| ST |
Facility Name & Address |
Facility Type |
ID |
REGULATION* |
| AK |
CORDOVA
COMMUNITY HOSP
PO BOX 160
CORDOVA 99574
907-424-8000
|
General
Hospital |
020004 |
PFCA |
| AL |
AUTAUGAVILLE FAM HLTH C
203 NORTH TAYLOR ST, BOX 339
AUTAUGAVILLE 36003
334-365-4524 |
Outpatient Facility |
010213 |
515 |
| AL |
WILCOX
CO HEALTH CTR
107 UNION STREET, PO BOX 547
CAMDEN 36726
334-682-4515
|
Public
Health Center |
010210 |
PFCA |
| AL |
CHILDRENS
& WOMENS HOSP
1700 CENTER STREET
MOBILE 36604
251-415-1000
|
General
Hospital |
010214 |
Standard |
| AL |
COLBERT
CO HEALTH CTR
1000 SOUTH JACKSON HIGHWAY
SHEFFIELD 35660
256-383-1231 |
Public
Health Center |
010211 |
PFCA |
| AR |
PRAIRIE
CO HEALTH DEPT
214 MAIN ST - PO BOX 249
DES ARC 72040
870-256-4430 |
Public
Health Center |
050110 |
PFCA |
| AR |
SEBASTIAN
CO HLTH DEPT
3112 SOUTH 70TH ST
FORT SMITH 72901
479-452-8600
|
Public
Health Center |
050112 |
PFCA |
| AR |
PHILLIPS
CO HEALTH CTR
PO BOX 2627
WEST HELENA 72390
870-572-9028 |
Public
Health Center |
050111 |
PFCA |
| AZ |
MARIPOSA
COMM HLTH CTR
1852 NORTH MASTIC WAY
NOGALES 85621
520-281-1550 |
Outpatient Facility |
040052 |
515 |
| AZ |
EL
RIO SANTA CRUZ HC
839 WEST CONGRESS ST
TUCSON 85745
502-792-9890 |
Outpatient Facility |
040038 |
515 |
| AZ |
HANDMAKER
JEWSH GER CTR
2221 N ROSEMONT
TUCSON 85712
520-881-2323 |
Nursing
Home |
040039 |
Standard |
| CA |
CL
DE SALUD DEL PUEBLO
1166 K STREET, BOX 1279
BRAWLEY 92227
760-344-6471 |
Outpatient Facility |
060304 |
515 |
| CA |
FAIRVIEW
DEVELPMNTL CTR
2501 HARBOR BLVD
COSTA MESA 92626
714-957-5101 |
Mental
Hospital |
060298 |
PFCA |
| CA |
ROUND
VALLEY INDIAN HC
BIGGER LANE/HIGHWAY 28,BOX 247
COVELO 95428
707-983-6181 |
Outpatient Facility |
060040 |
CFCA |
| CA |
SEQUOIA
COMMUNITY H C
1350 SOUTH ORANGE AVENUE
FRESNO 93702
209-237-6193 |
Outpatient Facility |
060302 |
515 |
| CA |
SOUTHERN
INYO HOSP
501 EAST LOCUST, BOX 890
LONE PINE 93545
760-876-5501 |
General
Hospital |
060095 |
Standard |
| CA |
ALTA
MED HLTH SERV CORP
500 CITADEL DRIVE, SUITE 490
LOS ANGELES 90040 |
Outpatient Facility |
060322 |
515 |
| CA |
ALTAMED
SEN HLTH & A CT
5425 EAST POMONA BLVD.
LOS ANGELES 90022
213-728-0411 |
Outpatient Facility |
060303 |
515 |
| CA |
L
A GAY & LESB H C CTR
1625 NORTH SCHRADER BLVD
LOS ANGELES 90028
323-464-1319 |
Outpatient Facility |
060318 |
CFCA |
| CA |
LAC
