Preferred Health Choice. Area Specific Provider Directory

Transcription

1 Preferred Health Choice Area Specific Provider Directory

2 Please check with Ohio Health Choice Customer Service Department or the company web site, to verify any provider additions and/or changes. This directory was designed to include the following counties: Clark Champaign Darke Greene Miami Montgomery Preble Shelby

3 WELCOME Ohio Health Choice (OHC) is Ohio s first Preferred Provider Organizations (PPO). A PPO serves as a link between healthcare purchasers (you or you employer), health plan administrators (insurance companies or third party payors), and health care providers (doctors and hospitals). The Ohio Health Choice Preferred Health Choice network combines the best features of traditional health insurance with the cost savings of a managed care program. You get the benefit of both with the freedom of choice you deserve. The Ohio Health Choice Preferred Health Choice network provides you with access to a comprehensive range of healthcare services to cover virtually all of your medical needs. For information regarding your coverage, benefits or eligibility, please check with your Personnel Department or call your health plan administrator. Ohio Health Choice is not an insurance company or third party administrator and does not make claims payments. Please forward all claims to the address listed on your plan ID card to ensure timely processing. IMPORTANT MESSAGES 1. This directory does not constitute a recommendation of any hospital, physician or other health care provider. The providers listed in this directory are independent contractors, and Ohio Health Choice is not responsible for health care provided or the omission, delay or unavailability of health care by these providers. While this listing of providers is complete as of the time it was created, it is subject to change. More current information may be obtained by calling the Ohio Health Choice Customer Service Department at or visit our website at to print updated regional directories or search for a provider. 2. This directory does not guarantee that all services or all providers will be covered under your health care plan. You must consult your specific benefit plan description to determine what type of providers and services are covered. Failure to verify your plan design or network status may result in non-reimbursed medical expenses. 3. Hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the Ohio Health Choice network. Please refer to the Statewide Hospital Listing for the status of these providers. 4. Hospitals in the network may provide additional services such as mammograms, urgent care services, laboratory, home health care, etc. as part of their agreement with Ohio Health Choice. For further information on these services, please contact your local hospital or contact Ohio Health Choice for network status. 5. Some of the Ohio Health Choice Preferred Health Choice providers may provide services that are not part of the Ohio Health Choice network (i.e., surgical procedures in a doctor s surgical suite). Please contact the provider s office to determine how services will be billed. Contact your benefits office to determine if your coverage is affected.

4 HOW TO USE THE NETWORK Select a provider from the directory or call Customer Service at for assistance in locating a provider or visit to print updated directories or search for a provider. Confirm that your provider is currently part of the Ohio Health Choice network. Always show your membership card to the receptionist when you arrive for your appointment. Some participating providers may require that you pay for all or part of your expenses at the time of service. Any medical expenses not covered under your health benefit plan (i.e., copays, deductible, and coinsurance) are generally payable at the time of service. If your provider needs to refer you to a facility or another health care provider, remind the provider that you are part of the Ohio Health Choice network and be sure the provider refers you to a participating provider when possible. If you use a non-participating provider, your benefits may be reduced. If you have any questions regarding Ohio Health Choice providers, call Customer Service at ) or visit VISIT OUR WEBSITE AT PREFERRED PROVIDER STATUS This provider directory is printed annually. Provider changes and additions occur throughout the year. Contact the Ohio Health Choice Customer Service Department to confirm that your provider is currently a network member or visit OHIO HEALTH CHOICE Phone: Corporate Office 1 S. Main St. Akron, Ohio BENEFIT INFORMATION For information regarding your coverage, benefits or eligibility, please check with your Personnel Department or call your insurance carrier. Ohio Health Choice is not an insurance carrier or third party administrator and does not process claims or make claim payments. Please forward all claims to the address listed on your ID card to ensure timely processing.

5 Table of Contents HOSPITALS BY STATE COUNTY... 3 Indiana... 3 Kentucky... 3 Ohio... 3 Pennsylvania... 6 West Virginia... 6 ANCILLARY SERVICES... 7 Ohio... 7 CHAMPAIGN... 7 CLARK... 7 DARKE... 7 GREENE... 7 MIAMI... 8 MONTGOMERY... 8 PREBLE... 9 SHELBY... 9 PHYSICIANS AND OTHER PROVIDERS...11 Ohio...11 CHAMPAIGN...11 CLARK...11 DARKE GREENE MIAMI MONTGOMERY PREBLE SHELBY ALPHABETICAL INDEX OF PROVIDERS

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7 Hospital Listing By State/County INDIANA DEARBORN DEARBORN COUNTY HOSPITAL 600 WILSON CREEK RD LAWRENCEBURG, INDIANA (812) KENTUCKY BOONE ST LUKE HOSPITAL WEST 7380 TURFWAY RD FLORENCE, KENTUCKY (859) ST LUKE HOSPITAL WEST 7280 TURFWAY RD FLORENCE, KENTUCKY (859) BOYD KINGS DAUGHTERS MEDICAL 2201 LEXINGTON AVE ASHLAND, KENTUCKY (606) OUR LADY OF BELLEFONTE HOSPITAL ST. CHARLES DR ASHLAND, KENTUCKY (606) OUR LADY OF BELLEFONTE HOSPITAL SAINT CHRISTOPHER DR ASHLAND, KENTUCKY (606) CAMPBELL ST LUKE HOSPITAL EAST 85 N GRAND AVE FORT THOMAS, KENTUCKY (859) GRANT ST ELIZABETH GRANT COUNTY 238 BARNES RD WILLIAMSTOWN, KENTUCKY (859) GREENUP OUR LADY OF BELLEFONTE HOSPITAL 1819 ASHLAND RD GREENUP, KENTUCKY (606) KENTON ST ELIZABETH MEDICAL CENTER 1 MEDICAL VILLAGE DR FT MITCHELL, KENTUCKY (859) ST ELIZABETH MEDICAL CENTER - NORTH 401 E 20TH ST COVINGTON, KENTUCKY (859) OHIO ADAMS ADAMS COUNTY HOSPITAL 210 N WILSON DR WEST UNION, OHIO (937) ALLEN BLANCHARD VALLEY HOSPITAL 139 GARAU ST BLUFFTON, OHIO (419) LIMA MEMORIAL HOSPITAL 1 BELLEFONTAINE AVE LIMA, OHIO (419) SCCI HOSPITAL - LIMA 730 W MARKET ST 6TH FL LIMA, OHIO (419) ST RITAS MEDICAL CENTER 730 W MARKET ST LIMA, OHIO (419) ASHLAND SAMARITAN REGIONAL HEALTH CENTER 1025 CENTER ST ASHLAND, OHIO (419) ASHTABULA ASHTABULA COUNTY MEDICAL CENTER 2420 LAKE AVE ASHTABULA, OHIO (440) GLENBEIGH OF ROCK CREEK 2863 STATE ROUTE 45 N ROCK CREEK, OHIO (440) UHHS BROWN MEMORIAL HOSPITAL 158 MAIN ST CONNEAUT, OHIO (440) UHHS MEMORIAL HOSPITAL OF GENEVA 870 W MAIN ST GENEVA, OHIO (440) ATHENS CTORS HOSP NELSONVILLE 1950 MOUNT ST MARY DR NELSONVILLE, OHIO (740) O'BLENESS MEMORIAL HOSPITAL 55 HOSPITAL DR ATHENS, OHIO (740) AUGLAIZE JOINT TOWNSHIP HOSPITAL 200 ST CLAIR ST SAINT MARYS, OHIO (419) BELMONT BARNESVILLE HOSP ASSN INC 639 W MAIN ST BARNESVILLE, OHIO (740) EAST OHIO REGIONAL HOSPITAL 90 N 4TH ST MARTINS FERRY, OHIO (740) BROWN BROWN COUNTY GENERAL HOSP 425 HOME ST GEORGETOWN, OHIO (937) BUTLER MCCULLOUGH-HYDE MEMORIAL 110 N POPLAR ST OXFORD, OHIO (513) MERCY HOSPITAL FAIRFIELD 3000 MACK RD FAIRFIELD, OHIO (513) MIDDLETOWN REGIONAL HOSPITAL 105 MCKNIGHT DR MIDDLETOWN, OHIO (513) THE FORT HAMILTON HOSPITAL 630 EATON AVE HAMILTON, OHIO (513) UNIVERSITY POINTE SURGICAL HOSPITAL 7750 UNIVERSITY CT WEST CHESTER, OHIO (513) CHAMPAIGN MERCY MEMORIAL HOSPITAL 904 SCIOTO ST URBANA, OHIO (937) CLARK COMMUNITY HOSPITAL SPRINGFIELD, OHIO (937) MERCY MEDICAL CENTER 1343 N FOUNTAIN BLVD SPRINGFIELD, OHIO (937) CLERMONT CLERMONT MERCY HOSPITAL 3000 HOSPITAL DR BATAVIA, OHIO (513) CLINTON CLINTON MEMORIAL HOSPITAL 88 N HOWARD ST SABINA, OHIO (937) CLINTON MEMORIAL HOSPITAL 610 W MAIN ST WILMINGTON, OHIO (937) COLUMBIANA EAST LIVERPOOL CITY HOSPITAL 425 W 5TH ST EAST LIVERPOOL, OHIO (330) SALEM COMMUNITY HOSPITAL 1995 E STATE ST SALEM, OHIO (330) COSHOCTON COSHOCTON CO MEM HOSPITAL 1460 ORANGE ST COSHOCTON, OHIO (740) CRAWFORD BUCYRUS COMMUNITY HOSPITAL 139 GAIUS ST BUCYRUS, OHIO (419) BUCYRUS COMMUNITY HOSPITAL 629 N SANDUSKY AVE BUCYRUS, OHIO (419) GALION COMMUNITY HOSPITAL PORTLAND WAY SOUTH GALION, OHIO (419) MEDCENTRAL CRESTLINE HOSPITAL 291 HEISER CT CRESTLINE, OHIO (419) CUYAHOGA CCF CHILDREN'S HOSPITAL/REHAB 9500 EUCLID AVE CLEVELAND, OHIO (216) CCF CHILDREN'S HOSPITAL/REHAB 2801 MARTIN LUTHER KING DR CLEVELAND, OHIO (216) CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVE CLEVELAND, OHIO (216) FAIRVIEW GENERAL HOSPITAL LORAIN AVE CLEVELAND, OHIO (216) LAKEWOOD HOSPITAL DETROIT AVE LAKEWOOD, OHIO (216) LUTHERAN HOSPITAL 1730 W 25TH ST CLEVELAND, OHIO (216) MARYMOUNT HOSPITAL MCCRACKEN RD CLEVELAND, OHIO (216) MERIDIA EUCLID HOSPITAL LAKE SHORE BLVD CLEVELAND, OHIO (216) MERIDIA HILLCREST 6780 MAYFIELD RD CLEVELAND, OHIO (216) MERIDIA HURON HOSPITAL TERRACE RD CLEVELAND, OHIO (216) MERIDIA SOUTH POINTE HOSPITAL 4110 WARRENSVILLE CENTER RD BEACHWOOD, OHIO (216) METROHEALTH MEDICAL CENTER 2500 METROHEALTH DR CLEVELAND, OHIO (216) PARMA COMMUNITY GENERAL HOSPITAL 7007 POWERS BLVD CLEVELAND, OHIO (440) SOUTHWEST GENERAL HEALTH CENTER BAGLEY RD CLEVELAND, OHIO (440) SPECIALTY HEALTHCARE SVC 2351 E 22ND ST 7TH FL CLEVELAND, OHIO (216) ST JOHN WEST SHORE HOSPITAL CENTER RIDGE RD WESTLAKE, OHIO (440) ST VINCENT CHARITY HOSPITAL 2351 E 22ND ST CLEVELAND, OHIO (216) UHHS BEDFORD MEDICAL CENTER 44 BLAINE AVE BEDFORD, OHIO (440) UHHS RICHMOND HEIGHTS HOSPITAL 27 CHARN RD CLEVELAND, OHIO (440) UNIVERSITY HOSPITALS OF CLEVELAND 11 EUCLID AVE CLEVELAND, OHIO (216) DARKE WAYNE HOSPITAL 835 SWEITZER ST GREENVILLE, OHIO (937) DEFIANCE COMMUNITY MEMORIAL HOSPITAL 208 COLUMBUS ST HICKSVILLE, OHIO (419) DEFIANCE HOSPITAL,INC., 1200 RALSTON AVE DEFIANCE, OHIO (800) DEFIANCE HOSPITAL,INC., 1206 E 2ND ST DEFIANCE, OHIO (419) DELAWARE GRADY MEMORIAL HOSPITAL 561 W CENTRAL AVE DELAWARE, OHIO (740) Some hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the Ohio Health Choice network. 3

