docHospital Affiliations - Health and Human Services Commission
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Hospital Affiliations - Health and Human Services Commission
Hospital Affiliations RHP 11 5 2 17 17 17 13 1 1 17 8 6 11 16 6 8 10 11 11 10 15 18 10 15 13 13 13 13 13 13 13 19 19 13 10 2 2 2 2 2 1 2 11 11 11 11 11 11 11 11 11 11 11 11 6 6 1 1 1 6 4 4 4 4 4 4 4 4 4 4 5 5 5 6 6 6 6 6 7 7 11 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 13 16 16 16 16 19 19 19 19 19 19 19 19 20 20 1 3 3 3 3 3 3 3 3 3 3 3 9 9 9 9 9 9 9 9 4 6 1 2 12 19 16 1 1 1 Affiliation Number 100-13-0000-00001 100-13-0000-00002 100-13-0000-00003 100-13-0000-00004 100-13-0000-00005 100-13-0000-00006 100-13-0000-00007 100-13-0000-00009 100-13-0000-00010 100-13-0000-00011 100-13-0000-00012 100-13-0000-00013 100-13-0000-00014 100-13-0000-00015 100-13-0000-00016 100-13-0000-00017 100-13-0000-00018 100-13-0000-00019 100-13-0000-00020 100-13-0000-00021 100-13-0000-00022 100-13-0000-00023 100-13-0000-00024 100-13-0000-00025 100-13-0000-00026 100-13-0000-00027 100-13-0000-00028 100-13-0000-00029 100-13-0000-00030 100-13-0000-00031 100-13-0000-00032 100-13-0000-00033 100-13-0000-00035 100-13-0000-00036 100-13-0000-00037 100-13-0000-00038 100-13-0000-00039 100-13-0000-00040 100-13-0000-00041 100-13-0000-00042 100-13-0000-00043 100-13-0000-00044 100-13-0000-00046 100-13-0000-00047 100-13-0000-00048 100-13-0000-00049 100-13-0000-00050 100-13-0000-00051 100-13-0000-00052 100-13-0000-00053 100-13-0000-00054 100-13-0000-00055 100-13-0000-00056 100-13-0000-00057 100-13-0000-00058 100-13-0000-00059 100-13-0000-00060 100-13-0000-00061 100-13-0000-00062 100-13-0000-00063 100-13-0000-00064 100-13-0000-00065 100-13-0000-00066 100-13-0000-00067 100-13-0000-00068 100-13-0000-00070 100-13-0000-00071 100-13-0000-00072 100-13-0000-00073 100-13-0000-00075 100-13-0000-00076 100-13-0000-00077 100-13-0000-00078 100-13-0000-00079 100-13-0000-00080 100-13-0000-00081 100-13-0000-00082 100-13-0000-00083 100-13-0000-00084 100-13-0000-00085 100-13-0000-00086 100-13-0000-00087 100-13-0000-00088 100-13-0000-00089 100-13-0000-00091 100-13-0000-00092 100-13-0000-00093 100-13-0000-00094 100-13-0000-00095 100-13-0000-00096 100-13-0000-00097 100-13-0000-00098 100-13-0000-00099 100-13-0000-00100 100-13-0000-00101 100-13-0000-00102 100-13-0000-00103 100-13-0000-00104 100-13-0000-00105 100-13-0000-00106 100-13-0000-00107 100-13-0000-00108 100-13-0000-00109 100-13-0000-00110 100-13-0000-00111 100-13-0000-00112 100-13-0000-00113 100-13-0000-00114 100-13-0000-00115 100-13-0000-00116 100-13-0000-00117 100-13-0000-00118 100-13-0000-00119 100-13-0000-00120 100-13-0000-00121 100-13-0000-00122 100-13-0000-00123 100-13-0000-00124 100-13-0000-00125 100-13-0000-00126 100-13-0000-00127 100-13-0000-00129 100-13-0000-00130 100-13-0000-00131 100-13-0000-00132 100-13-0000-00133 100-13-0000-00134 100-13-0000-00135 100-13-0000-00136 100-13-0000-00137 100-13-0000-00138 100-13-0000-00139 100-13-0000-00140 100-13-0000-00141 100-13-0000-00142 100-13-0000-00143 100-13-0000-00144 100-13-0000-00145 100-13-0000-00146 100-13-0000-00147 100-13-0000-00148 100-13-0000-00149 100-13-0000-00150 100-13-0000-00151 100-13-0000-00152 100-13-0000-00153 100-13-0000-00154 Program Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub Pub-Pub TPI 130725806 081939301 081844501 130982504 136366507 311035501 138364812 084434201 121988304 198523601 088334001 126844305 133339505 081771001 133340307 126936702 081599501 127373205 130724106 022817305 127376505 084001901 206106101 084597603 022793601 091770005 109483102 121781205 121806703 130089906 130616905 135034009 121777003 020989201 138980111 094092602 019053001 096166602 121805903 131030203 136367307 136381405 138950412 094104901 094131202 112692202 112702904 119875604 121053602 126842708 133244705 133338707 136325111 137074409 212140201 091308902 137921608 131038504 140425362 121990904 137907508 080368601 130958505 121785303 138305109 121808305 135233809 135254407 136412710 132812205 138708601 085144601 121989102 112688002 119877204 121782003 137251808 138411709 133542405 201320302 020992601 130618504 127374005 133250406 136330107 130826407 094117105 109588703 133544006 127313803 094180903 189947801 094121303 094129602 130877708 112704504 136142011 084897001 127378105 084563802 084599202 137227806 316360201 084859002 121792903 137075109 140714001 094138703 110856504 112707803 119874904 127305405 127310404 130613604 088189803 137917402 137908303 138365512 296760601 130959304 113180703 127303903 131045004 133355104 137909111 111810101 093774008 081522701 135254407 121758005 126686802 127295703 136360803 135234606 137252607 175287501 009784201 020991801 135151206 127278302 135222109 136492909 138353107 134772611 131037704 138360606 138913209 TIN 1752606169 6 003 3739739739 1 019 1760032662 7 001 1746000433 0 038 1741793265 8 004 1460698418 6 000 1751401776 7 014 1751452360 8 014 1752833823 3 000 3709709709 3 000 1746000348 0 003 1742795332 2 001 1751294432 7 000 1741801332 6 002 1742822017 6 000 1742896906 1 000 1751249456 2 008 1751241976 7 000 1751532100 2 000 1756001170 6 006 1741596159 2 003 1751761911 4 003 1263295365 4 006 3774774774 1 000 1756000659 9 013 1751297735 0 002 1751251523 4 003 1752152933 3 003 1756003050 8 001 1752312009 9 001 1746002963 4 000 1756219138 1 002 1751091664 0 501 1751306626 0 000 3763763763 0 001 3723723723 7 000 1741665318 0 000 1741684198 3 003 1741612400 0 000 1756000602 9 008 1751442393 2 000 1746067306 8 001 1751256948 8 000 1756003659 6 000 1751453952 1 501 1751433495 6 012 1756001753 9 000 1756003328 8 001 1750808798 2 001 1751315205 2 004 1756003896 4 000 1751377658 7 001 1751246488 8 000 1752313255 7 002 1270492434 4 000 1746002070 8 024 1751724017 6 003 1751277293 4 501 1756002206 7 001 1742951754 7 000 1741698143 3 011 1742919178 0 000 1746000574 1 027 1741625013 6 501 1741623759 6 003 1741738475 1 002 1746240037 9 001 1741659064 8 003 1741718215 5 002 1742577746 7 000 1741565510 3 006 1741586031 5 000 1742944931 1 000 1741461220 4 000 1742941598 1 501 1741603120 5 000 1741590659 7 001 1741386053 1 000 1741547909 0 000 1746000085 8 210 1751212666 9 007 1751227032 7 004 1751294355 0 003 1751228349 4 002 1752403687 2 002 1751702162 6 000 1237297190 8 004 1756002888 2 005 1756001297 7 004 1752388515 4 010 1751328354 3 001 1756005064 7 002 1751362671 7 501 1751302152 1 006 1752290436 0 002 1751211903 7 003 1756003939 2 501 1751297691 5 000 1756176121 8 002 3739739739 1 014 3739739739 1 007 1756001212 6 009 1453780407 3 000 1741622958 5 002 1742570068 3 004 1741546619 6 012 1741744089 2 007 1756000727 4 001 1756001727 3 001 1756047638 8 000 1756004585 2 001 1751220799 8 002 1751368648 9 001 1751919268 0 501 1756003473 2 001 1746001573 2 021 1746000705 1 003 1751281410 8 000 1746001969 2 066 1746025069 3 001 1741603950 5 023 1760339462 2 000 1452750258 8 000 1741536936 6 324 1746003411 3 000 1741761309 2 000 1746001164 0 002 1760253287 5 007 1741659064 8 003 1756000905 6 004 1756002868 4 003 1756004221 4 002 1756000920 5 010 1751368151 4 009 1751285603 4 000 1753175630 6 003 3709709709 3 001 1741915330 3 000 1742019736 4 501 1756001354 6 000 1741607987 3 001 1751297691 5 000 1752299922 0 501 1741857100 0 012 1756001812 3 000 1752254544 5 000 1756003935 0 000 Provider West Texas Centers for MHMR Texas Tech University Health Sciences Center Odess Tri-County MHMR Services Brazos Co Treasurer (Brazos County Health Departme MHMR Authority of Brazos Valley Montgomery County Public Health District Permian Basin Community Centers MHMR SVCS of Texoma Lakes Regional MHMR Center The TX A&M Unv Systm Hlth Science Cent dba Tx A&M Bell County Public Health District Bluebonnet Trails Community MHMR Center dba Bluebo Central Texas MHMR Central Counties Center for MHMR Services Hill Country Community MHMR dba hill Country MHDD Williamson County & Cities Health District MHMR of Tarrant County Helen Farabee Centers Pecan Valley MHMR Region dba Pecan Valley Centers Tarrant County El Paso Community MHMR dba Emergence Health Networ Collin County MHMR dba LifePath Systems Wise Clinical Care Associates Texas Tech University Health Sciences Center EL Pa City of San Angelo Concho County Hospital MHMR Svcs for the Concho Valley L M Hudspeth Memorial Hospital Reagan Hosp District dba Reagan Memorial Hosp Ballinger Memorial Hospital Pecos County Memorial Hospital Electra Memorial Hospital Gainesville Memorial Hospital (North Texas Medical North Runnels Hospital UNTHSC at Fort Worth University of Texas Medical Branch - Galveston Coastal Health Wellness Spindletop Center Angleton Danbury Medical Center Nacogdoches County Hospital District Burke Center Tyler County Hospital Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp Anson General Hospital Hamlin Memorial Hospital Fisher County Hospital Haskell Memorial Hospital Stephens Memorial Hospital dba Stephens County Eme Knox County Hospital District dba Knox County Hosp Stamford Memorial Hospital Rolling Plains Memorial Hospital Abilene Regional MHMR dba Hardwick Center Mitchell County Hospital District dba Mitchell Cou Eastland Memorial Hospital Medina County Hospital District dba Medina Regiona City of San Antonio Health Department Sabine Valley Reg MHMR Ctr dba Community Healthcor Hunt Mem Hosp Dist dba Hunt Reg Med Ctr Greenville Paris Lamar County Health Department Camino Real Community Services County of Victoria dba Citizens Medical Center Coastal Plains Community MHMR Center City of Corpus Christi Nueces County Public Health Gonzales County Hospital District DBA Memorial Hos Nueces County MHMR Community Ctr dba Behavioral Hl Jackson County Hospital Lavaca Medical Center Gulf Bend MHMR Center Karnes County Hospital District dba Otto Kaiser Me Driscoll Children's Hospital Tropical Texas Behavioral Health University of Texas Health Science Center SA Border Region MHMR Community Center Frio Hospital Association Inc dba Frio Regional Ho Val Verde Regional Medical Center Uvalde County Hosp Authority dba Uvalde Memorial H The Center for Health Care Services Guadalupe County Hospital Board dba Guadalupe Regi Austin Travis County MHMR Center City of Austin Stonewall Memorial Hospital Terry Memorial Hospital District Brownfield Region Central Plains Center for Mental Health Mental Ret Childress County Hospital District dba Childress R D. M. Cogdell Memorial Hospital (Scurry County) Dallam-Hartley Counties Hosp District dba Coon Mem Hansford County Hospital District Hemphill County Hospital District Deaf Smith County Hospital District dba Hereford R Lamb Healthcare Center Lynn County Hospital District Medical Arts Hospital Seminole HD of Gaines Co dba Memorial Hospital Moore County Hospital District dba Memorial Hospit Muleshoe Area Hospital District dba Muleshoe Area Ochiltree General Hospital Plains Memorial Hospital DSH Acct (Castro County) Lubbock Regional MHMR Ctr dba StarCare Specialty Texas Panhandle Mental Health Mental Retardation Texas Tech University Health Sciences Center AMA Texas Tech University Health Sciences Center Offic Yoakum County dba Yoakum County Hospital Preferred Hospital Leasing Coleman Inc Heart of Texas Region MH & MR Center Hamilton County Hospital District dba Family Pract Goodall-Witcher Healthcare Foundation Administrati Limestone Medical Center dba Limestone Medical Cen Clay County Memorial Hospital Olney Hamilton Hospital District dba Hamilton Hosp Wilbarger General Hospital Jack County Hospital District dba Faith Community Bowie Memorial Hospital Nocona Hospital District dba Nocona Gen Hosp Graham Regional Medical Center Throckmorton County Memorial Hospital City of Laredo Maverick County Hospital District Andrews Center Fort Bend County Matagorda County Hospital District dba Matagorda R MHMRA of Harris County Oak Bend Medical Center El Campo Memorial Hospital Harris County Hospital District Memorial Medical Center Unv of Tx HSC at Houston-UTHSC Sponsored Projects City of Houston Texana Center Gulf Bend MHMR Center Dallas County UT Southwestern Medical Center at Dallas Dallas County Hospital District dba Parkland Healt Denton County dba Denton County Health Department Denton County MHMR Center Metrocare Services University of Texas Southwestern St Paul Universit TAMUS Health Science Center dba Baylor College of Refugio County Memorial Hospital Wilson County Mem Hosp Floresville dba Conally Mem University of Texas Health Center at Tyler The Gulf Coast Center Lubbock Regional MHMR Center dba Sunrise Canyon Ho Seymour Hospital Coryell County Memorial Hospital Authority dba Cor Hopkins Co Memorial Hospital Northeast Texas Public Health District Titus County Memorial Hospital dba Titus Regional Contact Guy White Kandy Stewart Evan Robertson Ken Bost Bill Kelly Brett Allen Chris Barnhill Tony Maddox John Delaney Dr. Lee Ann Ray Jon Burrows Andrea Richardson Dion White Eldon Tietje Linda Werlein Dr. Chip Riggins Susan Garnett Roddy Atkins Donna Gilmore Doug Fabio Kristen Daugherty Randy Routon Paul Aslin Michael Romano Sandra Villareal Dudley White Lynn Rutland Keith L Butler John Perushek Grady Hooper Leticia Fox Rebecca McCain KRISTINE LYNCH Sidney Tucker Jeanie Foster Thomas Riley Mark Guidry Chalonnes Hoover Kelly Lackey Kay Johnson Susan Rushing Sandra Wright Harris Brooks Sabra Knox PATRICA BARNETT Steven LeFevre FRAN MCCOWN Jeff Casbeer Stephen A Kuehler Elizabeth Miller Rhonda Guelker Jenny Goode Robbie Dewberry Jamie Hayden Kevin Frosch Christine Rutherford-Stuart Rick Roberts Richard Carter Gina Prestidge Emma Garcia Chere Brzozoswki Charles Sportsman Annette Rodriguez Chuck Norris Diane Lowrance Bill Jones Bill Emery David Way David Lee Shane Casady Jim Banks Dr. Joseph McCormick Daniel Castillon Michael S Thompson Marc Strode Matt Krempton Cynthia Martinez Penny Wallace David Evans Bob Corona Debbie Roberson Paul Gafford Ron Trusler John Henderson John Heverett Donny Pettit Jonathan Bailey Christy Francis Nathan Flood Cindy Klein Donna Raindl Melissa Matlock Betsy Briscoe Jeff Turner LaJuanna Renfro Jeff Barnhart Linda Rasor Cathy Pope Jim Womack Richard Jordan, M.D. Brent D Magers Chris Ekrem Mike Pruitt Barbara Tate Michele Cathey Adam Willmann Larry Price Jeff Huskey Michael Huff Jonathon Voelkel Frank Beaman T. Kim Lee Lance Meekins Steve Hartgraves Bob Carruthers Hector Gonzalez, MD Elcira Bares Waymon Stewart Mark Desvignes-Kendrick Steve Smith Dr. Scott Stang Darren Coates Tisha Zalman Nicole Lievsay Jason Anglin Andrew Casas Judy Harris Amanda Darr Donald Polzin Zachary Thompson Bruce Meyer, MD Ted Shaw Bing Burton Pam Gutierrez Linda Thompson Bruce Meyer, MD Daniel Jones Susan Parker Janie Lanford Jeff Levin, MD Pat Wareing Cathy Pope Leslie Hardin Kathy Lee Michael McAndrew George T Roberts Jr Terry Scoggin Title CFO Assistant Dean of Finance Executive Director Director Executive Director CFO Controller Chief of Staff, Office of the President County Judge Executive Director & Health Authority CEO CEO Executive Director Executive Director & Health Authority CEO Associate Dean for Clinical Affairs CFO CFO DIRECTOR OF ACCOUNTING Director of Finance Director of Accounting Administrator ADMINISTRATIVE ASSISTANT CEO ADMINISTRATOR CFO CEO CFO CFO Chief Financial Officer CFO Assistant Director CFO Interim Chief CFO CFO Accounting Manager Director FACHE Phone (432) 264-4219 (432) 335-5129 (936) 521-6119 979-361-4440 (979) 361-9840 (936) 523-1138 (432) 570-8869 (903) 957-4867 (972) 524-4159 (979) 436-9105 (254) 993-5105 (512) 244-8335 (325) 646-9574 x225 (254) 298-7007 (830) 792-3300 (512_ 943-3600 (817) 569-4512 (940) 397-3101 (817) 579-4414 (817) 321-5316 (915) 887-3410 (972)562-0190 (940) 627-5921 (915) 545-5750 (325) 657-4493 (325) 869-5911 x 211 (325) 658-7750 (325) 387-1200 (325) 884-2561 (325) 365-2531 4323364202 9404953981 9406128645 (325)754-4141 (817) 735-0217 (409) 772-6637 (409) 938-7221 (409) 784-5668 9798489110 9365688529 (936) 639-1141 (409) 283-6400 (940) 328-6400 3258231152 3255763646 3257352256 9408642621 2545592241 9406573535 3257732725 3252351701 (325) 690-5100 (325) 728-3431 2546315342 (830) 426-7898 (210) 207-8896 (903) 237-2338 (903) 408-1605 (903) 785-4561 (210) 357-0310 (361) 573-9181 (361) 777-3991 (361) 826-7205 (830) 672-7581 (361) 886-6900 (361) 782-7810 3617983671 3615750611 (830) 583-3401 (361) 694-6523 (956) 289-7292 (956) 365-8823 (956) 794-3003 (830) 334-3614 x 103 (830) 703-1749 (830) 278-6251 x 1617 (210) 731-1300x 435 (830) 401-7220 (512) 440-4030 (512) 972-5002 (940) 989-3551 (806) 637-3551 (806) 293-2636 (940) 937-9178 (325) 574-7439 (806)244-9270 (806) 659-5858 (806) 323-6422 x 260 (806) 364-2141 (806) 385-6411x 204 (806) 998-4533 x 305 (806) 8725727 x 2035 (432) 758-4898 (806) 935-7171 x1300 (806) 272-4524 x 103 (806) 648-7110 (806) 647-2191 (806) 766-0221 (806) 351-3326 (806) 354-5401 (806) 743-1830 (806) 562-2121 (325) 625-2135 (254) 752-3451 (254) 386-1950 (254) 675-8322 (254) 729-3281 (940) 538-5621 (940) 564-5521 (940) 553-2882 (940) 567-6633 x 236 (940) 872-9374 (940) 825-3235 (940) 521-5303 (956)795-4901 (830) 757-4990 (903) 597-1351 (281) 238-3517 (979) 241-5520 (713) 970-7182 (512) 899-3995 (979) 543-6251 (713) 566-6400 (361) 552-0222 (832) 325-7325 (832) 393-4345 (281) 239-1350 (361) 582-2314 (214) 819-2000 (214) 648-9794 (214) 590-8097 (940) 349-2913 (940) 565-5260 (214) 743-1258 (214) 648-9794 (214) 828-8350 3615262321 8303931526 (903) 877-7270 (409) 763-2373 (806) 766-0221 (940) 889-5572 (254) 248-6364 (903) 439-4051 (903) 535-0036 (903) 577-6066 Fax 4323364545 9404953809 9406128647 9798490581 9365694131 3258233098 3255763797 3257353070 9408645014 2545596536 9406575521 3257733781 3252358705 2546298929 3615262420 8303931525 Email guy.white@wtcmhmr.org kandy.stewart@ttusch.edu evanr@tricountyservices.org kbost@brazoscountytx.gov bkelly@mhmrabv.org ballen@mchd-tx.org ChrisBarnhill@pbmhmr.com tmaddox@mhmrst.org johnd@LRMHMRC.org ray@tamhsc.edu jon.burrows@co.bell.tx.us andrea.richardson@bbtrails.org dion@cflr.us eldon.tietje@cccmhmr.org lwerlein@hillcountry.org criggins@wcchd.org susan.garnett@mhmrtc.org AtkinsR@helenfarabee.org dgilmore@pecanvalley.org dfabio@tarrantcounty.com kdaugherty@EPMHMR.ORG rrouton@lifepathsystems.org paslin@wiseRegional.com michael.romano@ttuhsc.edu sandra.villarreal@sanangelotexas.us dudleywhite@conchoch.com lrutland@MHMRCV.org kbutler@sonora-hospital.com jperushek@trhta.net gradyh@bmhd.org lfox@pcmhfs.com rebecca.mccain@electrahospital.com kristine.lynch@ntmconline.net stucker@nrhd.org Jeanie.foster@unthsc.edu thriley@utmb.edu mguidry@gchd.org Chalonnes.hoover@stmhmr.org lackeyk@admc.org johnsonk@nacmem.org susanr@burke-center.org swright@tchospital.us harris@ppgh.com sknox@ansongh.com patrica.barnett@sbcglobal.net slefevre@fishercountyhospital.com fmccown@windstream.net jeff.casbeer@smhtx.com knoxhospital@srcaccess.net emiller@stamfordhosp.com rhonda@rpmh.net andy.kolb@smdhealth.org rdewberry@mitchellcountyhospital.com jamie.hayden@EMHD.org kevin.frosch@medinahospital.net stuar@sanantonio.gov rick.roberts@communityhealthcore.com rcarter@huntregional.org ginap@suddenlinkmail.com emmag@caminorealcs.org cbrzozowski@cmcvtx.org Charles@coastalplainsctr.org anneter@cctexas.com cnorris@gonzaleshealthcare.com dlowrance@ncmhmr.org bjones@jchd.org wemery@lavacamedcen.com dway@gulfbend.org david.lee@okmh.org shane.casady@dchstx.org jbanks@ttbh.org McCormicki@uthscsa.edu danielc@borderregion,org michael.thompson@trhta.net marc.strode@vvrmc.org M.kempton@umhtx.org camartinez@chcsbc.org pkwallace@grmedcenter.com david.evan@atcic.org bob.corona@austintexas.gov debbie.roberson@smhdhealth.org paul@brownfield-rmc.org ron@clplains.org jmh@childresshospital.com cmh.jeverett@cogdellhospital.com dlp@dhchd.org jonathanbailey@hchd.net Christy@hchdst.org Nathan.flood@dschd.org cklein@lambhc.org draindl@lchdhealthcare.org mmatlock@medicalartshospital.org bbriscoe@seminolehospitaldistrict.com jturner@mchd.net lrenfro@mahdtx.org jbarnhart@oghtx.com linda.rasor@cchdonline.com cpope@starcarelubbock.org jim.womack@txpan.org richard.jordan@ttuhsc.edu brent.magers@ttuhs.edu cekrem@ych.us mike.ruitt@trhta.net barbara.tate@hotrmhmr.org mcathey@hamiltonhospital.org awillmann@gwhf.org lprice@lmchospital.com jhuskey@ccmhospital mhuff@olneyhh.com jvoelkel@wghospital.com fbean@faithcommunityhospital.com klee@bowiememorial.com lmeekins@naconageneral.com shartgraves@grahamrmc.com bob.carruthers@yahoo.com hgonzalez@ci.aredo.tx.us e.bares@mchdep.org wstewart@andrewscenter.com md.kendrick@co.fort-bend.us ssmith@matagordaregional.org scott.strang@mhmraharris.org coates@gl-law.com tzalman@ecmh.org Nicole.lievsay@harrishealth.org janglin@mmcportlavaca.com andrew.casas@uth.tmc.edu judy.harris@houstontx.gov amanda.darr@texanacenter.com dpolzin@gulfbend.org zachary.thompson@dallascounty.org bruce.meyer@utsouthwestern.edu ted.shaw@phhs.org bing.burton@dentoncounty.com pamg@dentonmhmr.org linda.thompson@metrocareservices.org bruce.meyer@utsouthwestern.edu djones@bcd.tamhsc.edu sparker@rcmhospital.org jlanford@connallymmc.org jeffrey.levin@uthct.edu patw@gulfcoastcenter.org cpope@starcarelubbock.org lhardin@seymourtexas.net k.lee@cmhos.org michaelm@hcmh.com groberts@netphd.org Terry.Scoggin@titusregional.com Phys Addr 409 Runnels Street 800 W. 4th Street 1506 Old Montgomery Road 201 North Texas Avenue 1504 South Texas Avenue 1400 South Loop 336 West 401 E. Illinois Avenue, Suite 401 315 West McLain Drive 400 Airport Road 8441 State Hwy. 47 101 West Central Avenue 1009 North Georgetown Street 408 Mulberry Street 304 S. 22nd St. 819 Water St Suite 300 312 Main St. 3840 Hulen Street, N. Tower 1000 Brook 2101 W. Pearl St 1101 S Main Street 1600 Montana Avenue 1416 N Church Street 2000 S FM 51 4800 Alberta Avenue, Suite 101 72 W College 614 East Street 1501 W Beauregard PO Box 455 805 N Main Avenue PO Box 617 387 West IH-10 1209 S Bailey St 1900 HOSPITAL BLVD PO Box 185 3500 Camp Bowie Blvd 301 University Blvd 9850-A E.F. Lowry Expressway #A108 655 S 8th St 132 Hospital Drive 1204 Mound Street 2001 South Medford 1100 W Bluff St 400 SW 25th Ave. 101 Avenue J 632 NW 2ND STREET 774 State Hwy 70 North 1 NORTH AVENUE N 200 S. Geneva 701 South 5th Street 1601 Columbia 200 E. Arizona 821 N Broadway St 997 West Interstate 20 304 S Daugherty St 3100 Avenue E 332 W Commerce St 107 Woodbine Pl 4215 Joe Ramsey Blvd 740 SW 7th Street PO Box 725 2701 Hospital Drive 200 Marriott Drive 1702 Horne Road PO Box 587 1630 S Brownlee Blvd 1013 S Wells St 1400 N Nexana St 6502 Nursery Drive Ste 100 3349 S Highway 181 3533 Alameda St 1901 S 24th Ave 2102 Treasure Hills Blvd 1500 Pappas Street 200 S IH 35 801 North Bedell Ave 1025 Garner Field Rd 3031 IH 10 W 1215 E Court St PO Box 3548 PO Box 1088 821 N Broadway St 705 E Felt St 2700 Yonkers St 901 US Hwy 83 1700 Cogdell Blvd 1411 Denver Avenue 707 Roland 1020 S 4th St 540 W 15th St 1500 S Sunsety Avr PO Box 1310 2200 N Bryan Ave 209 NW 8th 224 E 2nd St 708 S 1st St 3101 Garrett Dr 310 W Halsell PO Box 278 PO Box 2828 PO Box 3250 1400 S Coulter St 3601 4th Street 412 Mustang Drive 310 S Pecos St 110 S 12th St 400 N Brown Bldg II 101 South Avenue T 701 McClintic Dr 310 West South Street 901 West Hamilton 920 Hillcrest Dr 717 Magnolia St 705 E Greenwood Ave 100 Park Rd 1301 Montgomery Road 802 North Minter Ave 2600 Cedar Street 3406 Bob Rogers Ste 140 2323 W Front Street 3520 Reading Road, Suite A 104 7th St 7011 Southwest Fwy 2801 Via Fortuna Suite 500 303 Sandy Corner Road 2525 Holly Hall Drive 815 N Virginia Street 6410 Fannin Ste 1500 8000 N Stadium Dr FL 8 4910 Airport Ave Ste D 6502 Nursery Drive Ste 100 2377 North Stemmons Freeway 5323 Harry Hines Blvd 5201 Harry Hines Blvd 535 S Loop 288 Suite 1003 PO Box 2346 1380 River Bend Dr 5323 Harry Hines Blvd 3302 Gaston Ave 107 Swift Street 499 Tenth Street 11937 US Hwy 271 123 Rosenberg #600 PO Box 2828 200 Stadium Dr 1507 West Main 115 Airport Road 315 N Broadway, Ste 404 2001 N. Jefferson Phys City Big Spring Odessa Conroe Bryan Bryan Conroe Midland Sherman Terrell Bryan Belton Round Rock Brownwood Temple Kerrville Georgetown Fort Worth Wichita Falls Granbury Fort Worth El Paso McKinney Decatur El Paso San Angelo Eden San Angelo Sonora Big Lake Brady Fort Stockton Electra GAINESVILLE Winters Fort Worth Galveston Texas City Beaumont Angleton Nacogdoches Lufkin Woodville Mineral Wells Anson HAMLIN Rotan HASKELL Breckenridge Knox City Stamford Sweetwater Aspermont Colorado City Eastland Hondo San Antonio Longview Greenville Paris Lytle Victoria Portland Corpus Christi Gonzales Corpus Christi Edna Hallettsville Victoria Kenedy Corpus Christi Edinburg Harlingen Laredo Pearsall Del Rio Uvalde San Antonio Seguin Austin Austin Aspermont Brownfield Plainview Childress Snyder Dallhart Spearman Canadian Hereford Littlefield Tahoka Lamesa Seminole Dumas Muleshoe Perryton Dimmitt Lubbock Amarillo Amarillo Lubbock Denver City Coleman Waco Hamilton Clifton Groesbeck Henrietta Olney Vernon Jacksboro Bowie Nocona Graham Throckmorton Laredo Eagle Pass Tyler Rosenberg Bay City Houston Austin El Campo Houston Port Lavaca Houston Houston Rosenberg Victoria Dallas Dallas Dallas Denton Denton Dallas Dallas Dallas Refugio Floresville Tyler Galveston Lubbock Seymour Gatesville Sulpher Springs Tyler Mount Pleasant Phys State TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX Phys Zip 79720 78763 77304 77803 77802 77304 79701 75092 75160 77807 76513 78664 76801 76501 78028 78626 76107 76301 76048 76196 79902 75069 Mail Addr 409 Runnels Street 800 W. 4th Street 1506 Old Montgomery Rd 200 S Texas Avenue STE 240 PO Box 4588 1400 South Loop 336 West 401 E. Illinois Avenue, Suite 401 315 W McClain Dr PO Box 747 PO Box 660677 PO Box 2149 1009 N Georgetown St 408 Mulberry St 304 S 22nd St 819 Water St Suite 300 100 W 3rd St PO Box 2603 PO Box 8266 PO Box 729 100 E Weatherford St Rm 506 1600 Montana Ave PO Box 828 2000 S FM 51 79905 PO Box 9520 76903 72 W College Ave 76837 PO Box 987 1501 W Beauregard Ave PO Box 455 805 N Main Ave PO Box 617 PO Box 1060 PO Box 1112 1016 Ritchey St 79567 PO Box 185 76107 3500 Camp Bowie Blvd 775550133 301 University Blvd 77591 PO Box 939 655 S 8th St 132 E Hospital Drive 1204 Mound Street 75901 2001 S Medford Dr 1100 W Bluff St 76067 400 SW 25th Ave 101 Avenue J PO BOX 400 774 State Hwy 70 North, PO Box F PO Box 1117 200 S. Geneva 79529 PO Box 608 P.O. Box 911 200 Arizona 79508 2616 S Clark St 79512 997 West Interstate 20 P.O. Box 897 78861 3100 Avenue E 78205 PO Box 839966 75601 PO Box 6800 PO Box 1059 75460 400 W Sherman St 78052 19965 FM 3175 North PO Box 725 77901 2701 Hospital Dr 78374 PO Box 1336 78416 PO Box 9277 78629 PO Box 587 78404 1630 S Brownlee Blvd 77957 1013 S Wells St 77964 1400 N Texana St 77904 6502 Nursery Dr Ste 100 78118 3349 S Highway 181 78411 3533 South Alameda St 1901 S 24th Ave 78550 7703 Floyd Curl Dr 78041 PO Box 1835 78061 200 S IH 35 78840 PO Box 1527 78801 1025 Garner Field Rd 78201 6812 Bandera Rd Ste 213 78155 1215 E Court St 78764 1430 Collier St PO Box 1088 79502 PO Box C 705 E Felt St 2700 Yonkers St 79201 PO Box 1030 79549 1700 Cogdell Blvd 79022 210 E Texas Blvd 707 Roland St. 1020 S 4th St 540 W 15th St 1500 S Sunset Ave. PO Box 1310 79331 1600 N Bryan Avr 79360 209 NW 8th St 224 E 2nd St 708 S 1st St 3101 Garrett Dr 310 W Halsell PO Box 278 PO Box 2828 PO Box 3250 1400 S Coulter St PO Box 5868 79323 PO Box 1130 310 S Pecos St 76703 PO Box 890 76531 400 N Brown St. Bldg II 76634 PO Box 549 701 McClintic Dr 76365 310 W South St 76374 PO Box 158 76384 920 Hillcrest Dr 76458 717 Magnolia St 705 E Greenwood Ave 100 Park Rd 76450 P O Box 1390 PO Box 729 78043 PO Box 579 78852 3406 Bob Rogers Ste 140 75702 PO Box 4730 77471 309 S 4th Street 104 7th St 77074 PO Box 25381 78746 PO Box 1409 303 Sandy Corner Road 77054 PO Box 66769 77979 PO Box 25 77030 PO Box 301418 8000 N Stadium Dr FL 8 4910 Airport Ave Ste D 77904 6502 Nursery Dr Ste 100 509 Main St 75390 5323 Harry Hines Blvd 75235 PO Box 660599 76205 535 S Loop 288 Ste 1003 76202 PO Box 2346 75248 1380 River Bend Dr 75390 5909 Harry Hines Blvd 3302 Gaston Ave 107 Swift Street PO Box 200852 75708 11937 US Highway 271 77550 101 Tigner St. Bld 1 794082828 PO Box 2828 76380 200 Stadium Dr 76528 1507 W Main St 75482 PO Box 275 75702 PO Box 2039 75455 2001 N. Jefferson Ave Mail City Big Spring Odessa Conroe Bryan Bryan Conroe Midland Sherman Terrell Dallas Temple Round Rock Brownwood Temple Kerrville Georgetown Fort Worth Wichita Falls Granbury Fort Worth El Paso McKinney Decatur El Paso San Angelo Eden San Angelo Sonora Big Lake Ballinger Fort Stockton Electra Gainesville Winters Fort Worth Galveston La Marque Beaumont Angleton Nacogdoches Lufkin Woodville Mineral Wells Anson Hamlin Rotan Haskell Breckenridge Knox City Stamford Sweetwater Abilene Colorado City Eastland Hondo San Antonio Longview Greenville Paris Lytle Victoria Portland Corpus Christi Gonzales Corpus Christi Edna Hallettsville Victoria Kennedy Corpus Christi Edinburg San Antonio Laredo Pearsall Del Rio Uvalde San Antonio Seguin Austin Austin Aspermont Brownfield Plainview Childress Snyder Dalhart Spearman Canadian Hereford Littlefield Tahoka Lamesa Seminole Dumas Muleshoe Perryton Dimmitt Lubbock Amarillo Amarillo Lubbock Denver City Coleman Waco Hamilton Clifton Groesbeck Henrietta Olney Vernon Jacksboro Bowie Nocona Graham Throckmorton Laredo Eagle Pass Tyler Richmond Bay City Houston Richmond El Campo Houston Port Lavaca Houston Houston Rosenberg Victoria Dallas Dallas Dallas Denton Denton Dallas Dallas Dallas Refugio Dallas Tyler Angleton Lubbock Seymour Gatesville Sulpher Springs Tyler Mount Pleasant Mail State TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX Tx TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX Mail Zip 79720-0000 79763-4368 77304-3067 77803-3935 77805-4588 77304-3317 79701-4803 75092-2605 75160-0000 75266-0677 76503-2149 78664-3289 76801-1639 76501-4723 78028-5330 78626-5030 76113-2603 76307-8233 76048-0729 76102-2100 79902-5622 75070-8144 76234-3702 79995-9520 76903-5814 76837-0987 76901-4004 76950-0455 76932-3838 76821-0617 79735-1060 76360-1112 76240-3539 79567-0185 76107-2644 77555-0133 77568-0939 77701-4624 77515-4112 75961-4027 75901-6260 75979-4738 76067-8246 79501-2113 79520-0400 79456-0485 79521-1117 76424-4702 79529-0608 79553-0911 79556-0000 79606-1557 79512-2685 76448-0897 78861-3534 78283-3966 75608-6800 75403-1059 75460-5646 78052-0725 77901-5748 78374-1185 78469-9277 78629-0587 78404-3134 77957-4045 77964-2021 77904-1178 78119-5247 78411-1721 78539-6533 78229-3901 78044-1835 78061-6601 78841-1527 78801-4809 782381368 78155-5129 78704-2911 78767-1088 79502-0902 79316-3439 79072-1826 79201-1030 79549-6162 79022-4322 79081-3441 79014-3315 79045-2820 79339-4899 79373-1310 79331-3145 79360-3447 79029-3808 