UNIV SO CA MED CTR
1300 NORTH MISSION RD, RM 1112
LOS ANGELES 90033
213-343-8298 |
Outpatient Facility |
060316 |
PFCA |
| CA |
NAPA
STATE HOSP
2100 NAPA-VALLEJO HGWY
NAPA 94558
707-253-5454 |
Mental
Hospital |
060297 |
PFCA |
| CA |
LA
CLINICA DE LA RAZA
1515 FRUITVALE AVENUE
OAKLAND 94601 |
Outpatient Facility |
060320 |
515 |
| CA |
LOGAN
HEIGHTS FAMILY HC
1809 NATIONAL AVENUE
SAN DIEGO 92113
619-515-2300 |
Outpatient Facility |
060305 |
515 |
| CA |
SAN
FERNANDO CLINIC
1600 SAN FERNANDO ROAD
SAN FERNANDO 91340
818-365-8086 |
Outpatient Facility |
060306 |
515 |
| CA |
LAGUNA
HONDA HOSPITAL
375 LAGUNA HONDA BLVD
SAN FRANCISCO 94116
415-664-1580 |
CHRONIC
DIS HOSP |
060315 |
PFCA |
| CA |
MISSION
NEIGHBORHOOD HC
240 SHOTWELL STREET
SAN FRANCISCO 94110 |
Outpatient Facility |
060321 |
515 |
| CA |
BARBARA
ARONS PAVILION
751 BASCOM AVENUE
SAN JOSE 95128
408-299-6053 |
Mental
Hospital |
060222 |
PFCA |
| CA |
HARBOR
UCLA MED CTR
1000 W CARSON STREET, BOX 479
TORRANCE 90509
310-222-2101 |
General
Hospital |
060296 |
PFCA |
| CA |
PARTNERS
ADULT DAY HLTH
7362 SANTA MONICA BOULEVARD
WEST HOLLYWOOD 90046
213-883-0330 |
Outpatient Facility |
060314 |
PFCA |
| CO |
GUADALUPE
HEALTH CENTER
10TH AND DAHLIA STS
ANTONITO 81120
719-376-5426 |
Outpatient Facility |
080089 |
515 |
| CO |
PLATEAU
VALLEY HSP DIST
58128 HIGHWAY 330
COLLBRAN 81624
303-487-3565 |
Public
Health Center |
080086 |
Standard |
| CO |
COMM
HC/WAHSATCH CLINIC
722 SOUTH WAHSATCH STREET
COLORADO SPGS 80903
719-475-0783 |
Outpatient Facility |
080087 |
515 |
| CO |
SW
MEM HOSP-V GRANDE NH
1311 NORTH MILDRED
RD
CORTEZ 81321
970-565-6666
|
General
Hospital |
080017 |
Standard |
| CO |
HOME
HEALTH SERVICES
2208 EAST MAIN
CORTEZ 81321 |
|
080017 |
91-01 |
| CO |
CROSSROADS ORTHOPEDICS
208 WEST NORTH STREET
CORTEZ 81321
|
|
080017 |
91-01 |
| CO |
SUNRISE
COMM HLTH CTR
1028 FIFTH AVENUE,
BOX 1870
GREELEY 80631
970-353-9403 |
Outpatient Facility |
080088 |
515 |
| CO |
SAN
LUIS HEALTH CENTER
HIGHWAY 159, BOX
328
SAN LUIS 81152
719-672-3352 |
Outpatient Facility |
080090 |
515 |
| CT |
FAIR
HAVEN COMM HLTH CT
374 GRAND AVENUE
NEW HAVEN 06513
203-777-7411
|
Outpatient Facility |
090065 |
515 |
| DC |
HOSP
FOR SICK CHILDREN
1731 BUNKER HILL
ROAD, N.E.
WASHINGTON 20017
202-832-4400 |
CHRONIC
DIS HOSP |
110012 |
Standard |
| DC |
WHITMAN
WALKER CLINIC
1701 14TH STREET,
N.W.
