Financial Assistance for Cancer Patient - Excel by prx14345

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									           Name                       Address 1         Address 2
Bergen Regional Medical Center E Ridgewood Avenue
                            230
Englewood Hospital and Medical Center Street
                            350 Engle
Hackensack University Medical Center
                            20 Prospect Avenue
Holy Name Hospital          718 Teaneck Road
Pascack Valley Hospital     250 Old Hook Road
The Valley Hospital         223 North Van Dien Avenue
             City     State     Zip Code    Provide Cancer Screening
Paramus             NJ        07652        Mammography
Englewood           NJ        07631-1898
Hackensack          NJ        07601-1991   Mammography,
Teaneck             NJ        07666-0000   Mammography,
Westwood            NJ        07675        Mammography,
Ridgewood           NJ        07450-2736
                                                            Lung /
   Collaboration with ACS    Breast       Colorectal       Tobacco       Prostate       Skin
                                      1                0             0              0          0
                                      1                0             1              1          1
Education, Service, Income            1                1             1              1          1
Service                               1                1             0              1          1
Service                               0                0             0              1          1
Education, Service, Income            1                1             1              1          1
 Other       Nutrition /       School       Patient         Date        Date
Cancer          PA             Health       Support       Created     Updated
         0                 0            0             0   5/22/2003   5/22/2003
         1                 0            0             0    4/9/2001   5/27/2003
         1                 0            0             0    4/9/2001   5/27/2003
         0                 0            0             0    4/9/2001   5/27/2003
         0                 0            0             0    4/9/2001   5/22/2003
         0                 0            0             0    4/9/2001   5/27/2003
           Name                          Address 1                         Address 2
Englewood Imaging Center      177 North Dean Street
401 Medical Imaging           401 Sylvan Avenue
Bergen Imaging Center, P.A. 180 North Dean Street
Cytodiagnosis & Breast Cancer Center
                              Englewood Hospital & Medical
Fair Lawn Diagnostic Imaging CenterFair Lawn Avenue
                              19-04
Hackensack University Medical Cent-Institute for Breast Care
                              20 Prospect Avenue, Suite 513
Bergen Regional Medical Center East Ridgewood Avenue
                              230
Breast Health Center of RidgewoodSouth Maple Avenue
                              385
                              P.A.
Hackensack Radiology Group, 130 Kinderkamack Road              Suite 200
HealthSouth Diagonstic Center69 Orient Way
Lee X-Ray Group               669 Broad Ave.                   Suite 103
Magnetic Resonance of New Jersey, P.A. Kamack Rd.
                              550 Kinder
Mahwah Valley Radiology, PA 400 Franklin Turnpike              Suite 202
Medical Imaging of Teaneck 870 Palisade Ave
Montvale Radiology, P.A.      21 Philips Parkway
Open MRI Of Fairview          178 Bergen Blvd
Pascack Valley Hospital       Diagnostic Imaging Department    Old Hook Road
Radiology Associates of Ridgewood, P.A. Turnpike
                              20 Franklin
Teaneck Radiology Center      699 Teaneck Rd.
The Radiology Center          312 Belleville Turnpike
The Valley Hospital Breast Center North Van Dien Avenue
                              223
              City     State     Zip Code    Free Standing    Health System
Englewood            NJ        07631        No               No
Englewood Cliffs     NJ        07632        No               No
Englewood            NJ        07631        No               No
Englewood            NJ        07631        No               No
Fair Lawn            NJ        07410        No               No
Hackensack           NJ        07601        No               No
Paramus              NJ        07652        No               No
Ridgewood            NJ        07450        No               No
River Edge           NJ        07661        No               No
Rutherford           NJ        07070        No               No
Ridgefield           NJ        07657        No               No
Oradell              NJ        07649        No               No
Mahwah               NJ        07430        No               No
Teaneck              NJ        07666        No               No
Montvale             NJ        07645        No               No
Fairview             NJ        07022        No               No
Westwood             NJ        07675        No               No
Waldwick             NJ        07463        No               No
Teaneck              NJ        07666        No               No
North Arlington      NJ        07031        No               No
Ridgewood            NJ        07450-2736   No               No
                                            Other       Patient         Date        Date
   Collaboration with ACS     Breast       Cancer       Support       Created     Updated
                                       0            0             0   4/28/2001   4/11/2003
                                       1            0             0   4/11/2003   5/27/2003
                                       1            0             0   4/28/2001   5/27/2003
                                       1            0             0   4/11/2003   5/27/2003
                                       1            0             0   4/28/2001   5/27/2003
Service                                1            0             0   4/28/2001   5/27/2003
                                       1            0             0   4/28/2001   6/19/2003
                                       1            0             0   4/28/2001   6/19/2003
                                       1            0             0   4/28/2001   6/19/2003
                                       1            0             0   4/28/2001   6/19/2003
                                       1            0             0   4/28/2001   6/19/2003
                                       1            0             0   4/28/2001   6/19/2003
                                       1            0             0   4/28/2001   6/19/2003
                                       1            0             0   6/19/2003   6/19/2003
                                       1            0             0   4/28/2001   6/19/2003
                                       1            0             0   6/19/2003   6/19/2003
Service                                1            0             0   4/28/2001   6/19/2003
                                       1            0             0   4/28/2001   6/19/2003
                                       1            0             0   4/28/2001   6/19/2003
                                       1            0             0   4/28/2001   6/19/2003
Service, Income Development            1            0             0   4/28/2001   6/19/2003
            Name                       Address 1                 Address 2
Bergen County Dept. of Health327 E. Ridgewood Ave.
