Program Memorandum Department of Health & HumanServices (DHHS)

Intermediaries Centers for Medicare & MedicaidServices (CMS)

Transmittal A-02-034 Date: MAY 1, 2002

CHANGE REQUEST 2159

SUBJECT: Submission of the Swing Bed Minimum Data Set (MDS) Data for Swing BedHospitals

Section 4432(a) of the Balanced Budget Act (BBA) of 1997 specifies that swing bed facilities mustbe incorporated into the Medicare prospective payment system (PPS) for skilled nursing facilities(SNFs) by the end of the statutory transition period. Effective with cost reporting periods beginningon or after July 1, 2002, swing bed bills will no longer be paid based on the current cost-relatedmethod, but rather on the basis of the SNF PPS. Critical access hospitals (CAHs) with swing bedsare exempt from the SNF PPS, and are not affected by the instructions in this Program Memorandum(PM). These payment rates will cover all costs of furnishing covered swing bed extended careservices (routine, ancillary, and capital-related costs) other than cost associated with operatingapproved educational activities as defined in 42 CFR 413.85. This PM is related to theimplementation of the policies and regulations discussed in the SNF PPS final rule published in theFederal Register on July 31, 2001 (66 FR 39562), and in Transmittal A-02-016, Change Request1666.

In conjunction with the PPS, beginning with the specific date of each facility's new cost reportingperiods starting on and after July 1, 2002, swing bed hospitals will be required to collect and submitdata using the MDS for Swing Bed Hospitals (SB-MDS) assessment instrument for all patients whoare receiving Medicare Part A SNF-level services. The SB-MDS is a standardized assessment toolthat is completed by licensed clinical staff in the hospital, and entered into a software program thatperforms data integrity checks and prepares the record for electronic submission. The electronic datarecords will then be submitted to and stored on the National Assessment Collection Database. Inorder to ensure this data is accurately and timely transmitted, it is vitally important for swing bedhospitals to submit the completed Quality Improvement and Evaluation System (QIES) TechnicalSupport Office (QTSO) Questionnaire to the Iowa Foundation for Medical Care (IFMC).

Attached are the instructions for submitting the MDS data (Attachment 1), and the QTSO HospitalQuestionnaire for Hospitals with Swing Beds (Attachment 2), and a list of all the rural hospitalswing bed providers we have identified (Attachment 3).

Post Attachments 1 and 2 contained in this PM on your Web site.

Notify all swing bed hospitals (other than those of CAHs) that Attachments 1 and 2 areavailable on your Web site, and must be completed.

The CMS is asking all intermediaries to review the attached provider list, and notify us of anyadditions, deletions and changes. Submit this revised listing by sending an E-mail toTSmith2@cms.hhs.gov. In your E-mail, include the name of the swing bed facility, address, andMedicare Provider Number. Since we are implementing on July 1, 2002, and conductingintermediary training in May, we would like to have a complete list of swing bed providers verifiedby May 17, 2002.

CMS-Pub. 60A

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The effective date for this PM is May 1, 2002.

The implementation date for this PM is May 1, 2002.

These instructions should be implemented within your current operating budget.

This PM may be discarded after July 1, 2003.

If you have any questions, contact Todd Smith at (410) 786-1420 or TSmith2@cms.hhs.gov.

3 Attachments

DEPARTMENT OF HEALTH & HUMAN SERVICESCenters for Medicare & Medicaid Services

______________________________________________________________ QIES Technical Support Office

Iowa Foundation for Medical Care 6000 Westown Parkway Suite 350E West Des Moines, Iowa 50266-7771

Date: April 12, 2002

To: «FAC_NAME» Random ID: «RANDOMID»«ST_ADR»«CITY_NAME», «STATE_CD» «ZIP_CD»

Subject: Submission of the Swing Bed Minimum Data Set (MDS) Data

Beginning with the cost reporting periods on and after July 1, 2002, swing bed hospitals willbe required to collect and submit data using the SB-MDS assessment instrument for allpatients who are receiving Medicare Part A SNF-level services.

In order to facilitate the distribution of the required logins, passwords, software, anddetailed set up instructions, please complete the enclosed Quality Improvement andEvaluation System (QIES) Technical Support Office (QTSO) Questionnaire. For faster andmore accurate processing, complete the online form athttp://www.qtso.com/swingbedform.html. If this is not an option to you, forms can bereturned via mail. Type or print your responses legibly. Either the electronic or handwrittenform should be completed and returned within 2 weeks of receipt of this letter.

On the questionnaire, the swing bed hospital must identify a contact person and up to twosystem users. The contact person should be a person who is available during weekdaydaytime hours and is directly familiar with the swing bed-MDS process. Users are thepeople who will be provided with login IDs and passwords for submitting data and receivingreports.

The SB-MDS is a standardized assessment tool that is completed by licensed clinical staffin the hospital, and entered into a software program that performs data integrity checks andprepares the record for electronic submission. The electronic data records will then besubmitted to and stored on the National Assessment Collection Database. Once theNational Assessment Collection Database receives the file, the database will validate thedate record to ensure that it meets the required specifications. The database will thengenerate a Validation Report for the facility.

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The facility must possess the following in order to complete this submission process:

• A PC with the following hardware and software requirements:

EQUIPMENTREQUIREMENTSFOR WINDOWS 95

REQUIREMENTS FORWINDOWS 98

REQUIREMENTS FORWINDOWS NT

REQUIREMENTSFOR WINDOWS 2000

Pentium System(minimum) with a CDROM Drive

Pentium System(minimum) with a CDROM Drive

Pentium System(minimum) with a CDROM Drive

133 MHZ or fasterPentium-compatibleCPU (minimum) with aCD ROM Drive

16 megs of RAM(minimum)

32 megs of RAM(minimum)

32 megs of RAM(minimum)

64 megs of RAM(minimum)

Netscape Navigator4.08 128-bit SSLencryptionIE (only version 5.5SP1)

Netscape Navigator 4.08128-bit SSL encryption

Netscape Navigator4.08 128-bit SSLencryption

Netscape Navigator4.08 128-bit SSLencryption

• A dedicated phone line, which will be utilized exclusively for the data submissionprocess. This dedicated line will safeguard against interruptions or breaks in yourconnection to the National Assessment Collection Database.

• A software program capable of encoding Swing Bed records and exporting data filesin accordance with Centers for Medicare & Medicaid Services (CMS) standardrecord layout specifications for Swing Bed-MDS Version 1.00.

• AT&T Global Dialer Software, which is required for connection to the Medicare DataCommunication Network (MDCN). This connection process is explained below.)

• Internet connectivity

Swing bed hospitals will be required to utilize a software program for preparation of the SB-MDS assessment data for submission to the National Assessment Collection Database.The CMS will provide free data entry software, called RAVEN-SB. This software meets therequired record layout specifications to enable preparation and validation of the swing beddata for submission to the database.

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The hospitals will utilize the AT&T Global Network Dialer software to connect to theMedicare Data Communication Network (MDCN) and submit the assessment data to theNational Assessment Collection Database maintained by CMS. The MDCN networkenables submission of data via a secure, private intranet mode to the National AssessmentCollection Database. Each hospital will be limited to two user logins and passwords. Eachselected user will receive an individual login ID and password to access the MDCN, anda login ID and password to access the National Assessment Collection Database whereyou will submit data and receive reports.

Upon receipt and processing of the questionnaire, the QTSO will mail a packet to theidentified contact person at the facility. This packet will contain a letter identifying the loginID and password information for accessing both the MDCN and the National AssessmentCollection Database. Also included with the packet will be a CD and a list of instructionsto assist the user in accessing information from the CD. The CD will contain the followingitems:

Ø The required AT&T Global Dialer Software, installation instructions, and Help DeskContact Information

Ø Instructions for Use of the MDCNØ Submission process instructionsØ Netscape (Version 4.08 with 128-bit Encryption)Ø Adobe Acrobat Reader Version 5.0Ø Swing Bed Users GuideØ Swing Bed Error Message GuideØ Quick Reference GuideØ Data Specification Notes

Note that packets will be mailed beginning April 17, 2002. You must submit the completedquestionnaire to receive the packet.

It is critical that the questionnaire be filled out promptly and completely. Complete it onlineor mail it to the address listed below within 2 weeks of receipt of this letter.

The mailing address is:

QIES Technical Support OfficeAttn: Swing BedIowa Foundation for Medical Care6000 Westown ParkwaySuite 350EWest Des Moines, Iowa 50266-7771

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If you have questions regarding the questionnaire, or the process for transmitting theassessment data, CMS will provide Technical Help Desk Support through the QTSO. Thetoll free number is (800) 339-9313, and the email address is swing_help@ifmc.org. If youemail questions, please include the name and telephone number of the person who shouldbe contacted with our response.

AT&T Global dialer software installation and AT&T password questions should be directedto MDCN Help Desk at (800) 905-2069.

In addition, there are two web sites you can use to obtain swing bed prospective payment,SB-MDS assessment, data collection and submission information. We encourage you tocheck both sites regularly as you prepare for the transition to the SNF PPS.

• www.hcfa.gov/medicare/snfpps_swingbed.htm: contains technical documents andprogram and policy information

• www.qtso.com: contains links to technical documents and clarifications of datatransmission and RAVEN-SB software requirements.

QTSO HOSPITAL QUESTIONNAIRE FORHOSPITALS WITH SWING BEDS1. Hospital Name: «FAC_NAME» Random ID: «RANDOMID»

2. Medicare Provider Number: «PRVDR_NUM»(Note: This is your Hospital Provider Number assigned by CMS)

3. Physical Address: «ST_ADR»«CITY_NAME», «STATE_CD» «ZIP_CD»

4. Contact Person: Phone Number: ____________ Extension: ______________ Fax Number: ________________________________________ E-Mail Address: ______________________________________

5. User Information:User 1 Name: ________________________________________________

Phone number: ______________ Extension: _________________E-Mail address___________________________________________

User 2 Name: ________________________________________________Phone number: ______________ Extension: _________________E-Mail address___________________________________________

Instructions for Completing the QTSO Swing Bed Questionnaire

1. Hospital name (pre-filled)2. Medicare provider number (pre-filled)

(Note: This is your hospital provider number assigned by CMS)3. The physical address of the hospital (pre-filled)4. Provide the phone number, extension, fax number and E-mail address of the contact person5. For each user, provide the user name, user phone number, user extension, and user E-mail

address (Note that no more than 2 users per hospital are allowed.)

For online completion, see http://www.qtso.com/swingbedform.html, or you may mail completedtyped or printed form to:

QIES Technical Support OfficeAttn: Swing BedIowa Foundation for Medical Care6000 Westown ParkwaySuite 350EWest Des Moines, Iowa 50266-7771

prvdr_intrnl_numprvdr_num rec_stus_cdprvdr_ctgry_cdstate_cd fac_name st_adr city_name zip_cd phne_num122097 020021 A 01 AK BRISTOL BAY AREA HEALTH CORP 6000 KANAKANAK RD, BOX 130 DILLINGHAM 99576 9078425201122088 020010 A 01 AK CORDOVA COMMUNITY MEDICAL CENTER 602 CHASE AVE, BOX 160 CORDOVA 99574 9074248000122091 020013 A 01 AK PROVIDENCE KODIAK ISLAND MEDICAL CENTE 1915 EAST REZANOF DR KODIAK 99615 9074863281122092 020014 A 01 AK SOUTH PENINSULA HOSPITAL 4300 BARTLETT ST HOMER 99603 9072358101122084 020006 A 01 AK VALLEY HOSPITAL 515 E DAHLIA,PO BOX 1687 PALMER 99645 9077468600122085 020007 A 01 AK WRANGELL MEDICAL CENTER 310 BENNETT, BOX 1081 WRANGELL 99929 9078747000120373 010058 A 01 AL BIBB MEDICAL CENTER HOSPITAL 164 PIERSON AVENUE CENTREVILLE 35042 2059264881120409 010110 A 01 AL BULLOCK COUNTY HOSPITAL 102 WEST CONECUH AVENUE UNION SPRINGS 36089 3347382140120360 010043 A 01 AL CHILTON MEDICAL CENTER 1010 LAY DAM ROAD CLANTON 35045 2057552500120383 010073 A 01 AL CLAY COUNTY HOSPITAL 544 EAST FIRST AVENUE ASHLAND 36251 2053542131120335 010008 A 01 AL CRENSHAW BAPTIST HOSPITAL 101 BAPTIST LANE LUVERNE 36049 3343353374120422 010126 A 01 AL EDGE REGIONAL MEDICAL CENTER 1330 HIGHWAY 231 SOUTH TROY 36081 3346705411120437 010148 A 01 AL EVERGREEN MEDICAL CENTER 101 CRESTVIEW AVENUE EVERGREEN 36401 3345782480120364 010047 A 01 AL GEORGIANA HOSP 515 MIRANDA ST GEORGIANA 36033 3343762205120367 010051 A 01 AL GREENE COUNTY HOSPITAL AND NURSING HOM 509 WILSON AVENUE EUTAW 35462 2053723388120430 010138 A 01 AL HILL HOSPITAL OF SUMTER COUNTY 751 DERBY DRIVE YORK 36925 2053925263120404 010102 A 01 AL J PAUL JONES HOSPITAL 317 MCWILLIAMS AVENUE CAMDEN 36726 3346824131120381 010069 A 01 AL LAKEVIEW COMMUNITY HOSPITAL 820 W WASHINGTON ST EUFAULA 36027 3346875761120361 010044 A 01 AL MARION REGIONAL MEDICAL CENTER 1256 MILITARY STREET SOUTH HAMILTON 35570 2059216200120337 010010 A 01 AL MARSHALL MEDICAL 8000 ALABAMA HIGHWAY 69 GUNTERSVILLE 35976 2567538000120334 010007 A 01 AL MIZELL MEMORIAL HOSPITAL 702 MAIN ST OPP 36467 3344933541120408 010109 A 01 AL PICKENS COUNTY MEDICAL CENTER INC 241 ROBERT K WILSON CARROLLTON 35447 2053678111120400 010098 A 01 AL RANDOLPH MEDICAL CENTER 59928 HIGHWAY 22 ROANOKE 36274 3348634111120413 010115 A 01 AL RED BAY HOSPITAL 211 HOSPITAL ROAD RED BAY 35582 2053569532120445 010158 A 01 AL RUSSELLVILLE HOSPITAL 15155 HIGHWAY 43 RUSSELLVILLE 35653 2563321611120340 010015 A 01 AL THOMASVILLE INFIRMARY 33700 HIGHWAY 43 THOMASVILLE 36784 3346364431120428 010134 A 01 AL WASHINGTON COUNTY INFIRMARY & NH ST STEPHENS AVENUE CHATOM 36518 3348472223120352 010032 A 01 AL WEDOWEE HOSPITAL 209 NORTH MAIN STREET WEDOWEE 36278 2563572111129997 040039 A 01 AR ARKANSAS METHODIST HOSPITAL 900 WEST KINGSHIGHWAY PARAGOULD 72450 8702397000129986 040024 A 01 AR ASHLEY COUNTY MEDICAL CENTER 1015 UNITY ROAD CROSSETT 71635 8703644111130015 040066 A 01 AR BAPTIST HEALTH MEDICAL CENTER -ARKADEL 3050 TWIN RIVERS DRIVE ARKADELPHIA 71923 8702452622130018 040070 A 01 AR BAPTIST MEMORIAL HOSPITAL OSCEOLA 611 WEST LEE AVENUE OSCEOLA 72370 8705637000129990 040028 A 01 AR BOONEVILLE COMMUNITY HOSPITAL 880 WEST MAIN BOONEVILLE 72927 5016752800130043 040109 A 01 AR CARROLL REGIONAL MEDICAL CENTER 214 CARTER STREET BERRYVILLE 72616 8704233355129991 040029 A 01 AR CONWAY REGIONAL MEDICAL CENTER 2302 COLLEGE AVENUE CONWAY 72032 5013293831130042 040107 A 01 AR DE QUEEN REGIONAL MEDICAL CENTER 1306 WEST COLLIN RAYE DRIVE DE QUEEN 71832 8705844111130007 040053 A 01 AR DELTA MEMORIAL HOSPITAL 300 EAST PICKENS DUMAS 71639 8703824303130014 040064 A 01 AR DEWITT CITY HOSPITAL 1641 WHITEHEAD DRIVE DE WITT 72042 8709463571130006 040051 A 01 AR DREW MEMORIAL HOSPITAL 778 SCOGIN DRIVE MONTICELLO 71655 8703672411130050 040126 A 01 AR EASTERN OZARKS REGIONAL HEALTH SYSTEM 122 HOSPITAL DRIVE CHEROKEE VILLAGE 72529 8702574101129994 040035 A 01 AR FULTON COUNTY HOSPITAL 679 NORTH MAIN STREET SALEM 72576 8708952691130027 040080 A 01 AR HARRIS HOSPITAL 1205 MCLAIN STREET NEWPORT 72112 8705238911130031 040085 A 01 AR HELENA REGIONAL MEDICAL CENTER 1801 MARTIN LUTHER KING HELENA 72342 8703385800129976 040011 A 01 AR JOHN ED CHAMBERS MEMORIAL HOSPITAL HWY 10 AT DETROIT ST DANVILLE 72833 5014956233129969 040002 A 01 AR JOHNSON REGIONAL MEDICAL CENTER 1100 EAST POPLAR STREET CLARKSVILLE 72830 5017545454129993 040032 A 01 AR LITTLE RIVER MEMORIAL HOSPITAL 451 WEST LOCKE STREET ASHDOWN 71822 8708985011130016 040067 A 01 AR MAGNOLIA HOSPITAL 101 HOSPITAL DRIVE POST OFFICE BOX 629 MAGNOLIA 71753 8702353000130035 040091 A 01 AR MEDICAL PARK HOSPITAL 2001 SOUTH MAIN STREET HOPE 71801 8707772323129978 040015 A 01 AR MENA MEDICAL CENTER 311 NORTH MORROW STREET MENA 71953 5013946100130008 040054 A 01 AR NEWPORT HOSPITAL AND CLINIC INC 2000 MCLAIN STREEET NEWPORT 72112 8705236721130005 040050 A 01 AR OUACHITA COUNTY MEDICAL CENTER 638 CALIFORNIA AVENUE CAMDEN 71701 8708361200130002 040045 A 01 AR PIGGOTT COMMUNITY HOSPITAL 1206 GORDON DUCKWORTH DRIVE PIGGOTT 72454 8705983881130028 040081 A 01 AR PIKE COUNTY MEMORIAL HOSPITAL 315 EAST 13TH STREET, P O BOX F MURFREESBORO 71958 8702853182130003 040047 A 01 AR RANDOLPH COUNTY MEDICAL CENTER 2801 MEDICAL CENTER DRIVE POCAHONTAS 72455 8708926000129968 040001 A 01 AR SILOAM SPRINGS MEMORIAL HOSPITAL 205 EAST JEFFERSON SILOAM SPRINGS 72761 5015244141129970 040003 A 01 AR ST ANTHONY'S HEALTHCARE CENTER 4 HOSPITAL DRIVE MORRILTON 72110 5019772300130020 040072 A 01 AR STUTTGART REGIONAL MEDICAL CENTER 1703 NORTH BUERKLE ROAD STUTTGART 72160 8706733511126476 030060 A 01 AZ COBRE VALLEY COMMUNITY HOSPITAL P O BOX 3261 CLAYPOOL 85532 9284253261126454 030027 A 01 AZ COPPER QUEEN COMMUNITY HOSPITAL 101 COLE AVENUE BISBEE 85603 5204325383126482 030068 A 01 AZ MT GRAHAM COMMUNITY HOSPITAL 1600 20TH AVE SAFFORD 85546 9285082845126464 030041 A 01 AZ NORTHERN COCHISE COMMUNITY HOSPITAL 901 WEST REX ALLEN DRIVE WILLCOX 85643 5203843541126435 030004 A 01 AZ SAGE MEMORIAL HOSPITAL GANADO MISSION PO BOX 457 GANADO 86505 6027553411158492 050377 A 01 CA CHOWCHILLA DISTRICT MEM HOSPITAL 1104 VENTURA AVENUE CHOWCHILLA 93610 5596653718158476 050349 A 01 CA CORCORAN DISTRICT HOSPITAL 1310 HANNA AVE CORCORAN 93212 5599925051158548 050464 A 01 CA DOCTORS MEDICAL CENTER 1441 FLORIDA AVENUE MODESTO 95350 2095781211158557 050482 A 01 CA JEROLD PHELPS COMMUNITY HOSPITAL 733 CEDAR ST GARBERVILLE 95440 7079233921158587 050542 A 01 CA KERN VALLEY HEALTHCARE DISTRICT 6412 LAUREL AVE LAKE ISABELLA 93240 7603796667158606 050569 A 01 CA MENDOCINO COAST DISTRICT HOSPITAL 700 RIVER DR FORT BRAGG 95437 7079614697158339 050148 A 01 CA PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE RD QUINCY 95971 5302832121158354 050172 A 01 CA REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA 95540 7077257328158368 050192 A 01 CA SIERRA KINGS DISTRICT HOSPITAL 372 W CYPRESS AVE REEDLEY 93654 5596388155158251 050043 A 01 CA SUMMIT MEDICAL CENTER HAWTHORNE & WEBSTER STS OAKLAND 94609 5106554000158577 050523 A 01 CA SUTTER DELTA MEDICAL CENTER 3901 LONE TREE WAY ANTIOCH 94509 9257797200158564 050494 A 01 CA TAHOE FOREST HOSPITAL DISTRICT TAHOE DR & PINE ST TRUCKEE 95734 5305823208158503 050392 A 01 CA TRINITY GENERAL HOSPITAL 410 N TAYLOR ST WEAVERVILLE 96093 5306235541164688 060057 A 01 CO ASPEN VALLEY HOSPITAL 0401 CASTLE CREEK RD ASPEN 81611 9709251120164676 060042 A 01 CO CLAGETT MEMORIAL HOSPITAL 707 EAST FIFTH ST BOX 72 RIFLE 81650 3036251510164678 060044 A 01 CO COLORADO PLAINS MEDICAL CTR 1000 LINCOLN ST FORT MORGAN 80701 9708673391164699 060070 A 01 CO GUNNISON VALLEY HOSPITAL 214 E DENVER AVE GUNNISON 81230 9706411456164683 060050 A 01 CO HEART OF THE ROCKIES REG MED CENTER 448 E FIRST ST SALIDA 81201 7195396661164677 060043 A 01 CO KEEFE MEMORIAL HOSPITAL 602 N 6TH W ST PO BOX 578 CHEYENNE WELLS 80810 7197675661164708 060090 A 01 CO KREMMLING MEMORIAL HOSPITAL DISTRICT 212 S 4TH ST KREMMLING 80459 3037243442164679 060046 A 01 CO MEMORIAL HOSPITAL 785 RUSSELL ST CRAIG 81625 9708249411164669 060033 A 01 CO MOUNT SAN RAFAEL HOSPITAL 410 BENEDICTA AVE TRINIDAD 81082 7198469213164675 060041 A 01 CO PIONEERS HOSPITAL OF RIO BLANCO 345 CLEVELAND MEEKER 81641 3038785047164645 060007 A 01 CO PROWERS MEDICAL CENTER 401 KENDALL DRIVE LAMAR 81052 7193364343164655 060018 A 01 CO SOUTHWEST HEALTH SYSTEM INC 1311 N MILDRED RD CORTEZ 81321 9705656666164696 060066 A 01 CO SPANISH PEAKS REG HLTH CTR 23500 U S HIGHWAY 160 BOX 443 WALSENBURG 81089 7197385100164664 060029 A 01 CO ST VINCENT GENERAL HOSPITAL DISTRICT 822 W 4TH ST LEADVILLE 80461 7194860230164703 060076 A 01 CO STERLING REGIONAL MED CTR 615 FAIRHURST ST STERLING 80751 3035220122164681 060049 A 01 CO YAMPA VALLEY MEDICAL CTR 1024 CENTRAL PARK DR STEAMBOAT SPRINGS 80487 9708791322164687 060056 A 01 CO YUMA DISTRICT HOSPITAL 910 S MAIN ST YUMA 80759 3038485405190034 102000 A 01 FL AG HOLLEY STATE HOSP 1199 W LANTANA RD LANTANA 33465 4075825666189722 100121 A 01 FL BARTOW MEMORIAL HOSPITAL 1239 E MAIN ST BARTOW 33830 8135338111189767 100175 A 01 FL DESOTO MEMORIAL HOSPITAL N ROBERTS AVE ARCADIA 34265 8134943535189834 100267 A 01 FL ENGLEWOOD COMMUNITY HOSPITAL 700 MEDICAL BLVD ENGLEWOOD 34295 8134756571189741 100142 A 01 FL JACKSON COUNTY HOSPITAL 4250 HOSPITAL DRIVE MARIANNA 32446 9045262200189665 100048 A 01 FL JAY HOSPITAL 221 S ALABAMA ST JAY 32565 8506754532189631 100004 A 01 FL MADISON COUNTY MEMORIAL HOSPITAL 201 E MARION ST MADISON 32340 8509732271189738 100139 A 01 FL NATURE COAST HOSPITAL INC SWB 125 SW 7TH ST WILLISTON 32696 3525282801189668 100051 A 01 FL SOUTH LAKE MEMORIAL HOSPITAL 847 8TH ST CLERMONT 34711 9043944071189712 100108 A 01 FL TRINITY COMMUNITY HOSPITAL 506 NW 4TH ST JASPER 32052 9047927200

