HSAG: Network 13 Dialysis Facility Information with Satellite (GPS) Coordinates LATITUDE 35.838629-90.700095 040020 34.746366-92.320493 04010F 34.74274-92.292783 040117 35.298176-94.411963 042501 FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX ST BERNARDS REGIONAL MED - JLM VA MEDICAL - ARKANSAS CHILDRENS HOSPITAL- FT SMITH REGIONAL 34.486909-93.035747 042507 DAVITA - OUACHITA 35.285604-93.168104 042508 DAVITA - RIVER VALLEY 540 E WASHINGTON JONESBORO AR 72401 CRAIGHEAD 8709724477 8702070528 20 4300 W 7TH ST - 6B UNIT 1 CHILDRENS WAY-SLOT 204 LITTLE ROCK AR 72205 PULASKI 5012575822 5012575827 17 LITTLE ROCK AR 72202 PULASKI 5013641813 5013643944 4 2201 BROOKEN HILL DR FORT SMITH AR 72908 SEBASTIAN 4797556700 4797556704 55 1900 MALVERN AVE STE 102 HOT SPRINGS AR 71901 GARLAND 5016240196 5013212415 25 3121 W SECOND CT RUSSELLVILLE AR 72801 POPE 4799684687 4799682260 20 34.52955-90.59177 042510 FMCNA - HELENA 108 D ANNA PL HELENA AR 72342 PHILLIPS 8703387800 8707539268 17 34.121215-93.088886 042512 34.784842-92.220031 042513 35.245497-91.694881 042514 33.251455-93.234066 042515 35.068351-92.462163 042517 DAVITA - DEGRAY KIDNEY DAVITA - SPRINGHILL DAVITA - SEARCY KIDNEY DISEASE AND CLINIC OF MAGNOLIA DAVITA - CONWAY 312 PROFESSIONAL PARK DR STE H SPRINGHILL MEDICAL PLAZA 3401 SPRINGHILL DR STE 190 ARKADELPHIA AR 71923 CLARK 8702463021 8702453766 17 NORTH LITTLE ROCK AR 72117 PULASKI 5019453669 5019453949 17 3208 LANGLEY ST SEARCY AR 72143 WHITE 5012684400 5012688279 16 1411 N JACKSON MAGNOLIA AR 71754 COLUMBIA 8702344945 8702344945 12 2445 CHRISTINA LN CONWAY AR 72034 FAULKNER 5013282186 5013282110 20 35.109706-92.428308 042518 FMCNA - FAULKNER COUNTY 201 SKYLINE DR STE 32 CONWAY AR 72032 FAULKNER 5013297715 5013298808 10 34.754325-92.388106 042521 33.584988-92.8491 042525 FMCNA - LITTLE ROCK DAVITA - OUACHITA VALLEY 33.329535-91.286181 042527 LAKE VILLAGE 10310 W MARKHAM STE 100 1114 WASHINGTON ST NW 505 MARYS STREET LITTLE ROCK AR 72205 PULASKI 5012253890 5012287433 20 CAMDEN AR 71701 OUACHITA 8708371330 8708371423 25 LAKE VILLAGE AR 71653 CHICOT 8702653837 8702655061 17 35.14989-90.187873 042528 FMCNA - EAST ARKANSAS 310 S RHODES WEST MEMPHIS AR 72301 CRITTENDEN 8707355445 8707350545 25 34.471962-93.061833 042531 DAVITA - HOT SPRINGS 115 WRIGHTS ST HOT SPRINGS AR 71913 GARLAND 5016240153 5016240645 28 34.212738-91.969786 042532 FMCNA - PINE BLUFF FMCNA - PINE BLUFF DX 2910 MARKET ST PINE BLUFF AR 71601 JEFFERSON 8705368050 8705368052 24 35.051346-90.784532 042533 35.697902-89.991453 042534 FMCNA - ST FRANCIS COUNTY DAVITA - OSCEOLA RENAL 210 BARROW HILL RD FORREST CITY AR 72335 FRANCIS 8706306484 8706301821 22 1332 W KEISER AVE OSCEOLA AR 72370 MISSISSIPPI 8705634901 8705634959 12 As of 3/21/17 Page 1 of 13
34.87072-92.125184 042535 33.218681-92.669774 042536 34.516109-91.554159 042537 FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX DAVITA - PULASKI COUNTY DX DAVITA - SOUTH ARKANSAS FMCNA - STUTTGART 36.113607-94.150259 042539 DAVITA - FAYETTEVILLE 202 JOHN HARDIN DR JACKSONVILLE AR 72076 PULASKI 5019821004 5019821068 9 620 W GROVE ST EL DORADO AR 71730 UNION 8708628788 8708625756 36 805 MADISON ST STUTTGART AR 72160 ARKANSAS 8706738823 8706738820 15 509 E MILLSAP RD STE 111 FAYETTEVILLE AR 72703 WASHINGTON 4794436688 4795279917 9 36.339642-94.196221 042540 DAVITA - BENTONVILLE 1104 SE 30TH ST BENTONVILLE AR 72712 BENTON 4796576220 4796576229 21 33.608605-91.817322 042543 FMCNA - MONTICELLO 774 JORDAN DR MONTICELLO AR 71655 DREW 8703673100 8703672470 16 33.268891-93.233315 042545 34.746322-92.378297 042547 34.789642-92.214062 042548 DAVITA - SW ARKANSAS -MAGNOLIA DAVITA - LITTLE ROCK MIDTOWN DAVITA - NORTH LITTLE ROCK 225 N DUDNEY RD MAGNOLIA AR 71753 COLUMBIA 8702341322 8702341366 9 #2 LILE CT STE 102A LITTLE ROCK AR 72205 PULASKI 5012213123 5012213167 24 4505 E MCCAIN BLVD NORTH LITTLE ROCK AR 72117 PULASKI 5019452323 5019551162 12 36.19992-94.544591 042549 DAVITA - SILOAM SPRINGS 500 S MT OLIVE STE 107 SILOAM SPRINGS AR 72761 BENTON 4795240104 4795240769 8 35.936753-89.914447 042550 FMCNA - BLYTHEVILLE 1001 E MOULTRIE BLYTHEVILLE AR 72315 MISSISSIPPI 8707627700 8707625651 24 33.292401-93.597793 042551 LEWISVILLE PO BOX 742 LEWISVILLE AR 71845 LAFAYETTE 8709214111 8709214171 8 34.918774-92.15149 042553 35.569278-91.203951 042554 DAVITA - JACKSONVILLE CENTRAL DAVITA - JACKSON COUNTY DX 400 T P WHITE DR JACKSONVILLE AR 72076 PULASKI 5012411300 5019851344 8 PRATT SQUARE 1912 MCCLAIN NEWPORT AR 72112 JACKSON 8705232607 8705232824 9 34.583994-92.571679 042556 FMCNA - BENTON 2101 CONGO RD BENTON AR 72015 SALINE 5017761418 5017761466 16 35.769695-91.632792 042557 34.573923-92.586986 042558 33.139753-91.937821 042560 36.113222-90.551092 042562 33.685623-93.58949 042563 DAVITA - INDEPENDENCE COUNTY DX DAVITA - SALINE COUNTY DAVITA - ASHLEY US RENAL CARE OF NORTHEAST AR - PARAGOULD DAVITA - HEMPSTEAD COUNTY UNIT 1700 HARRISON ST STE F BATESVILLE AR 72501 INDEPENDENCE 8703070828 8707935466 12 GROUND