79347-3627 79070-5323 79027-0278 79408-2828 79116-3250 79106-1786 79408-5868 79323-1130 76834-4159 76703-0890 76531-1518 76634-0549 76642-2128 76365-3346 76374-0158 76384-3132 76458-1111 76230-3135 76255-3616 76450-1390 76483-0729 78042-0579 78852-5942 75712-4730 77469-3506 77414-4853 77265-5381 77406-0036 77437-9535 77266-6769 77979-0025 77216-1088 77054-1823 77471-5759 77904-1178 75202-3521 75390-7201 75266-0599 76205-4502 76202-2346 75247-4914 75390-7208 75246-2013 78377-2425 75320-0852 75708-3154 775154480 79408-2828 76380-2344 76528-1024 75483-0275 75710-2039 75455-2371 Govt Entity West Texas Centers for MHMR Texas Tech University Health Science Center-Permian Basin Tri-County MHMR Services Brazos County Treasurer MHMR Authority of Brazos Valley Montgomery County Hospital District Permian Basin Community Centers MHMR Services or Texoma Lakes Regional MHMR Center The Texas A&M University System Health Science Center Bell County Public Health District Bluebonnet Trails Community MHMR Center dba Bluebonnet Trails Community Ser Central Texas MHMR Central Counties Center for MHMR Services Hill Country Community MHMR dba hill Country MHDD Centers Williamson County & Cities Health District MHMR of Tarrant County Helen Farabee Centers Pecan Valley MHMR Region dba Pecan Valley Centers for Behavioral and Develo Tarrant County (dba Tarrant County Public Health Dept) Emergence Health Network Collin County MHMR dba LifePath Systems Wise Regional Health System Texas Tech University Health Sciences Center EL Paso City of San Angelo Concho County Hospital District Concho Valley Center for Human Advancement dba MHMR Services for the Concho L M Hudspeth Memorial Hospital Reagan Memorial Hospital District Ballinger Memorial Hospital District Pecos County Memorial Hospital Electra Memorial Hospital (Electra Hospital District) Gainesville Memorial Hospital North Runnels Hospital UNTHSC@FW The University of Texas Medical Branch at Galveston Galveston County Health District Spindletop Center Angleton-Danbury Hospital District Nacogdoches County Hospital District Burke Center Tyler County Hospital Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp Anson General Hospital Hamlin Memorial Hospital Fisher County Hospital District Haskell County Hospital District Stephens Memorial Hospital dba Stephens County Emergency Medic Knox County Hospital District dba Knox County Hospital Home Care Stamford Memorial Hospital (Stamford Memorial Hospital District Rolling Plains Memorial Hospital District Abilene Regional MHMR dba Hardwick Center Mitchell County Hospital District Eastland Memorial Hospital District Medina County Hospital District dba Medina Regional Hospital San Antonio Metropolitan Health District Sabine Valley Regional MHMR Center dba Community Healthcore Hunt Memorial Hospital District Paris Lamar County Health Department Camino Real Community Services Citizens Medical Center Coastal Plains Community MHMR Center City of Corpus Christi Gonzales County Hospital District Nueces County MHMR Community Center Jackson County Hospital District Lavaca Medical Center (hospital district) Gulf Bend MHMR Center Karnes County Hospital District Driscoll Children's Hospital Tropical Texas Behavioral Health University of Texas Health Science Center at San Antonio Border Region MHMR Community Center Frio Hospital District Val Verde Regional Medical Center Uvalde County Hospital Authority Center for Health Care Serv Guadalupe Regional Medical Center Austin Travis County MHMR Center City of Austin Stonewall Memorial Hospital (County Hospital District) Terry Memorial Hospital District dba Brownfield Regional Medical Center Central Plains Center for Mental Health Mental Ret Childress County Hospital District dba Childress Regional Medical Center DM Cogdell Memorial Hospital dba Scurry County Dallam-Hartley Counties Hospital District dba Coon Memorial Home Hansford County Hospital District Hemphill County Hospital District Deaf Smith County Hospital District dba Hereford Regional Medical Center Lamb County dba Lamb Healthcare Center Lynn County Hospital District Dawson County Hospital District Seminole Hospital District of Gaines County (Memorial Hospital) Moore County Hospital District Muleshoe Area Hospital District dba Muleshoe Area Medical Center Ochiltree General Hospital Plains Memorial Hospital Disproportionate Share Account (Castro County) Lubbock Regional MHMR Center Texas Panhandle MHA Texas Tech University Health Sciences Center AMA Texas Tech University Health Science Center Yoakum County dba Yoakum County Hospital Coleman County Medical Center Heart of Texas Region MH & MR Center Hamilton County Hospital District dba Family Practice Rural Health Clinic Goodall-Witcher Healthcare Foundation Administration South Limestone Hospital District Clay County Hospital District Olney-Hamilton Hospital District Wilbarger General Hospital District Faith Community Hospital Auxiliary (Jack County Hospital District) Bowie Memorial Hospital (Bowie Hospital Authority) Nocona General Hospital District Graham Regional Medical Center (City of Graham) Throckmorton County Memorial Hospital City of Laredo Maverick County Hospital District Andrews Center Fort Bend County Matagorda County Hospital District MHMRA of Harris County Oak Bend Medical Center West Wharton County Hospital District Harris County Hospital District Calhoun County dba Memorial Medical Center University of Texas Health Science Ctr at Houston UTHSC City of Houston Texana Center Gulf Bend MHMR Center Dallas County UT Southwestern Medical Center at Dallas Dallas County Hospital District Denton County dba Denton County Health Department Denton County MHMR Center Metrocare Services University of Texas Southwestern St Paul University Hospital TAMUS Health Science Center dba Baylor College of Dentistry Refugio County Memorial Hospital District Wilson County Memorial Hospital Floresville (Connally Memorial Hospital) University of Texas Health Center at Tyler The Gulf Coast Center Lubbock Regional MHMR Center Seymour Hospital (Baylor County HD) Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital Hopkins County Hospital District (Hopkins County Memorial Hospital) Northeast Texas Public Health District Titus County Memorial Hospital dba Titus Regional Medical Center Govt TIN 1752606169 6 003 3739739739 1 019 1760032662 7 001 1746000433 0 038 1741793265 8 004 1741772120 0 003 1751401776 7 014 1751452360 8 014 1752833823 3 000 1742907553 8 001 1746000348 0 003 1742795332 2 001 1751294432 7 000 1741801332 6 002 1742822017 6 000 1742896906 1 000 1751249456 2 008 1751241976 7 000 1751532100 2 000 1756001170 6 006 1741596159 2 000 1751761911 4 003 1751250450 1 000 3739739739 1 012 1756000659 9 013 1751297735 0 002 1751251523 4 003 1752152933 3 003 1756003050 8 001 1752312009 9 001 1746002963 4 000 1756219138 1 002 1751091664 0 501 1751306626 0 000 3763763763 0 001 3723723723 7 000 1760521474 5 000 1741684198 3 003 1741612400 0 000 1756000602 9 008 1751442393 2 000 1746067306 8 001 1751256948 8 000 1756003659 6 000 1751453952 1 501 1751433495 6 012 1756001753 9 000 1756003328 8 001 1750808798 2 001 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Private Private Private Private Private Private Private Private Private Private Private Private TPI 065100201 130725806 130725806 084434201 121988304 126844305 133339505 133340307 133340307 127373205 127373205 096166602 136367307 121990904 085144601 085144601 130725806 121990904 126844305 126844305 127373205 130724106 081939301 081844501 084434201 130958505 081771001 065086301 180393402 111810101 133340307 133339505 138364812 121988304 121988304 121989102 126686802 132812205 111411803 158771901 126686802 094092602 109335301 153729203 198523601 084563802 084599202 081939301 198523601 084597603 081939301 084563802 084599202 198523601 138980111 127278302 111810101 091329501 109372601 126686802 085144601 127295703 153729203 162334001 156506101 084570301 080217501 104856306 171409901 092414401 126672804 291816101 079877902 291816101 092414401 126672804 171409901 104856306 084570301 080217501 156506101 163428901 082006001 132812205 297342201 094148602 159156201 094357302 151691601 139485012 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8 002 1750818167 8 002 1621795574 5 001 1621795574 5 001 1750703337 5 001 Provider City of Amarillo West Texas Centers for MHMR West Texas Centers for MHMR MHMR SVCS of Texoma Lakes Regional MHMR Center Bluebonnet Trails Community MHMR Center dba Bluebo Central Texas MHMR Hill Country Community MHMR dba hill Country MHDD Hill Country Community MHMR dba hill Country MHDD Helen Farabee Centers Helen Farabee Centers Spindletop Center Burke Center Camino Real Community Services University of Texas Health Science Center SA University of Texas Health Science Center SA West Texas Centers for MHMR Camino Real Community Services Bluebonnet Trails Community MHMR Center dba Bluebo Bluebonnet Trails Community MHMR Center dba Bluebo Helen Farabee Centers Pecan Valley MHMR Region dba Pecan Valley Centers Texas Tech University Health Sciences Center Odess Tri-County MHMR Services MHMR SVCS of Texoma City of Corpus Christi (Nueces Cnty Public Hlth) Central Counties Center for MHMR Services City of El Paso dba City of El Paso Department of Alamo Area Council of Governments Unv of Tx HSC at Houston-UTHSC Sponsored Projects Hill Country Community MHMR dba Hill Country MHDD Central Texas MHMR Permian Basin Community Centers Lakes Regional MHMR Center Lakes Regional MHMR Center Border Region MHMR Community Center UT Southwestern Medical Center at Dallas Driscoll Children's Hospital Anderson Cherokee Community MHMR Center (ACCESS) Harris County UT Southwestern Medical Center at Dallas University of Texas Medical Branch - Galveston Dallas County Hospital District dba Parkland Healt Harris County Hospital District TAMUS Health Science Center Texas Tech Health Science Center - Amarillo School Texas Tech Health Science Center - Lubbock School Texas Tech Health Science Center - Odessa TAMUS Health Science Center Texas Tech University Health Sciences Center EL Pa Texas Tech University Health Sciences Center Odess Texas Tech University Health Sciences Center AMA Texas Tech University Health Sciences Center Offic TAMUS Health Science Center UNTHSC at Fort Worth dba Unto Health Medical Recor University of Texas Health Center at Tyler UT Health Science Center at Houston University of Texas MD Anderson Cancer Center University of Texas Medical Branch - Galveston UT Southwestern Medical Center UTHSCA dba UT Health Science Center at San Antonio Dallas County Hospital District dba Parkland Healt Harris County Hospital District JPS Physicians Group, Inc. University Medical Center - Radiology UMC EC Physicians University Associates dba PNS Clinic Scott Dahlbeck Carlos Torres MD Community Medicine Associates Scott & White Clinic Integrative Emergency Services Physician Group, P. UMC Physician Network Services Integrative Emergency Services Physician Group, P. Community Medicine Associates Scott & White Clinic Carlos Torres MD Scott Dahlbeck UMC EC Physicians University Associates dba PNS Clinic University Medical Center - Radiology RadCare of Texas PA Baylor College of Medicine Grants and Contracts De Driscoll Children's Hospital Accord Medical Management LP dba Nix Health Care S Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon Baptist Medical Center (VHS San Antonio Partners) Baylor Ctr for Restorative Care Pediatric Center Baylor Heart & Vascular Center, L.L.P. Baylor University Medical Center CHCA Bayshore LP dba Bayshore Medical Center CHCA Clear Lake LP dba Clear Lake Regional Medical CHCA West Houston LP dba West Houston Medical Cent CHCA Woman's Hosp LP dba Woman's Hospital of Texas Christus Health ARK-LA-TEX dba Christus St. Michae Christus Health Gulf Coast dba Christus St. John H Christus Hospital (prev St. Elizabeth) CHRISTUS Santa Rosa Hospital CHRISTUS St. Catherine Hospital Columbia Hosp at Med City Dallas Subsid dba Medica Columbia Medical Center of Las Colinas dba Las Col Columbia Rio Grande Healthcare dba Rio Grande Regi Conroe Regional Medical Center Covenant Health System dba Covenant Medical Center Covenant Health System dba Covenant Medical Center Covenant Health System dba Covenant Medical Center Covenant Health System dba Covenant Medical Center Crosbyton Clinic Hospital Daughters of Charity Hlth Srvs dba Seton Medical C Daughters of Charity Hlth Srvs dba Seton Northwest Daughters of Charity Hlth Srvs dba Seton Southwest Doctor's Hospital at Renaissance Laredo Reg Med Ctr dba Doctor's Hospital of Laredo East Texas Medical Center East Texas Medical Center East Texas Medical Center East Texas Medical Center East Texas Medical Center East Texas Medical Center El Paso Healthcare System Ltd dba Las Palmas Medic Fort Duncan Medical Center Green Oaks Hosp Subsidiary dba Green Oaks Hospital Hendrick Medical Center Hendrick Medical Center Hendrick Medical Center Hendrick Medical Center Hendrick Medical Center Knapp Medical Center KPH Consolidation Inc dba Kingwood Medical Center Laredo Texas Hosp Co dba Laredo Medical Center McAllen Hospitals LP dba Edinburg Regional Medical Baptist Hosp of SE Tx Mem Hermann Baptist Orange Memorial Hermann Hospital Katy Memorial Hermann Hospital Memorial City Memorial Hermann Hospital Southwest dba Memorial H Memorial Hermann Hospital System (The Woodlands) Methodist Hosp of Dallas Methodist Charlton Med Ct Methodist Hosp of Dallas Methodist Dallas Med Ctr Methodist Hlthcare Sys of SA Methodist Ambulatory Methodist Hlthcare Sys of SA Southwest Texas Metho Mission Hospital Inc Mother Frances Hospital - Jacksonville Mother Frances Hospital Regional Healthcare Center Mother Frances Hospital Regional Healthcare Center Odessa Regional Medical Center Odessa Regional Hospital Parmer County Community Hospital Contact Matt Richardson Guy White Guy White Tony Maddox John Delaney Andrea Richardson Dion White Linda Werlein Linda Werlein Roddy Atkins Roddy Atkins Chalonnes Hoover Susan Rushing Emma Garcia Dr. Joseph McCormick Dr. Joseph McCormick Guy White Emma Garcia Andrea Richardson Andrea Richardson Roddy Atkins Donna Gilmore Kandy Stewart Evan Robertson Tony Maddox Annette Rodriguez Eldon Tietje Bruce Parsons Anthony Jalomo Andrew Casas Linda Werlein Dion White Chris Barnhill John Delaney John Delaney Daniel Castillon Bruce Meyer, MD Shane Casady T. Debbs Anthony Leatherwood Bruce Meyer, MD Craig Kovacaevich Title Jeffrey Burton Associate VP and Assistant Controller Jeffrey Burton Associate VP and Assistant Controller CFO CFO Executive Director & Health Authority CEO Executive Director Executive Director CFO Executive Director & Health Authority Executive Director & Health Authority Assistant Dean of Finance Executive Director CEO Interim Health Director Sr. Director of Diasbility Services Executive Director CEO Controller Project Management Section Lean Jeanie Foster Daniel Deslatte Phone (806) 378-6320 (432) 264-4219 (432) 264-4219 (903) 957-4867 (972) 524-4159 (512) 244-8335 (325) 646-9574 x225 (830) 792-3300 (830) 792-3300 (940) 397-3101 (940) 397-3101 (409) 784-5668 (936) 639-1141 (210) 357-0310 (956) 365-8823 (956) 365-8823 4322644219 2103570310 5122448335 5122448335 9403973101 8175794414 4323355129 9365216119 9039574867 3618267205 2542987007 9157715702 2108325078 8323257325 8307923300 3256469574 4325708869 9725244159 9725244159 9567943003 2146489794 3616946523 9035865507 7134396045 2146489794 Fax Email matt.richardson@amarillo.gov guy.white@wtcmhmr.org guy.white@wtcmhmr.org tmaddox@mhmrst.org johnd@LRMHMRC.org andrea.richardson@bbtrails.org dion@cflr.us lwerlein@hillcountry.org lwerlein@hillcountry.org AtkinsR@helenfarabee.org AtkinsR@helenfarabee.org Chalonnes.hoover@stmhmr.org susanr@burke-center.org emmag@caminorealcs.org McCormicki@uthscsa.edu McCormicki@uthscsa.edu guy.white@wtchmhmr.org emmag@caminorealcs.org andrea.richardson@bbtrails.org andrea.richardson@bbtrails.org AtkinsR@helenfarabee.org dgilmore@pecanvalley.org kandy.stewart@ttusch.edu evanr@tricountyservices.org tmaddox@mhmrst.org annetter@cctexas.com eldon.tietje@cccmhmr.org parsonsba@elpasotexas.gov ajalomo@aacog.com andrew.casas@uth.tmc.edu lwerlein@hillcountry.org dion@cflr.us ChrisBarnhill@pbmhmr.com johnd@LRMHMRC.org johnd@LRMHMRC.org danielc@borderregion,org bruce.meyer@utsouthwestern.edu shane.casady@dchstx.org TDebbs@accessmhmr.org aleatherwood@hcphes.org bruce.meyer@utsouthwestern.edu cskovace@UTMB.EDU Phys Addr 1000 Martin Road 409 Runnels Street 409 Runnels Street 315 West McLain Drive 400 Airport Road 1009 North Georgetown Street 408 Mulberry Street 819 Water St Suite 300 819 Water St Suite 300 1000 Brook 1000 Brook 655 S 8th St 2001 South Medford PO Box 725 2102 Treasure Hills Blvd 2102 Treasure Hills Blvd 409 Runnels Street 19965 FM 3175 North PO Box 725 1009 North Georgetown Street 1009 North Georgetown Street 1000 Brook 2101 W. Pearl St 800 W. 4th Street 1506 Old Montgomery Road 315 West McLain Drive 1702 Horne Road 304 S. 22nd St. 5115 El Paso Dr 8700 Tesoro Dr. Suite 700 6410 Fannin Ste 1500 819 Water St Suite 300 408 Mulberry Street 401 E. Illinois Avenue, Suite 401 400 Airport Road 400 Airport Road 1500 Pappas Street 5323 Harry Hines Blvd 3533 South Alameda St 913 N Jackson 2223 West Loop South Suite 700 5323 Harry Hines Blvd 301 University Blvd Phys City Amarillo Big Spring Big Spring Sherman Terrell Round Rock Brownwood Kerrville Kerrville Wichita Falls Wichita Falls Beaumont Lufkin Lytle Harlingen Harlingen Big Spring Lytle Round Rock Round Rock Wichita Falls Granbury Odessa Conroe Sherman Corpus Christi Temple El Paso San Antonio Houston Kerrville Brownwood Midland Terrell Terrell Laredo Dallas Corpus Christi Jacksonville Houston Dallas Galveston (979) 436-9226 jburton@tamhsc.edu (979) 436-9226 jburton@tamhsc.edu 8177350217 Jeanie.foster@unthsc.edu 200 Technology Way, Suite 2079 1400 S. Coulter Street PO Box 5868 800 W. 4th Street 200 Technology Way, Suite 2079 PO Box 9520 800 W 4th Street 1400 S Coulter St PO Box 5868 200 Technology Way Ste 2079 3500 Camp Bowie Blvd 11937 US Highway 271 PO Box 203382 1515 Holcombe Blvd 301 University Blvd 5323 Harry Hines Blvd 7703 Floyd Curl Drive PO Box 660599 PO Box 66769 PO Box 911294 College Station Amarillo Lubbock Odessa College Station El Paso Odessa Amarillo Lubbock College Station Fort Worth Tyler Houston Houston Galveston Dallas San Antonio Dallas Houston Dallas 4322644219 2102255937 9999999999 7134374608 Doris Hunt Jeff Dane Jeff Dane DHunt01@jpshealth.org jeff.dane@unchealthsystem.com jeff.date@unchealthsystem.com Sergop Farre Senior Vice President Paul Acreman Nestor Zenarosa President John Burruss, MD Joe Beck John Strieby David Parmer Harold H. Pilgrim, III Frederick Savelsbergh Frederick Savelsbergh Frederick Savelsbergh Lisa Frenkel Lisa Frenkel Lisa Frenkel Lisa Frenkel Chris Karam Patrick Carrier Ellen Jones Don Beeler Patrick Carrier Thomas O. Corley Thomas O. Corley Stephen Jones Maura Walsh Gwen Stafford Gwen Stafford Gwen Stafford Gwen Stafford Steve Beck Lynn LeBouef Charles Barnett Charles Barnett Susan Turley Elmo Lopez Byron Hale Byron Hale Byron Hale Byron Hale Byron Hale Byron Hale Hank Hernandez Rene Lopez Leah Domstead Stephen Kimmel Stephen Kimmel Stephen Kimmel Stephen Kimmel Stephen Kimmel James Summersett john Armour Abe Martinez Douglas A. Matney Jarren D. Garrett Daniel J Wolterman Jeff Brownawell Jeff Brownawell John Cramer Michael J. Schaefer Michael J. Schaefer Jaime Wesolowski Jamie Wesolowski Javier Iruegas William L. Bellenfant William L. Bellenfant William L. Bellenfant Stephen Bowerman Stephen Bowerman B. Lance Gatlin Director of Reimbursement President and Chief Executive Officer Chief Executive Officer President and Chief Executive Officer Senior Vice President of Hospital Finance Senior Vice President of Hospital Finance Senior Vice President of Hospital Finance Vice President & Chief Legal Officer Vice President & Chief Legal Officer Vice President & Chief Legal Officer Vice President & Chief Legal Officer President and Chief Executive Officer Chief Executive Officer Chief Executive Officer President and Chief Executive Officer Chief Executive Officer Vice President Vice President Chief Executive Officer Senior Vice President Vice President Vice President Vice President Vice President CEO President and Chief Executive Officer President and Chief Executive Officer President and Chief Executive Officer Chief Financial Officer Chief Executive Officer Sr. Vice President/CFO Sr. Vice President/CFO Sr. Vice President/CFO Sr. Vice President/CFO Sr. Vice President/CFO Sr. Vice President/CFO Chief Executive Officer Chief Executive Officer Vice President & Chief Legal Officer Senior Vice President and CFO Senior Vice President and CFO Senior Vice President and CFO Senior Vice President and CFO Senior Vice President and CFO Chief Executive Officer CFO Chief Executive Officer Group Director Interim Administrator President and Chief Executive Officer Chief Revenue Officer Chief Revenue Officer Executive Vice President & Chief Financial Officer Executive Vice President & Chief Financial Officer Chief Executive Officer Chief Executive Officer Chief Executive Officer CFO CFO CFO Chief Financial Officer Chief Financial Officer Administrator/CEO (210) 358-3661 sfarrell@uhs-sa.com (806) 761-0333 paul.acreman@umchealthsystem.com nrzermd@mac.com 7137988750 3616945027 (210) 271-2183 (409) 212-5012 (210) 297-1022 (214) 820-3724 (214) 820-3724 (214) 820-3724 (713) 852-1567 (713) 852-1567 (713) 852-1567 (713) 852-1567 (903) 614-2009 (713) 391-3031 (409) 899-7101 (210) 704-3605 (713) 391-3031 (972) 789-2833 (972) 789-2833 (956) 632-6103 (713) 852-1503 (806) 725-0577 (806) 725-0577 (806) 725-0577 (806) 725-0577 (806) 675-8700 (512) 324-1902 (512) 324-1902 (512) 324-1902 (956) 661-7469 (956) 523-2001 (903) 531-8010 (903) 531-8010 (903) 531-8010 (903) 531-8010 (903) 531-8010 (903) 531-8010 915-521-1200 (830) 773-5321 (972) 789-2833 (325) 670-2182 (325) 670-2182 (325) 670-2182 (325) 670-2182 (325) 670-2182 (956) 969-5112 (713) 852-1534 (956) 796-3159 (956) 388-2002 (409) 512-5000 713-456-5550 (713) 448-5715 (713) 448-5715 7133384226 (214) 947-4510 (214) 947-4510 (210) 575-4056 (210) 575-4056 (956) 323-9109 (903) 531-4556 (903) 531-4556 (903) 531-4556 (432) 582-8102 (432) 582-8102 (806) 250-2754 3618082086 (210) 271-2023 (409) 212-5022 (210) 297-0000 (214) 818-5724 (214) 818-5724 (214) 818-5724 (866) 947-4097 (866) 947-4097 (866) 947-4097 (866) 947-4097 (903) 614-2212 (713) 391-3035 (409) 899-8191 (210) 704-2730 (713) 391-3035 (972) 716-9527 (972) 716-9527 (956) 632-6621 (713) 852-1599 (806) 723-7361 (806) 723-7361 (806) 723-7361 (806) 723-7361 (806) 675-2645 (512) 459-5629 (512) 459-5629 (512) 459-5629 (956) 632-6621 (956) 523-2836 (903) 535-6334 (903) 535-6334 (903) 535-6334 (903) 535-6334 (903) 535-6334 (903) 535-6334 915-544-5203 (830) 758-4861 (972) 716-9527 (325) 670-2209 (325) 670-2209 (325) 670-2209 (325) 670-2209 (325) 670-2209 (956) 969-2293 (713) 852-1599 (956) 796-3221 (956) 289-2002 713-456-5011 (713) 448-5431 (713) 448-5431 (713) 448-5431 (214) 947-4501 (214) 947-4501 (210) 575-4410 (210) 575-4410 (956) 323-9102 (432) 582-8911 (432) 582-8911 jburruss@bcm.edu Joe.Beck@dchstx.org jfs@nixhealth.com david.parmer@mhbh.org tpilgrim@baptisthealthsystem.com fredsa@baylorhealth.edu fredsa@baylorhealth.edu fredsa@baylorhealth.edu lisa.frenkel@HCAHealthcare.com lisa.frenkel@HCAHealthcare.com lisa.frenkel@HCAHealthcare.com lisa.frenkel@HCAHealthcare.com chris.karam@christushealth.org patrick.carrier@christushealth.org elle.jones@christushealth.org don.beeler@christushealth.org patrick.carrier@christushealth.org leah.domstead@HCAHealthcare.com leah.domstead@HCAHealthcare.com stephen.jones@hcahealthcare.com maura.walsh@hcahealthcare.com gstafford@covhs.org gstafford@covhs.org gstafford@covhs.org gstafford@covhs.org steve.beck@crobytonclinichospital.com cbarnett@seton.org cbarnett@seton.org cbarnett@seton.org s.turley@dhr-rgv.com elmo.lopez@uhsinc.com bhale@etmc.org bhale@etmc.org bhale@etmc.org bhale@etmc.org bhale@etmc.org bhale@etmc.org rene.lopez@uhsinc.com leah.domstead@HCAHealthcare.com skimmel@hendrickhealth.org skimmel@hendrickhealth.org skimmel@hendrickhealth.org skimmel@hendrickhealth.org skimmel@hendrickhealth.org jsummersett@knappmed.org john.armour@hcahealthcare.com abe_martinez@chs.net doug.matney@uhsrgv.com jarren.garrett@mhbh.org Dan.Wolterman@memorialhermann.org jeffrey.brownawell@memorialhermann.org jeffrey.brownawell@memorialhermann.org John.Cramer@memorialhermann.org michaelschaefer@mhd.com michaelschaefer@mhd.com jaime.wesolowski@mhshealth.com jaime.wesolowski@mhshealth.com jiruegas@missionrmc.org bellenb@tmfhs.org bellenb@tmfhs.org bellenb@tmfhs.org SBowerman@iasisihealthcare.com SBowerman@iasisihealthcare.com lgatlin@trhta.net Phys State TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX Phys Zip 79107 79720 79720 75092 78664 76801 78028 78028 76301 76301 75901 78052 78550 78550 79720 780520725 786643289 786643289 76301 76048 797634368 773043067 750922605 78416 765014723 799052818 782176228 77030 780285330 768011639 797014803 751600000 751600000 78041 753907201 784111721 75766 77027 753907201 775550133 77845 76106 79408 79763 77845 TX 76107 77555 TX 75391 903 West Martin 2401 S. 31st Street 5201 W. Park Blvd, Suite 100 5219 City Bank Pkwy Ste 160 1500 S Main Street 527 N LEONA ST 2401 S 31ST ST PO BOX 8145 PO BOX 728 PO BOX 5980 PO BOX 16467 PO BOX 1888 PO BOX 849073 One Baylor Plaza Ste 181A San Antonio Temple Plano Lubbock Fort Worth SAN ANTONIO TEMPLE TYLER TYLER LUBBOCK LUBBOCK GREENVILLE DALLAS Houston TX TX 78207 76508 TX 761044917 TX 77030 3080 College St. 215 E. Quincy, Ste 200 Beaumont San Antonio TX TX 77701 782050000 10700 McPhearson Rd 1000 South Beckham Avenue 1000 South Beckham Avenue 1000 South Beckham Avenue 1000 South Beckham Avenue 1000 South Beckham Avenue 1000 South Beckham Avenue Laredo Tyler Tyler Tyler Tyler Tyler Tyler TX TX TX TX TX TX TX 78045 75701 75701 75701 75701 75701 75701 900 Pine Street 1900 Pine Street 1900 Pine Street Abilene Abilene Abilene TX TX TX 79601 79601 79601 1900 Pine Street 1401 EAST 8TH ST Abilene Weslaco TX TX 79601 78596 23900 Katy Freeway 921 Gessner Road 6411 Fannin Katy Houston Houston TX TX TX 77494 77024 77074 7700 Floyd Curl Drive San Antonio TX 782290000 800 E Dawson St 800 E Dawson St Tyler Tyler TX TX 75701 75701 3333 N. Foster Maldonado Blvd 3500 W. Wheatland Road Mail Addr PO Box 1971 409 Runnels Street 409 Runnels Street 315 W McClain Dr PO Box 747 1009 N Georgetown St 408 Mulberry St 819 Water St Suite 300 819 Water St Suite 300 PO Box 8266 PO Box 8266 655 S 8th St 2001 S Medford Dr 19965 FM 3175 North PO Box 725 7703 Floyd Curl Dr 7703 Floyd Curl Dr 409 Runnels Street 19965 FM 3175 North PO Box 725 1009 North Georgetown Street 1009 North Georgetown Street PO Box 8266 PO Box 729 800 W. 4th Street 1506 Old Montgomery Road 315 West McLain Drive PO Box 9277 304 S. 22nd St. 5115 El Paso Dr 8700 Tesoro Dr. Suite 700 PO Box 201088 819 Water St Suite 300 408 Mulberry Street 401 E. Illinois Avenue, Suite 401 PO Box 747 PO Box 747 PO Box 1835 5323 Harry Hines Blvd 3533 South Alameda St 913 N Jackson 1001 Preston St Ste 652 5323 Harry Hines Blvd 301 University Blvd PO Box 660599 PO Box 66769 200 Technology Way, Suite 2079 1400 S Coulter St PO Box 5868 800 W. 4th Street 200 Technology Way, Suite 2079 PO Box 9520 800 W. 4th Street 1400 S Coulter St PO Box 5868 200 Technology Way, Suite 2079 3500 Camp Bowie Blvd 11937 US Highway 271 PO Box 203382 1515 Holcombe Blvd 301 University Blvd 5323 Harry Hines Blvd 7703 Floyd Curl Drive PO Box 660599 PO Box 66769 PO Box 911294 PO Box 1888 PO Box 5980 PO Box 16467 PO Box 728 PO Box 8145 527 N Leona St 2401 S. 31st Street 5201 W. Park Blvd, Suite 100 5219 City Bank Pkwy Ste 160 5201 W. Park Blvd, Suite 100 527 N Leona St 2401 S. 31st Street PO Box 8145 PO Box 728 PO Box 5980 PO Box 16467 PO Box 1888 PO Box 849073 PO Box 201361 3533 South Alameda St 414 Navarro Street Ste 600 PO Box 974599 111 Dallas St 3504 Swiss Avenue 621 N. Hall Street 3500 GASTON AVE #220 4000 Spencer Highway 500 Medical Center Blvd 12141 Richmond Ave 7600 Fannin St 2600 St Michael Drive 18300 St John Drive 2830 Calder St 333 N. Santa Rosa St 701 South Fwy 7777 Forest Lane 6800 N Macarthur Blvd 101 East Ridge Road 504 Medical Center Blvd 3615 19th Street 3615 19th Street 3615 19th Street 3615 19th Street 710 West Main Street 1201 West 38Th Street 11113 Research Blvd. 7900 FM 1826, Building 1 5501 S McColl Rd PO Box 2549 POI Box 6400 PO Box 6400 PO Box 6400 PO Box 6400 PO Box 6400 PO Box 6400 1801 North Oregon PO Box 844165 7808 Clodus Fields Drive 1242 N 19th St 1242 N 19th St 1242 N 19th St 1242 N 19th St 1242 N 19th St 1330 E 6th St 22999 US Hwy 59 1700 E Saunders St 1102 W Trenton Rd 608 Strickland Drive 9301 Southwest Fwy Suite 600 9301 Southwest Fwy Suite 600 9494 Southwest Freeway STE 600 9494 Southwest Freeway STE 600 PO Box 911875 PO Box 655999 9150 Huebner Rd Ste 100 PO Box 406180 900 South Bryan Road 1021 E. Idel PO Box 6997 PO Box 6997 520 E 6th St 520 E 6th St 1307 Cleveland Mail City Amarillo Big Spring Big Spring Sherman Terrell Round Rock Brownwood Kerrville Kerrville Wichita Falls Wichita Falls Beaumont Lufkin Lytle San Antonio San Antonio Big Spring Lytle Round Rock Round Rock Wichita Falls Granbury Odessa Conroe Sherman Corpus Christi Temple El Paso San Antonio Houston Kerrville Brownwood Midland Terrell Terrell Laredo Dallas Corpus Christi Jacksonville Houston Dallas Galveston Dallas Houston College Station Amarillo Lubbock Odessa College Station El Paso Odessa Amarillo Lubbock College Station Fort Worth Tyler Houston Houston Galveston Dallas San Antonio Dallas Houston Dallas Greenville Lubbock Lubbock Tyler Tyler San Antonio Temple Plano Lubbock Plano San Antonio Temple Tyler Tyler Lubbock Lubbock Greenville Dallas Houston Corpus Christi San Antonio Dallas San Antonio Dallas Dallas Dallas Pasadena Webster Houston Houston Texarkana Nassau Bay Beaumont San Antonio Katy Dallas Irving McAllen Conroe Lubbock Lubbock Lubbock Lubbock Crosbyton Austin Austin Austin Edinburg Laredo Tyler Tyler Tyler Tyler Tyler Tyler El Paso Dallas Dallas Abilene Abilene Abilene Abilene Abilene Weslaco Kingwood Laredo Edinburg Orange Houston Houston Houston Houston Dallas Dallas San Antonio Atlanta Mission Tyler Tyler Tyler Odessa Odessa Friona Mail State TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX GA TX TX TX TX TX TX TX Mail Zip 79105-1971 79720-0000 79720-0000 75092-2605 75160-0000 78664-3289 76801-1639 78028-5330 78028-5330 76307-8233 76307-8233 77701-4624 75901-6260 78052-0725 78229-3901 78229-3901 