8 Hospital Listing By State/County ERIE FRMC SOUTH CAMPUS 1912 HAYES AVE SANDUSKY, OHIO (419) FAIRFIELD FAIRFIELD MEDICAL CENTER 401 N EWING ST LANCASTER, OHIO (740) FAIRFIELD MEDICAL CENTER 1231 E MAIN ST LANCASTER, OHIO (740) FAYETTE FAYETTE COUNTY MEMORIAL 1430 COLUMBUS AVE WASHINGTON COURT HOUSE, OHIO (740) FRANKLIN CHILDREN'S HOSPITAL 111 S GRANT AVE COLUMBUS, OHIO (614) CHILDREN'S HOSPITAL 5 W BROAD ST COLUMBUS, OHIO (614) CHILDREN'S HOSPITAL 3535 OLENTANGY RIVER RD COLUMBUS, OHIO (614) CHILDREN'S HOSPITAL 700 CHILDRENS DR COLUMBUS, OHIO (614) CTORS HOSPITAL WEST 5 W BROAD ST COLUMBUS, OHIO (614) GRANT MEDICAL CENTER 111 S GRANT AVE COLUMBUS, OHIO (614) JAMES CANCER HOSPITAL 1492 E BROAD ST COLUMBUS, OHIO (614) JAMES CANCER HOSPITAL 300 W 10TH AVE COLUMBUS, OHIO (614) KETTERING MEDICAL CENTER PO BOX COLUMBUS, OHIO (937) MOUNT CARMEL EAST HOSPITAL 6001 E BROAD ST COLUMBUS, OHIO (614) MOUNT CARMEL MEDICAL CENTER 750 MOUNT CARMEL MALL COLUMBUS, OHIO (614) MOUNT CARMEL MEDICAL CENTER 793 W STATE ST COLUMBUS, OHIO (614) OSU HOSPITALS EAST 1492 E BROAD ST COLUMBUS, OHIO (614) RIVERSIDE METHODIST HOSPITAL 3535 OLENTANGY RIVER RD COLUMBUS, OHIO (614) SELECT SPECIALTY HOSPITAL - COLUMBUS 1492 E BROAD ST COLUMBUS, OHIO (614) SELECT SPECIALTY HOSPITAL - COLUMBUS/ GRANT 793 W STATE ST 5TH FL COLUMBUS, OHIO (614) SELECT SPECIALTY HOSPITAL - COLUMBUS/ GRANT 111 S GRANT AVE 5TH FL COLUMBUS, OHIO (614) SELECT SPECIALTY HOSPITAL - COLUMBUS/ UNIVERS 410 W 10TH AVE COLUMBUS, OHIO (614) SELECT SPECIALTY HOSPITAL - COLUMBUS/ UNIVERS 3535 OLENTANGY RIVER RD 5 SOUTH COLUMBUS, OHIO (614) ST ANNS HOSPITAL 500 S CLEVELAND AVE WESTERVILLE, OHIO (614) THE OHIO STATE UNIVERSITY 410 W 10TH AVE COLUMBUS, OHIO (614) FULTON FULTON COUNTY HEALTH CENTER 725 S SHOOP AVE WAUSEON, OHIO (419) GALLIA HOLZER MEDICAL CENTER JACKSON PIKE GALLIPOLIS, OHIO (740) GEAUGA LAKE HOSPITAL SYSTEMS 510 5TH AVE CHARN, OHIO (440) UHHS GEAUGA REGIONAL HOSPITAL RAVENNA RD CHARN, OHIO (440) UHHS HEATHER HILL SKILLED NURSING FACILITY BASS LAKE RD CHARN, OHIO (440) GREENE GREENE MEMORIAL HOSPITAL XENIA, OHIO (937) GREENE MEMORIAL HOSPITAL 3371 KEMP RD DAYTON, OHIO (937) GUERNSEY S.E. OHIO REGIONAL MED CTR 1324 CLARK ST CAMBRIDGE, OHIO (740) HAMILTON BETHESDA NORTH HOSPITAL MONTGOMERY RD CINCINNATI, OHIO (513) CHILDRENS HOSP MED CENTER 3333 BURNET AVE CINCINNATI, OHIO (513) CHRIST HOSPITAL 2139 AUBURN AVE CINCINNATI, OHIO (513) CONVALESCENT HOSPITAL FOR CHILDREN 3333 BURNET AVE CINCINNATI, OHIO (513) DEACONESS HOSPITAL/CINTI 311 STRAIGHT ST CINCINNATI, OHIO (513) DRAKE CENTER HOSPITAL 151 W GALBRAITH RD CINCINNATI, OHIO (513) GOOD SAMARITAN HOSPITAL 375 DIXMYTH AVE CINCINNATI, OHIO (513) JEWISH HOSPITAL - KENWOOD 4777 E GALBRAITH RD CINCINNATI, OHIO (513) MERCY FRAN MT AIRY 2446 KIPLING AVE CINCINNATI, OHIO (513) MERCY FRANSCISCAN HOSP WESTERN HILLS 3131 QUEEN CITY AVE CINCINNATI, OHIO (513) MERCY HOSPITAL ANDERSON 7500 STATE RD CINCINNATI, OHIO (513) SELECT SPECIALTY HOSPITAL - CINCINNATI, 375 DIXMYTH AVE CINCINNATI, OHIO (513) UNIVERSITY HOSP OF CINCINNATI 234 GOODMAN ST CINCINNATI, OHIO (513) HANCOCK BLANCHARD VALLEY HOSPITAL 145 W WALLACE ST FINDLAY, OHIO (419) HARDIN HARDIN MEMORIAL HOSPITAL 921 E FRANKLIN ST KENTON, OHIO (419) HARRISON HARRISON COMMUNITY HOSPITAL 951 E MARKET ST CADIZ, OHIO (740) HENRY HENRY COUNTY HOSPITAL INC STATE ROUTE 424 NAPOLEON, OHIO (419) HIGHLAND GREENFIELD AREA MEDICAL CENTER 550 MIRABEAU ST GREENFIELD, OHIO (937) HIGHLAND DISTRICT HOSPITAL 1275 N HIGH ST HILLSBORO, OHIO (937) HIGHLAND DISTRICT HOSPITAL 203 N MAIN ST LYNCHBURG, OHIO (937) HOCKING HOCKING VALLEY HOSPITAL 601 STATE ROUTE 664 N LOGAN, OHIO (740) HOLMES JOEL POMERENE MEMORIAL HOSPITAL 981 WOOSTER RD MILLERSBURG, OHIO (330) HURON FISHER-TITUS MEDICAL CENTER 272 BENEDICT AVE NORWALK, OHIO (419) MERCY HOSPITAL WILLARD 110 E HOWARD ST WILLARD, OHIO (419) JACKSON HOLZER MEDICAL CENTER JACKSON 500 BURLINGTON RD JACKSON, OHIO (740) OAK HILL COMMUNITY MEDICAL CENTER 350 CHARLOTTE AVE OAK HILL, OHIO (740) JEFFERSON TRINITY MEDICAL CENTER 4000 JOHNSON RD STEUBENVILLE, OHIO (740) TRINITY MEDICAL CENTER 380 SUMMIT AVE STEUBENVILLE, OHIO (740) KNOX KNOX COMMUNITY HOSPITAL 1330 COSHOCTON AVE MOUNT VERNON, OHIO (740) LAKE LAURELWOOD HOSPITAL EUCLID AVE WILLOUGHBY, OHIO (440) LICKING LICKING MEMORIAL HOSPITAL 1320 W MAIN ST NEWARK, OHIO (740) LOGAN MARY RUTAN HOSPITAL 205 E PALMER RD BELLEFONTAINE, OHIO (937) LORAIN ALLEN MEDICAL CENTER 200 W LORAIN ST OBERLIN, OHIO (440) AMHERST HOSPITAL 254 CLEVELAND AVE AMHERST, OHIO (440) COMMUNITY HEALTH PARTNERS 3700 KOLBE RD LORAIN, OHIO (440) COMMUNITY HEALTH PARTNERS SCHADDEN RD ELYRIA, OHIO (440) EMH REGIONAL MEDICAL CENTER 630 E RIVER ST ELYRIA, OHIO (440) SPECIALTY HOSP OF LORAIN 205 W 20TH ST #200 LORAIN, OHIO (614) Some hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the Ohio Health Choice network.

