‘Note that this list should only be used for 2016 data collection period (1/1/2016 – 12/31/2016)’

Open Payments List of Teaching Hospitals

October 2015 Posting

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

920016429 PROVIDENCE ALASKA MEDICAL CENTER Providence Health & Services - Washington 3200 PROVIDENCE DRIVE PO BOX 19660ANCHORAGE AK 99519 3200 Providence Dr Anchorage AK 99508203204949 BAPTIST MEDICAL CENTER SOUTH The Health Care Authority For Baptist Health, An Affiliate Of Uabhs 2105 EAST SOUTH BOULEVARD 11010 MONTGOMERY AL 36116 2105 E South Blvd Montgomery AL 36116461468253 CALLAHAN EYE FOUNDATION HOSP Callahan Eye Hospital Health Care Authority 1720 UNIVERSITY BOULEVARD BIRMINGHAM AL 35233 1720 University Blvd Suite 500 Birmingham AL 35233636001579 COOPER GREEN MERCY HOSPITAL Jefferson County Commission 1515 SIXTH AVENUE SOUTH BIRMINGHAM AL 35233 1515 6th Ave S Birmingham AL 35233636000271 DCH REGIONAL MEDICAL CENTER The Dch Healthcare Authority 809 UNIVERSITY BLVD EAST TUSCALOOSA AL 35401 809 University Blvd E Tuscaloosa AL 35401630845288 HUNTSVILLE HOSPITAL The Health Care Authority Of The City Of Huntsville 101 SIVLEY ROAD HUNTSVILLE AL 35801 101 Sivley Rd SW Huntsville AL 35801203713023 INFIRMARY WEST Infirmary Health Hospitals, Inc. 5600 GIRBY ROAD 0144 MOBILE AL 36693 5600 Girby Rd Mobile AL 36693630288856 MOBILE INFIRMARY MEDICAL CENTER Mobile Infirmary Association FIVE MOBILE INFIRMARY CIRCLE 2144 MOBILE AL 36652 3 Mobile Infirmary Cir Mobile AL 36607631105935 PRINCETON BAPTIST MEDICAL CENTER Princeton Baptist Medical Center 701 PRINCETON AVE SW BIRMINGHAM AL 35211 701 Princeton Ave SW Birmingham AL 35211630288861 PROVIDENCE HOSPITAL Providence Hospital 6801 AIRPORT BLVD MOBILE AL 36608 6801 Airport Blvd Mobile AL 36608630288864 ST VINCENTS BIRMINGHAM St. Vincent'S Hospital 810 ST VINCENTS DRIVE BIRMINGHAM AL 35205 810 Saint Vincents Dr Birmingham AL 35205630578923 ST. VINCENTS EAST St. Vincent'S East 50 MEDICAL PARK DRIVE EAST BIRMINGHAM AL 35235 50 Medical Park Dr E Building 46, Suite 300, Birmingham AL 35235630307306 THE CHILDRENS HOSPITAL OF ALABAMA Children'S Hospital Pathology 1600 7TH AVENUE SOUTH BIRMINGHAM AL 35233 1600 7th Ave S Birmingham AL 35233203391873 TRINITY MEDICAL CENTER Affinity Hospital Llc 800 MONTCLAIR ROAD BIRMINGHAM AL 35213 800 Montclair Rd Birmingham AL 35213630477348 UNIV OF SOUTH ALABAMA MEDICAL CENTER University Of South Alabama 2451 FILLINGIM STREET MOBILE AL 36617 2451 Fillingim St Mobile AL 36617636005396 UNIVERSITY OF ALABAMA HOSPITAL University Of Alabama At Birmingham 619 SOUTH 19TH STREET BIRMINGHAM AL 35233 619 19th St S Birmingham AL 35249630477348 USA CHILDRENS AND WOMENS HOSPITAL University Of South Alabama 1700 CENTER STREET MOBILE AL 36604 1700 Center St Mobile AL 36604621864231 VAUGHAN REGIONAL MEDICAL CENTER Vaughan Regional Medical Center Llc 1015 MEDICAL CENTER PARKWAY SELMA AL 36701 1015 Medical Center Pkwy Selma AL 36701710236857 ARKANSAS CHILDRENS HOSPITAL Arkansas Childrens Hospital 1 CHILDRENS WAY LITTLE ROCK AR 72202 1 Childrens Way Little Rock AR 72202710236856 BAPTIST HEALTH MEDICAL CENTER - LR Baptist Health 9601 I-630 EXIT 7 LITTLE ROCK AR 72205 9601 Interstate 630 Exit 7 Little Rock AR 72205710236856 BAPTIST HEALTH REHABILITATION INSTIT Baptist Health 9601 INTERSTATE 630 EXIT 7 LITTLE ROCK AR 72205 9601 Interstate 630 Exit 7 Little Rock AR 72205710236932 CRITTENDEN REGIONAL HOSPITAL Crittenden Hospital Association, Inc 200 TYLER ST 2248 WEST MEMPHIS AR 72303 200 W Tyler Ave West Memphis AR 72301710329353 JEFFERSON REGIONAL MEDICAL CENTER Jefferson Hospital Association, Inc. 1600 WEST 40TH AVENUE PINE BLUFF AR 71603 1600 W. 40th Avenue Pine Bluff AR 71603716014562 MAGNOLIA REGIONAL MEDICAL CENTER Magnolia Regional Medical Center 807 N JACKSON 629 MAGNOLIA AR 71753 101 Hospital Dr Magnolia AR 71753261214372 NEA - BAPTIST MEMORIAL HEALTH Baptist Memorial Hospital-Jonesboro Inc 4800 EAST JOHNSON AVENUE JONESBORO AR 72401 4800 E Johnson Ave Jonesboro AR 72401205896848 NORTHWEST MEDICAL CENTER OF WASHINGT Northwest Arkansas Hospitals Llc 609 WEST MAPLE SPRINGDALE AR 72764 609 W Maple Ave Springdale AR 72764271013889 SPARKS REGIONAL MEDICAL CENTER Fort Smith Hma, Llc 1001 TOWSON AVE PO BOX 2406 FORT SMITH AR 72902 1001 Towson Ave Fort Smith AR 72901710290019 ST BERNARDS MEDICAL CENTER St Bernards Hospital Inc 225 EAST JACKSON JONESBORO AR 72401 225 E Jackson Ave Jonesboro AR 72401710236917 ST VINCENT INFIRMARY MEDICAL CENTER St Vincent Infirmary Medical Center TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 2 Saint Vincent Cir Little Rock AR 72205716046242 UAMS MEDICAL CENTER University Of Arkansas For Medical Sciences 4301 WEST MARKHAM LITTLE ROCK AR 72205 4301 W Markham St Little Rock AR 72205710664687 WASHINGTON REGIONAL MEDICAL CENTER Washington Regional Medical Center 3215 N. NORTH HILLS BLVD FAYETTEVILLE AR 72703 3215 N Northhills Blvd Fayetteville AR 72703900389314 BANNER BOSWELL MEDICAL CENTER Banner Boswell Medical Center 10401 THUNDERBIRD BLVD. SUN CITY AZ 85351 10401 W Thunderbird Blvd Sun City AZ 85351900389312 BANNER DEL E WEBB MEDICAL CENTER Banner Del E Webb Medical Center 14502 WEST MEEKER BOULEVARD SUN CITY WEST AZ 85375 14502 W Meeker Blvd Sun City West AZ 85375270036499 BANNER GOOD SAMARITAN MEDICAL CENTER Banner-University Medical Center Phoenix Campus 1111 EAST MCDOWELL ROAD PHOENIX AZ 85006 1111 E McDowell Rd Phoenix AZ 85006860181654 JOHN C LINCOLN HOSP-NORTH MOUNTAIN Scottsdale Healthcare Hospitals 250 WEST DUNLAP PHOENIX AZ 85020 250 E Dunlap Ave Phoenix AZ 85020942916102 KINGMAN REGIONAL MEDICAL CENTER Kingman Hospital Inc 3269 STOCKTON HILL ROAD KINGMAN AZ 86401 3269 N Stockton Hill Rd Kingman AZ 86409860830701 MARICOPA MEDICAL CENTER Maricopa County Special Health Care District 2601 EAST ROOSEVELT STREET PHOENIX AZ 85010 2601 E Roosevelt St Phoenix AZ 85008860800150 MAYO CLINIC HOSPITAL Mayo Clinic Arizona 5777 EAST MAYO BLVD PHOENIX AZ 85054 5777 E Mayo Blvd Phoenix AZ 85054202066363 MOUNTAIN VISTA MEDICAL CENTER Mountain Vista Medical Center Lp 1301 SOUTH CRIMSON ROAD MESA AZ 85209 1301 S Crismon Rd Mesa AZ 85209621809851 PHOENIX BAPTIST HOSPITAL Vhs Of Phoenix Inc 2000 WEST BETHANY ROAD PHOENIX AZ 85015 2000 W Bethany Home Rd Phoenix AZ 85015860422559 PHOENIX CHILDRENS HOSPITAL Phoenix Children'S Hospital 1919 E. THOMAS ROAD PHOENIX AZ 85016 1919 E Thomas Rd Phoenix AZ 85016860181654 SCOTTSDALE HEALTHCARE - OSBORN Scottsdale Healthcare Hospitals 7400 EAST OSBORN ROAD SCOTTSDALE AZ 85251 7400 E Osborn Rd Scottsdale AZ 85251860181654 SCOTTSDALE HEALTHCARE - SHEA Scottsdale Healthcare Hospitals 10450 N. 92ND STREET SCOTTSDALE AZ 85258 9003 E Shea Blvd Scottsdale AZ 85260900942222 SIERRA VISTA REGIONAL HEALTH CENTER Rchp-Sierra Vista Inc 300 EL CAMINO REAL SIERRA VISTA AZ 85635 3250 Highway 82 Sonoita AZ 85637941196203 ST. JOSEPHS HOSPITAL & MEDICAL CTR Dignity Health 350 WEST THOMAS ROAD PHOENIX AZ 85013 350 W Thomas Rd Phoenix AZ 85013901074558 THE UNIVERSITY PHYSICIANS HOSPITAL Banner University Medical Center South Campus Llc 2800 EAST AJO WAY TUCSON AZ 85713 2800 E Ajo Way Tucson AZ 85713860137567 TUCSON MEDICAL CENTER Tucson Medical Center 5301 E GRANT ROAD TUCSON AZ 85712 5301 E Grant Rd Tucson AZ 85712901074557 UNIVERSITY MEDICAL CENTER Banner University Medical Center Tucson Campus Llc 1501 NORTH CAMPBELL AVE TUCSON AZ 85721 1501 N Campbell Ave Tucson AZ 85724860100882 VERDE VALLEY MEDICAL CENTER Verde Valley Medical Center 269 SOUTH CANDY LANE COTTONWOOD AZ 86326 269 S Candy Ln Cottonwood AZ 86326866007596 YUMA REGIONAL MEDICAL CENTER Yuma Regional Medical Center 2400 AVENUE A YUMA AZ 85364 2400 S Ave A Yuma AZ 85364943302014 ALAMEDA COUNTY MEDICAL CENTER Alameda Health System 1411 EAST 31ST STREET OAKLAND CA 94602 1411 E 31st St Oakland CA 94602956002748 ARROWHEAD REGIONAL MEDICAL CENTER County Of San Bernardino 400 NORTH PEPPER AVENUE COLTON CA 92324 400 N Pepper Ave Colton CA 92324941196203 CALIFORNIA HOSPITAL MEDICAL CENTER Dignity Health 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 1401 S Grand Ave Los Angeles CA 90015940562680 CALIFORNIA PACIFIC MEDICAL CENTER Sutter West Bay Hospitals BUCHANAN AND CLAY STREETS 7999 SAN FRANCISCO CA 94120 2333 Buchanan Street San Francisco CA 94115951644600 CEDARS-SINAI MEDICAL CENTER Cedars-Sinai Medical Center 8700 BEVERLY BLVD. LOS ANGELES CA 90048 8700 Beverly Blvd Los Angeles CA 90048770324630 CENTRAL VALLEY GENERAL HOSPITAL Central Valley General Hospital 1025 N. DOUTY HANFORD CA 93230 1025 N Douty St Hanford CA 93230940382330 CHILDRENS HOSP & RES CNTR OAKLAND Children'S Hospital & Research Center At Oakland 747 52ND STREET OAKLAND CA 94609 747 52nd St Oakland CA 94609941294954 CHILDRENS HOSPITAL CENTRAL CALIF. Valley Childrens Hospital 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 9300 Valley Childrens Pl Madera CA 93636951690977 CHILDRENS HOSPITAL LOS ANGELES Childrens Hospital Of Los Angeles 4650 SUNSET BOULEVARD MAIL STOP #21 LOS ANGELES CA 90027 4650 W Sunset Blvd Los Angeles CA 90027952321786 CHILDRENS HOSPITAL OF ORANGE COUNT Children'S Hospital Of Orange County 1201 W. LA VETA AVENUE ORANGE CA 92868 455 S Main St Orange CA 92868330928285 CHINO VALLEY MEDICAL CENTER Veritas Health Services, Inc. 5451 WALNUT AVENUE CHINO CA 91710 5451 Walnut Ave Chino CA 91710951683875 CITY OF HOPE NATIONAL MEDICAL CENTER City Of Hope National Medical Center 1500 EAST DUARTE ROAD DUARTE CA 91010 1500 E Duarte Rd Duarte CA 91010951683892 CMH OF SAN BUENAVENTURA Community Memorial Health System 147 N. BRENT STREET VENTURA CA 93003 2721 E Main St Ventura CA 93003954282160 COAST PLAZA DOCTORS HOSPITAL Coast Plaza Doctors Hospital 13100 STUDEBAKER NORWALK CA 90650 13100 Studebaker Rd Norwalk CA 90650462760935 COLLEGE MEDICAL CENTER Chlb Llc 2776 PACIFIC AVENUE LONG BEACH CA 90806 2776 Pacific Ave Long Beach CA 90806

Address as appears on hospital cost report NPPES Business Address

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

941156276 COMMUNITY REGIONAL MEDICAL CENTER Fresno Community Hospital And Medical Center 2823 FRESNO STREET 1232 FRESNO CA 93721 2823 Fresno St Fresno CA 93721946000509 CONTRA COSTA REGIONAL MEDICAL CENTER Contra Costa County 2500 ALHAMBRA AVENUE MARTINEZ CA 94553 2500 Alhambra Ave Martinez CA 94553940562680 CPMC-R.K. DAVIES MEDICAL CENTER Sutter West Bay Hospitals CASTRO & DUBOCE STREETS 7999 SAN FRANCISCO CA 94120 45 Castro St San Francisco CA 94114752694137 DESERT HOSPITAL Desert Regional Medical Center, Inc. 1150 N. INDIAN CANYON DR 2739 PALM SPRINGS CA 92262 1150 N Indian Canyon Dr Palm Springs CA 92262954236723 DOCTORS HOSPITAL OF WEST COVINA Doctors Hospital Of West Covina, Inc. 725 SOUTH ORANGE AVENUE WEST COVINA CA 91790 725 S Orange Ave West Covina CA 91790752918774 DOCTORS MEDICAL CENTER OF MODESTO Doctors Medical Center Of Modesto 1441 FLORIDA AVENUE MODESTO CA 95350 1441 Florida Ave Modesto CA 95350951903935 DOWNEY REGIONAL MEDICAL CENTER Downey Regional Medical Center-Hospital, Inc 11500 BROOKSHIRE AVENUE 7010 DOWNEY CA 90241 11500 Brookshire Ave Downey CA 90241956130458 EISENHOWER MEDICAL CENTER Eisenhower Medical Center 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 39000 Bob Hope Dr Rancho Mirage CA 92270952768729 FOUNTAIN VALLEY REG MEDICAL CENTER Fountain Valley Regional Hospital & Medical Center 17100 EUCLID AT WARNER FOUNTAIN VALLE CA 92708 17100 Euclid St Fountain Valley CA 92708951816017 GLENDALE ADVENTIST MEDICAL CENTER Glendale Adventist Medical Center 1509 WILSON TERRACE GLENDALE CA 92106 1509 Wilson Ter Glendale CA 91206951656366 GOOD SAMARITAN HOSPITAL Good Samaritan Hospital 1225 WILSHIRE BOULEVARD LOS ANGELES CA 90017 1225 Wilshire Blvd Los Angeles CA 90017940535360 HANFORD COMMUNITY MEDICAL CENTER Hanford Community Hospital 115 MALL DRIVE HANFORD CA 93230 450 Greenfield Ave Hanford CA 93230956000927 HARBOR-UCLA MEDICAL CENTER County Of Los Angeles Auditor Controller 1000 WEST CARSON STREET TORRANCE CA 90509 1000 W Carson St Torrance CA 90502951644036 HUNTINGTON HOSPITAL Pasadena Hospital Association, Ltd. 100 WEST CALIFORNIA PASADENA CA 91109 100 W California Blvd Pasadena CA 91105941534475 KAWEAH DELTA MEDICAL CENTER Kaweah Delta Health Care District 400 W. MINERAL KING AVE. VISALIA CA 93291 400 W Mineral King Ave Visalia CA 93291951642394 KECK HOSPITAL OF USC University Of Southern California 1500 SAN PABLO STREET LOS ANGELES CA 90033 1500 San Pablo St Los Angeles CA 90033956000925 KERN MEDICAL CENTER County Of Kern 1700 MOUNT VERNON AVENUE BAKERSFIELD CA 93306 1700 Mount Vernon Avenue Bakersfield CA 93306941105628 KFH - ANAHEIM Kaiser Foundation Hospitals 3440 E. LA PALMA AVENUE ANAHEIM CA 92806 3440 E. La Palma Ave Anaheim CA 92806941105628 KFH - ANTIOCH Kaiser Foundation Hospitals 4501 SAND CREEK ROAD ANTIOCH CA 94531 4501 Sand Creek Road Antioch CA 94531941105628 KFH - BALDWIN PARK Kaiser Foundation Hospitals 1011 BALDWIN PARK BLVD BALDWIN PARK CA 91706 1011 Baldwin Park Blvd Baldwin Park CA 91706941105628 KFH - DOWNEY Kaiser Foundation Hospitals 9400 ROSECRANS AVENUE BELLFLOWER CA 90706 9333 Imperial Hwy Downey CA 90242941105628 KFH - FONTANA Kaiser Foundation Hospitals 9961 SIERRA AVENUE FONTANA CA 92335 9961 Sierra Ave Fontana CA 92335941105628 KFH - FREMONT Kaiser Foundation Hospitals 39400 PASEO PADRE PKWY FREMONT CA 94545 39400 Paseo Padre Pkwy Fremont CA 94538941105628 KFH - FRESNO Kaiser Foundation Hospitals 7300 NORTH FRESNO FRESNO CA 93720 7300 N Fresno St Fresno CA 93720941105628 KFH - LOS ANGELES Kaiser Foundation Hospitals 4867 SUNSET BLVD LOS ANGELES CA 90027 4867 Sunset Blvd Los Angeles CA 90027941105628 KFH - MANTECA Kaiser Foundation Hospitals 1777 WEST YOSEMITE AVENUE MANTECA CA 95337 1777 W Yosemite Ave Manteca CA 95337941105628 KFH - OAKLAND Kaiser Foundation Hospitals 280 W. MACARTHUR OAKLAND CA 94611 280 W MacArthur Blvd Oakland CA 94611941105628 KFH - PANORAMA CITY Kaiser Foundation Hospitals 13652 CANTARA STREET PANORAMA CITY CA 91402 13652 Cantara St Panorama City CA 91402941105628 KFH - REDWOOD CITY Kaiser Foundation Hospitals 1150 VETERANS BOULEVARD REDWOOD CITY CA 94063 1100 Veterans Blvd Redwood City CA 94063941105628 KFH - RIVERSIDE Kaiser Foundation Hospitals 10800 MAGNOLIA AVE RIVERSIDE CA 92505 10800 Magnolia Ave Riverside CA 92505941105628 KFH - ROSEVILLE Kaiser Foundation Hospitals 1600 EUREKA ROAD ROSEVILLE CA 95661 1600 Eureka Road Roseville CA 95661941105628 KFH - SACRAMENTO Kaiser Foundation Hospitals 2025 MORSE AVENUE SACRAMENTO CA 95825 2025 Morse Ave Sacramento CA 95825941105628 KFH - SAN DIEGO Kaiser Foundation Hospitals 4647 ZION AVENUE SAN DIEGO CA 92120 4647 Zion Ave San Diego CA 92120941105628 KFH - SAN FRANCISCO Kaiser Foundation Hospitals 2425 GEARY BOULEVARD SAN FRANCISCO CA 94115 2425 Geary Blvd San Francisco CA 94115941105628 KFH - SAN JOSE Kaiser Foundation Hospitals 250 HOSPITAL PARKWAY SAN JOSE CA 95119 250 Hospital Pkwy San Jose CA 95119941105628 KFH - SAN RAFAEL Kaiser Foundation Hospitals 99 MONTICELLO ROAD SAN RAFAEL CA 94063 99 Montecillo Rd San Rafael CA 94903941105628 KFH - SANTA CLARA Kaiser Foundation Hospitals 700 LAURENCE EXPRESSWAY SANTA CLARA CA 95051 700 Lawrence Expy Santa Clara CA 95051941105628 KFH - SANTA ROSA Kaiser Foundation Hospitals 401 BICENTENNIAL WAY SANTA ROSA CA 95403 401 Bicentennial Way Santa Rosa CA 95403941105628 KFH - SOUTH BAY Kaiser Foundation Hospitals 25825 S. VERMONT AVENUE HARBOR CITY CA 90710 25825 South Vermont Ave Harbor City CA 90710941105628 KFH - SOUTH SACRAMENTO Kaiser Foundation Hospitals 6600 BRUCEVILLE ROAD SACRAMENTO CA 95823 6600 Bruceville Rd Sacramento CA 95823941105628 KFH - SOUTH SAN FRANCISCO Kaiser Foundation Hospitals 1200 EL CAMINO REAL SOUTH SAN FRAN CA 94080 1200 El Camino Real South San Francisc CA 94080941105628 KFH - VACAVILLE Kaiser Foundation Hospitals 1 QUALITY DRIVE VACAVILLE CA 95688 1 Quality Dr Vacaville CA 95688941105628 KFH - VALLEJO Kaiser Foundation Hospitals 975 SERRANO DRIVE VALLEJO CA 94589 975 Sereno Dr Vallejo CA 94589941105628 KFH - WALNUT CREEK Kaiser Foundation Hospitals 1425 SOUTH MAIN STREET WALNUT CREEK CA 94596 1425 S Main St Walnut Creek CA 94596941105628 KFH - WEST LOS ANGELES Kaiser Foundation Hospitals 6041 CADILLAC AVENUE LOS ANGELES CA 90034 6041 Cadillac Ave Los Angeles CA 90034941105628 KFH - WOODLAND HILLS Kaiser Foundation Hospitals 5601 DE SOTO AVE WOODLAND HILLS CA 91367 5601 De Soto Ave Woodland Hills CA 91367956000927 LAC OLIVE VIEW/UCLA MEDICAL CENTER County Of Los Angeles 14445 OLIVE VIEW DR SYLMARE CA 91342 14445 Olive View Dr Sylmar CA 91342956000927 LAC+USC MEDICAL CENTER County Of Los Angeles 1200 N. STATE STREET LOS ANGELES CA 90033 1200 N State St Los Angeles CA 90033752919841 LAKEWOOD REGIONAL MED. CTR. Lakewood Regional Medical Center, Inc. 3700 E. SOUTH ST. LAKEWOOD CA 90712 3700 South St Lakewood CA 90712946036493 LANGLEY PORTER PSYCHIATRIC HOSPTIAL University Of California - San Francisco 405 PARNASUS SAN FRANCISCO CA 94143 401 Parnassus Ave San Francisco CA 94143330245579 LLU BEHAVIORAL MEDICINE CENTER Loma Linda University Behavioral Medicine Center, Inc. 1710 BARTON ROAD REDLANDS CA 92373 1710 Barton Rd Redlands CA 92373953522679 LOMA LINDA UNIVERSITY MEDICAL CENTER Seventh Day Adventists Loma Linda University Medical Center, Inc. 11234 ANDERSON STREET 2000 LOMA LINDA CA 92354 11234 Anderson St Room 1140 Loma Linda CA 92354953527031 LONG BEACH MEMORIAL MEDICAL CENTER Long Beach Memorial Medical 2801 ATLANTIC AVENUE LONG BEACH CA 90806 2801 Atlantic Ave Long Beach CA 90806770003859 LUCILE PACKARD CHILDRENS HOSPITAL Lucile Salter Packard Children'S Hospital At Stanford 725 WELCH ROAD PALO ALTO CA 94304 725 Welch Rd mail code 5500 Palo Alto CA 94304941196203 MERCY GENERAL HOSPITAL Dignity Health 4001 J STREET SACRAMENTO CA 95819 4001 J St Sacramento CA 95819941196203 MERCY MEDICAL CENTER MERCED Dignity Health 333 MERCY AVENUE MERCED CA 95340 333 Mercy Ave Merced CA 95340941196203 MERCY MEDICAL CENTER REDDING Dignity Health 2175 ROSALINE AVE 496009 REDDING CA 96001 2175 Rosaline Ave Redding CA 96001941196203 MERCY SAN JUAN MEDICAL CENTER Dignity Health 6501 COYLE AVENUE CARMICHAEL CA 95608 6501 Coyle Ave Carmichael CA 95608941196203 METHODIST HOSPITAL OF SACRAMENTO Dignity Health 7500 HOSPITAL DRIVE SACRAMENTO CA 95823 7500 Hospital Dr Sacramento CA 95823953527031 MILLER CHILDRENS HOSPITAL Long Beach Memorial Medical 2801 ATLANTIC AVENUE LONG BEACH CA 90806 2801 Atlantic Ave Long Beach CA 90806946000524 NATIVIDAD MEDICAL CENTER County Of Monterey 1441 CONSTITUTION BLDV SALINAS CA 93906 1441 Constitution Blvd Salinas CA 93906941196203 NORTHRIDGE MEDICAL CENTER - ROSCOE Dignity Health 18300 ROSCOE BLVD NORTHRIDGE CA 91328 18300 Roscoe Blvd Northridge CA 91325912154436 OCONNOR HOSPITAL O'Connor Hospital 2105 FOREST AVENUE SAN JOSE CA 95128 2105 Forest Ave San Jose CA 95128330730569 PACIFIC HOSPITAL OF LONG BEACH Healthsmart Pacific Inc 2776 PACIFIC AVENUE LONG BEACH CA 90801 2776 Pacific Ave Long Beach CA 90806956003843 PALOMAR MEDICAL CENTER Palomar Health 555 EAST VALLEY PARKWAY ESCONDIDO CA 92025 2185 Citracado Pkwy Escondido CA 92029951115230 POMONA VALLEY HOSPITAL MED CTR Pomona Valley Hospital Medical Center 1798 NORTH GAREY AVENUE POMONA CA 91767 1798 N. Garey Ave. Pomona CA 91767951934652 PRESBYTERIAN INTERCOMMUNITY HOSPITAL Presbyterian Intercommunity Hospital Inc 12401 EAST WASHINGTON BLVD WHITTIER CA 90602 12401 Washington Blvd Whittier CA 90602951691313 RADY CHILDRENS HOSPITAL - SAN DIEGO Rady Children'S Hospital - San Diego 3020 CHILDRENS WAY SAN DIEGO CA 92123 3020 Childrens Way Mail Code 5002 San Diego CA 92123956000927 RANCHO LOS AMIGOS NATL.REHAB.CTR. County Of Los Angeles 7601 E. IMPERIAL HIGHWAY DOWNEY CA 90242 7601 Imperial Hwy SSA Room 2208 Downey CA 90242

