Hill-Burton Obligated Facilities, by State and City (350 as of 9/24/2004)
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STATE ALABAMA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 010213 * AUTAUGAVILLE FAM HLTH C OUTPATIENT FAC 334-365-4524 203 NORTH TAYLOR STREET AUTAUGAVILLE AUTAUGA 36003 010210 * WILCOX CO HEALTH CTR PUB HLTH CTR 205-682-4515 UNION STREET, P O BOX 27 CAMDEN WILCOX 36726 010214 CHILDRENS & WOMENS HOSP GENERAL HOSP 334-415-1000 1700 CENTER STREET MOBILE MOBILE 36604 010140 * JOHN KNOX MANOR NH NURSING HOME 334-281-6336 4401 NARROW LANE ROAD MONTGOMERY MONTGOMERY 36199 010150 * NORTHWEST ALA REHAB CTR REHAB FAC 256-381-1110 1450 EAST AVALON AVENUE MUSCLE SHOALS COLBERT 35661 010211 * COLBERT CO HEALTH CTR PUB HLTH CTR 256-383-1231 1000 SOUTH JACKSON HIGHWAY SHEFFIELD COLBERT 35660 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE ALASKA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 020004 * CORDOVA COMMUNITY HOSP GENERAL HOSP 907-424-8000 P O BOX 160 CORDOVA DISTRICT 07 99574 020022 * WRANGELL GENERAL HOSP GENERAL HOSP 907-874-3356 P O BOX 1081 WRANGELL DISTRICT 02 99929 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE ARIZONA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 040052 * MARIPOSA COMM HLTH CTR OUTPATIENT FAC 520-281-1550 1852 NORTH MASTIC WAY NOGALES SANTA CRUZ 85621 040038 * EL RIO SANTA CRUZ HC OUTPATIENT FAC 502-792-9890 839 WEST CONGRESS ST TUCSON PIMA 85745 040039 HANDMAKER JEWSH GER CTR NURSING HOME 520-881-2323 2221 N ROSEMONT TUCSON PIMA 85712 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE ARKANSAS ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 050016 JOHNSON CO REG HOSP GENERAL HOSP 501-754-2060 1100 POPLAR STREET CLARKSVILLE JOHNSON 72830 050110 * PRAIRIE CO HEALTH DEPT PUB HLTH CTR 870-256-4430 214 MAIN ST - P O BOX 249 DES ARC PRAIRIE 72040 050112 * SEBASTIAN CO HLTH DEPT PUB HLTH CTR 501-452-8600 3112 SOUTH 70TH ST FORT SMITH SEBASTIAN 72901 050087 * CLEVELAND CO NRSNG HM NURSING HOME 870-325-6202 P O BOX 365 RISON CLEVELAND 71665 050111 * PHILLIPS CO HEALTH CTR PUB HLTH CTR 501-338-3486 P O BOX 2647 WEST HELENA PHILLIPS 72390 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE CALIFORNIA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 060304 * CL DE SALUD DEL PUEBLO OUTPATIENT FAC 760-344-6471 1166 K STREET BRAWLEY IMPERIAL 92227 060298 * FAIRVIEW DEVELPMNTL CTR MENTAL HOSP/UNIT 714-957-5101 2501 HARBOR BLVD COSTA MESA ORANGE 92626 060040 * ROUND VALLEY INDIAN HC OUTPATIENT FAC 707-983-2981 BIGGER LANE & HIGHWAY 28 COVELO MENDOCINO 95428 060300 * DREW HEALTH FOUNDATION OUTPATIENT FAC 650-328-5060 2111 UNIVERSITY AVENUE E PALO ALTO SAN MATEO 94303 060302 * SEQUOIA COMMUNITY H C OUTPATIENT FAC 209-237-6193 1350 SOUTH ORANGE AVENUE FRESNO FRESNO 93702 060307 LA PALOMA FAMILY HLTH CTR OUTPATIENT FAC 530-846-3693 935 B MARET STREET YUBA YUBA CITY 95991 060095 SOUTHERN INYO HOSP GENERAL HOSP 760-876-5501 501 EAST LOCUST LONE PINE INYO 93545 060303 * ALTAMED SEN HLTH & A CT OUTPATIENT FAC 213-728-0411 5425 EAST POMONA BLVD. LOS ANGELES LOS ANGELES 90022 060316 * LAC UNIV SO CA MED CTR OUTPATIENT FAC 213-343-8298 1300 NORTH MISSION ROAD LOS ANGELES LOS ANGELES 90033 060318 * L A GAY & LESB H C CTR OUTPATIENT FAC 213-993-7400 1625 NORTH SCHRADER BLVD LOS ANGELES LOS ANGELES 90028 060322 * ALTA MED HLTH SERV CORP OUTPATIENT FAC - - 500 CITADEL DRIVE LOS ANGELES 90040 060297 * NAPA STATE HOSP MENTAL HOSP/UNIT 707-253-5454 2100 NAPA-VALLEJO HGWY NAPA NAPA 94558 060136 NORTHRDGE HSP MED CTR GENERAL HOSP 213-885-8500 18300 ROSCOE BOULEVARD NORTHRIDGE LOS ANGELES 91328 060320 * LA CLINICA DE LA RAZA OUTPATIENT FAC - - 1515 FRUITVALE AVENUE OAKLAND LOS ANGELES 94601 060305 * LOGAN HEIGHTS FAMILY HC OUTPATIENT FAC 619-234-8171 1809 NATIONAL AVENUE SAN DIEGO SAN DIEGO 92113 060306 * SAN FERNANDO CLINIC OUTPATIENT FAC 818-365-8086 1600 SAN FERNANDO ROAD SAN FERNANDO LOS ANGELES 91340 060315 * LAGUNA HONDA HOSPITAL CHRONIC DIS HSP 415-664-1580 DEPARTMENT OF PUBLIC HEALTH SAN FRANCISCO SAN FRANCISCO 94116 060321 * MISSION NEIGHBORHOOD HC OUTPATIENT FAC - - 240 SHOTWELL STREET SAN FRANCISCO 94110 060222 * BARBARA ARONS PAVILION MENTAL HOSP/UNIT 408-299-6053 751 BASCOM AVENUE SAN JOSE SANTA CLARA 95128 060296 * HARBOR UCLA MED CTR GENERAL HOSP 310-222-2101 1000 W CARSON STREET TORRANCE LOS ANGELES 90509 060314 * PARTNERS ADULT DAY HLTH OUTPATIENT FAC 213-883-0330 7362 SANTA MONICA BOULEVARD WEST HOLLYWOOD LOS ANGELES 90046 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE COLORADO ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 080089 * GUADALUPE HEALTH CENTER OUTPATIENT FAC 719-376-5426 10TH AND DAHLIA STS ANTONITO CONEJOS 81120 080086 PLATEAU VALLEY HSP DIST PUB HLTH CTR 303-487-3565 RT 1 BOX 6 COLLBRAN MESA 81624 080087 * COMM HC/WAHSATCH CLINIC OUTPATIENT FAC 719-475-0783 722 SOUTH WAHSATCH STREET COLORADO SPGS EL PASO 80903 080017 # SW MEM HOSP-V GRANDE NH GENERAL HOSP 970-565-6666 1311 NORTH MILDRED RD CORTEZ MONTEZUMA 81321 080088 * SUNRISE COMM HLTH CTR OUTPATIENT FAC 970-353-9403 1028 FIFTH AVENUE GREELEY WELD 80632 080090 * SAN LUIS HEALTH CENTER OUTPATIENT FAC 719-672-3352 HIGHWAY 159, BOX 328 SAN LUIS ALAMOSA 81152 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. # THE FACILITY INCLUDES MULTIPLE MEDICAL BUILDINGS. SUPPLEMENTAL LISTING FOLLOWS. I.D. # FACILITY NAME FACILITY ADDRESS CITY STATE ZIP ====== ======================= ================ ============ ===== ====== 080017 CORSSROADS ORTHOPEDICS 208 WEST NORTH STREET CORTEZ CO 81321 080017 HOME HEALTH SERVICES 2208 EAST MAIN CORTEX CO 81321 STATE CONNECTICUT ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 090018 * STATE HEALTH DEPT LAB STATE HLTH DPT LB 203-566-5102 10 CLINTON STREET HARTFORD