LEVEL-1200 N MAIN STE 2 BENTON AR 72015 SALINE 5017761816 5017761872 12 1019 FRED LAGRONE DR CROSSETT AR 71635 ASHLEY 8703051225 8703051240 24 901 W KINGS HIGHWAY PARAGOULD AR 72450 GREENE 8702150187 8702155320 13 1803 S LAUREL ST HOPE AR 71801 HEMPSTEAD 8707774040 8707773567 10 34.201491-92.031735 042564 US RENAL CARE - PINE BLUFF 2800 W 28TH ST PINE BLUFF AR 71603 JEFFERSON 8705347400 8705410845 24 33.629123-91.401849 042565 36.333937-92.383195 042567 PINE BLUFF - KIDNEY OF MCGEHEE RVM - RENAL OF MTN HOME 610 WEST HOLLY ST MCGEHEE AR 71654 DESHA 8702226700 8702226203 11 200 EAST 8TH ST #101 MOUNTAIN HOME AR 72653 BAXTER 8705086500 8705086550 20 36.16722-94.240112 042568 DAVITA - SPRINGDALE 2070 MCKENZIE ST SUITE B SPRINGDALE AR 72762 WASHINGTON 4799271957 4797510523 16 As of 3/21/17 Page 2 of 13
FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX 33.653248-93.580418 042569 HOPE CENTER 407 W 16TH ST HOPE AR 71801 HEMPSTEAD 8707771700 8707727692 11 34.385808-92.832358 042570 DAVITA - MALVERN 1590 TANNER RD MALVERN AR 72104 HOT SPRING 5013323000 5013325858 20 34.743291-92.355536 042571 35.183787-90.184045 042573 DAVITA - LITTLE ROCK DAVITA - RENAL CARE OF MARION 36.109461-94.155913 042574 NORTH HILLS 36.347107-94.223419 042575 33.612913-92.077807 042576 35.808771-90.664154 042577 33.431043-93.876485 042578 36.181588-94.518932 042580 BENTON COUNTY DAVITA - BRADLEY COUNTY NEA BAPTIST CLINIC - MIDDLEFIELD DAVITA - MILLER COUNTY CENTER OF SILOAM SPRINGS 6 FREEWAY DR STE 100 LITTLE ROCK AR 72204 PULASKI 5016646754 5012969942 20 DAVITA - RENAL CARE OF MARION 107 E MONTE PAINTER DR 1120 STATE HWY 77 STE 2 MARION AR 72364 CRITTENDEN 8707354087 8707354062 24 FAYETTEVILLE AR 72703 WASHINGTON 4794637000 4795878421 19 801 SE PLAZA AVE STE 1 BENTONVILLE AR 72712 BENTON 4792737340 4792737086 17 204 N BRAGG ST. STE A WARREN AR 71671 BRADLEY 8702267180 8702262488 16 3005 MIDDLEFIELD ST JONESBORO AR 72401 CRAIGHEAD 8709345705 8709721695 15 816 EAST ST TEXARKANA AR 71854 MILLER 8707722756 8707722764 20 2125 E MAIN STE 12 SILOAM SPRINGS AR 72761 BENTON 4795245214 4795245218 11 33.427597-94.036674 042581 VAMANA, INC 422 BEECH ST TEXARKANA AR 71854 MILLER 8707731111 8707721354 11 34.588455-94.219106 042582 DAVITA - MENA 1200 CRESTWOOD CIR MENA AR 71953 POLK 4793948085 4793942164 15 35.267872-91.204128 042583 DCI - MCCRORY 139 US HWY 64 STE 100 MCCRORY AR 72101 WOODRUFF 8707310220 8707310223 8 36.246319-93.122102 042584 HARRISON 1409 GLADDEN HARRISON AR 72601 BOONE 8702046683 8702046686 16 34.995264-90.78151 042585 DAVITA - FORREST CITY 1501 N WASHINGTON ST FORREST CITY AR 72335 FRANCIS 8704944022 8704944769 12 36.334964-94.169269 042586 DAVITA - ROGERS 101 N 37TH ST ROGERS AR 72756 BENTON 4798996868 4798996885 17 35.863776-90.632371 042588 NEA BAPTIST CLINIC - HILLTOP 4909 E JOHNSON AVE JONESBORO AR 72401 CRAIGHEAD 8703363372 8703363377 12 34.741384-92.332946 042589 FMCNA - EAST LITTLE ROCK 5320 WEST 12TH ST EAST LITTLE ROCK AR 72204 PULASKI 5016607867 5012803744 18 34.668757-92.346172 042590 DAVITA - SOUTH LITTLE ROCK 6115 BASELINE RD LITTLE ROCK AR 72209 PULASKI 5015700543 5015700738 13 34.740745-92.361635 042591 WESTSIDE UNIT LLC 1515 KANIS PARK DR STE A LITTLE ROCK AR 72204 PULASKI 5013799208 5016039877 16 34.736272-92.373105 042592 34.753023-92.379342 042593 DCI - LITTLE ROCK RENAL SERVICES LLC ARKANSAS STAFF ASSISTED HEMO CLINIC 1910 JOHN BARROW RD LITTLE ROCK AR 72204 PULASKI 5012270983 5012270974 18 9421 WEST MARKHAM SUITE B LITTLE ROCK AR 72205 PULASKI 5012173888 5012173886 2 33.526214-91.434879 042594 RCG OF DERMOTT, LLC 115 EAST PEDDICORD DERMOTT AR 71638 CHICOT 8705385228 8705385228 2 36.289755-90.996095 042595 DAVITA - POCAHONTAS 404 CAMP RD POCAHONTAS AR 72455 RANDOLPH 8702480138 8702480623 8 35.219843-90.786753 043501 ST BERNARDS-WYNNE 310 S FALLS BLVD PO BOX 590 WYNNE AR 72396 CROSS 8702081170 8702081144 12 35.698438-89.99187 043502 ST. BERNARDS MEDICAL CENTER - OSCEOLA 1420 W KAISER AVE OSCELOLA AR 72370 MISSISSIPPI 8705630670 8705630668 12 As of 3/21/17 Page 3 of 13
29.452653-90.304125 190048 32.485892-93.777376 190111 FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX LADY OF THE SEA WILLIS KNIGHTON MED - 17108 W MAIN ST CUT OFF LA 70345 LAFOURCHE 9856324900 9856324907 10 2716 PORTLAND AVE SHREVEPORT LA 71103 CADDO 3182124339 3182124503 13 30.44633-91.098693 192501 FMCNA - BATON 524 COLONIAL DR BATON LA 70806 2259273311 2259279827 20 31.308444-92.45866 192503 FMCNA - ALEXANDRIA 225 N BOLTON AVE ALEXANDRIA LA 71301 RAPIDES 3184871063 3184871082 23 30.197699-92.075404 192504 FMCNA - WEST LAFAYETTE 30.485236-90.487941 192505 29.917431-90.017613 192507 FMCNA - FLORIDA PARISH KIDNEY DAVITA - WESTBANK CHRONIC RENAL 2804 AMBASSADOR CAFFERY PKWY 16081 DOCTORS BLVD STE A LAFAYETTE LA 70506 LAFAYETTE 3379847299 3379845772 25 HAMMOND LA 70403 TANGIPAHOA 9853455621 9853455622 23 3631 BEHRMAN PL NEW ORLEANS LA 70114 ORLEANS 5043660808 5043673816 25 29.568584-90.682582 192509 DAVITA - HOUMA 108 PICONE RD HOUMA LA 