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

956006143 RESNICK NEUROPSYCHIATRIC HOSPITAL AT The Regents Of The University Of California. 150 UCLA MEDICAL PLAZA LOS ANGELES CA 90095 150 UCLA Medical Plaza Los Angeles CA 90095956000930 RIVERSIDE COUNTY REGIONAL MED CENTER County Of Riverside 26520 CACTUS AVENUE MORENO VALLEY CA 92555 26520 Cactus Ave Moreno Valley CA 92555956006143 RONALD REAGAN UCLA MEDICAL CENTER The Regents Of The University Of California. 757 WESTWOOD PLAZA LOS ANGELES CA 90095 757 Westwood Plz Los Angeles CA 90095952585792 SADDLEBACK MEMORIAL MEDICAL CENTER Saddleback Memorial Medical Center 24451 HEALTH CENTER DRIVE LAGUNA HILLS CA 92653 24451 Health Center Dr Laguna Hills CA 92653941156295 SAINT FRANCIS MEMORIAL HOSPITAL Saint Francis Memorial Hospital 900 HYDE STREET SAN FRANCISCO CA 94109 900 Hyde St San Francisco CA 94109946000417 SAN FRANCISCO GENERAL HOSPITAL City & County Of San Francisco 1001 POTRERO AVENUE SAN FRANCISCO CA 94110 1001 Potrero Ave Bldg 20 Ward 24 San Francisco CA 94110946000531 SAN JOAQUIN GENERAL HOSPITAL County Of San Joaquin 500 WEST FRENCH CAMP ROAD FRENCH CAMP CA 95231 500 W. Hospital Rd. French Camp CA 95231946000532 SAN MATEO MEDICAL CENTER County Of San Mateo 222 WEST 39TH AVENUE SAN MATEO CA 94403 222 W 39th Ave San Mateo CA 94403951644629 SANTA BARBARA COTTAGE HOSPITAL Santa Barbara Cottage Hospital 400 WEST PUEBLO STREET 689 SANTA BARBARA CA 93102 400 West Pueblo Santa Barbara CA 93105946000533 SANTA CLARA VALLEY MEDICAL CENTER County Of Santa Clara 751 SOUTH BASCOM AVE SAN JOSE CA 95128 751 S Bascom Ave SCVMC Acute Care HSan Jose CA 95128954541687 SANTA MONICA UCLA MEDICAL CENTER The Regents Of The University Of California 1250 16TH STREET SANTA MONICA CA 90404 1250 16th St Santa Monica CA 90404951684089 SCRIPPS GREEN HOSPITAL Scripps Health 10666 NORTH TORREY PINES ROAD LA JOLLA CA 92037 10666 N Torrey Pines Rd La Jolla CA 92037951684089 SCRIPPS MERCY HOSPITAL Scripps Health 4077 FIFTH AVENUE SAN DIEGO CA 92103 4077 5th Ave San Diego CA 92103912154441 SETON MEDICAL CENTER Seton Medical Center 1900 SULLIVAN AVENUE DALY CITY CA 94015 1900 Sullivan Ave Daly City CA 94015263366535 SILVER LAKE MEDICAL CENTER Success Healthcare 1 Llc 1711 WEST TEMPLE STREET LOS ANGELES CA 92006 1711 W Temple St Los Angeles CA 90026941196203 ST. JOSEPHS MEDICAL CENTER Dignity Health 1800 N. CALIFORNIA STREET STOCKTON CA 95204 1800 N California St Stockton CA 95204940562680 ST. LUKES HOSPITAL Sutter West Bay Hospitals 3555 CESAR CHAVEZ STREET SAN FRANCISCO CA 94110 3555 Cesar Chavez Street San Francisco CA 94110941196203 ST. MARY MEDICAL CENTER Dignity Health 1050 LINDEN AVENUE LONG BEACH CA 90813 1050 Linden Ave Long Beach CA 90813941196203 ST. MARYS MEDICAL CENTER Dignity Health 450 STANYAN STREET SAN FRANCISCO CA 94117 San Francisco International Airport Terminal 2, Lower Lev San Francisco CA 94125912154438 ST. VINCENT MEDICAL CENTER St. Vincent Medical Center 2131 WEST 3RD STREET 57992 LOS ANGELES CA 90057 2131 W 3rd St Los Angeles CA 90057061595417 STANFORD HOSPITAL & CLINICS Stanford Hospital And Clinics 300 PASTEUR DRIVE PALO ALTO CA 94305 300 Pasteur Dr Stanford CA 94305941156621 SUTTER DAVIS HOSPITAL Sutter Health Sacramento Sierra Region 2000 SUTTER PLACE DAVIS CA 95617 2000 Sutter Pl Davis CA 95616941156621 SUTTER MEDICAL CENTER - SACRAMENTO Sutter Health Sacramento Sierra Region 2801 L STREET SACRAMENTO CA 95816 2801 L St Sacramento CA 95816940562680 SUTTER SANTA ROSA REGIONAL HOSPITAL Sutter West Bay Hospitals 30 MARK WEST SPRING ROAD SANTA ROSA CA 95403 30 Mark West Springs Rd Santa Rosa CA 95403952126937 TRI-CITY MEDICAL CENTER Tri-City Hospital 4002 VISTA WAY OCEANSIDE CA 92056 4002 Vista Way Oceanside CA 92056946036494 UC DAVIS MEDICAL CENTER Regents Of The University Of California 2315 STOCKTON BLVD SACRAMENTO CA 95817 2315 Stockton Blvd Sacramento CA 95817952226406 UCI MEDICAL CENTER University Of California Irvine. 101 CITY DRIVE SOUTH ORANGE CA 92868 101 The City Dr S Orange CA 92868330599494 UCSD MEDICAL CENTER Ucsd Medical Center 200 W. ARBOR DRIVE SAN DIEGO CA 92103 200 West Arbor Drive MC8937 San Diego CA 92103943281657 UCSF MEDICAL CENTER University Of California San Francisco Medical Center 505 PARNASSUS SAN FRANCISCO CA 94143 505 Parnassus Ave San Francisco CA 94143951642394 USC NORRIS CANCER HOSPITAL University Of Southern California 1441 EASTLAKE AVE LOS ANGELES CA 90033 1441 Eastlake Ave Los Angeles CA 90089956000944 VENTURA COUNTY MEDICAL CENTER County Of Ventura 3291 LOMA VISTA ROAD VENTURA CA 93003 3291 Loma Vista Rd Ventura CA 93003550883862 WESTERN MEDICAL CENTER SANTA ANA Orange County Global Medical Center Inc 1001 NORTH TUSTIN AVENUE SANTA ANA CA 92705 1001 N Tustin Ave Santa Ana CA 92705952282647 WHITE MEMORIAL MEDICAL CENTER White Memorial Medical Center 1720 CESAR E. CHAVEZ AVE LOS ANGELES CA 90033 1720 E Cesar E Chavez Ave Los Angeles CA 90033840166760 CHILDRENS HOSPITAL COLORADO Children'S Hospital Colorado 13123 EAST 16TH AVENUE AURORA CO 80045 13123 E 16th Ave B010 Aurora CO 80045840644739 CO. MENTAL HEALTH INST. - PUEBLO State Of Colorado 1600 W 24TH STREET PUEBLO CO 81001 1600 W 24th St Pueblo CO 81003840644739 COLORADO MENTAL HEALTH INST-FT LOGAN State Of Colorado 3520 W. OXFORD AVE DENVER CO 80236 3520 W Oxford Ave Denver CO 80236840404233 CRAIG HOSPITAL Craig Hospital 3425 S. CLARKSON ST. ENGLEWOOD CO 80113 3425 S Clarkson St Englewood CO 80113841343242 DENVER HEALTH MEDICAL CENTER Denver Health And Hospital Authority 777 BANNOCK STREET 40411 DENVER CO 80204 145 Parsenn Road Winter Park CO 80482840417134 EXEMPLA SAINT JOSEPH HOSPITAL Saint Joseph Hospital Inc 1375 EAST 19TH AVENUE DENVER CO 80218 1375 E 19th Ave Denver CO 80218742044647 NATIONAL JEWISH HEALTH National Jewish Health 1400 JACKSON ST DENVER CO 80206 1400 Jackson St Denver CO 80206841287638 NORTH COLORADO MEDICAL CENTER North Colorado Medical Center 1801 16TH STREET GREELEY CO 80631 1801 16th St Greeley CO 80631841321373 NORTH SUBURBAN MEDICAL CENTER Hca Healthone Llc 9191 GRANT THORNTON CO 80229 9191 Grant St Thornton CO 80229840935136 PARKVIEW MEDICAL CENTER Parkview Medical Center, Inc. 400 W. 16TH STREET PUEBLO CO 81003 400 W 16th St Pueblo CO 81003840405257 PENROSE/ST. FRANCIS HEALTHCARE Catholic Health Initiatives Colorado 2222 N. NEVADA COLORADO SPRIN CO 80933 2222 N Nevada Ave Colorado Springs CO 80907841262971 POUDRE VALLEY HOSPITAL Poudre Valley Health Care Inc 1024 S. LEMAY AVENUE FT. COLLINS CO 80524 4601 Corbett Dr Fort Collins CO 80528841321373 PRESBYTERIAN ST LUKES MEDICAL CTR Hca Healthone Llc 1719 E 19TH AVENUE DENVER CO 80218 1719 E 19th Ave Denver CO 80218841321373 ROSE MEDICAL CENTER Hca Healthone Llc 4567 EAST NINTH AVENUE DENVER CO 80220 4567 E 9th Ave Denver CO 80220841321373 SKY RIDGE MEDICAL CENTER Hca Healthone Llc 10101 RIDGEGATE PARKWAY LONE TREE CO 80124 10101 Ridgegate Pkwy Lone Tree CO 80124840405257 ST ANTHONY HOSPITAL Catholic Health Initiatives Colorado 16000 W. 2ND PLACE LAKEWOOD CO 80228 11600 W 2nd Pl Lakewood CO 80228840405257 ST ANTHONY NORTH Catholic Health Initiatives Colorado 2551 WEST 84TH AVENUE WESTMINSTER CO 80030 2551 W 84th Ave Westminster CO 80031840405257 ST MARY CORWIN MEDICAL CENTER Catholic Health Initiatives Colorado 1008 MINNEQUA AVENUE PUEBLO CO 81004 1008 Minnequa Ave Pueblo CO 81004840425720 ST. MARYS HOSPITAL & MEDICAL CENTER St. Mary'S Hospital And Medical Center, Inc. 2635 NORTH 7TH STREET 1628 GRAND JUNCTION CO 81502 2635 N 7th St Grand Junction CO 81501841321373 SWEDISH MEDICAL CENTER Hca Healthone Llc 501 EAST HAMPDEN AVENUE ENGLEWOOD CO 80113 501 E Hampden Ave Englewood CO 80113841321373 THE MEDICAL CENTER OF AURORA Hca Healthone Llc 1501 SOUTH POTOMAC ST AURORA CO 80012 1501 S Potomac St Aurora CO 80012841179794 UNIVERSITY OF CO HOSPITAL University Of Colorado Hospital Authority 12606 E 16TH AVENUE AURORA CO 80045 12605 E 16th Ave Aurora CO 80045060646554 BRIDGEPORT HOSPITAL Bridgeport Hospital 267 GRANT STREET BRIDGEPORT CT 06610 267 Grant St Bridgeport CT 06610060646755 CONNECTICUT CHILDRENS MEDICAL CENTER Connecticut Children'S Medical Center 282 WASHINGTON STREET HARTFORD CT 06106 282 Washington St Hartford CT 06106066000798 CONNECTICUT MENTAL HEALTH CENTER State Of Connecticut 34 PARK STREET 351 NEW HAVEN CT 06519 34 Park Street New Haven CT 06790060646597 DANBURY HOSPITAL Danbury Hospital 24 HOSPITAL AVE DANBURY CT 06810 70 Main St Danbury CT 06810060646659 GREENWICH HOSPITAL Greenwich Hospital 5 PERRYRIDGE ROAD 07-0018 GREENWICH CT 06830 5 Perryridge Rd Greenwich CT 06830060646668 HARTFORD HOSPITAL Hartford Hospital 80 SEYMOUR STREET HARTFORD CT 06102 80 Seymour St Hartford CT 06102060653171 HOSPITAL OF SAINT RAPHAEL Hospital Of Saint Raphael 1450 CHAPEL STREET NEW HAVEN CT 06511 1450 Chapel St New Haven CT 06511066000798 JOHN DEMPSEY HOSPITAL State Of Connecticut 263 FARMINGTON AVENUE FARMINGTON CT 06030 263 Farmington Avenue Farmington CT 06030060646704 LAWRENCE & MEMORIAL HOSPITAL Lawrence & Memorial Hospital 365 MONTAUK AVENUE NEW LONDON CT 06320 365 Montauk Avenue New London CT 06320060646710 MANCHESTER MEMORIAL HOSPITAL Manchester Memorial Hospital 71 HAYNES STREET MANCHESTER CT 06040 71 Haynes St Manchester CT 06040060646718 MIDDLESEX HOSPITAL Middlesex Hospital 28 CRESCENT STREET MIDDLETOWN CT 06457 28 Crescent St Middletown CT 06457066068853 NORWALK HOSPITAL Western Connecticut Health Network Inc. MAPLE ST NORWALK CT 06856 34 Maple St Norwalk CT 06850060653151 ROCKVILLE GENERAL HOSPITAL INC. Rockville General Hospital Inc 31 UNION STREET VERNON CT 06066 31 Union St Vernon CT 06066060646813 SAINT FRANCIS HOSPITAL St Francis Hospital And Medical Center 114 WOODLAND STREET HARTFORD CT 06105 500 Blue Hills Ave Hartford CT 06112

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

060646844 ST. MARYS HOSPITAL Saint Mary'S Hospital, Inc. 56 FRANKLIN STREET WATERBURY CT 06706 56 Franklin St Waterbury CT 06706060646886 ST. VINCENTS MEDICAL CENTER St Vincents Medical Center 2800 MAIN STREET BRIDGEPORT CT 06606 2800 Main St Bridgeport CT 06606060647014 THE GRIFFIN HOSPITAL The Griffin Hospital 130 DIVISION STREET DERBY CT 06418 130 Division St Derby CT 06418060646768 THE HOSPITAL OF CENTRAL CONNECTICUT The Hospital Of Central Connecticut At New Britain General And Bradl 100 GRAND STREET NEW BRITAIN CT 06050 100 Grand St New Britain CT 06052060646917 THE STAMFORD HOSPITAL Stamford Hospital SHELBURNE RD @ W BROAD ST. 9317 STAMFORD CT 06904 30 Shelburne Rd Stamford CT 06904060665979 WATERBURY HOSPITAL Waterbury Hospital 64 ROBBINS STREET WATERBURY CT 06708 64 Robbins St Waterbury CT 06708060646652 YALE-NEW HAVEN HOSPITAL Yale-New Haven Hospital 20 YORK STREET NEW HAVEN CT 06504 20 York St New Haven CT 06504530196580 CHILDRENS HOSPITAL Children'S Hospital 111 MICHIGAN AVE. NW WASHINGTON DC 20010 111 Michigan Ave NW Washington DC 20010232896725 GEORGE WASHINGTON UNIV HOSPITAL District Hospital Partners L P 900 23RD STREET WASHINGTON DC 20037 901 23rd St NW Washington DC 20037522218584 GEORGETOWN UNIVERSITY HOSPITAL Medstar Georgetown Medical Center, Inc 3800 RESERVOIR ROAD NW WASHINGTON DC 20007 3800 Reservoir Rd., NW Washington DC 20007530196961 HOWARD UNIVERSITY HOSPITAL Howard University Hospital 2041 GEORGIA AVENUE NW WASHINGTON DC 20060 2041 Georgia Ave NW Washington DC 20060521369749 NATIONAL REHABILITATION HOSPITAL National Rehabilitation Hospital, Inc. 102 IRVING STREET NW WASHINGTON DC 20010 102 Irving St NW Washington DC 20010530196636 PROVIDENCE HOSPITAL Providence Hospital 1150 VARNUM STREET NE WASHINGTON DC 20017 1150 Varnum St NE Washington DC 20017530196602 SIBLEY MEMORIAL HOSPITAL Lucy Webb Hayes National Training School For Deaconesses & Missio5255 LOUGHBORO ROAD NW WASHINGTON DC 20016 5255 Loughboro Rd NW Washington DC 20016530196966 ST. ELIZABETHS HOSPITAL Department Of Behavioral Health - St Elizabeths Hospital 1100 ALABAMA AVE. SOUTHEAST DS WASHINGTON DC 20032 1100 Alabama Avenue SE Washington DC 20032521272129 WASHINGTON HOSPITAL CENTER Washington Hospital Center Corporation 110 IRVING STREET NW WASHINGTON DC 20010 110 Irving St NW Washington DC 20010590634433 ALFRED I DUPONT HOSP FOR CHILDREN The Nemours Foundation 1600 ROCKLAND ROAD WILMINGTON DE 19899 1600 Rockland Rd Wilmington DE 19803510103684 CHRISTIANA CARE HEALTH SYSTEM Christiana Care Health Services Inc 501 W. 14TH STREET WILMINGTON DE 19899 501 W 14th St Wilmington DE 19801510064326 ST. FRANCIS HOSPITAL WILMINGTON St. Francis Hospital Inc 7TH & CLAYTON STREETS WILMINGTON DE 19805 701 N Clayton St Wilmington DE 19805590683252 ALL CHILDRENS HOSPITAL All Children'S Hospital, Inc 501 6TH AVENUE SOUTH 9010 ST. PETERSBURG FL 33701 501 6th Ave S D#9050 St Petersburg FL 33701592154129 ANNE BATES LEACH EYE HOSPITAL Anne Bates Leach Eye Hospital 900 NW 17TH STREET MIAMI FL 33136 900 NW 17th St Miami FL 33136752379007 AVENTURA HOSPITAL AND MED CTR Miami Beach Healthcare Group Ltd 2801 NE 209TH ST AT BISCAYNE BLVD MIAMI FL 33180 20900 Biscayne Blvd Aventura FL 33180590747311 BAPTIST MEDICAL CENTER Southern Baptist Hospital Of Florida Inc 800 PRUDENTIAL DRIVE JACKSONVILLE FL 32207 800 Prudential Dr Jacksonville FL 32207300759177 BAYFRONT HEALTH ST. PETERSBURG Bayfront Hma Medical Center Llc 701 SIXTH STREET SOUTH ST PETERSBURG FL 33701 701 6th St S St Petersburg FL 33701592447554 BETHESDA HOSPITAL INC. Bethesda Hospital Inc. 2815 SOUTH SEACREST BLVD BOYNTON BEACH FL 33435 2815 S Seacrest Blvd Boynton Beach FL 33435596012065 BROWARD HEALTH CORAL SPRINGS North Broward Hospital District 3000 CORAL HILLS DRIVE CORAL SPRINGS FL 33065 3000 Coral Hills Dr Coral Springs FL 33065596012065 BROWARD HEALTH MEDICAL CENTER North Broward Hospital District 1600 SOUTH ANDREWS AVENUE FT. LAUDERDALE FL 33316 1600 South Andrews Avenue Fort Lauderdale FL 33316650844880 CCF HOSPITAL - WESTON Cleveland Clinic Florida Health System Nonprofit Corporation 3100 WESTON ROAD WESTON FL 33331 3100 Weston Rd Weston FL 33331752922687 DELRAY MEDICAL CENTER Delray Medical Center, Inc. 5352 LINTON BLVD. DELRAY BEACH FL 33484 5352 Linton Blvd Delray Beach FL 33484590724459 FLORIDA HOSPITAL Adventist Health System-Sunbelt Inc 601 EAST ROLLINS STREET ORLANDO FL 32803 601 E Rollins St Orlando FL 32803591113901 FLORIDA HOSPITAL TAMPA University Community Hospital Inc 3100 E FLETCHER AVE TAMPA FL 33613 3100 E Fletcher Ave Tampa FL 33613591113901 FLORIDA HOSPITAL-CARROLLWOOD University Community Hospital Inc 7171 NORTH DALE MABRY HIGHWAY TAMPA FL 33614 7171 N Dale Mabry Hwy Tampa FL 33614593238634 H. LEE MOFFITT CANCER CENTER H. Lee Moffitt Cancer Center And Research Institute Hospital 12902 MAGNOLIA DRIVE TAMPA FL 33612 12902 Magnolia Dr Tampa FL 33612596001217 HALIFAX MEDICAL CENTER Halifax Hospital Medical Center HALIFAX MEDICAL CENTER 303 N CLYDE MOR FL 32114 303 N Clyde Morris Blvd Daytona Beach FL 32114591713947 JACKSON MEMORIAL Public Health Trust Of Dade County Florida 1611 NW 12TH AVENUE MIAMI FL 33136 1611 NW 12th Ave Miami FL 33136621694180 JFK MEDICAL CENTER Jfk Medical Center Limited Partnership 5301 SOUTH CONGRESS AVENUE ATLANTIS FL 33462 5301 S Congress Ave Atlantis FL 33462650260078 KENDALL REGIONAL MEDICAL CENTER Kendall Healthcare Group, Ltd. 11750 BIRD ROAD MIAMI FL 33175 11750 Bird Rd Miami FL 33175352226306 LAKESIDE MEDICAL CENTER District Hospital Holdings Inc 39200 HOOKER HIGHWAY BELLE GLADE FL 33430 39200 Hooker Hwy Belle Glade FL 33430621026428 LARGO MEDICAL CENTER Largo Medical Center, Inc. 201 14TH STREET LARGO FL 33770 201 14th St SW Largo FL 33770650729921 LARKIN COMMUNITY HOSPITAL Larkin Community Hospital Inc 7031 SW 62ND AVENUE MIAMI FL 33143 7031 SW 62nd Avenue Miami FL 33143232798290 MANATEE MEMORIAL HOSPITAL Manatee Memorial Hospital L P 206 SECOND STREET EAST BRADENTON FL 34208 206 2nd St E Bradenton FL 34208590714831 MAYO CLINIC FLORIDA Mayo Clinic Florida 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 4500 San Pablo Rd S Jacksonville FL 32224593283127 MEMORIAL HOSPITAL OF JACKSONVILLE Memorial Healthcare Group Inc 3625 UNIVERSITY BLVD SOUTH 16325 JACKSONVILLE FL 32216 3625 University Blvd S Jacksonville FL 32216596014973 MEMORIAL REGIONAL HOSPITAL South Broward Hospital District 3501 JOHNSON STREET HOLLYWOOD FL 33021 3501 Johnson St Hollywood FL 33021590791034 MERCY HOSPITAL INC. Mercy Hospital Inc 3663 S. MIAMI AVE. MIAMI FL 33133 3663 South Miami Avenue Miami FL 33133590638499 MIAMI CHILDRENS HOSPITAL Variety Childrens Hospital 3100 SW 62ND AVENUE MIAMI FL 33155 3100 SW 62nd Ave Miami FL 33155590624462 MORTON PLANT HOSPITAL Morton Plant Hospital Association Inc 323 JEFFORDS STREET CLEARWATER FL 33756 300 Pinellas St Clearwater FL 33756590624424 MT. SINAI MEDICAL CENTER Mount Sinai Medical Center Of Florida, Inc 4300 ALTON ROAD MIAMI BEACH FL 33140 4300 Alton Rd 5 WARNER Miami Beach FL 33140610947837 NORTHSIDE HOSPITAL Galencare, Inc. 6000 49TH STREET NORTH ST PETERSBURG FL 33709 6000 49th St N St Petersburg FL 33709611259843 NORTHWEST MEDICAL CENTER Northwest Medical Center Inc 2801 NORTH STATE ROAD 7 639002 MARGATE FL 33063 2801 N State Road 7 Margate FL 33063591726273 ORLANDO HEALTH Orlando Health, Inc. 1414 KUHL AVENUE ORLANDO FL 32806 1414 Kuhl Ave Orlando FL 32806611257509 OSCEOLA REGIONAL MEDICAL CENTER Osceola Regional Hospital, Inc. 700 WEST OAK STREET KISSIMMEE FL 32742 700 W Oak St Kissimmee FL 34741741802680 PALMETTO GENERAL HOSPITAL Lifemark Hospitals Of Florida, Inc. 2001 W. 68TH STREET HIALEAH FL 33016 2001 W 68th St Hialeah FL 33016621694178 PALMS WEST HOSPITAL Palms West Hospital Limited Partnership 13001 STATE ROAD 80 1150 LOXAHATCHEE FL 33470 13001 Southern Blvd Loxahatchee FL 33470621372389 PLANTATION GENERAL HOSPITAL Plantation General Hospital Lp 401 NW 42ND STREET PLANTATION FL 33317 401 NW 42nd Ave Plantation FL 33317590634434 SACRED HEART HOSPITAL Sacred Heart Hospital Of Pensacola 5151 NORTH 9TH AVENUE PENSACOLA FL 32504 5151 N 9th Ave Pensacola FL 32504592142859 SHANDS JACKSONVILLE MEDICAL CENTER Shands Jacksonville Medical Center Inc 655 WEST 8TH STREET JACKSONVILLE FL 32209 655 W 8th St Jacksonville FL 32209591943502 SHANDS@UF Shands Teaching Hospital & Clinics Inc 1600 ARCHER RD 100336 GAINESVILLE FL 32610 1600 SW Archer Rd Gainesville FL 32610590872594 SOUTH MIAMI HOSPITAL South Miami Hospital Inc 6200 SW 73RD STREET MIAMI FL 33143 6200 SW 73rd St South Miami FL 33143621113740 ST. LUCIE MEDICAL CENTER Hca Health Services Of Florida Inc 1800 S.E. TIFFANY AVE PORT ST. LUCIE FL 34952 1800 SE Tiffany Ave Port St Lucie FL 34952591174716 ST. PETERSBURG GENERAL Galen Of Florida Inc 6500 38TH AVENUE SAINT PETERSBU FL 33710 6500 38th Ave N St Petersburg FL 33710590624449 ST. VINCENTS MEDICAL CENTER-RIVERSI St Vincents Medical Center Inc 1 SHIRCLIFF WAY JACKSONVILLE FL 32204 1 Shircliff Way Jacksonville FL 32204591917016 TALLAHASSEE MEMORIAL HOSPITAL Tallahassee Memorial Healthcare Inc MAGNOLIA DRIVE & MICCOSUKEE ROAD TALLAHASSEE FL 32308 1300 Miccosukee Rd Tallahassee FL 32308593458145 TAMPA GENERAL HOSPITAL Florida Health Sciences Center Inc 1 TAMPA GENERAL CIRCLE TAMPA FL 33606 1 Tampa General Circle Tampa FL 33606650566885 UNIVERSITY HOSPITAL University Hospital, Ltd. 7201 UNIVERSITY DRIVE TAMARAC FL 33321 7201 N University Dr Tamarac FL 33321592616017 UNIVERSITY OF MIAMI HOSP & CLINICS University Of Miami Hospital And Clinics 1475 N.W. 12TH AVENUE MIAMI FL 33136 1475 NW 12th Ave Miami FL 33136260228571 UNIVERSITY OF MIAMI HOSPITAL University Of Miami 1400 NW 12TH AVENUE MIAMI FL 33136 1400 NW 12th Ave Miami FL 33136232306491 WELLINGTON REGL MEDICAL CENTER Wellington Regional Medical Center 10101 FOREST HILL BOULEVARD 024627 WEST PALM BEAC FL 33414 10101 W Forest Hill Blvd Wellington FL 33414522438452 WEST KENDALL BAPTIST HOSPITAL West Kendall Baptist Hospital Inc 9555 S.W. 162 AVENUE MIAMI FL 33196 9555 SW 162 Ave Miami FL 33196