HARTFORD 06115 090065 * FAIR HAVEN COMM HLTH CT OUTPATIENT FAC 203-777-7411 374 GRAND AVENUE NEW HAVEN NEW HAVEN 06513 090048 * HEWITT MEMORIAL HOME NURSING HOME 203-735-4671 230 CORAM AVENUE SHELTON FAIRFIELD 06484 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE DELAWARE ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 100013 * FLOYD HUDSON SERV CTR PUB HLTH CTR 302-368-6700 501 OGELTOWN RD NEWARK NEW CASTLE 19711 100019 * EMILY P BISSELL HOSP NURSING HOME 302-995-8475 3000 NEWPORT GAP PIKE WILMINGTON NEW CASTLE 19808 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE DISTRICT OF COLUMBIA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 110012 HOSP FOR SICK CHILDREN CHRONIC DIS HSP 202-832-4400 1731 BUNKER HILL ROAD, N.E. WASHINGTON DIST OF COL 20017 110019 # WHITMAN WALKER CLIN/INC OUTPATIENT FAC 202-797-3500 1701 14TH STREET, N.W. WASHINGTON DIST OF COL 20009 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. # THE FACILITY INCLUDES MULTIPLE MEDICAL BUILDINGS. SUPPLEMENTAL LISTING FOLLOWS. I.D. # FACILITY NAME FACILITY ADDRESS CITY STATE ZIP ====== ======================= ================ ============ ===== ====== 110019 WHITMAN WALKER CLIN/INC 1804 14TH STREET, N.W. WASHINGTON DC 20009 STATE FLORIDA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 120260 * APOPKA FAMILY HLTH CTR OUTPATIENT FAC 407-886-6201 225 E SEVENTH STREET APOPKA ORANGE 32703 120274 * CENTRAL FLORIDA H C INC OUTPATIENT FAC - - 950 COUNTY ROAD 17A WEST AVON PARK 33825 120271 * C L BRUMBACK HLTH CTR OUTPATIENT FAC 561-996-1600 38754 STATE ROAD 80 BELLE GLADE BELLE GLADE 33430 120062 * BROWARD GEN MED CTR GENERAL HOSP 954-355-4400 1600 SOUTH ANDREWS AVENUE FT LAUDERDALE BROWARD 33316 120270 * COMPREHENSIVE CARE CTR OUTPATIENT FAC 954-463-7313 1175 N BROWARD BLVD FT LAUDERDALE BROWARD 32312 120261 * RURAL HEALTH CARE, INC OUTPATIENT FAC 904-684-4914 HIGHWAY 2O P O BOX 596 INTERLACHEN PUTNAM 32148 120250 * JUPITER MED C PAVILION NURSING HOME 561-744-4444 1230 SOUTH OLD DIXIE HWY JUPITER PALM BEACH 33458 120142 * JACKSON MEMORIAL HOSP GENERAL HOSP 305-325-7429 1611 N.W. 12TH AVENUE MIAMI DADE 33136 120208 * SARASOTA CO PHC PUB HLTH CTR 813-365-2020 P. O. 2658, 2200 RINGLING BLV SARASOTA SARASOTA 33578 120272 * COMM HLTH CTR PINELLAS OUTPATIENT FAC 727-821-6701 1310 22ND AVENUE SOUTH ST. PETERSBURG PINELLAS 33705 120273 * TAMPA COMM HLTH CTR OUTPATIENT FAC 813 866-0950 1702 E 17TH AVENUE TAMPA 33605 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE GEORGIA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 130010 * MAGNOLIA MANOR METH N C NURSING HOME 229-924-9352 2001 SOUTH LEE STREET AMERICUS SUMTER 31709 130018 * A G RHODES NRSNG HOME NURSING HOME 404-688-6731 350 BOULEVARD, S.E. ATLANTA FULTON 30312 130045 * SADIE G MAYS HLTH/REHAB NURSING HOME 404-794-2477 1821 W. ANDERSON AVENUE, S.W. ATLANTA FULTON 30314 130304 * MCG HEALTH, INC. GENERAL HOSP 706-721-3929 1120 15TH STREET AUGUSTA AUGUSTA 30912 130069 * MARION COMMUNITY HOSP GENERAL HOSP 912-649-2331 HIGHWAY 41 BUENA VISTA MARION 31803 130100 MUSCOGEE MANOR NURSING HOME 706-561-3219 3800 SCHATULGA ROAD COLUMBUS MUSCOGEE 31907 130149 * LIBERTY CO PHC PUB HLTH CTR 912-876-2173 1113 EAST OGELTHORPE HWY FLEMINGTON LIBERTY 31310 130255 MEMORIAL MEDICAL CTR GENERAL HOSP 912-356-8496 4700 WATERS AVE SAVANNAH CHATHAM 31403 130305 * WESTSIDE-URBAN HLTH CTR OUTPATIENT FAC - - 115 YORK STREET SAVANNAH 31402 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE HAWAII ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 150035 * KOKUA KALIHI VALLEY H C OUTPATIENT FAC 808-848-0976 1846 GULICK AVENUE HONOLULU HONOLULU 96819 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA.
STATE IDAHO ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 160066 * GLENNS FERRY HEALTH CTR OUTPATIENT FAC 208-366-7416 516 WEST FIRST AVENUE GLENS FERRY ELMORE 83623 160064 * PIONEER MEDICAL CLINIC OUTPATIENT FAC 208-464-2578 CARLE ST COMM CTR BLDG PIERCE CLEARWATER 83546 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE ILLINOIS ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 170025 * SHAWNEE HEALTH CENTER OUTPATIENT FAC 618-549-5302 441 E WILLOW CARBONDALE JACKSON 62914 170050 * LOWER W SIDE NGHBRHD HC OUTPATIENT FAC 312-942-2460 1713 SOUTH ASHLAND CHICAGO COOK 60608 170072 * W TOWN NGHBHOOD HLT CTR OUTPATIENT FAC 312-744-4310 CHICAGO CIVIC CENTER CHICAGO COOK 60602 170210 * KOMED NEIGHBORHOOD H C OUTPATIENT FAC 312-268-7600 501 EAST 43RD STREET CHICAGO COOK 60653 170212 UNIV OF IL INFEC DIS CL OUTPATIENT FAC 312-996-1596 "MC" 787 CHICAGO COOK 60612 170213 R.M.ROTHSTEIN CORE CT OUTPATIENT FAC 312-572-4500 2020 WEST HARRISON STREET CHICAGO COOK 60612 170214 * NEAR NORTH HEALTH SERV OUTPATIENT FAC - - 1276 NORTH CLYBOURN CHICAGO 60610 170215 * ALIVIO MEDICAL CENTER OUTPATIENT FAC - - 2355 SOUTH WESTERN AVENUE CHICAGO 60608 170074 DEWITT CO NRSNG HOME NURSING HOME 217-935-3035 RURAL ROUTE 1 CLINTON DEWITT 61727 170081 FAIR HAVEN CHRISTN HM NURSING HOME 217-429-2551 1790 SOUTH FAIRVIEW AVE DECATUR MACON 62521 170126 ST JOSEPHS NURSING HOME NURSING HOME 309-246-2175 401 - 9TH STREET LACON MARSHALL 61540 170131 CHRISTIAN NURSING HOME NURSING HOME 217-732-2189 1507 - 7TH STREET LINCOLN LOGAN 62656 170181 * ROCK ISLAND CO H DEPT PUB HLTH CTR 309-793-1955 2112 25TH AVENUE ROCK ISLAND ROCK ISLAND 61201 170209 * CRUSADERS CLINIC OUTPATIENT FAC 815-398-2160 3041 KISHWAWKEE ROCKFORD WINNEBAGO 61107 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE IOWA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 190010 # ST ANTHONY REG HSP N H GENERAL HOSP 712-792-3581 SOUTH CLARK STREET CARROLL CARROLL 51401 190066 * STEWART MEM COMM HOSP GENERAL HOSP 712-464-3171 1200 WEST MONROE LAKE CITY CALHOUN 51449 190100 SIOUX CENTER COMM