN","Davidson",47037]
[null,null,"TN","Decatur",47039]
[null,null,"TN","DeKalb",47041]
[null,null,"TN","Dickson",47043]
[null,null,"TN","Dyer",47045]
[null,null,"TN","Fayette",47047]
[null,null,"TN","Fentress",47049]
[null,null,"TN","Franklin",47051]
[null,null,"TN","Gibson",47053]
[null,null,"TN","Giles",47055]
[null,null,"TN","Grainger",47057]
[null,null,"TN","Greene",47059]
[null,null,"TN","Grundy",47061]
[null,null,"TN","Hamblen",47063]
[null,null,"TN","Hamilton",47065]
[null,null,"TN","Hancock",47067]
[null,null,"TN","Hardeman",47069]
[null,null,"TN","Hardin",47071]
[null,null,"TN","Hawkins",47073]
[null,null,"TN","Haywood",47075]
[null,null,"TN","Henderson",47077]
[null,null,"TN","Henry",47079]
[null,null,"TN","Hickman",47081]
[null,null,"TN","Houston",47083]
[null,null,"TN","Humphreys",47085]
[null,null,"TN","Jackson",47087]
[null,null,"TN","Jefferson",47089]
[null,null,"TN","Johnson",47091]
[null,null,"TN","Knox",47093]
[null,null,"TN","Lake",47095]
[null,null,"TN","Lauderdale",47097]
[null,null,"TN","Lawrence",47099]
[null,null,"TN","Lewis",47101]
[null,null,"TN","Lincoln",47103]
[null,null,"TN","Loudon",47105]
[null,null,"TN","Macon",47111]
[null,null,"TN","Madison",47113]
[null,null,"TN","Marion",47115]
[null,null,"TN","Marshall",47117]
[null,null,"TN","Maury",47119]
[null,null,"TN","McMinn",47107]
[null,null,"TN","McNairy",47109]
[null,null,"TN","Meigs",47121]
[null,null,"TN","Monroe",47123]
[null,null,"TN","Montgomery",47125]
[null,null,"TN","Moore",47127]
[null,null,"TN","Morgan",47129]
[null,null,"TN","Obion",47131]
[null,null,"TN","Overton",47133]
[null,null,"TN","Perry",47135]
[null,null,"TN","Pickett",47137]
[null,null,"TN","Polk",47139]
[null,null,"TN","Putnam",47141]
[null,null,"TN","Rhea",47143]
[null,null,"TN","Roane",47145]
[null,null,"TN","Robertson",47147]
[null,null,"TN","Rutherford",47149]
[null,null,"TN","Scott",47151]
[null,null,"TN","Sequatchie",47153]
[null,null,"TN","Sevier",47155]
[null,null,"TN","Shelby",47157]
[null,null,"TN","Smith",47159]
[null,null,"TN","Stewart",47161]
[null,null,"TN","Sullivan",47163]
[null,null,"TN","Sumner",47165]
[null,null,"TN","Tipton",47167]
[null,null,"TN","Trousdale",47169]
[null,null,"TN","Unicoi",47171]
[null,null,"TN","Union",47173]
[null,null,"TN","Van Buren",47175]
[null,null,"TN","Warren",47177]
[null,null,"TN","Washington",47179]
[null,null,"TN","Wayne",47181]
[null,null,"TN","Weakley",47183]
[null,null,"TN","White",47185]
[null,null,"TN","Williamson",47187]
[null,null,"TN","Wilson",47189]
[null,null,"TX","Anderson",48001]
[null,null,"TX","Andrews",48003]
[null,null,"TX","Angelina",48005]
[null,null,"TX","Aransas",48007]
[null,null,"TX","Archer",48009]
[null,null,"TX","Armstrong",48011]
[null,null,"TX","Atascosa",48013]
[null,null,"TX","Austin",48015]
[null,null,"TX","Bailey",48017]
[null,null,"TX","Bandera",48019]
[null,null,"TX","Bastrop",48021]
