IHIN Participating Sites

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1 IHIN Participating Sites Site Name Site Type Adair County Health System (641) Adair County Health System Hospital Greenfield 609 S E Kent IA 5084 Adair County Home LTC, AL or Nursing Home Greenfield 117 NW Hayes IA 5084 Adair County Public Health Local Public Health Greenfield 117 NW Hayes IA 5084 Greenfield Clinic Ambulatory Practice Greenfield 609 SE Kent Street IA 5084 Stuart Location Clinic Ambulatory Practice Stuart 303 SW 7th Street IA 5025 Akron Mercy Medical Clinic (712) Akron Mercy Medical Clinic Ambulatory Practice Akron 321 Mill Street IA 5100 All Care Health Center (Heartland Community Health Ne (712) All Care Health Center Surgical Center Council Bluffs 902 S 6th Street IA 5150 Audubon County Memorial Hospital (712) Audubon County Memorial Hospital Hospital Audubon 515 Pacific Ave IA 5002 Thursday, October 4, 2018 Page 1 of 45

2 Avera Health System (605) Avera Center Medical Clinic Ambulatory Practice Sioux Center 605 S Main Avenue IA 5125 Avera Holy Family Hospital Estherville 826 N 8th Street IA 5133 Avera Medical Group Ambulatory Practice Sibley 600 9th Avenue N IA 5124 Avera Medical Group - Estherville Clinic Ambulatory Practice Estherville 926 N 8th Street IA 5133 Avera Medical Group Family Practice Ambulatory Practice Spirit Lake rd St # C IA 5136 Avera Medical Group Spencer Ambulatory Practice Spencer 116 E 11th Street IA 5130 Avera Medical Group Spirit Lake Med Ctr Ambulatory Practice Spirit Lake rd St IA 5136 Family Medicine Clinic - Le Mars Ambulatory Practice Le Mars 194 Sixth Avenue NE IA 5103 Family Medicine Clinic - Marcus Ambulatory Practice Marcus 101 East Pine IA 5103 Family Medicine Clinic - Remsen Ambulatory Practice Remsen 015 East 2nd Street IA 5105 Floyd Valley Hospital Hospital Le Mars 714 Lincoln Street NE IA 5103 Hegg Medical Clinic - Avera Ambulatory Practice Rock Valley 2121 Hegg Drive IA 5124 Hegg Memorial Health Center-Avera Hospital Rock Valley st Avenue IA 5124 Lakes Regional Medical Center Hospital Spirit Lake 2301 U.S. 71 IA 5136 Osceola Community Hospital - Avera Hospital Sibley 600 9th Avenue N IA 5124 Royal Meadows Care Center LTC, AL or Nursing Home Sioux Center th Ave SE IA 5125 Sioux Center Community Hospital - Avera Hospital Sioux Center 605 S Main Avenue IA 5125 Bartels Lutheran Home (319) Bartels Linden Place LTC, AL or Nursing Home Waverly th Avenue NW IA 5067 Bartels Woodland Terrace LTC, AL or Nursing Home Waverly th Avenue NW IA 5067 Boone County Hospital (515) Boone County Hospital Hospital Boone 1015 Union Street IA 5003 Thursday, October 4, 2018 Page 2 of 45

3 Broadlawns Medical Center (515) Broadlawns Medical Center Hospital Des Moines 1801 Hickman Rd IA 5031 Buchanan County Health Center (319) Buchanan County Health Center Hospital Independence st St E IA 5064 Buena Vista Regional Medical Ctr (UP) (712) Buena Vista Regional Medical Center Hospital Storm Lake 1525 W 5th St IA 5058 Burgess Health Center (712) Burgess Health Center Hospital Onawa 1600 Diamond Street IA 5104 Burgess Health Center Ambulatory Practice Dunlap 612 Iowa Avenue IA 5152 Cass County Health System (712) Atlantic Medical Center Ambulatory Practice Atlantic 1501 East 10th Street IA 5002 Cass County Memorial Hospital Hospital Atlantic 1501 East 10th Street IA 5002 Central Iowa Family Planning (641) Central Iowa Family Planning - Grinnell Ambulatory Practice Grinnell 717 5th Avenue IA 5011 Central Iowa Family Planning - Marshalltown Ambulatory Practice Marshalltown 704 May Street IA 5015 Central Iowa Family Planning - Toledo Ambulatory Practice Toledo 501 South County Road IA 5234 CHC of Southeastern Iowa, Inc. (Heartland Community H (319) CHC Southeast Iowa, Inc. Ambulatory Practice West Burlington 1706 West Agency Road IA 5265 Hamilton Clinic Ambulatory Practice Hamilton 951 Broadway Street IL 6234 Keokuk Clinic Ambulatory Practice Keokuk 400 North 17th Street IA 5263 Louisa County Clinic Ambulatory Practice Columbus City 2409 Spring Street IA 5273 Thursday, October 4, 2018 Page 3 of 45

4 Cherokee Regional Medical Ctr (UP) (712) Cherokee Regional Clinic - Cherokee Ambulatory Practice Cherokee 300 Sioux Valley Drive IA 5101 Cherokee Regional Clinic - Holstein Ambulatory Practice Holstein 112 North Kiel Street IA 5102 Cherokee Regional Clinic - Marcus Ambulatory Practice Marcus 300 E. Pine Street IA 5103 Cherokee Regional Medical Center Hospital Cherokee 300 Sioux Valley Drive IA 5101 Chest, Infectious Diseases & Critical Care Assoc (515) Chest, Infectious Diseases & Critical Care Assoc Specialty Practice Clive 1601 NW 114th St Ste 347 IA 5032 Mercy Sleep Center Specialty Practice Clive 1449 NW 128th St Ste 120 IA 5032 CHI Nebraska dba CHI Health (402) Bedford Clinic Ambulatory Practice Bedford 1502 Madison St. IA 5083 CHI Health Mercy Corning Hospital Corning 603 Rosary Dr. IA 5084 CHI Health Mercy Council Bluffs Hospital Council Bluffs 800 Mercy Dr. IA 5150 CHI Health Missouri Valley Hospital Missouri Valley 631 N. 8th St. IA 5155 Corning Clinic Ambulatory Practice Corning 601 Rosary Dr IA 5084 Dunlap Clinic Ambulatory Practice Dunlap 707 Iowa Ave. IA 5152 Lenox Clinic Ambulatory Practice Lenox 210 Main St. IA 5085 Logan Clinic Ambulatory Practice Logan 122 W. 8th St. IA 5154 Missouri Valley Clinic Ambulatory Practice Missouri Valley 809 Elm St. IA 5155 WoodBine Clinic Ambulatory Practice Woodbine 518 Lincoln Way IA 5157 Chickasaw County Public Health (641) Chickasaw County Public Health LPHA New Hampton 260 East Prospect IA 5065 Thursday, October 4, 2018 Page 4 of 45

