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PT. Administrasi MedikaElectronic Healthcard Network

BY PAYOR LEVEL

Page 1 of 74Mar-02-2018 09:39:40 AM Prepared by : ILLA NURMIANTI

PT. ASURANSI JIWA SYARIAH AMANAH JIWA GIRI ARTHA (AMANAH GITA)

No State City Code Hospital Name Address Contact Person Division Tel Number Hospital Fax Number Hospital RI RJ FLAG Status BALIBADUNG001 BALI BADUN4867 RS. BALI JIMBARAN JL. KAMPUS UNUD LING. IBU SUPRAWISANTI MARKETING (0361) 4725123| (0361) 4725122 Y Y Y ACTIVE002 BALI BADUN5783 RS. KHUSUS BEDAH BIMC NBLOK D KAWASAN BTDC IBU LAKSMI OPERATIONAL 0361-3000911| - Y Y Y ACTIVEBANGLI003 BALI BANGLI4898 RS. BANGLI MEDIKA CANTI JL. TIRTA GIRI KUTRI LC SANG KOMPYANG - 0366-91555/93444| - Y Y Y ACTIVEBULELENG004 BALI BULELE3422 LAB. PRODIA SINGARAJA JL. NGURAH RAI NO. 67 S - - 0362-24516| - N Y Y PARTIAL005 BALI BULELE0870 RSU. KERTHA USADA JL. CENDRAWASIH, NO.5- IBU NETTY MARKETING 0362-26277/8| 0362-22741 Y Y Y ACTIVE006 BALI BULELE1451 RSU. PARAMASIDHI JL. A.YANI NO.171A IBU LUH SUCI MARKETING 0362-29787, 32701,22426,| 0362-29787 Y Y Y ACTIVEDENPASAR007 BALI DENPAS0140 RS. MANUABA JL. HOS. COKROAMINOTODR. ANIK Marketing 0361-426393| 0361-285183/429447 Y Y Y ACTIVE008 BALI DENPAS0221 RS. PURI RAHARJA JL. WR.SUPRATMAN, NO. BPK GUSTI TONGKY MARKETING 0361-222013| 0361-242537 Y Y Y ACTIVE009 BALI DENPAS0867 KLINIK&APOTEK KF 34 DEN JL. DIPONEGORO NO.125IBU NI KADEK BAGIANI KOORDINATOR 0361-255914-|- 0361-255914 N Y Y PARTIAL010 BALI DENPAS1047 RS. BALIMED (d/h RS BALI JL. MAHENDRADATTA, NOBPK KRISNA Marketing 0361-484748 / 3117311 / 482280361-8450773,8450770 Y Y Y ACTIVE011 BALI DENPAS1147 RS. DHARMA YADNYA JL. WR.SUPRATMAN NO. 2IBU ISSHA MARKETING / H 0361-462488 / 462629| 0361-464526 Y Y Y ACTIVE012 BALI DENPAS1150 RSIA. PURI BUNDA JL. GATOT SUBROTO VI, NIBU ONI / LIRA MARKETING 0361-437999| 0361-433988 Y Y Y ACTIVE013 BALI DENPAS1151 KLINIK QUANTUM SARANA JL. RAYA SESETAN, NO.2 BAPAK MICHEL Manager Komers0361-228835| 0361-245274 N Y Y PARTIAL014 BALI DENPAS1245 RSU. SURYA HUSADHA UBUJL. COKROAMINOTO, NO. KARMILA DEWI MARKETING 0361-425744| 0361-430557 Y Y Y ACTIVE015 BALI DENPAS3455 APOTIK KIMIA FARMA NO.6 JL. PATIMURA NO.59 DE - - 0361-234797| - N Y Y PARTIAL016 BALI DENPAS2599 KLINIK & APOTEK KF 82 JL. KARTIKA PLAZA, NO.6 DR.DWI PURNAMANTARKOORDINATOR 0361 757196| N Y Y PARTIAL017 BALI DENPAS4438 KLINIK UTAMA DHARMA SIDJL. SERMA KAWI NO. 13- IBU AYU RIKA - (0361) 242717; 241013| 361241013 N Y Y PARTIAL018 BALI DENPAS2602 KLINIK & APOTEK KF 108 JL. T.UMAR 246, DENPAS ZUL IHWAN KOORDINATOR 0361 245768| - N Y Y PARTIAL019 BALI DENPAS2598 KLINIK & APOTEK KF 232 JL. RAYA KEROBOKAN 140RIFAI TANJUNG SAPAN,S- 0361 736163| N Y Y PARTIAL020 BALI DENPAS2600 KLINIK & APOTEK KF 236 JL. DANAU BATUR RAYA, DRS. AJI PAMUNGKAS,A- 0361 8479785| - N Y Y PARTIAL021 BALI DENPAS1825 LAB. PRODIA WIDYA HUSA JL. DIPONEGORO NO. 19 NITA Marketing (0361) 261001| (0361) 236349 N Y Y PARTIAL022 BALI DENPAS1202 KLINIK MERDEKA MEDICAL MERDEKA VIII/2 TANJUN I KETUT SUSANA - 0361-233790| - N Y Y PARTIAL023 BALI DENPAS1273 RS. SURYA HUSADHA JL. PULAU SERANGAN,NOKARMILA DEWI MARKETING 0361-233787| 0361-231177 Y Y Y ACTIVE024 BALI DENPAS1309 BALI ROYAL HOSPITAL ( BROJL. TANTULAR NO 6 RE IBU LILIK SHANTINI MARKETING 0361- 247499/222588/228054| 0361-226051/226052 Y Y Y ACTIVE025 BALI DENPAS1146 RS. BHAKTI RAHAYU DENPAJL. GATOT SUBROTO II, N BPK BAGUS MARKETING 0361-430270 / 430245 / 4282870361-263371 Y Y Y ACTIVE026 BALI DENPAS1463 KLINIK PENTA MEDIKA JL. TEUKU UMAR BARAT- DR.SATRY WIBAWA CLINIC MANAGE0361-7446144/490709| 0361 - 490708 N Y Y PARTIAL027 BALI DENPAS0220 RS. PRIMA MEDIKA JL. PULAU SERANGAN, 9 DR. ARISTA. MARKETING 0361 - 236225/257445/235318/ 0361-236203/262535 Y Y Y ACTIVE028 BALI DENPAS0179 RSU. KASIH IBU DENPASAR JL. TEUKU UMAR, NO.120 IBU PUTRI MARKETING 0361-223036/3003030/08214680361-238690 Y Y Y ACTIVE029 BALI DENPAS6611 LABORATORIUM KLINIK UTAJL. GATOT SUBROTO II NODEBBY MARKETING (0361) 425333| (0361) 430236 N Y Y PARTIAL030 BALI DENPAS5555 TELEMEDIKA FARMA 12 - D JL. SERMA TUGIR NO.16 - 0361-239534| - N Y Y PARTIALGIANYAR031 BALI GIANYA1761 RS. ARI CANTI GIANYAR JL. RAYA MAS UBUD GIA DR. IKA / NGURAH/ IBU MARKETING 0361-974573| 0361-974573 Y Y Y ACTIVE032 BALI GIANYA4834 RS. KASIH IBU SABA GIANY JL. RAYA PANTAI SABA NOIBU EKA/IBU PUTRI MARKETING 0361) 3003333| - Y Y Y ACTIVE033 BALI GIANYA1896 RSU. GANESHA JL. RAYA CELUK SUKAWAIBU AYU - 0361-298233| 0361-291237 Y Y Y PARTIAL034 BALI GIANYA4666 RS. FAMILI HUSADA JL. ASTINA TIMUR, SAMP BPK. SURYA/ IBU LOHNIMARKETING (0361) 849 3344| (0361) 8493040 Y Y Y ACTIVE035 BALI GIANYA4075 RSU. PREMAGANA JL. HAYANG SANGSI NO. AGUNG BRAHMA / KADEMARKETING 0361-8461955/ 296389 / 0821 0361-295246 Y Y Y ACTIVE036 BALI GIANYA3549 RSU. SANJIWANI GIANYAR JL. CIUNG WANARA N0.2 PAK IDA BAGUS KASUBID UMUM0361-943049/0361-943020| Y Y Y ACTIVEJEMBRANA037 BALI JEMBRA3558 RSU. BUNDA JL. RAJAWALI NO. 36, PE IBU MEGA MARKETING 0365-40251 / 087863229569| 0365-40089 Y Y Y ACTIVE038 BALI JEMBRA6026 RS. BALIMED NEGARA Jl. Hayam Wuruk No. 23 DDANIE : 08174727319 PIC 0365-4501452| - Y Y Y ACTIVEKARANGASEM039 BALI KARAN 2301 KLINIK PENTA MEDICA CAN JL. RAYA MANGGIS NO. 8BPK DEDI - 0363-41909| - N Y Y PARTIAL040 BALI KARAN 4252 RS. BALIMED KARANGASEMJL. NENAS KECICANG BE CRISTIN CAROLINA (08 - (0363) 4301618| Y Y Y ACTIVEKUTA041 BALI KUTA 1909 SILOAM HOSPITALS BALI JL. SUNSET ROAD NO. 81IBU NETTY Marketing 0361-779900| 0361-779933 Y Y Y ACTIVE042 BALI KUTA 1138 RSU. KASIH IBU KEDONGANJL. ULUWATU, NO.69A, IBU FRISA MARKETING 0361-703270| 0361-703329 Y Y Y ACTIVE043 BALI KUTA 1492 KLINIK KASIH IBU KOMPLEKS PERUM BUMI DIBU PUTRI/YANTI MARKETING 0361-422150/3700616| 0361-422179 N Y Y PARTIALNUSA DUA


BY PAYOR LEVEL


044 BALI NUSA D2603 KLINIK & APOTEK KF 126 JL. BY PASS NGURAH RAI BPK ADLIN - 0361 778555| - N Y Y PARTIAL045 BALI NUSA D0222 KLINIK PRIMA MEDIKA JL. BY PASS NGURAH RA IBU LUH GEDE DARWATKOORDINATOR 0361-770509| 0361-770509 N Y Y PARTIAL046 BALI NUSA D1359 RSU. SURYA HUSADHA NUSJL. SILIGITA, BLOK 1, NO. KARMILA DEWI MARKETING 0361-775827| 0361-771388 Y Y Y ACTIVESANUR047 BALI SANUR 1248 KLINIK REMEDIUM CARE JL. BY PASS NGURAH RAIIBU DELLA DIREKTUR 0361-288860| 0361-287970 N Y Y PARTIAL048 BALI SANUR 2604 KLINIK & APOTEK KF 173 JL. BY PASS NGURAHRAI DJAYA SANTOSO,S.SI,AP- 0361 283395| - N Y Y PARTIALTABANAN049 BALI TABAN 2133 RSU. KASIH IBU TABANAN JL. FLAMBOYAN NO. 9 ( DR. BOANA MARKETING 0361-3005757/3003030| 0361-3005758 Y Y Y ACTIVE050 BALI TABAN 1714 RS. WISMA PRASANTI JL. YAH GANGGA NO. 9 TBPK AGUNG TENAYA KASUBAG ADMI 0361-8043219/810555| 0361-812454 Y Y Y ACTIVE051 BALI TABAN 4520 PRODIA TABANAN JL. NGURAH RAI NO. 43 YOPPY CHIKAL - 0361-812758| - N Y Y PARTIAL052 BALI TABAN 3456 APOTIK & KLINIK KIMIA FA JL. NGURAH RAI NO.74 - - 0361-810524| - N Y Y PARTIALUBUD053 BALI UBUD 0224 UBUD CLINIC JL. TJAMPUHAN, NO.36, DR.I.WAYAN SUANDHI KOORDINATOR 0361-974911| 0361-974910 N Y Y PARTIALBANGKA BELITUNGBANGKA INDUK054 BANGKA BANGKA2148 RS. ARSANI JL. RAYA AIR KENANGA IBU IRNA RAWATI MARKETING 0717-4297825, 4297834| 0717-4297824 Y Y Y ACTIVEBANGKA TENGAH055 BANGKA BANGKA6122 SILOAM HOSPITALS BANGKAJL. SOEKARNO HATTA KM.YOHAN PIC 0717-9190900| - Y Y Y ACTIVEBELITUNG056 BANGKA BELITU 2370 RS. ALMAH TANJUNG PAND JL. JEND. SUDIRMAN KM. Bernadetha Keuangan 0719-9225666| 0719-9225333 Y Y Y ACTIVE057 BANGKA BELITU 4769 KLINIK BAKTI TIMAH TANJ JL. MELATI NO. 32 TANJ NURLAILA KOORDINATOR 0719-21865| - N Y Y PARTIAL058 BANGKA BELITU 4842 RS. UTAMA TANJUNG PAND JL. JENDERAL SUDIRMAN IBU YENI WAHYUNI - 0719-9222211| 0719-9222212 Y Y Y ACTIVE059 BANGKA BELITU 1928 KLINIK UTAMA BELITUNG JL. MERDEKA NO. 27 T IBU ETA MARKETING 0719-25526| 71925600 N Y Y PARTIALPANGKAL PINANG060 BANGKA PANGKA1443 RS. KHATOLIK BHAKTI WAR JL. SUNGAI SELAN, KM.4,BPK.OCTAVIANUS Marketing 0717-422605| 0717-424314 Y Y Y ACTIVE061 BANGKA PANGKA1508 RS. MEDIKA STANNIA JL. JEND.SUDIRMAN, NO. IBU LIA/ BP BUDI/ IBU RADMINISTRASI 0717-95837/93335| 0717-953335 Y Y Y ACTIVE062 BANGKA PANGKA5063 PRODIA PANGKAL PINANG JL. KH. ABDURRAHMAN SI- - 0717-438232| - N Y Y PARTIAL063 BANGKA PANGKA5045 RSIA. MUHAYA JL. JEND SUDIRMAN NO. IBU FERA MARKETING 0717-436997| Y Y Y ACTIVE064 BANGKA PANGKA2605 KLINIK & APOTEK KF 118 JL. A.YANI, P.PINANG HILMAN FIRMANSYAH,S.- 0717 436762| - N Y Y PARTIAL065 BANGKA PANGKA0900 SUN CLINIC EL-JOHN PLAZA, JL. SUK Ari KOORDINATOR 0717-4297888-|- 0717-439488 N Y Y PARTIAL066 BANGKA PANGKA1230 RS. BAKTI TIMAH PANGKAL JL. BUKIT BARU NO.1 P BP HERI MARKETING 0717-421091| 0717-424212 Y Y Y ACTIVEBANTENCILEGON067 BANTEN CILEGO0320 KLINIK BONA MEDIKA FESTIVAL RUKO BONA KADRG. ANE MARKETING 0254-387684 / 0818769386| 0254-386699 N Y Y PARTIAL068 BANTEN CILEGO0951 KLINIK & APOTEK KF 140 JL. S.A. TIRTAYASA NO 1 Loly Yustiani Pohan Kepala Cabang 0254-399174 / 392278|- 0254-399174 N Y Y PARTIAL069 BANTEN CILEGO0939 RSIA. MUTIARA BUNDA CIL JL. SA TIRTAYASA RUKO BPK.RIFAI MARKETING 0254- 399988/376888/399968-|-0254-376454 Y Y Y ACTIVE070 BANTEN CILEGO0985 RS. KURNIA CILEGON JL. JOMBANG MASJID NO.4Dr renny MARKETING 0254-391161 / 087885829059|-0254-396489,397023 Y Y Y ACTIVE071 BANTEN CILEGO1403 KLINIK KELUARGA PULO AMJL. SALIRA INDAH DS.SU DR. RACHMI Pimpinan 0254-5751100 / 0254 - 572100| 0254-5751100 N Y Y PARTIAL072 BANTEN CILEGO3158 KLINIK KELUARGA SURALAYJL. CIRATA NOM 12 KOM DR. RAHMI - (0254) 572100| - N Y Y PARTIAL073 BANTEN CILEGO3156 LAB. PRODIA CILEGON JL. SULTAN AGENG TIRTABPK ANDI - 0254-381990/398969| - N Y Y PARTIAL074 BANTEN CILEGO2780 KLINIK GRIYA SEHAT PERUMAHAN GRIYA CILEGDR.RETNO Pemilik/Finance 0254-388501| 0254-388501 N Y Y PARTIAL075 BANTEN CILEGO3454 LAB. BIOMED CAB. CILEGONJL. JEND AHMAD YANI NO IBU HARTINI - 0254-394489| - N Y Y PARTIAL076 BANTEN CILEGO1298 KLINIK IKHLAS MEDIKA IV KOMPLEK PONDOK CILEGONDR. TETI ENDRIANI - 0254-395900/7061935/284937| - N Y Y PARTIAL077 BANTEN CILEGO1713 KLINIK & APOTEK KF 268 P PONDOK CILEGON INDAH MILA SRIUTAMI,SKM KOORDINATOR 0254-394827| 0254-376501 N Y Y PARTIAL078 BANTEN CILEGO1815 KLINIK INSAN PRIMA RUKO CILEGON CITY SQUADRG. LUSI Owner 0254-393 197| N Y Y PARTIAL079 BANTEN CILEGO1943 KLINIK MUTIARA BUNDA JL. S.A TIRTAYASA NO. 8 - - 0254-399968| 0254-399989/376454 N Y Y PARTIAL080 BANTEN CILEGO0302 KLINIK ANANDA CILEGON JL. R. SUPRAPTO KM.8 IBU DIANA KEUANGAN 0254-310609| 0254-310821 N Y Y PARTIAL081 BANTEN CILEGO0595 APOTIK & KLINIK ANNISA S RUKO CILEGON CITY SQUAIBU IDA MARKETING/KE 0254 - 399933/3998560254 - 390254-399928 N Y Y PARTIAL082 BANTEN CILEGO0129 APOTIK LABORA FARMA JL. ALUN-ALUN UTARA, NDR. BUI MIN / DR. MER KEUANGAN 0254-391695| 0254-374278 N Y Y PARTIAL083 BANTEN CILEGO0057 KLINIK ALFINA JL. RAYA SERANG RUKO PCBIDAN ATUL/ERNA KEUANGAN 0254-383116| 0254-377377 N Y Y PARTIAL084 BANTEN CILEGO0915 RS. KRAKATAU MEDIKA JL. SEMANG RAYA - CILE IBU YATI MARKETING 0254-396333; 0254-372180; 020254-391972/374010 Y Y Y ACTIVE085 BANTEN CILEGO1254 RB & KLINIK AFINA JL. RAMBUTAN 12, PAGE IBU ITA MANAGER OPER0254-392568| 0254-392568 Y Y Y PARTIALLEBAK086 BANTEN LEBAK 6484 RS. KARTINI LEBAK JL. SUNAN KALIJAGA NO PAULUS - (0252) 204333 / 5551333| Y Y Y ACTIVEPANDEGLANG087 BANTEN PANDE 0997 KLINIK DIFFA JL. RAYA LABUAN KM.12 BPK DIDI/ HERRY PEMILIK/ADMIN 0253-502161-|- 0253-502160 N Y Y PARTIAL088 BANTEN PANDE 1764 KLINIK ALFURQON JL. RAYA LABUAN KM 2 IBU ELIS / DR FURQON KEUANGAN / PEM0253-5808100| 0253-501313 N Y Y PARTIAL


BY PAYOR LEVEL


RANGKASBITUNG089 BANTEN RANGKA0658 KLINIK SEHAT RABINZA JL. HADIWINANGUN, PERIBU MURTINI KOORDINATOR 0252-280023| 0252-280023 N Y Y PARTIAL090 BANTEN RANGKA1084 RS. MISI LEBAK JL. MULTATULI NO.41 IBU YENI MARKETING 0252-201014|- 0252-203390 Y Y Y ACTIVE091 BANTEN RANGKA3141 KLINIK DAN APOTEK MEDIK JL. AHMAD YANI RANC DR. DIANA - 0252-209975| - N Y Y PARTIALSERANG092 BANTEN SERAN 0941 KLINIK MODERN MEDIKA KRJL. RAYA SERANG KM15 IBU AIDA KOORDINATOR 0254-281720-|- 0254-281720 N Y Y PARTIAL093 BANTEN SERAN 1272 RS. SARI ASIH SERANG JL. JEND.SUDIRMAN, NO. BPK AGUS/BPK.SAHRULMARKETING 0254-220022| 0254-220345 Y Y Y ACTIVE094 BANTEN SERAN 1489 RS. HERMINA CIRUAS (D/H JL. RAYA SERANG KM.9 DIBU ENENG Marketing 0254-281829/ 0254-280555| 0254-281845 Y Y Y ACTIVE095 BANTEN SERAN 1008 KLINIK IKHLAS MEDIKA 1 KOMPLEK BUMI AGUNG PERDR. TETI ENDRIANI PENANGGUNGJA0254-207918-7911345|- 0254-281676 N Y Y PARTIAL096 BANTEN SERAN 0716 RS. BUDI ASIH JL. K.H. SOHARI, NO.39 IBU HELMI APRIANTI/ BPMARKETING 0254-212484/218666| 0254-208583 Y Y Y ACTIVE097 BANTEN SERAN 5285 RSIA. PERMATA SERDANG JALAN WARINGIN KURUN Nugroho Adi Saputro MARKETING 0254- 387515| 0254-387494 Y Y Y ACTIVE098 BANTEN SERAN 3993 RS. KURNIA SERANG JL. RAYA CILEGON KM.8 IBU INA - 0254-232648| 0254-8235050 Y Y Y ACTIVE099 BANTEN SERAN 3985 KLINIK & APOTEK MURASAKKOMP.PEJATEN MAS BLOKDR.WARIH ANJANI - 0254233317| - N Y Y PARTIAL100 BANTEN SERAN 2413 KLINIK ANDRI MEDISTRA JL. N. RAYA SERANG JAK DR. ANDRI PEMILIK -| - N Y Y PARTIAL101 BANTEN SERAN 2392 KLINIK & APOTIK BONA ME JL. RAYA SERANG - CILE BPK HERI NOVIANTO MARKETING 0254-228005/ 387684| 0254-205906/386699 N Y Y PARTIAL102 BANTEN SERAN 2414 KLINIK JANNAH JL. KH.ABDUL HADI NO.1 DR JANNAH OWNER 0254-209321| - N Y Y PARTIAL103 BANTEN SERAN 2608 KLINIK & APOTEK KF 472 S JL. AHMAD YANI NO. 57 NURUL FAHMI HAYATI,S.- 0254 211065| - N Y Y PARTIAL104 BANTEN SERAN 2726 KLINIK & APOTEK KF 253 ( JL. YUSUF MARTADILAGA- - 0254-211447| - N Y Y PARTIAL105 BANTEN SERAN 1009 KLINIK IKHLAS MEDIKA 2 JL. RAYA SERANG - JAKA DR.TETI ENDRIANI / BP PENANGGUNGJA0254-284937-|- - N Y Y PARTIAL106 BANTEN SERAN 0115 KLINIK SERANG MEDIKA JL. RAYA SERANG CILEG BAPAK RINALDI MARKETING / K 0254-223992 / 087809402258| 0254-223992 N Y Y PARTIAL107 BANTEN SERAN 0984 KLINIK CIJAWA MEDIKA JL. KH. A. FATAH HASAN DR. L. P. PIRGAYANI KOORDINATOR 0254-204735 / 08128521336-|- 0254-204735 N Y Y PARTIAL108 BANTEN SERAN 1414 RSIA. PURI GARCIA JL. GRIYA PURNAMA NO BPK. HANS/MELVIN MARKETING 0254-223333| 0254-223786; Y Y Y ACTIVE109 BANTEN SERAN 1126 KLINIK KRAKATAU MEDIKA JL. TB SUWANDI, KAV KE IBU NINA PENANGGUNG J 0254-204407| 0254-221397 N Y Y PARTIAL110 BANTEN SERAN 0937 KLINIK MODERN MEDIKA CI JL. RAYA SERANG KM.68 IBU.ARINDA KOORDINATOR 0254-400554-|- 0254-400556 N Y Y PARTIAL111 BANTEN SERAN 4236 KLINIK ALTIS JL. RAYA CILEGON KM.2 ANDI ASRIANI YAHYA - (0254) 386325| - N Y Y PARTIALTANGERANG112 BANTEN TANGE 0062 KLINIK SARANA MEDIKA BA JL. RAYA PERUMAHAN KOBPK. SOLICHIN KEUANGAN 021-5921153 / 02159372781| 021-59308529 N Y Y PARTIAL113 BANTEN TANGE 0291 RS. ICHSAN MEDICAL CENTEJL. RAYA JOMBANG NO.5 AYA/IBU SHINTA MARKETING 021-7456379/ 021-7456386|021021-7450819 Y Y Y ACTIVE114 BANTEN TANGE 0344 RS. QADR KOMPLEK ISLAMIC VILLAGBPK. EMONG MARKETING 021-546 4466; 5463107; 546310021-547 0775 Y Y Y ACTIVE115 BANTEN TANGE 0064 RB & KLINIK 24 JAM DIANA JL. MH. THAMRIN, NO.87 BPK. ARIEF RAMADHAN KEUANGAN 021-5397314/ 53124105021-53 021-5394105/5312410 N Y Y PARTIAL116 BANTEN TANGE 0337 RS. BHINEKA BAKTI HUSAD JL. CABE RAYA NO.17 IBU LILA MARKETING 021-7490018/7490829| 021-7403535 Y Y Y ACTIVE117 BANTEN TANGE 0902 RB & KLINIK BUNDA MULYA JL. SUMANTRI NO. 11 IBU UPEN/NURUL PIMPINAN 021-5978058-|- 021-5978058 Y Y Y PARTIAL118 BANTEN TANGE 0912 KLINIK KARUNIA SEHAT RUKO CIKUPA BLOK B NO.DR.MERRY PENGELOLA 021-5963001-|- 021- 59408388 N Y Y PARTIAL119 BANTEN TANGE 0702 KLINIK MAHARANI JLN. BOROBUDUR RAYA NBPK TONI/BPK WISNU MARKETING 021-55654096/5919953| - N Y Y PARTIAL120 BANTEN TANGE 0285 RS. MELATI TANGERANG JL. MERDEKA, NO.92 TA IBU UNI MARKETING 021-5523945/55776739| 021-55769914/5520028 Y Y Y ACTIVE121 BANTEN TANGE 0108 KLINIK PROVITA JL. IR.H.JUANDA NO.125 IBU DWI KOORDINATOR 021-749 2619| 021-744 0085 N Y Y PARTIAL122 BANTEN TANGE 0091 MAYAPADA HOSPITAL TAN JL. HONORIS RAYA, KAV. IBU RANIKA MARKETING 021-5529035/55781999| 021-5529465/5529495 Y Y Y ACTIVE123 BANTEN TANGE 0022 RS. SARI ASIH KARAWACI JL. IMAM BONJOL NO.38 IBU INDRI MARKETING 021-552 2794; 021-5523239|02021-5525214 Y Y Y ACTIVE124 BANTEN TANGE 0833 RSIA. BUNDA SEJAHTERA JL. RAYA PURI AGUNG N IBU TINI/ Bpk Wahyu - 021-5925889| 021-5925876 Y Y Y ACTIVE125 BANTEN TANGE 0844 RSIA. BUNDA SEJATI JL. PRABU SILIWANGI NO IBU NENI/IBU KIKI MARKETING 021-5900136 / 59315850| 021-5900056 Y Y Y ACTIVE126 BANTEN TANGE 0872 RB & KLINIK MUTIARA OBBI JL. RAYA KRESEK NO.27, BPK BAHTIAR PENGELOLA 021- 59431110-|- 021-59430131 Y Y Y PARTIAL127 BANTEN TANGE 1014 RB & KLINIK PERMATA - DR JL. NUSA INDAH I, BLOK DR JAMILAH / IBU LINDAPEMILIK KLINIK 021-5533314| 021-5533314 Y Y Y PARTIAL128 BANTEN TANGE 1025 RS. ARIYA MEDIKA JL. INDUSTRI RAYA 1, BLOIBU IKE / IBU ERIS MARKETING 021-5902229/5902232-|- 021-5902223/5904951 Y Y Y ACTIVE129 BANTEN TANGE 0942 RSIA. MURNI ASIH JL. RAYA BOJONGNANGK IBU NOVI MARKETING 021-36868757/5470263/542009021-54204504 Y Y Y ACTIVE130 BANTEN TANGE 1046 RSIA. PRATIWI JL. RHM NOERADJI, NO.4 DR YUNITA/ BP NANANGMARKETING 021-5520692/71342783021-439021-5224139 Y Y Y ACTIVE131 BANTEN TANGE 1049 KLINIK SELARAS JL. RAYA SERPONG BSD IBU YUNI MARKETING/PEN021-5370311-|- 021-5377842 N Y Y PARTIAL132 BANTEN TANGE 1168 RSU. BHAKTI ASIH JL. RADEN SALEH, NO.10 DRA. SUSI KURNIASIH / MARKETING 021-7305662/63/021-32575495|021-73449491/7305652 Y Y Y ACTIVE133 BANTEN TANGE 0971 RS. ISLAM ASSHOBIRIN JL. RAYA SERPONG KM. IBU NENENG MARKETING 021-5384314; 021-5374293|021021-5374392/5374294 Y Y Y ACTIVE134 BANTEN TANGE 1116 RS. AWAL BROS TANGERANGJL. MH.THAMRIN NO.3 KE IBU PITRI/IBU MERY MARKETING 021-55758888/55780888/5578102155780480/55781545 Y Y Y ACTIVE135 BANTEN TANGE 3982 KLINIK & APOTEK KF PALEMJL. RUKO BARCELONA N CINDI PRASASTI - 02129662588| N Y Y PARTIAL136 BANTEN TANGE 3983 KLINIK & APOTEK KF CITRA RUKO TAMAN PALMA JL. TIKASARI 02159409460| - N Y Y PARTIAL137 BANTEN TANGE 0021 SILOAM HOSPITALS LIPPO VJL. SILOAM NO.6, LIPPO ROOSMEINY KARTIKA PUMARKETING 021-80646900| 021-5460921/546008 Y Y Y ACTIVE138 BANTEN TANGE 2642 IHC SIGMA GERMAN CENTE JL. KAPT. SUBIYANTO D Ibu.Sulis/ERNA Koordinator 021-5388538 Ext 5057| - N Y Y PARTIAL139 BANTEN TANGE 1020 RSIA. SELARAS CIKUPA JL. RAYA SERANG KM.18, PAK RONI MARKETING 021-5969145/59401289/021-59021-59401277 Y Y Y ACTIVE140 BANTEN TANGE 4695 RS. TIARA TANGERANG JL. BRINGIN RAYA NO. 3- Bpk. Deli MARKETING (021) 29238000| (021) 29237999 Y Y Y ACTIVE141 BANTEN TANGE 3532 CLINIC ICON 8 JL. HORISON BROADWAY DR. JOHANES/ DR.MELAOWNER (021) 33438000/ 021 94588000|(021) 68538820 N Y Y PARTIAL142 BANTEN TANGE 4747 RS. HERMINA BITUNG JL. RAYA SERANG KM. 10 YOGA HERVIANTO MARKETING 021-59497525| 021-59497690 Y Y Y ACTIVE143 BANTEN TANGE 1082 KLINIK TIGA MANDIRI JL. CABE RAYA NO 68D IBU SUSI MARKETING 021-7426366-|- 021-7426414 N Y Y PARTIAL144 BANTEN TANGE 1552 BUNDA DALIMA HOSPITAL BUMI SERPONG DAMAI, SEBPK.ISTI MARKETING 021-53154447/8/9| 021-5385062 Y Y Y ACTIVE145 BANTEN TANGE 1564 RSB. PERMATA SARANA HUPAMULANG PERMAI, BLOKIbu Mimi MARKETING 021-7407421/22| 021-7496346/7407421 Y Y Y ACTIVE


BY PAYOR LEVEL


146 BANTEN TANGE 1527 RSIA. TIARA TANGERANG JL. RAYA SERANG, NO.1, JIHAD M MARKETING 021-59401999| 021-5960699 Y Y Y ACTIVE147 BANTEN TANGE 1528 RSIA ILANUR JL. RAYA SERANG, NO.1, BPK MUSAFA / IBU MEL MARKETING/PEN021-59450898/5953241| 021-5954473 Y Y Y PARTIAL148 BANTEN TANGE 1547 KLINIK AMIRA GRIYA LOKA SEK 1.6 BLODR.WENNY / BPK INDRAKOORDINATOR 021-5384219| 021-53164795 N Y Y PARTIAL149 BANTEN TANGE 1324 RSIA. CINTA KASIH JL. CIPUTAT BARU RAYA IBU ARINA/ PAK MULYADMARKETING 021 - 74706020 / 7424639| 021 - 74707986 Y Y Y ACTIVE150 BANTEN TANGE 1366 KLINIK KARTIKA JL. WR SUPRATMAN NO. DR DIAN/BP MARDI MARKETING 021-29053555,29053553| 021-73692937 N Y Y PARTIAL151 BANTEN TANGE 1455 KLINIK PRADHANA RUKO PANORAMA NIAGA BPK. BURHANUDIN KOORDINATOR 021-55767587| 2159308529 N Y Y PARTIAL152 BANTEN TANGE 1459 KLINIK KARUNIA SEHAT II JL. PAHLAWAN SERIBU R DR.MERRY KOORDINATOR 021-53158045| 021-53158046 N Y Y PARTIAL153 BANTEN TANGE 1471 KLINIK MELIA MEDIKA KOMP. RUKO DUTA GARDDR AULIA - 021-51488219/54370568| - N Y Y PARTIAL154 BANTEN TANGE 1575 MOM & CHILD CARE CLINIC JL.RAYA KELAPA DUA RU DINI MARKETING 021-54214848 / 083804104440|021-54209393 N Y Y PARTIAL155 BANTEN TANGE 1491 RS. HERMINA TANGERANG JL. KS.TUBUN NO.10 PAS IBU RUTH / ALIT MARKETING 021-55772525| 021-5582705 Y Y Y ACTIVE156 BANTEN TANGE 1594 RSU. DINDA JL. GALUH NO.2 JATIUW IBU.Tiara / Riska MARKETING 021-55650577| 021-55652149 Y Y Y ACTIVE157 BANTEN TANGE 1598 RS. KARANG TENGAH MEDIKJL. KARYAWAN IV, KAR Ibu Juni MARKETING 021-7336699/7335599| 021-7333598 Y Y Y ACTIVE158 BANTEN TANGE 1340 RSIA. KELUARGA KITA JL. RAYA PLP CURUG KM. PIPIT MARKETING 021 - 59491011 / 021 - 5986572021-5984991/5982788 Y Y Y ACTIVE159 BANTEN TANGE 1292 RS. MEDIKA BSD JL. LETNAN SOETOPO KAVIBU VRINA MARKETING 021 - 5372296| 021 - 5382296 Y Y Y ACTIVE160 BANTEN TANGE 0017 RS. AN-NISA TANGERANG JL. GATOT SOEBROTO, N IBU.WIWIK / BPK.HERU MARKETING 021-5525564/021-557 91563|02021-55791563 Y Y Y ACTIVE161 BANTEN TANGE 0412 RS. PREMIER BINTARO (d/h JL. MH THAMRIN NO.1, SEBAPAK DANI; IBU PUTRIMARKETING 021-745 5500/27625500| 021-748 64854/745 58 Y Y Y ACTIVE162 BANTEN TANGE 1637 RS. MULIA INSANI JL. RAYA SERANG KM 16 IBU NARTI MARKETING 021-5962790/5962998/5962996021-5963099 Y Y Y ACTIVE163 BANTEN TANGE 1487 RS. MULYA JL. KH.HASYIM ASHARI IBU NINA MARKETING 021-7322443; 7322445| 021-7310721/7322445 Y Y Y ACTIVE164 BANTEN TANGE 1669 RSIA. BUAH HATI CIPUTAT JL. ARIA PUTRA NO 399 BP WIDI MARKETING 021-74632222| 021-74638568 Y Y Y ACTIVE165 BANTEN TANGE 1670 CIPUTRA HOSPITAL JL. CITRA RAYA BOULEVA IBU RISA HARTIYASARI MARKETING 021-59405555| 021-59405678 Y Y Y ACTIVE166 BANTEN TANGE 1812 SMILE N SHINE DENTAL CA ALAM SUTERA TOWN CENTDR. SUSANTY Owner 0816869191 / 021-29008540/08021-29008540 N Y Y PARTIAL167 BANTEN TANGE 1866 KLINIK SATELIT GSM BINTA JL. BINTARO JAYA SEKTO EKO NUGROHO - 021-7450818| 021-7450642 N Y Y PARTIAL168 BANTEN TANGE 1947 KLINIK & APOTEK KF 219 JL. IR H JUANDA NO 111 - - 021-7401868| - N Y Y PARTIAL169 BANTEN TANGE 1810 RS. KHUSUS BEDAH THT PRCOMMERCIAL PARK CENTRBP FREDI - 021-29002929| 021-29002930 Y Y Y ACTIVE170 BANTEN TANGE 1935 APOTIK FARMARIN IV BINT BINTARO UTAMA SEKTOR IBU WAHTYU FITRIA WA- 021-7357077| - N Y Y PARTIAL171 BANTEN TANGE 1948 KLINIK & APOTEK KF 115 JL. PAMULANG PERMAI - - 021-7498708| - N Y Y PARTIAL172 BANTEN TANGE 1555 RSIA. DHIA JL. CENDRAWASIH NO.9 BPK SYARIEF MARKETING 021-7494550/ 70310242| 021-7494551 Y Y Y ACTIVE173 BANTEN TANGE 1949 KLINIK & APOTEK KF 78 JL. A YANI NO 135 TAN ARIA Y ARMOKO - 021-5518433| - N Y Y PARTIAL174 BANTEN TANGE 0308 PAMULANG MEDICAL CENTEJL. RAYA PAMULANG BLOKBPK. MEDIARTO MARKETING 021-740 5317| 021-7497624/7429156 N Y Y PARTIAL175 BANTEN TANGE 0610 RSIA. PUTRA DALIMA GRIYA LOKA, SEKTOR 1.2IBU ISTI MARKETING 021-5380375/5388279021-53882021-5381220 Y Y Y ACTIVE176 BANTEN TANGE 0007 RS. UIN SYARIF HIDAYATUL JL. IR. H. JUANDA, NO.95 WAHYU/IBU LIA/EKO HUMAS 021-30010100/7402718/749912021-7493532 Y Y Y ACTIVE177 BANTEN TANGE 0772 MEDIPRO CLINIC PASAR KEMPERUM WISMA MAS, BLOK IBU RISMA KOORDINATOR 021-59318964| 021-59318965 N Y Y PARTIAL178 BANTEN TANGE 0955 DENTAL PREMIER BINTARO JL. MH THAMRIN NO.1, S IBU TRIA KOORDINATOR P021-745 5500; 021-27625500 ex021-748 64854/745 58 N Y Y PARTIAL179 BANTEN TANGE 1619 RSIA. BUAH HATI PAMULANJL. RAYA SILIWANGI NO IBU YUNITA Marketing 021-7421149 / 7414488| 021-7420322 Y Y Y ACTIVE180 BANTEN TANGE 0733 RS. OMNI ALAM SUTERA JL. ALAM SUTERA BOULE BP.AMRI / YUSAK MARKETING 021-29779999/85550711 - 3534021-5312 8666 Y Y Y ACTIVE181 BANTEN TANGE 2819 LAB. PRODIA BUMI SERPONJL. LETNAN SUTOPO, RU EVA DWI SETYARINI/IB - 021-53160403/4| 021-53160406 N Y Y PARTIAL182 BANTEN TANGE 3791 RSIA. CITRA ANANDA JL. RE MARTADINATA NO. IBU DEASY (081219704Marketing (021) 7401347/ 0852 1795 1795(021) 7491701 Y Y Y ACTIVE183 BANTEN TANGE 2081 RS ARIA SENTRA MEDIKA JL. ARIA PUTRA NO. 9 SHINTA MARKETING 021-7499199/ 7401376| 021-7495864/7400956 Y Y Y ACTIVE184 BANTEN TANGE 1867 KLINIK SATELIT GSO CENG AREA PERKANTORAN GARDRG IVIE / ABDUL RAH - 021-25601565| 021-5501801 N Y Y PARTIAL185 BANTEN TANGE 6002 KLINIK & LAB BETH RAPHA JL. MAULANA HASANUDIN DR. SUSAN MARGARITAPIC 021-5445855 / 68800855| 021-5445855 N Y Y PARTIAL186 BANTEN TANGE 3978 KLINIK & APOTEK KF 447 C JL. CIRENDEU RAYA NO.2 ANANDA DESSI S.FARM.- 021-7415997| -021-7415997 N Y Y PARTIAL187 BANTEN TANGE 3999 KLINIK PESONA LEGOK JL. RAYA LEGOK KM 7 D DR. EDDY OWNER 021-54220281| - N Y Y PARTIAL188 BANTEN TANGE 4684 KLINIK ALFA KOMP. RUKO W.S FAMILY,DRG. RUTH - (021) 95000408| - N Y Y PARTIAL189 BANTEN TANGE 3979 KLINIK & APOTEK KF 267 B JL. BINTARO UTAMA V BL DEWI EKASARI - 021-7371018| - N Y Y PARTIAL190 BANTEN TANGE 2863 LAB. PRODIA BINTARO JL. RUKO KEBAYORAN AR Ibu Fridya Marketing 021-7370185; 29511799| 021-29511798 N Y Y ACTIVE191 BANTEN TANGE 3701 PRODIA GADING SERPONG RUKO PARAMOUNT CENTERRETNO NUR ISTIKANAH - (021) 29014884, 29014885| - N Y Y PARTIAL192 BANTEN TANGE 1774 RS. DR. SUYOTO PUSREHA JL. RC VETERAN NO. 178WULANSARI Marketing 021-7342012 / 73884000| 021-7342581, 7369156 Y Y Y ACTIVE193 BANTEN TANGE 4321 JAKARTA BOUTIQUE DENTALJL. MALEO RAYA BLOK . UDEN / RENDY MARKETING 021 745 8195| - N Y Y PARTIAL194 BANTEN TANGE 2360 RS. PERMATA IBU TANGER JL. KH. MAS MANSYUR IBU OVA (08131605241Marketing 021-7334343/ 7300883| - Y Y Y ACTIVE195 BANTEN TANGE 2440 LAB. PRODIA TANGERANG SUTERA NIAGA I NO. 21 ENDANG HARTATI - 021-539 9961| 021-5312 2589 N Y Y PARTIAL196 BANTEN TANGE 2347 RS. PERMATA PAMULANG JL. RAYA SILIWANGI NO SETYADI HADI MARKETING 021-74704999/74709079| 021 - 74709073 Y Y Y ACTIVE197 BANTEN TANGE 2609 KLINIK & APOTEK KF BERIN JL. BERINGIN RAYA NO. RAHMAT - 021 55763538| - N Y Y PARTIAL198 BANTEN TANGE 2469 KLINIK PRATAMA JL. CIRARAB RAYA NO.6 dr. Risna owner 021- 54260359| - N Y Y PARTIAL199 BANTEN TANGE 1646 KLINIK JATI ELOK KOMP. BUMI JATI ELOK B DR YOGA (Direktur) MARKETING 021-98496234| 021-5977529 N Y Y PARTIAL200 BANTEN TANGE 2774 RS. INSAN PERMATA JL. BHAYANGKARA 1 NO. PAK SOFYAN MARKETING 021-53121344| 021-5396733 Y Y Y ACTIVE201 BANTEN TANGE 2807 KLINIK PERTAMEDIKA PONDJL. WR SUPRATMAN NO. ANNA - 021-7355253| - N Y Y PARTIAL202 BANTEN TANGE 0859 RS. AMINAH TANGERANG JL. HOS COKROAMINOTO IBU SRI MARKETING 021-7371919/021-7371818|021021-7371333 Y Y Y ACTIVE203 BANTEN TANGE 0737 RS EMC TANGERANG d/h RSJL. KH HASYIM ASHARI IBU. WIDA MARKETING 021-55752575/5521270021-557021-55754335 Y Y Y ACTIVE204 BANTEN TANGE 1659 RS. HERMINA CIPUTAT JL. CIPUTAT RAYA NO.2 K IBU HERA/ IBU DINA MARKETING 021-74702525/30492525/30492021-74700999 Y Y Y ACTIVE205 BANTEN TANGE 6569 KLINIK SULTAN MEDIKA JL. RAYA KAWASAN INDU SUPRIYONO(087889869481) (021) 59306888| (021) 59306843 N Y Y PARTIAL


BY PAYOR LEVEL


206 BANTEN TANGE 4657 RSIA. BUN JL. RAYA KOSAMBI TIMURdr. Elliyanah DIREKTUR (021) 70610735; 29031299| - Y Y Y ACTIVE207 BANTEN TANGE 6387 AUDY DENTAL BINTARO INDAH 085771980851 /PIC - N Y Y PARTIAL208 BANTEN TANGE 6389 J & J DENTAL CARE TANGE JL. RAYA KELAPA DUA P IBU CRISTIN ( 0857145 - -| - N Y Y PARTIAL209 BANTEN TANGE 2504 RS. HERMINA SERPONG JL. RAYA PUSPITEK KM. IBU LISA marketing (021) 7588 4999| 021 - 75883704 Y Y Y ACTIVE210 BANTEN TANGE 2337 KLINIK TUMBUR JL.PAHLAWAN NO.4 SITU DRG. ELISABETH SIBUR- 0217492818| - N Y Y PARTIAL211 BANTEN TANGE 2744 RS. AQIDAH JL. RADEN FATAH NO.40 AHMAD YUSLI FARHAN DIREKTUR 021 73450244, 7319025| 7310851 EXT.222 Y Y Y ACTIVE212 BANTEN TANGE 6457 KLINIK DARMA NUSANTARAJL. RAYA SERANG KM 9 DRG MEIKE MARKETING 021- 5566316| - N Y Y PARTIAL213 BANTEN TANGE 4697 KLINIK ICHSAN BINTARO KEBAYORAN ARCADE III BDR. MULYANI MARKETING (021) 29521655| (021) 2952 1655 N Y Y PARTIAL214 BANTEN TANGE 0936 RS. SARI ASIH CILEDUG JL. HOS COKROAMINOTO IBU INDRI/NOVISA MARKETING 021-7333430/ 33553359021-73 021-7333441 Y Y Y ACTIVE215 BANTEN TANGE 1968 BETHSAIDA HOSPITAL DISTRICT TIVOLLI NO.1 DRG. FENDERIA L.S. MH- 021-29309999| 021-29542637 / 39 Y Y Y ACTIVE216 BANTEN TANGE 1467 RSIA. MUTIARA BUNDA TA JL. DR. CIPTO MANGUNKUBPK. SAIFUL MARKETING 021-7301365/73454951| 021-73454952 Y Y Y ACTIVE217 BANTEN TANGE 1608 RS. SARI ASIH CIPUTAT JL. OTISTA RAYA NO. 3 IBU INDRI/ BPK TRIONO MARKETING 021-7410808| 021-7424445 Y Y Y ACTIVE218 BANTEN TANGE 1086 RSU. SARI ASIH SANGIANG JL. RAYA MAUK.KM.3,5 BIDAN PRETTY KOORDINATOR 021-5582732|- 021-55791307 Y Y Y ACTIVE219 BANTEN TANGE 1768 KLINIK SATELIT GSM TANG JL. KH. HASYIM ASHAR IBU RATNA - 021-55748000| 021-4254816 N Y Y PARTIAL220 BANTEN TANGE 6496 KLINIK TOMANG MEDICAL CRUKO GLOBAL MANSION BDR MARIANI - (021) 29439511/081299028155|- N Y Y PARTIAL221 BANTEN TANGE 1985 RS. MEDIKA LESTARI JL. HOS COKROAMINOTO IBU SULAS Marketing 021-5854858| 021-7304150/7320392 Y Y Y ACTIVE222 BANTEN TANGE 1223 EKA HOSPITAL BSD CENTRAL BUSINESS DISTRIIBU MARIA ARIETTA/IBU.MARKETING 021-25655555| 021-25655544 Y Y Y ACTIVE223 BANTEN TANGE 1682 RSU. ST CAROLUS SUMMARJL. GADING GOLF BOULE IBU MARLIANI MARKETING 021-54220811| 021-54220810/5422008 Y Y Y ACTIVETANGERANG SELATAN224 BANTEN TANGER3047 RSIA. VITALAYA JL. RAYA SILIWANGI NO NUNU NURHAYATI marketing 021-7470 3313| 021-74701453 Y Y Y ACTIVE225 BANTEN TANGER5640 RS. PONDOK INDAH BINTARCBC EMERALD BLOK CE/CBENJAMIN R - 021-80828888| 021-8082 8877 Y Y Y ACTIVE226 BANTEN TANGER5550 FRIENDLY DENTAL CARE BSRUKO BIDEX B16, BSD CIdr. Hilda 021-531164571, 08158939191| N Y Y PARTIALBENGKULUBENGKULU227 BENGKULBENGK 5415 KLINIK RAWAT INAP RAFAE JL. FLAMBOYAN DESA GI DR. KRINADI - (085268347777)| - N Y Y ACTIVE228 BENGKULBENGK 2109 APOTEK KIMIA FARMA 220 JL. S. PARMAN BENGKUL - - -| - N Y Y PARTIAL229 BENGKULBENGK 0848 RS. TIARA SELLA JL. S PARMAN NO. 61 PA IBU ENSI Marketing 0736-20350 021-8221574|021- 0736-20626 Y Y Y ACTIVE230 BENGKULBENGK 1551 RS. BHAYANGKARA BENGK JL. VETERAN, NO.2 BPK. SANDY MARKETING 0736-341086/21553| 0736-349050 Y Y Y ACTIVE231 BENGKULBENGK 2108 APOTEK KIMIA FARMA 72 B JL. SUPRAPTO NO. 48 B BPK TONI - 0736-20601| 0736-20601 N Y Y PARTIAL232 BENGKULBENGK 1021 RS. RAFFLESIA BENGKULU JL. MAHONI NO.10, PADANBpk Aldi / Bpk Tomi TATAUSAHA/MK0736-21710|- 0736-342677/21954 Y Y Y ACTIVEDAERAH ISTIMEWA YOGJAKARTABANTUL233 DAERAH BANTUL1437 RS. PKU MUHAMMADIYAH BJL. JEND. SUDIRMAN 124 IBU AZIZAH RELASI 0274-368587| 0274-368586 Y Y Y ACTIVE234 DAERAH BANTUL3298 LAB. CITO BANTUL JL. RAYA BANTUL KM.10 - - 0274-7101015| - N Y Y PARTIALKULON PROGO235 DAERAH KULON 3299 LAB. CITO WATES JL. BRIGJEN KATOMSO N - - -| - N Y Y PARTIALSLEMAN236 DAERAH SLEMA 4334 RS. HERMINA YOGYA JL. MATARAMAN HERMIN IBU NIKEN / IBU IKA MARKETING 0274-2800808/2800909| 0274-2800909 Y Y Y ACTIVE237 DAERAH SLEMA 2974 RSI. YOGYAKARTA PDHI JL. SOLO KM. 12,5 KAL ZULFA ADZKIA/ WAHYUMARKETING (0274) 498000| (0274) 498464 Y Y Y ACTIVE238 DAERAH SLEMA 1229 JOGJA INTERNATIONAL HOSPIJL. RING ROAD UTARA BPK AGUNG MARKETING 0274-4463535/4463190| 0274-4463444 Y Y Y ACTIVE239 DAERAH SLEMA 4170 KLINIK PRATAMA DK JL. RING ROAD UTARA N DR. WISHNU MURTI YAN- 0274-4333679| 0274-4333679 N Y Y PARTIAL240 DAERAH SLEMA 3088 RSU. QUEEN LATIFA JL. RING ROAD BARAT VIKA WIBOWO HUMAS 0274-581402| 0274-626309 Y Y Y ACTIVE241 DAERAH SLEMA 1674 RS. PKU MUHAMMADIYAH GJL. WATES KM 5,5 GAM BPK GATOT HERU SUGI ADM 0274-6499704/6499706| 0274-6499727 Y Y Y ACTIVEYOGYAKARTA242 DAERAH YOGYAK2170 APOTEK FARMARIN YOGYAKJL. P. MANGKUBUMI NO. WUNAWAR, S. FARM, APAPOTEKER 0274-7822198| - N Y Y PARTIAL243 DAERAH YOGYAK0077 RS. BETHESDA YOGYAKARTJL. JEND.SUDIRMAN NO.7IBU NUR SUKAWATI/IBU HUMAS 0274-586688/5622460274 -58660274-563312,521251 Y Y Y ACTIVE244 DAERAH YOGYAK2616 KIMIA FARMA 401 JL. SETURAN,C 3/B, JOGJADIAN SHINTARI RAHAYU,- 0274 4332880| - N Y Y PARTIAL245 DAERAH YOGYAK2617 KLINIK & APOTEK KF 275 JL. KALIURANG KM.6 NO.4DRA ERNA RAHAYU NINpenanggung ja 0274-886981/885220| 0274-886981 N Y Y PARTIAL246 DAERAH YOGYAK2618 KLINIK & APOTEK KF 70 JL. ADISUCIPTO 63A, JOG DRA. ERNA RAHAYUNNIN- 0274 489135| - N Y Y PARTIAL247 DAERAH YOGYAK2619 KLINIK & APOTEK KF 316 JL. PALAGAN, JOGJA PRIHASTUTI,S.FARM.,AP- 0274 869944| - N Y Y PARTIAL248 DAERAH YOGYAK0991 SILOAM HOSPITALS YOGYA JL. LAKSDA ADISUCIPTO IBU HILLARIA MARKETING (0274) 4600 900|- (0274) 4600 922 Y Y Y ACTIVE249 DAERAH YOGYAK1286 RS. HAPPYLAND MEDICAL CJL. IPDA TUT HARS. ONO Bpk Hardian. MARKETING 0274-550060/58| 0274-550061 Y Y Y ACTIVE250 DAERAH YOGYAK0604 RS. LUDIRA HUSADA TAMA JL. WIRATAMA NO.4 TEG IBU LUCIA EMIYATI MARKETING 0274 2871840/ 620333/620373 0274-589087 Y Y Y ACTIVE251 DAERAH YOGYAK0606 RS. PKU MUHAMMADIYAH YJL. K.H. ACHMAD DAHLANBPK. EKA/ IBU LELI MARKETING 0274-512653-|- 0274-566129 Y Y Y ACTIVE252 DAERAH YOGYAK4036 KLINIK KHADIJAH JL. PURWANGGAN NO. 45IBU ETI BAG.PKS 0274-513357| 0274-513357 N Y Y PARTIAL253 DAERAH YOGYAK2908 LAB. PRODIA MANGKUBUMIJL. PANGERAN MANGKUBUIBU RENI/ARUM - 0274-580675/515818| 0274-584911 N Y Y PARTIAL254 DAERAH YOGYAK2909 LAB. PRODIA BINTARAN YO JL. BINTARAN KULON NO.IBU HAYATI/ ARUM - 0274-373271/375273| N Y Y PARTIAL255 DAERAH YOGYAK3986 KLINIK THC TIMOHO YOGYAJL. TIMOHO NO. 86 YOG IBU INEKE - 0274-5305079| - N Y Y PARTIAL