797202529 780520725 786643289 786643289 763078233 760480729 797634368 773043067 750922605 784699277 765014723 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796012316 796012316 796012316 796012316 785964204 773394412 780415474 785399105 776304717 770741518 770741518 770741424 770741424 775391875 752655999 78240 303846180 785726613 757012025 757012036 757012036 797614527 797614527 790351121 Govt Entity Amarillo Hospital District West Texas Centers for MHMR West Texas Centers for MHMR MHMR Services or Texoma Lakes Regional MHMR Center Bluebonnet Trails Community MHMR Center dba Bluebonnet Trails Community Ser Central Texas MHMR Hill Country Community MHMR dba hill Country MHDD Centers Hill Country Community MHMR dba hill Country MHDD Centers Helen Farabee Centers Helen Farabee Centers Spindletop Center Burke Center Camino Real Community Services University of Texas Health Science Center at San Antonio University of Texas Health Science Center at San Antonio West Texas Centers for MHMR Camino Real Community Services Bluebonnet Trails Community MHMR Center dba Bluebonnet Trails Community Ser Bluebonnet Trails Community MHMR Center dba Bluebonnet Trails Community Ser Helen Farabee Centers Pecan Valley MHMR Region dba Pecan Valley Centers for Behavioral and Develo Texas Tech University Health Science Center-Permian Basin Tri-County MHMR Services MHMR Services or Texoma Nueces County Hospital District Central Counties Center for MHMR Services City of El Paso dba City of El Paso Department of Public Health Alamo Area Council of Governments University of Texas Health Science Ctr at Houston UTHSC Hill Country Community MHMR dba hill Country MHDD Centers Central Texas MHMR Permian Basin Community Centers Lakes Regional MHMR Center Lakes Regional MHMR Center Border Region MHMR Community Center UT Southwestern Medical Center at Dallas Driscoll Children's Hospital Anderson Cherokee Community MHMR Center (ACCESS) Harris County UT Southwestern Medical Center at Dallas Angleton-Danbury Hospital District Dallas County Hospital District Harris County Hospital District TAMUS Health Science Center Texas Tech University Health Science Center Texas Tech University Health Science Center Texas Tech University Health Science Center Brazos County Treasurer Texas Tech University Health Science Center Texas Tech University Health Science Center Texas Tech University Health Science Center Texas Tech University Health Science Center TAMUS Health Science Center UNTHSC at Fort Worth dba Unto Health Medical Recor University of Texas Health Center at Tyler University of Texas Health Science Center at Houston University of Texas MD Anderson Cancer Center University of Texas Medical Branch at Galveston UT Southwestern Medical Center UTHSCA dba UT Health Science Center at San Antonio Dallas County Hospital District Harris County Hospital District Tarrant County Hospital District University Medical Center - Radiology UMC EC Physicians University Associates dba PNS Clinic Scott Dahlbeck Carlos Torres MD University Health System (Bexar County) TAMUS Health Science Center Tarrant County Hospital District Lubbock County Hospital District Integrative Emergency Services Physician Group, P.A. Community Medicine Associates TAMUS Health Science Center Carlos Torres MD Scott Dahlbeck UMC EC Physicians University Associates dba PNS Clinic University Medical Center - Radiology RadCare of Texas PA Texas Higher Education Board Driscoll Children's Hospital University Health System (Bexar County) Jefferson County University Health System (Bexar County) Dallas County Hospital District Dallas County Hospital District Dallas County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District Bowie County Harris County Hospital District Jefferson County University Health System (Bexar County) Harris County Hospital District Dallas County Hospital District Dallas County Hospital District Hidalgo County Montgomery County Hospital District Dawson County Hospital District Hockley County Lockney Gen Hosp Dist (W.J. Mangold Mem Hosp) DM Cogdell Memorial Hospital dba Scurry County Crosby County Hospital District Travis County Hospital District Travis County Hospital District Travis County Hospital District Hidalgo County Webb County Titus County Hospital District Fairfield Hospital District Franklin County Red River General Hospital Authority Trinity Memorial Hospital Distrct Wood County Central Hospital District El Paso County Hospital District Maverick County Hospital District Dallas County Hospital District Palo Pinto General Hospital District Anson General Hospital Rolling Plains Memorial Hospital District Eastland Memorial Hospital District Graham Regional Medical Center (City of Graham) Hidalgo County Montgomery County Hospital District Webb County Hidalgo County Orange County Harris County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District Dallas County Hospital District Dallas County Hospital District University Health System (Bexar County) University Health System (Bexar County) Hidalgo County Titus County Hospital District Hopkins County Hospital District Titus County Hospital District Ector County Hospital District Midland County Hospital District Parmer County Hospital District Govt TIN 1756005139 7 010 1752606169 6 003 1752606169 6 003 1751452360 8 014 1752833823 3 000 1742795332 2 001 1751294432 7 000 1742822017 6 000 1742822017 6 000 1751241976 7 000 1751241976 7 000 1741684198 3 003 1751442393 2 000 1742951754 7 000 1741586031 5 000 1741586031 5 000 1752606169 6 003 1742951754 7 000 1742795332 2 001 1742795332 2 001 1751241976 7 000 1751532100 2 000 3739739739 1 019 1760032662 7 001 1751452360 8 014 1746000604 6 000 1741801332 6 002 1746000749 9 018 1741557491 6 001 1741761309 2 000 1742822017 6 000 1751294432 7 000 1751401776 7 014 1752833823 3 000 1752833823 3 000 1742944931 1 000 1756002868 4 003 1742577746 7 000 1752486120 4 000 1760454514 9 159 1756002868 4 003 1741612400 0 000 1756004221 4 002 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12 7 12 3 13 3 11 3 3 3 3 19 3 19 3 6 6 10 2 13 2 13 1 9 9 18 6 17 6 13 11 2 20 12 13 3 9 18 9 10 1 11 9 9 7 18 18 12 3 6 3 2 10 1 5 1 1 1 1 1 1 1 7 10 17 3 1 Affiliation Number 529-08-0236-00097 529-08-0236-00099 529-08-0236-00104 529-08-0236-00105 529-08-0236-00106 529-08-0236-00107 529-08-0236-00108 529-08-0236-00109 529-08-0236-00110 529-08-0236-00113 529-08-0236-00114 529-08-0236-00116 529-08-0236-00117 529-08-0236-00120 529-08-0236-00121 529-08-0236-00122 529-08-0236-00123 529-08-0236-00124 529-08-0236-00126 529-08-0236-00127 529-08-0236-00128 529-08-0236-00129 529-08-0236-00130 529-08-0236-00131 529-08-0236-00132 529-08-0236-00133 529-08-0236-00134 529-08-0236-00135 529-08-0236-00137 529-08-0236-00139 529-08-0236-00140 529-08-0236-00142 529-08-0236-00143 529-08-0236-00145 529-08-0236-00146 529-08-0236-00147 529-08-0236-00148 529-08-0236-00149 529-08-0236-00150 529-09-0125-00001 529-09-0125-00002 529-09-0125-00003 529-09-0125-00005 529-09-0125-00008 529-09-0125-00009 529-09-0125-00010 529-09-0125-00011 529-09-0125-00012 529-09-0125-00014 529-09-0125-00015 529-09-0125-00016 529-09-0125-00017 529-09-0125-00018 529-09-0125-00019 529-09-0125-00020 529-09-0125-00021 529-09-0125-00022 529-09-0125-00023 529-09-0125-00024 529-09-0125-00025 529-09-0125-00026 529-10-0065-00003 529-10-0065-00004 529-10-0065-00005 529-10-0065-00006 529-10-0065-00007 529-10-0065-00008 529-10-0065-00009 529-10-0065-00010 529-10-0065-00011 529-10-0065-00012 529-10-0065-00013 529-10-0065-00014 529-10-0065-00015 529-10-0065-00016 529-10-0065-00017 529-10-0065-00018 529-10-0065-00019 529-10-0065-00020 529-10-0065-00022 529-10-0065-00024 529-10-0065-00025 529-10-0065-00026 529-10-0065-00027 529-10-0065-00028 529-10-0065-00029 529-10-0065-00030 529-10-0065-00031 529-10-0065-00032 529-10-0065-00035 529-10-0065-00037 529-10-0065-00038 529-10-0065-00039 529-10-0065-00040 529-10-0065-00041 529-10-0065-00044 529-10-0065-00045 529-10-0065-00046 529-10-0065-00047 529-10-0065-00048 529-10-0065-00050 529-10-0065-00053 529-10-0065-00054 529-10-0065-00055 529-10-0065-00056 529-10-0065-00057 529-10-0065-00058 529-10-0065-00059 529-10-0065-00065 529-10-0065-00066 529-10-0065-00067 529-10-0065-00073 529-10-0065-00074 529-10-0065-00075 529-10-0065-00076 529-10-0065-00077 529-10-0065-00078 529-10-0065-00079 529-10-0065-00080 529-10-0065-00081 529-10-0065-00082 529-10-0065-00083 529-10-0065-00085 529-10-0065-00086 529-10-0065-00087 529-10-0065-00088 529-10-0065-00089 529-10-0065-00090 529-10-0065-00092 529-10-0065-00096 529-10-0065-00098 529-10-0065-00099 529-10-0065-00100 529-10-0065-00103 529-10-0065-00104 529-10-0065-00105 529-10-0065-00107 529-10-0065-00108 529-10-0065-00109 529-10-0065-00110 529-10-0065-00111 529-10-0065-00112 529-10-0065-00113 529-10-0065-00114 529-10-0065-00115 529-10-0065-00116 529-10-0065-00117 Program Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private TPI 020908201 136491104 094216102 020957901 112717702 094160102 181706601 163925401 207311601 189791001 112673204 121790303 121776204 137226005 139461107 139461107 139461107 131043506 094178302 121780403 133252005 020930601 112671602 020860501 094118902 184409401 111829102 138962907 197063401 094198102 138296208 136488705 136488705 127267603 135237906 135237906 135237906 138644310 192751901 094224503 094222902 094186602 112667403 138644310 138644310 138644310 138644310 206083201 140713201 112693002 137226005 137949705 135237906 135237906 139461107 094219502 094219502 094219502 140713201 140713201 137226005 137949705 094219502 140713201 110839103 094095902 137226005 137226005 130614405 135036506 127262703 020950401 094105602 094193202 136326908 127304703 120726804 112677302 135223905 136436606 139461107 186599001 139461107 178815001 179272301 146021401 138644310 178815001 020834001 137805107 146509801 135237906 020934801 135237906 146021401 297342201 279342201 186221101 112706003 137226005 094148602 137226005 020812601 094192402 111905902 171848801 297342201 020841501 297342201 137226005 138644310 094148602 162033801 126840107 137226005 148698701 094140302 112698903 127311205 121794503 094207002 138644310 020967801 209345201 094382101 020982701 193399601 281514401 212060201 204254101 192751901 094164302 131036903 094108002 094113001 094108002 127301306 127301306 127301306 141858401 141858401 141858401 176692501 094205401 127267603 152686501 130612806 TIN 1751047527 4 501 1621795572 9 002 1742781812 9 040 1742781812 9 045 1742781812 9 042 1742781812 9 044 1204835578 3 003 1270060569 9 007 1751003314 9 002 1203069241 7 000 1742323822 3 002 1751037591 2 009 1752586857 0 000 1752559845 8 501 1752765566 0 501 1752765566 0 501 1752765566 0 501 1752574581 0 000 1752682017 4 002 1743011840 0 003 1742425482 3 501 1621762521 5 000 1741385192 8 004 1621762360 8 004 1621754940 7 001 1205694301 7 000 1741109636 9 012 1741161944 2 004 1260328929 4 001 1760591592 9 005 1760591590 3 002 1741303720 5 012 1741303720 5 012 1741282696 2 501 1751912147 3 003 1751912147 3 003 1751912147 3 003 1750827446 5 324 1741152597 9 044 1752717545 3 004 1741109836 5 030 1232995413 0 501 1750974351 8 004 1750827446 5 324 1750827446 5 324 1750827446 5 324 1750827446 5 324 1262294680 9 002 1760545192 5 001 1621762476 2 003 1752559845 8 501 1741180155 2 000 1751912147 3 003 1751912147 3 003 1752765566 0 501 1760545192 5 008 1760545192 5 008 1760545192 5 008 1760545192 5 001 1760545192 5 001 1752559845 8 501 1741180155 2 000 1760545192 5 008 1760545192 5 001 1621762420 0 005 1751041154 3 015 1752559845 8 501 1752559845 8 501 1750972805 5 003 1751008430 8 016 1751777119 6 004 1621682201 1 001 1621682205 2 000 1621682202 9 005 1752770738 8 010 1751748586 2 003 1752678857 9 002 1756001743 0 011 1751844139 3 001 1742379530 5 002 1752765566 0 501 1741109643 5 007 1752765566 0 501 1203745677 4 003 1203662596 5 000 1741152597 9 036 1750827446 5 324 1203745677 4 003 1741152597 9 501 1741152597 9 064 1741152597 9 058 1751912147 3 003 1741152597 9 061 1751912147 3 003 1741152597 9 036 1454112042 5 002 1454112042 5 002 1750800661 0 011 1760591593 0 001 1752559845 8 501 1741303720 5 009 1752559845 8 501 1751803325 7 001 1621682210 2 002 1621682213 6 002 1820551704 0 000 1454112042 5 002 1621801361 9 003 1454112042 5 002 1752559845 8 501 1750827446 5 324 1741303720 5 009 1200175530 0 005 1200929321 3 000 1752559845 8 501 1752922928 2 000 1752771437 6 002 1621682207 8 005 1621682203 7 000 1751752253 2 004 1752770738 8 004 1750827446 5 324 1432008974 2 002 1750800661 0 014 1741109643 5 057 1752890358 0 007 1202848116 1 002 1264021016 2 000 1270565499 9 000 1742730328 8 025 1741152597 9 044 1621762558 7 001 1751977850 4 006 1750818167 8 002 1233069260 4 501 1750818167 8 009 1752771569 6 004 1752771569 6 004 1752771569 6 004 1751976930 5 007 1751976930 5 007 1751976930 5 007 1743019849 3 001 1751648589 7 000 1741282696 2 501 1760698013 8 004 1752715084 5 000 Provider Presbyterian Hospital Of Dallas (TX Health Resourc Southwest General Hospital St David's Hlthcare Partnership dba North Austin M St David's Hlthcare Partnership dba Round Rock Med St David's Hlthcare Partnership dba South Austin M St David's Hlthcare Partnership dba St David's Med St Joseph Medical Center LLC The Medical Center of Southeast Texas Wadley Regional Medical Center Walker County Hosp Corp. dba Huntsville Memorial Yoakum Community Hospital Baylor Medical Centers At Garland and McKinney dba Baylor Medical Center At Irving Shannon Medical Center Covenant Health System dba Covenant Medical Center Covenant Health System dba Covenant Medical Center Covenant Health System dba Covenant Medical Center Big Spring Hospital Corp. dba Scenic Mountain Medi Granbury Hospital Corp. dba Lake Granbury Medical South Texas Regional Medical Center Hill Regional Hospital Brownwood Regional Medical Center Brazosport Regional Health System College Station Medical Center DeTar Hospital (Victoria of Tx) Weatherford Tx Hosp Comp Weatherford Reg Med Ctr Providence Health Services of Waco dba Providence Hillcrest Baptist Medical Center GPCH LLC dba Golden Plains Community Hospital Christus Health Gulf Coast dba Christus St. John H Christus Hospital (prev St. Elizabeth) Baptist Hosp of SE TX Mem Hermann Baptist Orange Baptist Hosp of SE TX Mem Hermann Baptist Orange St. Joseph Regional Health Center United Regional Health Care System United Regional Health Care System United Regional Health Care System Hendrick Medical Center Memorial Hermann Hospital System dba Memorial Herm Big Bend Hosp Corp Big Bend Reg Medical Center Christus Spohn Hospital Alice Laredo Reg Med Ctr dba Doctor's Hospital of Laredo Harrison County Hospital Association dba Good Shep Hendrick Medical Center Hendrick Medical Center Hendrick Medical Center Hendrick Medical Center Preferred Hosp Leasing Junction Inc. dba Kimble Ho Methodist Willowbrook San Angelo Community Medical Center Shannon Medical Center The Methodist Hospital United Regional Health Care System United Regional Health Care System Covenant Health System dba Covenant Medical Center Methodist Sugar Land Methodist Sugar Land Methodist Sugar Land Methodist Willowbrook Methodist Willowbrook Shannon Medical Center The Methodist Hospital Methodist Sugar Land Methodist Willowbrook Longview Medical Center dba Longview Regional Medi The Good Shepherd Hospital dba Good Shepherd Medic Shannon Medical Center Shannon Medical Center Texas Health Arlington Memorial Hospital Baylor All Saints Medical Center Baylor Regional Medical Center at Grapevine Columbia Medical Ctr of Arlington dba Med Ctr Arli Columbia North Hills Hospital dba North Hills Hosp Columbia Plaza Medical Center of Fort Worth dba Pl Texas Health Harris Methodist HEB Harris Methodist Northwest Hosp (Azle) Harris Methodist Southwest Hospital Harris Methodist Fort Worth Hospital Baylor Medical Center at Waxahachie CHRISTUS Spohn Hospital Kleberg Covenant Health System dba Covenant Medical Center Seton Healthcare dba Dell Children's Medical Cente Covenant Health System dba Covenant Medical Center Signature Gulf Coast Hospital (prev Gulf Coast Med Preferred Hosp Leasing Eldorado, Inc. dba Schleich Memorial Hermann Hospital Sugar Land Hendrick Medical Center Signature Gulf Coast Hospital (prev Gulf Coast Med Memorial Hermann Hospital System (The Woodlands) Memorial Hermann Hospital Southwest dba Memorial H Memorial Hermann Hospital Katy United Regional Health Care System Memorial Hermann Hospital Memorial City United Regional Health Care System Memorial Hermann Hospital Sugar Land Nix Hospitals System LLC dba Nix Health Care Syste Nix Hospitals System LLC dba Nix Health Care Syste Methodist Hosp of Dallas Methodist Mansfield Med C CHRISTUS Health Southeast Texas dba Jasper Memoria Shannon Medical Center Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon Shannon Medical Center East Texas Medical Center Columbia Medical Center of Lewisville dba Medical Columbia Medical Center of Denton dba Denton Regio Baylor Regional Medical Center at Plano Nix Hospitals System LLC dba Nix Health Care Syste Conroe Regional Medical Center Nix Hospitals System LLC dba Nix Health Care Syste Shannon Medical Center Hendrick Medical Center Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon Laredo Texas Hospital Company LP dba Laredo Med Ct Preferred Hosp Leasing, Inc. dba Collingsworth Gen Shannon Medical Center Winnie Community Hospital Texas Health Presbyterian Hospital Kaufman dba Pre Columbia Medical Center of McKinney Columbia Medical Center of Plano LP-Medical Center Texas Health Harris Mehodist Hospital Stephenville Texas Health Presbyterian Hospital of Plano dba Pr Hendrick Medical Center Texas Health Presbyterian Hospital Denton Presbyte Methodist Hosp of Dallas dba Methodist Richardson Seton Healthcare dba Seton Shoal Creek Hospital Texas Health Presbyterian Hospital of Allen Rockwall Reg Hosp LLC dba Presbyterian Hosp Rockwa Lubbock Heritage Hospital dba Grace Medical Center Rice Medical Center Methodist Stone Oak Hospital Memorial Hermann Hospital System dba Memorial Herm Woodland Heights Medical Center Texas Health Harris Methodist Hospital Cleburne Mother Frances Hospital Regional Healthcare Center McAllen Hospitals LP dba Edinburg Regional Medical Mother Frances Hospital Regional Healthcare Center Mother Frances Hospital - Winnsboro Mother Frances Hospital - Winnsboro Mother Frances Hospital - Winnsboro Mother Frances Hospital - Jacksonville Mother Frances Hospital - Jacksonville Mother Frances Hospital - Jacksonville St. Mark's Medical Center Texas Health Specialty Hospital St. Joseph Regional Health Center Palacios Community Medical Center East Texas Medical Center, Jacksonville Contact Jack Roper Richard Gonzalez David Wilson David Wilson David Wilson David Wilson Patrick Mathews Mike Landry Mike Lieb Bob Gray Robert Foret Frederick Savelsbergh Frederick Savelsbergh Bryan Harner Gwen Stafford Gwen Stafford Gwen Stafford Dave Medley Dave Medley Dave Medley Dave Medley Dave Medley Daniel L Buche Dave Medley Dave Medley Dave Medley Cheryl Sadro Richard Perkins Dennis Jack Patrick Carrier Ellen Jones Jarren D. Garrett Jarren D. Garrett Gentry Woodard Bob Pert Bob Pert Bob Pert Stephen Kimmel Jeff Brownawell Mike Ellis Scott Merryman Elmo Lopez Russell J. Collier Stephen Kimmel Stephen Kimmel Stephen Kimmel Stephen Kimmel Angharad Rees Bret Curran Brad Holland Bryan Harner Bret Curran Bob Pert Bob Pert Gwen Stafford Bret Curran Bret Curran Bret Curran Bret Curran Bret Curran Bryan Harner Bret Curran Bret Curran Bret Curran Jim Kendrick Edward D. Banos Bryan Harner Bryan Harner Kirk King Steven R. Newton T. Douglas Lawson Thomas O. Corley Thomas O. Corley Thomas O. Corley Deborah A. Paganelli Barley Berdan Brett S. McClung Oscar L. Amparan Jay Fox Paul M Trevino Gwen Stafford Charles Barnett Gwen Stafford Randy Slack Sharon Diez Jeff Brownawell Stephen Kimmel Randy Slack Jeff Brownawell Jeff Brownawell Daniel J Wolterman Bob Pert Jeff Brownawell Bob Pert Jeff Brownawell John Strieby John Strieby Laura L. Irvine Deborah Wiegand, RN Bryan Horner David Parmer Bryan Horner Byron Hale Doug Welch Caleb O'Rear Title Sr. Vice President/Finance Chief Executive Officer Chief Financial Officer Chief Financial Officer Chief Financial Officer Chief Financial Officer Chief Administrative Officer Chief Executive Officer EVP/COO-Interim CEO Chief Financial Officer Chief Financial Officer Senior Vice President of Hospital Finance Senior Vice President of Hospital Finance President/CEO Vice President Vice President Vice President Vice President, Group II Operations Vice President, Group II Operations Vice President, Group II Operations Vice President, Group II Operations Vice President, Group II Operations Chief Executive Officer Vice President, Group II Operations Vice President, Group II Operations Vice President, Group II Operations Senior Vice-President, CFO Executive Vice President & CFO Chief Executive Officer Chief Executive Officer Chief Executive Officer Interim Administrator Interim Administrator Director of Legislative Affairs and Grants CFO CFO CFO Senior Vice President and CFO Chief Revenue Officer Chief Executive Officer Chief Executive Officer Chief Executive Officer FACHE President/CEO Senior Vice President and CFO Senior Vice President and CFO Senior Vice President and CFO Senior Vice President and CFO Chief Executive Officer Senior Vice President, Billings, Collections & Insurance Chief Executive Officer President/CEO Senior Vice President, Billings, Collections & Insurance CFO CFO Vice President Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance President/CEO Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Chief Executive Officer Chief Executive Officer President/CEO President/CEO John Strieby Maura Walsh John Strieby Bryan Harner Stephen Kimmel David Parmer Abe Martinez Candy Powell Bryan Harner Shalia Hampton Ron Long Thomas O. Corley Thomas O. Corley Jack Roper Philip M. Wentworth Stephen Kimmel Stan C. Morton Richard L. Boring Charles Barnett Sheila A. McKinney Kenneth R. Teel Charley Trimble Jim Janek President and Chief Executive Officer Senior Vice President President and Chief Executive Officer President/CEO Senior Vice President and CFO Chief Executive Officer Chief Executive Officer Administrator President/CEO Chief Executive Officer CFO Vice President Vice President Senior Vice President of Finance FACHE President Senior Vice President and CFO Chief Executive Officer President/CEO President and Chief Executive Officer President President President Jeff Brownawell Lance Jones Jack Roper William L. Bellenfant Douglas A. Matney William L. Bellenfant William L. Bellenfant William L. Bellenfant William L. Bellenfant William L. Bellenfant William L. Bellenfant William L. Bellenfant Nathan Staggs Louise Baldwin Jr Gentry Woodard Kathy Nichols Jack R. Endres, J.D. Chief Revenue Officer Chief Executive Officer Senior Vice President of Finance CFO Group Director CFO CFO CFO CFO CFO CFO CFO Chief Executive Officer FACHE President/CNO Director of Legislative Affairs and Grants Co-administrator FACHE Administrator FACHE President President Vice President Vice President Vice President CHE President Senior Executive Vice President System FACHE President FACHE President CHE President Executive Vice President/Administrator Vice President President and Chief Executive Officer Vice President CEO Administrator/CEO Chief Revenue Officer Senior Vice President and CFO CEO Chief Revenue Officer Chief Revenue Officer President and Chief Executive Officer CFO Chief Revenue Officer CFO Chief Revenue Officer President and Chief Executive Officer President and Chief Executive Officer FACHE President Administrator/CEO President/CEO Chief Executive Officer President/CEO Sr. Vice President/CFO FACHE Chief Executive Officer Chief Executive Officer Phone (817) 462-6260 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531-4556 (903) 531-4556 817-250-5500 979-776-2458 (361) 972-2511 903-541-5000 979-731-8976 (940) 764-3352 (940) 764-3352 (940) 764-3352 (325) 670-2209 (713) 448-5431 432-837-0330 (361) 884-7276 (956) 523-2836 903-315-2479 (325) 670-2209 (325) 670-2209 (325) 670-2209 (325) 670-2209 325-446-3769 (832) 667-5903 (325) 947-6550 (325) 658-8295 (832) 667-5903 (940) 764-3352 (940) 764-3352 (806) 723-7361 (832) 667-5903 (832) 667-5903 (832) 667-5903 (832) 667-5903 (832) 667-5903 (325) 658-8295 (832) 667-5903 (832) 667-5903 (832) 667-5903 903-758-5176 903-315-2479 (325) 658-8295 (325) 658-8295 Email jackroper@texashealth.org RDGonzalez@iasishealthcare.com david.wilson@stdavids.com david.wilson@stdavids.com david.wilson@stdavids.com david.wilson@stdavids.com patrick.mathews@hosptialpartners.com Mlandry@iasisihealthcare.com mlieb@wasleyhealth.com bob.gray@huntsvillememorial.com rforet@yoakumhospital.org fredsa@baylorhealth.edu fredsa@baylorhealth.edu bryanhorner@shannonhealth.org gstafford@covhs.org gstafford@covhs.org gstafford@covhs.org dave_medley@chs.net dave_medley@chs.net dave_medley@chs.net dave_medley@chs.net dave_medley@chs.net dave_medley@chs.net dave_medley@chs.net dave_medley@chs.net csadro@phn-waco.org rperkins@hillcrest.net ceogpch@goldenplains.org patrick.carrier@christushealth.org ellen.jones@christushealth.org jarren.garrett@mhbh.org jarren.garrett@mhbh.org gwoodard@st-joseph.org bpert@urhcs.org bpert@urhcs.org bpert@urhcs.org skimmel@hendrickhealth.org jeffrey.brownawell@memorialhermann.org scott.merryman@christushealth.org elmo.lopez@uhsinc.com RCollier@gsmcmarshall.org skimmel@hendrickhealth.org skimmel@hendrickhealth.org skimmel@hendrickhealth.org skimmel@hendrickhealth.org bcurran@tmhs.org brad.holland@sacmc.com bryanhorner@shannonhealth.org 817-250-5508 979-731-8976 903-541-5088 Phys State Phys Zip 901 West Ben White Blvd Austin TX 2555 Jimmy Johnson Blvd Port Arthur TX 1200 Carl Ramert Drive Yoakum TX 1901 N. MacArthur Blvd Irving TX 1601 West Eleventh Place Big Spring TX 1501 Burnet Drive Brownwood TX 1900 Pine Street Abilene TX 2500 East Main Alice TX 811 South Washington 1900 Pine Street 1900 Pine Street 1900 Pine Street Marshall Abilene Abilene Abilene TX TX TX TX 349 Reid Rd 18220 Tomball Parkway Junction Houston TX TX bcurran@tmhs.org bcurran@tmhs.org bryanhorner@shannonhealth.org 18220 Tomball Parkway 18220 Tomball Parkway Houston Houston TX TX bcurran@tmhs.org jim_kendrick@chs.net 18220 Tomball Parkway Houston TX 800 W. Randol Mill Road 1400 8th Avenue Arlington Fort Worth TX TX 1600 Hospital Parkway Bedford TX 1301 Pennsylvania Avenue Fort Worth TX 1201 West 38Th Street Austin TX PO Box V 9401 SW Frwy, Ste 337 900 Pine Street Eldorado Sugar Land Abilene TX TX TX 6411 Fannin 6411 Fannin 23900 Katy Freeway Houston Houston Katy TX TX TX 921 Gessner Road 1600 Tenth Street Houston Wichita Falls TX TX bryanhorner@shannonhealth.org bryanhorner@shannonhealth.org kirkking@texashealth.org gstafford@covhs.org cbarnett@seton.org gstafford@covhs.org randy.slack@signaturehospital.com jeffrey.brownawell@memorialhermann.org skimmel@hendrickhealth.org randy.slack@signaturehospital.com jeffrey.brownawell@memorialhermann.org jeffrey.brownawell@memorialhermann.org Dan.Wolterman@memorialhermann.org bpert@urhcs.org jeffrey.brownawell@memorialhermann.org bpert@urhcs.org jeffrey.brownawell@memorialhermann.org jfs@nixhealth.com jfs@nixhealth.com Mansfield bryanhorner@shannonhealth.org david.parmer@mhbh.org bryanhorner@shannonhealth.org bhale@etmc.org bonnie.knapper@hcahealthcare.com jfs@nixhealth.com maura.walsh@hcahealthcare.com jfs@nixhealth.com bryanhorner@shannonhealth.org skimmel@hendrickhealth.org david.parmer@mhbh.org abe_martinez@chs.net 2700 E. Broad Street 3080 College St. Mansfield Beaumont 1000 South Beckham Avenue TX TX TX 1900 Pine 3080 College St. Abilene Beaumont TX TX 1014 15th St Wellington TX ronlong@texashealth.org thomas.corley@hcahealthcare.com thomas.corley@hcahealthcare.com jackroper@texashealth.org 612 E Lamar Blvd Arlington TX skimmel@hendrickhealth.org 1900 Pine Street 3000 North I-35 Abilene Denton TX TX cbarnett@seton.org 3501 Mills Avenue Austin TX 3150 Horizon Road Rockwall TX 600 South Austin Road Eagle Lake TX bryanhorner@shannonhealth.org jjanek@ricemedicalcenter.net (956) 289-2002 Phys City bpert@urhcs.org bpert@urhcs.org gstafford@covhs.org 817-927-6226 817-329-2667 972-981-8111 (325) 670-2209 940-898-7071 972-498-4883 (512) 459-5629 972-747-6099 469-698-1501 Phys Addr jeffrey.brownawell@memorialhermann.org jackroper@texashealth.org bellenb@tmfhs.org doug.matney@uhsrgv.com bellenb@tmfhs.org bellenb@tmfhs.org bellenb@tmfhs.org bellenb@tmfhs.org bellenb@tmfhs.org bellenb@tmfhs.org bellenb@tmfhs.org gwoodard@st-joseph.org Mail Addr 8200 Walnut Hill Lane 7400 Barlite Blvd 12221 Mopac Expwy N 2400 Round Rock Avenue 787052703 PO Box 406176 919 East 32nd St 1401 St. Joseph Parkway 77640 PO Box 846381 1000 Pine Street PO Box 731065 77995 PO Box 753 2300 Marie Courie Blvd 752840000 PO Box 841590 120 East Harris Ave. 3615 19th Street 3615 19th Street 3615 19th Street 79720 PO Box 844854 1310 Paluxy Road 1905 Highway 97 E 101 Circle Drive 76804 PO Box 760 100 Medical Drive 1604 Rock Prairie PO Box 2089 713 Anderson Street 6901 Medical Parkway 100 Hillcrest Medical Blvd 200 S. McGee 18300 St John Drive 2830 Calder Avenue 608 Strickland Drive 608 Strickland Drive 2801 Franciscan Drive 1600 Tenth Street 1600 Tenth Street 1600 Tenth Street 79602 1242 N 19th St 9401 SW Frwy, Ste 337 2600 Hwy 118 N 78332 700 Flournoy Rd 10700 McPhearson Rd 75670 PO Box 1599 79601 1242 N 19th St 796010000 1242 N 19th St 79601 1242 N 19th St 1242 N 19th St 76849 120 W. MacArthur Street, Suite 121 77070 PO Box 4755 3501 Knickerbocker 120 East Harris Ave. 6565 Fannin 1600 Tenth Street 1600 Tenth Street 3615 19th Street 16655 Southwest Freeway 16655 Southwest Freeway 16655 Southwest Freeway 77070 PO Box 4755 77070 PO Box 4755 120 East Harris Ave. 6565 Fannin 16655 Southwest Freeway 77070 PO Box 4755 2901 N. 4th Street PO Box 14000 700 East Marshall Ave 120 East Harris Ave. 120 East Harris Ave. PO Box 910818 76101 PO Box 848108 1650 West College 3301 Matlock Road 4401 Booth Calloway Road 900 Eighth Avenue 6th Floor 612 E Lamar Blvd 6th Floor 108 Denver Trail 6100 Harris Parkway 76191 PO Box 916063 1405 W Jefferson 1311 East General Cavazos Blvd 3615 19th Street 78705 PO Box 2301 3615 19th Street 1400 US Highway 59 Loop N 76834 120 W. MacArthur Street, Suite 121 77074 PO Box 201367 79601 1242 N 19th St 1400 US Highway 59 Loop N 77030 9494 Southwest Fwy Ste 600 77030 9301 Southwest Fwy Suite 600 77494 1600 Tenth Street 77030 9301 Southwest Fwy Suite 600 76301 1600 10th St 6411 Fannin 414 Navarro Street Ste 600 414 Navarro Street Ste 600 76063 PO Box 655999 1275 Marvin Hancock Drive 120 East Harris Ave. 77701 PO Box 974599 