201059 110071 A 01 GA APPLING HOSPITAL 163 E TOLLISON STREET BAXLEY 31513 9123679841201081 110098 A 01 GA BACON COUNTY HOSPITAL 302 S WAYNE ST BOX 745 ALMA 31510 9126328961201036 110040 A 01 GA BANKS-JACKSON-COMMERCE HOSPITAL HOSPITAL RD COMMERCE 30529 7063351000201106 110134 A 01 GA BAPTIST HOSP WORTH CO 807 S ISABELLA ST SYLVESTER 31791 2297766961201051 110061 A 01 GA BROOKS COUNTY HOSPITAL 903 N COURT ST BOX 865 QUITMAN 31643 2292634171201092 110113 A 01 GA BURKE MEDICAL CENTER 351 LIBERTY ST WAYNESBORO 30830 7065544435201079 110096 A 01 GA CANDLER COUNTY HOSPITAL CEDAR RD BOX 597 METTER 30439 9126855741201143 110187 A 01 GA CHASTATEE REGIONAL HOSPITAL 1111 MOUNTAIN DR DAHLONEGA 30533 7068646136201058 110070 A 01 GA CHATUGE REGIONAL HOSPITAL, INC 110 EAST MAIN ST HIAWASSEE 30546 7068962222201023 110027 A 01 GA COBB HEALTHCARE SYSTEMS, INC 577 FRANKLIN SPRINGS ST ROYSTON 30662 7062455034201075 110092 A 01 GA DODGE COUNTY HOSPITAL GRIFFIN ST BOX 706 EASTMAN 31023 4783744000201061 110073 A 01 GA DORMINY MEDICAL CENTER PERRY HOUSE RD BOX 989 FITZGERALD 31750 2294235431201022 110026 A 01 GA ELBERT MEMORIAL HOSPITAL 4 MEDICAL DR ELBERTON 30635 7062833151201089 110109 A 01 GA EMANUEL COUNTY HOSPITAL 117 KITE RD BOX 7 SWAINSBORO 30401 4782379911201111 110142 A 01 GA EVANS MEMORIAL HOSPITAL 200 N RIVER ST BOX 518 CLAXTON 30417 9127392611201145 110189 A 01 GA FANNIN REGIONAL HOSPITAL HWY 5 N P O BOX 1549 BLUE RIDGE 30513 7066323711201097 110121 A 01 GA GRADY GENERAL HOSPITAL 1155 5TH ST SE CAIRO 31728 2293771150201159 110208 A 01 GA HANCOCK MEMORIAL HOSPITAL 453 BOLAND ST BOX 490 SPARTA 31087 7064447006201050 110059 A 01 GA HART COUNTY HOSPITAL 138 W GIBSON ST P O BOX 280 HARTWELL 30643 7063763921201082 110100 A 01 GA JEFFERSON HOSPITAL 1067 PEACHTREE ST LOUISVILLE 30434 4786257000201080 110097 A 01 GA LOUIS SMITH MEMORIAL HOSPITAL 852 W THIGPEN AV BOX 306 LAKELAND 31635 2294823110201105 110132 A 01 GA MEMORIAL HOSPITAL 1500 E SHOTWELL ST BAINBRIDGE 31717 9122463500201013 110014 A 01 GA MINNIE G BOSWELL MEMORIAL HOSPITAL PO BOX 329 GREENSBORO 30642 7064537331201095 110118 A 01 GA MITCHELL COUNTY HOSPITAL 90 EAST STEPHENS STREET CAMILLA 31730 2293365284201115 110149 A 01 GA MOUNTAINSIDE MEDICAL CENTER 1266 EAST CHURCH STREET JASPER 30143 7066922441201157 110205 A 01 GA NORTH GEORGIA MEDICAL CENTER JASPER ROAD BOX 346 ELLIJAY 30540 7062764741201118 110153 A 01 GA PERRY GENERAL HOSPITAL 1120 MORNINGSIDE DR PERRY 31069 4789873600201096 110120 A 01 GA POLK MEDICAL CENTER 424 N MAIN ST CEDARTOWN 30125 7707482500201049 110056 A 01 GA RABUN COUNTY MEMORIAL HOSPITAL 196 RIDGECREST CIRCLE CLAYTON 30525 7067824233201033 110037 A 01 GA SMITH HOSPITAL 117 E MAIN ST BOX 337 HAHIRA 31632 2297942502201162 110212 A 01 GA SMITH HOSPITAL, INC 117 E MAIN ST BOX 337 HAHIRA 31632 2297942502201151 110195 A 01 GA STEWART WEBSTER HOSPITAL INC 300 ALSTON ST RICHLAND 31825 2298873366201040 110044 A 01 GA SUMTER REGIONAL HOSPITAL 100 WHEATLEY DR AMERICUS 31709 2299246011201160 110209 A 01 GA TURNING POINT HOSPITAL 319 BYPASS BOX 1177 MOULTRIE 31768 2299854815201046 110051 A 01 GA UNION GENERAL HOSPITAL 214 HOSPITAL CIRCLE BLAIRSVILLE 30512 7067452111201002 110002 A 01 GA UPSON REGIONAL MEDICAL CENTER 801 W GORDON ST THOMASTON 30286 7066478111201042 110046 A 01 GA WALTON MEDICAL CENTER 330 ALCOVA ST MONROE 30655 7702678461201070 110086 A 01 GA WASHINGTON CTY REGIONAL MEDICAL CTR 610 SPARTA RD SANDERSVILLE 31082 4785523901201093 110114 A 01 GA WILLS MEMORIAL HOSPITAL 120 GORDON ST PO BOX 370 WASHINGTON 30673 7066782151203601 120006 A 01 HI CASTLE MEDICAL CENTER 640 ULUKAHIKI ST KAILUA 96734 8085980221203608 120014 A 01 HI WILCOX MEMORIAL HOSPITAL 3420 KUHIO HIGHWAY LIHUE 96766 8082451100230408 160002 A 01 IA AVERA HOLY FAMILY 826 N 8TH ST ESTHERVILLE 51334 7123622631230423 160026 A 01 IA BOONE COUNTY HOSPITAL 1015 UNION STREET BOONE 50036 5154323140230462 160066 A 01 IA BUENA VISTA REGIONAL MEDICAL CENTER 1525 WEST FIFTH STREET STORM LAKE 50588 7127324030230496 160107 A 01 IA BURGESS HEALTH CENTER 1600 DIAMOND AVENUE ONAWA 51040 7124232311230436 160039 A 01 IA CASS COUNTY MEMORIAL HOSPITAL 1501 EAST TENTH STREET ATLANTIC 50022 7122433250230440 160043 A 01 IA CLARINDA REGIONAL HEALTH CENTER 17TH & WELLS PO BOX 217 CLARINDA 51632 7125422176230446 160049 A 01 IA CLARKE COUNTY PUBLIC HOSPITAL 800 SOUTH FILLMORE STREET OSCEOLA 50213 6413422184230416 160014 A 01 IA CRAWFORD COUNTY MEMORIAL HOSPITAL 2020 FIRST AVE SOUTH DENISON 51442 7122635021230452 160055 A 01 IA DECATUR COUNTY HOSPITAL 1405 NW CHURCH STREET LEON 50144 6414464671230511 160124 A 01 IA DICKINSON COUNTY MEMORIAL HOSPITAL HWY 71 SOUTH BOX AB SPIRIT LAKE 51360 7123361230230435 160037 A 01 IA FLOYD COUNTY MEMORIAL HOSPITAL 11TH AND SOUTH MAIN STREET CHARLES CITY 50616 6412286830230519 160140 A 01 IA FLOYD VALLEY HOSPITAL 714 LINCOLN ST LE MARS 51031 7125467871230509 160122 A 01 IA FORT MADISON COMMUNITY HOSPITAL 5445 AVENUE O BOX 174 FORT MADISON 52627 3193726530230505 160116 A 01 IA GREATER COMMUNITY HOSPITAL 1700 WEST TOWNLINE ROAD CRESTON 50801 5157827091230524 160147 A 01 IA GRINNELL REGIONAL MEDICAL CENTER 210 FOURTH AVENUE GRINNELL 50112 6412367511230471 160076 A 01 IA HAMILTON COUNTY PUBLIC HOSPITAL 800 OHIO STREET BOX 430 WEBSTER CITY 50595 5158329400230522 160145 A 01 IA HEGG MEMORIAL HEALTH CENTER 1202 21ST AVENUE ROCK VALLEY 51247 7124765305230495 160106 A 01 IA HENRY COUNTY HEALTH CENTER 407 SOUTH WHITE ST MOUNT PLEASANT 52641 3193853141230515 160131 A 01 IA HORN MEMORIAL HOSPITAL EAST SECOND STREET IDA GROVE 51445 7123643311230526 160152 A 01 IA HUMBOLDT COUNTY MEMORIAL HOSPITAL 1000 15TH NORTH BOX 587 HUMBOLDT 50548 5153324200230504 160115 A 01 IA JEFFERSON COUNTY HOSPITAL 400 HIGHLAND FAIRFIELD 52556 5154724111230412 160008 A 01 IA KEOKUK AREA HOSPITAL 1600 MORGAN ST KEOKUK 52632 3195247150230503 160114 A 01 IA KNOXVILLE AREA COMMUNITY HOSPITAL 1002 SOUTH LINCOLN KNOXVILLE 50138 6418422151230521 160143 A 01 IA KOSSUTH REGIONAL HEALTH CENTER 1515 PHILLIPS ALGONA 50511 5152952451230483 160091 A 01 IA LORING HOSPITAL 211 HIGHLAND AVENUE BOX 217 SAC CITY 50583 7126627105230457 160061 A 01 IA LUCAS COUNTY HEALTH CENTER 1200 N 7TH ST CHARITON 50049 5157743000230419 160020 A 01 IA MERCY MEDICAL CENTER - CENTERVILLE 1 ST JOSEPHS DRIVE CENTERVILLE 52544 6414373411230449 160051 A 01 IA MERRILL PIONEER COMMUNITY HOSPITAL 801 SOUTH GREENE STREET ROCK RAPIDS 51246 7124722591230472 160077 A 01 IA MONROE COUNTY HOSPITAL 6580 165TH ST ALBIA 52531 6419322134230482 160090 A 01 IA MONTGOMERY COUNTY MEMORIAL HOSPITAL 1201 HIGHLAND AVENUE RED OAK 51566 7126237000230512 160126 A 01 IA NORTHWEST IOWA HEALTH CENTER 118 NORTH SEVENTH AVENUE SHELDON 51201 7123245041230469 160074 A 01 IA ORANGE CITY MUNICIPAL HOSPITAL 115 FOURTH STREET NW ORANGE CITY 51041 7127374984230514 160130 A 01 IA OSCEOLA COMMUNITY HOSPITAL 9TH AVENUE NORTH SIBLEY 51249 7127542574230507 160118 A 01 IA PALO ALTO COUNTY HOSPITAL 3201 FIRST STREET EMMETSBURG 50536 7128522434230479 160086 A 01 IA PEOPLES MEMORIAL HOSPITAL OF BUCHANAN 1600 FIRST STREET EAST INDEPENDENCE 50644 3193346071230464 160068 A 01 IA REGIONAL HEALTH SERVICES OF HOWARD CO 235 EIGHTH AVENUE WEST CRESCO 52136 3195472101230413 160009 A 01 IA REGIONAL MED CTR FOR NE IA & DELAWARE 709 WEST MAIN STREET MANCHESTER 52057 3199273232230445 160048 A 01 IA RINGGOLD COUNTY HOSPITAL 211 SHELLWAY DRIVE MOUNT AYR 50854 5154643226230429 160031 A 01 IA SHELBY COUNTY MYRTUE MEMORIAL HOSPITAL 1213 GARFIELD AVENUE HARLAN 51537 7127555161230484 160092 A 01 IA SHENANDOAH MEMORIAL HOSPITAL 300 PERSHING AVE SHENANDOAH 51601 7122461230230498 160109 A 01 IA SIOUX CTR COMM HOSPITAL & HEALTH CTR 605 S MAIN ST SIOUX CENTER 51250 7127221271230409 160003 A 01 IA SIOUX VALLEY MEMORIAL HOSPITAL 300 SIOUX VALLEY DRIVE CHEROKEE 51012 7122255101230410 160005 A 01 IA ST ANTHONY REGIONAL HOSPITAL 311 SOUTH CLARK STREET CARROLL 51401 7127923581230467 160072 A 01 IA STEWART MEMORIAL COMMUNITY HOSPITAL 1301 WEST MAIN ST LAKE CITY 51449 7124643171230451 160054 A 01 IA VAN BUREN COUNTY MEMORIAL HOSPITAL HIGHWAY 1 NORTH BOX 70 KEOSAUQUA 52565 3192933171230485 160093 A 01 IA VIRGINIA GAY HOSPITAL 502 NORTH NINTH AVENUE VINTON 52349 3194722348230414 160012 A 01 IA WASHINGTON COUNTY HOSPITAL 400 EAST PARK STREET WASHINGTON 52353 3196535481230502 160113 A 01 IA WAYNE COUNTY HOSPITAL 417 SOUTH EAST STREET CORYDON 50060 5158722260204821 130024 A 01 ID BONNER GENERAL HOSPITAL 502 NORTH THIRD BOX 1448 SANDPOINT 83864 2082631441204823 130026 A 01 ID CASSIA REGIONAL MEDICAL CENTER 1501 HILAND AVENUE,PO BOX 489 BURLEY 83318 2086784444204807 130009 A 01 ID CLEARWATER VALLEY HOSPITAL 301 CEDAR OROFINO 83544 2084764555204836 130045 A 01 ID FRANKLIN COUNTY MEDICAL CENTER 44 NORTH FIRST EAST PRESTON 83263 2088520137204809 130011 A 01 ID GRITMAN MEDICAL CENTER 700 SOUTH MAIN STREET MOSCOW 83843 2088824511204819 130021 A 01 ID LOST RIVERS DISTRICT HOSPITAL 551 HIGHLAND DRIVE PO BOX 145 ARCO 83213 2085278206204806 130008 A 01 ID ST MARYS HOSPITAL 701 LEWISTON STREET PO BOX 137 COTTONWOOD 83522 2089623251216498 140004 A 01 IL ABRAHAM LINCOLN MEMORIAL HOSPITAL 315 8TH ST LINCOLN 62656 2177322161216509 140016 A 01 IL CLAY COUNTY HOSPITAL 911 STACY BURK DRIVE FLORA 62839 6186622131216714 140294 A 01 IL CROSSROADS COMMUNITY HOSPITAL 8 DOCTORS PARK ROAD MOUNT VERNON 62864 6182445500216692 140246 A 01 IL FERRELL HOSPITAL INC 1201 PINE STREET ELDORADO 62930 6182733361216524 140035 A 01 IL FRANKLIN HOSPITAL 201 BAILEY LANE BENTON 62812 6184393161216678 140220 A 01 IL GIBSON COMMUNITY HOSPITAL 1120 NORTH MELVIN GIBSON CITY 60936 2177844251216499 140005 A 01 IL HARDIN COUNTY GENERAL HOSPITAL FERRELL ROAD ROSICLARE 62982 6182856634