RUKAN VICTORIAN BINTARO BLOK AA NO.03, JL. BINTARO UTAMA SEKTOR 3A, PONDOK AREN, TANGERANG SELATAN(021) 22734928 / 081382154488|


BY PAYOR LEVEL


256 DAERAH YOGYAK1255 RS. MATA DR.YAP JL. TEUKU CIK DITIRO, NOBPK RIO/BPK KRISNA MARKETING 0274-562054| - Y Y Y ACTIVE257 DAERAH YOGYAK0747 RS. PANTI RAPIH JL. CIK DITIRO, NO.30 IBU ELIZA KONDA PPU 0274-514014/514845/563333| 0274-564583 Y Y Y ACTIVE258 DAERAH YOGYAK3297 LAB. CITO YOGYAKARTA JL. ATMOSUKARTO NO. 4 Rukisti wuri - 0274 563656| - N Y Y PARTIAL259 DAERAH YOGYAK2864 RS. AN NUR JL. N.COLOMBO, NO. 14, BPK ARI Humas 0274-585848/0274-514784| 0271-564110 Y Y Y ACTIVE260 DAERAH YOGYAK2768 KIMIA FARMA 21 JL. MALIOBORO - YOGYA NOVIARDI KOORDINATOR 0274 514980| N Y Y PARTIALDKI JAKARTAJAKARTA BARAT261 DKI JAKAJAKART5539 KLINIK TERATAI KEBON JER JL. KEBON JERUK RAYA N IBU APRILIA PIC (021) 22534039| - N Y Y PARTIAL262 DKI JAKAJAKART0952 RS. PATRIA IKKT JL. CENDRAWASIH NO.1 DR. BUN / IBU SARI MARKETING 021-5308981-84-|- 021-5346387 Y Y Y ACTIVE263 DKI JAKAJAKART6609 KLINIK KTA SRENGSENG JU JL. SRENGSENG RAYA NOGITA MARKETING (021) 94875942| - N Y Y PARTIAL264 DKI JAKAJAKART5556 TELEMEDIKA FARMA 8 - SLIPJL. S PARMAN KAV.8 TO - 021-5670676| - N Y Y PARTIAL265 DKI JAKAJAKART0204 RS. MEDIKA PERMATA HIJAUJL. RAYA KEBAYORAN LA IBU LILY NURLITA MARKETING 021 - 530 5288 / 534 7411|021 021-53652856/5305291 Y Y Y ACTIVE266 DKI JAKAJAKART1945 KLINIK & APOTEK KF 96 JL. LET JEND S PARMAN KKhaerul - 021-5303347/57| - N Y Y PARTIAL267 DKI JAKAJAKART0784 RS. KANKER DHARMAIS JL. LETJEN.S. PARMAN, KAIBU DINI MARKETING 021- 5681570| 021- 5681577 Y Y Y PARTIAL268 DKI JAKAJAKART2640 KLINIK & APOTEK KF 254 JL. RAYA POS PENGUMBEDRS. I. NYOMAN SUKRA- 021 5349063| - N Y Y PARTIAL269 DKI JAKAJAKART1102 RS. BHAKTI MULIA JL. AIPDA K.S.TUBUN, NODR DEVI Marketing 021-5481625-|- 021-5331544 Y Y Y ACTIVE270 DKI JAKAJAKART1127 JESSLYN MEDICAL CENTER PERUM.TAMAN SURYA III IBU JESISKA/ PAK FAND KOORDINATOR 021-54365638| 021-54365638 N Y Y PARTIAL271 DKI JAKAJAKART1479 RS. PONDOK INDAH PURI I JL. PURI INDAH RAYA B IBU YUNITA SARI MARKETING 021-25695222/25695200| 021-25695265 Y Y Y ACTIVE272 DKI JAKAJAKART0736 RSUD. CENGKARENG JL. N. KAMAL RAYA, BU BPK SIGIT EXT 730 MARKETING 021-54372874/5/6 / 54372882| 021-54374579 Y Y Y ACTIVE273 DKI JAKAJAKART0390 RS. HERMINA DAAN MOGOTJL. KINTAMANI RAYA, N IBU IPUNG HANDOKO MARKETING 021-5408989| 021-5449869 Y Y Y ACTIVE274 DKI JAKAJAKART0643 RS. GRHA KEDOYA JL. PANJANG NO 26, KE IBU DEDEN/ ELSA - 021-56982222/29910999| 02129910987/56982233 Y Y Y ACTIVE275 DKI JAKAJAKART0109 RSAB. HARAPAN KITA JL. JEND S.PARMAN, KAV.8CHESA Pemasaran 021-5668284/5686404/5683053021-5601816,5668285 Y Y Y ACTIVE276 DKI JAKAJAKART0836 RS. ROYAL TARUMA JL. DAAN MOGOT NO.34 IBU ORI/ LELI PEMASARAN 021-56967788/56958338|- 02156967756/56958589 Y Y Y ACTIVE277 DKI JAKAJAKART0783 KLINIK MHT KALIDERES JL. PETA SELATAN A/2 K DRG RATNA KOORDINATOR 021- 545602708| 021- 5456027 N Y Y PARTIAL278 DKI JAKAJAKART0782 KLINIK MHT ANGKE JL. TUBAGUS ANGKE NO.DR TIWI/IBU ATI KOORDINATOR 021- 5675259/5679165| 021-5679165 N Y Y PARTIAL279 DKI JAKAJAKART0771 KLINIK YADIKA TEGAL ALURJL. KAMAL RAYA BLOK A7DR SAPTAJI / IBU ETI PENANGGUNG J 021-70605247 / 55351876| 021-55963484 N Y Y PARTIAL280 DKI JAKAJAKART0846 RS. JANTUNG HARAPAN KIT JL. LETJEN S PARMAN KAVIBU NETTY N. E. SIREGAPELAYANAN PE 021-5684093 / 5684085| 021-5601816 Y Y Y ACTIVE281 DKI JAKAJAKART0695 KLINIK KUSUMA I JL. PETA SELATAN, NO.50DR MEIDI penanggung ja 021-541 9747| 021-54360626 N Y Y PARTIAL282 DKI JAKAJAKART5078 RSIA. BINA SEHAT MANDIRI JL. DURI RAYA NO. 22 KE IBU FANNIE manager market(021) 5669411/12 / 5658870| 021 5603531/5658870 Y Y Y ACTIVE283 DKI JAKAJAKART4686 RS. CIPUTRA CITRA GARDENJL. BOULEVARD BLOK G-0IBU CORNELIA KEUANGAN (021) 2255 7888| - Y Y Y ACTIVE284 DKI JAKAJAKART4770 KLINIK CIPUTRA CITRA GAR JL. CITRA 2 BLOK J 2 CI IBU RISA HARTIYASARI - 021-29038871-3| - N Y Y PARTIAL285 DKI JAKAJAKART0101 SILOAM HOSPITALS KEBON JL. RAYA PERJUANGAN, KIBU AIN/MIKAEL/EUNIKEMARKETING 021- 25677888/021-5300889|0 021-5321766 Y Y Y ACTIVE286 DKI JAKAJAKART4492 KLINIK VIVA MEDIKA CENTRJL. MACAN KAV. 4-5 BLOKDEWI JULIANA (081311 - (021) 29666764 / 50200730| - N Y Y PARTIAL287 DKI JAKAJAKART4678 KLINIK BAMED JL. PENYELESAIAN TOMANBPK. SAIFULLAH 021 - 584 3456 / 584 46512| (021) 5867004 N Y Y PARTIAL288 DKI JAKAJAKART3735 PRODIA KEDOYA -JL. KEDOYA AGAVE RAY BIA ADYAHWANTI - (021) 5803066, 5812941| - N Y Y PARTIAL289 DKI JAKAJAKART4679 KLINIK KL JL. ARIES UTAMA BLOK E Endah - (021) 29415300| 021-29319150 N Y Y PARTIAL290 DKI JAKAJAKART3601 PRODIA CIDENG JL. CIDENG BARAT NO. 3 DANIEL- - (021) 6321820| - N Y Y PARTIAL291 DKI JAKAJAKART4514 PRODIA DAAN MOGOT BAR JL. TAMPAK SIRING BLOK AKBAR - 021-54392150-29038204| - N Y Y PARTIAL292 DKI JAKAJAKART4822 KLINIK MAYAPADA CENTRALJL. TANJUNG DUREN RAY IBU RISKA SELVIANA - (021) 29859901| - Y Y Y PARTIAL293 DKI JAKAJAKART3977 KLINIK & APOTEK KF 282 JL. AIPDA KS TUBUN NO.8NUGRAHA PRAMANA - 081372756593| - N Y Y PARTIAL294 DKI JAKAJAKART3166 LAB. PRODIA PURI INDAH KOMPLEK SENTRA NIAGA PENY PRASETYAWATI - 021-58304501| N Y Y PARTIAL295 DKI JAKAJAKART4353 MITRA KELUARGA KALIDEREJL. PETA SELATAN NO. 1 IBU MUTIARA MARKETING 021-22523700| 021-22523702 Y Y Y ACTIVE296 DKI JAKAJAKART3211 GETHEALTHY CLINIC RUKAN SIXTH AVENUE J01 DR. ANGGRAINI PUSPIT Marketing 021-29030041/42| 021-29030045 N Y Y PARTIAL297 DKI JAKAJAKART6382 AUDY DENTAL GREENVILLE JL RATU KEMUNING BLOK drg. Yulita MARKETING (021) 29401060 / 082211700082- N Y Y PARTIAL298 DKI JAKAJAKART2294 RS. JAKARTA EYE CENTER ( JL. TERUSAN ARJUNA UT IBU MUBADIYAH - 021-29221000| - Y Y Y ACTIVE299 DKI JAKAJAKART6428 TOOTH AND TEETH DENTAL RUKAN PURI BOTANICAL RDRG.ZAKY AULIA PIC 021-58900413 - 414| - N Y Y PARTIAL300 DKI JAKAJAKART6249 RSUD TAMAN SARI JL. MADU NO.10 KEL MA FERDIANSYAH PENANGGUNG J 021-26564276| - Y Y Y ACTIVE301 DKI JAKAJAKART6610 KLINIK TAMAN ANGGREK KONDOMINIUM TAMAN ANGGITA (083808621039) MARKETING (021) 5609432| (021) 56952901 Y Y Y PARTIAL302 DKI JAKAJAKART0018 RS. PELNI JL. AIP II K.S. TUBUN, DR. SRI RACHMANI M.K MARKETING 021-5480608/5306901/53494750215483145/5306904/7 Y Y Y ACTIVEJAKARTA PUSAT303 DKI JAKAJAKART1700 FHL DENTAL CLINIC GEDUNG BRI II LT.15 SUI DRG KRISTIN RATNAWA- 021-57851127/ 57930552| - N Y Y PARTIAL304 DKI JAKAJAKART1702 RS. KHUSUS BEDAH SS MEDJL. SALEMBA I NO 11 JA BPK IRVAN HELMI/ IBU MARKETING 021-3913336/3926689| 021-3926687 Y Y Y ACTIVE305 DKI JAKAJAKART2406 HENDRA HIDAYAT DENTAL THAMRIN CITY - OFFICE SDEBRA - 08164830122 - 021-3199 7482| - N Y Y PARTIAL306 DKI JAKAJAKART2636 KLINIK & APOTEK KF 1 JL. GARUDA NO.47, JAKPUMARULI MARPAUNG - 021 424-5572| - N Y Y PARTIAL307 DKI JAKAJAKART2794 KLINIK PERTAMEDIKA KANT JL. PERWIRA 2 - 4 JAKAR MAHMUD (021-4900758- 021-3816104/3815970/3815687-- N Y Y PARTIAL308 DKI JAKAJAKART1406 APOTIK FARMARIN I KEBON GEDUNG BANK INDONESIA SHANTI INDAH PALUPI KOORDINATOR 021-29810000 / 29815268| 021-2311940 N Y Y PARTIAL309 DKI JAKAJAKART1069 RSPAD GATOT SUBROTO(P.IJL. ABDUL RAHMAN SALE BPK AHMAD MARKETING 021-3441008-|- 021-3859460 Y N Y ACTIVE310 DKI JAKAJAKART1078 RSIA. BUDI KEMULIAAN JL. BUDI KEMULIAAN NO. IBU KIKI/ IBU EVIE MARKETING 021-3842828-|- 021-3501012 Y Y Y ACTIVE311 DKI JAKAJAKART1477 BUNDA INTERNASIONAL CLIJL. TEUKU CIK DITIRO NO BPK HILMA/IBU FIKA/IbuKEUANGAN/MAR021-29186133.| 021-3926494 N Y Y PARTIAL312 DKI JAKAJAKART0013 RS. PGI. CIKINI JL. RADEN SALEH, NO.40IBU RATNA/IBU IRENE MARKETING 021-38997777| 021-324663/ 3910277 Y Y Y ACTIVE


BY PAYOR LEVEL


313 DKI JAKAJAKART1590 RS. BEDAH THT PROF. NIZAJL. KESEHATAN NO.9 IBU VITA/IBU ELIN MARKETING 021- 3503435/34834982| 021-34834982 Y Y Y ACTIVE314 DKI JAKAJAKART1612 LAB. KLINIK BIOTEST MENT JL. SUMATERA RT. 002 / IBU VIVI PIMPINAN CABA021-31937784| - N Y Y PARTIAL315 DKI JAKAJAKART1577 KLINIK MIRACLE ( GD INDO INDOFOOD TOWER - PLAZADR RITA/BPK ERIK MARKETING 021-57954537/38| 021-57954541 N Y Y PARTIAL316 DKI JAKAJAKART0953 RS. ISLAM JAKARTA (CEMPAJL. CEMPAKA PUTIH TENGIbu Wahyuni Warastuti MARKETING 021-4250451/42801567021-428021-4266546 Y Y Y ACTIVE317 DKI JAKAJAKART1105 RS. JAKARTA EYE CENTER ( JL. CIK DI TIRO 46, MENT Ibu DIAH MARKETING CO 021-29221000/31935600|021-3021-3904601 Y Y Y ACTIVE318 DKI JAKAJAKART1709 KLINIK WISMA PT YPK MANDWISMA MANDIRI LT I, JL. IBU LINDA - 021-39832805| 021-39832806 N Y Y PARTIAL319 DKI JAKAJAKART0042 RS. PERTAMINA JAYA JL. A. YANI NO.2 IBU. YAYAT/ IBU NIA KOORDINATOR 021-4204056/4211911|021-421021-4211913 Y Y Y ACTIVE320 DKI JAKAJAKART0135 RS. ABDI WALUYO JL. H.O.S. COKROAMINOTDR. MIGOT/IBU ENY MARKETING / K 021-3144989| 021-31930866 Y Y Y ACTIVE321 DKI JAKAJAKART0793 KLINIK YES CARE JL. WAHID HASYIM NO. 3DRG ELDA Direktur 021-3915487| 021-3146659 N Y Y PARTIAL322 DKI JAKAJAKART0789 KLINIK MHT SERDANG JL. H. UNG E - 71/2 KE DRG ATI SARASWATI/BPKOORDINATOR/A021-4249519| 021- 4249519 N Y Y PARTIAL323 DKI JAKAJAKART0802 SAHID SAHIRMAN MEMORIAJL. JEND.SUDIRMAN KAV. SITI BADRIATI MARKETING 021- 57853911|021- 5727210 021- 57853922 Y Y Y ACTIVE324 DKI JAKAJAKART0398 RS. MH. THAMRIN INTERNA JL. SALEMBA TENGAH, N Bpk.DJATMIKO / IBU.RITMARKETING 021-3904422| 021-3926934,3926931 Y Y Y ACTIVE325 DKI JAKAJAKART0705 KLINIK SWA INDOMEDIKA JL. JEND SUDIRMAN KAV IBU TANTI MARKETING 021-5728987| 021-5728990 N Y Y PARTIAL326 DKI JAKAJAKART0011 RS. MITRA KELUARGA KEM JL. HBR MOTIK LANDAS IBU STEVANI / IBU EVA MARKETING 021-6545555/888| 021-6545959 Y Y Y ACTIVE327 DKI JAKAJAKART1019 RSPAD GATOT SUBROTO (PJL. ABDUL RACHMAN SALIBU NOVA, NITA, FEBRI Admin 021-3840484/3500004/021-376021-3441903/3859460 Y Y Y ACTIVE328 DKI JAKAJAKART0392 RS.HERMINA KEMAYORAN ( JL. SELANGIT BLOK B.10 IBU KRISTIN/ENI/MAYA MARKETING 021-22602525 WA 08569415535- Y Y Y ACTIVE329 DKI JAKAJAKART4228 RS. LADOKGI JL. FARMASI NO.1, TANA DR. UNDU KOORDINATOR (021) 573 3026| (021) 5732701 Y Y Y ACTIVE330 DKI JAKAJAKART1837 E-LAB. S PERCETAKAN NEG JL. PERCETAKAN NEGARA- - -| - N Y Y PARTIAL331 DKI JAKAJAKART4662 KLINIK & APOTEK KF PPBM JL. RP.SOEROSO NO.2-4 CPAK SUKASA KOORDINATOR 021-2300 181| - N Y Y PARTIAL332 DKI JAKAJAKART1495 APOTEK & KLINIK KF INDOSGD. INDOSAT LT.23 JL. DRS. MARULY MARPAUKOORDINATOR 021-30003750| 021-30003750 N Y Y PARTIAL333 DKI JAKAJAKART3972 KLINIK MIRACLE GRAND IN MENARA BCA LT.9 JL. M ERICK - (021) 23587188 EXT.10511| N Y Y PARTIAL334 DKI JAKAJAKART1026 RSIA. TAMBAK JL. TAMBAK,NO.18 MANGIBU. SURAYA MARKETING 021-2303444/087878218215/08021-3902550 Y Y Y ACTIVE335 DKI JAKAJAKART1197 RSPAD GATOT SUBROTO (NOJL. ABDUL RACHMAN SALIBU JUJU / HERMIN/ BP Marketing 021-3448929| 021-3448929 Y N Y ACTIVE336 DKI JAKAJAKART4804 KLINIK ASHA JL. JOHAR NO. 1A MENTE IBU EMMA (0813266289- (021) 3905035 / 3905037/ 2305(021) 3928907 N Y Y PARTIAL337 DKI JAKAJAKART4058 KLINIK GRAHA PT YPK MANDGEDUNG GRAHA MANDIRI LDR MARINI KOORDINATOR 021 - 39838556| - N Y Y PARTIAL338 DKI JAKAJAKART2733 KINAN MEDICAL CENTER KOMPLEK RUKO RAWASARIRahmi utami - -| - N Y Y PARTIAL339 DKI JAKAJAKART2735 THOMSON SPECIALIST CEN JL. IMAM BONJOL NO.72, Fanny Marketing 021-3910030| - N Y Y PARTIAL340 DKI JAKAJAKART1633 KLINIK GARUDA SENTRA MEDJL. ANGKASA BLOK B.15 BPK YOGO/ IBU RETNO MARKETING 021-4241000| 021-4254816 N Y Y PARTIAL341 DKI JAKAJAKART1232 KLINIK PRODIA HEALTH CA JL. KRAMAT RAYA NO.150IBU CHRISTI HAKIKI / B MARKETING 021 - 3906709| 021- 3922721 N Y Y PARTIAL342 DKI JAKAJAKART2405 HENDRA HIDAYAT IMPLANTSAHID SUDIRMAN RESIDENCIbu Elisabeth MARKETING 021-52970102/104| 021-52970205 N Y Y PARTIAL343 DKI JAKAJAKART1820 RSU. BUNDA JAKARTA JL. TEUKU CIK DITIRO N - - 021-31923344/ 31922005| 021-31905546 Y Y Y ACTIVE344 DKI JAKAJAKART1115 RSPAD GATOT SUBROTO (PAJL. ABDUL RACHMAN SALBPK AHMAD & IBU SANTMARKETING 021-3504614| 021-3520643 Y N Y ACTIVE345 DKI JAKAJAKART1954 RS. UPN CIPTO MANGUNKU JL. DIPONEGORO NO. 71 IBU LENI - 1500135 , 021 - 92005164| - Y Y Y ACTIVE346 DKI JAKAJAKART0084 RS. JAKARTA JL. GARNISUN NO.1 JENDBPK FAUZI MARKETING 021-5732241/5741828021-5741021-5719870 Y Y Y ACTIVE347 DKI JAKAJAKART2793 KLINIK PERTAMEDIKA KWA JL. MEDAN MERDEKA TIMPRIYANTO (0813111035- 021-3502150 EXT 1998| - N Y Y PARTIAL348 DKI JAKAJAKART5558 TELEMEDIKA FARMA 6 - PE JL. PERCETAKAN NEGARA - 021-4255428| - N Y Y PARTIAL349 DKI JAKAJAKART5559 TELEMEDIKA OPTIKAL PER JL. PERCETAKAN NEGARA IBU ATI 085100857111| - N Y Y PARTIAL350 DKI JAKAJAKART1054 RS. HUSADA JL. RAYA MANGGA BESARBpk. Aldi MARKETING 021-6260108/021-6490090|021021-6497494 Y Y Y ACTIVE351 DKI JAKAJAKART0788 RSPAD GATOT SUBROTO (PAJL. ABDUL RACHMAN SALKAPT. JAEMI, S.KEP MARKETING 021-384 0484, 3441008021-376021-3859460,3501308 Y Y Y ACTIVE352 DKI JAKAJAKART0599 RS. KRAMAT 128 JL. KRAMAT RAYA NO.128BPK HERI/IBU WIWIK MARKETING 021-3909814/3918287/3909514021-3909125 Y Y Y ACTIVE353 DKI JAKAJAKART1387 BRAWIJAYA CLINIC UOB JL. MH THAMRIN NO.8-9 RIKE MUSTIKAWATI MARKETING 021-29261880| 021-29261890 N Y Y PARTIAL354 DKI JAKAJAKART1914 RSUD. TARAKAN JAKARTA JL. KIYAI CARINGIN NO.7 BPK SUGIYANTO / IBU LMarketing 021- 3503150, 3503003, 384293021-3810149, 3503412 Y Y Y ACTIVE355 DKI JAKAJAKART0600 RS. ST.CAROLUS JL. SALEMBA RAYA NO.41dr Veronica/DR. WELLEMMarketing/CO Kl021-3904441| 021-3922831/3154183 Y Y Y ACTIVE356 DKI JAKAJAKART0029 RSU. EVASARI JL. RAWAMANGUN NO.47 DEVI / FEMMY Marketing / Keu021-4201515 / 4202851-52| 021-4209725 Y Y Y ACTIVE357 DKI JAKAJAKART0787 RS. KHUSUS THT-BEDAH PRJL. PROKLAMASI NO.43 BPK MANSYUR MARKETING 021- 3900002/3906893/3144795021- 3900947/3152548 Y Y Y ACTIVE358 DKI JAKAJAKART0790 RSIA. BUNDA JAKARTA JL. TEUKU CIK DITIRO N BPK.SAMUEL MARKETING (021) 31922005 / 3143215|(021021- 3928583,3928585 Y Y Y ACTIVE359 DKI JAKAJAKART1358 RSIA. YPK MANDIRI JL. GEREJA THERESIA, NO.IBU NINDI MARKETING 021-3909725| 021-3909806 Y Y Y ACTIVE360 DKI JAKAJAKART2637 KLINIK & APOTEK KF 2 JL. RAYA SENEN NO. 66 DRA. ASTRID DWIASTUTI- 021 384-4788; 384-0742| - N Y Y PARTIAL361 DKI JAKAJAKART4238 MP DENTAL CENTER HOTEL INTERCONTINENTALIBU ROSELIN/BAPAK AN- (021) 5735336| - N Y Y PARTIAL362 DKI JAKAJAKART2507 MITRASANA IHC KALBE CEMJL. LETJEN SUPRAPTO K INDAH - 021-42873888 EXT : 1451| - N Y Y PARTIALJAKARTA SELATAN363 DKI JAKAJAKART5428 GOOD DOCTORS MEDICAL KOMP.EPICENTRUM RASUNABAPAK ANDHIKA MARKETING 021-29912131 - 32 / 29941137| 021-29941137 N Y Y PARTIAL364 DKI JAKAJAKART5429 KLINIK UTAMA INDO MEDIK PLAZA OLEOS, JL.TB SIM IBU INDAH R MARKETING 021-22780121 / 19| 021-22780120 N Y Y PARTIAL365 DKI JAKAJAKART6380 AUDY DENTAL KEMANG JL BANGKA RAYA NO.40E drg. Yulita MARKETING (021) 71794428 / 082122324969- N Y Y PARTIAL366 DKI JAKAJAKART6388 J & J DENTAL CARE RADIO JL. RADIO DALAM RAYA NIBU CRISTIN ( 0857145 - 021-7207877| - N Y Y PARTIAL367 DKI JAKAJAKART6227 MEDIKA PLAZA WTC 2 CLINIWTC 2 LOWER GROUND FLBPK. DONI PIC 021-29522611| 021-29522610 N Y Y PARTIAL368 DKI JAKAJAKART6483 KLINIK MEDIKA PLAZA BEL BELTWAY OFFICE PARK , - - (021) 30027070| - N Y Y PARTIAL369 DKI JAKAJAKART0003 RS. TEBET JL. LETJEND MT. HARYON Maryati / Andareni MARKETING 021-8307542/43/44| 021-8311760 Y Y Y ACTIVE370 DKI JAKAJAKART5789 KLINIK UTAMA CONFIDENTA JL.KEBAGUSAN I NO.4, R IBU YENI APRIYANI 021-22780426| N Y Y PARTIAL371 DKI JAKAJAKART6381 AUDY DENTAL CIPETE JL. CIPETE RAYA NO.55, Cdrg. Yulita MARKETING (021) 29124856 / 085775006872- N Y Y PARTIAL


BY PAYOR LEVEL


372 DKI JAKAJAKART1408 BIDAKARA MEDICAL CENTERGEDUNG BINA SENTRA, LDR.KIKI MARKETING 021-83783535/83783636| 021-83785349 N Y Y PARTIAL373 DKI JAKAJAKART6231 OMDC DENTAL CLINIC JL. WARUNG BUNCIT RAY WAHYU WULANDARI - 021-79196767| - N Y Y PARTIAL374 DKI JAKAJAKART6429 DENTIC CLINIC JL. SULTAN ISKANDAR M drg. Annisa R.A, Sp.KGAMARKETING 021-7221370| 021-72784625 N Y Y PARTIAL375 DKI JAKAJAKART6431 TEBET DENTAL CLINIC JL. TEBET BARAT 8/18 KE DRG. ITA - (021) 8308221/ 8306244| (021) 8202983 N Y Y PARTIAL376 DKI JAKAJAKART0879 RSU. YADIKA CIPUTAT JL. CIPUTAT RAYA, NO. IBU AULIA SEKDIR 021-7291074| 021-72895046 Y Y Y ACTIVE377 DKI JAKAJAKART6081 RSIA. KARTINI CILEDUG JL. CILEDUG RAYA NO. 94DEYVITA MARKETING (021) 7245646/ 7207828| (021) 72792194 Y Y Y ACTIVE378 DKI JAKAJAKART5592 KLINIK THAMRIN TAMAN SAAPARTEMEN TAMAN SARI SDR.RATRI (021) 29888506| N Y Y PARTIAL379 DKI JAKAJAKART2356 MAYAPADA HOSPITAL JAKARJL. LEBAK BULUS I KAV.29IBU RINI Marketing 021-29536660 / 29208505 / 292021-29216666 Y Y Y ACTIVE380 DKI JAKAJAKART0796 RS. METROPOLITAN MEDICAJL. HR. RASUNA SAID, K DR.LITA CORNELIA/ IBU Marketing 021- 5203435/0811865958/081 021-5226070/5227060 Y Y Y ACTIVE381 DKI JAKAJAKART6499 RS ALI SIBROH MALISI JL. WARUNG SILAH NO.1, DR INDRA - (021) 7270681| (021) 7888 5063 Y Y Y PARTIAL382 DKI JAKAJAKART0593 RS. SETIA MITRA JL. RS. FATMAWATI, NO.8 IBU TARI/PUJI MARKETING 021-7656000/7651021/7654676021-7656880/7656875 Y Y Y ACTIVE383 DKI JAKAJAKART5808 CLINIC 18 GEDUNG 18 OFFICE PARKEKO 083871523455| N Y Y PARTIAL384 DKI JAKAJAKART0854 RS. ZAHIRAH JL. SIRSAK NO.21, JAGAK IBU NANI/ROBY MARKETING 021-78888723/7872210/788887021-7270013/7872210 Y Y Y ACTIVE385 DKI JAKAJAKART0112 SUDIRMAN MEDICAL CENTEJL. SETIABUDI TENGAH N IBU EKA MARKETING 021-5203467| 021-5203468 N Y Y PARTIAL386 DKI JAKAJAKART0795 RS. PUSAT PERTAMINA JL. KYAI MAJA 43, KEBA IBU IRA Marketing (021) 7219555; 7219800| (021) 7203540, Y Y Y ACTIVE387 DKI JAKAJAKART0395 RS. PRIKASIH JL. RS. FATMAWATI, NO. BPK AANG MARKETING 021-7501192/7504669/75901174021-7505148 Y Y Y ACTIVE388 DKI JAKAJAKART4234 RAYS INTERNATIONAL DENTJL. BRAWIJAYA VIII NO. 2 IBU ENDANG KOORDINATOR 021-7262347| 021-7225844 N Y Y PARTIAL389 DKI JAKAJAKART3989 KLINIK & APOTEK KF NO. 5 JL. KEBAYORAN LAMA NOWAHYU DWI - 021-7226444/7203563| 021-7203563 N Y Y PARTIAL390 DKI JAKAJAKART4640 KLINIK MOESLICHAN JL. CIPETE NO. 3 RT/RW PUTI MAYANGSARI - (021) 7657861| (021) 75904535 N Y Y PARTIAL391 DKI JAKAJAKART4488 KLINIK UTAMA CIPUTRA SMGLOTTE SHOPPING AVENUE FIBU LIA MANTOWATI - (021) 29888138| - N Y Y PARTIAL392 DKI JAKAJAKART2798 INHOUSE KLINIK PERTAMEDKAWASAN PERKANTORAN AS- - 021-75918577| - N Y Y PARTIAL393 DKI JAKAJAKART0597 KLINIK JMC DHARMA BHAKTJL. CILANDAK KKO RAYA IBU SRI WAHYUTI MARKERTING 021-781 9848 / 0217989123| - N Y Y PARTIAL394 DKI JAKAJAKART0758 DE BLITZR DENTAL CARE Bellezza Shopping ArcadeIBU FIKA / 0858148638 KOORDINATOR 021-25675742| 021-25675743 N Y Y PARTIAL395 DKI JAKAJAKART2820 LAB. PRODIA ARTERI ARTERI PONDOK INDAH, JNOOR MAYA - (021) 7227728, 7226655, 72917- N Y Y ACTIVE396 DKI JAKAJAKART5904 BIC CLINIC BUNDA PACIFIC PACIFIC PLACE, LEVEL B1drg. DEVINA AGUSTIN, PIC 021-57973781/93| N Y Y PARTIAL397 DKI JAKAJAKART2174 SILOAM HOSPITALS SIMAT JL. RA KARTINI NO.8 CIL ARIE ARIMBI Marketing 021 2953 1900 EXT 22601| 021 759 16997 Y Y Y ACTIVE398 DKI JAKAJAKART2086 KLINIK GLOBAL DOCTOR JLN. WARUNG JATI BARAT Ibu Yuri Obon Manager 021-7194565/ 7980183| - N Y Y PARTIAL399 DKI JAKAJAKART1076 KLINIK YADIKA PETUKANGAJL. DAMAI RAYA NO.1 PE DR. PRIHADI PENANGGUNG J 021-7370881|- 021-73887810 N Y Y PARTIAL400 DKI JAKAJAKART0110 RS. TRIA DIPA JL. RAYA PASAR MINGGUBPK. DEDE MARKETING 021-7993058,7974071-73| 021-7974074 Y Y Y ACTIVE401 DKI JAKAJAKART4374 KLINIK MATA NUSANTARA (LJL. R.A. KARTINI NO. 99 RATNA WULAN - (021) 751 6688| (021) 7519344 N Y Y PARTIAL402 DKI JAKAJAKART3540 FHL DENTAL CLINIC EPPIWAEPPIWALK OFFICE SUITES DR. CHRISTIN - 021-29912232| - N Y Y PARTIAL403 DKI JAKAJAKART0842 BRAWIJAYA WOMEN & CHIL JL. TAMAN BRAWIJAYA N IBU WIWIN MARKETING 021 - 7211337/ 021-7247181| 021 - 7211364 Y Y Y ACTIVE404 DKI JAKAJAKART4707 KLINIK MAYAPADA GD. MAYAPADA TOWER II LIBU RISKA SELVIANA - (021) 29859988 / 29859999 ext.- N Y Y PARTIAL405 DKI JAKAJAKART4210 RSIA. ANDHIKA JL. WARUNG SILA no. 8 BAPAK SUWANDI MARKETING (021)7874612; 7863408; 78887(021) 7874612 Y Y Y ACTIVE406 DKI JAKAJAKART3711 THOMSON MEDICAL CLINIC PASIFC PLACE MALL, B1-0DR. DIANA / IBU GRATAMARKETING (021) 5797 3497| (021) 5797 3496 N Y Y PARTIAL407 DKI JAKAJAKART0999 RSU. MUHAMMADIYAH TAMAJL. GANDARIA I NO.20 K IBU HESTI MARKETING 021-7229623/7250243/7208358021-7234823/7210516 Y Y Y ACTIVE408 DKI JAKAJAKART0797 RS. MEDISTRA JL. JEND.GATOT SUBROTOIBU YANI MARKETING 021-5210200 /| 021-5210184/5 Y Y Y ACTIVE409 DKI JAKAJAKART6001 DIVINE DENTAL CLINIC WORLD TRADE CENTER (WTBAPAK ORTHO ATMAJA PIC 021-29522657 / 888500090| - N Y Y PARTIAL410 DKI JAKAJAKART3974 LAB. CITO JAKARTA JL. RS. FATMAWATI NO. IBU NINA (021) 766 4036| (021) 766 3640 N Y Y PARTIAL411 DKI JAKAJAKART1836 AIS HEALTHCARE GEDUNG CITY PLAZA LT PDR.AFRIYANTI WULANDPENANGGUNG J 021-29305480| - N Y Y PARTIAL412 DKI JAKAJAKART4525 ALEA DENTAL CLINIC JL. CIPETE RAYA NO. 16 IBU YANTI - (021) 75915723| - N Y Y PARTIAL413 DKI JAKAJAKART2931 APOTEK KIMIA FARMA DUREPLN PUSLITBANG JL. DU TIWI - -| - N Y Y PARTIAL414 DKI JAKAJAKART0049 RS. PONDOK INDAH JL. METRO DUTA, KAV. IBU DETTY MARKETING 021-7657525| 021-7502324 Y Y Y ACTIVE415 DKI JAKAJAKART2379 KLINIK PRATAMA PALAPA D JL. PALAPA I NO. 4 KO DRG ANGGRAENI - 021-7806291| 021- 7806291 N Y Y PARTIAL416 DKI JAKAJAKART3736 PRODIA KAMPUNG MELAYU JL. KH ABDULLAH SYAFE SUNARTI SOEMARS. ON- (021) 8308055, 8304268| - N Y Y PARTIAL417 DKI JAKAJAKART4820 TIDI DENTAL CLINIC JL. TEBET BARAT VII NO. DRG. CITRA PARAMITA - (021) 8300050| - N Y Y PARTIAL418 DKI JAKAJAKART4858 KLINIK YEMIMA MEDICAL C JL. RAYA LENTENG AGUNGdr. Purnama Ginting Owner (021) 29050669| - N Y Y PARTIAL419 DKI JAKAJAKART0794 RS. SIAGA RAYA JL. PEJATEN BARAT KAV Ibu Cindy MARKETING 021- 7972750| 0217970627/6 Y Y Y PARTIAL420 DKI JAKAJAKART3571 PRODIA BONA INDAH RUKO BONA INDAH BLOK AIBU SUWANTI spv pelayanan 021-7506715| N Y Y PARTIAL421 DKI JAKAJAKART2919 LAB. PRODIA PASAR MINGGJL. RAYA PASAR MINGGU/- -- 021-7986247/7901922/7918472021-7901922 N Y Y ACTIVE422 DKI JAKAJAKART2932 APOTEK KF55 CINERE PLN P3B JB KRUKUT-LIMOWAHYU DWI PURNOMO - 021 7220292| N Y Y PARTIAL423 DKI JAKAJAKART2800 KLINIK PERTAMEDIKA JAKARGED. WTC II LOWER GROUADE 021-29522610| 021-29522611 N Y Y PARTIAL424 DKI JAKAJAKART2954 KLINIK AJI WARAS KARANG JL. KARANG TENGAH RAYDRG. ESTHER - (021) 75909473| - N Y Y PARTIAL425 DKI JAKAJAKART3326 KLINIK PERMATA MEDIKA JL. RAYA TANJUNG BARATANDROV - 021-7821817| 021-7828489 N Y Y PARTIAL426 DKI JAKAJAKART2140 KLINIK PERTAMEDIKA TUGU (WISMA TUGU JL. HR. RASibu fitri koordinator 021-5200340| - N Y Y PARTIAL427 DKI JAKAJAKART1712 KLINIK SUNFLOWER DENTALKOMP. BUMI KARANG INDBP SUJIO - 021-29203542/085100106511| 021-29203541 N Y Y PARTIAL428 DKI JAKAJAKART3710 THOMSON EXECUTIVE HEALTALAVERA SUITE, JL. T IBU RITA / IBU GRATA MARKETING (021) 7592 5268| (021) 7592 5269 N Y Y PARTIAL429 DKI JAKAJAKART1488 RS. ASRI JL. DUREN TIGA RAYA, BPK HERU/GALIH MARKETING 021 27837900 / 7992211 / 278302179198118/79198733 Y Y Y ACTIVE430 DKI JAKAJAKART2874 LAB. PRODIA KEBAYORAN JL. GUNAWARMAN NO. 77SUSI ARINI Koordinator 021-7220203| 021-7226450 N Y Y PARTIAL431 DKI JAKAJAKART2797 KLINIK PERTAMEDIKA PHE PHE TOWER LT. 2 JL. TB TRES - 021-29547300| - N Y Y PARTIAL


BY PAYOR LEVEL


432 DKI JAKAJAKART4340 KLINIK EPICENTRUM MEDIC EPIWALK OFFICE SUITES NANI MARKETING (021) 2991 2383| (021) 2991 2393 N Y Y PARTIAL433 DKI JAKAJAKART4413 KLINIK UTAMA CIPUTRA ME LOTTE SHOPPING AVENUE FIBU LIA MANTOWATI (0 - 021-29888137| - N Y Y PARTIAL434 DKI JAKAJAKART4414 AIC - MEDICAL IMAGING DI KUNINGAN CITY MALL B-C IBU LIA LORRYA TAMA - (021) 3005 1801/02| (021) 30051803 N Y Y PARTIAL435 DKI JAKAJAKART1066 MRCCC-SILOAM HOSPITALS SJL. GARNISUN 2-3 KARETYUNITA SULISTYOWATI/Business & Mark021-29962888/800/788| 021-29962778 Y Y Y ACTIVE436 DKI JAKAJAKART1752 LAB. KLINIK BIOTEST WIJAY JL. WIJAYA I NO 58, KEB IBU NINA/YANTI Marketing 021-7232445| 021-7268711 N Y Y PARTIAL437 DKI JAKAJAKART1872 KLINIK TRIHATI PLUS RUKAN ROYAL PALACE BLOIBU. RIA MARKETING 021-829 9119| 021-8299113 N Y Y PARTIAL438 DKI JAKAJAKART1838 E-LAB. S JL. GATOT SUBRO JL. GATOT SUBROTO KAV - - -| - N Y Y PARTIAL439 DKI JAKAJAKART1942 KLINIK & APOTEK KF 47 JL. RADIO DALAM RAYA 1- - 021-7208735| - N Y Y PARTIAL440 DKI JAKAJAKART1944 KLINIK & APOTEK KF 152 JL. RAYA PASAR MINGGUIBU ELISABETH Marketing 0217943222| 021-7943223 N Y Y PARTIAL441 DKI JAKAJAKART1936 APOTIK FARMARIN VI RASA WISMA PPBI JL. RASAMA YANUILA DARYATI - 021-8290073| 021-83794460 N Y Y PARTIAL442 DKI JAKAJAKART2033 KLINIK NAMIRA JL. JATIPADANG RAYA N BPK AIRLANGGA - 021-7820645/78830676| 021-7820645 N Y Y PARTIAL443 DKI JAKAJAKART2138 KLINIK PERTAMEDIKA PATRAPATRA JASA OFFICE TOWELILI - 021-5228026/ 5217318| - N Y Y PARTIAL444 DKI JAKAJAKART2139 KLINIK PERTAMEDIKA SINA JL. SINABUNG II NO. 32 SUNARDI - 021-7243262/7243282| 021-72800985 N Y Y PARTIAL445 DKI JAKAJAKART2229 BRAWIJAYA CLINIC & LIFE S JL. KEMANG RAYA, NO. 8 IBU RIKE MARKETING 021-22717656/22716359| - N Y Y PARTIAL446 DKI JAKAJAKART2341 KLINIK AJI WARAS CILANDA JL. CILANDAK KKO NO.4 IBU RUSTINI/DRG ESTH Koordinator (021) 78836308; 78835703| - N Y Y PARTIAL447 DKI JAKAJAKART2641 KLINIK & APOTEK KF 42 JL. ST. HASANUDDIN NO DRS. I WAYAN BUDHI - 021 7220292| - N Y Y PARTIAL448 DKI JAKAJAKART0957 RSU. PETUKANGAN JL. CILEDUG RAYA NO.8A BU. RITA Sekretariat 021-7340906-|- 021-73889956 Y Y Y ACTIVE449 DKI JAKAJAKART0972 RSU. AULIA JL. JERUK RAYA NO 15 JA IBU HAURA Marketing 021-7270208-|- 021-7866057 Y Y Y ACTIVE450 DKI JAKAJAKART1412 APOTIK FARMARIN III BIDA GED. BINASENTRA KOMP. ARI PRIHANTINI/IBU. SAKOORDINATOR 021 - 83785219| 021 - 83793006 N Y Y PARTIAL451 DKI JAKAJAKART1424 RSIA. ASIH JL. PANGLIMA POLIM I N IBU NING BANGUN MARKETING DA 021-2700609-10| 021-7255181 Y Y Y ACTIVE452 DKI JAKAJAKART1083 RS. MATA AINI JL. H.R.RASUNA SAID (K IBU WINA/IBU SRI/IBU KADM RI 021-5256228/5203866021-5203021-5224288/52964781 Y Y Y ACTIVE453 DKI JAKAJAKART1546 KLINIK NDH (RAJA SERVICE)JL. RADIO DALAM RAYA, DRG.NINA DELI KOORDINATOR 021-7257244| 021-7257244 N Y Y PARTIAL454 DKI JAKAJAKART1461 ALL CARE DENTAL CENTRE PLAZA 5 BLOK B NO.15 IBU MONIK KOORDINATOR 72788688| 72788687 N Y Y PARTIAL455 DKI JAKAJAKART1089 RS. KHUSUS THT & BEDAH JL. CIRANJANG NO.20-22 IBU TIKA / IBU FEBBY MARKETING 021-7243366/7208192/7208192021-7264038 Y Y Y ACTIVE456 DKI JAKAJAKART1554 H2E DENTAL CLINIC MENARA KUNINGAN,JL. HDR. EFINDY MARKETING 021-30040151/152| 021-30040152 N Y Y PARTIAL457 DKI JAKAJAKART1458 MULIA HEALTH AND DENTALGEDUNG MENARA MULIA, LDRG. MAEMUNAH ALI - 021-5223838| 021-52901073 N Y Y PARTIAL458 DKI JAKAJAKART0799 RS. GANDARIA JL. GANDARIA TENGAH I BPK RIAN MARKETING 021- 7250718/ 7203311| 021- 7222038 Y Y Y ACTIVE459 DKI JAKAJAKART0800 KLINIK TRIAZ PERSADA GRAHA CIMB NIAGA TOWERIBU LIMA DAMAYANTI KOORDINATOR 021- 2505770 / 2505250| N Y Y PARTIAL460 DKI JAKAJAKART0193 RSIA. BUDHI JAYA JL. DR. SAHARJO, NO.120 IBU RETNO, IBU CHRIS MARKETING 021-8292672/8311722021-8311021-8301901 Y Y Y ACTIVE461 DKI JAKAJAKART0890 KLINIK INTERMED HEALTH JL. KEBAGUSAN 1 NO. 8 IBU LANI MARKETING 021-7823501| 021-7823502 N Y Y PARTIAL462 DKI JAKAJAKART1744 PARAHITA DIAGNOSTIC CE JL. WARUNG BUNCIT RA APRIL - 021-7949624| 021-7992719 N Y Y PARTIAL463 DKI JAKAJAKART1708 KLINIK PLAZA PT YPK MANDIPLAZA MANDIRI LT. BASEMIBU ILA - 021-5245351, 5245351| 021-5245351 N Y Y PARTIAL464 DKI JAKAJAKART0034 ADITYA MEDICAL CENTER JL. ADITYAWARMAN I, N DR.OKKI/IBU YANTI/ITA KEUANGAN/KOO021-7228639| 021-7228922 N Y Y PARTIAL465 DKI JAKAJAKART0041 RS. AGUNG JL. SULTAN AGUNG, NO. IBU FIRA MARKETING 0218294955,8305768/9,828279021-8305791 Y Y Y ACTIVE466 DKI JAKAJAKART0043 RS. JAKARTA MEDICAL CEN JL. BUNCIT RAYA, NO.15 IBU YANI/ BP ALI MARKETING 021-7980888/7985177 - 794083021-7940838 Y Y Y ACTIVE467 DKI JAKAJAKART0199 MEDICARE CLINIC MENARA KADIN INDONESIA,BPK. HERRY SETIAWAN MARKETING 021-57903905| 021-5274754 N Y Y PARTIAL468 DKI JAKAJAKART0775 RSIA. DUREN TIGA JL. DUREN TIGA RAYA, N IBU TIKA / LIA MARKETING / P 021- 794 1843 / 7993817 /7948 021- 790 1050 Y Y Y ACTIVE469 DKI JAKAJAKART0401 KLINIK SPESIALIS & APOTIK,JL. BANGKA RAYA, NO.28 BPK TEVI GUNAWAN MARKETING 021-7194434-35| 021-71791917 Y Y Y ACTIVE470 DKI JAKAJAKART0228 RSIA. KEMANG MEDICAL CAJL. AMPERA RAYA, NO.34 IBU TYAS MARKETING 021-27545400/27545454/27545021-78843548 Y Y Y ACTIVE471 DKI JAKAJAKART0892 KLINIK FAMILY DENTISTRY JL. PANGLIMA POLIM II/2 DR. NIKI Koordinator 021-7267267-021 7221266|- 021 7264365 N Y Y PARTIAL472 DKI JAKAJAKART0400 MEDIKALOKA HEALTHCARE RDTX TOWER GROUND & 2 IBU NURMAH/BPK.NINOMARKETING 021-5261118| 021-5261119 N Y Y PARTIALJAKARTA TIMUR473 DKI JAKAJAKART1868 RSIA. AL-FAUZAN (JAKARTAJL. PEDATI NO 3 RT 5 R IBU NIA MARKETING 021-87780318| - Y Y Y ACTIVE474 DKI JAKAJAKART1907 RSIA. SAMMARIE BASRA JL. BASUKI RACHMAT NO IBU WELA MARKETING 021-86613145| 021-86613147 Y Y Y ACTIVE475 DKI JAKAJAKART1932 APOTEK KIMIA FARMA 193 JL. UTAN KAYU NO 105 PROSMIDA KHOHAR APOTEKER 021-8520808| - N Y Y PARTIAL476 DKI JAKAJAKART2251 RS. ANTAM MEDIKA JL. PEMUDA RAYA NO.1 BPK. FAZLI (AJI) MARKETING 021- 80614889/888/ 08151979 021- 29385160 Y Y Y ACTIVE477 DKI JAKAJAKART2141 KLINIK PERTAMEDIKA MEDAJL. ARUN IX NO. 2 MED KIKI SM - 021-4604944| N Y Y PARTIAL478 DKI JAKAJAKART2391 RS. JANTUNG JAKARTA JL. MATRAMAN RAYA NO.SUCI TRIHANDAYANI - 021-29361158/29361160/293602129361158 Y Y Y ACTIVE479 DKI JAKAJAKART2375 KLINIK NAMIERA JL. KELAPA DUA WETAN BPK.DIDIT KOORDINATOR 021-8725774| 021-8725774 N Y Y PARTIAL480 DKI JAKAJAKART2620 KLINIK & APOTEK KF 4 JL. PERSERIKATAN 7-8, RUMONDANG MARIA, S.- 021 471-8059| - N Y Y PARTIAL481 DKI JAKAJAKART2638 KLINIK & APOTEK KF 147 JL. DUREN SAWIT RUMONDANG - 021 - 8605603 / 861-5458| - N Y Y PARTIAL482 DKI JAKAJAKART0962 KLINIK CONDET JAYA JL. CONDET JAYA NO.18 IBU SUSI/BAPAK WARN MARKETING 021-8090712|- 021-80881275 N Y Y PARTIAL483 DKI JAKAJAKART0990 RS. JANTUNG BINA WALUYAJL. TB SIMATUPANG NO.7 IBU SIFA MARKETING 021-87781605-06021-87781606021-8403869 Y Y Y ACTIVE484 DKI JAKAJAKART1110 RSIA. RESTI MULYA JL. PAHLAWAN KOMARUDIdr rosida marketing 021-4803936-4802192-4803707021-48701488 Y Y Y ACTIVE485 DKI JAKAJAKART1096 KLINIK YADIKA CIBUBUR JL. LAPANGAN TEMBAK IBU RINI MARKETING 021-8711515-|- 021-8711515 N Y Y PARTIAL486 DKI JAKAJAKART1258 KLINIK SUCI HUSADA JL. SUCI NO.21 RT.08/0 DR.EDDY PEMILIK 021- 87798796| 021- 87798796 N Y Y PARTIAL487 DKI JAKAJAKART1257 KLINIK PRATAMA MEDIKA KRJL. BATU AMPAR III NO.5 BPK.SUYANTO KOORDINATOR 021-80886446| 021-8016254 N Y Y PARTIAL488 DKI JAKAJAKART1262 RS. RAWAMANGUN JL. BALAI PUSTAKA RAYABPK. RIZAL MARKETING 021-47885201/021-4893531| 021-47885202 Y Y Y ACTIVE489 DKI JAKAJAKART1538 KLINIK MITRASANA (DANKOJL. RAWA GATEL, BLOK II IBU HELDA KOORDINATOR 4600158/4600157| - N Y Y PARTIAL490 DKI JAKAJAKART1499 RB & KLINIK ANNISA CIRAC JL. CIRACAS NO.18 IBU BETRIDA KOORDINATOR 021-87720807/87717636| 021-87717636 Y Y Y PARTIAL