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

621694177 WEST PALM HOSPITAL Columbia Hospital Palm Beaches Limited Partnership 2201 45TH STREET WEST PALM BEAC FL 33407 2201 45th St West Palm Beach FL 33407591201323 WESTCHESTER GENERAL HOSPITAL Westchester General Hospital, Inc. 2500 SW 75 TH AVE MIAMI FL 33155 2500 SW 75th Ave Miami FL 33155752482249 WESTSIDE REGIONAL MEDICAL CENTER Columbia Hospital Corporation Of South Broward 8201 WEST BROWARD BOULEVARD PLANTATION FL 33324 8201 W Broward Blvd Plantation FL 33324582329008 ATLANTA MEDICAL CENTER Tenet Health System Gb, Inc. 303 PARKWAY DRIVE ATLANTA GA 30312 303 Parkway Dr NE Atlanta GA 30312581966795 DEKALB MEDICAL CENTER Dekalb Medical Center, Inc 2701 NORTH DECATUR ROAD DECATUR GA 30033 2701 N Decatur Rd Decatur GA 30033580572412 EGLESTON CHILDRENS HOSPITAL AT EMORY Children'S Healthcare Of Atlanta At Egleston 1405 CLIFTON ROAD ATLANTA GA 30322 1405 Clifton Rd NE Atlanta GA 30322580566256 EMORY UNIVERSITY HOSPITAL Emory University 1364 CLIFTON ROAD ATLANTA GA 30302 1364 Clifton Rd NE Atlanta GA 30322580566200 EMORY UNIVERSITY HOSPITAL MIDTOWN Crawford Long Hospital 550 PEACHTREE STREET NE ATLANTA GA 30308 550 Peachtree St NE Atlanta GA 30308581973570 FLOYD MEDICAL CENTER Floyd Healthcare Management Inc TURNER MCCALL BLVD 233 ROME GA 30162 304 Turner McCall Blvd SW Rome GA 30165262037695 GRADY MEMORIAL HOSPITAL Grady Memorial Hospital Corporation 80 JESSE HILL JR. DRIVE SE ATLANTA GA 30303 80 Jesse Hill Jr Dr, SE Atlanta GA 30303711045290 HOUSTON MEDICAL CENTER Houston Hospitals Inc 1601 WATSON BLVD PO BOX 28 WARNER ROBINS GA 31093 1601 Watson Blvd Warner Robins GA 31093582144788 MCG MEDICAL CENTER Mcg Health, Inc 1120 15TH STREET AUGUSTA GA 30912 1120 15th St Augusta GA 30912582149128 MEDICAL CENTER OF CENTRAL GEORGIA The Medical Center Of Central Georgia Inc. 777 HEMLOCK STREET MACON GA 31201 777 Hemlock St Macon GA 31201311126469 MEMORIAL HEALTH UNIV MED CENTER Memorial Health University Medical Center Inc. 4700 WATERS AVENUE PO BOX 32 SAVANNAH GA 31403 4700 Waters Ave Savannah GA 31404581928247 PHOEBE PUTNEY MEMORIAL HOSPITAL Phoebe Putney Memorial Hosptial, Inc. 417 W THIRD AVENUE ALBANY GA 31701 417 W 3rd Avenue Albany GA 31702580566213 PIEDMONT HOSPITAL INC. Piedmont Hospital, Inc. 1968 PEACHTREE RD. NW. ATLANTA GA 30309 1968 Peachtree Rd NW Atlanta GA 30309581667166 SATILLA HOSPITAL Mayo Clinic Health System In Waycross, Inc. 1900 TEBEAU STREET WAYCROSS GA 31501 1900 Tebeau Street Waycross GA 31501580572465 SCOTTISH RITE CHILDREN S MEDICAL CTR Scottish Rite Childrens Medical Ctr 1001 JOHNSON FERRY RD ATLANTA GA 30329 1001 Johnson Ferry Rd NE Atlanta GA 30342582329008 SOUTH FULTON MEDICAL CENTER Tenet South Fulton, Inc. 1170 CLEVELAND AVE EAST POINT GA 30344 1170 Cleveland Ave East Point GA 30344581685139 THE MEDICAL CENTER INC. Medical Center, Inc 710 CENTER ST. 951 COLUMBUS GA 31902 710 Center St Columbus GA 31901581581103 UNIVERSITY HEALTH SERVICES INC. University Health Services, Inc. 1350 WALTON WAY AUGUSTA GA 30901 1350 Walton Way Augusta GA 30901580566256 WESLEY WOODS CENTER OF EMORY UNIVERS Wesley Woods Center Of Emory University, Inc 1821 CLIFTON ROAD NE ATLANTA GA 30329 1821 Clifton Rd NE Atlanta GA 30329990177350 KAPIOLANI MED CTR FOR WOMEN & CHILDR Kapiolani Medical Center For Women & Children 1319 PUNAHOU STREET HONOLULU HI 96826 1319 Punahou St Honolulu HI 96826941105628 KFH-HAWAII Kaiser Foundation Hospitals 3288 MOANALUA ROAD HONOLULU HI 96819 3288 Moanalua Rd Honolulu HI 96819990074139 KUAKINI MEDICAL CENTER Kuakini Medical Center 347 N. KUAKINI STREET HONOLULU HI 96717 347 N Kuakini St Honolulu HI 96817912151670 STRAUB CLINIC & HOSPITAL Straub Clinic & Hospital 888 S. KING STREET HONOLULU HI 96813 888 S King St Honolulu HI 96813990073524 THE QUEENS MEDICAL CENTER The Queen'S Medical Center 1301 PUNCHBOWL STREET 861 HONOLULU HI 96813 1301 Punchbowl St Honolulu HI 96813990269825 WAHIAWA GENERAL HOSPITAL Wahiawa General Hospital 20 WAHIAWA HI 96786 128 Lehua St Wahiawa HI 96786420698265 ALLEN MEMORIAL HOSPITAL Allen Memorial Hospital Corporation 1825 LOGAN AVENUE WATERLOO IA 50703 1825 Logan Ave Waterloo IA 50703426005830 BROADLAWNS MEDICAL CENTER Broadlawns Medical Center 1801 HICKMAN ROAD DES MOINES IA 50314 1801 Hickman Rd Des Moines IA 50314421264647 COVENANT MEDICAL CENTER Covenant Medical Center Inc 3421 W 9TH ST WATERLOO IA 50702 3421 W 9th St Waterloo IA 50702421418847 GENESIS MEDICAL CENTER Genesis Health System 1227 EAST RUSHOLME DAVENPORT IA 52803 1227 E Rusholme St Davenport IA 52803420680452 IOWA LUTHTERAN HOSPITAL Central Iowa Hospital Corporation 700 EAST UNIVERSITY DES MOINES IA 50316 700 E University Ave Des Moines IA 50316420680452 IOWA METHODIST MEDICAL CENTER Central Iowa Hospital Corporation 1200 PLEASANT STREET DES MOINES IA 50309 1200 Pleasant St Des Moines IA 50309420680355 JENNIE EDMUNDSON MEMORIAL Jennie Edmundson Memorial Hospital 933 EAST PIERCE STREET COUNCIL BLUFFS IA 51503 933 E Pierce St Council Bluffs IA 51503420698295 MERCY MEDICAL CENTER Mercy Medical Center 701 10TH STREET SE CEDAR RAPIDS IA 52403 701 10th St SE Cedar Rapids IA 52403311373080 MERCY MEDICAL CENTER - NORTH Mercy Home Infusion Pharmacy 1000 4TH STREET MASON CITY IA 50401 1000 4th St SW Mason City IA 50401311407377 MERCY MEDICAL CENTER - SIOUX CITY Marian Health Center-Smhc 801 FIFTH STREET SIOUX CITY IA 51101 801 5th St Sioux City IA 51101420680448 MERCY MEDICAL CENTER-DES MOINES Catholic Health Initiatives Iowa Corp 1111 6TH AVENUE DES MOINES IA 50314 1111 6th Ave Des Moines IA 50314420504780 ST. LUKES METHODIST HOSPITAL St Lukes Methodist Hospital 1026 A AVENUE N.E. 3026 CEDAR RAPIDS IA 52406 1026 A Ave NE Cedar Rapids IA 52402421019872 ST. LUKES REGL MEDICAL CENTER Northwest Iowa Hospital Corporation 2720 STONE PARK BLVD 2000 SIOUX CITY IA 51104 2720 Stone Park Blvd Sioux City IA 51104362739299 TRINITY BETTENDORF Trinity Medical Center 4500 UTICA RIDGE ROAD BETTENDORF IA 52722 4500 Utica Ridge Rd Bettendorf IA 52722421009175 TRINITY REGIONAL MEDICAL CENTER Trinity Regional Medical Center 802 SOUTH KENYON ROAD FORT DODGE IA 50501 802 Kenyon Rd Fort Dodge IA 50501426004813 UNIV OF IOWA HOSP & CLINIC State University Of Iowa 200 HAWKINS DRIVE 1353 JCP IOWA CITY IA 52242 200 Hawkins Dr Iowa City IA 52242820231746 KOOTENAI HOSPITAL DISTRICT Kootenai Health 2003 KOOTENAI HEALTH WAY COEUR DALENE ID 83814 2003 Kootenai Health Way Coeur D Alene ID 83814263757128 PORTNEUF MEDICAL CENTER Pocatello Hospital, Llc 651 MEMORIAL DRIVE POCATELLO ID 83201 777 Hospital Way Pocatello ID 83201820200895 ST. ALPHONSUS REGIONAL MED CENTER Saint Alphonsus Regional Medical Center Inc 1055 NORTH CURTIS ROAD BOISE ID 83706 1055 N Curtis Rd Boise ID 83706820161600 ST. LUKES REGIONAL MEDICAL CENTER St Lukes Regional Medical Center 190 EAST BANNOCK BOISE ID 83712 190 E Bannock St Boise ID 83712363525049 WEST VALLEY MEDICAL CENTER West Valley Medical Center Inc 1717 ARLINGTON CALDWELL ID 83605 381 B South Middleton Road Middleton ID 83644362276984 ADVENTIST HINSDALE HOSPITAL Adventist Hinsdale Hospital 120 NORTH OAK STREET HINSDALE IL 60521 120 N Oak St Hinsdale IL 60521364257550 ADVENTIST LAGRANGE MEMORIAL HOSPITAL Adventist Health System Sunbelt, Inc. 5101 S. WILLOW SPRINGS ROAD LAGRANGE IL 60525 5101 Willow Springs Rd LA Grange IL 60525362169147 ADVOCATE BROMENN MEDICAL CENTER Advocate Health And Hospitals Corporation 1304 VIRGINIA NORMAL IL 61761 1304 Franklin Ave Normal IL 61761362169147 ADVOCATE CHRIST HOSPITAL Advocate Health And Hospitals Corporation 4440 WEST 95TH STREET OAK LAWN IL 60453 4440 W 95th St Oak Lawn IL 60453362169147 ADVOCATE LUTHERAN GENERAL HOSPITAL Advocate Health And Hospitals Corporation 1775 W. DEMPSTER STREET PARK RIDGE IL 60068 1775 Dempster Street Park Ridge IL 60068363196629 ADVOCATE NORTHSIDE HEALTH SYSTEM Advocate North Side Health Network 836 WELLINGTON CHICAGO IL 60640 836 W Wellington Ave Chicago IL 60657362170833 ANN & ROBERT H. LURIE CHILDRENS HOS Ann & Robert H. Lurie Children'S Hospital Of Chicago 225 EAST CHICAGO AVENUE CHICAGO IL 60611 225 E Chicago Ave #44 Chicago IL 60611370661183 BLESSING HOSPITAL Blessing Hospital 1005 BROADWAY QUINCY IL 62301 1005 Broadway St Quincy IL 62301376000511 BOARD OF TRUSTEES OF THE UNIVERSITY Board Of Trustees Of The University Of Illinois 1740 W TAYLOR ST CHICAGO IL 60612 1740 W Taylor St MC 732 Chicago IL 60612371119538 CARLE FOUNDATION HOSPITAL Carle Foundation Hospital 611 W. PARK STREET URBANA IL 61801 611 W Park St Urbana IL 61801362170840 COPLEY MEMORIAL HOSPITAL Copley Memorial Hospital, Inc. 2000 OGDEN AVENUE AURORA IL 60504 2000 Ogden Ave Aurora IL 60504370661199 DECATUR MEMORIAL HOSPITAL Decatur Memorial Hospital 2300 N. EDWARD ST. DECATUR IL 62526 2300 N. EDWARD ST. DECATUR IL 62526362167869 FRANCISCAN ST. JAMES HEALTH Franciscan St. James Health 20201 SOUTH CRAWFORD AVE OLYMPIA FIELDS IL 60461 1423 Chicago Rd Chicago Heights IL 60411362379649 GOTTLIEB MEMORIAL HOSPITAL Gottlieb Memorial Hospital 8700 WEST NORTH AVENUE MELROSE PARK IL 60160 701 W North Ave Melrose Park IL 60160362439318 HOLY FAMILY MEDICAL CENTER Presence Holy Family Medical Center 100 NORTH RIVER ROAD SECOND FLOOR DES PLAINES IL 60016 100 N River Rd Des Plaines IL 60016362448028 JACKSON PARK HOSPITAL Jackson Park Hospital Foundation 7531 SOUTH STONEY ISLAND AVENUE CHICAGO IL 60649 7531 S Stony Island Ave Chicago IL 60649366006541 JOHN H. STROGER JR. HOSP OF COOK CTY Cook County 1901 WEST HARRISON STREET CHICAGO IL 60612 650 E PHOENIX CENTER DR PHOENIX IL 60426361000540 KATHERINE SHAW BETHEA Katherine Shaw Bethea Hospital KATHERINE SHAW BETHEA HOSPI403 EAST DIXON IL 61021 403 E 1st St Dixon IL 61021362246719 LITTLE COMPANY OF MARY Little Company Of Mary Hospital, Inc 2800 WEST 95TH STREET EVERGREEN PAR IL 60642 2800 W 95th St Evergreen Park IL 60805362200248 LORETTO HOSPITAL Loretto Hospital 645 SOUTH CENTRAL AVENUE CHICAGO IL 60646 645 S Central Ave Chicago IL 60644

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

621861142 LOUIS A. WEISS MEMORIAL HOSPITAL Vhs Acquisition Subsidiary Number 3 Inc 4646 NORTH MARINE DRIVE CHICAGO IL 60640 4646 N Marine Dr Chicago IL 60640364015560 LOYOLA UNIVERSITY MEDICAL CENTER Loyola University Medical Center 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 2160 S 1st Ave Maywood IL 60153621796152 MACNEAL HOSPITAL Vhs Of Illinois Inc 3249 SOUTH OAK PARK AVENUE BERWYN IL 60402 3249 South Oak Park Ave Berwyn IL 60402362680776 MARIANJOY REHAB HOSPITAL & CLINIC Marianjoy Rehabilitation Hospital & Clinics Inc. 26W171 ROOSEVELT ROAD WHEATON IL 60187 26W171 Roosevelt Rd Wheaton IL 60187370618939 MEMORIAL HOSPITAL OFCARBONDALE Southern Illinois Hospital Services 405 W. JACKSON ST. CARBONDALE IL 62901 405 W Jackson Carbondale IL 62901370661220 MEMORIAL MEDICAL CENTER Memorial Medical Center 701 NORTH FIRST STREET SPRINGFIELD IL 62781 701 N 1st St MAB 528 Springfield IL 62781362170152 MERCY HOSPITAL & MEDICAL CENTER Mercy Hospital & Medical Center 2525 SOUTH MICHIGAN AVENUE CHICAGO IL 60616 2525 S Michigan Ave Chicago IL 60616370661223 METHODIST MEDICAL CTR OF ILLINOIS Methodist Medical Center Of Illinois 221 N E GLEN OAK PEORIA IL 61636 221 NE Glen Oak Ave Peoria IL 61636361509000 MOUNT SINAI HOSPITAL MEDICAL CENTER Mount Sinai Hospital Medical Center 15TH STREET & CALIFORNIA AVE CHICAGO IL 60608 2028 Paysphere Cir Chicago IL 60674362167060 NORTHSHORE UNIVERSITY HEALTHSYSTEM Northshore University Healthsystem 2650 RIDGE AVENUE EVANSTON IL 60201 2650 Ridge Ave Evanston IL 60201370960170 NORTHWESTERN MEMORIAL HOSPITAL Northwestern Memorial Hospital 251E HURON CHICAGO IL 60611 251 E Huron St Chicago IL 60611361564290 NORWEGIAN AMERICAN HOSPITAL Norwegian American Hospital Incorporated 1044 N. FRANSICSO AVENUE CHICAGO IL 60622 1044 North Francisco Chicago IL 60622366006541 OAK FOREST HOSPITAL OF COOK COUNTY Cook County 15900 SOUTH CICERO AVENUE OAK FOREST IL 60452 15900 South Cicero Avenue Oak Forest IL 60452362183812 OAK PARK HOSPITAL Rush Oak Park Hospital, Inc. 520 SOUTH MAPLE OAK PARK IL 60603 520 S Maple Ave Oak Park IL 60304364195126 PRESENCE COVENANT MEDICAL CENTER Presence Hospitals Prv 1400 WEST PARK STREET URBANA IL 61801 1400 W Park St Urbana IL 61801472313900 PRESENCE OUR LADY OFTHE RESURRECTION Community First Healthcare Of Illinois Inc 5645 WEST ADDISON STREET CHICAGO IL 60634 5645 W Addison St Chicago IL 60634363330926 PRESENCE RESURRECTION MEDICAL CENTER Presence Resurrection Medical Center 7435 WEST TALCOTT CHICAGO IL 60631 7435 W Talcott Ave Chicago IL 60631362167800 PRESENCE SAINT FRANCOS HOSPITAL Presence Saint Francis Hospital 355 RIDGE AVENUE EVANSTON IL 60202 355 Ridge Ave Evanston IL 60202363200170 PRESENCE SAINT JOSEPH HOSP-CHICAGO Presence Saint Joseph Hospital 2900 NORTH LAKE SHORE DRIVE CHICAGO IL 60657 1127 N Oakley Blvd 4th Floor Chicago IL 60622362171079 PRESENCE SAINTS MARY & ELIZABETH MED Presence Saints Mary And Elizabeth Medical Center 2233 WEST DIVISION STREET CHICAGO IL 60622 1127 N Oakley Blvd 4th Floor Chicago IL 60622364195126 PRESENCE ST. JOSEPH MEDICAL CENTER Presence Hospitals Prv 333 NORTH MADISON STREET JOLIET IL 60435 333 N. Madison St. Joliet IL 60435366006541 PROVIDENT HOSPITAL Cook County 500 EAST 51ST STREET CHICAGO IL 60615 500 EAST 51st STREET CHICAGO IL 60615362414944 RIVERSIDE MEDICAL CENTER Riverside Medical Center 350 NORTH WALL STREET KANKAKEE IL 60901 350 N Wall St Kankakee IL 60901362174823 RUSH UNIVERSITY MEDICAL CENTER Rush University Medical Center 1653 W. CONGRESS PARKWAY CHICAGO IL 60612 1653 W Congress Pkwy Chicago IL 60612363595397 SACRED HEART HOSPITAL Westside Community Hospital Inc 3240 W. FRANKLIN BLVD CHICAGO IL 60624 3240 W. Franklin Blvd. Chicago IL 60624370662569 SAINT FRANCIS MEDICAL CENTER Saint Francis Medical Center 530 NE GLEN OAK AVENUE PEORIA IL 61637 530 NE Glen Oak Ave Peoria IL 61637362179802 SCHWAB REHAB HOSP & CARE NETWORK Schwab Rehabilitation Hospital And Care Network 1401 S. CALIFORNIA AVE CHICAGO IL 60608 3663 Paysphere Cir Chicago IL 60674362167060 SKOKIE HOSPITAL Northshore University Healthsystem 9600 GROSS POINT ROAD SKOKIE IL 60076 9600 Gross Point Rd Skokie IL 60076510217097 ST ANTHONY HOSPTAL Saint Anthony Hospital 2875 W. 19TH STREET CHICAGO IL 60623 2875 W 19th St Chicago IL 60623370661244 ST MARYS HOSPITAL St Marys Hospital Sisters Of The Third Order Of St Francis 1800 EAST LAKE SHORE DRIVE DECATUR IL 62521 1800 E Lake Shore Dr Decatur IL 62521362264414 ST. BERNARD HOSPITAL St Bernard Hospital 64TH & DAN RYAN CHICAGO IL 60621 326 W 64th St Chicago IL 60621370663567 ST. ELIZABETH HOSPITAL St. Elizabeth'S Hospital Sisters Of The Third Order Of St. Francis 211 S 3RD STREET BELLEVILLE IL 62220 211 S 3rd St Belleville IL 62220370661238 ST. JOHNS HOSPITAL St. John'S Hospital Of The Hospital Sisters Of The Third Order Of St F 800 EAST CARPENTER SPRINGFIELD IL 62769 800 East Carpenter Street Springfield IL 62769362179813 SWEDISH COVENANT HOSPITAL Swedish Covenant Hospital 5145 NORTH CALIFORNIA AVENUE CHICAGO IL 60625 5145 N California Ave Chicago IL 60625362222696 SWEDISHAMERICAN HOSPITAL Swedishamerican Hospital 1401 EAST STATE ST. ROCKFORD IL 61104 1401 E State St Rockford IL 61104362256036 THE REHAB. INSTITUTE OF CHICAGO Rehabilitation Institute Of Chicago 345 SUPERIOR CHICAGO IL 60611 345 E Superior St Chicago IL 60611363488183 UNIVERSITY OF CHICAGO HOSPITALS The University Of Chicago Medical Center 5841 SOUTH MARYLAND AVENUE CHICAGO IL 60637 5841 S. Maryland Ave Chicago IL 60637272071328 WEST SUBURBAN HOSP MED CTR Vhs West Suburban Medical Center Inc 3 ERIE COURT OAK PARK IL 60302 3 Erie Ct Oak Park IL 60302272071437 WESTLAKE COMMUNITY HOSPITAL Vhs Westlake Hospital Inc 1225 SUPERIOR STREET MELROSE PARK IL 60160 1225 W Lake St Melrose Park IL 60160350867958 BALL MEMORIAL HOSPITAL Indiana University Health Ball Memorial Hospital Inc 2401 UNIVERSITY AVENUE MUNCIE IN 47303 2401 W University Ave Muncie IN 47303350944638 CLARK MEMORIAL HOSPITAL Clark Memorial Hospital 1220 MISSOURI AVENUE 69 JEFFERSONVILLE IN 47130 1220 Missouri Ave Jeffersonville IN 47130350983617 COMMUNITY HOSPITAL OF INDIANA INC. Community Health Network Inc 1500 NORTH RITTER AVENUE INDIANAPOLIS IN 46219 1500 N Ritter Ave Indianapolis IN 46219743230935 COMMUNITY HOSPITAL OF INDIANA INC. Community Health Network, Inc. 7150 CLEARVISTA PARKWAY INDIANAPOLIS IN 46256 7150 Clearvista Dr Indianapolis IN 46256350593390 DEACONESS HOSPITAL Deaconess Hospital Inc 600 MARY STREET EVANSVILLE IN 47747 600 Mary St Evansville IN 47710356005697 ESKENAZI HEALTH The Health And Hospital Corporation Of Marion County 720 ESKENAZI AVENUE INDIANAPOLIS IN 46202 720 Eskenazi Ave Indianapolis IN 46202352074283 FRANCISCAN ST ANTHONY HEALTH-CR PT St Anthony Medical Center 1201 SOUTH MAIN STREET CROWN POINT IN 46307 1201 S Main St Crown Point IN 46307351835133 FRANCISCAN ST MARGARET-HAMMOND St Margaret Mercy Healthcare Centers Inc 5454 HOMAN AVENUE HAMMOND IN 46320 5454 S Hohman Ave Regional Finance Dep Hammond IN 46320351835133 FRANCISCAN ST. MARGARET HEALTH- DYER St Margaret Mercy Healthcare Centers Inc 24 JOLIET STREET DYER IN 46311 24 Joliet St Dyer IN 46311352123783 INDIANA HEART HOSPITAL Indiana Heart Hospital, Llc 8075 NORTH SHADELAND AVENUE INDIANAPOLIS IN 46256 8075 N Shadeland Ave Indianapolis IN 46250351955872 INDIANA UNIVERSITY HEALTH Indiana University Health Inc 340 W 10TH ST INDIANAPOLIS IN 46202 1701 N Senate Indianapolis IN 46202351963748 LUTHERAN HOSPITAL OF INDIANA Iom Health System Lp 7950 WEST JEFFERSON BLVD FT WAYNE IN 46804 7950 W Jefferson Blvd Fort Wayne IN 46804350868132 MEMORIAL HOSPITAL OF SOUTH BEND INC Memorial Hospital Of South Bend Inc 615 N MICHIGAN ST SOUTH BEND IN 46601 615 N Michigan St South Bend IN 46601350868133 METHODIST HOSPITALS INC The Methodist Hospitals Inc 600 GRANT STREET GARY IN 46402 600 Grant St Administration BuildingGary IN 46402350868085 PARKVIEW HOSPITAL Parkview Hospital, Inc. 11109 PARKVIEW PLAZA DRIVE FORT WAYNE IN 46845 11109 Parkview Plaza Dr Fort Wayne IN 46845351786005 REHABILITATION HOSPITAL OF INDIANA Rehabilitation Hospital Of Indiana Inc 4141 SHORE DRIVE INDIANAPOLIS IN 46254 4141 Shore Dr Indianapolis IN 46254510382045 ST JOSEPH MEDICAL CENTER St Joseph Health System Llc 700 BROADWAY STREET FORT WAYNE IN 46802 700 Broadway Fort Wayne IN 46802350913537 ST. FRANCIS H&H-MOORESVILLE Franciscan St Francis Health 1201 HADLEY ROAD MOORESVILLE IN 46158 1201 Hadley Rd Mooresville IN 46158350913537 ST. FRANCIS HOSPITAL & HEALTH CENTER Franciscan St Francis Health 1600 ALBANY STREET BEECH GROVE IN 46107 1600 Albany St Beech Grove IN 46107350913537 ST. FRANCIS HOSPITAL & HEALTH CENTER Franciscan St Francis Health 8111 S. EMERSON AVENUE INDIANAPOLIS IN 46237 8111 S Emerson Ave Indianapolis IN 46237350868157 ST. JOSEPHS REG MED CENTER S. BEND Saint Joseph Regional Medical Center South Bend Campus Inc. 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46545 5215 Holy Cross Parkway Mishawaka IN 46545350869065 ST. MARYS MEDICAL CENTER St Marys Health Inc 3700 WASHINGTON AVE EVANSVILLE IN 47750 3700 Washington Ave Evansville IN 47750350869066 ST. VINCENT HOSPITAL & HCC St Vincent Hospital And Health Care Center Inc 2001 WEST 86TH STREET INDIANAPOLIS IN 46260 2001 W 86th St Indianapolis IN 46260350876396 UNION HOSPITAL INC. Union Hospital Inc 1606 NORTH SEVENTH ST TERRE HAUTE IN 47804 1606 N 7th St Terre Haute IN 47804351094734 WESTVIEW HOSPITAL Indianapolis Osteopathic Hospital Inc 3630 GUION ROAD INDIANAPOLIS IN 46222 3630 Guion Road Indianapolis IN 46222486019273 GEARY COMMUNITY HOSPITAL Geary County Hospital 1102 ST. MARYS ROAD JUNCTION CITY KS 66441 1102 Saint Marys Rd Junction City KS 66441481169103 SALINA REGIONAL HEALTH CENTER Salina Regional Health Center,Inc 400 S. SANTA FE SALINA KS 67401 400 S Santa Fe Ave Salina KS 67401480637331 SHAWNEE MISSION MEDICAL CENTER Shawnee Mission Medical Center Inc 9100 WEST 74TH STREET SHAWNEE MISSIO KS 66204 9100 W 74th St Shawnee Mission KS 66204480547719 ST.FRANCIS HEALTH CENTER St Francis Health Center Inc 1700 SOUTHWEST SEVENTH STREET TOPEKA KS 66606 1700 SW 7th St Topeka KS 66606480543789 STORMONT-VAIL REGIONAL HEALTH CENTER Stormont-Vail Healthcare Inc 1500 SW 10TH AVE TOPEKA KS 66604 1500 SW 10th Ave Topeka KS 66604

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

481202402 UNIVERSITY OF KANSAS HOSPITAL University Of Kansas Hospital Authority 3901 RAINBOW BLVD KANSAS CITY KS 66107 3901 Rainbow Blvd Kansas City KS 66103481172106 VIA CHRISTI HOSPITAL WICHITA Via Christi Hospitals Wichita, Inc. 929 N. ST. FRANCIS WICHITA KS 67214 929 N Saint Francis St Wichita KS 67214621762545 WESLEY MEDICAL CENTER Wesley Medical Center Llc 550 NORTH HILLSIDE STREET WICHITA KS 67214 550 N Hillside St Wichita KS 67214610444707 BAPTIST HEALTH LEXINGTON Baptist Healthcare System Inc. 1740 NICHOLASVILLE RD LEXINGTON KY 40503 1740 Nicholasville Rd Lexington KY 40503610654587 BAPTIST HEALTH MADISONVILLE Baptist Health Madisonville Inc 900 HOSPITAL DRIVE MADISONVILLE KY 42431 900 Hospital Dr Madisonville KY 42431473054927 CARDINAL HILL REHABILITATION HOSPITA Healthsouth Cardinal Hill Rehabilitation Hospital Llc 2050 VERSAILLES ROAD LEXINGTON KY 40504 2050 Versailles Rd Lexington KY 40504610600439 CENTRAL STATE HOSPITAL Commonwealth Of Kentucky 10510 LAGRANGE ROAD LOUISVILLE KY 40223 10510 Lagrange Road Louisville KY 40223520795508 HAZARD ARH Appalachian Regional Healthcare Inc. 100 MEDICAL CENTER DR HAZARD KY 41701 100 Medical Center Dr Hazard KY 41701611029768 JEWISH HOSPITAL & ST MARYS HEALTH Jewish Hospital & St. Mary'S Healthcare, Inc. 217 EAST CHESTNUT LOUISVILLE KY 40202 200 Abraham Flexner Way Louisville KY 40202610461753 METHODIST HOSPITAL Community United Methodist Hospital, Inc 1305 NORTH ELM STREET HENDERSON KY 42420 1305 N Elm St Henderson KY 42420610703799 NORTON HOSPITALS INC Norton Hospitals Inc 200 E. CHESTNUT ST LOUISVILLE KY 40202 234 E Gray St STE 225 Louisville KY 40202611356023 OUR LADY OF BELLEFONTE Our Lady Of Bellefonte Hospital Inc ST CHRISTOPHER DRIVE ASHLAND KY 41101 1000 St. Christopher Dr Ashland KY 41101610458376 PIKEVILLE MEDICAL CENTER Pikeville Medical Center Inc 911 BYPASS ROAD PIKEVILLE KY 41501 911 Bypass Rd Pikeville KY 41501611334601 SAINT JOSEPH HOSPITAL Saint Joseph Health System, Inc. ONE SAINT JOSEPH HOSPITAL DRIVE LEXINGTON KY 40504 1 Saint Joseph Dr Lexington KY 40504610445850 ST ELIZABETH HEALTHCARE St Elizabeth Medical Center, Inc ONE MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 1 Medical Village Dr Edgewood KY 41017610605336 ST. CLAIRE MEDICAL CENTER St. Claire Medical Center, Inc. 222 MEDICAL CIRCLE MOREHEAD KY 40351 425 Clinic Dr Morehead KY 40351610461767 T.J. SAMSON COMMUNITY HOSPITAL T J Samson Community Hospital 1301 NORTH RACE STREET GLASGOW KY 42141 1301 N Race St Glasgow KY 42141616001218 UNIVERSITY HOSPITAL University Of Kentucky 800 ROSE STREET LEXINGTON KY 40536 800 Rose St Lexington KY 40536611293786 UNIVERSITY OF LOUISVILLE HOSPITAL University Medical Center, Inc 530 SOUTH JACKSON STREET LOUISVILLE KY 40202 530 S Jackson St Louisville KY 40202721025017 BATON ROUGE GENERAL Baton Rouge General Medical Center 3600 FLORIDA BLVD. BATON ROUGE LA 70806 3801 North Blvd Baton Rouge LA 70826720467503 CHILDRENS HOSPITAL Childrens Hospital Professional 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 200 Henry Clay Ave New Orleans LA 70118720645546 EARL K. LONG MEDICAL CENTER Earl K. Long Medical Center 5825 AIRLINE HIGHWAY BATON ROUGE LA 70805 5825 Airline Hwy Baton Rouge LA 70805720692834 EAST JEFFERSON GENERAL HOSPITAL East Jefferson General Hospital 4200 HOUMA METAIRIE LA 70006 4200 Houma Blvd Administration Metairie LA 70006726000768 HUEY P. LONG MEDICAL CENTER Huey P. Long Medical Center 352 HOSPITAL STREET P.O. 5253 PINEVILLE LA 71361 352 Hospital Blvd Pineville LA 71360720535375 LAFAYETTE GENERAL MEDICAL CENTER Lafayette General Medical Center Inc 1214 COOLIDGE AVENUE LAFAYETTE LA 70570 1214 Coolidge Ave. Lafayette LA 70503720551963 LAKE CHARLES MEMORIAL HOSPITAL Southwest Louisiana Hospital Association 1701 OAK PARK BOULEVARD LAKE CHARLES LA 70601 1701 Oak Park Blvd Lake Charles LA 70601621762416 LAKEVIEW REGIONAL MEDICAL CENTER Lakeview Medical Center, Llc 95 EAST FAIRWAY DRIVE COVINGTON LA 70433 95 Judge Tanner Blvd Covington LA 70433251925187 MEDICAL CTR. OF LA AT NEW ORLEANS University Medical Center Management Corporation 2021 PERDIDO STREET NEW ORLEANS LA 70112 2000 Canal St New Orleans LA 70112205432631 OCHSNER BAPTIST MEDICAL CENTER Ochsner Baptist Medical Center 2700 NAPOLEON AVE. NEW ORLEANS LA 70115 2700 Napoleon Ave New Orleans LA 70115720502505 OCHSNER CLINIC FOUNDATION Ochsner Clinic Foundation 1516 JEFFERSON HIGHWAY NEW ORLEANS LA 70121 1516 Jefferson Hwy New Orleans LA 70121205432782 OCHSNER MEDICAL CENTER - KENNER LLC Ochsner Medical Center Kenner Llc 180 WEST ESPLANADE AVE. KENNER LA 70065 180 W Esplanade Ave Kenner LA 70065720423651 OUR LADY OF THE LAKE RMC MDCR Our Lady Of The Lake Hospital Inc 5000 HENESSY BLVD BATON ROUGE LA 70808 5000 Hennessy Blvd Baton Rouge LA 70808611267229 RAPIDES REGIONAL MEDICAL CENTER Rapides Healthcare System, L.L.C. 211 FOURTH STREET 30101 ALEXANDRIA LA 71301 211 4th St Alexandria LA 71301720408982 SCHUMPERT MEDICAL CENTER Christus Health Northern Louisiana ONE ST MARY PLACE 21976 SHREVEPORT LA 71101 1 Saint Mary Pl Shreveport LA 71101726014895 SLIDELL MEMORIAL HOSPITAL Slidell Memorial Hospital 1001 GAUSE BLVD SLIDELL LA 70458 1001 Gause Blvd Slidell LA 70458462743282 SOUTHERN REGIONAL MEDICAL CORP Southern Regional Medical Corporation 1978 INDUSTRIAL BOULEVARD HOUMA LA 70363 1978 Industrial Blvd Houma LA 70363720423659 TOURO INFIRMARY Touro Infirmary 1401 FOUCHER STREET NEW ORLEANS LA 70115 1401 Foucher St New Orleans LA 70115621596506 TULANE UNIVERSITY HOSPITAL & CLINICS University Healthcare System, L.C. 1415 TULANE AVENUE NEW ORLEANS LA 70112 1415 Tulane Ave New Orleans LA 70112800945173 UNIVERSITY HEALTH CONWAY Brfhh Monroe Llc 4864 JACKSON STREET MONROE LA 71210 4864 Jackson St Hospital AdministrationMonroe LA 71202800944985 UNIVERSITY HEALTH SHREVEPORT Brfhh Shreveport Llc 1501 KINGS HIGHWAY SHREVEPORT LA 71130 1501 Kings Hwy Shreveport LA 71103462605366 UNIVERSITY HOSPITAL & CLINICS University Hospital And Clinics, Inc 2390 WEST CONGRESS STREET LAFAYETTE LA 70506 2390 W Congress St Lafayette LA 70506726015440 W.O. MOSS REG. MEDICAL CENTER W O Moss Regional Medical Center 1000 WALTERS STREET LAKE CHARLES LA 70607 1000 Walters St Lake Charles LA 70607726000842 WASHINGTON-ST.TAMMANY MED. CTR. Wash-St Tammany Reg Medical Center 400 MEMPHIS STREET 40 BOGALUSA LA 70429 433 Plaza St Bogalusa LA 70427726014898 WEST JEFFERSON MEDICAL CENTER Jefferson Parish Hospital Service District #1 1101 MEDICAL CENTER BLVD MARRERO LA 70072 1101 Medical Center Blvd Marrero LA 70072720400933 WILLIS-KNIGHTON HEALTH SYSTEMS Willis Knighton Medical Center Inc 2600 GREENWOOD ROAD SHREVEPORT LA 32600 2510 Bert Kouns Industrial Loop Shreveport LA 71118042790311 BAYSTATE MEDICAL CENTER Baystate Medical Center Inc. 759 CHESTNUT STREET SPRINGFIELD MA 01199 759 Chestnut St Springfield MA 01199042791396 BERKSHIRE MEDICAL CENTER Berkshire Medical Center Inc 725 NORTH STREET PITTSFIELD MA 01201 725 North St Pittsfield MA 01201043229679 BETH ISRAEL DEACONESS HOSPITAL-NEEDH Beth Israel Deaconess Hospital-Needham campus, Inc. 148 CHESTNUT STREET NEEDHAM MA 02492 148 Chestnut St Needham MA 02492042103881 BETH ISRAEL DEACONESS MEDICAL CENTER Beth Israel Deaconess Medical Center, Inc 330 BROOKLINE AVENUE BOSTON MA 02215 330 Brookline Ave ST 207 Boston MA 02215043314093 BOSTON MEDICAL CENTER Boston Medical Center Corporation 1 BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 409 W Broadway South Boston MA 02127042312909 BRIGHAM AND WOMENS HOSPITAL Brigham And Women'S Hospital, Inc 75 FRANCIS STREET 3714 BOSTON MA 02115 75 Francis St Boston MA 02115222472997 BROCKTON HOSPITAL INC. Brockton Hospital, Inc. 680 CENTRE STREET BROCKTON MA 02402 680 Centre St Brockton MA 02302043320571 CAMBRIDGE HEALTH ALLIANCE Cambridge Public Health Commission 350 MAIN STREET MALDEN MA 02148 1493 Cambridge St Cambridge MA 02139042103600 CAPE COD HOSPITAL Cape Cod Healthcare Inc 27 PARK STREET HYANNIS MA 02601 27 Park St Hyannis MA 02601042774441 CHILDRENS HOSPITAL CORPORATION Children'S Hospital Corporation 300 LONGWOOD AVENUE BOSTON MA 02115 300 Longwood Ave Patient Financial Servi Boston MA 02115042263040 DANA-FARBER CANCER INSTITUTE Dana Farber Cancer Institute 450 BROOKLINE AVE BOSTON MA 02215 450 Brookline Ave Boston MA 02215042768256 FAULKNER HOSPITAL Brigham And Womens Faulkner Hospital Inc 1153 CENTRE STREET JAMAICA PLAIN MA 02130 1153 Centre St Boston MA 02130042767880 HALLMARK HEALTH SYSTEM Hallmark Health System Inc 170 GOVERNORS AVE MEDFORD MA 02155 170 Governors Ave Medford MA 02155042103555 HEALTH ALLIANCE Umass Memorial Health Care Inc., Healthalliance Hospitals, Inc. 60 HOSPITAL ROAD 2004 LEOMINSTER MA 01453 60 Hospital Rd Leominster MA 01453042704686 LAHEY CLINIC HOSPITAL INC. Lahey Clinic Hospital Inc. 41 MALL ROAD BURLINGTON MA 01805 41 Mall Rd Burlington MA 01805042103586 LAWRENCE GENERAL HOSPITAL Lawrence General Hospital ONE GENERAL STREET LAWRENCE MA 01841 1 General St Lawrence MA 01841046002284 LEMUEL SHATTUCK HOSPITAL The Commonwealth Of Massachusetts 170 MORTON STREET JAMAICA PLAIN MA 02130 170 Morton St Jamaica Plain MA 02130042103591 MASS EYE & EAR INFIRMARY Massachusetts Eye And Ear Infirmary 243 CHARLES STREET BOSTON MA 02114 243 Charles St Boston MA 02114042697983 MASSACHUSETTS GENERAL HOSPITAL General Hospital Corporation FRUIT STREET BOSTON MA 02114 55 Fruit St Boston MA 02114042697981 MCLEAN HOSPITAL The Mclean Hospital Corporation 115 MILL STREET BELMONT MA 02478 115 Mill St Belmont MA 02478621861200 METROWEST MEDICAL CENTER Vhs Aquisition Subsidiary Number 9 Inc 67 UNION STREET NATICK MA 01760 115 Lincoln St Framingham MA 01702042103602 MILFORD REGIONAL MEDICAL CENTER INC Milford Regional Medical Center Inc 14 PROSPECT STREET MILFORD MA 01757 14 Prospect St Milford MA 01757042103606 MOUNT AUBURN HOSPITAL Mount Auburn Hospital 330 MOUNT AUBURN STREET CAMBRIDGE MA 02238 330 Mount Auburn St Cambridge MA 02138042103612 NEW ENGLAND BAPTIST HOSPITAL New England Baptist Hospital 125 PARKER HILL AVENUE BOSTON MA 02120 125 Parker Hill Ave Roxbury Crossing MA 02120