216670 140210 A 01 IL HARRISBURG MEDICAL CENTER 17 COUNTRY CLUB COURT HARRISBURG 62946 6182537671216531 140042 A 01 IL MASSAC MEMORIAL HOSPITAL MEMORIAL HEIGHTS METROPOLIS 62960 6185242176216639 140173 A 01 IL MORRISON COMMUNITY HOSPITAL 303 N JACKSON STREET MORRISON 61270 8157724003216520 140031 A 01 IL PARIS COMMUNITY HOSPITAL EAST COURT STREET PARIS 61944 2174654141216527 140038 A 01 IL ROCHELLE COMMUNITY HOSPITAL 900 N 2ND ST ROCHELLE 61068 8155622181216632 140165 A 01 IL SALEM TOWNSHIP HOSPITAL 1201 RICKER DRIVE SALEM 62881 6185483194216497 140003 A 01 IL SARAH D CULBERTSON MEMORIAL HOSPITAL 238 S CONGRESS RUSHVILLE 62681 2173222608216586 140109 A 01 IL SPARTA COMMUNITY HOSPITAL DISTRICT 818 E BROADWAY SPARTA 62286 6184432177216636 140170 A 01 IL UNION COUNTY HOSPITAL 517 N MAIN STREET ANNA 62906 6188334511216935 142006 A 01 IL VENCOR HOSPITAL SYCAMORE 225 EDWARD STREET SYCAMORE 60178 8158952144216605 140129 A 01 IL WABASH GENERAL HOSPITAL DISTRICT 1418 COLLEGE DR MOUNT CARMEL 62863 6182628621225545 150124 A 01 IN BEDFORD REGIONAL MEDICAL CENTER 2900 WEST 16TH STREET BEDFORD 47421 8122751200225471 150039 A 01 IN CAMERON MEMORIAL COMMUNITY HOSPITAL 416 EAST MAUMEE STREET ANGOLA 46703 2196652141225493 150061 A 01 IN DAVIESS COMMUNITY HOSPITAL 1314 E WALNUT ST P O BOX 760 WASHINGTON 47501 8122542760225450 150019 A 01 IN DEACONESS ST JOSEPH'S HOSPITAL 1900 MEDICAL ARTS DRIVE HUNTINGBURG 47542 8126832121225494 150062 A 01 IN DECATUR COUNTY MEMORIAL HOSPITAL 720 NORTH LINCOLN STREET GREENSBURG 47240 8126634331225498 150066 A 01 IN GREENE COUNTY GENERAL HOSPITAL RR 1 BOX 1000 LINTON 47441 8128472281225509 150078 A 01 IN JASPER COUNTY HOSPITAL 1104 EAST GRACE STREET RENSSELAER 47978 2198665141225463 150031 A 01 IN JAY COUNTY HOSPITAL 500 W VOTAW ST PORTLAND 47371 2197267131225522 150096 A 01 IN LAGRANGE COMMUNITY HOSPITAL 207 NORTH TOWNLINE RD LAGRANGE 46761 2194632143225501 150070 A 01 IN PERRY COUNTY MEMORIAL HOSPITAL ONE HOSPITAL ROAD TELL CITY 47586 8125477011225459 150027 A 01 IN PUTNAM COUNTY HOSPITAL 1542 BLOOMINGTON ST GREENCASTLE 46135 7656535121225484 150052 A 01 IN SCOTT CO MEMORIAL HOSPITAL 1451 N GARDNER ST SCOTTSBURG 47170 8127528500225551 150130 A 01 IN ST MARY'S WARRICK 1116 MILLIS AVE P O BOX 629 BOONVILLE 47601 8128974800225529 150102 A 01 IN STARKE MEMORIAL HOSPITAL 102 EAST CULVER ROAD KNOX 46534 2197726231225445 150013 A 01 IN SULLIVAN COUNTY COMMUNITY HOSPITAL 2200 NORTH SECTION ST SULLIVAN 47882 8122684311225524 150098 A 01 IN WASHINGTON COUNTY MEMORIAL HOSPITAL 911 N SHELBY ST SALEM 47167 8128835881225492 150060 A 01 IN WEST CENTRAL COMMUNITY HOSPITAL 801 SOUTH MAIN STREET CLINTON 47842 7658321234225468 150036 A 01 IN WHITE COUNTY MEMORIAL HOSPITAL 1101 OCONNOR BLVD MONTICELLO 47960 2195837111225544 150123 A 01 IN WIRTH REGIONAL HOSPITAL HWY 64 WEST RR 3 BOX 14A OAKLAND CITY 47660 8127496111234777 170116 A 01 KS ALLEN COUNTY HOSPITAL 101 S 1ST ST IOLA 66749 3163653131234696 170022 A 01 KS ATCHISON HOSPITAL 1301 NORTH SECOND STREET ATCHISON 66002 9133676600234805 170171 A 01 KS AUGUSTA MEDICAL COMPLEX INC 2101 DEARBORN AUGUSTA 67010 3167755421234772 170110 A 01 KS BOB WILSON MEM GRANT CO HOSPITAL 415 N MAIN ST ULYSSES 67880 6203561266234681 170008 A 01 KS CITIZENS MEDICAL CENTER 100 E COLLEGE DR COLBY 67701 7854627511234723 170054 A 01 KS CLAY COUNTY MEDICAL CENTER 617 LIBERTY ST CLAY CENTER 67432 9136322144234760 170095 A 01 KS CLOUD COUNTY HEALTH CENTER 1100 HIGHLAND DR CONCORDIA 66901 9132431234234759 170094 A 01 KS COFFEY COUNTY HOSPITAL 801 N 4TH ST PO BOX 189 BURLINGTON 66839 6203642121234717 170045 A 01 KS COMMUNITY HOSPITAL ONAGA INC 120 W 8TH ST ONAGA 66521 9138894274234774 170113 A 01 KS COMMUNITY MEMORIAL HEALTHCARE INC 708 N 18TH ST MARYSVILLE 66508 7855622311234729 170060 A 01 KS DECATUR COUNTY HOSPITAL 810 W COLUMBIA OBERLIN 67749 7854752208234692 170018 A 01 KS FREDONIA REGIONAL HOSPITAL 1527 MADISON PO BOX 579 FREDONIA 66736 3163782121234741 170074 A 01 KS GEARY COMMUNITY HOSPITAL 1102 ST MARYS RD JUNCTION CITY 66441 9132384131234761 170097 A 01 KS GOODLAND REGIONAL MEDICAL CENTER 220 W SECOND GOODLAND 67735 7858996001234749 170082 A 01 KS GREAT PLAINS OF GREELEY COUNTY 506 THIRD PO BOX 338 TRIBUNE 67879 3163764221234689 170015 A 01 KS GREAT PLAINS OF MITCHELL COUNTY 400 WEST 8TH STREET BELOIT 67420 9137382266234730 170061 A 01 KS GREAT PLAINS OF PHILLIPS COUNTY 1150 STATE ST PHILLIPSBURG 67661 9135435226234698 170024 A 01 KS GREAT PLAINS OF REPUBLIC COUNTY HOSP 2420 G ST BELLEVILLE 66935 9135272254234758 170093 A 01 KS GREAT PLAINS OF SMITH COUNTY 614 SOUTH MAIN STREET SMITH CENTER 66967 9132826845234763 170099 A 01 KS HANOVER HOSPITAL 205 S HANOVER HANOVER 66945 9133372214234679 170004 A 01 KS HIAWATHA COMMUNITY HOSPITAL 300 UTAH ST HIAWATHA 66434 7857422131234700 170026 A 01 KS HILLSBORO COMMUNITY MEDICAL CENTER 701 S MAIN ST HILLSBORO 67063 3169473114234756 170090 A 01 KS HODGEMAN COUNTY HEALTH CENTER 809 W BRAMLEY JETMORE 67854 3163578361234783 170124 A 01 KS HOSPITAL DISTRICT #6 OF HARPER COUNTY 1101 E SPRING ST ANTHONY 67003 3168425111234762 170098 A 01 KS HOSPITAL DISTRICT 1 CRAWFORD COUNTY 302 N HOSPITAL DR GIRARD 66743 3167248291234799 170151 A 01 KS HOSPITAL DISTRICT 5 HARPER COUNTY 12TH & MAPLE HARPER 67058 3168967324234721 170052 A 01 KS KINGMAN COMMUNITY HOSPITAL 750 WEST AVENUE D KINGMAN 67068 6205323147234725 170056 A 01 KS LINCOLN COUNTY HOSPITAL 624 N SECOND ST LINCOLN 67455 9135244403234765 170101 A 01 KS LINDSBORG COMMUNITY HOSPITAL 605 W LINCOLN ST LINDSBORG 67456 7852273308234769 170105 A 01 KS MEMORIAL HOSPITAL 1000 HOSPITAL DR MCPHERSON 67460 3162412250234710 170037 A 01 KS MEMORIAL HOSPITAL 1105 SUNSET AVE PO BOX 1208 MANHATTAN 66502 9137763300234775 170114 A 01 KS MEMORIAL HOSPITAL 511 NE TENTH ST ABILENE 67410 9132632100234791 170142 A 01 KS MERCY HEALTH CENTER OF MANHATTAN INC 1823 COLLEGE AVE MANHATTAN 66502 9137763322234727 170058 A 01 KS MERCY HOSPITAL 821 BURKE ST FORT SCOTT 66701 3162232200234742 170075 A 01 KS MERCY HOSPITAL 218 E PACK ST PO BOX 180 MOUNDRIDGE 67107 3163456391234684 170010 A 01 KS MERCY HOSPITAL INDEPENDENCE 800 W MYRTLE ST INDEPENDENCE 67301 6203323204234771 170109 A 01 KS MIAMI COUNTY HOSPITAL 501 S HOSPITAL DR PO BOX 365 PAOLA 66071 9132942327234707 170034 A 01 KS MINNEOLA DISTRICT HOSPITAL 212 MAIN STREET PO BOX 127 MINNEOLA 67865 6208854264234738 170070 A 01 KS MORRIS COUNTY HOSPITAL 600 N WASHINGTON ST KPOB 275 COUNCIL GROVE 66846 3167676811234803 170166 A 01 KS MORTON COUNTY HOSPITAL 445 N HILLTOP ELKHART 67950 3166972141234792 170143 A 01 KS NEOSHO MEMORIAL HOSPITAL 629 S PLUMMER CHANUTE 66720 3164314000234767 170103 A 01 KS NEWTON MEDICAL CENTER 600 MEDICAL CENTER DR PO BOX 308 NEWTON 67114 3162832700234750 170084 A 01 KS NORTON COUNTY HOSPITAL 102 EAST HOLME STREET NORTON 67654 9138773351234714 170041 A 01 KS OSBORNE COUNTY MEMORIAL HOSPITAL 424 W NEW HAMPSHIRE ST OSBORNE 67473 9133462121234688 170014 A 01 KS RANSOM MEMORIAL HOSPITAL 1301 S MAIN ST OTTAWA 66067 7852298200234779 170119 A 01 KS RUSH COUNTY MEMORIAL HOSPITAL 801 LOCUST PO BOX 520 LA CROSSE 67548 7852222545234703 170030 A 01 KS RUSSELL REGIONAL HOSPITAL 200 S MAIN RUSSELL 67665 9134833131234682 170009 A 01 KS SAINT JOHN HOSPITAL 3500 S 4TH ST LEAVENWORTH 66048 9136806000234751 170085 A 01 KS SCOTT COUNTY HOSPITAL 310 EAST THIRD SCOTT CITY 67871 3168725811234731 170063 A 01 KS SHERIDAN COUNTY HOSPITAL 826 18TH ST PO BOX 167 HOXIE 67740 9136753281234798 170150 A 01 KS SOUTH CENTRAL KS REGIONAL MED CENTER 216 W BIRCH ST ARKANSAS CITY 67005 3164422500234697 170023 A 01 KS ST CATHERINE HOSPITAL 410 E WALNUT ST GARDEN CITY 67846 3162722222234699 170025 A 01 KS ST LUKE HOSPITAL 1014 E MELVIN MARION 66861 6203822177234778 170117 A 01 KS STANTON COUNTY HOSPITAL 404 N CHESTNUT JOHNSON 67855 3164926250234744 170077 A 01 KS TREGO COUNTY-LEMKE MEMORIAL HOSPITAL 320 N 13TH ST WAKEENEY 67672 9137432182234785 170128 A 01 KS WAMEGO CITY HOSPITAL 711 GENN DR WAMEGO 66547 9134562295234743 170076 A 01 KS WASHINGTON COUNTY HOSPITAL 304 E 3RD ST WASHINGTON 66968 9133252211234808 170175 A 01 KS WESTERN PLAINS REGIONAL HOSPITAL 3001 AVENUE A DODGE CITY 67801 3162258400234740 170073 A 01 KS WILSON COUNTY HOSPITAL 205 MILL ST NEODESHA 66757 3163252611239547 180046 A 01 KY BOURBON COMMUNITY HOSPITAL 9 LINVILLE DR PARIS 40361 8599871000239554 180054 A 01 KY CALDWELL CO HOSP 101 HOSPITAL DRIVE BOX 410 PRINCETON 42445 2703650300239592 180118 A 01 KY CAVERNA MEMORIAL HOSP 1501 S DIXIE ST PO BOX 120 HORSE CAVE 42749 2707862191239577 180092 A 01 KY CLARK REGIONAL MEDICAL CENTER 1107 W LEXINGTON AV WINCHESTER 40391 8597453500239587 180106 A 01 KY CLINTON CO HOSP INC 723 BURKESVILLE RD ALBANY 42602 6063877090239580 180095 A 01 KY CRITTENDEN CO HOSP HIGHWAY 60 S BOX 386 MARION 42064 2709655281239549 180048 A 01 KY EPHRAIM MCDOWELL REGIONAL MED CENTER 217 S THIRD ST DANVILLE 40422 8592364121239553 180053 A 01 KY FLEMING COUNTY HOSPITAL 920 ELIZAVILLE RD FLEMINGSBURG 41041 6068492351239581 180099 A 01 KY FORT LOGAN HOSP 124 PORTMAN AV STANFORD 40484 6063652187239601 180127 A 01 KY FRANKFORT REGIONAL MEDICAL CENTER 299 KINGS DAUGHTERS DRIVE FRANKFORT 40601 5028755240239598 180124 A 01 KY GREENVIEW REGIONAL HOSP 1801 ASHLEY CIRCLE BOWLING GREEN 42101 2707931000239590 180116 A 01 KY JACKSON PURCHASE MEDICAL CENTER 1099 MEDICAL CENTER CIRCLE MAYFIELD 42066 2702514100239548 180047 A 01 KY JANE TODD CRAWFORD MEMORIAL HOSP 202 MILBY ST GREENSBURG 42743 2709324211239561 180063 A 01 KY KNOX CO HOSP ONE HOSPITAL DRIVE PO BOX 160 BARBOURVILLE 40906 6065464175

239595 180121 A 01 KY LIVINGSTON HOSP AND HEALTHCARE SER INC 131 HOSPITAL DR SALEM 42078 2709882299239564 180066 A 01 KY LOGAN MEMORIAL HOSPITAL 1625 S NASHVILLE RD RUSSELLVILLE 42276 2707264011239527 180026 A 01 KY MARSHALL CO HOSP 503 GEORGE MCCLAIN DR BENTON 42025 2705274800239603 180129 A 01 KY MARY BRECKINRIDGE HOSPITAL HOSPITAL DRIVE HYDEN 41749 6066722901239562 180064 A 01 KY MARY CHILES HOSP 50 STERLING AV MOUNT STERLING 40353 8594981220239512 180011 A 01 KY MARYMOUNT MEDICAL CENTER 310 EAST NINTH ST LONDON 40741 6068786520239529 180028 A 01 KY MCDOWELL ARH HOSPITAL PO BOX 247 RT 122 MC DOWELL 41647 6063773400239522 180020 A 01 KY MIDDLESBORO ARH HOSPITAL 3600 W CUMBERLAND AV MIDDLESBORO 40965 6062421101239586 180105 A 01 KY MONROE CO MEDICAL CENTER 529 CAPP HARLAN RD TOMPKINSVILLE 42167 2704879231239563 180065 A 01 KY NEW HORIZONS HEALTH SYSTEMS INC 330 ROLAND AV OWENTON 40359 5024843663239542 180041 A 01 KY OHIO CO HOSP 1211 MAIN ST HARTFORD 42347 2702987411239591 180117 A 01 KY PARKWAY REGIONAL HOSP 2000 HOLIDAY LANE FULTON 42041 2704722522239550 180049 A 01 KY PATTIE A CLAY HOSP EASTERN BYPASS RICHMOND 40475 8596233131239589 180115 A 01 KY ROCKCASTLE HOSP 145 NEWCOMB AVE P O BOX 1310 MOUNT VERNON 40456 6062562195239607 180134 A 01 KY RUSSELL CO HOSP DOWELL RD BOX 1610 RUSSELL SPRINGS 42642 2708664141239602 180128 A 01 KY THREE RIVERS MEDICAL CENTER HIGHWAY 644 PO BOX 769 LOUISA 41230 6066389451239610 180138 A 01 KY TRI COUNTY BAPTIST HOSPITAL 1025 NEW MOODY LANE LA GRANGE 40031 5022225388239567 180070 A 01 KY TWINS LAKES REGIONAL MEDICAL CENTER 910 WALLACE AV LEITCHFIELD 42754 5022599400239600 180126 A 01 KY WAYNE CO HOSP INC 166 HOSPITAL ST MONTICELLO 42633 6063489343239504 180002 A 01 KY WHITESBURG ARH HOSPITAL 550 JENKINS RD WHITESBURG 41858 6066333500246644 190034 A 01 LA ABBEVILLE GENERAL HOSPITAL 118 N HOSPITAL DR ABBEVILLE 70511 3378935466246650 190043 A 01 LA ABRAM KAPLAN MEMORIAL HOSPITAL 1310 W 7TH STREET KAPLAN 70548 3376438300246681 190110 A 01 LA ACADIA ST LANDRY PARISH HOSPITAL 810 S BROADWAY CHURCH POINT 70525 3376845435246696 190133 A 01 LA ALLEN PARISH HOSPITAL 108 6TH AVENUE KINDER 70648 3377382527246676 190099 A 01 LA AVOYELLES HOSPITAL HIGHWAY 1192 BLUE TOWN ROAD MARKSVILLE 71351 3182538611246707 190148 A 01 LA BUNKIE GENERAL HOSPITAL 427 EVERGREEN STREET BUNKIE 71322 3183466681246717 190164 A 01 LA BYRD REGIONAL HOSPITAL 1020 FERTITTA BLVD LEESVILLE 71446 3372399041246728 190184 A 01 LA CITIZENS MEDICAL CENTER HWY 165 SOUTH COLUMBIA 71418 3186496106246623 190003 A 01 LA DAUTERINE HOSPITAL 600 NORTH LEWIS STREET NEW IBERIA 70563 3373744101246730 190186 A 01 LA DEQUINCY MEMORIAL HOSPITAL 110 WEST FOURTH STREET DEQUINCY 70633 3377861200246688 190118 A 01 LA DESOTO REGIONAL HEALTH SYSTEM 207 JEFFERSON STREET MANSFIELD 71052 3188724610246734 190191 A 01 LA DOCTORS HOSPITAL OF OPELOUSAS 3983 I 49 SOUTH SERVICE ROAD OPELOUSAS 70570 3379482100246686 190115 A 01 LA DOCTORS HOSPITAL OF SHREVEPORT 1130 LOUISIANA AVENUE SHREVEPORT 71101 3182271211246636 190018 A 01 LA FRANKLIN FOUNDATION HOSPITAL 1501 HOSPITAL AVENUE FRANKLIN 70538 3378280760246701 190140 A 01 LA FRANKLIN MEDICAL CENTER 2106 LOOP ROAD WINNSBORO 71295 3184359411246694 190130 A 01 LA HARDTNER MEDICAL CENTER HIGHWAY 165 SOUTH OLLA 71465 3184953131246685 190114 A 01 LA HOMER MEMORIAL HOSPITAL 620 EAST COLLEGE STREET HOMER 71040 3189272024246706 190147 A 01 LA HOOD MEMORIAL HOSPITAL 301 WALNUT STREET AMITE 70422 9857489485246668 190083 A 01 LA JACKSON PARISH HOSPITAL 165 BEECH SPRING ROAD JONESBORO 71251 3182594435246657 190053 A 01 LA JENNINGS AMERICAN LEGION HOSPITAL 1634 ELTON ROAD JENNINGS 70546 3378242490246654 190048 A 01 LA LADY OF THE SEA GENERAL HOSPITAL 200 WEST 134TH PLACE CUT OFF 70345 9856326401246724 190177 A 01 LA LAKEVIEW REGIONAL MEDICAL CENTER 95 EAST FAIRWAY CENTER DRIVE COVINGTON 70433 5048925900246704 190145 A 01 LA LASALLE GENERAL HOSPITAL HWY 84 WEST JENA 71342 3189929200246627 190007 A 01 LA NATCHITOCHES PARISH 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270082 A 01 MT NORTHERN ROCKIES MEDICAL CENTER INC 802 2ND ST S E CUT BANK 59427 4068732251290113 270039 A 01 MT PONDERA MEDICAL CENTER 805 SUNSET BLVD CONRAD 59425 4062783211290096 270016 A 01 MT ROSEBUD HEALTH CARE CENTER 383 N 17TH AVE FORSYTH 59327 4063562161290138 270081 A 01 MT ROUNDUP MEMORIAL HOSPITAL 1202 3RD ST WEST, PO BOX 40 ROUNDUP 59072 4063232301290126 270058 A 01 MT SHERIDAN MEMORIAL HOSPITAL 440 WEST LAUREL AVE PLENTYWOOD 59254 4067651420290100 270021 A 01 MT SIDNEY HEALTH CENTER PO BOX 1690 SIDNEY 59270 4064882100290141 270084 A 01 MT ST JOSEPH HOSPITAL CORP BOX 1010 SKYLINE DR POLSON 59860 4068835377290098 270019 A 01 MT ST LUKE COMMUNITY HOSPITAL 107 6TH AVE SW RONAN 59864 4066764441290086 270003 A 01 MT ST PETERS COMMUNITY HOSPITAL 2475 BROADWAY HELENA 59601 4064422480290089 270007 A 01 MT STILLWATER COMMUNITY HOSP 44 W FOURTH PO BOX 959 COLUMBUS 59019 4063225316290128 270060 A 01 MT TRINITY HOSPITAL 315 KNAPP STREET WOLF POINT 59201 4066532100330744 340067 A 01 NC ALEXANDER COMMUNITY HOSPITAL 326 THIRD ST SW TAYLORSVILLE 28681 7046324282330728 340044 A 01 NC ALLEGHANY COUNTY MEMORIAL HOSPITAL 617 DOCTORS STREET SPARTA 28675 9193725511330701 340012 A 01 NC ANGEL MEDICAL CENTER 120 RIVERVIEW ST PO BOX 1209 FRANKLIN 28734 8283694231330754 340084 A 01 NC ANSON COUNTY HOSPITAL 500 MORVEN ROAD WADESBORO 28170 7046945131330749 340072 A 01 NC ASHE MEMORIAL HOSPITAL 200 HOSPITAL AVE JEFFERSON 28640 9192467101330711 340022 A 01 NC BLADEN COUNTY HOSPITAL HWY 701 N PO BOX 398 ELIZABETHTOWN 28337 9198625100330729 340045 A 01 NC BLOWING ROCK HOSPITAL CHESTNUT DR BOX 148 BLOWING ROCK 28605 8282953136330812 340158 A 01 NC BRUNSWICK COMMUNITY HOSPITAL 1 MEDICAL CENTER DR PO BOX 139 SUPPLY 28462 9107548121330694 340005 A 01 NC CANNON MEMORIAL HOSPITAL 434 HOSPITAL DR P O BOX 767 LINVILLE 28646 8288985111330774 340111 A 01 NC CHATHAM HOSPITAL INC THIRD ST & IVEY AVE BOX 649 SILER CITY 27344 9196632113330768 340104 A 01 NC CRAWLEY MEMORIAL HOSPITAL 315 W COLLEGE AVE BOX 996 BOILING SPRINGS 28017 7044349466330735 340052 A 01 NC DAVIE COUNTY HOSPITAL 222 HOSP ST MOCKSVILLE 27028 7047518100330785 340124 A 01 NC GOOD HOPE HOSPITAL 410 DENIM DR PO BOX 668 ERWIN 28339 9108976151330788 340127 A 01 NC GRANVILLE MEDICAL CENTER COLLEGE ST BOX 947 OXFORD 27565 9196903405330771 340107 A 01 NC HERITAGE HOSPITAL 111 HOSPITAL DR TARBORO 27886 2526417700330804 340146 A 01 NC HIGHLANDS-CASHIERS HOSPITAL INC HWY 64 EAST PO DRAWER 190 HIGHLANDS 28741 8285261200330764 340097 A 01 NC HUGH CHATHAM MEMORIAL HOSPITAL PARKWOOD DR PO BOX 560 ELKIN 28621 3365277316330783 340121 A 01 NC J ARTHUR DOSHER MEMORIAL HOSPITAL 924 HOWE ST SOUTHPORT 28461 9104575271330722 340037 A 01 NC KINGS MOUNTAIN HOSPITAL INC 706 W KING ST KINGS MOUNTAIN 28086 7047393601330794 340133 A 01 NC MARTIN GENERAL HOSPITAL 310 S MCCASKEY RD P O BOX 1128 WILLIAMSTON 27892 2528096179330739 340060 A 01 NC MOREHEAD MEMORIAL HOSPITAL 117 E KINGS HIGHWAY EDEN 27288 9196239711330712 340023 A 01 NC PARK RIDGE HOSPITAL NAPLES RD BOX 1569 FLETCHER 28732 7046812110330813 340159 A 01 NC PERSON COUNTY MEMORIAL HOSPITAL 615 RIDGE RD ROXBORO 27573 3365992121330758 340089 A 01 NC PUNGO DISTRICT HOSPITAL 210 E FROMT ST BELHAVEN 27810 9199432111330770 340106 A 01 NC SANDHILLS REGIONAL MEDICAL CENTER 1000 WEST HAMLET AVENUE HAMLET 28345 9195823611330700 340011 A 01 NC SPRUCE PINE COMMUNITY HOSPITAL 125 HOSPITAL DR SPRUCE PINE 28777 7047654201330707 340018 A 01 NC ST LUKES HOSPITAL 220 HOSPITAL DR COLUMBUS 28722 7048943311330708 340019 A 01 NC STOKES-REYNOLDS MEMORIAL HOSPITAL PO BOX 10 HWY 8 & 89 DANBURY 27016 9105932831330775 340112 A 01 NC WASHINGTON COUNTY HOSPITAL 958 US HWY 64 EAST PLYMOUTH 27962 9197934135330819 340168 A 01 NC WILMINGTON TREATMENT CENTER 2520 TROY DRIVE WILMINGTON 28401 9197622727332730 350010 A 01 ND HEART OF AMERICA MEDICAL CENTER 802 S MAIN RUGBY 58368 7017765261332746 350027 A 01 ND HILLSBORO MEDICAL CENTER HOSPITAL 12 3RD ST SE HILLSBORO 58045 7014364501332729 350009 A 01 ND JAMESTOWN HOSPITAL 419 5TH STREET N E JAMESTOWN 58401 7012534840332766 350058 A 01 ND LINTON HOSPITAL 518 N BROADWAY LINTON 58552 7012544511332749 350030 A 01 ND MERCY HOSPITAL,THE 1031 7TH ST DEVILS LAKE 58301 7016622131332737 350017 A 01 ND MERCY MEDICAL CENTER 1301 15TH AVE W WILLISTON 58801 7017747400332725 350005 A 01 ND PR HLTH CORP DBA FIRST CARE HEALTH CTR 715 VIVIAN ST PARK RIVER 58270 7012847500332738 350018 A 01 ND ST ALOISIUS MEDICAL CENTER 325 EAST BREWSTER ST HARVEY 58341 7013244651332723 350003 A 01 ND ST JOSEPHS HOSPITAL/HEALTH CENTER 30 WEST 7TH ST DICKINSON 58601 7012644277332742 350021 A 01 ND ST LUKES HOSPITAL 702 1ST ST SW BOX 10 CROSBY 58730 7019656384332734 350014 A 01 ND TOWNER COUNTY MEDICAL CENTER HWY 281 N BOX 688 CANDO 58324 7019684411332726 350006 A 01 ND TRINITY ST JOSEPH'S HOSPITAL 407 3RD ST SE & BURDICK EXPRESSWAY MINOT 58701 7018575000332768 350061 A 01 ND WEST RIVER REGIONAL MEDICAL CENTER 1000 HIGHWAY 12 HETTINGER 58639 7015674561292393 280123 A 01 NE BEATRICE STATE DEVELOPMENTAL CENTER 3000 LINCOLN BLVD PO BOX 808 BEATRICE 68310 4022232302292391 280118 A 01 NE BOX BUTTE GENERAL HOSPITAL 2101 BOX BUTTE AVE ALLIANCE 69301 3087626660292313 280021 A 01 NE COMMUNITY HOSPITAL P O BOX 1328, 1301 EAST H STREET MCCOOK 69001 3083452650292361 280076 A 01 NE CRETE AREA MEDICAL CENTER 1540 GROVE STREET CRETE 68333 4028262154292360 280075 A 01 NE GORDON MEMORIAL HOSPITAL 300 EAST 8TH STREET GORDON 69343 3082820401292347 280057 A 01 NE JENNIE M MELHAM MEMORIAL MED CENTER PO BOX 250, 145 MEMORIAL DRIVE BROKEN BOW 68822 3088726891292308 280015 A 01 NE MEMORIAL HEALTH CENTER 645 OSAGE STREET SIDNEY 69162 3082545825292371 280089 A 01 NE OGALLALA COMMUNITY HOSPITAL 2601 SPRUCE STREET OGALLALA 69153 3082844011292316 280024 A 01 NE PERKINS COUNTY HEALTH SERVICES 900 LINCOLN AVENUE GRANT 69140 3083527200292390 280117 A 01 NE TRI-COUNTY AREA HOSPITAL DISTRICT 1201 NORTH ERIE STREET PO BOX 980 LEXINGTON 68850 3083245651295860 300016 A 01 NH ALICE PECK DAY MEMORIAL HOSPITAL 125 MASCOMA STREET LEBANON 03766 6034483121295867 300022 A 01 NH ANDROSCOGGIN VALLEY HOSPITAL 59 PAGE HILL ROAD BERLIN 03570 6037522200295863 300019 A 01 NH CHESHIRE MEDICAL CENTER,THE 580 COURT STREET KEENE 03431 6033545400295857 300013 A 01 NH FRANKLIN REGIONAL HOSPITAL 15 AIKEN AVENUE FRANKLIN 03235 6039342060295849 300006 A 01 NH HUGGINS HOSPITAL SOUTH MAIN STREET WOLFEBORO 03894 6035697500295848 300005 A 01 NH LAKES REGION GENERAL HOSPITAL HIGHLAND ST LACONIA 03246 6035243211295859 300015 A 01 NH MEMORIAL HOSPITAL THE 3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY 03860 6033565461295850 300007 A 01 NH MONADNOCK COMMUNITY HOSPITAL 452 OLD STREET ROAD PETERBOROUGH 03458 6039244699