BY PAYOR LEVEL


491 DKI JAKAJAKART1490 RSIA. BUNDA ALIYAH JL. PAHLAWAN REVOLUSI IBU ANGGI/IBU ENDAN MARKETING 021-86602525| 021-86600712 Y Y Y ACTIVE492 DKI JAKAJAKART0888 RS. YADIKA PONDOK BAMB JL. PAHLAWAN REVOLUSIBPK. FREDY MARKETING 021-8615754 / 021-8610756|02021-8613332 Y Y Y ACTIVE493 DKI JAKAJAKART0289 RS. OMNI MEDICAL CENTERJL. PULO MAS BARAT VI,BPK. AMRI MARKETING 021- 2977 9999| 021-4718081,4708180 Y Y Y ACTIVE494 DKI JAKAJAKART0012 RS. PREMIER JATINEGARA ( JL. RAYA JATINEGARA TIMIBU RENI/drg. widya MARKETING 021-2800666/2800888|021-280021-2800755 Y Y Y ACTIVE495 DKI JAKAJAKART0024 KLINIK PRIMA HUSADA CIB JL. LAPANGAN TEMBAK NBPK. FAJAR DARSONO KEUANGAN 021-87707503|021-9111938 N Y Y PARTIAL496 DKI JAKAJAKART0258 KLINIK DEVITA JL. JATINEGARA TIMUR N DR. RUDI SUPRAPTO KEUANGAN 0218501134/0218516274|021-8021-85906901/8516274 N Y Y PARTIAL497 DKI JAKAJAKART0292 KLINIK PONDOK GEDE AGU JL. RAYA HANKAM, NO.5 IBU ANJANI ADMINISTRASI 021-8464030| 021-8463803 N Y Y PARTIAL498 DKI JAKAJAKART0286 RS. KARTIKA PULO MAS JL. PULO MAS TIMUR K BLIBU Evi / Bpk. Ragil HUMAS & MARK021-4703333|021-470 3333 021-4723402 Y Y Y ACTIVE499 DKI JAKAJAKART0806 RS. HAJI JAKARTA JL. RAYA PONDOK GEDE NARIARTI HARDINI (DINIDiv. Marketing (021) 8000693-95(021) 8000695021-80876175/8000152 Y Y Y ACTIVE500 DKI JAKAJAKART0805 RSU. UKI JL. MAYJEN SOETOYO, C IBU ERIKA MARKETING 021-8092317,8010526,8092831021-8092445/8005595 Y Y Y ACTIVE501 DKI JAKAJAKART0807 KLINIK MHT TEGALAN JL. TEGALAN NO. 30 DR INDAH KOORDINATOR 021-8581344| 021-8581344 N Y Y PARTIAL502 DKI JAKAJAKART0779 RS. AU DR.ESNAWAN ANTARJL. MERPATI NO.2 LANU KAPT.BUDI SANTOSO HUMAS (021) 8007027| (021) 8098 665 Y Y Y ACTIVE503 DKI JAKAJAKART0382 RB & KLINIK 24 JAM MHT JL. RAYA PONDOK GEDE, NIBU HENNY MARKETING 021-8093602/80887175/74|021021-80887174 Y Y Y PARTIAL504 DKI JAKAJAKART0826 RB & KLINIK SEJAHTERA CI JL. RAYA CIRACAS NO.7 BPK.TURYANTO Humas 021- 87717635/87712710/87712021-87720232 Y Y Y ACTIVE505 DKI JAKAJAKART1012 KLINIK IBIN SINA JL.PENDIDIKAN RAYA NO. IBU DEWI MARKETING 021- 86603270/8661669/86603 021-86601611 N Y Y PARTIAL506 DKI JAKAJAKART0944 RS. BHAYANGKARA TK.1 R.SJL. RAYA BOGOR KRAMAT IBU AAS SULASTRI MARKETING 021-8093288|- 021-8095310 Y Y Y ACTIVE507 DKI JAKAJAKART0948 KLINIK SAPTA MITRA JALAN TAMAN MALAKA UTIBU YATI MARKETING 021-86906363/021-5844330|02021-86906363 N Y Y PARTIAL508 DKI JAKAJAKART0099 RS. HARAPAN JAYAKARTA JL. BEKASI TIMUR RAYA, IBU LISA/IBU FARAH MARKETING 021-4603916/4601371/021-468021-4608863 Y Y Y ACTIVE509 DKI JAKAJAKART0386 RS. HERMINA JATINEGARA JL. RAYA JATINEGARA BARIBU ARLIN MARKETING 021-8513838 / 8191223|021-85021-8190111/8196157 Y Y Y ACTIVE510 DKI JAKAJAKART1001 RS. DHARMA NUGRAHA JL. BALAI PUSTAKA BAR RANI ADM 021-4707433-37021-4707437|0021-4707429/8 Y Y Y ACTIVE511 DKI JAKAJAKART1192 KLINIK & APOTEK PUTEWA JL. NUSA INDAH RAYA BLIBU LATIVA ADM 021-8622207/70302043| 021-8622207 N Y Y PARTIAL512 DKI JAKAJAKART5899 KLINIK UTAMA ASSHOMADI JL. AL.BAIDHO RAYA NO.2BOBY KURNIA , Ps.i MARKETING 021-8779 6464| 021-8779 1956 N Y Y PARTIAL513 DKI JAKAJAKART6011 KLINIK ZAFIRA MEDIKA KAY JL. KAYUMANIS TIMUR NOJUANG DIAN PURWA MARKETING 021-85911696| N Y Y PARTIAL514 DKI JAKAJAKART2826 RS. COLUMBIA ASIA PULOMJL. KAYU PUTIH RAYA, P INGGRIT/TANTY MARKETING (021) 29459999/29559400| (021) 2955 9477 Y Y Y ACTIVE515 DKI JAKAJAKART1843 RSIA. SAYYIDAH JL. TAMAN MALAKA SELATIBU SURYA MARKETING (021) 8690 2950| (021) 864 9886 Y Y Y ACTIVE516 DKI JAKAJAKART6385 AUDY DENTAL PONDOK BA JL. PAHLAWAN REVOLUSI drg. Yulita MARKETING (021) 29622453 / 081298813800- N Y Y PARTIAL517 DKI JAKAJAKART0652 RB & KLINIK AL - FAUZAN JL. RAYA CONDET NO.1 BPK. FAIZ/ IBU PUR MARKETING 021-80886224; 081280969970| 021-8096968 Y Y Y PARTIAL518 DKI JAKAJAKART1139 KLINIK TJAKRA JL. RAYA BOGOR, KM.24 BPK.ANGGA MARKETING 021-8779 4539 / 8401677| 021-87794558/8401677 N Y Y PARTIAL519 DKI JAKAJAKART5540 KLINIK TERATAI PONDOK B JL. PONDOK BAMBU BATASAPRILIA - (021) 29361827| - N Y Y PARTIAL520 DKI JAKAJAKART1933 APOTIK FARMARIN II PENGGPERUM TAMAN PULO INDAIBU NILA/ SUPRI - 021-4800688| - N Y Y PARTIAL521 DKI JAKAJAKART0060 RS. HARAPAN BUNDA JL. RAYA BOGOR KM.22 RIZKA MARKETING 021-8400257| 021-8412977/87780201 Y Y Y ACTIVE522 DKI JAKAJAKART3531 RS. KHUSUS MATA SMEC (SJL. PEMUDA NO.36, RA CITRA KARINA PUSPITA MARKETING (021) 4714848| (021) 4755703 N Y Y PARTIAL523 DKI JAKAJAKART0102 RS. ISLAM JAKARTA TIMUR JL. RAYA PONDOK KOPI BPK SUYATMAN/IBU ETTHUMAS/KEUANG021-8630654/29809000/861047021-8611101/86604256 Y Y Y ACTIVE524 DKI JAKAJAKART0749 RS. HARUM SISMA MEDIKA JL. TARUM BARAT, KALI TARTO/ RATNA MARKETING/KE 021-8617212/3 ; 021-8617213| 021-8601030 Y Y Y ACTIVE525 DKI JAKAJAKART1706 RSU. PUSAT PERSAHABATA JL. PERSAHABATAN RAYA Bpk M Irvan MARKETING 021-4891708, 4891745| 2,147,112,224,890,770 Y Y Y ACTIVE526 DKI JAKAJAKART0122 RS. MEDIROS JL. PERINTIS KEMERDEKABPK UKAS/IBU TIA / B MARKETING 021-4750042/4897415/4893036021-4891937 Y Y Y ACTIVE527 DKI JAKAJAKART4157 KLINIK CEMPAKA JL. RAYA PULAU GEBANG drg. HELMI RUSTAM - 021- 480 1980| - N Y Y PARTIAL528 DKI JAKAJAKART2142 KLINIK PERTAMEDIKA RAW JL. MUNDU RAYA NO.1 J IRMA - 021-4894150| 021-4894278 N Y Y PARTIAL529 DKI JAKAJAKART3533 KLINIK MEDIKA PRAKARSA JL. RADEN INTEN II NO.3 BAPAK BAIHAQI MARKETING (021) 86908103| 021-86908105 N Y Y PARTIAL530 DKI JAKAJAKART1244 RS. MASMITRA JL. KELURAHAN JATIMAK PAK WANDI; DINA MARKETING 021-84971766| 021-8483047 Y Y Y ACTIVE531 DKI JAKAJAKART1217 RSIA. RESTU KASIH JL. RAYA BOGOR, KM.19, IBU OKTAVIA LINGGAR PIMPINAN/KOOR021-8002166/8001177| 021-80882753 Y Y Y ACTIVE532 DKI JAKAJAKART2464 MITRASANA PT JL. PULOGADUNG RAYA KAIBU SRI ASTUTI / BAPA CORPORATE 021-29634912 / 89835394| - N Y Y PARTIAL533 DKI JAKAJAKART1080 RS. KESDAM CIJANTUNG JL. MAHONI NO.1, CIJANGBPK EGI ADM PERUSAHA021-8407886/8400535/87793332021-87793332 Y Y Y ACTIVE534 DKI JAKAJAKART2643 KLINIK & APOTEK KF 49 JL. P. REVOLUSI 53, PD ANISA IKA RAHMANIAH, - 021 861-5154| 021-8612721 N Y Y PARTIAL535 DKI JAKAJAKART3980 KLINIK & APOTEK KF 48 JL. MATRAMAN RAYA NO 5WAYAN SUTAKA - 0818810414| N Y Y PARTIAL536 DKI JAKAJAKART3981 KLINIK & APOTEK KF LAP.T JL. LAWU B1 NO.1 CIBU NASTIA HIDAYATI - 08128737346| - N Y Y PARTIAL537 DKI JAKAJAKART4356 KLINIK BUDHI PRATAMA BPRI CENTER GED. B, JL SUYANTO (0813877712- (021) 87783668| (021) 87782670 N Y Y PARTIAL538 DKI JAKAJAKART4431 RS. PUSAT OTAK NASIONALJL. M.T HARYONO, CAWANIBU PELITA/ PAK RULLY - (021) 2937 3377| (021) 2937 3445; 293 Y Y Y ACTIVEJAKARTA UTARA539 DKI JAKAJAKART0186 RS. MITRA KELUARGA KELAJL. BUKIT GADING RAYA DR. ANNY ALFIANTI/IBUMARKETING 021-45852700| 021-45852727/4585404 Y Y Y ACTIVE540 DKI JAKAJAKART0812 RS. ATMA JAYA JL. PLUIT RAYA NO.2 IBUJOLIE MARKETING (021) 6606127| (021) 6606122 Y Y Y ACTIVE541 DKI JAKAJAKART0811 RS. SUKMUL JL. TAWES NO.18 - 20, IBU YUNI/ BP PINTO MARKETING 021- 4301269| 021- 4301272 Y Y Y ACTIVE542 DKI JAKAJAKART0396 RS. PANTAI INDAH KAPUK JL. PANTAI INDAH UTARAIBU DESAK/NELLA/FITRIMARKETING/ASU021-5885066; 5885065| 021-5880910/5881091 Y Y Y ACTIVE543 DKI JAKAJAKART0910 KLINIK GADING UTAMA JL. KELAPA GADING BOULDR. HEDIATI UTAMA PEMILIK 021-4532493/021-4532494021-021-4521933 N Y Y PARTIAL544 DKI JAKAJAKART0876 RSIA. FAMILY JL. PLUIT MAS I BLOK A Ibu Rubby Halim MARKETING 021-6695066/6694990021-6694021-6615563/66607254 Y Y Y ACTIVE545 DKI JAKAJAKART1033 RS. PORT MEDICAL CENTERJL. ENGGANO NO.10 TANIBU RIZKA MARKETING 021-43902350/43902351-|- 021-43902302 Y Y Y ACTIVE546 DKI JAKAJAKART0919 RS. PELABUHAN JAKARTA JL. KRAMAT JAYA, TANJU IBU DEWI/ibu fani MARKETING 021-4403026|021-4403026 021-4403551/4406886 Y Y Y ACTIVE547 DKI JAKAJAKART6384 AUDY DENTAL PANTAI INDA drg. Yulita MARKETING (021) 29219170 / 081291303052- N Y Y PARTIAL548 DKI JAKAJAKART0170 RS. PLUIT JL. RAYA PLUIT SELATAN IBU MIAN/BPK TAUFIK/DMARKETING 021-6685006 / 668507 / 29228 021-6684878/66606474 Y Y Y ACTIVE549 DKI JAKAJAKART6481 RS. HERMINA PODOMORO JL. DANAU SUNTER 2 BLOBEBI - (021) 6404910| (021) 6518720 Y Y Y PARTIAL

JL. PANTAI INDAH SELATAN 1, RUKO ELANG LAUT BLOK NO.20


BY PAYOR LEVEL


550 DKI JAKAJAKART2458 RSIA. GRAND FAMILY JL. PANTAI INDAH SELAT Pak Adi marketing 021-29673737/29678062/29633021-29673747 Y Y Y ACTIVE551 DKI JAKAJAKART0587 RS. SATYA NEGARA JL. AGUNG UTARA RAYA, IBU RIBAH / IBU RINI Marketing 021-64715200/021-687813-14/6021-6877813 Y Y Y ACTIVE552 DKI JAKAJAKART1644 KLINIK SYIFA MEDICAL CEN JL. LONTAR LUAR NO.7 RIBU HILDA/IBU NURUL MARKETING 021-43935260| 021-43935375 N Y Y PARTIAL553 DKI JAKAJAKART3998 KLINIK PESONA TANAH PASIJL. TANAH PASIR RUSUN DR. EDDY OWNER 021-66675691/085101280470| - N Y Y PARTIAL554 DKI JAKAJAKART2143 KLINIK PERTAMEDIKA DELI JL. DELI NO. 22 JAKART SYAHRUL (0815115203- 021-43923390 / 3389| 021-4353461 N Y Y PARTIAL555 DKI JAKAJAKART6383 AUDY DENTAL KELAPA GADRUKO MAL OF INDONESIAdrg. Yulita MARKETING - N Y Y PARTIAL556 DKI JAKAJAKART6390 J & J DENTAL CARE PENJAR RUKO CORDOBA BLOK G NIBU CRISTIN ( 0857145 - -| - N Y Y PARTIAL557 DKI JAKAJAKART0882 RS. ISLAM JAKARTA UTARA JL. TIPAR CAKUNG NO.5 BPK SULAIMAN MARKETING 021-4400781,4400778021-4400021-44832228,4400782 Y Y Y ACTIVE558 DKI JAKAJAKART4733 CLINIC PROTERA KIRANA BOUTIQUE OFFICERAHMAT - (021) 29365237| (021) 2936 5242 N Y Y PARTIAL559 DKI JAKAJAKART4079 RS. DUTA INDAH JL. TELUK GONG RAYA N IBU ELISABETH MARKETING (021) 6667 6188| (021) 6667 6190 Y Y Y ACTIVE560 DKI JAKAJAKART4513 PRODIA PANTAI INDAH KAP RUKAN GOLD COAST B3- OTIH PIC 021-29032788-99| - N Y Y PARTIAL561 DKI JAKAJAKART3732 KLINIK PRODIA SUNTER JL. DANAU SUNTER UTARMC. JULIANTY - -| - N Y Y PARTIAL562 DKI JAKAJAKART3733 PRODIA PLUIT -KOMP. RUKO SENTRA BISNAGUSTINA DEWI PUSPA- (021) 66603561, 66600571| - N Y Y PARTIAL563 DKI JAKAJAKART3734 PRODIA KELAPA GADING JL. BOULEVARD RAYA BLARIE POEDJIANTO -- (021) 4522148| - N Y Y PARTIAL564 DKI JAKAJAKART0748 RS. GADING PLUIT JL. BOULEVARD TIMUR R DR JOYCE/ LIA/ IBU MAYMARKETING 021-4521001/4520201|021-452021-4520390 Y Y Y ACTIVE565 DKI JAKAJAKART1946 APOTEK KIMIA FARMA 46 JL. RAWA BADAK NO. 3, - - 021-4393397| - N Y Y PARTIAL566 DKI JAKAJAKART2144 KLINIK PERTAMEDIKA YOS JL. YOS SUDARS. O NO. BPK ANWAR - 021-43928260| 021-43908706 N Y Y PARTIAL567 DKI JAKAJAKART2412 KLINIK BERSALIN LESTARI JL. MANGGAR NO.141 KELBAMBANG - 021 43922950| - N Y Y PARTIAL568 DKI JAKAJAKART2506 MITRASANA KELAPA GADIN JL. BOULEVARD TIMUR - - 021-36464908/4585455| - N Y Y PARTIAL569 DKI JAKAJAKART1263 KLINIK SEMPER SISMA MEDIJL. KESEMEK, NO.3-5, S BPK. AHYAT Kep Adm & Keu 021- 4400902/4403101| 021-4403101 N Y Y PARTIAL570 DKI JAKAJAKART1269 RS. MULYASARI JL. RAYA PLUMPANG SEMDR. RIANA ZULFA KABAG BID. PE 021-43931111-43936666-43939021-43934369/8888 Y Y Y ACTIVE571 DKI JAKAJAKART1422 ROYAL PROGRESS INT HOSPJL. DANAU SUNTER UTARAIBU YULIA SALES KOORDIN021- 6400261; 6459877| 021-6519534 Y Y Y ACTIVE572 DKI JAKAJAKART1550 RS. PURI MEDIKA JL. SUNGAI BAMBU RAYAIBU ENNA MARKETING 021-43903355/43931975| 021-43903388 Y Y Y PARTIAL573 DKI JAKAJAKART1677 KLINIK SOLA GRACIA MEDI JL. SUNTER AGUNG UTARDRG. BETTY PEMILIK 021-6459530/6452041| 021-6459530; 6451274 N Y Y PARTIAL574 DKI JAKAJAKART1746 LAB. KLINIK BIOTEST PLUIT JL. PLUIT SAKTI RAYA N VIVI/RATRI - 021-6622611| 021-6628166 N Y Y PARTIALGORONTALOGORONTALO575 GORONTGORON3731 PRODIA GORONTALO JL. NANI WARTABONE, G HARIADI - (0435) 826246| - N Y Y PARTIAL576 GORONTGORON1420 RSIA. SITTI KHODIJAH GOR JL. NANI WARTABONE NO.IBU TITIN MARKETING 0435-822130/0435-821253/04350435-824410 Y N Y ACTIVE577 GORONTGORON1513 RSU. BUNDA GORONTALO JL. HB.JASSIN, NO.269, IBU YOAN Keuangan 0435-829255/ UGD 830600/8270435-827573 Y N Y ACTIVEJAMBIJAMBI578 JAMBI JAMBI 0550 RS. ST.THERESIA JL. SUTOMO, NO.19 IBU RENDA/BPK.YOHANEKEUANGAN 0741 - 23119 / 7553811| 0741-20832 Y Y Y ACTIVE579 JAMBI JAMBI 6567 RS. MITRA JAMBI JL. JENDRAL BASUKI RAH MELLY/RENDA MARKETING (0741) 3041377/3041355| - Y Y Y ACTIVE580 JAMBI JAMBI 2207 RSU. BAITURRAHIM JAMBI JL. PROF. M. YAMIN SH N IBU RINI PROVITA Marketing 0741-35165/0741-5911096/97/90741-5911099/97 Y Y Y ACTIVE581 JAMBI JAMBI 2372 RS. KAMBANG JAMBI JL. KOL. AMIR HAMZAH IBU DELIANA marketing 0741-61714| - Y Y Y ACTIVE582 JAMBI JAMBI 2184 APOTEK KIMIA FARMA 208 JL. SOEMANTRI BROJONEBPK. MURS. YID (APOTE- 08877800501/082146383275/0 - N Y Y PARTIAL583 JAMBI JAMBI 0894 SILOAM HOSPITALS JAMBI (DJL. SOEKARNO - HATTA, IBU INDA MARKETING 0741-5919000-|- 0741-573271/573238 Y Y Y ACTIVE584 JAMBI JAMBI 3570 PRODIA JAMBI JL. URIP SUMOHARDJO 2-- - 0741) 64688,| - N Y Y PARTIAL585 JAMBI JAMBI 2047 RSIA. ANNISA JAMBI JL. KABIA NO 04 RT 01 K M. SALEH/BAPAK SALEH- (0741) 445226| - Y Y Y ACTIVE586 JAMBI JAMBI 2644 KLINIK & APOTEK KF 299 JL. R.MATTAHER NO.40, RHARY NALDI,S.FARM,AP- 0741 25635| - N Y Y PARTIALMUARA BUNGO587 JAMBI MUARA1926 RS. SENTRAL MEDIKA MUA JL. RANGKAYO HITAM, C UMI/ PAK AFDHAL MARKETING 0747-22207/22209| 0747-22209 Y Y Y ACTIVE588 JAMBI MUARA5615 RSIA. PERMATA HATI MUAR JL. LEBAI HASAN RT. 06 FERA ISNAWATI Marketing (0747) 7331122/ 7331123, Hp. (0747) 7331123 Y Y Y ACTIVEJAWA BARATBANDUNG589 JAWA BABANDU6391 RS MATA BANDUNG EYE CEJL. BUAH BATU NO.147 IBU II YULIYANI PKS (022) 7351 4683/84| (022) 7351 4682 Y Y Y ACTIVE590 JAWA BABANDU5119 KLINIK BRAWIJAYA BANDUNJL. KH. ACHMAD DAHLAN IBU FITRI - 022- 7308104| (022) 7311484 N Y Y PARTIAL591 JAWA BABANDU0144 RS. IMMANUEL BANDUNG JL. KOPPO, NO.161 IBU.NYOMAN MARKETING 022-5201051/5201672/5201656022-5224219 Y Y Y ACTIVE592 JAWA BABANDU0761 RS. SANTO BORROMEUS B JL. IR.H.JUANDA NO.100 IBU RIA/ ESKARINA/IBU MARKETING 022-2552041/82558000/022-255022-2504235 Y Y Y ACTIVE593 JAWA BABANDU6364 RS. KARISMA CIMAREME Jl. RAYA CIMAREME NO. IBU HILDA MARKETING 022-6866221| 022-6867821 Y Y Y ACTIVE594 JAWA BABANDU1125 RS. CAHYA KAWALUYAN JL. PARAHYANGAN KM.3 IBU ERLINAWATI/ MERRMARKETING 022-6803700| 022-6803711/6803730 Y Y Y ACTIVE595 JAWA BABANDU1211 KLINIK ASRI HUSADA II JL. TITIRAN NO.16 DR.YONO PIMPINAN 022-2507293| 022-2507293 N Y Y PARTIAL596 JAWA BABANDU3013 LAB. KLINIK BIOTEST KOPO JL. KOPO BIHBUL TELP.0 IBU YAYAH - (022) 5417175/ 081322278777|- N Y Y PARTIAL597 JAWA BABANDU3560 LAB. PRODIA BUAH BATU JL. BUAH BATU NO. 160, MASRIPAH - (022) 7310128| - N Y Y PARTIAL598 JAWA BABANDU4967 RSKIA. HARAPAN BUNDA B JL. PLUTO RAYA BLOK C RADITYA MARKETING (022) 7506490| (022) 7514712 Y Y Y ACTIVE599 JAWA BABANDU6374 KLINIK JASMINE MQ MEDIKAJL. DAYANG SUMBI NO.10BPK. REMY ADHI MARKETING 022-20454500 / 20454502| - N Y Y PARTIAL600 JAWA BABANDU1265 APOTEK & KLINIK KIMIA FA JL. SULAJANA NO.4 IBU YETHI/DRS. CHAND KOORDINATOR 022-85880430/91512935| 022-4261088 N Y Y PARTIAL601 JAWA BABANDU3588 KIMIA FARMA SINDANGLAY JL. AH.NASUTION NO.12 - Apoteker 022-7278664| - N Y Y PARTIAL602 JAWA BABANDU2950 RS. KB. MELINDA II JL. CIPTO NO. 1 RT 05/ Sonny Karjadi/bpk davi Marketing 022-4267888/4233777| 022-4247888 Y Y Y ACTIVE

(021) 45869153 / 082298757541|


BY PAYOR LEVEL


603 JAWA BABANDU3589 KIMIA FARMA 319 METRO JL. VENUS RAYA NO 27 - - 0227564623| - N Y Y PARTIAL604 JAWA BABANDU3591 APOTEK KIMIA FARMA 381 JL. KOPO CIRANGRANG N - - 022-5436596 / 085721647451| - N Y Y PARTIAL605 JAWA BABANDU3592 KIMIA FARMA SETIABUDI JL. DR.SETIABUDHI NO 3 HANI NOVIANI - 022-2038048 / 0821200770017|- N Y Y PARTIAL606 JAWA BABANDU4986 RSGM. MARANATHA JL. PROF. DRG. SURYA SO- - (022) 2005936| (022) 2019571 N Y Y ACTIVE607 JAWA BABANDU4116 LAB. PRODIA KURDI JL. MOH TOHA NO. 126 DWI RATNA SARI/ FISKA (022) 5206492| - N Y Y PARTIAL608 JAWA BABANDU0044 RSU. HERMINA PASTEUR JL. DR. DJUNDJUNAN, NO.RAMA MARKETING KA 022-6072525| 022-6037815 Y Y Y ACTIVE609 JAWA BABANDU0880 RS. AL ISLAM BANDUNG JL. SOEKARNO-HATTA NOIBU ANI MARKETING 022-7562046 / 022-7563231|02022-7563233/7500109 Y Y Y ACTIVE610 JAWA BABANDU0145 RS. MUHAMMADIYAH BANDJL. KH. AHMAD DAHLAN BPK. PARNO MARKETING 022-7301062,7312167,7323549022-7306458 Y Y Y ACTIVE611 JAWA BABANDU3678 PRODIA KOPO JL. KOPO PERMAI I BLOK CUCU RAHMAWATI - (022) 5404291| - N Y Y PARTIAL612 JAWA BABANDU5900 RSU. BINA SEHAT JL. RAYA DAYEUH KOLOT DR. ERCHAMZAH, MMR MARKETING (022)5207963-65| 022-5207964 Y Y Y ACTIVE613 JAWA BABANDU1088 RS. RAJAWALI JL. RAJAWALI NO.38 BPK. SOFYAN ADMINISTRASI 022-6031087, 6011913, 6079143022-6032077 Y Y Y ACTIVE614 JAWA BABANDU1093 RS. KHUSUS BEDAH HALMAJL. LL.RE MARTADINATA BESTI YULIANA S.KM Humas dan Mark022-4206061/70858254/4216436022-4236920 Y Y Y ACTIVE615 JAWA BABANDU0886 RSUD. AL IHSAN JL. KIASTRAMANGALA, B IBU DEUCE/BPK.SUTISNHUMAS & PEMA 022-5940872/5941719/5941729022-5941709 Y Y Y ACTIVE616 JAWA BABANDU0877 KLINIK & APOTEK KIMIA FA JL. BRAGA, NO.2-4-6 BPK.MURS. YID/ IBU YULSEKRETARIAT 022-4233185-|- 022-4203565 N Y Y PARTIAL617 JAWA BABANDU1568 KLINIK UTAMA MONALISA JL. MOCH. RAMDHAN NO.IBU TINA MARKETING 022-5211311| 022-5200162 N Y Y PARTIAL618 JAWA BABANDU1169 RS. AMC (ANNISA MEDICAL JL. RAYA CILEUNYI RANC IBU DARA / IBU DEWI MARKETING 022-7781630,70804777,708057022-70804777/7781629 Y Y Y ACTIVE619 JAWA BABANDU1171 SANTOSA BANDUNG INTERNJL. KEBON JATI NO.38 ANDRI/MIRZA/RIEKY MARKETING 022-4248333| 022-4211086/84468598 Y Y Y ACTIVE620 JAWA BABANDU0958 KLINIK AN-NUR JL. DR. SETIA BUDI NO.6 IBU LINA MARKETING 022-2031922; 022 2042213|- 022-2031922/2042213 N Y Y PARTIAL621 JAWA BABANDU0959 KLINIK ASRI HUSADA I JL. BEKAMIN NO.18 BPK.SURYADI KOORDINATOR 022-7230425-87245792|- 022-2507293 N Y Y PARTIAL622 JAWA BABANDU1087 RS. BUNGSU JL. VETERAN, NO.6 IBU ELLY MARKETING 022-4231550-|- 022-4231582 Y Y Y ACTIVE623 JAWA BABANDU1687 RS. IMC BANDUNG JL.RAYA CIMAREME NO.1 DR. ARI / BAPAK ASEP MARKETING 022-6620923/6620965| 022 - 6620964 Y Y Y ACTIVE624 JAWA BABANDU1900 TELEMEDIKA HEALTH CENTEJL. SENTOT ALIBASYAH . . 022-61115555| . N Y Y PARTIAL625 JAWA BABANDU1515 RSIA. MELINDA JL. PAJAJARAN, NO.46 IBU RAISYA / INDAH MARKETING 022-4222788,4222388,4209088022-4215700 Y Y Y ACTIVE626 JAWA BABANDU2734 RSU. PINDAD JL. JEND. GATOT SUBRO FIRMAN MARKETING 022-7322877/7309807| 022-7322468 Y Y Y ACTIVE627 JAWA BABANDU2730 KLINIK & APOTIK K-24 JL. LASWI NO.1A,BANDU ASTI YUNIA (085861868000) (022) 7821700/7215992| - N Y Y PARTIAL628 JAWA BABANDU2704 KLINIK & APOTEK KF 43 JL. BUAH BATU, BANDUN DRS. MUHAMMAD HILMI- 022 7305019| - N Y Y PARTIAL629 JAWA BABANDU2705 KLINIK & APOTEK KF 320 JL. CINUNUK NO.192, BA TATI SUHARTATI - 022 7801875| - N Y Y PARTIAL630 JAWA BABANDU2719 KLINIK JAYA SENTOSA JL. SUNDA NO.75, BAND CHARLES (022-70988880- 022 426 4258| - N Y Y PARTIAL631 JAWA BABANDU2720 KLINIK JAYA ABADI ( GROUPJL. BUAHBATU NO.245 , CHARLES (022-70988880- (022) 7317779| - N Y Y PARTIAL632 JAWA BABANDU0303 RS. ADVENT BANDUNG JL. CIHAMPELAS, NO.161BPK. YUDHI MARKETING 022 -2034386-9/2034388| 022-2043167/2041109 Y Y Y ACTIVE633 JAWA BABANDU1170 RS. SANTO YUSUP JL. CIKUTRA 7 BANDUNGIBU DIAH/ BPK HENDROMARKETING 022-7208172,022-7217097, 022022-7202419 Y Y Y ACTIVE634 JAWA BABANDU2156 E-LAB SENTOT JL. SENTOT ALIBASYAH NSUGIMINO - 022-7106653| - N Y Y PARTIAL635 JAWA BABANDU2158 E-LAB. BUAH BATU JL. TERUSAN BUAH BATU SUGIMINO - 022-7506339| - N Y Y PARTIAL636 JAWA BABANDU2163 LAB. PRODIA BANDUNG JL. WASTUKENCANA NO. NINA - 022-4222541| - N Y Y PARTIAL637 JAWA BABANDU2167 APOTEK FARMARIN BANDUNJL. TUBAGUS ISMAIL NO ARI PRIHANTINI, S.SI, A APOTEKER 022-2500387| 022-2517116 N Y Y PARTIAL638 JAWA BABANDU2213 TELEMEDIKA FARMA 2 BB JL. TERUSAN BUAH BATU- - 022-70348587| - N Y Y PARTIAL639 JAWA BABANDU2214 TELEMEDIKA FARMA 1 SA JL. SENTOT ALIBASYAH NIBU NINA - 022-7106653| - N Y Y PARTIAL640 JAWA BABANDU2215 TELEMEDIKA FARMA 3 GK JL. GEGER KALONG HILIRSUGIMINO - 022-20075597| - N Y Y PARTIAL641 JAWA BABANDU1578 RS. HERMINA ARCAMANIK JL. AH.NASUTION, KM.7, CARSONO MARKETING 022-87242525| 022-7271771 Y Y Y ACTIVE642 JAWA BABANDU4237 RSIA. GRHA BUNDA JL. TERUSAN JAKARTA NOIBU NOVI MARKETING 022-872 56789| 022-872 56000 Y Y Y ACTIVE643 JAWA BABANDU2625 KLINIK & APOTEK KF 12 JL. IR H JUANDA NO1 BA BPK MULYADI PENANGGUNG J 022 4205421| - N Y Y PARTIAL644 JAWA BABANDU2626 KLINIK & APOTEK KF 14 JL. CIAMPELAS 7, BANDU ONO DARS. ONO PENANGGUNG J 022-4201596| N Y Y PARTIAL645 JAWA BABANDU2622 KLINIK UTAMA AL-ISLAM JL. AWIBITUNG NO.29 C M. SAEFULLOH HASAN - (022) 7208284| (022) 7276149 N Y Y PARTIAL646 JAWA BABANDU4123 LAB. PRODIA MTC METRO INDAH MALL BLOK- - 022-7536256| - N Y Y PARTIAL647 JAWA BABANDU4124 LAB. PRODIA PASIRKALIKI JL. PASIRKALIKI NO. 225 - - 022-2034685| - N Y Y PARTIAL648 JAWA BABANDU3001 LAB. KLINIK BIOTEST NARIPJL. NARIPAN NO. 41 BA IBU YAYAH MARKETING (022) 4205544| - N Y Y PARTIAL649 JAWA BABANDU4682 KLINIK UTAMA BANDUNG E JL. SUMATERA KEBON PI IBU YULIANI (08221809- (022) 4214390| - N Y Y PARTIAL650 JAWA BABANDU1829 RSIA. LIMIJATI JL. LAKS L RE MARTADINAIBU MEIKE Marketing 022-4207770/022-84281333/840224-4260956 Y Y Y ACTIVE651 JAWA BABANDU4517 PRODIA MAJALAYA JL. BABAKAN NO.60 MAJADENI - 022-5952724| - N Y Y PARTIAL652 JAWA BABANDU4518 PRODIA BANJARAN JL. PAJAGALAN NO. 10 B AGUS SOBANDI - 022-5946190| - N Y Y PARTIAL653 JAWA BABANDU2936 LAB. PRODIA BUMI MAS KE RUKO BUMI MAS KENCANA,- - 022-7236559| - N Y Y PARTIAL654 JAWA BABANDU3366 SANTOSA HOSPITAL BANDUJL. K.H. WAHID HASYIM BAPAK MIRZA Marketing 022-54280333| 022-5402242/54280365 Y Y Y ACTIVEBANJAR655 JAWA BABANJAR4122 LAB. PRODIA BANJAR JL. STADION PATROMAN KA- - 0265-2732534| - N Y Y PARTIALBEKASI656 JAWA BABEKASI1090 RS. PERMATA CIBUBUR JL. ALTERNATIF CIBUBUR IBU MARLINA/IBU DINU MARKETING 021-8458806|- 021-84594263 Y Y Y ACTIVE657 JAWA BABEKASI1417 RSIA. RINOVA INTAN JL. RAYA SEROJA NO.101 BPK.LUHUT KOORDINATOR 021-8849401| 021-8848739 Y Y Y PARTIAL658 JAWA BABEKASI0032 RB. BUNDA AUNI VILLA NUSA INDAH, BLOKBPK.MUKLAS KEUANGAN 021-82402286/82420366/82403021-82410136 Y Y Y PARTIAL659 JAWA BABEKASI0409 KLINIK DHARMA MEDIKA JL. PEMUDA, NO.33, KRANIBU BETTY KEUANGAN 021-8855173,8866711| 021-8866711 N Y Y PARTIAL660 JAWA BABEKASI0185 RS. BHAKTI KARTINI JL. KARTINI, NO.11 IBU HILDA/ BPK FIRMANMARKETING 021-8801954/88348492| 021-8824228 Y Y Y ACTIVE


BY PAYOR LEVEL


661 JAWA BABEKASI0767 KLINIK MHT BEKASI JL. H.M JOYO MARTONO NDR FRISKA GULTOM/IBUKOORDINATOR 021-8814262| 021-8814262 N Y Y PARTIAL662 JAWA BABEKASI0620 RS. KARYA MEDIKA II (D/H RSJL. SULTAN HASANUDIN PUTRI SILPIANA/AHMAD MARKETING 021-883 24366; 70934766/ 021 021-88327514 Y Y Y ACTIVE663 JAWA BABEKASI0410 RS. BELLA JL. IR. H. JUANDA, NO.14 IBU AMEL GRACE MARKETING 021-880 1775/ 880177/881937702188342438/88352506 Y Y Y ACTIVE664 JAWA BABEKASI0384 RS. MEKAR SARI JL. MEKAR SARI, NO.1 DRG. AMI MARKETING 021-8802641,8813787021-8813021-8810055/88350908 Y Y Y ACTIVE665 JAWA BABEKASI0250 KLINIK KARYA MEDIKA I JL. IR H JUANDA NO.38 C BPK HERMAN KOORDINATOR 021-8801293021-8800381|021-021-8816137 N Y Y PARTIAL666 JAWA BABEKASI0188 KLINIK FAJAR MEDIKA ( GR RUKO KAWASAN INDUSTRIIBU INA MARKETING 021-8981162| 021-8981162 N Y Y PARTIAL667 JAWA BABEKASI0715 KLINIK MUTIARA I (CITRA H PERUM METLAND JL. KALIBPK. KEMAL / BPK. RON/KEUANGAN 021-29487893| 021-88337919 N Y Y PARTIAL668 JAWA BABEKASI0294 KLINIK KARYA MEDIKA III ( JL. PERJUANGAN, NO.30 IBU EUIS KOORDINATOR 021-8851152| 021-8851152 N Y Y PARTIAL669 JAWA BABEKASI0819 RB & KLINIK PERMATA BUN PERUM GRAHA MUSTIKA MEIBU TIA ADM 82611729 / 88328001| 82611729 Y Y Y ACTIVE670 JAWA BABEKASI0873 APOTIK & KLINIK LEGENDA JL. ZAMRUD UTARA BLO BPK.BUDI JULIANTO KOORDINATOR 021-82600148| 021-82606179 N Y Y PARTIAL671 JAWA BABEKASI1013 RSIA SELASIH MEDIKA JL. RAYA BINTARA NO 5, BAPAK DAYAT MARKETING 021-8850155| 021-8844667 Y Y Y ACTIVE672 JAWA BABEKASI1530 KLINIK SIERRA MITRA JL. KH. M.TABRANI BLOK BPK. KRISNA MARKETING 021-70266392/8868129| 021-8868129 N Y Y PARTIAL673 JAWA BABEKASI1541 RS. PERMATA BEKASI JL. LEGENDA RAYA, NO. IBU RITNA MARKETING 021-8251919/8254748| 021-82609705 Y Y Y ACTIVE674 JAWA BABEKASI1559 RB & KLINIK TIARA BUNDA JL. RAYA PERJUANGAN N DR.LINDA KOORDINATOR 021-89131010| 021-89131010 Y Y Y PARTIAL675 JAWA BABEKASI1122 RS. JATI SAMPURNA JL. STUDIO ANTV KRANG DRG. IKHWAN PANE/IBUMARKETING 021-8451457/8455874| 021- 8455712/8459464 Y Y Y ACTIVE676 JAWA BABEKASI1576 RS TAMAN HARAPAN BARU (dJL KALIABANG TENGAH RTIBU YESSI FRISELLA MARKETING 021-88981055| 021-88981055 Y Y Y ACTIVE677 JAWA BABEKASI0063 RS. MULTAZAM MEDIKA JL. PERUMAHAN JATIMU IBU LILIS MARKETING 021-8215101/8215102021-8215021-82416678 Y Y Y ACTIVE678 JAWA BABEKASI1553 RS. HERMINA GRAND WISA JL. FESTIVAL BOULEVARDBPK.SUNGKONO/IBU AFMARKETING 021-8265 1212 / 29087893 / 08 021-825 2963 Y Y Y ACTIVE679 JAWA BABEKASI0016 RS. KARYA MEDIKA CIBITUNJL. RAYA IMAM BONJOL, IBU TITIN MARKETING 021-8900190-1& 8903003-4/ 890021-89107753-4 Y Y Y ACTIVE680 JAWA BABEKASI1588 RB. ASYIFA HUSADA MEDIC PERUM. BEKASI REGENCY IERWAN JAUHARY MARKETING 021-88332152| 021-88332152 Y Y Y PARTIAL681 JAWA BABEKASI1595 KLINIK VNV MEDIESTETI KOMPLEK PEMDA BLOK C Kdr. Eko Marketing 021-824 15167/ 82435767| 021-82435767 N Y Y PARTIAL682 JAWA BABEKASI1038 KLINIK HARAPAN SEHAT III PERUMAHAN VILLA MUTIARDR.ERNA KOORDINATOR 021- 68295994/88393875-|- - N Y Y PARTIAL683 JAWA BABEKASI0947 RS. APRILIA MEDIKA JL. RAYA SETU NO.99 D BPK. AFNAN RIFAI MARKETING 021 - 82611565/82603851|021-021 - 82611565 Y Y Y ACTIVE684 JAWA BABEKASI0949 BP DR. SANDER B(D/H KLINJL. TEUKU UMAR NO.19 CDR PETER KOORDINATOR 021-8833 8414-|- 021-8833 8413 N Y Y PARTIAL685 JAWA BABEKASI0950 KLINIK HOSANA MEDICA MAJL. MANGUN JAYA INDAH Ibu Helena KOORDINATOR (021) 8832-0349-|- (021) 8832-0349 N Y Y PARTIAL686 JAWA BABEKASI0622 RSU. MITRA MEDIKA JL. DESA JATIWANGI-C BP.H. MINDA S PEMILIK 021-8998 3741/71691709/9821 021-89983575 Y Y Y ACTIVE687 JAWA BABEKASI0588 KLINIK MELVIANA JL. SAPARUA RAYA NO.23Ibu Bella Marketing 082213067595; 021 - 8807610|021-88341291 N Y Y PARTIAL688 JAWA BABEKASI0036 RS. SENTOSA BEKASI ( GrouJL. PAHLAWAN, NO.60 D IBU RUMBI MARKETING 021-880 6140| 021-881 4950 Y Y Y ACTIVE689 JAWA BABEKASI0324 RS. GRAHA JUANDA JL. IR. H. JUANDA, NO.32 IBU PUJI MARKETING 021- 8811832, 8821004, 88118 021 - 88346880 Y Y Y ACTIVE690 JAWA BABEKASI1140 RS. RAWA LUMBU JL. DASA DARMA, NO.20- BAPAK AGUS Marketing 021-82422511| 021-82432958 Y Y Y ACTIVE691 JAWA BABEKASI0960 RSB. MEKAR MULIA JL. KASUARI IV NO. 1-2, IBU LILIS MARKETING 021-8936940/66/|- 021-89830523 Y Y Y ACTIVE692 JAWA BABEKASI0982 RS. BUDI LESTARI JL. KH.NOER ALIE, NO.2 IBU INTAN MARKETING 021-8842336/8893486021-8893021-8893487 Y Y Y ACTIVE693 JAWA BABEKASI0987 RB & KLINIK HARAPAN SEHAJL. TEUKU UMAR NO.33 IBU RIA MARKETING 021-88336674-|- 021-8901126 Y Y Y PARTIAL694 JAWA BABEKASI0988 RS. PERMATA BUNDA BEKASPERUM GRAMAPURI TAMANBPK ROKIB/BPK HARIRI KOORDINATOR 021-88328001/88392537-|- 88328002 Y Y Y ACTIVE695 JAWA BABEKASI1207 KLINIK DIPONEGORO JL. DIPONEGORO NO.26 IBU VIVI KOORDINATOR 021 - 8817062| 021-88346743 N Y Y PARTIAL696 JAWA BABEKASI1216 RS. JUWITA JL. M. HASIBUAN NO.78 -Ibu Anggie / Ibu RONI MARKETING 021 -8829590/1| 021-8829592 Y Y Y ACTIVE697 JAWA BABEKASI1136 KLINIK PERMATA BUNDA BEJL. BOSIH RAYA RUKO K BAPAK ROKIB Koordinator 021- 88373158 / 021-88328001/- N Y Y PARTIAL698 JAWA BABEKASI2433 KLINIK TAMAN FIRDAUS ME PERUM TAMAN FIRDAUS RBPK ERIK/ BP RICO - 021 - 89950047| - N Y Y PARTIAL699 JAWA BABEKASI1586 RS. BUNDA MULIA (d/h) RSI JL. IMAM BONJOL NO.80A BPK HENDRIK MARKETING 021-8900579-89106317| 021-89106633 Y Y Y ACTIVE700 JAWA BABEKASI1640 RS. JATI RAHAYU JL. RAYA HANKAM NO 17Ibu. Astri MARKETING 021-8462566,8462565,8497257021-84992723 N Y Y PARTIAL701 JAWA BABEKASI1769 KLINIK SATELIT GSM BEKASIBEKASI SQUARE NO 65-66BPK AGUNG - 021-82425408| - N Y Y PARTIAL702 JAWA BABEKASI1771 RS. KARTIKA HUSADA SETUJL. BURANGKENG RT 01 IBU ANDRI ICHSANTI MARKETING 021-82610003/4/5| 021- 82610005 Y Y Y ACTIVE703 JAWA BABEKASI1807 RS. TIARA BEKASI JL. RAYA BABELAN NO. 6IBU LITA Marketing 021-89131111/021-89133333| 021-89132039 Y Y Y ACTIVE704 JAWA BABEKASI1486 RS. AWAL BROS BEKASI BA JL. KH.NOER ALI KAV.17 BPK YADI/IBU MIMI MARKETING 021-8868888/88855333| 02188855222/88855210 Y Y Y ACTIVE705 JAWA BABEKASI1816 RS. HARAPAN MULIA JL. RAYA CIBARUSAH NO.HENDRO L PRASETYO / MARKETING 021-89952340| 021-89952460 Y Y Y ACTIVE706 JAWA BABEKASI1830 RB & KLINIK AMIRA CIKARA JL. RAYA BY PASS LEMA DR. DEDY - 021-8914 2719| 021-89142719 Y Y Y PARTIAL707 JAWA BABEKASI1937 APOTIK FARMARIN VII BEKAJL. GURAME RAYA PERTOKHIKMAH APRILIANI - 02188968419| - N Y Y PARTIAL708 JAWA BABEKASI1924 KLINIK MANDIRI PERUM VILLA MUTIARA C IBU.IIN IRA KARTIKA PEMILIK 021-897 4883| - N Y Y PARTIAL709 JAWA BABEKASI1203 KLINIK SEHAT SEJAHTERA I JL. NUSANTARA RAYA NO.IBU ALYA KOORDINATOR 021-88349427| 88349427 N Y Y PARTIAL710 JAWA BABEKASI1517 RSU. DR. ADAM TALIB JL. TEUKU UMAR, NO.25, IBU. SULIS Marketing 021-88332305/06| 021-88332308 Y Y Y ACTIVE711 JAWA BABEKASI1277 RB & KLINIK GUCI MEDIKA JL. PRAMUKA NO.79 RA BP ARIF MARKETING 021-82433158| 021-8221921 Y Y Y ACTIVE712 JAWA BABEKASI1293 KLINIK YAKESTI BEKASI JL. RAYA NAROGONG KM.BPK. ARIEF MARKETING -021 8253516| - N Y Y PARTIAL713 JAWA BABEKASI2539 MITRASANA PONDOK TIMURPONDOK TIMUR INDAH BLSiska - 085100822510| - N Y Y PARTIAL714 JAWA BABEKASI2613 KLINIK & APOTIK MAHADIN JL. KH. BOSIH NO.9 CIBI EEN - -| - N Y Y PARTIAL715 JAWA BABEKASI2802 KLINIK PERTAMEDIKA BEKASRUKO KALIMALANG SQUAREHENDRI (081806762901- 021-88962946| - N Y Y PARTIAL716 JAWA BABEKASI2803 KLINIK PERTAMEDIKA JATIWJL. SANGATTA NO. 1 JA SRI ENDRA (081317520- 021-84990644| 021-84970944 N Y Y PARTIAL717 JAWA BABEKASI2689 KLINIK & APOTEK KF 367 JL. JATIMEKAR NO. 33 JATNUR FADILLAH,S FARM., APT. 021 8473403| N Y Y PARTIAL718 JAWA BABEKASI2057 KLINIK BATARA SATU MEDI JL. KH. NOER ALI NO. 1 ASEP KUSTARA - 021-89133229/085100589090| 021-82589090 N Y Y PARTIAL719 JAWA BABEKASI2091 KLINIK SITI ZAHROH PERUMAHAN GRAND RESIDBPK ERI PEMILIK 021-8261.8362| - N Y Y PARTIAL720 JAWA BABEKASI0891 RS. HERMINA GALAXY JL. GARDENIA RAYA SEL DESY/METHA MARKETING 021-8222525/82417777| 021-82414087 Y Y Y ACTIVE


