RHP Affiliation Number Program TPI TIN Provider Contact Title Phone Fax Email Phys Addr Phys City Phys State Phys Zip Mail Addr Mail City Mail State Mail Zip Govt Entity Govt TIN

11 100-13-0000-00001 Pub-Pub 130725806 1752606169 6 003 West Texas Centers for MHMR Guy White CFO (432) 264-4219 guy.white@wtcmhmr.org 409 Runnels Street Big Spring TX 79720 409 Runnels Street Big Spring TX 79720-0000 West Texas Centers for MHMR 1752606169 6 003

5 100-13-0000-00002 Pub-Pub 081939301 3739739739 1 019 Texas Tech University Health Sciences Center Odess Kandy Stewart Assistant Dean of Finance (432) 335-5129 kandy.stewart@ttusch.edu 800 W. 4th Street Odessa TX 78763 800 W. 4th Street Odessa TX 79763-4368 Texas Tech University Health Science Center-Permian Basin 3739739739 1 019

2 100-13-0000-00003 Pub-Pub 081844501 1760032662 7 001 Tri-County MHMR Services Evan Robertson Executive Director (936) 521-6119 evanr@tricountyservices.org 1506 Old Montgomery Road Conroe TX 77304 1506 Old Montgomery Rd Conroe TX 77304-3067 Tri-County MHMR Services 1760032662 7 001

17 100-13-0000-00004 Pub-Pub 130982504 1746000433 0 038 Brazos Co Treasurer (Brazos County Health Departme Ken Bost Director 979-361-4440 kbost@brazoscountytx.gov 201 North Texas Avenue Bryan TX 77803 200 S Texas Avenue STE 240 Bryan TX 77803-3935 Brazos County Treasurer 1746000433 0 038

17 100-13-0000-00005 Pub-Pub 136366507 1741793265 8 004 MHMR Authority of Brazos Valley Bill Kelly Executive Director (979) 361-9840 bkelly@mhmrabv.org 1504 South Texas Avenue Bryan TX 77802 PO Box 4588 Bryan TX 77805-4588 MHMR Authority of Brazos Valley 1741793265 8 004

17 100-13-0000-00006 Pub-Pub 311035501 1460698418 6 000 Montgomery County Public Health District Brett Allen CFO (936) 523-1138 ballen@mchd-tx.org 1400 South Loop 336 West Conroe TX 77304 1400 South Loop 336 West Conroe TX 77304-3317 Montgomery County Hospital District 1741772120 0 003

13 100-13-0000-00007 Pub-Pub 138364812 1751401776 7 014 Permian Basin Community Centers Chris Barnhill Controller (432) 570-8869 ChrisBarnhill@pbmhmr.com 401 E. Illinois Avenue, Suite 401 Midland TX 79701 401 E. Illinois Avenue, Suite 401 Midland TX 79701-4803 Permian Basin Community Centers 1751401776 7 014

1 100-13-0000-00009 Pub-Pub 084434201 1751452360 8 014 MHMR SVCS of Texoma Tony Maddox (903) 957-4867 tmaddox@mhmrst.org 315 West McLain Drive Sherman TX 75092 315 W McClain Dr Sherman TX 75092-2605 MHMR Services or Texoma 1751452360 8 014

1 100-13-0000-00010 Pub-Pub 121988304 1752833823 3 000 Lakes Regional MHMR Center John Delaney (972) 524-4159 johnd@LRMHMRC.org 400 Airport Road Terrell TX 75160 PO Box 747 Terrell TX 75160-0000 Lakes Regional MHMR Center 1752833823 3 000

17 100-13-0000-00011 Pub-Pub 198523601 3709709709 3 000 The TX A&M Unv Systm Hlth Science Cent dba Tx A&M Dr. Lee Ann Ray Chief of Staff, Office of the President (979) 436-9105 ray@tamhsc.edu 8441 State Hwy. 47 Bryan TX 77807 PO Box 660677 Dallas TX 75266-0677 The Texas A&M University System Health Science Center 1742907553 8 001

8 100-13-0000-00012 Pub-Pub 088334001 1746000348 0 003 Bell County Public Health District Jon Burrows County Judge (254) 993-5105 jon.burrows@co.bell.tx.us 101 West Central Avenue Belton TX 76513 PO Box 2149 Temple TX 76503-2149 Bell County Public Health District 1746000348 0 003

6 100-13-0000-00013 Pub-Pub 126844305 1742795332 2 001 Bluebonnet Trails Community MHMR Center dba Bluebo Andrea Richardson Executive Director & Health Authority (512) 244-8335 andrea.richardson@bbtrails.org 1009 North Georgetown Street Round Rock TX 78664 1009 N Georgetown St Round Rock TX 78664-3289 Bluebonnet Trails Community MHMR Center dba Bluebonnet Trails Community Ser 1742795332 2 001

11 100-13-0000-00014 Pub-Pub 133339505 1751294432 7 000 Central Texas MHMR Dion White CEO (325) 646-9574 x225 dion@cflr.us 408 Mulberry Street Brownwood TX 76801 408 Mulberry St Brownwood TX 76801-1639 Central Texas MHMR 1751294432 7 000

16 100-13-0000-00015 Pub-Pub 081771001 1741801332 6 002 Central Counties Center for MHMR Services Eldon Tietje CEO (254) 298-7007 eldon.tietje@cccmhmr.org 304 S. 22nd St. Temple TX 76501 304 S 22nd St Temple TX 76501-4723 Central Counties Center for MHMR Services 1741801332 6 002

6 100-13-0000-00016 Pub-Pub 133340307 1742822017 6 000 Hill Country Community MHMR dba hill Country MHDD Linda Werlein Executive Director (830) 792-3300 lwerlein@hillcountry.org 819 Water St Suite 300 Kerrville TX 78028 819 Water St Suite 300 Kerrville TX 78028-5330 Hill Country Community MHMR dba hill Country MHDD Centers 1742822017 6 000

8 100-13-0000-00017 Pub-Pub 126936702 1742896906 1 000 Williamson County & Cities Health District Dr. Chip Riggins Executive Director & Health Authority (512_ 943-3600 criggins@wcchd.org 312 Main St. Georgetown TX 78626 100 W 3rd St Georgetown TX 78626-5030 Williamson County & Cities Health District 1742896906 1 000

10 100-13-0000-00018 Pub-Pub 081599501 1751249456 2 008 MHMR of Tarrant County Susan Garnett (817) 569-4512 susan.garnett@mhmrtc.org 3840 Hulen Street, N. Tower Fort Worth TX 76107 PO Box 2603 Fort Worth TX 76113-2603 MHMR of Tarrant County 1751249456 2 008

11 100-13-0000-00019 Pub-Pub 127373205 1751241976 7 000 Helen Farabee Centers Roddy Atkins (940) 397-3101 AtkinsR@helenfarabee.org 1000 Brook Wichita Falls TX 76301 PO Box 8266 Wichita Falls TX 76307-8233 Helen Farabee Centers 1751241976 7 000

11 100-13-0000-00020 Pub-Pub 130724106 1751532100 2 000 Pecan Valley MHMR Region dba Pecan Valley Centers Donna Gilmore (817) 579-4414 dgilmore@pecanvalley.org 2101 W. Pearl St Granbury TX 76048 PO Box 729 Granbury TX 76048-0729 Pecan Valley MHMR Region dba Pecan Valley Centers for Behavioral and Develo 1751532100 2 000

10 100-13-0000-00021 Pub-Pub 022817305 1756001170 6 006 Tarrant County Doug Fabio (817) 321-5316 dfabio@tarrantcounty.com 1101 S Main Street Fort Worth TX 76196 100 E Weatherford St Rm 506 Fort Worth TX 76102-2100 Tarrant County (dba Tarrant County Public Health Dept) 1756001170 6 006

15 100-13-0000-00022 Pub-Pub 127376505 1741596159 2 003 El Paso Community MHMR dba Emergence Health Networ Kristen Daugherty CEO (915) 887-3410 kdaugherty@EPMHMR.ORG 1600 Montana Avenue El Paso TX 79902 1600 Montana Ave El Paso TX 79902-5622 Emergence Health Network 1741596159 2 000

18 100-13-0000-00023 Pub-Pub 084001901 1751761911 4 003 Collin County MHMR dba LifePath Systems Randy Routon (972)562-0190 rrouton@lifepathsystems.org 1416 N Church Street McKinney TX 75069 PO Box 828 McKinney TX 75070-8144 Collin County MHMR dba LifePath Systems 1751761911 4 003

10 100-13-0000-00024 Pub-Pub 206106101 1263295365 4 006 Wise Clinical Care Associates Paul Aslin (940) 627-5921 paslin@wiseRegional.com 2000 S FM 51 Decatur TX 2000 S FM 51 Decatur TX 76234-3702 Wise Regional Health System 1751250450 1 000

15 100-13-0000-00025 Pub-Pub 084597603 3774774774 1 000 Texas Tech University Health Sciences Center EL Pa Michael Romano Associate Dean for Clinical Affairs (915) 545-5750 michael.romano@ttuhsc.edu 4800 Alberta Avenue, Suite 101 El Paso TX 79905 PO Box 9520 El Paso TX 79995-9520 Texas Tech University Health Sciences Center EL Paso 3739739739 1 012

13 100-13-0000-00026 Pub-Pub 022793601 1756000659 9 013 City of San Angelo Sandra Villareal (325) 657-4493 sandra.villarreal@sanangelotexas.us 72 W College San Angelo TX 76903 72 W College Ave San Angelo TX 76903-5814 City of San Angelo 1756000659 9 013

13 100-13-0000-00027 Pub-Pub 091770005 1751297735 0 002 Concho County Hospital Dudley White (325) 869-5911 x 211 dudleywhite@conchoch.com 614 East Street Eden TX 76837 PO Box 987 Eden TX 76837-0987 Concho County Hospital District 1751297735 0 002

13 100-13-0000-00028 Pub-Pub 109483102 1751251523 4 003 MHMR Svcs for the Concho Valley Lynn Rutland (325) 658-7750 lrutland@MHMRCV.org 1501 W Beauregard San Angelo TX 1501 W Beauregard Ave San Angelo TX 76901-4004 Concho Valley Center for Human Advancement dba MHMR Services for the Concho 1751251523 4 003

13 100-13-0000-00029 Pub-Pub 121781205 1752152933 3 003 L M Hudspeth Memorial Hospital Keith L Butler (325) 387-1200 kbutler@sonora-hospital.com PO Box 455 Sonora TX PO Box 455 Sonora TX 76950-0455 L M Hudspeth Memorial Hospital 1752152933 3 003

13 100-13-0000-00030 Pub-Pub 121806703 1756003050 8 001 Reagan Hosp District dba Reagan Memorial Hosp John Perushek (325) 884-2561 jperushek@trhta.net 805 N Main Avenue Big Lake TX 805 N Main Ave Big Lake TX 76932-3838 Reagan Memorial Hospital District 1756003050 8 001

13 100-13-0000-00031 Pub-Pub 130089906 1752312009 9 001 Ballinger Memorial Hospital Grady Hooper (325) 365-2531 gradyh@bmhd.org PO Box 617 Brady TX PO Box 617 Ballinger TX 76821-0617 Ballinger Memorial Hospital District 1752312009 9 001

13 100-13-0000-00032 Pub-Pub 130616905 1746002963 4 000 Pecos County Memorial Hospital Leticia Fox CFO 4323364202 4323364545 lfox@pcmhfs.com 387 West IH-10 Fort Stockton TX PO Box 1060 Fort Stockton TX 79735-1060 Pecos County Memorial Hospital 1746002963 4 000

19 100-13-0000-00033 Pub-Pub 135034009 1756219138 1 002 Electra Memorial Hospital Rebecca McCain CFO 9404953981 9404953809 rebecca.mccain@electrahospital.com 1209 S Bailey St Electra TX PO Box 1112 Electra TX 76360-1112 Electra Memorial Hospital (Electra Hospital District) 1756219138 1 002

19 100-13-0000-00035 Pub-Pub 121777003 1751091664 0 501 Gainesville Memorial Hospital (North Texas Medical KRISTINE LYNCH DIRECTOR OF ACCOUNTING 9406128645 9406128647 kristine.lynch@ntmconline.net 1900 HOSPITAL BLVD GAINESVILLE TX 1016 Ritchey St Gainesville TX 76240-3539 Gainesville Memorial Hospital 1751091664 0 501

13 100-13-0000-00036 Pub-Pub 020989201 1751306626 0 000 North Runnels Hospital Sidney Tucker (325)754-4141 stucker@nrhd.org PO Box 185 Winters TX 79567 PO Box 185 Winters TX 79567-0185 North Runnels Hospital 1751306626 0 000

10 100-13-0000-00037 Pub-Pub 138980111 3763763763 0 001 UNTHSC at Fort Worth Jeanie Foster (817) 735-0217 Jeanie.foster@unthsc.edu 3500 Camp Bowie Blvd Fort Worth TX 76107 3500 Camp Bowie Blvd Fort Worth TX 76107-2644 UNTHSC@FW 3763763763 0 001

2 100-13-0000-00038 Pub-Pub 094092602 3723723723 7 000 University of Texas Medical Branch - Galveston Thomas Riley (409) 772-6637 thriley@utmb.edu 301 University Blvd Galveston TX 775550133 301 University Blvd Galveston TX 77555-0133 The University of Texas Medical Branch at Galveston 3723723723 7 000

2 100-13-0000-00039 Pub-Pub 019053001 1741665318 0 000 Coastal Health Wellness Mark Guidry (409) 938-7221 mguidry@gchd.org 9850-A E.F. Lowry Expressway #A108 Texas City TX 77591 PO Box 939 La Marque TX 77568-0939 Galveston County Health District 1760521474 5 000

2 100-13-0000-00040 Pub-Pub 096166602 1741684198 3 003 Spindletop Center Chalonnes Hoover (409) 784-5668 Chalonnes.hoover@stmhmr.org 655 S 8th St Beaumont TX 655 S 8th St Beaumont TX 77701-4624 Spindletop Center 1741684198 3 003

2 100-13-0000-00041 Pub-Pub 121805903 1741612400 0 000 Angleton Danbury Medical Center Kelly Lackey Director of Finance 9798489110 9798490581 lackeyk@admc.org 132 Hospital Drive Angleton TX 132 E Hospital Drive Angleton TX 77515-4112 Angleton-Danbury Hospital District 1741612400 0 000

2 100-13-0000-00042 Pub-Pub 131030203 1756000602 9 008 Nacogdoches County Hospital District Kay Johnson Director of Accounting 9365688529 9365694131 johnsonk@nacmem.org 1204 Mound Street Nacogdoches TX 1204 Mound Street Nacogdoches TX 75961-4027 Nacogdoches County Hospital District 1756000602 9 008

1 100-13-0000-00043 Pub-Pub 136367307 1751442393 2 000 Burke Center Susan Rushing (936) 639-1141 susanr@burke-center.org 2001 South Medford Lufkin TX 75901 2001 S Medford Dr Lufkin TX 75901-6260 Burke Center 1751442393 2 000

2 100-13-0000-00044 Pub-Pub 136381405 1746067306 8 001 Tyler County Hospital Sandra Wright (409) 283-6400 swright@tchospital.us 1100 W Bluff St Woodville TX 1100 W Bluff St Woodville TX 75979-4738 Tyler County Hospital 1746067306 8 001

11 100-13-0000-00046 Pub-Pub 138950412 1751256948 8 000 Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp Harris Brooks (940) 328-6400 harris@ppgh.com 400 SW 25th Ave. Mineral Wells TX 76067 400 SW 25th Ave Mineral Wells TX 76067-8246 Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp 1751256948 8 000

11 100-13-0000-00047 Pub-Pub 094104901 1756003659 6 000 Anson General Hospital Sabra Knox Administrator 3258231152 3258233098 sknox@ansongh.com 101 Avenue J Anson TX 101 Avenue J Anson TX 79501-2113 Anson General Hospital 1756003659 6 000

11 100-13-0000-00048 Pub-Pub 094131202 1751453952 1 501 Hamlin Memorial Hospital PATRICA BARNETT ADMINISTRATIVE ASSISTANT 3255763646 3255763797 patrica.barnett@sbcglobal.net 632 NW 2ND STREET HAMLIN TX PO BOX 400 Hamlin TX 79520-0400 Hamlin Memorial Hospital 1751453952 1 501

11 100-13-0000-00049 Pub-Pub 112692202 1751433495 6 012 Fisher County Hospital Steven LeFevre CEO 3257352256 3257353070 slefevre@fishercountyhospital.com 774 State Hwy 70 North Rotan TX 774 State Hwy 70 North, PO Box F Rotan TX 79456-0485 Fisher County Hospital District 1751433495 6 012

11 100-13-0000-00050 Pub-Pub 112702904 1756001753 9 000 Haskell Memorial Hospital FRAN MCCOWN ADMINISTRATOR 9408642621 9408645014 fmccown@windstream.net 1 NORTH AVENUE N HASKELL TX PO Box 1117 Haskell TX 79521-1117 Haskell County Hospital District 1756001753 9 000

11 100-13-0000-00051 Pub-Pub 119875604 1756003328 8 001 Stephens Memorial Hospital dba Stephens County Eme Jeff Casbeer CFO 2545592241 2545596536 jeff.casbeer@smhtx.com 200 S. Geneva Breckenridge TX 200 S. Geneva Breckenridge TX 76424-4702 Stephens Memorial Hospital dba Stephens County Emergency Medic 1756003328 8 001

11 100-13-0000-00052 Pub-Pub 121053602 1750808798 2 001 Knox County Hospital District dba Knox County Hosp Stephen A Kuehler CEO 9406573535 9406575521 knoxhospital@srcaccess.net 701 South 5th Street Knox City TX 79529 PO Box 608 Knox City TX 79529-0608 Knox County Hospital District dba Knox County Hospital Home Care 1750808798 2 001

11 100-13-0000-00053 Pub-Pub 126842708 1751315205 2 004 Stamford Memorial Hospital Elizabeth Miller CFO 3257732725 3257733781 emiller@stamfordhosp.com 1601 Columbia Stamford TX P.O. Box 911 Stamford TX 79553-0911 Stamford Memorial Hospital (Stamford Memorial Hospital District 1751315205 2 004

11 100-13-0000-00054 Pub-Pub 133244705 1756003896 4 000 Rolling Plains Memorial Hospital Rhonda Guelker CFO 3252351701 3252358705 rhonda@rpmh.net 200 E. Arizona Sweetwater TX 200 Arizona Sweetwater TX 79556-0000 Rolling Plains Memorial Hospital District 1756003896 4 000

11 100-13-0000-00055 Pub-Pub 133338707 1751377658 7 001 Abilene Regional MHMR dba Hardwick Center Jenny Goode (325) 690-5100 andy.kolb@smdhealth.org 821 N Broadway St Aspermont TX 79508 2616 S Clark St Abilene TX 79606-1557 Abilene Regional MHMR dba Hardwick Center 1751377658 7 001

11 100-13-0000-00056 Pub-Pub 136325111 1751246488 8 000 Mitchell County Hospital District dba Mitchell Cou Robbie Dewberry (325) 728-3431 rdewberry@mitchellcountyhospital.com 997 West Interstate 20 Colorado City TX 79512 997 West Interstate 20 Colorado City TX 79512-2685 Mitchell County Hospital District 1751246488 8 000

11 100-13-0000-00057 Pub-Pub 137074409 1752313255 7 002 Eastland Memorial Hospital Jamie Hayden Chief Financial Officer 2546315342 2546298929 jamie.hayden@EMHD.org 304 S Daugherty St Eastland TX P.O. Box 897 Eastland TX 76448-0897 Eastland Memorial Hospital District 1752313255 7 002

6 100-13-0000-00058 Pub-Pub 212140201 1270492434 4 000 Medina County Hospital District dba Medina Regiona Kevin Frosch CFO (830) 426-7898 kevin.frosch@medinahospital.net 3100 Avenue E Hondo TX 78861 3100 Avenue E Hondo TX 78861-3534 Medina County Hospital District dba Medina Regional Hospital 1270492434 4 000

6 100-13-0000-00059 Pub-Pub 091308902 1746002070 8 024 City of San Antonio Health Department Christine Rutherford-Stuart Assistant Director (210) 207-8896 stuar@sanantonio.gov 332 W Commerce St San Antonio TX 78205 PO Box 839966 San Antonio TX 78283-3966 San Antonio Metropolitan Health District 1746002070 8 024

1 100-13-0000-00060 Pub-Pub 137921608 1751724017 6 003 Sabine Valley Reg MHMR Ctr dba Community Healthcor Rick Roberts (903) 237-2338 rick.roberts@communityhealthcore.com 107 Woodbine Pl Longview TX 75601 PO Box 6800 Longview TX 75608-6800 Sabine Valley Regional MHMR Center dba Community Healthcore 1751724017 6 003

1 100-13-0000-00061 Pub-Pub 131038504 1751277293 4 501 Hunt Mem Hosp Dist dba Hunt Reg Med Ctr Greenville Richard Carter (903) 408-1605 rcarter@huntregional.org 4215 Joe Ramsey Blvd Greenville TX PO Box 1059 Greenville TX 75403-1059 Hunt Memorial Hospital District 1751277293 4 501

1 100-13-0000-00062 Pub-Pub 140425362 1756002206 7 001 Paris Lamar County Health Department Gina Prestidge (903) 785-4561 ginap@suddenlinkmail.com 740 SW 7th Street Paris TX 75460 400 W Sherman St Paris TX 75460-5646 Paris Lamar County Health Department 1756002206 7 001

6 100-13-0000-00063 Pub-Pub 121990904 1742951754 7 000 Camino Real Community Services Emma Garcia (210) 357-0310 emmag@caminorealcs.org PO Box 725 Lytle TX 78052 19965 FM 3175 North PO Box 725 Lytle TX 78052-0725 Camino Real Community Services 1742951754 7 000

4 100-13-0000-00064 Pub-Pub 137907508 1741698143 3 011 County of Victoria dba Citizens Medical Center Chere Brzozoswki (361) 573-9181 cbrzozowski@cmcvtx.org 2701 Hospital Drive Victoria TX 77901 2701 Hospital Dr Victoria TX 77901-5748 Citizens Medical Center 1741698143 3 011

4 100-13-0000-00065 Pub-Pub 080368601 1742919178 0 000 Coastal Plains Community MHMR Center Charles Sportsman (361) 777-3991 Charles@coastalplainsctr.org 200 Marriott Drive Portland TX 78374 PO Box 1336 Portland TX 78374-1185 Coastal Plains Community MHMR Center 1742919178 0 000

4 100-13-0000-00066 Pub-Pub 130958505 1746000574 1 027 City of Corpus Christi Nueces County Public Health Annette Rodriguez (361) 826-7205 anneter@cctexas.com 1702 Horne Road Corpus Christi TX 78416 PO Box 9277 Corpus Christi TX 78469-9277 City of Corpus Christi 1746000574 1 027

4 100-13-0000-00067 Pub-Pub 121785303 1741625013 6 501 Gonzales County Hospital District DBA Memorial Hos Chuck Norris (830) 672-7581 cnorris@gonzaleshealthcare.com PO Box 587 Gonzales TX 78629 PO Box 587 Gonzales TX 78629-0587 Gonzales County Hospital District 1741625013 6 501

4 100-13-0000-00068 Pub-Pub 138305109 1741623759 6 003 Nueces County MHMR Community Ctr dba Behavioral Hl Diane Lowrance (361) 886-6900 dlowrance@ncmhmr.org 1630 S Brownlee Blvd Corpus Christi TX 78404 1630 S Brownlee Blvd Corpus Christi TX 78404-3134 Nueces County MHMR Community Center 1741623759 6 003

4 100-13-0000-00070 Pub-Pub 121808305 1741738475 1 002 Jackson County Hospital Bill Jones (361) 782-7810 bjones@jchd.org 1013 S Wells St Edna TX 77957 1013 S Wells St Edna TX 77957-4045 Jackson County Hospital District 1741738475 1 002

4 100-13-0000-00071 Pub-Pub 135233809 1746240037 9 001 Lavaca Medical Center Bill Emery 3617983671 wemery@lavacamedcen.com 1400 N Nexana St Hallettsville TX 77964 1400 N Texana St Hallettsville TX 77964-2021 Lavaca Medical Center (hospital district) 1746240037 9 001

4 100-13-0000-00072 Pub-Pub 135254407 1741659064 8 003 Gulf Bend MHMR Center David Way 3615750611 dway@gulfbend.org 6502 Nursery Drive Ste 100 Victoria TX 77904 6502 Nursery Dr Ste 100 Victoria TX 77904-1178 Gulf Bend MHMR Center 1741659064 8 001

4 100-13-0000-00073 Pub-Pub 136412710 1741718215 5 002 Karnes County Hospital District dba Otto Kaiser Me David Lee (830) 583-3401 david.lee@okmh.org 3349 S Highway 181 Kenedy TX 78118 3349 S Highway 181 Kennedy TX 78119-5247 Karnes County Hospital District 1741718215 5 002

4 100-13-0000-00075 Pub-Pub 132812205 1742577746 7 000 Driscoll Children's Hospital Shane Casady (361) 694-6523 shane.casady@dchstx.org 3533 Alameda St Corpus Christi TX 78411 3533 South Alameda St Corpus Christi TX 78411-1721 Driscoll Children's Hospital 1742577746 7 000

5 100-13-0000-00076 Pub-Pub 138708601 1741565510 3 006 Tropical Texas Behavioral Health Jim Banks (956) 289-7292 jbanks@ttbh.org 1901 S 24th Ave Edinburg TX 1901 S 24th Ave Edinburg TX 78539-6533 Tropical Texas Behavioral Health 1741565510 3 006

5 100-13-0000-00077 Pub-Pub 085144601 1741586031 5 000 University of Texas Health Science Center SA Dr. Joseph McCormick (956) 365-8823 McCormicki@uthscsa.edu 2102 Treasure Hills Blvd Harlingen TX 78550 7703 Floyd Curl Dr San Antonio TX 78229-3901 University of Texas Health Science Center at San Antonio 1741586031 5 000

5 100-13-0000-00078 Pub-Pub 121989102 1742944931 1 000 Border Region MHMR Community Center Daniel Castillon (956) 794-3003 danielc@borderregion,org 1500 Pappas Street Laredo TX 78041 PO Box 1835 Laredo TX 78044-1835 Border Region MHMR Community Center 1742944931 1 000

6 100-13-0000-00079 Pub-Pub 112688002 1741461220 4 000 Frio Hospital Association Inc dba Frio Regional Ho Michael S Thompson (830) 334-3614 x 103 michael.thompson@trhta.net 200 S IH 35 Pearsall TX 78061 200 S IH 35 Pearsall TX 78061-6601 Frio Hospital District 1741461220 4 000

6 100-13-0000-00080 Pub-Pub 119877204 1742941598 1 501 Val Verde Regional Medical Center Marc Strode (830) 703-1749 marc.strode@vvrmc.org 801 North Bedell Ave Del Rio TX 78840 PO Box 1527 Del Rio TX 78841-1527 Val Verde Regional Medical Center 1742941598 1 501

6 100-13-0000-00081 Pub-Pub 121782003 1741603120 5 000 Uvalde County Hosp Authority dba Uvalde Memorial H Matt Krempton (830) 278-6251 x 1617 M.kempton@umhtx.org 1025 Garner Field Rd Uvalde TX 78801 1025 Garner Field Rd Uvalde TX 78801-4809 Uvalde County Hospital Authority 1741603120 5 000

6 100-13-0000-00082 Pub-Pub 137251808 1741590659 7 001 The Center for Health Care Services Cynthia Martinez (210) 731-1300x 435 camartinez@chcsbc.org 3031 IH 10 W San Antonio TX 78201 6812 Bandera Rd Ste 213 San Antonio TX 782381368 Center for Health Care Serv 1741590659 7 001

6 100-13-0000-00083 Pub-Pub 138411709 1741386053 1 000 Guadalupe County Hospital Board dba Guadalupe Regi Penny Wallace (830) 401-7220 pkwallace@grmedcenter.com 1215 E Court St Seguin TX 78155 1215 E Court St Seguin TX 78155-5129 Guadalupe Regional Medical Center 1741386053 1 000

7 100-13-0000-00084 Pub-Pub 133542405 1741547909 0 000 Austin Travis County MHMR Center David Evans (512) 440-4030 david.evan@atcic.org PO Box 3548 Austin TX 78764 1430 Collier St Austin TX 78704-2911 Austin Travis County MHMR Center 1741547909 0 000

7 100-13-0000-00085 Pub-Pub 201320302 1746000085 8 210 City of Austin Bob Corona (512) 972-5002 bob.corona@austintexas.gov PO Box 1088 Austin TX PO Box 1088 Austin TX 78767-1088 City of Austin 1746000085 8 210

11 100-13-0000-00086 Pub-Pub 020992601 1751212666 9 007 Stonewall Memorial Hospital Debbie Roberson (940) 989-3551 debbie.roberson@smhdhealth.org 821 N Broadway St Aspermont TX 79502 PO Box C Aspermont TX 79502-0902 Stonewall Memorial Hospital (County Hospital District) 1751212666 9 007

12 100-13-0000-00087 Pub-Pub 130618504 1751227032 7 004 Terry Memorial Hospital District Brownfield Region Paul Gafford (806) 637-3551 paul@brownfield-rmc.org 705 E Felt St Brownfield TX 705 E Felt St Brownfield TX 79316-3439 Terry Memorial Hospital District dba Brownfield Regional Medical Center 1751227032 7 004

12 100-13-0000-00088 Pub-Pub 127374005 1751294355 0 003 Central Plains Center for Mental Health Mental Ret Ron Trusler (806) 293-2636 ron@clplains.org 2700 Yonkers St Plainview TX 2700 Yonkers St Plainview TX 79072-1826 Central Plains Center for Mental Health Mental Ret 1751294355 0 003

12 100-13-0000-00089 Pub-Pub 133250406 1751228349 4 002 Childress County Hospital District dba Childress R John Henderson (940) 937-9178 jmh@childresshospital.com 901 US Hwy 83 Childress TX 79201 PO Box 1030 Childress TX 79201-1030 Childress County Hospital District dba Childress Regional Medical Center 1751228349 4 002

12 100-13-0000-00091 Pub-Pub 136330107 1752403687 2 002 D. M. Cogdell Memorial Hospital (Scurry County) John Heverett (325) 574-7439 cmh.jeverett@cogdellhospital.com 1700 Cogdell Blvd Snyder TX 79549 1700 Cogdell Blvd Snyder TX 79549-6162 DM Cogdell Memorial Hospital dba Scurry County 1752403687 2 002

12 100-13-0000-00092 Pub-Pub 130826407 1751702162 6 000 Dallam-Hartley Counties Hosp District dba Coon Mem Donny Pettit (806)244-9270 dlp@dhchd.org 1411 Denver Avenue Dallhart TX 79022 210 E Texas Blvd Dalhart TX 79022-4322 Dallam-Hartley Counties Hospital District dba Coon Memorial Home 1751702162 6 000

12 100-13-0000-00093 Pub-Pub 094117105 1237297190 8 004 Hansford County Hospital District Jonathan Bailey (806) 659-5858 jonathanbailey@hchd.net 707 Roland Spearman TX 707 Roland St. Spearman TX 79081-3441 Hansford County Hospital District 1237297190 8 004

12 100-13-0000-00094 Pub-Pub 109588703 1756002888 2 005 Hemphill County Hospital District Christy Francis (806) 323-6422 x 260 Christy@hchdst.org 1020 S 4th St Canadian TX 1020 S 4th St Canadian TX 79014-3315 Hemphill County Hospital District 1756002888 2 005

12 100-13-0000-00095 Pub-Pub 133544006 1756001297 7 004 Deaf Smith County Hospital District dba Hereford R Nathan Flood (806) 364-2141 Nathan.flood@dschd.org 540 W 15th St Hereford TX 540 W 15th St Hereford TX 79045-2820 Deaf Smith County Hospital District dba Hereford Regional Medical Center 1756001297 7 004

12 100-13-0000-00096 Pub-Pub 127313803 1752388515 4 010 Lamb Healthcare Center Cindy Klein CFO (806) 385-6411x 204 cklein@lambhc.org 1500 S Sunsety Avr Littlefield TX 1500 S Sunset Ave. Littlefield TX 79339-4899 Lamb County dba Lamb Healthcare Center 1752388515 4 010

12 100-13-0000-00097 Pub-Pub 094180903 1751328354 3 001 Lynn County Hospital District Donna Raindl (806) 998-4533 x 305 draindl@lchdhealthcare.org PO Box 1310 Tahoka TX PO Box 1310 Tahoka TX 79373-1310 Lynn County Hospital District 1751328354 3 001

12 100-13-0000-00098 Pub-Pub 189947801 1756005064 7 002 Medical Arts Hospital Melissa Matlock (806) 8725727 x 2035 mmatlock@medicalartshospital.org 2200 N Bryan Ave Lamesa TX 79331 1600 N Bryan Avr Lamesa TX 79331-3145 Dawson County Hospital District 1756005064 7 002

12 100-13-0000-00099 Pub-Pub 094121303 1751362671 7 501 Seminole HD of Gaines Co dba Memorial Hospital Betsy Briscoe (432) 758-4898 bbriscoe@seminolehospitaldistrict.com 209 NW 8th Seminole TX 79360 209 NW 8th St Seminole TX 79360-3447 Seminole Hospital District of Gaines County (Memorial Hospital) 1751362671 7 501

12 100-13-0000-00100 Pub-Pub 094129602 1751302152 1 006 Moore County Hospital District dba Memorial Hospit Jeff Turner (806) 935-7171 x1300 jturner@mchd.net 224 E 2nd St Dumas TX 224 E 2nd St Dumas TX 79029-3808 Moore County Hospital District 1751302152 1 006

12 100-13-0000-00101 Pub-Pub 130877708 1752290436 0 002 Muleshoe Area Hospital District dba Muleshoe Area LaJuanna Renfro (806) 272-4524 x 103 lrenfro@mahdtx.org 708 S 1st St Muleshoe TX 708 S 1st St Muleshoe TX 79347-3627 Muleshoe Area Hospital District dba Muleshoe Area Medical Center 1752290436 0 002

12 100-13-0000-00102 Pub-Pub 112704504 1751211903 7 003 Ochiltree General Hospital Jeff Barnhart (806) 648-7110 jbarnhart@oghtx.com 3101 Garrett Dr Perryton TX 3101 Garrett Dr Perryton TX 79070-5323 Ochiltree General Hospital 1751211903 7 003

12 100-13-0000-00103 Pub-Pub 136142011 1756003939 2 501 Plains Memorial Hospital DSH Acct (Castro County) Linda Rasor (806) 647-2191 linda.rasor@cchdonline.com 310 W Halsell PO Box 278 Dimmitt TX 310 W Halsell PO Box 278 Dimmitt TX 79027-0278 Plains Memorial Hospital Disproportionate Share Account (Castro County) 1756003939 2 501

12 100-13-0000-00104 Pub-Pub 084897001 1751297691 5 000 Lubbock Regional MHMR Ctr dba StarCare Specialty Cathy Pope (806) 766-0221 cpope@starcarelubbock.org PO Box 2828 Lubbock TX PO Box 2828 Lubbock TX 79408-2828 Lubbock Regional MHMR Center 1751297691 5 000

12 100-13-0000-00105 Pub-Pub 127378105 1756176121 8 002 Texas Panhandle Mental Health Mental Retardation Jim Womack (806) 351-3326 jim.womack@txpan.org PO Box 3250 Amarillo TX PO Box 3250 Amarillo TX 79116-3250 Texas Panhandle MHA 1756176121 8 002

12 100-13-0000-00106 Pub-Pub 084563802 3739739739 1 014 Texas Tech University Health Sciences Center AMA Richard Jordan, M.D. (806) 354-5401 richard.jordan@ttuhsc.edu 1400 S Coulter St Amarillo TX 1400 S Coulter St Amarillo TX 79106-1786 Texas Tech University Health Sciences Center AMA 3739739739 1 014

12 100-13-0000-00107 Pub-Pub 084599202 3739739739 1 007 Texas Tech University Health Sciences Center Offic Brent D Magers (806) 743-1830 brent.magers@ttuhs.edu 3601 4th Street Lubbock TX PO Box 5868 Lubbock TX 79408-5868 Texas Tech University Health Science Center 3739739739 1 007

12 100-13-0000-00108 Pub-Pub 137227806 1756001212 6 009 Yoakum County dba Yoakum County Hospital Chris Ekrem (806) 562-2121 cekrem@ych.us 412 Mustang Drive Denver City TX 79323 PO Box 1130 Denver City TX 79323-1130 Yoakum County dba Yoakum County Hospital 1756001212 6 009

13 100-13-0000-00109 Pub-Pub 316360201 1453780407 3 000 Preferred Hospital Leasing Coleman Inc Mike Pruitt (325) 625-2135 mike.ruitt@trhta.net 310 S Pecos St Coleman TX 310 S Pecos St Coleman TX 76834-4159 Coleman County Medical Center 1752428243 5 000

16 100-13-0000-00110 Pub-Pub 084859002 1741622958 5 002 Heart of Texas Region MH & MR Center Barbara Tate (254) 752-3451 barbara.tate@hotrmhmr.org 110 S 12th St Waco TX 76703 PO Box 890 Waco TX 76703-0890 Heart of Texas Region MH & MR Center 1741622958 5 002

16 100-13-0000-00111 Pub-Pub 121792903 1742570068 3 004 Hamilton County Hospital District dba Family Pract Michele Cathey (254) 386-1950 mcathey@hamiltonhospital.org 400 N Brown Bldg II Hamilton TX 76531 400 N Brown St. Bldg II Hamilton TX 76531-1518 Hamilton County Hospital District dba Family Practice Rural Health Clinic 1742570068 3 004