70363 TERREBONNE 9858688187 9858794639 15 32.502316-92.110938 192510 FMCNA - NORTHEAST LOUISIANA 711 WOOD ST STE B MONROE LA 71201 OUACHITA 3183227565 3183220387 25 30.000009-90.181389 192511 FMCNA - METAIRIE 4425 UTICA ST METAIRIE LA 70006 JEFFERSON 5044555535 5044555253 20 32.494273-93.753525 192512 FMCNA - SHREVEPORT REGIONAL 1800 BUCKNER ST STE A100 SHREVEPORT LA 71101 CADDO 3182279765 3182213587 26 29.958581-89.955916 192515 CHALMETTE 4020 PARIS RD CHALMETTE LA 70043 BERNARD 5042778423 5042770171 16 30.072271-89.948082 192516 FMCNA - NEW ORLEANS EAST- FERNCREST 14500 HAYNE BLVD STE 100 NEW ORLEANS LA 70128 ORLEANS 5042487136 5042487158 13 30.531488-92.077855 192518 FMCNA - OPELOUSAS 528 E VINE ST OPELOUSAS LA 70570 LANDRY 3379481550 3379488975 22 29.234524-90.000388 192521 FMCNA - MARRERO 1111 MEDICAL BLVD STE S150 MARRERO LA 70072 JEFFERSON 5043481845 5043718109 23 30.009217-91.791619 192522 FMCNA - NEW IBERIA 609 RUE DE BRILLE NEW IBERIA LA 70563 IBERIA 3373641185 3373641187 32 30.037406-89.953482 192523 DAVITA - FLEUR DE LIS 30.397928-91.101507 192524 FMCNA - MANCUSO 5555 BULLARD AVE, STE 110 4848 MANCUSO LN, STE A NEW ORLEANS LA 70128 ORLEANS 5042402696 5042402877 20 BATON LA 70809 2257666773 2257666774 21 31.753517-93.076369 192525 FMCNA - NATCHITOCHES DX 700 KEYSER AVE NATCHITOCHES LA 71457 NATCHITOCHES 3183521960 3183521962 16 32.468327-93.754852 192530 29.967506-90.146264 192531 32.540565-93.707098 192532 29.971321-90.091538 192533 FMCNA - OF SHREVEPORT FMCNA - OCHSNER NEW ORLEANS FMCNA - BOSSIER REGIONAL DX BIENVILLE NORTH 3949 SOUTHERN AVE SHREVEPORT LA 71106 CADDO 3188693016 3188693602 28 630 DECKBAR AVE JEFFERSON LA 70121 ORLEANS 5048370021 5048370505 32 2907 PLANTATION DR BOSSIER CITY LA 71111 BOSSIER 3187468440 3187468442 20 3333 BIENVILLE STE 1B-C NEW ORLEANS LA 70119 ORLEANS 5048226336 5048226317 12 30.021901-90.257972 192534 DAVITA - CHATEAU 720 VILLAGE RD KENNER LA 70065 JEFFERSON 5044692796 5044697587 16 30.219757-92.369549 192538 FMCNA - CROWLEY 625 E 8TH ST CROWLEY LA 70526 ACADIA 3377830013 3377834945 15 As of 3/21/17 Page 4 of 13
FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX 30.587389-91.152366 192539 FMCNA - BAKER 4353 GROOM RD BAKER LA 70714 30.744198-89.912079 192540 DAVITA - BOGALUSA KIDNEY CARE 2257750217 2257757279 24 2108 S AVE F BOGALUSA LA 70427 WASHINGTON 9857357811 9857351501 15 32.621394-93.261305 192541 FMCNA - MINDEN 610 FLEMING LN MINDEN LA 71055 WEBSTER 3183711532 3183711534 20 30.077108-90.519768 192543 LAPLACE 2700 AIRLINE HWY WEST LA PLACE LA 70068 30.426069-90.120155 192544 FMCNA - PONTCHARTRAIN KIDNEY 170 GREENBRIAR DR STE A COVINGTON LA 70433 JOHN THE BAPTIST 9855367860 9855368350 18 9858937265 9858675650 16 29.709121-91.199075 192548 MORGAN CITY 1224 DAVID DR MORGAN CITY LA 70380 MARY 9853854213 9853852127 11 30.225543-90.920823 192551 DAVITA - MAGNOLIA 1125 SOUTH BURNSIDE AVE GONZALES LA 70737 ASCENSION 2256444490 2256449032 17 29.592265-90.7185 192552 FMCNA - HOUMA 800 POINT ST HOUMA LA 70360 TERREBONNE 9858680989 9858685131 25 30.951586-92.175049 192555 FMCNA - BUNKIE 102 STANDARD ST BUNKIE LA 71322 AVOYELLES 3183466348 3183466868 20 30.295931-89.763308 192556 DAVITA - SLIDELL KIDNEY CARE 662 ROBERT BLVD SLIDELL LA 70458 9856495197 9856495218 25 30.727355-90.51042 192557 FMCNA - AMITE 110 N FIRST ST AMITE LA 70422 TANGIPAHOA 9857488155 9857488156 13 30.466222-91.139813 192558 FMCNA - FOSTER DR SVCS 1919 N FOSTER DR BATON LA 70806 2253541611 2253541655 20 29.960062-92.116755 192560 FMCNA - ABBEVILLE 904 N JOHN HARDY DR ABBEVILLE LA 70510 VERMILION 3378937577 3378939597 12 32.529192-93.7783 192562 FMCNA - NORTH SHREVEPORT 990 AERO DR SHREVEPORT LA 71107 CADDO 3184257371 3184257373 28 31.572536-91.450199 192563 FMCNA - FERRIDAY 2004 CARTER ST SUITE A VIDALIA LA 71373 CONCORDIA 3183364196 3183364431 19 32.453368-91.495135 192564 FMCNA - DELHI 307 DETROIT ST DELHI LA 71232 RICHLAND 3188789072 3188789075 14 30.48534-90.482851 192565 FMCNA - QUALITY CARE -HAMMOND 1204 S MORRISON BLVD, STE A HAMMOND LA 70403 TANGIPAHOA 9853450544 9853451676 18 30.497571-92.402713 192566 FMCNA - EUNICE 1101 NILE ST EUNICE LA 70535 LANDRY 3375506585 3375507516 12 30.448632-91.237604 192568 FMCNA - WESTPORT 2500 COMMERCIAL DR PORT ALLEN LA 70767 WEST BATON 2253435753 2253870540 14 30.10103-90.99288 192572 FMCNA - DONALDSONVILLE 101 PLIMSOL DR DONALDSONVILLE LA 70346 ASCENSION 2254731139 2254731128 16 32.457292-91.495636 192573 FMCNA - DELTA 104 RAILROAD AVE DELTA LA 71233 MADISON 3186339662 3186339663 16 29.785364-90.815983 192574 FMCNA - THIBODAUX 694 S ACADIA RD THIBODAUX LA 70301 LAFOURCHE 9854483540 9854483523 25 29.959052-90.077186 192575 DCI - TULANE-NEW ORLEANS 1661 CANAL ST STE 1001 NEW ORLEANS LA 70112 ORLEANS 5045814957 5045814964 25 31.335509-92.376552 192577 FMCNA - PINEVILLE 151 SANDIFER LN PINEVILLE LA 71360 RAPIDES 3184437131 3184422920 14 29.703392-90.564343 192578 RACELAND 4601 HIGHWAY 1 RACELAND LA 70394 LAFOURCHE 9855376962 9855376928 8 32.402684-93.780602 192579 FMCNA - SOUTHWEST SHREVEPORT 9076 KINGSTON RD SHREVEPORT LA 71118 CADDO 3186833296 3186869283 24 As of 3/21/17 Page 5 of 13
