april 16, 2014texasrhp12.com/downloads/sign_in_sheet_mainevent.4.16.14.pdf2014/04/16 · 2 reglon...

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 [email protected]

Community Midland 79701

Centers

Amendariz Teresa Odessa 520 East 6th 432-582-8419 [email protected] y;qRegional

Medical Center

Andis Janet Yoakum 412 Mustang 806-592-2121 [email protected]

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 [email protected]

County

Hospital

District

Spearman 79081

Baker Becky UMC 602 Indiana Ave 806-775-8952 [email protected] ' ~VIJ~) Barker Eileen StarCare PO Box 2828 806-559-3598 [email protected]

Specialty

Health System

Barrington Lisa UMC 602 Indiana Ave 806-775-9341 [email protected]

Bohr Sherri Central Plains

Center

2700 Yonkers 806-293-2636 sherri [email protected]

~ Brawley Rebecca City of 806 18th, Lubbock 806-775-2941 [email protected] 0

td~)) tz &'tCCU/JjLubbock

Health

Department

Briscoe Betsy Seminole 209 NW 8th, 432-758-4898 [email protected]

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 [email protected]

Signature

a~ '(L ~

carroll Larry Permian Basin

Community

401 Illinois,

Midland 79701

432-570-3333 [email protected]

Centers

Chandra Rahul nUHSC

Amarillo

1400 S. Coulter,

Amarillo 79106

806-414-9142 rahul [email protected]

I £J ~ Childton Trina Grace Clinic of

Lubbock

4515 Marsha

Sharp Freeway

806-744

7223x1521

[email protected],

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

[email protected]

teresa [email protected]

[email protected]

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 [email protected]

Signature

Flood

/lp q ~

Flores Jerome StarCare

Specialty

Health System

PO Box 2828 806-535-7941 [email protected]

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

[email protected]

[email protected]

[email protected]

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 [email protected]

Specialty ~~Health System

Gavlik Jackie nUHSC 1400 S. Coulter, 806-354-5413 [email protected] (y1'"-' /~~~~) Amarillo Amarillo 79106

Giles Russell nUHSC 36014th Street, 806-743-2588 russe ll [email protected]

'£~/~;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 [email protected] .,

~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 [email protected] 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 [email protected] Community

100 Medical 806-467-5857Georgia Golden Plains Drive

Hospital

Hughes [email protected] Hospital

806-872 Medical Arts 2200 N. Letha Bryan St 5727X2010

Hunter 806-76-0576 [email protected] 602 Indiana Stephanie Ave

Jimenez

UMC rosalinda [email protected]

Lubbock nUHSC 36014th 806-743-2588Rosalinda

Street, Lubbock

Johnson 817-702-2204 [email protected] Network

1350 S. MainMallory JPS Health St., 4th Floor, Fort Worth 76104

Jones 7603 Detroit 806-747-3277 [email protected] 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


~ VtV. e~ ¥ref Klein I Cindy Lamb 1500 South 806-353 [email protected]

Healthcare Center

Sunset, Littlefield 79339

6411x204 w~ Krehbiel I Lindsy Hemphill

County 1020 South Fourth St.


W~ h lJ id Hospital Candian 79014

Latimer I Kevin UMC 602 Indiana Ave 806-775-0525 [email protected] V'

r Lawson I Beth StarCare PO Box 2828 806-441-1542 [email protected]

Specialty Health System

Loredo I Kimberly Central Plains Center

710 Houston 806-685-0457 [email protected] r-rtf-4~

Martin I Lisa Grace Clinic of Lubbock

4515 Marsha Sharp Freeway


1 ~J1~~ Martinez I Yolanda Central Plains

Center 715 Houston 806-291-4470 [email protected]

114~~£2 ( l{ ~~) Matlock I Melissa Medical Arts

Hospital 2200 N. Bryan St

806-8725727x2035

[email protected]

~~ 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 [email protected] 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 [email protected] ;; d -Regional street, Odessa ( '/. ,

Medical TX79760 Center

Miller Angelia Central Plains 715 Houston 806-291-4470 [email protected] ~I/l_~" IJ1JkCenter

Moore Samuel BSA Hospital 1600 Wallace 806-212-6034 [email protected] J41Blvd

Mullins Larry W.J. Mangold 320 Main St. 806-652 [email protected] c»

J8~I~Memorial lockney 79241 3373x204 Hospital

Najera Clara Martin 600 E1-20 D 432-607 -3249 [email protected] V

County 101

C, l \'(' -rr-Hospital District

Nail Will iam Odessa 520 East 6th 432-582-8062 [email protected]

~Regional Medical Center I

Newsome Donald Texas P.O. Box 3250. 806-351-3284 donald [email protected] - / / ( :Y~.-j----Panhandle Amarillo, 79116

Centers

Noble Tamara Collingsworth 101315th 806-447-2521 [email protected] -, VW'~ General Street,

Hospital Wellington, 79095 I ,... 'I

O'Hearn John Medical ~ 500 W. 4th 432-640-2429 [email protected] 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 [email protected]

Counties Ave. 9270

Hospital

District

Pope Cathy StarCare PO Box 2828 806-535 [email protected]

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

[email protected] / }

,-(M~\ 0V ~rJ

Quillin Gayla Parmer 1307 Cleveland 806-240 [email protected]

Medical Center Ave 5053

Raindl Donna Lynn County PO Box 1310, 806-998 [email protected]

Hospital Tahoka 79373 4533x305 ~~~District I ~ /1

Renfro LaJuana Muleshoe Area 708 S 1st St 806-272 [email protected]

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

[email protected]

Signature

Rosalez

Rowe

Missy

Jennifer

PNS

Odessa

Regional

Medical

Center

6915 95th 79424

520 East 6th

806-747 -

3277

432 -582

8816

[email protected]

[email protected]

1!7ffI/};j~'--'

~~~ Roy Allison Martin County

Hospital

District

600 E 1-20 0-101 432-607

3249

[email protected]

' ~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


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

[email protected]

[email protected]

[email protected]

:RaJl/Ulj j /VI(l/

/YLCUUJ_~l SnU.~

~~ -~~

Taylor Clay Covenant-Plainview

2601 Dimm itt Road, 79072

806-2964265

[email protected]

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 [email protected]

[email protected]

p as@Pbmhmr .com

~u),~ ~ IJ

C'J} ' ->t-~'l bffl~

'~~lLJk~~ Torres Krista StarCare

Specialty Health System

PO Box 2828 806-577-2397

[email protected]

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


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

[email protected]

[email protected]

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

[email protected]

[email protected]

elsa.ward@midland-memorial .com

[email protected]

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 [email protected]

jwischkaemper@trhta .net

Q ~ ~ ....., \

~~ tJ~ Yoakum Roger Amarillo

Recovery From Alcohol & Drugs

1703 S. Avondale, Amarillo 79106

806-3532862

[email protected]

A-y (/~ 4

april 16, 2014texasrhp12.com/downloads/sign_in_sheet_mainevent.4.16.14.pdf2014/04/16 · 2 reglon...

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