9 Hospital Listing By State/County LUCAS BAY PARK COMMUNITY HOSPITAL 2801 BAY PARK DR OREGON, OHIO (419) FLOWER HOSPITAL 5200 HARROUN RD SYLVANIA, OHIO (419) MERCY CHILDREN'S HOSPITAL 2222 CHERRY ST TOLE, OHIO (419) MERCY CHILDREN'S HOSPITAL 3170 W CENTRAL AVE TOLE, OHIO (419) ST ANNE MERCY HOSPITAL 3404 W SYLVANIA AVE TOLE, OHIO (419) ST CHARLES HOSPITAL 2600 NAVARRE AVE OREGON, OHIO (419) ST LUKE'S HOSPITAL 5901 MONCLOVA RD MAUMEE, OHIO (419) ST VINCENT MEDICAL CENTER 2213 CHERRY ST TOLE, OHIO (419) ST VINCENT MEDICAL CENTER 2409 CHERRY ST TOLE, OHIO (419) TOLE CHILDREN'S HOSPITAL 2142 N COVE BLVD TOLE, OHIO (419) TOLE HOSPITAL 2142 N COVE BLVD TOLE, OHIO (419) MADISON MADISON COUNTY HOSPITAL 210 N MAIN ST LONN, OHIO (740) MAHONING BELMONT PINES HOSPITAL 615 CHURCHILL HUBBARD RD YOUNGSTOWN, OHIO (330) MAHONING VALLEY HOSPITAL - YOUNGSTOWN CAMP 345 OAK HILL AVE # 210 YOUNGSTOWN, OHIO (614) NORTHSIDE MEDICAL CENTER 500 GYPSY LN YOUNGSTOWN, OHIO (330) SELECT SPECIALTY HOSPITAL - YOUNGSTOWN, 1044 BELMONT AVE YOUNGSTOWN, OHIO (330) ST ELIZABETH HEALTH CENTER 1041 BELMONT AVE YOUNGSTOWN, OHIO (330) ST ELIZABETH HEALTH CENTER 1044 BELMONT AVE YOUNGSTOWN, OHIO (330) TOD CHILDRENS HOSPITAL 500 GYPSY LN YOUNGSTOWN, OHIO (330) WOMAN & INFANTS PAVILION BEEGHLY MEDICAL PARK 6505 MARKET ST BLDG # B BOARDMAN, OHIO (330) MARION MARION GENERAL HOSPITAL MCKINLEY PARK DR MARION, OHIO (740) MARION GENERAL HOSPITAL 278 BARKS RD W MARION, OHIO (740) MARION GENERAL HOSPITAL 1089 MOUNT VERNON AVE MARION, OHIO (740) MEDINA LODI COMMUNITY HOSPITAL 225 ELYRIA ST LODI, OHIO (330) MEDINA GENERAL HOSPITAL 0 E WASHINGTON ST MEDINA, OHIO (330) WADSWORTH RITTMAN HOSPITAL 195 WADSWORTH RD WADSWORTH, OHIO (330) MERCER MERCER COUNTY HOSPITAL 800 W MAIN ST COLDWATER, OHIO (419) MIAMI UPPER VALLEY MEDICAL CENTER 3130 N COUNTY ROAD 25A TROY, OHIO (937) MONTGOMERY CHILDREN'S MEDICAL CENTER DAYTON, OHIO (937) GOOD SAMARITAN HOSPITAL & HEALTH CENTER 2222 PHILADELPHIA DR DAYTON, OHIO (937) KETTERING MEDICAL CENTER DAYTON, OHIO (937) LIFECARE HOSPITALS OF DAYTON MIAMISBURG, OHIO (937) MIAMI VALLEY HOSPITAL DAYTON, OHIO (937) SOUTHVIEW (GRANDVIEW) HOSPITAL 405 W GRAND AVE DAYTON, OHIO (937) SOUTHVIEW HOSPITAL & FAMILY HEALTH CENTE 1997 MIAMISBURG DAYTON, OHIO (937) SYCAMORE HOSPITAL MIAMISBURG, OHIO (937) MORROW MORROW COUNTY HOSPITAL 651 W MARION RD MOUNT GILEAD, OHIO (419) MUSKINGUM GENESIS HEALTHCARE GSMC 800 FOREST AVE ZANESVILLE, OHIO (740) GENESIS HEALTHCARE SYSTEM 2951 MAPLE AVE ZANESVILLE, OHIO (740) SELECT SPECIALTY HOSPITAL - ZANESVILLE 800 FOREST AVE 6 FL ZANESVILLE, OHIO (740) OTTAWA H B MAGRUDER MEMORIAL HOSP 615 FULTON ST PORT CLINTON, OHIO (419) PAULDING PAULDING COUNTY HOSPITAL 1035 W WAYNE ST PAULDING, OHIO (419) PICKAWAY BERGER HOSPITAL 600 N PICKAWAY ST CIRCLEVILLE, OHIO (740) PIKE PIKE COUNTY HOSPITAL DAWN LN WAVERLY, OHIO (740) PORTAGE ROBINSON MEMORIAL HOSPITAL 6847 N CHESTNUT ST RAVENNA, OHIO (330) RICHLAND MEDCENTRAL HEALTH SYSTEM 335 GLESSNER AVE MANSFIELD, OHIO (419) MEDCENTRAL HEALTH SYSTEM 20 MORRIS RD SHELBY, OHIO (419) SAMARITAN REGIONAL HEALTH CENTER 597 PARK AVE E MANSFIELD, OHIO (419) SCCI HOSPITAL - MANSFIELD 335 GLESSNER AVE 5TH FL MANSFIELD, OHIO (419) ROSS ADENA REGIONAL MEDICAL CENTER 272 HOSPITAL RD CHILLICOTHE, OHIO (740) SANDUSKY MEMORIAL HOSPITAL 715 S TAFT AVE FREMONT, OHIO (419) SCIOTO SOUTHERN OHIO MEDICAL CENTER TH ST PORTSMOUTH, OHIO (740) SOUTHERN OHIO MEDICAL CENTER 1248 KINNEYS LN PORTSMOUTH, OHIO (740) SENECA BELLEVUE HOSPITAL 811 NORTHWEST ST BELLEVUE, OHIO (419) FOSTORIA COMMUNITY HOSPITAL 501 VAN BUREN ST FOSTORIA, OHIO (419) MERCY HOSPITAL, TIFFIN 485 W MARKET ST TIFFIN, OHIO (419) SHELBY WILSON MEMORIAL HOSPITAL SIDNEY, OHIO (937) STARK ALLIANCE COMMUNITY HOSPITAL 264 E RICE ST ALLIANCE, OHIO (330) CTORS HOSPITAL OF STARK COUNTY 400 AUSTIN AVE NW MASSILLON, OHIO (330) MASSILLON COMMUNITY HOSPITAL 875 EIGHTH ST NE MASSILLON, OHIO (330) MERCY MEDICAL CENTER 1320 MERCY DR NW CANTON, OHIO (330) SELECT SPECIALTY HOSPITAL - NE OHIO INC 1320 MERCY DR NW CANTON, OHIO (330) SUMMIT AKRON CITY HOSPITAL 525 E MARKET ST AKRON, OHIO (330) AKRON GENERAL MEDICAL CENTER 400 WABASH AVE AKRON, OHIO (330) AKRON GENERAL MEDICAL CENTER 241 SPRINGSIDE DR AKRON, OHIO (330) BARBERTON CITIZENS HOSPITAL 155 5TH ST NE BARBERTON, OHIO (330) CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON 1 PERKINS SQ AKRON, OHIO (330) CUYAHOGA FALLS GENERAL HOSP RD ST CUYAHOGA FALLS, OHIO (330) EDWIN SHAW HOSPITAL/REHAB 1621 FLICKINGER RD AKRON, OHIO (330) SELECT SPECIALTY HOSPITAL - NE OHIO INC 525 E MARKET ST AKRON, OHIO (330) ST THOMAS HOSPITAL 444 N MAIN ST AKRON, OHIO (330) SUMMA HEALTH SYSTEM 525 E MARKET ST AKRON, OHIO (330) Some hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the Ohio Health Choice network. 5

