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RegIon 12 Learntng Cnllaburanve
University Medical CenterMctnturff Conference Center 602 Indiana, LubbocJc. Texas 79415
April 16, 2014
Last Name First Name Organization Address Phone Number E-mail address Signature
Acosta Albert Medical Arts 2200 N. Bryan 806-872 albertacosta@medicalartshospita l.org
W/IlOA.Hospital St 2183x3037
Adams Elizabeth Swisher 539 SE 2nd, PO 806-995-8205 eadams@sw isherhospita l.com
Memorial Box 808
Healthcare
System
Alani z Joshua Permian Basin 401 Illinois, 432-570-3333 jalaniz@pbmhmr.com
Community Midland 79701
Centers
Amendariz Teresa Odessa 520 East 6th 432-582-8419 tlarmendariz@iasishealthcare.com y;qRegional
Medical Center
Andis Janet Yoakum 412 Mustang 806-592-2121 Jandis@ych.us
County Drive ~0vJ~ Hospital
Anna Mark Plains Clinic of
Yoakum
County
Hospital
602 Hwy 214 806-456-6365 manna@ych .us t:~ "
1
Re~illn 12 l.earnlng Collahorattve University Medical Center Mcinturf! Conference center
602 Indiana, Lubbock, Texas 79415 April 16, 2014
last Name
First Name Organization Address Phone Number E-mail address Signature
tj!JP IJ 4Bailey Jonathan Hansford 707 S. Roland, 806-659-5858 jonathanbailey@hchd.net
County
Hospital
District
Spearman 79081
Baker Becky UMC 602 Indiana Ave 806-775-8952 rebecca.baker@umchealthsystem.com ' ~VIJ~) Barker Eileen StarCare PO Box 2828 806-559-3598 ebarker@starcarelubbock.org
Specialty
Health System
Barrington Lisa UMC 602 Indiana Ave 806-775-9341 lisa.barrinton@umchealthsystem.com
Bohr Sherri Central Plains
Center
2700 Yonkers 806-293-2636 sherri r@c1plains.org
~ Brawley Rebecca City of 806 18th, Lubbock 806-775-2941 bbrawley@mylubbock.us 0
td~)) tz &'tCCU/JjLubbock
Health
Department
Briscoe Betsy Seminole 209 NW 8th, 432-758-4898 bbriscoe@seminolehospitaldistrict.com
Hospital Seminole 79360
District
C' ~ ( ), fi.A Cargill Christi UMC 602 Indiana Ave 806-775-8964 christi .cargiII@umchea lthsystem.com
2
Reglon 12 Learni ng Cnllaborarlve
University Medical Center McInturff Conference Center 602 Indiana, Lubbock, Texas 79415
April 16, 2014
Last Name carr
First Name
Rhonda
Organization Midland
Memorial
Hospital
Address 400 Rosalind
Redfern Grover
Parkway
Phone Number 432-221-3045
E-mail address rcarr@midland-memorial.com
Signature
a~ '(L ~
carroll Larry Permian Basin
Community
401 Illinois,
Midland 79701
432-570-3333 Icarroll@pbmhmr.com
Centers
Chandra Rahul nUHSC
Amarillo
1400 S. Coulter,
Amarillo 79106
806-414-9142 rahul .chandra@ttuhsc.edu
I £J ~ Childton Trina Grace Clinic of
Lubbock
4515 Marsha
Sharp Freeway
806-744
7223x1521
tchildton@gracehealthsystem.com,
Uu-t~ ~. f- IJ Church
Dane
Eaves
Everett
i/ J f-k t(