HOSP GENERAL HOSP 712-722-1271 605 SOUTH MAIN STREET SIOUX CENTER SIOUX 51250 190122 * SIOUXLAND COMM HLTH CTR OUTPATIENT FAC 712-252-0733 1021 NEBRASKA STREET SIOUX CITY WOODBURY 51104 190121 * PEOPLES COMM HEALTH CTR OUTPATIENT FAC 319-272-4300 905 FRANKLIN WATERLOO BLACK HAWK 50703 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. # THE FACILITY INCLUDES MULTIPLE MEDICAL BUILDINGS. SUPPLEMENTAL LISTING FOLLOWS. I.D. # FACILITY NAME FACILITY ADDRESS CITY STATE ZIP ====== ======================= ================ ============ ===== ====== 190010 BREDA HEALTH CLINIC 221 MAIN STREET BREDA IA 51436 190010 GLIDDEN MEDICAL CLINIC 706 MONTANA GLIDDEN IA 51443 190010 MANNING MEDICAL CLINIC 221 ANN STREET MANNING IA 51455 190010 ST ANTHONY MENTAL HLTH 710 N 12TH STREET GUTHRIE CENTER IA 50115 190010 VILLAGE CLINIC 121 4TH AVENUE COON RAPIDS IA 50058 190010 WALL LAKE MED CLINIC 311 WEST FIRST TREET WALL LAKE IA 51466 190010 WESTSIDE MEDICAL CLINIC 235 HIGHWAY 30 WESTSIDE IA 51467 STATE KANSAS ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 200029 HANOVER HOSPITAL GENERAL HOSP 913-337-2214 HANOVER AND WASHINGTON STREETS HANOVER WASHINGTON 66945 200102 UKMC CENTER ON AGING OUTPATIENT FAC 913-588-5311 3591 RAINBOW BLVD KANSAS CITY WYANDOTTE 66160 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE KENTUCKY ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 210031 * CLINTON & HICKMAN ICF NURSING HOME 270-653-2461 SOUTH WASHINGTON STREET CLINTON HICKMAN 42031 210055 * REDWOOD SCH REHAB CTR REHAB FAC 606-331-0880 71 ORPHANAGE ROAD FORT MITCHELL KENTON 41017 210189 * WHITESBURG MED CLINIC OUTPATIENT FAC 606-633-4871 226 MEDICAL PLAZA LANE WHITESBURG LETHCHER 41858 210190 * LEATHRWOOD BLACKEY M CL OUTPATIENT FAC 606-633-4871 226 MEDICAL PLAZA LANE WHITESBURG PERRY 41858 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE LOUISIANA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 220193 * TECHE ACTION CLINIC OUTPATIENT FAC 318-828-2550 1115 WEBER STREET FRANKLIN ST MARY 70538 220192 * BAYOU COMP MED CENTER OUTPATIENT FAC 318-439-9983 2000 OPELOUSAS STREET LAKE CHARLES CALCASIEU 70601 220130 * MANDEVILLE DETEIGE HC PUB HLTH CTR 504-482-6023 7901 PALM STREET NEW ORLEANS ORLEANS 70125 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE MAINE ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 230022 NORTHERN MAINE MED CTR GENERAL HOSP 207-834-3155 143 EAST MAIN STREET FORT KENT AROOSTOOK 04743 230057 * HARRINGTON FAMILY H C OUTPATIENT FAC 207-483-4502 ROUTE 1, P O BOX 82 HARRINGTON WASHINGTON 04643 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE MARYLAND ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 240038 * WORKFORCE & TECHNOLOGY C REHAB FAC 410-554-9385 2301 ARGONNE DRIVE BALTIMORE BALTIMORE 21218 240046 * DORCHESTER GEN HOSP GENERAL HOSP 410-228-5511 300 BYRN STREET CAMBRIDGE DORCHESTER 21613 240050 MAGNOLIA HALL NURSING HOME 410-778-4550 MORGNEC ROAD CHESTERTOWN KENT 21620 240054 FAIRFIELD NURSING HOME NURSING HOME 410-923-6820 1454 FAIRFIELD LOOP RD CROWNSVILLE ANNE ARUNDEL 21032 240060 * CAROLINE NURSING HOME NURSING HOME 410-479-2130 520 KERR AVENUE DENTON CAROLINE 21629 240077 * ST MARYS CO HLTH DEPT. PUB HLTH CTR 301-475-4330 P O BOX 316 PEABODY STREET LEONARDTOWN ST MARYS 20650 240088 * ROCKVILLE NURSING HOME NURSING HOME 301-279-9000 303 ADCLARE ROAD ROCKVILLE MONTGOMERY 20850 240093 WICOMICO NURSING HOME NURSING HOME 410-742-8896 900 BOOTH STREET SALISBURY WICOMICO 21801 240096 * SNOW HILL HEALTH CTR PUB HLTH CTR 410-632-1100 6040 PUBLIC LANDING ROAD SNOW HILL WORCESTER 21863 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE MASSACHUSETTS ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 250012 BOSTON CITY HOSP GENERAL HOSP 617-424-5000 818 HARRISON AVENUE BOSTON SUFFOLK 02118 250120 JEWISH MEMORIAL HOSP CHRONIC DIS HSP 617-442-8760 59 TOWNSEND STREET BOSTON SUFFOLK 02119 250161 FENWAY COMMUNITY H C OUTPATIENT FAC 617-267-0900 7 HAVILAND STREET BOSTON SUFFOLK 02115 250163 * BOSTON HLTH C/HOMELESS NURSING HOME 617-534-4326 729 MASSACHUSETTS AVENUE BOSTON SUFFOLK 02118 250164 * CAMBRIDGE HSP/ZINBERG C OUTPATIENT FAC 617-864-0845 1493 CAMBRIDGE STREET CAMBRIDGE MIDDLESEX 02139 250046 * DORCHESTER MULTI SERV OUTPATIENT FAC 617-288-3230 1353 DORCHESTER AVE. DORCHESTER SUFFOLK 02122 250050 * E BOSTON NGHBRHD HC OUTPATIENT FAC 617-569-5800 10 GOVE STREET EAST BOSTON SUFFOLK 02128 250068 * HOLYOKE GERIATRIC CTR NURSING HOME 413-536-8110 45 LOWER WESTFIELD ROAD HOLYOKE HAMPDEN 01040 250160 * LEMUEL SHATTUCK HOSP GENERAL HOSP 617-522-8110 170 MORTON STREET JAMAICA PLAIN SUFFOLK 02130 250155 OUR ISLAND HOME NURSING HOME 508-228-0462 EAST CREEK ROAD NANTUCKET NANTUCKET 02554 250101 * NEW BEDFRD JEW CONV HM NURSING HOME 508-997-9314 200 HAWTHORNE STREET NEW BEDFORD BRISTOL 02740 250133 JEWISH REHAB CTR AGED NURSING HOME 617-598-5310 330 PARADISE RD. SWAMPSCOTT ESSEX 01907 250156 * GREAT BROOK VALLEY H C OUTPATIENT FAC 508-852-1805 32 GREAT BROOK VALLEY AVENUE WORCESTER WORCESTER 01605 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE MICHIGAN ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 260002 * LENAWEE CO MED CARE FAC NURSING HOME 517-263-6794 200 SAND CREEK HIGHWAY ADRIAN LENAWEE 49221 260014 * BALDWIN FAMILY H C CTR OUTPATIENT FAC 616-745-2743 4967 N MICHIGAN AVE BALDWIN LAKE 49304 260223 * FAM H CTR/BATTLECREEK PUB HLTH CTR - - 181 WEST EMMETT STREET BATTLE CREEK 49017 260031 EATON CO MED CARE FAC NURSING HOME 517-543-2940 530 W BEECH STREET CHARLOTTE EATON 48813 260032 * EATON COUNTY PHC PUB HLTH CTR 517-543-2430 528 BEECH STREET CHARLOTTE EATON 48813 260038 * SHIAWASSEE CO MED CARE NURSING HOME 517-743-3491 729 SOUTH NORTON STREET CORUNNA SHIAWASSEE 48817 260039 * IRON CO MED CARE FAC NURSING HOME 906-875-6671 