CASPER Report 0006D Name and Address Listing For Rural ...

CASPER Report 0006D Name and Address Listing

For Rural Health Clinic Based on Current Survey

Maine

Run Date: 05/24/2017 Job # 57880641 Last Update: 05/23/2017 Page 1 of 2

CCN

208502 208523

203983

208509

208522 203835 203992 203993

203988

203881 203890

203889 203994 208501 208504 203825 203975

Key Provider Name

Address

* ACADIA FAMILY HEALTH CENTER 460 MAIN STREET SUITE 104

* ARNOLD MEMORIAL MEDICAL

70 SNARE CREEK ROAD

CENTER * ARTHUR JEWELL COMMUNITY

55 REYNOLDS RD

HEALTH CENTER * CALAIS REGIONAL MEDICAL

37 PALMER STREET, SUITE 3

SERVICES

*

CORINTH MEDICAL ASSOCIATES

492 MAIN STREET

* DEXTER FAMILY HEALTH

51 HIGH STREET SUITE A

* DEXTER INTERNAL MEDICINE

41 HIGH ST

* DOVER-FOXCROFT FAMILY

891 W MAIN ST

PRACTICE * ELSEMORE-DIXFIELD FAMILY

146 WELD STREET

MEDICINE * FAMILY MEDICINE

6 FACTORY RD

* FAMILY PLANNING ASSOCIATION OF 147 WALDO AVE

MAINE INC * FULL CIRCLE HEALTH CARE, LLC

1063 ALLAGASH RD

* GUILFORD MEDICAL ASSOCIATES 3 PARK ST

* HOULTON FAMILY PRACTICE

20 HARTFORD ST

* INLAND FAMILY CARE - UNITY

80 MAIN ST

* ISLESBORO HEALTH CENTER

150 MAIN ROAD

* LMP FAMILY CARE CENTER

19 ST ANDREWS LANE

208510 208511

* LMP FAMILY MEDICINE

79 SCHOONER STREET

DAMARISCOTTA

* LMP FAMILY MEDICINE WALDOBORO 592 WEST MAIN STREET

208507 208521

208520 203991 208513 208505

* MILBRIDGE MEDICAL CENTER (RHC) 5 SCHOOL ST

* MILLINOCKET FAMILY MEDICINE 200 SOMERSET STREET, SUITE 3

RHC

*

MILLINOCKET PRIMARY CARE RHC 200 SOMERSET STREET

* MILO FAMILY PRACTICE

135 PARK STREET - PO BOX 7

* N M M C MEDICAL OFFICE BUILDING 194 E. MAIN ST.

* NEW HORIZONS HEALTHCARE

167 MAIN STREET

* = Non-Deemed

City, State and ZIP

MADAWASKA, ME 04756 JONESPORT, ME 04649

Telephone # County Name

(207)728-6359 Aroostook (207)255-3356 Washington

BROOKS, ME 04921

(207)338-2500 Waldo

CALAIS, ME 04619

(207)454-8195 Washington

CORINTH, ME 04427

(207)285-3312 Penobscot

DEXTER, ME 04930

(207)924-7349 Penobscot

DEXTER, ME 04930

(207)924-5226 Penobscot

DOVER FOXCROFT, ME 04426 (207)924-3424 Piscataquis

DIXFIELD, ME 04224

(207)562-4226 Oxford

EAST MACHIAS, ME 04630 BELFAST, ME 04915

(207)255-3338 Washington (207)338-3736 Waldo

ALLAGASH, ME 04774 GUILFORD, ME 04443 HOULTON, ME 04730 UNITY, ME 04988 ISLESBORO, ME 04848 BOOTHBAY HARBOR, ME 04538 DAMARISCOTTA, ME 04543

(207)398-1022 Aroostook (207)876-3547 Piscataquis (207)532-3289 Aroostook (207)984-2100 Waldo (207)734-2213 Waldo (207)633-7820 Lincoln

