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ACAEntities04-02-11Thru07-01-11 Powered By Docstoc
					                                                           Newly Enrolled Covered Entity Types with Effective Start Date Between 4/2/2011 and 7/1/2011
                                                                                                 (as of 7/1/2011)

#    Medicare #    340B ID        Entity Type Add Date     Entity Name                            Entity Sub-Division Name             Address 1                    City                       State
1      021311      CAH021311-00       CAH       7/1/2011   PEACEHEALTH D/B/A KETCHIKAN GENERAL HOSPITAL                                3100 TONGASS AVE             KETCHIKAN                    AK
2      121303      CAH121303-00       CAH       7/1/2011   MOLOKAI GENERAL HOSPITAL                                                    280 HOMEOLU PLACE            KAUNAKAKAI                   HI
3      121303      CAH121303-01       CAH       7/1/2011   MOLOKAI GENERAL HOSPITAL               RURAL HEALTH CLINIC                  280 HOMEOLU PLACE            KAUNAKAKAI                   HI
4      141311      CAH141311-00       CAH       7/1/2011   FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION                                     303 NW 11TH STREET           FAIRFIELD                    IL
5      141317      CAH141317-00       CAH       7/1/2011   GIBSON COMMUNITY HOSPITAL                                                   1120 N MELVIN                GIBSON CITY                  IL
6      141317      CAH141317-01       CAH       7/1/2011   GIBSON COMMUNITY HOSPITAL                                                   227 N THE PAXTON
                                                                                                  MEDICAL CLINIC OF EAST CENTRAL ILLINOIS DBAMARKET ST CLINIC       PAXTON                       IL
7      141317      CAH141317-02       CAH       7/1/2011   GIBSON COMMUNITY HOSPITAL              THE ONARGA CLINIC                    109 N CHESTNUT               ONARGA                       IL
8      141317      CAH141317-03       CAH       7/1/2011   GIBSON COMMUNITY HOSPITAL                                                   DBA WABASH
                                                                                                  PRAIRIE FAMILY MEDICINE & OBSTETRICS 122 EFORREST FAMILY PRACTICE FORREST                      IL
9      151315      CAH151315-00       CAH       7/1/2011   CAMERON MEMORIAL COMMUNITY HOSPITAL                                         416 EAST MAUMEE STREET       ANGOLA                       IN
10     151315      CAH151315-01       CAH       7/1/2011                                          U
                                                           CAMERON MEMORIAL COMMUNITY HOSPITAL RGENT CARE OF CAMERON HOSPITAL 1381 NORTH WAYNE STREET               ANGOLA                       IN
11     151322      CAH151322-00       CAH       7/1/2011   PERRY COUNTY MEMORIAL HOSPITAL                                              #1 HOSPITAL ROAD             TELL CITY                    IN
12     161356      CAH161356-00       CAH       7/1/2011                                                                               407 SOUTH WHITE STREET
                                                           HENRY COUNTY SOLDIERS AND SAILORS MEMORIAL HOSPITAL DBA HENRY COUNTY HEALTH CENTER                       MOUNT PLEASANT               IA
13     161373      CAH161373-00       CAH       7/1/2011   RINGGOLD COUNTY HOSPITAL                                                    504 N. CLEVELAND ST.         MOUNT AYR                    IA
14     161373      CAH161373-01       CAH       7/1/2011   RINGGOLD COUNTY HOSPITAL               DIALYSIS UNIT                        504 N. CLEVELAND ST.         MOUNT AYR                    IA
15     161376      CAH161376-00       CAH       7/1/2011   CASS COUNTY MEMORIAL HOSPITAL                                               1501 EAST 10TH STREET        ATLANTIC                     IA
16     161377      CAH161377-00       CAH       7/1/2011   MERCY MEDICAL CENTER-CENTERVILLE                                            ONE ST. JOSEPH'S DRIVE       CENTERVILLE                  IA
17     161377      CAH161377-01       CAH       7/1/2011   MERCY MEDICAL CENTER-CENTERVILLE                                            19876 ST. CLINIC-CENTERVILLE CENTERVILLE
                                                                                                  MERCY RURAL HEALTH CLINIC DBA MERCY MEDICALJOSEPH'S DRIVE                                      IA
18     181309      CAH181309-00       CAH       7/1/2011   CASEY COUNTY HOSPITAL DISTRICT D/B/A CASEY COUNTY HOSPITAL                  187 WOLFORD AVENUE           LIBERTY                      KY
19     181309      CAH181309-01       CAH       7/1/2011   CASEY COUNTY HOSPITAL DISTRICT D/B/A CASEY COUNTY HOSPITAL CARE
                                                                                                  CASEY COUNTY PRIMARY                 187 WOLFORD AVENUE           LIBERTY                      KY
20     181309      CAH181309-02       CAH       7/1/2011   CASEY COUNTY HOSPITAL DISTRICT D/B/A CASEY COUNTY HOSPITAL PRACTICE
                                                                                                  CASEY COUNTY FAMILY                                               LIBERTY
                                                                                                                                       112 LIBERTY SQUARE SHOPPING CENTER                        KY
21     181319      CAH181319-00       CAH       7/1/2011   BRECKINRIDGE HEALTH                                                         1011 OLD HIGHWAY 60          HARDINSBURG                  KY
22     181319      CAH181319-01       CAH       7/1/2011   BRECKINRIDGE HEALTH                    CLOVERPORT HEALTH CLINIC             209 ELM STREET               CLOVERPORT                   KY
23     181319      CAH181319-02       CAH       7/1/2011   BRECKINRIDGE HEALTH                    BRECKINRIDGE HOME HEALTH             207 FAIRGROUNDS ROAD         HARDINSBURG                  KY
24     181325      CAH181325-00       CAH       7/1/2011                                                                               202-206
                                                           JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC. D/B/A JANE TODD CRAWFORD HOSPITAL MILBY STREET                GREENSBURG                   KY