5 Clarinda Regional Health Center (712) Clarinda Regional Health Center Hospital Clarinda 220 Essie Davidson Drive IA 5163 Villisca Family Health Center Ambulatory Practice Villisca 309 S 5th Ave IA 5086 Clarke County Hospital (UP) (641) Clarke County Hospital Hospital Osceola 800 S Fillmore Street IA 5021 Community Health Care, Inc (563) Community Health Care, Inc. Ambulatory Practice Davenport 125 Scott Street IA 5280 Community Health Care, Inc. Ambulatory Practice Davenport 500 West River Drive IA 5280 Community Health Centers of Southern IA, Inc (641) Community Health Centers of Southern IA, Centerville Dentist Centerville 221 E State St IA 5254 Community Health Centers of Southern IA, Chariton BH or Substance Abuse Chariton 125 S. Grand IA 5004 Community Health Centers of Southern IA, Corydon BH or Substance Abuse Corydon 204 S Franklin IA 5006 Community Health Centers of Southern IA, Lamoni Ambulatory Practice Lamoni 802 E Ackerly IA 5014 Community Health Centers of Southern IA, Leon Ambulatory Practice Leon 302 NE 14th St IA 5014 Community Health Centers of Southern IA,Albia BH or Substance Abuse Albia 12 W. Washington Ave IA 5253 Community Health Partners of Sioux County (712) Community Health Partners of Sioux County Local Public Health Orange City 211 Central Ave IA 5104 Community Memorial Health Center (LTC) (712) Community Memorial Health Center - ALC LTC, AL or Nursing Home Hartley 231 N 8th Avenue W IA 5134 Community Memorial Health Center - LTC LTC, AL or Nursing Home Hartley 233 N 8th Avenue W IA 5134 Community Memorial Hospital (UP) (563) Community Memorial Hospital (UP) Hospital Sumner 909 West First Street IA 5067 Thursday, October 4, 2018 Page 5 of 45

6 Crawford County Memorial Hospital (712) Crawford County Memorial Hospital Hospital Denison 100 Medical Parkway IA 5144 Crescent Community Health Center (563) Crescent Community Health Center Ambulatory Practice Dubuque 1789 Elm Street IA 5200 Dallas Co. Public Health (515) Dallas County Public Health LPHA Adel 902 Court Street IA 5000 Dallas County Hospital (CHI) (515) Dallas County Hospital Hospital Perry th Street IA 5022 Davenport Surgical Group (563) Davenport Surgical Group Surgical Center Davenport 1228 E Rushholme Street IA 5280 Davis County Hospital (CHI) (641) Davis County Hospital Hospital Bloomfield 509 N Madison Street IA 5253 Decatur County Hospital (CHI) (641) Decatur County Hospital Hospital Leon 1405 NW Church Street IA 5014 Dermatology & Dermatologic Surgery Center, P.C. (515) Dermatology & Dermatologic Surgery Center, P.C. Specialty Practice Clive 8131 University Blvd IA 5032 Dermatology Clinic of Iowa PC (319) Dermatology Clinic of Iowa PC Specialty Practice Cedar Rapids st Ave SE IA 5240 Des Moines County Public Health (319) Des Moines County Health Dept. LPHA Burlington 522 North 3rd Street IA 5260 Thursday, October 4, 2018 Page 6 of 45

7 Ear Nose and Throat (605) Ear Nose and Throat Specialty Practice Dakota Dunes 101 Tower Rd Ste 120 SD 5704 Eastern Iowa Dermatology, PLC (563) Eastern Iowa Dermatology Specialty Practice Bettendorf 2880 AAA Court IA 5272 Edgerton Women's Health Center (563) Edgerton Women's Health Center Ambulatory Practice Davenport 1510 East Rusholme St IA 5280 Family Medicine Clinic, PC (712) Family Medicine Clinic, PC Ambulatory Practice Onawa 1614 Diamond Street Place IA 5104 Family Medicine of Mt. Pleasant, PC (319) Family Medicine of Mt. Pleasant, PC Ambulatory Practice Mt. Pleasant 504 S White St, Suite 1 IA 5264 Family Planning Council of Iowa (515) Family Planning Council of Iowa Administrative Des Moines 108 3rd Street IA 5030 Family Planning of Southeast Iowa (319) FCP of Southeast Iowa Specialty Practice Burlington 801 S Roosevelt Ave, Ste C IA 5260 Floyd County Memorial Hospital (641) Floyd County Memorial Hospital Hospital Charles City th Street IA 5061 Forefront Dermatology (319) Forefront Dermatology Cedar Rapids Ambulatory Practice Cedar Rapids 855 A Avenue NE IA 5240 Fort Madison Community Hospital (319) Fort Madison Community Hospital Hospital Fort Madison 5445 Avenue O IA 5262 Fort Madison Physicians & Surgeons Ambulatory Practice Fort Madison 5445 Avenue O IA 5262 Thursday, October 4, 2018 Page 7 of 45

8 Gastrointestinal Clinic of Quad Cities (563) Gastrointestinal Clinic of Quad Cities Specialty Practice Davenport 5041 Utica Ridge Road IA 5280 Thursday, October 4, 2018 Page 8 of 45

9 Genesis Health System (563) Genesis Alpha FP, Il Ambulatory Practice Alpha 202 Picard Street IL 6141 Genesis Bettendorf Endocrinology Specialty Practice Bettendorf 2535 Maplecrest Rd IA 5272 Genesis Bettendorf FP Lincoln Road Ambulatory Practice Bettendorf 865 Lincoln Road IA 5272 Genesis Bettendorf Medical Center Ambulatory Practice Bettendorf 4017 Devils Glen Road IA 5272 Genesis Bettendorf OB GYN Specialty Practice Bettendorf 865 Lincoln Road IA 5272 Genesis Bettendorf OM Ambulatory Practice Bettendorf 865 Lincoln Road IA 5272 Genesis Bettendorf Peds Specialty Practice Bettendorf 865 Lincoln Road IA 5272 Genesis Blue Grass Ambulatory Practice Blue Grass 413 S. Mississippi IA 5272 Genesis Convenient Care - Bettendorf Ambulatory Practice Bettendorf 4017 Devils Glen Road IA 5272 Genesis Convenient Care - Davenport Ambulatory Practice Davenport 1520 West 53rd Street IA 5280 Genesis Convenient Care, Il Ambulatory Practice Moline st Street IL 6126 Genesis Davenport Division Ambulatory Practice Davenport 3618 North Division Street IA 5280 Genesis Davenport North Ambulatory Practice Davenport 210 West 53rd Street IA 5280 Genesis Davenport NorthWest Ambulatory Practice Davenport 1520 West 53rd Street IA 5280 Genesis Davenport Peds Specialty Practice Davenport 1351 W Central Park IA 5280 Genesis DeWitt Ambulatory Practice De Witt th Street IA 5274 Genesis Durant Ambulatory Practice Durant 619 5th Street IA 5274 Genesis Eldridge Ambulatory Practice Eldridge 301 N 4th Avenue IA 5274 Genesis Erie - Il Ambulatory Practice Erie th Street IL 6120 Genesis Family Medical Center Ambulatory Practice Davenport 1345 West Central Park IA 5280 Genesis Health Group of Muscatine, Il Ambulatory Practice Muscatine 2104 Cedarwood Street IL 5276 Genesis Integrative Wellness Clinic, Il Ambulatory Practice Moline st Street IL 6126 Genesis Jackson County Regional Health Center Ambulatory Practice Maquoketa 700 West Grove Street IA 5206 Thursday, October 4, 2018 Page 9 of 45