120 East Harris Ave. 75701 PO Box 6400 500 West Main Street 3535 South I-35 East 4700 Alliance Blvd 414 Navarro Street Ste 600 504 Medical Center Blvd 414 Navarro Street Ste 600 120 East Harris Ave. 79601 1242 N 19th St 77701 PO Box 974599 1700 E Saunders St 79095 PO Box 1112 120 East Harris Ave. 538 Broadway 76011 850 Ed Hall Dr 4500 Medical Center Drive 3901 West 15th Street 411 N. Belknap 6200 West Parker Road 79601 1242 N 19th St 762010000 PO Box 731467 401 W. Campbell Road 78705 PO Box 47953 612 E. Lamar, 6th Floor 75032 401 E Corporate Dr Ste 290 2412 50th Street 774340000 PO Box 277 1139 East Sonterra Blvd. 9401 SW Frwy, Ste 337 505 South John Redditt Drive 612 E. Lamar, 6th Floor 1021 E. Idel 1102 W Trenton Rd 1021 E. Idel 1021 E. Idel St 1021 E. Idel St 1021 E. Idel St 1021 E. Idel St 1021 E. Idel St 1021 E. Idel St 1 Sain Marks Place 612 E. Lamar, 6th Floor 2801 Franciscan Drive 311 Green Avenue 501 South Ragsdale Mail City Dallas San Antonio Austin Round Rock Atlanta Austin Houston Dallas Texarkana Huntsville Yoakum Garland Irving San Angelo Lubbock Lubbock Lubbock Big Spring Granbury Jourdanton Hillsboro Brownwood Lake Jackson College Station Victoria Weatherford Waco Waco Borger Nassau Bay Beaumont Orange Orange Bryan Wichita Falls Wichita Falls Wichita Falls Abilene Houston Alpine Alice Laredo Marshall Abilene Abilene Abilene Abilene Shawnee Houston San Angelo San Angelo Houston Wichita Falls Wichita Falls Lubbock Sugar Land Sugar Land Sugar Land Houston Houston San Angelo Houston Sugar Land Houston Longview Longview San Angelo San Angelo Dallas Dallas Grapevine Arlington North Richland Hills Fort Worth Arlington Azle Fort Worth Fort Worth Waxahachie Kingsville Lubbock Austin Lubbock Wharton Shawnee Houston Abilene Wharton Houston Houston 9301 Southwest Fwy Suite 600 Wichita Falls Houston Wichita Falls Houston San Antonio San Antonio Mansfield Jasper San Angelo Dallas San Angelo Tyler Lewisville Denton Plano San Antonio Conroe San Antonio San Angelo Abilene Dallas Laredo Wellington San Angelo Winnie Kaufman McKinney Plano Stephenville Plano Abilene Dallas Richardson San Antonio Arlington Lewisville Lubbock Eagle Lake San Antonio Houston Lufkin Arlington Tyler Edinburg Tyler Tyler Tyler Tyler Tyler Tyler Tyler La Grange Arlington Bryan Palacios Jacksonville Mail State TX TX TX TX GA TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX OK TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX OK TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX Mail Zip 752314426 782241308 787582401 786814004 303846176 787052703 770028301 752846381 755015100 753731065 779950753 750425706 752841590 769035904 794101203 794101203 794101203 797204854 760485655 780261504 766452670 768040760 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District Parker County Hospital District McLennan County McLennan County Hutchinson County Hospital District Hutchinson County Hospital District Hutchinson County Hospital District Hutchinson County Hospital District Walker County Hospital District Brazos County Treasurer Clay County Hospital District Nocona General Hospital District Wilbarger General Hospital District McCulloch County Hospital District Harris County Hospital District Big Bend Regional Hospital District Jim Wells County Maverick County Hospital District Harrison County Concho County Hospital District Mitchell County Hospital District DM Cogdell Memorial Hospital dba Scurry County Stamford Memorial Hospital (Stamford Memorial Hospital District Kimble County Hospital District Gonzales County Hospital District Tom Green County Ballinger Memorial Hospital District Gonzales County Hospital District Graham Regional Medical Center (City of Graham) Olney-Hamilton Hospital District Plains Memorial Hospital Disproportionate Share Account (Castro County) Gonzales County Hospital District Angleton-Danbury Hospital District Chambers County Hospital District Angleton-Danbury Hospital District Chambers County Hospital District Tom Green County Jackson County Hospital District Jackson County Hospital District Jackson County Hospital District Gregg County Gregg County McCulloch County Hospital District Concho County Hospital District Tarrant County Hospital District Tarrant County Hospital District Tarrant County Hospital District Tarrant County Hospital District Tarrant County Hospital District Tarrant County Hospital District Tarrant County Hospital District Tarrant County Hospital District Tarrant County Hospital District Tarrant County Hospital District Dallas County Hospital District Kleberg County Parmer County Hospital District Travis County Hospital District Crosby County Hospital District Sweeny Hospital District Schleicher County Medical Center Harris County Hospital District Haskell County Hospital District Childress County Hospital District dba Childress Regional Medical Center Walker County Hospital District Walker County Hospital District Walker County Hospital District Jack County Hospital District Walker County Hospital District Seymour Hospital (Baylor County HD) Walker County Hospital District Dimmit County Memorial Hospital Uvalde County Hospital Authority Tarrant County Hospital District Jasper Hospital District Coleman County Medical Center Rice Hospital District Fisher County Hospital District Houston County Hospital District Dallas County Hospital District Dallas County Hospital District Dallas County Hospital District Frio Hospital District Galveston County Medina County Hospital District dba Medina Regional Hospital Reagan Memorial Hospital District Stephens Memorial Hospital dba Stephens County Emergency Medic Winnie-Stowell Hospital District Zapata County Collingsworth Hospital District Schleicher County Medical Center Winnie-Stowell Hospital District Dallas County Hospital District Dallas County Hospital District Dallas County Hospital District Tarrant County Hospital District Dallas County Hospital District Fisher County Hospital District Dallas County Hospital District Dallas County Hospital District Travis County Hospital District Dallas County Hospital District Dallas County Hospital District Lynn County Hospital District Rice Hospital District University Health System (Bexar County) Walker County Hospital District Sabine County Hospital District Tarrant County Hospital District Gainesville Hospital District Maverick County Hospital District Decatur Hospital Authority dba Wise Regional Health System Gainesville Hospital District Decatur Hospital Authority dba Wise Regional Health System Hopkins County Hospital District Gainesville Hospital District Hopkins County Hospital District Decatur Hospital Authority dba Wise Regional Health System Fayette County Tarrant County Hospital District Burleson County Hospital District Matagorda County Hospital District Atlanta Hospital Authority Govt TIN 1756004221 4 002 1746002164 9 501 1061730907 4 000 1746000978 4 000 1061730907 4 000 1061730907 4 000 1741536936 6 324 1746000291 2 052 1756000829 8 003 1742086610 9 000 1742503806 8 555 1756004221 4 002 1756004221 4 002 1756000895 9 016 1752668014 9 000 1751228349 4 002 1756001212 6 009 1751288684 1 002 1751288684 1 002 1751288684 1 002 1751288684 1 002 1751288684 1 002 1746025069 3 001 1751288684 1 002 1751288684 1 002 1751288684 1 002 1746002492 4 055 1746002492 4 055 1752292467 3 001 1752292467 3 001 1752292467 3 001 1752292467 3 001 1742086610 9 000 1746000433 0 038 1756000727 4 001 1751368648 9 001 1756047638 8 000 1741791441 7 004 1741536936 6 324 1752717545 3 005 1746000015 5 555 1746000705 1 003 1756000988 2 019 1751297735 0 002 1751246488 8 000 1752403687 2 002 1751315205 2 004 1741622343 0 001 1741625013 6 501 1756001184 7 030 1752312009 9 001 1741625013 6 501 1751919268 0 501 1756001727 3 001 1756003939 2 501 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001 1741616578 9 002 1611500560 1 555 1756004221 4 002 1756004221 4 002 1756004221 4 002 1756000439 6 324 1756004221 4 002 1751433495 6 012 1756004221 4 002 1756004221 4 002 1061730907 4 000 1756004221 4 002 1756004221 4 002 1751328354 3 001 1760487947 2 002 1746002164 9 501 1742086610 9 000 1751656334 7 003 1756000439 6 324 1751091664 0 000 1746000705 1 003 1751250450 1 003 1751091664 0 000 1751250450 1 003 1756001812 3 002 1751091664 0 000 1756001812 3 002 1751250450 1 003 1746001544 3 005 1756000439 6 324 1741820731 6 555 1746025069 3 001 1237033240 0 005 Hospital Affiliations RHP 16 16 3 3 17 17 16 16 17 3 17 12 19 2 10 8 6 5 5 5 17 19 6 4 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 10 2 2 12 17 17 17 3 3 17 3 3 3 3 13 13 12 9 3 3 3 15 10 1 1 1 1 1 1 1 1 1 3 3 4 10 11 11 19 12 11 12 12 12 12 12 12 12 12 18 14 4 11 15 6 3 15 6 9 13 12 19 7 10 14 8 11 4 17 4 8 7 8 8 8 8 8 8 8 8 11 12 8 6 5 17 16 4 12 11 5 Affiliation Number 529-10-0065-00118 529-10-0065-00119 529-10-0065-00120 529-10-0065-00121 529-10-0065-00122 529-10-0065-00123 529-10-0065-00124 529-10-0065-00125 529-10-0065-00126 529-10-0065-00127 529-10-0065-00128 529-11-0037-00032 529-11-0067-00001 529-11-0067-00002 529-11-0067-00005 529-11-0067-00009 529-11-0067-00010 529-11-0067-00011 529-11-0067-00012 529-11-0067-00013 529-11-0067-00014 529-11-0067-00015 529-11-0067-00016 529-11-0067-00017 529-11-0067-00018 529-11-0067-00019 529-11-0067-00020 529-11-0067-00021 529-11-0067-00022 529-11-0067-00023 529-11-0067-00024 529-11-0067-00025 529-11-0067-00026 529-11-0067-00027 529-11-0067-00028 529-11-0067-00029 529-11-0067-00030 529-11-0067-00031 529-11-0067-00033 529-11-0067-00035 529-11-0067-00036 529-11-0067-00037 529-11-0067-00038 529-11-0067-00039 529-11-0067-00040 529-11-0067-00041 529-11-0067-00042 529-11-0067-00043 529-11-0067-00044 529-11-0067-00045 529-11-0067-00046 529-11-0067-00047 529-11-0067-00048 529-11-0067-00049 529-11-0067-00050 529-11-0067-00051 529-11-0067-00052 529-11-0067-00053 529-11-0067-00054 529-12-0049-00001 529-12-0049-00002 529-12-0049-00003 529-12-0049-00004 529-12-0049-00005 529-12-0049-00006 529-12-0049-00007 529-12-0049-00008 529-12-0049-00009 529-12-0049-00010 529-12-0049-00011 529-12-0049-00012 529-12-0049-00013 529-12-0049-00014 529-12-0049-00015 529-12-0049-00016 529-12-0049-00017 529-12-0049-00018 600-12-0000-00001 600-12-0000-00002 600-12-0000-00006 600-12-0000-00007 600-12-0000-00008 600-12-0000-00010 600-12-0000-00011 600-12-0000-00012 600-12-0000-00019 600-12-0000-00021 600-12-0000-00022 600-12-0000-00023 600-12-0000-00024 600-12-0000-00025 600-12-0000-00027 600-12-0000-00028 600-12-0000-00029 600-12-0000-00030 600-12-0000-00031 600-12-0000-00032 600-12-0000-00033 600-12-0000-00034 600-12-0000-00035 600-12-0000-00036 600-12-0000-00037 600-12-0000-00038 600-12-0000-00039 600-12-0000-00040 600-12-0000-00042 600-12-0000-00043 600-12-0000-00044 600-12-0000-00045 600-12-0000-00046 600-12-0000-00047 600-12-0000-00048 600-12-0000-00049 600-12-0000-00050 600-12-0000-00051 600-12-0000-00052 600-12-0000-00053 600-12-0000-00054 600-12-0000-00055 600-12-0000-00056 600-12-0000-00057 600-12-0000-00058 600-12-0000-00059 600-12-0000-00060 600-12-0000-00061 600-12-0000-00062 600-12-0000-00063 600-12-0000-00064 600-12-0000-00065 600-12-0000-00066 600-12-0000-00067 600-12-0000-00068 600-12-0000-00069 600-12-0000-00070 600-12-0000-00071 600-12-0000-00072 600-12-0000-00074 600-12-0000-00075 600-12-0000-00076 600-12-0000-00077 600-12-0000-00078 600-12-0000-00079 600-12-0000-00080 600-12-0000-00082 600-12-0000-00083 600-12-0000-00084 600-12-0000-00085 Program Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private TPI 137075109 111829102 127300503 127300503 160630301 160630301 137075109 111829102 160630301 127300503 127267603 127319504 135237906 094148602 112701102 194106401 127294003 292096901 094113001 292096901 127267603 135237906 121780403 094118902 127319504 127319504 127319504 127319504 127319504 127319504 127319504 127319504 127319504 127319504 127319504 127319504 127319504 127319504 127319504 138910807 138910807 138910807 138910807 138910807 138910807 138910807 138910807 138910807 138910807 138910807 138910807 138910807 138910807 138910807 138910807 138910807 314080801 139172412 139172412 322879301 112724302 020841501 210274101 127300503 201331001 160630301 137962006 094219502 137949705 140713201 137226005 137226005 139461107 195018001 219386401 281028501 281219001 291854201 121822403 127301306 141858401 094108002 208843701 020812601 130612806 127301306 208843701 130612806 131044305 139135109 094222902 094178302 138644310 138644310 135237906 322879301 138644310 137245009 137245009 127319504 139461107 139461107 139461107 139461107 139461107 169553801 112711003 094118902 138644310 196829901 020844901 112718503 133245406 217884001 138910807 137226005 139461107 135237906 307459301 131036903 131043506 094119702 020930601 094118902 020860501 094118902 094119702 121789503 190123302 183086102 094151004 137249208 021215102 220798701 220798701 149073203 138644310 281514401 192622201 127294003 160709501 127267603 137075109 094118902 133258705 281406301 294543801 TIN 1741546619 6 012 1741109636 9 012 1741161938 4 009 1741161938 4 009 1760536234 6 005 1760536234 6 005 1741546619 6 012 1741109636 9 012 1760536234 6 005 1741161938 4 009 1741282696 2 501 1752428911 7 002 1751912147 3 003 1741303720 5 009 1621762428 3 002 1741109643 5 090 1742557820 4 000 1741385476 5 016 1233069260 4 501 1741385476 5 016 1741282696 2 501 1751912147 3 003 1743011840 0 003 1621754940 7 001 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1452694620 8 000 1750755367 9 023 1750755367 9 023 1750800669 3 012 1621619857 8 002 1621801361 9 003 1300427437 2 002 1741161938 4 009 1204326467 5 000 1760536234 6 005 1741287015 0 003 1760545192 5 008 1741180155 2 007 1760545192 5 001 1752559845 8 501 1752559845 8 501 1752765566 0 501 1208889358 6 002 1263734516 1 000 1760545192 5 009 1273280598 6 001 1263075429 4 000 1621789402 7 001 1752771569 6 004 1751976930 5 007 1750818167 8 002 1264123728 9 000 1751803325 7 001 1752715084 5 000 1752771569 6 004 1264123728 9 000 1752715084 5 000 1452856063 5 001 1741100555 0 501 1741109836 5 030 1752682017 4 002 1750827446 5 324 1750827446 5 324 1751912147 3 003 1750800669 3 012 1750827446 5 324 1232238976 3 501 1232238976 3 501 1752428911 7 002 1752765566 0 501 1752765566 0 501 1752765566 0 501 1752765566 0 501 1752765566 0 501 1460477873 9 004 1621795574 5 001 1621754940 7 001 1750827446 5 324 1954537720 2 008 1741109665 8 501 1742129954 0 005 1954537720 2 003 1741246263 6 000 1750800628 9 324 1752559845 8 501 1752765566 0 501 1751912147 3 003 1461185754 2 000 1751977850 4 006 1752574581 0 000 1742225672 1 000 1621762521 5 000 1621754940 7 001 1621762360 8 004 1621754940 7 001 1742225672 1 000 1742575462 3 010 1203749695 2 002 1205220791 2 010 1741109643 5 009 1741166904 1 324 1201915868 7 001 1273026151 3 000 1273026151 3 000 1742225672 1 007 1750827446 5 324 1264021016 2 000 1203904667 2 000 1742557820 4 000 1742802643 3 002 1741282696 2 501 1741546619 6 012 1621754940 7 001 1752246348 2 000 1273993262 7 000 1770634227 0 000 Provider Goodall-Witcher Hospital Providence Hlth Srvs of Waco dba St. Catherine Ctr St. Luke's Episcopal Hospital St. Luke's Episcopal Hospital St. Luke's Community Health Srvs (The Woodlands) St. Luke's Community Health Srvs (The Woodlands) Goodall-Witcher Hospital Providence Health Services of Waco dba Providence St. Luke's Community Health Srvs (The Woodlands) St. Luke's Episcopal Hospital St. Joseph Regional Health Center Methodist Children's Hosp dba Covenant Children's United Regional Health Care System Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon Navarro Hospital, L.P., dba Navarro Regional Hospi Seton Heatlhcare Sid Peterson Memorial Hospital dba Peterson Region Valley Baptist Medical Center (Harlingen) McAllen Hospitals LP dba Edinburg Regional Medical Valley Baptist Medical Center (Harlingen) St. Joseph Regional Health Center United Regional Health Care System Jourdanton Hospital Corp. dba South Texas Regional Victoria of Texas dba DeTar Hospital Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Huguley Memorial Medical Center Memorial Medical Center - Lufkin dba Memorial Heal Memorial Medical Center - Lufkin dba Memorial Heal Baptist St. Anthony's Health System KPH Consolidation Inc dba Kingwood Medical Center Conroe Regional Medical Center St. Luke's Lakeside Hospital St. Luke's Episcopal Hospital St. Luke's Sugar Land Hospital Partnership LLP dba St. Luke's Community Health Srvs (The Woodlands) San Jacinto Methodist Hospital Methodist Sugar Land Houston Methodist Hospital Methodist Willowbrook Hospital Shannon Medical Center Shannon Medical Center Covenant Health System dba Covenant Medical Center Baylor Medical Center at Carrollton St. Luke's Hospital at the Vintage Methodist West Houston Hospital St. Luke's Patients Medical Center El Paso Children's Hospital PRHC-Ennis, L.P. dba Ennis Regional Medical Center Mother Frances Hospital - Winnsboro Mother Frances Hospital - Jacksonville Mother Frances Hospital Regional Healthcare Center East Texas Medical Center Henderson East Texas Medical Center East Texas Medical Center, Jacksonville Mother Frances Hospital - Winnsboro East Texas Medical Center Henderson East Texas Medical Center, Jacksonville Tomball Texas Hospital Company, LLC dba Tomball Re Texas Children's Hospital Christus Spohn Hospital Alice Granbury Hospital Corp. dba Lake Granbury Medical Hendrick Medical Center Hendrick Medical Center United Regional Health Care System Baptist St. Anthony's Health System Hendrick Medical Center UHS @ Amarillo Inc dba Northwest Texas Healthcare UHS @ Amarillo Inc dba Northwest Texas Hospital Methodist Children's dba Covenant Children's Hospi Covenant Health System dba Covenant Medical Center Covenant Health System dba Covenant Medical Center Covenant Health System dba Covenant Medical Center Covenant Health System dba Covenant Medical Center Covenant Health System dba Covenant Medical Center Tenet Frisco Ltd dba Centennial Medical Center Odessa Regional Medical Center Victoria of Texas dba DeTar Hospital Hendrick Medical Center Sierra Providence East Medical Center CHRISTUS Santa Rosa Health Care New Medical Horizons Ltd dba Cypress Fairbanks Med Tent Hospital Limited dba Sierra Medical Center Dimmit County Memorial Hospital Children's Medical Center of Dallas Shannon Medical Center Covenant Health System dba Covenant Medical Center United Regional Health Care System Community Care Collaborative Texas Health Harris Methodist Hospital Cleburne Big Spring Hosp Corp dba Scenic Mtn Medical Cntr Metroplex Health System Brownwood Regional Medical Centerl Victoria of Texas dba DeTar Hospital College Station Medical Center Victoria of Texas dba DeTar Hospital Metroplex Health System Central Texas Medical Center Scott & White Healthcare- Round Rock Rockdale Blackhawk, LLC dba Little River Healthcar Seton Highland Lakes Scott & White Memorial Hospital c/o State Comp Dep HMIH Cedar Crest LLC dba Cedar Crest Hospital & RT Scott & White Hospital - Llano Scott & White Hospital - Llano Rollins Brook Community Hospital Hendrick Medical Center Lubbock Heritage Hospital dba Grace Medical Center Cedar Park Health System, LP dba Cedar Park Region Sid Peterson Memorial Hospital dba Peterson Region Doctor's Hospital at Renaissance St. Joseph Regional Health Center Goodall-Witcher Healthcare Foundation Administrati DeTar Hospital Methodist Hosp Levelland dba Covenant Hosp Levella Comanche County Medical Center Company Valley Baptist Medical Center - Brownsville Contact Clarence Fields Jr. Kent A. Keahey Stephen Pickett Stephen Pickett Debra D. Sukin Debra D. Sukin Clarence Fields Jr. Kent A. Keahey Debra D. Sukin Stephen Pickett Gentry Woodard Chris Dougherty Bob Pert David Parmer Xavier Villarreal Mark Hazelwood Pat Murray Manny Vela Douglas A. Matney Manny Vela Gentry Woodard Bob Pert Dave Medley Dave Medley Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Kenneth A. Finch Bryant Krenek Jr. Bryant Krenek Jr. Bob Williams John Armour Maura Walsh Debra D. Sukin Stephen Pickett Jim Levermann Debra D. Sukin Bret Curran Bret Curran Bret Curran Bret Curran Bryan Harner Bryan Harner Gwen Stafford Spencer Turner Frank Speidel Bret Curran William Simmons David Mier Title President/CEO President/CEO Executive Vice President Executive Vice President Chief Executive Officer Chief Executive Officer President/CEO President/CEO Chief Executive Officer Executive Vice President Director of Legislative Affairs and Grants Chief Operating Officer/President CFO Chief Executive Officer Chief Executive Officer Chief Executive Officer CEO Sr. Vice President & Chief Legal Officer Group Director Sr. Vice President & Chief Legal Officer Director of Legislative Affairs and Grants CFO Vice President, Group II Operations Vice President, Group II Operations Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO President/Chief Executive Officer President/Chief Executive Officer President/Chief Executive Officer Interim Chief Executive Officer CFO Senior Vice President CEO Executive Vice President CEO Chief Executive Officer Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance President/CEO President/CEO Vice President President Vice President/CEO Senior Vice President, Billings, Collections & Insurance CEO Chief Financial Officer Phone (254) 675-8322 (254) 751-4000 Fax William L. Bellenfant William L. Bellenfant William L. Bellenfant Byron Hale Byron Hale Jack R. Endres, J.D. William L. Bellenfant CFO CFO CFO CFO Sr. Vice President/CFO FACHE Administrator CFO (903) 531-4556 (903) 531-4556 (903) 531-4556 9035318010 (903) 531-8010 903-541-5000 (903) 531-4556 Jack R. Endres, J.D. Lynn LeBouef Mark Wallace Scott Merryman Dave Medley Stephen Kimmel Stephen Kimmel Bob Pert Bob Williams Stephen Kimmel Kyle Sanders Kyle Sanders Chris Dougherty Gwen Stafford Gwen Stafford Gwen Stafford Gwen Stafford Gwen Stafford Joe Thomason Stephen Bowerman Dave Medley Stephen Kimmel Sally Steffan Don Beeler Terry Wheeler Edmundo Casteneda Alma Melendez Ray Dziesinski Bryan Harner Gwen Stafford Bob Pert Trish Young-Brown Jack Roper Dave Medley Carlyle Walton Dave Medley Dave Medley Dave Medley Dave Medley Carlyle Walton Sam Huenergardt Ernie Bovio Jeremy Riney Robert Bonar Patricia Currie Steven Rublee Kevin Leeper Kevin Leeper Russ Weaver Stephen Kimmel Charley Trimble Brad Holland Pat Murray Susan Turley Gentry Woodard Clarence Fields Jr. Dave Medley Jerry Osburn Kevin Storey Manny Vela FACHE Administrator President/Chief Executive Officer President/Chief Executive Officer Chief Executive Officer Vice President, Group II Operations Senior Vice President and CFO Senior Vice President and CFO CFO Interim Chief Executive Officer Senior Vice President and CFO CEO CEO Chief Operating Officer/President Vice President Vice President Vice President Vice President Vice President CEO Chief Financial Officer Vice President, Group II Operations Senior Vice President and CFO CEO President and Chief Executive Officer CEO Chief Executive Officer Controller CFO President/CEO Vice President CFO CEO Senior Vice President of Finance Vice President, Group II Operations CEO Vice President, Group II Operations Vice President, Group II Operations Vice President, Group II Operations Vice President, Group II Operations CEO Chief Executive Officer CEO CEO President/CEO Chief of Hospital Services CEO CEO CEO CFO Senior Vice President and CFO President CEO CEO Chief Financial Officer Director of Legislative Affairs and Grants President/CEO Vice President, Group II Operations CEO CEO Sr. Vice President & Chief Legal Officer 903-541-5000 (281) 401-7500 (832) 824-1000 (361) 881-3210 (615) 465-7030 (325) 670-2182 (325) 670-2182 (940) 764-3023 (806) 212-2000 (325) 670-2182 (806) 354-1110 (806) 354-1110 (806) 725-0040 (806) 725-0577 (806) 725-0577 (806) 725-0577 (806) 725-0577 (806) 725-0577 (972) 963-3333 (432) 582-8102 (615) 465-7030 (325) 670-2182 (915) 832-3700 2107043605 2818904285 9157474000 8308762424 2144567000 3256575303 8067250577 9407643023 5129788000 903-541-5088 6154657030 2545267523 (615) 465-7030 (615) 465-7030 (615) 465-7030 (615) 465-7030 2545267523 5123538979 5123411000 5124464500 5127566000 2547242111 (254) 939-2100 (325) 247-7868 (325) 247-7868 (512) 556-3682 (325) 670-2182 (806) 788-4100 (512) 528-7001 (830) 896-4200 (956) 661-7469 979-776-2458 (254) 675-8322 (615) 465-7030 (806) 894-4963 (254) 849-4900 (956) 389-4028 6153711068 2545263483 (615) 371-1068 (615) 371-1068 (615) 371-1068 (615) 371-1068 2545263483 (615) 371-1068 5122381799 5124460084 5127566405 2547248779 (254) 939-2100 (325) 247-2108 (325) 247-2108 (512) 556-8869 (325) 670-2209 Email (936) 266-2000 (936) 266-2000 (254) 675-8322 (254) 751-4000 (936) 266-2000 979-776-2458 (806) 725-0040 (940) 764-3023 (409) 212-5012 (903) 654-6805 (512) 324-4000 (830) 896-4200 (956) 389-4028 (956) 388-2002 (956) 389-4028 979-776-2458 (940) 764-3023 (615) 465-7030 (615) 465-7030 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (817) 293-9110 (936) 634-8111 (936) 634-8111 (806) 212-2000 (713) 852-1534 (713) 852-1503 (936) 266-9000 (832) 355-1000 (281) 637-7000 (936) 266-2000 (832) 667-6022 (832) 667-6022 (832) 667-6022 (832) 667-6022 (325) 657-5303 (325) 657-5303 (806) 725-0577 (972) 492-1010 (832) 534-5000 (832) 667-6022 (713) 948-7000 (915) 298-5444 979-731-8976 bpert@urhcs.org david.parmer@mhbh.org xavier_villarreal@chs.net (956)389-1129 (956) 289-2002 (956)389-1129 979-731-8976 (940) 764-3352 (615) 371-1068 (615) 371-1068 manuel.vela@valleybaptist.net doug.matney@uhsrgv.com manuel.vela@valleybaptist.net gwoodard@st-joseph.org bpert@urhcs.org dave_medley@chs.net dave_medley@chs.net Phys State Phys Zip TX 76634 101 S. Avenue T Clifton TX 76634 4015 22nd Place Lubbock TX 79410 3080 College St. Beaumont TX 77701 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX 79410 79410 79410 79410 79410 79410 79410 79410 79401 79410 79410 79410 79410 79410 79410 1935 Motor St Dallas TX 752357701 1201 W. Frank Street Lufkin TX 75902 john.armour@hcahealthcare.com maura.walsh@hcahealthcare.com (832) 667-5903 (832) 667-5903 (832) 667-5903 (832) 667-5903 (325) 658-8295 (325) 658-8295 (806) 723-7361 bcurran@tmhs.org bcurran@tmhs.org bcurran@tmhs.org bcurran@tmhs.org bryanhorner@shannonhealth.org bryanhorner@shannonhealth.org gstafford@covhs.org (832) 667-5903 bcurran@tmhs.org (903) 535-6334 903-541-5088 Phys City Clifton gwoodard@st-joseph.org (940) 764-3352 (409) 212-5022 (903) 654-6955 (713) 852-1599 (713) 852-1599 Phys Addr 101 S. Avenue T bellenb@tmfhs.org bellenb@tmfhs.org bellenb@tmfhs.org bhale@etmc.org bhale@etmc.org 3100 Main Street, Suite 569 Houston TX 77210 18220 Tomball Parkway Houston TX 770704349 800 E Dawson St 1000 S Beckham Ave 1000 South Beckham Avenue Tyler Tyler Tyler TX TX TX 757012036 75701 75711 bellenb@tmfhs.org (361) 884-7276 (615) 371-1068 (325) 670-2209 (325) 670-2209 (940) 764-3352 scott.merryman@christushealth.org dave_medley@chs.net skimmel@hendrickhealth.org skimmel@hendrickhealth.org bpert@urhcs.org (325) 670-2209 (806) 212-0272 (806) 212-0272 skimmel@hendrickhealth.org (806) 723-7361 (806) 723-7361 (806) 723-7361 (806) 723-7361 (806) 723-7361 (972) 963-3625 (432) 582-8911 (615) 371-1068 (325) 670-2209 (915) 832-2723 2107042730 2818905341 9157472138 8308763501 gstafford@covhs.org gstafford@covhs.org gstafford@covhs.org gstafford@covhs.org gstafford@covhs.org 3256588295 8067237361 9407643352 (254) 526-3483 bryanhorner@shannonhealth.org gstafford@covhs.org bpert@urhcs.org Trish.young@centralhealth.net jackroper@texashealth.org dave_medley@chs.net jackroper@texashealth.org dave_medley@chs.net dave_medley@chs.net dave_medley@chs.net dave_medley@chs.net SBowerman@iasisihealthcare.com dave_medley@chs.net skimmel@hendrickhealth.org don.beeler@christushealth.org amelendez487@hotmail.com manuel.vela@valleybaptist.net kleeper@llanomemorial.org kleeper@llanomemorial.org russ.weaver@ahss.org skimmel@hendrickhealth.org (512) 289-9772 brad_holland@cedarparkregional.com (956) 632-6621 979-731-8976 s.turley@dhr-rgv.com gwoodard@st-joseph.org (615) 371-1068 (806) 894-4963 (956)389-1129 dave_medley@chs.net bharrell@comanchecmc.com manuel.vela@valleybaptist.net 1900 Pine Street 1900 Pine Street Abilene Abilene TX TX 79601 79601 1900 Pine Street PO Box 61558 1501 S. Coulter Road 4015 22nd Place Abilene King of Prussia Amarillo Lubbock TX PA TX TX 79601 194060958 79106 79410 TX 79601 1900 Pine Street 333 N. Santa Rosa Ave 10655 Steepletop Drive 1625 Medical Center Drive 704 Hospital Drive 1935 Medical District Drive 120 East Harris Ave. 3615 19th Street 1600 Tenth Street 1111 E Cesar Chavez St 612 E. Lamar, 6th Floor 1601 West Eleventh Place 2201 S. Clear Creek Road 1501 Burnet Drive San Antonio Houston El Paso Carrizo Springs Dallas San Angelo Lubbock Wichita Falls Austin Arlington Big Spring Killeen Brownwood TX TX TX TX TX TX TX TX TX TX TX TX TX 782073108 770654222 799025005 78834 75235 769035904 794101203 763014307 787024209 760114121 79720 76549 76804 2201 S. Clear Creek Road 1301 Wonder World Drive 300 University Blvd. 1700 Brazos Ave Killeen San Marcos Round Rock Rockdale TX TX TX TX 76549 786667533 786651032 765672517 2401 S. 31st Street 3500 Interstate Highway 35 200 W. Ollie Street 200 W. Ollie Street 2201 South Clear Creek Road 1900 Pine Street 2412 50th Street 1401 Medical Parkway 551 Hill Country Drive 5501 S McColl Rd 2801 Franciscan Drive 101 S. Avenue T 506 E. San Antonio St 1900 College Avenue 10201 Highway 16 North 1040 West Jefferson Temple Belton Llano Llano Killeen Abilene Lubbock Cedar Park Kerrville Edinburg Bryan Clifton Victoria Levelland Comanche Brownsville TX 76508 76513 78643 78643 76549 79601 79412 78613 78028 78539 77802 76634 77902 79336 76442 78520 TX Mail Addr PO Box 549 6901 Medical Parkway 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 PO Box 549 6901 Medical Parkway 3100 Main Street, Suite 569 3100 Main Street, Suite 569 2801 Franciscan Drive Po Box 1201 1600 Tenth Street PO Box 974599 3201 West Highway 22 1345 Philomena St. Ste 362 551 Hill Country Drive 2101 Pease Street 1102 W Trenton Rd 2101 Pease Street 2801 Franciscan Drive 1600 Tenth Street 1905 Highway 97 E PO Box 2089 PO Box 1201 PO Box 1201 PO Box 1201 PO Box 1204 PO Box 1201 PO Box 1201 PO Box 1201 PO Box 1201 PO Box 1201 PO Box 1201 PO Box 1201 PO Box 1201 PO Box 1201 PO Box 1201 PO Box 1201 1935 Medical District Drive 1935 Medical District Drive 1935 Motor St 1935 Motor St 1935 Motor St 1935 Moto St. 1935 Motor St 1935 Motor St. 1935 Motor St 1935 Motor St. 1935 Motor St 1935 Motor St 1935 Motor St 1935 Motor St 1935 Motor St 1935 Motor St 1935 Motor St. 11801 S. Freeway PO Box 1314 1201 W. Frank Street 1600 Wallace Blvd. 22999 US Hwy 59 504 Medical Center Blvd 3100 Main Street, Suite 569 3100 Main Street, Suite 569 