25     181325      CAH181325-01       CAH       7/1/2011   JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.TOOD PRIMARY CARE
                                                                                                  JANE D/B/A JANE TODD CRAWFORD HOSPITAL
                                                                                                                                       212 INDUSTRIAL DRIVE         GREENSBURG                   KY
26     181325      CAH181325-02       CAH       7/1/2011   JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC. D/B/A JANE TODD CRAWFORD HOSPITAL
                                                                                                  GREEN COUNTY PRIMARY CARE            706 COLUMBIA HIGHWAY         GREENSBURG                   KY
27     181330      CAH181330-00       CAH       7/1/2011   RUSSELL COUNTY HOSPITAL                                                     153 DOWELL ROAD              RUSSELL SPRINGS              KY
28     191310      CAH191310-00       CAH       7/1/2011   FRANKLIN FOUNDATION HOSPITAL                                                1097 NORTHWEST BLVD          FRANKLIN                     LA
29     201307      CAH201307-00       CAH       7/1/2011   MILLINOCKET REGIONAL HOSPITAL                                               200 SOMERSET STREET          MILLINOCKET                 ME
30     201313      CAH201313-00       CAH       7/1/2011   SEBASTICOOK VALLEY HOSPITAL ASSOCIATES DBA SEBASTICOOK VALLEY HEALTH        447 NORTH MAIN STREET        PITTSFIELD                  ME
31     201313      CAH201313-01       CAH       7/1/2011                                          SEBASTICOOK REGIONAL FAMILY CARE 1309 MAIN ST.
                                                           SEBASTICOOK VALLEY HOSPITAL ASSOCIATES DBA SEBASTICOOK VALLEY HEALTH                                     CLINTON                     ME
32     201313      CAH201313-02       CAH       7/1/2011                                          SEBASTICOOK REGIONAL FAMILY CARE 8 MAIN STREET
                                                           SEBASTICOOK VALLEY HOSPITAL ASSOCIATES DBA SEBASTICOOK VALLEY HEALTH                                     NEWPORT                     ME
33     201313      CAH201313-03       CAH       7/1/2011                                          SEBASTICOOK REGIONAL FAMILY CARE 470 MAIN ST.
                                                           SEBASTICOOK VALLEY HOSPITAL ASSOCIATES DBA SEBASTICOOK VALLEY HEALTH                                     PITTSFIELD                  ME
34     201313      CAH201313-04       CAH       7/1/2011   SEBASTICOOK VALLEY HOSPITAL ASSOCIATES DBA SEBASTICOOK VALLEY HEALTH
                                                                                                  EASTERN MAINE UROLOGY SERVICES       72 NORTH ROAD                DETROIT                     ME
35     231303      CAH231303-00       CAH       7/1/2011   SCHOOLCRAFT MEMORIAL HOSPITAL                                               500 MAIN STREET              MANISTIQUE                   MI
36     231321      CAH231321-00       CAH       7/1/2011   BELL HOSPITAL                                                               901 LAKESHORE DRIVE          ISHPEMING                    MI
37     241305      CAH241305-00       CAH       7/1/2011   AITKIN COMMUNITY HOSPITAL D.B.A. RIVERWOOD HEALTHCARE CENTER                200 BUNKER HILL DRIVE        AITKIN                      MN
38     241309      CAH241309-00       CAH       7/1/2011   ESSENTIA HEALTH SANDSTONE                                                   109 COURT AVE SOUTH          SANDSTONE                   MN
39     251315      CAH251315-00       CAH       7/1/2011   LEAKE COUNTY BOARD OF TRUSTEES         DBA LEAKE MEMORIAL HOSPITAL          310 ELLIS STREET             CARTHAGE                    MS
40     251315      CAH251315-01       CAH       7/1/2011   LEAKE COUNTY BOARD OF TRUSTEES                                              110 PARK
                                                                                                  LEAKE MEMORIAL MEDICAL CLINIC-WALNUT GROVESTREET                  WALNUT GROVE                MS
41     251315      CAH251315-02       CAH       7/1/2011   LEAKE COUNTY BOARD OF TRUSTEES                                              302 ELLIS STREET
                                                                                                  LEAKE MEMORIAL MEDICAL CLINIC-CARTHAGE                            CARTHAGE                    MS
42     251329      CAH251329-01       CAH       7/1/2011   GREENE COUNTY HOSPITAL                 GREENE COUNTY FAMILY MEDICAL CLINIC1017 JACKSON AVENUE            LEAKESVILLE                 MS
43     261315      CAH261315-00       CAH      5/24/2011   PARKLAND HEALTH CENTER - BONNE TERRE                                        7245 RAIDER ROAD             BONNE TERRE                 MO
44     271329      CAH271329-00       CAH       7/1/2011   MADISON VALLEY MEDICAL CENTER                                               305 N. MAIN                  ENNIS                       MT
45     271329      CAH271329-01       CAH       7/1/2011   MADISON VALLEY MEDICAL CENTER          RURAL HEALTH CLINIC                  305 N. MAIN                  ENNIS                       MT


Prepared: 7/1/11                                                                                   Page 1 of 5                                                                   Source: 340B Database
                                                           Newly Enrolled Covered Entity Types with Effective Start Date Between 4/2/2011 and 7/1/2011
                                                                                                 (as of 7/1/2011)

#    Medicare #    340B ID        Entity Type Add Date     Entity Name                            Entity Sub-Division Name            Address 1                   City                          State
46     271336      CAH271336-00       CAH       7/1/2011   NORTH VALLEY HOSPITAL                                                      1600 HOSPITAL WAY           WHITEFISH                      MT
47     281301      CAH281301-00       CAH       7/1/2011   FILLMORE COUNTY HOSPITAL                                                   1325 H STREET               GENEVA                          NE
48     281305      CAH281305-00       CAH       7/1/2011   KIMBALL COUNTY HOSPITAL DBA KIMBALL HEALTH SERVICES                        505 S. BURG STREET          KIMBALL                         NE