10 Genesis LeClaire FP - Riverview Ambulatory Practice Le Claire 200 S Cody Road IA 5275 Genesis Medical Center - DeWitt Ambulatory Practice De Witt th Street IA 5274 Genesis Medical Center - DeWitt Hospital De Witt th Street IA 5274 Genesis Medical Center - East Campus Hospital Davenport 1227 E Rusholme Street IA 5280 Genesis Medical Center - East Campus Ambulatory Practice Davenport 1227 E Rusholme Street IA 5280 Genesis Medical Center - Illini Center, Il Ambulatory Practice Silvis 801 Hospital Road IL 6128 Genesis Medical Center - West Campus Ambulatory Practice Davenport 1401 West Central Park IA 5280 Genesis Mercer County Hospital - Il Hospital Aledo 409 NW Ninth Avenue IL 6123 Genesis Mercer Medical Associates, Il Ambulatory Practice Aledo 1007 NW 3rd Street IL 6123 Genesis Mercy IM Clinton Ambulatory Practice Clinton 221 Main Avenue IA 5273 Genesis Moline - Valley View East, Il Ambulatory Practice Moline 615 Valley View Drive IL 6126 Genesis Moline - Valley View West, Il Ambulatory Practice Moline 515 Valley View Drive IL 6126 Genesis Moline ENT - Il Ambulatory Practice Moline st Street IL 6126 Genesis Moline IM - Valley View, Il Ambulatory Practice Moline 615 Valley View Drive IL 6126 Genesis Moline Occupational Health, Il Ambulatory Practice Moline st Street IL 6126 Genesis Neurosurgical Assoc Surgical Center Davenport 1351 West Central Park IA 5280 Genesis Physical Medicine & Rehab Ambulatory Practice Davenport 1351 West Central Park IA 5280 Genesis Plastic Surgery Specialists Surgical Center Davenport 5335 Eastern Avenue IA 5280 Genesis Psychology Associates Ambulatory Practice Davenport 4455 E 56th Street IA 5280 Genesis Rock Island Arsenal, Il Ambulatory Practice Rock Island 1634 Whittemore Street IL 6129 Genesis Rock Island IM, Il Ambulatory Practice Rock Island th Street IL 6120 Genesis Silvis Anesthesiology, Il Specialty Practice Silvis 801 Illini Drive IL 6128 Genesis Silvis FP/IM - Larson Center, Il Ambulatory Practice Silvis 855 Illini Drive IL 6128 Genesis Silvis OB GYN, Il Specialty Practice Silvis 855 Illini Drive IL 6128 Thursday, October 4, 2018 Page 10 of 45

11 Genesis Silvis Peds, Il Specialty Practice Silvis th Street IL 6128 Genesis Silvis Pulmonology, Il Specialty Practice Silvis 855 Illini Drive IL 6128 Genesis Silvis Surgical Associates, Il Surgical Center Silvis 855 Illini Drive IL 6128 Genesis Spine Center Ambulatory Practice Bettendorf 2535 Maplecrest Road IA 5272 Jackson County Regional Health Center Hospital Maquoketa 700 W Grove Street IA 5206 Great River Medical Center / Great River Health System Great River Medical Center Hospital West Burlington 1221 South Gear Ave IA 5265 Great River Medical Group (563) Great River Medical Group Ambulatory Practice Davenport 4626 Progress Drive IA 5280 Greater Des Moines Dermatology PC (515) Greater Des Moines Dermatology PC Specialty Practice Urbandale th St. IA 5032 Greater Regional Medical Center (UP) (641) Greater Regional Medical Center (UP) Hospital Creston 1700 W Townline Street IA 5080 Green Hills Health Care Center, Inc (515) Green Hills Health Care Center LTC, AL or Nursing Home Ames 2210 Hamilton Dr IA 5001 Greene County Medical Center (UP) (515) Greene County Medical Center Hospital Jefferson 1000 W Lincolnway IA 5012 Greenwood Drug, Inc. (319) Denver Drug Pharmacy Denver 340 S. State St IA 5062 Greenwood Drug on Kimball Pharmacy Waterloo 2104 Kimball Ave IA 5070 Reinbeck Pharmacy Pharmacy Reinbeck 401 Main St IA 5066 Thursday, October 4, 2018 Page 11 of 45

12 Grinnell Regional Medical Center (641) Central Iowa Rheumatology Specialty Practice Grinnell 210 4th Ave IA 5011 Deer Creek Family Care Ambulatory Practice Toledo 401 First Ave IA 5234 Grinnell Regional After Hours Quick Clinic Ambulatory Practice Grinnell 210 4th Ave IA 5011 Grinnell Regional Family Practice Ambulatory Practice Grinnell 210 4th Av IA 5011 Grinnell Regional Home Care Home Health or Hospice Grinnell 210 4th Ave IA 5011 Grinnell Regional Hopsice Home Health or Hospice Grinnell 306 4TH Ave IA 5011 Grinnell Regional Medical Center Hospital Grinnell 210 4th Av IA 5011 Grinnell Regional Medical Center Hospital Part A Hospital Grinnell 210 4th Ave IA 5011 Grinnell Regional Medical Center Hospital Part B Hospital Grinnel 210 4th Ave IA 5011 Grinnell Regional Medical Center Swing Bed Hospital Grinnel 210 4th Ave IA 5011 Grinnell Regional Mental Health Specialty Practice Grinnell 210 4th Ave IA 5011 Grinnell Regional Orthopedics Specialty Practice Grinnell 210 4th Ave IA 5011 Grinnell Regional Ostomy and Wound Specialty Practice Grinnell 210 4th Ave IA 5011 Grinnell Regional Pain Clinic Specialty Practice Grinnell 210 4th Ave IA 5011 Grinnell Regional Public Health LPHA Grinnell 306 4th Ave IA 5011 Grinnell Regional Women's Health Clinic LPHA Grinnell 210 4th Ave IA 5011 GRMC Internal Medicine Ambulatory Practice Grinnell 210 4th Ave IA 5011 Lynnville Medical Clinic Ambulatory Practice Lynnville 303 East Street IA 5015 Victor Health Center Ambulatory Practice Victor 709 2nd Street IA 5234 Grundy County Memorial Hospital (UP) (319) Grundy County Memorial Hospital Hospital Grundy Center 201 East J Avenue IA 5063 Thursday, October 4, 2018 Page 12 of 45

13 Guthrie County Hospital (UP) (641) Guthrie County Clinic - Adair Ambulatory Practice Adair 401 Audubon Street IA 5000 Guthrie County Clinic - Panora Ambulatory Practice Panora 603 E Main Street IA 5021 Guthrie County Clinic - Stuart Ambulatory Practice Stuart 312 N Freemont Street IA 5025 Guthrie County Hospital Hospital Guthrie Center 710 North 12th Street IA 5011 Guthrie County Hospital Specialty Clinic Ambulatory Practice Guthrie Center 710 N 12th St IA 5011 Guttenberg Municipal Hospital (UP) (563) Cornerstone Family Practice Ambulatory Practice Edgewood 101 South Washington IA 5204 Cornerstone Family Practice Ambulatory Practice Guttenberg 200 Main Street IA 5205 Cornerstone Family Practice Ambulatory Practice Guttenberg 104 South Main IA 5205 Guttenberg Municipal Hospital Hospital Guttenberg 200 Main Street IA 5205 Hamilton Co Pub Hospital/Van Diest (515) Hamilton Co Public Hospital/Van Diest Med Ctr Hospital Webster City 2350 Hospital Drive IA 5059 Hawarden Regional Healthcare (712) Hawarden Regional Clinics, LLC Ambulatory Practice Ireton 318 Main St IA 5102 Hawarden Regional Healthcare Hospital Hawarden th St IA 5102 Hawarden Regional Healthcare Clinics Ambulatory Practice Hawarden 1122 Ave L IA 5102 Health Ventures of Central Iowa (515) Health Ventures of Central Iowa Administrative Ames 111 Duff Avenue IA 5001 Hematology-Oncology Assoc (563) Hematology-Oncology Assoc Specialty Practice Bettendorf 1315 E Kimberly Road IA 5272 Thursday, October 4, 2018 Page 13 of 45