295852 300009 A 01 NH NEW LONDON HOSPITAL ASSOCIATION INC COUNTY ROAD NEW LONDON 03257 6035262911295854 300010 A 01 NH SPEARE MEMORIAL HOSPITAL 16 HOSPITAL ROAD PLYMOUTH 03264 6035361120295869 300024 A 01 NH VALLEY REGIONAL HOSPITAL 243 ELM ST CLAREMONT 03743 6035427771305586 320030 A 01 NM ARTESIA GENERAL HOSPITAL 702 N 13TH ST ARTESIA 88210 5057483333305575 320013 A 01 NM HOLY CROSS HOSPITAL 1397 WEIMER ROAD TAOS 87571 5057588883305609 320069 A 01 NM MINERS' COLFAX MEDICAL CENTER 200 HOSPITAL DRIVE RATON 87740 5054453661305608 320068 A 01 NM NOR LEA GENERAL HOSPITAL 1600 NORTH MAIN LOVINGTON 88260 5053966611305592 320038 A 01 NM REHOBOTH MCKINLEY CHRISTIAN HEALTH SER 1901 RED ROCK DRIVE GALLUP 87301 5058637000294439 290027 A 01 NV GROVER C DILS MEDICAL CENTER 700 N SPRING ST, BOX 1010-C-ADM BLDG CALIENTE 89008 7027263171294436 290020 A 01 NV NYE REGIONAL MEDICAL CENTER 825 ERIE MAIN ST TONOPAH 89049 7754826233294419 290002 A 01 NV SOUTH LYON MEDICAL CENTER SURPRISE AT WHITACRE AVE YERINGTON 89447 7754632301322042 330307 A 01 NY CAYUGA MEDICAL CENTER AT ITHACA 101 DATES DRIVE ITHACA 14850 6072744011322015 330249 A 01 NY COMMUNITY MEMORIAL HOSPITAL 150 BROAD ST HAMILTON 13346 3158241100321953 330175 A 01 NY CORTLAND MEMORIAL HOSPITAL 134 HOMER AVE CORTLAND 13045 6077563500321912 330114 A 01 NY E J NOBLE-ALEXANDRIA BAY FULLER STREET ALEXANDRIA BAY 13607 3154822511321954 330177 A 01 NY E J NOBLE-GOUVERNEUR 77 W BARNEY ST GOUVERNEUR 13642 3152871000322006 330238 A 01 NY NICHOLAS NOYES MEMORIAL HOSPITAL 111 CLARA BARTON ST DANSVILLE 14437 7163356001345997 360129 A 01 OH ADAMS COUNTY HOSPITAL 210 NORTH WILSON DRIVE WEST UNION 45693 5135445571345980 360107 A 01 OH BELLEVUE HOSPITAL 811 NORTHWEST ST BELLEVUE 44811 4194834040345905 360030 A 01 OH BUCYRUS COMMUNITY HOSPITAL 629 NORTH SANDUSKY AVENUE BUCYRUS 44820 4195624677346037 360176 A 01 OH HARDIN MEMORIAL HOSPITAL 921 E FRANKLIN STREET KENTON 43326 4196730761346065 360231 A 01 OH HARRISON COMMUNITY HOSPITAL 951 EAST MARKET STREET CADIZ 43907 6149424631

1024913 363031 A 01 OH LIFE CARE HOSPITALS OF DAYTON 2150 LEITER ROAD MIAMISBURG 45342 9373848300345932 360058 A 01 OH MERCER CO JOINT TOWNSHIP COMM HOSP 800 WEST MAIN STREET COLDWATER 45828 4196784843345936 360063 A 01 OH MERCY MEDICAL CENTER 110 E HOWARD ST WILLARD 44890 4199332931345962 360088 A 01 OH MERCY MEMORIAL HOSPITAL 904 SCIOTO AVE URBANA 43078 5136535231345921 360047 A 01 OH PIKE COUNTY HOSPITAL DAWN LANE WAVERLY 45690 6149472186345881 360006 A 01 OH RIVERSIDE METHODIST HOSPITAL 3535 OLENTANGY RIVER RD COLUMBUS 43214 6142615151346039 360178 A 01 OH SELBY GENERAL HOSPITAL 1106 COLEGATE DRIVE MARIETTA 45750 6143730582345917 360042 A 01 OH UHHS BROWN MEMORIAL HOSPITAL 158 W MAIN RD CONNEAUT 44030 2165931131345918 360044 A 01 OH WAYNE HOSPITAL 835 SWEITZER STREET GREENVILLE 45331 9375481141345889 360013 A 01 OH WILSON MEMORIAL HOSPITAL 915 WEST MICHIGAN STREET SIDNEY 45365 9374982311345996 360128 A 01 OH WYANDOT MEMORIAL HOSPITAL 885 N SANDUSKY AVE UPPER SANDUSKY 43351 4192944991352627 370041 A 01 OK BRISTOW MEMORIAL HOSPITAL SPRUCE & 7TH STREETS BRISTOW 74010 9183672215352643 370064 A 01 OK CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL 102 NORTH BROADWAY CARNEGIE 73015 5806541050352668 370100 A 01 OK CHOCTAW MEMORIAL HOSPITAL 1405 EAST KIRK ROAD HUGO 74743 5803266414352690 370140 A 01 OK CLEVELAND AREA HOSPITAL AUTHORITY 1401 WEST PAWNEE CLEVELAND 74020 9183582501352719 370186 A 01 OK CORDELL MEMORIAL HOSPITAL 1220 NORTH GLENN ENGLISH STREET CORDELL 73632 5808323339352644 370065 A 01 OK CRAIG GENERAL HOSPITAL 735 NORTH FOREMAN, P O BOX 326 VINITA 74301 9182567551352696 370153 A 01 OK ELKVIEW GENERAL HOSPITAL 429 WEST ELM STREET HOBART 73651 5807263324352685 370133 A 01 OK FAIRFAX MEMORIAL HOSPITAL, INC STATE HWY 18 & TAFT AVENUE P O BOX 219 FAIRFAX 74637 9186423291352628 370042 A 01 OK FAIRVIEW HOSPITAL 523 EAST STATE ROAD FAIRVIEW 73737 5802273721352608 370019 A 01 OK GREAT PLAINS REGIONAL MEDICAL CENTER 1705 WEST 2ND STREET, P O BOX 2339 ELK CITY 73648 4052252511352622 370036 A 01 OK HARMON MEMORIAL HOSPITAL 400 EAST CHESTNUT, P O BOX 791 HOLLIS 73550 5806883363352672 370108 A 01 OK HARPER COUNTY COMMUNITY HOSPITAL U S HIGHWAY 64 NORTH, P O BOX 60 BUFFALO 73834 5807352555352654 370084 A 01 OK HASKELL COUNTY HOSPITAL 401 NORTHWEST H STREET STIGLER 74462 9189674682352718 370183 A 01 OK HENRYETTA MEDICAL CENTER DEWEY BARTLETT AND MAIN STS, BOX 1269 HENRYETTA 74437 9186524463352697 370154 A 01 OK HOLDENVILLE GENERAL HOSPITAL 100 CRESTVIEW DRIVE HOLDENVILLE 74848 4053796631352629 370043 A 01 OK INTEGRIS MARSHALL MEMORIAL HOSPITAL 1 HOSPITAL DRIVE MADILL 73446 5807953384352617 370030 A 01 OK INTEGRIS BLACKWELL REGIONAL HOSPITAL 710 SOUTH 13TH STREET BLACKWELL 74631 4053632311352616 370029 A 01 OK INTEGRIS CLINTON REGIONAL HOSPITAL 100 NORTH 30TH STREET, P O BOX 1569 CLINTON 73601 4053232363352677 370121 A 01 OK LOGAN HOSPITAL AND MEDICAL CENTER ST HWY 33 W & 200 S ACADEMY RD BX 1017 GUTHRIE 73044 4052826700352680 370125 A 01 OK MANGUM CITY HOSPITAL ONE WICKERSHAM DRIVE MANGUM 73554 5807823353352655 370085 A 01 OK MARY HURLEY HOSPITAL 6 NORTH COVINGTON COALGATE 74538 5809272327352633 370048 A 01 OK MCCURTAIN MEMORIAL HOSPITAL 1301 MEMORIAL ROAD IDABEL 74745 5802867623352713 370178 A 01 OK MEMORIAL HOSPITAL 1401 WEST LOCUST, P O BOX 272 STILWELL 74960 9186963101352635 370051 A 01 OK MEMORIAL HOSPITAL & PHYSICIAN 319 EAST JOSEPHINE FREDERICK 73542 5803357565352687 370138 A 01 OK MEMORIAL HOSPITAL OF TEXAS COUNTY 520 MEDICAL DRIVE GUYMON 73942 5803386515352647 370076 A 01 OK MISSION HILL MEMORIAL HOSPITAL 1900 GORDON COOPER DRIVE SHAWNEE 74801 4052732240352598 370007 A 01 OK NEWMAN MEMORIAL HOSPITAL 905 SOUTH MAIN STREET SHATTUCK 73858 4059382551352630 370045 A 01 OK OKEENE MUNICIPAL HOSPITAL 207 EAST F STREET OKEENE 73763 5808224417352638 370057 A 01 OK OKMULGEE MEMORIAL HOSPITAL 1401 MORRIS DRIVE, P O BOX 1038 OKMULGEE 74447 9187564233352641 370060 A 01 OK PAWNEE MUNICIPAL HOSPITAL AUTHORITY 1212 FOURTH STREET PAWNEE 74058 9187622577352688 370139 A 01 OK PERRY MEMORIAL HOSPITAL 501 14TH STREET PERRY 73077 5803363541352699 370158 A 01 OK PURCELL MUNICIPAL HOSPITAL 1500 NORTH GREEN AVENUEA1 PURCELL 73080 4055276524352669 370103 A 01 OK SAYRE MEMORIAL HOSPITAL, INC 501 EAST WASHINGTON SAYRE 73662 5809285541352712 370177 A 01 OK SEILING MUNICIPAL HOSPITAL AUTHORITY HIGHWAY 60 NORTHEAST SEILING 73663 5809227361352651 370080 A 01 OK SHARE MEMORIAL HOSPITAL 800 SHARE DRIVE ALVA 73717 5803272800352660 370092 A 01 OK SOUTHWESTERN MEMORIAL HOSPITAL 215 NORTH KANSAS WEATHERFORD 73096 5807725551352657 370089 A 01 OK TAHLEQUAH CITY HOSPITAL 1400 EAST DOWNING STREET, P O BOX 1008 TAHLEQUAH 74465 9184560641356909 380087 A 01 OR COQUILLE VALLEY HOSPITAL 940 EAST 5TH STREET COQUILLE 97423 5413963101356868 380023 A 01 OR GOOD SHEPHERD MEDICAL CENTER 610 NW 11TH AVENUE HERMISTON 97838 5418124752356910 380088 A 01 OR LAKE DISTRICT HOSPITAL 700 SOUTH J STREET LAKEVIEW 97630 5419472433356896 380065 A 01 OR LOWER UMPQUA HOSPITAL 600 RANCH ROAD REEDSPORT 97467 5412712171356848 380001 A 01 OR MID-COLUMBIA MEDICAL CENTER 1700 EAST 19TH STREET THE DALLES 97058 5412961111356905 380081 A 01 OR MOUNTAIN VIEW HOSPITAL 470 NE A STREET MADRAS 97741 5414753882356859 380013 A 01 OR PEACE HARBOR HOSPITAL 400 9TH STREET, PO BOX 580 FLORENCE 97439 5419978412356893 380062 A 01 OR PIONEER MEMORIAL HOSPITAL 564 E PIONEER DRIVE, PO BOX 9 HEPPNER 97836 5416769133356853 380006 A 01 OR PROVIDENCE HOOD RIVER MEMORIAL HOSP 13TH AND MAY STREETS, PO BOX 149 HOOD RIVER 97031 5413863911356890 380056 A 01 OR SANTIAM MEMORIAL HOSPITAL 1401 NORTH 10TH AVENUE STAYTON 97383 5037692175356872 380029 A 01 OR SILVERTON HOSPITAL 342 FAIRVIEW STREET SILVERTON 97381 5038731500356858 380011 A 01 OR ST ELIZABETH HEALTH SERVICES, INC 3325 POCAHONTAS ROAD BAKER CITY 97814 5415236461356900 380070 A 01 OR TILLAMOOK COUNTY GENERAL HOSPITAL 1000 THIRD ST TILLAMOOK 97141 5038424444368824 390224 A 01 PA BARNES KASSON COUNTY HOSPITAL 400 TURNPIKE ST SUSQUEHANNA 18847 7178533135368836 390244 A 01 PA BUCKTAIL MEDICAL CENTER 1001 PINE ST RENOVO 17764 7179231000368838 390246 A 01 PA CHARLES COLE MEMORIAL HOSPITAL 1001 EAST STROUDSBURG STREET COUDERSPORT 16915 8142749300368681 390052 A 01 PA CLEARFIELD HOSP 809 TURNPIKE AVE CLEARFIELD 16830 8147655341368635 390005 A 01 PA CORRY MEMORIAL HOSPITAL 612 W SMITH ST CORRY 16407 8146644641368713 390086 A 01 PA DUBOIS REGNL MED CNTR PO BOX 447 MAPLE AVE & 100 HOSP AV DUBOIS 15801 8143712200368771 390154 A 01 PA ELK REGIONAL HEALTH CENTER JOHNSONBURG RD SAINT MARYS 15857 8147817500368661 390031 A 01 PA GOOD SAMARITAN REGIONAL MEDICAL CENTER E NORWEGIAN TREMONT STS POTTSVILLE 17901 7176214000368684 390056 A 01 PA J C BLAIR MEMORIAL HOSPITAL WARM SPRINGS AVE HUNTINGDON 16652 8146432290368727 390104 A 01 PA KANE COMMUNITY HOSPITAL NORTH FRALEY STREET, PO BOX 778 KANE 16735 8148378585368832 390236 A 01 PA MEMORIAL HOSPITAL INC ONE HOSPITAL DRIVE TOWANDA 18848 7172652191368690 390062 A 01 PA NASON HOSPITAL NASON DRIVE ROARING SPRING 16673 8142242141368857 390279 A 01 PA PHILIPSBURG AREA HOSPITAL 210 LOCH LOMOND ROAD PHILIPSBURG 16866 8143427112368806 390199 A 01 PA PUNXSUTAWNEY AREA HOSPITAL 81 HILLCREST DRIVE PUNXSUTAWNEY 15767 8149384500368672 390044 A 01 PA READING HOSPITAL MEDICAL CENTER 6TH AVE AND SPRUCE ST READING 19603 2153786000368745 390122 A 01 PA TITUSVILLE HOSP 406 W OAK ST TITUSVILLE 16354 8148271851368769 390152 A 01 PA TYRONE HOSP CLAY AVE EXTENSION TYRONE 16686 8146841255368668 390040 A 01 PA UNION CITY MEM HOSP 130 N MAIN ST UNION CITY 16438 8144383817368740 390117 A 01 PA UPMC BEDFORD 10455 LINCOLN HIGHWAY EVERETT 15537 8146237202368759 390138 A 01 PA WAYNESBORO HOSPITAL E MAIN ST WAYNESBORO 17268 7177654000