10 Hospital Listing By State/County SUMMA HEALTH SYSTEM 444 N MAIN ST AKRON, OHIO (330) TRUMBULL BELMONT PINES HOSPITAL 1400 TOD AVE NW # 200 WARREN, OHIO (330) HILLSIDE REHABILITATION HOSPITAL 8747 SQUIRES LN N E WARREN, OHIO (330) ST JOSEPH HEALTH CENTER 667 EASTLAND AVE SE WARREN, OHIO (330) TRUMBULL MEMORIAL HOSPITAL 1350 E MARKET ST WARREN, OHIO (330) TUSCARAWAS TWIN CITY HOSPITAL 819 N 1ST ST DENNISON, OHIO (740) UNION HOSPITAL 659 BOULEVARD ST VER, OHIO (330) UNION MEMORIAL HOSPITAL UNION COUNT 500 LONN AVE MARYSVILLE, OHIO (937) VAN WERT VAN WERT COUNTY HOSPITAL 1250 S WASHINGTON ST VAN WERT, OHIO (419) WASHINGTON MARIETTA MEMORIAL HOSPITAL 401 MATTHEW ST MARIETTA, OHIO (740) WAYNE DUNLAP MEMORIAL HOSPITAL 832 S MAIN ST ORRVILLE, OHIO (330) WOOSTER COMMUNITY HOSPITAL 1761 BEALL AVE WOOSTER, OHIO (330) WILLIAMS COMMUNITY HOSP. OF WILLMS CTY 433 W HIGH ST BRYAN, OHIO (419) COMMUNITY HOSP. OF WILLMS CTY 909 E SNYDER AVE MONTPELIER, OHIO (419) WOOD WOOD COUNTY HOSPITAL 950 W WOOSTER ST BOWLING GREEN, OHIO (419) WYANT WYANT MEMORIAL HOSPITAL 885 N SANDUSKY AVE UPPER SANDUSKY, OHIO (419) PENNSYLVANIA ERIE HAMOT MEDICAL CENTER 201 STATE ST ERIE, PENNSYLVANIA (814) MERCER SHARON REGIONAL HEALTH SYSTEM 740 EAST STATE ST SHARON, PENNSYLVANIA (724) WEST VIRGINIA HANCOCK WEIRTON MEDICAL CENTER 601 COLLIERS WAY WEIRTON, WEST VIRGINIA (304) OHIO HILLCREST BEHAVIORAL SERVICES 111 PARK VIEW LN WHEELING, WEST VIRGINIA (304) HILLCREST BEHAVIORAL SERVICES 2000 EOFF ST WHEELING, WEST VIRGINIA (304) OHIO VALLEY MEDICAL CENTER 2000 EOFF ST WHEELING, WEST VIRGINIA (304) PETERSON REHABILITATION HOSPITAL & GERIA 1 HOMESTEAD AVE WHEELING, WEST VIRGINIA (304) WOOD CAEN CLARK MEMORIAL HOSPITAL 800 GARFIELD AVE PARKERSBURG, WEST VIRGINIA (304) Some hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the Ohio Health Choice network.

11 Ancillary Services CHAMPAIGN OHIO CHAMPAIGN URBANA ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY CLARK CHAMPAIGN PATHOLOGISTS INC 904 SCIOTO ST (937) HOSPITALIST/HOSPITAL-BASED HOSPITALIST SERVICES MEDICAL GROUP OF SP 904 SCIOTO ST ( ) - MENTAL HEALTH SERVICES MERCY REACH 904 SCIOTO ST (937) PHYSICAL AND OCCUPATIONAL THERAPY URBANA PHYSICAL THERAPY 848 SCIOTO ST (937) RADIOLOGY DIAGNOSTIC IMAGING ASSOC OF OHIO INC 904 SCIOTO ST (937) SKILLED NURSING FACILITY MERCY MCAULEY CENTER 906 SCIOTO ST (937) CLARK SPRINGFIELD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY CLARK CHAMPAIGN PATHOLOGISTS INC 1343 N FOUNTAIN BLVD (937) SPRINGFIELD PATHOLOGY ASSOC INC (937) ANESTHESIOLOGY ASSOCIATED ANESTHESIOLOGISTS (937) DURABLE MEDICAL EQUIPMENT MERCY HOME MEDICAL EQUIPMENT (SPRINGFIEL 1702 N LIMESTONE ST (937) HEALTH CENTER COMMUNITY HEALTH CARE CENTER 1 E PLEASANT ST (937) HOME HEALTH CARE AMERICAN NURSING CARE INC 1613 E MAIN ST (800) COMMUNITY HOME CARE SERVICES (937) MERCY HOME CARE - URBANA/ SPRINGFIELD 2600 N LIMESTONE ST (937) HOSPICE MERCY HOSPICE (SPRINGFIELD/URBANA) 2600 N LIMESTONE ST (937) HOSPITALIST/HOSPITAL-BASED HOSPITALIST SERVICES MEDICAL GROUP OF CL (937) HOSPITALIST SERVICES MEDICAL GROUP OF SP 1343 N FOUNTAIN BLVD (937) LABORATORY COMPUNET CLINICAL LABORATORIES 2105 E HIGH ST (937) LABCORP 111 N PLUM ST # 2 (216) MENTAL HEALTH SERVICES MERCY REACH 1343 N FOUNTAIN BLVD (937) ORTHOTICS AND PROSTHETICS ORPRO PROSTHETICS & ORTHOTICS 1084 N BELMONT AVE (937) TRI-STATE ORTHOTIC SYSTEMS INC N BELMONT AVE (937) PHYSICAL AND OCCUPATIONAL THERAPY SPRINGFIELD HAND REHAB VILLA RD (937) SPRINGFIELD PHYSICAL THERAPY 2221 GRUBE ST (937) THERACARE PHYSICAL THERAPY 1219 W FIRST ST (937) RADIOLOGY DIAGNOSTIC IMAGING ASSOC OF OHIO INC 1343 N FOUNTAIN BLVD (937) SPRINGFIELD MEDICAL IMAGING (937) RADIOLOGY CENTER COMMUNITY PHYSICIANS OPEN MRI, LLC 2200 N LIMESTONE ST # 114 (937) CRYSTAL CLEAR IMAGING LTD 2 EMMANUEL WAY (937) SPRINGFIELD REGIONAL CANCER CENTER 148 W NORTH ST (937) THE COMMUNITY HOSPITAL MAMMOGRAPHY CENTER 346 S BURNETT RD (937) REHABILITATION CENTER FOR REHABILITATION & SPORTS MEDICINE 215 OLYMPIC ST (937) COMMUNITY HOSPITAL CORONARY PREVENTION & REHAB CEN 1911 E HIGH ST (937) EXCEL SPORTS MEDICINE CENTER 362 S BURNETT RD (937) MERCY REHABILITATION CENTER (SPRINGFIELD 2600 N LIMESTONE ST (937) THE COMMUNITY HOSPITAL ACUTE REHAB UNIT (937) SKILLED NURSING FACILITY COMMUNITY HOSPITAL SKILLED NURSING UNIT (937) ESSEX OF SPRINGFIELD 2317 E HOME RD (937) IOOF HOME OF OHIO 404 E MCDREIGHT AVE (937) MERCY CONTINUING CARE UNIT 1343 N FOUNTAIN BLVD (937) MERCY ST JOHNS CENTER W MCCREIGHT AVE (937) OAKWOOD VILLAGE HEALTH CENTER 1500 VILLA RD (937) SOUTHBROOK CARE CENTER /2 SEMINOLE AVE (937) SURGICAL CENTER MERCY CENTER 2610 N LIMESTONE ST (937) URGENT CARE CENTER COMMUNITY URGENT CARE, INC 2555 CREEKWOOD CT (937) KIEFER MERCY HEALTH CENTER 501 WITTENBERG AVE (937) MERCY NORTHSIDE URGENT CARE 1200 E HOME RD (937) DARKE GREENVILLE ANESTHESIOLOGY CONSULTANTS IN ANESTHESIOLOGY INC 835 SWEITZER ST (937) REIER ANESTHESIA ASSOCIATES INC 835 SWEITZER ST (937) DURABLE MEDICAL EQUIPMENT PAMELAS INTIMATE APPAREL 519 S BROADWAY (937) SKILLED NURSING FACILITY BRETHEREN RETIREMENT COMMUNITY 750 CHESTNUT ST HEARTLAND OF GREENVILLE 243 MARION DR (937) THE BRETHERAN RETIREMENT COMMUNITY 750 CHESTNUT ST (937) VERSAILLES DURABLE MEDICAL EQUIPMENT KAUP PHARMACY 42 W MAIN ST (937) LABORATORY VERSAILLES CENTER 471 MARKER RD (937) GREENE BEAVER CREEK LABORATORY COMPUNET CLINICAL LABORATORIES 1244 MEAW BRIDGE DR (937) BELLBROOK LABORATORY COMPUNET CLINICAL LABORATORIES 4403 STATE ROUTE 725 # E (937) PHYSICAL AND OCCUPATIONAL THERAPY BIO ENHANCEMENT PHYSICAL THERAPY INC 155 W FRANKLIN ST (937) SKILLED NURSING FACILITY BELLBROOK REHAB AND HEALTHCARE CENTER 1957 N LAKEMAN DR DAYTON LABORATORY LABCORP 3291 E PATTERSON RD (937) PHYSICAL AND OCCUPATIONAL THERAPY PHYSIOTHERAPY ASSOCIATES INC 2655 COMMONS BLVD # 120 (937) ROBERT M FRANK INC 1320 WOODMAN DR (937) RADIOLOGY PREMIER RADIOLOGY GROUP, INC 2145 N FAIRFIELD RD # A (937) RADIOLOGY CENTER BEAVERCREEK MRI DIAGNOSTIC LTD 3371 KEMP RD (937) MVH MEDICAL IMAGING - BEAVERCREEK 1244 MEAW BRIDGE DR (937) SKILLED NURSING FACILITY CRESTVIEW MANOR 4381 TONAWANDA TRAIL (937) OAK CREEK TERRACE 2316 SPRINGMILL RD (937) SURGICAL CENTER BEAVERCREEK CENTER 3359 KEMP RD (937) DAYTON EYE CENTER 81 SYLVANIA DR (937) DIGESTIVECARE ENSCOPY UNIT 75 SYLVANIA DR (937) URGENT CARE CENTER GREENE MEMORIAL HOSPITAL URGENT CARE 3371 KEMP RD (937) FAIRBORN URGENT CARE CENTER CTORS URGENT CARE 2131 GATEWAY DR (937) JAMESTOWN SKILLED NURSING FACILITY LIBERTY NURSING CENTER OF JAMESTOWN 4960 US 35 EAST (937) XENIA ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY SOUTHWESTERN PATHOLOGISTS 382 N DETROIT ST (937) List Subject To Change - 7