14 Henry County Health Center (319) Henry County Health Center Hospital Mount Pleasant 407 S White Street IA 5264 Henry County Public Health (319) Henry County Community Health LPHA Mount Pleasant 407 South White Street IA 5264 Hillcrest Family Services (Mental Health Center) (563) Anna & Lawther Academy BH or Substance Abuse Dubuque 2005 Asbury Rd IA 5200 Downtown Dubuque Satellite Community Mental Health Center BH or Substance Abuse Dubuque 225 W. 6th St IA 5200 Henry County Mental Health Center BH or Substance Abuse Mount Pleasant 106 N. Jackson St IA 5264 Hillcrest Mental Health Center BH or Substance Abuse Dubuque 200 Mercy Dr Ste 200 IA 5200 Hillcrest RCF/PMI BH or Substance Abuse Dubuque 1160 Seippel Rd IA 5200 Jackson County Mental Health Center BH or Substance Abuse Maquoketa 117 S. Olive St IA 5206 Louisa County Mental Health Center BH or Substance Abuse Wapello 220 N. 2nd St IA 5265 Washington County Mental Health Center BH or Substance Abuse Washington 2175 Lexington Blvd IA 5235 Home Town Physical Therapy (712) LeMars Physical Therapy Physical Therapy Des Moines 214 Watson Powell Jr. Way IA 5030 North Iowa Physical Therapy Physical Therapy Buffalo Center 125 North Main IA 5042 Okoboji Physical Therapy Physical Therapy Spirit Lake 1380 Lake Street IA 5136 Orange City Physical Therapy Physical Therapy Orange City 101 3rd Street NW IA 5104 Humboldt Co. Memorial Hospital (UP) (515) Humboldt County Memorial Hospital Hospital Humboldt th St N IA 5054 Iowa City Dermatology (513) Iowa City Dermatology Specialty Practice Iowa City 269 N 1st Ave., Ste 100 IA 5224 Thursday, October 4, 2018 Page 14 of 45

15 Iowa Department of Public Health (515) Bureau of Family Health Government Entity Des Moines 321 E 12th Street IA 5031 Center for Acute Disease Epidemiology Government Entity Des Moines 321 # 12th Street IA 5031 Iowa Diabetes & Endocrinology Center (515) Iowa Diabetes & Endocrinology Center Specialty Practice Des Moines 411 Laurel, Suite 3262 IA 5031 Iowa Head & Neck PC (515) Iowa Head & Neck PC Specialty Practice Des Moines 3901 Ingersoll Avenue IA 5031 Iowa Health (ACO) Iowa Health Payer Urbandale 9943 Hickman Rd., Ste 103 IA 5032 Iowa Kidney Physicians (515) Iowa Kidney Physicians Specialty Practice Des Moines 1215 Pleasant Street IA 5030 Iowa Medicaid Enterprise (515) Iowa Medicaid Enterprise Government Entity Des Moines 100 Army Post Road IA 5031 Iowa Primary Care Association (515) Iowa PCA Administrative Urbandale 9943 Hickman Road IA 5032 Thursday, October 4, 2018 Page 15 of 45

16 Iowa Specialty Hospitals (515) Belmond Clinic Ambulatory Practice Belmond 403 1st Street SE IA 5042 Clarion Clinic Ambulatory Practice Clarion 1316 S Main Street IA 5052 Gabrielson Clinic Ambulatory Practice Webster 815 Des Moines St IA 5059 Gabrielson Clinic Ambulatory Practice Clear Lake 401 S 17th Street IA 5042 Hampton Clinic Ambulatory Practice Hampton 700 2nd Street SE Suite 101 IA 5044 Iowa Specialty Hospital - Belmond Hospital Belmond 403 1st Street SE IA 5042 Iowa Specialty Hospitals Hospital Clarion 1316 S Main IA 5052 Iowa Specialty Surgeons Surgical Center West Des Moines 4949 Weston Parkway IA 5026 Iowa Weight Loss Specialists Specialty Practice West Des Moines 4949 Weston Parkway IA 5026 Orthopedic Specialists Ambulatory Practice Fort Dodge st Avenue S IA 5050 Jefferson County Hospital (641) Jefferson County Hospital Hospital Fairfield 2000 S Main Street IA 5255 Jennie Edmundson Mem Hospital (712) Jennie Edmundson Mem Hospital Hospital Council Bluffs 933 E Pierce Street IA 5150 June E. Nylen Cancer Center June E. Nylen Cancer Specialty Practice Sioux City 230 Nebraska IA 5110 Kahl Home (563) Kahl Home LTC, AL or Nursing Home Davenport 6701 Jersey Ridge Rd IA 5280 Keokuk Area Hospital (UPH) (319) Keokuk Area Hospital Hospital Keokuk 1600 Morgan St IA 5263 Thursday, October 4, 2018 Page 16 of 45

17 Keokuk County Health Center (641) Keokuk County Health Center Hospital Sigourney Highway 149 IA 5259 Keokuk County Medical Clinic Ambulatory Practice Sigourney Highway 149 IA 5259 Knoxville Hospital and Clinics (CHI) (641) Knoxville Hospital and Clinics Hospital Knoxville 1002 South Lincoln Street IA 5013 Linn County Public Health (319) Linn County Public Health Local Public Health Cedar Rapids th Street NW IA 5240 Loring Hospital (UP) (712) Loring Home Health Agency Home Health or Hospice Sac City 301 Highland Lower Level IA 5058 Loring Hospital Hospital Sac City 211 Highland Avenue IA 5058 Loring Physical Therapy Physical Therapy Sac City 211 Highland Avenue IA 5058 Madison County Healthcare System (CHI) (515) Earlham Medical Clinic Ambulatory Practice Earlham 125 West 1st Street IA 5007 Health Trust Physicians Clinic Ambulatory Practice Winterset 300 West Hutchings Street IA 5027 Madison County Memorial Hospital Hospital Winterset 300 West Hutchings Steet IA 5027 Madison County Medical Assoc (515) Madison County Medical Associates Ambulatory Practice Winterset 60 E Court Ave IA 5027 Mahaska Health Partnership (641) Mahaska Health Partnership Hospital Oskaloosa 1229 C Avenue E IA 5257 Manning Regional HC Center (CHI) (712) Manning Regional HC Center (CHI) Hospital Manning th Street IA 5145 Thursday, October 4, 2018 Page 17 of 45

18 Marengo Memorial Hospital (UP) (319) Marengo Memorial Hospital Hospital Marengo 300 West May Street IA 5230 Marion County Public Health Department (641) Marion County Public Health Department Local Public Health Knoxville 2003 N. Lincoln IA 5013 Mary Greeley Medical Center (515) Mary Greeley Medical Center Hospital Ames 1111 Duff Avenue IA 5001 Thursday, October 4, 2018 Page 18 of 45