49     281305      CAH281305-01       CAH       7/1/2011   KIMBALL COUNTY HOSPITAL DBA KIMBALL HEALTH SERVICES SERVICES CLINIC
                                                                                                  KIMBALL HEALTH                      505 S. BURG STREET          KIMBALL                         NE
50     281315      CAH281315-00       CAH       7/1/2011   BRODSTONE MEMORIAL HOSPITAL                                                520 E 10TH ST               SUPERIOR                        NE
51     281315      CAH281315-01       CAH       7/1/2011   BRODSTONE MEMORIAL HOSPITAL            SUPERIOR FAMILY MEDICAL CENTER      525 E 11TH ST               SUPERIOR                        NE
52     281315      CAH281315-02       CAH       7/1/2011   BRODSTONE MEMORIAL HOSPITAL            NELSON MEDICAL CLINIC               76 W 8TH ST                 NELSON                          NE
53     281315      CAH281315-03       CAH       7/1/2011   BRODSTONE MEMORIAL HOSPITAL            EDGAR MEDICAL CLINIC                315 N C ST                  EDGAR                           NE
54     281322      CAH281322-00       CAH       7/1/2011   ST. FRANCIS MEMORIAL HOSPITAL                                              430 NORTH MONITOR STREET    WEST POINT                      NE
55     281322      CAH281322-01       CAH       7/1/2011   ST. FRANCIS MEMORIAL HOSPITAL          DINKLAGE MEDICAL CLINIC             500 EAST DECATUR            WEST POINT                      NE
56     281322      CAH281322-02       CAH       7/1/2011   ST. FRANCIS MEMORIAL HOSPITAL          HOWELLS FAMILY PRACTICE             119 S 3RD STREET            HOWELLS                         NE
57     281322      CAH281322-03       CAH       7/1/2011   ST. FRANCIS MEMORIAL HOSPITAL          WISNER FAMILY PRACTICE              2100 21ST CIRCLE            WISNER                          NE
58     281322      CAH281322-04       CAH       7/1/2011   ST. FRANCIS MEMORIAL HOSPITAL          OAKLAND FAMILY PRACTICE             100 WEST 9TH STREET         OAKLAND                         NE
59     281322      CAH281322-05       CAH       7/1/2011   ST. FRANCIS MEMORIAL HOSPITAL          SCRIBNER MEDICAL CLINIC             429 MAIN STREET             SCRIBNER                        NE
60     281334      CAH281334-00       CAH       7/1/2011   BOONE COUNTY HEALTH CENTER                                                 723 WEST FAIRVIEW STREET    ALBION                          NE
61     281334      CAH281334-01       CAH       7/1/2011   BOONE COUNTY HEALTH CENTER             BOONE COUNTY MEDICAL CLINIC         1019 S. 8TH STREET          ALBION                          NE
62     281334      CAH281334-02       CAH       7/1/2011   BOONE COUNTY HEALTH CENTER             SPALDING MEDICAL CLINIC             151 NORTH CHESTNUT          SPALDING                        NE
63     281334      CAH281334-03       CAH       7/1/2011   BOONE COUNTY HEALTH CENTER             NANCE COUNTY MEDICAL CLINIC         405 BROADWAY                FULLERTON                       NE
64     281339      CAH281339-00       CAH       7/1/2011   MEMORIAL HEALTH CARE SYSTEMS DBA MEMORIAL HOSPITAL                         300 NORTH COLUMBIA AVENUE   SEWARD                          NE
65     281339      CAH281339-01       CAH       7/1/2011   MEMORIAL HEALTH CARE SYSTEMS DBA MEMORIAL HOSPITAL MEDICAL CENTER
                                                                                                  SEWARD FAMILY                       250 N. COLUMBIA AVENUE      SEWARD                          NE
66     281339      CAH281339-02       CAH       7/1/2011   MEMORIAL HEALTH CARE SYSTEMS DBA MEMORIAL FAMILY MEDICAL CENTER
                                                                                                  UTICA HOSPITAL                      100 4TH STREET              UTICA                           NE
67     281339      CAH281339-03       CAH       7/1/2011   MEMORIAL HEALTH CARE SYSTEMS DBA MEMORIAL HOSPITAL MEDICAL CENTER
                                                                                                  MILFORD FAMILY                      119 SOUTH C STREET          MILFORD                         NE
68     281353      CAH281353-00       CAH       7/1/2011   VALLEY COUNTY HOSPITAL DBA VALLEY COUNTY HEALTH SYSTEM                     2707 L STREET               ORD                             NE
69     331310      CAH331310-00       CAH       7/1/2011   ELLENVILLE REGIONAL HOSPITAL                                               10 HEALTHY WAY              ELLENVILLE                      NY
70     341327      CAH341327-00       CAH       7/1/2011   J ARTHUR DOSHER MEMORIAL HOSPITAL                                          924 N HOWE ST               SOUTHPORT                       NC
71     351310      CAH351310-00       CAH       7/1/2011   HAZEN MEMORIAL HOSPITAL                DBA SAKAKAWEA MEDICAL CENTER        510 8TH AVE NE              HAZEN                           ND
72     351329      CAH351329-00       CAH       7/1/2011   HILLSBORO MEDICAL CENTER                                                   12 3RD STREET SE            HILLSBORO                       ND
73     361309      CAH361309-00       CAH       7/1/2011   HENRY COUNTY HOSPITAL                                                      1600 E. RIVERVIEW           NAPOLEON                        OH
74     361319      CAH361319-00       CAH       7/1/2011   SELBY GENERAL HOSPITAL                                                     1106 COLEGATE DRIVE         MARIETTA                        OH
75     371322      CAH371322-00       CAH       7/1/2011   BEAVER COUNTY MEMORIAL HOSPITAL                                            212 E. 8TH ST               BEAVER                          OK
76     381301      CAH381301-00       CAH       7/1/2011   COTTAGE GROVE COMMUNITY HOSPITAL                                           1515 VILLAGE DRIVE          COTTAGE GROVE                   OR
77     381303      CAH381303-00       CAH       7/1/2011   PROVIDENCE HEALTH DBA PROVIDENCE SEASIDE HOSPITAL                          725 S. WAHANNA RD.          SEASIDE                         OR
78     381315      CAH381315-00       CAH       7/1/2011   ST. ALPHONSUS MEDICAL CENTER BAKER CITY                                    3325 POCAHONTAS ROAD        BAKER CITY                      OR
79     431305      CAH431305-00       CAH       7/1/2011   DOUGLAS COUNTY MEMORIAL HOSPITAL                                           708 8TH ST                  ARMOUR                          SD