16 100-13-0000-00112 Pub-Pub 137075109 1741546619 6 012 Goodall-Witcher Healthcare Foundation Administrati Adam Willmann (254) 675-8322 awillmann@gwhf.org 101 South Avenue T Clifton TX 76634 PO Box 549 Clifton TX 76634-0549 Goodall-Witcher Healthcare Foundation Administration 1741546619 6 012

16 100-13-0000-00113 Pub-Pub 140714001 1741744089 2 007 Limestone Medical Center dba Limestone Medical Cen Larry Price (254) 729-3281 lprice@lmchospital.com 701 McClintic Dr Groesbeck TX 701 McClintic Dr Groesbeck TX 76642-2128 South Limestone Hospital District 1741744089 2 007

19 100-13-0000-00114 Pub-Pub 094138703 1756000727 4 001 Clay County Memorial Hospital Jeff Huskey (940) 538-5621 jhuskey@ccmhospital 310 West South Street Henrietta TX 76365 310 W South St Henrietta TX 76365-3346 Clay County Hospital District 1756000727 4 001

19 100-13-0000-00115 Pub-Pub 110856504 1756001727 3 001 Olney Hamilton Hospital District dba Hamilton Hosp Michael Huff (940) 564-5521 mhuff@olneyhh.com 901 West Hamilton Olney TX 76374 PO Box 158 Olney TX 76374-0158 Olney-Hamilton Hospital District 1756001727 3 001

19 100-13-0000-00116 Pub-Pub 112707803 1756047638 8 000 Wilbarger General Hospital Jonathon Voelkel (940) 553-2882 jvoelkel@wghospital.com 920 Hillcrest Dr Vernon TX 76384 920 Hillcrest Dr Vernon TX 76384-3132 Wilbarger General Hospital District 1756047638 8 000

19 100-13-0000-00117 Pub-Pub 119874904 1756004585 2 001 Jack County Hospital District dba Faith Community Frank Beaman (940) 567-6633 x 236 fbean@faithcommunityhospital.com 717 Magnolia St Jacksboro TX 76458 717 Magnolia St Jacksboro TX 76458-1111 Faith Community Hospital Auxiliary (Jack County Hospital District) 1756004585 2 001

19 100-13-0000-00118 Pub-Pub 127305405 1751220799 8 002 Bowie Memorial Hospital T. Kim Lee (940) 872-9374 klee@bowiememorial.com 705 E Greenwood Ave Bowie TX 705 E Greenwood Ave Bowie TX 76230-3135 Bowie Memorial Hospital (Bowie Hospital Authority) 1751220799 8 002

19 100-13-0000-00119 Pub-Pub 127310404 1751368648 9 001 Nocona Hospital District dba Nocona Gen Hosp Lance Meekins (940) 825-3235 lmeekins@naconageneral.com 100 Park Rd Nocona TX 100 Park Rd Nocona Tx 76255-3616 Nocona General Hospital District 1751368648 9 001

19 100-13-0000-00120 Pub-Pub 130613604 1751919268 0 501 Graham Regional Medical Center Steve Hartgraves (940) 521-5303 shartgraves@grahamrmc.com 1301 Montgomery Road Graham TX 76450 P O Box 1390 Graham TX 76450-1390 Graham Regional Medical Center (City of Graham) 1751919268 0 501

19 100-13-0000-00121 Pub-Pub 088189803 1756003473 2 001 Throckmorton County Memorial Hospital Bob Carruthers bob.carruthers@yahoo.com 802 North Minter Ave Throckmorton TX PO Box 729 Throckmorton TX 76483-0729 Throckmorton County Memorial Hospital 1756003473 2 001

20 100-13-0000-00122 Pub-Pub 137917402 1746001573 2 021 City of Laredo Hector Gonzalez, MD (956)795-4901 hgonzalez@ci.aredo.tx.us 2600 Cedar Street Laredo TX 78043 PO Box 579 Laredo TX 78042-0579 City of Laredo 1746001573 2 021

20 100-13-0000-00123 Pub-Pub 137908303 1746000705 1 003 Maverick County Hospital District Elcira Bares (830) 757-4990 e.bares@mchdep.org 3406 Bob Rogers Ste 140 Eagle Pass TX 78852 3406 Bob Rogers Ste 140 Eagle Pass TX 78852-5942 Maverick County Hospital District 1746000705 1 003

1 100-13-0000-00124 Pub-Pub 138365512 1751281410 8 000 Andrews Center Waymon Stewart (903) 597-1351 wstewart@andrewscenter.com 2323 W Front Street Tyler TX 75702 PO Box 4730 Tyler TX 75712-4730 Andrews Center 1751281410 8 000

3 100-13-0000-00125 Pub-Pub 296760601 1746001969 2 066 Fort Bend County Mark Desvignes-Kendrick (281) 238-3517 md.kendrick@co.fort-bend.us 3520 Reading Road, Suite A Rosenberg TX 77471 309 S 4th Street Richmond TX 77469-3506 Fort Bend County 1746001969 2 066

3 100-13-0000-00126 Pub-Pub 130959304 1746025069 3 001 Matagorda County Hospital District dba Matagorda R Steve Smith (979) 241-5520 ssmith@matagordaregional.org 104 7th St Bay City TX 104 7th St Bay City TX 77414-4853 Matagorda County Hospital District 1746025069 3 001

3 100-13-0000-00127 Pub-Pub 113180703 1741603950 5 023 MHMRA of Harris County Dr. Scott Stang (713) 970-7182 scott.strang@mhmraharris.org 7011 Southwest Fwy Houston TX 77074 PO Box 25381 Houston TX 77265-5381 MHMRA of Harris County 1741603950 5 023

3 100-13-0000-00129 Pub-Pub 127303903 1760339462 2 000 Oak Bend Medical Center Darren Coates (512) 899-3995 coates@gl-law.com 2801 Via Fortuna Suite 500 Austin TX 78746 PO Box 1409 Richmond TX 77406-0036 Oak Bend Medical Center 1760339462 2 000

3 100-13-0000-00130 Pub-Pub 131045004 1452750258 8 000 El Campo Memorial Hospital Tisha Zalman (979) 543-6251 tzalman@ecmh.org 303 Sandy Corner Road El Campo TX 303 Sandy Corner Road El Campo TX 77437-9535 West Wharton County Hospital District 1760488120 5 000

3 100-13-0000-00131 Pub-Pub 133355104 1741536936 6 324 Harris County Hospital District Nicole Lievsay (713) 566-6400 Nicole.lievsay@harrishealth.org 2525 Holly Hall Drive Houston TX 77054 PO Box 66769 Houston TX 77266-6769 Harris County Hospital District 1741536936 6 324

3 100-13-0000-00132 Pub-Pub 137909111 1746003411 3 000 Memorial Medical Center Jason Anglin (361) 552-0222 janglin@mmcportlavaca.com 815 N Virginia Street Port Lavaca TX 77979 PO Box 25 Port Lavaca TX 77979-0025 Calhoun County dba Memorial Medical Center 1746003411 3 000

3 100-13-0000-00133 Pub-Pub 111810101 1741761309 2 000 Unv of Tx HSC at Houston-UTHSC Sponsored Projects Andrew Casas (832) 325-7325 andrew.casas@uth.tmc.edu 6410 Fannin Ste 1500 Houston TX 77030 PO Box 301418 Houston TX 77216-1088 University of Texas Health Science Ctr at Houston UTHSC 1741761309 2 000

3 100-13-0000-00134 Pub-Pub 093774008 1746001164 0 002 City of Houston Judy Harris (832) 393-4345 judy.harris@houstontx.gov 8000 N Stadium Dr FL 8 Houston TX 8000 N Stadium Dr FL 8 Houston TX 77054-1823 City of Houston 1746001164 0 002

3 100-13-0000-00135 Pub-Pub 081522701 1760253287 5 007 Texana Center Amanda Darr (281) 239-1350 amanda.darr@texanacenter.com 4910 Airport Ave Ste D Rosenberg TX 4910 Airport Ave Ste D Rosenberg TX 77471-5759 Texana Center 1760253287 5 007

3 100-13-0000-00136 Pub-Pub 135254407 1741659064 8 003 Gulf Bend MHMR Center Donald Polzin (361) 582-2314 dpolzin@gulfbend.org 6502 Nursery Drive Ste 100 Victoria TX 77904 6502 Nursery Dr Ste 100 Victoria TX 77904-1178 Gulf Bend MHMR Center 1741659064 8 001

9 100-13-0000-00137 Pub-Pub 121758005 1756000905 6 004 Dallas County Zachary Thompson (214) 819-2000 zachary.thompson@dallascounty.org 2377 North Stemmons Freeway Dallas TX 509 Main St Dallas TX 75202-3521 Dallas County 1756000905 6 004

9 100-13-0000-00138 Pub-Pub 126686802 1756002868 4 003 UT Southwestern Medical Center at Dallas Bruce Meyer, MD (214) 648-9794 bruce.meyer@utsouthwestern.edu 5323 Harry Hines Blvd Dallas TX 75390 5323 Harry Hines Blvd Dallas TX 75390-7201 UT Southwestern Medical Center at Dallas 1756002868 4 003

9 100-13-0000-00139 Pub-Pub 127295703 1756004221 4 002 Dallas County Hospital District dba Parkland Healt Ted Shaw Interim Chief CFO (214) 590-8097 ted.shaw@phhs.org 5201 Harry Hines Blvd Dallas TX 75235 PO Box 660599 Dallas TX 75266-0599 Dallas County Hospital District 1756004221 4 002

9 100-13-0000-00140 Pub-Pub 136360803 1756000920 5 010 Denton County dba Denton County Health Department Bing Burton (940) 349-2913 bing.burton@dentoncounty.com 535 S Loop 288 Suite 1003 Denton TX 76205 535 S Loop 288 Ste 1003 Denton TX 76205-4502 Denton County dba Denton County Health Department 1756000920 5 010

9 100-13-0000-00141 Pub-Pub 135234606 1751368151 4 009 Denton County MHMR Center Pam Gutierrez (940) 565-5260 pamg@dentonmhmr.org PO Box 2346 Denton TX 76202 PO Box 2346 Denton TX 76202-2346 Denton County MHMR Center 1751368151 4 009

9 100-13-0000-00142 Pub-Pub 137252607 1751285603 4 000 Metrocare Services Linda Thompson (214) 743-1258 linda.thompson@metrocareservices.org 1380 River Bend Dr Dallas TX 75248 1380 River Bend Dr Dallas TX 75247-4914 Metrocare Services 1751285603 4 000

9 100-13-0000-00143 Pub-Pub 175287501 1753175630 6 003 University of Texas Southwestern St Paul Universit Bruce Meyer, MD (214) 648-9794 bruce.meyer@utsouthwestern.edu 5323 Harry Hines Blvd Dallas TX 75390 5909 Harry Hines Blvd Dallas TX 75390-7208 University of Texas Southwestern St Paul University Hospital 1753175630 6 003

9 100-13-0000-00144 Pub-Pub 009784201 3709709709 3 001 TAMUS Health Science Center dba Baylor College of Daniel Jones (214) 828-8350 djones@bcd.tamhsc.edu 3302 Gaston Ave Dallas TX 3302 Gaston Ave Dallas TX 75246-2013 TAMUS Health Science Center dba Baylor College of Dentistry 3709709709 3 001

4 100-13-0000-00145 Pub-Pub 020991801 1741915330 3 000 Refugio County Memorial Hospital Susan Parker CFO 3615262321 3615262420 sparker@rcmhospital.org 107 Swift Street Refugio TX 107 Swift Street Refugio TX 78377-2425 Refugio County Memorial Hospital District 1741915330 3 000

6 100-13-0000-00146 Pub-Pub 135151206 1742019736 4 501 Wilson County Mem Hosp Floresville dba Conally Mem Janie Lanford Accounting Manager 8303931526 8303931525 jlanford@connallymmc.org 499 Tenth Street Floresville TX PO Box 200852 Dallas TX 75320-0852 Wilson County Memorial Hospital Floresville (Connally Memorial Hospital) 1742019736 4 501

1 100-13-0000-00147 Pub-Pub 127278302 1756001354 6 000 University of Texas Health Center at Tyler Jeff Levin, MD (903) 877-7270 jeffrey.levin@uthct.edu 11937 US Hwy 271 Tyler TX 75708 11937 US Highway 271 Tyler TX 75708-3154 University of Texas Health Center at Tyler 1756001354 6 000

2 100-13-0000-00148 Pub-Pub 135222109 1741607987 3 001 The Gulf Coast Center Pat Wareing (409) 763-2373 patw@gulfcoastcenter.org 123 Rosenberg #600 Galveston TX 77550 101 Tigner St. Bld 1 Angleton TX 775154480 The Gulf Coast Center 1741607987 3 001

12 100-13-0000-00149 Pub-Pub 136492909 1751297691 5 000 Lubbock Regional MHMR Center dba Sunrise Canyon Ho Cathy Pope (806) 766-0221 cpope@starcarelubbock.org PO Box 2828 Lubbock TX 794082828 PO Box 2828 Lubbock TX 79408-2828 Lubbock Regional MHMR Center 1751297691 5 000

19 100-13-0000-00150 Pub-Pub 138353107 1752299922 0 501 Seymour Hospital Leslie Hardin (940) 889-5572 lhardin@seymourtexas.net 200 Stadium Dr Seymour TX 76380 200 Stadium Dr Seymour TX 76380-2344 Seymour Hospital (Baylor County HD) 1752299922 0 501

16 100-13-0000-00151 Pub-Pub 134772611 1741857100 0 012 Coryell County Memorial Hospital Authority dba Cor Kathy Lee Director (254) 248-6364 k.lee@cmhos.org 1507 West Main Gatesville TX 76528 1507 W Main St Gatesville TX 76528-1024 Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital 1741857100 0 012

1 100-13-0000-00152 Pub-Pub 131037704 1756001812 3 000 Hopkins Co Memorial Hospital Michael McAndrew (903) 439-4051 michaelm@hcmh.com 115 Airport Road Sulpher Springs TX 75482 PO Box 275 Sulpher Springs TX 75483-0275 Hopkins County Hospital District (Hopkins County Memorial Hospital) 1756001812 3 000

1 100-13-0000-00153 Pub-Pub 138360606 1752254544 5 000 Northeast Texas Public Health District George T Roberts Jr FACHE (903) 535-0036 groberts@netphd.org 315 N Broadway, Ste 404 Tyler TX 75702 PO Box 2039 Tyler TX 75710-2039 Northeast Texas Public Health District 1752254544 5 000

1 100-13-0000-00154 Pub-Pub 138913209 1756003935 0 000 Titus County Memorial Hospital dba Titus Regional Terry Scoggin (903) 577-6066 Terry.Scoggin@titusregional.com 2001 N. Jefferson Mount Pleasant TX 75455 2001 N. Jefferson Ave Mount Pleasant TX 75455-2371 Titus County Memorial Hospital dba Titus Regional Medical Center 1756003935 0 000

Hospital Affiliations

RHP Affiliation Number Program TPI TIN Provider Contact Title Phone Fax Email Phys Addr Phys City Phys State Phys Zip Mail Addr Mail City Mail State Mail Zip Govt Entity Govt TIN

Hospital Affiliations

12 100-13-0000-00155 Pub-Pub 065100201 1756000444 6 014 City of Amarillo Matt Richardson (806) 378-6320 matt.richardson@amarillo.gov 1000 Martin Road Amarillo TX 79107 PO Box 1971 Amarillo TX 79105-1971 Amarillo Hospital District 1756005139 7 010

12 100-13-0000-00156 Pub-Pub 130725806 1752606169 6 003 West Texas Centers for MHMR Guy White CFO (432) 264-4219 guy.white@wtcmhmr.org 409 Runnels Street Big Spring TX 79720 409 Runnels Street Big Spring TX 79720-0000 West Texas Centers for MHMR 1752606169 6 003

13 100-13-0000-00157 Pub-Pub 130725806 1752606169 6 003 West Texas Centers for MHMR Guy White CFO (432) 264-4219 guy.white@wtcmhmr.org 409 Runnels Street Big Spring TX 79720 409 Runnels Street Big Spring TX 79720-0000 West Texas Centers for MHMR 1752606169 6 003

19 100-13-0000-00158 Pub-Pub 084434201 1751452360 8 014 MHMR SVCS of Texoma Tony Maddox (903) 957-4867 tmaddox@mhmrst.org 315 West McLain Drive Sherman TX 75092 315 W McClain Dr Sherman TX 75092-2605 MHMR Services or Texoma 1751452360 8 014

9 100-13-0000-00159 Pub-Pub 121988304 1752833823 3 000 Lakes Regional MHMR Center John Delaney (972) 524-4159 johnd@LRMHMRC.org 400 Airport Road Terrell TX PO Box 747 Terrell TX 75160-0000 Lakes Regional MHMR Center 1752833823 3 000

7 100-13-0000-00160 Pub-Pub 126844305 1742795332 2 001 Bluebonnet Trails Community MHMR Center dba Bluebo Andrea Richardson Executive Director & Health Authority (512) 244-8335 andrea.richardson@bbtrails.org 1009 North Georgetown Street Round Rock TX 78664 1009 N Georgetown St Round Rock TX 78664-3289 Bluebonnet Trails Community MHMR Center dba Bluebonnet Trails Community Ser 1742795332 2 001

13 100-13-0000-00161 Pub-Pub 133339505 1751294432 7 000 Central Texas MHMR Dion White CEO (325) 646-9574 x225 dion@cflr.us 408 Mulberry Street Brownwood TX 76801 408 Mulberry St Brownwood TX 76801-1639 Central Texas MHMR 1751294432 7 000

7 100-13-0000-00162 Pub-Pub 133340307 1742822017 6 000 Hill Country Community MHMR dba hill Country MHDD Linda Werlein Executive Director (830) 792-3300 lwerlein@hillcountry.org 819 Water St Suite 300 Kerrville TX 78028 819 Water St Suite 300 Kerrville TX 78028-5330 Hill Country Community MHMR dba hill Country MHDD Centers 1742822017 6 000

13 100-13-0000-00163 Pub-Pub 133340307 1742822017 6 000 Hill Country Community MHMR dba hill Country MHDD Linda Werlein Executive Director (830) 792-3300 lwerlein@hillcountry.org 819 Water St Suite 300 Kerrville 78028 819 Water St Suite 300 Kerrville 78028-5330 Hill Country Community MHMR dba hill Country MHDD Centers 1742822017 6 000

12 100-13-0000-00164 Pub-Pub 127373205 1751241976 7 000 Helen Farabee Centers Roddy Atkins (940) 397-3101 AtkinsR@helenfarabee.org 1000 Brook Wichita Falls TX 76301 PO Box 8266 Wichita Falls TX 76307-8233 Helen Farabee Centers 1751241976 7 000

19 100-13-0000-00165 Pub-Pub 127373205 1751241976 7 000 Helen Farabee Centers Roddy Atkins (940) 397-3101 AtkinsR@helenfarabee.org 1000 Brook Wichita Falls TX 76301 PO Box 8266 Wichita Falls TX 76307-8233 Helen Farabee Centers 1751241976 7 000

3 100-13-0000-00166 Pub-Pub 096166602 1741684198 3 003 Spindletop Center Chalonnes Hoover (409) 784-5668 Chalonnes.hoover@stmhmr.org 655 S 8th St Beaumont TX 655 S 8th St Beaumont TX 77701-4624 Spindletop Center 1741684198 3 003

2 100-13-0000-00167 Pub-Pub 136367307 1751442393 2 000 Burke Center Susan Rushing (936) 639-1141 susanr@burke-center.org 2001 South Medford Lufkin TX 75901 2001 S Medford Dr Lufkin TX 75901-6260 Burke Center 1751442393 2 000

20 100-13-0000-00168 Pub-Pub 121990904 1742951754 7 000 Camino Real Community Services Emma Garcia (210) 357-0310 emmag@caminorealcs.org PO Box 725 Lytle TX 78052 19965 FM 3175 North PO Box 725 Lytle TX 78052-0725 Camino Real Community Services 1742951754 7 000

6 100-13-0000-00169 Pub-Pub 085144601 1741586031 5 000 University of Texas Health Science Center SA Dr. Joseph McCormick (956) 365-8823 McCormicki@uthscsa.edu 2102 Treasure Hills Blvd Harlingen TX 78550 7703 Floyd Curl Dr San Antonio TX 78229-3901 University of Texas Health Science Center at San Antonio 1741586031 5 000

20 100-13-0000-00170 Pub-Pub 085144601 1741586031 5 000 University of Texas Health Science Center SA Dr. Joseph McCormick (956) 365-8823 McCormicki@uthscsa.edu 2102 Treasure Hills Blvd Harlingen TX 78550 7703 Floyd Curl Dr San Antonio TX 78229-3901 University of Texas Health Science Center at San Antonio 1741586031 5 000

14 100-13-0000-00171 Pub-Pub 130725806 1752606169 6 003 West Texas Centers for MHMR Guy White CFO 4322644219 4322644219 guy.white@wtchmhmr.org 409 Runnels Street Big Spring TX 79720 409 Runnels Street Big Spring TX 797202529 West Texas Centers for MHMR 1752606169 6 003

4 100-13-0000-00172 Pub-Pub 121990904 1742951754 7 000 Camino Real Community Services Emma Garcia 2103570310 emmag@caminorealcs.org 19965 FM 3175 North PO Box 725 Lytle TX 780520725 19965 FM 3175 North PO Box 725 Lytle TX 780520725 Camino Real Community Services 1742951754 7 000

4 100-13-0000-00173 Pub-Pub 126844305 1742795332 2 001 Bluebonnet Trails Community MHMR Center dba Bluebo Andrea Richardson Executive Director & Health Authority 5122448335 andrea.richardson@bbtrails.org 1009 North Georgetown Street Round Rock TX 786643289 1009 North Georgetown Street Round Rock TX 786643289 Bluebonnet Trails Community MHMR Center dba Bluebonnet Trails Community Ser 1742795332 2 001

8 100-13-0000-00174 Pub-Pub 126844305 1742795332 2 001 Bluebonnet Trails Community MHMR Center dba Bluebo Andrea Richardson Executive Director & Health Authority 5122448335 andrea.richardson@bbtrails.org 1009 North Georgetown Street Round Rock TX 786643289 1009 North Georgetown Street Round Rock TX 786643289 Bluebonnet Trails Community MHMR Center dba Bluebonnet Trails Community Ser 1742795332 2 001

10 100-13-0000-00175 Pub-Pub 127373205 1751241976 7 000 Helen Farabee Centers Roddy Atkins 9403973101 AtkinsR@helenfarabee.org 1000 Brook Wichita Falls TX 76301 PO Box 8266 Wichita Falls TX 763078233 Helen Farabee Centers 1751241976 7 000

10 100-13-0000-00176 Pub-Pub 130724106 1751532100 2 000 Pecan Valley MHMR Region dba Pecan Valley Centers Donna Gilmore 8175794414 dgilmore@pecanvalley.org 2101 W. Pearl St Granbury TX 76048 PO Box 729 Granbury TX 760480729 Pecan Valley MHMR Region dba Pecan Valley Centers for Behavioral and Develo 1751532100 2 000

14 100-13-0000-00177 Pub-Pub 081939301 3739739739 1 019 Texas Tech University Health Sciences Center Odess Kandy Stewart Assistant Dean of Finance 4323355129 kandy.stewart@ttusch.edu 800 W. 4th Street Odessa TX 797634368 800 W. 4th Street Odessa TX 797634368 Texas Tech University Health Science Center-Permian Basin 3739739739 1 019

17 100-13-0000-00178 Pub-Pub 081844501 1760032662 7 001 Tri-County MHMR Services Evan Robertson Executive Director 9365216119 evanr@tricountyservices.org 1506 Old Montgomery Road Conroe TX 773043067 1506 Old Montgomery Road Conroe TX 773043067 Tri-County MHMR Services 1760032662 7 001

18 100-13-0000-00179 Pub-Pub 084434201 1751452360 8 014 MHMR SVCS of Texoma Tony Maddox 9039574867 tmaddox@mhmrst.org 315 West McLain Drive Sherman TX 750922605 315 West McLain Drive Sherman TX 750922605 MHMR Services or Texoma 1751452360 8 014

4 100-13-0000-00181 Pub-Pub 130958505 1746000574 1 027 City of Corpus Christi (Nueces Cnty Public Hlth) Annette Rodriguez 3618267205 annetter@cctexas.com 1702 Horne Road Corpus Christi TX 78416 PO Box 9277 Corpus Christi TX 784699277 Nueces County Hospital District 1746000604 6 000

8 100-13-0000-00182 Pub-Pub 081771001 1741801332 6 000 Central Counties Center for MHMR Services Eldon Tietje CEO 2542987007 eldon.tietje@cccmhmr.org 304 S. 22nd St. Temple TX 765014723 304 S. 22nd St. Temple TX 765014723 Central Counties Center for MHMR Services 1741801332 6 002

15 100-13-0000-00183 Pub-Pub 065086301 1746000749 9 018 City of El Paso dba City of El Paso Department of Bruce Parsons Interim Health Director 9157715702 parsonsba@elpasotexas.gov 5115 El Paso Dr El Paso TX 799052818 5115 El Paso Dr El Paso TX 799052818 City of El Paso dba City of El Paso Department of Public Health 1746000749 9 018

6 100-13-0000-00184 Pub-Pub 180393402 1741557491 6 001 Alamo Area Council of Governments Anthony Jalomo Sr. Director of Diasbility Services 2108325078 2102255937 ajalomo@aacog.com 8700 Tesoro Dr. Suite 700 San Antonio TX 782176228 8700 Tesoro Dr. Suite 700 San Antonio TX 782176228 Alamo Area Council of Governments 1741557491 6 001

5 100-13-0000-00185 Pub-Pub 111810101 1741761309 2 000 Unv of Tx HSC at Houston-UTHSC Sponsored Projects Andrew Casas 8323257325 andrew.casas@uth.tmc.edu 6410 Fannin Ste 1500 Houston TX 77030 PO Box 201088 Houston TX 772161088 University of Texas Health Science Ctr at Houston UTHSC 1741761309 2 000

8 100-13-0000-00186 Pub-Pub 133340307 1742822017 6 000 Hill Country Community MHMR dba Hill Country MHDD Linda Werlein Executive Director 8307923300 lwerlein@hillcountry.org 819 Water St Suite 300 Kerrville TX 780285330 819 Water St Suite 300 Kerrville TX 780285330 Hill Country Community MHMR dba hill Country MHDD Centers 1742822017 6 000

8 100-14-0000-00002 Pub-Pub 133339505 1751294432 7 000 Central Texas MHMR Dion White CEO 3256469574 dion@cflr.us 408 Mulberry Street Brownwood TX 768011639 408 Mulberry Street Brownwood TX 768011639 Central Texas MHMR 1751294432 7 000

14 100-14-0000-00003 Pub-Pub 138364812 1751401776 7 014 Permian Basin Community Centers Chris Barnhill Controller 4325708869 ChrisBarnhill@pbmhmr.com 401 E. Illinois Avenue, Suite 401 Midland TX 797014803 401 E. Illinois Avenue, Suite 401 Midland TX 797014803 Permian Basin Community Centers 1751401776 7 014

10 100-14-0000-00004 Pub-Pub 121988304 1752833823 3 000 Lakes Regional MHMR Center John Delaney 9725244159 johnd@LRMHMRC.org 400 Airport Road Terrell TX 751600000 PO Box 747 Terrell TX 751600000 Lakes Regional MHMR Center 1752833823 3 000

18 100-14-0000-00005 Pub-Pub 121988304 1752833823 3 000 Lakes Regional MHMR Center John Delaney 9725244159 johnd@LRMHMRC.org 400 Airport Road Terrell TX 751600000 PO Box 747 Terrell TX 751600012 Lakes Regional MHMR Center 1752833823 3 000

20 100-14-0000-00006 Pub-Pub 121989102 1742944931 1 000 Border Region MHMR Community Center Daniel Castillon 9567943003 danielc@borderregion,org 1500 Pappas Street Laredo TX 78041 PO Box 1835 Laredo TX 780441835 Border Region MHMR Community Center 1742944931 1 000

18 100-14-0000-00007 Pub-Pub 126686802 1756002868 4 003 UT Southwestern Medical Center at Dallas Bruce Meyer, MD 2146489794 bruce.meyer@utsouthwestern.edu 5323 Harry Hines Blvd Dallas TX 753907201 5323 Harry Hines Blvd Dallas TX 753907201 UT Southwestern Medical Center at Dallas 1756002868 4 003

5 100-14-0000-00008 Pub-Pub 132812205 1742577746 7 000 Driscoll Children's Hospital Shane Casady 3616946523 shane.casady@dchstx.org 3533 South Alameda St Corpus Christi TX 784111721 3533 South Alameda St Corpus Christi TX 784111721 Driscoll Children's Hospital 1742577746 7 000

1 100-14-0000-00009 Pub-Pub 111411803 1752486120 4 000 Anderson Cherokee Community MHMR Center (ACCESS) T. Debbs 9035865507 9999999999 TDebbs@accessmhmr.org 913 N Jackson Jacksonville TX 75766 913 N Jackson Jacksonville TX 757663801 Anderson Cherokee Community MHMR Center (ACCESS) 1752486120 4 000

3 100-14-0000-00010 Pub-Pub 158771901 1760454514 9 159 Harris County Anthony Leatherwood Project Management Section Lean 7134396045 7134374608 aleatherwood@hcphes.org 2223 West Loop South Suite 700 Houston TX 77027 1001 Preston St Ste 652 Houston TX 770021816 Harris County 1760454514 9 159

10 100-14-0000-00011 Pub-Pub 126686802 1756002868 4 003 UT Southwestern Medical Center at Dallas Bruce Meyer, MD 2146489794 bruce.meyer@utsouthwestern.edu 5323 Harry Hines Blvd Dallas TX 753907201 5323 Harry Hines Blvd Dallas TX 753907201 UT Southwestern Medical Center at Dallas 1756002868 4 003

2 100-14-0000-00012 Pub-Pub 094092602 3723723723 7 000 University of Texas Medical Branch - Galveston Craig Kovacaevich cskovace@UTMB.EDU 301 University Blvd Galveston TX 775550133 301 University Blvd Galveston TX 775550133 Angleton-Danbury Hospital District 1741612400 0 000

9 200-12-0000-00009 Phys-State 109335301 1756004221 4 002 Dallas County Hospital District dba Parkland Healt PO Box 660599 Dallas 75266-0599 Dallas County Hospital District 1756004221 4 002

3 200-12-0000-00010 Phys-State 153729203 1741536936 6 324 Harris County Hospital District PO Box 66769 Houston 77266-6769 Harris County Hospital District 1741536936 6 324

17 200-12-0000-00011 Phys-State 198523601 3709709709 3 000 TAMUS Health Science Center Jeffrey Burton Associate VP and Assistant Controller (979) 436-9226 jburton@tamhsc.edu 200 Technology Way, Suite 2079 College Station 77845 200 Technology Way, Suite 2079 College Station 77845-3424 TAMUS Health Science Center 3709709709 3 000

12 200-12-0000-00012 Phys-State 084563802 3739739739 1 014 Texas Tech Health Science Center - Amarillo School 1400 S. Coulter Street Amarillo 76106 1400 S Coulter St Amarillo 79106-1786 Texas Tech University Health Science Center 3739739739 1 007

12 200-12-0000-00013 Phys-State 084599202 3739739739 1 007 Texas Tech Health Science Center - Lubbock School PO Box 5868 Lubbock 79408 PO Box 5868 Lubbock 79408-5868 Texas Tech University Health Science Center 3739739739 1 007

14 200-12-0000-00014 Phys-State 081939301 3739739739 1 019 Texas Tech Health Science Center - Odessa 800 W. 4th Street Odessa 79763 800 W. 4th Street Odessa 79763-4368 Texas Tech University Health Science Center 3739739739 1 007

17 200-12-0000-00016 Phys-State 198523601 3709709709 3 000 TAMUS Health Science Center Jeffrey Burton Associate VP and Assistant Controller (979) 436-9226 jburton@tamhsc.edu 200 Technology Way, Suite 2079 College Station 77845 200 Technology Way, Suite 2079 College Station 77845-3424 Brazos County Treasurer 1746000433 0 038

15 250-13-0000-00001 Phys-State 084597603 3774774774 1 000 Texas Tech University Health Sciences Center EL Pa PO Box 9520 El Paso PO Box 9520 El Paso 79995-9520 Texas Tech University Health Science Center 3739739739 1 007

5 250-13-0000-00002 Phys-State 081939301 3739739739 1 019 Texas Tech University Health Sciences Center Odess 800 W 4th Street Odessa 800 W. 4th Street Odessa 79763-4368 Texas Tech University Health Science Center 3739739739 1 007

12 250-13-0000-00003 Phys-State 084563802 3739739739 1 014 Texas Tech University Health Sciences Center AMA 1400 S Coulter St Amarillo 1400 S Coulter St Amarillo 79106-1786 Texas Tech University Health Science Center 3739739739 1 007

12 250-13-0000-00004 Phys-State 084599202 3739739739 1 007 Texas Tech University Health Sciences Center Offic PO Box 5868 Lubbock PO Box 5868 Lubbock 79408-5868 Texas Tech University Health Science Center 3739739739 1 007

17 250-13-0000-00005 Phys-State 198523601 3709709709 3 000 TAMUS Health Science Center 200 Technology Way Ste 2079 College Station 200 Technology Way, Suite 2079 College Station 77845-3424 TAMUS Health Science Center 3709709709 3 000

10 250-13-0000-00006 Phys-State 138980111 3763763763 0 001 UNTHSC at Fort Worth dba Unto Health Medical Recor Jeanie Foster 8177350217 Jeanie.foster@unthsc.edu 3500 Camp Bowie Blvd Fort Worth TX 76107 3500 Camp Bowie Blvd Fort Worth TX 761072644 UNTHSC at Fort Worth dba Unto Health Medical Recor 3763763763 0 003

1 250-13-0000-00007 Phys-State 127278302 1756001354 6 000 University of Texas Health Center at Tyler Daniel Deslatte 11937 US Highway 271 Tyler 11937 US Highway 271 Tyler TX 75708-3154 University of Texas Health Center at Tyler 1756001354 6 000

3 250-13-0000-00008 Phys-State 111810101 3744744744 4 000 UT Health Science Center at Houston PO Box 203382 Houston PO Box 203382 Houston 77216-3382 University of Texas Health Science Center at Houston 3744744744 4 000

3 250-13-0000-00009 Phys-State 091329501 3506506506 8 042 University of Texas MD Anderson Cancer Center 1515 Holcombe Blvd Houston 1515 Holcombe Blvd Houston 77030-4000 University of Texas MD Anderson Cancer Center 3506506506 8 042

2 250-13-0000-00010 Phys-State 109372601 3723723723 7 457 University of Texas Medical Branch - Galveston 301 University Blvd Galveston 77555 301 University Blvd Galveston 77555-5302 University of Texas Medical Branch at Galveston 3723723723 7 457

9 250-13-0000-00011 Phys-State 126686802 3729729729 5 015 UT Southwestern Medical Center 5323 Harry Hines Blvd Dallas 5323 Harry Hines Blvd Dallas 75390-7201 UT Southwestern Medical Center 3729729729 5 015

6 250-13-0000-00012 Phys-State 085144601 1741586031 5 000 UTHSCA dba UT Health Science Center at San Antonio 7703 Floyd Curl Drive San Antonio 7703 Floyd Curl Drive San Antonio 78229-3900 UTHSCA dba UT Health Science Center at San Antonio 3745745745 7 044

9 250-13-0000-00013 Phys-State 127295703 1756004221 4 002 Dallas County Hospital District dba Parkland Healt PO Box 660599 Dallas PO Box 660599 Dallas 75266-0599 Dallas County Hospital District 1756004221 4 002

3 250-13-0000-00014 Phys-State 153729203 1741536936 6 324 Harris County Hospital District PO Box 66769 Houston PO Box 66769 Houston 77266-6769 Harris County Hospital District 1741536936 6 324

10 300-12-0000-00001 Phys-Private 162334001 1161676686 8 000 JPS Physicians Group, Inc. Doris Hunt DHunt01@jpshealth.org PO Box 911294 Dallas TX 75391 PO Box 911294 Dallas TX 75391-1294 Tarrant County Hospital District 1756000439 6 324

12 300-12-0000-00003 Phys-Private 156506101 1710900575 5 002 University Medical Center - Radiology Jeff Dane jeff.dane@unchealthsystem.com PO Box 1888 Greenville TX 754031888 University Medical Center - Radiology 1710900575 5 002

12 300-12-0000-00004 Phys-Private 084570301 1742959748 1 000 UMC EC Physicians Jeff Dane jeff.date@unchealthsystem.com PO Box 5980 Lubbock 79408-5980 UMC EC Physicians 1742959748 1 000

12 300-12-0000-00005 Phys-Private 080217501 1752797658 7 002 University Associates dba PNS Clinic PO Box 16467 Lubbock 79490-6467 University Associates dba PNS Clinic 1752797658 7 002

12 300-12-0000-00006 Phys-Private 104856306 7001030458 5 001 Scott Dahlbeck PO Box 728 Tyler TX 75710-0728 Scott Dahlbeck 2507969633 9 001

12 300-12-0000-00007 Phys-Private 171409901 7001164908 7 001 Carlos Torres MD PO Box 8145 Tyler TX 75711-8145 Carlos Torres MD 2546673691 2 001

6 300-12-0000-00008 Phys-Private 092414401 1742932237 7 002 Community Medicine Associates Sergop Farre Senior Vice President (210) 358-3661 sfarrell@uhs-sa.com 903 West Martin San Antonio TX 78207 527 N Leona St San Antonio TX 78207-3110 University Health System (Bexar County) 1746002164 9 501