19 McFarland Clinic PC (515) McFarland Clinic - Ames Ambulatory Practice Ames 1215 Duff Avenue IA 5001 McFarland Clinic - Ames Ambulatory Practice Ames 1018 Duff Avenue IA 5001 McFarland Clinic - Ames Ambulatory Practice Ames 3815 Stange Rd IA 5001 McFarland Clinic - Ames Ambulatory Practice Ames 3600 W. Lincoln Way IA 5001 McFarland Clinic - Ames Ambulatory Practice Ames 1128 Duff Avenue IA 5001 McFarland Clinic - Ames Ambulatory Practice Ames 1015 Duff Avenue IA 5001 McFarland Clinic - Ames Ambulatory Practice Ames 2707 Stange Road IA 5001 McFarland Clinic - Boone Ambulatory Practice Boone 718 Story Street IA 5003 McFarland Clinic - Carroll Ambulatory Practice Carroll 1214 S. Grant Road IA 5140 McFarland Clinic - Eldora Ambulatory Practice Eldora 2413 Edgington Avenue IA 5062 McFarland Clinic - Fort Dodge Ambulatory Practice Fort Dodge 802 Kenyon Road IA 5050 McFarland Clinic - Iowa Falls Ambulatory Practice Iowa Falls 701 Washington Avenue IA 5012 McFarland Clinic - Jefferson Ambulatory Practice Jefferson 1002 W. Lincoln Way IA 5012 McFarland Clinic - Marshalltown Ambulatory Practice Marshalltown 303 Nichols Avenue IA 5015 McFarland Clinic - Marshalltown Ambulatory Practice Marshalltown 312 E. Main Street IA 5015 McFarland Clinic - Nevada Ambulatory Practice Nevada th Street IA 5020 McFarland Clinic - Nevada Ambulatory Practice Nevada 260 6th Street IA 5020 McFarland Clinic - Story City Ambulatory Practice Story City 705 8th Street IA 5024 McFarland Clinic - Webster City Ambulatory Practice Webster City 510 Bank Street IA 5059 Medical Assoc of Maquoketa (563) Medical Assoc of Maquoketa Ambulatory Practice Maquoketa 918 W Platt Street #1 IA 5206 Medical Assoc of Maquoketa - Preston Ambulatory Practice Preston 411 White Street IA 5206 Medical Assoc of Maquoketa - Wyoming Ambulatory Practice Wyoming 307 E Webster Street IA 5236 Thursday, October 4, 2018 Page 19 of 45

20 Mercy - Catholic Health Initiatives - dba Mercy Medical C (515) Iowa Diabetes & Endocrinology Center Ambulatory Practice Des Moines 411 Laurel, Suite 3262 IA 5031 Iowa Heart Center - Ames Specialty Practice Ames 1816 Philadelphia IA 5001 Iowa Heart Center - Ankeny Specialty Practice Ankeny 800 E First St., Ste. E220 IA 5002 Iowa Heart Center - Cardiothoracic Surgery Specialty Practice Des Moines 411 Laurel St., Ste. A250 IA 5031 Iowa Heart Center - Carroll Specialty Practice Carroll 405 S. Clark St. IA 5140 Iowa Heart Center - Fort Dodge Specialty Practice Fort Dodge 800 Kenyon Rd. IA 5050 Iowa Heart Center - Indianola Specialty Practice Indianola 2006 N 4th St IA 5012 Iowa Heart Center - Marshalltown Specialty Practice Marshalltown 312 E. Main St., Ste IA 5015 Iowa Heart Center - Mercy Specialty Practice Des Moines 411 Laurel St., Ste. A250 IA 5031 Iowa Heart Center - Ottumwa Specialty Practice Ottumwa 1005 Pennsylvania Ave., Ste. IA 5250 Iowa Heart Center - Vascular Surgery Specialty Practice West Des Moines 5880 University Ave IA 5026 Iowa Heart Center - Vein Center Specialty Practice West Des Moines 5880 University Ave IA 5026 Iowa Heart Center - West Des Moines Specialty Practice West Des Moines 5880 University Ave IA 5026 Mercy ACO Transition Coaches Specialty Practice Des Moines 207 Crocker St., Ste. 200 IA 5030 Mercy Adel Medical Clinic Ambulatory Practice Adel 1120 Greene Street IA 5000 Mercy Beaverdale Medical Clinic Ambulatory Practice Des Moines th St, Suite 1 IA 5031 Mercy Brain and Spine Center Ambulatory Practice Des Moines th Ave IA 5031 Mercy Briarwood Medical Cllinic Ambulatory Practice Ankeny 120 NW 36th St IA 5002 Mercy Campus Medical Clinic Ambulatory Practice Des Moines 411 Laurel St., Ste. A120 IA 5031 Mercy Cancer Center Cynecologic Oncology Specialty Practice Des Moines 411 Laurel Street, Suite 330 IA 5031 Mercy Cancer Radiation Oncology Specialty Practice Des Moines 411 Laurel St., Suite C-100 IA 5031 Mercy Capitol Internal Medicine Ambulatory Practice Des Moines 1350 Des Moines Street, Sui IA 5030 Mercy Carlisle Family Practice Clinic Ambulatory Practice Carlisle 125 School Street IA 5004 Thursday, October 4, 2018 Page 20 of 45

21 Mercy Central Pediatric Clinic Ambulatory Practice Des Moines 330 Laurel Ste IA 5031 Mercy Clinics Geriatric Services Specialty Practice Des Moines 1540 High St., Ste. 101 IA 5030 Mercy Clinics Mental Health Specialty Practice Des Moines 6601 SW 9th St, Ste 2 IA 5031 Mercy Clinics Midwifery Specialty Practice Des Moines 330 Laurel St., Ste IA 5031 Mercy Craniofacial and Children's Reconstructive Surgery Specialty Practice Des Moines 330 Laurel Street, Suite 120 IA 5031 Mercy Diabetes & Education Specialty Practice Pleasant Hill 5900 East University IA 5032 Mercy Diabetes & Education Central Specialty Practice Des Moines 411 Laurel St, Ste 3100 IA 5031 Mercy Diabetes & Education Indianola Specialty Practice Pleasant Hill 5900 East University IA 5032 Mercy Diabetes & Education North Specialty Practice Ankeny 800 E. First St. IA 5002 Mercy Diabetes & Education Ottumwa Specialty Practice Pleasant Hill 5900 East University IA 5032 Mercy Diabetes & Education South Specialty Practice Pleasant Hill 5900 East University IA 5032 Mercy Diabetes & Education West Specialty Practice Pleasant Hill 5900 East University IA 5032 Mercy Ear, Nose and Throat Clinic Specialty Practice Clive 1601 NW 114th St., Ste. 230IA 5032 Mercy East Family Practice & Urgent Care Ambulatory Practice Pleasant Hill 5900 East University Suite 1 IA 5032 Mercy East Pediatric Clinic Ambulatory Practice Des Moines 5900 East University Ave. Ste IA 5032 Mercy East Physical Therapy Physical Therapy Pleasant Hill 5900 East University Avenue, IA 5032 Mercy East Village Family Practice & Urgent Care Ambulatory Practice Des Moines 1350 Des Moines Street, Ste IA 5030 Mercy Family Care Panora Ambulatory Practice Panora 319 E. Main Street IA 5021 Mercy Family Care Perry Ambulatory Practice Perry th Street IA 5022 Mercy Family Medicine of Urbandale Ambulatory Practice Urbandale 4005 NW Urbandale Drive IA 5032 Mercy Gastroenterology Clinic Specialty Practice Clive 1601 NW 114th St., Ste. 342IA 5032 Mercy Gastroenterology Clinic-Indianola Specialty Practice Indianola 2006 N. 4th St. IA 5012 Mercy Indianola Family Medicince & Urgent Care Ambulatory Practice Indianola 307 E. Scenic Valley Ave IA 5012 Mercy Indianola Physical Therapy Physical Therapy Indianola 307 E Scenic Valley Avenue, IA 5012 Thursday, October 4, 2018 Page 21 of 45