PO Box 4406 6720 Bertner St 4401 Garth Rd 16655 Southwest Freeway 6565 Fannin St #GB2-40 PO Box 4755 120 East Harris Ave. 120 East Harris Ave. 3615 19th Street 4343 North Josey Lane 3100 Main Street, Suite 569 18500 Katy Freeway 3100 Main Street, Suite 569 4845 Alameda Avenue 2201 West Lampasas Street 1021 E. Idel St 1021 E. Idel St PO Box 6997 300 Wilson Street PO Box 6400 501 South Ragsdale 1021 E. Idel St 300 Wilson Street 501 South Ragsdale 605 Holderrieth Street 6621 Fannin Street #4-4440 2500 East Main 1310 Paluxy Road 1242 N 19th St 1242 N 19th St 1600 Tenth Street 1600 Wallace Blvd. 1242 N 19th St 1501 S. Coulter Road PO Box 61558 PO Box 1201 3615 19th Street 3615 19th Street 3615 19th Street 3615 19th Street 3615 19th Street 12020 Lebanon Road 520 E 6th St PO Box 2089 1242 N 19th St 3280 Joe Battle Blvd. 333 N Santa Rosa Ave 10655 Steepletop Drive 1625 Medical Center Drive PO Box 1016 1935 Motor Street 120 East Harris Ave. 3615 19th Street 1600 Tenth Street 1111 E Cesar Chavez St 612 E. Lamar, 6th Floor PO Box 844854 PO Box 951555 PO Box 760 PO Box 2089 1604 Rock Prairie PO Box 2089 PO Box 951555 1301 Wonder World Drive 300 University Blvd. 1700 Brazos Ave PO Box 1219 2401 S. 31st Street 3500 Interstate Highway 35 200 W. Ollie Street 200 W. Ollie Street 2201 South Clear Creek Road 1242 N 19th St 2412 50th Street 1401 Medical Parkway 551 Hill Country Drive 5501 S. McColl 2801 Franciscan Drive PO Box 549 PO Box 2089 1900 College Avenue 10201 Highway 16 1040 West Jefferson Mail City Clifton Waco Houston Houston Houston Houston Clifton Waco Houston Houston Bryan Lubbock Wichita Falls Dallas Corsicana Austin Kerrville Harlingen Edinburg Harlingen Bryan Wichita Falls Jourdanton Victoria Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Dallas Dallas Dallas Dallas Dallas Dallas Dallas Dallas Dallas Dallas Dallas Dallas Dallas Dallas Dallas Dallas Dallas Fort Worth Lufkin Lufkin Amarillo Kingwood Conroe Houston Houston Houston Houston Baytown Sugar Land Houston Houston San Angelo San Angelo Lubbock Carrollton Houston Houston Houston El Paso Ennis Tyler Tyler Tyler Henderson Tyler Jacksonville Tyler Henderson Jacksonville Tomball Houston Alice Granbury Abilene Abilene Wichita Falls Amarillo Abilene Amarillo King of Prussia Lubbock Lubbock Lubbock Lubbock Lubbock Lubbock Frisco Odessa Victoria Abilene El Paso San Antonio Houston El Paso Carrizo Springs Dallas San Angelo Lubbock Wichita Falls Austin Arlington Dallas Dallas Brownwood Victoria College Station Victoria Dallas San Marcos Round Rock Rockdale Burnet Temple Belton Llano Llano Killeen Abilene Lubbock Cedar Park Kerrville Edinburg Bryan Clifton Victoria Levelland Comanche Brownsville Mail State TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX PA TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX Mail Zip 766340549 767127910 770029312 770029312 770029312 770029312 766340549 767127910 770029312 770029312 778022544 794081201 763014307 753974599 751102450 787233185 78028 78550 785399105 78550 778022544 763014307 780261504 779022089 794081201 794081201 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765080001 76513-9426 78643-2628 78643-2628 76550-1106 79601-2316 79412-2504 78613-7464 78028-6085 78539-9152 77802-2544 76634-0549 77902-2089 79336-6508 76442-4462 78520-6338 Govt Entity Hamilton County Hospital District Hamilton County Hospital District Angleton-Danbury Hospital District West Wharton County Hospital District Angleton-Danbury Hospital District West Wharton County Hospital District Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital Calhoun County dba Memorial Medical Center Calhoun County dba Memorial Medical Center Grimes County Reeves County Hospital District Bowie Memorial Hospital (Bowie Hospital Authority) Comanche County Consolidated Hospital District Navarro County Williamson County Guadalupe Regional Medical Center Starr County Starr County Karnes County Hospital District South Limestone Hospital District Stephens Memorial Hospital dba Stephens County Emergency Medic Wilson County Hospital District Refugio County Memorial Hospital District Childress County Hospital District dba Childress Regional Medical Center Collingsworth Hospital District Crane County Hospital District Culberson County Hospital District Dallam and Hartley Counties Hospital District Deaf Smith County Hospital District Hansford County Hospital District Hardeman County Hospital District Lamb County dba Lamb Healthcare Center Martin County Hospital District Moore County Hospital District Haskell County Hospital District Palo Pinto General Hospital District Rankin County Hospital District Stephens Memorial Hospital dba Stephens County Emergency Medic Childress County Hospital District dba Childress Regional Medical Center Collingsworth Hospital District Crane County Hospital District Culberson County Hospital District Dallam and Hartley Counties Hospital District Deaf Smith County Hospital District Hansford County Hospital District Hardeman County Hospital District Haskell County Hospital District Lamb County dba Lamb Healthcare Center Martin County Hospital District Moore County Hospital District Palo Pinto General Hospital District Reeves County Hospital District Stephens Memorial Hospital dba Stephens County Emergency Medic Terry Memorial Hospital District dba Brownfield Regional Medical Center Rankin County Hospital District Johnson County San Augustine City-County Hospital District Oak Bend Medical Center Hutchinson County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District Pecos County Memorial Hospital Rankin County Hospital District Swisher Memorial Healthcare System (County Hospital District) Dallas County Hospital District Harris County Hospital District Harris County Hospital District Harris County Hospital District El Paso County Hospital District Ellis County Hunt Memorial Hospital District Hunt Memorial Hospital District Hunt Memorial Hospital District Hunt Memorial Hospital District Hunt Memorial Hospital District Hunt Memorial Hospital District Titus County Hospital District Titus County Hospital District Titus County Hospital District Tomball Hospital Authority Harris County Hospital District Kleberg County Hood County Hospital District Comanche County Consolidated Hospital District Throckmorton County Hospital District Throckmorton County Hospital District Lubbock County Hospital District Stonewall Memorial Hospital (County Hospital District) Texas Tech University Health Science Center Lubbock County Hospital District Lubbock County Hospital District Hansford County Hospital District Dallam and Hartley Counties Hospital District Deaf Smith County Hospital District Moore County Hospital District Lamb County dba Lamb Healthcare Center Collin County Government Permian Regional Medical Center Nueces County Hospital District Hamlin Memorial Hospital El Paso County Hospital District Comal County Oak Bend Medical Center El Paso County Hospital District Dimmit Regional Hospital District dba Dimmit Regional Hospital Dallas County Hospital District Menard County Hospital District Lubbock County Hospital District Helen Farabee Centers Travis County Hospital District Johnson County Ector County Hospital District Lampasas County Brown County Jackson County Hospital District Brazos County Treasurer Goliad County Bell County Hays County Williamson County Rockdale Hospital District County of Burnet Bell County Bell County Llano County Llano Hospital Authority Lampasas County Ector County Hospital District Lubbock County Hospital District Williamson County Fredericksburg Hospital Authority University of Texas Health Science Center at San Antonio Bellville Hospital District Goodall-Witcher Hospital Authority Gonzales County Hospital District Hockley County Comanche County Consolidated Hospital District Karnes County Hospital District Govt TIN 1742570068 3 000 1742570068 3 000 1741612400 0 000 1760488120 5 000 1741612400 0 000 1760488120 5 000 1741857100 0 012 1741857100 0 012 1746003411 3 000 1746003411 3 000 1746000041 1 000 1752301801 2 002 1751220799 8 002 1751566827 9 000 1756001092 2 011 1746000978 4 000 1741386053 1 000 1741794256 6 501 1741794256 6 501 1741718215 5 002 1741744089 2 007 1756003328 8 001 1742019736 4 555 1741915330 3 000 1751228349 4 002 1751373698 7 001 1352336501 6 555 1201355256 2 003 1751702162 6 014 1756001297 7 002 1237297190 8 004 1756002047 5 000 1752388515 4 010 1751300105 1 002 1751302152 1 006 1756001753 9 000 1751256948 8 008 1751248028 0 001 1756003328 8 001 1751228349 4 002 1751373698 7 001 1352336501 6 555 1201355256 2 003 1751702162 6 014 1756001297 7 002 1237297190 8 004 1756002047 5 000 1756001753 9 000 1752388515 4 010 1751300105 1 002 1751302152 1 006 1751256948 8 008 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Number 600-12-0000-00086 600-12-0000-00089 600-12-0000-00090 600-12-0000-00091 600-12-0000-00092 600-12-0000-00093 600-12-0000-00094 600-12-0000-00095 600-12-0000-00096 600-12-0000-00098 600-12-0000-00099 600-12-0000-00100 600-12-0000-00101 600-12-0000-00102 600-12-0000-00103 600-12-0000-00104 600-12-0000-00105 600-12-0000-00106 600-12-0000-00109 600-12-0000-00110 600-12-0000-00111 600-12-0000-00112 600-12-0000-00113 600-12-0000-00114 600-12-0000-00115 600-12-0000-00116 600-12-0000-00117 600-12-0000-00118 600-12-0000-00119 600-12-0000-00120 600-12-0000-00121 600-12-0000-00123 600-12-0000-00124 600-12-0000-00125 600-12-0000-00126 600-12-0000-00128 600-12-0000-00129 600-12-0000-00130 600-12-0000-00131 600-12-0000-00133 600-12-0000-00134 600-12-0000-00135 600-12-0000-00136 600-12-0000-00137 600-12-0000-00138 600-12-0000-00139 600-12-0000-00140 600-12-0000-00141 600-12-0000-00142 600-12-0000-00143 600-12-0000-00144 600-12-0000-00145 600-12-0000-00146 600-12-0000-00147 600-12-0000-00148 600-12-0000-00149 600-12-0000-00150 600-12-0000-00151 600-12-0000-00152 600-12-0000-00153 600-12-0000-00154 600-12-0000-00155 600-12-0000-00156 600-12-0000-00157 600-12-0000-00158 600-12-0000-00159 600-12-0000-00160 600-12-0000-00161 600-12-0000-00162 600-12-0000-00163 600-12-0000-00164 600-12-0000-00165 600-12-0000-00166 600-12-0000-00167 600-12-0000-00168 600-12-0000-00169 600-12-0000-00170 600-12-0000-00171 600-12-0000-00172 600-12-0000-00173 600-12-0000-00174 600-12-0000-00175 600-12-0000-00176 600-12-0000-00177 600-12-0000-00179 600-12-0000-00180 600-12-0000-00181 600-12-0000-00182 600-12-0000-00183 600-12-0000-00184 600-12-0000-00185 600-12-0000-00186 600-12-0000-00187 600-12-0000-00188 600-12-0000-00189 600-12-0000-00190 600-12-0000-00191 600-12-0000-00192 600-12-0000-00194 600-12-0000-00196 600-12-0000-00197 600-12-0000-00198 600-12-0000-00199 600-12-0000-00201 600-12-0000-00202 600-12-0000-00203 600-12-0000-00204 600-12-0000-00205 600-12-0000-00206 600-12-0000-00207 600-12-0000-00208 600-12-0000-00209 600-12-0000-00210 600-12-0000-00212 600-12-0000-00213 600-12-0000-00214 600-12-0000-00215 600-12-0000-00216 600-12-0000-00217 600-12-0000-00218 600-12-0000-00219 600-12-0000-00220 600-12-0000-00221 600-12-0000-00222 600-12-0000-00223 600-12-0000-00224 600-12-0000-00225 600-12-0000-00226 600-12-0000-00227 600-12-0000-00228 600-12-0000-00229 600-12-0000-00231 600-12-0000-00232 600-12-0000-00233 600-12-0000-00234 600-12-0000-00235 600-12-0000-00236 600-12-0000-00237 600-12-0000-00238 600-12-0000-00239 600-12-0000-00240 600-12-0000-00241 600-12-0000-00242 600-12-0000-00243 600-12-0000-00244 600-12-0000-00245 600-12-0000-00246 Program Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private TPI 294543801 112693002 020930601 131043506 020811801 138644310 094222902 094224503 094224503 020834001 020934801 146509801 192751901 137805107 146021401 112742503 195018001 322916301 132812205 194997601 136436606 136488705 021184901 146509801 192751901 146021401 137805107 020834001 020934801 127263503 094194002 139461107 139461107 135237906 135237906 127319504 127319504 111829102 020967801 139461107 137949705 112688002 127300503 137949705 137962006 137962006 137962006 160630301 201331001 201331001 201331001 201331001 210274101 210274101 210274101 210274101 219386401 219386401 219386401 219386401 281028501 281028501 281028501 281028501 281219001 281219001 281219001 281219001 137226005 286326801 127267603 094118902 186599001 137265806 020973601 112706003 138296208 137962006 127267603 208013701 135237906 112705203 112705203 163111101 208013701 208013701 176692501 137226005 137226005 133367602 020844903 133252005 020860501 020860501 138910807 135226205 138910807 121822403 314080801 139461107 138296208 163925401 094148602 094118902 138910807 316360201 177870603 138962907 094216102 094160102 112717702 094095902 130721710 139172412 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1752765566 0 501 1741180155 2 018 1741461220 4 000 1741161938 4 009 1741180155 2 018 1741287015 0 003 1741287015 0 003 1741287015 0 003 1760536234 6 005 1204326467 5 000 1204326467 5 000 1204326467 5 000 1204326467 5 000 1300427437 2 002 1300427437 2 002 1300427437 2 002 1300427437 2 002 1263734516 1 000 1263734516 1 000 1263734516 1 000 1263734516 1 000 1760545192 5 009 1760545192 5 009 1760545192 5 009 1760545192 5 009 1273280598 6 001 1273280598 6 001 1273280598 6 001 1273280598 6 001 1752559845 8 501 1741109643 5 035 1741282696 2 501 1621754940 7 001 1741109643 5 007 1741109643 5 000 1752387418 2 003 1760591590 3 001 1760591590 3 002 1741287015 0 003 1741282696 2 501 1741109643 5 027 1751912147 3 003 1460496933 8 002 1460496933 8 002 1331073948 0 000 1741109643 5 027 1741109643 5 027 1743019849 3 001 1752559845 8 501 1752559845 8 501 1741471231 9 007 1741109665 8 501 1742425482 3 501 1621762360 8 004 1621762360 8 004 1750800628 9 324 1742519752 6 000 1750800628 9 324 1621789402 7 001 1452694620 8 000 1752765566 0 501 1760591590 3 002 1270060569 9 007 1741303720 5 009 1621754940 7 001 1750800628 9 324 1453780407 3 000 1461353294 5 000 1741161944 2 004 1742781812 9 040 1742781812 9 044 1742781812 9 042 1751041154 3 015 1756002556 5 000 1750755367 9 023 1261955689 2 003 1954537720 2 501 1741394418 6 005 1455125687 9 000 1752428911 7 002 1752428911 7 002 1752428911 7 002 1752428911 7 002 1750800628 9 324 1750800628 9 324 1750800628 9 324 1750800628 9 324 1741394418 6 005 1741109636 9 012 1760591590 3 002 1750800628 9 324 1741153067 2 005 1741109836 5 501 1746083124 5 000 1742802643 3 002 1742575462 3 010 1752682017 4 002 1800490207 0 000 1741100555 0 501 1455125687 9 000 1752796815 4 015 1232238976 3 501 1621682213 6 002 1621682210 2 002 1752602621 0 004 1741303720 5 009 1270060569 9 007 1752766160 1 006 Provider Valley Baptist Medical Center - Brownsville San Angelo Community Medical Center Brownwood Regional Medical Center Big Spring Hospital Corp. dba Scenic Mountain Medi Christus Spohn Hospital Beeville Hendrick Medical Center Christus Spohn Hospital Alice Big Bend Hosp Corp Big Bend Reg Medical Center Big Bend Hosp Corp Big Bend Reg Medical Center Memorial Hermann Hospital System (The Woodlands) Memorial Hermann Hospital Memorial City Memorial Hermann Hospital Katy Memorial Hermann Hospital System dba Memorial Herm Memorial Hermann Hospital Southwest dba Memorial H Memorial Hermann Hospital Sugar Land Clarity Child Guidance Center Baylor Medical Ctr Carrollton McCulloch County Hospital District dba Heart of Tx Driscoll Children's Hospital UHS Texoma, Inc. dba Texoma Medical Center CHRISTUS Spohn Hospital Kleberg Baptist Hosp of SE TX Mem Hermann Baptist Orange Cook-Fort Worth Children's Medical Center Memorial Hermann Hospital Katy Memorial Hermann Hospital System dba Memorial Herm Memorial Hermann Hospital Sugar Land Memorial Hermann Hospital Southwest dba Memorial H Memorial Hermann Hospital System (The Woodlands) Memorial Hermann Hospital Memorial City Covenant Hospital Plainview Doctor's Hospital at White Rock Lake Covenant Health System dba Covenant Medical Center Covenant Health System dba Covenant Medical Center United Regional Health Care System United Regional Health Care System Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Providence Health Services of Waco dba Saint Cath Texas Health Denton (TX Health Presby Hosp Denton Covenant Health System dba Covenant Medical Center The Methodist Hospital Frio Regional Hospital St. Luke's Episcopal Hospital The Methodist Hospital San Jacinto Methodist Hospital San Jacinto Methodist Hospital San Jacinto Methodist Hospital St. Luke's Community Health Srvs (The Woodlands) St. Luke's Sugar Land Hospital Partnership LLP dba St. Luke's Sugar Land Hospital Partnership LLP dba St. Luke's Sugar Land Hospital Partnership LLP dba St. Luke's Sugar Land Hospital Partnership LLP dba St. Luke's Lakeside Hospital St. Luke's Lakeside Hospital St. Luke's Lakeside Hospital St. Luke's Lakeside Hospital St. Luke's Hospital at the Vintage LLC St. Luke's Hospital at the Vintage LLC St. Luke's Hospital at the Vintage LLC St. Luke's Hospital at the Vintage LLC Methodist West Houston Hospital Methodist West Houston Hospital Methodist West Houston Hospital Methodist West Houston Hospital St. Luke's Patients Medical Center St. Luke's Patients Medical Center St. Luke's Patients Medical Center St. Luke's Patients Medical Center Shannon Medical Center Seton Healthcare dba Seton Smithville Regional Hos St. Joseph Regional Health Center DeTar Hospital Seton Family of Hospitals dba Dell Children's Medi Seton Healthcare dba University Medical Center at Corpus Christi Medical Center CHRISTUS Health Southeast Texas dba Jasper Memoria Christus Health Southeast Texas dba Christus St. E San Jacinto Methodist Hospital St. Joseph Regional Health Center Seton Healthcare dba Seton Medical Center Hays United Regional Health Care System ARMC-LP dba Abilene Regional Medical Center ARMC-LP dba Abilene Regional Medical Center Essent PRMC LP Paris Regional Medical Center Seton Healthcare dba Seton Medical Center Hays Seton Healthcare dba Seton Medical Center Hays St. Mark's Medical Center Shannon Medical Center Shannon Medical Center Falls Community Hospital and Clinic CHRISTUS Santa Rosa Health Care (Children's Hospit NCHI of Hillsboro Inc. dba Hill Regional Hospital College Station Medical Center College Station Medical Center Children's Medical Center of Dallas Scott & White Hospital Brenham Children's Medical Center of Dallas Ennis Regional Medical Center Texas Health Huguley INC dba Huguley Memorial Me Covenant Health System dba Covenant Medical Center Christus Health Southeast Texas dba Christus St. E The Medical Center of Southeast Texas LP Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon DeTar Hospital Children's Medical Center of Dallas Preferred Hospital Leasing Coleman Inc. Fannin County Hospital Authority dba Red River Reg Hillcrest Baptist Medical Center St David's Hlthcare Partnership dba North Austin M St David's Hlthcare Partnership dba St David's Med St David's Hlthcare Partnership dba South Austin M The Good Shepherd Hospital dba Good Shepherd Medic Swisher Memorial Healthcare System, dba Swisher Me Memorial Medical Center - Lufkin dba Memorial Heal Preferred Hospital Leasing Hemphill Inc Tenet Hospital Limited dba Providence Memorial Hos Columbus Community Hospital Prime Healthcare Services - Pampa, LLC dba Pampa R Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Methodist Children's dba Covenant Children's Hospi Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Children's Medical Center of Dallas Columbus Community Hospital Providence Health Services of Waco dba Saint Cath Christus Health Southeast Texas dba Christus St. E Children's Medical Center of Dallas Clarity Child Guidance Center Spohn Health System dba Spohn Memorial Hospital Hill Country Memorial Hospital Doctor's Hospital at Renaissance Central Texas Medical Center Granbury Hospital Corp. dba Lake Granbury Medical Liberty-Dayton Regional Medical Center LLC Texas Children's Hospital Prime Healthcare Services - Pampa, LLC dba Pampa R Christus Health ARK-LA-TEX dba Christus St. Michae UHS @ Amarillo Inc dba Northwest Texas Healthcare Columbia Medical Center of Denton dba Denton Regio Columbia Medical Center of Lewisville dba Medical East Texas Medical Center- Crockett Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon The Medical Center of Southeast Texas LP ETMC Quitman Contact Manny Vela Brad Holland Dave Medley Dave Medley Bruce Holstein Stephen Kimmel Scott Merryman Mike Ellis Mike Ellis Jeff Brownawell Jeff Brownawell Daniel J Wolterman Jeff Brownawell Jeff Brownawell Jeff Brownawell Michael D. Bernick Spencer Turner Ed Watson Joe Beck Ron Seal Paul M Trevino Jarren D. Garrett Rick Merrill Daniel J Wolterman Jeff Brownawell Jeff Brownawell Jeff Brownawell Jeff Brownawell Jeff Brownawell Alan King G. Scott Manis Gwen Stafford Gwen Stafford Bob Pert Bob Pert Chris Dougherty Chris Dougherty Kent A. Keahey Stan C. Morton Gwen Stafford Bret Curran Rhett Fricke Stephen Pickett Bret Curran Bret Curran Bret Curran Bret Curran Debra D. Sukin Jim Levermann Jim Levermann Jim Levermann Jim Levermann Debra D. Sukin Debra D. Sukin Debra D. Sukin Debra D. Sukin Frank Speidel Frank Speidel Frank Speidel Frank Speidel Bret Curran Bret Curran Bret Curran Bret Curran William Simmons William Simmons William Simmons William Simmons Bryan Harner Robert Bonar Gentry Woodard Dave Medley Charles Barnett Robert Bonar Edward H. Lamb Deborah Wiegand, RN Ellen Jones Bret Curran Gentry Woodard Thomas Gallagher Bob Pert Michael Murphy Michael Murphy Howard Wall Thomas Gallagher Thomas Gallagher Nathan Staggs Bryan Harner Bryan Harner Willis Reese Patrick Carrier Dave Medley Dave Medley Dave Medley Ray Dziesinski John Simms Ray Dziesinski Edwina Miner Kenneth A. Finch Gwen Stafford Ellen Jones Mike Landry David Parmer Dave Medley Ray Dziesinski Larry Stephens David Conejo Richard Perkins David Wilson David Wilson David Wilson Edward D. Banos Pam Clark Bryant Krenek Jr. Diana Taylor R. J. Harris Rob Thomas Brad Morse Chris Dougherty Chris Dougherty Chris Dougherty Chris Dougherty Ray Dziesinski Ray Dziesinski Ray Dziesinski Ray Dziesinski Rob Thomas Cheryl Sadro Ellen Jones Ray Dziesinski Rebecca Helterbrand Estela Chapa Michael Williams Susan Turley Sam Huenergardt Dave Medley Jim Koulovatos Mark Wallace Ray Dziesinski Chris Karam Kyle Sanders Caleb O'Rear Doug Welch Jerry A. Dominguez David Parmer Mike Landry Byron Hale Title Sr. Vice President & Chief Legal Officer Chief Executive Officer Vice President, Group II Operations Vice President, Group II Operations President and Chief Executive Officer Senior Vice President and CFO Chief Executive Officer Chief Executive Officer Chief Executive Officer Chief Revenue Officer Chief Revenue Officer President and Chief Executive Officer Chief Revenue Officer Chief Revenue Officer Chief Revenue Officer Vice President - Finance President CFO Director of Reimbursement CEO Executive Vice President/Administrator Interim Administrator CEO President and Chief Executive Officer Chief Revenue Officer Chief Revenue Officer Chief Revenue Officer Chief Revenue Officer Chief Revenue Officer President CEO Vice President Vice President CFO CFO Chief Operating Officer/President Chief Operating Officer/President President/CEO Chief Executive Officer Vice President Senior Vice President, Billings, Collections & Insurance CFO Executive Vice President Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Chief Executive Officer CEO CEO CEO CEO CEO CEO CEO CEO Vice President/CEO Vice President/CEO Vice President/CEO Vice President/CEO Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance CEO CEO CEO CEO President/CEO President/CEO Director of Legislative Affairs and Grants Vice President, Group II Operations President and Chief Executive Officer President/CEO Chief Executive Officer Administrator/CEO Chief Executive Officer Senior Vice President, Billings, Collections & Insurance Director of Legislative Affairs and Grants President/CEO CFO CEO CEO EVP/CAO President/CEO President/CEO Chief Executive Officer President/CEO President/CEO Administrator CEO Vice President, Group II Operations Vice President, Group II Operations Vice President, Group II Operations CFO CEO CFO CEO President/Chief Executive Officer Vice President Chief Executive Officer Chief Executive Officer Chief Executive Officer Vice President, Group II Operations CFO CFO CEO Executive Vice President & CFO Chief Financial Officer Chief Financial Officer Chief Financial Officer Chief Executive Officer CEO President/Chief Executive Officer President CEO CEO Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President Chief Operating Officer/President CFO CFO CFO CFO CEO Senior Vice-President, CFO Chief Executive Officer CFO Vice President of Marketing & Resource Mgmt CEO Chief Financial Officer Chief Executive Officer Vice President, Group II Operations 1353 North Travis President/Chief Executive Officer CFO President and Chief Executive Officer CEO Chief Executive Officer FACHE Chief Executive Officer Chief Financial Officer Chief Executive Officer Chief Executive Officer Sr. Vice President/CFO Phone (956) 389-4028 (325) 947-6400 (615) 465-7030 (615) 465-7030 (361) 354-2000 (325) 670-2182 (361) 881-3210 432-837-0242 432-837-0242 (713) 448-5715 (713) 448-5715 713-456-5550 (713) 448-5715 (713) 448-5715 (713) 448-5715 (210) 582-6476 (972) 492-1010 (325) 597-2901 3616945027 (903) 416-6400 361-595-1661 (409) 512-5000 (682) 885-4000 713-456-5550 (713) 448-5715 (713) 448-5715 (713) 448-5715 (713) 448-5715 (713) 448-5715 (806) 296-5531 (214) 324-6100 (806) 725-0577 (806) 725-0577 (940) 764-3023 (940) 764-3023 (806) 725-0040 (806) 725-0040 (254) 751-4000 940-898-7000 (806) 725-0577 (832) 667-6022 (830) 334-3617 Fax (956)389-1129 (325) 947-6550 (615) 371-1068 (615) 371-1068 (361) 358-9322 (325) 670-2209 (361) 884-7276 432-837-0330 432-837-0330 (713) 448-5431 (713) 448-5431 713-456-5011 (713) 448-5431 (713) 448-5431 (713) 448-5431 (210) 582-6463 Email manuel.vela@valleybaptist.net brad.holland@sacmc.com dave_medley@chs.net dave_medley@chs.net (325) 597-2280 3618082086 (903) 416-4129 361-595-9696 ewatson@bradyhospital.com Joe.Beck@dchstx.org 940-898-7071 (806) 723-7361 (832) 667-5903 (830) 334-9800 gstafford@covhs.org bcurran@tmhs.org rfricke@trhta.net (832) 667-6022 (832) 667-6022 (832) 667-6022 (832) 667-6022 (936) 266-2000 (281) 637-7000 (281) 637-7000 (281) 637-7000 (281) 637-7000 (936) 266-9000 (936) 266-9000 (936) 266-9000 (936) 266-9000 (832) 534-5000 (832) 534-5000 (832) 534-5000 (832) 534-5000 (832) 667-6022 (832) 667-6022 (832) 667-6022 (832) 667-6022 (713) 948-7000 (713) 948-7000 (713) 948-7000 (713) 948-7000 (325) 657-5303 (512) 237-3214 979-776-2458 (615) 465-7030 (512) 324-1902 (512) 756-6000 (361) 761-1501 409-384-5461 409-899-7101 (832) 667-6022 979-776-2458 (512) 504-5000 (940) 764-3023 (325) 428-1000 (325) 428-1000 (903) 785-4521 (512) 504-5000 (512) 504-5000 (832) 667-5903 (832) 667-5903 (832) 667-5903 (832) 667-5903 bcurran@tmhs.org bcurran@tmhs.org bcurran@tmhs.org bcurran@tmhs.org (940) 764-3352 (325) 428-1000 (325) 428-1000 (903) 737-3848 bpert@urhcs.org (325) 657-5303 (325) 657-5303 (254) 803-3561 (210) 704-2011 (615) 465-7030 (615) 465-7030 (615) 465-7030 (214) 456-7000 (979) 836-6173 (214) 456-7000 (469) 256-2155 (817) 293-9110 (806) 725-0577 409-899-7101 (409) 853-5900 (409) 212-5012 (615) 465-7030 (214) 456-7000 4058780202 (325) 658-8295 (325) 658-8295 (254) 883-6066 bryanhorner@shannonhealth.org bryanhorner@shannonhealth.org (615) 371-1068 (615) 371-1068 (615) 371-1068 dave_medley@chs.net dave_medley@chs.net dave_medley@chs.net (254) 202-9448 (512) 482-4162 (512) 482-4162 (512) 482-4162 903-315-2000 (806) 995-3581 (936) 634-8111 (409) 787-3523 (915) 577-6011 (979) 732-2371 (806) 665-3721 (806) 725-0040 (806) 725-0040 (806) 725-0040 (806) 725-0040 (214) 456-7000 (214) 456-7000 (214) 456-7000 (214) 456-7000 (979) 732-2371 (254) 751-4172 409-899-7101 (214) 456-7000 (210) 582-6442 (361) 881-3339 (830) 997-4353 (956) 661-7469 (512) 353-8979 (615) 465-7030 (936) 336-7316 (832) 824-1000 (214) 456-7000 (903) 614-2009 (806) 354-1110 940-384-3535 972-420-1000 9365463899 (409) 212-5012 (409) 853-5900 9035356334 skimmel@hendrickhealth.org scott.merryman@christushealth.org jeffrey.brownawell@memorialhermann.org jeffrey.brownawell@memorialhermann.org Dan.Wolterman@memorialhermann.org jeffrey.brownawell@memorialhermann.org jeffrey.brownawell@memorialhermann.org jeffrey.brownawell@memorialhermann.org BernickM@claritycgc.org jarren.garrett@mhbh.org (682) 885-4000 713-456-5011 (713) 448-5431 (713) 448-5431 (713) 448-5431 (713) 448-5431 (713) 448-5431 (806) 293-1885 (214) 324-0612 (806) 723-7361 (806) 723-7361 (940) 764-3352 (940) 764-3352 Dan.Wolterman@memorialhermann.org jeffrey.brownawell@memorialhermann.org jeffrey.brownawell@memorialhermann.org jeffrey.brownawell@memorialhermann.org jeffrey.brownawell@memorialhermann.org jeffrey.brownawell@memorialhermann.org gstafford@covhs.org gstafford@covhs.org bpert@urhcs.org bpert@urhcs.org (832) 667-5903 (832) 667-5903 (832) 667-5903 (832) 667-5903 bcurran@tmhs.org bcurran@tmhs.org bcurran@tmhs.org bcurran@tmhs.org (325) 658-8295 (512) 237-5746 979-731-8976 (615) 371-1068 (512) 459-5629 (512) 756-6405 bryanhorner@shannonhealth.org 409-384-4357 409-899-8191 (832) 667-5903 979-731-8976 gwoodard@st-joseph.org dave_medley@chs.net cbarnett@seton.org ellen.jones@christushealth.org bcurran@tmhs.org gwoodard@st-joseph.org Edwina.Miner@LPNT.net (806) 723-7361 409-899-8191 (409) 853-5910 (409) 212-5022 (615) 371-1068 gstafford@covhs.org ellen.jones@christushealth.org Mlandry@iasisihealthcare.com david.parmer@mhbh.org dave_medley@chs.net 4052736007 larry@preferredmanagementcorp.com (254) 202-9441 (512) 482-4179 (512) 482-4179 (512) 482-4179 903-315-2479 (806) 995-2277 rperkins@hillcrest.net david.wilson@stdavids.com david.wilson@stdavids.com david.wilson@stdavids.com dtaylor@sabinecountyhospital.com (915) 577-6109 (979) 732-9242 (806) 665-2361 (979) 732-9242 (254) 751-4769 409-899-8191 csadro@phn-waco.org ellen.jones@christushealth.org elterbrandr@claritycgc.org estela.chapa@christushealth.org (956) 632-6621 s.turley@dhr-rgv.com (615) 371-1068 dave_medley@chs.net (903) 614-2212 (806) 212-0272 940-384-4701 972-420-1073 9365463892 (409) 212-5022 (409) 853-5910 9035356334 chris.karam@christushealth.org bonnie.knapper@hcahealthcare.com gadominguez@etmc.org david.parmer@mhbh.org Mlandry@iasisihealthcare.com bhales@etmc.org Phys Addr 1040 West Jefferson 3501 Knickerbocker 1501 Burnet Drive 1601 West Eleventh Place 1500 East Houston Highway 1900 Pine Street 2500 East Main 2600 Hwy 118 N 2600 Hwy 118 N 6411 Fannin 921 Gessner Road 23900 Katy Freeway 9401 SW Frwy, Ste 337 6411 Fannin 9401 SW Frwy, Ste 337 8535 Tom Slick Drive 4343 North Josey Lane 2008 Nine Road 3533 South Alameda St 5016 