[xls] · web viewsheet3 sheet2 sheet1 consortium hcp num hcp name hcp state packet carrier current...

769
Consortium HCP Num HCP Name HCP State Packet Carrier rrent Stat Received 467 10003 CA 92236 A 4/12/2010 10003 CA 92237 A 4/12/2010 10005 ND 91096 A 2/24/2010 10005 ND 91097 A 2/16/2010 10034 WA 88149 A 3/5/2010 10034 WA 88150 A 3/5/2010 10047 AK 96302 A 3/17/2011 10047 AK 96305 A 10047 AK 96306 A 3/17/2011 10047 AK 96307 A 10047 AK 96308 A 3/17/2011 Redwood Memorial Hospital Processin g Complete Redwood Memorial Hospital Processin g Complete Presentat ion Medical Center Processin g Complete Presentat ion Medical Center Processin g Complete Garfield County Public Hospital District #1 Processin g Complete Garfield County Public Hospital District #1 Processin g Complete SEARHC - Ethel Lund Medical Center Processin g Complete SEARHC - Ethel Lund Medical Center Initial Review Complete SEARHC - Ethel Lund Medical Center Processin g Complete SEARHC - Ethel Lund Medical Center Initial Review Complete SEARHC - Ethel Lund Medical Center Processin g Complete

Upload: vananh

Post on 08-May-2018

217 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

Consortium HCP Num HCP NameHCP State Packet Carrier Current StatusReceived 467

10003 CA 92236 A 4/12/2010

10003 CA 92237 A 4/12/2010

10005 ND 91096 A 2/24/2010

10005 ND 91097 A 2/16/2010

10034 WA 88149 A 3/5/2010

10034 WA 88150 A 3/5/2010

10047 AK 96302 A 3/17/2011

10047 AK 96305 A

10047 AK 96306 A 3/17/2011

10047 AK 96307 A

10047 AK 96308 A 3/17/2011

Redwood Memorial Hospital

Processing Complete

Redwood Memorial Hospital

Processing Complete

Presentation Medical Center

Processing Complete

Presentation Medical Center

Processing Complete

Garfield County Public Hospital District #1

Processing Complete

Garfield County Public Hospital District #1

Processing Complete

SEARHC - Ethel Lund Medical Center

Processing Complete

SEARHC - Ethel Lund Medical Center

Initial Review Complete

SEARHC - Ethel Lund Medical Center

Processing Complete

SEARHC - Ethel Lund Medical Center

Initial Review Complete

SEARHC - Ethel Lund Medical Center

Processing Complete

Page 2: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10047 AK 96309 A

10047 AK 96310 A 3/17/2011

10047 AK 96311 A

10047 AK 96312 A 4/6/2011

10047 AK 96314 A

10047 AK 96317 A 3/17/2011

10047 AK 96319 A

10047 AK 96359 A 3/17/2011

10047 AK 96573 A 3/17/2011

10048 AK 96353 A 3/17/2011

10048 AK 96357 A

SEARHC - Ethel Lund Medical Center

Initial Review Complete

SEARHC - Ethel Lund Medical Center

Processing Complete

SEARHC - Ethel Lund Medical Center

Initial Review Complete

SEARHC - Ethel Lund Medical Center

Processing Complete

SEARHC - Ethel Lund Medical Center

Initial Review Complete

SEARHC - Ethel Lund Medical Center

Processing Complete

SEARHC - Ethel Lund Medical Center

Initial Review Complete

SEARHC - Ethel Lund Medical Center

Processing Complete

SEARHC - Ethel Lund Medical Center

Processing Complete

SEARHC Mt. Edgecumbe Hospital

Processing Complete

SEARHC Mt. Edgecumbe Hospital

Initial Review Complete

Page 3: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10048 AK 96360 A 3/17/2011

10048 AK 96361 A 3/17/2011

10048 AK 96363 A

10048 AK 96364 A 3/17/2011

10048 AK 96365 A

10048 AK 96366 A 4/6/2011

10048 AK 96368 A

10048 AK 96369 A 3/17/2011

10048 AK 96370 A

10048 AK 96578 A 3/17/2011

10049 AK 96515 A 3/17/2011

SEARHC Mt. Edgecumbe Hospital

Processing Complete

SEARHC Mt. Edgecumbe Hospital

Processing Complete

SEARHC Mt. Edgecumbe Hospital

Initial Review Complete

SEARHC Mt. Edgecumbe Hospital

Processing Complete

SEARHC Mt. Edgecumbe Hospital

Initial Review Complete

SEARHC Mt. Edgecumbe Hospital

Processing Complete

SEARHC Mt. Edgecumbe Hospital

Initial Review Complete

SEARHC Mt. Edgecumbe Hospital

Processing Complete

SEARHC Mt. Edgecumbe Hospital

Initial Review Complete

SEARHC Mt. Edgecumbe Hospital

Processing Complete

SEARHC Alicia Roberts Medical Center

Processing Complete

Page 4: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10049 AK 96523 A

10049 AK 96526 A 3/17/2011

10049 AK 96527 A

10049 AK 96528 A 3/17/2011

10049 AK 96529 A

10050 AK 96543 A 3/17/2011

10050 AK 96550 A

10051 AK 96559 A 3/17/2011

10051 AK 96561 A

10051 AK 96565 A 3/17/2011

10051 AK 96567 A

SEARHC Alicia Roberts Medical Center

Initial Review Complete

SEARHC Alicia Roberts Medical Center

Processing Complete

SEARHC Alicia Roberts Medical Center

Initial Review Complete

SEARHC Alicia Roberts Medical Center

Processing Complete

SEARHC Alicia Roberts Medical Center

Initial Review Complete

SEARHC Angoon Health Center

Processing Complete

SEARHC Angoon Health Center

Initial Review Complete

SEARHC Lynn Canal Medical Center

Processing Complete

SEARHC Lynn Canal Medical Center

Initial Review Complete

SEARHC Lynn Canal Medical Center

Processing Complete

SEARHC Lynn Canal Medical Center

Initial Review Complete

Page 5: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10052 AK 96589 A 3/17/2011

10052 AK 96593 A

10053 AK 96604 A 3/17/2011

10053 AK 96606 A 3/17/2011

10053 AK 96609 A

10067 CA 89445 A 1/12/2010

10067 CA 90448 A 7/16/2010

10070 IL 93572 A 7/12/2010

10070 IL 93573 A 7/12/2010

10070 IL 93574 A 7/12/2010

10070 IL 93576 A 7/12/2010

10081 NC 92496 A 6/10/2010

10082 NC 92501 A 6/10/2010

SEARHC Kake Health Center

Processing Complete

SEARHC Kake Health Center

Initial Review Complete

SEARHC Hydaburg Health Center

Processing Complete

SEARHC Hydaburg Health Center

Processing Complete

SEARHC Hydaburg Health Center

Initial Review Complete

Humboldt County Health & Human Services - Willow Creek

Processing Complete

Humboldt County Health & Human Services - Willow Creek

Processing Complete

The John & Mary E. Kirby Hospital

Processing Complete

The John & Mary E. Kirby Hospital

Processing Complete

The John & Mary E. Kirby Hospital

Processing Complete

The John & Mary E. Kirby Hospital

Processing Complete

Angel Medical Center

Processing Complete

Harris Regional Hospital

Processing Complete

Page 6: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10083 NC 94099 A 6/11/2010

10084 NC 94097 A 6/11/2010

10084 NC 94097 B 6/11/2010

10085 NC 92504 A 6/11/2010

10095 MN 86469 A

10095 MN 86474 A 12/29/2009

10095 MN 86477 A 12/29/2009

10095 MN 86484 A 11/17/2009

10095 MN 86487 A 12/29/2009

10109 KS 90903 A 3/23/2010

10118 KS 89417 A 1/28/2010

10118 KS 89418 A 1/28/2010

10123 KS 89688 A 11/24/2009

10138 CO 88273 A 1/6/2011

10138 CO 90474 A 3/12/2010

10140 NE 87380 A 1/7/2010

Haywood Regional Medical Center

Processing Complete

Murphy Medical Center

Processing Complete

Murphy Medical Center

Processing Complete

Margaret R. Pardee Memorial Hospital

Processing Complete

Bridges Medical Services

Initial Review Complete

Bridges Medical Services

Processing Complete

Bridges Medical Services

Processing Complete

Bridges Medical Services

Processing Complete

Bridges Medical Services

Processing Complete

Rawlins County Health Center

Processing Complete

Medicine Lodge Memorial Hospital

Processing Complete

Medicine Lodge Memorial Hospital

Processing Complete

Grisell Memorial Hospital

Processing Complete

Haxtun Hospital District

Processing Complete

Haxtun Hospital District

Processing Complete

Memorial Health Center

Processing Complete

Page 7: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10140 NE 91388 A 2/14/2010

10174 AK 90692 A 9/3/2010

10175 AK 90693 A 9/3/2010

10176 AK 90695 A 9/3/2010

10177 AK 90767 A 9/3/2010

10178 AK 90768 A 9/3/2010

10179 AK 90769 A 9/3/2010

10181 AK 90770 A 9/3/2010

10182 AK 90771 A 9/3/2010

10183 AK 90773 A 9/3/2010

10184 AK 90774 A 9/3/2010

10184 AK 93624 A 9/3/2010

10185 AK 90775 A 9/3/2010

10186 AK 90776 A 9/3/2010

10187 AK 90777 A 9/3/2010

10188 AK 90778 A 9/3/2010

10189 AK 90781 A 9/3/2010

10190 AK 90783 A 9/3/2010

Memorial Health Center

Processing Complete

Nightmute Clinic

Processing Complete

Nunapitchuk

Processing Complete

Oscarville Clinic

Processing Complete

Pilot Station Clinic

Processing Complete

Pitkas Point Clinic

Processing Complete

Quinhagak Clinic

Processing Complete

Russian Mission Clinic

Processing Complete

John Afcan Memorial Clinic

Processing Complete

Scammon Bay Clinic

Processing Complete

Shageluk Clinic

Processing Complete

Shageluk Clinic

Processing Complete

Sheldon Point Clinic

Processing Complete

Sleetmute Clinic

Processing Complete

Stony River Clinic

Processing Complete

Toksook Bay Clinic

Processing Complete

Tuluksak Clinic

Processing Complete

Kathleen Daniel Memorial Hospital

Processing Complete

Page 8: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10191 AK 90785 A 9/3/2010

10192 AK 90786 A 9/3/2010

10193 Eek Clinic AK 90790 A 9/3/2010

10194 AK 90792 A 9/3/2010

10195 AK 90794 A 9/3/2010

10195 AK 93625 A 9/3/2010

10196 AK 90795 A 9/3/2010

10197 AK 90797 A 9/3/2010

10198 AK 90799 A 9/3/2010

10199 AK 90800 A 9/3/2010

10200 AK 90801 A 9/3/2010

10201 AK 90803 A 9/3/2010

10201 AK 95559 A

10202 OK 95939 A 10/13/2010

10202 OK 95940 A 10/22/2010

10203 AK 90805 A 9/3/2010

10204 AK 90806 A 9/3/2010

Tununak Clinic

Processing Complete

Crooked Creek Clinic

Processing Complete

Processing Complete

Emmonak Clinic

Processing Complete

Grayling Clinic

Processing Complete

Grayling Clinic

Processing Complete

Theresa Demientieff Health Clinic

Processing Complete

Hooper Bay Clinic

Processing Complete

Crimet Phillips, Sr. Clinic

Processing Complete

Catherine Alexie Clinic

Processing Complete

Kasigluk Clinic

Processing Complete

Kipnuk Clinic

Processing Complete

Kipnuk Clinic

Initial Review Complete

Jackson County Memorial Hospital

Processing Complete

Jackson County Memorial Hospital

Processing Complete

Lillian E. Jimmy Memorial Clinic

Processing Complete

Kotlik Clinic

Processing Complete

Page 9: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10205 AK 90807 A 9/3/2010

10206 AK 90808 A 9/3/2010

10207 AK 90853 A 9/3/2010

10208 AK 90854 A 9/3/2010

10209 AK 90855 A 9/3/2010

10210 AK 90856 A 9/3/2010

10211 AK 90857 A 9/3/2010

10212 AK 90858 A 9/3/2010

10213 AK 90859 A 9/3/2010

10214 AK 90860 A 9/3/2010

10215 AK 90861 A 9/3/2010

10215 AK 93627 A 9/3/2010

10216 AK 90862 A 9/3/2010

10217 AK 90863 A 9/3/2010

10217 AK 90865 A 9/3/2010

Sarah S. Nicholai Memorial Clinic

Processing Complete

Kwigillingok Clinic

Processing Complete

Lime Village Clinic

Processing Complete

Theresa Elia Memorial Clinic

Processing Complete

Mekoryuk Clinic

Processing Complete

Mountain Village Clinic

Processing Complete

Akiachak Native Community Clinic

Processing Complete

Edith Kawagley Memorial Clinic

Processing Complete

Alakanak Clinic

Processing Complete

Clara Morgan Sub-Regional Clinic

Processing Complete

Anvik Clinic

Processing Complete

Anvik Clinic

Processing Complete

Atmauthluk Clinic

Processing Complete

Yukon-Kuskokwim Delta Regional Hospital

Processing Complete

Yukon-Kuskokwim Delta Regional Hospital

Processing Complete

Page 10: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10217 AK 90866 A 9/3/2010

10217 AK 90867 A 9/3/2010

10217 AK 90868 A 9/3/2010

10217 AK 90869 A 9/3/2010

10217 AK 90870 A 9/3/2010

10218 AK 90871 A 9/3/2010

10219 AK 90872 A 9/3/2010

10220 AK 90873 A 9/3/2010

10221 AK 90874 A 9/3/2010

10222 AK 90875 A 9/3/2010

10223 AK 90876 A 9/3/2010

10234 ND 91832 A 5/28/2010

10249 AK 91280 A 3/4/2010

Yukon-Kuskokwim Delta Regional Hospital

Processing Complete

Yukon-Kuskokwim Delta Regional Hospital

Processing Complete

Yukon-Kuskokwim Delta Regional Hospital

Processing Complete

Yukon-Kuskokwim Delta Regional Hospital

Processing Complete

Yukon-Kuskokwim Delta Regional Hospital

Processing Complete

Chefornak Clinic

Processing Complete

Chevak Clinic

Processing Complete

Chuathbaluk

Processing Complete

Napakiak Clinic

Processing Complete

Yago Clark Memorial Clinic

Processing Complete

Newtok Clinic

Processing Complete

Washburn Family Clinic

Processing Complete

Maniilaq Association - Kiana Health Clinic

Processing Complete

Page 11: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10249 AK 91281 A 3/4/2010

10249 AK 91282 A 3/4/2010

10256 CA 89494 A

10256 CA 89494 B

10256 CA 89495 A 1/21/2010

10256 CA 89496 A 1/21/2010

10256 CA 89497 A 2/23/2010

10256 CA 89498 A 1/23/2010

10256 CA 89511 A 1/21/2010

10256 CA 89511 B 1/21/2010

Maniilaq Association - Kiana Health Clinic

Processing Complete

Maniilaq Association - Kiana Health Clinic

Processing Complete

Big Valley Medical Services, Inc.

Initial Review Complete

Big Valley Medical Services, Inc.

Initial Review Complete

Big Valley Medical Services, Inc.

Processing Complete

Big Valley Medical Services, Inc.

Processing Complete

Big Valley Medical Services, Inc.

Processing Complete

Big Valley Medical Services, Inc.

Processing Complete

Big Valley Medical Services, Inc.

Processing Complete

Big Valley Medical Services, Inc.

Processing Complete

Page 12: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10256 CA 89511 C 1/21/2010

10256 CA 89512 A 1/23/2010

10256 CA 89513 A 1/23/2010

10256 CA 89514 A 1/23/2010

10256 CA 89514 B 1/23/2010

10256 CA 91245 A 6/18/2010

10261 MN 90670 A 2/15/2010

10261 MN 90671 A 2/15/2010

10261 MN 90674 A 2/15/2010

10261 MN 93595 A 6/1/2010

10269 MS 88930 A 1/28/2010

Big Valley Medical Services, Inc.

Processing Complete

Big Valley Medical Services, Inc.

Processing Complete

Big Valley Medical Services, Inc.

Processing Complete

Big Valley Medical Services, Inc.

Processing Complete

Big Valley Medical Services, Inc.

Processing Complete

Big Valley Medical Services, Inc.

Processing Complete

Paynesville Area Health Care System

Processing Complete

Paynesville Area Health Care System

Processing Complete

Paynesville Area Health Care System

Processing Complete

Paynesville Area Health Care System

Processing Complete

Tallahatchie General Hospital

Processing Complete

Page 13: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10269 MS 88931 A 2/10/2010

10269 MS 89931 A 1/28/2010

10276 MN 90721 A 8/12/2010

10276 MN 90722 A

10276 MN 90924 A 2/18/2010

10276 MN 91580 A 3/11/2010

10280 OR 87906 A 2/18/2010

10280 OR 87907 A 11/16/2009

10281 KS 94566 A 2/3/2011

10281 KS 94567 A 2/3/2011

10283 KS 88907 A 11/11/2009

10286 NE 87053 A 11/27/2009

10286 NE 91612 A 7/13/2010

10287 CO 91780 A 6/5/2010

10291 KS 86731 A 2/17/2010

Tallahatchie General Hospital

Processing Complete

Tallahatchie General Hospital

Processing Complete

Kanabec Hospital

Processing Complete

Kanabec Hospital

Processing Complete

Kanabec Hospital

Processing Complete

Kanabec Hospital

Processing Complete

Good Shepherd Community Hospital

Processing Complete

Good Shepherd Community Hospital

Processing Complete

Clara Barton Hospital

Processing Complete

Clara Barton Hospital

Processing Complete

Gove County Medical Center

Processing Complete

Falls City Community Medical Center

Processing Complete

Falls City Community Medical Center

Processing Complete

Rio Grande Hospital

Processing Complete

Smith County Hospital

Processing Complete

Page 14: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10291 KS 95497 A 7/8/2010

10293 KS 87123 A 3/8/2011

10294 KS 89925 A 12/22/2009

10305 MN 95190 A 5/20/2011

10311 KS 90339 A 2/10/2010

10311 KS 90341 A 2/16/2010

10331 ID 91567 A 3/29/2010

10331 ID 92097 A 3/17/2010

10331 ID 92108 A 3/17/2010

10331 ID 92109 A 3/17/2010

10331 ID 95890 A 5/24/2011

10347 ID 89475 A 2/1/2010

10347 ID 89476 A 1/19/2010

Smith County Hospital

Processing Complete

Republic County Hospital

Processing Complete

Trego County Lemke Memorial Hospital

Processing Complete

Lakewood Health System-Staples SC

Processing Complete

Holton Community Hospital

Processing Complete

Holton Community Hospital

Processing Complete

Bear Lake Memorial Hospital

Processing Complete

Bear Lake Memorial Hospital

Processing Complete

Bear Lake Memorial Hospital

Processing Complete

Bear Lake Memorial Hospital

Processing Complete

Bear Lake Memorial Hospital

Processing Complete

Gooding County Memorial Hospital District

Processing Complete

Gooding County Memorial Hospital District

Processing Complete

Page 15: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10347 ID 89477 A 1/4/2010

10347 ID 89478 A 1/4/2010

10347 ID 89480 A 1/4/2010

10347 ID 90710 A 1/25/2010

10347 ID 90711 A

10347 ID 90712 A

10347 ID 90713 A

10347 ID 90714 A

10347 ID 93493 A 7/6/2010

10382 AK 90133 A 2/22/2010

10382 AK 90134 A 2/22/2010

Gooding County Memorial Hospital District

Processing Complete

Gooding County Memorial Hospital District

Processing Complete

Gooding County Memorial Hospital District

Processing Complete

Gooding County Memorial Hospital District

Processing Complete

Gooding County Memorial Hospital District

Initial Review Complete

Gooding County Memorial Hospital District

Initial Review Complete

Gooding County Memorial Hospital District

Initial Review Complete

Gooding County Memorial Hospital District

Initial Review Complete

Gooding County Memorial Hospital District

Processing Complete

Providence Seward Medical Center

Processing Complete

Providence Seward Medical Center

Processing Complete

Page 16: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10382 AK 91429 A 6/3/2011

10382 AK 92084 A 6/3/2011

10382 AK 119836 A 1/4/2016

10382 AK 119837 A 1/4/2016

10386 MN 92863 A

10386 MN 92863 B

10386 MN 92882 A 7/18/2010

10386 MN 92883 A 7/18/2010

10386 MN 92886 A

10386 MN 97952 A 9/6/2010

10388 MN 92065 A 12/7/2010

10388 MN 92066 A 12/7/2010

10388 MN 92067 A 12/7/2010

10388 MN 92068 A 12/7/2010

10388 MN 94157 A 12/7/2010

Providence Seward Medical Center

Processing Complete

Providence Seward Medical Center

Processing Complete

Providence Seward Medical & Care Center

Processing Complete

Providence Seward Medical & Care Center

Processing Complete

ELEAH Medical Center

Initial Review Complete

ELEAH Medical Center

Initial Review Complete

ELEAH Medical Center

Processing Complete

ELEAH Medical Center

Processing Complete

ELEAH Medical Center

Initial Review Complete

ELEAH Medical Center

Processing Complete

Glacial Ridge Health System

Processing Complete

Glacial Ridge Health System

Processing Complete

Glacial Ridge Health System

Processing Complete

Glacial Ridge Health System

Processing Complete

Glacial Ridge Health System

Processing Complete

Page 17: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10388 MN 94158 A 12/7/2010

10388 MN 94445 A 12/7/2010

10388 MN 95892 A 12/7/2010

10390 MN 95384 A 4/29/2011

10390 MN 95385 A 4/29/2011

10390 MN 95386 A 4/29/2011

10390 MN 95387 A 4/29/2011

10390 MN 97086 A 4/29/2011

10393 MN 92329 A 9/13/2010

10393 MN 92395 A 9/13/2010

10393 MN 92396 A 9/13/2010

10393 MN 92397 A 9/13/2010

Glacial Ridge Health System

Processing Complete

Glacial Ridge Health System

Processing Complete

Glacial Ridge Health System

Processing Complete

Stevens Community Medical Center

Processing Complete

Stevens Community Medical Center

Processing Complete

Stevens Community Medical Center

Processing Complete

Stevens Community Medical Center

Processing Complete

Stevens Community Medical Center

Processing Complete

Wheaton Community Hospital

Processing Complete

Wheaton Community Hospital

Processing Complete

Wheaton Community Hospital

Processing Complete

Wheaton Community Hospital

Processing Complete

Page 18: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10393 MN 93524 A 9/13/2010

10393 MN 93525 A 9/13/2010

10393 MN 93526 A 9/13/2010

10396 MN 91037 A 2/18/2010

10396 MN 91038 A 2/18/2010

10396 MN 91039 A 2/18/2010

10401 MO 87745 A 3/4/2011

10403 WA 88178 A 11/19/2009

10410 WA 95808 A 1/25/2011

10410 WA 95808 B 1/25/2011

10434 AL 89252 A 2/10/2010

10434 AL 89253 A 2/10/2010

10434 AL 89254 A 2/16/2010

10434 AL 89453 A 6/21/2010

10434 AL 89455 A 7/21/2010

Wheaton Community Hospital

Processing Complete

Wheaton Community Hospital

Processing Complete

Wheaton Community Hospital

Processing Complete

Grand Itasca Clinic & Hospital

Processing Complete

Grand Itasca Clinic & Hospital

Processing Complete

Grand Itasca Clinic & Hospital

Processing Complete

Wright Memorial Hospital

Processing Complete

Mid Valley Hospital

Processing Complete

LCPHD #1 dba Odessa Memorial Hospital

Processing Complete

LCPHD #1 dba Odessa Memorial Hospital

Processing Complete

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Page 19: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10434 AL 89457 A 7/27/2010

10434 AL 89462 A 6/15/2010

10434 AL 89463 A 7/27/2010

10434 AL 89463 B 7/27/2010

10434 AL 89465 A 6/21/2010

10434 AL 89465 B 6/21/2010

10434 AL 94575 A 8/2/2010

10434 AL 94597 A 10/5/2010

10434 AL 94597 B 10/5/2010

10443 NM 92455 A

10443 NM 92456 A 12/30/2010

10452 ND 95436 A 5/19/2011

10453 NE 88330 A 11/27/2009

10453 NE 88331 A 11/27/2009

10453 NE 88332 A 11/27/2009

10453 NE 88333 A 11/27/2009

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Fayette Medical Center

Processing Complete

Miners' Colfax Medical Center

Initial Review Complete

Miners' Colfax Medical Center

Processing Complete

MeritCare -- Jamestown

Processing Complete

Faith Regional Health Services

Processing Complete

Faith Regional Health Services

Processing Complete

Faith Regional Health Services

Processing Complete

Faith Regional Health Services

Processing Complete

Page 20: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10453 NE 88334 A 11/27/2009

10453 NE 88335 A 11/27/2009

10453 NE 91010 A

10453 NE 91011 A 2/12/2010

10453 NE 91012 A 2/12/2010

10453 NE 91013 A 2/12/2010

10453 NE 91014 A 2/12/2010

10453 NE 91015 A 2/12/2010

10453 NE 91016 A 2/12/2010

10454 MN 95435 A 4/28/2011

10454 MN 95454 A 4/28/2011

10455 OK 89030 A 2/17/2010

10462 MN 93659 A 1/28/2011

10462 MN 93741 A 1/28/2011

Faith Regional Health Services

Processing Complete

Faith Regional Health Services

Processing Complete

Faith Regional Health Services

Initial Review Complete

Faith Regional Health Services

Processing Complete

Faith Regional Health Services

Processing Complete

Faith Regional Health Services

Processing Complete

Faith Regional Health Services

Processing Complete

Faith Regional Health Services

Processing Complete

Faith Regional Health Services

Processing Complete

MeritCare Clinic - Bemidji

Processing Complete

MeritCare Clinic - Bemidji

Processing Complete

Duncan Regional Hospital

Processing Complete

Range Mental Health Center - Virginia

Processing Complete

Range Mental Health Center - Virginia

Processing Complete

Page 21: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10462 MN 93742 A 1/28/2011

10466 WA 88626 A 6/21/2010

10476 NE 88293 A

10476 NE 88294 A 12/29/2009

10476 NE 88295 A 12/29/2009

10476 NE 88296 A 12/29/2009

10476 NE 88297 A 12/29/2009

10476 NE 88298 A 12/29/2009

10476 NE 88299 A 12/29/2009

10476 NE 88300 A 12/29/2009

10476 NE 88301 A 12/29/2009

10476 NE 88302 A 12/29/2009

10476 NE 88303 A 12/29/2009

Range Mental Health Center - Virginia

Processing Complete

Pend Oreille County Public Hospital District #1

Processing Complete

Saint Francis Medical Center

Initial Review Complete

Saint Francis Medical Center

Processing Complete

Saint Francis Medical Center

Processing Complete

Saint Francis Medical Center

Processing Complete

Saint Francis Medical Center

Processing Complete

Saint Francis Medical Center

Processing Complete

Saint Francis Medical Center

Processing Complete

Saint Francis Medical Center

Processing Complete

Saint Francis Medical Center

Processing Complete

Saint Francis Medical Center

Processing Complete

Saint Francis Medical Center

Processing Complete

Page 22: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10476 NE 91439 A 5/12/2010

10514 VA 89548 A 10/16/2009

10516 TN 89553 A 10/16/2009

10517 TN 89586 A 10/16/2009

10520 KS 89521 A 3/24/2010

10523 VA 89588 A 10/16/2009

10524 TN 89591 A 10/16/2009

10532 WA 91099 A 4/5/2010

10532 WA 91099 B 4/5/2010

10532 WA 91100 A 4/5/2010

10532 WA 91100 B 4/5/2010

10532 WA 91101 A 4/5/2010

10532 WA 91101 B 4/5/2010

Saint Francis Medical Center

Processing Complete

Lee County Behavioral Health Services

Processing Complete

Johnson County Counseling Center

Processing Complete

Hancock County Mental Health Clinic

Processing Complete

Great Plains Health Alliance

Processing Complete

Addington Hall

Processing Complete

Hawkins County Mental Health Center

Processing Complete

Samaritan Healthcare

Processing Complete

Samaritan Healthcare

Processing Complete

Samaritan Healthcare

Processing Complete

Samaritan Healthcare

Processing Complete

Samaritan Healthcare

Processing Complete

Samaritan Healthcare

Processing Complete

Page 23: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10532 WA 91114 A 7/21/2010

10532 WA 91115 A 7/26/2010

10532 WA 91115 B 7/26/2010

10532 WA 91117 A 7/21/2010

10532 WA 93567 A 6/2/2010

10532 WA 93568 A 6/2/2010

10532 WA 93569 A 6/2/2010

10575 NE 86997 A 10/22/2009

10579 OR 88689 A 4/26/2010

10587 NE 87013 A 10/22/2009

10589 NE 86963 A 10/17/2009

10589 NE 95477 A 10/9/2010

10589 NE 95478 A 9/24/2010

10589 NE 95478 B 9/24/2010

10589 NE 95478 C 9/24/2010

10590 NE 86961 A 10/17/2009

Samaritan Healthcare

Processing Complete

Samaritan Healthcare

Processing Complete

Samaritan Healthcare

Processing Complete

Samaritan Healthcare

Processing Complete

Samaritan Healthcare

Processing Complete

Samaritan Healthcare

Processing Complete

Samaritan Healthcare

Processing Complete

Cozad Community Hospital

Processing Complete

Harney District Hospital

Processing Complete

Valley County Hospital

Processing Complete

Dundy County Hospital

Processing Complete

Dundy County Hospital

Processing Complete

Dundy County Hospital

Processing Complete

Dundy County Hospital

Processing Complete

Dundy County Hospital

Processing Complete

Rock County Hospital

Processing Complete

Page 24: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10590 NE 95476 A 10/9/2010

10591 NE 86995 A 10/17/2009

10591 NE 95481 A 10/9/2010

10592 NE 86969 A 10/17/2009

10604 NE 87000 A 11/18/2009

10605 NE 86996 A 10/17/2009

10605 NE 95483 A 10/9/2010

10605 NE 95484 A 9/12/2010

10614 MS 93706 A 10/31/2010

10615 MS 93717 A 10/31/2010

10616 CA 88989 A 4/12/2010

10616 CA 89353 A 2/26/2010

Rock County Hospital

Processing Complete

Callaway District Hospital

Processing Complete

Callaway District Hospital

Processing Complete

Jennie M. Melham Memorial Medical Center

Processing Complete

Gothenburg Memorial Hospital

Processing Complete

Cambridge Memorial Hospital

Processing Complete

Cambridge Memorial Hospital

Processing Complete

Cambridge Memorial Hospital

Processing Complete

G.A. Carmichael Rural Family Health Center

Processing Complete

G.A. Carmichael Rural Family Health Center

Processing Complete

Hill Country Community Clinic, Inc.

Processing Complete

Hill Country Community Clinic, Inc.

Processing Complete

Page 25: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10616 CA 89354 A 2/26/2010

10616 CA 91128 A 3/2/2010

10626 VT 93054 A 7/11/2010

10627 CA 92205 A 9/13/2010

10627 CA 92206 A 9/13/2010

10629 KS 95494 A 8/13/2010

10629 KS 95495 A 10/19/2010

10629 KS 96728 A 8/6/2010

10630 NE 88339 A 12/30/2009

10630 NE 95437 A 9/24/2010

10630 NE 95438 A 9/24/2010

10631 NE 88324 A 12/30/2009

10631 NE 91501 A 2/12/2010

10631 NE 91502 A 2/12/2010

10632 NE 88341 A 12/30/2009

Hill Country Community Clinic, Inc.

Processing Complete

Hill Country Community Clinic, Inc.

Processing Complete

Copley Hospital

Processing Complete

Catalina Island Medical Center

Processing Complete

Catalina Island Medical Center

Processing Complete

Norton County Hospital

Processing Complete

Norton County Hospital

Processing Complete

Norton County Hospital

Processing Complete

Osmond General Hospital

Processing Complete

Osmond General Hospital

Processing Complete

Osmond General Hospital

Processing Complete

Creighton Area Health Services

Processing Complete

Creighton Area Health Services

Processing Complete

Creighton Area Health Services

Processing Complete

Plainview Public Hospital

Processing Complete

Page 26: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10633 WV 92600 A 4/29/2010

10633 WV 92750 A 4/29/2010

10633 WV 92795 A 4/29/2010

10633 WV 92796 A 4/29/2010

10633 WV 92798 A 5/28/2010

10639 ND 91193 A 2/16/2010

10639 ND 97010 A 11/30/2010

10643 NE 88319 A 12/30/2009

10643 NE 94474 A

10646 NE 88338 A 12/30/2009

10646 NE 91276 A 2/12/2010

10654 NE 88090 A 1/7/2010

10654 NE 88092 A 9/30/2010

10660 AL 89461 A 3/18/2010

10660 AL 89461 B 3/18/2010

10660 AL 89466 A 5/18/2010

Grant Memorial Hospital

Processing Complete

Grant Memorial Hospital

Processing Complete

Grant Memorial Hospital

Processing Complete

Grant Memorial Hospital

Processing Complete

Grant Memorial Hospital

Processing Complete

Oakes Community Hospital

Processing Complete

Oakes Community Hospital

Processing Complete

West Holt Memorial Hospital

Processing Complete

West Holt Memorial Hospital

Initial Review Complete

Antelope Memorial Hospital

Processing Complete

Antelope Memorial Hospital

Processing Complete

Memorial Hospital

Processing Complete

Memorial Hospital

Processing Complete

Pickens County Medical Center

Processing Complete

Pickens County Medical Center

Processing Complete

Pickens County Medical Center

Processing Complete

Page 27: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10660 AL 89468 A 5/18/2010

10660 AL 89468 B 5/18/2010

10660 AL 89469 A 2/16/2010

10660 AL 89470 A 4/12/2010

10664 NM 91414 A 4/6/2010

10664 NM 91415 A 4/6/2010

10664 NM 91416 A 4/6/2010

10664 NM 91417 A 4/6/2010

10668 MN 89099 A 3/23/2010

10668 MN 92760 A 5/24/2010

10668 MN 92761 A 5/24/2010

10671 SC 96740 A 1/27/2011

Pickens County Medical Center

Processing Complete

Pickens County Medical Center

Processing Complete

Pickens County Medical Center

Processing Complete

Pickens County Medical Center

Processing Complete

Hidalgo Medical Services

Processing Complete

Hidalgo Medical Services

Processing Complete

Hidalgo Medical Services

Processing Complete

Hidalgo Medical Services

Processing Complete

Hendricks Community Hospital Association

Processing Complete

Hendricks Community Hospital Association

Processing Complete

Hendricks Community Hospital Association

Processing Complete

Hampton Regional Medical Center

Processing Complete

Page 28: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10671 SC 99980 A

10705 WV 96222 A 3/30/2011

10705 WV 96592 A 3/30/2011

10713 WA 90696 A 6/3/2010

10713 WA 90696 B 6/3/2010

10744 NE 88337 A 12/30/2009

10744 NE 94471 A

10744 NE 94479 A

10749 MT 86973 A 5/31/2010

10749 MT 89864 A 6/4/2010

10749 MT 89923 A 5/31/2010

10749 MT 93211 A 5/31/2010

10750 MT 90344 A 6/29/2010

10750 MT 92989 A

10750 MT 93020 A

Hampton Regional Medical Center

Initial Review Complete

Lincoln County Primary Care Center

Processing Complete

Lincoln County Primary Care Center

Processing Complete

East Adams Rural Hospital

Processing Complete

East Adams Rural Hospital

Processing Complete

Niobrara Valley Hospital

Processing Complete

Niobrara Valley Hospital

Initial Review Complete

Niobrara Valley Hospital

Initial Review Complete

Mineral Community Hospital

Processing Complete

Mineral Community Hospital

Processing Complete

Mineral Community Hospital

Processing Complete

Mineral Community Hospital

Processing Complete

Marcus Daly Hospital

Processing Complete

Marcus Daly Hospital

Processing Complete

Marcus Daly Hospital

Processing Complete

Page 29: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10750 MT 93023 A

10750 MT 93025 A

10750 MT 93027 A

10750 MT 93029 A 5/12/2010

10751 MT 91531 A 3/1/2010

10751 MT 91532 A 3/1/2010

10751 MT 91532 B 3/1/2010

10751 MT 91533 A 3/1/2010

10751 MT 91533 B 3/1/2010

10751 MT 91534 A 3/1/2010

10751 MT 91534 B 3/1/2010

10751 MT 93088 A 5/12/2010

10751 MT 93089 A

10756 ID 92947 A 5/7/2010

10759 AK 92058 A 7/16/2010

Marcus Daly Hospital

Initial Review Complete

Marcus Daly Hospital

Initial Review Complete

Marcus Daly Hospital

Initial Review Complete

Marcus Daly Hospital

Processing Complete

St. Luke Community Hospital

Processing Complete

St. Luke Community Hospital

Processing Complete

St. Luke Community Hospital

Processing Complete

St. Luke Community Hospital

Processing Complete

St. Luke Community Hospital

Processing Complete

St. Luke Community Hospital

Processing Complete

St. Luke Community Hospital

Processing Complete

St. Luke Community Hospital

Processing Complete

St. Luke Community Hospital

Processing Complete

Steele Memorial Medical Center

Processing Complete

Atka Clinic

Processing Complete

Page 30: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10760 AK 92059 A 7/16/2010

10761 AK 92060 A 7/16/2010

10761 AK 92061 A 7/16/2010

10762 AK 92062 A 7/16/2010

10762 AK 92063 A 7/16/2010

10765 AR 90644 A 6/2/2010

10765 AR 90645 A 6/2/2010

10768 AR 92482 A 9/14/2010

10774 ND 93792 A 12/1/2010

10776 AK 95472 A 10/7/2010

10776 AK 95473 A 10/7/2010

10776 AK 95474 A 10/20/2010

10779 MN 94045 A 9/28/2010

10779 MN 94045 B 9/28/2010

10780 MN 92371 A 5/6/2010

10780 MN 92373 A 3/30/2010

Nikolski Clinic

Processing Complete

Saint Paul Health Center

Processing Complete

Saint Paul Health Center

Processing Complete

Oonalaska Wellness Center

Processing Complete

Oonalaska Wellness Center

Processing Complete

Arkansas Methodist Hospital

Processing Complete

Arkansas Methodist Hospital

Processing Complete

Howard Memorial Hospital

Processing Complete

Trinity Health

Processing Complete

Wrangell Medical Center

Processing Complete

Wrangell Medical Center

Processing Complete

Wrangell Medical Center

Processing Complete

Fairview Range Medical Center

Processing Complete

Fairview Range Medical Center

Processing Complete

Fairview Red Wing Hospital

Processing Complete

Fairview Red Wing Hospital

Processing Complete

Page 31: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10780 MN 92374 A 3/30/2010

10780 MN 92374 B 3/30/2010

10780 MN 92375 A 3/30/2010

10781 AK 90271 A 5/28/2010

10781 AK 90456 A

10781 AK 90475 A 5/28/2010

10781 AK 90977 A 5/28/2010

10781 AK 90978 A 5/28/2010

10781 AK 96867 A 9/14/2010

10781 AK 96868 A 9/14/2010

10782 NE 87054 A 11/27/2009

10782 NE 88066 A 3/3/2010

10782 NE 91570 A 3/18/2010

Fairview Red Wing Hospital

Processing Complete

Fairview Red Wing Hospital

Processing Complete

Fairview Red Wing Hospital

Processing Complete

Cordova Community Medical Center

Processing Complete

Cordova Community Medical Center

Initial Review Complete

Cordova Community Medical Center

Processing Complete

Cordova Community Medical Center

Processing Complete

Cordova Community Medical Center

Processing Complete

Cordova Community Medical Center

Processing Complete

Cordova Community Medical Center

Processing Complete

Jefferson Community Health Center

Processing Complete

Jefferson Community Health Center

Processing Complete

Jefferson Community Health Center

Processing Complete

Page 32: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10783 AK 95506 A 12/29/2010

10783 AK 96784 A 3/29/2011

10786 MS 88730 A 10/9/2009

10786 MS 88731 A 10/9/2009

10786 MS 88732 A 10/9/2009

10786 MS 88733 A 10/9/2009

10786 MS 88734 A 10/9/2009

10786 MS 92613 A 6/7/2010

10786 MS 92616 A 6/7/2010

10791 KS 91401 A

10793 MN 92030 A 4/28/2010

10793 MN 92031 A 4/28/2010

Seldovia Village Tribe Clinic

Processing Complete

Seldovia Village Tribe Clinic

Processing Complete

Field Memorial Community Hospital

Processing Complete

Field Memorial Community Hospital

Processing Complete

Field Memorial Community Hospital

Processing Complete

Field Memorial Community Hospital

Processing Complete

Field Memorial Community Hospital

Processing Complete

Field Memorial Community Hospital

Processing Complete

Field Memorial Community Hospital

Processing Complete

Goodland Regional Medical Center

Processing Complete

Renville County Hospital & Clinics

Processing Complete

Renville County Hospital & Clinics

Processing Complete

Page 33: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10793 MN 92032 A 4/28/2010

10794 ND 95485 A 5/19/2011

10794 ND 97193 A 6/8/2011

10798 ND 95452 A 5/19/2011

10798 ND 96811 A 5/19/2011

10799 ND 95486 A 4/28/2011

10799 ND 95487 A 4/28/2011

10799 ND 95489 A 4/28/2011

10800 MS 88885 A 3/15/2010

10800 MS 88886 A 2/2/2010

10800 MS 88887 A 2/2/2010

10800 MS 88888 A 2/2/2010

10803 IL 90089 A 1/29/2010

10803 IL 90723 A 2/26/2010

10803 IL 91846 A 3/3/2010

Renville County Hospital & Clinics

Processing Complete

MeritCare Clinic - Wahpeton

Processing Complete

MeritCare Clinic - Wahpeton

Processing Complete

MeritCare Clinic - Valley City

Processing Complete

MeritCare Clinic - Valley City

Processing Complete

MeritCare Clinic - Mayville

Processing Complete

MeritCare Clinic - Mayville

Processing Complete

MeritCare Clinic - Mayville

Processing Complete

Yalobusha General Hospital

Processing Complete

Yalobusha General Hospital

Processing Complete

Yalobusha General Hospital

Processing Complete

Yalobusha General Hospital

Processing Complete

Crawford Memorial Hospital & Health Services

Processing Complete

Crawford Memorial Hospital & Health Services

Processing Complete

Crawford Memorial Hospital & Health Services

Processing Complete

Page 34: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10809 MN 95432 A 5/19/2011

10810 AK 90628 A 2/1/2010

10810 AK 90629 A 2/1/2010

10810 AK 90631 A 2/1/2010

10810 AK 90632 A 2/1/2010

10810 AK 90633 A 2/1/2010

10810 AK 90634 A 2/1/2010

10810 AK 90635 A 2/1/2010

10810 AK 90636 A 2/1/2010

10810 AK 90637 A 3/4/2010

10811 AK 90639 A 1/22/2010

10811 AK 90640 A 1/22/2010

10811 AK 90641 A 1/22/2010

10812 AK 90915 A 1/22/2010

10812 AK 90916 A 1/22/2010

10812 AK 90917 A 1/22/2010

10813 AK 90918 A 2/1/2010

10813 AK 90919 A 1/22/2010

MeritCare Clinic - Detroit Lakes

Processing Complete

Maniilaq Medical Center

Processing Complete

Maniilaq Medical Center

Processing Complete

Maniilaq Medical Center

Processing Complete

Maniilaq Medical Center

Processing Complete

Maniilaq Medical Center

Processing Complete

Maniilaq Medical Center

Processing Complete

Maniilaq Medical Center

Processing Complete

Maniilaq Medical Center

Processing Complete

Maniilaq Medical Center

Processing Complete

Ambler Health Clinic

Processing Complete

Ambler Health Clinic

Processing Complete

Ambler Health Clinic

Processing Complete

Buckland Health Clinic

Processing Complete

Buckland Health Clinic

Processing Complete

Buckland Health Clinic

Processing Complete

Deering Health Clinic

Processing Complete

Deering Health Clinic

Processing Complete

Page 35: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10813 AK 90920 A 1/22/2010

10814 AK 90921 A 2/1/2010

10814 AK 90922 A 2/1/2010

10814 AK 90923 A 2/1/2010

10815 AK 90935 A 2/1/2010

10815 AK 90936 A 2/1/2010

10815 AK 90937 A 2/1/2010

10816 AK 90938 A 3/16/2010

10816 AK 90939 A 3/16/2010

10816 AK 90940 A 3/16/2010

10817 AK 90941 A 2/1/2010

10817 AK 90942 A 2/9/2010

10817 AK 90943 A 2/9/2010

10818 AK 90944 A 2/9/2010

10818 AK 90945 A 2/9/2010

10818 AK 91271 A 3/4/2010

10818 AK 91272 A

Deering Health Clinic

Processing Complete

Kivalina Health Clinic

Processing Complete

Kivalina Health Clinic

Processing Complete

Kivalina Health Clinic

Processing Complete

Kobuk Health Clinic

Processing Complete

Kobuk Health Clinic

Processing Complete

Kobuk Health Clinic

Processing Complete

Noatak Health Clinic

Processing Complete

Noatak Health Clinic

Processing Complete

Noatak Health Clinic

Processing Complete

Noorvik Health Clinic

Processing Complete

Noorvik Health Clinic

Processing Complete

Noorvik Health Clinic

Processing Complete

Point Hope Health Clinic

Processing Complete

Point Hope Health Clinic

Processing Complete

Point Hope Health Clinic

Processing Complete

Point Hope Health Clinic

Initial Review Complete

Page 36: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10819 AK 91273 A 3/4/2010

10819 AK 91274 A 3/12/2010

10819 AK 91275 A 3/12/2010

10820 AK 91277 A 3/12/2010

10820 AK 91278 A 3/12/2010

10820 AK 91279 A 3/12/2010

10851 MN 91522 A 3/11/2010

10851 MN 91523 A 3/11/2010

10851 MN 91524 A 3/11/2010

10851 MN 91525 A 3/11/2010

10851 MN 93311 A 9/28/2010

10852 MN 91033 A 2/18/2010

10852 MN 91035 A 2/18/2010

Selawik Health Clinic

Processing Complete

Selawik Health Clinic

Processing Complete

Selawik Health Clinic

Processing Complete

Shungnak Health Clinic

Processing Complete

Shungnak Health Clinic

Processing Complete

Shungnak Health Clinic

Processing Complete

Cloquet Community Memorial Hosptial

Processing Complete

Cloquet Community Memorial Hosptial

Processing Complete

Cloquet Community Memorial Hosptial

Processing Complete

Cloquet Community Memorial Hosptial

Processing Complete

Cloquet Community Memorial Hosptial

Processing Complete

Mercy Hospital & Health Care Center

Processing Complete

Mercy Hospital & Health Care Center

Processing Complete

Page 37: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10852 MN 91529 A 2/18/2010

10852 MN 91530 A 2/18/2010

10861 MI 95193 A 10/14/2010

10861 MI 95198 A 7/20/2010

10892 AK 91363 A 3/23/2010

10913 NM 91564 A

10914 NM 91561 A 3/30/2010

10916 NM 91565 A 3/30/2010

10917 NM 91568 A 3/31/2010

10919 NM 91563 A 3/31/2010

10949 NE 96176 A 5/16/2011

10968 Pathways MI 92181 A 4/5/2010

10968 Pathways MI 92182 A 4/5/2010

10968 Pathways MI 92184 A 4/5/2010

10968 Pathways MI 92185 A 4/5/2010

Mercy Hospital & Health Care Center

Processing Complete

Mercy Hospital & Health Care Center

Processing Complete

Alpena Regional Medical Center

Processing Complete

Alpena Regional Medical Center

Processing Complete

Bethel Family Clinic

Processing Complete

Plains Regional Medical Center

Initial Review Complete

PHS - Dan C. Trigg Hospital

Processing Complete

Socorro General Hospital

Processing Complete

Espanola Hospital

Processing Complete

PHS - Lincoln County Medical Center

Processing Complete

Tekamah Mercy Medical Clinic

Processing Complete

Processing Complete

Processing Complete

Processing Complete

Processing Complete

Page 38: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10968 Pathways MI 92197 A 4/5/2010

10968 Pathways MI 92265 A 4/5/2010

10970 WA 91705 A 6/7/2010

10970 WA 91705 B 6/7/2010

10970 WA 91706 A 6/7/2010

11021 MN 91424 A 2/18/2010

11021 MN 91508 A 2/18/2010

11021 MN 91509 A 2/18/2010

11021 MN 91510 A 3/11/2010

11021 MN 93102 A 5/11/2010

11021 MN 93315 A 5/11/2010

11024 MN 90502 A 4/5/2010

11024 MN 90503 A 4/5/2010

Processing Complete

Processing Complete

Ferry County Public Hospital District #1

Processing Complete

Ferry County Public Hospital District #1

Processing Complete

Ferry County Public Hospital District #1

Processing Complete

Riverwood Health Care Center

Processing Complete

Riverwood Health Care Center

Processing Complete

Riverwood Health Care Center

Processing Complete

Riverwood Health Care Center

Processing Complete

Riverwood Health Care Center

Processing Complete

Riverwood Health Care Center

Processing Complete

Cuyuna Regional Medical Center

Processing Complete

Cuyuna Regional Medical Center

Processing Complete

Page 39: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11024 MN 90925 A 4/5/2010

11024 MN 91577 A 4/5/2010

11024 MN 96590 A 10/27/2010

11029 MT 92389 A 4/27/2010

11029 MT 92542 A 4/27/2010

11029 MT 92545 A 4/27/2010

11034 MN 91513 A 9/16/2010

11034 MN 91514 A 8/16/2010

11034 MN 94523 A 9/30/2010

11034 MN 94525 A 8/16/2010

11034 MN 94528 A 9/30/2010

11037 OH 90728 A 3/30/2010

11041 NV 91961 A 4/30/2010

11044 NV 91963 A 5/18/2010

Cuyuna Regional Medical Center

Processing Complete

Cuyuna Regional Medical Center

Processing Complete

Cuyuna Regional Medical Center

Processing Complete

Powell County Memorial Hospital

Processing Complete

Powell County Memorial Hospital

Processing Complete

Powell County Memorial Hospital

Processing Complete

Virginia Regional Medical Center

Processing Complete

Virginia Regional Medical Center

Processing Complete

Virginia Regional Medical Center

Processing Complete

Virginia Regional Medical Center

Processing Complete

Virginia Regional Medical Center

Processing Complete

HealthSource- Greenfield Family Practice

Processing Complete

Mt. Grant General Hospital

Processing Complete

South Lyon Medical Center

Processing Complete

Page 40: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11044 NV 91966 A

11046 AK 90957 A 6/30/2010

11046 AK 90960 A 10/29/2010

11046 AK 90961 A 10/29/2010

11046 AK 90962 A 6/9/2010

11046 AK 90963 A 6/30/2010

11051 IA 96448 A

11052 IA 96450 A

11052 IA 96450 B

11052 IA 99790 A 2/22/2011

11052 IA 99790 B 2/22/2011

South Lyon Medical Center

Processing Complete

Iliuliuk Family & Health Services, Inc.

Processing Complete

Iliuliuk Family & Health Services, Inc.

Processing Complete

Iliuliuk Family & Health Services, Inc.

Processing Complete

Iliuliuk Family & Health Services, Inc.

Processing Complete

Iliuliuk Family & Health Services, Inc.

Processing Complete

Mercy Family Care - Clear Lake

Initial Review Complete

Mercy Family Care - Lake Mills

Processing Complete

Mercy Family Care - Lake Mills

Processing Complete

Mercy Family Care - Lake Mills

Processing Complete

Mercy Family Care - Lake Mills

Processing Complete

Page 41: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11054 IA 96452 A 9/19/2010

11054 IA 96452 B 9/19/2010

11064 IA 96445 A 9/19/2010

11068 MI 92441 A 5/20/2010

11068 MI 92441 B 5/20/2010

11068 MI 92442 A 5/20/2010

11068 MI 92443 A 5/20/2010

11068 MI 92443 B 5/20/2010

11068 MI 92445 A 5/20/2010

11068 MI 92445 B 5/20/2010

11068 MI 93018 A 5/20/2010

Mercy Family Care - Forest

Processing Complete

Mercy Family Care - Forest

Processing Complete

Mercy Family Care - Rockford

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Page 42: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11068 MI 93018 B 5/20/2010

11068 MI 93019 A 5/20/2010

11068 MI 93019 B 5/20/2010

11068 MI 93092 A 5/20/2010

11068 MI 93095 A 5/20/2010

11068 MI 93096 A 5/12/2010

11068 MI 93096 B 5/12/2010

11068 MI 93100 A 5/20/2010

11068 MI 93109 A 5/20/2010

11068 MI 93109 B 5/20/2010

11068 MI 94053 A 5/20/2010

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Dickinson County Healthcare Systems

Processing Complete

Page 43: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11068 MI 94053 B 5/20/2010

11073 MN 95450 A 5/19/2011

11079 WI 88636 A 10/19/2009

11079 WI 88643 A 10/19/2009

11079 WI 88645 A 10/19/2009

11079 WI 91222 A 5/15/2010

11079 WI 94796 A 7/19/2010

11088 KY 93385 A 6/7/2010

11088 KY 93386 A 6/7/2010

11088 KY 93387 A 6/7/2010

11088 KY 93388 A 6/7/2010

11088 KY 93389 A 6/7/2010

11088 KY 93390 A 6/7/2010

11088 KY 93391 A 6/7/2010

11088 KY 93394 A 6/7/2010

11088 KY 93395 A 6/7/2010

11088 KY 93396 A 6/7/2010

11088 KY 93397 A 6/11/2010

Dickinson County Healthcare Systems

Processing Complete

MeritCare Clinic - Halstad

Processing Complete

Bay Area Medical Center

Processing Complete

Bay Area Medical Center

Processing Complete

Bay Area Medical Center

Processing Complete

Bay Area Medical Center

Processing Complete

Bay Area Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

Page 44: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11088 KY 93398 A 6/7/2010

11088 KY 93399 A 6/7/2010

11088 KY 93402 A 6/7/2010

11090 KY 88849 A 4/19/2010

11090 KY 88850 A 4/19/2010

11090 KY 88851 A 4/19/2010

11090 KY 88852 A 4/19/2010

11090 KY 88853 A 4/19/2010

11090 KY 88854 A 4/5/2010

11090 KY 96011 A 7/26/2010

11090 KY 96026 A 7/26/2010

11094 ID 96271 A 8/20/2010

11094 ID 96276 A 8/20/2010

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

St. Claire Medical Center

Processing Complete

Mountain Comprehensive Health Corp.

Processing Complete

Mountain Comprehensive Health Corp.

Processing Complete

Mountain Comprehensive Health Corp.

Processing Complete

Mountain Comprehensive Health Corp.

Processing Complete

Mountain Comprehensive Health Corp.

Processing Complete

Mountain Comprehensive Health Corp.

Processing Complete

Mountain Comprehensive Health Corp.

Processing Complete

Mountain Comprehensive Health Corp.

Processing Complete

Syringa General Hospital

Processing Complete

Syringa General Hospital

Processing Complete

Page 45: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11114 TX 89581 A 12/14/2009

11114 TX 89581 B 12/14/2009

11114 TX 89583 A 1/27/2010

11131 ND 90125 A 1/21/2010

11131 ND 90125 B 1/21/2010

11132 MN 90208 A 9/7/2010

11132 MN 90211 A 1/21/2010

11133 ND 90136 A 1/21/2010

11136 MN 90143 A 1/21/2010

11136 MN 90143 B 1/21/2010

11136 MN 90144 A 1/21/2010

11136 MN 90144 B 1/21/2010

Memorial Medical Center - San Augustine

Processing Complete

Memorial Medical Center - San Augustine

Processing Complete

Memorial Medical Center - San Augustine

Processing Complete

Altru Health System - Cavalier

Processing Complete

Altru Health System - Cavalier

Processing Complete

Altru Health System - Crookston

Processing Complete

Altru Health System - Crookston

Processing Complete

Altru Health System - Drayton

Processing Complete

Altru Health System - Roseau

Processing Complete

Altru Health System - Roseau

Processing Complete

Altru Health System - Roseau

Processing Complete

Altru Health System - Roseau

Processing Complete

Page 46: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11138 MN 90206 A 1/21/2010

11138 MN 90206 B 1/21/2010

11140 MN 94054 A 9/30/2010

11140 MN 94861 A 9/30/2010

11140 MN 94862 A 8/12/2010

11140 MN 94864 A 1/3/2011

11140 MN 96854 A

11142 TX 89759 A 11/23/2009

11144 ND 95444 A 5/19/2011

11151 KS 89010 A 1/25/2010

11151 KS 90890 A

11151 KS 91598 A 3/18/2010

11151 KS 92086 A 3/18/2010

11152 MI 96725 A 9/13/2010

11153 MI 94876 A 8/27/2010

11153 MI 94888 A 8/13/2010

11153 MI 94889 A 8/13/2010

Altru Health System - Warroad

Processing Complete

Altru Health System - Warroad

Processing Complete

United Hospital District

Processing Complete

United Hospital District

Processing Complete

United Hospital District

Processing Complete

United Hospital District

Processing Complete

United Hospital District

Initial Review Complete

Mitchell County Hospital

Processing Complete

MeritCare Clinic - Enderlin

Processing Complete

Anderson County Hospital

Processing Complete

Anderson County Hospital

Processing Complete

Anderson County Hospital

Processing Complete

Anderson County Hospital

Processing Complete

Helen Newberry Joy Hospital

Processing Complete

Northstar Health System

Processing Complete

Northstar Health System

Processing Complete

Northstar Health System

Processing Complete

Page 47: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11153 MI 95720 A 8/13/2010

11153 MI 96798 A 10/8/2010

11153 MI 96938 A 10/14/2010

11153 MI 96939 A

11153 MI 96941 A 10/8/2010

11154 MI 89059 A 9/24/2010

11154 MI 96742 A 9/24/2010

11154 MI 96743 A 9/24/2010

11158 MI 90335 A 4/19/2010

11158 MI 91120 A 3/31/2010

11158 MI 93178 A 5/4/2010

11158 MI 93855 A 9/13/2010

11158 MI 96020 A 9/8/2010

11158 MI 96024 A 8/25/2010

11171 MN 90809 A 1/19/2010

11171 MN 90812 A 1/19/2010

Northstar Health System

Processing Complete

Northstar Health System

Processing Complete

Northstar Health System

Processing Complete

Northstar Health System

Initial Review Complete

Northstar Health System

Processing Complete

Keweenaw Memorial Medical Center

Processing Complete

Keweenaw Memorial Medical Center

Processing Complete

Keweenaw Memorial Medical Center

Processing Complete

Portage Health System

Processing Complete

Portage Health System

Processing Complete

Portage Health System

Processing Complete

Portage Health System

Processing Complete

Portage Health System

Processing Complete

Portage Health System

Processing Complete

Bigfork Valley Hospital

Processing Complete

Bigfork Valley Hospital

Processing Complete

Page 48: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11171 MN 90812 B 1/19/2010

11171 MN 90814 A 1/19/2010

11171 MN 90814 B 1/19/2010

11171 MN 90815 A 3/11/2010

11171 MN 91553 A 2/18/2010

11173 MN 95451 A 5/19/2011

11176 MN 95439 A 5/19/2011

11176 MN 95453 A 5/19/2011

11177 MN 95445 A 5/19/2011

11178 MN 95433 A 5/19/2011

11179 MN 95447 A 5/19/2011

11182 NE 88239 A 1/22/2010

11185 NE 87056 A 11/27/2009

11185 NE 91607 A 7/13/2010

11188 MI 96131 A 10/12/2010

Bigfork Valley Hospital

Processing Complete

Bigfork Valley Hospital

Processing Complete

Bigfork Valley Hospital

Processing Complete

Bigfork Valley Hospital

Processing Complete

Bigfork Valley Hospital

Processing Complete

MeritCare Clinic - Blackduck

Processing Complete

MeritCare Clinic - Mahnomen

Processing Complete

MeritCare Clinic - Mahnomen

Processing Complete

MeritCare Clinic - New York Mills

Processing Complete

MeritCare Clinic - Perham

Processing Complete

MeritCare Clinic - Twin Valley

Processing Complete

Howard County Community Hospital

Processing Complete

Community Hospital-McCook

Processing Complete

Community Hospital-McCook

Processing Complete

Marquette General Hospital - Escanaba

Processing Complete

Page 49: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11188 MI 96133 A 10/12/2010

11188 MI 96134 A 10/12/2010

11188 MI 96172 A 10/14/2010

11188 MI 96174 A 10/14/2010

11188 MI 96175 A 10/14/2010

11188 MI 96553 A 10/12/2010

11188 MI 96554 A 10/12/2010

11188 MI 96555 A 10/12/2010

11188 MI 96569 A 10/28/2010

11188 MI 96571 A 10/12/2010

11188 MI 96572 A 10/12/2010

Marquette General Hospital - Escanaba

Processing Complete

Marquette General Hospital - Escanaba

Processing Complete

Marquette General Hospital - Escanaba

Processing Complete

Marquette General Hospital - Escanaba

Processing Complete

Marquette General Hospital - Escanaba

Processing Complete

Marquette General Hospital - Escanaba

Processing Complete

Marquette General Hospital - Escanaba

Processing Complete

Marquette General Hospital - Escanaba

Processing Complete

Marquette General Hospital - Escanaba

Processing Complete

Marquette General Hospital - Escanaba

Processing Complete

Marquette General Hospital - Escanaba

Processing Complete

Page 50: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11188 MI 96759 A

11190 MI 96119 A 9/22/2010

11190 MI 96121 A 9/22/2010

11190 MI 96123 A 9/22/2010

11190 MI 96126 A 9/22/2010

11190 MI 96128 A 9/22/2010

11190 MI 96130 A 9/22/2010

11190 MI 96135 A 9/22/2010

11190 MI 96136 A 9/22/2010

11190 MI 96137 A 9/22/2010

11190 MI 96139 A 9/22/2010

11190 MI 96140 A 9/22/2010

11190 MI 96142 A 9/22/2010

11190 MI 96144 A 9/22/2010

11190 MI 96146 A 9/22/2010

11190 MI 96147 A 9/22/2010

11190 MI 96522 A 9/22/2010

11190 MI 96524 A 9/22/2010

Marquette General Hospital - Escanaba

Initial Review Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Page 51: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11190 MI 96525 A 9/22/2010

11190 MI 96537 A 9/22/2010

11190 MI 96539 A 9/22/2010

11190 MI 96541 A 9/22/2010

11190 MI 96545 A 9/22/2010

11190 MI 96547 A 9/22/2010

11190 MI 96549 A 9/22/2010

11190 MI 96562 A 9/22/2010

11190 MI 96564 A 9/22/2010

11190 MI 96566 A 10/20/2010

11190 MI 96576 A 9/22/2010

11190 MI 96577 A 9/22/2010

11190 MI 96579 A 9/22/2010

11190 MI 96585 A 9/22/2010

11190 MI 96587 A 9/22/2010

11190 MI 96588 A 9/22/2010

11190 MI 96597 A

11190 MI 96598 A

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Initial Review Complete

Marquette General Hospital

Initial Review Complete

Page 52: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11190 MI 96599 A

11190 MI 96760 A 9/22/2010

11190 MI 96762 A 10/14/2010

11190 MI 96764 A 10/14/2010

11190 MI 96767 A 9/22/2010

11190 MI 96771 A 9/22/2010

11190 MI 96774 A 9/22/2010

11190 MI 96776 A 9/22/2010

11190 MI 96779 A 9/22/2010

11190 MI 96783 A 9/22/2010

11190 MI 96787 A 9/22/2010

11190 MI 96790 A 9/22/2010

11190 MI 96827 A

11190 MI 96901 A 9/22/2010

11190 MI 96903 A 10/14/2010

11190 MI 96906 A 10/14/2010

11190 MI 96909 A 9/22/2010

11190 MI 96910 A 10/14/2010

Marquette General Hospital

Initial Review Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Initial Review Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Page 53: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11190 MI 96911 A 10/14/2010

11190 MI 96912 A 9/22/2010

11190 MI 96914 A 9/22/2010

11190 MI 96915 A

11190 MI 96916 A 9/22/2010

11190 MI 96917 A 10/14/2010

11190 MI 96919 A 10/14/2010

11190 MI 96921 A 9/22/2010

11190 MI 96924 A 10/14/2010

11190 MI 96925 A 10/14/2010

11190 MI 96928 A 9/22/2010

11190 MI 96929 A 10/14/2010

11190 MI 96930 A 10/14/2010

11190 MI 96968 A 10/14/2010

11190 MI 96969 A 10/14/2010

11190 MI 96973 A 10/14/2010

11194 AK 89162 A 3/22/2011

11194 AK 91647 A 3/22/2011

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Initial Review Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Marquette General Hospital

Processing Complete

Sitka Community Hospital

Processing Complete

Sitka Community Hospital

Processing Complete

Page 54: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11194 AK 91648 A 3/22/2011

11194 AK 91651 A 3/22/2011

11194 AK 91653 A 3/22/2011

11220 SD 93971 A 9/21/2010

11222 ND 95899 A 9/28/2010

11225 ND 95901 A 9/28/2010

11226 ND 95906 A 9/30/2010

11257 WI 91862 A 3/25/2010

11257 WI 91864 A 3/25/2010

11257 WI 91866 A 3/25/2010

Sitka Community Hospital

Processing Complete

Sitka Community Hospital

Processing Complete

Sitka Community Hospital

Processing Complete

Lemmon Clinic - West River Health Clinic

Processing Complete

New England Clinic - West River Health Clinic

Processing Complete

Mott Clinic - West River Health Clinic

Processing Complete

Bowman Clinic - West River Health Clinic

Processing Complete

Aurora Health Care- Doctors Clinic of Elkhorn

Processing Complete

Aurora Health Care- Doctors Clinic of Elkhorn

Processing Complete

Aurora Health Care- Doctors Clinic of Elkhorn

Processing Complete

Page 55: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11257 WI 91867 A 3/25/2010

11258 WI 91848 A 3/22/2010

11258 WI 91850 A 3/22/2010

11258 WI 91852 A 3/30/2010

11258 WI 91853 A 3/22/2010

11258 WI 91856 A 3/22/2010

11258 WI 93881 A 7/28/2010

11261 WI 93675 A 7/1/2010

11261 WI 93884 A 7/1/2010

11261 WI 93889 A 7/28/2010

11261 WI 93891 A 7/28/2010

11261 WI 93896 A 7/28/2010

11262 WI 93744 A 7/1/2010

11262 WI 93745 A 7/20/2010

Aurora Health Care- Doctors Clinic of Elkhorn

Processing Complete

Aurora Health Care - East Troy

Processing Complete

Aurora Health Care - East Troy

Processing Complete

Aurora Health Care - East Troy

Processing Complete

Aurora Health Care - East Troy

Processing Complete

Aurora Health Care - East Troy

Processing Complete

Aurora Health Care - East Troy

Processing Complete

Burlington Clinic

Processing Complete

Burlington Clinic

Processing Complete

Burlington Clinic

Processing Complete

Burlington Clinic

Processing Complete

Burlington Clinic

Processing Complete

Aurora Health Care - Fond Du Lac

Processing Complete

Aurora Health Care - Fond Du Lac

Processing Complete

Page 56: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11262 WI 93747 A 7/1/2010

11262 WI 93760 A 7/1/2010

11262 WI 93934 A 7/28/2010

11262 WI 93935 A 7/28/2010

11262 WI 93936 A 7/28/2010

11262 WI 94012 A 9/2/2010

11262 WI 94015 A 9/2/2010

11262 WI 94022 A 9/2/2010

11263 WI 91871 A 3/30/2010

11263 WI 91874 A 3/30/2010

Aurora Health Care - Fond Du Lac

Processing Complete

Aurora Health Care - Fond Du Lac

Processing Complete

Aurora Health Care - Fond Du Lac

Processing Complete

Aurora Health Care - Fond Du Lac

Processing Complete

Aurora Health Care - Fond Du Lac

Processing Complete

Aurora Health Care - Fond Du Lac

Processing Complete

Aurora Health Care - Fond Du Lac

Processing Complete

Aurora Health Care - Fond Du Lac

Processing Complete

Aurora Health Care - Two Rivers Clinic

Processing Complete

Aurora Health Care - Two Rivers Clinic

Processing Complete

Page 57: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11263 WI 91884 A 3/30/2010

11263 WI 91885 A 3/30/2010

11263 WI 91886 A 4/5/2010

11263 WI 91894 A 4/5/2010

11263 WI 91895 A 4/5/2010

11263 WI 91899 A 4/13/2010

11263 WI 91900 A 4/13/2010

11263 WI 91903 A 3/30/2010

11263 WI 93937 A 7/1/2010

Aurora Health Care - Two Rivers Clinic

Processing Complete

Aurora Health Care - Two Rivers Clinic

Processing Complete

Aurora Health Care - Two Rivers Clinic

Processing Complete

Aurora Health Care - Two Rivers Clinic

Processing Complete

Aurora Health Care - Two Rivers Clinic

Processing Complete

Aurora Health Care - Two Rivers Clinic

Processing Complete

Aurora Health Care - Two Rivers Clinic

Processing Complete

Aurora Health Care - Two Rivers Clinic

Processing Complete

Aurora Health Care - Two Rivers Clinic

Processing Complete

Page 58: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11263 WI 94031 A 9/2/2010

11264 WI 93621 A 7/2/2010

11264 WI 93623 A 7/2/2010

11264 WI 93626 A 7/2/2010

11264 WI 93629 A 7/2/2010

11264 WI 93630 A 7/2/2010

11264 WI 93635 A 7/2/2010

11264 WI 93939 A 9/2/2010

11264 WI 93941 A 7/28/2010

Aurora Health Care - Two Rivers Clinic

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Page 59: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11264 WI 93943 A 7/28/2010

11264 WI 93947 A 7/28/2010

11264 WI 93949 A 8/3/2010

11264 WI 93950 A 8/3/2010

11264 WI 93955 A 9/30/2010

11264 WI 93955 B 9/30/2010

11264 WI 93975 A 7/28/2010

11264 WI 93976 A 7/28/2010

11264 WI 93977 A 7/28/2010

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Page 60: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11264 WI 93982 A 7/28/2010

11264 WI 93983 A 7/28/2010

11264 WI 93984 A 7/28/2010

11264 WI 93985 A 8/3/2010

11264 WI 93988 A 8/3/2010

11264 WI 93989 A 8/3/2010

11264 WI 93991 A 7/28/2010

11264 WI 93994 A 7/28/2010

11264 WI 93996 A 8/27/2010

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Page 61: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11264 WI 93999 A 9/30/2010

11264 WI 93999 B 9/30/2010

11264 WI 94001 A 8/27/2010

11264 WI 94001 B 8/27/2010

11264 WI 94002 A 8/27/2010

11264 WI 94644 A 9/30/2010

11264 WI 94644 B 9/30/2010

11264 WI 94644 C 9/30/2010

11264 WI 95955 A 7/28/2010

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Page 62: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11264 WI 96741 A 8/5/2010

11264 WI 96748 A 9/16/2010

11264 WI 96769 A 8/5/2010

11265 WI 93771 A 7/6/2010

11265 WI 93772 A 7/6/2010

11265 WI 93773 A 7/6/2010

11265 WI 93775 A 7/6/2010

11265 WI 93776 A 7/6/2010

11265 WI 93816 A 7/6/2010

11265 WI 93837 A 7/20/2010

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Lakeland Medical Center

Processing Complete

Aurora Health Care - Manitowoc Clinic

Processing Complete

Aurora Health Care - Manitowoc Clinic

Processing Complete

Aurora Health Care - Manitowoc Clinic

Processing Complete

Aurora Health Care - Manitowoc Clinic

Processing Complete

Aurora Health Care - Manitowoc Clinic

Processing Complete

Aurora Health Care - Manitowoc Clinic

Processing Complete

Aurora Health Care - Manitowoc Clinic

Processing Complete

Page 63: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11265 WI 93838 A 7/6/2010

11265 WI 93839 A 7/6/2010

11265 WI 94039 A 8/30/2010

11265 WI 94074 A 8/4/2010

11321 NE 87050 A 11/27/2009

11321 NE 91449 A 10/9/2010

11321 NE 91604 A 6/21/2010

11322 MO 89327 A 11/30/2009

11322 MO 89328 A 11/30/2009

11322 MO 89341 A 1/11/2010

11322 MO 91308 A 3/2/2010

11328 KS 93046 A 7/12/2010

11333 IN 92480 A 7/12/2010

11337 ID 94300 A 7/12/2010

Aurora Health Care - Manitowoc Clinic

Processing Complete

Aurora Health Care - Manitowoc Clinic

Processing Complete

Aurora Health Care - Manitowoc Clinic

Processing Complete

Aurora Health Care - Manitowoc Clinic

Processing Complete

Harlan County Hospital

Processing Complete

Harlan County Hospital

Processing Complete

Harlan County Hospital

Processing Complete

Hedrick Medical Center

Processing Complete

Hedrick Medical Center

Processing Complete

Hedrick Medical Center

Processing Complete

Hedrick Medical Center

Processing Complete

Sumner County Hospital District #1

Processing Complete

Henry Memorial Hospital

Processing Complete

McCall Memorial Hospital District

Processing Complete

Page 64: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11337 ID 94302 A 7/12/2010

11337 ID 94303 A 7/12/2010

11338 ID 97087 A

11339 MI 94206 A 8/6/2010

11339 MI 94207 A 8/6/2010

11339 MI 94429 A 8/6/2010

11340 MI 92905 A 8/6/2010

McCall Memorial Hospital District

Processing Complete

McCall Memorial Hospital District

Processing Complete

Elmore Medical Center Hospital District

Initial Review Complete

Northpointe Behavioral Healthcare Systems - Kingsford Office

Processing Complete

Northpointe Behavioral Healthcare Systems - Kingsford Office

Processing Complete

Northpointe Behavioral Healthcare Systems - Kingsford Office

Processing Complete

Northpointe Behavioral Healthcare Systems - Menominee Office

Processing Complete

Page 65: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11340 MI 92985 A 8/6/2010

11341 MI 94204 A 8/6/2010

11341 MI 94205 A 8/6/2010

11341 MI 94208 A 8/6/2010

11341 MI 94209 A 11/4/2010

11341 MI 95560 A

Northpointe Behavioral Healthcare Systems - Menominee Office

Processing Complete

Northpointe Behavioral Healthcare Systems - Iron River Office

Processing Complete

Northpointe Behavioral Healthcare Systems - Iron River Office

Processing Complete

Northpointe Behavioral Healthcare Systems - Iron River Office

Processing Complete

Northpointe Behavioral Healthcare Systems - Iron River Office

Processing Complete

Northpointe Behavioral Healthcare Systems - Iron River Office

Initial Review Complete

Page 66: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11341 MI 95584 A 11/4/2010

11343 WI 93814 A 7/6/2010

11343 WI 93815 A 7/6/2010

11343 WI 95032 A 11/22/2010

11343 WI 95033 A 11/18/2010

11344 WI 91877 A 4/23/2010

11344 WI 91882 A 3/29/2010

11344 WI 92568 A 4/23/2010

11344 WI 94964 A 6/30/2011

11344 WI 95251 A 6/30/2011

11346 WI 93800 A 7/6/2010

11346 WI 93801 A 7/6/2010

Northpointe Behavioral Healthcare Systems - Iron River Office

Processing Complete

Gunderson Lutheran - Sparta Clinic

Processing Complete

Gunderson Lutheran - Sparta Clinic

Processing Complete

Gunderson Lutheran - Sparta Clinic

Processing Complete

Gunderson Lutheran - Sparta Clinic

Processing Complete

Mile Bluff Medical Center

Processing Complete

Mile Bluff Medical Center

Processing Complete

Mile Bluff Medical Center

Processing Complete

Mile Bluff Medical Center

Processing Complete

Mile Bluff Medical Center

Processing Complete

Black River Falls Memorial Hospital

Processing Complete

Black River Falls Memorial Hospital

Processing Complete

Page 67: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11346 WI 94179 A 10/31/2010

11346 WI 95024 A 10/31/2010

11351 WI 89266 A 5/10/2010

11351 WI 89311 A 6/29/2010

11351 WI 92444 A 5/10/2010

11351 WI 92446 A 6/29/2010

11351 WI 92447 A 6/29/2010

11351 WI 92448 A 5/10/2010

11351 WI 92449 A 5/10/2010

11351 WI 92451 A 4/13/2010

11351 WI 95941 A 11/4/2010

11371 AZ 89502 A 4/16/2010

11371 AZ 89503 A 4/16/2010

11371 AZ 89504 A 4/16/2010

Black River Falls Memorial Hospital

Processing Complete

Black River Falls Memorial Hospital

Processing Complete

Tomah Memorial Hospital

Processing Complete

Tomah Memorial Hospital

Processing Complete

Tomah Memorial Hospital

Processing Complete

Tomah Memorial Hospital

Processing Complete

Tomah Memorial Hospital

Processing Complete

Tomah Memorial Hospital

Processing Complete

Tomah Memorial Hospital

Processing Complete

Tomah Memorial Hospital

Processing Complete

Tomah Memorial Hospital

Processing Complete

Copper Queen Community Hospital

Processing Complete

Copper Queen Community Hospital

Processing Complete

Copper Queen Community Hospital

Processing Complete

Page 68: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11371 AZ 89505 A 5/25/2011

11371 AZ 89507 A 5/24/2011

11371 AZ 89508 A 4/16/2010

11371 AZ 89509 A 4/16/2010

11371 AZ 90345 A 4/16/2010

11376 NE 88340 A 2/12/2010

11380 NC 88988 A 11/23/2009

11386 AK 90979 A 2/17/2011

11386 AK 91034 A 6/28/2010

11386 AK 91306 A 6/28/2010

11386 AK 91307 A 6/28/2010

11400 WY 93784 A 7/12/2010

11400 WY 93785 A

Copper Queen Community Hospital

Processing Complete

Copper Queen Community Hospital

Processing Complete

Copper Queen Community Hospital

Processing Complete

Copper Queen Community Hospital

Processing Complete

Copper Queen Community Hospital

Processing Complete

Pender Community Hospital

Processing Complete

Alleghany Memorial Hospital

Processing Complete

South Peninsula Hospital

Processing Complete

South Peninsula Hospital

Processing Complete

South Peninsula Hospital

Processing Complete

South Peninsula Hospital

Processing Complete

Memorial Hospital of Converse County

Processing Complete

Memorial Hospital of Converse County

Processing Complete

Page 69: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11400 WY 94422 A 7/12/2010

11400 WY 94423 A

11407 MN 95192 A 5/20/2011

11410 MT 88950 A 1/4/2010

11410 MT 88961 A 1/4/2010

11411 WV 92897 A 7/26/2010

11411 WV 92898 A

11411 WV 92900 A 11/6/2010

11411 WV 92918 A 7/26/2010

11413 MT 93182 A 7/15/2010

11413 MT 93225 A 6/17/2010

11413 MT 94902 A 6/17/2010

Memorial Hospital of Converse County

Processing Complete

Memorial Hospital of Converse County

Processing Complete

Lakewood Health System - Staples

Processing Complete

Ruby Valley Hospital

Processing Complete

Ruby Valley Hospital

Processing Complete

Minnie Hamilton Health Care Center

Processing Complete

Minnie Hamilton Health Care Center

Initial Review Complete

Minnie Hamilton Health Care Center

Processing Complete

Minnie Hamilton Health Care Center

Processing Complete

Northeast Montana Health Services - Poplar

Processing Complete

Northeast Montana Health Services - Poplar

Processing Complete

Northeast Montana Health Services - Poplar

Processing Complete

Page 70: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11416 ND 90207 A 1/21/2010

11417 MN 90142 A 1/21/2010

11418 MN 90140 A 1/21/2010

11422 MS 93227 A 7/6/2010

11422 MS 93228 A 9/6/2010

11422 MS 93229 A 9/6/2010

11443 MO 93787 A 7/12/2010

11443 MO 93788 A 7/12/2010

11443 MO 93789 A 9/19/2010

11459 CA 90810 A 2/8/2011

11459 CA 90813 A 2/8/2011

11459 CA 96247 A

11504 NC 91077 A 2/22/2010

11504 NC 91078 A 2/22/2010

11504 NC 91079 A 2/22/2010

Altru Clinic - Devils Lake

Processing Complete

Altru Clinic - Red Lake Falls

Processing Complete

Altru Clinic - Karlstad

Processing Complete

Access Family Health Services

Processing Complete

Access Family Health Services

Processing Complete

Access Family Health Services

Processing Complete

Pike County Memorial Hospital

Processing Complete

Pike County Memorial Hospital

Processing Complete

Pike County Memorial Hospital

Processing Complete

Western Sierra Medical Clinic

Processing Complete

Western Sierra Medical Clinic

Processing Complete

Western Sierra Medical Clinic

Initial Review Complete

Scotland Memorial Hospital

Processing Complete

Scotland Memorial Hospital

Processing Complete

Scotland Memorial Hospital

Processing Complete

Page 71: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11504 NC 91080 A 2/16/2010

11504 NC 91081 A

11504 NC 91082 A

11504 NC 93612 A

11504 NC 95130 A 5/19/2011

11566 WI 94052 A 8/5/2010

11566 WI 94057 A 8/5/2010

11566 WI 94058 A 8/30/2010

11566 WI 94059 A 7/6/2010

11566 WI 94071 A 7/6/2010

11566 WI 94090 A 8/30/2010

11567 WI 94103 A 8/5/2010

Scotland Memorial Hospital

Processing Complete

Scotland Memorial Hospital

Initial Review Complete

Scotland Memorial Hospital

Initial Review Complete

Scotland Memorial Hospital

Initial Review Complete

Scotland Memorial Hospital

Processing Complete

Aurora Health Care - Delavan (Hobbs Dr)

Processing Complete

Aurora Health Care - Delavan (Hobbs Dr)

Processing Complete

Aurora Health Care - Delavan (Hobbs Dr)

Processing Complete

Aurora Health Care - Delavan (Hobbs Dr)

Processing Complete

Aurora Health Care - Delavan (Hobbs Dr)

Processing Complete

Aurora Health Care - Delavan (Hobbs Dr)

Processing Complete

Sturgeon Bay Family Practice

Processing Complete

Page 72: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11567 WI 94106 A 7/6/2010

11567 WI 94107 A 7/6/2010

11567 WI 94124 A 8/5/2010

11569 WI 93155 A 7/6/2010

11569 WI 93156 A 7/6/2010

11569 WI 93157 A 7/6/2010

11569 WI 94159 A 8/5/2010

11570 WI 94114 A 7/6/2010

11570 WI 94115 A 7/6/2010

11570 WI 94116 A 8/5/2010

11570 WI 94117 A 7/6/2010

11570 WI 96905 A 8/5/2010

11570 WI 96908 A 8/30/2010

11572 WI 94118 A 8/5/2010

11572 WI 94119 A 7/6/2010

Sturgeon Bay Family Practice

Processing Complete

Sturgeon Bay Family Practice

Processing Complete

Sturgeon Bay Family Practice

Processing Complete

AMG Hustisford

Processing Complete

AMG Hustisford

Processing Complete

AMG Hustisford

Processing Complete

AMG Hustisford

Processing Complete

Aurora Health Care - Jackson

Processing Complete

Aurora Health Care - Jackson

Processing Complete

Aurora Health Care - Jackson

Processing Complete

Aurora Health Care - Jackson

Processing Complete

Aurora Health Care - Jackson

Processing Complete

Aurora Health Care - Jackson

Processing Complete

Manitowoc Clinic South

Processing Complete

Manitowoc Clinic South

Processing Complete

Page 73: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11572 WI 94121 A 8/30/2010

11572 WI 94155 A 7/6/2010

11572 WI 94156 A 7/6/2010

11574 WI 94160 A 9/16/2010

11574 WI 94631 A 7/6/2010

11574 WI 94633 A 7/6/2010

11574 WI 94637 A 7/6/2010

11574 WI 94638 A 7/6/2010

11574 WI 94639 A 7/6/2010

11603 WI 91909 A 4/22/2010

11603 WI 91910 A 4/5/2010

11603 WI 91987 A 4/5/2010

11603 WI 91989 A 4/5/2010

11603 WI 91990 A 4/5/2010

11603 WI 94161 A 8/5/2010

11604 WI 91995 A 7/6/2010

11604 WI 91996 A 7/6/2010

Manitowoc Clinic South

Processing Complete

Manitowoc Clinic South

Processing Complete

Manitowoc Clinic South

Processing Complete

Manitowoc Clinic - Valders

Processing Complete

Manitowoc Clinic - Valders

Processing Complete

Manitowoc Clinic - Valders

Processing Complete

Manitowoc Clinic - Valders

Processing Complete

Manitowoc Clinic - Valders

Processing Complete

Manitowoc Clinic - Valders

Processing Complete

Marinette/Menominee Clinic

Processing Complete

Marinette/Menominee Clinic

Processing Complete

Marinette/Menominee Clinic

Processing Complete

Marinette/Menominee Clinic

Processing Complete

Marinette/Menominee Clinic

Processing Complete

Marinette/Menominee Clinic

Processing Complete

Marinette/Menominee Peshtigo Clinic

Processing Complete

Marinette/Menominee Peshtigo Clinic

Processing Complete

Page 74: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11604 WI 92981 A 7/6/2010

11604 WI 92982 A 7/6/2010

11604 WI 92984 A 7/13/2010

11604 WI 93113 A 7/6/2010

11604 WI 93114 A 7/6/2010

11604 WI 94163 A 8/5/2010

11604 WI 94170 A 9/16/2010

11605 WI 92287 A 3/25/2010

11605 WI 92289 A 4/5/2010

11605 WI 92291 A 3/25/2010

11605 WI 92292 A 3/25/2010

11605 WI 92294 A 4/23/2010

Marinette/Menominee Peshtigo Clinic

Processing Complete

Marinette/Menominee Peshtigo Clinic

Processing Complete

Marinette/Menominee Peshtigo Clinic

Processing Complete

Marinette/Menominee Peshtigo Clinic

Processing Complete

Marinette/Menominee Peshtigo Clinic

Processing Complete

Marinette/Menominee Peshtigo Clinic

Processing Complete

Marinette/Menominee Peshtigo Clinic

Processing Complete

Marinette/Menominee Peds Clinic

Processing Complete

Marinette/Menominee Peds Clinic

Processing Complete

Marinette/Menominee Peds Clinic

Processing Complete

Marinette/Menominee Peds Clinic

Processing Complete

Marinette/Menominee Peds Clinic

Processing Complete

Page 75: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11605 WI 92295 A 4/23/2010

11605 WI 94176 A 8/5/2010

11608 AK 92064 A 7/16/2010

11625 MN 91527 A 8/16/2010

11634 NE 87378 A 12/30/2009

11634 NE 95499 A 10/9/2010

11634 NE 95499 B 10/9/2010

11637 NE 87061 A 11/27/2009

11637 NE 91606 A 7/13/2010

11643 MN 91041 A 2/18/2010

11643 MN 91042 A 2/18/2010

11644 TN 89686 A 10/16/2009

11658 NC 92216 A 7/11/2010

11665 NC 94262 A

11665 NC 94262 B

Marinette/Menominee Peds Clinic

Processing Complete

Marinette/Menominee Peds Clinic

Processing Complete

St George Clinic

Processing Complete

Cook Area Health Services

Processing Complete

Perkins County Health Services

Processing Complete

Perkins County Health Services

Processing Complete

Perkins County Health Services

Processing Complete

Cherry County Hospital

Processing Complete

Cherry County Hospital

Processing Complete

Falls Memorial Hospital

Processing Complete

Falls Memorial Hospital

Processing Complete

Church Street Pavilion

Processing Complete

Raeford Family Care Center

Processing Complete

Montgomery Memorial Hospital

Initial Review Complete

Montgomery Memorial Hospital

Initial Review Complete

Page 76: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11665 NC 96232 A 11/11/2010

11665 NC 96236 A

11751 NE 86998 A 11/2/2009

11752 NE 87001 A 11/9/2009

11752 NE 95480 A 9/12/2010

11752 NE 95480 B 9/12/2010

11763 AK 90583 A 2/24/2010

11763 AK 90584 A 2/24/2010

11763 AK 90585 A 2/24/2010

Montgomery Memorial Hospital

Processing Complete

Montgomery Memorial Hospital

Initial Review Complete

FRANKLIN COUNTY MEMORIAL HOSPITAL

Processing Complete

CHASE COUNTY COMMUNITY HOSPITAL

Processing Complete

CHASE COUNTY COMMUNITY HOSPITAL

Processing Complete

CHASE COUNTY COMMUNITY HOSPITAL

Processing Complete

Ketchikan Indian Community Tribal Health Clinic

Processing Complete

Ketchikan Indian Community Tribal Health Clinic

Processing Complete

Ketchikan Indian Community Tribal Health Clinic

Processing Complete

Page 77: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11763 AK 94009 A

11763 AK 94565 A

11763 AK 94589 A

11763 AK 107387 A 10/5/2011

11768 WI 93718 A 6/29/2010

11768 WI 93720 A 6/29/2010

11768 WI 93721 A 6/29/2010

11771 TX 93732 A 7/11/2010

11774 MI 91456 A 3/23/2011

11776 WI 92179 A 5/6/2010

Ketchikan Indian Community Tribal Health Clinic

Processing Complete

Ketchikan Indian Community Tribal Health Clinic

Initial Review Complete

Ketchikan Indian Community Tribal Health Clinic

Initial Review Complete

Ketchikan Indian Community Tribal Health Clinic

Processing Complete

RED CEDAR CLINIC - MENOMONIE

Processing Complete

RED CEDAR CLINIC - MENOMONIE

Processing Complete

RED CEDAR CLINIC - MENOMONIE

Processing Complete

Frio Regional Hospital

Processing Complete

Beaver Island Rural Health Center

Processing Complete

Moundview Memorial Hospital & Clinics

Processing Complete

Page 78: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11776 WI 92180 A 4/23/2010

11776 WI 92183 A 4/23/2010

11776 WI 92569 A 5/6/2010

11776 WI 95371 A 9/20/2010

11789 AL 88941 A 2/10/2010

11789 AL 88942 A 2/10/2010

11789 AL 88944 A 7/21/2010

11789 AL 88945 A 2/17/2010

11789 AL 97078 A 11/9/2010

Moundview Memorial Hospital & Clinics

Processing Complete

Moundview Memorial Hospital & Clinics

Processing Complete

Moundview Memorial Hospital & Clinics

Processing Complete

Moundview Memorial Hospital & Clinics

Processing Complete

D W MCMILLAN MEMORIAL HOSPITAL

Processing Complete

D W MCMILLAN MEMORIAL HOSPITAL

Processing Complete

D W MCMILLAN MEMORIAL HOSPITAL

Processing Complete

D W MCMILLAN MEMORIAL HOSPITAL

Processing Complete

D W MCMILLAN MEMORIAL HOSPITAL

Processing Complete

Page 79: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11799 AZ 88105 A 11/12/2009

11799 AZ 88109 A 11/12/2009

11799 AZ 90225 A 11/30/2009

11803 NY 89056 A 11/23/2009

11814 AK 94996 A 12/21/2010

11815 MI 90679 A 4/26/2010

11824 KS 93604 A 7/12/2010

11848 KS 94428 A 7/6/2010

11852 CA 89517 A 1/23/2010

11852 CA 89518 A 2/23/2010

11853 TN 97260 A 10/27/2010

11858 TX 88926 A 1/28/2010

Coconino County Health Clinic

Processing Complete

Coconino County Health Clinic

Processing Complete

Coconino County Health Clinic

Processing Complete

NATHAN LITTAUER HOSPITAL ASSOCIATION

Processing Complete

Gateway Center for Human Services

Processing Complete

Northwest Michigan Community Health Agency (Charlevoix)

Processing Complete

St. Luke Hospital

Processing Complete

Coffeyville Regional Medical Center

Processing Complete

Butte Valley Medical Clinic

Processing Complete

Butte Valley Medical Clinic

Processing Complete

Carey Counseling Center, Inc. - Paris

Processing Complete

Coon Memorial Hospital

Processing Complete

Page 80: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11858 TX 88927 A 1/28/2010

11862 TX 89080 A 12/29/2010

11862 TX 95341 A 12/29/2010

11862 TX 95342 A 12/29/2010

11865 TX 89112 A 5/28/2010

11865 TX 89113 A 5/28/2010

11865 TX 89114 A 3/1/2010

11865 TX 91169 A 5/28/2010

11865 TX 91170 A 5/28/2010

11865 TX 92226 A 6/21/2010

11902 AK 91583 A 9/14/2010

11902 AK 91584 A 9/14/2010

11902 AK 91585 A 9/14/2010

11902 AK 92229 A 9/14/2010

Coon Memorial Hospital

Processing Complete

Hardeman County Hospital

Processing Complete

Hardeman County Hospital

Processing Complete

Hardeman County Hospital

Processing Complete

Parkview Hospital (Sweetwater St)

Processing Complete

Parkview Hospital (Sweetwater St)

Processing Complete

Parkview Hospital (Sweetwater St)

Processing Complete

Parkview Hospital (Sweetwater St)

Processing Complete

Parkview Hospital (Sweetwater St)

Processing Complete

Parkview Hospital (Sweetwater St)

Processing Complete

Central Peninsula General Hospital

Processing Complete

Central Peninsula General Hospital

Processing Complete

Central Peninsula General Hospital

Processing Complete

Central Peninsula General Hospital

Processing Complete

Page 81: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11904 WV 87642 A 2/12/2010

11904 WV 87648 A 11/19/2009

11904 WV 88911 A 2/12/2010

11906 ID 92990 A 6/1/2010

11906 ID 92991 A 8/13/2010

11906 ID 93016 A 8/13/2010

11906 ID 95178 A

11906 ID 97125 A

11911 CA 97258 A

BRAXTON COUNTY MEMORIAL HOSPITAL

Processing Complete

BRAXTON COUNTY MEMORIAL HOSPITAL

Processing Complete

BRAXTON COUNTY MEMORIAL HOSPITAL

Processing Complete

CLEARWATER VALLEY HOSPITAL

Processing Complete

CLEARWATER VALLEY HOSPITAL

Processing Complete

CLEARWATER VALLEY HOSPITAL

Processing Complete

CLEARWATER VALLEY HOSPITAL

Processing Complete

CLEARWATER VALLEY HOSPITAL

Processing Complete

West County Health Centers, Inc. - Russian River Health Center

Processing Complete

Page 82: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11911 CA 97259 A

11914 AK 90828 A 4/5/2010

11914 AK 91133 A 4/5/2010

11914 AK 94612 A 7/20/2010

11914 AK 94613 A 7/20/2010

11915 AK 91134 A 4/5/2010

11915 AK 91135 A 4/5/2010

West County Health Centers, Inc. - Russian River Health Center

Processing Complete

North Slope Borough Village Health Clinic - Anaktuvuk Pass

Processing Complete

North Slope Borough Village Health Clinic - Anaktuvuk Pass

Processing Complete

North Slope Borough Village Health Clinic - Anaktuvuk Pass

Processing Complete

North Slope Borough Village Health Clinic - Anaktuvuk Pass

Processing Complete

North Slope Borough Village Health Clinic - Atqasuk

Processing Complete

North Slope Borough Village Health Clinic - Atqasuk

Processing Complete

Page 83: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11915 AK 94614 A 7/20/2010

11915 AK 94615 A 7/20/2010

11917 AK 91136 A 4/5/2010

11917 AK 91137 A 4/5/2010

11917 AK 94616 A 7/20/2010

11917 AK 94617 A 7/20/2010

11918 AK 91138 A 4/5/2010

11918 AK 91139 A 4/5/2010

North Slope Borough Village Health Clinic - Atqasuk

Processing Complete

North Slope Borough Village Health Clinic - Atqasuk

Processing Complete

North Slope Borough Village Health Clinic - Kaktovik

Processing Complete

North Slope Borough Village Health Clinic - Kaktovik

Processing Complete

North Slope Borough Village Health Clinic - Kaktovik

Processing Complete

North Slope Borough Village Health Clinic - Kaktovik

Processing Complete

North Slope Borough Village Health Clinic - Nuiqsut

Processing Complete

North Slope Borough Village Health Clinic - Nuiqsut

Processing Complete

Page 84: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11918 AK 94618 A 7/20/2010

11918 AK 94619 A 7/20/2010

11920 AK 91140 A 4/5/2010

11920 AK 91141 A 4/5/2010

11920 AK 94620 A 7/20/2010

11920 AK 94652 A 7/20/2010

11921 AK 91142 A 4/5/2010

North Slope Borough Village Health Clinic - Nuiqsut

Processing Complete

North Slope Borough Village Health Clinic - Nuiqsut

Processing Complete

North Slope Borough Village Health Clinic - Point Lay

Processing Complete

North Slope Borough Village Health Clinic - Point Lay

Processing Complete

North Slope Borough Village Health Clinic - Point Lay

Processing Complete

North Slope Borough Village Health Clinic - Point Lay

Processing Complete

North Slope Borough Village Health Clinic - Wainwright

Processing Complete

Page 85: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11921 AK 91143 A 4/5/2010

11921 AK 94654 A 7/20/2010

11921 AK 94655 A 7/20/2010

11927 KY 89046 A 6/14/2010

11927 KY 91177 A

11927 KY 91188 A 4/9/2010

11928 KY 93334 A 6/11/2010

11928 KY 93335 A 6/11/2010

11928 KY 93350 A 6/11/2010

11931 CA 88030 A 11/17/2011

11931 CA 88040 A 5/26/2010

11933 WI 89013 A 3/2/2010

North Slope Borough Village Health Clinic - Wainwright

Processing Complete

North Slope Borough Village Health Clinic - Wainwright

Processing Complete

North Slope Borough Village Health Clinic - Wainwright

Processing Complete

Baptist Regional Medical Center

Processing Complete

Baptist Regional Medical Center

Initial Review Complete

Baptist Regional Medical Center

Processing Complete

Saint Joseph Berea

Processing Complete

Saint Joseph Berea

Processing Complete

Saint Joseph Berea

Processing Complete

Southern Trinity Health Services

Processing Complete

Southern Trinity Health Services

Processing Complete

Marshfield Clinic

Processing Complete

Page 86: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11933 WI 89013 B 3/2/2010

11933 WI 89014 A 3/2/2010

11933 WI 89014 B 3/2/2010

11933 WI 89015 A 3/9/2010

11933 WI 89015 B 3/9/2010

11933 WI 89016 A 3/2/2010

11933 WI 89016 B 3/2/2010

11933 WI 89017 A 3/1/2010

11933 WI 89017 B 3/1/2010

11933 WI 89018 A 3/9/2010

11933 WI 89018 B 3/9/2010

11933 WI 89019 A

11933 WI 89019 B

11933 WI 89020 A 3/9/2010

11933 WI 89020 B 3/9/2010

11933 WI 89021 A 3/2/2010

11933 WI 89021 B 3/2/2010

11933 WI 89022 A 3/9/2010

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Page 87: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11933 WI 89022 B 3/9/2010

11933 WI 89754 A 12/6/2010

11933 WI 89755 A 3/2/2010

11933 WI 89756 A 3/2/2010

11933 WI 89758 A 3/2/2010

11933 WI 89771 A 2/17/2010

11933 WI 89776 A 3/23/2010

11933 WI 89781 A 5/20/2010

11933 WI 89784 A 3/2/2010

11933 WI 89785 A 3/2/2010

11933 WI 89786 A

11933 WI 89787 A

11933 WI 89802 A

11933 WI 89802 B

11933 WI 89804 A

11933 WI 89804 B

11933 WI 89806 A

11933 WI 89806 B

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Page 88: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11933 WI 89808 A

11933 WI 89808 B

11933 WI 89810 A

11933 WI 89810 B

11933 WI 89812 A

11933 WI 89812 B

11933 WI 89814 A

11933 WI 89814 B

11933 WI 89820 A 5/20/2010

11933 WI 89821 A

11933 WI 89821 B

11933 WI 89826 A

11933 WI 89826 B

11933 WI 89829 A

11933 WI 89829 B

11933 WI 89830 A

11933 WI 89830 B

11933 WI 90145 A 12/6/2010

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Processing Complete

Page 89: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11933 WI 90146 A 12/6/2010

11933 WI 90147 A 12/6/2010

11933 WI 90148 A 12/6/2010

11933 WI 90149 A 12/6/2010

11933 WI 90150 A 12/6/2010

11933 WI 90151 A 12/6/2010

11933 WI 90152 A 12/6/2010

11933 WI 90153 A 12/6/2010

11933 WI 90154 A 12/6/2010

11933 WI 90155 A

11933 WI 90155 B

11933 WI 90156 A 12/6/2010

11933 WI 90157 A 12/6/2010

11933 WI 90158 A 12/6/2010

11933 WI 90159 A 12/6/2010

11933 WI 90160 A 12/6/2010

11933 WI 90166 A 12/6/2010

11933 WI 90185 A 12/6/2010

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Initial Review Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Page 90: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11933 WI 90186 A 12/6/2010

11933 WI 90187 A 12/6/2010

11933 WI 91664 A 3/2/2010

11933 WI 91667 A 3/2/2010

11933 WI 91668 A 3/2/2010

11933 WI 91669 A 3/2/2010

11933 WI 91672 A 3/9/2010

11933 WI 91673 A 3/9/2010

11933 WI 91674 A 3/9/2010

11933 WI 91680 A 3/9/2010

11933 WI 91681 A 3/9/2010

11933 WI 91687 A 3/9/2010

11933 WI 91689 A 3/9/2010

11933 WI 91715 A 3/1/2010

11933 WI 91715 B 3/1/2010

11933 WI 91911 A 3/2/2010

11933 WI 91914 A 3/2/2010

11933 WI 91916 A 3/2/2010

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Page 91: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11933 WI 91917 A 3/2/2010

11933 WI 91920 A 5/24/2010

11933 WI 91921 A 3/2/2010

11933 WI 91922 A 3/2/2010

11933 WI 91923 A 3/2/2010

11933 WI 92094 A 4/27/2010

11933 WI 92094 B 4/27/2010

11933 WI 92095 A 4/27/2010

11933 WI 92095 B 4/27/2010

11933 WI 92096 A 4/27/2010

11933 WI 92096 B 4/27/2010

11933 WI 92098 A 4/27/2010

11933 WI 92098 B 4/27/2010

11933 WI 92099 A 4/28/2010

11933 WI 92099 B 4/28/2010

11933 WI 92101 A 4/28/2010

11933 WI 92101 B 4/28/2010

11933 WI 92105 A 4/28/2010

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Page 92: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11933 WI 92105 B 4/28/2010

11933 WI 92106 A 4/28/2010

11933 WI 92106 B 4/28/2010

11933 WI 92110 A 4/28/2010

11933 WI 92110 B 4/28/2010

11933 WI 92111 A 4/28/2010

11933 WI 92111 B 4/28/2010

11933 WI 94571 A 12/6/2010

11933 WI 96262 A 12/6/2010

11933 WI 98627 A 12/6/2010

11950 IA 93542 A 1/28/2011

11950 IA 93547 A 1/28/2011

11950 IA 93548 A 1/28/2011

11991 MT 88742 A 6/15/2010

11991 MT 89096 A 6/2/2010

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Marshfield Clinic

Processing Complete

Cherokee Regional Medical Center

Processing Complete

Cherokee Regional Medical Center

Processing Complete

Cherokee Regional Medical Center

Processing Complete

COMMUNITY HOSPITAL OF ANACONDA

Processing Complete

COMMUNITY HOSPITAL OF ANACONDA

Processing Complete

Page 93: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11991 MT 89097 A 2/10/2010

11991 MT 89098 A

11991 MT 89098 B

11991 MT 94306 A 9/27/2010

11991 MT 94753 A 6/14/2010

11991 MT 95511 A 9/27/2010

12012 VA 89687 A 10/16/2009

12013 VA 89689 A 10/16/2009

12013 VA 89690 A 10/16/2009

12203 TX 92208 A 7/11/2010

12222 FL 90442 A 2/8/2010

COMMUNITY HOSPITAL OF ANACONDA

Processing Complete

COMMUNITY HOSPITAL OF ANACONDA

Initial Review Complete

COMMUNITY HOSPITAL OF ANACONDA

Initial Review Complete

COMMUNITY HOSPITAL OF ANACONDA

Processing Complete

COMMUNITY HOSPITAL OF ANACONDA

Processing Complete

COMMUNITY HOSPITAL OF ANACONDA

Processing Complete

Independence House

Processing Complete

Wise County Behavioral Health Services

Processing Complete

Wise County Behavioral Health Services

Processing Complete

Clay County Memorial Hospital

Processing Complete

Mayo Health Services

Processing Complete

Page 94: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12222 FL 91356 A 2/8/2010

12223 FL 90443 A 2/8/2010

12223 FL 91358 A 2/8/2010

12224 FL 91901 A 3/25/2010

12225 FL 91902 A 3/25/2010

12227 FL 90446 A 2/8/2010

12227 FL 90447 A 2/8/2010

12251 AK 86063 A

12251 AK 86096 A 11/10/2009

12251 AK 91946 A

12368 WY 89171 A 11/18/2009

12368 WY 89172 A 11/18/2009

Mayo Health Services

Processing Complete

Family Medical Practice

Processing Complete

Family Medical Practice

Processing Complete

Tri-County Medical Center

Processing Complete

Wakulla Medical Center

Processing Complete

Wewahitchka Medical Center

Processing Complete

Wewahitchka Medical Center

Processing Complete

Sunshine Community Health Center

Initial Review Complete

Sunshine Community Health Center

Processing Complete

Sunshine Community Health Center

Initial Review Complete

CAMPBELL COUNTY MEMORIAL HOSPITAL

Processing Complete

CAMPBELL COUNTY MEMORIAL HOSPITAL

Processing Complete

Page 95: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12368 WY 90616 A 2/10/2010

12390 OR 91491 A 2/12/2010

12391 OR 91195 A 2/25/2010

12417 MN 90822 A 2/18/2010

12417 MN 91578 A 3/11/2010

12417 MN 94457 A

12417 MN 94594 A

12417 MN 98899 A 10/7/2010

12421 AK 91284 A 2/10/2011

12421 AK 93442 A 9/20/2010

12421 AK 95683 A 9/10/2010

CAMPBELL COUNTY MEMORIAL HOSPITAL

Processing Complete

Saint Anthony Hospital

Processing Complete

Saint Elizabeth Health Services Inc.

Processing Complete

Cook County North Shore Hospital

Processing Complete

Cook County North Shore Hospital

Processing Complete

Cook County North Shore Hospital

Initial Review Complete

Cook County North Shore Hospital

Initial Review Complete

Cook County North Shore Hospital

Processing Complete

Providence Kodiak Island Medical Center

Processing Complete

Providence Kodiak Island Medical Center

Processing Complete

Providence Kodiak Island Medical Center

Processing Complete

Page 96: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12421 AK 95684 A 9/10/2010

12421 AK 95707 A 9/10/2010

12421 AK 95708 A 9/10/2010

12421 AK 95709 A 9/10/2010

12421 AK 95964 A 2/10/2011

12421 AK 95965 A 2/10/2011

12422 NE 89181 A 1/7/2010

12445 GA 89314 A 6/11/2010

12445 GA 89315 A 6/11/2010

12445 GA 89316 A 6/11/2010

Providence Kodiak Island Medical Center

Processing Complete

Providence Kodiak Island Medical Center

Processing Complete

Providence Kodiak Island Medical Center

Processing Complete

Providence Kodiak Island Medical Center

Processing Complete

Providence Kodiak Island Medical Center

Processing Complete

Providence Kodiak Island Medical Center

Processing Complete

Kimball County Hospital

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Page 97: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12445 GA 89317 A 12/23/2009

12445 GA 89318 A 6/11/2010

12445 GA 95521 A 10/7/2010

12445 GA 95522 A 10/7/2010

12445 GA 95523 A 10/7/2010

12445 GA 95524 A 10/7/2010

12445 GA 95525 A 10/7/2010

12445 GA 95526 A 10/7/2010

12445 GA 95527 A 10/7/2010

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Page 98: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12445 GA 95528 A 10/7/2010

12445 GA 95529 A 10/7/2010

12445 GA 95530 A 12/8/2010

12445 GA 95531 A 10/7/2010

12445 GA 95532 A 10/7/2010

12445 GA 95533 A 10/8/2010

12445 GA 95534 A 10/8/2010

12445 GA 95535 A 10/8/2010

12445 GA 95536 A 10/8/2010

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Page 99: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12445 GA 95537 A 10/8/2010

12445 GA 95538 A 10/8/2010

12445 GA 95539 A 10/8/2010

12445 GA 96074 A 12/8/2010

12445 GA 96080 A 10/8/2010

12445 GA 96083 A 10/8/2010

12445 GA 96084 A 10/8/2010

12445 GA 96086 A 10/8/2010

12445 GA 96090 A 10/8/2010

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Page 100: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12445 GA 96091 A 10/8/2010

12445 GA 96092 A 10/8/2010

12445 GA 96093 A 10/8/2010

12445 GA 96095 A 10/8/2010

12445 GA 96558 A 10/8/2010

12445 GA 96560 A 10/8/2010

12445 GA 96563 A 10/8/2010

12445 GA 96568 A 10/8/2010

12445 GA 96570 A 10/8/2010

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Ware County Health Department-DAISY Clinic

Processing Complete

Page 101: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12445 GA 96594 A 10/8/2010

12449 FL 94991 A 9/22/2010

12449 FL 96638 A

12481 NY 94771 A 11/16/2011

12485 NY 94772 A 11/16/2011

12487 GA 89303 A

12502 IN 90484 A

12502 IN 90485 A 3/24/2010

12505 NE 87051 A 11/27/2009

12505 NE 91611 A 7/13/2010

12508 MT 91253 A 3/25/2010

12513 NE 92878 A 7/12/2010

12555 IL 90431 A 10/22/2010

12555 IL 92354 A 10/22/2010

Ware County Health Department-DAISY Clinic

Processing Complete

Shands @ Live Oak

Processing Complete

Shands @ Live Oak

Processing Complete

Delaware Valley Hospital, Inc.

Processing Complete

DELAWARE FAMILY HEALTH CENTER

Processing Complete

Coffee Regional Medical Center - Douglas (Ocilla Rd)

Processing Complete

Pulaski Memorial Hospital

Initial Review Complete

Pulaski Memorial Hospital

Processing Complete

Nemaha County Hospital

Processing Complete

Nemaha County Hospital

Processing Complete

Community Health Partners

Processing Complete

Phelps Memorial Health Center

Processing Complete

Dr John Warner Hospital

Processing Complete

Dr John Warner Hospital

Processing Complete

Page 102: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12560 KY 92212 A 7/11/2010

12560 KY 92213 A 7/11/2010

12560 KY 92214 A

12566 KY 89184 A 2/2/2010

12566 KY 89186 A 9/27/2010

12566 KY 90337 A 2/27/2010

Cumberland County Hospital

Processing Complete

Cumberland County Hospital

Processing Complete

Cumberland County Hospital

Initial Review Complete

Johnson Mathers Health Care, Inc. d/b/a Nicholas County Hospital & Johnson Mathers Nursing Home

Processing Complete

Johnson Mathers Health Care, Inc. d/b/a Nicholas County Hospital & Johnson Mathers Nursing Home

Processing Complete

Johnson Mathers Health Care, Inc. d/b/a Nicholas County Hospital & Johnson Mathers Nursing Home

Processing Complete

Page 103: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12566 KY 90338 A 2/27/2010

12570 KS 95496 A 8/13/2010

12570 KS 95668 A 9/14/2010

12582 IL 90022 A 2/26/2010

12583 IL 90273 A 2/21/2010

12583 IL 90276 A 2/21/2010

12584 IL 96874 A 3/30/2011

12585 IL 91354 A 5/20/2011

12585 IL 94396 A 5/20/2011

12595 AK 87694 A 9/10/2010

12595 AK 92818 A 9/10/2010

12595 AK 92853 A

Johnson Mathers Health Care, Inc. d/b/a Nicholas County Hospital & Johnson Mathers Nursing Home

Processing Complete

Phillips County Hospital

Processing Complete

Phillips County Hospital

Processing Complete

Fairfield Memorial Hospital

Processing Complete

Pinckneyville Community Hospital

Processing Complete

Pinckneyville Community Hospital

Processing Complete

Memorial Hospital

Processing Complete

Thomas H. Boyd Memorial Hospital

Processing Complete

Thomas H. Boyd Memorial Hospital

Processing Complete

Kenaitze Indian Tribe-Dena

Processing Complete

Kenaitze Indian Tribe-Dena

Processing Complete

Kenaitze Indian Tribe-Dena

Initial Review Complete

Page 104: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12618 IL 90347 A 12/21/2009

12618 IL 95169 A

12620 AK 88967 A 1/27/2011

12620 AK 89831 A 1/31/2011

12620 AK 89832 A

12634 AR 93053 A 7/11/2010

12639 AR 91540 A 7/6/2010

12639 AR 91541 A 3/5/2010

12639 AR 91541 B 3/5/2010

12639 AR 91542 A 3/5/2010

12639 AR 91542 B 3/5/2010

12639 AR 91547 A 3/5/2010

Community Memorial Hospital

Processing Complete

Community Memorial Hospital

Initial Review Complete

Ninilchik Community Clinic

Processing Complete

Ninilchik Community Clinic

Processing Complete

Ninilchik Community Clinic

Initial Review Complete

Crossridge Community Hospital

Processing Complete

Baptist Health Medical Center Stuttgart

Processing Complete

Baptist Health Medical Center Stuttgart

Processing Complete

Baptist Health Medical Center Stuttgart

Processing Complete

Baptist Health Medical Center Stuttgart

Processing Complete

Baptist Health Medical Center Stuttgart

Processing Complete

Baptist Health Medical Center Stuttgart

Processing Complete

Page 105: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12639 AR 91547 B 3/5/2010

12639 AR 91548 A 3/5/2010

12639 AR 91548 B 3/5/2010

12639 AR 91654 A 7/6/2010

12639 AR 91670 A

12639 AR 91670 B

12639 AR 98292 A 9/27/2010

12647 WI 93840 A 5/28/2010

12647 WI 93843 A 5/28/2010

12647 WI 93974 A 5/28/2010

12648 KS 97326 A 5/24/2011

12648 KS 97330 A 5/24/2011

Baptist Health Medical Center Stuttgart

Processing Complete

Baptist Health Medical Center Stuttgart

Processing Complete

Baptist Health Medical Center Stuttgart

Processing Complete

Baptist Health Medical Center Stuttgart

Processing Complete

Baptist Health Medical Center Stuttgart

Initial Review Complete

Baptist Health Medical Center Stuttgart

Processing Complete

Baptist Health Medical Center Stuttgart

Processing Complete

Chippewa Valley Hospital

Processing Complete

Chippewa Valley Hospital

Processing Complete

Chippewa Valley Hospital

Processing Complete

Southeast Kansas Mental Health Center

Processing Complete

Southeast Kansas Mental Health Center

Processing Complete

Page 106: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12648 KS 97334 A 5/24/2011

12648 KS 97336 A 5/24/2011

12648 KS 97342 A 5/24/2011

12660 AK 97144 A 12/13/2010

12660 AK 97145 A

12663 AK 92587 A 6/30/2010

12663 AK 92588 A 6/30/2010

12666 AK 92594 A 6/30/2010

12666 AK 92595 A 6/30/2010

12677 MI 95663 A

12677 MI 95664 A 6/17/2011

12689 AK 90683 A 8/10/2010

12689 AK 90684 A 8/10/2010

12689 AK 90685 A 8/10/2010

Southeast Kansas Mental Health Center

Processing Complete

Southeast Kansas Mental Health Center

Processing Complete

Southeast Kansas Mental Health Center

Processing Complete

Indian Creek Health Clinic

Processing Complete

Indian Creek Health Clinic

Initial Review Complete

Chenega Bay Health Clinic

Processing Complete

Chenega Bay Health Clinic

Processing Complete

Tatitlek Health Clinic

Processing Complete

Tatitlek Health Clinic

Processing Complete

Sturgis Hospital

Initial Review Complete

Sturgis Hospital

Processing Complete

Sea View Community Services

Processing Complete

Sea View Community Services

Processing Complete

Sea View Community Services

Processing Complete

Page 107: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12694 WA 88710 A 2/8/2010

12704 MN 92186 A 4/6/2010

12704 MN 92187 A 3/29/2010

12704 MN 92563 A 4/2/2010

12704 MN 97965 A 9/2/2010

12705 WI 92188 A 3/26/2010

12705 WI 92189 A 3/26/2010

12705 WI 92193 A

12705 WI 92406 A 5/6/2010

12705 WI 92409 A 3/26/2010

12705 WI 92412 A 3/26/2010

12705 WI 92424 A 4/15/2010

12706 WI 92195 A 4/20/2010

12706 WI 92196 A 4/20/2010

12706 WI 92836 A 7/19/2010

12706 WI 93170 A 5/19/2010

12706 WI 93797 A 5/19/2010

Public Hospital District #3

Processing Complete

St. Elizabeths Hospital

Processing Complete

St. Elizabeths Hospital

Processing Complete

St. Elizabeths Hospital

Processing Complete

St. Elizabeths Hospital

Processing Complete

St. Marys Hospital

Processing Complete

St. Marys Hospital

Processing Complete

St. Marys Hospital

Initial Review Complete

St. Marys Hospital

Processing Complete

St. Marys Hospital

Processing Complete

St. Marys Hospital

Processing Complete

St. Marys Hospital

Processing Complete

St. Michaels Hospital

Processing Complete

St. Michaels Hospital

Processing Complete

St. Michaels Hospital

Processing Complete

St. Michaels Hospital

Processing Complete

St. Michaels Hospital

Processing Complete

Page 108: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12706 WI 95547 A 8/19/2010

12706 WI 97547 A 8/31/2010

12707 WI 92299 A 4/23/2010

12707 WI 92300 A 4/23/2010

12707 WI 92301 A 4/23/2010

12707 WI 92302 A 4/23/2010

12707 WI 92303 A 4/23/2010

12707 WI 92305 A 4/23/2010

12707 WI 92307 A 5/6/2010

12707 WI 92308 A 5/6/2010

12707 WI 92310 A 4/23/2010

12707 WI 92311 A 4/23/2010

12707 WI 92312 A 5/6/2010

12707 WI 92580 A 7/15/2010

12707 WI 92582 A 7/15/2010

12707 WI 92713 A 5/6/2010

12707 WI 92833 A 7/15/2010

12707 WI 92846 A 7/29/2010

St. Michaels Hospital

Processing Complete

St. Michaels Hospital

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

Page 109: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12707 WI 92852 A 5/6/2010

12707 WI 93185 A 6/10/2010

12707 WI 93202 A 5/6/2010

12707 WI 94554 A 7/15/2010

12707 WI 94562 A 7/15/2010

12707 WI 95515 A

12707 WI 95578 A 7/29/2010

12707 WI 95917 A 8/19/2010

12707 WI 96097 A 7/15/2010

12707 WI 96101 A 7/15/2010

12707 WI 96106 A 7/15/2010

12708 WI 92321 A 5/27/2010

12708 WI 92851 A 5/6/2010

12721 AK 92763 A 9/21/2010

12721 AK 92764 A 9/21/2010

12733 NE 86959 A 11/18/2009

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Initial Review Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

St. Joseph

Processing Complete

Door County Memorial Hospital

Processing Complete

Door County Memorial Hospital

Processing Complete

Kenai VA Medical Clinic

Processing Complete

Kenai VA Medical Clinic

Processing Complete

Brown County Community Hospital

Processing Complete

Page 110: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12733 NE 95475 A 10/22/2010

12734 NE 87002 A 11/18/2009

12735 NE 87014 A 11/18/2009

12766 NE 87076 A 12/30/2009

12766 NE 87078 A 12/30/2009

12766 NE 87079 A 12/30/2009

12766 NE 87080 A 12/30/2009

12766 NE 87081 A 2/12/2010

12766 NE 87084 A 2/12/2010

12766 NE 87848 A

12766 NE 91447 A 2/15/2010

12766 NE 92570 A 4/3/2010

12766 NE 93219 A 5/20/2010

Brown County Community Hospital

Processing Complete

Kearney County Health Services

Processing Complete

Webster County Community Hospital

Processing Complete

Regional West Medical Center

Processing Complete

Regional West Medical Center

Processing Complete

Regional West Medical Center

Processing Complete

Regional West Medical Center

Processing Complete

Regional West Medical Center

Processing Complete

Regional West Medical Center

Processing Complete

Regional West Medical Center

Processing Complete

Regional West Medical Center

Processing Complete

Regional West Medical Center

Processing Complete

Regional West Medical Center

Processing Complete

Page 111: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12766 NE 93220 A 5/20/2010

12766 NE 96241 A 7/8/2010

12766 NE 96243 A 8/5/2010

12784 MS 89180 A 2/10/2010

12784 MS 89182 A 2/1/2010

12788 MS 88916 A 2/3/2010

12788 MS 88917 A 2/3/2010

12788 MS 88918 A 2/3/2010

12788 MS 97064 A

12789 MS 88810 A 1/4/2010

12789 MS 88812 A 1/28/2010

12791 MS 88768 A 12/28/2009

12791 MS 88770 A 12/28/2009

12791 MS 88771 A 12/28/2009

Regional West Medical Center

Processing Complete

Regional West Medical Center

Processing Complete

Regional West Medical Center

Processing Complete

Kilmichael Hospital

Processing Complete

Kilmichael Hospital

Processing Complete

Scott Regional Hospital

Processing Complete

Scott Regional Hospital

Processing Complete

Scott Regional Hospital

Processing Complete

Scott Regional Hospital

Initial Review Complete

Sharkey - Issaquena Community Hospital

Processing Complete

Sharkey - Issaquena Community Hospital

Processing Complete

South Sunflower County Hospital

Processing Complete

South Sunflower County Hospital

Processing Complete

South Sunflower County Hospital

Processing Complete

Page 112: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12796 WI 91764 A 5/4/2010

12802 VA 89100 A 12/13/2009

12802 VA 89102 A 12/13/2009

12802 VA 89103 A 12/13/2009

12825 CA 95951 A 8/24/2011

12853 WI 95122 A 11/2/2010

12854 NE 87086 A 12/30/2009

12855 TN 92912 A 4/26/2010

12862 NE 87060 A 11/27/2009

12862 NE 91609 A 7/13/2010

12865 KY 91762 A 3/1/2011

12867 KY 91759 A 3/1/2011

12868 KY 91761 A 3/1/2011

Grant Regional Health Center

Processing Complete

Rappahannock General Hospital

Processing Complete

Rappahannock General Hospital

Processing Complete

Rappahannock General Hospital

Processing Complete

Anderson Valley Health Center, Inc.

Processing Complete

Reedsburg Area Medical Center

Processing Complete

Morrill County Hospital

Processing Complete

Winfield Medical Center

Processing Complete

Johnson County Hospital

Processing Complete

Johnson County Hospital

Processing Complete

Wolfe County Health Department

Processing Complete

Leslie County Health Department

Processing Complete

Perry County Health Department

Processing Complete

Page 113: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12869 KY 91758 A 3/1/2011

12870 KY 91760 A 3/1/2011

12874 KY 92459 A 8/29/2011

12874 KY 92460 A 8/29/2011

12885 KY 90897 A 6/6/2011

12886 KY 90899 A 6/6/2011

12937 KY 91757 A 3/1/2011

12963 KY 90900 A

12963 KY 90901 A 6/6/2011

12982 MI 95440 A 8/11/2010

12983 WI 95739 A 1/28/2011

Lee County Health Department

Processing Complete

Owsley County Health Department

Processing Complete

Garrard County Health Department

Processing Complete

Garrard County Health Department

Processing Complete

Nicholas County Health Department

Processing Complete

Harrison County Health Department

Processing Complete

Knott County Health Department

Processing Complete

Scott County Health Department

Initial Review Complete

Scott County Health Department

Processing Complete

Gogebic Community Mental Health

Processing Complete

Divine Savior Healthcare

Processing Complete

Page 114: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12983 WI 95741 A 1/28/2011

12983 WI 95742 A 1/28/2011

12983 WI 95749 A 1/28/2011

12983 WI 97147 A

12984 GA 89891 A 8/15/2011

12984 GA 89892 A 8/15/2011

12984 GA 89969 A 2/16/2010

13003 WI 89261 A 5/10/2010

13003 WI 89265 A 5/10/2010

13003 WI 91054 A 5/10/2010

13003 WI 91055 A 5/10/2010

13003 WI 91056 A 5/10/2010

13003 WI 91057 A 5/10/2010

13003 WI 91058 A 5/10/2010

13003 WI 91094 A 5/10/2010

13013 AK 96616 A 3/17/2011

Divine Savior Healthcare

Processing Complete

Divine Savior Healthcare

Processing Complete

Divine Savior Healthcare

Processing Complete

Divine Savior Healthcare

Processing Complete

Satilla Community Services

Processing Complete

Satilla Community Services

Processing Complete

Satilla Community Services

Processing Complete

Ripon Medical Center

Processing Complete

Ripon Medical Center

Processing Complete

Ripon Medical Center

Processing Complete

Ripon Medical Center

Processing Complete

Ripon Medical Center

Processing Complete

Ripon Medical Center

Processing Complete

Ripon Medical Center

Processing Complete

Ripon Medical Center

Processing Complete

SEARHC - Pelican Health Center

Processing Complete

Page 115: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13013 AK 96623 A

13014 AK 96627 A 3/17/2011

13014 AK 96629 A

13030 MN 95434 A 5/19/2011

13030 MN 95443 A 5/19/2011

13030 MN 95919 A 5/19/2011

13030 MN 95920 A 5/19/2011

13034 MN 95406 A 6/29/2010

13034 MN 95407 A 6/29/2010

13034 MN 96785 A 8/15/2011

13038 OH 96023 A 8/13/2010

13039 WI 91776 A 5/11/2010

13039 WI 91777 A 6/29/2010

13039 WI 91779 A 5/11/2010

13039 WI 92116 A 6/29/2010

13039 WI 92227 A 5/11/2010

SEARHC - Pelican Health Center

Initial Review Complete

SEARHC - Thorne Bay Health Center

Processing Complete

SEARHC - Thorne Bay Health Center

Initial Review Complete

Northwest Medical Center

Processing Complete

Northwest Medical Center

Processing Complete

Northwest Medical Center

Processing Complete

Northwest Medical Center

Processing Complete

Roseau Area Hospital & Homes

Processing Complete

Roseau Area Hospital & Homes

Processing Complete

Roseau Area Hospital & Homes

Processing Complete

Fostoria Hospital

Processing Complete

Upland Hills Health

Processing Complete

Upland Hills Health

Processing Complete

Upland Hills Health

Processing Complete

Upland Hills Health

Processing Complete

Upland Hills Health

Processing Complete

Page 116: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13039 WI 92231 A 5/11/2010

13040 WI 89301 A 8/13/2010

13040 WI 94666 A 8/13/2010

13040 WI 94670 A 10/5/2010

13040 WI 94739 A 7/9/2010

13040 WI 94747 A 10/21/2010

13040 WI 94757 A 7/9/2010

13041 WI 90476 A 2/24/2010

13041 WI 92121 A 11/2/2010

13041 WI 92122 A 11/2/2010

13041 WI 92123 A 11/2/2010

13041 WI 92124 A 11/2/2010

13041 WI 92125 A 11/2/2010

13041 WI 96809 A

Upland Hills Health

Processing Complete

Boscobel Area Health Care

Processing Complete

Boscobel Area Health Care

Processing Complete

Boscobel Area Health Care

Processing Complete

Boscobel Area Health Care

Processing Complete

Boscobel Area Health Care

Processing Complete

Boscobel Area Health Care

Processing Complete

Amery Regional Medical Center

Processing Complete

Amery Regional Medical Center

Processing Complete

Amery Regional Medical Center

Processing Complete

Amery Regional Medical Center

Processing Complete

Amery Regional Medical Center

Processing Complete

Amery Regional Medical Center

Processing Complete

Amery Regional Medical Center

Processing Complete

Page 117: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13045 IL 93779 A 7/12/2010

13046 MN 93834 A 8/2/2010

13046 MN 93841 A 8/2/2010

13046 MN 93847 A 8/2/2010

13046 MN 93850 A 8/2/2010

13071 IL 90602 A 1/29/2010

13082 MN 88913 A 5/13/2010

13082 MN 88913 B 5/13/2010

13086 IL 95061 A 7/20/2010

13086 IL 95062 A 7/20/2010

13097 FL 96716 A 12/10/2010

Lawrence County Memorial Hospital

Processing Complete

Northwestern Mental Health Center, Inc.

Processing Complete

Northwestern Mental Health Center, Inc.

Processing Complete

Northwestern Mental Health Center, Inc.

Processing Complete

Northwestern Mental Health Center, Inc.

Processing Complete

Memorial Hospital of Chester

Processing Complete

Perham Memorial Hospital and Home

Processing Complete

Perham Memorial Hospital and Home

Processing Complete

Gibson Area Hospital

Processing Complete

Gibson Area Hospital

Processing Complete

Sacred Heart Hospital on the Emerald Coast

Processing Complete

Page 118: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13097 FL 96720 A 12/10/2010

13112 KY 89377 A 1/28/2010

13112 KY 89378 A 1/22/2010

13112 KY 89379 A 1/22/2010

13112 KY 89380 A 1/22/2010

13112 KY 89381 A 1/22/2010

13112 KY 89382 A 1/22/2010

13112 KY 89384 A 2/1/2010

13112 KY 89385 A 1/28/2010

13112 KY 89388 A 1/22/2010

13112 KY 90698 A 1/22/2010

13112 KY 96040 A 7/27/2010

13127 WI 95582 A 9/17/2010

Sacred Heart Hospital on the Emerald Coast

Processing Complete

Mary Breckinridge Hospital

Processing Complete

Mary Breckinridge Hospital

Processing Complete

Mary Breckinridge Hospital

Processing Complete

Mary Breckinridge Hospital

Processing Complete

Mary Breckinridge Hospital

Processing Complete

Mary Breckinridge Hospital

Processing Complete

Mary Breckinridge Hospital

Processing Complete

Mary Breckinridge Hospital

Processing Complete

Mary Breckinridge Hospital

Processing Complete

Mary Breckinridge Hospital

Processing Complete

Mary Breckinridge Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Page 119: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13127 WI 95590 A 9/17/2010

13127 WI 95591 A 9/17/2010

13127 WI 95592 A 9/17/2010

13127 WI 95598 A 9/17/2010

13127 WI 95603 A 9/17/2010

13127 WI 95605 A 9/17/2010

13127 WI 95606 A 9/17/2010

13127 WI 95607 A 9/17/2010

13127 WI 95608 A 9/17/2010

13127 WI 95609 A 9/17/2010

13127 WI 95619 A 9/17/2010

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Page 120: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13127 WI 95623 A 9/17/2010

13127 WI 95634 A 10/4/2010

13127 WI 95635 A 9/17/2010

13127 WI 96805 A 9/17/2010

13127 WI 96807 A 9/17/2010

13127 WI 96817 A 9/17/2010

13127 WI 96824 A 9/17/2010

13127 WI 96839 A 10/4/2010

13128 WI 95636 A 9/17/2010

13128 WI 95638 A 9/17/2010

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Fort Memorial Hospital

Processing Complete

Fort HealthCare - Johnson Creek Clinic

Processing Complete

Fort HealthCare - Johnson Creek Clinic

Processing Complete

Page 121: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13128 WI 95640 A 9/17/2010

13129 WI 95695 A 9/17/2010

13129 WI 95697 A 9/17/2010

13129 WI 95698 A 10/4/2010

13129 WI 96729 A 9/17/2010

13130 WI 95701 A 9/17/2010

13130 WI 95710 A 9/17/2010

13130 WI 95716 A 9/17/2010

13130 WI 95722 A 10/4/2010

13130 WI 95727 A 10/4/2010

13130 WI 95737 A 9/17/2010

Fort HealthCare - Johnson Creek Clinic

Processing Complete

Fort HealthCare - Lake Mills Clinic

Processing Complete

Fort HealthCare - Lake Mills Clinic

Processing Complete

Fort HealthCare - Lake Mills Clinic

Processing Complete

Fort HealthCare - Lake Mills Clinic

Processing Complete

Fort HealthCare - Dermatology Clinic

Processing Complete

Fort HealthCare - Dermatology Clinic

Processing Complete

Fort HealthCare - Dermatology Clinic

Processing Complete

Fort HealthCare - Dermatology Clinic

Processing Complete

Fort HealthCare - Dermatology Clinic

Processing Complete

Fort HealthCare - Dermatology Clinic

Processing Complete

Page 122: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13130 WI 95743 A 9/17/2010

13130 WI 95751 A 10/4/2010

13130 WI 95758 A 9/17/2010

13130 WI 95759 A

13130 WI 96749 A 10/4/2010

13131 WI 95770 A 9/17/2010

13131 WI 95771 A 9/17/2010

13131 WI 95776 A 9/17/2010

13131 WI 96848 A 10/4/2010

13133 IL 91801 A 3/29/2010

13134 PA 93485 A 7/6/2010

13134 PA 93486 A 7/6/2010

Fort HealthCare - Dermatology Clinic

Processing Complete

Fort HealthCare - Dermatology Clinic

Processing Complete

Fort HealthCare - Dermatology Clinic

Processing Complete

Fort HealthCare - Dermatology Clinic

Initial Review Complete

Fort HealthCare - Dermatology Clinic

Processing Complete

Fort HealthCare - Whitewater Clinic

Processing Complete

Fort HealthCare - Whitewater Clinic

Processing Complete

Fort HealthCare - Whitewater Clinic

Processing Complete

Fort HealthCare - Whitewater Clinic

Processing Complete

Iroquois Memorial Hospital

Processing Complete

The Chambersburg Hospital

Processing Complete

The Chambersburg Hospital

Processing Complete

Page 123: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13134 PA 94307 A 7/6/2010

13134 PA 95185 A 10/7/2010

13156 WI 91269 A 5/4/2010

13156 WI 91270 A 5/4/2010

13156 WI 91781 A 5/4/2010

13156 WI 94038 A 6/29/2010

13156 WI 94044 A 6/10/2010

13156 WI 94088 A 6/29/2010

13156 WI 94089 A 7/23/2010

13156 WI 95404 A 6/17/2010

13164 WI 89299 A 8/13/2010

13164 WI 94669 A 10/20/2010

The Chambersburg Hospital

Processing Complete

The Chambersburg Hospital

Processing Complete

Memorial Hospital of Lafayette County

Processing Complete

Memorial Hospital of Lafayette County

Processing Complete

Memorial Hospital of Lafayette County

Processing Complete

Memorial Hospital of Lafayette County

Processing Complete

Memorial Hospital of Lafayette County

Processing Complete

Memorial Hospital of Lafayette County

Processing Complete

Memorial Hospital of Lafayette County

Processing Complete

Memorial Hospital of Lafayette County

Processing Complete

Riverside Family Practice

Processing Complete

Riverside Family Practice

Processing Complete

Page 124: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13168 IL 86902 A 2/7/2011

13181 AZ 88114 A 11/30/2009

13181 AZ 90254 A

13182 AZ 88122 A 12/4/2009

13188 IN 90839 A 3/22/2010

13192 WI 91726 A 5/11/2010

13192 WI 91727 A 5/11/2010

13192 WI 91728 A 5/11/2010

13192 WI 91729 A 5/11/2010

13192 WI 91730 A 5/28/2010

13192 WI 91748 A 5/10/2010

De Witt-Piatt Bi-County Health Department

Processing Complete

Coconino County Health Department Clinic

Processing Complete

Coconino County Health Department Clinic

Initial Review Complete

Coconino County Health Department Clinic

Processing Complete

St. Vincent Jennings Hospital

Processing Complete

Columbus Community Hospital

Processing Complete

Columbus Community Hospital

Processing Complete

Columbus Community Hospital

Processing Complete

Columbus Community Hospital

Processing Complete

Columbus Community Hospital

Processing Complete

Columbus Community Hospital

Processing Complete

Page 125: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13192 WI 91750 A 5/11/2010

13192 WI 91751 A 5/10/2010

13192 WI 91752 A 5/10/2010

13199 OH 90699 A 3/30/2010

13204 CA 93131 A 6/23/2010

13204 CA 93132 A 6/23/2010

13204 CA 93132 B 6/23/2010

13204 CA 93134 A 6/24/2010

13204 CA 93145 A 6/23/2010

13204 CA 93153 A 4/22/2011

13204 CA 93159 A 6/23/2010

13204 CA 93160 A 6/23/2010

13204 CA 93161 A 6/23/2010

13204 CA 93169 A 6/23/2010

13204 CA 93173 A 6/23/2010

13204 CA 93176 A 6/23/2010

Columbus Community Hospital

Processing Complete

Columbus Community Hospital

Processing Complete

Columbus Community Hospital

Processing Complete

HealthSource - Seaman Health Center

Processing Complete

United Health Centers

Processing Complete

United Health Centers

Processing Complete

United Health Centers

Processing Complete

United Health Centers

Processing Complete

United Health Centers

Processing Complete

United Health Centers

Processing Complete

United Health Centers

Processing Complete

United Health Centers

Processing Complete

United Health Centers

Processing Complete

United Health Centers

Processing Complete

United Health Centers

Processing Complete

United Health Centers

Processing Complete

Page 126: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13204 CA 93617 A 5/20/2011

13204 CA 96641 A 4/22/2011

13217 MO 90463 A 8/31/2010

13217 MO 90465 A 8/31/2010

13217 MO 90466 A 8/31/2010

13217 MO 90467 A 8/31/2010

13217 MO 90468 A 8/31/2010

13217 MO 90469 A 8/31/2010

13217 MO 90470 A 8/31/2010

13217 MO 90471 A 8/31/2010

13217 MO 90472 A 8/31/2010

13217 MO 90473 A 8/31/2010

13218 WI 94036 A 9/28/2010

13218 WI 96326 A 10/26/2010

13220 MN 90819 A 2/18/2010

13220 MN 90819 B 2/18/2010

13221 MN 94035 A 9/28/2010

United Health Centers

Processing Complete

United Health Centers

Processing Complete

Citizens Memorial Hospital

Processing Complete

Citizens Memorial Hospital

Processing Complete

Citizens Memorial Hospital

Processing Complete

Citizens Memorial Hospital

Processing Complete

Citizens Memorial Hospital

Processing Complete

Citizens Memorial Hospital

Processing Complete

Citizens Memorial Hospital

Processing Complete

Citizens Memorial Hospital

Processing Complete

Citizens Memorial Hospital

Processing Complete

Citizens Memorial Hospital

Processing Complete

Chequamegon Clinic

Processing Complete

Chequamegon Clinic

Processing Complete

Lake View Memorial Hospital

Processing Complete

Lake View Memorial Hospital

Processing Complete

Hibbing Family Medical Clinic

Processing Complete

Page 127: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13221 MN 94040 A 6/22/2010

13222 MN 94033 A 9/28/2010

13224 IN 93736 A 9/17/2011

13225 IN 93856 A 10/31/2010

13225 IN 93857 A 10/31/2010

13225 IN 93897 A 9/6/2010

13225 IN 93897 B 9/6/2010

13225 IN 93898 A 10/31/2010

13225 IN 93898 B 10/31/2010

13225 IN 93900 A 10/31/2010

13225 IN 93900 B 10/31/2010

13226 IN 93737 A 10/31/2010

13226 IN 93738 A 10/31/2010

13226 IN 95520 A 10/31/2010

13227 IN 93739 A 9/17/2011

Hibbing Family Medical Clinic

Processing Complete

Laurentian Medical Clinic

Processing Complete

Mitchell Rebound, Allied Health and Radiology

Processing Complete

Orange County Hospital

Processing Complete

Orange County Hospital

Processing Complete

Orange County Hospital

Processing Complete

Orange County Hospital

Processing Complete

Orange County Hospital

Processing Complete

Orange County Hospital

Processing Complete

Orange County Hospital

Processing Complete

Orange County Hospital

Processing Complete

Rebound Rehabilitation and Sports Medicine

Processing Complete

Rebound Rehabilitation and Sports Medicine

Processing Complete

Rebound Rehabilitation and Sports Medicine

Processing Complete

White River Valley Clinic

Processing Complete

Page 128: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13227 IN 93740 A 9/17/2011

13229 UT 90750 A 2/15/2010

13229 UT 90754 A 2/15/2010

13235 MN 90709 A 1/19/2010

13235 MN 90911 A 1/19/2010

13235 MN 90912 A 1/19/2010

13235 MN 91551 A 3/11/2010

13235 MN 91552 A 2/18/2010

13236 WI 88716 A 5/13/2010

13236 WI 93597 A 6/11/2010

13237 WI 88718 A 5/13/2010

13237 WI 93734 A 5/28/2010

White River Valley Clinic

Processing Complete

Carbon Medical Service Association, Inc.

Processing Complete

Carbon Medical Service Association, Inc.

Processing Complete

Deer River Healthcare Center

Processing Complete

Deer River Healthcare Center

Processing Complete

Deer River Healthcare Center

Processing Complete

Deer River Healthcare Center

Processing Complete

Deer River Healthcare Center

Processing Complete

CHN Redgranite Medical Clinic

Processing Complete

CHN Redgranite Medical Clinic

Processing Complete

CHN Family Health Care Clinic

Processing Complete

CHN Family Health Care Clinic

Processing Complete

Page 129: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13238 WI 94389 A 7/19/2010

13238 WI 94395 A 7/6/2010

13239 WI 93672 A 5/20/2010

13239 WI 93673 A 6/29/2010

13239 WI 93674 A 5/25/2010

13240 WI 88719 A 5/13/2010

13240 WI 93735 A 5/28/2010

13241 WI 88722 A 5/13/2010

13241 WI 93641 A 6/11/2010

13242 WI 88720 A 5/13/2010

CHN Waushara Family Physicians Clinic

Processing Complete

CHN Waushara Family Physicians Clinic

Processing Complete

CHN Montello Family Medical Practice Clinic

Processing Complete

CHN Montello Family Medical Practice Clinic

Processing Complete

CHN Montello Family Medical Practice Clinic

Processing Complete

CHN Markesan Medical Center

Processing Complete

CHN Markesan Medical Center

Processing Complete

CHN Princeton Family Medical Center

Processing Complete

CHN Princeton Family Medical Center

Processing Complete

CHN Green Lake Family Practice Clinic

Processing Complete

Page 130: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13242 WI 93643 A 5/20/2010

13243 WI 88721 A 5/13/2010

13243 WI 93644 A 5/20/2010

13243 WI 93645 A 5/20/2010

13245 WI 88726 A 5/20/2010

13245 WI 88727 A 5/13/2010

13245 WI 93686 A 5/20/2010

13245 WI 93688 A

13245 WI 93689 A 6/10/2010

13245 WI 93693 A 6/4/2010

13245 WI 93695 A 6/4/2010

13245 WI 93697 A

CHN Green Lake Family Practice Clinic

Processing Complete

CHN Associated Family Physicians Clinic

Processing Complete

CHN Associated Family Physicians Clinic

Processing Complete

CHN Associated Family Physicians Clinic

Processing Complete

CHN Berlin Memorial Hospital

Processing Complete

CHN Berlin Memorial Hospital

Processing Complete

CHN Berlin Memorial Hospital

Processing Complete

CHN Berlin Memorial Hospital

Initial Review Complete

CHN Berlin Memorial Hospital

Processing Complete

CHN Berlin Memorial Hospital

Processing Complete

CHN Berlin Memorial Hospital

Processing Complete

CHN Berlin Memorial Hospital

Initial Review Complete

Page 131: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13245 WI 93698 A 6/10/2010

13246 WI 88723 A 5/13/2010

13246 WI 93667 A 5/28/2010

13246 WI 93669 A 6/11/2010

13246 WI 94399 A 6/4/2010

13246 WI 94570 A 6/10/2010

13247 WI 93671 A 5/13/2010

13264 MI 96237 A

13264 MI 96239 A

13264 MI 96240 A 9/15/2010

CHN Berlin Memorial Hospital

Processing Complete

CHN Wild Rose Community Memorial Hospital

Processing Complete

CHN Wild Rose Community Memorial Hospital

Processing Complete

CHN Wild Rose Community Memorial Hospital

Processing Complete

CHN Wild Rose Community Memorial Hospital

Processing Complete

CHN Wild Rose Community Memorial Hospital

Processing Complete

CHN Performance Workplace Services Clinic

Processing Complete

Mecosta County General Hospital

Initial Review Complete

Mecosta County General Hospital

Initial Review Complete

Mecosta County General Hospital

Processing Complete

Page 132: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13264 MI 96242 A 9/15/2010

13264 MI 96508 A 11/11/2010

13267 TN 87825 A 3/23/2010

13286 IN 90838 A 3/22/2010

13287 IN 90703 A 3/22/2010

13287 IN 95596 A 8/24/2010

13295 AK 91159 A 6/24/2010

13295 AK 91198 A 9/24/2010

13297 IA 92266 A 5/26/2010

13298 WI 91172 A 8/5/2010

13298 WI 94178 A 8/5/2010

13298 WI 94195 A 7/20/2010

Mecosta County General Hospital

Processing Complete

Mecosta County General Hospital

Processing Complete

Henry County Medical Center

Processing Complete

St. Vincent Randolph Hospital

Processing Complete

St. Vincent Williamsport Hospital

Processing Complete

St. Vincent Williamsport Hospital

Processing Complete

Valdez Community Hospital

Processing Complete

Valdez Community Hospital

Processing Complete

Montgomery County Memorial Hospital

Processing Complete

Aurora Health Center - Lake Geneva

Processing Complete

Aurora Health Center - Lake Geneva

Processing Complete

Aurora Health Center - Lake Geneva

Processing Complete

Page 133: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13298 WI 94197 A 7/6/2010

13298 WI 94198 A 7/6/2010

13298 WI 94201 A 8/5/2010

13300 WI 93163 A 7/6/2010

13300 WI 93166 A 7/6/2010

13300 WI 93167 A 7/6/2010

13300 WI 93168 A 7/6/2010

13300 WI 94316 A 7/6/2010

13300 WI 94317 A 7/6/2010

13300 WI 94318 A 7/6/2010

13300 WI 94319 A 7/6/2010

Aurora Health Center - Lake Geneva

Processing Complete

Aurora Health Center - Lake Geneva

Processing Complete

Aurora Health Center - Lake Geneva

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Page 134: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13300 WI 94320 A 7/6/2010

13300 WI 94321 A 9/16/2010

13300 WI 94321 B 9/16/2010

13300 WI 94322 A 8/30/2010

13300 WI 94323 A 8/30/2010

13300 WI 94324 A 9/16/2010

13313 AL 90975 A 6/22/2010

13313 AL 90986 A 3/9/2010

13314 AL 90981 A 6/14/2010

13314 AL 91040 A 2/10/2010

13315 AL 90982 A 6/14/2010

13315 AL 91043 A 2/10/2010

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Aurora Medical Center - Two Rivers

Processing Complete

Hale County Health Center

Processing Complete

Hale County Health Center

Processing Complete

Sumter County Health Center

Processing Complete

Sumter County Health Center

Processing Complete

West Blocton Health Center

Processing Complete

West Blocton Health Center

Processing Complete

Page 135: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13316 AL 90983 A 6/28/2010

13316 AL 91044 A 2/10/2010

13317 AL 91121 A

13317 AL 91122 A 3/9/2010

13318 AL 90984 A 6/14/2010

13318 AL 91045 A 6/28/2010

13439 OK 93769 A 7/12/2010

13475 MN 90823 A 2/18/2010

13475 MN 90824 A 2/18/2010

13475 MN 91579 A 3/11/2010

13477 WI 92419 A 3/30/2010

13477 WI 92421 A 4/6/2010

Whatley Health Services - Eutaw

Processing Complete

Whatley Health Services - Eutaw

Processing Complete

Whatley Health Services - Oakman

Initial Review Complete

Whatley Health Services - Oakman

Processing Complete

Whatley Health Services - Sipsey

Processing Complete

Whatley Health Services - Sipsey

Processing Complete

Valley View Regional Hospital

Processing Complete

Cook Community Hospital

Processing Complete

Cook Community Hospital

Processing Complete

Cook Community Hospital

Processing Complete

Aurora Health Center - East Redgranite

Processing Complete

Aurora Health Center - East Redgranite

Processing Complete

Page 136: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13477 WI 92422 A 4/6/2010

13477 WI 92423 A 3/30/2010

13477 WI 94347 A 8/30/2010

13477 WI 94348 A 8/30/2010

13479 IL 92218 A 7/11/2010

13487 WI 93317 A 7/6/2010

13487 WI 94357 A 8/30/2010

13487 WI 95730 A 9/1/2010

13488 MN 94164 A 8/23/2010

13488 MN 94165 A 8/23/2010

13488 MN 94166 A 8/23/2010

Aurora Health Center - East Redgranite

Processing Complete

Aurora Health Center - East Redgranite

Processing Complete

Aurora Health Center - East Redgranite

Processing Complete

Aurora Health Center - East Redgranite

Processing Complete

Ferrell Hospital

Processing Complete

Aurora Health Center - Mishicot Clinic

Processing Complete

Aurora Health Center - Mishicot Clinic

Processing Complete

Aurora Health Center - Mishicot Clinic

Processing Complete

Granite Falls Municipal Hospital

Processing Complete

Granite Falls Municipal Hospital

Processing Complete

Granite Falls Municipal Hospital

Processing Complete

Page 137: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13488 MN 94167 A 8/23/2010

13488 MN 94188 A 8/23/2010

13488 MN 94189 A 8/23/2010

13488 MN 94190 A 8/23/2010

13547 IL 90716 A 2/11/2010

13547 IL 90717 A 2/11/2010

13547 IL 90718 A 2/11/2010

13547 IL 90719 A 2/11/2010

13547 IL 91340 A 2/11/2010

13548 WI 91362 A 5/15/2010

13548 WI 94558 A 6/17/2010

13548 WI 94560 A 6/10/2010

13548 WI 94561 A 6/10/2010

13548 WI 94563 A 7/19/2010

13561 NE 87846 A 10/22/2009

Granite Falls Municipal Hospital

Processing Complete

Granite Falls Municipal Hospital

Processing Complete

Granite Falls Municipal Hospital

Processing Complete

Granite Falls Municipal Hospital

Processing Complete

Hillsboro Area Hospital

Processing Complete

Hillsboro Area Hospital

Processing Complete

Hillsboro Area Hospital

Processing Complete

Hillsboro Area Hospital

Processing Complete

Hillsboro Area Hospital

Processing Complete

Tri-County Memorial Hospital

Processing Complete

Tri-County Memorial Hospital

Processing Complete

Tri-County Memorial Hospital

Processing Complete

Tri-County Memorial Hospital

Processing Complete

Tri-County Memorial Hospital

Processing Complete

Panhandle Mental Health Center

Processing Complete

Page 138: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13566 AZ 89394 A 1/21/2010

13566 AZ 89396 A 1/28/2010

13566 AZ 89398 A 1/28/2010

13566 AZ 89400 A 1/28/2010

13566 AZ 89403 A 2/16/2010

13566 AZ 89408 A 2/4/2010

13566 AZ 91806 A 4/5/2010

13567 MN 88848 A

13567 MN 93212 A 8/10/2010

13567 MN 95593 A 7/26/2010

13571 WA 94210 A 9/20/2010

13573 MN 97019 A 5/27/2011

13573 MN 97020 A 6/2/2011

Mount Graham Regional Medical Center

Processing Complete

Mount Graham Regional Medical Center

Processing Complete

Mount Graham Regional Medical Center

Processing Complete

Mount Graham Regional Medical Center

Processing Complete

Mount Graham Regional Medical Center

Processing Complete

Mount Graham Regional Medical Center

Processing Complete

Mount Graham Regional Medical Center

Processing Complete

Madison Hospital

Initial Review Complete

Madison Hospital

Processing Complete

Madison Hospital

Processing Complete

Walla Walla County Human Services

Processing Complete

Redwood Area Hospital

Processing Complete

Redwood Area Hospital

Processing Complete

Page 139: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13573 MN 97031 A 6/2/2011

13573 MN 97033 A 6/2/2011

13573 MN 97038 A 6/2/2011

13576 GA 89836 A 10/19/2009

13576 GA 89860 A 10/19/2009

13576 GA 89871 A 10/19/2009

13576 GA 89873 A 10/19/2009

13576 GA 89874 A 5/3/2010

13576 GA 89875 A 5/3/2010

13577 KS 89543 A 3/3/2010

13578 NE 86712 A 10/15/2009

13578 NE 86713 A 10/15/2009

13578 NE 86714 A 10/15/2009

Redwood Area Hospital

Processing Complete

Redwood Area Hospital

Processing Complete

Redwood Area Hospital

Processing Complete

Southwest Georgia Regional Medical Center

Processing Complete

Southwest Georgia Regional Medical Center

Processing Complete

Southwest Georgia Regional Medical Center

Processing Complete

Southwest Georgia Regional Medical Center

Processing Complete

Southwest Georgia Regional Medical Center

Processing Complete

Southwest Georgia Regional Medical Center

Processing Complete

Ness County Hospital

Processing Complete

Good Samaritan Hospital

Processing Complete

Good Samaritan Hospital

Processing Complete

Good Samaritan Hospital

Processing Complete

Page 140: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13578 NE 86715 A 10/15/2009

13578 NE 86716 A 10/15/2009

13578 NE 86718 A 10/15/2009

13578 NE 86719 A 10/15/2009

13578 NE 91438 A 2/17/2010

13578 NE 96507 A 12/9/2010

13578 NE 114092 A 4/30/2012

13580 MN 88425 A 10/23/2009

13580 MN 88990 A 10/23/2009

13580 MN 96711 A 9/8/2010

13580 MN 96723 A 8/23/2010

13581 MN 89510 A 3/29/2010

13581 MN 90426 A 3/29/2010

13581 MN 90427 A 3/29/2010

13581 MN 90428 A 3/29/2010

Good Samaritan Hospital

Processing Complete

Good Samaritan Hospital

Processing Complete

Good Samaritan Hospital

Processing Complete

Good Samaritan Hospital

Processing Complete

Good Samaritan Hospital

Processing Complete

Good Samaritan Hospital

Processing Complete

Good Samaritan Hospital

Processing Complete

Madelia Community Hospital

Processing Complete

Madelia Community Hospital

Processing Complete

Madelia Community Hospital

Processing Complete

Madelia Community Hospital

Processing Complete

Rice Memorial Hospital

Processing Complete

Rice Memorial Hospital

Processing Complete

Rice Memorial Hospital

Processing Complete

Rice Memorial Hospital

Processing Complete

Page 141: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13586 MI 88365 A 11/16/2009

13588 MN 95199 A 10/12/2010

13588 MN 95201 A 6/29/2010

13588 MN 95202 A 10/12/2010

13588 MN 95203 A 10/12/2010

13604 KY 90902 A 6/6/2011

13628 MI 91950 A 3/28/2011

13628 MI 91955 A 3/28/2011

13632 MN 90407 A 2/1/2010

13632 MN 91221 A 2/22/2010

13632 MN 91223 A 2/16/2010

13637 KY 91763 A 3/1/2011

13644 MI 94945 A 10/25/2010

Marquette County Health Department

Processing Complete

Meeker County Memorial Hospital

Processing Complete

Meeker County Memorial Hospital

Processing Complete

Meeker County Memorial Hospital

Processing Complete

Meeker County Memorial Hospital

Processing Complete

Harrison County Health Department

Processing Complete

Copper Country Mental Health

Processing Complete

Copper Country Mental Health

Processing Complete

Johnson Memorial Health Services

Processing Complete

Johnson Memorial Health Services

Processing Complete

Johnson Memorial Health Services

Processing Complete

Wolfe County Health Department

Processing Complete

Family Health Care

Processing Complete

Page 142: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13644 MI 94951 A 10/25/2010

13644 MI 95914 A 11/2/2010

13644 MI 95914 B 11/2/2010

13644 MI 95916 A 10/25/2010

13644 MI 96948 A 10/12/2010

13644 MI 96951 A 10/12/2010

13644 MI 96956 A 10/4/2010

13644 MI 96960 A 10/18/2010

13660 AL 89390 A 2/10/2010

13660 AL 89391 A 2/16/2010

13665 FL 96028 A 9/23/2010

13666 FL 96042 A 9/22/2010

13666 FL 96316 A

13680 MN 88899 A 1/7/2010

13680 MN 88900 A 12/16/2009

13702 KY 91765 A 3/1/2011

13708 GA 88865 A 1/28/2010

Family Health Care

Processing Complete

Family Health Care

Processing Complete

Family Health Care

Processing Complete

Family Health Care

Processing Complete

Family Health Care

Processing Complete

Family Health Care

Processing Complete

Family Health Care

Processing Complete

Family Health Care

Processing Complete

Mizell Memorial Hospital

Processing Complete

Mizell Memorial Hospital

Processing Complete

Shands @ Lake Shore

Processing Complete

Shands @ Starke

Processing Complete

Shands @ Starke

Processing Complete

Lakeland Mental Health Center

Processing Complete

Lakeland Mental Health Center

Processing Complete

KY River District Health Department

Processing Complete

Emanuel Medical Center

Processing Complete

Page 143: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13708 GA 88866 A 1/21/2010

13708 GA 90617 A 1/21/2010

13708 GA 90618 A 1/21/2010

13708 GA 90619 A 1/21/2010

13708 GA 91721 A 3/8/2010

13708 GA 91722 A 3/9/2010

13708 GA 95358 A 9/24/2010

13708 GA 95359 A 10/19/2010

13737 NE 87052 A 11/27/2009

13737 NE 91572 A 3/18/2010

13738 NE 87062 A 4/14/2010

13738 NE 90927 A 3/18/2010

13740 NE 87057 A 11/27/2009

13740 NE 91569 A 3/18/2010

13741 NE 87058 A 11/27/2009

13741 NE 88240 A 4/26/2010

Emanuel Medical Center

Processing Complete

Emanuel Medical Center

Processing Complete

Emanuel Medical Center

Processing Complete

Emanuel Medical Center

Processing Complete

Emanuel Medical Center

Processing Complete

Emanuel Medical Center

Processing Complete

Emanuel Medical Center

Processing Complete

Emanuel Medical Center

Processing Complete

Butler County Health Care

Processing Complete

Butler County Health Care

Processing Complete

York General Hospital

Processing Complete

York General Hospital

Processing Complete

Memorial Health Care Systems

Processing Complete

Memorial Health Care Systems

Processing Complete

Brodstone Memorial Hospital

Processing Complete

Brodstone Memorial Hospital

Processing Complete

Page 144: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13741 NE 91571 A 3/3/2010

13741 NE 96872 A 10/11/2010

13742 NE 87049 A 11/27/2009

13742 NE 91603 A 8/7/2010

13742 NE 94940 A 9/2/2010

13742 NE 96088 A

13743 NE 87055 A 11/27/2009

13743 NE 91605 A 8/7/2010

13744 NE 88342 A 1/7/2010

13745 NE 87059 A 11/27/2009

13745 NE 91610 A 7/13/2010

13750 WI 92322 A 4/15/2010

13750 WI 92323 A 4/9/2010

Brodstone Memorial Hospital

Processing Complete

Brodstone Memorial Hospital

Processing Complete

Boone County Health Center

Processing Complete

Boone County Health Center

Processing Complete

Boone County Health Center

Processing Complete

Boone County Health Center

Initial Review Complete

Henderson Health Care Services

Processing Complete

Henderson Health Care Services

Processing Complete

Tilden Community Hospital

Processing Complete

Community Medical Center-Syracuse

Processing Complete

Community Medical Center-Syracuse

Processing Complete

Howard Young Health Care

Processing Complete

Howard Young Health Care

Processing Complete

Page 145: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13750 WI 92324 A 4/9/2010

13750 WI 92325 A 5/13/2010

13750 WI 92326 A 4/9/2010

13750 WI 92327 A 4/9/2010

13750 WI 92328 A 4/9/2010

13750 WI 92957 A 4/9/2010

13751 GA 89691 A 11/13/2009

13751 GA 89901 A 11/13/2009

13751 GA 89902 A 11/13/2009

13751 GA 89903 A 11/13/2009

13751 GA 89904 A 11/13/2009

13751 GA 89905 A 11/13/2009

13751 GA 89906 A 11/13/2009

13751 GA 89907 A 11/13/2009

13751 GA 89908 A 11/13/2009

13751 GA 89909 A 11/13/2009

Howard Young Health Care

Processing Complete

Howard Young Health Care

Processing Complete

Howard Young Health Care

Processing Complete

Howard Young Health Care

Processing Complete

Howard Young Health Care

Processing Complete

Howard Young Health Care

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Page 146: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13751 GA 89910 A 11/13/2009

13751 GA 89911 A 11/13/2009

13751 GA 89912 A 11/13/2009

13751 GA 89914 A 11/13/2009

13751 GA 89915 A 11/13/2009

13751 GA 89919 A 11/13/2009

13751 GA 89920 A 11/13/2009

13751 GA 89921 A 11/13/2009

13751 GA 89935 A 12/2/2009

13751 GA 89938 A 11/13/2009

13751 GA 89939 A 11/13/2009

13751 GA 89940 A 11/13/2009

13751 GA 89942 A 11/13/2009

13751 GA 89951 A 11/13/2009

13751 GA 89952 A 11/13/2009

13751 GA 89953 A 11/13/2009

13751 GA 89954 A 11/13/2009

13751 GA 89955 A 11/13/2009

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Page 147: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13751 GA 89956 A 11/13/2009

13751 GA 89957 A 11/13/2009

13751 GA 90044 A 11/13/2009

13751 GA 90045 A 11/13/2009

13751 GA 90046 A 11/13/2009

13751 GA 90047 A 11/13/2009

13751 GA 90048 A 11/13/2009

13751 GA 90049 A 11/13/2009

13751 GA 90050 A 11/13/2009

13751 GA 90051 A 11/13/2009

13751 GA 90052 A 11/13/2009

13751 GA 90053 A 11/13/2009

13751 GA 90056 A 11/13/2009

13751 GA 90057 A 11/13/2009

13751 GA 90059 A 11/13/2009

13751 GA 90091 A 11/13/2009

13751 GA 90093 A 11/13/2009

13751 GA 90095 A 11/13/2009

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Page 148: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13751 GA 90096 A 12/17/2009

13751 GA 90097 A 12/17/2009

13751 GA 90099 A 11/13/2009

13751 GA 90101 A 11/13/2009

13751 GA 90102 A 12/2/2009

13751 GA 90103 A 11/13/2009

13751 GA 90105 A 11/13/2009

13751 GA 90113 A 12/17/2009

13751 GA 90114 A 12/17/2009

13751 GA 90116 A 12/17/2009

13751 GA 90117 A 11/13/2009

13751 GA 90118 A 12/17/2009

13751 GA 90119 A 11/13/2009

13751 GA 90120 A 11/13/2009

13751 GA 90121 A 11/13/2009

13751 GA 90122 A 11/13/2009

13751 GA 90123 A 11/13/2009

13751 GA 90124 A 11/13/2009

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Page 149: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13751 GA 90177 A 11/13/2009

13751 GA 90179 A 11/13/2009

13751 GA 90213 A 11/13/2009

13751 GA 90214 A 11/13/2009

13751 GA 90216 A 11/13/2009

13751 GA 90217 A 11/13/2009

13751 GA 90218 A 11/13/2009

13751 GA 90219 A 11/13/2009

13751 GA 90220 A 11/13/2009

13751 GA 90221 A 11/13/2009

13751 GA 90222 A 11/13/2009

13751 GA 90223 A 11/13/2009

13751 GA 90224 A 11/13/2009

13751 GA 90261 A 11/13/2009

13751 GA 90262 A 11/13/2009

13751 GA 90287 A 11/13/2009

13751 GA 90288 A 12/17/2009

13751 GA 90289 A 11/13/2009

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Page 150: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13751 GA 90290 A 11/13/2009

13751 GA 90291 A 12/18/2009

13751 GA 90877 A 3/3/2010

13751 GA 90878 A 3/3/2010

13751 GA 90879 A 3/3/2010

13751 GA 90881 A 3/3/2010

13751 GA 90882 A 3/3/2010

13751 GA 90883 A 3/3/2010

13751 GA 91309 A 3/3/2010

13751 GA 91310 A 3/3/2010

13751 GA 91592 A 3/15/2010

13751 GA 91593 A 3/15/2010

13751 GA 92546 A 5/5/2010

13751 GA 92547 A 5/5/2010

13751 GA 92548 A 5/5/2010

13751 GA 92549 A 5/5/2010

13751 GA 92550 A 5/5/2010

13751 GA 92551 A 5/5/2010

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Page 151: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13751 GA 92554 A 5/5/2010

13751 GA 92555 A 5/5/2010

13751 GA 92556 A 5/5/2010

13751 GA 92557 A 5/5/2010

13751 GA 92558 A 5/5/2010

13751 GA 92567 A 5/5/2010

13751 GA 93230 A 6/17/2010

13751 GA 93231 A 6/17/2010

13751 GA 93232 A 6/17/2010

13751 GA 93233 A 6/17/2010

13751 GA 93510 A 7/14/2010

13751 GA 93511 A 6/29/2010

13751 GA 93559 A 7/14/2010

13751 GA 93560 A 7/14/2010

13751 GA 93561 A 6/29/2010

13751 GA 93563 A 6/29/2010

13751 GA 93564 A 6/17/2010

13751 GA 93565 A 6/4/2010

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Page 152: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13751 GA 93566 A 6/1/2010

13751 GA 94545 A 6/29/2010

13751 GA 94546 A 6/29/2010

13751 GA 94547 A 6/29/2010

13751 GA 94548 A 6/29/2010

13751 GA 94549 A 6/29/2010

13751 GA 94933 A 6/29/2010

13751 GA 94935 A 6/29/2010

13751 GA 94936 A 7/7/2010

13751 GA 95816 A 8/31/2010

13754 NE 88238 A 7/13/2010

13754 NE 88336 A 6/21/2010

13754 NE 92255 A 7/13/2010

13757 AR 93004 A 6/29/2010

13768 MN 92521 A

13768 MN 92523 A 12/7/2010

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Archbold Medical Center

Processing Complete

Litzenberg Memorial County Hospital

Processing Complete

Litzenberg Memorial County Hospital

Processing Complete

Litzenberg Memorial County Hospital

Processing Complete

Ashley County Medical Center

Processing Complete

St. Gabriel

Initial Review Complete

St. Gabriel

Processing Complete

Page 153: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13768 MN 92523 B 12/7/2010

13768 MN 92524 A

13768 MN 92525 A 5/20/2010

13768 MN 92527 A 5/20/2010

13782 OH 96015 A 7/22/2010

13782 OH 96033 A 8/19/2010

13782 OH 96099 A 7/22/2010

13784 MN 90837 A 1/19/2010

13784 MN 90893 A 1/20/2010

13784 MN 90895 A 1/19/2010

13784 MN 90898 A 1/19/2010

13784 MN 91554 A 4/5/2010

13784 MN 93575 A 8/16/2010

13784 MN 93577 A 8/16/2010

13784 MN 93578 A 8/16/2010

St. Gabriel

Processing Complete

St. Gabriel

Initial Review Complete

St. Gabriel

Processing Complete

St. Gabriel

Processing Complete

Defiance Regional Medical Center

Processing Complete

Defiance Regional Medical Center

Processing Complete

Defiance Regional Medical Center

Processing Complete

Hutchinson Area Health Care

Processing Complete

Hutchinson Area Health Care

Processing Complete

Hutchinson Area Health Care

Processing Complete

Hutchinson Area Health Care

Processing Complete

Hutchinson Area Health Care

Processing Complete

Hutchinson Area Health Care

Processing Complete

Hutchinson Area Health Care

Processing Complete

Hutchinson Area Health Care

Processing Complete

Page 154: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13784 MN 93580 A 8/16/2010

13784 MN 93978 A 8/16/2010

13784 MN 93979 A 8/16/2010

13784 MN 93980 A 8/16/2010

13784 MN 93981 A 8/16/2010

13785 MN 95599 A 9/23/2010

13785 MN 95601 A 9/23/2010

13792 CO 89577 A 11/2/2009

13792 CO 89578 A 11/23/2009

13792 CO 89578 B 11/23/2009

13792 CO 89579 A 11/23/2009

13792 CO 89579 B 11/23/2009

13792 CO 89580 A 10/19/2009

13804 KY 90061 A 5/17/2011

13822 MN 92046 A 4/19/2010

Hutchinson Area Health Care

Processing Complete

Hutchinson Area Health Care

Processing Complete

Hutchinson Area Health Care

Processing Complete

Hutchinson Area Health Care

Processing Complete

Hutchinson Area Health Care

Processing Complete

Woodland Centers - Willmar

Processing Complete

Woodland Centers - Willmar

Processing Complete

Salida Hospital District

Processing Complete

Salida Hospital District

Processing Complete

Salida Hospital District

Processing Complete

Salida Hospital District

Processing Complete

Salida Hospital District

Processing Complete

Salida Hospital District

Processing Complete

Trover Clinic - Princeton

Processing Complete

Chippewa County Montevideo Hospital

Processing Complete

Page 155: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13822 MN 92047 A 4/19/2010

13823 FL 88991 A 11/18/2009

13835 NE 87087 A 1/7/2010

13835 NE 87089 A 2/25/2010

13835 NE 92261 A 6/21/2010

13835 NE 96869 A 10/9/2010

13863 NE 94335 A

13863 NE 94937 A 9/30/2010

13864 UT 90759 A 2/15/2010

13864 UT 90759 B 2/15/2010

Chippewa County Montevideo Hospital

Processing Complete

DeSoto Memorial Hospital

Processing Complete

Chadron Community Hospital & Health Services

Processing Complete

Chadron Community Hospital & Health Services

Processing Complete

Chadron Community Hospital & Health Services

Processing Complete

Chadron Community Hospital & Health Services

Processing Complete

Columbus Community Hospital

Initial Review Complete

Columbus Community Hospital

Processing Complete

Carbon Medical Service - Helper Clinic

Processing Complete

Carbon Medical Service - Helper Clinic

Processing Complete

Page 156: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13864 UT 90760 A 2/15/2010

13866 NE 87379 A 1/7/2010

13867 NE 87090 A 1/7/2010

13868 WI 92457 A 4/5/2010

13868 WI 92458 A 4/5/2010

13868 WI 92462 A 4/5/2010

13868 WI 92463 A 4/5/2010

13868 WI 92464 A 4/5/2010

13868 WI 92465 A 4/5/2010

13868 WI 92466 A 4/5/2010

Carbon Medical Service - Helper Clinic

Processing Complete

Garden County Hospital

Processing Complete

Gordon Memorial Health Service

Processing Complete

Marinette Diagnostic Clinic - Aurora Health Care

Processing Complete

Marinette Diagnostic Clinic - Aurora Health Care

Processing Complete

Marinette Diagnostic Clinic - Aurora Health Care

Processing Complete

Marinette Diagnostic Clinic - Aurora Health Care

Processing Complete

Marinette Diagnostic Clinic - Aurora Health Care

Processing Complete

Marinette Diagnostic Clinic - Aurora Health Care

Processing Complete

Marinette Diagnostic Clinic - Aurora Health Care

Processing Complete

Page 157: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13868 WI 92467 A 4/5/2010

13868 WI 92468 A 4/5/2010

13868 WI 92470 A 4/23/2010

13868 WI 94364 A 10/14/2010

13873 AZ 89023 A 11/23/2009

13873 AZ 89024 A 1/21/2010

13874 AZ 86729 A 10/19/2009

13875 AZ 86728 A 10/19/2009

13879 AZ 86717 A 1/25/2010

Marinette Diagnostic Clinic - Aurora Health Care

Processing Complete

Marinette Diagnostic Clinic - Aurora Health Care

Processing Complete

Marinette Diagnostic Clinic - Aurora Health Care

Processing Complete

Marinette Diagnostic Clinic - Aurora Health Care

Processing Complete

Desert Senita Community Health Center

Processing Complete

Desert Senita Community Health Center

Processing Complete

North Country Community Health Center-Springerville

Processing Complete

North Country Community Health Center-St Johns

Processing Complete

North Country Community Health Center-Winslow

Processing Complete

Page 158: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13879 AZ 86727 A 10/19/2009

13893 WI 94390 A 8/30/2010

13893 WI 94398 A 7/6/2010

13918 GA 89320 A 12/23/2009

13919 GA 89302 A 12/23/2009

13921 PA 88784 A 8/2/2010

13921 PA 95099 A 8/2/2010

13925 PA 90821 A 8/2/2010

13932 ME 86626 A 3/10/2010

13932 ME 86627 A

13932 ME 86629 A

13932 ME 86630 A

13932 ME 86647 A

13932 ME 88194 A

North Country Community Health Center-Winslow

Processing Complete

Aurora Behavior Health Center

Processing Complete

Aurora Behavior Health Center

Processing Complete

Wayne Wellness Center

Processing Complete

Coffee Wellness Center

Processing Complete

Broad Top Area Medical Center

Processing Complete

Broad Top Area Medical Center

Processing Complete

Huntingdon Family Practice

Processing Complete

Millinocket Regional Hospital

Processing Complete

Millinocket Regional Hospital

Initial Review Complete

Millinocket Regional Hospital

Initial Review Complete

Millinocket Regional Hospital

Initial Review Complete

Millinocket Regional Hospital

Initial Review Complete

Millinocket Regional Hospital

Initial Review Complete

Page 159: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13932 ME 90610 A

13965 CA 89515 A 1/23/2010

13965 CA 89516 A 2/23/2010

13965 CA 91255 A 6/10/2010

13969 ND 91641 A 3/8/2010

13971 ND 93899 A 6/29/2010

13972 ND 91645 A 3/8/2010

13973 ND 91642 A 3/8/2010

13974 ND 91649 A 3/3/2010

13975 ND 91005 A 3/8/2010

13976 ND 91675 A 3/3/2010

13984 ND 91008 A 4/2/2010

13985 ND 91666 A 3/3/2010

Millinocket Regional Hospital

Processing Complete

Burney Health Center

Processing Complete

Burney Health Center

Processing Complete

Burney Health Center

Processing Complete

Emmons County Public Health

Processing Complete

Kidder County District Health Unit

Processing Complete

LaMoure County Public Health Department

Processing Complete

Lake Region District Health Unit

Processing Complete

Nelson Griggs District Health Unit

Processing Complete

Rolette County Public Health District

Processing Complete

Southwest District Health Unit

Processing Complete

McIntosh District Health Unit

Processing Complete

Pembina County Health Department

Processing Complete

Page 160: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13986 ND 91006 A 3/8/2010

13987 ND 91671 A 3/3/2010

13988 ND 91004 A 4/2/2010

13989 ND 90772 A 3/8/2010

13990 ND 91691 A 3/3/2010

13991 ND 91698 A 3/3/2010

13992 ND 91696 A 3/3/2010

13993 MT 93188 A 5/17/2010

13993 MT 93224 A 6/17/2010

13993 MT 93234 A 5/25/2010

Ransom County Public Health Department

Processing Complete

Richland County Public Health Department

Processing Complete

Sargent County District Health Unit

Processing Complete

Steele County Public Health Department

Processing Complete

Traill County District Health Unit

Processing Complete

Walsh County Health Department

Processing Complete

Wells County District Health Unit

Processing Complete

Northeast Montana Health Services - Wolf Point

Processing Complete

Northeast Montana Health Services - Wolf Point

Processing Complete

Northeast Montana Health Services - Wolf Point

Processing Complete

Page 161: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13993 MT 93235 A 6/1/2010

14003 MN 94060 A 8/16/2010

14003 MN 94061 A 8/16/2010

14003 MN 94063 A 8/16/2010

14003 MN 94065 A 8/16/2010

14024 IL 96833 A 9/23/2010

14029 NC 95116 A 7/12/2010

14029 NC 95117 A 7/12/2010

14032 GA 92829 A 8/11/2010

14032 GA 96280 A 8/11/2010

14032 GA 96298 A 3/7/2011

14032 GA 96630 A 3/7/2011

Northeast Montana Health Services - Wolf Point

Processing Complete

Human Development Center - Cloquet

Processing Complete

Human Development Center - Cloquet

Processing Complete

Human Development Center - Cloquet

Processing Complete

Human Development Center - Cloquet

Processing Complete

Katherine Shaw Bethea Hospital

Processing Complete

Northern Hospital of Surry County

Processing Complete

Northern Hospital of Surry County

Processing Complete

Upson Regional Medical Center

Processing Complete

Upson Regional Medical Center

Processing Complete

Upson Regional Medical Center

Processing Complete

Upson Regional Medical Center

Processing Complete

Page 162: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14033 KY 88772 A 2/3/2010

14033 KY 88774 A 2/3/2010

14033 KY 88775 A 12/28/2009

14033 KY 88776 A 12/28/2009

14033 KY 90107 A 12/14/2009

14033 KY 93489 A 6/14/2010

14033 KY 93490 A 6/14/2010

14033 KY 95256 A 8/3/2010

14053 FL 91328 A 4/16/2010

14053 FL 91329 A 5/27/2010

14054 FL 91326 A 5/27/2010

14054 FL 91327 A 4/16/2010

14055 FL 91324 A 2/16/2010

Rockcastle Hospital, Inc.

Processing Complete

Rockcastle Hospital, Inc.

Processing Complete

Rockcastle Hospital, Inc.

Processing Complete

Rockcastle Hospital, Inc.

Processing Complete

Rockcastle Hospital, Inc.

Processing Complete

Rockcastle Hospital, Inc.

Processing Complete

Rockcastle Hospital, Inc.

Processing Complete

Rockcastle Hospital, Inc.

Processing Complete

Florida Hospital - Heartland Medical Center

Processing Complete

Florida Hospital - Heartland Medical Center

Processing Complete

Florida Hospital - Lake Placid

Processing Complete

Florida Hospital - Lake Placid

Processing Complete

Florida Hospital - Wauchula

Processing Complete

Page 163: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14055 FL 91325 A 2/16/2010

14055 FL 92103 A 4/30/2010

14109 IN 95375 A 8/24/2010

14109 IN 95376 A

14109 IN 95540 A 9/2/2010

14109 IN 95541 A 9/16/2010

14109 IN 95542 A 9/9/2010

14109 IN 95542 B 9/9/2010

14111 MN 95391 A 4/29/2011

14141 MN 91515 A 4/21/2010

14141 MN 91516 A 4/21/2010

14141 MN 91517 A 3/11/2010

14141 MN 91518 A 3/11/2010

Florida Hospital - Wauchula

Processing Complete

Florida Hospital - Wauchula

Processing Complete

Bedford Regional Medical Center

Processing Complete

Bedford Regional Medical Center

Initial Review Complete

Bedford Regional Medical Center

Processing Complete

Bedford Regional Medical Center

Processing Complete

Bedford Regional Medical Center

Processing Complete

Bedford Regional Medical Center

Processing Complete

SCMC Allergy, Asthma, Dermatology Clinic

Processing Complete

St. Mary Regional Health Center

Processing Complete

St. Mary Regional Health Center

Processing Complete

St. Mary Regional Health Center

Processing Complete

St. Mary Regional Health Center

Processing Complete

Page 164: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14141 MN 91519 A 3/11/2010

14143 TX 92267 A 10/31/2011

14143 TX 92282 A

14146 TX 90404 A 4/19/2010

14146 TX 90405 A 3/15/2010

14146 TX 90406 A 2/10/2010

14146 TX 90609 A 6/14/2010

14149 KS 90740 A

14149 KS 90741 A 5/20/2011

14149 KS 91440 A

14149 KS 91441 A 5/20/2011

14158 TX 89178 A 11/23/2009

14158 TX 95953 A 9/24/2010

14169 KS 96814 A 8/31/2011

St. Mary Regional Health Center

Processing Complete

Lillian M. Hudspeth Memorial Hospital

Processing Complete

Lillian M. Hudspeth Memorial Hospital

Processing Complete

Titus Regional Medical Center

Processing Complete

Titus Regional Medical Center

Processing Complete

Titus Regional Medical Center

Processing Complete

Titus Regional Medical Center

Processing Complete

Hiawatha Community Hospital

Initial Review Complete

Hiawatha Community Hospital

Processing Complete

Hiawatha Community Hospital

Processing Complete

Hiawatha Community Hospital

Processing Complete

Bowie Memorial Hospital

Processing Complete

Bowie Memorial Hospital

Processing Complete

Ninnescah Valley Health Systems

Processing Complete

Page 165: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14170 KS 95491 A 9/14/2010

14174 WI 93148 A 5/25/2010

14174 WI 93149 A 6/7/2010

14174 WI 93151 A 5/25/2010

14174 WI 94102 A 12/22/2010

14175 WI 93254 A 5/21/2010

14175 WI 93308 A 5/21/2010

Jewell County Hospital

Processing Complete

Watertown Area Health Services - Lakewood Family Clinic (Johnson Creek)

Processing Complete

Watertown Area Health Services - Lakewood Family Clinic (Johnson Creek)

Processing Complete

Watertown Area Health Services - Lakewood Family Clinic (Johnson Creek)

Processing Complete

Watertown Area Health Services - Lakewood Family Clinic (Johnson Creek)

Processing Complete

Watertown Area Health Services - Lakewood Family Clinic (Lake Mills)

Processing Complete

Watertown Area Health Services - Lakewood Family Clinic (Lake Mills)

Processing Complete

Page 166: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14176 WI 93247 A 9/17/2010

14176 WI 93252 A 5/21/2010

14176 WI 93256 A 6/4/2010

14176 WI 93257 A 6/4/2010

14176 WI 93260 A 5/21/2010

14176 WI 93261 A 6/4/2010

14176 WI 93262 A 6/4/2010

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Page 167: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14176 WI 93342 A 5/21/2010

14176 WI 93345 A 5/21/2010

14176 WI 93348 A 5/21/2010

14176 WI 93992 A 6/4/2010

14176 WI 94091 A 10/7/2010

14176 WI 94094 A

14176 WI 94095 A 10/20/2010

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Initial Review Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Page 168: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14176 WI 94098 A 6/10/2010

14176 WI 94152 A 6/4/2010

14176 WI 95040 A 6/17/2010

14176 WI 95692 A 9/17/2010

14176 WI 95713 A 10/28/2010

14176 WI 95714 A 10/4/2010

14176 WI 95715 A 10/4/2010

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Page 169: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14176 WI 95766 A 10/20/2010

14176 WI 95767 A 9/17/2010

14176 WI 95769 A 10/4/2010

14176 WI 95772 A

14176 WI 95773 A

14201 PA 95153 A 11/3/2010

14201 PA 95154 A 11/3/2010

14201 PA 95156 A 11/3/2010

14201 PA 95158 A 11/3/2010

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Processing Complete

Watertown Area Health Services - Watertown Memorial Hospital

Initial Review Complete

Watertown Area Health Services - Watertown Memorial Hospital

Initial Review Complete

Elk Regional Health System

Processing Complete

Elk Regional Health System

Processing Complete

Elk Regional Health System

Processing Complete

Elk Regional Health System

Processing Complete

Page 170: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14201 PA 95160 A 11/3/2010

14201 PA 95161 A 11/3/2010

14201 PA 95162 A 11/3/2010

14202 KY 93707 A 7/11/2010

14202 KY 93709 A 8/23/2011

14205 ND 89290 A 2/25/2010

14205 ND 92107 A 4/6/2010

14205 ND 92414 A

14205 ND 92416 A

14211 SC 95883 A 5/27/2011

14211 SC 95885 A 5/27/2011

Elk Regional Health System

Processing Complete

Elk Regional Health System

Processing Complete

Elk Regional Health System

Processing Complete

Crittenden Health Systems

Processing Complete

Crittenden Health Systems

Processing Complete

Aberdeen Area Digital Telemammography Mobile Clinic

Processing Complete

Aberdeen Area Digital Telemammography Mobile Clinic

Processing Complete

Aberdeen Area Digital Telemammography Mobile Clinic

Processing Complete

Aberdeen Area Digital Telemammography Mobile Clinic

Processing Complete

Williamsburg Regional Hospital

Processing Complete

Williamsburg Regional Hospital

Processing Complete

Page 171: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14224 WI 94932 A 9/15/2010

14224 WI 95128 A 9/15/2010

14224 WI 95136 A 9/15/2010

14224 WI 97062 A 9/15/2010

14225 WI 95140 A 9/15/2010

14225 WI 96057 A 9/15/2010

14226 WI 95141 A 10/11/2010

14227 VA 88979 A 11/10/2009

14227 VA 88980 A 11/10/2009

14227 VA 94093 A 9/7/2010

North Shore Medical Clinic - Algoma

Processing Complete

North Shore Medical Clinic - Algoma

Processing Complete

North Shore Medical Clinic - Algoma

Processing Complete

North Shore Medical Clinic - Algoma

Processing Complete

North Shore Medical Clinic - Fish Creek

Processing Complete

North Shore Medical Clinic - Fish Creek

Processing Complete

North Shore Medical Clinic - Washington Island

Processing Complete

Southside Community Hospital

Processing Complete

Southside Community Hospital

Processing Complete

Southside Community Hospital

Processing Complete

Page 172: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14227 VA 96048 A

14235 WY 92888 A 7/12/2010

14235 WY 93051 A 7/12/2010

14235 WY 96459 A 9/19/2010

14235 WY 96473 A 9/19/2010

14250 NE 87085 A 1/7/2010

14281 GA 88743 A 11/23/2009

14282 GA 90194 A 3/29/2010

14282 GA 90929 A 3/29/2010

14282 GA 91337 A 3/2/2010

14282 GA 91338 A 3/2/2010

14282 GA 97001 A 1/24/2011

14282 GA 97006 A 10/12/2010

14282 GA 97008 A 11/23/2010

14282 GA 97011 A 10/19/2010

14283 GA 93606 A 5/24/2010

14283 GA 93608 A 5/24/2010

Southside Community Hospital

Initial Review Complete

Niobrara County Hospital

Processing Complete

Niobrara County Hospital

Processing Complete

Niobrara County Hospital

Processing Complete

Niobrara County Hospital

Processing Complete

Box Butte General Hospital

Processing Complete

Bleckley Memorial Hospital

Processing Complete

Cobb Memorial Hospital

Processing Complete

Cobb Memorial Hospital

Processing Complete

Cobb Memorial Hospital

Processing Complete

Cobb Memorial Hospital

Processing Complete

Cobb Memorial Hospital

Processing Complete

Cobb Memorial Hospital

Processing Complete

Cobb Memorial Hospital

Processing Complete

Cobb Memorial Hospital

Processing Complete

Hart County Hospital

Processing Complete

Hart County Hospital

Processing Complete

Page 173: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14283 GA 93609 A 5/24/2010

14283 GA 93610 A 5/24/2010

14283 GA 93611 A 5/24/2010

14283 GA 95873 A 11/1/2010

14293 OH 89419 A 10/25/2010

14293 OH 89420 A 1/28/2010

14307 IL 95831 A 9/17/2010

14307 IL 96367 A 9/13/2010

14307 IL 96372 A 9/13/2010

14307 IL 96375 A 9/13/2010

14307 IL 96378 A 9/13/2010

14307 IL 96859 A 9/13/2010

14307 IL 96859 B 9/13/2010

14333 WI 95143 A 9/15/2010

14335 WI 95146 A 9/15/2010

Hart County Hospital

Processing Complete

Hart County Hospital

Processing Complete

Hart County Hospital

Processing Complete

Hart County Hospital

Processing Complete

Mercer County Community Hospital

Processing Complete

Mercer County Community Hospital

Processing Complete

FHN - Memorial Hospital

Processing Complete

FHN - Memorial Hospital

Processing Complete

FHN - Memorial Hospital

Processing Complete

FHN - Memorial Hospital

Processing Complete

FHN - Memorial Hospital

Processing Complete

FHN - Memorial Hospital

Processing Complete

FHN - Memorial Hospital

Processing Complete

North Shore Medical Clinic - Algoma Rehab Services

Processing Complete

North Shore Medical Clinic - Rehab Services

Processing Complete

Page 174: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14335 WI 95166 A 9/15/2010

14341 IA 89244 A 12/14/2009

14341 IA 89246 A 12/14/2009

14341 IA 89247 A 12/14/2009

14341 IA 89249 A 12/14/2009

14341 IA 89250 A 2/17/2010

14341 IA 91315 A

14341 IA 91316 A 4/20/2010

14341 IA 95548 A 11/1/2010

14343 NC 92085 A 4/5/2010

14346 IL 90275 A 2/9/2010

14346 IL 90280 A 2/9/2010

14346 IL 94811 A 7/11/2010

14355 IA 86602 A 11/18/2009

North Shore Medical Clinic - Rehab Services

Processing Complete

Greater Community Hospital

Processing Complete

Greater Community Hospital

Processing Complete

Greater Community Hospital

Processing Complete

Greater Community Hospital

Processing Complete

Greater Community Hospital

Processing Complete

Greater Community Hospital

Initial Review Complete

Greater Community Hospital

Processing Complete

Greater Community Hospital

Processing Complete

Community Partners Healthnet

Processing Complete

Shelby Memorial Hospital

Processing Complete

Shelby Memorial Hospital

Processing Complete

Shelby Memorial Hospital

Processing Complete

Hancock County Public Health Services

Processing Complete

Page 175: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14355 IA 86604 A 11/18/2009

14355 IA 90913 A 2/25/2010

14363 WI 94436 A 8/30/2010

14363 WI 94440 A 8/30/2010

14363 WI 96894 A 8/30/2010

14363 WI 96895 A 8/30/2010

14364 WI 93343 A 7/6/2010

14364 WI 93344 A 7/6/2010

14364 WI 94446 A 9/16/2010

14377 IL 90852 A 1/29/2010

Hancock County Public Health Services

Processing Complete

Hancock County Public Health Services

Processing Complete

Aurora Health Care - North Fond du Lac Clinic

Processing Complete

Aurora Health Care - North Fond du Lac Clinic

Processing Complete

Aurora Health Care - North Fond du Lac Clinic

Processing Complete

Aurora Health Care - North Fond du Lac Clinic

Processing Complete

Aurora Health Care - Reedsville

Processing Complete

Aurora Health Care - Reedsville

Processing Complete

Aurora Health Care - Reedsville

Processing Complete

Community Hospital of Ottawa

Processing Complete

Page 176: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14377 IL 94433 A 6/5/2010

14377 IL 94448 A 6/29/2010

14377 IL 94449 A 6/15/2010

14377 IL 94517 A 6/29/2010

14377 IL 94518 A 6/29/2010

14397 IL 90666 A 1/28/2010

14397 IL 90682 A 2/23/2010

14408 IL 90689 A 1/15/2010

14408 IL 90742 A 5/20/2010

14408 IL 90742 B 5/20/2010

14408 IL 90742 C 5/20/2010

14408 IL 90743 A 5/20/2010

Community Hospital of Ottawa

Processing Complete

Community Hospital of Ottawa

Processing Complete

Community Hospital of Ottawa

Processing Complete

Community Hospital of Ottawa

Processing Complete

Community Hospital of Ottawa

Processing Complete

St. Anthonys Memorial Hospital

Processing Complete

St. Anthonys Memorial Hospital

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

Page 177: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14408 IL 90743 B 5/20/2010

14408 IL 90743 C 5/20/2010

14408 IL 90744 A

14408 IL 90744 B

14408 IL 90744 C

14408 IL 90745 A 5/20/2010

14408 IL 93831 A 5/20/2010

14408 IL 93831 B 5/20/2010

14408 IL 93831 C 5/20/2010

14408 IL 93832 A 5/20/2010

14408 IL 93832 B 5/20/2010

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Initial Review Complete

CGH Medical Center (100 E Le Fevre)

Initial Review Complete

CGH Medical Center (100 E Le Fevre)

Initial Review Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

Page 178: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14408 IL 93832 C 5/20/2010

14408 IL 93833 A 5/20/2010

14408 IL 93833 B 5/20/2010

14408 IL 93835 A 5/27/2010

14408 IL 94186 A 5/20/2010

14408 IL 94186 B 5/20/2010

14411 GA 89695 A 12/21/2009

14411 GA 89697 A 2/10/2010

14411 GA 89698 A 2/10/2010

14414 TN 97262 A 10/27/2010

14415 TN 97263 A

14415 TN 103866 A 6/21/2011

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

CGH Medical Center (100 E Le Fevre)

Processing Complete

Taylor Regional Hospital

Processing Complete

Taylor Regional Hospital

Processing Complete

Taylor Regional Hospital

Processing Complete

Carey Counseling Center, Inc. - Camden

Processing Complete

Carey Counseling Center, Inc. - Huntingdon

Processing Complete

Carey Counseling Center, Inc. - Huntingdon

Processing Complete

Page 179: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14416 TN 97280 A 10/27/2010

14417 TN 97285 A 10/27/2010

14418 WI 89542 A 10/20/2009

14418 WI 96840 A

14418 WI 96841 A

14419 WI 96008 A 12/6/2010

14420 WI 96054 A 7/27/2010

14421 WI 96001 A 7/27/2010

14421 WI 96002 A 7/27/2010

14421 WI 96003 A 7/27/2010

14422 WI 89529 A 10/20/2009

Carey Counseling Center, Inc. - Trenton

Processing Complete

Carey Counseling Center, Inc. - Union City

Processing Complete

Marshfield Clinic - Menomonie Center

Processing Complete

Marshfield Clinic - Menomonie Center

Processing Complete

Marshfield Clinic - Menomonie Center

Processing Complete

Marshfield Clinic - Loyal Center

Processing Complete

Marshfield Clinic - Lakeland Counseling Center

Processing Complete

Marshfield Clinic - Lakewoods Family Center

Processing Complete

Marshfield Clinic - Lakewoods Family Center

Processing Complete

Marshfield Clinic - Lakewoods Family Center

Processing Complete

Marshfield Clinic - Lakeland Center (Minocqua)

Processing Complete

Page 180: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14422 WI 89530 A 2/8/2010

14422 WI 89531 A 2/8/2010

14422 WI 89817 A

14422 WI 89817 B

14422 WI 91699 A 7/27/2010

14422 WI 91928 A 2/4/2011

14422 WI 91942 A 3/1/2010

14422 WI 96277 A 12/6/2010

14422 WI 96775 A 12/6/2010

Marshfield Clinic - Lakeland Center (Minocqua)

Processing Complete

Marshfield Clinic - Lakeland Center (Minocqua)

Processing Complete

Marshfield Clinic - Lakeland Center (Minocqua)

Initial Review Complete

Marshfield Clinic - Lakeland Center (Minocqua)

Initial Review Complete

Marshfield Clinic - Lakeland Center (Minocqua)

Processing Complete

Marshfield Clinic - Lakeland Center (Minocqua)

Processing Complete

Marshfield Clinic - Lakeland Center (Minocqua)

Processing Complete

Marshfield Clinic - Lakeland Center (Minocqua)

Processing Complete

Marshfield Clinic - Lakeland Center (Minocqua)

Processing Complete

Page 181: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14423 WI 89532 A 11/30/2009

14424 WI 96007 A 12/6/2010

14424 WI 96055 A 7/27/2010

14425 WI 89533 A 10/20/2009

14425 WI 96203 A 8/30/2010

14425 WI 96205 A 12/6/2010

14426 WI 89534 A 2/10/2010

14426 WI 91943 A 3/2/2010

14426 WI 96476 A 12/6/2010

14427 WI 89747 A 10/20/2009

14427 WI 90167 A 6/29/2010

14427 WI 90168 A 7/6/2010

Marshfield Clinic - Lake Country Center (Chetek)

Processing Complete

Marshfield Clinic - Ladysmith Dental Center

Processing Complete

Marshfield Clinic - Ladysmith Dental Center

Processing Complete

Marshfield Clinic - Ladysmith Center

Processing Complete

Marshfield Clinic - Ladysmith Center

Processing Complete

Marshfield Clinic - Ladysmith Center

Processing Complete

Marshfield Clinic - Athens Center

Processing Complete

Marshfield Clinic - Athens Center

Processing Complete

Marshfield Clinic - Athens Center

Processing Complete

Marshfield Clinic - Colby/Abbotsford Center

Processing Complete

Marshfield Clinic - Colby/Abbotsford Center

Processing Complete

Marshfield Clinic - Colby/Abbotsford Center

Processing Complete

Page 182: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14427 WI 90169 A 6/29/2010

14427 WI 90172 A 6/29/2010

14427 WI 91931 A 5/24/2010

14428 WI 90170 A 6/29/2010

14428 WI 90171 A 6/29/2010

14429 WI 91930 A 5/24/2010

14429 WI 91932 A 5/24/2010

14429 WI 91941 A 5/24/2010

14430 WI 89769 A 2/8/2010

14430 WI 91724 A 2/23/2010

14430 WI 96197 A 7/15/2010

Marshfield Clinic - Colby/Abbotsford Center

Processing Complete

Marshfield Clinic - Colby/Abbotsford Center

Processing Complete

Marshfield Clinic - Colby/Abbotsford Center

Processing Complete

Marshfield Clinic - Eagle River Center

Processing Complete

Marshfield Clinic - Eagle River Center

Processing Complete

Marshfield Clinic - Greenwood Center

Processing Complete

Marshfield Clinic - Greenwood Center

Processing Complete

Marshfield Clinic - Greenwood Center

Processing Complete

Marshfield Clinic - Indianhead Center (Rice Lake)

Processing Complete

Marshfield Clinic - Indianhead Center (Rice Lake)

Processing Complete

Marshfield Clinic - Indianhead Center (Rice Lake)

Processing Complete

Page 183: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14430 WI 96209 A 7/15/2010

14430 WI 96215 A 7/15/2010

14431 WI 89752 A 2/8/2010

14431 WI 96010 A 7/27/2010

14431 WI 96012 A 12/6/2010

14433 WI 89750 A

14434 WI 89751 A 2/8/2010

14434 WI 96838 A

14435 WI 89783 A 5/24/2010

14435 WI 90173 A 6/29/2010

Marshfield Clinic - Indianhead Center (Rice Lake)

Processing Complete

Marshfield Clinic - Indianhead Center (Rice Lake)

Processing Complete

Marshfield Clinic - Wisconsin Rapids Center

Processing Complete

Marshfield Clinic - Wisconsin Rapids Center

Processing Complete

Marshfield Clinic - Wisconsin Rapids Center

Processing Complete

Marshfield Clinic - Thorp Center

Initial Review Complete

Marshfield Clinic - Stevens Point Oral Surgery Center

Processing Complete

Marshfield Clinic - Stevens Point Oral Surgery Center

Processing Complete

Marshfield Clinic - Stratford Center

Processing Complete

Marshfield Clinic - Stratford Center

Processing Complete

Page 184: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14436 WI 95238 A 6/29/2010

14436 WI 95239 A 6/29/2010

14438 WI 89819 A 3/1/2010

14438 WI 89819 B 3/1/2010

14439 WI 96278 A 12/6/2010

14439 WI 96789 A 7/27/2010

14439 WI 96791 A 2/4/2011

14440 WI 89770 A 8/25/2010

14440 WI 96165 A 8/25/2010

14440 WI 96171 A 12/6/2010

14441 WI 89757 A 5/28/2010

14441 WI 90174 A 7/6/2010

14442 WI 91929 A 5/24/2010

Marshfield Clinic - Spooner Center

Processing Complete

Marshfield Clinic - Spooner Center

Processing Complete

Marshfield Clinic - Radisson Center

Processing Complete

Marshfield Clinic - Radisson Center

Processing Complete

Marshfield Clinic - Phillips Center

Processing Complete

Marshfield Clinic - Phillips Center

Processing Complete

Marshfield Clinic - Phillips Center

Processing Complete

Marshfield Clinic - Park Falls Center

Processing Complete

Marshfield Clinic - Park Falls Center

Processing Complete

Marshfield Clinic - Park Falls Center

Processing Complete

Marshfield Clinic - Merrill Center

Processing Complete

Marshfield Clinic - Merrill Center

Processing Complete

Marshfield Clinic - Mercer Center

Processing Complete

Page 185: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14443 AK 92765 A 9/21/2010

14460 IL 91464 A 3/25/2010

14460 IL 91465 A 3/25/2010

14460 IL 91467 A 3/25/2010

14472 TX 92240 A 7/11/2010

14472 TX 92241 A 7/11/2010

14481 TX 92868 A 7/12/2010

14481 TX 92869 A 7/12/2010

14482 TX 91339 A 4/19/2010

14482 TX 92131 A 4/19/2010

14482 TX 92137 A 9/27/2010

14482 TX 92138 A

14482 TX 92139 A

14483 TX 88820 A 8/3/2010

14483 TX 94985 A 10/12/2010

Managed Care Office - Juneau

Processing Complete

St. Marys Hospital

Processing Complete

St. Marys Hospital

Processing Complete

St. Marys Hospital

Processing Complete

Atlanta Memorial Hospital

Processing Complete

Atlanta Memorial Hospital

Processing Complete

Pecos County Memorial Hospital

Processing Complete

Pecos County Memorial Hospital

Processing Complete

Permian Regional Medical Center

Processing Complete

Permian Regional Medical Center

Processing Complete

Permian Regional Medical Center

Processing Complete

Permian Regional Medical Center

Initial Review Complete

Permian Regional Medical Center

Initial Review Complete

Refugio County Memorial Hospital

Processing Complete

Refugio County Memorial Hospital

Processing Complete

Page 186: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14485 TX 90202 A 2/17/2010

14485 TX 90203 A 2/23/2010

14485 TX 90204 A 4/26/2010

14485 TX 90205 A 4/12/2010

14485 TX 90499 A 1/28/2010

14487 AK 90766 A 2/18/2010

14490 NE 91444 A 4/3/2010

14490 NE 91450 A 4/26/2010

14490 NE 91458 A 3/18/2010

14494 NE 92259 A 5/12/2010

14494 NE 92260 A 5/12/2010

14495 NE 92402 A 4/1/2010

Val Verde Regional Medical Center

Processing Complete

Val Verde Regional Medical Center

Processing Complete

Val Verde Regional Medical Center

Processing Complete

Val Verde Regional Medical Center

Processing Complete

Val Verde Regional Medical Center

Processing Complete

Lynn Canal Human Resources, Inc.

Processing Complete

South Heartland District Health

Processing Complete

South Heartland District Health

Processing Complete

South Heartland District Health

Processing Complete

Central District Health Department

Processing Complete

Central District Health Department

Processing Complete

Southeast District Health Department

Processing Complete

Page 187: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14495 NE 92674 A 4/20/2010

14503 NE 89034 A 2/18/2010

14503 NE 89035 A 2/18/2010

14507 CA 91312 A

14507 CA 91314 A 8/12/2010

14512 NE 87914 A 12/29/2009

14512 NE 87915 A 4/3/2010

14513 NE 88065 A 9/30/2010

14513 NE 94261 A 9/30/2010

14517 NE 91445 A 2/14/2010

Southeast District Health Department

Processing Complete

Loup Basin Public Health Department

Processing Complete

Loup Basin Public Health Department

Processing Complete

Tehachapi Valley Healthcare District

Initial Review Complete

Tehachapi Valley Healthcare District

Processing Complete

Two Rivers Public Health Department

Processing Complete

Two Rivers Public Health Department

Processing Complete

Elkhorn Logan Valley Public Health Department

Processing Complete

Elkhorn Logan Valley Public Health Department

Processing Complete

Oakland Memorial Hospital

Processing Complete

Page 188: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14518 NE 88343 A 1/7/2010

14519 NE 88344 A 1/7/2010

14519 NE 96151 A

14519 NE 96156 A 8/7/2010

14519 NE 99468 A 1/24/2011

14520 NE 87063 A 11/27/2009

14520 NE 88345 A 2/14/2010

14520 NE 88346 A 1/22/2010

14520 NE 91503 A 4/26/2010

14520 NE 91608 A 7/13/2010

14523 FL 90267 A 2/8/2010

14523 FL 91359 A 2/8/2010

14524 FL 90445 A 2/8/2010

14524 FL 91360 A 2/8/2010

14525 OH 86521 A 5/19/2011

14525 OH 86522 A 5/19/2011

Providence Medical Center

Processing Complete

St. Francis Memorial Hospital

Processing Complete

St. Francis Memorial Hospital

Initial Review Complete

St. Francis Memorial Hospital

Processing Complete

St. Francis Memorial Hospital

Processing Complete

Saunders Medical Center

Processing Complete

Saunders Medical Center

Processing Complete

Saunders Medical Center

Processing Complete

Saunders Medical Center

Processing Complete

Saunders Medical Center

Processing Complete

Eastpoint Medical Center

Processing Complete

Eastpoint Medical Center

Processing Complete

Taylor Dental Center

Processing Complete

Taylor Dental Center

Processing Complete

Memorial Hospital of Union County

Processing Complete

Memorial Hospital of Union County

Processing Complete

Page 189: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14525 OH 86539 A 5/19/2011

14526 NE 87917 A 11/1/2009

14526 NE 88060 A 2/12/2010

14528 NE 86545 A 2/14/2010

14529 NE 91446 A 2/14/2010

14530 NE 88347 A 2/12/2010

14531 MN 90138 A 1/21/2010

14534 MT 91254 A 3/25/2010

14535 KS 90340 A 1/28/2010

14538 NE 91434 A 2/12/2010

14539 NE 87918 A 12/29/2009

14546 MI 97056 A 10/18/2010

14546 MI 97070 A 10/4/2010

Memorial Hospital of Union County

Processing Complete

Panhandle Public Health District

Processing Complete

Panhandle Public Health District

Processing Complete

North Central District Health Department

Processing Complete

Fremont Area Medical Center

Processing Complete

Alegent Health Memorial Hospital

Processing Complete

Altru Clinic - Erskine

Processing Complete

Dahl Memorial Healthcare

Processing Complete

Family Practice Associates - Hoyt Clinic

Processing Complete

Genoa Community Hospital

Processing Complete

Northeast Nebraska Public Health Department

Processing Complete

Family Health Care - Grant

Processing Complete

Family Health Care - Grant

Processing Complete

Page 190: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14546 MI 97074 A 10/12/2010

14551 MI 96966 A 10/18/2010

14551 MI 96975 A 10/4/2010

14551 MI 96989 A 10/4/2010

14558 NE 87494 A 2/18/2010

14560 NH 93781 A 7/12/2010

14560 NH 95867 A 9/14/2010

14583 GA 88759 A 8/4/2010

14583 GA 88760 A 12/21/2009

14583 GA 90240 A 2/16/2010

14583 GA 90241 A 2/1/2010

14583 GA 94661 A 8/4/2010

14584 GA 88877 A 12/14/2009

14584 GA 88878 A 1/28/2010

14584 GA 90277 A 12/14/2009

14584 GA 90278 A 12/21/2009

Family Health Care - Grant

Processing Complete

Family Health Care - Wilcox

Processing Complete

Family Health Care - Wilcox

Processing Complete

Family Health Care - Wilcox

Processing Complete

Clay County Health Department

Processing Complete

Littleton Regional Hospital

Processing Complete

Littleton Regional Hospital

Processing Complete

Charlton Memorial Hospital

Processing Complete

Charlton Memorial Hospital

Processing Complete

Charlton Memorial Hospital

Processing Complete

Charlton Memorial Hospital

Processing Complete

Charlton Memorial Hospital

Processing Complete

Evans Memorial Hospital

Processing Complete

Evans Memorial Hospital

Processing Complete

Evans Memorial Hospital

Processing Complete

Evans Memorial Hospital

Processing Complete

Page 191: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14584 GA 90279 A 12/14/2009

14586 GA 89255 A 12/7/2009

14586 GA 89256 A 12/7/2009

14586 GA 89257 A 12/7/2009

14586 GA 89259 A 12/28/2009

14586 GA 95456 A 8/2/2010

14587 GA 88796 A 1/26/2010

14587 GA 90380 A 1/28/2010

14587 GA 90381 A 2/10/2010

14587 GA 90381 B 2/10/2010

14588 GA 89421 A 2/26/2010

14588 GA 89422 A 2/26/2010

14588 GA 89423 A 2/26/2010

14588 GA 89424 A 2/26/2010

14588 GA 89425 A 2/26/2010

14588 GA 89427 A 2/26/2010

14588 GA 91197 A 2/26/2010

Evans Memorial Hospital

Processing Complete

Jasper Memorial Hospital

Processing Complete

Jasper Memorial Hospital

Processing Complete

Jasper Memorial Hospital

Processing Complete

Jasper Memorial Hospital

Processing Complete

Jasper Memorial Hospital

Processing Complete

Meriwether Hospital - Baptist

Processing Complete

Meriwether Hospital - Baptist

Processing Complete

Meriwether Hospital - Baptist

Processing Complete

Meriwether Hospital - Baptist

Processing Complete

Miller County Hospital

Processing Complete

Miller County Hospital

Processing Complete

Miller County Hospital

Processing Complete

Miller County Hospital

Processing Complete

Miller County Hospital

Processing Complete

Miller County Hospital

Processing Complete

Miller County Hospital

Processing Complete

Page 192: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14590 GA 89433 A 2/17/2010

14590 GA 89434 A 4/19/2010

14590 GA 89435 A 2/16/2010

14590 GA 89436 A 4/5/2010

14590 GA 89438 A 4/5/2010

14590 GA 89439 A 3/15/2010

14590 GA 91744 A 4/5/2010

14590 GA 91933 A 3/15/2010

14594 MN 93282 A 6/7/2010

14594 MN 93283 A 6/7/2010

14599 TX 96089 A 9/19/2010

14599 TX 96094 A 9/19/2010

14600 SD 88180 A 10/27/2009

14600 SD 88181 A 10/27/2009

14600 SD 88184 A 10/27/2009

14601 GA 89300 A 12/23/2009

14618 WI 92331 A 5/6/2010

Putnam General Hospital

Processing Complete

Putnam General Hospital

Processing Complete

Putnam General Hospital

Processing Complete

Putnam General Hospital

Processing Complete

Putnam General Hospital

Processing Complete

Putnam General Hospital

Processing Complete

Putnam General Hospital

Processing Complete

Putnam General Hospital

Processing Complete

Kanabec County Public Health

Processing Complete

Kanabec County Public Health

Processing Complete

Ward Memorial Hospital

Processing Complete

Ward Memorial Hospital

Processing Complete

Fall River Health Services

Processing Complete

Fall River Health Services

Processing Complete

Fall River Health Services

Processing Complete

Coffee County Health Department

Processing Complete

Good Samaritan Hospital

Processing Complete

Page 193: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14618 WI 92964 A 5/6/2010

14627 MN 91426 A 4/5/2010

14627 MN 93324 A 11/9/2010

14658 MO 90524 A 1/15/2010

14658 MO 90525 A 1/15/2010

14680 MI 91958 A 3/28/2011

14684 MI 91962 A 3/28/2011

14685 MI 91964 A 3/28/2011

14702 MN 87232 A 11/30/2009

14703 AK 95937 A 5/31/2011

14703 AK 95938 A 5/31/2011

14709 CO 88823 A 11/19/2009

14709 CO 88824 A 11/19/2009

14710 ND 95908 A 10/28/2010

Good Samaritan Hospital

Processing Complete

Longville Lakes Clinic

Processing Complete

Longville Lakes Clinic

Processing Complete

Ellett Memorial Hospital

Processing Complete

Ellett Memorial Hospital

Processing Complete

Copper Country CMHSP - Calumet

Processing Complete

Copper Country CMHSP - L Anse

Processing Complete

Copper Country CMHSP - Ontonagon

Processing Complete

Western Mental Health Center - Marshall

Processing Complete

Adult MH and SA Outpatient Services

Processing Complete

Adult MH and SA Outpatient Services

Processing Complete

Lake City Area Medical Center

Processing Complete

Lake City Area Medical Center

Processing Complete

Scranton Clinic - West River Health Clinic

Processing Complete

Page 194: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14714 TX 94281 A 7/12/2010

14714 TX 94282 A 7/12/2010

14714 TX 94283 A 7/12/2010

14715 MN 92087 A 2/14/2011

14715 MN 92088 A 2/14/2011

14715 MN 92089 A 2/14/2011

14715 MN 94737 A 2/14/2011

14715 MN 94900 A 2/14/2011

14719 GA 86636 A 6/15/2010

14720 ME 93494 A 10/19/2011

14720 ME 93550 A 10/19/2011

14720 ME 93571 A 10/19/2011

14720 ME 93622 A 10/5/2010

14730 WI 96009 A 12/6/2010

Moore County Hospital District

Processing Complete

Moore County Hospital District

Processing Complete

Moore County Hospital District

Processing Complete

Rivers Edge Hospital & Clinic

Processing Complete

Rivers Edge Hospital & Clinic

Processing Complete

Rivers Edge Hospital & Clinic

Processing Complete

Rivers Edge Hospital & Clinic

Processing Complete

Rivers Edge Hospital & Clinic

Processing Complete

Long County Health Department

Processing Complete

Katahdin Valley Health Center

Processing Complete

Katahdin Valley Health Center

Processing Complete

Katahdin Valley Health Center

Processing Complete

Katahdin Valley Health Center

Processing Complete

Marshfield Clinic - Riverview

Processing Complete

Page 195: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14731 VA 94989 A 6/17/2010

14744 MN 91215 A 2/3/2010

14744 MN 91216 A 2/3/2010

14745 TN 92909 A 4/26/2010

14760 AK 90765 A 2/5/2010

14761 AK 92012 A 7/8/2010

14761 AK 93175 A 7/8/2010

14761 AK 93986 A 6/18/2010

14771 VT 95098 A 9/13/2010

14807 OH 90840 A 3/30/2010

14808 OH 90729 A 3/2/2010

14809 AZ 87659 A 10/27/2009

Pediatric Care Center

Processing Complete

Littlefork Medical Center

Processing Complete

Littlefork Medical Center

Processing Complete

Mountain Peoples Health - Oneida

Processing Complete

Lynn Canal Human Resources, Inc. dba Lynn Canal Counseling Services

Processing Complete

Cross Road Medical Center

Processing Complete

Cross Road Medical Center

Processing Complete

Cross Road Medical Center

Processing Complete

Gifford Medical Center

Processing Complete

HealthSource Hillsboro Health Center

Processing Complete

HealthSource - Washington Court House Family Health Center

Processing Complete

La Paz Regional Hospital

Processing Complete

Page 196: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14809 AZ 87661 A 10/27/2009

14809 AZ 87664 A 10/27/2009

14809 AZ 87668 A 10/27/2009

14809 AZ 89125 A 10/27/2009

14810 NE 88059 A 12/29/2009

14813 WI 88724 A 5/13/2010

14813 WI 93647 A 5/28/2010

14813 WI 93648 A 5/28/2010

14819 NH 95401 A 10/26/2010

14824 KS 92938 A 7/12/2010

14824 KS 96245 A 9/19/2010

14843 IA 93804 A 11/9/2010

14843 IA 95612 A 10/31/2010

La Paz Regional Hospital

Processing Complete

La Paz Regional Hospital

Processing Complete

La Paz Regional Hospital

Processing Complete

La Paz Regional Hospital

Processing Complete

East Central District Health Department

Processing Complete

CHN Medical Group Eastridge

Processing Complete

CHN Medical Group Eastridge

Processing Complete

CHN Medical Group Eastridge

Processing Complete

Northern Human Services-Washington St

Processing Complete

Nemaha Valley Community Hospital

Processing Complete

Nemaha Valley Community Hospital

Processing Complete

Gundersen Lutheran - Calmar Clinic

Processing Complete

Gundersen Lutheran - Calmar Clinic

Processing Complete

Page 197: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14844 IA 94180 A 10/7/2010

14844 IA 95025 A 10/31/2010

14844 IA 95611 A 10/7/2010

14845 IA 93812 A 9/27/2010

14846 IA 94237 A 9/6/2010

14847 IA 94238 A 10/31/2010

14847 IA 95028 A 10/31/2010

14848 MN 94181 A 9/6/2010

14849 MN 94183 A 10/31/2010

14849 MN 94184 A 10/31/2010

Gundersen Lutheran - Decorah Clinic

Processing Complete

Gundersen Lutheran - Decorah Clinic

Processing Complete

Gundersen Lutheran - Decorah Clinic

Processing Complete

Miller - Gundersen Lutheran Clinic

Processing Complete

Gundersen Lutheran - Waukon Clinic

Processing Complete

Gundersen Lutheran - West Union Clinic

Processing Complete

Gundersen Lutheran - West Union Clinic

Processing Complete

Gundersen Lutheran - Harmony Clinic

Processing Complete

Gundersen Lutheran - Sports Medicine Clinic

Processing Complete

Gundersen Lutheran - Sports Medicine Clinic

Processing Complete

Page 198: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14849 MN 94185 A 10/31/2010

14850 WI 93802 A 9/6/2010

14852 WI 93807 A 9/6/2010

14852 WI 93808 A 9/6/2010

14853 WI 93809 A 9/6/2010

14853 WI 94182 A 9/6/2010

14854 WI 94234 A 10/31/2010

14854 WI 95026 A 10/31/2010

14855 WI 94215 A 9/6/2010

14855 WI 94216 A 9/6/2010

Gundersen Lutheran - Sports Medicine Clinic

Processing Complete

Gundersen Lutheran - Blair Clinic

Processing Complete

Gundersen Lutheran - Hillsboro Clinic

Processing Complete

Gundersen Lutheran - Hillsboro Clinic

Processing Complete

Gundersen Lutheran - Independence Clinic

Processing Complete

Gundersen Lutheran - Independence Clinic

Processing Complete

Gundersen Lutheran - Prairie du Chien Clinic

Processing Complete

Gundersen Lutheran - Prairie du Chien Clinic

Processing Complete

Gundersen Lutheran - Tomah Clinic

Processing Complete

Gundersen Lutheran - Tomah Clinic

Processing Complete

Page 199: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14855 WI 95031 A 10/31/2010

14855 WI 95057 A 10/31/2010

14855 WI 95058 A 10/31/2010

14856 WI 94217 A 10/31/2010

14856 WI 94236 A 10/31/2010

14856 WI 95027 A 10/7/2010

14857 WI 94218 A 9/6/2010

14857 WI 94219 A 9/6/2010

14857 WI 95059 A 10/31/2010

14858 WI 94220 A 9/27/2010

14862 MA 89856 A 11/30/2009

14862 MA 89857 A 11/30/2009

Gundersen Lutheran - Tomah Clinic

Processing Complete

Gundersen Lutheran - Tomah Clinic

Processing Complete

Gundersen Lutheran - Tomah Clinic

Processing Complete

Gundersen Lutheran - Viroqua Clinic

Processing Complete

Gundersen Lutheran - Viroqua Clinic

Processing Complete

Gundersen Lutheran - Viroqua Clinic

Processing Complete

Gundersen Lutheran - Whitehall Clinic

Processing Complete

Gundersen Lutheran - Whitehall Clinic

Processing Complete

Gundersen Lutheran - Whitehall Clinic

Processing Complete

Gundersen Lutheran - Wonewoc Clinic

Processing Complete

Fairview Hospital

Processing Complete

Fairview Hospital

Processing Complete

Page 200: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14862 MA 89858 A 1/14/2010

14862 MA 89859 A 11/30/2009

14862 MA 95762 A 7/16/2010

14862 MA 95763 A 7/16/2010

14862 MA 95764 A 7/16/2010

14885 TX 92474 A 7/13/2010

14885 TX 92475 A 7/12/2010

14890 WV 91586 A 2/22/2010

14890 WV 91587 A 2/22/2010

14890 WV 91588 A 5/3/2010

14890 WV 91589 A 5/3/2010

14890 WV 91590 A

14890 WV 91591 A 4/5/2010

14903 NE 88061 A 2/25/2010

14903 NE 88063 A 11/27/2009

Fairview Hospital

Processing Complete

Fairview Hospital

Processing Complete

Fairview Hospital

Processing Complete

Fairview Hospital

Processing Complete

Fairview Hospital

Processing Complete

Graham Regional Medical Center

Processing Complete

Graham Regional Medical Center

Processing Complete

St. Josephs Hospital

Processing Complete

St. Josephs Hospital

Processing Complete

St. Josephs Hospital

Processing Complete

St. Josephs Hospital

Processing Complete

St. Josephs Hospital

Initial Review Complete

St. Josephs Hospital

Processing Complete

Southwest Nebraska Public Health Department

Processing Complete

Southwest Nebraska Public Health Department

Processing Complete

Page 201: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14903 NE 96110 A 9/30/2010

14910 IA 89304 A 12/1/2009

14910 IA 89308 A 12/1/2009

14912 GU 92092 A

14912 GU 92093 A 6/6/2010

14912 GU 92126 A

14912 GU 92127 A

14912 GU 92154 A

14912 GU 92155 A

14912 GU 92156 A

14912 GU 92533 A

14912 GU 92534 A 6/6/2010

14912 GU 92535 A

14912 GU 92536 A

14912 GU 92709 A

14912 GU 93177 A 6/6/2010

Southwest Nebraska Public Health Department

Processing Complete

Greene County Medical Center

Processing Complete

Greene County Medical Center

Processing Complete

Guam Memorial Hospital

Processing Complete

Guam Memorial Hospital

Processing Complete

Guam Memorial Hospital

Initial Review Complete

Guam Memorial Hospital

Initial Review Complete

Guam Memorial Hospital

Initial Review Complete

Guam Memorial Hospital

Initial Review Complete

Guam Memorial Hospital

Initial Review Complete

Guam Memorial Hospital

Initial Review Complete

Guam Memorial Hospital

Processing Complete

Guam Memorial Hospital

Processing Complete

Guam Memorial Hospital

Processing Complete

Guam Memorial Hospital

Processing Complete

Guam Memorial Hospital

Processing Complete

Page 202: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14918 VA 94856 A 7/1/2010

14918 VA 94860 A 12/16/2010

14918 VA 95308 A

14920 TN 89708 A 10/16/2009

14921 VA 89709 A 10/16/2009

14927 WI 91823 A 7/12/2010

14927 WI 91826 A 7/12/2010

14927 WI 91827 A 7/12/2010

14927 WI 91828 A 7/12/2010

14927 WI 91829 A 7/12/2010

14927 WI 91830 A 7/12/2010

14927 WI 91839 A 7/12/2010

14927 WI 91841 A 7/12/2010

14927 WI 91842 A 7/12/2010

Halifax Regional Hospital

Processing Complete

Halifax Regional Hospital

Processing Complete

Halifax Regional Hospital

Processing Complete

Erwin Mental Health Center

Processing Complete

Developmental Services, Inc.

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Page 203: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14927 WI 91843 A 7/12/2010

14927 WI 91844 A 7/12/2010

14927 WI 91845 A 7/12/2010

14927 WI 91847 A 7/12/2010

14927 WI 91849 A 7/12/2010

14927 WI 91851 A 7/12/2010

14927 WI 91855 A 7/12/2010

14927 WI 91858 A 7/12/2010

14927 WI 92140 A 9/27/2010

14927 WI 92286 A 10/11/2010

14927 WI 92290 A 12/7/2010

14927 WI 94603 A 9/15/2010

14927 WI 94607 A 9/15/2010

14927 WI 94610 A 9/15/2010

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Page 204: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14927 WI 94645 A 9/15/2010

14927 WI 94650 A 9/15/2010

14927 WI 94766 A 9/15/2010

14927 WI 94767 A 9/15/2010

14927 WI 94801 A

14927 WI 94802 A 8/9/2010

14927 WI 94803 A 8/9/2010

14927 WI 94804 A 10/11/2010

14927 WI 94805 A 8/9/2010

14927 WI 94838 A 8/9/2010

14927 WI 94839 A 8/9/2010

14927 WI 94842 A 8/9/2010

14927 WI 95954 A 10/11/2010

14927 WI 95962 A 10/4/2010

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Initial Review Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Memorial Hospital

Processing Complete

Page 205: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14927 WI 95962 B 10/4/2010

14928 WI 92147 A 7/12/2010

14928 WI 92148 A

14928 WI 92149 A 9/17/2010

14928 WI 92163 A 7/12/2010

14928 WI 94656 A 9/15/2010

14928 WI 94768 A 9/15/2010

14928 WI 94769 A 7/12/2010

14930 WI 92165 A 7/12/2010

14932 WI 92166 A 7/12/2010

Holy Family - Memorial Hospital

Processing Complete

Holy Family - Reed Ave Campus Clinic

Processing Complete

Holy Family - Reed Ave Campus Clinic

Processing Complete

Holy Family - Reed Ave Campus Clinic

Processing Complete

Holy Family - Reed Ave Campus Clinic

Processing Complete

Holy Family - Reed Ave Campus Clinic

Processing Complete

Holy Family - Reed Ave Campus Clinic

Processing Complete

Holy Family - Reed Ave Campus Clinic

Processing Complete

Holy Family - Lakeshore Pediatrics Clinic

Processing Complete

Holy Family - Manitowoc Family Practice Clinic

Processing Complete

Page 206: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14932 WI 92167 A 7/12/2010

14932 WI 92169 A 7/12/2010

14932 WI 94664 A 9/15/2010

14932 WI 94665 A 9/15/2010

14933 WI 92304 A 7/12/2010

14933 WI 94668 A 9/15/2010

14933 WI 94672 A 9/15/2010

14933 WI 94676 A 7/12/2010

14933 WI 94677 A 9/15/2010

14933 WI 94679 A 9/15/2010

14933 WI 94773 A 7/12/2010

Holy Family - Manitowoc Family Practice Clinic

Processing Complete

Holy Family - Manitowoc Family Practice Clinic

Processing Complete

Holy Family - Manitowoc Family Practice Clinic

Processing Complete

Holy Family - Manitowoc Family Practice Clinic

Processing Complete

Holy Family - Lakeshore Women

Processing Complete

Holy Family - Lakeshore Women

Processing Complete

Holy Family - Lakeshore Women

Processing Complete

Holy Family - Lakeshore Women

Processing Complete

Holy Family - Lakeshore Women

Processing Complete

Holy Family - Lakeshore Women

Processing Complete

Holy Family - Lakeshore Women

Processing Complete

Page 207: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14935 WI 92313 A 7/12/2010

14935 WI 94738 A 9/15/2010

14935 WI 94740 A 9/15/2010

14935 WI 94741 A 9/15/2010

14937 WI 92314 A 7/12/2010

14937 WI 92315 A 7/12/2010

14937 WI 94742 A 9/15/2010

14937 WI 94743 A 9/15/2010

14937 WI 94748 A 7/12/2010

14939 WI 94751 A 7/12/2010

14939 WI 94806 A 7/12/2010

Holy Family - Rehab Plus Clinic

Processing Complete

Holy Family - Rehab Plus Clinic

Processing Complete

Holy Family - Rehab Plus Clinic

Processing Complete

Holy Family - Rehab Plus Clinic

Processing Complete

Holy Family - Woodland Clinic

Processing Complete

Holy Family - Woodland Clinic

Processing Complete

Holy Family - Woodland Clinic

Processing Complete

Holy Family - Woodland Clinic

Processing Complete

Holy Family - Woodland Clinic

Processing Complete

Holy Family - Two Rivers Clinic

Processing Complete

Holy Family - Two Rivers Clinic

Processing Complete

Page 208: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14949 NE 91457 A 3/18/2010

14957 KS 90342 A 2/16/2010

14958 WI 89749 A 2/8/2010

14958 WI 96223 A 12/6/2010

14959 VA 89711 A 10/16/2009

14963 NE 88064 A 12/29/2009

15004 WI 94464 A 7/6/2010

15004 WI 94465 A 7/6/2010

15006 WI 94486 A 8/30/2010

15006 WI 94500 A 8/30/2010

15006 WI 94501 A 7/14/2010

Memorial Community Hospital and Health System

Processing Complete

Family Practice Associates - Holton Clinic

Processing Complete

Marshfield Clinic - Cadott

Processing Complete

Marshfield Clinic - Cadott

Processing Complete

Scott County Mental Health Center

Processing Complete

Scotts Bluff County Health Department

Processing Complete

Aurora Health Center - Hartford

Processing Complete

Aurora Health Center - Hartford

Processing Complete

Aurora Health Center - Port Washington

Processing Complete

Aurora Health Center - Port Washington

Processing Complete

Aurora Health Center - Port Washington

Processing Complete

Page 209: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15007 WI 94502 A 8/30/2010

15007 WI 94503 A 7/20/2010

15007 WI 94606 A 7/14/2010

15007 WI 94608 A 7/14/2010

15007 WI 94609 A 7/14/2010

15007 WI 94611 A 7/20/2010

15008 WI 93349 A 7/14/2010

15008 WI 93351 A 7/14/2010

15008 WI 93352 A 7/14/2010

15008 WI 93353 A 7/28/2010

15008 WI 94520 A 8/30/2010

15008 WI 94521 A 9/30/2010

15008 WI 94521 B 9/30/2010

15010 WI 94526 A 7/14/2010

Aurora Health Center - Pulaski

Processing Complete

Aurora Health Center - Pulaski

Processing Complete

Aurora Health Center - Pulaski

Processing Complete

Aurora Health Center - Pulaski

Processing Complete

Aurora Health Center - Pulaski

Processing Complete

Aurora Health Center - Pulaski

Processing Complete

Aurora Health Center - Slinger

Processing Complete

Aurora Health Center - Slinger

Processing Complete

Aurora Health Center - Slinger

Processing Complete

Aurora Health Center - Slinger

Processing Complete

Aurora Health Center - Slinger

Processing Complete

Aurora Health Center - Slinger

Processing Complete

Aurora Health Center - Slinger

Processing Complete

Aurora Health Center - Waterford

Processing Complete

Page 210: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15010 WI 94527 A 10/7/2010

15010 WI 94529 A 8/30/2010

15010 WI 95884 A 8/30/2010

15011 WI 94534 A 7/14/2010

15011 WI 94535 A 8/30/2010

15011 WI 94537 A 8/31/2010

15011 WI 94538 A 8/31/2010

15011 WI 94540 A 8/31/2010

15011 WI 94541 A 8/31/2010

15011 WI 94542 A 8/31/2010

15011 WI 94544 A 8/31/2010

15012 WI 93359 A 7/14/2010

15012 WI 93361 A 7/14/2010

15012 WI 93363 A 7/14/2010

Aurora Health Center - Waterford

Processing Complete

Aurora Health Center - Waterford

Processing Complete

Aurora Health Center - Waterford

Processing Complete

Aurora Medical Center - Hartford

Processing Complete

Aurora Medical Center - Hartford

Processing Complete

Aurora Medical Center - Hartford

Processing Complete

Aurora Medical Center - Hartford

Processing Complete

Aurora Medical Center - Hartford

Processing Complete

Aurora Medical Center - Hartford

Processing Complete

Aurora Medical Center - Hartford

Processing Complete

Aurora Medical Center - Hartford

Processing Complete

Aurora Medical Group - Belgium

Processing Complete

Aurora Medical Group - Belgium

Processing Complete

Aurora Medical Group - Belgium

Processing Complete

Page 211: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15012 WI 93366 A 7/14/2010

15012 WI 93368 A 7/14/2010

15012 WI 94550 A 8/31/2010

15013 WI 94552 A 7/14/2010

15013 WI 96289 A 8/31/2010

15013 WI 96290 A 8/31/2010

15015 WI 93443 A 7/14/2010

15015 WI 93444 A 7/14/2010

15015 WI 93445 A 7/14/2010

15015 WI 94556 A 10/14/2010

15015 WI 94556 B 10/14/2010

15016 WI 93450 A 7/14/2010

Aurora Medical Group - Belgium

Processing Complete

Aurora Medical Group - Belgium

Processing Complete

Aurora Medical Group - Belgium

Processing Complete

Aurora Rehabilitation Center

Processing Complete

Aurora Rehabilitation Center

Processing Complete

Aurora Rehabilitation Center

Processing Complete

Aurora Sheboygan Clinic - Cedar Grove

Processing Complete

Aurora Sheboygan Clinic - Cedar Grove

Processing Complete

Aurora Sheboygan Clinic - Cedar Grove

Processing Complete

Aurora Sheboygan Clinic - Cedar Grove

Processing Complete

Aurora Sheboygan Clinic - Cedar Grove

Processing Complete

Aurora Sheboygan Clinic - Plymouth

Processing Complete

Page 212: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15016 WI 93451 A 7/14/2010

15016 WI 93452 A 7/14/2010

15016 WI 93453 A 7/14/2010

15016 WI 93454 A 7/14/2010

15016 WI 93455 A 7/14/2010

15016 WI 93456 A 7/14/2010

15016 WI 94557 A 8/31/2010

15016 WI 94559 A 8/31/2010

15016 WI 94987 A 7/20/2010

15017 WI 93470 A 7/14/2010

15017 WI 94577 A 10/14/2010

15017 WI 94577 B 10/14/2010

15017 WI 94604 A 10/19/2010

Aurora Sheboygan Clinic - Plymouth

Processing Complete

Aurora Sheboygan Clinic - Plymouth

Processing Complete

Aurora Sheboygan Clinic - Plymouth

Processing Complete

Aurora Sheboygan Clinic - Plymouth

Processing Complete

Aurora Sheboygan Clinic - Plymouth

Processing Complete

Aurora Sheboygan Clinic - Plymouth

Processing Complete

Aurora Sheboygan Clinic - Plymouth

Processing Complete

Aurora Sheboygan Clinic - Plymouth

Processing Complete

Aurora Sheboygan Clinic - Plymouth

Processing Complete

Aurora Sheboygan Clinic - Random Lake

Processing Complete

Aurora Sheboygan Clinic - Random Lake

Processing Complete

Aurora Sheboygan Clinic - Random Lake

Processing Complete

Aurora Sheboygan Clinic - Random Lake

Processing Complete

Page 213: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15017 WI 94604 B 10/19/2010

15018 WI 93472 A 7/14/2010

15018 WI 93478 A 7/14/2010

15018 WI 93479 A 7/14/2010

15018 WI 93480 A 7/14/2010

15018 WI 93481 A 7/14/2010

15018 WI 93482 A 7/14/2010

15018 WI 93483 A 7/20/2010

15018 WI 94582 A 10/7/2010

15018 WI 94582 B 10/7/2010

15018 WI 94583 A 10/7/2010

Aurora Sheboygan Clinic - Random Lake

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Page 214: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15018 WI 94583 B 10/7/2010

15018 WI 94649 A

15018 WI 94649 B

15018 WI 97048 A 10/14/2010

15018 WI 97048 B 10/14/2010

15018 WI 97059 A 9/21/2010

15019 WI 94585 A 8/31/2010

15021 WI 96755 A 9/17/2010

15023 WI 95786 A 9/17/2010

15023 WI 95789 A 9/17/2010

15023 WI 95791 A 9/17/2010

15042 IL 95142 A 11/3/2011

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Initial Review Complete

Aurora Valley View - Urgent Care

Initial Review Complete

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Aurora Valley View - Urgent Care

Processing Complete

Behavioral Health Services

Processing Complete

Fort HealthCare - Bates Clinic

Processing Complete

Fort HealthCare - Cambridge Clinic

Processing Complete

Fort HealthCare - Cambridge Clinic

Processing Complete

Fort HealthCare - Cambridge Clinic

Processing Complete

Pana Community Hospital

Processing Complete

Page 215: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15042 IL 95144 A 11/3/2011

15042 IL 95145 A 11/3/2011

15070 OH 95302 A 7/22/2010

15070 OH 95302 B 7/22/2010

15073 OH 95303 A 7/22/2010

15077 WI 92335 A 7/15/2010

15078 WI 92336 A 5/6/2010

15093 WI 92337 A 5/13/2010

15093 WI 93859 A 7/22/2010

15094 WI 92338 A 4/15/2010

15094 WI 92339 A 4/15/2010

15094 WI 93030 A 4/15/2010

15102 WI 89748 A 2/8/2010

15102 WI 96275 A 7/15/2010

15132 LA 90905 A 1/28/2010

Pana Community Hospital

Processing Complete

Pana Community Hospital

Processing Complete

Metamora Family Practice

Processing Complete

Metamora Family Practice

Processing Complete

ProMedica Health Center - Swanton Physical Therapy

Processing Complete

Laona Clinic

Processing Complete

Our Lady of Victory Hospital

Processing Complete

Calumet Medical Center

Processing Complete

Calumet Medical Center

Processing Complete

Sacred Heart Hospital

Processing Complete

Sacred Heart Hospital

Processing Complete

Sacred Heart Hospital

Processing Complete

Marshfield Clinic - Owen Dental Clinic

Processing Complete

Marshfield Clinic - Owen Dental Clinic

Processing Complete

St. Helena Community Health Center

Processing Complete

Page 216: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15132 LA 90906 A 1/28/2010

15132 LA 90907 A 1/28/2010

15132 LA 90931 A 2/16/2010

15138 WI 94595 A 8/5/2010

15138 WI 94599 A 8/5/2010

15138 WI 94600 A 7/15/2010

15138 WI 94601 A 8/31/2010

15139 WI 92974 A 4/29/2010

15139 WI 92977 A 4/29/2010

15139 WI 92978 A 7/15/2010

15139 WI 92979 A 7/15/2010

15139 WI 94675 A 8/31/2010

St. Helena Community Health Center

Processing Complete

St. Helena Community Health Center

Processing Complete

St. Helena Community Health Center

Processing Complete

Aurora Health Care - Winneconne

Processing Complete

Aurora Health Care - Winneconne

Processing Complete

Aurora Health Care - Winneconne

Processing Complete

Aurora Health Care - Winneconne

Processing Complete

Aurora Health Center - Fremont

Processing Complete

Aurora Health Center - Fremont

Processing Complete

Aurora Health Center - Fremont

Processing Complete

Aurora Health Center - Fremont

Processing Complete

Aurora Health Center - Fremont

Processing Complete

Page 217: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15140 WI 93005 A 7/15/2010

15140 WI 93006 A 7/15/2010

15140 WI 93007 A 7/15/2010

15140 WI 93011 A 7/15/2010

15140 WI 93012 A 7/15/2010

15140 WI 94678 A 8/31/2010

15141 WI 93512 A 7/15/2010

15141 WI 93513 A 7/15/2010

15141 WI 93514 A 7/15/2010

15141 WI 93515 A 7/15/2010

15141 WI 94683 A 7/15/2010

15141 WI 94684 A 8/31/2010

15141 WI 94686 A 9/9/2010

15141 WI 94686 B 9/9/2010

Aurora Health Care - Seymour

Processing Complete

Aurora Health Care - Seymour

Processing Complete

Aurora Health Care - Seymour

Processing Complete

Aurora Health Care - Seymour

Processing Complete

Aurora Health Care - Seymour

Processing Complete

Aurora Health Care - Seymour

Processing Complete

Aurora Sheboygan Clinic - Kiel

Processing Complete

Aurora Sheboygan Clinic - Kiel

Processing Complete

Aurora Sheboygan Clinic - Kiel

Processing Complete

Aurora Sheboygan Clinic - Kiel

Processing Complete

Aurora Sheboygan Clinic - Kiel

Processing Complete

Aurora Sheboygan Clinic - Kiel

Processing Complete

Aurora Sheboygan Clinic - Kiel

Processing Complete

Aurora Sheboygan Clinic - Kiel

Processing Complete

Page 218: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15142 WI 94715 A 8/31/2010

15142 WI 94716 A 8/31/2010

15142 WI 94717 A

15142 WI 94718 A 8/31/2010

15142 WI 94719 A

15142 WI 94720 A 8/31/2010

15142 WI 94722 A 7/16/2010

15142 WI 94723 A 7/16/2010

15142 WI 94724 A 7/28/2010

15142 WI 94725 A 7/20/2010

15142 WI 94726 A 8/31/2010

Memorial Hospital of Burlington

Processing Complete

Memorial Hospital of Burlington

Processing Complete

Memorial Hospital of Burlington

Initial Review Complete

Memorial Hospital of Burlington

Processing Complete

Memorial Hospital of Burlington

Initial Review Complete

Memorial Hospital of Burlington

Processing Complete

Memorial Hospital of Burlington

Processing Complete

Memorial Hospital of Burlington

Processing Complete

Memorial Hospital of Burlington

Processing Complete

Memorial Hospital of Burlington

Processing Complete

Memorial Hospital of Burlington

Processing Complete

Page 219: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15142 WI 94727 A 9/9/2010

15142 WI 94728 A 7/20/2010

15142 WI 94729 A 8/31/2010

15142 WI 95936 A 8/31/2010

15164 NC 89218 A 2/10/2010

15164 NC 89220 A 2/10/2010

15164 NC 89222 A 2/17/2010

15164 NC 89223 A 2/16/2010

15165 NC 95115 A 9/13/2010

15167 NC 92483 A 7/12/2010

15167 NC 92484 A 7/12/2010

15171 NC 94288 A 7/12/2010

15172 NC 92934 A 7/12/2010

15172 NC 92935 A 7/12/2010

Memorial Hospital of Burlington

Processing Complete

Memorial Hospital of Burlington

Processing Complete

Memorial Hospital of Burlington

Processing Complete

Memorial Hospital of Burlington

Processing Complete

Granville Medical Center

Processing Complete

Granville Medical Center

Processing Complete

Granville Medical Center

Processing Complete

Granville Medical Center

Processing Complete

Halifax Regional Medical Center

Processing Complete

Hugh Chatham Memorial Hospital

Processing Complete

Hugh Chatham Memorial Hospital

Processing Complete

Morehead Memorial Hospital

Processing Complete

Person Memorial Hospital

Processing Complete

Person Memorial Hospital

Processing Complete

Page 220: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15173 NC 91173 A 2/18/2010

15180 WI 92340 A 5/18/2010

15182 WA 91992 A 3/23/2010

15192 AZ 86708 A 11/16/2009

15204 NC 88830 A 12/8/2010

15206 MN 93265 A 6/10/2010

15206 MN 93267 A 6/10/2010

15207 MN 93293 A 6/10/2010

15207 MN 93294 A 6/7/2010

15208 MN 93278 A 6/10/2010

15208 MN 93280 A 6/7/2010

15211 OK 94246 A 7/12/2010

15223 OK 93579 A 7/12/2010

15246 OK 90732 A 10/5/2010

Sampson Regional Medical Center

Processing Complete

Iola Family Practice

Processing Complete

North Valley Hospital

Processing Complete

Grand Canyon Clinic

Processing Complete

Pungo District Hospital Corporation

Processing Complete

Brown County Public Health

Processing Complete

Brown County Public Health

Processing Complete

Waseca County Public Health

Processing Complete

Waseca County Public Health

Processing Complete

Goodhue County Public Health

Processing Complete

Goodhue County Public Health

Processing Complete

Tahlequah City Hospital

Processing Complete

Purcell Municipal Hospital

Processing Complete

McCurtain Memorial Medical Mgmt, Inc.

Processing Complete

Page 221: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15248 MN 93287 A 6/7/2010

15248 MN 93289 A 6/7/2010

15249 MN 93290 A 6/7/2010

15249 MN 93292 A 6/7/2010

15253 GA 95656 A 10/20/2011

15254 CO 90864 A

15254 CO 91341 A 8/25/2011

15263 MO 86696 A 1/15/2010

15266 OK 93726 A 7/12/2010

15266 OK 93727 A 7/12/2010

15270 MN 93274 A 6/7/2010

15270 MN 93276 A 6/7/2010

15272 GA 89292 A 12/23/2009

Steele County Public Health

Processing Complete

Steele County Public Health

Processing Complete

Wabasha County Public Health

Processing Complete

Wabasha County Public Health

Processing Complete

Bryan County Health Department

Processing Complete

Custer County Medical Center

Initial Review Complete

Custer County Medical Center

Processing Complete

I-70 Medical Center, Inc.

Processing Complete

Wagoner Community Hospital

Processing Complete

Wagoner Community Hospital

Processing Complete

Freeborn County Public Health

Processing Complete

Freeborn County Public Health

Processing Complete

Appling County Health Department

Processing Complete

Page 222: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15273 GA 89293 A 12/23/2009

15274 GA 89294 A 6/11/2010

15281 GA 89295 A 12/23/2009

15288 GA 89296 A 12/23/2009

15289 GA 89297 A 12/23/2009

15293 GA 89298 A 12/23/2009

15311 GA 89305 A 12/23/2009

15329 GA 89306 A 12/23/2009

15352 GA 89307 A 1/11/2010

15368 PA 94297 A 7/12/2010

15368 PA 94298 A 7/12/2010

15368 PA 94299 A 7/12/2010

Atkinson County Health Department

Processing Complete

Bacon County Health Department

Processing Complete

Brantley County Health Department

Processing Complete

Candler County Health Department

Processing Complete

Charlton County Health Department

Processing Complete

Clinch County Health Department

Processing Complete

Evans County Health Department

Processing Complete

Jeff Davis County Health Department

Processing Complete

Pierce County Health Department

Processing Complete

Tyrone Hospital

Processing Complete

Tyrone Hospital

Processing Complete

Tyrone Hospital

Processing Complete

Page 223: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15369 NE 87847 A 10/22/2009

15369 NE 91459 A 2/12/2010

15370 NE 87845 A 10/22/2009

15371 NY 95512 A 1/25/2011

15371 NY 95600 A 1/25/2011

15371 NY 95604 A 1/25/2011

15380 WI 91708 A 5/4/2010

15380 WI 91709 A 5/4/2010

15389 GA 89309 A 12/23/2009

15394 GA 90383 A 1/25/2010

15394 GA 90384 A 1/25/2010

15394 GA 90391 A 1/25/2010

Panhandle Mental Health Center - Sidney

Processing Complete

Panhandle Mental Health Center - Sidney

Processing Complete

Panhandle Mental Health Center - Alliance

Processing Complete

Moses - Ludington Hospital

Processing Complete

Moses - Ludington Hospital

Processing Complete

Moses - Ludington Hospital

Processing Complete

Westfields Hospital, Inc.

Processing Complete

Westfields Hospital, Inc.

Processing Complete

Tattnall County Health Department

Processing Complete

Tift County Health Department

Processing Complete

Tift County Health Department

Processing Complete

Tift County Health Department

Processing Complete

Page 224: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15394 GA 90403 A 1/25/2010

15394 GA 90416 A 1/25/2010

15395 GA 89313 A 12/23/2009

15407 GA 89319 A 6/11/2010

15433 WI 94903 A 7/19/2010

15433 WI 94905 A 7/19/2010

15433 WI 94906 A 7/16/2010

15433 WI 95888 A 9/9/2010

15433 WI 95891 A 9/9/2010

15433 WI 95898 A 9/9/2010

15433 WI 95907 A 10/7/2010

15433 WI 95913 A 9/16/2010

15433 WI 95915 A 9/9/2010

Tift County Health Department

Processing Complete

Tift County Health Department

Processing Complete

Toombs County Health Department

Processing Complete

Wayne County Health Department

Processing Complete

Aurora Health Care - Shawano

Processing Complete

Aurora Health Care - Shawano

Processing Complete

Aurora Health Care - Shawano

Processing Complete

Aurora Health Care - Shawano

Processing Complete

Aurora Health Care - Shawano

Processing Complete

Aurora Health Care - Shawano

Processing Complete

Aurora Health Care - Shawano

Processing Complete

Aurora Health Care - Shawano

Processing Complete

Aurora Health Care - Shawano

Processing Complete

Page 225: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15433 WI 95960 A 9/9/2010

15441 MT 90478 A 5/21/2010

15445 WA 89744 A 12/9/2011

15445 WA 89744 B 12/9/2011

15448 MN 94598 A 6/22/2010

15448 MN 94598 B 6/22/2010

15449 MN 94596 A 6/22/2010

15449 MN 94596 B 6/22/2010

15450 MN 91526 A 4/5/2010

15454 WI 88741 A 12/3/2009

Aurora Health Care - Shawano

Processing Complete

Prairie County Clinic

Processing Complete

Sanpoil Valley Community Health Center

Processing Complete

Sanpoil Valley Community Health Center

Processing Complete

Cook Area Health Services - Floodwood (W 7th Ave)

Processing Complete

Cook Area Health Services - Floodwood (W 7th Ave)

Processing Complete

Cook Area Health Services - Floodwood (Hwy 73)

Processing Complete

Cook Area Health Services - Floodwood (Hwy 73)

Processing Complete

Cook Area Health Services - Northome

Processing Complete

Scenic Bluffs Health Center

Processing Complete

Page 226: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15454 WI 88745 A

15468 KS 94524 A 1/25/2011

15530 WV 92901 A 5/24/2010

15530 WV 92902 A 6/29/2010

15530 WV 94008 A 5/24/2010

15530 WV 94010 A 5/24/2010

15530 WV 94689 A 5/23/2011

15532 WV 89405 A 1/22/2010

15532 WV 89823 A 11/19/2009

15532 WV 89824 A 11/19/2009

15532 WV 89825 A 11/25/2009

15532 WV 89827 A 11/3/2009

15532 WV 89828 A 11/3/2009

Scenic Bluffs Health Center

Initial Review Complete

Hospital District #6 of Harper County

Processing Complete

Minnie Hamilton Health System - Glenville

Processing Complete

Minnie Hamilton Health System - Glenville

Processing Complete

Minnie Hamilton Health System - Glenville

Processing Complete

Minnie Hamilton Health System - Glenville

Processing Complete

Minnie Hamilton Health System - Glenville

Processing Complete

Wetzel County Hospital

Processing Complete

Wetzel County Hospital

Processing Complete

Wetzel County Hospital

Processing Complete

Wetzel County Hospital

Processing Complete

Wetzel County Hospital

Processing Complete

Wetzel County Hospital

Processing Complete

Page 227: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15536 GA 89699 A 11/18/2009

15538 GA 89703 A 11/18/2009

15540 GA 89705 A 11/23/2009

15548 WV 88822 A 1/27/2010

15548 WV 88825 A 2/10/2010

15548 WV 88826 A 2/10/2010

15551 IN 90841 A 3/22/2010

15552 IN 90704 A 3/22/2010

15552 IN 93743 A 7/22/2010

Taylor Regional Hospital - Eastman (Plaza Ave)

Processing Complete

Taylor Regional Hospital - Rochelle (First Ave)

Processing Complete

Taylor Regional Hospital - Vienna (1303 Hwy 215)

Processing Complete

Roane General Hospital

Processing Complete

Roane General Hospital

Processing Complete

Roane General Hospital

Processing Complete

St. Vincent Clay Hospital, Inc.

Processing Complete

St. Vincent Madison County Health System, Inc. d/b/a St. Vincent Mercy Hospital, Inc.

Processing Complete

St. Vincent Madison County Health System, Inc. d/b/a St. Vincent Mercy Hospital, Inc.

Processing Complete

Page 228: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15616 AL 92678 A 9/22/2010

15617 AL 92694 A 9/23/2010

15618 AL 92699 A 9/23/2010

15619 AL 87115 A 2/3/2010

15620 AL 92701 A 9/23/2010

15621 AL 92708 A 9/23/2010

15622 AL 92710 A 9/23/2010

15623 AL 92714 A 9/23/2010

15624 AL 92715 A 9/23/2010

15625 AL 92716 A 9/23/2010

Barbour County Health Department (School St)

Processing Complete

Bibb County Health Department

Processing Complete

Blount County Health Department

Processing Complete

Bullock County Health Department

Processing Complete

Butler County Health Department (Jones St)

Processing Complete

Butler County Health Department (Airport Rd)

Processing Complete

Chambers County Health Department

Processing Complete

Cherokee County Health Department

Processing Complete

Chilton County Health Department

Processing Complete

Choctaw County Health Department

Processing Complete

Page 229: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15626 AL 92717 A 9/23/2010

15627 AL 92719 A 9/23/2010

15628 AL 92720 A 9/23/2010

15629 AL 92722 A 9/23/2010

15631 AL 92802 A 9/22/2010

15632 AL 92837 A 9/23/2010

15633 AL 92920 A 9/23/2010

15634 AL 92921 A 9/23/2010

15635 AL 92923 A 9/23/2010

15636 AL 92959 A

Clarke County Health Department

Processing Complete

Clay County Health Department

Processing Complete

Cleburne County Health Department

Processing Complete

Conecuh County Health Department (Belleville St)

Processing Complete

Coosa County Health Department

Processing Complete

Covington County Health Department (Alabama Hwy 55)

Processing Complete

Covington County Health Department (104 Whaley St. NW)

Processing Complete

Crenshaw County Health Department

Processing Complete

Cullman County Health Department

Processing Complete

Dallas County Health Department

Initial Review Complete

Page 230: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15637 AL 93034 A 9/23/2010

15639 AL 93039 A 9/22/2010

15640 AL 93069 A 9/22/2010

15641 AL 93074 A 9/22/2010

15642 AL 93085 A 9/22/2010

15643 AL 93105 A 9/22/2010

15644 AL 93130 A 9/22/2010

15645 AL 93135 A 9/22/2010

15647 AL 93237 A 9/22/2010

15651 AL 93393 A 9/22/2010

De Kalb County Health Department

Processing Complete

Escambia County Health Department (Hwy 31N)

Processing Complete

Escambia County Health Department (Azalea Pl)

Processing Complete

Fayette County Health Department

Processing Complete

Franklin County Health Department

Processing Complete

Greene County Health Department

Processing Complete

Hale County Health Department

Processing Complete

Henry County Health Department

Processing Complete

Lamar County Health Department

Processing Complete

Lowndes County Health Department

Processing Complete

Page 231: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15652 AL 93400 A 9/22/2010

15653 AL 93407 A 9/22/2010

15654 AL 93408 A 9/22/2010

15655 AL 93409 A 9/22/2010

15656 AL 93411 A 9/22/2010

15658 AL 93587 A 9/22/2010

15659 AL 93589 A 9/22/2010

15665 AL 93620 A 9/22/2010

15666 AL 93628 A 9/22/2010

15667 AL 93634 A 9/22/2010

Macon County Health Department

Processing Complete

Marengo County Health Department

Processing Complete

Marion County Health Department

Processing Complete

Monroe County Health Department

Processing Complete

Perry County Health Department (County Hwy 45 South)

Processing Complete

Pike County Health Department

Processing Complete

Randolph County Health Department

Processing Complete

Sumter County Health Department

Processing Complete

Talladega County Health Department

Processing Complete

Talladega County Health Department

Processing Complete

Page 232: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15668 AL 93651 A 9/22/2010

15669 AL 93658 A 9/22/2010

15670 AL 93661 A 9/22/2010

15671 AL 93662 A 9/23/2010

15672 AL 93663 A 9/22/2010

15673 AL 93668 A 9/10/2010

15700 LA 96301 A 1/18/2011

15700 LA 96303 A 2/7/2011

15760 GA 89190 A 1/12/2010

15760 GA 89195 A 3/29/2010

15760 GA 89196 A 3/29/2010

15760 GA 89197 A 3/1/2010

15760 GA 89198 A 3/8/2010

Tallapoosa County Health Department

Processing Complete

Tallapoosa County Health Department

Processing Complete

Walker County Health Department

Processing Complete

Washington County Health Department

Processing Complete

Wilcox County Health Department

Processing Complete

Winston County Health Department

Processing Complete

Jennings American Legion Hospital

Processing Complete

Jennings American Legion Hospital

Processing Complete

Donalsonville Hospital

Processing Complete

Donalsonville Hospital

Processing Complete

Donalsonville Hospital

Processing Complete

Donalsonville Hospital

Processing Complete

Donalsonville Hospital

Processing Complete

Page 233: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15803 AL 93677 A 9/22/2010

15804 MN 90914 A 2/18/2010

15804 MN 91549 A 2/18/2010

15804 MN 91550 A 2/18/2010

15804 MN 93338 A 10/7/2010

15805 VA 89160 A 1/27/2010

15825 IN 92877 A 7/12/2010

15825 IN 96466 A 9/19/2010

15827 KY 90175 A 12/14/2009

15827 KY 90209 A 2/22/2010

15827 KY 90210 A 2/4/2010

15827 KY 90309 A 2/22/2010

Pickens County Health Department

Processing Complete

Ely Bloomenson Community Hospital

Processing Complete

Ely Bloomenson Community Hospital

Processing Complete

Ely Bloomenson Community Hospital

Processing Complete

Ely Bloomenson Community Hospital

Processing Complete

Shenandoah Memorial Hospital

Processing Complete

Sullivan County Community Hospital

Processing Complete

Sullivan County Community Hospital

Processing Complete

Flaget Memorial Hospital

Processing Complete

Flaget Memorial Hospital

Processing Complete

Flaget Memorial Hospital

Processing Complete

Flaget Memorial Hospital

Processing Complete

Page 234: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15827 KY 90311 A 2/8/2010

15827 KY 91421 A 2/16/2010

15829 NY 89206 A 2/10/2010

15835 MS 93708 A 10/31/2010

15835 MS 93710 A 10/31/2010

15841 NM 93751 A 6/8/2010

15842 GA 89587 A 11/2/2009

15842 GA 89589 A 1/20/2010

15842 GA 89590 A 11/2/2009

15842 GA 89592 A 4/1/2010

Flaget Memorial Hospital

Processing Complete

Flaget Memorial Hospital

Processing Complete

Carthage Area Hospital

Processing Complete

G. A. Carmichael Family Health

Processing Complete

G. A. Carmichael Family Health

Processing Complete

Hidalgo Medical Services- Med Square

Processing Complete

Tift Regional Medical Center -Tifton (901 E 18th St)

Processing Complete

Tift Regional Medical Center -Tifton (901 E 18th St)

Processing Complete

Tift Regional Medical Center -Tifton (901 E 18th St)

Processing Complete

Tift Regional Medical Center -Tifton (901 E 18th St)

Processing Complete

Page 235: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15842 GA 89593 A 12/7/2009

15842 GA 89594 A 12/7/2009

15842 GA 89595 A 12/7/2009

15842 GA 89597 A 12/7/2009

15842 GA 90625 A 6/14/2010

15842 GA 93017 A 6/29/2010

15842 GA 95121 A 8/24/2011

15857 WI 94789 A 7/9/2010

15861 NY 90450 A 1/25/2010

Tift Regional Medical Center -Tifton (901 E 18th St)

Processing Complete

Tift Regional Medical Center -Tifton (901 E 18th St)

Processing Complete

Tift Regional Medical Center -Tifton (901 E 18th St)

Processing Complete

Tift Regional Medical Center -Tifton (901 E 18th St)

Processing Complete

Tift Regional Medical Center -Tifton (901 E 18th St)

Processing Complete

Tift Regional Medical Center -Tifton (901 E 18th St)

Processing Complete

Tift Regional Medical Center -Tifton (901 E 18th St)

Processing Complete

Bay Area Medical Center - Rehabilitation

Processing Complete

Childrens Home RTF, Inc.

Processing Complete

Page 236: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15861 NY 90451 A 1/25/2010

15862 OK 95945 A

15874 ND 95910 A 9/30/2010

15893 MN 94235 A 7/6/2010

15895 IA 93810 A 6/29/2010

15896 FL 92048 A 6/28/2010

15896 FL 92242 A 6/28/2010

15896 FL 92243 A 6/28/2010

Childrens Home RTF, Inc.

Processing Complete

Family Care Clinic of Mangum

Initial Review Complete

West River Foot and Ankle Clinic

Processing Complete

Gundersen Lutheran Spring Grove Clinic

Processing Complete

Lansing Clinic

Processing Complete

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Page 237: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15896 FL 92244 A 6/28/2010

15896 FL 92245 A 6/28/2010

15896 FL 92246 A 6/28/2010

15896 FL 96631 A 12/28/2010

15896 FL 96714 A 9/21/2010

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Page 238: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15896 FL 96718 A 9/21/2010

15896 FL 96721 A 9/21/2010

15896 FL 96722 A 9/21/2010

15896 FL 96727 A 9/21/2010

15903 GA 95754 A 9/8/2010

15905 MN 91027 A 2/18/2010

15905 MN 91028 A 2/18/2010

15905 MN 91029 A 2/18/2010

15905 MN 91030 A 2/18/2010

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Manatee County Rural Health Services, Inc. - Community Care Family Clinic

Processing Complete

Grady General Hospital

Processing Complete

Regina Medical Center

Processing Complete

Regina Medical Center

Processing Complete

Regina Medical Center

Processing Complete

Regina Medical Center

Processing Complete

Page 239: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15905 MN 91311 A

15905 MN 91581 A 5/25/2010

15905 MN 92176 A

15905 MN 94587 A 10/17/2011

15906 MO 91091 A 3/8/2010

15906 MO 91092 A 3/8/2010

15913 MN 92681 A 6/29/2010

15913 MN 92682 A 6/29/2010

15913 MN 92683 A 6/29/2010

15913 MN 92684 A 6/29/2010

15913 MN 92685 A 7/7/2010

15913 MN 92686 A 7/7/2010

15913 MN 92687 A 7/7/2010

15913 MN 92688 A 7/7/2010

15913 MN 92689 A 6/29/2010

Regina Medical Center

Initial Review Complete

Regina Medical Center

Processing Complete

Regina Medical Center

Initial Review Complete

Regina Medical Center

Processing Complete

Bates County Memorial Hospital

Processing Complete

Bates County Memorial Hospital

Processing Complete

Glencoe Regional Health Services

Processing Complete

Glencoe Regional Health Services

Processing Complete

Glencoe Regional Health Services

Processing Complete

Glencoe Regional Health Services

Processing Complete

Glencoe Regional Health Services

Processing Complete

Glencoe Regional Health Services

Processing Complete

Glencoe Regional Health Services

Processing Complete

Glencoe Regional Health Services

Processing Complete

Glencoe Regional Health Services

Processing Complete

Page 240: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15913 MN 93379 A 8/12/2010

15913 MN 93517 A 8/12/2010

15913 MN 93539 A 8/12/2010

15913 MN 93541 A 8/12/2010

15914 NY 89058 A 12/14/2009

15915 NY 89057 A 12/14/2009

15922 OH 95084 A 7/11/2010

15922 OH 95085 A 7/11/2010

15922 OH 96127 A

15924 VA 89075 A

15924 VA 90526 A 2/8/2010

Glencoe Regional Health Services

Processing Complete

Glencoe Regional Health Services

Processing Complete

Glencoe Regional Health Services

Processing Complete

Glencoe Regional Health Services

Processing Complete

Nathan Littauer Hospital Primary Care Center @ Caroga Lake

Processing Complete

Nathan Littauer Hospital Primary Care Center @ Speculator

Processing Complete

Barnesville Hospital Association, Inc.

Processing Complete

Barnesville Hospital Association, Inc.

Processing Complete

Barnesville Hospital Association, Inc.

Initial Review Complete

Whitetop Community Health

Initial Review Complete

Whitetop Community Health

Processing Complete

Page 241: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15926 NC 92368 A 5/18/2010

15926 NC 92369 A 5/18/2010

15930 OR 87163 A 11/16/2009

15930 OR 87167 A 11/16/2009

15930 OR 87168 A 11/16/2009

15933 WA 90747 A 3/23/2010

15935 GA 90382 A 2/11/2010

15942 TX 88829 A 10/19/2010

15942 TX 88831 A 10/19/2010

15942 TX 88837 A

15948 KS 89924 A 8/22/2011

15949 KS 92872 A 7/12/2010

Piedmont Community College - Roxboro

Processing Complete

Piedmont Community College - Roxboro

Processing Complete

Morrow County Health District

Processing Complete

Morrow County Health District

Processing Complete

Morrow County Health District

Processing Complete

Oroville Family Medical Clinic

Processing Complete

CSB of East Central Georgia - Thomson (Greenway St)

Processing Complete

El Campo Memorial Hospital

Processing Complete

El Campo Memorial Hospital

Processing Complete

El Campo Memorial Hospital

Initial Review Complete

Trego County Lemke Memorial Hospital d/b/a Ellis Family Care

Processing Complete

Rice County District Hospital

Processing Complete

Page 242: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15950 IA 95950 A 9/8/2010

16007 MN 92033 A 7/18/2010

16007 MN 92033 B 7/18/2010

16007 MN 92035 A 7/18/2010

16007 MN 92035 B 7/18/2010

16007 MN 93242 A 9/6/2010

16007 MN 93242 B 9/6/2010

16007 MN 93703 A 9/6/2010

16007 MN 93703 B 9/6/2010

16008 MN 92042 A 9/6/2010

16009 FL 90444 A 2/8/2010

16009 FL 91361 A 2/11/2010

Jefferson County Hospital

Processing Complete

Renville County Hospital & Clinics of Olivia

Processing Complete

Renville County Hospital & Clinics of Olivia

Processing Complete

Renville County Hospital & Clinics of Olivia

Processing Complete

Renville County Hospital & Clinics of Olivia

Processing Complete

Renville County Hospital & Clinics of Olivia

Processing Complete

Renville County Hospital & Clinics of Olivia

Processing Complete

Renville County Hospital & Clinics of Olivia

Processing Complete

Renville County Hospital & Clinics of Olivia

Processing Complete

Renville County Hospital & Clinics of Renville

Processing Complete

Gadsden Medical Center

Processing Complete

Gadsden Medical Center

Processing Complete

Page 243: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16031 AK 96052 A 5/24/2011

16031 AK 96254 A 11/8/2010

16036 AL 95492 A 7/6/2010

16036 AL 95498 A 7/15/2010

16036 AL 95500 A

16036 AL 95925 A 7/6/2010

16070 IN 90109 A 12/9/2009

16070 IN 90129 A 12/9/2009

16070 IN 90130 A 12/9/2009

16070 IN 90131 A 12/9/2009

16070 IN 90132 A 12/9/2009

16070 IN 91498 A 2/17/2010

Kodiak Island Healthcare Foundation

Processing Complete

Kodiak Island Healthcare Foundation

Processing Complete

Calhoun - Cleburne Mental Health Board

Processing Complete

Calhoun - Cleburne Mental Health Board

Processing Complete

Calhoun - Cleburne Mental Health Board

Initial Review Complete

Calhoun - Cleburne Mental Health Board

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Page 244: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16070 IN 91557 A 2/17/2010

16070 IN 91558 A 2/17/2010

16070 IN 91559 A 2/17/2010

16070 IN 91560 A 2/17/2010

16070 IN 91625 A 4/12/2010

16070 IN 91644 A 4/12/2010

16070 IN 91646 A 4/12/2010

16070 IN 91679 A 4/12/2010

16070 IN 91683 A 4/12/2010

16070 IN 93152 A 5/27/2010

16070 IN 93154 A 5/27/2010

16070 IN 93158 A 5/27/2010

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Four County Counseling Center

Processing Complete

Page 245: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16080 OH 92262 A 5/10/2010

16080 OH 92263 A 4/27/2010

16080 OH 92264 A 4/27/2010

16081 IN 90242 A 1/29/2010

16082 IN 90244 A 1/29/2010

16083 IN 90226 A 1/29/2010

16084 IN 90319 A 1/29/2010

16084 IN 90320 A 1/29/2010

Mark Milford Hicksville Joint Township Hospital d/b/a Community Memorial Hospital

Processing Complete

Mark Milford Hicksville Joint Township Hospital d/b/a Community Memorial Hospital

Processing Complete

Mark Milford Hicksville Joint Township Hospital d/b/a Community Memorial Hospital

Processing Complete

Bourbon Family Medicine

Processing Complete

Bremen Family Medicine

Processing Complete

St. Joseph Health Center

Processing Complete

St. Josephs Regional Medical Center - Plymouth Campus

Processing Complete

St. Josephs Regional Medical Center - Plymouth Campus

Processing Complete

Page 246: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16084 IN 90611 A 1/29/2010

16084 IN 90612 A 1/29/2010

16084 IN 90613 A 1/29/2010

16084 IN 90614 A 1/29/2010

16084 IN 92805 A 5/27/2010

16084 IN 92807 A 5/27/2010

16084 IN 92808 A 5/27/2010

16089 MI 90286 A 4/9/2010

St. Josephs Regional Medical Center - Plymouth Campus

Processing Complete

St. Josephs Regional Medical Center - Plymouth Campus

Processing Complete

St. Josephs Regional Medical Center - Plymouth Campus

Processing Complete

St. Josephs Regional Medical Center - Plymouth Campus

Processing Complete

St. Josephs Regional Medical Center - Plymouth Campus

Processing Complete

St. Josephs Regional Medical Center - Plymouth Campus

Processing Complete

St. Josephs Regional Medical Center - Plymouth Campus

Processing Complete

Northwest Michigan Community Health Agency (Bellaire)

Processing Complete

Page 247: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16089 MI 90660 A 4/9/2010

16091 MI 90284 A 4/9/2010

16091 MI 90661 A 4/9/2010

16092 MI 90285 A 4/9/2010

16092 MI 90665 A 4/9/2010

16093 MI 90283 A 4/9/2010

16093 MI 90664 A 4/9/2010

16101 WI 92958 A 5/12/2010

Northwest Michigan Community Health Agency (Bellaire)

Processing Complete

Northwest Michigan Community Health Agency (Gaylord)

Processing Complete

Northwest Michigan Community Health Agency (Gaylord)

Processing Complete

Northwest Michigan Community Health Agency (Harbor Springs)

Processing Complete

Northwest Michigan Community Health Agency (Harbor Springs)

Processing Complete

Northwest Michigan Community Health Agency (Mancelona)

Processing Complete

Northwest Michigan Community Health Agency (Mancelona)

Processing Complete

Midelfort Clinic - Menomonie

Processing Complete

Page 248: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16109 LA 97058 A 8/15/2011

16111 IN 90215 A 12/9/2009

16111 IN 91945 A 4/12/2010

16119 CA 91427 A 2/22/2010

16119 CA 91428 A 2/22/2010

16119 CA 91938 A 6/15/2010

16119 CA 91939 A 6/15/2010

16119 CA 91940 A

16119 CA 92069 A

16119 CA 93263 A

16119 CA 93266 A

16120 WI 94868 A 9/9/2010

16120 WI 94869 A 9/9/2010

16120 WI 94870 A 9/9/2010

Primary Care Providers for a Healthy Feliciana (Church St)

Processing Complete

Community Hospital of Bremen

Processing Complete

Community Hospital of Bremen

Processing Complete

Northern Inyo Hospital

Processing Complete

Northern Inyo Hospital

Processing Complete

Northern Inyo Hospital

Processing Complete

Northern Inyo Hospital

Processing Complete

Northern Inyo Hospital

Initial Review Complete

Northern Inyo Hospital

Initial Review Complete

Northern Inyo Hospital

Processing Complete

Northern Inyo Hospital

Initial Review Complete

Aurora Health Care - Hartford

Processing Complete

Aurora Health Care - Hartford

Processing Complete

Aurora Health Care - Hartford

Processing Complete

Page 249: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16120 WI 94874 A 7/16/2010

16120 WI 94875 A 7/16/2010

16121 CA 89673 A 3/22/2010

16121 CA 89682 A 3/23/2010

16121 CA 90504 A 3/23/2010

16124 WY 97090 A 9/27/2010

16124 WY 97091 A

16124 WY 97094 A

16124 WY 97097 A 9/27/2010

16131 ND 86376 A

16131 ND 87005 A

Aurora Health Care - Hartford

Processing Complete

Aurora Health Care - Hartford

Processing Complete

Sutter Coast Hospital

Processing Complete

Sutter Coast Hospital

Processing Complete

Sutter Coast Hospital

Processing Complete

Memorial Hospital of Sweetwater County

Processing Complete

Memorial Hospital of Sweetwater County

Initial Review Complete

Memorial Hospital of Sweetwater County

Processing Complete

Memorial Hospital of Sweetwater County

Processing Complete

Coal Country Community Health Center - Administration Office

Processing Complete

Coal Country Community Health Center - Administration Office

Processing Complete

Page 250: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16134 ME 91528 A 3/9/2010

16134 ME 91618 A 4/13/2010

16136 MN 95209 A 10/12/2010

16136 MN 95211 A 10/12/2010

16137 WI 94877 A 8/31/2010

16137 WI 94878 A 7/16/2010

16137 WI 94879 A 7/16/2010

16137 WI 94880 A 7/16/2010

16137 WI 94881 A 7/16/2010

16137 WI 94882 A 7/28/2010

16138 WI 93518 A 7/16/2010

16138 WI 93519 A 7/16/2010

16138 WI 93520 A 7/16/2010

16138 WI 93521 A 7/16/2010

Waldo County General Hospital

Processing Complete

Waldo County General Hospital

Processing Complete

Meeker Memorial Clinic

Processing Complete

Meeker Memorial Clinic

Processing Complete

Aurora Health Center - Bonduel

Processing Complete

Aurora Health Center - Bonduel

Processing Complete

Aurora Health Center - Bonduel

Processing Complete

Aurora Health Center - Bonduel

Processing Complete

Aurora Health Center - Bonduel

Processing Complete

Aurora Health Center - Bonduel

Processing Complete

Aurora Health Center - Lomira

Processing Complete

Aurora Health Center - Lomira

Processing Complete

Aurora Health Center - Lomira

Processing Complete

Aurora Health Center - Lomira

Processing Complete

Page 251: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16138 WI 94883 A 8/31/2010

16141 NY 96826 A 9/15/2011

16143 NY 96830 A 9/15/2011

16147 IN 88827 A 12/29/2009

16147 IN 88828 A 12/29/2009

16147 IN 90603 A 1/19/2010

16147 IN 90604 A 1/19/2010

16149 IA 96666 A

16149 IA 96667 A

16149 IA 96670 A 6/9/2011

16149 IA 96671 A 6/9/2011

16149 IA 96673 A

16151 NC 90757 A 3/11/2010

16151 NC 90758 A 3/11/2010

16160 IN 90705 A 3/22/2010

Aurora Health Center - Lomira

Processing Complete

Indian Lake Health Center

Processing Complete

North Creek Health Center

Processing Complete

Rush Memorial Hospital

Processing Complete

Rush Memorial Hospital

Processing Complete

Rush Memorial Hospital

Processing Complete

Rush Memorial Hospital

Processing Complete

Waverly Health Center

Initial Review Complete

Waverly Health Center

Initial Review Complete

Waverly Health Center

Processing Complete

Waverly Health Center

Processing Complete

Waverly Health Center

Processing Complete

Maria Parham Medical Center

Processing Complete

Maria Parham Medical Center

Processing Complete

St. Vincent Frankfort Hospital, Inc.

Processing Complete

Page 252: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16173 WI 94955 A 7/16/2010

16173 WI 94967 A 7/20/2010

16173 WI 94968 A 7/20/2010

16173 WI 94974 A 7/16/2010

16173 WI 94976 A 7/16/2010

16173 WI 94978 A 8/31/2010

16203 IA 95942 A 8/27/2010

16203 IA 95943 A 8/25/2010

16204 WI 91031 A 2/18/2010

16217 GA 89429 A 2/1/2010

16218 TN 91217 A 2/22/2010

Aurora Health Center - Union Grove (67th Dr)

Processing Complete

Aurora Health Center - Union Grove (67th Dr)

Processing Complete

Aurora Health Center - Union Grove (67th Dr)

Processing Complete

Aurora Health Center - Union Grove (67th Dr)

Processing Complete

Aurora Health Center - Union Grove (67th Dr)

Processing Complete

Aurora Health Center - Union Grove (67th Dr)

Processing Complete

Lucas County Health Center

Processing Complete

Lucas County Health Center

Processing Complete

Regina Medical Group - Prescott (WI)

Processing Complete

Phoebe Family Medical - Ashburn

Processing Complete

Wayne Medical Center

Processing Complete

Page 253: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16218 TN 91219 A 2/22/2010

16218 TN 93146 A 6/24/2010

16223 GA 89312 A 12/23/2009

16227 MN 96996 A 12/15/2011

16227 MN 96998 A 12/15/2011

16227 MN 97003 A 12/15/2011

16227 MN 97005 A 12/15/2011

16300 AR 91617 A 4/16/2010

16300 AR 91619 A 4/16/2010

16300 AR 91620 A 3/23/2010

16300 AR 93820 A 7/6/2010

Wayne Medical Center

Processing Complete

Wayne Medical Center

Processing Complete

Tattnall / Glennville Health Department

Processing Complete

Five County Mental Health - Braham (Broadway)

Processing Complete

Five County Mental Health - Braham (Broadway)

Processing Complete

Five County Mental Health - Braham (Broadway)

Processing Complete

Five County Mental Health - Braham (Broadway)

Processing Complete

Baptist Health - Arkadelphia

Processing Complete

Baptist Health - Arkadelphia

Processing Complete

Baptist Health - Arkadelphia

Processing Complete

Baptist Health - Arkadelphia

Processing Complete

Page 254: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16301 AR 91621 A 3/23/2010

16301 AR 91622 A 4/16/2010

16301 AR 91623 A 4/16/2010

16301 AR 91624 A 4/16/2010

16301 AR 93821 A 7/6/2010

16317 AR 93759 A 7/12/2010

16317 AR 93761 A 7/13/2010

16317 AR 93762 A 7/12/2010

16317 AR 96225 A 9/19/2010

16320 AK 93691 A 4/18/2011

16320 AK 100659 A 4/18/2011

16322 IA 93806 A 7/6/2010

16329 NC 91957 A 3/23/2010

Baptist Health - Heber Springs

Processing Complete

Baptist Health - Heber Springs

Processing Complete

Baptist Health - Heber Springs

Processing Complete

Baptist Health - Heber Springs

Processing Complete

Baptist Health - Heber Springs

Processing Complete

White County Medical Center

Processing Complete

White County Medical Center

Processing Complete

White County Medical Center

Processing Complete

White County Medical Center

Processing Complete

Interior Community Health Center

Processing Complete

Interior Community Health Center

Processing Complete

Gundersen Lutheran - Fayette Clinic

Processing Complete

Tri County Community Health Center

Processing Complete

Page 255: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16330 AZ 86730 A 11/16/2009

16332 IA 96070 A 6/9/2011

16332 IA 96071 A 6/9/2011

16333 NC 92370 A 5/18/2010

16338 IN 90577 A 1/29/2010

16338 IN 90578 A 1/29/2010

16338 IN 90579 A 1/29/2010

16363 KY 93786 A 7/12/2010

16363 KY 96470 A

16368 WY 88269 A 11/25/2009

16368 WY 88274 A 11/25/2009

16368 WY 88277 A 11/25/2009

16371 PA 87339 A 2/1/2010

16372 SD 94643 A 9/15/2011

Family Healing Center

Processing Complete

Unity Health Care

Processing Complete

Unity Health Care

Processing Complete

Piedmont Community College - Yanceyville

Processing Complete

Daviess County Hospital

Processing Complete

Daviess County Hospital

Processing Complete

Daviess County Hospital

Processing Complete

New Horizons Family Practice

Processing Complete

New Horizons Family Practice

Initial Review Complete

Weston County Hospital District

Processing Complete

Weston County Hospital District

Processing Complete

Weston County Hospital District

Processing Complete

Endless Mountains Health System

Processing Complete

Behavior Management Systems, Inc.

Processing Complete

Page 256: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16375 CO 89369 A 1/6/2010

16375 CO 89370 A 1/6/2010

16375 CO 89371 A 1/6/2010

16375 CO 89372 A 1/6/2010

16375 CO 90909 A 2/4/2010

16375 CO 90909 B 2/4/2010

16375 CO 90910 A 2/17/2010

16375 CO 91059 A 2/17/2010

16375 CO 91059 B 2/17/2010

16377 TN 91660 A 3/23/2010

16377 TN 94149 A

16377 TN 94150 A 10/31/2010

16377 TN 94196 A 7/6/2010

16377 TN 95672 A 10/31/2010

Limon Doctors Committee - Limon

Processing Complete

Limon Doctors Committee - Limon

Processing Complete

Limon Doctors Committee - Limon

Processing Complete

Limon Doctors Committee - Limon

Processing Complete

Limon Doctors Committee - Limon

Processing Complete

Limon Doctors Committee - Limon

Processing Complete

Limon Doctors Committee - Limon

Processing Complete

Limon Doctors Committee - Limon

Processing Complete

Limon Doctors Committee - Limon

Processing Complete

Hawkins County Memorial Hospital

Processing Complete

Hawkins County Memorial Hospital

Initial Review Complete

Hawkins County Memorial Hospital

Processing Complete

Hawkins County Memorial Hospital

Processing Complete

Hawkins County Memorial Hospital

Processing Complete

Page 257: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16378 VA 91655 A 3/23/2010

16378 VA 91656 A 3/23/2010

16378 VA 91657 A 3/23/2010

16378 VA 91658 A 3/23/2010

16378 VA 91659 A 3/23/2010

16379 MO 92637 A 11/5/2010

16379 MO 92638 A 11/5/2010

16379 MO 93811 A 9/24/2010

16379 MO 93844 A 11/5/2010

16379 MO 93845 A 11/5/2010

16379 MO 93846 A 11/5/2010

16379 MO 93848 A 11/5/2010

16379 MO 93849 A

16379 MO 93851 A 11/5/2010

16379 MO 94942 A

Lonesome Pine Hospital

Processing Complete

Lonesome Pine Hospital

Processing Complete

Lonesome Pine Hospital

Processing Complete

Lonesome Pine Hospital

Processing Complete

Lonesome Pine Hospital

Processing Complete

Bothwell Regional Health Center

Processing Complete

Bothwell Regional Health Center

Processing Complete

Bothwell Regional Health Center

Processing Complete

Bothwell Regional Health Center

Processing Complete

Bothwell Regional Health Center

Processing Complete

Bothwell Regional Health Center

Processing Complete

Bothwell Regional Health Center

Processing Complete

Bothwell Regional Health Center

Initial Review Complete

Bothwell Regional Health Center

Processing Complete

Bothwell Regional Health Center

Initial Review Complete

Page 258: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16380 MI 89596 A 4/5/2010

16380 MI 89598 A 4/5/2010

16380 MI 89603 A 4/5/2010

16380 MI 89605 A 4/5/2010

16380 MI 89606 A 4/5/2010

16380 MI 91046 A 5/13/2010

16381 MI 89683 A 5/13/2010

16382 MI 89684 A 5/13/2010

16383 MN 92804 A 4/1/2010

Northern Lakes Community Mental Health - Cadillac

Processing Complete

Northern Lakes Community Mental Health - Cadillac

Processing Complete

Northern Lakes Community Mental Health - Cadillac

Processing Complete

Northern Lakes Community Mental Health - Cadillac

Processing Complete

Northern Lakes Community Mental Health - Cadillac

Processing Complete

Northern Lakes Community Mental Health - Cadillac

Processing Complete

Northern Lakes Community Mental Health - Grayling

Processing Complete

Northern Lakes Community Mental Health - Houghton Lake

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Page 259: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16383 MN 92806 A 4/1/2010

16383 MN 92809 A 4/25/2010

16383 MN 92810 A 4/25/2010

16383 MN 92811 A 4/25/2010

16383 MN 92812 A 4/25/2010

16383 MN 92813 A 4/25/2010

16383 MN 92814 A 4/25/2010

16383 MN 92816 A 4/16/2010

16383 MN 92817 A 4/25/2010

16383 MN 93944 A 7/6/2010

16383 MN 93945 A 7/6/2010

16383 MN 94005 A 7/6/2010

16383 MN 94006 A 7/6/2010

16383 MN 94007 A 7/6/2010

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Ridgeview Medical Center-Waconia

Processing Complete

Page 260: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16399 MS 96491 A 3/8/2011

16399 MS 96493 A 3/8/2011

16399 MS 96498 A 3/8/2011

16399 MS 96500 A 3/8/2011

16399 MS 96501 A 3/8/2011

16399 MS 97067 A

16414 ID 90298 A 3/12/2010

16415 MS 88871 A 1/20/2010

16415 MS 88872 A 1/26/2010

16415 MS 88873 A 2/12/2010

16415 MS 89943 A 5/24/2010

16415 MS 89944 A 8/2/2010

16415 MS 90764 A 1/28/2010

16415 MS 91756 A 4/5/2010

16415 MS 91859 A 4/5/2010

H. C. Watkins Hospital

Processing Complete

H. C. Watkins Hospital

Processing Complete

H. C. Watkins Hospital

Processing Complete

H. C. Watkins Hospital

Processing Complete

H. C. Watkins Hospital

Processing Complete

H. C. Watkins Hospital

Initial Review Complete

Health West, Inc. - Downey

Processing Complete

Hardy Wilson Memorial Hospital

Processing Complete

Hardy Wilson Memorial Hospital

Processing Complete

Hardy Wilson Memorial Hospital

Processing Complete

Hardy Wilson Memorial Hospital

Processing Complete

Hardy Wilson Memorial Hospital

Processing Complete

Hardy Wilson Memorial Hospital

Processing Complete

Hardy Wilson Memorial Hospital

Processing Complete

Hardy Wilson Memorial Hospital

Processing Complete

Page 261: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16415 MS 91860 A 3/29/2010

16415 MS 96934 A 8/3/2010

16416 OH 90561 A 1/29/2010

16418 MN 90667 A 2/15/2010

16418 MN 93592 A 5/25/2010

16419 MN 90658 A 2/15/2010

16419 MN 93590 A 5/25/2010

16420 MN 90544 A 2/15/2010

16420 MN 93583 A 5/24/2010

Hardy Wilson Memorial Hospital

Processing Complete

Hardy Wilson Memorial Hospital

Processing Complete

Harrison Community Hospital

Processing Complete

Paynesville Area Health Care System - CHW

Processing Complete

Paynesville Area Health Care System - CHW

Processing Complete

Paynesville Area Health Care System - Belgrade

Processing Complete

Paynesville Area Health Care System - Belgrade

Processing Complete

Paynesville Area Health Care System - Cold Spring

Processing Complete

Paynesville Area Health Care System - Cold Spring

Processing Complete

Page 262: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16421 MN 90638 A 2/15/2010

16421 MN 93585 A 5/25/2010

16422 MN 90630 A 2/15/2010

16422 MN 93584 A 5/24/2010

16423 MN 90663 A 2/15/2010

16423 MN 93591 A 5/25/2010

16424 MN 90657 A 2/15/2010

16424 MN 93588 A 5/25/2010

Paynesville Area Health Care System - Eden Valley

Processing Complete

Paynesville Area Health Care System - Eden Valley

Processing Complete

Paynesville Area Health Care System - Richmond

Processing Complete

Paynesville Area Health Care System - Richmond

Processing Complete

Paynesville Area Health Care System - Washburne

Processing Complete

Paynesville Area Health Care System - Washburne

Processing Complete

Paynesville Area Health Care System - Watkins

Processing Complete

Paynesville Area Health Care System - Watkins

Processing Complete

Page 263: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16425 MN 90643 A 2/15/2010

16425 MN 93586 A 5/25/2010

16430 MN 93946 A 1/28/2011

16430 MN 93948 A 1/28/2011

16432 KY 90498 A 1/28/2010

16432 KY 90621 A 1/28/2010

16432 KY 90622 A 2/16/2010

16432 KY 90888 A 2/22/2010

16432 KY 90889 A 2/22/2010

16434 AL 90027 A 12/29/2009

16434 AL 94123 A

16434 AL 94125 A

16434 AL 95874 A 12/17/2010

Paynesville Area Health Care System - Watkins HT

Processing Complete

Paynesville Area Health Care System - Watkins HT

Processing Complete

Range Mental Health Center - Hibbing

Processing Complete

Range Mental Health Center - Hibbing

Processing Complete

Fleming County Hospital

Processing Complete

Fleming County Hospital

Processing Complete

Fleming County Hospital

Processing Complete

Fleming County Hospital

Processing Complete

Fleming County Hospital

Processing Complete

Cullman Quality Health Care

Processing Complete

Cullman Quality Health Care

Initial Review Complete

Cullman Quality Health Care

Initial Review Complete

Cullman Quality Health Care

Processing Complete

Page 264: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16435 AL 90035 A 12/29/2009

16435 AL 94143 A

16435 AL 94145 A

16435 AL 95875 A 12/17/2010

16436 AL 90036 A 12/29/2009

16436 AL 94140 A

16436 AL 94141 A

16436 AL 95877 A 12/17/2010

16439 WI 92113 A 5/11/2010

16440 WI 92115 A 5/11/2010

16449 WI 94749 A 6/29/2010

16449 WI 94911 A 6/17/2010

W. T. Scruggs Medical Center

Processing Complete

W. T. Scruggs Medical Center

Initial Review Complete

W. T. Scruggs Medical Center

Initial Review Complete

W. T. Scruggs Medical Center

Processing Complete

Talladega Quality Health Care

Processing Complete

Talladega Quality Health Care

Initial Review Complete

Talladega Quality Health Care

Initial Review Complete

Talladega Quality Health Care

Processing Complete

Upland Hills Health - Highland Clinic

Processing Complete

Upland Hills Health - Montfort Clinic

Processing Complete

Boscobel Area Health Care - Fennimore Family Medicine

Processing Complete

Boscobel Area Health Care - Fennimore Family Medicine

Processing Complete

Page 265: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16450 WI 89773 A 2/8/2010

16451 OR 91174 A 11/22/2011

16451 OR 91175 A 11/22/2011

16452 MO 85858 A

16453 MO 85859 A

16459 KS 89799 A 5/5/2010

16460 KS 94154 A 6/29/2010

16460 KS 96788 A 7/19/2010

16468 MN 90668 A 2/15/2010

Marshfield Clinic - Reedsburg Medical Center

Processing Complete

Grande Ronde Hospital

Processing Complete

Grande Ronde Hospital

Processing Complete

Bolivar Technical College

Processing Complete

Texas County Technical Institute

Processing Complete

Community Health Center of Southeast Kansas, Inc. - Pittsburg (N Broadway St)

Processing Complete

Community Health Center of Southeast Kansas, Inc. - Pittsburg (N Michigan St)

Processing Complete

Community Health Center of Southeast Kansas, Inc. - Pittsburg (N Michigan St)

Processing Complete

Paynesville Area Health Care System - Spicer

Processing Complete

Page 266: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16468 MN 93593 A 6/1/2010

16469 MO 97171 A

16469 MO 97171 B

16469 MO 97171 C

16478 AL 88752 A 2/1/2010

16478 AL 88753 A 1/12/2010

16481 AK 92417 A 4/29/2010

16482 IN 90392 A 1/21/2010

16483 IN 88833 A 2/19/2010

16483 IN 88834 A 2/4/2010

16483 IN 88835 A 2/4/2010

16486 CO 89048 A 1/7/2010

Paynesville Area Health Care System - Spicer

Processing Complete

Medical Center of Willow Springs

Processing Complete

Medical Center of Willow Springs

Processing Complete

Medical Center of Willow Springs

Processing Complete

Clay County Hospital

Processing Complete

Clay County Hospital

Processing Complete

Alaska Island Community Services (N Nordic Dr)

Processing Complete

West Central Community Hospital

Processing Complete

Margaret Mary Community Hospital

Processing Complete

Margaret Mary Community Hospital

Processing Complete

Margaret Mary Community Hospital

Processing Complete

Centennial Mental Health Center

Processing Complete

Page 267: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16486 CO 89049 A 1/7/2010

16486 CO 90424 A 1/7/2010

16490 VA 89152 A 12/11/2009

16490 VA 96220 A

16504 KS 94096 A 5/24/2010

16536 ND 95442 A 5/19/2011

16538 NE 87382 A 1/14/2010

16539 NE 87383 A 1/7/2010

16543 GA 88744 A 2/1/2010

16543 GA 88746 A 12/28/2009

16546 MN 90139 A 1/21/2010

16559 MT 97047 A 1/25/2011

16559 MT 97052 A

16559 MT 97055 A

16559 MT 97057 A 1/25/2011

16559 MT 97057 B 1/25/2011

Centennial Mental Health Center

Processing Complete

Centennial Mental Health Center

Processing Complete

Culpeper Field Office

Processing Complete

Culpeper Field Office

Processing Complete

Community Health Center of Southeast Kansas, Inc.

Processing Complete

MeritCare Valley City Eye Clinic

Processing Complete

Hemingford Clinic

Processing Complete

Cow Country Health Center

Processing Complete

Calhoun Memorial Hospital

Processing Complete

Calhoun Memorial Hospital

Processing Complete

Altru Health System - Fertile

Processing Complete

North Valley Hospital

Processing Complete

North Valley Hospital

Processing Complete

North Valley Hospital

Processing Complete

North Valley Hospital

Processing Complete

North Valley Hospital

Processing Complete

Page 268: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16560 OK 95944 A

16567 IN 94309 A

16570 IN 90582 A 8/3/2010

16571 ID 90295 A 3/12/2010

16572 ID 90300 A 3/12/2010

16573 ID 90296 A 3/12/2010

16574 ID 90299 A 3/12/2010

16587 OK 95322 A 8/9/2010

16588 OK 95320 A 8/9/2010

16599 IN 92842 A 4/2/2010

16599 IN 92843 A 4/16/2010

16602 IN 92840 A 4/16/2010

16602 IN 92841 A 4/16/2010

Jackson County Memorial Hospital - Counseling Center

Initial Review Complete

North Daviess Medical Clinic

Initial Review Complete

Daviess - Martin Medical Center

Processing Complete

Health West, Inc. - Aberdeen

Processing Complete

Health West, Inc. - American Falls

Processing Complete

Health West, Inc. - Lava Hot Springs

Processing Complete

Health West, Inc. - McCammon

Processing Complete

Grand Lake Medical Park - Ketchum

Processing Complete

Grand Lake Medical Park - Langley

Processing Complete

Dale Family Practice

Processing Complete

Dale Family Practice

Processing Complete

Loogootee Family Medicine

Processing Complete

Loogootee Family Medicine

Processing Complete

Page 269: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16603 IN 92844 A 4/21/2010

16603 IN 92845 A 4/16/2010

16604 IN 92838 A 4/16/2010

16604 IN 92839 A 4/16/2010

16607 IN 92819 A 4/16/2010

16607 IN 92820 A 4/25/2010

16607 IN 92821 A 4/25/2010

16607 IN 92822 A 4/25/2010

Martin County Health Care

Processing Complete

Martin County Health Care

Processing Complete

Petersburg Family Medicine

Processing Complete

Petersburg Family Medicine

Processing Complete

Memorial Hospital and Health Care Center - Jasper (W 9th St)

Processing Complete

Memorial Hospital and Health Care Center - Jasper (W 9th St)

Processing Complete

Memorial Hospital and Health Care Center - Jasper (W 9th St)

Processing Complete

Memorial Hospital and Health Care Center - Jasper (W 9th St)

Processing Complete

Page 270: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16607 IN 92823 A 4/25/2010

16607 IN 92824 A

16607 IN 92825 A 7/6/2010

16607 IN 92826 A

16609 NC 90308 A 2/17/2010

16610 IN 94295 A 7/12/2010

16610 IN 94296 A 7/12/2010

16611 ND 90141 A 1/21/2010

Memorial Hospital and Health Care Center - Jasper (W 9th St)

Processing Complete

Memorial Hospital and Health Care Center - Jasper (W 9th St)

Initial Review Complete

Memorial Hospital and Health Care Center - Jasper (W 9th St)

Processing Complete

Memorial Hospital and Health Care Center - Jasper (W 9th St)

Initial Review Complete

Bakersville Community Medical Clinic, Inc.

Processing Complete

Schneck Medical Center

Processing Complete

Schneck Medical Center

Processing Complete

Altru Health System - Lakota

Processing Complete

Page 271: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16619 MO 91539 A 7/6/2010

16619 MO 95118 A 7/6/2010

16621 MO 91535 A 7/6/2010

16621 MO 95119 A 7/6/2010

16622 MO 91536 A 7/6/2010

16623 MO 91537 A 7/6/2010

16623 MO 95879 A 10/31/2010

16625 WI 92112 A 11/2/2010

16625 WI 92114 A 11/2/2010

16626 WI 92117 A 11/2/2010

16626 WI 92118 A 11/2/2010

16627 OR 92961 A 6/9/2010

16634 WI 95008 A 7/19/2010

16634 WI 95009 A 7/19/2010

Barnes Jewish Health Care - Steelville

Processing Complete

Barnes Jewish Health Care - Steelville

Processing Complete

Cuba Medical Clinic

Processing Complete

Cuba Medical Clinic

Processing Complete

Missouri Baptist Hospital

Processing Complete

Parkland Health Care

Processing Complete

Parkland Health Care

Processing Complete

Clear Lake Clinic

Processing Complete

Clear Lake Clinic

Processing Complete

Luck Medical Clinic

Processing Complete

Luck Medical Clinic

Processing Complete

Columbia River Community Health Service

Processing Complete

Aurora Health Care - Delavan (E Geneva St)

Processing Complete

Aurora Health Care - Delavan (E Geneva St)

Processing Complete

Page 272: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16634 WI 95011 A 7/19/2010

16635 WI 95018 A 7/19/2010

16635 WI 95019 A 7/19/2010

16635 WI 95020 A 7/28/2010

16635 WI 95021 A 9/9/2010

16635 WI 95022 A 7/19/2010

16658 MO 91538 A 7/6/2010

16658 MO 95120 A 7/6/2010

16664 TX 88883 A 1/19/2010

16664 TX 88884 A 2/17/2010

16675 MI 96150 A 10/14/2010

16675 MI 96152 A 10/14/2010

Aurora Health Care - Delavan (E Geneva St)

Processing Complete

Aurora Health Care - Mayville

Processing Complete

Aurora Health Care - Mayville

Processing Complete

Aurora Health Care - Mayville

Processing Complete

Aurora Health Care - Mayville

Processing Complete

Aurora Health Care - Mayville

Processing Complete

Bourbon Clinic

Processing Complete

Bourbon Clinic

Processing Complete

Concho County Hospital

Processing Complete

Concho County Hospital

Processing Complete

Marquette General Hospital - Ewen Medical Center

Processing Complete

Marquette General Hospital - Ewen Medical Center

Processing Complete

Page 273: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16675 MI 96155 A 10/14/2010

16698 MN 91511 A 3/11/2010

16698 MN 93103 A 5/11/2010

16699 MN 91512 A 3/11/2010

16699 MN 93104 A 5/11/2010

16701 MN 96850 A 12/15/2011

16701 MN 96853 A 12/15/2011

16701 MN 97009 A 12/15/2011

16701 MN 97014 A 12/15/2011

Marquette General Hospital - Ewen Medical Center

Processing Complete

Riverwood Health Care Center - Garrison

Processing Complete

Riverwood Health Care Center - Garrison

Processing Complete

Riverwood Health Care Center - McGregor

Processing Complete

Riverwood Health Care Center - McGregor

Processing Complete

Five County Mental Health Center - Braham (Hwy 65)

Processing Complete

Five County Mental Health Center - Braham (Hwy 65)

Processing Complete

Five County Mental Health Center - Braham (Hwy 65)

Processing Complete

Five County Mental Health Center - Braham (Hwy 65)

Processing Complete

Page 274: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16703 MO 95690 A 11/4/2010

16704 MO 95691 A 11/4/2010

16705 MO 95693 A 11/4/2010

16706 MO 95694 A 11/4/2010

16707 MO 95699 A 11/4/2010

16708 MO 95700 A 11/4/2010

Pathways Community Behavioral Healthcare, Inc. - Cuba

Processing Complete

Pathways Community Behavioral Healthcare, Inc. - Eldon

Processing Complete

Pathways Community Behavioral Healthcare, Inc. - Farmington

Processing Complete

Pathways Community Behavioral Healthcare, Inc. - Harrisonville

Processing Complete

Pathways Community Behavioral Healthcare, Inc. - Marshall

Processing Complete

Pathways Community Behavioral Healthcare, Inc. - Odessa

Processing Complete

Page 275: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16709 MO 95702 A 11/4/2010

16710 MO 95705 A 11/4/2010

16711 MO 95706 A 11/4/2010

16715 MI 92756 A 6/15/2011

16716 MI 92749 A 6/15/2011

16728 OH 91480 A 3/25/2010

16728 OH 91481 A 3/25/2010

16728 OH 95948 A

16731 WI 92119 A 11/2/2010

16731 WI 92120 A 11/2/2010

16736 WI 95170 A 9/2/2010

Pathways Community Behavioral Healthcare, Inc. - Owensville

Processing Complete

Pathways Community Behavioral Healthcare, Inc. - Salem

Processing Complete

Pathways Community Behavioral Healthcare, Inc. - Waynesville

Processing Complete

Sparrow Hospital - Carson City Hospital

Processing Complete

Sparrow Hospital - Clinton Memorial

Processing Complete

Van Wert County Hospital

Processing Complete

Van Wert County Hospital

Processing Complete

Van Wert County Hospital

Initial Review Complete

Turtle Lake Medical

Processing Complete

Turtle Lake Medical

Processing Complete

Aurora Rehabilitation Center - Sturgeon Bay

Processing Complete

Page 276: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16736 WI 95171 A 9/9/2010

16737 WI 93528 A 7/19/2010

16737 WI 93529 A 7/19/2010

16737 WI 93530 A 7/19/2010

16737 WI 93531 A 7/19/2010

16737 WI 93532 A 7/19/2010

16737 WI 93533 A 7/19/2010

16737 WI 95172 A 9/2/2010

16737 WI 95172 B 9/2/2010

16737 WI 95174 A 9/9/2010

16737 WI 95174 B 9/9/2010

16737 WI 95213 A 10/7/2010

16737 WI 95213 B 10/7/2010

Aurora Rehabilitation Center - Sturgeon Bay

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Aurora Health Care - Plymouth

Processing Complete

Page 277: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16738 MO 97257 A

16738 MO 97257 B

16738 MO 99702 A 10/5/2011

16748 MO 95834 A 2/9/2011

16752 MO 95833 A 2/7/2011

16753 MO 95826 A 2/7/2011

16754 MO 96456 A 2/8/2011

16755 MO 96463 A 2/8/2011

16760 MO 96465 A 2/7/2011

16761 MO 96460 A 3/6/2011

16761 MO 96460 B 3/6/2011

16765 IN 90706 A 1/29/2010

16782 AL 89083 A 2/1/2010

16782 AL 89084 A 2/17/2010

16782 AL 89086 A 2/12/2010

Lancaster Medical Services

Initial Review Complete

Lancaster Medical Services

Processing Complete

Lancaster Medical Services

Processing Complete

Cox Health Center - Branson

Processing Complete

Ava Family Health

Processing Complete

Buffalo Family Health Care

Processing Complete

Cassville Medical Care Associates

Processing Complete

Cox Family Medicine of Mountain Grove

Processing Complete

Seymour Family Health Care

Processing Complete

Shell Knob Family Medicine

Processing Complete

Shell Knob Family Medicine

Processing Complete

Putnam County Hospital

Processing Complete

Randolph Medical Center

Processing Complete

Randolph Medical Center

Processing Complete

Randolph Medical Center

Processing Complete

Page 278: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16782 AL 89087 A 1/28/2010

16783 KY 88867 A 12/21/2009

16783 KY 88868 A 12/21/2009

16783 KY 88869 A 12/21/2009

16783 KY 88870 A 12/21/2009

16806 WI 95175 A 9/16/2010

16806 WI 95176 A 7/19/2010

16806 WI 95177 A 7/20/2010

16808 OH 91710 A 4/12/2010

16813 GA 90292 A 1/21/2010

16818 NC 88804 A 6/15/2010

16818 NC 88805 A 6/15/2010

Randolph Medical Center

Processing Complete

Trigg County Hospital

Processing Complete

Trigg County Hospital

Processing Complete

Trigg County Hospital

Processing Complete

Trigg County Hospital

Processing Complete

Aurora Health Care - Clintonville

Processing Complete

Aurora Health Care - Clintonville

Processing Complete

Aurora Health Care - Clintonville

Processing Complete

Galion Community Hospital

Processing Complete

Community Service Board of East Central Georgia d/b/a Serenity Behavioral Health Systems - Washington (Hospital Dr)

Processing Complete

St. Luke's Hospital

Processing Complete

St. Luke's Hospital

Processing Complete

Page 279: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16818 NC 88806 A 6/15/2010

16818 NC 88809 A 12/8/2010

16818 NC 92387 A 11/1/2010

16818 NC 93492 A 11/19/2010

16833 KY 89092 A 7/19/2010

16833 KY 89094 A 10/6/2010

16833 KY 89095 A 10/6/2010

16833 KY 91422 A 2/16/2010

16833 KY 96896 A 12/9/2010

16833 KY 96897 A 12/9/2010

16833 KY 96899 A 12/9/2010

16837 TX 88856 A 2/1/2010

16837 TX 88857 A 2/1/2010

16837 TX 88858 A 2/4/2010

16837 TX 88859 A 2/1/2010

St. Luke's Hospital

Processing Complete

St. Luke's Hospital

Processing Complete

St. Luke's Hospital

Processing Complete

St. Luke's Hospital

Processing Complete

Saint Joseph London Hospital

Processing Complete

Saint Joseph London Hospital

Processing Complete

Saint Joseph London Hospital

Processing Complete

Saint Joseph London Hospital

Processing Complete

Saint Joseph London Hospital

Processing Complete

Saint Joseph London Hospital

Processing Complete

Saint Joseph London Hospital

Processing Complete

North Texas Medical Center

Processing Complete

North Texas Medical Center

Processing Complete

North Texas Medical Center

Processing Complete

North Texas Medical Center

Processing Complete

Page 280: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16837 TX 88860 A 2/1/2010

16837 TX 88861 A 4/5/2010

16837 TX 91596 A 5/12/2010

16844 WI 92342 A 5/6/2010

16851 KY 91182 A 2/11/2010

16862 OK 95234 A

16878 WI 93021 A 7/19/2010

16878 WI 93022 A 7/19/2010

16878 WI 93024 A 7/19/2010

16878 WI 93026 A 7/19/2010

16878 WI 95214 A 9/16/2010

16879 OH 90811 A 1/29/2010

16879 OH 90816 A 3/25/2010

16879 OH 90817 A 3/25/2010

North Texas Medical Center

Processing Complete

North Texas Medical Center

Processing Complete

North Texas Medical Center

Processing Complete

Eagle River Memorial Hospital

Processing Complete

Saint Joseph Martin Hospital

Processing Complete

Grand Lake Medical Park - Monkey Island

Initial Review Complete

Aurora Health Care - Denmark

Processing Complete

Aurora Health Care - Denmark

Processing Complete

Aurora Health Care - Denmark

Processing Complete

Aurora Health Care - Denmark

Processing Complete

Aurora Health Care - Denmark

Processing Complete

Madison County Hospital

Processing Complete

Madison County Hospital

Processing Complete

Madison County Hospital

Processing Complete

Page 281: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16882 AK 91629 A 4/20/2010

16882 AK 91630 A 4/21/2010

16901 UT 91545 A 2/26/2010

16902 UT 91546 A 2/26/2010

16903 UT 91543 A 2/26/2010

16903 UT 91544 A 2/26/2010

16904 WI 86907 A 11/19/2009

16904 WI 86909 A 11/19/2009

16905 WI 86962 A 10/15/2009

16906 WI 86966 A

Hope Community Resources - Kodiak

Processing Complete

Hope Community Resources - Kodiak

Processing Complete

Four Corners Behavioral Health - Castle Dale

Processing Complete

Four Corners Behavioral Health - Moab

Processing Complete

Four Corners Behavioral Health - Price (575 E 100 S)

Processing Complete

Four Corners Behavioral Health - Price (575 E 100 S)

Processing Complete

Bond Health Center

Processing Complete

Bond Health Center

Processing Complete

Bellin Family Medical Center - Bonduel

Processing Complete

Bellin Family Medical Center - Brillion

Processing Complete

Page 282: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16909 WI 86974 A 10/20/2009

16911 WI 86976 A 10/15/2009

16912 WI 87166 A 10/15/2009

16913 WI 87169 A 2/2/2010

16914 WI 87170 A 10/15/2009

16915 WI 87178 A 2/11/2010

16916 WI 86913 A 10/15/2009

16917 IL 92429 A 5/20/2011

16920 MI 97046 A

16921 MI 96999 A 10/4/2010

Bellin Family Medical Center - Luxemburg

Processing Complete

Bellin Family Medical Center - Oconto Falls

Processing Complete

Bellin Family Medical Center - Pulaski

Processing Complete

Bellin Family Medical Center - Seymour

Processing Complete

Bellin Family Medical Center - Suring

Processing Complete

Bellin Family Medical Center - Wrightstown

Processing Complete

Bellin Family Medical Center - Algoma

Processing Complete

Rochelle Community Hospital

Processing Complete

Family Health Care - Adams-Ashby Counseling Center

Initial Review Complete

Baldwin Family Health Care - TRV

Processing Complete

Page 283: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16923 MI 97116 A 10/18/2010

16923 MI 97124 A

16924 MI 97098 A 10/25/2010

16925 MI 97084 A 10/12/2010

16930 UT 90410 A 5/17/2010

16930 UT 90411 A 5/17/2010

16930 UT 90412 A 5/17/2010

16930 UT 90413 A 5/17/2010

16930 UT 90414 A 5/17/2010

16930 UT 90415 A 5/17/2010

16930 UT 90417 A 5/17/2010

Family Health Care - Cadillac

Processing Complete

Family Health Care - Cadillac

Initial Review Complete

Family Health Care - McBain

Processing Complete

Family Health Care - White Cloud

Processing Complete

Central Utah Counseling Center - Nephi

Processing Complete

Central Utah Counseling Center - Nephi

Processing Complete

Central Utah Counseling Center - Nephi

Processing Complete

Central Utah Counseling Center - Nephi

Processing Complete

Central Utah Counseling Center - Nephi

Processing Complete

Central Utah Counseling Center - Nephi

Processing Complete

Central Utah Counseling Center - Nephi

Processing Complete

Page 284: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16930 UT 90418 A 5/17/2010

16930 UT 90419 A 5/17/2010

16930 UT 90420 A 5/17/2010

16930 UT 90421 A 5/17/2010

16930 UT 96953 A 9/21/2010

16935 TN 91773 A 4/12/2010

16935 TN 91774 A 4/12/2010

16935 TN 91775 A

16935 TN 94983 A 9/8/2010

16936 VA 89106 A 12/13/2009

16937 VA 89109 A 12/13/2009

Central Utah Counseling Center - Nephi

Processing Complete

Central Utah Counseling Center - Nephi

Processing Complete

Central Utah Counseling Center - Nephi

Processing Complete

Central Utah Counseling Center - Nephi

Processing Complete

Central Utah Counseling Center - Nephi

Processing Complete

Macon County General Hospital

Processing Complete

Macon County General Hospital

Processing Complete

Macon County General Hospital

Initial Review Complete

Macon County General Hospital

Processing Complete

Chesapeake Medical Group - Hartfield Clinic

Processing Complete

Chesapeake Medical Group - Heathsville Clinic

Processing Complete

Page 285: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16938 VA 89107 A 12/18/2009

16939 VA 89110 A 12/13/2009

16940 VA 89108 A 12/13/2009

16941 VA 89105 A 12/13/2009

16942 VA 89104 A 12/13/2009

16943 MO 95836 A

16955 PA 89414 A 1/28/2010

16956 PA 89392 A 1/28/2010

16957 AK 91631 A 4/20/2010

16957 AK 91632 A 4/20/2010

Chesapeake Medical Group - Lively Clinic

Processing Complete

Chesapeake Medical Group - OB Clinic

Processing Complete

Chesapeake Medical Group - Pediatric Clinic

Processing Complete

Rappahannock General Hospital - Bridges Clinic

Processing Complete

Rappahannock General Hospital - Rehabilitation / Physical Therapy Clinic

Processing Complete

Cox Monett Hospital

Processing Complete

Stairways Behavioral Health - Meadville

Processing Complete

Stairways Behavioral Health - Titusville

Processing Complete

Hope Community Resources - Barrow

Processing Complete

Hope Community Resources - Barrow

Processing Complete

Page 286: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16958 AK 91633 A 4/20/2010

16958 AK 91634 A 4/20/2010

16959 AK 91635 A 4/20/2010

16959 AK 91636 A 4/20/2010

16960 AK 91637 A 4/20/2010

16960 AK 91638 A 4/20/2010

16961 CO 89376 A 1/11/2010

16965 NE 89450 A

16967 MS 92488 A 7/12/2010

16967 MS 92489 A 7/12/2010

Hope Community Resources - Juneau

Processing Complete

Hope Community Resources - Juneau

Processing Complete

Hope Community Resources - Kenai Peninsula

Processing Complete

Hope Community Resources - Kenai Peninsula

Processing Complete

Hope Community Resources - Wasilla

Processing Complete

Hope Community Resources - Wasilla

Processing Complete

Limon Doctors Committee - Flagler

Processing Complete

Tecumseh State Correctional Institution

Processing Complete

Jefferson Davis Community Hospital

Processing Complete

Jefferson Davis Community Hospital

Processing Complete

Page 287: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16967 MS 92490 A 7/12/2010

16972 TX 96458 A

16976 GA 89602 A 6/29/2010

16977 GA 89604 A 2/4/2010

16978 GA 89601 A 4/1/2010

16978 GA 95614 A 8/23/2010

16979 WV 90324 A 2/1/2010

16979 WV 90330 A 2/1/2010

16979 WV 90333 A 1/28/2010

16979 WV 90334 A 2/4/2010

16981 CO 89188 A 11/2/2009

16981 CO 90322 A 2/16/2010

16981 CO 90323 A 2/10/2010

Jefferson Davis Community Hospital

Processing Complete

Hillcrest Baptist Medical Center - Gatesville

Initial Review Complete

Tift Regional Medical Center - Tifton (712 E 18th St)

Processing Complete

Tift Regional Medical Center - Tifton (Hwy 41 N)

Processing Complete

Health Plus Ashburn Clinic

Processing Complete

Health Plus Ashburn Clinic

Processing Complete

Preston Memorial Hospital

Processing Complete

Preston Memorial Hospital

Processing Complete

Preston Memorial Hospital

Processing Complete

Preston Memorial Hospital

Processing Complete

Kremmling Memorial Hospital

Processing Complete

Kremmling Memorial Hospital

Processing Complete

Kremmling Memorial Hospital

Processing Complete

Page 288: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16981 CO 90323 B 2/10/2010

16982 NC 89225 A 9/24/2010

16985 AL 90024 A 12/29/2009

16985 AL 94120 A

16985 AL 94122 A

16986 AL 90037 A 12/29/2009

16986 AL 94138 A

16986 AL 94139 A

16987 GA 89600 A 2/1/2010

16992 NC 92217 A 7/11/2010

17007 AR 89286 A 4/20/2010

17008 AL 88797 A 2/10/2010

17008 AL 88799 A 1/28/2010

17008 AL 88800 A 1/28/2010

Kremmling Memorial Hospital

Processing Complete

South Granville Medical Center

Processing Complete

Blount Quality Health Care

Processing Complete

Blount Quality Health Care

Initial Review Complete

Blount Quality Health Care

Initial Review Complete

Cleburne Quality Health Care

Processing Complete

Cleburne Quality Health Care

Initial Review Complete

Cleburne Quality Health Care

Initial Review Complete

Sylvester Family Practice

Processing Complete

Ellerbe Family Care Center

Processing Complete

Lawrence County Rehabilitation Services

Processing Complete

Washington County Hospital

Processing Complete

Washington County Hospital

Processing Complete

Washington County Hospital

Processing Complete

Page 289: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17008 AL 88801 A 2/4/2010

17008 AL 88802 A 2/1/2010

17015 MI 93882 A 6/29/2010

17015 MI 93883 A 6/29/2010

17015 MI 93885 A 6/29/2010

17015 MI 93886 A 6/29/2010

17015 MI 93887 A 6/29/2010

17015 MI 93888 A 6/29/2010

17015 MI 93890 A 6/29/2010

Washington County Hospital

Processing Complete

Washington County Hospital

Processing Complete

West Michigan Community Mental Health System - Ludington

Processing Complete

West Michigan Community Mental Health System - Ludington

Processing Complete

West Michigan Community Mental Health System - Ludington

Processing Complete

West Michigan Community Mental Health System - Ludington

Processing Complete

West Michigan Community Mental Health System - Ludington

Processing Complete

West Michigan Community Mental Health System - Ludington

Processing Complete

West Michigan Community Mental Health System - Ludington

Processing Complete

Page 290: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17019 TX 92481 A 7/12/2010

17021 CA 89519 A 2/23/2010

17021 CA 91232 A 2/23/2010

17022 AR 88919 A 12/21/2009

17022 AR 88920 A 1/11/2010

17022 AR 88921 A 12/31/2009

17022 AR 88922 A 12/31/2009

17022 AR 91521 A 4/19/2010

17022 AR 94148 A 7/26/2010

17023 LA 90908 A 1/28/2010

17024 AL 92932 A 7/11/2010

17024 AL 96244 A 9/13/2010

17027 UT 95421 A 3/11/2011

17029 WY 93040 A 9/19/2010

Hopkins County Memorial Hospital

Processing Complete

Tulelake Health Center

Processing Complete

Tulelake Health Center

Processing Complete

Dallas County Medical Center

Processing Complete

Dallas County Medical Center

Processing Complete

Dallas County Medical Center

Processing Complete

Dallas County Medical Center

Processing Complete

Dallas County Medical Center

Processing Complete

Dallas County Medical Center

Processing Complete

Kentwood Medical

Processing Complete

Coosa Valley Medical Center

Processing Complete

Coosa Valley Medical Center

Processing Complete

Bear River Mental Health Services, Inc. - Brigham City

Processing Complete

Sheridan Memorial Hospital

Processing Complete

Page 291: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17029 WY 93041 A 9/19/2010

17029 WY 93042 A 9/19/2010

17029 WY 96469 A

17031 IN 90850 A 1/29/2010

17031 IN 90851 A 1/29/2010

17036 TX 94135 A 7/6/2010

17037 TX 93928 A 7/6/2010

17038 TX 93925 A 9/6/2010

17038 TX 93926 A 7/6/2010

17052 IA 89251 A 2/10/2010

17053 IN 90829 A 3/22/2010

Sheridan Memorial Hospital

Processing Complete

Sheridan Memorial Hospital

Processing Complete

Sheridan Memorial Hospital

Initial Review Complete

White County Memorial Hospital (S 6th St)

Processing Complete

White County Memorial Hospital (S 6th St)

Processing Complete

Good Shepherd Family Health Center - Hughes Springs

Processing Complete

Good Shepherd Medical Center - Linden

Processing Complete

Good Shepherd Medical Center - Marshall

Processing Complete

Good Shepherd Medical Center - Marshall

Processing Complete

Lenox Medical Clinic

Processing Complete

St. Vincent Physician Network, LLC d/b/a Family Health Center of Union City

Processing Complete

Page 292: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17053 IN 90830 A 3/22/2010

17053 IN 90831 A 3/22/2010

17053 IN 90832 A 3/22/2010

17053 IN 90833 A 3/22/2010

17053 IN 90834 A 3/22/2010

St. Vincent Physician Network, LLC d/b/a Family Health Center of Union City

Processing Complete

St. Vincent Physician Network, LLC d/b/a Family Health Center of Union City

Processing Complete

St. Vincent Physician Network, LLC d/b/a Family Health Center of Union City

Processing Complete

St. Vincent Physician Network, LLC d/b/a Family Health Center of Union City

Processing Complete

St. Vincent Physician Network, LLC d/b/a Family Health Center of Union City

Processing Complete

Page 293: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17053 IN 90835 A 3/22/2010

17053 IN 90836 A 3/22/2010

17054 MN 95441 A 5/19/2011

17055 MN 95446 A 5/19/2011

17059 TX 95076 A 7/12/2010

17060 CO 95963 A 10/26/2010

17060 CO 95966 A 12/17/2010

17060 CO 95968 A 10/26/2010

17060 CO 95971 A 10/26/2010

17060 CO 95973 A 10/26/2010

17060 CO 95974 A 10/26/2010

17061 WA 91707 A 6/7/2010

17065 UT 88441 A 8/24/2011

St. Vincent Physician Network, LLC d/b/a Family Health Center of Union City

Processing Complete

St. Vincent Physician Network, LLC d/b/a Family Health Center of Union City

Processing Complete

MeritCare Dialysis Services - Morris

Processing Complete

MeritCare Dialysis Services - Red Lake

Processing Complete

Wilbarger General Hospital

Processing Complete

The Memorial Hospital

Processing Complete

The Memorial Hospital

Processing Complete

The Memorial Hospital

Processing Complete

The Memorial Hospital

Processing Complete

The Memorial Hospital

Processing Complete

The Memorial Hospital

Processing Complete

Curlew Medical Clinic

Processing Complete

Valley Mental Health - Coalville

Processing Complete

Page 294: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17066 UT 88443 A 8/23/2011

17067 UT 88470 A 8/23/2011

17068 UT 88474 A 8/23/2011

17069 UT 88437 A 8/23/2011

17073 KY 88874 A 3/29/2010

17073 KY 88875 A 1/28/2010

17073 KY 88876 A 1/28/2010

17073 KY 89803 A 2/10/2010

17074 OH 93770 A 7/12/2010

17076 MO 94241 A 7/12/2010

17077 KS 94240 A 9/19/2010

17081 KS 94239 A 7/12/2010

17089 TX 90926 A 3/1/2010

17092 FL 91904 A 3/29/2010

Valley Mental Health - Kamas

Processing Complete

Valley Mental Health - Park City

Processing Complete

Valley Mental Health - Tooele

Processing Complete

Valley Mental Health - Wendover

Processing Complete

Harrison Memeorial Hospital

Processing Complete

Harrison Memeorial Hospital

Processing Complete

Harrison Memeorial Hospital

Processing Complete

Harrison Memeorial Hospital

Processing Complete

Knox Community Hospital

Processing Complete

St. Johns Medical Center - Carthage Clinic

Processing Complete

St. Johns Medical Center - Columbus Clinic

Processing Complete

St. Johns Medical Center - Oswego Clinic

Processing Complete

Rankin County Hospital

Processing Complete

Crestview Health Center

Processing Complete

Page 295: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17098 AR 87320 A 2/2/2010

17099 AR 87322 A 2/2/2010

17099 AR 87331 A 2/2/2010

17100 AR 87324 A 2/2/2010

17100 AR 87333 A 2/2/2010

Southwest Arkansas Counseling & Mental Health Center - DeQueen Clinic

Processing Complete

Southwest Arkansas Counseling & Mental Health Center - Hope Clinic

Processing Complete

Southwest Arkansas Counseling & Mental Health Center - Hope Clinic

Processing Complete

Southwest Arkansas Counseling & Mental Health Center - Horizons of Hope

Processing Complete

Southwest Arkansas Counseling & Mental Health Center - Horizons of Hope

Processing Complete

Page 296: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17101 AR 87326 A 2/2/2010

17102 AR 87328 A 2/2/2010

17103 AR 87329 A 2/2/2010

17103 AR 87334 A 2/2/2010

17104 AR 87330 A 2/2/2010

Southwest Arkansas Counseling & Mental Health Center - Lewisville Clinic

Processing Complete

Southwest Arkansas Counseling & Mental Health Center - Nashville Clinic

Processing Complete

Southwest Arkansas Counseling & Mental Health Center - Split Rail (Bldg 3)

Processing Complete

Southwest Arkansas Counseling & Mental Health Center - Split Rail (Bldg 3)

Processing Complete

Southwest Arkansas Counseling & Mental Health Center - Split Rail (Prescott)

Processing Complete

Page 297: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17104 AR 87335 A 1/20/2010

17105 AL 89088 A 2/12/2010

17105 AL 89089 A 2/12/2010

17106 WV 88788 A 3/9/2010

17106 WV 88789 A 6/14/2010

17106 WV 88790 A 6/14/2010

17106 WV 88791 A 6/14/2010

17106 WV 88792 A 2/4/2010

17106 WV 88793 A 1/28/2010

17106 WV 88794 A 1/28/2010

17106 WV 88795 A 6/14/2010

17118 MO 92222 A 7/11/2010

Southwest Arkansas Counseling & Mental Health Center - Split Rail (Prescott)

Processing Complete

Southern Family Health Care

Processing Complete

Southern Family Health Care

Processing Complete

Webster County Memorial Hospital

Processing Complete

Webster County Memorial Hospital

Processing Complete

Webster County Memorial Hospital

Processing Complete

Webster County Memorial Hospital

Processing Complete

Webster County Memorial Hospital

Processing Complete

Webster County Memorial Hospital

Processing Complete

Webster County Memorial Hospital

Processing Complete

Webster County Memorial Hospital

Processing Complete

Freeman Lamar Family Care

Processing Complete

Page 298: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17125 WI 96004 A 12/13/2010

17125 WI 96005 A 12/6/2010

17127 IA 89572 A 2/22/2010

17128 IA 89570 A 1/28/2010

17128 IA 89571 A 1/28/2010

17129 IA 89573 A 2/17/2010

17134 KY 89726 A 2/4/2010

17134 KY 89727 A 2/4/2010

17134 KY 89887 A 5/28/2010

17134 KY 96753 A

17134 KY 96754 A

17134 KY 99716 A 3/23/2011

17134 KY 99716 B 3/23/2011

17134 KY 99717 A 1/19/2011

Marshfield Clinic - Osseo Center

Processing Complete

Marshfield Clinic - Osseo Center

Processing Complete

Bussey Family Health Center

Processing Complete

Knoxville Family Medical Clinic

Processing Complete

Knoxville Family Medical Clinic

Processing Complete

Monroe Family Health Center

Processing Complete

Manchester Memorial Hospital

Processing Complete

Manchester Memorial Hospital

Processing Complete

Manchester Memorial Hospital

Processing Complete

Manchester Memorial Hospital

Initial Review Complete

Manchester Memorial Hospital

Initial Review Complete

Manchester Memorial Hospital

Processing Complete

Manchester Memorial Hospital

Processing Complete

Manchester Memorial Hospital

Processing Complete

Page 299: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17134 KY 99717 B 1/19/2011

17134 KY 101778 A 3/10/2011

17137 CA 95078 A 7/11/2010

17137 CA 95079 A 9/13/2010

17137 CA 95080 A 9/13/2010

17137 CA 95081 A 9/13/2010

17137 CA 95082 A 9/13/2010

17151 WI 93544 A 7/19/2010

17151 WI 93545 A 7/19/2010

17151 WI 93546 A 7/19/2010

17151 WI 95215 A 9/3/2010

17151 WI 95217 A 9/21/2010

Manchester Memorial Hospital

Processing Complete

Manchester Memorial Hospital

Processing Complete

Eastern Plumas Health Care

Processing Complete

Eastern Plumas Health Care

Processing Complete

Eastern Plumas Health Care

Processing Complete

Eastern Plumas Health Care

Processing Complete

Eastern Plumas Health Care

Processing Complete

Aurora Health Care - Kewaskum

Processing Complete

Aurora Health Care - Kewaskum

Processing Complete

Aurora Health Care - Kewaskum

Processing Complete

Aurora Health Care - Kewaskum

Processing Complete

Aurora Health Care - Kewaskum

Processing Complete

Page 300: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17151 WI 95217 B 9/21/2010

17152 WI 93031 A 7/19/2010

17152 WI 93032 A 7/19/2010

17152 WI 93033 A 7/19/2010

17152 WI 95219 A 9/16/2010

17153 WI 93143 A 7/19/2010

17153 WI 93144 A 7/19/2010

17153 WI 93207 A 7/19/2010

17153 WI 95222 A 9/16/2010

17157 NV 95815 A

17157 NV 95825 A

17157 NV 95851 A 2/1/2011

Aurora Health Care - Kewaskum

Processing Complete

Aurora Health Care - Oconto

Processing Complete

Aurora Health Care - Oconto

Processing Complete

Aurora Health Care - Oconto

Processing Complete

Aurora Health Care - Oconto

Processing Complete

Aurora Health Care - Ripon

Processing Complete

Aurora Health Care - Ripon

Processing Complete

Aurora Health Care - Ripon

Processing Complete

Aurora Health Care - Ripon

Processing Complete

Walker River Paiute Tribal Clinic

Processing Complete

Walker River Paiute Tribal Clinic

Processing Complete

Walker River Paiute Tribal Clinic

Processing Complete

Page 301: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17157 NV 96898 A

17157 NV 96918 A

17157 NV 96976 A

17157 NV 96979 A

17157 NV 100804 A 5/9/2011

17157 NV 100805 A 5/9/2011

17158 NM 92207 A 7/11/2010

17161 IL 90501 A 1/29/2010

17163 TX 89444 A 2/8/2010

17165 TX 88880 A 1/29/2010

17165 TX 88881 A 1/19/2010

17165 TX 88882 A 1/11/2010

Walker River Paiute Tribal Clinic

Initial Review Complete

Walker River Paiute Tribal Clinic

Initial Review Complete

Walker River Paiute Tribal Clinic

Initial Review Complete

Walker River Paiute Tribal Clinic

Initial Review Complete

Walker River Paiute Tribal Clinic

Processing Complete

Walker River Paiute Tribal Clinic

Processing Complete

Cibola General Hospital

Processing Complete

Clinton County Rural Health - Breese

Processing Complete

ETMC First Physician

Processing Complete

Comanche County Medical Center

Processing Complete

Comanche County Medical Center

Processing Complete

Comanche County Medical Center

Processing Complete

Page 302: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17165 TX 90306 A 1/29/2010

17167 ND 91009 A 3/8/2010

17168 MO 91228 A

17168 MO 91231 A 2/10/2010

17170 KY 88933 A 2/12/2010

17171 KY 88934 A 2/12/2010

17171 KY 88937 A 2/12/2010

17171 KY 88938 A 2/4/2010

17171 KY 88939 A 1/28/2010

17171 KY 90601 A 2/1/2010

17172 KY 88932 A 2/12/2010

17173 IA 96446 A 9/19/2010

17174 IA 96447 A 9/19/2010

17175 IA 96449 A

Comanche County Medical Center

Processing Complete

Trenton Indian Service Area

Processing Complete

Nevada Medical Clinic

Initial Review Complete

Nevada Medical Clinic

Processing Complete

Russell County Physical Therapy

Processing Complete

Russell County Hospital

Processing Complete

Russell County Hospital

Processing Complete

Russell County Hospital

Processing Complete

Russell County Hospital

Processing Complete

Russell County Hospital

Processing Complete

Russell County Surgical Center

Processing Complete

Merc y Family Care - Northwood

Processing Complete

Mercy Dialysis - Charles City

Processing Complete

MFC-Clear Lake Pediatric & Adolescent Clinic

Initial Review Complete

Page 303: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17176 IA 96451 A 9/19/2010

17176 IA 96451 B 9/19/2010

17176 IA 96451 C 9/19/2010

17178 MI 87177 A 10/15/2009

17181 MI 87172 A

17181 MI 87175 A 11/19/2009

17182 MI 87176 A 10/15/2009

17183 OK 89028 A 12/16/2009

17184 OK 89029 A 12/16/2009

17192 MT 92696 A 4/15/2010

17193 TX 89213 A 3/8/2010

Mercy Family Care - Greene

Processing Complete

Mercy Family Care - Greene

Processing Complete

Mercy Family Care - Greene

Processing Complete

Bellin Health U.P. Primary Care Norway

Processing Complete

Urology Associates

Initial Review Complete

Urology Associates

Processing Complete

Bellin Health U.P. Primary Care Kingsford

Processing Complete

Cancer Centers of Southwestern Oklahamo

Processing Complete

Cancer Centers of Southwest Oklahoma - Altus

Processing Complete

A.W.A.R.E.

Processing Complete

East Texas Medical Ctr Pittsburg

Processing Complete

Page 304: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17193 TX 89219 A 3/8/2010

17193 TX 89700 A 3/29/2010

17193 TX 91332 A 3/29/2010

17193 TX 91333 A 5/12/2010

17193 TX 91334 A 5/12/2010

17193 TX 91861 A 4/12/2010

17193 TX 91863 A 4/12/2010

17193 TX 91883 A

17196 TX 89735 A 1/28/2010

17196 TX 89736 A 1/19/2010

17196 TX 90126 A 1/12/2010

East Texas Medical Ctr Pittsburg

Processing Complete

East Texas Medical Center - Pittsburg

Processing Complete

East Texas Medical Center - Pittsburg

Processing Complete

East Texas Medical Center - Pittsburg

Processing Complete

East Texas Medical Center - Pittsburg

Processing Complete

East Texas Medical Center - Pittsburg

Processing Complete

East Texas Medical Center - Pittsburg

Processing Complete

East Texas Medical Center - Pittsburg

Initial Review Complete

East Texas Medical Center - Fairfield

Processing Complete

East Texas Medical Center - Fairfield

Processing Complete

East Texas Medical Center - Fairfield

Processing Complete

Page 305: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17196 TX 90127 A 1/12/2010

17196 TX 93300 A 6/2/2010

17197 TX 89226 A 1/28/2010

17197 TX 89720 A 1/28/2010

17197 TX 89895 A 2/1/2010

17198 TX 89224 A 2/8/2010

17198 TX 89893 A 2/22/2010

17198 TX 89894 A 3/29/2010

17198 TX 89945 A 2/8/2010

17198 TX 91150 A 8/20/2010

17198 TX 91151 A 8/20/2010

East Texas Medical Center - Fairfield

Processing Complete

East Texas Medical Center - Fairfield

Processing Complete

East Texas Medical Ctr - Crockett

Processing Complete

East Texas Medical Ctr - Crockett

Processing Complete

East Texas Medical Ctr - Crockett

Processing Complete

East Texas Medical Ctr - Carthage

Processing Complete

East Texas Medical Ctr - Carthage

Processing Complete

East Texas Medical Ctr - Carthage

Processing Complete

East Texas Medical Ctr - Carthage

Processing Complete

East Texas Medical Center - Carthage

Processing Complete

East Texas Medical Center - Carthage

Processing Complete

Page 306: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17198 TX 91919 A 4/19/2010

17199 TX 89221 A 1/28/2010

17199 TX 89538 A 2/8/2010

17199 TX 89549 A 1/28/2010

17199 TX 89550 A 2/8/2010

17199 TX 89554 A 2/10/2010

17212 CO 92309 A 9/10/2010

17212 CO 119569 A 11/26/2012

17237 PA 95296 A

17237 PA 95297 A 2/18/2011

17237 PA 95307 A 7/23/2010

East Texas Medical Center - Carthage

Processing Complete

East Texas Medical Ctr - Clarksville

Processing Complete

East Texas Medical Ctr - Clarksville

Processing Complete

East Texas Medical Ctr - Clarksville

Processing Complete

East Texas Medical Ctr - Clarksville

Processing Complete

East Texas Medical Ctr - Clarksville

Processing Complete

Colorado Hospital Association

Processing Complete

Colorado Hospital Association

Processing Complete

Saint Vincent Health Center

Initial Review Complete

Saint Vincent Health Center

Processing Complete

Saint Vincent Health Center

Processing Complete

Page 307: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17237 PA 97153 A

17237 PA 97169 A 7/23/2010

17237 PA 97172 A 7/23/2010

17237 PA 107300 A 9/23/2011

17237 PA 107302 A 9/23/2011

17238 OH 90949 A 3/3/2010

17238 OH 90950 A 3/3/2010

17238 OH 90951 A 3/3/2010

17238 OH 90952 A 3/10/2010

17238 OH 90953 A 3/8/2010

17238 OH 90955 A 3/3/2010

17238 OH 90956 A 3/31/2010

17240 PA 91176 A 6/22/2010

17240 PA 119582 A 11/30/2012

17248 CO 92306 A 9/10/2010

Saint Vincent Health Center

Initial Review Complete

Saint Vincent Health Center

Processing Complete

Saint Vincent Health Center

Processing Complete

Saint Vincent Health Center

Processing Complete

Saint Vincent Health Center

Processing Complete

NEO RHIO HealthNet

Processing Complete

NEO RHIO HealthNet

Processing Complete

NEO RHIO HealthNet

Processing Complete

NEO RHIO HealthNet

Processing Complete

NEO RHIO HealthNet

Processing Complete

NEO RHIO HealthNet

Processing Complete

NEO RHIO HealthNet

Processing Complete

Hamot Health Foundation

Processing Complete

Hamot Health Foundation

Processing Complete

Colorado Behavioral Healthcare Council

Processing Complete

Page 308: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17248 CO 119624 A 3/8/2013

17251 ME 92284 A 9/17/2010

17254 OH 97954 A

17254 OH 101318 A 3/9/2011

17257 WI 88889 A 10/16/2009

17257 WI 88890 A 10/16/2009

17257 WI 88910 A

17257 WI 88915 A 10/16/2009

17257 WI 89006 A 10/16/2009

17264 UT 99866 A 2/1/2011

17264 UT 99867 A 2/1/2011

17264 UT 99868 A 2/17/2011

17264 UT 107498 A 3/11/2012

17264 UT 107863 A 3/11/2012

17264 UT 107880 A 3/11/2012

17264 UT 108195 A 3/11/2012

17264 UT 111337 A

Colorado Behavioral Healthcare Council

Processing Complete

Franklin Community Health Network

Processing Complete

Adena Health System

In Process

Adena Health System

Processing Complete

St. Josephs Hospital

Processing Complete

St. Josephs Hospital

Processing Complete

St. Josephs Hospital

In Process

St. Josephs Hospital

Processing Complete

St. Josephs Hospital

Processing Complete

University of Utah

Processing Complete

University of Utah

Processing Complete

University of Utah

Processing Complete

University of Utah

Processing Complete

University of Utah

Processing Complete

University of Utah

Processing Complete

University of Utah

Processing Complete

University of Utah

Processing Complete

Page 309: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17264 UT 113362 A 4/17/2012

17264 UT 113830 A 4/17/2012

17264 UT 113977 A 4/17/2012

17264 UT 119564 A 4/5/2013

17264 UT 119565 A 4/5/2013

17269 WY 94530 A 11/9/2010

17300 TX 89228 A 1/11/2010

17300 TX 89231 A 1/11/2010

17300 TX 89584 A 1/11/2010

17300 TX 89585 A 3/15/2010

17300 TX 90659 A 3/29/2010

17300 TX 91982 A 4/5/2010

17300 TX 91983 A 4/5/2010

University of Utah

Processing Complete

University of Utah

Processing Complete

University of Utah

Processing Complete

University of Utah

Processing Complete

University of Utah

Processing Complete

University of Wyoming

Processing Complete

East Texas Medical Ctr - Trinity

Processing Complete

East Texas Medical Ctr - Trinity

Processing Complete

East Texas Medical Ctr - Trinity

Processing Complete

East Texas Medical Center - Trinity

Processing Complete

East Texas Medical Ctr - Trinity

Processing Complete

East Texas Medical Center - Trinity

Processing Complete

East Texas Medical Center - Trinity

Processing Complete

Page 310: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17300 TX 94136 A 2/28/2011

17300 TX 94137 A 2/28/2011

17301 TX 89236 A 2/16/2010

17301 TX 89731 A 1/19/2010

17302 TX 89210 A 1/19/2010

17302 TX 89701 A 3/29/2010

17302 TX 92372 A 7/19/2010

17303 TX 89742 A 1/28/2010

17303 TX 91164 A 2/10/2010

17305 ND 92803 A 4/29/2010

17309 ND 91718 A 3/8/2010

17312 IN 90500 A 6/8/2010

East Texas Medical Center - Trinity

Processing Complete

East Texas Medical Center - Trinity

Processing Complete

East Texas Medical Ctr - Gilmer

Processing Complete

East Texas Medical Ctr - Gilmer

Processing Complete

East Texas Medical Ctr - Quitman

Processing Complete

East Texas Medical Center - Quitman

Processing Complete

East Texas Medical Center - Quitman

Processing Complete

East Texas Medical Ctr - Lindale

Processing Complete

East Texas Medical Ctr - Lindale

Processing Complete

Spirit Lake Tribal

Processing Complete

Three Affiliated Tribes

Processing Complete

Morgan Hospital & Medical Center

Processing Complete

Page 311: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17312 IN 93195 A

17312 IN 93197 A

17312 IN 95778 A

17313 AK 89054 A 1/25/2010

17313 AK 94543 A

17319 NC 91974 A 3/8/2010

17321 KY 89271 A 5/12/2010

17321 KY 89272 A 5/12/2010

17321 KY 89273 A 5/3/2010

17321 KY 89273 B 5/3/2010

17321 KY 89275 A 11/6/2010

17321 KY 89275 B 11/6/2010

Morgan Hospital & Medical Center

Initial Review Complete

Morgan Hospital & Medical Center

Initial Review Complete

Morgan Hospital & Medical Center

Initial Review Complete

Community Connections - Craig

Processing Complete

Community Connections - Craig

Initial Review Complete

Walstonburg Medical Center

Processing Complete

Breckinridge Memorial Hospital

Processing Complete

Breckinridge Memorial Hospital

Processing Complete

Breckinridge Memorial Hospital

Processing Complete

Breckinridge Memorial Hospital

Processing Complete

Breckinridge Memorial Hospital

Processing Complete

Breckinridge Memorial Hospital

Processing Complete

Page 312: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17321 KY 89276 A 5/12/2010

17321 KY 92801 A 5/12/2010

17321 KY 92857 A 5/12/2010

17321 KY 93522 A 11/1/2010

17321 KY 93523 A 11/1/2010

17322 KY 92800 A 5/12/2010

17323 KY 89277 A 5/12/2010

17323 KY 89278 A 5/12/2010

17333 WI 96014 A 12/6/2010

17336 NV 92661 A 6/19/2010

17336 NV 92664 A 6/19/2010

17336 NV 95637 A 2/1/2011

17337 NC 91975 A 4/5/2010

17341 KY 88953 A 4/20/2010

Breckinridge Memorial Hospital

Processing Complete

Breckinridge Memorial Hospital

Processing Complete

Breckinridge Memorial Hospital

Processing Complete

Breckinridge Memorial Hospital

Processing Complete

Breckinridge Memorial Hospital

Processing Complete

Family Care Center

Processing Complete

Cloverport Health Clinic

Processing Complete

Cloverport Health Clinic

Processing Complete

Marshfield Clinic – Fig

Processing Complete

Yerington Paiute Tribal Health Clinic

Processing Complete

Yerington Paiute Tribal Health Clinic

Processing Complete

Yerington Paiute Tribal Health Clinic

Processing Complete

Student Health Services

Processing Complete

Pike County Outpatient - Belfry

Processing Complete

Page 313: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17342 KY 88952 A 2/24/2010

17343 KY 88954 A 2/24/2010

17343 KY 88955 A 4/20/2010

17344 KY 88956 A 2/3/2010

17345 KY 88957 A 2/24/2010

17345 KY 88958 A 4/20/2010

17346 TX 89449 A 2/10/2010

17350 TX 89499 A 2/10/2010

17351 TX 89500 A 2/10/2010

17352 NC 92494 A 4/19/2010

17367 NC 91976 A 4/5/2010

Pike County Outpatient - Pikeville

Processing Complete

Johnson County Outpatient-S.Mayo Trl

Processing Complete

Johnson County Outpatient-S.Mayo Trl

Processing Complete

Magoffin County Outpatient-Royalton Rd

Processing Complete

Floyd County Outpatient Clinic - Martin Main St

Processing Complete

Floyd County Outpatient Clinic - Martin Main St

Processing Complete

Lennox Health Resource Center

Processing Complete

ETMC 1st Physicians - Jacksonville

Processing Complete

ETMC 1st Physicians-Pittsburg

Processing Complete

Rural Medical Center

Processing Complete

Greene County Health Care, Inc.

Processing Complete

Page 314: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17368 MN 95366 A 12/14/2010

17369 MN 95369 A 12/14/2010

17370 MO 90994 A

17370 MO 91676 A

17371 MO 90992 A

17371 MO 91682 A

17372 MO 90993 A

17372 MO 91686 A

17373 MO 90990 A

17373 MO 91690 A

17374 MO 90996 A 2/4/2010

17375 MO 90997 A 2/4/2010

17376 MO 90999 A

17376 MO 91000 A

17376 MO 91692 A

17376 MO 91694 A

Buffalo Hospital

Processing Complete

Cambridge Hospital

Processing Complete

Wellsville Medical Center

Initial Review Complete

Wellsville Medical Center

Initial Review Complete

Vandalia Medical Center

Initial Review Complete

Vandalia Medical Center

Initial Review Complete

Perry Medical Clinic

Initial Review Complete

Perry Medical Clinic

Initial Review Complete

Montgomery Medical Clinic

Initial Review Complete

Montgomery Medical Clinic

Initial Review Complete

Mexico Urologic Services

Processing Complete

Mexico Internal Medicine

Processing Complete

Mexico Family Healthcare

Initial Review Complete

Mexico Family Healthcare

Initial Review Complete

Mexico Family Healthcare

Initial Review Complete

Mexico Family Healthcare

Initial Review Complete

Page 315: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17377 MO 90995 A

17377 MO 91695 A

17381 KY 88962 A 4/20/2010

17381 KY 88964 A 2/24/2010

17382 KS 91981 A 9/17/2010

17382 KS 91985 A 8/23/2010

17382 KS 91986 A 5/25/2011

17388 MO 89574 A 2/16/2010

17388 MO 89576 A

17388 MO 91770 A 5/12/2010

17388 MO 91771 A 5/12/2010

Audrain Medical Park Family Practice

Initial Review Complete

Audrain Medical Park Family Practice

Initial Review Complete

Martin County Outpatient Clinic-Rock Castle Creek Rd

Processing Complete

Martin County Outpatient Clinic-Rock Castle Creek Rd

Processing Complete

Central Kansas Medical Center

Processing Complete

Central Kansas Medical Center

Processing Complete

Central Kansas Medical Center

Processing Complete

Ste. Genevieve County Memorial Hospital

Processing Complete

Ste. Genevieve County Memorial Hospital

Initial Review Complete

Ste. Genevieve County Memorial Hospital

Processing Complete

Ste. Genevieve County Memorial Hospital

Processing Complete

Page 316: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17390 St Joseph MN 91187 A 2/25/2010

17392 KY 91183 A 2/18/2010

17394 MN 90023 A 1/18/2010

17394 MN 90025 A 1/18/2010

17394 MN 90026 A 1/18/2010

17394 MN 91369 A 6/30/2011

17394 MN 91371 A 6/30/2011

17394 MN 91372 A 6/30/2011

17395 MN 90227 A 1/18/2010

17395 MN 90227 B 1/18/2010

17396 MN 90228 A 1/18/2010

17397 MN 90229 A 1/18/2010

Processing Complete

Saint Joseph Mount Sterling

Processing Complete

Innovis Health, LLC - Park Rapids

Processing Complete

Innovis Health, LLC - Park Rapids

Processing Complete

Innovis Health, LLC - Park Rapids

Processing Complete

Innovis Health, LLC - Park Rapids

Processing Complete

Innovis Health, LLC - Park Rapids

Processing Complete

Innovis Health, LLC - Park Rapids

Processing Complete

Innovis Health, LLC - Menahga

Processing Complete

Innovis Health, LLC - Menahga

Processing Complete

Innovis Health, LLC - Mahnomen

Processing Complete

Innovis Health, LLC - Frazee

Processing Complete

Page 317: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17397 MN 90229 B 1/18/2010

17398 MN 90028 A 1/18/2010

17398 MN 90029 A 1/18/2010

17398 MN 90030 A 1/18/2010

17398 MN 91375 A 6/30/2011

17399 MN 90230 A 1/18/2010

17399 MN 90230 B 1/18/2010

17399 MN 97093 A 12/2/2011

17399 MN 97093 B 12/2/2011

17400 MN 90231 A 1/18/2010

17400 MN 90231 B 1/18/2010

17401 ND 90232 A 1/18/2010

Innovis Health, LLC - Frazee

Processing Complete

Innovis Health, LLC - Detroit Lakes

Processing Complete

Innovis Health, LLC - Detroit Lakes

Processing Complete

Innovis Health, LLC - Detroit Lakes

Processing Complete

Innovis Health, LLC - Detroit Lakes

Processing Complete

Innovis Health, LLC - Fosston

Processing Complete

Innovis Health, LLC - Fosston

Processing Complete

Innovis Health, LLC - Fosston

Processing Complete

Innovis Health, LLC - Fosston

Processing Complete

Innovis Health, LLC - Lake Park

Processing Complete

Innovis Health, LLC - Lake Park

Processing Complete

Innovis Health, LLC - Lisbon

Processing Complete

Page 318: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17401 ND 90232 B 1/18/2010

17402 ND 90233 A 1/18/2010

17402 ND 90233 B 1/18/2010

17403 ND 90032 A 1/18/2010

17403 ND 90033 A

17403 ND 90034 A

17404 ND 90234 A 1/18/2010

17405 ND 90235 A 1/18/2010

17405 ND 90236 A 1/18/2010

17406 ND 90237 A 1/18/2010

17406 ND 90237 B 1/18/2010

Innovis Health, LLC - Lisbon

Processing Complete

Innovis Health, LLC - Medina

Processing Complete

Innovis Health, LLC - Medina

Processing Complete

Innovis Health, LLC - Wahpeton

Processing Complete

Innovis Health, LLC - Wahpeton

Initial Review Complete

Innovis Health, LLC - Wahpeton

Initial Review Complete

Innovis Health, LLC - Valley City

Processing Complete

Innovis Health, LLC - Jamestown

Processing Complete

Innovis Health, LLC - Jamestown

Processing Complete

Innovis Health, LLC - Hankinson

Processing Complete

Innovis Health, LLC - Hankinson

Processing Complete

Page 319: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17407 ND 90238 A 1/18/2010

17408 MN 90239 A 1/18/2010

17408 MN 90239 B 1/18/2010

17418 GA 86556 A 6/18/2010

17419 CA 92559 A

17419 CA 92560 A 3/26/2010

17422 St. Mary SD 91196 A 2/17/2010

17435 AL 89753 A 11/8/2010

17435 AL 90243 A 11/8/2010

17435 AL 90245 A 11/8/2010

17441 NC 94286 A 7/12/2010

17442 NE 87381 A 2/14/2010

17443 NC 94287 A 7/12/2010

Innovis Health, LLC - Casselton

Processing Complete

Innovis Health, LLC - Walker

Processing Complete

Innovis Health, LLC - Walker

Processing Complete

McIntosh County Health Dept.

Processing Complete

Sierra County Health Human Services

Initial Review Complete

Sierra County Health Human Services

Processing Complete

Processing Complete

Grove Hill Memorial Hospital

Processing Complete

Grove Hill Memorial Hospital

Processing Complete

Grove Hill Memorial Hospital

Processing Complete

Family Practice of Eden

Processing Complete

Chimney Rock Medical Center

Processing Complete

Morehead Memorial Hospital Physical Rehabilitation

Processing Complete

Page 320: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17444 NC 94285 A 7/12/2010

17457 AL 96734 A 8/15/2011

17457 AL 96738 A

17458 CO 94230 A 7/12/2010

17459 GA 89706 A 1/20/2010

17459 GA 89707 A 1/20/2010

17460 KS 90540 A 1/25/2011

17461 WI 93553 A 7/19/2010

17461 WI 93555 A 7/19/2010

17461 WI 93556 A 7/19/2010

17461 WI 95228 A 9/16/2010

17461 WI 95228 B 9/16/2010

17461 WI 95735 A 7/19/2010

17471 WI 95229 A 7/19/2010

17471 WI 95230 A 7/19/2010

Rockingham County Student Health Centers

Processing Complete

Russell Medical Center

Processing Complete

Russell Medical Center

Processing Complete

Spanish Peaks Regional Health Ctr

Processing Complete

Middle Georgia Pediatric Assoc

Processing Complete

Middle Georgia Pediatric Assoc

Processing Complete

Hardtner Family Physicians

Processing Complete

AHC-New Holstein

Processing Complete

AHC-New Holstein

Processing Complete

AHC-New Holstein

Processing Complete

AHC-New Holstein

Processing Complete

AHC-New Holstein

Processing Complete

AHC-New Holstein

Processing Complete

AHC-Sturgeon Bay

Processing Complete

AHC-Sturgeon Bay

Processing Complete

Page 321: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17473 WI 93250 A

17473 WI 94100 A 8/16/2011

17474 WI 93251 A

17475 WI 93253 A 5/15/2010

17475 WI 93310 A 5/15/2010

17476 WI 93249 A 5/15/2010

17476 WI 93314 A 5/15/2010

17478 WY 89260 A 2/26/2010

17478 WY 89262 A 2/24/2010

17478 WY 89263 A 2/24/2010

Watertown Area Health-Family Medical Clinic

Initial Review Complete

Watertown Area Health-Family Medical Clinic

Processing Complete

Watertown Area Health-Ixonia Clinic

Initial Review Complete

Watertown Area Health-Park Hill Clinic

Processing Complete

Watertown Area Health-Park Hill Clinic

Processing Complete

Watertown Area Health - Rehab & Sports Medicine

Processing Complete

Watertown Area Health - Rehab & Sports Medicine

Processing Complete

Hot Springs County Memorial Hospital

Processing Complete

Hot Springs County Memorial Hospital

Processing Complete

Hot Springs County Memorial Hospital

Processing Complete

Page 322: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17478 WY 92228 A 5/12/2010

17480 WY 89264 A 2/24/2010

17482 MI 96927 A 5/20/2011

17483 MI 97168 A 5/20/2011

17484 MI 97166 A 5/20/2011

17485 GA 89005 A 2/10/2010

17486 WI 88725 A 5/13/2010

17486 WI 95518 A 7/9/2010

17497 AL 90985 A 6/22/2010

17501 MI 97164 A 5/20/2011

17501 MI 97165 A 5/20/2011

17501 MI 97167 A 5/20/2011

17505 AL 90038 A 12/29/2009

17505 AL 94126 A

17505 AL 94127 A

17524 GA 89704 A 2/10/2010

Hot Springs County Memorial Hospital

Processing Complete

Big Horn Clinic

Processing Complete

LMAS LUCE

Processing Complete

LMAS ALGER

Processing Complete

LMAS SCHOOLCRAFT

Processing Complete

Dodge County Rehabilitation

Processing Complete

CHN Medical Group - CMCGL

Processing Complete

CHN Medical Group - CMCGL

Processing Complete

Hale County Dental Center

Processing Complete

LMAS MACKINAC

Processing Complete

LMAS MACKINAC

Processing Complete

LMAS MACKINAC

Processing Complete

Douglas Medical Center

Processing Complete

Douglas Medical Center

Initial Review Complete

Douglas Medical Center

Initial Review Complete

Taylor Regional (173 W. Dykes)

Processing Complete

Page 323: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17525 GA 89710 A 2/16/2010

17533 WI 89774 A 3/1/2010

17533 WI 96181 A 7/15/2010

17536 WI 89772 A 2/8/2010

17536 WI 96183 A 7/15/2010

17536 WI 96186 A 7/27/2010

17536 WI 96191 A 7/21/2010

17542 GA 89340 A 2/22/2010

17542 GA 89716 A 1/11/2010

17544 GA 89334 A 1/20/2010

17545 OH 90697 A 3/30/2010

17546 OH 90700 A 3/30/2010

Taylor Regional Hospital (150 Peacock)

Processing Complete

Marshfield Clinic - Cumberland Center

Processing Complete

Marshfield Clinic - Cumberland Center

Processing Complete

Marshfield Clinic - Rice Lake Center

Processing Complete

Marshfield Clinic - Rice Lake Center

Processing Complete

Marshfield Clinic - Rice Lake Center

Processing Complete

Marshfield Clinic - Rice Lake Center

Processing Complete

Sumter Regional - 411 Southerfield

Processing Complete

Sumter Regional - 411 Southerfield

Processing Complete

Sumter Regional (2001 S Lee)

Processing Complete

HealthSource Mt Orab

Processing Complete

HealthSource Georgetown

Processing Complete

Page 324: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17547 OH 90701 A 3/30/2010

17550 CA 92209 A 7/11/2010

17550 CA 92210 A 7/11/2010

17550 CA 92476 A 7/11/2010

17551 IA 93777 A 7/12/2010

17552 ID 93764 A 7/12/2010

17552 ID 93765 A 7/12/2010

17553 MO 91026 A

17553 MO 91053 A

17553 MO 92219 A 7/11/2010

17553 MO 92220 A

17553 MO 92221 A 7/11/2010

17560 GA 89123 A 2/5/2010

17561 GA 89124 A 6/30/2010

17561 GA 89126 A 2/5/2010

17565 NE 95641 A 10/23/2010

17574 TX 94276 A 7/12/2010

HealthSource - Ripley

Processing Complete

Coalinga Regional Medical Center

Processing Complete

Coalinga Regional Medical Center

Processing Complete

Coalinga Regional Medical Center

Processing Complete

Knoxville Hospital & Clinics

Processing Complete

Weiser Memorial Hospital

Processing Complete

Weiser Memorial Hospital

Processing Complete

Fitzgibbon Hospital

Initial Review Complete

Fitzgibbon Hospital

Initial Review Complete

Fitzgibbon Hospital

Processing Complete

Fitzgibbon Hospital

Initial Review Complete

Fitzgibbon Hospital

Processing Complete

Effingham Open MRI

Processing Complete

Effingham Family Medicine

Processing Complete

Effingham Family Medicine

Processing Complete

Lyons Medical Clinic

Processing Complete

Trinity Mother Frances - Kilgore Clinic

Processing Complete

Page 325: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17576 TX 94277 A 7/12/2010

17576 TX 94278 A 7/12/2010

17577 TX 94280 A 7/12/2010

17578 Primecare IN 92472 A 9/13/2010

17579 CO 92201 A 7/11/2010

17581 WA 89609 A 12/9/2011

17581 WA 89609 B 12/9/2011

17583 MN 92860 A 7/18/2010

17583 MN 92861 A 7/18/2010

17583 MN 93705 A 7/18/2010

17584 IN 92471 A 9/13/2010

17585 TX 94279 A 7/12/2010

17587 NE 95643 A 11/11/2010

Trinity M Frances Henderson - High Clinic

Processing Complete

Trinity M Frances Henderson - High Clinic

Processing Complete

Trinity M Frances Henderson - Marshall Clinic

Processing Complete

Processing Complete

Arkansas Valley Regional Medical Center

Processing Complete

Lake Roosevelt Community Health Center

Processing Complete

Lake Roosevelt Community Health Center

Processing Complete

Praire Medical ELEAH

Processing Complete

Praire Medical ELEAH

Processing Complete

Praire Medical ELEAH

Processing Complete

Shipshewana Family Medicine

Processing Complete

Trinity Mother Frances - Quitman Clinic

Processing Complete

Oakland Medical Clinic

Processing Complete

Page 326: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17590 ND 86439 A 6/9/2010

17591 OH 89093 A 5/13/2011

17593 GA 89833 A 2/10/2010

17594 GA 89068 A 2/16/2010

17595 GA 89067 A 2/10/2010

17596 CA 90294 A 3/2/2010

17596 CA 90301 A 3/2/2010

17596 CA 90305 A 3/2/2010

17596 CA 90307 A 3/2/2010

17599 TX 96471 A 9/19/2010

17599 TX 96472 A

17600 IN 92473 A 9/13/2010

17610 MO 93767 A 7/12/2010

17610 MO 93768 A 7/12/2010

Sandhills Community Health Center

Processing Complete

Doctors Hospital Nelsonville

Processing Complete

Eastman Internal Medicine

Processing Complete

Chandler Womens Health Center

Processing Complete

Middle Georgia Family Medicine

Processing Complete

Patterson Resource Center

Processing Complete

Patterson Resource Center

Processing Complete

Patterson Resource Center

Processing Complete

Patterson Resource Center

Processing Complete

Trinity Mother Frances Athens Clinic

Processing Complete

Trinity Mother Frances Athens Clinic

Initial Review Complete

Anglemeyer Family Clinic

Processing Complete

Western Missouri Medical Center

Processing Complete

Western Missouri Medical Center

Processing Complete

Page 327: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17611 NC 93758 A 7/12/2010

17611 NC 94810 A 9/19/2010

17612 WI 89779 A 3/9/2010

17612 WI 96808 A 12/6/2010

17617 NC 93491 A 5/24/2010

17619 MN 90746 A 2/11/2010

17619 MN 90748 A 2/11/2010

17619 MN 90749 A 2/11/2010

17619 MN 90751 A 2/11/2010

17619 MN 90752 A 2/11/2010

Wilkes Regional Medical Center

Processing Complete

Wilkes Regional Medical Center

Processing Complete

Marshfield Clinic - Wittenberg

Processing Complete

Marshfield Clinic - Wittenberg

Processing Complete

South Granville Primary Care

Processing Complete

Graceville Missionary Benedictine Sisters, Inc.

Processing Complete

Graceville Missionary Benedictine Sisters, Inc.

Processing Complete

Graceville Missionary Benedictine Sisters, Inc.

Processing Complete

Graceville Missionary Benedictine Sisters, Inc.

Processing Complete

Graceville Missionary Benedictine Sisters, Inc.

Processing Complete

Page 328: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17623 GA 89347 A 2/16/2010

17623 GA 89712 A 1/19/2010

17623 GA 89713 A 2/11/2010

17623 GA 89991 A 1/19/2010

17625 CA 94255 A 7/12/2010

17625 CA 94257 A 7/12/2010

17625 CA 94257 B 7/12/2010

17625 CA 94257 C 7/12/2010

17626 IL 93713 A 7/12/2010

17627 IL 93711 A 7/12/2010

17629 GA 89336 A 1/11/2010

17629 GA 89337 A 1/11/2010

17629 GA 89338 A 1/28/2010

17629 GA 90678 A 10/27/2010

Sumter Regional Clinic (120 Hwy 19)

Processing Complete

Sumter Regional Clinic (120 Hwy 19)

Processing Complete

Sumter Regional Clinic (120 Hwy 19)

Processing Complete

Sumter Regional Clinic (120 Hwy 19)

Processing Complete

Tahoe Forest Hospital

Processing Complete

Tahoe Forest Hospital

Processing Complete

Tahoe Forest Hospital

Processing Complete

Tahoe Forest Hospital

Processing Complete

Swedish American Davis Junction Clinic

Processing Complete

Swedish American Hosp Byron Clinic

Processing Complete

Sumter Regional - Catapillar

Processing Complete

Sumter Regional - Catapillar

Processing Complete

Sumter Regional - Catapillar

Processing Complete

Sumter Regional - Catapillar

Processing Complete

Page 329: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17632 GA 88862 A 2/1/2010

17632 GA 88864 A 2/10/2010

17633 IL 93714 A 7/12/2010

17657 LA 97069 A 5/31/2011

17658 LA 97016 A 6/1/2011

17659 LA 97066 A 5/31/2011

17662 MN 92862 A 7/18/2010

17662 MN 93712 A 7/18/2010

17663 MN 92859 A 7/18/2010

17665 MT 91243 A 3/25/2010

17666 NE 93997 A 10/26/2010

17667 NE 94067 A 10/26/2010

17668 NE 93998 A 9/7/2011

Emanuel Behavioral Health

Processing Complete

Emanuel Behavioral Health

Processing Complete

Swedish American Medical Oncology Clinic

Processing Complete

Clinton High Health Center

Processing Complete

Clinton Elem Health Center

Processing Complete

Slaughter Health Center

Processing Complete

Hoffman Medical Clinic

Processing Complete

Hoffman Medical Clinic

Processing Complete

Ashby Medical Clinic

Processing Complete

Billings Clinic Columbus

Processing Complete

Blue Valley Behavioral Health, Inc (Beatrice-9th St)

Processing Complete

Blue Valley Behavioral Health, Inc (Fairbury)

Processing Complete

Blue Valley Behavioral Health, Inc. (Auburn)

Processing Complete

Page 330: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17669 NE 94050 A 10/26/2010

17670 NE 94051 A 10/26/2010

17671 NE 94048 A 10/26/2010

17672 NE 94064 A 10/26/2010

17673 NE 94055 A 10/26/2010

17674 NE 94056 A 10/26/2010

17675 NE 94062 A 10/26/2010

17676 NE 94047 A 9/7/2011

17678 WI 95233 A 7/20/2010

Blue Valley Behavioral Health, Inc. (David City)

Processing Complete

Blue Valley Behavioral Health, Inc. (Falls City)

Processing Complete

Blue Valley Behavioral Health, Inc. (Geneva)

Processing Complete

Blue Valley Behavioral Health, Inc. (Nebraska City)

Processing Complete

Blue Valley Behavioral Health, Inc. (Seward)

Processing Complete

Blue Valley Behavioral Health, Inc. (Wahoo)

Processing Complete

Blue Valley Behavioral Health, Inc. (York)

Processing Complete

Blue Valley Behavioral Health, Inc. (Crete)

Processing Complete

Aurora Health Care-Dodge Street

Processing Complete

Page 331: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17678 WI 95235 A 9/16/2010

17678 WI 95236 A 7/20/2010

17678 WI 95237 A 7/20/2010

17678 WI 95249 A 9/16/2010

17678 WI 96804 A 9/16/2010

17680 AK 92766 A 9/21/2010

17680 AK 92767 A 9/21/2010

17681 WI 89209 A 5/15/2010

17681 WI 89212 A 6/10/2010

17681 WI 89214 A 5/15/2010

17681 WI 89216 A 5/15/2010

17683 TX 89472 A 6/14/2010

17683 TX 89473 A 6/14/2010

Aurora Health Care-Dodge Street

Processing Complete

Aurora Health Care-Dodge Street

Processing Complete

Aurora Health Care-Dodge Street

Processing Complete

Aurora Health Care-Dodge Street

Processing Complete

Aurora Health Care-Dodge Street

Processing Complete

MAT SU VA Community Based Outpatient Clinic

Processing Complete

MAT SU VA Community Based Outpatient Clinic

Processing Complete

Osceola Medical Center

Processing Complete

Osceola Medical Center

Processing Complete

Osceola Medical Center

Processing Complete

Osceola Medical Center

Processing Complete

Smithville Regional Hospital

Processing Complete

Smithville Regional Hospital

Processing Complete

Page 332: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17683 TX 89474 A 2/4/2010

17683 TX 90180 A 2/27/2010

17684 TX 89481 A 6/14/2010

17688 FL 92477 A 9/14/2010

17688 FL 92478 A 9/14/2010

17688 FL 92479 A 9/14/2010

17689 MO 95165 A 8/24/2010

17689 MO 97142 A 8/30/2010

17689 MO 97143 A 8/30/2010

17690 MO 94228 A 7/12/2010

17692 IN 95837 A 9/19/2010

17692 IN 95838 A 9/19/2010

17692 IN 95839 A 9/19/2010

17692 IN 95840 A 9/19/2010

17692 IN 95841 A 9/19/2010

17692 IN 95842 A 9/19/2010

Smithville Regional Hospital

Processing Complete

Smithville Regional Hospital

Processing Complete

Smithville Physical Therapy

Processing Complete

Hendry Regional Medical Center

Processing Complete

Hendry Regional Medical Center

Processing Complete

Hendry Regional Medical Center

Processing Complete

Texas County Memorial Hospital

Processing Complete

Texas County Memorial Hospital

Processing Complete

Texas County Memorial Hospital

Processing Complete

Skaggs Community Health Center

Processing Complete

Parkview Whitley Hospital

Processing Complete

Parkview Whitley Hospital

Processing Complete

Parkview Whitley Hospital

Processing Complete

Parkview Whitley Hospital

Processing Complete

Parkview Whitley Hospital

Processing Complete

Parkview Whitley Hospital

Processing Complete

Page 333: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17692 IN 95843 A 9/19/2010

17692 IN 95844 A 9/19/2010

17694 OK 91978 A 10/8/2010

17694 OK 93817 A

17699 AK 89977 A 7/27/2010

17701 MS 89287 A 12/28/2009

17701 MS 89288 A 12/28/2009

17701 MS 89289 A 12/14/2009

17701 MS 89291 A 12/14/2009

17701 MS 89365 A 3/29/2010

17701 MS 89958 A 12/14/2009

17701 MS 89959 A 12/14/2009

17702 OK 95921 A 8/11/2010

17702 OK 95922 A 8/11/2010

Parkview Whitley Hospital

Processing Complete

Parkview Whitley Hospital

Processing Complete

Great Salt Plains Health Center, Inc.

Processing Complete

Great Salt Plains Health Center, Inc.

Initial Review Complete

Tok Area Mental Health Council, Inc.

Processing Complete

Leake Memorial Hospital

Processing Complete

Leake Memorial Hospital

Processing Complete

Leake Memorial Hospital

Processing Complete

Leake Memorial Hospital

Processing Complete

Leake Memorial Hospital

Processing Complete

Leake Memorial Hospital

Processing Complete

Leake Memorial Hospital

Processing Complete

Weatherford Hospital Authority

Processing Complete

Weatherford Hospital Authority

Processing Complete

Page 334: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17703 MS 89367 A 12/28/2009

17703 MS 89368 A 12/28/2009

17707 IL 90212 A 1/29/2010

17707 IL 94966 A 6/28/2010

17708 NC 93272 A 6/7/2010

17708 NC 95355 A 7/1/2010

17710 OR 88773 A 11/30/2009

17710 OR 94444 A

17717 TN 92215 A 7/11/2010

17717 TN 94808 A 7/11/2010

17718 TN 92907 A 4/26/2010

17719 TN 92915 A 4/26/2010

Leake Memorial Medical Clinic-Walnut Grove

Processing Complete

Leake Memorial Medical Clinic-Walnut Grove

Processing Complete

St Joseph' Hospital

Processing Complete

St Joseph' Hospital

Processing Complete

Daymark Recovery Services, Inc.

Processing Complete

Daymark Recovery Services, Inc.

Processing Complete

Wallowa County Health Care District

Processing Complete

Wallowa County Health Care District

Initial Review Complete

Cumberland Medical Center

Processing Complete

Cumberland Medical Center

Processing Complete

Mountain Peoples Health Councils - Norma Rd

Processing Complete

Mountain Peoples Health Councils- Fire Hall Dr

Processing Complete

Page 335: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17719 TN 93755 A 5/19/2011

17720 TN 92904 A

17720 TN 92908 A 4/26/2010

17721 IL 91912 A 4/12/2010

17721 IL 92091 A

17722 OH 93756 A 7/12/2010

17723 GA 89170 A 12/14/2009

17723 GA 89451 A 12/14/2009

17727 CA 93782 A 9/15/2010

17727 CA 93783 A 7/12/2010

17728 CA 91256 A 2/23/2010

17729 OH 93757 A 7/12/2010

17731 GA 89169 A 2/10/2010

Mountain Peoples Health Councils- Fire Hall Dr

Processing Complete

Mountain Peoples Health Council

Initial Review Complete

Mountain Peoples Health Council

Processing Complete

Midwest Medical Center

Processing Complete

Midwest Medical Center

Processing Complete

Deshler Family Proctice of Wood Hospital

Processing Complete

Fitzgerald Surgical Clinic

Processing Complete

Fitzgerald Surgical Clinic

Processing Complete

Mee Memorial Hospital

Processing Complete

Mee Memorial Hospital

Processing Complete

Fall River Valley Health Center

Processing Complete

North Baltimore Family Practice-Wood Hosp.

Processing Complete

The Comprehensive Wound Care Center

Processing Complete

Page 336: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17732 NC 94092 A 6/11/2010

17734 OH 93780 A 10/23/2010

17736 AL 89393 A 2/10/2010

17737 OK 91181 A

17738 OK 91179 A

17742 OK 91178 A

17745 NC 94531 A 7/1/2010

17745 NC 94793 A 7/1/2010

17747 SC 91802 A 3/29/2010

17748 SC 91803 A 3/29/2010

17749 SC 91804 A 3/29/2010

17753 NH 95399 A 10/26/2010

Madison County Health Department

Processing Complete

St Marys Renal Dialysis Center

Processing Complete

Mizell Rehab and Wellness

Processing Complete

Specialty Clinic

Processing Complete

Stigler Medical Clinic (5th St)

Processing Complete

Haskell County Healthcare System

Processing Complete

Daymark Recovery Services, Inc. Morehead

Processing Complete

Daymark Recovery Services, Inc. Morehead

Processing Complete

Sandhills Medical Foundation - Lugoff

Processing Complete

Sandhills Medical Foundation - Jefferson

Processing Complete

Sandhills Medical Foundation - McBee

Processing Complete

Northern Human Services-The Mental Health Center (Berlin)

Processing Complete

Page 337: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17754 NH 95402 A 10/26/2010

17755 NH 95397 A 10/26/2010

17756 NH 95398 A 10/26/2010

17757 NH 95400 A 10/26/2010

17763 IN 90176 A 3/8/2010

17763 IN 90178 A 3/8/2010

17763 IN 93607 A 6/7/2010

17764 MI 95860 A 9/19/2010

17765 AR 90649 A 3/2/2010

17765 AR 90652 A 12/21/2009

17765 AR 90653 A 3/2/2010

17765 AR 90655 A 3/2/2010

17770 AL 89471 A 2/24/2010

Northern Human Services - The Mental Health Center

Processing Complete

Northern Human Services-The Mental Health Center

Processing Complete

Northern Human Services-White Mountain Mental Health

Processing Complete

Northern Human Services-The Mental Health Center

Processing Complete

Tipton Hospital

Processing Complete

Tipton Hospital

Processing Complete

Tipton Hospital

Processing Complete

Hart Medical

Processing Complete

DeWitt Hospital

Processing Complete

DeWitt Hospital

Processing Complete

DeWitt Hospital

Processing Complete

DeWitt Hospital

Processing Complete

Carrollton Primary Care

Processing Complete

Page 338: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17772 OK 90736 A 7/21/2010

17773 OK 90733 A 6/9/2010

17775 IN 95845 A 9/19/2010

17775 IN 95846 A 9/19/2010

17775 IN 95847 A 9/19/2010

17775 IN 96461 A 9/19/2010

17776 OH 94242 A 9/19/2010

17777 OH 94243 A 9/19/2010

17779 MT 92695 A 4/6/2010

17781 MT 92693 A 4/6/2010

17782 MT 92691 A 4/15/2010

17783 MT 92698 A 4/6/2010

17784 MT 92697 A 4/15/2010

17785 MT 92675 A 4/6/2010

17789 AK 96644 A 3/17/2011

17789 AK 96647 A

Southeast Oklahoma Surgical Services

Processing Complete

Med-Fast Clinic

Processing Complete

Parkview LaGrange Hospital

Processing Complete

Parkview LaGrange Hospital

Processing Complete

Parkview LaGrange Hospital

Processing Complete

Parkview LaGrange Hospital

Processing Complete

St Ritas - Delphos

Processing Complete

St Ritas - Putnam County

Processing Complete

A.W.A.R.E. - Livingston

Processing Complete

A.W.A.R.E - Anaconda

Processing Complete

A.W.A.R.E. - Glendive

Processing Complete

A.W.A.R.E. - Dillon

Processing Complete

A.W.A.R.E. - Galen

Processing Complete

A.W.A.R.E. - Miles City

Processing Complete

SEARHC - Wrangell

Processing Complete

SEARHC - Wrangell

Initial Review Complete

Page 339: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17807 AZ 90730 A

17809 IN 92889 A 6/24/2010

17809 IN 92891 A 6/24/2010

17809 IN 92892 A 6/24/2010

17809 IN 92893 A 6/24/2010

17809 IN 92895 A 6/24/2010

17809 IN 93488 A 6/24/2010

17812 WA 90896 A 5/17/2010

17812 WA 91118 A 5/17/2010

17812 WA 94863 A 6/29/2010

17814 WI 94840 A 7/8/2010

17814 WI 94841 A 7/8/2010

17815 WI 94865 A 7/8/2010

17815 WI 95468 A 10/21/2010

Sunset Community Health Center-Somerton

Initial Review Complete

Harrison County Hospital

Processing Complete

Harrison County Hospital

Processing Complete

Harrison County Hospital

Processing Complete

Harrison County Hospital

Processing Complete

Harrison County Hospital

Processing Complete

Harrison County Hospital

Processing Complete

Aspirus Clinic - Wittenberg Clinic

Processing Complete

Aspirus Clinic - Wittenberg Clinic

Processing Complete

Aspirus Clinic - Wittenberg Clinic

Processing Complete

Aspirus Clinic - Three Lakes Clinic

Processing Complete

Aspirus Clinic - Three Lakes Clinic

Processing Complete

Aspirus Clinic - Marathon Clinic

Processing Complete

Aspirus Clinic - Marathon Clinic

Processing Complete

Page 340: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17817 WI 94843 A 6/17/2010

17817 WI 96591 A 2/12/2011

17823 OK 90737 A 5/11/2010

17826 PA 92204 A 9/13/2010

17826 PA 92485 A 9/13/2010

17827 PA 92211 A 7/11/2010

17827 PA 96204 A 9/13/2010

17834 NE 89766 A 11/13/2009

17838 NC 89227 A 2/22/2010

17852 TX 92492 A 8/3/2010

17852 TX 92499 A 8/3/2010

17852 TX 92507 A 8/3/2010

17852 TX 92508 A 8/3/2010

Aspirus Clinic - Edgar Clinic

Processing Complete

Aspirus Clinic - Edgar Clinic

Processing Complete

Memorial North Health Clinic

Processing Complete

Brookville Hospital

Processing Complete

Brookville Hospital

Processing Complete

Corry Memorial Hospital

Processing Complete

Corry Memorial Hospital

Processing Complete

Chadron Comm Hosp & Health Services dba Western Community Health Resources - Alliance

Processing Complete

Granville Health System

Processing Complete

Texas Health Winnsboro

Processing Complete

Texas Health Winnsboro

Processing Complete

Texas Health Winnsboro

Processing Complete

Texas Health Winnsboro

Processing Complete

Page 341: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17852 TX 92537 A 8/3/2010

17852 TX 92538 A 8/3/2010

17852 TX 92539 A 8/3/2010

17852 TX 92541 A 8/3/2010

17857 AL 88940 A 2/22/2010

17858 GA 89069 A 2/1/2010

17858 GA 90454 A 6/15/2010

17859 GA 90453 A 2/16/2010

17862 LA 90934 A

17862 LA 93468 A 10/27/2010

17863 LA 90933 A

17863 LA 93466 A 10/27/2010

17864 LA 90932 A

Texas Health Winnsboro

Processing Complete

Texas Health Winnsboro

Processing Complete

Texas Health Winnsboro

Processing Complete

Texas Health Winnsboro

Processing Complete

DW McMillan Cardiology

Processing Complete

Ocmulgee Family Medicine

Processing Complete

Ocmulgee Family Medicine

Processing Complete

Eastman Internal Medicine

Processing Complete

St Helena Community Health Center-High

Initial Review Complete

St Helena Community Health Center-High

Processing Complete

St Helena Comm. Health Center- Elementary

Initial Review Complete

St Helena Comm. Health Center- Elementary

Processing Complete

St Helena Comm.Health Center-Middle

Initial Review Complete

Page 342: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17864 LA 93467 A 10/27/2010

17865 IA 89342 A 2/1/2010

17866 TX 89081 A 7/26/2010

17866 TX 89082 A 7/26/2010

17866 TX 94586 A 10/19/2010

17868 NY 97451 A 1/3/2011

17868 NY 97452 A 1/3/2011

17868 NY 97453 A 1/3/2011

17868 NY 97454 A 1/3/2011

17869 OK 90739 A 7/21/2010

17870 OK 90734 A 6/9/2010

17874 GA 89430 A 2/10/2010

17875 IL 89815 A

St Helena Comm.Health Center-Middle

Processing Complete

Delaware County Memorial Hospital

Processing Complete

Anson General Hospital

Processing Complete

Anson General Hospital

Processing Complete

Anson General Hospital

Processing Complete

Nicholas H. Noyes Memorial Hospital

Processing Complete

Nicholas H. Noyes Memorial Hospital

Processing Complete

Nicholas H. Noyes Memorial Hospital

Processing Complete

Nicholas H. Noyes Memorial Hospital

Processing Complete

McCurtain Regional Physicians Services

Processing Complete

Southeast Regional Psychiatric Services

Processing Complete

Camilla Clinic

Processing Complete

Fairbury Medical Associates

Processing Complete

Page 343: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17876 TX 88929 A 2/10/2010

17880 MI 95829 A 9/19/2010

17880 MI 95830 A 9/19/2010

17883 OH 92203 A 7/11/2010

17884 AR 92486 A 9/14/2010

17885 LA 94231 A 7/12/2010

17885 LA 94232 A 7/12/2010

17886 LA 92487 A 7/12/2010

17887 NM 94227 A 7/12/2010

17889 MI 92198 A 7/11/2010

17889 MI 92199 A 7/11/2010

17889 MI 92200 A 9/13/2010

17889 MI 96132 A 9/13/2010

17889 MI 96149 A 9/13/2010

17890 OH 92202 A 7/11/2010

Dalhart Family Medicine Clinic

Processing Complete

Lakeshore Community Hospital

Processing Complete

Lakeshore Community Hospital

Processing Complete

Forest Community Health Center

Processing Complete

DeQueen Regional Medical E. R.

Processing Complete

St. James Parish Hospital

Processing Complete

St. James Parish Hospital

Processing Complete

DeQuincy Memorial Hosp. ER

Processing Complete

Bloomfield Clinic - San Juan Medical

Processing Complete

Allegan General Hospital

Processing Complete

Allegan General Hospital

Processing Complete

Allegan General Hospital

Processing Complete

Allegan General Hospital

Processing Complete

Allegan General Hospital

Processing Complete

North Baltimore Medical Office

Processing Complete

Page 344: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17892 IL 89816 A

17892 IL 89818 A

17892 IL 89818 B

17894 GA 89345 A 2/10/2010

17895 KY 93328 A 9/7/2010

17895 KY 93332 A 9/7/2010

17905 GA 89335 A

17905 GA 95696 A 6/29/2010

17906 ID 93441 A 3/2/2011

17906 ID 94809 A 7/11/2010

17906 ID 95073 A 7/11/2010

17906 ID 96255 A 9/13/2010

17906 ID 96256 A 9/13/2010

17906 ID 96961 A 3/2/2011

Crossroads Medical Associates

Processing Complete

Crossroads Medical Associates

Processing Complete

Crossroads Medical Associates

Processing Complete

Sumter Regional - Rees St. Complex - Clinic

Processing Complete

St. Joseph Jessamine

Processing Complete

St. Joseph Jessamine

Processing Complete

Sumter Regional - 217 West Forsythe St

Processing Complete

Sumter Regional - 217 West Forsythe St

Processing Complete

Bingham Memorial Hospital

Processing Complete

Bingham Memorial Hospital

Processing Complete

Bingham Memorial Hospital

Processing Complete

Bingham Memorial Hospital

Processing Complete

Bingham Memorial Hospital

Processing Complete

Bingham Memorial Hospital

Processing Complete

Page 345: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17908 MO 91594 A 4/19/2010

17908 MO 91595 A 4/19/2010

17908 MO 92785 A 10/6/2010

17909 GA 89346 A 2/10/2010

17909 GA 89349 A 1/11/2010

17909 GA 89350 A 1/11/2010

17913 GA 89714 A 1/28/2010

17913 GA 89715 A 1/28/2010

17916 GA 89990 A 1/11/2010

17918 GA 89344 A 2/4/2010

17921 MT 96864 A 11/4/2010

Northwest Medical Center

Processing Complete

Northwest Medical Center

Processing Complete

Northwest Medical Center

Processing Complete

Sumter Regional Internal Medicine Clinic

Processing Complete

Sumter Regional Internal Medicine Clinic

Processing Complete

Sumter Regional Internal Medicine Clinic

Processing Complete

Sumter Regional/Ellaville Primary Medical Center Clinic

Processing Complete

Sumter Regional/Ellaville Primary Medical Center Clinic

Processing Complete

Sumter Regional/Ear Nose & Throat Clinic

Processing Complete

Sumter Regional Hospital/Ear, Nose & Throat

Processing Complete

Marias Medical Center / Valier Clinic

Processing Complete

Page 346: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17921 MT 96864 B 11/4/2010

17925 GA 89343 A 2/4/2010

17940 MN 96819 A

17940 MN 96828 A 10/7/2010

17940 MN 96828 B 10/7/2010

17943 WI 93306 A 7/30/2010

17943 WI 93960 A 7/30/2010

22922 CA 99825 A

22923 CA 99831 A

22928 CA 99830 A

Marias Medical Center / Valier Clinic

Processing Complete

Sumter Regional - 109 N Lee St

Processing Complete

Dassel Medical Center

Initial Review Complete

Dassel Medical Center

Processing Complete

Dassel Medical Center

Processing Complete

The Monroe Clinic - FastCare

Processing Complete

The Monroe Clinic - FastCare

Processing Complete

National Health Services, Inc.,-Joy Carino Kimpo Womens Health Center

Initial Review Complete

National Health Services, Inc., Lost Hills Community Health Center

Initial Review Complete

National Health Services, Inc., Taft Community Medical & Dental Center

Initial Review Complete

Page 347: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

22929 CA 99832 A

22930 CA 99824 A

10068 CA 89446 A 1/12/2010

10068 CA 90449 A 4/9/2010

10080 ID 93189 A

10080 ID 93192 A

10080 ID 93213 A 6/28/2010

10080 ID 93214 A 6/28/2010

10080 ID 93215 A 6/28/2010

National Health Services, Inc., Tehachapi Community Medical & Dental Center

Initial Review Complete

National Health Services, Inc., Wasco Medical & Dental Center

Initial Review Complete

Humboldt County Health & Human Services - Garberville

Processing Complete

Humboldt County Health & Human Services - Garberville

Processing Complete

Walter Knox Memorial Hospital

Initial Review Complete

Walter Knox Memorial Hospital

Initial Review Complete

Walter Knox Memorial Hospital

Processing Complete

Walter Knox Memorial Hospital

Processing Complete

Walter Knox Memorial Hospital

Processing Complete

Page 348: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10080 ID 93217 A 6/28/2010

10093 NC 92980 A

10093 NC 95595 A 6/25/2010

10094 NC 93874 A 7/26/2010

10238 ND 91203 A 2/17/2010

10238 ND 95880 A 10/25/2010

10238 ND 95927 A 10/25/2010

10295 WA 96756 A 1/28/2011

10295 WA 96758 A 1/28/2011

10317 MN 93914 A 7/6/2010

10325 MN 93918 A 7/6/2010

10354 MT 92001 A 3/25/2010

10354 MT 93596 A 5/25/2011

Walter Knox Memorial Hospital

Processing Complete

Transylvania Community Hospital

Processing Complete

Transylvania Community Hospital

Processing Complete

Rutherford Hospital

Processing Complete

West River Regional Medical Center

Processing Complete

West River Regional Medical Center

Processing Complete

West River Regional Medical Center

Processing Complete

Whitman Hospital & Medical Center

Processing Complete

Whitman Hospital & Medical Center

Processing Complete

Le Sueur Clinic

Processing Complete

St. Peter Clinic

Processing Complete

Pondera Medical Center

Processing Complete

Pondera Medical Center

Processing Complete

Page 349: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10488 MI 96045 A

10488 MI 96257 A

10488 MI 96281 A

10488 MI 96283 A

10488 MI 107600 A 9/14/2011

10490 MI 95881 A

10490 MI 95894 A 8/22/2012

10490 MI 95895 A 8/22/2012

10490 MI 96039 A

10618 CA 89998 A 2/12/2010

10618 CA 90519 A 2/2/2010

10618 CA 95425 A 11/17/2010

Manistique Tribal Health Center

Processing Complete

Manistique Tribal Health Center

Processing Complete

Manistique Tribal Health Center

Processing Complete

Manistique Tribal Health Center

Processing Complete

Manistique Tribal Health Center

Processing Complete

Lambert Tribal Health Center

Processing Complete

Mackinac Straits Tribal Health Center

Processing Complete

Mackinac Straits Tribal Health Center

Processing Complete

Lambert Tribal Health Center

Processing Complete

I'SOT Inc DBA Canby Family Practice Clinic

Processing Complete

I'SOT Inc DBA Canby Family Practice Clinic

Processing Complete

I'SOT Inc DBA Canby Family Practice Clinic

Processing Complete

Page 350: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10658 IL 96185 A 9/19/2010

10658 IL 96860 A 9/19/2010

10708 OK 95289 A 8/3/2010

10708 OK 95292 A 8/3/2010

10767 AR 89281 A 1/11/2010

10767 AR 89282 A 2/27/2010

10767 AR 89283 A 2/27/2010

10767 AR 89284 A 2/4/2010

10767 AR 93319 A 9/1/2010

10767 AR 93320 A 6/8/2010

10767 AR 93325 A 6/7/2010

10767 AR 95652 A 9/27/2010

10767 AR 95654 A 9/27/2010

10784 AK 92135 A 4/8/2010

10784 AK 92177 A 4/22/2010

Hoopeston Community Memorial Hospital

Processing Complete

Hoopeston Community Memorial Hospital

Processing Complete

Harper County Community Hospital

Processing Complete

Harper County Community Hospital

Processing Complete

Lawrence Memorial Hospital

Processing Complete

Lawrence Memorial Hospital

Processing Complete

Lawrence Memorial Hospital

Processing Complete

Lawrence Memorial Hospital

Processing Complete

Lawrence Memorial Hospital

Processing Complete

Lawrence Memorial Hospital

Processing Complete

Lawrence Memorial Hospital

Processing Complete

Lawrence Memorial Hospital

Processing Complete

Lawrence Memorial Hospital

Processing Complete

Bartlett Regional Hospital

Processing Complete

Bartlett Regional Hospital

Processing Complete

Page 351: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10784 AK 95929 A 7/28/2010

10784 AK 95930 A 7/28/2010

10784 AK 95932 A 7/27/2010

10918 NM 92865 A 7/11/2010

10941 IL 96503 A 5/23/2011

10941 IL 96510 A 5/23/2011

10941 IL 96513 A 5/23/2011

10941 IL 96517 A 5/23/2011

10941 IL 96518 A 5/25/2011

10957 IL 96487 A 5/23/2011

10957 IL 96488 A 5/23/2011

10957 IL 96490 A 5/23/2011

Bartlett Regional Hospital

Processing Complete

Bartlett Regional Hospital

Processing Complete

Bartlett Regional Hospital

Processing Complete

Artesia General Hospital

Processing Complete

St. Marys Good Samaritan, Inc. - Centralia

Processing Complete

St. Marys Good Samaritan, Inc. - Centralia

Processing Complete

St. Marys Good Samaritan, Inc. - Centralia

Processing Complete

St. Marys Good Samaritan, Inc. - Centralia

Processing Complete

St. Marys Good Samaritan, Inc. - Centralia

Processing Complete

Good Samaritan Regional Health Center

Processing Complete

Good Samaritan Regional Health Center

Processing Complete

Good Samaritan Regional Health Center

Processing Complete

Page 352: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10957 IL 96497 A 5/23/2011

10957 IL 96502 A 5/23/2011

10966 MO 92776 A 7/19/2010

10966 MO 92827 A 5/12/2010

10971 WA 92753 A 6/2/2010

11050 IA 93733 A

11050 IA 96248 A 9/13/2010

11067 MI 89009 A 1/12/2010

11067 MI 90738 A

11067 MI 94579 A 11/2/2010

11072 MN 95449 A 5/19/2011

Good Samaritan Regional Health Center

Processing Complete

Good Samaritan Regional Health Center

Processing Complete

Washington County Memorial Hospital

Processing Complete

Washington County Memorial Hospital

Processing Complete

Lake Chelan Community Hospital dba Chelan County Public Hospital Dist. #2

Processing Complete

Belmond Medical Center

Processing Complete

Belmond Medical Center

Processing Complete

Baraga County Memorial Hospital

Processing Complete

Baraga County Memorial Hospital

Processing Complete

Baraga County Memorial Hospital

Processing Complete

MeritCare Clinic - Cass Lake

Processing Complete

Page 353: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11086 KY 94086 A 7/19/2010

11086 KY 94087 A 7/27/2010

11086 KY 94744 A 7/27/2010

11086 KY 94745 A 7/27/2010

11086 KY 94750 A 8/2/2010

11086 KY 94752 A 7/27/2010

11086 KY 94754 A 8/2/2010

11086 KY 94755 A 7/27/2010

11086 KY 94756 A 7/27/2010

11086 KY 94758 A 8/20/2010

11086 KY 94759 A 7/27/2010

11086 KY 94760 A 7/27/2010

11086 KY 94761 A 7/27/2010

11086 KY 94762 A 7/27/2010

11086 KY 94763 A 7/27/2010

11086 KY 94774 A 7/27/2010

11086 KY 94775 A 7/27/2010

11086 KY 94776 A 7/27/2010

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Page 354: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11086 KY 94777 A 7/27/2010

11086 KY 94778 A 7/27/2010

11086 KY 94781 A 7/27/2010

11086 KY 94782 A 7/27/2010

11086 KY 94846 A 7/27/2010

11086 KY 94847 A 7/27/2010

11086 KY 94849 A 7/27/2010

11139 MI 96049 A 9/13/2010

11139 MI 96050 A 9/13/2010

11139 MI 96051 A 9/13/2010

11148 MS 95869 A 9/15/2010

11148 MS 95870 A 9/15/2010

11148 MS 95871 A 9/15/2010

11181 MN 95448 A 5/19/2011

11181 MN 96820 A

11433 MN 94956 A 11/5/2010

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Pikeville Medical Center

Processing Complete

Bay Mills Indian Community

Processing Complete

Bay Mills Indian Community

Processing Complete

Bay Mills Indian Community

Processing Complete

Magnolia Regional Health Center

Processing Complete

Magnolia Regional Health Center

Processing Complete

Magnolia Regional Health Center

Processing Complete

MeritCare Clinic - Walker

Processing Complete

MeritCare Clinic - Walker

Processing Complete

Pine Medical Center

Processing Complete

Page 355: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11433 MN 94957 A 7/23/2010

11433 MN 95052 A 7/23/2010

11505 NC 96575 A 10/12/2010

11508 NC 96586 A 9/24/2010

11523 MI 95911 A

11523 MI 96041 A 4/13/2011

11523 MI 96286 A

11523 MI 96288 A

11523 MI 107287 A 8/16/2011

11523 MI 107288 A 8/16/2011

11523 MI 119438 A 8/22/2012

11540 VA 90487 A 3/9/2010

Pine Medical Center

Processing Complete

Pine Medical Center

Processing Complete

Pembroke Family Practice Center

Processing Complete

Wagram Family Practice Center

Processing Complete

Newberry Community Health Clinic

Processing Complete

Newberry Community Health Clinic

Processing Complete

Newberry Community Health Clinic

Processing Complete

Newberry Community Health Clinic

Processing Complete

Newberry Community Health Clinic

Processing Complete

Newberry Community Health Clinic

Processing Complete

Newberry Community Health Clinic

Processing Complete

Eastern Shore Rural Health System, Inc. - Nassawadox

Processing Complete

Page 356: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11540 VA 90490 A 3/9/2010

11540 VA 90491 A 3/9/2010

11540 VA 90492 A 3/9/2010

11540 VA 90493 A 3/9/2010

11540 VA 93117 A 6/8/2010

11540 VA 93118 A 6/8/2010

11540 VA 93120 A 6/8/2010

Eastern Shore Rural Health System, Inc. - Nassawadox

Processing Complete

Eastern Shore Rural Health System, Inc. - Nassawadox

Processing Complete

Eastern Shore Rural Health System, Inc. - Nassawadox

Processing Complete

Eastern Shore Rural Health System, Inc. - Nassawadox

Processing Complete

Eastern Shore Rural Health System, Inc. - Nassawadox

Processing Complete

Eastern Shore Rural Health System, Inc. - Nassawadox

Processing Complete

Eastern Shore Rural Health System, Inc. - Nassawadox

Processing Complete

Page 357: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11610 ND 93701 A 7/6/2010

11689 MO 91627 A 6/28/2010

11859 TX 92933 A 7/12/2010

11992 FL 88558 A 2/9/2010

11992 FL 88559 A 2/9/2010

11992 FL 88561 A 2/9/2010

11992 FL 88564 A 10/20/2009

11992 FL 89607 A 10/20/2009

11992 FL 89608 A 11/4/2009

MedCenter One

Processing Complete

Saint Francis Hospital and Health Services

Processing Complete

GOLDEN PLAINS COMMUNITY HOSPITAL

Processing Complete

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Processing Complete

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Processing Complete

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Processing Complete

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Processing Complete

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Processing Complete

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Processing Complete

Page 358: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11992 FL 97026 A

11992 FL 97039 A

11992 FL 97040 A

11992 FL 97043 A

11992 FL 97045 A

11992 FL 97050 A 11/23/2010

12037 MI 90182 A 5/26/2010

12037 MI 91800 A 5/26/2010

12037 MI 91825 A 5/27/2010

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Initial Review Complete

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Initial Review Complete

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Initial Review Complete

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Initial Review Complete

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Initial Review Complete

CENTRAL FLORIDA HEALTH CARE- AVON PARK

Processing Complete

Sterling Area Health Center

Processing Complete

Sterling Area Health Center

Processing Complete

Sterling Area Health Center

Processing Complete

Page 359: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12037 MI 91876 A 5/27/2010

12037 MI 95615 A 8/16/2010

12042 KY 96457 A 5/19/2011

12381 NE 92400 A 4/12/2010

12381 NE 92401 A 4/12/2010

12381 NE 95275 A 8/7/2010

12383 NE 92679 A 4/12/2010

12383 NE 92680 A 4/12/2010

12383 NE 95276 A 8/7/2010

Sterling Area Health Center

Processing Complete

Sterling Area Health Center

Processing Complete

Pineville Community Hospital

Processing Complete

Annie Jeffrey Memorial County Health Center

Processing Complete

Annie Jeffrey Memorial County Health Center

Processing Complete

Annie Jeffrey Memorial County Health Center

Processing Complete

PAWNEE COUNTY MEMORIAL HOSPITAL RURAL HEALTH CLINIC

Processing Complete

PAWNEE COUNTY MEMORIAL HOSPITAL RURAL HEALTH CLINIC

Processing Complete

PAWNEE COUNTY MEMORIAL HOSPITAL RURAL HEALTH CLINIC

Processing Complete

Page 360: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12384 NE 92712 A 5/17/2010

12384 NE 92721 A 5/21/2010

12384 NE 95274 A 8/7/2010

12384 NE 98943 A 10/9/2010

12385 NE 91423 A 4/8/2010

12385 NE 91435 A 4/21/2010

12385 NE 91436 A 4/21/2010

12385 NE 91437 A 4/21/2010

12385 NE 95278 A 8/7/2010

12385 NE 95279 A 8/7/2010

12385 NE 96268 A 1/13/2011

12386 NE 93081 A 5/21/2010

FILLMORE COUNTY HOSPITAL / HEALTH SERVICES

Processing Complete

FILLMORE COUNTY HOSPITAL / HEALTH SERVICES

Processing Complete

FILLMORE COUNTY HOSPITAL / HEALTH SERVICES

Processing Complete

Fillmore County Hospital / Health Services

Processing Complete

St. Mary Hospital

Processing Complete

St. Mary Hospital

Processing Complete

St. Mary Hospital

Processing Complete

St. Mary Hospital

Processing Complete

St. Mary Hospital

Processing Complete

St. Mary Hospital

Processing Complete

St. Mary Hospital

Processing Complete

THAYER COUNTY HEALTH SERVICES

Processing Complete

Page 361: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12386 NE 93082 A 5/21/2010

12386 NE 95277 A 8/7/2010

12386 NE 98323 A 9/16/2010

12425 WI 89008 A

12425 WI 92770 A 4/9/2011

12517 WV 88814 A 11/23/2009

12517 WV 88816 A 11/23/2009

12517 WV 88817 A 2/10/2010

12517 WV 88818 A 2/4/2010

12517 WV 89488 A 2/4/2010

12517 WV 91165 A 2/4/2010

12517 WV 92747 A 5/17/2010

12559 TX 88761 A 6/16/2010

12559 TX 88762 A 3/15/2010

12559 TX 88763 A 2/22/2010

THAYER COUNTY HEALTH SERVICES

Processing Complete

THAYER COUNTY HEALTH SERVICES

Processing Complete

Thayer County Health Services

Processing Complete

MEMORIAL HOSPITAL, INC.

Processing Complete

MEMORIAL HOSPITAL, INC.

Processing Complete

Sistersville General Hospital

Processing Complete

Sistersville General Hospital

Processing Complete

Sistersville General Hospital

Processing Complete

Sistersville General Hospital

Processing Complete

Sistersville General Hospital

Processing Complete

Sistersville General Hospital

Processing Complete

Sistersville General Hospital

Processing Complete

Colorado - Fayette Medical Center

Processing Complete

Colorado - Fayette Medical Center

Processing Complete

Colorado - Fayette Medical Center

Processing Complete

Page 362: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12637 AR 89737 A

12637 AR 89738 A

12637 AR 89739 A

12637 AR 89740 A

12637 AR 89741 A

12637 AR 89760 A

12637 AR 89761 A

12637 AR 89762 A

12637 AR 89763 A

12637 AR 89764 A

12637 AR 89765 A

12637 AR 89775 A

12637 AR 89777 A

12637 AR 89778 A

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Page 363: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12637 AR 89780 A

12637 AR 89782 A

12637 AR 89789 A

12637 AR 89790 A

12637 AR 89791 A

12637 AR 89792 A

12637 AR 89793 A

12637 AR 89795 A

12637 AR 89796 A

12637 AR 89797 A

12667 WI 95970 A 9/9/2010

12667 WI 95972 A 9/9/2010

12667 WI 96017 A 9/9/2010

12667 WI 96018 A 9/9/2010

12667 WI 96285 A 9/14/2010

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Health Resources of Arkansas

Processing Complete

Riverview Hospital

Processing Complete

Riverview Hospital

Processing Complete

Riverview Hospital

Processing Complete

Riverview Hospital

Processing Complete

Riverview Hospital

Processing Complete

Page 364: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12667 WI 96829 A

12667 WI 97346 A

12678 WI 96019 A 12/6/2010

12678 WI 96293 A 9/14/2010

12679 WI 96021 A 9/9/2010

12679 WI 96292 A 9/14/2010

12700 MI 94770 A

13011 MI 89800 A 2/23/2010

13011 MI 89801 A 2/23/2010

13025 KY 94822 A 7/12/2010

13025 KY 94823 A 7/12/2010

13219 MN 94025 A 1/24/2011

13233 IL 92090 A 9/27/2011

13233 IL 92090 B 9/27/2011

13233 IL 93174 A 9/27/2011

Riverview Hospital

Processing Complete

Riverview Hospital

Initial Review Complete

Lakes Area Medical Center

Processing Complete

Lakes Area Medical Center

Processing Complete

Nekoosa Medical Center

Processing Complete

Nekoosa Medical Center

Processing Complete

McKenzie Memorial Hospital

Processing Complete

Sanilac County Health Department

Processing Complete

Sanilac County Health Department

Processing Complete

Ohio County Hospital

Processing Complete

Ohio County Hospital

Processing Complete

Bay Area Health Center

Processing Complete

Morrison Community Hospital

Processing Complete

Morrison Community Hospital

Processing Complete

Morrison Community Hospital

Processing Complete

Page 365: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13284 MN 93906 A 7/6/2010

13284 MN 93907 A 7/6/2010

13284 MN 93909 A 7/6/2010

13284 MN 94004 A 6/29/2010

13285 MN 93901 A 7/6/2010

13285 MN 93902 A 7/6/2010

13285 MN 93903 A 9/6/2010

13285 MN 93904 A

13307 OK 92224 A 8/3/2010

13307 OK 92225 A 8/3/2010

13549 ND 96946 A 11/30/2010

13549 ND 96950 A 5/24/2011

13549 ND 96970 A

13568 MN 92367 A 4/28/2010

St. James Medical Center

Processing Complete

St. James Medical Center

Processing Complete

St. James Medical Center

Processing Complete

St. James Medical Center

Processing Complete

Trimont Clinic

Processing Complete

Trimont Clinic

Processing Complete

Trimont Clinic

Processing Complete

Trimont Clinic

Processing Complete

Cordell Hospital Authority

Processing Complete

Cordell Hospital Authority

Processing Complete

Southwest Healthcare Services

Processing Complete

Southwest Healthcare Services

Processing Complete

Southwest Healthcare Services

Processing Complete

Appleton Municipal Hospital & Nursing Home

Processing Complete

Page 366: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13568 MN 95060 A

13568 MN 99861 A 12/22/2010

13739 NE 92700 A 4/20/2010

13739 NE 93818 A 8/7/2010

13739 NE 95280 A

13739 NE 95431 A 8/7/2010

13935 GA 89432 A 1/28/2010

13935 GA 91745 A 5/3/2010

13935 GA 93333 A 10/12/2010

13936 GA 89431 A 1/28/2010

13936 GA 91746 A 4/26/2010

13936 GA 93331 A 10/12/2010

13997 SD 93656 A 1/14/2011

13997 SD 93657 A

13997 SD 93660 A

14026 NC 89050 A

Appleton Municipal Hospital & Nursing Home

Initial Review Complete

Appleton Area Health Services

Processing Complete

Warren Memorial Hospital

Processing Complete

Warren Memorial Hospital

Processing Complete

Warren Memorial Hospital

Initial Review Complete

Warren Memorial Hospital

Processing Complete

Phoebe Worth Hospital

Processing Complete

Phoebe Worth Hospital

Processing Complete

Phoebe Worth Hospital

Processing Complete

Phoebe Family Medical - Sylvester

Processing Complete

Phoebe Family Medical - Sylvester

Processing Complete

Phoebe Family Medical - Sylvester

Processing Complete

Presentation College

Processing Complete

Presentation College

Initial Review Complete

Presentation College

Initial Review Complete

Ashe Memorial Hospital, Inc.

Initial Review Complete

Page 367: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14026 NC 89051 A 3/22/2010

14026 NC 89158 A

14026 NC 89351 A 3/22/2010

14026 NC 96802 A

14148 TX 88241 A

14148 TX 96900 A 9/27/2010

14148 TX 96904 A 9/26/2010

14148 TX 96907 A 9/26/2010

14153 TX 90193 A 5/16/2010

14337 IL 89745 A 12/29/2009

14337 IL 89746 A 2/10/2010

14459 AK 92543 A 5/10/2010

Ashe Memorial Hospital, Inc.

Processing Complete

Ashe Memorial Hospital, Inc.

Initial Review Complete

Ashe Memorial Hospital, Inc.

Processing Complete

Ashe Memorial Hospital, Inc.

Initial Review Complete

Decatur Hospital Authority dba Wise Regional Health System

Processing Complete

Decatur Hospital Authority dba Wise Regional Health System

Processing Complete

Decatur Hospital Authority dba Wise Regional Health System

Processing Complete

Decatur Hospital Authority dba Wise Regional Health System

Processing Complete

Lamb Healthcare Center

Processing Complete

Greenville Regional Hospital

Processing Complete

Greenville Regional Hospital

Processing Complete

Camai Clinic

Processing Complete

Page 368: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14459 AK 92544 A 7/8/2010

14502 GA 95653 A

14527 NE 93075 A 5/10/2010

14527 NE 93076 A 10/24/2010

14542 AK 88975 A 1/10/2011

14542 AK 88977 A 1/10/2011

14951 NE 92690 A 4/1/2010

14951 NE 92692 A 4/12/2010

15106 CA 89868 A 1/13/2010

15106 CA 89869 A 1/13/2010

15143 GA 89115 A 12/7/2009

15143 GA 89116 A 5/24/2010

15200 NC 96253 A 9/19/2010

15220 OK 92081 A 8/3/2010

15220 OK 92083 A 8/3/2010

Camai Clinic

Processing Complete

Coastal Health District - GA Div. of Public Health

Processing Complete

Four Corners Health Department

Processing Complete

Four Corners Health Department

Processing Complete

Dahl Memorial Clinic

Processing Complete

Dahl Memorial Clinic

Processing Complete

Public Health Solutions

Processing Complete

Public Health Solutions

Processing Complete

Kern Valley Healthcare District

Processing Complete

Kern Valley Healthcare District

Processing Complete

Louis Smith Memorial Hospital

Processing Complete

Louis Smith Memorial Hospital

Processing Complete

Annie Penn Hospital

Processing Complete

Okeene Municipal Hospital

Processing Complete

Okeene Municipal Hospital

Processing Complete

Page 369: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15228 OK 93216 A 8/9/2010

15228 OK 93218 A 8/9/2010

15233 OK 94629 A 7/20/2010

15233 OK 94630 A 12/14/2011

15265 OK 95959 A 9/24/2010

15265 OK 95961 A 9/24/2010

15753 LA 93700 A 7/11/2010

15807 WV 89128 A 3/1/2010

15807 WV 89130 A 4/20/2010

15807 WV 89131 A 3/1/2010

15807 WV 89132 A 3/1/2010

15807 WV 91353 A

15807 WV 94890 A 9/27/2010

15808 TN 94437 A 10/11/2010

Beaver County Memorial Hospital

Processing Complete

Beaver County Memorial Hospital

Processing Complete

Fairview Regional Medical Center

Processing Complete

Fairview Regional Medical Center

Processing Complete

Okmulgee Memorial Hospital, Inc.

Processing Complete

Okmulgee Memorial Hospital, Inc.

Processing Complete

Acadia St. Landry Hospital

Processing Complete

Boone Memorial Hospital

Processing Complete

Boone Memorial Hospital

Processing Complete

Boone Memorial Hospital

Processing Complete

Boone Memorial Hospital

Processing Complete

Boone Memorial Hospital

Initial Review Complete

Boone Memorial Hospital

Processing Complete

Professional Care Services of West Tennessee, Inc. (Brownsville)

Processing Complete

Page 370: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15808 TN 94512 A 10/11/2010

15809 TN 94430 A 10/11/2010

15809 TN 94431 A 10/11/2010

15809 TN 94504 A 10/11/2010

15809 TN 94505 A 10/11/2010

15809 TN 94506 A

15809 TN 94508 A

Professional Care Services of West Tennessee, Inc. (Brownsville)

Processing Complete

Professional Care Services of West Tennessee, Inc. (Covington)

Processing Complete

Professional Care Services of West Tennessee, Inc. (Covington)

Processing Complete

Professional Care Services of West Tennessee, Inc. (Covington)

Processing Complete

Professional Care Services of West Tennessee, Inc. (Covington)

Processing Complete

Professional Care Services of West Tennessee, Inc. (Covington)

Initial Review Complete

Professional Care Services of West Tennessee, Inc. (Covington)

Initial Review Complete

Page 371: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15809 TN 94510 A

15809 TN 94511 A

15810 TN 94435 A 10/11/2010

15810 TN 94513 A 10/11/2010

15811 TN 94434 A 10/11/2010

15811 TN 94514 A 10/11/2010

15812 TN 94432 A 10/11/2010

Professional Care Services of West Tennessee, Inc. (Covington)

Initial Review Complete

Professional Care Services of West Tennessee, Inc. (Covington)

Initial Review Complete

Professional Care Services of West Tennessee, Inc. (Dyersburg)

Processing Complete

Professional Care Services of West Tennessee, Inc. (Dyersburg)

Processing Complete

Professional Care Services of West Tennessee, Inc. (Ripley)

Processing Complete

Professional Care Services of West Tennessee, Inc. (Ripley)

Processing Complete

Professional Care Services of West Tennessee, Inc. (Somerville)

Processing Complete

Page 372: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15812 TN 94515 A 10/11/2010

15892 CA 92398 A 6/16/2010

15892 CA 92399 A 6/16/2010

15941 TX 95074 A 10/23/2010

15941 TX 96077 A 9/13/2010

15941 TX 96192 A 9/13/2010

16076 WI 97182 A 10/28/2011

16095 OK 95353 A 8/15/2010

16326 MI 96038 A 1/13/2011

16342 NM 95482 A 9/22/2010

16342 NM 95564 A 9/22/2010

Professional Care Services of West Tennessee, Inc. (Somerville)

Processing Complete

Willow Creek Family Health Center

Processing Complete

Willow Creek Family Health Center

Processing Complete

D. M. Cogdell Memorial Hospital

Processing Complete

D. M. Cogdell Memorial Hospital

Processing Complete

D. M. Cogdell Memorial Hospital

Processing Complete

St. Josephs Wonewoc Clinic

Processing Complete

Grand Lake Mental Health Center, Inc.

Processing Complete

Sault Tribe Health & Human Services

Processing Complete

Mora Valley Community Health Services

Processing Complete

Mora Valley Community Health Services

Processing Complete

Page 373: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16347 AS 89321 A 4/1/2010

16370 GA 89117 A 1/27/2010

16370 GA 89118 A 2/22/2010

16370 GA 89119 A 6/15/2010

16370 GA 89120 A 1/14/2010

16370 GA 89121 A 1/11/2010

16370 GA 89122 A 3/2/2010

16370 GA 91168 A 6/15/2010

16370 GA 91639 A 6/2/2010

16370 GA 95665 A 10/27/2010

16370 GA 95667 A 10/12/2010

16370 GA 96583 A 10/27/2010

16370 GA 96596 A 10/27/2010

16370 GA 96601 A 10/27/2010

16370 GA 96602 A 10/27/2010

16679 VA 89440 A 2/25/2010

16679 VA 89441 A 2/25/2010

16679 VA 92491 A

American Samoa VA CBOC

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Effingham Hospital

Processing Complete

Fauquier Health

Processing Complete

Fauquier Health

Processing Complete

Fauquier Health

Processing Complete

Page 374: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16679 VA 94962 A

16864 UT 90135 A 2/23/2010

16899 MI 95956 A 1/12/2011

16899 MI 95996 A 1/13/2011

16899 MI 96043 A 4/13/2011

16899 MI 119439 A 8/22/2012

16908 WI 86972 A 2/2/2010

16908 WI 91482 A 6/28/2010

16926 MN 96338 A 10/7/2010

16975 TX 90195 A 1/27/2010

16975 TX 90196 A 2/4/2010

16975 TX 90196 B 2/4/2010

16975 TX 90197 A 2/4/2010

Fauquier Health

Processing Complete

San Juan Counseling

Processing Complete

Munising Tribal Health Center

Processing Complete

Munising Tribal Health Center

Processing Complete

Munising Tribal Health Center

Processing Complete

Munising Tribal Health Center

Processing Complete

Bellin Family Medical Center - Kewaunee

Processing Complete

Bellin Family Medical Center - Kewaunee

Processing Complete

Bigfork Valley Clinics - Marcell

Processing Complete

Memorial Medical Center - Livingston

Processing Complete

Memorial Medical Center - Livingston

Processing Complete

Memorial Medical Center - Livingston

Processing Complete

Memorial Medical Center - Livingston

Processing Complete

Page 375: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16975 TX 90198 A 2/4/2010

16975 TX 90272 A 2/4/2010

16975 TX 90272 B 2/4/2010

16975 TX 91319 A 3/29/2010

16975 TX 91320 A 3/29/2010

16975 TX 92830 A 6/14/2010

16975 TX 92831 A 6/14/2010

17090 WV 89717 A 1/28/2010

17090 WV 89718 A 2/16/2010

17109 IA 89551 A 1/19/2010

17109 IA 89555 A 1/18/2010

17109 IA 89556 A 1/11/2010

17109 IA 89559 A 1/11/2010

17109 IA 89561 A 2/4/2010

Memorial Medical Center - Livingston

Processing Complete

Memorial Medical Center - Livingston

Processing Complete

Memorial Medical Center - Livingston

Processing Complete

Memorial Medical Center - Livingston

Processing Complete

Memorial Medical Center - Livingston

Processing Complete

Memorial Medical Center - Livingston

Processing Complete

Memorial Medical Center - Livingston

Processing Complete

Stonewall Jackson Memorial Hospital

Processing Complete

Stonewall Jackson Memorial Hospital

Processing Complete

Pella Regional Health Center

Processing Complete

Pella Regional Health Center

Processing Complete

Pella Regional Health Center

Processing Complete

Pella Regional Health Center

Processing Complete

Pella Regional Health Center

Processing Complete

Page 376: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17109 IA 89562 A 2/4/2010

17109 IA 89564 A 3/10/2010

17109 IA 89566 A 1/18/2010

17109 IA 90954 A 3/29/2010

17109 IA 92279 A 4/5/2010

17109 IA 92439 A 5/17/2010

17109 IA 92654 A 5/17/2010

17109 IA 93437 A 5/17/2010

17191 TX 89240 A 2/8/2010

17191 TX 89242 A 1/28/2010

17191 TX 89243 A 1/28/2010

17191 TX 89245 A 1/28/2010

Pella Regional Health Center

Processing Complete

Pella Regional Health Center

Processing Complete

Pella Regional Health Center

Processing Complete

Pella Regional Health Center

Processing Complete

Pella Regional Health Center

Processing Complete

Pella Regional Health Center

Processing Complete

Pella Regional Health Center

Processing Complete

Pella Regional Health Center

Processing Complete

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center-Athens

Processing Complete

Page 377: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17191 TX 89501 A 1/28/2010

17191 TX 89560 A 1/28/2010

17191 TX 89563 A 1/28/2010

17191 TX 89565 A 1/28/2010

17191 TX 89567 A 1/28/2010

17191 TX 89568 A 1/28/2010

17191 TX 89569 A 1/28/2010

17191 TX 91220 A 2/16/2010

17191 TX 91330 A 3/29/2010

17191 TX 92461 A 6/10/2010

17191 TX 93799 A 6/2/2010

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center-Athens

Processing Complete

East Texas Medical Center - Athens

Processing Complete

East Texas Medical Center - Athens

Processing Complete

Page 378: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17191 TX 94187 A 9/8/2010

17191 TX 94640 A

17191 TX 95147 A 9/1/2010

17191 TX 95253 A 7/26/2010

17194 TX 89237 A 1/28/2010

17194 TX 89728 A 2/8/2010

17194 TX 89733 A 2/8/2010

17194 TX 91335 A 4/5/2010

17194 TX 92174 A 3/29/2010

17194 TX 92175 A 4/5/2010

East Texas Medical Center - Athens

Processing Complete

East Texas Medical Center - Athens

Initial Review Complete

East Texas Medical Center - Athens

Processing Complete

East Texas Medical Center - Athens

Processing Complete

East Texas Medical Ctr-Jacksonville

Processing Complete

East Texas Medical Ctr-Jacksonville

Processing Complete

East Texas Medical Ctr-Jacksonville

Processing Complete

East Texas Medical Center - Jacksonville

Processing Complete

East Texas Medical Center - Jacksonville

Processing Complete

East Texas Medical Center - Jacksonville

Processing Complete

Page 379: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17194 TX 92178 A 5/12/2010

17195 TX 89217 A 1/28/2010

17195 TX 89702 A 1/28/2010

17195 TX 92916 A 5/17/2010

17306 TX 89722 A 1/19/2010

17306 TX 89723 A 1/28/2010

17306 TX 89724 A 1/20/2010

17306 TX 89725 A 1/28/2010

17306 TX 95479 A 7/26/2010

17307 TX 89948 A 1/28/2010

East Texas Medical Center - Jacksonville

Processing Complete

East Texas Medical Ctr - Mt Vernon

Processing Complete

East Texas Medical Ctr - Mt Vernon

Processing Complete

East Texas Medical Center - Mt Vernon

Processing Complete

East Texas Medical Center - Rusk

Processing Complete

East Texas Medical Center - Rusk

Processing Complete

East Texas Medical Center - Rusk

Processing Complete

East Texas Medical Center - Rusk

Processing Complete

East Texas Medical Center - Rusk

Processing Complete

East Texas Medical Ctr - Sulphur Springs

Processing Complete

Page 380: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17308 KY 88946 A 12/28/2009

17308 KY 88947 A

17308 KY 88948 A 4/12/2010

17308 KY 88949 A 2/4/2010

17308 KY 88951 A 1/20/2010

17308 KY 91599 A 4/12/2010

17308 KY 91600 A 4/12/2010

17308 KY 91601 A 4/12/2010

17308 KY 91602 A 4/12/2010

17308 KY 96037 A 8/2/2010

17314 AK 89055 A 1/25/2010

Mountain Comprehensive Care Center

Processing Complete

Mountain Comprehensive Care Center

Processing Complete

Mountain Comprehensive Care Center

Processing Complete

Mountain Comprehensive Care Center

Processing Complete

Mountain Comprehensive Care Center

Processing Complete

Mountain Comprehensive Care Center

Processing Complete

Mountain Comprehensive Care Center

Processing Complete

Mountain Comprehensive Care Center

Processing Complete

Mountain Comprehensive Care Center

Processing Complete

Mountain Comprehensive Care Center

Processing Complete

Community Connections - Ketchikan

Processing Complete

Page 381: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17317 TX 89536 A 2/10/2010

17317 TX 89537 A 2/10/2010

17317 TX 89557 A 2/10/2010

17317 TX 89558 A 2/10/2010

17317 TX 95488 A 7/19/2010

17317 TX 95513 A 7/19/2010

17380 MO 90987 A 2/22/2010

17380 MO 90988 A 6/15/2010

17380 MO 90989 A 6/15/2010

17380 MO 90991 A

17380 MO 90998 A 6/15/2010

17380 MO 91520 A 6/15/2010

17380 MO 95394 A 11/1/2010

17380 MO 95396 A 11/1/2010

17385 GA 88747 A 7/21/2010

17385 GA 88748 A 2/10/2010

ETMC Cedar Creek Lake

Processing Complete

ETMC Cedar Creek Lake

Processing Complete

ETMC Cedar Creek Lake

Processing Complete

ETMC Cedar Creek Lake

Processing Complete

ETMC Cedar Creek Lake

Processing Complete

ETMC Cedar Creek Lake

Processing Complete

Audrain Medical Center

Processing Complete

Audrain Medical Center

Processing Complete

Audrain Medical Center

Processing Complete

Audrain Medical Center

Initial Review Complete

Audrain Medical Center

Processing Complete

Audrain Medical Center

Processing Complete

Audrain Medical Center

Processing Complete

Audrain Medical Center

Processing Complete

Burke MedicalCenter

Processing Complete

Burke MedicalCenter

Processing Complete

Page 382: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17385 GA 88749 A 2/10/2010

17385 GA 88750 A 7/21/2010

17385 GA 88751 A 4/28/2010

17385 GA 93972 A 8/23/2010

17437 WI 94447 A 7/21/2010

17437 WI 94447 B 7/21/2010

17540 MN 91615 A 5/25/2010

17540 MN 91616 A 5/25/2010

17602 KY 90433 A 8/5/2010

17613 KY 90435 A 8/5/2010

17614 KY 90436 A 8/5/2010

Burke MedicalCenter

Processing Complete

Burke MedicalCenter

Processing Complete

Burke MedicalCenter

Processing Complete

Burke MedicalCenter

Processing Complete

Marshfield Clinic - Telehealth Lac du Flambeau

Processing Complete

Marshfield Clinic - Telehealth Lac du Flambeau

Processing Complete

VOA-MN Mental Health Clinics

Processing Complete

VOA-MN Mental Health Clinics

Processing Complete

Eastern KY Mobile Health - Ezel/Morgan County

Processing Complete

Eastern KY Mobile Health-Blaine/Lawrence County

Processing Complete

Eastern KY Mobile Health-Hazel Green/Wolfe County

Processing Complete

Page 383: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17615 KY 90434 A 8/5/2010

17621 KY 90432 A 8/5/2010

17636 KS 89798 A 5/5/2010

17682 TX 89482 A 6/14/2010

17682 TX 89484 A 6/14/2010

17682 TX 89485 A 6/14/2010

17682 TX 89486 A 6/14/2010

17682 TX 89487 A 1/20/2010

17682 TX 89489 A 1/20/2010

17682 TX 89490 A 2/27/2010

17682 TX 90181 A 6/14/2010

17682 TX 90763 A 2/16/2010

17733 MO 90110 A 1/12/2010

17733 MO 90111 A 1/12/2010

Eastern KY Mobile Health-East Valley/Morgan County

Processing Complete

Eastern KY Mobile Health - Cannel City/Morgan County

Processing Complete

Iola Dental Clinic

Processing Complete

Bastrop Medical Center

Processing Complete

Bastrop Medical Center

Processing Complete

Bastrop Medical Center

Processing Complete

Bastrop Medical Center

Processing Complete

Bastrop Medical Center

Processing Complete

Bastrop Medical Center

Processing Complete

Bastrop Medical Center

Processing Complete

Bastrop Medical Center

Processing Complete

Bastrop Medical Center

Processing Complete

Oregon County Community Health Center

Processing Complete

Oregon County Community Health Center

Processing Complete

Page 384: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17735 TX 89896 A 2/10/2010

17769 KS 89322 A 3/23/2010

17819 NE 91749 A

17819 NE 96069 A 8/7/2010

17877 TX 89448 A

17904 VA 91352 A 2/19/2010

17904 VA 91352 B 2/19/2010

17919 MN 95613 A 10/31/2010

17919 MN 95613 B 10/31/2010

17920 OK 95788 A 10/19/2010

17922 WA 91993 A 4/12/2010

17927 IN 95597 A 9/23/2010

ETMC Carthage - Center RHC

Processing Complete

Cotton - O'Neil Clinic Wamego

Processing Complete

Nebraska City Medical Clinic

Initial Review Complete

Nebraska City Medical Clinic

Processing Complete

ETMC 1st Physicians - Mineola

Processing Complete

Hurley Clinic

Processing Complete

Hurley Clinic

Processing Complete

Gundersen Lutheran Houston Clinic

Processing Complete

Gundersen Lutheran Houston Clinic

Processing Complete

East Central Oklahoma Family Health Center, Inc.

Processing Complete

North Valley Hospital / Health & Rehab

Processing Complete

St. Vincent Salem Hospital, Inc.

Processing Complete

Page 385: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17929 OK 95336 A 8/9/2010

17930 OK 95338 A 8/9/2010

17931 OK 95333 A 8/9/2010

17931 OK 95334 A 8/9/2010

17932 OK 95346 A 8/9/2010

17933 OK 95339 A 8/9/2010

17934 OK 95335 A 8/9/2010

17936 OH 92407 A

Grand Lake MHC - Rogers

Processing Complete

Grand Lake MHC - Ottawa

Processing Complete

Grand Lake MHC - Telemedicine

Processing Complete

Grand Lake MHC - Telemedicine

Processing Complete

Grand Lake MHC - Craig

Processing Complete

Grand Lake MHC - Mayes

Processing Complete

Grand Lake MHC - Afton

Processing Complete

Mark, Milford, Hicksville Joint Township Hospital d/b/a Community Memorial Hospital Edgerton Family Health Center

Processing Complete

Page 386: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17938 IN 93790 A

17939 MT 96806 A 10/21/2010

17939 MT 96806 B 10/21/2010

17941 MO 88728 A

17941 MO 88729 A 4/8/2010

17942 OH 96087 A 9/16/2010

17944 KY 90321 A 6/15/2010

17944 KY 90452 A 2/22/2010

17944 KY 95245 A 8/3/2010

17944 KY 95246 A 7/26/2010

Mark, Milford, Hicksville Joint Township Hospital d/b/a Community Memorial Hospital Harlan Family Health Center

Processing Complete

Marias Medical Center/Sunburst Clinic

Processing Complete

Marias Medical Center/Sunburst Clinic

Processing Complete

Carroll County Memorial Hospital

Initial Review Complete

Carroll County Memorial Hospital

Processing Complete

ProMedica Northwest Ohio Cardiology Consultants

Processing Complete

Clinton County Hospital

Processing Complete

Clinton County Hospital

Processing Complete

Clinton County Hospital

Processing Complete

Clinton County Hospital

Processing Complete

Page 387: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17945 KS 91576 A 6/8/2010

17946 KS 91575 A 6/8/2010

17948 KS 91626 A 6/8/2010

17949 KS 91574 A 6/8/2010

17950 KS 91573 A 6/8/2010

17951 KS 91555 A 6/8/2010

Mental Health Center of East Central Kansas/Burlington

Processing Complete

Mental Health Center East Central Kansas/Osage City (5th St)

Processing Complete

Mental Health Center East Central Kansas/Osage City (Holliday St)

Processing Complete

Mental Health Center East Central Kansas/Council Grove (W Main)

Processing Complete

Mental Health Center East Central Kansas/Council Grove (E Main)

Processing Complete

Mental Health Center East Central Kansas/Carbondale

Processing Complete

Page 388: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17952 KS 91556 A 6/8/2010

17957 IN 90429 A 4/15/2010

17957 IN 94830 A

17962 CA 88780 A

17962 CA 88781 A

17963 CA 88782 A

17963 CA 88783 A

17964 AZ 88803 A 4/25/2011

17965 NM 88777 A 8/16/2011

17969 IA 94018 A

17969 IA 94214 A

17970 OK 95321 A

Mental Health Center East Central Kansas/Eureka

Processing Complete

Knox County Hospital d/b/a Good Samaritan Hospital

Processing Complete

Knox County Hospital d/b/a Good Samaritan Hospital

Processing Complete

Horisons Unlimited

Initial Review Complete

Horisons Unlimited

Processing Complete

Horisons Unlimited - Livingston

Initial Review Complete

Horisons Unlimited - Livingston

Initial Review Complete

Nizhoni Smiles, Inc.

Processing Complete

Nizhoni Smiles, Inc.

Processing Complete

Crawford County Memorial Hospital

Processing Complete

Crawford County Memorial Hospital

Processing Complete

NEO Medical Center

Initial Review Complete

Page 389: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17970 OK 96216 A 8/9/2010

17972 TX 89073 A 2/10/2010

17973 MN 88981 A 1/21/2010

17973 MN 88982 A 2/1/2010

17974 MN 88983 A 1/21/2010

17974 MN 88984 A 2/1/2010

17976 WI 95255 A 7/26/2010

17976 WI 95298 A 7/26/2010

17976 WI 95304 A 10/28/2010

17976 WI 95305 A 10/28/2010

17976 WI 95306 A 7/26/2010

17976 WI 95430 A 7/26/2010

17976 WI 96282 A 9/7/2010

17976 WI 96654 A

NEO Medical Center

Processing Complete

Brady Medical Clinic

Processing Complete

Zumbro Valley Mental Health Center-Austin

Processing Complete

Zumbro Valley Mental Health Center-Austin

Processing Complete

Zumbro Valley Mental Health Center-Harmony

Processing Complete

Zumbro Valley Mental Health Center-Harmony

Processing Complete

Riverside Medical Center

Processing Complete

Riverside Medical Center

Processing Complete

Riverside Medical Center

Processing Complete

Riverside Medical Center

Processing Complete

Riverside Medical Center

Processing Complete

Riverside Medical Center

Processing Complete

Riverside Medical Center

Processing Complete

Riverside Medical Center

Initial Review Complete

Page 390: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17976 WI 96656 A 9/7/2010

17976 WI 96662 A 9/7/2010

17976 WI 97108 A 9/7/2010

17976 WI 97114 A 9/7/2010

17976 WI 97117 A 9/7/2010

17978 NM 88943 A 3/2/2010

17980 WV 91614 A 5/3/2010

17987 AR 96653 A 8/16/2010

17988 AR 96643 A 8/16/2010

17989 AR 96646 A 5/23/2011

17990 AR 96608 A 8/16/2010

17991 GA 89323 A 1/28/2010

Riverside Medical Center

Processing Complete

Riverside Medical Center

Processing Complete

Riverside Medical Center

Processing Complete

Riverside Medical Center

Processing Complete

Riverside Medical Center

Processing Complete

Presbyterian Healthcare Services

Processing Complete

Family Practice Physicians

Processing Complete

South Arkansas Regional Health Center-West Grove Academy

Processing Complete

South Arkansas Regional Helath Center

Processing Complete

South Arkansas Regional Health Center-Camden

Processing Complete

South Arkansas Regional Health Center-Magnolia

Processing Complete

Sumter Regional (718 E Jeff)

Processing Complete

Page 391: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17993 OK 95337 A 8/9/2010

17994 FL 91905 A 4/5/2010

17996 AR 93321 A 12/16/2010

17997 AR 93440 A 12/16/2010

17998 AR 93438 A 12/16/2010

17999 AR 93327 A 12/16/2010

18000 AR 93439 A 12/16/2010

18011 GA 89458 A 5/24/2010

18012 AK 96345 A 8/30/2011

18012 AK 96349 A

Grand Lake MHC-Delaware

Processing Complete

Baker Family Medical Center

Processing Complete

Delta Counseling Associates, Inc./Crossett

Processing Complete

Delta Counseling Associates, Inc./Warren

Processing Complete

Delta Counseling Associates, Inc./Dumas

Processing Complete

Delta Counseling Associates/Lake Village

Processing Complete

Delta Counseling Associates, Inc./McGehee

Processing Complete

Morgan Memorial Rotating Specialty Suites

Processing Complete

SEARHC - Front Street Clinic

Processing Complete

SEARHC - Front Street Clinic

Initial Review Complete

Page 392: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18014 NC 91488 A 3/22/2010

18014 NC 91489 A 3/4/2010

18026 GA 89333 A 1/11/2010

18027 WI 96143 A 7/27/2010

18027 WI 96148 A 7/27/2010

18028 WI 96129 A 7/27/2010

18028 WI 96158 A 7/27/2010

18029 GA 89835 A 2/10/2010

18030 GA 89834 A 2/10/2010

18035 ID 95418 A 8/18/2010

18036 KS 89865 A 3/23/2010

18036 KS 90343 A

18036 KS 92793 A

GMC-Warsaw Wellness Center

Processing Complete

GMC-Warsaw Wellness Center

Processing Complete

Sumter Regional Physician Services

Processing Complete

Marshfield Family Practice - Arcadia

Processing Complete

Marshfield Family Practice - Arcadia

Processing Complete

Marshfield Family Practice - Hayward

Processing Complete

Marshfield Family Practice - Hayward

Processing Complete

Dodge County Cardiology

Processing Complete

Dodge County General Surgery

Processing Complete

St Mary's Hospital-Kamiah PT Clinic

Processing Complete

Great Plains Health Alliance-Russell

Processing Complete

Great Plains Health Alliance-Russell

Initial Review Complete

Great Plains Health Alliance-Russell

Processing Complete

Page 393: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18037 KS 89729 A 3/24/2010

18038 KS 89522 A 3/24/2010

18042 KS 91357 A 2/22/2010

18042 KS 91469 A 4/26/2010

18042 KS 91471 A 4/26/2010

18042 KS 91473 A 5/3/2010

18042 KS 91475 A

18042 KS 91477 A 9/27/2010

18042 KS 93527 A

18042 KS 98565 A 9/27/2010

18042 KS 98565 B 9/27/2010

18042 KS 98566 A 9/27/2010

18042 KS 98566 B 9/27/2010

18045 MS 93728 A 7/12/2010

18045 MS 93729 A 7/12/2010

18052 KS 95957 A

Great Plains Health Alliance- MHS

Processing Complete

Great Plains Heatlh Alliance-CBO

Processing Complete

Prairie View Inc.

Processing Complete

Prairie View Inc.

Processing Complete

Prairie View Inc.

Processing Complete

Prairie View Inc.

Processing Complete

Prairie View Inc.

Initial Review Complete

Prairie View Inc.

Processing Complete

Prairie View Inc.

Initial Review Complete

Prairie View Inc.

Processing Complete

Prairie View Inc.

Processing Complete

Prairie View Inc.

Processing Complete

Prairie View Inc.

Processing Complete

Wayne General Hospital

Processing Complete

Wayne General Hospital

Processing Complete

Jewell County Rural Health Clinic

Processing Complete

Page 394: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18060 WI 96141 A 7/27/2010

18060 WI 96153 A 7/27/2010

18061 TX 90115 A 2/16/2010

18069 WI 95258 A 7/20/2010

18069 WI 95259 A 7/20/2010

18070 WI 95266 A 10/14/2010

18070 WI 95268 A 10/14/2010

18070 WI 95270 A 10/14/2010

18070 WI 95272 A 9/2/2010

18071 WI 93618 A 7/20/2010

18071 WI 95300 A 7/20/2010

Marshfield Clinic-Elk Mound Center

Processing Complete

Marshfield Clinic-Elk Mound Center

Processing Complete

ETMC 1st Physicians Pittsburg (408 Quitman)

Processing Complete

Aurora Health Center-Watertown

Processing Complete

Aurora Health Center-Watertown

Processing Complete

Aurora Health Center-Pt Washington

Processing Complete

Aurora Health Center-Pt Washington

Processing Complete

Aurora Health Center-Pt Washington

Processing Complete

Aurora Health Center-Pt Washington

Processing Complete

Aurora Rehab Center-Slinger

Processing Complete

Aurora Rehab Center-Slinger

Processing Complete

Page 395: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18071 WI 95301 A 7/20/2010

18072 WI 96831 A 12/6/2010

18075 MN 96335 A 10/7/2010

18076 AL 92390 A 3/29/2010

18078 WV 90332 A 1/26/2010

18081 WI 89358 A 11/2/2010

18081 WI 89359 A 2/24/2010

18084 WI 91797 A 5/20/2010

18084 WI 91798 A 6/10/2010

18084 WI 93406 A 10/7/2010

18084 WI 95216 A 6/17/2010

18084 WI 95220 A 6/29/2010

Aurora Rehab Center-Slinger

Processing Complete

Marshfield Eye Center

Processing Complete

Bigfork Valley Clinics-Coleraine

Processing Complete

Chatom Specialty Clinic

Processing Complete

Preston Physical Therapy

Processing Complete

Amery Regional Medical Center - Luck Rehab Center

Processing Complete

Amery Regional Medical Center - Luck Rehab Center

Processing Complete

Edgerton Hospital and Health Services

Processing Complete

Edgerton Hospital and Health Services

Processing Complete

Edgerton Hospital and Health Services

Processing Complete

Edgerton Hospital and Health Services

Processing Complete

Edgerton Hospital and Health Services

Processing Complete

Page 396: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18084 WI 95220 B 6/29/2010

18084 WI 95221 A 6/29/2010

18084 WI 95221 B 6/29/2010

18092 TX 89685 A 2/10/2010

18093 TX 90112 A 3/15/2010

18093 TX 92223 A 4/12/2010

18099 IN 96462 A 10/23/2010

18099 IN 96464 A 11/11/2010

18100 NE 91836 A

18101 NE 94990 A 3/23/2011

18101 NE 94993 A

18102 NE 95003 A 3/23/2011

18102 NE 95006 A

18103 NE 94872 A 3/23/2011

Edgerton Hospital and Health Services

Processing Complete

Edgerton Hospital and Health Services

Processing Complete

Edgerton Hospital and Health Services

Processing Complete

ETMC 1st Physicians Clinic-Palestine

Processing Complete

ETMC 1st Physicians Clinic-Hideaway

Processing Complete

ETMC 1st Physicians Clinic-Hideaway

Processing Complete

Witham Memorial Hospital

Processing Complete

Witham Memorial Hospital

Processing Complete

Chester Medical Clinic

Initial Review Complete

Milligan Medical Clinic

Processing Complete

Milligan Medical Clinic

Processing Complete

Davenport Medical Clinic

Processing Complete

Davenport Medical Clinic

Processing Complete

Bruning Medical Clinic

Processing Complete

Page 397: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18103 NE 94972 A

18104 VA 89870 A 3/8/2010

18113 TX 92965 A 9/1/2010

18113 TX 92966 A 9/1/2010

18113 TX 92967 A 9/1/2010

18113 TX 92968 A 9/1/2010

18123 NC 92129 A 1/20/2011

18123 NC 92130 A 5/4/2010

18137 CA 96765 A

18137 CA 96773 A

18137 CA 96780 A 2/23/2011

18137 CA 96812 A

18137 CA 96882 A

Bruning Medical Clinic

Processing Complete

Fauquier Health - Warrenton

Processing Complete

ETMC 1st Physicians - Canton

Processing Complete

ETMC 1st Physicians - Canton

Processing Complete

ETMC 1st Physicians - Canton

Processing Complete

ETMC 1st Physicians - Canton

Processing Complete

Goshen Medical Center - Fajardo

Processing Complete

Goshen Medical Center - Fajardo

Processing Complete

National Health Services, Inc.

Initial Review Complete

National Health Services, Inc.

Processing Complete

National Health Services, Inc.

Processing Complete

National Health Services, Inc.

Initial Review Complete

National Health Services, Inc.

Initial Review Complete

Page 398: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18137 CA 96883 A

18137 CA 96884 A

18137 CA 96885 A

18137 CA 96886 A

18137 CA 96887 A

18137 CA 96888 A

18137 CA 96889 A

18142 SC 93715 A 7/12/2010

18143 GA 93719 A 9/13/2010

18144 MT 93829 A 6/2/2010

18145 WV 90331 A 1/11/2010

18149 AL 91124 A

18149 AL 91126 A 3/4/2010

National Health Services, Inc.

Processing Complete

National Health Services, Inc.

Processing Complete

National Health Services, Inc.

Initial Review Complete

National Health Services, Inc.

Initial Review Complete

National Health Services, Inc.

Processing Complete

National Health Services, Inc.

Processing Complete

National Health Services, Inc.

Processing Complete

Laurens County Health Center

Processing Complete

Habersham Medical Center

Processing Complete

Marcus Daly Hosp/ Bitterroot Valley Eye Association

Processing Complete

Preston Memorial Medical Group

Processing Complete

Vernon Health Center

Initial Review Complete

Vernon Health Center

Processing Complete

Page 399: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18152 AK 96648 A 3/17/2011

18152 AK 96650 A

18153 GA 90615 A 1/28/2010

18155 GA 90885 A

18155 GA 90885 B

18155 GA 91495 A 2/11/2010

18155 GA 91496 A 2/11/2010

18156 GA 90849 A 2/11/2010

18157 GA 90880 A 2/11/2010

18158 GA 90848 A 2/11/2010

18159 GA 90844 A 2/11/2010

SEARHC Hoonah Health

Processing Complete

SEARHC Hoonah Health

Initial Review Complete

Ocmulgee Internal Medicine

Processing Complete

Avita Community Partners - Demorest

Initial Review Complete

Avita Community Partners - Demorest

Initial Review Complete

Avita Community Partners - Demorest

Processing Complete

Avita Community Partners - Demorest

Processing Complete

Avita Community Partners - Hartwell

Processing Complete

Avita Community Partners-Dahlonega (Johnson St)

Processing Complete

Avita Community Partners - Dahlonega (Ethan Allen Dr)

Processing Complete

Avita Community Partners - Toccoa

Processing Complete

Page 400: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18160 GA 90884 A 2/11/2010

18169 CA 91387 A 8/16/2011

18171 AR 92942 A 6/29/2010

18171 AR 92943 A 6/29/2010

18172 AL 96315 A 6/10/2011

18173 AL 90687 A 2/10/2010

18195 AR 92655 A 6/29/2010

18195 AR 92956 A 6/29/2010

18201 NC 95859 A 9/14/2010

18214 TX 91001 A 2/22/2010

18216 AR 92952 A 6/29/2010

18216 AR 92953 A 6/29/2010

18217 AR 92944 A 7/20/2010

18217 AR 92945 A 7/20/2010

Avita Community Partners - Blairsville

Processing Complete

Biggs Gridley Memorial Hospital

Processing Complete

Beebe Family Clinic

Processing Complete

Beebe Family Clinic

Processing Complete

Elba General Hospital

Processing Complete

Fulton Health Care

Processing Complete

Ouachita Valley Family Clinic

Processing Complete

Ouachita Valley Family Clinic

Processing Complete

Johnston Memorial Hospital

Processing Complete

Texline Health Clinic

Processing Complete

Baptist Health Family Clinic - England

Processing Complete

Baptist Health Family Clinic - England

Processing Complete

Baptist Health Family Clinic - Malvern

Processing Complete

Baptist Health Family Clinic - Malvern

Processing Complete

Page 401: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18222 VA 96145 A

18225 TX 91805 A 6/14/2010

18231 TX 91002 A 2/10/2010

18232 VA 95163 A 9/7/2010

18233 ND 91342 A 3/18/2010

18233 ND 91483 A 3/18/2010

18238 GA 91032 A 7/26/2010

18239 MT 93830 A 6/2/2010

18240 WI 91772 A 6/30/2010

18240 WI 91925 A

18242 MT 93828 A 6/2/2010

18243 AR 92940 A 7/20/2010

Village Family Physicians

Initial Review Complete

Smithville Professional Medical Center

Processing Complete

Titus Regional Health Clinic

Processing Complete

The Cardiovascular Group - Moneta

Processing Complete

Devils Lake Community Clinic

Processing Complete

Devils Lake Community Clinic

Processing Complete

Monroe Physical Therapy

Processing Complete

Corvallis Family Medicine

Processing Complete

Richland County Health & Human Services

Processing Complete

Richland County Health & Human Services

Initial Review Complete

Bitterroot Valley Eye Associates - Hamilton

Processing Complete

Baptist Health Family Clinic - Arkadelphia

Processing Complete

Page 402: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18243 AR 92941 A 7/20/2010

18244 AK 91796 A 4/27/2010

18245 AR 92896 A 6/29/2010

18245 AR 92899 A 6/29/2010

18246 WA 97154 A 1/25/2011

18246 WA 97155 A 1/25/2011

18247 AR 92910 A 7/20/2010

18247 AR 92913 A 7/20/2010

18249 TN 91374 A 3/29/2010

18250 TN 91373 A 6/8/2010

Baptist Health Family Clinic - Arkadelphia

Processing Complete

AFS Behavioral Health Treatment Center

Processing Complete

Baptist Health Family Clinic - Perryville

Processing Complete

Baptist Health Family Clinic - Perryville

Processing Complete

Jefferson County Public Hospital District #2

Processing Complete

Jefferson County Public Hospital District #2

Processing Complete

Baptist Health Surgical & Orthopedic

Processing Complete

Baptist Health Surgical & Orthopedic

Processing Complete

Cherokee Health Systems - New Tazewell

Processing Complete

Cherokee Health Systems - Newport

Processing Complete

Page 403: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18251 TN 91344 A 5/6/2010

18252 TN 91365 A

18253 TN 91366 A 4/6/2010

18254 TN 91367 A 3/29/2010

18255 TN 91368 A 6/29/2010

18256 TN 91370 A 3/30/2010

18263 MO 97186 A 12/16/2010

18263 MO 97188 A 12/16/2010

18263 MO 97191 A 12/16/2010

18268 KS 92936 A 7/12/2010

18268 KS 92937 A 7/12/2010

Cherokee Health Systems - Maynardville

Processing Complete

Cherokee Health Systems - Madisonville

Processing Complete

Cherokee Health Systems - Englewood

Processing Complete

Cherokee Health Systems - Bean Station

Processing Complete

Cherokee Health Systems - Blaine

Processing Complete

Cherokee Health Systems - Washburn

Processing Complete

Missouri Ozarks Community Health

Processing Complete

Missouri Ozarks Community Health

Processing Complete

Missouri Ozarks Community Health

Processing Complete

South Central Kansas Regional Medical Center

Processing Complete

South Central Kansas Regional Medical Center

Processing Complete

Page 404: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18286 FL 91906 A

18286 FL 91907 A 4/12/2010

18286 FL 95368 A 10/20/2010

18286 FL 95368 B 10/20/2010

18287 FL 91908 A 4/19/2010

18288 SC 96584 A 8/20/2010

18296 OK 95294 A 9/8/2010

18296 OK 95295 A 9/8/2010

18297 NC 96580 A 9/24/2010

18298 SD 96963 A 8/31/2011

18298 SD 97042 A 8/31/2011

18302 SC 96622 A 9/27/2010

Campbellton - Graceville Hospital

Initial Review Complete

Campbellton - Graceville Hospital

Processing Complete

Campbellton - Graceville Hospital

Processing Complete

Campbellton - Graceville Hospital

Processing Complete

Graceville Medical Clinic

Processing Complete

Marlboro OB/GYN

Processing Complete

Laverne Family Health Clinic

Processing Complete

Laverne Family Health Clinic

Processing Complete

Foxglove Specialty Care Center

Processing Complete

Community Counseling Services - Huron

Processing Complete

Community Counseling Services - Huron

Processing Complete

Scotland Healthcare Center (Bennettsville)

Processing Complete

Page 405: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18315 NC 96837 A 8/11/2010

18316 WI 92347 A 5/6/2010

18316 WI 92349 A 5/6/2010

18316 WI 92350 A 5/6/2010

18316 WI 92378 A 8/19/2010

18316 WI 92379 A 7/15/2010

18316 WI 92380 A 7/15/2010

18316 WI 93036 A 10/7/2010

18316 WI 94522 A 6/3/2010

Polk County Community Health & Wellness Center, Inc.

Processing Complete

Ministry Medical Group, Inc. - Rhinelander

Processing Complete

Ministry Medical Group, Inc. - Rhinelander

Processing Complete

Ministry Medical Group, Inc. - Rhinelander

Processing Complete

Ministry Medical Group, Inc. - Rhinelander

Processing Complete

Ministry Medical Group, Inc. - Rhinelander

Processing Complete

Ministry Medical Group, Inc. - Rhinelander

Processing Complete

Ministry Medical Group, Inc. - Rhinelander

Processing Complete

Ministry Medical Group, Inc. - Rhinelander

Processing Complete

Page 406: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18318 SD 96990 A 8/31/2011

18319 SD 97015 A

18319 SD 97037 A

18322 AR 92864 A 7/12/2010

18322 AR 96468 A

18324 CA 96208 A 9/19/2010

18324 CA 96213 A 9/19/2010

18324 CA 96217 A 9/19/2010

18324 CA 96221 A 9/19/2010

18325 PA 92879 A 7/12/2010

18325 PA 92880 A 7/12/2010

18325 PA 92881 A 7/12/2010

Community Counseling Services - Flandreau

Processing Complete

Community Counseling Services

Processing Complete

Community Counseling Services

Processing Complete

Hot Springs County Medical Center

Processing Complete

Hot Springs County Medical Center

Initial Review Complete

Mendocino Coast District Hospital

Processing Complete

Mendocino Coast District Hospital

Processing Complete

Mendocino Coast District Hospital

Processing Complete

Mendocino Coast District Hospital

Processing Complete

Miners Medical Center - Hastings

Processing Complete

Miners Medical Center - Hastings

Processing Complete

Miners Medical Center - Hastings

Processing Complete

Page 407: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18328 TX 92939 A 7/12/2010

18328 TX 93600 A 7/12/2010

18328 TX 93601 A 7/12/2010

18329 KS 93602 A 7/12/2010

18329 KS 93603 A 7/12/2010

18330 TX 93045 A 7/12/2010

18331 KS 92876 A 7/12/2010

18333 KS 92866 A 7/12/2010

18333 KS 92867 A 7/12/2010

18335 ND 92026 A 3/18/2010

18335 ND 92027 A 3/18/2010

18335 ND 92028 A 3/18/2010

18341 MN 93915 A 7/6/2010

18343 GA 92676 A 5/12/2010

18343 GA 92677 A 5/12/2010

Saint Marks Medical Center

Processing Complete

Saint Marks Medical Center

Processing Complete

Saint Marks Medical Center

Processing Complete

Susan B. Allen Memorial Hospital

Processing Complete

Susan B. Allen Memorial Hospital

Processing Complete

Swisher Memorial Hospital District

Processing Complete

Washington County Hospital

Processing Complete

Wilson Medical Center

Processing Complete

Wilson Medical Center

Processing Complete

Towner County Medical Center

Processing Complete

Towner County Medical Center

Processing Complete

Towner County Medical Center

Processing Complete

Madelia Clinic

Processing Complete

Southern Medical

Processing Complete

Southern Medical

Processing Complete

Page 408: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18343 GA 92781 A 5/3/2010

18368 MN 93923 A 7/6/2010

18369 MN 93919 A 7/6/2010

18369 MN 93922 A 6/29/2010

18370 MN 93910 A 7/6/2010

18371 MN 93913 A 7/6/2010

18372 MN 93911 A 7/6/2010

18374 AR 92230 A 6/15/2010

18375 MN 93970 A 7/6/2010

18376 WI 95429 A 7/26/2010

18377 CO 96878 A 5/22/2011

18381 MO 92773 A 5/17/2010

18382 NC 92495 A 4/19/2010

18383 MN 93924 A 7/6/2010

18384 NC 92493 A 4/5/2010

18385 MO 92779 A 5/17/2010

Southern Medical

Processing Complete

Waterville Clinic (E Lake)

Processing Complete

Waseca Medical Center

Processing Complete

Waseca Medical Center

Processing Complete

Janesville Clinic

Processing Complete

Lamberton Clinic

Processing Complete

Parkview Clinic

Processing Complete

1 Medical Clinic

Processing Complete

Springfield Medical Clinic

Processing Complete

ThedaCare - Waupaca Clinic

Processing Complete

Vail Valley Medical Center

Processing Complete

Potosi Rural Health Clinic

Processing Complete

Granville Urology Assoc.

Processing Complete

Waterville Clinic Physical Therapy (S 2nd St)

Processing Complete

Granville Specialty Clinics

Processing Complete

Austin Plaza Primary Care

Processing Complete

Page 409: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18386 MO 92778 A 5/17/2010

18388 MN 93864 A 7/6/2010

18388 MN 94104 A 7/6/2010

18388 MN 94105 A 7/6/2010

18389 WV 92946 A 5/17/2010

18405 OH 93702 A 7/12/2010

18405 OH 95858 A 9/15/2010

18405 OH 95858 B 9/15/2010

18405 OH 96467 A 9/15/2010

18406 TN 93043 A 7/12/2010

18406 TN 93044 A 7/12/2010

18407 TX 92873 A 7/11/2010

Austin Plaza Primary - Simpelo

Processing Complete

Sacred Heart - Mercy Health Care

Processing Complete

Sacred Heart - Mercy Health Care

Processing Complete

Sacred Heart - Mercy Health Care

Processing Complete

Southern Roane Medical Clinic

Processing Complete

Lodi Community Hospital

Processing Complete

Lodi Community Hospital

Processing Complete

Lodi Community Hospital

Processing Complete

Lodi Community Hospital

Processing Complete

Rhea Medical Center

Processing Complete

Rhea Medical Center

Processing Complete

Chambers County Public Hospital District #1

Processing Complete

Page 410: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18407 TX 92874 A 7/11/2010

18407 TX 92875 A 7/11/2010

18410 MI 95212 A 10/14/2010

18417 AK 96652 A 3/17/2011

18418 AK 96663 A 8/30/2011

18419 NM 93753 A 10/18/2010

18420 IN 94112 A 7/7/2010

18420 IN 95242 A 7/7/2010

18439 NM 94572 A

18446 TX 93503 A 9/27/2010

18446 TX 93504 A 9/27/2010

Chambers County Public Hospital District #1

Processing Complete

Chambers County Public Hospital District #1

Processing Complete

Alpena Regional Medical Center - Rehab Physical Therapy Center

Processing Complete

SEARHC - Craig

Processing Complete

SEARHC - Mt Edgecumbe High School

Processing Complete

Hidalgo Medical Services - Silver High School Clinic

Processing Complete

Greene County General Hospital

Processing Complete

Greene County General Hospital

Processing Complete

Gila Regional Medical Center

Processing Complete

Uvalde County Hospital Authority

Processing Complete

Uvalde County Hospital Authority

Processing Complete

Page 411: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18446 TX 93505 A 10/27/2010

18446 TX 93506 A 10/27/2010

18446 TX 96664 A 9/27/2010

18447 TX 93507 A 9/27/2010

18452 MN 96496 A 10/7/2010

18453 MN 96492 A 5/23/2011

18454 MN 96494 A 10/14/2010

18455 TX 94813 A 7/12/2010

18455 TX 94821 A 7/12/2010

18456 IL 94816 A 9/14/2010

18466 OH 94226 A 7/11/2010

18472 KY 94293 A 7/12/2010

18472 KY 94294 A 7/12/2010

Uvalde County Hospital Authority

Processing Complete

Uvalde County Hospital Authority

Processing Complete

Uvalde County Hospital Authority

Processing Complete

Sabinal Health Clinic

Processing Complete

Pierz Community Medical Center

Processing Complete

Avon Medical Clinic

Processing Complete

Randall Lakes Area Clinic

Processing Complete

Muleshoe Area Medical Center

Processing Complete

Muleshoe Area Medical Center

Processing Complete

Hopedale Medical Complex - Atlanta

Processing Complete

Fayette County Memorial Hospital

Processing Complete

Muhlenberg Community Hospital

Processing Complete

Muhlenberg Community Hospital

Processing Complete

Page 412: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18478 TX 95866 A 9/14/2010

18480 ME 95832 A 10/18/2010

18497 CA 95864 A 9/19/2010

18497 CA 96520 A 9/21/2010

18498 NV 95865 A 9/19/2010

18501 IA 94824 A 7/12/2010

18505 MI 96343 A 9/15/2010

18505 MI 96344 A 9/15/2010

18505 MI 96347 A 9/15/2010

18505 MI 96351 A 9/15/2010

18505 MI 96356 A 9/15/2010

18505 MI 96358 A 9/15/2010

18506 MO 94825 A 7/11/2010

18507 TX 94826 A 7/11/2010

18508 VA 96252 A

Hunt Regional Medical Center

Processing Complete

Down East Community Hospital

Processing Complete

Tahoe City Physical Therapy

Processing Complete

Tahoe City Physical Therapy

Processing Complete

Incline Village Physical Therapy

Processing Complete

Humboldt County Memorial Hospital

Processing Complete

Memorial Healthcare Center

Processing Complete

Memorial Healthcare Center

Processing Complete

Memorial Healthcare Center

Processing Complete

Memorial Healthcare Center

Processing Complete

Memorial Healthcare Center

Processing Complete

Memorial Healthcare Center

Processing Complete

Fitzgibbon Grand River Clinic

Processing Complete

Chambers County Bayside Clinic

Processing Complete

Southhampton Memorial Hospital

Initial Review Complete

Page 413: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18511 KS 95083 A 7/12/2010

18512 IL 95827 A 9/13/2010

18512 IL 95862 A 9/13/2010

18512 IL 96246 A 9/13/2010

18526 NV 95363 A 2/1/2011

18530 KY 95410 A 9/27/2010

18530 KY 95411 A 9/27/2010

18530 KY 95413 A 9/27/2010

18530 KY 95414 A 8/23/2010

13125 WI 92656 A 6/16/2010

13125 WI 92657 A 6/16/2010

13125 WI 92658 A 6/16/2010

13125 WI 92659 A 6/16/2010

Wilson Medical - Physical Therapy

Processing Complete

Centegra Hospital

Processing Complete

Centegra Hospital

Processing Complete

Centegra Hospital

Processing Complete

SLMC - Smith Valley Clinic

Processing Complete

Twin Lakes Regional Medical Center

Processing Complete

Twin Lakes Regional Medical Center

Processing Complete

Twin Lakes Regional Medical Center

Processing Complete

Twin Lakes Regional Medical Center

Processing Complete

0002713477

Community Memorial Hospital

Processing Complete

0002713477

Community Memorial Hospital

Processing Complete

0002713477

Community Memorial Hospital

Processing Complete

0002713477

Community Memorial Hospital

Processing Complete

Page 414: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

00078502 10463 IL 92005 A 5/17/2010

00078502 10463 IL 92614 A 5/17/2010

00084069 10464 IL 92008 A 5/17/2010

00084069 10464 IL 92615 A 5/17/2010

12951 KY 90928 A 1/21/2010

12878 KY 91977 A 12/16/2011

16702 MO 95689 A 11/4/2010

16907 WI 86971 A 10/15/2009

16910 WI 86975 A 1/12/2010

10032 MI 90968 A 7/1/2010

10032 MI 96035 A 8/19/2010

LLCC Regional Education Center - Litchfield

Processing Complete

LLCC Regional Education Center - Litchfield

Processing Complete

LLCC Regional Education Center - Taylorville

Processing Complete

LLCC Regional Education Center - Taylorville

Processing Complete

0013503545

Monroe County Health Department

Processing Complete

0013665799

Estill County Health Department

Processing Complete

0016484610

Pathways Community Behavioral Healthcare, Inc. - Butler

Processing Complete

0016696973

Bellin Family Medical Center - Denmark

Processing Complete

0016697690

Bellin Family Medical Center - Oconto

Processing Complete

19980617-0075

Schoolcraft Memorial Hospital

Processing Complete

19980617-0075

Schoolcraft Memorial Hospital

Processing Complete

Page 415: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10032 MI 96046 A 8/19/2010

10032 MI 96047 A 9/16/2010

95061002 11434 MN 94952 A 7/23/2010

95061002 11434 MN 94954 A 7/23/2010

95061002 11436 MN 94994 A 6/25/2010

95061002 11437 MN 94984 A 6/25/2010

95061002 11437 MN 94986 A 6/25/2010

95061002 11438 MN 94958 A 6/25/2010

95061002 11438 MN 94959 A 6/25/2010

95061002 11442 MN 94973 A 7/23/2010

95061002 11442 MN 94975 A 7/23/2010

95061002 11442 MN 94977 A 7/23/2010

95061002 11444 MN 94995 A 7/23/2010

95061002 11445 MN 94980 A 6/25/2010

95061002 11446 MN 94998 A 7/23/2010

95061002 11447 WI 95004 A 7/23/2010

19980617-0075

Schoolcraft Memorial Hospital

Processing Complete

19980617-0075

Schoolcraft Memorial Hospital

Processing Complete

Duluth Clinic - Virginia

Processing Complete

Duluth Clinic - Virginia

Processing Complete

Duluth Clinic - Remer

Processing Complete

Duluth Clinic - International Falls

Processing Complete

Duluth Clinic - International Falls

Processing Complete

Duluth Clinic - Hibbing

Processing Complete

Duluth Clinic - Hibbing

Processing Complete

Duluth Clinic - Deer River

Processing Complete

Duluth Clinic - Deer River

Processing Complete

Duluth Clinic - Deer River

Processing Complete

Duluth Clinic - Chisholm

Processing Complete

Duluth Clinic - Babbitt

Processing Complete

Duluth Clinic - Aurora

Processing Complete

Duluth Clinic - Ashland

Processing Complete

Page 416: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

95061002 11447 WI 95005 A 6/25/2010

95061002 11447 WI 95194 A 7/23/2010

95061002 11447 WI 96284 A 7/23/2010

95061002 11448 WI 95200 A 7/5/2010

95061002 11448 WI 95204 A 7/5/2010

95061002 11448 WI 95210 A 7/5/2010

95061002 11448 WI 96279 A 8/31/2010

10449 IL 92002 A 5/17/2010

10449 IL 92612 A 5/17/2010

10277 AR 97138 A

10277 AR 97138 B

10277 AR 97138 C

16315 AR 92408 A 12/23/2010

16315 AR 92410 A 4/29/2010

Duluth Clinic - Ashland

Processing Complete

Duluth Clinic - Ashland

Processing Complete

Duluth Clinic - Ashland

Processing Complete

Duluth Clinic - Hayward

Processing Complete

Duluth Clinic - Hayward

Processing Complete

Duluth Clinic - Hayward

Processing Complete

Duluth Clinic - Hayward

Processing Complete

980603005-001

LLCC Regional Education Center - Jacksonville

Processing Complete

980603005-001

LLCC Regional Education Center - Jacksonville

Processing Complete

ADH - Hospitals ATM Network

Stone County Medical Center

Initial Review Complete

ADH - Hospitals ATM Network

Stone County Medical Center

Initial Review Complete

ADH - Hospitals ATM Network

Stone County Medical Center

Initial Review Complete

ADH - Hospitals ATM Network

St. Anthonys Hospital

Processing Complete

ADH - Hospitals ATM Network

St. Anthonys Hospital

Processing Complete

Page 417: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16315 AR 92411 A 5/6/2010

16315 AR 92500 A 10/22/2010

17201 NY 103865 A 1/3/2012

17201 NY 117950 A 7/27/2012

18426 WI 93002 A 8/30/2010

18427 WI 92998 A

18427 WI 92998 B

18427 WI 94026 A 9/21/2010

18428 WI 92997 A 8/30/2010

ADH - Hospitals ATM Network

St. Anthonys Hospital

Processing Complete

ADH - Hospitals ATM Network

St. Anthonys Hospital

Processing Complete

Adirondack - Champlain Telemedicine Netowrk

Adirondack - Champlain Telemedicine Information Network (NY)

Processing Complete

Adirondack - Champlain Telemedicine Netowrk

Adirondack - Champlain Telemedicine Information Network (NY)

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Waupun Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Markesan Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Markesan Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Markesan Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Green Lake Clinic

Processing Complete

Page 418: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18429 WI 92996 A

18429 WI 92996 B

18429 WI 94024 A 8/19/2010

18430 WI 93000 A

18430 WI 93000 B

18430 WI 94034 A 10/5/2010

18430 WI 94034 B 10/5/2010

18431 WI 92995 A

18431 WI 94168 A 11/19/2010

18431 WI 94168 B 11/19/2010

Agnesian HealthCare

Agnesian HealthCare - Fox Lake Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Fox Lake Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Fox Lake Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Mount Calvary Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Mount Calvary Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Mount Calvary Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Mount Calvary Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Campbellsport Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Campbellsport Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Campbellsport Clinic

Processing Complete

Page 419: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18432 WI 92992 A

18432 WI 92992 B

18432 WI 94020 A 8/19/2010

18433 WI 92993 A

18433 WI 92994 A 12/1/2010

18433 WI 92994 B 12/1/2010

18434 WI 92828 A 8/19/2010

18438 WI 92999 A

18438 WI 92999 B

18438 WI 94914 A 8/19/2010

18440 WI 93001 A

Agnesian HealthCare

Agnesian HealthCare - Brandon Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Brandon Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Brandon Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Brownsville Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Brownsville Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Brownsville Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Beaver Dam Dialysis

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Mayville Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Mayville Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Mayville Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Ripon Clinic

Initial Review Complete

Page 420: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18440 WI 93001 B

18440 WI 94171 A 7/19/2010

18440 WI 94172 A 7/19/2010

18440 WI 94173 A 7/19/2010

18440 WI 94174 A 7/19/2010

18440 WI 94175 A 7/19/2010

18449 WI 94162 A 8/19/2010

17203 AK 119576 A

14791 AK 92413 A 4/29/2010

14791 AK 92415 A 5/25/2010

15183 NY 92976 A 9/9/2010

Agnesian HealthCare

Agnesian HealthCare - Ripon Clinic

Initial Review Complete

Agnesian HealthCare

Agnesian HealthCare - Ripon Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Ripon Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Ripon Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Ripon Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Ripon Clinic

Processing Complete

Agnesian HealthCare

Agnesian HealthCare - Beaver Dam Psychiatric Assoc.

Processing Complete

Alaska eHealth Network

Alaska eHealth Network

Processing Complete

Alaska Island Community Services

Alaska Island Community Services (Church St)

Processing Complete

Alaska Island Community Services

Alaska Island Community Services (Church St)

Processing Complete

Allegany Rehabilitation Associates, Inc.

Allegany Rehabilitation Associates, Inc.

Processing Complete

Page 421: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13627 CA 85975 A 6/4/2010

13627 CA 85976 A 6/4/2010

13679 CA 90336 A 12/31/2009

15107 CA 96931 A 6/3/2011

13063 AK 95455 A 2/22/2011

13063 AK 95457 A 2/22/2011

13063 AK 97123 A 8/30/2011

14027 NC 95064 A 7/11/2010

14027 NC 95066 A 7/11/2010

14027 NC 96873 A 9/13/2010

14027 NC 96875 A 9/13/2010

18404 NC 95065 A 9/13/2010

Alliance for Rural Community Health

Potter Valley Community Health Center

Processing Complete

Alliance for Rural Community Health

Potter Valley Community Health Center

Processing Complete

Alliance for Rural Community Health

Long Valley Health Center

Processing Complete

Alliance for Rural Community Health

Mendocino Coast Clinics, Inc.

Processing Complete

Annette Island Service Unit

Metlakatla Clinic

Processing Complete

Annette Island Service Unit

Metlakatla Clinic

Processing Complete

Annette Island Service Unit

Metlakatla Clinic

Processing Complete

Appalachian Regional Healthcare

Cannon Memorial Hospital

Processing Complete

Appalachian Regional Healthcare

Cannon Memorial Hospital

Processing Complete

Appalachian Regional Healthcare

Cannon Memorial Hospital

Processing Complete

Appalachian Regional Healthcare

Cannon Memorial Hospital

Processing Complete

Appalachian Regional Healthcare

Blowing Rock Hospital

Processing Complete

Page 422: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18404 NC 96876 A 9/13/2010

18404 NC 96877 A

16230 AR 95979 A 12/29/2010

16231 AR 96717 A 12/29/2010

16232 AR 96708 A 12/29/2010

16232 AR 96708 B 12/29/2010

16232 AR 96708 C 12/29/2010

16234 AR 96322 A 5/31/2011

16234 AR 96324 A 5/31/2011

16235 AR 96531 A 12/29/2010

16237 AR 96737 A 12/29/2010

16237 AR 96737 B 12/29/2010

Appalachian Regional Healthcare

Blowing Rock Hospital

Processing Complete

Appalachian Regional Healthcare

Blowing Rock Hospital

Initial Review Complete

AR Dept of Health

Arkansas County Health Unit - De Witt

Processing Complete

AR Dept. of Health

Arkansas County Health Unit - Stuttgart

Processing Complete

AR Dept. of Health

Ashley County Health Unit - Crossett

Processing Complete

AR Dept. of Health

Ashley County Health Unit - Crossett

Processing Complete

AR Dept. of Health

Ashley County Health Unit - Crossett

Processing Complete

AR Dept. of Health

Baxter County Health Unit

Processing Complete

AR Dept. of Health

Baxter County Health Unit

Processing Complete

AR Dept. of Health

Boone County Health Unit

Processing Complete

AR Dept. of Health

Calhoun County Health Unit

Processing Complete

AR Dept. of Health

Calhoun County Health Unit

Processing Complete

Page 423: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16237 AR 96737 C 12/29/2010

16238 AR 96477 A 12/29/2010

16242 AR 96744 A 12/29/2010

16243 AR 96746 A 12/29/2010

16245 AR 96750 A 12/29/2010

16245 AR 96750 B 12/29/2010

16245 AR 96750 C 12/29/2010

16250 AR 96879 A 12/29/2010

16253 AR 96782 A 12/29/2010

16254 AR 96786 A 12/29/2010

16255 AR 96702 A 12/29/2010

16255 AR 96702 B 12/29/2010

16255 AR 96702 C 12/29/2010

AR Dept. of Health

Calhoun County Health Unit

Processing Complete

AR Dept. of Health

Carroll County Health Unit

Processing Complete

AR Dept. of Health

Clay County Health Unit - Corning

Processing Complete

AR Dept. of Health

Clay County Health Unit - Piggott

Processing Complete

AR Dept. of Health

Cleveland County Health Unit

Processing Complete

AR Dept. of Health

Cleveland County Health Unit

Processing Complete

AR Dept. of Health

Cleveland County Health Unit

Processing Complete

AR Dept. of Health

Desha County Health Unit - Dumas

Processing Complete

AR Dept. of Health

Franklin County Health Unit

Processing Complete

AR Dept. of Health

Fulton County Health Unit

Processing Complete

AR Dept. of Health

Grant County Health Unit

Processing Complete

AR Dept. of Health

Grant County Health Unit

Processing Complete

AR Dept. of Health

Grant County Health Unit

Processing Complete

Page 424: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16261 AR 96795 A 12/29/2010

16263 AR 96991 A 12/29/2010

16263 AR 96991 B 12/29/2010

16263 AR 96991 C 12/29/2010

16266 AR 96825 A 12/29/2010

16268 AR 96846 A 12/29/2010

16269 AR 96313 A 12/29/2010

16271 AR 96852 A 12/29/2010

16271 AR 96852 B 12/29/2010

16271 AR 96852 C 12/29/2010

16272 AR 96582 A 5/31/2011

16272 AR 96582 B 5/31/2011

16276 AR 96532 A 12/29/2010

AR Dept. of Health

Izard County Health Unit

Processing Complete

AR Dept. of Health

Lafayette County Health Unit

Processing Complete

AR Dept. of Health

Lafayette County Health Unit

Processing Complete

AR Dept. of Health

Lafayette County Health Unit

Processing Complete

AR Dept. of Health

Lincoln County Health Unit

Processing Complete

AR Dept. of Health

Logan County Health Unit - Booneville

Processing Complete

AR Dept. of Health

Logan County Health Unit - Paris

Processing Complete

AR Dept. of Health

Madison County Health Unit

Processing Complete

AR Dept. of Health

Madison County Health Unit

Processing Complete

AR Dept. of Health

Madison County Health Unit

Processing Complete

AR Dept. of Health

Marion County Health Unit

Processing Complete

AR Dept. of Health

Marion County Health Unit

Processing Complete

AR Dept. of Health

Montgomery County Health Unit

Processing Complete

Page 425: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16277 AR 96857 A 12/29/2010

16277 AR 96857 B 12/29/2010

16277 AR 96857 C 12/29/2010

16278 AR 96546 A 12/30/2010

16278 AR 96546 B 12/30/2010

16280 AR 96893 A 12/30/2010

16280 AR 96893 B 12/30/2010

16280 AR 96893 C 12/30/2010

16282 AR 96534 A 12/30/2010

16284 AR 96858 A 12/30/2010

16284 AR 96858 B 12/30/2010

16284 AR 96858 C 12/30/2010

AR Dept. of Health

Nevada County Health Unit

Processing Complete

AR Dept. of Health

Nevada County Health Unit

Processing Complete

AR Dept. of Health

Nevada County Health Unit

Processing Complete

AR Dept. of Health

Newton County Health Unit

Processing Complete

AR Dept. of Health

Newton County Health Unit

Processing Complete

AR Dept. of Health

Perry County Health Unit

Processing Complete

AR Dept. of Health

Perry County Health Unit

Processing Complete

AR Dept. of Health

Perry County Health Unit

Processing Complete

AR Dept. of Health

Pike County Health Unit

Processing Complete

AR Dept. of Health

Poinsett County Health Unit - Marked Tree

Processing Complete

AR Dept. of Health

Poinsett County Health Unit - Marked Tree

Processing Complete

AR Dept. of Health

Poinsett County Health Unit - Marked Tree

Processing Complete

Page 426: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16285 AR 96995 A 12/30/2010

16287 AR 96304 A 12/30/2010

16288 AR 96880 A 12/30/2010

16289 AR 96881 A 12/30/2010

16290 AR 96536 A 12/30/2010

16291 AR 96479 A 12/30/2010

16292 AR 96318 A 12/30/2010

16292 AR 96321 A 5/31/2011

16295 AR 96902 A 12/30/2010

16295 AR 96902 B 12/30/2010

16295 AR 96902 C 12/30/2010

16297 AR 96920 A 12/30/2010

16297 AR 96920 B 12/30/2010

AR Dept. of Health

Poinsett County Health Unit - Trumann

Processing Complete

AR Dept. of Health

Prairie County Health Unit

Processing Complete

AR Dept. of Health

Randolph County Health Unit

Processing Complete

AR Dept. of Health

Scott County Health Unit

Processing Complete

AR Dept. of Health

Searcy County Health Unit

Processing Complete

AR Dept. of Health

Sevier County Health Unit

Processing Complete

AR Dept. of Health

Sharp County Health Unit

Processing Complete

AR Dept. of Health

Sharp County Health Unit

Processing Complete

AR Dept. of Health

Stone County Health Unit

Processing Complete

AR Dept. of Health

Stone County Health Unit

Processing Complete

AR Dept. of Health

Stone County Health Unit

Processing Complete

AR Dept. of Health

Van Buren County Health Unit

Processing Complete

AR Dept. of Health

Van Buren County Health Unit

Processing Complete

Page 427: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16297 AR 96920 C 12/30/2010

16299 AR 97024 A 12/30/2010

16299 AR 97024 B 12/30/2010

16299 AR 97024 C 12/30/2010

17205 AZ 108079 A 3/27/2012

17205 AZ 119563 A 3/18/2013

17205 AZ 119577 A 2/18/2013

17206 AR 97149 A 9/15/2010

17206 AR 114697 A 8/20/2012

AR Dept. of Health

Van Buren County Health Unit

Processing Complete

AR Dept. of Health

Woodruff County Health Unit

Processing Complete

AR Dept. of Health

Woodruff County Health Unit

Processing Complete

AR Dept. of Health

Woodruff County Health Unit

Processing Complete

Arizona Rural Community Health Information Exchang

Cochise Health Network

Processing Complete

Arizona Rural Community Health Information Exchang

Arizona Rural Community Health Information Exchange Pilot Project

Processing Complete

Arizona Rural Community Health Information Exchang

Arizona Rural Community Health Information Exchange Pilot Project

Processing Complete

Arkansas Telehealth Oversight & Management

University of Arkansas for Medical Sciences

Processing Complete

Arkansas Telehealth Oversight & Management

Arkansas Telehealth Network

Processing Complete

Page 428: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17206 AR 115102 A 8/20/2012

12575 AK 93431 A 9/3/2010

12575 AK 93432 A 9/3/2010

12575 AK 93433 A 9/9/2010

12575 AK 93434 A 9/3/2010

12575 AK 93435 A 9/3/2010

12575 AK 93436 A 9/3/2010

18274 CO 95088 A 7/11/2010

18274 CO 95089 A 7/11/2010

18274 CO 95090 A

18274 CO 95091 A 7/11/2010

18274 CO 95092 A 7/11/2010

18274 CO 95093 A 7/11/2010

Arkansas Telehealth Oversight & Management

Arkansas Telehealth Network

Processing Complete

ASNA, Ltd.

Samuel Simmonds Memorial Hospital

Processing Complete

ASNA, Ltd.

Samuel Simmonds Memorial Hospital

Processing Complete

ASNA, Ltd.

Samuel Simmonds Memorial Hospital

Processing Complete

ASNA, Ltd.

Samuel Simmonds Memorial Hospital

Processing Complete

ASNA, Ltd.

Samuel Simmonds Memorial Hospital

Processing Complete

ASNA, Ltd.

Samuel Simmonds Memorial Hospital

Processing Complete

Aspen Valley

Aspen Valley Hospital

Processing Complete

Aspen Valley

Aspen Valley Hospital

Processing Complete

Aspen Valley

Aspen Valley Hospital

Initial Review Complete

Aspen Valley

Aspen Valley Hospital

Processing Complete

Aspen Valley

Aspen Valley Hospital

Processing Complete

Aspen Valley

Aspen Valley Hospital

Processing Complete

Page 429: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18274 CO 95095 A 7/11/2010

18274 CO 95096 A 9/13/2010

Aspirus 14617 WI 90845 A 5/17/2010

Aspirus 14617 WI 90846 A

Aspirus 14617 WI 91112 A 5/17/2010

Aspirus 14617 WI 94850 A 7/6/2010

Aspirus 14617 WI 94892 A 7/8/2010

Aspirus 14621 WI 92320 A 5/17/2010

Aspirus 14621 WI 95316 A 9/20/2010

Aspirus 14621 WI 96516 A

14616 WI 90843 A 5/17/2010

14616 WI 94835 A 7/6/2010

14616 WI 96495 A 9/20/2010

14622 WI 90891 A 5/17/2010

Aspen Valley

Aspen Valley Hospital

Processing Complete

Aspen Valley

Aspen Valley Hospital

Processing Complete

Elcho Clinic

Processing Complete

Elcho Clinic

Initial Review Complete

Elcho Clinic

Processing Complete

Elcho Clinic

Processing Complete

Elcho Clinic

Processing Complete

Aspirius Wausau Hospital -Merrill Clinic

Processing Complete

Aspirius Wausau Hospital -Merrill Clinic

Processing Complete

Aspirius Wausau Hospital -Merrill Clinic

Initial Review Complete

Aspirus Inc

Birnamwood General Clinic

Processing Complete

Aspirus Inc

Birnamwood General Clinic

Processing Complete

Aspirus Inc

Birnamwood General Clinic

Processing Complete

Aspirus Inc

Aspirus Clinics – Land O’ Lakes Clinic

Processing Complete

Page 430: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14622 WI 91109 A 5/17/2010

14622 WI 94845 A 6/29/2010

14623 WI 89767 A 5/17/2010

14623 WI 94495 A 6/29/2010

14624 WI 90892 A 6/15/2010

14624 WI 91108 A 5/12/2010

14624 WI 94497 A 7/6/2010

14905 WI 89768 A 5/17/2010

14905 WI 94848 A 7/6/2010

17810 WI 95317 A 10/7/2010

17810 WI 96509 A 9/20/2010

11155 MI 95675 A 9/20/2010

11155 MI 96482 A 9/20/2010

11155 MI 96692 A 9/20/2010

Aspirus Inc

Aspirus Clinics – Land O’ Lakes Clinic

Processing Complete

Aspirus Inc

Aspirus Clinics – Land O’ Lakes Clinic

Processing Complete

Aspirus Inc

Prentice Clinic

Processing Complete

Aspirus Inc

Prentice Clinic

Processing Complete

Aspirus Inc

Rib Lake Clinic

Processing Complete

Aspirus Inc

Rib Lake Clinic

Processing Complete

Aspirus Inc

Rib Lake Clinic

Processing Complete

Aspirus Inc

Aspirus Northwoods Family Clinic

Processing Complete

Aspirus Inc

Aspirus Northwoods Family Clinic

Processing Complete

Aspirus Inc.

Aspirus Clinic - Rhinelander Clinic

Processing Complete

Aspirus Inc.

Aspirus Clinic - Rhinelander Clinic

Processing Complete

Aspirus Ontonagon Hospital

Ontonagon Memorial Hospital

Processing Complete

Aspirus Ontonagon Hospital

Ontonagon Memorial Hospital

Processing Complete

Aspirus Ontonagon Hospital

Ontonagon Memorial Hospital

Processing Complete

Page 431: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11155 MI 96835 A 8/9/2010

18146 MI 92319 A 9/20/2010

18147 MI 96836 A 9/20/2010

18148 MI 96823 A 9/20/2010

14908 WI 90894 A 5/12/2010

14908 WI 91110 A 5/12/2010

14908 WI 94499 A 6/4/2010

14909 WI 94498 A 6/29/2010

14909 WI 94551 A 6/29/2010

14909 WI 94553 A 6/29/2010

14909 WI 94660 A 6/29/2010

Aspirus Ontonagon Hospital

Ontonagon Memorial Hospital

Processing Complete

Aspirus Ontonagon Hospital

Aspirus Ontonagon Outpatient PT

Processing Complete

Aspirus Ontonagon Hospital

Aspirus Upper Peninsula Clinic - Bruce Crossing

Processing Complete

Aspirus Ontonagon Hospital

Aspirus White Pine Clinic

Processing Complete

Aspirus, Inc

Memorial Health Center - Gillman Clinic

Processing Complete

Aspirus, Inc

Memorial Health Center - Gillman Clinic

Processing Complete

Aspirus, Inc

Memorial Health Center - Gillman Clinic

Processing Complete

Aspirus, Inc.

Memorial Health Center-Medford Hospital

Processing Complete

Aspirus, Inc.

Memorial Health Center-Medford Hospital

Processing Complete

Aspirus, Inc.

Memorial Health Center-Medford Hospital

Processing Complete

Aspirus, Inc.

Memorial Health Center-Medford Hospital

Processing Complete

Page 432: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14909 WI 96504 A 11/4/2010

14909 WI 96505 A 11/4/2010

17811 WI 92283 A 5/17/2010

17811 WI 95465 A 9/20/2010

17811 WI 96512 A 10/21/2010

13525 IL 91809 A 5/26/2010

13525 IL 91810 A 5/26/2010

14708 IL 91807 A 5/26/2010

14708 IL 91808 A 5/26/2010

17828 IL 91819 A 5/27/2010

17828 IL 91820 A 5/27/2010

Aspirus, Inc.

Memorial Health Center-Medford Hospital

Processing Complete

Aspirus, Inc.

Memorial Health Center-Medford Hospital

Processing Complete

Aspirus, Inc.

Aspirus Clinic - Woodruff Clinic

Processing Complete

Aspirus, Inc.

Aspirus Clinic - Woodruff Clinic

Processing Complete

Aspirus, Inc.

Aspirus Clinic - Woodruff Clinic

Processing Complete

Aunt Martha's Healthcare Network

Wabash County Health Department

Processing Complete

Aunt Martha's Healthcare Network

Wabash County Health Department

Processing Complete

Aunt Martha's Healthcare Network

Delta Center

Processing Complete

Aunt Martha's Healthcare Network

Delta Center

Processing Complete

Aunt Martha's Healthcare Network

Heartland Human Services

Processing Complete

Aunt Martha's Healthcare Network

Heartland Human Services

Processing Complete

Page 433: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17829 IL 91813 A 5/26/2010

17829 IL 91814 A 5/26/2010

17830 Life Links IL 91817 A 5/27/2010

17830 Life Links IL 91818 A 5/27/2010

17831 IL 91811 A 5/26/2010

17831 IL 91812 A 5/26/2010

17953 IL 91815 A 5/26/2010

17953 IL 91816 A 5/26/2010

13906 WI 93636 A 7/6/2010

13906 WI 93637 A 7/6/2010

13906 WI 93638 A 7/6/2010

Aunt Martha's Healthcare Network

Community Resource Center

Processing Complete

Aunt Martha's Healthcare Network

Community Resource Center

Processing Complete

Aunt Martha's Healthcare Network

Processing Complete

Aunt Martha's Healthcare Network

Processing Complete

Aunt Martha's Healthcare Network

Human Resources Center of Edgar and Clark Counties

Processing Complete

Aunt Martha's Healthcare Network

Human Resources Center of Edgar and Clark Counties

Processing Complete

Aunt Martha's Healthcare Network

Douglas County Mental Health Center

Processing Complete

Aunt Martha's Healthcare Network

Douglas County Mental Health Center

Processing Complete

Aurora Health Care

AHC Lakeland Surgical Clinic

Processing Complete

Aurora Health Care

AHC Lakeland Surgical Clinic

Processing Complete

Aurora Health Care

AHC Lakeland Surgical Clinic

Processing Complete

Page 434: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13906 WI 93639 A 7/6/2010

13906 WI 95374 A 8/30/2010

13937 WI 93322 A 7/6/2010

13937 WI 93323 A 7/6/2010

13937 WI 93326 A 7/6/2010

13937 WI 93329 A 7/6/2010

14892 WI 93346 A 7/6/2010

14892 WI 94452 A 8/30/2010

14892 WI 94452 B 8/30/2010

14892 WI 95745 A 7/6/2010

14893 WI 92742 A

14893 WI 92743 A 4/5/2010

14893 WI 92744 A 4/5/2010

14893 WI 92745 A 4/5/2010

14893 WI 92746 A 4/5/2010

14893 WI 92748 A 4/5/2010

Aurora Health Care

AHC Lakeland Surgical Clinic

Processing Complete

Aurora Health Care

AHC Lakeland Surgical Clinic

Processing Complete

Aurora Health Care

Walworth Medical Clinic

Processing Complete

Aurora Health Care

Walworth Medical Clinic

Processing Complete

Aurora Health Care

Walworth Medical Clinic

Processing Complete

Aurora Health Care

Walworth Medical Clinic

Processing Complete

Aurora Health Care

AMG - Northern Door

Processing Complete

Aurora Health Care

AMG - Northern Door

Processing Complete

Aurora Health Care

AMG - Northern Door

Processing Complete

Aurora Health Care

AMG - Northern Door

Processing Complete

Aurora Health Care

Aurora Health Care - Wautoma

Processing Complete

Aurora Health Care

Aurora Health Care - Wautoma

Processing Complete

Aurora Health Care

Aurora Health Care - Wautoma

Processing Complete

Aurora Health Care

Aurora Health Care - Wautoma

Processing Complete

Aurora Health Care

Aurora Health Care - Wautoma

Processing Complete

Aurora Health Care

Aurora Health Care - Wautoma

Processing Complete

Page 435: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14893 WI 92757 A 4/5/2010

14893 WI 93858 A 8/30/2010

14893 WI 94462 A 8/30/2010

10421 SD 93680 A 6/17/2010

10425 IA 93682 A 6/17/2010

10425 IA 93683 A 6/17/2010

10426 IA 93684 A 6/17/2010

10426 IA 93685 A 6/17/2010

10429 SD 93687 A 6/17/2010

10429 SD 93690 A 6/17/2010

Aurora Health Care

Aurora Health Care - Wautoma

Processing Complete

Aurora Health Care

Aurora Health Care - Wautoma

Processing Complete

Aurora Health Care

Aurora Health Care - Wautoma

Processing Complete

Avera Health

Eureka Community Health Services/Avera Health

Processing Complete

Avera Health

Hegg Memorial Health Center/Avera Health

Processing Complete

Avera Health

Hegg Memorial Health Center/Avera Health

Processing Complete

Avera Health

Sioux Center Community Hospital & Health Center/Avera Health

Processing Complete

Avera Health

Sioux Center Community Hospital & Health Center/Avera Health

Processing Complete

Avera Health

Avera St. Luke's

Processing Complete

Avera Health

Avera St. Luke's

Processing Complete

Page 436: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10429 SD 96637 A 11/13/2010

10429 SD 97139 A 11/15/2010

10429 SD 97140 A 11/13/2010

10430 SD 93692 A 6/17/2010

10430 SD 93694 A 6/17/2010

10430 SD 93696 A 6/28/2010

10430 SD 97141 A 9/21/2010

10431 SD 95902 A 10/27/2010

10432 NE 92792 A 4/24/2010

10432 NE 96226 A 9/20/2010

10432 NE 96475 A 9/20/2010

10432 NE 96478 A 9/17/2010

10433 IA 95909 A 9/20/2010

10433 IA 95931 A 9/20/2010

10895 SD 93699 A 6/17/2010

Avera Health

Avera St. Luke's

Processing Complete

Avera Health

Avera St. Luke's

Processing Complete

Avera Health

Avera St. Luke's

Processing Complete

Avera Health

Avera Sacred Heart Hospital

Processing Complete

Avera Health

Avera Sacred Heart Hospital

Processing Complete

Avera Health

Avera Sacred Heart Hospital

Processing Complete

Avera Health

Avera Sacred Heart Hospital

Processing Complete

Avera Health

Avera Queen of Peace Hospital

Processing Complete

Avera Health

Avera St. Anthony's Hospital

Processing Complete

Avera Health

Avera St. Anthony's Hospital

Processing Complete

Avera Health

Avera St. Anthony's Hospital

Processing Complete

Avera Health

Avera St. Anthony's Hospital

Processing Complete

Avera Health

Floyd Valley Hospital/Avera Health

Processing Complete

Avera Health

Floyd Valley Hospital/Avera Health

Processing Complete

Avera Health

Schramm Medical Clinic/Avera Health

Processing Complete

Page 437: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10896 SD 95775 A 9/20/2010

10896 SD 95787 A 9/20/2010

10898 SD 95876 A 9/20/2010

10899 MN 96489 A 9/21/2010

10900 MN 96098 A 10/27/2010

10901 IA 96195 A 9/20/2010

10902 IA 95807 A 9/20/2010

10902 IA 95812 A 9/20/2010

10902 IA 95933 A 9/20/2010

10902 IA 96031 A 9/20/2010

10903 IA 96103 A 9/20/2010

10904 SD 95887 A 9/20/2010

Avera Health

Milbank Medical Clinic/Avera Health

Processing Complete

Avera Health

Milbank Medical Clinic/Avera Health

Processing Complete

Avera Health

Flandreau Municipal Hospital/Avera Health

Processing Complete

Avera Health

Worthington Specialty Clinic/Avera Health

Processing Complete

Avera Health

United Medical Clinic/Avera Health

Processing Complete

Avera Health

Spirit Lake Medical Center/Avera Health

Processing Complete

Avera Health

Avera Holy Family Health

Processing Complete

Avera Health

Avera Holy Family Health

Processing Complete

Avera Health

Avera Holy Family Health

Processing Complete

Avera Health

Avera Holy Family Health

Processing Complete

Avera Health

Osceola Community Hospital/Avera Health

Processing Complete

Avera Health

Marshall County Medical Clinic/Avera Health

Processing Complete

Page 438: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11244 MN 96104 A 9/20/2010

11244 MN 96108 A 9/20/2010

11329 MN 96480 A 10/27/2010

11379 SD 95806 A 9/20/2010

11379 SD 95817 A 9/20/2010

11476 IA 96096 A 9/20/2010

11732 SD 97080 A 11/13/2010

11732 SD 97082 A 12/14/2010

11732 SD 97085 A 12/14/2010

11732 SD 97088 A 9/20/2011

Avera Health

Pipestone County Medical Group/Avera Health

Processing Complete

Avera Health

Pipestone County Medical Group/Avera Health

Processing Complete

Avera Health

Tyler Healthcare Center/ Avera Health

Processing Complete

Avera Health

Gregory Health Care Center

Processing Complete

Avera Health

Gregory Health Care Center

Processing Complete

Avera Health

Spencer Family Care/Avera Health

Processing Complete

Avera Health

FAULK COUNTY MEMORIAL HOSPITAL

Processing Complete

Avera Health

FAULK COUNTY MEMORIAL HOSPITAL

Processing Complete

Avera Health

FAULK COUNTY MEMORIAL HOSPITAL

Processing Complete

Avera Health

FAULK COUNTY MEMORIAL HOSPITAL

Processing Complete

Page 439: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11732 SD 97092 A 12/14/2010

11732 SD 97092 B 12/14/2010

12769 MN 96600 A 9/21/2010

12770 MN 96605 A 10/27/2010

12771 MN 96614 A 11/13/2010

12772 MN 96621 A 9/20/2010

13215 IA 96530 A 9/21/2010

13265 SD 96483 A 9/20/2010

Avera Health

FAULK COUNTY MEMORIAL HOSPITAL

Processing Complete

Avera Health

FAULK COUNTY MEMORIAL HOSPITAL

Processing Complete

Avera Health

Southwestern Mental Health Center - Luverne

Processing Complete

Avera Health

Southwestern Mental Health Center - Pipestone

Processing Complete

Avera Health

Southwestern Mental Health Center - Windom

Processing Complete

Avera Health

Southwestern Mental Health Center - Worthington

Processing Complete

Avera Health

Sioux Center Community Hospital - Hull PT Clinic and Sports Rehab / Avera Health

Processing Complete

Avera Health

Wagner Community Memorial Hospital

Processing Complete

Page 440: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13265 SD 96486 A 9/21/2010

13278 SD 96085 A 9/21/2010

13485 MN 95814 A 9/21/2010

13485 MN 97051 A 10/27/2010

13485 MN 97061 A 10/27/2010

14610 SD 95794 A 9/21/2010

14662 SD 95801 A 9/21/2010

15378 SD 96073 A 9/20/2010

15550 MN 96628 A 10/27/2010

15850 SD 95813 A 9/17/2010

15852 SD 96581 A 10/27/2010

17907 SD 96698 A 9/21/2010

Avera Health

Wagner Community Memorial Hospital

Processing Complete

Avera Health

Landmann - Jungman Hospital / Avera Health

Processing Complete

Avera Health

Avera Marshall Regional Medical Center

Processing Complete

Avera Health

Avera Marshall Regional Medical Center

Processing Complete

Avera Health

Avera Marshall Regional Medical Center

Processing Complete

Avera Health

Brookings Medical Clinic

Processing Complete

Avera Health

Avera Community Clinic

Processing Complete

Avera Health

Hand County Clinic

Processing Complete

Avera Health

South Western Mental Health - Jackson

Processing Complete

Avera Health

Dells Area Health Center / Avera Health

Processing Complete

Avera Health

Avera St. Benedict CRHC - Lake Andes

Processing Complete

Avera Health

Avera Medical Associates

Processing Complete

Page 441: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10808 AZ 88901 A 3/25/2010

10808 AZ 89866 A 3/25/2010

10808 AZ 92164 A 3/25/2010

10821 AZ 88902 A 12/10/2009

10822 AZ 88903 A 12/3/2009

11312 AZ 88904 A 6/10/2010

11312 AZ 93279 A 6/10/2010

14376 AZ 88905 A 11/12/2009

17209 GA 95129 A 7/28/2010

17209 GA 99759 A 2/9/2011

10607 CA 90374 A 2/2/2010

11826 AK 92530 A 5/11/2010

11826 AK 92532 A 5/11/2010

11826 AK 92598 A 2/1/2011

AZ Telemed Prgm

Mariposa Community Health Center

Processing Complete

AZ Telemed Prgm

Mariposa Community Health Center

Processing Complete

AZ Telemed Prgm

Mariposa Community Health Center

Processing Complete

AZ Telemed Prgm

Southeast Arizona Medical Center

Processing Complete

AZ Telemed Prgm

White Mountain Regional Medical Center

Processing Complete

AZ Telemed Prgm

Sage Memorial Hospital

Processing Complete

AZ Telemed Prgm

Sage Memorial Hospital

Processing Complete

AZ Telemedicine Program

Ajo Jail Clinic

Processing Complete

Bacon County Health Services, Inc.

Bacon County Health Services, Inc. (GA)

Processing Complete

Bacon County Health Services, Inc.

Bacon County Health Services, Inc. (GA)

Processing Complete

Banner Health System

Banner Lassen Medical Center

Processing Complete

Banner Health System

Fairbanks Memorial Hospital

Processing Complete

Banner Health System

Fairbanks Memorial Hospital

Processing Complete

Banner Health System

Fairbanks Memorial Hospital

Processing Complete

Page 442: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11826 AK 92741 A 5/11/2010

11826 AK 92924 A 5/11/2010

11826 AK 92929 A 6/8/2010

Baraboo 11688 WI 89267 A 5/19/2010

Baraboo 11688 WI 89268 A 5/19/2010

Baraboo 11688 WI 89310 A 6/29/2010

Baraboo 11688 WI 91065 A 2/24/2010

Baraboo 11688 WI 92168 A 5/20/2010

Baraboo 11688 WI 94783 A 7/9/2010

baraboo 14574 WI 91064 A 5/19/2010

baraboo 14574 WI 94662 A 10/7/2010

baraboo 14574 WI 94663 A 10/20/2010

Banner Health System

Fairbanks Memorial Hospital

Processing Complete

Banner Health System

Fairbanks Memorial Hospital

Processing Complete

Banner Health System

Fairbanks Memorial Hospital

Processing Complete

Saint Clare Hospital & Health Services

Processing Complete

Saint Clare Hospital & Health Services

Processing Complete

Saint Clare Hospital & Health Services

Processing Complete

Saint Clare Hospital & Health Services

Processing Complete

Saint Clare Hospital & Health Services

Processing Complete

Saint Clare Hospital & Health Services

Processing Complete

Lake Delton Urgent Care Clinic

Processing Complete

Lake Delton Urgent Care Clinic

Processing Complete

Lake Delton Urgent Care Clinic

Processing Complete

Page 443: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11764 WI 91723 A 5/11/2010

11764 WI 91725 A 5/11/2010

11764 WI 92669 A 5/11/2010

11764 WI 92703 A 5/11/2010

11764 WI 92751 A 5/11/2010

11764 WI 94928 A 6/10/2010

11764 WI 94929 A 6/11/2010

11764 WI 94930 A 6/10/2010

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Barron

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Barron

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Barron

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Barron

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Barron

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Barron

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Barron

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Barron

Processing Complete

Page 444: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12406 WI 92672 A 5/12/2010

12406 WI 92706 A 5/12/2010

12406 WI 94916 A 10/21/2010

15040 WI 92665 A 5/12/2010

15040 WI 92666 A 12/7/2010

15040 WI 94917 A 6/10/2010

15833 WI 92671 A 5/11/2010

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Chetek

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Chetek

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Chetek

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Prairie Farm

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Prairie Farm

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Prairie Farm

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Cameron

Processing Complete

Page 445: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15833 WI 92705 A 5/11/2010

16373 WI 91720 A 5/11/2010

16373 WI 92668 A 5/11/2010

16373 WI 92707 A 5/11/2010

16373 WI 94049 A 10/28/2010

16722 MO 91391 A 6/22/2010

16722 MO 91392 A 6/22/2010

10001 NY 91719 A 12/8/2010

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Cameron

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Rice Lake

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Rice Lake

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Rice Lake

Processing Complete

Barron Medical Center

Luther Midelfort Northland Mayo Health System - Rice Lake

Processing Complete

Barton County Memorial Hospital

Barton County Memorial Hospital

Processing Complete

Barton County Memorial Hospital

Barton County Memorial Hospital

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Page 446: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10001 NY 96942 A 1/28/2011

10001 NY 96984 A 1/28/2011

10001 NY 96986 A 1/28/2011

10001 NY 97089 A 12/8/2010

10001 NY 97095 A 12/8/2010

10001 NY 97099 A 12/8/2010

10001 NY 97100 A 12/8/2010

10001 NY 97102 A 12/8/2010

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Page 447: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10001 NY 97104 A 12/8/2010

10001 NY 97105 A 12/8/2010

10001 NY 97106 A 12/8/2010

10001 NY 97107 A 12/8/2010

10001 NY 97109 A 12/8/2010

10001 NY 97110 A 12/8/2010

10001 NY 97113 A 12/8/2010

10923 NY 96952 A

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Health Care

Bassett Health Care - Cooperstown (Atwell Rd)

Processing Complete

Bassett Healthcare

Bassett Healthcare - Gloversville

Initial Review Complete

Page 448: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10923 NY 97115 A 12/8/2010

10924 NY 96955 A 12/8/2010

10926 NY 97063 A 6/1/2011

10928 NY 97068 A 6/1/2011

10929 NY 97002 A 2/9/2011

10929 NY 97007 A 12/8/2010

10930 NY 97012 A 1/28/2011

10931 NY 97071 A 6/1/2011

10932 NY 97073 A 12/8/2010

10933 NY 97075 A 12/8/2010

14365 NY 97079 A 12/8/2010

14368 NY 96958 A 6/1/2011

Bassett Healthcare

Bassett Healthcare - Gloversville

Processing Complete

Bassett Healthcare

Bassett Healthcare - Richfield Springs

Processing Complete

Bassett Healthcare

Bassett Healthcare - Norwich

Processing Complete

Bassett Healthcare

Bassett Healthcare - Morris

Processing Complete

Bassett Healthcare

Bassett Healthcare - Oneonta (Main St)

Processing Complete

Bassett Healthcare

Bassett Healthcare - Oneonta (Main St)

Processing Complete

Bassett Healthcare

Bassett Healthcare - Oneonta Specialty Services

Processing Complete

Bassett Healthcare

Bassett Healthcare - Sherburne

Processing Complete

Bassett Healthcare

Bassett Healthcare - Walton

Processing Complete

Bassett Healthcare

Bassett Healthcare - Stamford

Processing Complete

Bassett Healthcare

Bassett Healthcare - Cherry Valley

Processing Complete

Bassett Healthcare

Bassett Healthcare - Herkimer

Processing Complete

Page 449: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14370 NY 97060 A 6/1/2011

13695 HI 95982 A 8/30/2011

13695 HI 95983 A 8/30/2011

13695 HI 95986 A 8/30/2011

14348 HI 95984 A 8/30/2011

14348 HI 95987 A 8/30/2011

14349 HI 95985 A 8/30/2011

14349 HI 95988 A 8/30/2011

14350 HI 92599 A 8/30/2011

14350 HI 95981 A 8/30/2011

14350 HI 95989 A 8/30/2011

13912 NM 92454 A 6/14/2010

13912 NM 92454 B 6/14/2010

Bassett Healthcare

Bassett Healthcare - West Winfield

Processing Complete

Bay Clinic, Inc.

Hilo Bay Clinic

Processing Complete

Bay Clinic, Inc.

Hilo Bay Clinic

Processing Complete

Bay Clinic, Inc.

Hilo Bay Clinic

Processing Complete

Bay Clinic, Inc.

Kau Family Health Center

Processing Complete

Bay Clinic, Inc.

Kau Family Health Center

Processing Complete

Bay Clinic, Inc.

Pahoa Family Health Center

Processing Complete

Bay Clinic, Inc.

Pahoa Family Health Center

Processing Complete

Bay Clinic, Inc.

Keaau Family Health Center

Processing Complete

Bay Clinic, Inc.

Keaau Family Health Center

Processing Complete

Bay Clinic, Inc.

Keaau Family Health Center

Processing Complete

Ben Archer Health Center

Ben Archer Health Center - Columbus

Processing Complete

Ben Archer Health Center

Ben Archer Health Center - Columbus

Processing Complete

Page 450: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13912 NM 92517 A

13912 NM 92519 A 6/14/2010

13912 NM 92522 A 6/14/2010

13912 NM 93330 A

13912 NM 93330 B

13913 NM 92552 A 8/12/2010

13913 NM 92553 A

13913 NM 92794 A 6/14/2010

13914 NM 92561 A 6/14/2010

Ben Archer Health Center

Ben Archer Health Center - Columbus

Initial Review Complete

Ben Archer Health Center

Ben Archer Health Center - Columbus

Processing Complete

Ben Archer Health Center

Ben Archer Health Center - Columbus

Processing Complete

Ben Archer Health Center

Ben Archer Health Center - Columbus

Initial Review Complete

Ben Archer Health Center

Ben Archer Health Center - Columbus

Initial Review Complete

Ben Archer Health Center

Ben Archer Health Center - Hatch

Processing Complete

Ben Archer Health Center

Ben Archer Health Center - Hatch

Initial Review Complete

Ben Archer Health Center

Ben Archer Health Center - Hatch

Processing Complete

Ben Archer Health Center

Ben Archer Health Center - Truth Or Consequences

Processing Complete

Page 451: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13914 NM 92561 B 6/14/2010

13914 NM 92562 A 6/14/2010

13914 NM 92564 A

12581 IL 94225 A 7/11/2010

12581 IL 95855 A 10/18/2010

12581 IL 95856 A 10/20/2010

12581 IL 95857 A 10/23/2010

16045 IL 94222 A 7/11/2010

16046 IL 94224 A 7/11/2010

16047 MO 94223 A 7/11/2010

11765 WI 92702 A 5/12/2010

Ben Archer Health Center

Ben Archer Health Center - Truth Or Consequences

Processing Complete

Ben Archer Health Center

Ben Archer Health Center - Truth Or Consequences

Processing Complete

Ben Archer Health Center

Ben Archer Health Center - Truth Or Consequences

Initial Review Complete

Blessing Hospital

Illini Community Hospital

Processing Complete

Blessing Hospital

Illini Community Hospital

Processing Complete

Blessing Hospital

Illini Community Hospital

Processing Complete

Blessing Hospital

Illini Community Hospital

Processing Complete

Blessing Hospital

Blessing Hospital - East Adams Clinic

Processing Complete

Blessing Hospital

Blessing Hospital - Hamilton Warsaw Clinic

Processing Complete

Blessing Hospital

Blessing Hospital - Palmyra Clinic

Processing Complete

Bloomer Medical Center

MIDELFORT CLINIC - COLFAX

Processing Complete

Page 452: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11765 WI 92752 A 5/12/2010

15041 WI 92670 A 5/11/2010

15041 WI 92704 A 5/11/2010

10973 AK 93360 A 6/21/2010

10974 Clark AK 93362 A 6/21/2010

10975 AK 93364 A 6/21/2010

10976 AK 93365 A 6/21/2010

10977 AK 93367 A 6/21/2010

10978 AK 93369 A 6/21/2010

10979 AK 93370 A 6/21/2010

10980 AK 93371 A 6/21/2010

10981 AK 93372 A 6/21/2010

Bloomer Medical Center

MIDELFORT CLINIC - COLFAX

Processing Complete

Bloomer Medical Center

Bloomer Medical Clinic

Processing Complete

Bloomer Medical Center

Bloomer Medical Clinic

Processing Complete

Bristol Bay Area Health Corporation

Chignik Lake Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Processing Complete

Bristol Bay Area Health Corporation

Naknek Clinic

Processing Complete

Bristol Bay Area Health Corporation

New Stuyahok Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Newhalen Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Nondalton Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Pedro Bay Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Perryville Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Aleknagik Health Clinic

Processing Complete

Page 453: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10982 AK 93373 A 6/21/2010

10983 AK 93374 A 6/21/2010

10988 AK 93375 A 6/24/2010

10989 AK 93376 A 6/24/2010

10990 AK 93377 A 6/24/2010

10991 AK 93378 A 6/24/2010

10992 AK 93380 A 6/24/2010

10992 AK 93381 A 6/24/2010

10992 AK 93382 A 6/24/2010

10992 AK 93420 A 6/24/2010

10993 AK 93403 A 6/24/2010

Bristol Bay Area Health Corporation

Chignik Bay Subregional Clinic

Processing Complete

Bristol Bay Area Health Corporation

Chignik Lagoon Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Iliamna Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

King Salmon Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Platinum Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Port Heiden

Processing Complete

Bristol Bay Area Health Corporation

Kanakanak Hospital (BBAHC/PHS)

Processing Complete

Bristol Bay Area Health Corporation

Kanakanak Hospital (BBAHC/PHS)

Processing Complete

Bristol Bay Area Health Corporation

Kanakanak Hospital (BBAHC/PHS)

Processing Complete

Bristol Bay Area Health Corporation

Kanakanak Hospital (BBAHC/PHS)

Processing Complete

Bristol Bay Area Health Corporation

Pilot Point Health Clinic

Processing Complete

Page 454: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10994 AK 93404 A 6/24/2010

10995 AK 93405 A 6/24/2010

10996 AK 93410 A 6/24/2010

10997 AK 93412 A 6/24/2010

10998 AK 93413 A 6/24/2010

10999 AK 93414 A 6/24/2010

11005 AK 93415 A 6/24/2010

11006 AK 93416 A 6/24/2010

11007 AK 93417 A 6/24/2010

11008 AK 93418 A 6/24/2010

11009 AK 93419 A 6/24/2010

Bristol Bay Area Health Corporation

Egegik Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Ekwok Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Levelok Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Igiugig Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

South Naknek Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Twin Hills Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Manokotak Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Kokhanok Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Goodnews Bay Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Togiak Health Clinic

Processing Complete

Bristol Bay Area Health Corporation

Koliganek Health Clinic

Processing Complete

Page 455: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11958 IL 89805 A

11958 IL 89807 A

11958 IL 89809 A

11958 IL 89811 A

11958 IL 89813 A

10945 AR 90385 A

10945 AR 90394 A 3/3/2010

10945 AR 90395 A 3/3/2010

10945 AR 90396 A 3/3/2010

10945 AR 90626 A

Bromenn Healthcare Hospitals

Eureka Community Hospital

Processing Complete

Bromenn Healthcare Hospitals

Eureka Community Hospital

Processing Complete

Bromenn Healthcare Hospitals

Eureka Community Hospital

Processing Complete

Bromenn Healthcare Hospitals

Eureka Community Hospital

Processing Complete

Bromenn Healthcare Hospitals

Eureka Community Hospital

Processing Complete

CABUN Rural Health Services, Inc

CABUN Rural Health Services, Inc. dba Hampton Clinic

Initial Review Complete

CABUN Rural Health Services, Inc

CABUN Rural Health Services, Inc. dba Hampton Clinic

Processing Complete

CABUN Rural Health Services, Inc

CABUN Rural Health Services, Inc. dba Hampton Clinic

Processing Complete

CABUN Rural Health Services, Inc

CABUN Rural Health Services, Inc. dba Hampton Clinic

Processing Complete

CABUN Rural Health Services, Inc

CABUN Rural Health Services, Inc. dba Hampton Clinic

Processing Complete

Page 456: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12382 AR 90399 A 3/3/2010

10938 AR 89357 A 3/3/2010

10942 AR 90400 A 3/3/2010

10942 AR 90401 A 3/3/2010

10943 AR 90397 A 3/3/2010

10944 AR 90398 A 3/3/2010

17211 CA 97393 A 3/7/2011

CABUN Rural Health Services, Inc

CABUN RURAL HEALTH SERVICES, INC. DBA AMITY COMMUNITY HEALTH CENTER

Processing Complete

CABUN Rural Health Services, Inc.

CABUN Rural Health Services, Inc. dba Lewisville Family Practice Center

Processing Complete

CABUN Rural Health Services, Inc.

CABUN Rural Health Services, Inc. dba Bearden Health Center

Processing Complete

CABUN Rural Health Services, Inc.

CABUN Rural Health Services, Inc. dba Bearden Health Center

Processing Complete

CABUN Rural Health Services, Inc.

CABUN Rural Health Services, Inc. dba Hope Migrant/Community Health Center

Processing Complete

CABUN Rural Health Services, Inc.

CABUN Rural Health Services, Inc. dba Strong Clinic

Processing Complete

California Telehealth Network

University of California

Processing Complete

Page 457: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17211 CA 98318 A 3/7/2011

17211 CA 100195 A

17211 CA 100635 A 6/16/2011

17211 CA 103419 A 6/21/2011

17211 CA 107663 A

17211 CA 108083 A 2/15/2012

17211 CA 108793 A 4/2/2012

17211 CA 110886 A

17211 CA 119437 A

17211 CA 119478 A

17211 CA 119652 A

17211 CA 119657 A 4/5/2013

14986 UT 90756 A 2/15/2010

California Telehealth Network

University of California

Processing Complete

California Telehealth Network

University of California

Processing Complete

California Telehealth Network

University of California

Processing Complete

California Telehealth Network

University of California

Processing Complete

California Telehealth Network

University of California

In Process

California Telehealth Network

University of California

Processing Complete

California Telehealth Network

University of California

Processing Complete

California Telehealth Network

University of California

Initial Review Complete

California Telehealth Network

California Telehealth Network

Processing Complete

California Telehealth Network

California Telehealth Network

Processing Complete

California Telehealth Network

California Telehealth Network

Initial Review Complete

California Telehealth Network

California Telehealth Network

Processing Complete

Carbon Medical Service Association, Inc.

Carbon Medical Service - Green River Medical Center

Processing Complete

Page 458: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16456 IL 88914 A 11/17/2009

18054 WY 89443 A 9/26/2010

CATG 11011 AK 90761 A 2/1/2010

CATG 11011 AK 90762 A 2/1/2010

CATG 11015 AK 90779 A 2/1/2010

CATG 11015 AK 90780 A 2/1/2010

CATG 11016 AK 90782 A 2/1/2010

CATG 11016 AK 90784 A 2/1/2010

CATG 11017 AK 90787 A 2/1/2010

Carle Foundation Hospital

Carle Foundation Physicians Services

Processing Complete

Castle Rock Hospital District

Castle Rock Hospital District

Processing Complete

Council of Athabascan Tribal Governments - Circle Drive

Processing Complete

Council of Athabascan Tribal Governments - Circle Drive

Processing Complete

Council of Athabascan Tribal Governments - Venetie

Processing Complete

Council of Athabascan Tribal Governments - Venetie

Processing Complete

Council of Athabascan Tribal Governments - Birch Creek

Processing Complete

Council of Athabascan Tribal Governments - Birch Creek

Processing Complete

Council of Athabascan Tribal Governments - Beaver

Processing Complete

Page 459: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

CATG 11017 AK 90788 A 2/1/2010

CATG 11018 AK 90789 A 2/1/2010

CATG 11018 AK 90791 A 2/1/2010

CATG 11023 AK 90793 A 2/1/2010

CATG 11023 AK 90798 A 2/1/2010

CATG 11023 AK 90802 A 2/1/2010

CATG 11023 AK 90804 A 2/4/2010

11938 CO 91180 A 2/22/2010

17391 MN 91186 A 3/5/2010

12219 OR 95056 A 11/4/2010

12219 OR 95132 A 11/4/2010

Council of Athabascan Tribal Governments - Beaver

Processing Complete

Council of Athabascan Tribal Governments - Arctic Village

Processing Complete

Council of Athabascan Tribal Governments - Arctic Village

Processing Complete

Council of Athabascan Tribal Governments

Processing Complete

Council of Athabascan Tribal Governments

Processing Complete

Council of Athabascan Tribal Governments

Processing Complete

Council of Athabascan Tribal Governments

Processing Complete

Catholic Health Initiaitves

Mercy Medical Center

Processing Complete

Catholic Health Initiatives

St Francis Medical Center

Processing Complete

Central Oregon Hospital Network

LAKE DISTRICT HOSPITAL

Processing Complete

Central Oregon Hospital Network

LAKE DISTRICT HOSPITAL

Processing Complete

Page 460: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12219 OR 95133 A 11/4/2010

16020 VT 92376 A 5/7/2010

16020 VT 92780 A 5/7/2010

16021 VT 92391 A 4/7/2010

16021 VT 93819 A 6/2/2010

16021 VT 94391 A 6/2/2010

16022 VT 92388 A 5/7/2010

16022 VT 93469 A 9/6/2010

16022 VT 94202 A 9/6/2010

16023 VT 92381 A 4/7/2010

Central Oregon Hospital Network

LAKE DISTRICT HOSPITAL

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Main Campus

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Main Campus

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Barre Internal Medicine

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Barre Internal Medicine

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Barre Internal Medicine

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Family Psychiatry Associates

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Family Psychiatry Associates

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Family Psychiatry Associates

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Montpelier Health Center

Processing Complete

Page 461: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16024 VT 92383 A 4/7/2010

16024 VT 92384 A 4/7/2010

16024 VT 93471 A 7/22/2010

16024 VT 94203 A 7/22/2010

16479 VT 92385 A 4/7/2010

16980 VT 92386 A 4/7/2010

12400 OK 90310 A

11273 MI 96810 A 10/8/2010

11273 MI 96813 A 10/8/2010

Central Vermont Medical Center, Inc.

CVMC - Waterbury Medical Associates

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Waterbury Medical Associates

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Waterbury Medical Associates

Processing Complete

Central Vermont Medical Center, Inc.

CVMC - Waterbury Medical Associates

Processing Complete

Central Vermont Medical Center, Inc.

Central Vermont Medical Center, Inc. - Barre (Montpelier Road)

Processing Complete

Central Vermont Medical Center, Inc.

Central Vermont Medical Center, Inc. - Associates in Family Health

Processing Complete

CHEROKEE NATION

SAM HIDER JAY COMMUNITY CLINIC

Initial Review Complete

Chippewa County War Memorial Hospital

War Memorial Hospital

Processing Complete

Chippewa County War Memorial Hospital

War Memorial Hospital

Processing Complete

Page 462: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11273 MI 96815 A 10/8/2010

11273 MI 96818 A 10/8/2010

11273 MI 96821 A

11273 MI 96943 A 10/8/2010

11273 MI 96944 A 10/8/2010

11273 MI 96945 A 10/8/2010

15871 IL 88897 A 1/25/2010

15871 IL 88898 A 1/25/2010

15871 IL 89837 A 2/23/2010

15871 IL 89838 A 4/5/2010

Chippewa County War Memorial Hospital

War Memorial Hospital

Processing Complete

Chippewa County War Memorial Hospital

War Memorial Hospital

Processing Complete

Chippewa County War Memorial Hospital

War Memorial Hospital

Processing Complete

Chippewa County War Memorial Hospital

War Memorial Hospital

Processing Complete

Chippewa County War Memorial Hospital

War Memorial Hospital

Processing Complete

Chippewa County War Memorial Hospital

War Memorial Hospital

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Page 463: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15871 IL 89839 A 4/5/2010

15871 IL 89840 A 2/23/2010

15871 IL 89841 A 2/23/2010

15871 IL 89842 A 4/5/2010

15871 IL 89844 A 2/23/2010

15871 IL 89845 A 2/23/2010

15871 IL 89846 A 4/5/2010

15871 IL 89847 A 2/23/2010

15871 IL 89848 A 2/23/2010

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Page 464: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15871 IL 91224 A 4/5/2010

10131 AK 92584 A 6/30/2010

10131 AK 92589 A 6/30/2010

10131 AK 92596 A 6/30/2010

10131 AK 92597 A 6/30/2010

12664 AK 92590 A 6/30/2010

12664 AK 92591 A 6/30/2010

12665 AK 92592 A 6/30/2010

12665 AK 92593 A 6/30/2010

16018 CA 92950 A 8/15/2011

10298 CA 92667 A 8/15/2011

Christopher Rural Health Planning Corporation

Rea Clinic - Christopher

Processing Complete

Chugachmiut

North Star Health Clinic

Processing Complete

Chugachmiut

North Star Health Clinic

Processing Complete

Chugachmiut

North Star Health Clinic

Processing Complete

Chugachmiut

North Star Health Clinic

Processing Complete

Chugachmiut

Nanwalek Health Clinic

Processing Complete

Chugachmiut

Nanwalek Health Clinic

Processing Complete

Chugachmiut

Port Graham Health Clinic

Processing Complete

Chugachmiut

Port Graham Health Clinic

Processing Complete

Clinicas de Salud Del Pueblo

Clinicas de Salud Del Pueblo - West Shores Medical Clinic

Processing Complete

Clinicas de Salud del Pueblo, Inc.

Clinicas de Salud del Pueblo, Inc. - Mecca Clinic

Processing Complete

Page 465: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10300 CA 92951 A 8/15/2011

10302 CA 93465 A 8/15/2011

10303 CA 92948 A 8/15/2011

13960 CA 92949 A

15190 CA 90263 A 5/18/2010

15190 CA 90264 A 5/18/2010

15190 CA 90265 A

15190 CA 90266 A

15190 CA 90269 A 5/18/2010

15190 CA 90270 A

15190 CA 91102 A 5/18/2010

Clinicas de Salud del Pueblo, Inc.

Clinicas de Salud del Pueblo, Inc. - Winterhaven Clinic

Processing Complete

Clinicas de Salud del Pueblo, Inc.

Clinicas de Salud del Pueblo, Inc. - Dental Clinic

Processing Complete

Clinicas de Salud del Pueblo, Inc.

Clinicas de Salud del Pueblo, Inc. - Blythe Clinic

Processing Complete

Clinicas de Salud del Pueblo, Inc.

Clinicas de Salud del Pueblo, Inc. - Brawley Clinic

Initial Review Complete

Clovis Community Hospital

Rural Health Clinic

Processing Complete

Clovis Community Hospital

Rural Health Clinic

Processing Complete

Clovis Community Hospital

Rural Health Clinic

Initial Review Complete

Clovis Community Hospital

Rural Health Clinic

Initial Review Complete

Clovis Community Hospital

Rural Health Clinic

Processing Complete

Clovis Community Hospital

Rural Health Clinic

Initial Review Complete

Clovis Community Hospital

Rural Health Clinic

Processing Complete

Page 466: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15190 CA 93516 A 6/11/2010

11623 ND 86438 A 6/9/2010

16107 ND 86435 A 6/9/2010

12995 KY 96683 A 12/10/2010

12995 KY 96684 A

12995 KY 96685 A 12/10/2010

12992 KY 96615 A

12992 KY 96617 A 12/13/2010

Clovis Community Hospital

Rural Health Clinic

Processing Complete

Coal Country Community Health Center

Coal Country Community Health Center (Center)

Processing Complete

Coal Country Community Health Center

Coal Country Community Health Center (Beulah)

Processing Complete

Commison for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Commison for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Initial Review Complete

Commison for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Initial Review Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Page 467: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12993 KY 96626 A 12/10/2010

12993 KY 96674 A 12/10/2010

12994 KY 96678 A 12/10/2010

12994 KY 96679 A

12994 KY 96680 A

12994 KY 96681 A

12994 KY 96682 A 12/10/2010

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Initial Review Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Initial Review Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Initial Review Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Page 468: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12997 KY 96686 A 12/10/2010

12997 KY 96689 A 12/10/2010

12998 KY 96691 A 12/10/2010

12998 KY 96693 A 12/10/2010

12999 KY 96695 A 12/10/2010

12999 KY 96697 A 12/10/2010

17213 NJ 102550 A 5/17/2011

17213 NJ 106412 A 8/10/2011

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Commission for Children w/Special Health Care Need

Commission for Children with Special Health Care Needs

Processing Complete

Communicare

Communicare, Inc. (KY)

Processing Complete

Communicare

Communicare, Inc. (KY)

Processing Complete

Page 469: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13643 IL 96800 A 8/22/2011

13643 IL 96803 A 10/26/2011

15255 IL 96793 A 8/22/2011

15255 IL 96797 A 10/19/2011

15256 IL 96694 A 8/24/2011

15256 IL 96696 A 10/19/2011

15257 IL 96157 A 8/22/2011

15257 IL 96731 A 10/19/2011

Community Health & Emergency Services, Inc.

Community Health & Emergency Services, Inc.

Processing Complete

Community Health & Emergency Services, Inc.

Community Health & Emergency Services, Inc.

Processing Complete

Community Health & Emergency Services, Inc.

Cairo Mega Clinic

Processing Complete

Community Health & Emergency Services, Inc.

Cairo Mega Clinic

Processing Complete

Community Health & Emergency Services, Inc.

Cedar Court Clinic

Processing Complete

Community Health & Emergency Services, Inc.

Cedar Court Clinic

Processing Complete

Community Health & Emergency Services, Inc.

Hardin County Medical Clinic

Processing Complete

Community Health & Emergency Services, Inc.

Hardin County Medical Clinic

Processing Complete

Page 470: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15258 IL 96709 A 8/22/2011

15258 IL 96712 A 10/19/2011

15259 IL 96706 A 8/22/2011

15259 IL 96707 A 10/19/2011

15260 IL 96687 A 8/22/2011

15260 IL 96690 A 10/19/2011

15461 IL 96700 A 8/22/2011

15461 IL 96701 A 10/19/2011

Community Health & Emergency Services, Inc.

Hardin County Dental Clinic

Processing Complete

Community Health & Emergency Services, Inc.

Hardin County Dental Clinic

Processing Complete

Community Health & Emergency Services, Inc.

Harrisburg Community Health

Processing Complete

Community Health & Emergency Services, Inc.

Harrisburg Community Health

Processing Complete

Community Health & Emergency Services, Inc.

Pope County Clinic

Processing Complete

Community Health & Emergency Services, Inc.

Pope County Clinic

Processing Complete

Community Health & Emergency Services, Inc.

Cedar Court Specialty Clinic

Processing Complete

Community Health & Emergency Services, Inc.

Cedar Court Specialty Clinic

Processing Complete

Page 471: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16662 IL 96768 A 8/22/2011

16662 IL 96772 A

14221 VT 93191 A 5/10/2010

14221 VT 93196 A 7/22/2010

14223 VT 93200 A 7/22/2010

14223 VT 93203 A 7/22/2010

14222 VT 93198 A 7/22/2010

14222 VT 93199 A 7/22/2010

Community Health & Emergency Services, Inc.

Daystar Care Center

Processing Complete

Community Health & Emergency Services, Inc.

Daystar Care Center

Processing Complete

Community Health Centers of Rutland Region

Brandon Family Health

Processing Complete

Community Health Centers of Rutland Region

Brandon Family Health

Processing Complete

Community Health Centers of Rutland Region

Mettowee Valley Family Health

Processing Complete

Community Health Centers of Rutland Region

Mettowee Valley Family Health

Processing Complete

Community Health Centers of the Rutland Region

Castleton Family Health Center

Processing Complete

Community Health Centers of the Rutland Region

Castleton Family Health Center

Processing Complete

Page 472: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17009 VT 93201 A 5/10/2010

16773 IN 91070 A 5/27/2010

16773 IN 94894 A 7/26/2010

16779 IN 91731 A 2/26/2010

16779 IN 94779 A 6/29/2010

14448 IN 91733 A 2/26/2010

14448 IN 94780 A 6/26/2010

Community Health Centers of the Rutland Region

Community Health Centers of the Rutland Region, Inc. - Dental Clinic

Processing Complete

Community Mental Health Center, Inc

Community Mental Health Center, Inc. - Lawrenceburg (E Center St)

Processing Complete

Community Mental Health Center, Inc

Community Mental Health Center, Inc. - Lawrenceburg (E Center St)

Processing Complete

Community Mental Health Center, Inc

Community Mental Health Center, Inc. - West Harrison (St. Leon)

Processing Complete

Community Mental Health Center, Inc

Community Mental Health Center, Inc. - West Harrison (St. Leon)

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Brookville

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Brookville

Processing Complete

Page 473: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14452 IN 91384 A 3/2/2010

14452 IN 91385 A 3/2/2010

14452 IN 94792 A 6/26/2010

14452 IN 94844 A 6/26/2010

16772 IN 91443 A 3/5/2010

16772 IN 91734 A 3/5/2010

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Vevay (W Main St)

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Vevay (W Main St)

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Vevay (W Main St)

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Vevay (W Main St)

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Lawrenceburg (Main Center Bielby Rd)

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Lawrenceburg (Main Center Bielby Rd)

Processing Complete

Page 474: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16772 IN 91742 A 3/5/2010

16774 IN 91069 A 3/2/2010

16774 IN 91743 A 3/5/2010

16774 IN 94895 A 6/26/2010

16775 IN 91386 A 3/2/2010

16775 IN 91740 A 3/5/2010

16777 IN 91732 A 3/5/2010

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Lawrenceburg (Main Center Bielby Rd)

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Lawrenceburg (Plaza)

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Lawrenceburg (Plaza)

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Lawrenceburg (Plaza)

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - SIYS

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - SIYS

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Batesville (N Park Ave)

Processing Complete

Page 475: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16778 IN 91383 A 2/26/2010

16778 IN 94893 A 6/26/2010

13087 ID 94651 A 8/17/2010

14352 ID 94590 A

14352 ID 98459 A 9/16/2010

14398 ID 92971 A 7/29/2010

14398 ID 94003 A 8/17/2010

14410 ID 95007 A 8/24/2010

14410 ID 95010 A 8/17/2010

14510 ID 92962 A 9/8/2010

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Rising Sun

Processing Complete

Community Mental Health Center, Inc.

Community Mental Health Center, Inc. - Rising Sun

Processing Complete

Cooperative Telehealth Network

St. Benedicts Family Medical Center

Processing Complete

Cooperative Telehealth Network

Madison Memorial Hospital

Processing Complete

Cooperative Telehealth Network

Madison Memorial Hospital

Processing Complete

Cooperative Telehealth Network

Teton Valley Hospital

Processing Complete

Cooperative Telehealth Network

Teton Valley Hospital

Processing Complete

Cooperative Telehealth Network

Oneida County Hospital

Processing Complete

Cooperative Telehealth Network

Oneida County Hospital

Processing Complete

Cooperative Telehealth Network (CTN)

Harms Memorial Hospital District

Processing Complete

Page 476: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12719 WY 92954 A 7/29/2010

12719 WY 93798 A 8/17/2010

14682 MI 91960 A

13015 AK 91831 A 2/23/2011

13015 AK 93124 A 7/1/2010

13015 AK 93133 A 11/30/2010

13016 AK 91936 A 7/1/2010

13016 AK 93222 A 11/30/2010

13017 AK 91935 A 2/23/2011

Coopertive Telemedicine Network (CTN)

Star Valley Medical Center

Processing Complete

Coopertive Telemedicine Network (CTN)

Star Valley Medical Center

Processing Complete

Copper Country CMHSP

Copper Country CMHSP - Houghton (W Sharon Ave)

Initial Review Complete

Copper River Native Association

Native Village of Kluti-Kaah Health Clinic

Processing Complete

Copper River Native Association

Native Village of Kluti-Kaah Health Clinic

Processing Complete

Copper River Native Association

Native Village of Kluti-Kaah Health Clinic

Processing Complete

Copper River Native Association

Native Village of Tazlina Health Clinic

Processing Complete

Copper River Native Association

Native Village of Tazlina Health Clinic

Processing Complete

Copper River Native Association

Cantwell Health Clinic

Processing Complete

Page 477: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13017 AK 93223 A 11/30/2010

13019 AK 91937 A 11/30/2010

13019 AK 93226 A 11/30/2010

18053 AK 92317 A 11/30/2010

18053 AK 92318 A 11/30/2010

18053 AK 93357 A 11/30/2010

18083 AK 92014 A 7/2/2010

18083 AK 92316 A 11/30/2010

18083 AK 93358 A 11/30/2010

18280 AK 93487 A 11/30/2010

Copper River Native Association

Cantwell Health Clinic

Processing Complete

Copper River Native Association

Gulkana Health Clinic

Processing Complete

Copper River Native Association

Gulkana Health Clinic

Processing Complete

Copper River Native Association

Native Village of Gakona Health Clinic

Processing Complete

Copper River Native Association

Native Village of Gakona Health Clinic

Processing Complete

Copper River Native Association

Native Village of Gakona Health Clinic

Processing Complete

Copper River Native Association

Wrangell Mountain Dental Clinic

Processing Complete

Copper River Native Association

Wrangell Mountain Dental Clinic

Processing Complete

Copper River Native Association

Wrangell Mountain Dental Clinic

Processing Complete

Copper River Native Association

CRNA Behavioral Health Clinic

Processing Complete

Page 478: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13005 OK 95318 A 6/22/2010

13005 OK 95319 A 6/22/2010

11053 IA 89052 A 6/3/2010

11053 IA 95243 A 6/17/2010

CTIVC 13933 AK 95978 A 7/26/2011

14291 ID 92963 A 7/29/2010

17004 AL 86569 A 1/26/2010

17004 AL 86570 A 12/1/2009

17004 AL 86571 A 11/10/2009

17004 AL 86573 A 11/10/2009

Craig General Hospital

Craig County Hospital Authority dba Craig General Hospital

Processing Complete

Craig General Hospital

Craig County Hospital Authority dba Craig General Hospital

Processing Complete

Crawford County Memorial Hospital

Family Practice & Surgical Specialists

Processing Complete

Crawford County Memorial Hospital

Family Medicine Associates

Processing Complete

Chitina Health Clinic

Processing Complete

CTN CoopertiveTelemedicine Network (EITN)

Caribou Memorial Hospital

Processing Complete

Cullman Regional Medical Center

Cullman Regional Medical Center, Inc.

Processing Complete

Cullman Regional Medical Center

Cullman Regional Medical Center, Inc.

Processing Complete

Cullman Regional Medical Center

Cullman Regional Medical Center, Inc.

Processing Complete

Cullman Regional Medical Center

Cullman Regional Medical Center, Inc.

Processing Complete

Page 479: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17004 AL 86574 A 11/10/2009

17004 AL 86575 A 11/10/2009

12741 CA 95686 A 9/16/2010

18460 IL 95077 A 9/13/2010

18460 IL 95077 B 9/13/2010

18458 IL 94425 A 7/11/2010

18459 IL 94426 A 7/11/2010

13271 MS 94129 A 1/13/2011

13271 MS 94130 A 1/13/2011

13271 MS 94131 A 1/13/2011

13271 MS 94132 A 1/13/2011

13271 MS 94133 A 1/13/2011

13271 MS 94134 A 1/13/2011

11212 AZ 89364 A

Cullman Regional Medical Center

Cullman Regional Medical Center, Inc.

Processing Complete

Cullman Regional Medical Center

Cullman Regional Medical Center, Inc.

Processing Complete

CVHN & CPCA

Arvin Community Health Center

Processing Complete

Decatur Hospital Group

Maroa Medical Center

Processing Complete

Decatur Hospital Group

Maroa Medical Center

Processing Complete

Decatur Hospital Group

Arthur Medical Center

Processing Complete

Decatur Hospital Group

Sullivan Medical Center

Processing Complete

Delta Health Center, Inc.

Delta Health Center, Inc.

Processing Complete

Delta Health Center, Inc.

Delta Health Center, Inc.

Processing Complete

Delta Health Center, Inc.

Delta Health Center, Inc.

Processing Complete

Delta Health Center, Inc.

Delta Health Center, Inc.

Processing Complete

Delta Health Center, Inc.

Delta Health Center, Inc.

Processing Complete

Delta Health Center, Inc.

Delta Health Center, Inc.

Processing Complete

Dilkon Health Clinic

NAIHS - Dilkon Health Station

Initial Review Complete

Page 480: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15193 MI 86185 A 1/15/2010

15194 MI 86187 A 1/25/2010

15195 MI 86188 A 1/25/2010

15196 MI 86186 A 1/25/2010

14462 MI 89177 A 5/11/2010

14463 MI 89183 A 5/11/2010

14464 MI 89185 A 5/11/2010

14465 MI 89187 A 5/11/2010

14466 MI 89189 A 5/11/2010

14467 MI 89201 A 5/11/2010

14467 MI 89202 A 5/11/2010

District 2 Health Dept

District 2 Health Dept - West Branch

Processing Complete

District 2 Health Dept

District 2 Health Dept - Harrisville

Processing Complete

District 2 Health Dept

District 2 Health Dept - Mio

Processing Complete

District 2 Health Dept

District 2 Health Dept - Tawas City

Processing Complete

District Health Dept #10

District Health Department #10 - Crawford

Processing Complete

District Health Dept #10

District Health Department #10 - Kalkaska

Processing Complete

District Health Dept #10

District Health Department #10 - Lake

Processing Complete

District Health Dept #10

District Health Department #10 - Manistee

Processing Complete

District Health Dept #10

District Health Department #10 - Mason

Processing Complete

District Health Dept #10

District Health Department #10 - Mecosta

Processing Complete

District Health Dept #10

District Health Department #10 - Mecosta

Processing Complete

Page 481: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14467 MI 89204 A 5/11/2010

14468 MI 89523 A 5/11/2010

14469 MI 89524 A 5/11/2010

14470 MI 89525 A 5/11/2010

14471 MI 89526 A 5/11/2010

10865 AK 89980 A 4/23/2010

10865 AK 90002 A 4/23/2010

10865 AK 92572 A 6/28/2010

10866 AK 89982 A 4/23/2010

10866 AK 90006 A 4/23/2010

District Health Dept #10

District Health Department #10 - Mecosta

Processing Complete

District Health Dept #10

District Health Department #10 - Missaukee

Processing Complete

District Health Dept #10

District Health Department #10 - Newaygo

Processing Complete

District Health Dept #10

District Health Department #10 - Oceana

Processing Complete

District Health Dept #10

District Health Department #10 - Wexford

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes, Inc. - Sand Point

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes, Inc. - Sand Point

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes, Inc. - Sand Point

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - King Cove

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - King Cove

Processing Complete

Page 482: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10866 AK 92573 A 6/28/2010

10867 AK 89979 A 6/28/2010

10867 AK 89984 A

10867 AK 89999 A

10867 AK 90000 A 4/23/2010

10867 AK 92574 A 6/28/2010

10868 AK 89897 A 4/23/2010

10868 AK 89983 A

10868 AK 90001 A 4/23/2010

10868 AK 92578 A 6/28/2010

10869 AK 89978 A 4/23/2010

10869 AK 90004 A 4/23/2010

Eastern Aleutian Tribes

Eastern Aleutian Tribes - King Cove

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Akutan

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Akutan

Initial Review Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Akutan

Initial Review Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Akutan

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Akutan

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - False Pass

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - False Pass

Initial Review Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - False Pass

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - False Pass

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Nelson Lagoon

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Nelson Lagoon

Processing Complete

Page 483: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10869 AK 92583 A 6/28/2010

10870 AK 89981 A 4/23/2010

10870 AK 90005 A 4/23/2010

10870 AK 92586 A 6/28/2010

12780 AK 89900 A 4/23/2010

12780 AK 90007 A 4/23/2010

13209 AK 89899 A 4/23/2010

13209 AK 90008 A 4/23/2010

10262 MT 91241 A 5/13/2010

10264 MT 91227 A 5/13/2010

10265 MT 91166 A 5/13/2010

10266 MT 91214 A 5/13/2010

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Nelson Lagoon

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Cold Bay

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Cold Bay

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Cold Bay

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Adak

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes - Adak

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes, Inc. - Whittier

Processing Complete

Eastern Aleutian Tribes

Eastern Aleutian Tribes, Inc. - Whittier

Processing Complete

Eastern Montana Telemedicine Network

Colstrip Medical Center

Processing Complete

Eastern Montana Telemedicine Network

Glendive Medical Center

Processing Complete

Eastern Montana Telemedicine Network

Sidney Health Center

Processing Complete

Eastern Montana Telemedicine Network

Roosevelt Memorial Hospital

Processing Complete

Page 484: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10268 MT 91229 A 5/13/2010

10666 MT 91163 A 5/13/2010

11502 MT 91287 A 3/25/2010

11502 MT 91288 A 3/25/2010

11502 MT 91289 A 3/25/2010

11502 MT 91290 A 3/25/2010

11502 MT 91291 A 3/25/2010

11502 MT 91292 A 3/25/2010

11502 MT 91317 A 3/25/2010

11502 MT 91318 A 3/25/2010

11502 MT 94896 A 6/18/2010

Eastern Montana Telemedicine Network

Frances Mahon Deaconess Hospital

Processing Complete

Eastern Montana Telemedicine Network

Stillwater Community Hospital

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Page 485: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11502 MT 94897 A 6/18/2010

11502 MT 94898 A 6/18/2010

11502 MT 94904 A 6/18/2010

11502 MT 94907 A 6/18/2010

11502 MT 94909 A 6/18/2010

11502 MT 94910 A 6/18/2010

11502 MT 94912 A 6/18/2010

11502 MT 94913 A

11642 MT 91230 A 5/13/2010

12256 WY 91322 A 3/25/2010

12256 WY 91323 A 3/25/2010

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Processing Complete

Eastern Montana Telemedicine Network

Miles City Healthcare Clinic

Initial Review Complete

Eastern Montana Telemedicine Network

Fallon Medical Complex

Processing Complete

Eastern Montana Telemedicine Network

NORTH BIG HORN HOSPITAL

Processing Complete

Eastern Montana Telemedicine Network

NORTH BIG HORN HOSPITAL

Processing Complete

Page 486: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12256 WY 91628 A 3/25/2010

12258 WY 91250 A 3/25/2010

12826 MT 91286 A 3/25/2010

13175 MT 93509 A 6/10/2010

16077 MT 91247 A 3/25/2010

16501 MT 91494 A 3/25/2010

10263 MT 91239 A 5/13/2010

14573 MT 94963 A 6/25/2010

17984 VA 90976 A 2/25/2010

17984 VA 90980 A 2/25/2010

Eastern Montana Telemedicine Network

NORTH BIG HORN HOSPITAL

Processing Complete

Eastern Montana Telemedicine Network

Cody Clinic

Processing Complete

Eastern Montana Telemedicine Network

Rosebud Healthcare Center

Processing Complete

Eastern Montana Telemedicine Network

Livingston Healthcare

Processing Complete

Eastern Montana Telemedicine Network

Beartooth Hospital & Health Center

Processing Complete

Eastern Montana Telemedicine Network

McCone County Health Center

Processing Complete

Eastern Montana Telmedicine Network

Eastern Montana Community Mental Health Center

Processing Complete

Eastern MT Telemedicine Network

Prairie Community Hospital

Processing Complete

Eastern Shore Community Services Board

Eastern Shore Behavioral Healthcare Center

Processing Complete

Eastern Shore Community Services Board

Eastern Shore Behavioral Healthcare Center

Processing Complete

Page 487: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17984 VA 91103 A 2/25/2010

17984 VA 91104 A 2/25/2010

17984 VA 91106 A 2/25/2010

17984 VA 91107 A 2/25/2010

11881 NM 92074 A 4/8/2010

11881 NM 92074 B 4/8/2010

11882 NM 92055 A 4/8/2010

11882 NM 92055 B 4/8/2010

11887 NM 92057 A 4/8/2010

11887 NM 92057 B 4/8/2010

11888 NM 92056 A 4/8/2010

11888 NM 92056 B 4/8/2010

11890 NM 92070 A 4/8/2010

11892 NM 92072 A 4/8/2010

Eastern Shore Community Services Board

Eastern Shore Behavioral Healthcare Center

Processing Complete

Eastern Shore Community Services Board

Eastern Shore Behavioral Healthcare Center

Processing Complete

Eastern Shore Community Services Board

Eastern Shore Behavioral Healthcare Center

Processing Complete

Eastern Shore Community Services Board

Eastern Shore Behavioral Healthcare Center

Processing Complete

El Centro Family Health

Espanola Clinic

Processing Complete

El Centro Family Health

Espanola Clinic

Processing Complete

El Centro Family Health

Chama Clinic

Processing Complete

El Centro Family Health

Chama Clinic

Processing Complete

El Centro Family Health

Embudo Clinic

Processing Complete

El Centro Family Health

Embudo Clinic

Processing Complete

El Centro Family Health

Coyote Clinic

Processing Complete

El Centro Family Health

Coyote Clinic

Processing Complete

El Centro Family Health

Penasco Clinic

Processing Complete

El Centro Family Health

Truchas Clinic

Processing Complete

Page 488: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11892 NM 92072 B 4/8/2010

11893 NM 92073 A 4/8/2010

11893 NM 92073 B 4/8/2010

11894 NM 92076 A

11894 NM 92076 B

11895 NM 92054 A 4/8/2010

11896 NM 92034 A 4/8/2010

11896 NM 92034 B 4/8/2010

11897 Roy Clinic NM 92052 A 4/8/2010

11897 Roy Clinic NM 92052 B 4/8/2010

11898 NM 92051 A 4/8/2010

11898 NM 92051 B 4/8/2010

11899 NM 92053 A 4/8/2010

11899 NM 92053 B 4/8/2010

16819 NM 92075 A 4/8/2010

16819 NM 92075 B 4/8/2010

El Centro Family Health

Truchas Clinic

Processing Complete

El Centro Family Health

WELLNESS CENTER

Processing Complete

El Centro Family Health

WELLNESS CENTER

Processing Complete

El Centro Family Health

El Centro Family Health - Administration Office

Processing Complete

El Centro Family Health

El Centro Family Health - Administration Office

Processing Complete

El Centro Family Health

Springer Clinic

Processing Complete

El Centro Family Health

Wagon Mound Clinic

Processing Complete

El Centro Family Health

Wagon Mound Clinic

Processing Complete

El Centro Family Health

Processing Complete

El Centro Family Health

Processing Complete

El Centro Family Health

La Loma Clinic

Processing Complete

El Centro Family Health

La Loma Clinic

Processing Complete

El Centro Family Health

San Miguel Clinic

Processing Complete

El Centro Family Health

San Miguel Clinic

Processing Complete

El Centro Family Health

Main Street Clinic

Processing Complete

El Centro Family Health

Main Street Clinic

Processing Complete

Page 489: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18281 NM 92077 A 4/8/2010

18281 NM 92077 B 4/8/2010

14774 KS 89863 A 2/16/2010

14774 KS 90755 A 2/16/2010

14804 KS 89861 A 11/23/2009

14805 KS 89862 A 11/23/2009

14806 KS 89849 A 11/23/2009

EMTN 11748 MT 91390 A 3/25/2010

17215 TN 107535 A 6/18/2012

17215 TN 119543 A

12257 MT 91226 A 5/13/2010

El Centro Family Health

El Centro Family Health Espanola Dental

Processing Complete

El Centro Family Health

El Centro Family Health Espanola Dental

Processing Complete

Ellsworth County Medical Center

Ellsworth County Medical Center

Processing Complete

Ellsworth County Medical Center

Ellsworth County Medical Center

Processing Complete

Ellsworth County Medical Center

Lucas Rural Health Clinic

Processing Complete

Ellsworth County Medical Center

Wilson Rural Health Clinic (Ave E)

Processing Complete

Ellsworth County Medical Center

Wilson Rural Health Clinic (27th St)

Processing Complete

Daniels Memorial Hospital

Processing Complete

Erlanger Health System

Erlanger Health System Rural Health Care Fiber Network (TN GA)

Processing Complete

Erlanger Health System

Erlanger Health System

Processing Complete

Estern Montana Telemedicine Network

PIONEER MEDICAL CENTER

Processing Complete

Page 490: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13174 MT 91321 A 3/25/2010

14915 ID 92988 A 5/21/2010

13613 ID 96636 A

13615 ID 91499 A 3/31/2010

13616 ID 92784 A 3/28/2011

13616 ID 92983 A 3/28/2011

13617 ID 91500 A 3/31/2010

14914 ID 92987 A 5/21/2010

12740 KS 90329 A 4/29/2010

14626 KS 90327 A 4/29/2010

14626 KS 90328 A 4/29/2010

16644 IN 94659 A 10/27/2010

Estern Montana Telemedicine Network

Deaconess Billings Clinic - Red Lodge

Processing Complete

Family Health SErvices

Family Health Services - Rupert

Processing Complete

Family Health Services Inc.

Family Health Services - Administration

Processing Complete

Family Health Services Inc.

Family Health Services - Buhl

Processing Complete

Family Health Services Inc.

Family Health Services - Burley

Processing Complete

Family Health Services Inc.

Family Health Services - Burley

Processing Complete

Family Health Services Inc.

Family Health Services - Jerome

Processing Complete

Family Health Services Inc.

Family Health Services - Fairfield

Processing Complete

Family Life Center, Inc.

Family Life Center, Inc. - Pittsburg

Processing Complete

Family Life Center, Inc.

Family Life Center, Inc. - Riverton

Processing Complete

Family Life Center, Inc.

Family Life Center, Inc. - Riverton

Processing Complete

Fayette Reginal Health System

Brookville Immediate Care

Processing Complete

Page 491: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16638 IN 94555 A

16638 IN 94646 A 6/16/2010

14772 VT 96971 A 10/21/2010

17236 NY 88912 A 8/10/2009

17236 NY 92273 A 3/17/2010

17236 NY 117951 A 7/27/2012

11762 MT 92173 A 5/24/2010

11762 MT 93508 A 5/20/2010

Freeman 17121 KS 94233 A 7/11/2010

Fayette Regional Health System

Fayette Regional Health System

Initial Review Complete

Fayette Regional Health System

Fayette Regional Health System

Processing Complete

Fletcher Allen Health Care

Fletcher Allen Health Care - Satellite Dialysis Clinic (Rutland)

Processing Complete

Fort Drum Regional Health Planning Organization

North Country Telemedicine Project

Processing Complete

Fort Drum Regional Health Planning Organization

North Country Telemedicine Project

Processing Complete

Fort Drum Regional Health Planning Organization

North Country Telemedicine Project

Processing Complete

Forth Network

Sheridan Memorial Hospital

Processing Complete

Forth Network

Sheridan Memorial Hospital

Processing Complete

Freeman Physicians Associates of Pittsburg

Processing Complete

Page 492: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17216 MT 106566 A 1/12/2012

17216 MT 113491 A 3/19/2012

14031 GA 89164 A 11/23/2009

14031 GA 89165 A 11/18/2009

14031 GA 89167 A 12/21/2009

14031 GA 89360 A 3/29/2010

14031 GA 91211 A 3/9/2010

17217 PA 91466 A 2/23/2010

17217 PA 92288 A 10/28/2010

17217 PA 99586 A 12/14/2010

17217 PA 117012 A 10/9/2012

17217 PA 119587 A 1/11/2013

Frontier Access to Healthcare in Rural Montana

Montana Health Research and Education Foundation

Processing Complete

Frontier Access to Healthcare in Rural Montana

Montana Health Research and Education Foundation

Processing Complete

Ga Telemedicine

Hospital Authority of Ben Hill County

Processing Complete

Ga Telemedicine

Hospital Authority of Ben Hill County

Processing Complete

Ga Telemedicine

Hospital Authority of Ben Hill County

Processing Complete

Ga Telemedicine

Hospital Authority of Ben Hill County

Processing Complete

Ga Telemedicine

Hospital Authority of Ben Hill County

Processing Complete

Geisinger Health System

Geisinger Health System

Processing Complete

Geisinger Health System

Geisinger Health System

Processing Complete

Geisinger Health System

Geisinger Health System

Processing Complete

Geisinger Health System

Geisinger Health System

Processing Complete

Geisinger Health System

Geisinger Health System

Processing Complete

Page 493: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17217 PA 119588 A

17217 PA 119607 A 1/14/2013

18196 SC 95067 A 7/11/2010

18196 SC 95068 A

18196 SC 95069 A 7/11/2010

18196 SC 95070 A 7/11/2010

18198 SC 95071 A 7/11/2010

18199 SC 95072 A 7/11/2010

14737 GA 91376 A 4/7/2010

14738 GA 91378 A 4/7/2010

14739 GA 91377 A 4/7/2010

14826 GA 86572 A 2/1/2010

15330 GA 91380 A 4/7/2010

Geisinger Health System

Geisinger Health System

Processing Complete

Geisinger Health System

Geisinger Health System

Processing Complete

Georgetown Hospital

Georgetown Memorial Hospital

Processing Complete

Georgetown Hospital

Georgetown Memorial Hospital

Initial Review Complete

Georgetown Hospital

Georgetown Memorial Hospital

Processing Complete

Georgetown Hospital

Georgetown Memorial Hospital

Processing Complete

Georgetown Hospital

Georgetown @ Andrews Medical

Processing Complete

Georgetown Hospital

Waccamaw Gastroenterology

Processing Complete

Georgia Division of Public Health

Emanuel County Health Department

Processing Complete

Georgia Division of Public Health

Screven County Health Department

Processing Complete

Georgia Division of Public Health

Wilkes County Health Department

Processing Complete

Georgia Division of Public Health

Camden County Health Department

Processing Complete

Georgia Division of Public Health

Jefferson County Health Department

Processing Complete

Page 494: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15331 GA 91381 A 4/7/2010

15336 GA 91878 A 4/7/2010

15341 GA 91873 A 4/7/2010

15388 GA 91869 A 4/7/2010

15405 GA 91872 A 4/7/2010

16988 GA 91379 A 4/7/2010

16989 GA 91865 A 4/7/2010

18161 GA 91870 A 4/7/2010

15925 GA 90495 A 1/19/2010

15925 GA 90496 A 1/19/2010

15925 GA 90497 A 1/19/2010

Georgia Division of Public Health

Jenkins County Health Department

Processing Complete

Georgia Division of Public Health

Lincoln County Health Department

Processing Complete

Georgia Division of Public Health

McDuffie County Health Department

Processing Complete

Georgia Division of Public Health

Taliaferro County Health Department

Processing Complete

Georgia Division of Public Health

Warren County Health Department

Processing Complete

Georgia Division of Public Health

Burke County Health Department

Processing Complete

Georgia Division of Public Health

Glascock County Health Department

Processing Complete

Georgia Division of Public Health

Columbia County Health Department

Processing Complete

Georgia Partnership for Telehealth

Monroe County Hospital

Processing Complete

Georgia Partnership for Telehealth

Monroe County Hospital

Processing Complete

Georgia Partnership for Telehealth

Monroe County Hospital

Processing Complete

Page 495: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

Gifford 18200 VT 95097 A 9/13/2010

17778 KY 90184 A 4/6/2010

17778 KY 90199 A 4/6/2010

17778 KY 90200 A 4/6/2010

16304 AR 94827 A 7/12/2010

16304 AR 94828 A 7/12/2010

17218 MN 94533 A 10/5/2010

17218 MN 95260 A 7/7/2010

17218 MN 95261 A 7/7/2010

17218 MN 102518 A 6/16/2011

17218 MN 102902 A 6/16/2011

Sharon Health Center

Processing Complete

Grace Community Health Center, Inc.

Grace Community Health Center, Inc.

Processing Complete

Grace Community Health Center, Inc.

Grace Community Health Center, Inc.

Processing Complete

Grace Community Health Center, Inc.

Grace Community Health Center, Inc.

Processing Complete

Great River SMC

Great River Hospital

Processing Complete

Great River SMC

Great River Hospital

Processing Complete

Greater MN Telehealth Broadband Initiative

SISU Medical Systems

Processing Complete

Greater MN Telehealth Broadband Initiative

SISU Medical Systems

Processing Complete

Greater MN Telehealth Broadband Initiative

SISU Medical Systems

Processing Complete

Greater MN Telehealth Broadband Initiative

SISU Medical Systems

Processing Complete

Greater MN Telehealth Broadband Initiative

SISU Medical Systems

Processing Complete

Page 496: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17218 MN 102929 A 6/16/2011

17218 MN 119491 A 12/21/2012

17218 MN 119492 A 1/9/2013

17218 MN 119493 A 1/9/2013

15894 IA 93813 A 7/6/2010

18177 NY 95104 A 9/13/2010

18178 NY 95103 A 9/13/2010

18181 PA 95111 A 7/12/2010

18183 NY 95102 A 9/13/2010

18185 PA 95110 A 7/12/2010

18186 NY 95105 A 9/13/2010

18187 PA 95101 A 9/13/2010

Greater MN Telehealth Broadband Initiative

SISU Medical Systems

Processing Complete

Greater MN Telehealth Broadband Initiative

Greater Minnesota Telehealth Broadband Initiative

Processing Complete

Greater MN Telehealth Broadband Initiative

Greater Minnesota Telehealth Broadband Initiative

Processing Complete

Greater MN Telehealth Broadband Initiative

Greater Minnesota Telehealth Broadband Initiative

Processing Complete

Gundesen Lutheran

Gundersen Lutheran Ossian Clinic

Processing Complete

Guthrie Healthcare System

Guthrie Clinic - Waverly

Processing Complete

Guthrie Healthcare System

Guthrie Clinic - Watkins Glen

Processing Complete

Guthrie Healthcare System

Guthrie Clinic - Towanda - York

Processing Complete

Guthrie Healthcare System

Guthrie Clinic - Owego

Processing Complete

Guthrie Healthcare System

Guthrie Dialysis Center

Processing Complete

Guthrie Healthcare System

Guthrie Waverly Optometry

Processing Complete

Guthrie Healthcare System

Guthrie Clinic - Athens

Processing Complete

Page 497: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18188 PA 95112 A 7/12/2010

18190 PA 95109 A 7/12/2010

18193 NY 95107 A 9/13/2010

18207 PA 95108 A 9/13/2010

18208 PA 95106 A 9/13/2010

18208 PA 96250 A 9/13/2010

18337 MI 95861 A 9/19/2010

15880 OH 92249 A 5/17/2011

10555 HI 91047 A 2/8/2010

10555 HI 95990 A 7/26/2010

10556 HI 91051 A 2/8/2010

10556 HI 91060 A 2/8/2010

10556 HI 91061 A 2/8/2010

10556 HI 95991 A 7/26/2010

10559 HI 91066 A 2/8/2010

Guthrie Healthcare System

Guthrie Clinic - Canton

Processing Complete

Guthrie Healthcare System

Guthrie Clinic - Dushore

Processing Complete

Guthrie Healthcare System

Guthrie Clinic - Bath

Processing Complete

Guthrie Healthcare System

Guthrie Healthcare Clinic

Processing Complete

Guthrie Healthcare System

Guthrie - Robert Packer Hospital

Processing Complete

Guthrie Healthcare System

Guthrie - Robert Packer Hospital

Processing Complete

Hackley Hosp Group

Lakeshore Medical Shelby

Processing Complete

Hardin Memorial Hospital

Hardin Memorial Hospital

Processing Complete

Hawaii Health Systems Corp.

Kohala Hospital

Processing Complete

Hawaii Health Systems Corp.

Kohala Hospital

Processing Complete

Hawaii Health Systems Corp.

Kauai Veterans Memorial Hospital

Processing Complete

Hawaii Health Systems Corp.

Kauai Veterans Memorial Hospital

Processing Complete

Hawaii Health Systems Corp.

Kauai Veterans Memorial Hospital

Processing Complete

Hawaii Health Systems Corp.

Kauai Veterans Memorial Hospital

Processing Complete

Hawaii Health Systems Corp.

Hilo Medical Center

Processing Complete

Page 498: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10559 HI 91067 A 2/8/2010

10559 HI 91068 A 2/8/2010

10559 HI 91071 A 2/8/2010

10559 HI 95994 A 7/26/2010

10557 HI 91062 A 2/8/2010

10557 HI 95992 A 7/26/2010

10558 HI 91063 A 2/8/2010

10558 HI 95993 A 7/26/2010

10560 HI 91072 A 2/8/2010

10560 HI 96058 A 7/26/2010

10561 HI 91073 A 2/8/2010

10561 HI 91074 A 2/8/2010

Hawaii Health Systems Corp.

Hilo Medical Center

Processing Complete

Hawaii Health Systems Corp.

Hilo Medical Center

Processing Complete

Hawaii Health Systems Corp.

Hilo Medical Center

Processing Complete

Hawaii Health Systems Corp.

Hilo Medical Center

Processing Complete

Hawaii Health Systems Corporation

Samuel Mahelona Memorial Hospital

Processing Complete

Hawaii Health Systems Corporation

Samuel Mahelona Memorial Hospital

Processing Complete

Hawaii Health Systems Corporation

Kula Hospital

Processing Complete

Hawaii Health Systems Corporation

Kula Hospital

Processing Complete

Hawaii Health Systems Corporation

Kau Hospital

Processing Complete

Hawaii Health Systems Corporation

Kau Hospital

Processing Complete

Hawaii Health Systems Corporation

Kona Community Hospital

Processing Complete

Hawaii Health Systems Corporation

Kona Community Hospital

Processing Complete

Page 499: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10561 HI 91075 A 2/8/2010

10561 HI 91076 A 2/8/2010

10561 HI 96059 A 7/26/2010

10562 Hale Ho HI 91086 A 2/8/2010

10562 HI 96060 A 7/26/2010

10963 HI 91087 A 6/25/2010

10963 HI 96061 A 7/26/2010

10969 HI 91088 A 2/8/2010

10969 HI 91144 A 2/8/2010

10969 HI 91145 A 2/8/2010

10969 HI 91146 A 2/8/2010

Hawaii Health Systems Corporation

Kona Community Hospital

Processing Complete

Hawaii Health Systems Corporation

Kona Community Hospital

Processing Complete

Hawaii Health Systems Corporation

Kona Community Hospital

Processing Complete

Hawaii Health Systems Corporation

Processing Complete

Hawaii Health Systems Corporation

Hale Hoola Hamakua

Processing Complete

Hawaii Health Systems Corporation

Lanai Community Hospital

Processing Complete

Hawaii Health Systems Corporation

Lanai Community Hospital

Processing Complete

Hawaii Health Systems Corporation

Maui Memorial Medical Center

Processing Complete

Hawaii Health Systems Corporation

Maui Memorial Medical Center

Processing Complete

Hawaii Health Systems Corporation

Maui Memorial Medical Center

Processing Complete

Hawaii Health Systems Corporation

Maui Memorial Medical Center

Processing Complete

Page 500: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10969 HI 91149 A 2/8/2010

10969 HI 91152 A 2/8/2010

10969 HI 96062 A 7/26/2010

16764 HI 91083 A 2/8/2010

16764 HI 91084 A 2/8/2010

16764 HI 96063 A 7/26/2010

17567 HI 91153 A 6/25/2010

17567 HI 96064 A 7/26/2010

17822 HI 91154 A 4/15/2010

17822 HI 96065 A 12/16/2011

13256 UT 90672 A 5/6/2010

Hawaii Health Systems Corporation

Maui Memorial Medical Center

Processing Complete

Hawaii Health Systems Corporation

Maui Memorial Medical Center

Processing Complete

Hawaii Health Systems Corporation

Maui Memorial Medical Center

Processing Complete

Hawaii Health Systems Corporation

Kahuku Hospital

Processing Complete

Hawaii Health Systems Corporation

Kahuku Hospital

Processing Complete

Hawaii Health Systems Corporation

Kahuku Hospital

Processing Complete

Hawaii Health Systems Corporation

West Kauai Clinic - Kalaheo

Processing Complete

Hawaii Health Systems Corporation

West Kauai Clinic - Kalaheo

Processing Complete

Hawaii Health Systems Corporation

Port Allen Clinic

Processing Complete

Hawaii Health Systems Corporation

Port Allen Clinic

Processing Complete

HCN of Utah

Enterprise Valley Medical Clinic

Processing Complete

Page 501: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13256 UT 90672 B 5/6/2010

13256 UT 94128 A 6/24/2010

17220 MT 89033 A 9/9/2009

17220 MT 102891 A 7/19/2011

17220 MT 102892 A 7/19/2011

17220 MT 102893 A 7/19/2011

17220 MT 105479 A 7/19/2011

17220 MT 107308 A 9/26/2011

17220 MT 107416 A 9/15/2011

HCN of Utah

Enterprise Valley Medical Clinic

Processing Complete

HCN of Utah

Enterprise Valley Medical Clinic

Processing Complete

Health Information Exchange of Montana, Inc

Health Information Exchange of Montana, Inc.

Processing Complete

Health Information Exchange of Montana, Inc

Health Information Exchange of Montana, Inc.

Processing Complete

Health Information Exchange of Montana, Inc

Health Information Exchange of Montana, Inc.

Processing Complete

Health Information Exchange of Montana, Inc

Health Information Exchange of Montana, Inc.

Processing Complete

Health Information Exchange of Montana, Inc

Health Information Exchange of Montana, Inc.

Processing Complete

Health Information Exchange of Montana, Inc

Health Information Exchange of Montana, Inc.

Processing Complete

Health Information Exchange of Montana, Inc

Health Information Exchange of Montana, Inc.

Processing Complete

Page 502: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17220 MT 107417 A 9/15/2011

17220 MT 111827 A 5/22/2012

17220 MT 119380 A 8/2/2012

17220 MT 119381 A 8/2/2012

17221 SD 103545 A 5/20/2011

17221 SD 103546 A 5/20/2011

17221 SD 113487 A 4/18/2012

17221 SD 119467 A 8/24/2012

17221 SD 119471 A 8/23/2012

Health Information Exchange of Montana, Inc

Health Information Exchange of Montana, Inc.

Processing Complete

Health Information Exchange of Montana, Inc

Health Information Exchange of Montana, Inc.

Processing Complete

Health Information Exchange of Montana, Inc

Health Information Exchange of Montana, Inc.

Processing Complete

Health Information Exchange of Montana, Inc

Health Information Exchange of Montana, Inc.

Processing Complete

Heartland Unified Broadband Network

Avera Health

Processing Complete

Heartland Unified Broadband Network

Avera Health

Processing Complete

Heartland Unified Broadband Network

Avera Health

Processing Complete

Heartland Unified Broadband Network

Avera Health

Processing Complete

Heartland Unified Broadband Network

Avera Health

Processing Complete

Page 503: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17221 SD 119499 A 9/11/2012

17221 SD 119520 A 10/11/2012

17221 SD 119665 A 3/22/2013

17221 SD 119668 A 3/22/2013

17221 SD 119670 A 3/28/2013

17221 SD 119679 A 7/3/2013

14811 MI 88863 A 2/3/2010

14811 MI 90303 A 2/3/2010

14811 MI 90304 A 2/3/2010

14811 MI 92392 A 4/26/2010

16186 MN 90887 A

16187 MN 90886 A

Heartland Unified Broadband Network

Avera Health

Processing Complete

Heartland Unified Broadband Network

Avera Health

Processing Complete

Heartland Unified Broadband Network

Avera Health

Processing Complete

Heartland Unified Broadband Network

Avera Health

Processing Complete

Heartland Unified Broadband Network

Avera Health

Processing Complete

Heartland Unified Broadband Network

Avera Health

Processing Complete

Hiawatha Behavioral Health

Hiawatha Behavioral Health

Processing Complete

Hiawatha Behavioral Health

Hiawatha Behavioral Health

Processing Complete

Hiawatha Behavioral Health

Hiawatha Behavioral Health

Processing Complete

Hiawatha Behavioral Health

Hiawatha Behavioral Health

Processing Complete

Hiawatha Valley Mental Health Center

Hiawatha Valley Mental Health Center, Inc. - Caledonia

Initial Review Complete

Hiawatha Valley Mental Health Center

Hiawatha Valley Mental Health Center, Inc. - Wabasha

Initial Review Complete

Page 504: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10139 CO 90251 A 5/20/2011

10139 CO 90251 B 5/20/2011

10139 CO 90252 A 5/20/2011

10139 CO 96346 A

10143 CO 90247 A 12/29/2010

10143 CO 92170 A 12/29/2010

10145 CO 92247 A 8/22/2011

10145 CO 92247 B 8/22/2011

10145 CO 94899 A 8/22/2011

12507 CO 90253 A 6/4/2010

12507 CO 94177 A 6/24/2010

High Plains Rural Health Network

Melissa Memorial Hospital

Processing Complete

High Plains Rural Health Network

Melissa Memorial Hospital

Processing Complete

High Plains Rural Health Network

Melissa Memorial Hospital

Processing Complete

High Plains Rural Health Network

Melissa Memorial Hospital

Initial Review Complete

High Plains Rural Health Network

Wray Community Hospital

Processing Complete

High Plains Rural Health Network

Wray Community Hospital

Processing Complete

High Plains Rural Health Network

Yuma District Hospital

Processing Complete

High Plains Rural Health Network

Yuma District Hospital

Processing Complete

High Plains Rural Health Network

Yuma District Hospital

Processing Complete

High Plains Rural Health Network

Sedgwick County Health Center

Processing Complete

High Plains Rural Health Network

Sedgwick County Health Center

Processing Complete

Page 505: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16733 OH 96978 A 9/19/2010

16733 OH 96987 A 9/19/2010

16733 OH 97013 A 9/19/2010

16733 OH 97023 A 9/19/2010

16733 OH 97027 A 9/19/2010

16733 OH 97035 A 9/19/2010

16734 OH 96992 A 9/19/2010

16734 OH 96994 A

16735 OH 96997 A 9/19/2010

16735 OH 97000 A

14585 GA 89229 A 11/23/2009

14585 GA 89232 A 11/23/2009

14585 GA 89233 A 12/21/2009

14585 GA 89234 A 2/10/2010

14585 GA 89235 A 12/7/2009

Holzer Medical

Holzer Medical Center - Gallipolis

Processing Complete

Holzer Medical

Holzer Medical Center - Gallipolis

Processing Complete

Holzer Medical

Holzer Medical Center - Gallipolis

Processing Complete

Holzer Medical

Holzer Medical Center - Gallipolis

Processing Complete

Holzer Medical

Holzer Medical Center - Gallipolis

Processing Complete

Holzer Medical

Holzer Medical Center - Gallipolis

Processing Complete

Holzer Medical

Holzer Medical Center - Jackson

Processing Complete

Holzer Medical

Holzer Medical Center - Jackson

Initial Review Complete

Holzer Medical

Holzer Medical Center - Wellston

Processing Complete

Holzer Medical

Holzer Medical Center - Wellston

Initial Review Complete

HomeTown Health

Irwin County Hospital

Processing Complete

HomeTown Health

Irwin County Hospital

Processing Complete

HomeTown Health

Irwin County Hospital

Processing Complete

HomeTown Health

Irwin County Hospital

Processing Complete

HomeTown Health

Irwin County Hospital

Processing Complete

Page 506: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14585 GA 96676 A 10/6/2010

14585 GA 96677 A

14589 GA 89452 A 4/26/2010

14589 GA 89454 A 4/26/2010

15439 GA 88754 A 1/28/2010

15439 GA 88755 A 1/28/2010

15439 GA 88756 A 1/28/2010

15439 GA 88757 A 12/21/2009

15439 GA 88758 A 12/21/2009

15439 GA 90315 A 2/16/2010

15439 GA 92377 A 4/19/2010

15570 GA 89207 A 2/4/2010

15570 GA 89208 A 11/18/2009

15570 GA 89211 A 11/23/2009

15571 GA 88785 A 11/25/2009

15571 GA 88787 A 11/23/2009

15831 GA 89326 A 2/4/2010

15831 GA 89329 A 2/4/2010

HomeTown Health

Irwin County Hospital

Processing Complete

HomeTown Health

Irwin County Hospital

Initial Review Complete

HomeTown Health

Morgan Memorial Hospital

Processing Complete

HomeTown Health

Morgan Memorial Hospital

Processing Complete

HomeTown Health

Clinch Memorial Hospital

Processing Complete

HomeTown Health

Clinch Memorial Hospital

Processing Complete

HomeTown Health

Clinch Memorial Hospital

Processing Complete

HomeTown Health

Clinch Memorial Hospital

Processing Complete

HomeTown Health

Clinch Memorial Hospital

Processing Complete

HomeTown Health

Clinch Memorial Hospital

Processing Complete

HomeTown Health

Clinch Memorial Hospital

Processing Complete

HomeTown Health

Jeff Davis Hospital

Processing Complete

HomeTown Health

Jeff Davis Hospital

Processing Complete

HomeTown Health

Jeff Davis Hospital

Processing Complete

HomeTown Health

Peach Regional Medical Center

Processing Complete

HomeTown Health

Peach Regional Medical Center

Processing Complete

HomeTown Health

Sumter Regional Hospital

Processing Complete

HomeTown Health

Sumter Regional Hospital

Processing Complete

Page 507: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15831 GA 89330 A 1/28/2010

15831 GA 89331 A 1/19/2010

15831 GA 89332 A 1/19/2010

15831 GA 91425 A 3/29/2010

15920 GA 88992 A 1/28/2010

15920 GA 88993 A 1/28/2010

15920 GA 88994 A 11/23/2009

15920 GA 88995 A 11/23/2009

15920 GA 88996 A 1/28/2010

15920 GA 88997 A 1/28/2010

15920 GA 88998 A 2/4/2010

15920 GA 89001 A 1/28/2010

15920 GA 95247 A 10/27/2010

15920 GA 95248 A 10/5/2010

15920 GA 95703 A 9/24/2010

15920 GA 95704 A 9/24/2010

12795 AK 89788 A 9/23/2011

18463 IL 94807 A 7/12/2010

HomeTown Health

Sumter Regional Hospital

Processing Complete

HomeTown Health

Sumter Regional Hospital

Processing Complete

HomeTown Health

Sumter Regional Hospital

Processing Complete

HomeTown Health

Sumter Regional Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

HomeTown Health

Dodge County Hospital

Processing Complete

Hoonah Medical Center

Hoonah Medical Center

Processing Complete

Hopedale Medical

Hopedale Medical Complex - Tremont

Processing Complete

Page 508: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18463 IL 95075 A

18463 IL 95075 B

15937 SD 93129 A

15937 SD 96842 A

15937 SD 96844 A

15937 SD 96845 A

15937 SD 96847 A

15937 SD 96849 A

15937 SD 96851 A

12360 AZ 96287 A 5/31/2011

14399 AZ 96328 A 5/31/2011

16199 AZ 96296 A 5/31/2011

HRA 18342 AR 94573 A 7/7/2010

Hopedale Medical

Hopedale Medical Complex - Tremont

Initial Review Complete

Hopedale Medical

Hopedale Medical Complex - Tremont

Initial Review Complete

Horizon Health Care, Inc.

Howard Administrative Office

Processing Complete

Horizon Health Care, Inc.

Howard Administrative Office

Processing Complete

Horizon Health Care, Inc.

Howard Administrative Office

Processing Complete

Horizon Health Care, Inc.

Howard Administrative Office

Processing Complete

Horizon Health Care, Inc.

Howard Administrative Office

Processing Complete

Horizon Health Care, Inc.

Howard Administrative Office

Processing Complete

Horizon Health Care, Inc.

Howard Administrative Office

Processing Complete

Horizon Human Services

Horizon Human Services - Globe (Hagen Hill)

Processing Complete

Horizon Human Services

Horizon Human Services - Coolidge

Processing Complete

Horizon Human Services

Horizon Human Services - Globe (N Broad St)

Processing Complete

Health Resources of Arkansas - Yellville

Processing Complete

Page 509: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

HRA 18344 AR 94625 A 7/7/2010

HRA 18345 AR 94628 A 7/7/2010

HRA 18346 AR 94574 A 7/7/2010

HRA 18347 AR 94592 A 7/7/2010

HRA 18353 AR 94621 A 7/7/2010

HRA 18354 AR 94578 A 7/7/2010

HRA 18355 AR 94622 A 7/7/2010

HRA 18356 AR 94624 A 7/7/2010

Health Resources of Arkansas - Harrison (S Pine)

Processing Complete

Health Resources of Arkansas - Harrison (N Spring)

Processing Complete

Health Resources of Arkansas - Searcy

Processing Complete

Health Resources of Arkansas - Mountain View

Processing Complete

Health Resources of Arkansas - Mountain Home (Medical Plaza)

Processing Complete

Health Resources of Arkansas - Mountain Home (Hwy 5)

Processing Complete

Health Resources of Arkansas - Melbourne

Processing Complete

Health Resources of Arkansas - Marshall

Processing Complete

Page 510: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

HRA 18357 AR 94623 A 7/7/2010

HRA 18358 AR 94626 A 7/9/2010

HRA 18359 AR 94591 A 7/7/2010

HRA 18360 AR 94641 A 7/9/2010

HRA 18361 AR 94632 A 7/9/2010

HRA 18362 AR 94635 A 7/9/2010

HRA 18363 AR 94627 A 7/9/2010

HRA 18364 AR 94584 A 7/7/2010

HRA 18365 AR 94636 A 7/9/2010

Health Resources of Arkansas - Mc Crory

Processing Complete

Health Resources of Arkansas - Jasper

Processing Complete

Health Resources of Arkansas - Batesville (Myers St)

Processing Complete

Health Resources of Arkansas - Ash Flat

Processing Complete

Health Resources of Arkansas - Batesville (1355 E Main)

Processing Complete

Health Resources of Arkansas - Clinton

Processing Complete

Health Resources of Arkansas - Heber Springs

Processing Complete

Health Resources of Arkansas - Newport

Processing Complete

Health Resources of Arkansas - Rose Bud

Processing Complete

Page 511: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

HRA 18366 AR 94576 A 7/7/2010

10570 SD 93052 A 7/12/2010

14004 MN 94066 A 8/16/2010

14004 MN 94068 A 9/28/2010

14004 MN 94069 A 8/16/2010

14004 MN 94070 A 8/16/2010

14004 MN 94072 A 8/16/2010

14004 MN 94073 A 8/12/2010

14005 MN 94108 A 8/16/2010

Health Resources of Arkansas - Salem

Processing Complete

HRMC Huron

Huron Regional Medical Center

Processing Complete

Human Development Center

Human Development Center - Grand Marais

Processing Complete

Human Development Center

Human Development Center - Grand Marais

Processing Complete

Human Development Center

Human Development Center - Grand Marais

Processing Complete

Human Development Center

Human Development Center - Grand Marais

Processing Complete

Human Development Center

Human Development Center - Grand Marais

Processing Complete

Human Development Center

Human Development Center - Grand Marais

Processing Complete

Human Development Center

Human Development Center - Two Harbors

Processing Complete

Page 512: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14005 MN 94109 A 8/16/2010

14005 MN 94110 A 8/16/2010

14005 MN 94111 A 8/16/2010

IHA 13069 IL 89003 A 12/10/2009

IHA 13069 IL 89004 A 12/10/2009

IHA 13069 IL 91411 A 4/5/2010

11579 NM 94037 A 7/28/2011

11581 NM 94046 A 7/28/2011

11582 NM 94467 A 7/28/2011

11582 NM 94469 A 7/28/2011

11586 CO 94472 A 7/28/2011

11586 CO 94478 A 7/28/2011

Human Development Center

Human Development Center - Two Harbors

Processing Complete

Human Development Center

Human Development Center - Two Harbors

Processing Complete

Human Development Center

Human Development Center - Two Harbors

Processing Complete

Marshall Browning Hospital

Processing Complete

Marshall Browning Hospital

Processing Complete

Marshall Browning Hospital

Processing Complete

IHS/ABQ/I

IHS/ABQ Acoma-Canoncito-Laguna Hospital

Processing Complete

IHS/ABQ/I

IHS/ABQ Canoncito Hlth Ctr

Processing Complete

IHS/ABQ/I

IHS/ABQ Cochiti Hlth Clinic

Processing Complete

IHS/ABQ/I

IHS/ABQ Cochiti Hlth Clinic

Processing Complete

IHS/ABQ/I

IHS/ABQ Southern Ute Hlth Ctr (Ignacio)

Processing Complete

IHS/ABQ/I

IHS/ABQ Southern Ute Hlth Ctr (Ignacio)

Processing Complete

Page 513: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11587 NM 94473 A 7/28/2011

11589 NM 94475 A 7/28/2011

11590 NM 94041 A 7/28/2011

11590 NM 94480 A 7/28/2011

11592 NM 94482 A 7/28/2011

11594 NM 94042 A 7/28/2011

11594 NM 94477 A 7/28/2011

11595 NM 94487 A 7/28/2011

11596 NM 94489 A 7/28/2011

11598 NM 94490 A 7/28/2011

11599 CO 94491 A 7/28/2011

11600 NM 94043 A 7/28/2011

11601 NM 94493 A 7/28/2011

IHS/ABQ/I

IHS/ABQ Jemez Pueblo Hlth Ctr

Processing Complete

IHS/ABQ/I

IHS/ABQ Laguna Hlth Ctr

Processing Complete

IHS/ABQ/I

IHS/ABQ Mescalero Hospital

Processing Complete

IHS/ABQ/I

IHS/ABQ Mescalero Hospital

Processing Complete

IHS/ABQ/I

IHS/ABQ San Felipe Health Clinic

Processing Complete

IHS/ABQ/I

IHS/ABQ Santo Domingo Hlth Clinic

Processing Complete

IHS/ABQ/I

IHS/ABQ Santo Domingo Hlth Clinic

Processing Complete

IHS/ABQ/I

IHS/ABQ Santa Clara Hlth Ctr

Processing Complete

IHS/ABQ/I

IHS/ABQ Sandia Hlth Ctr

Processing Complete

IHS/ABQ/I

IHS/ABQ Taos Picuris

Processing Complete

IHS/ABQ/I

IHS/ABQ Ute Mountain Ute Hlth Ctr (Towaoc)

Processing Complete

IHS/ABQ/I

IHS/ABQ Zuni Comprehensive Comm Hlt Ctr

Processing Complete

IHS/ABQ/I

IHS/ABQ Zia Health Center

Processing Complete

Page 514: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16839 NM 94857 A

16839 NM 94857 B

16839 NM 94866 A 11/19/2010

16839 NM 95882 A 11/19/2010

16839 NM 95886 A 11/19/2010

11580 NM 94470 A 7/28/2011

11591 NM 94476 A 7/28/2011

IHS/ABR/I 11191 SD 94369 A 7/25/2011

IHS/ABR/I 11191 SD 94370 A 7/25/2011

IHS/ABR/I 12170 ND 94352 A 7/25/2011

IHS/ABR/I 12170 ND 94353 A 7/25/2011

IHS/ABR/I 12171 NE 94354 A 7/25/2011

IHS/ABQ/I

IHS/ABQ Jicarilla Service Unit (Dulce)

Initial Review Complete

IHS/ABQ/I

IHS/ABQ Jicarilla Service Unit (Dulce)

Initial Review Complete

IHS/ABQ/I

IHS/ABQ Jicarilla Service Unit (Dulce)

Processing Complete

IHS/ABQ/I

IHS/ABQ Jicarilla Service Unit (Dulce)

Processing Complete

IHS/ABQ/I

IHS/ABQ Jicarilla Service Unit (Dulce)

Processing Complete

IHS/ABQ/T

IHS/ABQ Alamo Hlth Ctr

Processing Complete

IHS/ABQ/T

IHS/ABQ Pine Hill Hlth Ctr

Processing Complete

IHS/ABR Rosebud IHS Hospital

Processing Complete

IHS/ABR Rosebud IHS Hospital

Processing Complete

IHS/ABR Belcourt PHS Indian Hospital

Processing Complete

IHS/ABR Belcourt PHS Indian Hospital

Processing Complete

IHS/ABR Carl T Curtis Health Center

Processing Complete

Page 515: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

IHS/ABR/I 12172 SD 94355 A 7/25/2011

IHS/ABR/I 12173 SD 94356 A 7/25/2011

IHS/ABR/I 12174 SD 94359 A 7/25/2011

IHS/ABR/I 12175 ND 94360 A 7/25/2011

IHS/ABR/I 12176 ND 94361 A 7/25/2011

IHS/ABR/I 12178 SD 94362 A 7/25/2011

IHS/ABR/I 12181 SD 94365 A 7/25/2011

IHS/ABR/I 12182 ND 94349 A 7/25/2011

IHS/ABR/I 12182 ND 94366 A 7/25/2011

IHS/ABR/I 12187 IA 94367 A 7/25/2011

IHS/ABR/I 12188 ND 94358 A 7/25/2011

IHS/ABR/I 12191 SD 94368 A 7/25/2011

IHS/ABR Eagle Butte Hospital

Processing Complete

IHS/ABR Flandreau School Health Center

Processing Complete

IHS/ABR FT Thompson Health Center

Processing Complete

IHS/ABR FT Totten Health Center

Processing Complete

IHS/ABR FT. Yates Hospital

Processing Complete

IHS/ABR Lower Brule Health Center

Processing Complete

IHS/ABR Mclaughin Health Center

Processing Complete

IHS/ABR Mandaree Health Station

Processing Complete

IHS/ABR Mandaree Health Station

Processing Complete

IHS/ABR Mesquakie Health Clinic

Processing Complete

IHS/ABR FT Berthold PHS Indian Health Center (Newtown)

Processing Complete

IHS/ABR Pine Ridge Hospital

Processing Complete

Page 516: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

IHS/ABR/I 12194 NE 94371 A 7/25/2011

IHS/ABR/I 12195 ND 94350 A 7/25/2011

IHS/ABR/I 12195 ND 94374 A 7/25/2011

IHS/ABR/I 12196 ND 94375 A 7/25/2011

IHS/ABR/I 12197 SD 94376 A 7/25/2011

IHS/ABR/I 12199 NE 94378 A 7/25/2011

IHS/ABR/I 12199 NE 94938 A 7/25/2011

IHS/ABR/I 12200 ND 94351 A 7/25/2011

IHS/ABR/I 12200 ND 94380 A 7/25/2011

IHS/ABR/I 16714 SD 94373 A 7/25/2011

IHS/BEM 12071 MN 89877 A 4/7/2010

IHS/BEM 12071 MN 89966 A 4/7/2010

IHS/ABR Santee Hlth Clinic

Processing Complete

IHS/ABR Twin Buttes Health Station

Processing Complete

IHS/ABR Twin Buttes Health Station

Processing Complete

IHS/ABR Trenton-Williston Service Area

Processing Complete

IHS/ABR Wagner Hospital (P1)

Processing Complete

IHS/ABR Winnebago Hospital

Processing Complete

IHS/ABR Winnebago Hospital

Processing Complete

IHS/ABR White Shield Health Station

Processing Complete

IHS/ABR White Shield Health Station

Processing Complete

IHS/ABR Sisseton Health Center

Processing Complete

Bois Forte Health Center

Processing Complete

Bois Forte Health Center

Processing Complete

Page 517: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

IHS/BEM 12076 WI 91956 A 4/7/2010

IHS/BEM 12077 MN 90479 A 2/9/2010

IHS/BEM 12078 WI 91959 A 6/9/2010

IHS/BEM 12097 WI 92855 A 6/29/2010

IHS/BEM 12110 MN 91052 A 2/9/2010

IHS/BEM 12110 MN 91834 A 6/9/2010

IHS/BEM 12120 MN 91837 A 4/7/2010

IHS/BEM 12120 MN 91837 B 4/7/2010

IHS/BEM 12127 MN 91838 A 4/7/2010

IHS/BEM 12127 MN 91838 B 4/7/2010

IHS/BEM 12129 WI 92854 A 6/29/2010

IHS/BEM 12131 MN 91049 A 2/9/2010

IHS/BEM 12131 MN 91050 A 2/9/2010

Bad River Health Services Center

Processing Complete

Cass Lake Hospital

Processing Complete

Peter Christensen Health Center

Processing Complete

Lac Courte Oreilles Community Health Center

Processing Complete

MIN-NO-AYA-WIN HEALTH CENTER

Processing Complete

MIN-NO-AYA-WIN HEALTH CENTER

Processing Complete

NAY-TAH-WAUSH HEALTH STATION

Processing Complete

NAY-TAH-WAUSH HEALTH STATION

Processing Complete

PINEPOINT HEALTH STATION

Processing Complete

PINEPOINT HEALTH STATION

Processing Complete

Red Cliff Health Station

Processing Complete

RED LAKE HOSPITAL

Processing Complete

RED LAKE HOSPITAL

Processing Complete

Page 518: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

IHS/BEM 12139 WI 92856 A 6/29/2010

IHS/BEM 12162 MN 91048 A 2/9/2010

IHS/BEM 16983 MI 91840 A 8/25/2010

IHS/BIL 10934 MT 92790 A 5/18/2010

IHS/BIL 10934 MT 92791 A 5/21/2010

IHS/BIL 10935 MT 92832 A 5/18/2010

IHS/BIL 10936 MT 92834 A 5/18/2010

IHS/BIL 10937 MT 92835 A 5/18/2010

IHS/BIL 10939 MT 93961 A 6/2/2010

IHS/BIL 10939 MT 93962 A 6/8/2010

IHS/BIL 10939 MT 93962 B 6/8/2010

IHS/BIL 11252 WY 92774 A 5/18/2010

IHS/BIL 11323 MT 92418 A 4/7/2010

STOCKBRIDGE-MUNSEE HEALTH CENTER

Processing Complete

WHITE EARTH HEALTH CENTER

Processing Complete

NHBP Health Clinic

Processing Complete

IHS/BIL Blackfeet Indian Hospital

Processing Complete

IHS/BIL Blackfeet Indian Hospital

Processing Complete

IHS/BIL Fort Peck Health Center

Processing Complete

IHS/BIL Northern Cheyenne Health Center

Processing Complete

IHS/BIL Fort Belknap Health Center

Processing Complete

IHS/BIL Flathead Tribal Health

Processing Complete

IHS/BIL Flathead Tribal Health

Processing Complete

IHS/BIL Flathead Tribal Health

Processing Complete

IHS/BIL Fort Washakie Health Center

Processing Complete

IHS/BIL Hays Indian Health Center

Processing Complete

Page 519: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

IHS/BIL 11324 MT 92762 A 4/7/2010

IHS/BIL 11324 MT 92772 A 5/17/2010

IHS/BIL 11324 MT 94593 A 5/19/2011

IHS/BIL 11325 MT 92754 A 5/17/2010

IHS/BIL 11334 WY 92469 A 4/7/2010

IHS/BIL 11978 MT 92420 A 4/7/2010

IHS/BIL 11980 MT 92847 A 5/18/2010

IHS/BIL 11984 MT 92758 A 6/4/2010

IHS/BIL 11984 MT 92759 A 6/4/2010

IHS/BIL/I 10417 MT 92789 A 5/18/2010

IHS/BIL/I 11326 MT 92505 A 4/7/2010

IHS/CAL/I 12261 CA 92602 A 8/22/2011

IHS/BIL Wolf Point Indian Health Center

Processing Complete

IHS/BIL Wolf Point Indian Health Center

Processing Complete

IHS/BIL Wolf Point Indian Health Center

Processing Complete

IHS/BIL Heart Butte Indian Health

Processing Complete

IHS/BIL Arapahoe Health Center

Processing Complete

IHS/BIL Rocky Boy Tribal Health

Processing Complete

IHS/BIL Arlee Tribal Health

Processing Complete

IHS/BIL Elmo Tribal Health

Processing Complete

IHS/BIL Elmo Tribal Health

Processing Complete

IHS/BIL Crow Indian Hospital

Processing Complete

IHS/BIL Lodge Grass Indian Health

Processing Complete

IHS/CAL CVIH Prather

Processing Complete

Page 520: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

IHS/CAL/I 12278 CA 92634 A 8/10/2011

IHS/CAL/I 17044 CA 92647 A 7/25/2011

10481 CA 92619 A 8/22/2011

10620 CA 92620 A 8/22/2011

11994 CA 92627 A 7/25/2011

12260 CA 92601 A 8/22/2011

12262 CA 92603 A 9/8/2011

12265 CA 92628 A 8/22/2011

12266 CA 92604 A 8/22/2011

IHS/CAL Karuk Tribal Hlth Prgm-Orleans Clinic

Processing Complete

IHS/CAL Tuolumne Me-Wuk Indian Health Center, Inc.(Cherry Vly Blvd)

Processing Complete

IHS/CAL/T

IHS/CAL Lassen Indian Health Clinic

Processing Complete

IHS/CAL/T

IHS/CAL Greenville Rancheria Tribal Hlth Prgm

Processing Complete

IHS/CAL/T

IHS/CAL Indian Hlth Council

Processing Complete

IHS/CAL/T

IHS/CAL CVIH North Fork

Processing Complete

IHS/CAL/T

IHS/CAL CVIH Tachi Medical Ctr

Processing Complete

IHS/CAL/T

IHS/CAL Chapa de Indian Health Center

Processing Complete

IHS/CAL/T

IHS/CAL Cold Springs Tribal Hlth Office

Processing Complete

Page 521: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12267 CA 92629 A 8/22/2011

12268 CA 92630 A 8/22/2011

12271 CA 92631 A 8/22/2011

12273 CA 92632 A 10/21/2011

12276 CA 92633 A 8/22/2011

12279 CA 92635 A 8/10/2011

12280 CA 92636 A 7/25/2011

12281 CA 92605 A 7/25/2011

12283 CA 92640 A 7/25/2011

IHS/CAL/T

IHS/CAL Consolidated Tribal Hlth Project Inc.

Processing Complete

IHS/CAL/T

IHS/CAL Feather River Tribal Hlth

Processing Complete

IHS/CAL/T

IHS/CAL Greenville Rancheria Tribal Hlth Prgm - Red Bluff Clinic

Processing Complete

IHS/CAL/T

IHS/CAL Hoopa Hlth Association

Processing Complete

IHS/CAL/T

IHS/CAL Karuk Tribal Hlth Prgm

Processing Complete

IHS/CAL/T

IHS/CAL Karuk Tribal Hlth Prgm-Yreka Indian Hlth Clinic

Processing Complete

IHS/CAL/T

IHS/CAL Lake County Tribal Hlth Consortium

Processing Complete

IHS/CAL/T

IHS/CAL Modoc Indian Hlth Prgm

Processing Complete

IHS/CAL/T

IHS/CAL Northern Valley Indian Hlth Clinic

Processing Complete

Page 522: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12285 CA 94949 A 7/25/2011

12286 CA 92606 A 7/25/2011

12289 CA 92641 A 7/25/2011

12291 CA 92643 A 7/25/2011

12292 CA 92645 A 7/25/2011

17040 CA 92607 A 7/25/2011

17043 CA 92608 A 8/10/2011

17521 CA 92609 A 7/25/2011

17679 CA 92648 A 7/25/2011

12818 CA 94339 A 6/28/2011

IHS/CAL/T

IHS/CAL Pit River Hlth Services

Processing Complete

IHS/CAL/T

IHS/CAL Pit River Indian Health - XL Ranch

Processing Complete

IHS/CAL/T

IHS/CAL Round Valley Indian Hlth

Processing Complete

IHS/CAL/T

IHS/CAL Shingle Springs Rancheria Tribal Health Program

Processing Complete

IHS/CAL/T

IHS/CAL SIHC Southern Indian Hlth Council Inc.

Processing Complete

IHS/CAL/T

IHS/CAL Central Valley Indian Health - Picayune Clinic (Station)

Processing Complete

IHS/CAL/T

IHS/CAL Table Mountain Rancheria

Processing Complete

IHS/CAL/T

IHS/CAL Tuolumne Me-Wuk Dental

Processing Complete

IHS/CAL/T

Northern Valley Indian Health-Red Bluff

Processing Complete

IHS/CRB/I

IHS/CAL/CRB UIHS Potawah Hlth Village

Processing Complete

Page 523: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12819 CA 94341 A 6/28/2011

12822 CA 94327 A 6/28/2011

12808 CA 94338 A 8/10/2011

12810 CA 94329 A 6/28/2011

12813 CA 94342 A 6/28/2011

12814 CA 94330 A 8/10/2011

12815 CA 94343 A 7/25/2011

12816 CA 94344 A 7/25/2011

IHS/CRB/I

IHS/CAL/CRB UIHS Howenquet Clinc (Smith River)

Processing Complete

IHS/CRB/I

IHS/CAL/CRB UIHS Klamath Hlth Station

Processing Complete

IHS/CRB/T

IHS/CAL/CRB MACT Tuolumne Indian Hlth Clinic (Dental)

Processing Complete

IHS/CRB/T

IHS/CAL/CRB Jackson Dental Clinic

Processing Complete

IHS/CRB/T

IHS/CAL/CRB MACT Sonora

Processing Complete

IHS/CRB/T

IHS/CAL/CRB Point Arena Clinic (Manchester)

Processing Complete

IHS/CRB/T

IHS/CAL/CRB Toiyabe Indian Hlth Project Inc.

Processing Complete

IHS/CRB/T

IHS/CAL/CRB Toiyabe Lone Pine Indian Hlth Clinic

Processing Complete

Page 524: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12820 CA 94325 A 6/28/2011

12821 CA 94326 A 6/28/2011

12823 CA 94345 A 6/28/2011

17041 CA 94328 A 6/28/2011

17042 CA 94340 A 6/28/2011

17045 CA 94346 A 6/28/2011

IHS/NAV 11205 NM 94014 A 7/29/2011

IHS/NAV 11218 AZ 92080 A 6/29/2010

IHS/NAV 11218 AZ 94021 A 8/10/2011

IHS/CRB/T

IHS/CAL/CRB UIHS Elk Valley Facility (Crescent City)

Processing Complete

IHS/CRB/T

IHS/CAL/CRB UIHS - Fortuna Facility

Processing Complete

IHS/CRB/T

IHS/CAL/CRB Warner Mountain Indian Hlth Project (Ft Bidwell)

Processing Complete

IHS/CRB/T

IHS/CAL/CRB Mariposa Indian Health Clinic

Processing Complete

IHS/CRB/T

IHS/CAL/CRB San Andreas Clinic

Processing Complete

IHS/CRB/T

IHS/CAL/CRB UIHS Weitchpec

Processing Complete

NAIHS - Crownpoint Health Care Facility

Processing Complete

NAIHS-Chinle Comprehensive Health Care Facility

Processing Complete

NAIHS-Chinle Comprehensive Health Care Facility

Processing Complete

Page 525: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

IHS/NAV 16726 AZ 92044 A 11/19/2010

IHS/NAV 16726 AZ 94023 A 8/10/2011

IHS/NAV 16726 AZ 94027 A 8/10/2011

IHS/NAV 16726 AZ 94029 A 8/10/2011

IHS/NAV 16726 AZ 94030 A 8/10/2011

IHS/NAV 17743 AZ 94032 A 7/29/2011

IHS/NAV 17744 AZ 93210 A 11/19/2010

11996 NC 94690 A

11996 NC 94704 A 7/29/2011

11996 NC 94706 A 8/11/2011

11997 NC 94691 A 7/29/2011

11997 NC 94705 A 7/29/2011

NAIHS - Four Corners Regional Health Center

Processing Complete

NAIHS - Four Corners Regional Health Center

Processing Complete

NAIHS - Four Corners Regional Health Center

Processing Complete

NAIHS - Four Corners Regional Health Center

Processing Complete

NAIHS - Four Corners Regional Health Center

Processing Complete

NAIHS - Dennehotso Clinic

Processing Complete

NAIHS - PHS Rock Point Health Center

Processing Complete

IHS/NSH/I

IHS/NSH Cherokee Hospital

Initial Review Complete

IHS/NSH/I

IHS/NSH Cherokee Hospital

Processing Complete

IHS/NSH/I

IHS/NSH Cherokee Hospital

Processing Complete

IHS/NSH/I

IHS/NSH Cherokee Snowbird Clinic

Processing Complete

IHS/NSH/I

IHS/NSH Cherokee Snowbird Clinic

Processing Complete

Page 526: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13896 ME 94702 A 7/29/2011

17047 LA 94732 A 8/10/2011

11999 MS 94692 A 8/10/2011

11999 MS 94707 A 8/10/2011

12001 NC 94693 A 7/29/2011

12002 MS 94709 A 7/29/2011

12003 MS 94694 A 7/29/2011

12003 MS 94710 A 7/29/2011

12004 MS 94695 A 7/29/2011

12004 MS 94711 A 7/29/2011

12204 FL 94696 A 7/29/2011

12204 FL 94712 A 7/29/2011

IHS/NSH/I

IHS/NSH Houlton Band of Maliseet Indian Hlth Clinic

Processing Complete

IHS/NSH/I

IHS/NSH Jena Band Choctaw Health Care

Processing Complete

IHS/NSH/T

IHS/NSH Chactaw-Bogue Chitto Clinic

Processing Complete

IHS/NSH/T

IHS/NSH Chactaw-Bogue Chitto Clinic

Processing Complete

IHS/NSH/T

IHS/NSH Cherokee Murphy Clinic

Processing Complete

IHS/NSH/T

IHS/NSH Choctaw Hospital

Processing Complete

IHS/NSH/T

IHS/NSH Choctaw-Redwater Clinic

Processing Complete

IHS/NSH/T

IHS/NSH Choctaw-Redwater Clinic

Processing Complete

IHS/NSH/T

IHS/NSH Choctaw-Conehatta Clinic

Processing Complete

IHS/NSH/T

IHS/NSH Choctaw-Conehatta Clinic

Processing Complete

IHS/NSH/T

IHS/NSH Miccosukee Corporation

Processing Complete

IHS/NSH/T

IHS/NSH Miccosukee Corporation

Processing Complete

Page 527: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12205 ME 94713 A 7/29/2011

12206 ME 94697 A 9/8/2011

12206 ME 94714 A 7/29/2011

12207 AL 94698 A 7/29/2011

12207 AL 94721 A 7/29/2011

12208 NY 94730 A 7/29/2011

12340 LA 94699 A 7/29/2011

12341 LA 94700 A 7/29/2011

12342 TX 94701 A 8/10/2011

17046 LA 94731 A 7/29/2011

IHS/NSH/T

IHS/NSH Aroostook Band of Micmacs Micmac Service Unit IHS

Processing Complete

IHS/NSH/T

IHS/NSH Passamaquoddy-Indian Township

Processing Complete

IHS/NSH/T

IHS/NSH Passamaquoddy-Indian Township

Processing Complete

IHS/NSH/T

IHS/NSH Poarch Band of Creek Indians

Processing Complete

IHS/NSH/T

IHS/NSH Poarch Band of Creek Indians

Processing Complete

IHS/NSH/T

IHS/NSH St. Regis Mohawk Tribe

Processing Complete

IHS/NSH/T

IHS/NSH Tunica Biloxi Tribe Clinic

Processing Complete

IHS/NSH/T

IHS/NSH Chitimacha Tribe of Lousiana

Processing Complete

IHS/NSH/T

IHS/NSH Alabama-Coushatta Tribe of Texas

Processing Complete

IHS/NSH/T

IHS/NSH Coushatta Tribe of Louisiana Health Department

Processing Complete

Page 528: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17048 ME 94733 A 8/10/2011

17049 MA 94703 A 7/29/2011

IHS/OIT/T 11995 CA 92540 A 8/22/2011

IHS/OKC 13405 OK 94384 A 7/28/2011

IHS/OKC 13412 OK 94442 A 8/10/2011

IHS/OKC 13412 OK 94443 A 8/10/2011

IHS/OKC 13413 OK 94385 A 7/28/2011

IHS/OKC 13413 OK 94450 A 7/28/2011

IHS/OKC 13418 OK 94453 A 7/28/2011

IHS/NSH/T

IHS/NSH Passamaquoddy Tribe-Pleasant Point

Processing Complete

IHS/NSH/T

IHS/NSH Wampanoag Tribal Health Clinic

Processing Complete

IHS/CAL Indian Health Council Santa Ysabel

Processing Complete

IHS/OKC Cherokee Nation Muskogee Health Center

Processing Complete

IHS/OKC Pawnee PHS Indian Health Center

Processing Complete

IHS/OKC Pawnee PHS Indian Health Center

Processing Complete

IHS/OKC Pawhuska PHS Indian Health Center

Processing Complete

IHS/OKC Pawhuska PHS Indian Health Center

Processing Complete

IHS/OKC Sac & Fox Nation of Oklahoma (Black Hawk Clinic)

Processing Complete

Page 529: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

IHS/OKC 13424 OK 94455 A 7/28/2011

IHS/OKC 13425 OK 94456 A 7/28/2011

IHS/OKC 13426 OK 94458 A 8/10/2011

IHS/OKC 13426 OK 94459 A 8/10/2011

IHS/OKC 13428 OK 94460 A 8/10/2011

IHS/OKC 13428 OK 94461 A 8/10/2011

IHS/OKC 13428 OK 94463 A 8/10/2011

IHS/OKC 13433 KS 94438 A 8/10/2011

IHS/OKC 15212 OK 95466 A 8/10/2011

IHS/OKC 15212 OK 95467 A 7/28/2011

IHS/OKC 15212 OK 95958 A

IHS/OKC Watonga Indian Health Center

Processing Complete

IHS/OKC White Eagle Indian Health Center

Processing Complete

IHS/OKC Wewoka Indian Health Center

Processing Complete

IHS/OKC Wewoka Indian Health Center

Processing Complete

IHS/OKC W W Hasting Indian Hospital

Processing Complete

IHS/OKC W W Hasting Indian Hospital

Processing Complete

IHS/OKC W W Hasting Indian Hospital

Processing Complete

IHS/OKC Kickapoo Nation Health Center

Processing Complete

IHS/OKC Claremore Hospital

Processing Complete

IHS/OKC Claremore Hospital

Processing Complete

IHS/OKC Claremore Hospital

Initial Review Complete

Page 530: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

IHS/OKC 17083 OK 94386 A 7/28/2011

IHS/OKC 17084 OK 94412 A 7/28/2011

IHS/OKC 17085 OK 94408 A 7/28/2011

IHS/OKC 17086 OK 94409 A 8/10/2011

IHS/OKC 17087 KS 94410 A 7/28/2011

13378 OK 94388 A 7/28/2011

13385 OK 94397 A 7/28/2011

13387 OK 94403 A 8/10/2011

13387 OK 94404 A 8/10/2011

13387 OK 94406 A 8/10/2011

IHS/OKC Cherokee Red Bird Smith Health Center

Processing Complete

IHS/OKC Choctaw Idabel Indian Health Clinic

Processing Complete

IHS/OKC Choctaw - Stigler Indian Health Clinic

Processing Complete

IHS/OKC El Reno PHS Indian Health Clinic

Processing Complete

IHS/OKC Praire Band Potawatome Health Center

Processing Complete

IHS/OKC/I

IHS/OKC Anadarko Health Center

Processing Complete

IHS/OKC/I

IHS/OKC Carnegie Indian Health Center

Processing Complete

IHS/OKC/I

IHS/OKC Clinton PHS Indian Hospital

Processing Complete

IHS/OKC/I

IHS/OKC Clinton PHS Indian Hospital

Processing Complete

IHS/OKC/I

IHS/OKC Clinton PHS Indian Hospital

Processing Complete

Page 531: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13387 OK 94407 A 8/10/2011

13403 OK 94441 A 7/28/2011

11149 OK 94454 A 7/28/2011

11518 OK 94383 A 7/28/2011

11518 OK 94439 A 7/28/2011

11519 OK 94451 A 7/28/2011

13382 OK 94392 A 7/28/2011

13384 OK 94393 A 7/28/2011

13397 OK 94411 A 7/28/2011

IHS/OKC/I

IHS/OKC Clinton PHS Indian Hospital

Processing Complete

IHS/OKC/I

IHS/OKC Miami PHS Indian Health Center

Processing Complete

IHS/OKC/T

IHS/OKC Choctaw Nation Health Services Authority

Processing Complete

IHS/OKC/T

IHS/OKC Choctaw McAlester Health Center

Processing Complete

IHS/OKC/T

IHS/OKC Choctaw McAlester Health Center

Processing Complete

IHS/OKC/T

IHS/OKC Choctaw Rubin White Health Clinic

Processing Complete

IHS/OKC/T

IHS/OKC Choctaw Broken Bow Nation Health Clinic

Processing Complete

IHS/OKC/T

IHS/OKC Chickasaw Carl Albert Indian Hospital

Processing Complete

IHS/OKC/T

IHS/OKC Choctaw Hugo PHS Indian Health Center

Processing Complete

Page 532: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13400 OK 94413 A 7/28/2011

IHS/PLT/I 11693 OR 93535 A 7/28/2011

IHS/PLT/I 11693 OR 95157 A 7/28/2011

IHS/PLT/I 11700 OR 95356 A 7/28/2011

IHS/PLT/I 11705 ID 95197 A 7/28/2011

IHS/PLT/I 11709 OR 93356 A 7/28/2011

IHS/PLT/I 11710 WA 93421 A 7/28/2011

IHS/PLT/I 11721 OR 95041 A 7/28/2011

IHS/PLT/I 11721 OR 95224 A 7/28/2011

IHS/PLTI 11694 WA 93296 A 7/28/2011

IHS/PTL 13083 WA 93474 A 7/28/2011

IHS/OKC/T

IHS/OKC Kanza Health Center

Processing Complete

IHS/PTL Coquille Indian Tribe Community Health Dept

Processing Complete

IHS/PTL Coquille Indian Tribe Community Health Dept

Processing Complete

IHS/PTL Cow Creek Band of Umpqua Indians

Processing Complete

IHS/PTL Kootenai Hlth Station

Processing Complete

IHS/PTL Warm Springs Hlth & Wellness Ctr

Processing Complete

IHS/PTL Wellpinit

Processing Complete

IHS/PTL Klamath Tribal Hlth & Family Service

Processing Complete

IHS/PTL Klamath Tribal Hlth & Family Service

Processing Complete

IHS/PTL Colville Hlth Ctr

Processing Complete

IHS/PTL Snoqualmie North Bend

Processing Complete

Page 533: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

IHS/PTL/ 16739 OR 93476 A 8/1/2011

IHS/PTL/I 11692 OR 93295 A 7/28/2011

IHS/PTL/I 11695 WA 93536 A 7/28/2011

IHS/PTL/I 11695 WA 95159 A 7/28/2011

IHS/PTL/I 11697 WA 95167 A 7/28/2011

IHS/PTL/I 11698 WA 95168 A 7/28/2011

IHS/PTL/I 11699 WA 95195 A 7/28/2011

IHS/PTL/I 11702 WA 93354 A 7/28/2011

IHS/PTL/I 11704 WA 95196 A 7/28/2011

IHS/PTL/I 11708 ID 95218 A 7/28/2011

IHS/PTL/I 11711 WA 93422 A 7/28/2011

IHS/PTL/I 11712 OR 93423 A 7/28/2011

IHS/PTL Warm Springs Diabetes

Processing Complete

IHS/PTL Confederate Tribes of Coos, L Umpqua & Siuslaw

Processing Complete

IHS/PTL Sally Selvidge Hlth Ctr

Processing Complete

IHS/PTL Sally Selvidge Hlth Ctr

Processing Complete

IHS/PTL Stillaguamish Health Clinic

Processing Complete

IHS/PTL Chehalis Tribal Wellness Center

Processing Complete

IHS/PTL Swinomish Hlth Clinic

Processing Complete

IHS/PTL Shoalwater Bay Tribal Hlth Clinic

Processing Complete

IHS/PTL Quileute Hlth Ctr

Processing Complete

IHS/PTL Ft Hall Hlth Ctr

Processing Complete

IHS/PTL Yakama Health Center

Processing Complete

IHS/PTL Yellowhawk Health Center

Processing Complete

Page 534: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

IHS/PTL/I 11713 WA 93424 A 7/28/2011

IHS/PTL/I 11714 ID 93425 A 7/28/2011

IHS/PTL/I 11714 ID 96552 A 11/19/2010

IHS/PTL/I 11714 ID 96634 A 2/25/2011

IHS/PTL/I 11714 ID 96659 A 2/25/2011

IHS/PTL/I 11715 WA 93426 A 7/28/2011

IHS/PTL/I 11715 WA 99148 A 7/28/2011

IHS/PTL/I 11720 WA 95223 A 7/28/2011

IHS/PTL/I 11722 WA 93427 A 7/28/2011

IHS/PTL/I 11724 WA 93537 A 7/28/2011

IHS/PTL/I 11724 WA 95226 A 7/28/2011

IHS/PTL/I 11729 WA 93429 A 7/28/2011

IHS/PTL/I 15583 WA 93475 A 7/28/2011

11691 ID 93534 A 7/28/2011

IHS/PTL Nooksack Tribal Health Center

Processing Complete

IHS/PTL Ni-Mii-Puu Health

Processing Complete

IHS/PTL Ni-Mii-Puu Health

Processing Complete

IHS/PTL Ni-Mii-Puu Health

Processing Complete

IHS/PTL Ni-Mii-Puu Health

Processing Complete

IHS/PTL Neah Bay Hlth Ctr

Processing Complete

IHS/PTL Neah Bay Hlth Ctr

Processing Complete

IHS/PTL Upper Skagit Tribal Council

Processing Complete

IHS/PTL Sauk-Siuattle Health Clinic

Processing Complete

IHS/PTL Skokomish Hlth Station

Processing Complete

IHS/PTL Skokomish Hlth Station

Processing Complete

IHS/PTL Roger Saux Health Center

Processing Complete

IHS/PTL Omak

Processing Complete

IHS/PTL/T

IHS/PTL Coeur D

Processing Complete

Page 535: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11691 ID 95043 A 7/28/2011

11696 OR 93301 A 7/28/2011

11703 WA 93355 A 7/28/2011

11723 OR 93428 A 7/28/2011

11730 OR 93430 A 7/28/2011

13765 ID 96661 A 11/19/2010

IHS/TUC 12015 AZ 95262 A 7/25/2011

IHS/TUC 12015 AZ 95263 A 7/27/2011

IHS/TUC 12015 AZ 95267 A 7/25/2011

IHS/TUC 12016 AZ 95269 A 7/25/2011

IHS/TUC 12019 AZ 95271 A 7/25/2011

IHS/TUC 16624 AZ 95273 A 7/25/2011

IHS/PTL/T

IHS/PTL Coeur D

Processing Complete

IHS/PTL/T

IHS/PTL Burns Paiute Hlth Clinic

Processing Complete

IHS/PTL/T

IHS/PTL Inchelium Hlth Ctr

Processing Complete

IHS/PTL/T

IHS/PTL Confederated Tribes of Siletz Indians Hlth Ctr

Processing Complete

IHS/PTL/T

IHS/PTL Grand Ronde Health & Wellness Center

Processing Complete

IHS/PTL/T

Kamiah Health Station

Processing Complete

IHS/TUC Sells Indian Hospital

Processing Complete

IHS/TUC Sells Indian Hospital

Processing Complete

IHS/TUC Sells Indian Hospital

Processing Complete

IHS/TUC Santa Rosa Severely Mentally Ill Facility

Processing Complete

IHS/TUC Santa Rosa Clinic

Processing Complete

IHS/TUC San Simon Health Center

Processing Complete

Page 536: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13065 IL 89540 A

13065 IL 93340 A 2/10/2011

17223 IL 91225 A 1/14/2010

17223 IL 98374 A

17223 IL 98660 A 2/22/2011

17223 IL 99603 A 12/14/2010

17223 IL 99978 A 12/15/2010

17223 IL 100889 A 6/5/2012

17223 IL 101086 A 8/22/2011

17223 IL 107282 A 11/29/2011

17223 IL 107283 A 11/29/2011

17223 IL 107284 A 11/22/2011

17223 IL 107505 A 9/20/2011

17223 IL 108986 A 10/13/2011

17223 IL 108990 A 10/13/2011

17223 IL 109385 A 1/24/2012

17223 IL 110017 A 11/29/2011

Illinois Department of Public Health

Hamilton Memorial Hospital

Initial Review Complete

Illinois Department of Public Health

Hamilton Memorial Hospital

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

In Process

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Page 537: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17223 IL 110018 A

17223 IL 110876 A 12/14/2011

17223 IL 111467 A 6/1/2012

17223 IL 111673 A 1/18/2012

17223 IL 111678 A 5/25/2012

17223 IL 113240 A 12/11/2012

17223 IL 113614 A

17223 IL 113978 A

17223 IL 115289 A 7/30/2012

17223 IL 116575 A 7/30/2012

17223 IL 117665 A 8/9/2012

17223 IL 117729 A 7/30/2012

17223 IL 117736 A 7/30/2012

17223 IL 119466 A 9/21/2012

17223 IL 119477 A 9/24/2012

17223 IL 119480 A 9/24/2012

17223 IL 119482 A 11/14/2012

17223 IL 119494 A 1/17/2013

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

In Process

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Page 538: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17223 IL 119511 A 4/5/2013

17223 IL 119514 A 11/14/2012

17223 IL 119570 A 7/3/2014

17223 IL 119573 A 7/3/2014

17223 IL 119575 A

17223 IL 119676 A 6/6/2013

17223 IL 119677 A 6/6/2013

17223 IL 119681 A 8/8/2013

17223 IL 119682 A 8/16/2013

17223 IL 119685 A 2/12/2014

12231 AZ 93013 A 5/18/2010

13828 UT 93127 A 8/4/2011

13828 UT 93128 A 8/4/2011

18091 WA 93540 A 7/28/2011

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Illinois Rural HealthNet

Illinois Rural HealthNet

Processing Complete

Indian Health Service

Fort Mohave Indian Health Center

Processing Complete

Indian Health Service - Phoenix Area Office

IHS/PHX Goshute Tribal Health Clinic

Processing Complete

Indian Health Service - Phoenix Area Office

IHS/PHX Goshute Tribal Health Clinic

Processing Complete

Indian Health Service/Portland Area

IHS/PTL Samish Indian Nation of Washington, Commercial

Processing Complete

Page 539: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18091 WA 95042 A

11396 AZ 91953 A 5/11/2010

11396 AZ 91954 A 5/11/2010

11396 AZ 93090 A 5/11/2010

11396 AZ 93091 A 5/11/2010

12021 AZ 93093 A 5/14/2010

12021 AZ 93094 A 5/14/2010

12210 CA 93087 A 8/4/2011

12211 AZ 93084 A 5/14/2010

12214 NV 93101 A 8/4/2011

Indian Health Service/Portland Area

IHS/PTL Samish Indian Nation of Washington, Commercial

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Whiteriver Indian Health Services

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Whiteriver Indian Health Services

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Whiteriver Indian Health Services

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Whiteriver Indian Health Services

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Hopi Health Care Center

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Hopi Health Care Center

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Chemehuevi Health Clinic

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Cibecue Indian Health Service Clinic

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Duckwater Shoshone Tribe Clinic

Processing Complete

Page 540: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12217 NV 93097 A 5/14/2010

12228 NV 93098 A 5/18/2010

12230 UT 93099 A 5/18/2010

12232 CA 93106 A

12232 CA 93107 A 5/18/2010

12234 AZ 93108 A 5/18/2010

12234 AZ 93110 A 5/18/2010

12236 NV 94682 A 8/4/2011

12240 UT 93116 A 5/18/2010

12241 AZ 93119 A 5/18/2010

Indian Health Service-Phoenix Area

IHS/PHX Elko Souther Band Health Clinic

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Fallon Paiute Shoshone Indian Health Clinic

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Fort Duchesne Health Center

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Fort Yuma Indian Health Service

Initial Review Complete

Indian Health Service-Phoenix Area

IHS/PHX Fort Yuma Indian Health Service

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Hu Hu Kam Memorial Hospital

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Hu Hu Kam Memorial Hospital

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX McDermitt Tribal Health Center

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Paiute Indian Tribe of Utah Clinic

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Parker Indian Hospital

Processing Complete

Page 541: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12241 AZ 93121 A 8/4/2011

12242 AZ 93122 A 5/18/2010

12242 AZ 93123 A 8/4/2011

12243 NV 93125 A 5/18/2010

12245 AZ 93140 A 5/18/2010

12245 AZ 93141 A 5/18/2010

12246 NV 93139 A 5/26/2010

12254 NV 93137 A 5/26/2010

13002 AZ 93136 A 8/4/2011

14815 AZ 94680 A

Indian Health Service-Phoenix Area

IHS/PHX Parker Indian Hospital

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Peach Springs Health Center

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Peach Springs Health Center

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Pyramid Lake Tribal Health Center

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX San Carlos Hospital

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX San Carlos Hospital

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Schurz Service Unit

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Yerington Paiute Tribal Clinic

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Yavapai-Apache Tribal Health Clinic

Processing Complete

Indian Health Service-Phoenix Area

IHS/PHX Hopi Guidance Center

Processing Complete

Page 542: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12235 AZ 93111 A 5/18/2010

17224 IN 95718 A 7/26/2010

17224 IN 96300 A 7/26/2010

17224 IN 96757 A 7/26/2010

17224 IN 96778 A 7/26/2010

17224 IN 97261 A 10/29/2010

17224 IN 97616 A 9/15/2010

17224 IN 97891 A 2/22/2011

17224 IN 97946 A 2/22/2011

17224 IN 98265 A 11/29/2010

17224 IN 99127 A 11/29/2010

17224 IN 105902 A 7/20/2011

17224 IN 107596 A 12/12/2011

Indian Health Service-PHX Area

IHS/PHX WASSAJA MEMORIAL HEALTH CLINIC

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Page 543: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17224 IN 109619 A 5/3/2012

17224 IN 109961 A 2/21/2012

17224 IN 110310 A 2/15/2012

17224 IN 110314 A 5/22/2012

17224 IN 110723 A

17224 IN 110728 A 2/3/2012

17224 IN 110729 A 1/10/2012

17224 IN 110758 A 1/9/2012

17224 IN 110760 A

17224 IN 110772 A

17224 IN 110774 A 1/10/2012

17224 IN 111023 A 1/9/2012

17224 IN 111122 A 2/17/2012

17224 IN 111438 A 1/10/2013

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Page 544: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17224 IN 112135 A 2/21/2012

17224 IN 112570 A 8/3/2012

17224 IN 112721 A 7/16/2012

17224 IN 113803 A 10/17/2012

17224 IN 113828 A 10/16/2012

17224 IN 113845 A

17224 IN 113859 A 5/16/2012

17224 IN 115156 A 6/19/2012

17224 IN 115205 A 12/19/2012

17224 IN 115757 A 8/22/2012

17224 IN 116199 A 9/5/2012

17224 IN 116200 A 9/4/2012

17224 IN 116424 A 6/19/2012

17224 IN 117727 A 11/2/2012

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Page 545: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17224 IN 118630 A 9/25/2012

17224 IN 118907 A 10/9/2012

17224 IN 119358 A 4/12/2013

17224 IN 119508 A 3/27/2013

17224 IN 119620 A 2/27/2013

17224 IN 119621 A 9/9/2013

17224 IN 119653 A 9/9/2013

10397 OK 91716 A 2/26/2010

10593 OK 91711 A 2/26/2010

10594 OK 90627 A 2/26/2010

11617 OK 91714 A 2/26/2010

11618 OK 91717 A 2/26/2010

12374 OK 91712 A 2/26/2010

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

Indiana Telehealth Network

Indiana Telehealth Network

Processing Complete

INTEGRIS

Integris Clinton Regional Hospital

Processing Complete

INTEGRIS

Integris Grove General Hospital

Processing Complete

INTEGRIS

Integris Baptist Regional Health

Processing Complete

INTEGRIS

Integris Marshall Memorial Hospital

Processing Complete

INTEGRIS

Integris Blackwell Regional Hospital

Processing Complete

INTEGRIS

INTEGRIS MAYES COUNTY MEDICAL CENTER

Processing Complete

Page 546: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17142 OK 91713 A 2/26/2010

17714 OK 94605 A 3/15/2011

10332 UT 92848 A 12/28/2010

10333 ID 92849 A 12/28/2010

10333 ID 92850 A 12/28/2010

10333 ID 92925 A 12/28/2010

10333 ID 93613 A 12/28/2010

10334 UT 92927 A 3/14/2011

10334 UT 92969 A 3/14/2011

10337 UT 92926 A 3/14/2011

10337 UT 92970 A 3/14/2011

10339 UT 92986 A 3/14/2011

10341 UT 93060 A 3/14/2011

INTEGRIS

Integris Seminole Medical Center

Processing Complete

INTEGRIS

Waynoka Family Clinic

Processing Complete

Intermountain Health Care

Bear River Valley Hospital

Processing Complete

Intermountain Health Care

Cassia Regional Medical Center

Processing Complete

Intermountain Health Care

Cassia Regional Medical Center

Processing Complete

Intermountain Health Care

Cassia Regional Medical Center

Processing Complete

Intermountain Health Care

Cassia Regional Medical Center

Processing Complete

Intermountain Health Care

Delta Community Medical Center

Processing Complete

Intermountain Health Care

Delta Community Medical Center

Processing Complete

Intermountain Health Care

Fillmore Community Medical Center

Processing Complete

Intermountain Health Care

Fillmore Community Medical Center

Processing Complete

Intermountain Health Care

Logan Regional Hospital

Processing Complete

Intermountain Health Care

Sanpete Valley Hospital

Processing Complete

Page 547: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10341 UT 93060 B 3/14/2011

10342 UT 93341 A 3/14/2011

10342 UT 93543 A 3/14/2011

10344 UT 92928 A 3/14/2011

10344 UT 92930 A 3/14/2011

10344 UT 92972 A 3/14/2011

10344 UT 93062 A 3/14/2011

10344 UT 93065 A 3/14/2011

10344 UT 93067 A 3/14/2011

10344 UT 93070 A 3/14/2011

10344 UT 93078 A 3/14/2011

10344 UT 93080 A 3/14/2011

13048 UT 92973 A 3/14/2011

16427 UT 93664 A 3/15/2011

Intermountain Health Care

Sanpete Valley Hospital

Processing Complete

Intermountain Health Care

Sevier Valley Hospital

Processing Complete

Intermountain Health Care

Sevier Valley Hospital

Processing Complete

Intermountain Health Care

Valley View Medical Center

Processing Complete

Intermountain Health Care

Valley View Medical Center

Processing Complete

Intermountain Health Care

Valley View Medical Center

Processing Complete

Intermountain Health Care

Valley View Medical Center

Processing Complete

Intermountain Health Care

Valley View Medical Center

Processing Complete

Intermountain Health Care

Valley View Medical Center

Processing Complete

Intermountain Health Care

Valley View Medical Center

Processing Complete

Intermountain Health Care

Valley View Medical Center

Processing Complete

Intermountain Health Care

Valley View Medical Center

Processing Complete

Intermountain Health Care

Heber Valley Med Center

Processing Complete

Intermountain Health Care

Bryce Valley Clinic

Processing Complete

Page 548: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16428 UT 93665 A 3/15/2011

16429 UT 93666 A 3/15/2011

18082 UT 93059 A 3/15/2011

17225 IA 96263 A 7/14/2010

17225 IA 98434 A 10/29/2010

17225 IA 98435 A 10/29/2010

17225 IA 98608 A 10/29/2010

17225 IA 99519 A 3/4/2011

17225 IA 104874 A 6/30/2011

17225 IA 107236 A 10/3/2011

17225 IA 107237 A 10/3/2011

17225 IA 107240 A 10/3/2011

17225 IA 107392 A 10/3/2011

17226 IA 88978 A 9/8/2009

17226 IA 88985 A 9/8/2009

Intermountain Health Care

Circleville Clinic

Processing Complete

Intermountain Health Care

Escalante Clinic

Processing Complete

Intermountain Healthcare

Park City Medical Center

Processing Complete

Iowa Health System

Iowa Health System

Processing Complete

Iowa Health System

Iowa Health System

Processing Complete

Iowa Health System

Iowa Health System

Processing Complete

Iowa Health System

Iowa Health System

Processing Complete

Iowa Health System

Iowa Health System

Processing Complete

Iowa Health System

Iowa Health System

Processing Complete

Iowa Health System

Iowa Health System

Processing Complete

Iowa Health System

Iowa Health System

Processing Complete

Iowa Health System

Iowa Health System

Processing Complete

Iowa Health System

Iowa Health System

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Page 549: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17226 IA 88986 A 9/8/2009

17226 IA 89012 A 9/17/2009

17226 IA 89025 A 11/24/2009

17226 IA 89026 A 9/17/2009

17226 IA 89111 A 9/17/2009

17226 IA 89362 A 9/17/2009

17226 IA 89552 A 9/17/2009

17226 IA 91093 A 1/15/2010

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Page 550: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17226 IA 91095 A 1/5/2010

17226 IA 91161 A 1/5/2010

17226 IA 93581 A 5/5/2010

17226 IA 98319 A 9/28/2010

17226 IA 98320 A 9/28/2010

17226 IA 98321 A 9/28/2010

17226 IA 106181 A 7/22/2011

17226 IA 106346 A 7/20/2011

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Page 551: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17226 IA 109616 A 10/25/2011

17226 IA 109836 A 11/29/2011

17226 IA 113802 A 4/3/2012

17226 IA 114407 A 4/23/2012

17226 IA 118274 A 7/20/2012

17226 IA 119145 A 9/21/2012

17226 IA 119353 A 8/9/2012

17226 IA 119501 A 11/2/2012

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Page 552: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17226 IA 119589 A 11/30/2012

17226 IA 119616 A 1/3/2013

11315 AK 94884 A 8/19/2011

11315 AK 94886 A 8/16/2011

11315 AK 94887 A 8/19/2011

KAT 14000 LA 97170 A

KAT 14457 LA 97021 A

KAT 15573 LA 97025 A 8/18/2011

KAT 15638 AL 93035 A 9/23/2010

KAT 15648 AL 93238 A 9/22/2010

KAT 15649 AL 93239 A 9/22/2010

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Iowa Rural Health Telecommunications Program

Iowa Hospital Association

Processing Complete

Karluk IRA Tribal Council

Karluk Health Clinic

Processing Complete

Karluk IRA Tribal Council

Karluk Health Clinic

Processing Complete

Karluk IRA Tribal Council

Karluk Health Clinic

Processing Complete

Union General Hospital

Processing Complete

Primary Care Providers for a Healthy Feliciana (Jackson St)

Processing Complete

Clinton Middle Health Center

Processing Complete

Elmore County Health Department

Processing Complete

Lawrence County Health Department

Processing Complete

Limestone County Health Department

Processing Complete

Page 553: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

KAT 15663 AL 93616 A 9/22/2010

KAT 15664 AL 93619 A 9/22/2010

KAT 15708 LA 90946 A 3/10/2011

KAT 15708 LA 90947 A

KAT 15708 LA 91305 A

KAT 15708 LA 95780 A

KAT 15802 LA 97054 A 8/15/2011

17030 KY 90060 A 5/17/2011

17229 KY 107191 A 8/31/2012

17229 KY 116291 A 11/19/2012

17229 KY 117929 A 2/1/2013

St. Clair County Health Department

Processing Complete

St. Clair County Health Department

Processing Complete

Richardson Medical Center

Processing Complete

Richardson Medical Center

Initial Review Complete

Richardson Medical Center

Processing Complete

Richardson Medical Center

Initial Review Complete

RKM Primary Care - Jackson

Processing Complete

Kentuck Telehealth Network

Trover Clinic

Processing Complete

Kentucky Behavioral Telehealth Network

Kentucky Behavioral Telehealth Network

Processing Complete

Kentucky Behavioral Telehealth Network

Kentucky Behavioral Telehealth Network

Processing Complete

Kentucky Behavioral Telehealth Network

Kentucky Behavioral Telehealth Network

Processing Complete

Page 554: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17229 KY 119357 A

18314 AK 96066 A 6/16/2011

12738 KS 88924 A 11/9/2009

17462 IN 89410 A 6/21/2010

15882 KY 89397 A 6/21/2010

15883 KY 89409 A 6/21/2010

15883 KY 95804 A 5/2/2011

15884 IN 89407 A 6/21/2010

15885 IN 89395 A 6/21/2010

Kentucky Behavioral Telehealth Network

Kentucky Behavioral Telehealth Network

Processing Complete

Ketchikan General Hospital

PeaceHealth Prince of Wales Clinic

Processing Complete

KHA, Sunflower Health Network

Lindsborg Community Hospital

Processing Complete

Kings Daughters Hospital & Health Services

Convenient Care Center

Processing Complete

King's Daughters' Hospital & Health Services

Riverbourne Medical Center

Processing Complete

King's Daughters' Hospital & Health Services

Trimble County Medical Building

Processing Complete

King's Daughters' Hospital & Health Services

Trimble County Medical Building

Processing Complete

King's Daughters' Hospital & Health Services

Hanover Clinic

Processing Complete

King's Daughters' Hospital & Health Services

Hilltop Clinic

Processing Complete

Page 555: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15888 IN 89402 A 6/21/2010

15889 IN 89401 A 6/21/2010

15890 IN 89399 A 6/21/2010

15891 IN 89404 A 6/21/2010

16499 IN 91997 A

16500 IN 91998 A

16500 IN 92890 A

18174 IA 93778 A 9/14/2010

11193 AK 95152 A 4/19/2011

King's Daughters' Hospital & Health Services

Switzerland County Medical Building

Processing Complete

King's Daughters' Hospital & Health Services

Versailles Main Street Clinic

Processing Complete

King's Daughters' Hospital & Health Services

Versailles Tyson Street Clinic

Processing Complete

King's Daughters' Hospital & Health Services

Vevay Main Street Clinic

Processing Complete

King's Daughters' Hospital and Health Services

Kings Daughters Rehabilitation Center

Processing Complete

King's Daughters' Hospital and Health Services

Kings Daughters Sleep Lab

Initial Review Complete

King's Daughters' Hospital and Health Services

Kings Daughters Sleep Lab

Initial Review Complete

Knoxville Hospital

Pleasantville Clinic

Processing Complete

Kodiak Area Native association

Port Lions Health Clinic

Processing Complete

Page 556: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11193 AK 119778 A

11195 AK 95155 A 4/19/2011

11195 AK 119779 A

11195 AK 119821 A

11196 AK 95134 A 4/19/2011

11196 AK 119780 A

11197 AK 95126 A 4/19/2011

11197 AK 95131 A 4/19/2011

11197 AK 119781 A

11197 AK 119782 A

Kodiak Area Native association

Port Lions Clinic

Processing Complete

Kodiak area Native Association

Ouzinkie Health Clinic

Processing Complete

Kodiak area Native Association

Ouzinkie Clinic

Processing Complete

Kodiak area Native Association

Ouzinkie Clinic

Processing Complete

Kodiak Area Native Association

Akhiok Health Clinic

Processing Complete

Kodiak Area Native Association

Akhiok Clinic

Processing Complete

Kodiak Area Native Association

Kodiak Area Native Association

Processing Complete

Kodiak Area Native Association

Kodiak Area Native Association

Processing Complete

Kodiak Area Native Association

Kodiak Area Native Association-KANA Medical Clinic

Processing Complete

Kodiak Area Native Association

Kodiak Area Native Association-KANA Medical Clinic

Processing Complete

Page 557: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11198 AK 95139 A 4/19/2011

11198 AK 119783 A

11199 AK 95138 A 4/19/2011

11199 AK 119784 A

13010 MO 91947 A 6/8/2010

13010 MO 91951 A 6/8/2010

13010 MO 91952 A 6/8/2010

11211 AZ 89363 A

18270 OH 93722 A 7/12/2010

18271 OH 93723 A 7/12/2010

18272 OH 93724 A 7/12/2010

18276 OH 93725 A 7/12/2010

14799 WV 96610 A 3/30/2011

Kodiak Area Native Association

Old Harbor Health Clinic

Processing Complete

Kodiak Area Native Association

Old Harbor Health Clinic

Processing Complete

Kodiak Area Native Association

Larsen Bay Health Clinic

Processing Complete

Kodiak Area Native Association

Larsen Bay Clinic

Processing Complete

Lake Regional Health System

Lake Regional Hospital

Processing Complete

Lake Regional Health System

Lake Regional Hospital

Processing Complete

Lake Regional Health System

Lake Regional Hospital

Processing Complete

Leupp Health Center

NAIHS - Leupp Health Stations

Initial Review Complete

Lima Hospital

Ada Life Medical Center

Processing Complete

Lima Hospital

Family Physicians at Columbus Grove

Processing Complete

Lima Hospital

Lincoln Family Practice

Processing Complete

Lima Hospital

Waynesfield Medical Center

Processing Complete

Lincoln County Primary Care Center

Guyan Valley Wellness Center

Processing Complete

Page 558: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16028 WV 96649 A 3/30/2011

16029 WV 96645 A 3/30/2011

Little Falls 13998 MN 95340 A 6/1/2011

Little Falls 13998 MN 95343 A 6/1/2011

17230 LA 89274 A 10/30/2009

17230 LA 119354 A

17230 LA 119356 A

17230 LA 119473 A

17230 LA 119558 A

Lincoln County Primary Care Center, Inc.

Duval Middle School Health Center

Processing Complete

Lincoln County Primary Care Center, Inc.

Lincoln County High School Health Center

Processing Complete

Northern Pines Mental Health Center

Processing Complete

Northern Pines Mental Health Center

Processing Complete

Louisiana Dept of Health and Hospitals

Louisiana Department of Health and Hospitals

Processing Complete

Louisiana Dept of Health and Hospitals

Louisiana Department of Health and Hospitals

Processing Complete

Louisiana Dept of Health and Hospitals

Louisiana Department of Health and Hospitals

Processing Complete

Louisiana Dept of Health and Hospitals

Louisiana Department of Health and Hospitals

Processing Complete

Louisiana Dept of Health and Hospitals

Louisiana Department of Health and Hospitals

Processing Complete

Page 559: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12005 OR 91490 A

12005 OR 100806 A 6/9/2011

11526 ME 94289 A 7/12/2010

11526 ME 94290 A 7/12/2010

11526 ME 94291 A 7/12/2010

11526 ME 94292 A 7/12/2010

14886 CA 95377 A 9/21/2010

14886 CA 95378 A 9/21/2010

14886 CA 95379 A 9/21/2010

14887 CA 95380 A 9/21/2010

14887 CA 95381 A 9/21/2010

mailto:[email protected]

Holy Rosary Medical Center

Processing Complete

mailto:[email protected]

Holy Rosary Medical Center

Processing Complete

Maine Coast

Maine Coast Memorial Hospital

Processing Complete

Maine Coast

Maine Coast Memorial Hospital

Processing Complete

Maine Coast

Maine Coast Memorial Hospital

Processing Complete

Maine Coast

Maine Coast Memorial Hospital

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Bishop

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Bishop

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Bishop

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Bridgeport

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Bridgeport

Processing Complete

Page 560: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14888 CA 90826 A 1/21/2010

14888 CA 90827 A 2/4/2010

14888 CA 91017 A 2/4/2010

14888 CA 91018 A 2/4/2010

14888 CA 91019 A 2/2/2010

14888 CA 91020 A 2/8/2010

14888 CA 91021 A 2/4/2010

14888 CA 91022 A 2/16/2010

14888 CA 91023 A 1/21/2010

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Page 561: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14888 CA 94997 A 9/21/2010

14888 CA 94999 A 9/21/2010

14888 CA 95000 A 9/21/2010

14888 CA 95002 A 9/21/2010

14888 CA 95014 A

14888 CA 95015 A

14888 CA 95017 A 9/21/2010

14888 CA 95023 A 9/21/2010

14888 CA 104892 A 7/5/2011

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Page 562: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14888 CA 104894 A 7/5/2011

16727 MI 96160 A 10/14/2010

16727 MI 96161 A 10/14/2010

16727 MI 96162 A 10/14/2010

13147 ND 92711 A 4/2/2010

13149 ND 93484 A 7/6/2010

13149 ND 94169 A 7/6/2010

13150 ND 92768 A 4/2/2010

13150 ND 92769 A 4/2/2010

13150 ND 93055 A 4/21/2010

13150 ND 93056 A 4/16/2010

Mammoth Hospital

Southern Mono Healthcare District - Mammoth Lakes

Processing Complete

Marquette General Hospital

Marquette General Hospital - Negaunee Medical Association

Processing Complete

Marquette General Hospital

Marquette General Hospital - Negaunee Medical Association

Processing Complete

Marquette General Hospital

Marquette General Hospital - Negaunee Medical Association

Processing Complete

Medcenter One Health Systems

MedCenter One Bowman

Processing Complete

Medcenter One Health Systems

MedCenter One Dickinson

Processing Complete

Medcenter One Health Systems

MedCenter One Dickinson

Processing Complete

Medcenter One Health Systems

MedCenter One Jamestown

Processing Complete

Medcenter One Health Systems

MedCenter One Jamestown

Processing Complete

Medcenter One Health Systems

MedCenter One Jamestown

Processing Complete

Medcenter One Health Systems

MedCenter One Jamestown

Processing Complete

Page 563: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

Medi-Sota 13664 MN 96816 A 11/4/2010

Medi-Sota 13664 MN 96822 A 11/4/2010

Medline 14615 WI 92330 A 5/17/2010

Medline 14615 WI 94832 A 7/8/2010

Medline 14615 WI 95310 A 9/20/2010

Medline 14615 WI 96595 A 9/20/2010

Medline 14615 WI 96796 A 9/20/2010

15431 GA 89878 A 5/20/2010

15431 GA 89879 A 5/20/2010

15431 GA 89880 A 5/20/2010

15431 GA 89881 A 5/20/2010

15431 GA 89882 A 5/20/2010

15431 GA 89883 A 5/20/2010

15431 GA 89884 A 5/20/2010

15431 GA 89885 A 5/20/2010

15431 GA 89888 A 5/20/2010

Swift County - Benson Hospital

Processing Complete

Swift County - Benson Hospital

Processing Complete

Aspirus General Clinic – Antigo

Processing Complete

Aspirus General Clinic – Antigo

Processing Complete

Aspirus General Clinic – Antigo

Processing Complete

Aspirus General Clinic – Antigo

Processing Complete

Aspirus General Clinic – Antigo

Processing Complete

MedLink Georgia, Inc.

MedLink Bowman

Processing Complete

MedLink Georgia, Inc.

MedLink Bowman

Processing Complete

MedLink Georgia, Inc.

MedLink Bowman

Processing Complete

MedLink Georgia, Inc.

MedLink Bowman

Processing Complete

MedLink Georgia, Inc.

MedLink Bowman

Processing Complete

MedLink Georgia, Inc.

MedLink Bowman

Processing Complete

MedLink Georgia, Inc.

MedLink Bowman

Processing Complete

MedLink Georgia, Inc.

MedLink Bowman

Processing Complete

MedLink Georgia, Inc.

MedLink Bowman

Processing Complete

Page 564: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15431 GA 89890 A 5/20/2010

12415 IL 90314 A 12/30/2009

12415 IL 90316 A 12/9/2009

12415 IL 90386 A 4/26/2010

12415 IL 90387 A 4/26/2010

12416 IL 90350 A 4/26/2010

12416 IL 90358 A 1/29/2010

12416 IL 90390 A 4/26/2010

12416 IL 90393 A 4/26/2010

16821 IL 90348 A 4/26/2010

16821 IL 90349 A 1/29/2010

16821 IL 90388 A 4/26/2010

16821 IL 90389 A 4/26/2010

17888 MI 95828 A

MedLink Georgia, Inc.

MedLink Bowman

Processing Complete

Memorial Health System

Abraham Lincoln Memorial Hospital

Processing Complete

Memorial Health System

Abraham Lincoln Memorial Hospital

Processing Complete

Memorial Health System

Abraham Lincoln Memorial Hospital

Processing Complete

Memorial Health System

Abraham Lincoln Memorial Hospital

Processing Complete

Memorial Health System

Taylorville Memorial Hospital

Processing Complete

Memorial Health System

Taylorville Memorial Hospital

Processing Complete

Memorial Health System

Taylorville Memorial Hospital

Processing Complete

Memorial Health System

Taylorville Memorial Hospital

Processing Complete

Memorial Health System

Mental Health Centers of Central Illinois

Processing Complete

Memorial Health System

Mental Health Centers of Central Illinois

Processing Complete

Memorial Health System

Mental Health Centers of Central Illinois

Processing Complete

Memorial Health System

Mental Health Centers of Central Illinois

Processing Complete

Mercy Health

Lakeshore Medical Center

Initial Review Complete

Page 565: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15559 WI 88703 A 2/3/2010

15561 WI 88705 A 2/3/2010

15562 WI 88706 A 2/3/2010

15563 IL 88707 A 2/3/2010

15564 WI 88708 A 2/3/2010

15565 WI 88709 A 2/3/2010

11374 NE 95114 A

11374 NE 96386 A 9/19/2010

11377 IA 96430 A 9/19/2010

11377 IA 96430 B 9/19/2010

11381 IA 96438 A 9/19/2010

13196 IA 96444 A 9/19/2010

13196 IA 96444 B 9/19/2010

13198 IA 96422 A 9/19/2010

Mercy Health System

Mercy Brodhead Medical Center

Processing Complete

Mercy Health System

Mercy Edgerton Medical Center

Processing Complete

Mercy Health System

Mercy Evansville Medical Center

Processing Complete

Mercy Health System

Mercy Harvard Clinic South

Processing Complete

Mercy Health System

Mercy Lake Geneva Medical Center

Processing Complete

Mercy Health System

Mercy Sharon Medical Center

Processing Complete

Mercy Medical

Pender Mercy Medical Clinic

Initial Review Complete

Mercy Medical

Pender Mercy Medical Clinic

Processing Complete

Mercy Medical

Kingsley Mercy Medical Clinic

Processing Complete

Mercy Medical

Kingsley Mercy Medical Clinic

Processing Complete

Mercy Medical

Maple Valley Mercy Medical Clinic

Processing Complete

Mercy Medical

Hawarden Hospital

Processing Complete

Mercy Medical

Hawarden Hospital

Processing Complete

Mercy Medical

Akron Mercy Medical Clinic

Processing Complete

Page 566: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13198 IA 96422 B 9/19/2010

17562 NE 95330 A 9/19/2010

17564 NE 87772 A

17564 NE 95327 A 9/19/2010

17586 NE 95329 A 9/19/2010

17634 IA 96426 A 9/19/2010

17645 IA 95332 A 9/19/2010

11059 IA 96442 A 9/19/2010

11059 IA 96442 B 9/19/2010

11059 IA 96442 C 9/19/2010

11373 IA 96440 A 9/19/2010

11373 IA 96440 B 9/19/2010

13197 IA 96441 A 9/19/2010

13197 IA 96441 B 9/19/2010

Mercy Medical

Akron Mercy Medical Clinic

Processing Complete

Mercy Medical

Bancroft Mercy Medical Clinic

Processing Complete

Mercy Medical

Emerson Mercy Medical Clinic

Initial Review Complete

Mercy Medical

Emerson Mercy Medical Clinic

Processing Complete

Mercy Medical

Beemer Mercy Medical Clinic

Processing Complete

Mercy Medical

Correctionville Medical Clinic

Processing Complete

Mercy Medical

Anthon Mercy Medical Clinic

Processing Complete

Mercy Medical Center

Paullina Mercy Medical Clinic

Processing Complete

Mercy Medical Center

Paullina Mercy Medical Clinic

Processing Complete

Mercy Medical Center

Paullina Mercy Medical Clinic

Processing Complete

Mercy Medical Center

Sutherland Mercy Medical Clinic

Processing Complete

Mercy Medical Center

Sutherland Mercy Medical Clinic

Processing Complete

Mercy Medical Center

Hartley Mercy Medical Clinic

Processing Complete

Mercy Medical Center

Hartley Mercy Medical Clinic

Processing Complete

Page 567: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13810 NE 95323 A 9/19/2010

13811 NE 95325 A 9/19/2010

13812 NE 95326 A 9/19/2010

17563 NE 95328 A 9/19/2010

17566 NE 95324 A 9/19/2010

17588 IA 96443 A 9/19/2010

17231 MI 90003 A 10/2/2009

17231 MI 90260 A 11/11/2009

17231 MI 107311 A 8/9/2011

17231 MI 111021 A 1/23/2012

17231 MI 112355 A 2/23/2012

17231 MI 112563 A 3/8/2012

17231 MI 113258 A 3/9/2012

17231 MI 113483 A 3/19/2012

Mercy Medical Center

Wayne Mercy Medical Clinic

Processing Complete

Mercy Medical Center

Wakefield Mercy Medical Clinic

Processing Complete

Mercy Medical Center

Laurel Mercy Medical Clinic

Processing Complete

Mercy Medical Center

Wisner Mercy Medical Clinic

Processing Complete

Mercy Medical Center

Ponca Medical Center

Processing Complete

Mercy Medical Center

Ireton Community Clinic

Processing Complete

Michigan Public Health Institute

MI Public Health Institute

Processing Complete

Michigan Public Health Institute

MI Public Health Institute

Processing Complete

Michigan Public Health Institute

MI Public Health Institute

Processing Complete

Michigan Public Health Institute

MI Public Health Institute

Processing Complete

Michigan Public Health Institute

MI Public Health Institute

Processing Complete

Michigan Public Health Institute

MI Public Health Institute

Processing Complete

Michigan Public Health Institute

MI Public Health Institute

Processing Complete

Michigan Public Health Institute

MI Public Health Institute

Processing Complete

Page 568: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17231 MI 119517 A 10/1/2012

11465 IA 90455 A 6/2/2010

11466 IA 90457 A 6/4/2010

11468 IA 86264 A 5/20/2011

11472 IA 93058 A 6/4/2010

11478 IA 95314 A 8/24/2010

11486 IA 93184 A 6/18/2010

11486 IA 93186 A 6/18/2010

11486 IA 93187 A 9/8/2010

11486 IA 93190 A 6/18/2010

11486 IA 93193 A 6/18/2010

11487 IA 90462 A 6/4/2010

11490 IA 90464 A 6/4/2010

Michigan Public Health Institute

Michigan Public Health Institute

Processing Complete

Midwest Rural Telemedicine

Adair County Memorial Hospital

Processing Complete

Midwest Rural Telemedicine

Audubon County Memorial Hospital

Processing Complete

Midwest Rural Telemedicine

Davis County Hospital

Processing Complete

Midwest Rural Telemedicine

Hancock County Memorial Hospital

Processing Complete

Midwest Rural Telemedicine

Mercy Medical Center - New Hampton

Processing Complete

Midwest Rural Telemedicine

Ringgold County Hospital

Processing Complete

Midwest Rural Telemedicine

Ringgold County Hospital

Processing Complete

Midwest Rural Telemedicine

Ringgold County Hospital

Processing Complete

Midwest Rural Telemedicine

Ringgold County Hospital

Processing Complete

Midwest Rural Telemedicine

Ringgold County Hospital

Processing Complete

Midwest Rural Telemedicine

Regional Health Services of Howard

Processing Complete

Midwest Rural Telemedicine

Story County Medical Center

Processing Complete

Page 569: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11493 IA 90461 A 6/4/2010

11036 IA 90458 A 6/4/2010

11469 IA 95313 A 8/24/2010

11470 IA 92919 A 6/23/2010

11470 IA 92922 A 6/25/2010

11470 IA 96297 A 5/19/2011

11474 IA 89535 A 11/9/2009

11475 IA 92914 A 6/4/2010

12552 IA 92917 A 6/4/2010

Midwest Rural Telemedicine

Manning Regional Healthcare Center

Processing Complete

Midwest Rural Telemedicine Consortium

Central Community Hospital

Processing Complete

Midwest Rural Telemedicine Consortium

Ellsworth Municipal Hospital

Processing Complete

Midwest Rural Telemedicine Consortium

Franklin General Hospital

Processing Complete

Midwest Rural Telemedicine Consortium

Franklin General Hospital

Processing Complete

Midwest Rural Telemedicine Consortium

Franklin General Hospital

Processing Complete

Midwest Rural Telemedicine Consortium

Kossuth Regional Health Center

Processing Complete

Midwest Rural Telemedicine Consortium

Mitchell County Regional Health Center

Processing Complete

Midwest Rural Telemedicine Consortium

Palo Alto County Hospital

Processing Complete

Page 570: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14371 IA 90459 A 6/4/2010

16130 IA 90460 A 6/7/2010

14232 MN 94387 A 10/7/2011

14232 MN 95286 A 10/12/2011

14232 MN 95290 A 5/23/2011

14232 MN 95732 A 5/23/2011

14232 MN 95746 A 10/7/2011

14232 MN 95747 A 5/23/2011

16215 MN 95736 A 5/23/2011

16215 MN 95738 A 5/23/2011

16216 MN 95283 A 5/23/2011

16216 MN 95744 A 5/23/2011

Midwest Rural Telemedicine Consortium

Clarinda Regional Health Center

Processing Complete

Midwest Rural Telemedicine Consortium

Floyd County Memorial Hospital

Processing Complete

Mille Lacs Health System

Mille Lacs Health System

Processing Complete

Mille Lacs Health System

Mille Lacs Health System

Processing Complete

Mille Lacs Health System

Mille Lacs Health System

Processing Complete

Mille Lacs Health System

Mille Lacs Health System

Processing Complete

Mille Lacs Health System

Mille Lacs Health System

Processing Complete

Mille Lacs Health System

Mille Lacs Health System

Processing Complete

Mille Lacs Health System

Mille Lacs Family Clinic - Garrison

Processing Complete

Mille Lacs Health System

Mille Lacs Family Clinic - Garrison

Processing Complete

Mille Lacs Health System

Mille Lacs Family Clinic - Isle

Processing Complete

Mille Lacs Health System

Mille Lacs Family Clinic - Isle

Processing Complete

Page 571: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16224 MN 95293 A 5/23/2011

16224 MN 95728 A 5/23/2011

16700 MN 89876 A 6/9/2010

18327 PA 95100 A 7/12/2010

11916 WI 94858 A 9/15/2010

11916 WI 94867 A 9/15/2010

11916 WI 94873 A 9/15/2010

11916 WI 94885 A 10/11/2010

11916 WI 94901 A 9/15/2010

11916 WI 94908 A 9/15/2010

11916 WI 94908 B 9/15/2010

11916 WI 94919 A 9/15/2010

11916 WI 94920 A 9/15/2010

Mille Lacs Health System

Mille Lacs Family Clinic - Hillman

Processing Complete

Mille Lacs Health System

Mille Lacs Family Clinic - Hillman

Processing Complete

Min No Wii Jii Win

Fond Du Lac Human Services - Cloquet

Processing Complete

Miners Medical

Miners Medical Clinic - Patton

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Page 572: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11916 WI 94922 A 9/15/2010

11916 WI 94924 A 9/15/2010

11916 WI 94925 A 9/15/2010

11916 WI 94927 A 9/15/2010

11916 WI 94931 A 9/15/2010

11916 WI 95173 A 9/15/2010

11916 WI 95173 B 9/15/2010

11916 WI 96025 A 10/18/2010

11916 WI 96027 A 10/18/2010

11916 WI 96029 A 10/18/2010

11916 WI 96030 A 10/18/2010

11916 WI 96053 A 9/15/2010

11916 WI 96053 B 9/15/2010

11916 WI 96238 A 12/7/2010

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Page 573: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11916 WI 97053 A 9/15/2010

11916 WI 97053 B 9/15/2010

10086 NC 92497 A 6/11/2010

10086 NC 92498 A 6/11/2010

17232 MO 97450 A 9/28/2010

17232 MO 97458 A 10/8/2010

17232 MO 97565 A 9/28/2010

17232 MO 97569 A 9/28/2010

17232 MO 97570 A 9/28/2010

17232 MO 97571 A 9/28/2010

17232 MO 97574 A 9/28/2010

17232 MO 97582 A 9/28/2010

17232 MO 108445 A

17232 MO 108464 A

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Ministry Health Care

North Shore Medical Clinic

Processing Complete

Mission Health, Inc.

Blue Ridge Regional Hospital

Processing Complete

Mission Health, Inc.

Blue Ridge Regional Hospital

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

In Process

Missouri Telehealth Network

Missouri Telehealth Network

In Process

Page 574: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17232 MO 108503 A

17232 MO 108521 A

17232 MO 111385 A

17232 MO 111386 A

17232 MO 111387 A

17232 MO 114800 A 5/18/2012

17232 MO 115018 A 5/18/2012

17232 MO 115134 A 11/2/2012

17232 MO 115135 A 5/18/2012

17232 MO 119465 A 11/6/2013

17232 MO 119468 A 11/6/2013

17232 MO 119474 A 11/6/2013

17232 MO 119475 A 11/6/2013

17232 MO 119479 A

Missouri Telehealth Network

Missouri Telehealth Network

In Process

Missouri Telehealth Network

Missouri Telehealth Network

In Process

Missouri Telehealth Network

Missouri Telehealth Network

In Process

Missouri Telehealth Network

Missouri Telehealth Network

In Process

Missouri Telehealth Network

Missouri Telehealth Network

In Process

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Missouri Telehealth Network

Missouri Telehealth Network

Processing Complete

Page 575: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17232 MO 119555 A

17232 MO 119556 A

17232 MO 119557 A

11183 WI 93258 A 7/8/2010

11183 WI 93259 A 7/15/2010

11183 WI 93878 A

11183 WI 93932 A

11183 WI 93933 A 7/8/2010

11183 WI 93938 A 7/15/2010

11183 WI 95644 A 9/29/2010

11183 WI 95647 A 7/15/2010

11183 WI 95650 A 7/15/2010

11183 WI 95655 A 8/6/2010

11183 WI 97951 A 8/25/2010

16881 VA 96044 A 11/19/2010

11624 AK 88683 A 2/18/2011

Missouri Telehealth Network

Missouri Telehealth Network

In Process

Missouri Telehealth Network

Missouri Telehealth Network

In Process

Missouri Telehealth Network

Missouri Telehealth Network

In Process

Monroe Clinic

The Monroe Clinic

Processing Complete

Monroe Clinic

The Monroe Clinic

Processing Complete

Monroe Clinic

The Monroe Clinic

Initial Review Complete

Monroe Clinic

The Monroe Clinic

Processing Complete

Monroe Clinic

The Monroe Clinic

Processing Complete

Monroe Clinic

The Monroe Clinic

Processing Complete

Monroe Clinic

The Monroe Clinic

Processing Complete

Monroe Clinic

The Monroe Clinic

Processing Complete

Monroe Clinic

The Monroe Clinic

Processing Complete

Monroe Clinic

The Monroe Clinic

Processing Complete

Monroe Clinic

The Monroe Clinic

Processing Complete

Monroe County Health Center

Craig County Health Center

Processing Complete

Mt. Sanford Tribal Consortium

Chistochina Health Clinic

Processing Complete

Page 576: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11843 AK 96965 A 2/18/2011

11157 MI 90969 A 7/1/2010

11157 MI 96112 A 10/8/2010

N.A. 10044 AK 90568 A 3/17/2011

N.A. 10044 AK 90724 A 3/17/2011

N.A. 10044 AK 90725 A 1/31/2011

N.A. 10044 AK 90727 A 2/22/2010

N.A. 10044 AK 91160 A 3/17/2011

N/A 10655 AK 89411 A 10/22/2010

N/A 10655 AK 89412 A 10/22/2010

N/A 10655 AK 89413 A 3/4/2010

N/A 10655 AK 92931 A 5/26/2010

n/a 11336 ID 89047 A 4/12/2010

n/a 11336 ID 93477 A 5/20/2011

n/a 15178 CA 90317 A 12/23/2009

na 10060 KS 90326 A 12/23/2009

NA 14162 WI 85995 A 11/17/2009

Mt. Sanford Tribal Consortium

Mentasta Clinic

Processing Complete

Munising Memorial Hospital

Munising Memorial Hospital

Processing Complete

Munising Memorial Hospital

Munising Memorial Hospital

Processing Complete

Ketchikan General Hospital

Processing Complete

Ketchikan General Hospital

Processing Complete

Ketchikan General Hospital

Processing Complete

Ketchikan General Hospital

Processing Complete

Ketchikan General Hospital

Processing Complete

Petersburg Medical Center

Processing Complete

Petersburg Medical Center

Processing Complete

Petersburg Medical Center

Processing Complete

Petersburg Medical Center

Processing Complete

Cascade Medical Center

Processing Complete

Cascade Medical Center

Processing Complete

Howard Memorial Hospital

Processing Complete

Pratt Regional Medical Center

Processing Complete

La Clinica de los Campesinos, Inc.

Processing Complete

Page 577: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

NA 14718 GA 91205 A 6/29/2010

NA 15836 IL 88906 A 2/7/2011

11204 AZ 91406 A 6/29/2010

11204 AZ 91418 A 6/29/2010

11204 AZ 94013 A 8/10/2011

11221 AZ 92082 A 6/29/2010

11224 AZ 92040 A 6/29/2010

11224 AZ 92041 A 6/29/2010

11224 AZ 92043 A 6/29/2010

11216 NM 93204 A 11/19/2010

11216 NM 95657 A 8/10/2011

11216 NM 95658 A 8/10/2011

11216 NM 95661 A 8/10/2011

Liberty County Health Department

Processing Complete

DeWitt Piatt Bi-County Health Department

Processing Complete

NAIHS- Kayenta Health Center

NAIHS - Kayenta Health Center

Processing Complete

NAIHS- Kayenta Health Center

NAIHS - Kayenta Health Center

Processing Complete

NAIHS- Kayenta Health Center

NAIHS - Kayenta Health Center

Processing Complete

NAIHS- Many Farms Health Center

NAIHS-Many Farms Health Center

Processing Complete

NAIHS- Pinon Health Station

NAIHS-Pinon Health Station

Processing Complete

NAIHS- Pinon Health Station

NAIHS-Pinon Health Station

Processing Complete

NAIHS- Pinon Health Station

NAIHS-Pinon Health Station

Processing Complete

NAIHS- Tohatchi Health Center

NAIHS - Tohatchi Health Center

Processing Complete

NAIHS- Tohatchi Health Center

NAIHS - Tohatchi Health Center

Processing Complete

NAIHS- Tohatchi Health Center

NAIHS - Tohatchi Health Center

Processing Complete

NAIHS- Tohatchi Health Center

NAIHS - Tohatchi Health Center

Processing Complete

Page 578: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11216 NM 95662 A 8/10/2011

11214 AZ 92078 A 6/29/2010

11214 AZ 92079 A 6/29/2010

11217 AZ 91393 A 4/19/2010

11217 AZ 91394 A 4/19/2010

11217 AZ 91395 A 4/19/2010

11217 AZ 91396 A 4/19/2010

11217 AZ 91397 A 4/15/2010

11217 AZ 91398 A 4/19/2010

11217 AZ 92036 A 5/26/2010

NAIHS- Tohatchi Health Center

NAIHS - Tohatchi Health Center

Processing Complete

NAIHS- Tsaile Health Center

NAIHS-Tsaile Health Center

Processing Complete

NAIHS- Tsaile Health Center

NAIHS-Tsaile Health Center

Processing Complete

NAIHS-Fort Defiance Indian Health Services

NAIHS - Ft. Defiance Indian Hospital

Processing Complete

NAIHS-Fort Defiance Indian Health Services

NAIHS - Ft. Defiance Indian Hospital

Processing Complete

NAIHS-Fort Defiance Indian Health Services

NAIHS - Ft. Defiance Indian Hospital

Processing Complete

NAIHS-Fort Defiance Indian Health Services

NAIHS - Ft. Defiance Indian Hospital

Processing Complete

NAIHS-Fort Defiance Indian Health Services

NAIHS - Ft. Defiance Indian Hospital

Processing Complete

NAIHS-Fort Defiance Indian Health Services

NAIHS - Ft. Defiance Indian Hospital

Processing Complete

NAIHS-Fort Defiance Indian Health Services

NAIHS - Ft. Defiance Indian Hospital

Processing Complete

Page 579: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11217 AZ 93774 A

11217 AZ 95543 A 10/8/2010

11217 AZ 95545 A 10/26/2010

11217 AZ 95912 A 10/1/2010

11223 NM 92436 A 11/19/2010

11215 NM 94019 A 7/29/2011

11206 NM 94016 A 7/29/2011

12006 NM 93558 A 11/19/2010

11227 AZ 91442 A 4/14/2010

NARBHA 10019 AZ 92251 A 6/10/2010

NAIHS-Fort Defiance Indian Health Services

NAIHS - Ft. Defiance Indian Hospital

Initial Review Complete

NAIHS-Fort Defiance Indian Health Services

NAIHS - Ft. Defiance Indian Hospital

Processing Complete

NAIHS-Fort Defiance Indian Health Services

NAIHS - Ft. Defiance Indian Hospital

Processing Complete

NAIHS-Fort Defiance Indian Health Services

NAIHS - Ft. Defiance Indian Hospital

Processing Complete

NAIHS-Ft. Wingate Health Station

NAIHS - Ft. Wingate Health Station

Processing Complete

NAIHS-GIMC

NAIHS - Gallup Indian Medical Center

Processing Complete

NAIHS-NNMC

NAIHS-Northern Navajo Medical Center

Processing Complete

NAIHS-Pueblo Pintado Clinic

NAIHS - Pueblo Pintado Health Clinic

Processing Complete

NAIHS-Sanders Health Station

NAIHS - Sanders Health Station

Processing Complete

Mohave Mental Health Clinics - Kingman (Western Ave)

Processing Complete

Page 580: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

NARBHA 10019 AZ 92252 A 6/10/2010

NARBHA 10019 AZ 92254 A 5/27/2010

NARBHA 10019 AZ 92258 A 5/27/2010

NARBHA 10022 AZ 92248 A 6/10/2010

NARBHA 10022 AZ 96068 A 1/7/2011

NARBHA 10023 AZ 92235 A 6/1/2010

NARBHA 10024 AZ 92234 A 6/10/2010

NARBHA 10024 AZ 92975 A

NARBHA 10024 AZ 95502 A 6/29/2010

NARBHA 10025 AZ 93307 A 6/29/2010

NARBHA 10025 AZ 93307 B 6/29/2010

Mohave Mental Health Clinics - Kingman (Western Ave)

Processing Complete

Mohave Mental Health Clinics - Kingman (Western Ave)

Processing Complete

Mohave Mental Health Clinics - Kingman (Western Ave)

Processing Complete

Little Colorado Behavioral Health Centers

Processing Complete

Little Colorado Behavioral Health Centers

Processing Complete

Little Colorado Behavioral Health Centers

Processing Complete

Community Counseling Centers

Processing Complete

Community Counseling Centers

Initial Review Complete

Community Counseling Centers

Processing Complete

Community Counceling Centers

Processing Complete

Community Counceling Centers

Processing Complete

Page 581: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

NARBHA 10025 AZ 93392 A 10/20/2010

NARBHA 10025 AZ 93401 A 10/20/2010

NARBHA 10026 AZ 93447 A 5/20/2010

NARBHA 10026 AZ 93448 A 6/23/2010

NARBHA 10026 AZ 93449 A 6/29/2010

NARBHA 10026 AZ 93670 A 6/29/2010

NARBHA 10026 AZ 93676 A 10/20/2010

NARBHA 10026 AZ 93679 A 6/29/2010

NARBHA 10026 AZ 93679 B 6/29/2010

NARBHA 10026 AZ 93836 A 7/13/2010

NARBHA 10026 AZ 93836 B 7/13/2010

NARBHA 10026 AZ 93853 A 10/20/2010

NARBHA 10026 AZ 93854 A 10/20/2010

NARBHA 10027 AZ 92238 A 6/10/2010

Community Counceling Centers

Processing Complete

Community Counceling Centers

Processing Complete

Community Counseling Centers

Processing Complete

Community Counseling Centers

Processing Complete

Community Counseling Centers

Processing Complete

Community Counseling Centers

Processing Complete

Community Counseling Centers

Processing Complete

Community Counseling Centers

Processing Complete

Community Counseling Centers

Processing Complete

Community Counseling Centers

Processing Complete

Community Counseling Centers

Processing Complete

Community Counseling Centers

Processing Complete

Community Counseling Centers

Processing Complete

Verde Valley Guidance Center

Processing Complete

Page 582: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

NARBHA 10028 AZ 91566 A 6/10/2010

NARBHA 10029 AZ 92233 A 5/27/2010

NARBHA 11962 AZ 91562 A 6/10/2010

NARBHA 14254 AZ 90346 A 6/17/2010

NARBHA 14891 AZ 89898 A 6/3/2010

NARBHA 16050 AZ 95761 A 10/20/2010

NARBHA 16050 AZ 96067 A 10/20/2010

NARBHA 17977 AZ 95760 A 11/4/2010

NARBHA 17977 AZ 97120 A 10/20/2010

11932 AK 90825 A

West Yavapai Guidance Clinic - Prescott (Dameron Dr)

Processing Complete

Community Behavioral Health Centers

Processing Complete

West Yavapai Guidance Clinic - Prescott Valley

Processing Complete

Community Behavioral Health Centers - Fredonia

Processing Complete

Apache Behavioral Health Services

Processing Complete

Navajo Nation Regional Behavioral Health Authority

Processing Complete

Navajo Nation Regional Behavioral Health Authority

Processing Complete

The Guidance Center

Processing Complete

The Guidance Center

Processing Complete

Native Village of Eyak

Ilanka Health Center of Native Village of Eyak

Initial Review Complete

Page 583: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11932 AK 90825 B

11932 AK 100084 A 3/14/2011

11932 AK 100085 A 3/14/2011

11208 AZ 92039 A 6/29/2010

11208 AZ 93990 A 8/10/2011

11208 AZ 93993 A 8/10/2011

11208 AZ 93995 A 8/10/2011

11208 AZ 94017 A 8/10/2011

NAVIHS 11201 AZ 91355 A 6/29/2010

Native Village of Eyak

Ilanka Health Center of Native Village of Eyak

Initial Review Complete

Native Village of Eyak

Ilanka Health Center of Native Village of Eyak

Processing Complete

Native Village of Eyak

Ilanka Health Center of Native Village of Eyak

Processing Complete

Navajo Area IHS

NAIHS- Navajo Area Indian Health Service

Processing Complete

Navajo Area IHS

NAIHS- Navajo Area Indian Health Service

Processing Complete

Navajo Area IHS

NAIHS- Navajo Area Indian Health Service

Processing Complete

Navajo Area IHS

NAIHS- Navajo Area Indian Health Service

Processing Complete

Navajo Area IHS

NAIHS- Navajo Area Indian Health Service

Processing Complete

NAIHS - Inscription House Health Center

Processing Complete

Page 584: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

NAVIHS 11201 AZ 94011 A 7/29/2011

13981 ND 90735 A 3/8/2010

13982 ND 91007 A 3/8/2010

13983 ND 91643 A 3/8/2010

13980 ND 91640 A 3/8/2010

18094 NE 92887 A 7/12/2010

18096 IA 96453 A

18096 IA 96481 A 9/19/2010

18098 IA 96455 A 9/19/2010

18098 IA 96484 A

Neshoba 11342 MS 93748 A 7/12/2010

Neshoba 11342 MS 93749 A 7/12/2010

NAIHS - Inscription House Health Center

Processing Complete

ND Health Depts

City County Health District

Processing Complete

ND Health Depts

Dickey County District Health Department

Processing Complete

ND Health Depts

Foster County Health Department

Processing Complete

ND Health Depts.

Cavalier County Health District

Processing Complete

Nebraska Methodist

Methodist Physicians Clinic - Louisville

Processing Complete

Nebraska Methodist

Methodist Physicians Clinic - Red Oak

Initial Review Complete

Nebraska Methodist

Methodist Physicians Clinic - Red Oak

Processing Complete

Nebraska Methodist

Methodist Physicians Clinic - Glenwood

Processing Complete

Nebraska Methodist

Methodist Physicians Clinic - Glenwood

Initial Review Complete

Neshoba County General Hospital

Processing Complete

Neshoba County General Hospital

Processing Complete

Page 585: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

Neshoba 18202 MS 93752 A 7/12/2010

Neshoba 18203 MS 93750 A 7/12/2010

17234 ME 91505 A 1/27/2010

17234 ME 114522 A 4/30/2012

17234 ME 115499 A 5/22/2012

17234 ME 116550 A 7/27/2012

17234 ME 117949 A 7/27/2012

17234 ME 118045 A

17234 ME 118048 A 1/25/2013

Fairchild Clearman Medical Associates

Processing Complete

Neshoba Internal Medicine Associates

Processing Complete

New England Telehealth Consortium

New England Telehealth Consortium

Processing Complete

New England Telehealth Consortium

New England Telehealth Consortium

Processing Complete

New England Telehealth Consortium

New England Telehealth Consortium

Processing Complete

New England Telehealth Consortium

New England Telehealth Consortium

Initial Review Complete

New England Telehealth Consortium

New England Telehealth Consortium

Processing Complete

New England Telehealth Consortium

New England Telehealth Consortium

In Process

New England Telehealth Consortium

New England Telehealth Consortium

Processing Complete

Page 586: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17234 ME 118051 A 7/27/2012

17234 ME 118053 A 7/27/2012

17234 ME 118059 A 7/27/2012

17234 ME 119545 A 1/25/2013

none 16205 PA 91754 A 3/8/2010

none 16205 PA 91755 A

17235 NC 99173 A 11/8/2010

17235 NC 99184 A 11/8/2010

17235 NC 100447 A 3/1/2011

17235 NC 107867 A 1/23/2012

17235 NC 115754 A 8/6/2012

New England Telehealth Consortium

New England Telehealth Consortium

Processing Complete

New England Telehealth Consortium

New England Telehealth Consortium

Processing Complete

New England Telehealth Consortium

New England Telehealth Consortium

Processing Complete

New England Telehealth Consortium

New England Telehealth Consortium

Processing Complete

Warren General Hospital

Processing Complete

Warren General Hospital

Initial Review Complete

North Carolina Telhealth Network

North Carolina Telehealth Network

Processing Complete

North Carolina Telhealth Network

North Carolina Telehealth Network

Processing Complete

North Carolina Telhealth Network

North Carolina Telehealth Network

Processing Complete

North Carolina Telhealth Network

North Carolina Telehealth Network

Processing Complete

North Carolina Telhealth Network

North Carolina Telehealth Network

Processing Complete

Page 587: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17235 NC 118272 A 7/30/2012

17235 NC 119656 A 2/25/2013

10147 ID 91400 A 5/27/2010

10148 ID 91402 A 5/27/2010

10149 ID 91403 A 5/17/2010

10150 ID 91454 A 5/17/2010

14580 VT 91822 A 4/11/2010

14581 VT 91821 A 5/27/2010

North Carolina Telhealth Network

North Carolina Telehealth Network

Processing Complete

North Carolina Telhealth Network

North Carolina Telehealth Network

Processing Complete

North Central District Health Department

North Central District Health Department - Moscow

Processing Complete

North Central District Health Department

North Central District Health Department - Orofino

Processing Complete

North Central District Health Department

North Central District Health Department - Grangeville

Processing Complete

North Central District Health Department

North Central District Health Department - Kamiah

Processing Complete

North Country Health Systems, Inc.

North Country Health Systems, Inc. - Barton Clinic

Processing Complete

North Country Health Systems, Inc.

North Country Health Systems, Inc. - Newport (Prouty Dr)

Processing Complete

Page 588: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14581 VT 91824 A 4/11/2010

14581 VT 93245 A

14581 VT 93246 A 6/10/2010

14581 VT 94221 A 9/16/2010

14581 VT 94400 A 6/17/2010

13872 AZ 86707 A 11/16/2009

13878 AZ 89101 A 11/16/2009

North Country Health Systems, Inc.

North Country Health Systems, Inc. - Newport (Prouty Dr)

Processing Complete

North Country Health Systems, Inc.

North Country Health Systems, Inc. - Newport (Prouty Dr)

Initial Review Complete

North Country Health Systems, Inc.

North Country Health Systems, Inc. - Newport (Prouty Dr)

Processing Complete

North Country Health Systems, Inc.

North Country Health Systems, Inc. - Newport (Prouty Dr)

Processing Complete

North Country Health Systems, Inc.

North Country Health Systems, Inc. - Newport (Prouty Dr)

Processing Complete

North Country HealthCare

North Country Community Health Center-Ash Fork

Processing Complete

North Country HealthCare

North Country Community Health Center-Seligman

Processing Complete

Page 589: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13878 AZ 89101 B 11/16/2009

18010 AZ 90325 A 2/25/2010

18010 AZ 92153 A 5/19/2011

11750 ND 92037 A 7/27/2010

11228 ND 96913 A 11/30/2010

11611 ND 93892 A 11/16/2011

11611 ND 96923 A 11/30/2010

11749 ND 86646 A

11749 ND 94363 A 11/16/2010

North Country HealthCare

North Country Community Health Center-Seligman

Processing Complete

North Country HealthCare, Inc.

North Country HealthCare - Show Low

Processing Complete

North Country HealthCare, Inc.

North Country HealthCare - Show Low

Processing Complete

North Dakota Health Care Association

Cooperstown Medical Center

Processing Complete

North Dakota Healthcare Association

Standing Rock Hospital

Processing Complete

North Dakota Healthcare Association

McKenzie County Hospital

Processing Complete

North Dakota Healthcare Association

McKenzie County Hospital

Processing Complete

North Dakota Healthcare Association

Heart of America Medical Center

Processing Complete

North Dakota Healthcare Association

Heart of America Medical Center

Processing Complete

Page 590: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11749 ND 96967 A 11/16/2010

11808 ND 91787 A 6/30/2010

11819 ND 91472 A 5/4/2010

11819 ND 91785 A 11/30/2010

12558 ND 89794 A 11/29/2011

12558 ND 92038 A 11/29/2011

12558 ND 96972 A 11/30/2010

13203 ND 96977 A 11/30/2010

13977 ND 94372 A 6/30/2010

North Dakota Healthcare Association

Heart of America Medical Center

Processing Complete

North Dakota Healthcare Association

Pembina County Memorial Hospital

Processing Complete

North Dakota Healthcare Association

Lisbon Area Health Services

Processing Complete

North Dakota Healthcare Association

Lisbon Area Health Services

Processing Complete

North Dakota Healthcare Association

Union Hospital

Processing Complete

North Dakota Healthcare Association

Union Hospital

Processing Complete

North Dakota Healthcare Association

Union Hospital

Processing Complete

North Dakota Healthcare Association

Nelson County Health System

Processing Complete

North Dakota Healthcare Association

Towner County Public Health District

Processing Complete

Page 591: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13977 ND 96949 A 9/12/2011

14308 ND 91782 A 6/30/2010

14308 ND 93880 A 9/12/2011

14309 ND 91793 A 6/30/2010

14310 ND 91792 A 6/30/2010

14311 ND 91795 A 6/30/2010

14312 ND 91791 A 6/30/2010

14313 ND 96954 A 11/30/2010

14314 ND 91789 A 6/30/2010

North Dakota Healthcare Association

Towner County Public Health District

Processing Complete

North Dakota Healthcare Association

St. Luke's Hospital

Processing Complete

North Dakota Healthcare Association

St. Luke's Hospital

Processing Complete

North Dakota Healthcare Association

Tioga Medical Center

Processing Complete

North Dakota Healthcare Association

Mountrail County Medical Center

Processing Complete

North Dakota Healthcare Association

St. Andrews Health Center

Processing Complete

North Dakota Healthcare Association

Kenmare Community Hospital

Processing Complete

North Dakota Healthcare Association

Unity Medical Center

Processing Complete

North Dakota Healthcare Association

First Care Health Center

Processing Complete

Page 592: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14315 ND 91788 A 6/30/2010

14316 ND 91468 A 6/4/2010

14316 ND 91786 A 6/30/2010

14317 ND 91784 A 6/30/2010

14318 ND 91463 A 3/24/2010

14318 ND 91790 A 6/30/2010

14320 ND 96957 A 11/30/2010

14321 ND 91783 A 6/30/2010

14322 ND 91794 A 6/30/2010

North Dakota Healthcare Association

Deaconess Health Center

Processing Complete

North Dakota Healthcare Association

Mercy Hospital

Processing Complete

North Dakota Healthcare Association

Mercy Hospital

Processing Complete

North Dakota Healthcare Association

Hillsboro Medical Center

Processing Complete

North Dakota Healthcare Association

Mercy Hospital

Processing Complete

North Dakota Healthcare Association

Mercy Hospital

Processing Complete

North Dakota Healthcare Association

Jamestown Hospital

Processing Complete

North Dakota Healthcare Association

Jacobson Memorial Hospital

Processing Complete

North Dakota Healthcare Association

Belcourt Indian Health

Processing Complete

Page 593: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14323 ND 96959 A 11/30/2010

11626 HI 96665 A 6/24/2011

14572 ID 94192 A 9/28/2011

14572 ID 94193 A 9/28/2011

14572 ID 94194 A 9/28/2011

14572 ID 94200 A 9/28/2011

10597 MS 89996 A 4/6/2010

10599 MS 89997 A 4/6/2010

13029 MN 92150 A 5/18/2010

13029 MN 92151 A 5/18/2010

North Dakota Healthcare Association

Cavalier County Memorial Hospital

Processing Complete

North Hawaii Community Hospital

North Hawaii Community Hospital

Processing Complete

North Idaho Rural H

Benewah Community Hospital

Processing Complete

North Idaho Rural H

Benewah Community Hospital

Processing Complete

North Idaho Rural H

Benewah Community Hospital

Processing Complete

North Idaho Rural H

Benewah Community Hospital

Processing Complete

North Mississippi Health Services

North Mississippi Health Services/Clay County Medical Corporation

Processing Complete

North Mississippi Health Services

North Mississippi Health Services/Webster Health Services

Processing Complete

North Region Health Alliance

Kittson Memorial Hospital Association

Processing Complete

North Region Health Alliance

Kittson Memorial Hospital Association

Processing Complete

Page 594: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13029 MN 92152 A 5/18/2010

13031 MN 92293 A 5/26/2010

13031 MN 92296 A 5/26/2010

13031 MN 92297 A 5/26/2010

13032 MN 88909 A 7/6/2010

13047 MN 91184 A 2/25/2010

13047 MN 91934 A 6/11/2010

15577 MN 91949 A 4/19/2010

14244 MO 91493 A 5/3/2010

14244 MO 91965 A 5/3/2010

14245 MO 91968 A 5/3/2010

North Region Health Alliance

Kittson Memorial Hospital Association

Processing Complete

North Region Health Alliance

North Valley Health Center

Processing Complete

North Region Health Alliance

North Valley Health Center

Processing Complete

North Region Health Alliance

North Valley Health Center

Processing Complete

North Region Health Alliance

First Care Medical Services

Processing Complete

North Region Health Alliance

Lakewood Health Center

Processing Complete

North Region Health Alliance

Lakewood Health Center

Processing Complete

North Region Health Alliance

Clearwater County Memorial Hospital

Processing Complete

Northeast Missouri Health Council

Northeast Missouri Family Health Clinic - Memphis

Processing Complete

Northeast Missouri Health Council

Northeast Missouri Family Health Clinic - Memphis

Processing Complete

Northeast Missouri Health Council

Northeast Missouri Family Health Clinic - Edina

Processing Complete

Page 595: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14245 MO 91970 A 5/3/2010

14246 MO 91971 A 5/3/2010

14246 MO 93179 A 5/3/2010

14246 MO 93180 A 5/3/2010

14246 MO 93181 A 5/3/2010

14247 MO 91972 A 5/3/2010

14247 MO 91973 A 5/3/2010

14115 AZ 95822 A

14115 AZ 101581 A 4/15/2011

12709 CA 95810 A 3/18/2011

Northeast Missouri Health Council

Northeast Missouri Family Health Clinic - Edina

Processing Complete

Northeast Missouri Health Council

Northeast Missouri Family Health Clinic - Kirksville

Processing Complete

Northeast Missouri Health Council

Northeast Missouri Family Health Clinic - Kirksville

Processing Complete

Northeast Missouri Health Council

Northeast Missouri Family Health Clinic - Kirksville

Processing Complete

Northeast Missouri Health Council

Northeast Missouri Family Health Clinic - Kirksville

Processing Complete

Northeast Missouri Health Council

Northeast Missouri Family Health Clinic - Milan

Processing Complete

Northeast Missouri Health Council

Northeast Missouri Family Health Clinic - Milan

Processing Complete

Northern Arizona Healthcare

Winslow Memorial Hospital

Processing Complete

Northern Arizona Healthcare

Winslow Memorial Hospital

Processing Complete

Northern California Telemedicine

Redwoods Rural Health Center

Processing Complete

Page 596: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12709 CA 95811 A

12709 CA 95818 A 3/18/2011

12709 CA 95819 A 3/18/2011

14122 MN 95344 A 6/1/2011

14122 MN 95345 A 6/1/2011

14124 MN 95349 A 6/1/2011

14124 MN 95350 A 6/1/2011

14125 MN 95347 A 6/1/2011

14125 MN 95348 A 6/1/2011

Northern California Telemedicine

Redwoods Rural Health Center

Initial Review Complete

Northern California Telemedicine

Redwoods Rural Health Center

Processing Complete

Northern California Telemedicine

Redwoods Rural Health Center

Processing Complete

Northern Pines Mental Health

Northern Pines Mental Health Center - Brainerd (Fifth St)

Processing Complete

Northern Pines Mental Health

Northern Pines Mental Health Center - Brainerd (Fifth St)

Processing Complete

Northern Pines Mental Health

Northern Pines Mental Health Center - Long Prairie

Processing Complete

Northern Pines Mental Health

Northern Pines Mental Health Center - Long Prairie

Processing Complete

Northern Pines Mental Health

Northern Pines Mental Health Center - Staples

Processing Complete

Northern Pines Mental Health

Northern Pines Mental Health Center - Staples

Processing Complete

Page 597: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14123 MN 95351 A 6/1/2011

14123 MN 95352 A 6/1/2011

14164 MN 95354 A 6/1/2011

10254 CA 90720 A 4/9/2010

10255 CA 90137 A 9/21/2010

10255 CA 90520 A 3/31/2010

10608 CA 90535 A 4/9/2010

10609 CA 90372 A 4/8/2010

10609 CA 90518 A 5/19/2010

10609 CA 91474 A 6/28/2010

Northern Pines Mental Health, Our Place

Northern Pines Mental Health Center - Brainerd (Front St)

Processing Complete

Northern Pines Mental Health, Our Place

Northern Pines Mental Health Center - Brainerd (Front St)

Processing Complete

Northern Pines Mental Health, Peer Center

Northern Pines Mental Health Center - Wadena

Processing Complete

Northern Sierra Rural Health Network

Northeastern Rural Health Clinics, Inc

Processing Complete

Northern Sierra Rural Health Network

Surprise Valley Healthcare District

Processing Complete

Northern Sierra Rural Health Network

Surprise Valley Healthcare District

Processing Complete

Northern Sierra Rural Health Network

Modoc Medical Center

Processing Complete

Northern Sierra Rural Health Network

Seneca District Hospital

Processing Complete

Northern Sierra Rural Health Network

Seneca District Hospital

Processing Complete

Northern Sierra Rural Health Network

Seneca District Hospital

Processing Complete

Page 598: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10609 CA 91476 A 4/9/2010

10609 CA 91478 A 6/28/2010

10609 CA 91479 A 4/8/2010

10617 CA 92285 A 4/7/2010

11453 CA 97076 A 6/20/2011

11453 CA 97081 A 6/20/2011

11453 CA 97096 A 6/20/2011

11453 CA 97103 A 10/6/2011

11453 CA 97111 A 6/22/2011

11453 CA 97118 A 6/20/2011

11453 CA 97121 A 6/20/2011

Northern Sierra Rural Health Network

Seneca District Hospital

Processing Complete

Northern Sierra Rural Health Network

Seneca District Hospital

Processing Complete

Northern Sierra Rural Health Network

Seneca District Hospital

Processing Complete

Northern Sierra Rural Health Network

Mayers Memorial Hosptial

Processing Complete

Northern Sierra Rural Health Network

Plumas District Hospital

Processing Complete

Northern Sierra Rural Health Network

Plumas District Hospital

Processing Complete

Northern Sierra Rural Health Network

Plumas District Hospital

Processing Complete

Northern Sierra Rural Health Network

Plumas District Hospital

Processing Complete

Northern Sierra Rural Health Network

Plumas District Hospital

Processing Complete

Northern Sierra Rural Health Network

Plumas District Hospital

Processing Complete

Northern Sierra Rural Health Network

Plumas District Hospital

Processing Complete

Page 599: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11525 CA 89822 A 2/26/2010

11627 CA 91209 A 5/19/2011

11851 CA 88035 A 1/12/2010

11851 CA 88498 A 1/12/2010

11851 CA 88513 A 1/12/2010

11851 CA 91430 A 6/18/2010

11851 CA 91431 A 6/18/2010

11851 CA 91432 A 6/18/2010

11851 CA 91433 A 6/18/2010

11851 CA 91451 A 6/18/2010

11851 CA 91452 A 6/18/2010

Northern Sierra Rural Health Network

Sierra Family Medical Clinic

Processing Complete

Northern Sierra Rural Health Network

Trinity Hospital

Processing Complete

Northern Sierra Rural Health Network

Shingletown Medical Center

Processing Complete

Northern Sierra Rural Health Network

Shingletown Medical Center

Processing Complete

Northern Sierra Rural Health Network

Shingletown Medical Center

Processing Complete

Northern Sierra Rural Health Network

Shingletown Medical Center

Processing Complete

Northern Sierra Rural Health Network

Shingletown Medical Center

Processing Complete

Northern Sierra Rural Health Network

Shingletown Medical Center

Processing Complete

Northern Sierra Rural Health Network

Shingletown Medical Center

Processing Complete

Northern Sierra Rural Health Network

Shingletown Medical Center

Processing Complete

Northern Sierra Rural Health Network

Shingletown Medical Center

Processing Complete

Page 600: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11851 CA 91453 A 6/18/2010

16933 CA 92955 A 6/24/2010

16933 CA 93028 A 12/7/2011

16596 ND 97131 A 8/16/2011

16596 ND 97133 A 8/16/2011

16597 ND 97134 A 8/16/2011

16597 ND 97135 A 8/16/2011

18285 ND 93879 A 8/16/2011

16175 WI 91753 A 5/24/2010

Northern Sierra Rural Health Network

Shingletown Medical Center

Processing Complete

Northern Sierra Rural Health Network

Modoc Count Health Services

Processing Complete

Northern Sierra Rural Health Network

Modoc Count Health Services

Processing Complete

Northland Community Health Center

Northland Community Health Center - McClusky

Processing Complete

Northland Community Health Center

Northland Community Health Center - McClusky

Processing Complete

Northland Community Health Center

Northland Health Partners Community Health Center - Turtle Lake

Processing Complete

Northland Community Health Center

Northland Health Partners Community Health Center - Turtle Lake

Processing Complete

Northland Community Health Center

Northland Community Health Center - Rolette

Processing Complete

NorthReach

NorthReach - Crivitz Medical Center

Processing Complete

Page 601: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16176 WI 91766 A 5/24/2010

16176 WI 91767 A 5/24/2010

16176 WI 91768 A 5/24/2010

16176 WI 91769 A 5/24/2010

16177 WI 89041 A 5/24/2010

16178 WI 89040 A 5/24/2010

16179 WI 89043 A 5/24/2010

16179 WI 94799 A 6/11/2010

16181 WI 89045 A 5/24/2010

17239 AL 97953 A 2/1/2011

NorthReach

NorthReach - Family Care Medical Clinic

Processing Complete

NorthReach

NorthReach - Family Care Medical Clinic

Processing Complete

NorthReach

NorthReach - Family Care Medical Clinic

Processing Complete

NorthReach

NorthReach - Family Care Medical Clinic

Processing Complete

NorthReach

NorthReach - Family Doctors of Marinette

Processing Complete

NorthReach

NorthReach - Pediatrics

Processing Complete

NorthReach

NorthReach - Peshtigo Family Practice Clinic

Processing Complete

NorthReach

NorthReach - Peshtigo Family Practice Clinic

Processing Complete

NorthReach

NorthReach - Twin Cities OB/GYN

Processing Complete

Northwest Alabama Mental Health Center

Northwest Alabama Mental Health Center

Processing Complete

Page 602: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13070 IL 94304 A 9/15/2010

13070 IL 94305 A 9/15/2010

10672 AK 92341 A 5/13/2010

10672 AK 92343 A 5/13/2010

10672 AK 92344 A 5/13/2010

10672 AK 92346 A 5/13/2010

10672 AK 92348 A 5/13/2010

10672 AK 92366 A 5/13/2010

10673 AK 92351 A 5/13/2010

10674 AK 92352 A 5/13/2010

10675 AK 92353 A 5/13/2010

10676 AK 92355 A 5/13/2010

Norton Healthcare

Massac Memorial Hospital

Processing Complete

Norton Healthcare

Massac Memorial Hospital

Processing Complete

Norton Sound Health Corporation

Norton Sound Health Coporation

Processing Complete

Norton Sound Health Corporation

Norton Sound Health Coporation

Processing Complete

Norton Sound Health Corporation

Norton Sound Health Coporation

Processing Complete

Norton Sound Health Corporation

Norton Sound Health Coporation

Processing Complete

Norton Sound Health Corporation

Norton Sound Health Coporation

Processing Complete

Norton Sound Health Corporation

Norton Sound Health Coporation

Processing Complete

Norton Sound Health Corporation

Brevig Mission Clinic

Processing Complete

Norton Sound Health Corporation

Elim Clinic

Processing Complete

Norton Sound Health Corporation

Gambell Clinic

Processing Complete

Norton Sound Health Corporation

Golovin Clinic

Processing Complete

Page 603: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10677 AK 92356 A 5/13/2010

10678 AK 92357 A 5/13/2010

10679 AK 92358 A 5/13/2010

10680 AK 92359 A 5/13/2010

10681 AK 92360 A 5/13/2010

10682 AK 92361 A 5/13/2010

10683 AK 92362 A 5/13/2010

10684 AK 92363 A 5/13/2010

10685 AK 92364 A 5/13/2010

10686 AK 92365 A 5/13/2010

11368 AK 92333 A 5/18/2010

Norton Sound Health Corporation

Koyuk Clinic

Processing Complete

Norton Sound Health Corporation

St Michael Clinic

Processing Complete

Norton Sound Health Corporation

Savoonga Clinic

Processing Complete

Norton Sound Health Corporation

Shaktoolik Clinic

Processing Complete

Norton Sound Health Corporation

Shishmaref Clinic

Processing Complete

Norton Sound Health Corporation

Stebbins Clinic

Processing Complete

Norton Sound Health Corporation

Teller Clinic

Processing Complete

Norton Sound Health Corporation

Unalakleet Clinic

Processing Complete

Norton Sound Health Corporation

Wales Clinic

Processing Complete

Norton Sound Health Corporation

White Mountain Clinic

Processing Complete

Norton Sound Health Corporation

Little Diomede Clinic

Processing Complete

Page 604: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11368 AK 92334 A 5/18/2010

10637 CA 92136 A 8/18/2010

11462 CA 92639 A 8/18/2010

11463 CA 91382 A 5/10/2010

11464 CA 92393 A 8/18/2010

11467 CA 92146 A 8/9/2010

13953 CA 92506 A 8/18/2010

15475 OR 93336 A 6/10/2010

15476 OR 93337 A 6/10/2010

17241 OR 91735 A 10/14/2010

17241 OR 91736 A 4/7/2010

17241 OR 91737 A 10/14/2010

17241 OR 91738 A 10/14/2010

Norton Sound Health Corporation

Little Diomede Clinic

Processing Complete

Open Door Community Health Centers

North Country Clinic

Processing Complete

Open Door Community Health Centers

Telehealth and Visiting Specialist Center

Processing Complete

Open Door Community Health Centers

Del Norte Community Health Care

Processing Complete

Open Door Community Health Centers

Humboldt Open Door Clinic

Processing Complete

Open Door Community Health Centers

McKinleyville Open Door Clinic

Processing Complete

Open Door Community Health Centers

Burre Dental Clinic

Processing Complete

Oregon Health & Science University

Elgin Family Health Center

Processing Complete

Oregon Health & Science University

Union Family Health Center

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Page 605: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17241 OR 91739 A 4/7/2010

17241 OR 91741 A 10/14/2010

17241 OR 91833 A 4/7/2010

17241 OR 92788 A 10/14/2010

17241 OR 92960 A 10/14/2010

17241 OR 95299 A 10/14/2010

17241 OR 95490 A 10/14/2010

17241 OR 95493 A 10/14/2010

17241 OR 95783 A 12/13/2010

17241 OR 95793 A 10/14/2010

17241 OR 96993 A 10/14/2010

17241 OR 97549 A 12/13/2010

17241 OR 97682 A 10/14/2010

17241 OR 97967 A 12/13/2010

17241 OR 98590 A 10/14/2010

17241 OR 98715 A 12/13/2010

17241 OR 99388 A 1/31/2011

17241 OR 99487 A 1/31/2011

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Page 606: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17241 OR 99496 A 1/31/2011

17241 OR 99549 A

17241 OR 99550 A

17241 OR 99552 A 2/8/2011

17241 OR 99760 A 12/13/2010

17241 OR 101446 A 5/16/2011

17241 OR 101447 A 7/6/2011

17241 OR 101503 A 7/8/2011

17241 OR 102635 A 5/6/2011

17241 OR 102636 A 7/6/2011

17241 OR 104807 A 6/27/2011

17241 OR 105451 A 9/14/2011

17241 OR 105452 A 1/5/2012

17241 OR 105453 A 1/5/2012

17241 OR 105460 A 9/14/2011

17241 OR 106127 A 9/6/2011

17241 OR 106128 A 9/14/2011

17241 OR 106129 A 8/19/2011

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Page 607: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17241 OR 106130 A 12/22/2011

17241 OR 107413 A 11/16/2011

17241 OR 107414 A 12/6/2011

17241 OR 112557 A 4/9/2012

17241 OR 112558 A 3/30/2012

17241 OR 112559 A 7/27/2012

17241 OR 112560 A 2/23/2012

17241 OR 112561 A 3/30/2012

17241 OR 112562 A 7/10/2012

17241 OR 113283 A 5/9/2012

17241 OR 113285 A 3/30/2012

17241 OR 113469 A 7/27/2012

17241 OR 113613 A 8/8/2012

17241 OR 113854 A 6/26/2012

17241 OR 114523 A 9/7/2012

17241 OR 114524 A 6/26/2012

17241 OR 115465 A 7/18/2012

17241 OR 115542 A 6/26/2012

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Page 608: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17241 OR 115543 A 8/7/2012

17241 OR 115544 A

17241 OR 115545 A 9/7/2012

17241 OR 115546 A 9/7/2012

17241 OR 115661 A 8/8/2012

17241 OR 115662 A 8/24/2012

17241 OR 116691 A 7/18/2012

17241 OR 116788 A

17241 OR 119542 A 11/20/2012

17241 OR 119553 A 11/20/2012

17241 OR 119554 A 11/20/2012

17241 OR 119567 A 12/7/2012

17241 OR 119581 A 11/20/2012

17241 OR 119583 A 11/20/2012

17241 OR 119585 A 11/20/2012

17241 OR 119586 A 11/20/2012

17241 OR 119591 A 12/14/2012

17241 OR 119602 A 12/14/2012

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

Page 609: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17241 OR 119655 A 3/13/2013

17241 OR 119674 A 5/9/2013

14338 IL 91665 A 5/18/2010

14338 IL 91678 A 5/18/2010

14338 IL 91685 A 5/18/2010

14338 IL 91685 B 5/18/2010

14338 IL 91693 A 5/18/2010

14338 IL 91693 B 5/18/2010

14338 IL 91697 A 5/18/2010

14338 IL 91700 A 5/18/2010

14338 IL 91700 B 5/18/2010

14338 IL 91701 A 5/18/2010

14338 IL 91702 A 5/18/2010

14338 IL 91703 A 5/18/2010

Oregon Health Network

Oregon Health Network

Processing Complete

Oregon Health Network

Oregon Health Network

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

Page 610: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14338 IL 92430 A 5/18/2010

14338 IL 92431 A 5/18/2010

14338 IL 92432 A 6/7/2010

14338 IL 92433 A 6/7/2010

14727 MI 92274 A 5/11/2010

14727 MI 92275 A 5/11/2010

14727 MI 92276 A 5/11/2010

14727 MI 92277 A 5/11/2010

14727 MI 92278 A 5/11/2010

14727 MI 92278 B 5/11/2010

14727 MI 92434 A 5/12/2010

14727 MI 92435 A 5/11/2010

14727 MI 92437 A 5/11/2010

14727 MI 92438 A 5/11/2010

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF St. Mary Medical Center

Processing Complete

OSF Healthcare System

OSF Saint Francis Hospital

Processing Complete

OSF Healthcare System

OSF Saint Francis Hospital

Processing Complete

OSF Healthcare System

OSF Saint Francis Hospital

Processing Complete

OSF Healthcare System

OSF Saint Francis Hospital

Processing Complete

OSF Healthcare System

OSF Saint Francis Hospital

Processing Complete

OSF Healthcare System

OSF Saint Francis Hospital

Processing Complete

OSF Healthcare System

OSF Saint Francis Hospital

Processing Complete

OSF Healthcare System

OSF Saint Francis Hospital

Processing Complete

OSF Healthcare System

OSF Saint Francis Hospital

Processing Complete

OSF Healthcare System

OSF Saint Francis Hospital

Processing Complete

Page 611: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14728 IL 92132 A 5/11/2010

14728 IL 92133 A 5/11/2010

14728 IL 92134 A 5/11/2010

14728 IL 92134 B 5/11/2010

14728 IL 92141 A 5/13/2010

14728 IL 92142 A 5/13/2010

14728 IL 92142 B 5/13/2010

14728 IL 92143 A 5/13/2010

OSF Healthcare System

OSF Saint James - John W. Albrecht Medical Center

Processing Complete

OSF Healthcare System

OSF Saint James - John W. Albrecht Medical Center

Processing Complete

OSF Healthcare System

OSF Saint James - John W. Albrecht Medical Center

Processing Complete

OSF Healthcare System

OSF Saint James - John W. Albrecht Medical Center

Processing Complete

OSF Healthcare System

OSF Saint James - John W. Albrecht Medical Center

Processing Complete

OSF Healthcare System

OSF Saint James - John W. Albrecht Medical Center

Processing Complete

OSF Healthcare System

OSF Saint James - John W. Albrecht Medical Center

Processing Complete

OSF Healthcare System

OSF Saint James - John W. Albrecht Medical Center

Processing Complete

Page 612: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14728 IL 92144 A 5/13/2010

14728 IL 92145 A 5/13/2010

14732 IL 91663 A 5/13/2010

14733 IL 91662 A 5/13/2010

14734 IL 91661 A 5/13/2010

11766 WI 92723 A 5/11/2010

11766 WI 92724 A 5/11/2010

11766 WI 95054 A 6/29/2010

OSF Healthcare System

OSF Saint James - John W. Albrecht Medical Center

Processing Complete

OSF Healthcare System

OSF Saint James - John W. Albrecht Medical Center

Processing Complete

OSF Healthcare System

OSF Medical Group - Alexis

Processing Complete

OSF Healthcare System

OSF Medical Group - Clinton

Processing Complete

OSF Healthcare System

OSF Medical Group - Dwight

Processing Complete

Osseo Medical Center

Osseo Medical Center - Mayo Health System (Mondovi Clinic)

Processing Complete

Osseo Medical Center

Osseo Medical Center - Mayo Health System (Mondovi Clinic)

Processing Complete

Osseo Medical Center

Osseo Medical Center - Mayo Health System (Mondovi Clinic)

Processing Complete

Page 613: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11767 WI 94915 A 10/28/2010

17242 HI 99542 A 4/4/2011

17242 HI 103594 A 6/27/2011

17242 HI 109589 A 11/8/2011

17242 HI 112605 A 3/8/2012

17242 HI 112606 A 2/28/2012

17242 HI 112607 A 2/23/2012

Osseo Medical Center

Osseo Medical Center - Mayo Health System (Osseo Clinic)

Processing Complete

Pacific Broadband Telehealth Demostration Project

University of Hawaii

Processing Complete

Pacific Broadband Telehealth Demostration Project

University of Hawaii

Processing Complete

Pacific Broadband Telehealth Demostration Project

University of Hawaii

Processing Complete

Pacific Broadband Telehealth Demostration Project

University of Hawaii

Processing Complete

Pacific Broadband Telehealth Demostration Project

University of Hawaii

Processing Complete

Pacific Broadband Telehealth Demostration Project

University of Hawaii

Processing Complete

Page 614: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17242 HI 116013 A 7/26/2012

17242 HI 116931 A 7/16/2012

17242 HI 116997 A

17242 HI 119359 A 8/7/2012

17242 HI 119382 A 8/14/2012

17242 HI 119472 A 4/5/2013

17242 HI 119487 A 9/28/2012

Pacific Broadband Telehealth Demostration Project

Pacific Broadband Telehealth Demonstration Project

Processing Complete

Pacific Broadband Telehealth Demostration Project

Pacific Broadband Telehealth Demonstration Project

Processing Complete

Pacific Broadband Telehealth Demostration Project

Pacific Broadband Telehealth Demonstration Project

In Process

Pacific Broadband Telehealth Demostration Project

Pacific Broadband Telehealth Demonstration Project

Processing Complete

Pacific Broadband Telehealth Demostration Project

Pacific Broadband Telehealth Demonstration Project

Processing Complete

Pacific Broadband Telehealth Demostration Project

Pacific Broadband Telehealth Demonstration Project

Processing Complete

Pacific Broadband Telehealth Demostration Project

Pacific Broadband Telehealth Demonstration Project

Processing Complete

Page 615: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17242 HI 119534 A 9/13/2013

17242 HI 119566 A 11/12/2012

17242 HI 119579 A 9/13/2013

17243 SC 98158 A 9/14/2010

17243 SC 109068 A

17243 SC 110475 A 11/22/2011

17243 SC 114700 A

17243 SC 119664 A 8/15/2013

17244 MO 92025 A 6/24/2010

Pacific Broadband Telehealth Demostration Project

Pacific Broadband Telehealth Demonstration Project

Processing Complete

Pacific Broadband Telehealth Demostration Project

Pacific Broadband Telehealth Demonstration Project

Processing Complete

Pacific Broadband Telehealth Demostration Project

Pacific Broadband Telehealth Demonstration Project

Processing Complete

Palmetto State Providers Network

Health Sciences South Carolina

Processing Complete

Palmetto State Providers Network

Health Sciences South Carolina

In Process

Palmetto State Providers Network

Health Sciences South Carolina

Processing Complete

Palmetto State Providers Network

Health Sciences South Carolina

Processing Complete

Palmetto State Providers Network

Health Sciences South Carolina

Processing Complete

Pathways Community Behavioral Healthcare, Inc.

Pathways Community Behavioral Healthcare, Inc.

Processing Complete

Page 616: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17244 MO 119481 A 9/11/2012

17244 MO 119678 A 7/15/2013

17246 PA 89203 A

17246 PA 89205 A 11/5/2009

17246 PA 97466 A 11/5/2010

17246 PA 110066 A 4/12/2012

Pathways Community Behavioral Healthcare, Inc.

Pathways Community Behavioral Healthcare, Inc.

Processing Complete

Pathways Community Behavioral Healthcare, Inc.

Pathways Community Behavioral Healthcare, Inc.

Processing Complete

Pennsylvania Mountains Healthcare Alliance

Pennsylvania Mountains Healthcare Resource Development

Initial Review Complete

Pennsylvania Mountains Healthcare Alliance

Pennsylvania Mountains Healthcare Resource Development

Processing Complete

Pennsylvania Mountains Healthcare Alliance

Pennsylvania Mountains Healthcare Resource Development

Processing Complete

Pennsylvania Mountains Healthcare Alliance

Pennsylvania Mountains Healthcare Resource Development

Processing Complete

Page 617: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17246 PA 110067 A 1/5/2012

17246 PA 113141 A 7/19/2012

17246 PA 119552 A 11/12/2012

17246 PA 119559 A 11/12/2012

12250 NV 93138 A 5/26/2010

PHTN 10647 MT 90564 A 1/25/2010

PHTN 10650 MT 90623 A 2/18/2010

PHTN 10650 MT 90623 B 2/18/2010

PHTN 10652 MT 90702 A 1/22/2010

Pennsylvania Mountains Healthcare Alliance

Pennsylvania Mountains Healthcare Resource Development

Processing Complete

Pennsylvania Mountains Healthcare Alliance

Pennsylvania Mountains Healthcare Resource Development

Processing Complete

Pennsylvania Mountains Healthcare Alliance

Pennsylvania Mountains Healthcare Resource Development

Processing Complete

Pennsylvania Mountains Healthcare Alliance

Pennsylvania Mountains Healthcare Resource Development

Processing Complete

PHOENIX AREA IHS

IHS/PHX Washoe Tribal Health Clinic

Processing Complete

Mountain View Medical Center

Processing Complete

Absarokee Medical Clinic

Processing Complete

Absarokee Medical Clinic

Processing Complete

Wheatland Memorial Hospital

Processing Complete

Page 618: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

PHTN 10652 MT 90708 A 5/27/2010

PHTN 10652 MT 90715 A 1/22/2010

PHTN 10652 MT 91778 A 5/17/2010

PHTN 10652 MT 93240 A 6/10/2010

PHTN 10652 MT 93241 A 6/10/2010

PHTN 10653 MT 90686 A 1/18/2010

PHTN 10910 MT 90548 A 1/22/2010

PHTN 10910 MT 90550 A 1/22/2010

PHTN 10953 MT 90555 A 5/27/2010

PHTN 10953 MT 90557 A 1/22/2010

PHTN 10954 MT 90688 A 1/18/2010

PHTN 10954 MT 90690 A 1/18/2010

PHTN 10954 MT 90691 A 1/18/2010

PHTN 11935 MT 90581 A 9/17/2010

Wheatland Memorial Hospital

Processing Complete

Wheatland Memorial Hospital

Processing Complete

Wheatland Memorial Hospital

Processing Complete

Wheatland Memorial Hospital

Processing Complete

Wheatland Memorial Hospital

Processing Complete

Ashland Community Health Center

Processing Complete

Hardin Clinic

Processing Complete

Hardin Clinic

Processing Complete

Holy Rosary Health Center

Processing Complete

Holy Rosary Health Center

Processing Complete

St James Community Hospital

Processing Complete

St James Community Hospital

Processing Complete

St James Community Hospital

Processing Complete

Central Montana Medical Center

Processing Complete

Page 619: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

PHTN 11935 MT 93150 A 6/29/2010

PHTN 11935 MT 95086 A 9/13/2010

PHTN 11935 MT 95087 A 9/13/2010

PHTN 12619 MT 90624 A 9/17/2010

PHTN 12981 WY 90620 A 1/22/2010

PHTN 13996 MT 90662 A 1/22/2010

PHTN 16078 MT 91285 A 3/25/2010

10754 MT 93614 A 5/28/2010

10754 MT 93615 A 5/28/2010

10754 MT 94647 A 6/21/2010

10754 MT 94648 A 6/21/2010

Central Montana Medical Center

Processing Complete

Central Montana Medical Center

Processing Complete

Central Montana Medical Center

Processing Complete

Basin Medical Center

Processing Complete

West Park Hospital

Processing Complete

Bozeman Deaconess Hospital

Processing Complete

Roundup Memorial Hospital

Processing Complete

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Processing Complete

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Processing Complete

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Processing Complete

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Processing Complete

Page 620: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10754 MT 94657 A 7/20/2010

10754 MT 94667 A

10754 MT 94681 A 7/20/2010

10754 MT 94685 A 7/22/2010

10754 MT 94687 A 7/22/2010

10754 MT 94688 A 7/20/2010

10754 MT 95012 A 7/20/2010

10754 MT 95013 A

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Processing Complete

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Initial Review Complete

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Processing Complete

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Processing Complete

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Processing Complete

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Processing Complete

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Processing Complete

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Initial Review Complete

Page 621: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10754 MT 95016 A

14207 OH 90297 A 6/29/2010

14637 SD 91003 A 3/28/2011

14638 SD 91410 A 3/28/2011

14639 SD 91412 A 3/28/2011

14640 SD 91413 A 3/28/2011

14641 SD 91408 A 3/28/2011

10078 WV 93164 A 1/28/2011

13621 WV 93165 A 5/19/2011

13444 WV 93162 A 3/18/2011

13793 WV 89493 A 5/26/2010

13793 WV 94943 A 9/20/2011

Plains Hospital Corporation

Plains Hospital Corporation (Clark Fork Valley Hospital)

Initial Review Complete

Pomerene Hospital

Holmes County Joel Pomerene

Processing Complete

Prairie Community Health

Bison Clinic

Processing Complete

Prairie Community Health

Family Health Center

Processing Complete

Prairie Community Health

Faith Clinic

Processing Complete

Prairie Community Health

McIntosh Community Health

Processing Complete

Prairie Community Health

Prairie Community Health

Processing Complete

Prestera Center

Prestera Center for Mental Services - Lincoln County

Processing Complete

Prestera Center for Mental Health

Prestera Center for Mental Health - Danville

Processing Complete

Prestera Center for Mental Health Services

Prestera Center for Mental Health Services - Clay County

Processing Complete

Primary Care Systems, Inc.

Primary Care Systems, Inc.

Processing Complete

Primary Care Systems, Inc.

Primary Care Systems, Inc.

Processing Complete

Page 622: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13794 WV 89492 A 5/26/2010

13794 WV 94944 A 9/20/2011

10141 CO 92404 A 5/23/2011

10141 CO 92405 A 5/23/2011

18441 CO 94310 A

18441 CO 94381 A

18441 CO 94382 A 5/23/2011

17871 AL 90039 A 1/12/2010

17871 AL 94146 A

17871 AL 94147 A

17878 AL 90549 A 3/11/2010

17878 AL 94151 A

17878 AL 94153 A

Primary Care Systems, Inc.

Big Otter Clinic

Processing Complete

Primary Care Systems, Inc.

Big Otter Clinic

Processing Complete

Prowers Medical Center

Prowers Medical Center

Processing Complete

Prowers Medical Center

Prowers Medical Center

Processing Complete

Prowers Medical Center

Las Animas Medical Clinic

Initial Review Complete

Prowers Medical Center

Las Animas Medical Clinic

Initial Review Complete

Prowers Medical Center

Las Animas Medical Clinic

Processing Complete

Quality of Life Health Services, Inc.

Wadley Cornerstone Clinic

Processing Complete

Quality of Life Health Services, Inc.

Wadley Cornerstone Clinic

Processing Complete

Quality of Life Health Services, Inc.

Wadley Cornerstone Clinic

Processing Complete

Quality of Life Health Services, Inc.

Dekalb Quality Health Care

Processing Complete

Quality of Life Health Services, Inc.

Dekalb Quality Health Care

Initial Review Complete

Quality of Life Health Services, Inc.

Dekalb Quality Health Care

Initial Review Complete

Page 623: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17878 AL 95878 A 7/29/2010

18502 KS 94819 A 7/12/2010

18502 KS 94820 A 7/12/2010

11742 MT 91158 A 3/23/2010

11742 MT 91343 A 3/23/2010

11742 MT 92007 A 3/18/2010

10351 MT 91984 A 3/25/2010

10352 MT 91157 A 6/29/2010

10352 MT 91991 A 3/25/2010

10352 MT 91994 A

10353 MT 91155 A 5/17/2010

10353 MT 92000 A 3/25/2010

Quality of Life Health Services, Inc.

Dekalb Quality Health Care

Processing Complete

Ransom Memorial

Ransom Memorial Hospital

Processing Complete

Ransom Memorial

Ransom Memorial Hospital

Processing Complete

REACH Montana Telehealth Network

Phillips County Hospital

Processing Complete

REACH Montana Telehealth Network

Phillips County Hospital

Processing Complete

REACH Montana Telehealth Network

Phillips County Hospital

Processing Complete

REACH Montana Telemedicine Network

Big Sandy Medical Center

Processing Complete

REACH Montana Telemedicine Network

Liberty County Hospital

Processing Complete

REACH Montana Telemedicine Network

Liberty County Hospital

Processing Complete

REACH Montana Telemedicine Network

Liberty County Hospital

Processing Complete

REACH Montana Telemedicine Network

Teton Medical Center

Processing Complete

REACH Montana Telemedicine Network

Teton Medical Center

Processing Complete

Page 624: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10355 MT 92003 A 3/25/2010

10356 MT 91156 A 3/23/2010

10356 MT 92004 A 3/25/2010

10357 MT 92006 A 3/25/2010

10358 MT 92009 A 4/5/2010

10359 MT 92010 A 3/25/2010

10359 MT 95507 A 8/5/2010

10359 MT 95508 A 8/5/2010

10359 MT 96669 A 7/20/2010

10359 MT 96675 A 8/5/2010

10359 MT 96688 A 8/5/2010

REACH Montana Telemedicine Network

Northern Rockies Medical Center

Processing Complete

REACH Montana Telemedicine Network

Missouri River Medical Center

Processing Complete

REACH Montana Telemedicine Network

Missouri River Medical Center

Processing Complete

REACH Montana Telemedicine Network

Northern Montana Health Care

Processing Complete

REACH Montana Telemedicine Network

Chippewa Cree Health Center

Processing Complete

REACH Montana Telemedicine Network

Marias Medical Center

Processing Complete

REACH Montana Telemedicine Network

Marias Medical Center

Processing Complete

REACH Montana Telemedicine Network

Marias Medical Center

Processing Complete

REACH Montana Telemedicine Network

Marias Medical Center

Processing Complete

REACH Montana Telemedicine Network

Marias Medical Center

Processing Complete

REACH Montana Telemedicine Network

Marias Medical Center

Processing Complete

Page 625: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10359 MT 96713 A 8/5/2010

11033 MT 92011 A 3/25/2010

14985 MT 91999 A 3/25/2010

16220 MI 88959 A

16220 MI 89133 A 1/24/2011

16220 MI 92618 A 1/24/2011

10104 MI 96980 A

10104 MI 97049 A 9/10/2010

10104 MI 97077 A 10/25/2010

REACH Montana Telemedicine Network

Marias Medical Center

Processing Complete

REACH Montana Telemedicine Network

Mountainview Medical Center

Processing Complete

REACH Montana Telemedicine Network

Chinook Medical Center

Processing Complete

Reed City Hospital Corporation

Reed City Hospital Corporation

Initial Review Complete

Reed City Hospital Corporation

Reed City Hospital Corporation

Processing Complete

Reed City Hospital Corporation

Reed City Hospital Corporation

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Mercy Health Systems North - Prudenville

Initial Review Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Mercy Health Systems North - Prudenville

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Mercy Health Systems North - Prudenville

Processing Complete

Page 626: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10104 MI 97083 A 10/13/2010

11266 MI 93931 A 9/10/2010

11266 MI 96122 A 8/26/2010

11266 MI 96219 A 8/26/2010

11267 MI 96179 A 10/13/2010

11267 MI 96651 A 10/13/2010

11268 MI 95977 A 9/10/2010

REMEC TeleHealth Network

REMEC Telehealth Network - Mercy Health Systems North - Prudenville

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - West Shore Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - West Shore Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - West Shore Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Otsego Memorial Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Otsego Memorial Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

Page 627: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11268 MI 96138 A 10/13/2010

11268 MI 96194 A 10/13/2010

11268 MI 96200 A 10/13/2010

11268 MI 96295 A 9/10/2010

11268 MI 96533 A 10/13/2010

11268 MI 96535 A 10/13/2010

11268 MI 96540 A 10/13/2010

11268 MI 96542 A 10/13/2010

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

Page 628: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11268 MI 96544 A 10/13/2010

11268 MI 96548 A 10/13/2010

11268 MI 96551 A 10/13/2010

11268 MI 96556 A 10/13/2010

11268 MI 96613 A 8/26/2010

11269 MI 96154 A 10/13/2010

11269 MI 96211 A 10/13/2010

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Munson Medical Center

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Paul Oliver Memorial Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Paul Oliver Memorial Hospital

Processing Complete

Page 629: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11270 MI 94735 A 7/20/2010

11270 MI 94736 A 7/20/2010

11270 MI 94946 A 7/20/2010

11270 MI 94947 A 7/20/2010

11270 MI 94948 A 7/20/2010

11270 MI 95677 A 7/20/2010

11270 MI 96557 A 8/26/2010

REMEC TeleHealth Network

REMEC Telehealth Network - Charlevoix Area Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Charlevoix Area Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Charlevoix Area Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Charlevoix Area Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Charlevoix Area Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Charlevoix Area Hospital

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Charlevoix Area Hospital

Processing Complete

Page 630: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11274 MI 96655 A 10/13/2010

11274 MI 96660 A 10/13/2010

11274 MI 97065 A 11/18/2010

11274 MI 97072 A 11/18/2010

11275 MI 96173 A

11275 MI 97004 A 10/13/2010

REMEC TeleHealth Network

REMEC Telehealth Network - Mercy Health Services North - Grayling

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Mercy Health Services North - Grayling

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Mercy Health Services North - Grayling

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Mercy Health Services North - Grayling

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Mercy Health Services North: Cadillac

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Mercy Health Services North: Cadillac

Processing Complete

Page 631: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11275 MI 97028 A 10/13/2010

11276 MI 96167 A 10/13/2010

13202 MI 94979 A 10/13/2010

17631 LA 90948 A 3/10/2011

17631 LA 95784 A

18403 LA 93049 A 7/12/2010

18403 LA 93050 A 7/12/2010

18401 LA 93048 A 7/12/2010

18402 LA 93047 A 7/12/2010

16696 VA 97968 A 5/2/2011

REMEC TeleHealth Network

REMEC Telehealth Network - Mercy Health Services North: Cadillac

Processing Complete

REMEC TeleHealth Network

REMEC Telehealth Network - Kalkaska Memorial Health Center

Processing Complete

REMEC TeleHealth Network

REMEC TeleHealth Network - Cheboygan Community Hospital

Processing Complete

Richardson Medical Center

RMC - Northeast LA Rural Health Clinic

Processing Complete

Richardson Medical Center

RMC - Northeast LA Rural Health Clinic

Initial Review Complete

Richland Medical

Riverland Medical Center

Processing Complete

Richland Medical

Riverland Medical Center

Processing Complete

Riverland Medical

Riverland Medical Center Family Clinic

Processing Complete

Riverland Medical

Riverland Medical Center - Riverland Clinic

Processing Complete

Riverside Health System

Riverside Tappahannock Hospital

Processing Complete

Page 632: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10648 MT 88819 A 8/31/2011

17928 MT 88821 A 8/31/2011

14642 SD 89843 A 12/7/2009

14643 SD 89850 A 12/7/2009

14644 SD 89852 A 12/7/2009

14645 SD 89853 A 12/7/2009

15938 SD 89854 A 12/7/2009

16148 SD 89855 A 12/7/2009

16409 TN 91113 A 2/23/2010

16409 TN 91116 A 2/23/2010

16409 TN 91119 A 2/23/2010

16409 TN 91123 A 2/23/2010

16409 TN 91125 A 2/23/2010

16409 TN 91127 A 2/23/2010

16409 TN 91129 A 2/23/2010

16409 TN 91130 A 2/23/2010

16409 TN 91131 A 2/23/2010

RiverStone Health

RiverStone Health Clinic-Bridger

Processing Complete

RiverStone Health

RiverStone Health Clinic - Joliet

Processing Complete

Rural Health Care, Inc.

Gettysburg Community Clinic

Processing Complete

Rural Health Care, Inc.

Highmore Clinic

Processing Complete

Rural Health Care, Inc.

Jones County Clinic

Processing Complete

Rural Health Care, Inc.

Onida Clinic

Processing Complete

Rural Health Care, Inc.

Oahe Valley Health Center

Processing Complete

Rural Health Care, Inc.

Stanley Jones Memorial Clinic

Processing Complete

Rural Health Services

Hawkins Medical Center

Processing Complete

Rural Health Services

Hawkins Medical Center

Processing Complete

Rural Health Services

Hawkins Medical Center

Processing Complete

Rural Health Services

Hawkins Medical Center

Processing Complete

Rural Health Services

Hawkins Medical Center

Processing Complete

Rural Health Services

Hawkins Medical Center

Processing Complete

Rural Health Services

Hawkins Medical Center

Processing Complete

Rural Health Services

Hawkins Medical Center

Processing Complete

Rural Health Services

Hawkins Medical Center

Processing Complete

Page 633: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16409 TN 91132 A 2/23/2010

17250 NE 99021 A 11/2/2010

17250 NE 109376 A 4/17/2012

17250 NE 115818 A 11/9/2012

17250 NE 119461 A 1/7/2013

17250 NE 119518 A 3/21/2013

17250 NE 119519 A 3/21/2013

17250 NE 119528 A 3/21/2013

17250 NE 119605 A 3/21/2013

11354 WI 94519 A 11/10/2010

Rural Health Services

Hawkins Medical Center

Processing Complete

Rural Nebraska Healthcare Network

Rural Nebraska Healthcare Network

Processing Complete

Rural Nebraska Healthcare Network

Rural Nebraska Healthcare Network

Processing Complete

Rural Nebraska Healthcare Network

Rural Nebraska Healthcare Network

Processing Complete

Rural Nebraska Healthcare Network

Rural Nebraska Healthcare Network

Processing Complete

Rural Nebraska Healthcare Network

Rural Nebraska Healthcare Network

Processing Complete

Rural Nebraska Healthcare Network

Rural Nebraska Healthcare Network

Processing Complete

Rural Nebraska Healthcare Network

Rural Nebraska Healthcare Network

Processing Complete

Rural Nebraska Healthcare Network

Rural Nebraska Healthcare Network

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Page 634: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11354 WI 94764 A

11354 WI 94765 A

11354 WI 94784 A 11/15/2010

11354 WI 94785 A 11/10/2010

11354 WI 94786 A 11/10/2010

11354 WI 94787 A 12/13/2010

11354 WI 94788 A 11/10/2010

11354 WI 94790 A 11/10/2010

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Page 635: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11354 WI 94798 A

11354 WI 94800 A

11354 WI 95047 A

11354 WI 95048 A 11/10/2010

11354 WI 95049 A 11/10/2010

11354 WI 98626 A 11/16/2010

11354 WI 98626 B 11/16/2010

11354 WI 99809 A 12/13/2010

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Initial Review Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Initial Review Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Page 636: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11354 WI 99810 A 12/13/2010

14215 VT 91979 A 9/21/2010

14215 VT 91988 A 7/22/2010

14215 VT 95947 A 7/22/2010

17252 WI 90281 A 4/9/2010

17252 WI 90282 A 4/9/2010

17252 WI 91147 A 4/9/2010

17252 WI 91148 A 4/9/2010

17252 WI 119355 A 1/8/2014

Rural Wisconsin Healthcare Cooperative

Vernon Memorial Hospital

Processing Complete

Rutland Region Health Services

Rutland Regional Medical Center - Allen St

Processing Complete

Rutland Region Health Services

Rutland Regional Medical Center - Allen St

Processing Complete

Rutland Region Health Services

Rutland Regional Medical Center - Allen St

Processing Complete

RWHC Information Technology Network

Rural Wisconsin Health Cooperative ITN

Processing Complete

RWHC Information Technology Network

Rural Wisconsin Health Cooperative ITN

Processing Complete

RWHC Information Technology Network

Rural Wisconsin Health Cooperative ITN

Processing Complete

RWHC Information Technology Network

Rural Wisconsin Health Cooperative ITN

Processing Complete

RWHC Information Technology Network

Rural Wisconsin Health Cooperative ITN

Processing Complete

Page 637: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17252 WI 119672 A 5/21/2013

17252 WI 119673 A 5/21/2013

same 13027 WI 93570 A 6/29/2010

10480 IA 92250 A 4/29/2010

10480 IA 92268 A 4/29/2010

10480 IA 92269 A 4/29/2010

10483 IA 92270 A 4/29/2010

10483 IA 92271 A 4/29/2010

10483 IA 92272 A 4/29/2010

10484 SD 92280 A 1/3/2011

10484 SD 92281 A 5/12/2010

10485 MN 92425 A 4/29/2010

RWHC Information Technology Network

Rural Wisconsin Health Cooperative ITN

Processing Complete

RWHC Information Technology Network

Rural Wisconsin Health Cooperative ITN

Processing Complete

St. Joseph's Hospital

Processing Complete

Sanford Health

Northwest Iowa Health Center

Processing Complete

Sanford Health

Northwest Iowa Health Center

Processing Complete

Sanford Health

Northwest Iowa Health Center

Processing Complete

Sanford Health

Orange City Health Systems

Processing Complete

Sanford Health

Orange City Health Systems

Processing Complete

Sanford Health

Orange City Health Systems

Processing Complete

Sanford Health

Sanford Mid Dakota Medical Center

Processing Complete

Sanford Health

Sanford Mid Dakota Medical Center

Processing Complete

Sanford Health

Sanford Canby Medical Center

Processing Complete

Page 638: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10485 MN 92426 A 4/29/2010

10485 MN 92427 A 4/29/2010

10499 MN 92428 A 4/29/2010

10504 IA 92502 A 5/7/2010

10504 IA 95164 A 8/19/2010

10506 SD 92503 A 5/26/2010

10533 MN 92509 A 5/12/2010

10533 MN 92510 A 5/12/2010

10533 MN 92511 A 5/12/2010

10533 MN 92512 A 5/12/2010

10535 MN 92513 A 4/29/2010

10535 MN 92514 A 4/29/2010

10537 MN 92515 A 5/7/2010

10538 MN 92516 A 5/7/2010

10540 MN 92520 A 5/7/2010

Sanford Health

Sanford Canby Medical Center

Processing Complete

Sanford Health

Sanford Canby Medical Center

Processing Complete

Sanford Health

Sanford Adrian Care Center

Processing Complete

Sanford Health

Merrill Pioneer Community Hospital

Processing Complete

Sanford Health

Sanford Hospital-Rock Rapids

Processing Complete

Sanford Health

Sanford Hospital Canton-Inwood

Processing Complete

Sanford Health

Sanford Hospital Luverne

Processing Complete

Sanford Health

Sanford Hospital Luverne

Processing Complete

Sanford Health

Sanford Hospital Luverne

Processing Complete

Sanford Health

Sanford Hospital Luverne

Processing Complete

Sanford Health

Sanford Hospital Jackson

Processing Complete

Sanford Health

Sanford Hospital Jackson

Processing Complete

Sanford Health

Sanford Hospital Westbrook

Processing Complete

Sanford Health

Sanford Clinic Lakefield

Processing Complete

Sanford Health

Sanford Clinic Mountain Lake

Processing Complete

Page 639: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10542 MN 92526 A 5/7/2010

10543 MN 92528 A 4/29/2010

10543 MN 92529 A 4/29/2010

10546 SD 92531 A 6/16/2010

10546 SD 92531 B 6/16/2010

10549 SD 92565 A 5/26/2010

10549 SD 92566 A 5/26/2010

10552 SD 92571 A 6/21/2010

10552 SD 92571 B 6/21/2010

10552 SD 92571 C 6/21/2010

10553 SD 92575 A 5/26/2010

10553 SD 92575 B 5/26/2010

10564 SD 92576 A 5/12/2010

10564 SD 92577 A 5/12/2010

Sanford Health

Murray County Memorial Hospital

Processing Complete

Sanford Health

Sanford Tracy Medical Center

Processing Complete

Sanford Health

Sanford Tracy Medical Center

Processing Complete

Sanford Health

Sanford Clinic Family Medicine Hartford

Processing Complete

Sanford Health

Sanford Clinic Family Medicine Hartford

Processing Complete

Sanford Health

Sanford Vermillion Medical Center

Processing Complete

Sanford Health

Sanford Vermillion Medical Center

Processing Complete

Sanford Health

Winner Regional Healthcare Center

Processing Complete

Sanford Health

Winner Regional Healthcare Center

Processing Complete

Sanford Health

Winner Regional Healthcare Center

Processing Complete

Sanford Health

Sanford Clinic Clark

Processing Complete

Sanford Health

Sanford Clinic Clark

Processing Complete

Sanford Health

Douglas County Memorial Hospital

Processing Complete

Sanford Health

Douglas County Memorial Hospital

Processing Complete

Page 640: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10565 SD 92579 A 5/12/2010

10566 MN 92642 A 5/12/2010

10566 MN 92644 A 5/12/2010

10566 MN 92646 A 5/12/2010

10568 SD 92649 A 6/16/2010

10568 SD 92650 A 6/16/2010

10569 SD 92651 A 6/21/2010

10569 SD 92651 B 6/21/2010

10571 MN 92660 A 4/29/2010

10573 SD 94634 A 8/19/2010

10573 SD 94634 B 8/19/2010

10573 SD 94642 A 8/19/2010

10582 SD 92662 A 6/16/2010

10582 SD 92662 B 6/16/2010

10582 SD 92663 A 6/16/2010

Sanford Health

Prairie Lakes Hospital & Care Center

Processing Complete

Sanford Health

Sanford Regional Hospital

Processing Complete

Sanford Health

Sanford Regional Hospital

Processing Complete

Sanford Health

Sanford Regional Hospital

Processing Complete

Sanford Health

Sanford Clinic Watertown

Processing Complete

Sanford Health

Sanford Clinic Watertown

Processing Complete

Sanford Health

Sanford Clinic Lake Norden

Processing Complete

Sanford Health

Sanford Clinic Lake Norden

Processing Complete

Sanford Health

Sanford Clinic Windom

Processing Complete

Sanford Health

Sanford Hospital Webster

Processing Complete

Sanford Health

Sanford Hospital Webster

Processing Complete

Sanford Health

Sanford Hospital Webster

Processing Complete

Sanford Health

Sanford Hospital Deuel County

Processing Complete

Sanford Health

Sanford Hospital Deuel County

Processing Complete

Sanford Health

Sanford Hospital Deuel County

Processing Complete

Page 641: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10582 SD 92663 B 6/16/2010

10894 SD 92725 A 4/30/2010

11378 SD 92726 A 7/7/2010

11378 SD 92726 B 7/7/2010

11378 SD 92726 C 7/7/2010

11563 SD 92727 A 6/16/2010

11607 MN 92728 A 4/29/2010

12350 SD 92729 A 5/26/2010

12350 SD 92729 B 5/26/2010

15044 SD 92730 A 6/21/2010

15044 SD 92730 B 6/21/2010

16123 IA 92731 A 5/7/2010

16767 SD 94671 A 7/21/2010

Sanford Health

Sanford Hospital Deuel County

Processing Complete

Sanford Health

Sanford Ipswich

Processing Complete

Sanford Health

Community Memorial Hospital

Processing Complete

Sanford Health

Community Memorial Hospital

Processing Complete

Sanford Health

Community Memorial Hospital

Processing Complete

Sanford Health

Sanford Clinic Ear, Nose, Throat Watertown

Processing Complete

Sanford Health

Sanford Clinic Worthington

Processing Complete

Sanford Health

Sanford Clinic Brookings

Processing Complete

Sanford Health

Sanford Clinic Brookings

Processing Complete

Sanford Health

Sanford Clinc Family Medicine-Beresford

Processing Complete

Sanford Health

Sanford Clinc Family Medicine-Beresford

Processing Complete

Sanford Health

Northwest Iowa Dialysis Center

Processing Complete

Sanford Health

Sanford Childrens Clinic - Aberdeen

Processing Complete

Page 642: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16767 SD 94673 A 7/21/2010

16767 SD 94674 A 7/21/2010

16768 SD 92732 A 10/21/2010

16768 SD 92732 B 10/21/2010

16768 SD 98949 A 10/21/2010

16768 SD 98949 B 10/21/2010

16769 SD 92733 A 5/26/2010

16770 SD 92734 A 5/12/2010

17354 SD 92735 A 7/21/2010

17354 SD 93942 A 7/21/2010

17393 SD 92736 A 5/26/2010

17840 OK 92737 A 5/7/2010

17840 OK 92738 A 5/7/2010

Sanford Health

Sanford Childrens Clinic - Aberdeen

Processing Complete

Sanford Health

Sanford Childrens Clinic - Aberdeen

Processing Complete

Sanford Health

Sanford Clinic Family Medicine - Brandon

Processing Complete

Sanford Health

Sanford Clinic Family Medicine - Brandon

Processing Complete

Sanford Health

Sanford Clinic Family Medicine - Brandon

Processing Complete

Sanford Health

Sanford Clinic Family Medicine - Brandon

Processing Complete

Sanford Health

Sanford Clinic - Dakota Plains

Processing Complete

Sanford Health

Sanford Children's Clinic - Mitchell

Processing Complete

Sanford Health

Sanford Watertown Imaging Center

Processing Complete

Sanford Health

Sanford Watertown Imaging Center

Processing Complete

Sanford Health

Sanford Clinic Family Medicine - Huron

Processing Complete

Sanford Health

Sanford Children

Processing Complete

Sanford Health

Sanford Children

Processing Complete

Page 643: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17840 OK 92739 A 5/7/2010

17956 SD 92740 A

17956 SD 94891 A 7/21/2010

17956 SD 94891 B 7/21/2010

17253 SD 91167 A 1/12/2010

17253 SD 91171 A 1/21/2010

17253 SD 119614 A 2/26/2013

17253 SD 119666 A 3/14/2013

17253 SD 119669 A 3/28/2013

Sanford Health

Sanford Children

Processing Complete

Sanford Health

Prairie Health Clinic - Wagner

Initial Review Complete

Sanford Health

Prairie Health Clinic - Wagner

Processing Complete

Sanford Health

Prairie Health Clinic - Wagner

Processing Complete

Sanford Health Collaboration and Communication Cha

Sanford Health Collaboration and Communication Channel (SC3)

Processing Complete

Sanford Health Collaboration and Communication Cha

Sanford Health Collaboration and Communication Channel (SC3)

Processing Complete

Sanford Health Collaboration and Communication Cha

Sanford Health Collaboration and Communication Channel (SC3)

Processing Complete

Sanford Health Collaboration and Communication Cha

Sanford Health Collaboration and Communication Channel (SC3)

Processing Complete

Sanford Health Collaboration and Communication Cha

Sanford Health Collaboration and Communication Channel (SC3)

Processing Complete

Page 644: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18467 CA 94284 A 7/12/2010

18467 CA 94424 A 7/12/2010

SEARHC 10054 AK 96611 A 3/17/2011

SEARHC 10054 AK 96612 A

SEARHC 14977 AK 96632 A 3/17/2011

SEARHC 14977 AK 96635 A

14752 IA 88970 A 10/26/2009

14754 IA 88972 A 10/26/2009

14755 IA 88973 A 10/26/2009

14757 IA 88965 A 10/26/2009

14757 IA 88966 A 6/2/2010

Santa Barbara Cottage Hosp

Santa Ynez Valley Cottage Hospital

Processing Complete

Santa Barbara Cottage Hosp

Santa Ynez Valley Cottage Hospital

Processing Complete

SEARHC Klukwan Health Center

Processing Complete

SEARHC Klukwan Health Center

Initial Review Complete

SEARHC Petersburg

Processing Complete

SEARHC Petersburg

Initial Review Complete

Seasons Center for Community Mental Health

Seasons Center for Community Mental Health - Emmetsburg

Processing Complete

Seasons Center for Community Mental Health

Seasons Center for Community Mental Health - Rock Rapids

Processing Complete

Seasons Center for Community Mental Health

Seasons Center for Community Mental Health - Sheldon

Processing Complete

Seasons Center for Community Mental Health

Seasons Center for Community Mental Health - Spencer

Processing Complete

Seasons Center for Community Mental Health

Seasons Center for Community Mental Health - Spencer

Processing Complete

Page 645: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14757 IA 88968 A 1/20/2010

14757 IA 88969 A 1/20/2010

14758 IA 88974 A 1/20/2010

14758 IA 94829 A 6/29/2010

18267 ID 93730 A 7/12/2010

18267 ID 93731 A 7/12/2010

18267 ID 93746 A 7/12/2010

17062 CA 89491 A 2/23/2010

17062 CA 90268 A

skemp 12653 WI 91881 A 5/17/2010

skemp 12653 WI 91889 A 6/28/2010

skemp 12653 WI 91891 A 5/17/2010

Seasons Center for Community Mental Health

Seasons Center for Community Mental Health - Spencer

Processing Complete

Seasons Center for Community Mental Health

Seasons Center for Community Mental Health - Spencer

Processing Complete

Seasons Center for Community Mental Health

Seasons Center for Community Mental Health - Spirit Lake

Processing Complete

Seasons Center for Community Mental Health

Seasons Center for Community Mental Health - Spirit Lake

Processing Complete

Shoshone Medical

Shoshone Medical Center

Processing Complete

Shoshone Medical

Shoshone Medical Center

Processing Complete

Shoshone Medical

Shoshone Medical Center

Processing Complete

Siskiyou Hospital, Inc.

Fairchild Medical Center

Processing Complete

Siskiyou Hospital, Inc.

Fairchild Medical Center

Initial Review Complete

Franciscan-Skemp Arcadia Clinic and Hospital

Processing Complete

Franciscan-Skemp Arcadia Clinic and Hospital

Processing Complete

Franciscan-Skemp Arcadia Clinic and Hospital

Processing Complete

Page 646: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

skemp 12653 WI 91892 A 5/17/2010

skemp 12653 WI 91896 A 5/17/2010

skemp 12653 WI 91897 A 5/17/2010

skemp 12653 WI 91898 A 5/17/2010

skemp 12653 WI 95205 A 7/18/2011

skemp 12655 WI 91880 A 5/17/2010

skemp 12655 WI 91887 A 5/28/2010

skemp 12655 WI 91888 A 6/28/2010

skemp 12655 WI 95688 A 7/18/2011

skemp 12656 WI 91879 A 5/17/2010

skemp 12656 WI 91890 A 6/28/2010

Franciscan-Skemp Arcadia Clinic and Hospital

Processing Complete

Franciscan-Skemp Arcadia Clinic and Hospital

Processing Complete

Franciscan-Skemp Arcadia Clinic and Hospital

Processing Complete

Franciscan-Skemp Arcadia Clinic and Hospital

Processing Complete

Franciscan-Skemp Arcadia Clinic and Hospital

Processing Complete

Franciscan-Skemp Lake Tomah Clinic

Processing Complete

Franciscan-Skemp Lake Tomah Clinic

Processing Complete

Franciscan-Skemp Lake Tomah Clinic

Processing Complete

Franciscan-Skemp Lake Tomah Clinic

Processing Complete

Franciscan-Skemp Sparta Hospital and Clinic

Processing Complete

Franciscan-Skemp Sparta Hospital and Clinic

Processing Complete

Page 647: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

skemp 12656 WI 95207 A 7/18/2011

skemp 12656 WI 95687 A 7/18/2011

skemp 12657 IA 95231 A 7/18/2011

skemp 12657 IA 95232 A 7/18/2011

skemp 12657 IA 95514 A 7/18/2011

skemp 12657 IA 95516 A 7/18/2011

skemp 14919 WI 91875 A 5/20/2010

skemp 14919 WI 91893 A 5/20/2010

skemp 14919 WI 95055 A 7/19/2011

skemp 14942 MN 95053 A

skemp 14942 MN 95519 A 6/28/2010

11441 MN 94969 A 7/23/2010

Franciscan-Skemp Sparta Hospital and Clinic

Processing Complete

Franciscan-Skemp Sparta Hospital and Clinic

Processing Complete

Franciscan-Skemp Waukon Clinic

Processing Complete

Franciscan-Skemp Waukon Clinic

Processing Complete

Franciscan-Skemp Waukon Clinic

Processing Complete

Franciscan-Skemp Waukon Clinic

Processing Complete

Franciscan - Skemp - Prairie du Chien Clinic

Processing Complete

Franciscan - Skemp - Prairie du Chien Clinic

Processing Complete

Franciscan - Skemp - Prairie du Chien Clinic

Processing Complete

Franciscan Skemp - Caledonia Clinic

Processing Complete

Franciscan Skemp - Caledonia Clinic

Processing Complete

SMDC Health Systems

Duluth Clinic - Ely

Processing Complete

Page 648: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11441 MN 94970 A 6/25/2010

11450 WI 95206 A 7/5/2010

11450 WI 95208 A 7/5/2010

12424 MN 95001 A 7/23/2010

SMH 12515 ID 95412 A 8/13/2010

SMH 12516 ID 95186 A 8/13/2010

SMH 12516 ID 95187 A 8/13/2010

15243 MN 93284 A 6/7/2010

15243 MN 93285 A 6/10/2010

15244 MN 93269 A 6/10/2010

15244 MN 93270 A 6/7/2010

10725 AK 90673 A 8/19/2010

10728 AK 90675 A 8/19/2010

10734 AK 90676 A 8/19/2010

SMDC Health Systems

Duluth Clinic - Ely

Processing Complete

SMDC Health Systems

Spooner Clinic

Processing Complete

SMDC Health Systems

Spooner Clinic

Processing Complete

SMDC Health Systems

SMDC Grand Rapids

Processing Complete

St. Marys Hospital - Craigmont Medical Clinic

Processing Complete

St. Marys Hospital - Kamiah Medical Clinic

Processing Complete

St. Marys Hospital - Kamiah Medical Clinic

Processing Complete

South Country Health Alliance

Sibley County Public Health

Processing Complete

South Country Health Alliance

Sibley County Public Health

Processing Complete

South Country Health Alliance

Dodge County Public Health

Processing Complete

South Country Health Alliance

Dodge County Public Health

Processing Complete

Southcentral Foundation

McGrath Village Health Center

Processing Complete

Southcentral Foundation

Nikolai Village Health Clinic

Processing Complete

Southcentral Foundation

Tokotna Village Health Clinic

Processing Complete

Page 649: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13562 AK 90677 A 8/19/2010

17504 AK 95471 A 8/19/2010

15457 MO 90422 A 1/31/2011

15457 MO 90423 A 1/31/2011

15457 MO 90425 A 1/31/2011

15457 MO 96856 A

14454 IL 96299 A 9/19/2010

14456 IL 96341 A 9/19/2010

18468 IL 96334 A 9/19/2010

18469 IL 96337 A 9/19/2010

18470 IL 96342 A 9/19/2010

18471 IL 96333 A 9/19/2010

18499 IL 96339 A 9/19/2010

Southcentral Foundation

Nilavena Subregional Clinic

Processing Complete

Southcentral Foundation

Valley Native Primary Care Center

Processing Complete

Southeast Missouri Health Network

New Madrid Family Clinic

Processing Complete

Southeast Missouri Health Network

New Madrid Family Clinic

Processing Complete

Southeast Missouri Health Network

New Madrid Family Clinic

Processing Complete

Southeast Missouri Health Network

New Madrid Family Clinic

Initial Review Complete

Southern Illinois Healthcare

Herrin Hospital

Processing Complete

Southern Illinois Healthcare

St. Joseph Memorial Hospital

Processing Complete

Southern Illinois Healthcare

Cancer Center

Processing Complete

Southern Illinois Healthcare

Miners Memorial Health Center

Processing Complete

Southern Illinois Healthcare

Logan Primary Care

Processing Complete

Southern Illinois Healthcare

Midwest ENT & Ear Nose Clinic

Processing Complete

Southern Illinois Healthcare

Rehab Unlimited

Processing Complete

Page 650: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18500 IL 96340 A 9/19/2010

18513 IL 96332 A 9/19/2010

18514 IL 96336 A 9/19/2010

14648 IL 97160 A 10/1/2010

17347 IL 97158 A

17348 IL 97159 A 10/19/2010

14649 IL 97163 A 10/19/2010

Southern Illinois Healthcare

St Joseph Memorial Hospital - Sleep Disorder Center

Processing Complete

Southern Illinois Healthcare

WorkCare Occupational Health Logan Park

Processing Complete

Southern Illinois Healthcare

WorkCare Lincoln Dr - Logan Park SIOC

Processing Complete

Southern Illinois Healthcare Foundation

Southern Illinois Healthcare Foundation - Salem Medical Center

Processing Complete

Southern Illinois Healthcare Foundation, Inc.

Southern Illinois Healthcare Foundation - Effingham Health Ctr

Processing Complete

Southern Illinois Healthcare Foundation, Inc.

Southern Illinois Healthcare Foundation-Cumberland Cnty Health Ctr

Processing Complete

Southern Illinois Heatlhcare Foundation

Southern Illinois Healthcare Foundation - Vandalia Health Center

Processing Complete

Page 651: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17255 AL 93987 A 6/22/2010

14836 UT 88735 A 10/15/2009

14836 UT 88736 A 10/15/2009

14836 UT 88737 A 10/15/2009

14836 UT 88738 A 10/15/2009

14836 UT 88740 A 10/15/2009

14837 UT 89415 A 10/15/2009

Southwest Alabama Mental Health Consortium

Southwest Alabama Foundation for Mental Health and Mental Retardation

Processing Complete

Southwest Behavioral Health Center

Southwest Behavioral Health Center - St. George

Processing Complete

Southwest Behavioral Health Center

Southwest Behavioral Health Center - St. George

Processing Complete

Southwest Behavioral Health Center

Southwest Behavioral Health Center - St. George

Processing Complete

Southwest Behavioral Health Center

Southwest Behavioral Health Center - St. George

Processing Complete

Southwest Behavioral Health Center

Southwest Behavioral Health Center - St. George

Processing Complete

Southwest Behavioral Health Center

Southwest Behavioral Health Center - Cedar City (245 E 680 S)

Processing Complete

Page 652: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14837 UT 89416 A 10/15/2009

14838 UT 88739 A 10/15/2009

17256 NM 106227 A 7/20/2011

17256 NM 106229 A 1/10/2012

17256 NM 107297 A 8/2/2011

17256 NM 112100 A 3/30/2012

17256 NM 112409 A 3/30/2012

Southwest Behavioral Health Center

Southwest Behavioral Health Center - Cedar City (245 E 680 S)

Processing Complete

Southwest Behavioral Health Center

Southwest Behavioral Health Center - Beaver

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Page 653: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17256 NM 113555 A 4/3/2012

17256 NM 114740 A 5/22/2012

17256 NM 114742 A 5/22/2012

17256 NM 114801 A 5/22/2012

17256 NM 114802 A 5/22/2012

17256 NM 116649 A 11/16/2012

17256 NM 119476 A 11/16/2012

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Page 654: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17256 NM 119495 A 11/7/2012

17256 NM 119512 A 11/16/2012

17256 NM 119513 A 11/16/2012

17256 NM 119523 A 11/16/2012

17256 NM 119524 A 11/16/2012

14444 VA 89074 A

14444 VA 90842 A 2/1/2010

14009 MN 93632 A 7/7/2010

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Telehealth Access Grid

Southwest Telehealth Access Grid (AZ NM TX CO CA NV UT)

Processing Complete

Southwest Virginia Community Health Systems

Trout Dale Medical Center

Initial Review Complete

Southwest Virginia Community Health Systems

Trout Dale Medical Center

Processing Complete

Southwestern Minnesota Adult Mental Health Consort

Buffalo Ridge Assertive Community Treatment

Processing Complete

Page 655: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14009 MN 93633 A 7/7/2010

14010 MN 97034 A 10/27/2010

14010 MN 97041 A 10/27/2010

14011 MN 91948 A 7/7/2010

14011 MN 93631 A 7/7/2010

14013 MN 95975 A 9/23/2010

14013 MN 95976 A 9/23/2010

13074 IL 95681 A 1/27/2011

Southwestern Minnesota Adult Mental Health Consort

Buffalo Ridge Assertive Community Treatment

Processing Complete

Southwestern Minnesota Adult Mental Health Consort

Southwinds Assertive Community Treatment

Processing Complete

Southwestern Minnesota Adult Mental Health Consort

Southwinds Assertive Community Treatment

Processing Complete

Southwestern Minnesota Adult Mental Health Consort

Tri - Star Assertive Community Treatment

Processing Complete

Southwestern Minnesota Adult Mental Health Consort

Tri - Star Assertive Community Treatment

Processing Complete

Southwestern Minnesota Adult Mental Health Consort

Western Plains Assertive Community Treatment - Willmar

Processing Complete

Southwestern Minnesota Adult Mental Health Consort

Western Plains Assertive Community Treatment - Willmar

Processing Complete

Sparta Community Hospital

Sparta Community Hospital

Processing Complete

Page 656: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13074 IL 95768 A 1/27/2011

13258 IL 95774 A 1/27/2011

13260 IL 95779 A 1/27/2011

13261 IL 95777 A 1/27/2011

16057 IL 95782 A 1/27/2011

16058 IL 95781 A 1/27/2011

16898 MI 89070 A 3/16/2010

16221 MI 92610 A 1/24/2011

16221 MI 92621 A 1/25/2011

16221 MI 92622 A

16221 MI 92623 A 1/24/2011

16221 MI 92624 A 1/24/2011

16221 MI 92625 A 1/24/2011

16221 MI 92626 A 1/24/2011

16336 WI 93794 A 5/28/2010

16336 WI 93795 A 5/28/2010

Sparta Community Hospital

Sparta Community Hospital

Processing Complete

Sparta Community Hospital

Coulterville Medical Clinic

Processing Complete

Sparta Community Hospital

Sparta Specialty Clinic

Processing Complete

Sparta Community Hospital

Steeleville Medical Clinic

Processing Complete

Sparta Community Hospital

Convenient Care

Processing Complete

Sparta Community Hospital

Marissa Medical Clinic

Processing Complete

Spectrum Health - Kelsey Hospital

Spectrum Health - Kelsey Hospital

Processing Complete

Spectrum Health United

Spectrum Health United

Processing Complete

Spectrum Health United

Spectrum Health United

Processing Complete

Spectrum Health United

Spectrum Health United

Initial Review Complete

Spectrum Health United

Spectrum Health United

Processing Complete

Spectrum Health United

Spectrum Health United

Processing Complete

Spectrum Health United

Spectrum Health United

Processing Complete

Spectrum Health United

Spectrum Health United

Processing Complete

Spooner Health System

Spooner Health System

Processing Complete

Spooner Health System

Spooner Health System

Processing Complete

Page 657: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16336 WI 93796 A 6/3/2010

16336 WI 94960 A

16336 WI 94961 A

18046 OH 94245 A 9/19/2010

18051 OH 94244 A 9/19/2010

10226 St Joseph ND 91189 A 2/5/2010

10226 St Joseph ND 91492 A 2/19/2010

10226 St Joseph ND 97112 A 11/2/2010

10227 ND 91199 A 2/5/2010

10229 ND 91202 A 2/5/2010

10229 ND 93973 A 8/27/2010

10230 ND 91192 A 2/5/2010

10231 ND 91090 A 2/11/2010

10231 ND 91200 A 2/11/2010

Spooner Health System

Spooner Health System

Processing Complete

Spooner Health System

Spooner Health System

Processing Complete

Spooner Health System

Spooner Health System

Processing Complete

St Rita's Consortium

Wapak Womens Center

Processing Complete

St Rita's Consortium

Grand Lake Cancer Center of WCO

Processing Complete

St. Alexius TeleCare Network

Processing Complete

St. Alexius TeleCare Network

Processing Complete

St. Alexius TeleCare Network

Processing Complete

St. Alexius TeleCare Network

Community Memorial Hospital

Processing Complete

St. Alexius TeleCare Network

St Aloisius Medical Center

Processing Complete

St. Alexius TeleCare Network

St Aloisius Medical Center

Processing Complete

St. Alexius TeleCare Network

Garrison Memorial Hospital

Processing Complete

St. Alexius TeleCare Network

Mercy Medical Center

Processing Complete

St. Alexius TeleCare Network

Mercy Medical Center

Processing Complete

Page 658: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10231 ND 91470 A 2/11/2010

10232 ND 91105 A 2/5/2010

10233 ND 91194 A 2/5/2010

10239 ND 91191 A 2/5/2010

10241 SD 92100 A 7/19/2010

10241 SD 93147 A 7/19/2010

10245 ND 91190 A 2/5/2010

11160 ND 91201 A 2/5/2010

11160 ND 91462 A 2/25/2010

12509 ID 93003 A 8/13/2010

12509 ID 93008 A 8/13/2010

12509 ID 93009 A 8/13/2010

12509 ID 93010 A 8/13/2010

St. Alexius TeleCare Network

Mercy Medical Center

Processing Complete

St. Alexius TeleCare Network

Ashley Medical Center

Processing Complete

St. Alexius TeleCare Network

Sakakawea Medical Center

Processing Complete

St. Alexius TeleCare Network

Wishek Community Hospital-Telecare Network

Processing Complete

St. Alexius TeleCare Network

Mobridge Regional Hospital

Processing Complete

St. Alexius TeleCare Network

Mobridge Regional Hospital

Processing Complete

St. Alexius TeleCare Network

Linton Hospital

Processing Complete

St. Alexius TeleCare Network

Carrington Health Center

Processing Complete

St. Alexius TeleCare Network

Carrington Health Center

Processing Complete

St. Mary's Hospital, Inc.

St. Marys Hospital

Processing Complete

St. Mary's Hospital, Inc.

St. Marys Hospital

Processing Complete

St. Mary's Hospital, Inc.

St. Marys Hospital

Processing Complete

St. Mary's Hospital, Inc.

St. Marys Hospital

Processing Complete

Page 659: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

12509 ID 95179 A 8/13/2010

12509 ID 95180 A 8/13/2010

12509 ID 95181 A 8/13/2010

12509 ID 95182 A 8/13/2010

12509 ID 95183 A 8/13/2010

12509 ID 95184 A 8/13/2010

12509 ID 95420 A 8/13/2010

11537 VA 91346 A 2/19/2010

11537 VA 91346 B 2/19/2010

11543 VA 91349 A 2/19/2010

11543 VA 91349 B 2/19/2010

12798 VA 91351 A 2/19/2010

12798 VA 91351 B 2/19/2010

13611 VA 91350 A 2/19/2010

St. Mary's Hospital, Inc.

St. Marys Hospital

Processing Complete

St. Mary's Hospital, Inc.

St. Marys Hospital

Processing Complete

St. Mary's Hospital, Inc.

St. Marys Hospital

Processing Complete

St. Mary's Hospital, Inc.

St. Marys Hospital

Processing Complete

St. Mary's Hospital, Inc.

St. Marys Hospital

Processing Complete

St. Mary's Hospital, Inc.

St. Marys Hospital

Processing Complete

St. Mary's Hospital, Inc.

St. Marys Hospital

Processing Complete

Stone Mountain Health Services

Davenport Clinic

Processing Complete

Stone Mountain Health Services

Davenport Clinic

Processing Complete

Stone Mountain Health Services

Haysi Clinic

Processing Complete

Stone Mountain Health Services

Haysi Clinic

Processing Complete

Stone Mountain Health Services

William A. Davis Clinic

Processing Complete

Stone Mountain Health Services

William A. Davis Clinic

Processing Complete

Stone Mountain Health Services

Konnarock Family Health Center

Processing Complete

Page 660: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13611 VA 91350 B 2/19/2010

14900 VA 91336 A 2/19/2010

14900 VA 91336 B 2/19/2010

14947 VA 91345 A 2/19/2010

14947 VA 91345 B 2/19/2010

15430 VA 91348 A 2/19/2010

15430 VA 91348 B 2/19/2010

15432 VA 91347 A 2/19/2010

16161 CA 89674 A 3/23/2010

16161 CA 90505 A 3/23/2010

16161 CA 91613 A 3/22/2010

16162 CA 89675 A 3/23/2010

16162 CA 90506 A 3/23/2010

16164 CA 89676 A 3/23/2010

Stone Mountain Health Services

Konnarock Family Health Center

Processing Complete

Stone Mountain Health Services

Stone Mountain Health Services

Processing Complete

Stone Mountain Health Services

Stone Mountain Health Services

Processing Complete

Stone Mountain Health Services

Holston Family Health Center

Processing Complete

Stone Mountain Health Services

Holston Family Health Center

Processing Complete

Stone Mountain Health Services

Oakwood Respiratory Care

Processing Complete

Stone Mountain Health Services

Oakwood Respiratory Care

Processing Complete

Stone Mountain Health Services

Pennington Gap Clinic

Processing Complete

Sutter Health

Sutter Amador Hospital

Processing Complete

Sutter Health

Sutter Amador Hospital

Processing Complete

Sutter Health

Sutter Amador Hospital

Processing Complete

Sutter Health

Sutter Lakeside Hospital

Processing Complete

Sutter Health

Sutter Lakeside Hospital

Processing Complete

Sutter Health

Sutter Health - Jackson (N Y Ranch Rd)

Processing Complete

Page 661: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16164 CA 90507 A 3/23/2010

16165 CA 89677 A 3/23/2010

16165 CA 90508 A 3/23/2010

16166 CA 89678 A 3/23/2010

16166 CA 90509 A 3/23/2010

16167 CA 89679 A 3/23/2010

16167 CA 90510 A 3/23/2010

16168 CA 89680 A 3/23/2010

16168 CA 90511 A 3/23/2010

16169 CA 89681 A 3/23/2010

16169 CA 90512 A 3/23/2010

18464 MS 96381 A 9/19/2010

18474 MS 96385 A 9/19/2010

18475 MS 96384 A 9/19/2010

18477 MS 96382 A 9/19/2010

Sutter Health

Sutter Health - Jackson (N Y Ranch Rd)

Processing Complete

Sutter Health

Sutter Health - Brownsville

Processing Complete

Sutter Health

Sutter Health - Brownsville

Processing Complete

Sutter Health

Sutter Health - Patterson

Processing Complete

Sutter Health

Sutter Health - Patterson

Processing Complete

Sutter Health

Sutter Health - Pioneer

Processing Complete

Sutter Health

Sutter Health - Pioneer

Processing Complete

Sutter Health

Sutter Health - Plymouth

Processing Complete

Sutter Health

Sutter Health - Plymouth

Processing Complete

Sutter Health

Sutter Health - Rio Vista

Processing Complete

Sutter Health

Sutter Health - Rio Vista

Processing Complete

SW Mississippi Regional

Amite Internal Medicine

Processing Complete

SW Mississippi Regional

Tylertown Clinic

Processing Complete

SW Mississippi Regional

Lawrence County Hospital

Processing Complete

SW Mississippi Regional

Brookhaven Urgent

Processing Complete

Page 662: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18477 MS 96383 A 9/19/2010

17020 CO 95372 A 8/17/2011

17020 CO 95757 A

12565 KY 93605 A 7/12/2010

12565 KY 94817 A 7/12/2010

12565 KY 94818 A 7/12/2010

10717 AK 90353 A 4/28/2010

10717 AK 90536 A 2/16/2010

10717 AK 91235 A 4/6/2010

10718 AK 90354 A 4/28/2010

10718 AK 90480 A 2/16/2010

10718 AK 91236 A 4/28/2010

10719 AK 90539 A 2/16/2010

SW Mississippi Regional

Brookhaven Urgent

Processing Complete

SWCMHC

Southwest Colorado Mental Health Center

Processing Complete

SWCMHC

Southwest Colorado Mental Health Center

Initial Review Complete

T J Samson

T. J. Samson Hospital

Processing Complete

T J Samson

T. J. Samson Hospital

Processing Complete

T J Samson

T. J. Samson Hospital

Processing Complete

Tanana Chiefs Conference

Eagle Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Eagle Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Eagle Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Louden Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Louden Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Louden Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Healy Lake Village Health Clinic

Processing Complete

Page 663: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10719 AK 91237 A 4/28/2010

10720 AK 90355 A 4/28/2010

10720 AK 90538 A 2/16/2010

10720 AK 91238 A 4/6/2010

10721 AK 90356 A 4/28/2010

10721 AK 90541 A 2/16/2010

10721 AK 91240 A 4/6/2010

10722 AK 90357 A 4/28/2010

10722 AK 90542 A 2/16/2010

10722 AK 91242 A 4/6/2010

10723 AK 90359 A 4/28/2010

10723 AK 90543 A 2/16/2010

10723 AK 91244 A 4/6/2010

Tanana Chiefs Conference

Healy Lake Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Hughes Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Hughes Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Hughes Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Huslia Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Huslia Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Huslia Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Kaltag Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Kaltag Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Kaltag Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Koyukuk Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Koyukuk Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Koyukuk Village Health Clinic

Processing Complete

Page 664: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10724 AK 90360 A 4/28/2010

10724 AK 90481 A 2/16/2010

10724 AK 91246 A 4/28/2010

10726 AK 90361 A 4/28/2010

10726 AK 90482 A 2/16/2010

10726 AK 91248 A 4/28/2010

10727 AK 90362 A 4/28/2010

10727 AK 90483 A 2/16/2010

10727 AK 91249 A 4/28/2010

10729 AK 90363 A 4/28/2010

10729 AK 90488 A 2/16/2010

10729 AK 91251 A 4/28/2010

10730 AK 90364 A 4/28/2010

10730 AK 90486 A 2/16/2010

Tanana Chiefs Conference

Manley Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Manley Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Manley Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Minto Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Minto Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Minto Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Nenana Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Nenana Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Nenana Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Nulato Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Nulato Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Nulato Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Northway Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Northway Village Health Clinic

Processing Complete

Page 665: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10730 AK 91252 A 4/28/2010

10731 AK 90365 A 4/28/2010

10731 AK 90513 A 2/16/2010

10731 AK 91257 A 4/28/2010

10732 AK 90366 A 4/28/2010

10732 AK 90514 A 2/16/2010

10732 AK 91258 A 4/28/2010

10733 AK 90367 A 4/28/2010

10733 AK 90515 A 2/16/2010

10733 AK 91259 A 4/28/2010

10735 AK 90368 A 4/28/2010

10735 AK 90523 A 2/19/2010

10735 AK 91260 A 4/28/2010

Tanana Chiefs Conference

Northway Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Rampart Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Rampart Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Rampart Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Ruby Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Ruby Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Ruby Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Stevens Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Stevens Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Stevens Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Tetlin Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Tetlin Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Tetlin Village Health Clinic

Processing Complete

Page 666: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10736 AK 90379 A 4/28/2010

10736 AK 90527 A 5/6/2010

10736 AK 91268 A 4/28/2010

10737 AK 90369 A 4/28/2010

10737 AK 90528 A 2/16/2010

10737 AK 91261 A 4/28/2010

10738 AK 90370 A 4/28/2010

10738 AK 90534 A 2/16/2010

10738 AK 91262 A 4/28/2010

10739 AK 90371 A 4/28/2010

10739 AK 90530 A 4/28/2010

Tanana Chiefs Conference

Tok Native Association Health Clinic

Processing Complete

Tanana Chiefs Conference

Tok Native Association Health Clinic

Processing Complete

Tanana Chiefs Conference

Tok Native Association Health Clinic

Processing Complete

Tanana Chiefs Conference

Chief Andrew Isaac Health Center

Processing Complete

Tanana Chiefs Conference

Chief Andrew Isaac Health Center

Processing Complete

Tanana Chiefs Conference

Chief Andrew Isaac Health Center

Processing Complete

Tanana Chiefs Conference

Dot Lake Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Dot Lake Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Dot Lake Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Alatna Village Health Clinic

Processing Complete

Tanana Chiefs Conference

Alatna Village Health Clinic

Processing Complete

Page 667: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11022 AK 90373 A 4/28/2010

11022 AK 90533 A 2/16/2010

11022 AK 91263 A 4/28/2010

15464 AK 90376 A 4/28/2010

15464 AK 90532 A 2/16/2010

15464 AK 91265 A 4/28/2010

15465 AK 90377 A 4/28/2010

15465 AK 90522 A 2/16/2010

15465 AK 91266 A 4/29/2010

16362 AK 90378 A 4/28/2010

16362 AK 90531 A 2/16/2010

Tanana Chiefs Conference

Council of Athabascan Tribal Governments-Chalkyitsik

Processing Complete

Tanana Chiefs Conference

Council of Athabascan Tribal Governments-Chalkyitsik

Processing Complete

Tanana Chiefs Conference

Council of Athabascan Tribal Governments-Chalkyitsik

Processing Complete

Tanana Chiefs Conference

Anaktuvuk Pass Counseling Center

Processing Complete

Tanana Chiefs Conference

Anaktuvuk Pass Counseling Center

Processing Complete

Tanana Chiefs Conference

Anaktuvuk Pass Counseling Center

Processing Complete

Tanana Chiefs Conference

Tanana Health Center

Processing Complete

Tanana Chiefs Conference

Tanana Health Center

Processing Complete

Tanana Chiefs Conference

Tanana Health Center

Processing Complete

Tanana Chiefs Conference

Allakaket Mental Health Clinic

Processing Complete

Tanana Chiefs Conference

Allakaket Mental Health Clinic

Processing Complete

Page 668: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

16362 AK 91267 A 4/28/2010

10715 AK 90351 A 4/28/2010

10715 AK 90529 A 2/16/2010

10715 AK 91233 A 4/13/2010

10716 AK 90352 A 4/28/2010

10716 AK 90537 A 2/16/2010

10716 AK 91234 A 4/6/2010

12804 AK 90375 A 4/28/2010

12804 AK 90521 A 2/16/2010

12804 AK 91264 A 4/28/2010

17258 TN 108150 A 10/17/2014

17258 TN 117357 A 10/17/2014

Tanana Chiefs Conference

Allakaket Mental Health Clinic

Processing Complete

Tanana Chiefs Conference, Inc

Allakaket Village Health Clinic

Processing Complete

Tanana Chiefs Conference, Inc

Allakaket Village Health Clinic

Processing Complete

Tanana Chiefs Conference, Inc

Allakaket Village Health Clinic

Processing Complete

Tanana Chiefs Conference, Inc

Evansville Village Health Clinic

Processing Complete

Tanana Chiefs Conference, Inc

Evansville Village Health Clinic

Processing Complete

Tanana Chiefs Conference, Inc

Evansville Village Health Clinic

Processing Complete

Tanana Chiefs Conference, Inc.

Tanacross Health Clinic

Processing Complete

Tanana Chiefs Conference, Inc.

Tanacross Village Health Clinic

Processing Complete

Tanana Chiefs Conference, Inc.

Tanacross Village Health Clinic

Processing Complete

Tennessee Telehealth Network

Tennessee Telehealth Network-Community Health Network, Inc.

Processing Complete

Tennessee Telehealth Network

Tennessee Telehealth Network Pilot Project

Processing Complete

Page 669: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17258 TN 117547 A 10/17/2014

17259 TX 105833 A

17259 TX 119568 A 2/10/2016

17259 TX 119578 A

17259 TX 119844 A 2/12/2016

13345 TX 88764 A 2/10/2010

13345 TX 88765 A 2/4/2010

13345 TX 88766 A 2/1/2010

13345 TX 88767 A 2/10/2010

14152 TX 89071 A 6/2/2010

Tennessee Telehealth Network

Tennessee Telehealth Network Pilot Project

Processing Complete

Texas Health Information Network Collaborative

CHRISTUS Health

Processing Complete

Texas Health Information Network Collaborative

CHRISTUS Health

Processing Complete

Texas Health Information Network Collaborative

CHRISTUS Health

Processing Complete

Texas Health Information Network Collaborative

CHRISTUS Health

Processing Complete

Texas Healthcare Network

Sweeny Community Hospital

Processing Complete

Texas Healthcare Network

Sweeny Community Hospital

Processing Complete

Texas Healthcare Network

Sweeny Community Hospital

Processing Complete

Texas Healthcare Network

Sweeny Community Hospital

Processing Complete

Texas Healthcare Network

Heart of Texas Memorial Hospital

Processing Complete

Page 670: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14152 TX 89072 A 12/21/2009

14159 TX 89238 A 1/28/2010

14159 TX 89239 A 2/8/2010

14159 TX 89241 A 3/2/2010

14159 TX 93860 A 6/14/2010

14159 TX 93862 A 6/14/2010

13157 WI 93264 A 7/30/2010

13157 WI 93956 A 7/15/2010

13157 WI 93957 A 7/8/2010

13158 WI 93268 A 7/15/2010

13158 WI 93271 A 7/8/2010

13158 WI 93940 A

13158 WI 93952 A 7/22/2010

Texas Healthcare Network

Heart of Texas Memorial Hospital

Processing Complete

Texas Healthcare Network

Henderson Memorial Hospital

Processing Complete

Texas Healthcare Network

Henderson Memorial Hospital

Processing Complete

Texas Healthcare Network

Henderson Memorial Hospital

Processing Complete

Texas Healthcare Network

Henderson Memorial Hospital

Processing Complete

Texas Healthcare Network

Henderson Memorial Hospital

Processing Complete

The Monroe Clinic

The Monroe Clinic - Albany

Processing Complete

The Monroe Clinic

The Monroe Clinic - Albany

Processing Complete

The Monroe Clinic

The Monroe Clinic - Albany

Processing Complete

The Monroe Clinic

The Monroe Clinic - Blanchardville

Processing Complete

The Monroe Clinic

The Monroe Clinic - Blanchardville

Processing Complete

The Monroe Clinic

The Monroe Clinic - Blanchardville

Initial Review Complete

The Monroe Clinic

The Monroe Clinic - Blanchardville

Processing Complete

Page 671: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13158 WI 93953 A 7/22/2010

13158 WI 93954 A 7/22/2010

13159 WI 93275 A 7/8/2010

13159 WI 93277 A 7/8/2010

13159 WI 93281 A 7/8/2010

13160 WI 93286 A 7/8/2010

13160 WI 93288 A 7/8/2010

13160 WI 93291 A 7/8/2010

13160 WI 93958 A

13160 WI 93959 A 7/30/2010

13160 WI 95642 A 7/15/2010

13161 IL 93297 A 7/15/2010

The Monroe Clinic

The Monroe Clinic - Blanchardville

Processing Complete

The Monroe Clinic

The Monroe Clinic - Blanchardville

Processing Complete

The Monroe Clinic

The Monroe Clinic - Brodhead

Processing Complete

The Monroe Clinic

The Monroe Clinic - Brodhead

Processing Complete

The Monroe Clinic

The Monroe Clinic - Brodhead

Processing Complete

The Monroe Clinic

The Monroe Clinic - New Glarus

Processing Complete

The Monroe Clinic

The Monroe Clinic - New Glarus

Processing Complete

The Monroe Clinic

The Monroe Clinic - New Glarus

Processing Complete

The Monroe Clinic

The Monroe Clinic - New Glarus

Initial Review Complete

The Monroe Clinic

The Monroe Clinic - New Glarus

Processing Complete

The Monroe Clinic

The Monroe Clinic - New Glarus

Processing Complete

The Monroe Clinic

The Monroe Clinic - Freeport

Processing Complete

Page 672: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13161 IL 93298 A 7/15/2010

13161 IL 93299 A 7/15/2010

13162 IL 93302 A 7/15/2010

13162 IL 93303 A 7/15/2010

15463 IL 93304 A 7/15/2010

15463 IL 93305 A 7/15/2010

16208 IN 91980 A 3/9/2010

18303 WI 95309 A 7/19/2010

18303 WI 95311 A 7/26/2010

18303 WI 95312 A 7/26/2010

18303 WI 95315 A 9/7/2010

18303 WI 95403 A 7/26/2010

The Monroe Clinic

The Monroe Clinic - Freeport

Processing Complete

The Monroe Clinic

The Monroe Clinic - Freeport

Processing Complete

The Monroe Clinic

The Monroe Clinic - Lena

Processing Complete

The Monroe Clinic

The Monroe Clinic - Lena

Processing Complete

The Monroe Clinic

The Monroe Clinic - Durand

Processing Complete

The Monroe Clinic

The Monroe Clinic - Durand

Processing Complete

The Southern Hills Counseling Center, Inc.

The Southern Hills Counseling Center, Inc. - Jasper

Processing Complete

ThedaCare

New London Family Medical Center

Processing Complete

ThedaCare

New London Family Medical Center

Processing Complete

ThedaCare

New London Family Medical Center

Processing Complete

ThedaCare

New London Family Medical Center

Processing Complete

ThedaCare

New London Family Medical Center

Processing Complete

Page 673: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18303 WI 95405 A 7/26/2010

18303 WI 96291 A 9/7/2010

18303 WI 96294 A 7/19/2010

18303 WI 97101 A 9/7/2010

18304 WI 95357 A 7/26/2010

18304 WI 95459 A 7/19/2010

18305 WI 95360 A 7/19/2010

18305 WI 95361 A 7/19/2010

18305 WI 95362 A 7/19/2010

18305 WI 95461 A 7/19/2010

ThedaCare

New London Family Medical Center

Processing Complete

ThedaCare

New London Family Medical Center

Processing Complete

ThedaCare

New London Family Medical Center

Processing Complete

ThedaCare

New London Family Medical Center

Processing Complete

ThedaCare

ThedaCare Physicians-Manawa

Processing Complete

ThedaCare

ThedaCare Physicians-Manawa

Processing Complete

ThedaCare

ThedaCare Physicians-Iola Family Medicine

Processing Complete

ThedaCare

ThedaCare Physicians-Iola Family Medicine

Processing Complete

ThedaCare

ThedaCare Physicians-Iola Family Medicine

Processing Complete

ThedaCare

ThedaCare Physicians-Iola Family Medicine

Processing Complete

Page 674: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18306 WI 95364 A 10/7/2010

18307 WI 95370 A 7/26/2010

18307 WI 95460 A 7/19/2010

18308 WI 95408 A 10/7/2010

18308 WI 95409 A 7/26/2010

18308 WI 95415 A 9/7/2010

18308 WI 95458 A 7/19/2010

18308 WI 96639 A 7/19/2010

ThedaCare

ThedaCare Physicians-Family Medicine, Hilbert

Processing Complete

ThedaCare

ThedaCare Physicians-Tigerton Family Medicine

Processing Complete

ThedaCare

ThedaCare Physicians-Tigerton Family Medicine

Processing Complete

ThedaCare

ThedaCare Physicians-Clintonville Family Medicine

Processing Complete

ThedaCare

ThedaCare Physicians-Clintonville Family Medicine

Processing Complete

ThedaCare

ThedaCare Physicians-Clintonville Family Medicine

Processing Complete

ThedaCare

ThedaCare Physicians-Clintonville Family Medicine

Processing Complete

ThedaCare

ThedaCare Physicians-Clintonville Family Medicine

Processing Complete

Page 675: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18309 WI 95426 A 7/26/2010

18309 WI 95462 A 7/19/2010

18310 WI 95427 A 9/7/2010

18310 WI 95501 A 7/19/2010

18310 WI 95503 A 7/26/2010

18310 WI 95504 A 7/26/2010

18310 WI 95505 A 7/26/2010

18311 WI 95428 A 7/26/2010

18311 WI 95463 A 7/19/2010

13813 IA 96439 A 9/19/2010

ThedaCare

ThedaCare Physicians-Family Medicine-Black Creek

Processing Complete

ThedaCare

ThedaCare Physicians-Family Medicine-Black Creek

Processing Complete

ThedaCare

ThedaCare Physicians - Shawano

Processing Complete

ThedaCare

ThedaCare Physicians - Shawano

Processing Complete

ThedaCare

ThedaCare Physicians - Shawano

Processing Complete

ThedaCare

ThedaCare Physicians - Shawano

Processing Complete

ThedaCare

ThedaCare Physicians - Shawano

Processing Complete

ThedaCare

ThedaCare Physicians-Family Medicine - Ripon

Processing Complete

ThedaCare

ThedaCare Physicians-Family Medicine - Ripon

Processing Complete

TIS-Mercy Medical Center

Baum Harmon Mercy Hospital

Processing Complete

Page 676: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13813 IA 96439 B 9/19/2010

18226 VA 94602 A 12/14/2010

12622 MN 89355 A 4/9/2010

12622 MN 89356 A 4/9/2010

12622 MN 91025 A 4/8/2010

12622 MN 91207 A 4/8/2010

18269 MI 92870 A 7/12/2010

18047 TX 95853 A 9/19/2010

18047 TX 95854 A 9/19/2010

18048 TX 95852 A 9/19/2010

18049 TX 95848 A 9/19/2010

18049 TX 95849 A 9/19/2010

18049 TX 95850 A 9/19/2010

13956 VA 94992 A 7/14/2010

10250 AR 96166 A 1/3/2011

10250 AR 96166 B 1/3/2011

TIS-Mercy Medical Center

Baum Harmon Mercy Hospital

Processing Complete

Tri Area Community Health

Tri Area Community Health (Floyd)

Processing Complete

Tri-County Hospital

Tri-County Hospital

Processing Complete

Tri-County Hospital

Tri-County Hospital

Processing Complete

Tri-County Hospital

Tri-County Hospital

Processing Complete

Tri-County Hospital

Tri-County Hospital

Processing Complete

Trinity - Chelsea

Chelsea Community Hospital

Processing Complete

Trinity Mother Frances

Trinity Clinic - Sulphur Springs

Processing Complete

Trinity Mother Frances

Trinity Clinic - Sulphur Springs

Processing Complete

Trinity Mother Frances

Trinity Clinic - Emory

Processing Complete

Trinity Mother Frances

Trinity Clinic - Canton

Processing Complete

Trinity Mother Frances

Trinity Clinic - Canton

Processing Complete

Trinity Mother Frances

Trinity Clinic - Canton

Processing Complete

Twin County Regional Hospital

Galax Family Care Center

Processing Complete

UAMS Rural Hospital Program

Ozark Health Medical Center

Processing Complete

UAMS Rural Hospital Program

Ozark Health Medical Center

Processing Complete

Page 677: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10250 AR 96166 C 1/3/2011

10250 AR 96168 A 1/3/2011

10711 AR 97119 A 8/26/2011

10711 AR 97122 A 8/26/2011

10766 AR 96891 A 5/31/2011

10766 AR 96891 B 5/31/2011

10766 AR 97128 A 6/1/2011

10771 AR 89269 A

10771 AR 90040 A

10772 AR 86328 A 4/6/2010

10772 AR 86662 A 5/23/2011

10772 AR 87394 A

UAMS Rural Hospital Program

Ozark Health Medical Center

Processing Complete

UAMS Rural Hospital Program

Ozark Health Medical Center

Processing Complete

UAMS Rural Hospital Program

North Arkansas Regional Medical Center

Processing Complete

UAMS Rural Hospital Program

North Arkansas Regional Medical Center

Processing Complete

UAMS Rural Hospital Program

Piggott Community Hospital

Processing Complete

UAMS Rural Hospital Program

Piggott Community Hospital

Processing Complete

UAMS Rural Hospital Program

Piggott Community Hospital

Processing Complete

UAMS Rural Hospital Program

Chicot Memorial Hospital

Initial Review Complete

UAMS Rural Hospital Program

Chicot Memorial Hospital

Initial Review Complete

UAMS Rural Hospital Program

Community Medical Center of Izard County

Processing Complete

UAMS Rural Hospital Program

Community Medical Center of Izard County

Processing Complete

UAMS Rural Hospital Program

Community Medical Center of Izard County

Initial Review Complete

Page 678: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10772 AR 88656 A

12635 AR 97132 A 12/30/2010

11392 SD 93446 A 8/16/2011

14647 SD 93318 A 8/16/2011

12763 TN 91295 A 6/28/2010

12763 TN 92016 A 6/28/2010

15058 TN 91301 A 6/28/2010

15058 TN 92023 A 6/28/2010

UPHCN 11156 MI 90274 A

UPHCN 11156 MI 90904 A

UPHCN 11156 MI 96752 A

UAMS Rural Hospital Program

Community Medical Center of Izard County

Initial Review Complete

UAMS Rural Hospital Program

McGehee-Desha County Hospital

Processing Complete

Union County Health Foundation

Elk Point Community Health Clinic

Processing Complete

Union County Health Foundation

Alcester Clinic

Processing Complete

University of Tennessee - Outreach Center

Mountain View Youth Center

Processing Complete

University of Tennessee - Outreach Center

Mountain View Youth Center

Processing Complete

University of Tennessee - Outreach Center

University of Tennessee - Family Medicine Clinic

Processing Complete

University of Tennessee - Outreach Center

University of Tennessee - Family Medicine Clinic

Processing Complete

Grand View Hospital

Initial Review Complete

Grand View Hospital

Initial Review Complete

Grand View Hospital

Processing Complete

Page 679: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14597 MN 94853 A 7/20/2010

14597 MN 94854 A 7/20/2010

14598 MN 94851 A 7/20/2010

14598 MN 94852 A 7/20/2010

13331 UT 90642 A 2/7/2010

13331 UT 90642 B 2/7/2010

13331 UT 90681 A 2/7/2010

13545 UT 92049 A 8/31/2010

13545 UT 92049 B 8/31/2010

13545 UT 92050 A 7/5/2010

11645 UT 92450 A 11/14/2010

Upper Mississippi Mental Health Center

Upper Mississippi Mental Health Center - Bemidji

Processing Complete

Upper Mississippi Mental Health Center

Upper Mississippi Mental Health Center - Bemidji

Processing Complete

Upper Mississippi Mental Health Center

Upper Mississippi Mental Health Center - Park Rapids

Processing Complete

Upper Mississippi Mental Health Center

Upper Mississippi Mental Health Center - Park Rapids

Processing Complete

Utah Health Choice Netowrk

Wayne Community Health Center

Processing Complete

Utah Health Choice Netowrk

Wayne Community Health Center

Processing Complete

Utah Health Choice Netowrk

Wayne Community Health Center

Processing Complete

Utah Health Choice Network

Green River Medical Center

Processing Complete

Utah Health Choice Network

Green River Medical Center

Processing Complete

Utah Health Choice Network

Green River Medical Center

Processing Complete

Utah Telehealth Network

Monument Valley Health Center

Processing Complete

Page 680: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11645 UT 92452 A 11/14/2010

11645 UT 92453 A 11/14/2010

11646 UT 93061 A 11/14/2010

11646 UT 93063 A 11/14/2010

11646 UT 93064 A 11/14/2010

11646 UT 93066 A 11/14/2010

11646 UT 93068 A 11/14/2010

11647 UT 90551 A 11/14/2010

11647 UT 90552 A 11/14/2010

11648 UT 90553 A 11/14/2010

11650 UT 90554 A 11/14/2010

11650 UT 90580 A 11/14/2010

Utah Telehealth Network

Monument Valley Health Center

Processing Complete

Utah Telehealth Network

Monument Valley Health Center

Processing Complete

Utah Telehealth Network

Montezuma Creek Community Health Center

Processing Complete

Utah Telehealth Network

Montezuma Creek Community Health Center

Processing Complete

Utah Telehealth Network

Montezuma Creek Community Health Center

Processing Complete

Utah Telehealth Network

Montezuma Creek Community Health Center

Processing Complete

Utah Telehealth Network

Montezuma Creek Community Health Center

Processing Complete

Utah Telehealth Network

Allen Memorial Hospital

Processing Complete

Utah Telehealth Network

Allen Memorial Hospital

Processing Complete

Utah Telehealth Network

Central Utah Public Health Department

Processing Complete

Utah Telehealth Network

Central Valley Medical Center

Processing Complete

Utah Telehealth Network

Central Valley Medical Center

Processing Complete

Page 681: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

11673 UT 90558 A 11/14/2010

11678 UT 90559 A 11/14/2010

11678 UT 90560 A 11/14/2010

12420 UT 90562 A 11/14/2010

12420 UT 90563 A 11/14/2010

12573 UT 90566 A 11/14/2010

12573 UT 90567 A 11/14/2010

13788 UT 90569 A 11/14/2010

13789 UT 90570 A 11/14/2010

13790 UT 90571 A 11/14/2010

Utah Telehealth Network

Beaver Valley Hospital

Processing Complete

Utah Telehealth Network

Gunnison Valley Hospital

Processing Complete

Utah Telehealth Network

Gunnison Valley Hospital

Processing Complete

Utah Telehealth Network

SAN JUAN HEALTH SERVICES DISTRICT HOSPITAL

Processing Complete

Utah Telehealth Network

SAN JUAN HEALTH SERVICES DISTRICT HOSPITAL

Processing Complete

Utah Telehealth Network

Uintah Basin Medical Center

Processing Complete

Utah Telehealth Network

Uintah Basin Medical Center

Processing Complete

Utah Telehealth Network

Southwest Utah Public Health Department

Processing Complete

Utah Telehealth Network

Summit County Public Health Department

Processing Complete

Utah Telehealth Network

Tooele County Health Department

Processing Complete

Page 682: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13803 UT 90572 A 11/14/2010

13805 UT 95063 A 11/14/2010

13806 UT 90573 A 11/14/2010

14165 UT 93071 A 11/14/2010

14165 UT 93072 A 11/14/2010

14165 UT 93073 A 11/14/2010

16200 UT 90574 A 11/14/2010

16201 UT 90576 A 11/14/2010

16202 UT 90575 A 11/14/2010

Utah Telehealth Network

Bear River Health Department

Processing Complete

Utah Telehealth Network

Southeastern Utah District Health Department

Processing Complete

Utah Telehealth Network

Wasatch City-County Health Department

Processing Complete

Utah Telehealth Network

Utah Navajo Health System - Blanding Family Practice

Processing Complete

Utah Telehealth Network

Utah Navajo Health System - Blanding Family Practice

Processing Complete

Utah Telehealth Network

Utah Navajo Health System - Blanding Family Practice

Processing Complete

Utah Telehealth Network

Basin Family Clinic

Processing Complete

Utah Telehealth Network

Southwest Utah Health Department - Cedar City

Processing Complete

Utah Telehealth Network

Southeastern Utah Health Department - Moab

Processing Complete

Page 683: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17003 UT 93077 A 11/14/2010

17003 UT 93079 A 11/14/2010

10598 MS 89527 A

10598 MS 91293 A 6/28/2010

10598 MS 92013 A 6/28/2010

12695 TN 91294 A 6/28/2010

12695 TN 92015 A 6/28/2010

12764 TN 91296 A 6/28/2010

12764 TN 92017 A 6/28/2010

13195 Marcroom TN 91297 A 6/28/2010

13195 Marcroom TN 92018 A 6/28/2010

14006 TN 91298 A 6/28/2010

14006 TN 92019 A 6/28/2010

14007 TN 91299 A 6/28/2010

14007 TN 92021 A 6/28/2010

Utah Telehealth Network

Navajo Mountain Clinic

Processing Complete

Utah Telehealth Network

Navajo Mountain Clinic

Processing Complete

UTHSC - Telehealth

North Mississippi Health Services

Processing Complete

UTHSC - Telehealth

North Mississippi Health Services

Processing Complete

UTHSC - Telehealth

North Mississippi Health Services

Processing Complete

UTHSC - Telehealth

Dyersburg Hospital

Processing Complete

UTHSC - Telehealth

Dyersburg Hospital

Processing Complete

UTHSC - Telehealth

Taft Youth Development Center

Processing Complete

UTHSC - Telehealth

Taft Youth Development Center

Processing Complete

UTHSC - Telehealth

Processing Complete

UTHSC - Telehealth

Processing Complete

UTHSC - Telehealth

Decatur County Hospital

Processing Complete

UTHSC - Telehealth

Decatur County Hospital

Processing Complete

UTHSC - Telehealth

Hardin County General Hospital

Processing Complete

UTHSC - Telehealth

Hardin County General Hospital

Processing Complete

Page 684: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14665 MS 91300 A 6/28/2010

14665 MS 92022 A 6/28/2010

15059 TN 91302 A 6/28/2010

15059 TN 92024 A 6/28/2010

15099 TN 91303 A 6/28/2010

15099 TN 92102 A 6/28/2010

15099 TN 92104 A

17011 TN 91304 A 6/28/2010

17011 TN 92029 A 6/28/2010

18284 ND 97126 A 8/16/2011

18283 ND 97129 A 8/16/2011

VDH 13841 VA 89665 A 12/13/2009

VDH 13841 VA 96429 A

UTHSC - Telehealth

UT Cancer Institute

Processing Complete

UTHSC - Telehealth

UT Cancer Institute

Processing Complete

UTHSC - Telehealth

Wilder Youth Development Center

Processing Complete

UTHSC - Telehealth

Wilder Youth Development Center

Processing Complete

UTHSC - Telehealth

Department of Children's Services - Dresden

Processing Complete

UTHSC - Telehealth

Department of Children

Processing Complete

UTHSC - Telehealth

Department of Children

Initial Review Complete

UTHSC-Telehealth

Methodist Hospital

Processing Complete

UTHSC-Telehealth

Methodist Hospital

Processing Complete

Valley Community Health Center

Valley Community Health Center – Northwood

Processing Complete

Valley Community Health Centers

Valley Community Health Center – Larimore

Processing Complete

Surry County Health Department

Processing Complete

Surry County Health Department

Processing Complete

Page 685: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 13842 VA 89645 A 12/13/2009

VDH 13842 VA 96408 A

VDH 13844 VA 89646 A 12/13/2009

VDH 13844 VA 96409 A

VDH 13845 VA 89610 A 12/11/2009

VDH 13845 VA 96274 A

VDH 13846 VA 89661 A 12/13/2009

VDH 13846 VA 89662 A

VDH 13846 VA 96425 A

VDH 13847 VA 89547 A 12/11/2009

Page County Health Department

Processing Complete

Page County Health Department

Processing Complete

Patrick County Health Department

Processing Complete

Patrick County Health Department

Processing Complete

Franklin County Health Department

Processing Complete

Franklin County Health Department

Processing Complete

Southampton County Health Department

Processing Complete

Southampton County Health Department

Initial Review Complete

Southampton County Health Department

Processing Complete

Franklin City Health Department

Processing Complete

Page 686: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 13847 VA 96273 A

VDH 13849 VA 89620 A 12/11/2009

VDH 13849 VA 96376 A

VDH 13850 VA 89134 A 12/8/2009

VDH 13850 VA 96114 A

VDH 13852 VA 89652 A 12/13/2009

VDH 13852 VA 96415 A

VDH 13853 VA 89633 A 12/13/2009

VDH 13853 VA 96396 A

VDH 13854 VA 89660 A 12/13/2009

Franklin City Health Department

Processing Complete

Halifax County Health Department

Processing Complete

Halifax County Health Department

Processing Complete

Appomattox County Health Department

Processing Complete

Appomattox County Health Department

Processing Complete

Rappahannock County Health Department

Processing Complete

Rappahannock County Health Department

Processing Complete

Lunenburg County Health Department

Processing Complete

Lunenburg County Health Department

Processing Complete

Smyth County Health Department

Processing Complete

Page 687: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 13854 VA 96424 A

VDH 13855 VA 89649 A 12/13/2009

VDH 13855 VA 96412 A

VDH 13856 VA 89637 A 12/13/2009

VDH 13856 VA 96400 A

VDH 13857 VA 89141 A 12/9/2009

VDH 13857 VA 96187 A

VDH 13858 VA 89142 A 12/9/2009

VDH 13858 VA 96190 A

VDH 13861 VA 91313 A 2/15/2010

Smyth County Health Department

Processing Complete

Prince Edward County Health Department

Processing Complete

Prince Edward County Health Department

Processing Complete

Middlesex County Health Department

Processing Complete

Middlesex County Health Department

Processing Complete

Buchanan County Health Department

Processing Complete

Buchanan County Health Department

Processing Complete

Buckingham County Health Department

Processing Complete

Buckingham County Health Department

Processing Complete

Nottoway County Health Department

Processing Complete

Page 688: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 13861 VA 96406 A

VDH 15951 VA 89127 A 12/11/2009

VDH 15951 VA 95998 A

VDH 15952 VA 89129 A 12/11/2009

VDH 15952 VA 96000 A

VDH 15953 VA 89135 A 12/8/2009

VDH 15953 VA 96117 A

VDH 15954 VA 89137 A 12/9/2009

VDH 15954 VA 96120 A

VDH 15955 VA 89139 A 12/9/2009

VDH 15955 VA 96125 A

Nottoway County Health Department

Processing Complete

Accomack County Health Department

Processing Complete

Accomack County Health Department

Processing Complete

Alleghany/Covington Health Department

Processing Complete

Alleghany/Covington Health Department

Processing Complete

Amelia County Health Department

Processing Complete

Amelia County Health Department

Processing Complete

Bath County Health Department

Processing Complete

Bath County Health Department

Processing Complete

Bland County Health Department

Processing Complete

Bland County Health Department

Processing Complete

Page 689: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 15956 VA 89143 A 12/11/2009

VDH 15956 VA 96193 A

VDH 15957 VA 89144 A 12/11/2009

VDH 15957 VA 96196 A

VDH 15958 VA 89145 A 12/11/2009

VDH 15958 VA 96199 A

VDH 15959 VA 89146 A 12/11/2009

VDH 15959 VA 96202 A

VDH 15960 VA 89147 A 12/11/2009

VDH 15960 VA 96206 A

Buena Vista City Health Department

Processing Complete

Buena Vista City Health Department

Processing Complete

Caroline County Health Department

Processing Complete

Caroline County Health Department

Processing Complete

Carroll County Health Department

Processing Complete

Carroll County Health Department

Processing Complete

Charles City County Health Department

Processing Complete

Charles City County Health Department

Processing Complete

Charlotte County Health Department

Processing Complete

Charlotte County Health Department

Processing Complete

Page 690: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 15961 VA 89148 A 12/11/2009

VDH 15961 VA 96207 A

VDH 15962 VA 89149 A 12/11/2009

VDH 15962 VA 96210 A

VDH 15963 VA 89150 A 12/11/2009

VDH 15963 VA 96214 A

VDH 15964 VA 89151 A 12/11/2009

VDH 15964 VA 96218 A

VDH 15965 VA 89153 A 12/11/2009

VDH 15965 VA 96224 A

Clarke County Health Department

Processing Complete

Clarke County Health Department

Processing Complete

Clifton Forge City Health Department

Processing Complete

Clifton Forge City Health Department

Processing Complete

Craig County Health Department

Processing Complete

Craig County Health Department

Processing Complete

Culpeper County Health Department

Processing Complete

Culpeper County Health Department

Processing Complete

Cumberland County Health Department

Processing Complete

Cumberland County Health Department

Processing Complete

Page 691: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 15967 VA 89155 A 12/11/2009

VDH 15967 VA 96260 A

VDH 15968 VA 89156 A 12/11/2009

VDH 15968 VA 96266 A

VDH 15969 VA 89157 A 12/11/2009

VDH 15969 VA 96267 A

VDH 15970 VA 89545 A 12/11/2009

VDH 15970 VA 96270 A

VDH 15971 VA 89546 A 12/11/2009

VDH 15971 VA 96272 A

VDH 15972 VA 89611 A 12/11/2009

Dinwiddie County Health Department

Processing Complete

Dinwiddie County Health Department

Processing Complete

Essex County Health Department

Processing Complete

Essex County Health Department

Processing Complete

Fauquier County Health Department

Processing Complete

Fauquier County Health Department

Processing Complete

Floyd County Health Department

Processing Complete

Floyd County Health Department

Processing Complete

Fluvanna County Health Department

Processing Complete

Fluvanna County Health Department

Processing Complete

Galax City Health Department

Processing Complete

Page 692: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 15972 VA 96350 A

VDH 15973 VA 89613 A 12/14/2009

VDH 15973 VA 96352 A

VDH 15974 VA 89614 A 12/11/2009

VDH 15974 VA 96354 A

VDH 15975 VA 89615 A 12/11/2009

VDH 15975 VA 96355 A

VDH 15976 VA 89616 A 12/11/2009

VDH 15976 VA 96371 A

VDH 15977 VA 89618 A

VDH 15977 VA 91420 A

Galax City Health Department

Processing Complete

Giles County Health Department

Processing Complete

Giles County Health Department

Processing Complete

Gloucester County Health Department

Processing Complete

Gloucester County Health Department

Processing Complete

Goochland County Health Department

Processing Complete

Goochland County Health Department

Processing Complete

Grayson County Health Department

Processing Complete

Grayson County Health Department

Processing Complete

Greene County Health Department

Processing Complete

Greene County Health Department

Processing Complete

Page 693: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 15977 VA 96374 A

VDH 15978 VA 89619 A 12/11/2009

VDH 15978 VA 96373 A

VDH 15979 VA 89622 A 12/11/2009

VDH 15979 VA 96379 A

VDH 15980 VA 89624 A 12/11/2009

VDH 15980 VA 96388 A

VDH 15981 VA 89625 A 12/11/2009

VDH 15981 VA 96389 A

VDH 15982 VA 89626 A 12/11/2009

Greene County Health Department

Processing Complete

Greensville/Emporia Health Department

Processing Complete

Greensville/Emporia Health Department

Processing Complete

Highland County Health Department

Processing Complete

Highland County Health Department

Processing Complete

King & Queen County Health Department

Processing Complete

King & Queen County Health Department

Processing Complete

King George County Health Department

Processing Complete

King George County Health Department

Processing Complete

King William County Health Department

Processing Complete

Page 694: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 15982 VA 96390 A

VDH 15983 VA 89627 A 12/11/2009

VDH 15983 VA 96391 A

VDH 15984 VA 89628 A 12/13/2009

VDH 15984 VA 96392 A

VDH 15985 VA 89632 A 12/13/2009

VDH 15985 VA 96395 A

VDH 15986 VA 89634 A 12/13/2009

VDH 15986 VA 96397 A

VDH 15987 VA 89635 A 12/13/2009

VDH 15987 VA 96398 A

King William County Health Department

Processing Complete

Lancaster County Health Department

Processing Complete

Lancaster County Health Department

Processing Complete

Lee County Health Department

Processing Complete

Lee County Health Department

Processing Complete

Louisa County Health Department

Processing Complete

Louisa County Health Department

Processing Complete

Madison County Health Department

Processing Complete

Madison County Health Department

Processing Complete

Mathews County Health Department

Processing Complete

Mathews County Health Department

Processing Complete

Page 695: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 15988 VA 89639 A 12/13/2009

VDH 15988 VA 96402 A

VDH 15989 VA 89640 A 12/13/2009

VDH 15989 VA 96403 A

VDH 15990 VA 89641 A 12/13/2009

VDH 15990 VA 96404 A

VDH 15991 VA 89642 A 12/13/2009

VDH 15991 VA 89643 A

VDH 15991 VA 96405 A

VDH 15992 VA 89644 A 12/13/2009

Nelson County Health Department

Processing Complete

Nelson County Health Department

Processing Complete

New Kent County Health Department

Processing Complete

New Kent County Health Department

Processing Complete

Northhampton County Health Department

Processing Complete

Northhampton County Health Department

Processing Complete

Northumberland County Health Department

Processing Complete

Northumberland County Health Department

Initial Review Complete

Northumberland County Health Department

Processing Complete

Orange County Health Department

Processing Complete

Page 696: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 15992 VA 96407 A

VDH 15993 VA 89650 A 12/13/2009

VDH 15993 VA 96413 A

VDH 15994 VA 89651 A 12/13/2009

VDH 15994 VA 96414 A

VDH 15995 VA 89653 A 12/13/2009

VDH 15995 VA 96416 A

VDH 15996 VA 89654 A 12/13/2009

VDH 15996 VA 96417 A

VDH 15997 VA 89656 A 12/13/2009

Orange County Health Department

Processing Complete

Pulaski County Health Department

Processing Complete

Pulaski County Health Department

Processing Complete

Radford City Health Department

Processing Complete

Radford City Health Department

Processing Complete

Richmond County Health Department

Processing Complete

Richmond County Health Department

Processing Complete

Rockbridge/Lexington Health Department

Processing Complete

Rockbridge/Lexington Health Department

Processing Complete

Russell County Health Department

Processing Complete

Page 697: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 15997 VA 96419 A

VDH 15998 VA 89658 A 12/13/2009

VDH 15998 VA 96421 A

VDH 15999 VA 89659 A 12/13/2009

VDH 15999 VA 96423 A

VDH 16000 VA 89663 A 12/13/2009

VDH 16000 VA 96428 A

VDH 16001 VA 89666 A 12/13/2009

VDH 16001 VA 96431 A

VDH 16002 VA 89668 A 12/13/2009

Russell County Health Department

Processing Complete

Scott County Health Department

Processing Complete

Scott County Health Department

Processing Complete

Shenandoah County Health Department

Processing Complete

Shenandoah County Health Department

Processing Complete

Stafford County Health Department

Processing Complete

Stafford County Health Department

Processing Complete

Sussex County Health Department

Processing Complete

Sussex County Health Department

Processing Complete

Warren County Health Department

Processing Complete

Page 698: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 16002 VA 96433 A

VDH 16003 VA 89670 A 12/13/2009

VDH 16003 VA 96435 A

VDH 16004 VA 89671 A 12/13/2009

VDH 16004 VA 96436 A

VDH 16005 VA 89672 A 12/13/2009

VDH 16005 VA 96437 A

VDH 16487 VA 89053 A 12/8/2009

VDH 16487 VA 95872 A

VDH 16488 VA 89138 A 12/9/2009

VDH 16488 VA 96124 A

Warren County Health Department

Processing Complete

Westmoreland County Health Department

Processing Complete

Westmoreland County Health Department

Processing Complete

Wise/Norton Health Department

Processing Complete

Wise/Norton Health Department

Processing Complete

Wythe County Health Department

Processing Complete

Wythe County Health Department

Processing Complete

Abingdon Field Office

Processing Complete

Abingdon Field Office

Processing Complete

Bedford County Health Department

Processing Complete

Bedford County Health Department

Processing Complete

Page 699: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 16489 VA 89140 A 12/9/2009

VDH 16489 VA 96184 A

VDH 16491 VA 89623 A 12/11/2009

VDH 16491 VA 96387 A

VDH 16492 VA 89629 A 12/13/2009

VDH 16492 VA 96393 A

VDH 16493 VA 89636 A 12/13/2009

VDH 16493 VA 96399 A

VDH 16494 VA 89647 A 12/13/2009

VDH 16494 VA 96410 A

Brunswick County Health Department

Processing Complete

Brunswick County Health Department

Processing Complete

Isle of Wight County Health Department

Processing Complete

Isle of Wight County Health Department

Processing Complete

Lexington Field Office

Processing Complete

Lexington Field Office

Processing Complete

Mecklenburg County Health Department

Processing Complete

Mecklenburg County Health Department

Processing Complete

Pittsylvania / Danville Health Department

Processing Complete

Pittsylvania / Danville Health Department

Processing Complete

Page 700: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VDH 16495 VA 89648 A 12/13/2009

VDH 16495 VA 96411 A

VDH 16541 VA 89657 A 12/13/2009

VDH 16541 VA 96420 A

VDH 16646 VA 89544 A 12/11/2009

VDH 16646 VA 96269 A

VDH 16677 VA 89664 A 12/13/2009

VDH 16677 VA 96427 A

VI DOH 10366 VI 88836 A 5/20/2011

VI DOH 10367 VI 91460 A 4/9/2010

VI DOH 10369 VI 88838 A 12/1/2009

VI DOH 10371 VI 88839 A 12/1/2009

Powhatan County Health Department

Processing Complete

Powhatan County Health Department

Processing Complete

VDH Dental Clinic - Russell County

Processing Complete

VDH Dental Clinic - Russell County

Processing Complete

Fauquier Environmental Health Department

Processing Complete

Fauquier Environmental Health Department

Processing Complete

South Side Health District

Processing Complete

South Side Health District

Processing Complete

VI DOH - WIC Program

Processing Complete

VI DOH - Ingeborg Nesbitt Health Ctr.

Processing Complete

VI DOH - MCH, CC Family Planning

Processing Complete

VI DOH - Medical Assistance

Processing Complete

Page 701: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

VI DOH 10373 VI 88840 A 12/1/2009

VI DOH 10376 VI 88841 A 5/20/2011

VI DOH 10377 VI 88842 A 12/1/2009

VI DOH 10377 VI 88843 A 12/1/2009

VI DOH 10379 VI 88844 A 12/1/2009

VI DOH 11653 VI 88846 A 12/1/2009

VIDOH 10380 VI 88845 A 12/1/2009

VIDOH 14384 VI 88847 A 12/1/2009

17265 VA 106498 A 9/15/2011

17265 VA 119423 A 8/30/2012

17265 VA 119521 A 1/6/2015

17265 VA 119522 A 1/14/2013

VI DOH - East End Health Center

Processing Complete

VI DOH - RLS Community Health Center

Processing Complete

Knud Hansen Health Complex

Processing Complete

Knud Hansen Health Complex

Processing Complete

VI DOH - Mental Health & Nutrition

Processing Complete

VI DOH - Morris F. DeCastro Clinic

Processing Complete

VI DOH - Charles Harwood Complex

Processing Complete

VIDOH - LTC

Processing Complete

Virginia Acute Stroke Telehealth Project

University of Virginia Health System

Processing Complete

Virginia Acute Stroke Telehealth Project

University of Virginia Health System

Processing Complete

Virginia Acute Stroke Telehealth Project

University of Virginia Health System

Processing Complete

Virginia Acute Stroke Telehealth Project

University of Virginia Health System

Processing Complete

Page 702: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

10411 VA 93384 A 12/8/2010

10411 VA 93384 B 12/8/2010

11554 VA 93549 A 12/8/2010

11554 VA 93549 B 12/8/2010

12632 VA 93551 A 12/8/2010

12632 VA 93551 B 12/8/2010

13098 VA 93552 A 12/8/2010

13098 VA 93552 B 12/8/2010

13099 VA 93594 A 12/8/2010

13099 VA 93594 B 12/8/2010

13100 VA 93766 A 12/8/2010

Virginia Alliance for Telemedicine

Bath County Community Hospital

Processing Complete

Virginia Alliance for Telemedicine

Bath County Community Hospital

Processing Complete

Virginia Alliance for Telemedicine

Tri- Area Health Clinic

Processing Complete

Virginia Alliance for Telemedicine

Tri- Area Health Clinic

Processing Complete

Virginia Alliance for Telemedicine

Thompson Family Health Center

Processing Complete

Virginia Alliance for Telemedicine

Thompson Family Health Center

Processing Complete

Virginia Alliance for Telemedicine

Bland County Medical Clinic

Processing Complete

Virginia Alliance for Telemedicine

Bland County Medical Clinic

Processing Complete

Virginia Alliance for Telemedicine

Buchanan General Hospital

Processing Complete

Virginia Alliance for Telemedicine

Buchanan General Hospital

Processing Complete

Virginia Alliance for Telemedicine

Highland Medical Center

Processing Complete

Page 703: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13100 VA 93766 B 12/8/2010

13102 VA 94313 A 12/8/2010

13103 VA 93791 A 4/7/2011

13103 VA 93803 A 4/7/2011

13103 VA 93805 A 4/7/2011

13103 VA 93823 A 4/7/2011

13103 VA 93824 A 4/7/2011

13103 VA 93825 A 4/7/2011

13184 VA 93826 A 12/8/2010

13496 VA 93827 A 5/10/2011

13650 VA 94831 A 7/14/2010

Virginia Alliance for Telemedicine

Highland Medical Center

Processing Complete

Virginia Alliance for Telemedicine

University of Virginia - Zion's Crossroads

Processing Complete

Virginia Alliance for Telemedicine

University Physicians - Orange

Processing Complete

Virginia Alliance for Telemedicine

University Physicians - Orange

Processing Complete

Virginia Alliance for Telemedicine

University Physicians - Orange

Processing Complete

Virginia Alliance for Telemedicine

University Physicians - Orange

Processing Complete

Virginia Alliance for Telemedicine

University Physicians - Orange

Processing Complete

Virginia Alliance for Telemedicine

University Physicians - Orange

Processing Complete

Virginia Alliance for Telemedicine

Middlebrook Family Practice

Processing Complete

Virginia Alliance for Telemedicine

University of Virginia - Page

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Page 704: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13650 VA 94833 A 7/16/2010

13650 VA 94834 A 7/16/2010

13650 VA 94836 A 7/16/2010

13650 VA 94837 A 7/16/2010

13650 VA 95148 A 8/2/2010

13650 VA 95148 B 8/2/2010

13650 VA 95149 A 10/14/2010

13650 VA 95149 B 10/14/2010

13650 VA 95244 A 7/14/2010

13650 VA 95252 A 7/26/2010

13650 VA 95254 A 8/2/2010

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Page 705: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13650 VA 96574 A

13650 VA 96624 A 7/30/2010

13749 VA 94308 A 12/14/2010

13749 VA 94308 B 12/14/2010

14383 VA 94314 A 12/14/2010

14383 VA 94314 B 12/14/2010

14794 VA 94315 A 5/16/2011

14794 VA 104762 A 7/5/2011

14795 VA 94337 A 7/27/2011

14795 VA 104759 A 7/27/2011

14941 VA 94509 A 12/14/2010

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Twin County Regional Hospital

Processing Complete

Virginia Alliance for Telemedicine

Saint Mary's Health Wagon

Processing Complete

Virginia Alliance for Telemedicine

Saint Mary's Health Wagon

Processing Complete

Virginia Alliance for Telemedicine

Page Memorial Hospital

Processing Complete

Virginia Alliance for Telemedicine

Page Memorial Hospital

Processing Complete

Virginia Alliance for Telemedicine

Augusta Medical Center

Processing Complete

Virginia Alliance for Telemedicine

Augusta Medical Center

Processing Complete

Virginia Alliance for Telemedicine

Rockingham Memorial Hospital

Processing Complete

Virginia Alliance for Telemedicine

Rockingham Memorial Hospital

Processing Complete

Virginia Alliance for Telemedicine

Dungannon Clinch River Health Services

Processing Complete

Page 706: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14941 VA 94509 B 12/14/2010

15526 VA 94516 A 12/14/2010

13843 VA 89621 A 12/11/2009

13843 VA 96377 A

13848 VA 89655 A 12/13/2009

13848 VA 96418 A

13851 VA 89667 A 12/13/2009

13851 VA 96432 A

15029 VA 89669 A 12/13/2009

Virginia Alliance for Telemedicine

Dungannon Clinch River Health Services

Processing Complete

Virginia Alliance for Telemedicine

UVA Medical Associates of Louisa

Processing Complete

Virginia Department of Health

Martinsville / Henry County Health Department

Processing Complete

Virginia Department of Health

Martinsville / Henry County Health Department

Processing Complete

Virginia Department of Health

Rockingham / Harrisonburg Health Department

Processing Complete

Virginia Department of Health

Rockingham / Harrisonburg Health Department

Processing Complete

Virginia Department of Health

Tazewell County Health Department

Processing Complete

Virginia Department of Health

Tazewell County Health Department

Processing Complete

Virginia Department of Health

Waynesboro - Augusta Health Department

Processing Complete

Page 707: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15029 VA 96434 A

15030 VA 89630 A

15030 VA 89631 A 12/13/2009

15030 VA 96394 A

15033 VA 89638 A 12/13/2009

15033 VA 96401 A

15034 VA 89136 A 12/9/2009

15034 VA 96118 A

15047 VA 89612 A 12/11/2009

15047 VA 96348 A

Virginia Department of Health

Waynesboro - Augusta Health Department

Processing Complete

Virginia Department of Health

Lord Fairfax Health Department

Initial Review Complete

Virginia Department of Health

Lord Fairfax Health Department

Processing Complete

Virginia Department of Health

Lord Fairfax Health Department

Processing Complete

Virginia Department of Health

Montgomery County Health Sept.

Processing Complete

Virginia Department of Health

Montgomery County Health Dept.

Processing Complete

Virginia Department of Health

Augusta - Staunton Health Department

Processing Complete

Virginia Department of Health

Augusta - Staunton Health Department

Processing Complete

Virginia Department of Health

Frederick / Winchester Health Department

Processing Complete

Virginia Department of Health

Frederick / Winchester Health Department

Processing Complete

Page 708: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

15966 VA 89154 A 12/11/2009

15966 VA 96258 A

WAHS 17107 WI 93236 A 5/15/2010

WAHS 17107 WI 93248 A 5/15/2010

WAHS 17107 WI 93339 A 5/15/2010

Watervliet 18206 MI 93057 A 7/11/2010

14746 TN 94142 A 7/6/2010

14746 TN 94144 A 7/6/2010

17267 WV 89872 A 5/3/2010

Virginia Dept of Health

Dickenson County Health Department

Processing Complete

Virginia Dept of Health

Dickenson County Health Department

Processing Complete

Watertown Area Health Services - Juneau Clinic (S Western Ave)

Processing Complete

Watertown Area Health Services - Juneau Clinic (S Western Ave)

Processing Complete

Watertown Area Health Services - Juneau Clinic (S Western Ave)

Processing Complete

Bangor Medical Center

Processing Complete

Wellmont Health System

Wellmont Hancock County Hospital

Processing Complete

Wellmont Health System

Wellmont Hancock County Hospital

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

Page 709: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17267 WV 98088 A 9/22/2010

17267 WV 99755 A 4/27/2011

17267 WV 99848 A 4/27/2011

17267 WV 99964 A 4/27/2011

17267 WV 100031 A 4/27/2011

17267 WV 100194 A 4/27/2011

17267 WV 119401 A 8/28/2012

17267 WV 119436 A 4/18/2013

17267 WV 119486 A 10/8/2012

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

Page 710: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17267 WV 119530 A 10/10/2012

17267 WV 119571 A 11/6/2012

17267 WV 119572 A 11/6/2012

17267 WV 119574 A

17267 WV 119580 A

17267 WV 119659 A 4/26/2013

17267 WV 119671 A 4/18/2013

14712 MN 86554 A 11/16/2009

14712 MN 93038 A 6/17/2010

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

In Process

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

West Virginia Telehealth Alliance

West Virginia Telehealth Alliance, Inc.

Processing Complete

Western Mental Health Center

Western Mental Health Center - Granite Falls

Processing Complete

Western Mental Health Center

Western Mental Health Center - Granite Falls

Processing Complete

Page 711: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

14712 MN 94921 A 7/29/2010

14713 MN 86555 A 11/16/2009

14713 MN 93037 A 6/17/2010

14713 MN 94926 A 7/29/2010

17268 NY 98204 A 9/8/2010

17268 NY 108599 A 9/20/2011

17268 NY 109661 A 11/11/2011

17268 NY 115144 A 5/21/2012

Western Mental Health Center

Western Mental Health Center - Granite Falls

Processing Complete

Western Mental Health Center

Western Mental Health Center - Redwood Falls

Processing Complete

Western Mental Health Center

Western Mental Health Center - Redwood Falls

Processing Complete

Western Mental Health Center

Western Mental Health Center - Redwood Falls

Processing Complete

Western New York Rural Area Health Education Cente

Western New York Rural Area Health Education Center

Processing Complete

Western New York Rural Area Health Education Cente

Western New York Rural Area Health Education Center

Processing Complete

Western New York Rural Area Health Education Cente

Western New York Rural Area Health Education Center

Processing Complete

Western New York Rural Area Health Education Cente

Western New York Rural Area Health Education Center, Inc.

Processing Complete

Page 712: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

17268 NY 119535 A 1/25/2013

17268 NY 119546 A 11/19/2012

17268 NY 119680 A

17268 NY 119684 A 1/23/2014

18390 IA 96380 A 10/20/2010

18392 IA 96102 A 9/19/2010

18392 IA 96102 B 9/19/2010

18393 IA 96109 A 9/19/2010

18393 IA 96109 B 9/19/2010

18394 IA 96105 A 9/19/2010

18394 IA 96105 B 9/19/2010

18395 IA 96474 A

Western New York Rural Area Health Education Cente

Western New York Rural Area Health Education Center, Inc.

Processing Complete

Western New York Rural Area Health Education Cente

Western New York Rural Area Health Education Center, Inc.

Processing Complete

Western New York Rural Area Health Education Cente

Western New York Rural Area Health Education Center, Inc.

In Process

Western New York Rural Area Health Education Cente

Western New York Rural Area Health Education Center, Inc.

Processing Complete

Wheaton Franciscan

Covenant Clinic - Dysart

Processing Complete

Wheaton Franciscan

Covenant Clinic - Arlington

Processing Complete

Wheaton Franciscan

Covenant Clinic - Arlington

Processing Complete

Wheaton Franciscan

Covenant Clinic - Fairbank

Processing Complete

Wheaton Franciscan

Covenant Clinic - Fairbank

Processing Complete

Wheaton Franciscan

Covenant Clinic - Jesup

Processing Complete

Wheaton Franciscan

Covenant Clinic - Jesup

Processing Complete

Wheaton Franciscan

Covenant Clinic - Oelwein

Initial Review Complete

Page 713: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

18396 IA 96113 A 9/19/2010

18396 IA 96113 B 9/19/2010

18396 IA 96113 C 9/19/2010

18397 IA 96111 A 9/19/2010

18397 IA 96111 B 9/19/2010

18398 IA 96116 A 9/19/2010

18398 IA 96116 B 9/19/2010

18400 IA 98906 A 11/11/2010

18408 WI 95868 A 9/19/2010

18435 IA 96251 A 9/19/2010

11827 AZ 94814 A 7/12/2010

18277 AZ 94815 A 9/19/2010

11210 AZ 89159 A

11210 AZ 89200 A 3/10/2011

13786 MN 95659 A 9/23/2010

13786 MN 95660 A 10/6/2010

Wheaton Franciscan

Covenant Clinic - Reinbeck

Processing Complete

Wheaton Franciscan

Covenant Clinic - Reinbeck

Processing Complete

Wheaton Franciscan

Covenant Clinic - Reinbeck

Processing Complete

Wheaton Franciscan

Covenant Clinic - Shell Rock

Processing Complete

Wheaton Franciscan

Covenant Clinic - Shell Rock

Processing Complete

Wheaton Franciscan

Covenant Clinic - Traer

Processing Complete

Wheaton Franciscan

Covenant Clinic - Traer

Processing Complete

Wheaton Franciscan

Mercy Hospital

Processing Complete

Wheaton Franciscan

All Saints Union Grove

Processing Complete

Wheaton Franciscan

Covenant Clinic - Gladbrook

Processing Complete

Wickenburg Hospital

Wickenburg Community Hospital

Processing Complete

Wickenburg Hospital

Wickenburg Hospital Clinic

Processing Complete

Winslow Health Center

NAIHS - Winslow Health Center

Initial Review Complete

Winslow Health Center

NAIHS - Winslow Health Center

Processing Complete

Woodland Centers

Woodland Centers - Olivia

Processing Complete

Woodland Centers

Woodland Centers - Olivia

Processing Complete

Page 714: [XLS] · Web viewSheet3 Sheet2 Sheet1 Consortium HCP Num HCP Name HCP State Packet Carrier Current Status Received 467 Redwood Memorial Hospital CA A Processing Complete Presentation

13787 MN 95678 A 9/23/2010

13787 MN 95679 A 9/23/2010

16185 MN 95673 A 9/23/2010

16185 MN 95674 A 9/23/2010

12020 AK 91085 A

12020 AK 91650 A

12020 AK 96974 A 12/21/2010

Woodland Centers

Woodland Centers - Litchfield

Processing Complete

Woodland Centers

Woodland Centers - Litchfield

Processing Complete

Woodland Centers

Woodland Centers - Montevideo

Processing Complete

Woodland Centers

Woodland Centers - Montevideo

Processing Complete

Yakutat Tlingit Tribe

Yakutat Community Health Center

Initial Review Complete

Yakutat Tlingit Tribe

Yakutat Community Health Center

Initial Review Complete

Yakutat Tlingit Tribe

Yakutat Community Health Center

Processing Complete