80     431311      CAH431311-00       CAH       7/1/2011   SANFORD HOSPITAL WEBSTER                                                   1401 W 1ST ST, PO BOX 489   WEBSTER                         SD
81     451324      CAH451324-00       CAH       7/1/2011   SUTTON COUNTY HOSPITAL DISTRICT                                            308 HUDSPETH                SONORA                          TX
82     451324      CAH451324-01       CAH       7/1/2011   SUTTON COUNTY HOSPITAL DISTRICT        SONORA MEDICAL CLINIC               301-B HUDSPETH              SONORA                          TX
83     451342      CAH451342-00       CAH       7/1/2011   MITCHELL COUNTY HOSPITAL DISTRICT                                          997 WEST IH 20              COLORADO CITY                   TX
84     451342      CAH451342-01       CAH       7/1/2011   MITCHELL COUNTY HOSPITAL DISTRICT      FAMILY MEDICAL ASSOCIATES           997 WEST IH 20              COLORADO CITY                   TX
85     471301      CAH471301-00       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                     44 SOUTH MAIN STREET        RANDOLPH                        VT
86     471301      CAH471301-01       CAH       7/1/2011   GIFFORD MEDICAL CENTER                 ROCHESTER HEALTH CENTER             235 SOUTH MAIN ST           ROCHESTER                       VT
87     471301      CAH471301-02       CAH       7/1/2011   GIFFORD MEDICAL CENTER                 BETHEL HEALTH CENTER                1823 VT RTE 107             RANDOLPH                        VT
88     471301      CAH471301-03       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                     1422
                                                                                                  KINGWOOD HEALTH CENTER - NEURO CLINIC ROUTE 66                  RANDOLPH                        VT
89     471301      CAH471301-04       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                     44 SOUTH MAIN STREET
                                                                                                  LEVESQUE MEDICAL OFFICES - PODIATRY CLINIC                      RANDOLPH                        VT
90     471301      CAH471301-05       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                     44
                                                                                                  LEVESQUE MEDICAL OFFICES - NEURO CLINICSOUTH MAIN STREET        RANDOLPH                        VT


Prepared: 7/1/11                                                                                   Page 2 of 5                                                                    Source: 340B Database
                                                           Newly Enrolled Covered Entity Types with Effective Start Date Between 4/2/2011 and 7/1/2011
                                                                                                 (as of 7/1/2011)

#   Medicare #     340B ID        Entity Type Add Date     Entity Name                             Entity Sub-Division Name             Address 1                   City                         State
91    471301       CAH471301-06       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                       44 SOUTH MAIN
                                                                                                   LEVESQUE MEDICAL OFFICES - PEDI & INTERNAL CLINIC STREET         RANDOLPH                       VT
92    471301       CAH471301-07       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                       44 CLINIC (SURGICAL)
                                                                                                   LEVESQUE MEDICAL OFFICES - GEN SURGERYSOUTH MAIN STREET          RANDOLPH                       VT
93    471301       CAH471301-08       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                       44 CLINIC (UROLOGY)
                                                                                                   LEVESQUE MEDICAL OFFICES - GEN SURGERYSOUTH MAIN STREET          RANDOLPH                       VT
94    471301       CAH471301-09       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                       44 SOUTH
                                                                                                   LEVESQUE MEDICAL OFFICES - ORTHOPEDIC CLINIC MAIN STREET         RANDOLPH                       VT
95    471301       CAH471301-10       CAH       7/1/2011   GIFFORD MEDICAL CENTER                  SHARON HEALTH CENTER                 12 SHIPPEE LANE             SHARON                         VT
96    471301       CAH471301-11       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                       108 NORTH MAIN ST
                                                                                                   TWIN RIVER HEALTH CENTER - GENERAL SURGERY CLINIC (UROLOGY)      WHITE RIVER JUNCTION (WRJ)     VT
97    471301       CAH471301-12       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                       82 EAST VIEW
                                                                                                   GIFFORD HEALTH CENTER AT BERLIN - NEURO CLINIC LANE              BARRE                          VT
98    471301       CAH471301-13       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                       82 EAST VIEW
                                                                                                   GIFFORD HEALTH CENTER AT BERLIN - OB/GYN CLINIC LANE             BARRE                          VT
99    471301       CAH471301-14       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                       82 EAST VIEW
                                                                                                   GIFFORD HEALTH CENTER AT BERLIN - PODIATRY CLINIC LANE           BARRE                          VT
100   471301       CAH471301-15       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                       82 INTERNAL LANE
                                                                                                   GIFFORD HEALTH CENTER AT BERLIN - PED &EAST VIEW CLINIC          BARRE                          VT
101   471301       CAH471301-16       CAH       7/1/2011   GIFFORD MEDICAL CENTER                                                       82 EAST VIEW LANE
                                                                                                   GIFFORD HEALTH CENTER AT BERLIN - ORTHOPEDIC CLINIC              BARRE                          VT