South US Hwy 75 1311 East General Cavazos Blvd 608 Strickland Drive 801 Seventh Avenue 23900 Katy Freeway 9401 SW Frwy, Ste 337 9401 SW Frwy, Ste 337 6411 Fannin 6411 Fannin 921 Gessner Road 2601 Dimmitt Road 9440 Poppy Drive 3615 19th Street 3615 19th Street 1600 Tenth Street 1600 Tenth Street 4015 22nd Place 4015 22nd Place 6901 Medical Parkway 3000 North I-35 3615 19th Street 6565 Fannin 200 S IH 35 3100 Main Street, Suite 569 6565 Fannin 4401 Garth Rd 4401 Garth Rd 4401 Garth Rd 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 18500 Katy Freeway 18500 Katy Freeway 18500 Katy Freeway 18500 Katy Freeway 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 120 East Harris Ave. 800 E. Highway 71 2801 Franciscan Drive 506 E. San Antonio St 1201 West 38Th Street 601 E. 15th Street 3315 Alameda St. 1275 Marvin Hancock Drive 2830 Calder Avenue 4401 Garth Rd 2801 Franciscan Drive 6001 Kyle Parkway 1600 Tenth Street 6250 U.S. Highway 83/84 6250 U.S. Highway 83/84 820 Clarksville Street 6001 Kyle Parkway 6001 Kyle Parkway One St. Mark's Place 120 East Harris Ave. 120 East Harris Ave. 322 Coleman Street 333 North Santa Rosa 101 Circle Drive 1604 Rock Prairie 1604 Rock Prairie 1935 Medical District Drive 700 Medical Parkway 1935 Medical District Drive 2201 W. Lampasas 11801 S. Freeway 3615 19th Street 2830 Calder Avenue 2555 Jimmy Johnson Blvd 3080 College St. 506 E. San Antonio St 1935 Medical District Drive 310 S. Pecos Street 504 Lipscomb St 100 Hillcrest Medical Blvd 12221 Mopac Expwy N 919 East 32nd St 901 West Ben White Blvd 700 East Marshall Ave 539 S.E. Second Street 1201 W. Frank Street 2301 Highway 83 West 2001 N. Oregon Street 110 Shult Drive One Medical Center Drive 4015 22nd Place 4015 22nd Place 4015 22nd Place 4015 22nd Place 1935 Medical District Drive 1935 Medical District Drive 1935 Medical District Drive 1935 Medical District Drive 110 Shult Drive 6901 Medical Parkway 2830 Calder Avenue 1935 Medical District Drive 8535 Tom Slick 600 E. Elizabeth Street 1020 State Highway 16 S. 5501 S McColl Rd 1301 Wonder World Drive 1310 Paluxy Road 1353 N Travis St 6621 Fannin Street 1935 Medical District Drive 2600 St Michael Drive 1501 S. Coulter Road 6565 N. MacArthur - Suite 350 6565 N. MacArthur - Suite 350 P. O. Box 1129 3080 College St. 2555 Jimmy Johnson Blvd 1000 South Beckham Avenue Phys City Brownsville San Angelo Brownwood Big Spring Beeville Abilene Alice Alpine Alpine Houston Houston Katy Houston Houston Sugar Land San Antonio Carrollton Brady Corpus Christi Denison Kingsville Orange Fort Worth Katy Houston Sugar Land Houston Houston Houston Plainview Dallas Lubbock Lubbock Wichita Falls Wichita Falls Lubbock Lubbock Waco Denton Lubbock Houston Pearsall Houston Houston Baytown Baytown Baytown Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston San Angelo Smithville Bryan Victoria Austin Austin Corpus Christi Jasper Beaumont Baytown Bryan Kyle Wichita Falls Abilene Abilene Paris Kyle Kyle La Grange San Angelo San Angelo Marlin San Antonio Hillsboro College Station College Station Dallas Brenham Dallas Ennis Fort Worth Lubbock Beaumont Port Arthur Beaumont Victoria Dallas Coleman Bonham Waco Austin Austin Austin Longview Tulia Lufkin Hemphill El Paso Columbus Pampa Lubbock Lubbock Lubbock Lubbock Dallas Dallas Dallas Dallas Columbus Waco Beaumont Dallas San Antonio Corpus Christi Fredericksburg Edinburg San Marcos Granbury Liberty Houston Dallas Texarkana Amarillo Irving Irving Crockett Beaumont Port Arthur Tyler Phys State Phys Zip TX 78520 TX 76804 79720 TX 78102 79601 TX 78332 79830 79830 77030 77024 TX 77494 77074 TX 77030 TX 77074 78229 75010 TX 76825 TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX Mail Addr 1040 West Jefferson 3501 Knickerbocker Road PO Box 760 PO Box 844854 1500 East Houston St. 1242 N 19th St 700 Flournoy Rd 2600 Hwy 118 N 2600 Hwy 118 N 9494 Southwest Freeway STE 600 9301 Southwest Freeway STE 600 9301 Southwest Freeway STE 600 9401 Southwest Freeway, Ste 337 9301 Southwest Freeway STE 600 PO Box 201367 8535 Tom Slick Drive 4343 North Josey Lane PO Box 1150 3533 South Alameda St 75020 PO Box 9001 78363 1300 General Cavazos Blvd 77630 608 Strickland Drive 76104 801 Seventh Avenue 77494 9301 Southwest Freeway STE 600 77074 9401 Southwest Freeway, Ste 337 77074 PO Box 201367 77030 9301 Southwest Freeway STE 600 77030 9494 Southwest Freeway STE 600 77024 9301 Southwest Freeway STE 600 79072 2601 Dimmitt Road 75218 9440 Poppy Drive 79410 3615 19th Street 79410 3615 19th Street 76301 1600 Tenth Street 76301 1600 Tenth Street 79410 PO Box 1201 79410 PO Box 1201 767127910 6901 Medical Parkway 76201 PO Box 731467 79410 3615 19th Street 6565 Fannin St. STE M1-001 78061 200 S IH 35 77002 3100 Main Street Suite 569 6565 Fannin St. STE M1-001 4401 Garth Rd 4401 Garth Rd 4401 Garth Rd 77002 3100 Main Street, Suite 569 77002 Po Box 4406 77002 Po Box 4406 77002 Po Box 4406 77002 Po Box 4406 77002 3100 Main Street, Suite 569 77002 3100 Main Street, Suite 569 77002 3100 Main Street, Suite 569 77002 3100 Main Street, Suite 569 77002 20171 Chasewood Park Dr 77002 20171 Chasewood Park Dr 77002 20171 Chasewood Park Dr 77002 20171 Chasewood Park Dr 77094 18500 Katy Freeway Ste 3641 77094 18500 Katy Freeway Ste 3641 77094 18500 Katy Freeway Ste 3641 77094 18500 Katy Freeway Ste 3641 77002 3100 Main Street, Suite 569 77002 3100 Main Street, Suite 569 77002 3100 Main Street, Suite 569 77002 3100 Main Street, Suite 569 76903 120 E Harris Ave 78957 800 E. Highway 71 77802 2801 Franciscan Drive 77902 PO Box 2089 78705 PO Box 2301 78701 601 E. 15th Street 78412 3315 Alameda St. 75951 1275 Marvin Hancock Drive 77702 2830 Calder St. 4401 Garth Rd 77802 2801 Franciscan Drive 78640 6001 Kyle Parkway 76301 1600 Tenth Street 6250 U.S. Highway 83/84 6250 U.S. Highway 83/84 75460 PO Box 415000 MSC 410396 78640 6001 Kyle Parkway 78640 6001 Kyle Parkway 78945 1 St. Mark's Place 76903 120 E Harris Ave 76903 120 E Harris Ave 76661 PO Box 60 78207 333 N. Santa Rosa Ave 76645 101 Circle Drive 1604 Rock Prairie 1604 Rock Prairie 75235 1935 Motor Street 77833 700 Medical Parkway 75235 1935 Motor Street 2201 W Lampasas St 76115 P.O. Box 6452 79410 3615 19th Street 77702 2830 Calder St. 77640 PO Box 846381 77701 PO Box 974599 77902 PO Box 2089 75235 1935 Motor Street 76834 310 S Pecos St 75418 504 Lipscomb St 76712 3320 Hillcrest Dr. 78758 12221 Mopac Expwy N 919 East 32nd St 919 E 32nd Street 75601 700 East Marshall Ave 79088 PO Box 808 P.O. Box 1314 75948 PO Box 750 79902 2001 N. Oregon Street 78934 110 Shult Drive 75065 1 Medical Plz 79410 PO Box 1201 79410 PO Box 1201 79410 PO Box 1201 79410 PO Box 1201 75235 1935 Motor Street 75235 1935 Motor Street 75235 1935 Motor Street 75235 1935 Motor Street 78934 110 Shult Drive 76712 6901 Medical Parkway 77702 2830 Calder St. 75235 1935 Motor Street 8535 Tom Slick 2606 Hospital Blvd 78624 PO Box 835 78539 5501 S. McColl 78666 1301 Wonder World Drive 760485655 1310 Paluxy Road 77575 1353 N Travis St 77030 6621 Fannin Street St# 4-4440 75235 1 Medical Plz 75503 2500 St. Michael Drive 79106 PO Box 61558 75039 3535 South I-35 East 75039 500 West Main Street 1100 E Loop 304 77701 PO Box 974599 77640 PO Box 846381 75701 PO Box 1000 Mail City Brownsville San Angelo Brownwood Dallas Beeville Abilene Alice Alpine Alpine Houston Houston Houston Houston Houston Houston San Antonio Carrollton Brady Corpus Christi Denison Kingsville Orange Fort Worth Houston Houston Houston Houston Houston Houston Plainview Dallas Lubbock Lubbock Wichita Falls Wichita Falls Lubbock Lubbock Waco Dallas Lubbock Houston Pearsall Houston Houston Baytown Baytown Baytown Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston San Angelo Smithville Bryan Victoria San Antonio Austin Corpus Christi Jasper Beaumont Baytown Bryan Kyle Wichita Falls Abilene Abilene Nashville Kyle Kyle La Grange San Angelo San Angelo Marlin San Antonio Hillsboro College Station College Station Dallas Brenham Dallas Ennis Fort Worth Lubbock Beaumont Dallas Dallas Victoria Dallas Coleman Bonham Waco Austin Austin Austin Longview Tulia Lufkin Hemphill El Paso Columbus Pampa Lubbock Lubbock Lubbock Lubbock Dallas Dallas Dallas Dallas Columbus Waco Beaumont Dallas San Antonio Corpus Christi Fredericksburg Edinburg San Marcos Granbury Liberty Houston Pampa Texarkana King of Prussia, PA Denton Lewisville Crockett Dallas Dallas Quitman Mail State Mail Zip TX 78520-6338 TX 76904-7698 76804-0760 75284-4854 TX 78102-5312 79601-2316 TX 78332-4003 79830-2002 79830-2002 77074-1424 77074-1518 TX 77074-1518 77074-1407 TX 77074-1518 TX 77216-1367 TX 78229-3367 75010-4603 TX 76825-1150 78411-1721 75021-9001 78363-7116 77630-4717 76104-2733 TX 78411-1822 77074-1407 TX 77307-1367 TX 77074-1518 TX 77074-1424 TX 77074-1518 79072-1833 TX 75218-3652 79410-1203 79410-1203 TX 76301-4307 76301-4307 79408-1201 79408-1201 TX 76712-7910 75373-1468 TX 79410-1203 77030-2703 78061-6601 TX 77002-9312 77030-2703 77521-2122 77521-2122 77521-2122 TX 77002-9312 77210-4406 77210-4406 77210-4406 77210-4406 77002-9312 77002-9312 77002-9312 77002-9312 77070-1437 77070-1437 77070-1437 77070-1437 77094-1110 77094-1110 77094-1110 77094-1110 77002-9312 77002-9312 77002-9312 77002-9312 76903-5904 78957-1730 77802-2544 77902-2089 TX 78298-2301 78701-1930 78411-1820 75951-4935 77702-1809 77521-2122 77802-2544 78640-6112 76301-4307 79606-0000 79606-0000 TN 37241-5000 78640-6112 78640-6112 TX 78945-1250 76903-5904 76903-5904 TX 76661-0060 78207-3108 76645-2670 77842-8345 77842-8345 75235-7701 77833-5413 75235-7701 75119-5644 76115-0452 79410-1203 77702-1809 75284-6381 75397-4599 77902-2089 75235-7701 TX 76834-4159 TX 75418-4028 76708-3150 78758-2401 78705-2703 78705-2703 TX 75601-5580 79088-0808 75902-1314 75948-0750 79902-3320 78934-3016 79065-0000 79408-1201 79408-1201 79408-1201 79408-1201 75235-7701 75235-7701 75235-7701 75235-7701 78934-3016 76712-7910 77702-1809 75235-7701 78229-3367 78405-1804 78624-0835 78539-9152 TX 78666-7533 TX 76048-5655 77575-3579 TX 77030-2303 79065-0000 TX 75503-5218 PA 19406-0958 76210-6850 75057-3641 75835-1810 75397-4599 75284-6381 TX 757831000 Govt Entity Starr County Midland County Hospital District Midland County Hospital District Midland County Hospital District Nueces County Hospital District Taylor County Nueces County Hospital District Midland County Hospital District Ector County Hospital District Citizens Medical Center Citizens Medical Center Citizens Medical Center Citizens Medical Center Citizens Medical Center Citizens Medical Center University Health System (Bexar County) Denton County dba Denton County Health Department McCulloch County Hospital District Nueces County Hospital District Grayson County Nueces County Hospital District Rice Hospital District Tarrant County Hospital District University of Texas Health Science Center at Houston University of Texas Health Science Center at Houston University of Texas Health Science Center at Houston University of Texas Health Science Center at Houston University of Texas Health Science Center at Houston University of Texas Health Science Center at Houston Hale County Hospital Authority Dallas County Hospital District Seminole Hospital District of Gaines County (Memorial Hospital) Lynn County Hospital District Electra Memorial Hospital (Electra Hospital District) Gainesville Hospital District Decatur Hospital Authority dba Wise Regional Health System Ector County Hospital District Goodall-Witcher Hospital Authority Denton County dba Denton County Health Department Collingsworth Hospital District Chambers County Hospital District Frio Hospital District Liberty County Hospital District #1 Angleton-Danbury Hospital District Jackson County Hospital District Chambers County Hospital District Gonzales County Hospital District Liberty County Hospital District #1 Angleton-Danbury Hospital District Calhoun County dba Memorial Medical Center Liberty County Hospital District #1 West Wharton County Hospital District Angleton-Danbury Hospital District Calhoun County dba Memorial Medical Center Liberty County Hospital District #1 West Wharton County Hospital District Angleton-Danbury Hospital District Calhoun County dba Memorial Medical Center Liberty County Hospital District #1 West Wharton County Hospital District Angleton-Danbury Hospital District Jackson County Hospital District Chambers County Hospital District Gonzales County Hospital District Angleton-Danbury Hospital District Calhoun County dba Memorial Medical Center Liberty County Hospital District #1 West Wharton County Hospital District Kimble County Hospital District Smithville Hospital Authority TAMUS Health Science Center TAMUS Health Science Center Austin Independent School District Travis County Hospital District Nueces County Hospital District Tyler County Hospital Tyler County Hospital Angleton-Danbury Hospital District Madison County City of Luling Hardeman County Hospital District Midland County Hospital District Stonewall Memorial Hospital (County Hospital District) Lamar County City of Lockhart Caldwell County Lee County Concho Valley Center for Human Advancement dba MHMR Services for the Concho Ector County Hospital District Falls County University Health System (Bexar County) Hill County Washington County Leon County Ector County Hospital District Washington County Decatur Hospital Authority dba Wise Regional Health System Tarrant County Hospital District Tarrant County Hospital District Hemphill County Hospital District Spindletop Center Spindletop Center Spindletop Center Lavaca Medical Center (hospital district) Decatur Hospital Authority dba Wise Regional Health System Coleman County Medical Center Fannin County Hospital Authority dba Red River Regional Hospital City of Waco Austin Travis County MHMR Center Austin Travis County MHMR Center Austin Travis County MHMR Center Sabine Valley Regional MHMR Center dba Community Healthcore Swisher Memorial Healthcare System (County Hospital District) Nacogdoches County Hospital District Sabine County Hospital District El Paso County Hospital District Gonzales County Hospital District Childress County Hospital District dba Childress Regional Medical Center Wilbarger General Hospital District Comanche County Consolidated Hospital District Graham Regional Medical Center (City of Graham) McCulloch County Hospital District McCulloch County Hospital District Graham Regional Medical Center (City of Graham) Comanche County Consolidated Hospital District Wilbarger General Hospital District Lavaca Medical Center (hospital district) City of Waco The University of Texas Medical Branch at Galveston Memorial Hospital of Winkler County Uvalde County Hospital Authority Nueces County Hospital District Fredericksburg Hospital Authority The University of Texas-Pan American Institution of Higher Education Hays County Emergency Services District Number 7 Hood County Liberty County Hospital District #1 Texas Higher Education Board Moore County Hospital District Atlanta Hospital Authority Amarillo Hospital District Denton County dba Denton County Health Department Denton County dba Denton County Health Department Houston County Hospital District The University of Texas Medical Branch at Galveston The University of Texas Medical Branch at Galveston Wood County Central Hospital District Govt TIN 1741794256 6 501 1751584559 6 000 1751584559 6 000 1751584559 6 000 1746000604 6 000 1756001173 0 004 1746000604 6 000 1751584559 6 000 1752302928 2 501 1741698143 3 011 1741698143 3 011 1741698143 3 011 1741698143 3 011 1741698143 3 011 1741698143 3 011 1746002164 9 501 1756000920 5 010 1741791441 7 004 1746000604 6 000 1756000969 2 010 1746000604 6 000 1760487947 2 002 1756000439 6 324 3744744744 4 000 3744744744 4 000 3744744744 4 000 3744744744 4 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3723723723 7 000 3723723723 7 000 1751249184 0 000 Hospital Affiliations RHP 1 1 1 1 1 1 1 12 12 1 12 18 9 7 16 9 12 3 3 3 17 17 3 3 17 17 3 3 1 3 6 5 4 17 5 5 12 1 5 5 1 6 10 10 10 2 9 3 3 9 9 9 9 9 9 9 8 9 9 8 9 9 9 9 9 3 16 16 5 17 17 8 3 18 1 1 1 10 18 20 11 19 2 3 3 3 9 12 3 17 17 17 14 17 9 17 1 17 11 3 3 3 3 17 10 17 5 5 5 5 17 12 12 12 12 12 12 3 5 5 10 6 6 6 6 6 12 2 9 14 15 19 3 10 12 14 3 4 2 6 11 1 13 3 19 12 19 Affiliation Number 600-12-0000-00247 600-12-0000-00248 600-12-0000-00249 600-12-0000-00250 600-12-0000-00251 600-12-0000-00252 600-12-0000-00253 600-12-0000-00255 600-12-0000-00256 600-12-0000-00258 600-12-0000-00259 600-12-0000-00260 600-12-0000-00261 600-12-0000-00262 600-12-0000-00263 600-12-0000-00264 600-12-0000-00265 600-12-0000-00266 600-12-0000-00267 600-12-0000-00268 600-12-0000-00269 600-12-0000-00270 600-12-0000-00271 600-12-0000-00272 600-12-0000-00273 600-12-0000-00274 600-12-0000-00275 600-12-0000-00276 600-12-0000-00277 600-12-0000-00278 600-12-0000-00279 600-12-0000-00281 600-12-0000-00282 600-12-0000-00283 600-12-0000-00284 600-12-0000-00285 600-12-0000-00286 600-12-0000-00287 600-12-0000-00288 600-12-0000-00293 600-13-0000-00101 600-13-0000-00102 600-13-0000-00103 600-13-0000-00104 600-13-0000-00105 600-13-0000-00106 600-13-0000-00107 600-13-0000-00108 600-13-0000-00109 600-13-0000-00110 600-13-0000-00111 600-13-0000-00112 600-13-0000-00113 600-13-0000-00114 600-13-0000-00115 600-13-0000-00116 600-13-0000-00117 600-13-0000-00118 600-13-0000-00119 600-13-0000-00120 600-13-0000-00121 600-13-0000-00122 600-13-0000-00123 600-13-0000-00124 600-13-0000-00125 600-13-0000-00126 600-13-0000-00127 600-13-0000-00128 600-13-0000-00143 600-13-0000-00157 600-14-0000-00001 600-14-0000-00002 600-14-0000-00003 600-14-0000-00004 600-14-0000-00005 600-14-0000-00006 600-14-0000-00007 600-14-0000-00009 600-14-0000-00010 600-14-0000-00011 600-14-0000-00012 600-14-0000-00013 600-14-0000-00014 600-14-0000-00015 600-14-0000-00016 600-14-0000-00017 600-14-0000-00018 600-14-0000-00019 600-14-0000-00020 600-14-0000-00021 600-14-0000-00022 600-14-0000-00023 600-14-0000-00024 600-14-0000-00025 600-14-0000-00026 600-14-0000-00027 600-14-0000-00028 600-14-0000-00029 600-14-0000-00030 600-14-0000-00031 600-14-0000-00032 600-14-0000-00033 600-14-0000-00034 600-14-0000-00035 600-14-0000-00036 600-14-0000-00037 600-14-0000-00038 600-14-0000-00039 600-14-0000-00040 600-14-0000-00041 600-14-0000-00042 600-14-0000-00043 600-14-0000-00044 600-14-0000-00045 600-14-0000-00046 600-14-0000-00047 600-14-0000-00048 600-14-0000-00050 600-14-0000-00051 600-14-0000-00052 600-14-0000-00053 600-14-0000-00054 600-14-0000-00055 600-14-0000-00056 600-14-0000-00057 600-14-0000-00058 600-14-0000-00059 700-12-0000-00001 700-12-0000-00002 700-12-0000-00003 700-12-0000-00004 700-12-0000-00005 700-12-0000-00006 700-12-0000-00007 700-12-0000-00008 700-12-0000-00009 700-12-0000-00010 700-12-0000-00011 700-12-0000-00012 700-12-0000-00015 800-12-0000-00001 800-12-0000-00002 800-12-0000-00003 800-12-0000-00004 800-12-0000-00006 800-12-0000-00007 800-12-0000-00008 Program Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Private Large Urban Large Urban Large Urban Large Urban Large Urban Large Urban Large Urban Large Urban Large Urban Large Urban Large Urban Large Urban Large Urban Rural Rural Rural Rural Rural Rural Rural TPI 094127002 094190802 121817401 130862905 136140407 138374715 139173209 127319504 308032701 020812601 197063401 220351501 094207002 121789503 138962907 138910807 127319504 219386401 219386401 127300503 160630301 160630301 281219001 281219001 210274101 210274101 201331001 201331001 020812601 127300503 112742503 020947001 020973601 020841501 154504801 020947001 322879301 020812601 160709501 160709501 207311601 136491104 020950401 094105602 094193202 163925401 021224301 193867201 193867201 020943901 094192402 020979301 111905902 020967801 020908201 094140302 135032405 209345201 126679303 151691601 195018001 021003101 139485012 121790303 121776204 181706601 138962907 138962907 132812205 127267603 127267603 312239201 131044305 169553801 141858401 094108002 127301306 138910807 138910807 132812205 138644310 135237906 138296208 121807504 137949705 127300503 138910807 127319504 131044305 127267603 127267603 127267603 127267603 127267603 094379701 127267603 094095902 127267603 138644310 137962006 281028501 140713201 094219502 020860501 316296801 127267603 294543801 292096901 292096901 294543801 127267603 133258705 133258705 133258705 127263503 127263503 127263503 121811703 294543801 292096901 184409401 331941001 331941001 331941001 331941001 331941001 322879301 121805903 127295703 135235306 138951211 135034009 133355104 126675104 137999206 136143806 127303903 121775403 020988401 136141205 094104901 133255305 130089906 020993401 127305405 133250406 154632701 TIN 1752735077 5 000 1752753454 3 000 1752715898 8 003 1752638020 3 002 1752250730 4 002 1751919624 4 001 1751854562 3 001 1752428911 7 002 1455125687 9 000 1751803325 7 001 1260328929 4 001 1272025690 3 002 1752770738 8 004 1742575462 3 010 1741161944 2 004 1750800628 9 324 1752428911 7 002 1263734516 1 000 1263734516 1 000 1741161938 4 009 1760536234 6 005 1760536234 6 005 1273280598 6 001 1273280598 6 001 1300427437 2 002 1300427437 2 002 1204326467 5 000 1204326467 5 000 1751803325 7 001 1741161938 4 009 1741153067 2 005 1621669572 2 501 1752387418 2 003 1621801361 9 003 1562143518 7 000 1621669572 2 501 1750800669 3 012 1751803325 7 001 1742802643 3 002 1742802643 3 002 1751003314 9 002 1621795572 9 002 1621682201 1 001 1621682205 2 000 1621682202 9 005 1270060569 9 007 1621797829 1 002 1261512163 4 001 1261512163 4 001 1621682198 9 003 1621682210 2 002 1621650582 2 002 1621682213 6 002 1432008974 2 002 1751047527 4 501 1752771437 6 002 1750800661 0 324 1750800661 0 014 1750800661 0 017 1752834135 1 001 1208889358 6 002 1751765385 7 002 1751837454 5 000 1751037591 2 009 1752586857 0 000 1204835578 3 003 1741161944 2 004 1741161944 2 004 1742577746 7 000 1741282696 2 501 1741282696 2 501 1272814378 0 000 1452856063 5 001 1460477873 9 004 1751976930 5 007 1750818167 8 002 1752771569 6 004 1750800628 9 324 1750800628 9 324 1742577746 7 000 1750827446 5 324 1751912147 3 003 1760591590 3 002 1621801360 1 006 1741180155 2 000 1741161938 4 009 1750800628 9 324 1752428911 7 002 1452856063 5 001 1741282696 2 501 1741282696 2 501 1741282696 2 501 1741282696 2 501 1741282696 2 501 1232853139 2 005 1741282696 2 501 1751041154 3 015 1741282696 2 501 1750827446 5 324 1741287015 0 003 1760545192 5 009 1760545192 5 001 1760545192 5 008 1621762360 8 004 1451502252 4 000 1741282696 2 501 1770634227 0 000 1741385476 5 001 1741385476 5 001 1770634227 0 000 1741282696 2 501 1752246348 2 000 1752246348 2 000 1752246348 2 000 1752426010 0 000 1752426010 0 000 1752426010 0 000 17603546030 4 008 1770634227 0 000 1741385476 5 001 1205694301 7 000 1462349271 8 004 1462349271 8 004 1462349271 8 004 1462349271 8 004 1462349271 8 004 175137016 5 000 1741612400 0 000 1756004221 4 002 1752302928 2 501 1746000756 4 501 1756219138 1 002 1741536936 6 324 1756000439 6 324 1751301362 7 501 1751584559 6 000 1760339462 2 000 1741109836 5 501 1741498067 6 000 1746002164 9 501 1756003659 6 000 1237033240 0 000 1752312009 9 001 1760153629 9 001 1751220799 8 002 1751228349 4 501 1756002948 4 000 Provider East Texas Medical Center Carthage East Texas Medical Center Fairfield dba ETMC Fairf East Texas Medical Center Trinity East Texas Medical Center Clarksville East Texas Medical Center Mount Vernon East Texas Medical Center Pittsburg East Texas Medical Center Athens Methodist Children's dba Covenant Children's Hospi Prime Healthcare Services - Pampa, LLC dba Pampa R East Texas Medical Center GPCH LLC dba Golden Plains Community Hospital Sherman/Grayson Hospital LLC dba Texas Health Pres Texas Health Presbyterian Hospital of Plano dba Pr Central Texas Medical Center Hillcrest Baptist Medical Center Children's Medical Center of Dallas Methodist Children's dba Covenant Children's Hospi St. Luke's Hospital at the Vintage LLC St. Luke's Hospital at the Vintage LLC St. Luke's Episcopal Hospital St. Luke's Community Health Srvs (The Woodlands) St. Luke's Community Health Srvs (The Woodlands) St. Luke's Patients Medical Center St. Luke's Patients Medical Center St. Luke's Lakeside Hospital St. Luke's Lakeside Hospital St. Luke's Sugar Land Hospital Partnership LLP dba St. Luke's Sugar Land Hospital Partnership LLP dba East Texas Medical Center St. Luke's Episcopal Hospital Clarity Child Guidance Center Columbia Valley Regional Medical Center Corpus Christi Medical Center Conroe Regional Medical Center Harlingen Medical Center Columbia Valley Regional Medical Center Baptist St. Anthony's Health System East Texas Medical Center Doctor's Hospital at Renaissance Doctor's Hospital at Renaissance Wadley Regional Medical Center Southwest General Hospital Medical Center of Arlington Columbia North Hills Hospital Subsidiary LP dba No Columbia Plaza Medical Center of Fort Worth dba Pl The Medical Center of Southeast Texas LP Green Oaks Hosp Subsidiary dba Green Oaks Hospital Houston North West Medical Center Houston North West Medical Center Columbia Hosp at Med City Dallas Subsid dba Medica Columbia Medical Center of Lewisville dba Medical Columbia Medical Center of Las Colinas Inc dba Las Columbia Medical Center of Denton dba Denton Regio Texas Health Denton dba TX Health Presby Hosp Dent Presbyterian Hospital of Dallas Presbyterian Kaufman dba Presbyterian Hospital of Methodist Hosp of Dallas Methodist Dallas Med Ctr Methodist Hosp of Dallas dba Methodist Richardson Methodist Hosp if Dallas Methodist Charlton Med Ct Baylor Heart & Vascular Center, L.L.P. Baylor Medical Ctr Carrollton Baylor Specialty Health Center dba Baylor Specialt Baylor University Medical Center Baylor Medical Centers At Garland and McKinney dba Baylor Medical Center At Irving SJ Medical Center LLC dba St Joseph Hospital Hillcrest Baptist Medical Center Hillcrest Baptist Medical Center Driscoll Children's Hospital St. Joseph Regional Health Center St. Joseph Regional Health Center HH Killeen Hlth Sytm LLC dba Seton Med Ctr Harker Tomball Texas Hospital Company, LLC dba Tomball Re Tenet Frisco Ltd dba Centennial Medical Center Mother Frances Hospital - Jacksonville Mother Frances Hospital Regional Healthcare Center Mother Frances Hospital - Winnsboro Children's Medical Center of Dallas Children's Medical Center of Dallas Driscoll Children's Hospital Hendrick Medical Center United Regional Health Care System Christus Health Southeast Tx dba Christus St. Eliz CHCA Clear Lake LP dba Clear Lake Regional Medical The Methodist Hospital St. Luke's Episcopal Hospital Children's Medical Center of Dallas Methodist Children's Hosp dba Covenant Children's Tomball Texas Hospital Company, LLC dba Tomball Re St. Joseph Regional Health Center St. Joseph Regional Health Center St. Joseph Regional Health Center St. Joseph Regional Health Center St. Joseph Regional Health Center Timberlawn Mental Health System St. Joseph Regional Health Center The Good Shepherd Hospital dba Good Shepherd Medic St. Joseph Regional Health Center Hendrick Medical Center San Jacinto Methodist Hospital Methodist West Houston Hospital Methodist Willowbrook Methodist Sugar Land College Station Medical Center Texas Health Harris Methodist Hospital Alliance St. Joseph Regional Health Center Valley Baptist Medical Center- Brownsville Valley Baptist Medical Center (Harlingen) Valley Baptist Medical Center (Harlingen) Valley Baptist Medical Center-Brownsville St. Joseph Regional Health Center Methodist Hosp Levelland dba Covenant Hosp Levella Methodist Hosp Levelland dba Covenant Hosp Levella Methodist Hosp Levelland dba Covenant Hosp Levella Covenant Hospital Plainview Covenant Hospital Plainview Covenant Hospital Plainview TH Healthcare LTD Park Plaza Hospital Valley Baptist Medical Center- Brownsville Valley Baptist Medical Center (Harlingen) Weatherford Tx Hosp Comp Weatherford Reg Med Ctr Nix Community General Hospital LLC Nix Community General Hospital LLC Nix Community General Hospital LLC Nix Community General Hospital LLC Nix Community General Hospital LLC Baptist St. Anthony's Health System Angleton Danbury Medical Center Dallas County Hospital District dba Parkland Hlth Ector County Hospital District dba Medical Center El Paso Co Hosp Dist - University Medical Center o Electra Memorial Hospital Harris County Hospital District Tarrant County Hospital District dba JPS Health Ne Lubbock County Hospital District dba University Me Midland County Hospital District dba Midland Memor Oak Bend Medical Center Spohn Health System dba Spohn Memorial Hospital Sweeny Community Hospital University Health System (Bexar County Hospital D Anson General Hospital Atlanta Memorial Hospital Ballinger Memorial Hospital Bayside Community Hospital Bowie Memorial Hospital Childress Regional Medical Center Chillicothe Hospital Contact Byron Hale Byron Hale Byron Hale Byron Hale Byron Hale Byron Hale Byron Hale Chris Dougherty Ray Dziesinski Byron Hale Dennis Jack Vance Reynolds Philip M. Wentworth Sam Huenergardt Richard Perkins Ray Dziesinski Chris Dougherty Frank Speidel Frank Speidel Stephen Pickett Debra D. Sukin Debra D. Sukin William Simmons William Simmons Debra D. Sukin Debra D. Sukin Jim Levermann Jim Levermann Byron Hale Stephen Pickett Michael D. Bernick David G Hadley Edward H. Lamb Maura Walsh Title Sr. Vice President/CFO Sr. Vice President/CFO Sr. Vice President/CFO Sr. Vice President/CFO Sr. Vice President/CFO Sr. Vice President/CFO Sr. Vice President/CFO Chief Operating Officer/President CFO Sr. Vice President/CFO Chief Executive Officer CEO FACHE President Chief Executive Officer Executive Vice President & CFO CFO Chief Operating Officer/President Vice President/CEO Vice President/CEO Executive Vice President Chief Executive Officer Chief Executive Officer CEO CEO CEO CEO CEO CEO Sr. Vice President/CFO Executive Vice President Vice President - Finance FACHE Chief Executive Officer Chief Executive Officer Senior Vice President Phone (903) 531-8010 (903) 531-8010 (903) 531-8010 (903) 531-8010 (903) 531-8010 (903) 531-8010 (903) 531-8010 (806) 725-0040 (214) 456-7000 (903) 531-8010 806-273-1106 (903) 870-4611 972-981-8000 (512) 353-8979 (254) 202-9448 (214) 456-7000 (806) 725-0040 (832) 534-5000 (832) 534-5000 Bob Williams Byron Hale Susan Turley Israel Rocha Jr. Mike Lieb Richard Gonzalez Thomas O. Corley Thomas O. Corley Thomas O. Corley Mike Landry Leah Domstead Linda Mercier Linda Mercier Thomas O. Corley Doug Welch Thomas O. Corley Caleb O'Rear Stan C. Morton Jack Roper Patsy Youngs Michael J. Schaefer Richard L. Boring Michael J. Schaefer Frederick Savelsbergh Spencer Turner Frederick Savelsbergh Frederick Savelsbergh Frederick Savelsbergh Frederick Savelsbergh Patrick Mathews Richard Perkins Richard Perkins Joe Beck