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

042103611 NEWTON WELLESLEY HOSPITAL Newton Wellesley Hospital 2014 WASHINGTON STREET NEWTON MA 02467 2014 Washington St Newton MA 02462043399616 NORTH SHORE MEDICAL CENTER North Shore Medical Center,Inc 81 HIGHLAND AVENUE SALEM MA 01970 81 Highland Ave Salem MA 01970621861198 SAINT VINCENT HOSPITAL Vhs Acquisition Subsidiary Number 7 Inc 123 SUMMER STREET WORCESTER MA 01608 123 Summer St Worcester MA 01608042551124 SPAULDING REHABILITATION HOSPITAL Spaulding Rehabilitation Hospital Corporation 300 FIRST AVENUE CHARLESTOWN MA 02129 125 Nashua St Boston MA 02114272473755 STEWARD CARNEY HOPSITAL Steward Carney Hospital, Inc. 2100 DORCHESTER AVENUE DORCHESTER MA 02124 2100 Dorchester Ave Dorchester Center MA 02124272473728 STEWARD GOOD SAMARITAN MEDICAL CTR Steward Good Samaritan Medical Center, Inc. 235 N PEARL STREET BROCKTON MA 02301 235 N Pearl St Brockton MA 02301272473637 STEWARD ST. ANNES HOSPITAL Steward St. Anne'S Hospital Corporation 795 MIDDLE STREET FALL RIVER MA 02721 795 Middle St Fall River MA 02721272473667 STEWARD ST. ELIZABETHS MEDICAL CTR Steward St. Elizabeth'S Medical Center Of Boston, Inc. 736 CAMBRIDGE STREET BOSTON MA 02135 736 Cambridge St Boston MA 02135043400617 TUFTS MEDICAL CENTER Tufts Medical Center, Inc. 800 WASHINGTON ST BOSTON MA 02111 750 Washington St Box 018 Boston MA 02111043358564 UMASS MEMORIAL MEDICAL CENTER Umass Memorial Medical Center, Inc. 55 LAKE AVE. NORTH WORCESTER MA 01655 55 Lake Ave N Worcester MA 01655042104434 WINCHESTER HOSPITAL Winchester Hospital 41 HIGHLAND AVE WINCHESTER MA 01890 41 Highland Ave Winchester MA 01890521532556 ADVENTIST HC BEHAVIORAL HEALTH & WEL Adventist Healthcare, Inc. 14901 BROSCHART ROAD ROCKVILLE MD 20850 14901 Broschart Rd Rockville MD 20850520608007 FRANKLIN SQUARE HOSPITAL Franklin Square Hospital Center Inc 9100 FRANKLIN SQUARE DR BALTIMORE MD 21237 9000 Franklin Square Dr Baltimore MD 21237520591607 GOOD SAMARITAN HOSPITAL The Good Samaritan Hospital Of Maryland, Inc 5601 LOCH RAVEN BLVD BALTIMORE MD 21239 5601 Loch Raven Blvd Baltimore MD 21239526049658 GREATER BALTIMORE MEDICAL CENTER Greater Baltimore Medical Center, Inc. 6701 NORTH CHARLES STREET BALTIMORE MD 21204 6701 N Charles St Baltimore MD 21204520738041 HOLY CROSS HOSPITAL Holy Cross Health Inc 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 1500 Forest Glen Road Silver Spring MD 20904520591639 JAMES LAWRENCE KEMAN HOSPITAL James Lawrence Kernan Hospital, Inc. 2200 KERNAN DRIVE BALTIMORE MD 21207 2200 Kernan Dr Executive Office, Suite Baltimore MD 21207521341890 JOHNS HOPKINS BAYVIEW MED. CTR. Johns Hopkins Bayview Medical Center, Inc. 4940 EASTERN AVENUE BALTIMORE MD 21224 5505 Hopkins Bayview Cir Johns Hopkins Bayvie Baltimore MD 21224520607971 KENNEDY KRIEGER Kennedy Krieger Childrens Hospital Inc 707 NORTH BROADWAY BALTIMORE MD 21205 707 N Broadway Baltimore MD 21205520591667 MARYLAND GENERAL HOSPITAL Maryland General Hospital 827 LINDEN AVENUE BALTIMORE MD 21201 827 Linden Ave Baltimore MD 21201520491660 MEDSTAR HARBOR HOSPITAL Harbor Hospital 3001 SOUTH HANOVER STREET BALTIMORE MD 21225 3001 South Hanover St Baltimore MD 21225520591685 MEDSTAR UNION MEMORIAL HOSPITAL The Union Memorial Hospital 201 EAST UNIVERSITY PARKWAY BALTIMORE MD 21218 201 E University Pkwy Baltimore MD 21218520591658 MERCY MEDICAL CENTER Mercy Medical Center Inc 301 ST. PAUL PLACE BALTIMORE MD 21202 301 Saint Paul Pl Baltimore MD 21202520591684 SHEPPARD & ENOCH PRATT HOSPITAL Sheppard Pratt Health System, Inc. 6501 NORTH CHARLES STREET TOWSON MD 21204 6501 N Charles St Baltimore MD 21204520486540 SINAI HOSPITAL OF BALTIMORE INC. Sinai Hospital Of Baltimore, Inc 2401 W. BELEVDERE AVENUE BALTIMORE MD 21215 2401 W Belvedere Ave Baltimore MD 21215520591657 ST. AGNES HOSPITAL St Agnes Healthcare Inc 900 CATON AVENUE BALTIMORE MD 21229 900 Caton Ave Baltimore MD 21229520610545 SUBURBAN HOSPITAL Suburban Hospital, Inc. 8600 OLD GEORGETOWN RD BETHESDA MD 20814 8600 Old Georgetown Rd Bethesda MD 20814520591656 THE JOHNS HOPKINS HOSPITAL The Johns Hopkins Hospital 1800 ORLEANS ST BALTIMORE MD 21287 600 N Wolfe St Baltimore MD 21287521362793 UNIVERSITY OF MARYLAND MED SYS University Of Maryland Medical Systems-Corporation 22 SOUTH GREENE STREET BATLIMORE MD 21201 22 S Greene Street Baltimore MD 21201010211494 CENTRAL MAINE MEDICAL CENTER Central Maine Medical Center 300 MAIN STREET 4500 LEWISTON ME 04240 300 Main St Lewiston ME 04240010211501 EASTERN MAINE MEDICAL CENTER Eastern Maine Medical Center 489 STATE STREET 404 BANGOR ME 04401 489 State St Bangor ME 04401010238552 MAINE MEDICAL CENTER Maine Medical Center 22 BRAMHALL STREET PORTLAND ME 04102 335 Brighton Ave Suite 200 Portland ME 04102043369653 MAINEGENERAL MEDICAL CENTER Mainegeneral Medical Center 35 MEDICAL CENTER PARKWAY AUGUSTA ME 04330 35 Medical Center Parkway Augusta ME 04330010179500 SOUTHERN MAINE HEALTH CARE Southern Maine Health Care 1 MEDICAL CENTER DRIVE 626 BIDDEFORD ME 04005 One Medical Center Drive Biddeford ME 04005381405141 ANNAPOLIS Oakwood Healthcare Inc 33155 ANNAPOLIS AVENUE WAYNE MI 48184 33155 Annapolis St Wayne MI 48184381976271 BAY REGIONAL MEDICAL CENTER Bay Regional Medical Center 1900 COLUMBUS AVENUE BAY CITY MI 48708 1900 Columbus Ave Bay City MI 48708381459362 BEAUMONT HOSPITAL GROSSE POINTE William Beaumont Hospital 468 CADIEUX ROAD GROSSE POINTE MI 48230 3601 W 13 Mile Rd Royal Oak MI 48073381360526 BORGESS MEDICAL CENTER Borgess Medical Center 1521 GULL ROAD KALAMAZOO MI 49048 1521 Gull Rd Kalamazoo MI 49048381426919 BOTSFORD HOSPITAL Botsford General Hospital 28050 GRAND RIVER FARMINGTON HIL MI 48336 28100 Grand River Ave Suite 301 Farmington Hills MI 48336381359087 BRONSON METHODIST HOSPITAL Bronson Methodist Hospital 601 JOHN STREET BOX 26 KALAMAZOO MI 49007 601 John St Kalamazoo MI 49007272845064 CHILDRENS HOSPITAL OF MICHIGAN Vhs Childrens Hospital Of Michigan Inc 3901 BEAUBIEN DETROIT MI 48201 3901 Beaubien St Detroit MI 48201386108110 COMMUNITY HEALTH CENTER BRANCH CTY Community Health Center Of Branch County 274 EAST CHICAGO STREET COLDWATER MI 49036 274 E Chicago St Coldwater MI 49036383369438 COVENANT MEDICAL CENTER Covenant Medical Center, Inc. 1447 NORTH HARRISON SAGINAW MI 48602 1447 N Harrison St Saginaw MI 48602381359247 CRITTENTON HOSPITAL MEDICAL CENTER Crittenton Hospital Medical Center 1101 W. UNIVERSITY DR. ROCHESTER MI 48307 1101 W University Dr Rochester MI 48307272844942 DETROIT RECEIVING HOSPITAL Vhs Detroit Receiving Hospital Inc 4201 ST. ANTOINE DETROIT MI 48201 4201 Saint Antoine St Detroit MI 48201262512084 DOCTORS HOSPITAL OF MICHIGAN Oakland Physicians Medical Center 461 W. HURON PONTIAC MI 48341 461 West Huron St. Pontiac MI 48341381360584 EDWARD W. SPARROW HOSPITAL Edward W Sparrow Hospital Association 1215 E. MICHIGAN AVE LANSING MI 48912 1215 E Michigan Ave Lansing MI 48912464719451 GARDEN CITY HOSPITAL OSTEOPATHIC Prime Healthcare Services-Garden City 6245 INKSTER ROAD GARDEN CITY MI 48135 6245 Inkster Rd Garden City MI 48135382377821 GENESYS REGIONAL MEDICAL CTR. Genesys Regional Medical Center 1 GENESYS PARKWAY GRAND BLANC MI 48439 1 Genesys Pkwy Grand Blanc MI 48439272844767 HARPER- HUTZEL HOSPITAL Vhs Harper Hutzel Hospital Inc 3990 JOHN R DETROIT MI 48201 3990 John R St Detroit MI 48201386004889 HEALTHSOURCE SAGINAW Healthsource Saginaw Inc 3340 HOSPITAL ROAD SAGINAW MI 48603 3340 Hospital Rd Saginaw MI 48603381357020 HENRY FORD HOSPITAL Henry Ford Health System ONE FORD PLACE DETROIT MI 48202 2799 W Grand Blvd Detroit MI 48202382947657 HENRY FORD MACOMB HOSPITAL Henry Ford Macomb Hospital Corporation 215 NORTH AVENUE MT. CLEMENS MI 48043 15855 19 Mile Rd Clinton Twp MI 48038382791823 HENRY FORD WYANDOTTE HOSPITAL Henry Ford Wyandotte Hospital 2333 BIDDLE WYANDOTTE MI 48192 2333 Biddle St Wyandotte MI 48192386005550 HILLSDALE COMMUNITY HEALTH CENTER Hillsdale Community Health Center 168 SOUTH HOWELL STREET HILLSDALE MI 49242 168 S Howell St Hillsdale MI 49242386005601 HURLEY MEDICAL CENTER Hurley Medical Center ONE HURLEY PLAZA FLINT MI 48503 1 Hurley Plz Flint MI 48503272844563 HURON VALLEY-SINAI HOSPITAL Vhs Huron Valley-Sinai Hospital Inc 1601 E. COMMERCE ROAD COMMERCE TOW MI 48382 1 William Carls Dr Commerce Townsh MI 48382381434090 INGHAM REGIONAL MEDICAL CENTER Ingham Regional Medical Center 401 WEST GREENLAWN AVE. LANSING MI 48910 401 West Greenlawn Ave Lansing MI 48910201649466 KARMANOS CANCER HOSPITAL Barbara Ann Karmanos Cancer Hospital 4100 JOHN R DETROIT MI 48201 4100 John R St Detroit MI 48201381357020 KINGSWOOD HOSPITAL Henry Ford Health System 10300 W EIGHT MILE ROAD FERNDALE MI 48220 10300 W 8 Mile Rd Ferndale MI 48220382156872 LAKELAND MEDICAL CENTER ST. JOSEPH Lakeland Hospital At Niles And St Joseph, Inc 1234 NAPIER AVENUE ST. JOSEPH MI 49085 1234 Napier Ave Saint Joseph MI 49085381358036 MARQUETTE GENERAL HOSPITAL Dlp Marquette General Hospital Llc 420 W MAGNETIC STREET MARQUETTE MI 49855 420 W Magnetic St Marquette MI 49855381218516 MCLAREN MACOMB Mount Clemens Regional Medical Center 1000 HARRINGTON MT. CLEMENS MI 48043 1000 Harrington St Mount Clemens MI 48043381428164 MCLAREN OAKLAND Pontiac Osteopathic Hospital 50 N. PERRY STREET PONTIAC MI 48342 50 N Perry St Pontiac MI 48342382383119 MCLAREN REGIONAL MEDICAL CENTER Mclaren Regional Medical Center 401 S. BALLENGER FLINT MI 48532 401 S Ballenger Hwy Flint MI 48532381984289 MERCY MEMORIAL HOSPITAL Mercy Memorial Hospital Corporation 718 NORTH MACOMB MONROE MI 48162 718 N Macomb St Monroe MI 48162380593405 METROPOLITAN HOSPITAL Metropolitan Hospital 5900 BYRON CENTER AVE SW WYOMING MI 49519 5900 Byron Center Ave SW Wyoming MI 49519382589966 MH - HACKLEY CAMPUS Mercy Health Partners 1700 CLINTON STREET 3302 MUSKEGON MI 49442 1700 Clinton St Muskegon MI 49442382589966 MH - MERCY CAMPUS Mercy Health Partners 1500 E. SHERMAN BLVD. MUSKEGON MI 49443 1500 E Sherman Blvd Muskegon MI 49444

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

380833014 MIDMICHIGAN MEDICAL CTR Midmichigan Medical Center Midland 4000 WELLNESS DR MIDLAND MI 48670 4009 Orchard Dr Midland MI 48640381362830 MUNSON MEDICAL CENTER Munson Medical Center 1105 SIXTH STREET TRAVERSE CITY MI 49684 1105 6th St Traverse City MI 49684381405141 OAKWOOD HOSPITAL - DEARBORN Oakwood Healthcare Inc 18108 OAKWOOD BLVD 2500 DEARBORN MI 48124 18101 Oakwood Blvd Dearborn MI 48124381405141 OAKWOOD HOSPITAL - SOUTHSHORE Oakwood Healthcare Inc 5450 FORT STREET TRENTON MI 48183 5450 Fort St Trenton MI 48183381405141 OAKWOOD HOSPITAL - TAYLOR Oakwood Healthcare Inc 24775 HAIGH TAYLOR MI 48180 10000 Telegraph Rd Taylor MI 48180381358212 PROVIDENCE HOSPITAL Providence Hospital And Medical Centers Inc. 16001 WEST NINE MILE ROAD SOUTHFIELD MI 48075 16001 W 9 Mile Rd Southfield MI 48075272844407 REHABILITATION INSTITUTE OF MICHIGAN Vhs Rehabilitation Institute Of Michigan Inc 261 MACK BLVD DETROIT MI 48201 261 Mack Ave Detroit MI 48201383176445 SAINT MARYS HEALTH CARE Saint Mary'S Health Services 200 JEFFERSON SE GRAND RAPIDS MI 49503 200 Jefferson Ave SE Grand Rapids MI 49503272844632 SINAI-GRACE HOSPITAL Vhs Sinai Grace Hospital Inc 6071 W. OUTER DRIVE DETROIT MI 48235 6071 W Outer Dr Detroit MI 48235383176225 SJMHS - LIVINGSTON Saint Joseph Mercy Livingston Hospital 620 BRYON ROAD HOWELL MI 48843 620 Byron Rd Howell MI 48843134257646 SOUTHEAST MICHIGAN SURGICAL HOSPITAL Southeast Michigan Surgical Hospital Llc 21230 DEQUINDRE ROAD WARREN MI 48091 21230 Dequindre Rd Warren MI 48091381360529 SPECTRUM HEALTH HOSPITALS Spectrum Health Hospitals 100 MICHIGAN NE GRAND RAPIDS MI 49503 100 Michigan St NE Grand Rapids MI 49503381359063 ST JOHN HOSPITAL & MEDICAL CENTER St John Hospital And Medical Center 22101 MOROSS DETROIT MI 48236 22101 Moross Detroit MI 48236383322109 ST. JOHN MACOMB-OAKLAND HOSPITAL St John Macomb Oakland Hospital 28000 DEQUINDRE ROAD WARREN MI 48092 11800 E 12 Mile Rd Warren MI 48093383160564 ST. JOHN RIVER DISTRICT HOSPITAL St John River District Hospital 4100 RIVER ROAD EAST CHINA MI 48054 4100 River Rd East China MI 48054383175878 ST. JOSEPH MERCY HOSPITAL - ANN ARBO St Joseph Mercy Hospital 5301 E. HURON RIVER DR. 992 ANN ARBOR MI 48106 5301 Huron River Drive Ypsilanti MI 48197383176536 ST. JOSEPH MERCY HOSPITAL - OAKLAND St Joseph Mercy Hospital Smhc 44405 WOODWARD AVENUE PONTIAC MI 48341 44405 Woodward Ave Pontiac MI 48341383521763 ST. MARY MERCY HOSPITAL - LIVONIA St Mary Mercy Hospital A LIVONIA MI 48154 36475 5 Mile Rd Livonia MI 48154380997730 ST. MARYS OF MICHIGAN St Marys Of Michigan 800 S WASHINGTON SAGINAW MI 48601 800 S Washington Ave Saginaw MI 48601386006309 UNIV OF MI HOSPITALS & HLTH CTRS Regents Of The University Of Michigan 2301 COMMONWEALTH BLVD ANN ARBOR MI 48105 1500 East Medical Center Drive Ann Arbor MI 48109382027689 W.A. FOOTE MEMORIAL HOSPITAL W A Foote Memorial Hospital Inc 205 N. EAST AVENUE JACKSON MI 49201 205 N East Ave Jackson MI 49201381459362 WILLIAM BEAUMONT HOSPITAL - ROYAL OA William Beaumont Hospital 3601 WEST 13 MILE ROAD ROYAL OAK MI 48073 3601 W 13 Mile Rd Royal Oak MI 48073381459362 WILLIAM BEAUMONT HOSPITAL-TROY William Beaumont Hospital 44201 DEQUINDRE TROY MI 48098 44201 Dequindre Rd Troy MI 48085363261413 ABBOTT NORTHWESTERN HOSPITAL Allina Health System 800 EAST 28TH STREET MINNEAPOLIS MN 55407 6525 France Ave S Suite 205 Edina MN 55435411754276 CHILDRENS HEALTH CARE Children'S Health Care 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS MN 55404 2525 Chicago Ave S Minneapolis MN 55404363379150 GILLETTE CHILDRENS SPECIALTY HEALTH Gillette Children'S Specialty Healthcare 200 EAST UNIVERSITY ST PAUL MN 55101 12400 Whitewater Dr Whitewater Plaza, Sui Minnetonka MN 55343411456897 HEALTHEAST ST JOHNS HOSPITAL Healtheast St. John'S Hospital 1575 BEAM AVENUE MAPLEWOOD MN 55109 1575 Beam Ave Maplewood MN 55109410693880 HEALTHEAST ST JOSEPHS HOSPITAL Healtheast St. Joseph'S Hospital 45 WEST 10TH STREET ST PAUL MN 55102 45 10th Street West Saint Paul MN 55102411592761 HEALTHEAST WOODWINDS HOSPITAL Healtheast Woodwinds Hospital 1925 WOODWINDS DR WOODBURY MN 55125 1925 Woodwinds Dr Woodbury MN 55125421707837 HENNEPIN COUNTY MEDICAL CENTER Hennepin Healthcare System Inc 701 PARK AVE P-1 MINNEAPOLIS MN 55415 701 Park Ave, P1-Finance Minneapolis MN 55415411236756 MAYO CLINIC HEALTH SYSTEM MANKATKO Mayo Clinic Health System-Mankato 1025 MARSH STREET 8673 MANKATO MN 56002 1025 Marsh St Mankato MN 56001410944601 MAYO CLINIC HOSPITAL ROCHESTER Mayo Clinic Hospital-Rochester 1216 SECOND STREET SW ROCHESTER MN 55905 1216 2nd St SW Rochester MN 55902410739106 MAYO CLINIC METHODIST HOSPITAL Mayo Clinic-Methodist Hospital 201 WEST CENTER STREET ROCHESTER MN 55902 201 W Center St Rochester MN 55902363261413 MERCY HOSPITAL Allina Health System 4050 COON RAPIDS BLVD COON RAPIDS MN 55433 11850 Blackfoot St NW Suite 200 Coon Rapids MN 55433410729979 NORTH MEMORIAL HEALTH CARE North Memorial Health Care 3300 OAKDAVE AVENUE NORTH ROBBINSDALE MN 55422 3300 Oakdale Ave N Robbinsdale MN 55422410132080 PARK NICOLLET METHODIST HOSPITAL Park Nicollet Methodist Hospital 6500 EXCELSIOR BLVD 650 ST. LOUIS PARK MN 55426 3900 Park Nicollet Blvd St Louis Park MN 55416410956618 REGIONS HOSPITAL Regions Hospital 640 N JACKSON STREET ST PAUL MN 55101 640 Jackson St Saint Paul MN 55101411878730 SMDC MEDICAL CENTER Smdc Medical Center 502 EAST 2ND STREET DULUTH MN 55805 502 E 2nd St Duluth MN 55805410695596 ST. CLOUD HOSPITAL St Cloud Hospital 1406 6TH AVENUE NORTH ST. CLOUD MN 56303 1406 6th Ave North Saint Cloud MN 56303410714079 ST. LUKES HOSPITAL OF DULUTH St. Luke'S Hospital Association Of Duluth 915 EAST FIRST STREET DULUTH MN 55805 4702 Grand Ave Duluth MN 55807410695604 ST. MARYS MEDICAL CENTER St Marys Medical Center 407 EAST THIRD STREET DULUTH MN 55805 407 E 3rd St Duluth MN 55805363261413 UNITED HOSPITAL Allina Health System 333 SMITH AVENUE NORTH SAINT PAUL MN 55102 1625 Radio Dr Suite 250 Woodbury MN 55125363261413 UNITY HOSPITAL Allina Health System 550 OSBORNE ROAD FRIDLEY MN 55432 550 Osborne Rd NE Fridley MN 55432410991680 UNIVERSITY OF MINNESOTA MEDICAL CTR Fairview Health Services 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55426 2450 Riverside Ave Minneapolis MN 55454431452426 BARNES JEWISH ST. PETERS HOSPITAL Barnes Jewish St. Peters Hospital Inc 10 HOSPITAL DRIVE ST. PETERS MO 63376 10 Hospital Dr Saint Peters MO 63376431527130 BARNES JEWISH WEST COUNTY HOSPITAL Barnes Jewish West County Hospital 12630 OLIVE STREET CREVE COEUR MO 63141 12634 Olive Blvd Creve Coeur MO 63141237309937 BARNES-JEWISH HOSPITAL Barnes Jewish Hospital ONE BARNES-JEWISH HOSPITAL PLAZA ST. LOUIS MO 63110 1 Barnes-Jewish Hospital Plz Saint Louis MO 63110465434653 CALLAWAY COMMUNITY HOSPITAL Fulton Medical Center Llc 10 SOUTH HOSPITAL DRIVE FULTON MO 65251 10 S Hospital Dr Fulton MO 65251440546366 CAPITAL REGION MEDICAL CENTER Capital Region Medical Center 1125 SOUTH MADISON STREET 1128 JEFFERSON CITY MO 65102 1125 Madison St Jefferson City MO 65101446000987 CENTER FOR BEHAVIORAL MEDICINE State Of Missouri 1000 EAST 24TH STREET KANSAS CITY MO 64108 1000 E 24th St Kansas City MO 64108440605373 CHILDRENS MERCY HOSPITAL The Children'S Mercy Hospital 2401 GILLHAM ROAD KANSAS CITY MO 64108 2401 Gillham Rd Kansas City MO 64108436057893 CHRISTIAN HOSPITAL NORTHEAST Christian Hospital Northeast Northwest 11133 DUNN ROAD ST. LOUIS MO 63136 11133 Dunn Rd Saint Louis MO 63136440577118 COXHEALTH Lester E Cox Medical Centers 1423 N JEFFERSON SPRINGFIELD MO 65802 3801 S National Ave Springfield MO 65807752695810 DES PERES MEDICAL CENTER Tenet Healthsystem Di, Inc. 2345 DOUGHERTY FERRY ST. LOUIS MO 63122 2345 Dougherty Ferry Rd Saint Louis MO 63122431704371 FREEMAN OAK HILL HEALTH SYSTEM Freeman-Oakhill Health System 1102 WEST 32ND STREET JOPLIN MO 64804 1102 W 32nd St Joplin MO 64804430653493 MERCY HOSPITAL - ST. LOUIS Mercy Hospitals East Communities 615 S. NEW BALLAS ROAD ST. LOUIS MO 63141 615 S New Ballas Rd Saint Louis MO 63141473251218 MINERAL AREA REGIONAL MEDICAL CENTER Parkland Health Center Weber Road 1212 WEBER ROAD FARMINGTON MO 63640 1212 Weber Rd Farmington MO 63640430652656 MISSOURI BAPTIST MEDICAL CENTER Missouri Baptist Medical Center 3015 N. BALLAS ROAD ST. LOUIS MO 63131 3015 N Ballas Rd Saint Louis MO 63131364395800 NORTHEAST REGIONAL MEDICAL CENTER Kirksville Missouri Hospital Company Llc 315 SOUTH OSTEOPATHY C8502 KIRKSVILLE MO 63501 315 S Osteopathy Kirksville MO 63501542092552 RESEARCH MEDICAL CENTER Midwest Division - Rmc, Llc 2313 EAST MEYER BLVD KANSAS CITY MO 64132 2316 E Meyer Blvd Kansas City MO 64132721349747 RUSK REHABILITATION CENTER A JOINT Rusk Rehabilitation Center Llc 315 BUSINESS LOOP 70 WEST COLUMBIA MO 65203 315 Business Loop 70 W Columbia MO 65203752732072 SAINT LOUIS UNIVERSITY HOSPITAL Slh Vista Inc 3635 VISTA AT GRAND BLVD ST. LOUIS MO 63110 3635 Vista Ave Saint Louis MO 63110431704972 SSM DEPAUL HEALTH CENTER Ssm Health Care St Louis 12303 DEPAUL DRIVE BRIDGETON MO 63044 12303 De Paul Dr Bridgeton MO 63044201872766 ST. ALEXIUS HOSPITAL St Alexius Hospital Corporation 1 3933 SOUTH BROADWAY ST. LOUIS MO 63118 3933 S Broadway Saint Louis MO 63118430654870 ST. LOUIS CHILDRENS HOSPITAL St. Louis Childrens Hospital ONE CHILDRENS PLACE ST. LOUIS MO 63110 1 Childrens Pl LS 2 Saint Louis MO 63110430652680 ST. LUKES HOSPITAL St Lukes Episcopal Presbyterian Hospital 232 S. WOODS MILL RD. CHESTERFIELD MO 63017 232 S Woods Mill Rd Chesterfield MO 63017440545297 ST. LUKES HOSPITAL OF KANSAS CITY St Lukes Hospital Of Kansas City 4401 WORNALL ROAD KANSAS CITY MO 64111 4401 Wornall Rd Kansas City MO 64111430652681 ST. MARYS HEALTH CENTER Ssm St Marys Health Center 6420 CLAYTON ROAD ST. LOUIS MO 63117 1465 S Grand Blvd Saint Louis MO 63104431284526 ST. MARYS MEDICAL CENTER St. Mary'S Medical Center 201 WEST RD MIZE ROAD BLUE SPRINGS MO 64014 201 NW R D Mize Rd Blue Springs MO 64014

