2013 Open Payments Cycle Teaching Hospital List (May 2013)

OPEN PAYMENTS List of Teaching Hospitals
May 2013 Posting

Legal Business Name
Providence Health & Services - Washington
Affinity Hospital Llc
Dch Health Care Authority
Infirmary Health Hospitals, Inc.
Jefferson County Commission
Mobile Infirmary Association
Princeton Baptist Medical Center
Providence Hospital
St. Vincent'S East
St. Vincent'S Hospital
The Eye Foundation Inc.
The Health Care Authority For Baptist Health, An Affiliate Of Uabhs
The Health Care Authority Of The City Of Huntsville
University Of Alabama At Birmingham
University Of South Alabama
University Of South Alabama
Vaughan Regional Medical Center Llc
Arkansas Childrens Hospital
Baptist Health
BAPTIST MEMORIAL HOSPITAL-JONESBORO INC
Crittenden Hospital Association, Inc
Jefferson Hospital Assn Inc
Mcsa Llc
Northwest Arkansas Hospitals Llc
St Bernards Hospital Inc
St. Vincent Infirmary Medical Center
University Of Arkansas For Medical Sciences
Washington Regional Medical Center
Banner Del E Webb Medical Center
Banner Good Samaritan Medical Center
Dignity Health
John C. Lincoln Health Network
John C. Lincoln Health Network
KINGMAN HOSPITAL INC
Maricopa County Special Health Care District
Mayo Clinic Arizona
Phoenix Children'S Hospital
Scottsdale Healthcare Hospitals
Scottsdale Healthcare Hospitals
Sierra Vista Regional Health Center Inc
Sun Health Corporation
Tucson Medical Center
University Medical Center Corporation
University Physicians Healthcare
Verde Valley Medical Center
Vhs Of Phoenix Inc
Alameda County Medical Center
Cedars-Sinai Medical Center
Central Valley General Hospital
Children'S Hospital & Research Center At Oakland
Children'S Hospital Central California
Childrens Hospital Of Los Angeles
Children'S Hospital Of Orange County
TIN
920016429
203391873
636000271
203713023
636001579
630288856
631105935
630288861
630578923
630288864
630459034
203204949
630845288
636005396
630477348
630477348
621864231
710236857
710236856
261214372
710236932
710329353
710785071
205896848
710290019
710236917
716046242
710664687
900389312
270036499
941196203
860117301
860117301
942916102
860830701
860800150
860422559
860181654
860181654
860186064
942745413
860137567
860492210
341996064
860100882
621809851
943302014
951644600
770324630
940382330
941294954
951690977
952321786
Street Address 1
3200 Providence Dr
800 Montclair Rd
809 University Blvd E
5600 Girby Rd
1515 6th Ave S
3 Mobile Infirmary Cir
701 Princeton Ave SW
6801 Airport Blvd
50 Medical Park Dr E
810 Saint Vincents Dr
1720 University Blvd
2105 E South Blvd
101 Sivley Rd SW
500 22nd St S
1700 Center St
2451 Fillingim St
1015 Medical Center Pkwy
1 Childrens Way
9601 Interstate 630 Exit 7
3024 Stadium Blvd
200 W Tyler Ave
1600 W. 40th Avenue
701 W Grove St
609 W Maple Ave
225 E Jackson Ave
2 Saint Vincent Cir
4301 W Markham St
3215 N Northhills Blvd
14502 W Meeker Blvd
1111 E McDowell Rd
350 W Thomas Rd
19829 N 27th Ave
250 E Dunlap Ave
City
Anchorage
Birmingham
Tuscaloosa
Mobile
Birmingham
Mobile
Birmingham
Mobile
Birmingham
Birmingham
Birmingham
Montgomery
Huntsville
Birmingham
Mobile
Mobile
Selma
Little Rock
Little Rock
Jonesboro
West Memphis
Pine Bluff
El Dorado
Springdale
Jonesboro
Little Rock
Little Rock
Fayetteville
Sun City West
Phoenix
Phoenix
Phoenix
Phoenix
State
AK
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AZ
AZ
AZ
AZ
AZ
Zip-Code
99508
35213
35401
36693
35233
36607
35211
36608
35235
35205
35233
36116
35801
35233
36604
36617
36701
72202
72205
72401
72301
71603
71730
72764
72401
72205
72205
72703
85375
85006
85013
85027
85020
3269 Stockton Hill Rd
Kingman
AZ
86409
2601 E Roosevelt St
5777 E Mayo Blvd
1919 E Thomas Rd
7400 E Osborn Rd
9003 E Shea Blvd
300 El Camino Real
10401 W Thunderbird Blvd
5301 E Grant Rd
1501 N Campbell Ave
2800 E Ajo Way
269 S Candy Ln
2000 W Bethany Home Rd
1411 E 31st St
8700 Beverly Blvd
1025 N Douty St
747 52nd St
9300 Valley Childrens Pl
4650 W Sunset Blvd
455 S Main St
Phoenix
Phoenix
Phoenix
Scottsdale
Scottsdale
Sierra Vista
Sun City
Tucson
Tucson
Tucson
Cottonwood
Phoenix
Oakland
Los Angeles
Hanford
Oakland
Madera
Los Angeles
Orange
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
CA
CA
CA
CA
CA
CA
CA
85008
85054
85016
85251
85260
85635
85351
85712
85724
85713
86326
85015
94602
90048
93230
94609
93636
90027
92868
Page 1 of 21
Street Address 2
Legal Business Name

City & County Of San Francisco
City Of Hope National Medical Center
Coast Plaza Doctors Hospital
Community Memorial Health System
Contra Costa County
County Of Kern
County Of Los Angeles Auditor Controller
County Of Riverside
County Of San Bernardino
County Of San Mateo
County Of Santa Clara
County Of Ventura
Cph Hospital Management, Llc
Dignity Health
Dignity Health
Dignity Health
Dignity Health
Dignity Health
Dignity Health
Dignity Health
Dignity Health
Dignity Health
Dignity Health
Doctors Hospital Of West Covina, Inc.
Doctors Medical Center Of Modesto, Inc.
Downey Regional Medical Center-Hospital, Inc
Fountain Valley Regional Hospital & Medical Center
Fresno Community Hospital And Medical Center
Glendale Adventist Medical Center
Good Samaritan Hospital
Hanford Community Hospital
Healthsmart Pacific Inc
Kaiser Foundation Hospitals
TIN
946000417
951683875
954282160
951683892
946000509
956000925
956000927
956000927
956000927
956000927
956000930
956002748
946000532
946000533
956000944
451738512
941196203
941196203
941196203
941196203
941196203
941196203
941196203
941196203
941196203
941196203
954236723
752918774
951903935
952768729
941156276
951816017
951656366
940535360
330730569
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
941105628
Street Address 1
1001 Potrero Ave
1500 E Duarte Rd
13100 Studebaker Rd
147 N Brent St
2500 Alhambra Ave
1700 Mount Vernon Avenue
1000 W Carson St
1200 N State St
14445 Olive View Dr
7601 Imperial Hwy
26520 Cactus Ave
400 N Pepper Ave
222 W 39th Ave
751 S Bascom Ave
3291 Loma Vista Rd
13100 Studebaker Rd
1050 Linden Ave
1401 S Grand Ave
1800 N California St
18300 Roscoe Blvd
2175 Rosaline Ave
333 Mercy Ave
4001 J St
450 Stanyan St
6501 Coyle Ave
7500 Hospital Dr
725 S Orange Ave
1441 Florida Ave
11500 Brookshire Ave
17100 Euclid St
2823 Fresno St
1509 Wilson Ter
1225 Wilshire Blvd
450 Greenfield Ave
2776 Pacific Ave
1 Quality Dr
1011 Baldwin Park Blvd
10800 Magnolia Ave
1150 Veterans Blvd
1200 El Camino Real
13652 Cantara St
1425 S Main St
1777 W Yosemite Ave
2025 Morse Ave
2425 Geary Blvd
250 Hospital Pkwy
25825 Vermont Ave
27400 Hesperian Blvd
280 W MacArthur Blvd
3440 E. La Palma Ave
401 Bicentennial Way
4501 Sand Creek Road
4647 Zion Ave
4867 Sunset Blvd
5601 De Soto Ave
6041 Cadillac Ave
Page 2 of 21
Street Address 2
SCVMC Acute Care Hospital
City
San Francisco
Duarte
Norwalk
Ventura
Martinez
Bakersfield
Torrance
Los Angeles
Sylmar
Downey
Moreno Valley
Colton
San Mateo
San Jose
Ventura
Norwalk
Long Beach
Los Angeles
Stockton
Northridge
Redding
Merced
Sacramento
San Francisco
Carmichael
Sacramento
West Covina
Modesto
Downey
Fountain Valley
Fresno
Glendale
Los Angeles
Hanford
Long Beach
Vacaville
Baldwin Park
Riverside
Redwood City
South San Francisco
Panorama City
Walnut Creek
Manteca
Sacramento
San Francisco
San Jose
Harbor City
Hayward
Oakland
Anaheim
Santa Rosa
Antioch
San Diego
Los Angeles
Woodland Hills
Los Angeles
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
Zip-Code
94110
91010
90650
93003
94553
93306
90502
90033
91342
90242
92555
92324
94403
95128
93003
90650
90813
90015
95204
91325
96001
95340
95819
94117
95608
95823
91790
95350
90241
92708
93721
91206
90017
93230
90806
95688
91706
92505
94063
94080
91402
94596
95337
95825
94115
95119
90710
94545
94611
92806
95403
94531
92120
90027
91367
90034
Legal Business Name

Lakewood Regional Medical Center, Inc.
Loma Linda University Behavioral Medicine Center, Inc.
Long Beach Memorial Medical
Lucile Salter Packard Children'S Hospital At Stanford
Monterey County Health Department Laboratory
O'Connor Hospital
Palomar Pomerado Health
Pasadena Hospital Association, Ltd.
Pomona Valley Hospital Medical Center
Presbyterian Intercommunity Hospital, Inc.
Providence Health System-Southern California
Rady Children'S Hospital - San Diego
Regents Of The University Of California
Saddleback Memorial Medical Center
Saint Francis Memorial Hospital
San Joaquin County Behavioral Health Services
Santa Barbara Cottage Hospital
Scripps Health
Scripps Health
Seton Medical Center
Seventh Day Adventists Loma Linda University Medical Center, Inc.
St. Vincent Medical Center
STANFORD LIFE FLIGHT
Success Healthcare 1 Llc
Sutter Health Sacramento Sierra Region
Sutter Health Sacramento Sierra Region
Sutter West Bay Hospitals
Tenet Healthsystem Desert, Inc.
The Regents Of The University Of California
Tri-City Hospital
Uc Regents Maxillofacial Prosthetics Clinic
Uc Regents Maxillofacial Prosthetics Clinic
Ucsd Medical Center
University Of California - San Francisco
University Of California Irvine
University Of California San Francisco
University Of Southern California
University Of Southern California
Veritas Health Services, Inc.
White Memorial Medical Center
Wmc-Sa Inc
Catholic Health Initiatives Colorado
Children'S Hospital Colorado
TIN
941105628
941105628
941105628
941105628
941105628
941105628
941105628
752919841
330245579
953527031
770003859
946000524
912154436
956003843
951644036
951115230
951934652
510216589
951691313
946036494
952585792
941156295
946000531
951644629
951684089
951684089
912154441
953522679
912154438
061595417
263366535
941156621
941156621
940562680
940562680
940562680
940562680
752694137
954541687
952126937
956006143
956006143
330599494
946036493
952226406
943281657
951642394
951642394
330928285
952282647
550883862
840405257
840405257
840405257
840405257
840166760
Street Address 1
6600 Bruceville Rd
700 Lawrence Expy
7300 N Fresno St
9333 Imperial Hwy
975 Sereno Dr
99 Montecillo Rd
9961 Sierra Ave
3700 South St
1710 Barton Rd
2801 Atlantic Ave
725 Welch Rd
1441 Constitution Blvd
2105 Forest Ave
555 E Valley Pkwy
100 W California Blvd
1798 N. Garey Ave.
12401 Washington Blvd
18321 Clark St
3020 Childrens Way
2315 Stockton Blvd
24451 Health Center Dr
900 Hyde St
500 W. Hospital Rd.
400 West Pueblo
10666 N Torrey Pines Rd
4077 5th Ave
1900 Sullivan Ave
11234 Anderson St
2131 W 3rd St
300 Pasteur Dr
1711 W Temple St
2000 Sutter Pl
2801 L St
2333 Buchanan Street
3325 Chanate Rd
3555 Cesar Chavez Street
45 Castro Street
1150 N Indian Canyon Dr
1250 16th St
4002 Vista Way
150 Medical Plz
757 Westwood Plz
200 West Arbor Drive
401 Parnassus Ave
101 The City Dr S
505 Parnassus Ave
1441 Eastlake Ave
1500 San Pablo St
5451 Walnut Ave
1720 E Cesar E Chavez Ave
1001 N Tustin Ave
1008 Minnequa Ave
2222 N Nevada Ave
2551 W 84th Ave
4231 W 16th Ave
13123 E. 16th Ave.
Page 3 of 21
Street Address 2
mail code 5500
Mail Code 5002
Room 1140
MC8937
City
Sacramento
Santa Clara
Fresno
Downey
Vallejo
San Rafael
Fontana
Lakewood
Redlands
Long Beach
Palo Alto
Salinas
San Jose
Escondido
Pasadena
Pomona
Whittier
Tarzana
San Diego
Sacramento
Laguna Hills
San Francisco
French Camp
Santa Barbara
La Jolla
San Diego
Daly City
Loma Linda
Los Angeles
Stanford
Los Angeles
Davis
Sacramento
San Francisco
Santa Rosa
San Francisco
San Francisco
Palm Springs
Santa Monica
Oceanside
Los Angeles
Los Angeles
San Diego
San Francisco
Orange
San Francisco
Los Angeles
Los Angeles
Chino
Los Angeles
Santa Ana
Pueblo
Colorado Springs
Westminster
Denver
Aurora
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CO
CO
CO
CO
CO
Zip-Code
95823
95051
93720
90242
94589
94903
92335
90712
92373
90806
94304
93906
95128
92025
91105
91767
90602
91356
92123
95817
92653
94109
95231
93105
92037
92103
94015
92354
90057
94305
90026
95616
95816
94115
95404
94110
94114
92262
90404
92056
90095
90095
92103
94143
92868
94143
90089
90033
91710
90033
92705
81004
80907
80031
80204
80045
Legal Business Name

TIN
Craig Hospital
840404233
Denver Health And Hospital Authority
841343242
Hca Healthone Llc
841321373
HCA HEALTHONE LLC
841321373
Hca Healthone Llc
841321373
Hca Healthone Llc
841321373
Hca Healthone Llc
841321373
Hca Healthone Llc
841321373
National Jewish Health
742044647
North Colorado Medical Center
841287638
Poudre Valley Health Care Inc.
841262971
St. Mary'S Hospital And Medical Center, Inc.
840425720
State Of Colorado
840644739
State Of Colorado
840644739
University Of Colorado Hospital Authority
841179794
Wray Community District Hospital
840370617
Bridgeport Hospital
060646554
Connecticut Children'S Medical Center
060646755
Danbury Hospital
060646597
Greenwich Hospital
060646659
Griffin Hospital
060647014
Hartford Hospital
060646668
Hospital Of Saint Raphael
060653171
Lawrence & Memorial Hospital
060646704
Middlesex Hospital
060646718
Norwalk Hospital Association
066068853
Saint Mary'S Hospital, Inc.
060646844
St Francis Hospital And Medical Center
060646813
St Vincents Medical Center
060646886
Stamford Hospital
060646917
State Of Connecticut
066000798
State Of Connecticut
066000798
The Hospital Of Central Connecticut
060646768
Waterbury Hospital
060665979
Yale-New Haven Hospital
060646652
Children'S Hospital
530196580
Department Of Mental Health - Saint Elizabeths Hospital
530196966
District Hospital Partners L P
232896725
Howard University Hospital
530196961
Lucy Webb Hayes National Training School For Deaconesses & Missionarie
530196602
Medstar Georgetown Medical Center, Inc
522218584
National Rehabilitation Hospital Inc
521369749
PROVIDENCE HOSPITAL
530196636
Washington Hospital Center Corporation
521272129
Christiana Care Health Services Inc
510103684
St. Francis Hospital Inc
510064326
The Nemours Foundation
590634433
Adventist Health System-Sunbelt Inc
590724459
All Children'S Hospital, Inc
590683252
Anne Bates Leach Eye Hospital
592154129
Bayfront Medical Center, Inc.
591218020
Bethesda Hospital Inc.
592447554
Cleveland Clinic Florida Hosptial
650844880
Columbia Hospital Corporation Of South Broward
752482249
Columbia Hospital Palm Beaches Limited Partnership
621694177
Florida Health Sciences Center Inc
593458145
Street Address 1
3425 S Clarkson St
777 Bannock St
10101 Ridgegate Pkwy
Street Address 2
City
Englewood
Denver
Lone Tree
State
CO
CO
CO
Zip-Code
80113
80204
80124
1501 S Potomac St
Aurora
CO
80012
1719 E 19th Ave

4567 E 9th Ave
501 E Hampden Ave
9191 Grant St
1400 Jackson St
1801 16th St
4601 Corbett Dr
2635 N 7th St
1600 W 24th St
3520 W Oxford Ave
12605 E 16th Ave
1017 W 7th St
267 Grant St
282 Washington St
24 Hospital Ave
5 Perryridge Rd
130 Division St
80 Seymour St
1450 Chapel St
365 Montauk Avenue
28 Crescent St
34 Maple St
56 Franklin St
114 Woodland St
2800 Main St
30 Shelburne Rd
263 Farmington Avenue
34 Park Street
100 Grand St
64 Robbins St
20 York St
111 Michigan Ave NW
1100 Alabama Avenue SE
901 23rd St NW
2041 Georgia Ave NW
5255 Loughboro Rd NW
3800 Reservoir Rd., NW
102 Irving St NW
Denver
Denver
Englewood
Thornton
Denver
Greeley
Fort Collins
Grand Junction
Pueblo
Denver
Aurora
Wray
Bridgeport
Hartford
Danbury
Greenwich
Derby
Hartford
New Haven
New London
Middletown
Norwalk
Waterbury
Hartford
Bridgeport
Stamford
Farmington
New Haven
New Britain
Waterbury
New Haven
Washington
Washington
Washington
Washington
Washington
Washington
Washington
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
DC
DC
DC
DC
DC
DC
DC
80218
80220
80113
80229
80206
80631
80528
81501
81003
80236
80045
80758
06610
06106
06810
06830
06418
06102
06511
06320
06457
06850
06706
06105
06606
06904
06030
06790
06050
06708
06504
20010
20032
20037
20060
20016
20007
20010
1150 Varnum St NE
Washington
DC
20017
110 Irving St NW
501 W 14th St
701 N Clayton St
1600 Rockland Rd
601 E Rollins St
501 6th Ave S
900 NW 17th St
701 6th St S
2815 S Seacrest Blvd
3100 Weston Rd
8201 W Broward Blvd
2201 45th St
1 Tampa General Circle
Washington
Wilmington
Wilmington
Wilmington
Orlando
St Petersburg
Miami
St Petersburg
Boynton Beach
Weston
Plantation
West Palm Beach
Tampa
DC
DE
DE
DE
FL
FL
FL
FL
FL
FL
FL
FL
FL
20010
19801
19805
19803
32803
33701
33136
33701
33435
33331
33324
33407
33606
D#9050
Page 4 of 21
Legal Business Name

Galen Of Florida, Inc
Galencare, Inc.
H. Lee Moffitt Cancer Center And Research Institute Hospital
Halifax Hospital Medical Center
Hca Health Services Of Florida Inc
Health Care District Of Palm Beach County
Jfk Medical Center Limited Partnership
Kendall Healthcare Group, Ltd.
Largo Medical Center, Inc.
Larkin Community Hospital Inc
Lifemark Hospitals Of Florida, Inc.
Manatee Memorial Hospital L P
Mayo Clinic Florida
Memorial Healthcare Group Inc
Mercy Hospital Inc
Morton Plant Hospital Association, Inc
Mount Sinai Medical Center Of Florida, Inc
North Broward Hospital District
North Broward Hospital District
Northwest Medical Center Inc
Orlando Health, Inc.
Palms West Hospital Limited Partnership
Plantation General Hospital Lp
Public Health Trust Of Dade County Florida
Sacred Heart Hospital Of Pensacola
Shands Jacksonville Medical Center Inc
Shands Teaching Hospital And Clinics Inc
South Broward Hospital District
South Miami Hospital Inc
Southern Baptist Hospital Of Florida Inc
St Vincents Medical Center Inc
Tallahassee Memorial Healthcare Inc
University Community Hospital Inc
University Community Hospital Inc
University Hospital, Ltd.
University Of Miami
University Of Miami
Variety Childrens Hospital
Wellington Regional Medical Center Inc
Westchester General Hospital, Inc.
Crawford Long Hospital
Dekalb Medical Center, Inc
Egleston Children'S Hospital At Emory University, Inc.
Emory University
Floyd Healthcare Management Inc
GRADY MEMORIAL HOSPITAL CORPORATION
Mayo Clinic Health System In Waycross, Inc.
Mcg Health, Inc
Memorial Health University Medical Center Inc.
Phoebe Putney Memorial Hosptial, Inc
Piedmont Hospital, Inc.
Tenet South Fulton, Inc.
The Medical Center Inc
The Medical Center Of Central Georgia Inc.
University Health Services, Inc.
Wesley Woods Center Of Emory University, Inc
TIN
591174716
610947837
593238634
596001217
621113740
450641908
621694180
650260078
621026428
650729921
741802680
232798290
590714831
593283127
590791034
590624462
590624424
596012065
596012065
611259843
591726273
621694178
621372389
591713947
590634434
592142859
591943502
596014973
590872594
590747311
590624449
591917016
591113901
591113901
650566885
260228571
592616017
590638499
232306491
591201323
580566200
581966795
580572412
580566256
581973570
262037695
581667166
582144788
311126469
581928247
580566213
752919505
581685139
582149128
581581103
581529366
Street Address 1
6500 38th Ave N
6000 49th St N
12902 Magnolia Dr
303 N Clyde Morris Blvd
1800 SE Tiffany Ave
39200 Hooker Hwy
5301 S Congress Ave
11750 Bird Rd
201 14th St SW
7031 SW 62nd Avenue
2001 W 68th St
206 2nd St E
4500 San Pablo Rd S
3625 University Blvd S
3663 South Miami Avenue
300 Pinellas St
4300 Alton Rd
1600 South Andrews Avenue
3000 Coral Hills Dr
2801 N State Road 7
1414 Kuhl Ave
13001 Southern Blvd
401 NW 42nd Ave
1611 NW 12th Ave
5151 N 9th Ave
655 W 8th St
1600 SW Archer Rd
3501 Johnson St
6200 SW 73rd St
800 Prudential Dr
1 Shircliff Way
1300 Miccosukee Rd
3100 E Fletcher Ave
7171 N Dale Mabry Hwy
7201 N University Dr
1400 NW 12th Ave
1475 NW 12th Ave
3100 SW 62nd Ave
10101 W Forest Hill Blvd
2500 SW 75th Ave
550 Peachtree St NE
2701 N Decatur Rd
1405 Clifton Rd NE
1364 Clifton Rd NE
304 Turner McCall Blvd SW
80 Jesse Hill Jr Dr, SE
1900 Tebeau Street
1120 15th St
4700 Waters Ave
417 W 3rd Avenue
1968 Peachtree Rd NW
1170 Cleveland Ave
710 Center St
777 Hemlock St
1350 Walton Way
1821 Clifton Rd NE
Page 5 of 21
Street Address 2
5 WARNER
City
St Petersburg
St Petersburg
Tampa
Daytona Beach
Port St Lucie
Belle Glade
Atlantis
Miami
Largo
Miami
Hialeah
Bradenton
Jacksonville
Jacksonville
Miami
Clearwater
Miami Beach
Fort Lauderdale
Coral Springs
Margate
Orlando
Loxahatchee
Plantation
Miami
Pensacola
Jacksonville
Gainesville
Hollywood
South Miami
Jacksonville
Jacksonville
Tallahassee
Tampa
Tampa
Tamarac
Miami
Miami
Miami
Wellington
Miami
Atlanta
Decatur
Atlanta
Atlanta
Rome
Atlanta
Waycross
Augusta
Savannah
Albany
Atlanta
East Point
Columbus
Macon
Augusta
Atlanta
State
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
Zip-Code
33710
33709
33612
32114
34952
33430
33462
33175
33770
33143
33016
34208
32224
32216
33133
33756
33140
33316
33065
33063
32806
33470
33317
33136
32504
32209
32610
33021
33143
32207
32204
32308
33613
33614
33321
33136
33136
33155
33414
33155
30308
30033
30322
30322
30165
30303
31501
30912
31404
31702
30309
30344
31901
31201
30901
30329
Legal Business Name

Wesley Woods Long Term Hospital, Inc
Kapiolani Medical Center For Women & Children
Kuakini Medical Center
Straub Clinic & Hospital
The Queen'S Medical Center
Wahiawa General Hospital
Allen Memorial Hospital Corporation
Broadlawns Medical Center
Catholic Health Initiatives Iowa Corp
Central Iowa Hospital Corporation
Central Iowa Hospital Corporation
Covenant Medical Center Inc
Genesis Health System
Jennie Edmundson Memorial Hospital
Marian Health Center-Smhc
Mercy Health Services/Iowa Corp.
Mercy Hospital, Iowa City, Iowa
Mercy Medical Center
Northwest Iowa Hospital Corporation
St Lukes Methodist Hospital
State University Of Iowa
Trinity Medical Center
Trinity Regional Medical Center
POCATELLO HOSPITAL, LLC
St Alphonsus Regional Medical Center Inc
St Lukes Regional Medical Center
West Valley Medical Center, Inc.
Adventist Health System-Sunbelt, Inc
Adventist Hinsdale Hospital
Advocate Health And Hospitals Corporation
Advocate North Side Health Network
Ann & Robert H. Lurie Children'S Hospital Of Chicago
Blessing Hospital
Cook County
Cook County
Cook County
Copley Memorial Hospital, Inc.
Decatur Memorial Hospital
Franciscan St. James Health
Gottlieb Memorial Hospital
Holy Family Medical Center
Jackson Park Hospital Foundation
Katherine Shaw Bethea Hospital
Larabida Childrens Hospital
Little Company Of Mary Hospital, Inc
Loretto Hospital
Loyola University Medical Center
Marianjoy Rehabilitation Hospital & Clinics Inc.
Memorial Medical Center
Mercy Hospital & Medical Center
Methodist Medical Center Of Illinois
Mount Sinai Hospital Medical Center
TIN
582311078
941105628
990177350
990074139
912151670
990073524
990269825
420698265
426005830
420680448
420680452
420680452
421264647
421418847
420680355
311407377
311373080
420680391
420698295
421019872
420504780
426004813
362739299
421009175
263757128
820200895
820161600
363525049
364257550
362276984
362169147
362169147
362169147
362169147
363196629
362170833
370661183
366006541
366006541
366006541
362170840
370661199
362167869
362379649
362439318
362448028
361000540
362170143
362246719
362200248
364015560
362680776
370661220
362170152
370661223
361509000
Street Address 1
1821 Clifton Rd NE
3288 Moanalua Rd
1319 Punahou St
347 N Kuakini St
888 S King St
1301 Punchbowl St
128 Lehua St
1825 Logan Ave
1801 Hickman Rd
1111 6th Ave
1200 Pleasant St
700 E University Ave
3421 W 9th St
1227 E Rusholme St
933 East Pierce Street
801 5th St
1000 4th St SW
500 E Market St
701 10th St SE
2720 Stone Park Blvd
1026 A Ave NE
200 Hawkins Dr
4500 Utica Ridge Rd
802 Kenyon Rd
777 Hospital Way
1055 N Curtis Rd
190 E Bannock St
1717 Arlington Ave
5101 Willow Springs Rd
120 N Oak St
1304 Franklin Ave
1775 Dempster Street
2320 East 93rd Street
4440 W 95th St
836 W Wellington Ave
225 E Chicago Ave
1005 Broadway St
15900 South Cicero Avenue
1901 W Harrison St
500 EAST 51st STREET
2000 Ogden Ave
2300 N. EDWARD ST.
1423 Chicago Rd
701 W North Ave
100 N River Rd
7531 S Stony Island Ave
403 E 1st St
E 65th St at Lake Michigan
2800 W 95th St
645 S Central Ave
2160 S 1st Ave
26W171 Roosevelt Rd
701 N 1st St
2525 S Michigan Ave
221 NE Glen Oak Ave
2028 Paysphere Cir
Page 6 of 21
Street Address 2
SUITE IOPT
#44
MAB 528
City
Atlanta
Honolulu
Honolulu
Honolulu
Honolulu
Honolulu
Wahiawa
Waterloo
Des Moines
Des Moines
Des Moines
Des Moines
Waterloo
Davenport
Council Bluffs
Sioux City
Mason City
Iowa City
Cedar Rapids
Sioux City
Cedar Rapids
Iowa City
Bettendorf
Fort Dodge
Pocatello
Boise
Boise
Caldwell
LA Grange
Hinsdale
Normal
Park Ridge
Chicago
Oak Lawn
Chicago
Chicago
Quincy
Oak Forest
Chicago
CHICAGO
Aurora
DECATUR
Chicago Heights
Melrose Park
Des Plaines
Chicago
Dixon
Chicago
Evergreen Park
Chicago
Maywood
Wheaton
Springfield
Chicago
Peoria
Chicago
State
GA
HI
HI
HI
HI
HI
HI
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
ID
ID
ID
ID
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
Zip-Code
30329
96819
96826
96817
96813
96813
96786
50703
50314
50314
50309
50316
50702
52803
51503
51101
50401
52245
52403
51104
52402
52242
52722
50501
83201
83706
83712
83605
60525
60521
61761
60068
60617
60453
60657
60611
62301
60452
60612
60615
60504
62526
60411
60160
60016
60649
61021
60649
60805
60644
60153
60187
62781
60616
61636
60674
Legal Business Name

TIN
Northshore University Healthsystem
362167060
NORTHSHORE UNIVERSITY HEALTHSYSTEM
362167060
Northwestern Memorial Hospital
370960170
Norwegian American Hospital Inc
361564290
Presence Hospitals Prv
364195126
Presence Hospitals Prv
364195126
Presence Our Lady Of The Resurrection Medical Center
362644178
Presence Resurrection Medical Center
363330926
Presence Saint Francis Hospital
362167800
Presence Saint Joseph Hospital - Chicago
363200170
Presence Saints Mary And Elizabeth Medical Center
362171079
Rehabilitation Institute Of Chicago
362256036
Riverside Medical Center
362414944
Rush Oak Park Hospital, Inc.
362183812
Rush University Medical Center
362174823
Saint Anthony Hospital
510217097
Saint Francis Medical Center
370662569
Schwab Rehabilitation Hospital And Care Network
362179802
Southern Illinois Hospital Services
370618939
St Elizabeths Hospital Home Health Services Of Belleville
370663567
St Marys Hospital Sisters Of The Third Order Of St Francis
370661244
St. Bernard Hospital
362264414
St. John'S Hospital Of The Hospital Sisters Of The Third Order Of St F370661238
Swedish American Hospital
362222696
Swedish Covenant Hospital
362179813
The Board Of Trustees Of The University Of Illinois
376000511
The Carle Foundation Hospital
371119538
The University Of Chicago Medical Center
363488183
Vhs Acquisition Subsidiary Number 3 Inc
621861142
Vhs Of Illinois Inc
621796152
Vhs West Suburban Medical Center Inc
272071328
Vhs Westlake Hospital Inc
272071437
Westside Community Hospital Inc
363595397
Clark Memorial Hospital
350944638
Community Hospitals Of Indiana Inc
743230935
Community Hospitals Of Indiana Inc
743230935
Deaconess Hospital Inc
350593390
Franciscan St. Francis Health
350913537
350913537
350913537
Franciscan St. Margaret Health
351835133
Franciscan St. Margaret Health
351835133
Health And Hospital Corporation Of Marion County
356005697
Indiana University Health Ball Memorial Hospital Inc
350867958
Indiana University Health Inc
351955872
Indianapolis Osteopathic Hospital, Inc
351094734
Iom Health System Lp
351963748
Memorial Hospital Of South Bend, Inc
350868132
Orthopaedic Hospital At Parkview North, Llc
260143823
Parkview Hospital, Inc.
350868085
Rehabilitation Hospital
351786005
Saint Joseph Regional Medical Center South Bend Campus Inc
350868157
St Anthony Medical Center Of Crown Point
352074283
St Joseph Health System Llc
510382045
St Vincent Hospital And Health Care Center Inc
350869066
St. Mary'S Medical Center Of Evansville, Inc
350869065
Street Address 1
2650 Ridge Ave
9600 Gross Point Rd
251 E Huron St
1044 North Francisco
1400 W Park St
333 N. Madison St.
5645 W Addison St
7435 W Talcott Ave
355 Ridge Ave
1127 N Oakley Blvd
1127 N Oakley Blvd
345 E Superior St
350 N Wall St
520 S Maple Ave
1653 W Congress Pkwy
2875 W 19th St
530 NE Glen Oak Ave
3663 Paysphere Cir
405 W Jackson
211 S 3rd St
1800 E Lake Shore Dr
326 W 64th St
800 East Carpenter Street
1401 E State St
5145 N California Ave
1740 W Taylor St
611 W Park St
5841 S. Maryland Ave
4646 N Marine Dr
3249 South Oak Park Ave
3 Erie Ct
1225 W Lake St
3240 W Franklin Blvd
1220 Missouri Ave
1500 N Ritter Ave
7150 Clearvista Dr
600 Mary St
1201 Hadley Rd
1600 Albany St
8111 S Emerson Ave
24 Joliet St
5454 S Hohman Ave
1001 W 10th St
2401 W University Ave
1701 N Senate
3630 Guion Road
7950 W Jefferson Blvd
615 N Michigan St
11130 Parkview Circle
11109 Parkview Plaza Dr
4141 Shore Dr
5215 Holy Cross Parkway
1201 S Main St
700 Broadway
2001 W 86th St
3700 Washington Ave
Page 7 of 21
Street Address 2
4th Floor
4th Floor
MC 732
Regional Finance Department
City
Evanston
Skokie
Chicago
Chicago
Urbana
Joliet
Chicago
Chicago
Evanston
Chicago
Chicago
Chicago
Kankakee
Oak Park
Chicago
Chicago
Peoria
Chicago
Carbondale
Belleville
Decatur
Chicago
Springfield
Rockford
Chicago
Chicago
Urbana
Chicago
Chicago
Berwyn
Oak Park
Melrose Park
Chicago
Jeffersonville
Indianapolis
Indianapolis
Evansville
Mooresville
Beech Grove
Indianapolis
Dyer
Hammond
Indianapolis
Muncie
Indianapolis
Indianapolis
Fort Wayne
South Bend
Fort Wayne
Fort Wayne
Indianapolis
Mishawaka
Crown Point
Fort Wayne
Indianapolis
Evansville
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
Zip-Code
60201
60076
60611
60622
61801
60435
60634
60631
60202
60622
60622
60611
60901
60304
60612
60623
61637
60674
62901
62220
62521
60621
62769
61104
60625
60612
61801
60637
60640
60402
60302
60160
60624
47130
46219
46256
47710
46158
46107
46237
46311
46320
46202
47303
46202
46222
46804
46601
46845
46845
46254
46545
46307
46802
46260
47750
Legal Business Name

The Methodist Hospitals, Inc
Union Hospital Inc
Geary County Hospital
Salina Regional Health Center,Inc
Shawnee Mission Medical Center Inc
St. Francis Health Center Inc.
Stormont-Vail Healthcare Inc
University Of Kansas Hospital Authority
Via Christi Hospitals Wichita, Inc.
Wesley Medical Center Llc
Appalachian Regional Healthcare Inc.
Baptist Health Madisonville Inc
Baptist Healthcare System Inc.
Bs-Olbh Inc
Commonwealth Of Kentucky
Community United Methodist Hospital, Inc
Jewish Hospital & St. Mary'S Healthcare, Inc.
Kentucky Easter Seal Society Inc
Norton Hospitals Inc
Pikeville Medical Center Inc
Saint Joseph Health System Inc
St Elizabeth Medical Center, Inc
St. Claire Medical Center, Inc.
T J Samson Community Hospital
University Medical Center, Inc
University Of Kentucky
Baton Rouge General Medical Center
Christus Health Northern Louisiana
E.A. Conway Medical Center
Earl K. Long Medical Center
East Jefferson General Hospital
Huey P. Long Medical Center
Jefferson Parish Hospital Service District #1
Lakeview Medical Center, Llc
Leonard J Chabert Medical Center
Louisiana State University Health Sciences Center
Lsumc University Medical Center
Medical Center Of Louisiana At New Orleans
Ochsner Clinic Foundation
Ochsner Medical Center-Kenner
Our Lady Of The Lake Hospital, Inc.
Rapides Healthcare System, L.L.C.
Swlhs, Inc.
Tenet Healthsystem Memorial Medical Center, Inc.
The Regional Health System Of Acadiana, Llc
Touro Infirmary
W O Moss Regional Medical Center
Wash-St Tammany Reg Medical Center
Willis-Knighton Medical Center, Inc.
Baystate Medical Center Inc.
Berkshire Medical Center, Inc.
Beth Israel Deaconess Hospital-Needham Campus, Inc.
Beth Israel Deaconess Medical Center
Boston Medical Center
Brigham And Womens Faulkner Hospital Inc
Brigham And Women'S Hospital,Inc.
TIN
350868133
350876396
486019273
481169103
480637331
480547719
480543789
481202402
481172106
621762545
520795508
610654587
610444707
611356023
610600439
610461753
611029768
610445826
610703799
610458376
611334601
610445850
610605336
610461767
611293786
616001218
721025017
720408982
726000740
720645546
720692834
726000768
726014898
621762416
720824119
720702002
726000764
726000734
720502505
205432782
720423651
611267229
720551963
954541362
581741727
720423659
726015440
726000842
720400933
042790311
042791396
043229679
042103881
043314093
042768256
042312909
Street Address 1
600 Grant St
1606 N 7th St
1102 Saint Marys Rd
400 S Santa Fe Ave
9100 W 74th St
1700 SW 7th St
1500 SW 10th Ave
3901 Rainbow Blvd
929 N Saint Francis St
550 N Hillside St
100 Medical Center Dr
900 Hospital Dr
1740 Nicholasville Rd
1000 Saint Christopher Dr
10510 La Grange Rd
1305 N Elm St
200 Abraham Flexner Way
2050 Versailles Rd
200 E Chestnut St
911 Bypass Rd
1 Saint Joseph Dr
1 Medical Village Dr
425 Clinic Dr
1301 N Race St
530 S Jackson St
800 Rose St
3600 Florida Blvd
1 Saint Mary Pl
4864 Jackson St
5825 Airline Hwy
4200 Houma Blvd
352 Hospital Blvd
1101 Medical Center Blvd
95 Judge Tanner Blvd
1978 Industrial Blvd
1501 Kings Hwy
2390 W Congress St
2021 Perdido St
1516 Jefferson Hwy
180 W Esplanade Ave
5000 Hennessy Blvd
211 4th St
1701 Oak Park Blvd
2700 Napoleon Ave
2810 Ambassador Caffery Pkwy
1401 Foucher St
1000 Walters St
433 Plaza St
2600 Greenwood Rd
759 Chestnut St
725 North St
148 Chestnut St
330 Brookline Ave
88 East Newton Street
1153 Centre St
75 Francis St
Page 8 of 21
Street Address 2
Administration Building
City
State
Gary
IN
Terre Haute
IN
Junction City
KS
Salina
KS
Shawnee Mission
KS
Topeka
KS
Topeka
KS
Kansas City
KS
Wichita
KS
Wichita
KS
Hazard
KY
Madisonville
KY
Lexington
KY
Ashland
KY
Louisville
KY
Henderson
KY
Louisville
KY
Lexington
KY
Louisville
KY
Pikeville
KY
Lexington
KY
Edgewood
KY
Morehead
KY
Glasgow
KY
Louisville
KY
Lexington
KY
Baton Rouge
LA
Shreveport
LA
Hospital Administration
Monroe
LA
Baton Rouge
LA
Administration
Metairie
LA
Pineville
LA
Marrero
LA
Covington
LA
Houma
LA
Shreveport
LA
Lafayette
LA
New Orleans
LA
New Orleans
LA
Kenner
LA
Baton Rouge
LA
Alexandria
LA
Lake Charles
LA
New Orleans
LA
Lafayette
LA
New Orleans
LA
Lake Charles
LA
Bogalusa
LA
Shreveport
LA
Springfield
MA
Pittsfield
MA
Needham
MA
ST 207
Boston
MA
Boston Medical Center PlacePerkin
Boston
Elmer Building Rm MA
111
Boston
MA
Boston
MA
Zip-Code
46402
47804
66441
67401
66204
66606
66604
66160
67214
67214
41701
42431
40503
41101
40223
42420
40202
40504
40202
41501
40504
41017
40351
42141
40202
40536
70806
71101
71202
70805
70006
71360
70072
70433
70363
71103
70506
70112
70121
70065
70808
71301
70601
70115
70506
70115
70607
70427
71103
01199
01201
02492
02215
02118
02130
02115
Legal Business Name

Brockton Hospital, Inc.
Cambridge Public Health Commissiondbacambridge Health Alliance
Cape Cod Healthcare Inc
Children'S Hospital Corporation
Dana Farber Cancer Institute
Fs Commonwealth Llc
Fs Patriot Llc
Hallmark Health System Inc
Lahey Clinic Hospital Inc.
Lawrence General Hospital
Marlborough Hospital
Massachusetts Eye And Ear Infirmary
Milford Regional Medical Center Inc
Mount Auburn Hospital
New England Baptist Hospital
New England Sinai Hospital, A Steward Family Hospital Inc
Newton Wellesley Hospital
North Shore Medical Center,Inc
Spaulding Rehabilitation Hospital Corporation
Steward Carney Hospital, Inc.
Steward Good Samaritan Medical Center, Inc.
Steward St. Anne'S Hospital Corporation
Steward St. Elizabeth'S Medical Center Of Boston, Inc.
The Commonwealth Of Massachusetts
The General Hospital Corporation
The Mclean Hospital Corporation
Tufts Medical Center
Umass Memorial Health Care Inc., Healthalliance Hospitals, Inc.
Umass Memorial Medical Center, Inc.
Vhs Acquisition Subsidiary Number 7 Inc
Vhs Aquisition Subsidiary Number 9 Inc
Winchester Hospital
Adventist Healthcare, Inc.
Franklin Square Hospital Center Inc
Greater Baltimore Medical Center, Inc.
Harbor Hospital
Holy Cross Hospital Of Silver Spring Inc
James Lawrence Kernan Hospital, Inc.
Johns Hopkins Bayview Medical Center, Inc.
Maryland General Hospital
Mercy Medical Center Inc
Sheppard Pratt Health System, Inc.
Sinai Hospital Of Baltimore, Inc
St. Agnes Healthcare, Inc.
Suburban Hospital, Inc.
The Good Samaritan Hospital Of Maryland, Inc.
The Johns Hopkins Hospital
Union Memorial Hospital
University Of Maryland Medical System Corporation
Central Maine Medical Center
Eastern Maine Medical Center - Rehab Unit
Maine Medical Center
Mainegeneral Medical Center
Mercy Hospital
Barbara Ann Karmanos Cancer Hospital
Bay Regional Medical Center
TIN
222472997
043320571
042103600
042774441
042263040
205108564
205108635
042767880
042704686
042103586
042104693
042103591
042103602
042103606
042103612
900813115
042103611
043399616
042551124
272473755
272473728
272473637
272473667
046002284
042697983
042697981
043400617
042103555
043358564
621861198
621861200
042104434
521532556
520608007
526049658
520491660
520738041
520591639
521341890
520591667
520591658
520591684
520486540
520591657
520610545
520591607
520591656
520591685
521362793
010211494
010211501
010238552
043369653
010211534
201649466
381976271
Street Address 1
680 Centre St
1493 Cambridge St
27 Park St
300 Longwood Ave
44 Binney Street
2 Rehabilitation Way
250 Pond St
170 Governors Ave
41 Mall Rd
1 General St
157 Union St
243 Charles St
14 Prospect St
330 Mount Auburn St
125 Parker Hill Ave
150 York Street
2014 Washington St
81 Highland Ave
125 Nashua St
2100 Dorchester Ave
235 N Pearl St
795 Middle St
736 Cambridge St
170 Morton St
55 Fruit St
115 Mill St
750 Washington St
60 Hospital Rd
55 Lake Ave N
123 Summer St
115 Lincoln St
41 Highland Ave
14901 Broschart Rd
9000 Franklin Square Dr
6701 N Charles St
3001 South Hanover St
1500 Forest Glen Road
2200 Kernan Dr
5505 Hopkins Bayview Cir
827 Linden Ave
301 Saint Paul Pl
6501 N Charles St
2401 W Belvedere Ave
900 Caton Ave
8600 Old Georgetown Rd
5601 Loch Raven Blvd
600 N Wolfe St
201 E University Pkwy
22 S Greene Street
300 Main St
489 State St
335 Brighton Ave
6 E Chestnut St
144 State St
4100 John R St
1900 Columbus Ave
Page 9 of 21
Street Address 2
City
Brockton
Cambridge
Hyannis
Patient Financial Services Atn Steven
Boston
Nicoll
Boston
Woburn
Braintree
Medford
Burlington
Lawrence
Marlborough
Boston
Milford
Cambridge
Roxbury Crossing
Stoughton
Newton
Salem
Boston
Dorchester Center
Brockton
Fall River
Boston
Jamaica Plain
Boston
Belmont
Box 018
Boston
Leominster
Worcester
Worcester
Framingham
Winchester
Rockville
Baltimore
Baltimore
Baltimore
Silver Spring
Executive Office, Suite 1183
Baltimore
Johns Hopkins Bayview Care Center
Baltimore
Baltimore
Baltimore
Baltimore
Baltimore
Baltimore
Bethesda
Baltimore
Baltimore
Baltimore
Baltimore
Lewiston
Bangor
Suite 200
Portland
Augusta
Portland
Detroit
Bay City
State
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
ME
ME
ME
ME
ME
MI
MI
Zip-Code
02302
02139
02601
02115
02115
01801
02184
02155
01805
01841
01752
02114
01757
02138
02120
02072
02462
01970
02114
02124
02301
02721
02135
02130
02114
02478
02111
01453
01655
01608
01702
01890
20850
21237
21204
21225
20904
21207
21224
21201
21202
21204
21215
21229
20814
21239
21287
21218
21201
04240
04401
04102
04330
04101
48201
48708
Legal Business Name

Borgess Medical Center
Botsford General Hospital
Bronson Methodist Hospital
Carson City Hospital
Community Health Center Of Branch County
Covenant Medical Center, Inc.
Crittenton Hospital Medical Center
Edward W. Sparrow Hospital Association
Garden City Hospital
Genesys Regional Medical Center
Hackley Hospital
Henry Ford Health System
Henry Ford Macomb Hospital Corporation
Henry Ford Wyandotte Hospital
Hillsdale Community Health Center
Hurley Medical Center
Ingham Regional Medical Center
Lakeland Hospital At Niles And St Joseph, Inc
Marquette General Hospital, Inc.
Mclaren Regional Medical Center
Mercy Hospital - Muskegon Smhc
Metro Health Hospital
Midmichigan Medical Center-Midland
Mount Clemens Regional Medical Center
Munson Medical Center
Oakland Physicians Medical Center
Oakwood Healthcare Inc
Pontiac Osteopathic Hospital
Providence Hospital
Regents Of The University Of Michigan
Saint Joseph Mercy Livingston Hospital
Saint Mary'S Health Services
Southeast Michigan Surgical Hospital Llc
Spectrum Health Hospitals
St John Hospital And Medical Center
St John Macomb Oakland Hospital
St John River District Hospital
St Joseph Mercy Hospital
St Joseph Mercy Hospital-Smhc
St Mary Mercy Hospital
St Mary'S Of Michigan
Vhs Childrens Hospital Of Michigan Inc
Vhs Detroit Receiving Hospital Inc
Vhs Harper Hutzel Hospital Inc
Vhs Huron Valley-Sinai Hospital Inc
Vhs Rehabilitation Institute Of Michigan Inc
Vhs Sinai Grace Hospital Inc
William Beaumont Hospital
Allina Health System
TIN
381360526
381426919
381359087
381490180
386108110
383369438
381359247
381360584
381358390
382377821
381358196
381357020
382947657
382791823
386005550
386005601
381434090
382156872
381358036
382383119
383175874
380593405
380833014
381218516
381362830
262512084
381405141
381405141
381405141
381405141
381428164
381358212
386006309
383176225
383176445
134257646
381360529
381359063
383322109
383160564
383175878
383176536
383521763
380997730
272845064
272844942
272844767
272844563
272844407
272844632
381459362
381459362
381459362
363261413
363261413
363261413
Street Address 1
1521 Gull Rd
28080 Grand River Ave
601 John St
406 East Elm Street
274 E Chicago St
1447 N Harrison St
1101 W University Dr
1215 E Michigan Ave
6245 Inkster Rd
1 Genesys Pkwy
1700 Clinton St
2799 W Grand Blvd
15855 19 Mile Rd
2333 Biddle St
168 S Howell St
1 Hurley Plz
401 W Greenlawn Ave
1234 Napier Ave
420 W Magnetic St
401 S Ballenger Hwy
1500 E Sherman Blvd
5900 Byron Center Ave SW
4005 Orchard Dr
1000 Harrington St
1105 6th St
461 W Huron St
10000 Telegraph Rd
18101 Oakwood Blvd
33155 Annapolis St
5450 Fort St
50 N Perry St
16001 W 9 Mile Rd
1500 East Medical Center Drive
620 Byron Rd
200 Jefferson Ave SE
21230 Dequindre Rd
100 Michigan St NE
22101 Moross
11800 E 12 Mile Rd
4100 River Rd
5301 Huron River Drive
44405 Woodward Ave
36475 5 Mile Rd
800 S Washington Ave
3901 Beaubien St
4201 Saint Antoine St
3990 John R St
1 William Carls Dr
261 Mack Ave
6071 W Outer Dr
3601 W 13 Mile Rd
44201 Dequindre Rd
468 Cadieux Rd
2800 Chicago Ave
333 Smith Ave N
4050 Coon Rapids Blvd NW
Page 10 of 21
Street Address 2
Suite 306
Patient Accounts - CSB
MC 406
Suite 250
City
Kalamazoo
Farmington Hills
Kalamazoo
Carson City
Coldwater
Saginaw
Rochester
Lansing
Garden City
Grand Blanc
Muskegon
Detroit
Clinton Twp
Wyandotte
Hillsdale
Flint
Lansing
Saint Joseph
Marquette
Flint
Muskegon
Wyoming
Midland
Mount Clemens
Traverse City
Pontiac
Taylor
Dearborn
Wayne
Trenton
Pontiac
Southfield
Ann Arbor
Howell
Grand Rapids
Warren
Grand Rapids
Detroit
Warren
East China
Ypsilanti
Pontiac
Livonia
Saginaw
Detroit
Detroit
Detroit
Commerce Township
Detroit
Detroit
Royal Oak
Troy
Grosse Pointe
Minneapolis
Saint Paul
Coon Rapids
State
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MN
MN
MN
Zip-Code
49048
48336
49007
48811
49036
48602
48307
48912
48135
48439
49442
48202
48038
48192
49242
48503
48910
49085
49855
48532
49444
49519
48670
48043
49684
48341
48180
48124
48184
48183
48342
48075
48109
48843
49503
48091
49503
48236
48093
48054
48197
48341
48154
48601
48201
48201
48201
48382
48201
48235
48073
48085
48230
55407
55102
55433
Legal Business Name

Children'S Health Care
Fairview Health Services
Gillette Childrens Specialty Healthcare
Healtheast St. John'S Hospital
Healtheast St. Joseph'S Hospital
Healtheast Woodwinds Hospital
Hennepin Healthcare System Inc
Mayo Clinic Health System-Mankato
Mayo Clinic-Methodist Hospital
Mayo Clinic-Saint Marys Hospital
Methodist Hospital
North Memorial Health Care
Regions Hospital
Smdc Medical Center
St Cloud Hospital
St. Luke'S Hospital Association Of Duluth
St. Mary'S Medical Center
Barnes Jewish St. Peters Hospital Inc
Barnes Jewish West County Hospital
Barnes-Jewish Hospital
Bjc Health System
Capital Region Medical Center
Centerpoint Medical Center Of Independence, Llc
Christian Hospital Northeast- Northwest
Curators Of The University Of Missouri
Farmington Missouri Hospital Company, Llc
Freeman-Oakhill Health System
Healthmont Of Missouri Llc
Kirksville Missouri Hospital Company Llc
Lester E Cox Medical Centers
Mercy Hospitals East Communities
Midwest Division - Rmc, Llc
Missouri Baptist Medical Center
Rusk Rehabilitation Center Llc
Ssm Health Care St. Louis
Ssm St. Mary'S Health Center
St Alexius Hospital Corporation 1
St Lukes Hospital Of Kansas City
St. Lukes Episcopal Presbyterian Hospital
St. Mary'S Medical Center
Tenet Healthsystem Di, Inc.
Tenet Healthsystem Sl, Inc.
The Children'S Mercy Hospital
Truman Medical Center, Incorporated
Truman Medical Center, Incorporated
Baptist Memorial Hospital-Desoto, Inc.
Magnolia Regional Health Center
Mississippi Baptist Medical Center, Inc
North Mississippi Medical Center, Inc.
State Of Mississippi - University Of Mississippi Medical Center
Billings Clinic
St. Vincent Healthcare
Carolinas Medical Center
Carolinas Medical Center -Northeast
Carolinas Rehabiltation
TIN
363261413
411754276
410991680
363379150
411456897
410693880
411592761
421707837
411236756
410739106
410944601
410132080
410729979
410956618
411878730
410695596
410714079
410695604
431452426
431527130
237309937
430654870
440546366
450503121
436057893
436003859
204795132
431704371
202039314
364395800
440577118
430653493
542092552
430652656
721349747
431704972
430652681
201872766
440545297
430652680
431284526
752695810
752732072
440605373
440661018
440661018
640682111
640428003
640881013
640662976
646008520
810231784
810232124
561398929
208776473
561398930
Street Address 1
550 Osborne Rd NE
2525 Chicago Ave S
2450 Riverside Ave
200 University Ave E
1575 Beam Ave
45 10th Street West
1925 Woodwinds Dr
701 Park Ave
1025 Marsh St
201 W Center St
1216 2nd St SW
3525 Monterey Dr
3300 Oakdale Ave N
640 Jackson St
502 E 2nd St
1406 6th Ave North
915 E 1st St
407 E 3rd St
10 Hospital Dr
12634 Olive Blvd
1 Barnes Jewish Hospital Plz
8888 Ladue Road
1125 Madison St
19600 E 39th St S
11133 Dunn Rd
One Hospital Drive
1212 Weber Rd
1102 W 32nd St
10 S Hospital Dr
315 S Osteopathy
3801 S National Ave
615 S New Ballas Rd
2316 E Meyer Blvd
3015 N Ballas Rd
315 Business Loop 70 W
12303 De Paul Dr
1465 S Grand Blvd
3933 S Broadway
4401 Wornall Rd
232 S Woods Mill Rd
201 NW R D Mize Rd
2345 Dougherty Ferry Rd
3635 Vista Ave
2401 Gillham Rd
2301 Holmes St
7900 Lees Summit Rd
7601 Southcrest Pkwy
611 Alcorn Dr
1225 N State St
830 S Gloster St
2500 N STATE ST
2800 10th Ave N
1233 N 30th St
501 Billingsley Rd
920 Church St N
1100 Blythe Blvd
Page 11 of 21
Street Address 2
P1-Finance
Suite 120
City
Fridley
Minneapolis
Minneapolis
Saint Paul
Maplewood
Saint Paul
Woodbury
Minneapolis
Mankato
Rochester
Rochester
St Louis Park
Robbinsdale
Saint Paul
Duluth
Saint Cloud
Duluth
Duluth
Saint Peters
Creve Coeur
Saint Louis
Saint Louis
Jefferson City
Independence
Saint Louis
Columbia
Farmington
Joplin
Fulton
Kirksville
Springfield
Saint Louis
Kansas City
Saint Louis
Columbia
Bridgeton
Saint Louis
Saint Louis
Kansas City
Chesterfield
Blue Springs
Saint Louis
Saint Louis
Kansas City
Kansas City
Kansas City
Southaven
Corinth
Jackson
Tupelo
JACKSON
Billings
Billings
Charlotte
Concord
Charlotte
State
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MS
MS
MS
MS
MS
MT
MT
NC
NC
NC
Zip-Code
55432
55404
55454
55101
55109
55102
55125
55415
56001
55902
55902
55416
55422
55101
55805
56303
55805
55805
63376
63141
63110
63124
65101
64057
63136
65212
63640
64804
65251
63501
65807
63141
64132
63131
65203
63044
63104
63118
64111
63017
64014
63122
63110
64108
64108
64139
38671
38834
39202
38801
39216
59101
59101
28211
28025
28203
Legal Business Name

Cumberland County Hospital System Inc
Duke University Health System, Inc.
Duke University Health System, Inc.
Forsyth Memorial Hospital., Inc
Henderson County Hospital Corporation
Mercy Hospital, Inc
Mission Hospital, Inc
New Hanover Regional Medical Center
North Carolina Baptist Hospital
Pitt County Memorial Hospital Inc
The Moses H. Cone Memorial Hospital Operating Corporation
Union Memorial Regional Medical Center Inc
University Of North Carolina Hospitals At Chapel Hill
Wakemed
Altru Health System
Sanford Bismarck
Sanford Medical Center Fargo
St Alexius Medical Center
Trinity Hospitals
Alegent Health Bergan Mercy Health System
Alegent Health Immanuel Medical Center
Bryanlgh Medical Center
Children'S Hospital & Medical Center
Creighton Saint Joseph Regional Health Care System, L.L.C.
Nebraska Medical Center
Nebraska Methodist Hospital
Saint Elizabeth Regional Medical Center
Saint Francis Medical Center
Concord Hospital Inc
Mary Hitchcock Memorial Hospital
Southern New Hampshire Medical Center
Ahs Hospital Corp.
Ahs Hospital Corp.
Atlanticare Regional Medical Center
Bergen County Improvement Authority
Capital Health System, Inc.
Capital Health System, Inc.
Centrastate Medical Center Inc.
Community Hospital Group, Inc.
Deborah Heart And Lung Center
Englewood Hospital And Medical Center
Hudson Hospital Opco Llc
Humc Opco Llc
Hunterdon Medical Center
Jersey City Medical Center
Kennedy University Hospital Inc
Kessler Institute For Rehabilitation Inc
Lourdes Medical Center Of Burlington County
Meridian Hospitals Corporation
Merit Mountainside Llc
Monmouth Medical Center, Inc
Newark Beth Israel Medical Center Inc
Our Lady Of Lourdes Medical Center
Princeton Healthcare System
Raritan Bay Medical Center
TIN
560845796
562070036
562070036
560928089
562084959
560554229
560532141
560887181
560552787
560585243
581588823
560905349
561118388
566017737
450310462
450226700
450226909
450226711
412002771
470484764
470376615
470376552
470379754
752583978
470379755
911858433
470376604
470379836
470376601
222594672
020222140
020483054
521958352
521958352
210634549
223240487
223548695
223548695
221750190
226019101
231550955
221487173
383870608
452147328
221537688
222783298
221773439
223486125
223612265
223471515
208489105
223452412
223452311
210635001
210635009
221494442
Street Address 1
1638 Owen Dr
2301 Erwin Road
3643 N Roxboro St
3333 Silas Creek Pkwy
800 N Justice St
2001 Vail Ave
509 Biltmore Ave
2131 S 17th St
Medical Center Blvd
2100 Stantonsburg Rd
1200 N Elm St
600 Hospital Dr
101 Manning Dr
3000 New Bern Ave
1200 S Columbia Rd
300 N 7th St
801 Broadway N
900 E. Broadway
1 Burdick Expy W
7500 Mercy Rd
6901 N 72nd St
1600 S 48th St
8200 Dodge St
601 N 30th St
10 E 31st St
987400 Nebraska Medical Ctr
8303 Dodge Street
555 S 70th St
2620 W Faidley Ave
250 Pleasant St
One Medical Center Dr
8 Prospect St
100 Madison Ave
99 Beauvoir Ave
65 W Jimmie Leeds Rd
230 East Ridgewood Avenue
1 Capital Way
750 Brunswick Ave
901 W Main St
65 James St
200 Trenton Rd
350 Engle St
176 Palisade Ave
308 Willow Ave
2100 Wescott Dr
355 Grand St
18 E Laurel Rd
1199 Pleasant Valley Way
218A Sunset Rd
1945 Route 33
1 Bay Avenue
300 2nd Ave
201 Lyons Ave
1600 Haddon Ave
1 Plainsboro Rd
530 New Brunswick Ave
Page 12 of 21
Street Address 2
Box 1
Box 204
Administration
Executive Office
City
Fayetteville
Durham
Durham
Winston-Salem
Hendersonville
Charlotte
Asheville
Wilmington
Winston Salem
Greenville
Greensboro
Monroe
Chapel Hill
Raleigh
Grand Forks
Bismarck
Fargo
Bismarck
Minot
Omaha
Omaha
Lincoln
Omaha
Omaha
Kearney
Omaha
Omaha
Lincoln
Grand Island
Concord
Lebanon
Nashua
Morristown
Summit
Pomona
Paramus
Pennington
Trenton
Freehold
Edison
Browns Mills
Englewood
Jersey City
Hoboken
Flemington
Jersey City
Stratford
West Orange
Willingboro
Neptune
Montclair
Long Branch
Newark
Camden
Plainsboro
Perth Amboy
State
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
ND
ND
ND
ND
ND
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NH
NH
NH
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
Zip-Code
28304
27710
27704
27103
28791
28207
28801
28401
27157
27834
27401
28112
27514
27610
58201
58506
58102
58501
58701
68124
68122
68506
68114
68131
68847
68198
68114
68510
68803
03301
03756
03060
07960
07901
08240
07652
08534
08638
07728
08820
08015
07631
07306
07030
08822
07302
08084
07052
08046
07753
07042
07740
07112
08103
08536
08861
Legal Business Name

Robert Wood Johnson University Hospital, Inc
Saint Barnabas Medical Center
Saint Michael'S Medical Center
Saint Peter'S University Hospital
Somerset Medical Center
South Jersey Hospital Inc
St Josephs Hospital And Medical Center
St Lukes Warren Hospital Inc
St Mary'S Hospital
St. Francis Medical Center
The Cooper Health System
Trinitas Regional Medical Center
Umdnj-University Behavioral Healthcare
Underwood-Memorial Hospital
Univ Of Med & Dent Of Nj
Virtua - Memorial Hospital Of Burlington County, Inc
Virtua West Jersey Health System Inc
Lovelace Health Systems Inc
Lovelace Health Systems Inc
Phc-Las Cruces Inc
Roswell Hospital Corporation
St. Vincent Hospital
University Of New Mexico Hospital Bernalillo County Medical Center
Dignity Health
Renown Regional Medical Center
Sunrise Hospital And Medical Center, Llc
University Medical Center Of Southern Nevada
Valley Health Medical Center
Albany Medical Center Hospital
Benedictine Hospital
Beth Israel Medical Center
Bronx-Lebanon Hospital Center
Brookdale Hospital Medical Center
Brookhaven Memorial Hospital Medical Center
Community General Hospital Of Greater Syracuse
Crouse Health Hospital Inc
Ellis Hospital
Episcopal Health Services Inc
Erie County Medical Center Corporation
Faxton-St. Luke'S Healthcare
Flushing Hospital Medical Center
Franklin Hospital Home Care
Glen Cove Hospital
Good Samaritan Hospital Medical Center
Highland Hospital Of Rochester
Huntington Hospital Faculty Practice
Interfaith Medical Center
Jamaica Hospital
Kaleida Health
Kingsbrook Jewish Medical Center
Lenox Hill Hospital
Long Beach Medical Center
Long Island College Hospital
Long Island Jewish Medical Center Homecare
Lutheran Medical Center
Maimonides Medical Center
TIN
221487243
221494440
262616046
221487330
221487350
210634484
221487602
221494454
221494446
223431049
210634462
223601678
221980408
221820210
221775306
210634562
210634532
850327237
850327237
270085482
742870118
850106941
856003005
941196203
880213754
621762537
886000436
232973511
141338307
141338470
135564934
131974191
111631746
111704595
150622506
160960470
141338428
111665825
830382654
161576637
111631781
112296824
111633487
111888924
160743037
111630914
112626155
111631788
161533232
111631759
131624070
111635084
111018985
112241326
111839567
111635081
Street Address 1
1 Robert Wood Johnson Pl
94 Old Short Hills Rd
111 Central Avenue
254 Easton Ave
110 Rehill Ave
1505 W Sherman Ave
703 Main St
185 Roseberry St
350 Boulevard
601 Hamilton Ave
1 Cooper Plz
225 Williamson St
671 Hoes Ln
509 N Broad St
150 Bergen St
175 Madison Ave
100 Bowman Dr
4701 Montgomery Blvd NE
601 Dr Martin Luther King Jr Ave NE
2450 S Telshor Blvd
405 W Country Club Rd
455 Saint Michaels Dr
2211 Lomas Blvd., N.E.
3001 Saint Rose Pkwy
1155 Mill Street
3186 S Maryland Pkwy
1800 W. Charleston Blvd.
620 Shadow Ln
43 New Scotland Ave
105 Marys Ave
First Avenue and 16th Street
1650 Grand Concourse
1 Brookdale Plz
101 Hospital Hospital Road
4900 Broad Rd
736 Irving Ave
1101 Nott St
327 Beach 19th St
462 Grider St
1656 Champlin Ave
4500 Parsons Blvd
900 Franklin Ave
St Andrews Lane
1000 Montauk Hwy
1000 South Ave
270 Park Ave
1545 Atlantic Avenue
8900 Van Wyck Expwy
100 High St
585 Schenectady Ave
100 E 77th St
455 E Bay Dr
339 Hicks Street
270-05 76 Ave
150 55th St
4802 10th Ave
Page 13 of 21
Street Address 2
City
New Brunswick
Livingston
Newark
New Brunswick
Somerville
Vineland
Paterson
Phillipsburg
Passaic
Trenton
Camden
Elizabeth
Piscataway
Woodbury
Newark
Mount Holly
Voorhees
Albuquerque
Albuquerque
Las Cruces
Roswell
Santa Fe
Albuquerque
Henderson
Reno
Las Vegas
Las Vegas
Las Vegas
Albany
Kingston
Milton and Carroll Petrie DivisionNew York
Bronx
Brooklyn
East Patchogue
Syracuse
Syracuse
Schenectady
Far Rockaway
Buffalo
Utica
Flushing
Valley Stream
Glen Cove
West Islip
Rochester
Huntington
Brooklyn
Richmond Hill
Buffalo
Brooklyn
New York
Long Beach
Brooklyn
New Hyde Park
Brooklyn
Brooklyn
State
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NM
NM
NM
NM
NM
NM
NV
NV
NV
NV
NV
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
Zip-Code
08901
07039
07102
08901
08876
08360
07503
08865
07055
08629
08103
07202
08854
08096
07103
08060
08043
87109
87102
88011
88201
87505
87106
89052
89502
89109
89102
89106
12208
12401
10003
10457
11212
11772
13215
13210
12308
11691
14215
13502
11355
11580
11542
11795
14620
11743
11213
11418
14203
11203
10021
11561
11201
11040
11220
11219
Legal Business Name

TIN
Mary Imogene Bassett Hospital
135596796
Memorial Hospital For Cancer & Allied Diseases
131624082
Mercy Hospital Of Buffalo
160756336
Mercy Medical Center
111635088
Montefiore Medical Center
131740114
New York City Health & Hospitals Corporation
132655001
132655001
132655001
132655001
132655001
132655001
132655001
132655001
132655001
132655001
132655001
132655001
132655001
New York Downtown Hospital
133049852
New York Eye And Ear Infirmary
135562304
New York Hospital Medical Center Of Queens
111839362
New York Methodist Hospital
111631796
New York Society For The Relief Of The Ruptured And Crippled Maintaini
131624135
Niagara Falls Memorial Medical Center
160743094
North Shore University Hospital Homecare
111562701
Nshs @ Plainview
113241243
Nsuh @ Forest Hills
112163522
Numc -Department Of Pm&R, Fpp.
113465690
Nys Office Of Mental Health
141663311
141663311
141663311
141663311
141663311
NYS OFFICE OF MENTAL HEALTH
141663311
141663311
Nyu Hospitals Center
133971298
Olean General Hospital
160743102
Our Lady Of Lourdes Memorial Hospital, Inc
150532221
Peconic Bay Medical Center
111661359
Peninsula Hospital Center
116037195
Richmond University Medical Center
743177454
Rochester General Hospital
160743134
Roswell Park Cancer Institute, Inc
161552370
Samaritan Medical Center
150533577
Sisters Of Charity Hospital Of Buffalo New York
160743187
Sound Shore Medical Center
131740117
South Nassau Communities Hosp-Renal Dialysis
111352310
Southampton Hospital Association
111667765
Southside Hospital
111667761
St Elizabeth Medical Center
150532245
St Lukes Roosevelt Hospital Center
132997301
St Peters Hospital
141348692
St. Barnabas Hospital Mental Inpatient
131740122
St. Charles Hospital
111871039
St. Francis Hospital
112050523
St. Joseph'S Hospital Health Center
150532254
Street Address 1
1 Atwell Rd
1275 York Ave
565 Abbott Rd
1000 N Village Ave
111 E 210th St
1 Main St
1400 Pelham Pkwy S
1901 1st Ave
234 E 149th St Rm 2A1
2601 Ocean Pkwy
3424 Kossuth Ave
451 Clarkson Ave
462 1st Ave
506 Malcolm X Blvd
760 Broadway
7901 Broadway
8268 164th St
900 Main St
170 William St
310 East 14th Street
5645 Main St
506 6th St
535 E 70th St
621 10th St
300 Community Drive
888 Old Country Rd
102-66th Road
2201 Hempstead Tpke
1111 Elmwood Ave
140 Old Orangeburg Rd
400 Forest Ave
620 Madison St
777 Seaview Ave
City
Cooperstown
New York
Buffalo
Rockville Centre
Bronx
New York
Bronx
New York
Bronx
Brooklyn
Bronx
Brooklyn
New York
New York
Brooklyn
Elmhurst
Jamaica
New York
New York
New York City
Flushing
Brooklyn
New York
Niagara Falls
Manhasset
Plainview
Forest Hills
East Meadow
Rochester
Orangeburg
Buffalo
Syracuse
Staten Island
State
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
Zip-Code
13326
10065
14220
11570
10467
10044
10461
10029
10451
11235
10467
11203
10016
10037
11206
11373
11432
10044
10038
10003
11355
11215
10021
14302
11030
11803
11375
11554
14620
10962
14213
13210
10305
8045 Winchester Blvd
Queens Village
NY
11427
998 Crooked Hill Rd

160 E 34th St
515 Main St
169 Riverside Dr
1300 Roanoke Ave
5115 Beach Channel Dr
355 Bard Ave
1425 Portland Ave
Elm and Carlton St
830 Washington St
2157 Main St
16 Guion Pl
1 Healthy Way
240 Meeting House Ln
301 E Main St
2209 Genesee St
1000 Tenth Avenue
315 S Manning Blvd
4422 Third Avenue
200 Belle Terre Rd
100 Port Washington Blvd
301 Prospect Ave
West Brentwood
New York
Olean
Binghamton
Riverhead
Far Rockaway
Staten Island
Rochester
Buffalo
Watertown
Buffalo
New Rochelle
Oceanside
Southampton
Bay Shore
Utica
New York
Albany
Bronx
Port Jefferson
Roslyn
Syracuse
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
11717
10016
14760
13905
11901
11691
10310
14621
14263
13601
14214
10801
11572
11968
11706
13501
10019
12208
10457
11777
11576
13203
Page 14 of 21
Street Address 2
Bldg 2 - Staff HS Rm.324/SH

Rm. 122
Room1101
Room B112
C & D Building Rm 342
ONR Room 101
Rm. 3AB224
Suite D8
Room A22-4
Roosevelt Division
Administration
Legal Business Name

St. Joseph'S Hospital, Yonkers
Staten Island University Hospital-Hospice
Suny Health Science Center At Syracuse
The Brooklyn Hospital Center
The Kingston Hospital
The Mount Sinai Hospital.
The Mount Vernon Hospital
The New York And Presbyterian Hospital
The Unity Hospital Of Rochester
United Health Services, Inc
University Hospital At Stony Brook
University Hospital Of Brooklyn
University Of Rochester
Westchester County Health Care Corporation
Winthrop University Hospital Association
Wsnchs North, Inc.
Wyckoff Heights Medical Center
Akron General Medical Center
Alliance Community Hospital
Arthur G James Cancer Hospital And Research Institute
Aultman Hospital
Children'S Hospital Medical Center
Children'S Hospital Medical Center Of Akron
Cleveland Clinic Foundation
Cleveland Clinic Health System - East Region
Community Health Partners Regional Medical Center
Dayton Osteopathic Hospital
Dhsc Llc
Drake Center Llc
Fairfield Medical Center
Fairview Hospital
Firelands Regional Medical Center
Flower Hospital
Good Samaritan Hospital & Health Center
Greene Memorial Hospital, Inc.
Humility Of Mary Health Partners
Humility Of Mary Health Partners
Jewish Hospital Llc
Kettering Medical Center Inc
KETTERING MEDICAL CENTER INC

Lake Hospital System, Inc.
Lutheran Hospital
Marietta Memorial Hospital
Mary Rutan Hospital
Medical University Of Ohio At Toledo
Mercy Hospitals West
Mercy Medical Center, Inc.
Metrohealth System
Miami Valley Hospital
Mount Carmel Health System
MOUNT CARMEL HEALTH SYSTEM
Nationwide Children'S Hospital
Ohio Health Corporation
TIN
131740127
112868878
161469571
111630755
141349558
131624096
131740115
133957095
237221763
161165049
113243405
146013200
160743209
133964321
111633486
113438973
111631837
340714478
340714581
311322863
340714538
310833936
340714357
340714585
340714593
340714593
340714593
340714704
310564121
202871473
311273012
310645626
340714618
344428218
344428794
310536981
310809436
340505560
340505560
271408630
310621866
310621866
341425870
340714684
314379509
341407259
340967014
311091597
341893439
346004382
310537504
311439334
311439334
314379441
314394942
314394942
Street Address 1
127 S Broadway
475 Seaview Ave
750 E Adams St
121 Dekalb Ave
396 Broadway
1 Gustave L Levy Pl
12 N 7th Ave
525 E 68th St Rm M101
115 Indigo Creek Dr
20 Mitchell Ave
Nicolls Rd
445 Lenox Rd
601 Elmwood Ave
95 Grasslands Rd Bldg Tcc
259 1st St
4295 Hempstead Tpke
374 Stockholm Street
400 Wabash Ave
200 E State St
300 W 10th Ave
2600 6th St SW
3333 Burnet Ave
1 Perkins Sq
9500 Euclid Ave
13951 Terrace Rd
4110 Warrensville Center Rd
6780 Mayfield Rd
3700 Kolbe Rd
405 W Grand Avenue
875 8th St NE
151 W Galbraith Rd
401 N Ewing St
18101 Lorain Ave
1925 Hayes Ave
5200 Harroun Rd
2222 Philadelphia Dr
1141 N Monroe Dr
1044 Belmont Ave
667 Eastland Ave SE
4777 E Galbraith Rd
3535 Southern Blvd
4000 Miamisburg Centerville Rd
36000 Euclid Ave
1730 W 25th St
401 Matthew St
205 Palmer Avenue
3000 Arlington Ave
2446 Kipling Ave
1320 Mercy Dr NW
2500 Metrohealth Drive
1 Wyoming St
793 W State St
500 S Cleveland Ave
700 Childrens Dr
111 S Grant Ave
3535 Olentangy River Rd
Page 15 of 21
Street Address 2
Box 280, ATTN Sally Mc Cabe
Box 684
Room M202
3rd Floor
City
Yonkers
Staten Island
Syracuse
Brooklyn
Kingston
New York
Mount Vernon
New York
Rochester
Binghamton
Stony Brook
Brooklyn
Rochester
Valhalla
Mineola
Bethpage
Brooklyn
Akron
Alliance
Columbus
Canton
Cincinnati
Akron
Cleveland
Cleveland
Warrensville Heights
Mayfield Hts
Lorain
Dayton
Massillon
Cincinnati
Lancaster
Cleveland
Sandusky
Sylvania
Dayton
Xenia
Youngstown
Warren
Cincinnati
Kettering
Miamisburg
Willoughby
Cleveland
Marietta
Bellefontaine
Toledo
Cincinnati
Canton
Cleveland
Dayton
Columbus
Westerville
COLUMBUS
Columbus
Columbus
State
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Zip-Code
10701
10305
13210
11201
12401
10029
10550
10021
14626
13903
11794
11203
14642
10595
11501
11714
11237
44307
44601
43210
44710
45229
44308
44195
44112
44122
44124
44053
45405
44646
45216
43130
44111
44870
43560
45406
45385
44504
44484
45236
45429
45342
44094
44113
45750
43311
43614
45239
44708
44109
45409
43222
43081
43205
43215
43214
Legal Business Name

Ohio State University Hospital
Rchp-Wilmington, Llc
Robinson Memorial Portage County Hospital
Sheakly Medical Management Resources
Sheltering Arms Hospital Foundation, Inc.
Southern Ohio Medical Center
St Charles Hospital Of Oregon Ohio
ST JOHN MEDICAL CENTER
ST VINCENT CHARITY MEDICAL CENTER
St Vincent Mercy Medical
St. Luke'S Hospital
St. Rita'S Medical Center
Summa Akron City And St. Thomas Hospitals
Summa Barberton Citizens Hospital
Summa Western Reserve Hospital, Llc
The Children'S Medical Center
The Christ Hospital
The Good Samaritan Hospital Of Cincinnati, Ohio
The Toledo Hospital
University Hospitals Bedford Medical Center
University Hospitals Cleveland Medical Center
University Hospitals Geauga Medical Center
University Hospitals Richmond Medical Center
University Of Cincinnati Medical Center Llc
Youngstown Ohio Hospital Company Llc
Ahs Hillcrest Medical Center, Llc
Comanche County Hospital Authority
Durant Hma Llc
Hca Health Services Of Oklahoma Inc
Integris Baptist Medical Center Inc
Integris Bass Baptist Health Center
Integris South Oklahoma City Hospital Corporation
Jane Phillips Memorial Medical Center, Inc.
Laureate Psychiatric Clinic And Hospital Inc
Oklahoma State University Medical Center Trust
Saint Francis Hospital, Inc.
Ssm Health Care Of Oklahoma, Inc.
St John Medical Center Inc
State Of Oklahoma
Surgical Hospital Of Oklahoma Llc
Tahlequah Hospital Authority
Legacy Emanuel Hospital And Health Center
Legacy Good Samaritan Hospital & Medical Center
Oregon Health & Science University
Providence Health & Services - Oregon
Providence Health & Services - Oregon
Providence Health & Services-Oregon
Sky Lakes Medical Center Inc
St Charles Health System Inc
Abington Memorial Hospital
Albert Einstein Medical Center
Altoona Regional Health System
American Oncologic Hospital
TIN
314394942
311340739
273633811
346003914
310537122
314446959
310678022
344445373
341260978
340714756
344428250
344428232
341105619
340714755
261375072
263536780
310672132
310538525
310537486
344428256
341271115
341567805
340816492
341924226
311479038
273074094
770633896
736061037
581725656
621106156
731034824
730612674
731089149
730606129
731308273
264331175
730700090
730657693
730579286
736017987
731521890
736045246
930391573
941105628
930386823
930386793
931176109
930386929
930924302
930386906
930508781
930602940
231352152
231396794
231352155
231352156
Street Address 1
5100 W Broad St
410 W 10th Ave
610 W Main St
6847 N Chestnut St
10500 Montgomery Rd
55 Hospital Dr
1805 27th Street
2600 Navarre Ave
29000 Center Ridge Rd
2351 E 22nd St
2213 Cherry St
5901 Monclova Road
730 W Market St
1320 Mercy Dr NW
155 5th St NE
1900 23rd St
One Children's Plaza
2139 Auburn Ave
375 Dixmyth Ave
2142 N Cove Blvd
44 Blaine Ave
11100 Euclid Ave
13207 Ravenna Rd
27100 Chardon Rd
234 Goodman Street
500 Gypsy Ln
1120 S Utica Ave
3401 West Gore Blvd
1800 W University Blvd
700 NE 13th St
5100 N Brookline Ave
600 S Monroe St
4100 S Douglas Ave
3500 E Frank Phillips Blvd
6655 S Yale Ave
744 W 9th St
6161 S Yale Ave
1000 N Lee Ave
1923 S Utica Ave
900 E Main St
100 Southeast 59th
1400 E Downing St
3615 NW Samaritan Dr
10180 SE Sunnyside Rd
2800 N Vancouver Ave Ste 230
1200 NW 23rd Ave
3181 SW Sam Jackson Park Rd
9205 SW Barnes Rd
10150 SE 32nd Ave
4805 NE Glisan St
2865 Daggett Ave
2042 NE Williamson Ct
1200 Old York Rd
5501 Old York Rd
620 Howard Ave
333 Cottman Ave
Page 16 of 21
Street Address 2
Suite 950
Suite 100
Mailcode: CR9-6
City
Columbus
Columbus
Wilmington
Ravenna
Cincinnati
Athens
Portsmouth
Oregon
Westlake
Cleveland
Toledo
Maumee
Lima
Canton
Barberton
Cuyahoga Falls
Dayton
Cincinnati
Cincinnati
Toledo
Bedford
Cleveland
Chardon
Richmond Heights
Cincinnati
Youngstown
Tulsa
Lawton
Durant
Oklahoma City
Oklahoma City
Enid
Oklahoma City
Bartlesville
Tulsa
Tulsa
Tulsa
Oklahoma City
Tulsa
Norman
Oklahoma City
Tahlequah
Corvallis
Clackamas
Portland
Portland
Portland
Portland
Milwaukie
Portland
Klamath Falls
Bend
Abington
Phila
Altoona
Philadelphia
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
PA
PA
PA
PA
Zip-Code
43228
43210
45177
44266
45242
45701
45662
43616
44145
44115
43608
43537
45801
44708
44203
44223
45404
45219
45220
43606
44146
44106
44024
44143
45219
44504
74104
73502
74701
73104
73112
73701
73109
74006
74136
74127
74136
73102
74104
73071
73129
74464
97330
97015
97227
97210
97239
97225
97222
97213
97601
97701
19001
19141
16601
19111
Legal Business Name

TIN
Aria Health
230596940
Belmont Center For Comprhensive Treatment
231352200
Chhs Hospital Company Llc
202295645
Children'S Hospital Of Pittsburgh Of The Upmc Health System
250402510
Clarion Hospital
251010039
Community Medical Center
240862246
Conemaugh Valley Memorial Hospital
250965307
Crozer-Chester Medical Center
231637191
Delaware County Memorial Hospital
230517130
Friends Behavioral Health System, Lp
202523648
Geisinger Medical Center
240795959
Geisinger Wyoming Valley Medical Center
231996150
Holy Redeemer Health System
231534300
Holy Spirit Hospital
231512747
Jeanes Hospital
232826045
Lancaster General Hospital
231365353
Lancaster Hma Llc
251831563
LATROBE AREA HOSPITAL, INC.
250965414
Lehigh Valley Hospital
231689692
Magee Rehabilitation Hospital
231476328
Magee-Womens Hospital Of Upmc
250965420
Main Line Hospitals, Inc.
231352160
Main Line Hospitals, Inc.
231352160
MAIN LINE HOSPITALS, INC.
231352160
Meadville Medical Center
251512436
Mercy Catholic Medical Center Of Southeastern Pa
231352191
Mercy Suburban Hospital
231396763
Millcreek Community Hospital
251002937
Montgomery Hospital
231352193
Muhlenberg Hospital Center
232367707
North Philadelphia Health System
232610538
Northhampton Hospital Corporation Llc
522325498
Pinnacle Health Hospitals
251778644
Presbyterian Medical Center Of The Univ Of Pa Health System
232810852
Robert Packer Hospital
240795463
Sacred Heart Hospital Of Allentown
231352208
Saint Vincent Health Center
250965547
Scranton Hospital Company Llc
274564798
Scranton Quincy Hospital Company Llc
452672023
St Joseph Regional Health Network
231352211
St. Lukes Hospital
231352213
Temple University Hospital, Inc
232825878
The Chambersburg Hospital
230465970
The Good Samaritan Hospital
230794160
The Milton S Hershey Medical Center
251854772
The Pennsylvania Hospital Of The University Of Pennsylvania Health Sys
311538725
The Reading Hospital And Medical Center
231352204
The Washington Hospital
250965600
The Williamsport Hospital
240795508
Thomas Jefferson University Hospitals Inc
232829095
Trustees Of The University Of Pennsylvania
231352685
Upmc Hamot
250965387
Upmc Horizon
250523970
Upmc Mckeesport
250965423
Upmc Mercy
250965429
Upmc Presbyterian Shadyside
250965480
Street Address 1
10800 Knights Rd
4200 Monument Rd
8835 Germantown Ave
4401 Penn Ave
1 Hospital Dr
1822 Mulberry St
1086 Franklin St
One Medical Center Boulevard
501 North Lansdowne Avenue
4641 Roosevelt Blvd
100 N ACADEMY AVE
270 S River St
1648 Huntingdon Pike
503 N 21st St
7600 Central Ave
555 N Duke St
1500 Highlands Dr
City
Philadelphia
Phila
Philadelphia
Pittsburgh
Clarion
Scranton
Johnstown
Upland
Drexel Hill
Philadelphia
DANVILLE
Plains
Meadowbrook
Camp Hill
Philadelphia
Lancaster
Lititz
State
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
Zip-Code
19114
19131
19118
15224
16214
18510
15905
19013
19026
19124
17822
18705
19046
17011
19111
17602
17543
121 W 2nd Ave
Latrobe
PA
15650
1200 S Cedar Crest Blvd

1513 Race St
300 Halket St
100 E Lancaster Ave
130 S Bryn Mawr Ave
414 Paoli Pike
751 Liberty St
1500 Lansdowne Ave
2701 Dekalb Pike
5515 Peach St
1301 Powell St
2545 Schoenersville Rd
1630 W Girard Ave
250 S 21st St
111 S Front St
51 N 39th St
1 Guthrie Sq
421 W Chew St
232 W 25th St
746 Jefferson Ave
700 Quincy Ave
2500 Bernville Rd
801 Ostrum St
3401 N Broad St
112 N 7th St
Fourth and Walnut Streets
500 University Dr
800 Spruce St
6th Avenue & Spruce Street
155 Wilson Ave
777 Rural Ave
111 S 11th St
3400 Spruce St
201 State St
110 N Main St
1500 5th Ave
1400 Locust St
200 Lothrop St
Allentown
Philadelphia
Pittsburgh
Wynnewood
Bryn Mawr
Malvern
Meadville
Darby
Norristown
Erie
Norristown
Bethlehem
Philadelphia
Easton
Harrisburg
Philadelphia
Sayre
Allentown
Erie
Scranton
Scranton
Reading
Bethlehem
Philadelphia
Chambersburg
Lebanon
Hershey
Phila
West Reading
Washington
Williamsport
Philadelphia
Philadelphia
Erie
Greenville
McKeesport
Pittsburgh
Pittsburgh
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
18103
19102
15213
19096
19010
19355
16335
19023
19401
16509
19401
18017
19130
18042
17101
19104
18840
18102
16544
18510
18510
19605
18015
19140
17201
17042
17033
19107
19611
15301
17701
19107
19104
16550
16125
15132
15219
15213
Page 17 of 21
Street Address 2
Patient Acct Dept
2210 Gibbon Building
Legal Business Name

Upmc St Margaret
Valley Medical Facilities Inc
West Penn Allegheny Health System, Inc.
West Penn Allegheny Health System, Inc.
TIN
232875070
251801532
250969492
250969492
WEST PENN ALLEGHENY HEALTH SYSTEM, INC.
250969492
Wilkes Barre Hospital Company Llc

York Hospital
York Pennsylvania Hospital Company Llc
Bella Vista Hospital Inc
Corporacion Centro Cardiovascular De Puerto Rico Y Del Caribe
Departamento De Salud Oficial
Departamento De Salud Oficial
Hospital Damas Inc
Hospital De La Concepcion Inc
Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc.
Manati Medical Center
Municipality Of San Juan Pr Director De Finanzas
Saint Lukes Memorial Hospital Inc
Servicios Medicos Universitarios
Sistemas Integrados De Salud Del Sur Oeste Inc
Butler Hospital
Kent County Memorial Hospital
Memorial Hospital
Rhode Island Hospital
Roger Williams Medical Center
The Miriam Hospital
Women & Infants Hospital Of Rhode Island
Aiken Regional Medical Centers Inc
Anmed Health
Greenville Hospital System
Mcleod Regional Medical Center Of The Pee Dee
Medical University Hospital Authority
Oconee Medical Center
Palmetto Health
Palmetto Health
Self Regional Healthcare
Spartanburg Regional Medical Center
Trident Medical Center Llc
Avera Mckennan
Rapid City Regional Hospital, Inc.
Sanford Medical Center
Amisub (Sfh), Inc.
Baptist Memorial Hospital
Chattanooga Hamilton County Hospital Authority
Jackson-Madison County General Hospital
Mountain States Health Alliance
Mountain States Health Alliance
Nashville General Hospital
Seton Corporation
Shelby County Healthcare Corporation
St. Thomas Hospital
University Health System, Inc.
Vanderbilt University
263632648
231352222
454082660
660204776
660437312
660437470
660437470
660183310
660227304
660486907
660531550
660427034
660589727
660561027
660715098
050258812
050258896
050259004
050258954
050258959
050258905
050258937
232791808
570359174
576007863
576007863
576007863
576007863
570370242
571098556
570357963
582296052
582296052
570331865
576000934
621768106
460224743
460319070
460227855
752522262
620123940
626000101
626010402
620476282
620476282
202844893
621869474
621113169
620347580
311626179
620476822
Street Address 1
815 Freeport Rd
1000 Dutch Ridge Rd
2570 Haymaker Rd
4800 Friendship Ave
320 E North Ave
575 N River St
1001 South George Street
325 S Belmont St
Carretera 349 KM 2.7
Americo Miranda Ave.
100 Ave Laurel
Carr 22 Ave Americo Miranda Bo Monacillo
2213 Ponce By Pass
Route #2 Km 173.4
735 Ave Ponce De Leon
Calle Hernandez Carrion
Centro Medico Bo. Monacillos
917 Ave Tito Castro
Carr. #3 Km. 8.3 Ave 65 Infanteria
Ave Hostos
345 Blackstone Blvd
455 Toll Gate Rd
111 Brewster St
593 Eddy St
825 Chalkstone Ave
164 Summit Ave
101 Dudley St
302 University Parkway
800 N Fant St
175 Patewood Dr
701 Grove Rd
729 SE Main St
830 S Buncombe Rd
555 E Cheves St
169 Ashley Ave
298 Memorial Dr
1330 Taylor at Marion Streets
3301 Harden St Ext
1325 Spring St
101 E Wood St
9330 Medical Plaza Dr
1417 S. Cliff Ave.
353 Fairmont Blvd
1305 W 18th St
5959 Park Ave
6019 Walnut Grove Rd
975 E Third Street
620 Skyline Dr
2000 Brookside Dr
400 N State Of Franklin Rd
1818 Albion St
2000 Church St
877 Jefferson Ave
4220 Harding Rd
1924 Alcoa Hwy
1211 22nd Avenue, South
Page 18 of 21
Street Address 2
100 Med Arts Bldg Suite 105
Executive Offices
Cerro las mesas

Medical Center Corner
Urb. Santa Juanita
Bo. Cain Alto

Stop 37.5
Urb. Atenas
#410
5 Medical Park
Ste. 101A
ATTN: Martha Lampley
City
Pittsburgh
Beaver
Monroeville
Pittsburgh
Pittsburgh
Wilkes Barre
York
York
Mayaguez
Rio Piedras
Bayamon
Rio Piedras
Ponce
San German
San Juan
Manati
San Juan
Ponce
Carolina
Mayaguez
Providence
Warwick
Pawtucket
Providence
Providence
Providence
Providence
Aiken
Anderson
Greenville
Greenville
Simpsonville
Greer
Florence
Charleston
Seneca
Columbia
Columbia
Greenwood
Spartanburg
Charleston
Sioux Falls
Rapid City
Sioux Falls
Memphis
Memphis
Chattanooga
Jackson
Kingsport
Johnson City
Nashville
Nashville
Memphis
Nashville
Knoxville
Nashville
State
PA
PA
PA
PA
PA
PA
PA
PA
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
RI
RI
RI
RI
RI
RI
RI
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SD
SD
SD
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
Zip-Code
15215
15009
15146
15224
15212
18764
17405
17403
00680
00935
00956
00921
00717
00683
00917
00674
00926
00716
00984
00681
02906
02886
02860
02903
02908
02906
02905
29801
29621
29615
29605
29681
29650
29506
29403
29672
29201
29203
29646
29303
29406
57105
57701
57105
38119
38120
37403
38301
37660
37604
37208
37236
38103
37205
37920
37232
Legal Business Name

Wellmont Health System
Baptist St. Anthony'S Hospital Corporation
Bay Area Healthcare Group, Ltd.
Baylor Heart & Vascular Center Llp
Baylor Medical Centers At Garland And Mckinney
Baylor University Medical Center
Bexar County Hospital District
Bir Jv Llp
Brim Healthcare Of Texas Llc
Chca Conroe L P
Chca West Houston, L.P.
Childrens Medical Center Of Dallas
Christus Health Ark-La-Tex
Christus Santa Rosa Health Care Corporation
Christus Spohn Health System Corporation
College Station Hospital Lp
Columbia Hospital At Medical City Dallas Subsidiary Lp
Columbia Plaza Medical Center Of Fort Worth Subsidiary, L.P.
Cook Children'S Medical Center
Covenant Health System
Dallas County Hospital District
Driscoll Childrens Hospital
Ector County Hospital District
El Paso County Hospital District
Hillcrest Baptist Medical Center
Hunt Memorial Hospital District
Kph-Consolidation, Inc.
Lubbock County Hospital District
Mcallen Hospital L P
Memorial Hermann Health System
Memorial Hermann Health System
Methodist Healthcare System Of San Antonio, Ltd., L.L.P.
Methodist Hospitals Of Dallas
Methodist Hospitals Of Dallas
Midland County Hospital District
Mother Frances Hospital Regional Health Care Center
Northwest Texas Healthcare System, Inc
Oakbend Medical Center
POST ACUTE MEDICAL AT SAN ANTONIO LLC
Providence Health Services Of Waco, Inc
San Jacinto Methodist Hospital
Scott & White Memorial Hospital
Seton Family Of Hospitals
Seton Family Of Hospitals
Sj Medical Center, Llc
St Davids Healthcare Partnership Lp Llp
St. Joseph Regional Health Center
St. Luke'S Episcopal Hospital
Tarrant County Hospital District
Tenet Hospitals Limited
Texas Children'S Hospital
Texas Health Harris Methodist Hospital Fort Worth
Texas Health Presbyterian Hospital Dallas
The Institute For Rehabilitation And Research
The Methodist Hospital
TIN
621636465
621636465
750800669
752387418
752834135
751037591
751837454
746002164
274586141
264178850
621801361
621801363
750800628
752796815
741109665
741109836
621762360
621682198
621682202
752051646
752765566
756004221
742577746
752302928
746000756
741161944
751277293
621619857
751301362
233069260
741152597
741152597
742730328
750800661
750800661
751584559
750818167
232238976
760339462
383743546
741109636
741287015
741166904
741109643
741109643
204835578
742781812
741282696
741161938
756000439
954537720
741100555
756001743
751047527
741334678
741180155
Street Address 1
1 Medical Park Blvd
130 W Ravine Rd
1600 Wallace Blvd
7101 S Padre Island Dr
621 N Hall St
2300 Marie Curie Dr
3900 Junius St
4502 Medical Dr
909 N Washington Ave
1000 Pine St
504 Medical Center Blvd
12141 Richmond Ave
1935 Medical District Dr
1400 College Dr
333 N Santa Rosa St
2606 Hospital Blvd
1604 Rock Prairie Rd
7777 Forest Ln
900 8th Ave
1500 Cooper St
3615 19th St
5201 Harry Hines Blvd
3533 South Alameda Street
500 W 4th St
4815 Alameda Ave
100 Hillcrest Medical Boulevard
4215 Joe Ramsey Blvd
22999 Highway 59 N
602 Indiana Ave
1102 W Trenton Rd
1635 North Loop W
6400 Fannin St
7700 FLOYD CURL DRIVE
1441 N Beckley Ave
3500 W Wheatland Rd
2200 W Illinois Ave
800 E Dawson St
1501 S Coulter St
1705 Jackson St
5101 Medical Dr
6901 Medical Pkwy
4401 Garth Rd
2401 S 31st St
3501 Mills Ave
601 E 15th St
1401 St Joseph Pkwy
12221 N Mo Pac Expy
2801 Franciscan Dr
6720 Bertner St
1500 S Main St
2001 N Oregon St
6621 Fannin St
1301 Pennsylvania Ave
8200 Walnut Hill Lane
1333 Moursund St
6565 Fannin St
Page 19 of 21
Street Address 2
Suite 200
Suite 202
16th Floor
Business Office
City
Bristol
Kingsport
Amarillo
Corpus Christi
Dallas
Garland
Dallas
San Antonio
Dallas
Texarkana
Conroe
Houston
Dallas
Texarkana
San Antonio
Corpus Christi
College Station
Dallas
Fort Worth
Fort Worth
Lubbock
Dallas
Corpus Christi
Odessa
El Paso
Waco
Greenville
Kingwood
Lubbock
Edinburg
Houston
Houston
San Antonio
Dallas
Dallas
Midland
Tyler
Amarillo
Richmond
San Antonio
Waco
Baytown
Temple
Austin
Austin
Houston
Austin
Bryan
Houston
Fort Worth
El Paso
Houston
Fort Worth
Dallas
Houston
Houston
State
TN
TN
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
Zip-Code
37620
37660
79106
78412
75226
75042
75246
78229
76132
75501
77304
77082
75235
75503
78207
78405
77845
75230
76104
76104
79410
75235
78411
79761
79905
76712
75401
77339
79415
78539
77008
77030
78229
75203
75237
79701
75701
79106
77469
78229
76712
77521
76508
78731
78701
77002
78758
77802
77030
76104
79902
77030
76104
75231
77030
77030
Legal Business Name

The University Of Texas Medical Branch
Tomball Texas Hospital Company Llc
United Regional Health Care System Inc
University Of Texas Health Science Center At Houston
University Of Texas Health Science Center At Tyler
University Of Texas M. D. Anderson Cancer Center
University Of Texas Southwestern Medical Center At Dallas
University Of Texas Southwestern Medical Center At Dallas
Vhs Harlingen Hospital Company Llc
Ihc Health Services, Inc
Northern Utah Healthcare Corporation
Salt Lake Regional Medical Center Lp
University Of Utah
University Of Utah
Bon Secours - St. Francis Medical Center, Inc
Bon Secours Depaul Medical Center, Inc.
Bon Secours St Mary'S Hospital Of Richmond, Inc
Carilion Medical Center
Centra Health Inc
Childrens Hospital Of The Kings Daughters Inc
Chippenham & Johnston-Willis Hospitals, Inc.
Danville Regional Medical Center, Llc
Inova Health Care Services
Loudoun Hospital Center
Maryview Hospital
Montgomery Regional Hospital, Inc.
Norton Community Hospital, Inc
Rector & Visitors Of The University Of Virginia
Rehabilitation Institute Of Virginia Inc
Riverside Hospital Inc
Sentara Hospitals
Sentara Hospitals
Sentara Hospitals
Sentara Hospitals
Sentara Hospitals
Virginia Commonwealth University Health System Authority
Virginia Hospital Center Arlington
Warren Memorial Hospital
Winchester Medical Center
Fletcher Allen Health Care,In
Harborview Medical Center
Multicare Health System
Peacehealth Southwest Medical Center
Providence Health & Services - Wa
Providence Health & Services Washington
Public Hospital District #1 Of King County
Seattle Children'S Hospital
Spokane Valley Washington Hospital Company Llc
Spokane Washington Hospital Company Llc
St Francis Communtiy Hospital
Swedish Health Services
TIN
746000949
452856063
751912147
800176343
756001354
746001118
753175621
753175630
452662980
942854057
942854057
942854057
942854057
942854057
621650573
621795214
876000525
876000525
311716973
541820093
540793767
540506332
540715569
540506321
541779911
202028539
540620889
540525802
540506463
540889154
540566029
546001796
521432269
521245746
541547408
541547408
541547408
541547408
541547408
541848065
540505989
540488103
621636465
540505979
030219309
911631806
911352172
916068143
364640211
910567732
916000986
910564748
261315140
261315081
911267921
910373400
Street Address 1
301 University Blvd
605 Holderrieth Blvd
1600 11th St
2800 S MacGregor Way
11937 US Highway 271
1515 Holcombe Blvd
5151 Harry Hines Boulevard
5909 Harry Hines Blvd
2101 Pease St
100 Mario Capecchi Dr
1034 N 500 W
325 8th Ave
4401 Harrison Blvd
5121 Cottonwood St
1200 E 3900 S
1050 E South Temple
50 N Medical Dr
501 Chipeta Way
13700 St Francis Blvd
150 Kingsley Ln
5801 Bremo Rd
1906 Belleview Ave SE
3300 Rivermont Ave
601 Childrens Ln
7102 Jahnke Rd
142 S Main St
3300 Gallows Rd
44045 Riverside Pkwy
3636 High St
3700 S Main St
100 15th St NW
1215 Lee St PFS
245 Chesapeake Ave
500 J Clyde Morris Blvd
1060 First Colonial Rd
2025 Glenn Mitchell Dr
2800 Godwin Blvd
600 Gresham Dr
830 Kempsville Rd
MCV Hospitals/VCU Health System
1701 N George Mason Dr
1000 N Shenandoah Ave
1990 Holton Ave E
1840 Amherst St
111 Colchester Ave
325 9th Ave
315 Martin Luther King Jr Way
200 NE Mother Joseph Pl Ste 400
101 W 8th Ave
413 Lilly Rd NE
400 S 43rd St
4800 Sand Point Way NE
12606 E Mission Ave
800 W 5th Ave
34515 9th Ave S
500 17th Ave
Page 20 of 21
Street Address 2
City
Galveston
Tomball
Wichita Falls
Houston
Tyler
Houston
Dallas
Dallas
Harlingen
Salt Lake City
Provo
Salt Lake City
Ogden
Murray
Salt Lake City
Salt Lake City
Salt Lake City
Salt Lake City
Suite 502
Midlothian
Norfolk
Richmond
Roanoke
Lynchburg
Norfolk
Richmond
Danville
Falls Church
Leesburg
Portsmouth
Blacksburg
Norton
Charlottesville
Newport News
Newport News
Virginia Beach
Virginia Beach
Suffolk
Norfolk
Norfolk
1250 E. Marshall Street - Main 2-116
Richmond
Arlington
Front Royal
Big Stone Gap
Winchester
Burlington
Seattle
Tacoma
Vancouver
Spokane
Olympia
Renton
S-100
Seattle
Spokane Valley
Spokane
Federal Way
Seattle
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
UT
UT
UT
UT
UT
UT
UT
UT
UT
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VT
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
Zip-Code
77555
77375
76301
77021
75708
77030
75390
75390
78550
84113
84604
84143
84403
84107
84124
84102
84132
84108
23114
23505
23226
24014
24503
23507
23225
24541
22042
20176
23707
24060
24273
22908
23607
23601
23454
23456
23434
23507
23502
23298
22205
22630
24219
22601
05401
98104
98405
98664
99204
98506
98055
98105
99216
99204
98003
98124
Legal Business Name

TIN
Swedish Health Services
910433740
University Of Washington
916001537
Uw Medicine Northwest
910637400
Virginia Mason Medical Center
910565539
Yakima Hma Llc
450506909
Yakima Valley Memorial Hospital Association
910567263
Appleton Medical Center, Inc.
390824015
Aspirus Wausau Hospital, Inc
391138241
Aurora Health Care Metro, Inc.
390806181
Beloit Health System Inc
391028081
Children'S Hospital Of Wisconsin, Inc.
390812532
Columbia St. Mary'S Hospital Milwaukee, Inc
390806315
County Of Milwaukee
396005720
Froedtert Memorial Lutheran Hospital, Inc.
396105970
Gundersen Lutheran Medical Center, Inc.
390813416
Mayo Clinic Health System - Eau Claire Hospital Inc
390813418
Mayo Clinic Health System - Franciscan Medical Center, Inc.
390806374
Mercy Health System Corporation
390816848
Meriter Hospital, Inc.
390806367
Midwest Orthopedic Specialty Hospital, Llc
800337676
Sacred Heart Hospital Of The Hospital Sisters-3Rd Order Of St Francis
390807060
Sauk Prairie Memorial Hospital Inc
390872080
Ssm Health Care Of Wisconsin, Inc.
430688874
Ssm Health Care Of Wisconsin, Inc.
430688874
St Josephs Hospital Of Marshfield Inc
390847631
St. Elizabeth Hospital, Inc.,
390816818
The Monroe Clinic, Inc.
390808509
University Of Wisconsin Hospitals And Clinics Authority
391835630
Waukesha Memorial Hospital, Inc.
390910727
West Allis Memorial Hospital, Inc.
391022464
Wheaton Franciscan Healthcare-St. Francis, Inc
390907740
Wheaton Franciscan, Inc
390816857
Bluefield Hospital Company Llc
272372291
Cabell Huntington Hospital, Inc
550675666
Camden Clark Memorial Hospital Corporation
311524546
Charleston Area Medical Center, Inc.
550526150
City Hospital, Inc.
550383321
Greenbrier Vmc Llc
752887493
Ohio Valley Medical Center
550614866
St Marys Medical Center, Inc
550357050
United Hospital Center, Inc
550525724
West Virginia University Hospitals Inc
550643304
Wheeling Hospital Inc
550357057
Memorial Hospital Of Laramie County
836000194
Wyoming Medical Center Inc
830279242
Street Address 1
747 Broadway
1959 NE Pacific St
1550 North 115th Street
925 Seneca St
110 S 9th Ave
2811 Tieton Dr
1818 N Meade St
333 Pine Ridge Blvd
2900 W Oklahoma Ave
1969 W Hart Rd
9000 W Wisconsin Ave
2323 N Lake Dr
9455 W Watertown Plank Rd
9200 W Wisconsin Ave
1910 South Ave
1221 Whipple St
700 West Ave S
1000 Mineral Point Ave
202 S Park St
10101 S 27th St
900 W Clairemont Ave
80 1st St
700 S. Park St.
707 14th St
611 Saint Joseph Ave
1506 S Oneida St
515 22nd Ave
600 Highland Ave
725 American Ave
8901 W Lincoln Ave
3237 S 16th St
5000 W Chambers St
500 Cherry St
1340 Hal Greer Blvd
1824 Murdoch Ave
501 Morris St
2500 Hospital Dr
202 Maplewood Ave
2000 Eoff St
2900 First Avenue
327 Medical Park Drive
1 Medical Center Drive
1 Medical Park
214 E 23rd St
1233 E 2nd Street
Page 21 of 21
Street Address 2
City
Seattle
Seattle
Mail Stop PZ 506
Seattle
Seattle
Yakima
Yakima
Appleton
Wausau
Milwaukee
Beloit
Milwaukee
Milwaukee
Milwaukee
Milwaukee
La Crosse
Eau Claire
LA Crosse
Janesville
Madison
Franklin
Eau Claire
Prairie Du Sac
Madison
Baraboo
Marshfield
Appleton
Monroe
Compliance Mail Code 2433
Madison
Waukesha
West Allis
Milwaukee
Milwaukee
Bluefield
Huntington
Parkersburg
Charleston
Martinsburg
Ronceverte
Ohio Valley Medical Center Inc Wheeling
Huntington
Bridgeport
Morgantown
Wheeling
Cheyenne
Casper
State
WA
WA
WA
WA
WA
WA
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WY
WY
Zip-Code
98122
98195
98133
98101
98902
98902
54911
54401
53215
53511
53226
53211
53226
53226
54601
54703
54601
53548
53715
53132
54701
53578
53715
53913
54449
54915
53566
53792
53188
53227
53215
53210
24701
25701
26101
25301
25401
24970
26003
25702
26330
26506
26003
82001
82601

2013 Open Payments Cycle Teaching Hospital List (May 2013)

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2013 Open Payments Cycle Teaching Hospital List (May 2013)

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OPEN PAYMENTS List of Teaching Hospitals

May 2013 Posting

3269 Stockton Hill Rd

Legal Business Name

SCVMC Acute Care Hospital

Legal Business Name

mail code 5500

Mail Code 5002

Legal Business Name

1719 E 19th Ave

Legal Business Name

Legal Business Name

Legal Business Name

Regional Finance Department

Legal Business Name

Legal Business Name

Legal Business Name

Patient Accounts - CSB

Legal Business Name

Legal Business Name

Legal Business Name

Legal Business Name

8045 Winchester Blvd

998 Crooked Hill Rd

Bldg 2 - Staff HS Rm.324/SH

Legal Business Name

KETTERING MEDICAL CENTER INC

Box 280, ATTN Sally Mc Cabe

Legal Business Name

Legal Business Name

121 W 2nd Ave

1200 S Cedar Crest Blvd

Patient Acct Dept

2210 Gibbon Building

Legal Business Name

WEST PENN ALLEGHENY HEALTH SYSTEM, INC.

Wilkes Barre Hospital Company Llc

Cerro las mesas

Bo. Cain Alto

ATTN: Martha Lampley

Legal Business Name

Legal Business Name

Legal Business Name

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