Gentry Woodard Gentry Woodard Matthew T Maxfield Lynn LeBouef Joe Thomason William L. Bellenfant William L. Bellenfant William L. Bellenfant Ray Dziesinski Ray Dziesinski Joe Beck Stephen Kimmel Bob Pert Ellen Jones Maura Walsh Bret Curran Stephen Pickett Ray Dziesinski Chris Dougherty Lynn LeBouef Gentry Woodard Gentry Woodard Gentry Woodard Gentry Woodard Gentry Woodard Lori Verbeke Gentry Woodard Edward D. Banos Gentry Woodard Stephen Kimme Bret Curran Bret Curan Bret Curran Bret Curran Dave Medley Noe Balli Gentry Woodard Leslie Bingham Bill Adams Bill Adams Leslie Bingham Gentry Woodard Bruce White Bruce White Bruce White Clay Taylor Clay Taylor Clay Taylor John Tressa Leslie Bingham Bill Adams Dave Medley John Strieby John Strieby John Strieby John Strieby John Strieby Bob Williams Kelly Lackey Jim Blasingame Robert Abernethy Jesus Fuentes Rebecca McCain Terry Laney Christopher Klang TERRY MCKENZIE Rebecca Richey Adam Popp Barbara Smith Delores Merchant RHIA Bill Bedwell Sabra Knox Jackie Rainey Josilyn Peterson Theresa Cheaney T. Kim Lee Kathy McLain Linda Hall Interim Chief Executive Officer Sr. Vice President/CFO Chief Financial Officer Government and Public Affairs Officer EVP/COO-Interim CEO Chief Executive Officer Vice President Vice President Vice President Chief Executive Officer Vice President & Chief Legal Officer CEO CEO Vice President FACHE Chief Executive Officer Vice President Chief Executive Officer Chief Executive Officer Sr. Vice President/Finance President Executive Vice President & Chief Financial Officer President/CEO Executive Vice President & Chief Financial Officer Senior Vice President of Hospital Finance President Senior Vice President of Hospital Finance Senior Vice President of Hospital Finance Senior Vice President of Hospital Finance Senior Vice President of Hospital Finance Chief Administrative Officer Executive Vice President & CFO Executive Vice President & CFO Director of Reimbursement Director of Legislative Affairs and Grants Director of Legislative Affairs and Grants Chief Executive Officer President/Chief Executive Office CEO CFO CFO CFO CFO CFO Director of Reimbursement Senior Vice President and CFO CFO Chief Executive Officer Senior Vice President Sr. Vice President, Billings, Collections & Insurance Exectuive Vice President CFO Chief Operation Officer/President President/CEO Director of Legislative Affairs and Grants Director of Legislative Affairs and Grants Direcctor of Legislative Affairs and Grants Director of Legislative Affairs and Grants Director of Legislative Affairs and Grants CFO Director of Legislative Affairs and Grants Chief Executive Officer Director of Legislative Affairs and Grants Senior Vice President and CFO Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Senior Vice President, Billings, Collections & Insurance Vice President, Group II Operations (806) 212-2000 (903) 531-8010 (956) 661-7469 9566617469 9037988001 2109213515 9999999999 9999999999 9999999999 4098535900 9727892833 2814401000 2844401000 9727892833 9724201000 9727892833 9403843535 9408987000 8174626260 9729327200 2149474510 9724984000 2149474510 2148203724 9724921010 2148203724 2148203724 2148203724 2148203724 7137565376 2542029448 2542029448 3616945027 9797762458 9797762458 2546806201 2814017500 9729633333 9035314556 9035314556 9035314556 2144567000 2144567000 3616945027 3256702182 9407643023 4098997101 7138521567 8326676022 9999999999 2144567000 8067250040 2814017500 9797762458 9797762458 9797762458 9797762458 9797762458 2143889423 9797762458 9303152000 9797762458 3256702182 8326676022 8326676022 8326676022 8326676022 6154657030 Director of Legislative Affairs and Grants 9797762458 9566985421 9563891674 9563891674 9566985421 9797762458 8068944963 8068944963 8068944963 Sr. Vice President &CEO Sr Vice Presicent, CEO Director of Legislative Affairs and Grants CEO CEO CEO CEO VP Hosp Admin CEO CEO Sr. Vice President &CEO Vice President, Group II Operations President and Chief Executive Officer President and Chief Executive Officer President and Chief Executive Officer President and Chief Executive Officer President and Chief Executive Officer Interim Chief Executive Officer Director of Finance Associate Director Chief Financial Officer Sr. Analyst CFO Director Decision Support Services Director of Reimbursement REIMBURSEMENT COORDINATOR Controller, Director of Accounting Controller Information Systems Coordinator Dir. Financial Services Director of Reimbursement Administrator Controller Chief Financial Officer Controller CEO CFO Administrator (936) 266-2000 (936) 266-2000 (713) 948-7000 (713) 948-7000 (936) 266-9000 (936) 266-9000 (281) 637-7000 (281) 637-7000 (903) 531-8010 (210) 582-6476 956-350-7000 (361) 761-1501 (713) 852-1503 Fax (903) 535-6334 (903) 535-6334 (903) 535-6334 (903) 535-6334 (903) 535-6334 (903) 535-6334 (903) 535-6334 Email bhale@etmc.org bhale@etmc.org bhale@etmc.org bhale@etmc.org bhale@etmc.org bhale@etmc.org bhale@etmc.org (903) 535-6334 806-273-1395 (903) 870-4361 972-981-8111 bhale@etmc.org ceogpch@goldenplains.org (254) 202-9441 rperkins@hillcrest.net (903) 535-6334 bhale@etmc.org (210) 582-6463 956-350-7111 BernickM@claritycgc.org (713) 852-1599 maura.walsh@hcahealthcare.com (903) 535-6334 (956) 632-6621 bhale@etmc.org s.turley@dhr-rgv.com s.turley@dhr-rgv.com mlieb@wasleyhealth.com RDGonzalez@iasishealthcare.com 4098535910 9727169527 Mlandry@iasisihealthcare.com leah.domstead@HCAHealthcare.com 9727169527 9724201073 9727169527 9403844701 9408987071 8174627203 9729325425 2149474501 9724984883 2149474501 2148185724 leah.domstead@HCAHealthcare.com bonnie.knapper@hcahealthcare.com leah.domstead@HCAHealthcare.com 2148185724 2148185724 2148185724 2148185724 7136577123 2542029441 2542029441 3618082086 9797318976 9797318976 2546806380 fredsa@baylorhealth.edu fredsa@baylorhealth.edu fredsa@baylorhealth.edu fredsa@baylorhealth.edu patrick.mathews@hosptialpartners.com rperkins@hillcrest.net rperkins@hillcrest.net Joe.Beck@dchstx.org gwoodard@st-joseph.org gwoodard@st-joseph.org Matt.Maxfield@SMCHH.org jackroper@texashealth.org michaelschaefer@mhd.com michaelschaefer@mhd.com fredsa@baylorhealth.edu 9729633625 bellenb@tmfhs.org bellenb@tmfhs.org bellenb@tmfhs.org 3618082086 3256702209 9407643352 4098998191 8669474097 8326675903 Joe.Beck@dchstx.org skimmel@hendrickhealth.org bpert@urhcs.org ellen.jones@christushealth.org maura.walsh@HCAHealthcare.com 9999999999 9999999999 9797318976 9797318976 9797318976 9797318976 9797318976 9797318976 9303152479 9797318976 3256702209 8326675903 8326675903 8326675903 8326675903 6153711068 9797318976 9563891129 9563891129 9797318976 8068944963 8068944963 gwoodard@st-joseph.org gwoodard@st-joseph.org gwoodard@st-joseph.org gwoodard@st-joseph.org gwoodard@st-joseph.org lori.verbeke@uhsinc.com gwoodard@st-joseph.org gwoodard@st-joseph.org skimmel@hendrickhealth.org bcurran@tmhs.org bcurran@tmhs.org bcurrant@tmhs.org bcurran@tmhs.org dave_medley@chs.net NoeBalli@texashealth.org gwoodard@st-joseph.org leslie.bingham@valleybaptist.net bill.adams@valleybaptist.net bill.adams@valleybaptist.net leslie.bingham@valleybaptist.net gwoodard@st-joseph.org bwhite@covhs.org 8062964265 Clay.Taylor@covplv.org 7135275116 9566985421 9563891674 6154657030 2102712183 2102712183 2102712183 2102712183 2102712183 8062122000 9798489110 2145904174 4326402407 9155217647 9404953981 7135666798 8179206204 8067610809 4326851645 2816334080 3618813845 9795481591 2103582037 3258231152 9037993036 3253652531 4092673143 9408729371 9409379169 9408525131 9563891129 6153711068 2102712023 2102712023 2102712023 2102712023 2102712023 john.tressa@tenethealth.com leslie.bingham@valleybaptist.net bill.adams@valleybaptist.net dave_medley@chs.net jfs@nixhealth.com jfs@nixhealth.com jfs@nixhealth.com jfs@nixhealth.com jfs@nixhealth.com 9798490581 2145904176 4326401118 9155217888 9404953809 7135666072 8178702884 8064726801 4325714058 2812387872 3618844530 9795481567 2103584745 3258233098 9037993030 3253655689 4092673608 9408721561 9409379133 9408525087 lackeyk@admc.org james.blasingame@phhs.org rabernethy@echd.org jfuentes@umcelpaso.org rebecca.mccain@electrahospital.com terry_laney@hchd.tmc.edu cklang@jpshealth.org terry.mckenzie@umchealthsystem.com rrichey@midland-memorial.com apopp@obmc.org barbara.amith2@christushealth.org dmerchant@sweenyhospital.org Bill.Bedwell@UHS-SA.com sknox@ansongh.com jrainey@atlantamemorial.com josilynp@bmhd.org tcheaney@chambershealth.org klee@bowiememorial.com kathy@childresshospital.com linda@chillhd.org Phys Addr 1000 South Beckham Avenue 1000 South Beckham Avenue 1000 South Beckham Avenue 1000 South Beckham Avenue 1000 South Beckham Avenue 1000 South Beckham Avenue 1000 South Beckham Avenue 4015 22nd Place 1935 Medical District Drive 1000 South Beckham Avenue 200 S. McGee St 500 N. Highland Avenue 6200 West Parker Road 1301 Wonder World Drive 100 Hillcrest Medical Blvd 1935 Medical District Drive 4015 22nd Place 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 1000 South Beckham Avenue 3100 Main Street, Suite 569 8535 Tom Slick Drive 100 A. East Alton Gloor 3315 Alameda St. One Fannin Building, 7400 Fannin Suite 650 Phys City Tyler Tyler Tyler Tyler Tyler Tyler Tyler Lubbock Dallas Tyler Borger Sherman Plano San Marcos Waco Dallas Lubbock Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Tyler Houston San Antonio Brownsville Corpus Christi Houston 1600 Wallace Blvd. 1000 South Beckham Avenue 5501 S McColl Rd 5501 S McColl Rd 1000 Pine Street 7400 Barlite Blvd 3301 Matlock Road 4401 Booth Calloway Road 900 8th Ave 2555 Jimmy Johnson Blvd 13355 Noel Road, Ste 650 710 Cypress Creek Parkway 710 Cypress Creek Parkway 7777 Forest Lane 500 West Main Street 13355 Noel Road, Ste 650 6565 N. MacArthur - Suite 350 3000 North I-35 8200 Walnut Hill Lane 850 W Highway 243 PO Box 655999 401 W. Campbell Road 3500 W. Wheatland Road 621 N. Hall Street 4343 North Josey Lane 3504 Swiss Ave 3500 Gaston Ave #220 2300 Marie Curie Dr 1901 N. MacArthur Blvd 1401 St. Joseph Parkway 100 Hillcrest Medical Blvd 100 Hillcrest Medical Blvd 3533 South Alameda St 2801 Franciscan Drive Amarillo Tyler Edinburg Edinburg Texarkana San Antonio Arlington North Richland Hills Fort Worth Port Arthur Dallas Houston Houston Dallas Lewisville Dallas Irving Denton Dallas Kaufman Dallas Richardson Dallas Dallas Carrollton Dallas Dallas Garland Irving Houston Waco Waco Corpus Christi Bryan 850 West Central Texas Expressway Phys State Phys Zip TX 75701 75701 75701 75701 75701 75701 75701 79410 75235 TX 75701 79007 75092 TX 75093 78666 76712 75235 79410 77002 77002 TX 77002 TX 77002 TX 77002 77002 77002 77002 77002 77002 77002 TX 75701 TX 77002 78229 78526 78412 77305 TX TX TX TX TX TX TX TX tx TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX 79106 75701 78539 785399152 755015100 782241308 760152908 761807371 761043902 776400000 75240 77090 77090 752302505 750573641 75240 75039 76201 752314426 751421861 752655999 75080 75237 752261339 750104603 752046224 752462017 750425706 750612220 770028301 76712 76712 784111721 778022544 Harker Heights TX 765481890 12505 Lebanon Rd 1021 E. Idel St 800 E Dawson St 1021 E Idel St 1935 Medical District Drive 1935 Medical District Drive 3533 South Alameda St 1900 Pine Street 1600 Tenth Street 2830 Calder Avenue 500 Medical Center Blvd 6565 Fannin St 3100 Main Street, Suite 569 1935 Medical District Drive, F3.22 4015 22nd Place 605 Holderrieth Street 2801 Franciscan Dr 2801 Franciscan Drive 2801 Franciscan Drive 2801 Franciscan Drive 2801 Franciscan Drive 4600 Samuell Blvd 2801 Franciscan Drive 700 East Marshall Ave 2801 Franciscan Drive 1900 Pine Street 4401 Garth Road 18500 Katy Freeway Ste 3641 18220 Tomball Parkway 16655 Southwest Freeway 1604 Rock Prairie 10864 Texas Health Trl 2801 Franciscan Drive 1040 W Jeffferson St 2121 Pease Street 2121 Pease Street 1040 W Jefferson 2801 Franciscan Drive 1900 College Avenue 1900 College Avenue 1900 College Avenue 2601 Dimmit Rd 2601 Dimmitt Road 2601 Dimmitt Road 1313 Hermann Drive 1040 W Jefferston St 2121 Pease Street 713 Anderson Street 414 Navarro Street Ste 600 414 Navarro Street Ste 600 414 Navarro Street Ste 600 414 Navarro Street Ste 600 414 Navarro Street Ste 600 1600 Wallace Blvd. Frisco Tyler Tyler Tyler Dallas Dallas Corpus Christi Abilene Wichita Falls Beaumont Webster Houston Houston Dallas Lubbock Tomball Bryan Bryan Bryan Bryan Bryan Dallas Bryan Longview Bryan Abilene Baytown Houston Houston Houston College Station Fort Worth Bryan Brownsville Harlingen Harlingen Harlingen Bryan Levelland Levelland Levelland Plainview Plainview Plainview Houston Brownsville Harlingen Weatherford San Antonio San Antonio San Antonio San Antonio San Antonio Amarillo TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX 750358298 757012025 757012036 757012025 752357701 75235 784111721 79601 763014301 777021809 775984220 770302703 770029312 75235 79410 773756445 778022544 778022544 778022544 778022544 778022544 752286827 778022544 756015580 778022254 79601 775212122 770941110 77070 774792329 778428345 762444897 778022254 785206338 78550 78550 785206338 778022254 793366508 793366508 793366508 790721833 790721833 790721833 770047005 785206338 78550 760865705 782052541 782052541 782052541 782052541 782052541 791061799 5201 Harry Hines Blvd 500 W 4th Street Dallas Odessa TX TX 797607239 1209 S Bailey St 2525 Holly Hall Drive 6601 Watauga Road Electra TX 76360 Watauga TX 761483368 2200 West Illinois Avenue 1705 Jackson St Midland Richmond TX TX 79701 77406 TX 101 Avenue J Anson TX 795012113 608 Avenue B 200 Hospital Drive Ballinger Anahuac TX TX 76821 77514 Mail Addr 201 Nacogdoches St 125 Newman Street 315 Prospect Dr PO Box 1270 PO Box 1304 414 Quitman St 2000 S Palestine St PO Box 1201 1 Medical Plz P.O. Box 6400 200 S. McGee St 500 N. Highland Avenue 6200 W Parker Road 1301 Wonder World Drive 3320 Hillcrest Dr. 1935 Motor Street PO Box 1201 20171 Chasewood Park Dr 20171 Chasewood Park Dr 3100 Main Street Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 3100 Main Street, Suite 569 Po Box 4406 Po Box 4406 P.O. Box 6400 3100 Main Street Suite 569 8535 Tom Slick Drive 100 A. East Alton Gloor Blvd Ste A 3315 Alameda St. 504 Medical Center Blvd 5501 S Expressway 77 100 A. East Alton Gloor Blvd Ste A 1600 Wallace Blvd. P.O. Box 6400 5501 S. McColl 5501 S McColl Rd 1000 Pine Street 7400 Barlite Blvd. 3301 Matlock Road 4401 Booth Calloway Road 900 8th Ave PO Box 846381 7808 Clodus Fields Drive 710 FM 1960 Rd W 710 FM 1960 Rd W 7777 Forest Lane 500 West Main Street 6800 N MacArthur Blvd 3535 S Interstate 35 E PO Box 731467 8200 Walnut Hill Lane 850 W Highway 243 PO Box 655999 401 W. Campbell Road PO Box 911875 621 N. Hall Street 4343 North Josey Lane 3504 Swiss Ave 3500 Gaston Ave 2300 Marie Curie Dr PO Box 841590 1401 St. Joseph Parkway 3320 Hillcrest Dr. 3320 Hillcrest Dr. 3533 South Alameda St 2801 Franciscan Drive 2801 Franciscan Drive 850 West Central Texas Expressway 605 Holderrieth Blvd 12505 Lebanon Rd 1021 E. Idel St PO Box 6997 1021 E Idel St 1935 Moto St 1935 Motor Street 3533 South Alameda St 1242 N 19th St 1600 Tenth Street 2830 Calder Avenue 500 Medical Center Blvd 6565 Fannin St 3100 Main Street, Suite 569 1935 Medical District Drive PO Box 1201 605 Holderrieth Blvd 2801 Franciscan Dr 2801 Franciscan Drive 2801 Franciscan Drive 2801 Franciscan Drive 2801 Franciscan Drive 4600 Samuell Blvd 2801 Franciscan Drive 700 East Marshall Ave 2801 Franciscan Drive 1242 N 19th St 4401 Garth Road 18500 Katy Freeway Ste 3641 PO Box 4755 16655 Southwest Freeway 1604 Rock Prairie 10864 Texas Health Trl 2801 Franciscan Drive 1040 W Jefferston St 4405 Glasscock Ave 4405 Glasscock Ave 1040 W Jefferson 2801 Franciscan Drive 1900 College Avenue 1900 College Avenue 1900 College Avenue 2601 Dimmit Rd 2601 Dimmitt Road 2601 Dimmitt Road 1313 Hermann Drive 1040 W Jefferston St 4405 Glasscock Ave 713 Anderson Street 414 Navarro Street Ste 600 414 Navarro Street Ste 600 414 Navarro Street Ste 600 414 Navarro Street Ste 600 414 Navarro Street Ste 600 1600 Wallace Blvd. 132 Hospital Drive PO Box 660599 PO Box 7239 4815 Alameda Ave. PO Box 1112 PO Box 66769 1500 S Main St 602 INDIANA AVENUE 400 Rosalind Redfern Grover Pkwy PO Box 1409 600 E. Elizabeth Street 305 N McKinney St 4502 Medical Drive 101 Avenue J 1007 S. William St. PO Box 617 PO Box 398 705 East Greenwood Ave 911 Hwy 83 North 303 Avenue I Mail City Jacksonville Fairfield Trinity Clarksville Pittsburg Pittsburg Athens Lubbock Pampa Tyler Borger Sherman Plano San Marcos Waco Dallas Lubbock Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Houston Tyler Houston San Antonio Brownsville Corpus Christi Conroe Harlingen Brownsville Amarillo Tyler Edinburg Edinburg Texarkana San Antonio Arlington North Richland Hills Fort Worth Dallas Dallas Houston Houston Dallas Lewisville Irving Denton Dallas Dallas Kaufman Dallas Richardson Dallas Dallas Carrollton Dallas Dallas Garland Dalla Houston Waco Waco Corpus Christi Bryan Bryan Harker Heights Tomball Frisco Tyler Tyler Tyler Dallas Dallas Corpus Christi Abilene Wichita Falls Beaumont Webster Houston Houston Dallas Lubbock Tomball Bryan Bryan Bryan Bryan Bryan Dallas Bryan Longview Bryan Abilene Baytown Houston Houston Houston College Station Fort Worth Bryan Brownsville Harlingen Harlingen Harlingen Bryan Levelland Levelland Levelland Plainview Plainview Plainview Houston Brownsville Harlingen Weatherford San Antonio San Antonio San Antonio San Antonio San Antonio Amarillo Angleton Dallas Odessa El Paso Electra Houston Fort Worth LUBBOCK Midland Richmond Corpus Christi Sweeny San Antonio Anson Atlanta Ballinger Anahuac Bowie Childress Chillicothe Mail State Mail Zip TX 75766-2446 75840-1419 75862-6202 75426-1270 75686-2203 75686-1032 75751-5610 79408-1201 79065-0000 TX 75711-6400 79007-4022 75092-7354 TX 75093-8185 78666-7533 76708-3150 75235-7701 79408-1201 77070-1437 77070-1437 TX 77002-9312 TX 77002-9312 TX 77002-9312 77002-9312 77002-9312 77002-9312 77002-9312 77210-4406 77210-4406 TX 75711-6400 TX 77002-9312 78229-3367 78526-3354 78411-1820 77304-2808 TX 78550-3213 78526-3354 TX 79106-1799 TX 75711-6400 78539-9152 TX 785399152 TX 755015100 TX 782241308 TX 760152908 TX 761807371 TX 761043902 TX 752846381 TX 752512206 TX 770903402 TX 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782052541 TX 791061799 TX 775154112 TX 752660599 TX 797607239 TX 799052705 TX 763601112 TX 772666769 TX 761044917 TX 794153364 TX 797015846 TX 774060036 TX TX TX 774802801 782294402 795012113 TX TX TX TX TX 768210617 775140398 762303135 792011030 792250000 Govt Entity Panola County Fairfield Hospital District Trinity Memorial Hospital Distrct Red River General Hospital Authority Franklin County Camp County Henderson County Hospital Authority Memorial Hospital of Winkler County Texas Tech University Health Science Center Red River General Hospital Authority Comanche County Consolidated Hospital District Grayson County Collin County Government City of San Marcos South Limestone Hospital District Gainesville Hospital District Gainesville Hospital District Sweeny Hospital District Matagorda County Hospital District Sweeny Hospital District Sweeny Hospital District Matagorda County Hospital District Matagorda County Hospital District Sweeny Hospital District Matagorda County Hospital District Sweeny Hospital District Sweeny Hospital District Matagorda County Hospital District Town of St Paul Matagorda County Hospital District Karnes County Hospital District El Paso County Hospital District El Paso County Hospital District El Paso County Hospital District Cameron County Health Care Funding District Cameron County Health Care Funding District Texas Tech University Health Science Center City of Wylie City of Edinburg City of McAllen Midland County Hospital District Midland County Hospital District El Paso County Hospital District El Paso County Hospital District El Paso County Hospital District Midland County Hospital District Metrocare Services El Paso County Hospital District Walker County Hospital District Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Metrocare Services Midland County Hospital District Hamilton County Hospital District Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital Nueces County Hospital District West Wharton County Hospital District Brazos Valley Council of Governments Bell County Lavaca Medical Center (hospital district) Collin County MHMR dba LifePath Systems University of Texas Health Center at Tyler University of Texas Health Center at Tyler University of Texas Health Center at Tyler Wise Regional Health System Ector County Hospital District Nueces County Hospital District Stephens Memorial Hospital District dba Stephens Mem Hosp Stephens Memorial Hospital District dba Stephens Mem Hosp Galveston County Galveston County Texas Higher Education Board Texas Higher Education Board Sweeny Hospital District Graham Hospital District Refugio County Memorial Hospital District Gonzales County Hospital District Angleton-Danbury Hospital District Chambers County Hospital District Liberty County Hospital District #1 Calhoun County dba Memorial Medical Center Metrocare Services Jackson County Hospital District University of Texas Health Center at Tyler Sweeny Hospital District Graham Hospital District Texas Higher Education Board Texas Higher Education Board Texas Higher Education Board Texas Higher Education Board The Texas A&M University System Health Science Center Tarrant County Hospital District Robertson County Treasurer Cameron County Cameron County University Health System (Bexar County) University Health System (Bexar County) Matagorda County Hospital District Childress County Hospital District dba Childress Regional Medical Center Seminole Hospital District of Gaines County (Memorial Hospital) Terry Memorial Hospital District dba Brownfield Regional Medical Center Childress County Hospital District dba Childress Regional Medical Center Seminole Hospital District of Gaines County (Memorial Hospital) Terry Memorial Hospital District dba Brownfield Regional Medical Center Harris County Hospital District Cameron County Health Care Funding District Cameron County Health Care Funding District Midland County Hospital District Uvalde County Hospital Authority Medina County Hospital District dba Medina Regional Hospital Karnes County Hospital District Dimmit County Memorial Hospital Frio Hospital District South Randall County Hospital District Angleton-Danbury Hospital District Dallas County Hospital District Ector County Hospital District El Paso County Hospital District Electra Memorial Hospital (Electra Hospital District) Harris County Hospital District Tarrant County Hospital District Lubbock County Hospital District Midland County Hospital District Oak Bend Medical Center Spohn Health System dba Spohn Memorial Hospital Sweeny Community Hospital University Health System (Bexar County) Anson General Hospital Atlanta Hospital Authority Ballinger Memorial Hospital District Chambers County HD dba Bayside Community Hosp Bowie Memorial Hospital (Bowie Hospital Authority) Childress County Hospital District dba Childress Regional Medical Center Chillicothe Hospital Govt TIN 1756001106 0 000 1741774669 4 000 1760077632 6 000 1756002301 6 000 1756000955 1 003 1756000845 4 012 1521366747 8 000 1756001202 7 014 3739739739 1 007 1756002301 6 000 1751566827 9 000 1756000969 2 010 1756000873 6 018 1746002238 1 000 1741744089 2 007 1751091664 0 000 1751091664 0 000 1741498067 6 001 1746025069 3 001 1741498067 6 001 1741498067 6 001 1746025069 3 001 1746025069 3 001 1741498067 6 001 1746025069 3 001 1741498067 6 001 1741498067 6 001 1746025069 3 001 1751606769 5 000 1746025069 3 001 1741718215 5 002 1746000756 4 013 1746000756 4 013 1746000756 4 013 1463284489 1 000 1463284489 1 000 3739739739 1 007 1756000719 1 011 1746000714 3 000 1746001650 8 001 1751584559 6 000 1751584559 6 000 1746000756 4 013 1746000756 4 013 1746000756 4 013 1751584559 6 000 1751285603 4 000 1746000756 4 013 1742086610 9 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751285603 4 000 1751584559 6 000 1742570068 3 000 1741857100 0 012 1746000604 6 000 1760488120 5 000 1741562020 6 002 1746000348 0 048 1746240037 9 001 1751761911 4 003 1756001354 6 000 1756001354 6 000 1756001354 6 000 1751250450 1 000 1752302928 2 501 1746000604 6 000 1462931328 0 000 1462931328 0 000 1746000908 1 007 1746000908 1 007 1746016766 5 004 1746016766 5 004 1741498067 6 001 1463113489 8 000 1741915330 3 000 1741625013 6 501 1741612400 0 000 1760153629 9 003 1202797853 0 000 1746003411 3 000 1751285603 4 000 1741738475 1 002 1756001354 6 000 1741498067 6 001 1463113489 8 000 1746016766 5 004 1746016766 5 004 1746016766 5 004 1746016766 5 004 1742907553 8 001 1756000439 6 324 1746000871 1 019 1746000420 7 005 1746000420 7 005 1746002164 9 501 1746002164 9 501 1746025069 3 001 1751228349 4 002 1751362671 7 501 1751227032 7 006 1751228349 4 002 1751362671 7 501 1751227032 7 006 1741536936 6 324 1463284489 1 000 1463284489 1 000 1751584559 6 000 1741603120 5 000 1270492434 4 000 1741718215 5 002 1741246263 6 000 1741461220 4 000 1751370165 0 000 1741612400 0 000 1756004221 4 002 1752302928 2 501 1746000756 4 013 1756219138 1 002 1741536936 6 324 1756000439 6 324 1751301362 7 501 1751584559 6 000 1760339462 2 000 1741109836 5 501 1741498067 6 000 1746002164 9 501 1756003659 6 000 1237033240 0 005 1752312009 9 001 1760153629 9 001 1751220799 8 002 1751228349 4 002 1756002948 4 000 Hospital Affiliations RHP 4 19 12 13 12 16 12 14 4 14 12 11 3 19 11 19 10 19 6 16 11 12 19 11 12 12 1 13 4 4 11 12 4 13 16 12 12 14 3 14 12 6 4 3 2 12 11 12 19 12 2 19 13 12 19 11 12 13 14 12 1 1 14 13 14 4 11 12 19 11 5 11 12 1 2 6 6 14 19 6 14 10 12 1 2 3 6 2 1 5 7 15 19 19 6 9 14 9 9 1 2 3 4 5 6 7 17 9 10 11 12 13 14 15 16 17 19 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Affiliation Number 800-12-0000-00009 800-12-0000-00010 800-12-0000-00011 800-12-0000-00014 800-12-0000-00015 800-12-0000-00016 800-12-0000-00017 800-12-0000-00018 800-12-0000-00019 800-12-0000-00020 800-12-0000-00021 800-12-0000-00023 800-12-0000-00024 800-12-0000-00034 800-12-0000-00035 800-12-0000-00037 800-12-0000-00038 800-12-0000-00039 800-12-0000-00040 800-12-0000-00041 800-12-0000-00042 800-12-0000-00043 800-12-0000-00044 800-12-0000-00045 800-12-0000-00047 800-12-0000-00048 800-12-0000-00049 800-12-0000-00050 800-12-0000-00051 800-12-0000-00052 800-12-0000-00053 800-12-0000-00054 800-12-0000-00055 800-12-0000-00056 800-12-0000-00057 800-12-0000-00059 800-12-0000-00060 800-12-0000-00061 800-12-0000-00062 800-12-0000-00063 800-12-0000-00064 800-12-0000-00065 800-12-0000-00066 800-12-0000-00067 800-12-0000-00068 800-12-0000-00069 800-12-0000-00070 800-12-0000-00071 800-12-0000-00072 800-12-0000-00073 800-12-0000-00074 800-12-0000-00075 800-12-0000-00076 800-12-0000-00077 800-12-0000-00078 800-12-0000-00079 800-12-0000-00080 800-12-0000-00081 800-12-0000-00082 800-12-0000-00083 800-12-0000-00084 800-12-0000-00085 800-12-0000-00086 800-12-0000-00087 800-12-0000-00088 800-12-0000-00089 800-12-0000-00090 800-12-0000-00092 800-12-0000-00093 800-12-0000-00096 800-12-0000-00097 800-12-0000-00098 800-12-0000-00100 800-12-0000-00101 800-12-0000-00102 800-12-0000-00103 800-12-0000-00104 800-12-0000-00105 800-12-0000-00106 800-12-0000-00107 800-12-0000-00108 800-12-0000-00109 800-12-0000-00110 900-12-0000-00001 900-12-0000-00002 900-12-0000-00003 900-12-0000-00004 900-12-0000-00005 900-12-0000-00006 900-12-0000-00007 900-12-0000-00008 900-12-0000-00009 900-12-0000-00010 900-12-0000-00011 900-12-0000-00012 900-12-0000-00013 900-12-0000-00014 900-12-0000-00015 900-12-0000-00016 950-13-0000-00001 950-13-0000-00002 950-13-0000-00003 950-13-0000-00004 950-13-0000-00005 950-13-0000-00006 950-13-0000-00007 950-13-0000-00008 950-13-0000-00009 950-13-0000-00010 950-13-0000-00011 950-13-0000-00012 950-13-0000-00013 950-13-0000-00014 950-13-0000-00015 950-13-0000-00016 950-13-0000-00017 950-13-0000-00019 950-13-0000-00020 999-13-0000-00001 999-13-0000-00002 999-13-0000-00003 999-13-0000-00004 999-13-0000-00005 999-13-0000-00006 999-13-0000-00007 999-13-0000-00008 999-13-0000-00009 999-13-0000-00010 999-13-0000-00011 999-13-0000-00012 999-13-0000-00013 999-13-0000-00014 999-13-0000-00015 999-13-0000-00016 999-13-0000-00017 999-13-0000-00018 999-13-0000-00019 Program Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural Rural State Hospital State Hospital State Hospital State Hospital State State State State State State State State State State State State Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Anchor Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative Administrative TPI 137907508 094138703 094152803 091770005 130826407 134772611 127263503 199602701 138911609 176354201 136330107 137074409 131045004 119874904 112692202 121777003 216719901 130613604 138411709 121792903 094131202 094117105 121692107 112702904 109588703 133544006 131037704 112728403 121808305 136412710 121053602 127313803 135233809 121781205 140714001 126667806 094180903 136145310 130959304 094172602 189947801 212140201 121785303 137909111 130734007 133258705 136325111 094129602 120745806 130877708 131030203 127310404 020989201 112704504 110856504 138950412 121787905 130616905 127298107 136142011 020927202 131038504 121799406 121806703 112684904 020991801 133244705 094121303 138353107 126842708 136332705 119875604 130618504 138913209 136381405 121782003 119877204 136331910 112707803 135151206 094204701 130606006 137227806 127278304 094092602 112672402 133257904 109372601 133331202 021219301 021194801 112751605 021196301 021195501 138706004 137919003 137918204 175287501 175289101 127278304 094092602 133355104 136141205 198523601 127295703 126675104 138950412 137999206 322916301 135235306 138951211 134772611 198523601 135034009 127278304 094092602 133355104 136141205 198523601 127295703 126675104 138950412 137999206 322916301 135235306 138951211 134772611 198523601 126865802 135034009 TIN 1741698143 3 011 1756000727 4 001 1751255846 5 000 1751297735 0 002 1751702162 6 014 1741857100 0 012 1752426010 0 000 1352336501 6 555 1746075588 1 000 1201355256 2 008 1752403687 2 002 1752313255 7 002 1760488120 5 000 1756004585 2 001 1751433495 6 012 1751091664 0 501 1463085950 3 000 1751919268 0 501 1741386053 1 001 1741314368 0 000 1751453952 1 501 1237297190 8 004 1756002047 5 000 1756001753 9 000 1756002888 2 005 1756001297 7 002 1756001812 3 000 1746003374 3 555 1741738475 1 002 1741718215 5 002 1750808798 2 001 1752388515 4 010 1746240037 9 001 1752152933 3 003 1741744089 2 007 1751424965 9 000 1751328354 3 001 1751300105 1 002 1746025069 3 001 1751246166 0 001 1756005064 7 002 1300126353 5 000 1741625013 6 