1523 WEST U S 2 CRYSTAL FALLS IRON 49920 260048 * FRIENDSHIP MANOR N H NURSING HOME 313-833-7600 3950 BEAUBIEN DETROIT WAYNE 48201 260050 * H KIEFER HEALTH COMPLEX OUTPATIENT FAC 313-876-4000 1151 TAYLOR DETROIT WAYNE 48202 260055 * NORTHEAST HLTH CTR OUTPATIENT FAC 313-876-0280 5400 EAST 7 MILE RD. DETROIT WAYNE 48234 260220 * EAST JORDAN FAMILY H C OUTPATIENT FAC 616-536-2208 601 BRIDGE ST - PO BOX 718 EAST JORDAN CHARLEVOIX 49727 260073 * BENZIE CO MED CARE FAC NURSING HOME 616-352-2751 210 MAPLE STREET FRANKFORT BENZIE 49365 260092 * HOUGHTON CO MED CARE NURSING HOME 906-482-5050 1110 QUINCY STREET HANCOCK HOUGHTON 49930 260102 * HILLSDALE MED CARE FAC NURSING HOME 616-439-9341 140 WEST MECHANICS STREET HILLSDALE HILLSDALE 49242 260123 * LAPEER CO MED CARE FAC NURSING HOME 313-664-8571 1455 SUNCREST DRIVE LAPEER LAPEER 48446 260139 * MARTHA T BERRY MED CARE NURSING HOME 810-469-5265 43533 ELIZABETH ROAD MT CLEMENS MACOMB 48043 260143 * ISABELLA CO MED CARE NURSING HOME 517-772-2957 1222 NORTH DRIVE MT PLEASANT ISABELLA 48858 260145 * BROOKHAVEN MED CARE FAC NURSING HOME 616-773-9146 1890 APPLE AVENUE MUSKEGON MUSKEGON 49442 260155 * INGHAM CO MED CARE FAC NURSING HOME 517-349-1050 3860 DOBIE ROAD OKEMOS INGHAM 48864 260157 * ONTONAGON MEM HOSP GENERAL HOSP 906-884-4134 601 SEVENTH STREET ONTONAGON ONTONAGON 49953 260168 * PINECREST MED CARE FAC NURSING HOME 906-497-5244 405 BROWN STREET POWERS MENOMINEE 49874 260180 * SANILAC MED CARE FAC NURSING HOME 810-648-3017 137 NORTH ELK STREET SANDUSKY SANILAC 48471 260186 * CLINTON MEMORIAL HOSP GENERAL HOSP 517-224-2315 805 SOUTH OAKLAND ST JOHNS CLINTON 48879 260188 STANDISH COMM HOSP GENERAL HOSP 517-846-4521 805 WEST CEDAR STANDISH ARENAC 48658 260191 IOSCO MEDICAL CARE FAC NURSING HOME 517-362-4424 1201 HARRIS AVENUE TAWAS CITY IOSCO 48763 260222 * FAMILY MED CTR OF MICH OUTPATIENT FAC - - 8765 LEWIS AVENUE TEMPERANCE 48182 260200 GOGEBIC CO MED CARE FAC NURSING HOME 906-224-9811 402 NORTH STREET WAKEFIELD GOGEBIC 49968 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE MINNESOTA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 270008 * ST MARKS LUTHERAN HOME NURSING HOME 507-437-4594 400 15TH AVENUE AUSTIN MOWER 55912 270016 ST FRANCIS HOME NURSING HOME 218-643-7661 415 OAK STREET BRECKENRIDGE WILKIN 56520 270052 KITTSON MEM HOSP & NH GENERAL HOSP 218-843-3612 P O BOX 700 HALLOCK KITTSON 56728 STATE MISSISSIPPI ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 280040 TALLAHATCHIE GEN HOSP GENERAL HOSP 601-647-5535 201 MARKET STREET CHARLESTON TALLAHATCHIE 38921 280266 * ALCORN CO HLTH CTR OUTPATIENT FAC 601-287-6121 ALCORN COUNTY COURTHOUSE CORINTH ALCORN 38834 280122 * GREENE RURAL HEALTH CTR NURSING HOME 601-394-2371 1017 JACKSON AVENUE LEAKESVILLE GREENE 39451 280123 UNIV HOS&CLINICS/HOLMES GENERAL HOSP 662-834-1321 239 BOWLING GREEN ROAD LEXINGTON HOLMES 39095 280264 SCOTT REGIONAL HOSPITAL GENERAL HOSP 601-732-6301 P O BOX 259 MORTON SCOTT 39117 280267 * NESHOBA CO HLTH CTR OUTPATIENT FAC 601-656-4371 P O BOX 486 PHILADELPHIA NESHOBA 39350 280188 * PEARL RIVER CO HSP & NH GENERAL HOSP 601-795-4543 WEST MOODY STREET POPLARVILLE PEARL RIVER 39470 280190 CLAIBORNE CO HOSP GENERAL HOSP 601-437-5141 123 MCCOMB AVENUE PORT GIBSON CLAIBORNE 39150 280290 * ACCESS FAMILY HLTH SRV OUTPATIENT FAC 601-651-4637 P O BOX 179 SMITHVILLE MONROE 38870 280268 * OKTIBBEHA CO HLTH DEPT OUTPATIENT FAC 601-323-4565 203 YATES STREET STARKVILLE OKTIBBEHA 39759 280265 * MS STATE HOSPITAL MENTAL HOSP/UNIT 601-351-8000 HIGHWAY 468 WHITFIELD RANKIN 39193 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE MISSOURI ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 290110 SALT RIVER NRSNG HOME NURSING HOME 314-588-4175 P O BOX 529 SHELBINA SHELBY 63468 290168 * FAM CARE HC/CARONDELET OUTPATIENT FAC 314-353-5190 6313 MICHIGAN AVENUE ST LOUIS 63111 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE MONTANA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 300010 * TETON MED CTR GENERAL HOSP 406-466-5763 915 FOURTH ST NW CHOTEAU TETON 59422 300012 * MCCONE COUNTY NURSING H NURSING HOME 406-485-3381 P O BOX 48 CIRCLE MCCONE 59215 300013 STILLWATER COMM HOSP GENERAL HOSP 406-322-5316 44 WEST FOURTH ST N COLUMBUS STILLWATER 59019 300019 ROSEBUD HEALTHCARE CTR GENERAL HOSP 406-356-2161 383 NORTH 17TH AVENUE FORSYTH ROSEBUD 59327 300023 GLENDIVE MEDICAL CTR GENERAL HOSP 406-365-3306 AMES AND PROSPECT GLENDIVE DAWSON 59330 300060 * MISSOULA CITY/CO H D OUTPATIENT FAC - - 323 WEST ALDER STREET MISSOULA 59802 300050 MARIA'S MEDICAL CENTER GENERAL HOSP 406-434-5536 640 PARK DRIVE SHELBY TOOLE 59474 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE NEW HAMPSHIRE ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 330046 * LAMPREY HC/NEW MARKET C OUTPATIENT FAC 603-659-2494 207 SOUTH MAIN STREET NEWMARKET ROCKINGHAM 03857 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE NEW JERSEY ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 340017 DAUGHTERS OF MIRIAM NURSING HOME 201-772-3700 155 HAZEL STREET CLIFTON PASSAIC 07015 340026 * GREENBROOK REG CTR COMM MNTL HLTH CTR 201-968-6000 275 GREENBROOK ROAD GREEN BROOK SOMERSET 08812 340038 * JERSEY CITY FAMILY HCC OUTPATIENT FAC 201-434-4731 88 CLIFTON PLACE JERSEY CITY HUDSON 07304 340039 JERSEY CITY MED CTR GENERAL HOSP 201-451-9800 50 BALDWIN AVENUE JERSEY CITY HUDSON 07304 340066 * N NEWARK COMM HLTH CTR OUTPATIENT FAC 201-733-6430 741 BROADWAY NEWARK ESSEX 07104 340074 * DAYTON COMM HLTH CTR OUTPATIENT FAC 973-483-1300 101 LUDLOW STREET NEWARK ESSEX 07114 340133 SPECTRUM AIDS DAY CARE NURSING HOME 973-596-2850 461-467 FRELINGHUYSEN AVE NEWARK ESSEX 07114 340136 BROADWAY HSE CONT CARE NURSING HOME 973-268-9797 298 BROADWAY NEWARK ESSEX 07104 340120 MATER