377959 420061 A 01 SC ABBEVILLE COUNTY MEMORIAL HOSPITAL PO BOX 887 ABBEVILLE 29620 8644595011377987 420093 A 01 SC B J WORKMAN MEMORIAL HOSPITAL 751 E GEORGIA STREET WOODRUFF 29388 8645609291377932 420016 A 01 SC BARNWELL COUNTY HOSPITAL PO BOX 588 BARNWELL 29812 8032591000377929 420011 A 01 SC CANNON MEMORIAL HOSPITAL 123 MEDICAL PARK DRIVE BOX 188 PICKENS 29671 8648784791377972 420075 A 01 SC EDGEFIELD COUNTY HOSPITAL PO BOX 590 EDGEFIELD 29824 8036373174377930 420014 A 01 SC FAIRFIELD MEMORIAL HOSPITAL HIGHWAY 321 BY-PASS BOX 620 WINNSBORO 29180 8036355548377969 420072 A 01 SC HAMPTON REGIONAL MEDICAL CENTER 503 CAROLINA AVE WEST VARNVILLE 29944 8039432771377963 420066 A 01 SC LAKE CITY COMMUNITY HOSPITAL 258 N RON MCNAIR BLVD LAKE CITY 29560 8433942036377947 420039 A 01 SC WALLACE THOMSON HOSPITAL 322 W SOUTH ST PO DRAWER 789 UNION 29379 8644270351377957 420057 A 01 SC WILSON MEDICAL CENTER 701 CASHUA FERRY ROAD DARLINGTON 29540 8433951100379553 430013 A 01 SD AVERA QUEEN OF PEACE 525 N FOSTER MITCHELL 57301 6059952000379552 430012 A 01 SD AVERA SACRED HEART HOSPITAL 501 SUMMIT YANKTON 57078 6056688000379569 430033 A 01 SD AVERA ST BENEDICT HEALTH CENTER 1 WEST GLYNN DRIVE PARKSTON 57366 6059283311379554 430014 A 01 SD AVERA ST LUKES 305 S STATE ST ABERDEEN 57401 6056225000379591 430066 A 01 SD AVERA WESKOTA MEMORIAL MEDICAL CENTER 604 1ST ST NE WESSINGTON SPRINGS 57382 6055391201379547 430008 A 01 SD BROOKINGS HOSPITAL 300 22ND AVE BROOKINGS 57006 6056969000379584 430054 A 01 SD CANTON-INWOOD MEMORIAL HOSPITAL 440 N HIAWATHA DRIVE CANTON 57013 6059872621379589 430064 A 01 SD COTEAU DES PRAIRIES HOSP 205 ORCHARD DR SISSETON 57262 6056987647379560 430023 A 01 SD DELLS AREA HEALTH CENTER - HOSPITAL 909 N IOWA AVE DELL RAPIDS 57022 6054285431379561 430024 A 01 SD DESMET MEMORIAL HOSP 306 PRAIRIE AVENUE SW DE SMET 57231 6058543329379579 430047 A 01 SD GREGORY HEALTHCARE CENTER 400 PARK STREET GREGORY 57533 6058358394379567 430031 A 01 SD HAND COUNTY MEM HOSPITAL 300 W FIFTH STREET MILLER 57362 6058532421379587 430060 A 01 SD HOLY INFANT HOSPITAL 512 MAIN STREET HOVEN 57450 6059482262379551 430011 A 01 SD HURON REGIONAL MEDICAL CENTER 172 FOURTH STREET SE HURON 57350 6053536200379580 430048 A 01 SD LOOKOUT MEMORIAL HOSPITAL 1440 N MAIN SPEARFISH 57783 6056441400379546 430007 A 01 SD MADISON COMMUNITY HOSPITAL 917 N WASHINGTON MADISON 57042 6052566551379557 430018 A 01 SD MID-DAKOTA HOSPITAL PO BOX 307 CHAMBERLAIN 57325 6057345511379586 430057 A 01 SD PIONEER MEMORIAL HOSPITAL 315 N WASHINGTON AVE VIBORG 57070 6053265161379545 430005 A 01 SD PRAIRIE LAKES HOSP & CARE CTR 400 10TH AVENUE NW WATERTOWN 57201 6058827000379565 430029 A 01 SD SIOUX VALLEY VERMILLION HOSPITAL 20 SOUTH PLUM VERMILLION 57069 6056242611379550 430010 A 01 SD ST BERNARDS PROVIDENCE HOSPITAL 901 E VIRGIL AVE MILBANK 57252 6054324538379555 430015 A 01 SD ST MARYS HOSPITAL 800 E DAKOTA PIERRE 57501 6052243100379572 430037 A 01 SD ST MICHAELS HOSPITAL 410 WEST 16TH AVE TYNDALL 57066 6055893341379577 430043 A 01 SD WINNER REGIONAL HEALTHCARE CENTER 745 EAST 8TH ST WINNER 57580 6058422110385742 440068 A 01 TN ATHENS REGIONAL MEDICAL CENTER 1114 WEST MADISON AVENUE ATHENS 37303 4237451411385783 440148 A 01 TN BAPTIST DEKALB GENERAL HOSPITAL 520 W MAIN ST SMITHVILLE 37166 6155977171385789 440153 A 01 TN BAPTIST HOSPITAL OF COCKE COUNTY 702-710 2ND ST NEWPORT 37821 4236252200385703 440016 A 01 TN BAPTIST MEMORIAL HOSPITAL HUNTINGDON 631 R B WILSON DR HUNTINGDON 38344 9019864461385764 440114 A 01 TN BAPTIST MEMORIAL HOSPITAL LAUDERDALE 326 ASBURY RD RIPLEY 38063 9016351331385806 440181 A 01 TN BOLIVAR GENERAL HOSPITAL 650 NUCKOLLS ROAD BOLIVAR 38008 9016583100385777 440142 A 01 TN CARTHAGE GENERAL HOSPITAL PO BOX 319, 130 LEBANON HWY CARTHAGE 37030 6157359815385776 440141 A 01 TN CUMBERLAND RIVER HOSPITAL 100 OLD JEFFERSON ST CELINA 38551 6152433581385744 440070 A 01 TN DECATUR COUNTY GENERAL HOSPITAL 1200 TENNESSEE ST S BOX 250 PARSONS 38363 9018473031385762 440110 A 01 TN FORT SANDERS LOUDON MEDICAL CENTER VONORE RD BOX 217 LOUDON 37774 6154584691385749 440081 A 01 TN FORT SANDERS SEVIER MEDICAL CENTER 709 MIDDLE CREEK RD SEVIERVILLE 37862 4234296100385739 440064 A 01 TN GRANDVIEW MEDICAL CENTER 1000 HIGHWAY 28 JASPER 37347 4238379500385761 440109 A 01 TN HARDIN COUNTY GENERAL HOSPITAL 2006 WAYNE RD SAVANNAH 38372 9019254954385771 440132 A 01 TN HENRY COUNTY MEDICAL CENTER 301 TYSON AV PARIS 38242 9016421220385707 440020 A 01 TN HILLSIDE HOSPITAL 1265 E COLLEGE ST PULASKI 38478 9313637531385765 440115 A 01 TN HUMBOLDT GENERAL HOSPITAL INC 3525 CHERE CAROL RD HUMBOLDT 38343 9017840301385732 440056 A 01 TN JEFFERSON MEMORIAL HOSPITAL 110 HOSPITAL DRIVE JEFFERSON CITY 37760 8654752500385805 440180 A 01 TN JELLICO COMMUNITY HOSPITAL RT 1 BOX 197 JELLICO 37762 4237847252385741 440067 A 01 TN LAKEWAY REGIONAL HOSPITAL 726 MCFARLAND ST MORRISTOWN 37814 4235862302385812 440187 A 01 TN LIVINGSTON REGIONAL HOSPITAL 315 OAK ST BOX 550 LIVINGSTON 38570 6158235611385821 440203 A 01 TN MEDICAL CENTER OF MANCHESTER 481 INTERSTATE DRIVE BOX 1409 MANCHESTER 37355 9317286354385800 440174 A 01 TN METHODIST HAYWOOD PARK HOSPITAL INC 2545 N WASHINGTON AVE BROWNSVILLE 38012 9017724110385797 440168 A 01 TN METHODIST HEALTHCARE FAYETTE HOSPITAL 214 LAKEVIEW DR SOMERVILLE 38068 9014653594385737 440061 A 01 TN METHODIST HEALTHCARE-VOLUNTEER HOSPITL 161 MOUNT PELIA RD MARTIN 38237 9015874261385807 440182 A 01 TN METHODIST HOSPITAL OF MCKENZIE 945 N HIGHLAND MC KENZIE 38201 9013525344385736 440060 A 01 TN MILAN GENERAL HOSPITAL 4039 SOUTH HIGHLAND MILAN 38358 9016861591385721 440040 A 01 TN PERRY COMMUNITY HOSPITAL 805 SQUIRREL HOLLOW DRIVE LINDEN 37096 9315892121385729 440052 A 01 TN SCOTT COUNTY HOSPITAL HWY 27 BOX 308 ONEIDA 37841 4235698521385811 440186 A 01 TN SMITH COUNTY MEMORIAL HOSPITAL 158 HOSPITAL DRIVE CARTHAGE 37030 6157351560385717 440033 A 01 TN ST MARY'S MEDICAL CTR OF CAMPBELL CO 923 EAST CENTRAL AVENUE LA FOLLETTE 37766 4235622211385820 440200 A 01 TN STONES RIVER HOSPITAL 324 DOOLITTLE ROAD WOODBURY 37190 6155634001385784 440149 A 01 TN TRINITY HOSPITAL 353 MAIN ST BOX 489 ERIN 37061 6152894211385698 440010 A 01 TN WAYNE MEDICAL CENTER 103 J V MANGUBAT DR WAYNESBORO 38485 6157225411385716 440032 A 01 TN WELLMONT HAWKINS COUNTY MEMORIAL HOSP 851 LOCUST STREET ROGERSVILLE 37857 4232722671410032 450538 A 01 TX ALVIN MEDICAL CENTER 301 MEDIC LANE ALVIN 77511 7133316141410070 450615 A 01 TX ATLANTA MEMORIAL HOSPITAL 1007 SOUTH WILLIAMS STREET ATLANTA 75551 9037964151410019 450497 A 01 TX BOWIE MEMORIAL HOSPITAL 705 EAST GREENWOOD AV BOWIE 76230 9408721126409989 450399 A 01 TX BROWNFIELD REGIONAL MEDICAL CENTER 703 E FELT ST BROWNFIELD 79316 8066373551409906 450203 A 01 TX CAMPBELL HEALTH SYSTEM 713 E ANDERSON ST WEATHERFORD 76086 8175968751410179 450770 A 01 TX CENTRAL TEXAS HOSP 806 N CROCKETT BOX 947 CAMERON 76520 8176976591409976 450369 A 01 TX CHILDRESS REGIONAL MEDICAL CENTER HWY 83 NORTH BOX 1030 CHILDRESS 79201 9409376371409938 450278 A 01 TX CHILLICOTHE HOSPITAL 303 AVE I BOX 370 CHILLICOTHE 79225 8178525131410049 450573 A 01 TX CHRISTUS JASPER MEMORIAL HOSPITAL 1275 MARVIN HANCOCK DRIVE JASPER 75951 4093845461410227 450828 A 01 TX CHRISTUS SPOHN HOSPITAL ALICE 700 FLOURNOY RD ALICE 78332 5126618000409937 450276 A 01 TX CLAY COUNTY MEMORIAL HOSPITAL 310 W SOUTH STREET HENRIETTA 76365 9405385621410183 450776 A 01 TX COLEMAN COUNTY MEDICAL CENTER 310 S PECOS ST COLEMAN 76834 9156252135409894 450185 A 01 TX COLLINGSWORTH GENERAL HOSPITAL P O BOX 1112 WELLINGTON 79095 8064472521409919 450234 A 01 TX COMANCHE COMMUNITY HOSPITAL 211 SOUTH AUSTIN PO BOX 443 COMANCHE 76442 9153565241409973 450355 A 01 TX COON MEMORIAL HOSPITAL AND HOME 1411 DENVER AVE DALHART 79022 8062494571409923 450239 A 01 TX CORYELL MEMORIAL HOSPITAL 1507 W MAIN STREET GATESVILLE 76528 8178658251410167 450755 A 01 TX COVENANT HOSPITAL LEVELLAND 1900 COLLEGE AVE LEVELLAND 79336 8068944963410033 450539 A 01 TX COVENANT HOSPITAL PLAINVIEW 2601 DIMMITT RD PLAINVIEW 79072 8062965531409940 450283 A 01 TX COZBY GERMANY HOSPIAL 707 N WALDRIP GRAND SALINE 75140 9039624242409949 450303 A 01 TX CROSBYTON CLINIC HOSPITAL 710 WEST MAIN STREET CROSBYTON 79322 8066752382410063 450603 A 01 TX CULBERSON COUNTY HOSPITAL DISTRICT EISENHOWER RD AND FM 2185 BOX 609 VAN HORN 79855 9152832760409823 450073 A 01 TX D M COGDELL MEMORIAL HOSPITAL 1700 COGDELL BLVD SNYDER 79549 9155736374409942 450288 A 01 TX DELEON HOSPITAL 407 S TEXAS ST BOX 319 DE LEON 76444 2548932011410100 450658 A 01 TX EAST TEXAS MEDICAL CENTER - FAIRFIELD 125 NEWMAN ST FAIRFIELD 75840 9033892121409986 450389 A 01 TX EAST TEXAS MEDICAL CENTER ATHENS 2000 SOUTH PALESTINE ATHENS 75751 9036752216410054 450580 A 01 TX EAST TEXAS MEDICAL CENTER CROCKETT 1100 LOOP 304 EAST BOX 1129 CROCKETT 75835 9365463862

1025866 450373 A 01 TX EAST TEXAS MEDICAL CENTER MOUNT VERNON HWY 37 SOUTH BOX 477 MOUNT VERNON 75457 9035374552409838 450098 A 01 TX EAST TEXAS MEDICAL CENTER PITTSBURG 414 QUITMAN STREET PITTSBURG 75686 9038566663410038 450547 A 01 TX EAST TEXAS MEDICAL CENTER QUITMAN 117 WINNSBORO STREET QUITMAN 75783 9037634505409908 450210 A 01 TX EAST TEXAS MEDICAL CENTER-CARTHAGE 409 WEST COTTAGE CARTHAGE 75633 0936933841409992 450411 A 01 TX EASTLAND MEMORIAL HOSPITAL 304 S DAUGHERTY BOX 897 EASTLAND 76448 2546292601410126 450694 A 01 TX EL CAMPO MEMORIAL HOSPITAL 303 SANDY CORNER RD EL CAMPO 77437 4095436251410113 450673 A 01 TX ELECTRA MEMORIAL HOSPITAL 1207 S BAILEY ST BOX 1112 ELECTRA 76360 9404953981409924 450241 A 01 TX FAITH COMMUNITY HOSPITAL 717 MAGNOLIA ST JACKSBORO 76458 9405676633409873 450151 A 01 TX FAYETTE MEMORIAL HOSPITAL 543 N JACKSON LA GRANGE 78945 4099683166

410005 450451 A 01 TX GLEN ROSE MEDICAL CENTER 1021 HOLDEN STREET BOX 2159 GLEN ROSE 76043 8178972215410174 450763 A 01 TX GOLDEN PLAINS COMM HOSP 200 S MC GEE BORGER 79007 8062731100409809 450052 A 01 TX GOODALL WITCHER HEALTHCARE FOUNDATION 101 S AVE T CLIFTON 76634 2546758322409831 450085 A 01 TX GRAHAM REGIONAL MEDICAL CENTER 1301 MONTGOMERY RD,P O BOX 1390 GRAHAM 76450 9405493400409912 450217 A 01 TX HALL COUNTY HOSPITAL 1800 N BOYKIN DR MEMPHIS 79245 8062593504409878 450157 A 01 TX HAMILTON HOSPITAL 901 W HAMILTON ST BOX 158 OLNEY 76374 9405645521409925 450243 A 01 TX HAMLIN MEMORIAL HOSPITAL 632 N W SECOND ST BOX 387 HAMLIN 79520 9155763646409868 450146 A 01 TX HANSFORD HOSPITAL 707 S ROLAND SPEARMAN 79081 8066592535409927 450249 A 01 TX HARDEMAN COUNTY MEMORIAL HOSPITAL 402 MERCER ST QUANAH 79252 8176632795409943 450289 A 01 TX HARRIS COUNTY HOSPITAL DISTRICT 1504 TAUB LOOP HOUSTON 77030 7137465400409970 450351 A 01 TX HARRIS METHODIST ERATH COUNTY 411 N BELKNAP ST STEPHENVILLE 76401 2549651513410093 450649 A 01 TX HEART OF TEXAS MEMORIAL HOSPITAL NINE ROAD PO BOX 1150 BRADY 76825 9155972901410052 450578 A 01 TX HEMPHILL COUNTY HOSPITAL 1020 S 4TH ST CANADIAN 79014 8063236422409877 450155 A 01 TX HEREFORD REGIONAL MEDICAL CENTER 801 EAST THIRD HEREFORD 79045 8063642141409999 450429 A 01 TX HI PLAINS HOSPITAL 203 W 4TH ST HALE CENTER 79041 8068392471409975 450362 A 01 TX HIGHLAND LAKES MEDICAL CENTER 3201 SOUTH WATER ST PO BOX 1219 BURNET 78611 5127566000410064 450604 A 01 TX HILL COUNTRY MEMORIAL HOSPITAL INC 1020 KERRVILLE HIGHWAY PO BOX 835 FREDERICKSBURG 78624 8309974353409921 450236 A 01 TX HOPKINS COUNTY MEMORIAL HOSPITAL 115 AIRPORT RD SULPHUR SPRINGS 75482 9038857671410075 450626 A 01 TX JACKSON COUNTY HOSPITAL 1013 S WELLS EDNA 77957 5127825241409787 450020 A 01 TX JOHNS COMMUNITY HOSPITAL 305 MALLARD LN TAYLOR 76574 5123527611410060 450596 A 01 TX LAKE GRANBURY MEDICAL CENTER 1310 PALUXY RD GRANBURY 76048 8175732683409934 450270 A 01 TX LAKE WHITNEY MEDICAL CENTER 200 N SAN JACINTO ST BOX 458 WHITNEY 76692 2546943165410129 450698 A 01 TX LAMB HEALTHCARE CENTER 1500 S SUNSET LITTLEFIELD 79339 8063856411409810 450053 A 01 TX LAVACA MEDICAL CENTER 1400 NORTH TEXANA STREET HALLETTSVILLE 77964 5127983671409913 450219 A 01 TX LLANO MEMORIAL HEALTHCARE SYSTEM 200 W OLLIE LLANO 78643 9152475040409795 450032 A 01 TX MARSHALL REGIONAL MEDICAL CENTER 811 S WASHINGTON BOX 1599 MARSHALL 75670 9039276000410010 450465 A 01 TX MATAGORDA GENERAL HOSPITAL 1115 AVE G BAY CITY 77414 4092456383410017 450489 A 01 TX MEDICAL ARTS HOSPITAL 1600 N BRYAN AVE LAMESA 79331 8068722183409952 450309 A 01 TX MEDINA COMMUNITY HOSPITAL 3100 AVENUE E HONDO 78861 5124265363409920 450235 A 01 TX MEMORIAL HOSPITAL HIGHWAY 90A BYPASS BOX 587 GONZALES 78629 2106727581409914 450221 A 01 TX MEMORIAL HOSPITAL 224 E SECOND STREET DUMAS 79029 8069357171409879 450160 A 01 TX MEMORIAL HOSPITAL 209 N W 8TH ST SEMINOLE 79360 9157585811409783 450014 A 01 TX MEMORIAL MEDICAL CENTER 815 N VIRGINIA STREET PORT LAVACA 77979 5125526713