501 1746003411 3 000 1752663904 6 006 1752246348 2 000 1751246488 8 501 1751302152 1 006 1751244289 2 501 1752290436 0 003 1756000602 9 004 1751368648 9 001 1751306626 0 000 1751211903 7 003 1756001727 3 001 1751256948 8 000 1751188675 0 000 1746002963 4 000 1751997880 7 000 1756003939 2 501 1751277293 4 010 1751277293 4 501 1751248028 0 001 1756003050 8 001 1752301801 2 002 1741915330 3 000 1756003896 4 000 1751362671 7 501 1752299922 0 501 1751315205 2 004 1741794256 6 501 1756003328 8 001 1751227032 7 006 1756003935 0 000 1746067306 8 001 1741603120 5 000 1742941598 1 501 1756001193 8 001 1756047638 8 000 1742019736 4 501 1756001202 7 014 1751250450 1 003 1756001212 6 017 3785785785 0 000 3723723723 7 000 3506506506 8 005 3537537537 1 000 3723723723 7 457 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 1753175630 6 003 1753175621 5 000 1756001354 6 000 3723723723 7 000 1741536936 6 324 1746000604 6 000 1746000717 6 060 1746002164 9 501 1061730907 4 000 3709709709 3 000 1756004221 4 002 1756000439 6 324 1751256948 8 000 1751301362 7 004 1741791441 7 004 1752302928 2 501 1746000756 4 013 1741871000 0 012 3709709709 3 000 1756219138 1 002 1746001587 2 025 1756001354 6 000 3723723723 7 000 1741536936 6 324 1746000604 6 000 1746000717 6 060 1746002164 9 501 1061730907 4 000 3709709709 3 000 1756004221 4 002 1756000439 6 324 1751256948 8 000 1751301362 7 004 1741791441 7 004 1752302928 2 501 1746000756 4 013 1741871000 0 012 3709709709 3 000 1756000873 6 018 1756219138 1 002 Provider County of Victoria dba Citizens Medical Center Clay County Memorial Hospital Cochran Memorial Hospital Concho County Hospital Coon Memorial Hospital Coryell County Memorial Hosp Auth dba Coryell Mem Covenant Hospital - Plainview Crane County Hospital District Crane Memorial Hosp Cuero Community Hospital Culberson Hospital D. M. Cogdell Memorial Hospital Eastland Memorial Hospital District El Campo Memorial Hospital Faith Community Hospital Fisher County Hospital Gainesville Memorial Hospital Somervell County HD dba Glen Rose Med Ctr Graham Regional Medical Center Guadalupe Valley Hospital Hamilton General Hospital Hamlin Memorial Hospital Hansford Hospital Hardeman County Memorial Hospital Haskell Memorial Hospital Hemphill County Hospital District Hereford Regional Medical Center Hopkins County Memorial Hospital Iraan General Hospital (Pecos General) Jackson Healthcare Center Karnes County Hospital District dba Otto Kaiser Me Knox County Hospital Lamb Healthcare Center Lavaca Medical Center Lillian Hudspeth Memorial Hospital Limestone Medical Center Lockney Gen Hosp Dist (W.J. Mangold Mem Hosp) Lynn County Hospital District Martin County Hospital District Matagorda General Hospital McCamey Hospital and Convalesent Center Medical Arts Hospital Medina Community Hospital Gonzales County Hospital District DBA Mem Hosp Memorial Medical Center Memorial Medical Center San Augustine Methdist Hosp Levelland dba Covenant Hosp Levellan Mitchell County Hospital Moore County Hospital District Muenster Memorial Hospital Muleshoe Area Medical Center Nacogdoches Memorial Hospital Nocona General Hospital North Runnels Hospital Ochiltree General Hospital Olney Hamilton Hospital District dba Hamilton Hosp Palo Pinto General Hospital Parkview Hospital Pecos County Memorial Hospital Permian Regional Medical Center Plains Memorial Hospital Presbyterian Hosp of Commerce (Hunt Reg Comm Hosp) Hunt Mem Hosp Dist dba Hunt Reg Med Ctr * Rankin County Hospital Reagan Memorial Hospital Reeves County Hospital Refugio County Memorial Hospital Rolling Plains Memorial Hospital Seminole HD of Gaines Co dba Memorial Hospital Seymour Hospital Stamford Memorial Hospital Starr County Memorial Hospital Stephens Memorial Hospital Terry Mem Hosp Dist dba Brownfield Reg Med Ctr Titus Regional Medical Center Tyler County Hospital Uvalde County Hospital Authority Val Verde Regional Medical Center Ward Memorial Hospital Wilbarger General Hospital Wilson County Memorial Hospital District dba Conna Winkler County Memorial Hospital Decatur Community Hospital (Wise Reg Health Systm) Yoakum County Hospital University of Texas Health Center - Tyler University of Texas Medical Branch - Galveston UT MD Anderson Cancer Center DSHS (Texas Center for Infectious Disease) University of Texas Medical Branch - Galveston DSHS (Rusk State Hospital) DSHS (Rio Grande State Center) DSHS (Austin State Hospital) DSHS (El Paso Psychiatric Center) DSHS (North Texas State Hospital Vernon) DSHS (North Texas State Hospital Wichita Falls) DSHS (San Antonio State Hospital) DSHS (Terrell State Hospital) DSHS (Big Spring State Hospital) University of Texas Southwestern St Paul Universit UTSW University Hospitals and Clinics Zale Lipshy University of Texas Health Center at Tyler University of Texas Medical Branch - Galveston Harris County Hospital District Nueces County Hospital District Hidalgo County Hidalgo County Treasurer University Health System Revenue Accounting MS 86 Travis County Hospital District TAMUS Health Science Center Dallas County Hospital District dba Parkland Healt Tarrant County Hospital District dba JPS Health Ne Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp Lubbock County Hospital District dba University Me McCulloch County Hospital District Ector County Hospital District dba Medical Center El Paso County Hospital District dba University Me Coryell County Memorial Hospital Authority dba Cor TAMUS Health Science Center Electra Memorial Hospital Webb County Clerk University of Texas Health Center at Tyler University of Texas Medical Branch - Galveston Harris County Hospital District Nueces County Hospital District Hidalgo County Hidalgo County Treasurer University Health System Revenue Accounting MS 86 Travis County Hospital District TAMUS Health Science Center Dallas County Hospital District dba Parkland Healt Tarrant County Hospital District dba JPS Health Ne Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp Lubbock County Hospital District dba University Me McCulloch County Hospital District Ector County Hospital District dba Medical Center El Paso County Hospital District dba University Me Coryell County Memorial Hospital Authority dba Cor TAMUS Health Science Center Collin County Government Electra Memorial Hospital Contact Phil Hacker Debra Haehn Larry Turney Melanie Lozano Donny Pettit Alan Ivy Cassie Mogg Diane Yeager GREG PRITCHETT Larry Stephens John H Everett, FACHE Jamie Hayden Tisha Zalman JAMES BARTLETT Steven LeFevre KRISTINE LYNCH KRISTINA HEFFERNAN Bonnie Blevins Penny Wallace West Jones PATRICA BARNETT Jonathan Bailey Tracy Betts FRAN MCCOWN Sheila R. Service Greg Reinart Ellen Russell PETE MORADO Lance Smiga David Lee Stephen A Kuehler Cindy Klein Tracy Green Michelle Schaefer Michael Williams Sharon Hunt Jim Morris ALISON ISRAEL Mindy Klock Judith Gulihur Steve Brock Kevin Frosch Patty Stewart Title CFO CFO Administrator CFO Chief Financial Officer Assistant Controller Manager of Financial Services CEO CFO Hospital CFO CFO Chief Financial Officer CEO CFO CEO DIRECTOR OF ACCOUNTING CONTROLLER CFO Chief Financial Officer COO ADMINISTRATIVE ASSISTANT CEO Controller ADMINISTRATOR CFO CFO Controller CFO CFO CFO CEO CFO CFO CFO Accountant CEO/CFO CEO CFO Controller CFO CFO CFO CFO Phone 3615725112 9405385621 8062665565 3258695911 8062449270 2542486276 8062913357 4325583555 3612750504 4058780202 3255747439 2546315342 9795436251 9405676633 3257352256 9406128645 2548971422 9405215411 8303792411 2543861950 3255763646 8066595858 9406632795 9408642621 8063236422 8063499201 9034394076 4326392575 3617827800 8305833401 9406573535 8063856411 3617983671 3253871210 2547293281 8066523373 8069984533 4326073205 9792415532 4326528626 8068722183 8304267898 8306727581 Fax 3615725070 9402351215 8062665342 3258695218 8062446461 2542486306 8062964274 3612753999 4052726007 3255747433 2546298929 9795438420 9405675714 3257353070 9406128647 2548971446 9405215158 8303721582 2543865173 3255763797 8066595844 9406632291 9408645014 8063238109 8063499387 9034384646 4326396292 3617827495 8305834595 9406575521 8063853998 3617982682 3253872396 2547293080 8066522172 8065614049 4326073269 9792415533 4326524008 8068720483 8304267963 8306722401 Email phacker@cmcvtx.org dhaehn@ccmhospital.com lturney@cochranmemorial.com mlozano@conchoch.com dlp@dhchd.org alan.ivy@cmhos.org cassie.mogg@stjoe.org dyeager@cranememorial.org gregp@cuerohospital.org Larry@preferredmanagementcorp.com jeverett@cogdellhospital.com jamie.hayden@EMHD.org tzalman@ecmh.org jbartlett@fchtexas.com slefevre@fishercountyhospital.com kristine.lynch@ntmconline.net kheffernan@grmf.org bblevins@grahamrmc.com pkwallace@grmedcenter.com wjones@hamiltonhospital.org patrica.barnett@sbcglobal.net jonathanbailey@hchd.net tracy.betts@hcmhosp.com fmccown@windstream.net sheila@hchdst.org greg.reinart@cohs.net ellenr@hcmh.com pmorado@igh-hospital.com lsmiga@jchd.org david.lee@okmh.org knoxhospital@srcaccess.net cklein@lambhc.org tgreen@lavacamedcen.com mschaefer@sonora-hospital.org miwilliams@lmchospital.com sharonh@mangoldmemorial.org jmorris@lchdhealthcare.org aisrael@martinch.org mklock@matagordaregional.org jgulihur@mchdtx.net sbrock@medicalartshospital.org kevin.frosch@medinahospital.net pstewart@gonzaleshealthcare.com Kristi Gay John Dolan Joe Wright John Bailey James Tacker David Burke Kay Johnson Lance Meekins Judy Espitia DEBBIE BLODGETT Stasha Siegert Dee Waldow Liz Rezach Leticia Fox Sandra Cox TERRI MARTINEZ Jeri Rich Jeri Rich CFO CFO CFO CFO CFO CEO/CFO Director of Accounting CEO CFO CHIEF FINANCIAL OFFICER Business Office Manager CFO Supervising Consultant CFO CFO CFO CFO CFO 9366316702 8068944963 3257283431 8069357171 9407596139 8062724524 9365688529 9408253235 3257544553 8064353606 9405645521 9403286401 2547768244 4323364202 4324642107 8066472191 9034081865 9034081865 9366397004 8068946461 3257288974 8069356458 9407592383 8062724938 9365694131 9408257196 3257545097 8064352067 9405643705 9403257903 2547768277 4323364545 4324642567 8066470934 9034081659 9034081659 kgay@memorialhealth.org JDolan@CovHS.org joew@mitchellcountyhospital.com jbailey@mchd.net James_Tacker@sbcglobal.net dburke@mahdtx.org johnsonk@nacmem.org lmeekins@noconageneral.com jespitia@nrhd.org dblodgett@oghtx.com ss_siegert@olneyhh.com dwaldow@ppgh.com lrezach@bkd.com lfox@pcmhfs.com scox@permianregional.com terri.martinez@cchdonline.com jrich@huntregional.org jrich@huntregional.org John Perushek Brenda McKinney Susan Parker Rhonda Guelker TRACI ANDERSON Lynette Smajstrla Elizabeth Miller Rafael Olivares Jeff Casbeer Joshua Savage Heather Tuck Richard Wallace Valerie J. Lopez Connie Wilhelm Padraic White Hal Mayo Janie Lanford William Ernst Todd Scroggins SUANN PARRISH Kirk Calhoun Karen Sexton Thomas Burke James Elkins Karen Sexton Olga Rodriguez Olga Rodriguez Olga Rodriguez Olga Rodriguez Olga Rodriguez Olga Rodriguez Olga Rodriguez Olga Rodriguez Olga Rodriguez Bruce Meyer, MD Del Smith CEO CFO CFO CFO CFO Administrative Assistant CFO Controller CFO CFO Controller CFO Chief Financial Officer Controller CEO CFO Accounting Manager Administrator Adminstative Director of Finance CFO President Interim Executive Vice President Executive Vice President/Physician in Chief Director Interim Executive Vice President 3258842561 4324473551 3615262321 3252351701 4327584866 9408895572 3257732725 9564879025 2545592241 8066373551 9035776065 4092836440 8302786251 8307783613 4329432511 9405532871 8303931526 4325868257 9406275921 8065922121 9038773451 4097721011 7137922121 2105345587 4097721011 (512) 776-7181 (512) 776-7181 (512) 776-7181 (512) 776-7181 (512) 776-7181 (512) 776-7181 (512) 776-7181 (512) 776-7181 (512) 776-7181 (214) 648-9794 (214) 648-9047 3258842891 4324476809 3615262420 3252358705 4327584880 9408893337 3257733781 9564874680 2545596536 8066371779 9035776091 4092838318 8302788529 8307783638 4329439415 9405532958 8303931525 4325868125 9406260127 8065924440 9038777759 4097725119 7137944474 2105314502 4097725119 jperushek@trhta.net bmckinney@trhta.net sparker@rcmhospital.org rhonda@rpmh.net tanderson@seminolehospitaldistrict.com lsmajstrla@seymourtexas.net emiller@stamfordhosp.com rol78582@yahoo.com jeff.casbeer@smhtx.com josavage@brownfield-rmc.org heather.tuck@titusregional.com rwallace@tchospital.us v.lopez@umhtx.org connie.wilhelm@vvrmc.org pwhite@wardmemorial.org hmayo@wghospital.com jlanford@connallymmc.org wernst@wcmh.net tscriggins@wiseregional.com sparrish@ych.us Thomas Riley Beth Cloyd Johny Hipp Eddie Olivarez Ted Day Sarah Cook Janice Ehlert Ted Shaw David Dalsberry Harris Brooks Bobbye Hrncirik Tim Jones John O'Hearn James Valenti Kathy Lee Angie Alaniz Rebecca McCain Nancy Cadena Daniel Deslatte Thomas Riley Beth Cloyd Johny Hipp Eddie Olivarez Ted Day Sarah Cook Ted Shaw David Dalsberry Harris Brooks Bobbye Hrncirik Tim Jones John O'Hearn James Valenti Kathy Lee Angie Alaniz Keith Self Rebecca McCain Director of Reimbursement (409) 772-6637 (713) 566-6405 (361) 808-3300 (956) 383-8858 Vice President Strategic Planning & Business Development(210) 358-8189 Medicaid Waiver Director (512) 978-8195 Project Director (512) 341-4975 Interim Chief CFO (214) 590-8097 (817) 927-1611 (940) 328-6400 (806) 775-8532 (325) 792-3940 Director of Regional Development (432) 640-2429 President and Chief Executive Officer (915) 521-7602 Director (254) 248-6364 Project Director (979) 458-1594 CFO (940) 4953981 Interim Director (965) 523-4747 (903) 887-5077 (409) 772-6637 (713) 566-6405 (361) 808-3300 (956) 383-8858 Vice President Strategic Planning & Business Development(210) 358-8189 Medicaid Waiver Director (512) 978-8195 Project Director (512) 341-4975 Interim Chief CFO (214) 590-8097 (817) 927-1611 (940) 328-6400 (806) 775-8532 (325) 792-3940 Director of Regional Development (432) 640-2429 President and Chief Executive Officer (915) 521-7602 Director (254) 248-6364 Project Director (979) 458-1594 County Judge (972) 548-4631 CFO (940) 4953981 olga.rodriguez@dshs.state.tx.us olga.rodriguez@dshs.state.tx.us olga.rodriguez@dshs.state.tx.us olga.rodriguez@dshs.state.tx.us olga.rodriguez@dshs.state.tx.us olga.rodriguez@dshs.state.tx.us olga.rodriguez@dshs.state.tx.us olga.rodriguez@dshs.state.tx.us olga.rodriguez@dshs.state.tx.us bruce.meyer@utsouthwestern.edu delbert.smith@utsouthwestern.edu 9404953809 9404953809 thriley@utmb.edu Beth.Cloyd@harrishealth.org johnny.hipp@nchdcc.org eddie.olivarez@hchd.org Ted.Day@uhs-sa.com sarah.cook@centralhealth.net jehlert@tamhsc.edu ted.shaw@phhs.org Dsalsberry@jpshealth.org harris@ppgh.com Bobbye.hrncirik@umchealthsystem.com timjones@bradyhospital.com johearn@echd.org jvalenti@umcelpaso.org k.lee@cmhos.org alalaniz@srph.tamhsc.edu rebecca.mccain@electrahospital.com ncadena@webbcountytx.gov daniel.deslatte@uthct.edu thriley@utmb.edu Beth.Cloyd@harrishealth.org johnny.hipp@nchdcc.org eddie.olivarez@hchd.org Ted.Day@uhs-sa.com sarah.cook@centralhealth.net ted.shaw@phhs.org Dsalsberry@jpshealth.org harris@ppgh.com Bobbye.hrncirik@umchealthsystem.com timjones@bradyhospital.com johearn@echd.org jvalenti@umcelpaso.org k.lee@cmhos.org alalaniz@srph.tamhsc.edu keith.self@collincountytx.gov rebecca.mccain@electrahospital.com Phys Addr Phys City Phys State Phys Zip 614 Eaker St Eden TX 76837 Eisenhower and FM #2185 Van Horn TX 79855 304 S Daugherty St Eastland TX 76448 774 State Hwy 70 North 1900 HOSPITAL BLVD 1021 HOLDEN STREET Rotan GAINESVILLE Glen Rose TX TX TX 79546 632 NW 2ND STREET Hamlin TX 79520 402 Mercer Street 1 NORTH AVENUE N Quanah HASKELL TX TX 79252 79524 115 Airport Road 600 HWY 349 NORTH Sulpher Springs IRAAN TX TX 75483 79744 701 South 5th Street Knox City TX 308 Hudspeth Sonora TX 76950 320 North Main St. 2600 Lockwood Avenue 610 NORTH SAINT PETER STREET Lockney Tahoka Stanton TX TX TX 79241 79373 79782 2500 Hwy 305 S. 2200 N Bryan Ave 2500 Hwy 305 S. TX 79752 1110 N Sarah DeWitt Drive 815 N Virgina St 511 E. Hospital Street Gonzales Port Lavaca San Augustine TX TX TX 78629 779793025 75972 997 W. Interstate 20 Colorado City TX 79512 605 North Maple Muenster TX 76252 100 Park Road 7821 Highway 153 Nocona TX 762553616 1000 South Sweetwater Street Wheeler TX 79096 720 Hospital DrivePecos 310 W HALSELL ST 2900 Sterling Hart Drive Andrews Commerce TX TX TX 79714 79027 754283912 PO Box 327 Rankin TX 797780327 760434937 2323 Texas Street 75428-3912 Pecos Refugio TX TX 797727338 783772425 1601 Columbia 128 N FM 3167 Stamford Rio Grande City TX TX 79553 785820000 801 Bedell Del Rio TX 609 Medical Center Dr. 412 MUSTANG DRIVE 76234-3702 412 MUSTANG DRIVE TX 762340000 2303 S.E. Military Drive 301 University Blvd. 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 5323 Harry Hines Blvd 5323 Harry Hines Blvd San Antonio Galveston Austin Austin Austin Austin Austin Austin Austin Austin Austin Dallas Dallas TX 78223 77555 78756 78756 78756 78756 78756 78756 78756 78756 78756 75390 301 University Blvd 2525 Holly Hall 555 N Carancahua, Suite 950 1304 South 25th Avenue 4502 Medical Drive 1111 E Cesar Chavez St Ste B 3950 North A.W. Grimes Blvd S 211B 5201 Harry Hines Blvd 1500 S Main St 400 SW 25th Ave. 602 Indiana Avenue 2008 Nine Road 500 W 4th Street 4815 Alameda Avenue 1507 West Main 1266 TAMU 1209 S Bailey St 1620 Santa Ursula Avenue 11937 US Highway 271 301 University Blvd 2525 Holly Hall 555 N Carancahua, Suite 950 1304 South 25th Avenue 4502 Medical Drive 1111 E Cesar Chavez St Ste B 3950 North A.W. Grimes Blvd S 211B 5201 Harry Hines Blvd 1500 S Main St 400 SW 25th Ave. 602 Indiana Avenue 2008 Nine Road 500 W 4th Street 4815 Alameda Avenue 1507 West Main 1266 TAMU 2300 Bloomdale Rd, Suite 4192 1209 S Bailey St Galveston Houston Corpus Christi Edinburg San Antonio Austin Round Rock Dallas Fort Worth Mineral Wells Lubbock Brady Odessa El Paso Gatesville College Station Electra Laredo Tyler Galveston Houston Corpus Christi Edinburg San Antonio Austin Round Rock Dallas Fort Worth Mineral Wells Lubbock Brady Odessa El Paso Gatesville College Station McKinney Electra TX TX 77054 78542 78229 78665 75235 TX TX 76067 79423 76825 79761 79905 76528 78040 75708 77054 78542 78229 TX TX TX 78665 75235 76067 79423 76825 79761 79905 76528 75071 Mail Addr 2701 Hospital Dr 310 West South Street 201 East Grant Ave. PO Box 987 1411 Denver Avenue 1507 W Main St 2601 Dimmitt Road 1310 South Alford Street 2550 N. Esplanade PO Box 609 1700 Cogdell Blvd PO Box 897 303 Sandy Corner Road 717 MAGNOLIA ST. PO Box F 1016 Ritchey St 1021 Holden Street 1301 Montgomery Road 1215 E Court 400 North Brown PO Box 400 707 S. Roland St PO Box 90 PO Box 1117 1020 S 4th Street 540 W 15th St PO Box 275 PO Box 665 1013 South Wells 3349 S HWY 181 PO Box 608 1500 S. Sunset Ave 1400 N. Texana St PO Box 455 701 McClintic Dr PO Box 37 PO Box 1310 PO Box 640 104 7th Street PO Box 1200 1600 N Bryan Ave 3100 Ave E PO Box 587 815 N Virgina St PO Box 658 1900 S College Ave 1543 Chestnut St 224 East 2nd Street PO Box 370 708 S 1st 1204 Mound Street 100 Park Road PO Box 185 3101 GARRETT DR 901 W Hamilton 400 SW 25th Ave. PO Box 1030 PO Box 1060 PO Box 2108 PO Box 278 2900 Sterling Hart Drive 4215 Joe Ramsey Blvd Mail City Victoria Henrietta Morton Eden Dalhart Gatesville Plainview Crane Cuero Van Horn Snyder Eastland El Campo JACKSBORO Rotan GAINESVILLE Glen Rose Graham Seguin Hamilton Hamlin Spearman Quanah Haskell Canadian Hereford Sulpher Springs Iraan Edna Kenedy Knox City Littlefield Hallettsville Sonora Groesbeck Lockney Tahoka Stanton Bay City McCamey Lamesa Hondo Gonzales Port Lavaca San Augustine Levelland Colorado City Dumas Muenster Muleshoe Nacogdoches Nocona Winters PERRYTON Olney Mineral Wells Wheeler Fort Stockton Andrews DIMMITT Commerce Greenville Mail State TX TX TX TX TX TX Mail Zip 779015748 763653346 793463444 768370987 790224809 765281024 TX TX TX TX TX 79731 779544736 798550609 795496162 764480897 TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX 764581111 795460485 762403539 760434937 764500000 781555129 765311518 795200400 790813441 792520090 795211117 790143315 790452820 754830275 797440665 779574045 781195247 795290608 793394889 779642021 769500455 766422128 792410037 793731310 797820640 774144853 797521200 793313145 788613534 786290587 779793025 759720658 793366508 795123916 790293808 762520370 793473627 759614027 762553616 795670185 790705323 763014301 760678246 790961030 797351060 797142108 790270278 754283912 754031059 805 N Main 2323 Texas Street 107 Swift Street 200 E. Arizona 209 NW 8TH STREET 200 Stadium Dr PO Box 911 PO Box 78 200 S. Geneva 705 E Felt St 2001 N Jefferson 1100 West Bluff St 1025 Garner Field Road PO Box 1527 406 South Gary 920 Hillcrest Dr 499 Tenth Street 821 Jeffee Drive 200 S FM 51 PO Box 1130 11937 US Highway 271 301 University Blvd. 1515 Holcombe Blvd 1100 W 49th St 301 University Blvd. 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 1100 W 49th St 5323 Harry Hines Blvd PO Box 849927 11937 US Highway 271 301 University Blvd PO Box 66769 555 N Carancahua St Ste 950 2810 S Business 281 4502 Medical Dr PO Box 1748 200 Technology Way, Suite 2079 PO Box 660599 1500 S Main St 400 SW 25th Ave PO Box 5980 PO Box 1150 PO Box 7239 4815 Alameda Ave. 1507 W Main St 200 Technology Way, Suite 2079 PO Box1112 1110 Washington St Ste 202 11937 US Highway 271 301 University Blvd PO Box 66769 555 N Carancahua St Ste 950 2810 S Business 281 4502 Medical Dr PO Box 1748 200 Technology Way, Suite 2079 PO Box 660599 6601 Wataiga Rd 400 SW 25th Ave PO Box 5980 PO Box 1150 PO Box 7239 4815 Alameda Ave. 1507 W Main St 200 Technology Way, Suite 2079 2300 Bloomdale Rd #3100 PO Box1112 Big Lake Pecos Refugio Sweetwater SEMINOLE Seymour Stamford Rio Grande City Breckenridge Brownfield Mt Pleasant Woodville Uvalde Del Rio Monahans Vernon Floresville Kermit Decatur DENVER CITY Tyler Galveston Houston Austin Galveston Austin Austin Austin Austin Austin Austin Austin Austin Austin Dallas Dallas Tyler Galveston Houston Corpus Christi Edinburg San Antonio Austin College Station Dallas Fort Worth Mineral Wells Lubbock Brady Odessa El Paso Gatesville College Station Electra Laredo Tyler Galveston Houston Corpus Christi Edinburg San Antonio Austin College Station Dallas Wataiga Mineral Wells Lubbock Brady Odessa El Paso Gatesville College Station McKinney Electra TX TX TX TX TX TX TX TX TX TX TX TX 769323938 797727338 783772425 795560000 79360 763802344 795530911 785820078 764244702 793163439 754552371 759794738 TX TX TX 788411527 797564799 763843132 TX TX TX 797454610 762343702 793231130 75708 77555 770304000 787563101 77555-0133 78711-2190 78711-2190 78711-2190 78711-2190 78711-2190 78711-2190 78711-2190 78711-2190 78711-2190 75390-7208 75284-0001 75708-3154 77555-0133 77266-6769 78478-0007 78539-6243 78229-4402 78767-1748 77845-3424 75266-0599 76104-4917 76067-8246 79408-5980 76825-1150 79760-7239 79905-2705 76528-1024 77845-3424 76360-1112 78040-4470 75708-3154 77555-0133 77266-6769 78478-0007 78539-6243 78229-4402 78767-1748 77845-3424 75266-0599 761483368 76067-8246 79408-5980 76825-1150 79760-7239 79905-2705 76528-1024 77845-3424 75071-8517 76360-1112 TX TX TX TX TX TX TX TX TX TX TX TX Govt Entity Citizens Medical Center Clay County Hospital District Cochran Memorial Hospital Concho County Hospital District Dallam and Hartley Counties Hospital District Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital Covenant Hospital - Plainview Crane County Hospital District Cuero Community Hospital Culberson County Hospital District DM Cogdell Memorial Hospital dba Scurry County Eastland Memorial Hospital District El Campo Memorial Hospital Faith Community Hospital Auxiliary (Jack County Hospital District) Fisher County Hospital District Gainesville Memorial Hospital Somervell County Hospital District Graham Regional Medical Center (City of Graham) Guadalupe County Hospital Board dba Guadalupe Regional Medical Center Hamilton General Hospital Hamlin Memorial Hospital Hansford County Hospital District Hardeman County Hospital District Haskell County Hospital District Hemphill County Hospital District Deaf Smith County Hospital District Hopkins County Hospital District (Hopkins County Memorial Hospital) Iraan General Hospital (Pecos General) Jackson County Hospital District Karnes County Hospital District Knox County Hospital District dba Knox County Hospital Home Care Lamb County dba Lamb Healthcare Center Lavaca Medical Center (hospital district) L M Hudspeth Memorial Hospital South Limestone Hospital District Lockney Gen Hosp Dist (W.J. Mangold Mem Hosp) Lynn County Hospital District Martin County Hospital District Matagorda County Hospital District McCamey Hospital and Convalescent Center Dawson County Hospital District Medina County Hospital District Gonzales County Hospital District Calhoun County dba Memorial Medical Center Memorial Medical Center San Augustine Methodist Hosp Levelland dba Covenant Hosp Levelland Mitchell County Hospital Moore County Hospital District Muenster Memorial Hospital Muleshoe Area Medical Center Nacogdoches County Hospital District Nocona General Hospital District North Runnels Hospital Ochiltree General Hospital Olney-Hamilton Hospital District Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp North Wheeler County Hospital District DBA Parkview Hospital Pecos County Memorial Hospital Permian Regional Medical Center Plains Memorial Hospital Disproportionate Share Account (Castro County) Presbyterian Hospital of Commerce Hunt Memorial Hospital District Rankin County Hospital District Reagan Memorial Hospital District Reeves County Hospital District Refugio County Memorial Hospital District Rolling Plains Memorial Hospital District Seminole Hospital District of Gaines County (Memorial Hospital) Seymour Hospital (Baylor County HD) Stamford Memorial Hospital (Stamford Memorial Hospital District Starr County Stephens Memorial Hospital dba Stephens County Emergency Medic Terry Memorial Hospital District dba Brownfield Regional Medical Center Titus County Memorial Hospital dba Titus Regional Medical Center Tyler County Hospital Uvalde County Hospital Authority Val Verde Regional Medical Center Ward Memorial Hospital Wilbarger General Hospital District Wilson County Memorial Hospital Floresville (Connally Memorial Hospital) Memorial Hospital of Winkler County Decatur Hospital Authority dba Wise Regional Health System Yoakum County Hospital District University of Texas Health Center - Tyler The University of Texas Medical Branch at Galveston UT MD Anderson Cancer Center Department of State Health Services University of Texas Medical Branch at Galveston Department of State Health Services Department of State Health Services Department of State Health Services Department of State Health Services Department of State Health Services Department of State Health Services Department of State Health Services Department of State Health Services Department of State Health Services University of Texas Southwestern St Paul University Hospital UTSW University Hospitals and Clinics Zale Lipshy University Hospital University of Texas Health Center at Tyler The University of Texas Medical Branch at Galveston Harris County Hospital District Nueces County Hospital District Hidalgo County Hidalgo County Treasurer University Health System (Bexar County) Travis County Hospital District TAMUS Health Science Center Dallas County Hospital District Tarrant County Hospital District Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp Lubbock County Hospital District dba University Medical Center McCulloch County Hospital District Ector County Hospital District El Paso County Hospital District Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital TAMUS Health Science Center Electra Memorial Hospital (Electra Hospital District) Webb County University of Texas Health Center at Tyler The University of Texas Medical Branch at Galveston Harris County Hospital District Nueces County Hospital District Hidalgo County Hidalgo County Treasurer University Health System (Bexar County) Travis County Hospital District TAMUS Health Science Center Dallas County Hospital District Tarrant County Hospital District Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp Lubbock County Hospital District dba University Medical Center McCulloch County Hospital District Ector County Hospital District El Paso County Hospital District Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital TAMUS Health Science Center Collin County Government Electra Memorial Hospital (Electra Hospital District) Govt TIN 1741698143 3 011 1756000727 4 001 1751255846 5 000 1751297735 0 002 1751702162 6 014 1741857100 0 012 1752426010 0 000 1352336501 6 555 1746075588 1 000 1741736346 6 501 1752403687 2 002 1752313255 7 002 1452750258 8 000 1756004585 2 001 1751433495 6 012 1751091664 0 501 1463085950 3 000 1751919268 0 501 1741386053 1 001 1741314368 0 000 1751453952 1 501 1237297190 8 004 1756002047 5 000 1756001753 9 000 1756002888 2 005 1756001297 7 002 1756001812 3 000 1746003374 3 555 1741738475 1 002 1741718215 5 002 1750808798 2 001 1752388515 4 010 1746240037 9 001 1752152933 3 003 1741744089 2 007 1751424965 9 000 1751328354 3 001 1751300105 1 002 1746025069 3 001 1751246166 0 001 1756005064 7 002 1300126353 5 000 1741625013 6 501 1746003411 3 000 1752663904 6 006 1752246348 2 000 1751246488 8 501 1751302152 1 006 1751244289 2 501 1752290436 0 003 1756000602 9 004 1751368648 9 001 1751306626 0 000 1751211903 7 003 1756001727 3 001 1751256948 8 000 1751188675 0 000 1746002963 4 000 1751997880 7 000 1756003939 2 501 1751277293 4 010 1751277293 4 501 1751248028 0 001 1756003050 8 001 1752301801 2 002 1741915330 3 000 1756003896 4 000 1751362671 7 501 1752299922 0 501 1751315205 2 004 1741794256 6 501 1756003328 8 001 1751227032 7 006 1756003935 0 000 1746067306 8 001 1741603120 5 000 1742941598 1 501 1756001193 8 001 1756047638 8 000 1742019736 4 501 1756001202 7 014 1751250450 1 003 1756001212 6 017 3785785785 0 000 3723723723 7 000 1746001118 6 005 3537537537 1 000 3723723723 7 457 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 3537537537 1 000 1753175630 6 003 1753175621 5 000 1756001354 0 000 3723723723 7 000 1741536936 6 324 1746000604 6 000 1746000717 6 060 1746002164 9 501 1061730907 4 000 3709709709 3 000 1756004221 4 002 1756000439 6 324 1751256948 8 000 1751301362 7 004 1741791441 7 004 1752302928 2 501 1746000756 4 013 1741857100 0 012 3709709709 3 000 1756219138 1 002 1746001587 2 025 1756001354 6 000 3723723723 7 000 1741536936 6 324 1746000604 6 000 1746000717 6 060 1746002164 9 501 1061730907 4 000 3709709709 3 000 1756004221 4 002 1756000439 6 324 1751256948 8 000 1751301362 7 004 1741791441 7 004 1752302928 2 501 1746000756 4 013 1741857100 0 012 3709709709 3 000 1756000873 6 018 1756219138 1 002