12 GREENE Ancillary Services EMERGENCY MEDICINE GREENE EMERGENCY MEDICAL SERVICES (937) HEALTH CENTER GMH WORK PLUS (937) HOSPITALIST/HOSPITAL-BASED GREENE HEALTH NETWORK (937) LABORATORY COMPUNET CLINICAL LABORATORIES 1237 N MONROE DR # 201 (937) PHYSICAL AND OCCUPATIONAL THERAPY HANEY & TURNER PHYSICAL THERAPY ASSOC W 2ND ST (937) HEALTHSOUTH 36 KINSEY RD (937) RADIOLOGY DIAGNOSTIC IMAGING ASSOC OF OHIO INC (937) SKILLED NURSING FACILITY LIBERTY NURSING CENTER OF XENIA 126 WILSON DR (937) MIAMI PHONETON SKILLED NURSING FACILITY SPRINGMEADE HEALTHCARE CENTER 4375 S COUNTRY RD 25A (937) PIQUA ANESTHESIOLOGY VALLEY ANESTHESIA ASSOCIATES, INC 624 PARK AVE (937) HEALTH CENTER OUTPATIENT CARE CENTER NORTH 280 LOONEY RD (937) HOME HEALTH CARE AMERICAN NURSING CARE INC 419 CALDWELL ST # B (800) LABORATORY COMPUNET CLINICAL LABORATORIES 304 W HIGH ST (937) PHYSICAL AND OCCUPATIONAL THERAPY MIAMI PHYSICAL REHAB CENTER 601 W HIGH ST (937) PT SERVICES 1255 E ASH ST (937) RADIOLOGY IMAGING PHYSICIANS, INC 624 PARK AVE (937) SKILLED NURSING FACILITY HEARTLAND OF PIQUA 275 KEINLE DR (937) PIQUA MANOR 1840 W HIGH ST (937) SURGICAL CENTER VALLEY REGIONAL CENTER 283 LOONEY RD (937) TIPP CITY HEALTH CENTER HEALTH PARK 110 S TIPPECANOE DR (937) HYATT CENTER 450 N HYATT ST (937) RADIOLOGY CENTER DAYTON RADIOLOGY ASSOC INC 1479 W MAIN ST (937) URGENT CARE CENTER AFTER HOURS FAMILY CARE 450 N HYATT ST # 206 (937) TROY ANESTHESIOLOGY VALLEY ANESTHESIA ASSOCIATES, INC 920 SUMMIT AVE (937) HEALTH CENTER OUTPATIENT CARE CENTER SOUTH 998 S RSET RD (937) HOME HEALTH CARE UPPER VALLEY HOME HEALTH SERVICES 3130 N COUNTY ROAD 25A (937) LABORATORY COMPUNET CLINICAL LABORATORIES 1888 W MAIN ST (937) STANFIELD PLACE 31 S STANFIELD RD (937) MENTAL HEALTH SERVICES UPPER VALLEY MEDICAL CENTER - DETTMER OU 3130 N COUNTY ROAD 25A (937) PHYSICAL AND OCCUPATIONAL THERAPY PHYSIOTHERAPY ASSOCIATES INC 1201 EXPERIMENT FARM RD # F (937) RADIOLOGY IMAGING PHYSICIANS, INC 3130 N COUNTY ROAD 25A (937) SKILLED NURSING FACILITY KOESTER PAVILLION 3232 N COUNTY RD 25A (937) MONTGOMERY CENTERVILLE HOME HEALTH CARE MCH SERVICES INC 7700 PARAGON RD # B (937) LABORATORY COMPUNET CLINICAL LABORATORIES 540 LINCOLN PARK DR # 170 (937) PHYSICAL AND OCCUPATIONAL THERAPY PHYSIOTHERAPY ASSOCIATES INC 8051 WASHINGTON VILLAGE DR # 200 (937) SKILLED NURSING FACILITY BETHANY LUTHERAN VILLAGE 6451 FAR HILLS AVE (937) HEARTLAND OF CENTERVILLE 1 E ALEX-BELL RD (937) SURGICAL CENTER FAR HILLS SURGICAL CENTER 6601 CENTERVILLE BUSINESS PKWY # 301 (937) DAYTON ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY CYTOLOGY ASSOC. OF DAYTON, INC. (937) DAYTON PATHOLOGY ASSOCIATES INC 2222 PHILADELPHIA DR (419) KETTERING PATHOLOGY ASSOCIATES (937) NORTH DAYTON PATHOLOGISTS 2222 PHILADELPHIA DR (937) REGIONAL PATHOLOGY SERVICES 5250 FAR HILLS AVE # (937) SOUTHWESTERN PATHOLOGISTS 219 DELLWOOD AVE (937) VALLEY PATHOLOGISTS INC. (937) ANESTHESIOLOGY KETTERING ANESTHESIA ASSOCIATES 7076 CORPORATE WAY (937) MIDDLETOWN ANESTHESIA CONSULTANTS INC 3131 S DIXIE DR # 535 (937) DURABLE MEDICAL EQUIPMENT APRIA HEALTHCARE 7740 WASHINGTON VILLAGE DR (937) BUCKEYE BRACE LTD 5491 FAR HILLS AVE (937) FIDELITY HEALTH CARE,INC. DME 3832 KETTERING BLVD (937) EMERGENCY MEDICINE PROFESSIONAL EMERGENCY SPECIALISTS OF SO 707 SOUTH EDWIN MOSES BLVD (937) HEALTH CENTER CHARLES R DREW/WEST DAYTON HEALTH CENTER 1323 W 3RD ST (937) HUBER HEALTH CENTER 8701 TROY PIKE (937) SAMARITAN NORTH HEALTH CENTER 9000 N MAIN ST (937) VOGEL HEALTH CENTER 6175 W 3RD ST (937) HOME HEALTH CARE AMERICAN NURSING CARE INC 5767 FAR HILLS AVE (937) INTERIM HEALTHCARE 400 E 5TH ST # 250 (800) HOME INFUSION CARE INTEGRITY HEALTHCARE SERVICES, INC. 10 S PATTERSON BLVD (937) HOSPICE KETTERING REHABILITATION MEDICINE (937) HOSPITALIST/HOSPITAL-BASED GOOD SAMARITAN HOSPITALIST GROUP 2661 PHILADELPHIA DR # 221 (937) MIAMI VALLEY HOSPITALIST GROUP 30 E APPLE ST # 6250 (937) LABORATORY COMPUNET CLINICAL LABORATORIES 2600 FAR HILLS AVE (937) LABCORP 6464 CENTERVILLE BUSINESS PKWY (937) QUEST DIAGNOSTICS INC 111 W 1ST ST # 888 (937) SAMARITAN NORTH HEALTH CENTER (LAB) 9000 N MAIN ST (937) MENTAL HEALTH SERVICES KETTERING YOUTH SERVICES 5350 LAMME RD (937) ORTHOTICS AND PROSTHETICS DAYTON ARTIFICIAL LIMB CLINIC 7637 N MAIN ST (937) ORPRO PROSTHETICS & ORTHOTICS ONE ELIZABETH PLACE # 300 (937) PHYSICAL AND OCCUPATIONAL THERAPY HEALTHSOUTH 5335 FAR HILLS AVE # 103 (937) HEALTHSOUTH HAND CENTER OF DAYTON 5335 FAR HILLS AVE # 103 (937) NEURODEVELOPMENTAL THERAPY ASSOCIATES 1411 BUSINESS CENTER CT (937) NOVACARE OUTPATIENT REHABILITATION 8648 TROY PIKE # B (937) PHYSICAL MEDICINE/REHAB SAMARITAN NORTH 9000 N MAIN ST (937) PHYSIO THERAPEUTICS INC 2600 FAR HILLS AVE # 14 (937) REHABILITATION INSTITUTE OF OHIO, THE (937) ROBERT M FRANK INC 7271 N MAIN ST # 6 (937) RADIOLOGY DIAGNOSTIC IMAGING ASSOC OF OHIO INC 707 S EDWIN C MOSES BLVD (937) EXTREMITY IMAGING PARTNERS 7777 WASHINGTON VILLAGE DR # 240 (866) IMAGING PHYSICIANS, INC 7271 N MAIN ST # 4A (937) KETTERING RADIOLOGISTS,INC MIAMISBURG (800) List Subject To Change -