(207)563-4321 Lincoln

WALDOBORO, ME 04572

(207)832-6394 Lincoln

MILBRIDGE, ME 04658 MILLINOCKET, ME 04462

(207)546-2391 Washington (207)723-5161 Penobscot

MILLINOCKET, ME 04462 MILO, ME 04463 FORT KENT, ME 04743 NORTH ANSON, ME 04958

(207)723-5173 Penobscot (207)943-7752 Piscataquis (207)834-3155 Aroostook (207)635-2330 Somerset

CASPER Report 0006D Name and Address Listing

For Rural Health Clinic Based on Current Survey

Maine

CCN

Key Provider Name

Address

208506 203857 203987 208517 208516

208515 203839 208514 208508

208512

203985

203989 208503 208518 208519

* NEW HORIZONS HEALTHCARE

344 LAKEWOOD ROAD

* NEWPORT FAMILY PRACTICE

26 MAIN STREET, SUITE 2, PO BOX J

* NORTHWOODS HEALTHCARE

PRITHAM AVE

* OXFORD HILLS FAMILY PRACTICE 34 WINTER ST

* PENOBSCOT VALLEY PRIMARY

252 ENFIELD RD SUITE 2

CARE * RIVER VALLEY INTERNAL MEDICINE 431 FRANKLIN STREET

* SEAPORT FAMILY PRACTICE, P A 41 WIGHT ST

* SEBASTICOOK VALLEY HEALTH

470 SOMERSET AVE

* SIGRID E TOMPKINS HEALTH

20 HARTFORD STREET

CENTER * STATION HILL MEDICAL OFFICE

104 EAST MAIN STREET

BUILDING * STOCKTON SPRINGS REGIONAL

MILL ROAD PO BOX 309

HEALTH CENTER * SWIFT RIVER HEALTH CARE

430 FRANKLIN ST

* VALLEY MEDICAL ASSOCIATION

194 E MAIN ST

* WESTERN MAINE FAMILY PRACTICE 193 MAIN STREET

* WESTERN MAINE PEDIATRICS

193 MAIN STREET

Total Providers for this State = 40

City, State and ZIP

MADISON, ME 04950 NEWPORT, ME 04953 GREENVILLE, ME 04441 NORWAY, ME 04268 LINCOLN, ME 04457

RUMFORD, ME 04276 BELFAST, ME 04915 PITTSFIELD, ME 04967 HOULTON, ME 04730

FORT KENT, ME 04743

STOCKTON SPRINGS, ME 04981 RUMFORD, ME 04276 FORT KENT, ME 04743 NORWAY, ME 04268 NORWAY, ME 04268

Run Date: 05/24/2017 Job # 57880641 Last Update: 05/23/2017 Page 2 of 2

Telephone # County Name

(207)474-2994 Somerset (207)368-5747 Penobscot (207)695-2084 Piscataquis (207)743-8031 Oxford (207)794-3321 Penobscot

(207)269-1032 Oxford (207)338-6900 Waldo (207)487-5141 Somerset (207)532-2234 Aroostook

(207)834-3101 Aroostook

(207)567-4000 Waldo

(207)369-0146 Oxford (207)834-5877 Aroostook (207)743-9292 Oxford (207)743-8766 Oxford