22 Mercy Indianola Specialty Clinic Specialty Practice Indianola 2006 N. 4th Street IA 5012 Mercy Internal Medicine-Urbandale Ambulatory Practice Urbandale 4005 NW Urbandale Drive IA 5032 Mercy Johnston Medical Clinic Ambulatory Practice Johnston 5615 NW 86th Street IA 5013 Mercy Johnston Pediatric Clinic Specialty Practice Johnston 5615 NW 86th St., Ste. 200 IA 5013 Mercy Jordan Creek Internal Medicine Ambulatory Practice West Des Moines 1055 Jordan Creek Pkwy., St IA 5026 Mercy Medical Center - Centerville Hospital Centerville Saint Joseph Dr IA 5254 Mercy Medical Center - Des Moines Hospital Des Moines th Avenue IA 5031 Mercy Medical Center - West Lakes Hospital West Des Moines th Place IA 5026 Mercy Medical Clinic-Centerville Ambulatory Practice Centerville Saint Josephs Drive IA 5254 Mercy Neurosurgery Specialty Practice Des Moines th Ave.-ET Suite B1 IA 5031 Mercy North Family Practice and Urgent Care Ambulatory Practice Ankeny 800 E. First St., Ste IA 5002 Mercy North Pediatric Clinic Specialty Practice Ankeny 800 E. 1st St. Ste IA 5002 Mercy North Physical Therapy Physical Therapy Ankeny 800 East First Street, Suite W IA 5002 Mercy Occupational Health Clinic Specialty Practice Mercy Ottumwa Medical Clinic Ambulatory Practice Ottumwa 1005 Pennsylvania Ave, Ste IA 5250 Mercy Pediatric Neurology Center Ambulatory Practice Des Moines 411 Laurel Street, Suite 331 IA 5031 Mercy Pediatric Psychiatry Center Specialty Practice Des Moines 411 Laurel Street, Suite 331 IA 5031 Mercy Pediatric Subspecialty Clinic Specialty Practice Des Moines 330 Laurel St., Suite 1200 IA 5031 Mercy Physical Medicine & Rehabilitation Specialty Practice Des Moines th Ave., ET Suite B3 IA 5031 Mercy Physical Medicine & Rehabilitation-Briarwood Specialty Practice Ankeny 120 N.W. 36th St. IA 5002 Mercy Plastic Surger Specialty Practice Des Moines 411 Laurel Street, Suite 210 IA 5031 Mercy Prairie Trail Family Medicine Ambulatory Practice Ankeny 2605 SW White Birch Drive IA 5002 Mercy Quick Care Clinic-Mills Civic Ambulatory Practice West Des Moines 555 S. 51st St IA 5026 Mercy Quick Care Dahl's Hickman Ambulatory Practice Clive Hickman Road IA 5032 Thursday, October 4, 2018 Page 22 of 45

23 Mercy Quick Care Dahl's Ingersoll Ambulatory Practice Des Moines 3425 Ingersoll Avenue IA 5031 Mercy Ruan Neurology Clinic Specialty Practice Des Moines th Ave., East Tower St IA 5031 Mercy South Family Practice and Ugent Care Ambulatory Practice Des Moines 6601 SW 9th Street IA 5031 Mercy South Physical Therapy Physical Therapy Des Moines 3310 SW 9th Street IA 5031 Mercy Surgical Affiliate Specialty Practice Des Moines 411 Laurel Street, Suite 210 IA 5031 Mercy Surgical Affiliates-Katzmann Breast Center Specialty Practice Clive 1601 NW 114th Street, Suite IA 5032 Mercy Transplant Center Ambulatory Practice Des Moines 411 Laurel St Suite 2310 IA 5031 Mercy Urbandale Physical Therapy Physical Therapy Urbandale 4003 NW Urbandale Drive IA 5032 Mercy Urbandale-Aurora Medical Clinic Ambulatory Practice Urbandale 6200 Aurora Avenue IA 5032 Mercy Walnut Ridge Physical Therapy Physical Therapy Clive 1701 Campus Drive IA 5032 Mercy Waukee Mediccal Clinic Ambulatory Practice Waukee 25 West Hickman Road IA 5026 Mercy Waukee Pediatric Clinic Ambulatory Practice Waukee 25 West Hickman Road, Suit IA 5026 Mercy Waukee Physical Therapy Physical Therapy Waukee 25 West Hickman Road, Suit IA 5026 Mercy Weight Loss & Nutrition Center Specialty Practice Clive University Avenue, Sui IA 5032 Mercy West Family Practice and Urgent Care Ambulatory Practice Clive 1601 NW 1114th Street IA 5032 Mercy West Grand Medical Clinic Ambulatory Practice Des Moines th Street, Ste 106 IA 5026 Mercy West Pediatric Clinic Ambulatory Practice Clive 1601 NW 1114th St., Ste. 34 IA 5032 Mercy West Physical Therapy Physical Therapy Clive 1601 NW 114th Street, Suite IA 5032 Mercy Westown Internal Medicine Clinic Ambulatory Practice West Des Moines 5901 Westown Parkway, Suit IA 5026 Perinatal Center of Iowa Specialty Practice Des Moines 330 Laurel St., Suite 2300 IA 5031 Mercy Hospital (Iowa City) (319) Mercy Hospital (Iowa City) Hospital Iowa City 500 East Market Street IA 5224 Thursday, October 4, 2018 Page 23 of 45

24 Mercy Medical Services Clinics - North Iowa (Trinity Heal (641) Mercy Bariatric Center Ambulatory Practice Mason City 910 N Eesenhower IA 5040 Mercy Family Clinic - Buffalo Center Ambulatory Practice Buffalo Center 115 North Main IA 5042 Mercy Family Clinic - Charles City Ambulatory Practice Charles City 1624 South Grand Av IA 5061 Mercy Family Clinic - Clear Lake Ambulatory Practice Clear Lake th Avenue South IA 5042 Mercy Family Clinic - Forest City Ambulatory Practice Forest City 635 East Highway 9 IA 5043 Mercy Family Clinic - Forest Park Ambulatory Practice Mason City th St SW, Ste 120 IA 5040 Mercy Family Clinic - Greene Ambulatory Practice Greene 104 E Traer IA 5063 Mercy Family Clinic - Northwood Ambulatory Practice Northwood 803 9th Ave N IA 5045 Mercy Family Clinic - Regency Ambulatory Practice Mason City 621 South Illinois, Ste 100 IA 5040 Mercy Family Clinic - Rockford Ambulatory Practice Rockford 702 East Main Av IA 5046 Mercy Family Clinic - Sheffield Ambulatory Practice Sheffield 203 South 2nd St IA 5047 Mercy Family Medicine - Residency Ambulatory Practice Mason City 101 S Taylor IA 5040 Mercy Pediatric Adolescent Clinic Ambulatory Practice Clear Lake 401 South 15th St IA 5042 Thursday, October 4, 2018 Page 24 of 45