8 300-12-0000-00009 Phys-Private 126672804 1742958277 2 012 Scott & White Clinic 2401 S. 31st Street Temple TX 76508 2401 S. 31st Street Temple TX 76508-0001 TAMUS Health Science Center 3709709709 3 000

10 300-12-0000-00010 Phys-Private 291816101 1452317041 4 002 Integrative Emergency Services Physician Group, P. 5201 W. Park Blvd, Suite 100 Plano 5201 W. Park Blvd, Suite 100 Plano 75093-2542 Tarrant County Hospital District 1756000439 6 324

12 300-13-0000-00001 Phys-Private 079877902 1752646477 5 004 UMC Physician Network Services Paul Acreman (806) 761-0333 paul.acreman@umchealthsystem.com 5219 City Bank Pkwy Ste 160 Lubbock 5219 City Bank Pkwy Ste 160 Lubbock 79407-3544 Lubbock County Hospital District 1751301362 7 501

10 350-13-0000-00001 Phys-Private 291816101 1452317041 4 002 Integrative Emergency Services Physician Group, P. Nestor Zenarosa President nrzermd@mac.com 1500 S Main Street Fort Worth TX 761044917 5201 W. Park Blvd, Suite 100 Plano TX 75093-2542 Integrative Emergency Services Physician Group, P.A. 1452317041 4 002

6 350-13-0000-00002 Phys-Private 092414401 1742932237 7 002 Community Medicine Associates 527 N LEONA ST SAN ANTONIO 527 N Leona St San Antonio 78207-3110 Community Medicine Associates 1742932237 7 002

8 350-13-0000-00003 Phys-Private 126672804 1742958277 2 012 Scott & White Clinic 2401 S 31ST ST TEMPLE 2401 S. 31st Street Temple 76508-0001 TAMUS Health Science Center 3709709709 3 000

12 350-13-0000-00004 Phys-Private 171409901 2546673691 2 001 Carlos Torres MD PO BOX 8145 TYLER PO Box 8145 Tyler 75711-8145 Carlos Torres MD 2546673691 2 001

12 350-13-0000-00005 Phys-Private 104856306 2507969633 9 001 Scott Dahlbeck PO BOX 728 TYLER PO Box 728 Tyler 75710-0728 Scott Dahlbeck 2507969633 9 001

12 350-13-0000-00006 Phys-Private 084570301 1742959748 1 000 UMC EC Physicians PO BOX 5980 LUBBOCK PO Box 5980 Lubbock 79408-5980 UMC EC Physicians 1742959748 1 000

12 350-13-0000-00007 Phys-Private 080217501 1752797658 7 002 University Associates dba PNS Clinic PO BOX 16467 LUBBOCK PO Box 16467 Lubbock 79490-6467 University Associates dba PNS Clinic 1752797658 7 002

12 350-13-0000-00008 Phys-Private 156506101 1710900575 5 002 University Medical Center - Radiology PO BOX 1888 GREENVILLE PO Box 1888 Greenville 75403-1888 University Medical Center - Radiology 1710900575 5 002

10 350-13-0000-00009 Phys-Private 163428901 1200152894 7 000 RadCare of Texas PA PO BOX 849073 DALLAS PO Box 849073 Dallas 75284-9073 RadCare of Texas PA 1200152894 7 000

3 350-13-0000-00010 Phys-Private 082006001 1741613878 6 000 Baylor College of Medicine Grants and Contracts De John Burruss, MD 7137988750 jburruss@bcm.edu One Baylor Plaza Ste 181A Houston TX 77030 PO Box 201361 Houston TX 772161361 Texas Higher Education Board 1746016766 5 004

4 400-12-0000-00001 Childrens 132812205 1742577746 7 000 Driscoll Children's Hospital Joe Beck Director of Reimbursement 3616945027 3618082086 Joe.Beck@dchstx.org 3533 South Alameda St Corpus Christi TX 784111721 Driscoll Children's Hospital 1742577746 7 000

6 529-08-0236-00001 Private 297342201 1454112042 5 002 Accord Medical Management LP dba Nix Health Care S John Strieby President and Chief Executive Officer (210) 271-2183 (210) 271-2023 jfs@nixhealth.com 414 Navarro Street Ste 600 San Antonio TX 782052541 University Health System (Bexar County) 1746002164 9 501

2 529-08-0236-00002 Private 094148602 1741303720 5 009 Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon David Parmer Chief Executive Officer (409) 212-5012 (409) 212-5022 david.parmer@mhbh.org 3080 College St. Beaumont TX 77701 PO Box 974599 Dallas TX 753974599 Jefferson County 1746000291 2 052

6 529-08-0236-00003 Private 159156201 1741109741 7 324 Baptist Medical Center (VHS San Antonio Partners) Harold H. Pilgrim, III President and Chief Executive Officer (210) 297-1022 (210) 297-0000 tpilgrim@baptisthealthsystem.com 215 E. Quincy, Ste 200 San Antonio TX 782050000 111 Dallas St San Antonio TX 782051204 University Health System (Bexar County) 1746002164 9 501

9 529-08-0236-00004 Private 094357302 1751765385 7 004 Baylor Ctr for Restorative Care Pediatric Center Frederick Savelsbergh Senior Vice President of Hospital Finance (214) 820-3724 (214) 818-5724 fredsa@baylorhealth.edu 3504 Swiss Avenue Dallas TX 752046224 Dallas County Hospital District 1756004221 4 002

9 529-08-0236-00005 Private 151691601 1752834135 1 001 Baylor Heart & Vascular Center, L.L.P. Frederick Savelsbergh Senior Vice President of Hospital Finance (214) 820-3724 (214) 818-5724 fredsa@baylorhealth.edu 621 N. Hall Street Dallas TX 752261339 Dallas County Hospital District 1756004221 4 002

9 529-08-0236-00007 Private 139485012 1751837454 5 000 Baylor University Medical Center Frederick Savelsbergh Senior Vice President of Hospital Finance (214) 820-3724 (214) 818-5724 fredsa@baylorhealth.edu 3500 GASTON AVE #220 Dallas TX 752462017 Dallas County Hospital District 1756004221 4 002

3 529-08-0236-00008 Private 020817501 1621801359 3 000 CHCA Bayshore LP dba Bayshore Medical Center Lisa Frenkel Vice President & Chief Legal Officer (713) 852-1567 (866) 947-4097 lisa.frenkel@HCAHealthcare.com 4000 Spencer Highway Pasadena TX 775041202 Harris County Hospital District 1741536936 6 324

3 529-08-0236-00009 Private 121807504 1621801360 1 006 CHCA Clear Lake LP dba Clear Lake Regional Medical Lisa Frenkel Vice President & Chief Legal Officer (713) 852-1567 (866) 947-4097 lisa.frenkel@HCAHealthcare.com 500 Medical Center Blvd Webster TX 775984220 Harris County Hospital District 1741536936 6 324

3 529-08-0236-00011 Private 094187402 1621801363 5 005 CHCA West Houston LP dba West Houston Medical Cent Lisa Frenkel Vice President & Chief Legal Officer (713) 852-1567 (866) 947-4097 lisa.frenkel@HCAHealthcare.com 12141 Richmond Ave Houston TX 770822408 Harris County Hospital District 1741536936 6 324

3 529-08-0236-00012 Private 112712802 1621810381 6 003 CHCA Woman's Hosp LP dba Woman's Hospital of Texas Lisa Frenkel Vice President & Chief Legal Officer (713) 852-1567 (866) 947-4097 lisa.frenkel@HCAHealthcare.com 7600 Fannin St Houston TX 770541906 Harris County Hospital District 1741536936 6 324

1 529-08-0236-00013 Private 020976901 1752796815 4 015 Christus Health ARK-LA-TEX dba Christus St. Michae Chris Karam President and Chief Executive Officer (903) 614-2009 (903) 614-2212 chris.karam@christushealth.org 2600 St Michael Drive Texarkana TX 755035218 Bowie County 1756000829 8 003

3 529-08-0236-00014 Private 094198102 1760591592 9 005 Christus Health Gulf Coast dba Christus St. John H Patrick Carrier Chief Executive Officer (713) 391-3031 (713) 391-3035 patrick.carrier@christushealth.org 18300 St John Drive Nassau Bay TX 770586302 Harris County Hospital District 1741536936 6 324

2 529-08-0236-00015 Private 138296208 1760591590 3 002 Christus Hospital (prev St. Elizabeth) Ellen Jones Chief Executive Officer (409) 899-7101 (409) 899-8191 elle.jones@christushealth.org 2830 Calder St Beaumont TX 777021809 Jefferson County 1746000291 2 052

6 529-08-0236-00016 Private 020844901 1741109665 8 501 CHRISTUS Santa Rosa Hospital Don Beeler President and Chief Executive Officer (210) 704-3605 (210) 704-2730 don.beeler@christushealth.org 333 N. Santa Rosa St San Antonio TX 782073108 University Health System (Bexar County) 1746002164 9 501

3 529-08-0236-00017 Private 094225202 1760591592 9 006 CHRISTUS St. Catherine Hospital Patrick Carrier Chief Executive Officer (713) 391-3031 (713) 391-3035 patrick.carrier@christushealth.org 701 South Fwy Katy TX 774502255 Harris County Hospital District 1741536936 6 324

9 529-08-0236-00018 Private 020943901 1621682198 9 003 Columbia Hosp at Med City Dallas Subsid dba Medica Thomas O. Corley Vice President (972) 789-2833 (972) 716-9527 leah.domstead@HCAHealthcare.com 7777 Forest Lane Dallas TX 752302505 Dallas County Hospital District 1756004221 4 002

9 529-08-0236-00019 Private 020979301 1621650582 2 002 Columbia Medical Center of Las Colinas dba Las Col Thomas O. Corley Vice President (972) 789-2833 (972) 716-9527 leah.domstead@HCAHealthcare.com 6800 N Macarthur Blvd Irving TX 750392422 Dallas County Hospital District 1756004221 4 002

5 529-08-0236-00020 Private 112716902 1621656022 3 003 Columbia Rio Grande Healthcare dba Rio Grande Regi Stephen Jones Chief Executive Officer (956) 632-6103 (956) 632-6621 stephen.jones@hcahealthcare.com 101 East Ridge Road McAllen TX 785031248 Hidalgo County 1746000717 6 062

17 529-08-0236-00021 Private 020841501 1621801361 9 003 Conroe Regional Medical Center Maura Walsh Senior Vice President (713) 852-1503 (713) 852-1599 maura.walsh@hcahealthcare.com 504 Medical Center Blvd Conroe TX 773052808 Montgomery County Hospital District 1741772120 0 003

12 529-08-0236-00022 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Dawson County Hospital District 1756005064 7 002

12 529-08-0236-00023 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Hockley County 1756001001 3 009

12 529-08-0236-00024 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Lockney Gen Hosp Dist (W.J. Mangold Mem Hosp) 1751424965 9 000

12 529-08-0236-00025 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 DM Cogdell Memorial Hospital dba Scurry County 1752403687 2 002

12 529-08-0236-00026 Private 094141105 1750711276 5 000 Crosbyton Clinic Hospital Steve Beck CEO (806) 675-8700 (806) 675-2645 steve.beck@crobytonclinichospital.com 710 West Main Street Crosbyton TX 793222143 Crosby County Hospital District 1861165977 4 000

7 529-08-0236-00027 Private 135225404 1741109643 5 031 Daughters of Charity Hlth Srvs dba Seton Medical C Lynn LeBouef President and Chief Executive Officer (512) 324-1902 (512) 459-5629 cbarnett@seton.org 1201 West 38Th Street Austin TX 787051006 Travis County Hospital District 1061730907 4 000

7 529-08-0236-00028 Private 158980601 1741109643 5 026 Daughters of Charity Hlth Srvs dba Seton Northwest Charles Barnett President and Chief Executive Officer (512) 324-1902 (512) 459-5629 cbarnett@seton.org 11113 Research Blvd. Austin TX 787595236 Travis County Hospital District 1061730907 4 000

7 529-08-0236-00029 Private 158977201 1741109643 5 062 Daughters of Charity Hlth Srvs dba Seton Southwest Charles Barnett President and Chief Executive Officer (512) 324-1902 (512) 459-5629 cbarnett@seton.org 7900 FM 1826, Building 1 Austin TX 787371407 Travis County Hospital District 1061730907 4 000

5 529-08-0236-00030 Private 160709501 1742802643 3 002 Doctor's Hospital at Renaissance Susan Turley Chief Financial Officer (956) 661-7469 (956) 632-6621 s.turley@dhr-rgv.com 5501 S McColl Rd Edinburg TX 785399152 Hidalgo County 1746000717 6 062

20 529-08-0236-00031 Private 094186602 1232995413 0 501 Laredo Reg Med Ctr dba Doctor's Hospital of Laredo Elmo Lopez Chief Executive Officer (956) 523-2001 (956) 523-2836 elmo.lopez@uhsinc.com 10700 McPhearson Rd Laredo TX 78045 PO Box 2549 Laredo TX 780442549 Webb County 1746001587 2 025

1 529-08-0236-00033 Private 020812601 1751803325 7 001 East Texas Medical Center Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler TX 75701 POI Box 6400 Tyler TX 757116400 Titus County Hospital District 1756003935 0 501

1 529-08-0236-00036 Private 020812601 1751803325 7 001 East Texas Medical Center Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler TX 75701 PO Box 6400 Tyler TX 757116400 Fairfield Hospital District 1741774669 4 000

1 529-08-0236-00037 Private 020812601 1751803325 7 001 East Texas Medical Center Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler TX 75701 PO Box 6400 Tyler TX 757116400 Franklin County 1756000955 1 003

1 529-08-0236-00041 Private 020812601 1751803325 7 001 East Texas Medical Center Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler TX 75701 PO Box 6400 Tyler TX 757116400 Red River General Hospital Authority 1756002301 6 000

1 529-08-0236-00043 Private 020812601 1751803325 7 001 East Texas Medical Center Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler TX 75701 PO Box 6400 Tyler TX 757117400 Trinity Memorial Hospital Distrct 1760077632 6 000

1 529-08-0236-00044 Private 020812601 1751803325 7 001 East Texas Medical Center Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler TX 75701 PO Box 6400 Tyler TX 757116400 Wood County Central Hospital District 1751249184 0 000  

15 529-08-0236-00050 Private 094109802 1742499952 6 015 El Paso Healthcare System Ltd dba Las Palmas Medic Hank Hernandez Chief Executive Officer 915-521-1200 915-544-5203 1801 North Oregon El Paso TX 799023524 El Paso County Hospital District 1746000756 4 013

20 529-08-0236-00051 Private 110803703 1233044530 0 001 Fort Duncan Medical Center Rene Lopez Chief Executive Officer (830) 773-5321 (830) 758-4861 rene.lopez@uhsinc.com 3333 N. Foster Maldonado Blvd PO Box 844165 Dallas TX 752844165 Maverick County Hospital District 1746000705 1 003

9 529-08-0236-00053 Private 021224301 1621797829 1 002 Green Oaks Hosp Subsidiary dba Green Oaks Hospital Leah Domstead Vice President & Chief Legal Officer (972) 789-2833 (972) 716-9527 leah.domstead@HCAHealthcare.com 7808 Clodus Fields Drive Dallas TX 752512206 Dallas County Hospital District 1756004221 4 002

11 529-08-0236-00057 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Palo Pinto General Hospital District 1751256948 8 008

11 529-08-0236-00058 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Anson General Hospital 1756003659 6 000

11 529-08-0236-00059 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Rolling Plains Memorial Hospital District 1756003896 4 000

11 529-08-0236-00060 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1242 N 19th St Abilene TX 796012316 Eastland Memorial Hospital District 1752313255 7 002

11 529-08-0236-00061 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Graham Regional Medical Center (City of Graham) 1751919268 0 501

5 529-08-0236-00063 Private 135035706 1741393060 7 324 Knapp Medical Center James Summersett Chief Executive Officer (956) 969-5112 (956) 969-2293 jsummersett@knappmed.org 1401 EAST 8TH ST Weslaco TX 78596 1330 E 6th St Weslaco TX 785964204 Hidalgo County 1746000717 6 062

17 529-08-0236-00064 Private 112724302 1621619857 8 002 KPH Consolidation Inc dba Kingwood Medical Center john Armour CFO (713) 852-1534 (713) 852-1599 john.armour@hcahealthcare.com 22999 US Hwy 59 Kingwood TX 773394412 Montgomery County Hospital District 1741772120 0 003

20 529-08-0236-00066 Private 162033801 1200175530 0 005 Laredo Texas Hosp Co dba Laredo Medical Center Abe Martinez Chief Executive Officer (956) 796-3159 (956) 796-3221 abe_martinez@chs.net 1700 E Saunders St Laredo TX 780415474 Webb County 1746001587 2 025

5 529-08-0236-00067 Private 094113001 1233069260 4 501 McAllen Hospitals LP dba Edinburg Regional Medical Douglas A. Matney Group Director (956) 388-2002 (956) 289-2002 doug.matney@uhsrgv.com 1102 W Trenton Rd Edinburg TX 785399105 Hidalgo County 1746000717 6 062

2 529-08-0236-00069 Private 136488705 1741303720 5 012 Baptist Hosp of SE Tx Mem Hermann Baptist Orange Jarren D. Garrett Interim Administrator (409) 512-5000 jarren.garrett@mhbh.org 608 Strickland Drive Orange TX 776304717 Orange County 1746001826 4 028

3 529-08-0236-00071 Private 146509801 1741152597 9 058 Memorial Hermann Hospital Katy Daniel J Wolterman President and Chief Executive Officer 713-456-5550 713-456-5011 Dan.Wolterman@memorialhermann.org 23900 Katy Freeway Katy TX 77494 9301 Southwest Fwy Suite 600 Houston TX 770741518 Harris County Hospital District 1741536936 6 324

3 529-08-0236-00072 Private 020934801 1741152597 9 061 Memorial Hermann Hospital Memorial City Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 921 Gessner Road Houston TX 77024 9301 Southwest Fwy Suite 600 Houston TX 770741518 Harris County Hospital District 1741536936 6 324

3 529-08-0236-00073 Private 137805107 1741152597 9 064 Memorial Hermann Hospital Southwest dba Memorial H Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 6411 Fannin Houston TX 77074 9494 Southwest Freeway STE 600 Houston TX 770741424 Harris County Hospital District 1741536936 6 324

3 529-08-0236-00074 Private 020834001 1741152597 9 501 Memorial Hermann Hospital System (The Woodlands) John Cramer 7133384226 (713) 448-5431 John.Cramer@memorialhermann.org 9494 Southwest Freeway STE 600 Houston TX 770741424 Harris County Hospital District 1741536936 6 324

9 529-08-0236-00075 Private 126679303 1750800661 0 017 Methodist Hosp of Dallas Methodist Charlton Med Ct Michael J. Schaefer Executive Vice President & Chief Financial Officer (214) 947-4510 (214) 947-4501 michaelschaefer@mhd.com 3500 W. Wheatland Road PO Box 911875 Dallas TX 775391875 Dallas County Hospital District 1756004221 4 002

9 529-08-0236-00076 Private 135032405 1750800661 0 017 Methodist Hosp of Dallas Methodist Dallas Med Ctr Michael J. Schaefer Executive Vice President & Chief Financial Officer (214) 947-4510 (214) 947-4501 michaelschaefer@mhd.com PO Box 655999 Dallas TX 752655999 Dallas County Hospital District 1756004221 4 002

6 529-08-0236-00077 Private 121820803 1742730328 8 021 Methodist Hlthcare Sys of SA Methodist Ambulatory Jaime Wesolowski Chief Executive Officer (210) 575-4056 (210) 575-4410 jaime.wesolowski@mhshealth.com 9150 Huebner Rd Ste 100 San Antonio 78240 University Health System (Bexar County) 1746002164 9 501

6 529-08-0236-00078 Private 094154402 1742730328 8 019 Methodist Hlthcare Sys of SA Southwest Texas Metho Jamie Wesolowski Chief Executive Officer (210) 575-4056 (210) 575-4410 jaime.wesolowski@mhshealth.com 7700 Floyd Curl Drive San Antonio TX 782290000 PO Box 406180 Atlanta GA 303846180 University Health System (Bexar County) 1746002164 9 501

5 529-08-0236-00079 Private 112679902 1742206635 1 324 Mission Hospital Inc Javier Iruegas Chief Executive Officer (956) 323-9109 (956) 323-9102 jiruegas@missionrmc.org 900 South Bryan Road Mission TX 785726613 Hidalgo County 1746000717 6 062

1 529-08-0236-00083 Private 141858401 1751976930 5 007 Mother Frances Hospital - Jacksonville William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel Tyler TX 757012025 Titus County Hospital District 1756003935 0 501

1 529-08-0236-00086 Private 094108002 1750818167 8 002 Mother Frances Hospital Regional Healthcare Center William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 800 E Dawson St Tyler TX 75701 PO Box 6997 Tyler TX 757012036 Hopkins County Hospital District 1756001812 3 002 

1 529-08-0236-00089 Private 094108002 1750818167 8 002 Mother Frances Hospital Regional Healthcare Center William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 800 E Dawson St Tyler TX 75701 PO Box 6997 Tyler TX 757012036 Titus County Hospital District 1756003935 0 501

14 529-08-0236-00090 Private 112711003 1621795574 5 001 Odessa Regional Medical Center Stephen Bowerman Chief Financial Officer (432) 582-8102 (432) 582-8911 SBowerman@iasisihealthcare.com 520 E 6th St Odessa TX 797614527 Ector County Hospital District 1752302928 2 501

14 529-08-0236-00091 Private 112711003 1621795574 5 001 Odessa Regional Hospital Stephen Bowerman Chief Financial Officer (432) 582-8102 (432) 582-8911 SBowerman@iasisihealthcare.com 520 E 6th St Odessa TX 797614527 Midland County Hospital District 1751584559 6 000

12 529-08-0236-00096 Private 137343308 1750703337 5 001 Parmer County Community Hospital B. Lance Gatlin Administrator/CEO (806) 250-2754 lgatlin@trhta.net 1307 Cleveland Friona TX 790351121 Parmer County Hospital District 1752383041 6 000 

RHP Affiliation Number Program TPI TIN Provider Contact Title Phone Fax Email Phys Addr Phys City Phys State Phys Zip Mail Addr Mail City Mail State Mail Zip Govt Entity Govt TIN

Hospital Affiliations

9 529-08-0236-00097 Private 020908201 1751047527 4 501 Presbyterian Hospital Of Dallas (TX Health Resourc Jack Roper Sr. Vice President/Finance (817) 462-6260 (817) 462-7203 jackroper@texashealth.org 8200 Walnut Hill Lane Dallas TX 752314426 Dallas County Hospital District 1756004221 4 002

6 529-08-0236-00099 Private 136491104 1621795572 9 002 Southwest General Hospital Richard Gonzalez Chief Executive Officer (210) 921-3515 (210) 921-3508 RDGonzalez@iasishealthcare.com 7400 Barlite Blvd San Antonio TX 782241308 University Health System (Bexar County) 1746002164 9 501

7 529-08-0236-00104 Private 094216102 1742781812 9 040 St David's Hlthcare Partnership dba North Austin M David Wilson Chief Financial Officer (512) 482-4162 (512) 482-4179 david.wilson@stdavids.com 12221 Mopac Expwy N Austin TX 787582401 Travis County Hospital District 1061730907 4 000

8 529-08-0236-00105 Private 020957901 1742781812 9 045 St David's Hlthcare Partnership dba Round Rock Med David Wilson Chief Financial Officer (512) 482-4162 (512) 482-4179 david.wilson@stdavids.com 2400 Round Rock Avenue Round Rock TX 786814004 Williamson County 1746000978 4 000

7 529-08-0236-00106 Private 112717702 1742781812 9 042 St David's Hlthcare Partnership dba South Austin M David Wilson Chief Financial Officer (512) 482-4162 (512) 482-4179 david.wilson@stdavids.com 901 West Ben White Blvd Austin TX 787052703 PO Box 406176 Atlanta GA 303846176 Travis County Hospital District 1061730907 4 000

7 529-08-0236-00107 Private 094160102 1742781812 9 044 St David's Hlthcare Partnership dba St David's Med David Wilson Chief Financial Officer (512) 482-4162 (512) 482-4179 david.wilson@stdavids.com 919 East 32nd St Austin TX 787052703 Travis County Hospital District 1061730907 4 000

3 529-08-0236-00108 Private 181706601 1204835578 3 003 St Joseph Medical Center LLC Patrick Mathews Chief Administrative Officer (713) 756-5376 (713) 657-7123 patrick.mathews@hosptialpartners.com 1401 St. Joseph Parkway Houston TX 770028301 Harris County Hospital District 1741536936 6 324

2 529-08-0236-00109 Private 163925401 1270060569 9 007 The Medical Center of Southeast Texas Mike Landry Chief Executive Officer (409) 853-5900 (409) 853-5910 Mlandry@iasisihealthcare.com 2555 Jimmy Johnson Blvd Port Arthur TX 77640 PO Box 846381 Dallas TX 752846381 Jefferson County 1746000291 2 052

1 529-08-0236-00110 Private 207311601 1751003314 9 002 Wadley Regional Medical Center Mike Lieb EVP/COO-Interim CEO (903) 798-8001 (903) 798-8030 mlieb@wasleyhealth.com 1000 Pine Street Texarkana TX 755015100 Bowie County 1756000829 8 003

17 529-08-0236-00113 Private 189791001 1203069241 7 000 Walker County Hosp Corp. dba Huntsville Memorial Bob Gray Chief Financial Officer (936) 435-2230 (936) 291-4311 bob.gray@huntsvillememorial.com PO Box 731065 Huntsville TX 753731065 Walker County Hospital District 1742086610 9 000

4 529-08-0236-00114 Private 112673204 1742323822 3 002 Yoakum Community Hospital Robert Foret Chief Financial Officer 3612932321 (361) 293-6172 rforet@yoakumhospital.org 1200 Carl Ramert Drive Yoakum TX 77995 PO Box 753 Yoakum TX 779950753 Yoakum Hospital District 1742503806 8 555

9 529-08-0236-00116 Private 121790303 1751037591 2 009 Baylor Medical Centers At Garland and McKinney dba Frederick Savelsbergh Senior Vice President of Hospital Finance (214) 820-3724 (214) 818-5724 fredsa@baylorhealth.edu 2300 Marie Courie Blvd Garland TX 750425706 Dallas County Hospital District 1756004221 4 002

9 529-08-0236-00117 Private 121776204 1752586857 0 000 Baylor Medical Center At Irving Frederick Savelsbergh Senior Vice President of Hospital Finance (214) 820-3724 (214) 818-5724 fredsa@baylorhealth.edu 1901 N. MacArthur Blvd Irving TX 752840000 PO Box 841590 Irving TX 752841590 Dallas County Hospital District 1756004221 4 002

13 529-08-0236-00120 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769035904 Crockett County 1756000895 9 016

12 529-08-0236-00121 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Texas Tech University Health Science Center 1752668014 9 000

12 529-08-0236-00122 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Childress County Hospital District dba Childress Regional Medical Center 1751228349 4 002

12 529-08-0236-00123 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Yoakum County dba Yoakum County Hospital 1756001212 6 009

14 529-08-0236-00124 Private 131043506 1752574581 0 000 Big Spring Hospital Corp. dba Scenic Mountain Medi Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1601 West Eleventh Place Big Spring TX 79720 PO Box 844854 Big Spring TX 797204854 Parker County Hospital District 1751288684 1 002

10 529-08-0236-00126 Private 094178302 1752682017 4 002 Granbury Hospital Corp. dba Lake Granbury Medical Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1310 Paluxy Road Granbury TX 760485655 Parker County Hospital District 1751288684 1 002

6 529-08-0236-00127 Private 121780403 1743011840 0 003 South Texas Regional Medical Center Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1905 Highway 97 E Jourdanton TX 780261504 Parker County Hospital District 1751288684 1 002

16 529-08-0236-00128 Private 133252005 1742425482 3 501 Hill Regional Hospital Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 101 Circle Drive Hillsboro TX 766452670 Parker County Hospital District 1751288684 1 002

11 529-08-0236-00129 Private 020930601 1621762521 5 000 Brownwood Regional Medical Center Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1501 Burnet Drive Brownwood TX 76804 PO Box 760 Brownwood TX 768040760 Parker County Hospital District 1751288684 1 002

2 529-08-0236-00130 Private 112671602 1741385192 8 004 Brazosport Regional Health System Daniel L Buche Chief Executive Officer 979-297-4411 979-297-6905 100 Medical Drive Lake Jackson TX 775665674 Matagorda County Hospital District 1746025069 3 001

17 529-08-0236-00131 Private 020860501 1621762360 8 004 College Station Medical Center Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1604 Rock Prairie College Station TX 778458345 Parker County Hospital District 1751288684 1 002

4 529-08-0236-00132 Private 094118902 1621754940 7 001 DeTar Hospital (Victoria of Tx) Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net PO Box 2089 Victoria TX 779022089 Parker County Hospital District 1751288684 1 002

10 529-08-0236-00133 Private 184409401 1205694301 7 000 Weatherford Tx Hosp Comp Weatherford Reg Med Ctr Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 713 Anderson Street Weatherford TX 760865705 Parker County Hospital District 1751288684 1 002

16 529-08-0236-00134 Private 111829102 1741109636 9 012 Providence Health Services of Waco dba Providence Cheryl Sadro Senior Vice-President, CFO (254) 751-4172 (254) 751-4769 csadro@phn-waco.org 6901 Medical Parkway  Waco 76712 McLennan County 1746002492 4 055

16 529-08-0236-00135 Private 138962907 1741161944 2 004 Hillcrest Baptist Medical Center Richard Perkins Executive Vice President & CFO (254) 202-9448 (254) 202-9441 rperkins@hillcrest.net 100 Hillcrest Medical Blvd Waco 76712 McLennan County 1746002492 4 055

12 529-08-0236-00137 Private 197063401 1260328929 4 001 GPCH LLC dba Golden Plains Community Hospital Dennis Jack Chief Executive Officer 806-273-1106 806-273-1395 ceogpch@goldenplains.org 200 S. McGee Borger TX 790074022 Hutchinson County Hospital District 1752292467 3 001

3 529-08-0236-00139 Private 094198102 1760591592 9 005 Christus Health Gulf Coast dba Christus St. John H Patrick Carrier Chief Executive Officer (713) 391-3031 (713) 391-3035 patrick.carrier@christushealth.org 18300 St John Drive Nassau Bay TX 770586302 Hutchinson County Hospital District 1752292467 3 001

2 529-08-0236-00140 Private 138296208 1760591590 3 002 Christus Hospital (prev St. Elizabeth) Ellen Jones Chief Executive Officer 409-899-7101 409-899-8191 ellen.jones@christushealth.org 2830 Calder Avenue Beaumont 77702 Hutchinson County Hospital District 1752292467 3 001

2 529-08-0236-00142 Private 136488705 1741303720 5 012 Baptist Hosp of SE TX Mem Hermann Baptist Orange Jarren D. Garrett Interim Administrator 409-512-5000 jarren.garrett@mhbh.org 608 Strickland Drive Orange TX 776304717 Hutchinson County Hospital District 1752292467 3 001

2 529-08-0236-00143 Private 136488705 1741303720 5 012 Baptist Hosp of SE TX Mem Hermann Baptist Orange Jarren D. Garrett Interim Administrator (409) 512-5000 jarren.garrett@mhbh.org 608 Strickland Drive Orange TX 776304717 Walker County Hospital District 1742086610 9 000

17 529-08-0236-00145 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 979-776-2458 979-731-8976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022544 Brazos County Treasurer 1746000433 0 038

19 529-08-0236-00146 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 763014307 Clay County Hospital District 1756000727 4 001

19 529-08-0236-00147 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 763014307 Nocona General Hospital District 1751368648 9 001

19 529-08-0236-00148 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 763014307 Wilbarger General Hospital District 1756047638 8 000

11 529-08-0236-00149 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79602 1242 N 19th St Abilene TX 79602316 McCulloch County Hospital District 1741791441 7 004

3 529-08-0236-00150 Private 192751901 1741152597 9 044 Memorial Hermann Hospital System dba Memorial Herm Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 9401 SW Frwy, Ste 337 Houston TX 770741407 Harris County Hospital District 1741536936 6 324

14 529-09-0125-00001 Private 094224503 1752717545 3 004 Big Bend Hosp Corp Big Bend Reg Medical Center Mike Ellis Chief Executive Officer 432-837-0242 432-837-0330 2600 Hwy 118 N Alpine TX 798302002 Big Bend Regional Hospital District 1752717545 3 005

4 529-09-0125-00002 Private 094222902 1741109836 5 030 Christus Spohn Hospital Alice Scott Merryman Chief Executive Officer (361) 881-3210 (361) 884-7276 scott.merryman@christushealth.org 2500 East Main Alice TX 78332 700 Flournoy Rd Alice TX 783324003 Jim Wells County 1746000015 5 555

20 529-09-0125-00003 Private 094186602 1232995413 0 501 Laredo Reg Med Ctr dba Doctor's Hospital of Laredo Elmo Lopez Chief Executive Officer (956) 523-2001 (956) 523-2836 elmo.lopez@uhsinc.com 10700 McPhearson Rd Laredo TX 78045 Maverick County Hospital District 1746000705 1 003

1 529-09-0125-00005 Private 112667403 1750974351 8 004 Harrison County Hospital Association dba Good Shep Russell J. Collier FACHE President/CEO (903) 927-6734 903-315-2479 RCollier@gsmcmarshall.org 811 South Washington Marshall TX 75670 PO Box 1599 Marshall TX 756711599 Harrison County 1756000988 2 019      

11 529-09-0125-00008 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Concho County Hospital District 1751297735 0 002

11 529-09-0125-00009 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 796010000 1242 N 19th St Abilene TX 796012316 Mitchell County Hospital District 1751246488 8 000

11 529-09-0125-00010 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 DM Cogdell Memorial Hospital dba Scurry County 1752403687 2 002

11 529-09-0125-00011 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1242 N 19th St Abilene TX 796012316 Stamford Memorial Hospital (Stamford Memorial Hospital District 1751315205 2 004

13 529-09-0125-00012 Private 206083201 1262294680 9 002 Preferred Hosp Leasing Junction Inc. dba Kimble Ho Angharad Rees Chief Executive Officer 325-446-3321 325-446-3769 349 Reid Rd Junction TX 76849 120 W. MacArthur Street, Suite 121 Shawnee OK 769361246 Kimble County Hospital District 1741622343 0 001

3 529-09-0125-00014 Private 140713201 1760545192 5 001 Methodist Willowbrook Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 18220 Tomball Parkway Houston TX 77070 PO Box 4755 Houston TX 772104755 Gonzales County Hospital District 1741625013 6 501

13 529-09-0125-00015 Private 112693002 1621762476 2 003 San Angelo Community Medical Center Brad Holland Chief Executive Officer (325) 947-6400 (325) 947-6550 brad.holland@sacmc.com 3501 Knickerbocker San Angelo TX 769047610 Tom Green County 1756001184 7 030

13 529-09-0125-00016 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769035904 Ballinger Memorial Hospital District 1752312009 9 001

3 529-09-0125-00017 Private 137949705 1741180155 2 000 The Methodist Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 6565 Fannin Houston Gonzales County Hospital District 1741625013 6 501

19 529-09-0125-00018 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 763014307 Graham Regional Medical Center (City of Graham) 1751919268 0 501

19 529-09-0125-00019 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 763014307 Olney-Hamilton Hospital District 1756001727 3 001

12 529-09-0125-00020 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Plains Memorial Hospital Disproportionate Share Account (Castro County) 1756003939 2 501

3 529-09-0125-00021 Private 094219502 1760545192 5 008 Methodist Sugar Land Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 16655 Southwest Freeway Sugar Land 77479 Gonzales County Hospital District 1741625013 6 501

3 529-09-0125-00022 Private 094219502 1760545192 5 008 Methodist Sugar Land Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 16655 Southwest Freeway Sugar Land 77479 Angleton-Danbury Hospital District 1741612400 0 000

3 529-09-0125-00023 Private 094219502 1760545192 5 008 Methodist Sugar Land Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 16655 Southwest Freeway Sugar Land 77479 Chambers County Hospital District 1760153629 9 003

3 529-09-0125-00024 Private 140713201 1760545192 5 001 Methodist Willowbrook Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 18220 Tomball Parkway Houston TX 77070 PO Box 4755 Houston TX 772104755 Angleton-Danbury Hospital District 1741612400 0 000

3 529-09-0125-00025 Private 140713201 1760545192 5 001 Methodist Willowbrook Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 18220 Tomball Parkway Houston TX 77070 PO Box 4755 Houston TX 770704755 Chambers County Hospital District 1760153629 9 003

13 529-09-0125-00026 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769035904 Tom Green County 1756001184 7 030

3 529-10-0065-00003 Private 137949705 1741180155 2 000 The Methodist Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 6565 Fannin Houston Jackson County Hospital District 1741738475 1 002

3 529-10-0065-00004 Private 094219502 1760545192 5 008 Methodist Sugar Land Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 16655 Southwest Freeway Sugar Land 77479 Jackson County Hospital District 1741738475 1 002

3 529-10-0065-00005 Private 140713201 1760545192 5 001 Methodist Willowbrook Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 18220 Tomball Parkway Houston TX 77070 PO Box 4755 Houston TX 770704755 Jackson County Hospital District 1741738475 1 002

1 529-10-0065-00006 Private 110839103 1621762420 0 005 Longview Medical Center dba Longview Regional Medi Jim Kendrick Chief Executive Officer 903-758-1818 903-758-5176 jim_kendrick@chs.net 2901 N. 4th Street PO Box 14000 Longview TX 756074000 Gregg County 1756000971 8 004