102   471301       CAH471301-17       CAH       7/1/2011   GIFFORD MEDICAL CENTER                  CHELSEA HEALTH CENTER                356 VT RTE 110              CHELSEA                        VT
103   471302       CAH471302-00       CAH       7/1/2011                                                                                289
                                                           WINDSOR HOSPITAL CORPORATION D/B/A MT. ASCUTNEY HOSPITAL AND HEALTH CENTER COUNTY ROAD                   WINDSOR                        VT
104   501319       CAH501319-00       CAH       7/1/2011   LEWIS COUNTY HOSPITAL DISTRICT #1 DBA MORTON GENERAL HOSPITAL                521 ADAMS AVE.              MORTON                        WA
105   501338       CAH501338-00       CAH       7/1/2011   PUBLIC HOSPITAL DISTRICT #4 KING COUNTY WASHINGTON                           9575 ETHAN WADE WAY S.E     SNOQUALMIE                    WA
106   511306       CAH511306-00       CAH       7/1/2011   HOSPITAL DEVELOPMENT CORPORATION DBA ROANE GENERAL HOSPITAL                  200 HOSPITAL DRIVE          SPENCER                       WV
107   511306       CAH511306-01       CAH       7/1/2011   HOSPITAL DEVELOPMENT CORPORATION DBAROANE GENERAL MEDICAL CLINIC
                                                                                                    ROANE GENERAL HOSPITAL              200 HOSPITAL DRIVE          SPENCER                       WV
108   511306       CAH511306-02       CAH       7/1/2011                                            ROANE GENERAL HOSPITAL
                                                           HOSPITAL DEVELOPMENT CORPORATION DBAROANE GENERAL MEDICAL ASSOCIATES 300 HOSPITAL DRIVE                  SPENCER                       WV
109   511306       CAH511306-03       CAH       7/1/2011   HOSPITAL DEVELOPMENT CORPORATION DBASOUTHERN ROANEHOSPITAL CLINIC
                                                                                                    ROANE GENERAL MEDICAL               1 LIBRARY LANE              LEFTHAND                      WV
110   511307       CAH511307-00       CAH       7/1/2011   GRAFTON CITY HOSPITAL                                                        500 MARKET STREET           GRAFTON                       WV
111   511307       CAH511307-01       CAH       7/1/2011   GRAFTON CITY HOSPITAL                   TVTCC- HOSPITAL                      500 MARKET STREET           GRAFTON                       WV
112   511307       CAH511307-02       CAH       7/1/2011   GRAFTON CITY HOSPITAL                   TVTCC- WEST TAYLOR                   500 MARKET STREET           GRAFTON                       WV
113   521304       CAH521304-00       CAH       7/1/2011   ST. JOSEPH'S COMMUNITY HEALTH SERVICES, INC.                                 400 WATER AVE               HILLSBORO                      WI
114   521304       CAH521304-01       CAH       7/1/2011   ST. JOSEPH'S COMMUNITY HEALTH SERVICES,HILLSBORO CLINIC LOCATION
                                                                                                   INC.                                 400 WATER AVE               HILLSBORO                      WI
115   521304       CAH521304-02       CAH       7/1/2011   ST. JOSEPH'S COMMUNITY HEALTH SERVICES,WONEWOC CLINIC LOCATION
                                                                                                   INC.                                 301 RAILROAD STREET         WONEWOC                        WI
116   521304       CAH521304-03       CAH       7/1/2011   ST. JOSEPH'S COMMUNITY HEALTH SERVICES,ELROY CLINIC LOCATION
                                                                                                   INC.                                 1705 OMAHA STREET           ELROY                          WI
117   521355       CAH521355-00       CAH       7/1/2011   BERLIN MEMORIAL HOSPITAL                                                     225 MEMORIAL DRIVE          BERLIN                         WI
118   521358       CAH521358-00       CAH       7/1/2011   DOOR COUNTY MEMORIAL HOSPITAL                                                323 SOUTH 18TH AVENUE       STURGEON BAY                   WI
119   013300       PED013300-04       PED       7/1/2011   THE CHILDREN'S HOSPITAL OF ALABAMA                                           1600 7TH
                                                                                                   END STATE RENAL DISEASE TREATMENT CENTER AVE.                    SOUTH BIRMINGHAM               AL
120   493301       PED493301-00       PED       7/1/2011   CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS                                  601 CHILDREN'S LANE         NORFOLK                        VA
121   010005       RRC010005-00       RRC       7/1/2011   MARSHALL MEDICAL CENTER SOUTH                                                2505 US HIGHWAY 431 NORTH   BOAZ                           AL
122   070005       RRC070005-00       RRC       7/1/2011   WATERBURY HOSPITAL                                                           64 ROBBINS STREET           WATERBURY                      CT
123   070005       RRC070005-01       RRC       7/1/2011   WATERBURY HOSPITAL                      PSYCH CLINICS                        88 GRANDVIEW AVENUE         WATERBURY                      CT
124   070005       RRC070005-02       RRC       7/1/2011   WATERBURY HOSPITAL                      OP MEDICAL THERAPIES                 64 ROBBINS STREET           WATERBURY                      CT
125   070005       RRC070005-03       RRC       7/1/2011   WATERBURY HOSPITAL                      EMERGENCY ROOM                       64 ROBBINS STREET           WATERBURY                      CT
126   130049       RRC130049-00       RRC       7/1/2011   KOOTENAI MEDICAL CENTER                                                      2003 KOOTENAI HEALTH WAY    COEUR D'ALENE                  ID
127   130049       RRC130049-01       RRC       7/1/2011   KOOTENAI MEDICAL CENTER                                                      700
                                                                                                   KOOTENAI CANCER CENTER-COEUR D' ALENE IRONWOOD # 250             COEUR D'ALENE                  ID
128   130049       RRC130049-02       RRC       7/1/2011   KOOTENAI MEDICAL CENTER                 KOOTENAI CANCER CENTER-POST FALLS 1440 EAST MULLAN AVE           POST FALLS                     ID
129   130049       RRC130049-03       RRC       7/1/2011   KOOTENAI MEDICAL CENTER                                                      520 NORTH 3RD AVE
                                                                                                   KOOTENAI CANCER CENTER AT BONNER GENERAL                         SANDPOINT                      ID
130   140046       RRC140046-00       RRC       7/1/2011   GOOD SAMARITAN REGIONAL HEALTH CENTER                                        605 NORTH 12TH STREET       MT. VERNON                     IL
131   180012       RRC180012-00       RRC       7/1/2011   HARDIN MEMORIAL HOSPITAL                                                     913 NORTH DIXIE AVENUE      ELIZABETHTOWN                  KY
132   180012       RRC180012-01       RRC       7/1/2011   HARDIN MEMORIAL HOSPITAL                HELMWOOD RADIOLOGY                   914 NORTH DIXIE AVENUE      ELIZABETHTOWN                  KY
133   180012       RRC180012-02       RRC       7/1/2011   HARDIN MEMORIAL HOSPITAL                HEARTLAND DIAGNOSTIC CENTER          1700 RING ROAD              ELIZABETHTOWN                  KY
134   180012       RRC180012-03       RRC       7/1/2011   HARDIN MEMORIAL HOSPITAL                NORTH HARDIN DIAGNOSTIC CENTER       1360 ROGERSVILLE RD         RADCLIFF                       KY
135   180012       RRC180012-04       RRC       7/1/2011   HARDIN MEMORIAL HOSPITAL                BARDSTOWN DIAGNOSTIC CENTER          201 S 5TH STREET            BARDSTOWN                      KY


Prepared: 7/1/11                                                                                   Page 3 of 5                                                                     Source: 340B Database
                                                           Newly Enrolled Covered Entity Types with Effective Start Date Between 4/2/2011 and 7/1/2011
                                                                                                 (as of 7/1/2011)

#   Medicare #     340B ID        Entity Type Add Date     Entity Name                        Entity Sub-Division Name            Address 1                    City                        State
136   230030       RRC230030-01       RRC       7/1/2011   GRATIOT MEDICAL CENTER                                                 330 EAST WARWICK DRIVE
                                                                                              GREAT LAKES RENAL NETWORK-ALMA FACILITY                          ALMA                          MI
137   230030       RRC230030-02       RRC       7/1/2011   GRATIOT MEDICAL CENTER                                                 101 S. GREENVILLE WEST DRIVE GREENVILLE
                                                                                              GREAT LAKES RENAL NETWORK- GREENVILLE FACILITY                                                 MI
138   230030       RRC230030-03       RRC       7/1/2011   GRATIOT MEDICAL CENTER                                                 404 S. CRAPO STREET
                                                                                              GREAT LAKES RENAL NETWORK- MT. PLEASANT FACILITY                 MT. PLEASANT                  MI
139   330164       RRC330164-00       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         1000 SOUTH AVENUE, BOX 39 ROCHESTER                        NY
140   330164       RRC330164-01       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         470
                                                                                              AVON FAMILY MEDICINE EXTENSION CLINIC COLLINS STREET             AVON                          NY
141   330164       RRC330164-02       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         3350 BROWN ROAD
                                                                                              CALEDONIA FAMILY MEDICINE EXTENSION CLINIC                       CALEDONIA                     NY
142   330164       RRC330164-03       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         913
                                                                                              CULVER MEDICAL GROUP EXTENSION CLINIC CULVER ROAD                ROCHESTER                     NY
143   330164       RRC330164-04       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         809 EAST
                                                                                              EAST RIDGE FAMILY MEDICINE EXTENSION CLINIC RIDGE ROAD           ROCHESTER                     NY
144   330164       RRC330164-05       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         1672 EMPIRE BLVD
                                                                                              FAMILY MEDICINE OF WEBSTER EXTENSION CLINIC                      WEBSTER                       NY
145   330164       RRC330164-06       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         118 MAIN STREET
                                                                                              GENESEE VALLEY FAMILY MEDICINE EXTENSION CLINIC                  MOUNT MORRIS                  NY
146   330164       RRC330164-07       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         3509 THOMAS DRIVE, SUITE
                                                                                              GENESEE VALLEY FAMILY MEDICINE - LAKEVILLE EXTENSION CLINIC 4 LAKEVILLE                        NY
147   330164       RRC330164-08       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         4400 LAKEVILLE
                                                                                              GENESEE VALLEY FAMILY MEDICINE EXTENSION CLINIC ROAD             GENESEO                       NY
148   330164       RRC330164-09       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER     HIGHLAND BREAST CARE CENTER         500 RED CREEK DRIVE          ROCHESTER                     NY
149   330164       RRC330164-10       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         2400 SOUTH EDGE
                                                                                              HIGHLAND DIABETES HEALTH SOURCE AND NUTRITIONCLINTON AVENUE ROCHESTER                          NY
150   330164       RRC330164-11       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER     HIGHLAND FAMILY HEALTH CENTER       777 SOUTH CLINTON AVENUE ROCHESTER                         NY
151   330164       RRC330164-12       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER     HIGHLAND GAMA CLINIC                                             ROCHESTER