DEI NURSING HOME NURSING HOME 609-358-2061 176 ROUTE 40 NEWFIELD SALEM 08344 340088 * PATERSON HLTH DEPT PUB HLTH CTR 201-881-3900 176 BROADWAY STREET PATERSON PASSAIC 07505 340137 * PATERSON COMM HLTH CTR OUTPATIENT FAC - - 32 CLINTON STREET PATERSON PASSAIC 07522 340095 B BACHARACH REHAB HOSP REHAB FAC 609-652-7000 JIM LEEDS ROAD POMONA ATLANTIC 08240 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE NEW MEXICO ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 350060 * LAS CLINICAS DEL NORTE OUTPATIENT FAC - - P O BOX 237 EL RITO 87530 350059 * LA CLINICA DE FAMILIA OUTPATIENT FAC 505-523-0406 101 EDGEWOOD ST, PO BOX 1000 SUNLAND PARK DONA ANA 88063 350055 * LA CLINICA DEL PUEBLO PUB HLTH CTR 505-588-7252 P O BOX 104 TIERRA AMARILL RIO ARRIBA 87575 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE NEW YORK ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 360014 PLEASANT VALLEY HOME NURSING HOME 518-638-8274 ROUTE 40 ARGYLE WASHINGTON 12809 360018 * GENESEE CO NRSG HOME NURSING HOME 716-344-0584 278 BANK STREET BATAVIA GENESEE 14020 360024 ST FRANCIS HOSP BEACON GENERAL HOSP 914-831-3500 DELAVAN AVENUE BEACON DUTCHESS 12508 360143 * CALVARY HOSP GENERAL HOSP 212-863-6900 1740 EASTCHESTER ROAD BRONX BRONX 10461 360258 BRONX-LEBANON SP CC NURSING HOME 718-590-1800 1265 FULTON AVE BRONX BRONX 10456 360264 BRONX-LEBANON IDC OUTPATIENT 718 299-6910 1276 FULTON AVE BRONX BRONX 10456 360268 * MORRIS HEIGHTS HLTH CTR OUTPATIENT FAC - - 85 WEST BURNSIDE AVENUE BRONX 10453 360030 KINGS COUNTY HOSP CTR OUTPATIENT FAC 718-630-3101 451 CLARKSON AVENUE BROOKLYN KINGS 11203 360032 LUTHERAN MEDICAL CTR GENERAL HOSP 718-630-7000 150 - 55TH STREET BROOKLYN KINGS 11220 360035 # INTERFAITH MEDICAL CTR GENERAL HOSP 718-935-7000 1545 ATLANTIC AVENUE BROOKLYN KINGS 11213 360266 BUSHWICK CLINIC OUTPATIENT FAC 718-260-2968 1149 MYRTLE AVENUE BROOKLYN KINGS 11210 360267 * SUNSET PARK FAMILY H C OUTPATIENT FAC 718-630-7000 150 55TH STREET BROOKLYN KINGS 11220 360046 CATSKILL REG-HERMAN DIV GENERAL HOSP 845-887-5530 8081 ROUTH 97 CALLICOON SULLIVAN 12723 360053 # CLIFTON SPRINGS HOSP GENERAL HOSP 315-462-9561 2 COULTER ROAD CLIFTON SPRGS ONTARIO 14432 360062 # CUBA MEMORIAL HOSP GENERAL HOSP 716-968-2000 140 WEST MAIN STREET CUBA ALLEGANY 14727 360068 HORACE NYE HOME NURSING HOME 518-873-3570 ESSEX CO GVMT CTR ELIZABETHTOWN ESSEX 12932 360082 * FULTON CO RES HLTH CARE NURSING HOME 518-725-8631 847 COHWY 122 GLOVERSVILLE FULTON 12078 360085 * ORANGE CO HOME & INFIRM NURSING HOME 914-294-7971 BOX 59 QUARRY RD GOSHEN ORANGE 10924 360089 * GROTON COMM HLTH CR CTR OUTPATIENT FAC 607-898-5873 100 SYKES STREET GROTON TOMPKINS 13073 360092 CATSKILL REG MED CTR GENERAL HOSP 914-794-3300 68 HARRIS-BUSHVILLE ROAD HARRIS SULLIVAN 12742 360109 * BENEDICTINE HOSP GENERAL HOSP 914-338-2500 105 MARYS AVENUE KINGSTON ULSTER 12401 360249 CATTARAUGUS CO HM INF NURSING HOME 716-353-8516 ROUTE 16 MACHIAS CATTARAUGUS 14101 360133 SCHUYLER HOSP GENERAL HOSP 607-535-7121 MONTOUR TOWNSEND B 307 MONTOUR FALLS SCHUYLER 14865 360136 MOUNT VERNON HOSP GENERAL HOSP 914-664-8000 12 NORTH SEVENTH AVENUE MOUNT VERNON WESTCHESTER 10550 360145 * HARLEM HOSP CTR GENERAL HOSP 212-939-1000 506 LENOX AVENUE NEW YORK NEW YORK 10037 360155 # ST LUKE'S/ROOSEVELT HOS GENERAL HOSP 212-523-4000 1111 AMSTERDAM AVE NEW YORK NEW YORK 10025 360256 HIGHBRIDGE-WOODYCREST C NURSING HOME 718-293-3200 936 WOODYCREST AVENUE NEW YORK BRONX 10452 360259 * GOLDWATER MEMORIAL HOSP NURSING HOME 212-750-5980 FRANKLIN D ROOSEVELT ISLAND NEW YORK NEW YORK 10044 360263 * COLER MEMORIAL HOSPITAL GENERAL HOSP 212-848-6027 FRANKLIN D. ROOSEVELT ISLAND NEW YORK MANHATTAN 10044 360265 RIVINGTON H C FACILITY NURSING HOME 212-539-6450 45 RIVINGTON STREET NEW YORK NEW YORK 10002 360159 VIA HEALTH OF WAYNE GENERAL HOSP 315-332-2022 P O BOX 111 NEWARK WAYNE 14513 360168 CATTARAUGUS NRSNG HOME NURSING HOME 716-373-1910 2245 WEST STATE STREET OLEAN CATTARAUGUS 14760 360252 * OSSINING O D FAMILY H C OUTPATIENT FAC 914-941-1263 165 MAIN STREET OSSINING WESTCHESTER 10562 360253 * HUDSON RIVER HLTH CARE OUTPATIENT FAC 914-739-8105 1037 MAIN STREET PEEKSKILL WESTCHESTER 10566 360191 # HIGHLAND HOSP GENERAL HOSP 716-473-2200 SOUTH AVENUE AT BELLEVUE DRIVE ROCHESTER MONROE 14620 360213 BERTRAND CHAFFEE HOSP GENERAL HOSP 716-592-2871 224 EAST MAIN SPRINGVILLE ERIE 14141 360231 * BLYTHEDALE CHILDS HOSP REHAB FAC 914-592-7555 BRADHURST AVENUE VALHALLA WESTCHESTER 10595 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. # THE FACILITY INCLUDES MULTIPLE MEDICAL BUILDINGS. SUPPLEMENTAL LISTING FOLLOWS. I.D. # FACILITY NAME FACILITY ADDRESS CITY STATE ZIP ====== ======================= ================ ============ ===== ====== 360035 BEDFORD AMBULATORY CARE 485 THROOP AVENUE BROOKLYN NY 11201 360035 INTERFAITH M C/ST JOHNS 1545 ATLANTIC AVENUE BROOKLYN NY 11213 360035 JEWISH H MC OF BROOKLYN 555 PROSPECT PLACE BROOKLYN NY 11230 360035 PARKWAY FAMILY HLTH CTR 391 EASTERN PARKWAY BROOKLYN NY 11238 360035 RALPH AVENUE M C CENTER 38-40 RALPH AVENUE BROOKLYN NY 11213 360035 ST JOHNS BROWNSVILLE 379 ROCKAWAY AVENUE BROOKLYN NY 11221 360035 ST JOHNS BUSHWICK MMTP 1727 BROADWAY BROOKLYN NY 22107 360053 ADDITIONS RECOVERY CTR 468 SOUTH PEARL STREET CANANDAIGUA NY 14424 360053 ALCOHOL REHAB CENTER 7 NORTH STREET CANANDAIGUA NY 14424 360053 CANAL PARK FAMILY MED 555 WEST MAIN STREET PALMYRA NY 14522 360053 FINGER LAKES BREASTCARE 4 COULTER ROAD CLIFTON SPRING NY 14432 360053 FINGER LAKES COM CANCER 6 COULTER ROAD CLIFTON SPRING NY 14432 360053 LYONS DIAG/TREATMENT CT 122 BROAD STREET LYONS NY 14439 360053 LYONS MEDICAL CENTER 43-45 PHELPS STREET LYONS NY 14489 360053 PAL-MAC MEDICAL CENTER 1900 WEST WAYNE PLAZA MACEDON NY 14502 360053 PRIMARY CARE EXTENSION