[null,null,"TX","Baylor",48023]
[null,null,"TX","Bee",48025]
[null,null,"TX","Bell",48027]
[null,null,"TX","Bexar",48029]
[null,null,"TX","Blanco",48031]
[null,null,"TX","Borden",48033]
[null,null,"TX","Bosque",48035]
[null,null,"TX","Bowie",48037]
[null,null,"TX","Brazoria",48039]
[null,null,"TX","Brazos",48041]
[null,null,"TX","Brewster",48043]
[null,null,"TX","Briscoe",48045]
[null,null,"TX","Brooks",48047]
[null,null,"TX","Brown",48049]
[null,null,"TX","Burleson",48051]
[null,null,"TX","Burnet",48053]
[null,null,"TX","Caldwell",48055]
[null,null,"TX","Calhoun",48057]
[null,null,"TX","Callahan",48059]
[null,null,"TX","Cameron",48061]
[null,null,"TX","Camp",48063]
[null,null,"TX","Carson",48065]
[null,null,"TX","Cass",48067]
[null,null,"TX","Castro",48069]
[null,null,"TX","Chambers",48071]
[null,null,"TX","Cherokee",48073]
[null,null,"TX","Childress",48075]
[null,null,"TX","Clay",48077]
[null,null,"TX","Cochran",48079]
[null,null,"TX","Coke",48081]
[null,null,"TX","Coleman",48083]
[null,null,"TX","Collin",48085]
[null,null,"TX","Collingsworth",48087]
[null,null,"TX","Colorado",48089]
[null,null,"TX","Comal",48091]
[null,null,"TX","Comanche",48093]
[null,null,"TX","Concho",48095]
[null,null,"TX","Cooke",48097]
[null,null,"TX","Coryell",48099]
[null,null,"TX","Cottle",48101]
[null,null,"TX","Crane",48103]
[null,null,"TX","Crockett",48105]
[null,null,"TX","Crosby",48107]
[null,null,"TX","Culberson",48109]
[null,null,"TX","Dallam",48111]
[null,null,"TX","Dallas",48113]
[null,null,"TX","Dawson",48115]
[null,null,"TX","De Witt",48123]
[null,null,"TX","Deaf Smith",48117]
[null,null,"TX","Delta",48119]
[null,null,"TX","Denton",48121]
[null,null,"TX","Dickens",48125]
[null,null,"TX","Dimmit",48127]
[null,null,"TX","Donley",48129]
[null,null,"TX","Duval",48131]
[null,null,"TX","Eastland",48133]
[null,null,"TX","Ector",48135]
[null,null,"TX","Edwards",48137]
[null,null,"TX","El Paso",48141]
[null,null,"TX","Ellis",48139]
[null,null,"TX","Erath",48143]
[null,null,"TX","Falls",48145]
[null,null,"TX","Fannin",48147]
[null,null,"TX","Fayette",48149]
[null,null,"TX","Fisher",48151]
[null,null,"TX","Floyd",48153]
[null,null,"TX","Foard",48155]
[null,null,"TX","Fort Bend",48157]
[null,null,"TX","Franklin",48159]
[null,null,"TX","Freestone",48161]
[null,null,"TX","Frio",48163]
[null,null,"TX","Gaines",48165]
[null,null,"TX","Galveston",48167]
[null,null,"TX","Garza",48169]
[null,null,"TX","Gillespie",48171]
[null,null,"TX","Glasscock",48173]
[null,null,"TX","Goliad",48175]
[null,null,"TX","Gonzales",48177]
[null,null,"TX","Gray",48179]
[null,null,"TX","Grayson",48181]
[null,null,"TX","Gregg",48183]
[null,null,"TX","Grimes",48185]
[null,null,"TX","Guadalupe",48187]
[null,null,"TX","Hale",48189]
[null,null,"TX","Hall",48191]
[null,null,"TX","Hamilton",48193]
[null,null,"TX","Hansford",48195]
[null,null,"TX","Hardeman",48197]
[null,null,"TX","Hardin",48199]
[null,null,"TX","Harris",48201]
[null,null,"TX","Harrison",48203]
[null,null,"TX","Hartley",48205]
[null,null,"TX","Haskell",48207]
[null,null,"TX","Hays",48209]
[null,null,"TX","Hemphill",48211]
[null,null,"TX","Henderson",48213]
[null,null,"TX","Hidalgo",48215]
[null,null,"TX","Hill",48217]
[null,null,"TX","Hockley",48219]
[null,null,"TX","Hood",48221]
[null,null,"TX","Hopkins",48223]
[null,null,"TX","Houston",48225]
[null,null,"TX","Howard",48227]
[null,null,"TX","Hudspeth",48229]
[null,null,"TX","Hunt",48231]
[null,null,"TX","Hutchinson",48233]
[null,null,"TX","Irion",48235]
[null,null,"TX","Jack",48237]
[null,null,"TX","Jackson",48239]
[null,null,"TX","Jasper",48241]
[null,null,"TX","Jeff Davis",48243]
[null,null,"TX","Jefferson",48245]
[null,null,"TX","Jim Hogg",48247]
[null,null,"TX","Jim Wells",48249]
[null,null,"TX","Johnson",48251]
[null,null,"TX","Jones",48253]
[null,null,"TX","Karnes",48255]
[null,null,"TX","Kaufman",48257]
[null,null,"TX","Kendall",48259]
[null,null,"TX","Kenedy",48261]
[null,null,"TX","Kent",48263]
[null,null,"TX","Kerr",48265]
[null,null,"TX","Kimble",48267]
[null,null,"TX","King",48269]
[null,null,"TX","Kinney",48271]
[null,null,"TX","Kleberg",48273]
[null,null,"TX","Knox",48275]
[null,null,"TX","La Salle",48283]
[null,null,"TX","Lamar",48277]
[null,null,"TX","Lamb",48279]
[null,null,"TX","Lampasas",48281]
[null,null,"TX","Lavaca",48285]
[null,null,"TX","Lee",48287]
[null,null,"TX","Leon",48289]
[null,null,"TX","Liberty",48291]
[null,null,"TX","Limestone",48293]
[null,null,"TX","Lipscomb",48295]
[null,null,"TX","Live Oak",48297]
[null,null,"TX","Llano",48299]
[null,null,"TX","Loving",48301]
[null,null,"TX","Lubbock",48303]
[null,null,"TX","Lynn",48305]
[null,null,"TX","Madison",48313]
[null,null,"TX","Marion",48315]
[null,null,"TX","Martin",48317]
[null,null,"TX","Mason",48319]
[null,null,"TX","Matagorda",48321]
[null,null,"TX","Maverick",48323]
[null,null,"TX","McCulloch",48307]
[null,null,"TX","McLennan",48309]
[null,null,"TX","McMullen",48311]
[null,null,"TX","Medina",48325]
[null,null,"TX","Menard",48327]
[null,null,"TX","Midland",48329]
[null,null,"TX","Milam",48331]
[null,null,"TX","Mills",48333]
[null,null,"TX","Mitchell",48335]
[null,null,"TX","Montague",48337]
[null,null,"TX","Montgomery",48339]
[null,null,"TX","Moore",48341]
[null,null,"TX","Morris",48343]
[null,null,"TX","Motley",48345]
[null,null,"TX","Nacogdoches",48347]
[null,null,"TX","Navarro",48349]
[null,null,"TX","Newton",48351]
[null,null,"TX","Nolan",48353]
[null,null,"TX","Nueces",48355]
[null,null,"TX","Ochiltree",48357]
[null,null,"TX","Oldham",48359]
[null,null,"TX","Orange",48361]
[null,null,"TX","Palo Pinto",48363]
[null,null,"TX","Panola",48365]
[null,null,"TX","Parker",48367]
[null,null,"TX","Parmer",48369]
[null,null,"TX","Pecos",48371]
[null,null,"TX","Polk",48373]
[null,null,"TX","Potter",48375]
[null,null,"TX","Presidio",48377]
[null,null,"TX","Rains",48379]
[null,null,"TX","Randall",48381]
[null,null,"TX","Reagan",48383]
[null,null,"TX","Real",48385]
[null,null,"TX","Red River",48387]
[null,null,"TX","Reeves",48389]
[null,null,"TX","Refugio",48391]
[null,null,"TX","Roberts",48393]
[null,null,"TX","Robertson",48395]
[null,null,"TX","Rockwall",48397]
[null,null,"TX","Runnels",48399]
[null,null,"TX","Rusk",48401]
[null,null,"TX","Sabine",48403]
[null,null,"TX","San Augustine",48405]
[null,null,"TX","San Jacinto",48407]
[null,null,"TX","San Patricio",48409]
[null,null,"TX","San Saba",48411]
[null,null,"TX","Schleicher",48413]
[null,null,"TX","Scurry",48415]
[null,null,"TX","Shackelford",48417]
[null,null,"TX","Shelby",48419]
[null,null,"TX","Sherman",48421]
[null,null,"TX","Smith",48423]
[null,null,"TX","Somervell",48425]
[null,null,"TX","Starr",48427]
[null,null,"TX","Stephens",48429]
[null,null,"TX","Sterling",48431]
[null,null,"TX","Stonewall",48433]
[null,null,"TX","Sutton",48435]
[null,null,"TX","Swisher",48437]
[null,null,"TX","Tarrant",48439]
[null,null,"TX","Taylor",48441]
[null,null,"TX","Terrell",48443]
[null,null,"TX","Terry",48445]
[null,null,"TX","Throckmorton",48447]
[null,null,"TX","Titus",48449]
[null,null,"TX","Tom Green",48451]
[null,null,"TX","Travis",48453]
[null,null,"TX","Trinity",48455]
[null,null,"TX","Tyler",48457]
[null,null,"TX","Upshur",48459]
[null,null,"TX","Upton",48461]
[null,null,"TX","Uvalde",48463]
[null,null,"TX","Val Verde",48465]
[null,null,"TX","Van Zandt",48467]
[null,null,"TX","Victoria",48469]
[null,null,"TX","Walker",48471]
[null,null,"TX","Waller",48473]
[null,null,"TX","Ward",48475]
[null,null,"TX","Washington",48477]
[null,null,"TX","Webb",48479]
[null,null,"TX","Wharton",48481]
[null,null,"TX","Wheeler",48483]
[null,null,"TX","Wichita",48485]
[null,null,"TX","Wilbarger",48487]
[null,null,"TX","Willacy",48489]
[null,null,"TX","Williamson",48491]
[null,null,"TX","Wilson",48493]
[null,null,"TX","Winkler",48495]
[null,null,"TX","Wise",48497]
[null,null,"TX","Wood",48499]
[null,null,"TX","Yoakum",48501]
[null,null,"TX","Young",48503]
[null,null,"TX","Zapata",48505]
[null,null,"TX","Zavala",48507]
[null,null,"UT","Beaver",49001]
[null,null,"UT","Box Elder",49003]
[null,null,"UT","Cache",49005]
[null,null,"UT","Carbon",49007]
[null,null,"UT","Daggett",49009]
[null,null,"UT","Davis",49011]
[null,null,"UT","Duchesne",49013]
[null,null,"UT","Emery",49015]
[null,null,"UT","Garfield",49017]
[null,null,"UT","Grand",49019]
[null,null,"UT","Iron",49021]
[null,null,"UT","Juab",49023]
[null,null,"UT","Kane",49025]
[null,null,"UT","Millard",49027]
[null,null,"UT","Morgan",49029]
[null,null,"UT","Piute",49031]
[null,null,"UT","Rich",49033]
[null,null,"UT","Salt Lake",49035]
[null,null,"UT","San Juan",49037]
[null,null,"UT","Sanpete",49039]
[null,null,"UT","Sevier",49041]
[null,null,"UT","Summit",49043]
[null,null,"UT","Tooele",49045]
[null,null,"UT","Uintah",49047]
[null,null,"UT","Utah",49049]
[null,null,"UT","Wasatch",49051]
[null,null,"UT","Washington",49053]
[null,null,"UT","Wayne",49055]
[null,null,"UT","Weber",49057]
[null,null,"VA","Accomack",51001]
[null,null,"VA","Albemarle",51003]
[null,null,"VA","Alexandria City",51510]
[null,null,"VA","Alleghany",51005]
[null,null,"VA","Amelia",51007]
[null,null,"VA","Amherst",51009]
[null,null,"VA","Appomattox",51011]
[null,null,"VA","Arlington",51013]
[null,null,"VA","Augusta",51015]
[null,null,"VA","Bath",51017]
[null,null,"VA","Bedford",51019]
[null,null,"VA","Bland",51021]
[null,null,"VA","Botetourt",51023]
[null,null,"VA","Bristol City",51520]
[null,null,"VA","Brunswick",51025]
[null,null,"VA","Buchanan",51027]
[null,null,"VA","Buckingham",51029]
[null,null,"VA","Buena Vista City",51530]
[null,null,"VA","Campbell",51031]
[null,null,"VA","Caroline",51033]
[null,null,"VA","Carroll",51035]
[null,null,"VA","Charles City",51036]
[null,null,"VA","Charlotte",51037]
[null,null,"VA","Charlottesville City",51540]
[null,null,"VA","Chesapeake City",51550]
[null,null,"VA","Chesterfield",51041]
[null,null,"VA","Clarke",51043]
[null,null,"VA","Colonial Heights City",51570]
[null,null,"VA","Covington City",51580]
[null,null,"VA","Craig",51045]
[null,null,"VA","Culpeper",51047]
[null,null,"VA","Cumberland",51049]
[null,null,"VA","Danville City",51590]
[null,null,"VA","Dickenson",51051]
[null,null,"VA","Dinwiddie",51053]
[null,null,"VA","Emporia City",51595]
[null,null,"VA","Essex",51057]
[null,null,"VA","Fairfax",51059]
[null,null,"VA","Fairfax City",51600]
[null,null,"VA","Falls Church City",51610]
[null,null,"VA","Fauquier",51061]
[null,null,"VA","Floyd",51063]
[null,null,"VA","Fluvanna",51065]
[null,null,"VA","Franklin",51067]
[null,null,"VA","Franklin City",51620]
[null,null,"VA","Frederick",51069]
[null,null,"VA","Fredericksburg City",51630]
[null,null,"VA","Galax City",51640]
[null,null,"VA","Giles",51071]
[null,null,"VA","Gloucester",51073]
[null,null,"VA","Goochland",51075]
[null,null,"VA","Grayson",51077]
[null,null,"VA","Greene",51079]
[null,null,"VA","Greensville",51081]
[null,null,"VA","Halifax",51083]
[null,null,"VA","Hampton City",51650]
[null,null,"VA","Hanover",51085]
[null,null,"VA","Harrisonburg City",51660]
[null,null,"VA","Henrico",51087]
[null,null,"VA","Henry",51089]
[null,null,"VA","Highland",51091]
[null,null,"VA","Hopewell City",51670]
[null,null,"VA","Isle of Wight",51093]
[null,null,"VA","James City",51095]
[null,null,"VA","King and Queen",51097]
[null,null,"VA","King George",51099]
[null,null,"VA","King William",51101]
[null,null,"VA","Lancaster",51103]
[null,null,"VA","Lee",51105]
[null,null,"VA","Lexington City",51678]
[null,null,"VA","Loudoun",51107]
[null,null,"VA","Louisa",51109]
[null,null,"VA","Lunenburg",51111]
[null,null,"VA","Lynchburg City",51680]
[null,null,"VA","Madison",51113]
[null,null,"VA","Manassas City",51683]
[null,null,"VA","Manassas Park City",51685]
[null,null,"VA","Martinsville City",51690]
[null,null,"VA","Mathews",51115]
[null,null,"VA","Mecklenburg",51117]
[null,null,"VA","Middlesex",51119]
[null,null,"VA","Montgomery",51121]
[null,null,"VA","Nelson",51125]
[null,null,"VA","New Kent",51127]
[null,null,"VA","Newport News City",51700]
[null,null,"VA","Norfolk City",51710]
[null,null,"VA","Northampton",51131]
[null,null,"VA","Northumberland",51133]
[null,null,"VA","Norton City",51720]
[null,null,"VA","Nottoway",51135]
[null,null,"VA","Orange",51137]
[null,null,"VA","Page",51139]
[null,null,"VA","Patrick",51141]
[null,null,"VA","Petersburg City",51730]
[null,null,"VA","Pittsylvania",51143]
[null,null,"VA","Poquoson City",51735]
[null,null,"VA","Portsmouth City",51740]
[null,null,"VA","Powhatan",51145]
[null,null,"VA","Prince Edward",51147]
[null,null,"VA","Prince George",51149]
[null,null,"VA","Prince William",51153]
[null,null,"VA","Pulaski",51155]
[null,null,"VA","Radford",51750]
[null,null,"VA","Rappahannock",51157]
[null,null,"VA","Richmond",51159]
[null,null,"VA","Richmond City",51760]
[null,null,"VA","Roanoke",51161]
[null,null,"VA","Roanoke City",51770]
[null,null,"VA","Rockbridge",51163]
[null,null,"VA","Rockingham",51165]
[null,null,"VA","Russell",51167]
[null,null,"VA","Salem",51775]
[null,null,"VA","Scott",51169]
[null,null,"VA","Shenandoah",51171]
[null,null,"VA","Smyth",51173]
[null,null,"VA","Southampton",51175]
[null,null,"VA","Spotsylvania",51177]
[null,null,"VA","Stafford",51179]
[null,null,"VA","Staunton City",51790]
[null,null,"VA","Suffolk City",51800]
[null,null,"VA","Surry",51181]
[null,null,"VA","Sussex",51183]
[null,null,"VA","Tazewell",51185]
[null,null,"VA","Virginia Beach City",51810]
[null,null,"VA","Warren",51187]
[null,null,"VA","Washington",51191]
[null,null,"VA","Waynesboro City",51820]
[null,null,"VA","Westmoreland",51193]
[null,null,"VA","Williamsburg City",51830]
[null,null,"VA","Winchester City",51840]
[null,null,"VA","Wise",51195]
[null,null,"VA","Wythe",51197]
[null,null,"VA","York",51199]
[null,null,"VT","Addison",50001]
[null,null,"VT","Bennington",50003]
[null,null,"VT","Caledonia",50005]
[null,null,"VT","Chittenden",50007]
[null,null,"VT","Essex",50009]
[null,null,"VT","Franklin",50011]
[null,null,"VT","Grand Isle",50013]
[null,null,"VT","Lamoille",50015]
[null,null,"VT","Orange",50017]
[null,null,"VT","Orleans",50019]
[null,null,"VT","Rutland",50021]
[null,null,"VT","Washington",50023]
[null,null,"VT","Windham",50025]
[null,null,"VT","Windsor",50027]
[null,null,"WA","Adams",53001]
[null,null,"WA","Asotin",53003]
[null,null,"WA","Benton",53005]
[null,null,"WA","Chelan",53007]
[null,null,"WA","Clallam",53009]
[null,null,"WA","Clark",53011]
[null,null,"WA","Columbia",53013]
[null,null,"WA","Cowlitz",53015]
[null,null,"WA","Douglas",53017]
[null,null,"WA","Ferry",53019]
[null,null,"WA","Franklin",53021]
[null,null,"WA","Garfield",53023]
[null,null,"WA","Grant",53025]
[null,null,"WA","Grays Harbor",53027]
[null,null,"WA","Island",53029]
[null,null,"WA","Jefferson",53031]
[null,null,"WA","King",53033]
[null,null,"WA","Kitsap",53035]
[null,null,"WA","Kittitas",53037]
[null,null,"WA","Klickitat",53039]
[null,null,"WA","Lewis",53041]
[null,null,"WA","Lincoln",53043]
[null,null,"WA","Mason",53045]
[null,null,"WA","Okanogan",53047]
[null,null,"WA","Pacific",53049]
[null,null,"WA","Pend Oreille",53051]
[null,null,"WA","Pierce",53053]
[null,null,"WA","San Juan",53055]
[null,null,"WA","Skagit",53057]
[null,null,"WA","Skamania",53059]
[null,null,"WA","Snohomish",53061]
[null,null,"WA","Spokane",53063]
[null,null,"WA","Stevens",53065]
[null,null,"WA","Thurston",53067]
[null,null,"WA","Wahkiakum",53069]
[null,null,"WA","Walla Walla",53071]
[null,null,"WA","Whatcom",53073]
[null,null,"WA","Whitman",53075]
[null,null,"WA","Yakima",53077]
[null,null,"WI","Adams",55001]
[null,null,"WI","Ashland",55003]
[null,null,"WI","Barron",55005]
[null,null,"WI","Bayfield",55007]
[null,null,"WI","Brown",55009]
[null,null,"WI","Buffalo",55011]
[null,null,"WI","Burnett",55013]
[null,null,"WI","Calumet",55015]
[null,null,"WI","Chippewa",55017]
[null,null,"WI","Clark",55019]
[null,null,"WI","Columbia",55021]
[null,null,"WI","Crawford",55023]
[null,null,"WI","Dane",55025]
[null,null,"WI","Dodge",55027]
[null,null,"WI","Door",55029]
[null,null,"WI","Douglas",55031]
[null,null,"WI","Dunn",55033]
[null,null,"WI","Eau Claire",55035]
[null,null,"WI","Florence",55037]
[null,null,"WI","Fond du Lac",55039]
[null,null,"WI","Forest",55041]
[null,null,"WI","Grant",55043]
[null,null,"WI","Green",55045]
[null,null,"WI","Green Lake",55047]
[null,null,"WI","Iowa",55049]
[null,null,"WI","Iron",55051]
[null,null,"WI","Jackson",55053]
[null,null,"WI","Jefferson",55055]
[null,null,"WI","Juneau",55057]
[null,null,"WI","Kenosha",55059]
[null,null,"WI","Kewaunee",55061]
[null,null,"WI","La Crosse",55063]
[null,null,"WI","Lafayette",55065]
[null,null,"WI","Langlade",55067]
[null,null,"WI","Lincoln",55069]
[null,null,"WI","Manitowoc",55071]
[null,null,"WI","Marathon",55073]
[null,null,"WI","Marinette",55075]
[null,null,"WI","Marquette",55077]
[null,null,"WI","Menominee",55078]
[null,null,"WI","Milwaukee",55079]
[null,null,"WI","Monroe",55081]
[null,null,"WI","Oconto",55083]
[null,null,"WI","Oneida",55085]
[null,null,"WI","Outagamie",55087]
[null,null,"WI","Ozaukee",55089]
[null,null,"WI","Pepin",55091]
[null,null,"WI","Pierce",55093]
[null,null,"WI","Polk",55095]
[null,null,"WI","Portage",55097]
[null,null,"WI","Price",55099]
[null,null,"WI","Racine",55101]
[null,null,"WI","Richland",55103]
[null,null,"WI","Rock",55105]
[null,null,"WI","Rusk",55107]
[null,null,"WI","Saint Croix",55109]