1 529-10-0065-00007 Private 094095902 1751041154 3 015 The Good Shepherd Hospital dba Good Shepherd Medic Edward D. Banos Chief Executive Officer 903-315-2000 903-315-2479 700 East Marshall Ave Longview TX 756015580 Gregg County 1756000971 8 004

13 529-10-0065-00008 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769035904 McCulloch County Hospital District 1741791441 7 004

13 529-10-0065-00009 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769035904 Concho County Hospital District 1751297735 0 002

10 529-10-0065-00010 Private 130614405 1750972805 5 003 Texas Health Arlington Memorial Hospital Kirk King 8179606539 kirkking@texashealth.org 800 W. Randol Mill Road Arlington TX PO Box 910818 Dallas TX 753910818 Tarrant County Hospital District 1756000439 6 324

10 529-10-0065-00011 Private 135036506 1751008430 8 016 Baylor All Saints Medical Center Steven R. Newton FACHE President 817-926-2544 817-927-6226 1400 8th Avenue Fort Worth TX 76101 PO Box 848108 Dallas TX 752848108 Tarrant County Hospital District 1756000439 6 324

10 529-10-0065-00012 Private 127262703 1751777119 6 004 Baylor Regional Medical Center at Grapevine T. Douglas Lawson President 817-481-1588 817-329-2667 1650 West College Grapevine TX 760513565 Tarrant County Hospital District 1756000439 6 324

10 529-10-0065-00013 Private 020950401 1621682201 1 001 Columbia Medical Ctr of Arlington dba Med Ctr Arli Thomas O. Corley Vice President 3301 Matlock Road Arlington TX 760152908 Tarrant County Hospital District 1756000439 6 324

10 529-10-0065-00014 Private 094105602 1621682205 2 000 Columbia North Hills Hospital dba North Hills Hosp Thomas O. Corley Vice President 4401 Booth Calloway Road North Richland Hills TX 761807371 Tarrant County Hospital District 1756000439 6 324

10 529-10-0065-00015 Private 094193202 1621682202 9 005 Columbia Plaza Medical Center of Fort Worth dba Pl Thomas O. Corley Vice President 900 Eighth Avenue Fort Worth TX 761043902 Tarrant County Hospital District 1756000439 6 324

10 529-10-0065-00016 Private 136326908 1752770738 8 010 Texas Health Harris Methodist HEB Deborah A. Paganelli CHE President 817-685-4000 817-685-4890 1600 Hospital Parkway Bedford TX 6th Floor 612 E Lamar Blvd 6th Floor Arlington TX 760114121 Tarrant County Hospital District 1756000439 6 324

10 529-10-0065-00017 Private 127304703 1751748586 2 003 Harris Methodist Northwest Hosp (Azle) Barley Berdan Senior Executive Vice President System 108 Denver Trail Azle TX 760203614 Tarrant County Hospital District 1756000439 6 324

10 529-10-0065-00018 Private 120726804 1752678857 9 002 Harris Methodist Southwest Hospital Brett S. McClung FACHE President 817-433-5000 817-433-6574 6100 Harris Parkway Fort Worth TX 761324101 Tarrant County Hospital District 1756000439 6 324

10 529-10-0065-00019 Private 112677302 1756001743 0 011 Harris Methodist Fort Worth Hospital Oscar L. Amparan FACHE President 817-250-2000 817-250-4655 1301 Pennsylvania Avenue Fort Worth TX 76191 PO Box 916063 Fort Worth TX 761916063 Tarrant County Hospital District 1756000439 6 324

1 529-10-0065-00020 Private 135223905 1751844139 3 001 Baylor Medical Center at Waxahachie Jay Fox CHE President 972-923-7000 972-937-5948 1405 W Jefferson Waxahachie 75165 Dallas County Hospital District 1756004221 4 002

4 529-10-0065-00022 Private 136436606 1742379530 5 002 CHRISTUS Spohn Hospital Kleberg Paul M Trevino Executive Vice President/Administrator 361-595-1661 361-595-9696 1311 East General Cavazos Blvd Kingsville 78363 Kleberg County 1746001523 7 002

12 529-10-0065-00024 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Parmer County Hospital District 1752383041 6 000 

7 529-10-0065-00025 Private 186599001 1741109643 5 007 Seton Healthcare dba Dell Children's Medical Cente Charles Barnett President and Chief Executive Officer (512) 324-1902 (512) 459-5629 cbarnett@seton.org 1201 West 38Th Street Austin TX 78705 PO Box 2301 Austin TX 782982301 Travis County Hospital District 1061730907 4 000

12 529-10-0065-00026 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Crosby County Hospital District 1861165977 4 000

3 529-10-0065-00027 Private 178815001 1203745677 4 003 Signature Gulf Coast Hospital (prev Gulf Coast Med Randy Slack CEO (979) 282-6100 (979) 282-6190 randy.slack@signaturehospital.com 1400 US Highway 59 Loop N Wharton TX 774887807 Sweeny Hospital District 1741498067 6 001

13 529-10-0065-00028 Private 179272301 1203662596 5 000  Preferred Hosp Leasing Eldorado, Inc. dba Schleich Sharon Diez Administrator/CEO 325-853-2507 325-853-3166 PO Box V Eldorado TX 76834 120 W. MacArthur Street, Suite 121 Shawnee OK 769361246 Schleicher County Medical Center 1741616578 9 002

3 529-10-0065-00029 Private 146021401 1741152597 9 036 Memorial Hermann Hospital Sugar Land Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 9401 SW Frwy, Ste 337 Sugar Land TX 77074 PO Box 201367 Houston TX 772161367 Harris County Hospital District 1741536936 6 324

11 529-10-0065-00030 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Haskell County Hospital District 1756001753 9 000

3 529-10-0065-00031 Private 178815001 1203745677 4 003 Signature Gulf Coast Hospital (prev Gulf Coast Med Randy Slack CEO (979) 282-6100 (979) 282-6190 randy.slack@signaturehospital.com 1400 US Highway 59 Loop N Wharton TX 774887807 Childress County Hospital District dba Childress Regional Medical Center 1751228349 4 002

3 529-10-0065-00032 Private 020834001 1741152597 9 501 Memorial Hermann Hospital System (The Woodlands) Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 6411 Fannin Houston TX 77030 9494 Southwest Fwy Ste 600 Houston TX 770301424 Walker County Hospital District 1742086610 9 000

3 529-10-0065-00035 Private 137805107 1741152597 9 064 Memorial Hermann Hospital Southwest dba Memorial H Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 6411 Fannin Houston TX 77030 9301 Southwest Fwy Suite 600 Houston TX 770741518 Walker County Hospital District 1742086610 9 000

3 529-10-0065-00037 Private 146509801 1741152597 9 058 Memorial Hermann Hospital Katy Daniel J Wolterman President and Chief Executive Officer 713-456-5550 713-456-5011 Dan.Wolterman@memorialhermann.org 23900 Katy Freeway Katy TX 77494 9301 Southwest Fwy Suite 600 TX 770741518 Walker County Hospital District 1742086610 9 000

19 529-10-0065-00038 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 763014307 Jack County Hospital District 1756004585 2 003  

3 529-10-0065-00039 Private 020934801 1741152597 9 061 Memorial Hermann Hospital Memorial City Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 921 Gessner Road Houston TX 77030 9301 Southwest Fwy Suite 600 Houston TX 770741518 Walker County Hospital District 1742086610 9 000

19 529-10-0065-00040 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 76301 1600 10th St Wichita Falls TX 763014307 Seymour Hospital (Baylor County HD) 1752299922 0 501

3 529-10-0065-00041 Private 146021401 1741152597 9 036 Memorial Hermann Hospital Sugar Land Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 6411 Fannin Houston 77030 Walker County Hospital District 1742086610 9 000

6 529-10-0065-00044 Private 297342201 1454112042 5 002 Nix Hospitals System LLC dba Nix Health Care Syste John Strieby President and Chief Executive Officer 210-271-2183 210-2712023 jfs@nixhealth.com 414 Navarro Street Ste 600 San Antonio TX 782052541 Dimmit County Memorial Hospital 1741246263 6 000

6 529-10-0065-00045 Private 279342201 1454112042 5 002 Nix Hospitals System LLC dba Nix Health Care Syste John Strieby President and Chief Executive Officer 210-271-2183 210-2712023 jfs@nixhealth.com 414 Navarro Street Ste 600 San Antonio TX 782052541 Uvalde County Hospital Authority 1741603120 5 000

10 529-10-0065-00046 Private 186221101 1750800661 0 011 Methodist Hosp of Dallas Methodist Mansfield Med C Laura L. Irvine FACHE President 682-622-2059 682-622-2051 Mansfield 2700 E. Broad Street Mansfield TX 76063 PO Box 655999 Mansfield TX 752655999 Tarrant County Hospital District 1756000439 6 324

2 529-10-0065-00047 Private 112706003 1760591593 0 001 CHRISTUS Health Southeast Texas dba Jasper Memoria Deborah Wiegand, RN Administrator/CEO 409-384-5461 409-384-4357 1275 Marvin Hancock Drive Jasper 75951 Jasper Hospital District 1741558816 3 555

13 529-10-0065-00048 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Horner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769025904 Coleman County Medical Center 1752428243 5 000

2 529-10-0065-00050 Private 094148602 1741303720 5 009 Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon David Parmer Chief Executive Officer (409) 212-5012 (409) 212-5022 david.parmer@mhbh.org 3080 College St. Beaumont TX 77701 PO Box 974599 Dallas TX 753974599 Rice Hospital District 1760487947 2 002

13 529-10-0065-00053 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Horner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769025904 Fisher County Hospital District 1751433495 6 012

1 529-10-0065-00054 Private 020812601 1751803325 7 001 East Texas Medical Center Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue TX 75701 PO Box 6400 Tyler TX 757116400 Houston County Hospital District 1751285321 3 000

9 529-10-0065-00055 Private 094192402 1621682210 2 002 Columbia Medical Center of Lewisville dba Medical Doug Welch FACHE Chief Executive Officer 972-420-1000 972-420-1073 bonnie.knapper@hcahealthcare.com 500 West Main Street Lewisville TX 750573641 Dallas County Hospital District 1756004221 4 002

9 529-10-0065-00056 Private 111905902 1621682213 6 002 Columbia Medical Center of Denton dba Denton Regio Caleb O'Rear Chief Executive Officer 940-384-3535 940-384-4701 3535 South I-35 East Denton TX 762106850 Dallas County Hospital District 1756004221 4 002

18 529-10-0065-00057 Private 171848801 1820551704 0 000 Baylor Regional Medical Center at Plano 4700 Alliance Blvd Plano Dallas County Hospital District 1756004221 4 002

6 529-10-0065-00058 Private 297342201 1454112042 5 002 Nix Hospitals System LLC dba Nix Health Care Syste John Strieby President and Chief Executive Officer 210-271-2183 210-2712023 jfs@nixhealth.com 414 Navarro Street Ste 600 San Antonio TX 782052541 Frio Hospital District 1741461220 4 000

17 529-10-0065-00059 Private 020841501 1621801361 9 003 Conroe Regional Medical Center Maura Walsh Senior Vice President 713-852-1503 713-852-1599 maura.walsh@hcahealthcare.com 504 Medical Center Blvd Conroe TX 773042808 Galveston County 1746000908 1 007

6 529-10-0065-00065 Private 297342201 1454112042 5 002 Nix Hospitals System LLC dba Nix Health Care Syste John Strieby President and Chief Executive Officer 210-271-2183 210-2712023 jfs@nixhealth.com 414 Navarro Street Ste 600 San Antonio TX 782052541 Medina County Hospital District dba Medina Regional Hospital 1270492434 4 000

13 529-10-0065-00066 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769035904 Reagan Memorial Hospital District 1756003050 8 001

11 529-10-0065-00067 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Stephens Memorial Hospital dba Stephens County Emergency Medic 1756003328 8 001

2 529-10-0065-00073 Private 094148602 1741303720 5 009 Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon David Parmer Chief Executive Officer (409) 212-5012 (409) 212-5022 david.parmer@mhbh.org 3080 College St. Beaumont TX 77701 PO Box 974599 Dallas TX 753974599 Winnie-Stowell Hospital District 1611500560 1 555

20 529-10-0065-00074 Private 162033801 1200175530 0 005 Laredo Texas Hospital Company LP dba Laredo Med Ct Abe Martinez Chief Executive Officer (956) 796-3159 (956) 796-3221 abe_martinez@chs.net 1700 E Saunders St Laredo TX 780415474 Zapata County 1746003078 0 004

12 529-10-0065-00075 Private 126840107 1200929321 3 000 Preferred Hosp Leasing, Inc. dba Collingsworth Gen Candy Powell Administrator 806-447-2521 806-447-2421 1014 15th St Wellington TX 79095 PO Box 1112 Wellington TX 790951112 Collingsworth Hospital District 1751373698 7 001    

13 529-10-0065-00076 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769035904 Schleicher County Medical Center 1741616578 9 002

3 529-10-0065-00077 Private 148698701 1752922928 2 000 Winnie Community Hospital Shalia Hampton Chief Executive Officer 409-296-6000 409-296-6326 538 Broadway Winnie 77665 Winnie-Stowell Hospital District 1611500560 1 555

9 529-10-0065-00078 Private 094140302 1752771437 6 002 Texas Health Presbyterian Hospital Kaufman dba Pre Ron Long CFO 6822367930 972-932-5425 ronlong@texashealth.org 612 E Lamar Blvd Arlington TX 76011 850 Ed Hall Dr Kaufman TX 751421861 Dallas County Hospital District 1756004221 4 002

18 529-10-0065-00079 Private 112698903 1621682207 8 005 Columbia Medical Center of McKinney Thomas O. Corley Vice President (972) 401-8770 (469) 484-1718 thomas.corley@hcahealthcare.com 4500 Medical Center Drive McKinney 75069 Dallas County Hospital District 1756004221 4 002

9 529-10-0065-00080 Private 127311205 1621682203 7 000 Columbia Medical Center of Plano LP-Medical Center Thomas O. Corley Vice President (972) 401-8770 (469) 484-1718 thomas.corley@hcahealthcare.com 3901 West 15th Street Plano Dallas County Hospital District 1756004221 4 002

10 529-10-0065-00081 Private 121794503 1751752253 2 004 Texas Health Harris Mehodist Hospital Stephenville Jack Roper Senior Vice President of Finance 2549651500 jackroper@texashealth.org 411 N. Belknap Stephenville TX 764013415 Tarrant County Hospital District 1756000439 6 324

1 529-10-0065-00082 Private 094207002 1752770738 8 004 Texas Health Presbyterian Hospital of Plano dba Pr Philip M. Wentworth FACHE President 972-981-8000 972-981-8111 6200 West Parker Road Plano 75093 Dallas County Hospital District 1756004221 4 002

11 529-10-0065-00083 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Fisher County Hospital District 1751433495 6 012

9 529-10-0065-00085 Private 020967801 1432008974 2 002 Texas Health Presbyterian Hospital Denton Presbyte Stan C. Morton Chief Executive Officer 940-898-7000 940-898-7071 3000 North I-35 Denton TX 762010000 PO Box 731467 Dallas TX 753731468 Dallas County Hospital District 1756004221 4 002

9 529-10-0065-00086 Private 209345201 1750800661 0 014 Methodist Hosp of Dallas dba Methodist Richardson Richard L. Boring President/CEO 972-498-4000 972-498-4883 401 W. Campbell Road  Richardson TX 750803416 Dallas County Hospital District 1756004221 4 002

7 529-10-0065-00087 Private 094382101 1741109643 5 057 Seton Healthcare dba Seton Shoal Creek Hospital Charles Barnett President and Chief Executive Officer (512) 324-1902 (512) 459-5629 cbarnett@seton.org 3501 Mills Avenue Austin TX 78705 PO Box 47953 San Antonio TX 782658953 Travis County Hospital District 1061730907 4 000

18 529-10-0065-00088 Private 020982701 1752890358 0 007 Texas Health Presbyterian Hospital of Allen Sheila A. McKinney President 972-747-1000 972-747-6099 612 E. Lamar, 6th Floor Arlington TX 760114127 Dallas County Hospital District 1756004221 4 002

18 529-10-0065-00089 Private 193399601 1202848116 1 002 Rockwall Reg Hosp LLC dba Presbyterian Hosp Rockwa Kenneth R. Teel President 469-698-1000 469-698-1501 3150 Horizon Road Rockwall TX 75032 401 E Corporate Dr Ste 290 Lewisville TX 750576434 Dallas County Hospital District 1756004221 4 002

12 529-10-0065-00090 Private 281514401 1264021016 2 000 Lubbock Heritage Hospital dba Grace Medical Center Charley Trimble President (806) 788-4100 2412 50th Street Lubbock TX 794122504 Lynn County Hospital District 1751328354 3 001

3 529-10-0065-00092 Private 212060201 1270565499 9 000 Rice Medical Center Jim Janek 9792345571 jjanek@ricemedicalcenter.net 600 South Austin Road Eagle Lake TX 774340000 PO Box 277 Eagle Lake TX 774340277 Rice Hospital District 1760487947 2 002

6 529-10-0065-00096 Private 204254101 1742730328 8 025 Methodist Stone Oak Hospital 1139 East Sonterra Blvd. San Antonio 78258 University Health System (Bexar County) 1746002164 9 501

3 529-10-0065-00098 Private 192751901 1741152597 9 044 Memorial Hermann Hospital System dba Memorial Herm Jeff Brownawell Chief Revenue Officer 713-448-5715 713-448-5431 jeffrey.brownawell@memorialhermann.org 9401 SW Frwy, Ste 337 Houston TX 770741407 Walker County Hospital District 1742086610 9 000

2 529-10-0065-00099 Private 094164302 1621762558 7 001 Woodland Heights Medical Center Lance Jones Chief Executive Officer 936-634-8311 936-637-8600 505 South John Redditt Drive Lufkin TX 759043120 Sabine County Hospital District 1751656334 7 003

10 529-10-0065-00100 Private 131036903 1751977850 4 006 Texas Health Harris Methodist Hospital Cleburne Jack Roper Senior Vice President of Finance jackroper@texashealth.org 612 E. Lamar, 6th Floor Arlington TX 760114121 Tarrant County Hospital District 1756000439 6 324

1 529-10-0065-00103 Private 094108002 1750818167 8 002 Mother Frances Hospital Regional Healthcare Center William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel Tyler Gainesville Hospital District 1751091664 0 000

5 529-10-0065-00104 Private 094113001 1233069260 4 501 McAllen Hospitals LP dba Edinburg Regional Medical Douglas A. Matney Group Director (956) 388-2002 (956) 289-2002 doug.matney@uhsrgv.com 1102 W Trenton Rd Edinburg TX 785399105 Maverick County Hospital District 1746000705 1 003

1 529-10-0065-00105 Private 094108002 1750818167 8 009 Mother Frances Hospital Regional Healthcare Center William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel Tyler Decatur Hospital Authority dba Wise Regional Health System 1751250450 1 003

1 529-10-0065-00107 Private 127301306 1752771569 6 004 Mother Frances Hospital - Winnsboro William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel St Tyler TX 757012025 Gainesville Hospital District 1751091664 0 000

1 529-10-0065-00108 Private 127301306 1752771569 6 004 Mother Frances Hospital - Winnsboro William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel St Tyler TX 757012025 Decatur Hospital Authority dba Wise Regional Health System 1751250450 1 003

1 529-10-0065-00109 Private 127301306 1752771569 6 004 Mother Frances Hospital - Winnsboro William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel St Tyler TX 757012025 Hopkins County Hospital District 1756001812 3 002 

1 529-10-0065-00110 Private 141858401 1751976930 5 007 Mother Frances Hospital - Jacksonville William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel St Tyler TX 757012025 Gainesville Hospital District 1751091664 0 000

1 529-10-0065-00111 Private 141858401 1751976930 5 007 Mother Frances Hospital - Jacksonville William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel St Tyler TX 757012025 Hopkins County Hospital District 1756001812 3 002 

1 529-10-0065-00112 Private 141858401 1751976930 5 007 Mother Frances Hospital - Jacksonville William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel St Tyler TX 757012025 Decatur Hospital Authority dba Wise Regional Health System 1751250450 1 003

7 529-10-0065-00113 Private 176692501 1743019849 3 001 St. Mark's Medical Center Nathan Staggs Chief Executive Officer 1 Sain Marks Place La Grange TX 789451250 Fayette County 1746001544 3 005 

10 529-10-0065-00114 Private 094205401 1751648589 7 000 Texas Health Specialty Hospital Louise Baldwin Jr FACHE President/CNO 817-250-5500 817-250-5508 612 E. Lamar, 6th Floor Arlington 76011 Tarrant County Hospital District 1756000439 6 324

17 529-10-0065-00115 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 979-776-2458 979-731-8976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022544 Burleson County Hospital District 1741820731 6 555

3 529-10-0065-00116 Private 152686501 1760698013 8 004 Palacios Community Medical Center Kathy Nichols Co-administrator (361) 972-2511 311 Green Avenue Palacios TX 774653213 Matagorda County Hospital District 1746025069 3 001

1 529-10-0065-00117 Private 130612806 1752715084 5 000 East Texas Medical Center, Jacksonville Jack R. Endres, J.D. FACHE Administrator 903-541-5000 903-541-5088 501 South Ragsdale Jacksonville TX 757662434 Atlanta Hospital Authority 1237033240 0 005   

RHP Affiliation Number Program TPI TIN Provider Contact Title Phone Fax Email Phys Addr Phys City Phys State Phys Zip Mail Addr Mail City Mail State Mail Zip Govt Entity Govt TIN

Hospital Affiliations

16 529-10-0065-00118 Private 137075109 1741546619 6 012 Goodall-Witcher Hospital Clarence Fields Jr. President/CEO (254) 675-8322 101 S. Avenue T Clifton TX 76634 PO Box 549 Clifton TX 766340549 Hamilton County Hospital District 1742570068 3 000

16 529-10-0065-00119 Private 111829102 1741109636 9 012 Providence Hlth Srvs of Waco dba St. Catherine Ctr Kent A. Keahey President/CEO (254) 751-4000 6901 Medical Parkway  Waco TX 767127910 Hamilton County Hospital District 1742570068 3 000

3 529-10-0065-00120 Private 127300503 1741161938 4 009 St. Luke's Episcopal Hospital Stephen Pickett Executive Vice President 3100 Main Street, Suite 569 Houston TX 770029312 Angleton-Danbury Hospital District 1741612400 0 000

3 529-10-0065-00121 Private 127300503 1741161938 4 009 St. Luke's Episcopal Hospital Stephen Pickett Executive Vice President 3100 Main Street, Suite 569 Houston TX 770029312 West Wharton County Hospital District 1760488120 5 000

17 529-10-0065-00122 Private 160630301 1760536234 6 005 St. Luke's Community Health Srvs (The Woodlands) Debra D. Sukin Chief Executive Officer (936) 266-2000 3100 Main Street, Suite 569 Houston TX 770029312 Angleton-Danbury Hospital District 1741612400 0 000

17 529-10-0065-00123 Private 160630301 1760536234 6 005 St. Luke's Community Health Srvs (The Woodlands) Debra D. Sukin Chief Executive Officer (936) 266-2000 3100 Main Street, Suite 569 Houston TX 770029312 West Wharton County Hospital District 1760488120 5 000

16 529-10-0065-00124 Private 137075109 1741546619 6 012 Goodall-Witcher Hospital Clarence Fields Jr. President/CEO (254) 675-8322 101 S. Avenue T Clifton TX 76634 PO Box 549 Clifton TX 766340549 Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital 1741857100 0 012

16 529-10-0065-00125 Private 111829102 1741109636 9 012 Providence Health Services of Waco dba Providence Kent A. Keahey President/CEO (254) 751-4000 6901 Medical Parkway  Waco TX 767127910 Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital 1741857100 0 012

17 529-10-0065-00126 Private 160630301 1760536234 6 005 St. Luke's Community Health Srvs (The Woodlands) Debra D. Sukin Chief Executive Officer (936) 266-2000 3100 Main Street, Suite 569 Houston TX 770029312 Calhoun County dba Memorial Medical Center 1746003411 3 000

3 529-10-0065-00127 Private 127300503 1741161938 4 009 St. Luke's Episcopal Hospital Stephen Pickett Executive Vice President 3100 Main Street, Suite 569 Houston TX 770029312 Calhoun County dba Memorial Medical Center 1746003411 3 000

17 529-10-0065-00128 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 979-776-2458 979-731-8976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022544 Grimes County 1746000041 1 000 

12 529-11-0037-00032 Private 127319504 1752428911 7 002 Methodist Children's Hosp dba Covenant Children's Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 Po Box 1201 Lubbock TX 794081201 Reeves County Hospital District 1752301801 2 002

19 529-11-0067-00001 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 763014307 Bowie Memorial Hospital (Bowie Hospital Authority) 1751220799 8 002

2 529-11-0067-00002 Private 094148602 1741303720 5 009 Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon David Parmer Chief Executive Officer (409) 212-5012 (409) 212-5022 david.parmer@mhbh.org 3080 College St. Beaumont TX 77701 PO Box 974599 Dallas TX 753974599 Comanche County Consolidated Hospital District 1751566827 9 000

10 529-11-0067-00005 Private 112701102 1621762428 3 002 Navarro Hospital, L.P., dba Navarro Regional Hospi Xavier Villarreal Chief Executive Officer (903) 654-6805 (903) 654-6955 xavier_villarreal@chs.net 3201 West Highway 22 Corsicana TX 751102450 Navarro County 1756001092 2 011  

8 529-11-0067-00009 Private 194106401 1741109643 5 090 Seton Heatlhcare Mark Hazelwood Chief Executive Officer (512) 324-4000 1345 Philomena St. Ste 362 Austin TX 787233185 Williamson County 1746000978 4 000

6 529-11-0067-00010 Private 127294003 1742557820 4 000 Sid Peterson Memorial Hospital dba Peterson Region Pat Murray CEO (830) 896-4200 551 Hill Country Drive Kerrville 78028 Guadalupe Regional Medical Center 1741386053 1 000

5 529-11-0067-00011 Private 292096901 1741385476 5 016 Valley Baptist Medical Center (Harlingen) Manny Vela Sr. Vice President & Chief Legal Officer (956) 389-4028 (956)389-1129 manuel.vela@valleybaptist.net 2101 Pease Street Harlingen TX 78550 Starr County 1741794256 6 501

5 529-11-0067-00012 Private 094113001 1233069260 4 501 McAllen Hospitals LP dba Edinburg Regional Medical Douglas A. Matney Group Director (956) 388-2002 (956) 289-2002 doug.matney@uhsrgv.com 1102 W Trenton Rd Edinburg TX 785399105 Starr County 1741794256 6 501

5 529-11-0067-00013 Private 292096901 1741385476 5 016 Valley Baptist Medical Center (Harlingen) Manny Vela Sr. Vice President & Chief Legal Officer (956) 389-4028 (956)389-1129 manuel.vela@valleybaptist.net 2101 Pease Street Harlingen TX 78550 Karnes County Hospital District 1741718215 5 002

17 529-11-0067-00014 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 979-776-2458 979-731-8976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022544 South Limestone Hospital District 1741744089 2 007

19 529-11-0067-00015 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 763014307 Stephens Memorial Hospital dba Stephens County Emergency Medic 1756003328 8 001

6 529-11-0067-00016 Private 121780403 1743011840 0 003 Jourdanton Hospital Corp. dba South Texas Regional Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1905 Highway 97 E Jourdanton TX 780261504 Wilson County Hospital District 1742019736 4 555

4 529-11-0067-00017 Private 094118902 1621754940 7 001 Victoria of Texas dba DeTar Hospital Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net PO Box 2089 Victoria TX 779022089 Refugio County Memorial Hospital District 1741915330 3 000

12 529-11-0067-00018 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Childress County Hospital District dba Childress Regional Medical Center 1751228349 4 002

12 529-11-0067-00019 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Collingsworth Hospital District 1751373698 7 001    

12 529-11-0067-00020 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Crane County Hospital District 1352336501 6 555

12 529-11-0067-00021 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1204 Lubbock TX 794081201 Culberson County Hospital District 1201355256 2 003

12 529-11-0067-00022 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Dallam and Hartley Counties Hospital District 1751702162 6 014

12 529-11-0067-00023 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Deaf Smith County Hospital District 1756001297 7 002

12 529-11-0067-00024 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Hansford County Hospital District 1237297190 8 004

12 529-11-0067-00025 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Hardeman County Hospital District 1756002047 5 000

12 529-11-0067-00026 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79401 PO Box 1201 Lubbock TX 794081201 Lamb County dba Lamb Healthcare Center 1752388515 4 010

12 529-11-0067-00027 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Martin County Hospital District 1751300105 1 002

12 529-11-0067-00028 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Moore County Hospital District 1751302152 1 006

12 529-11-0067-00029 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Haskell County Hospital District 1756001753 9 000

12 529-11-0067-00030 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Palo Pinto General Hospital District 1751256948 8 008

12 529-11-0067-00031 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Rankin County Hospital District 1751248028 0 001

12 529-11-0067-00033 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Stephens Memorial Hospital dba Stephens County Emergency Medic 1756003328 8 001

9 529-11-0067-00035 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas TX 752355259 Childress County Hospital District dba Childress Regional Medical Center 1751228349 4 002

9 529-11-0067-00036 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas TX 752357701 Collingsworth Hospital District 1751373698 7 001    

9 529-11-0067-00037 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St Dallas TX 752357701 Crane County Hospital District 1352336501 6 555

9 529-11-0067-00038 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St Dallas TX 752357701 Culberson County Hospital District 1201355256 2 003

9 529-11-0067-00039 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St Dallas TX 752357701 Dallam and Hartley Counties Hospital District 1751702162 6 014

9 529-11-0067-00040 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Moto St. Dallas TX 752357701 Deaf Smith County Hospital District 1756001297 7 002

9 529-11-0067-00041 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St Dallas TX 752357701 Hansford County Hospital District 1237297190 8 004

9 529-11-0067-00042 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St. Dallas TX 752357701 Hardeman County Hospital District 1756002047 5 000

9 529-11-0067-00043 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St Dallas TX 752357701 Haskell County Hospital District 1756001753 9 000

9 529-11-0067-00044 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St. Dallas TX 752357701 Lamb County dba Lamb Healthcare Center 1752388515 4 010

9 529-11-0067-00045 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St Dallas TX 752357701 Martin County Hospital District 1751300105 1 002

9 529-11-0067-00046 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St Dallas TX 752357701 Moore County Hospital District 1751302152 1 006

9 529-11-0067-00047 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St Dallas TX 752357701 Palo Pinto General Hospital District 1751256948 8 008

9 529-11-0067-00048 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St Dallas TX 752357701 Reeves County Hospital District 1752301801 2 002

9 529-11-0067-00049 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St Dallas TX 752357701 Stephens Memorial Hospital dba Stephens County Emergency Medic 1756003328 8 001

9 529-11-0067-00050 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St Dallas TX 752357701 1935 Motor St Dallas TX 752357701 Terry Memorial Hospital District dba Brownfield Regional Medical Center 1751227032 7 006

9 529-11-0067-00051 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Motor St. Dallas TX 752357701 Rankin County Hospital District 1751248028 0 001

10 529-11-0067-00052 Private 314080801 1452694620 8 000 Huguley Memorial Medical Center Kenneth A. Finch President/Chief Executive Officer (817) 293-9110 11801 S. Freeway Fort Worth 76115 Johnson County 1756001030 2 039 

2 529-11-0067-00053 Private 139172412 1750755367 9 023 Memorial Medical Center - Lufkin dba Memorial Heal Bryant Krenek Jr. President/Chief Executive Officer (936) 634-8111 1201 W. Frank Street Lufkin TX 75902 PO Box 1314 Lufkin TX 759021314 San Augustine City-County Hospital District 1751369657 9 001 

2 529-11-0067-00054 Private 139172412 1750755367 9 023 Memorial Medical Center - Lufkin dba Memorial Heal Bryant Krenek Jr. President/Chief Executive Officer (936) 634-8111 1201 W. Frank Street Lufkin Oak Bend Medical Center 1760339462 2 000

12 529-12-0049-00001 Private 322879301 1750800669 3 012 Baptist St. Anthony's Health System Bob Williams Interim Chief Executive Officer (806) 212-2000 1600 Wallace Blvd. Amarillo TX 791061799 Hutchinson County Hospital District 1752292467 3 001

17 529-12-0049-00002 Private 112724302 1621619857 8 002 KPH Consolidation Inc dba Kingwood Medical Center John Armour CFO (713) 852-1534 (713) 852-1599 john.armour@hcahealthcare.com 22999 US Hwy 59 Kingwood TX 773394412 Harris County Hospital District 1741536936 6 324

17 529-12-0049-00003 Private 020841501 1621801361 9 003 Conroe Regional Medical Center Maura Walsh Senior Vice President (713) 852-1503 (713) 852-1599 maura.walsh@hcahealthcare.com 504 Medical Center Blvd Conroe TX 773052808 Harris County Hospital District 1741536936 6 324

17 529-12-0049-00004 Private 210274101 1300427437 2 002 St. Luke's Lakeside Hospital Debra D. Sukin CEO (936) 266-9000 3100 Main Street, Suite 569 Houston 77002 Harris County Hospital District 1741536936 6 324

3 529-12-0049-00005 Private 127300503 1741161938 4 009 St. Luke's Episcopal Hospital Stephen Pickett Executive Vice President (832) 355-1000 3100 Main Street, Suite 569 Houston TX 770029312 Harris County Hospital District 1741536936 6 324

3 529-12-0049-00006 Private 201331001 1204326467 5 000 St. Luke's Sugar Land Hospital Partnership LLP dba Jim Levermann CEO (281) 637-7000 3100 Main Street, Suite 569 Houston TX 77210 PO Box 4406 Houston TX 772104406 Harris County Hospital District 1741536936 6 324

17 529-12-0049-00007 Private 160630301 1760536234 6 005 St. Luke's Community Health Srvs (The Woodlands) Debra D. Sukin Chief Executive Officer (936) 266-2000 6720 Bertner St Houston TX 770302604 Harris County Hospital District 1741536936 6 324

3 529-12-0049-00008 Private 137962006 1741287015 0 003 San Jacinto Methodist Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 4401 Garth Rd Baytown TX 775212122 Harris County Hospital District 1741536936 6 324

3 529-12-0049-00009 Private 094219502 1760545192 5 008 Methodist Sugar Land Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 16655 Southwest Freeway Sugar Land TX 77479 Harris County Hospital District 1741536936 6 324

3 529-12-0049-00010 Private 137949705 1741180155 2 007 Houston Methodist Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 6565 Fannin St #GB2-40 Houston TX 770302703 Harris County Hospital District 1741536936 6 324

3 529-12-0049-00011 Private 140713201 1760545192 5 001 Methodist Willowbrook Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 18220 Tomball Parkway Houston TX 770704349 PO Box 4755 Houston TX 772104755 Harris County Hospital District 1741536936 6 324

13 529-12-0049-00012 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769035904 Pecos County Memorial Hospital 1746002963 4 000

13 529-12-0049-00013 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769035904 Rankin County Hospital District 1751248028 0 001

12 529-12-0049-00014 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Swisher Memorial Healthcare System (County Hospital District) 1452230827 0 002                                  

9 529-12-0049-00015 Private 195018001 1208889358 6 002 Baylor Medical Center at Carrollton Spencer Turner President (972) 492-1010 4343 North Josey Lane Carrollton TX 750104603 Dallas County Hospital District 1756004221 4 002

3 529-12-0049-00016 Private 219386401 1263734516 1 000 St. Luke's Hospital at the Vintage Frank Speidel Vice President/CEO (832) 534-5000 3100 Main Street, Suite 569 Houston 77002 Harris County Hospital District 1741536936 6 324

3 529-12-0049-00017 Private 281028501 1760545192 5 009 Methodist West Houston Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 18500 Katy Freeway Houston 77094 Harris County Hospital District 1741536936 6 324

3 529-12-0049-00018 Private 281219001 1273280598 6 001 St. Luke's Patients Medical Center William Simmons CEO (713) 948-7000 3100 Main Street, Suite 569 Houston 77002 Harris County Hospital District 1741536936 6 324

15 600-12-0000-00001 Private 291854201 1263075429 4 000 El Paso Children's Hospital David Mier Chief Financial Officer (915) 298-5444 4845 Alameda Avenue El Paso TX 799052705 El Paso County Hospital District 1746000756 4 013

10 600-12-0000-00002 Private 121822403 1621789402 7 001 PRHC-Ennis, L.P. dba Ennis Regional Medical Center 2201 West Lampasas Street Ennis 75119 Ellis County 1756000935 3 005

1 600-12-0000-00006 Private 127301306 1752771569 6 004 Mother Frances Hospital - Winnsboro William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel St Tyler TX 757012025 Hunt Memorial Hospital District 1751277293 4 501

1 600-12-0000-00007 Private 141858401 1751976930 5 007 Mother Frances Hospital - Jacksonville William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel St Tyler TX 757012025 Hunt Memorial Hospital District 1751277293 4 501

1 600-12-0000-00008 Private 094108002 1750818167 8 002 Mother Frances Hospital Regional Healthcare Center William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 800 E Dawson St Tyler TX 757012036 PO Box 6997 Tyler TX 757012036 Hunt Memorial Hospital District 1751277293 4 501

1 600-12-0000-00010 Private 208843701 1264123728 9 000 East Texas Medical Center Henderson Byron Hale CFO 9035318010 bhale@etmc.org 1000 S Beckham Ave Tyler TX 75701 300 Wilson Street Henderson TX 756525956 Hunt Memorial Hospital District 1751277293 4 501