1025867 450517 A 01 TX MEMORIAL MEDICAL CENTER SAN AUGUSTINE 511 HOSPITAL ST BOX 658 SAN AUGUSTINE 75972 9362753446410151 450727 A 01 TX MITCHELL COUNTY HOSPITAL 1543 CHESTNUT STREET COLORADO CITY 79512 9157283431409845 450109 A 01 TX MUENSTER MEMORIAL HOSPITAL 605 N MAPLE AVENUE BOX 370 MUENSTER 76252 9407592271410173 450761 A 01 TX MULESHOE AREA MED CTR 708 S 1ST ST MULESHOE 79347 8062724524410087 450641 A 01 TX NOCONA GENERAL HOSPITAL 100 PARK ROAD NOCONA 76255 9408253235410029 450534 A 01 TX OCHILTREE GENERAL HOSPITAL 3101 GARRETT DRIVE PERRYTON 79070 8064353606409849 450113 A 01 TX PALESTINE REG MED CTR 4000 SOUTH LOOP 256 PALESTINE 75801 9037311000410045 450565 A 01 TX PALO PINTO GENERAL HOSPITAL 400 SOUTHWEST 25 AVE MINERAL WELLS 76067 9403286400409930 450258 A 01 TX PARKVIEW HOSPITAL 901 SWEETWATER PO BOX 1030 WHEELER 79096 8068265581409990 450400 A 01 TX PARKVIEW REGIONAL HOSPITAL 600 SOUTH BONHAM STREET MEXIA 76667 2545625332409890 450178 A 01 TX PECOS COUNTY MEMORIAL HOSPITAL 1648 SANDERSON HIGHWAY FORT STOCKTON 79735 9153362241409866 450144 A 01 TX PERMIAN GENERAL HOSPITAL 720 HOSPITAL DR BOX 2108 ANDREWS 79714 9155232200409933 450269 A 01 TX PLAINS MEMORIAL HOSPITAL 310 W HALSELL ST BOX 278 DIMMITT 79027 8066472191409905 450201 A 01 TX REEVES COUNTY HOSPITAL 2323 TEXAS ST BOX 2058 PECOS 79772 9154473551410040 450551 A 01 TX RICE MEDICAL CENTER 600 SOUTH AUSTIN ROAD EAGLE LAKE 77434 4092345571409812 450055 A 01 TX ROLLING PLAINS MEMORIAL HOSPITAL 200 E ARIZONA SWEETWATER 79556 9152351701410131 450700 A 01 TX SABINE COUNTY HOSPITAL PO DRAWER W HWY 83 WEST HEMPHILL 75948 4097873300410097 450653 A 01 TX SCENIC MOUNTAIN MEDICAL CENTER 1601 W 11TH PLACE BIG SPRING 79720 9152631211410057 450586 A 01 TX SEYMOUR HOSPITAL 200 STADIUM DRIVE BOX 351 SEYMOUR 76380 8178885572409959 450327 A 01 TX SHAMROCK GENERAL HOSPITAL 1000 S MAIN ST SHAMROCK 79079 8062562114409779 450007 A 01 TX SID PETERSON MEMORIAL HOSPITAL 710 WATER ST KERRVILLE 78028 2108964200409950 450306 A 01 TX STAMFORD MEMORIAL HOSPITAL HIGHWAY 6 EAST BOX 911 STAMFORD 79553 9157732725410098 450654 A 01 TX STARR COUNTY MEMORIAL HOSPITAL FM RD 3167 BOX 78 RIO GRANDE CITY 78582 5124875561410020 450498 A 01 TX STEPHENS MEMORIAL HOSPITAL 200 SOUTH GENEVA BRECKENRIDGE 76024 2545592241409932 450264 A 01 TX SWISHER MEMORIAL HOSPITAL 539 SOUTHEAST SECOND STREET TULIA 79088 8069953581410111 450670 A 01 TX TOMBALL REGIONAL HOSPITAL 605 HOLDERRIETH TOMBALL 77375 2813511623409895 450187 A 01 TX TRINITY COMMUNITY MED CENTER OF BREHAM 700 MEDICAL PARKWAY BRENHAM 77833 9798366173409889 450177 A 01 TX UVALDE MEMORIAL HOSPITAL 1025 GARNER FIELD ROAD UVALDE 78801 5122786251410080 450632 A 01 TX W J MANGOLD MEMORIAL HOSPITAL 320 N MAIN ST BOX 37 LOCKNEY 79241 8066523373409926 450246 A 01 TX WAGNER GENERAL HOSPITAL 310 GREEN AVE BOX 859 PALACIOS 77465 5129722511409807 450050 A 01 TX WARD MEMORIAL HOSPITAL 406 S GARY ST MONAHANS 79756 9159432511410998 453028 A 01 TX WARM SPRINGS REHAB HOSPITAL INC 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HOSPITAL 200 N 400 E PANGUITCH 84759 4356768811415654 460037 A 01 UT GUNNISON VALLEY HOSPITAL 60 EAST 100 NORTH GUNNISON 84634 4355287246415653 460036 A 01 UT HEBER VALLEY MEDICAL CENTER 1485 SOUTH HIGHWAY 40 HEBER CITY 84032 4356542500415636 460018 A 01 UT KANE COUNTY HOSPITAL 220 WEST 300 NORTH KANAB 84741 4356445811415644 460025 A 01 UT MILFORD VALLEY MEMORIAL HOSPITAL 451 MAIN ST MILFORD 84751 4353872411415639 460020 A 01 UT SAN JUAN HOSPITAL 364 WEST 100 NORTH MONTICELLO 84535 4355872116415647 460029 A 01 UT SANPETE HOSPITAL 1100 S MEDICAL DR MOUNT PLEASANT 84647 8014622441415645 460026 A 01 UT SEVIER VALLEY HOSPITAL 1100 N MAIN RICHFIELD 84701 8018968271415632 460014 A 01 UT TOOELE VALLEY MEDICAL CENTER 211 SOUTH 100 EAST TOOELE 84074 8018821697415637 460019 A 01 UT UINTAH BASIN MEDICAL CENTER 250 WEST 300 NORTH ROOSEVELT 84066 8017224691415626 460007 A 01 UT VALLEY VIEW MEDICAL CENTER 595 SOUTH 75 EAST CEDAR CITY 84720 4355866587422561 490085 A 01 VA GILES MEM HOSP INC 235 S BUCHANAN ST PEARISBURG 24134 7039216000422505 490012 A 01 VA LEE COUNTY HOSP POST OFFICE BOX 70 PENNINGTON GAP 24277 5405461440422494 490001 A 01 VA NORTON COMMUNITY HOSPITAL 100 15TH ST NW NORTON 24273 7036799600422536 490047 A 01 VA PAGE MEMORIAL HOSPITAL INC 200 MEMORIAL DR LURAY 22835 7037434561422596 490123 A 01 VA RAPPAHANNOCK GENL HOSP HARRIS DRIVE PO BOX 1449 KILMARNOCK 22482 8044358000422585 490111 A 01 VA WYTHE COUNTY COMM HOSP 600 W RIDGE RD WYTHEVILLE 24382 7032280200416547 470010 A 01 VT COPLEY HOSPITAL WASHINGTON HWY MORRISVILLE 05661 8028884231416550 470015 A 01 VT MT ASCUTNEY HOSPITAL HEALTH CENTER 289 COUNTY ROAD WINDSOR 05089 8026746711416545 470008 A 01 VT NORTH COUNTRY HOSPITAL & HLTH CENTER PROUTY DRIVE NEWPORT 05855 8023347331416553 470023 A 01 VT NORTHEASTERN VERMONT REG HOSPITAL HOSPITAL DR SAINT JOHNSBURY 05819 8027488141416554 470024 A 01 VT NORTHWESTERN MEDICAL CENTER INC 133 FAIRFIELD ST PO BOX 1370 SAINT ALBANS 05478 8025245911416544 470006 A 01 VT PORTER 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427831 500092 A 01 WA LAKE CHELAN COMMUNITY HOSPITAL 503 E HIGHLAND/PO BOX 908 CHELAN 98816 5096822531427816 500071 A 01 WA MID-VALLEY HOSPITAL 810 JASMINE STREET, P O BOX 873 OMAK 98841 5098261760427818 500073 A 01 WA MORTON GENERAL HOSPITAL 521 ADAMS STREET/PO BOX C MORTON 98356 3604965112427833 500096 A 01 WA OCEAN BEACH HOSPITAL 174 FIRST AVENUE N, P O BOX H ILWACO 98624 3606423181427841 500107 A 01 WA OKANOGAN-DOUGLAS DISTRICT HOSPITAL 577 HOSPITAL WAY, P O BOX 577 BREWSTER 98812 5096892517427812 500065 A 01 WA PULLMAN MEMORIAL HOSPITAL NE 1125 WASHINGTON AVE PULLMAN 99163 5093322541427840 500106 A 01 WA QUINCY VALLEY HOSPITAL 908 TENTH AVE SW QUINCY 98848 5097873531427813 500068 A 01 WA SKYLINE HOSPITAL 211 SKYLINE DRIVE/PO BOX 99 WHITE SALMON 98672 5094931101427819 500074 A 01 WA WHITMAN HOSPITAL & MEDICAL CENTER 1200 W FAIRVIEW RD COLFAX 99111 5093973435435270 520132 A 01 WI AURORA MED CTRS OF SHEBOYGAN CO INC 901 REED STREET PLYMOUTH 53073 4148931771435198 520038 A 01 WI 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mail_st_adr mail_city_name mail_state_cd mail_zip_cd mail_zip4_cd st_adr city_name zip_cd6000 KANAKANAK RD, BOX 130 DILLINGHAM 99576602 CHASE AVE, BOX 160 CORDOVA 995741915 EAST REZANOF DR KODIAK 996154300 BARTLETT ST HOMER 99603515 E DAHLIA,PO BOX 1687 PALMER 99645310 BENNETT, BOX 1081 WRANGELL 99929164 PIERSON AVENUE CENTREVILLE 35042102 WEST CONECUH AVENUE UNION SPRINGS 36089

P O BOX 1920 CLANTON AL 35045 1010 LAY DAM ROAD CLANTON 35045P O BOX 1270 ASHLAND AL 36251 544 EAST FIRST AVENUE ASHLAND 36251

101 BAPTIST LANE LUVERNE 360491330 HIGHWAY 231 SOUTH TROY 36081101 CRESTVIEW AVENUE EVERGREEN 36401515 MIRANDA ST GEORGIANA 36033509 WILSON AVENUE EUTAW 35462751 DERBY DRIVE YORK 36925317 MCWILLIAMS AVENUE CAMDEN 36726820 W WASHINGTON ST EUFAULA 360271256 MILITARY STREET SOUTH HAMILTON 355708000 ALABAMA HIGHWAY 69 GUNTERSVILLE 35976702 MAIN ST OPP 36467

P O BOX 478 CARROLLTON AL 35447 241 ROBERT K WILSON CARROLLTON 35447P O BOX 670 ROANOKE AL 36274 59928 HIGHWAY 22 ROANOKE 36274P O BOX 490 RED BAY AL 35582 211 HOSPITAL ROAD RED BAY 35582P O BOX 1089 RUSSELLVILLE AL 35653 15155 HIGHWAY 43 RUSSELLVILLE 35653

33700 HIGHWAY 43 THOMASVILLE 36784P O BOX 1299 CHATOM AL 36518 ST STEPHENS AVENUE CHATOM 36518

209 NORTH MAIN STREET WEDOWEE 36278POST OFFICE BOX 339 PARAGOULD AR 72450 900 WEST KINGSHIGHWAY PARAGOULD 72450

1015 UNITY ROAD CROSSETT 716353050 TWIN RIVERS DRIVE ARKADELPHIA 71923

POST OFFICE BOX 607 OSCEOLA AR 72370 611 WEST LEE AVENUE OSCEOLA 72370POST OFFICE BOX 290 BOONEVILLE AR 72927 880 WEST MAIN BOONEVILLE 72927

214 CARTER STREET BERRYVILLE 726162302 COLLEGE AVENUE CONWAY 720321306 WEST COLLIN RAYE DRIVE DE QUEEN 71832

POST OFFICE BOX 887 DUMAS AR 71639 300 EAST PICKENS DUMAS 716391641 WHITEHEAD DRIVE DE WITT 72042778 SCOGIN DRIVE MONTICELLO 71655122 HOSPITAL DRIVE CHEROKEE VILLAGE 72529679 NORTH MAIN STREET SALEM 725761205 MCLAIN STREET NEWPORT 72112

POST OFFICE BOX 788 HELENA AR 72342 1801 MARTIN LUTHER KING HELENA 72342POST OFFICE BOX 639 DANVILLE AR 72833 HWY 10 AT DETROIT ST DANVILLE 72833POST OFFICE BOX 738 CLARKSVILLE AR 72830 1100 EAST POPLAR STREET CLARKSVILLE 72830

451 WEST LOCKE STREET ASHDOWN 71822101 HOSPITAL DRIVE POST OFFICE BOX 629 MAGNOLIA 717532001 SOUTH MAIN STREET HOPE 71801311 NORTH MORROW STREET MENA 719532000 MCLAIN STREEET NEWPORT 72112

POST OFFICE BOX 797 CAMDEN AR 71701 638 CALIFORNIA AVENUE CAMDEN 717011206 GORDON DUCKWORTH DRIVE PIGGOTT 72454315 EAST 13TH STREET, P O BOX F MURFREESBORO 719582801 MEDICAL CENTER DRIVE POCAHONTAS 72455205 EAST JEFFERSON SILOAM SPRINGS 727614 HOSPITAL DRIVE MORRILTON 72110

POST OFFICE BOX 1905 STUTTGART AR 72160 1703 NORTH BUERKLE ROAD STUTTGART 72160P O BOX 3261 CLAYPOOL 85532101 COLE AVENUE BISBEE 856031600 20TH AVE SAFFORD 85546901 WEST REX ALLEN DRIVE WILLCOX 85643GANADO MISSION PO BOX 457 GANADO 865051104 VENTURA AVENUE CHOWCHILLA 936101310 HANNA AVE CORCORAN 932121441 FLORIDA AVENUE MODESTO 95350733 CEDAR ST GARBERVILLE 954406412 LAUREL AVE LAKE ISABELLA 93240700 RIVER DR FORT BRAGG 954371065 BUCKS LAKE RD QUINCY 959713300 RENNER DRIVE FORTUNA 95540372 W CYPRESS AVE REEDLEY 93654HAWTHORNE & WEBSTER STS OAKLAND 946093901 LONE TREE WAY ANTIOCH 94509TAHOE DR & PINE ST TRUCKEE 95734410 N TAYLOR ST WEAVERVILLE 960930401 CASTLE CREEK RD ASPEN 81611707 EAST FIFTH ST BOX 72 RIFLE 816501000 LINCOLN ST FORT MORGAN 80701214 E DENVER AVE GUNNISON 81230448 E FIRST ST SALIDA 81201602 N 6TH W ST PO BOX 578 CHEYENNE WELLS 80810212 S 4TH ST KREMMLING 80459785 RUSSELL ST CRAIG 81625410 BENEDICTA AVE TRINIDAD 81082345 CLEVELAND MEEKER 81641401 KENDALL DRIVE LAMAR 810521311 N MILDRED RD CORTEZ 8132123500 U S HIGHWAY 160 BOX 443 WALSENBURG 81089822 W 4TH ST LEADVILLE 80461615 FAIRHURST ST STERLING 807511024 CENTRAL PARK DR STEAMBOAT SPRINGS 80487910 S MAIN ST YUMA 807591199 W LANTANA RD LANTANA 334651239 E MAIN ST BARTOW 33830N ROBERTS AVE ARCADIA 34265700 MEDICAL BLVD ENGLEWOOD 342954250 HOSPITAL DRIVE MARIANNA 32446221 S ALABAMA ST JAY 32565201 E MARION ST MADISON 32340125 SW 7TH ST WILLISTON 32696847 8TH ST CLERMONT 34711506 NW 4TH ST JASPER 32052

163 E TOLLISON STREET BAXLEY 31513302 S WAYNE ST BOX 745 ALMA 31510HOSPITAL RD COMMERCE 30529807 S ISABELLA ST SYLVESTER 31791903 N COURT ST BOX 865 QUITMAN 31643351 LIBERTY ST WAYNESBORO 30830CEDAR RD BOX 597 METTER 304391111 MOUNTAIN DR DAHLONEGA 30533110 EAST MAIN ST HIAWASSEE 30546577 FRANKLIN SPRINGS ST ROYSTON 30662GRIFFIN ST BOX 706 EASTMAN 31023PERRY HOUSE RD BOX 989 FITZGERALD 317504 MEDICAL DR ELBERTON 30635117 KITE RD BOX 7 SWAINSBORO 30401200 N RIVER ST BOX 518 CLAXTON 30417HWY 5 N P O BOX 1549 BLUE RIDGE 305131155 5TH ST SE CAIRO 31728453 BOLAND ST BOX 490 SPARTA 31087138 W GIBSON ST P O BOX 280 HARTWELL 306431067 PEACHTREE ST LOUISVILLE 30434852 W THIGPEN AV BOX 306 LAKELAND 316351500 E SHOTWELL ST BAINBRIDGE 31717PO BOX 329 GREENSBORO 3064290 EAST STEPHENS STREET CAMILLA 317301266 EAST CHURCH STREET JASPER 30143JASPER ROAD BOX 346 ELLIJAY 305401120 MORNINGSIDE DR PERRY 31069424 N MAIN ST CEDARTOWN 30125196 RIDGECREST CIRCLE CLAYTON 30525117 E MAIN ST BOX 337 HAHIRA 31632117 E MAIN ST BOX 337 HAHIRA 31632300 ALSTON ST RICHLAND 31825100 WHEATLEY DR AMERICUS 31709319 BYPASS BOX 1177 MOULTRIE 31768214 HOSPITAL CIRCLE BLAIRSVILLE 30512801 W GORDON ST THOMASTON 30286

PO BOX 1346 MONROE GA 30655 330 ALCOVA ST MONROE 30655P O BOX 636 SANDERSVILLE GA 31082 610 SPARTA RD SANDERSVILLE 31082

120 GORDON ST PO BOX 370 WASHINGTON 30673640 ULUKAHIKI ST KAILUA 967343420 KUHIO HIGHWAY LIHUE 96766826 N 8TH ST ESTHERVILLE 513341015 UNION STREET BOONE 500361525 WEST FIFTH STREET STORM LAKE 505881600 DIAMOND AVENUE ONAWA 510401501 EAST TENTH STREET ATLANTIC 5002217TH & WELLS PO BOX 217 CLARINDA 51632800 SOUTH FILLMORE STREET OSCEOLA 502132020 FIRST AVE SOUTH DENISON 514421405 NW CHURCH STREET LEON 50144HWY 71 SOUTH BOX AB SPIRIT LAKE 5136011TH AND SOUTH MAIN STREET CHARLES CITY 50616714 LINCOLN ST LE MARS 510315445 AVENUE O BOX 174 FORT MADISON 526271700 WEST TOWNLINE ROAD CRESTON 50801210 FOURTH AVENUE GRINNELL 50112800 OHIO STREET BOX 430 WEBSTER CITY 505951202 21ST AVENUE ROCK VALLEY 51247407 SOUTH WHITE ST MOUNT PLEASANT 52641EAST SECOND STREET IDA GROVE 514451000 15TH NORTH BOX 587 HUMBOLDT 50548400 HIGHLAND FAIRFIELD 525561600 MORGAN ST KEOKUK 526321002 SOUTH LINCOLN KNOXVILLE 501381515 PHILLIPS ALGONA 50511211 HIGHLAND AVENUE BOX 217 SAC CITY 505831200 N 7TH ST CHARITON 500491 ST JOSEPHS DRIVE CENTERVILLE 52544801 SOUTH GREENE STREET ROCK RAPIDS 512466580 165TH ST ALBIA 525311201 HIGHLAND AVENUE RED OAK 51566118 NORTH SEVENTH AVENUE SHELDON 51201115 FOURTH STREET NW ORANGE CITY 510419TH AVENUE NORTH SIBLEY 512493201 FIRST STREET EMMETSBURG 505361600 FIRST STREET EAST INDEPENDENCE 50644235 EIGHTH AVENUE WEST CRESCO 52136709 WEST MAIN STREET MANCHESTER 52057211 SHELLWAY DRIVE MOUNT AYR 508541213 GARFIELD AVENUE HARLAN 51537300 PERSHING AVE SHENANDOAH 51601605 S MAIN ST SIOUX CENTER 51250300 SIOUX VALLEY DRIVE CHEROKEE 51012311 SOUTH CLARK STREET CARROLL 514011301 WEST MAIN ST LAKE CITY 51449HIGHWAY 1 NORTH BOX 70 KEOSAUQUA 52565502 NORTH NINTH AVENUE VINTON 52349400 EAST PARK STREET WASHINGTON 52353417 SOUTH EAST STREET CORYDON 50060502 NORTH THIRD BOX 1448 SANDPOINT 838641501 HILAND AVENUE,PO BOX 489 BURLEY 83318301 CEDAR OROFINO 8354444 NORTH FIRST EAST PRESTON 83263700 SOUTH MAIN STREET MOSCOW 83843551 HIGHLAND DRIVE PO BOX 145 ARCO 83213701 LEWISTON STREET PO BOX 137 COTTONWOOD 83522315 8TH ST LINCOLN 62656911 STACY BURK DRIVE FLORA 628398 DOCTORS PARK ROAD MOUNT VERNON 628641201 PINE STREET ELDORADO 62930201 BAILEY LANE BENTON 628121120 NORTH MELVIN GIBSON CITY 60936FERRELL ROAD ROSICLARE 62982

17 COUNTRY CLUB COURT HARRISBURG 62946MEMORIAL HEIGHTS METROPOLIS 62960303 N JACKSON STREET MORRISON 61270EAST COURT STREET PARIS 61944900 N 2ND ST ROCHELLE 610681201 RICKER DRIVE SALEM 62881238 S CONGRESS RUSHVILLE 62681818 E BROADWAY SPARTA 62286517 N MAIN STREET ANNA 62906225 EDWARD STREET SYCAMORE 601781418 COLLEGE DR MOUNT CARMEL 628632900 WEST 16TH STREET BEDFORD 47421416 EAST MAUMEE STREET ANGOLA 467031314 E WALNUT ST P O BOX 760 WASHINGTON 475011900 MEDICAL ARTS DRIVE HUNTINGBURG 47542720 NORTH LINCOLN STREET GREENSBURG 47240RR 1 BOX 1000 LINTON 474411104 EAST GRACE STREET RENSSELAER 47978500 W VOTAW ST PORTLAND 47371207 NORTH TOWNLINE RD LAGRANGE 46761ONE HOSPITAL ROAD TELL CITY 475861542 BLOOMINGTON ST GREENCASTLE 46135

P O BOX 430 SCOTTSBURG IN 47170 0430 1451 N GARDNER ST SCOTTSBURG 471701116 MILLIS AVE P O BOX 629 BOONVILLE 47601102 EAST CULVER ROAD KNOX 46534