BY PAYOR LEVEL


721 JAWA BABEKASI1971 RB. WIJAYANTI JL. PERUM GRIYA BEKASI IBU MOMO PEMILIK 021-29371856/97958619| 021-82602243 Y Y Y PARTIAL722 JAWA BABEKASI0147 RS KARYA MEDIKA BANTAR JL. NAROGONG RAYA, KMRIO MARKETING 021-8254629/8254630|021-825021-8254629 Y Y Y ACTIVE723 JAWA BABEKASI3367 KLINIK CENTRAL MEDIKA2 JL. KH. FUDHOLI (KEBON DR. LIA -- 021-89100879| 021-89100877 N Y Y PARTIAL724 JAWA BABEKASI3447 KLINIK RAWAT INAP PEDULIJL. RAYA PILAR SUKATAN NUR AHMAD FAUZI MARKETING 021-8903208| 021-89100139 N Y Y ACTIVE725 JAWA BABEKASI2573 MITRASANA BUMYAGARA TAMAN BUMYAGARA A.04 Prima Melati - N Y Y PARTIAL726 JAWA BABEKASI2611 KLINIK AMELIA VILA MUTIARA GADING 2 DR. IDA ROHAYANI - 021-88376985| - N Y Y PARTIAL727 JAWA BABEKASI2560 MITRASANA MOCHTAR TABRJL. KH MUCHTAR TABRANTIKA - 36822504/ 08891259008| - N Y Y PARTIAL728 JAWA BABEKASI2585 MITRASANA WIBAWA MUKTIJL. WIBAWA MUKTI RT.01/ - 021-36487743| - N Y Y PARTIAL729 JAWA BABEKASI2515 MITRASANA KALIABANG "RUKO FITRA JAYA, JL. INA MASTUHA - 021-88974206| - N Y Y PARTIAL730 JAWA BABEKASI2520 MITRASANA UJUNG HARAPA"KAMPUNG UJUNG HARAPANIVANA - 021-29258727/ 70874627| - N Y Y PARTIAL731 JAWA BABEKASI4812 KLINIK LIANCO MEDICAL CEJL. CUT MUTIA NO. 99 BE - - (021) 88347695| - N Y Y PARTIAL732 JAWA BABEKASI1558 KLINIK ASYIFA HUSADA PERUM. VILLA MUTIARA JAERWAN JAUHARY KOORDINATOR 021-88338235| 021-88338235 N Y Y PARTIAL733 JAWA BABEKASI0735 RS. KARTIKA HUSADA TAM JL. MANGUN JAYA RAYA KSRI WARDININGSIH/FITRMARKETING 021-88338346/88327281/021-9021-88322529 Y Y Y ACTIVE734 JAWA BABEKASI4693 RS. CIKUNIR JL. RAYA CIKUNIR GG. HJ DR. INES MARIANNE - (021) 82437322| (021) 82437323 Y Y Y ACTIVE735 JAWA BABEKASI4743 KLINIK TRAYA JL. KH. NOER ALI NO. 1D DR. AGNES - (021) 21286002| - N Y Y PARTIAL736 JAWA BABEKASI4811 RSU. AS-SHOFWAN JL. RAYA KARAWANG BEKIBU DYAH MARKETING (021) 89141890| (021) 89141754 Y Y Y ACTIVE737 JAWA BABEKASI1204 KLINIK SEHAT SEJAHTERA IIPERUM REGENSI - BEKASIIBU.PUJI/HAYATI WIDODKoordinator 021-88367194| 88349427 N Y Y PARTIAL738 JAWA BABEKASI4515 PRODIA SUMMARECON BEKAJL. BULEVAR SELATAN S MURNI - 021-8840480| - N Y Y PARTIAL739 JAWA BABEKASI1350 RS. MITRA KELUARGA CIBU JL. ALTERNATIF TRANSYOIBU WITA MARKETING 021-84311771/84311777| 021-84311661 Y Y Y ACTIVE740 JAWA BABEKASI3382 KHARISMA MEDICAL CENTEJL. CAMAN RAYA NO.54 BIBU RINA MARKETING 021-84991671| - N Y Y PARTIAL741 JAWA BABEKASI3702 PRODIA HARAPAN INDAH RUKO SENTRA NIAGA, BOADE RISMAN - (021) 29465476| - N Y Y PARTIAL742 JAWA BABEKASI1123 RS. CITRA HARAPAN JL. RAYA HARAPAN INDA IBU DEWI MARKETING 021-88870606/88870909/88865021-88975555 Y Y Y ACTIVE743 JAWA BABEKASI2513 MITRASANA MEGA REGENCY"Jl.Perum Mega regency B- - 0815101487758| - N Y Y PARTIAL744 JAWA BABEKASI4726 KLINIK CAHAYA AMALIA JL. KH. MUHTAR THABRANIDR. ERNAWATI - (021) 88879888| (021) 88881747 N Y Y PARTIAL745 JAWA BABEKASI5220 VIVA MEDIKA BEKASI TIMURJL. CUT MUTIA BLOK D NO- - (021) 8834 8228| - N Y Y PARTIAL746 JAWA BABEKASI5221 RS SILOAM BEKASI TIMUR dJL. CHAIRIL ANWAR BLU YUSSA MARKETING (021) 806 11 900| (021) 806 11 911 Y Y Y ACTIVE747 JAWA BABEKASI5222 VIVA MEDIKA TAMBUN RUKO TAMBUN CITY BLOK- - 088888553853| - N Y Y PARTIAL748 JAWA BABEKASI3956 APOTEK KIMIA FARMA CAHAJL. KH.MUCHTAR TABRANIIBU NI MADE DWI CAND- 02188879888| - N Y Y PARTIAL749 JAWA BABEKASI4484 KLINIK & RB KARUNIA MEDI JL. GATOT SUBROTO NO. 3DR SRI HANDAYANI - 021-89104266| - N Y Y PARTIAL750 JAWA BABEKASI0010 RS. MITRA KELUARGA BEKAJL. JEND. A.YANI, BEKAS IBU TITI/DRG. INDAH MARKETING 021-8853333| 021-8842550/8855000 Y Y Y ACTIVE751 JAWA BABEKASI2544 MITRASANA TAMAN CENTU JL. RAYA LASKAR NO.59 R - 085100487742| - N Y Y PARTIAL752 JAWA BABEKASI0766 RS. ANANDA BEKASI JL. SULTAN AGUNG NO.1BPK ENDANG / IBU AYU MARKETING 021-8854338| 021- 88950141 Y Y Y ACTIVE753 JAWA BABEKASI1053 RS. ST. ELISABETH - BEKASIJL. RAYA NAROGONG NOBPK. ANTON/IBU YUNI MARKETING/KEU021-82430101/82400186/82297021-82432083 Y Y Y ACTIVE754 JAWA BABEKASI0843 KLINIK DHARMA BHAKTI JL. RAYA BOSIH BLOK A4 BPK AMOS HUMAS 021-8831441-|- 021-8831441/8830246 N Y Y PARTIAL755 JAWA BABEKASI2821 LAB. PRODIA BEKASI JL. KH NOER ALI NO.90 SITI AISAH - (021) 8840480, 8844911| - N Y Y PARTIAL756 JAWA BABEKASI5223 VIVA MEDIKA CIKARANG RUKO CIKARANG CENTRAL - - (021) 2961 9212| - N Y Y PARTIAL757 JAWA BABEKASI4385 KLINIK & APOTEK KF 340 JL.KEDASIH RAYA NO.112- - -| - N Y Y PARTIAL758 JAWA BABEKASI1261 RS. HOSANA MEDICA BEKASJL. PRAMUKA NO.12 RA IBU OCHA MKT/DIREKTUR 021-8221570/73| 021-8224604/8221574 Y Y Y ACTIVE759 JAWA BABEKASI5902 RS. SATRIA MEDIKA JL. RAYA BANTAR GEBANGIBU SERLY MARKETING 021-22105678| - N Y Y ACTIVE760 JAWA BABEKASI1062 RS. CIBITUNG MEDIKA JL. RAYA H.BOSIH NO.11 RUSTOMY FADILLAH Marketing 021-88323444/88393181-|- 02188323449/88372866 Y Y Y ACTIVE761 JAWA BABEKASI1333 RSU. KARTIKA HUSADA JATIJL. SWANTARA NO 72 JATIIBU EMIL MARKETING 021-82435585-82435587| 021-82435586 Y Y Y ACTIVE762 JAWA BABEKASI0178 RS. HERMINA BEKASI JL. KEMAKMURAN, NO.39KRISTY/AQIL MARKETING 021-8842121/30| 02188865121/88952275 Y Y Y ACTIVE763 JAWA BABEKASI6250 RS. AWAL BROS BEKASI TI JL. H.M JOYOMARTONO, ICHA - (021) 8267 9999| (021) 8267 8989 Y Y Y ACTIVE764 JAWA BABEKASI1989 RSIA. KARUNIA KASIH (KAR JL. RAYA JATI WARINGIN IBU GRACE/ BPK TONI Marketing 021-8461970| 021- 8460991 Y Y Y ACTIVE765 JAWA BABEKASI5795 KLINIK PRATAMA IMANI MEDJL. RAYA TAMAN NAROGOPAK ARSIL - (021) 82731078| - N Y Y PARTIAL766 JAWA BABEKASI0151 KLINIK MULYA MEDIKA (APOJL. RAYA JATI MULYA, NOBPK. RUNTUNG MARKETING 021-8203272| 021-8203272 N Y Y PARTIAL767 JAWA BABEKASI5614 KLINIK MATA UTAMA JEC CI JL. ALTERNATIF CIBUBUR - - (021) 29221000| - N Y Y PARTIAL768 JAWA BABEKASI6010 RS. TARUMAJAYA JL. RAYA TARUMAJAYA NOAnggie Agustine MARKETING 021-88992337 / 88992338| Y Y Y ACTIVE769 JAWA BABEKASI1951 KLINIK & APOTEK KF 387 JL. JATIWARINGIN NO 5 SHINTA YULIZRA - 021-8461980| - N Y Y PARTIAL770 JAWA BABEKASI4815 RS. PERMATA KELUARGA JAJL. DR.CIPTO MANGUNKUSIBU NINETEEN MARKETING ( 021 ) 29083399| (021) 8990 1860 Y Y Y ACTIVE771 JAWA BABEKASI2508 MITRASANA TAMAN HARAP JL. TAMAN HARAPAN BAR- - 88870793 / 08891259038| - N Y Y PARTIAL772 JAWA BABEKASI2461 KLINIK 24 JAM & RB. PERM JL. RAYA WANAJAYA - CI IBU ZENDRI - 021 - 88322064, 88323062| - Y Y Y ACTIVE773 JAWA BABEKASI6386 AUDY DENTAL BEKASI RUKO GRAND GALAXY CITTIKA 081289518116 PIC (021) 82733123 / 081212026161- N Y Y PARTIAL774 JAWA BABEKASI6069 KLINIK CIPTO 2 JL. RAYA CIKARANG SUKASriyanto (021) 89161455| (021) 89161455 N Y Y PARTIAL775 JAWA BABEKASI1334 RS. ANNA MEDIKA JL. RAYA PERJUANGAN N IBU ELA KUSMIATI/BPK. MARKETING 021 - 88882211| 021 - 88973042 Y Y Y ACTIVE776 JAWA BABEKASI1296 RSB. TAMAN HARAPAN BARJL. TAMAN HARAPAN BARUBAPAK UBAD BADRUDINMARKETING 021-88871202| 021- 88871203 Y Y Y ACTIVE777 JAWA BABEKASI0161 RS. MITRA KELUARGA BEKA IBU LINDA/ HARTI MARKETING 021-8817777/89999222| 8820707/89999286 Y Y Y ACTIVE778 JAWA BABEKASI0847 RS. ANNA PEKAYON JL. PEKAYON RAYA NO.3Ibu Ratna MARKETING 021-82432211| 021-82419079 Y Y Y ACTIVE779 JAWA BABEKASI6068 PRESIDENT MEDICAL CENTEJL. KI HAJAR DEWANTAR BAPAK WENDY PIC 021-29469400 / 29082423| - N Y Y PARTIAL780 JAWA BABEKASI2036 RSU. DR. IQBALI TAUFAN VILA MUTIARA CIKARANG DR IQBAL TAUFAN PEMILIK 021-8971769/89902361| 021-89902361 Y Y Y PARTIAL

085100464921|

Syarofina Hafidzoh

Yayah Choiriyah

JL. PENGASINAN RAWA SEMUT MARGAHAYU, BEKASI TIMUR


BY PAYOR LEVEL


781 JAWA BABEKASI5422 KLINIK MUSTIKA HUSADA JL. RAYA BURANGKENG P AFNAN - (021) 88326109/087880880370|- N Y Y PARTIAL782 JAWA BABEKASI1304 RS. PUSPA HUSADA JL. RAYA PONDOK TIMUR BPK. EDI SUTIKNO MARKETING 021-82618978/82618979| 021-82618977 Y Y Y ACTIVEBOGOR783 JAWA BABOGOR1385 RS. SENTRA MEDIKA CIBIN JL. MAYOR OKING JAYA A JULIANA CHRISTIE / IBU MARKETING 021-87909999/87911212/(021) 021-87909377 Y Y Y ACTIVE784 JAWA BABOGOR6558 KLINIK GERIATRI WIJAYAKU JL DR SEMERU NO 43-45 - - (0251) 7568397| N Y Y PARTIAL785 JAWA BABOGOR1662 RSIA. KENARI GRAHA MEDI GRIYA KENARI MAS BLOK Bp Kurdi MARKETING 021-8230426/82499885/966840021-8231829 Y Y Y ACTIVE786 JAWA BABOGOR2624 IZI CLINIC JL. ACHMAD ADNAWIJAYAdr. Tiara Clinic Manager (0251) 8359111| - N Y Y PARTIAL787 JAWA BABOGOR2824 LAB. PRODIA BOGOR JL. JEND. SUDIRMAN NO. ARIE POEDJIANTO - (0251) 8351612, 8351614| 0251-8351614 N Y Y PARTIAL788 JAWA BABOGOR3000 RSUD. KOTA BOGOR JL. DR. SUMERU NO. 12 IBU RINA/BPK OKTO/ IB - 0251-8312292| 0251-8371001 Y Y Y ACTIVE789 JAWA BABOGOR2191 RS. MEDIKA DRAMAGA JL. RAYA DRAMAGA KM. BP. YOGI MARKETING 0251- 8308900; 081319310610|0251- 862577 Y Y Y ACTIVE790 JAWA BABOGOR2759 RS. KARYA BHAKTI PRATIWIJL. RAYA DRAMAGA KM. BP NURWANDY MARKETING (0251) 8626868| (0251) 8626969 Y Y Y ACTIVE791 JAWA BABOGOR2116 RS. HERMINA MEKARSARI JL. RAYA CILEUNGSI - VIVI/FRISKA MARKETING 021-29232525| 021-2923770 Y Y Y ACTIVE792 JAWA BABOGOR1251 KLINIK INSANI CIBINONG JL. MAYOR OKING JAYAATIBU NDARYATUN / IBU SMARKETING 021-8757567| 021-8757567 N Y Y PARTIAL793 JAWA BABOGOR3709 RS. VANIA JL. SILIWANGI NO.11 S BAPAK AFDAL MARKETING 0251-8380601/8380605| 0251-8380612 Y Y Y ACTIVE794 JAWA BABOGOR2393 RS. UMMI JL. EMPANG II NO.2 BOG Resty MARKETING 0251-8341600| 0251-8341606 Y Y Y ACTIVE795 JAWA BABOGOR1833 KLINIK PELITA SEHAT TAMARUKO PERUMAHAN TAMANLINA MARKETING 0251-8664767| - N Y Y PARTIAL796 JAWA BABOGOR1831 KLINIK PELITA SEHAT CIBI CENTRAL RUKO CIBINONG IBU Lina MARKETING 021-87910241/08998513939| - N Y Y PARTIAL797 JAWA BABOGOR2718 KLINIK PELITA SEHAT CIOM JL. RAYA TAMAN PAGELADR. JUNAIDY (08129922OWNER (0251) 7522167| - N Y Y PARTIAL798 JAWA BABOGOR5813 KLINIK PRATAMA RAWAT INJL.RAYA NARONGONG BEKAIBU HANNY - (021) 8231764| (021) 8231717 N Y Y PARTIAL799 JAWA BABOGOR6123 SILOAM HOSPITALS BOGORJL. PAJAJARAN NO.27, B MELIANA PIC 0251-8303900| - Y Y Y ACTIVE800 JAWA BABOGOR1419 RB & KLINIK CITAMA KEDU JL. BOJONG GEDE-BOGO IBU DARNI / MANDA KOORDINATOR 021-87983434| Y Y Y PARTIAL801 JAWA BABOGOR0290 RS. MARY CILEUNGSI HIJAU JL. RAYA NAROGONG, KMBAPAK ARIF/TEGUH WAMARKETING 021-82492222| 021-82493902 Y Y Y ACTIVE802 JAWA BABOGOR0706 POLIKLINIK CIBULUH JL. KEDUNG HALANG TALIBU IYAN ROHYANI MARKETING 0251-8661947| - N Y Y PARTIAL803 JAWA BABOGOR0673 RSU. MELANIA JL. RAYA PAHLAWAN NO IBU. YANI MARKETING 0251- 8321196021-4506389|02 0251-8331777 Y Y Y ACTIVE804 JAWA BABOGOR0190 RS. ISLAM BOGOR JL. PERDANA RAYA NO.2 IBU CICIH MARKETING 0251 - 8316822 / 7558159| 0251 -8347139 Y Y Y ACTIVE805 JAWA BABOGOR0835 RS. FAMILY MEDICAL CENT JL. RAYA BOGOR KM.51 Ibu.Ani HUMAS dan MAR(0251) 8652391| 0251-8661 605 Y Y Y ACTIVE806 JAWA BABOGOR1533 KLINIK DR.BETTY JL. RAYA NAROGONG, PE IBU HANNA/Shinta KOORDINATOR 021-82493032| - N Y Y PARTIAL807 JAWA BABOGOR0133 RS. HERMINA BOGOR JL. RING ROAD-1 KAV.23 IBU WIWI / DRG. RETNOMARKETING 0251-8382525| 0251-8328252 Y Y Y ACTIVE808 JAWA BABOGOR0755 RS. BINA HUSADA CIBINON JL. MAYOR OKING NO.101DR.YUNIY/ Ibu Yunita MARKETING 021-8758441; 87911000021- 87021-8752463 Y Y Y ACTIVE809 JAWA BABOGOR0932 KLINIK MHT CIPAYUNG JL. RAYA PUNCAK CIPAYUBPK NUGRAHA/ BPK ANADM/ marketing0251-8256172-|- 0251-8257648 N Y Y PARTIAL810 JAWA BABOGOR1103 RS. TRIMITRA CIBINONG JL. RAYA CIBINONG KM.43BPK YODI/ BPK.MASOEDMARKETING 021-8763055-56021-8765993|0021-8758038 Y Y Y ACTIVE811 JAWA BABOGOR2388 RS. PERTAMEDIKA SENTUL CJL. MH.THAMRIN KAV.57 TITA TURYANI MARKETING 021-29672977/29672990| 021-29672978 Y Y Y ACTIVE812 JAWA BABOGOR2456 RSIA. JULIANA JL. RAYA TAJUR NO 75A - IBU FITRI/ BPK SURYA Marketing 0251 - 8339593| 0251-8339591 Y Y Y ACTIVE813 JAWA BABOGOR1734 TELKOMEDIKA HEALTH CENJL. PENGADILAN NO. 14 BPK AMIR - 0251 - 8380134| N Y Y PARTIAL814 JAWA BABOGOR1679 RS. ANNISA CITEUREUP JL. KARANGGAN NO 02 P DR. DENI/BPK HENDRY MARKETING 021-8756780; 8752628| 021-8752628 Y Y Y ACTIVE815 JAWA BABOGOR1680 RSIA. SENTOSA JL. RAYA KEMANG NO 18 BPK JAYNUDIN MARKETING 0251-7541900| 0251-7541900 Y Y Y ACTIVE816 JAWA BABOGOR1673 RB. PELITA SEHAT POMAD JL. RAYA CIBULUH RUKO IBU LINA Marketing 0251-8658811| 0251-8652628; Y Y Y PARTIAL817 JAWA BABOGOR0468 RS. PMI BOGOR JL. RAYA PAJAJARAN, NO.IBU CITRA/ YUDHA MARKETING 0251-8324080-8393030-0817100251-8382936/8324709 Y Y Y ACTIVE818 JAWA BABOGOR1832 KLINIK PELITA SEHAT BAN JL. ACHMAD SOBANA/ LINA MARKETING 0251-8362525 / 089637057022|- N Y Y PARTIAL819 JAWA BABOGOR1823 KLINIK SALSABILA MEDICALJL. KSR DADI KUSMAYA IBU SHELLY - 021-87905768| - N Y Y PARTIAL820 JAWA BABOGOR1913 KLINIK PURI MEDIKA JL. RAYA CIKARET NO. IBU WAWAT/EKA KOORDINATOR 021-87903120| - N Y Y PARTIAL821 JAWA BABOGOR1525 EMMA MEDICAL CENTER 2 JL. RAYA CICADAS, KM.9, BPK.EDWIN LIMBONG KOORDINATOR 021-86860577/91304486| 021-86860578 N Y Y PARTIAL822 JAWA BABOGOR1297 RB & KLINIK INSANI JL. PAHLAWAN NO.73B D IBU SRI KEUANGAN 021- 87942723/70247742| 021-87942570 Y Y Y PARTIAL823 JAWA BABOGOR1353 RS. CITAMA JL. RAYA PABUARAN NO. IBU MANDA / IBU TRI MARKETING 021-87985555| 021-87986666 Y Y Y ACTIVE824 JAWA BABOGOR2772 KLINIK SHIFA MEDIKA JL. BRANTA MULIA RT.0 DR. RIANA ROCHMAWAT- (021) 8760357| - N Y Y PARTIAL825 JAWA BABOGOR2788 RSIA. ASSALAM JL. RAYA BOGOR KM 46, BAPAK YUNUS MARKETING (021) 8753724| - Y Y Y ACTIVE826 JAWA BABOGOR2703 KIMIA FARMA 362 JL. MAYOR OKING 112 C, ROSA TADIANTI PUTRI, - 021 87914400| - N Y Y PARTIAL827 JAWA BABOGOR0992 RS. BOGOR MEDICAL CENT JL. PAJAJARAN INDAH V/ DRH.SITTI NUR ARAFAHMARKETING 0251-8307900/8390435/8346000251-8313987/8353419 Y Y Y ACTIVE828 JAWA BABOGOR0720 RSIA. CITRA INSANI JL. RAYA PARUNG NO.24 DR. FERDINAND Y H S MARKETING 0251 - 8611507/86177270251- 0251 - 8617493 Y Y Y ACTIVE829 JAWA BABOGOR1952 KLINIK & APOTEK KF 50 JL. MERDEKA NO 24 BOGDRS. HENDI WIJAYA, AP- 0251-8384247 / 8321525| - N Y Y PARTIAL830 JAWA BABOGOR2441 KLINIK NADYA MH THAMRINJL. KH ABDULLAH BIN N DR. WENI PUSPASARI - (0251) 8624629| - N Y Y PARTIAL831 JAWA BABOGOR2809 KLINIK PERTAMEDIKA BOGOJL. PANDAWA BLOK A-1 NOIIN (081386613335) - 0251-8363994| 0251-8363993 N Y Y PARTIAL832 JAWA BABOGOR2979 LAB. KLINIK KIMIA FARMA JL. IR. H. JUANDA NO. 30 IBU YUNI KOORDINATOR 0251 - 8319030/8363473| - N Y Y PARTIAL833 JAWA BABOGOR3330 LAB. KIMIA FARMA 50 JL. MERDEKA NO. 24 BOGIBU UMI - 0251-271708| - N Y Y PARTIAL834 JAWA BABOGOR4694 RSB. PASUTRI JL. MERAK NO. 3 TANAH IBU HENI MARKETING (0251) 8349707| (0251) 8331938 Y Y Y ACTIVE835 JAWA BABOGOR0389 RS. MH THAMRIN CILEUNGSJL. RAYA NAROGONG, KMBPK JANI / IBU RATNA MARKETING 021-8235052 / 82491332021-8 021-82491331 Y Y Y ACTIVE836 JAWA BABOGOR1235 KLINIK & APOTEK KF 7 BOG JL. IR. H JUANDA NO. 30 TUTI EKAWATI - 0251-8363473 / 8319030 (Lab)| N Y Y PARTIAL837 JAWA BABOGOR2753 KLINIK ARABBANI JL. RAYA KARET VILLA ISNIAR - (021) 87910118;| (021) 87910118 N Y Y PARTIAL838 JAWA BABOGOR2955 RS. PERMATA JONGGOL JL. RAYA JONGGOL NO.1 BPK. TYO MARKETING 021 - 89931222/3| 021- 8993 1836 Y Y Y ACTIVE839 JAWA BABOGOR3420 RS. MULIA PAJAJARAN JL. RAYA PAJAJARAN NO. IBU YULIA MARKETING 0251-8379898 / 081288015174|0251-8378800 Y Y Y ACTIVE


BY PAYOR LEVEL


840 JAWA BABOGOR4983 KLINIK GRACIA JL. RAYA NAROGONG KM. IBU NUR KOMILAH PIC (021) 82486305| (021) 82486305 N Y Y PARTIAL841 JAWA BABOGOR3990 RSIA. BUNDA SURYATNI JL. KH. SOLEH ISKANDAR IBU ESIH MARKETING (0251) 754 3892/7543891| (0251) 754 3893 Y Y Y ACTIVE842 JAWA BABOGOR2172 KLINIK BHAKTI RAHAYU LE JL. RAYA GALUGA NO. BPK YUYU RAHAYU - 0251-8648201| - N Y Y PARTIAL843 JAWA BABOGOR0411 RS. AZRA JL. RAYA PAJAJARAN, NO.PUTRI MAKARTI MARKETING 0251-8318456|- 0251-8331773/8324093 Y Y Y ACTIVECIAMIS844 JAWA BACIAMIS 1104 RS. PERMATA BUNDA CIAMIJL. MR.IWA KUSUMASOMAIBU HJ NANI WARNIDAHMARKETING 0265-771650/7767450711-35610265-777658 Y Y Y ACTIVE845 JAWA BACIAMIS 4125 LAB. PRODIA CIAMIS JL. JEND. SUDIRMAN NO. 9- - 0265-2750977| - N Y Y PARTIALCIANJUR846 JAWA BACIANJU 4107 RS. DR.HAFIZ JL. PRAMUKA NO. 15 SU IBU LESSY YANI RUSLA - 0263-2910000| (0263) 2910010 Y Y Y ACTIVE847 JAWA BACIANJU 2123 KLINIK PADJADJARAN SUKA JL. RAYA SUKANEGARA KIBU RIRIN KOORDINATOR 0263-340189/ 085794056664| - N Y Y PARTIAL848 JAWA BACIANJU 2121 KLINIK ASSALAM CIKALONGJL. RAYA CIKALONG KULOBPK PUJI KOORDINATOR 0263-318222| - N Y Y PARTIALCIKAMPEK849 JAWA BACIKAMP1239 RUMAH SAKIT IZZA JL. KP.CISELAN DS.CIK BPK. ASEP HASANUDDI KOORDINATOR 0264-319307/8386830-32| 0264-8386829 Y Y Y ACTIVE850 JAWA BACIKAMP1300 KLINIK ANDINA CIKAMPEK JL. IR.H.JUANDA NO.17 DR.PUR ANA AISTU KOORDINATOR 0264-303759| 0264-8387680 N Y Y PARTIAL851 JAWA BACIKAMP1749 APOTEK NAGASARI JL. JEND A. YANI NO.177 IBU IIS - 0264-316203| 0264-316203 N Y Y PARTIAL852 JAWA BACIKAMP1172 KLINIK PUTRA MEDIKA ( GR JL. IR. H. JUANDA NO.14 H. ISWADI/ BP TAUFIK KOORDINATOR 0264-301652 / 8387129| 0264-8387129 N Y Y PARTIAL853 JAWA BACIKAMP0540 RS. SARASWATI JL. JEND. A.YANI, NO. IBU. AGNES/ANI MARKETING 0264-311531/316101/ 311514/ 0264-311531 Y Y Y ACTIVE854 JAWA BACIKAMP1497 KLINIK SEHAT JL. PAWARENGAN NO. 3 BPK.FAUZI MARKETING 0264-8385103| 0264-8385103 N Y Y PARTIAL855 JAWA BACIKAMP0093 KLINIK AQMA CIKAMPEK JL. STASIUN, NO.93 BPK.AGUS MARKETING 0264 - 310 524| 0264 - 319307 N Y Y PARTIAL856 JAWA BACIKAMP1302 KLINIK PURI ASIH CIKAMPEKJL. STASIUN NO.2 CIKAM Pak Evan KOORDINATOR 0264-303558| 0264-303558 N Y Y PARTIAL857 JAWA BACIKAMP2445 RS. TITIAN BUNDA JL. IR. H. JUANDA NO.12 IBU SISKA/ BPK FREDY Marketing (0264) 8385999/8386222| (0264) 8388936 Y Y Y ACTIVE858 JAWA BACIKAMP2472 RB & KLINIK NAURAH MEDI JL. A. YANI NO.02 RT.0 IBU YULI - (0264) 8389999| - Y Y Y PARTIAL859 JAWA BACIKAMP0375 RS. KARYA HUSADA JL. JEND. A.YANI, NO.9 IBU FITRI/ BPK DEDEN MARKETING 0264-316188-89| 0264-312834/301626 Y Y Y ACTIVE860 JAWA BACIKAMP0908 KLINIK GRAHA MEDIS JL. ACHMAD YANI NO. 51BPK. CIPTO/DR.DIAH KOORDINATOR 0264-310101| 0264-310101 N Y Y PARTIALCIKARANG861 JAWA BACIKARA2975 KLINIK PUTRA MEDIKA 3 JL. PERUM KOTA SERANGDR. MULYANA PANIJA OWNER (021) 89950333| - N Y Y PARTIAL862 JAWA BACIKARA2454 METRO HOSPITALS CIKARANJL. ANGGREK I B2/2 RT. IBU JUITA MARKETING (021) 89831626; 89835418; 89 021-89830442 Y Y Y ACTIVE863 JAWA BACIKARA2510 MITRASANA TAMAN ASTER RUKO TAMAN ASTER KAV.- - 88333364| - N Y Y PARTIAL864 JAWA BACIKARA1308 RS. RIDHOKA SALMA JL. IMAM BONJOL NO.7 IBU ATIK/IBUENDAH KE MARKETING 021-89116527| 021-89116528 Y Y Y ACTIVE865 JAWA BACIKARA1719 CMC CLINIC ( CIKARANG MESHOPHOUSE BLOK A NO.1IBU TIRA/IBU PIPIT MARKETING 021-8934371| 021-8934035 N Y Y PARTIAL866 JAWA BACIKARA4032 RB & KLINIK RIA PILAR JL. GATOT SUBROTO NO.RISKA SEPTIA MARKETING (021) 89105057 / 08771718800(021) 8900487 Y Y Y PARTIAL867 JAWA BACIKARA5118 KLINIK 24 JAM & HARAPAN JL. RAYA MEGA REGENCY REZI - 021-29370936| 021-883366721 N Y Y PARTIAL868 JAWA BACIKARA3992 KLINIK CENTRAL MEDIKA 3 JL. RAYA RENGAS BAND BP. RISKANDAR MARKETING 021-89142220| 021-89142221 N Y Y PARTIAL869 JAWA BACIKARA1034 KLINIK HARAPAN SEHAT II RUKO TELAGA HARAPAN BDR. ERNA MARKETING 021-8904519-|- - N Y Y PARTIAL870 JAWA BACIKARA4759 KLINIK PUTRA MEDIKA 2 JL. RAYA CIKARANG CIBA IBU ELLEN - (021)8971612| - N Y Y PARTIAL871 JAWA BACIKARA2742 KLINIK SUMBER SEHAT CIK JL. KH. FUDHOLI NO.50 IBU DESI HUMAS (021) 8900566 / 89106020| (021) 8900566 N Y Y PARTIAL872 JAWA BACIKARA1287 RB & KLINIK NIZA ASYIFA PERUMAHAN TELAGA HARPAK YASIR ADM 021-89109638| 021-89109638 Y Y Y PARTIAL873 JAWA BACIKARA1842 RS. MEDIROSSA 2 JL. RAYA CIBARUSAH DE BPK OMAN Marketing 021-89955555| 021-89952355 Y Y Y ACTIVE874 JAWA BACIKARA0275 RS. SENTRA MEDIKA CIKAR JL. RAYA INDUSTRI PAS Chintya Permata Gita MARKETING 021 8904160-64 / EXT 225/081 021-8904159,89111112 Y Y Y ACTIVE875 JAWA BACIKARA0916 RB & KLINIK GRAHA BINA JL. INDUSTRI SELATAN N BAPAK BUDI Koordinator 021-89836243-|- 021-89836244 Y Y Y PARTIAL876 JAWA BACIKARA1462 RS. MITRA KELUARGA CIKA JL. INDUSTRI RAYA, NO. LITHA MARKETING 021-89840500/89840900| 021-89845489 Y Y Y ACTIVE877 JAWA BACIKARA6474 KLINIK ALFARMA KP.KAUM LEBAK NO.101 ROBBY - (021) 89323270| (021) 8905376 N Y Y PARTIAL878 JAWA BACIKARA0738 RS. AMANDA CIKARANG SE JL. RAYA SERANG NO.83 DR.SULASTRI / IBU. TRI MARKETING 021-8971643021-89110011|021021-8970808 Y Y Y ACTIVE879 JAWA BACIKARA1415 RB & KLINIK PERMATA BUN JL. KH.FUDHOLY NO 11 K BPK.RUWIK - 021-89106080| - Y Y Y ACTIVE880 JAWA BACIKARA0263 RB & KLINIK YAYASAN BINAKP. KONGSI, CIKARANG IBU SULASTRI PELAYANAN PAS021-8900050; 021-8900051|021021-8900051 Y Y Y PARTIAL881 JAWA BACIKARA0406 KLINIK ANNISA II (CIKARANGJL. CIBARUSAH RUKO POINwulan PELAYANAN PAS021-8976189| - N Y Y PARTIAL882 JAWA BACIKARA0660 RS. PERMATA KELUARGA LIPJL. MH.THAMRIN KAVLINGWULAN/ RYAN MARKETING 021-8990 5588/ 8990 1927| 02189901860/89901902 Y Y Y ACTIVE883 JAWA BACIKARA1494 RB & KLINIK ANNISA IV JL. RAYA CIBARUSAH NO IBU INDRI ADMINISTRASI 021-89954434| 021-89954434 Y Y Y PARTIAL884 JAWA BACIKARA1523 RSIA. NURUL ANNISA JL. RAYA CIKARANG CIB IBU DWI MARKETING 021-8974854/55 / 8971122| 021-89677298 Y Y Y ACTIVE885 JAWA BACIKARA0306 RS. ANNISA CIKARANG JL. RAYA CIKARANG BARUNUR INDRAYANI MARKETING 021-8904165/8901962/89045030021-8903350/89113827 Y Y Y ACTIVE886 JAWA BACIKARA0385 RS. BHAKTI HUSADA JL. RE. MARTADINATA BAPAK ROY MARKETING 021-8900530/1021-890 0531|02021-8900570 Y Y Y ACTIVE887 JAWA BACIKARA1041 RS HARAPAN KELUARGA (d/JL.KASUARI RAYA KAV.1A IBU ASTI MARKETING 021-89840745|- 021-89835839 Y Y Y ACTIVE888 JAWA BACIKARA0850 KLINIK BERKAT MELIMPAH J JL. KAWASAN INDUSTRI DRG.SHINTA/DR ISKAN PELAYANAN PAS021-8937941021-8937942|021-021-8937942,89833055 N Y Y PARTIAL889 JAWA BACIKARA1050 RS. AMANDA CIKARANG UT JL. RAYA INDUSTRI NO.3 DR. SULASTRI MARKETING 021- 8900277 / 89110011|021- 021-89110011 Y Y Y ACTIVE890 JAWA BACIKARA0913 RS. ASRI MEDIKA JL. CITANDUY RAYA BLOKIBU WULAN MARKETING 021-89142968, 89142969-|- 02189143860/89143036 Y Y Y ACTIVE891 JAWA BACIKARA0929 KLINIK RENNICHA PUTRA JL. RAYA CIKARANG CIBA BPK TARMUDJI MARKETING 021-8971852021-8971658|021-021-8971852 N Y Y PARTIAL892 JAWA BACIKARA0966 RB & KLINIK CENTRAL MEDIJL. PILAR - SUKATANI, TEJA, ISKANDAR MARKETING 021- 89111103-|- 021-89119714 N Y Y PARTIAL893 JAWA BACIKARA0967 CITRA ARDHITA MEDIFARM CAPITOL BUSINESS PARK, IBU LISTI/IBU AYU/ SU MARKETING/ Dir021-89831945/7004236021-89802189831946/89833385 N Y Y PARTIAL894 JAWA BACIKARA1119 KLINIK SAPTA MITRA CIKAR RUKO CIKARANG CENTRAL BPK.ROBY CLINIC MANAGE021-8975369| 021-8975369 N Y Y PARTIAL895 JAWA BACIKARA1218 KLINIK CIKARANG MEDIKA J JL. YOS SUDARSO NO.27 BPK.WIJAYA / WURI Pemilik/ Marketi021-8900129; 8901318| 021-8901318 N Y Y PARTIAL


BY PAYOR LEVEL


896 JAWA BACIKARA0574 KLINIK BUDI LUHUR JL. RAYA IMAM BONJOL, IBU RENA KOORDINATOR 021- 88327226/88320116| 021-88327226 Y Y Y PARTIAL897 JAWA BACIKARA1795 KLINIK KHANZA MEDIKA PERUM KOTA SERANG BARDARWIS MARKETING 021-89953361/081212565880| 021-89953117 Y Y Y PARTIAL898 JAWA BACIKARA1824 KLINIK BUNDA AULIA JL. HAJI RATIM NO. 143 BP. RAMA/ YOLANDA Marketing 021-8998 3742 / 2897 3209| 021-8998 3742 N Y Y PARTIAL899 JAWA BACIKARA2061 RS. BUDI ASIH CIKARANG JL. RAYA SERANG - CIB BPK. CITRA Marketing 021 - 89677795| 021-89677402 Y Y Y PARTIAL900 JAWA BACIKARA1064 KLINIK KASIH ANUGERAH S JL. RAYA SERANG-CIBAR IBU SRI/ DR. THERESIA KOORDINATOR 021-89952605,89952612021-89021-89951205 N Y Y PARTIAL901 JAWA BACIKARA1067 RS. MEDIROSSA JL. INDUSTRI TEGAL GED BPK. KUJANG-IBU DEWI MARKETING 021-89833216| 021-8934979 Y Y Y ACTIVE902 JAWA BACIKARA1514 KLINIK SUMBER WARAS JL. RAYA CIBARUSAH, K IBU NOVIANTI MANAGER KLINI021-8970524| 021-8970524 N Y Y PARTIAL903 JAWA BACIKARA1567 RB & KLINIK PUTRA MEDIKAJL. N. PERUM VILA MUTI DR MULYANA/ IBU ELLEDIREKTUR/MARK021-89677215; 02189677628| 021-89677216 Y Y Y PARTIAL904 JAWA BACIKARA2462 KLINIK 24 JAM & RB. PERM RUKO GRAMA NIAGA H2 NIBU ZENDRI - 021 - 2928 2165, 021 - 2928 21 - Y Y Y ACTIVE905 JAWA BACIKARA2058 RSIA. GIZAR JL. VILA MUTIARA CIKAR TRIANA SINTAWATI, SP - 021-89677240 / 89677204| 021-89677239 Y Y Y ACTIVE906 JAWA BACIKARA2087 KLINIK JB MEDICAL CENTERSHOP HOUSE PERMATA JUICUK SUGIARTO MARKETING 021-89846023/24| - N Y Y PARTIAL907 JAWA BACIKARA2034 RSIA. CIKARANG MEDIKA JL. KH. FUHDOLI NO.78 BAPAK FAUZY - 021-8902210| 021-82607637 Y Y Y ACTIVE908 JAWA BACIKARA1962 KLINIK & APOTEK KEMALA JL. TARUM BARAT 2, RU DENI ABDURAHMAN Marketing 021-29083377 - 29083376| 021- N Y Y PARTIAL909 JAWA BACIKARA4670 RS. OMNI CIKARANG OASIS KAV.1 JL. RAYA C YUNI Marketing (021) 2977 9999| 021-2977 9911 Y Y Y ACTIVE910 JAWA BACIKARA0709 RS. HOSANA MEDICA LIPPOJL. UTAMA BIIE NO 01 L Ibu Pingky MARKETING 021-8972472| 021-89900769 Y Y Y ACTIVE911 JAWA BACIKARA0391 SILOAM HOSPITALS LIPPO JL. MH. THAMRIN, KAV.1 DR.SISKA/IBU RESTI/VICMARKETING 021- 29636900| 021-89900022/8972470 Y Y Y ACTIVECIMAHI912 JAWA BACIMAHI2467 RSU. KASIH BUNDA JL. MAHAR MARTANEGARAibu Dani MARKETING 022- 6614221/ 6630585| 022- 6630583 Y Y Y ACTIVE913 JAWA BACIMAHI3610 PRODIA CIMAHI JL. JEND. AMIR MAHMUD FERRY ERAWATI (022) 6658125| N Y Y PARTIAL914 JAWA BACIMAHI5610 RSAD. TK II DUSTIRA JL DUSTIRA NO. 1 BAROS,MAYOR SHINTA - 022-6652207| - Y Y Y ACTIVE915 JAWA BACIMAHI0268 RS. MITRA KASIH JL. RAYA CIBABAT NO.34DR. RIZKI MARKETING 022-6654852,6652774,6654397022-6654875/6642349 Y Y Y ACTIVE916 JAWA BACIMAHI2221 RS. AVISENA CIMAHI JL. MELONGASIH NO. 170BP HENDAR - 022 - 6000830| 022-6000830 Y Y Y ACTIVECIREBON917 JAWA BACIREBO4386 KLINIK & APOTEK KF 493 JL. GUNUNG JATI, CIREBO- - -| - N Y Y PARTIAL918 JAWA BACIREBO6629 RS. MEDIMAS JL. EVAKUASI NO.116 BPK AZAN - (0231) 481165| - Y Y Y PARTIAL919 JAWA BACIREBO5784 RSUD. GUNUNG JATI JL. KESAMBI NO. 56, KOT - - 0231-206330| - Y Y Y ACTIVE920 JAWA BACIREBO0293 RS. PELABUHAN CIREBON JL. SISINGAMANGARAJA, IBU YENNY MARKETING 0231-208948/208680 / 0231-200231-234670 Y Y Y ACTIVE921 JAWA BACIREBO0602 RS. PERTAMINA CIREBON JL. PATRA RAYA, KLAYANIBU DHARLIANTI/BPK.M MARKETING 0231-224646; 25121730231-22 0231-224795; 209328 Y Y Y ACTIVE922 JAWA BACIREBO2378 RS. KHUSUS JANTUNG HAS JL. RD GILAP NO. 8 PA PAK HARIS MARKETING 0231-343405; 343645| 0231-342224 Y Y Y ACTIVE923 JAWA BACIREBO1316 RS. MITRA PLUMBON JL. RAYA PLUMBON, KM.1 IBU SHINTA NORA PEMASARAN 0231-324483/323100| 0231-322355/322066 Y Y Y ACTIVE924 JAWA BACIREBO2690 KIMIA FARMA 40 (BM CIREBJL. PARUJAKAN NO.12 , Drs. Tigor Pangondian, PIC 0231-208954| - N Y Y PARTIAL925 JAWA BACIREBO2700 KLINIK & APOTEK KF 422 JL. DEWI SARTIKA NO. 3 IBU.NAY KOORDINATOR 0231 325795| - N Y Y PARTIAL926 JAWA BACIREBO2180 APOTEK FARMARIN CIREBO JL. KESAMBI RAYA NO. 92YULIA SOPI KUSDIANI, S.- 08179416709| - N Y Y PARTIAL927 JAWA BACIREBO2422 RSIA. KHALISAH JL. DR. SETIABUDI NO. BPK SOEMA MARKETING 0231-342440/342441| 0231-343362 Y Y Y ACTIVE928 JAWA BACIREBO1029 RS. SUMBER WARAS CIWARJL. URIP SUMOHARJO, NO.Ibu Fitri Humas 0231-342297/341079,3300888,30231-342112 Y Y Y ACTIVE929 JAWA BACIREBO3882 RSIA. CAHAYA BUNDA JL. RAYA PERJUANGAN NOIBU IMAS HUMAS 0231-83333/77/88 / 99| 0231-482121 Y Y Y ACTIVE930 JAWA BACIREBO3677 PRODIA CIREBON JL. R.A. KARTINI NO. 32 SUWANDI TARYA - (0231) 208989| - N Y Y PARTIAL931 JAWA BACIREBO1091 RS. PUTERA BAHAGIA (SIL JL. CIREMAI RAYA NO.11 IBU AMELIA HUMAS 0231-207351, 4856540231-485 0231-486356/482328 Y Y Y ACTIVE932 JAWA BACIREBO4677 RS. PERMATA CIREBON JL. TUPAREV NO. 117 KE IBU TRIANI KURNIAWATIMANAGER MARK(0231) 883 8877; 833 8899| 0231-8293698 Y Y Y ACTIVE933 JAWA BACIREBO1174 RS. SUMBER KASIH JL. SILIWANGI NO.135 IBU IKAH/ BPK. AGUS MARKETING 0231-203815| 0231-210040 Y Y Y ACTIVEDEPOK934 JAWA BADEPOK 2825 LAB. PRODIA CIBUBUR JL. ALTERNATIF CIBUBUR DANIEL HERU DWI P/ MI- (021) 84598650, 84590656| (021) 84598651 N Y Y PARTIAL935 JAWA BADEPOK 6453 RSIA. CITRA ARAFIQ JL. PERINDUSTRIAN RT/R BPK. HELMI Kabid. KEU 021-87708400| 021-87708400 Y Y Y ACTIVE936 JAWA BADEPOK 0346 RS. TUGU IBU JL. RAYA BOGOR, KM.29,DRG.MEGA / IBU.EKA MARKETING 021-8710870/021-8718634/33|0021-8708266 Y Y Y ACTIVE937 JAWA BADEPOK 1094 RS. KHUSUS JANTUNG DIAGJL. MARIBAYA NO.1 PURI IBU ELIS / IBU WITTY PUBLIC RELATIO021-7545499|- 021-7533014/7536965 Y Y Y ACTIVE938 JAWA BADEPOK 2722 RS. PERMATA DEPOK JL. RAYA MUCHTAR NO. IBU ENGGAR/IBU MERR MARKETING 021-29669000| 021-29668897 Y Y Y ACTIVE939 JAWA BADEPOK 1085 RS. MEILIA JL. ALTERNATIF CIBUBUR IBU RISKA MARKETING 021-8444444,84598954-|- 021-84598952 Y Y Y ACTIVE940 JAWA BADEPOK 1098 RS. GRHA PERMATA IBU JL. KH. M. USMAN NO.16 IBU SANTI/IBU TITA/DR MARKETING 021-7778899-|- 021-7778998 Y Y Y ACTIVE941 JAWA BADEPOK 1266 RB & KLINIK EL RAPHA JL. RAYA BOGOR KM 30 IBU PAULINA / IBU YUSTPemilik 021-8715082/87720327| 021-8715082 Y Y Y PARTIAL942 JAWA BADEPOK 0009 RSU. BHAKTI YUDHA JL. RAYA SAWANGAN NO.DRG.WIEN PRATIWI/ IBUMARKETING 021-7520082| 021-7775862/7762880 Y Y Y ACTIVE943 JAWA BADEPOK 0776 RS. PURI CINERE JL. MARIBAYA BLOK F2, IBU ADE/BPK RONALD MARKETING 021-7545488| 021-7545486 Y Y Y ACTIVE944 JAWA BADEPOK 0470 RS. SENTRA MEDIKA DEPOKJL. RAYA BOGOR KM.33 IBU SEFTYA WILDA/DEVIMARKETING 021-874 3790| 0218743230/87741666 Y Y Y ACTIVE945 JAWA BADEPOK 1007 RS. HARAPAN DEPOK JL. PEMUDA NO.10 IBU DESI PIMPINAN 021-7520009,7773817,77200005021-7765883 Y Y Y ACTIVE946 JAWA BADEPOK 1056 RS. BUNDA MARGONDA JL. MARGONDA RAYA NO.LELI AR 021- 78890551 / 29416060 / 08 021-78889958 Y Y Y ACTIVE947 JAWA BADEPOK 1318 RB & KLINIK CITAMA CIPAY JL. RAYA CIPAYUNG NO BP JEN/ Purmini Koordinator 021-87989203/5-021-87982268|02187986666/8282869 Y Y Y PARTIAL948 JAWA BADEPOK 1615 RSIA. ASYIFA DEPOK JL. CINERE DEPOK NO 9 IBU MARNI / IBU ENO MARKETING 021-77883905/77885454| 021-77885454 Y Y Y ACTIVE949 JAWA BADEPOK 2219 KLINIK CITRA INSANI JL. RAYA PENGASINAN DR. FERDINAN - 0251-8604733/8611507| - N Y Y PARTIAL950 JAWA BADEPOK 0265 RS. HERMINA DEPOK JL. RAYA SILIWANGI, N IBU WiNARSIH/NUNUN MARKETING 021-77202525| 021-7763309 Y Y Y ACTIVE951 JAWA BADEPOK 1736 KJP MEDICAL CENTER JL. KEJAYAAN BLOK IX N IBU EKA FINANCE 021-7703925, 7714605| 021-7703927 N Y Y PARTIAL952 JAWA BADEPOK 1194 RS. HASANAH GRAHA AFIAHJL. RADEN SALEH NO.42 DR TYAS MARKETING 021-77826267/ 77826276| 021-77833796 Y Y Y ACTIVE