1 600-12-0000-00011 Private 020812601 1751803325 7 001 East Texas Medical Center Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler TX 75711 PO Box 6400 Tyler TX 757116400 Hunt Memorial Hospital District 1751277293 4 501

1 600-12-0000-00012 Private 130612806 1752715084 5 000 East Texas Medical Center, Jacksonville Jack R. Endres, J.D. FACHE Administrator 903-541-5000 903-541-5088 501 South Ragsdale Jacksonville 757662434 Hunt Memorial Hospital District 1751277293 4 501

1 600-12-0000-00019 Private 127301306 1752771569 6 004 Mother Frances Hospital - Winnsboro William L. Bellenfant CFO (903) 531-4556 bellenb@tmfhs.org 1021 E. Idel St Tyler TX 757012025 Titus County Hospital District 1756003935 0 501

1 600-12-0000-00021 Private 208843701 1264123728 9 000 East Texas Medical Center Henderson 300 Wilson Street Henderson 75652 Titus County Hospital District 1756003935 0 501

1 600-12-0000-00022 Private 130612806 1752715084 5 000 East Texas Medical Center, Jacksonville Jack R. Endres, J.D. FACHE Administrator 903-541-5000 903-541-5088 501 South Ragsdale Jacksonville TX 757662434 Titus County Hospital District 1756003935 0 501

3 600-12-0000-00023 Private 131044305 1452856063 5 001 Tomball Texas Hospital Company, LLC dba Tomball Re Lynn LeBouef President/Chief Executive Officer (281) 401-7500 605 Holderrieth Street Tomball TX 773756445 Tomball Hospital Authority 1746245428 5 002

3 600-12-0000-00024 Private 139135109 1741100555 0 501 Texas Children's Hospital Mark Wallace President/Chief Executive Officer (832) 824-1000 6621 Fannin Street #4-4440 Houston TX 770302303 Harris County Hospital District 1741536936 6 324

4 600-12-0000-00025 Private 094222902 1741109836 5 030 Christus Spohn Hospital Alice Scott Merryman Chief Executive Officer (361) 881-3210 (361) 884-7276 scott.merryman@christushealth.org 2500 East Main Alice 78332 Kleberg County 1746001523 7 002

10 600-12-0000-00027 Private 094178302 1752682017 4 002 Granbury Hospital Corp. dba Lake Granbury Medical Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1310 Paluxy Road Granbury TX 760485655 Hood County Hospital District 1751397622 9 001  

11 600-12-0000-00028 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Comanche County Consolidated Hospital District 1751566827 9 000

11 600-12-0000-00029 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Throckmorton County Hospital District 1756003473 2 005   

19 600-12-0000-00030 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 763014307 Throckmorton County Hospital District 1756003473 2 005   

12 600-12-0000-00031 Private 322879301 1750800669 3 012 Baptist St. Anthony's Health System Bob Williams Interim Chief Executive Officer (806) 212-2000 1600 Wallace Blvd. Amarillo TX 791061799 Lubbock County Hospital District 1751301362 7 501

11 600-12-0000-00032 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Stonewall Memorial Hospital (County Hospital District) 1751212666 9 007

12 600-12-0000-00033 Private 137245009 1232238976 3 501 UHS @ Amarillo Inc dba Northwest Texas Healthcare Kyle Sanders CEO (806) 354-1110 (806) 212-0272 PO Box 61558 King of Prussia PA 194060958 1501 S. Coulter Road Amarillo TX 79106 Texas Tech University Health Science Center 1752668014 9 000

12 600-12-0000-00034 Private 137245009 1232238976 3 501 UHS @ Amarillo Inc dba Northwest Texas Hospital Kyle Sanders CEO (806) 354-1110 (806) 212-0272 1501 S. Coulter Road Amarillo TX 79106 PO Box 61558 King of Prussia PA 194060958 Lubbock County Hospital District 1751301362 7 501

12 600-12-0000-00035 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Lubbock County Hospital District 1751301362 7 501

12 600-12-0000-00036 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Hansford County Hospital District 1237297190 8 004

12 600-12-0000-00037 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Dallam and Hartley Counties Hospital District 1751702162 6 014

12 600-12-0000-00038 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Deaf Smith County Hospital District 1756001297 7 002

12 600-12-0000-00039 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Moore County Hospital District 1751302152 1 006

12 600-12-0000-00040 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 Lamb County dba Lamb Healthcare Center 1752388515 4 010

18 600-12-0000-00042 Private 169553801 1460477873 9 004 Tenet Frisco Ltd dba Centennial Medical Center Joe Thomason CEO (972) 963-3333 (972) 963-3625 12020 Lebanon Road Frisco TX 750358298 Collin County Government 1756000873 6 018  

14 600-12-0000-00043 Private 112711003 1621795574 5 001 Odessa Regional Medical Center Stephen Bowerman Chief Financial Officer (432) 582-8102 (432) 582-8911 SBowerman@iasisihealthcare.com 520 E 6th St Odessa TX 797614527 Permian Regional Medical Center 1751997880 7 000

4 600-12-0000-00044 Private 094118902 1621754940 7 001 Victoria of Texas dba DeTar Hospital Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net PO Box 2089 Victoria TX 779022089 Nueces County Hospital District 1746000604 6 000

11 600-12-0000-00045 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street TX 79601 1242 N 19th St Abilene TX 796012316 Hamlin Memorial Hospital 1751453952 1 501

15 600-12-0000-00046 Private 196829901 1954537720 2 008 Sierra Providence East Medical Center Sally Steffan CEO (915) 832-3700 (915) 832-2723 3280 Joe Battle Blvd. El Paso TX 799382622 El Paso County Hospital District 1746000756 4 013

6 600-12-0000-00047 Private 020844901 1741109665 8 501 CHRISTUS Santa Rosa Health Care Don Beeler President and Chief Executive Officer 2107043605 2107042730 don.beeler@christushealth.org 333 N. Santa Rosa Ave San Antonio TX 782073108 333 N Santa Rosa Ave San Antonio TX 782073108 Comal County 1746001775 3 029

3 600-12-0000-00048 Private 112718503 1742129954 0 005 New Medical Horizons Ltd dba Cypress Fairbanks Med Terry Wheeler CEO 2818904285 2818905341 10655 Steepletop Drive Houston TX 770654222 10655 Steepletop Drive Houston TX 770654222 Oak Bend Medical Center 1760339462 2 000

15 600-12-0000-00049 Private 133245406 1954537720 2 003 Tent Hospital Limited dba Sierra Medical Center Edmundo Casteneda Chief Executive Officer 9157474000 9157472138 1625 Medical Center Drive El Paso TX 799025005 1625 Medical Center Drive El Paso TX 799025005 El Paso County Hospital District 1746000756 4 013

6 600-12-0000-00050 Private 217884001 1741246263 6 000 Dimmit County Memorial Hospital Alma Melendez Controller 8308762424 8308763501 amelendez487@hotmail.com 704 Hospital Drive Carrizo Springs TX 78834 PO Box 1016 Carrizo Springs TX 788347016 Dimmit Regional Hospital District dba Dimmit Regional Hospital 1271613078 1 000

9 600-12-0000-00051 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO 2144567000 1935 Medical District Drive Dallas TX 75235 1935 Motor Street Dallas TX 752357701 Dallas County Hospital District 1756004221 4 002

13 600-12-0000-00052 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO 3256575303 3256588295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo TX 769035904 120 East Harris Ave. San Angelo TX 769035904 Menard County Hospital District 1742094246 9 001

12 600-12-0000-00053 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President 8067250577 8067237361 gstafford@covhs.org 3615 19th Street Lubbock TX 794101203 3615 19th Street Lubbock TX 794101203 Lubbock County Hospital District 1751301362 7 501

19 600-12-0000-00054 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO 9407643023 9407643352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 763014307 1600 Tenth Street Wichita Falls TX 763014307 Helen Farabee Centers 1751241976 7 000

7 600-12-0000-00055 Private 307459301 1461185754 2 000 Community Care Collaborative Trish Young-Brown CEO 5129788000 (254) 526-3483 Trish.young@centralhealth.net 1111 E Cesar Chavez St Austin TX 787024209 1111 E Cesar Chavez St Austin TX 787024209 Travis County Hospital District 1061730907 4 000

10 600-12-0000-00056 Private 131036903 1751977850 4 006 Texas Health Harris Methodist Hospital Cleburne Jack Roper Senior Vice President of Finance jackroper@texashealth.org 612 E. Lamar, 6th Floor Arlington TX 760114121 612 E. Lamar, 6th Floor Arlington TX 760114121 Johnson County 1756001030 2 039 

14 600-12-0000-00057 Private 131043506 1752574581 0 000 Big Spring Hosp Corp dba Scenic Mtn Medical Cntr Dave Medley Vice President, Group II Operations 6154657030 6153711068 dave_medley@chs.net 1601 West Eleventh Place Big Spring TX 79720 PO Box 844854 Dallas TX 752844854 Ector County Hospital District 1752302928 2 501

8 600-12-0000-00058 Private 094119702 1742225672 1 000 Metroplex Health System Carlyle Walton CEO 2545267523 2545263483 jackroper@texashealth.org 2201 S. Clear Creek Road Killeen TX 76549 PO Box 951555 Dallas TX 753951555 Lampasas County 1746001564 1 007

11 600-12-0000-00059 Private 020930601 1621762521 5 000 Brownwood Regional Medical Centerl Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1501 Burnet Drive Brownwood TX 76804 PO Box 760 Brownwood TX 768040760 Brown County 1756000838 9 033

4 600-12-0000-00060 Private 094118902 1621754940 7 001 Victoria of Texas dba DeTar Hospital Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net PO Box 2089 Victoria TX 779022089 Jackson County Hospital District 1741738475 1 002

17 600-12-0000-00061 Private 020860501 1621762360 8 004 College Station Medical Center Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1604 Rock Prairie College Station TX 778428345 Brazos County Treasurer 1746000433 0 038

4 600-12-0000-00062 Private 094118902 1621754940 7 001 Victoria of Texas dba DeTar Hospital Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net PO Box 2089 Victoria TX 779022089 Goliad County 1746000994 1 005

8 600-12-0000-00063 Private 094119702 1742225672 1 000 Metroplex Health System Carlyle Walton CEO 2545267523 2545263483 2201 S. Clear Creek Road Killeen TX 76549 PO Box 951555 Dallas TX 753951555 Bell County 1746000348 0 048

7 600-12-0000-00064 Private 121789503 1742575462 3 010 Central Texas Medical Center Sam Huenergardt Chief Executive Officer 5123538979 (615) 371-1068 1301 Wonder World Drive San Marcos TX 786667533 1301 Wonder World Drive San Marcos TX 786667533 Hays County 1746002241 5 028

8 600-12-0000-00065 Private 190123302 1203749695 2 002 Scott & White Healthcare- Round Rock Ernie Bovio CEO 5123411000 5122381799 300 University Blvd. Round Rock TX 786651032 300 University Blvd. Round Rock TX 786651032 Williamson County 1746000978 4 000

8 600-12-0000-00066 Private 183086102 1205220791 2 010 Rockdale Blackhawk, LLC dba Little River Healthcar Jeremy Riney CEO 5124464500 5124460084 1700 Brazos Ave Rockdale TX 765672517 1700 Brazos Ave Rockdale TX 765672517 Rockdale Hospital District 1742701699 7 001

8 600-12-0000-00067 Private 094151004 1741109643 5 009 Seton Highland Lakes Robert Bonar President/CEO 5127566000 5127566405 PO Box 1219 Burnet TX 786117219 County of Burnet 1746000454 6 004

8 600-12-0000-00068 Private 137249208 1741166904 1 324 Scott & White Memorial Hospital c/o State Comp Dep Patricia Currie Chief of Hospital Services 2547242111 2547248779 manuel.vela@valleybaptist.net 2401 S. 31st Street Temple TX 76508 2401 S. 31st Street Temple TX 765080001 Bell County 1746000348 0 048

8 600-12-0000-00069 Private 021215102 1201915868 7 001 HMIH Cedar Crest LLC dba Cedar Crest Hospital & RT Steven Rublee CEO (254) 939-2100 (254) 939-2100 3500 Interstate Highway 35 Belton 76513 3500 Interstate Highway 35 Belton 76513-9426 Bell County 1746000348 0 048

8 600-12-0000-00070 Private 220798701 1273026151 3 000 Scott & White Hospital - Llano Kevin Leeper CEO (325) 247-7868 (325) 247-2108 kleeper@llanomemorial.org 200 W. Ollie Street Llano 78643 200 W. Ollie Street Llano 78643-2628 Llano County 1746001626 8 010

8 600-12-0000-00071 Private 220798701 1273026151 3 000 Scott & White Hospital - Llano Kevin Leeper CEO (325) 247-7868 (325) 247-2108 kleeper@llanomemorial.org 200 W. Ollie Street Llano 78643 200 W. Ollie Street Llano 78643-2628 Llano Hospital Authority 1742878130 0 000

8 600-12-0000-00072 Private 149073203 1742225672 1 007 Rollins Brook Community Hospital Russ Weaver CFO (512) 556-3682 (512) 556-8869 russ.weaver@ahss.org 2201 South Clear Creek Road Killeen 76549 2201 South Clear Creek Road Killeen 76550-1106 Lampasas County 1746001564 1 007

11 600-12-0000-00074 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene 79601 1242 N 19th St Abilene 79601-2316 Ector County Hospital District 1752302928 2 501

12 600-12-0000-00075 Private 281514401 1264021016 2 000 Lubbock Heritage Hospital dba Grace Medical Center Charley Trimble President (806) 788-4100 2412 50th Street Lubbock 79412 2412 50th Street Lubbock 79412-2504 Lubbock County Hospital District 1751301362 7 501

8 600-12-0000-00076 Private 192622201 1203904667 2 000 Cedar Park Health System, LP dba Cedar Park Region Brad Holland CEO (512) 528-7001 (512) 289-9772 brad_holland@cedarparkregional.com 1401 Medical Parkway Cedar Park 78613 1401 Medical Parkway Cedar Park 78613-7464 Williamson County 1746000978 4 000

6 600-12-0000-00077 Private 127294003 1742557820 4 000 Sid Peterson Memorial Hospital dba Peterson Region Pat Murray CEO (830) 896-4200 551 Hill Country Drive Kerrville 78028 551 Hill Country Drive Kerrville 78028-6085 Fredericksburg Hospital Authority 1461160553 7 000

5 600-12-0000-00078 Private 160709501 1742802643 3 002 Doctor's Hospital at Renaissance Susan Turley Chief Financial Officer (956) 661-7469 (956) 632-6621 s.turley@dhr-rgv.com 5501 S McColl Rd Edinburg 78539 5501 S. McColl Edinburg 78539-9152 University of Texas Health Science Center at San Antonio 1741586031 5 000

17 600-12-0000-00079 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 979-776-2458 979-731-8976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan 77802 2801 Franciscan Drive Bryan TX 77802-2544 Bellville Hospital District 1760636528 0 555

16 600-12-0000-00080 Private 137075109 1741546619 6 012 Goodall-Witcher Healthcare Foundation Administrati Clarence Fields Jr. President/CEO (254) 675-8322 101 S. Avenue T Clifton TX 76634 PO Box 549 Clifton TX 76634-0549 Goodall-Witcher Hospital Authority 1461020526 3 000

4 600-12-0000-00082 Private 094118902 1621754940 7 001 DeTar Hospital Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 506 E. San Antonio St Victoria 77902 PO Box 2089 Victoria 77902-2089 Gonzales County Hospital District 1741625013 6 501

12 600-12-0000-00083 Private 133258705 1752246348 2 000 Methodist Hosp Levelland dba Covenant Hosp Levella Jerry Osburn CEO (806) 894-4963 (806) 894-4963 1900 College Avenue Levelland 79336 1900 College Avenue Levelland 79336-6508 Hockley County 1756001001 3 009

11 600-12-0000-00084 Private 281406301 1273993262 7 000 Comanche County Medical Center Company Kevin Storey CEO (254) 849-4900 bharrell@comanchecmc.com 10201 Highway 16 North Comanche 76442 10201 Highway 16 Comanche 76442-4462 Comanche County Consolidated Hospital District 1751566827 9 000

5 600-12-0000-00085 Private 294543801 1770634227 0 000 Valley Baptist Medical Center - Brownsville Manny Vela Sr. Vice President & Chief Legal Officer (956) 389-4028 (956)389-1129 manuel.vela@valleybaptist.net 1040 West Jefferson Brownsville 78520 1040 West Jefferson Brownsville 78520-6338 Karnes County Hospital District 1741718215 5 002

RHP Affiliation Number Program TPI TIN Provider Contact Title Phone Fax Email Phys Addr Phys City Phys State Phys Zip Mail Addr Mail City Mail State Mail Zip Govt Entity Govt TIN

Hospital Affiliations

5 600-12-0000-00086 Private 294543801 1770634227 0 000 Valley Baptist Medical Center - Brownsville Manny Vela Sr. Vice President & Chief Legal Officer (956) 389-4028 (956)389-1129 manuel.vela@valleybaptist.net 1040 West Jefferson Brownsville TX 78520 1040 West Jefferson Brownsville TX 78520-6338 Starr County 1741794256 6 501

13 600-12-0000-00089 Private 112693002 1621762476 2 003 San Angelo Community Medical Center Brad Holland Chief Executive Officer (325) 947-6400 (325) 947-6550 brad.holland@sacmc.com 3501 Knickerbocker San Angelo TX 3501 Knickerbocker Road San Angelo TX 76904-7698 Midland County Hospital District 1751584559 6 000

11 600-12-0000-00090 Private 020930601 1621762521 5 000 Brownwood Regional Medical Center Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1501 Burnet Drive Brownwood 76804 PO Box 760 Brownwood 76804-0760 Midland County Hospital District 1751584559 6 000

14 600-12-0000-00091 Private 131043506 1752574581 0 000 Big Spring Hospital Corp. dba Scenic Mountain Medi Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1601 West Eleventh Place Big Spring 79720 PO Box 844854 Dallas 75284-4854 Midland County Hospital District 1751584559 6 000

4 600-12-0000-00092 Private 020811801 1741109836 5 028 Christus Spohn Hospital Beeville Bruce Holstein President and Chief Executive Officer (361) 354-2000 (361) 358-9322 1500 East Houston Highway Beeville TX 78102 1500 East Houston St. Beeville TX 78102-5312 Nueces County Hospital District 1746000604 6 000

11 600-12-0000-00093 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO (325) 670-2182 (325) 670-2209 skimmel@hendrickhealth.org 1900 Pine Street Abilene 79601 1242 N 19th St Abilene 79601-2316 Taylor County 1756001173 0 004

4 600-12-0000-00094 Private 094222902 1741109836 5 030 Christus Spohn Hospital Alice Scott Merryman Chief Executive Officer (361) 881-3210 (361) 884-7276 scott.merryman@christushealth.org 2500 East Main Alice TX 78332 700 Flournoy Rd Alice TX 78332-4003 Nueces County Hospital District 1746000604 6 000

14 600-12-0000-00095 Private 094224503 1752717545 3 004 Big Bend Hosp Corp Big Bend Reg Medical Center Mike Ellis Chief Executive Officer 432-837-0242 432-837-0330 2600 Hwy 118 N Alpine 79830 2600 Hwy 118 N Alpine 79830-2002 Midland County Hospital District 1751584559 6 000

14 600-12-0000-00096 Private 094224503 1752717545 3 004 Big Bend Hosp Corp Big Bend Reg Medical Center Mike Ellis Chief Executive Officer 432-837-0242 432-837-0330 2600 Hwy 118 N Alpine 79830 2600 Hwy 118 N Alpine 79830-2002 Ector County Hospital District 1752302928 2 501

3 600-12-0000-00098 Private 020834001 1741152597 9 501 Memorial Hermann Hospital System (The Woodlands) Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 6411 Fannin Houston 77030 9494 Southwest Freeway STE 600 Houston 77074-1424 Citizens Medical Center 1741698143 3 011

3 600-12-0000-00099 Private 020934801 1741152597 9 061 Memorial Hermann Hospital Memorial City Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 921 Gessner Road Houston 77024 9301 Southwest Freeway STE 600 Houston 77074-1518 Citizens Medical Center 1741698143 3 011

3 600-12-0000-00100 Private 146509801 1741152597 9 058 Memorial Hermann Hospital Katy Daniel J Wolterman President and Chief Executive Officer 713-456-5550 713-456-5011 Dan.Wolterman@memorialhermann.org 23900 Katy Freeway Katy TX 77494 9301 Southwest Freeway STE 600 Houston TX 77074-1518 Citizens Medical Center 1741698143 3 011

3 600-12-0000-00101 Private 192751901 1741152597 9 044 Memorial Hermann Hospital System dba Memorial Herm Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 9401 SW Frwy, Ste 337 Houston 77074 9401 Southwest Freeway, Ste 337 Houston 77074-1407 Citizens Medical Center 1741698143 3 011

3 600-12-0000-00102 Private 137805107 1741152597 9 064 Memorial Hermann Hospital Southwest dba Memorial H Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 6411 Fannin Houston TX 77030 9301 Southwest Freeway STE 600 Houston TX 77074-1518 Citizens Medical Center 1741698143 3 011

3 600-12-0000-00103 Private 146021401 1741152597 9 036 Memorial Hermann Hospital Sugar Land Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 9401 SW Frwy, Ste 337 Sugar Land TX 77074 PO Box 201367 Houston TX 77216-1367 Citizens Medical Center 1741698143 3 011

6 600-12-0000-00104 Private 112742503 1741153067 2 005 Clarity Child Guidance Center Michael D. Bernick Vice President - Finance (210) 582-6476 (210) 582-6463 BernickM@claritycgc.org 8535 Tom Slick Drive San Antonio 78229 8535 Tom Slick Drive San Antonio TX 78229-3367 University Health System (Bexar County) 1746002164 9 501

9 600-12-0000-00105 Private 195018001 1208889358 6 002 Baylor Medical Ctr Carrollton Spencer Turner President (972) 492-1010 4343 North Josey Lane Carrollton 75010 4343 North Josey Lane Carrollton 75010-4603 Denton County dba Denton County Health Department 1756000920 5 010

13 600-12-0000-00106 Private 322916301 1741791441 7 002 McCulloch County Hospital District dba Heart of Tx Ed Watson CFO (325) 597-2901 (325) 597-2280 ewatson@bradyhospital.com 2008 Nine Road Brady TX 76825 PO Box 1150 Brady TX 76825-1150 McCulloch County Hospital District 1741791441 7 004

4 600-12-0000-00109 Private 132812205 1742577746 7 000 Driscoll Children's Hospital Joe Beck Director of Reimbursement 3616945027 3618082086 Joe.Beck@dchstx.org 3533 South Alameda St Corpus Christi 3533 South Alameda St Corpus Christi 78411-1721 Nueces County Hospital District 1746000604 6 000

18 600-12-0000-00110 Private 194997601 1205908627 7 001 UHS Texoma, Inc. dba Texoma Medical Center Ron Seal CEO (903) 416-6400 (903) 416-4129 5016 South US Hwy 75 Denison 75020 PO Box 9001 Denison 75021-9001 Grayson County 1756000969 2 010

4 600-12-0000-00111 Private 136436606 1742379530 5 002 CHRISTUS Spohn Hospital Kleberg Paul M Trevino Executive Vice President/Administrator 361-595-1661 361-595-9696 1311 East General Cavazos Blvd Kingsville 78363 1300 General Cavazos Blvd Kingsville 78363-7116 Nueces County Hospital District 1746000604 6 000

2 600-12-0000-00112 Private 136488705 1741303720 5 012 Baptist Hosp of SE TX Mem Hermann Baptist Orange Jarren D. Garrett Interim Administrator (409) 512-5000 jarren.garrett@mhbh.org 608 Strickland Drive Orange 77630 608 Strickland Drive Orange 77630-4717 Rice Hospital District 1760487947 2 002

10 600-12-0000-00113 Private 021184901 1752051646 3 324 Cook-Fort Worth Children's Medical Center Rick Merrill CEO (682) 885-4000 (682) 885-4000 801 Seventh Avenue Fort Worth 76104 801 Seventh Avenue Fort Worth 76104-2733 Tarrant County Hospital District 1756000439 6 324

3 600-12-0000-00114 Private 146509801 1741152597 9 058 Memorial Hermann Hospital Katy Daniel J Wolterman President and Chief Executive Officer 713-456-5550 713-456-5011 Dan.Wolterman@memorialhermann.org 23900 Katy Freeway Katy TX 77494 9301 Southwest Freeway STE 600 Houston TX 78411-1822 University of Texas Health Science Center at Houston 3744744744 4 000

3 600-12-0000-00115 Private 192751901 1741152597 9 044 Memorial Hermann Hospital System dba Memorial Herm Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 9401 SW Frwy, Ste 337 Houston 77074 9401 Southwest Freeway, Ste 337 Houston 77074-1407 University of Texas Health Science Center at Houston 3744744744 4 000

3 600-12-0000-00116 Private 146021401 1741152597 9 036 Memorial Hermann Hospital Sugar Land Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 9401 SW Frwy, Ste 337 Sugar Land TX 77074 PO Box 201367 Houston TX 77307-1367 University of Texas Health Science Center at Houston 3744744744 4 000

3 600-12-0000-00117 Private 137805107 1741152597 9 064 Memorial Hermann Hospital Southwest dba Memorial H Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 6411 Fannin Houston TX 77030 9301 Southwest Freeway STE 600 Houston TX 77074-1518 University of Texas Health Science Center at Houston 3744744744 4 000

3 600-12-0000-00118 Private 020834001 1741152597 9 501 Memorial Hermann Hospital System (The Woodlands) Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 6411 Fannin Houston TX 77030 9494 Southwest Freeway STE 600 Houston TX 77074-1424 University of Texas Health Science Center at Houston 3744744744 4 000

3 600-12-0000-00119 Private 020934801 1741152597 9 061 Memorial Hermann Hospital Memorial City Jeff Brownawell Chief Revenue Officer (713) 448-5715 (713) 448-5431 jeffrey.brownawell@memorialhermann.org 921 Gessner Road Houston TX 77024 9301 Southwest Freeway STE 600 Houston TX 77074-1518 University of Texas Health Science Center at Houston 3744744744 4 000

12 600-12-0000-00120 Private 127263503 1752426010 0 000 Covenant Hospital Plainview Alan King President (806) 296-5531 (806) 293-1885 2601 Dimmitt Road Plainview 79072 2601 Dimmitt Road Plainview 79072-1833 Hale County Hospital Authority 1756057082 6 001

9 600-12-0000-00121 Private 094194002 1954537720 2 011 Doctor's Hospital at White Rock Lake G. Scott Manis CEO (214) 324-6100 (214) 324-0612 9440 Poppy Drive Dallas TX 75218 9440 Poppy Drive Dallas TX 75218-3652 Dallas County Hospital District 1756004221 4 002

12 600-12-0000-00123 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock 79410 3615 19th Street Lubbock 79410-1203 Seminole Hospital District of Gaines County (Memorial Hospital) 1751362671 7 501

12 600-12-0000-00124 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock 79410 3615 19th Street Lubbock 79410-1203 Lynn County Hospital District 1751328354 3 001

19 600-12-0000-00125 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 76301 1600 Tenth Street Wichita Falls TX 76301-4307 Electra Memorial Hospital (Electra Hospital District) 1756219138 1 002

19 600-12-0000-00126 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls 76301 1600 Tenth Street Wichita Falls 76301-4307 Gainesville Hospital District 1751091664 0 000

12 600-12-0000-00128 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock 79410 PO Box 1201 Lubbock 79408-1201 Decatur Hospital Authority dba Wise Regional Health System 1751250450 1 003

12 600-12-0000-00129 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock 79410 PO Box 1201 Lubbock 79408-1201 Ector County Hospital District 1752302928 2 501

16 600-12-0000-00130 Private 111829102 1741109636 9 012 Providence Health Services of Waco dba Saint Cath Kent A. Keahey President/CEO (254) 751-4000 6901 Medical Parkway  Waco TX 767127910 6901 Medical Parkway Waco TX 76712-7910 Goodall-Witcher Hospital Authority 1461020526 3 000

9 600-12-0000-00131 Private 020967801 1432008974 2 002 Texas Health Denton (TX Health Presby Hosp Denton Stan C. Morton Chief Executive Officer 940-898-7000 940-898-7071 3000 North I-35 Denton 76201 PO Box 731467 Dallas 75373-1468 Denton County dba Denton County Health Department 1756000920 5 010

12 600-12-0000-00133 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock TX 79410 3615 19th Street Lubbock TX 79410-1203 Collingsworth Hospital District 1751373698 7 001    

3 600-12-0000-00134 Private 137949705 1741180155 2 018 The Methodist Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 6565 Fannin Houston 6565 Fannin St. STE M1-001 Houston 77030-2703 Chambers County Hospital District 1760153629 9 003

6 600-12-0000-00135 Private 112688002 1741461220 4 000 Frio Regional Hospital Rhett Fricke CFO (830) 334-3617 (830) 334-9800 rfricke@trhta.net 200 S IH 35 Pearsall 78061 200 S IH 35 Pearsall 78061-6601 Frio Hospital District 1741461220 4 000

3 600-12-0000-00136 Private 127300503 1741161938 4 009 St. Luke's Episcopal Hospital Stephen Pickett Executive Vice President 3100 Main Street, Suite 569 Houston 77002 3100 Main Street Suite 569 Houston TX 77002-9312 Liberty County Hospital District #1 1202797853 0 000

3 600-12-0000-00137 Private 137949705 1741180155 2 018 The Methodist Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 6565 Fannin Houston 6565 Fannin St. STE M1-001 Houston 77030-2703 Angleton-Danbury Hospital District 1741612400 0 000

3 600-12-0000-00138 Private 137962006 1741287015 0 003 San Jacinto Methodist Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 4401 Garth Rd Baytown 4401 Garth Rd Baytown 77521-2122 Jackson County Hospital District 1741738475 1 002

3 600-12-0000-00139 Private 137962006 1741287015 0 003 San Jacinto Methodist Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 4401 Garth Rd Baytown 4401 Garth Rd Baytown 77521-2122 Chambers County Hospital District 1760153629 9 003

3 600-12-0000-00140 Private 137962006 1741287015 0 003 San Jacinto Methodist Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 4401 Garth Rd Baytown 4401 Garth Rd Baytown 77521-2122 Gonzales County Hospital District 1741625013 6 501

17 600-12-0000-00141 Private 160630301 1760536234 6 005 St. Luke's Community Health Srvs (The Woodlands) Debra D. Sukin Chief Executive Officer (936) 266-2000 3100 Main Street, Suite 569 Houston TX 77002 3100 Main Street, Suite 569 Houston TX 77002-9312 Liberty County Hospital District #1 1202797853 0 000

3 600-12-0000-00142 Private 201331001 1204326467 5 000 St. Luke's Sugar Land Hospital Partnership LLP dba Jim Levermann CEO (281) 637-7000 3100 Main Street, Suite 569 Houston 77002 Po Box 4406 Houston 77210-4406 Angleton-Danbury Hospital District 1741612400 0 000

3 600-12-0000-00143 Private 201331001 1204326467 5 000 St. Luke's Sugar Land Hospital Partnership LLP dba Jim Levermann CEO (281) 637-7000 3100 Main Street, Suite 569 Houston 77002 Po Box 4406 Houston 77210-4406 Calhoun County dba Memorial Medical Center 1746003411 3 000

3 600-12-0000-00144 Private 201331001 1204326467 5 000 St. Luke's Sugar Land Hospital Partnership LLP dba Jim Levermann CEO (281) 637-7000 3100 Main Street, Suite 569 Houston 77002 Po Box 4406 Houston 77210-4406 Liberty County Hospital District #1 1202797853 0 000

3 600-12-0000-00145 Private 201331001 1204326467 5 000 St. Luke's Sugar Land Hospital Partnership LLP dba Jim Levermann CEO (281) 637-7000 3100 Main Street, Suite 569 Houston 77002 Po Box 4406 Houston 77210-4406 West Wharton County Hospital District 1760488120 5 000

17 600-12-0000-00146 Private 210274101 1300427437 2 002 St. Luke's Lakeside Hospital Debra D. Sukin CEO (936) 266-9000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 Angleton-Danbury Hospital District 1741612400 0 000

17 600-12-0000-00147 Private 210274101 1300427437 2 002 St. Luke's Lakeside Hospital Debra D. Sukin CEO (936) 266-9000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 Calhoun County dba Memorial Medical Center 1746003411 3 000

17 600-12-0000-00148 Private 210274101 1300427437 2 002 St. Luke's Lakeside Hospital Debra D. Sukin CEO (936) 266-9000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 Liberty County Hospital District #1 1202797853 0 000

17 600-12-0000-00149 Private 210274101 1300427437 2 002 St. Luke's Lakeside Hospital Debra D. Sukin CEO (936) 266-9000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 West Wharton County Hospital District 1760488120 5 000

3 600-12-0000-00150 Private 219386401 1263734516 1 000 St. Luke's Hospital at the Vintage LLC Frank Speidel Vice President/CEO (832) 534-5000 3100 Main Street, Suite 569 Houston 77002 20171 Chasewood Park Dr Houston 77070-1437 Angleton-Danbury Hospital District 1741612400 0 000

3 600-12-0000-00151 Private 219386401 1263734516 1 000 St. Luke's Hospital at the Vintage LLC Frank Speidel Vice President/CEO (832) 534-5000 3100 Main Street, Suite 569 Houston 77002 20171 Chasewood Park Dr Houston 77070-1437 Calhoun County dba Memorial Medical Center 1746003411 3 000

3 600-12-0000-00152 Private 219386401 1263734516 1 000 St. Luke's Hospital at the Vintage LLC Frank Speidel Vice President/CEO (832) 534-5000 3100 Main Street, Suite 569 Houston 77002 20171 Chasewood Park Dr Houston 77070-1437 Liberty County Hospital District #1 1202797853 0 000

3 600-12-0000-00153 Private 219386401 1263734516 1 000 St. Luke's Hospital at the Vintage LLC Frank Speidel Vice President/CEO (832) 534-5000 3100 Main Street, Suite 569 Houston 77002 20171 Chasewood Park Dr Houston 77070-1437 West Wharton County Hospital District 1760488120 5 000

3 600-12-0000-00154 Private 281028501 1760545192 5 009 Methodist West Houston Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 18500 Katy Freeway Houston 77094 18500 Katy Freeway Ste 3641 Houston 77094-1110 Angleton-Danbury Hospital District 1741612400 0 000

3 600-12-0000-00155 Private 281028501 1760545192 5 009 Methodist West Houston Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 18500 Katy Freeway Houston 77094 18500 Katy Freeway Ste 3641 Houston 77094-1110 Jackson County Hospital District 1741738475 1 002

3 600-12-0000-00156 Private 281028501 1760545192 5 009 Methodist West Houston Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 18500 Katy Freeway Houston 77094 18500 Katy Freeway Ste 3641 Houston 77094-1110 Chambers County Hospital District 1760153629 9 003

3 600-12-0000-00157 Private 281028501 1760545192 5 009 Methodist West Houston Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 18500 Katy Freeway Houston 77094 18500 Katy Freeway Ste 3641 Houston 77094-1110 Gonzales County Hospital District 1741625013 6 501

3 600-12-0000-00158 Private 281219001 1273280598 6 001 St. Luke's Patients Medical Center William Simmons CEO (713) 948-7000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 Angleton-Danbury Hospital District 1741612400 0 000

3 600-12-0000-00159 Private 281219001 1273280598 6 001 St. Luke's Patients Medical Center William Simmons CEO (713) 948-7000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 Calhoun County dba Memorial Medical Center 1746003411 3 000

3 600-12-0000-00160 Private 281219001 1273280598 6 001 St. Luke's Patients Medical Center William Simmons CEO (713) 948-7000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 Liberty County Hospital District #1 1202797853 0 000

3 600-12-0000-00161 Private 281219001 1273280598 6 001 St. Luke's Patients Medical Center William Simmons CEO (713) 948-7000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 West Wharton County Hospital District 1760488120 5 000

13 600-12-0000-00162 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo 76903 120 E Harris Ave San Angelo 76903-5904 Kimble County Hospital District 1741622343 0 001

7 600-12-0000-00163 Private 286326801 1741109643 5 035 Seton Healthcare dba Seton Smithville Regional Hos Robert Bonar President/CEO (512) 237-3214 (512) 237-5746 800 E. Highway 71 Smithville 78957 800 E. Highway 71 Smithville 78957-1730 Smithville Hospital Authority 1741706734 9 000

17 600-12-0000-00164 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 979-776-2458 979-731-8976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan 77802 2801 Franciscan Drive Bryan 77802-2544 TAMUS Health Science Center 3709709709 3 000

4 600-12-0000-00165 Private 094118902 1621754940 7 001 DeTar Hospital Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 506 E. San Antonio St Victoria 77902 PO Box 2089 Victoria 77902-2089 TAMUS Health Science Center 3709709709 3 000

7 600-12-0000-00166 Private 186599001 1741109643 5 007 Seton Family of Hospitals dba Dell Children's Medi Charles Barnett President and Chief Executive Officer (512) 324-1902 (512) 459-5629 cbarnett@seton.org 1201 West 38Th Street Austin TX 78705 PO Box 2301 San Antonio TX 78298-2301 Austin Independent School District 1746000064 3 004

7 600-12-0000-00167 Private 137265806 1741109643 5 000 Seton Healthcare dba University Medical Center at Robert Bonar President/CEO (512) 756-6000 (512) 756-6405 601 E. 15th Street Austin 78701 601 E. 15th Street Austin 78701-1930 Travis County Hospital District 1061730907 4 000