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

440661018 TRUMAN MED CTR HOSPITAL HILL Truman Medical Center Incorporated 2301 HOLMES STREET KANSAS CITY MO 64108 2301 Holmes St Kansas City MO 64108440661018 TRUMAN MEDICAL CTR LAKEWOOD Truman Medical Center Incorporated 7900 LEES SUMMIT ROAD KANSAS CITY MO 64139 7900 Lees Summit Rd Kansas City MO 64139436003859 UNIV OF MISSOURI HEALTH CARE Curators Of The University Of Missouri ONE HOSPITAL DRIVE COLUMBIA MO 65212 One Hospital Drive Columbia MO 65212640682111 BAPTIST MEM HOSPITAL DESOTO Baptist Memorial Hospital-Desoto, Inc. 7601 SOUTHCREST SOUTHAVEN MS 38671 7601 Southcrest Pkwy Southaven MS 38671646001587 FORREST GENERAL HOSPITAL Forrest County General Hospital 6051 U. S HIGHWAY 49 16389 HATTIESBURG MS 39404 6051 U S Highway 49 Hattiesburg MS 39401640428003 MAGNOLIA HOSPITAL Magnolia Regional Health Center 611 ALCORN DRIVE CORINTH MS 38834 611 Alcorn Dr Corinth MS 38834640881013 MS BAPTIST MEDICAL CENTER Mississippi Baptist Medical Center, Inc 1225 NORTH STATE ST. JACKSON MS 39202 1225 N State St Jackson MS 39202640662976 NORTH MISSISSIPPI MEDICAL CENTER North Mississippi Medical Center Inc 830 SOUTH GLOSTER STREET TUPELO MS 38801 830 S Gloster St Tupelo MS 38801646008520 UNIVERSITY OF MISSISSIPPI MEDICAL State Of Mississippi University Of Mississippi Medical Center 2500 NORTH STATE STREET JACKSON MS 39216 2500 N STATE ST JACKSON MS 39216646001528 WAYNE GENERAL HOSPITAL Wayne General Hospital 950 MATHEW DRIVE 590 WAYNESBORO MS 39367 950 Matthew Dr Waynesboro MS 39367810231784 BILLINGS CLINIC Billings Clinic 2800 TENTH AVENUE NORTH 37000 BILLINGS MT 59107 2800 10th Ave N Billings MT 59101611744940 COMMUNITY MEDICAL CENTER Rchp Billings - Missoula Llc 2827 FORT MISSOULA ROAD MISSOULA MT 59801 2827 Fort Missoula Rd Missoula MT 59804810231793 ST PATRICK HOSPITAL Providence Health & Services Mt 500 W. BROADWAY ST 4587 MISSOULA MT 59802 500 W Broadway St Missoula MT 59802810232124 ST VINCENT HEALTHCARE St Vincent Healthcare 1233 N. 30TH STREET BILLINGS MT 59101 1233 N 30th St Billings MT 59101560529976 BLUE RIDGE HEALTHCARE HOSPITALS Blue Ridge Healthcare Hospitals Inc 2201 SOUTH STERLING STREET MORGANTON NC 28655 720 Malcolm Blvd Rutherford College NC 28671560845796 CAPE FEAR VALLEY MEDICAL CENTER Cumberland County Hospital System Inc 1638 OWEN DRIVE 2000 FAYETTEVILLE NC 28302 1638 Owen Dr Fayetteville NC 28304561398929 CAROLINAS MEDICAL CENTER Carolinas Medical Center 1000 BLYTHE BLVD 32861 CHARLOTTE NC 28232 501 Billingsley Rd Charlotte NC 28211561398930 CAROLINAS REHABILITATION Carolinas Rehabilitation 1100 BLYTHE BLVD CHARLOTTE NC 28203 1100 Blythe Blvd Charlotte NC 28203560529945 CMC-NORTHEAST INC The Charlotte-Mecklenburg Hospital Authority 920 CHURCH STREET NORTH CONCORD NC 28025 920 Church St N Concord NC 28025562070036 DUKE UNIVERSITY HOSPITAL Duke University Health System, Inc. 610 DOUGLAS STREET 3088 DURHAM NC 27710 2301 Erwin Road Durham NC 27710562070036 DURHAM REGIONAL HOSPITAL Duke University Health System, Inc. 3643 NORTH ROXBORO ROAD DURHAM NC 27704 3643 N Roxboro Road Durham NC 27704560928089 FORSYTH MEMORIAL HOSPITAL INC Forsyth Memorial Hospital Inc 3333 SILAS CREEK PARKWAY WINSTON SALEM NC 27103 3333 Silas Creek Pkwy Winston Salem NC 27103562084959 MARGARET R. PARDEE MEMORIAL HOSPITAL Henderson County Hospital Corporation 800 NORTH JUSTICE STREET HENDERSONVILL NC 28791 800 N Justice St Hendersonville NC 28791560554229 MERCY HOSPITALS INC. Mercy Hospital, Inc 10628 PARK ROAD CHARLOTTE NC 28210 2001 Vail Ave Charlotte NC 28207560532141 MISSION HOSPITAL INC. Mission Hospitals Inc 509 BILTMORE AVENUE ASHEVILLE NC 28801 509 Biltmore Ave Asheville NC 28801560887181 NEW HANOVER REGIONAL MEDICAL CENTER New Hanover Regional Medical Center 2131 S. 17TH ST 9000 WILMINGTON NC 28402 2131 S 17th St Wilmington NC 28401560552787 NORTH CAROLINA BAPTIST HOSPITAL North Carolina Baptist Hospital MEDICAL CENTER BLVD WINSTON-SALEM NC 27157 Medical Center Blvd Winston Salem NC 27157560585243 PITT COUNTY MEMORIAL HOSPITAL Pitt County Memorial Hospital Inc 2100 STANTONSBURG ROAD GREENVILLE NC 27858 2100 Stantonsburg Rd Greenville NC 27834581588823 THE MOSES H. CONE MEMORIAL HOSPITAL The Moses H Cone Memorial Hospital Operating Corporation 1200 NORTH ELM ST GREENSBORO NC 27401 1200 N Elm St Greensboro NC 27401560529945 UNION REGIONAL MEDICAL CENTER Charlotte Mecklenburg Hospital Authority 600 HOSPITAL DRIVE MONROE NC 28111 600 Hospital Dr Monroe NC 28112561118388 UNIVERSITY OF NORTH CAROLINA HOSP. University Of North Carolina Hospitals At Chapel Hill 101 MANNING DRIVE CHAPEL HILL NC 27514 101 Manning Dr Chapel Hill NC 27514566017737 WAKEMED RALEIGH CAMPUS Wakemed 300 NEW BERN AVENUE 14465 RALEIGH NC 27620 3000 New Bern Ave Raleigh NC 27610450310462 ALTRU HEALTH SYSTEM-ALTRU HOSPITAL Altru Health System 1200 SOUTH COLUMBIA RD 6002 GRAND FORKS ND 58201 1200 S Columbia Rd Grand Forks ND 58201450226700 SANFORD HEALTH BISMARCK Sanford Bismarck 300 N 7TH ST 5505 BISMARCK ND 58501 300 N 7th St Bismarck ND 58506450226909 SANFORD MEDICAL CENTER - FARGO Sanford Medical Center Fargo 801 BROADWAY NORTH FARGO ND 58102 2990 Seter Parkway Fargo ND 58104450226711 ST ALEXIUS MEDICAL CENTER St Alexius Medical Center 900 EAST BROADWAY AVENUE 5510 BISMARCK ND 58506 900 E Broadway Ave Bismarck ND 58501412002771 TRINITY HOSPITALS/ST JOES Trinity Hospitals ONE BURDICK EXPRESSWAY WES5020 MINOT ND 58702 1 Burdick Expy W Minot ND 58701470484764 BERGAN MERCY MEDICAL CENTER Alegent Health Bergan Mercy Health System 7500 MERCY ROAD OMAHA NE 68124 415 S 25th St Omaha NE 68131470376552 BRYAN MEDICAL CENTER Bryan Medical Center 1600 SOUTH 48 TH STREET LINCOLN NE 68506 1600 S 48th St Lincoln NE 68506470379755 CHI HEALTH GOOD SAMARITAN Good Samaritan Hospital GOOD SAMARITAN HOSPITAL 1990 KEARNEY NE 68847 10 E 31st St BOX 1990 Kearney NE 68847470376615 CHI HEALTH IMMANUEL Alegent Health Immanuel Medical Center 6901 NORTH 72ND STREET OMAHA NE 68122 6901 N 72nd St Omaha NE 68122470379836 CHI HEALTH ST. ELIZABETH Saint Elizabeth Regional Medical Center 555 SOUTH 70TH STREET LINCOLN NE 68510 555 S 70th St Lincoln NE 68510470376601 CHI HEALTH ST. FRANCIS Saint Francis Medical Center 2620 W FAIDLEY AVENUE 9804 GRAND ISLAND NE 68802 2620 W Faidley Ave Grand Island NE 68803455517527 CHI HEALTH-CREIGHTON UNIV MED CENTER Casa Acquisition Llc 601 NORTH 30TH STREET OMAHA NE 68131 601 N 30th St Omaha NE 68131470379754 CHILDRENS HOSPITAL & MEDICAL CENTER Children'S Hospital & Medical Center 8200 DODGE STREET OMAHA NE 68114 8200 Dodge St Omaha NE 68114470376604 NEBRASKA METHODIST HOSPITAL Nebraska Methodist Hospital 8303 DODGE STREET OMAHA NE 68114 8303 Dodge Street Omaha NE 68114911858433 THE NEBRASKA MEDICAL CENTER Nebraska Medical Center DEWEY AVENUE AT 42ND OMAHA NE 68198 987400 Nebraska Medical Ctr Omaha NE 68198222594672 CONCORD HOSPITAL INC. Concord Hospital Inc 250 PLEASANT STREET CONCORD NH 03301 250 Pleasant St Concord NH 03301020222140 MARY HITCHCOCK MEMORIAL HOSP Mary Hitchcock Memorial Hospital ONE MEDICAL CENTER DRIVE LEBANON NH 03756 One Medical Center Dr Lebanon NH 03756020483054 SOUTHERN NH MEDICAL CENTER Southern New Hampshire Medical Center 8 PROSPECT STREET 2014 NASHUA NH 03060 8 Prospect St Nashua NH 03060210634549 ATLANTICARE REGIONAL MEDICAL CENTER Atlanticare Regional Medical Center 65 W. JIMMIE LEEDS ROAD POMONA NJ 08240 65 W Jimmie Leeds Rd Pomona NJ 08240223240487 BERGEN REGIONAL MEDICAL CENTER Bergen County Improvement Authority 230 EAST RIDGEWOOD AVENUE PARAMUS NJ 07652 230 East Ridgewood Avenue Paramus NJ 07652223548695 CAPITAL HEALTH MED CENTER - HOPEWELL Capital Health System, Inc. ONE CAPITAL WAY HOPEWELL NJ 08534 1 Capital Way Pennington NJ 08534221750190 CENTRA STATE MEDICAL CENTER Centrastate Medical Center Inc. 901 WEST MAIN STREET FREEHOLD NJ 07728 901 W Main St Administration Freehold NJ 07728383870608 CHRIST HOSPITAL Hudson Hospital Opco Llc 176 PALISADE AVENUE JERSEY CITY NJ 07306 176 Palisade Ave Jersey City NJ 07306210634462 COOPER UNIVERSITY HOSPITAL The Cooper Health System ONE COOPER PLAZA CAMDEN NJ 08103 1 Cooper Plz Camden NJ 08103231550955 DEBORAH HEART AND LUNG CENTER Deborah Heart And Lung Center 200 TRENTON ROAD BROWNS MILLS NJ 08015 200 Trenton Rd Browns Mills NJ 08015221487173 ENGLEWOOD HOSPITAL & MED CTR Englewood Hospital And Medical Center 350 ENGLE STREET ENGLEWOOD NJ 07631 350 Engle St Englewood NJ 07631221487576 HACKENSACK UNIVERSITY MEDICAL CENTER Hackensack University Medical Center 30 PROSPECT AVENUE HACKENSACK NJ 07601 30 Prospect Ave Hackensack NJ 07601223548695 HELENE FULD MEDICAL CENTER Capital Health System, Inc. 750 BRUNSWICK AVENUE TRENTON NJ 08638 750 Brunswick Ave Trenton NJ 08638452147328 HOBOKEN UNIVERSITY MEDICAL CENTER Humc Opco Llc 308 WILLOW AVE HOBOKEN NJ 07030 308 Willow Ave Hoboken NJ 07030221537688 HUNTERDON MEDICAL CENTER Hunterdon Medical Center 2100 WESCOTT DR. FLEMINGTON NJ 08822 2100 Wescott Dr Flemington NJ 08822222783298 JERSEY CITY MEDICAL CENTER Jersey City Medical Center 355 GRAND STREET JERSEY CITY NJ 07302 355 Grand St Executive Office Jersey City NJ 07302223471515 JERSEY SHORE UNIVERSITY MED CTR Meridian Hospitals Corporation 1945 ROUTE 33 NEPTUNE NJ 07753 1945 Route 33 Neptune NJ 07753226019101 JFK MEDICAL CENTER Community Hospital Group, Inc. 65 JAMES STREET EDISON NJ 08818 65 James St Edison NJ 08820221773439 KENNEDY UNIVERSITY HOSPITAL Kennedy University Hospital Inc 500 MARLBORO AVENUE 5084 CHERRY HILL NJ 08034 18 E Laurel Rd Stratford NJ 08084223486125 KESSLER INSTITUTE FOR REHABILIATATIO Kessler Institute For Rehabilitation Inc 1199 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 1199 Pleasant Valley Way West Orange NJ 07052223612265 LOURDES MEDICAL CENTER-BURLINGTON Lourdes Medical Center Of Burlington County 218 A SUNSET ROAD WILLINGBORO NJ 08046 218A Sunset Rd Willingboro NJ 08046271798676 MEADOWLANDS HOSPITAL MEDICAL CENTER Mha Llc 55 MEADOWLANDS PARKWAY SECAUCUS NJ 07094 55 Meadowlands Pkwy Secaucus NJ 07094

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

210634562 MEMORIAL HOSP OF BURLINGTON CTY Virtua - Memorial Hospital Of Burlington County, Inc 175 MADISON AVENUE MT. HOLLY NJ 08060 175 Madison Ave Mount Holly NJ 08060131624082 MEMORIAL HOSPITAL FOR CANCER AND ALL Memorial Hospital For Cancer & Allied Diseases 1275 YORK AVENUE NEW YORK NY 10065 136 Mountain View Blvd Basking Ridge NJ 07920223452412 MONMOUTH MEDICAL CENTER Monmouth Medical Center, Inc 300 SECOND AVENUE LONG BRANCH NJ 07740 300 2nd Ave Long Branch NJ 07740521958352 MORRISTOWN MEMORIAL HOSPITAL Ahs Hospital Corp 100 MADISON AVE MORRISTOWN NJ 07960 100 Madison Ave Morristown NJ 07960208489105 MOUNTAINSIDE HOSPITAL Montclair Hospital Llc 1 BAY AVENUE MONTCLAIR NJ 07042 1 Bay Avenue Montclair NJ 07042223452311 NEWARK BETH ISRAEL MEDICAL CENTER New Nbimc, Inc. 201 LYONS AVENUE NEWARK NJ 07112 201 Lyons Ave Newark NJ 07112210635001 OUR LADY OF LOURDES MED. CTR. Our Lady Of Lourdes Medical Center 1600 HADDON AVENUE CAMDEN NJ 08103 1600 Haddon Ave Camden NJ 08103521958352 OVERLOOK HOSPITAL Ahs Hospital Corp 99 BEAUVIOR SUMMIT NJ 07902 99 Beauvoir Ave Summit NJ 07901221487278 PALISADES MEDICAL CENTER Palisades Medical Center 7600 RIVER ROAD NORTH BERGEN NJ 07047 7600 River Rd North Bergen NJ 07047210635009 PRINCETON HEALTHCARE SYSTEM Princeton Healthcare System, A New Jersey Non-Profit Corporation ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 1 Plainsboro Rd Plainsboro NJ 08536221494442 RARITAN BAY MEDICAL CENTER Raritan Bay Medical Center 530 NEW BRUNSWICK AVE PERTH AMBOY NJ 08861 530 New Brunswick Ave Perth Amboy NJ 08861221487243 ROBERT WOOD JOHNSON UNIVERSITY HOSP Robert Wood Johnson University Hospital, Inc ONE ROBERT WOOD JOHNSON PL2601 NEW BRUNSWICK NJ 08903 1 Robert Wood Johnson Pl New Brunswick NJ 08901221494440 SAINT BARNABAS MEDICAL CENTER Saint Barnabas Medical Center 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 94 Old Short Hills Rd Livingston NJ 07039221487243 SOMERSET MEDICAL CENTER Robert Wood Johnson University Hospital, Inc 110 REHILL AVE. SOMERVILLE NJ 08876 110 Rehill Ave Somerville NJ 08876210634484 SOUTH JERSEY HOSPITAL RMC South Jersey Hospital, Inc. 1505 WEST SHERMAN AVE VINELAND NJ 08360 1505 W Sherman Ave Vineland NJ 08360221494454 ST LUKES WARREN HOSPITAL St Lukes Warren Hospital Inc 185 ROSEBERRY STREET PHILLIPSBURG NJ 08865 185 Roseberry St Phillipsburg NJ 08865223431049 ST. FRANCIS MEDICAL CENTER St. Francis Medical Center 601 HAMILTON AVE TRENTON NJ 08629 601 Hamilton Ave Trenton NJ 08629221487602 ST. JOSEPHS HOSPITAL & MEDICAL CTR St Josephs Hospital And Medical Center 703 MAIN STREET PATERSON NJ 07503 703 Main St Paterson NJ 07503463499370 ST. MARYS HOSPITAL - PASSAIC Prime Healthcare Services- St Mary'S Passaic Llc 350 BOULEVARD AVENUE PASSAIC NJ 07055 350 Boulevard Passaic NJ 07055262616046 ST. MICHAELS MEDICAL CENTER Saint Michael'S Medical Center 111 CENTRAL AVENUE NEWARK NJ 07102 111 Central Avenue Newark NJ 07102221487330 ST. PETERS UNIVERSITY HOSPITAL Saint Peters University Hospital 254 EASTON AVENUE NEW BRUNSWICK NJ 08903 254 Easton Ave New Brunswick NJ 08901223601678 TRINITAS HOSPITAL Trinitas Regional Medical Center 225 WILLIAMSON STREET ELIZABETH NJ 07201 655 E Jersey St Elizabeth NJ 07206221775306 UH - UNIVERSITY HOSPITAL University Hospital 150 BERGEN STREET NEWARK NJ 07103 150 Bergen St Newark NJ 07103221820210 UNDERWOOD-MEMORIAL HOSPITAL Underwood-Memorial Hospital 509 NORTH BROAD STREET WOODBURY NJ 08096 509 N Broad St Woodbury NJ 08096221980408 UNIVERSITY BEHAVIORAL HEALTHCARE Rutgers University Behavioral Health Care 671 HOES LANE 1392 PISCATAWAY NJ 08855 671 Hoes Ln Piscataway NJ 08854210634532 WEST JERSEY HEALTH SYSTEM Virtua West Jersey Health System Inc 100 BOWMAN DRIVE VOORHEES NJ 08043 100 Bowman Dr Voorhees NJ 08043742870118 EASTERN NEW MEXICO MEDICAL CENTER Roswell Hospital Corporation 405 W COUNTRY CLUB ROSWELL NM 88201 405 W Country Club Rd Roswell NM 88201850327237 LOVELACE MEDICAL CENTER- DOWNTOWN Lovelace Health System Inc 601 MARTIN LUTHER KING JR. NE ALBUQUERQUE NM 87102 601 Dr Martin Luther King Jr Ave NE Albuquerque NM 87102850327237 LOVELACE WOMENS HOSPITAL Lovelace Health System Inc 4701 MONTGOMERY NE ALBUQUERQUE NM 87109 4701 Montgomery Blvd NE Albuquerque NM 87109270085482 MEMORIAL MEDICAL CENTER Phc-Las Cruces Inc 2450 S. TELSHORE BLVD LAS CRUCES NM 88011 2450 S Telshor Blvd Las Cruces NM 88011850105601 PRESBYTERIAN HOSPITAL Presbyterian Healthcare Services 1100 CENTRAL AVE SE 26666 ALBUQUERQUE NM 87125 1100 Central SE Albuquerque NM 87106850106941 ST. VINCENT HOSPITAL St. Vincent Hospital 455 ST. MICHAELS DRIVE SANTA FE NM 87505 455 Saint Michaels Dr Santa Fe NM 87505856003005 UNIVERSITY OF NEW MEXICO HOSPITAL University Of New Mexico Hospital 2211 LOMAS BLVD. N.E. ALBUQUERQUE NM 87106 2211 Lomas Blvd., N.E. Albuquerque NM 87106271368727 UNM SANDOVAL REGIONAL MEDICAL CENTER Unm Sandoval Regional Medical Center, Inc 3001 BROADMOOR BLVD NE RIO RANCHO NM 87144 3001 Broadmoor Blvd NE Rio Rancho NM 87144232947273 DESERT SPRINGS HOSPITAL MEDICAL CNTR Desert Springs Hospital 2075 EAST FLAMINGO ROAD LAS VEGAS NV 89119 2075 E Flamingo Rd Las Vegas NV 89119880213754 RENOWN REGIONAL MEDICAL CENTER Renown Regional Medical Center 1155 MILL STREET RENO NV 89502 1155 Mill Street Reno NV 89502721549752 SPRING VALLEY HOSPITAL MEDICAL CNTR Spring Valley Medical Center 5400 SOUTH RAINBOW BLVD LAS VEGAS NV 89119 5400 S Rainbow Blvd Las Vegas NV 89118941196203 ST. ROSE DOMINICAN - SIENA Dignity Health 3001 ST ROSE PARKWAY HENDERSON NV 89052 3001 Saint Rose Pkwy Henderson NV 89052232939047 SUMMERLIN HOSPITAL MEDICAL CENTER Summerlin Hospital Medical Center L L C 657 TOWN CENTER DRIVE LAS VEGAS NV 89114 657 Town Center Dr Las Vegas NV 89144621762537 SUNRISE HOSPITAL AND MEDICAL CENTER Sunrise Hospital And Medical Center, Llc 3186 MARYLAND PARKWAY LAS VEGAS NV 89109 3186 S Maryland Pkwy Las Vegas NV 89109886000436 UNIVERSITY MEDICAL CENTER University Medical Center Of Southern Nevada 1800 WEST CHARLESTON BLVD. LAS VEGAS NV 89102 1800 W. Charleston Blvd. Las Vegas NV 89102232973511 VALLEY HOSPITAL MEDICAL CENTER Valley Hospital Medical Center 620 SHADOW LANE LAS VEGAS NV 89106 620 Shadow Ln Las Vegas NV 89106141338307 ALBANY MEDICAL CENTER HOSPITAL Albany Medical Center Hospital 43 NEW SCOTLAND AVENUE ALBANY NY 12208 43 New Scotland Ave Albany NY 12208160743905 ARNOT-OGDEN MEDICAL CENTER Arnot Ogden Medical Center 600 ROE AVENUE ELMIRA NY 14905 600 Roe Ave Elmira NY 14905132655001 BELLEVUE HOSPITAL CENTER New York City Health And Hospitals Corporation 462 FIRST AVENUE NEW YORK NY 10016 462 1st Ave C & D Building Rm 342New York NY 10016141338470 BENEDICTINE HOSPITAL Healthalliance Marys Avenue Campus 105 MARYS AVENUE KINGSTON NY 12401 105 Marys Ave Kingston NY 12401141663311 BRONX P.C. Nys Office Of Mental Health 1500 WATERS PLACE BRONX NY 10461 1500 Waters Pl Bronx NY 10461131974191 BRONX-LEBANON HOSPITAL CENTER Bronx-Lebanon Hospital Center 1276 FULTON AVENUE BRONX NY 10456 1650 Grand Concourse Bronx NY 10457111631746 BROOKDALE HOSPITAL MEDICAL CENTER Brookdale Hospital Medical Center ONE BROOKDALE PLAZA BROOKLYN NY 11212 1 Brookdale Plz Brooklyn NY 11212111704595 BROOKHAVEN MEMORIAL HOSPITAL MEDICAL Brookhaven Memorial Hospital Medical Center 101 HOSPITAL ROAD E. PATCHOGUE NY 11772 101 Hospital Rd Patchogue NY 11772141663311 BUFFALO P.C. Nys Office Of Mental Health 400 FOREST AVE. BUFFALO NY 14213 400 Forest Ave Buffalo NY 14213141663311 CAPITAL DISTRICT P.C. Nys Office Of Mental Health 75 NEW SCOTLAND AVE. ALBANY NY 12208 75 New Scotland Ave Albany NY 12208132655001 CONEY ISLAND HOSPITAL New York City Health And Hospitals Corporation 2601 OCEAN PARKWAY BROOKLYN NY 11235 2601 Ocean Pkwy Room1101 Brooklyn NY 11235141663311 CREEDMOOR P.C. Nys Office Of Mental Health 80-45 WINCHESTER BLVD. QUEENS VILLAGE NY 11427 7925 Winchester Blvd Queens Village NY 11427160960470 CROUSE HOSPITAL Crouse Health Hospital 736 IRVING AVE SYRACUSE NY 13210 736 Irving Ave Syracuse NY 13210141338428 ELLIS HOSPITAL Ellis Hospital 1101 NOTT STREET SCHENECTADY NY 12309 1101 Nott St Schenectady NY 12308132655001 ELMHURST HOSPITAL CENTER New York City Health And Hospitals Corporation 79-01 BROADWAY ELMHURST NY 11373 7901 Broadway Suite D8 Elmhurst NY 11373111665825 EPISCOPAL HEALTH SERVICES Episcopal Health Services Inc 327 BEACH 19TH ST FAR ROCKAWAY NY 11691 327 Beach 19th St Far Rockaway NY 11691830382654 ERIE COUNTY MEDICAL CENTER Erie County Medical Center Corporation 462 GRIDER ST. BUFFALO NY 14215 462 Grider St Buffalo NY 14215161576637 FAXTON-ST. LUKES HEALTHCARE Faxton-St. Luke'S Healthcare 1656 CHAMPLIN AVE UTICA NY 13503 1656 Champlin Ave Utica NY 13502111631781 FLUSHING HOSPITAL MEDICAL CENTER Flushing Hospital & Medical Center 45TH AVE AT PARSONS BLVD FLUSHING NY 11355 4500 Parsons Blvd Flushing NY 11355112163522 FOREST HILLS HOSPITAL Forest Hills Hospital 102 - 66TH ROAD FOREST HILLS NY 11375 102-66th Road Forest Hills NY 11375112296824 FRANKLIN HOSPITAL Franklin Hospital 900 FRANKLIN AVE. VALLEY STREAM NY 11580 900 Franklin Ave Valley Stream NY 11580111633487 GLEN COVE HOSPITAL Glen Cove Hospital 101 ST. ANDREWS LANE GLEN COVE NY 11542 St Andrews Lane Glen Cove NY 11542111888924 GOOD SAMARITAN HOSPITAL Good Samaritan Hospital Medical Center 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 1000 Montauk Hwy West Islip NY 11795141663311 GREATER BINGHAMTON H.C. Nys Office Of Mental Health 425 ROBINSON ST. BINGHAMTON NY 13901 425 Robinson St Binghamton NY 13901132655001 HARLEM HOSPITAL CENTER New York City Health And Hospitals Corporation 506 LENOX AVENUE NEW YORK NY 10037 506 Malcolm X Blvd ONR Room 101 New York NY 10037132655001 HENRY J. CARTER SPECIALTY HOSPITAL New York City Health And Hospitals Corporation 900 MAIN STREET ROOSEVELT ISLA NY 10044 900 Main St New York NY 10044160743037 HIGHLAND HOSPITAL Highland Hospital Of Rochester 1000 SOUTH AVENUE ROCHESTER NY 14620 1000 South Ave Rochester NY 14620