* = Non-Deemed

CCN

Key Provider Name

223800

* ISLAND HEALTH INC

Total Providers for this State = 1

CASPER Report 0006D Name and Address Listing

For Rural Health Clinic Based on Current Survey

Massachusetts

Address 245 VINEYARD HAVEN ROAD

City, State and ZIP EDGARTOWN, MA 02539

Run Date: 05/24/2017 Job # 57880641 Last Update: 05/23/2017 Page 1 of 1

Telephone # County Name (508)693-5090 Dukes

* = Non-Deemed

CASPER Report 0006D Name and Address Listing

For Rural Health Clinic Based on Current Survey

New Hampshire

CCN

303992 303989

303816

303984 303978 303988 303990 303814 303987 303991

Key Provider Name

* ANTRIM MEDICAL GROUP * COTTAGE HOSPITAL INTERNAL

MEDICINE * DARTMOUTH HITCHCOCK

PLYMOUTH * NEWFOUND FAMILY PRACTICE * NEWPORT HEALTH CENTER * NORTH COUNTRY PRIMARY CARE * PLYMOUTH OB/GYN * SACO RIVER MEDICAL GROUP * SPEARE PRIMARY CARE * WEEKS MEDICAL CENTER

Address

12 ELM ST 79 SWIFTWATER RD, SUITE 2

71 HIGHLAND STREET

5 SCHOOL STREET 11 JOHN STARK HIGHWAY 580 ST JOHNSBURY RD 16 HOSPITAL RD 7 GREENWOOD AVENUE 103 BOULDER POINTE DR 43 MAIN STREET

303977 303975 303976 303980

* WEEKS MEDICAL CENTER -

GROVETON * WEEKS MEDICAL CENTER -

LANCASTER * WEEKS MEDICAL CENTER

WHITEFIELD * WESTSIDE HEALTH CARE

Total Providers for this State = 14

47 CHURCH STREET 170 MIDDLE STREET 8 CLOVER LANE 15 AIKEN AVE

City, State and ZIP

ANTRIM, NH 03440 WOODSVILLE, NH 03785

PLYMOUTH, NH 03264

BRISTOL, NH 03222 NEWPORT, NH 03773 LITTLETON, NH 03561 PLYMOUTH, NH 03264 CONWAY, NH 03818 PLYMOUTH, NH 03264 NORTH STRATFORD, NH 03590 GROVETON, NH 03582

LANCASTER, NH 03584

WHITEFIELD, NH 03598

FRANKLIN, NH 03235

Run Date: 05/24/2017 Job # 57880641 Last Update: 05/23/2017 Page 1 of 1

Telephone # County Name (603)588-4200 Hillsboro (603)747-2900 Grafton

(603)536-3700 Grafton

(603)744-5441 Grafton (603)863-4100 Sullivan (603)444-7070 Grafton (603)536-1104 Grafton (603)447-3500 Carroll (603)536-6355 Grafton (603)922-5039 Coos