30.236418-92.019926 192580 FMCNA - NORTH LAFAYETTE 29.924703-90.09265 192581 FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX DAVITA - NEW ORLEANS UPTOWN 910 MARTIN LUTHER KING DR 1401 FOUCHER ST 4TH FL- UNIT LAFAYETTE LA 70501 LAFAYETTE 3372340084 3372340143 18 NEW ORLEANS LA 70115 ORLEANS 5048978530 5048978790 20 32.492479-92.178617 192582 FMCNA - OUACHITA 102 THOMAS RD STE 306 WEST MONROE LA 71291 OUACHITA 3183872747 3183872334 25 29.883025-90.020102 192584 DCI - WESTBANK-GRETNA 1010 BEHRMAN HWY GRETNA LA 70056 JEFFERSON 5043919572 5043910248 22 32.482009-93.757054 192586 DCI - SHREVEPORT 1322 KINGS HWY SHREVEPORT LA 71103 CADDO 3182261020 3184241179 34 29.805692-91.498346 192587 FMCNA - FRANKLIN 1604 CYNTHIA ST FRANKLIN LA 70538 MARY 3378284747 3378283831 12 30.203534-93.195996 192588 LAKE CHARLES 1801 OAK PARK BLVD LAKE CHARLES LA 70601 CALCASIEU 3374789585 3374790338 15 30.399517-91.109796 192589 30.417739-91.056229 192592 FMCNA - PICARDY KIDNEY FMCNA - ZACHARY CROSSROAD 7638 PICARDY AVE STE A BATON LA 70808 4709 SECRETARY DR ZACHARY LA 70791 2257665600 2257665779 20 2256541450 2256542459 21 29.989546-90.761722 192593 VACHERIE DX 2504 HIWAY 20 STE B VACHERIE LA 70090 ASSUMPTION 2252659030 2252657070 8 30.205243-93.218648 192597 DAVITA - LAKE CHARLES SOUTHWEST 300 18th ST LAKE CHARLES LA 70601 CALCASIEU 3374336831 3374336613 17 30.846762-93.282866 192598 DAVITA - DERIDDER 239 E FIRST ST DERIDDER LA 70634 BEAUREGARD 3374620950 3374601933 12 30.022914-90.272761 192599 DAVITA - KENNER REG 200 W ESPLANADE STE 100 KENNER LA 70065 JEFFERSON 5044710931 5044710317 14 31.925992-92.646391 192601 FMCNA - WINNFIELD 601 W COURT ST WINNFIELD LA 71483 WINN 3186481222 3186486010 14 30.681392-91.470745 192602 FMCNA - NEW ROADS 107 FAIRFIELD AVE NEW ROADS LA 70760 POINTE COUPEE 2256387395 2256387323 17 30.239271-92.661205 192603 FMCNA - JENNINGS 1906 JOHNSON ST JENNINGS LA 70546 As of 3/21/17 Page 6 of 13 JEFFERSON DAVIS 3378245353 3378249125 12 32.158897-91.716602 192604 FMCNA - WINNSBORO 3982 FRONT ST WINNSBORO LA 71295 FRANKLIN 3184353511 3184354727 15 32.03837-93.691773 192605 FMCNA - DESOTO 1410 MCARTHUR DR MANSFIELD LA 71052 DE SOTO 3188718700 3188718707 24 30.264715-91.249358 192606 FMCNA - PLAQUEMINE 24660 PLAZA DR PLAQUEMINE LA 70764 IBERVILLE 2256879100 2256879195 17 29.936329-90.10341 192608 DAVITA - MEMORIAL 4427 S ROBERTSON ST - 2ND FLOOR NEW ORLEANS LA 70115 ORLEANS 5048991103 5048991956 22 32.860776-91.398227 192609 FMCNA - OAK GROVE 711 E JEFFERSON DR OAK GROVE LA 71263 WEST CARROLL 3184281385 3184281285 14 30.501919-91.130672 192610 FMCNA - AIRLINE 5948 AIRLINE HWY BATON LA 70805 31.753772-93.057552 192611 FMCNA - EAST NATCHITOCHES 2253579055 2253566817 23 111 MASONIC DR NATCHITOCHES LA 71457 NATCHITOCHES 3183541170 3183541176 22 30.246164-93.359239 192612 DAVITA - SULPHUR 944 S BEGLIS PKWAY SULPHUR LA 70663 CALCASIEU 3376260774 3376262803 12 30.456405-90.133678 192613 31.287057-92.455323 192614 DAVITA - SYSTEMS OF COVINGTON FMCNA - SOUTH ALEXANDRIA 210 GREENBRIAR BLVD COVINGTON LA 70433 9858751915 9858751918 9 1915 BEATRICE ST ALEXANDRIA LA 71301 RAPIDES 3184878333 3184870933 23
30.844059-90.16054 192615 30.45066-91.007798 192616 FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX DAVITA - WASHINGTON PARISH DAVITA - 724 WASHINGTON ST FRANKLINTON LA 70438 WASHINGTON 9857951111 9857950000 14 1333 ONEAL LN BATON LA 70816 2252737907 2252729857 16 30.495191-92.440333 192617 DCI - EUNICE 2440 W LAUREL AVE EUNICE LA 70535 LANDRY 3374570005 3374570035 16 30.680204-92.265095 192618 FMCNA - VILLE PLATTE 616 JACK MILLER RD VILLE PLATTE LA 70586 EVANGELINE 3373631275 3373631329 12 32.136643-92.06349 192623 FMCNA - CALDWELL PARISH 7720 HWY 165 STE 3 1700 COLUMBIA LA 71418 CALDWELL 3186492113 3186497804 8 30.030716-89.971174 192625 DCI - NEW ORLEANS EAST 5571 READ BLVD NEW ORLEANS LA 70128 ORLEANS 5042423770 5042429937 16 32.54487-92.077989 192627 FMCNA - NORTH MONROE 2344 STERLINGTON RD MONROE LA 71203 OUACHITA 3186990001 3186990005 16 32.76791-92.381634 192628 FMCNA - UNION PARISH DX 1012 STERLINGTON HWY FARMERVILLE LA 71241 UNION 3183681071 3183681314 12 32.51981-92.636423 192630 32.41816-93.736471 192631 FMCNA - LINCOLN KIDNEY FMCNA - SOUTH SHREVEPORT 219 MILLS AVE RUSTON LA 71270 LINCOLN 3182513730 3182513806 20 410 ASHLEY RIDGE BLVD SHREVEPORT LA 71106 CADDO 3188688320 3188612337 22 30.448174-91.161239 192632 FMCNA - NORTH BOULEVARD 2661 NORTH BLVD BATON LA 70806 2253875777 2253875732 20 32.770313-92.40623 192633 FMCNA - FARMERVILLE 108 HILL ST FARMERVILLE LA 71241 UNION 3183683337 3183683370 12 32.49234-92.081479 192635 FMCNA - MONROE 1501 SOUTHERN AVE MONROE LA 71202 OUACHITA 3183984181 3183984184 16 29.972355-91.836381 192636 29.909034-90.203233 192637 DCI - KIDNEY CARE OF ACADIANA-NEW IBERIA FMCNA - SERVICES AVONDALE 902-A S LEWIS AVE NEW IBERIA LA 70560 IBERIA 