                                                                                                                                  HIGHLAND PHYSICIAN OFFICE BUILDING, 990 SOUTH AVENUE       NY
152   330164       RRC330164-13       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         2212
                                                                                              PENFIELD FAMILY MEDICINE EXTENSION CLINICPENFIELD ROAD           PENFIELD                      NY
153   330164       RRC330164-14       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         15
                                                                                              RUSH FAMILY MEDICINE EXTENSION CLINIC HIGH TECH DRIVE            RUSH                          NY
154   330164       RRC330164-15       RRC       7/1/2011   HIGHLAND HOSPITAL OF ROCHESTER                                         905 CULVER ROAD
                                                                                              STRONG HEALTH MIDWIFERY GROUP, EXTENSION CLINIC                  ROCHESTER                     NY
155   380027       RRC380027-00       RRC       7/1/2011   MERCY MEDICAL CENTER                                                   2700 STEWART PARKWAY         ROSEBURG                      OR
156   380027       RRC380027-01       RRC       7/1/2011   MERCY MEDICAL CENTER               OREGON SURGERY CENTER               2801 NW MERCY DRIVE          ROSEBURG                      OR
157   380027       RRC380027-02       RRC       7/1/2011   MERCY MEDICAL CENTER               MERCY OUTPATIENT IMAGING            1813 W HARVARD SUITE 411     ROSEBURG                      OR
158   380027       RRC380027-03       RRC       7/1/2011   MERCY MEDICAL CENTER                                                   2400 STEWART PARKWAY
                                                                                              MERCY MEDICAL CENTER - MERCY INSTITUTE OF REHABILITATION         ROSEBURG                      OR
159   380027       RRC380027-04       RRC       7/1/2011   MERCY MEDICAL CENTER                                                    SERVICES
                                                                                              MERCY MEDICAL CENTER - HOME HEALTH2400 STEWART PARKWAY           ROSEBURG                      OR
160   380027       RRC380027-05       RRC       7/1/2011   MERCY MEDICAL CENTER                                                   2400
                                                                                              MERCY MEDICAL CENTER - HOSPICE SERVICES STEWART PARKWAY          ROSEBURG                      OR
161   380050       RRC380050-00       RRC       7/1/2011   SKY LAKES MEDICAL CENTER                                               2865 DAGGETT AVENUE          KLAMATH FALLS                 OR
162   050335       SCH050335-00       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER           1000 GREENLEY RD.            SONORA                        CA
163   050335       SCH050335-01       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              ANTI-COAGULATION                    19747 GREENLEY ROAD          SONORA                        CA
164   050335       SCH050335-02       SCH       7/1/2011                                      ANGELS CAMP FAMILY MEDICAL
                                                           SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER CENTER 445 S. MAIN STREET              ANGELS CAMP                   CA
165   050335       SCH050335-03       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              ANGELS CAMP PROMPT CARE             23 N. MAIN STREET            ANGELS CAMP                   CA
166   050335       SCH050335-04       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              ARNOLD FAMILY MEDICAL CENTER        23037 HWY 4                  ARNOLD                        CA
167   050335       SCH050335-05       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              SIERRA OB/GYN                       680 GUZZI LANE               SONORA                        CA
168   050335       SCH050335-06       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              CEDARWOOD INTERNAL MEDICINE         690 GUZZI LANE               SONORA                        CA
169   050335       SCH050335-07       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              COMMUNITY INFUSION CENTER           900 GREENLEY ROAD            SONORA                        CA
170   050335       SCH050335-08       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              FOOTHILL PRIMARY CARE               650 PAULINE COURT            SONORA                        CA
171   050335       SCH050335-09       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              FOREST ROAD HEALTH & WELLNESS CENTER FAIRVIEW LANE
                                                                                                                                  193                          SONORA                        CA
172   050335       SCH050335-10       SCH       7/1/2011                                      GREENLEY OAKS EARS, NOSE &
                                                           SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER THROAT 795 MORNING STAR DRIVE          SONORA                        CA
173   050335       SCH050335-11       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              GREENLEY PRIMARY CARE               19747 GREENLEY ROAD          SONORA                        CA
174   050335       SCH050335-12       SCH       7/1/2011                                      GROVELAND FAMILY MEDICAL
                                                           SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER CENTER 18661 HWY 120                   GROVELAND                     CA
175   050335       SCH050335-13       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              HILLSIDE INTERNAL MEDICINE          690 GUZZI LANE               SONORA                        CA
176   050335       SCH050335-14       SCH       7/1/2011                                      MOUNTAIN MEDICAL CENTER
                                                           SONORA COMMUNITY HOSPITAL DBA SONORA REGIONALMEDICAL FAMILY PRACTICE 680 GUZZI LANE                 SONORA                        CA
177   050335       SCH050335-15       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              PROMPT CARE INDIAN ROCK             14540 MONO WAY               SONORA                        CA