13 Ancillary Services MONTGOMERY PREMIER RADIOLOGY GROUP, INC 707 S EDWIN C MOSES BLVD (937) RADIOLOGY CENTER ADVANCED DIAGNOSTIC IMAGING, INC 580 LINCOLN PARK BLVD # 333 (937) CANCER CARE CENTER AT SAMARITAN NORTH 9000 N MAIN ST (937) DAYTON MEDICAL IMAGING - EATON 7901 SCHATZ POINTE DR (937) DAYTON RADIOLOGY ASSOC INC 2591 MIAMISBURG (937) FAR HILLS OPEN MRI 5529 FAR HILLS AVE (937) KETTERING BREAST EVALUATION CTRS (937) KETTERING RADIOLOGISTS IMAGING CENTERS ( 2591 MIAMISBURG (937) MVH MEDICAL IMAGING - RAHN RD. 30 W RAHN RD (937) MVH MEDICAL IMAGING - SOUTHMED 7707 PARAGON RD (937) MVH MEDICAL IMAGING - WYOMING ST. 60 WYOMING ST (937) NORTH MAIN IMAGING 7271 N MAIN ST (937) PATIENT FIRST IMAGING NETWORK 7271 N MAIN ST (937) SKILLED NURSING FACILITY ELM CREEK NURSING CENTER 115 ELMWOOD CIR (937) GRAFTON OAKS NURSING CENTER 405 GRAFTON RD (937) MERCY SIENA WOODS 235 W ORCHARD SPRINGS DR (937) MIAMI SHORES OF MORAIN 3421 PINNACLE RD SPRING CREEK NURSING & REHAB CTR 5440 CHARLESGATE RD (937) SURGICAL CENTER ENSCOPY CENTER OF DAYTON NORTH, LLC 9000 N MAIN ST # 405 (937) FAR HILLS SURGICAL CENTER 3484 FAR HILLS AVE (937) KUNESH EYE CENTER 2601 FAR HILLS AVE (937) SAMARITAN NORTH CENTER 9000 N MAIN ST (937) URGENT CARE CENTER CTORS URGENT CARE 5915 N MAIN ST (937) ENGLEWOOD LABORATORY COMPUNET CLINICAL LABORATORIES 5 W WENGER RD (937) DAYTON MEDICAL IMAGING - EATON 1 S MAIN ST (937) HUBER HEIGHTS LABORATORY COMPUNET CLINICAL LABORATORIES 8638 OLD TROY PIKE (937) KETTERING SKILLED NURSING FACILITY HEARTLAND OF KETTERING 3313 WILMINGTON PIKE (937) MIAMISBURG ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY KETTERING PATHOLOGY ASSOCIATES (937) REGIONAL PATHOLOGY SERVICES (937) ANESTHESIOLOGY KETTERING ANESTHESIA ASSOCIATES (937) HOME HEALTH CARE KMC HOME CARE (937) LABORATORY LABCORP 415 BYERS RD (937) PHYSICAL AND OCCUPATIONAL THERAPY ACCESSIBILITY BY DESIGN 912 CRANBROOK CT (937) RADIOLOGY KETTERING RADIOLOGISTS,INC. (937) RADIOLOGY CENTER KETTERING BREAST EVALUATION CTRS (937) SKILLED NURSING FACILITY HEARTLAND OF MIAMISBURG 450 OAK RIDGE BLVD (937) NEW LEBANON SKILLED NURSING FACILITY HARBORSIDE HEALTHCARE NEW LEBANON 101 MILLS PLACE (937) VANDALIA LABORATORY COMPUNET CLINICAL LABORATORIES 65 D NORTH DIXIE DR (937) RADIOLOGY CENTER DAYTON MEDICAL IMAGING - EATON 113 W NATIONAL RD (937) SKILLED NURSING FACILITY VANDALIA PARK 208 N CASSEL RD (937) RADIOLOGY CENTER PREBLE EATON SKILLED NURSING FACILITY HEARTLAND OF EATON 515 S MAPLE ST (937) URGENT CARE CENTER PREBLE COUNTY MEDICAL URGENT CARE CENTER 200 EATON LEWISBURG RD (937) SHELBY FORT LORAMIE DURABLE MEDICAL EQUIPMENT APRIA HEALTHCARE 4040 STATE ROUTE 705 E (937) SIDNEY ANESTHESIOLOGY ANESTHESIOLOGISTS, INC. (937) HOME HEALTH CARE WILSON HOME HEALTH CARE (937) PHYSICAL AND OCCUPATIONAL THERAPY OHIO THERAPEUTIC HEALTH SERVICES INC 739 N VANDEMARK RD (937) PHYSIOTHERAPY ASSOCIATES INC 2097 W RUSSELL RD (937) SPINAL AND SPORTS THERAPY CTR 739 N VANDEMARK RD (937) RADIOLOGY IMAGING PHYSICIANS, INC (937) SIDNEY RADIOLOGISTS (937) RADIOLOGY CENTER SIDNEY OPEN MRI 2579 W MICHIGAN ST SKILLED NURSING FACILITY ROTHY LOVE RETIREMENT COMMUNITY 3003 W CISCO RD (937) List Subject To Change - 9