(603)788-2521 Coos

(603)788-2521 Coos

(603)837-9005 Coos

(603)934-4259 Merrimack

* = Non-Deemed

CASPER Report 0006D Name and Address Listing

For Rural Health Clinic Based on Current Survey

Vermont

Run Date: 05/24/2017 Job # 57880641 Last Update: 05/23/2017 Page 1 of 1

CCN

Key Provider Name

Address

473824 473981 473982

473814 473979

473988 473991

473989 473992 473827 473987

* COLD HOLLOW FAMILY PRACTICE 84 WATER TOWER ROAD

* GRACE COTTAGE FAMILY HEALTH 185 GRAFTON RD, PO BOX 216

* NORTH COUNTRY OB/GYN

81 MEDICAL VILLAGE DRIVE SUITE 2

SERVICES * NORTH COUNTRY PEDIATRICS

121 MEDICAL VILLAGE DRIVE

* NORTH COUNTRY PRIMARY CARE 186 MEDICAL VILLAGE DRIVE

NEWPORT * NVRH CORNER MEDICAL

195 INDUSTRIAL PARKWAY

None NVRH KINGDOM INTERNAL

714 BREEZY HILL ROAD

MEDICINE * NVRH ST JOHNSBURY PEDIATRICS 97 SHERMAN DRIVE

None NVRH-WOMENS WELLNESS CENTER 1315 HOSPITAL DRIVE

* RYDER BROOK PEDIATRICS

PO BOX 608

* THE BARTON HEALTH CLINIC

488 ELM STREET

Total Providers for this State = 11

City, State and ZIP

Telephone # County Name

ENOSBURG FALLS, VT 05450 (802)933-6664 Franklin

TOWNSHEND, VT 05353

(802)365-4331 Windham

NEWPORT, VT 05855

(802)334-4110 Orleans

NEWPORT, VT 05855 NEWPORT, VT 05855

(802)334-5929 Orleans (802)334-3522 Orleans

LYNDONVILLE, VT 05851

(802)748-9501 Caledonia

SAINT JOHNSBURY, VT 05819 (802)748-7500 Caledonia

SAINT JOHNSBURY, VT 05819 (802)748-5131 Caledonia

SAINT JOHNSBURY, VT 05819 (802)748-7520 Caledonia

MORRISVILLE, VT 05661

(802)888-2448 Lamoille

BARTON, VT 05822

(802)525-3539 Orleans

* = Non-Deemed

CASPER Report 0006D Name and Address Listing

For Rural Health Clinic Based on Current Survey

New York

Run Date: 05/24/2017 Job # 57880641 Last Update: 05/23/2017 Page 1 of 1

CCN

Key Provider Name

Address

333805 333835

333834

333833

333831

333803 333829 333830

333808

* COMMUNITY HEALTH CENTER

2 MAIN STREET

* FAMILY HEALTH CENTER OF CMH - 164 BROAD STREET

HAMILTON * FAMILY HEALTH CENTER OF CMH - 3460 SOUTH STREET

MORRISVILLE * FAMILY HEALTH CENTER OF CMH - 117 WEST MAIN STREET

WATERVILLE

*

GREENVILLE FAMILY HEALTH CARE 20 BRYANT'S COUNTRY SQUARE,

CENTER

ROUTE 32

* TRI-COUNTY FAMILY COHOCTON PARK AVENUE

* TRI-COUNTY FAMILY MEDICINE

60 RED JACKET STREET

* TRI-COUNTY FAMILY MEDICINE

200 NORTH MAIN STREET

PROGRAM * TRI-COUNTY FAMILY NUNDA

61 NORTH STATE STREET

Total Providers for this State = 9

City, State and ZIP

Telephone # County Name

CHERRY VALLEY, NY 13320 (607)264-3036 Otsego

HAMILTON, NY 13346

(315)824-8447 Madison

MORRISVILLE, NY 13408

(315)684-9848 Madison

WATERVILLE, NY 13480

(315)841-4566 Oneida

GREENVILLE, NY 12083

(518)966-8786 Greene

COHOCTON, NY 14826 DANSVILLE, NY 14437 WAYLAND, NY 14572

(518)384-5310 Steuben (585)335-6041 Livingston (585)728-5131 Steuben

NUNDA, NY 14517

(585)468-2528 Livingston

* = Non-Deemed

CASPER Report 0006D Name and Address Listing

For Rural Health Clinic Based on Current Survey

Pennsylvania

Run Date: 05/24/2017 Job # 57880641 Last Update: 05/23/2017 Page 1 of 4

CCN

Key Provider Name

Address

393899 393414 393977

393428

393415

393894

393416 393422 393421

393420

393433

393921 393418 393855

393922

393923

393431 393432

393920

393435

393989 393910 393992

* AC VALLEY MEDICAL CENTER

855 ROUTE 58 SUITE 1

* ALLEGHENY HEALTH CENTER

22 INDUSTRIAL PARK ROAD

* ARMSTRONG PRIMARY CARE

116 MAIN STREET

CENTER * ARMSTRONG PRIMARY CARE

260 SOUTH JEFFERSON STREET

CENTER - KITTANING * ARMSTRONG PRIMARY CARE

10261 STATE ROUTE 85

CENTER - RURAL VALLEY * ARMSTRONG PRIMARY CARE

102 SOUTH STREET

CENTER SOUTH BETHLEHEM * BOWMAN HEALTH CENTER

83 SOUTH MARVIN STREET

* BRMC FAMILY PRACTICE

116 INTERSTATE PARKWAY, SUITE 41

* BRMC RURAL HEALTH CLINIC

406 FRANKLIN STREET

SMETHPORT FAMILY MEDICINE * BRMC RURAL HLTH CLINIC

116 INTERESTATE PARKWAY 42

PEDIATRIC ASSOC OF BRADFORD

* CAMBRIDGE SPRINGS HEALTH

118 RAILROAD STREET

CENTER * CARING HEALTHCARE NETWORK 601 NORTH FRONT STREET

* CENTRAL POTTER HEALTH CENTER 71 ELK STREET

* COMMUNITY HEALTH CARE RURAL 550 W WALNUT STREET

HEALTH CLINIC * CONEMAUGH HEALTH INITIATIVES 1611 W PITT STREET

RURAL HEALTH CLINIC * CONEMAUGH HEALTH INITIATIVES 207 WOODSTOWN HIGHWAY

RURAL HEALTH CLINIC

*

CONNEAUT LAKE HEALTH CENTER 10926 ST HWY 18

* CONNEAUT VALLEY HEALTH

906 WASHINGTON STREET

CENTER * CORNERSTONE COORDINATED

40 WEST FRACK STREET

HEALTH CARE LLC None CORRY MEMORIAL HOSPITAL

300 YORK STREET

RURAL HEALTH CLINIC * COUDERSPORT FAMILY MEDICINE 1001 EAST SECOND STREET SUITE S

* CRESSON FAMILY PRACTICE RHC 225 KEYSTONE AVENUE

* ELDERTON PRIMARY CARE CENTER 116 MAIN STREET BOX 148

* = Non-Deemed

City, State and ZIP

PARKER, PA 16049 BROOKVILLE, PA 15825 LEECHBURG, PA 15656

Telephone # County Name

(724)659-5601 Armstrong (814)849-0990 Jefferson (724)354-5258 Armstrong

KITTANNING, PA 16201

(724)543-5919 Armstrong

KITTANNING, PA 16201

(412)783-7124 Armstrong

NEW BETHLEHEM, PA 16242 (814)275-2264 Clarion

SMETHPORT, PA 16749 BRADFORD, PA 16701 SMETHPORT, PA 16749

(814)887-5395 McKean (814)363-9484 McKean (717)999-9999 McKean

BRADFORD, PA 16701

(717)999-9999 McKean

CAMBRIDGE SPRINGS, PA 16403 PHILIPSBURG, PA 16866

COUDERSPORT, PA 16915

SHAMOKIN, PA 17872

(814)398-4313 Crawford

(814)342-2333 Centre (814)274-5577 Potter (717)644-2222 Northumberland

JENNERSTOWN, PA 15547 (717)999-9999 Somerset

HOLLSOPPLE, PA 15935

(814)479-4034 Somerset

CONNEAUT LAKE, PA 16316 (814)382-0446 Crawford CONNEAUTVILLE, PA 16406 (814)373-2276 Crawford