PO BOX 10 SULLIVAN IN 47882 2200 NORTH SECTION ST SULLIVAN 47882911 N SHELBY ST SALEM 47167801 SOUTH MAIN STREET CLINTON 478421101 OCONNOR BLVD MONTICELLO 47960HWY 64 WEST RR 3 BOX 14A OAKLAND CITY 47660101 S 1ST ST IOLA 667491301 NORTH SECOND STREET ATCHISON 660022101 DEARBORN AUGUSTA 67010415 N MAIN ST ULYSSES 67880100 E COLLEGE DR COLBY 67701617 LIBERTY ST CLAY CENTER 674321100 HIGHLAND DR CONCORDIA 66901801 N 4TH ST PO BOX 189 BURLINGTON 66839120 W 8TH ST ONAGA 66521708 N 18TH ST MARYSVILLE 66508810 W COLUMBIA OBERLIN 677491527 MADISON PO BOX 579 FREDONIA 667361102 ST MARYS RD JUNCTION CITY 66441220 W SECOND GOODLAND 67735506 THIRD PO BOX 338 TRIBUNE 67879400 WEST 8TH STREET BELOIT 674201150 STATE ST PHILLIPSBURG 676612420 G ST BELLEVILLE 66935614 SOUTH MAIN STREET SMITH CENTER 66967205 S HANOVER HANOVER 66945300 UTAH ST HIAWATHA 66434701 S MAIN ST HILLSBORO 67063809 W BRAMLEY JETMORE 678541101 E SPRING ST ANTHONY 67003302 N HOSPITAL DR GIRARD 6674312TH & MAPLE HARPER 67058750 WEST AVENUE D KINGMAN 67068624 N SECOND ST LINCOLN 67455605 W LINCOLN ST LINDSBORG 674561000 HOSPITAL DR MCPHERSON 674601105 SUNSET AVE PO BOX 1208 MANHATTAN 66502511 NE TENTH ST ABILENE 674101823 COLLEGE AVE MANHATTAN 66502821 BURKE ST FORT SCOTT 66701218 E PACK ST PO BOX 180 MOUNDRIDGE 67107800 W MYRTLE ST INDEPENDENCE 67301501 S HOSPITAL DR PO BOX 365 PAOLA 66071212 MAIN STREET PO BOX 127 MINNEOLA 67865600 N WASHINGTON ST KPOB 275 COUNCIL GROVE 66846445 N HILLTOP ELKHART 67950629 S PLUMMER CHANUTE 66720600 MEDICAL CENTER DR PO BOX 308 NEWTON 67114102 EAST HOLME STREET NORTON 67654424 W NEW HAMPSHIRE ST OSBORNE 674731301 S MAIN ST OTTAWA 66067

801 LOCUST PO BOX 520 LA CROSSE KS 67548 801 LOCUST PO BOX 520 LA CROSSE 67548200 SOUTH MAIN STREET RUSSELL KS 67665 2997 200 S MAIN RUSSELL 67665

3500 S 4TH ST LEAVENWORTH 66048310 EAST THIRD SCOTT CITY 67871826 18TH ST PO BOX 167 HOXIE 67740216 W BIRCH ST ARKANSAS CITY 67005410 E WALNUT ST GARDEN CITY 678461014 E MELVIN MARION 66861404 N CHESTNUT JOHNSON 67855320 N 13TH ST WAKEENEY 67672711 GENN DR WAMEGO 66547304 E 3RD ST WASHINGTON 669683001 AVENUE A DODGE CITY 67801205 MILL ST NEODESHA 667579 LINVILLE DR PARIS 40361101 HOSPITAL DRIVE BOX 410 PRINCETON 424451501 S DIXIE ST PO BOX 120 HORSE CAVE 427491107 W LEXINGTON AV WINCHESTER 40391723 BURKESVILLE RD ALBANY 42602HIGHWAY 60 S BOX 386 MARION 42064217 S THIRD ST DANVILLE 40422920 ELIZAVILLE RD FLEMINGSBURG 41041124 PORTMAN AV STANFORD 40484299 KINGS DAUGHTERS DRIVE FRANKFORT 406011801 ASHLEY CIRCLE BOWLING GREEN 421011099 MEDICAL CENTER CIRCLE MAYFIELD 42066202 MILBY ST GREENSBURG 42743ONE HOSPITAL DRIVE PO BOX 160 BARBOURVILLE 40906

131 HOSPITAL DR SALEM 420781625 S NASHVILLE RD RUSSELLVILLE 42276503 GEORGE MCCLAIN DR BENTON 42025HOSPITAL DRIVE HYDEN 4174950 STERLING AV MOUNT STERLING 40353310 EAST NINTH ST LONDON 40741PO BOX 247 RT 122 MC DOWELL 416473600 W CUMBERLAND AV MIDDLESBORO 40965529 CAPP HARLAN RD TOMPKINSVILLE 42167330 ROLAND AV OWENTON 403591211 MAIN ST HARTFORD 423472000 HOLIDAY LANE FULTON 42041EASTERN BYPASS RICHMOND 40475145 NEWCOMB AVE P O BOX 1310 MOUNT VERNON 40456DOWELL RD BOX 1610 RUSSELL SPRINGS 42642HIGHWAY 644 PO BOX 769 LOUISA 412301025 NEW MOODY LANE LA GRANGE 40031910 WALLACE AV LEITCHFIELD 42754166 HOSPITAL ST MONTICELLO 42633550 JENKINS RD WHITESBURG 41858118 N HOSPITAL DR ABBEVILLE 705111310 W 7TH STREET KAPLAN 70548810 S BROADWAY CHURCH POINT 70525

P O BOX 1670 KINDER LA 70648 1670 108 6TH AVENUE KINDER 70648HIGHWAY 1192 BLUE TOWN ROAD MARKSVILLE 71351427 EVERGREEN STREET BUNKIE 713221020 FERTITTA BLVD LEESVILLE 71446HWY 165 SOUTH COLUMBIA 71418

PO BOX 11210 NEW IBERIA LA 70562 1210 600 NORTH LEWIS STREET NEW IBERIA 70563110 WEST FOURTH STREET DEQUINCY 70633

PO BOX 672 MANSFIELD LA 71052 0672 207 JEFFERSON STREET MANSFIELD 710523983 I 49 SOUTH SERVICE ROAD OPELOUSAS 705701130 LOUISIANA AVENUE SHREVEPORT 711011501 HOSPITAL AVENUE FRANKLIN 705382106 LOOP ROAD WINNSBORO 71295

P O BOX 1218 OLLA LA 71465 1218 HIGHWAY 165 SOUTH OLLA 71465620 EAST COLLEGE STREET HOMER 71040301 WALNUT STREET AMITE 70422165 BEECH SPRING ROAD JONESBORO 712511634 ELTON ROAD JENNINGS 70546

P O BOX 68 GALLIANO LA 70354 0068 200 WEST 134TH PLACE CUT OFF 70345PO BOX 99 MANDEVILLE LA 70470 0090 95 EAST FAIRWAY CENTER DRIVE COVINGTON 70433P O BOX 2780 JENA LA 71342 2780 HWY 84 WEST JENA 71342

501 KEYSER AVE NATCHITOCHES 71457130 N HOSPITAL DR OAKDALE 71463

P O BOX 388 RAYVILLE LA 71269 0388 254 HIGHWAY 3048 RAYVILLE 71269407 CINCINNATI STREET DELHI 7123259355 RIVER WEST DRIVE PLAQUEMINE 707641700 WALLACE BLVD FERRIDAY 71334

P O BOX 528 FRANKLINTON LA 70438 1900 SOUTH MAIN STREET FRANKLINTON 704385360 WEST CREOLE HIGHWAY CAMERON 70631

POBOX 920 SPRINGHILL LA 71075 2001 HUMANA DRIVE SPRINGHILL 710751125 WEST HIGHWAY 30 GONZALES 707374900 MEDICAL DRIVE BOSSIER CITY 71112409 1ST STREET BERNICE 71222800 E MAIN VILLE PLATTE 70586701 EAST CYPRESS STREET SULPHUR 70663522 ROSS STREET OAK GROVE 712635266 COMMERCE STREET SAINT FRANCISVILLE 70775301 W BOUNDARY WINNFIELD 7148329 LEWIS AVE GREAT BARRINGTON 012301923 HALL HIGHWAY CRISFIELD 21817BROWN ST CHESTERTOWN 2162050 UNION ST ELLSWORTH 04605200 SOMERSET ST MILLINOCKET 04462420 FRANKLIN ST RUMFORD 04276181 MAIN STREET NORWAY 0426815 HOSPITAL DR YORK 03909101 S 4TH ST ISHPEMING 49849LAKE SHORE DRIVE CHARLEVOIX 49720500 OSBORN BLVD SAULT SAINTE MARIE 49783400 WOODWARD AVENUE IRON MOUNTAIN 498011500 SOUTH MAIN STREET EATON RAPIDS 48827212 S SULLIVAN ST FREMONT 49412N10561 GRAND VIEW LANE IRONWOOD 49938321 HARRIS STREET CHARLOTTE 488131100 SOUTH VAN DYKE ROAD BAD AXE 484131400 W ICE LAKE RD IRON RIVER 49935418 WASHINGTON AVE LAKEVIEW 48850205 OSCEOLA STREET LAURIUM 499131009 W GREEN ST HASTINGS 49058500 CAMPUS DRIVE HANCOCK 49930955 S BAILEY AVE SOUTH HAVEN 490903401 LUDINGTON ST ESCANABA 49829200 HEMLOCK TAWAS CITY 487631111 WEST BROADWAY THREE RIVERS 49093809 W ERIE STREET ALBION 49224615 S BOWER STREET GREENVILLE 48838300 THIRD AVENUE, BOX 370 ALBANY 5630730 SOUTH BEHL STREET APPLETON 56208

PO BOX 279 ADRIAN MN 56110 601 LOUISIANA AVENUE ADRIAN 561101000 FIRST DRIVE NORTHWEST AUSTIN 559121116 WEST MILL STREET CANNON FALLS 55009824 NORTH 11TH ST MONTEVIDEO 56265203 4TH STREET NORTHWEST BAGLEY 56621320 EAST MAIN STREET CROSBY 564411002 COMSTOCK DRIVE DEER RIVER 56636PO BOX G, 312 EAST GEORGE STREET IVANHOE 56142930 FIRST STREET NORTHEAST ELBOW LAKE 565315200 FAIRVIEW BLVD WYOMING 550921400 HIGHWAY 71 INTERNATIONAL FALLS 56649900 SOUTH HILLIGOSS BLVD EAST FOSSTON 5654210 FOURTH AVENUE SOUTHEAST GLENWOOD 56334

705 E 18TH ST GLENCOE 55336345 10TH AVE GRANITE FALLS 56241503 E LINCOLN ST HENDRICKS 561361095 HIGHWAY 15 SOUTH HUTCHINSON 55350300 CLARK STREET MORA 550511010 SOUTH BIRCH HALLOCK 56728500 WEST GRANT STREET LAKE CITY 55041600 SOUTH MAIN AVE, ROUTE 1, BOX 2120 BAUDETTE 56623401 NORTH PRAIRIE AVENUE STAPLES 56479305 EAST LUVERNE STREET LUVERNE 56156121 DREW AVE SE MADELIA 56062820 THIRD AVENUE MADISON 56256612 SOUTH SIBLEY AVE LITCHFIELD 5535511 N 5TH AVE W MELROSE 56352665 3RD ST SW PERHAM 56573710 SOUTH KENWOOD AVENUE, BOX 469 MOOSE LAKE 55767200 NORTH ELM ST ONAMIA 56359621 SOUTH FOURTH STREET LE SUEUR 560581324 FIFTH NORTH STREET NEW ULM 56073109 SOUTH MINNESOTA STREET WARREN 56762800 W 2ND ST NORTHFIELD 55057750 EASTVOLD AVE ORTONVILLE 56278200 FIRST STREET WEST PAYNESVILLE 56362PO BOX 370, 911 FIFTH AVE SOUTHWEST PIPESTONE 56164323 SOUTH MINNESOTA CROOKSTON 56716715 DELMORE DRIVE ROSEAU 56751112 ST OLAF AVE S CANBY 56220400 FOURTH AVE NORTHWEST SLEEPY EYE 56085625 N JACKSON ST SPRINGFIELD 560871200 5TH GRANT BLVD WEST WABASHA 55981815 SOUTHEAST SECOND STREET LITTLE FALLS 563451207 6TH AVENUE SOUTH SAINT JAMES 56081600 PLEASANT AVE PARK RAPIDS 564701027 WASHINGTON AVE DETROIT LAKES 56501425 NORTH ELM STREET SAUK CENTRE 56378618 WEST BROADWAY SAINT PETER 56082400 E 1ST ST MORRIS 562671815 WISCONSIN AVE BENSON 56215418 N JEFFERSON WADENA 56482240 WILLOW STREET TYLER 56178515 S MOORE ST BLUE EARTH 56013100 5TH AVE NW WASECA 56093300 SOUTH BRUCE STREET MARSHALL 562585211 HIGHWAY 110 AURORA 55705HIGHWAYS 60 & 71 NORTH, BOX 339 WINDOM 561011018 6TH AVE, PO BOX 997 WORTHINGTON 56187500 PORTER ST AURORA 65605SECOND AND GULF ST LAMAR 64759615 W NURSERY ST BUTLER 6473010 SOUTH HOSPITAL DRIVE FULTON 652511015 W 4TH ST CAMERON 644291502 N JEFFERSON CARROLLTON 646331401 S PARK EL DORADO SPRINGS 64744801 LINCOLN AVE MONETT 65708113 W HICKORY NEOSHO 64850COLLEGE & CLARK STS ALBANY 64402P O BOX 470 HERMANN 65041868 S BRUNSWICK AVE MARSHALL 653401205 NORTH MISSOURI MACON 635521200 NORTH ONE MILE ROAD BOX 279 DEXTER 63841JEFFERSON AND OSTEOPATHY KIRKSVILLE 63501HWY 61 AND REED, PO BOX 489 HAYTI 63851RT 4 BOX 45 RICHMOND 64085GRAND AND PLUM STREET DONIPHAN 63935HIGHWAY 61 & 32 SAINTE GENEVIEVE 636701333 SAM HOUSTON BOULEVARD HOUSTON 654831430 HIGHWAY 4 EAST HOLLY SPRINGS 38634HIGHWAY 45 NORTH BALDWYN 38824100 HOSPITAL DRIVE BOONEVILLE 38829203 N CHERRY ST MAGNOLIA 39652835 MEDICAL CENTER DR WEST POINT 39773SIXTH & HOLLY STREETS COLLINS 39428270 WEST MAIN STREET CENTREVILLE 39631HWY 84 BOX 636 MEADVILLE 39653P O BOX BOX 607/859 WINTER STREET LUCEDALE 39452605 S ARCHUSA AVE QUITMAN 39355233 MAGNOLIA STREET HAZLEHURST 39083140 BURKE-CALHOUN CITY ROAD CALHOUN CITY 38916500 CCC ROAD BELZONI 3903815 SOUTH 6TH STREET BAY SPRINGS 39422809 S MAIN BOX 577 FAYETTE 39069301 LAMAR AVENUE KILMICHAEL 39747823 GRAND AVENUE YAZOO CITY 3919425117 HWY 15 UNION 393651065 HWY 84 EAST MONTICELLO 39654310 ELLIS ST P O BOX 557 CARTHAGE 39051

PO BOX 909 PICAYUNE MS 39466 801 GOODYEAR BLVD PICAYUNE 39466HWY 16 E BOX 281 CANTON 39046300 SE 3RD ST MAGEE 391111560 SUMRALL RD P O BOX 630 COLUMBIA 39429220 HWY 12 WEST KOSCIUSKO 39090129 JEFFERSON DAVIS BLVD BOX 1203 NATCHEZ 391201001 HOLLAND AVENUE PHILADELPHIA 39350208 WOUTH MAIN STREET NEWTON 39345P O BOX 790/ 176 SOUTH MAIN STREET PONTOTOC 38863840 N OAK AVE RULEVILLE 38771606 N JEFFERSON ST MACON 39341512 ROCKWELL DRIVE OKOLONA 38860400 HOSPITAL ROAD STARKVILLE 39759305 WEST MOODY STREET POPLARVILLE 39470206 ABY STREET RICHTON 39476

PO BOX 1288 PRENTISS MS 39474 1102 ROSE ST PRENTISS 39474340 GETWELL DR BOX 330 MARKS 38646

3311 I 20 FRONTAGE RD BOX 1031 VICKSBURG 39180108 S 4 ST ROLLING FORK 391591842 SIMPSON HWY 149 MENDENHALL 39114HOSPITAL RD BOX 433 BATESVILLE 386061314 19TH AVENUE MERIDIAN 39301201 SOUTH MARKET STREET CHARLESTON 389211005 CITY AVENUE NORTH RIPLEY 386631773 CURTIS DRIVE IUKA 38852HIGHWAY 8 E HOUSTON 38851713 NORTHWEST AVENUE DURANT 39063239 BOWLING GREEN ROAD LEXINGTON 39095100 HOSPITAL DR TYLERTOWN 39667

PO BOX 590 WAYNESBORO MS 39367 P O BOX 1249/950 MATTHEW DRIVE WAYNESBORO 39367500 HIGHWAY 9 SOUTH EUPORA 39744562 EAST MAIN STREET LOUISVILLE 39339630 SOUTH MAIN STREET WATER VALLEY 38965600 W 20TH ST P O BOX 590 RED LODGE 5906817 N MILES HARDIN 59034915 HIGHLAND BLVD BOZEMAN 59715110 NO OAK ST TOWNSEND 59644408 WENDELL BOX 580 LEWISTOWN 59457PO BOX 768 PLAINS 59859401 W PENNSYLVANIA AVE ANACONDA 59711202 PROSPECT DRIVE GLENDIVE 593302600 WILSON MILES CITY 59301HIGHWAY 223 & MONROE PO BOX 705 CHESTER 59522217 US HWY 287 PO BOX 397 ENNIS 597291200 WESTWOOD DR HAMILTON 59840640 PARK DR BOX P SHELBY 59474BROOKLYN & ROOSEVELT PO BOX 66 SUPERIOR 598726575 HIGHWAY 93 SOUTH WHITEFISH 59937802 2ND ST S E CUT BANK 59427805 SUNSET BLVD CONRAD 59425383 N 17TH AVE FORSYTH 593271202 3RD ST WEST, PO BOX 40 ROUNDUP 59072440 WEST LAUREL AVE PLENTYWOOD 59254PO BOX 1690 SIDNEY 59270BOX 1010 SKYLINE DR POLSON 59860107 6TH AVE SW RONAN 598642475 BROADWAY HELENA 5960144 W FOURTH PO BOX 959 COLUMBUS 59019315 KNAPP STREET WOLF POINT 59201326 THIRD ST SW TAYLORSVILLE 28681617 DOCTORS STREET SPARTA 28675120 RIVERVIEW ST PO BOX 1209 FRANKLIN 28734500 MORVEN ROAD WADESBORO 28170200 HOSPITAL AVE JEFFERSON 28640HWY 701 N PO BOX 398 ELIZABETHTOWN 28337CHESTNUT DR BOX 148 BLOWING ROCK 286051 MEDICAL CENTER DR PO BOX 139 SUPPLY 28462434 HOSPITAL DR P O BOX 767 LINVILLE 28646THIRD ST & IVEY AVE BOX 649 SILER CITY 27344315 W COLLEGE AVE BOX 996 BOILING SPRINGS 28017222 HOSP ST MOCKSVILLE 27028410 DENIM DR PO BOX 668 ERWIN 28339COLLEGE ST BOX 947 OXFORD 27565111 HOSPITAL DR TARBORO 27886

HIGHLANDS-CASHIER HOSPITAL HIGHLANDS NC 28741 HWY 64 EAST PO DRAWER 190 HIGHLANDS 28741PARKWOOD DR PO BOX 560 ELKIN 28621924 HOWE ST SOUTHPORT 28461706 W KING ST KINGS MOUNTAIN 28086310 S MCCASKEY RD P O BOX 1128 WILLIAMSTON 27892117 E KINGS HIGHWAY EDEN 27288NAPLES RD BOX 1569 FLETCHER 28732615 RIDGE RD ROXBORO 27573210 E FROMT ST BELHAVEN 278101000 WEST HAMLET AVENUE HAMLET 28345125 HOSPITAL DR SPRUCE PINE 28777220 HOSPITAL DR COLUMBUS 28722PO BOX 10 HWY 8 & 89 DANBURY 27016958 US HWY 64 EAST PLYMOUTH 279622520 TROY DRIVE WILMINGTON 28401802 S MAIN RUGBY 5836812 3RD ST SE HILLSBORO 58045419 5TH STREET N E JAMESTOWN 58401518 N BROADWAY LINTON 585521031 7TH ST DEVILS LAKE 583011301 15TH AVE W WILLISTON 58801

PO BOX I PARK RIVER ND 58270 715 VIVIAN ST PARK RIVER 58270325 EAST BREWSTER ST HARVEY 5834130 WEST 7TH ST DICKINSON 58601702 1ST ST SW BOX 10 CROSBY 58730HWY 281 N BOX 688 CANDO 58324407 3RD ST SE & BURDICK EXPRESSWAY MINOT 58701

ROUTE 2 BOX 124 HETTINGER ND 58639 1000 HIGHWAY 12 HETTINGER 586393000 LINCOLN BLVD PO BOX 808 BEATRICE 683102101 BOX BUTTE AVE ALLIANCE 69301P O BOX 1328, 1301 EAST H STREET MCCOOK 690011540 GROVE STREET CRETE 68333300 EAST 8TH STREET GORDON 69343PO BOX 250, 145 MEMORIAL DRIVE BROKEN BOW 68822645 OSAGE STREET SIDNEY 691622601 SPRUCE STREET OGALLALA 69153900 LINCOLN AVENUE GRANT 691401201 NORTH ERIE STREET PO BOX 980 LEXINGTON 68850125 MASCOMA STREET LEBANON 0376659 PAGE HILL ROAD BERLIN 03570580 COURT STREET KEENE 0343115 AIKEN AVENUE FRANKLIN 03235SOUTH MAIN STREET WOLFEBORO 03894HIGHLAND ST LACONIA 032463073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY 03860452 OLD STREET ROAD PETERBOROUGH 03458