4 600-12-0000-00168 Private 020973601 1752387418 2 003 Corpus Christi Medical Center Edward H. Lamb Chief Executive Officer (361) 761-1501 3315 Alameda St. Corpus Christi 78412 3315 Alameda St. Corpus Christi 78411-1820 Nueces County Hospital District 1746000604 6 000

2 600-12-0000-00169 Private 112706003 1760591590 3 001 CHRISTUS Health Southeast Texas dba Jasper Memoria Deborah Wiegand, RN Administrator/CEO 409-384-5461 409-384-4357 1275 Marvin Hancock Drive Jasper 75951 1275 Marvin Hancock Drive Jasper 75951-4935 Tyler County Hospital 1746067306 8 001

2 600-12-0000-00170 Private 138296208 1760591590 3 002 Christus Health Southeast Texas dba Christus St. E Ellen Jones Chief Executive Officer 409-899-7101 409-899-8191 ellen.jones@christushealth.org 2830 Calder Avenue Beaumont 77702 2830 Calder St. Beaumont 77702-1809 Tyler County Hospital 1746067306 8 001

3 600-12-0000-00171 Private 137962006 1741287015 0 003 San Jacinto Methodist Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance (832) 667-6022 (832) 667-5903 bcurran@tmhs.org 4401 Garth Rd Baytown 4401 Garth Rd Baytown 77521-2122 Angleton-Danbury Hospital District 1741612400 0 000

17 600-12-0000-00172 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 979-776-2458 979-731-8976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan 77802 2801 Franciscan Drive Bryan 77802-2544 Madison County 1746001672 2 017

7 600-12-0000-00173 Private 208013701 1741109643 5 027 Seton Healthcare dba Seton Medical Center Hays Thomas Gallagher President/CEO (512) 504-5000 6001 Kyle Parkway Kyle 78640 6001 Kyle Parkway Kyle 78640-6112 City of Luling 1746001645 8 007

19 600-12-0000-00174 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO (940) 764-3023 (940) 764-3352 bpert@urhcs.org 1600 Tenth Street Wichita Falls 76301 1600 Tenth Street Wichita Falls 76301-4307 Hardeman County Hospital District 1756002047 5 000

11 600-12-0000-00175 Private 112705203 1460496933 8 002 ARMC-LP dba Abilene Regional Medical Center Michael Murphy CEO (325) 428-1000 (325) 428-1000 6250 U.S. Highway 83/84 Abilene 6250 U.S. Highway 83/84 Abilene 79606-0000 Midland County Hospital District 1751584559 6 000

11 600-12-0000-00176 Private 112705203 1460496933 8 002 ARMC-LP dba Abilene Regional Medical Center Michael Murphy CEO (325) 428-1000 (325) 428-1000 6250 U.S. Highway 83/84 Abilene 6250 U.S. Highway 83/84 Abilene 79606-0000 Stonewall Memorial Hospital (County Hospital District) 1751212666 9 007

1 600-12-0000-00177 Private 163111101 1331073948 0 000 Essent PRMC LP Paris Regional Medical Center Howard Wall EVP/CAO (903) 785-4521 (903) 737-3848 820 Clarksville Street Paris TX 75460 PO Box 415000 MSC 410396 Nashville TN 37241-5000 Lamar County 1756001047 6 000

7 600-12-0000-00179 Private 208013701 1741109643 5 027 Seton Healthcare dba Seton Medical Center Hays Thomas Gallagher President/CEO (512) 504-5000 6001 Kyle Parkway Kyle 78640 6001 Kyle Parkway Kyle 78640-6112 City of Lockhart 1746001634 2 000

7 600-12-0000-00180 Private 208013701 1741109643 5 027 Seton Healthcare dba Seton Medical Center Hays Thomas Gallagher President/CEO (512) 504-5000 6001 Kyle Parkway Kyle 78640 6001 Kyle Parkway Kyle 78640-6112 Caldwell County 1746001631 8 017

7 600-12-0000-00181 Private 176692501 1743019849 3 001 St. Mark's Medical Center Nathan Staggs Chief Executive Officer One St. Mark's Place La Grange TX 78945 1 St. Mark's Place La Grange TX 78945-1250 Lee County 1746000986 7 005

13 600-12-0000-00182 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo 76903 120 E Harris Ave San Angelo 76903-5904 Concho Valley Center for Human Advancement dba MHMR Services for the Concho 1751251523 4 003

13 600-12-0000-00183 Private 137226005 1752559845 8 501 Shannon Medical Center Bryan Harner President/CEO (325) 657-5303 (325) 658-8295 bryanhorner@shannonhealth.org 120 East Harris Ave. San Angelo 76903 120 E Harris Ave San Angelo 76903-5904 Ector County Hospital District 1752302928 2 501

16 600-12-0000-00184 Private 133367602 1741471231 9 007 Falls Community Hospital and Clinic Willis Reese Administrator (254) 803-3561 (254) 883-6066 322 Coleman Street Marlin TX 76661 PO Box 60 Marlin TX 76661-0060 Falls County 1746001694 6 026

6 600-12-0000-00185 Private 020844903 1741109665 8 501 CHRISTUS Santa Rosa Health Care (Children's Hospit Patrick Carrier CEO (210) 704-2011 333 North Santa Rosa San Antonio 78207 333 N. Santa Rosa Ave San Antonio 78207-3108 University Health System (Bexar County) 1746002164 9 501

16 600-12-0000-00186 Private 133252005 1742425482 3 501 NCHI of Hillsboro Inc. dba Hill Regional Hospital Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 101 Circle Drive Hillsboro 76645 101 Circle Drive Hillsboro 76645-2670 Hill County 1746001091 5 000

17 600-12-0000-00187 Private 020860501 1621762360 8 004 College Station Medical Center Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1604 Rock Prairie College Station 1604 Rock Prairie College Station 77842-8345 Washington County 1746000408 2 028

17 600-12-0000-00188 Private 020860501 1621762360 8 004 College Station Medical Center Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1604 Rock Prairie College Station 1604 Rock Prairie College Station 77842-8345 Leon County 1746000503 0 022

9 600-12-0000-00189 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas 75235 1935 Motor Street Dallas 75235-7701 Ector County Hospital District 1752302928 2 501

17 600-12-0000-00190 Private 135226205 1742519752 6 000 Scott & White Hospital Brenham John Simms CEO (979) 836-6173 700 Medical Parkway Brenham 77833 700 Medical Parkway Brenham 77833-5413 Washington County 1746000408 2 028

9 600-12-0000-00191 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas 75235 1935 Motor Street Dallas 75235-7701 Decatur Hospital Authority dba Wise Regional Health System 1751250450 1 003

10 600-12-0000-00192 Private 121822403 1621789402 7 001 Ennis Regional Medical Center Edwina Miner CEO (469) 256-2155 Edwina.Miner@LPNT.net 2201 W. Lampasas Ennis 2201 W Lampasas St Ennis 75119-5644 Tarrant County Hospital District 1756000439 6 324

10 600-12-0000-00194 Private 314080801 1452694620 8 000 Texas Health Huguley INC dba Huguley Memorial Me Kenneth A. Finch President/Chief Executive Officer (817) 293-9110 11801 S. Freeway Fort Worth 76115 P.O. Box 6452 Fort Worth 76115-0452 Tarrant County Hospital District 1756000439 6 324

12 600-12-0000-00196 Private 139461107 1752765566 0 501 Covenant Health System dba Covenant Medical Center Gwen Stafford Vice President (806) 725-0577 (806) 723-7361 gstafford@covhs.org 3615 19th Street Lubbock 79410 3615 19th Street Lubbock 79410-1203 Hemphill County Hospital District 1756002888 2 005

2 600-12-0000-00197 Private 138296208 1760591590 3 002 Christus Health Southeast Texas dba Christus St. E Ellen Jones Chief Executive Officer 409-899-7101 409-899-8191 ellen.jones@christushealth.org 2830 Calder Avenue Beaumont 77702 2830 Calder St. Beaumont 77702-1809 Spindletop Center 1741684198 3 003

2 600-12-0000-00198 Private 163925401 1270060569 9 007 The Medical Center of Southeast Texas LP Mike Landry Chief Executive Officer (409) 853-5900 (409) 853-5910 Mlandry@iasisihealthcare.com 2555 Jimmy Johnson Blvd Port Arthur 77640 PO Box 846381 Dallas 75284-6381 Spindletop Center 1741684198 3 003

2 600-12-0000-00199 Private 094148602 1741303720 5 009 Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon David Parmer Chief Executive Officer (409) 212-5012 (409) 212-5022 david.parmer@mhbh.org 3080 College St. Beaumont 77701 PO Box 974599 Dallas 75397-4599 Spindletop Center 1741684198 3 003

4 600-12-0000-00201 Private 094118902 1621754940 7 001 DeTar Hospital Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 506 E. San Antonio St Victoria 77902 PO Box 2089 Victoria 77902-2089 Lavaca Medical Center (hospital district) 1746240037 9 001

9 600-12-0000-00202 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas 75235 1935 Motor Street Dallas 75235-7701 Decatur Hospital Authority dba Wise Regional Health System 1751250450 1 003

13 600-12-0000-00203 Private 316360201 1453780407 3 000 Preferred Hospital Leasing Coleman Inc. Larry Stephens CFO 4058780202 4052736007 larry@preferredmanagementcorp.com 310 S. Pecos Street Coleman 76834 310 S Pecos St Coleman TX 76834-4159 Coleman County Medical Center 1752428243 5 000

1 600-12-0000-00204 Private 177870603 1461353294 5 000 Fannin County Hospital Authority dba Red River Reg David Conejo CEO 504 Lipscomb St Bonham TX 75418 504 Lipscomb St Bonham TX 75418-4028 Fannin County Hospital Authority dba Red River Regional Hospital 1461353294 5 000

16 600-12-0000-00205 Private 138962907 1741161944 2 004 Hillcrest Baptist Medical Center Richard Perkins Executive Vice President & CFO (254) 202-9448 (254) 202-9441 rperkins@hillcrest.net 100 Hillcrest Medical Blvd Waco 76712 3320 Hillcrest Dr. Waco 76708-3150 City of Waco 1746002468 4 033

7 600-12-0000-00206 Private 094216102 1742781812 9 040 St David's Hlthcare Partnership dba North Austin M David Wilson Chief Financial Officer (512) 482-4162 (512) 482-4179 david.wilson@stdavids.com 12221 Mopac Expwy N Austin 78758 12221 Mopac Expwy N Austin 78758-2401 Austin Travis County MHMR Center 1741547909 0 000

7 600-12-0000-00207 Private 094160102 1742781812 9 044 St David's Hlthcare Partnership dba St David's Med David Wilson Chief Financial Officer (512) 482-4162 (512) 482-4179 david.wilson@stdavids.com 919 East 32nd St Austin 919 East 32nd St Austin 78705-2703 Austin Travis County MHMR Center 1741547909 0 000

7 600-12-0000-00208 Private 112717702 1742781812 9 042 St David's Hlthcare Partnership dba South Austin M David Wilson Chief Financial Officer (512) 482-4162 (512) 482-4179 david.wilson@stdavids.com 901 West Ben White Blvd Austin 919 E 32nd Street Austin 78705-2703 Austin Travis County MHMR Center 1741547909 0 000

1 600-12-0000-00209 Private 094095902 1751041154 3 015 The Good Shepherd Hospital dba Good Shepherd Medic Edward D. Banos Chief Executive Officer 903-315-2000 903-315-2479 700 East Marshall Ave Longview TX 75601 700 East Marshall Ave Longview TX 75601-5580 Sabine Valley Regional MHMR Center dba Community Healthcore 1751724017 6 003

12 600-12-0000-00210 Private 130721710 1756002556 5 000 Swisher Memorial Healthcare System, dba Swisher Me Pam Clark CEO (806) 995-3581 (806) 995-2277 539 S.E. Second Street Tulia 79088 PO Box 808 Tulia 79088-0808 Swisher Memorial Healthcare System (County Hospital District) 1452230827 0 002                                  

2 600-12-0000-00212 Private 139172412 1750755367 9 023 Memorial Medical Center - Lufkin dba Memorial Heal Bryant Krenek Jr. President/Chief Executive Officer (936) 634-8111 1201 W. Frank Street Lufkin P.O. Box 1314 Lufkin 75902-1314 Nacogdoches County Hospital District 1756000602 9 008

2 600-12-0000-00213 Private 200683501 1261955689 2 003 Preferred Hospital Leasing Hemphill Inc Diana Taylor (409) 787-3523 dtaylor@sabinecountyhospital.com 2301 Highway 83 West Hemphill 75948 PO Box 750 Hemphill 75948-0750 Sabine County Hospital District 1751656334 7 003

15 600-12-0000-00214 Private 130601104 1954537720 2 501 Tenet Hospital Limited dba Providence Memorial Hos R. J. Harris President (915) 577-6011 (915) 577-6109 2001 N. Oregon Street El Paso 79902 2001 N. Oregon Street El Paso 79902-3320 El Paso County Hospital District 1746000756 4 013

3 600-12-0000-00215 Private 135033204 1741394418 6 005 Columbus Community Hospital Rob Thomas CEO (979) 732-2371 (979) 732-9242 110 Shult Drive Columbus 78934 110 Shult Drive Columbus 78934-3016 Gonzales County Hospital District 1741625013 6 501

12 600-12-0000-00216 Private 308032701 1455125687 9 000 Prime Healthcare Services - Pampa, LLC dba Pampa R Brad Morse CEO (806) 665-3721 (806) 665-2361 One Medical Center Drive Pampa 75065 1 Medical Plz Pampa 79065-0000 Childress County Hospital District dba Childress Regional Medical Center 1751228349 4 002

12 600-12-0000-00217 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock 79410 PO Box 1201 Lubbock 79408-1201 Wilbarger General Hospital District 1756047638 8 000

12 600-12-0000-00218 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock 79410 PO Box 1201 Lubbock 79408-1201 Comanche County Consolidated Hospital District 1751566827 9 000

12 600-12-0000-00219 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock 79410 PO Box 1201 Lubbock 79408-1201 Graham Regional Medical Center (City of Graham) 1751919268 0 501

12 600-12-0000-00220 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock 79410 PO Box 1201 Lubbock 79408-1201 McCulloch County Hospital District 1741791441 7 004

9 600-12-0000-00221 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas 75235 1935 Motor Street Dallas 75235-7701 McCulloch County Hospital District 1741791441 7 004

9 600-12-0000-00222 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas 75235 1935 Motor Street Dallas 75235-7701 Graham Regional Medical Center (City of Graham) 1751919268 0 501

9 600-12-0000-00223 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas 75235 1935 Motor Street Dallas 75235-7701 Comanche County Consolidated Hospital District 1751566827 9 000

9 600-12-0000-00224 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas 75235 1935 Motor Street Dallas 75235-7701 Wilbarger General Hospital District 1756047638 8 000

3 600-12-0000-00225 Private 135033204 1741394418 6 005 Columbus Community Hospital Rob Thomas CEO (979) 732-2371 (979) 732-9242 110 Shult Drive Columbus 78934 110 Shult Drive Columbus 78934-3016 Lavaca Medical Center (hospital district) 1746240037 9 001

16 600-12-0000-00226 Private 111829102 1741109636 9 012 Providence Health Services of Waco dba Saint Cath Cheryl Sadro Senior Vice-President, CFO (254) 751-4172 (254) 751-4769 csadro@phn-waco.org 6901 Medical Parkway  Waco 76712 6901 Medical Parkway Waco 76712-7910 City of Waco 1746002468 4 033

2 600-12-0000-00227 Private 138296208 1760591590 3 002 Christus Health Southeast Texas dba Christus St. E Ellen Jones Chief Executive Officer 409-899-7101 409-899-8191 ellen.jones@christushealth.org 2830 Calder Avenue Beaumont 77702 2830 Calder St. Beaumont 77702-1809 The University of Texas Medical Branch at Galveston 3723723723 7 000

9 600-12-0000-00228 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas 75235 1935 Motor Street Dallas 75235-7701 Memorial Hospital of Winkler County 1756001202 7 014

6 600-12-0000-00229 Private 112742503 1741153067 2 005 Clarity Child Guidance Center Rebecca Helterbrand Vice President of Marketing & Resource Mgmt (210) 582-6442 elterbrandr@claritycgc.org 8535 Tom Slick San Antonio 8535 Tom Slick San Antonio 78229-3367 Uvalde County Hospital Authority 1741603120 5 000

4 600-12-0000-00231 Private 121775403 1741109836 5 501 Spohn Health System dba Spohn Memorial Hospital Estela Chapa (361) 881-3339 estela.chapa@christushealth.org 600 E. Elizabeth Street Corpus Christi 2606 Hospital Blvd Corpus Christi 78405-1804 Nueces County Hospital District 1746000604 6 000

6 600-12-0000-00232 Private 136430906 1746083124 5 000 Hill Country Memorial Hospital Michael Williams CEO (830) 997-4353 1020 State Highway 16 S. Fredericksburg 78624 PO Box 835 Fredericksburg 78624-0835 Fredericksburg Hospital Authority 1461160553 7 000

5 600-12-0000-00233 Private 160709501 1742802643 3 002 Doctor's Hospital at Renaissance Susan Turley Chief Financial Officer (956) 661-7469 (956) 632-6621 s.turley@dhr-rgv.com 5501 S McColl Rd Edinburg 78539 5501 S. McColl Edinburg 78539-9152 The University of Texas-Pan American Institution of Higher Education 1746002942 8 000

7 600-12-0000-00234 Private 121789503 1742575462 3 010 Central Texas Medical Center Sam Huenergardt Chief Executive Officer (512) 353-8979 1301 Wonder World Drive San Marcos TX 78666 1301 Wonder World Drive San Marcos TX 78666-7533 Hays County Emergency Services District Number 7 1746002241 5 016

10 600-12-0000-00235 Private 094178302 1752682017 4 002 Granbury Hospital Corp. dba Lake Granbury Medical Dave Medley Vice President, Group II Operations (615) 465-7030 (615) 371-1068 dave_medley@chs.net 1310 Paluxy Road Granbury TX 760485655 1310 Paluxy Road Granbury TX 76048-5655 Hood County 1756001004 7 000

2 600-12-0000-00236 Private 284333601 1800490207 0 000 Liberty-Dayton Regional Medical Center LLC Jim Koulovatos 1353 North Travis (936) 336-7316 1353 N Travis St Liberty 77575 1353 N Travis St Liberty 77575-3579 Liberty County Hospital District #1 1202797853 0 000

3 600-12-0000-00237 Private 139135109 1741100555 0 501 Texas Children's Hospital Mark Wallace President/Chief Executive Officer (832) 824-1000 6621 Fannin Street Houston 77030 6621 Fannin Street St# 4-4440 Houston TX 77030-2303 Texas Higher Education Board 1746016766 5 004

12 600-12-0000-00238 Private 308032701 1455125687 9 000 Prime Healthcare Services - Pampa, LLC dba Pampa R Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas 75235 1 Medical Plz Pampa 79065-0000 Moore County Hospital District 1751302152 1 006

1 600-12-0000-00239 Private 020976901 1752796815 4 015 Christus Health ARK-LA-TEX dba Christus St. Michae Chris Karam President and Chief Executive Officer (903) 614-2009 (903) 614-2212 chris.karam@christushealth.org 2600 St Michael Drive Texarkana TX 75503 2500 St. Michael Drive Texarkana TX 75503-5218 Atlanta Hospital Authority 1237033240 0 005   

12 600-12-0000-00240 Private 137245009 1232238976 3 501 UHS @ Amarillo Inc dba Northwest Texas Healthcare Kyle Sanders CEO (806) 354-1110 (806) 212-0272 1501 S. Coulter Road Amarillo TX 79106 PO Box 61558 King of Prussia, PA PA 19406-0958 Amarillo Hospital District 1756005139 7 010

9 600-12-0000-00241 Private 111905902 1621682213 6 002 Columbia Medical Center of Denton dba Denton Regio Caleb O'Rear Chief Executive Officer 940-384-3535 940-384-4701 6565 N. MacArthur - Suite 350 Irving 75039 3535 South I-35 East Denton 76210-6850 Denton County dba Denton County Health Department 1756000920 5 010

9 600-12-0000-00242 Private 094192402 1621682210 2 002 Columbia Medical Center of Lewisville dba Medical Doug Welch FACHE Chief Executive Officer 972-420-1000 972-420-1073 bonnie.knapper@hcahealthcare.com 6565 N. MacArthur - Suite 350 Irving 75039 500 West Main Street Lewisville 75057-3641 Denton County dba Denton County Health Department 1756000920 5 010

1 600-12-0000-00243 Private 137319306 1752602621 0 004 East Texas Medical Center- Crockett Jerry A. Dominguez Chief Financial Officer 9365463899 9365463892 gadominguez@etmc.org P. O. Box 1129 Crockett 1100 E Loop 304 Crockett 75835-1810 Houston County Hospital District 1751285321 3 000

2 600-12-0000-00244 Private 094148602 1741303720 5 009 Baptist Hosp of SE TX dba Mem Hermann Bapt Beaumon David Parmer Chief Executive Officer (409) 212-5012 (409) 212-5022 david.parmer@mhbh.org 3080 College St. Beaumont 77701 PO Box 974599 Dallas 75397-4599 The University of Texas Medical Branch at Galveston 3723723723 7 000

2 600-12-0000-00245 Private 163925401 1270060569 9 007 The Medical Center of Southeast Texas LP Mike Landry Chief Executive Officer (409) 853-5900 (409) 853-5910 Mlandry@iasisihealthcare.com 2555 Jimmy Johnson Blvd Port Arthur 77640 PO Box 846381 Dallas 75284-6381 The University of Texas Medical Branch at Galveston 3723723723 7 000

1 600-12-0000-00246 Private 017624007 1752766160 1 006 ETMC Quitman Byron Hale Sr. Vice President/CFO 9035356334 9035356334 bhales@etmc.org 1000 South Beckham Avenue Tyler TX 75701 PO Box 1000 Quitman TX 757831000 Wood County Central Hospital District 1751249184 0 000  

RHP Affiliation Number Program TPI TIN Provider Contact Title Phone Fax Email Phys Addr Phys City Phys State Phys Zip Mail Addr Mail City Mail State Mail Zip Govt Entity Govt TIN

Hospital Affiliations

1 600-12-0000-00247 Private 094127002 1752735077 5 000 East Texas Medical Center Carthage Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler TX 75701 201 Nacogdoches St Jacksonville TX 75766-2446 Panola County 1756001106 0 000

1 600-12-0000-00248 Private 094190802 1752753454 3 000 East Texas Medical Center Fairfield dba ETMC Fairf Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler 75701 125 Newman Street Fairfield 75840-1419 Fairfield Hospital District 1741774669 4 000

1 600-12-0000-00249 Private 121817401 1752715898 8 003 East Texas Medical Center Trinity Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler 75701 315 Prospect Dr Trinity 75862-6202 Trinity Memorial Hospital Distrct 1760077632 6 000

1 600-12-0000-00250 Private 130862905 1752638020 3 002 East Texas Medical Center Clarksville Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler 75701 PO Box 1270 Clarksville 75426-1270 Red River General Hospital Authority 1756002301 6 000

1 600-12-0000-00251 Private 136140407 1752250730 4 002 East Texas Medical Center Mount Vernon Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler 75701 PO Box 1304 Pittsburg 75686-2203 Franklin County 1756000955 1 003

1 600-12-0000-00252 Private 138374715 1751919624 4 001 East Texas Medical Center Pittsburg Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler 75701 414 Quitman St Pittsburg 75686-1032 Camp County 1756000845 4 012

1 600-12-0000-00253 Private 139173209 1751854562 3 001 East Texas Medical Center Athens Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler 75701 2000 S Palestine St Athens 75751-5610 Henderson County Hospital Authority 1521366747 8 000

12 600-12-0000-00255 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock 79410 PO Box 1201 Lubbock 79408-1201 Memorial Hospital of Winkler County 1756001202 7 014

12 600-12-0000-00256 Private 308032701 1455125687 9 000 Prime Healthcare Services - Pampa, LLC dba Pampa R Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas 75235 1 Medical Plz Pampa 79065-0000 Texas Tech University Health Science Center 3739739739 1 007

1 600-12-0000-00258 Private 020812601 1751803325 7 001 East Texas Medical Center Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler TX 75701 P.O. Box 6400 Tyler TX 75711-6400 Red River General Hospital Authority 1756002301 6 000

12 600-12-0000-00259 Private 197063401 1260328929 4 001 GPCH LLC dba Golden Plains Community Hospital Dennis Jack Chief Executive Officer 806-273-1106 806-273-1395 ceogpch@goldenplains.org 200 S. McGee St Borger 79007 200 S. McGee St Borger 79007-4022 Comanche County Consolidated Hospital District 1751566827 9 000

18 600-12-0000-00260 Private 220351501 1272025690 3 002 Sherman/Grayson Hospital LLC dba Texas Health Pres Vance Reynolds CEO (903) 870-4611 (903) 870-4361 500 N. Highland Avenue Sherman 75092 500 N. Highland Avenue Sherman 75092-7354 Grayson County 1756000969 2 010

9 600-12-0000-00261 Private 094207002 1752770738 8 004 Texas Health Presbyterian Hospital of Plano dba Pr Philip M. Wentworth FACHE President 972-981-8000 972-981-8111 6200 West Parker Road Plano TX 75093 6200 W Parker Road Plano TX 75093-8185 Collin County Government 1756000873 6 018                                  

7 600-12-0000-00262 Private 121789503 1742575462 3 010 Central Texas Medical Center Sam Huenergardt Chief Executive Officer (512) 353-8979 1301 Wonder World Drive San Marcos 78666 1301 Wonder World Drive San Marcos 78666-7533 City of San Marcos 1746002238 1 000

16 600-12-0000-00263 Private 138962907 1741161944 2 004 Hillcrest Baptist Medical Center Richard Perkins Executive Vice President & CFO (254) 202-9448 (254) 202-9441 rperkins@hillcrest.net 100 Hillcrest Medical Blvd Waco 76712 3320 Hillcrest Dr. Waco 76708-3150 South Limestone Hospital District 1741744089 2 007

9 600-12-0000-00264 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO (214) 456-7000 1935 Medical District Drive Dallas 75235 1935 Motor Street Dallas 75235-7701 Gainesville Hospital District 1751091664 0 000

12 600-12-0000-00265 Private 127319504 1752428911 7 002 Methodist Children's dba Covenant Children's Hospi Chris Dougherty Chief Operating Officer/President (806) 725-0040 4015 22nd Place Lubbock 79410 PO Box 1201 Lubbock 79408-1201 Gainesville Hospital District 1751091664 0 000

3 600-12-0000-00266 Private 219386401 1263734516 1 000 St. Luke's Hospital at the Vintage LLC Frank Speidel Vice President/CEO (832) 534-5000 3100 Main Street, Suite 569 Houston 77002 20171 Chasewood Park Dr Houston 77070-1437 Sweeny Hospital District 1741498067 6 001

3 600-12-0000-00267 Private 219386401 1263734516 1 000 St. Luke's Hospital at the Vintage LLC Frank Speidel Vice President/CEO (832) 534-5000 3100 Main Street, Suite 569 Houston 77002 20171 Chasewood Park Dr Houston 77070-1437 Matagorda County Hospital District 1746025069 3 001

3 600-12-0000-00268 Private 127300503 1741161938 4 009 St. Luke's Episcopal Hospital Stephen Pickett Executive Vice President 3100 Main Street, Suite 569 Houston TX 77002 3100 Main Street Suite 569 Houston TX 77002-9312 Sweeny Hospital District 1741498067 6 001

17 600-12-0000-00269 Private 160630301 1760536234 6 005 St. Luke's Community Health Srvs (The Woodlands) Debra D. Sukin Chief Executive Officer (936) 266-2000 3100 Main Street, Suite 569 Houston TX 77002 3100 Main Street, Suite 569 Houston TX 77002-9312 Sweeny Hospital District 1741498067 6 001

17 600-12-0000-00270 Private 160630301 1760536234 6 005 St. Luke's Community Health Srvs (The Woodlands) Debra D. Sukin Chief Executive Officer (936) 266-2000 3100 Main Street, Suite 569 Houston TX 77002 3100 Main Street, Suite 569 Houston TX 77002-9312 Matagorda County Hospital District 1746025069 3 001

3 600-12-0000-00271 Private 281219001 1273280598 6 001 St. Luke's Patients Medical Center William Simmons CEO (713) 948-7000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 Matagorda County Hospital District 1746025069 3 001

3 600-12-0000-00272 Private 281219001 1273280598 6 001 St. Luke's Patients Medical Center William Simmons CEO (713) 948-7000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 Sweeny Hospital District 1741498067 6 001

17 600-12-0000-00273 Private 210274101 1300427437 2 002 St. Luke's Lakeside Hospital Debra D. Sukin CEO (936) 266-9000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 Matagorda County Hospital District 1746025069 3 001

17 600-12-0000-00274 Private 210274101 1300427437 2 002 St. Luke's Lakeside Hospital Debra D. Sukin CEO (936) 266-9000 3100 Main Street, Suite 569 Houston 77002 3100 Main Street, Suite 569 Houston 77002-9312 Sweeny Hospital District 1741498067 6 001

3 600-12-0000-00275 Private 201331001 1204326467 5 000 St. Luke's Sugar Land Hospital Partnership LLP dba Jim Levermann CEO (281) 637-7000 3100 Main Street, Suite 569 Houston 77002 Po Box 4406 Houston 77210-4406 Sweeny Hospital District 1741498067 6 001

3 600-12-0000-00276 Private 201331001 1204326467 5 000 St. Luke's Sugar Land Hospital Partnership LLP dba Jim Levermann CEO (281) 637-7000 3100 Main Street, Suite 569 Houston 77002 Po Box 4406 Houston 77210-4406 Matagorda County Hospital District 1746025069 3 001

1 600-12-0000-00277 Private 020812601 1751803325 7 001 East Texas Medical Center Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler TX 75701 P.O. Box 6400 Tyler TX 75711-6400 Town of St Paul 1751606769 5 000

3 600-12-0000-00278 Private 127300503 1741161938 4 009 St. Luke's Episcopal Hospital Stephen Pickett Executive Vice President 3100 Main Street, Suite 569 Houston TX 77002 3100 Main Street Suite 569 Houston TX 77002-9312 Matagorda County Hospital District 1746025069 3 001

6 600-12-0000-00279 Private 112742503 1741153067 2 005 Clarity Child Guidance Center Michael D. Bernick Vice President - Finance (210) 582-6476 (210) 582-6463 BernickM@claritycgc.org 8535 Tom Slick Drive San Antonio 78229 8535 Tom Slick Drive San Antonio 78229-3367 Karnes County Hospital District 1741718215 5 002

5 600-12-0000-00281 Private 020947001 1621669572 2 501 Columbia Valley Regional Medical Center David G Hadley FACHE Chief Executive Officer 956-350-7000 956-350-7111 100 A. East Alton Gloor Brownsville 78526 100 A. East Alton Gloor Blvd Ste A Brownsville 78526-3354 El Paso County Hospital District 1746000756 4 013

4 600-12-0000-00282 Private 020973601 1752387418 2 003 Corpus Christi Medical Center Edward H. Lamb Chief Executive Officer (361) 761-1501 3315 Alameda St. Corpus Christi 78412 3315 Alameda St. Corpus Christi 78411-1820 El Paso County Hospital District 1746000756 4 013

17 600-12-0000-00283 Private 020841501 1621801361 9 003 Conroe Regional Medical Center Maura Walsh Senior Vice President (713) 852-1503 (713) 852-1599 maura.walsh@hcahealthcare.com One Fannin Building, 7400 Fannin Suite 650 Houston 77305 504 Medical Center Blvd Conroe 77304-2808 El Paso County Hospital District 1746000756 4 013

5 600-12-0000-00284 Private 154504801 1562143518 7 000 Harlingen Medical Center 5501 S Expressway 77 Harlingen TX 78550-3213 Cameron County Health Care Funding District 1463284489 1 000

5 600-12-0000-00285 Private 020947001 1621669572 2 501 Columbia Valley Regional Medical Center 100 A. East Alton Gloor Blvd Ste A Brownsville 78526-3354 Cameron County Health Care Funding District 1463284489 1 000

12 600-12-0000-00286 Private 322879301 1750800669 3 012 Baptist St. Anthony's Health System Bob Williams Interim Chief Executive Officer (806) 212-2000 1600 Wallace Blvd. Amarillo 79106 1600 Wallace Blvd. Amarillo TX 79106-1799 Texas Tech University Health Science Center 3739739739 1 007

1 600-12-0000-00287 Private 020812601 1751803325 7 001 East Texas Medical Center Byron Hale Sr. Vice President/CFO (903) 531-8010 (903) 535-6334 bhale@etmc.org 1000 South Beckham Avenue Tyler TX 75701 P.O. Box 6400 Tyler TX 75711-6400 City of Wylie 1756000719 1 011

5 600-12-0000-00288 Private 160709501 1742802643 3 002 Doctor's Hospital at Renaissance Susan Turley Chief Financial Officer (956) 661-7469 (956) 632-6621 s.turley@dhr-rgv.com 5501 S McColl Rd Edinburg 78539 5501 S. McColl Edinburg 78539-9152 City of Edinburg 1746000714 3 000

5 600-12-0000-00293 Private 160709501 1742802643 3 002 Doctor's Hospital at Renaissance Israel Rocha Jr. Government and Public Affairs Officer 9566617469 s.turley@dhr-rgv.com 5501 S McColl Rd Edinburg TX 785399152 5501 S McColl Rd Edinburg TX 785399152 City of McAllen 1746001650 8 001

1 600-13-0000-00101 Private 207311601 1751003314 9 002 Wadley Regional Medical Center Mike Lieb EVP/COO-Interim CEO 9037988001 mlieb@wasleyhealth.com 1000 Pine Street Texarkana TX 755015100 1000 Pine Street Texarkana TX 755015100 Midland County Hospital District 1751584559 6 000

6 600-13-0000-00102 Private 136491104 1621795572 9 002 Southwest General Hospital Richard Gonzalez Chief Executive Officer 2109213515 RDGonzalez@iasishealthcare.com 7400 Barlite Blvd San Antonio TX 782241308 7400 Barlite Blvd. San Antonio TX 782241308 Midland County Hospital District 1751584559 6 000

10 600-13-0000-00103 Private 020950401 1621682201 1 001 Medical Center of Arlington Thomas O. Corley Vice President 9999999999 3301 Matlock Road Arlington TX 760152908 3301 Matlock Road Arlington TX 760152908 El Paso County Hospital District 1746000756 4 013

10 600-13-0000-00104 Private 094105602 1621682205 2 000 Columbia North Hills Hospital Subsidiary LP dba No Thomas O. Corley Vice President 9999999999 4401 Booth Calloway Road North Richland Hills TX 761807371 4401 Booth Calloway Road North Richland Hills TX 761807371 El Paso County Hospital District 1746000756 4 013

10 600-13-0000-00105 Private 094193202 1621682202 9 005 Columbia Plaza Medical Center of Fort Worth dba Pl Thomas O. Corley Vice President 9999999999 900 8th Ave Fort Worth TX 761043902 900 8th Ave Fort Worth TX 761043902 El Paso County Hospital District 1746000756 4 013

2 600-13-0000-00106 Private 163925401 1270060569 9 007 The Medical Center of Southeast Texas LP Mike Landry Chief Executive Officer 4098535900 4098535910 Mlandry@iasisihealthcare.com 2555 Jimmy Johnson Blvd Port Arthur TX 776400000 PO Box 846381 Dallas TX 752846381 Midland County Hospital District 1751584559 6 000

9 600-13-0000-00107 Private 021224301 1621797829 1 002 Green Oaks Hosp Subsidiary dba Green Oaks Hospital Leah Domstead Vice President & Chief Legal Officer 9727892833 9727169527 leah.domstead@HCAHealthcare.com 13355 Noel Road, Ste 650 Dallas TX 75240 7808 Clodus Fields Drive Dallas TX 752512206 Metrocare Services 1751285603 4 000

3 600-13-0000-00108 Private 193867201 1261512163 4 001 Houston North West Medical Center Linda Mercier CEO 2814401000 710 Cypress Creek Parkway Houston tx 77090 710 FM 1960 Rd W Houston TX 770903402 El Paso County Hospital District 1746000756 4 013

3 600-13-0000-00109 Private 193867201 1261512163 4 001 Houston North West Medical Center Linda Mercier CEO 2844401000 710 Cypress Creek Parkway Houston TX 77090 710 FM 1960 Rd W Houston TX 770903402 Walker County Hospital District 1742086610 9 000

9 600-13-0000-00110 Private 020943901 1621682198 9 003 Columbia Hosp at Med City Dallas Subsid dba Medica Thomas O. Corley Vice President 9727892833 9727169527 leah.domstead@HCAHealthcare.com 7777 Forest Lane Dallas TX 752302505 7777 Forest Lane Dallas TX 752302505 Metrocare Services 1751285603 4 000

9 600-13-0000-00111 Private 094192402 1621682210 2 002 Columbia Medical Center of Lewisville dba Medical Doug Welch FACHE Chief Executive Officer 9724201000 9724201073 bonnie.knapper@hcahealthcare.com 500 West Main Street Lewisville TX 750573641 500 West Main Street Lewisville TX 750573641 Metrocare Services 1751285603 4 000

9 600-13-0000-00112 Private 020979301 1621650582 2 002 Columbia Medical Center of Las Colinas Inc dba Las Thomas O. Corley Vice President 9727892833 9727169527 leah.domstead@HCAHealthcare.com 13355 Noel Road, Ste 650 Dallas TX 75240 6800 N MacArthur Blvd Irving TX 750392422 Metrocare Services 1751285603 4 000