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

131624135 HOSPITAL FOR SPECIAL SURGERY New York Society For The Relief Of The Ruptured And Crippled Mainta535 EAST 70TH STREET NEW YORK NY 10021 535 E 70th St New York NY 10021141663311 HUDSON RIVER P.C. Nys Office Of Mental Health 10 ROSS CIRCLE POUGHKEEPSIE NY 12601 10 Ross Cir Poughkeepsie NY 12601111630914 HUNTINGTON HOSPITAL Huntington Hospital Association 270 PARK AVENUE HUNTINGTON NY 11743 270 Park Ave Huntington NY 11743141663311 HUTCHINGS P.C. Nys Office Of Mental Health 620 MADISON ST. SYRACUSE NY 13210 425 Robinson St Binghamton NY 13901112626155 INTERFAITH MEDICAL CENTER Interfaith Medical Center 1545 ATLANTIC AVENUE BROOKLYN NY 11213 1545 Atlantic Avenue Brooklyn NY 11213132655001 JACOBI MEDICAL CENTER New York City Health And Hospitals Corporation 1400 PELHAM PARKWAY SOUTH BRONX NY 10461 1400 Pelham Pkwy S Bldg 2 - Staff HS Rm.3Bronx NY 10461111631788 JAMAICA HOSPITAL MEDICAL CENTER Jamaica Hospital 8900 VAN WYCK EXPRESSWAY JAMAICA NY 11418 8900 Van Wyck Expwy Richmond Hill NY 11418111639818 JOHN T. MATHER MEMORIAL HOSPITAL John T Mather Memorial Hospital 75 N COUNTRY RD PT JEFFERSON NY 11777 75 N Country Rd Port Jefferson NY 11777161533232 KALEIDA HEALTH Kaleida Health 100 HIGH STREET BUFFALO NY 14203 1540 Maple Rd Williamsville NY 14221132655001 KINGS COUNTY HOSPITAL CENTER New York City Health And Hospitals Corporation 451 CLARKSON AVENUE BROOKLYN NY 11203 451 Clarkson Ave Room B112 Brooklyn NY 11203111631759 KINGSBROOK JEWISH MEDICAL CENTER Kingsbrook Jewish Medical Center 585 SCHENECTADY AVENUE BROOKLYN NY 11203 585 Schenectady Ave Brooklyn NY 11203141663311 KIRBY FORENSIC P.C. Nys Office Of Mental Health WARDS ISLAND NEW YORK NY 10035 Wards Island New York NY 10035131624070 LENOX HILL HOSPITAL Lenox Hill Hospital 100 EAST 77TH STREET NEW YORK NY 10075 100 E 77th St New York NY 10021132655001 LINCOLN MEDICAL&MENTAL HEALTH CENTER New York City Health And Hospitals Corporation 234 EAST 149TH STREET BRONX NY 10451 234 E 149th St Rm 2A1 Bronx NY 10451111018985 LONG ISLAND COLLEGE HOSPITAL Long Island College Hosp 339 HICKS ST BROOKLYN NY 11201 339 Hicks Street Brooklyn NY 11201112241326 LONG ISLAND JEWISH MEDICAL CENTER Long Island Jewish Medical Center 275-05 76TH STREET NEW HYDE PARK NY 11040 270-05 76 Ave New Hyde Park NY 11040111839567 LUTHERAN MEDICAL CENTER Nyu Lutheran Medical Center 150 55TH STREET BROOKLYN NY 11220 150 55th St Brooklyn NY 11220111635081 MAIMONIDES MEDICAL CENTER Maimonides Medical Center 48-02 TENTH AVENUE BROOKLYN NY 11219 4802 10th Ave Brooklyn NY 11219141663311 MANHATTAN P.C. Nys Office Of Mental Health WARDS ISLAND NEW YORK NY 10035 Wards Island New York NY 10035135596796 MARY IMOGENE BASSETT HOSPITAL Mary Imogene Bassett Hospital 1 ATWELL ROAD COOPERSTOWN NY 13326 1 Atwell Rd Cooperstown NY 13326160756336 MERCY HOSPITAL OF BUFFALO Mercy Hospital Of Buffalo 565 ABBOTT RD. BUFFALO NY 14220 565 Abbott Rd Buffalo NY 14220111635088 MERCY MEDICAL CENTER Mercy Medical Center 1000 NORTH VILLAGE AVE ROCKVILLE CENT NY 11570 1000 N Village Ave Rockville Centre NY 11570132655001 METROPOLITAN HOSPITAL CENTER New York City Health And Hospitals Corporation 1901 FIRST AVENUE NEW YORK NY 10029 1901 1st Ave Rm. 122 New York NY 10029141663311 MID-HUDSON P.C. Nys Office Of Mental Health BOX 158 RTE 17-M NEW HAMPTON NY 10958 Box 158 Route 17-M New Hampton NY 10958131740114 MONTEFIORE MEDICAL CENTER Montefiore Medical Center 111 EAST 210TH STREET BRONX NY 10467 111 E 210th St Bronx NY 10467462931956 MONTEFIORE NEW ROCHELLE HOSPITAL Montefiore New Rochelle Hospital 16 GUION AVE NEW ROCHELLE NY 10803 16 Guion Pl New Rochelle NY 10801135564934 MOUNT SINAI HEALTH SYSTEM-BETH ISRAE Beth Israel Medical Center 1ST AVENUE @ 16TH STREET NEW YORK NY 10003 First Avenue and 16th Street Milton and Carroll Petr New York NY 10003131624096 MOUNT SINAI HOSPITAL Mount Sinai Hospital ONE GUSTAVE L. LEVY PLACE NEW YORK NY 10029 1 Gustave L Levy Pl New York NY 10029132997301 MOUNT SINAI ST. LUKES ROOSEVELT HOS St Lukes Roosevelt Hospital Center 1111 AMSTERDAM AVEUNE NEW YORK NY 10025 1000 10th Ave Roosevelt Division New York NY 10019113465690 NASSAU UNIVERSITY MEDICAL CENTER Nassau Healthcare Corporation 2201 HEMPSTEAD TPKE EAST MEADOW NY 11554 2201 Hempstead Tpke East Meadow NY 11554133049852 NEW YORK DOWNTOWN HOSPITAL New York Downtown Hospital 170 WILLIAM STREET NEW YORK NY 10038 170 William St New York NY 10038135562304 NEW YORK EYE AND EAR INFIRMARY New York Eye And Ear Infirmary 310 EAST 14TH STREET NEW YORK NY 10003 310 East 14th Street New York City NY 10003111631796 NEW YORK METHODIST HOSPITAL New York Methodist Hospital 506 SIXTH STREET BROOKLYN NY 11215 506 6th St Brooklyn NY 11215141663311 NEW YORK P.I. Nys Office Of Mental Health 1051 RIVERSIDE DRIVE NEW YORK NY 10032 1051 Riverside Dr New York NY 10032133957095 NEW YORK PRESBYTERIAN HOSPITAL The New York And Presbyterian Hospital 525 EAST 68TH STREET NEW YORK NY 10065 525 E 68th St Rm M101 Box 280, ATTN Sally M New York NY 10021160743094 NIAGARA FALLS MEMORIAL MEDICAL CENTE Niagara Falls Memorial Medical Center 621 10TH STREET NIAGARA FALLS NY 14203 621 10th St Niagara Falls NY 14302132655001 NORTH CENTRAL BRONX HOSPITAL New York City Health And Hospitals Corporation 3424 KOSSUTH AVEUNE BRONX NY 10467 3424 Kossuth Ave Bronx NY 10467111562701 NORTH SHORE UNIVERSITY HOSPITAL North Shore University Hospital 300 COMMUNITY DRIVE MANHASSET NY 10030 300 Community Drive Manhasset NY 11030111986351 NY COMMUNITY HOSPITAL OF BROOKLYN New York Community Hospital Of Brooklyn Inc 2525 KINGS HIGHWAY BROOKLYN NY 11229 2525 Kings Hwy Brooklyn NY 11229111839362 NY HOSPITAL MEDICAL CTR OF QUEENS New York Hospital Medical Center Of Queens 56-45 MAIN STREET FLUSHING NY 11355 5645 Main St Flushing NY 11355133971298 NYU HOSPITALS CENTER Nyu Multispecialty Group 550 FIRST AVENUE NEW YORK NY 10016 301 E 17th St New York NY 10003160743102 OLEAN GENERAL HOSPITAL Olean General Hospital 515 MAIN STREET OLEAN NY 14760 515 Main St Olean NY 14760150532221 OUR LADY OF LOURDES MEMORIAL HOSP Our Lady Of Lourdes Memorial Hospital, Inc 169 RIVERSIDE DRIVE BINGHAMTON NY 13905 4102 Old Vestal Rd Vestal NY 13850111661359 PECONIC BAY MEDICAL CENTER Central Suffolk Hospital 1300 ROANOKE AVENUE RIVERHEAD NY 11901 1300 Roanoke Ave Riverhead NY 11901116037195 PENINSULA HOSPITAL CENTER Peninsula Hospital Center 51-15 BEACH CHANNEL DRIVE FAR ROCKAWAY NY 11691 5115 Beach Channel Dr Far Rockaway NY 11691131725076 PHELPS MEMORIAL HOSPITAL CENTER Phelps Memorial Hospital Association 701 NORTH BROADWAY SLEEPY HOLLOW NY 10591 701 N BROADWAY SLEEPY HOLLOW NY 10591141663311 PILGRIM P.C. Nys Office Of Mental Health 998 CROOKED HILL ROAD WEST BRENTWO NY 11717 998 Crooked Hill Rd West Brentwood NY 11717113241243 PLAINVIEW HOSPITAL North Shore University Hospital At Plainview 888 OLD COUNTRY ROAD PLAINVIEW NY 11803 888 Old Country Rd Plainview NY 11803132655001 QUEENS HOSPITAL CENTER New York City Health And Hospitals Corporation 82-68 164TH STREET JAMAICA NY 11432 8268 164th St Jamaica NY 11432743177454 RICHMOND UNIVERSITY MEDICAL CENTER Richmond University Medical Center 355 BARD AVENUE STATEN ISLAND NY 10310 355 Bard Ave Staten Island NY 10310160743134 ROCHESTER GENERAL HOSPITAL Rochester General Hospital 1425 PORTLAND AVENUE ROCHESTER NY 14621 1425 Portland Ave Rochester NY 14621141663311 ROCHESTER P.C. Nys Office Of Mental Health 1111 ELMWOOD AVE. ROCHESTER NY 14620 1111 Elmwood Ave Rochester NY 14620141663311 ROCKLAND P.C. Nys Office Of Mental Health 140 OLD ORANGEBURG ROAD ORANGEBURG NY 10962 140 Old Orangeburg Rd Orangeburg NY 10962161552370 ROSWELL PARK CANCER INSTITUTE Roswell Park Cancer Institute ELM AND CARLTON STREETS BUFFALO NY 14086 Elm and Carlton St Buffalo NY 14263150533577 SAMARITAN MEDICAL CENTER Samaritan Medical Center 830 WASHINGTON STREET WATERTOWN NY 13601 830 Washington St Watertown NY 13601160743187 SISTERS OF CHARITY HOSPITAL Sisters Of Charity Hospital Of Buffalo New York 2157 MAIN STREET BUFFALO NY 14214 2605 Harlem Rd Cheektowaga NY 14225141663311 SOUTH BEACH P.C. Nys Office Of Mental Health 777 SEAVIEW AVE. STATEN ISLAND NY 10305 777 Seaview Ave Staten Island NY 10305111352310 SOUTH NASSAU COMMUNITIES HOSPITAL South Nassau Communities Hospital ONE HEALTHY WAY OCEANSIDE NY 11572 1 Healthy Way Oceanside NY 11572111667765 SOUTHAMPTON HOSPITAL Southampton Hospital Association 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 240 Meeting House Ln Southampton NY 11968111667761 SOUTHSIDE HOSPITAL Southside Hospital 301 EAST MAIN STREET BAY SHORE NY 11706 301 E Main St Bay Shore NY 11706111871039 ST CHARLES HOSPITAL St. Charles Hospital 200 BELLE TERRE ROAD PORT JEFFERESO NY 11777 200 Belle Terre Rd Port Jefferson NY 11777131740122 ST. BARNABAS HOSPITAL St. Barnabas Hospital 4422 THIRD AVENUE BRONX NY 10457 4422 Third Avenue Bronx NY 10457150532245 ST. ELIZABETH MEDICAL CENTER St Elizabeth Medical Center 2209 GENESEE STREET UTICA NY 13501 2209 Genesee St Utica NY 13501112050523 ST. FRANCIS HOSPITAL St Francis Hospital 100 PORT WASHINGTON BLVD ROSLYN NY 11576 100 Port Washington Blvd Roslyn NY 11576113438973 ST. JOSEPH HOSPITAL Wsnchs North Inc 4295 HEMPSTEAD TURNPIKE BETHPAGE NY 11714 4295 Hempstead Tpke Bethpage NY 11714150532254 ST. JOSEPHS HOSPITAL HEALTH CENTER St. Joseph'S Hospital Health Center 301 PROSPECT AVENUE SYRACUSE NY 13203 301 Prospect Ave Administration Syracuse NY 13203131740127 ST. JOSEPHS MEDICAL CENTER St. Joseph'S Hospital, Yonkers 127 SOUTH BROADWAY YONKERS NY 10701 127 S Broadway Yonkers NY 10701141663311 ST. LAWRENCE P.C. Nys Office Of Mental Health 1 CHIMNEY POINT DRIVE OGDENSBURG NY 13669 1 Chimney Point Dr Ogdensburg NY 13669141348692 ST. PETERS HOSPITAL St Peters Hospital 315 S. MANNING BLVD. ALBANY NY 12208 315 S Manning Blvd Albany NY 12208

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

112868878 STATEN ISLAND UNIVERSITY HOSPITAL Staten Island University Hospital 475 SEAVIEW AVENUE STATEN ISLAND NY 10305 475 Seaview Ave Staten Island NY 10305113243405 STONY BROOK UNIVERSITY HOSPITAL University Hospital At Stony Brook NICOLLS ROAD STONY BROOK NY 11794 Nicolls Rd Stony Brook NY 11794160743209 STRONG MEMORIAL HOSPITAL University Of Rochester 175 CORPORATE WOODS SUITE 225 ROCHESTER NY 14623 601 Elmwood Ave Box 684 Rochester NY 14642111630755 THE BROOKLYN HOSPITAL CENTER The Brooklyn Hospital Center 121 DEKALB AVENUE BROOKLYN NY 11201 121 Dekalb Ave Brooklyn NY 11201141349558 THE KINGSTON HOSPITAL Healthalliance Hospital Broadway Campus 396 BROADWAY KINGSTON NY 12401 396 Broadway Kingston NY 12401462916938 THE MOUNT VERNON HOSPITAL Montefiore Mount Vernon Hospital 12 NORTH 7TH AVENUE MOUNT VERNON NY 10550 12 N 7th Ave Mount Vernon NY 10550161165049 UHS United Health Services Hospitals, Inc 10 - 42 MITCHELL AVENUE BINGHAMTON NY 13903 20 Mitchell Ave Binghamton NY 13903160743029 UNITED MEMORIAL MEDICAL CENTER United Memorial Medical Center 127 NORTH STREET BATAVIA NY 14020 127 North St Batavia NY 14020237221763 UNITY HOSPITAL OF ROCHESTER The Unity Hospital Of Rochester 1555 LONG POND ROAD ROCHESTER NY 14626 81 Lake Ave Evelyn Brandon Health Rochester NY 14608161469571 UNIVERSITY HOSPITAL AT SYRACUSE Suny Health Science Center At Syracuse 750 E. ADAMS STREET SYRACUSE NY 13210 750 E Adams St Syracuse NY 13210146013200 UNIVERSITY HOSPITAL OF BROOKLYN State Of New York Comptrollers Office 445 LENOX ROAD BROOKLYN NY 11203 445 Lenox Rd Brooklyn NY 11203150622506 UPSTATE UNIV HOSP AT COMM GENERAL Community General Hospital Of Greater Syracuse 4900 BROAD ROAD SYRACUSE NY 13215 4900 Broad Rd Syracuse NY 13215133964321 WESTCHESTER MEDICAL CENTER Westchester County Health Care Corporation 100 WOODS ROAD TAYLOR PAVILION VALHALLA NY 10595 100 Woods Rd TCC, Room M202 Valhalla NY 10595111633486 WINTHROP UNIVERSITY HOSPITAL Winthrop-University Hospital Association 259 FIRST STREET MINEOLA NY 11501 259 1st St Mineola NY 11501132655001 WOODHULL HOSPITAL CENTER New York City Health And Hospitals Corporation 760 BROADWAY BROOKLYN NY 11206 760 Broadway Rm. 3AB224 Brooklyn NY 11206111631837 WYCKOFF HEIGHTS MEDICAL CENTER Wyckoff Heights Medical Center 374 STOCKHOLM STREET BROOKLYN NY 11237 374 Stockholm St Brooklyn NY 11237314379443 ADENA REGIONAL MEDICAL CENTER Adena Health System 272 HOSPITAL ROAD CHILLICOTHE OH 45601 272 Hospital Rd Chillicothe OH 45601208286960 ADVANCED SPECIALTY HOSP. OF TOLEDO Garden Ii Leasing Co., Llc 1015 GARDEN LAKE PKWY TOLEDO OH 43614 1015 Garden Lake Pkwy Toledo OH 43614202871473 AFFINITY MEDICAL CENTER Dhsc Llc 875 8TH ST MASSILLON OH 44646 875 8th St NE Massillon OH 44646340714478 AKRON GENERAL MEDICAL CENTER Akron General Medical Center 400 WABASH AVE AKRON OH 44307 1 Akron General Ave Akron OH 44307340714581 ALLIANCE COMMUNITY HOSPITAL Alliance Community Hospital 200 EAST STATE STREET ALLIANCE OH 44601 200 E State St Alliance OH 44601340714538 AULTMAN HOSPITAL Aultman Hospital 2600 SIXTH STREET S.W. CANTON OH 44710 2600 6th St SW Canton OH 44710310537122 BETHESDA HOSPITAL Bethesda Hospital Inc 619 OAK STREET CINCINNATI OH 45206 10500 Montgomery Rd Cincinnati OH 45242310833936 CHILDRENS HOSPITAL MEDICAL CENTER Children'S Hospital Medical Center 3333 BURNET AVENUE MLC #4900 CINCINNATI OH 45229 3333 Burnet Ave Cincinnati OH 45229340714357 CHILDRENS HOSPITAL MEDICAL CENTER Children'S Hospital Medical Center Of Akron 1 PERKINS SQUARE AKRON OH 44308 1 Perkins Sq Akron OH 44308310672132 CHILDRENS MEDICAL CENTER Dayton Childrens Hospital ONE CHILDRENS PLAZA DAYTON OH 45404 One Children's Plaza Dayton OH 45404340714585 CLEVELAND CLINIC HOSPITAL The Cleveland Clinic Foundation 9500 EUCLID AVENUE CLEVELAND OH 44195 9500 Euclid Ave Cleveland OH 44195273633811 CLINTON MEMORIAL HOSPITAL Rchp-Wilmington, Llc 610 WEST MAIN STREET WILMINGTON OH 45177 610 W Main St ATTN: FACILITY CEOWilmington OH 45177311273012 DANIEL DRAKE CENTER FOR POST-ACUTE C Daniel Drake Center For Post Acute Care Llc 151 WEST GALBRAITH ROAD CINCINNATI OH 45216 151 W Galbraith Rd Cincinnati OH 45216314394942 DOCTORS HOSPITAL Ohio Health Corporation 5100 W. BROAD STREET COLUMBUS OH 43228 5100 W Broad St Columbus OH 43228340714583 EAST LIVERPOOL CITY HOSPITAL City Hospital Association 425 WEST FIFTH STREET EAST LIVERPOOL OH 43920 425 W Fifth St East Liverpool OH 43920310645626 FAIRFIELD MEDICAL CENTER Fairfield Medical Center 401 NORTH EWING STREET LANCASTER OH 43130 401 N Ewing St Lancaster OH 43130340714618 FAIRVIEW HOSPITAL Fairview Hospital 18101 LORAIN AVE CLEVELAND OH 44111 18101 Lorain Ave Cleveland OH 44111344428218 FIRELANDS REGIONAL MEDICAL CENTER Firelands Regional Medical Center 1111 HAYES AVENUE SANDUSKY OH 44870 76 Ashwood Dr Tiffin OH 44883344428794 FLOWER HOSPITAL Flower Hospital 5200 HARROUN RD SYLVANIA OH 43560 5200 Harroun Rd Sylvania OH 43560310536981 GOOD SAMARITAN HOSPITAL Good Samaritan Hospital & Health Center 2222 PHILADELPHIA DRIVE DAYTON OH 45406 2222 Philadelphia Dr Dayton OH 45406310537486 GOOD SAMARITAN HOSPITAL The Good Samaritan Hospital Of Cincinnati, Ohio 375 DIXMYTH AVENUE CINCINNATI OH 45220 375 Dixmyth Ave Cincinnati OH 45220310564121 GRANDVIEW HOSPITAL Dayton Osteopathic Hospital 405 GRAND AVENUE DAYTON OH 45405 405 W Grand Avenue Dayton OH 45405314394942 GRANT MEDICAL CENTER Ohio Health Corporation 111 S. GRANT AVE COLUMBUS OH 43215 111 S Grant Ave Columbus OH 43215340714593 HILLCREST HOSPITAL Cleveland Clinic Health System - East Region 6780 MAYFIELD ROAD MAYFIELD HEIGHT OH 44124 6780 Mayfield Rd Mayfield Hts OH 44124340714593 HURON HOSPITAL Cleveland Clinic Health System - East Region 13951 TERRACE ROAD EAST CLEVELAND OH 44112 13951 Terrace Rd Cleveland OH 44112271408630 JEWISH HOSPITAL OF CINCINNATI Jewish Hospital Llc 4777 EAST GALBRAITH ROAD CINCINNATI OH 45236 4777 E Galbraith Rd Cincinnati OH 45236310621866 KETTERING MEMORIAL HOSPITAL Kettering Medical Center 3535 SOUTHERN BOULEVARD KETTERING OH 45429 3535 Southern Blvd Kettering OH 45429340714684 LUTHERAN HOSPITAL Lutheran Hospital 1730 W. 25TH STREET CLEVELAND OH 44113 1730 W 25th St Cleveland OH 44113314379509 MARIETTA MEMORIAL HOSPITAL Marietta Memorial Hospital 401 MATTHEW STREET MARIETTA OH 43750 401 Matthew St Marietta OH 45750311091597 MERCY HEALTH WEST HOSPITAL Mercy Health - West Hospital, Llc 2446 KIPLING ROAD CINCINNATI OH 45239 3300 Mercy Health Blvd Cincinnati OH 45211341893439 MERCY MEDICAL CENTER Mercy Medical Center, Inc. 1320 MERCY DRIVE N.W. CANTON OH 44708 1320 Mercy Dr NW Canton OH 44708340714704 MERCY REGIONAL MEDICAL CENTER Mercy Health Regional Medical Center Llc 3700 KOLBE ROAD LORAIN OH 44053 3700 Kolbe Rd Lorain OH 44053311556401 MERCY ST. ANNE HOSPITAL Mercy Health St Anne Hospital Llc 3404 W. SYLVANIA AVE TOLEDO OH 43623 3404 W Sylvania Ave Toledo OH 43623346004382 METROHEALTH MEDICAL CENTER Metrohealth System 2500 METROHEALTH DRIVE CLEVELAND OH 44109 2500 Metrohealth Drive Cleveland OH 44109310537504 MIAMI VALLEY HOSPITAL Miami Valley Hospital ONE WYOMING STREET DAYTON OH 45409 1 Wyoming St Dayton OH 45409311439334 MOUNT CARMEL HEALTH Mount Carmel Health System 793 WEST STATE STREET COLUMBUS OH 43222 793 W State St Columbus OH 43222314379441 NATIONWIDE CHILDRENS HOSPITAL Nationwide Children'S Hospital 700 CHILDRENS DRIVE COLUMBUS OH 43205 700 Childrens Dr COLUMBUS OH 43205273074094 NORTHSIDE MEDICAL CENTER Youngstown Ohio Hospital Company Llc 500 GYPSY LANE 240 YOUNGSTOWN OH 44501 500 Gypsy Ln Youngstown OH 44504314446959 OBLENESS MEMORIAL HOSPITAL Sheltering Arms Hospital Foundation, Inc. 55 HOSPITAL DRIVE ATHENS OH 45701 55 Hospital Dr Athens OH 45701311322863 OHIO STATE UNIVERSITY JAMES CANCER H Arthur G James Cancer Hospital And Research Institute 300 WEST 10TH AVENUE COLUMBUS OH 43201 300 W 10th Ave Columbus OH 43210341567805 RAINBOW BABIES & CHILDRENS HOSPITAL University Hospitals Cleveland Medical Center 11100 EUCLID AVENUE CLEVELAND OH 44106 11100 Euclid Ave Cleveland OH 44106314394942 RIVERSIDE METHODIST HOSPITAL Ohio Health Corporation 3535 OLENTANGY RIVER ROAD COLUMBUS OH 43214 3535 Olentangy River Rd Columbus OH 43214461382538 ROBINSON MEMORIAL HOSPITAL Robinson Health System Inc 6847 N. CHESTNUT STREET 1204 RAVENNA OH 44266 6847 N Chestnut St Ravenna OH 44266340714593 SOUTH POINTE HOSPITAL Cleveland Clinic Health System - East Region 4110 WARRENSVILLE CENTER ROAD WARRENSVILLE H OH 44122 4110 Warrensville Center Rd Warrensville Heigh OH 44122310678022 SOUTHERN OHIO MEDICAL CENTER Southern Ohio Medical Center 1248 KENNEYS LANE PORTSMOUTH OH 45662 1805 27th Street Portsmouth OH 45662344445373 ST CHARLES HOSPITAL Mercy Health St Charles Hospital Llc 2600 NAVARRE AVENUE OREGON OH 43616 2600 Navarre Ave Oregon OH 43616341260978 ST JOHN MEDICAL CENTER St John Medical Center 29000 CENTER RIDGE ROAD WESTLAKE OH 44145 29000 Center Ridge Rd Westlake OH 44145344428250 ST VINCENT MEDICAL CENTER Mercy Health- St. Vincent Medical Center Llc 2213 CHERRY STREET TOLEDO OH 43608 2213 Cherry St Toledo OH 43608311439334 ST. ANNS HOSPITAL Mount Carmel Health System 500 S.CLEVELAND AVE WESTERVILLE OH 43081 500 S Cleveland Ave Westerville OH 43081340505560 ST. ELIZABETH HEALTH CENTER Mercy Health Youngstown, Llc 1044 BELMONT AVENUE 1790 YOUNGSTOWN OH 44501 1044 Belmont Ave Youngstown OH 44504340505560 ST. JOSEPH HEALTH CENTER Mercy Health Youngstown, Llc 667 EASTLAND AVENUE WARREN OH 44484 667 Eastland Avenue SE Warren OH 44484344428232 ST. LUKES HOSPITAL St. Luke'S Hospital 5901 MONCLOVA ROAD MAUMEE OH 43537 5901 Monclova Road Maumee OH 43537341105619 ST. RITAS MEDICAL CENTER St. Ritas Medical Center, Llc 730 W MARKET ST LIMA OH 45801 730 W Market St Lima OH 45801

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

340714756 ST. VINCENT CHARITY MEDICAL CENTER St Vincent Charity Medical Center 2351 EAST 22ND STREET CLEVELAND OH 44115 2351 E 22nd St Cleveland OH 44115340714755 SUMMA AKRON CITY & ST. THOMAS HOSPIT Summa Health System 525 E. MARKET STREET 2090 AKRON OH 44308 1320 Mercy Dr NW Canton OH 44708261375072 SUMMA BARBERTON HOSPITAL Summa Barberton Citizens Hospital 155 FIFTH STREET NE BARBERTON OH 44203 155 5th St NE Barberton OH 44203263536780 SUMMA WESTERN RESERVE HOSPITAL Summa Western Reserve Hospital, Llc 1900 23RD STREET CUYAHOGA FALL OH 44223 1900 23rd St Cuyahoga Falls OH 44223310621866 SYCAMORE HOSPITAL Kettering Medical Center 2150 LEITER ROAD MIAMISBURG OH 45342 4000 Miamisburg Centerville Rd Miamisburg OH 45342310538525 THE CHRIST HOSPITAL Christ Hospital 2139 AUBURN AVENUE CINCINNATI OH 45219 2139 Auburn Ave Cincinnati OH 45219311340739 THE OHIO STATE UNIVERSITY HOSPITAL Ohio State University Hospitals 660 ACKERMAN ROAD - 4TH FLOOR183104 COLUMBUS OH 43218 480 Medical Center Dr Columbus OH 43210344428256 THE TOLEDO HOSPITAL The Toledo Hospital 2142 NORTH COVE BLVD. TOLEDO OH 43606 2142 N Cove Blvd Toledo OH 43606264827222 UH AHUJA MEDICAL CENTER University Hospitals Ahuja Medical Center, Inc 3999 RICHMOND ROAD BEACHWOOD OH 44122 3999 Richmond Rd Beachwood OH 44122341271115 UH BEDFORD MEDICAL CENTER University Hospitals Bedford Medical Center 44 BLAINE AVENUE BEDFORD OH 44146 44 Blaine Ave Bedford OH 44146341567805 UH CASE MEDICAL CENTER University Hospitals Cleveland Medical Center 11100 EUCLID AVENUE CLEVELAND OH 44106 11100 Euclid Ave Cleveland OH 44106340816492 UH GEAUGA MEDICAL CENTER University Hospitals Geauga Medical Center 13207 RAVENNA ROAD CHARDON OH 44024 13207 Ravenna Rd Chardon OH 44024341924226 UH REGIONAL HOSPITALS Uh Regional Hospitals 27100 CHARDON ROAD RICHMOND HEIGH OH 44143 27100 Chardon Rd Richmond Heights OH 44143340967014 UNIV OF TOLEDO MEDL CENTER Medical University Of Ohio At Toledo 3000 ARLINGTON AVENUE TOLEDO OH 43614 3000 Arlington Ave Toledo OH 43614311479038 UNIVER.OF CINCINNATI MED CENTER LLC University Of Cincinnati Medical Center Llc 234 GOODMAN STREET CINCINNATI OH 45219 234 Goodman Street Cincinnati OH 45219730612674 BASS BAPTIST HEALTH CENTER Integris Bass Baptist Health Center 600 SOUTH MONROE ENID OK 73702 600 S Monroe St Enid OK 73701736061037 COMANCHE COUNTY MEMORIAL HOSPITAL Comanche County Hospital Authority 3401 W GORE LAWTON OK 73502 602 S 8th St Cache OK 73527736017987 GRIFFIN MEMORIAL HOSPITAL State Of Oklahoma 900 EAST MAIN STREET 151 NORMAN OK 73070 900 E Main St Norman OK 73071770633896 HILLCREST MEDICAL CENTER Ahs Hillcrest Medical Center, Llc 1120 SOUTH UTICA TULSA OK 74104 1120 S Utica Ave Tulsa OK 74104731034824 INTEGRIS BAPTIST MEDICAL CENTER Integris Baptist Medical Center Inc 3300 NORTHWEST EXPRESSWAY OKLAHOMA CITY OK 73112 5100 N Brookline Ave Suite 950 Oklahoma City OK 73112731089149 INTEGRIS SOUTHWEST MEDICAL CENTER Integris South Oklahoma City Hospital Corporation 4401 SOUTH WESTERN OKLAHOMA CITY OK 73109 4100 S Douglas Ave Oklahoma City OK 73109730606129 JANE PHILLIPS MEDICAL CENTER Jane Phillips Memorial Medical Center, Inc. 3500 SE FRANK PHILLIPS BLVD BARTLESVILLE OK 74006 3500 E Frank Phillips Blvd Bartlesville OK 74006731308273 LAUREATE PSYCHIATRIC HOSPITAL Laureate Psychiatric Clinic And Hospital Inc 6655 S. YALE TULSA OK 74136 6655 S Yale Ave Tulsa OK 74136730992978 MCALESTER REGIONAL HEALTH CENTER Mcalester Regional Health Center Authority 1 CLARK BASS BOULEVARD MCALESTER OK 74501 1 E Clark Bass Blvd McAlester OK 74501581725656 MED CTR. OF SOUTHEASTERN OKLA Durant Hma Llc 1800 W UNIVERSITY BLVD DURANT OK 74820 1800 W University Blvd Durant OK 74701264331175 OSU MEDICAL CENTER Oklahoma State University Medical Center Trust 744 WEST 9TH STREET TULSA OK 74127 744 W 9th St Tulsa OK 74127621106156 OU MEDICAL CENTER Hca Health Services Of Oklahoma Inc 1200 EVERETT DRIVE OKLAHOMA CITY OK 73104 700 NE 13th St Oklahoma City OK 73104730700090 SAINT FRANCIS HOSPITAL Saint Francis Hospital, Inc. 6161 S. YALE TULSA OK 74136 6161 S Yale Ave Tulsa OK 74136730657693 ST ANTHONY HOSPITAL Ssm Health Care Of Oklahoma, Inc. 1000 N LEE BLVD 205 OKLAHOMA CITY OK 73101 1000 N Lee Ave Oklahoma City OK 73102730579286 ST. JOHN MEDICAL CENTER St John Medical Center Inc 1923 SOUTH UTICA AVENUE TULSA OK 74104 1923 S Utica Ave Tulsa OK 74104731521890 SURGICAL HOSPITAL OF OKLAHOMA Surgical Hospital Of Oklahoma Llc 100 SE 59TH STREET OKLAHOMA CITY OK 73129 100 Southeast 59th Oklahoma City OK 73129736045246 TAHLEQUAH CITY HOSPITAL Northeastern Health System E DOWNING 1008 TAHLEQUAH OK 74464 1400 E Downing St Tahlequah OK 74464930391573 GOOD SAMARITAN HOSPITAL CORVALLIS Good Samaritan Hospital Corvallis 3600 NW SAMARITAN DRIVE 1068 CORVALLIS OR 97330 3521 NW Samaritan Dr Suite 201 Corvallis OR 97330941105628 KAISER SUNNYSIDE MEDICAL CENTER Kaiser Foundation Hospitals 10180 SE SUNNYSIDE ROAD CLACKAMAS OR 97015 10180 SE Sunnyside Rd Clackamas OR 97015941105628 KAISER WESTSIDE MEDICAL CENTER Kaiser Foundation Hospitals 2875 NW STUCKI AVENUE HILLSBORO OR 97124 2875 NW Stucki Ave. Hillsboro OR 97124930386823 LEGACY EMANUEL HOSPITAL & HEALTH CTR Legacy Emanuel Hospital And Health Center 2801 N. GANTBEIN PORTLAND OR 97227 1225 NE 2nd Ave Portland OR 97232930386793 LEGACY GOOD SAMARITAN HOSPITAL Legacy Good Samaritan Hospital & Medical Center 1015 NW 22ND AVENUE PORTLAND OR 97210 1200 NW 23rd Ave Portland OR 97210931176109 OHSU HOSPITAL AND CLINICS Oregon Health & Science University 3181 SAM JACKSON PARK ROAD PORTLAND OR 97239 3181 SW Sam Jackson Park Rd Mailcode: CR9-6 Portland OR 97239930924302 PROVIDENCE MILWAUKIE HOSPITAL Providence Health & Services - Oregon 10150 S.E. 32ND AVENUE MILWAUKIE OR 97222 10150 SE 32nd Ave Milwaukie OR 97222930386906 PROVIDENCE PORTLAND MEDICAL CENTER Providence Health & Services-Oregon 4805 NE GLISAN PORTLAND OR 97213 4805 NE Glisan St Portland OR 97213930508781 SKY LAKES MEDICAL CENTER Sky Lakes Medical Center Inc 2865 DAGGETT STREET KLAMATH FALLS OR 97601 2865 Daggett Ave Klamath Falls OR 97601930602940 ST CHARLES MEDICAL CENTER St Charles Health System Inc 2500 NE NEFF ROAD BEND OR 97701 2042 NE Williamson Ct Bend OR 97701930386929 ST. VINCENT MEDICAL CENTER Providence Health & Services - Oregon 9205 SW BARNES RD PORTLAND OR 97225 9205 SW Barnes Rd Portland OR 97225231352152 ABINGTON MEMORIAL HOSPITAL Abington Memorial Hospital 1200 OLD YORK ROAD ABINGTON PA 19001 1200 Old York Rd Abington PA 19001231396794 ALBERT EINSTEIN MEDICAL CENTER Albert Einstein Medical Center 5501 OLD YORK ROAD 3098 PHILADELPHIA PA 19141 5501 Old York Rd Philadelphia PA 19141250969492 ALLEGHENY GENERAL HOSPITAL West Penn Allegheny Health System, Inc. 320 EAST NORTH AVENUE PITTSBURGH PA 15212 320 E North Ave Pittsburgh PA 15212231352155 ALTOONA REGIONAL HEALTH SYSTEM Upmc Altoona 620 HOWARD AVENUE ALTOONA PA 16601 620 Howard Ave. Altoona PA 16601231352156 AMERICAN ONCOLOGIC HOSPIAL American Oncologic Hospital 7701 BURHOLME AVENUE PHILADELPHIA PA 19111 333 Cottman Ave Philadelphia PA 19111230596940 ARIA HEALTH Aria Health KNIGHTS & RED LION ROADS PHILADELPHIA PA 19114 10800 Knights Rd Philadelphia PA 19114231352200 BELMONT CENTER FOR COMP. TREATMENT Belmont Center For Comprhensive Treatment 4200 MONUMENT ROAD PHILADELPHIA PA 19131 4200 Monument Rd Phila PA 19131231352160 BRYN MAWR HOSPITAL Main Line Hospitals, Inc. 130 S. BRYN MAWR AVE. BRYN MAWR PA 19010 130 S Bryn Mawr Ave Bryn Mawr PA 19010231352160 BRYN MAWR REHABILITATION HOSPITAL Main Line Hospitals, Inc. 414 PAOLI PIKE MALVERN PA 19355 414 Paoli Pike Malvern PA 19355202295645 CHESTNUT HILL HOSPITAL Chhs Hospital Company Llc 8835 GERMANTOWN AVENUE PHILADELPHIA PA 19118 8835 Germantown Ave Philadelphia PA 19118251010039 CLARION HOSPITAL Clarion Hospital ONE HOSPITAL DRIVE CLARION PA 16214 1 Hospital Dr Clarion PA 16214240862246 COMMUNITY MEDICAL CENTER Community Medical Center 1800 MULBERRY STREET SCRANTON PA 18510 475 Morgan Hwy Scranton PA 18508208797640 COORDINATED HOSPITAL OF ALLENTOWN Ch Hospital Of Allentown, Llc 1503 N CEDAR CREST BLVD ALLENTOWN PA 18104 1503 N Cedar Crest Blvd Allentown PA 18104231637191 CROZER CHESTER MEDICAL CENTER Crozer-Chester Medical Center ONE MEDICAL CENTER BLVD. UPLAND PA 19013 One Medical Center Boulevard Upland PA 19013230517130 DELAWARE COUNTY MEMORIAL HOSPITAL Delaware County Memorial Hospital 501 N. LANDSDOWNE AVE. DREXEL HILL PA 19026 501 North Lansdowne Avenue Drexel Hill PA 19026522325498 EASTON HOSPITAL Northampton Hospital Company Llc 250 SOUTH 21ST STREET EASTON PA 18042 250 S 21st St Easton PA 18042250969492 FORBES REGIONAL HOSPITAL West Penn Allegheny Health System, Inc. 2570 HAYMAKER ROAD MONROEVILLE PA 15146 2570 Haymaker Rd Monroeville PA 15146202523648 FRIENDS BEHAVIORAL HEALTH SYSTEM Friends Behavioral Health System, Lp 4641 ROOSEVELT BLVD PHILADELPHIA PA 19124 4641 Roosevelt Blvd Philadelphia PA 19124240795959 GEISINGER MEDICAL CENTER Geisinger Medical Center 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 100 One Norwegian Plz Pottsville PA 17901231996150 GEISINGER WYOMING VALLEY MED CTR Geisinger Wyoming Valley Medical Center 1000 EAST MOUNTAIN DRIVE WILKES BARRE PA 18702 270 S River St Plains PA 18705752784869 HAHNEMANN UNIVERSITY HOSPITAL Tenet Health System Hahnemann, Llc BROAD & VINE PHILADELPHIA PA 19102 Broad & Vine Streets Mailstop 417 Philadelphia PA 19102251831563 HEART OF LANCASTER REGIONAL MEDICAL Lancaster Hma Llc 1500 HIGHLAND DRIVE LITITZ PA 17543 1500 Highlands Dr Lititz PA 17543231512747 HOLY SPIRIT HOSPITAL Holy Spirit Hospital 503 NORTH 21ST STREET CAMP HILL PA 17011 503 N 21st St Camp Hill PA 17011231534300 HOSPITAL Holy Redeemer Health System 1648 HUNTINGTON PIKE MEADOWBROOK PA 19046 1648 Huntingdon Pike Meadowbrook PA 19046231352685 HOSPITAL OF THE UNIV OF PENNA Trustees Of The University Of Pennsylvania 3400 SPRUCE STREET PHILADELPHIA PA 19104 3701 Market St Phila PA 19104232826045 JEANES HOSPITAL Jeanes Hospital 7600 CENTRAL AVENUE PHILADELPHIA PA 19111 7600 Central Ave Philadelphia PA 19111

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

231365353 LANCASTER GENERAL HOSPITAL Lancaster General Hospital 555 NORTH DUKE STREET 3555 LANCASTER PA 17604 555 N Duke St Lancaster PA 17602231352160 LANKENAU MEDICAL CENTER Main Line Hospitals, Inc. 100 LANCASTER AVE. WYNEWOOD PA 19096 100 E Lancaster Ave Wynnewood PA 19096250965414 LATROBE AREA HOSPITAL Latrobe Area Hospital, Inc. ONE MELLON WAY LATROBE PA 15650 348 Donohoe Rd Greensburg PA 15601231689692 LEHIGH VALLEY Lehigh Valley Hospital 2100 MACK BLVD. 4TH FLOOR FIN4000 ALLENTOWN PA 18105 1200 S Cedar Crest Blvd Allentown PA 18103231476328 MAGEE REHABILITATION HOSPITAL Magee Memorial Hospital For Convalescents 1513 RACE STREET PHILADELPHIA PA 19102 1513 Race St Philadelphia PA 19102251512436 MEADVILLE MEDICAL CENTER Meadville Medical Center 1034 GROVE STREET MEADVILLE PA 16335 1034 Grove St Meadville PA 16335454082660 MEMORIAL HOSPITAL York Pennsylvania Hospital Company Llc 325 S BELMONT STREET 15118 YORK PA 17405 325 S Belmont St York PA 17403611739000 MEMORIAL MEDICAL CENTER Dlp Conemaugh Memorial Medical Center Llc 1086 FRANKLIN STREET JOHNSTOWN PA 15905 1086 Franklin St Johnstown PA 15905231352191 MERCY CATHOLIC MEDICAL CENTER Mercy Catholic Medical Center Of Southeastern Pennsylvania LANSDOWNE AVE & BAILEY RD. DARBY PA 19023 1500 Lansdowne Ave Darby PA 19023231396763 MERCY SUBURBAN HOSPITAL Mercy Suburban Hospital 2701 DEKALB PIKE NORRISTOWN PA 19401 2701 Dekalb Pike Norristown PA 19401251002937 MILLCREEK COMMUNITY HOSPITAL Millcreek Community Hospital 5515 PEACH STREET ERIE PA 16509 5515 Peach St Erie PA 16509251854772 MILTON S. HERSHEY MEDICAL CENTER The Milton S Hershey Medical Center 500 UNIVERSITY DRIVE HERSHEY PA 17033 500 University Dr Hershey PA 17033231352193 MONTGOMERY HOSPITAL Montgomery Hospital 1301 POWELL ST 0992 NORRISTOWN PA 19404 1301 Powell St Norristown PA 19401452672023 MOSES TAYLOR HOSPITAL Scranton Quincy Hospital Company Llc 700 QUINCY AVENUE SCRANTON PA 18510 700 Quincy Ave Scranton PA 18510232367707 MUHLENBERG HOSPITAL CENTER Lehigh Valley Hospital Muhlenberg 2100 MACK BOULEVARD 4000 ALLENTOWN PA 18105 2545 Schoenersville Rd Bethlehem PA 18017311538725 PENNSYLVANIA HOSPITAL OF UPHS The Pennsylvania Hospital Of The University Of Pennsylvania Health S8TH & SPRUCE PHILADELPHIA PA 19107 800 Spruce St Phila PA 19107201055060 PHOENIXVILLE HOSPITAL Phoenixville Hospital Company Llc 140 NUTT ROAD PHOENIXVILLE PA 19460 140 Nutt Rd Phoenixville PA 19460251778644 PINNACLE HEALTH HOSPITALS Pinnacle Health Hospitals 409 S. SECOND ST SUITE 4E HARRISBURG PA 17101 111 S Front St Harrisburg PA 17101232810852 PRESBYTERIAN MEDICAL CENTER Presbyterian Medical Center Of The Univ Of Pa Health System 39TH & MARKET STREETS PHILADELPHIA PA 19104 51 N 39th St Philadelphia PA 19104231352204 READING HOSPITAL AND MEDICAL CENTER Reading Hospital SIXTH AVENUE AND SPRUCE STRE16052 READING PA 19612 6th Avenue & Spruce Street West Reading PA 19611274564798 REGIONAL HOSPITAL OF SCRANTON Scranton Hospital Company Llc 746 JEFFERSON AVENUE SCRANTON PA 18501 746 Jefferson Ave Scranton PA 18510240795463 ROBERT PACKER HOSPITAL Robert Packer Hospital GUTHRIE SQUARE SAYRE PA 18840 1 Guthrie Sq Sayre PA 18840454246163 ROXBOROUGH MEMORIAL HOSPITAL Prime Healthcare Services Roxborough Llc 5800 RIDGE AVENUE PHILADELPHIA PA 19128 5800 Ridge Ave Philadelphia PA 19128231352208 SACRED HEART HOSPITAL Sacred Heart Hospital Of Allentown 421 CHEW STREET ALLENTOWN PA 18102 421 W Chew St Allentown PA 18102250965547 SAINT VINCENT HEALTH CENTER Saint Vincent Health Center 232 WEST 25TH STREET 740 ERIE PA 16544 232 W 25th St Erie PA 16544752784866 ST CHRISTOPHERS HOSPITAL FOR CHILDR Tenet Healthsystem St. Christopher'S Hospital For Children, Llc ERIE AVENUE AT FRONT STREET PHILADELPHIA PA 19134 Erie Avenue @ Front St. Philadelphia PA 19134232610538 ST. JOSEPH HOSPITAL North Philadelphia Health System 16TH STREEET AND GIRARD AVENUE PHILADELPHIA PA 19130 1600 W Girard Ave Philadelphia PA 19130231352211 ST. JOSEPH MEDICAL CENTER St Joseph Regional Health Network 2500 BERNVILLE RD PO BOX 316 READING PA 19603 2500 Bernville Rd Reading PA 19605231352213 ST. LUKES HOSPITAL St Lukes Hospital 801 OSTRUM STREET BETHLEHEM PA 18015 801 Ostrum St Bethlehem PA 18015232825878 TEMPLE UNIVERSITY HOSPITAL Temple University Hospital, Inc 3401 N. BROAD ST. PHILADELPHIA PA 19140 3401 N Broad St Philadelphia PA 19140230465970 THE CHAMBERSBURG HOSPITAL The Chambersburg Hospital 112 NORTH 7TH ST. CHAMBERSBURG PA 17201 112 N 7th St Chambersburg PA 17201230794160 THE GOOD SAMARITAN HOSPITAL The Good Samaritan Hospital THE GOOD SAMARITAN HOSPITAL 241 SOUTH FO LEBANON PA 17042 Fourth and Walnut Streets Lebanon PA 17042251801532 THE MEDICAL CENTER BEAVER Valley Medical Facilities Inc 1000 DUTCH RIDGE ROAD BEAVER PA 15009 1000 Dutch Ridge Rd Executive Offices Beaver PA 15009250965600 THE WASHINGTON HOSPITAL The Washington Hospital 155 WILSON AVENUE WASHINGTON PA 15301 125 N Franklin Dr Washington PA 15301232829095 THOMAS JEFFERSON UNIV. HOSPITAL Thomas Jefferson University Hospitals Inc 111 SOUTH 11TH STREET PHILADELPHIA PA 19107 111 S 11th St 2210 Gibbon Building Philadelphia PA 19107250965480 UPMC - PRESBYTERIAN SHADYSIDE Upmc Presbyterian Shadyside 200 LOTHROP STREET PITTSBURGH PA 15213 200 Lothrop St Pittsburgh PA 15213250402510 UPMC CHILDRENS HOSPITAL Children'S Hospital Of Pittsburgh Of The Upmc Health System 45TH ST. AND PENN AVENUE PITTSBURGH PA 15224 4401 Penn Ave Pittsburgh PA 15224250965387 UPMC HAMOT Upmc Hamot 201 STATE STREET ERIE PA 16550 201 State St Erie PA 16550250523970 UPMC HORIZON HOSPITAL Upmc Horizon 110 NORTH MAIN STREET GREENVILLE PA 16125 110 N Main St Greenville PA 16125250965420 UPMC MAGEE WOMENS HOSPITAL Magee-Womens Hospital Of Upmc 300 HALKET ST PITTSBURGH PA 15213 300 Halket St Pittsburgh PA 15213250965423 UPMC MCKEESPORT Upmc Mckeesport 1500 FIFTH AVENUE MCKEESPORT PA 15132 1500 5th Ave McKeesport PA 15132250965429 UPMC MERCY HOSPITAL Upmc Mercy 1400 LOCUST STREET PITTSBURGH PA 15219 1400 Locust St Pittsburgh PA 15219250965451 UPMC PASSAVANT Upmc Passavant 9100 BABCOCK BOULEVARD PITTSBURGH PA 15237 9100 Babcock Blvd Pittsburgh PA 15237232875070 UPMC ST MARGARET Upmc St Margaret 815 FREEPORT ROAD PITTSBURGH PA 15215 815 Freeport Rd 100 Med Arts Bldg Sui Pittsburgh PA 15215250969492 WESTERN PENNSYLVANIA HOSPITAL West Penn Allegheny Health System, Inc. 4800 FRIENDSHIP AVENUE PITTSBURGH PA 15224 4800 Friendship Ave Pittsburgh PA 15224263632648 WILKES-BARRE GENERAL HOSPITAL Wilkes Barre Hospital Company Llc NORTH RIVER AND AUBURN STREETS WILKES BARRE PA 18764 575 N River St Wilkes Barre PA 18764240795508 WILLIAMSPORT HOSPITAL & MEDICAL CTR The Williamsport Hospital 700 HIGH STREET WILLIAMSPORT PA 17701 777 Rural Ave Williamsport PA 17701231352222 YORK HOSPITAL York Hospital 1001 SOUTH GEORGE STREET YORK PA 17405 1001 South George Street York PA 17405660486907 AUXILIO MUTUO HOSPITAL Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc PONCE DE LEON 191227 SAN JUAN PR 00919 735 Ave Ponce De Leon Stop 37.5 San Juan PR 00917660437470 BAYAMON REGIONAL HOSPITAL Departamento De Salud Oficial AVE. LAUREL #100 BAYAMON PR 00956 100 Ave Laurel Urb. Santa Juanita Bayamon PR 00956660437312 HOSPITAL Corporacion Centro Cardiovascular De Puerto Rico Y Del Caribe CENTRO MEDICO 366528 RIO PIEDRAS PR 00936 Americo Miranda Ave. Medical Center CornerRio Piedras PR 00935660204776 HOSPITAL BELLA VISTA Bella Vista Hospital Inc 349 KM 2.7 MAYAGUEZ PR 00680 Carretera 349 KM 2.7 Cerro las mesas Mayaguez PR 00680660183310 HOSPITAL DAMAS Hospital Damas Inc 2213 PONCE BY PASS PONCE PR 00717 2213 Ponce By Pass Ponce PR 00717660227304 HOSPITAL DE LA CONCEPCION Hospital De La Concepcion Inc CARR. #2 KM 173.4 BO CAIN ALTO SAN GERMAN PR 00683 Route #2 Km 173.4 Bo. Cain Alto San German PR 00683660531550 HOSPITAL DR. ALEJANDRO OTERO Dorado Health Inc CARRETERA ESTATAL 668 MANATI PR 00701 Calle Hernandez Carrion Urb. Atenas Manati PR 00674660561027 HOSPITAL UPR Servicios Medicos Universitarios STREET 3 KM 8.3 65 INFANTERIA AVE. CAROLINA PR 00984 Carr. #3 Km. 8.3 Ave 65 Infanteria Carolina PR 00984660715098 MAYAGUEZ MEDICAL CENTER Mayaguez Medical Center Dr Ramon Emeterio Betances Inc 410 HOSTOS AVENUE MAYAGUEZ PR 00681 Ave Hostos #410 Mayaguez PR 00682660427034 SAN JUAN MUNICIPAL HOSPITAL Municipality Of San Juan RIO PIEDRAS STATION 21405 SAN JUAN PR 00928 Centro Medico Bo. Monacillos San Juan PR 00926660589727 SAN LUCAS PONCE Saint Lukes Memorial Hospital Inc 917 AVE TITO CASTRO 336810 PONCE PR 00733 917 Ave Tito Castro Ponce PR 00716660437470 UNIVERSITY DISTRICT HOSPITAL Departamento De Salud Oficial BO. MONACILLO 2116 SAN JUAN PR 00922 Carr 22 Ave Americo Miranda Bo Monacillo Rio Piedras PR 00921050258812 BUTLER HOSPITAL Butler Hospital 345 BLACKSTONE BOULEVARD PROVIDENCE RI 02906 345 Blackstone Blvd Providence RI 02906050258896 KENT COUNTY MEMORIAL HOSPITAL Kent County Memorial Hospital 455 TOLL GATE ROAD WARWICK RI 02886 455 Toll Gate Rd Warwick RI 02886050259004 MEMORIAL HOSPITAL OF RHODE ISLAND Memorial Hospital 111 BREWSTER STREET PAWTUCKET RI 02860 111 Brewster St Pawtucket RI 02860050258954 RHODE ISLAND HOSPITAL Rhode Island Hospital 593 EDDY STREET PROVIDENCE RI 02901 11 Friendship St Newport RI 02840464648465 ROGER WILLIAMS HOSPITAL Prospect Chartercare Rwmc, Llc 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 825 Chalkstone Ave Providence RI 02908050258905 THE MIRIAM HOSPITAL The Miriam Hospital 164 SUMMIT AVENUE PROVIDENCE RI 02906 164 Summit Ave Providence RI 02906050258937 WOMEN & INFANTS HOSPITAL Women & Infants Hospital Of Rhode Island 101 DUDLEY STREET PROVIDENCE RI 02905 101 Dudley St Providence RI 02905232791808 AIKEN REGIONAL MEDICAL CENTER Aiken Regional Medical Centers Llc 302 UNIVERSITY PARKWAY 1117 AIKEN SC 29801 302 University Parkway Aiken SC 29801570359174 ANMED HEALTH Anmed Health 800 NORTH FANT STREET ANDERSON SC 29621 800 N Fant St Anderson SC 29621

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

576007863 GHS GREENVILLE MEMORIAL HOSPITAL Greenville Health System 701 GROVE RD GREENVILLE SC 29605 877 W Faris Rd Greenville SC 29605576007863 GHS GREER MEMORIAL HOSPITAL Greenville Health System 830 SOUTH BUNCOMBE ROAD GREER SC 29650 830 S Buncombe Rd Greer SC 29650576007863 GHS HILLCREST MEMORIAL HOSPITAL Greenville Health System 729 SOUTHEAST MAIN STREET SIMPSONVILLE SC 29681 729 SE Main St Simpsonville SC 29681576007863 GHS PATEWOOD MEMORIAL HOSPITAL Greenville Health System 175 PATEWOOD DRIVE GREENVILLE SC 29615 200 Patewood Dr Suite C 300 Greenville SC 29615570370242 MCLEOD REGIONAL MEDICAL CENTER Mcleod Regional Medical Center Of The Pee Dee 555 EAST CHEVES STREET FLORENCE SC 59506 555 E Cheves St Florence SC 29506571098556 MEDICAL UNIVERSITY OF SOUTH CAROLINA Medical University Hospital Authority 19 HAGOOD AVE . RM 1003 HARBOMSC 820 CHARLESTON SC 29425 169 Ashley Ave Charleston SC 29403576007863 OCONEE MEMORIAL HOSPITAL Greenville Health System 298 MEMORIAL DRIVE SENECA SC 29672 298 Memorial Dr Seneca SC 29672582296052 PALMETTO BAPTIST Palmetto Health 1333 TAYLOR STREET COLUMBIA SC 29202 1330 Taylor at Marion Streets Columbia SC 29201582296052 PALMETTO RICHLAND Palmetto Health 5 RICHLAND MEDICAL PARK DRIVE COLUMBIA SC 29203 3301 Harden St Ext 5 Medical Park Columbia SC 29203570331865 SELF REGIONAL HEALTHCARE Self Regional Healthcare 1325 SPRING STREET GREENWOOD SC 29646 1325 Spring St Greenwood SC 29646576000934 SPARTANBURG REGIONAL MEDICAL CENTER Spartanburg Medical Center 101 E WOOD ST SPARTANBURG SC 29303 101 E Wood St Spartanburg SC 29303621768106 TRIDENT REGIONAL MEDICAL CENTER Trident Medical Center Llc 9330 MEDICAL PLAZA DRIVE CHARLESTON SC 29418 9330 Medical Plaza Dr Charleston SC 29406460224743 AVERA MCKENNAN Avera Mckennan 1325 SOUTH CLIFF 5045 SIOUX FALLS SD 57117 1417 S. Cliff Ave. Ste. 101A Sioux Falls SD 57105460319070 RAPID CITY REGIONAL HOSPITAL Rapid City Regional Hospital Inc 353 FAIRMONTH STREET RAPID CITY SD 57701 353 Fairmont Blvd Rapid City SD 57701460227855 SANFORD USD MEDICAL CENTER Sanford Medical Center 1305 W 18TH ST 5039 SIOUX FALLS SD 57117 1305 W 18th St Sioux Falls SD 57105620123940 BAPTIST MEM HOSPITAL MEMPHIS Baptist Memorial Hospital 6019 WALNUT GROVE ROAD MEMPHIS TN 38120 6019 Walnut Grove Rd Memphis TN 38120621636465 BRISTOL REGIONAL MEDICAL CENTER Wellmont Health System 1 MEDICAL PARK BLVD BRISTOL TN 37620 1 Medical Park Blvd Bristol TN 37620626000101 ERLANGER MEDICAL CENTER Chattanooga Hamilton County Hospital Authority 975 EAST THIRD STREET CHATTANOOGA TN 37403 975 E Third Street Chattanooga TN 37403621636465 HOLSTON VALLEY HOSP & MED CTR Wellmont Health System 130 W. RAVINE BOX 238 KINGSPORT TN 37662 130 W Ravine Rd Kingsport TN 37660620476282 INDIAN PATH MEDICAL CENTER Mountain States Health Alliance 2000 BROOKSIDE DRIVE KINGSPORT TN 37660 2000 Brookside Dr Kingsport TN 37660626010402 JACKSON-MADISON COUNTY GENERAL HOSP Jackson-Madison County General Hospital 620 SKYLINE DRIVE JACKSON TN 38301 620 Skyline Dr Jackson TN 38301620476282 JOHNSON CITY MEDICAL CENTER Mountain States Health Alliance 400 N. STATE OF FRANKLIN RD JOHNSON CITY TN 37604 400 N State Of Franklin Rd Johnson City TN 37604620479367 METHODIST H/C MEMPHIS HOSPT. Methodist Healthcare - Memphis Hospitals 1265 UNION AVENUE MEMPHIS TN 38104 1265 Union Ave Memphis TN 38104202844893 METRO NASHVILLE GENERAL HOSPITAL Nashville General Hospital 1818 ALBION STREET NASHVILLE TN 37208 1818 Albion St ATTN: Martha Lample Nashville TN 37208621113169 REGIONAL MEDICAL CENTER AT MEMPHIS Shelby County Healthcare Corporation 877 JEFFERSON MEMPHIS TN 38103 877 Jefferson Ave Memphis TN 38103621869474 SAINT THOMAS MIDTOWN HOSPITAL Saint Thomas Midtown Hospital 2000 CHURCH ST NASHVILLE TN 37236 2000 Church St Nashville TN 37236620347580 SAINT THOMAS WEST HOSPITAL Saint Thomas West Hospital 4220 HARDING ROAD NASHVILLE TN 37202 4220 Harding Rd Nashville TN 37205752522262 ST. FRANCIS HOSPITAL Amisub (Sfh), Inc. 5959 PARK AVENUE MEMPHIS TN 38119 5959 Park Ave Memphis TN 38119311626179 UNIVERSITY OF TN MEMORIAL HOSPITAL University Health System, Inc. 1924 ALCOA HIGHWAY KNOXVILLE TN 37920 1924 Alcoa Hwy Knoxville TN 37920620476822 VANDERBILT UNIVERSITY HOSPITALS & CL Vanderbilt University 1211 MEDICAL CENTER DRIVE NASHVILLE TN 37232 1211 22nd Avenue, South Nashville TN 37232300754305 BAPTIST SAINT ANTHONYS HOSPITAL Bsa Hospital Llc 1600 WALLACE BLVD AMARILLO TX 79106 1600 Wallace Blvd Amarillo TX 79106752834135 BAYLOR HEART AND VASCULAR Baylor Heart & Vascular Center Llp 621 NORTH HALL ST SUITE 150 DALLAS TX 75246 621 N Hall St Dallas TX 75226274586141 BAYLOR INSTITUTE FOR REHABILITATION Bir Jv Llp 909 NORTH WASHINGTON AVENUE DALLAS TX 75246 909 N Washington Ave Dallas TX 76132751037591 BAYLOR MEDICAL CENTER AT GARLAND Baylor Medical Centers At Garland And Mckinney 2300 MARIE CURIE DRIVE GARLAND TX 75042 2300 Marie Curie Dr Garland TX 75042751837454 BAYLOR UNIVERSITY MEDICAL CTR Baylor University Medical Center 3500 GASTON AVENUE DALLAS TX 75246 3900 Junius St Suite 200 Dallas TX 75246741161938 CHI ST LUKES HEALTH BAYLOR MED CTR Chi St. Luke'S Health Baylor College Of Medicine Medical Center 6720 BERTNER AVE 4335 HOUSTON TX 77030 6720 Bertner St Houston TX 77030750800628 CHILDRENS MEDICAL CENTER OF DALLAS Childrens Medical Center Of Dallas 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 8160 Walnut Hill Ln Suite 106 Dallas TX 75231741109836 CHRISTUS SPOHN HOSP CORPUS CHRISTI Christus Spohn Health System Corporation 2606 HOSPITAL BOULEVARD CORPUS CHRISTI TX 78405 2606 Hospital Blvd Corpus Christi TX 78405752796815 CHRISTUS ST MICHAEL Christus Health Ark-La-Tex 2600 ST MICHAEL DRIVE TEXARKANA TX 75503 1400 College Dr Suite 202 Texarkana TX 75503621762360 COLLEGE STATION MEDICAL CENTER College Station Hospital Lp 1604 ROCK PRAIRIE ROAD COLLEGE STATIO TX 77840 1604 Rock Prairie Rd College Station TX 77845621801361 CONROE REGIONAL MEDICAL CENTER Chca Conroe L P 504 MEDICAL CENTER BLVD CONROE TX 77304 504 Medical Center Blvd Conroe TX 77304752051646 COOK CHILDRENS MEDICAL CENTER Cook Children'S Medical Center 901 SEVENTH AVENUE FORT WORTH TX 76104 801 7th Ave Fort Worth TX 76104752387418 CORPUS CHRISTI MEDICAL CENTER Bay Area Healthcare Group, Ltd. 7101 SOUTH PADRE ISLAND DRIVE CORPUS CHRISTI TX 78412 7101 S Padre Island Dr Corpus Christi TX 78412752765566 COVENANT HEALTH SYSTEM Covenant Health System 3615 19TH ST 1201 LUBBOCK TX 79410 3615 19th St Lubbock TX 79410756004221 DALLAS CO. HOSP. DIST. Dallas County Hospital District 5201 HARRY HINES BLVD DALLAS TX 75235 5201 Harry Hines Blvd Dallas TX 75235742577746 DRISCOLL CHILDRENS HOSPITAL Driscoll Childrens Hospital 3533 SOUTH ALAMEDA ST. CORPUS CHRISTI TX 78411 3533 South Alameda Street Corpus Christi TX 78411751041154 GOOD SHEPHERD MEDICAL CENTER The Good Shepherd Hospital Inc 700 EAST MARSHALL AVE LONGVIEW TX 75601 700 E Marshall Ave Longview TX 75601800176343 HARRIS CO PSYCHIATRIC CENTER University Of Texas Health Science Center At Houston 2800 S MCGREGOR WAY HOUSTON TX 77225 2800 S MacGregor Way Houston TX 77021741536936 HARRIS HEALTH SYSTEM Harris County Hospital District 2525 HOLLY HALL HOUSTON TX 77054 1504 Taub Loop Houston TX 77030741161944 HILLCREST BAPTIST MEDICAL CENTER Hillcrest Baptist Medical Center 100 HILLCREST MEDICAL BOULEVARD WACO TX 76712 100 Hillcrest Medical Boulevard Waco TX 76712261512163 HOUSTON NORTHWEST MEDICAL CENTER Houston Northwest Operating Company, Llc 710 FM 1960 WEST HOUSTON TX 77090 710 Fm 1960 Rd W Houston TX 77090751277293 HUNT REGIONAL MEDICAL CENTER Hunt Memorial Hospital District 4215 JOE RAMSEY BLVD 1059 GREENVILLE TX 75401 4215 Joe Ramsey Blvd Greenville TX 75401621619857 KINGWOOD MEDICAL CENTER Kph-Consolidation, Inc. 22999 HIGHWAY 59 NORTH KINGWOOD TX 77339 22999 Highway 59 N Kingwood TX 77339752302928 MEDICAL CENTER HEALTH SYSTEM Ector County Hospital District 500 WEST 4TH STREET ODESSA TX 79761 500 W 4th St Odessa TX 79761621682198 MEDICAL CITY DALLAS HOSPITAL Columbia Hospital At Medical City Dallas Subsidiary Lp 7777 FOREST LANE DALLAS TX 75230 7777 Forest Ln Dallas TX 75230741152597 MEMORIAL HERMANN HOSPITAL SYS Memorial Hermann Health System 1635 NORTH LOOP WEST HOUSTON TX 77008 1635 North Loop W Houston TX 77008741152597 MEMORIAL HERMANN TEXAS MEDICAL CNTR Memorial Hermann Health System 6411 FANNIN HOUSTON TX 77030 6400 Fannin St 16th Floor Houston TX 77030741152597 MEMORIAL HERMANN TIRR Memorial Hermann Health System 1333 MOURSUND HOUSTON TX 77030 1333 Moursund St Houston TX 77030750800661 METHODIST CHARLTON MEDICAL CENTER Methodist Hospitals Of Dallas 3500 WEST WHEATLAND RD 225357 DALLAS TX 75237 3500 W Wheatland Rd Dallas TX 75237750800661 METHODIST DALLAS MEDICAL CENTER Methodist Hospitals Of Dallas 1441 N BECKLEY AVE DALLAS TX 75203 1441 N Beckley Ave Dallas TX 75203742730328 METHODIST HOSPITAL Methodist Healthcare System Of San Antonio, Ltd., L.L.P. 7700 FLOYD CURL DRIVE SAN ANTONIO TX 78229 7700 FLOYD CURL DRIVE San Antonio TX 78229751584559 MIDLAND MEMORIAL HOSPITAL Midland County Hospital District 400 ROSALIND REDFERN GROVER 03/02/201 MIDLAND TX 79701 2200 W Illinois Ave Business Office Midland TX 79701750818167 MOTHER FRANCES HOSPITAL Mother Frances Hospital Regional Health Care Center 800 EAST DAWSON TYLER TX 75701 800 E Dawson St Tyler TX 75701901015581 NEW ENGLAND REHABILITATION HOSPITAL Reliant Rehabilitation Hospital New England Llc 2 REHABILIATION WAY WOBURN MA 01801 1300 East Lookout Drive Suite 115 Richardson TX 75082742781812 NORTH AUSTIN MEDICAL CENTER St Davids Healthcare Partnership Lp Llp 12221 NORTH MOPAC EXPRESSWAY AUSTIN TX 78758 12221 N Mo Pac Expy Austin TX 78758232238976 NORTHWEST TEXAS HOSPITAL Northwest Texas Healthcare System, Inc 1501 S. COULTER AVENUE AMARILLO TX 79106 1501 S Coulter St Amarillo TX 79106760339462 OAKBEND MEDICAL CENTER Oakbend Medical Center 1705 JACKSON ST RICHMOND TX 77469 1705 Jackson St Richmond TX 77469760354630 PARK PLAZA HOSPITAL Th Healthcare ,Ltd. 1313 HERMANN DRIVE HOUSTON TX 77004 1313 Hermann Dr Houston TX 77004621682202 PLAZA MEDICAL CTR FT WORTH Columbia Plaza Medical Center Of Fort Worth Subsidiary, L.P. 900 EIGHTH FORT WORTH TX 76104 900 8th Ave Fort Worth TX 76104