BY PAYOR LEVEL


953 JAWA BADEPOK 2460 KLINIK UTAMA TUGU SAWA JL. RAYA MUCHTAR NO. IR. ASNIM SJAKRANI, M DIRUT 0251-8613433/021-29420173| 0251-8613433 N Y Y PARTIAL954 JAWA BADEPOK 2791 LAB. PRODIA DEPOK RUKO PESONA KHAYANGANESTI SULISTYARINI (08 - (021) 7751178, 7751826| - N Y Y PARTIAL955 JAWA BADEPOK 2760 RS. CITRA MEDIKA DEPOK JL. RAYA KALI MULYA N INGGRID HERMAN MARKETING 021-29671000/5000/7000/8000|021-29678000 Y Y Y ACTIVE956 JAWA BADEPOK 2090 KLINIK QITA JL. SEDAP MALAM RAYA - - 021-87989096| - N Y Y PARTIAL957 JAWA BADEPOK 2078 APOTIK FARMARIN V DEPOKJL. ARIF RAHMAN HAKIM riska - 021-7757117| 021-29402214 N Y Y PARTIAL958 JAWA BADEPOK 1950 KLINIK & APOTEK KF 143 JL. MARGONDA DEPOK HASTUTI ASSAURI - 021-7522997| - N Y Y PARTIAL959 JAWA BADEPOK 4383 KLINIK TUMBUH KEMBANG JL. ALTERNATIF KM 1 RU PAK AGUS - 021-8443316, 8443004| 021-8443018 N Y Y PARTIAL960 JAWA BADEPOK 2806 KLINIK PERTAMEDIKA CINERJL. CINERE RAYA NO. 11BDINI (08161352467) - 021-7535022| - N Y Y PARTIAL961 JAWA BADEPOK 2808 KLINIK PERTAMEDIKA DEPOJL. MARGONDA RAYA NO.YANI (081807285373) - 021-77219363| 021-77219364 N Y Y PARTIAL962 JAWA BADEPOK 4007 KLINIK UTAMA RAWAT INAPJL. MERUYUNG RAYA NO.IBU K. ICHA DIAN - (021) 77888674; 77888675| (021) 77888675 N Y Y PARTIAL963 JAWA BADEPOK 3329 KLINIK AL-ZAMZAM JL. ABDUL GANI NO. 53, IBU NOVI MARKETING (021) 77841431; 87904855| (021) 87904855 N Y Y PARTIAL964 JAWA BADEPOK 2629 KIMIA FARMA BEJI JL. RAYA NUSANTARA - NITYA BRILIANTY, S.SI, - 02177207404| - N Y Y PARTIAL965 JAWA BADEPOK 2627 KLINIK & APOTEK KF 352 JL. MARGONDA RAYA, D APRIYANDI - 02178884611| - N Y Y PARTIAL966 JAWA BADEPOK 2628 KLINIK & APOTEK KF 394 JL. SILIWANGI NO.35, DE SYAHRI APRIYANTO S.F - 02177214567| - N Y Y PARTIAL967 JAWA BADEPOK 4489 KLINIK PERMATA HATI RUKO PERMATA DEPOK BLIBU NOVIA - (021) 77200935| - N Y Y PARTIAL968 JAWA BADEPOK 0777 RSIA. TUMBUH KEMBANG JL. RAYA BOGOR, KM.31, BPK. TAUFIQ ISKANDARMARKETING 021-8701873-74 / 021-8712300021-8701872 Y Y Y ACTIVE969 JAWA BADEPOK 0107 RS. SIMPANGAN DEPOK JL. RAYA BOGOR, KM.36 ENDANG ARTININGSIH MARKETING 021-8741549| 021-8741574 Y Y Y ACTIVE970 JAWA BADEPOK 1485 RS. MITRA KELUARGA DEPOJL. MARGONDA RAYA, P IBU RIANA MARKETING 021-77210700| 021-77212155 Y Y Y ACTIVE971 JAWA BADEPOK 1776 KLINIK UTAMA RAWAT INAPJL. KEMAKMURAN RAYA NIBU LIZA marketing 021-77827515| 021-77824756 N Y Y PARTIAL972 JAWA BADEPOK 6628 KLINIK ISMAIL MEDIKA JL. CARINGIN KP.KEKUPU LIA - (021) 77889269| - N Y Y PARTIAL973 JAWA BADEPOK 1737 TELKOMEDIKA HEALTH CENTJL. RAYA KARTINI NO. MARAGHY RAHMANDA (- 021-77219925| - N Y Y PARTIAL974 JAWA BADEPOK 2630 KLINIK & APOTEK KF 202 JL. KEJAYAAN BLOK IX NODRS. GUNAWAN RACHM- 0217704044| - N Y Y PARTIALGARUT975 JAWA BAGARUT 2358 KLINIK MAHESA JL. CIMANUK NO.8 BAPAK INDRA - 0262-233238| - N Y Y PARTIAL976 JAWA BAGARUT 2120 KLINIK PADJAJARAN LELES JL. RAYA LELES KEC.LEL BAPAK AGUS - 0262-2458083| - N Y Y PARTIAL977 JAWA BAGARUT 4039 RS. NURHAYATI JL. SUDIRMAN NO. 6 GA FARIDA NURAISAH - 0262-238966| 0262-231824 Y Y Y ACTIVE978 JAWA BAGARUT 2994 LAB. KIMIA FARMA GARUT JL. CIMANUK 11A PAMIN JUANDA - (0262) 540077| (0262) 540077 N Y Y PARTIAL979 JAWA BAGARUT 2934 LAB. PRODIA GARUT JL. RAYA SAMARANG NO. - - 0262-2246204| (0262) 2245204 N Y Y PARTIAL980 JAWA BAGARUT 2699 KLINIK & APOTEK KF 377 JL. CIMANUK NO. 11A, G IKHSAN ANUARI AKDANI- 0262 233237| - N Y Y PARTIAL981 JAWA BAGARUT 1627 BETHESDA MEDICAL CENTEJL. CIWALEN NO 43 GAR BPK HENDY Koordinator 0262-242663,238735| 0262-242663 N Y Y PARTIALINDRAMAYU982 JAWA BAINDRAM4126 LAB. PRODIA INDRAMAYU JL. RAYA PAKANDANGAN (- - 0234-275065| - N Y Y PARTIALKARAWANG983 JAWA BAKARAW6017 KLINIK LAMARAN JL. SYECH QURO NO. 4 IBU YAYAH MARKETING 0267-8453951| 0267-8453951 N Y Y PARTIAL984 JAWA BAKARAW6633 KLINIK PRATAMA DOTA MEDSUMUR BANDUNG , RT 1 ABDUL - 085777886000| - N Y Y PARTIAL985 JAWA BAKARAW4699 RSIA. SENTUL CIKAMPEK JL. A. YANI NO.16 SENTU Silvana Natalie MARKETING (0264) 8386671/ 8389060| (0264) 316096 Y Y Y ACTIVE986 JAWA BAKARAW1133 RS. MANDAYA(D/H RS.CITO JL. ARTERI TOL KARAWA IBU HELA Marketing 0267-8643000/8641414/414245 0267-414306 Y Y Y ACTIVE987 JAWA BAKARAW1006 RS. CITRA SARI HUSADA (D JL. RAYA KOSAMBI-TELA RIZKY ANGGRAITA MARKETING 0267-437507/8617972| 0267-438681 Y Y Y ACTIVE988 JAWA BAKARAW1022 RSU. FIKRI MEDIKA JL. RAYA KOSAMBI- TELA IBU YULI MARKETING 0267-433636/435527 - 0267-8610267-8615577/88 Y Y Y ACTIVE989 JAWA BAKARAW1409 RSU. PURI ASIH JATISARI JL. RAYA JATISARI NO.3 P PAK BUDI MARKETING 0264-361459/361466| 0264-8375276 Y Y Y ACTIVE990 JAWA BAKARAW0899 KLINIK AULIA KARAWANG JL. PURWASARI KM 6, P IBU SUSI SUCIATI,SKM Pimpinan 0264-8286755/ 0811 1889279|-0264-8286756 N Y Y PARTIAL991 JAWA BAKARAW5434 KLINIK AR-RAHMAN JL. RAYA PERURI NO. 07 DR. SUGIT - (0267) 8458155| - N Y Y PARTIAL992 JAWA BAKARAW2731 RS. ROSELA JL. INTERCHANGE TOL IBU ELA MARKETING (0267) 8637207/8637205| 0267 8367205 Y Y Y ACTIVE993 JAWA BAKARAW0255 RS. BAYUKARTA JL. KERTABUMI, NO.44 Ibu.DWI/Bpk.Indra/Bpk MARKETING 0267-401817/401818/400351020267-404472/401202 Y Y Y ACTIVE994 JAWA BAKARAW4319 KLINIK & RB NUR ANNISA JL. MANUNGGAL VII NO. WAHYU - (0267) 405201| - Y Y Y PARTIAL995 JAWA BAKARAW2823 RS. LIRA MEDIKA JL. SYECH QURO NO.14 WAHYUANA (0878 8020MARKETING (0267) 8452555 / 405 752| (0267) 405 752 Y Y Y ACTIVE996 JAWA BAKARAW1310 KLINIK ANDINA KARAWANGJL. PANCAWATI, NO.5A, KDR.PUR ANA AISTUR KOORDINATOR 0267-436568| 0267-438406 N Y Y PARTIAL997 JAWA BAKARAW3400 KLINIK GRAHA MEDIS CILA JL. CILAMAYA DS CILAM PAK WAHYU - 0264-340202| - N Y Y PARTIAL998 JAWA BAKARAW4320 KLINIK SETYA MEDIKA JL. BELAKANG PASAR RT DR. SRI PURNAMA WUL - (0267) 402025| (0267) 402025 N Y Y PARTIAL999 JAWA BAKARAW2993 KLINIK & APOTEK KF 79 K JL. DEWI SARTIKA II NO RIFAI TANJUNG BM 0267-405748| 0267-405748 N Y Y PARTIAL1000 JAWA BAKARAW2801 LAB. PRODIA KARAWANG JL. KERTABUMI NO. 67 A WIWIN MINTARSI. H - 0267- 403644; 412640| 0267-412640 N Y Y PARTIAL1001 JAWA BAKARAW3369 APOTIK KIMIA FARMA 343 JL. KERTABUMI NO 12A IBU DEFI - 0267-8453321| - N Y Y PARTIAL1002 JAWA BAKARAW4658 KLINIK INTERNA MEDIKA JL. MELATI NO. 9A RT. PAK NUNU - (0267) 845 2733 / 0812-8586 472678452733 N Y Y PARTIAL1003 JAWA BAKARAW4683 KLINIK SEHAT BAHAGIA JL. PANATAYUDHA I NO. DR. RAYMOND NADEAK- (0267) 414 283| - N Y Y PARTIAL1004 JAWA BAKARAW4509 KLINIK KYOAI MEDICAL CENGEDUNG THE MANOR LT. 2DR. HASTUTI HADINING- (021) 30424007/8/9| 021-30424010 N Y Y PARTIAL1005 JAWA BAKARAW2741 RSIA. MITRA FAMILY-KARA JL. RONGGOWALUYO RT.0IBU DINI MARKETING 0267 - 8458327 , 8458328, 845 - Y Y Y ACTIVE1006 JAWA BAKARAW0083 RS. DEWI SRI JL. ARIF RAHMAN HAKIM,IBU NIRA/IBU SRI MARKETING 0267-401475, 402855, 406445, 0267-404010 Y Y Y ACTIVE1007 JAWA BAKARAW1635 KLINIK MITRA KONDANG U JL. PENGAIRAN CITRA DR. HUDI - 0267-8402700/0267-8616923| 0267-8450001 N Y Y PARTIAL1008 JAWA BAKARAW1835 KLINIK GRIYA MEDIKA PERUM GRIYA KONDANG ARIAL/YULI - 0267-8619999; 082112039999| 0267-8615309 N Y Y PARTIAL1009 JAWA BAKARAW1058 KLINIK NAFILA MEDIKA JL. PRINGGODANI BLOK IBU ELI KOORDINATOR 0267-640020|- 0267-8456419 N Y Y PARTIAL


BY PAYOR LEVEL


1010 JAWA BAKARAW1059 KLINIK PURI ASIH TELUKJAMJL. PERURI NO. 99 PINA BPK FAUZAN KOORDINATOR 0267-646845|- 0267-646845 N Y Y PARTIAL1011 JAWA BAKARAW1314 RSIA. DR. DJOKO PRAMONOJL. PANATAYUDA 1, NO. Muh. Surip Astrawan MARKETING 0267-403009/418818/403744| 0267-411744/8454710 Y Y Y ACTIVE1012 JAWA BAKARAW1572 DHARMA DENTAL CLINIC (DJL. KERTABUMI NO 62 BPK KURNIAWAN GOZALKOORDINATOR 0267-8453633| 0267-403962 N Y Y PARTIAL1013 JAWA BAKARAW1027 KLINIK BINA MEDIKA KARA JL. RAYA TELUK JAMBE NOBPK. SUDIARTO / MAM PENGELOLA 0267-641968 / 08121918055-410267 - 641968 N Y Y PARTIAL1014 JAWA BAKARAW1035 KLINIK MITRA GEMPOL JL. PROKLAMASI NO. 15 BPK.SUGIARTO PIMPINAN 0267- 8451114-|- - N Y Y PARTIAL1015 JAWA BAKARAW0095 KLINIK GRAHA MEDIS JL. RAYA KOSAMBI, NO. DR.DYAH PERMATA KEUANGAN 0267-435527| - N Y Y PARTIAL1016 JAWA BAKARAW0690 KLINIK YAKESTI KARAWANGJL. RAYA KLARI, RT. 04 BPK. SALIM MARKETING 0267-432416| 0267-432416 N Y Y PARTIAL1017 JAWA BAKARAW0691 KLINIK PURWA MEDIKA JL. RAYA TAMELANG NO. Bapak Asnawi / BPK. S KEUANGAN 0267-433653| - N Y Y PARTIAL1018 JAWA BAKARAW0689 KLINIK MITRA SEHAT JL. KOSAMBI - CURUG NO.DR. SUGENG / BPK. SAFKEUANGAN 0267-8402061/433930| 0267-8402061 N Y Y PARTIAL1019 JAWA BAKARAW0704 KLINIK CITO KARAWANG JL. KERTABUMI, NO.29 BPK NURSALIM manager 0267-410173/415957| 0267-415957 N Y Y PARTIAL1020 JAWA BAKARAW0197 KLINIK GEMPOL JL. RANGGA GEDE NO.29 IBU MARNI KOORDINATOR 0267-412117/8453903| 0267-8453903 N Y Y PARTIAL1021 JAWA BAKARAW0869 RS. DELIMA ASIH SISMA MEJL. WIRASABA NO.54 JOH IRMA OKTAVIANI / IBU MARKETING 0267-403073/8454248|- 0267-405598 Y Y Y ACTIVE1022 JAWA BAKARAW1023 RS. ISLAM KARAWANG JL. PANGKAL PERJUANGABPK TEDY MARKETING 0267-414520, 0267 - 414524, 0267-413277 Y Y Y ACTIVEKUNINGAN1023 JAWA BAKUNING1704 RS. SEKAR KAMULYAN JL. RUMAH SAKIT NO 28 BPK IRMAN MARKETING 0232-873206| 0232-875516 Y Y Y ACTIVE1024 JAWA BAKUNING3763 PRODIA KUNINGAN JL. ACHMAD YANI NO. 3 ENDANG DWI MURWANI- (0232) 876839| - N Y Y PARTIAL1025 JAWA BAKUNING1345 RS. JUANDA KUNINGAN JL. IR. H. JUANDA NO.2 IBU RIRIN /BP KUSMAN Marketing/keua 0232-876433/875871| 0232-876433/875871 Y Y Y ACTIVEMAJALENGKA1026 JAWA BAMAJALE3658 PRODIA CIDERES JL. RAYA JOMBOL-DAWU - - (0233)6645488| - N Y Y PARTIALPURWAKARTA1027 JAWA BAPURWA1526 RS. AMIRA JL. IPIK GANDAMANAH R IBU NETY / BPK YUSUF MARKETING 0264-8221191/92| 0264-8221193/95 Y Y Y ACTIVE1028 JAWA BAPURWA2698 KLINIK & APOTEK KF PURW JL. VETERAN NO 152 KE FIKRI SHALMANTYAS,S. - 0264 8227437| - N Y Y PARTIAL1029 JAWA BAPURWA1620 RS. BHAKTI HUSADA II PU JL. RAYA SADANG SUBANGYATI MARKETING 0264-8225344/8225345/0813730264-8225255 Y Y Y ACTIVE1030 JAWA BAPURWA1043 SILOAM HOSPITAL PURWAKJL. BUNGURSARI NO.1 PO.BPK RUDY / IBU ASTRI MARKETING 0264-8628900/8628911|0264-20264-212674 Y Y Y ACTIVE1031 JAWA BAPURWA1175 KLINIK AQMA PLERED JL. ANJUN NO.96 PLERED BPK AGUS/ BAPAK DIDI MARKETING 0264-270830| 0264-270830 N Y Y PARTIAL1032 JAWA BAPURWA0759 KLINIK MEDIKA SEHAT JL. IPIK GANDAMANAH BP AKHMAD JANAN MARKETING 0264-8225017| - N Y Y PARTIAL1033 JAWA BAPURWA0189 KLINIK AQMA PURWAKARTAJL. IBRAHIM SINGADILAGBPK.HUMAIDI/IWAN/HA PELAYANAN PAS0264-200377| 0264-200377 N Y Y PARTIAL1034 JAWA BAPURWA1057 RSIA. ASRI PURWAKARTA JL. VETERAN CIHIDEUNG BPK DIAN / IBU ANDINAMARKETING 0264-211680; 8223161; 0811110264-219047 Y Y Y ACTIVE1035 JAWA BAPURWA5986 KLINIK ANNISA JL. RAYA INDUSTRI KP. IBU AGHNIA/DETRI ARIAMarketing (0264) 822 2596| N Y Y PARTIAL1036 JAWA BAPURWA5987 KLINIK ANNISA 2 JL. PRAMUKA NO. 107 D IBU AGHNIA/DETRI ARIAMARKETING (0264) 822 0201| N Y Y PARTIAL1037 JAWA BAPURWA3765 PRODIA PURWAKARTA JL. VETERAN NO.96, PU ERNA SULISTYANINGSIH- (0264) 8222 633| - N Y Y PARTIAL1038 JAWA BAPURWA4054 RS. KARINA MEDIKA PURWAKP.KRAJAN RT. 01/01 M IBU ANGGUN 08787965Marketing (0264) 8220544| (0264) 8623240 Y Y Y ACTIVE1039 JAWA BAPURWA4443 KLINIK MITRA MEDIKA PUR JL. MR. DR. KUSUMAATMADR. RINO - (0264) 8624195| - N Y Y PARTIAL1040 JAWA BAPURWA4044 RSU. HOLISTIC PURWAKARTJL. TERUSAN KAPTEN HA DIAN EKO PUTRI TRINU MARKETING 0264-8223434 / 0811129434| 0264-8223432 Y Y Y ACTIVE1041 JAWA BAPURWA4763 KLINIK SPESIALIS SILOAM JL VETERAN RT. 031/004 -- - 0264-8628901| - N Y Y PARTIAL1042 JAWA BAPURWA1718 RS. KHUSUS BEDAH RAMA JL. RAYA SADANG - SU DIAN ISMIATI Marketing 0264 - 202136 / 8282295| 0264-8225679 Y Y Y ACTIVE1043 JAWA BAPURWA1545 RS. MH THAMRIN PURWAKAJL. BUNGURSARI, NO.36 IBU.SUSI/BPK KIKI MARKETING 0264-8222222| 0264-8222223 Y Y Y ACTIVE1044 JAWA BAPURWA1315 KLINIK MIRACLE GROUP KOMP. ANEKA JASA BLOK BPK. NANO KOORDINATOR 0264-35166, 351377| 0264-351355 N Y Y PARTIALSUBANG1045 JAWA BASUBAN 2752 KLINIK MITRA ABADI JL. KAPTEN HANAFIAH NOIBU NOVAZA - 0260-418247| 0260-418237 N Y Y PARTIAL1046 JAWA BASUBAN 0191 RS. PERKEBUNAN NUSANTAJL. OTTO ISKANDAR, NO.BPK. IWAN TRISTIANTO MARKETING 0260-420406,411632,420306,4 0260-420391 Y Y Y ACTIVESUKABUMI1047 JAWA BASUKABU6545 NIRWANA MEDICAL CENTERJL. BHAYANGKARA NO.09 ADE KUSMIRAN MARKETING (0266) 6446183| - N Y Y PARTIAL1048 JAWA BASUKABU1107 RS. BETHA MEDIKA JL. RAYA CISAAT NO.595 HANDRI/MERI MARKETING 0266-216422,224128-|- - Y Y Y ACTIVE1049 JAWA BASUKABU6016 KLINIK PERMATA SUKABUMIJL. RA. KOSASIH NO.112 IBU RINAH MARKETING (0266) 219188/6245414| (0266) 6247781 N Y Y PARTIAL1050 JAWA BASUKABU4388 KLINIK & APOTEK KF 351 JL. RAYA SILIWANGI NO. IBU DEIS PENANGGUNGJA0266536871| - N Y Y PARTIAL1051 JAWA BASUKABU0832 RS. HERMINA SUKABUMI JL. RAYA SUKARAJA RT.0 IBU DEWI PUJIASTUTI HUMAS 0266-6252525/6249292| 0266-235020 Y Y Y ACTIVE1052 JAWA BASUKABU1506 RS. KARTIKA KASIH (D/H R JL. JEND. A.YANI, NO.18 HILDA MARKETING 0266-6250902/6250905/6250900266-6250901 Y Y Y ACTIVE1053 JAWA BASUKABU0056 RS. ISLAM ASSYIFA JL. JEND. SUDIRMAN, NO.MUTIARA FARIZA MARKETING 0266-222663/218672/241463/20266 - 213433/22350 Y Y Y ACTIVE1054 JAWA BASUKABU2892 RS. KARTIKA CIBADAK JL. SILIWANGI NO.139, ASTY WIDYADHARA MARKETING (0266) 7160071| (0266) 535586 Y Y Y ACTIVE1055 JAWA BASUKABU3448 RS. RIDOGALIH JL. GUDANG NO. 24 SUK DR. AMELIA SUDRADJATMARKETING 0266-221983| 0266-216161 Y Y Y ACTIVE1056 JAWA BASUKABU1507 RS. BHAKTI MEDICARE JL. RAYA SILIWANGI, CI IBU MIA /DENDI/ PAK R MARKETING 0266-731555| 0266-731899 Y Y Y ACTIVE1057 JAWA BASUKABU4387 KLINIK & APOTEK KF 8 JL. VETERAN NO.2 SUKAB- - -| - N Y Y PARTIALSUMEDANG1058 JAWA BASUMED2122 KLINIK PADJADJARAN JATI JL. KOLONEL AHMAD SYA DR. PANGESTU WIDOD - 022 -7781900| - N Y Y PARTIAL1059 JAWA BASUMED3786 PRODIA SUMEDANG JL. P. GEUSANULUN NO. - - (0261) 201259| - N Y Y PARTIAL1060 JAWA BASUMED1128 RS. PAKUWON SUMEDANG JL. RD.DEWI SARTIKA NO BPK. ACEP HUMAS & PEMA 0261-210834/2797773/201132| 0261-210834 Y Y Y ACTIVETASIKMALAYA1061 JAWA BATASIKM2390 RS. PRASETYA BUNDA TASI JL. IR. H. JUANDA NO. 1 BPK RANGGA HUMAS 0265344477/0265320100/| - Y Y Y ACTIVE1062 JAWA BATASIKM2466 RS. PERMATA BUNDA TASI JL. BRIGJEND HR. WASI IBU ELIS MARKETING 0265-345650| - Y Y Y ACTIVE


BY PAYOR LEVEL


1063 JAWA BATASIKM1625 RS. TASIK MEDIKA CITRATA JL. KH. Z MUSTOFA NO.3 IBU RANI MARKETING 0265-323333| 0265-326767 Y Y Y ACTIVE1064 JAWA BATASIKM0256 RSI. HJ. SITI MUNIROH TAS JL. TAMAN SARI, GOBRASBPK. ASEP SYAMSUL HUMAS & MARK0265-323868,327630|0265-327 0265-327630 Y Y Y ACTIVE1065 JAWA BATASIKM0253 RS. JASA KARTINI JL. OTTO ISKANDARDINAIBU HENNY/ BPK RIAN MARKETING 0265-331808/331641;|0265-33 0265-331808/331114 Y Y Y ACTIVE1066 JAWA BATASIKM2106 KLINIK & APOTEK KF 404 JL. R.A MARTADINATA N BPK YADI APOTEKER 0265-340515| - N Y Y PARTIAL1067 JAWA BATASIKM4798 RSIA. BUNDA AISYAH JL. R. E. MARTADINATA IBU WIWI (0813233311- (0265) 7297400; 7297401| - Y Y Y ACTIVE1068 JAWA BATASIKM3203 RSIA. UMMI TASIKMALAYA JL. PASEH NO.10 - TASIK IBU YANTI HUMAS 0265-329126| - Y Y Y ACTIVE1069 JAWA BATASIKM2935 LAB. PRODIA TASIKMALAYAJL. RE MARTADINATA NO - - 0265-2353080| - N Y Y PARTIAL1070 JAWA BATASIKM2773 RSB. SAYANG BUNDA JL. N. SUKALAYA I NO.22 IBU EUIS humas 0265330841| 0265-330841 Y Y Y ACTIVE1071 JAWA BATASIKM2096 KLINIK & APOTEK KF 195 JL. SUTISNA SENJAYA NOIBU DEWI - 0265-311225/311224| - N Y Y PARTIALJAWA TENGAHBANYUMAS1072 JAWA TE BANYU 3171 RSU. WIRADADI HUSADA JL. MENTERI SUPENO NO IBU RINI KEUANGAN 0281-6846225| 0281-6846371 Y Y Y ACTIVEBATANG1073 JAWA TE BATAN 3360 RS. QOLBU INSAN MULYA (QJL. URIP SUMOHARDJO, WAHYU SETYORINI MARKETING 0285-4495222| 0285-4495224 Y Y Y ACTIVEBOYOLALI1074 JAWA TE BOYOLA3276 LAB. PRODIA BOYOLALI JL. PANDANARAN NO. 252SRI SABASTARI - 08122895310| - N Y Y PARTIAL1075 JAWA TE BOYOLA1661 RS. PKU AISYIYAH BOYOLALJL. PASAR SAPI BARU SIN IBU CHRISTINA MARKETING 0276-322898/3293400| 0726-3293400 Y Y Y ACTIVEBREBES1076 JAWA TE BREBES2292 RS. BHAKTI ASIH BREBES JL. PANGERAN DIPONEG IBU LUSY MARKETING 0283-673481/671279| 0283-671391 Y Y Y ACTIVE1077 JAWA TE BREBES4057 RS. DERA AS-SYIFA JL. MERDEKA NO. 191, BP.YONO (MKT) 087789- (0283) 889588| (0283) 889583 Y Y Y ACTIVEBUMIAYU1078 JAWA TE BUMIAY1889 RS. MUHAMMADIYAH SITI A JL. DIPONEGORO, BUMIA Ibu Evi - 0289-432209/430683| 0289-430683 Y Y Y ACTIVE1079 JAWA TE BUMIAY3173 RSU. ALLAM MEDICA BUMIAJL. DIPONEGORO NO. 609BPK OYI marketing 0289-430822| - Y Y Y ACTIVECEPU1080 JAWA TE CEPU 3268 LAB. PRODIA CEPU JL. PEMUDA NO. 41 B, CE - - 082331833027| - N Y Y PARTIAL1081 JAWA TE CEPU 1438 RS. MUHAMMADIYAH CEPU JL. RONGOLAWE, NO.137IBU LINA HUMAS 0296-421727| 0296424678/424569 Y Y Y ACTIVECILACAP1082 JAWA TE CILACA1005 KLINIK DR TUTUK JL. PERINTIS KEMERDEKA Uun Rahayu koordinator 0282-545921-|- - N Y Y PARTIAL1083 JAWA TE CILACA2866 RSUD. CILACAP JL. JEND GATOT SUBROTOIBU ATIAH - 0282-533010| 0282-520755 Y Y Y ACTIVE1084 JAWA TE CILACA4165 RS. APRILLIA JL. JEND GATOT SUBROTOENY WIDIASTUTI - 0282-536307| 0282-521144 Y Y Y ACTIVE1085 JAWA TE CILACA2696 KLINIK & APOTEK KF 89 JL. GATOT SUBROTO NO.5MITHA NOVETIANA,SF,A- 0282 535293| - N Y Y PARTIAL1086 JAWA TE CILACA4744 KLINIK CAHAYA HUSADA JL. RAJIMAN NO.68 SIDA IBU TETY - (0282)5227128| - N Y Y PARTIAL1087 JAWA TE CILACA3278 LAB. PRODIA CILACAP JL. S. PARMAN NO. 33 CI -ANDRI WIBOWO - 0282-5253314| - N Y Y PARTIAL1088 JAWA TE CILACA1152 RS. SANTA MARIA CILACAP JL. JEND.A.YANI NO.38 CI IBU EMMA - (0282) 534859, 521725| (0282) 531296 Y Y Y ACTIVE1089 JAWA TE CILACA0975 RS. ISLAM FATIMAH CILACAJL. H JUANDA NO.20 IBU ASTUTI MARKETING 0282-542396|- 0282-541065/5452151 Y Y Y ACTIVEDEMAK1090 JAWA TE DEMAK2205 RSU. PELITA ANUGERAH JL. RAYA BANDUNG REJO IBU HELMA KEP MARKETING024-6725555| 024-6725550 Y Y Y ACTIVEGOMBONG1091 JAWA TE GOMBO1243 RS. PALANG BIRU JL. KARTINI, NO.37 IBU ANNA. S MARKETING 0287-471290/471762| 0287-473221/471762 Y Y Y ACTIVE1092 JAWA TE GOMBO3327 RS. PKU MUHAMMADIYAH JL. YOS SUDARSO NO.46 IBU PUDJI ASTUTI, SE A Mgr Keuangan 0287-471780| - Y Y Y ACTIVEJEPARA1093 JAWA TE JEPARA3269 LAB. PRODIA JEPARA JL. MH. THAMRIM NO. 14 AHMAD RIYANTO koordinator 0291598808| - N Y Y PARTIAL1094 JAWA TE JEPARA3368 RSUD. KARTINI JEPARA JL. KH. WAHID HASYIM BP ZAINUL/ IBU EMI HUMAS 0291-598180/591175| 0291-591145 Y Y Y ACTIVEKENDAL1095 JAWA TE KENDAL1666 RSI. MUHAMMADIYAH KENDJL. AR RAHMAH NO 17 WEIBU WIWIN MARKETING 0294-641870 / 0294-643756| 0294-644150 Y Y Y ACTIVEKLATEN1096 JAWA TE KLATEN0754 RS. ISLAM KLATEN JL. RAYA SOLO KM.4 Bpk Agus/Bpk Dimas MARKETING 0272-322252|- 0272-332422 Y Y Y ACTIVE1097 JAWA TE KLATEN1519 RSU. PKU MUHAMMADIYAH JL. DELANGGU UTARA, NOIBU DINAYAH MARKETING 0272-551051| 0272-554041 Y Y Y ACTIVE1098 JAWA TE KLATEN3273 LAB. PRODIA KLATEN JL. PEMUDA SELATAN NO.AGUSTINA WAHYU - 081931783130| - N Y Y PARTIAL1099 JAWA TE KLATEN1441 RS. CAKRA HUSADA KLATE JL. MERBABU, NO.7 BPK.A.A.GEDE ARMAYA - 0272-321123-322386-322394| 0272-329029 Y Y Y ACTIVEKUDUS1100 JAWA TE KUDUS3259 LAB. CITO (JL. AKBP AGIL JL. AKBP AGIL KUSUMADYIBU VIVI - 0291-4251979| - N Y Y PARTIAL1101 JAWA TE KUDUS3163 LAB. PRODIA KUDUS JL. WAHID HASYIM NO.75YUDI TRIYANTO - -| - N Y Y PARTIAL1102 JAWA TE KUDUS0146 RS. MARDI RAHAYU KUDUS JL. AKBP.R. AGIL KUSUM IBU.DIAN / YATI MARKETING 0291-434707-12/435582/4435810291-438398,434711 Y Y Y ACTIVEMAGELANG1103 JAWA TE MAGEL 0335 RS. HARAPAN MAGELANG JL. P. SENOPATI, NO.11 IBU DESY / IBU LILI MARKETING/CUS0293-364033-35| 0293-364036-37 Y Y Y ACTIVE1104 JAWA TE MAGEL 3161 LAB. PRODIA MAGELANG JL. AHMAD YANI NO.36 A DONY MUNARKO - 0293-364323| - N Y Y PARTIAL1105 JAWA TE MAGEL 1165 RSIA. GLADIOOL JL. KENANGA, NO.4-6 IBU. CICI MARKETING 0293-362702| - Y Y Y ACTIVE1106 JAWA TE MAGEL 3286 LAB. CITO MAGELANG JL. TENTARA PELAJAR N BPK DONI EKO NURMA - 0293 363763| - N Y Y PARTIAL1107 JAWA TE MAGEL 1132 RS. LESTARI RAHARJA JL. MAYJEN SUTOPO NO.5IBU NENENG/ BPK. DANSEKRETARIAT 0293-362225| 0293-362649/311512 Y Y Y ACTIVE


BY PAYOR LEVEL


PATI1108 JAWA TE PATI 1534 RS. MITRA BANGSA JL. KOLONEL SUGIYONO, IBU ERNA MARKETING 0295-382555| 0295-4191994 Y Y Y ACTIVE1109 JAWA TE PATI 4455 RSU FASTABIQ SEHAT JL. RAYA PATI - TAYU KM IBU FENTY - (0295) 4199008| - Y Y Y ACTIVE1110 JAWA TE PATI 1299 KELUARGA SEHAT HOSPITAJL. P.SUDIRMAN NO.9 MA IBU VERONICA/IBU NURIMARKETING 0295-386111| 0295-384422 Y Y Y ACTIVEPEKALONGAN1111 JAWA TE PEKAL 1220 RS. BUDI RAHAYU PEKALO JL. BARITO, NO.5 PEKA BPK HARYO MARKETING/KE 0285 - 423491/424340| 0285-423002 Y Y Y ACTIVE1112 JAWA TE PEKAL 0120 RS. SITI KHODIJAH PEKALO JL. BANDUNG, NO.39-4 MBAK DEWI MARKETING 0285-422845,425138,423590,4 0285-425138 Y Y Y ACTIVE1113 JAWA TE PEKAL 5665 RSU. H.A DJUNAID JL. PELITA II RT.05/RW PAK ERFAN NGESTIONO- (0285) 436325/ 4410660| (0285) 436326 Y Y Y ACTIVE1114 JAWA TE PEKAL 3227 LAB. CITO PEKALONGAN JL. K.H. MANSYUR NO.33 DIANA NOVITASARI MARKETING 0285-422458| 0285-422458 N Y Y PARTIAL1115 JAWA TE PEKAL 2694 KLINIK & APOTEK KF 16 JL. IMAM BONJOL, NO.16 DRS. ANIS SALIM, APT APOTEKER 0285-421402| 0285-423322 N Y Y PARTIALPEMALANG1116 JAWA TE PEMAL 1219 RSU. SANTA MARIA PEMAL JL. PEMUDA NO.24 IBU JEMI PUJI ASTUTI MARKETING 0284 - 321251/321426| 0284 - 322335 Y Y Y ACTIVE1117 JAWA TE PEMAL 4093 RS. PRIMA MEDIKA PEMALA JL. SLAMET RIYADI NO. BPK ISWANTO MARKETING 0284 - 324221 / 322448| - Y Y Y ACTIVE1118 JAWA TE PEMAL 3987 LAB. CITO PEMALANG JL. RE MARTADINATA NO IBU UCI PENANGGUNG J 0284323035| - N Y Y PARTIALPURBALINGGA1119 JAWA TE PURBAL3277 LAB. PRODIA PURBALINGGAJL. LETJEND SUPRAPTO N JOKO SUSENO - 08112616123| - N Y Y PARTIAL1120 JAWA TE PURBAL1888 RSU. HARAPAN IBU PURBALJL. MAYJEND SOENGKONOBPK HARI MARKETING 0281-892222/982277| - Y Y Y ACTIVEPURWOKERTO1121 JAWA TE PURWO1351 RS. ORTHOPAEDI PURWOKEJL. SOEPARDJO ROESTA NOVIAN MARKETING 0281-6844166| 0281-6844188 Y Y Y ACTIVE1122 JAWA TE PURWO3131 LAB. CITO PURWOKERTO JL. PRAMUKA 798 RT 7/ BPK SINGGIH MARKETING 0281-637362; 637538| 0281-637583 N Y Y PARTIAL1123 JAWA TE PURWO4665 RSKB. JATIWINANGUN JL. JATIWINANGUN NO. 5 PAK ABUNG MARKETING (0281) 638169| 081-623938 Y Y Y ACTIVE1124 JAWA TE PURWO1448 RSIA. BUNDA ARIF PURWOKJL. JATIWINANGUN, NO. DR EMAN/ BPK NANA HUMAS 0281-636555| - Y Y Y ACTIVE1125 JAWA TE PURWO3250 RS. ISLAM PURWOKERTO JL. HAJI MANSYURI NO.3 BPK RUBY/DIAS - 0281-630019| -0281-635394 Y Y Y ACTIVE1126 JAWA TE PURWO2095 KLINIK & APOTEK KF FAJAR JL. R.A WIRIATMAJA NO. IBU ANTON WIYANTI - 0281-637247| 0281-640760 N Y Y PARTIAL1127 JAWA TE PURWO1447 RSU. ANANDA PURWOKERTJL. PEMUDA, NO.30 IBU DESI MARKETING 0281-631435-636417| 0281-640226/632146 Y Y Y ACTIVE1128 JAWA TE PURWO2204 LAB. PRODIA PURWOKERTOJL. LETJEN S.PARMAN NO IBU DIAH - 0281-642448| - N Y Y PARTIAL1129 JAWA TE PURWO0201 RSU. BUNDA PURWOKERTOJL. PRAMUKA, NO.249 IBU EPI/Ibu UUT MARKETING 0281-635424/0281-632514|0280281-632514 Y Y Y ACTIVE1130 JAWA TE PURWO2094 APOTEK KIMIA FARMA 133 JL. JEND. SUDIRMAN TIM BPK. AGUS Apoteker 0281-638546| - N Y Y PARTIALPURWOREJO1131 JAWA TE PURWO4971 RS. ISLAM PURWOREJO JL. MAGELANG KM.2, LOAIBU EVA/IBU ULFA MAKRKETING/DI(0275) 3255470| (0275) 325 570 Y Y Y ACTIVE1132 JAWA TE PURWO3272 LAB. PRODIA PURWOREJO JL. JENDRAL AHMAD YANISRI NURYATI - 081914336261| - N Y Y PARTIAL1133 JAWA TE PURWO1908 RS. PALANG BIRU KUTOARJ JL. MADITOMO 17, KUT IBU MIA SEKERTARIAT 0275-641425| - Y Y Y ACTIVESALATIGA1134 JAWA TE SALATI 3160 LAB. PRODIA SALATIGA JL. BRIGJEND.SUDIARTO NHERRY INDRAWATI - 0298311371| - N Y Y PARTIAL1135 JAWA TE SALATI 1145 RS. PURI ASIH JL. JEND. SUDIRMAN NO. IBU NURUL/IBU TRI HA MARKETING 0298-323209/0298-312049| 0298-322898/311466 Y Y Y ACTIVE1136 JAWA TE SALATI 3350 APOTEK KIMIA FARMA SALAJL. BRIGJEN SUDIARTO N PAK MULYADI - 0298-325350| - N Y Y PARTIALSEMARANG1137 JAWA TE SEMAR 0160 RS. ST. ELISABETH - SEMA JL. KAWI NO. 1 IBU TARI/EKA MARKETING/HU 024-8310076/ 8310035| 024-8413373 Y Y Y ACTIVE1138 JAWA TE SEMAR 0377 RS. TELOGOREJO JL. KH. AHMAD DAHLAN IBU ERIKA MARKETING 024 - 8646000 / 8448448|024-8 024 - 8317410 Y Y Y ACTIVE1139 JAWA TE SEMAR 1806 RSUP. DR KARIADI JL. DR SUTOMO NO.16 BPK WIDARYANTO/IBU Koordinator Pav024-8413476/8413993| 024-8318617 Y Y Y ACTIVE1140 JAWA TE SEMAR 0053 RS. ROEMANI MUHAMMADI JL. WONODRI, NO.22 IBU YUNI LESTARI / BP MARKETING/PEN024 - 8444623| 024-8415752 Y Y Y ACTIVE1141 JAWA TE SEMAR 0050 RS. PANTI WILASA DR. CIPTJL. DR. CIPTO, NO.50 BPK. DANIEL WIDY / BPKMARKETING 024 - 3546040, 3557428| 024-3546042 Y Y Y ACTIVE1142 JAWA TE SEMAR 0299 RSU. HERMINA PANDANAR JL. PANDANARAN NO.24 IBU ENO/YULIA HUMAS & MARK024-8411112/8442525| 024-8449077 Y Y Y ACTIVE1143 JAWA TE SEMAR 0182 RS. ISLAM SULTAN AGUNG JL. KALIGAWE KM.4 IBU. SRI WAHYUNI MARKETING 024-6580019| 024-6581928 Y Y Y ACTIVE1144 JAWA TE SEMAR 0901 RS. BANYUMANIK JL. BINA REMAJA NO.61 BPK SOBIRIN/IBU HONDMARKETING 024-7471519/ 7462181|024-74 024-7462181 Y Y Y ACTIVE1145 JAWA TE SEMAR 3162 LAB. PRODIA SEMARANG (JLJL. JENDRAL SUDIRMAN DENNY RIMIS - 024-7621757| - N Y Y PARTIAL1146 JAWA TE SEMAR 3215 RS. WILLIAM BOOTH SEMA JL. S. PARMAN NO. 5 S BAPAK LOGOSTA MARKETING 024-8411800| Y Y Y ACTIVE1147 JAWA TE SEMAR 2687 KLINIK & APOTEK KF 445 JL. CITARUM RAYA, 60 REVI ARTHANTYA, S. FA- 024-3550187| 243544063 N Y Y PARTIAL1148 JAWA TE SEMAR 2692 KIMIA FARMA 178 JL. BRIG.SUDIARTO,462 EDESI RAHMAWATI, S.FARM, APT 024 6716235| -- N Y Y PARTIAL1149 JAWA TE SEMAR 2693 KLINIK & APOTEK KF 71 JL. DR.SOETOMO NO.3 , HERU SUDOMO, S.FAR, - 024 3520763| - N Y Y PARTIAL1150 JAWA TE SEMAR 2246 APOTEK KIMIA FARMA 17 JL. TENTARA PELAJAR NOBP RUSTIONO - 024-8447245| - N Y Y PARTIAL1151 JAWA TE SEMAR 2168 APOTEK FARMARIN SEMAR JL. KALIGARANG NO. 2D WIWIN YUWINDARI, S.SIAPOTEKER 024-8450558| 024-8450558 N Y Y PARTIAL1152 JAWA TE SEMAR 1450 RS. PERMATA MEDIKA JL. MR.MOCH. ICHSAN, NSEPTIANA LUKITASARI HUMAS & MARK024-7625005/7618800/7626571024-7621733 Y Y Y ACTIVE1153 JAWA TE SEMAR 3260 KIMIA FARMA 19 (JL. SULT JL. SULTAN AGUNG KOMPRICKY FABIANO AMRI - 024-8315248| 024-8315795 N Y Y PARTIAL1154 JAWA TE SEMAR 3349 APOTEK KIMIA FARMA 203 JL. DIPENOGORO 212 U PAK MULYADI - 024-76914353| - N Y Y PARTIAL1155 JAWA TE SEMAR 3261 KIMIA FARMA 153 (JL. JATI JL. JATI RAYA BANYUMAN LINTANG ANTYANING / - 024-7464268| 024-7464268 N Y Y PARTIAL1156 JAWA TE SEMAR 3262 KIMIA FARMA 259 (JL. FATMJL. FATMAWATI NO. 42, SHINTA DEWI Penanggungjaw024-76928544| 024-76928544 N Y Y PARTIAL1157 JAWA TE SEMAR 3264 KIMIA FARMA 271 MEDITAMAJL. KH. AHMAD DAHLAN MEGA RESTU - 024-8455323| - N Y Y PARTIAL1158 JAWA TE SEMAR 3265 KLINIK & APOTEK 324 (JL. JL. RAYA NGALIYAN , KE DAVID ARISANDI ATMAD- 024-7612049| - N Y Y PARTIAL1159 JAWA TE SEMAR 4389 KLINIK & APOTEK KF GAJAH JL. GAJAH RAYA - SEMAR IBU FENTA PENANGGUNG J 0246746363| - N Y Y PARTIAL


BY PAYOR LEVEL


1160 JAWA TE SEMAR 3218 KLINIK KITA KALIPANCUR ( JL. ABDULRAHMAN SALE TIFFANY MARKETING 024-7624455/ 085641869731| - N Y Y PARTIAL1161 JAWA TE SEMAR 3243 LAB.PRODIA SETIABUDI SE RUKO SETIABUDI NO.8 JL.IBU RATNAWARDANI - 024-7479369/081390967979| - N Y Y PARTIAL1162 JAWA TE SEMAR 3245 LAB. CITO (JL. INDRAPRASTAJL. INDRAPRASTA NO. 81 BP RIZKY - 024-3556853| - N Y Y PARTIAL1163 JAWA TE SEMAR 3246 LAB. CITO ( JL. SETIABUDI ) JL. SETIABUDI NO.120 A IBU RATIH HERLIANA MARKETING 024-7461645| - N Y Y PARTIAL1164 JAWA TE SEMAR 3247 LABORATORIUM KLINIK CITO (JL. DR.CIPTO NO.14 A IBU SILVI KEPALA CABAN 024-3515374| - N Y Y PARTIAL1165 JAWA TE SEMAR 3230 KLINIK KITA KEDUNGMUNDUJL. KEDUNGMUNDU RUKO- - -| - N Y Y PARTIAL1166 JAWA TE SEMAR 3231 KLINIK IBNU SIENA PUSPONJL. PUSPONJOLO TENGAHBAPAK MURTIONO/ibu AMARKETING 024-7609338| - N Y Y PARTIAL1167 JAWA TE SEMAR 3232 KLINIK IBNU SIENA NGALIY JL. PROF HAMKA RUKO S BAPAK MURTIONO / ibu - 024-76674346| - N Y Y PARTIAL1168 JAWA TE SEMAR 4373 KLINIK RAFAEL JL. PLAMPITAN NO.33, S IBU YUNI - (024) 3513888| - N Y Y PARTIAL1169 JAWA TE SEMAR 4457 RSIA GUNUNG SAWO JL. GUNUNG SAWO NO. 2 IBU ADISTI/FEBRIANI MARKETING 024-8315171| (024) 8412320; Y Y Y ACTIVE1170 JAWA TE SEMAR 3217 KLINIK KITA TEMBALANG (DJL. NGESREP TIMUR 5/3 ANIK WIDYAWATI MARKETING 024-7472220 / 085640398938| - N Y Y PARTIAL1171 JAWA TE SEMAR 2822 RS. COLUMBIA ASIA SEMARJL. SILIWANGI NO. 143 INDAH W.G (081901616Marketing (024) 762 9999/86462020| (024) 7667 4228 Y Y Y ACTIVE1172 JAWA TE SEMAR 5554 TELEMEDIKA FARMA 10 - S JL. SRIWIJAYA NO.3 SEM PRATIKNO - 08112709822| - N Y Y PARTIAL1173 JAWA TE SEMAR 3267 KIMIA FARMA 374 (JL. TELO JL. TLOGOSARI RAYA NO. INTAN IRDA MELATI - 024-6709192| - N Y Y PARTIAL1174 JAWA TE SEMAR 6568 KLINIK ESENSIA JL. WOLTER MONGINSIDI RIDHA ( 087832230782MARKETING (024) 76411636| Y Y Y PARTIAL1175 JAWA TE SEMAR 1663 RS. KEN SARAS JL. SOEKARNO HATTA KMDIAH LUKITASARI MARKETING 024-6922269| 0298-522706 Y Y Y ACTIVE1176 JAWA TE SEMAR 5913 RSIA. BUNDA SEMARANG JL. BRIGJEND KATAMSO NIBU WAHYU MARKETING (024) 8413060| 024 - 8416037 Y Y Y ACTIVE1177 JAWA TE SEMAR 5430 RSIA ANUGERAH SEMARAN JL. KALISARI BARU NO.5-7DR. INDRA ADI SUSIAN MARKETING 024-8313543 / 8317142| 024-8443016 / 831356 Y Y Y ACTIVE1178 JAWA TE SEMAR 2238 KLINIK & APOTEK KF 18 JL. PEMUDA NO. 135 SE BAPAK ROY MANAGER MKT 024-3545101/3541510/3518913- N Y Y PARTIAL1179 JAWA TE SEMAR 2239 LAB. PRODIA SEMARANG JL. MT. HARYONO NO:88 IBU ENDANG - 024-8444331| 024-8414308 N Y Y PARTIAL1180 JAWA TE SEMAR 2969 RS. HERMINA BANYUMANIK JL. JENDRAL POLISI AN IBU DINDA/ IBU TARI MARKETING (024) 7648 8989| (024) 7647 9080 Y Y Y ACTIVE1181 JAWA TE SEMAR 5562 TELEMEDIKA HEALTH CENT JL. SRIWIJAYA NO.3 PRATIKNO 02486453345| - N Y Y PARTIALSLAWI1182 JAWA TE SLAWI 1665 RSU. ADELLA JL. PROF MOH YAMIN NO.IBU NINA/LESTI MARKETING 0283-491154/491773| 0283-491354 Y Y Y ACTIVESOLO1183 JAWA TE SOLO 5911 RS. INDRIATI SOLO JL. PALEM RAYA LANGEN PRITA/DEDY FRANSETOMarketing (0271) 5722 000| (0271) 5722 888 Y Y Y ACTIVE1184 JAWA TE SOLO 1483 RS. PANTI WALUYO SURAKAJL. JEND.A.YANI NO.1 IBU ARINDA MARKETING 0271-712077| 0271-729125 Y Y Y ACTIVE1185 JAWA TE SOLO 1179 RS. BRAYAT MINULYA JL. DR.SETIABUDI NO.10 IBU GITA / RIA Marketing 0271-716646,710170| 0271-727309/712181 Y Y Y ACTIVE1186 JAWA TE SOLO 0214 RS. DR. OEN SURAKARTA(K JL. BRIGJEN KATAMSO N dr ANDRI/IBU HANA MARKETING 0271-643139| 0271-642026 Y Y Y ACTIVE1187 JAWA TE SOLO 0745 RS. ISLAM SURAKARTA JL. A YANI PABELAN KA BPK.KHOLID/ IBU FATAHMARKETING 0271-7105710271-725134|02710271-710572 Y Y Y ACTIVE1188 JAWA TE SOLO 0746 RS. PKU MUHAMMADIYAH SJL. RONGGOWARSITO NOIBU BETTY HUMAS 0271-714578| 0271-717012 Y Y Y ACTIVE1189 JAWA TE SOLO 3279 LAB. CITO SOLO JL. YOSODIPURO NO.64 ANDREAS DWI - 0271-2500055| - N Y Y PARTIAL1190 JAWA TE SOLO 3307 KLINIK & APOTEK KF 63 SO JL. ADISUCIPTO NO. 70 - - 0271-718014| - N Y Y PARTIAL1191 JAWA TE SOLO 0118 RS. DR. OEN SOLO BARU KOMP. PERUMAHAN SOLOIBU LILA/ IBU ANI MARKETING 0271-620220| 0271-622555/660935 Y Y Y ACTIVE1192 JAWA TE SOLO 2181 APOTEK FARMARIN SOLO JL. GREMET NO.3 RT 00 FITRIA WULANDARI, S.SI- 085727427423| - N Y Y PARTIAL1193 JAWA TE SOLO 2373 KLINIK PRODIA SOLO JL. RONGGOWARSI. TO NIBU IRA/ ANI - 0271-646378| 0271-638779 N Y Y PARTIAL1194 JAWA TE SOLO 3280 LAB. KLINIK KIMIA FARMA JL. ADISUCIPTO NO. 70 - - 0271-727886| - N Y Y PARTIAL1195 JAWA TE SOLO 3354 APOTEK KIMIA FARMA YOSOJL. NO.111B, SOLO - - -| - N Y Y PARTIAL1196 JAWA TE SOLO 2907 RS. HERMINA SOLO JL. KOL SUTARTO NO. 16DRG PRATIWI MARKETING 0271-638989| 271 Y Y Y ACTIVE1197 JAWA TE SOLO 0212 RS. ISLAM KUSTATI JL. KAPTEN MULYADI NO. IBU.JAZARIA/BPK TOTO INFORMASI/SEK 0271 - 643013| 0271-634823 Y Y Y ACTIVESRAGEN1198 JAWA TE SRAGE 3353 APOTEK KIMIA FARMA 212 JL. SUKOWATI NO.440A, Isnaininurdin S.Si, Apt PIC 0271-892209| - N Y Y PARTIAL1199 JAWA TE SRAGE 1660 RS. SARILA HUSADA JL. VETERAN NO 41-43 BP TULUS PERSONALIA 0271-891538| Y Y Y ACTIVE1200 JAWA TE SRAGE 3275 LAB. PRODIA SRAGEN JL. KOLONEL SUGIYONO NIbu Eka Adm 0271-890263| - N Y Y PARTIALSUKOHARJO1201 JAWA TE SUKOHA1178 RS. NIRMALA SURI JL. RAYA SOLO KM 9 SU IBU GALUH MARKETING 0271-592192| - Y Y Y ACTIVE1202 JAWA TE SUKOHA3355 APOTEK KIMIA FARMA SUK JL. VETERAN NO.11 SUK - - 0271-590411| - N Y Y PARTIAL1203 JAWA TE SUKOHA2695 KLINIK & APOTEK KF 420 JL. ADI SUMARMO NO.11 EMILIA WISNA KURNIATIAPOTEKER 0271 782567| - N Y Y PARTIALTEGAL1204 JAWA TE TEGAL 0753 RS. ISLAM HARAPAN ANDA JL. ABABIL NO.42 IBU. NURUL MARKETING 0283-355717 /0283-359900 / 020283-351263 Y Y Y ACTIVE1205 JAWA TE TEGAL 1540 RS. MITRA KELUARGA TEGAJL. SIPELEM, NO.4, K DEDE INDRIANI MARKETING 0283-340399/ 340999| 0283-340902 Y Y Y ACTIVE1206 JAWA TE TEGAL 2093 APOTEK KIMIA FARMA 97 T JL. MAYJEN SUTOYO NO. BPK TEGUH - 0283-35473| 0283-3355765 N Y Y PARTIAL1207 JAWA TE TEGAL 3359 RSIA. PALA RAYA JL. PALA RAYA NO. 11 A IBU CITRA -- 0283-356009| - Y Y Y ACTIVE1208 JAWA TE TEGAL 3219 LAB. PRODIA TEGAL JL. KAPTEN SUDIBYO NO. VALENTINA MEILANI MARKETING 0283-358673| 0283-353664 N Y Y PARTIAL1209 JAWA TE TEGAL 3220 LAB. CITO TEGAL JL. GAJAH MADA NO. 79 SILVIA AYU - 0283-353402| - N Y Y PARTIALTEMANGGUNG1210 JAWA TE TEMAN4508 RS. MUHAMMADIYAH TEMA JL. RAYA KEDU KM.2 KA IBU MIMIN - (0293) 596704, 596700, 490990(0293) 598700 Y Y Y ACTIVE1211 JAWA TE TEMAN4519 PRODIA TEMANGGUNG RUKO PANDEAN, JL MT. DONY MUNARKO - 0293-4960160| - N Y Y PARTIAL1212 JAWA TE TEMAN1144 RS. NGESTI WALUYO JL. PAHLAWAN-PARAKANBPK.KRISYATNO/BPK.W HUMAS MARKET0293-596008| 0293-596410 Y Y Y ACTIVEWONOGIRI