MGB 2ND FLOOR CLIFTON SPRING NY 11432 360053 SENECA FALLS DIAG/TREAT 2 FALL STREET SENECA FALLS NY 13148 360062 CUBA MEM HOSP W MAIN MC 138 WEST MAIN STREET CUBA NY 14727 360155 FAMILY CARE GROUP PRAC 411 WEST 114TH STREET NEW YORK NY 10025 360155 MENTAL HLTH CLINIC 15 WEST 65TH STREET NEW YORK NY 10023 360155 PSYCHIATRIC DAY CARE 411 WEST 114TH STREET NEW YORK NY 10025 360155 ROOSEVELT HOSP DIV 428 W 59TH STREET NEW YORK NY 10019 360155 ROOSEVELT HOSP DIV 910 9TH AVENUE BUILDING NEW YORK NY 10019 360155 SMITHERS ALCOHOLISM CTR 56 EAST 93RD STREET NEW YORK NY 10028 360155 SMITHERS CLINIC 17 WEST 60TH STREET NEW YORK NY 10023 360155 TRINITY HOUSE 324 WEST 108TH STREET NEW YORK NY 10025 360191 AVON FAMILY MEDICINE 190 CLINTON STREET EXTENSION AVON NY 14414 360191 DOWNTOWN HEALTH CLINIC AKA URAN CTR PRIMARY CARE ROCHESTER NY 14604 360191 GATES/CHILI PRI MD CARE AKA WEST CHILI OB & CHILI FAM ROCHESTER NY 14624 360191 HIGHLAND OB/GYN 520 WHITE SPRUCE BOULEVARD ROCHESTER NY 14623 360191 JACOB W HOLLER FAM M C AKA FAMILY MEDICINE ROCHESTER NY 14620 360191 N ROCHESTER FAM MED EXT 240 RIDGE ROAD EAST ROCHESTER NY 14621 360191 PARMA HEALTH CENTER 1024 HILTON PARMA CORNERS ROAD HILTON NY 14468 360191 PRIMARY MED & PRENATAL AKA PENFIELD OB&PENFIELD FAMIL PENFIELD NY 14526 360191 PRIMARY MED CARE EXT CL AKA HIGHLAND PARK ROCHESTER NY 14620 360191 PRIMARY MED&PRENATAL AKA DAVID-IUPPA & WEST RIDGE ROCHESTER NY 14626 360191 RUSH FAMILY MEDICINE 15 HIGH TECH DRIVE RUSH NY 14543 STATE NORTH CAROLINA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 370002 * LUTHRN NH ALBEMARLE UNT NURSING HOME 704-982-8191 24724 HIGHWAY 52 SOUTH ALBEMARLE STANLY 28001 370230 * PIEDMONT HEALTH SERVICE OUTPATIENT FAC - - 121 KINGSTON DRIVE CHAPEL HILL ORANGE 27514 370228 * CUMBERLAND CO HLTH DEPT PUB HLTH CTR 910-483-9046 227 FOUNTAINHEAD LANE FAYETTEVILLE CUMBERLAND 28301 370163 * LUTHRN NH SALISBURY UNT NURSING HOME 704-637-3784 820 KLUMAC RD SALISBURY ROWAN 28144 370229 * SNOW HILL MEDICAL CTR OUTPATIENT FAC 919-747-8162 302 N. GREEN SNOW HILL GREENE 28580 370231 * NEW HANOVER CHC OUTPATIENT FAC - - 925 NORTH 4TH STREET WILMINGTON 28401 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE NORTH DAKOTA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 380025 ST ALOISIUS HOSP GENERAL HOSP 701-342-4651 325 EAST BREWSTER STREET HARVEY WELLS 58341 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE OHIO ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 390023 WOOD COUNTY NRSNG HOME NURSING HOME 419-353-8411 11080 GYPSY LANE BOWLING GREEN WOOD 43402 390092 * COLUMBUS HEALTH CENTER PUB HLTH CTR 614-645-6228 181 WASHINGTON BLVD. COLUMBUS FRANKLIN 43215 390116 * MERCY SIENA WOODS NURSING HOME 513-278-8211 235 W. ORCHARD SPRINGS DRIVE DAYTON MONTGOMERY 45415 390127 LORA COUNTY PHC PUB HLTH CTR 216-323-5776 9880 S. MURRAY RIDGE ROAD ELYRIA LORAIN 44035 390132 GOOD SHEPHERD HOME NURSING HOME 419-435-1801 725 COLUMBUS AVENUE FOSTORIA SENECA 44830 390139 ST FRANCES REHAB HSP NH NURSING HOME 419-639-2626 401 N. BROADWAY STREET GREEN SPRINGS SANDUSKY 44836 390141 BRETHRENS HOME NURSING HOME 937-547-8000 750 CHESTNUT STREET GREENVILLE DARKE 45331 390150 HARDIN MEMORIAL HOSP GENERAL HOSP 419-673-0761 921 E FRANKLIN STREET KENTON HARDIN 43326 390152 ASHTABULA CO NRSNG HOME NURSING HOME 440-224-2161 DIBBLE ROAD KINGSVILLE ASHTABULA 44048 390154 OTTERBEIN HOME NURSING HOME 513-932-2020 ROUTE 2 LEBANON WARREN 45036 390171 * REHAB SRVS N CNTRL OHIO REHAB FAC 419-756-1133 270 STERKEL BOULEVARD MANSFIELD RICHLAND 44907 390187 * HOLMES CO PHC PUB HLTH CTR 216-674-5035 2 HOSPITAL DRIVE MILLERSBURG HOLMES 44654 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE OKLAHOMA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 400161 * KONAWA COMM HLTH CENTER OUTPATIENT FAC 580-925-3286 527 WEST THIRD STREET KONAWA SEMINOLE 74849 400160 * LLOYD E RADER DIAG CTR REHAB FAC 918-245-2541 ROUTE 5, P O BOX 9 SAND SPRINGS TULSA 73105 400141 * TULSA CITY-COUNTY HD PUB HLTH CTR 918-744-1000 4616 EAST 15TH STREET TULSA TULSA 74112 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE OREGON ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 410021 * PIONEER MEMORIAL HOSP GENERAL HOSP 503-676-9133 564 E PIONEER DR - PO BOX 9 HEPPNER MORROW 97836 410041 * MALHEUR MEMORIAL H C OUTPATIENT FAC 541-372-2211 301 MAIN STREET NYSSA MALHEUR 97913 410081 * VALLEY FAMILY HTH CARE OUTPATIENT FAC 503-642-9376 17 SOUTH THIRD STREET NYSSA MALHEUR 97913 410061 * DOERNBECHER CHILDRENS H GENERAL HOSP 503-418-5195 3181 S.W. SAM JACKSON PARK RD. PORTLAND MULTNOMAH 97201 410080 * WEST SALEM CLINIC OUTPATIENT FAC 503-588-5828 150 KINGWOOD AVENUE N W SALEM POLK 97304 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE PENNSYLVANIA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 420007 * BON SECOURS HOLY FAMILY GENERAL HOSP 814-944-1681 2500 SEVENTH AVE ALTOONA BLAIR 16602 420019 BROOKVILLE HOSP GENERAL HOSP 814-849-2312 100 HOSPITAL ROAD BROOKVILLE JEFFERSON 15825 420078 # ARMSTRONG CO MEM HOSP GENERAL HOSP 412-543-8162 ONE NOLTE DRIVE KITTANNING ARMSTRONG 16201 420093 # MEADVILLE MEDICAL CTR GENERAL HOSP 814-333-5121 1034 GROVE STREET MEADVILLE CRAWFORD 16335 420094 * WESBURY U METHODIST COM NURSING HOME 814-724-8000 31 NORTH PARK AVENUE MEADVILLE CRAWFORD 16335 420098 * MEYERSDALE COMM HOSP GENERAL HOSP 814-634-5911 200 HOSPITAL DRIVE MEYERSDALE SOMERSET 15552 420120 * S HUNTINGDON CO MED CTR OUTPATIENT FAC 814-447-5556 P O BOX 40 ORBISONIA HUNTINGDON 17243 420139 TUCKER HOUSE II NURSING HOME 215-235-1600 10TH AND WALLACE STS PHILADELPHIA PHILADELPHIA 19123 420141 KENSINGTON HOSP GENERAL HOSP 215-426-8100 136 W. DIAMOND ST. PHILADELPHIA PHILADELPHIA 19122 420157 ST IGNATIUS NRSNG HOME NURSING HOME 215-349-8800 4401 HAVERFORD