FRACKVILLE, PA 17931

(570)794-6123 Schuylkill

CORRY, PA 16407

(814)664-3979 Erie

COUDERSPORT, PA 16915 CRESSON, PA 16630 ELDERTON, PA 15736

(814)274-9198 Potter (814)886-4635 Cambria (412)354-5258 Armstrong

CASPER Report 0006D Name and Address Listing

For Rural Health Clinic Based on Current Survey

Pennsylvania

Run Date: 05/24/2017 Job # 57880641 Last Update: 05/23/2017 Page 2 of 4

CCN 393978 393975 393918

393410

393409

393413

393419

393407

393994 393429

393423 393902

393893 393873 393884

393434

393820 393821 393986 393857

393886

393426 393901

Key Provider Name

Address

* ELDRED HEALTH CENTER

139 MAIN STREET

* EMPORIUM HEALTH CENTER

288 SIZERVILLE ROAD

* FAMILY HEALTH CARE CENTER OF 83 HILLCREST DRIVE, SUITE 200

PUNXSUTAWNEY INC * FAMILY HEALTH CARE MEYERSDALE 7160 MASON DIXON HIGHWAY

RHC

*

FAMILY HEALTH CARE SALISBURY 231 ORD STREET

RHC * FAMILY HEALTH CLINIC OF BARNES 137 DELAWARE STREET

KASSON HOSPITAL * FAMILY HEALTH CLINIC OF BARNES- 2872 TURNPIKE STREET

KASSON

*

FAMILY HEALTH CLINIC OF BARNES- 401 BROAD AVENUE

KASSON HOSPITAL * GALETON HEALTH CENTER

30 RIVER STREET

* HAVEN CENTER FOR WOMEN'S

24 CREE DRIVE THIRD FLOOR

HEALTH * HAVEN MEDICAL CENTER

208 E CHURCH STREET

* HIGHLANDS FAMILY MEDICINE

4324 GLADES PIKE

RURAL HEALTH CLINIC

*

HUNTINGDON HEALTHCARE INC

814 WASHINGTON STREET

* JOHN E BALMER D O CANADOHTA 35255 BROWN HILL ROAD

* JUNIATA VALLEY MEDICAL CENTER PO BOX 355 846 MEDICAL CENTER

INC * MEADVILLE COMMUNITY HEALTH 747 TERRACE STREET

CENTER * MEDICAL ASSOCIATES OF BOSWELL 430 STONYCREEK STREET

* MEDICAL ASSOCIATES OF BOSWELL 136 PINE STREET BOX 340

* MERCER FAMILY MEDICINE CENTER 551 GREENVILLE ROAD

* MILLER DONMOYER FAMILY HEALTH 255 WEST SPRUCE STREET

CENTER * MOUNT UNION AREA MEDICAL

100 SOUTH PARK STREET

CENTE * NATHAN THOMAS PRACTICE

312 INDUSTRIAL PARK ROAD

* NEW PARIS RURAL HEALTH CLINIC 4186 CORTLAND AVENUE

City, State and ZIP

Telephone # County Name

ELDRED, PA 16731

(814)225-4241 McKean

EMPORIUM, PA 15834

(814)486-0810 Cameron

PUNXSUTAWNEY, PA 15767 (814)938-3550 Jefferson

MEYERSDALE, PA 15552

(814)634-5935 Somerset

SALISBURY, PA 15558

(814)662-2755 Somerset

NEW MILFORD, PA 18834

(570)465-7330 Susquehanna

SUSQUEHANNA, PA 18847 (717)999-9999 Susquehanna

SUSQUEHANNA, PA 18847 (570)853-3995 Susquehanna

GALETON, PA 16922 LOCK HAVEN, PA 17745

(814)435-2942 Potter (570)893-5043 Clinton

LOCK HAVEN, PA 17745 SOMERSET, PA 15501

(717)999-9999 Clinton (814)445-4585 Somerset

HUNTINGDON, PA 16652 UNION CITY, PA 16438 ALEXANDRIA, PA 16611

(814)643-4415 Huntingdon (814)694-2339 Erie (814)669-4444 Huntingdon

MEADVILLE, PA 16335

(814)373-2976 Crawford

BOSWELL, PA 15531 STOYSTOWN, PA 15563 MERCER, PA 16137 SHAMOKIN, PA 17872

(814)629-5612 Somerset (814)893-5568 Somerset (412)662-4155 Mercer (717)644-5050 Northumberland

MT UNION, PA 17066

(814)542-8627 Huntingdon

MEYERSDALE, PA 15552 NEW PARIS, PA 15554

(814)634-5954 Somerset (814)839-4108 Bedford

* = Non-Deemed

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