BY PAYOR LEVEL


1213 JAWA TE WONOGI3274 LAB. PRODIA WONOGIRI JL. JEND. ACHMAD YANI YOHANA WAHYU - 08122583522| - N Y Y PARTIALWONOSOBO1214 JAWA TE WONOS4127 LAB. PRODIA WONOSOBO JL. KAUMAN NO. 15, WON- - 0286-325275| - N Y Y PARTIALJAWA TIMURBANGIL1215 JAWA TI BANGIL0700 RS. ISLAM MASYITHOH JL. A. YANI, NO.6 IBU ERMA ZUBAEDAH MARKETING 0343-741018| 0343-742425 Y Y Y ACTIVEBANGKALAN1216 JAWA TI BANGK3595 RS. LUKAS JL. KH.MOH.KHOLIL 36A BPK. SANTOSO MARKETING 031-3095148| 031-3061367 Y Y Y ACTIVE1217 JAWA TI BANGK3841 APOTEK KIMIA FARMA TRUNJL. TRUNOJOYO NO.75A DIAN LARASATI.S.FARM- 0313095459| 313095459 N Y Y PARTIAL1218 JAWA TI BANGK3840 APOTEK KIMIA FARMA 163 JL. JOKOTOLE NO.5 BAN LAKSMI KUSUMASTUTI - 0313091016| 313091016 N Y Y PARTIALBANYUWANGI1219 JAWA TI BANYU 0726 RS. ISLAM FATIMAH BANYU JL. JEMBER, NO.25 FANI / BPK.AINUR RAFIQpersonalia/MAR 0333-421451| 0333-423204/417929 Y Y Y ACTIVE1220 JAWA TI BANYU 1429 RS. YASMIN BANYUWANGI JL. LETKOL ISTIQLAL NO.8BP. AGUS HUMAS 0333-424671| -0333-418219 Y Y Y ACTIVE1221 JAWA TI BANYU 0724 RS. AL-HUDA JL. DIPONEGORO, NO.65 IBU LISA/IBU PRIMA MARKETING 0333-842033/844682/845248/80333-842036/38 Y Y Y ACTIVE1222 JAWA TI BANYU 4130 RSIA. PKU MUHAMMADIYAHJL. PANGERAN DIPONEGOPUTRI TRIANASARI MARKETING 0333-631149| - Y Y Y ACTIVE1223 JAWA TI BANYU 4065 RS. NAHDLATUL ULAMA BA JL. RAYA MANGIR NO. 0 AGUS BAIDLAWI - 0333-632965| 0333-632965 Y Y Y ACTIVEBLITAR1224 JAWA TI BLITAR0269 RS. KATOLIK BUDI RAHAYU JL. JEND. A.YANI NO. 18 BP.YOSEP/IBU RITA/IBU MARKETING 0342-801066/802316/807802| 0342-806509/804284 Y Y Y ACTIVE1225 JAWA TI BLITAR5908 LAB. PRODIA BLITAR JL MAWAR NO 82/74 KEL/BP ARIES - 0342-803179| 0342-803179 N Y Y PARTIAL1226 JAWA TI BLITAR3807 RS. UMUM AMINAH BLITAR JL. VETERAN NO. 39, KEP IBU EMI MARKETING 0342-816304/816305| 0342-816527 Y Y Y ACTIVEBOJONEGORO1227 JAWA TI BOJON 0731 RS. AISYIYAH BOJONEGOROJL. HASYIM ASHAARI, NOIBU INDAH MARKETING 0353-881748/885978| 0353-885978 Y Y Y ACTIVE1228 JAWA TI BOJON 1032 RS. PKU MUHAMMADIYAH KAJL. RAYA KALITIDU, NO.26NURHADI MARKETING 0353-511731/512066-|- 0353-511678/512066 Y Y Y ACTIVEBONDOWOSO1229 JAWA TI BONDO3892 RS. MITRA MEDIKA BONDO JL. HOS COKROAMINOTOIFAN RIZKY marketing 0332-421981; 423800| 0332 429601 Y Y Y ACTIVEGRESIK1230 JAWA TI GRESIK4522 RS. SURYA MEDIKA JL. LABAN KULON NO. 58 DR. RAMLI - (031) 7914025| 031-7911889 Y Y Y ACTIVE1231 JAWA TI GRESIK4235 RS. FATHMA MEDIKA GRESI JL. PENDOPO NO. 45, SE IBU LUTFI - (031) 394 3500| - Y Y Y ACTIVE1232 JAWA TI GRESIK0596 RS. SEMEN GRESIK JL. RA. KARTINI, NO.280 IBU. IRIA MARKETING 031 - 3987840,3989478,397584031-3987842 Y Y Y ACTIVE1233 JAWA TI GRESIK3842 KLINIK & APOTEK KF 164 (BJL. R.A KARTINI NO.150-1ADNAN AZHARY - 0313984783| 313984783 N Y Y PARTIAL1234 JAWA TI GRESIK1923 RS. PETROKIMIA GRESIK G JL. PADI NO. 3 KOMPLEK BPK REZA - 031-3984465,3973400,3793401031-3972623 Y Y Y ACTIVE1235 JAWA TI GRESIK1427 RS. PETROKIMIA GRESIK (JL JL. JEND. A.YANI NO.69 IBU MEKA/DR.RETNO/IBUMARKETING 031-3988877/3990994/3978658031-3980008/3981232 Y Y Y ACTIVE1236 JAWA TI GRESIK4966 KLINIK MEDIS PUSURA MENRUKO MENGANTI MAS BLOKDR. LELY MUSTIKA PERTDIREKTUR 031-5471707| - N Y Y PARTIAL1237 JAWA TI GRESIK4078 LAB. PARAHITA GRESIK JL. R.A KARTINI NO 120 IBU DWI NISFI - 031-3981455| 031-3991820 N Y Y PARTIAL1238 JAWA TI GRESIK3648 RSUD. IBNU SINA KAB. GREJL. DR. WAHIDIN SH NO. -DR. SRI RAHAYU Humas 031-3951239| - Y N Y PARTIAL1239 JAWA TI GRESIK4053 RS. PETROKIMIA GRESIK DRJL. RAYA LEGUNDI KM 5 NEVIA - 031-8986701, 8981779, 898177031-8986700 Y Y Y ACTIVE1240 JAWA TI GRESIK2610 RS. WATES HUSADA JL. RAYA WATES UTARA PUJIHARTO (031)77109 - (031) 7922351| - Y Y Y ACTIVEJEMBER1241 JAWA TI JEMBER0725 RS. PERKEBUNAN (PTPN) X JL. BEDADUNG, NO.2 BPK. FEBRI/ IBU SANTI MARKETING 0331-487104,485415,426873,4 0331-485912 Y Y Y ACTIVE1242 JAWA TI JEMBER1854 PARAHITA DIAGHNOSTIC CEJL. AHMAD YANI NO.83 SITI ROHMAH - 0331-424052| 0331-424051 N Y Y PARTIAL1243 JAWA TI JEMBER3530 RS. CITRA HUSADA JL. TERATAI NO.22 JEMB IBU RATIH MARKETING (0331) 486200| (0331) 427088 Y Y Y ACTIVE1244 JAWA TI JEMBER2076 KLINIK & APOTEK KF 62 JE JL. GAJAH MADA 171 JEMAYU APOTEKER 0331-489020| - N Y Y PARTIAL1245 JAWA TI JEMBER2077 KLINIK & APOTEK KF 241 J JL. PANGLIMA SUDIRMANHIMAWAN - 0331-489885| - N Y Y PARTIAL1246 JAWA TI JEMBER2342 THC JEMBER JALAN LETJEN SUPRAPTO DR. ULIL - 0331-339725| - N Y Y PARTIAL1247 JAWA TI JEMBER1685 RSU. KALIWATES PT PERKE JL. DIAH PITALOKA NO 1 BP MAHMUD HUDA/IBU Marketing 0331-3137525/483567/488964/ 0331-489100 Y Y Y ACTIVEJOMBANG1248 JAWA TI JOMBA 1966 RS. PELENGKAP MEDICAL CJL. JUANDA NO. 03 JOMB BPK KUSWOYO/ IBU CINMARKETING 0321-877945 / 869826| - Y Y Y ACTIVE1249 JAWA TI JOMBA 0978 RS. KRISTEN MOJOWARNO JL. MERDEKA NO.59, M IBU EVI MARKETING 0321-495093-|- 0321-492200/495440 Y Y Y ACTIVE1250 JAWA TI JOMBA 5425 RS. NAHDLATUL ULAMA JO JL. KH. HASYIM ASHARI N KHOLIK MARKETING 0321-878700| 0321-878700 Y Y Y ACTIVE1251 JAWA TI JOMBA 0810 RS. DR. MOEDJITO DWIDJO JL. HAYAM WURUK, NO. QORI RAMEAN MARKETING 0321-864308,6977788,855555| 0321-877276 Y Y Y ACTIVE1252 JAWA TI JOMBA 1880 RS. AIRLANGGA JOMBANG JL. AIRLANGGA NO.50 C IBU DEVI KARULINA MARKETING 0321-861577| 0321-862194 Y Y Y ACTIVE1253 JAWA TI JOMBA 1849 RSIA. MUSLIMAT JOMBANG JL. URIP SUMOHARJO NO IBU RJ EKA RAHMANDA /HUMAS&MARKET0321-872200/877600/869434| 0321-854991 Y Y Y ACTIVEKEDIRI1254 JAWA TI KEDIRI 6376 KLINIK SURYA KEDIRI JL. TUNGGUL WULUNG NODRG. IKA PIC 085216577778| - N Y Y PARTIAL1255 JAWA TI KEDIRI 1599 RS. MUHAMMADIYAH AHMADJL. GATOT SUBROTO NO IBU SITI NASYATUL AISIPEMASARAN 0354-773115/770182| 0354-776318/773736 Y Y Y ACTIVE1256 JAWA TI KEDIRI 0248 RS. HVA TOELOENGREDJO JL. A. YANI NO. 25 PARE DRG MENIS/YANNEKE/WMARKETING 0354-391047,391145| 0354-392883 Y Y Y ACTIVE1257 JAWA TI KEDIRI 4680 RS. MUHAMMADIYAH SITI KHJL. DR. SOETOMO 322 SUKGUNTUR WIRA ARI MARKETING (0354) 545481; 546593| (0354) 548838 Y Y Y ACTIVE1258 JAWA TI KEDIRI 3828 APOTEK KIMIA FARMA SMAN JL. PAHLAWAN KUSUMA BP. WAHYU APOTEKER 0354-390006| 0354-390006 N Y Y PARTIAL1259 JAWA TI KEDIRI 3612 PRODIA KEDIRI JL. KARTINI NO. 18, KEDI INDAH SUSILOWATI Marketing (0354) 698960| (0354) 698961 N Y Y PARTIAL1260 JAWA TI KEDIRI 0977 RS. BAPTIS KEDIRI JL. BRIDJEN POLLBH PR WAHYU WASITO WIBO MARKETING 0354-682170, 683578, 684172-|0354-681173 Y Y Y ACTIVE


BY PAYOR LEVEL


1261 JAWA TI KEDIRI 1430 RS. AURA SYIFA JL. JOYOBOYO NO.42 DL IBU MIRA MARKETING 0354-671939 / 682316| 0354-696033/641939 Y Y Y ACTIVE1262 JAWA TI KEDIRI 1998 KLINIK & APOTEK KF 75 KEDJL. JAKSA AGUNG SUPRAPFAIZ APOTEKER 0354-773384/ 694913| - N Y Y PARTIAL1263 JAWA TI KEDIRI 2075 APOTEK KF 151 KEDIRI JL. STASIUN NO. 47 KEDITULUS APOTEKER 0354-694913| - N Y Y PARTIALLAMONGAN1264 JAWA TI LAMON4765 RS. KH. ABDURRAHMAN SYAJL. RAYA DEANDLES KM. ASTUTIK NINGSIH - (0322) 666626 / 081232870229|(0322) 666626 Y Y Y ACTIVE1265 JAWA TI LAMON4782 RS. ISLAM NASHRUL UMMA JL. MERPATI NO.62 MARIA IKA IRMAYANTI Marketing 0322-321522| - Y Y Y ACTIVE1266 JAWA TI LAMON1199 RS. MUHAMMADIYAH LAMOJL. JAKSA AGUNG SUPRA IBU ARI KUSDIANA MARKETING 0322-322834| 0322-314048 Y Y Y ACTIVELUMAJANG1267 JAWA TI LUMAJA1247 RS. WIJAYA KUSUMA JL. A. YANI, NO.149, LU IBU SENJA/ERNA SEKRETARIAT/K 0334-891325| 0334-888844 Y Y Y ACTIVE1268 JAWA TI LUMAJA2724 RS. ISLAM LUMAJANG JL. KYAI MUKSIN 19 LUMAIBU MEGA humas 0334-887999/893535| (0334) 887778 Y Y Y ACTIVEMADIUN1269 JAWA TI MADIUN3425 KLINIK & APOTEK KF 76 JL. JAWA NO.14 BPK FAIZAL APOTEKER 0351-453381| 0351-453381 N Y Y PARTIAL1270 JAWA TI MADIUN2345 THC MADIUN JALAN MANGGIS NO.9, M HERU SETYOBUDI/ BPK.- 0351-77542120| 0351-476697 N Y Y PARTIAL1271 JAWA TI MADIUN1183 RS. SITI AISYAH MADIUN JL. MAYJEN SUNGKONO, DRG AHMAD MARJUKI / Marketing 0351-464822/451843/452010| 0351-464009 Y Y Y PARTIAL1272 JAWA TI MADIUN3421 LAB. PRODIA MADIUN JL. SULAWESI NO.9 MADI REBECCA - 0351453344| - N Y Y PARTIAL1273 JAWA TI MADIUN0722 RS. SANTA CLARA MADIUN JL. BILITON, NO.15 SUSTER YOSSIE/FERI HUMAS 0351-462688/452770/464571| 0351-455780/466509 Y Y Y ACTIVE1274 JAWA TI MADIUN3200 RS. GRIYA HUSADA MADIUNJL. MAYJEND PANJAITAN M.NIZAM Marketing 0351 - 472801 / 472802 / 472800351 475900 Y Y Y ACTIVEMALANG1275 JAWA TI MALAN3620 APOTIK KIMIA FARMA 77 JL. SUKARJO WIRYOPRA Muamar - 0341-365298| - N Y Y PARTIAL1276 JAWA TI MALAN3164 LAB. PRODIA MALANG JL. MERBABU NO.10, MA ERNIE SULASTRI - 0341-366042| - N Y Y PARTIAL1277 JAWA TI MALAN3437 RSB. MARDI WALOEJA RAMPJL. WR. SUPRATMAN NO. INDRA DWI MISKAWATI - (0341) 364756| - Y Y Y ACTIVE1278 JAWA TI MALAN4524 RS. PRASETYA HUSADA JL. RAYA NGIJO NO. 25 AINUL MUFARICHAH,SE - (0341) 460558| (0341) 463404 Y Y Y ACTIVE1279 JAWA TI MALAN2790 RSIA. GALERI CANDRA JL. BUNGA ANDONG NO.3IRMAWATI (081 3335 2 - (0341) 478571| (0341) 478571 Y Y Y ACTIVE1280 JAWA TI MALAN2680 KIMIA FARMA 116 JL. LA SUCIPTO /148,MAL RATNO SETIAWAN S FA - 0341-489539| - N Y Y PARTIAL1281 JAWA TI MALAN4089 RS. ISLAM GONDANGLEGI JL. HAYAM WURUK NO 6 WIDI MARKETING 0341 - 879047| - Y Y Y ACTIVE1282 JAWA TI MALAN3814 KIMIA FARMA 453 SUTOYO JL. LETJEN SUTOYO NO. - - 0341478382| - N Y Y PARTIAL1283 JAWA TI MALAN3815 KIMIA FARMA NO.245 BATUJL. DIPONEGORO NO. 93 - - -| - N Y Y PARTIAL1284 JAWA TI MALAN3816 KIMIA FARMA NO. 210 MAL JL. TUMENGGUNG SURYO- - 0341423930| - N Y Y PARTIAL1285 JAWA TI MALAN3817 KIMIA FARMA NO. 187 MAL JL. M.T. HARYONO NO. - - 0341553283| - N Y Y PARTIAL1286 JAWA TI MALAN3818 KIMIA FARMA NO. 150 MAL JL. SELAT SUNDA 1 D N - - 0341713091| - N Y Y PARTIAL1287 JAWA TI MALAN3820 KIMIA FARMA NO. 36 MALA JL. IJEN NO. 88 MALANG ANDY ISWANTORO - 0341359677| 341359678 N Y Y PARTIAL1288 JAWA TI MALAN0815 RS. PANTI WALUYA SAWAH JL. NUSAKAMBANGAN NOIBU RUSMAWATI HUMAS & MARK0341-362017,366033,361507| 0341-354068 Y Y Y ACTIVE1289 JAWA TI MALAN1326 RS. WAVA HUSADA KEPANJ JL. PANGLIMA SUDIRMANIBU YAYUK MARKETING 0341-393000| 0341-398398 Y Y Y ACTIVE1290 JAWA TI MALAN1325 RS. MARSUDI WALUYO JL. RAYA MONDOROKO KDR. LIDYA MARKETING 0341-458974| 0341-451579 Y Y Y ACTIVE1291 JAWA TI MALAN1252 RS. ISLAM MALANG ( UNISMJL. MAYJEND HARYONO NIBU.IKA MARKETING 0341-551356,580798,565448| 0341-551257 Y Y Y ACTIVE1292 JAWA TI MALAN0252 RS. ISLAM AISYIYAH MALANJL. SULAWESI, NO.16 IBU HANNI / Ibu RIANAHMARKETING 0341-326773| 0341-368883 Y Y Y ACTIVE1293 JAWA TI MALAN1327 RSIA. HUSADA BUNDA JL. PAHLAWAN TRIP NO. IBU FITRI YUNI LESTARI Humas/Marketin(0341) 569634; 566972;569799;0341-580169/569799 Y Y Y ACTIVE1294 JAWA TI MALAN2068 RS. LAWANG MEDIKA JL. DR CIPTO NO.8, KEL. Winda Hetty MARKETING 0341-7057623/420888| - Y Y Y ACTIVE1295 JAWA TI MALAN2048 RS. PRIMA HUSADA MALAN JL. BANJARARUM SELA IBU AYU/IBU LIDIA MARKETING/PEN0341-458679| 0341-441874 Y Y Y ACTIVE1296 JAWA TI MALAN2274 KLINIK & APOTEK KF 53 JL. KAWI NO.22 A MALANANDY ISWANTONO - 0341 362 301/ 364 056| - N Y Y PARTIAL1297 JAWA TI MALAN0094 RSU. HERMINA TANGKUBA JL. TANGKUBAN PRAHU, IBU ENDROWATI/ IBU JUMARKETING 0341-325082 - 354844 - 35484 0341-354843 Y Y Y ACTIVE1298 JAWA TI MALAN2346 TELEMEDIKA HEALTH CENTEJALAN DANAU SENTANI BDR. HARJONO - 0341-720655| - N Y Y PARTIAL1299 JAWA TI MALAN2967 PERSADA HOSPITAL JL. PANJI SUROSO ARAYA BPK DIKA - 0341-2996333| 0341-2993773 Y Y Y ACTIVE1300 JAWA TI MALAN1561 RS. PERMATA BUNDA MALAJL. SOEKARNO HATTA N IBU ICHA MARKETING 0341-487487/407462| 0341-474242 Y Y Y ACTIVE1301 JAWA TI MALAN2789 RSIA. PURI MALANG JL. TAMAN SLAMET NO.2 SETIAWATI/IFA UMUM 0341-325329| (0341) 342322 Y Y Y ACTIVE1302 JAWA TI MALAN0708 RS. LAVALETTE JL. W.R. SUPRATMAN, NOIBU YUNI MARKETING 0341-470805/482612| 0341-470804 Y Y Y ACTIVE1303 JAWA TI MALAN1978 RSIA. MUTIARA BUNDA MA JL. CIUJUNG NO.19 Kuswadji MARKETING (0341) 400403; 400722| 0341-474522 Y N Y ACTIVE1304 JAWA TI MALAN2171 APOTEK FARMARIN MALANGJL. W. R.SUPRATMAN C YUDI PURNOMO, S. SI, APOTEKER 0341-334163/4| - N Y Y PARTIAL1305 JAWA TI MALAN0609 RS. PANTI NIRMALA JL. KEBALEN WETAN, NO.IBU ITA/ DR. CECILLIA MARKETING 0341-362459| 0341-327930 Y Y Y ACTIVE1306 JAWA TI MALAN0192 RS. BAPTIS BATU JL. RAYA TLEKUNG NO.1 DRG. SILVIA DINA/IBU HUMAS & MARK0341-594161 /0341-598192/5|00341-598911 Y Y Y ACTIVE1307 JAWA TI MALAN4172 RSU UNIVERSITAS MUHAMMJL. TLOGOMAS NO. 45 M DR VIVA MAYGA - 0341 561666| 0341 561627 Y Y Y ACTIVE1308 JAWA TI MALAN3611 RSI. MADINAH KASEMBON JL. RAYA SUKOSARI NO. DR TAUFIKURRAHMAN - 0354-326688/ 393000| 0354-328144 Y Y Y ACTIVE1309 JAWA TI MALAN0125 RSIA. MELATI HUSADA JL. KAWI, NO.32 IBU YATI MARKETING 0341-325249 / 3570341 / 3413 0341-365094/341357 Y Y Y ACTIVE1310 JAWA TI MALAN4740 MALANG EYE CENTER JL. DR. CIPTO NO. 3 IBU FIFI - (0341) 341666| - N Y Y PARTIALMOJOKERTO1311 JAWA TI MOJOKE3825 RSI. SAKINAH JL. RA BASUNI NO.12 MO IBU ALFU LAYLA MARKETING 0321-321922| 0321-329670 Y Y Y ACTIVE1312 JAWA TI MOJOKE0785 RS. EMMA JL. RAYA IJEN WATES NO.IBU LINDA MARKETING 0321-396747|- 0321-334021 Y Y Y ACTIVE1313 JAWA TI MOJOKE0088 RS. KARTINI MOJOKERTO JL. ERLANGGA, NO.137, BPK. AGUS MARKETING 0321-592261| 0321-595569 Y Y Y ACTIVE1314 JAWA TI MOJOKE1980 RS. SIDO WARAS JL. RAYA PASAR SAWAH IBU EVI MARKETING 0321-598621| 0321-598624 Y Y Y ACTIVE1315 JAWA TI MOJOKE1997 RS. ISLAM HASANAH MUHA JL. HOS. COKROAMINOTOBPK. ABI MARKETING 0321-321635| - Y Y Y ACTIVE


BY PAYOR LEVEL


1316 JAWA TI MOJOKE2818 RS. MUTIARA HATI JL. RAYA KEMANTREN W FATWA AMALIA MARKETING (0321) 366186 / 363442| - Y Y Y ACTIVE1317 JAWA TI MOJOKE0164 RS. REKSA WALUYA JL. MOJOPAHIT, NO.422 IBU ESTER/ DR. KRISTA MARKETING 0321-322170/3221710321-32210321-322511 Y Y Y ACTIVE1318 JAWA TI MOJOKE0928 RS. GATOEL MOJOKERTO JL. RADEN WIJAYA NO.56CHUROTUL AINI MARKETING 0321-321681,322329,399772-|-0321-321684 Y Y Y ACTIVENGAWI1319 JAWA TI NGAWI 3872 RS. AT-TIN HUSADA JL. RAYA NGAWI-SOLO KMBAPAK SUMARDI MANAGER MARK0351747888| 351747666 Y Y Y ACTIVEPACITAN1320 JAWA TI PACITA3770 PRODIA PACITAN JL. BASUKI RAHMAT NO. - - (0357) 884222| - N Y Y PARTIALPAMEKASAN1321 JAWA TI PAMEK 0113 RS. LARASATI JL. MANDILARAS, NO.74 IBU LISA MARKETING/PEL0324-328305| 0324-322080 Y Y Y ACTIVE1322 JAWA TI PAMEK 3811 APOTEK KIMIA FARMA 274 JL. DIPONEGORO No 4, SAFITRI YULIANTI - 0324611332| N Y Y PARTIALPASURUAN1323 JAWA TI PASUR 1347 RS. MITRA SEHAT MEDIKA JL. BY PASS NO.6 PANDA BPK. MADE MARKETING 0343-636064| 0343-636083 Y Y Y ACTIVE1324 JAWA TI PASUR 3626 KIMIA FARMA 165 JL. WAHIDIN SUDIRO H SYAIFUL A - 0343-426342| - N Y Y PARTIALPONOROGO1325 JAWA TI PONOR0823 RSU. AISYIYAH PONOROGO JL. DR SUTOMO NO.18-24DR. ENTI / IBU YUNIKA SEKRETARIAT 0352-461560/485093/481784| 0352-484218 Y Y Y ACTIVE1326 JAWA TI PONOR3869 RS. DARMAYU PONOROGO JL. Dr. SOETOMO NO.44 - TRI NURENI / ENTI ISNA- 0352-481320 / 485999| 0352-461253 Y Y Y ACTIVE1327 JAWA TI PONOR4390 KLINIK & APOTEK KF PONO JL. JEND.SUDIRMAN NO. IBU MERINTA - 0352-484667| - N Y Y PARTIALPROBOLINGGO1328 JAWA TI PROBOL4081 RS. RIZANI JL. RAYA SURABAYA SIT BPK RIDWAN Marketing 0335 773444| - Y Y Y ACTIVE1329 JAWA TI PROBOL0309 RS. DHARMA HUSADA JL. SOEKARNO HATTA NOBPK. KOKO HUMAS & MARK0335-422176| 0335-422698 Y N Y PARTIAL1330 JAWA TI PROBOL1330 RSU. WONOLANGAN JL. RAYA DRINGU NO.118IBU NYOMAN MARKETING 0335-424007| 0335-431937 Y Y Y ACTIVESIDOARJO1331 JAWA TI SIDOAR6375 RS. RAHMAN RAHIM JL. RAYA SAIMBANG RT/ IBU INDRA CAHYANI - 031-8830010| - Y Y Y ACTIVE1332 JAWA TI SIDOAR3857 APOTEK KIMIA FARMA KAHUJL. KAHURIPAN NO.57 SI MARIA AYU S.FARM - 03151517736| 3151517736 N Y Y PARTIAL1333 JAWA TI SIDOAR6630 KLINIK KITA KAHURIPAN (D JL. RAYA KAHURIPAN NI - - (031) 99701718| - N Y Y PARTIAL1334 JAWA TI SIDOAR1342 KLINIK MEDIS GELORA PERUM TAMAN PINANG INIBU IMA MARKETING 031-8929139| 031-8929123 N Y Y PARTIAL1335 JAWA TI SIDOAR4077 LAB. PARAHITA DARMO PERJL. RAYA DARMO PERMAI IBU NOVA WIHELMINA - 031-7326650| 031-7328511 N Y Y PARTIAL1336 JAWA TI SIDOAR3199 RSIA. KIRANA SIDOARJO JL. RAYA NGELOM 87 TA UMI MASLAHAH MARKETING 031-7881623 / 7873010| 031-7873010 Y Y Y ACTIVE1337 JAWA TI SIDOAR4706 KLINIK IBU & ANAK PONDOK JL. PONDOK JATI AK 9-1 RUDI - (031) 8052062| (031) 8052037 N Y Y PARTIAL1338 JAWA TI SIDOAR3839 APOTEK KIMIA FARMA 119 PERUM DELTASARI BLOK SRI SUPADMI.S.SI - 0318556411| 318556411 N Y Y PARTIAL1339 JAWA TI SIDOAR3847 APOTEK KIMIA FARMA 261 JL. MAJAPAHIT NO.35 SID VALIANDRI PUSPANDINI- 0318956674| 318956674 N Y Y PARTIAL1340 JAWA TI SIDOAR3845 APOTEK KIMIA FARMA 180 JL. PAHLAWAN NO.10 SIDDRA.DIAN NURMAWATI - 0318947116| 318947116 N Y Y PARTIAL1341 JAWA TI SIDOAR1040 RS. MITRA KELUARGA WAR JL. RAYA LETJEN. S.PARMIBU ELIS MARKETING 031-8543111/8542111-|- 031-8534333 Y Y Y ACTIVE1342 JAWA TI SIDOAR3614 PRODIA SIDOARJO JL. PAHLAWAN 12A SIDOERLIN BM (031) 8961010| N Y Y PARTIAL1343 JAWA TI SIDOAR2755 RSU. BUNDA SIDOARJO JL. KUNDI NO.70 KEPUH IBU ARI Marketing (031) 8668880| (031) 8688218 Y Y Y ACTIVE1344 JAWA TI SIDOAR0271 RS. ISLAM SITI HAJAR SIDO JL. RADEN PATAH NO.70 BPK MAHFUD MARKETING 031-8921233/8961570| 031-8944438/8944990 Y Y Y ACTIVE1345 JAWA TI SIDOAR0545 RS.SITI KHODIJAH SIDOARJOJL. PAHLAWAN, NO.260, IBU HANUM KEUANGAN 031-7881130,7882123,7872081031-7876066 Y Y Y ACTIVE1346 JAWA TI SIDOAR1108 RSAB. SOERYA JL. RAYA KALIJATEN, NO. BPK.KURNIA WITJAKSO MARKETING 031-7885011-|- 031-7873633 Y Y Y ACTIVE1347 JAWA TI SIDOAR1336 KLINIK CITRA GADING MEDIJL. BRIGJEN KATAMSO BL BPK. SUWAJI KOORDINATOR 031-8679727| 031-8683181 N Y Y PARTIAL1348 JAWA TI SIDOAR1339 KLINIK GRAHA MEDIKA JL. BRIGJEN KATAMSO N IBU SULIS HUMAS 031 - 8554910| 031-8554911 N Y Y PARTIAL1349 JAWA TI SIDOAR1346 RS. CITRA MEDIKA SIDOARJ JL. RAYA SURABAYA, KM IBU NITA/BPK.YUDHA MARKETING 0321-361000| 0321-361666/362956 Y Y Y ACTIVE1350 JAWA TI SIDOAR0249 RS. DELTA SURYA JL. PAHLAWAN NO.9 Pak Nadan / dr. Wahid MARKETING 031-8962531-8961271031-8961031-8961281/8944977 Y Y Y ACTIVE1351 JAWA TI SIDOAR0927 RS. ANWAR MEDIKA JL. DUSUN SEMAWUT, RTIBU IKOT/WANTI MARKETING 031-8972052, 8974943-|- 031-8988313 Y Y Y ACTIVE1352 JAWA TI SIDOAR1840 LAB. PARAHITA SIDOARJO THAMRIN 2, BLOK B2-3 R IBU. FATMA KOORDINATOR 031- 8071632/33| 031- 8071632 N Y Y PARTIAL1353 JAWA TI SIDOAR1846 KLINIK MEDIS PUSURA SIDOJL. RAYA CANDI NO. 49 IBU SUNARTI - 031-8966345| 031-8075917 N Y Y PARTIAL1354 JAWA TI SIDOAR2054 RSIA. ARAFAH ANWAR MEDJL. SAWO NO. 2 DUNGUSSri Pujiastutik - 031-8830989| 031-8831089 Y Y Y ACTIVE1355 JAWA TI SIDOAR2273 KLINIK & APOTEK KF 124 JL. RAYA SEDATI GEDE NIBU.AYU - 031 866 7929| - N Y Y PARTIALSITUBONDO1356 JAWA TI SITUBO3096 RS. ELIZABETH PTP NUSANTJL. WR SUPRATMAN 2A DWI AGUS MARKETING 0338-671174| 0338-678061 Y Y Y ACTIVESURABAYA1357 JAWA TI SURABA0829 RS. PREMIER SURABAYA (R JL. NGINDEN INTAN BARABPK WIDODO/ IBU IRA MARKETING 031- 5993211|031-5993211 031- 5993214 Y Y Y ACTIVE1358 JAWA TI SURABA4209 RS. WIJAYA SURABAYA JL. MENGANTI 398 WIYU PAK BOBBY/ IBU RIRIN MARKETING 031-7523087/031-7523282| Y Y Y ACTIVE1359 JAWA TI SURABA4231 RSIA NUR UMMI NUMBI (NUJL. MANUKAN TENGAH BLOIBU VITA - (031) 740 4391 ; 741 5313| - Y Y Y ACTIVE1360 JAWA TI SURABA3538 LAB. PARAHITA DHARMAW JL. DHARMAWANGSA 66 IBU.EVI / MELY MARKETING 031-5020552,5020081,5013705-031-5032676, 5023551 N Y Y PARTIAL1361 JAWA TI SURABA4446 RSIA KENDANGSARI MERR JL. DR. IR. H. SOEKARNO IBU DYNA (0812313126- (031) 3814388| (031) 3813488 Y Y Y ACTIVE1362 JAWA TI SURABA3390 RSIA. LOMBOK DUA DUA ( JLJL. FLORES NO. 12 SURA IBU SWESTI Markting / Keua031- 5022044| - Y Y Y ACTIVE1363 JAWA TI SURABA3613 PRODIA DARMO PERMAI JL. RAYA DARMO PERMAINURUL AINI (031) 7328866| N Y Y PARTIAL1364 JAWA TI SURABA2212 APOTEK FARMARIN SURABAJL. JEMUR ANDAYANI II/1 SETIA.N, S.FARM, APT - 031-8418190| - N Y Y PARTIAL1365 JAWA TI SURABA2217 RS. KENDANG SARI SURABAJL. RAYA KENDANGSARI IBU DINI marketing 031-8436200/8437200| 031-8494484 Y Y Y ACTIVE1366 JAWA TI SURABA2315 NATIONAL HOSPITAL SURA BOULEVARD FAMILI SEL KIBU.MEI MUNAWAH Divisi Marketing031-2975777| 031-297799 Y Y Y ACTIVE


BY PAYOR LEVEL


1367 JAWA TI SURABA2639 LAB. PRODIA SURABAYA JL. DIPONEGORO NO.107 - - 031-28953900| 031-5675476 N Y Y PARTIAL1368 JAWA TI SURABA2476 RS. ROYAL SURABAYA JL. RUNGKUT INDUSTRI I IBU YUNITA MARKETING 031-8476111| 031-8476211 Y Y Y ACTIVE1369 JAWA TI SURABA2785 RS. ORTHOPEDI DAN TRAU JL. EMERALD MANSION TIBU GESTIN MARKETING (031) 57431299| (031) 57431255 Y Y Y ACTIVE1370 JAWA TI SURABA2786 RS. PURA RAHARJA JL.PUNCANG ADI 12-14 IBU ERNA RISMA - (031) 5019898/ 5022151/ 50245- Y Y Y ACTIVE1371 JAWA TI SURABA3831 APOTEK KIMIA FARMA 22 JL. BRATANG GEDE NO.10DRS. HERU SUMEHORO- 0315016713| 315016713 N Y Y PARTIAL1372 JAWA TI SURABA3832 APOTEK KIMIA FARMA 23 JL. KENDANGSARI BLOK J DRS. ARI WAHYUDI - 0318414215| 318419345 N Y Y PARTIAL1373 JAWA TI SURABA3834 APOTEK KIMIA FARMA 25 JL. RAYA DARMO NO.2-4 ACHMAD MUJIANTORO - 0315677777| 315666454 N Y Y PARTIAL1374 JAWA TI SURABA3835 APOTEK KIMIA FARMA 26 JL. DIPONEGORO NO.94 DRS. NONO SUMARNO - 0315677007| 315664420 N Y Y PARTIAL1375 JAWA TI SURABA3836 APOTEK KIMIA FARMA 45 JL. RAYA DARMO NO.94 DRS. HERI SUMANTO - 0315676301| 315678819 N Y Y PARTIAL1376 JAWA TI SURABA3837 APOTEK KIMIA FARMA 52 JL. DUKUH KUPANG NO.5 DRS. SURYADI,APT - 0315671773| 315665755 N Y Y PARTIAL1377 JAWA TI SURABA0163 RS. DARMO JL. RAYA DARMO, NO.90 IBU LARASATI/ BP MITR MARKETING 031 - 567 6253/54/55/56| 031-5620690 Y Y Y ACTIVE1378 JAWA TI SURABA0547 KLINIK MEDIS PUSURA 2 (R JL. RUNGKUT ASRI TENG BPK. SULTON SUPV. 031- 8705210| 031-8793028 N Y Y PARTIAL1379 JAWA TI SURABA0544 RS. ST.VINCENTIUS A.PAULOJL. DIPONEGORO NO.51 IBU VIDYA MARKETING 031-5677562/5687846/5663895031-5674748/5651057 Y Y Y ACTIVE1380 JAWA TI SURABA0895 RS. PHC SURABAYA JL. PRAPAT KURUNG SEL IBU OLVIN MARKETING 031-3294801/2/3|- 031-3294804 Y Y Y ACTIVE1381 JAWA TI SURABA0896 KLINIK KEBRAON JL. GRIYA KEBRAON BLOKBPK HARI SANTOSO PENGELOLA 031-7663816-|- 031-7663816 N Y Y PARTIAL1382 JAWA TI SURABA0897 KLINIK BENOWO PONDOK BENOWO INDAH,DR. SHELLA KOORDINATOR 031-70547492-|- - N Y Y PARTIAL1383 JAWA TI SURABA0546 MEDIS PUSURA JL. KOM ( L) YOS SUDARSIBU NARTI KEUANGAN 031-5340604 / 031-5471707/53031-5327095 N Y Y PARTIAL1384 JAWA TI SURABA1000 RS. MUJI RAHAYU JL. RAYA MANUKAN WET IBU RENTI MARKETING 031-7404132/70983725000000 - Y Y Y ACTIVE1385 JAWA TI SURABA0980 RS. ISLAM SURABAYA JL. JEND A YANI NO.2-4 IBU AMEL MARKETING 031-8284505;8284506;8284507|031-8291805 Y Y Y ACTIVE1386 JAWA TI SURABA1362 RS. BHAKTI RAHAYU SURABJL. KETINTANG MADYA I/1IBU ASMANI/ IBU TRIAS MARKETING 031-8295922/8291799/8299217031-8293839 Y Y Y ACTIVE1387 JAWA TI SURABA1363 RS. BUNDA SURABAYA JL. RAYA KANDANGAN NOBPK.AFIT MARKETING 031 - 7442220/7440077/740069031 - 7442133 Y Y Y ACTIVE1388 JAWA TI SURABA1453 RS. ONKOLOGI ARAYA GALAXI BUMI PERMBAPAK RIZAL MARKETING 031-5914855| 031-5914860 Y Y Y ACTIVE1389 JAWA TI SURABA1454 RSIA. PUTRI ( RS. KHUSUS JL. ARIF RAHMAN HAKIM,IBU LESTARI/BPK.HARR SEKRETARIS DI 031-5999987| 031-5997215 Y Y Y ACTIVE1390 JAWA TI SURABA1201 RS. ADI HUSADA KAPASARI JL. KAPASARI NO.97-101 DR.DANI, IBU PIPIN MARKETING 031-3764555| 031-3764666 Y Y Y ACTIVE1391 JAWA TI SURABA1690 RS. BEDAH SURABAYA JL. RAYA MANYAR NO 9 BPK ANDI MARKETING 031-5999369,5999339| 031-5995284 Y Y Y ACTIVE1392 JAWA TI SURABA1364 RS. ISLAM SURABAYA JEMU JL. JEMURSARI NO.51-57 BPK DICKY, IBU FARIDA MARKETING 031 - 8471877/8471878/847188031-8437784 Y Y Y ACTIVE1393 JAWA TI SURABA2272 APOTEK KIMIA FARMA 35 JL. NGAGEL JAYA SELAT AGUS CAHYANA - 031 504 1276, 504 9098| - N Y Y PARTIAL1394 JAWA TI SURABA0828 RS. AL. DR.RAMELAN SURA JL. GEDUNG NO.1 SURAB IBU TINA MARTINI HUMAS (031) 8438153 / 031-8438154| (031) 8437511 Y Y Y ACTIVE1395 JAWA TI SURABA4076 LAB. PARAHITA DIPONEGO JL. DIPONEGORO 161-16 BP. ADZAM ALI KOORDINATOR 031-5610011| - N Y Y PARTIAL1396 JAWA TI SURABA0548 KLINIK MEDIS PUSURA 3 ( JL. MAYJEN, SUNGKONO, IBU ALVI PELAYANAN PAS031-5612120/22| 031-5668763 N Y Y PARTIAL1397 JAWA TI SURABA0830 RS. ADI HUSADA UNDAAN JL. UNDAAN WETAN NO40DR.ANANG PITOYO KOORDINATOR 031-5321256/031-5318000|031031- 5321081 Y Y Y ACTIVE1398 JAWA TI SURABA0136 RS. MITRA KELUARGA SURAJL. SATELIT INDAH II, DA BPK RUBEN/RINAWATI MARKETING 031-7345333| 031-7345955 Y Y Y ACTIVE1399 JAWA TI SURABA2925 RS. MITRA KELUARGA KENJ JL. KENJERAN 506 viddy Marketing (031) 99000880| (031) 99000885 Y Y Y ACTIVE1400 JAWA TI SURABA4082 RS. ISLAM DARUS SYIFA JL. RAYA BENOWO NO. 5 DR. ETI BAG.KERJASAMA0317406293| - Y Y Y ACTIVE1401 JAWA TI SURABA1365 RS. MATA UNDAAN JL. UNDAAN KULON, NO.1BPK ARNOLD Marketing 031-5343806/531619| 031-5317503 Y Y Y ACTIVE1402 JAWA TI SURABA3769 PRODIA MEGA GALAXI (UNDRUKO MEGA GALAXI, JL. LIEM GIOK LAN / BRIGI - (031) 5991010| - N Y Y PARTIAL1403 JAWA TI SURABA3197 RS. SURABAYA MEDICAL SEJL. KAPUAS NO. 2 SURABBPK ANANG - 031-5686161| - Y Y Y ACTIVE1404 JAWA TI SURABA4653 LAB KLINIK UTAMA BIOTES JL KERTAJAYA INDAH F-3 Ibu IFAH - 031-5929159/5929150| N Y Y PARTIAL1405 JAWA TI SURABA4128 LAB. PRODIA BOGOWONTOJL. BOGOWONTO NO.14 ( - - 031-5631818| - N Y Y PARTIAL1406 JAWA TI SURABA3002 LAB. KLINIK BIOTEST SURA JL. RA. KARTINI NO.78, IBU RICI (08122316492MARKETING (031) 5678736| - N Y Y PARTIAL1407 JAWA TI SURABA3843 APOTEK KIMIA FARMA 166 JL. A.YANI 228 SURABAYADRA.RENY BESYANITA - 0318291785| 318291785 N Y Y PARTIAL1408 JAWA TI SURABA3844 APOTEK KIMIA FARMA 175 JL. KARANG MENJANGAN AYU IRAWATI - 0315991991| 315991991 N Y Y PARTIAL1409 JAWA TI SURABA3846 APOTEK KIMIA FARMA 243 JL. RAYA ARJUNO NO.151 SARI RAKHMAWATI - 0315345031| 315459789 N Y Y PARTIAL1410 JAWA TI SURABA3165 LAB. PRODIA JEMURSARI JL. RAYA JEMURSARI NO. WIWIN WINARTI - 031-8421010| 031-8438111 N Y Y PARTIAL1411 JAWA TI SURABA3541 LAB. PARAHITA MULYOSARIJL. MULYOSARI NO. 103 IBU.EVI MARKETING 031-5934941| 031-5911369 N Y Y PARTIAL1412 JAWA TI SURABA3848 APOTEK KIMIA FARMA 304 JL. PERAK TIMUR NO.166 IRMA NURYANTIE - 0313550007| 313550007 N Y Y PARTIAL1413 JAWA TI SURABA3850 APOTEK KIMIA FARMA 407 JL. MULYOSARI NO.288 S HANS ALARKIE - 0315937994| 315937994 N Y Y PARTIAL1414 JAWA TI SURABA6612 INDENTAL CLINIC JL. BARATA JAYA XIX NO AFIF 085236660706 MARKETING 031-5011751| N Y Y PARTIAL1415 JAWA TI SURABA0809 RS. SPESIALIS HUSADA UT JL. PROF DR MOESTOPO IBU TATIK DYAH WULANMARKETING 031- 5017975/5018335(021) 91031-5010777 Y Y Y ACTIVE1416 JAWA TI SURABA5398 KLINIK KENCANA MEDIKA JL. RAYA KENDANGSARI N- - (031) 8498880| - N Y Y PARTIAL1417 JAWA TI SURABA6608 RS. PKU MUHAMMADIYAH SJL. KH MAS MANSYUR NO.HAPSAH MARKETING ( 031) 3522980| - Y Y Y PARTIAL1418 JAWA TI SURABA6621 KLINIK KITA KERTAJAYA JL. KERTAJAYA NO.160 IBU DIAH MARKETING 031-9944520| - N Y Y PARTIAL1419 JAWA TI SURABA0081 SILOAM HOSPITALS SURAB JL. RAYA GUBENG NO. 7 IBU ADI/ IBU YUNI MARKETING 031-5031333/5031821| 031-5031533/5039313 Y Y Y ACTIVE1420 JAWA TI SURABA3851 APOTEK KIMIA FARMA 432 JL. PANDUGO MERR NO.2WIRA KUSUMA.S.FARM - 0318709962| - N Y Y PARTIAL1421 JAWA TI SURABA3852 APOTEK KIMIA FARMA G-WARUKO TAMAN GAPURO B.FENITASARII.S.FARM - 0317411121| - N Y Y PARTIAL1422 JAWA TI SURABA3855 APOTEK KIMIA FARMA CILI JL. CILIWUNG NO.76 SUR TINJUNG DESMARANTI - 0315633156| 315633156 N Y Y PARTIAL1423 JAWA TI SURABA3856 APOTEK KIMIA FARMA KLAMJL. KLAMPIS JAYA BLOK KURNIA PUSPITA NING - 0315926293| - N Y Y PARTIAL1424 JAWA TI SURABA3858 APOTEK KIMIA FARMA RUN JL. RUNGKUT MADYA NO. KHOLIFATUS SADIYAH.S- 0318721059| 318721059 N Y Y PARTIAL1425 JAWA TI SURABA5573 TELEMEDIKA FARMA 4 - KE JL. KETINTANG NO. 152 - - -| - N Y Y PARTIAL1426 JAWA TI SURABA5574 TELEMEDIKA FARMA 5 - KA JL. KANWA NO. 15 SURAB- - 031-5610018| - N Y Y PARTIAL


BY PAYOR LEVEL


1427 JAWA TI SURABA3833 APOTEK KIMIA FARMA 24 JL. DHARMAWANGSA NO.BAPAK ADEN - 0315032775| 315037664 N Y Y PARTIAL1428 JAWA TI SURABA3853 APOTEK KIMIA FARMA WIYURUKO TPI BLOK A 17 RA DERRY SUSANTI.S.FARM- 0317668267| - N Y Y PARTIAL1429 JAWA TI SURABA1052 RSIA. PUSURA TEGALSARI ( JL. TEGAL SARI NO.59 IBU MITA KOORDINATOR 031-5473462-|- 031-5462033 Y Y Y PARTIAL1430 JAWA TI SURABA2001 RS. WIYUNG SEJAHTERA JL. KARANGAN PDAM NOIBU SURIYAH MARKETING (031) 7532653| (031) 7533726 Y Y Y ACTIVE1431 JAWA TI SURABA4799 RSIA. CEMPAKA PUTIH PER JL. JAMBANGAN KEBON A PAK ARI - (031) 8282350| (031) 8297578 Y Y Y ACTIVETUBAN1432 JAWA TI TUBAN 1198 RS. MEDIKA MULIA TUBAN JL. MOJOPAHIT, NO.699 IBU DRG iKA MARKETING 0356-322744/324618| 0356-322666 Y Y Y ACTIVE1433 JAWA TI TUBAN 2002 RS. NAHDLATUL ULAMA TU JL. LETDA SUCIPTO NO IBU MARTIANAWATI,M.KMARKETING 0356-328244/(0356) 328299| (0356) 712072 Y Y Y ACTIVETULUNG AGUNG1434 JAWA TI TULUN 3708 APOTEK KIMIA FARMA 392 JL. I GUSTI NGURAH RA BP. PUJI SANTOSO SPV PELAYANAN0355-322308| 0355-322308 N Y Y PARTIAL1435 JAWA TI TULUN 0813 RS. ISLAM ORPEHA JL. KH. R. ABDUL FATAH IBU WIDI / HANDAYANI KASI- PERAWAT 0355-323186| 0355-327691 Y Y Y ACTIVE1436 JAWA TI TULUN 3826 RS. ERA MEDIKA JL. RAYA PULOSARI, NG IBU VICA DESTRIANA MARKETING 0355-398706/396566/ 0815519 0355-398706 Y Y Y ACTIVE1437 JAWA TI TULUN 3655 PRODIA TULUNGAGUNG JL. SUPRIADI NO.45 BLO Nugroho Hermawan KA Unit (0355) 336989| - N Y Y PARTIALKALIMANTAN BARATKETAPANG1438 KALIMANKETAPA1800 RS. FATIMA KETAPANG JL. JEND SUDIRMAN NO. Lidya Cornelia Marketing 0534-32814| 0534-31649 Y Y Y ACTIVEMELAWI1439 KALIMANMELAWI5633 RS. KASIH BUNDA JAYA JL. JUANG KM.1 NANGA P FERY SUPRIADI MARKETING 0568-22885| Y Y Y ACTIVE1440 KALIMANMELAWI5627 RS. CITRA HUSADA MELAWIJL.DHARMA BAKTI NO.45 SYIAS SITTI H MARKETING 0568-22355| 0568-21645 Y Y Y ACTIVEPONTIANAK1441 KALIMANPONTIA2729 RS. MITRA MEDIKA PONTIA JL. SULTAN ABDURRAHMIRMINA (081345274813- (0561) 584888| - Y Y Y ACTIVE1442 KALIMANPONTIA2679 KIMIA FARMA SERDAM (SUNJL. SUNGAI RAYA DALAM Bpk Fallah - 0561-737797| - N Y Y PARTIAL1443 KALIMANPONTIA1563 RS. PROMEDIKA JL.GUSTI SULUNG LELANAIBU EKA LINA SAPARILL Marketing 0561-739042| 0561-738692 Y Y Y ACTIVE1444 KALIMANPONTIA2253 KLINIK & APOTEK KF 32 PO JL. TANJUNG PURA NO. 41BPK Nizamudin - 0561-731658| 0591-735802 N Y Y PARTIAL1445 KALIMANPONTIA2255 KIMIA FARMA 333 PONTIAN JL. WAHID HASYIM NO.60IBU METI - 0561-768140| - N Y Y PARTIAL1446 KALIMANPONTIA2254 APOTEK KIMIA FARMA 371 JL. AHMAD YANI NO.5 BP RYAN MUAMAR - 0561-713988| - N Y Y PARTIAL1447 KALIMANPONTIA1431 RSIA. ANUGERAH BUNDA K JL. AHMAD YANI NO. 5-7 NOVI INDRAWAN, IBU YUMARKETING 0561-581818/085249922000| 0561-584100 Y Y Y ACTIVE1448 KALIMANPONTIA1106 RS. SANTO ANTONIUS JL. KH. WAHID HASYIM NOIBU LENA/ BP VIEDNO Marketing 0561-732101-|- 0561-742242/733623 Y Y Y ACTIVE1449 KALIMANPONTIA3574 PRODIA PONTIANAK JL. AHMAD YANI NO.6C P - - 0561-736177| - N Y Y PARTIAL1450 KALIMANPONTIA4391 KLINIK & APOTEK KF M.YAMJL. MUHAMMAD YAMIN PORini Koordinator 0561 5715359| - N Y Y PARTIALSANGGAU1451 KALIMANSANGG4108 RS. SENTRA MEDIKA SANG JL. CEMPAKA KEL. ILIR K DR. YUDHA PRANATA - (0564) 24240| (0564) 24248 Y Y Y ACTIVESINGKAWANG1452 KALIMANSINGK 1368 RS. SANTO VINCENTIUS S JL. P. DIPONEGORO NO.5 IBU MAEMUNAH/KRISTINMARKETING 0562-631008/636768| 0562-633881 Y Y Y ACTIVE1453 KALIMANSINGK 2621 RSU. HARAPAN BERSAMA JL. N. P. BELITUNG NO. IBU SUSI/IBU AYU/IBU - 0562-631791| 0562-633359 Y Y Y ACTIVEKALIMANTAN SELATANBANJARBARU1454 KALIMANBANJAR5781 RS. SYIFA MEDIKA BANJAR JL. R.O ULIN NO. 93, B IBU TYNA - 0511-5910889| Y Y Y ACTIVE1455 KALIMANBANJAR4393 KLINIK & APOTEK KF 111 JL. JEND. A.YANI NO.10 R Pak. Arif koordinator 0511-6749027 / 4772141| - N Y Y PARTIAL1456 KALIMANBANJAR2709 RSIA. LEMBAYUNG HUSADAJL. A. YANI KM 36 SIMP Irsyad Marketing (0511) 4777115| Y Y Y ACTIVE1457 KALIMANBANJAR5424 CIPUTRA MITRA HOSPITAL JL. A. YANI KM. 7.8 BAN SUPRIYONO MARKETING 0511-6743999| - Y Y Y ACTIVEBANJARMASIN1458 KALIMANBANJAR2236 APOTEK KIMIA FARMA 217 JL.A.YANI KM 2 NO.136 BPK. HIDAYAT APOTEKER 0511-3252250/3251369| - N Y Y PARTIAL1459 KALIMANBANJAR2237 KLINK & APOTEK KF 188 JL. LETJEN S. PARMAN NOIBU MARLINI - 0511-3354020| - N Y Y PARTIAL1460 KALIMANBANJAR2235 KLINIK & APOTEK KF 61 JL. VETERAN NO. 51 BPK SASRI APOTEKER 0511-3250682/3252779| - N Y Y PARTIAL1461 KALIMANBANJAR2677 KLINIK & APOTEK KF 265 JL. A.YANI 49, KUALA KA Pak Sumari apoteker 0513-21406| - N Y Y PARTIAL1462 KALIMANBANJAR3572 PRODIA BANJARMASIN JL. JEND. ACHMAD YANI - - 0511-3273500| N Y Y PARTIAL1463 KALIMANBANJAR0631 RS. SARI MULIA JL. PANGERAN ANTASARIIBU ADIT/BPK.APRI MARKETING 0511 - 3252570/3274447/326140511 - 3257889 Y Y Y ACTIVE1464 KALIMANBANJAR0849 RS. ISLAM BANJARMASIN JL. LET JEN S PARMAN IBU NURUL/ BPK GUSTI HUMAS 0511-3350332, 3354896, 335030511-3351690 Y Y Y ACTIVE1465 KALIMANBANJAR1758 KLINIK SPESIALIS SARI MUL JL. PANGERAN ANTASARIBPK BRURI/ BP APRI KEUANGAN 0511-3254341/3266960/3252570511-3266960 N Y Y PARTIALBATU LICIN1466 KALIMANBATU LI2471 KLINIK MEDIKA BATULICIN JL.RAYA BATULICIN - SE Wulan - 0518-71570| - N Y Y PARTIALKANDANGAN1467 KALIMANKANDA1799 RS. PAHLAWAN MEDIKA CE JL. PAHLAWAN NO. 15 IBU FUJI MARKETING 0517-23191| 0517-23678 Y Y Y ACTIVEMARTAPURA1468 KALIMANMARTA4392 KLINIK & APOTEK KF 179 JL. JEND. A YANI KM.39.5 GALIH KURNIANTO S.Fa- 0511-4722654| - N Y Y PARTIAL1469 KALIMANMARTA1797 RSIA. MUTIARA BUNDA MA JL. TAISIR NO. 2, MARTA ANDRI TRI CAHYONO MARKETING O511- 4721901| 0511- 4720664 Y Y Y ACTIVE