[null,null,"WI","Sauk",55111]
[null,null,"WI","Sawyer",55113]
[null,null,"WI","Shawano",55115]
[null,null,"WI","Sheboygan",55117]
[null,null,"WI","Taylor",55119]
[null,null,"WI","Trempealeau",55121]
[null,null,"WI","Vernon",55123]
[null,null,"WI","Vilas",55125]
[null,null,"WI","Walworth",55127]
[null,null,"WI","Washburn",55129]
[null,null,"WI","Washington",55131]
[null,null,"WI","Waukesha",55133]
[null,null,"WI","Waupaca",55135]
[null,null,"WI","Waushara",55137]
[null,null,"WI","Winnebago",55139]
[null,null,"WI","Wood",55141]
[null,null,"WV","Barbour",54001]
[null,null,"WV","Berkeley",54003]
[null,null,"WV","Boone",54005]
[null,null,"WV","Braxton",54007]
[null,null,"WV","Brooke",54009]
[null,null,"WV","Cabell",54011]
[null,null,"WV","Calhoun",54013]
[null,null,"WV","Clay",54015]
[null,null,"WV","Doddridge",54017]
[null,null,"WV","Fayette",54019]
[null,null,"WV","Gilmer",54021]
[null,null,"WV","Grant",54023]
[null,null,"WV","Greenbrier",54025]
[null,null,"WV","Hampshire",54027]
[null,null,"WV","Hancock",54029]
[null,null,"WV","Hardy",54031]
[null,null,"WV","Harrison",54033]
[null,null,"WV","Jackson",54035]
[null,null,"WV","Jefferson",54037]
[null,null,"WV","Kanawha",54039]
[null,null,"WV","Lewis",54041]
[null,null,"WV","Lincoln",54043]
[null,null,"WV","Logan",54045]
[null,null,"WV","Marion",54049]
[null,null,"WV","Marshall",54051]
[null,null,"WV","Mason",54053]
[null,null,"WV","McDowell",54047]
[null,null,"WV","Mercer",54055]
[null,null,"WV","Mineral",54057]
[null,null,"WV","Mingo",54059]
[null,null,"WV","Monongalia",54061]
[null,null,"WV","Monroe",54063]
[null,null,"WV","Morgan",54065]
[null,null,"WV","Nicholas",54067]
[null,null,"WV","Ohio",54069]
[null,null,"WV","Pendleton",54071]
[null,null,"WV","Pleasants",54073]
[null,null,"WV","Pocahontas",54075]
[null,null,"WV","Preston",54077]
[null,null,"WV","Putnam",54079]
[null,null,"WV","Raleigh",54081]
[null,null,"WV","Randolph",54083]
[null,null,"WV","Ritchie",54085]
[null,null,"WV","Roane",54087]
[null,null,"WV","Summers",54089]
[null,null,"WV","Taylor",54091]
[null,null,"WV","Tucker",54093]
[null,null,"WV","Tyler",54095]
[null,null,"WV","Upshur",54097]
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{"sheet":"Errors","index":13,"n_rows":2,"n_cols":3,"rows_kept":2,"merged":[[0,0,0,2]]}
["Below are the validation errors that were identified in the submitted data. Please correct these errors. You must have a valid template before you can export data to XML files. Select the Cell address that is underlined and highlighted in blue to navigate to the specified error. \n\nImportant Note: If one or more rows are deleted in a provider tab or data is reorganized, cell hyperlinks in that tab may no longer be accurate. Please re-run the data validation on the 'User Control' tab to refresh the hyperlinks if this occurs."]
["Tab","Cell","Validation Error Message"]