3373673995 3373673997 15 141 S JAMIE BLVD AVONDALE LA 70094 JEFFERSON 5043427773 5043429646 16 32.593989-93.287939 192638 FMCNA - EAST MINDEN 10000 INDUSTRIAL RD MINDEN LA 71055 WEBSTER 3183719400 3183716782 22 30.93656-90.52074 192640 FMCNA - KENTWOOD 916 AVENUE G KENTWOOD LA 70444 TANGIPAHOA 9852298018 9852298078 13 32.023096-93.264819 192641 FMCNA - COUSHATTA 501 WILKINSON DR COUSHATTA LA 71019 RED RIVER 3189325378 3189328109 16 30.282051-91.890059 192643 FMCNA - BREAUX BRIDGE 100 CHAMPAGNE BLVD BLDG A BREAUX BRIDGE LA 70517 MARTIN 3373326813 3373326779 12 30.325244-90.920138 192644 FMCNA - ASCENSION 17392 VALLEE CT PRAIRIEVILLE LA 70769 ASCENSION 2256220685 2256227527 17 30.41131-92.06845 192649 FMCNA - SUNSET 115 ACORN ST SUNSET LA 70584 LANDRY 3376623702 3376623779 16 32.478354-93.718054 192650 DCI - EAST SHREVEPORT 102 ARDMORE AVE SHREVEPORT LA 71105 CADDO 3188615051 3188615054 19 30.195474-92.081292 192651 30.836449-91.218978 192652 29.940693-90.346847 192653 DCI - KIDNEY CARE OF ACADIANA-LAFAYETTE FMCNA - FELICIANAS FMCNA - OCHSNER-ST CHARLES 224 ST LANDRY STE 3C LAFAYETTE LA 70506 LAFAYETTE 3372315511 3372315711 10 2995 RACE ST JACKSON LA 70748 EAST FELICIANA 2256342733 2256342844 17 150 JAMES DR EAST STE 110 ROSE LA 70087 CHARLES 5047125454 5047125312 17 30.225729-92.364729 192656 DCI - CROWLEY 1325 WRIGHT AVE STE B CROWLEY LA 70526 ACADIA 3377881990 3377881967 17 As of 3/21/17 Page 7 of 13
30.640906-92.417228 192657 FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX FMCNA - SERVICES- MAMOU 801 POINCIANA AVE MAMOU LA 70554 EVANGELINE 3374682245 3374682247 7 32.45967-93.865887 192658 FMCNA - WEST SHREVEPORT 4338 PINES RD SHREVEPORT LA 71119 CADDO 3186210750 3186210733 19 31.151063-93.263725 192659 FMCNA - LEESVILLE 900 N FIFTH ST STE #5 LEESVILLE LA 71446 VERNON 3373925122 3373921192 12 32.765027-93.074823 192663 FMCNA - HOMER 3680 HWY 79 HOMER LA 71040 CLAIBORNE 3189278987 3189275965 12 30.542907-92.072546 192665 DCI - OPELOUSAS 927 E PRUDHOMME ST OPELOUSAS LA 70570 LANDRY 3375948535 3375948534 22 30.28744-89.745071 192666 DAVITA - SOUTHEAST- NORTHSHORE KIDNEY 106 MEDICAL CENTER DR STE 101 SLIDELL LA 70461 9856906018 9856906074 8 32.538538-93.763436 192669 DCI - NORTH SHREVEPORT 1515 N HEARNE AVE SHREVEPORT LA 71107 CADDO 3182207012 3182207013 20 29.894363-90.098235 192670 FMCNA - WESTBANK 30.45104-91.138455 192671 30.409867-90.159944 192674 32.77294-91.918074 192676 FMCNA - SERVICES OF BON CARRE SNG-ST DX, LP FMCNA - MOREHOUSE PARISH 4899 WESTBANK EXPWY STE A 7656 REALTORS AVE BATON LA 70806 397 HWY 21 STE 602 MADISONVILLE LA 70447 MARRERO LA 70072 JEFFERSON 5043408577 5043408209 12 2252160388 2252160387 20 9857925334 9857925234 18 530 DURHAM ST BASTROP LA 71220 MOREHOUSE 3182813725 3182813727 24 32.426857-91.721366 192677 FMCNA - RICHLAND PARISH 230 HWY 3048 RAYVILLE LA 71269 RICHLAND 3187289801 3187289804 6 29.978095-90.212891 192678 DAVITA - METAIRIE 7100 AIRLINE DR METAIRIE LA 70003 JEFFERSON 5047311969 5047318533 12 30.448209-91.150122 192680 FMCNA - MID-CITY 30.077899-90.528021 192681 DAVITA - RIVER PARISHES 3888 NORTH BLVD STE 101 BATON LA 70806 2880 W AIRLINE HWY LA PLACE LA 70068 JOHN THE BAPTIST 2253889045 2253889583 16 9854797505 9854797510 12 30.017589-90.197787 192682 METAIRIE KIDNEY 4424 CONLIN ST STE 1A METAIRIE LA 70006 JEFFERSON 5048878319 5048878274 8 29.917756-90.04144 192683 DAVITA - OAKWOOD 30.456203-90.970975 192684 DSI - DENHAM SPRINGS 26737 HIGHWAY 1032 148 HECTOR AVE GRETNA LA 70056 JEFFERSON 5043761603 5043762364 19 As of 3/21/17 Page 8 of 13 DENHAM SPRINGS LA 70726 LIVINGSTON 2256642059 2256647472 12 30.222453-91.996539 192685 FMCNA - EAST LAFAYETTE 1340 SURREY LAFAYETTE LA 70501 LAFAYETTE 3372641265 3372349370 16 31.546539-93.459359 192686 FMCNA - MANY 100 DEVERA DR 730 MANY LA 71449 SABINE 3182563122 3182561231 16 30.233852-92.663256 192687 DCI - JENNINGS 1322 ELTON RD STE C JENNINGS LA 70546 JEFFERSON DAVIS 3376168232 3376168233 16 32.521389-92.631035 192688 FMCNA - RUSTON 760 S FARMERVILLE RUSTON LA 71270 LINCOLN 3182558666 3182558604 21 29.9363-90.104458 192689 DAVITA - GARDEN DISTRICT DX 2620 JENA NEW ORLEANS LA 70115 ORLEANS 5042696004 5042696011 13 29.926405-90.091566 192690 NEW ORLEANS KIDNEY 3434 PRYTANIA STE 200 NEW ORLEANS LA 70115 ORLEANS 5048998414 5048998458 21 30.004738-90.26535 192691 FMCNA - KENNER 2717 DECATUR ST KENNER LA 70062 JEFFERSON 5044691075 5044692873 20 30.459026-90.902723 192692 FMCNA - DENHAM SPRINGS 137 VETERANS BLVD DENHAM SPRINGS LA 70726 LIVINGSTON 2256652796 2256656813 21
FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX 30.310529-89.748632 192693 FMCNA - SLIDELL 877 BROWNSWITCH RD SLIDELL LA 70458 29.877089-90.087494 192694 DAVITA - MARRERO CENTER 9856436283 9856436383 16 1908 JUTLAND DR HARVEY LA 70058 JEFFERSON 5043476224 5043476257 17 32.4436-93.713423 192695 DAVITA - BROADMOOR DX 1815 E 70TH ST SHREVEPORT LA 71105 CADDO 3187977940 3187978143 12 29.975009-90.096998 192696 DAVITA - CRESCENT CITY 29.877016-90.098266 192697 FMCNA - BARATARIA 32.444288-93.702248 192698 FMCNA - PIERREMONTE 3909 BIENVILLE RD STE 1B 1849 BARATARIA BLVD STE A 2240 E BERT KOUNS INDUSTRIAL LOOP NEW ORLEANS LA 70119 ORLEANS 5044837117 5044838937 17 MARRERO LA 70072 JEFFERSON 5043474228 5043474229 21 SHREVEPORT LA 71105 CADDO 3185249906 3185249907 23 32.497366-93.6924 192699 FMCNA - SOUTH BOSSIER 3087 STAFFORD ST BOSSIER CITY LA 71112 BOSSIER 3187415167 3187415157 12 30.04742-90.68981 192700 ST JAMES 1661 HIGHWAY 3125 GRAMERCY LA 70052 JAMES 2258696681 2258696683 12 32.50538-92.157339 192701 FMCNA - WEST MONROE 401 THOMAS RD UNIT C WEST MONROE LA 71292 OUACHITA 3183873188 3183873191 19 30.28471-89.753893 192702 FMCNA - TRINITY 30.249198-92.035313 192703 30.209936-93.218507 192704 DCI - KIDNEY TREATMENT OPTIONS, LLC (KTOC) FMCNA - CENTRAL LAKE CHARLES DX 30.354294-89.919122 192705 FMCNA - LACOMBE 1400 LINDBERG DR STE 101 301 ALCIDE DOMINIQUE DR SLIDELL LA 70458 9856436753 9856436754 8 LAFAYETTE LA 70506 LAFAYETTE 3374567400 3375948534 26 2309 Ryan St LAKE CHARLES LA 70601 CALCASIEU 3374365406 3374365838 21 64026 HIGHWAY 434, STE 100 LACOMBE LA 70445 30.477875-91.130268 192706 FMCNA - HOWELL PLACE 7707 HOWELL PL BLVD BATON LA 70807 29.924755-90.371473 192707 29.587006-90.700878 192708 30.007836-90.160637 192709 30.482665-90.042249 192710 DAVITA - RIVER BEND RELIANT RENAL CARE LOUISIANA, LLC FMCNA - OCHSNER NORTH ARNOULT SNG-ABITA SQUARE, LLC 1057 PAUL MAILLARD RD, STE B1350 9858820097 9858820098 12 2253573798 2253573799 21 LULING LA 70070 CHARLES 9853311156 9853311112 15 707 GRAND CAILLOU RD HOUMA LA 70363 TERREBONNE 9852624143 9852624458 13 3030 N ARNOULT RD, STE A 21501 HWY 36 ABITA SPRINGS LA 70420 METAIRIE LA 70002 JEFFERSON 5044573498 5044573585 13 9858984898 9858983848 13 32.413834-93.763338 192711 DAVITA - RED RIVER 9205 LINWOOD AVE SHREVEPORT LA 71106 CADDO 3186030548 3186038905 13 32.488971-92.081458 192712 FMCNA - SOUTH MONROE 1710 SOUTHERN AVE MONROE LA 71202 OUACHITA 3184100619 3184100624 25 29.902485-90.151625 192713 30.105386-93.037173 192714 DAVITA - WESTWEGO FMCNA - NORTH HOUMA 30.031927-89.972375 192715 DAVITA - NOLA 30.399056-91.108968 192716 DAVITA - ESSEN LANE #1 WESTBANK EXPRESSWAY WESTWEGO LA 70094 JEFFERSON 5043476942 5043476957 13 144 WAR HORSE PL HOUMA LA 70630 TERREBONNE 9858766304 9858766305 17 5646 READ BLVD, STE 150 7703 PICARDY AVE BATON LA 70808 NEW ORLEANS LA 70122 ORLEANS 5042482137 5042481832 13 2257660093 2257660095 21 As of 3/21/17 Page 9 of 13
FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX 29.969089-90.053262 192717 DAVITA - MARIGNY 2345 CLAUDE AVE NEW ORLEANS LA 70117 ORLEANS 5049439545 5049474197 19 30.01794-90.239757 192718 RRC - KENNER HOME 3409 WILLIAMS BLVD STE 2 KENNER LA 70065 JEFFERSON 5043051980 5043051688 6 29.926998-90.024973 192719 DAVITA - ALGIERS 2924 GENERAL DEGAULLE DR 30.543725-91.219682 192720 DAVITA - SCOTLANDVILLE DX 7797 HOWELL BLVD BATON LA 70807 30.155359-91.991183 192721 DAVITA - YOUNGSVILLE DX 30.028816-89.982452 192722 FMCNA - LAKE FOREST 314 YOUNGSVILLE HWY, STE 125 10545 LAKE FOREST BLVD 30.40018-91.108 192723 FMCNA - JH LEE 5348 FLANDERS DRIVE BATON LA 70808 30.276392-89.765828 192724 DAVITA - FREMAUX DX 1566 SHORTCUT HWAY SLIDELL LA 70458 30.450041-91.159064 192725 DAVITA - MID CITY 2902 FLORIDA BLVD BATON LA 70802 30.007836-90.160637 192726 FMCNA - CRESCENT CITY HOME THERAPY NEW ORLEANS LA 70114 ORLEANS 5043670006 5043670340 13 2253576929 2253551008 17 LAFAYETTE LA 70508 LAFAYETTE 3378375044 3378375609 13 NEW ORLEANS LA 70127 ORLEANS 5042484910 5042484914 15 2257664717 2257664445 17 9856439237 9857260400 12 2253878558 2253878250 13 3030 N ARNOULT, STE B METAIRIE LA 70002 JEFFERSON 5044546989 5044556311 1 29.887204-90.033138 192727 FMCNA - GRETNA 959 BEHRMAN HGWY GRETNA LA 70056 JEFFERSON 5043911041 5043918157 17 30.939256-90.508828 192728 KENTWOOD HOME, LLC 30.474909-90.86312 192729 DAVITA - WALKER 800 3RD ST SUITE B KENTWOOD LA 70444 TANGIPAHOA 9852298738 9852298739 0 28375 WALKER SOUTH RD WALKER LA 70785 LIVINGSTON 2256642099 2257916079 13 30.21304-90.937061 192730 FMCNA - GONZALES 2326 SOUTH DARLA AVE GONZALES LA 70737 ASCENSION 2256474814 2256474825 17 32.550972-93.686137 192731 FMCNA - NORTH BOSSIER 4251 VIKING DRIVE BOSSIER CITY LA 71111 BOSSIER 3187464818 3187464823 21 29.91773-90.127169 193300 30.823776-91.195473 19900P 36.075191-95.921988 370091 35.491773-97.466819 370093 35.527638-97.575724 372500 CHILDRENS HOSPITAL- DIXON CORRECTIONAL INSTITUTE - UNIT ST FRANCIS HOSPITAL- OU MEDICAL CENTER- CHILDRENS FMCNA - MEDICAL PLAZA 200 HENRY CLAY AVE NEW ORLEANS LA 70118 ORLEANS 5048962061 5048962785 8 5568 HIGHWAY 68 JACKSON LA 70748 EAST FELICIANA 2256346078 2256346081 20 6161 S YALE AVE TULSA OK 74136 TULSA 9184945575 9184944555 20 UNIT 6 EAST 1200 EVERETT DR STE 6015 OKLAHOMA CITY OK 73104 OKLAHOMA 4052713302 4052713310 6 3435 NW 56TH ST #600 OKLAHOMA CITY OK 73112 OKLAHOMA 4059454440 4059454436 20 36.100826-95.940354 372504 DAVITA - TULSA 4436 S HARVARD AVE TULSA OK 74135 TULSA 9187440448 9187426090 20 36.127076-97.053289 372505 DAVITA - STILLWATER 406 E HALL OF FAME AVE STE 300 STILLWATER OK 74075 PAYNE 4057070408 4056246405 12 35.464217-97.400538 372511 DAVITA - MIDWEST CITY 7221 E RENO AVE MIDWEST CITY OK 73110 OKLAHOMA 4058699600 4058699605 16 35.912726-94.950256 372512 DAVITA - TAHLEQUAH 1373 E BOONE ST TAHLEQUAH OK 74464 CHEROKEE 9184310665 9184310623 20 35.374879-96.929649 372513 DAVITA - SHAWNEE 4409 N KICKAPOO SUITE 113 SHAWNEE OK 74804 POTTAWATOMIE 4058786762 4058780063 16 As of 3/21/17 Page 10 of 13
FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX 36.32199-95.601663 372514 DAVITA - CLAREMORE 202 E BLUE STARR DR CLAREMORE OK 74017 ROGERS 9183421119 9183422644 16 35.493467-97.649093 372515 DAVITA - NORTHWEST BETHANY 7800 NW 23RD STE A BETHANY OK 73008 OKLAHOMA 4054958606 4054954356 14 36.04304-95.77943 372516 DAVITA - BROKEN ARROW 1710 N 9TH ST BROKEN ARROW OK 74012 TULSA 9183550657 9183552800 16 35.406364-97.517558 372518 DAVITA - OKLAHOMA CITY SOUTH 319 SW 59TH STREET OKLAHOMA CITY OK 73109 OKLAHOMA 4056343708 4056361211 16 35.411825-97.53035 372520 FMCNA - SOUTH OKC DX 5419 S WESTERN OKLAHOMA CITY OK 73109 OKLAHOMA 4056361570 4056321835 20 34.521768-97.982398 372522 DAVITA - DUNCAN 2645 W ELK DUNCAN OK 73533 STEPHENS 5802552205 5802552206 10 34.609084-98.46318 372523 FMCNA - LAWTON WEST EISENHOWER SQUARE 5110 WEST GORE BLVD STE 12 LAWTON OK 73505 COMANCHE 5802483733 5802483993 24 34.636525-99.316616 372524 DAVITA - ALTUS 205 S PARK LN STE 130 ALTUS OK 73521 JACKSON 5804821197 5804821198 10 35.203757-97.468005 372527 DAVITA - NORMAN 1818 W LINDSEY BLDG B STE104 NORMAN OK 73069 CLEVELAND 4053609815 4053609715 12 36.308384-95.32344 372529 DAVITA - PRYOR 309 E GRAHAM PRYOR OK 74361 MAYES 9188253100 9188253183 14 35.47523-97.503918 372530 DAVITA - HEARTLAND 925 NE EIGHTH OKLAHOMA CITY OK 73104 OKLAHOMA 4052363043 4052392390 32 35.412629-99.42335 372531 DAVITA - ELK CITY 1601 W 2ND ST ELK CITY OK 73644 BECKHAM 5802252700 5802252701 12 35.478604-97.525687 372532 FMCNA - SE OKLAHOMA 810 NW 10TH STE B OKLAHOMA CITY OK 73106 OKLAHOMA 4052721553 4052720506 17 35.372077-96.911912 372533 FMCNA - SHAWNEE 3807 N HARRISON SHAWNEE OK 74801 POTTAWATOMIE 4058789300 4058789579 25 36.89829-94.859543 372536 HEARTLAND MIAMI DX LLP 2111 DENVER HARNER DR MIAMI OK 74354 OTTAWA 9185402700 9185402931 12 36.044494-95.957998 372538 FMCNA - SOUTH TULSA 8260 S LEWIS TULSA OK 74137 TULSA 9182992841 9182995125 21 35.522164-97.507707 372539 35.522283-97.570938 372540 35.65417-97.466742 372541 FMCNA - NORTH CENTRAL OKLAHOMA CITY FMCNA - NORTHWEST OKLAHOMA CITY DAVITA - RENAL TREATMENT CENTERS WEST, INC. 200 NE 50TH ST OKLAHOMA CITY OK 73105 OKLAHOMA 4055570025 4055571468 25 3107 NW 50th st OKLAHOMA CITY OK 73112 OKLAHOMA 4059490237 4059485066 17 50 S BAUMANN AVE EDMOND OK 73034 OKLAHOMA 4053306646 4053306221 12 34.156627-97.179214 372542 FMCNA - ARDMORE 1402 BROOKVIEW DR ARDMORE OK 73401 CARTER 5802269390 5802264555 28 35.493242-97.764317 372544 FMCNA - YUKON 1320 WEST VANDAMENT YUKON OK 73099 CANADIAN 4053503751 4053502022 17 35.816115-94.625583 372545 DAVITA - STILWELL 80851 HWY 59 STILWELL OK 74960 ADAIR 9186965072 9186965074 20 36.064087-95.969606 372546 DAVITA - CENTRAL TULSA 1124 S ST LOUIS TULSA OK 74120 TULSA 9185851977 9185853536 24 36.905829-94.87736 372547 DAVITA - TRI-STATE 2510 N MAIN MIAMI OK 74354 OTTAWA 9185401827 9185421282 18 35.621717-95.966693 372548 DAVITA - OKMULGEE 201 S DELAWARE OKMULGEE OK 74447 OKMULGEE 9187563526 9187561760 16 35.769959-95.391113 372549 DAVITA - MUSKOGEE COMMUNITY 2316 W SHAWNEE ST MUSKOGEE OK 74401 MUSKOGEE 9186870016 9186871858 16 36.723915-97.068643 372552 FMCNA - PONCA CITY 1208 E HARTFORD PONCA CITY OK 74601 KAY 5807189357 5807189421 12 As of 3/21/17 Page 11 of 13
FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX 35.462942-97.408041 372553 FMCNA - HERITAGE PARK 310 S HIGHLAND AVE MIDWEST CITY OK 73110 OKLAHOMA 4057331891 4057390632 20 36.437837-99.402391 372555 FMCNA - WOODWARD 909 18TH ST WOODWARD OK 73801 WOODWARD 5802560371 5802560374 12 36.101521-97.069061 372556 FMCNA - STILLWATER MEDICAL 34.594497-98.334405 372557 FMCNA - LAWTON EAST 36.402681-97.843091 372558 FMCNA - ENID 1921 W SIXTH ST, BLDG B STILLWATER OK 74074 PAYNE 4057079152 4057079170 12 4516 SE LEE BLVD STE 108 121 W OWEN K GARRIOTT LAWTON OK 73501 COMANCHE 5803511430 5803519980 23 ENID OK 73701 GARFIELD 5802334444 5802334020 16 35.063571-94.620119 372559 POTEAU 1200 CENTRAL ST POTEAU OK 74953 LE FLORE 9186479373 9186477166 12 36.029114-96.081685 372560 DAVITA - SAPULPA 9647 RIDGEVIEW ST TULSA OK 74131 CREEK 9182249996 9182249997 16 35.513679-98.999523 372561 35.23621-97.440942 372562 35.277666-96.706357 372563 34.934103-95.750704 372564 DAVITA - CLINTON DAVITA - SOONER - NORMAN SNG SEMINOLE CENTER, LP MCALESTER REGIONAL 150 S 31ST CLINTON OK 73601 CUSTER 5803234349 5803232793 16 1561 N PORTER AVE NORMAN OK 73071 CLEVELAND 4053293830 4053293791 20 12581 N S 3540 CR SEMINOLE