9 600-13-0000-00113 Private 111905902 1621682213 6 002 Columbia Medical Center of Denton dba Denton Regio Caleb O'Rear Chief Executive Officer 9403843535 9403844701 6565 N. MacArthur - Suite 350 Irving TX 75039 3535 S Interstate 35 E Denton TX 762106850 Metrocare Services 1751285603 4 000

9 600-13-0000-00114 Private 020967801 1432008974 2 002 Texas Health Denton dba TX Health Presby Hosp Dent Stan C. Morton Chief Executive Officer 9408987000 9408987071 3000 North I-35 Denton TX 76201 PO Box 731467 Dallas TX 753731468 Metrocare Services 1751285603 4 000

9 600-13-0000-00115 Private 020908201 1751047527 4 501 Presbyterian Hospital of Dallas Jack Roper Sr. Vice President/Finance 8174626260 8174627203 jackroper@texashealth.org 8200 Walnut Hill Lane Dallas TX 752314426 8200 Walnut Hill Lane Dallas TX 752314426 Metrocare Services 1751285603 4 000

9 600-13-0000-00116 Private 094140302 1752771437 6 002 Presbyterian Kaufman dba Presbyterian Hospital of Patsy Youngs President 9729327200 9729325425 850 W Highway 243 Kaufman TX 751421861 850 W Highway 243 Kaufman TX 751421861 Metrocare Services 1751285603 4 000

8 600-13-0000-00117 Private 135032405 1750800661 0 324 Methodist Hosp of Dallas Methodist Dallas Med Ctr Michael J. Schaefer Executive Vice President & Chief Financial Officer 2149474510 2149474501 michaelschaefer@mhd.com PO Box 655999 Dallas TX 752655999 PO Box 655999 Dallas TX 752655999 Metrocare Services 1751285603 4 000

9 600-13-0000-00118 Private 209345201 1750800661 0 014 Methodist Hosp of Dallas dba Methodist Richardson Richard L. Boring President/CEO 9724984000 9724984883 401 W. Campbell Road  Richardson TX 75080 401 W. Campbell Road  Richardson TX 750803416 Metrocare Services 1751285603 4 000

9 600-13-0000-00119 Private 126679303 1750800661 0 017 Methodist Hosp if Dallas Methodist Charlton Med Ct Michael J. Schaefer Executive Vice President & Chief Financial Officer 2149474510 2149474501 michaelschaefer@mhd.com 3500 W. Wheatland Road Dallas TX 75237 PO Box 911875 Dallas TX 753911875 Metrocare Services 1751285603 4 000

8 600-13-0000-00120 Private 151691601 1752834135 1 001 Baylor Heart & Vascular Center, L.L.P. Frederick Savelsbergh Senior Vice President of Hospital Finance 2148203724 2148185724 fredsa@baylorhealth.edu 621 N. Hall Street Dallas TX 752261339 621 N. Hall Street Dallas TX 752261339 Metrocare Services 1751285603 4 000

9 600-13-0000-00121 Private 195018001 1208889358 6 002 Baylor Medical Ctr Carrollton Spencer Turner President 9724921010 4343 North Josey Lane Carrollton TX 750104603 4343 North Josey Lane Carrollton TX 750104603 Metrocare Services 1751285603 4 000

9 600-13-0000-00122 Private 021003101 1751765385 7 002 Baylor Specialty Health Center dba Baylor Specialt Frederick Savelsbergh Senior Vice President of Hospital Finance 2148203724 2148185724 fredsa@baylorhealth.edu 3504 Swiss Ave Dallas TX 752046224 3504 Swiss Ave Dallas TX 752046224 Metrocare Services 1751285603 4 000

9 600-13-0000-00123 Private 139485012 1751837454 5 000 Baylor University Medical Center Frederick Savelsbergh Senior Vice President of Hospital Finance 2148203724 2148185724 fredsa@baylorhealth.edu 3500 Gaston Ave #220 Dallas TX 752462017 3500 Gaston Ave Dallas TX 752462017 Metrocare Services 1751285603 4 000

9 600-13-0000-00124 Private 121790303 1751037591 2 009 Baylor Medical Centers At Garland and McKinney dba Frederick Savelsbergh Senior Vice President of Hospital Finance 2148203724 2148185724 fredsa@baylorhealth.edu 2300 Marie Curie Dr Garland TX 750425706 2300 Marie Curie Dr Garland TX 750425706 Metrocare Services 1751285603 4 000

9 600-13-0000-00125 Private 121776204 1752586857 0 000 Baylor Medical Center At Irving Frederick Savelsbergh Senior Vice President of Hospital Finance 2148203724 2148185724 fredsa@baylorhealth.edu 1901 N. MacArthur Blvd Irving TX 750612220 PO Box 841590 Dalla TX 752841590 Metrocare Services 1751285603 4 000

3 600-13-0000-00126 Private 181706601 1204835578 3 003 SJ Medical Center LLC dba St Joseph Hospital Patrick Mathews Chief Administrative Officer 7137565376 7136577123 patrick.mathews@hosptialpartners.com 1401 St. Joseph Parkway Houston TX 770028301 1401 St. Joseph Parkway Houston TX 770028301 Midland County Hospital District 1751584559 6 000

16 600-13-0000-00127 Private 138962907 1741161944 2 004 Hillcrest Baptist Medical Center Richard Perkins Executive Vice President & CFO 2542029448 2542029441 rperkins@hillcrest.net 100 Hillcrest Medical Blvd Waco TX 76712 3320 Hillcrest Dr. Waco TX 767083150 Hamilton County Hospital District 1742570068 3 000

16 600-13-0000-00128 Private 138962907 1741161944 2 004 Hillcrest Baptist Medical Center Richard Perkins Executive Vice President & CFO 2542029448 2542029441 rperkins@hillcrest.net 100 Hillcrest Medical Blvd Waco TX 76712 3320 Hillcrest Dr. Waco TX 767083150 Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital 1741857100 0 012

5 600-13-0000-00143 Private 132812205 1742577746 7 000 Driscoll Children's Hospital Joe Beck Director of Reimbursement 3616945027 3618082086 Joe.Beck@dchstx.org 3533 South Alameda St Corpus Christi TX 784111721 3533 South Alameda St Corpus Christi TX 78411172 Nueces County Hospital District 1746000604 6 000

17 600-13-0000-00157 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 9797762458 9797318976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022544 2801 Franciscan Drive Bryan TX 778022544 West Wharton County Hospital District 1760488120 5 000

17 600-14-0000-00001 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 9797762458 9797318976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022544 Brazos Valley Council of Governments 1741562020 6 002

8 600-14-0000-00002 Private 312239201 1272814378 0 000 HH Killeen Hlth Sytm LLC dba Seton Med Ctr Harker Matthew T Maxfield Chief Executive Officer 2546806201 2546806380 Matt.Maxfield@SMCHH.org 850 West Central Texas Expressway Harker Heights TX 765481890 850 West Central Texas Expressway Harker Heights TX 765481890 Bell County 1746000348 0 048

3 600-14-0000-00003 Private 131044305 1452856063 5 001 Tomball Texas Hospital Company, LLC dba Tomball Re Lynn LeBouef President/Chief Executive Office 2814017500 605 Holderrieth Blvd Tomball TX 773756645 Lavaca Medical Center (hospital district) 1746240037 9 001

18 600-14-0000-00004 Private 169553801 1460477873 9 004 Tenet Frisco Ltd dba Centennial Medical Center Joe Thomason CEO 9729633333 9729633625 12505 Lebanon Rd Frisco TX 750358298 12505 Lebanon Rd Frisco TX 750358298 Collin County MHMR dba LifePath Systems 1751761911 4 003

1 600-14-0000-00005 Private 141858401 1751976930 5 007 Mother Frances Hospital - Jacksonville William L. Bellenfant CFO 9035314556 bellenb@tmfhs.org 1021 E. Idel St Tyler TX 757012025 1021 E. Idel St Tyler TX 757012025 University of Texas Health Center at Tyler 1756001354 6 000

1 600-14-0000-00006 Private 094108002 1750818167 8 002 Mother Frances Hospital Regional Healthcare Center William L. Bellenfant CFO 9035314556 bellenb@tmfhs.org 800 E Dawson St Tyler TX 757012036 PO Box 6997 Tyler TX 757116997 University of Texas Health Center at Tyler 1756001354 6 000

1 600-14-0000-00007 Private 127301306 1752771569 6 004 Mother Frances Hospital - Winnsboro William L. Bellenfant CFO 9035314556 bellenb@tmfhs.org 1021 E Idel St Tyler TX 757012025 1021 E Idel St Tyler TX 757012025 University of Texas Health Center at Tyler 1756001354 6 000

10 600-14-0000-00009 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO 2144567000 1935 Medical District Drive Dallas TX 752357701 1935 Moto St Dallas TX 752357701 Wise Regional Health System 1751250450 1 000

18 600-14-0000-00010 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO 2144567000 1935 Medical District Drive Dallas TX 75235 1935 Motor Street Dallas TX 752357701 Ector County Hospital District 1752302928 2 501

20 600-14-0000-00011 Private 132812205 1742577746 7 000 Driscoll Children's Hospital Joe Beck Director of Reimbursement 3616945027 3618082086 Joe.Beck@dchstx.org 3533 South Alameda St Corpus Christi TX 784111721 3533 South Alameda St Corpus Christi TX 784111721 Nueces County Hospital District 1746000604 6 000

11 600-14-0000-00012 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimmel Senior Vice President and CFO 3256702182 3256702209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Stephens Memorial Hospital District dba Stephens Mem Hosp 1462931328 0 000

19 600-14-0000-00013 Private 135237906 1751912147 3 003 United Regional Health Care System Bob Pert CFO 9407643023 9407643352 bpert@urhcs.org 1600 Tenth Street Wichita Falls TX 763014301 1600 Tenth Street Wichita Falls TX 763014301 Stephens Memorial Hospital District dba Stephens Mem Hosp 1462931328 0 000

2 600-14-0000-00014 Private 138296208 1760591590 3 002 Christus Health Southeast Tx dba Christus St. Eliz Ellen Jones Chief Executive Officer 4098997101 4098998191 ellen.jones@christushealth.org 2830 Calder Avenue Beaumont TX 777021809 2830 Calder Avenue Beaumont TX 777021809 Galveston County 1746000908 1 007

3 600-14-0000-00015 Private 121807504 1621801360 1 006 CHCA Clear Lake LP dba Clear Lake Regional Medical Maura Walsh Senior Vice President 7138521567 8669474097 maura.walsh@HCAHealthcare.com 500 Medical Center Blvd Webster TX 775984220 500 Medical Center Blvd Webster TX 775984220 Galveston County 1746000908 1 007

3 600-14-0000-00016 Private 137949705 1741180155 2 000 The Methodist Hospital Bret Curran Sr. Vice President, Billings, Collections & Insurance 8326676022 8326675903 6565 Fannin St Houston TX 770302703 6565 Fannin St Houston TX 770302703 Texas Higher Education Board 1746016766 5 004

3 600-14-0000-00017 Private 127300503 1741161938 4 009 St. Luke's Episcopal Hospital Stephen Pickett Exectuive Vice President 9999999999 3100 Main Street, Suite 569 Houston TX 770029312 3100 Main Street, Suite 569 Houston TX 770029312 Texas Higher Education Board 1746016766 5 004

9 600-14-0000-00018 Private 138910807 1750800628 9 324 Children's Medical Center of Dallas Ray Dziesinski CFO 2144567000 9999999999 1935 Medical District Drive, F3.22 Dallas TX 75235 1935 Medical District Drive Dallas TX 752355259 Sweeny Hospital District 1741498067 6 001

12 600-14-0000-00019 Private 127319504 1752428911 7 002 Methodist Children's Hosp dba Covenant Children's Chris Dougherty Chief Operation Officer/President 8067250040 4015 22nd Place Lubbock TX 79410 PO Box 1201 Lubbock TX 794081201 Graham Hospital District 1463113489 8 000

3 600-14-0000-00020 Private 131044305 1452856063 5 001 Tomball Texas Hospital Company, LLC dba Tomball Re Lynn LeBouef President/CEO 2814017500 9999999999 605 Holderrieth Street Tomball TX 773756445 605 Holderrieth Blvd Tomball TX 773756445 Refugio County Memorial Hospital District 1741915330 3 000

17 600-14-0000-00021 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 9797762458 9797318976 gwoodard@st-joseph.org 2801 Franciscan Dr Bryan TX 778022544 2801 Franciscan Dr Bryan TX 778022544 Gonzales County Hospital District 1741625013 6 501

17 600-14-0000-00022 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 9797762458 9797318976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022544 2801 Franciscan Drive Bryan TX 778022544 Angleton-Danbury Hospital District 1741612400 0 000

17 600-14-0000-00023 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Direcctor of Legislative Affairs and Grants 9797762458 9797318976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022544 2801 Franciscan Drive Bryan TX 778022544 Chambers County Hospital District 1760153629 9 003

14 600-14-0000-00024 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 9797762458 9797318976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022544 2801 Franciscan Drive Bryan TX 778022544 Liberty County Hospital District #1 1202797853 0 000

17 600-14-0000-00025 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 9797762458 9797318976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022544 2801 Franciscan Drive Bryan TX 778022544 Calhoun County dba Memorial Medical Center 1746003411 3 000

9 600-14-0000-00026 Private 094379701 1232853139 2 005 Timberlawn Mental Health System Lori Verbeke CFO 2143889423 lori.verbeke@uhsinc.com 4600 Samuell Blvd Dallas TX 752286827 4600 Samuell Blvd Dallas TX 752286827 Metrocare Services 1751285603 4 000

17 600-14-0000-00027 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 9797762458 9797318976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022544 2801 Franciscan Drive Bryan TX 778022544 Jackson County Hospital District 1741738475 1 002

1 600-14-0000-00028 Private 094095902 1751041154 3 015 The Good Shepherd Hospital dba Good Shepherd Medic Edward D. Banos Chief Executive Officer 9303152000 9303152479 700 East Marshall Ave Longview TX 756015580 700 East Marshall Ave Longview TX 756015580 University of Texas Health Center at Tyler 1756001354 6 000

17 600-14-0000-00029 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 9797762458 9797318976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022254 2801 Franciscan Drive Bryan TX 778022254 Sweeny Hospital District 1741498067 6 001

11 600-14-0000-00030 Private 138644310 1750827446 5 324 Hendrick Medical Center Stephen Kimme Senior Vice President and CFO 3256702182 3256702209 skimmel@hendrickhealth.org 1900 Pine Street Abilene TX 79601 1242 N 19th St Abilene TX 796012316 Graham Hospital District 1463113489 8 000

3 600-14-0000-00031 Private 137962006 1741287015 0 003 San Jacinto Methodist Hospital Bret Curran Senior Vice President, Billings, Collections & Insurance 8326676022 8326675903 bcurran@tmhs.org 4401 Garth Road Baytown TX 775212122 4401 Garth Road Baytown TX 775212122 Texas Higher Education Board 1746016766 5 004

3 600-14-0000-00032 Private 281028501 1760545192 5 009 Methodist West Houston Hospital Bret Curan Senior Vice President, Billings, Collections & Insurance 8326676022 8326675903 bcurran@tmhs.org 18500 Katy Freeway Ste 3641 Houston TX 770941110 18500 Katy Freeway Ste 3641 Houston TX 770941110 Texas Higher Education Board 1746016766 5 004

3 600-14-0000-00033 Private 140713201 1760545192 5 001 Methodist Willowbrook Bret Curran Senior Vice President, Billings, Collections & Insurance 8326676022 8326675903 bcurrant@tmhs.org 18220 Tomball Parkway Houston TX 77070 PO Box 4755 Houston TX 772104755 Texas Higher Education Board 1746016766 5 004

3 600-14-0000-00034 Private 094219502 1760545192 5 008 Methodist Sugar Land Bret Curran Senior Vice President, Billings, Collections & Insurance 8326676022 8326675903 bcurran@tmhs.org 16655 Southwest Freeway Houston TX 774792329 16655 Southwest Freeway Houston TX 774792329 Texas Higher Education Board 1746016766 5 004

17 600-14-0000-00035 Private 020860501 1621762360 8 004 College Station Medical Center Dave Medley Vice President, Group II Operations 6154657030 6153711068 dave_medley@chs.net 1604 Rock Prairie College Station TX 778428345 1604 Rock Prairie College Station TX 778458345 The Texas A&M University System Health Science Center 1742907553 8 001

10 600-14-0000-00036 Private 316296801 1451502252 4 000 Texas Health Harris Methodist Hospital Alliance Noe Balli NoeBalli@texashealth.org 10864 Texas Health Trl Fort Worth TX 762444897 10864 Texas Health Trl Fort Worth TX 762444897 Tarrant County Hospital District 1756000439 6 324

17 600-14-0000-00037 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 9797762458 9797318976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022254 2801 Franciscan Drive Bryan TX 778022254 Robertson County Treasurer 1746000871 1 019

5 600-14-0000-00038 Private 294543801 1770634227 0 000 Valley Baptist Medical Center- Brownsville Leslie Bingham 9566985421 leslie.bingham@valleybaptist.net 1040 W Jeffferson St Brownsville TX 785206338 1040 W Jefferston St Brownsville TX 785206338 Cameron County 1746000420 7 005

5 600-14-0000-00039 Private 292096901 1741385476 5 001 Valley Baptist Medical Center (Harlingen) Bill Adams Sr. Vice President &CEO 9563891674 9563891129 bill.adams@valleybaptist.net 2121 Pease Street Harlingen TX 78550 4405 Glasscock Ave Harlingen TX 785509209 Cameron County 1746000420 7 005

5 600-14-0000-00040 Private 292096901 1741385476 5 001 Valley Baptist Medical Center (Harlingen) Bill Adams Sr Vice Presicent, CEO 9563891674 9563891129 bill.adams@valleybaptist.net 2121 Pease Street Harlingen TX 78550 4405 Glasscock Ave Harlingen TX 785509209 University Health System (Bexar County) 1746002164 9 501

5 600-14-0000-00041 Private 294543801 1770634227 0 000 Valley Baptist Medical Center-Brownsville Leslie Bingham 9566985421 leslie.bingham@valleybaptist.net 1040 W Jefferson Harlingen TX 785206338 1040 W Jefferson Harlingen TX 785206338 University Health System (Bexar County) 1746002164 9 501

17 600-14-0000-00042 Private 127267603 1741282696 2 501 St. Joseph Regional Health Center Gentry Woodard Director of Legislative Affairs and Grants 9797762458 9797318976 gwoodard@st-joseph.org 2801 Franciscan Drive Bryan TX 778022254 2801 Franciscan Drive Bryan TX 778022254 Matagorda County Hospital District 1746025069 3 001

12 600-14-0000-00043 Private 133258705 1752246348 2 000 Methodist Hosp Levelland dba Covenant Hosp Levella Bruce White CEO 8068944963 8068944963 1900 College Avenue Levelland TX 793366508 1900 College Avenue Levelland TX 793366508 Childress County Hospital District dba Childress Regional Medical Center 1751228349 4 002

12 600-14-0000-00044 Private 133258705 1752246348 2 000 Methodist Hosp Levelland dba Covenant Hosp Levella Bruce White CEO 8068944963 1900 College Avenue Levelland TX 793366508 1900 College Avenue Levelland TX 793366508 Seminole Hospital District of Gaines County (Memorial Hospital) 1751362671 7 501

12 600-14-0000-00045 Private 133258705 1752246348 2 000 Methodist Hosp Levelland dba Covenant Hosp Levella Bruce White CEO 8068944963 8068944963 bwhite@covhs.org 1900 College Avenue Levelland TX 793366508 1900 College Avenue Levelland TX 793366508 Terry Memorial Hospital District dba Brownfield Regional Medical Center 1751227032 7 006

12 600-14-0000-00046 Private 127263503 1752426010 0 000 Covenant Hospital Plainview Clay Taylor CEO 2601 Dimmit Rd Plainview TX 790721833 2601 Dimmit Rd Plainview TX 790721833 Childress County Hospital District dba Childress Regional Medical Center 1751228349 4 002

12 600-14-0000-00047 Private 127263503 1752426010 0 000 Covenant Hospital Plainview Clay Taylor VP Hosp Admin 8062964265 Clay.Taylor@covplv.org 2601 Dimmitt Road Plainview TX 790721833 2601 Dimmitt Road Plainview TX 790721833 Seminole Hospital District of Gaines County (Memorial Hospital) 1751362671 7 501

12 600-14-0000-00048 Private 127263503 1752426010 0 000 Covenant Hospital Plainview Clay Taylor CEO 2601 Dimmitt Road Plainview TX 790721833 2601 Dimmitt Road Plainview TX 790721833 Terry Memorial Hospital District dba Brownfield Regional Medical Center 1751227032 7 006

3 600-14-0000-00050 Private 121811703 17603546030 4 008 TH Healthcare LTD Park Plaza Hospital John Tressa CEO 7135275116 john.tressa@tenethealth.com 1313 Hermann Drive Houston TX 770047005 1313 Hermann Drive Houston TX 770047005 Harris County Hospital District 1741536936 6 324

5 600-14-0000-00051 Private 294543801 1770634227 0 000 Valley Baptist Medical Center- Brownsville Leslie Bingham 9566985421 leslie.bingham@valleybaptist.net 1040 W Jefferston St Brownsville TX 785206338 1040 W Jefferston St Brownsville TX 785206338 Cameron County Health Care Funding District 1463284489 1 000

5 600-14-0000-00052 Private 292096901 1741385476 5 001 Valley Baptist Medical Center (Harlingen) Bill Adams Sr. Vice President &CEO 9563891674 9563891129 bill.adams@valleybaptist.net 2121 Pease Street Harlingen TX 78550 4405 Glasscock Ave Harlingen TX 785509209 Cameron County Health Care Funding District 1463284489 1 000

10 600-14-0000-00053 Private 184409401 1205694301 7 000 Weatherford Tx Hosp Comp Weatherford Reg Med Ctr Dave Medley Vice President, Group II Operations 6154657030 6153711068 dave_medley@chs.net 713 Anderson Street Weatherford TX 760865705 713 Anderson Street Weatherford TX 760865705 Midland County Hospital District 1751584559 6 000

6 600-14-0000-00054 Private 331941001 1462349271 8 004 Nix Community General Hospital LLC John Strieby President and Chief Executive Officer 2102712183 2102712023 jfs@nixhealth.com 414 Navarro Street Ste 600 San Antonio TX 782052541 414 Navarro Street Ste 600 San Antonio TX 782052541 Uvalde County Hospital Authority 1741603120 5 000

6 600-14-0000-00055 Private 331941001 1462349271 8 004 Nix Community General Hospital LLC John Strieby President and Chief Executive Officer 2102712183 2102712023 jfs@nixhealth.com 414 Navarro Street Ste 600 San Antonio TX 782052541 414 Navarro Street Ste 600 San Antonio TX 782052541 Medina County Hospital District dba Medina Regional Hospital 1270492434 4 000

6 600-14-0000-00056 Private 331941001 1462349271 8 004 Nix Community General Hospital LLC John Strieby President and Chief Executive Officer 2102712183 2102712023 jfs@nixhealth.com 414 Navarro Street Ste 600 San Antonio TX 782052541 414 Navarro Street Ste 600 San Antonio TX 782052541 Karnes County Hospital District 1741718215 5 002

6 600-14-0000-00057 Private 331941001 1462349271 8 004 Nix Community General Hospital LLC John Strieby President and Chief Executive Officer 2102712183 2102712023 jfs@nixhealth.com 414 Navarro Street Ste 600 San Antonio TX 782052541 414 Navarro Street Ste 600 San Antonio TX 782052541 Dimmit County Memorial Hospital 1741246263 6 000

6 600-14-0000-00058 Private 331941001 1462349271 8 004 Nix Community General Hospital LLC John Strieby President and Chief Executive Officer 2102712183 2102712023 jfs@nixhealth.com 414 Navarro Street Ste 600 San Antonio TX 782052541 414 Navarro Street Ste 600 San Antonio TX 782052541 Frio Hospital District 1741461220 4 000

12 600-14-0000-00059 Private 322879301 175137016 5 000 Baptist St. Anthony's Health System Bob Williams Interim Chief Executive Officer 8062122000 1600 Wallace Blvd. Amarillo TX 791061799 1600 Wallace Blvd. Amarillo TX 791061799 South Randall County Hospital District 1751370165 0 000

2 700-12-0000-00001 Large Urban 121805903 1741612400 0 000 Angleton Danbury Medical Center Kelly Lackey Director of Finance 9798489110 9798490581 lackeyk@admc.org 132 Hospital Drive Angleton TX 775154112 Angleton-Danbury Hospital District 1741612400 0 000

9 700-12-0000-00002 Large Urban 127295703 1756004221 4 002 Dallas County Hospital District dba Parkland Hlth Jim Blasingame Associate Director 2145904174 2145904176 james.blasingame@phhs.org 5201 Harry Hines Blvd Dallas TX PO Box 660599 Dallas TX 752660599 Dallas County Hospital District 1756004221 4 002

14 700-12-0000-00003 Large Urban 135235306 1752302928 2 501 Ector County Hospital District dba Medical Center Robert Abernethy Chief Financial Officer 4326402407 4326401118 rabernethy@echd.org 500 W 4th Street Odessa TX 797607239 PO Box 7239 Odessa TX 797607239 Ector County Hospital District 1752302928 2 501

15 700-12-0000-00004 Large Urban 138951211 1746000756 4 501 El Paso Co Hosp Dist - University Medical Center o Jesus Fuentes Sr. Analyst 9155217647 9155217888 jfuentes@umcelpaso.org 4815 Alameda Ave. El Paso TX 799052705 El Paso County Hospital District 1746000756 4 013

19 700-12-0000-00005 Large Urban 135034009 1756219138 1 002 Electra Memorial Hospital Rebecca McCain CFO 9404953981 9404953809 rebecca.mccain@electrahospital.com 1209 S Bailey St Electra TX 76360 PO Box 1112 Electra TX 763601112 Electra Memorial Hospital (Electra Hospital District) 1756219138 1 002

3 700-12-0000-00006 Large Urban 133355104 1741536936 6 324 Harris County Hospital District Terry Laney Director Decision Support Services 7135666798 7135666072 terry_laney@hchd.tmc.edu 2525 Holly Hall Drive PO Box 66769 Houston TX 772666769 Harris County Hospital District 1741536936 6 324

10 700-12-0000-00007 Large Urban 126675104 1756000439 6 324 Tarrant County Hospital District dba JPS Health Ne Christopher Klang Director of Reimbursement 8179206204 8178702884 cklang@jpshealth.org 6601 Watauga Road Watauga TX 761483368 1500 S Main St Fort Worth TX 761044917 Tarrant County Hospital District 1756000439 6 324

12 700-12-0000-00008 Large Urban 137999206 1751301362 7 501 Lubbock County Hospital District dba University Me TERRY MCKENZIE REIMBURSEMENT COORDINATOR 8067610809 8064726801 terry.mckenzie@umchealthsystem.com 602 INDIANA AVENUE LUBBOCK TX 794153364 Lubbock County Hospital District 1751301362 7 501

14 700-12-0000-00009 Large Urban 136143806 1751584559 6 000 Midland County Hospital District dba Midland Memor Rebecca Richey Controller, Director of Accounting 4326851645 4325714058 rrichey@midland-memorial.com 2200 West Illinois Avenue Midland TX 79701 400 Rosalind Redfern Grover Pkwy Midland TX 797015846 Midland County Hospital District 1751584559 6 000

3 700-12-0000-00010 Large Urban 127303903 1760339462 2 000 Oak Bend Medical Center Adam Popp Controller 2816334080 2812387872 apopp@obmc.org 1705 Jackson St Richmond TX 77406 PO Box 1409 Richmond TX 774060036 Oak Bend Medical Center 1760339462 2 000

4 700-12-0000-00011 Large Urban 121775403 1741109836 5 501 Spohn Health System dba Spohn Memorial Hospital Barbara Smith Information Systems Coordinator 3618813845 3618844530 barbara.amith2@christushealth.org 600 E. Elizabeth Street Corpus Christi Spohn Health System dba Spohn Memorial Hospital 1741109836 5 501

2 700-12-0000-00012 Large Urban 020988401 1741498067 6 000 Sweeny Community Hospital Delores Merchant RHIA Dir. Financial Services 9795481591 9795481567 dmerchant@sweenyhospital.org 305 N McKinney St Sweeny TX 774802801 Sweeny Community Hospital 1741498067 6 000

6 700-12-0000-00015 Large Urban 136141205 1746002164 9 501 University Health System (Bexar County Hospital D Bill Bedwell Director of Reimbursement 2103582037 2103584745 Bill.Bedwell@UHS-SA.com 4502 Medical Drive San Antonio TX 782294402 University Health System (Bexar County) 1746002164 9 501

11 800-12-0000-00001 Rural 094104901 1756003659 6 000 Anson General Hospital Sabra Knox Administrator 3258231152 3258233098 sknox@ansongh.com 101 Avenue J Anson TX 795012113 101 Avenue J Anson TX 795012113 Anson General Hospital 1756003659 6 000

1 800-12-0000-00002 Rural 133255305 1237033240 0 000 Atlanta Memorial Hospital Jackie Rainey Controller 9037993036 9037993030 jrainey@atlantamemorial.com 1007 S. William St. Atlanta Atlanta Hospital Authority 1237033240 0 005   

13 800-12-0000-00003 Rural 130089906 1752312009 9 001 Ballinger Memorial Hospital Josilyn Peterson Chief Financial Officer 3253652531 3253655689 josilynp@bmhd.org 608 Avenue B Ballinger TX 76821 PO Box 617 Ballinger TX 768210617 Ballinger Memorial Hospital District 1752312009 9 001

3 800-12-0000-00004 Rural 020993401 1760153629 9 001 Bayside Community Hospital Theresa Cheaney Controller 4092673143 4092673608 tcheaney@chambershealth.org 200 Hospital Drive Anahuac TX 77514 PO Box 398 Anahuac TX 775140398 Chambers County HD dba Bayside Community Hosp 1760153629 9 001

19 800-12-0000-00006 Rural 127305405 1751220799 8 002 Bowie Memorial Hospital T. Kim Lee CEO 9408729371 9408721561 klee@bowiememorial.com 705 East Greenwood Ave Bowie TX 762303135 Bowie Memorial Hospital (Bowie Hospital Authority) 1751220799 8 002

12 800-12-0000-00007 Rural 133250406 1751228349 4 501 Childress Regional Medical Center Kathy McLain CFO 9409379169 9409379133 kathy@childresshospital.com 911 Hwy 83 North Childress TX 792011030 Childress County Hospital District dba Childress Regional Medical Center 1751228349 4 002

19 800-12-0000-00008 Rural 154632701 1756002948 4 000 Chillicothe Hospital Linda Hall Administrator 9408525131 9408525087 linda@chillhd.org 303 Avenue I Chillicothe TX 792250000 Chillicothe Hospital 1756002948 4 000

RHP Affiliation Number Program TPI TIN Provider Contact Title Phone Fax Email Phys Addr Phys City Phys State Phys Zip Mail Addr Mail City Mail State Mail Zip Govt Entity Govt TIN

Hospital Affiliations

4 800-12-0000-00009 Rural 137907508 1741698143 3 011 County of Victoria dba Citizens Medical Center Phil Hacker CFO 3615725112 3615725070 phacker@cmcvtx.org 2701 Hospital Dr Victoria TX 779015748 Citizens Medical Center 1741698143 3 011

19 800-12-0000-00010 Rural 094138703 1756000727 4 001 Clay County Memorial Hospital Debra Haehn CFO 9405385621 9402351215 dhaehn@ccmhospital.com 310 West South Street Henrietta TX 763653346 Clay County Hospital District 1756000727 4 001

12 800-12-0000-00011 Rural 094152803 1751255846 5 000 Cochran Memorial Hospital Larry Turney Administrator 8062665565 8062665342 lturney@cochranmemorial.com 201 East Grant Ave. Morton TX 793463444 Cochran Memorial Hospital 1751255846 5 000

13 800-12-0000-00014 Rural 091770005 1751297735 0 002 Concho County Hospital Melanie Lozano CFO 3258695911 3258695218 mlozano@conchoch.com 614 Eaker St Eden TX 76837 PO Box 987 Eden TX 768370987 Concho County Hospital District 1751297735 0 002

12 800-12-0000-00015 Rural 130826407 1751702162 6 014 Coon Memorial Hospital Donny Pettit Chief Financial Officer 8062449270 8062446461 dlp@dhchd.org 1411 Denver Avenue Dalhart TX 790224809 Dallam and Hartley Counties Hospital District 1751702162 6 014

16 800-12-0000-00016 Rural 134772611 1741857100 0 012 Coryell County Memorial Hosp Auth dba Coryell Mem Alan Ivy Assistant Controller 2542486276 2542486306 alan.ivy@cmhos.org 1507 W Main St Gatesville TX 765281024 Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital 1741857100 0 012

12 800-12-0000-00017 Rural 127263503 1752426010 0 000 Covenant Hospital - Plainview Cassie Mogg Manager of Financial Services 8062913357 8062964274 cassie.mogg@stjoe.org 2601 Dimmitt Road Plainview Covenant Hospital - Plainview 1752426010 0 000

14 800-12-0000-00018 Rural 199602701 1352336501 6 555 Crane County Hospital District Crane Memorial Hosp Diane Yeager CEO 4325583555 dyeager@cranememorial.org 1310 South Alford Street Crane TX 79731 Crane County Hospital District 1352336501 6 555

4 800-12-0000-00019 Rural 138911609 1746075588 1 000 Cuero Community Hospital GREG PRITCHETT CFO 3612750504 3612753999 gregp@cuerohospital.org 2550 N. Esplanade Cuero TX 779544736 Cuero Community Hospital 1746075588 1 000

14 800-12-0000-00020 Rural 176354201 1201355256 2 008 Culberson Hospital Larry Stephens Hospital CFO 4058780202 4052726007 Larry@preferredmanagementcorp.com Eisenhower and FM #2185 Van Horn TX 79855 PO Box 609 Van Horn TX 798550609 Culberson County Hospital District 1741736346 6 501

12 800-12-0000-00021 Rural 136330107 1752403687 2 002 D. M. Cogdell Memorial Hospital John H Everett, FACHE CFO 3255747439 3255747433 jeverett@cogdellhospital.com 1700 Cogdell Blvd Snyder TX 795496162 DM Cogdell Memorial Hospital dba Scurry County 1752403687 2 002

11 800-12-0000-00023 Rural 137074409 1752313255 7 002 Eastland Memorial Hospital District Jamie Hayden Chief Financial Officer 2546315342 2546298929 jamie.hayden@EMHD.org 304 S Daugherty St Eastland TX 76448 PO Box 897 Eastland TX 764480897 Eastland Memorial Hospital District 1752313255 7 002

3 800-12-0000-00024 Rural 131045004 1760488120 5 000 El Campo Memorial Hospital Tisha Zalman CEO 9795436251 9795438420 tzalman@ecmh.org 303 Sandy Corner Road El Campo El Campo Memorial Hospital 1452750258 8 000

19 800-12-0000-00034 Rural 119874904 1756004585 2 001 Faith Community Hospital JAMES BARTLETT CFO 9405676633 9405675714 jbartlett@fchtexas.com 717 MAGNOLIA ST. JACKSBORO TX 764581111 Faith Community Hospital Auxiliary (Jack County Hospital District) 1756004585 2 001

11 800-12-0000-00035 Rural 112692202 1751433495 6 012 Fisher County Hospital Steven LeFevre CEO 3257352256 3257353070 slefevre@fishercountyhospital.com 774 State Hwy 70 North Rotan TX 79546 PO Box F Rotan TX 795460485 Fisher County Hospital District 1751433495 6 012

19 800-12-0000-00037 Rural 121777003 1751091664 0 501 Gainesville Memorial Hospital KRISTINE LYNCH DIRECTOR OF ACCOUNTING 9406128645 9406128647 kristine.lynch@ntmconline.net 1900 HOSPITAL BLVD GAINESVILLE TX 1016 Ritchey St GAINESVILLE TX 762403539 Gainesville Memorial Hospital 1751091664 0 501

10 800-12-0000-00038 Rural 216719901 1463085950 3 000 Somervell County HD dba Glen Rose Med Ctr KRISTINA HEFFERNAN CONTROLLER 2548971422 2548971446 kheffernan@grmf.org 1021 HOLDEN STREET Glen Rose TX 760434937 1021 Holden Street Glen Rose TX 760434937 Somervell County Hospital District 1463085950 3 000

19 800-12-0000-00039 Rural 130613604 1751919268 0 501 Graham Regional Medical Center Bonnie Blevins CFO 9405215411 9405215158 bblevins@grahamrmc.com 1301 Montgomery Road Graham TX 764500000 Graham Regional Medical Center (City of Graham) 1751919268 0 501

6 800-12-0000-00040 Rural 138411709 1741386053 1 001 Guadalupe Valley Hospital Penny Wallace Chief Financial Officer 8303792411 8303721582 pkwallace@grmedcenter.com 1215 E Court Seguin TX 781555129 Guadalupe County Hospital Board dba Guadalupe Regional Medical Center 1741386053 1 001

16 800-12-0000-00041 Rural 121792903 1741314368 0 000 Hamilton General Hospital West Jones COO 2543861950 2543865173 wjones@hamiltonhospital.org 400 North Brown Hamilton TX 765311518 Hamilton General Hospital 1741314368 0 000

11 800-12-0000-00042 Rural 094131202 1751453952 1 501 Hamlin Memorial Hospital PATRICA BARNETT ADMINISTRATIVE ASSISTANT 3255763646 3255763797 patrica.barnett@sbcglobal.net 632 NW 2ND STREET Hamlin TX 79520 PO Box 400 Hamlin TX 795200400 Hamlin Memorial Hospital 1751453952 1 501