Cory
Jeff
Fred
John
UMC
UMC
nUSHC
Amarillo
Cogdell
Memorial
Hospital
})AV,!)If~ 1I Itff sV1iJ<t
602 Indiana Ave
602 Indiana Ave
1400 S. Coulter,
Amarillo 79106
1700 Cogdell
Blvd
7 D ~ 5u
806-775-8969
806-775-8505
806-354-5531
325-574-7439
~ (J.P Z (2 Vr l
cory.church@umchealthsystem.com
teresa .barron@umchealthsystem.com
fred.eaves@ttuhsc.edu
cmh. jeverett@cogdellhosptial .com
c(k:u t--k~ @ 1f/j4.HfJ Trt.oe~
~f ceu'VLJ<klJI C1~
W~ I
r>. -..... /
( w ~Y:A/~
3
Region 12 Learning Cotlaboratlve University Medical Center McInturff cooference Center
602 Indiana, Lubbock, Texas 79415 April 16,2014
Last Name Flood
First Name
Nathan
Organization Deaf Smith
County
Hospital
District
Address 540 W. 15th St
Hereford 79045
Phone Number 806-349-9200
E-mail address nathan.flood@dschd.org
Signature
Flood
/lp q ~
Flores Jerome StarCare
Specialty
Health System
PO Box 2828 806-535-7941 jflores@starcarelubbock.org
C-- ~ ~~~
Forest
Fowler
Francis
Wendy
Paul
Christy
nUHSC
Lubbock
nUHSC
Lubbock
Hemphill
County
Hospital
3601 4th Street,
Lubbock
3601 4th Street,
Lubbock
1020 South
Fourth St.
Canadian 79014
806-743-2588
806-743-2588
806-323-6422
wendy.forrest@ttuhsc.edu
paul.fowler@ttuhsc.edu
christy@hchdst.org
uJ~zI}~ , -~ ? < "" ,
I ~ - . .
/
Frick Glen UMC PNS 5219 City Bank
Parkway, Suite
160,79407
806-761-0333 glen.frick@umchealthsystem .com
, ~-
Gafford Paul Brownfield
Regional
Medical Center
705 E. Fleet
Street,
Brownfield
79316
806-637-3551 Paulg@brownfie ld-rmc .org
4
Regio n 12 I.ea rn lng Cnllaburatlve University Medical Cent~r Mc inturf! Conference Center
6()2 Indiana, Lubbock, T~xas 79415 April 16, 1014
Last
Name
First
Name Organization Address Phone Number E-mail address Signature <, Gary Annette StarCare PO Box 2828 806-790-4290 agary@starcarelubbock.org
Specialty ~~Health System
Gavlik Jackie nUHSC 1400 S. Coulter, 806-354-5413 jackie.gavlik@ttuhsc.edu (y1'"-' /~~~~) Amarillo Amarillo 79106
Giles Russell nUHSC 36014th Street, 806-743-2588 russe ll .giles@ttuhsc.edu
'£~/~;l~Lubbock Lubbock
Gilmore Perry Amarillo 200 SE 3rd 806-678-3944 drpperrygilmore@gmail .com
Recovery From
Alcohol &
Drugs
r\ Gonzales Patricia UMC 451551st 806-252-1600 michelle.gonza les@umchealthsystem,com
ffiI m~lw\ b\ Michelle 79414
Gutierrez David West Texas
Centers
419 Runnels, Big
Spring 79720
432-264-4242 dav id.gutierrez@wtcmhmr.org .,
~f\o-l \J
5
n~gion 12 Learning Collaborative
Univers ity Medical Center Mcinturff Confeff!nce Center 602 Indiana. Lubbock, TexQ5 79415
April 16. 2014
Phone Number Signature Name
Hanley
First Organization Address E-Mail Address Last Name
Cogdell 325-574-7284 cmh.khanley@cogdellhospital.com Memorial
Krlsti 1700 Cogdell Blvd
Hospital
Hefley andrea.hefley@midland-memorial .com Memorial Midland 400 Rosalind 432-221-4239Andrea
Redfern Hospital Grover
Parkway
Henderson 940-937-9178 jmh@childresshospital .com Regional
901 US HWYJohn Childress 83
Medical Center
Hughes cmgpch@goldenplains.org Community
100 Medical 806-467-5857Georgia Golden Plains Drive
Hospital
Hughes Ihughes@medicalartshospital.org Hospital
806-872 Medical Arts 2200 N. Letha Bryan St 5727X2010
Hunter 806-76-0576 stephanie.hunter@umchealthsystem.com 602 Indiana Stephanie Ave
Jimenez
UMC rosalinda .iimenez@ttuhsc.edu
Lubbock nUHSC 36014th 806-743-2588Rosalinda
Street, Lubbock
Johnson 817-702-2204 mjohnsll@jpshealth.org Network
1350 S. MainMallory JPS Health St., 4th Floor, Fort Worth 76104
Jones 7603 Detroit 806-747-3277 jana.jones@umchealthsystem.com Ave 79423
Jana PNS
\rv{ C{rk:- 0 \* LC9HaVlvt L;. ~L~~. ~ ~\UJGY\ '!h 111 1-1/\ ~~~ C> :- 0
. ~~~ ~ J v0 1~)~
~ ~
1
ReJ:lon 12 Learning Collabnratlve
University Medical Centf!r Mcinturf!Conference Center 602 Indiana, Lubbock, Texas 79415
April 16, 2014
Last Name I First Organization Address Phone Number E-Mail Address Signature Name
Kidd I Monica Parkview Hospital
901 S. Sweetwater, Wheeler 79096
806-826-5581 monicak@parkviewhosp.org
~ VtV. e~ ¥ref Klein I Cindy Lamb 1500 South 806-353 cklein@trhta.net
Healthcare Center
Sunset, Littlefield 79339
6411x204 w~ Krehbiel I Lindsy Hemphill
County 1020 South Fourth St.
806-323-6422 lindsy@hchdst.org
W~ h lJ id Hospital Candian 79014
Latimer I Kevin UMC 602 Indiana Ave 806-775-0525 Kevin.latimer@umchealthsvstem.com V'
r Lawson I Beth StarCare PO Box 2828 806-441-1542 blawson@starcarelubbock.org
Specialty Health System
Loredo I Kimberly Central Plains Center
710 Houston 806-685-0457 kimberlyl@c1plains.org r-rtf-4~
Martin I Lisa Grace Clinic of Lubbock
4515 Marsha Sharp Freeway
806-740-3341 Imartin@gracehealthsystem.com
1 ~J1~~ Martinez I Yolanda Central Plains
Center 715 Houston 806-291-4470 ymartinez@c1plains.org
114~~£2 ( l{ ~~) Matlock I Melissa Medical Arts
Hospital 2200 N. Bryan St
806-8725727x2035
mmatlock@medicalartshospital.org
~~ t/~ ~mcdk,~ a McCarte r I Alyssa W.J. Mangold
Memorial Hospital
320 Main St. Lockney 79241
806-6523373x205
alyssal@mangoldmemoria l.org
~(~~{jX1L L McNeil I Kathryn Texas PO Box 3250, 806-349-5646 dr.McNeil@txpan.org u
(\ ( N IUlt1 ]?t-J
Panhandle Centers
n(S6f)~W:; ft~ ( :OLv<,
Amarillo 79116
cn6 - .sQ 2. (In ? M \ f\Jt::::-cV z;r M L t C~ "-..rI /l
~\\ \ rv gr
2
Rcghm 12 Learning Collahoruttv University Medical Center Mcinturff Conference Center
602 Indiana, Lubbock; Texas 79415 Apri/16,2014
last Name First Organization Address Phone Number E·Mail Address Signature Name
Mendoza Chris Odessa 520 East 6th 210-445-1277 camedoza@iasishealthcare.com ;; d -Regional street, Odessa ( '/. ,
Medical TX79760 Center
Miller Angelia Central Plains 715 Houston 806-291-4470 angeliam@c1plains.org ~I/l_~" IJ1JkCenter
Moore Samuel BSA Hospital 1600 Wallace 806-212-6034 aretha.brown@bsahs.org J41Blvd
Mullins Larry W.J. Mangold 320 Main St. 806-652 larrym@mangofdmemorial.org c»
J8~I~Memorial lockney 79241 3373x204 Hospital
Najera Clara Martin 600 E1-20 D 432-607 -3249 cnajera@martinch.org V
County 101
C, l \'(' -rr-Hospital District
Nail Will iam Odessa 520 East 6th 432-582-8062 wnall@iasishealthcare.com
~Regional Medical Center I
Newsome Donald Texas P.O. Box 3250. 806-351-3284 donald .newsome@txpan.org - / / ( :Y~.-j----Panhandle Amarillo, 79116
Centers
Noble Tamara Collingsworth 101315th 806-447-2521 tamaranoble@collingsworthgeneral.net -, VW'~ General Street,
Hospital Wellington, 79095 I ,... 'I
O'Hearn John Medical ~ 500 W. 4th 432-640-2429 johearn@echd.org J ~ ~~
C~f\ ~ ~v.JL7 ~ \.+<-~ , (' :l /1 -~ - ..... / "l!lo<...
V1JI ~\\ ~ ) t'~ brl ~1 ,1
Rl"~I(Jn 12 Learning Collabornnve
University Medical Center Mcin turff Conference Center 602 Indiana, Lubbock, Texas 79415
April 16, 2014
Last Name First Name
Organization Address Phone Number E-Mail Address Signature
Outlaw Heather RHP 10 1500 South Main Street, Fort Worth 76104
281-728-9190 Houtlaw@ jpshealth.org
~~ {)JXtIt - _. .. .
4
1~l'gi()n 1Z I..,arnlng Collahorarlve
Unill~rsity Medical Center McInturf! Conference Center 602 Indiana, Lubbock, Texas 79415
April 16, 2014
First Last Name Name Organization Address Phone E-Mail Address Signature
Pettit Donny Dallam-Hartley 1411 Denver 806-244 dlp@dhchd.org
Counties Ave. 9270
Hospital
District
Pope Cathy StarCare PO Box 2828 806-535 cpope@starcarelubbock.org
Specialty 7673
Health System
Powell Candy Collingsworth 101315th 806-447 candypowell@collingsworthgeneral .net
General Street, 2521
Hospital Wellington,
79095 1\
Putman Carmen Parmer
Medical Center
1307 Cleveland
Ave
806-250
2754
cputman@parmermedicalcenter.com / }
,-(M~\ 0V ~rJ
Quillin Gayla Parmer 1307 Cleveland 806-240 gguillin@parmermedicalcenter.com
Medical Center Ave 5053
Raindl Donna Lynn County PO Box 1310, 806-998 draindl@lchdhealthcare.org
Hospital Tahoka 79373 4533x305 ~~~District I ~ /1
Renfro LaJuana Muleshoe Area 708 S 1st St 806-272 Irenfro@mahdtx.org
Medical Center 4524x103 ~ ~~-( ~ fA{&~,./--- ---1U V'
~ -v
/J ~
1
Reglun 12 learning Cotlahnrarive
University Medical Center Mcinturff Conference Center 602 Indiana. Lubbock. Texas 79415
Aprtl15. 1014
last Name
Richardson
First Name
Matt
Organization
City of
Amarillo
Address 1000 Martin Rd.
Amarillo 79107
Phone
806-378
6320
E-Mail Address
matt.richardson@amarillo.gov
Signature
Rosalez
Rowe
Missy
Jennifer
PNS
Odessa
Regional
Medical
Center
6915 95th 79424
520 East 6th
806-747 -
3277
432 -582
8816
missy.rosalez@umchealthsystem.com
jrowe@iasishealthcare.com
1!7ffI/};j~'--'
~~~ Roy Allison Martin County
Hospital
District
600 E 1-20 0-101 432-607
3249
aroy@martinch.org
' ~bt ..tI<!-{ Ruiz Diana Medical
Center
Hospital
System
SOO West 4th
Street
432-640
2383
dhuerta @echd.org
\)1 ~~ltLi Sawayer Alice Central Plains
Center
2700 Yonkers 806-494
3581
asawyaer@c1plains,org
?Uc; J-A"AJov ~ -<:»: '?J
2
Re~lon 12 Learning Collaborative
University Medical Center Mcinturf! Conference Center 601 Indiana, Lubbock. Texas 79415
April 16,2014
Last Name First Name
Organization Address Phone E-Mail Address Signature
self Jessica nUHSC Lubbock
3601 4th Street, Lubbock
806-7432588
jessica.self @tt uhsc.edu
~ Silva
Smith
Sturdivant
Laurel
Marolan
Landon
MCMD
Ochiltree General Hospital West Texas Centers
600 East 1-20 0101
3101 Garrett Drive, Perryton 79070 319 Runnels
432-6073846
806-648-7306
432-2630007
Isilva@martinch.org
msmith@oght.com
landon.sturdivant@wtcmhmr.org
:RaJl/Ulj j /VI(l/
/YLCUUJ_~l SnU.~
~~ -~~
Taylor Clay Covenant-Plainview
2601 Dimm itt Road, 79072
806-2964265
clay.taylor@covplv.org
Theimer
Thomas
Thomas
Jessica
Cary
Ramona
Midland Memorial Hospital Northwest Texas Healthcare System Permian Basin Community Centers
4214 Andrews HWY, Suite 101, Midland 79703 1501 Coulter Blvd
401 Illinois, Midland 79701
432-221-3045
806-4719280
432-570-3333
jessica.the imer@midland-memorial.com
cary.thomas@nwths.com
p as@Pbmhmr .com
~u),~ ~ IJ
C'J} ' ->t-~'l bffl~
'~~lLJk~~ Torres Krista StarCare
Specialty Health System
PO Box 2828 806-577-2397
Ktorres@starcarelubbock.org
r-~tt p ' ..., .4-.'-.-. - ; ~ ./7//7 ..,.
~) ..,.
~ ~, 3
Region 12 Lea rnlng Collahorauve
University Medical Center McInturf! Conference Center 601 Indiana, Lubbock, Texas 79415
April 16, 1014
Last Name First Name
Organization Address Phone E-Mail Address Signature
Trent
Tunnell
Rhonda
Jeffery
StarCare Specialty Health System
Central Plains Center
PO Box 2828
2700 Yonkers
806-6321512
806-2932636
rtrent@starcarelubbock.org
jeff@c1plains.org
R4-.-.L~,~J-; (J
Valderaz
Walton
Ward
White
Leonard
Brian
Elsa
Bruce
StarCare Specialty Health System BSA Hospital
Midland Memorial Hospital
Covenant -Levelland
PO Box 2828
1600 Wallace Blvd
400 Rosalind Redfern Grover Parkway
1900 S. College Ave
806-5351491
806-2125171
432-2215298
806-8944963
Ivaldera@starcarelubbock.org
aretha.brown@bsahs.org
elsa.ward@midland-memorial .com
bwhite@covhs.org
2 VJJ.()( -Y~-' , ~~
v
---- "-~~
.-
~~ c: Williams
Wischkaem per
Dendy
JoNell
UMC
Lamb Healthcare Center
602 Indiana Ave
1500 South Sunset, Littlefield 79339
806-7610577
806-3856411x204
dendy .wi lliams@umchealthsystem.com
jwischkaemper@trhta .net
Q ~ ~ ....., \
~~ tJ~ Yoakum Roger Amarillo
Recovery From Alcohol & Drugs
1703 S. Avondale, Amarillo 79106
806-3532862
arad.prg@gmail.com
A-y (/~ 4
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