WASHINGTON 20009
202-797-3500 |
Outpatient Facility |
110019 |
CFCA |
| DC |
WHITMAN
WALKER CLINIC
1804 14TH STREET,
N.W.
WASHNIGTON 20009 |
|
110019 |
91-01 |
| DE |
EMILY
P BISSELL HOSP
3000 NEWPORT GAP
PIKE
WILMINGTON 19808
302-995-8475 |
Nursing
Home |
100019 |
PFCA |
| FL |
APOPKA
FAMILY HLTH CTR
225 E SEVENTH STREET
APOPKA 32703
407-886-6201 |
Outpatient Facility |
120260 |
515 |
| FL |
CENTRAL
FLORIDA H C INC
950 COUNTY ROAD 17A
WEST
AVON PARK 33825 |
Outpatient Facility |
120274 |
515 |
| FL |
C
L BRUMBACK HLTH CTR
38754 STATE ROAD
80
BELLE GLADE 33430
561-996-1600 |
Outpatient Facility |
120271 |
515 |
| FL |
BROWARD
GEN MED CTR
1600 SOUTH ANDREWS
AVENUE
FT LAUDERDALE 33316
954-355-4400 |
General
Hospital |
120062 |
PFCA |
| FL |
COMPREHENSIVE CARE CTR
1101 NW 1ST STREET
FT LAUDERDALE 33311
954-463-7313 |
Outpatient Facility |
120270 |
PFCA |
| FL |
RURAL
HEALTH CARE, INC
HIGHWAY 2O PO BOX
596
INTERLACHEN 32148
904-684-4914 |
Outpatient Facility |
120261 |
515 |
| FL |
JUPITER
MED C PAVILION
1230 SOUTH OLD DIXIE
HWY
JUPITER 33458
561-744-4444
|
Nursing
Home |
120250 |
UACA |
| FL |
JACKSON
MEMORIAL HOSP
1611 N.W. 12TH AVENUE
MIAMI 33136
305-325-7429 |
General
Hospital |
120142 |
PFCA |
| FL |
COMM
HLTH CTR PINELLAS
1310 22ND AVENUE
SOUTH
ST. PETERSBURG 33705
727-821-6701 |
Outpatient Facility |
120272 |
515 |
| FL |
TAMPA
COMM HLTH CTR
2402 E MLK JR. BLVD
TAMPA 33610
813-866-0950 |
Outpatient Facility |
120273 |
515 |
| GA |
MCG
HEALTH, INC.
1120 15TH STREET, BI 2086
AUGUSTA 30912
706-721-3929 |
General
Hospital |
130304 |
PFCA |
| GA |
MEMORIAL
MEDICAL CTR
4700 WATERS AVE, BOX 23089
SAVANNAH 31403
912-350-8000 |
General
Hospital |
130255 |
Standard |
| GA |
WESTSIDE-URBAN HLTH CTR
115 YORK STREET, BOX 2024
SAVANNAH 31402 |
Outpatient Facility |
130305 |
515 |
| HI |
KOKUA
KALIHI VALLEY H C
1846 GULICK AVENUE
HONOLULU 96819
808-848-0976 |
Outpatient Facility |
150035 |
515 |
| IA |
SIOUX
CENTER COMM HOSP
605 SOUTH MAIN STREET
SIOUX CENTER 51250
712-722-1271 |
General
Hospital |
190100 |
Standard |
| IA |
SIOUXLAND
COMM HLTH CTR
1021 NEBRASKA ST,
PO 5410
SIOUX CITY 51102
712-252-2477 |
Outpatient Facility |
190122 |
515 |
| IA |
PEOPLES
COMM HEALTH CTR
905 FRANKLIN
WATERLOO 50703
319-272-4300 |
Outpatient Facility |
190121 |
515 |
| ID |
GLENNS
FERRY HEALTH CTR
516 WEST FIRST AVENUE,
BOX 266
GLENS FERRY
83623
208-366-7416 |
Outpatient Facility |
160066 |
515 |
| ID |
PIONEER
MEDICAL CLINIC
CARLE ST COMM CTR
BLDG
PIERCE 83546
208-476-4555 |
Outpatient Facility |
160064 |
Standard |
| IL |
ALIVIO
MEDICAL CENTER
2355 SOUTH WESTERN
AVENUE
CHICAGO 60608 |
Outpatient Facility |
170215 |
515 |
| IL |
KOMED
NEIGHBORHOOD H C
4259 SOUTH BERKLEY
STREET
CHICAGO 60653
773-268-7600 |
Outpatient Facility |
170210 |
515 |
| IL |
LOWER
W SIDE NGHBRHD HC
1713 SOUTH ASHLAND
CHICAGO 60608
312-942-2460 |
Outpatient Facility |
170050 |
PFCA |
| IL |
NEAR
NORTH HEALTH SERV
1276 NORTH CLYBOURN
CHICAGO 60610 |
Outpatient Facility |
170214 |
515 |
| IL |
R.M.ROTHSTEIN CORE CT.
2020 WEST HARRISON
ST, RM 1302
CHICAGO 60612
312-572-4500 |
Outpatient Facility |
170213 |
Standard |
| IL |
UNIV
OF IL INFEC DIS CL
840 S WOOD STREET,
"MC" 787
CHICAGO 60612
312-996-1596 |
Outpatient Facility |
170212 |
Standard |
| IL |
FAIR
HAVEN CHRISTN HM
1790 SOUTH FAIRVIEW
AVE
DECATUR 62521
309-793-1955 |
Nursing
Home |
170081 |
Standard |
| IL |
CRUSADER
CLINIC
1200 WEST STATE STREET
ROCKFORD 61102
815-398-2160 |
Outpatient Facility |
170209 |
515 |
| KS |
UKMC
CENTER ON AGING
3901 RAINBOW BLVD
KANSAS CITY 66160
913-588-5273 |
Outpatient Facility |
200102 |
Standard |
| KY |
REDWOOD
SCH REHAB CTR
71 ORPHANAGE ROAD
FORT MITCHELL 41017
859-331-0880 |
Rehabilitation Facility |
210055 |
CFCA |
| KY |
LEATHRWOOD BLACKEY M CL
226 MEDICAL PLAZA
LANE
WHITESBURG 41858
606-633-4871 |
Outpatient Facility |
210190 |
515 |
| KY |
WHITESBURG MED CLINIC
226 MEDICAL PLAZA
LANE
WHITESBURG 41858
606-633-4871 |
Outpatient Facility |
210189 |
515 |
| LA |
TECHE
ACTION CLINIC
1115 WEBER STREET
FRANKLIN 70538
318-828-2550 |
Outpatient Facility |
220193 |
515 |
| LA |
SOUTHWEST
LOUISIANA HC
2000 OPELOUSAS STREET
LAKE CHARLES 70601
337-439-9983 |
Outpatient Facility |
220192 |
515 |
| LA |
TENSAS COMMUNITY HEALTH
CENTER
1115 LEVEE ROAD
ST. JOSEPH 71366
|
Outpatient Facility
|
220144 |
515
|
| MA |
BOSTON
MEDICAL CTR
818 HARRISON AVENUE
BOSTON 02118
617-424-5000 |
General
Hospital |
250012 |
Standard |
| MA |
BOSTON
HLTH C/HOMELESS
729 MASSACHUSETTS
AVENUE
BOSTON 02118
617-534-4326 |
Nursing
Home |
250163 |
515 |
| MA |
FENWAY
COMMUNITY H C
7 HAVILAND STREET
BOSTON 02115
617-267-0900 |
Outpatient Facility |
250161 |
515 |
| MA |
CAMBRIDGE
HSP/ZINBERG C
1493 CAMBRIDGE STREET
CAMBRIDGE 02139
617-665-1000 |
Outpatient Facility |
250164 |
PFCA |
| MA |
E
BOSTON NGHBRHD HC
10 GOVE STREET
EAST BOSTON
02128
617-569-5800 |
Outpatient Facility |
250050 |
515 |
| MA |
HOLYOKE
GERIATRIC CTR
45 LOWER WESTFIELD
ROAD
HOLYOKE 01040
413-536-8110 |
Nursing
Home |
250068 |
UACA |
| MA |
LEMUEL
SHATTUCK HOSP
170 MORTON STREET
JAMAICA PLAIN 02130
617-522-8110 |
General
Hospital |
250160 |
PFCA |
| MA |
OUR
ISLAND HOME
EAST CREEK ROAD
NANTUCKET 02554
508-228-0462 |
Nursing
Home |
250155 |
Standard |
| MA |
NEW
BEDFRD JEW CONV HM
200 HAWTHORNE STREET
NEW BEDFORD 02740
508-997-9314 |
Nursing
Home |
250101 |
UACA |
| MA |
JEWISH
REHAB CTR AGED
330 PARADISE RD.
SWAMPSCOTT 01907
617-598-5310 |
Nursing
Home |
250133 |
UACA |
| MA |
GREAT
BROOK VALLEY H C
32 GREAT BROOK VALLEY
AVENUE
WORCESTER
01605
508-852-1805 |
Outpatient Facility |
250156 |
515 |
| MD |
DORCHESTER GEN HOSP
300 BYRN STREET
CAMBRIDGE 21613
410-228-5511 |
General
Hospital |
240046 |
UACA |
| MD |
CHESTER
RIVER MANOR N&R
MORGNEC ROAD
CHESTERTOWN 21620
410-778-4550 |
Nursing
Home |
240050 |
UACA |
| MD |
CAROLINE
Nursing Home
520 KERR AVENUE
DENTON 21629
410-479-2130 |
Nursing
Home |
240060 |
UACA |
| MD |
ROCKVILLE
Nursing Home
303 ADCLARE ROAD
ROCKVILLE 20850
301-279-9000 |
Nursing
Home |
240088 |
UACA |
| MD |
WICOMICO
Nursing Home
900 BOOTH STREET
SALISBURY 21801
410-742-8896 |
Nursing
Home |
240093 |
UACA |
| ME |
NORTHERN
MAINE MED CTR
194 EAST MAIN STREET
FORT KENT 04743
207-834-3155
|
General
Hospital |
230022 |
Standard |
| ME |
HARRINGTON FAMILY H C
ROUTE 1, P O BOX
82
HARRINGTON 04643
207-483-4502 |
Outpatient Facility |
230057 |
515 |
| MI |
LENAWEE
CO MED CARE Facility
200 SAND CREEK HIGHWAY
ADRIAN 49221
517-263-6794 |
Nursing
Home |
260002 |
UACA |
| MI |
BALDWIN
FAMILY H C CTR
4967 N MICHIGAN AVE
BALDWIN 49304
231-745-2743 |
Outpatient Facility |
260014 |
515 |
| MI |
FAM
H CTR/BATTLECREEK
181 WEST EMMETT STREET
BATTLE CREEK 49017 |
Public
Health Center |
260223 |
515 |
| MI |
NORTHEAST
HLTH CTR
5400 EAST 7 MILE RD.
DETROIT 48234
313-876-0280 |
Outpatient Facility |
260055 |
PFCA |
| MI |
EAST
JORDAN FAMILY H C
601 BRIDGE ST - PO
BOX 718
EAST JORDAN 49727
231-536-2208 |
Outpatient Facility |
260220 |
515 |
| MI |
HOUGHTON
CO MED CARE
1110 QUINCY STREET
HANCOCK 49930
906-482-5050 |
Nursing
Home |
260092 |
UACA |