25 MercyCare Service Corporation (319) Hall Radiation Center Specialty Practice Cedar Rapids th Street SE IA 5240 Health Partners Clinic Specialty Practice Cedar Rapids th Street SE IA 5240 Internists Associates of Iowa Specialty Practice Cedar Rapids 543 7th Street SE IA 5240 Mercy Employee Health Center Ambulatory Practice Mason City 788 8th Avenue SE Ste 204 IA 5040 Mercy Family Counseling Ambulatory Practice Hiawatha 1340 Blairs Ferry Road IA 5223 Mercy General Surgery Clinic Surgical Center Cedar Rapids 788 8th Avenue SE IA 5241 Mercy Medical Center Hospital Cedar Rapids th St NE IA 5240 Mercy Pediatric Center Ambulatory Practice Cedar Rapids 600 7th Street SE IA 5240 MercyCare - Blairs Ferry Ambulatory Practice Hiawatha 1790 Blairs Ferry Rd IA 5223 MercyCare - Center Point Ambulatory Practice Center Point 900 Bank Court IA 5221 MercyCare - East Post Road Ambulatory Practice Marion 1100 Meadowview Drive IA 5230 MercyCare - Edgewood Ambulatory Practice Cedar Rapids 2815 Edgewood Road SW IA 5240 MercyCare - Endocrinology Specialty Practice Cedar Rapids 5264 Council Street NE IA 5240 MercyCare - Johnson Avenue Ambulatory Practice Cedar Rapids 75 Short Street NW IA 5240 MercyCare - Marion Ambulatory Practice Marion 3701 Katz Drive IA 5230 MercyCare - Marion Urgent Care Ambulatory Practice Marion 3701 Katz Drive IA 5230 MercyCare - Monticello Ambulatory Practice Monticello 619 South Main Street IA 5231 MercyCare - Mount Vernon Ambulatory Practice Mount Vernon 310 Hwy 1 SE IA 5231 MercyCare - North Ambulatory Practice Cedar Rapids 5264 Council Street NE IA 5240 MercyCare - North Liberty Ambulatory Practice North Liberty 1765 Lininger Lane IA 5231 MercyCare - North Liberty Urgent Care Ambulatory Practice North Liberty 1765 Lininger Lane IA 5231 MercyCare - Occupational Health Specialty Practice Cedar Rapids 5234 Council Street SE IA 5240 MercyCare - Second Avenue Ambulatory Practice Cedar Rapids nd Avenue SE IA 5240 Thursday, October 4, 2018 Page 25 of 45

26 MercyCare - South Ambulatory Practice Cedar Rapids 2815 Edgewood Road SW IA 5240 MercyCare - Tama Ambulatory Practice Tama 402 Siegel Street IA 5233 MercyCare - Vernon Village Ambulatory Practice Cedar Rapids 3933 Mt Vernon Road SW IA 5240 MercyCare - Wilkinson Ambulatory Practice Cedar Rapids 788 8th Avenue SE IA 5240 Oldorf Hospice House of Mercy Home Health or Hospice Hiawatha th Avenue IA 5223 Pulmonology Clinic Specialty Practice Cedar Rapids 788 8th Avenue SE IA 5240 Wayne Alberts, MD Ambulatory Practice Cedar Rapids th Street SE Ste 2300 IA 5240 Thursday, October 4, 2018 Page 26 of 45

27 Mercy-Trinity (515) Baum-Harmon Mercy Hospital Hospital Rock Rapids 255 N Welch Avenue IA 5124 Central Community Hospital Hospital Elkader 901 Davidson St NW IA 5204 Franklin General Hospital Hospital Hampton 1720 Central Ave E IA 5044 Hancock County Health System Hospital Britt 532 1st Street Northwest IA 5042 Hansen Family Hospital Hospital Iowa Falls 920 South Oak IA 5012 Kossuth Regional Health Center Hospital Algona 1519 South Phillips Street IA 5051 Mercy Adel Medical Clinic Ambulatory Practice Adel 1120 Greene Street IA 5000 Mercy Beaverdale Medical Clinic Ambulatory Practice Des Moines th Street IA 5031 Mercy Campus Medical Clinic Ambulatory Practice Des Moines 411 Laurel Street IA 5031 Mercy Carlisle Family Practice Clinic Ambulatory Practice Carlisle 125 School Street IA 5004 Mercy East Family Practice Ambulatory Practice Pleasant Hill 5900 E University Avenue IA 5032 Mercy East Village Family Practice Ambulatory Practice Des Moines 1350 Des Moines Street IA 5030 Mercy Family Care - Perry Ambulatory Practice Perry th Street IA 5022 Mercy Family Medicine of Urbandale Ambulatory Practice Urbandale 4005 NW Urbandale Drive IA 5032 Mercy Indianola Family Medicine Ambulatory Practice Indianola 307 East Scenic Valley Avenu IA 5012 Mercy Johnston Medical Clinic Ambulatory Practice Johnston 5615 NW 86th Street IA 5013 Mercy Medical Center - Clinton Hospital Clinton 1410 N 4th Street IA 5273 Mercy Medical Center - Dubuque Hospital Dubuque 250 Mercy Drive IA 5200 Mercy Medical Center - Dyersville Hospital Dyersville rd Street SW IA 5204 Mercy Medical Center - New Hampton Hospital New Hampton 308 North Maple Avenue IA 5065 Mercy Medical Center - North Iowa Hospital Mason City th Street SW IA 5040 Mercy Medical Center - Sioux City Hospital Sioux City 801 5th Street IA 5110 Mercy North Family Practice Ambulatory Practice Ankeny 800 E First Street IA 5002 Thursday, October 4, 2018 Page 27 of 45

28 Mercy Ottumwa Medical Clinic Ambulatory Practice Ottumwa 1005 Pennsylvania Ave IA 5250 Mercy Panora Medical Clinic Ambulatory Practice Panora 319 East Main Street IA 5021 Mercy Prairie Trail Family Medicine Ambulatory Practice Ankeny 2605 SW White Birch Dr. IA 5002 Mercy South Family Practice Ambulatory Practice Des Moines 6601 SW 9th Street IA 5031 Mercy Urbandale Aurora Medical Clinic Ambulatory Practice Urbandale 6200 Aurora Avenue IA 5032 Mercy Waukee Medical Clinic Ambulatory Practice Waukee 25 West Hickman Road IA 5026 Mercy West Family Practice Ambulatory Practice Clive 1601 NW 114th Street IA 5032 Mercy West Grand Medical Clinic Ambulatory Practice West Des Moines th Street IA 5026 Mitchell County Regional Health Center Hospital Osage 620 N 8th Street IA 5046 Palo Alto County Health System Hospital Emmetsburg st street IA 5053 Regional Health Services of Howard County Hospital Cresco 235 Eighth Avenue West IA 5213 Trinity Health Administrative West Des Moines th Place IA 5026 Midlands Clinic P.C. (605) Midlands Clinic P.C. Specialty Practice Dakota Dunes 705 Sioux Road, Ste 100 SD 5704 Midlands Living Center (712) Midlands Living Center LTC, AL or Nursing Home Council Bluffs 2452 N Broadway IA 5150 Monroe County Hospital (641) Monroe County Hospital Hospital Albia St IA 5253 Thursday, October 4, 2018 Page 28 of 45

29 Montgomery County Mem Hospital (712) Montgomery County Memorial Hospital Hospital Red Oak 2301 Eastern Avenue IA 5156 Montgomery County MH Surgical Services Surgical Center Red Oak 1400 Senate Avenue IA 5156 Red Oak Internal Medicine Ambulatory Practice Red Oak 1400 Senate Avenue #108 IA 5156 Villisca Medical Clinic Ambulatory Practice Villisca 301 East 4th Street IA 5086 Women's Health Center Ambulatory Practice Red Oak 1400 Senate Avenue IA 5156 Neurology Consultants PC (563) Neurology Consultants, PC Specialty Practice Davenport 1351 W. Central Park Ave. IA 5280 Northcrest Living Center (712) Northcrest Living Center LTC, AL or Nursing Home Council Bluffs 34 Northcrest Drive IA 5150 Ottumwa Regional Health Center (641) Ottumwa Regional Health Center Hospital Ottumwa 1001 Pennsylvania Ave IA 5250 Palmer Lutheran Health Center (Gundersen) (563) Palmer Home Care Home Health or Hospice West Union 200 Jefferson Street IA 5217 Palmer Home Care - Medical Equipment Administrative West Union 200 Jefferson Street IA 5217 Palmer Lutheran Health Center Hospital West Union 112 Jefferson Street IA 5217 Palmer Lutheran Health Center - Urgent Care Ambulatory Practice West Union 112 Jefferson Street IA 5217 Thursday, October 4, 2018 Page 29 of 45