14

15 Physicians and Other Providers CHAMPAIGN OHIO CHAMPAIGN ERIS RICHARDS, JOSHUA, 848 SCIOTO ST (937) MECHANICSBURG TROWBRIDGE, MARY, 13 S MAIN ST (937) AHMED, AIJAZ, 5 W SANDUSKY ST (937) URBANA ALLERGY & IMMUNOLOGY MIGALLY, NABIL, 848 SCIOTO ST (937) MIGALLY, NABIL, 300 PATRICK AVE (937) MIGALLY, MAGDY, 848 SCIOTO ST (937) MIGALLY, MAGDY, 300 PATRICK AVE (937) ANATOMIC PATHOLOGY & CLINICAL FRANK, JAMES, 300 PATRICK AVE (937) FRANK, JAMES, 848 SCIOTO ST (937) CARDIOVASCULAR DISEASE AHMED, TAJUDDIN, 900 SCIOTO ST (937) KHAN, MOHAMMED, 900 SCIOTO ST (937) CRITICAL CARE MEDICINE FURAY, RICHARD, 848 SCIOTO ST (937) DERMATOLOGY MIGALLY, MAGDY, 300 PATRICK AVE (937) MIGALLY, MAGDY, 848 SCIOTO ST (937) DIAGNOSTIC RADIOLOGY OSBORN, ROBIN, 904 SCIOTO ST (937) SMITH, VALERIE, 900 SCIOTO ST # 3 (937) GENERAL PRACTICE KOH, JAE, 848 SCIOTO ST (937) INDEPENDENT SOCIAL WORK CHERNEK, MARGARET, 347 SCIOTO ST (888) COFFMAN, ELIZABETH, 347 SCIOTO ST (888) FREDERICK, PAUL, 347 SCIOTO ST (888) HORSTMAN, LOU ANN, 347 SCIOTO ST (888) AHMED, TAJUDDIN, 900 SCIOTO ST (937) AHMED, AIJAZ, 900 SCIOTO ST (937) KHAN, MOHAMMED, 900 SCIOTO ST (937) MIGALLY, NABIL, 848 SCIOTO ST (937) MIGALLY, NABIL, 300 PATRICK AVE (937) RANGINWALA, MUJEEB, 900 SCIOTO ST (937) OBSTETRICS & GYNECOLOGY HAZELBAKER, MATTHEW, 900 SCIOTO ST (937) POTDAR, MALATI, 900 SCIOTO ST (937) RAYMOND, FRANK, 900 SCIOTO ST (937) RAYMOND, NORMAN, 900 SCIOTO ST (937) OPHTHALMOLOGY CARROLL, TRENT, 900 SCIOTO ST # 1 (937) FISH, LARRY, 900 SCIOTO ST # 1 (937) OLIVIA, CHRISTOPHER, 900 SCIOTO ST # 1 (937) SHELL, JERRY, 900 SCIOTO ST # 1 (937) WITTSTEIN, PETER, 900 SCIOTO ST # 1 (937) OTOLARYNGOLOGY DUVALL, MICHAEL, 901 SCIOTO ST (937) SAJJADIAN, ALI, 900 SCIOTO ST (937) PLASTIC SAJJADIAN, ALI, 900 SCIOTO ST (937) PODIATRY KENNELLY, PAUL, DPM 646 BODEY CIR (937) PHILLIPS, JOHN, DPM 646 BODEY CIR (937) SHRAMO, RICHARD, DPM 768 SCIOTO ST (937) YU, SUSAN, DPM 646 BODEY CIR (937) PROFESSIONAL CLINICAL COUNSELI SATTEM, LINDA, LPCC 347 SCIOTO ST (888) WHALEY-BUCKLE, MARNIE, 347 SCIOTO ST (888) PSYCHIATRY KHAN, MUHAMMAD, 900 SCIOTO ST (937) POMPUTIUS, JAMES, 347 SCIOTO ST (888) PSYCHOLOGY EICHENAUER, KENT, PSYD 848 SCIOTO ST # B (937) FELTZ, GLENN, PSYD 848 SCIOTO ST # B (937) LEVINE, CHERYL, PSYD 848 SCIOTO ST # B (937) MOSS, MARTIN, PHD 347 SCIOTO ST (888) WOOD, BRIAN, PSYD 347 SCIOTO ST (888) RHEUMATOLOGY RANGINWALA, MUJEEB, 900 SCIOTO ST (937) (GENERAL) DEMETER, JOSEPH, 900 SCIOTO ST (937) FURAY, RICHARD, 848 SCIOTO ST (937) NEDELMAN, RICHARD, 900 SCIOTO ST (937) PANAYIDES, MARIOS, 900 SCIOTO ST (937) THORACIC PANAYIDES, MARIOS, 900 SCIOTO ST (937) UROLOGICAL ANNAMRJU, ANANTH, 900 SCIOTO ST (937) CONRAD, MICHAEL, 900 SCIOTO ST (937) KNUDSON, GREGORY, 900 SCIOTO ST (937) VASCULAR DEMETER, JOSEPH, 900 SCIOTO ST (937) NEDELMAN, RICHARD, 900 SCIOTO ST (937) CLARK ENON DEAN, JACOB, 7185 DAYTON RD (937) FARLEY, JANE, 240 ENON RD (937) FAZIO, G THOMAS, 7185 DAYTON RD (937) VANDERGLAS, JOEL, 7185 DAYTON RD (937) GENERAL PRACTICE VANDERGLAS, JOEL, 7185 DAYTON RD (937) LOTHE, MEENAL, 340 E MAIN ST (937) YANG, HAN, 340 E MAIN ST (937) YANG, HAN, 340 E MAIN ST (937) PEDIATRICS ZAINEY, DAVID, 1110 MEAW LARK DR (937) MEDWAY BROWN, HAROLD, 3359 KEMP RD # 250A (937) HUBACH, EDWARD, 105 SYCAMORE ST (937) PLASTIC ETTINGER, DAVID, 3359 KEMP RD # 200 (937) PSYCHOLOGY FARNEY, LYNN, PSYD 109 W MAIN ST (937) KADIS, PAUL, PSYD 109 W MAIN ST (937) NEW CARLISLE CARDIOVASCULAR DISEASE DAHDAH, SALIM, 110 S CHURCH ST (937) CHIROPRACTOR MORITZ, MARLON, DC 206 N CHURCH ST (937) DEVATHA, ASHOK, 432 N MAIN ST (937) MAST, DUANE, 201 E LAKE AVE (937) WILLOBY, MICHELLE, 432 N MAIN ST (937) INDEPENDENT SOCIAL WORK DAILEY, MARY, 524 DAYTON LAKEVIEW BLVD (937) GILLESPIE, CURTIS, 524 DAYTON LAKEVIEW BLVD (937) LOHRER, SUZANNE, 524 DAYTON LAKEVIEW BLVD (937) SCHWAIGER, MICHAEL, 524 DAYTON LAKEVIEW BLVD (937) STICKNEY, ELLEN, 524 DAYTON LAKEVIEW BLVD (937) TINGLEY, ROSE, 524 DAYTON LAKEVIEW BLVD (937) WHITE, STEPHEN, 524 DAYTON LAKEVIEW BLVD (937) KABIR, ANWARUL, 110 S CHURCH ST (937) MA, OHMAR, 110 S CHURCH ST (937) PROFESSIONAL CLINICAL COUNSELI FRALICK, SUSAN, LPCC 524 DAYTON LAKEVIEW BLVD (937) PSYCHIATRY GIBFRIED, D.O., 524 DAYTON LAKEVIEW BLVD (937) OSBORN, CRYSTL, 524 DAYTON LAKEVIEW BLVD (937) SMITH, MARK, 524 DAYTON LAKEVIEW BLVD (937) YAKHMI, DEVINDER, 524 DAYTON LAKEVIEW BLVD (937) NORTH HAMPTON GALLAR, ESTELLA, 275 W CLARK ST (937) S CHARLESTON WILLIAMS, MARVIN, 163 N CHILLICOTHE ST PO BOX 375 (937) SOUTH CHARLESTON CARDIOVASCULAR DISEASE DAHDAH, SALIM, 163 N CHILLICOTHE ST (937) AHMED, NAJEEB, 163 N CHILLICOTHE ST (937) KABIR, ANWARUL, 163 N CHILLICOTHE ST (937) MA, OHMAR, 163 N CHILLICOTHE ST (937) THANAMAYOORAN, SIVA, 163 N CHILLICOTHE ST (937) SOUTH VIENNA AZIZ-KHAN, SHAHIDA, 8490 E NATIONAL RD (937) PEDIATRICS AZIZ-KHAN, SHAHIDA, 8490 E NATIONAL RD (937) SPRINGFIELD ALESCENT MEDICINE CHITKARA, VIJAY, 218 NORTHPARKE DR (937) ALLERGY & IMMUNOLOGY HOLT, G ANTHONY, 2624 LEXINGTON AVE # 310 (937) HOLT, G ANTHONY, 2624 LEXINGTON AVE # 310 (937) MIGALLY, NABIL, 1690 N LIMESTONE ST (937) MIGALLY, MAGDY, 1690 N LIMESTONE ST (937) ORTEGA-CARR, DEBORA, 2624 LEXINGTON AVE # 300 (937) PARKER, WILLIAM, 2624 LEXINGTON AVE (937) ANATOMIC PATHOLOGY & CLINICAL BUTT, SHEHLA, 2555 CREEKWOOD CT (937) FRANK, JAMES, 1690 N LIMESTONE ST (937) ANESTHESIOLOGY WATSON, STEPHEN, 1240 E MAIN ST (937) CARDIOLOGY ASKENAZI, JOSEPH, 1416 W 1ST ST (937) FREUND, NEIL, 30 W MCCREIGHT AVE # (937) CARDIOVASCULAR DISEASE AHMED, TAJUDDIN, 1911 E HIGH ST (937) AHMED, TAJUDDIN, (937) AHMED, TAJUDDIN, 1174 E HOME RD # N (937) AKHTER, FAIQ, (937) List Subject To Change - 11