AVENUE PHILADELPHIA PHILADELPHIA 19104 420163 GOLDEN SLIPPER/UPTOWN H NURSING HOME 215-722-2300 7800 BUSTLETON AVENUE PHILADELPHIA PHILADELPHIA 19152 420251 11 ST FAM HS/DREX UNIV OUTPATIENT FAC 850 NORTH 11TH STREET PHILADELPHIA PHILADELPHIA 19123 420193 BUCKTAIL MED CTR GENERAL HOSP 717-923-1000 1001 PINE STREET RENOVO CLINTON 17764 420208 * SOMERSET HOSP CTR HLTH GENERAL HOSP 814-443-5000 225 S CENTER AVENUE SOMERSET SOMERSET 15501 420226 SOLDIERS SAILORS MEM GENERAL HOSP 712-724-1631 32 CENTRAL AVENUE WELLSBORO TIOGA 16901 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. # THE FACILITY INCLUDES MULTIPLE MEDICAL BUILDINGS. SUPPLEMENTAL LISTING FOLLOWS. I.D. # FACILITY NAME FACILITY ADDRESS CITY STATE ZIP ====== ======================= ================ ============ ===== ====== 420078 ELDERTON HEALTH CENTER P O BOX 148 ELDERTON PA 16201 420078 LEECHBURG PRIMARY CARE 116 MAIN STREET LEECHBURG PA 16201 420078 SARVER PRIMARY CARE CTR SUITE 101 SARVER PA 16201 420093 MEADVILLE MC-GROVE ST 1034 GROVE STREET MEADVILLE PA 16335 STATE SOUTH CAROLINA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 450197 * MARGARET J WESTON H C OUTPATIENT FAC 803-593-9283 HWY 421 AT STORMBRANCH RD CLEARWATER AIKEN 29822 450201 * RICHLAND COMM HLTH CARE OUTPATIENT FAC 803-799-8407 1520 LAUREL STREET COLUMBIA RICHLAND 29203 450202 * GREELEYVILLE MEDICAL CL OUTPATIENT FAC 843-426-2180 201 S MAIN STREET GREELEYVILLE WILLIAMSBURG 29056 450084 WESLEY COMMONS NURSING HOME 864-227-7250 1100 MARSHALL ROAD GREENWOOD GREENWOOD 29646 450190 * ST JAMES-SANTEE RUR HP OUTPATIENT FAC 843-887-3274 P O BOX 608 MCCLELLANVILLE CHARLESTON 29458 450203 * NORTH CENTRAL FAM MED C OUTPATIENT FAC - - P O BOX 28 ROCK HILL 29731 450151 * SALUDA NURSING CENTER NURSING HOME 864-445-2146 P O BOX 389 SALUDA SALUDA 29138 450183 * LOWMAN HOME INFIRMARY NURSING HOME 803-732-3000 NO STREET ADDRESS WHITE ROCK RICHLAND 29177 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE SOUTH DAKOTA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 460024 HOLY INFANT HOSP GENERAL HOSP 605-948-2262 MAIN STREET HOVEN POTTER 57450 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE TENNESSEE ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 470205 * HILLCREST NORTH NH NURSING HOME 615-687-1321 5321 TAZEWELL PIKE KNOXVILLE KNOX 37918 470141 * LENTZ PUBLIC HLTH CTR PUB HLTH CTR 615-327-9313 311 - 23RD AVENUE NORTH NASHVILLE DAVIDSON 37203 470206 * BLEDSOE CO NURSING HM NURSING HOME 423-447-6811 HIGHWAY 30 WEST - P O BOX 250 PIKEVILLE BLEDSOE 37367 470193 * WAYNE CO NRSNG HOME NURSING HOME 615-722-3641 P O BOX 510 WAYNESBORO WAYNE 38485 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE TEXAS ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 480349 HOSPICE AUSTIN/CHRISTOP NURSING HOME 512-342-4700 2820 M L KING,JR. BLVD AUSTIN TRAVIS 78763 480338 HARRIS METH NORTHWEST GENERAL HOSP 817-444-8600 108 DENVER TRAIL AZLE TARRANT 76020 480057 CLIFTON LUTH SUNSET H NURSING HOME 254-675-8637 P O BOX 71 CLIFTON BOSQUE 76634 480106 * R E THOMASON GEN HOSP GENERAL HOSP 915-544-1200 4815 ALAMEDA AVENUE EL PASO EL PASO 79905 480122 * TARRANT COUNTY HOSP DIS GENERAL HOSP 817-921-3431 1500 S MAIN STREET FORT WORTH TARRANT 76104 480125 * EDGEWATER METH RET COMM NURSING HOME 713-763-6437 2228 SEAWALL BOULEVARD GALVESTON GALVESTON 77550 480154 * L B JOHNSON GEN HOSP GENERAL HOSP 713-636-5000 5656 KELLEY STREET HOUSTON HARRIS 77026 480159 RIVERSIDE GEN HOSP GENERAL HOSP 713-526-2441 3204 ENNIS HOUSTON HARRIS 77004 480160 * RIVERSIDE NEIGHBHD H C PUB HLTH CTR 713-284-9600 3315 DELANO STREET HOUSTON HARRIS 77004 480165 * SUNNYSIDE NEIGHBHD HC OUTPATIENT FAC 713-734-6699 9340 CULLEN HOUSTON HARRIS 77051 480168 * WEST END HEALTH CENTER PUB HLTH CTR 713-866-4100 190 HEIGHTS STREET HOUSTON HARRIS 77007 480346 * BERING OMEGA COMM SRVCS OUTPATIENT FAC 713-529-6071 1440 HAROLD HOUSTON HARRIS 77006 480351 * THOMAS ST CLINIC/HC HSP OUTPATIENT FAC 713-793-4000 2015 THOMAS STREET HOUSTON HARRIS 77009 480341 * S PLAINS H PROVIDER ORG OUTPATIENT FAC 806-293-8561 2801 WEST 8TH STREET PLAINVIEW HALE 70972 480352 * GULF COAST HEALTH CTR OUTPATIENT FAC - - 648 FIFTH STREET PORT ARTHUR 77640 480353 * COMM ACTION COUNCIL/TX OUTPATIENT FAC - - 111 PETE DIAZ JR AVENUE RIO GRANDE CIT 78582 480259 GOLDEN MANOR NRSNG HOME NURSING HOME 210-736-4544 130 SPENCER LANE SAN ANTONIO BEXAR 78201 480288 * STERLING CO NURSE HOME NURSING HOME 915-378-3201 P O BOX 46 STERLING CITY STERLING 76951 480354 * UVALDE COUNTY CLINIC OUTPATIENT FAC 830-278-7105 201 SOUTH EVANS STREET UVALDE 78801 480310 # CULBERSON CO HOSP DIST GENERAL HOSP 915-283-2760 P O BOX 609 VAN HORN CULBERSON 79855 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. # THE FACILITY INCLUDES MULTIPLE MEDICAL BUILDINGS. SUPPLEMENTAL LISTING FOLLOWS. I.D. # FACILITY NAME FACILITY ADDRESS CITY STATE ZIP ====== ======================= ================ ============ ===== ====== 480310 VAN HORN RURAL HEALTH C 309 EAST BROADWAY VAN HORN TX 79855 STATE UTAH ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 490040 BEAR RIVER VALLEY CARE NURSING HOME 435-257-5356 460 WEST 6TH NORTH TREMONTON BOX ELDER 84337 STATE VERMONT ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 500008 * GREENSBORO NH NURSING HOME 802-533-7051 NO STREET ADDRESS GREENSBORO ORLEANS 05481 500015 MAYO HEALTHCARE INC NURSING HOME 802-485-3161 1 RICHARDSON AVENUE NORTHFIELD WASHINGTON 05663 STATE VIRGINIA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 510021 * CHARL ALBERMARLE H CTR PUB HLTH CTR 804-295-0161 1138 ROSE HILL DRIVE CHARLOTTESVLE CHARLOTTESVILLE 22901 510047 * FREDERICKSBURG HLTH CTR PUB HLTH CTR 540-899-4142 608 JACKSON STREET FREDERICKSBURG FREDERICKSBURG 22401 510155 * PENINSULA INST COMM HLT PUB HLTH