Cancer Care Inc. -Ridgewood 141 Dayton St., Suite 204
Kipp Center                  55 Kip Ave.
Northwest Bergen Regional Commission
                             22 W. Prospect St.
Rutgers Cooperative Extension317 Pennsylvania Ave.
Teaneck Dept. of Health and Human Services
                             Municipal Bldg.            818 Teaneck Road
             City     State     Zip Code      Collaboration with ACS   Breast
Paramus             NJ        07652        Education                            1
Ridgewood           NJ        07450                                             0
Rutherford          NJ        07070                                             0
Waldwick            NJ        07463                                             0
Paterson            NJ        0703                                              0
Teaneck             NJ        07666                                             1
                  Lung /                                  Other       Nutrition /       School
Colorectal       Tobacco       Prostate       Skin       Cancer          PA             Health
             1             0              1          0            1                 0            0
             0             0              0          0            0                 0            0
             0             0              0          0            0                 0            0
             0             0              0          0            0                 0            0
             0             0              0          0            0                 0            0
             0             1              0          0            1                 0            0
Patient         Date        Date
Support       Created     Updated
          0   4/11/2003   5/27/2003
          0   4/11/2003   4/11/2003
          0   4/11/2003   4/11/2003
          0   4/11/2003   5/27/2003
          0   4/11/2003   4/11/2003
          0   4/11/2003   5/27/2003
        Name               Address 1   Address 2
YWCA Encore Plus program
City     State   Zip Code      Collaboration with ACS   Breast
       NJ                   Education                            1
                  Lung /                                  Other       Nutrition /       School
Colorectal       Tobacco       Prostate       Skin       Cancer          PA             Health
             0             0              0          0            0                 0            0
Patient       Date      Date
Support     Created   Updated
          0 5/22/2003 5/22/2003
           Name                Address 1   Address 2
Planned parenthood   575 Main St
             City     State     Zip Code   Collaboration with ACS   Breast
Hackensack          NJ        07601                                          1
                  Lung /                                  Other       Nutrition /       School
Colorectal       Tobacco       Prostate       Skin       Cancer          PA             Health
             0             0              0          0            1                 0            0
Patient       Date      Date
Support     Created   Updated
          0 5/27/2003 5/27/2003
          Name                         Address 1   Address 2
American Cancer Society -- Bergen County, NJ
                             20 Mercer Street
                                                                          Lung /
             City     State     Zip Code   Breast       Colorectal       Tobacco
Hackensack          NJ        07601                 6                4             4
                           Other       Nutrition /       School       Patient        Date      Date
Prostate       Skin       Cancer          PA             Health       Support      Created   Updated
           6          4            2                 6            4             15 4/10/2003 5/27/2003
            Name                        Address 1         Address 2
American Red Cross           19 Godwin Ave.
Bergen County Division of Senior Services
                             1 Bergen County Plaza, 2nd
Cancer Care                  141 Dayton St.
Cancer Hope Network          Two North Road
Gilda's Club                 575 Main Street
             City     State     Zip Code          Focus / Purpose
Ridgewood           NJ        07450        Transportation/ Food assistance
Hackensack          NJ        07601        Information & Referral service
Ridgewood           NJ        07450        Counseling services, Financial
Chester             NJ        07930        Telephone Support
Hackensack          NJ        07601        Support
                                                           Lung /
   Collaboration with ACS   Breast       Colorectal       Tobacco       Prostate       Skin
                                     0                0             0              0          0
                                     0                0             0              0          0
Service                              0                0             0              0          0
                                     0                0             0              0          0
Service                              0                0             0              0          0
 Other       Nutrition /       School       Patient         Date        Date
Cancer          PA             Health       Support       Created     Updated
         0                 0            0             0   4/11/2003   5/27/2003
         0                 0            0             0   4/11/2003   5/27/2003
         0                 0            0             0   4/11/2003   5/27/2003
         0                 0            0             0   4/11/2003   5/27/2003
         0                 0            0             0   4/11/2003   5/27/2003
        Name              Address 1   Address 2
BROOKSIDE E.S.   20 LAKE DR
           City     State     Zip Code        Grade Range   # of Students
WESTWOOD          NJ        07675        5 to 6                             395
  Public vs. Private      Type Of School          District
Public                 Regular             WESTWOOD REGIONAL
                                                           Lung /
   Collaboration with ACS   Breast       Colorectal       Tobacco       Prostate       Skin
Education                            0                0             0              0          0
 Other       Nutrition /       School       Patient       Date      Date
Cancer          PA             Health       Support     Created   Updated
         0                 0            0             0 6/18/2001 4/10/2003
             Name             Address 1   Address 2
Kip Center          55 Kip Avenue
             City     State     Zip Code   Collaboration with ACS   Breast
Rutherford          NJ        07070                                          0
                  Lung /                                  Other       Nutrition /       School
Colorectal       Tobacco       Prostate       Skin       Cancer          PA             Health
             0             0              0          0            0                 0            0
Patient       Date      Date
Support     Created   Updated
          1 5/27/2003 5/27/2003

								
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