OK 74818 SEMINOLE 4053829809 4053827911 12 2 CLARK BASS BLVD #101 MCALESTER OK 74501 PITTSBURG 9184218373 9184218668 12 33.998472-96.406404 372565 DAVITA - DURANT 411 WESTSIDE DR DURANT OK 74701 BRYAN 5809200808 5809200828 16 35.755871-95.404211 372566 FMCNA - MUSKOGEE 3371 W BROADWAY MUSKOGEE OK 74401 MUSKOGEE 9186822272 9186833161 19 36.006537-95.886443 372567 DAVITA - SOUTHCREST 10921 EAST 81ST ST TULSA OK 74133 TULSA 9182498402 9184898794 16 35.424953-97.530358 372568 DAVITA - CINEMA 3909 S WESTERN AVE OKLAHOMA CITY OK 73109 OKLAHOMA 4056313775 4056313739 12 36.174651-95.980484 372569 DAVITA - GREENWOOD 36.089812-95.850951 372570 FMCNA - EAST TULSA 35.363445-97.544461 372571 35.053397-97.970445 372572 FMCNA - SOUTHWEST OKLAHOMA CITY DAVITA - CHICKASHA 34.748961-96.685325 372573 FMCNA - ADA 1345 N LANSING AVE TULSA OK 74106 TULSA 9185858811 9185855506 12 5147 S GARNETT RD STE C 10301 GREENBRIAR PKWY TULSA OK 74146 TULSA 9182503427 9184594103 16 OKLAHOMA CITY OK 73159 OKLAHOMA 4056913433 4056913434 17 228 S 29TH ST CHICKASHA OK 73018 GRADY 4052249901 4052249909 8 324 NW J.A. RICHARDSON LOOP ADA OK 74820 PONTOTOC 5804219131 5804219135 21 34.598784-98.439557 372574 SOONER - LAWTON 924 SW 38TH ST LAWTON OK 73505 COMANCHE 5803511716 5803510766 20 35.07256-98.24366 372575 DAVITA - ANADARKO 414 SE 11TH ANADARKO OK 73005 CADDO 4052472299 4052474888 10 35.611529-97.598196 372577 FMCNA - OKLAHOMA KIDNEY CARE DX, LLC 13901 MCAULEY BLVD, STE 102 OKLAHOMA CITY OK 73134 OKLAHOMA 4053024803 4053024877 24 36.161431-96.017626 372578 FMCNA - NORTH TULSA 2309 W EDISON STE A TULSA OK 74127 OSAGE 9185920724 9183821783 13 35.384602-97.494403 372579 DAVITA - CLEVELAND PD 1059 SE 82nd OKLAHOMA CITY OK 73149 OKLAHOMA 4055126912 4055126918 8 35.318019-95.588523 372580 EUFAULA 480 EUNICE BURNS RD EUFAULA OK 74432 MCINTOSH 9186897919 9186897981 11 As of 3/21/17 Page 12 of 13
35.703414-97.434052 372581 FMCNA - EDMOND EAST 34.180207-97.163421 372582 FACILITY NAME PHYSICAL ADDRESS #1 PHYSICAL ADDRESS #2 CITY ST ZIP COUNTY PHONE FAX DAVITA - ARDMORE RANCH 301 KATIE MICHELLE BLVD EDMOND OK 73034 OKLAHOMA 4053419926 4053419930 13 2617 CROSSROADS DR ARDMORE OK 73401 CARTER 5804909844 5804909831 28 36.603587-94.72974 372583 US RENAL CARE - GROVE 1200 NEO LOOP GROVE OK 74345 DELAWARE 9187872900 9187872908 13 35.828873-96.391201 372584 PHYSICIANS CHOICE OF BRISTOW, LLC 36.289771-95.838582 372585 DAVITA - OWASSO 35.464166-97.355111 372586 36.313788-95.851981 372587 35.463869-97.365477 372588 35.088042-96.378561 372589 DAVITA - ROSE ROCK FMCNA - BAILEY CENTER DAVITA - MID-DEL HOME TRAINING SANDERLING CENTER OF HOLDENVILLE 402 S MAIN ST BRISTOW OK 74010 CREEK 9187714093 9187714137 16 9521 N OWASSO EAST EXPRESSWAY OWASSO OK 74055 TULSA 9183762685 9183762781 16 9913 E RENO AVE OKLAHOMA CITY OK 73130 OKLAHOMA 4057321576 4057321062 12 10205 N 110TH EAST AVE OWASSO OK 74055 TULSA 9182722719 9182723795 15 9230 E RENO STE A MIDWEST CITY OK 73130 OKLAHOMA 4057320744 4057320651 6 102 CRESTVIEW DR HOLDENVILLE OK 74848 HUGHES 4052218101 6152590693 16 36.595478-94.740686 372590 DAVITA - GROVE DX 1111 NEO LOOP GROVE OK 74344 DELAWARE 9187864840 9187864931 16 36.036136-95.805092 372591 DAVITA - BERKSHIRE AT HOME 4800 W SAN ANTONIO ST, STE 201 BROKEN ARROW OK 74012 TULSA 9182499716 9182544173 11 35.457486-94.814247 372592 DAVITA - REDBIRD SMITH DX 305 SOUTH J T STITES ST SALLISAW OK 74955 SEQUOYAH 9182350290 9182350351 12 35.540022-97.597749 372593 NEW DIRECTION HOME 4334 NW EXPRESSWAY, STE 165 OKLAHOMA CITY OK 73116 OKLAHOMA 4057676740 4057676741 36.177265-95.940134 372594 FMCNA - NORTH HARVARD 1515 N HARVARD STE D TULSA OK 74115 TULSA 9188355599 9188355967 28 36.125893-95.947421 372595 FMCNA - XANTHUS 1923 E 21ST ST TULSA OK 74114 TULSA 9187421239 9187421346 23 35.992197-96.100772 372596 FMCNA - SAPULPA 1013 E CLEVELAND SAPULPA OK 74066 CREEK 9182273351 9182276449 16 36.75358-95.938836 372597 FMCNA - JANE PHILLIPS 3500 SE STATE ST BARTLESVILLE OK 74006 WASHINGTON 9183313543 9183313603 18 34.627636-99.136944 372598 USRC - ALTUS DX 1401 E BROADWAY ALTUS OK 73522 JACKSON 5804800170 5804800165 13 35.362589-96.929973 372599 DAVITA - SHAWNEE PERITONEAL DX 2810 N KICKAPOO ST SHAWNEE OK 74804 POTTAWATOMIE 4052731599 4052731750 2 33.882311-94.851645 372600 FMCNA - IDABEL DX 1104 E LINCOLN ST IDABEL OK 74745 MCCURTAIN 5802865030 5802865090 1 35.479072-97.755618 372601 DAVITA - YUKON 12801 NW 10TH ST STE 400 YUKON OK 73099 CANADIAN 4053503017 4053500023 12 33.8962-94.809243 372602 DAVITA - IDABEL DX 1319 S LYNN LANE IDABEL OK 74745 MCCURTAIN 5802861108 5802865064 13 35.33277-97.511937 372603 DAVITA - MOORE 620 S. SANTA FE AVE MOORE OK 73160 CLEVELAND 4057992439 4057992409 12 35.057992-97.26999 37900P LEXINGTON ASSESSMENT -VERONICA RICHARDSON PO BOX 260 LEXINGTON OK 73051 CLEVELAND 4055278996 4055278989 11 This material was prepared by HSAG: ESRD Network 13, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. OK-ESRD-13G033-06072017-01 As of 3/21/17 Page 13 of 13