12 800-12-0000-00043 Rural 094117105 1237297190 8 004 Hansford Hospital Jonathan Bailey CEO 8066595858 8066595844 jonathanbailey@hchd.net 707 S. Roland St Spearman TX 790813441 Hansford County Hospital District 1237297190 8 004

19 800-12-0000-00044 Rural 121692107 1756002047 5 000 Hardeman County Memorial Hospital Tracy Betts Controller 9406632795 9406632291 tracy.betts@hcmhosp.com 402 Mercer Street Quanah TX 79252 PO Box 90 Quanah TX 792520090 Hardeman County Hospital District 1756002047 5 000

11 800-12-0000-00045 Rural 112702904 1756001753 9 000 Haskell Memorial Hospital FRAN MCCOWN ADMINISTRATOR 9408642621 9408645014 fmccown@windstream.net 1 NORTH AVENUE N HASKELL TX 79524 PO Box 1117 Haskell TX 795211117 Haskell County Hospital District 1756001753 9 000

12 800-12-0000-00047 Rural 109588703 1756002888 2 005 Hemphill County Hospital District Sheila R. Service CFO 8063236422 8063238109 sheila@hchdst.org 1020 S 4th Street Canadian TX 790143315 Hemphill County Hospital District 1756002888 2 005

12 800-12-0000-00048 Rural 133544006 1756001297 7 002 Hereford Regional Medical Center Greg Reinart CFO 8063499201 8063499387 greg.reinart@cohs.net 540 W 15th St Hereford TX 790452820 Deaf Smith County Hospital District 1756001297 7 002

1 800-12-0000-00049 Rural 131037704 1756001812 3 000 Hopkins County Memorial Hospital Ellen Russell Controller 9034394076 9034384646 ellenr@hcmh.com 115 Airport Road Sulpher Springs TX 75483 PO Box 275 Sulpher Springs TX 754830275 Hopkins County Hospital District (Hopkins County Memorial Hospital) 1756001812 3 000

13 800-12-0000-00050 Rural 112728403 1746003374 3 555 Iraan General Hospital (Pecos General) PETE MORADO CFO 4326392575 4326396292 pmorado@igh-hospital.com 600 HWY 349 NORTH IRAAN TX 79744 PO Box 665 Iraan TX 797440665 Iraan General Hospital (Pecos General) 1746003374 3 555

4 800-12-0000-00051 Rural 121808305 1741738475 1 002 Jackson Healthcare Center Lance Smiga CFO 3617827800 3617827495 lsmiga@jchd.org 1013 South Wells Edna TX 779574045 Jackson County Hospital District 1741738475 1 002

4 800-12-0000-00052 Rural 136412710 1741718215 5 002 Karnes County Hospital District dba Otto Kaiser Me David Lee CFO 8305833401 8305834595 david.lee@okmh.org 3349 S HWY 181 Kenedy TX 781195247 Karnes County Hospital District 1741718215 5 002

11 800-12-0000-00053 Rural 121053602 1750808798 2 001 Knox County Hospital Stephen A Kuehler CEO 9406573535 9406575521 knoxhospital@srcaccess.net 701 South 5th Street Knox City TX PO Box 608 Knox City TX 795290608 Knox County Hospital District dba Knox County Hospital Home Care 1750808798 2 001

12 800-12-0000-00054 Rural 127313803 1752388515 4 010 Lamb Healthcare Center Cindy Klein CFO 8063856411 8063853998 cklein@lambhc.org 1500 S. Sunset Ave Littlefield TX 793394889 Lamb County dba Lamb Healthcare Center 1752388515 4 010

4 800-12-0000-00055 Rural 135233809 1746240037 9 001 Lavaca Medical Center Tracy Green CFO 3617983671 3617982682 tgreen@lavacamedcen.com 1400 N. Texana St Hallettsville TX 779642021 Lavaca Medical Center (hospital district) 1746240037 9 001

13 800-12-0000-00056 Rural 121781205 1752152933 3 003 Lillian Hudspeth Memorial Hospital Michelle Schaefer CFO 3253871210 3253872396 mschaefer@sonora-hospital.org 308 Hudspeth Sonora TX 76950 PO Box 455 Sonora TX 769500455 L M Hudspeth Memorial Hospital 1752152933 3 003

16 800-12-0000-00057 Rural 140714001 1741744089 2 007 Limestone Medical Center Michael Williams Accountant 2547293281 2547293080 miwilliams@lmchospital.com 701 McClintic Dr Groesbeck TX 766422128 South Limestone Hospital District 1741744089 2 007

12 800-12-0000-00059 Rural 126667806 1751424965 9 000 Lockney Gen Hosp Dist (W.J. Mangold Mem Hosp) Sharon Hunt CEO/CFO 8066523373 8066522172 sharonh@mangoldmemorial.org 320 North Main St. Lockney TX 79241 PO Box 37 Lockney TX 792410037 Lockney Gen Hosp Dist (W.J. Mangold Mem Hosp) 1751424965 9 000

12 800-12-0000-00060 Rural 094180903 1751328354 3 001 Lynn County Hospital District Jim Morris CEO 8069984533 8065614049 jmorris@lchdhealthcare.org 2600 Lockwood Avenue Tahoka TX 79373 PO Box 1310 Tahoka TX 793731310 Lynn County Hospital District 1751328354 3 001

14 800-12-0000-00061 Rural 136145310 1751300105 1 002 Martin County Hospital District ALISON ISRAEL CFO 4326073205 4326073269 aisrael@martinch.org 610 NORTH SAINT PETER STREET Stanton TX 79782 PO Box 640 Stanton TX 797820640 Martin County Hospital District 1751300105 1 002

3 800-12-0000-00062 Rural 130959304 1746025069 3 001 Matagorda General Hospital Mindy Klock Controller 9792415532 9792415533 mklock@matagordaregional.org 104 7th Street Bay City TX 774144853 Matagorda County Hospital District 1746025069 3 001

14 800-12-0000-00063 Rural 094172602 1751246166 0 001 McCamey Hospital and Convalesent Center Judith Gulihur CFO 4326528626 4326524008 jgulihur@mchdtx.net 2500 Hwy 305 S. 2500 Hwy 305 S. TX 79752 PO Box 1200 McCamey TX 797521200 McCamey Hospital and Convalescent Center 1751246166 0 001

12 800-12-0000-00064 Rural 189947801 1756005064 7 002 Medical Arts Hospital Steve Brock CFO 8068722183 8068720483 sbrock@medicalartshospital.org 2200 N Bryan Ave 1600 N Bryan Ave Lamesa TX 793313145 Dawson County Hospital District 1756005064 7 002

6 800-12-0000-00065 Rural 212140201 1300126353 5 000 Medina Community Hospital Kevin Frosch CFO 8304267898 8304267963 kevin.frosch@medinahospital.net 3100 Ave E Hondo TX 788613534 Medina County Hospital District 1300126353 5 000

4 800-12-0000-00066 Rural 121785303 1741625013 6 501 Gonzales County Hospital District DBA Mem Hosp Patty Stewart CFO 8306727581 8306722401 pstewart@gonzaleshealthcare.com 1110 N Sarah DeWitt Drive Gonzales TX 78629 PO Box 587 Gonzales TX 786290587 Gonzales County Hospital District 1741625013 6 501

3 800-12-0000-00067 Rural 137909111 1746003411 3 000 Memorial Medical Center 815 N Virgina St Port Lavaca TX 779793025 815 N Virgina St Port Lavaca TX 779793025 Calhoun County dba Memorial Medical Center 1746003411 3 000

2 800-12-0000-00068 Rural 130734007 1752663904 6 006 Memorial Medical Center San Augustine Kristi Gay CFO 9366316702 9366397004 kgay@memorialhealth.org 511 E. Hospital Street San Augustine TX 75972 PO Box 658 San Augustine TX 759720658 Memorial Medical Center San Augustine 1752663904 6 006

12 800-12-0000-00069 Rural 133258705 1752246348 2 000 Methdist Hosp Levelland dba Covenant Hosp Levellan John Dolan CFO 8068944963 8068946461 JDolan@CovHS.org 1900 S College Ave Levelland TX 793366508 Methodist Hosp Levelland dba Covenant Hosp Levelland 1752246348 2 000

11 800-12-0000-00070 Rural 136325111 1751246488 8 501 Mitchell County Hospital Joe Wright CFO 3257283431 3257288974 joew@mitchellcountyhospital.com 997 W. Interstate 20 Colorado City TX 79512 1543 Chestnut St Colorado City TX 795123916 Mitchell County Hospital 1751246488 8 501

12 800-12-0000-00071 Rural 094129602 1751302152 1 006 Moore County Hospital District John Bailey CFO 8069357171 8069356458 jbailey@mchd.net 224 East 2nd Street Dumas TX 790293808 Moore County Hospital District 1751302152 1 006

19 800-12-0000-00072 Rural 120745806 1751244289 2 501 Muenster Memorial Hospital James Tacker CFO 9407596139 9407592383 James_Tacker@sbcglobal.net 605 North Maple Muenster TX 76252 PO Box 370 Muenster TX 762520370 Muenster Memorial Hospital 1751244289 2 501

12 800-12-0000-00073 Rural 130877708 1752290436 0 003 Muleshoe Area Medical Center David Burke CEO/CFO 8062724524 8062724938 dburke@mahdtx.org 708 S 1st Muleshoe TX 793473627 Muleshoe Area Medical Center 1752290436 0 003

2 800-12-0000-00074 Rural 131030203 1756000602 9 004 Nacogdoches Memorial Hospital Kay Johnson Director of Accounting 9365688529 9365694131 johnsonk@nacmem.org 1204 Mound Street Nacogdoches TX 759614027 Nacogdoches County Hospital District 1756000602 9 004

19 800-12-0000-00075 Rural 127310404 1751368648 9 001 Nocona General Hospital Lance Meekins CEO 9408253235 9408257196 lmeekins@noconageneral.com 100 Park Road Nocona TX 762553616 100 Park Road Nocona TX 762553616 Nocona General Hospital District 1751368648 9 001

13 800-12-0000-00076 Rural 020989201 1751306626 0 000 North Runnels Hospital Judy Espitia CFO 3257544553 3257545097 jespitia@nrhd.org 7821 Highway 153 PO Box 185 Winters TX 795670185 North Runnels Hospital 1751306626 0 000

12 800-12-0000-00077 Rural 112704504 1751211903 7 003 Ochiltree General Hospital DEBBIE BLODGETT CHIEF FINANCIAL OFFICER 8064353606 8064352067 dblodgett@oghtx.com 3101 GARRETT DR PERRYTON TX 790705323 Ochiltree General Hospital 1751211903 7 003

19 800-12-0000-00078 Rural 110856504 1756001727 3 001 Olney Hamilton Hospital District dba Hamilton Hosp Stasha Siegert Business Office Manager 9405645521 9405643705 ss_siegert@olneyhh.com 901 W Hamilton Olney TX 763014301 Olney-Hamilton Hospital District 1756001727 3 001

11 800-12-0000-00079 Rural 138950412 1751256948 8 000 Palo Pinto General Hospital Dee Waldow CFO 9403286401 9403257903 dwaldow@ppgh.com 400 SW 25th Ave. Mineral Wells TX 760678246 Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp 1751256948 8 000

12 800-12-0000-00080 Rural 121787905 1751188675 0 000 Parkview Hospital Liz Rezach Supervising Consultant 2547768244 2547768277 lrezach@bkd.com 1000 South Sweetwater Street Wheeler TX 79096 PO Box 1030 Wheeler TX 790961030 North Wheeler County Hospital District DBA Parkview Hospital 1751188675 0 000

13 800-12-0000-00081 Rural 130616905 1746002963 4 000 Pecos County Memorial Hospital Leticia Fox CFO 4323364202 4323364545 lfox@pcmhfs.com PO Box 1060 Fort Stockton TX 797351060 Pecos County Memorial Hospital 1746002963 4 000

14 800-12-0000-00082 Rural 127298107 1751997880 7 000 Permian Regional Medical Center Sandra Cox CFO 4324642107 4324642567 scox@permianregional.com 720 Hospital DrivePecos Andrews TX 79714 PO Box 2108 Andrews TX 797142108 Permian Regional Medical Center 1751997880 7 000

12 800-12-0000-00083 Rural 136142011 1756003939 2 501 Plains Memorial Hospital TERRI MARTINEZ CFO 8066472191 8066470934 terri.martinez@cchdonline.com 310 W HALSELL ST TX 79027 PO Box 278 DIMMITT TX 790270278 Plains Memorial Hospital Disproportionate Share Account (Castro County) 1756003939 2 501

1 800-12-0000-00084 Rural 020927202 1751277293 4 010 Presbyterian Hosp of Commerce (Hunt Reg Comm Hosp) Jeri Rich CFO 9034081865 9034081659 jrich@huntregional.org 2900 Sterling Hart Drive Commerce TX 754283912 2900 Sterling Hart Drive Commerce TX 754283912 Presbyterian Hospital of Commerce 1751277293 4 010

1 800-12-0000-00085 Rural 131038504 1751277293 4 501 Hunt Mem Hosp Dist dba Hunt Reg Med Ctr * Jeri Rich CFO 9034081865 9034081659 jrich@huntregional.org 4215 Joe Ramsey Blvd Greenville TX 754031059 Hunt Memorial Hospital District 1751277293 4 501

14 800-12-0000-00086 Rural 121799406 1751248028 0 001 Rankin County Hospital PO Box 327 Rankin TX 797780327 Rankin County Hospital District 1751248028 0 001

13 800-12-0000-00087 Rural 121806703 1756003050 8 001 Reagan Memorial Hospital John Perushek CEO 3258842561 3258842891 jperushek@trhta.net 805 N Main Big Lake TX 769323938 Reagan Memorial Hospital District 1756003050 8 001

14 800-12-0000-00088 Rural 112684904 1752301801 2 002 Reeves County Hospital Brenda McKinney CFO 4324473551 4324476809 bmckinney@trhta.net 2323 Texas Street Pecos TX 797727338 2323 Texas Street Pecos TX 797727338 Reeves County Hospital District 1752301801 2 002

4 800-12-0000-00089 Rural 020991801 1741915330 3 000 Refugio County Memorial Hospital Susan Parker CFO 3615262321 3615262420 sparker@rcmhospital.org 75428-3912 Refugio TX 783772425 107 Swift Street Refugio TX 783772425 Refugio County Memorial Hospital District 1741915330 3 000

11 800-12-0000-00090 Rural 133244705 1756003896 4 000 Rolling Plains Memorial Hospital Rhonda Guelker CFO 3252351701 3252358705 rhonda@rpmh.net 200 E. Arizona Sweetwater TX 795560000 Rolling Plains Memorial Hospital District 1756003896 4 000

12 800-12-0000-00092 Rural 094121303 1751362671 7 501 Seminole HD of Gaines Co dba Memorial Hospital TRACI ANDERSON CFO 4327584866 4327584880 tanderson@seminolehospitaldistrict.com 209 NW 8TH STREET SEMINOLE TX 79360 Seminole Hospital District of Gaines County (Memorial Hospital) 1751362671 7 501

19 800-12-0000-00093 Rural 138353107 1752299922 0 501 Seymour Hospital Lynette Smajstrla Administrative Assistant 9408895572 9408893337 lsmajstrla@seymourtexas.net 200 Stadium Dr Seymour TX 763802344 Seymour Hospital (Baylor County HD) 1752299922 0 501

11 800-12-0000-00096 Rural 126842708 1751315205 2 004 Stamford Memorial Hospital Elizabeth Miller CFO 3257732725 3257733781 emiller@stamfordhosp.com 1601 Columbia Stamford TX 79553 PO Box 911 Stamford TX 795530911 Stamford Memorial Hospital (Stamford Memorial Hospital District 1751315205 2 004

5 800-12-0000-00097 Rural 136332705 1741794256 6 501 Starr County Memorial Hospital Rafael Olivares Controller 9564879025 9564874680 rol78582@yahoo.com 128 N FM 3167 Rio Grande City TX 785820000 PO Box 78 Rio Grande City TX 785820078 Starr County 1741794256 6 501

11 800-12-0000-00098 Rural 119875604 1756003328 8 001 Stephens Memorial Hospital Jeff Casbeer CFO 2545592241 2545596536 jeff.casbeer@smhtx.com 200 S. Geneva Breckenridge TX 764244702 Stephens Memorial Hospital dba Stephens County Emergency Medic 1756003328 8 001

12 800-12-0000-00100 Rural 130618504 1751227032 7 006 Terry Mem Hosp Dist dba Brownfield Reg Med Ctr Joshua Savage CFO 8066373551 8066371779 josavage@brownfield-rmc.org 705 E Felt St Brownfield TX 793163439 Terry Memorial Hospital District dba Brownfield Regional Medical Center 1751227032 7 006

1 800-12-0000-00101 Rural 138913209 1756003935 0 000 Titus Regional Medical Center Heather Tuck Controller 9035776065 9035776091 heather.tuck@titusregional.com 2001 N Jefferson Mt Pleasant TX 754552371 Titus County Memorial Hospital dba Titus Regional Medical Center 1756003935 0 000

2 800-12-0000-00102 Rural 136381405 1746067306 8 001 Tyler County Hospital Richard Wallace CFO 4092836440 4092838318 rwallace@tchospital.us 1100 West Bluff St Woodville TX 759794738 Tyler County Hospital 1746067306 8 001

6 800-12-0000-00103 Rural 121782003 1741603120 5 000 Uvalde County Hospital Authority Valerie J. Lopez Chief Financial Officer 8302786251 8302788529 v.lopez@umhtx.org 1025 Garner Field Road Uvalde Uvalde County Hospital Authority 1741603120 5 000

6 800-12-0000-00104 Rural 119877204 1742941598 1 501 Val Verde Regional Medical Center Connie Wilhelm Controller 8307783613 8307783638 connie.wilhelm@vvrmc.org 801 Bedell Del Rio TX PO Box 1527 Del Rio TX 788411527 Val Verde Regional Medical Center 1742941598 1 501

14 800-12-0000-00105 Rural 136331910 1756001193 8 001 Ward Memorial Hospital Padraic White CEO 4329432511 4329439415 pwhite@wardmemorial.org 406 South Gary Monahans TX 797564799 Ward Memorial Hospital 1756001193 8 001

19 800-12-0000-00106 Rural 112707803 1756047638 8 000 Wilbarger General Hospital Hal Mayo CFO 9405532871 9405532958 hmayo@wghospital.com 920 Hillcrest Dr Vernon TX 763843132 Wilbarger General Hospital District 1756047638 8 000

6 800-12-0000-00107 Rural 135151206 1742019736 4 501 Wilson County Memorial Hospital District dba Conna Janie Lanford Accounting Manager 8303931526 8303931525 jlanford@connallymmc.org 499 Tenth Street Floresville Wilson County Memorial Hospital Floresville (Connally Memorial Hospital) 1742019736 4 501

14 800-12-0000-00108 Rural 094204701 1756001202 7 014 Winkler County Memorial Hospital William Ernst Administrator 4325868257 4325868125 wernst@wcmh.net 821 Jeffee Drive Kermit TX 797454610 Memorial Hospital of Winkler County 1756001202 7 014

10 800-12-0000-00109 Rural 130606006 1751250450 1 003 Decatur Community Hospital (Wise Reg Health Systm) Todd Scroggins Adminstative Director of Finance 9406275921 9406260127 tscriggins@wiseregional.com 609 Medical Center Dr. 76234-3702 TX 762340000 200 S FM 51 Decatur TX 762343702 Decatur Hospital Authority dba Wise Regional Health System 1751250450 1 003

12 800-12-0000-00110 Rural 137227806 1756001212 6 017 Yoakum County Hospital SUANN PARRISH CFO 8065922121 8065924440 sparrish@ych.us 412 MUSTANG DRIVE 412 MUSTANG DRIVE PO Box 1130 DENVER CITY TX 793231130 Yoakum County Hospital District 1756001212 6 017

1 900-12-0000-00001 State Hospital 127278304 3785785785 0 000 University of Texas Health Center - Tyler Kirk Calhoun President 9038773451 9038777759 11937 US Highway 271 Tyler 75708 University of Texas Health Center - Tyler 3785785785 0 000

2 900-12-0000-00002 State Hospital 094092602 3723723723 7 000 University of Texas Medical Branch - Galveston Karen Sexton Interim Executive Vice President 4097721011 4097725119 301 University Blvd. Galveston 77555 The University of Texas Medical Branch at Galveston 3723723723 7 000

3 900-12-0000-00003 State Hospital 112672402 3506506506 8 005 UT MD Anderson Cancer Center Thomas Burke Executive Vice President/Physician in Chief 7137922121 7137944474 1515 Holcombe Blvd Houston TX 770304000 UT MD Anderson Cancer Center 1746001118 6 005

6 900-12-0000-00004 State Hospital 133257904 3537537537 1 000 DSHS (Texas Center for Infectious Disease) James Elkins Director 2105345587 2105314502 2303 S.E. Military Drive San Antonio TX 78223 1100 W 49th St Austin TX 787563101 Department of State Health Services 3537537537 1 000

2 900-12-0000-00005 State 109372601 3723723723 7 457 University of Texas Medical Branch - Galveston Karen Sexton Interim Executive Vice President 4097721011 4097725119 301 University Blvd. Galveston 77555 301 University Blvd. Galveston TX 77555-0133 University of Texas Medical Branch at Galveston 3723723723 7 457

1 900-12-0000-00006 State 133331202 3537537537 1 000 DSHS (Rusk State Hospital) Olga Rodriguez (512) 776-7181 olga.rodriguez@dshs.state.tx.us 1100 W 49th St Austin 78756 1100 W 49th St Austin 78711-2190 Department of State Health Services 3537537537 1 000

5 900-12-0000-00007 State 021219301 3537537537 1 000 DSHS (Rio Grande State Center) Olga Rodriguez (512) 776-7181 olga.rodriguez@dshs.state.tx.us 1100 W 49th St Austin 78756 1100 W 49th St Austin 78711-2190 Department of State Health Services 3537537537 1 000

7 900-12-0000-00008 State 021194801 3537537537 1 000 DSHS (Austin State Hospital) Olga Rodriguez (512) 776-7181 olga.rodriguez@dshs.state.tx.us 1100 W 49th St Austin TX 78756 1100 W 49th St Austin TX 78711-2190 Department of State Health Services 3537537537 1 000

15 900-12-0000-00009 State 112751605 3537537537 1 000 DSHS (El Paso Psychiatric Center) Olga Rodriguez (512) 776-7181 olga.rodriguez@dshs.state.tx.us 1100 W 49th St Austin 78756 1100 W 49th St Austin 78711-2190 Department of State Health Services 3537537537 1 000

19 900-12-0000-00010 State 021196301 3537537537 1 000 DSHS (North Texas State Hospital Vernon) Olga Rodriguez (512) 776-7181 olga.rodriguez@dshs.state.tx.us 1100 W 49th St Austin TX 78756 1100 W 49th St Austin TX 78711-2190 Department of State Health Services 3537537537 1 000

19 900-12-0000-00011 State 021195501 3537537537 1 000 DSHS (North Texas State Hospital Wichita Falls) Olga Rodriguez (512) 776-7181 olga.rodriguez@dshs.state.tx.us 1100 W 49th St Austin 78756 1100 W 49th St Austin 78711-2190 Department of State Health Services 3537537537 1 000

6 900-12-0000-00012 State 138706004 3537537537 1 000 DSHS (San Antonio State Hospital) Olga Rodriguez (512) 776-7181 olga.rodriguez@dshs.state.tx.us 1100 W 49th St Austin 78756 1100 W 49th St Austin 78711-2190 Department of State Health Services 3537537537 1 000

9 900-12-0000-00013 State 137919003 3537537537 1 000 DSHS (Terrell State Hospital) Olga Rodriguez (512) 776-7181 olga.rodriguez@dshs.state.tx.us 1100 W 49th St Austin 78756 1100 W 49th St Austin 78711-2190 Department of State Health Services 3537537537 1 000

14 900-12-0000-00014 State 137918204 3537537537 1 000 DSHS (Big Spring State Hospital) Olga Rodriguez (512) 776-7181 olga.rodriguez@dshs.state.tx.us 1100 W 49th St Austin 78756 1100 W 49th St Austin 78711-2190 Department of State Health Services 3537537537 1 000

9 900-12-0000-00015 State 175287501 1753175630 6 003 University of Texas Southwestern St Paul Universit Bruce Meyer, MD (214) 648-9794 bruce.meyer@utsouthwestern.edu 5323 Harry Hines Blvd Dallas 75390 5323 Harry Hines Blvd Dallas 75390-7208 University of Texas Southwestern St Paul University Hospital 1753175630 6 003

9 900-12-0000-00016 State 175289101 1753175621 5 000 UTSW University Hospitals and Clinics Zale Lipshy Del Smith Director of Reimbursement (214) 648-9047 delbert.smith@utsouthwestern.edu 5323 Harry Hines Blvd Dallas PO Box 849927 Dallas 75284-0001 UTSW University Hospitals and Clinics Zale Lipshy University Hospital 1753175621 5 000

1 950-13-0000-00001 Anchor 127278304 1756001354 6 000 University of Texas Health Center at Tyler 11937 US Highway 271 Tyler TX 75708-3154 University of Texas Health Center at Tyler 1756001354 0 000

2 950-13-0000-00002 Anchor 094092602 3723723723 7 000 University of Texas Medical Branch - Galveston Thomas Riley (409) 772-6637 thriley@utmb.edu 301 University Blvd Galveston 301 University Blvd Galveston 77555-0133 The University of Texas Medical Branch at Galveston 3723723723 7 000

3 950-13-0000-00003 Anchor 133355104 1741536936 6 324 Harris County Hospital District Beth Cloyd (713) 566-6405 Beth.Cloyd@harrishealth.org 2525 Holly Hall Houston 77054 PO Box 66769 Houston 77266-6769 Harris County Hospital District 1741536936 6 324

4 950-13-0000-00004 Anchor 1746000604 6 000 Nueces County Hospital District Johny Hipp (361) 808-3300 johnny.hipp@nchdcc.org 555 N Carancahua, Suite 950 Corpus Christi 555 N Carancahua St Ste 950 Corpus Christi 78478-0007 Nueces County Hospital District 1746000604 6 000

5 950-13-0000-00005 Anchor 1746000717 6 060 Hidalgo County Hidalgo County Treasurer Eddie Olivarez (956) 383-8858 eddie.olivarez@hchd.org 1304 South 25th Avenue Edinburg 78542 2810 S Business 281 Edinburg 78539-6243 Hidalgo County Hidalgo County Treasurer 1746000717 6 060

6 950-13-0000-00006 Anchor 136141205 1746002164 9 501 University Health System Revenue Accounting MS 86 Ted Day Vice President Strategic Planning & Business Development(210) 358-8189 Ted.Day@uhs-sa.com 4502 Medical Drive San Antonio 78229 4502 Medical Dr San Antonio 78229-4402 University Health System (Bexar County) 1746002164 9 501

7 950-13-0000-00007 Anchor 1061730907 4 000 Travis County Hospital District Sarah Cook Medicaid Waiver Director (512) 978-8195 sarah.cook@centralhealth.net 1111 E Cesar Chavez St Ste B Austin PO Box 1748 Austin 78767-1748 Travis County Hospital District 1061730907 4 000

17 950-13-0000-00008 Anchor 198523601 3709709709 3 000 TAMUS Health Science Center Janice Ehlert Project Director (512) 341-4975 jehlert@tamhsc.edu 3950 North A.W. Grimes Blvd S 211B Round Rock 78665 200 Technology Way, Suite 2079 College Station 77845-3424 TAMUS Health Science Center 3709709709 3 000

9 950-13-0000-00009 Anchor 127295703 1756004221 4 002 Dallas County Hospital District dba Parkland Healt Ted Shaw Interim Chief CFO (214) 590-8097 ted.shaw@phhs.org 5201 Harry Hines Blvd Dallas 75235 PO Box 660599 Dallas 75266-0599 Dallas County Hospital District 1756004221 4 002

10 950-13-0000-00010 Anchor 126675104 1756000439 6 324 Tarrant County Hospital District dba JPS Health Ne David Dalsberry (817) 927-1611 Dsalsberry@jpshealth.org 1500 S Main St Fort Worth 1500 S Main St Fort Worth 76104-4917 Tarrant County Hospital District 1756000439 6 324

11 950-13-0000-00011 Anchor 138950412 1751256948 8 000 Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp Harris Brooks (940) 328-6400 harris@ppgh.com 400 SW 25th Ave. Mineral Wells 76067 400 SW 25th Ave Mineral Wells 76067-8246 Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp 1751256948 8 000

12 950-13-0000-00012 Anchor 137999206 1751301362 7 004 Lubbock County Hospital District dba University Me Bobbye Hrncirik (806) 775-8532 Bobbye.hrncirik@umchealthsystem.com 602 Indiana Avenue Lubbock 79423 PO Box 5980 Lubbock 79408-5980 Lubbock County Hospital District dba University Medical Center 1751301362 7 004

13 950-13-0000-00013 Anchor 322916301 1741791441 7 004 McCulloch County Hospital District Tim Jones (325) 792-3940 timjones@bradyhospital.com 2008 Nine Road Brady TX 76825 PO Box 1150 Brady TX 76825-1150 McCulloch County Hospital District 1741791441 7 004

14 950-13-0000-00014 Anchor 135235306 1752302928 2 501 Ector County Hospital District dba Medical Center John O'Hearn Director of Regional Development (432) 640-2429 johearn@echd.org 500 W 4th Street Odessa 79761 PO Box 7239 Odessa 79760-7239 Ector County Hospital District 1752302928 2 501

15 950-13-0000-00015 Anchor 138951211 1746000756 4 013 El Paso County Hospital District dba University Me James Valenti President and Chief Executive Officer (915) 521-7602 jvalenti@umcelpaso.org 4815 Alameda Avenue El Paso 79905 4815 Alameda Ave. El Paso 79905-2705 El Paso County Hospital District 1746000756 4 013

16 950-13-0000-00016 Anchor 134772611 1741871000 0 012 Coryell County Memorial Hospital Authority dba Cor Kathy Lee Director (254) 248-6364 k.lee@cmhos.org 1507 West Main Gatesville 76528 1507 W Main St Gatesville 76528-1024 Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital 1741857100 0 012

17 950-13-0000-00017 Anchor 198523601 3709709709 3 000 TAMUS Health Science Center Angie Alaniz Project Director (979) 458-1594 alalaniz@srph.tamhsc.edu 1266 TAMU College Station 200 Technology Way, Suite 2079 College Station 77845-3424 TAMUS Health Science Center 3709709709 3 000

19 950-13-0000-00019 Anchor 135034009 1756219138 1 002 Electra Memorial Hospital Rebecca McCain CFO (940) 4953981 9404953809 rebecca.mccain@electrahospital.com 1209 S Bailey St Electra PO Box1112 Electra 76360-1112 Electra Memorial Hospital (Electra Hospital District) 1756219138 1 002

20 950-13-0000-00020 Anchor 1746001587 2 025 Webb County Clerk Nancy Cadena Interim Director (965) 523-4747 ncadena@webbcountytx.gov 1620 Santa Ursula Avenue Laredo 78040 1110 Washington St Ste 202 Laredo 78040-4470 Webb County 1746001587 2 025

1 999-13-0000-00001 Administrative 127278304 1756001354 6 000 University of Texas Health Center at Tyler Daniel Deslatte (903) 887-5077 daniel.deslatte@uthct.edu 11937 US Highway 271 Tyler TX 75708 11937 US Highway 271 Tyler TX 75708-3154 University of Texas Health Center at Tyler 1756001354 6 000

2 999-13-0000-00002 Administrative 094092602 3723723723 7 000 University of Texas Medical Branch - Galveston Thomas Riley (409) 772-6637 thriley@utmb.edu 301 University Blvd Galveston 301 University Blvd Galveston 77555-0133 The University of Texas Medical Branch at Galveston 3723723723 7 000

3 999-13-0000-00003 Administrative 133355104 1741536936 6 324 Harris County Hospital District Beth Cloyd (713) 566-6405 Beth.Cloyd@harrishealth.org 2525 Holly Hall Houston 77054 PO Box 66769 Houston 77266-6769 Harris County Hospital District 1741536936 6 324

4 999-13-0000-00004 Administrative 1746000604 6 000 Nueces County Hospital District Johny Hipp (361) 808-3300 johnny.hipp@nchdcc.org 555 N Carancahua, Suite 950 Corpus Christi 555 N Carancahua St Ste 950 Corpus Christi 78478-0007 Nueces County Hospital District 1746000604 6 000

5 999-13-0000-00005 Administrative 1746000717 6 060 Hidalgo County Hidalgo County Treasurer Eddie Olivarez (956) 383-8858 eddie.olivarez@hchd.org 1304 South 25th Avenue Edinburg 78542 2810 S Business 281 Edinburg 78539-6243 Hidalgo County Hidalgo County Treasurer 1746000717 6 060

6 999-13-0000-00006 Administrative 136141205 1746002164 9 501 University Health System Revenue Accounting MS 86 Ted Day Vice President Strategic Planning & Business Development(210) 358-8189 Ted.Day@uhs-sa.com 4502 Medical Drive San Antonio 78229 4502 Medical Dr San Antonio 78229-4402 University Health System (Bexar County) 1746002164 9 501

7 999-13-0000-00007 Administrative 1061730907 4 000 Travis County Hospital District Sarah Cook Medicaid Waiver Director (512) 978-8195 sarah.cook@centralhealth.net 1111 E Cesar Chavez St Ste B Austin PO Box 1748 Austin 78767-1748 Travis County Hospital District 1061730907 4 000

8 999-13-0000-00008 Administrative 198523601 3709709709 3 000 TAMUS Health Science Center Project Director (512) 341-4975 3950 North A.W. Grimes Blvd S 211B Round Rock TX 78665 200 Technology Way, Suite 2079 College Station TX 77845-3424 TAMUS Health Science Center 3709709709 3 000

9 999-13-0000-00009 Administrative 127295703 1756004221 4 002 Dallas County Hospital District dba Parkland Healt Ted Shaw Interim Chief CFO (214) 590-8097 ted.shaw@phhs.org 5201 Harry Hines Blvd Dallas 75235 PO Box 660599 Dallas 75266-0599 Dallas County Hospital District 1756004221 4 002

10 999-13-0000-00010 Administrative 126675104 1756000439 6 324 Tarrant County Hospital District dba JPS Health Ne David Dalsberry (817) 927-1611 Dsalsberry@jpshealth.org 1500 S Main St Fort Worth 6601 Wataiga Rd Wataiga TX 761483368 Tarrant County Hospital District 1756000439 6 324

11 999-13-0000-00011 Administrative 138950412 1751256948 8 000 Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp Harris Brooks (940) 328-6400 harris@ppgh.com 400 SW 25th Ave. Mineral Wells 76067 400 SW 25th Ave Mineral Wells 76067-8246 Palo Pinto Co Hosp Dist dba Palo Pinto Gen Hosp 1751256948 8 000

12 999-13-0000-00012 Administrative 137999206 1751301362 7 004 Lubbock County Hospital District dba University Me Bobbye Hrncirik (806) 775-8532 Bobbye.hrncirik@umchealthsystem.com 602 Indiana Avenue Lubbock 79423 PO Box 5980 Lubbock 79408-5980 Lubbock County Hospital District dba University Medical Center 1751301362 7 004

13 999-13-0000-00013 Administrative 322916301 1741791441 7 004 McCulloch County Hospital District Tim Jones (325) 792-3940 timjones@bradyhospital.com 2008 Nine Road Brady TX 76825 PO Box 1150 Brady TX 76825-1150 McCulloch County Hospital District 1741791441 7 004

14 999-13-0000-00014 Administrative 135235306 1752302928 2 501 Ector County Hospital District dba Medical Center John O'Hearn Director of Regional Development (432) 640-2429 johearn@echd.org 500 W 4th Street Odessa 79761 PO Box 7239 Odessa 79760-7239 Ector County Hospital District 1752302928 2 501

15 999-13-0000-00015 Administrative 138951211 1746000756 4 013 El Paso County Hospital District dba University Me James Valenti President and Chief Executive Officer (915) 521-7602 jvalenti@umcelpaso.org 4815 Alameda Avenue El Paso 79905 4815 Alameda Ave. El Paso 79905-2705 El Paso County Hospital District 1746000756 4 013

16 999-13-0000-00016 Administrative 134772611 1741871000 0 012 Coryell County Memorial Hospital Authority dba Cor Kathy Lee Director (254) 248-6364 k.lee@cmhos.org 1507 West Main Gatesville 76528 1507 W Main St Gatesville 76528-1024 Coryell County Memorial Hospital Authority dba Coryell Memorial Hospital 1741857100 0 012

17 999-13-0000-00017 Administrative 198523601 3709709709 3 000 TAMUS Health Science Center Angie Alaniz Project Director (979) 458-1594 alalaniz@srph.tamhsc.edu 1266 TAMU College Station 200 Technology Way, Suite 2079 College Station 77845-3424 TAMUS Health Science Center 3709709709 3 000

18 999-13-0000-00018 Administrative 126865802 1756000873 6 018 Collin County Government Keith Self County Judge (972) 548-4631 keith.self@collincountytx.gov 2300 Bloomdale Rd, Suite 4192 McKinney TX 75071 2300 Bloomdale Rd #3100 McKinney TX 75071-8517 Collin County Government 1756000873 6 018  

19 999-13-0000-00019 Administrative 135034009 1756219138 1 002 Electra Memorial Hospital Rebecca McCain CFO (940) 4953981 9404953809 rebecca.mccain@electrahospital.com 1209 S Bailey St Electra PO Box1112 Electra 76360-1112 Electra Memorial Hospital (Electra Hospital District) 1756219138 1 002