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

741109636 PROVIDENCE HEALTH CENTER Providence Health Services Of Waco 6901 MEDICAL PARKWAY 2589 WACO TX 76712 6901 Medical Pkwy Waco TX 76712954537720 PROVIDENCE MEMORIAL HOSPITAL Tenet Hospitals Limited 2001 NORTH OREGON EL PASO TX 79902 2001 N Oregon St El Paso TX 79902383743546 SA WARM SPRINGS REHAB HOSP Post Acute Medical At San Antonio Llc 5101 MEDICAL DRIVE SAN ANTONIO TX 78229 5101 Medical Dr San Antonio TX 78229741287015 SAN JACINTO METHODIST HOSPITAL San Jacinto Methodist Hospital 4401 GARTH ROAD BAYTOWN TX 77521 4401 Garth Rd Baytown TX 77521741109665 SANTA ROSA HEALTHCARE Christus Santa Rosa Health Care Corporation 519 WEST HOUSTON STREET SAN ANTONIO TX 78207 333 N Santa Rosa St San Antonio TX 78207741166904 SCOTT AND WHITE MEMORIAL HOSPITAL Scott & White Memorial Hospital 2401 SOUTH 31ST STREET TEMPLE TX 76508 2401 S 31st St Temple TX 76508741109643 SETON SHOAL CREEK Seton Family Of Hospitals 3501 MILLS AVENUE AUSTIN TX 78731 3501 Mills Ave Austin TX 78731233069260 SOUTH TEXAS HEALTH SYSTEM Mcallen Hospital L P 1102 W. TRENTON ROAD EDINBURG TX 78539 1102 W Trenton Rd Edinburg TX 78539204835578 ST JOSEPH MEDICAL CENTER Sj Medical Center Llc 1401 ST. JOSEPH PARKWAY HOUSTON TX 77002 1917 Ashland Street Houston TX 77008741282696 ST. JOSEPH REGIONAL HEALTH CENTER St Joseph Regional Health Center 2801 FRANCISCAN DRIVE BRYAN TX 77802 2801 Franciscan Dr Bryan TX 77802756000439 TCHD D/B/A JPS HEALTH NETWORK Tarrant County Hospital District 1500 SOUTH MAIN STREET FORT WORTH TX 76104 1500 S Main St Fort Worth TX 76104741100555 TEXAS CHILDRENS HOSPITAL Texas Children'S Hospital 6621 FANNIN HOUSTON TX 77030 6621 Fannin St Houston TX 77030751047527 TEXAS HEALTH DALLAS Texas Health Presbyterial Hospital Dallas 8200 WALNUT HILL LANE DALLAS TX 75231 8200 Walnut Hill Lane Dallas TX 75231756001743 TEXAS HEALTH FORT WORTH Texas Health Harris Methodist Hospital Fort Worth 1301 PENNSYLVANIA AVENUE FORT WORTH TX 76104 1301 Pennsylvania Ave Fort Worth TX 76104741180155 THE METHODIST HOSPITAL The Methodist Hospital 6565 FANNIN STREET HOUSTON TX 77030 6565 Fannin St Houston TX 77030746000949 THE UNIVERSITY OF TEXAS MEDICAL BR. The University Of Texas Medical Branch 301 UNIVERSITY BLVD GALVESTON TX 77555 301 University Blvd Galveston TX 77555751912147 UNITED REGIONAL HEALTH CARE SYSTEM United Regional Health Care System Inc 1600 ELEVENTH STREET WICHITA FALLS TX 76301 1600 11th St Wichita Falls TX 76301746002164 UNIVERSITY HEALTH SYSTEM Bexar County Hospital District 4502 MEDICAL DRIVE SAN ANTONIO TX 78229 4502 Medical Dr San Antonio TX 78229741109643 UNIVERSITY MED CENTER BRACKENRIDGE Seton Family Of Hospitals 601 E. 15TH STREET AUSTIN TX 78701 601 E 15th St Austin TX 78701751301362 UNIVERSITY MEDICAL CENTER Lubbock County Hospital District 602 INDIANA AVE LUBBOCK TX 79415 602 Indiana Ave Lubbock TX 79415746000756 UNIVERSITY MEDICAL CENTER OF EL PASO El Paso County Hospital District 4815 ALAMEDA AVENUE EL PASO TX 79905 4815 Alameda Ave El Paso TX 79905756001354 UT HEALTH CENTER AT TYLER University Of Texas Health Science Center At Tyler 11937 US HIGHWAY 271 TYLER TX 75710 11937 US Highway 271 Tyler TX 75708746001118 UT MD ANDERSON CANCER CENTER University Of Texas M D Anderson Cancer Center 1515 HOLCOMBE BLVD HOUSTON TX 77030 1515 Holcombe Blvd Houston TX 77030753175621 UT SOUTHWESTERN MED. CTR.- ZALE LIPS University Of Texas Southwestern Medical Center At Dallas 5151 HARRY HINES BLVD. DALLAS TX 75390 5151 Harry Hines Boulevard Dallas TX 75390753175630 UT SOUTHWESTERN UNIVERSITY HOSP University Of Texas Southwestern Medical Center At Dallas 5909 HARRY HINES BLVD DALLAS TX 75235 6201 Harry Hines Blvd Dallas TX 75390452662980 VALLEY BAPTIST MEDICAL CENTER Vhs Harlingen Hospital Company Llc 2101 PEASE STREET 2588 HARLINGEN TX 78551 2101 Pease St Harlingen TX 78550264178850 WADLEY REGIONAL MEDICAL CENTER Brim Healthcare Of Texas Llc 100 PINE STREET TEXARKANA TX 75501 1000 Pine St Texarkana TX 75501621801363 WEST HOUSTON MEDICAL CENTER Chca West Houston, L.P. 12141 RICHMOND AVE HOUSTON TX 77082 12141 Richmond Ave Houston TX 77082942854057 INTERMOUNTAIN MEDICAL CENTER Ihc Health Services Inc 5121 S COTTONWOOD ST MURRAY UT 84157 5121 Cottonwood St Murray UT 84107942854057 LDS HOSPITAL Ihc Health Services Inc 8TH AVENUE AND C STREET. SALT LAKE CITY UT 84143 325 8th Ave Salt Lake City UT 84143942854057 MCKAY-DEE HOSPITAL CENTER Ihc Health Services Inc 4401 HARRISON BLVD OGDEN UT 84403 4401 Harrison Blvd Ogden UT 84403942854057 PRIMARY CHILDRENS MEDICAL CENTER Ihc Health Services Inc 100 NORTH MARIO CAPECCHI DRIVNONE SALT LAKE CITY UT 84113 100 Mario Capecchi Dr Salt Lake City UT 84113621795214 SALT LAKE REGIONAL MEDICAL CENTER Salt Lake Regional Medical Center Lp 1050 EAST SOUTH TEMPLE SALT LAKE CITY UT 84405 1050 E South Temple Salt Lake City UT 84102621650573 ST MARKS HOSPITAL Northern Utah Healthcare Corporation 1200 EAST 3900 SOUTH SALT LAKE CITY UT 84124 1200 E 3900 S Salt Lake City UT 84124876000525 U OF U HOSPITALS & CLINICS University Of Utah 50 NORTH MEDICAL DRIVE SALT LAKE CITY UT 84132 50 N Medical Dr Salt Lake City UT 84132876000525 U OF UTAH NEUROPSYCHIATRIC INSTITUTE University Of Utah 501 CHIPETA WAY SALT LAKE CITY UT 84108 501 Chipeta Way Salt Lake City UT 84108942854057 UTAH VALLEY REGIONAL MED. CTR. Ihc Health Services Inc 1034 NORTH 500 WEST 50390 PROVO UT 84603 1034 N 500 W Provo UT 84604541820093 BON SECOURS DEPAUL MEDICAL CENTER Bon Secours Depaul Medical Center, Inc. 150 KINGSLEY LANE NORFOLK VA 23505 930 W. 21st St Suite 100 Norfolk VA 23517540506332 CARILION MEDICAL CENTER Carilion Medical Center BELLEVUE AVE. AT JERRERSON S P.O.BOX 1 ROANOKE VA 24033 1906 Belleview Ave SE Roanoke VA 24014540715569 CENTRA HEALTH Centra Post Acute Mental Health Services Llc 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 3300 Rivermont Ave Lynchburg VA 24503540506321 CHILDRENS HOSPITAL OF THE KINGS DA Childrens Hospital Of The Kings Daughters Inc 601 CHILDRENS LANE NORFOLK VA 23507 601 Childrens Ln Norfolk VA 23507541779911 CJW MEDICAL CENTER Chippenham & Johnston-Willis Hospitals, Inc. 7101 JAHNKE ROAD RICHMOND VA 23225 7102 Jahnke Rd Richmond VA 23225202028539 DANVILLE REGIONAL MEDICAL CENTER Danville Regional Medical Center, Llc 142 SOUTH MAIN DANVILLE VA 24541 142 S Main St Danville VA 24541540620889 INOVA FAIRFAX HOSPITAL Inova Health Care Services 3300 GALLOWS ROAD FALLS CHURCH VA 22042 3300 Gallows Rd Falls Church VA 22042540525802 INOVA LOUDOUN HOSPITAL CENTER Loudoun Hospital Center 44045 RIVERSIDE PARKWAY LEESBURG VA 20176 44045 Riverside Pkwy Leesburg VA 20176540889154 LEWISGALE HOSPITAL - MONTGOMERY Montgomery Regional Hospital, Inc. ROUTE 460 SOUTH BLACKSBURG VA 24060 3700 S Main St Blacksburg VA 24060621636465 LONESOME PINE HOSPITAL Wellmont Health System HOLTON AVENUE DRAWER BIG STONE GAP VA 24219 1990 Holton Ave E Big Stone Gap VA 24219540506463 MARYVIEW HOSPITAL Maryview Hospital 3636 HIGH STREET PORTSMOUTH VA 23707 3636 High St Portsmouth VA 23707540566029 NORTON COMMUNITY HOSPITAL INC. Norton Community Hospital, Inc 100 15TH STREET NW NORTON VA 24273 100 15th St NW Norton VA 24273521245746 RIVERSIDE REGIONAL MEDICAL CENTER Riverside Hospital Inc 500 J CLYDE MORRIS BLVD NEWPORT NEWS VA 23601 500 J Clyde Morris Blvd Newport News VA 23601521432269 RIVERSIDE REHABILITATION INSTITUTE Rehabilitation Institute Of Virginia Inc 245 CHESAPEAKE BLVD. NEWPORT NEWS VA 23607 245 Chesapeake Ave Newport News VA 23607541547408 SENTARA LEIGH HOSPITAL Sentara Hospitals 830 KEMPSVILLE ROAD NORFOLK VA 23502 830 Kempsville Rd Norfolk VA 23502541547408 SENTARA NORFOLK GENERAL HOSPITAL Sentara Hospitals 600 GRESHAM ROAD NORFOLK VA 23507 600 Gresham Dr Norfolk VA 23507541547408 SENTARA OBICI HOSPITAL Sentara Hospitals 2800 GODWIN BOULEVARD 1100 SUFFOLK VA 23434 2800 Godwin Blvd Suffolk VA 23434273208969 SENTARA PRINCESSS ANNE HOSPITAL Sentara Princess Anne Hospital 2025 GLENN MITCHELL DR VIRGINIA BEACH VA 23456 2025 Glenn Mitchell Dr Virginia Beach VA 23456541547408 SENTARA VA. BEACH GENERAL HOSPITAL Sentara Hospitals 1060 FIRST COLONIAL ROAD VIRGINIA BEACH VA 23454 1060 First Colonial Rd Virginia Beach VA 23454311716973 ST. FRANCIS MEDICAL CENTER Bon Secours St Francis Medical Center Inc 13700 ST. FRANCIS BLVD. MIDLOTHIAN VA 23114 13700 St Francis Blvd Suite 502 Midlothian VA 23114540793767 ST. MARYS HOSPITAL Bon Secours St Mary'S Hospital Of Richmond Inc 5801 BREMO ROAD RICHMOND VA 23226 8266 Atlee Rd MOBII Mechanicsville VA 23116546001796 UNIVERSITY OF VIRGINIA MEDICAL CENTE Rector And Visitors Of The University Of Virginia 855 WEST MAIN STREET 80078 CHARLOTTESVILL VA 22908 1215 Lee St PFS Charlottesville VA 22908541848065 VCU HEALTH SYSTEM MCV HOSPITAL Virginia Commonwealth University Health System Authority 1250 EAST MARSHALL STREET 980152 RICHMOND VA 23298 1250 E Marshall St Richmond VA 23298540505989 VIRGINIA HOSPITAL CENTER ARLINGTON Virginia Hospital Center Arlington 1701 GEORGE MASON DR. ARLINGTON VA 22205 1701 N George Mason Dr Arlington VA 22205540488103 WARREN MEMORIAL HOSPITAL Warren Memorial Hospital 1000 SHENANDOAH AVE. FRONT ROYAL VA 22630 1000 North Shenandoah Ave Front Royal VA 22630540505979 WINCHESTER MEDICAL CENTER Winchester Medical Center 1840 AMHERST STREET P.O. BOX WINCHESTER VA 22604 1840 Amherst St Winchester VA 22601030219309 UNIVERSITY OF VERMONT MEDICAL CENTER University Of Vermont Medical Center Inc 111 COLCHESTER AVENUE BURLINGTON VT 05401 111 Colchester Ave Burlington VT 05401261315081 DEACONESS MEDICAL CENTER Spokane Washington Hospital Company Llc 800 WEST FIFTH AVENUE SPOKANE WA 99210 800 W 5th Ave Spokane WA 99204911352172 GOOD SAMARITAN HOSPITAL Multicare Health System 407TH 14TH AVENUE SE PUYALLUP WA 98371 407 14th Ave SE Puyallup WA 98372911631806 HARBORVIEW MEDICAL CENTER Harborview Medical Center 325 9TH AVENUE SEATTLE WA 98104 325 9th Ave Seattle WA 98104910595030 KENNEWICK GENERAL HOSPITAL Kennewick Public Hospital District 900 SOUTH AUBURN ST KENNEWICK WA 99336 900 S. Auburn St. Kennewick WA 99336916068143 PEACEHEALTH SOUTHWEST MEDICAL CENTER Peacehealth Southwest Medical Center 400 MOTHER JOSEPH PLACE 1600 VANCOUVER WA 98664 200 NE Mother Joseph Pl Ste 400 Vancouver WA 98664

TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code

Address as appears on hospital cost report NPPES Business Address

562392010 PHD#1 DBA SKAGIT VALLEY HOSPITAL Public Hospital District No 1 Skagit 1415 E KINCAID STREET MOUNT VERNON WA 98273 1415 E Kincaid St Mount Vernon WA 98274364640211 PROV SACRED HEART MEDICAL CENTER Providence Health & Services - Wa 101 W. 8TH AVE. 2555 SPOKANE WA 99220 101 W 8th Ave Spokane WA 99204910567732 PROVIDENCE ST. PETER HOSPITAL Providence Health & Services Washington 413 LILLY ROAD NE OLYMPIA WA 98506 413 Lilly Rd NE Olympia WA 98506910564748 SEATTLE CHILDRENS HOSPITAL Seattle Children'S Hospital 4800 SANDPOINT WAY NE 5371 SEATTLE WA 98105 1101 Madison St Suite 550 Seattle WA 98104911267921 ST FRANCIS HOSPITAL St Francis Communtiy Hospital 34515 NINTH AVENUE S FEDERAL WAY WA 98003 34515 9th Ave S Federal Way WA 98003910433740 SWEDISH MEDICAL CENTER Swedish Health Services 747 BROADWAY SEATTLE WA 98122 747 Broadway Seattle WA 98122910373400 SWEDISH MEDICAL CENTER CHERRY HILL Swedish Health Services 500 - 17TH AVENUE SEATTLE WA 98124 500 17th Ave Seattle WA 98124911352172 TACOMA GENERAL ALLENMORE HOSPITAL Multicare Health System 315 SOUTH MLK JR. WAY 5299 TACOMA WA 98415 315 Martin Luther King Jr Way Tacoma WA 98405916001537 UNIVERSITY OF WASHINGTON MED CTR University Of Washington 1959 NE PACIFIC ST SEATTLE WA 98195 1959 NE Pacific St Seattle WA 98195910637400 UW MEDICINE/NORTHWEST HOSPITAL Uw Medicine Northwest 1550 NORTH 115TH STREET SEATTLE WA 98133 1550 North 115th Street Seattle WA 98133261315140 VALLEY HOSPITAL & MEDICAL CENTER Spokane Valley Washington Hospital Company Llc 12606 EAST MISSION P.O. BOX SPOKANE WA 99210 12606 E Mission Ave Spokane Valley WA 99216271209674 VALLEY MEDICAL CENTER Public Hospital District #1 Of King County 400 SOUTH 43RD STREET 50010 RENTON WA 98058 400 S 43rd St Renton WA 98055910565539 VIRGINIA MASON MEDICAL CENTER Virginia Mason Medical Center 925 SENECA STREET 1930 SEATTLE WA 98111 925 Seneca St Seattle WA 98101450506909 YAKIMA REGIONAL MEDICAL & CARDIAC CE Yakima Hma Llc 110 SOUTH NINTH AVENUE YAKIMA WA 98902 110 S 9th Ave Yakima WA 98902910567263 YAKIMA VALLEY MEMORIAL HOSPITAL Yakima Valley Memorial Hospital Association 2811 TIETON DRIVE YAKIMA WA 98902 2811 Tieton Dr Yakima WA 98902390824015 APPLETON MEDICAL CENTER Appleton Medical Center, Inc. APPLETON MEDICAL CENTER APPLETON WI 54911 1818 N Meade St Appleton WI 54911391138241 ASPIRUS WAUSAU HOSPITAL Aspirus Wausau Hospital, Inc 333 PINE RIDGE BOULEVARD WAUSAU WI 54401 333 Pine Ridge Blvd Wausau WI 54401390806181 AURORA HEALTH CARE METRO INC. Aurora Health Care Metro, Inc. 2900 WEST OKLAHOMA AVENUE MILWAUKEE WI 53215 5900 S Lake Drive Cudahy WI 53110390812532 CHILDRENS HOSPITAL OF WISCONSIN Childrens Hospital Of Wisconsin Inc 9000 W.WISCONSIN AVE MILWAUKEE WI 53201 9000 W Wisconsin Ave Milwaukee WI 53226390806315 COLUMBIA ST MARYS HOSPITAL MILWAUKEE Columbia St. Mary'S Hospital Milwaukee, Inc 2323 NORTH LAKE DRIVE 503 MILWAUKEE WI 53211 2323 N Lake Dr Milwaukee WI 53211396105970 FROEDTERT MEM. LUTHERAN HOSPT. Froedtert Memorial Lutheran Hospital, Inc. 9200 WEST WISCONSIN AVENUE MILWAUKEE WI 53226 9200 W Wisconsin Ave Milwaukee WI 53226390813416 GUNDERSEN LUTHERAN MEDICAL CENTER I Gundersen Lutheran Medical Center, Inc. 1910 SOUTH AVENUE LA CROSSE WI 54601 3111 Gundersen Dr Onalaska WI 54650390806374 LA CROSSE HOSPITAL Mayo Clinic Health System - Franciscan Medical Center, Inc. 700 WEST AVE SOUTH LA CROSSE WI 54601 700 West Ave S LA Crosse WI 54601390813418 MCHS EAU CLAIRE HOSPITAL Mayo Clinic Health System - Eau Claire Hospital Inc 1221 WHIPPLE STREET 4105 EAU CLAIRE WI 54702 1221 Whipple St Eau Claire WI 54703390816848 MERCY HEALTH SYSTEM CORPORATION Mercy Health System Corporation 1000 MINERAL POINT AVE 5003 JANESVILLE WI 53547 1000 Mineral Point Ave Janesville WI 53548390806367 MERITER HOSPITAL INC. Meriter Hospital, Inc. 202 SOUTH PARK STREET MADISON WI 53715 202 S Park St Madison WI 53715800337676 MIDWEST ORTHOPEDIC SPECIALTY HOSP Midwest Orthopedic Specialty Hospital, Llc 10101 S 27TH ST FRANKLIN WI 53132 10101 S 27th St Franklin WI 53132396005720 MILWAUKEE CTY MENTAL HEALTH COMPLEX County Of Milwaukee 9455 WATERTOWN PLANK ROAD MILWAUKEE WI 53226 9455 W Watertown Plank Rd Milwaukee WI 53226390808509 MONROE CLINIC The Monroe Clinic, Inc. 515 22ND AVENUE MONROE WI 53566 515 22nd Ave Monroe WI 53566390807060 SACRED HEART HOSPITAL Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis 900 WEST CLAIREMENT AVE EAU CLAIRE WI 54701 900 W Clairemont Ave Eau Claire WI 54701390872080 SAUK PRAIRIE MEMORIAL HOSPITAL Sauk Prairie Memorial Hospital Inc 260 26TH STREET PRAIRIE DU SAC WI 53578 260 26th St Prairie Du Sac WI 53578430688874 ST. CLARE HOSPITAL Ssm Healthcare Of Wisconsin Inc 707 FOURTEENTH STREET BARABOO WI 53913 707 14th St Baraboo WI 53913390816818 ST. ELIZABETH HOSPITAL St. Elizabeth Hospital, Inc., 1506 SOUTH ONEIDA STREET APPLETON WI 54915 1506 S Oneida St Appleton WI 54915390907740 ST. FRANCIS HOSPITAL Wheaton Franciscan Healthcare-St. Francis, Inc 3237 SOUTH 16TH STREET MILWAUKEE WI 53215 3237 S 16th St Milwaukee WI 53215390847631 ST. JOSEPHS HOSPITAL St Josephs Hospital Of Marshfield Inc 611 ST. JOSEPH AVE MARSHFIELD WI 54449 611 Saint Joseph Ave Marshfield WI 54449430688874 ST. MARYS HOSPITAL Ssm Healthcare Of Wisconsin Inc 700 SOUTH PARK STREET MADISON WI 53715 700 S. Park St. Madison WI 53715391835630 UNIVERSITY OF WI HOSPITALS & CLINICS University Of Wisconsin Hospitals And Clinics Authority 600 HIGHLAND AVE MADISON WI 53792 600 Highland Ave Compliance Mail Code Madison WI 53792390910727 WAUKESHA MEMORIAL HOSPITAL Waukesha Memorial Hospital, Inc. 725 AMERICAN AVENUE WAUKESHA WI 53188 725 American Ave Waukesha WI 53188391022464 WEST ALLIS MEMORIAL HOSPITAL West Allis Memorial Hospital, Inc. 8901 WEST LINCOLN AVENUE WEST ALLIS WI 53227 8901 W Lincoln Ave West Allis WI 53227390816857 WHEATON FRANCISCAN INC. Wheaton Franciscan, Inc 5000 WEST CHAMBERS STREET MILWAUKEE WI 53210 5000 W Chambers St Milwaukee WI 53210272372291 BLUEFIELD REGIONAL MEDICAL CENTER Bluefield Hospital Company Llc 500 CHERRY ST BLUEFIELD WV 24701 500 Cherry St Bluefield WV 24701550675666 CABELL HUNTINGTON HOSPITAL Cabell Huntington Hospital Inc. 1340 HAL GREER BLVD HUNTINGTON WV 25701 1340 Hal Greer Blvd Huntington WV 25701311524546 CAMDEN-CLARK MEMORIAL HOSP Camden Clark Memorial Hospital Corporation 800 GARFIELD AVENUE 718 PARKERSBURG WV 26102 1824 Murdoch Ave Parkersburg WV 26101550526150 CHARLESTON AREA MEDICAL CENTER INC. Charleston Area Medical Center, Inc. 501 MORRIS STREET 1547 CHARLESTON WV 25326 501 Morris St Charleston WV 25301550383321 CITY HOSPITAL INC. City Hospital Inc DRY RUN ROAD MARTINSBURG WV 25401 2500 Hospital Dr Martinsburg WV 25401752887493 GREENBRIER VALLEY MEDICAL CENTER Greenbrier Vmc Llc 202 MAPLEWOOD AVENUE 497 RONCEVERTE WV 24970 202 Maplewood Ave Ronceverte WV 24970550614866 OHIO VALLEY GENERAL HOSPITAL Ohio Valley Medical Center 2000 EOFF STREET WHEELING WV 26003 2000 Eoff St Wheeling WV 26003550357050 ST. MARYS MEDICAL CENTER INC. St. Mary'S Medical Center 2900 FIRST AVENUE HUNTINGTON WV 25702 2900 First Avenue Huntington WV 25702550525724 UNITED HOSPITAL CENTER United Hospital Center Inc 327 MEDICAL PARK DRIVE BRIDGEPORT WV 26330 327 Medical Park Drive Bridgeport WV 26330550643304 WEST VIRGINIA UNIVERSITY HOSPITALS West Virginia University Hospitals Inc MEDICAL CENTER DRIVE P.O. BOX 8034MORGANTOWN WV 26505 1 Medical Center Drive Morgantown WV 26506550357057 WHEELING HOSPITAL Wheeling Hospital Inc 1 MEDICAL PARK WHEELING WV 26003 1 Medical Park Wheeling WV 26003836000194 CHEYENNE REGIONAL MEDICAL CENTER Memorial Hospital Of Laramie County 214 EAST 23RD STREET CHEYENNE WY 82001 214 E 23rd St Cheyenne WY 82001830279242 WYOMING MEDICAL CENTER Wyoming Medical Center Inc 1233 E. SECOND STREET CASPER WY 82601 1233 E 2nd Street Casper WY 82601