CTR 804-380-8709 4714 MARSHALL AVENUE NEWPORT NEWS NEWPORT NEWS 23607 510160 * PETERSBURG PHC PUB HLTH CTR 804-861-6582 301 HALIFAX STREET PETERSBURG PETERSBURG 23803 510128 * STAFFORD CO PHC PUB HLTH CTR 703-659-3101 P O 27 STAFFORD STAFFORD 22554 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE WASHINGTON ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 530098 * KITSAP COMMUNITY CLINIC OUTPATIENT FAC - - P O BOX 960 BREMERTON 98337 530037 * SKAGIT CO PHC PUB HLTH CTR 206-336-9380 COURTHOUSE MOUNT VERNON SKAGIT 98273 530096 * BAILEY-BOUSHAY HOUSE NURSING HOME 206-322-5300 2720 EAST MADISON SEATTLE KING 98112 530097 * ROSEHEDGE NURSING HOME 206-365-6806 12718 15TH AVENUE, N.E. SEATTLE KING 98125 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE WEST VIRGINIA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 540083 * EGLON CLINIC OUTPATIENT FAC 304-735-3155 P O BOX 8 EGLON PRESTON 26716 540084 MARSHALL UNIV MED CTR OUTPATIENT FAC 304-691-1600 1600 MEDICAL CENTER DRIVE HUNTINGTON CABELL 25701 540034 * WEST VIRGINIA REHAB CTR REHAB FAC 304-348-2396 STATE HGWY 25 INSTITUTE KANAWHA 25112 540085 * ROBERT BYRD HLTH SCIENC OUTPATIENT FAC 304-293-3528 1ST FLOOR, MED CENTER DRIVE MORGANTOWN MONONGALIA 26506 540068 * ADENA HILLS CENTER COMM MNTL HLTH CTR 304-845-3000 RT 3 BOX 126A FORT RIDGE RD MOUNDSVILLE MARSHALL 26041 540067 CORTLAND ACRES NH NURSING HOME 304-463-4181 HC 60, P O BOX 98 THOMAS TUCKER 26292 540077 * EASTER SEAL REHAB CTR REHAB FAC 304-242-1390 1305 NATIONAL ROAD WHEELING OHIO 26003 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE WISCONSIN ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 550028 * MEMORIAL COMM HOSP GENERAL HOSP 608-884-3441 313 STOUGHTON ROAD EDGERTON ROCK 53534 550030 MOUNDVIEW MEM HOSP&CLIN GENERAL HOSP 608-339-3331 402 W LAKE STREET FRIENDSHIP ADAMS 53934 550034 * CURATIVE WORKSHOP REHAB FAC 414-468-1161 2900 CURRY LANE PO BOX 8027 GREEN BAY BROWN 54308 550021 * ANNA JOHN NURSING HOME NURSING HOME 920-869-2797 P O BOX 365 ONEIDA BROWN 54155 550085 # DIVINE SAVIOR NURSING H GENERAL HOSP 608-742-4131 715 WEST PLEASANT STREET PORTAGE COLUMBIA 53901 550098 SPOONER COMM MEM HOSP GENERAL HOSP 715-635-2111 819 ASH STREET SPOONER WASHBURN 54801 550061 * CURATIVE REHAB CTR REHAB FAC 414-259-1414 1000 N 92ND STREET WAUWATOSA MILWAUKEE 53226 550123 * MILWAUKEE CO MHC MENTAL HOSP/UNIT 414-257-7483 9455 WATERTOWN PLANK RD WAUWATOSA MILWAUKEE 53226 550114 TRI COUNTY MEM HOSP GENERAL HOSP 715-538-4361 1801 LINCOLN STREET WHITEHALL TREMPEALEAU 54773 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. # THE FACILITY INCLUDES MULTIPLE MEDICAL BUILDINGS. SUPPLEMENTAL LISTING FOLLOWS. I.D. # FACILITY NAME FACILITY ADDRESS CITY STATE ZIP ====== ======================= ================ ============ ===== ====== 550085 DEVINE SAVIOR HOSPITAL 1015 WEST PLEASANT STREET PORTAGE WI 53901 STATE AMERICAN SAMOA ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 600003 * TA'U DISPENSARY PUB HLTH CTR 684-633-1222 ALDER AND CEDAR ST BOX 438 LEONE OFU TAU TUTUILA 96799 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE GUAM ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 660004 * NORTHERN REGION HC OUTPATIENT FAC 671-734-9917 NO STREET ADDRESS DEDEDO DEDEDO 96910 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE PUERTO RICO ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 720073 * CORP DE SALUD AL MIGRNT OUTPATIENT FAC 787-739-8182 CALLE FRANCISCO CRUZ HADDOCK 2 CIDRA CIDRA 00739 720026 HOSPITAL DEL MAESTRO GENERAL HOSP 787-758-8383 DOMENECH AVENUE HATO REY SAN JUAN 00936 720071 * LOIZA COMP HLTH SRV CTR OUTPATIENT FAC 787-876-2042 P O BOX 509 LOIZA LOIZA 00672 720034 * RIO GRANDE HEALTH CTR OUTPATIENT FAC 787-889-2260 APARTADO 511 LUQUILLO LUQUILLO 00673 720035 BELLA VISTA HOSPITAL GENERAL HOSP 787-834-2350 CARR 349 KM 2.7 MAYAGUEZ MAYAGUEZ 00709 720074 * NARANJITO HEALTH CENTER OUTPATIENT FAC 787-869-5900 GEORGETTI STREET NARANJITO NARANJITO 00719 720070 * PATILLAS PRI HLTH SV CT OUTPATIENT FAC 787-839-4260 P O BOX 697 PATILLAS PATILLAS 00723 720044 HOSPITAL DOCTOR PILA GENERAL HOSP 787-848-5600 BOX 1910, AVENIDA LAS AMERICO PONCE PONCE 00733 720045 HOS EPISCOPAL SAN LUCAS GENERAL HOSP 787-840-4545 P O BOX 2027 PONCE PONCE 00733 720052 MUNICIO DE SAN JUAN OUTPATIENT FAC 787-763-4242 APARTADO 21405 RIO PIEDRAS SAN JUAN 00928 720076 * HOGARES CREA AIDS PAT C NURSING HOME 787-761-0715 P O BOX 547 SAINT JUST SAINT JUST 00750 720055 * UNIVERSITY HOSPITAL GENERAL HOSP 787-765-4100 AMERICO MIRANDA AVENUE SAN JUAN SAN JUAN 00935 720059 ASHFORD PRESBYTERIAN GENERAL HOSP 787-721-2160 1451 ASHFORD AVENUE SAN JUAN SAN JUAN 00907 720075 * SAN JUAN AIDS PROGRAM OUTPATIENT FAC 787-723-2424 P O BOX 13964 SANTURCE SAN JUAN 00918 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE TRUST TERRITORY OF PACIFIC ISLANDS ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 750001 * ROTA HEALTH CENTER OUTPATIENT FAC 916-445-2603 COMMOMWLTH NO MARIANA ISLANDS SAIPAN SAIPAN 96950 750003 * TINIAN HEALTH CENTER OUTPATIENT FAC 910-445-2603 COMMONWLTH NO MARIANA ISLANDS SAIPAN SAIPAN 96950 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA. STATE VIRGIN ISLANDS ============================================= I.D. # FACILITY NAME FACILITY TYPE TELEPHONE # FACILITY ADDRESS CITY COUNTY ZIP ====== ======================== ============= ============ ==================== ======= ========= ==== 780001 * ST THOMAS HOSPITAL GENERAL HOSP 809-776-8311 48 SUGAR ESTATE ST THOMAS ST THOMAS 00801 * THESE FACILITIES ARE CERTIFIED UNDER A COMPLIANCE ALTERNATIVE. THEIR PROGRAMS MAY BE CALLED EITHER A FREE CARE, A CHARITY CARE, A DISCOUNTED SERVICES, OR AN INDIGENT CARE PROGRAM, ETC. THESE PROGRAMS MAY HAVE DIFFERENT ELIGIBILITY AND FINANCIAL CRITERIA.