30 Pella Regional Health Center (641) Bussey Clinic Ambulatory Practice Bussey 411 Merrill Street IA 5004 Central College Clinic Ambulatory Practice Pella 812 University IA 5021 Comfort House Home Health or Hospice Pella 505 Union Street IA 5021 Knoxville Clinic Ambulatory Practice Knoxville 1208 N Lincoln IA 5013 Monroe Clinic Ambulatory Practice Monroe 100 E Sherman IA 5017 Ottumwa Clinic Ambulatory Practice Ottumwa 920 N Quincy Avenue IA 5250 Pella Clinic Ambulatory Practice Pella 405 Monroe IA 5021 Pella Regional Health Center Hospital Pella 404 Jefferson Street IA 5021 Pella Regional Health Center Ambulatory Practice Pella 413 Jefferson Street IA 5021 Pella Regional Heath Center Ambulatory Practice Pella 2605 Washington Street IA 5021 Sully Clinic Ambulatory Practice Sully 704 Third Street IA 5025 Vermeer Clinic Ambulatory Practice Pella 1610 Vermeer Road IA 5021 Peoples Community Health Clinic (319) People's Community Health Clinic Ambulatory Practice Clarksville 118 South Main Street IA 5061 People's Community Health Clinic Ambulatory Practice Waterloo 905 Franklin Street IA 5070 Thursday, October 4, 2018 Page 30 of 45

31 Planned Parenthood of Heartland (515) Planned Parenthood - Ames Ambulatory Practice Ames 2530 Chamberlain IA 5001 Planned Parenthood - Ankeny Ambulatory Practice Ankeny 704 N Ankeny Blvd IA 5002 Planned Parenthood - Burlington Ambulatory Practice Burlington 620 North 8th IA 5260 Planned Parenthood - Council Bluffs Ambulatory Practice Council Bluffs nd Avenue IA 5150 Planned Parenthood - Creston Ambulatory Practice Creston 1109 S Sumner Street IA 5080 Planned Parenthood - Fort Dodge Ambulatory Practice Fort Dodge 30 North 27th Street IA 5050 Planned Parenthood - Iowa City Ambulatory Practice Iowa City 850 Orchard Street IA 5224 Planned Parenthood - Keokuk Ambulatory Practice Keokuk 1626 Morgan IA 5263 Planned Parenthood - Mount Pleasant Ambulatory Practice Mount Pleasant 114 E Monroe #11 IA 5264 Planned Parenthood - Red Oak Ambulatory Practice Red Oak 950 Senate Avenue IA 5156 Planned Parenthood - Rosenfield Ambulatory Practice Des Moines 1000 E Army Post Road IA 5031 Planned Parenthood - Sioux City Ambulatory Practice Sioux City 4409 Stone Avenue IA 5110 Planned Parenthood - Susan Knapp Ambulatory Practice Des Moines 2304 University IA 5031 Planned Parenthood - Washington Ambulatory Practice Washington 311 North 4th Avenue IA 5235 Planned Parenthood - West Ambulatory Practice Urbandale New York Avenue IA 5032 Pocahontas Community Hospital (UP) (712) Pocahontas Community Hospital Hospital Pocahontas 606 NW 7th Street IA 5057 Thursday, October 4, 2018 Page 31 of 45

32 Primary Health Care Inc (515) East Side Medical Ambulatory Practice Des Moines 3509 E 29th Street IA 5032 Engebretsen Medical Clinic Ambulatory Practice Des Moines 2353 SE 14th Street IA 5032 Marshalltown Medical Clinic Ambulatory Practice Marshalltown 412 E Church Street IA 5015 Primary Care Inc Administration Administrative Urbandale 9943 Hickman Road IA 5032 Primary Health Care Inc Billing Office Ambulatory Practice Des Moines 3509 E 29th Street IA 5031 Primary Health Care Inc. Ambulatory Practice Urbandale 9943 Hickman Road IA 5032 Project of Primary Health Care Inc. Ambulatory Practice Des Moines 711 E 2nd Street IA 5030 Story County Clinic (Ames) Ambulatory Practice Ames 3510 Lincoln Way IA 5001 The Outreach Project Ambulatory Practice Des Moines 1200 University Avenue IA 5031 Regional Medical Center (563) Regional Medical Center Hospital Manchester 709 West Main Street IA 5205 Riley F Uglum OD PC (641) Riley F Uglum OD PC Ambulatory Practice New Hampton 8 East Spring Street IA 5065 Ringgold County Hospital (CHI) (641) Ringgold County Hospital Hospital Mount Ayr 504 North Cleveland Street IA 5085 Ringgold County Hospital - Clinic Ambulatory Practice Mount Ayr 504 North Cleveland Street IA 5085 River Hills Community Health Center (641) River Hills Community Health Center Ambulatory Practice Ottumwa 931 Pennsylvania IA 5250 River Hills Community Health Center Ambulatory Practice Richland 100 West Main IA 5258 River Hills Community Health Center Ambulatory Practice Ottumwa 201 South Market IA 5250 River Hills Community Health Center Ambulatory Practice Ottumwa 1301 North Elm Street IA 5250 River Hills Community Health Center Ambulatory Practice Centerville 1015 North 18th Street IA 5254 Thursday, October 4, 2018 Page 32 of 45

33 Sanford Health System (605) Boyden Clinic Ambulatory Practice Boyden th Street IA 5123 George Clinic Ambulatory Practice George 101 N Main Street IA 5123 Hartley Clinic Ambulatory Practice Hartley 512 3rd Street NE IA 5134 Hospers Medical Clinic Ambulatory Practice Hospers 102 3rd Avenue S IA 5123 Mill Creek Family Practice Ambulatory Practice Linden th Street IA 5014 Northwest Surgery Surgical Center Orange City 1000 Lincoln Circle SE STE 2 IA 5104 Northwestern College Clinic Ambulatory Practice Orange City 208 8th Street SW IA 5104 OC Surgical Services Surgical Center Orange City 1000 IA 5104 Orange City Area Audiology Specialty Practice Orange City 1000 Licoln Circle SE Ste 10 IA 5104 Orange City Area Audiology Specialty Practice Orange City 1000 Lincoln Circle SE STE 1 IA 5104 Orange City Area Health System Hospital Orange City 1000 Lincoln Circle SE IA 5104 Orange City Home Health Home Health or Hospice Orange City 1000 Lincoln Circle SE IA 5104 Orange City Hospice Home Health or Hospice Orange City 400 Central Ave NW IA 5104 Orange City Medical Clinic Ambulatory Practice Orange City 1000 Lincoln Circle SE Ste 1 IA 5104 Regional Radiology Specialty Practice Sheldon 118 N 7th Ave IA 5120 Rock Rapids Clinic Ambulatory Practice Rock Rapids 803 S Greene Street IA 5124 Sanborn Clinic Ambulatory Practice Sanborn 321 Main Street IA 5124 Sandord Health Dialysis Hosper Specialty Practice Hospers 112 Sunrise Dr IA 5123 Sanford Health System Administrative Fargo 801 Broadway North ND Sanford Hospital Rock Rapids Hospital Rock Rapids 801 S Greene St IA 5124 Sanford Sheldon Medical Center Hospital Sheldon 118 N 7th Ave IA 5120 Sheldon Clinic Ambulatory Practice Sheldon 800 Oak Street IA 5120 Sheldon Home Health Home Health or Hospice Sheldon 118 N 7th Ave IA 5120 Thursday, October 4, 2018 Page 33 of 45

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