COUNTY ROAD NEW LONDON 0325716 HOSPITAL ROAD PLYMOUTH 03264243 ELM ST CLAREMONT 03743702 N 13TH ST ARTESIA 882101397 WEIMER ROAD TAOS 87571200 HOSPITAL DRIVE RATON 877401600 NORTH MAIN LOVINGTON 882601901 RED ROCK DRIVE GALLUP 87301700 N SPRING ST, BOX 1010-C-ADM BLDG CALIENTE 89008825 ERIE MAIN ST TONOPAH 89049SURPRISE AT WHITACRE AVE YERINGTON 89447101 DATES DRIVE ITHACA 14850150 BROAD ST HAMILTON 13346134 HOMER AVE CORTLAND 13045FULLER STREET ALEXANDRIA BAY 1360777 W BARNEY ST GOUVERNEUR 13642111 CLARA BARTON ST DANSVILLE 14437210 NORTH WILSON DRIVE WEST UNION 45693811 NORTHWEST ST BELLEVUE 44811629 NORTH SANDUSKY AVENUE BUCYRUS 44820921 E FRANKLIN STREET KENTON 43326951 EAST MARKET STREET CADIZ 439072150 LEITER ROAD MIAMISBURG 45342800 WEST MAIN STREET COLDWATER 45828110 E HOWARD ST WILLARD 44890904 SCIOTO AVE URBANA 43078DAWN LANE WAVERLY 456903535 OLENTANGY RIVER RD COLUMBUS 432141106 COLEGATE DRIVE MARIETTA 45750158 W MAIN RD CONNEAUT 44030835 SWEITZER STREET GREENVILLE 45331915 WEST MICHIGAN STREET SIDNEY 45365885 N SANDUSKY AVE UPPER SANDUSKY 43351

P O BOX 780 BRISTOW OK 74010 SPRUCE & 7TH STREETS BRISTOW 74010P O BOX 97 CARNEGIE OK 73015 102 NORTH BROADWAY CARNEGIE 73015

1405 EAST KIRK ROAD HUGO 747431401 WEST PAWNEE CLEVELAND 740201220 NORTH GLENN ENGLISH STREET CORDELL 73632735 NORTH FOREMAN, P O BOX 326 VINITA 74301429 WEST ELM STREET HOBART 73651STATE HWY 18 & TAFT AVENUE P O BOX 219 FAIRFAX 74637523 EAST STATE ROAD FAIRVIEW 737371705 WEST 2ND STREET, P O BOX 2339 ELK CITY 73648400 EAST CHESTNUT, P O BOX 791 HOLLIS 73550U S HIGHWAY 64 NORTH, P O BOX 60 BUFFALO 73834401 NORTHWEST H STREET STIGLER 74462DEWEY BARTLETT AND MAIN STS, BOX 1269 HENRYETTA 74437100 CRESTVIEW DRIVE HOLDENVILLE 748481 HOSPITAL DRIVE MADILL 73446710 SOUTH 13TH STREET BLACKWELL 74631100 NORTH 30TH STREET, P O BOX 1569 CLINTON 73601ST HWY 33 W & 200 S ACADEMY RD BX 1017 GUTHRIE 73044

P O BOX 280 MANGUM OK 73554 ONE WICKERSHAM DRIVE MANGUM 735546 NORTH COVINGTON COALGATE 745381301 MEMORIAL ROAD IDABEL 747451401 WEST LOCUST, P O BOX 272 STILWELL 74960319 EAST JOSEPHINE FREDERICK 73542520 MEDICAL DRIVE GUYMON 739421900 GORDON COOPER DRIVE SHAWNEE 74801905 SOUTH MAIN STREET SHATTUCK 73858

P O BOX 489 OKEENE OK 73763 207 EAST F STREET OKEENE 737631401 MORRIS DRIVE, P O BOX 1038 OKMULGEE 744471212 FOURTH STREET PAWNEE 74058501 14TH STREET PERRY 73077

P O BOX 150 PURCELL OK 73080 1500 NORTH GREEN AVENUEA1 PURCELL 73080501 EAST WASHINGTON SAYRE 73662HIGHWAY 60 NORTHEAST SEILING 73663800 SHARE DRIVE ALVA 73717215 NORTH KANSAS WEATHERFORD 730961400 EAST DOWNING STREET, P O BOX 1008 TAHLEQUAH 74465940 EAST 5TH STREET COQUILLE 97423610 NW 11TH AVENUE HERMISTON 97838700 SOUTH J STREET LAKEVIEW 97630600 RANCH ROAD REEDSPORT 974671700 EAST 19TH STREET THE DALLES 97058470 NE A STREET MADRAS 97741400 9TH STREET, PO BOX 580 FLORENCE 97439564 E PIONEER DRIVE, PO BOX 9 HEPPNER 9783613TH AND MAY STREETS, PO BOX 149 HOOD RIVER 970311401 NORTH 10TH AVENUE STAYTON 97383342 FAIRVIEW STREET SILVERTON 973813325 POCAHONTAS ROAD BAKER CITY 978141000 THIRD ST TILLAMOOK 97141400 TURNPIKE ST SUSQUEHANNA 188471001 PINE ST RENOVO 177641001 EAST STROUDSBURG STREET COUDERSPORT 16915

PO BOX 992 CLEARFIELD PA 16830 0992 809 TURNPIKE AVE CLEARFIELD 16830612 W SMITH ST CORRY 16407PO BOX 447 MAPLE AVE & 100 HOSP AV DUBOIS 15801JOHNSONBURG RD SAINT MARYS 15857E NORWEGIAN TREMONT STS POTTSVILLE 17901WARM SPRINGS AVE HUNTINGDON 16652NORTH FRALEY STREET, PO BOX 778 KANE 16735ONE HOSPITAL DRIVE TOWANDA 18848NASON DRIVE ROARING SPRING 16673210 LOCH LOMOND ROAD PHILIPSBURG 1686681 HILLCREST DRIVE PUNXSUTAWNEY 157676TH AVE AND SPRUCE ST READING 19603406 W OAK ST TITUSVILLE 16354CLAY AVE EXTENSION TYRONE 16686130 N MAIN ST UNION CITY 1643810455 LINCOLN HIGHWAY EVERETT 15537E MAIN ST WAYNESBORO 17268

PO BOX 887 ABBEVILLE 29620751 E GEORGIA STREET WOODRUFF 29388PO BOX 588 BARNWELL 29812123 MEDICAL PARK DRIVE BOX 188 PICKENS 29671PO BOX 590 EDGEFIELD 29824HIGHWAY 321 BY-PASS BOX 620 WINNSBORO 29180503 CAROLINA AVE WEST VARNVILLE 29944258 N RON MCNAIR BLVD LAKE CITY 29560322 W SOUTH ST PO DRAWER 789 UNION 29379701 CASHUA FERRY ROAD DARLINGTON 29540525 N FOSTER MITCHELL 57301501 SUMMIT YANKTON 57078

PO BOX B PARKSTON SD 57366 1 WEST GLYNN DRIVE PARKSTON 57366305 S STATE ST ABERDEEN 57401604 1ST ST NE WESSINGTON SPRINGS 57382300 22ND AVE BROOKINGS 57006440 N HIAWATHA DRIVE CANTON 57013205 ORCHARD DR SISSETON 57262909 N IOWA AVE DELL RAPIDS 57022306 PRAIRIE AVENUE SW DE SMET 57231

PO BOX 408 GREGORY SD 57533 400 PARK STREET GREGORY 57533300 W FIFTH STREET MILLER 57362

PO BOX 158 HOVEN SD 57450 512 MAIN STREET HOVEN 57450172 FOURTH STREET SE HURON 573501440 N MAIN SPEARFISH 57783917 N WASHINGTON MADISON 57042PO BOX 307 CHAMBERLAIN 57325

PO BOX 368 VIBORG SD 57070 315 N WASHINGTON AVE VIBORG 57070PO BOX 1210 WATERTOWN SD 57201 400 10TH AVENUE NW WATERTOWN 57201

20 SOUTH PLUM VERMILLION 57069901 E VIRGIL AVE MILBANK 57252800 E DAKOTA PIERRE 57501

PO BOX 27 TYNDALL SD 57066 410 WEST 16TH AVE TYNDALL 57066745 EAST 8TH ST WINNER 575801114 WEST MADISON AVENUE ATHENS 37303520 W MAIN ST SMITHVILLE 37166702-710 2ND ST NEWPORT 37821631 R B WILSON DR HUNTINGDON 38344326 ASBURY RD RIPLEY 38063650 NUCKOLLS ROAD BOLIVAR 38008PO BOX 319, 130 LEBANON HWY CARTHAGE 37030100 OLD JEFFERSON ST CELINA 385511200 TENNESSEE ST S BOX 250 PARSONS 38363VONORE RD BOX 217 LOUDON 37774709 MIDDLE CREEK RD SEVIERVILLE 378621000 HIGHWAY 28 JASPER 373472006 WAYNE RD SAVANNAH 38372301 TYSON AV PARIS 382421265 E COLLEGE ST PULASKI 384783525 CHERE CAROL RD HUMBOLDT 38343110 HOSPITAL DRIVE JEFFERSON CITY 37760RT 1 BOX 197 JELLICO 37762726 MCFARLAND ST MORRISTOWN 37814315 OAK ST BOX 550 LIVINGSTON 38570481 INTERSTATE DRIVE BOX 1409 MANCHESTER 373552545 N WASHINGTON AVE BROWNSVILLE 38012214 LAKEVIEW DR SOMERVILLE 38068161 MOUNT PELIA RD MARTIN 38237945 N HIGHLAND MC KENZIE 382014039 SOUTH HIGHLAND MILAN 38358805 SQUIRREL HOLLOW DRIVE LINDEN 37096HWY 27 BOX 308 ONEIDA 37841158 HOSPITAL DRIVE CARTHAGE 37030923 EAST CENTRAL AVENUE LA FOLLETTE 37766324 DOOLITTLE ROAD WOODBURY 37190353 MAIN ST BOX 489 ERIN 37061103 J V MANGUBAT DR WAYNESBORO 38485851 LOCUST STREET ROGERSVILLE 37857301 MEDIC LANE ALVIN 775111007 SOUTH WILLIAMS STREET ATLANTA 75551705 EAST GREENWOOD AV BOWIE 76230703 E FELT ST BROWNFIELD 79316713 E ANDERSON ST WEATHERFORD 76086806 N CROCKETT BOX 947 CAMERON 76520HWY 83 NORTH BOX 1030 CHILDRESS 79201303 AVE I BOX 370 CHILLICOTHE 792251275 MARVIN HANCOCK DRIVE JASPER 75951700 FLOURNOY RD ALICE 78332310 W SOUTH STREET HENRIETTA 76365310 S PECOS ST COLEMAN 76834P O BOX 1112 WELLINGTON 79095211 SOUTH AUSTIN PO BOX 443 COMANCHE 76442

PO BOX 2014 DALHART TX 79022 2014 1411 DENVER AVE DALHART 790221507 W MAIN STREET GATESVILLE 765281900 COLLEGE AVE LEVELLAND 793362601 DIMMITT RD PLAINVIEW 79072707 N WALDRIP GRAND SALINE 75140710 WEST MAIN STREET CROSBYTON 79322EISENHOWER RD AND FM 2185 BOX 609 VAN HORN 798551700 COGDELL BLVD SNYDER 79549407 S TEXAS ST BOX 319 DE LEON 76444125 NEWMAN ST FAIRFIELD 758402000 SOUTH PALESTINE ATHENS 757511100 LOOP 304 EAST BOX 1129 CROCKETT 75835HWY 37 SOUTH BOX 477 MOUNT VERNON 75457414 QUITMAN STREET PITTSBURG 75686117 WINNSBORO STREET QUITMAN 75783409 WEST COTTAGE CARTHAGE 75633304 S DAUGHERTY BOX 897 EASTLAND 76448303 SANDY CORNER RD EL CAMPO 774371207 S BAILEY ST BOX 1112 ELECTRA 76360717 MAGNOLIA ST JACKSBORO 76458543 N JACKSON LA GRANGE 78945

1021 HOLDEN STREET BOX 2159 GLEN ROSE 76043200 S MC GEE BORGER 79007

PO BOX 549 CLIFTON TX 76634 101 S AVE T CLIFTON 766341301 MONTGOMERY RD,P O BOX 1390 GRAHAM 764501800 N BOYKIN DR MEMPHIS 79245901 W HAMILTON ST BOX 158 OLNEY 76374632 N W SECOND ST BOX 387 HAMLIN 79520707 S ROLAND SPEARMAN 79081402 MERCER ST QUANAH 792521504 TAUB LOOP HOUSTON 77030411 N BELKNAP ST STEPHENVILLE 76401NINE ROAD PO BOX 1150 BRADY 768251020 S 4TH ST CANADIAN 79014801 EAST THIRD HEREFORD 79045203 W 4TH ST HALE CENTER 790413201 SOUTH WATER ST PO BOX 1219 BURNET 786111020 KERRVILLE HIGHWAY PO BOX 835 FREDERICKSBURG 78624115 AIRPORT RD SULPHUR SPRINGS 754821013 S WELLS EDNA 77957305 MALLARD LN TAYLOR 765741310 PALUXY RD GRANBURY 76048200 N SAN JACINTO ST BOX 458 WHITNEY 766921500 S SUNSET LITTLEFIELD 793391400 NORTH TEXANA STREET HALLETTSVILLE 77964200 W OLLIE LLANO 78643811 S WASHINGTON BOX 1599 MARSHALL 756701115 AVE G BAY CITY 774141600 N BRYAN AVE LAMESA 793313100 AVENUE E HONDO 78861HIGHWAY 90A BYPASS BOX 587 GONZALES 78629224 E SECOND STREET DUMAS 79029209 N W 8TH ST SEMINOLE 79360815 N VIRGINIA STREET PORT LAVACA 77979511 HOSPITAL ST BOX 658 SAN AUGUSTINE 759721543 CHESTNUT STREET COLORADO CITY 79512605 N MAPLE AVENUE BOX 370 MUENSTER 76252708 S 1ST ST MULESHOE 79347100 PARK ROAD NOCONA 762553101 GARRETT DRIVE PERRYTON 79070

2900 SOUTH LOOP 256 PALESTINE TX 75801 6958 4000 SOUTH LOOP 256 PALESTINE 75801400 SOUTHWEST 25 AVE MINERAL WELLS 76067901 SWEETWATER PO BOX 1030 WHEELER 79096

POBOX 1420 MEXIA TX 76667 600 SOUTH BONHAM STREET MEXIA 766671648 SANDERSON HIGHWAY FORT STOCKTON 79735720 HOSPITAL DR BOX 2108 ANDREWS 79714310 W HALSELL ST BOX 278 DIMMITT 790272323 TEXAS ST BOX 2058 PECOS 79772600 SOUTH AUSTIN ROAD EAGLE LAKE 77434200 E ARIZONA SWEETWATER 79556PO DRAWER W HWY 83 WEST HEMPHILL 759481601 W 11TH PLACE BIG SPRING 79720200 STADIUM DRIVE BOX 351 SEYMOUR 763801000 S MAIN ST SHAMROCK 79079710 WATER ST KERRVILLE 78028HIGHWAY 6 EAST BOX 911 STAMFORD 79553FM RD 3167 BOX 78 RIO GRANDE CITY 78582200 SOUTH GENEVA BRECKENRIDGE 76024539 SOUTHEAST SECOND STREET TULIA 79088605 HOLDERRIETH TOMBALL 77375700 MEDICAL PARKWAY BRENHAM 778331025 GARNER FIELD ROAD UVALDE 78801320 N MAIN ST BOX 37 LOCKNEY 79241310 GREEN AVE BOX 859 PALACIOS 77465406 S GARY ST MONAHANS 79756PO BOX 58 GONZALES 78629920 HILLCREST DR VERNON 763841301 HOSPITAL BLVD FLORESVILLE 781141200 CARL RAMERT DRIVE YOAKUM 77995719 WEST 4TH NORTH MOAB 84532151 WEST 200 NORTH VERNAL 84078440 W 600 N TREMONTON 843371109 NORTH 100 WEST BEAVER 8471348 WEST 1500 NORTH NEPHI 84648126 SOUTH WHITE SAGE AVE DELTA 84624674 SO HIGHWAY 99 FILLMORE 84631200 N 400 E PANGUITCH 8475960 EAST 100 NORTH GUNNISON 846341485 SOUTH HIGHWAY 40 HEBER CITY 84032220 WEST 300 NORTH KANAB 84741451 MAIN ST MILFORD 84751364 WEST 100 NORTH MONTICELLO 845351100 S MEDICAL DR MOUNT PLEASANT 846471100 N MAIN RICHFIELD 84701211 SOUTH 100 EAST TOOELE 84074250 WEST 300 NORTH ROOSEVELT 84066595 SOUTH 75 EAST CEDAR CITY 84720235 S BUCHANAN ST PEARISBURG 24134POST OFFICE BOX 70 PENNINGTON GAP 24277100 15TH ST NW NORTON 24273200 MEMORIAL DR LURAY 22835HARRIS DRIVE PO BOX 1449 KILMARNOCK 22482600 W RIDGE RD WYTHEVILLE 24382WASHINGTON HWY MORRISVILLE 05661289 COUNTY ROAD WINDSOR 05089PROUTY DRIVE NEWPORT 05855HOSPITAL DR SAINT JOHNSBURY 05819133 FAIRFIELD ST PO BOX 1370 SAINT ALBANS 05478SOUTH ST MIDDLEBURY 05753200 SOUTHEAST BOULEVARD EPHRATA 9882336 N KLONDIKE RD REPUBLIC 99166530 BOGACHIEL WAY FORKS 98331603 S CHESTNUT ELLENSBURG 98926310 S ROOSEVELT STREET/PO BOX 5 GOLDENDALE 98620

503 E HIGHLAND/PO BOX 908 CHELAN 98816810 JASMINE STREET, P O BOX 873 OMAK 98841521 ADAMS STREET/PO BOX C MORTON 98356174 FIRST AVENUE N, P O BOX H ILWACO 98624577 HOSPITAL WAY, P O BOX 577 BREWSTER 98812NE 1125 WASHINGTON AVE PULLMAN 99163908 TENTH AVE SW QUINCY 98848211 SKYLINE DRIVE/PO BOX 99 WHITE SALMON 986721200 W FAIRVIEW RD COLFAX 99111901 REED STREET PLYMOUTH 530731032 E SUMNER STREET HARTFORD 530275000 MEMORIAL DRIVE TWO RIVERS 54241730 10TH AVENUE BALDWIN 54002225 MEMORIAL DRIVE BERLIN 54923711 W ADAMS ST BLACK RIVER FALLS 546151515 PARK AVENUE COLUMBUS 539251110 7TH AVENUE CUMBERLAND 548291015 W PLEASANT ST PO BOX 387 PORTAGE 53901323 SOUTH 18TH AVENUE STURGEON BAY 5423598 SHERRY AVE PARK FALLS 54552611 SHERMAN AVENUE EAST FORT ATKINSON 53538601 S CENTER STREET MERRILL 54452507 S MONROE ST LANCASTER 5381311040 NORTH STATE RD 77 HAYWARD 54843535 HOSPITAL ROAD NEW RICHMOND 54017400 WISCONSIN STREET HUDSON 54016113 4TH AVE PO BOX 300 SHELL LAKE 54871W3985 COUNTY TRUNK NN, P O BOX 1002 ELKHORN 531211100 N MAIN ST RICE LAKE 54868112 EAST FIFTH AVENUE ANTIGO 54409313 STOUGHTON ROAD EDGERTON 53534135 S GIBSON STREET MEDFORD 54451216 SUNSET PLACE NEILLSVILLE 544561405 MILL ST NEW LONDON 54961705 EAST TAYLOR STREET PRAIRIE DU CHIEN 538212000 NORTH DEWEY AVENUE REEDSBURG 53959333 E SECOND ST RICHLAND CENTER 53581933 NEWBURY ST PO BOX 390 RIPON 549711629 E DIVISION STREET RIVER FALLS 54022800 RIVERSIDE DR WAUPACA 54981900 COLLEGE AVE WEST LADYSMITH 5484880 1ST ST PRAIRIE DU SAC 53578309 N BARTLETTE ST SHAWANO 54166250 CAMP ST PLATTEVILLE 53818819 ASH STREET SPOONER 54801204 SOUTH ADAMS STREET ST CROIX FALLS 540241044 KABEL AVENUE RHINELANDER 54501321 BUTTS AVENUE TOMAH 54660825 SOUTH IOWA STREET DODGEVILLE 53533507 SOUTH MAIN STREET VIROQUA 54665125 HOSPITAL DRIVE WATERTOWN 53098620 W BROWN ST WAUPUN 53963ROUTE 55 P O BOX 1019 PETERSBURG 26847WASHINGTON ST & SIXTH AVE MONTGOMERY 25136RR 2 BOX 52 W BUCKEYE 24924400 FAIRVIEW HEIGHTS ROAD SUMMERSVILLE 26651501 S BURMA AVE/PO BOX 3011 GILLETTE 827162000 CAMPBELL DR TORRINGTON 82240713 OAK ST, PO BOX 517 SUNDANCE 82729190 ARROWHEAD DR EVANSTON 82930255 N 30TH LARAMIE 82070497 W LOTT ST BUFFALO 828341320 BISHOP RANDALL DR LANDER 825202221 ELM ST PO BOX 460 RAWLINS 82301111 S 5TH ST/PO BOX 1450 DOUGLAS 826331401 W 5TH ST SHERIDAN 828011115 LANE 12 LOVELL 82431201 14TH ST, PO DRAWER 848 WHEATLAND 82201777 AVE H POWELL 824352100 W SUNSET DR RIVERTON 82501711 ONYX STREET/PO BOX 390 KEMMERER 83101625 E BROADWAY, PO BOX 428 JACKSON 83001110 HOSPITAL LANE PO BOX 579 AFTON 83110400 SOUTH 15TH ST, PO BOX 700 WORLAND 824011124 WASHINGTON BLVD NEWCASTLE 82701