178   050335       SCH050335-16       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              SIERRA CANCER CENTER                900 GREENLEY ROAD            SONORA                        CA
179   050335       SCH050335-17       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              SIERRA CARDIOLOGY                   900 GREENLEY ROAD            SONORA                        CA
180   050335       SCH050335-18       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                              SIERRA INTERNAL MEDICINE            900 GREENLEY ROAD            SONORA                        CA


Prepared: 7/1/11                                                                                   Page 4 of 5                                                               Source: 340B Database
                                                           Newly Enrolled Covered Entity Types with Effective Start Date Between 4/2/2011 and 7/1/2011
                                                                                                 (as of 7/1/2011)

#   Medicare #     340B ID        Entity Type Add Date     Entity Name                         Entity Sub-Division Name            Address 1                        City                       State
181   050335       SCH050335-19       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                               SIERRA SURGICAL ASSOCIATES          680 GUZZI LANE                   SONORA                       CA
182   050335       SCH050335-20       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                               SIERRA VASCULAR CLINIC              680 GUZZI LANE                   SONORA                       CA
183   050335       SCH050335-21       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                               SONORA REGIONAL HOME HEALTH         20100 CEDAR ROAD NORTH           SONORA                       CA
184   050335       SCH050335-22       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER
                                                                                               SONORA REGIONAL HOME HEALTH - ANGELS CAMP BRANCH
                                                                                                                                   445 S. MAIN STREET               ANGELS CAMP                  CA
185   050335       SCH050335-23       SCH       7/1/2011                                       TWAIN HARTE FAMILY MEDICAL
                                                           SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL MEDICAL CENTER CENTER 22629 TAIN HARTE DRIVE               TWAIN HARTE                  CA
186   050335       SCH050335-24       SCH       7/1/2011   SONORA COMMUNITY HOSPITAL DBA SONORA REGIONAL THE SIERRA
                                                                                               HOSPICE OF MEDICAL CENTER           20100 CEDAR ROAD NORTH           SONORA                       CA
187   050352       SCH050352-00       SCH       7/1/2011   BARTON MEMORIAL HOSPITAL                                                2170 SOUTH AVENUE                SOUTH LAKE TAHOE             CA
188   160064       SCH160064-00       SCH       7/1/2011   MERCY MEDICAL CENTER - NORTH IOWA                                       1000 4TH STREET SW               MASON CITY                   IA
189   230054       SCH230054-00       SCH       7/1/2011   MARQUETTE GENERAL HOSPITAL                                              420 W MAGNETIC STREET            MARQUETTE                    MI
190   240064       SCH240064-00       SCH       7/1/2011   GRAND ITASCA CLINIC AND HOSPITAL                                        1601 GOLF COURSE ROAD            GRAND RAPIDS                MN
191   250036       SCH250036-01       SCH       7/1/2011   GEORGE COUNTY HOSPITAL              COMMUNITY MEDICAL CENTER            92 WEST RATLIFF STREET, STE. A   LUCEDALE                    MS
192   250036       SCH250036-02       SCH       7/1/2011   GEORGE COUNTY HOSPITAL              WIGGINS PRIMARY CARE                975 HALL STREET                  WIGGINS                     MS
193   370049       SCH370049-00       SCH       7/1/2011   STILLWATER MEDICAL CENTER AUTHORITY                                     1323 W. SIXTH STREET             STILLWATER                   OK
194   370049       SCH370049-01       SCH       7/1/2011                                                                           1301 W. 6TH
                                                           STILLWATER MEDICAL CENTER AUTHORITY STILLWATER MEDICAL CENTER - WOUND CARE CENTER STREET SUITE 102       STILLWATER                   OK
195   370049       SCH370049-02       SCH       7/1/2011                                                                           1301 W. 6TH
                                                           STILLWATER MEDICAL CENTER AUTHORITY STILLWATER MEDICAL CENTER - CARDIOLOGY CLINIC STREET, SUITE 201      STILLWATER                   OK
196   370049       SCH370049-03       SCH       7/1/2011                                                                           824 SOUTH WALNUT
                                                           STILLWATER MEDICAL CENTER AUTHORITY STILLWATER MEDICAL CENTER - HOME HEALTH                              STILLWATER                   OK
197   370049       SCH370049-04       SCH       7/1/2011                                                                           1820
                                                           STILLWATER MEDICAL CENTER AUTHORITY STILLWATER MEDICAL CENTER - TOTAL HEALTHN. PERKINS ROAD              STILLWATER                   OK
198   390048       SCH390048-00       SCH       7/1/2011   LEWISTOWN HOSPITAL                                                      400 HIGHLAND AVE                 LEWISTOWN                    PA
199   390201       SCH390201-00       SCH       7/1/2011   POCONO MEDICAL CENTER                                                   206 EAST BROWN STREET            EAST STROUDSBURG             PA
200   430012       SCH430012-04       SCH       7/1/2011   AVERA SACRED HEART HOSPITAL         AVERA FOOT AND ANKLE CLINIC         1000 W 4TH ST #2                 YANKTON                      SD




Prepared: 7/1/11                                                                                   Page 5 of 5                                                                   Source: 340B Database

				
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