BY PAYOR LEVEL


1470 KALIMANMARTA2721 RS. PELITA INSANI JL. SEKUMPUL NO.66 M BP GUSTI MARKETING (0511) 4722210/ 4722220| (0511) 4722230 Y Y Y ACTIVETABALONG1471 KALIMANTABAL 2707 RS. PERTAMINA TANJUNG JL. GAS, KOMPERTA MU IBU RITA/ DR RAHMAWAWadir (0526) 2022550/2023068| (0526) 2027678 Y Y Y ACTIVETANAH BUMBU1472 KALIMANTANAH 3996 KLINIK SIMPANG TANAH BUJL. GAWE SABUMI RT 08 DR DINA - (081258339911 / 081953230699- N Y Y PARTIAL1473 KALIMANTANAH 1011 KLINIK SURYA MEDIKA SATUJL. PROPINSI NO 11, RT DR RIZAL DIRETUR 0512-61717|0778-322122 0512-61312 N Y Y PARTIALKALIMANTAN TENGAHMUARA TEWEH1474 KALIMANMUARA2675 KLINIK & APOTEK KF 156 JL. Y.SINSENG NO.1 M. Hariyadi - 0519-21698| - N Y Y PARTIALPALANGKARAYA1475 KALIMANPALANG3764 PRODIA PALANGKARAYA JL. DIPONEGORO NO. 20 WINIH AYU JATI - (0536) 3235399| - N Y Y PARTIAL1476 KALIMANPALANG2889 RS. ISLAM PKU MUHAMMADJL. RTA MILONO KM .2,5 ALFIAN FADILLAH/SRI MARKETING 0536-3244801-4803| 0536-3239444 Y Y Y ACTIVE1477 KALIMANPALANG2673 KLINIK & APOTEK KF 112 ( JL. DIPONEGORO NO.8, BUDI KIYATNO, S,SI., A PIC 0536 -3221952| - N Y Y PARTIALPANGKALAN BUN1478 KALIMANPANGKA4676 RS. CITRA HUSADA PANGK JL. MALIJO, MADUREJO, HUSNI / IBU ROSIDA - (0532) 2070777| (0523) 2070789 Y Y Y ACTIVE1479 KALIMANPANGKA3529 KLINIK KESUMA JL. ISKANDAR NO.12 A, IMAM KUNCORO / OSCARMARKETING 0532-2065244 / (0532) 23935| (0532) 23935 N Y Y PARTIALSAMPIT1480 KALIMANSAMPIT2672 KLINIK & APOTEK KF 103 JL. H.M ARS. YAD, NO.120SIGIT KOORDINATOR 0531-24828| - N Y Y PARTIAL1481 KALIMANSAMPIT4085 KLINIK SARI MEDIKA SAMPITJL. P.ANATASARI NO 5 S DR. YULIA / IBU MIRNA 0531-25288; 0531-24396| - N Y Y PARTIALKALIMANTAN TIMURBALIKPAPAN1482 KALIMANBALIKP 2634 KLINIK & APOTEK KF 425 S JL. MARS. MA ISWAHYUDI IBU PUJI KOORDINTOR 0542 7210391| - N Y Y PARTIAL1483 KALIMANBALIKP 5912 RS. HERMINA BALIKPAPAN JL. MT.HARYONO NO.45, IBU RITA PIC 0542 - 8532525| 0542 - 8508989 Y Y Y ACTIVE1484 KALIMANBALIKP 3573 PRODIA BALIKPAPAN KOMP. PERTOKOAN BANDAR- - 0542-739337| - N Y Y ACTIVE1485 KALIMANBALIKP 1520 APOTEK KIMIA FARMA 56 JL. A.YANI, NO.95 BPK. SUBEKTI - 0542-412244, 424187,7031852|0542-731560 N Y Y PARTIAL1486 KALIMANBALIKP 3459 SUMATERA EYE CENTRE BARUKO SENTRA EROPA BLOBP.ULLISYS koordinator (0542) 876732/876941| - N Y Y PARTIAL1487 KALIMANBALIKP 1374 SILOAM HOSPITALS BALIKP JL. MT.HARYONO NO.9 R DR. MADE/DR.BAYU A/I MARKETING 0542 - 8862 999| 0542-7206517 Y Y Y ACTIVE1488 KALIMANBALIKP 0686 PANACEA CLINIC KOMP MAL FANTASI BLOKIBU MAYA KOORDINATOR 0542-877898,72040460751-4440542-877641/7031819 N Y Y PARTIAL1489 KALIMANBALIKP 0692 APOTIK KANIDA FARMA II JL. JEND. SUDIRMAN, NO.IBU RINI MARKETING 0542-424309,0542 420496|054 0542-424031 N Y Y PARTIAL1490 KALIMANBALIKP 1457 KLINIK & APOTEK KF 136 B JL. MT. HARYONO NO. 72BPK.WINASTANTO KOORDINATOR 0542-763962| 0542-761629 N Y Y PARTIAL1491 KALIMANBALIKP 0672 RSIA. PERMATA HATI BALIK JL. IMAM BONJOL NO.1 IBU NENENG/IBU HAPSAKEUANGAN 0542-413932/413928| 0542 - 413928 Y Y Y ACTIVE1492 KALIMANBALIKP 2073 KLINIK MEDIKA UTAMA ( KMJL. MULAWARMAN NO. 2 CAHYA AYU - 0542-770846| 0542-770847 N Y Y PARTIAL1493 KALIMANBALIKP 2632 KLINIK & APOTEK KF 293 JL. A. YANI NO.45 KARANAANG ROYYANA.S.FARM.,APT 0542 792420| - N Y Y PARTIAL1494 KALIMANBALIKP 2633 KLINIK & APOTEK KF 68 JL. JEND.SUDIRMAN NO ANGGA TRI SAPTA.S.FAMARKETING 0542 422691| - N Y Y PARTIAL1495 KALIMANBALIKP 2635 KLINIK & APOTEK KF 329 JL. SOEKARNO HATTA KM 5ERMANSYAH SIREGAR.S.- 0542 860024| - N Y Y PARTIAL1496 KALIMANBALIKP 1213 RS. BALIKPAPAN BARU KOMP. BALIKPAPAN BARU IBU GANIS/BPK.YANTO SEKRETARIS 0542-877330| 0542-877331 Y Y Y ACTIVE1497 KALIMANBALIKP 0632 RS. RESTU IBU BALIKPAPANJL. JEND. A. YANI, NO.12 BP RURY MARKETING 0542-427342/3/40542-427342| 0542-441494/417290 Y Y Y ACTIVEBONTANG1498 KALIMANBONTA 2474 KLINIK RS. PKT 1 JL. IMAM BONJOL BONTA FIRMAN - 0548-24800| - N Y Y PARTIAL1499 KALIMANBONTA 1214 RS. PUPUK KALTIM BONTANJL. OKSIGEN NO.1, KOMPBPK.YUSUF MARKETING 0548-41118/41444| 0548-41555 Y Y Y ACTIVE1500 KALIMANBONTA 3189 RSI. BONTANG ( YABIS ) JL. BRIGJEN KATAMSO N drg.Resza Rizky MARKETING 0548 - 20003| 0548-22644 Y Y Y ACTIVE1501 KALIMANBONTA 3874 KLINIK SATELIT 3 RS. PKT JL. LETJEN S PARMAN N - - 0548-23388| - N Y Y PARTIAL1502 KALIMANBONTA 2118 RS. AMALIA BONTANG JL. R. SOEPRAPTO NO. BPK CHA HRD 0548-25050| 0548-23275 Y Y Y ACTIVEKUTAI KARTANEGARA1503 KALIMANKUTAI 3707 KLINIK QICA JL. RA. KARTINI RT. 2 DR. TAUFIQURACHAMN - 082227276911| - N Y Y PARTIAL1504 KALIMANKUTAI 1074 KLINIK MAJU SEJAHTERA JL. MOH. HATTA, HANDIL IBU INDRI/ ELIN MANAGER KLINI0541-691891/ 081333001836-|-0541-691892 N Y Y PARTIALPASER1505 KALIMANPASER 5520 KLINIK ATHIRAH JL. NEGARA KM. 140 NO. Bp. Fitra Hafiza - 081257436633 / 081255578967- N Y Y PARTIALSAMARINDA1506 KALIMANSAMARI0636 RS. DIRGAHAYU JL. GUNUNG MERBABU NOIBU MARDALENA/ IBU VKEPALA HUMAS 0541-742161/748309/7483100540541-748308/744636 Y Y Y ACTIVE1507 KALIMANSAMARI3460 SUMATERA EYE CENTRE SA JL. A. YANI NO. 6 A-B S BP.BOY ANDRIAN Koordinator (0541) 200257, 200258| - N Y Y PARTIAL1508 KALIMANSAMARI0230 RS. H. DARJAD JL. DAHLIA, NO.4 BPK M.HATTA / BPK HUDMARKETING 0541-732698,734123,732609| 0541-732562 Y Y Y ACTIVE1509 KALIMANSAMARI2453 RS. SAMARINDA MEDIKA CI JL. KADRIE OENING NO. ELMI YANTI MARKETING (0541) 7273000| (0541) 7272888 Y Y Y ACTIVE1510 KALIMANSAMARI2631 KLINIK & APOTEK KF 114 S JL. P.HIDAYATULLAH NO AGUSTINA APOTEKER 0541 742198| 0541 742198 N Y Y PARTIAL1511 KALIMANSAMARI6494 RS. BHAKTI NUGRAHA JL. BASUKI RAHMAT NO. ROAD - (0541) 741363| Y Y Y ACTIVE1512 KALIMANSAMARI3575 PRODIA SAMARINDA JL. A. YANI KOMP. CEN SITI AMINAH MARKETING (0541) 736198| - N Y Y PARTIAL1513 KALIMANSAMARI3813 KLINIK & APOTEK KF 385 (P JL. P.M.I NO.25 SAMARIN JUNIATI APOTEKER 0541-734334| - N Y Y PARTIAL


BY PAYOR LEVEL


1514 KALIMANSAMARI4795 KLINIK SILOAM SAMARINDAJL. A. YANI (PEMUDA II) IBU CITRA - (0541) 2090 900| - N Y Y PARTIAL1515 KALIMANSAMARI5666 KLINIK KUMALA JL. P. ANTASARI NO. 33 IBU LENNY - (0541) 735602/ 769357| - N Y Y PARTIAL1516 KALIMANSAMARI2473 RS. SIAGA RAMANIA JL. RAMANIA 3 ( JL. J IBU SAUDAH MARKETING 0541-739772| 0541-749131 Y Y Y ACTIVE1517 KALIMANSAMARI1794 RSIA. THAHA BAKRIE JL. PANGERAN HIDAYATU IBU FANI MARKETING 0541-742191| 0541-200075 Y Y Y ACTIVE1518 KALIMANSAMARI1656 KLINIK MELATI HUSADA JL. CIPTO MANGUN KUS DR HALIDA PEMILIK 0541-260721| 0541-241752 N Y Y PARTIAL1519 KALIMANSAMARI2104 KLINIK & APOTEK KF 105 JL. DR. SUTOMO NO 36- JAYANTI NURLIHAWATI APOTEKER 0541-741639| - N Y Y PARTIAL1520 KALIMANSAMARI2105 KLINIK & APOTEK KF 138 K JL. KH AGUS SALIM NO. BPK. AHMAD ANDI RIVAAPOTEKER 0541-737447| N Y Y PARTIALSANGATTA1521 KALIMANSANGAT1376 RS. PKT PRIMA SANGATTA (JL. YOS SUDARSO I NO.1 BPK MULYANA / BPK ANMARKETING 0549-24555 / 085828779475| 0549-24524; 25927 Y Y Y ACTIVE1522 KALIMANSANGAT1556 RS. MELOY SANGATTA JL. YOS SUDARSO II NO.1 BPK HARYUDI MARKETING 0549-2026258| 0549-24222 Y Y Y PARTIAL1523 KALIMANSANGAT1801 RS. SOHC JL. YOS SUDARSO IV, NO IBU SHANTY MARKETING 0549-23417| 0549-23417 Y Y Y ACTIVEKALIMANTAN UTARABULUNGAN1524 KALIMANBULUN 4681 KLINIK BUNYU MEDIKA JL. EMPLASMEN RT. 07 D DR. ADNAN PEMILIK (0511) 2055374| - N Y Y PARTIALTARAKAN1525 KALIMANTARAKA4731 RSUD. TARAKAN (KALIMANTJl. PULAU IRIAN NO.1, K IBU DINA MARKETING (0551) 21720/21166| (0551) 21720 Y Y Y ACTIVE1526 KALIMANTARAKA1972 RUMKITAL ILYAS TARAKAN JL. MARTADINATA NO 29- - 0551-24320 / 21353| - Y Y Y ACTIVE1527 KALIMANTARAKA1529 RS. PERTAMINA TARAKAN JL. MULAWARMAN NO. 1 IBU HASNA MARKETING DA 0551-31403/31665 /08115416560551-33310 Y Y Y ACTIVELAMPUNGBANDAR LAMPUNG1528 LAMPUN BANDAR5605 RSIA BELLEZA KEDATON JL.SULTAN HAJI LABUHANVIDA 0721-773333| 0721-773338 Y Y Y ACTIVE1529 LAMPUN BANDAR1092 RS. MITRA HUSADA PRING JL. JEND A. YANI NO.14 IBU SRI HARTATI / IBU SMARKETING EXT0729-23792-|- 0729-23836 Y Y Y ACTIVE1530 LAMPUN BANDAR1228 RS. BUMI WARAS JL. WOLTER MONGINSIDI, IBU ICHA MARKETING 0721-254589/261122/257925/20721-257926 Y Y Y ACTIVE1531 LAMPUN BANDAR1692 RS. HARAPAN BUNDA LAMPJL. RAYA LINTAS SUMAT IBU ARI MARKETING 0725-26766| 0725-25091 Y Y Y ACTIVE1532 LAMPUN BANDAR1693 RSIA. MUTIARA PUTRI JL. HOS COKROAMINOTO BPK LUTFI MARKETING 0721-252579/254999| 0721-254282 Y Y Y ACTIVE1533 LAMPUN BANDAR0486 RS. IMMANUEL WAY HALIM JL. SOEKARNO-HATTA, WIBU NOVI/IBU RINA Pelayanan Asura0721-704900,704630/628| 0721-704807/784897 Y Y Y ACTIVE1534 LAMPUN BANDAR1970 RSIA. BUNDA ASY-SYIFA JL. DR.SUSILO NO. 54 IBU TIARA MARKETING 0721-259259/256256| 0721-266800 Y Y Y ACTIVE1535 LAMPUN BANDAR1871 RS. PERTAMINA BINTANG A JL. PRAMUKA NO 27, LA BP Iwan - 0721-273601| 0721-273597 Y Y Y ACTIVE1536 LAMPUN BANDAR1378 RS. URIP SUMOHARJO JL. URIP SUMOHARJO NO IBU IDA/BP.BAMBANG PELAYANAN ASU0721-771322/23/24| 0721-771321/707990 Y Y Y ACTIVE1537 LAMPUN BANDAR0487 RS. ADVENT LAMPUNG JL. TEUKU UMAR, NO.4 BPK OTOT MARKETING 0721-703459| 0721-786349/770717 Y Y Y ACTIVE1538 LAMPUN BANDAR5124 LAB. PRODIA TELUK BETUN Jl. Ikan Hiu Teluk Betung - - 085768958661| - N Y Y PARTIAL1539 LAMPUN BANDAR2110 KLINIK & APOTEK KF 131 JL. KARTINI NO. 44-45 nofian sholeh - 0721240291| - N Y Y PARTIAL1540 LAMPUN BANDAR2112 KLINIK & APOTEK KF 327 JL. JEND. SUDIRMAN NO Pak Yacub Apoteker 0721- 5600608| - N Y Y PARTIAL1541 LAMPUN BANDAR2176 RSIA. RESTU BUNDA JL. K.H. HASYIM ASHARI IBU ANNA MARKETING 0721-484158/484185| 0721-482832 Y Y Y ACTIVE1542 LAMPUN BANDAR2465 RSIA. PURI BETIK HATI JL. PAJAJARAN NO.109, BPK.ADHI WIJAYA - 0721-787799| - Y Y Y ACTIVE1543 LAMPUN BANDAR2767 RS. ISLAM ASY-SYIFAA JL. NEGARA LINTAS SUM BAPAK BOWO - (0725) 25264| (0752) 527476 Y Y Y ACTIVE1544 LAMPUN BANDAR2725 THC TELKOM MEDIKA LAMPEX. GEDUNG PLASA TELKEVIYANTI - 0721703044/ 704999| - N Y Y PARTIAL1545 LAMPUN BANDAR1352 RS. GRAHA HUSADA LAMPUJL. GAJAH MADA, NO. 6 IBU SHANTY S. HUMAS 0721-240000| 0721-263181/268417 Y Y Y ACTIVE1546 LAMPUN BANDAR4394 KLINIK & APOTEK KF 222 JL. GAJAH MADA NO.58B DEMI PENANGGUNG J 0721 5601300| - N Y Y PARTIAL1547 LAMPUN BANDAR2901 LAB. PRODIA PAHOMAN LA JL. JEND. SUDIRMAN NO MEIZAL Marketing 0721-8017700/1| - N Y Y PARTIALLAMPUNG SELATAN1548 LAMPUN LAMPUN4523 KLINIK LEMATANG MEDICALJL. IR. SUTAMI NO. 153 DR AGUS KELANA - (0721) 350145; 0823 0607 2345- N Y Y PARTIAL1549 LAMPUN LAMPUN3170 KLINIK DUA PUTRI JAYA JL. IR. SUTAMI KM.30 IBU PUTRI PIMPINAN 085366797190| - N Y Y PARTIALMETRO1550 LAMPUN METRO4516 PRODIA METRO JL. JEND SUDIRMAN NO. DAYAT - 0725-7855205| - N Y Y PARTIALNATAR1551 LAMPUN NATAR 1632 RS. NATAR MEDIKA (YADIK JL. RAYA NATAR NO. 04 AYU WANDIRA MARKETING 0721-92521/92519| 0721-92519 Y Y Y ACTIVETANJUNG HARAPAN1552 LAMPUN TANJUN2921 RSU. HANDAYANI JL. N. SOEKARNO - HATT Bpk. Ari MARKETING 0724328399| Y Y Y ACTIVEMALUKUAMBON1553 MALUKU AMBON1439 RS. BHAKTI RAHAYU AMBO JL. BATU KERBAU, BELAKWELFRA ANDRIE MARKETING 0911-342746| - Y Y Y ACTIVE1554 MALUKU AMBON2264 LAB. PRODIA AMBON JL. ANTHONY RHEBOK NOBP MURS. AN - 0911-314296| - N Y Y PARTIAL1555 MALUKU AMBON2265 APOTEK KIMIA FARMA PEL. JL. DR. KAYADOE, KEL. BPK LUKAS - 0911-351677| - N Y Y PARTIAL1556 MALUKU AMBON2911 RS. T TK.II DR.J.A. LATUME JL. DR. TAMAELA N0. 2 KAPTEN AANG Bag. Pengemba0911-353555| 0911-354763 Y Y Y ACTIVE1557 MALUKU AMBON2912 RS. SUMBER HIDUP JL. ANTHONY RHEBOK, HGRACE Marketing (0911) 352373, 351654| 0911-352401 Y N Y PARTIALMALUKU UTARA


BY PAYOR LEVEL


TERNATE1558 MALUKU TERNAT2259 LAB. KLINIK PRODIA TERNA JL. A. MONONUTU NO:2 BP FRANKY - 0921-3111246| - N Y Y PARTIAL1559 MALUKU TERNAT2260 KLINIK & APOTEK KF 168 JL. HASAN ESA 151 TER BP TRI KURNIAWAN BM 0921-3121037/3123076| - N Y Y PARTIAL1560 MALUKU TERNAT1503 RS. MEDIKA HARIFALM JL. ZAINAL ABIDINSYAH Bpk Arie ADMINISTRASI 0921-3126087| 0921-3126198 Y N Y PARTIAL1561 MALUKU TERNAT2012 RS. ISLAM TERNATE JL. PEMUDA NO. 131 KE IBU RUGAYA TATA USAHA/H 0921-3121623| - Y N Y ACTIVENADBANDA ACEH1562 NAD BANDA 4816 RS. MEUTIA JL. CUT MEUTIA NO. 55 K IBU HUMAIRA - (0651) 33149| Y Y Y ACTIVE1563 NAD BANDA 1790 RS. CEMPAKA AZ ZAHRA JL. POCUT BAREN NO 36 BPK KAMAL ZIZA/ IBU LIMARETING 0651-31066| 0651-25281 Y N Y ACTIVE1564 NAD BANDA 1100 RS. TEUNGKU FAKINAH JL. JEND. SUDIRMAN NO. BPK.TONI ZEIN / IBU ASTATA USAHA 0651-41454 / 081377028888-|- 0651-47646/49454 Y N Y PARTIAL1565 NAD BANDA 1789 KLINIK SPECIALIS CEMPAKAJL. TENGKU M. DAUD BE PAK JEFRI Personalia 0651-33345 / 08126922264| - N Y Y PARTIAL1566 NAD BANDA 2186 APOTEK KIMIA FARMA ACEH JL. DIPONOGORO NO 8 BPK. INDRA PERMANA - 0651-21559| 0651-635 669 N Y Y PARTIAL1567 NAD BANDA 2187 APOTEK KIMIA FARMA 402 JL. TEUKU DAUD BEUREUBPK. INDRA PERMANA PIC 0651-637008| 0651-635 669 N Y Y PARTIAL1568 NAD BANDA 2962 KLINIK PRODIA BANDA ACE JL. T.H.M. DAUD BEURE INDAH DWI SYAHPUTRI MARKETING (0651) 23823, 637807| (0651) 22387 N Y Y PARTIALBIREUN1569 NAD BIREUN1694 RS. TELAGA BUNDA BIERUNJL. PEUTUA BANTA NO.7, BPK NURDIN / DR NILA MARKETING/ DI 0644-324433| 0644-324433 Y Y Y ACTIVELANGSA1570 NAD LANGS 2711 RS. CUT MEUTIA JL. GARUDA NO. 1 KEL. IBU MAIMUNAH / IBU SUMARKETING (0641) 425314 / 4811339| (0641) 426285 Y Y Y ACTIVE1571 NAD LANGS 2667 KLINIK & APOTEK KF 81 JL. TM.ZEIN NO.1E ,LAN BPK.AMRI (0852801381APOTEKER 0641-21020| - N Y Y PARTIALLHOKSEUMAWE1572 NAD LHOKS 2903 LAB. PRODIA LHOKSEUMAWJL. MERDEKA NO. 18 LH pak umar - 0645-47205| - N Y Y PARTIAL1573 NAD LHOKS 2119 KLINIK & APOTEK KF 60 JL. MERDEKA NO. 47 B BPK RIZKY (APOTEKER) APOTEKER 0645-41152| - N Y Y PARTIAL1574 NAD LHOKS 1892 RSU. SAKINAH LHOKSEUMAJL. ANTARA NO.30 BPK PADLI/ IBU IDA/ BP MARKETING 0645-45534/42158| - Y N Y PARTIAL1575 NAD LHOKS 1975 KLINIK VINCA ROSEA JL. DARUSSALAM NO. 3 BAPAK AZHARI - 0645-7011117 / 46725/ 085338 0645-630218 N Y Y PARTIALMEULABOH1576 NAD MEULA 3686 RS. SWASTA MONTELLA JL. BERINGIN JAYA SAM Ibu Ully MARKETING (0655) 7551974; 085277358711- Y Y Y ACTIVE1577 NAD MEULA 4212 KLINIK CEMPAKA LIMA MEU JL. SWADAYA NO 39 F/3 BPK AMIR PEMILIK 082361103699/08116822077/08126980242| N Y Y PARTIALPIDIE1578 NAD PIDIE 4106 KLINIK MUTIARA SIGLI JL. PROF A. MADJID IBRA BPK AZHARI KOORDINATOR 0653-21529| 0653-24565 N Y Y PARTIALSIGLI1579 NAD SIGLI 3958 KLINIK & APOTEK KF 397 SI JL. PERDAGANGAN NO.1 SM.BAGUS ANDREAS T MARKETING 065321536 / 085265313030| 65321536 N Y Y PARTIALNTBBIMA1580 NTB BIMA 3506 KIMIA FARMA NO. 263 BIMAJL. SOEKARNO - HATTA NBP TAUFIK - 0374-42910| N Y Y PARTIAL1581 NTB BIMA 3453 LAB. PRODIA BIMA JL. SOEKARNO HATTA NO.NITA AFRIANI - 0374-646910| - N Y Y PARTIALLOMBOK TIMUR1582 NTB LOMBOK1894 RS. ISLAM NAMIRA SELONGJL. KH AHMAD DAHLAN NBAPAK DODDY - 0376-22693/21004/| - Y Y Y ACTIVE1583 NTB LOMBOK1783 RS. RISA SENTRA MEDIKA L JL. PEJANGGIK NO.78 A DESAK KETUT MEGAWATMARKETING 0376-23888| 0376-23999 Y Y Y ACTIVE1584 NTB LOMBOK3503 KIMIA FARMA NO. 55 SELO JL. M. YAMIN NO. 77 SE - - -| - N Y Y PARTIALMATARAM1585 NTB MATAR1957 RSIA. PERMATA HATI MATA JL. MAJAPAHIT NO 10 IBU BAIQ REHANAH Marketing 0370-631999| 0370-632999 Y Y Y ACTIVE1586 NTB MATAR4226 KLINIK & APOTEK KF 626 G JL. GAJAH MADA NO 24 IBU GUSTI AYU TIA KOORDINATOR 0370-6173112| - N Y Y PARTIAL1587 NTB MATAR4358 RS. GRHA ULTIMA MEDIKA (JL. MAJAPAHIT NO. 10, ANDI BUNGA SEPTIANI - (0370) 623999; 628111| +62370 - 635955 Y Y Y ACTIVE1588 NTB MATAR2257 KLINIK & APOTEK KF NO 134JL. PEJANGGIK NO. 48 - - 0370-638502| - N Y Y PARTIAL1589 NTB MATAR1827 RS. BIOMEDIKA JL. BUNG KARNO NO 14 IBU GITHA MARKETING 0370-645137| 0370-645138 Y Y Y ACTIVE1590 NTB MATAR1539 RS. RISA SENTRA MEDIKA JL. PEJANGGIK, NO.115 IBU IKA MARKETING 0370-632117/0370) 632117 / 080370-625559 Y Y Y ACTIVE1591 NTB MATAR1124 RSB. EXONERO JL. PEMUDA NO.16, DAS IBU LUSI MARKETING 0370-636454,644440| 0370-647023/636454 Y Y Y ACTIVE1592 NTB MATAR1645 RS. HARAPAN KELUARGA MJL. AHMAD YANI NO. 9 DR. DEWI MARKETING 0370-670000,6177027,61770000370-673666 Y Y Y ACTIVE1593 NTB MATAR3507 KIMIA FARMA 458 CATUR WAJL. CATUR WARGA NO. - - -| - N Y Y PARTIAL1594 NTB MATAR1956 RSI. SITI HAJAR MATARAM JL. CATUR WARGA NO. 6 IBU HJ ERNI/ IBU NINING- 0370-623498| - Y Y Y ACTIVE1595 NTB MATAR4688 KLINIK PRATAMA ASY-SYIFAJL. PANJI TILAR NEGARA YUSITA KARINA OASIS - -| - N Y Y PARTIAL1596 NTB MATAR3452 LAB. PRODIA MATARAM JL. PEJANGGIK NO. 107 NI MADE UCI - 0370-635248; 635010| - N Y Y PARTIAL1597 NTB MATAR6502 BLUE ISLAND MEDICAL CLINJLN. MAJAPAHIT NO. 09, DR NASRULAH - (0370) 7509316| (0370) 7509316 N Y Y PARTIAL1598 NTB MATAR3504 KIMIA FARMA NO. 231 MATAJL. SALEH SUNGKAR NO. - - -| - N Y Y PARTIAL1599 NTB MATAR2258 KLINIK & APOTEK KF NO. 18JL. SRIWIJAYA NO. 295 - - 0370-633211| - N Y Y PARTIAL1600 NTB MATAR3505 KIMIA FARMA NO. 234 MATAJL. SELAPARANG NO. 53 - - -| - N Y Y PARTIALSUMBAWA


BY PAYOR LEVEL


1601 NTB SUMBA3482 KIMIA FARMA NO. 303 SUM JL. CENDRAWASIH SUMB- - 0371 - 24029| - N Y Y PARTIALNTTENDE1602 NTT ENDE 3500 APOTEK KF KELIMUTU ENDEJALAN KELIMUTU ENDE ANANTO ADI WICAKSO - (0381)-2627456| - N Y Y PARTIALKUPANG1603 NTT KUPAN 3498 KLINIK & APOTEK KF 159 JL. JEND. SOEHARTO KU - - -| - N Y Y PARTIAL1604 NTT KUPAN 3497 APOTEK KIMIA FARMA A. YAJL. A.YANI NO.12 BAPAK OPIK - -| - N Y Y PARTIAL1605 NTT KUPAN 3496 APOTEK KIMIA FARMA 18 P JL. MOH. HATTA NO.19 enrico abraham - 0380-831296| - N Y Y PARTIAL1606 NTT KUPAN 2240 RS. ST CAROLUS BORROMEJL. HR. KOROH KM. 08 DR. HERLY SOEDARMADJ- 0380 - 8030530, 085100030530- Y Y Y ACTIVE1607 NTT KUPAN 3494 LAB. PRODIA KUPANG JL. CAKDOKO NO. 52 KUPIbu Renya Marketing (0380)-824566, 821010, 808002- N Y Y PARTIAL1608 NTT KUPAN 3975 SILOAM HOSPITALS KUPAN JL. RW MONGINSIDI RT. Fania Pranata MARKETING 0380-8530900/8530911| 0380-8530933 Y Y Y ACTIVE1609 NTT KUPAN 2666 KLINIK & APOTEK KF LALAMJL. WJ.LALAMENTIK,95 D- MARYANTO YOSEPH. S.F- 0380-840362| - N Y Y PARTIAL1610 NTT KUPAN 2245 KLINIK & APOTEK KF 101 K JL. HEREWILA NO. 38 K SULFIANTO - 0380- 827270| - N Y Y PARTIAL1611 NTT KUPAN 3464 RS. WIRASAKTI JL. MOH. HATTA KUPANGI NYOMAN DESEL ARIAN- (0380)-821131 / 0380-824735| - Y Y Y ACTIVE1612 NTT KUPAN 4099 RSIA. LEONA JL. SOEVARDI NO. 20 OE SHERLY J. YAHUK Marketing 0380-840212 - 0811 3818 622| 0380-840212 Y Y Y ACTIVE1613 NTT KUPAN 2972 RS. KARTINI KUPANG JL. FRANS SEDA NO.17 IBU SEPVIAN / Ibu. nensMARKETING 0380-80265111/0380 - 831 270|(0380) 831270 Y Y Y ACTIVE1614 NTT KUPAN 1380 KLINIK & APOTIK KARTINI JL. ELTARI I NO.2 DR.IKE PENGELOLA 0380-833010| 0380-820660 N Y Y PARTIAL1615 NTT KUPAN 1647 RSIA. DEDARI JL. RANTAI DAMAI 69 D Ibu Ina MARKETING 0380-8553914/826774| 0380-830041/8553914 Y Y Y ACTIVE1616 NTT KUPAN 2242 KLINIK & APOTEK KF 135 K Jl. M.Hatta 46 Kupang BAPAK ADI Apoteker 0380- 830944/820541/831296| - N Y Y PARTIALLABUHAN BAJO1617 NTT LABUHA4762 SILOAM HOSPITALS LABUANJL. GABRIEL GAMPUR RT. ibu Ema - (0385) 238 1900 EXT. 22001| (0385) 238 1911 EXT. Y Y Y ACTIVESIKKA1618 NTT SIKKA 3616 LAB. KLINIK PRODIA MAUM JL. EL TARI, KEL. MADA Ibu Maria marketing (0382) 21146| - N Y Y PARTIALPAPUAJAYAPURA1619 PAPUA JAYAPU2188 KLINIK & APOTEK KF 172 J JL. AHMAD YANI NO. 67, CHRISTINA BAY AST. APOTEKER 0967-534921/533 322| 0967-534921 N Y Y PARTIAL1620 PAPUA JAYAPU2189 APOTEK KIMIA FARMA 194 JL. AHMAD YANI NO. 29 BP. PERDANA PENANGGUNG J 0967-533 322| 0967-533 322 N Y Y PARTIAL1621 PAPUA JAYAPU1469 RS. DIAN HARAPAN JL. TARUNA BHAKTI KEL BAPAK EDUAR MARKETING 0967-573479/ 572325; 0852 44 0967-573362/573979 Y Y Y ACTIVE1622 PAPUA JAYAPU4203 LAB. KLINIK CITO JL. ARGAPURA NO. 11 E, BPK MUHADI KOORDINATOR 0967-522080 / 085244202002| 0967-522082 N Y Y PARTIALMERAUKE1623 PAPUA MERAU4213 LAB. KLINIK CITO MERAUKEJL. RAYA MANDALA 293, YUSUF PAREBONG - 0971-325367| 0971-325368 N Y Y PARTIALTIMIKA1624 PAPUA TIMIKA 2716 RS. KASIH HERLINA TIMIKA JL. A.YANI NO. 37 Ibu Herlina Direktur (0901) 321433/321443 / 08239 (0901) 324310 Y Y Y ACTIVE1625 PAPUA TIMIKA 2732 KLINIK PURI HUSADA JL. BUDI UTOMO UJUNG, BAPAK PARDI Owner (0901) 3126661/081240760444|- N Y Y PARTIALPAPUA BARATMANOKWARI1626 PAPUA BMANOK4181 RS. ANGKATAN LAUT DR A JL. SERMA SUWANDI NO. IBU Astrid - 0986-211758; 0822-38980-504|- Y Y Y ACTIVE1627 PAPUA BMANOK6083 KLINIK DIVARI JL. DR. ESAU SESA NO. 31BPK IQBAL/DR FANY MARKETING (0986) 2210651/ 2210652| - N Y Y PARTIALSORONG1628 PAPUA BSORON1475 RS. PERTAMINA SORONG JL. AHMAD YANI NO. 13 IBU FEBI MARKETING 0951-321362, 321581| 0951-326110 Y Y Y ACTIVERIAUDUMAI1629 RIAU DUMAI 4169 KLINIK CITRA MEDIKA JL. M. YAMIN SH NO. 58, DR. SYAIFUL - (0765) 38508; 4300044| - N Y Y PARTIAL1630 RIAU DUMAI 2766 KLINIK IGA DUMAI JL. SUTAN SYARIF KASIM DR. GABY - 0765-4397481/ 085264881796| N Y Y PARTIAL1631 RIAU DUMAI 1621 KLINIK RAWAT INAP & BERSJL. JEND. SUDIRMAN NO. YULIANI MANAGER 0765-438189 / 438289| 0765-438008 Y Y Y ACTIVEDURI1632 RIAU DURI 0624 RSIA. MUTIA SARI JL. BATHIN BETUAH, NO IBU TITIN MARKETING 0765-93635/92080| 0765-597972/55979 Y Y Y ACTIVE1633 RIAU DURI 0922 KLINIK THURSINA JL. JEND SUDIRMAN NO. IBU ELMA MARKETING 0765-595573|0765-595573 0765-595573 N Y Y PARTIAL1634 RIAU DURI 0921 RS. PERMATA HATI DURI JL. JEND SUDIRMAN NO. IBU INEL/ ROSSA/ RINCEMARKETING 0765-94902/95799, GIGI9136700765-595799 Y Y Y ACTIVE1635 RIAU DURI 4121 LAB. PRODIA DURI JL. HANG TUAH 105 D, DU- - 0765-93008| - N Y Y PARTIAL1636 RIAU DURI 0930 RSU. THURSINA JL. HANGTUAH NO.93 IBU ELMA MARKETING 0765-597782 / 595573|0765-590765-597773 Y Y Y ACTIVEPANGKALAN KERINCI1637 RIAU PANGKA1369 RS. EFARINA PANGKALAN KJL. LINTAS TIMUR NO 1 IBU ELVINA MARKETING 0761-494500/493980| 0761- 493981 Y Y Y ACTIVEPEKANBARU1638 RIAU PEKANB2926 RSIA. ANDINI JL. TUANKU TAMBUSAI N Ibu Lisa marketing (0761) 33612 / 33850| (0761) 33649 Y Y Y ACTIVE1639 RIAU PEKANB4511 RS. A. YANI PEKANBARU JL. JEND. A. YANI NO. 73 DR. RUMATHA VERALIS - (0761) 856370| - Y Y Y ACTIVE


BY PAYOR LEVEL


1640 RIAU PEKANB4689 PRODIA PEKANBARU(PHC) JL. JENDRAL SUDIRMAN N- - (0761) 8403383, 856739| - N Y Y PARTIAL1641 RIAU PEKANB4853 RS. PRIMA PEKANBARU JL. BIMA NO. 1 NANGKA LINA MARKETING (0761) 8419007| (0761) 8419006 Y Y Y ACTIVE1642 RIAU PEKANB3568 PRODIA PEKANBARU JL. CEMPAKA NO. 80 B-C Nindhy / Rubby Cahyadkep. pelayanan 0761-45542| N Y Y PARTIAL1643 RIAU PEKANB1535 EKA HOSPITAL PEKANBARUJL. SOEKARNO HATTA, KMBPK BILSON/IBU ITA MARKETING 0761-6989999| 0761-6989944 Y Y Y ACTIVE1644 RIAU PEKANB4420 KLINIK & APOTEK KF SEI RAPEKANBARU - - -| - N Y Y PARTIAL1645 RIAU PEKANB3003 PRAKTEK DRG. TENSY A. T JL. AHMAD YANI 111C ( BAPAK BENNY - 081365910510 ; 081364223894- N Y Y PARTIAL1646 RIAU PEKANB0663 RSIA. ERIA BUNDA JL. KH. AHMAD DAHLAN, IBU TETTI ROZA/EFA KEUANGAN 0761-23100/23600| 0761-47235 Y Y Y ACTIVE1647 RIAU PEKANB2837 KLINIK MATA SUMATERA EYJL. ARIFIN AHMAD NO. IBU ENI PIC 0761-565686| 0761-565786 N Y Y PARTIAL1648 RIAU PEKANB5205 RS. MATA PEKANBARU EYE JL. SOEKARNO HATTA NOAGUS TAUFIQ MARKETING 07617875191-92| 0761-7875195 Y Y Y ACTIVE1649 RIAU PEKANB4739 AULIA HOSPITAL PEKANBARJL. HR.SUBRANTAS No. 6 BAPAK AAN MARKETING 0761-6700 000| (0761) 854815 Y Y Y ACTIVE1650 RIAU PEKANB0625 RS. SANTA MARIA PEKANBAJL. A. YANI, NO.68 IBU KANTI / FRANSISKA HUMAS 0761-28800,20235,20166,222130761-26071 Y Y Y PARTIAL1651 RIAU PEKANB0664 RS. ISLAM IBNU SINA PEKA JL. MELATI, NO.60 IBU IVO/ IBU FARAH HUMAS 0761-24242/26011| 0761-35698 Y Y Y ACTIVE1652 RIAU PEKANB0841 RSIA. ZAINAB JL. RONGGOWARSITO I NOBPK. IRHAM/IBU OKTA MARKETING 0761-24000| 0761-859448 Y Y Y ACTIVE1653 RIAU PEKANB0920 RS. AWAL BROS PEKANBARJL. JEND. SUDIRMAN NO.1HARRY RIZKY MARKETING 0761-47333-|- 0761-47222 Y Y Y ACTIVE1654 RIAU PEKANB2101 APOTEK KIMIA FARMA 229 JL. SUDIRMAN 724 Asep APOTEKER 0761 29186| - N Y Y PARTIAL1655 RIAU PEKANB2102 APOTEK KIMIA FARMA 93 JL. JEND. SUDIRMAN NO Joelimar Iriyanto - 0761-32796| - N Y Y PARTIAL1656 RIAU PEKANB1596 RS. KHUSUS BEDAH & KEBI JL. JEND.SUDIRMAN NO. BPK. FERIZAL MARKETING 0761-856517,35360| 0761-41887 Y Y Y ACTIVE1657 RIAU PEKANB2409 RSIA. BUDHI MULIA JL.SOEKARNO HATTA NO.IBU TRIANA MARLIANAWMARKETING 0761-3069900/8417200| 0761-8417255 Y Y Y ACTIVE1658 RIAU PEKANB2590 RSB. ANNISA TANGKERANGJL. GARUDA NO. 66 TAS RIO - (0761) 848 652| (0761) 848 652 Y Y Y ACTIVE1659 RIAU PEKANB2468 RS. AWAL BROS PANAM JL. HR. SOEBRANTAS RT DR CACA BUSSNISE DEV 0761-586 888| 0761 586111 Y Y Y ACTIVE1660 RIAU PEKANB2663 KLINIK & APOTEK KF 395 JL. MELUR NO.4, PEKANB YULIA TEMPATIH PUTRI,- 0761-7076373| - N Y Y PARTIALROKAN HILIR1661 RIAU ROKAN 4136 KLINIK UTAMA CAHAYA JL. LINTAS RIAU UJUNG T DR. SURATMIN, M.Ked, - 081-266818300| - Y Y Y ACTIVE1662 RIAU ROKAN 2199 KLINIK AGUNG JL. JEND. SUDIRMAN KM. Dr. DAULAY - 0765-552459| 0765-552459 N Y Y PARTIALROKAN HULU1663 RIAU ROKAN 1878 RS. AWAL BROS UJUNG BATJL. JEND. SUDIRMAN NO BPK SAHRUL marketing 0762-7363329| 0762-7363334 Y Y Y ACTIVERIAU KEPULAUANBATAM1664 RIAU KE BATAM0584 RS. AWAL BROS BATAM JL. GAJAH MADA KAV.1 BAIBU MARIA MARKETING 0778 - 431777| 0778-430777 Y Y Y ACTIVE1665 RIAU KE BATAM4838 RSIA. FRISDHY ANGEL JL. RADEN PATAH BLOK B REVI EKA WIDYA - Y Y Y ACTIVE1666 RIAU KE BATAM3608 PRODIA BATAM JL. ENGKU PUTRI, KOMP SRI YULIANINGSIH BM (0778) 7495735| N Y Y PARTIAL1667 RIAU KE BATAM4336 KLINIK DUNIA MEDICAL CE RUKO PERUMNAS FANINDO IBU NURSANTI - (0778) 7432 899| (0778) 3581209 N Y Y PARTIAL1668 RIAU KE BATAM4150 KLINIK & APOTEK KF NO. 23PANBIL MALL BLOK A NO.DRA. ITA TAURIESTANIN- 0778-371149| - N Y Y PARTIAL1669 RIAU KE BATAM6018 KLINIK MUTIARA AISYAFA KOMPLEK RUKO TAMAN CAMARWANTO MARKETING 0778-7432804 / 081374682228|0778-7432804 N Y Y PARTIAL1670 RIAU KE BATAM1010 RS. ST. ELISABETH - BATAMJL. ANGGREK BLOK II, BAIBU PURNAMA/ IBU MARKEUANGAN/MAR0778 - 457357|- 0778-457710/422473 Y Y Y ACTIVE1671 RIAU KE BATAM0485 GENTA MEDICAL CENTER MUKA KUNING INDAH, BLOIBU LINDA PELAYANAN PAS0778-361909| - N Y Y PARTIAL1672 RIAU KE BATAM6485 RS. ST. ELISABETH BATAM JL. RAJA ALI KELANA, KE IBU ELMARIA - (0778) 4803191| (0778) 4803190 Y Y Y PARTIAL1673 RIAU KE BATAM2503 RS. GRAHA HERMINE KOMP. RUKO ASIH RAYA NORISBON MARKETING (0778) 363318, 363127| (0778) 363164 Y Y Y ACTIVE1674 RIAU KE BATAM0484 RB. BUDI ROSARI JL. MAHKOTA SIMPANG, BPK WIRA / IBU NENEN KEUANGAN 0778-427854| 0778-432833 Y Y Y PARTIAL1675 RIAU KE BATAM0582 RS. BUDI KEMULIAAN BATA JL. BUDI KEMULIAAN, NOIBU DHESMA KEUANGAN 0778-426865, 454044|0778-4540778-454055 Y Y Y ACTIVE1676 RIAU KE BATAM2448 YAHYA MEDICAL CENTER & KOMPLEK RUKO SAGULUNGHAMDANI HRD (0778) 392748| (0778) 392749 N Y Y PARTIAL1677 RIAU KE BATAM2479 KLINIK & APOTEK KF 413 KOMP. RUKO BOTANIA GARDARMA, S.FARM Kepala Apotik 0778 7431199| - N Y Y PARTIAL1678 RIAU KE BATAM2480 KLINIK & APOTEK KF 128 KOMP. PERTOKOAN WIJAYAROSMIDA KHOHAR, S.SI- 0778 323697| - N Y Y PARTIAL1679 RIAU KE BATAM2482 KLINIK & APOTEK KF 269 JL. JEND SUDIRMAN, BAT DRS. HERMANTA TARI - 0778 461482; 363375| - N Y Y PARTIAL1680 RIAU KE BATAM2484 KLINIK & APOTEK KF 59 JL. IMAM BONJOL, NO.1, DRS. I KOMANG KARTI - 0778 458560/4087700| - N Y Y PARTIAL1681 RIAU KE BATAM2486 KLINIK & APOTEK KF 137 KOMP.SAGULUNG MAS INB. AGUNG WIDI N, S.SI - 0778 392146| - N Y Y PARTIAL1682 RIAU KE BATAM2487 KLINIK & APOTEK KF 224 KOMP MUKA KUNING INDAHADHLIN YULSYAR, S.FA - 0778 363375| - N Y Y PARTIAL1683 RIAU KE BATAM4097 KLINIK JAYA SEHAT JL. RADEN PATAH, KOMP DR. LUIS YULIA - 0778 - 428042| - N Y Y PARTIALBINTAN1684 RIAU KE BINTAN1241 KLINIK BERSALIN ERNES JL. PERMAISURI NO.8 T DR.ODRI AGNES/ IBU I ACOUNTING 0771-483212| 0771-482738 Y Y Y PARTIAL1685 RIAU KE BINTAN1240 RB. & BP TIARA MEDIKA JL. KAMPUNG HARAPAN RDR.ERIKA KAMIL/ IBU OJPEMILIK/ ADM 0771-484427| 0771-484427 Y Y Y ACTIVEBINTAN UTARA1686 RIAU KE BINTAN2457 RSUD. TANJUNG UBAN JL. INDUN SURI SIMPAN RANTI/ BPK IYAN GUMI HUMAS (0771) 482655/ 082324421982|- Y Y Y ACTIVEKARIMUN1687 RIAU KE KARIMU5782 KLINIK NAYA MEDIKA JL. RAJA OESMAN RUKO Tdr.IBNU HAJAR - 0777-327842| - N Y Y PARTIAL1688 RIAU KE KARIMU1237 KLINIK SAYANG IBU JL. AHMAD YANI, NO.20, DR.AWANG LIM / IBU ELPEMILIK 0777- 216 76| 0777- 222 52 N Y Y PARTIAL1689 RIAU KE KARIMU1291 APOTIK DEVI FARMA JL. AHMAD YANI, SEI PA BPK.RACHMADI PEMILIK 0777-21388| 0777-368974/21388 N Y Y PARTIAL1690 RIAU KE KARIMU1208 MEDIC CENTRE CLINIC JL. AHMAD YANI, KOMPL KARMILA/ RAMADANI GENERAL MANA0777- 325 561| 0777- 325561 N Y Y PARTIAL1691 RIAU KE KARIMU0874 RSB. GRAHA RAP JL. R.USMAN, BATU LIPAI DR.RIDWAN A. PEMILIK 0777-326097| 0777-323857 Y Y Y ACTIVE

0778-424 901/ 425134|


BY PAYOR LEVEL


1692 RIAU KE KARIMU1271 RS. BAKTI TIMAH KARIMUN JL. CANGGAI PUTRI TEL IBU SERLY MARKETING 0777-7367085| 0777-7333251 Y Y Y ACTIVETANJUNG PINANG1693 RIAU KE TANJUN2483 KLINIK & APOTEK KF 31 JL. BINTAN 656-658,TG.P M. TRI KURNIAWAN, S.S- 0771 22879, 21091| - N Y Y PARTIAL1694 RIAU KE TANJUN4416 KLINIK & APOTEK KF 169 JL. BRIGJEND. KATAMSO, TYosep Asmara Nurhakim- 0771 - 317631| N Y Y PARTIAL1695 RIAU KE TANJUN3766 PRODIA TANJUNG PINANG JL. IR. SUTAMI, RUKO VI (0771) 25305 - (0771) 25305| - N Y Y PARTIAL1696 RIAU KE TANJUN6495 KLINIK ALRASHA HEALTH C JL. HANG LEKIR NO.18-2 DR. ANGGA MARKETING (0771) 442679| - N Y Y PARTIAL1697 RIAU KE TANJUN4396 KLINIK & APOTEK KF 109 JL. MT.HARYONO KM.3,5 bpk linquad - 0771 313590| - N Y Y PARTIAL1698 RIAU KE TANJUN4397 KLINIK & APOTEK KF 297 JL. BANTAR CETEK KM.9 - - 0771 441619| - N Y Y PARTIALSULAWESI BARATMAMUJU1699 SULAWESMAMUJ 4521 PRODIA MAMUJU JL. ABD WAHAB AZASI NOLENI MALINO - 081513905286| - N Y Y PARTIAL1700 SULAWESMAMUJ 4087 RSUD. MAMUJU JL. RE. MARTADINATA M DR. H. HARMAN HABA Direktur 0426-21107| - Y Y Y ACTIVESULAWESI SELATANBONE1701 SULAWESBONE 4819 RS. HAPSAH JL. URIP SUMOHARJO, NO NAHDANIAR JEMMA - (0481) 2911811| - Y Y Y ACTIVEMAKASSAR1702 SULAWESMAKAS3065 RSB. SENTOSA MAKASSAR JL. JEND. SUDIRMAN 52, IBU FRIESYE (08134258marketing 0411-3612720| (0411) 3619711 Y Y Y ACTIVE1703 SULAWESMAKAS5129 PARAHITA DIAGNOSTIC CENJL. GUNUNG LATIMOJONGYOHANA MARIA MARKETING 0411-3623573| N Y Y PARTIAL1704 SULAWESMAKAS2178 APOTEK FARMARIN MAKASSJL. LANDAK LAMA NO 27, DRS. DAUD MANDI, AP - 0411-870397| - N Y Y PARTIAL1705 SULAWESMAKAS4817 KLINIK TELKOMEDIKA MAKAJl. DR. RATULANGI NO. SULTAN/ANDY - 0411 8122283 / 081355551600|- N Y Y PARTIAL1706 SULAWESMAKAS1630 RS. AWAL BROS MAKASSARJL. JEND. URIP SUMOHAR ZAKARIA MARKETING 0411-454567/455558| 0411-455123 Y Y Y ACTIVE1707 SULAWESMAKAS1190 RS. AKADEMIS JAURY YUSU JL. JEND. M YUSUF NO. DR.INDAH / IBU HASAN MARKETING 0411-3617343/3613054/3613070411-313914 Y Y Y ACTIVE1708 SULAWESMAKAS2291 KLINIK & APOTEK KF 199 ERJL. URIP SUMOHARJO NO - - 0411 449 936| - N Y Y PARTIAL1709 SULAWESMAKAS2657 KLINIK & APOTEK KF HERTAJL. HERTASNING NO 11 - DRS. ROY MUSTAKIM, A- 0411- 442945| - N Y Y PARTIAL1710 SULAWESMAKAS2658 KLINIK & APOTEK KF 33 JL. AHMAD YANI, NO.17 - DRS. ROY MUSTAKIM, A- 0411-3616722| - N Y Y PARTIAL1711 SULAWESMAKAS2659 KLINIK & APOTEK KF PETTA JL. PETTARANI 18, MAKA DRS. ROY MUSTAKIM, A- 0411-857210 / 857215| - N Y Y PARTIAL1712 SULAWESMAKAS2660 KLINIK & APOTEK KF DAENGJL. DAENG TATA 69, MAK BPK . RAHMAT - 0411-880685| - N Y Y PARTIAL1713 SULAWESMAKAS2661 KLINIK & APOTEK KF 250 JL. DR.RATULANGI 59, M DRS. FAEDAL B., APT. - 0411- 582895| - N Y Y PARTIAL1714 SULAWESMAKAS2717 KLINIK & APOTEK KF 38 JL. HASANUDDIN, NO.46, ANDI ISWANTO/NUR APOTEKER 0411- 3617110| - N Y Y PARTIAL1715 SULAWESMAKAS2904 KLINIK PRODIA MAKASSAR JALAN SUNGAI SADDANGAFRIYANTI PURNAMA MARKETING (0411) 872727/446666| (0411) 873110 N Y Y PARTIAL1716 SULAWESMAKAS2905 KLINIK PRODIA MAKASSAR JL. BOULEVARD RUKO RUBP. JOKO WIDODO - (0411) 446666| (0411) 457000 N Y Y PARTIAL1717 SULAWESMAKAS4161 KLINIK & APOTEK KF GOWAJL. SULTAN HASANUDDINHILYAH FADHILAH, S.Si - 0411-869842|- - N Y Y PARTIAL1718 SULAWESMAKAS4163 KLINIK & APOTEK KF MARO JL. POROS MAROS MACCOIRMALASARI ISMAIL, S.SAPOTEKER 0411-372020|- - N Y Y PARTIAL1719 SULAWESMAKAS1388 RATULANGI MEDICAL CENT JL. SAM RATULANGI NO.2IBU HARTATI MARKETING 0411-878605/06/88| 0411-878587 N Y Y PARTIAL1720 SULAWESMAKAS1389 RS. GRESTELINA JL. LETJEN HERTASNING DR. BENHARD KATUUK, IMARKETING 0411-448855/448852| 0411-448854 Y Y Y ACTIVE1721 SULAWESMAKAS1390 RS. IBNU SINA YBW-UMI JL. URIP SUMOHARJO, KMBPK YUSMAN PELAYANA MEDI0411-452958/5781595/452917| 0411-425397 Y Y Y ACTIVE1722 SULAWESMAKAS1393 RSIA. SITI KHADIJAH 1 MAK JL. KARTINI NO.15-17 M IBU FITRI/ MUBARAQ Marketing 0411-3624554/8614661| 0411-3627119 Y Y Y ACTIVE1723 SULAWESMAKAS0641 RS. STELLA MARIS MAKASS JL. SOMBA OPU NO.273, IBU CHRISTINA/IBU DEVKERJASAMA 0411-871391/873346| 0411 - 859545 Y Y Y ACTIVE1724 SULAWESMAKAS5414 RSIA. PERMATA HATI MAKA JL. TAMALANREA RAYA POIBU IRA NUGRIAH 0411-4774085 / 582278| Y Y Y ACTIVE1725 SULAWESMAKAS6622 KLINIK AZKA NADHIFA JL. WIJAYA KUSUMA RAYASRI RAHAYU PIC 082188190197| - N Y Y PARTIAL1726 SULAWESMAKAS6437 RSIA. PARAMOUNT MAKASSJL. ANDI PANGERAN PETTDR.NADJIB PIC 0411-4671666| 0411-4671999 Y Y Y ACTIVE1727 SULAWESMAKAS5593 RS. HERMINA MAKASSAR JL. TODDOPULI RAYA TI RATNA (0411) 4091817| (0411) 4091775 Y Y Y ACTIVE1728 SULAWESMAKAS5237 CEREBELLUM CLINIC JL. SWADAYA NO. 4, MAK BPK SATRIA - (0411) 427184| - N Y Y PARTIAL1729 SULAWESMAKAS4985 RSU. WISATA UNIVERSITAS JL. ABDUL KADIR NO. 70 Bapak Sofyan Marketing (0411) 888444, 888666| (0411) 8115656 Y Y Y ACTIVE1730 SULAWESMAKAS5145 PRODIA-BATU PUTIH JL. G. BATU PUTIH NO. 2 - - -| - N Y Y PARTIAL1731 SULAWESMAKAS1847 SILOAM HOSPITALS MAKAS JL. METRO TANJUNG BUN PUTRI AMELIA BUSDEV MANAG0411-3662900/8117555/8117430411-8117911 Y Y Y ACTIVE1732 SULAWESMAKAS3085 RS. UNIVERSITAS HASANUDJL. PERINTIS KEMERDE IBU MIRNA - 0411 - 591331| - Y Y Y ACTIVEPALOPO1733 SULAWESPALOPO3772 LAB. PRODIA PALOPO JL. ANDI DJEMMA NO. 53 - - (0471) 327467| - N Y Y PARTIAL1734 SULAWESPALOPO0914 RS. AT MEDIKA JL. ANDI JEMMA, NO.09 AMRULLAH - 0471-21596-|- 0471-23008 Y Y Y ACTIVEPARE PARE1735 SULAWESPARE P1394 RS. FATIMA PARE-PARE JL. ILHAMV KOTAK POS 12IBU IDA / IBU MERRY MARKETING 0421-21847| 0421-21328 Y Y Y ACTIVE1736 SULAWESPARE P3773 LAB. PRODIA PARE PARE JL. ANDI MAPPATOLA NO.- - (0421) 22265 / 7007433| - N Y Y PARTIALSENGKANG1737 SULAWESSENGK 4129 LAB. PRODIA SENGKANG JL. AP PETTARANI NO.18 - - 0485-323409| - N Y Y PARTIALTANA TORAJA1738 SULAWESTANA T2339 RS. FATIMA MAKALE TORAJ JL. NUSANTARA NO.18 KEdr. Adrian - 0423-24058/ 082343900606| (0423) 22627 Y Y Y PARTIAL


BY PAYOR LEVEL


SULAWESI TENGAHPALU1739 SULAWESPALU 2287 APOTEK KIMIA FARMA 449 JL. WOLTER MONGINSIDIBP MUSLIM - 0451-429832| - N Y Y PARTIAL1740 SULAWESPALU 3577 KLINIK PRODIA PALU JL. S. PARMAN NO. 16, P Bapak Berti - 0451-451639| - N Y Y PARTIAL1741 SULAWESPALU 0639 RSU. WOODWARD (BALA KEJL. LH. WOODWARD NO.1Bpk Fredik MARKETING 0451 - 421769, 423744| 0451 - 423744 Y Y Y ACTIVE1742 SULAWESPALU 2288 KLINIK & APOTEK KF 390 P JL. SETIABUDI NO. 65 D ibu Ayu - 0451-425132| - N Y Y PARTIALSULAWESI TENGGARABAU BAU1743 SULAWESBAU BA2300 RS. MURHUM JL. SULTAN MURHUM NO.BP H FUAZI - 0402-2822650| 0402-2823919 Y Y Y ACTIVE1744 SULAWESBAU BA4761 SILOAM HOSPITALS BUTON JL. SULTAN HASANUDDINAGNES CLAUDIA - 0402-2825555| (0402) 2823020 Y Y Y ACTIVEKENDARI1745 SULAWESKENDAR2286 KLINIK & APOTEK KF 288 JL. A. YANI NO. 84 KENDAFirdaus - 0401 319 6186| - N Y Y PARTIAL1746 SULAWESKENDAR2285 KLINIK & APOTEK KIMIA FA JL. HOMAMMAD HATTA NOMuhammad Sujarwad, S.PIC 0401 -3127182| - N Y Y PARTIAL1747 SULAWESKENDAR3576 PRODIA KENDARI JL. SAOSAO NO. 207 KEN - - 0401-3121789| - N Y Y PARTIAL1748 SULAWESKENDAR6229 KLINIK DIAGNOSTIK RAPHA JL. MALAKA NO. 25 AND DR. GUNAWAN PIC 0401-3081484| - N Y Y PARTIAL1749 SULAWESKENDAR1537 RS. ST. ANNA JL. DR. MOH.HATTA, NO. BPK.MATIUS MARDI KEUANGAN 0401-3123092/0401 3124976| 0401-3124872 Y Y Y ACTIVESULAWESI UTARAKOTAMOBAGU1750 SULAWESKOTAM3762 PRODIA KOTAMOBAGU JL. D.I. PANJAITAN NO. I KETUT SUDIPUTRA - (0434) 2629104| - N Y Y PARTIALMANADO1751 SULAWESMANAD4245 KLINIK & APOTEK KF TUMI JL. HASANUDIN NO 137 Kristiningrum Hery.Apt - 0431 855420| - N Y Y PARTIAL1752 SULAWESMANAD4244 KLINIK & APOTEK KF 290 JL. MARTHADINATA RAYA Drs. Yuni Asman.Apt - 0431 861878| - N Y Y PARTIAL1753 SULAWESMANAD4247 KLINIK & APOTEK KF MAP JL. AA MARAMIS MANADOGema Yulan Dahnis - 0431 812628| - N Y Y PARTIAL1754 SULAWESMANAD2296 THC MANADO JALAN WR SUPRATMAN NDR. HASMIATY NUR GO - 0431- 843363| - N Y Y PARTIAL1755 SULAWESMANAD2230 KLINIK & APOTEK KF NO. 74JL. SAM RATULANGI NO. BPK RIDWAN - 0431-864012| 0431-850838 N Y Y PARTIAL1756 SULAWESMANAD2232 KLINIK & APOTEK KF WENA JL. LIMIMUNT NO. 12 A BPK RUDI AVIANSYAH - 0431-867163/840087| - N Y Y PARTIAL1757 SULAWESMANAD2233 LAB. PRODIA MANADO JL. SAM RATULANGI NO. M RUSTAN - 0431-874567| - N Y Y PARTIAL1758 SULAWESMANAD2231 APOTEK KIMIA FARMA MAL KP. REL NO. 5 RS. VP M BPK DUDI ABDULRAHM - 0431-838278| 0431-838277 N Y Y PARTIAL1759 SULAWESMANAD2656 KLINIK & APOTEK KF 129 JL. A.YANI, SARIO, MANA iQBAL HP 08234506028KOORDINATOR 0431- 861571| - N Y Y PARTIAL1760 SULAWESMANAD2650 KLINIK & APOTEK KF 331, JL. W.MONGINSIDI 29 A, EKO EDI PRAYITMO S.SI.- 0431-842786| - N Y Y PARTIAL1761 SULAWESMANAD2654 KLINIK & APOTEK KF 332 JL. SAM RATULANGI NO.3MARULI MARPAUNG, S.SI- 0431- 843002| - N Y Y PARTIAL1762 SULAWESMANAD2805 RSIA. KASIH IBU MANADO Jl. Wolter Monginsidi 1 K ibu Jane / Inge Kondoy Marketing 0431 834780/834667| 0431 834721 Y Y Y ACTIVE1763 SULAWESMANAD5427 RS. MANADO MEDICAL CENJL. RAJAWALI NO.8, PAAL BPK RONALD H CIAKAREN 0431-866641 / 082190285345| 0431-866641 Y Y Y ACTIVE1764 SULAWESMANAD1798 SILOAM HOSPITALS MANADJL. SAM RATULANGI NO BP. SELFIANUS / IBU F MARKETING 0431-7290900| 0431-8883133 Y Y Y ACTIVE1765 SULAWESMANAD1502 RS. ADVENT MANADO JL. 14 FEBRUARI, NO.1, BP MODI MAMAHID MARKETING 0431-847950/858429| 0431-850012 Y Y Y ACTIVESUMATERA BARATBUKIT TINGGI1766 SUMATERBUKIT T2114 KLINIK & APOTEK KF 146 BUJL. JEND. SUDIRMAN NO BAPAK DEDI - 0752-35700| - N Y Y PARTIAL1767 SUMATERBUKIT T3602 PRODIA BUKIT TINGGI JL. A. RIVAI 23, BUKIT T DEWI ARYANTI - (0752) 23348| N Y Y PARTIAL1768 SUMATERBUKIT T1398 RSU. MADINA JL. GURU HAMZAH NO.17BPK.JOHN HENDRI Medical Record 0752-21388 EXT 228| 0752-626677 Y Y Y ACTIVEPADANG1769 SUMATERPADAN 1569 RSIA. CICIK JL. DR. SUTOMO NO.94 IBU DEWI MARKETING (0751) 38846; 38866| (0751) 841286 Y Y Y ACTIVE1770 SUMATERPADAN 6420 RSIA. RESTU IBU PADANG JL TERAMDAN NO. 5-7 P IBU ANGGIE - 0751-810756| 0751-31743 Y Y Y ACTIVE1771 SUMATERPADAN 0423 RSU. BUNDA MEDICAL CENTJL. PROKLAMASI NO.31-3 BPK Okta MARKETING 0751-23164/29536/21151/247500751-23200 Y Y Y ACTIVE1772 SUMATERPADAN 0616 RS. YOS SUDARSO JL. SITUJUH, NO.1 IBU HELEN MARKETING 0751-33230/33231| 0751-31811 Y Y Y ACTIVE1773 SUMATERPADAN 2060 KLINIK & APOTEK KF 94 PA JL. PROKLAMASI N. 24 RONI KA-HUMAS 0751-891195| - N Y Y PARTIAL1774 SUMATERPADAN 2113 KLINIK & APOTEK KF 238 P JL. PATIMURA NO 18 PA AHMAD SYAHRONI - 0751-23620| - N Y Y PARTIAL1775 SUMATERPADAN 4195 RS. KHUSUS BEDAH ROPANJL. ALUR NO.8 PADANG IBU VIVI 0751-31938,33854| 0751-25735 Y Y Y ACTIVE1776 SUMATERPADAN 4051 RSIA. SITI HAWA JL. PARAK GADANG RAYAIBU ENDANG Marketing 0751-841251| - Y Y Y ACTIVE1777 SUMATERPADAN 3569 PRODIA PADANG (JL. PATTI JL. PATTIMURA NO. 3 A, RAHMAN SATRIA - 0751-38795| N Y Y PARTIAL1778 SUMATERPADAN 4805 ZIRCONIC DENTAL CLINIC JL. H. AGUS SALIM NO. 5 drg. Intan Batura Endo - (0751) 841917; (0811666310)| - N Y Y PARTIAL1779 SUMATERPADAN 2714 SEMEN PADANG HOSPITAL JL. BY PASS KM 7 KEL. P DR. MISS BERLYANTI - (0751) 777888, 4782999., 4782 (0751) 4782990 Y Y Y ACTIVE1780 SUMATERPADAN 4794 RS. NAILI DBS JL. RATULANGI NO. 24 RTFEBIOLA FADHILAH - (0751) 8951900 ; 8951901| (0751) 8951902 Y Y Y ACTIVE1781 SUMATERPADAN 2369 RS. MATA PADANG EYE CENJL. PEMUDA NO. 53 PAD SDR. SILVIA - 0751-30094| 0751-30098 Y Y Y ACTIVE1782 SUMATERPADAN 1320 RSI. SITI RAHMAH PADANG JL. RAYA BY PASS KM 15 IBU YORI -Marketing 0751-463059| 0751-463531 Y Y Y ACTIVE1783 SUMATERPADAN 0304 RS. SELAGURI JL. A.YANI, NO.26 IBU FAYNEM MARKETING 0751 -33010/21953| 0751-840051 Y Y Y ACTIVE1784 SUMATERPADAN 4840 RSB. MUTIARA BUNDA JL. S. PARMAN NO. 142 IBU NELMAYATI - 0751-7054076| - Y Y Y ACTIVE


BY PAYOR LEVEL


1785 SUMATERPADAN 4070 RSIA. ANNISA PADANG JL. PEMUDA NO. 18, PAD IBU MAI ZURYATI MARKETING (0751) 31906| (0751) 31905 Y Y Y ACTIVEPAYAKUMBUH1786 SUMATERPAYAK 1720 RSI. IBNU SINA PAYAKUMB JL. PEMUDA NO.14 IBU REZI /DR ANNE/IBU MARKETING 0752-92222/90555| 0752-796744 Y Y Y ACTIVE1787 SUMATERPAYAK 2115 KLINIK & APOTEK KF 372 JL. JEND. SUDIRMAN PA JUNIARTI apoteker -| KF_ N Y Y PARTIALSUMATERA SELATANBATU RAJA1788 SUMATERBATU R1284 RS. SANTO ANTONIO JL. KOMISARIS UMAR NO.SR. M. SKOLASTIKA HUMAS 0735-320395/322418/324700| 0735-320201 Y Y Y ACTIVELUBUK LINGGAU1789 SUMATERLUBUK 1869 KLINIK SEKATA JL. YOS SUDARS. O NO. DR CHRISTANTO BEKTI Koordinator dok0733-321357| - N Y Y PARTIAL1790 SUMATERLUBUK 2715 RS. AR BUNDA LUBUK LING JL. GARUDA NO 245 RT 0bpk Fery Humas & Pemas(0733) 324955/324963| (0733) 321892 Y Y Y ACTIVEMUARA ENIM1791 SUMATERMUARA 5778 KLINIK BERSALIN KARUNIA JL. MAYOR TJI AGUS KIE FARADILLAH 081273373378| N Y Y PARTIAL1792 SUMATERMUARA 4372 RS. BUKIT ASAM JL. Raya Bukit Asam No 1RAMALIA GIANTRI/DR. MARKETING 0734-451096| - Y Y Y ACTIVEPALEMBANG1793 SUMATERPALEM 0817 RS. RK. CHARITAS JL. JEND. SUDIRMAN NO. BPK.AGUSMAN/ZR.EMI/JMARKETING 0711-350426/3533750711-35330711-362205/377088 Y Y Y ACTIVE1794 SUMATERPALEM 0803 RS. MYRIA JL. KOL. H. BURLIAN KM CHRISTIN MARKETING 0711-411610/412433/421914| 0711-414052 Y Y Y ACTIVE1795 SUMATERPALEM 0885 RSIA. YK. MADIRA JL. JEND SUDIRMAN NO.1 IBU SUKMA MARKETING 0711-364954,362766, 374802, (0711) 356173 Y Y Y ACTIVE1796 SUMATERPALEM 0627 RS. PUSRI JL. MAYOR ZEN, KOMPLEKIBU REZA - 0711 -712222-712111| 0711-712071 Y Y Y ACTIVE1797 SUMATERPALEM 0688 RS. ISLAM SITI KHADIJAH JL. DEMANG LEBAR DAUNIBU WATI HUMAS 0711-356008/374440-2/310407|0711-311884 Y Y Y ACTIVE1798 SUMATERPALEM 0883 RS. BUNDA PALEMBANG JL. DEMANG LEBAR DAUNTEGUH / ERNITA WADIR / MARKE0711-312866,3118660711-31180711-355553 Y Y Y ACTIVE1799 SUMATERPALEM 1622 RS. HERMINA PALEMBANG JL. BASUKI RAHMAT NO.8IBU SUSAN MARKETING 0711-352525| 0711-366945 Y Y Y ACTIVE1800 SUMATERPALEM 4132 LAB. PRODIA VETERAN JL. VETERAN 930/C2, 9 I - - 0711-377239/362487| - N Y Y PARTIAL1801 SUMATERPALEM 2839 POLIKLINIK PERTAMINA PA JL. JEND. AHMAD YANI N DR. MAHARANI penanggung ja -| - N Y Y PARTIAL1802 SUMATERPALEM 2787 RS. PERTAMINA PLAJU PER JL. PENGANTINGAN NO. IBU NILA/ BOWO HUMAS (0711) 597401/597442/597446|(0711) 542388 Y Y Y ACTIVE1803 SUMATERPALEM 2185 KLINIK & APOTEK KF 209 JL. LETKOL ISKANDAR NO.BPK. UNDIANTO (BM P - 0711354717/0711362245| - N Y Y PARTIAL1804 SUMATERPALEM 2442 KLINIK PRODIA PALEMBANGJL. BASUKI RAHMAT NO. IBU YASINTA - 0711-411304| 0711-5610294 N Y Y PARTIAL1805 SUMATERPALEM 2423 RSIA. AZZAHRA PALEMBAN JL. BRIGJEN HASAN KASI IBU.KIKI MARKETING 0711-822723| 0711-826044 Y Y Y ACTIVE1806 SUMATERPALEM 2394 KIMIA FARMA 239 JL. MP. MANGKUNEGARABPK. AMIR - 0711 - 823503| - N Y Y PARTIAL1807 SUMATERPALEM 3965 RS. SRIWIJAYA EYE CENTER JL. JEND.SUDIRMAN KM. 4,IBU MELLY MARKETING (0711) 5611976/419680| Y Y Y PARTIAL1808 SUMATERPALEM 6116 RSIA. BUNDA NONI Jl. SRIJAYA NEGARA, RT.072IBU VERA PIC (0711) 441952| - Y Y Y ACTIVE1809 SUMATERPALEM 4034 RS. MUSI MEDIKA CENDIKIA JL. DEMANG LEBAR DAUNSUSILAWATI SE MARKETING 0711-446272| 0711-441345 Y Y Y ACTIVE1810 SUMATERPALEM 1884 SILOAM SRIWIJAYA PALEMBJL. POM IX KEL. LOROK PAIBU DEBBY / HANNY MARKETING 0711-5229100 ext 27101| 0711-5649100 Y Y Y ACTIVEPENUKAL ABAB LEMATANG ILIR1811 SUMATERPENUKA2152 RSUD. TALANG UBI JL. TAMAN SISWA KELU IBU SUDARTINI/DR. DHA- 0713-390487/0713-390566-3910713-391456/390487 Y Y Y ACTIVEPRABUMULIH1812 SUMATERPRABUM0824 RS. PERTAMINA PRABUMULIJL. KESEHATAN, NO.100 IBU SULASMI/ AYU MARKETING 0713- 383333/382749/322069/30713-321903/325181 Y Y Y ACTIVE1813 SUMATERPRABUM3953 RS. FADHILAH JL. JENDRAL SUDIRMAN IBU PUJI RAMADIN HUMAS/MARKET(0713) 3300032; 323939;| (0713) 3300032 Y Y Y ACTIVE1814 SUMATERPRABUM1449 RS. AR BUNDA PRABUMULI JL. ANGKATAN 45, KEL IBU MARTINI MARKETING 0713-322954, 7003330| 0713-325980/322954 Y Y Y ACTIVESUMATERA UTARAASAHAN1815 SUMATERASAHA 2351 RS. SETIO HUSODO JL. S. M. RAJA N0 67 K BPK. AMIN - 0623-44999| 0623-43394 Y Y Y ACTIVEBINJAI1816 SUMATERBINJAI 6461 RSU. RATU MAS JL. TENGKU AMIR HAMZAHVINI VERAWATI MARKETING 061-8829404/8828173| - Y Y Y ACTIVE1817 SUMATERBINJAI 3722 PRODIA BINJAI JL. SUDIRMAN NO. 25, BI"AMBO ENRE - (061) 8828269| - N Y Y PARTIAL1818 SUMATERBINJAI 2776 RSU. SYLVANI JL. N.PERINTIS KEMERDEKPIPIT MARKETING (061) 80045925| (061) 80045923 Y Y Y ACTIVE1819 SUMATERBINJAI 1811 RS. BIDADARI BINJAI PERINTIS KEMERDEKAAN NIBU RINI - 061- 8830003| 061 - 8826004 Y Y Y ACTIVE1820 SUMATERBINJAI 1624 RSU. ARTHA MEDICA JL. SAMANHUDI NO. 22 BIIBU MEGA - 061-8820387/8828167| 061-8830757 Y Y Y ACTIVE1821 SUMATERBINJAI 1652 RS. LATERSIA JL. SOEKARNO HATTA, KMIBU ENDANG MARKETING 061-8829588/8829788| 061-8822565 Y Y Y ACTIVEBRASTAGI1822 SUMATERBRASTA1542 RS. EFARINA ETAHAM BRASJL. JAMIN GINTING, NO.1, BPK.YAHYA SEMBIRING/MARKETING 0628-323716/17| 0628-213718 Y Y Y ACTIVEDELI SERDANG1823 SUMATERDELI S 2348 RS. PATAR ASIH LUBUK PA JL. BAKARAN BATU DESA IBU ERSE Koordinator 061-7950449,50| 061-7950313 Y Y Y ACTIVE1824 SUMATERDELI S 4359 RS. THEOTOKOS JL.BESAR NAMORAMBE NOIBU ROIDA MARKETING (061) 7032854; 7032694;| (061) 7032806 Y Y Y ACTIVEKARO1825 SUMATERKARO 4118 LAB. PRODIA KABANJAHE JL. VETERAN NO. 21 ( RS - - 0628-323321| - N Y Y PARTIALKISARAN1826 SUMATERKISARA3730 PRODIA KISARAN JL. IMAM BONJOL NO. 17 ISKANDAR ZULKANAIN - (0623) 348599| - N Y Y PARTIAL


BY PAYOR LEVEL


LANGKAT1827 SUMATERLANGKA1653 RS. PERTAMINA PANGKALA JL. WAHIDIN NO.01 PAN IBU LINDA PEMASARAN 0620-322612,322455| 0620-323392 Y Y Y ACTIVELUBUK PAKAM1828 SUMATERLUBUK 4119 LAB. PRODIA LUBUK PAKAMJL. AHMAD DAHLAN NO. 6- - 061-7952030| - N Y Y PARTIAL1829 SUMATERLUBUK 2023 RS. GRAND MEDISTRA LUB JL. RAYA MEDAN-LUBUK BPK Adi HUMAS MARKET061-7955114| 061-7950114 Y Y Y ACTIVEMEDAN1830 SUMATERMEDAN4168 RS. KHUSUS BEDAH SETIA JL. MESJID NO. 3 TANJUN IBU YORA MUNIRAH MARKETING (061) 8220995 ; 8220996| (061) 8220955 Y Y Y ACTIVE1831 SUMATERMEDAN2876 KLINIK PRODIA MEDAN S P JL. LETJEND S PARMAN NO- - 061-4535731 / 4534903| - N Y Y PARTIAL1832 SUMATERMEDAN4091 RSU. SUNDARI JL. TB SIMATUPANG NO IBU RINI KURNIAWATI MARKETING 061-8452536-|- 061-8452536 Y Y Y ACTIVE1833 SUMATERMEDAN3779 RS. SILOAM DHIRGA SURYAJL. IMAM BONJOL NO. 6, DITA Marketing (061) 8888 1900 EXT. 22601| (061) 8888 1933 Y Y Y ACTIVE1834 SUMATERMEDAN3767 PRODIA MEDAN SETIA BUDIKOMPLEKS RUKO MILALA MRATNA - (061) 8224129| - N Y Y PARTIAL1835 SUMATERMEDAN3768 PRODIA MEDAN (GATSU) JL. JEND. GATOT SUBRO AMBO ENRE SAHABUDI - (061) 4157459| - N Y Y PARTIAL1836 SUMATERMEDAN2053 MURNI TEGUH MEMORIAL HJL. JAWA NO. 2 SIMPANG OMPON marketing 061-80501888/777| 061 - 80501800 Y Y Y ACTIVE1837 SUMATERMEDAN2182 KLINIK & APOTEK KF 27 JL. PALANG MERAH NO. 3BPK ALFIAN APOTEKER 061-4576023/4515513| 061-451551 N Y Y PARTIAL1838 SUMATERMEDAN2183 KLINIK & APOTEK KF 39 JL. GATOT SOEBROTO NORICKY U MARPAUNG,S. APOTEKER 061-4529909| 061-4532717 N Y Y PARTIAL1839 SUMATERMEDAN2438 E-LABS MEDAN JL. SENA NO.10 MEDAN IBU DEWI - 061-4101293| 061-4530850 N Y Y PARTIAL1840 SUMATERMEDAN2395 SUMATERA EYE CENTER JL. ISKANDAR NO. 278 - BPK. FAJARUDDIN NASU- 061-4525058 ; 4518222| 061-4510978 Y Y Y ACTIVE1841 SUMATERMEDAN5572 TELEMEDIKA HEALTH CENTEJL. SENA NO. 10 MEDAN - - 061-4517742| - N Y Y PARTIAL1842 SUMATERMEDAN1651 RS. BUNDA THAMRIN MEDAJL. SEI BATANG HARI N Bpk HERLINSON / IBU KIMARKETING 061-4553928,88813615,455731061-4558218 Y Y Y ACTIVE1843 SUMATERMEDAN4092 RSIA. SRI RATU JL. NIBUNG RAYA NO 20 IBU EKA BERNADETA HRD 061-4521074| 061-4539236 Y Y Y ACTIVE1844 SUMATERMEDAN4001 RS. MADANI MEDAN JL. A.R. HAKIM NO. 168 IRNA PRATIWI MARKETING 061-7345911, 061 - 7361357| Y Y Y ACTIVE1845 SUMATERMEDAN2900 LAB. PRODIA JL. ASIA MEDAJL. ASIA NO. 115B MEDANRIBKA Pelayanan 061-7321260| - N Y Y PARTIAL1846 SUMATERMEDAN1650 RS. MARTHA FRISKA MULTAJL. MULTATULI KOMP. M IBU MARISSA MARKETING 061-4149666 / 08286103148| 061-4154761 Y Y Y ACTIVE1847 SUMATERMEDAN3957 RS. ROYAL PRIMA MEDAN JL. AYAHANDA NO. 68 A IBU NOVI/ROMA MARKETING (061) 8881 3182; 8881 3183| (061) 8001 3181 Y Y Y ACTIVE1848 SUMATERMEDAN0322 RSU. PERMATA BUNDA MEDJL. SISINGAMANGARAJA, ADIST / RANI MARKETING 061-7362777 / 7360120 / 73679061-7320222 Y N Y ACTIVE1849 SUMATERMEDAN0590 RS. COLUMBIA ASIA MEDANJL. LISTRIK 2A MEDAN IBU IDHA HIDAYATI MARKETING 061-4566368| 061-4566585/4515453 Y Y Y ACTIVE1850 SUMATERMEDAN0418 KLINIK SPESIALIS BUNDA JL. SISINGAMANGARAJA IBU DELI NAFRI/IBU APRMARKETING 061 -7321666| 061-7344786 N Y Y PARTIAL1851 SUMATERMEDAN6482 RSU. HERMINA MEDAN JL. ASRAMA/AMPERA II SEDR. ANDREW MARKETING (061) 80862525/80867690| 061 80867690 Y Y Y ACTIVE1852 SUMATERMEDAN6493 RSU. METHODIST SUSANNAJL. HARMONIKA BARU PASMONITA - ( 061) 8222264| (061) 8222263 Y Y Y ACTIVE1853 SUMATERMEDAN2754 RS. DELI JL. MERBABU NO.18-20, IBU TINA / DR. EKA PUT - (061) 4565229| (061) 4552361 Y Y Y ACTIVE1854 SUMATERMEDAN0416 RS. MATERNA JL. TEUKU UMAR NO.11 IBU BUNI / IBU FEBY MARKETING 061 -4514222| 061-4155392 Y Y Y ACTIVE1855 SUMATERMEDAN0523 RS. ADVENT MEDAN JL. GATOT SUBROTO, KM.BP ANDRI TOMPUL MARKETING 061 - 4524875/4574025| 061-4154839 Y Y Y ACTIVE1856 SUMATERMEDAN0816 RS. METHODIST JL. MH. THAMRIN, NO.10 DR. HADI PUTRA ADMINISTRASI (061) 7369000| (061) 7363779 Y Y Y ACTIVE1857 SUMATERMEDAN0925 RS. ST ELISABETH - MEDANJL. H. MISBAH NO.7, ME JUNIAR SINAGA MARKETING 061-4144737/4522010/4144240061 - 4143168 Y Y Y ACTIVE1858 SUMATERMEDAN0742 RSU. MARTHA FRISKA JL. KOL. YOS SUDARSO KIBU VERONIKA/ MAYA/ CUSTOMER SERV061-6610910| 061-6612005 Y Y Y ACTIVE1859 SUMATERMEDAN1193 RSU. SARAH JL. BAJA RAYA NO. 10 PETIBU TIKA MARKETING 061-4528044| 061-4529454 Y Y Y ACTIVE1860 SUMATERMEDAN1061 RS. ESTOMIHI JL. SISINGAMANGARAJA IBU ELIS MARKETING 061-7861771,7864656061-7864061-7866660 Y Y Y ACTIVE1861 SUMATERMEDAN0741 RS. ISLAM MALAHAYATI JL. DIPENOGORO NO.2-4, IBU ADE/TATU Marketing 061 - 4518766| 061-4519474 Y Y Y ACTIVE1862 SUMATERMEDAN0740 RS. HERNA JL. MAJAPAHIT NO.118A IBU HERLINA MARKETING 061 -451 0766|IBU HENI/DR LIM 061-415 3955 Y Y Y ACTIVE1863 SUMATERMEDAN1592 RSIA. STELLA MARIS MEDA JL. SAMANHUDI NO.20 M IBU HALINA Bag. Finance 061-4158383| 061-4157088 Y Y Y ACTIVE1864 SUMATERMEDAN0626 RS. SARI MUTIARA JL. KAPTEN MUSLIM, NO.7IBU NANI MARKETING 061-8451812| 061-8452134 Y Y Y ACTIVE1865 SUMATERMEDAN1649 RS. IMELDA PEKERJA INDONJL. BILAL NO 24 PULO IBU MARIA MARKETING 061-6610072-6631380| 061-6618457 Y Y Y ACTIVE1866 SUMATERMEDAN2028 RS. MITRA SEJATI MEDAN JL. AH. NASUTION PAN IBU PUSPA - 061-7875967/ 7881682| 061-7850261 Y Y Y ACTIVEPADANG SIDEMPUAN1867 SUMATERPADANG6552 RS. METTA MEDIKA PADAN JL. SM. RAJA No.113, S IMELDA PIC 0634-4320777 / 4320 778| 0634-4320706 Y Y Y PARTIAL1868 SUMATERPADANG3771 PRODIA PADANG SIDEMPUAJL. MERDEKA NO 52 PA Pak Nanda Marketing (0634) 7366622| - N Y Y PARTIALPEMATANG SIANTAR1869 SUMATERPEMATA2209 APOTEK & KLINIK KIMIA FA JL. KARTINI NO. 19 PEM BPK EDI SAPUTRO APOTEKER 0622-22448| 0622-25527 N Y Y PARTIAL1870 SUMATERPEMATA2984 RS. HARAPAN PEMATANG SJL. FAREL PASARIBU NO NESLI M PURB. A Marketing 0622-21162, 21612| 0622-435301 Y Y Y ACTIVE1871 SUMATERPEMATA0719 RS. VITA INSANI JL. MERDEKA, NO.329 IBU SUSANTI MARKETING 0622-22520| 0622-24521/29133 Y Y Y ACTIVE1872 SUMATERPEMATA2898 LAB. PRODIA PEMATANG SI JL. MERDEKA NO 37 PEM - - 0622-22437| - N Y Y ACTIVE1873 SUMATERPEMATA4418 KLINIK & APOTEK KF 162 JL. KARTINI PEMATANG S BPK. EDI PIC 0622-22448| - N Y Y PARTIAL1874 SUMATERPEMATA2208 KIMIA FARMA 29 SOETOMO JL. SUTOMO NO.63 PEM BPK IDRIS - 0622-22447| 0622-25527 N Y Y PARTIALRANTAU PRAPAT1875 SUMATERRANTAU3785 LAB. PRODIA RANTAU PRAPJL. AHMAD YANI NO. 19 IBI PRIMA ADM (0624) 25368| - N Y Y PARTIALSIBOLGA1876 SUMATERSIBOLG3566 LAB. PRODIA WIDYAHUSADJL. S.M. RAJA NO.74B BPK. ANANDA RAHMAN MARKETING 0631-22539| - N Y Y PARTIAL1877 SUMATERSIBOLG2249 RS. METTA MEDIKA SIBOLG JL. SUTOYO SISWOMIHARJIMELDA PANGGABEAN MARKETING 0631-25007/25008/24001/240020631-25006 Y Y Y ACTIVETANJUNG BALAI


BY PAYOR LEVEL


1878 SUMATERTANJUN4120 LAB. PRODIA TANJUNG BALAJL. SUDIRMAN NO. 23, TAIBU LAKSMI JUWITA - 0623-596227| - N Y Y PARTIALTEBING TINGGI1879 SUMATERTEBING3787 LAB. PRODIA TEBING TINGGJL. SUDIRMAN NO. 257 D- - (0621) 22494| - N Y Y PARTIAL1880 SUMATERTEBING6460 RS CHEVANI JLN. PROF M. YAMIN NO. SURYA MARKETING 0621-3950222| 0621-3950221 Y Y Y ACTIVE


BY PAYOR LEVEL


Allowed Emails

ALL [email protected]; [email protected]; [email protected] [email protected]; [email protected]; [email protected]; [email protected]

ALL [email protected]; [email protected]

GP,SP,OP,DENTAL,[email protected]; [email protected] COVERAGE [email protected] [email protected]

ALL [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] ; [email protected] [email protected] [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE -GP,SP,OP,DENTAL,[email protected],SP,OP,MAT,LAB,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected] [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected];[email protected] [email protected]; [email protected]; [email protected] [email protected];[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -

ALL [email protected]; [email protected] [email protected]; [email protected]; [email protected]&S,GP,SP,OP,[email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected];

ALL [email protected] [email protected]

GP,SP,OP,DENTAL,L -ALL [email protected]

ALL [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]

GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -

ALL [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]

GP,SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected]

ALL [email protected]

ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected]

ALL [email protected] [email protected]; [email protected],LAB,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGEpemasaran_rsbt @yahoo.co.id; [email protected]; [email protected]

GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected]; [email protected] [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected]


GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]

GP,SP,OP,DENTAL,[email protected]; [email protected] [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected] [email protected] [email protected];[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected]

GP,SP,OP,DENTAL,LAB,RM-RI,RM-RJ,RM-RG,RM-KM,RM-RB,PHARALL [email protected]; [email protected];[email protected] [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected] [email protected]; [email protected] [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,L -ALL [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected]; [email protected]


BY PAYOR LEVEL


ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected];[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] [email protected] [email protected] [email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected]; [email protected]; [email protected] [email protected] [email protected]; [email protected]; [email protected] COVERAGE [email protected] [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -ALL [email protected]; [email protected];GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected]; [email protected]; [email protected] [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] [email protected]; [email protected],SP,OP,DENTAL,L -ALL [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,L -ALL [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected];[email protected]; [email protected] [email protected];ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL


ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected];[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] COVERAGE [email protected] [email protected]; [email protected] [email protected] COVERAGE [email protected] [email protected]; [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected]; [email protected]; [email protected]

ALL [email protected]: [email protected] [email protected]; [email protected]; theresia.tyasti@rspondokindaGP,SP,OP,DENTAL,[email protected]

ALL [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected]

ALL COVERAGE [email protected],SP,OP,DENTAL,L -

GP,SP,OP,DENTAL,L -

ALL [email protected]; [email protected] [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] ; [email protected] [email protected] [email protected]; [email protected]; [email protected]; [email protected]

GP,SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -ALL [email protected]; [email protected] [email protected] [email protected] [email protected];[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL


ALL [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected]

GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -ALL [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected]&S,GP,SP,OP,[email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected] [email protected];ALL [email protected] [email protected]; [email protected] [email protected];[email protected]; [email protected] [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] ; [email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected] ; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],LAB [email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] ; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]

GP,SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected] [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected];[email protected] COVERAGE [email protected]


BY PAYOR LEVEL


ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected];[email protected]; [email protected] COVERAGEjec@jakarta_eye_center.com; [email protected],SP,OP,DENTAL,L -ALL [email protected]; [email protected]; [email protected] [email protected]: [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected] ALL [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected] [email protected] COVERAGE [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected]; arrsumumbunda@bundaALL [email protected] [email protected]; [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] ; [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected]; [email protected] [email protected]; [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected]; [email protected] [email protected]; [email protected] [email protected];[email protected];[email protected];[email protected] [email protected]; [email protected] [email protected] [email protected]; [email protected]; [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected], [email protected],SP,OP,DENTAL,[email protected]

GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected]; [email protected] [email protected]; [email protected] [email protected]; [email protected]; [email protected]&S,GP,SP,OP,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected]; [email protected] [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] COVERAGE -GP,SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected];GP,SP,OP,DENTAL,[email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected];GP,SP,OP,DENTAL,L -ALL [email protected]; [email protected];GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -ALL [email protected]; [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected] [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected] [email protected]; [email protected];ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected];[email protected] [email protected] [email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]

ALL [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected] ;[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL


ALL [email protected] [email protected]; [email protected]; [email protected];ALL COVERAGEmktpulomas@omni_hospitals.comALL [email protected]; [email protected]; [email protected];GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected];ALL [email protected]; [email protected]; [email protected] [email protected] ;[email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected];[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] [email protected]; [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -ALL [email protected]; [email protected]; [email protected];GP,SP,OP,DENTAL,[email protected]; [email protected]; [email protected] [email protected]; [email protected] [email protected] [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected];ALL COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]

ALL COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected];[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected];[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected]


BY PAYOR LEVEL


ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected]&S,GP,SP,OP,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected];[email protected]

GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected]

ALL COVERAGE [email protected]; [email protected]; [email protected];ALL COVERAGE [email protected];[email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected];GP,SP,OP,DENTAL,L-ALL COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected] COVERAGE [email protected]

ALL COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected]; rieky.alviando@santosa-hospitalGP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,L.ALL COVERAGE [email protected];ALL COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],LAB -GP,LAB -GP,SP,OP,DENTAL,L-GP,SP,OP,DENTAL,L-GP,SP,OP,DENTAL,L-H&S,GP,SP,OP,DENT-GP,SP,OP,DENTAL,L-ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected]; [email protected];


ALL COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,LAB,RM-RI,RM-RJ,RM-RG,RM-KM,RM-RB,PHARGP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,LAB,RM-RI,RM-RJ,RM-RG,RM-KM,RM-RB,PHARALL COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,LAB,RM-RI,RM-RJ,RM-RG,RM-KM,RM-RB,PHARGP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]/[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] ; [email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected]; [email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,L-GP,SP,OP,DENTAL,Lumar.bakrun.bakrun85@gmailGP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] ; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected];ALL COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]

ALL COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE aprilyaherfiana@pertamedika; [email protected] COVERAGE [email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected]; [email protected];ALL COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected];[email protected]; [email protected]; [email protected];GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected]; [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected]; [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected];GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected]

ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]

GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected] ; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected];ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,LAB,RM-RI,RM-RJ,RM-RG,RM-KM,RM-RB,PHARALL COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,M-ALL COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,LAB,RM-RI,RM-RJ,RM-RG,RM-KM,RM-RB,PHARALL COVERAGE [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected];GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]: [email protected]; [email protected]

ALL COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]; [email protected]

GP,SP,OP,DENTAL,L-H&S,GP,SP,OP,[email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]

GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]/ [email protected] COVERAGE [email protected]; [email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,Lkf.siliwangi@yahoocomGP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,L-

GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]


GP,SP,OP,DENTAL,[email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected];ALL COVERAGE [email protected]; [email protected];[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]

ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]


ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]

GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected];

GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected],SP,OP,DENTAL,L-

GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]



BY PAYOR LEVEL


ALL COVERAGE [email protected]; [email protected];ALL COVERAGE [email protected] COVERAGE [email protected]; [email protected]; [email protected];GP,SP,OP,DENTAL,L-ALL COVERAGE [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected]




ALL COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected]



GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]

ALL COVERAGE [email protected]; [email protected];[email protected]

ALL COVERAGE [email protected] COVERAGE [email protected] ; [email protected]



ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]

GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]

ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]


BY PAYOR LEVEL


ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]; [email protected]; [email protected]

ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected];ALL COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]


ALL COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]

GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected] COVERAGE [email protected];[email protected];[email protected];[email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,L-GP,SP,OP,DENTAL,L-GP,SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected];GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] ; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected]; [email protected];ALL COVERAGE [email protected],LAB -


ALL COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]

GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-

ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]


BY PAYOR LEVEL





ALL COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]

ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]



ALL COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] -H&S,MAT,BPJS_RI [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]

ALL COVERAGE [email protected] [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]

ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]; [email protected]

GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]


BY PAYOR LEVEL


ALL COVERAGE [email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,L-

ALL COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]

ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected]

GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-H&S,MAT [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected];[email protected] COVERAGE [email protected]; [email protected]

GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L-GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected];ALL COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]


BY PAYOR LEVEL


ALL COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected]





ALL COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected]

ALL COVERAGE [email protected]; [email protected]&S,MAT [email protected] COVERAGE [email protected]; [email protected]; [email protected]

ALL COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] -ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected];[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]/[email protected] COVERAGE [email protected];ALL COVERAGE [email protected]; [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected] [email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected],SP,OP,DENTAL,L-

ALL COVERAGE [email protected] / [email protected]

ALL COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected] [email protected] COVERAGE [email protected] COVERAGE [email protected] / [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,L-ALL COVERAGE [email protected];[email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected]; [email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected],SP,OP,DENTAL,LAB,RM-RI,RM-RJ,RM-RG,RM-KM,RM-RB,PHARGP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected];[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected]; [email protected],SP,OP,DENTAL,L-ALL COVERAGE [email protected] [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] COVERAGE [email protected]; [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected];[email protected] [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected]&S,GP,SP,OP,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected]

ALL [email protected] [email protected]; [email protected]; [email protected]

GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected]


ALL [email protected] [email protected]

ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -


ALL [email protected] [email protected]; [email protected]

ALL [email protected],SP,OP,DENTAL,[email protected] [email protected] [email protected]

GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected];[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected] [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]



GP,SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected]


BY PAYOR LEVEL





GP,SP,OP,DENTAL,L -

GP,SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected]

ALL [email protected];GP,SP,OP,DENTAL,[email protected]; [email protected]

GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected]; [email protected]

GP,SP,OP,DENTAL,[email protected] [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]/ [email protected],SP,OP,DENTAL,[email protected];[email protected]; [email protected] [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected];ALL [email protected]; [email protected] [email protected]; [email protected]; [email protected]

GP,SP,OP,DENTAL,L -ALL [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]



ALL [email protected] ; [email protected]; [email protected],SP,OP,DENTAL,[email protected];[email protected] [email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]

ALL [email protected]; [email protected]; [email protected]; [email protected]; [email protected]&S,[email protected]; [email protected] [email protected]; [email protected];

GP,SP,OP,DENTAL,[email protected];

ALL [email protected]; [email protected] COVERAGE [email protected] [email protected]; [email protected]

ALL [email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected] [email protected]; [email protected]; [email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected] [email protected]; [email protected]; [email protected],SP,LAB,PHAR -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected] COVERAGE [email protected],SP,OP,DENTAL,L -ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]





ALL [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -ALL COVERAGE [email protected]&S,MAT [email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected];[email protected]&S,[email protected]; [email protected] [email protected]

ALL [email protected]; [email protected] [email protected]&S,MAT [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]


ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected]

GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]&S,MAT [email protected],SP,OP,DENTAL,[email protected]

ALL [email protected],SP,OP,DENTAL,[email protected]

GP,SP,OP,DENTAL,[email protected]; [email protected]



ALL [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected]

ALL [email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected] [email protected] [email protected] COVERAGE [email protected] [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected]


BY PAYOR LEVEL




GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -ALL [email protected] COVERAGE [email protected] [email protected],SP,OP,DENTAL,L -ALL COVERAGE [email protected],SP,OP,DENTAL,[email protected]; [email protected]



GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected]; [email protected]

GP,SP,OP,DENTAL,[email protected]; [email protected]

ALL [email protected],SP,OP,DENTAL,[email protected]; [email protected];

ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected]


GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] [email protected]

ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected];[email protected] [email protected]; [email protected]

ALL [email protected]; [email protected]; [email protected]

ALL [email protected]; [email protected]; [email protected] [email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected]; [email protected];ALL [email protected],SP,OP,DENTAL,[email protected] [email protected] [email protected]&S,GP,SP,OP,[email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] [email protected]; [email protected]; [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected] [email protected] [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected]

ALL [email protected] ; [email protected],SP,OP,DENTAL,[email protected]


ALL COVERAGE [email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected]&S,GP,SP,OP,[email protected]; [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected]



GP,SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]


BY PAYOR LEVEL



GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -

GP,SP,OP,DENTAL,[email protected] [email protected]


ALL COVERAGE [email protected] [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected] [email protected];ALL COVERAGE [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected] [email protected] [email protected] [email protected] [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected]; [email protected] [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected],LAB,PHAR -ALL [email protected]; [email protected] [email protected]; [email protected]




H&S,GP,SP,OP,[email protected]


BY PAYOR LEVEL


GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected],SP,OP,DENTAL,L -

ALL [email protected]; [email protected] [email protected]

GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected]


GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,L -ALL [email protected]; [email protected] COVERAGE [email protected] [email protected] [email protected]; [email protected]

GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected]

ALL [email protected]; [email protected] [email protected] [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -ALL COVERAGE [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected],DENTAL [email protected] [email protected] COVERAGE [email protected] COVERAGE [email protected] [email protected] [email protected] [email protected]


BY PAYOR LEVEL



ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected]; [email protected]


GP,SP,OP,DENTAL,[email protected] [email protected]; [email protected] ;[email protected]

GP,SP,OP,DENTAL,[email protected] [email protected]; [email protected]

ALL [email protected];[email protected]; [email protected] [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected] [email protected]; [email protected] [email protected] [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,L -ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] COVERAGE [email protected];GP,SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected] [email protected]: [email protected] [email protected]


ALL [email protected] [email protected] [email protected]; [email protected]


ALL [email protected]; [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected]


ALL [email protected]:[email protected] [email protected]




BY PAYOR LEVEL




ALL [email protected]; [email protected],SP,OP,DENTAL,L -ALL COVERAGE [email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected],SP,OP,DENTAL,[email protected] [email protected],SP,OP,DENTAL,L -ALL [email protected]; [email protected] COVERAGE [email protected] COVERAGE [email protected],SP,OP,DENTAL,[email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected]; [email protected] [email protected],SP,OP,DENTAL,[email protected];[email protected] [email protected]; [email protected] [email protected] [email protected]; [email protected] COVERAGE [email protected] [email protected] [email protected]; [email protected] [email protected]; [email protected]; [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected];ALL [email protected] [email protected]; [email protected]

H&S,GP,SP,OP,[email protected]; [email protected],SP,OP,DENTAL,[email protected]

GP,SP,OP,DENTAL,[email protected] COVERAGE [email protected] [email protected]; [email protected] COVERAGE [email protected],SP,OP,DENTAL,L -GP,SP,OP,DENTAL,[email protected]


GP,SP,OP,DENTAL,[email protected] [email protected]; [email protected]


BY PAYOR LEVEL




Documents

askes/list_provid… · XLS file · Web view · 2018-03-08DR. ANGGRAINI PUSPITA 021-29030041/42| 021-29030045 [email protected] 297 6382 AUDY DENTAL GREENVILLE JL RATU