16 CLARK Physicians and Other Providers BABICKI, MARIA, 30 W MCCREIGHT AVE (937) DAHDAH, SALIM, 1010 S LIMESTONE ST (937) DAHDAH, SALIM, 1416 W 1ST ST (937) DAHDAH, SALIM, 1117 E HOME RD (937) DAHDAH, SALIM, (937) GUNASEKERA, JOSEPH, GUNASEKERA, JOSEPH, 1382 W 1ST ST (937) GUNASEKERA, JOSEPH, 30 W MCCREIGHT AVE (937) GUNASEKERA, JOSEPH, 1416 W 1ST ST (937) JAN, MOHAMMED, 1835 E HIGH ST (937) JAN, MOHAMMED, 1416 W FIRST ST (937) JHANGIANI, ANIL, 1416 W FIRST ST (937) KALWEIT, WILHELM, 1343 N FOUNTAIN BLVD (937) KASSAS, SAFWAN, 1416 W 1ST ST (937) KHAN, MOHAMMED, (330) KHAN, MOHAMMED, 1911 E HIGH ST (937) MIRZA, MOHAMMAD, 1416 W FIRST ST (937) MOHAMMED, AKBER, 1911 E HIGH ST (937) SATYAVOLU, SAGAR, 1911 E HIGH ST (937) SATYAVOLU, SAGAR, 25 W HARDING RD (937) WASE, ABDUL, 1911 E HIGH ST (937) CHILD & ALESCENT PSYCHIATRY VELLANKI, UMAMAHESWARA, 444 W HARDING RD (937) VELLANKI, UMAMAHESWARA, 3150 EL CAMINO DR (937) CHIROPRACTOR ALLEN, GREGORY, DC 425 W HARDING RD (937) GRUZA, JOHN, DC 1834 E HIGH ST (937) HIXON, GREG, DC 1224 N BECHTLE AVE (937) OGLE, NNA, DC 425 W HARDING RD (937) TERRELL, MARK, DC 1930 N LIMESTONE ST (937) CRITICAL CARE MEDICINE BUCKLEW, PAMELA, 1835 E HIGH ST (937) FURAY, RICHARD, (937) FURAY, RICHARD, 1835 E HIGH ST (937) DERMATOLOGY FELDMAN, MICHAEL, 1671 N LIMESTONE ST (937) HALL, PHILLIP, 2355 DERR RD (937) HAZEL, JOE, 167 N LIMESTONE ST (937) LEPAGE, JOHN, 2355 DERR RD (937) LEVITT, STEPHEN, 2355 DERR RD (937) MIGALLY, MAGDY, 1690 N LIMESTONE ST (937) PALACIO, ROBERT, 2355 DERR RD (937) DIAGNOSTIC RADIOLOGY OSBORN, ROBIN, 1343 N FOUNTAIN BLVD (937) EMERGENCY MEDICINE ERHARDT, PETER, 1343 N FOUNTAIN BLVD (937) GARRINGER, WILLIAM, 2 EMMANUEL WAY # B (937) GARRINGER, WILLIAM, 2177 OLYMPIC ST (937) MORTON, TIMOTHY, 2555 CREEKWOOD CT (937) MORTON, TIMOTHY, 2177 OLYMPIC ST (937) WILLIAMS, THOMAS, 2555 CREEKWOOD CT (937) ENCRINOLOGY JAWADI, M HUSAIN, 2555 CREEKWOOD CT (937) JAWADI, M HUSAIN, 30 W MCCREIGHT AVE # 111 (937) ENCRINOLOGY, DIABETES & META JAWADI, M HUSAIN, 30 W MCCREIGHT AVE # 111 (937) JAWADI, M HUSAIN, 2555 CREEKWOOD CT (937) FAMILY NURSE PRACTITIONER WISE, BARBARA, CNP 501 S WITTENBEFG AVE (937) ABBOTT, SALLY, 2701 MOOREFIELD RD (937) AMOS, CRYSTAL, 2555 CREEKWOOD CT (937) CAREW, EDWARD, 2555 CREEKWOOD CT (937) CAREW, EDWARD, 1176 E HOME RD # O (937) CASS, CLEANNE, 501 S WITTENBERG AVE (937) CASS, CLEANNE, 2701 MOOREFIELD RD (937) DEAN, JACOB, 2555 CREEKWOOD CT (937) FAZIO, G THOMAS, 501 S WITTENBERG AVE (937) GOODSON, LEROY, 1010 S LIMESTONE ST (937) GOODSON, LEROY, 2701 MOOREFIELD RD (937) GORN, RICHARD, 2701 MOOREFIELD RD (937) JONES, HELEN, 2701 MOOREFIELD RD (937) KNAPP, LUCINDA, 1176 E HOME RD # O (937) KNEISLEY, ROBERT, 247 S BURNETT RD # 210 (937) LINN, ROBERT, 2555 CREEKWOOD CT (937) MAST, DUANE, 30 W MCCREIGHT AVE # 203 (937) MCFANN, LORI, 2701 MOOREFIELD RD (937) MCKEE, KATHRYN, 2155 CREEKWOOD CT (937) MCKEE, MICHAEL, 247 S BURNETT RD # 210 (937) MESSER, WILLIAM, 30 W MCCREIGHT AVE # 200 (937) MORMAN, JOSEPH, 247 S BURNETT RD # 210 (937) NIKTASH, MOHAMMEDREZA, 2057 S LIMESTONE ST (937) PEREZ, MAUREEN, 2355 DERR RD (937) POTTS, RICHARD, 2555 CREEKWOOD CT (937) POTTS, RICHARD, 2177 OLYMPIC ST (937) POTTS, RICHARD, 247 S BURNETT RD (937) RODNEY, DENISE, 2057 S LIMESTONE ST (937) SARIHAN, ALPER, 280 RED COACH DR (937) SMITH, JOSEPH, 280 RED COACH DR (937) SPIELCH, RISA, 247 S BURNETT RD # 210 (937) TAMBRINI, ALEX, 2701 MOOREFIELD RD (937) TURNER, SANDY, 1835 E HIGH ST (937) GASTROENTEROLOGY GABBARD, ALAN, (937) MUKERJEE, KUMAR, 25 W HARDING RD (937) GERIATRIC MEDICINE ABBOTT, SALLY, 2701 MOOREFIELD RD (937) CASS, CLEANNE, 2701 MOOREFIELD RD (937) CASS, CLEANNE, 501 S WITTENBERG AVE (937) MOHAMMED, RAHIM, 2624 LEXINGTON AVE # 200 (937) SCOTT, ROBERT, 2624 LEXINGTON AVE # 200 (937) HAND GORN, UGLAS, 30 W MCCREIGHT AVE # 106 (937) KLUG, MARK, 30 W MCCREIGHT AVE # 106 (937) RAK, THOMAS, 218 NORTHPARKE DR # A (937) HEMATOLOGY KHANNA, RAVI, 148 W NORTH ST (937) SINGH, DALJEET, 148 W NORTH ST (937) INDEPENDENT SOCIAL WORK CHERNEK, MARGARET, 1130 VESTER AVE # C (937) COFFMAN, ELIZABETH, 1130 VESTER AVE # C (937) DAILEY, MARY, 924 E HOME RD (937) DAILEY, MARY, 50 W HIGH ST (937) DAILEY, MARY, 1343 N FOUNTAIN BLVD (937) DAILEY, MARY, 601 N FOUNTAIN AVE (937) DAILEY, MARY, 206 OCONNOR LN (937) DAILEY, MARY, 1345 N FOUNTAIN BLVD (937) DAILEY, MARY, 1086 MOUND ST (937) DAILEY, MARY, 1054 E HIGH ST (937) DAILEY, MARY, 444 W HARDING RD (937) DAILEY, MARY, 1815 MIRACLE MILE (937) FREDERICK, PAUL, 444 W HARDING RD (937) FREDERICK, PAUL, 1130 VESTER AVE # C (937) GILLESPIE, CURTIS, 1343 N FOUNTAIN BLVD (937) GILLESPIE, CURTIS, 50 W HIGH ST (937) GILLESPIE, CURTIS, 444 W HARDING RD (937) GILLESPIE, CURTIS, 601 N FOUNTAIN AVE (937) GILLESPIE, CURTIS, 206 OCONNOR LN (937) GILLESPIE, CURTIS, 1815 MIRACLE MILE (937) GILLESPIE, CURTIS, 1054 E HIGH ST (937) GILLESPIE, CURTIS, 924 E HOME RD (937) GILLESPIE, CURTIS, 1086 MOUND ST (937) GILLESPIE, CURTIS, 1345 N FOUNTAIN BLVD (937) HORSTMAN, LOU ANN, 1130 VESTER AVE # C (937) KUKLA, CHRISTINE, LPCC 1345 N FOUNTAIN BLVD (937) LOHRER, SUZANNE, 50 W HIGH ST (937) LOHRER, SUZANNE, 601 N FOUNTAIN AVE (937) LOHRER, SUZANNE, 444 W HARDING RD (937) LOHRER, SUZANNE, 206 OCONNOR LN (937) LOHRER, SUZANNE, 1054 E HIGH ST (937) LOHRER, SUZANNE, 1345 N FOUNTAIN BLVD (937) LOHRER, SUZANNE, 1343 N FOUNTAIN BLVD (937) LOHRER, SUZANNE, 924 E HOME RD (937) LOHRER, SUZANNE, 1086 MOUND ST (937) LOHRER, SUZANNE, 1815 MIRACLE MILE (937) LOPER, MICHELLE, 1345 N FOUNTAIN BLVD (937) MORROW, MELODIE, 1345 N FOUNTAIN BLVD (937) PERRY, JAMES, PHD 1345 N FOUNTAIN BLVD (937) PERRY, JAMES, PHD 1207 N PLUM ST (937) SCHWAIGER, MICHAEL, 206 OCONNOR LN (937) SCHWAIGER, MICHAEL, 1054 E HIGH ST (937) SCHWAIGER, MICHAEL, 924 E HOME RD (937) SCHWAIGER, MICHAEL, 601 N FOUNTAIN AVE (937) SCHWAIGER, MICHAEL, 50 W HIGH ST (937) SCHWAIGER, MICHAEL, 444 W HARDING RD (937) SCHWAIGER, MICHAEL, 1815 MIRACLE MILE (937) SCHWAIGER, MICHAEL, 1345 N FOUNTAIN BLVD (937) SCHWAIGER, MICHAEL, 1086 MOUND ST (937) SCHWAIGER, MICHAEL, 1343 N FOUNTAIN BLVD (937) SINGLETON, REBECCA, LSW 1345 N FOUNTAIN BLVD (937) STEGNER, L CHRISTINE, 1345 N FOUNTAIN BLVD (937) STICKNEY, ELLEN, 924 E HOME RD (937) STICKNEY, ELLEN, 1345 N FOUNTAIN BLVD (937) STICKNEY, ELLEN, 1054 E HIGH ST (937) STICKNEY, ELLEN, 1086 MOUND ST (937) STICKNEY, ELLEN, 1815 MIRACLE MILE (937) STICKNEY, ELLEN, 206 OCONNOR LN (937) STICKNEY, ELLEN, 444 W HARDING RD (937) STICKNEY, ELLEN, 50 W HIGH ST (937) List Subject To Change -