Affiliation

Abrazo Central Campus (aka Phoenix Baptist)2000 West Bethany Home RoadPhoenix, AZ 85015-

(602) 246-5682Phone:(602) 246-5879Fax:

Abrazo Maryvale Campus5102 West Campbell AvenuePhoenix, AZ 85031-

(623) 848-5000Phone:(623) 848-5469Fax:

Abrazo West Campus - Tenet Health13677 W. McDowell RoadGoodyear, AZ 85395-

(623) 882-1500Phone:(623) 882-1912Fax:

Advocate Good Shepherd Hospital450 W. HIghway 22Barrington, IL 60010-

(847) 842-4447Phone:(847) 842-4193Fax:

Albuquerque Behavioral Health, LLC8200 Mountain Rd NESuite 106ALbuquerque, NM 87110-

(505) 830-6500Phone:(505) 830-6527Fax:

All Medical Personnel4000 Hollywood Blvd, Ste. 600-NLong Key, FL 33001-

(954) 922-9696Phone:(877) 992-6756Fax:

Alpena Regional Medical Center1501 W Chrisholm St,Alpena, MI 49707-

(989) 356-7000Phone:(989) 356-7760Fax:

Altru Health Systems1200 S. Columbia RdGrand Forks, ND 58201-

(701) 780-5202Phone:(701) 780-5772Fax:

Asante Health System2825 E. Barnett RoadMedford, OR 97504-

(541) 789-4152Phone:(541) 789-4806Fax:

Augusta University Medical Center1120 15th StreetBI 1056Augusta, GA 30912-

(706) 721-3928Phone:(706) 721-3927Fax:

Banner Baywood Medical Center6644 East Baywood AvenueMesa, AZ 85206-

(480) 321-4155Phone:(480) 321-4565Fax:

Banner Casa Grande Medical CenterE. Florence Blvd.Casa Grande, AZ 85122-

(520) 381-6559Phone:(520) 381-6019Fax:

Banner Ironwood Medical Center37000 N. Gantzel RoadSAN TAN VALLEY, AZ 85140-

(480) 394-4051Phone:( ) -Fax:

Banner Medical Group/Banner Baywood Medical Center6644 E. Baywood AveMeza, AZ 85206-

(480) 321-4155Phone:(480) 321-4565Fax:

Banner Gateway Medical Center1900 N HighleyGILBERT, AZ 85234-

(480) 543-2600Phone:(480) 543-2586Fax:

Baptist Healthcare System3333 Research PlazaSan Antonio, TX 78235-

(210) 297-3000Phone:(210) 297-0761Fax:

Affiliation

Bayfront Health / Charlotte Regional2500 Harbor Blvd.Port Charlotte, FL 33952-

(941) 766-4385Phone:(941) 766-4388Fax:

Baylor Medical Center at Carrolton4343 Josey LnCarrolton, TX 75010-

(972) 394-2254Phone:(972) 394-2328Fax:

Baylor Medical Center at Frisco5601 Warren ParkwayFrisco, TX 75034-

(214) 407-5000Phone:(214) 407-5004Fax:

Baylor Regional Medical Center Plano4700 Alliance BoulevardPlano, TX 75093-

(469) 814-3102Phone:(469) 814-3105Fax:

Beaufort Memorial Hospital955 Ribaut RdBeaufort, SC 29902-

(843) 522-5790Phone:(843) 522-5945Fax:

Beaver Valley Hospital1109 North 100 WestBeaver, UT 84713-

(435) 438-7100Phone:(435) 438-7210Fax:

Big Rapids Hospital605 Oak StBig Rapids, MI 49307-

(231) 796-8691Phone:(231) 592-1079Fax:

Bluffton Regional Medical Center - Lutheran Health Network303 S. Main St

Bluffton, IN 46714-(260) 919-3115Phone:(260) 919-6164Fax:

Borik Hospitalist Group1143 W Maplewood StChandler, AZ 85286-

(480) 303-1717Phone:(602) 938-4954Fax:

Broomfield Hospital11820 Destination DriveBroomfield, CO 80021-

(303) 460-6014Phone:( ) -Fax:

Bryan Medical Center1600 S. 48th St.Lincoln, NE 68506-

(402) 481-1111Phone:( ) -Fax:

Bryn Mawr Hospital130 South Bryn Mawr AvenueBryn Mawr, PA 19010-

(484) 337-3000Phone:(484) 337-8036Fax:

Buffalo General Hospital100 High StreetBuffalo, NY 14203-

(716) 845-5600Phone:(716) 887-4668Fax:

Cancer Treatment Centers of America (Western Regional)14200 W Fillmore Street

Goodyear, AZ 85338-(623) 207-3000Phone:(623) 932-8639Fax:

Capital Medical Center3900 Capital Mall Dr SWOlympia, WA 98502-

(360) 956-2595Phone:(360) 956-3542Fax:

Carle Foundation Hospital611 W. Park StreetUrbana, IL 61801-

(217) 383-6785Phone:(217) 383-6799Fax:

Affiliation

Benefis Health System1101 26th Street SouthGreat Falls, MT 59405-

(406) 455-5000Phone:(406) 455-4155Fax:

Benewah Community Hospital229 South 7th StreetSaint Maries, ID 83861-

(208) 245-5551Phone:(208) 245-2262Fax:

Camden Clark Medical Center800 Garfield Ave.Pakersburg, WV 26101-

(304) 424-2111Phone:(304) 424-2076Fax:

Cass Lake Indian Health Service Hospital425 7th Street NWCass Lake, MN

(218) 335-3284Phone:(218) 335-3408Fax:

Centra Lnchburg General Hospital1901 Tate Spring Rd.Lynchburg, VA 24501-

(434) 200-3000Phone:(434) 200-7070Fax:

Central Community Hospital901 Davidson StreetLast worked: February 2014Elkader, IA 52043-

(563) 245-7000Phone:(563) 245-7080Fax:

Central FL Cancer Institute3525 Lakeland Hills BlvdLakeland, FL 33805-

(863) 284-6950Phone:(863) 284-5199Fax:

Children's Hospital of Orange County1201 W. La Veta Ave.Orange, CA 92868-

(714) 509-8406Phone:(714) 509-8490Fax:

Childrens's Hospital of San Antonio333 N Santa Rosa St.San Antonio, TX 78207-

(210) 704-2011Phone:( ) -Fax:

Christus Spohn Hospital Corpus Christi - Memorial2606 Hospital BoulevardCORPUS CHRISTI, TX 78405-

(361) 881-3151Phone:(361) 881-3714Fax:

Christus St. Michael Medical Center2600 St. Michael DriveTexarkana, TX 75503-

(903) 614-2011Phone:(913) 614-2212Fax:

Christus St. Vincent Medical Center455 St. Michaels DriveSanta Fe, NM 87505-

(505) 913-5631Phone:(505) 913-5440Fax:

Cibola General Hospital1016 E RooseveltGrants, NM 87020-

(505) 287-5300Phone:(505) 287-5309Fax:

Christus Santa Rosa Health Care333 N. Santa Rosa StreetSan Antonio, TX 78207-

(210) 704-2122Phone:(210) 704-3642Fax:

Columbia St Mary's Hospital2301 N Lake DroveMilwaukee, WI 53211-

(414) 326-1895Phone:(414) 326-1728Fax:

Comanche County Medical Center10201 Hwy 16 NorthComanche, TX 76442-

(254) 879-4900Phone:(254) 879-4990Fax:

Affiliation

Concord Medical Group (Staffing Co)2800 Corporate DrFlower Mound, TX 75028-

(888) 264-0330Phone:(800) 611-5029Fax:

Consilium Staffing, Inc.5215 N. O'Connor Blvd.Suite 325IRVING, TX 75039-

(877) 536-4696Phone:(866) 936-0487Fax:

Coral Springs Medical Center3000 Coral Hills DrCoral Springs, FL 33065-

(954) 473-7575Phone:(954) 473-7255Fax:

Curry General Hospital94220 Fourth StreetGold Beach, OR 97444-

(541) 247-3160Phone:(541) 247-3154Fax:

Davis North Hospital1600 West Antelope DriveLayton, UT 84041-

(801) 807-7009Phone:(801) 807-7045Fax:

Davita Medical Group303 Roma Ave NWPO Box 26028 - Zip 87125Albuquerque, NM 87102-

(505) 262-7963Phone:(505) 262-7440Fax:

Deaconess Hospital800 W 5th AveSpokane, WA 99204-

(509) 473-7033Phone:(509) 473-3687Fax:

Covenant Hosptial - Plain View2601 Dimmit RoadPlainview, TX 79072-

(806) 725-0566Phone:(806) 723-7146Fax:

Dell Children's Medical Center4900 Mueller Blvd.Austin, TX 78723-

(512) 324-3570Phone:(512) 324-1984Fax:

Eisenhower Medical Center39000 Bob Hope DrRancho Mirage, CA 92270-

(760) 837-8596Phone:(760) 773-1497Fax:

Emergency Staffing Solutions17304 Preston RoadSuite 1400DALLAS, TX 75252-

(866) 931-8882Phone:(866) 312-5424Fax:

Emory St. Joseph's Hospital5667 Peachtree Dunwoody Road NEAtlanta, GA 30342-

(404) 778-5034Phone:( ) -Fax:

Emory University Hospital1364 Clifton RoadAtlanta, GA 30322-

(404) 712-7371Phone:( ) -Fax:

Emory University Hospital-Midtown550 Peachtree Street NEAtlanta, GA 30308-

(404) 778-5034Phone:( ) -Fax:

Erlanger Health System975 E 3rd StChattanooga, TN 37403-

(423) 778-2044Phone:(423) 778-2043Fax:

Dixie Regional Medical Center1380 E Medical Center DrSt. George, UT 84790-

(435) 251-2359Phone:(435) 251-2360Fax:

Affiliation

Evergreen Family Medicine2570 NE Edenober BlvdRoseburg, OR 97471-

(541) 229-3301Phone:(541) 677-7462Fax:

Excela Health System532 West Pittsburgh StreetGreensburg, PA 15601-

(724) 832-4034Phone:( ) -Fax:

Florence Hospital at Anthem4545 N Hunt HwyFlorence, AZ 85132-

(520) 424-2661Phone:(520) 424-2507Fax:

Florida Emergency Physicians (Now TeamHealth)500 Winderley Place, Ste 115Maitland, FL 32751-

(954) 377-3074Phone:(865) 769-3468Fax:

Florida Hospital Heartland Medical Center4200 Sun N Lake BlvdSebring, FL 33870-

(863) 314-4466Phone:(863) 402-3135Fax:

Fort Defiance Indian Health Services/TsehootsooiPO Box 649Fort Defiance, AZ 86504-

(928) 729-8000Phone:(928) 729-8269Fax:

Franklin Memorial Hospital111 Franklin Health CommonsFrankfort, ME 04438-

(207) 779-2356Phone:(207) 779-2548Fax:

Franciscan St. Elizabeth Health Lafayette-East1701 South Creasy LaneLafayette East, IN 47905-

(765) 502-4380Phone:(765) 502-4386Fax:

Good Samaritan Hospital - MedStar Health5601 Loch Raven BlvdBaltimore, MD 21239-

(443) 444-4100Phone:( ) -Fax:

Grady Memorial Hospital80 Butler Street SEAtlanta, GA 30303-

(404) 616-4262Phone:( ) -Fax:

Good Samaritan Hospital520 So. Seventh St.Vincennes, IN 47591-

(812) 885-3979Phone:(812) 885-3773Fax:

Green Valley Hospital4455 S. I-19 Frontage RoadGreen Valley, AZ 85614-

(520) 393-4792Phone:(520) 306-4900Fax:

Guadalupe Valley Regional Medical Center1215 E. Court StreetSeguin, TX 78155-

(830) 401-7204Phone:(830) 372-1582Fax:

Gulf Coast Regional Medical Center449 West 23rd StreetPanama City, FL 32405-

(850) 747-7183Phone:(850) 747-7786Fax:

Halifax Health System303 N. Clyde Morris BlvdDaytona Beach, FL 32120-

(386) 254-4226Phone:(386) 947-4601Fax:

Harbor Hospital - MedStar Health3001 South Hanover StreetBaltimore, MD 21225-

(410) 347-3200Phone:( ) -Fax:

Affiliation

Hartford Hospital80 Seymour St.Hartford, CT 06106-

(860) 972-2145Phone:( ) -Fax:

Hays Medical Center2220 Canterbury Dr.Hays, KS 67601-

(785) 623-5000Phone:(785) 623-5524Fax:

Healthcare PartnersPO Box 2076Tacoma, WA 98401-2076

(720) 484-4896Phone:( ) -Fax:

Henry Ford Macomb Hospital - Clinton Township15855 Nineteen Mile RoadClinton Township, MI 48038-

(586) 263-2715Phone:(313) 874-4677Fax:

Holy Cross Hospital1500 Forest Colen RoadSILVER SPRING, MD 20910-

(301) 754-7000Phone:(301) 754-7228Fax:

HonorHealth Scottsdale Thompson Peak Medical Center7400 East Thompson Peak ParkwaySCOTTSDALE, AZ 85255-

(480) 324-7015Phone:(480) 323-3212Fax:

Inova Alexandria Hospital4320 Seminary RdAlexandria, VA 22304-

(703) 504-3000Phone:(703) 504-3388Fax:

Inova Fair Oaks Hospital3600 J Siewick DrFairfax, VA 22033-

(703) 391-3600Phone:(703) 391-3820Fax:

Inova Loundon Hospital44045 Riverside ParkwayLeesburg, VA 20176-

(703) 858-6000Phone:(703) 858-6611Fax:

INTEGRIS Baptist Medical Center (Oklahoma City)3300 NW Expresswayaka Integris Health SystemOKLAHOMA CITY, OK 73112-

(405) 949-3011Phone:(405) 949-3939Fax:

InterCommunity Cancer Center301 S Lake StLeesburg, FL 34748-

(352) 326-2224Phone:(352) 326-4458Fax:

International Medical Corps1919 Santa MonicaSuite 400SANTA MONICA, CA 90404-

(310) 826-7800Phone:(310) 442-6622Fax:

Johnston Memorial Hospital _ Abington16000 Johnston Memorial DriveAbington, VA 24211-

(276) 258-100Phone:(276) 258-4575Fax:

Jordan Valley Medical Center3580 W 9000 SWest Jordan, UT 84088-

(801) 964-3166Phone:(801) 569-8723Fax:

Jordan Valley Medical Center - West Valley Campus3460 S 4155 WWest Valley City, UT 84120-

(801) 964-3166Phone:(801) 964-3452Fax:

Kadlec Medical Center888 Swift BoulevardRichland, WA 99352-

(509) 942-2758Phone:(509) 942-2812Fax:

Affiliation

Kadlec Regional Medical Center888 Swift BlvdRichland, WA 99352-

(509) 942-2648Phone:(509) 942-2812Fax:

Kaiser Permanente1 Quality DriveVacaville, CA 95688-

(707) 624-3148Phone:( ) -Fax:

John F. Kennedy Memorial Hospital47111 Monroe StreetIndio, CA 92201-

(760) 775-8101Phone:(760) 775-8424Fax:

Kendall Regional Medical Center11750 South West 40th StreetMiami, FL 33175-

(305) 229-2434Phone:(305) 227-5556Fax:

Kennedy Univ. Hospital18 East Laurel RoadStratford, NJ 08084-

(856) 346-6000Phone:(856) 346-7681Fax:

Kindred Hospital North Florida801 Oak StreetGreen Cove Springs, FL 32043-

(713) 884-2232Phone:(904) 284-6612Fax:

Kindred Hospital Seattle - First Hill1334 Terry AvenueSeattle, WA 98101-

(909) 204-7048Phone:(206) 682-2470Fax:

Lake Granbury Medical Center1310 Paluxy RoadGranbury, TX 76048-

(817) 573-2273Phone:(817) 408-3103Fax:

LeConte Medical Center742 Middle Creek RoadSevierville, TN 37862-

(865) 446-7000Phone:( ) -Fax:

Liberty Regional Medical Center462 Elma G Miles PkwyHinesville, GA 31313-

(912) 369-9400Phone:(912) 877-9438Fax:

Locum Tenens .com2655 Northwinds ParkwayAlpharetta, GA 30009-

(770) 643-5526Phone:(678) 658-4540Fax:

Lourdes Hospital1600 Haddon aveCamden, NJ 08103-

(609) 835-3081Phone:(856) 365-7772Fax:

Madison Memorial Hospital450 E. Main, Box 310Rexburg, ID 83440-

(208) 359-6980Phone:(208) 359-6983Fax:

Med Flight Air Ambulance2301 Yale Blvd SE Ste D3Albuquerque, NM 87106-

(505) 842-4431Phone:(505) 842-4436Fax:

Medical Center of Southeast Texas2555 Jimmy Johnson Blvd.Port Arthur, TX 77640-

(409) 853-5749Phone:(409) 853-5750Fax:

Medicine & Long Term Care Assoc.333 Budlong RdCranston, RI 02920-

(401) 943-4530Phone:( ) -Fax:

Affiliation

Mendocino Coast District Hospital700 River DriveFort Bragg, CA 95437-

(707) 961-4740Phone:(707) 961-4786Fax:

Mercy Health Partners1675 Leahy StreetSuite 315AMuskegon, MI 49442-

(231) 728-5050Phone:(231) 727-5248Fax:

Mercy Medical Center1111 3rd Street, SWLast worked: January 2014Dyersville, IA 52040-

(563) 589-8000Phone:( ) -Fax:

Mercy Medical Center- Des Moines1111 6th AvenueDES MOINES, IA 50314-3101

(515) 247-4334Phone:(515) 643-8885Fax:

Mesa Hills Speciality Hospital2311 N Oregon StreetEl Paso, TX 79902-

(915) 545-1823Phone:(915) 544-9629Fax:

Methodist Charlton Medical Center3500 Wheatland RdDallas, TX 75237-

(214) 947-8181Phone:(214) 947-2884Fax:

Methodist Health System1441 N. Beckley AveDallas, TX 75203-

( ) -Phone:( ) -Fax:

Methodist Medical Center of Oak Ridge990 Oak Ridge TurnpikeOak Ridge, TN 37831-

(865) 835-3980Phone:(865) 835-4548Fax:

Mercy Medical Center - Sioux City801 5th StreetSIOUX CITY, IA 51101-

(712) 279-2169Phone:(712) 279-5728Fax:

Metro Health Hospital5900 Byron Center AVE SWWyoming, MI 49519-

(616) 252-7200Phone:(616) 252-6299Fax:

Miami Valley HospitalOne Wyoming StreetDAYTON, OH 45409-

(937) 208-2121Phone:(937) 208-2890Fax:

Millard Fillmore Suburban Hospital1540 Maple RdWILLIAMSVILLE, NY 14221-

(716) 859-5501Phone:(716) 859-5592Fax:

Midwestern Regional Medical Center2520 Elisha AvenueZion, IL 60099-

(847) 872-4888Phone:(847) 731-1182Fax:

Montgomery Medical Center - MedStar Health18101 Prince Phillip DrOlney, MD 20832-

(301) 774-8869Phone:(301) 774-8947Fax:

Mosaic Life Care5325 Faraon StreetSaint Joseph, MO 64506-

(816) 271-6009Phone:(816) 271-6033Fax:

Nationwide Childrens Hospital700 Childrens DriveColumbus, OH 43205-

(614) 722-2000Phone:(614) 355-0797Fax:

Affiliation

NCH Baker Hospital Downtown350 7th St. N.Naples, FL 34102-

(239) 624-2480Phone:(239) 624-2481Fax:

NCH North Naples Hospital11190 Healthpark BlvdNaples, FL 34110-

(239) 624-2480Phone:(239) 624-2481Fax:

Mt. Graham Regional Medical Center1600 South 20th AvenueSafford, AZ 85546-

(928) 348-4293Phone:(928) 348-5701Fax:

Munson Grayling Hospital1100 east michigan evenuegrayling, MI 49738-

(989) 348-0421Phone:(989) 348-0429Fax:

New Mexico Bone & Joint Institute2301 Indian Wells Rd.Suite AAlamogordo, NM 88310-

(575) 434-8639Phone:(575) 434-4148Fax:

New Mexico Heart Institute502 Elm St NEAlbuquerque, NM 87106-

(505) 843-2820Phone:(505) 843-2956Fax:

New Mexico Orthopaedic Surgery Center201 Cedar Street SE, Suite 7600ALBUQUERQUE, NM 87106-

(505) 724-4395Phone:( ) -Fax:

North Florida Regional Medical Center6500 Newberry RoadGainesville, FL 32605-

(352) 333-4104Phone:(352) 333-5124Fax:

Northeast Baptist Hospital730 N. MAIN SUITE 312San Antonio, TX 78205-

(210) 297-4640Phone:(210) 297-0755Fax:

Northeastern Nevada Regional Hospital2001 Errecart BlvdElko, NV 89801-

(775) 748-2159Phone:(775) 748-2162Fax:

Northern Maine Medical Center194 E MAIN STFort Kent, ME 04743-

(207) 834-1430Phone:(207) 834-2949Fax:

Northern Navajo Medical CenterPO Box 160Shiprock, NM 87420-

(505) 368-6089Phone:(505) 368-6089Fax:

Northridge Hospital Medical Center18300 Roscoe BlvdNorthridge, CA 91328-

(818) 885-8500Phone:( ) -Fax:

Mountain Point Medical Center3000 N Triumph BlvdLehi, UT 84043-

(801) 964-3166Phone:( ) -Fax:

Mountain View Regional Medical Center4311 E Lohman AveLas Cruces, NM 88011-

(575) 556-7600Phone:(575) 556-7672Fax:

Northwest Hospital1550 N 115th St.Seattle, WA 98133-

(206) 368-1811Phone:(206) 368-1817Fax:

Affiliation

Norton Community Hospital - Mountain States Health100 Fifteenth StreetNorton, VA 24273-

(276) 439-1000Phone:(423) 431-4260Fax:

Norwegian American Hospital1044 N. FranciscoChicago, IL 60622-

(773) 292-8272Phone:(773) 292-8237Fax:

Oklahoma University Medical Center700 NE 13th St.Oklahoma City, OK 73104-

(405) 271-4700Phone:(405) 271-3602Fax:

Olympia Medical Center5900 W Olympic BlvdLos Angeles, CA 90036-

(310) 657-5900Phone:( ) -Fax:

Orange Park Medical Center2001 Kingsley AvenueOrange Park, FL 32073-

(904) 639-8553Phone:(904) 639-8730Fax:

Ozark Center530 E. 34th Street - Suite 202Joplin, MO 64804-

(417) 347-7600Phone:(417) 347-0603Fax:

Palmadale Regional Medical Center38600 Medical Center Dr.Palmdale, CA 93551-

(661) 382-5000Phone:(661) 382-5527Fax:

Paris Regional Medical Center865 DeShong driveParis, TX 75460-

(903) 737-1599Phone:(903) 737-3911Fax:

Pearland Medical Center11100 Shadow Creek ParkwayPearland, TX 77584-

(713) 770-7107Phone:(713) 770-7105Fax:

Peconic Bay Medical Center1300 Roanoke AvenueRiverhead, NY 11901-

(631) 548-6440Phone:(631) 727-0772Fax:

Pecos Valley Orthopedics2402 W PierceSuite 6eCarlsbad, NM 88220-

(575) 628-0312Phone:(575) 628-8015Fax:

Pegasus Emergency Group-Now Island Medical1007 E. Main StreetSuite #300Bozeman, MT 59715-

(631) 514-7600Phone:(631) 813-1472Fax:

Peninsula Regional Medical Center100 East Carroll StreetSalisbury, MD 21801-

(410) 543-7014Phone:(410) 543-7010Fax:

Peterson Regional Medical Center551 Hill Country DriveKerrville, TX 78028-

(830) 258-7748Phone:(830) 258-7107Fax:

Piedmont Henry Hospital1133 Eagles Landing PkwyStockbridge, GA 30281-

(678) 604-5430Phone:(678) 604-4470Fax:

Pomona Valley Hospital Medical Center1798 North Garey AvenuePomona, CA 91767-

(909) 865-9125Phone:(909) 620-7462Fax:

Affiliation

Presence Saint Joseph Medical Center333 North Madison StJoliet, IL 60435-

(815) 725-7133Phone:( ) -Fax:

Princeton Community Hospital122 Twelfith StreetPrinceton, WV 24740-

(304) 487-7000Phone:(304) 487-7793Fax:

Providence Centralia Hospital914 S Scheuber RdCentralia, WA 98531-

(360) 330-8529Phone:(360) 330-8970Fax:

Providence East Campus3280 Joe Battle BlvdEl Paso, TX 79938-

(915) 832-2109Phone:(915) 832-2903Fax:

Prowlers Medical Center401 Kendall Dr.Lamar, CO 81052-

(719) 336-4343Phone:(719) 336-8351Fax:

Quest Healthcare Solutions (Staffing Co)6 Concourse ParkwaySuite 2250Atlanta, GA 30328-

(404) 665-1185Phone:(404) 592-5383Fax:

Radiation Oncology Professional Services2825 Stockyard Rd Ste I-200Missoula, MT 59808-

(406) 728-8420Phone:(406) 541-8430Fax:

Redmond Regional Medical Center501 Redmon RoadRome, GA 30165-

(706) 802-3017Phone:(706) 236-1960Fax:

Redwood Memorial Hospital3300 Renner DriveFORTUNA, CA 95540-

(707) 445-8121Phone:(707) 269-3836Fax:

Regional Health Services of Howard County235 Eighth Avenue WestLast worked: July 2013Cresco, IA 52136-

(563) 547-2101Phone:(641) 547-3448Fax:

Rice Memorial Hospital and Clinics301 Becker Ave. SWWilmarMN, MN 56201-

(320) 235-4543Phone:(320) 231-4948Fax:

Riverside Tappahnnock Hospital618 Hospital RoadTappahannock, VA

(804) 443-6087Phone:(804) 443-6150Fax:

Rush Memorial Hospital1300 N. Main StreetRushville, IN 46173-

(765) 932-4111Phone:(765) 932-7062Fax:

Saint Luke?s Hospital of Kansas City4401 Wornall RdKansas City, MO 64111-

(816) 932-3836Phone:(816) 932-3651Fax:

Saint Mary's Regional Center235 W. Sixth St.Reno, NV 89503-

(775) 770-3000Phone:(775) 770-3655Fax:

San Angelo Community Medical Center3501 Knickerbocker RdSan Angelo, TX 76904-

(325) 947-6472Phone:(325) 947-6784Fax:

Affiliation

San Gorgonio Memorial Hospital600 N Highland Springs AveBanning, CA 92220-

(951) 845-1121Phone:(951) 769-4832Fax:

San Jacinto Methodist Hospital4301 Garth RoadBaytown, TX 77521-

(281) 420-8852Phone:(281) 420-8429Fax:

San Juan Regional Medical Center801 W Maple StFarmington, NM 87401-

(505) 609-6063Phone:(505) 609-6269Fax:

Sandoval Regional Medical Center3001 Braodmoor Blvd NERIO RANCHO, NM 87144-

(505) 994-7422Phone:(505) 994-7394Fax:

Sanford Canby Medical Center112 St. Olaf AvenueCanby, MN 56220-

(605) 333-1000Phone:(605) 333-1351Fax:

Santa Clara Valley Medical Center751 S Bascom Ave 7C081San Jose, CA 95128-

(408) 885-5000Phone:(408) 885-5117Fax:

Santa Rosa Medical Center6002 Berryhill roadMilton, FL 32570-

(850) 626-5150Phone:(850) 626-5055Fax:

Santiam Memorial Hospital1401 North 10thStayton, OR 97383-

(503) 769-2175Phone:(503) 769-5312Fax:

Scottsdale Osborn Medical Center - Honor Health7400 E Osborn RoadScottsdale, AZ 85251-

(623) 434-6102Phone:(623) 434-6106Fax:

Scottsdale Shea Medical Center - Honor Health9003 E Shea BlvdScottsdale, AZ 85260-

(623) 434-6102Phone:(623) 434-6106Fax:

Seton Highland Lakes3201 S Water St.Burnet, TX 78611-

(512) 324-3570Phone:(512) 324-1984Fax:

Seton Southwest7900 FM 1826Austin, TX 78737-

(512) 324-3570Phone:(512) 324-1984Fax:

Shannon Medical Center120 E Harris StSan Angelo, TX 76903-

(325) 657-5410Phone:(325) 481-8599Fax:

Shore Medical Center at Easton219 S. Washington StreetEaston, MD 21601-

(410) 822-1000Phone:( ) -Fax:

Sidney Health Center216 14th Ave SESidney, MT 59270-

(406) 488-2100Phone:(405) 488-2261Fax:

Sierra East Medical Center3280 Joe Battle BoulevardEl Paso, TX 79938-

(915) 832-2109Phone:(915) 832-2903Fax:

Affiliation

Soldiers & Sailors Memorial Hospital32 Centeral Ave.Wellsboro, PA 16901-

(570) 723-0104Phone:(570) 723-0118Fax:

Sound Physicians-Echo1301 Solana BlvdWestlake, TX 76262-

(844) 546-5287Phone:(888) 370-2434Fax:

Seton Edgar B Davis130 Hays StreetLuling, TX 78648-

(512) 324-3570Phone:(512) 324-1984Fax:

St Joseph Hospital - Lutheran Health Network700 BroadwayFort Wayne, IN 46802-

(260) 425-3164Phone:(260) 425-3897Fax:

St Marks Hospital1200 East 3900 SouthSalt Lake City, UT 84124-

(801) 268-7111Phone:(801) 270-3393Fax:

St. Anthony Shawnee1102 W. McArthurShawnee, OK 74804-

(405) 272-6084Phone:(405) 272-6928Fax:

Southwest CARE Center: Family Medicine1691 Galisteo St Suite ESanta Fe, NM 87505-

(505) 954-1921Phone:(505) 954-1922Fax:

Spectrum Health Hospital100 Michigan St NEGrand Rapids, MI 49503-

(616) 241-6258Phone:(616) 241-6470Fax:

Spectrum Health Hospitals100 Michigan St NEGrand Rapids, MI 49503-

(616) 391-1609Phone:(616) 391-2911Fax:

St. Joseph's Hospital350 North Wilmot RoadTuscon, AZ 85711-2678

(520) 873-5347Phone:(520) 873-5160Fax:

SSM Health St. Mary's Hospital Madison700 South Park StreetMadison, WI 53715-

(608) 258-6750Phone:(608) 259-3468Fax:

Sutter Novato Community Hospital180 Rowland WayNovato, CA 94645-

(415) 209-1494Phone:(415) 209-1492Fax:

Swedish Medical Center, Cherry Hill Campus747 BroadwaySeattle, WA 98122-4307

(206) 386-2550Phone:(206) 386-3570Fax:

Tallahassee Memorial Hospital1401 Centerville Rd Ste 400Tallahassee, FL 32308-

(850) 431-3132Phone:(850) 431-6489Fax:

Texas Health Emergency Room - Irving220 E Las Colinas BlvdSte 1000Irving, TX 75039-

(972) 899-6829Phone:(972) 899-6744Fax:

Transylvania Regional Hospital260 Hospital DrBrevard, NC 28712-

(828) 862-6399Phone:(828) 883-5317Fax:

Affiliation

The Hospitals of Providence Memorial Hospital2001 N OregonEl Paso, TX 79902-

(915) 577-2965Phone:(915) 747-2680Fax:

The Schumacher Group200 Corporate BoulevardLafayette, LA 70508-

(800) 893-9698Phone:(337) 371-4019Fax:

Tufts Medical Center800 Washington STBoston, MA 02111-

(617) 636-7954Phone:(617) 636-6204Fax:

University Health Conway4864 Jackson StMonroe, LA 71202-

(318) 330-7224Phone:(318) 330-7744Fax:

University Hospitals Richmond Medical Center27100 Chardon RdCleveland, OH 44143-

(440) 585-6439Phone:(216) 201-7467Fax:

University Medical Center at Brackenridge601 East 15th StreetAustin, TX 78701-

(512) 324-3570Phone:(512) 324-1984Fax:

University of Chicago5841 S Maryland AveMC 1130Chicago, IL 60637-

(773) 702-3559Phone:(773) 834-0694Fax:

University of Massachusetts Medical School55 Lake Avenue NorthWorcester, MA 01655-

(508) 856-4268Phone:( ) -Fax:

UPMC East2775 Mosside BlvdMonroeville, PA 15146-

(412) 357-3307Phone:(412) 357-3641Fax:

UPMC Magee Women's Hospital300 Halket StPittsburgh, PA 15213-

(412) 641-4075Phone:(412) 641-5497Fax:

UPMC Shadyside Hospital5230 Centre AvePittsburgh, PA 15232-

(412) 623-2018Phone:(412) 623-3005Fax:

VA Medical Center-Decatur1670 Clairmont RoadAtlanta, GA 30033-

(404) 728-4164Phone:(404) 235-3011Fax:

Vail Valley Medical Center181 W Meadow Dr.Vail, CO 81657-

(970) 476-2451Phone:(970) 479-7282Fax:

Valley Health333 West Cork StreetWinchester, VA 22601-

(540) 536-8875Phone:(540) 536-7371Fax:

Valley Hospital620 Shadow LaneLas Vegas, NV 89106-

(702) 388-8430Phone:(702) 853-8409Fax:

VEP Healthcare, Inc.VEP Healthcare, Inc.1001 Galaxy Way, Suite 400Concord, CA 94520-

(925) 225-5837Phone:(925) 225-5838Fax:

Affiliation

Walker Baptist Medical Center3400 HWY 78 EastJasper, AL 35501-

(205) 387-4645Phone:(205) 387-4011Fax:

Vibra Hospital of Charleston1200 Hospital DriveMount Pleasant, SC 29464-

(843) 568-7460Phone:(843) 375-4055Fax:

Watertown Regional Medical Center125 Hospital DrWatertown, WI 53098-

(920) 262-4298Phone:( ) -Fax:

Wellstar Douglas Hospital8954 Hospital DrDouglasville, GA 30134-

(770) 949-1500Phone:(770) 563-0685Fax:

West Valley Hospital525 SE Washington StreetDallas, OR 97338-

(503) 623-7344Phone:(503) 623-7335Fax:

Western Maryland Health System12500 Willowbrook RDCumberland, MD 21502-

(240) 964-7000Phone:(240) 964-2601Fax:

WINN Army Community Hospital1061 Harmon AveFort Stewart, GA 31314-

(912) 435-6933Phone:(912) 435-5966Fax:

Women & Children's Hospital of Buffalo1028 Main StreetBuffalo, NY 14202-

(716) 878-7000Phone:(716) 888-3842Fax:

Woodard Regional Hospital/Alliance900 17th StreetWoodward, OK 73801-

(580) 256-5511Phone:(580) 254-8413Fax:

Yuma Regional Medical Center2400 S Avenue AYuma, AZ 85364-

(928) 336-7020Phone:(928) 336-7520Fax:

Hospital

Wyoming Medical Center1233 E. Second StreetCasper, WY 82601-

(307) 577-2191Phone:(307) 577-2265Fax:

UNM Hospital Risk Management933 Bradbury Dr SE Ste 3002ALBUQUERQUE, NM 87106-

(505) 272-2325Phone:(505) 272-6055Fax:

Yavapai Regional Medical Center1003 Willow Creek RoadPrescott, AZ 86301-

(928) 771-5786Phone:(928) 771-5787Fax:

Wheeling Hospital - RISK1 Medical ParkWheeling, WV 26003-

(412) 262-3000Phone:(412) 727-8221Fax:

Wayne Memorial Hospital865 S. First StreetBox 408Jesup, GA 31545-

(912) 530-3178Phone:(912) 530-3170Fax:

Wallace Thompson Hospital (Union Medical Center)322 W. South StreetUNION, SC 29379-

(864) 427-0351Phone:(864) 429-2584Fax:

Washington Hospital Center - MedStar Health110 Irving St NWWashington, DC 20010-

(202) 877-5165Phone:(202) 877-0876Fax:

Valley Baptist Medical Center - Harlingen2101 Pease StPO Box 2588Harlingen, TX 78550-8703

(956) 389-6756Phone:(956) 389-6763Fax:

Valley General Hospital14701 179th Ave SEMonroe, WA 98272-

(360) 794-7497Phone:(360) 805-3460Fax:

Upper Valley Medical Center3130 N County Road 25ATROY, OH 45373-

(937) 440-4522Phone:(937) 440-4380Fax:

University of Oklahoma / OSU Medical Center1 Farm RoadStillwater, OK 74078-

(405) 744-4000Phone:(405) 271-3602Fax:

University of Pennsylvania Health System3624 Market StreetSuite 560WPHILADELPHIA, PA 19104-

(215) 662-2286Phone:(215) 349-5800Fax:

University of Mississippi Medical Center2500 N State StJackson, MS 39216-4505

(601) 984-1113Phone:(601) 984-2086Fax:

University Medical Center602 Indiana AveLubbock, TX 79415-

(806) 775-9290Phone:(806) 775-9294Fax:

Thorek Hospital and Med. Ctr.850 W. Irving Park RoadChicago, IL 60613-

(773) 525-6780Phone:(773) 975-3237Fax:

Tuscon Medical Center5301 E Grant RdTucson, AZ 85712-

(520) 324-1127Phone:(520) 324-2051Fax:

Hospital

Twin Cities Hospital2190 Highway 80 NorthNiceville, FL 32578-

(850) 678-4131Phone:(850) 729-9306Fax:

UMass Memorial Medical Center281 Lincoln StWorcester, MA 01605-

(508) 334-8015Phone:(508) 334-8235Fax:

Tri-City Medical Center4002 Vista WayOceanside, CA 92056-

(760) 940-3001Phone:(760) 940-3299Fax:

Trinity Medical Center1 Burdick Expwy WestMinot, ND 58701-

(701) 857-5118Phone:(701) 857-5117Fax:

Tuba City Regional167 North Main StreetTuba City, AZ 86045-

(928) 283-2590Phone:(928) 283-2591Fax:

Tucson Medical Center5301 E Grant RoadTucson, AZ 85712-

(520) 324-1127Phone:(520) 324-2051Fax:

The Good Samaritan Hospital4th and Walnut StreetsLebanon, PA 17036-

(717) 270-7901Phone:(717) 270-7841Fax:

Swedish Medical Center501 E. Hampden AvenueEnglewood, CO 80110-

(303) 788-5000Phone:(720) 746-6305Fax:

SSM St. Mary's Health Center6420 Clayton RoadSt. Louis, MO 63117-

(314) 768-8217Phone:(314) 768-7143Fax:

St Alexius Medical Center900 East BroadwayBISMARCK, ND 58506-

(701) 530-7688Phone:(701) 530-7689Fax:

Summerlin Hosptial657 Town Center DrLas Vegas, NV 89144-

(702) 233-7571Phone:(702) 233-7918Fax:

Summit Healthcare Medical Center2200 E Summit Lake RdShow Low, AZ 85901-

(928) 537-6526Phone:(928) 537-6725Fax:

Sunnyside HospitalTenth and Tacoma AvenuesPO Box 719Sunnyside, WA 98944-

(509) 837-1651Phone:(509) 837-1796Fax:

St. Mary`s Medical Center901 45th StreetWest Palm Beach, FL 33407-

(561) 882-2878Phone:(561) 840-6724Fax:

St. Mary's Hospital and Med. Ctr.2635 North 7th StreetP.O. Box 3433Grand Junction, CO 81502-

(970) 298-1947Phone:(970) 298-7560Fax:

St. Vincent's Medical Center - Riverside1 Shircliff WayJacksonville, FL 32204-

(904) 308-7309Phone:(904) 308-7326Fax:

Hospital

Spotsylvania Regional Medical4600 Spotsylvania ParkwayFREDERICKSBURG, VA 22407-

(540) 498-4063Phone:(866) 713-7429Fax:

St. Elizabeth Community Hospital2550 Sister Mary Columba DriveRed Bluff, CA 96080-

(530) 529-8000Phone:(530) 242-5209Fax:

St. Elizabeth Hospital1506 S. Oneida StreetAppleton, WI 54915-

(920) 738-2058Phone:(920) 223-2070Fax:

St. Francis Hospital - Downtonw1st Francis DriveGREENVILLE, SC 29601-

(864) 255-1000Phone:(864) 679-8876Fax:

St. Joseph Health Regional Hospital2801 Franciscan DriveBryan, TX 77801-

(979) 776-3777Phone:(979) 776-5326Fax:

St. Joseph Memorial Hospital2 South Hospital DriveMurphysboro, IL 62966-

(618) 684-3156Phone:(618) 684-1031Fax:

Seton Healthcare Network1201 W 38th StAustin, TX 78759-

(512) 324-2010Phone:(512) 324-1984Fax:

Providence Alaska Medical Center3200 Providence DriveANCHORAGE, AK 99508-

(907) 212-3185Phone:(907) 212-4865Fax:

Southern Maryland Hospital Center - MedStar Health7503 Surratts RdClinton, MD 20735-

(301) 877-4536Phone:(301) 868-1368Fax:

Sierra Medical Center1625 Medical Center DrEl Paso, TX 79902-

(915) 747-4000Phone:(915) 747-6680Fax:

Skyridge Medical Center10101 Ridgegate PkwyLone Tree, CO 80124-

(720) 225-1000Phone:(720) 225-1319Fax:

Santa Rosa Memorial Hospital1165 Montgomery DrSanta Rosa, CA 95405-

(707) 547-5471Phone:(707) 528-7079Fax:

Santa Ynez Cottage Hospital2050 Viborg RoadSOLVANG, CA 93463-

(805) 569-7245Phone:(805) 569-8368Fax:

San Luis Valley Regional Medical Center106 Blanca AvenueAlamosa, CO 81101-

(719) 898-0591Phone:(719) 587-1430Fax:

San Antonio Military Medical Center3851 Roger Brook DriveFORT SAM HOUSTON, TX 78234-

(210) 916-5414Phone:(210) 916-5102Fax:

Samaritan Pacific Communities Hospital930 S.W. Abbey StreetNewport, OR 97365-

(541) 574-4666Phone:(541) 574-4736Fax:

Hospital

Rutherford Regional Hospital288 S. Ridgecrest AvenueRutherfordton, NC 28139-

(828) 286-5148Phone:(828) 286-5351Fax:

Sacred Heart Hospital900 W. Clairemont AvenueEau Claire, WI 54701-

(715) 839-4132Phone:(715) 839-4031Fax:

Roosevelt General Hospital42121 Hwy 70Portales, NM 88130-

(575) 563-4120Phone:(575) 356-9200Fax:

Reeves County Hospital District2323 Texas StPECOS, TX 79772-

(432) 447-3551Phone:(432) 447-0022Fax:

Queen of the Valley Hospital1000 Trancas StreetBox 2340Napa, CA 94558-

(707) 252-4411Phone:(707) 251-1796Fax:

Providence Medical Center8929 Parallel ParkwayKANSAS CITY, KS 66112-

(913) 596-4000Phone:(913) 596-4635Fax:

Providence Sierra Campus1625 Medical Center DrEl Paso, TX 79902-

(915) 747-2630Phone:(915) 747-2680Fax:

Osceola Regional Medical Center700 West Oak StreetKISSIMMEE, FL 34741-

(407) 518-3514Phone:(407) 518-3537Fax:

Presbyterian Hospital1100 Central Ave SEAlbuquerque, NM 87106-

(505) 841-1422Phone:(505) 923-6132Fax:

Plantation General Hospital401 N.W. 42Nd AvePlantation, FL 33317-

(305) 285-2771Phone:(305) 285-5064Fax:

Paris Regional Medical Center865 DeShong DriveParis, TX 75460-

(903) 785-4521Phone:(903) 737-3911Fax:

Payson Regional Medical Center (AKA - Banner Payson Medical Center)807 S. Ponderosa

Phoenix, AZ 85072-(928) 474-3222Phone:(928) 472-1390Fax:

Palo Verde Hospital250 N First StBlythe, CA 92225-

(760) 921-5142Phone:(760) 921-5170Fax:

Pampa Regional Medical CenterOne Medical PlazaPampa, TX 79065-

(806) 663-5500Phone:(806) 665-2361Fax:

Paradise Valley Hospital3929 East Bell RdPhoenix, AZ 85032-

(602) 923-5615Phone:(602) 923-5535Fax:

Olympic Medical Center939 Caroline StreetPort Angels, WA 98362-

(360) 417-7000Phone:(360) 417-7082Fax:

Hospital

Norwood Hospital800 Washington StreetNorwood, MA 02062-

(781) 769-4000Phone:(617) 789-5103Fax:

Novant Health - Forsyth Memorial Hospital3333 Silas Creek PkwyWinston-Salem, NC 27103-

(336) 718-5000Phone:(336) 718-9894Fax:

Oconee Memorial Hospital292 Memorial DriveHwy 123, P.O. Box 858Seneca, SC 29672-

(864) 882-3351Phone:(864) 885-7782Fax:

Ohio Valley Medical Center2000 Eoff StreetWheeling, WV 26003-

(304) 234-0123Phone:( ) -Fax:

Northwest Texas Healthcare SystemMedical Staff Office1501 S Coulter StAmarillo, TX 79175-

(806) 354-1000Phone:(806) 354-1203Fax:

Mountainview Regional Medical Center4311 E Lohman AveLas Cruces, NM 88011-

(575) 556-7671Phone:(575) 556-7672Fax:

Northridge Hospital Medical Center18300 Roscoe Blvd.Northridge, CA 91328-

(818) 885-8500Phone:( ) -Fax:

Nor Lea General Hospital1600 N Main AveLovington, NM 88260-

(575) 396-6611Phone:(575) 396-1454Fax:

New Mexico VA Health Care System1501 San Pedro SEAlbuquerque, NM 87108-

(505) 265-1711Phone:(505) 767-6013Fax:

Munson Medical Center1105 Sixth StreetsTraverse City, MI 49684-

(616) 935-5000Phone:( ) -Fax:

Nacogdoches Medical Center4920 NE Stallings DrNacogdoches, TX 75961-

(936) 568-3179Phone:(936) 568-3122Fax:

Mount Graham Community Hospital1600 20th AvenueSafford, AZ 85546-

(928) 348-4293Phone:(928) 348-5701Fax:

Mount Sinai Beth Israel1st Ave at 16th StNew York, NY 10003-

(212) 420-2835Phone:(212) 420-4682Fax:

Mercy Hospital - Downtown & Southwest2215 Truxton Ave.Bakersfield, CA 93311-

(661) 632-5237Phone:(661) 632-5148Fax:

Miles Memorial Hospital35 Miles StreetDamariscotta, ME 04543-

(207) 563-4501Phone:(207) 563-3717Fax:

Mimbres Memorial Hospital & Nursing Home900 W Ash StDeming, NM 88030-

(575) 546-5440Phone:(575) 546-5456Fax:

Hospital

Miners Colfax Medical Center200 Hospital DrRaton, NM 87740-

(575) 445-3661Phone:(575) 445-7737Fax:

Metropolitan Methodist Hospital1310 Mccullough AvenueSan Antonio, TX 78212-

(210) 208-2440Phone:(210) 757-2272Fax:

Mercy Medical Center dba St. Alexius Health Williston Medical Center1301 15th Avenue West

Williston, ND 58801-(701) 572-7470Phone:(701) 774-7479Fax:

Methodist Willowbrook Hospital18220 State Highway 249Suite 1360Houston, TX 77070-

(281) 737-1005Phone:(281) 737-1150Fax:

Mercy Medical Center500 S Oakwood RoadOshkosh, WI 54902-

(920) 223-0275Phone:( ) -Fax:

Mercy Medical Center - North Iowa1000 4th Street, SWMASON CITY, IA 50401-

(641) 428-7000Phone:(641) 428-7088Fax:

Mercy Medical Center - ReddingBox 60092175 Rosaline AveREDDING, CA 96001-

(530) 225-7283Phone:(530) 225-7283Fax:

Memorial Health Hospital4700 Waters AvenueSAVANNAH, GA 31404-

(912) 350-6664Phone:(912) 350-6509Fax:

Memorial Hermann Hospital7737 Southwest Freeway, C98Houston, TX 77074-

(713) 338-6464Phone:(713) 338-6580Fax:

Memorial Hospital of Maine Health3073 Main StreetNox 5001North Conway, NH 03860-

(603) 356-5461Phone:(603) 356-8741Fax:

Memorial Regional Hospital3501 Johnson StHollywood, FL 33021-

(954) 265-5339Phone:(954) 265-3464Fax:

Medical Center of Aurora1501 S. Potomac StAurora, CO 80012-

(303) 695-2600Phone:(303) 695-2865Fax:

McAllen Medical Center301 W Hwy 80MCALLEN, TX 78503-

(956) 632-4965Phone:(956) 632-4833Fax:

McGill University Postgraduate Medical Education3655 Promenade Sir William Osler 6th FloorMontreal Quebec Canada, H3G -1Y6

(514) 398-5673Phone:(514) 398-3595Fax:

McKee Medical CenterMedical Staff Office/Credential Coord2000 Boise AvenueLoveland, CO 80537-

(970) 810-6010Phone:(970) 593-6055Fax:

McKenzie-Willamette Hospital1460 G StreetSpringfield, OR 97477-

(541) 726-4406Phone:(541) 744-6063Fax:

Hospital

McLeod Loris Hospital3655 Mitchell StreetLoris, SC 29569-

(843) 777-5621Phone:(843) 777-5572Fax:

Maryland General Hospital827 Linden AvenueBALTIMORE, MD 21201-

(410) 225-8000Phone:(410) 225-8910Fax:

Lovelace Westside Hospital4420 Irving Blvd NWAlbuquerque, NM 87114-

(505) 727-2367Phone:(505) 727-9319Fax:

Lovelace Women's Hospital4701 Montgomery Blvd. NEAlbuquerque, NM 87109-

(505) 727-7012Phone:(505) 727-9294Fax:

Lutheran Medical Center8300 W. 38th AvenueWheat Ridge, CO 80033-

(303) 425-2009Phone:(303) 437-8790Fax:

Los Alamos Medical Center3917 West RdLos Alamos, NM 87544-

(505) 661-9170Phone:(505) 661-9536Fax:

Las Palmas Medical Center1801 N OregonEl Paso, TX 79902-

(915) 521-1200Phone:(915) 599-4116Fax:

Lavaca Medical Center (aka Hallettsville Hospital)1400 North Texana StreetHallettsville, TX 77964-

(512) 798-3671Phone:(361) 798-2682Fax:

Lawnwood Medical Center1700 South 23rd StreetFort Pierce, FL 34950-

(772) 468-4533Phone:(772) 467-8153Fax:

Kingman Regional Medical Center3269 Storkton Hill RdKingman, AZ 86401-

(928) 757-0611Phone:(928) 757-1388Fax:

Kings Mountain Hospital706 W. King StreetKings Mountain, NC 28086-

(980) 487-5000Phone:(980) 487-5457Fax:

Lahey Clinic Hospital41 Mall RoadBurlington, MA 01805-

(781) 744-8737Phone:(781) 744-2930Fax:

Kaweah Delta Health Care District400 W. Mineral King AvenueVisalia, CA 93291-

(559) 624-2358Phone:(559) 735-4061Fax:

Hospital of The University Of Pennsylvania3400 Spruce StreetPhiladelphia, PA 19104-

(215) 615-3023Phone:(866) 930-6069Fax:

Hutchinson Regional Medical Center1701 East 23rd StreetHutchinson, KS 67502-

(620) 513-5050Phone:(620) 513-5055Fax:

Holzer Medical Center - Gallipolis100 Jackson PikeGallipolis, OH 45631-

(740) 441-3282Phone:(740) 446-5982Fax:

Hospital

Hilton Head Hospital25 Hospital Center BlvcdHilton Head, SC 29925-

(843) 898-3082Phone:(843) 689-8316Fax:

Holy Cross HospitalPO Box DD1397 Weimer RdTaos, NM 87571-

(575) 751-5761Phone:(575) 751-5749Fax:

Henry Community Health1000 N. 16th StreetBox 490New Castle, IN 47362-

(765) 521-1509Phone:(765) 521-1555Fax:

Henry Ford Hospital2799 W. GrandDetroit, MI 48202-

(313) 874-4689Phone:(313) 874-4677Fax:

Hartford Hospital80 Seymour StreetHartford, CT 06115-

(860) 972-2585Phone:(860) 545-3755Fax:

Gwinnett Hospital System100 Medical Center BlvdLawrenceville, GA 30245-

(678) 312-3292Phone:(678) 312-3246Fax:

Good Samaritan Hospital2425 Samaritan DriveSan Jose, CA 95124-

(408) 559-2011Phone:(408) 559-2533Fax:

Guadalupe County Hospital535 Lake DriveSanta Rosa, NM 88435-

(575) 472-3246Phone:(575) 472-4587Fax:

Good Samaritan Hospital2222 Philadelphia DriveDayton, OH 45406-

(937) 278-2612Phone:(937) 223-9412Fax:

Franklin Square Medical Center- Medstar Health9000 Franklin Square DrBaltimore, MD 21237-

(443) 777-7900Phone:( ) -Fax:

Freeman Health System1102 W 32nd StreetJoplin, MO 64804-

(417) 347-3659Phone:(417) 347-9085Fax:

Garden Grove Med Ctr12601 Garden Grove BlvdGarden Grove, CA 92643-1959

(714) 741-2772Phone:(714) 741-3364Fax:

Genesis Medical Center1227 East Rusholme StDavenport, IA 52803-

(800) 383-2575Phone:(563) 421-7889Fax:

George Washington University Hospital901 23rd St NWWashington, DC 20037-

(202) 715-4000Phone:(202) 741-2276Fax:

Fort Sanders Reg. Medical Center1901 Clinch Ave S.W.Knoxville, TN 37916-

(865) 541-1111Phone:( ) -Fax:

Fort Walton Beach Medical Center1000 Mar Walt DrFort Walton Beach, FL 32547-

(850) 315-7873Phone:(850) 862-0179Fax:

Hospital

Fountain Valley Regional Medical Center17100 EuclidFountain Valley, CA 92708-

(714) 966-8015Phone:(714) 966-7204Fax:

Dickinson County Hospital400 Woodward AvenueIron Mountain, MI 49801-

(906) 774-1313Phone:(906) 776-5402Fax:

Cook County HospitalOffice of Graduate Medical Education1900 West PolkChicago, IL 60612-

(312) 864-6000Phone:(312) 864-9919Fax:

Flagstaff Medical Center1215 N. Beaver StreetP.O. Box 1268Flagstaff, AZ 86002-

(928) 214-2698Phone:(928) 773-2075Fax:

Fairmont Regional Medical Center1325 Locust AvenueFairmont, WV 26554-

(304) 367-7100Phone:(304) 367-7503Fax:

Fairview-Southdale Hospital6401 France Ave S.Minneapolis, MN 55435-

(612) 672-4202Phone:(612) 672-4244Fax:

Fayette Regional Health System1941 Virginia AvenueCornersville, IN 47331-

(765) 827-7787Phone:(765) 827-7863Fax:

Dorminy Medical CenterPerry House RadDrawer 1447Fitzgerald, GA 30540-

(229) 424-7260Phone:(229) 424-7285Fax:

Duke University Hospital2301 Erwin RdDurham, NC 27710-

(919) 684-8111Phone:(919) 684-8912Fax:

Dupont Hospital - Lutheran Health Network2520 E. Dupont RdFort Wayne, IN 46804-

(260) 416-3219Phone:(260) 416-3300Fax:

Desert Springs Hospital Medical Center2075 E. Flamingo RoadP.O. Box 19204Las Vegas, NV 89119-

(702) 369-7613Phone:(702) 369-7580Fax:

Detar Hospital Navarro506 E. San Antonio StreetBox 2089Victoria, TX 77902-

(361) 575-7441Phone:(361) 788-6114Fax:

Crouse Hospital736 Irving AvenueSyracuse, NY 13210-

(315) 470-8833Phone:(315) 470-1336Fax:

Crownpoint Comprehensive Indian Health FacilityNM State Road 371 @ Rte 9 JCTPO Box 358Crownpoint, NM 87313-

(505) 786-6327Phone:(505) 786-6435Fax:

Cumberland Medical Center421 South Main StreetCrossville, TN 38555-

(931) 484-9511Phone:(931) 210-5051Fax:

Dekalb Memorial Hospital - Dekalb Health1316 E 7th StAuburn, IN 46706-

(206) 969-6598Phone:(260) 426-0270Fax:

Hospital

Del Sol Medical Center10301 Gateway Blvd WEl Paso, TX 79902-

(915) 595-9000Phone:(915) 599-4186Fax:

Contra Costa Regional Medical Center2500 Alhambra AveMartinez, CA 94553-3191

(925) 370-5035Phone:(925) 370-5142Fax:

Community Regional Medical Center4910 Clinton Way, Ste 101Fresno, CA 93727-1505

(559) 459-3948Phone:( ) -Fax:

Christus Santa Rosa Hospital600 N Union AvenueNEW BRAUNFELS, TX 78130-

(830) 606-9111Phone:(830) 643-5192Fax:

CHRISTUS SOUTHEAST TEXAS St. Elizabeth2830 Calder Ave.BEAUMONT, TX 77702-

(409) 899-7109Phone:(409) 924-6623Fax:

CHRISTUS SOUTHEAST TEXAS St. Mary Hospital3600 Gates BlvdPort Arthur, TX 77642-

(409) 985-7431Phone:(409) 924-6623Fax:

Christus Spohn Hospital Alice2500 E Main StreetALICE, TX 78332-

(361) 661-8000Phone:(361) 661-8097Fax:

Citrus Memorial Hospital502 Highland Blvd.Inverness, FL 32652-

(352) 726-1551Phone:( ) -Fax:

Clear Lake Regional Med Center500 Medical Center BlvdWebster, TX 77598-

(281) 332-2511Phone:(281) 332-3915Fax:

Cleveland Regional Medical Center300 E CrockettCleveland, TX 77327-

(281) 593-1811Phone:(281) 432-4372Fax:

CHRISTUS Jasper Memorial Hospital1275 Marvin Hancock DriveJasper, TX 75951-

(409) 899-8239Phone:(409) 924-6623Fax:

Centennial Hills Hospital Medical Center6900 N Durango DriveLas Vegas, NV 89149-

(702) 835-9865Phone:(702) 629-1640Fax:

Cameron Memorial Community Hospital416 E Maumee StAngola, IN 46703-

(260) 665-2141Phone:(260) 665-7803Fax:

Carlsbad Medical Center2430 West Pierce StreetCarlsbad, NM 88220-

(575) 887-4485Phone:(575) 887-4531Fax:

Carondelet (St. Joseph Hospital)350 N. WilmotTucson, AZ 85711-

(520) 873-3714Phone:(520) 873-5130Fax:

Carondelet Holy Cross Hospital1171 W Target Range RdNogales, AZ 85621-

(800) 617-7717Phone:(520) 873-5160Fax:

Hospital

Carondelet St Mary's Hospital1601 W St Mary's RoadTUCSON, AZ 85745-

(520) 872-3000Phone:(520) 873-5160Fax:

Carondelet St. Joseph's Hospital350 North Wimot RoadTucson, AZ 85711-

(520) 296-3211Phone:(520) 873-5160Fax:

Calhoun-Liberty Hospital424 Burns AvenueBox 250Blountstown, FL 32424-

(850) 674-5411Phone:(850) 674-3493Fax:

Boston Medical Center1 Medical Center PlBoston, MA 02118-

(617) 414-3357Phone:(617) 414-3506Fax:

Banner Heart Hospital6750 East Baywood AveMesa, AZ 85206-

(480) 854-5162Phone:(480) 854-5018Fax:

Bayshore Hospital4000 Spencer HwyPasadena, TX 77504-

(713) 359-2527Phone:(713) 359-1082Fax:

Baptist Medical Center Easley200 Fleetwood DriveBox 2129Easley, SC 29641-

(803) 855-7603Phone:(864) 442-7821Fax:

Baraga County Memorial Hospital770 North Main StreetL'Anse, MI 49946-

(906) 524-6166Phone:(888) 652-6144Fax:

Banner University Medical Center-Tucson1501 N. Campbell AvenueTucson, AZ 85724-

(520) 694-4944Phone:(520) 694-4038Fax:

Baptist Health Paducah2501 Kentucky AvePaducah, KY 42001-

(270) 575-2551Phone:(270) 575-8338Fax:

Banner Churchill Community Hospital801 WilliamsFallon, NV 89406-

(775) 423-3151Phone:(775) 423-2853Fax:

Banner Estrella Medical Center9201 W. Thomas RdPHOENIX, AZ 85037-

(623) 327-4000Phone:(623) 327-5788Fax:

Aventura Hospital & Medical Center20900 Biscayne BlvdAventura, FL 33180-

(305) 682-7124Phone:(305) 682-7021Fax:

Bakersfield Memorial Hospital420 34th StreetBox 1888Bakersfield, CA 93303-

(661) 327-4647Phone:(661) 327-1998Fax:

Athens Regional Medical Center1199 Prince AveAthens, GA 30606-

(706) 475-7000Phone:(706) 475-3305Fax:

Atrium Medical CenterOne Medical Center DriveMiddletown, OH 45005-

(513) 705-4271Phone:(937) 341-8127Fax:

Hospital

Alaska Regional Hospital2801 DeBarr RdAnchorage, AK 99508-

(907) 264-1261Phone:(907) 264-1414Fax:

Arrowhead Community Hospital and Med Ctr-Abrazo18701 N 67th AveGlendale, AZ 85308-7101

(602) 561-1000Phone:(623) 561-7169Fax:

Appling General Hospital301 East Tollison StreetBaxley, GA 31513-

(912) 367-9841Phone:(912) 367-1272Fax:

Alta Vista Regional Medical Center104 Legion DrLas Vegas, NM 87701-

(505) 426-3821Phone:(505) 426-3822Fax:

Insurance

Ardent Health ServicesOne Burton Hills BlvdSTE 250Nashville, TN 37215-

(615) 296-3163Phone:(615) 296-6163Fax:

Altus Partners919 Conestoga Rd, Blg 3, Suite 111ROSEMONT, PA 19010-

(610) 526-9130Phone:(610) 526-2021Fax:

Aon Risk Insurance Services West, Inc2277 Fair Oaks Blvd., Suite 250Sacramento, CA 95825-

(916) 369-4800Phone:(916) 369-4801Fax:

Applied Medico Legal Solutions RRG12621 Featherwood Dr.Suite 300Houston, TX 77034-

(281) 674-1432Phone:(281) 674-1476Fax:

Asante- Self Insured2825 E Barnett RoadMedford, OR

(541) 789-4123Phone:(541) 789-4405Fax:

Augusta University Medical CenterOffice of Legal Affairs1120 15th StreetAugusta, GA 30912-

(706) 721-4018Phone:(706) 721-8014Fax:

Banner Health Self-Insurance Program2901 N. Central Ave.Phoenix, AZ 85012-

(602) 747-4750Phone:(602) 747-4541Fax:

Beecher Carlson Insurance Services, LLC353 Sacramento StreetSuite 1700San Francisco, CA 94111-

(415) 913-2511Phone:( ) -Fax:

Baylor Scott & White Health Self-Insurance Program3500 Gaston AvenueDallas, TX 75246-

(972) 860-8600Phone:( ) -Fax:

Carrington College (Apollo)1001 Menaul Blvd NEAlbuquerque, NM 87107-

(505) 353-3951Phone:( ) -Fax:

Beta Healthcare Group1443 Danville blvdAlamo, CA 94507-1973

(925) 838-6070Phone:(925) 838-6088Fax:

California Medical Group Insurance Company353 Sacamrneto StreetSuite 1700San Francisco, CA 94111-

(714) 481-7109Phone:( ) -Fax:

Childrens National Medical Center111 Michigan Ave NWWashington, DC 20010-2970

(202) 471-4860Phone:(202) 471-4870Fax:

Chatham University103 Braun HallWoodland RoadPittsburgh, PA 15232-

(412) 365-1105Phone:(412) 365-1432Fax:

Insurance

Controlled Risk Insurance Company of VT Inc1325 Boylston StreetBoston, MA 02215-

(617) 450-5500Phone:(617) 450-8297Fax:

County of Santa Clara2310 N. First Street, Suite 202San Jose, CA 95131-

(408) 441-4353Phone:( ) -Fax:

Continental Casualty CompanyP.O.Box 94450Albuquerque, NM 87199-

(505) 433-3366Phone:(505) 369-1828Fax:

Continental Casualty Company13737 Noel RdSuite 1600DALLAS, TX 75240-

(877) 667-8482Phone:(303) 495-1480Fax:

Continental Casualty Company- CHGPO Box 713100Salt Lake City, UT 84171-

(801) 930-3000Phone:(866) 588-2823Fax:

Coverys3100 West RoadBuilding 1, Suite 200East Lansing, MI 48823-

(517) 886-8366Phone:(517) 327-2550Fax:

Detroit Medical CenterMcLaughlin Hall3740 John R 2nd FloorDetroit, MI 48201-

(313) 966-0820Phone:(313) 966-5124Fax:

Evanston Insurance221 West 6th Street, Suite 1400Austin, TX 78701-

(312) 922-7570Phone:( ) -Fax:

Evanston Insurance Co.444 W. 47th StreetSuite 900Kansas City, MO 64112-

(847) 572-6063Phone:( ) -Fax:

Evanston Insurance Company/Markel10 Parkway NorthDeerfield, IL 60015-

(847) 572-6175Phone:(847) 572-6377Fax:

Federal Tort1501 San Pedro SEAlbuquerque, NM 87108-

(505) 767-6001Phone:(505) 767-6013Fax:

First Initiatives Insurance, Ltd.Grand Pavilion Commercial Centre, Suite 6PO Box 10073Grand Cayman,

(345) 943-2645Phone:(345) 943-2646Fax:

Florida Board of Governors Self-Insurance ProgramPO Box 112735Gainesville, FL 32611-

(352) 273-7006Phone:(352) 273-5424Fax:

Grady Memorial Hospital80 Butler Street SEPO BOX 26035Atlanta, GA 30303-

(404) 616-7702Phone:(404) 489-6759Fax:

Insurance

Franklin Casualty Insurance Co100 Bank St Ste 610PO Box 530Burlington, VT 05401-

(802) 864-5599Phone:(802) 364-5764Fax:

Greenhill Insurance Services4801 Woodway Dr.STE 235WHouston, TX 77056-

(832) 500-5004Phone:(832) 553-2721Fax:

Group Health CooperativeRisk Management521 Wall StSeattle, WA 98121-1536

(206) 448-5206Phone:(206) 877-0625Fax:

HPSO - Healthcare Providers Service Organization159 E County Line RdHatboro, PA 19040-1218

(800) 982-9491Phone:(800) 739-8818Fax:

James & Gamble Insurance Brokers1660 Olympic Blvd. Suite 325Walnut Creek, CA 94596-

(925) 943-3264Phone:(925) 932-4260Fax:

John Hopkins University5801 Smith AveDavis Building Ste 210Baltimore, MD 21209-

(410) 955-3191Phone:(410) 735-6659Fax:

Leavitt Group Southwest, IncP O Drawer VMESILLA, NM 88046-

(575) 521-1200Phone:(888) 842-6193Fax:

Liberty Insurance Underwriters Inc/MercerPo Box 14576Des Moines, IA 50306-3576

(800) 503-9230Phone:(515) 365-6338Fax:

Lancaster General Hospital - RISK555 N. Duke StreetLancaster, PA 17602-

(715) 544-5511Phone:( ) -Fax:

Maryland Med Comp Inc Program (Self-Ins Trust)250 West Pratt StreetSuite 1200Baltimoer, MD 21201-

(410) 328-4704Phone:(410) 328-3391Fax:

Maryland Medicine Comprehensive Insurance Program250 West Pratt Street12th FloorBaltimore, MD 21201-

(410) 328-4704Phone:(410) 328-3391Fax:

Medical Protective/MEDPROAttn: Verifications5814 Reed Rd., PO Box 15021Fort Wayne, IN 46885-

(800) 463-3776Phone:(800) 398-6726Fax:

Medical University of South Carolina19 Hagood Ave, MSC 184Charleston, SC 29425-

(843) 792-3055Phone:(843) 792-6607Fax:

Mercy Health Pooled Liability Program14528 S. Outer Forty, Suite 100Chesterfield, MO 63017-

(417) 820-2847Phone:(417) 364-6378Fax:

Insurance

MICA2602 E Thomas RdPhoenix, AZ 85016-

(602) 956-5276Phone:(602) 808-8309Fax:

MICA (Mutual Insurance Company of Arizona)PO Box 33180Phoenix, AZ 85067-3180

(602) 956-5276Phone:(602) 808-8309Fax:

Midwestern University - Self Insured Trust Fund555 31st StreetDowners Grove, IL 60515-

(630) 515-6340Phone:(630) 515-6943Fax:

Norcal Mutual Insurance Company500 Davis StSan Francisco, CA 94111-1902

(800) 652-1051Phone:(415) 735-2354Fax:

Norcal Mutual Insurance Company505 N Brand Blvd Ste 600Glendale, CA 91203-

(800) 652-1051Phone:(415) 735-2354Fax:

Northwest Medical Center (Northwest Healthcare)6200 N La Cholla BlvdTucson, AZ 85741-

(520) 469-8531Phone:(520) 469-8591Fax:

Northwestern Memorial Healthcare211 East Ontario St Suite 1800Chicago, IL 60611-

(312) 926-4040Phone:(630) 933-4007Fax:

Nurses Service OrganizationInsurance Verification Dept159 E County Line RdHatboro, PA 19040-1218

(800) 247-1500Phone:(800) 739-8818Fax:

Nurses Service OrganizationInsurance Verifcation Dept159 E County Line RdHatboro, PA 19040-

(800) 247-1500Phone:(800) 758-3635Fax:

NYU Winthrop Hospital222 Station Plaza North, Suite 509Mineola, NY 11501-

(516) 663-1146Phone:(516) 294-5326Fax:

Peacehealth System Risk Managment1115 SE 164th Ave.Vancouver, WA 98683-

(360) 729-1093Phone:(360) 501-7574Fax:

Pharmacists Mutual Insurance Company808 Hwy 18 WPO Box 370Algona, IA 50511-0370

(800) 247-5930Phone:(515) 295-4355Fax:

Philadelphia Insurance CompanyOne Bala PlazaSuite 100Bala Cynwyd, PA 19004-

(800) 875-1911Phone:(610) 617-7940Fax:

Preferred Professional Insurance Co12605 Miracle Hills DrSuite 200Omaha, NE 68154-4467

(800) 441-7742Phone:(402) 965-3254Fax:

Preferred Professional Insurance Company/Covery's7850 Jefferson NEAlbuquerque, NM 87109-

(800) 441-7742Phone:(402) 965-3254Fax:

Presbyterian Healthcare Services - Self-Insurance FundPO Box 26666Albuquerque, NM 87125-6666

(505) 923-8183Phone:(505) 923-8134Fax:

Insurance

ProAssurance Casualty Company, Inc.100 Brookwood PlaceBirmingham, AL 35209-

(800) 284-7424Phone:(205) 868-4073Fax:

Saint Louis University - RISK3556 Caroline Mall, Room C-307Saint Louis, MO 63104-

(314) 977-5767Phone:(314) 977-5192Fax:

Staff Care - Risk Mgmt c/o Doctors Company5001 Statesman DriveIrving, TX 75063-

(469) 417-7534Phone:(972) 983-0243Fax:

State Volunteer Mutual Insurance Company101 Westpark Dr Suite 300PO Box 1065Brentwood, TN 37024-1065

(615) 377-1999Phone:(615) 843-0347Fax:

The Doctors Company7770 Jefferson St NE Ste 410Albuquerque, NM 87109-

(800) 880-9485Phone:(707) 265-3466Fax:

University of ArizonaP.O. Box 210300Tucson, AZ 85721-0300

(520) 621-1790Phone:(520) 621-3706Fax:

University of New Mexico HSC/GME Risk MgmtMSC11 60931 University of New MexicoAlbuquerque, NM 87131-

(505) 272-6225Phone:(505) 272-5184Fax:

University of Illinois at Chicago247 Henry Admin Building506 South Wright St MC-337Urbana, IL 61801-

(217) 333-3113Phone:(217) 239-6744Fax:

University of Maryland Medical SystemsRisk Management22 S. Greene StBaltimore, MD 21201-1577

(410) 328-8667Phone:(410) 328-0568Fax:

University of South Alabama5795 USA Dr. N.Room 216Mobile, AL 36688-

(251) 460-6232Phone:(251) 460-6074Fax:

University of Texas Medical Liability201 W. 7th St.AUSTIN, TX 78701-

(512) 499-4462Phone:(512) 499-4523Fax:

Vaaler Insurance2701 South Columbia RoadGrand Forks, ND 58208-

(800) 553-4291Phone:( ) -Fax:

VCUHS Department of Professional LiabilityPO Box 980521Richmond, VA 23298-

( ) -Phone:(804) 783-6012Fax:

Yale New Haven Hospital - Legal & Risk Services Department789 Howard Ave - 2 Howe Street

NEW HAVEN, CT 06519-(203) 688-2291Phone:(203) 688-3162Fax:

License

West Virginia Board of Medicine101 Dee Drive, Suite 103CHARLESTON, WV 25311-

(304) 558-2921Phone:(304) 558-2084Fax:

Wyoming Board of Medicine130 Hobbs Ave Suite ACheyenne, WY 82002-

(307) 777-6463Phone:( ) -Fax:

Wisconsin Department of Safety and Professional ServPO Box 8935Madison, WI 53708-8935

(608) 266-2112Phone:( ) -Fax:

Wisconsin Medical Examining Board1400 E Washington AvePO Box 8935Madison, WI 53708-

(608) 266-1188Phone:( ) -Fax:

Vermont Board of Medical PracticeMailing: P.O.Box 70Physical: 108 Cherry Street 2nd floorBurlington, VT 05402-0070

(802) 657-4223Phone:(802) 657-4227Fax:

Washington State Department of HealthP.O.Box 47877Olympia, WA 98504-7877

(360) 236-4700Phone:(360) 236-4818Fax:

Virginia Board of MedicinePerimeter Center9960 Mayland Dr Ste 300HENRICO, VA 23233-1463

(804) 367-4444Phone:(804) 527-4461Fax:

Utah Div. of Occupational and Professional LicensingP.O.Box 146741Salt Lake City, UT 84114-6741

(801) 530-6628Phone:(801) 530-6511Fax:

Texas Medical BoardP.O.Box 2018- MC 240Austin, TX 78768-2018

(512) 305-7030Phone:(888) 790-0621Fax:

Tennessee Dept. of Health Board of Medical Examiners710 James Robertson ParkwayNashville, TN 37243-

(615) 741-3122Phone:( ) -Fax:

South Carolina Board of Medical Examiners110 Centerville Drive, Suite 202COLUMBIA, SC 29210-1289

(803) 896-4500Phone:(803) 896-4515Fax:

South Dakota Bd. of Med. & Osteopathic Examiners101 N Main Avenue, Suite 301Sioux Falls, SD 57104-

(605) 367-7781Phone:( ) -Fax:

Rhode Island Board of Medical Licensure & DisciplineCannon Building Room 2053 Capitol HillProvidence, RI 02908-5097

(401) 277-3855Phone:(401) 277-2158Fax:

Puerto Rico Board of Medical ExaminersCall Box 13969San Juan, PR 00908-

(787) 782-8949Phone:(787) 792-4436Fax:

Pennsylvania Department of StateP.O.Box 2649Harrisburg, PA 17105-2649

(717) 783-1400Phone:(717) 787-7769Fax:

Ohio: State Medical Board of Ohio30 East Broad Street, 3rd floorColumbus, OH 43215-6127

(614) 466-3934Phone:(614) 728-5946Fax:

License

OK Bureau of Narcotics And Dangerous Drugs Control419 NE 38th TerraceOklahoma City, OK 73105-

(405) 521-2885Phone:(405) 530-3789Fax:

Oklahoma Board of Medical Licensure and Supervision101 NE 51st StP. O. Box 73105, Zip 73154-0256OKLAHOMA CITY, OK 73105-

(405) 962-1400Phone:(405) 962-1440Fax:

Oklahoma Board of Nursing2915 N Classen, Ste. 524Oklahoma City, OK 73106-

(405) 962-1800Phone:(405) 962-1821Fax:

Oregon Board of Dentistry1500 SW 1st Ave., Ste. # 770Portland, OR 97201-

(971) 673-3200Phone:(971) 673-3202Fax:

North Carolina Medical BoardMailing: PO Box 20007Physical: 1203 Front St.Raleigh, NC 27619-007

(919) 326-1100Phone:(919) 326-0036Fax:

New York Office of the ProfessionsOffice of the Professions, State Education Bldg2nd FloorAlbany, NY 12234-

(518) 474-3817Phone:(518) 486-4846Fax:

NM Board of Pharmacy5500 San Antonio Dr. NE Suite CAlbuquerque, NM 87109-

(505) 841-9102Phone:( ) -Fax:

NM Medical Board2055 S Pacheco StBldg 400Santa Fe, NM 87505-

(505) 476-7220Phone:(505) 476-7233Fax:

Nebraska Department of Health & Human Services301 Centennial Mall SouthLincoln, NE 68509-

(402) 471-3121Phone:( ) -Fax:

Nebraska Department of Health & Human Services301 Centennial Mall SouthLincoln, NE 68509-

(402) 471-3121Phone:( ) -Fax:

Nevada State Board of Dental Examiners6010 S. Rainbox Blvd., Ste. A-1Las Vegas, NV 89118-

(702) 486-7044Phone:(702) 486-7046Fax:

Nevada State Board of Medical Examiners1105 Terminal Way, Suite 301Reno, NV 89502-

(775) 668-2559Phone:(775) 688-2321Fax:

New Hampshire Board of Medicine121 South Fruit StreetConcord, NH 03301-2412

(603) 271-1203Phone:(603) 271-6702Fax:

New Hampshire Board of Nursing21 South Fruit StreetSuite 16Concord, NH 03301-

(603) 271-2323Phone:(603) 271-6605Fax:

New Jersey Drug Control UnitPO Box 45045Newark, NJ 07101-

(973) 273-8090Phone:(973) 504-6326Fax:

New Jersey State Board of Medical ExaminersP.OBox 183Trenton, NJ 08625-0183

(609) 826-7100Phone:(609) 826-7101Fax:

License

Minnesota Board of Medical PracticeUniversity Board of Medical Plaza2829 University Ave., SE, Suite 500Minneapolis, MN 55414-3246

(612) 617-2130Phone:(612) 617-2166Fax:

Minnesota Board of Nursing2829 University Avenue SE #200Minneapolis, MN 55414-3253

(612) 317-3000Phone:(612) 617-2190Fax:

Mississippi Board of Nursing713 Pear Orchard Rd Ste 300Ridgeland, MS 39157-

(601) 957-6300Phone:(601) 957-6301Fax:

Missouri Board of Nursing: Division of Prof. Reg.3605 Missouri BlvdPO Box 656Jefferson City, MO 65102-0656

(573) 751-0681Phone:(573) 751-0075Fax:

Missouri Division of Professional Registration3605 Missouri BoulevardP. O. Box 4JEFFERSON CITY, MO 65102-1335

(573) 751-0098Phone:(573) 751-3166Fax:

Montana Board of Medical Examiners301 S Park 4th FlrPOB 200513Helena, MT 59620-0513

(406) 841-2360Phone:(406) 841-2305Fax:

Montana Board of Nursing301 South Park 4th FloorPO Box 200513HELENA, MT 59620-0513

(406) 841-2340Phone:(406) 841-2305Fax:

Michigan Board of MedicineLicensing DivisionPO Box 30670Lansing, MI 48909-

(517) 373-6873Phone:( ) -Fax:

Michigan Board of NursingCapitol View Building201 Townsend StLansing, MI 48913-

(517) 335-1980Phone:(517) 241-9416Fax:

Michigan Dept. of Licensing & Regulatory AffairsPO Box 30004LANSING, MI 48909-

(517) 373-1820Phone:(517) 373-2129Fax:

MassachusettsCommonwealth of MA Board of Reg in Medicine200 Hardvard Mill Square, Suite 330Wakefield, MA 01880-

(781) 876-8200Phone:(781) 876-8382Fax:

Massachusetts Board of Registration in Nursing239 Causeway StreetBoston, MA 02114-

(617) 727-9961Phone:(617) 727-1630Fax:

Maine Board of Licensure in Medicine161 Capitol Street137 State House StationAugusta, ME 04333-0137

(207) 287-3601Phone:(207) 287-6590Fax:

Maine State Board of Nursing161 Capitol St.158 State House StationAugusta, ME 04333-0158

(207) 287-1133Phone:(207) 287-1149Fax:

License

Maryland Board of Nursing4140 Patterson AvenueBaltimore, MD 21215-2254

(888) 202-9861Phone:(410) 358-3530Fax:

Maryland Board of Physicians4201 Patterson AvenueBALTIMORE, MD 21215-

(800) 492-6836Phone:(410) 358-2252Fax:

Louisiana State Board of Medical Examiners630 Camp StreetNew Orleans, LA 70130-

(504) 568-6820Phone:(504) 568-8893Fax:

Louisiana State Board of Nursing17373 Perkins RoadBaton Rouge, LA 70810-

(225) 755-7520Phone:(225) 755-7584Fax:

Kentucky Board of Medical Licensure310 Whittington Parkway, Suite 1BLOUISVILLE, KY 40222-

(502) 429-7150Phone:(502) 429-7158Fax:

Kentucky Board of Nursing312 Whittington PkwySuite 300Louisville, KY 40222-

(502) 429-3300Phone:(502) 429-3311Fax:

Idaho Board of NursingP.O.Box 83720280 N 8th Street, Suite 210Boise, ID 83720-0061

(208) 557-2476Phone:(208) 334-3262Fax:

Idaho State Board of MedicinePO Box 83720Boise, ID 83720-0058

(208) 334-2822Phone:(208) 327-7005Fax:

Illinois Board of NursingDepartment of Financial & Professional Regulation100 West Randolph, 9th FloorChicago, IL 60601-

(888) 473-4858Phone:( ) -Fax:

Illinois Dept of Financial and Professional Regulation320 West Washington Street 3rd FloorSpringfield, IL 62786-

(800) 560-6420Phone:( ) -Fax:

Indiana State Board of Nursing402 W Washington St Room W072INDIANAPOLIS, IN 46204-

(317) 234-2043Phone:(317) 233-4236Fax:

Indiana: Medical Licensing Board of Indiana402 W. Washington Street, Room W072Indianapolis, IN 46204-

(317) 234-2060Phone:( ) -Fax:

Kansas Board of Healing Arts800 SW JacksonLower Level Suite ATOPEKA, KS 66612-

(785) 296-7413Phone:(785) 368-7102Fax:

Kansas State Board of Nursing900 SW Jackson Street Suite 1051Topeka, KS 66612-1230

(785) 296-4929Phone:(785) 296-3929Fax:

License

Iowa Board of Medicine400 SW 8th StreetSuite CDes Moines, IA 50309-4686

(515) 281-6641Phone:(515) 242-5908Fax:

Iowa Board of NursingRiverpoint Business Park400 S.W. 8th Street, Suite BDES MOINES, IA 50309-4685

(515) 281-3255Phone:(515) 281-4825Fax:

Hawaii Board of Medical ExaminersDCCA-PVLP.O. Box 3469Honolulu, HI 96801-

(808) 586-3000Phone:( ) -Fax:

Hawaii Board of NursingKing Kalakaua Building335 Merchant Street, Rm. 301Honolulu, HI 96801-

(808) 586-3000Phone:( ) -Fax:

Georgia Board of Nursing214 State CapitolAtlanta, GA 30334-

(404) 656-2881Phone:(478) 207-1354Fax:

Georgia Composite Medical Board2 Peachtree Street, N.W., 36th FloorAtlanta, GA 30303-3465

(404) 656-3913Phone:(404) 656-9723Fax:

Florida Board of Medicine4052 Bald Cypress Way, BIN #C-03Tallahassee, FL 32399-3253

(850) 245-4131Phone:(850) 488-9325Fax:

Florida Board of Nursing4052 Bald Cypress WayBin C-02TALLAHASSEE, FL 32399-3252

(850) 245-4125Phone:(850) 617-6460Fax:

District of Columbia Board of Medicine899 North Capitol St. NE, 1st Flr.Washington, DC 20002-

(877) 672-2174Phone:(202) 724-5145Fax:

District of Columbia Board of Nursing899 North Capitol Street, NEWashington, DC 20002-

(877) 672-2174Phone:(202) 724-5145Fax:

Delaware Board of Medical PracticeCannon Building, 861 Silver Lake BlvdSte 203Dover, DE 19904-

(302) 744-4500Phone:(302) 739-2711Fax:

Delaware Board of NursingCannon Building Suite 203861 Silver Lake BlvdDover, DE 19904-

(302) 739-4522Phone:(302) 739-2711Fax:

California: The Medical Board of California2005 Evergreen Street, SUITE 1200Sacramento, CA 95815-

(800) 633-2322Phone:(916) 263-2944Fax:

Colorado Board of NursingDivision of Professions and Occupations Online Ser1560 Broadway Ste 110DENVER, CO 80202-

(303) 894-2430Phone:(303) 894-7885Fax:

License

Colorado Department of Regulatory Agencies1560 Broadway, SUITE 1350Denver, CO 80202-

(303) 894-7800Phone:(303) 894-7693Fax:

Connecticut Medical Examining Board410 Capitol Avenue, MS #13PHOP.O.Box 340308Hartford, CT 06134-0308

(860) 509-7603Phone:(860) 509-8457Fax:

Connecticut: Board of Examiners for Nursing410 Capitol Ave, MS #13PHO PO Box 340308Hartford, CT 06134-0308

(860) 509-7603Phone:(860) 509-8457Fax:

California Board of Registered Nursing1747 North Market Boulevard, Suite 150SACRAMENTO, CA 95834-

(916) 322-3350Phone:(916) 574-7699Fax:

Alaska State Medical BoardDepartment of Commerce, Community, and Economic De333 Willoughby Ave, 9th Floor State Office BldgJuneau, AK 99801-1770

(907) 465-2550Phone:(907) 465-2974Fax:

Arizona Medical Board9545 E. Doubletree Ranch RdSCOTTSDALE, AZ 85258-

(480) 551-2700Phone:( ) -Fax:

Arizona State Board of Nursing4747 North 7th Street Suite 200Phoenix, AZ 85014-

(602) 771-7800Phone:(602) 771-7888Fax:

Arkansas State Board of Nursing1123 South Unviersity, Suite 800LITTLE ROCK, AR 72204-1619

(501) 686-2700Phone:(501) 686-2714Fax:

Arkansas State Medical Board1401 West Capitol Avenue, Suite 340Little Rock, AR 72201-2936

(501) 296-1802Phone:(501) 296-1972Fax:

Alabama Board of Medical Examiners848 Washington AvenueMontgomery, AL 36104-

(334) 242-4116Phone:(334) 242-4155Fax:

Alabama Board of NursingP.O.Box 303900Montgomery, AL 36130-3900

(800) 656-5318Phone:(334) 242-4360Fax:

Alaska Board of NursingPO Box 110806Juneau, AK 99811-0806

(907) 465-2550Phone:(907) 465-2974Fax:

School

Apollo College/Carrington College1001 Menaul Boulevard NortheastALBUQUERQUE, NM 87107-

(505) 353-4948Phone:(505) 254-1101Fax:

AT Still UniversityRegistrars Office5850 E Still CircleMesa, AZ 85206-

(480) 219-6000Phone:( ) -Fax:

Eastern New Mexico University1500 S. Ave. KPortales, NM 88130-

(575) 562-2175Phone:(575) 562-2566Fax:

Grand Canyon University3300 Camelback RdPhoenix, AZ 85017-

(800) 800-9776Phone:(602) 589-2079Fax:

George Washington University SOM2300 I Street, NW, Suite #718Washington, DC 20037-

(202) 994-1000Phone:(202) 994-0926Fax:

Icahn School of Medicine at Mount Sinai82-68 164th StreetN-Building 2nd FL, RM 201Jamaica, NY 11432-

(718) 883-2284Phone:(718) 883-6144Fax:

Loma Linda University Medical Center11234 Anderson StLoma Linda, CA 92354-

(909) 558-4000Phone:(909) 558-0214Fax:

Meharry Medical College1005 Dr. B Todd Jr BlvdNashville, TN 37208-

(615) 327-5973Phone:( ) -Fax:

Norwalk Hospital/Yale University34 Maple SteetNorwalk, CT 06856-

(203) 852-2188Phone:(203) 852-2384Fax:

Queen's University70 Barrie StreetKingston, Ontario, K7L3N-6

(613) 533-2543Phone:(613) 533-2132Fax:

Southern Arizona VA Healthcare System3601 S 6th AvenueTucson, AZ

(520) 629-1814Phone:(520) 629-1779Fax:

Scripps Mercy Hospital & Medical Center4077 5th AveSan Diego, CA 92103-

(619) 260-7220Phone:(619) 260-7305Fax:

Union University1050 Union University DrJackson, TN 38305-

(731) 661-5040Phone:( ) -Fax:

Universidad Nacional De TucumanLamadrid 875San MiguelDe Tucuman 4000,

( ) -Phone:( ) -Fax:

Ultrasound Diagnostic School (CLOSED)9950 Princess Palm Ave #11, Suite 120Tampa, FL 33619-

(813) 621-0072Phone:( ) -Fax:

Tufts Medical Center800 Washington StBoston, MA 02111-

(617) 636-5000Phone:(617) 636-8215Fax:

School

Virginia Commonwealth UniversitySchool of Medicine1111 E. Marshall StreetRichmond, VA 23298-

(804) 828-9791Phone:(804) 828-5115Fax: