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PRIMARY CARE: Alabama County and County Equivalent Listing Page 1 of 309 Autauga County Service Area: Autaugaville Population Group: Low Income - Montgomery/Prattville Baldwin County Population Group: Low Income - South Baldwin Barbour County Population Group: Low Income - Barbour County Facility: CF-Easterling Facility: CF-Ventress Correctional Facility Facility: Family Care Clinic Bibb County Service Area: Bibb County Facility: Cahaba Medical Care Foundation Facility: CF-Bibb Blount County Service Area: Blount County Bullock County Service Area: Bullock County Facility: CF-Bullock Butler County Service Area: Butler County Chambers County Service Area: La Fayette Population Group: Low Income – Valley Chilton County Population Group: Low Income - Chilton County Choctaw County Service Area: Choctaw County Clarke County Population Group: Low Income - Clarke County Cleburne County Service Area: Cleburne County Colbert County Population Group: Low Income - Colbert/Lauderdale Counties

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PRIMARY CARE: Alabama

County and County Equivalent Listing

Page 1 of 309

Autauga County

Service Area: Autaugaville

Population Group: Low Income - Montgomery/Prattville

Baldwin County

Population Group: Low Income - South Baldwin

Barbour County

Population Group: Low Income - Barbour County

Facility: CF-Easterling

Facility: CF-Ventress Correctional Facility

Facility: Family Care Clinic

Bibb County

Service Area: Bibb County

Facility: Cahaba Medical Care Foundation

Facility: CF-Bibb

Blount County

Service Area: Blount County

Bullock County

Service Area: Bullock County

Facility: CF-Bullock

Butler County

Service Area: Butler County

Chambers County

Service Area: La Fayette

Population Group: Low Income – Valley

Chilton County

Population Group: Low Income - Chilton County

Choctaw County

Service Area: Choctaw County

Clarke County

Population Group: Low Income - Clarke County

Cleburne County

Service Area: Cleburne County

Colbert County

Population Group: Low Income - Colbert/Lauderdale Counties

PRIMARY CARE: Alabama

County and County Equivalent Listing

Page 2 of 309

Conecuh County

Service Area: Conecuh County

Facility: Tri-County Medical Center

Coosa County

Service Area: Coosa County

Covington County

Service Area: South Covington

Crenshaw County

Service Area: Crenshaw County

Cullman County

Population Group: Low Income - Cullman County

Facility: Cullman Internal Medicine Primary Care

Dale County

Service Area: Dale County

Dallas County

Population Group: Low Income-Dallas County

Facility: Rural Health Medical Program

DeKalb County

Service Area: Dekalb County

Facility: Fort Payne Pediatrics – Waterworks

Elmore County

Service Area: Tallassee Service Area

Population Group: Low Income - Montgomery/Prattville

Facility: CF-Draper Correctional Facility

Facility: CF-Julia Tutwiler Prison for Women

Facility: CF-Staton Correctional Facility

Escambia County

Facility: CF-Fountain

Facility: Poarch Band of Creek Indians

Etowah County

Population Group: Low Income-Etowah County

Facility: Quality of Life Health Services

Fayette County

Service Area: Fayette/Lamar Counties

PRIMARY CARE: Alabama

County and County Equivalent Listing

Page 3 of 309

Franklin County

Population Group: Low Income - Franklin County

Geneva County

Service Area: Geneva County

Greene County

Service Area: Greene County

Hale County

Service Area: Hale County

Henry County

Service Area: Henry County

Jackson County

Population Group: Low Income-Jackson County

Facility: Northeast Alabama Health Services, Inc.

Jefferson County

Population Group: Low Income - Central Jefferson County

Jefferson County

Facility: Aletheia House

Facility: Birmingham Healthcare

Facility: CF-William E. Donaldson Correctional Facility

Facility: Christ Health Center, Inc.

Lamar County

Service Area: Fayette/Lamar Counties

Lauderdale County

Population Group: Low Income - Colbert/Lauderdale Counties

Lawrence County

Population Group: Low Income - Lawrence County

Lee County

Population Group: Low Income-Lee County

Limestone County

Population Group: Low Income - Limestone County

Facility: Athens Family Care

Facility: CF-Limestone Correctional Facility

PRIMARY CARE: Alabama

County and County Equivalent Listing

Page 4 of 309

Lowndes County

Service Area: Lowndes County

Macon County

Service Area: Tallassee Service Area

Madison County

Facility: Central North Alabama Health Services

Marengo County

Service Area: Marengo County

Marion County

Population Group: Low Income - Marion County

Marshall County

Population Group: Low Income-Marshall County

Facility: Marshall Family Health Clinic

Facility: Smart Start Pediatrics

Mobile County

Population Group: Low Income - Mobile County

Facility: Bayou La Batre Area Health Development

Facility: Family Oriented Primary Health Care

Facility: Franklin Primary Health Center

Facility: The Bayou Clinic

Monroe County

Population Group: Low Income - Monroe County

Montgomery County

Population Group: Low Income - Montgomery/Prattville

Facility: CF-Kilby Correctional Facility

Montgomery County

Facility: Health Services, Inc.

Morgan County

Population Group: Low Income - Morgan County

Perry County

Service Area: Perry County

Pickens County

Service Area: Pickens County

PRIMARY CARE: Alabama

County and County Equivalent Listing

Page 5 of 309

Pike County

Facility: Southeast Alabama Rural Health Association

Randolph County

Population Group: Low Income-Randolph County

Facility: Tanner Primary Care of Wedowee, Inc.

Facility: Woodland Family Healthcare

Russell County

Population Group: Low Income - Russell County

St. Clair County

Service Area: St. Clair County

Facility: CF-St. Clair Correctional Facility

Sumter County

Service Area: Sumter County

Talladega County

Population Group: Low Income-Talladega County

Facility: Federal Correctional Institution – Talladega

Tallapoosa County

Service Area: Tallassee Service Area

Facility: Lake Martin Family Medicine

Tuscaloosa County

Population Group: Low Income - Tuscaloosa County

Facility: Whatley Health Service

Walker County

Population Group: Low Income - Walker County

Facility: Capstone Rural Health Center

Washington County

Service Area: Washington County

Wilcox County

Service Area: Wilcox County

Winston County

Service Area: Winston Coun

PRIMARY CARE: Alaska

County and County Equivalent Listing

Page 6 of 309

Aleutians East Borough

Service Area: Aleutians East Borough

Aleutians West Census Area

Service Area: Aleutians West Borough

Facility: Apia St. Paul Health Center

Facility: Iliuliuk Family Health Center

Facility: St. George Community Council

Anchorage Borough

Facility: Alaska Native Medical Center

Facility: Alaska Native Tribal Health Consortium

Facility: Aleutians/Pribilof Islands Association

Facility: Anchorage Neighborhood Health Center

Facility: CF-Anchorage Correctional Complex

Facility: Chugachmiut

Facility: Cook Inlet Tribal Council, Inc.

Facility: Eastern Aleutian Tribe, Inc.

Facility: Eklutna Health Clinic

Facility: Girdwood Health Clinic

Facility: Southcentral Foundation

Bethel Census Area

Service Area: Bethel/Wade Hampton Census Areas

Facility: Akiachak Native Community

Facility: Bethel Family Clinic

Facility: Native Village of Kwinhagak

Facility: Yukon-Kuskokwim Health Corporation

Bristol Bay Borough

Service Area: Bristol Bay Borough

Denali Borough

Service Area: Denali Borough

Dillingham Census Area

Facility: Bristol Bay Area Health Corporation

Facility: Kanakanak Hospital

Fairbanks North Star Borough

Facility: Chief Andrew Isaac Health Center

Facility: Dena' Nena' Henash

Facility: Fairbanks Native Association

Facility: Interior Community Health Center

Facility: Tanana Tribal Council

PRIMARY CARE: Alaska

County and County Equivalent Listing

Page 7 of 309

Hoonah-Angoon Census Area

Service Area: Hoonah-Angoon Census Area

Juneau Borough

Facility: Front Street Community Health Center

Juneau Borough

Facility: Southeast Alaska Region Health Consortium

Kenai Peninsula Borough

Facility: CF-Spring Creek Correctional Center

Facility: City of Seward Administration

Facility: Kenaitze Indian Tribe

Facility: Native Village of Tyonek

Facility: Ninilchik Traditional Council

Facility: Peninsula Community Health Services of Alaska, Inc.

Facility: Seldovia Village Health Center

Ketchikan Gateway Borough

Facility: Ketchikan Indian Corporation

Kodiak Island Borough

Facility: Kana Clinic Native Village of Karluk

Facility: Kodiak Area Native Association

Facility: Kodiak Island Health Care Foundation

Matanuska-Susitna Borough

Service Area: Upper Matanuska-Susitna Borough

Facility: CF-Goose Creek Correctional Center

Facility: Chickaloon Native Village

Facility: Knik Tribal Council

Facility: Mat-Su Health Services

Facility: Scf Valley Native Primary Care Center

Facility: Sunshine Community Health Center

Nome Census Area

Service Area: Nome Census Area

Facility: Norton Sound Health Corporation

Facility: Norton Sound Health Corporation-Behavioral Health Tribal

Facility: Norton Sound Health Corporation-Outpatient Primary Care/Dt

Tribal

Facility: Norton Sound Health Corporation-Tribal Clinic

Facility: Norton Sound Regional Hosptial Fast Track

Facility: Nshc Clinic, Native Village of Diomede

PRIMARY CARE: Alaska

County and County Equivalent Listing

Page 8 of 309

North Slope Borough

Service Area: North Slope Borough

Facility: Arctic Slope Native Association

Facility: North Slope Borough Health Corporation

Facility: Samuel Simmonds Memorial Hospital

Facility: Ukpeagvik Inupiat Corporation

Northwest Arctic Borough

Facility: Maniilaq Association

Not Determined

Service Area: Bethel/Wade Hampton Census Areas

Prince of Wales-Hyder Census Area

Service Area: Prince of Wales-Hyder Census Area

Facility: Annette Island Service Unit/Metlakatla Indian Community

Sitka Borough

Facility: Searhc/MT. Edgecumbe Hospital

Skagway Municipality

Service Area: Skagway Municipality

Facility: Dahl Memorial Clinic

Southeast Fairbanks Census Area

Service Area: Southeast Fairbanks Census Area

Facility: Upper Tanana Health Center

Valdez-Cordova Census Area

Service Area: Northern Valdez-Cordova Census Area

Facility: Chitina Tribal and Community Health Center

Facility: Copper River Native Association

Facility: Cross Roads Medical Center

Facility: Mt. Sanford Tribal Consortium

Facility: Native Village of Eyak

Facility: Valdez Native Tribe

Wrangell City and Borough

Facility: Alaska Island Community Services

Yakutat Borough

Service Area: Yakutat Borough

Facility: Yakutat Community Health Center

Yukon-Koyukuk Census Area

Service Area: Yukon-Koyukuk Census Area

Facility: Council of Athabascan Tribal Government

PRIMARY CARE: Arizona

County and County Equivalent Listing

Page 9 of 309

Apache County

Service Area: Navajo Nation

Service Area: Springerville/Eager

Facility: Chinle Comprehensive Health Center

Facility: Fort Defiance PHS Indian Hospital

Facility: Navajo Division of Emergency Medical Services

Facility: Navajo Division of Health

Facility: Navajo Division of Social Services

Facility: Navajo Health Foundation Dba Sage Memorial Hospital

Facility: Rockpoint Health Clinic

Facility: Sanders Clinic

Facility: Shiprock Service Unit-Four Corners Regional Health Center

Facility: St. Michael's Clinic

Facility: Tsaile Indian Health Center

Cochise County

Service Area: Benson

Service Area: Bisbee

Service Area: Douglas and Pirtleville

Service Area: Sierra Vista

Service Area: Willcox and Bowie

Facility: Arizona State Prison - Douglas

Facility: Chiricahua Community Health Center

Facility: Copper Queen Medical Associates - Douglas

Facility: Copper Queen Medical Associates-Bisbee

Facility: Palominas/Hereford Rural Health Clinics

Coconino County

Service Area: Grand Canyon Village

Service Area: Navajo Nation

Service Area: Page

Population Group: Low Income-Cottonwood/Sedona

Facility: Canyonlands Community Health Center

Facility: Kaibab-Paiute Tribe

Facility: Naca Family Health Center

Facility: Native Americans for Community Action

Facility: North Country Community Health Center

Facility: Sacred Peaks Health Center

Facility: San Juan Southern Paiute Tribe

Facility: Supai Clinic

Facility: Tuba City Regional Health Care Corporation

Gila County

Service Area: Globe

Service Area: San Carlos Apache Tribe

PRIMARY CARE: Arizona

County and County Equivalent Listing

Page 10 of 309

Gila County

Service Area: White Mountain Apache Tribe

Facility: Bylas Health Center

Facility: Pleasant Valley Community Medical Center

Facility: San Carlos PHS Indian Hospital

Facility: Tonto Apache Tribe

Graham County

Service Area: Pima

Service Area: Safford

Service Area: San Carlos Apache Tribe

Facility: Arizona State Prison - Safford

Facility: Federal Correctional Institution - Safford

Greenlee County

Population Group: Morenci

La Paz County

Service Area: Colorado River Indian Tribe

Service Area: Quartzsite

Population Group: Me-Parker

Facility: Colorado River Indian Community

Facility: Parker PHS Indian Hospital

Maricopa County

Service Area: Buckeye

Service Area: Estrella Village and Tolleson

Service Area: Glendale Central

Service Area: New River/Cave Creek

Service Area: North Gateway/Rio Vista Village

Service Area: Surprise North and Wickenburg

Service Area: Tohono O'Odham Nation

Population Group: Apache Junction

Population Group: Low Income-Alhambra Village

Population Group: Low Income-Avondale

Population Group: Low Income-Camelback East Village

Population Group: Low Income-Central City Village

Population Group: Low Income-El Mirage and Youngtown

Population Group: Low Income-Fort McDowell Yavapai Nation

Population Group: Low Income-Gila River Indian Community

Population Group: Low Income-Laveen Village

Population Group: Low Income-Maryvale Village

Population Group: Low Income-Mesa Central

Population Group: Low Income-Mesa West

Population Group: Low Income-North Mountain Village

Population Group: Low Income-Peoria South

PRIMARY CARE: Arizona

County and County Equivalent Listing

Page 11 of 309

Maricopa County

Population Group: Low Income-Salt River Pima-Maricopa Indian Community

Population Group: Low Income-South Mountain Village and Guadalupe

Population Group: Low Income-Sun City

Population Group: Low Income-Tempe North

Population Group: Scottsdale South

Facility: Adelante Healthcare, Inc.

Facility: Arizona State Prison - Lewis

Facility: Arizona State Prison - Perryville

Facility: Arizona State Prison - Phoenix

Facility: Circle the City

Facility: Community Hospital Clinic

Facility: Federal Correctional Institution - Phoenix

Facility: Fort McDowell Yavapai Nation

Facility: Maricopa County Community Health Center

Facility: Maricopa County Special Health Care District

Facility: Mountain Park Health Center

Facility: Native American Community Health Center

Facility: Neighborhood Outreach Access to Health

Facility: Phoenix Indian Medical Center

Facility: Salt River Clinic

Facility: Terros Inc.

Facility: Valle Del Sol/Dba Mi Salud

Facility: Wesley Community Center Inc.

Mohave County

Service Area: Colorado City

Service Area: Golden Valley

Service Area: Hualapai Tribe

Service Area: Kingman

Population Group: Low Income-Bullhead City

Population Group: Low Income-Lake Havasu City

Facility: Fort Mojave Health Center

Facility: Peach Springs PHS Indian Health Center

Navajo County

Service Area: Hopi Tribe

Service Area: Navajo Nation

Service Area: Snowflake/Heber

Service Area: White Mountain Apache Tribe

Population Group: Low Income-Show Low

Population Group: Low Income-Winslow

Facility: Arizona State Prison - Winslow

Facility: Cibecue PHS Indian Health Center

PRIMARY CARE: Arizona

County and County Equivalent Listing

Page 12 of 309

Navajo County

Facility: Hopi Health Care Center

Facility: Inscription House Health Center

Facility: Kayenta PHS Indian Health Center

Facility: Keams Canyon PHS Hospital

Facility: Pinon Health Center

Facility: Whiteriver Indian Health Services

Facility: Winslow Indian Health Care Center

Pima County

Service Area: Ajo

Service Area: Drexel Heights

Service Area: Pascua Yaqui Tribe

Service Area: Picture Rocks

Service Area: Sahuarita

Service Area: Tanque Verde

Service Area: Tohono O'Odham Nation

Service Area: Tucson South

Service Area: Tucson South East

Service Area: Vail

Population Group: Low Income-San Xavier

Population Group: Low Income-Tucson Central

Population Group: Me-Tucson Estates

Population Group: Me-Tucson Foothills

Population Group: Me-Tucson West

Population Group: Me-Valencia West

Population Group: Tucson East

Facility: Ajo Community Health Center

Facility: Arizona State Prison Complex - Tucson

Facility: El Rio Health Center

Facility: Federal Correctional Complex-Tucson

Facility: Marana Health Center

Facility: Pascua Yaqui Tribe Health Programs

Facility: San Xavier PHS Indian Health Center

Facility: Sells PHS Indian Health Hospital-Santa Rosa Clinic

Facility: Sells PHS Indian Hospital

Facility: Tucson Indian Center

Facility: United Community Health Center-Maria Auxiliadora,

Pinal County

Service Area: Coolidge

Service Area: Eloy

Service Area: Florence

Service Area: Maricopa

PRIMARY CARE: Arizona

County and County Equivalent Listing

Page 13 of 309

Pinal County

Service Area: Saddlebrooke

Service Area: San Tan Valley

Population Group: Apache Junction

Population Group: Low Income-Gila River Indian Community

Facility: Ak-Chin Indian Community

Facility: Arizona State Prison - Eyman

Facility: Arizona State Prison - Florence

Facility: Desert Visions Wellness Center

Facility: Florence Correctional Center

Facility: Gila River Health Care Corporation

Facility: Immigration and Customs Enforcement - Florence

Facility: Immigration and Customs Enforcement - Pinal County

Facility: Immigration and Customs Enforcement-Eloy

Facility: Kearny Clinic

Facility: Mountain Health and Wellness

Facility: Rightway Healthcare LLC

Facility: Sun Life Family Health Center

Facility: Superior Clinic

Santa Cruz County

Service Area: Nogales

Service Area: Rio Rico

Facility: Mariposa Community Health Center

Yavapai County

Service Area: Black Canyon City

Service Area: Chino Valley

Service Area: Williamson

Population Group: Low Income-Cottonwood/Sedona

Population Group: Prescott Valley

Facility: Yavapai County Health Department

Facility: Yavapai-Apache Nation

Facility: Yavapai-Prescott Tribe

Yuma County

Service Area: Fortuna Foothills

Service Area: San Luis

Service Area: Somerton

Service Area: Yuma

Facility: Arizona State Prison - Yuma

Facility: Cocopah Tribe

Facility: San Luis Walk-in Center

Facility: San Luis Walk-in Center-Somerton

Facility: Sunset Community Health

PRIMARY CARE: Arkansas

County and County Equivalent Listing

Page 14 of 309

Arkansas County

Population Group: Low Income Arkansas County

Ashley County

Population Group: Low Income Ashley County

Facility: Mainline Health Systems

Baxter County

Population Group: Gassville Service Area

Benton County

Population Group: Low Income - Pea Ridge Service Area

Facility: Decatur Medi Clinic

Calhoun County

Service Area: Calhoun County

Facility: Cabun Rural Health Services

Carroll County

Population Group: Low Income-Carroll County

Chicot County

Population Group: Low Income-Chicot County

Facility: Lake Village Clinic, P.A.

Clay County

Population Group: Me Clay County

Facility: Corning Area Health Care

Cleburne County

Population Group: Low Income - Cleburne County

Cleveland County

Service Area: Cleveland County

Columbia County

Population Group: Low Income-Columbia County

Craighead County

Population Group: Low Income Monette Service Area

Crawford County

Population Group: Low Income-Crawford County

Facility: Mountainburg Rural Health Clinic

Facility: Mulberry Rural Health Clinic

PRIMARY CARE: Arkansas

County and County Equivalent Listing

Page 15 of 309

Crittenden County

Facility: East Arkansas Family Health

Desha County

Service Area: Desha County

Faulkner County

Population Group: Low Income - Hardin/Greenbrier Service Area

Population Group: Low Income-Vilonia Service Area

Population Group: Mayflower Service Area

Franklin County

Facility: Charleston Rural Health Clinic

Fulton County

Population Group: Low Income-Fulton County

Grant County

Population Group: Low Income-Grant County

Greene County

Facility: Paragould Doctors Clinic

Hot Spring County

Population Group: Low Income - Hot Spring County

Howard County

Service Area: Dierks

Izard County

Population Group: Low Income-Izard County

Facility: North Central Correctional Unit

Jackson County

Facility: CF-McPherson Unit

Jefferson County

Service Area: Richland

Population Group: Low Income-Altheimer Service Area

Population Group: Redfield Service Area

Facility: Jefferson Comprehensive Care System, Inc.

Facility: Pine Bluff Correctional Unit

Facility: Varner Supermax Unit

Johnson County

Population Group: Low Income-Johnson County

PRIMARY CARE: Arkansas

County and County Equivalent Listing

Page 16 of 309

Lafayette County

Service Area: Lafayette County

Lee County

Population Group: Low Income Lee County

Facility: East Arkansas Regional Unit

Facility: Lee County Cooperative

Lincoln County

Service Area: Lincoln County

Logan County

Population Group: Low Income - Logan County

Facility: Booneville Community and Family Medical Clinic

Facility: River Valley Primary Care Services

Lonoke County

Population Group: Low Income-Lonoke County

Madison County

Population Group: Low Income - Madison County

Marion County

Population Group: Low Income-Marion County

Miller County

Facility: All for Kids Pediatric Clinic

Monroe County

Facility: Mid-Delta Health Systems, Inc.

Montgomery County

Service Area: Montgomery County

Nevada County

Population Group: Low Income-Nevada County

Newton County

Service Area: Newton County

Ouachita County

Service Area: Bearden Service Area

Service Area: Reader Service Area

PRIMARY CARE: Arkansas

County and County Equivalent Listing

Page 17 of 309

Perry County

Population Group: Low Income-Perry County

Pike County

Population Group: Low Income-Pike County

Poinsett County

Population Group: Low Income-Poinsett County

Polk County

Service Area: Grannis/Wickes

Facility: Healthy Connections

Prairie County

Service Area: Prairie County

Pulaski County

Population Group: Low Income-Southwest Little Rock

Saline County

Population Group: Low Income-Southwest Little Rock

Scott County

Service Area: Scott County

Searcy County

Population Group: Low Income - Searcy County

Facility: Boston Mountain Rural

Facility: Marshall Family Practice Clinic

St. Francis County

Facility: Federal Correctional Institution - Forrest City

Stone County

Population Group: Low Income - Stone County

Union County

Population Group: Junction City Service Area

Van Buren County

Population Group: Low Income - Van Buren County

Washington County

Population Group: Southern Washington County Service Area

Facility: St. Francis House NWA, Inc.

PRIMARY CARE: Arkansas

County and County Equivalent Listing

Page 18 of 309

Woodruff County

Population Group: Me-Woodruff County

Facility: Arcare

Yell County

Population Group: Low Income - Yell County

PRIMARY CARE: California

County and County Equivalent Listing

Page 19 of 309

Alameda County

Service Area: MSSA 2H-Hayward Northeast/San Leandro North Central

Facility: Alameda County Health Department

Facility: Asian Health Services

Facility: Axis Community Health

Facility: Childrens Hospital

Facility: Davis Street Community Center

Facility: Federal Correctional Institution - Dublin

Facility: La Clinica De La Raza

Facility: Lifelong Medical Center

Facility: Native American Health Center-Oakland

Facility: Tiburcio Vasquez Health Center

Facility: Tri-City Health Center

Facility: Valley Community Health Center, Inc.

Facility: West Oakland Health Council

Alpine County

Service Area: MSSA 3/Markleeville

Amador County

Service Area: MSSA 6/Pioneer

Population Group: Low Income/Hmfw-MSSA 4 - Ione-Jackson-Pine Grove-

Sutter Creek

Facility: Jackson Rancheria Health Complex

Facility: Sutter Amador Health Center-Pioneer

Facility: Sutter Plymouth Health Center

Butte County

Service Area: MSSA 10/Oroville

Service Area: MSSA 11/Berry Creek

Service Area: MSSA 7.3/Butte Meadows/Forest Ranch

Service Area: MSSA 7.4/Durham

Service Area: MSSA 8-Magalia/Paradise/Stirling City

Service Area: MSSA 9-Biggs/East Biggs/Gridley

Facility: Chuk Ndule Medical Center-Gridley

Facility: Dr. Ndulue Medical Practice-Oroville

Facility: Feather River Hospital - Feather River Health Center

Facility: Feather River Hospital Canyon View Clinic

Facility: Feather River Hospital Family Health Center

Facility: Feather River Tribal Health, Inc.

Facility: Gridley Family Care Clinic

Facility: Northern Valley Indian Health - Chico

Facility: Northern Valley Indian Health, Inc. - Children's Health

Calaveras County

Service Area: MSSA 12/Calaveras County/Angels Camp

Facility: Angels Camp Medical Clinic

PRIMARY CARE: California

County and County Equivalent Listing

Page 20 of 309

Calaveras County

Facility: Arnold Medical Clinic

Colusa County

Service Area: Colusa County

Facility: Colusa Indian Community Council

Contra Costa County

Facility: Brighter Beginnings

Facility: Contra Costa County Health

Del Norte County

Service Area: MSSA 19/Del Norte County

Facility: Pelican Bay State Prison

Facility: Sutter Coast Community Clinic

El Dorado County

Service Area: MSSA 22/Georgetown North El Dorado

Service Area: MSSA 23.2-Camino/Pollock Pines

Service Area: MSSA 24/South Lake Tahoe

Population Group: Low Income - MSSA 23.3 (Placerville)

Facility: Barton Memorial Hospital Community Clinic

Facility: El Dorado County Community Health Center

Facility: Shingle Springs Tribal Health Program

Facility: Western Sierra Medical Center-Camino

PRIMARY CARE: California

County and County Equivalent Listing

Page 21 of 309

Fresno County

Service Area: MSSA 25/Firebaugh

Service Area: MSSA 26/San Joaquin

Service Area: MSSA 29/Herndon/Kerman

Service Area: MSSA 30/Kingsburg/Selma

Service Area: MSSA 31 - Sanger

Service Area: MSSA 32-Parlier

Service Area: MSSA 35B-Clovis West-Fresno East

Service Area: MSSAs 27 and 28/Coalinga/Huron

Service Area: MSSAs 35C/35E-Fresno West Central-Fresno South and West

Population Group: Low Income/Migrant Farmworker/H - MSSA

35D/35F/Fresno East/North

Facility: Adventist Health Community Care - Caruthers

Facility: Adventist Health Community Care - Caruthers West

Facility: Adventist Health Community Care - Coalinga

Facility: Adventist Health Community Care - Fowler

Facility: Adventist Health Community Care - Huron

Facility: Adventist Health Community Care - Kerman

Facility: Adventist Health Community Care - Kerman Central

Facility: Adventist Health Community Care - Kingsburg

Facility: Adventist Health Community Care - Orange Cove

Facility: Adventist Health Community Care - Parlier Newmark

Fresno County

Facility: Adventist Health Community Care - Reedley

Facility: Adventist Health Community Care - Reedley Children

Facility: Adventist Health Community Care - Reedley Cypress

Facility: Adventist Health Community Care - Reedley Jefferso

Facility: Adventist Health Community Care - Reedley Women's

Facility: Adventist Health Community Care - Sanger

Facility: Adventist Health Community Care - Selma

Facility: Adventist Health Community Care - Selma Central

Facility: Central Valley Indian Health Clinic-Prather

Facility: Central Valley Indian Health, Inc.

Facility: Cold Springs Tribal Council

Facility: Federal Correctional Institution - Mendota

Facility: Greater Fresno Health Organization

Facility: Pleasant Valley State Prison

Facility: San Joaquin Prime Care Medical Corporation-Squaw Valley

Facility: San Juaquin Prime Care Medical Corporation-Reedley

Facility: Sierra Tribal Consortium

Facility: Table Mountain Rancheria

Facility: United American Indian Involvement-Fresno

Facility: United Health Centers of San Joaquin Valley

Facility: Valley Family Health Center - Riverdale

Facility: Valley Health Team

PRIMARY CARE: California

County and County Equivalent Listing

Page 22 of 309

Glenn County

Service Area: MSSA 36.2/Hamilton City

Service Area: MSSA 37/Willows

Population Group: Low Income - MSSA 36.1 Orland

Facility: Northern Valley Indian Health

Humboldt County

Service Area: MSSA 38 Hoopa-Willow Creek

Service Area: MSSA 39 and 40-Arcata-Eureka

Service Area: MSSA 42/Fortuna

Service Area: MSSA 44/Garberville/Redway

Facility: Eureka Pediatrics

Facility: Eureka Pediatrics McKinleyville Clinic

Facility: Health Care Medical Associates

Facility: Hoopa Valley Tribe

Facility: Open Door Community Health Centers

Facility: Redwood Family Practice, Inc.

Facility: Redwoods Rural Health Center

Facility: Southern Humboldt Community Clinic

Facility: United Indian Health Service - Potowat

Humboldt County

Facility: Willow Creek Family Health Center

Imperial County

Service Area: MSSA 46, 47, 50/East Imperial

Service Area: MSSA 48 El Centro

Service Area: MSSA 49/Calexico

Facility: Calexico Health Center

Facility: Calexico Outpatient Center

Facility: Calipatria State Prison

Facility: Centinela State Prison - Imperial

Facility: Clinicas De Salud Del Pueblo

Facility: De Anza Clinic

Facility: El Centro Regional Medical Center Outpatient Clinic

Facility: Fort Yuma

Facility: Quechan Tribal Council

Inyo County

Service Area: MSSAs 54 and 55 Big Pine/Lone Pine

Facility: Lone Pine Indian Health Clinic

Facility: Northern Inyo Hospital

Facility: Toiyabe Indian Health Project

PRIMARY CARE: California

County and County Equivalent Listing

Page 23 of 309

Kern County

Service Area: MSSA 57.1/Fort Tejon

Service Area: MSSA 57.2/Taft

Service Area: MSSA 58.1-Shafter

Service Area: MSSA 58.2-Lost Hills/Wasco

Service Area: MSSA 59/Buttonwillow

Service Area: MSSA 61/Arvin

Service Area: MSSA 62/Tehachapi

Service Area: MSSA 63/Lake Isabella

Service Area: MSSA 65/California City

Population Group: Low Income/Migrant Farmworker - MSSA 60 Delano-

McFarland

Facility: Adventist Health Community Care - Shafter

Facility: Adventist Health Community Care - Taft

Facility: Adventist Health Community Care - Wasco

Facility: American Indian Health Project

Facility: Beverly Medical Center

Facility: Beverly Medical Center II

Facility: California Correctional Institution - Kern

Facility: Clinica Sierra Vista

Facility: Delano Women's Medical Clinic

Facility: Gloria Nelson Center for Women and Children

Facility: Kern Valley Healthcare District Rural Health Clinic

Kern County

Facility: Omni Family Health

Facility: Ridgecrest Regional Rural Health Clinic

Facility: Sage Community Health Center

Facility: Tehachapi Family Health Center - California City

Facility: Tehachapi Family Health Center - Mojave

Facility: Tehachapi Family Health Center - Tehachapi

Facility: United American Indian Involvement-Bakersfield

Facility: Wasco Medical Plaza

PRIMARY CARE: California

County and County Equivalent Listing

Page 24 of 309

Kings County

Service Area: MSSA 67 Avenal

Service Area: MSSA 68/Corcoran

Service Area: MSSA 69/Hanford/Lemoore

Facility: Adventist Health Community Care - Avenal

Facility: Adventist Health Community Care - Avenal West

Facility: Adventist Health Community Care - Corcoran

Facility: Adventist Health Community Care - Corcoran East

Facility: Adventist Health Community Care - Hanford

Facility: Adventist Health Community Care - Home Garden

Facility: Adventist Health Community Care – Lemoore

Facility: Avenal Community Health Center

Facility: Avenal State Prison

Facility: California Substance Abuse Treatment Facility

Facility: Campus Family Health Medical Center

Facility: Hanford Health Clinic

Facility: Health Valley Medical Group, Inc.

Facility: Santa Rosa Rancheria

Lake County

Service Area: MSSA 71.1 Clearlake/Clearlake Oaks

Service Area: MSSA 71.2 and 71.3/Lower Lake/Cobb

Population Group: Low Income - MSSA 70.1/70.2/Lakeport/Lucerne

Facility: Lake County Tribal Health Consortium

Facility: Lucerne Community Clinic

Facility: Scotts Valley Band of Pomo Indians

Facility: St Helena Family Health Center - Kelseyville

Facility: St Helena Family Health Center - Middletown

Facility: St. Helena Family Center - Clearlake

Facility: St. Helena Konocti Wellness Center

Facility: St. Helena Medical Care

Facility: Sutter Lakeside Community Clinic

Facility: Sutter Lakeside Community Health Center

Facility: Sutter Lakeside Family Medicine Clinic

Lake County

Facility: Ukiah Valley Primary Care/Adventist Health-Lakeport

Lassen County

Service Area: MSSA 73/Bieber

Population Group: Low Income-MSSA 72,75/Susanville/Westwood

Facility: California Correctional Center - Lassen

Facility: Federal Correctional Institution - Herlong

Facility: High Desert State Prison

Facility: Lassen Indian Health Center

Facility: Mountain Valleys Health Centers, Inc.

Facility: Northeastern Rural Health

PRIMARY CARE: California

County and County Equivalent Listing

Page 25 of 309

Los Angeles County

Service Area: MSSA 77.1A/Palmdale Central

Service Area: MSSA 77.1C/Lancaster Central/Palmdale North Central

Service Area: MSSA 77.2/Lake Los Angeles

Service Area: MSSA 77.3/Juniper Hills

Service Area: MSSA 78.1/Avalon

Service Area: MSSA 78.2BBB/Compton East

Service Area: MSSA 78.2GGG/South Central Northeast

Service Area: MSSA 78.2JJJ/Long Beach West Central

Service Area: MSSA 78.2K/South Central Northwest

Service Area: MSSA 78.2MMM/Downtown Southeast

Service Area: MSSA 78.2R/Inglewood East

Service Area: MSSA 78.2UUU/Athens

Population Group: Low Income - MSSA 78.2BB/North Hollywood Central a

Population Group: Low Income - MSSA 78.2BBBB/Gardena West

Population Group: Low Income - MSSA 78.2D/City Terrace East

Population Group: Low Income - MSSA 78.2DDD/Bell

Southwest/Cudahy/Maywood/V

Population Group: Low Income - MSSA

78.2FFF/Firestone/Florence South

Population Group: Low Income - MSSA 78.2G/Hollywood East

Population Group: Low Income - MSSA 78.2OO/El Monte

Population Group: Low Income - MSSA 78.2PPP/Pacoima East/Sun Valley

Population Group: Low Income - MSSA 78.2SSS/Downey Southwest

Population Group: Low Income - MSSA 78.2VV/Los Nietos/Santa Fe Springs

Population Group: Low Income - MSSA 78.2WW/Montebello East/Pico Rivera

South/San

Population Group: Low Income/Homeless-MSSA 78.2Z/Venice/Santa Monica

South

Population Group: Low Income-MSSA 78.2C/Bell Northeast

Population Group: Low Income-MSSA 78.2IIII/Gardena Southeast

Population Group: Low Income-MSSA 78.2L/Exposition Park/Leimert

Park

Population Group: Low Income-MSSA 78.2LL/San Fernando West

Population Group: Low Income-MSSA 78.2M/Bellflower

Population Group: Low Income-MSSA 78.2OOO/Paramount North/Willowbr

PRIMARY CARE: California

County and County Equivalent Listing

Page 26 of 309

Los Angeles County

Population Group: Low Income-MSSA 78.2P/Long Beach Port

Population Group: Low Income-MSSA 78.2S/South Central Southwest

Population Group: Low Income-MSSA 78.2SS/Pomona Central

Population Group: Low Income-MSSA 78.2YYY-Industry West-La Puente

Facility: Aaa Comprehensive Healthcare

Facility: Aghaby Comprehensive Community Health Center

Facility: All for Health, Health for All

Facility: All-Inclusive Community Health Center

Facility: Altamed Health Services Corporation

Facility: American Indian Healing Center

Facility: Antelope Valley Community Clinic

Facility: Apla Health and Wellness

Facility: Arroyo Vista Family Health

Facility: Asian/Pacific Health Care Venture

Facility: Bartz-Altadonna Community Health Center

Facility: Benevolence Industries

Facility: Bienvenidos Community Health Center

Facility: Center for Family Health and Education, Inc.

Facility: Central Neighborhood Health Foundation

Facility: Chinatown Service Center

Facility: Clinica Monsenor Oscar a. Romero

Facility: Community Health Alliance of Pasadena

Facility: Community Medical Wellness Centers Usa

Facility: Complete Care Community Health Center, Inc.

Facility: Comprehensive Community Health Centers, Inc.

Facility: East Valley Community Health Center

Facility: Eisner Pediatric and Family

Facility: El Proyecto Del Barrio, Inc.

Facility: Family Health Care Centers of Gtr La

Facility: Federal Correctional Institution - Terminal Island

Facility: Garfield Health Center

Facility: Harbor Community Clinic

Facility: Herald Christian Health Center

Facility: JWCH/Clinic Institute

Facility: Kedren Community Health Center, Inc.

Facility: Korean Health, Educ., Info and Research (Kheir)

Facility: Latino Kids Health

Facility: Los Angeles Christian Health Centers

Facility: Los Angeles Gay and Lesbian Center

Facility: Metropolitan Detention Center-Los Angeles

Facility: Mission City Community

PRIMARY CARE: California

County and County Equivalent Listing

Page 27 of 309

Los Angeles County

Facility: Northeast Community Clinic (Necc)

Facility: Northeast Valley Health

Facility: Olive View UCLA Medical Center

Facility: Pomona Community Health Center

Facility: Queenscare Family Clinic

Facility: Roads Foundation Inc.

Facility: Saint Anthony Medical Centers, Inc.

Facility: Samuel Dixon Family Health Centers

Facility: San Fernando Community Health Center

Facility: South Bay Family Healthcare Center

Facility: South Central Family Health

Facility: Southern California Medical Center

Facility: St. John's Well Child and Family Center

Facility: T.H.E. Clinic

Facility: The Achievable Foundation

Facility: The Children's Clinic

Facility: The Los Angeles Free Clinic

Facility: United American Indian Involvement

Facility: Universal Community Health Center

Facility: Universal Health Foundation

Facility: University Muslim Medical Association Community Cl

Facility: Valley Community Clinic

Facility: Venice Family Clinic

Facility: Watts Healthcare Corporation

Facility: Westside Family Health Center

Facility: Wilmington Community Clinic

Facility: Wilmington Family Health Center

Facility: Yehowa Medical Services

Madera County

Service Area: MSSA 79.1-Oakhurst - Yosemite Lakes

Service Area: MSSA 79.2/Chowchilla

Service Area: MSSA 80/Madera

Facility: Adventist Health Community Care - Madera Ranchos

Facility: Adventist Health Community Care - Oakhurst

Facility: Adventist Health Community Care - Oakhurst East

Facility: Charlie Mitchell Children’s Clinic

Facility: Darin Camarena Health Center

Marin County

Facility: Coastal Health Alliance

Facility: Marin City Health and Wellness Center

Facility: Marin Community Clinic

Marin County

Facility: Ritter Center

PRIMARY CARE: California

County and County Equivalent Listing

Page 28 of 309

Mariposa County

Service Area: MSSA 85 and 86/Bootjack/Yosemite Valley

Facility: John C Fremont Healthcare Clinic

Facility: John C Fremont Healthcare Clinic II

Facility: John C Fremont Healthcare District Northside Clinic

Mendocino County

Service Area: MSSA 87.2 and 89/Mendocino/Fort Bragg

Service Area: MSSA 90/Laytonville

Service Area: MSSA 93.1/Ukiah

Service Area: MSSA 93.3/Potter Valley

Service Area: MSSA 93.4/Talmage

Population Group: Low Income/Migrant Farmworker/H - MSSA 91/Willits

Population Group: Low Income/Migrant Farmworkers - MSSA 88/Anchor Ba

Facility: Anderson Valley Health Center Inc.

Facility: Consolidated Tribal Health Project, Inc.

Facility: Coyote Valley Tribal Council

Facility: Fort Bragg Rural Health Center

Facility: Guidville Indian Rancheria

Facility: Hopland Band of Pomo Indians

Facility: Long Valley Health Center

Facility: Mendocino Coast Clinics, Inc.

Facility: Mendocino Community

Facility: Pinoleville Band of Pomo Indians

Facility: Potter Valley Community Health Center

Facility: Redwood Coast Medical Center

Facility: Redwood Medical Clinic

Facility: Round Valley Indian Health Center

Facility: Sherwood Valley Band of Pomo Indians

Facility: Ukiah Valley Primary Care/Adventist Health-Dora B1

Facility: Ukiah Valley Primary Care/Adventist Health-Hospital Dr

Facility: Ukiah Valley Primary Care/Adventist Health-North State

Facility: Ukiah Valley Primary Care/Adventist Health-Suite F

Merced County

Service Area: MSSA 94/Dos Palos

Service Area: MSSA 96/Atwater

Population Group: Low Income - MSSA 97.1 and 97.2/Merced Central

Population Group: Low Income/Migrant Farmworker - MSSA

95/Ballico/Delhi/Livingston

Population Group: Low Income/Migrant Farmworker - MSSA 97.3/Le

Grand/Planada

Facility: Bloss Memorial Hospital District

Facility: Castle Family Health Center

PRIMARY CARE: California

County and County Equivalent Listing

Page 29 of 309

Merced County

Facility: Delhi Medical Clinic

Facility: Golden Valley Health Center

Facility: Livingston Community Health Services

Facility: Memorial Hospital Los Banos Rural Health

Facility: USP-Atwater

Modoc County

Service Area: Modoc County

Facility: Canby Family Practice Clinic

Facility: Modoc Indian Health Project Inc.

Facility: Modoc Medical Center

Facility: Stevens Parkview Healthcare

Facility: Surprise Valley Medical Clinic

Facility: Warner Mountain Indian Health Project

Mono County

Facility: Mammoth Hospital

Monterey County

Service Area: MSSA 104-Big Sur

Population Group: Low Income/Migrant Farmworker - MSSA 105 and

107/King City/Soledad

Population Group: Low Income/Migrant Fw - MSSA 109.1/Prunedale

Facility: Clinica De Salud Del Valle

Facility: Correctional Training Facility - Soledad

Facility: Mee Memorial Hospital Medical Clinic

Facility: Monterey County Health Department

Napa County

Service Area: MSSA 111.3/Berryessa

Facility: Community Health Clinic Ole

Nevada County

Service Area: MSSA 114 and 117/Truckee/Dollar Point

Facility: Chapa-De Indian Health Program-Grass Valley

Facility: Miners Community Clinic

Facility: Sierra Family Medical Clinic, Inc.

PRIMARY CARE: California

County and County Equivalent Listing

Page 30 of 309

Orange County

Population Group: Low Income - MSSA 116C/Anaheim West

Population Group: Low Income - MSSA 116G/Santa Ana South

Population Group: Low Income - MSSA 116R/Garden Grove N./Stanton

Facility: Asian Health Center

Facility: Casa De Salud Clinic Dba (Ocrm Health Care

Facility: Central City Community Health Centers - Anaheim

Facility: Families Together of Orange County

Facility: Friends of Family Health Center

Facility: Hurtt Family Health Clinic, Inc.

Orange County

Facility: Korean Community Services, Inc.

Facility: Livingstone Community Development Corporation

Facility: Mission Hospital's Camino Health Center

Facility: Nhan Hoa Comprehensive Health Care Clinic, Inc.

Facility: North Orange County Regional Health Foundation

Facility: Serve the People, Inc.

Facility: Share Our Selves (Sos)

Facility: St. Jude Neighborhood Health Centers

Facility: University of California-Irvine Family Health

Facility: Vietnamese Community of Orange County

Placer County

Service Area: MSSA 114 and 117/Truckee/Dollar Point

Service Area: MSSA 118/Colfax

Service Area: MSSA 120/Foresthill

Facility: Chapa-De Indian Health Program, Inc.

Facility: Placer County Medical Clinic

Plumas County

Population Group: Low Income - MSSA 123.2 and 124/Graeagle/Portola

Population Group: Low Income - MSSAs 122/125/Greenville/Chester

Facility: Eastern Plumas Health Care

Facility: Eastern Plumas Health Care Graeagle Medical Clinic

Facility: Eastern Plumas Health Care-Indian Valley Medical C

Facility: Eastern Plumas Health Care-Portola Medical Clinic

Facility: Greenville Rancheria

Facility: Plumas Rural Health Center

PRIMARY CARE: California

County and County Equivalent Listing

Page 31 of 309

Riverside County

Service Area: MSSA 126 and 127/Blythe/Chiriaco Summit

Service Area: MSSA 132 and 133.2/Hemet/San Jacinto

Population Group: Low Income - MSSA 129.2/Indio North

Population Group: Low Income - MSSA 129.3/Agua Caliente

Population Group: Low Income - MSSA 130/Idyllwild/Pine Cove

Population Group: Low Income - MSSA 133.1/Canyon Lake

Population Group: Low Income - MSSA 133.3/Glen Valley

Population Group: Low Income/Migrant Farmworker/Homeless - MSSA

135A/Eastside

Facility: Cabazon Band of Mission Indians

Facility: Centro Medico Community Clinic, Inc.

Facility: Chuckawalla Valley State Prison

Facility: Community Health Systems, Inc.

Facility: County of Riverside

Facility: Desert AIDS Project

Facility: Ironwood State Prison

Riverside County

Facility: Riverside-San Bernadino County Indian Health

Facility: Torres-Martinez Indian Health Council

Facility: Urban Community Action Projects

Sacramento County

Service Area: MSSA 136/Galt

Service Area: MSSA 137/Isleton

Population Group: Low Income/Homeless - MSSA 139J - Del Paso Heights/

Facility: California Rural Indian Health Board, Inc.

Facility: Center for AIDS Research, Education and Services

Facility: Elica Health Centers

Facility: Health for All, Inc.

Facility: Lodi Health Physicians Galt Family and Specialty Care

Facility: Sacramento Community Clinic

Facility: Sacramento County Department of Health

Facility: Sacramento Native American Health Center, Inc.

Facility: The Effort

San Benito County

Service Area: MSSA 140/Hollister

Facility: San Benito Health Foundation

PRIMARY CARE: California

County and County Equivalent Listing

Page 32 of 309

San Bernardino County

Service Area: MSSA 142/Argus

Service Area: MSSA 143/Big River

Service Area: MSSA 144.2 and 144.3/Joshua Tree/Cadiz

Service Area: MSSA 145.2/Adelanto/Victorville Northwest

Service Area: MSSA 145.3/Lucerne Valley

Service Area: MSSA 146/Big Bear Lake

Service Area: MSSA 148/Wrightwood

Service Area: MSSA 149/Barstow

Population Group: Low Income - MSSA 145.1B/Apple Valley

Population Group: Low Income - MSSA 150/Baker

Population Group: Low Income/Migrant Fw - MSSA 145.1A/Hesperia West

Population Group: Low Income/MSSA 147-Lake Arrowhead

Facility: Chemehuevi Tribe

Facility: Federal Correctional Complex-Victorville

Facility: Fort Mojave Health Department

Facility: Hi-Desert Memorial Health Care District

Facility: Inland Behavioral and Health Services

Facility: San Bernardino County Health Center

Facility: Sean R. Thomas, MD

Facility: Social Action Community Health System

Facility: Star Medical Clinic

San Bernardino County

Facility: Tri-State Community Healthcare Center

Facility: Unicare Community Health Center, Inc.

PRIMARY CARE: California

County and County Equivalent Listing

Page 33 of 309

San Diego County

Service Area: MSSA 153.1/Pala

Service Area: MSSA 154/Barona/Moreno

Service Area: MSSA 158.2/San Diego County Estates

Service Area: MSSA 159/Buckman Springs

Service Area: MSSA 161G/Lemon Grove Northwest/National City East

Population Group: Low Income - MSSA 161D/Chollas Creek

Population Group: Low Income - MSSA 161L/Lemon Grove South

Population Group: Low Income/Migrant Farmworker - MSSA 161H/El Cajon

Central and So

Population Group: Low Income-MSSA 161C/Downtown/Golden Hill

Facility: Borrego Community Health Foundation

Facility: Family Health Centers of San Diego

Facility: Immigration and Customs Enforcement - San Diego

Facility: Imperial Beach Community Clinic

Facility: Indian Health Council, Inc.

Facility: La Maestra Family Clinic

Facility: Metropolitan Correctional Center-San Diego

Facility: Mountain Health

Facility: Neighborhood Health Care/Escondido

Facility: North County Health Project, Inc.

Facility: Operation Samahan, Inc.

Facility: San Diego American Indian Health Center

Facility: San Diego Family Care

Facility: San Ysidro Health Center

Facility: Southern Indian Health Council

Facility: St. Vincent De Paul Village

Facility: Sycuan Band of Mission Indians

Facility: Vista Community Clinic

San Francisco County

Facility: Asian and Pacific Islander Wellness Center, Inc.

Facility: Friendship House Association of American Indians

Facility: Healthright 360

Facility: Mission Neighborhood Health Center

Facility: Northeast Medical Services

Facility: San Fransico Community Clinic Consortium

Facility: South of Market Health Center

San Joaquin County

Population Group: Low Income - MSSA 167/Lockeford

Population Group: Low Income-MSSA 169A/Stockton North Central

PRIMARY CARE: California

County and County Equivalent Listing

Page 34 of 309

San Joaquin County

Population Group: MSSA 169B/Stockton South/Stockton Southeast

Facility: Bri Gupta, MD, Inc.

Facility: Community Medical Centers, Inc.

San Luis Obispo County

Facility: Community Health Centers of the Central Coast, Inc.

San Mateo County

Population Group: Low Income-Migrant Farmworker-MSSA 176B/East Palo

Alto

Facility: San Mateo County Health Services Agency

Facility: South County Community Health Center

Santa Barbara Count

Facility: American Indian Health and Services Corporation

Facility: Federal Correctional Complex-Lompoc

Facility: Santa Barbara County Public Health Department

Facility: Santa Barbara Neighborhood Clinics

Facility: Santa Ynez Band of Mission Indians

Santa Clara County

Facility: Asian Americans for Community Involvement

Facility: Gardner Family Health

Facility: Indian Health Center of Santa Clara

Facility: Joseph C Barbara MD, Inc.

Facility: Mayview Community Health Center

Facility: San Jose Foothills Family Community Clinic

Facility: Santa Clara Valley Health and Hospital

Facility: School Health Clinics of Santa Clara County

Santa Cruz County

Population Group: Low Income/Migrant Farmworker - MSSA 184

(Freedom/Watsonville)

Facility: County of Santa Cruz Health Services

Facility: Salud Para Le Gente

Facility: Santa Cruz Women's Health Center

PRIMARY CARE: California

County and County Equivalent Listing

Page 35 of 309

Shasta County

Service Area: MSSA 187/Castella/Lakehead/O

Service Area: MSSA 188.1/Montgomery Creek

Population Group: Low Income-Migrant Farmworker/MSSA 186 Anderson

Population Group: Low Income-MSSA 188.2/Manton

Facility: Hill Country Community Clinic

Facility: Lassen Medical Group-Cottonwood

Facility: Pit River Health Services

Facility: Redding Rancheria Health Clinic

Facility: Shasta Community Health Center

Facility: Shingletown Medical Center

Sierra County

Facility: Eastern Plumas Health Care-Loyalton Medical Clinic

Facility: Western Sierra Medical Clinic

Siskiyou County

Service Area: MSSA 194/Etna

Service Area: MSSA 196/Tulelake

Service Area: MSSA 200/Dorris

Population Group: Low Income - MSSA 195/Yreka/Grenada

Population Group: Low Income/Migrant Farmworker-MSSA 197/198/199/Mount

Shasta/Dunsm

Facility: Fairchild Medical Group, Inc.

Facility: Karuk Tribe of California

Facility: McCloud Healthcare Clinic

Facility: Mercy Lake Shastina Community Clinic

Facility: Mercy Mt. Shasta Community Clinic

Facility: Pine Street Clinic

Facility: Quartz Valley Indian Reservation

Facility: Siskiyou Family Healthcare

Solano County

Service Area: MSSA 203.2/Rio Vista

Facility: Solano County Health and Social Services

Sonoma County

Service Area: MSSA 206/Cloverdale

Service Area: MSSA 208/Sonoma

Facility: Alliance Medical Center

Facility: Copper Towers Family Medical Clinic

Facility: Federated Indians of Graton Rancheria

Facility: Lytton Rancheria

Facility: Petaluma Health Center

Facility: Santa Rosa Community Health Centers

Facility: Sonoma County Indian Health

Facility: Sonoma Valley Community Health Center

Facility: West County Health Centers, Inc.

PRIMARY CARE: California

County and County Equivalent Listing

Page 36 of 309

Stanislaus County

Service Area: MSSAs 212.2/212.3/213/Keyes/Salida/Crows Landin

Population Group: Low Income - MSSA 211/Oakdale/Riverbank

Population Group: Low Income - MSSA 214/Hughson

Facility: Del Puerto Health Center

Facility: Oakdale Community Health Center

Facility: Riverbank Community Health Center

Facility: Stanislaus County

Sutter County

Facility: Ampla Health (Formerly) Del Norte Clinics, Inc.

Tehama County

Service Area: MSSA 219/Rancho Tehama

Service Area: MSSA 220/Dairyville/Paynes Creek

Service Area: MSSA 222/Corning, Los Molinos, Tehama County

Population Group: Low Income-Migrant Farmworker/Red Bluff/MSSA 221

Facility: Corning Rural Health Clinic

Facility: Greenville Rancheria Tribal Health Program-Red Blu

Facility: James Ooi, MD

Facility: Lassen Medical Group-Red Bluff

Facility: Rolling Hills Clinic

Trinity County

Service Area: MSSA 223 and 224/Junction City/Weaverville/Trinity C

Service Area: MSSA 225/Hayfork, Forest Glen, Peanut

Service Area: MSSA 226/Kettenpom

Facility: Southern Trinity Health Services

Facility: Trinity Community Health Clinic

PRIMARY CARE: California

County and County Equivalent Listing

Page 37 of 309

Tulare County

Service Area: MSSA 228.1/Ivanhoe

Service Area: MSSA 229/Three Rivers

Service Area: MSSA 231/Alpaugh

Service Area: MSSA 232/Springville

Service Area: MSSAs 227.1, 227.2-Dinuba-Orosi

Population Group: Low Income/Migrant Farmworker - MSSA 233/Visalia

Population Group: Low Income/Migrant Farmworker - Ssa 228.2/Exeter

Population Group: Low Income-Migrant Farmworker/MSSA

230/Tipton/Tulare/Woodville

Facility: Adventist Health Community Care - Dinuba Plaza

Facility: Adventist Health Community Care - Dinuba West

Facility: Adventist Health Community Care - Orosi

Facility: Adventist Health Community Care-Dinuba

Facility: Alta Family Health Clinic, Inc.

Facility: Family Health Care Network

Facility: Lindsay Family and Pediatrics Clinic

Facility: San Joaquin Prime Care Medical Corporation-Exeter

Facility: San Joaquin Prime Care Medical Corporation-Farmersville

Facility: Sequoia Family Medical Center Rural Health Clinic

Facility: Tulare Community Health

Facility: Tulare County Health

Facility: Tule River Indian Health Program

Facility: Vida Sana Medical Group Inc. - Pediatrics

Facility: Woodlake Family Health Center

Tuolumne County

Service Area: MSSA 234.1 and 235/Chinese Camp/Big Oak Flat

Tuolumne County

Service Area: MSSAs 234.2/236-Sonora/East Sonora

Facility: Forest Road Health and Wellness Center

Facility: M.A.C.T. Health Board, Inc.

Facility: Mathiesen Memorial Health Clinic

Facility: Sierra Conservation Center

Facility: Tuolumne Me-Wuk Indian Health Center

Ventura County

Population Group: Low Income/Migrant Farmworker - MSSA 237/Santa Paula

Population Group: Low Income-MSSA 241A/Oxnard South

Facility: Clinicas Del Camino

Facility: Ventura County Public Healthcare Agency

PRIMARY CARE: California

County and County Equivalent Listing

Page 38 of 309

Yolo County

Facility: Communicare Health Center

Facility: MMC for Children and Families

Facility: Northern Valley Indian Health-Woodland

Facility: The Midtown Medical Center for Children and Families

Facility: Winters Healthcare Foundation

Yuba County

Service Area: MSSA 247/Browns Valley

Population Group: Low Income/Migrant Farmworker-MSSA 249/Marysville

Facility: Chuk Ndule, MD

Facility: Harmony Health Medical Clinic and Family Resource Center

Facility: Peach Tree Clinic

PRIMARY CARE: Colorado

County and County Equivalent Listing

Page 39 of 309

Adams County

Service Area: Strasburg Service Area

Population Group: Low Income - Aurora Northwest

Population Group: Low Income - Thornton/Westminster

Population Group: Low Income-Commerce City

Facility: Regents of the University of Colorado

Alamosa County

Facility: Valley-Wide Health Services

Arapahoe County

Service Area: Strasburg Service Area

Population Group: Low Income - Aurora Northwest

Population Group: Low Income - Littleton/Englewood

Facility: Metro Community Provider Network

Facility: Rocky Mountain Youth - Aurora Clinic

Archuleta County

Service Area: Archuleta County

Baca County

Population Group: Low Income-Baca County

Bent County

Population Group: Low Income-Bent/Crowley/Otero

Boulder County

Population Group: Low Income - Boulder City

Population Group: Low Income - Longmont

Facility: Clinica Campesina

Chaffee County

Population Group: Low Income-Chaffee County

Facility: Buena Vista Correctional Facility

Cheyenne County

Service Area: Cheyenne County

Clear Creek County

Service Area: Clear Creek County

Conejos County

Service Area: Conejos County

Costilla County

Service Area: Costilla County

PRIMARY CARE: Colorado

County and County Equivalent Listing

Page 40 of 309

Crowley County

Population Group: Low Income-Bent/Crowley/Otero

Facility: Arkansas Valley Correctional Facility

Facility: Crowley County Correctional Facility

Custer County

Service Area: Custer County

Delta County

Population Group: Low Income - Delta County

Facility: Surface Creek Family Practice

Denver County

Population Group: Low Income - Denver West

Population Group: Low Income-Denver Northeast

Facility: Colorado Coalition for the Homeless

Facility: Denver Health and Hospital

Facility: Denver Indian Health and Family Services

Facility: Denver Reception and Diagnostic Center

Facility: Denver Womens Correctional Facility

Facility: Inner City Health Center

Facility: La Clinica Tepeyac

Facility: Rocky Mountain Youth Clinic

Dolores County

Service Area: Dolores County

Facility: Dolores County Health Association

El Paso County

Service Area: Calhan/Yoder

Population Group: Low Income - Colorado Springs

Facility: Eastern Plains Medical Clinic of Calhan

Facility: Peak Vista Community Health Centers, Inc.

Elbert County

Service Area: Western Elbert County

Population Group: Low Income - Limon/Hugo/Simla

Fremont County

Population Group: Low Income - Fremont County

Facility: Button Family Practice, P.C.

Facility: Centennial Correctional Facility

Facility: Colorado State Penitentiary

Facility: Colorado Territorial Correctional Facility

Facility: Federal Correctional Complex - Florence

Facility: Federal Correctional Complex-Florence

Facility: Florence Medical Center, LLC

Facility: Fremont Correctional Facility

PRIMARY CARE: Colorado

County and County Equivalent Listing

Page 41 of 309

Garfield County

Population Group: Low Income-Western Garfield County

Gilpin County

Service Area: Gilpin County

Facility: Mountain Family Health Center

Grand County

Service Area: Grand County

Gunnison County

Service Area: Gunnison County

Hinsdale County

Facility: Lake City Area Medical Center

Huerfano County

Population Group: Low Income-Huerfano County

Jackson County

Service Area: Jackson County

Jefferson County

Population Group: Low Income - Arvada South

Population Group: Low Income - Lakewood East Central

Facility: Federal Correctional Institution - Englewood

Facility: Jefferson County Public Health Department

Kiowa County

Population Group: Low Income - Kiowa County

Kit Carson County

Population Group: Low Income - Kit Carson County

La Plata County

Service Area: La Plata County

Facility: Southern County Ute/Ignacio PHS Indian Health Center

Facility: Southern Ute Health Center

Facility: Southwest Colorado Mental Health Center, Inc.

Lake County

Population Group: Low Income - Lake County

Larimer County

Service Area: Red Feather Lakes Division

Population Group: Low Income-North Larimer

PRIMARY CARE: Colorado

County and County Equivalent Listing

Page 42 of 309

Las Animas County

Population Group: Low Income - Las Animas County

Facility: Trindidad Area Health Association Dba Mt. San Rafael

Hospital

Lincoln County

Population Group: Low Income - Limon/Hugo/Simla

Facility: Limon Correctional Facility

Facility: Plains Medical Center

Logan County

Population Group: Low Income-Logan County

Facility: Family Care Clinic

Facility: Sterling Correctional Facility

Mesa County

Population Group: Low Income - Mesa County

Facility: Marillac Clinic, Inc.

Mineral County

Service Area: Mineral County

Moffat County

Service Area: Moffat County

Facility: Northwest Colorado Community Health Center

Montezuma County

Population Group: Low Income-Montezuma County

Facility: Cortez Primary Care Clinic

Facility: Mancos Valley Health Center

Facility: Southwest Memorial Primary Care

Facility: Southwest Walk-in Care

Facility: Ute Mountain Ute Health Program

Montrose County

Service Area: Nucla/Noorwood Service Area

Population Group: Low Income - East Montrose/Ouray

Facility: Olathe Community Clinic

Morgan County

Population Group: Low Income-Morgan County

Otero County

Population Group: Low Income-Bent/Crowley/Otero

Ouray County

Population Group: Low Income - East Montrose/Ouray

PRIMARY CARE: Colorado

County and County Equivalent Listing

Page 43 of 309

Park County

Service Area: Park County

Phillips County

Population Group: Low Income - Phillips County

Facility: Family Practice of Holyoke

Prowers County

Facility: High Plains Community Health Center

Pueblo County

Facility: CF-La Vista Correctional Facility

Facility: La Vista Correctional Facility

Facility: Pueblo Community Health Center

Rio Blanco County

Population Group: Low Income - Meeker Division

Rio Grande County

Population Group: Low Income-Rio Grande County

Routt County

Service Area: Oak Creek/Yampa

Saguache County

Population Group: Low Income-Saguache County

San Juan County

Service Area: San Juan County

San Miguel County

Service Area: Eastern San Miguel County

Service Area: Nucla/Noorwood Service Area

Facility: Telluride Medical Center

Facility: Uncompahgre Combined Community Health Center

Sedgwick County

Population Group: Low Income-Sedgwick/Deuel (Colorado/Nebraska)

Summit County

Facility: Summit Community Care Clinic

Washington County

Service Area: Washington County

Facility: Akron Clinic

PRIMARY CARE: Colorado

County and County Equivalent Listing

Page 44 of 309

Weld County

Population Group: Low Income-Weld County

Facility: Plan De Salud Del Valle

Facility: Sunrise Community Health

Yuma County

Population Group: Low Income-Yuma County

Facility: Yuma Clinic

PRIMARY CARE: Connecticut

County and County Equivalent Listing

Page 45 of 309

Fairfield County

Population Group: Low Income - Central Norwalk

Population Group: Low Income - Danbury

Population Group: Low Income - South End Stamford

Population Group: Low Income - Stratford

Population Group: Low Income-Bridgeport

Facility: Connecticut Institute for Communities, Inc.

Facility: Federal Correctional Institution - Danbury

Facility: Norwalk Community Health Center

Facility: Optimus Health Care, Inc.

Facility: Southwest Community Health Center

Hartford County

Population Group: Low Income - Bristol Service Area

Population Group: Low Income - East Hartford

Population Group: Low Income - Hartford

Population Group: Low Income - New Britain

Population Group: Low Income - Northwest Enfield

Facility: Charter Oak Health Center, Inc.

Facility: Community Health Services, Inc.

Facility: East Hartford Community Health Center

Litchfield County

Population Group: Low Income-Torrington

Facility: Community Health and Wellness of Gtr Torrington

Middlesex County

Population Group: Low Income - Middletown Service Area

Facility: Community Health Center of Middletown

New Haven County

Population Group: Low Income - Ansonia

Population Group: Low Income - Central Meriden

Population Group: Low Income - New Haven/West Haven

Population Group: Low Income - Waterbury

Facility: Cornell Scott-Hill Health Corporation

Facility: Fair Haven Community Health

Facility: Staywell Health Center, Inc.

New London County

Population Group: Low Income - Groton

Population Group: Low Income - New London

Population Group: Low Income - Norwich

Facility: Mashantuckey Pequot Tribal Nation

Facility: Mohegan Tribe of Indians of CT

Facility: United Community Services Inc.

PRIMARY CARE: Connecticut

County and County Equivalent Listing

Page 46 of 309

Tolland County

Population Group: Low Income – Mansfield

Windham County

Population Group: Low Income - Putnam Service Area

Population Group: Low Income - Town of Windham

Facility: Generations Family Health

PRIMARY CARE: Delaware

County and County Equivalent Listing

Page 47 of 309

Kent County

Population Group: Low Income - Kent County

New Castle County

Service Area: Central Wilmington

Service Area: Wilmington - Southbridge

Population Group: Low Income - Newark

Population Group: Low Income - Southwest Wilmington

Facility: CF-Baylor Women's Correctional Institution

Facility: CF-Howard Young Correctional Institution

Facility: Primary Care-Vaughn Correctional Facility

Facility: Southbridge Medical Advisory Council Inc. Formerly Henrietta

Johnson Medical

Facility: Westside Health Service

Sussex County

Population Group: Low Income - Sussex County

Facility: CF-Sussex Correctional Institution

Facility: La Red Health Center, Inc.

PRIMARY CARE: District of Columbia

County and County Equivalent Listing

Page 48 of 309

District of Columbia

Service Area: Anacostia

Service Area: East Capitol Southeast

Service Area: South Capitol

Population Group: Homeless - Downtown Washington

Population Group: Low Income-Brentwood

Population Group: Low Income-Columbia Heights/Ft. Totten/Takoma

Facility: Bread for the City, Inc.

Facility: Community of Hope

Facility: Correctional Treatment Facility/Central Detention Facility

Facility: Elaine Ellis Center of Health

Facility: Family and Medical Counseling Services, Inc.

Facility: La Clinica Del Pueblo

Facility: Mary's Center for Maternal and Child Care

Facility: Unity Health Care, Inc.

Facility: Whitman Walker Clinic

PRIMARY CARE: Florida

County and County Equivalent Listing

Page 49 of 309

Alachua County

Population Group: Low Income/Migrant Farmworker - Alachua County

Facility: Acorn Rural Health Clinic

Facility: Children's Medical Center @ Alachua

Baker County

Facility: Baker Correctional Institution

Facility: Children's Medical Center of MacClenny

Facility: Children's Medical Center-Glen St Mary

Bay County

Population Group: Low Income - Bay County

Facility: Pancare of Florida, Inc.

Bradford County

Population Group: Low Income - Bradford County

Brevard County

Population Group: Low Income - Melbourne/Palm Bay

Population Group: Low Income - Merritt Island

Population Group: Low Income - Titusville-Rockledge

Facility: The Brevard Health Alliance, Inc.

Broward County

Population Group: Low Income - Coral Springs

Population Group: Low Income - Davie/Hollywood/Dania

Population Group: Low Income - Fort Lauderdale

Population Group: Low Income - Margate

Population Group: Low Income - Pompano Beach

Population Group: Low Income - Sunrise

Population Group: Low Income-Deerfield Beach

Population Group: Low Income-Hallandale/Miramar

Facility: Broward Community and Family Health Center

Facility: North Broward Hospital District/Homeless

Facility: Seminole Tribe of Florida-Health Admin

Calhoun County

Population Group: Low Income-Calhoun County

Facility: Calhoun Correctional Institution

Charlotte County

Population Group: Low Income - Port Charlotte/Punta Gorda

Facility: Charlotte Correctional Institution

Citrus County

Population Group: Low Income - Citrus County

Facility: Citrus County Health Department

Facility: Crystal River Primary Care

PRIMARY CARE: Florida

County and County Equivalent Listing

Page 50 of 309

Clay County

Service Area: Keystone Heights - Clay

Clay County

Population Group: Low Income - Green Cove Springs

Collier County

Service Area: Imokalee/Everglades Service Area

Population Group: Low Income-Golden Gate

Facility: Collier Health Service

Facility: Immokalee Health Center

Columbia County

Population Group: Low Income/Migrant Farmworker - Columbia County

Facility: Children Medical Center-State Road

Facility: Children's Medical Center-Lake City

Facility: Columbia Correctional Institution

Facility: Columbia County Health Center

Facility: North Florida Pediatrics PA

DeSoto County

Population Group: Low Income/Migrant Farmworker - Desoto County

Facility: Desoto Correctional Institution

Dixie County

Service Area: Dixie County

Facility: Cross City Correctional Institution

Duval County

Population Group: Low Income - Atlantic Beach

Population Group: Low Income - East Jacksonville

Population Group: Low Income - North Jacksonville

Population Group: Low Income - South Jacksonville

Population Group: Low Income - West Jacksonville

Population Group: Low Income-Baldwin

Facility: Duval County Health Department

Facility: I.M. Sulzbacher Center for the Homeless

Escambia County

Population Group: Low Income - Escambia County

Facility: Century Correctional Institution

Facility: Escambia Community Clinics Inc.

Flagler County

Population Group: Low Income - Flagler County

PRIMARY CARE: Florida

County and County Equivalent Listing

Page 51 of 309

Franklin County

Population Group: Low Income-Franklin County

Facility: Franklin Correctional Institution

Gadsden County

Service Area: Gadsden County

Gilchrist County

Population Group: Low Income/Migrant Farmworker-Gilchrist County

Gilchrist County

Facility: Lancaster Correctional Institution

Facility: Trenton Medical Center

Glades County

Service Area: Glades County

Facility: Brighton Health Center

Gulf County

Population Group: Low Income-Wewahitchka

Facility: Gulf Correctional Institution

Facility: Gulf County Health Department/St. Joseph

Facility: Shoreline Medical Group

Hamilton County

Service Area: Hamilton County

Facility: Hamilton Correctional Institution

Hardee County

Service Area: Hardee County

Facility: Hardee Correctional Institution

Hendry County

Service Area: Hendry County

Facility: Big Cypress Indian Health Service Center

Facility: Urgent and Convenient Care Center

Hernando County

Population Group: Low Income - Hernando County

Facility: Nature Coast Community Health Center

Highlands County

Population Group: Low Income/Migrant Farmworker - Highlands County

Facility: Central Florida Health

Facility: Family Practice Center of Avon Park

PRIMARY CARE: Florida

County and County Equivalent Listing

Page 52 of 309

Hillsborough County

Population Group: Low Income - East Mango

Population Group: Low Income - Port of Tampa

Population Group: Low Income - Suitcase City

Population Group: Low Income - Town and Country - Hillsborough

Population Group: Low Income - West Tampa

Population Group: Low Income/Migrant Farmworker-Plant City/Dover

Population Group: Low Income-East Tampa/Ybor City

Population Group: Low Income-Southwest Hillsborough

Facility: Suncoast Community Health Centers

Facility: Tampa Family Health Centers, Inc.

Holmes County

Population Group: Low Income - Holmes County

Facility: Ahmad Tariq Ismail

Holmes County

Facility: Holmes Correctional Institution

Indian River County

Population Group: Low Income-Indian River County

Facility: Treasure Coast Community Health Center

Jackson County

Population Group: Low Income - Jackson County

Facility: Apalachee Correctional Institution

Facility: Federal Correctional Institution - Marianna

Facility: Graceville Correctional Facility

Facility: Internal Medicine Associates

Facility: Jackson Correctional Institution

Jefferson County

Population Group: Low Income - Jefferson County

Facility: Jefferson Correctional Institution

Lafayette County

Service Area: Lafayette County

Facility: Mayo Correctional Institution

Lake County

Population Group: Low Income - Lake County

Facility: Gchn-Umatilla Health Clinic

PRIMARY CARE: Florida

County and County Equivalent Listing

Page 53 of 309

Lee County

Population Group: Low Income - Lehigh Acres

Population Group: Low Income - North Fort Myers

Population Group: Low Income-Bonita Springs

Population Group: Low Income-Cape Coral

Population Group: Low Income-Fort Myers

Facility: Family Health Centers of Southwest Florida

Leon County

Population Group: Low Income-Leon County

Facility: Bond Community

Facility: Federal Correctional Institution - Tallahassee

Facility: Neighborhood Medical Center

Facility: North Florida Medical Centers Inc.

Levy County

Population Group: Low Income/Mf-Levy County

Facility: A Woman's Place Inc.

Facility: Chiefland Medical Center, Inc.

Facility: West Florida Medical Associates

Liberty County

Service Area: Liberty County

Facility: Liberty Correctional Institution

Madison County

Service Area: Madison County

Facility: Four Freedoms Health Services

Facility: Madison Correctional Institution

Manatee County

Population Group: Low Income - Bradenton/Manatee

Population Group: Low Income - Palmetto/Parrish

Facility: Manatee County Rural Health Services, Inc.

Marion County

Population Group: Low Income - Marion County

Facility: Dr. Bellam Medical Clinic

Facility: Heart of Florida Health Center, Inc.

Facility: Lowell Correctional Institution

Facility: Lowell Correctional Institution - Annex

Facility: Lowell Reception Center

Facility: Marion Correctional Institution

Martin County

Service Area: Indiantown Service Area

Facility: Martin Correctional Institution

PRIMARY CARE: Florida

County and County Equivalent Listing

Page 54 of 309

Miami-Dade County

Population Group: Low Income - Homestead

Population Group: Low Income - Southwest Dade

Population Group: Low Income - Sweetwater

Population Group: Low Income-Biscayne Park

Population Group: Low Income-Golden Glades

Population Group: Low Income-Hialeah Garden

Population Group: Low Income-Liberty City

Population Group: Low Income-Little Havana

Population Group: Low Income-Norland

Population Group: Low Income-North Beach

Population Group: Low Income-North Miami Beach

Population Group: Low Income-Opa Locka

Population Group: Low Income-West Perrine

Population Group: Low Income-Wynwood

Facility: Banyan Community Health Center

Facility: Borinquen Healthcare

Facility: Camillus Health Concern, Inc.

Facility: Center for Family and Child Enrichment

Facility: Citrus Health Network, Inc.

Facility: Community AIDS Resource/Dba Care Resource

Facility: Community Health South Florida, Inc.

Facility: Empower U, Incorporated

Miami-Dade County

Facility: Federal Correctional Institution - Miami

Facility: Federal Detention Center-Miami

Facility: Immigration and Customs Enforcement - Krome

Facility: Jessie Trice Community Health Center, Inc.

Facility: Miami Beach Community Health Center

Facility: Miccosukee Tribe of Indians of Florida

Monroe County

Facility: Rural Health Network of Monroe County Florida, Inc.

Nassau County

Service Area: Callahan-Hilliard

Okaloosa County

Population Group: Low Income - Northern Okaloosa

Facility: Okaloosa Correctional Institution

Okeechobee County

Population Group: Low Income - Okeechobee County

Facility: Okeechobee Correctional Institution

PRIMARY CARE: Florida

County and County Equivalent Listing

Page 55 of 309

Orange County

Population Group: Low Income - Oak Ridge - Orange

Population Group: Low Income - Parramore

Population Group: Low Income-Alafaya

Population Group: Low Income-Apopka/Winter Garden

Population Group: Low Income-Azalea Park

Population Group: Low Income-North Winter Park

Population Group: Low Income-Pine Hills

Facility: Community Health Centers, Inc.

Facility: Health Care Center for the Homeless, Inc.

Osceola County

Population Group: Low Income/Migrant Farmworker - Osceola County

Facility: Primary Care Medical Services of Poinciana

Palm Beach County

Population Group: Low Income - Boca Raton

Population Group: Low Income - Boynton Beach

Population Group: Low Income - Delray Beach

Population Group: Low Income - Lantana/Lake Worth

Population Group: Low Income - West Palm Beach

Population Group: Low Income/Migrant Farmworker – Belle

Glade/Pahokee/Palm Beach

Population Group: Low Income-Greenacres

Facility: Florida Community Health Centers, Inc.

Facility: Foundcare Health Center

Facility: Genesis Community Health

Facility: Health Care District of Palm Beach County

Palm Beach County

Facility: South Bay Correctional Facility

Pasco County

Population Group: Low Income - Pasco County

Facility: Premier Community Health Care Group

Pinellas County

Population Group: Low Income - Central Clearwater

Population Group: Low Income - Largo

Population Group: Low Income - Pinellas Park

Population Group: Low Income - St. Petersburg

Population Group: Low Income - Tarpon Springs

Population Group: Low Income-Bayview

Facility: Community Health Centers of Pinellas

Facility: Pinellas County Board of County Commissioners/Huma

PRIMARY CARE: Florida

County and County Equivalent Listing

Page 56 of 309

Polk County

Population Group: Low Income-East Polk County

Population Group: Low Income-West Polk County

Facility: Polk Correctional Institution

Putnam County

Population Group: Low Income/Migrant Farmworker - Putnam County

Facility: Rural Healthcare, Inc.

Facility: Sunrise Primary Care

Santa Rosa County

Population Group: Low Income - North Santa Rosa

Facility: Blackwater Correctional Facility

Facility: Santa Rosa Correctional Institution

Sarasota County

Population Group: Low Income - North Port/South Venice

Population Group: Low Income-Venice

Facility: Sarasota County Health Department

Seminole County

Population Group: Low Income - Sanford

Facility: Central Florida Family Health Center

St. Johns County

Population Group: Low Income - Western St. Johns

St. Lucie County

Population Group: Low Income/Migrant Farmworker - St. Lucie County

Sumter County

Population Group: Low Income-Sumter

Facility: Bushnell Family Practice

Facility: Federal Correctional Complex-Coleman

Facility: Northwest Florida Reception Center

Sumter County

Facility: Sumter Correctional Institution

Facility: Thomas Langley Medical Center

Facility: Wildwood Medical Center

Suwannee County

Service Area: Suwannee County

Facility: Children's Medical Center @ Branford

Facility: Children's Medical Center @ Live Oak

Facility: Suwannee Correctional Institution-Main

PRIMARY CARE: Florida

County and County Equivalent Listing

Page 57 of 309

Taylor County

Population Group: Low Income - Taylor County

Facility: Doctors Memorial Family Practice

Facility: Doctors Memorial Internal Medicine

Facility: Little Pine Pediatrics, PLLC

Facility: Steinhatchee Family Medical Center

Facility: Taylor Correctional Institution

Union County

Population Group: Low Income - Union County

Facility: Lake Butler Family and Pediatric Clinic

Facility: Reception and Medical Center (Rmc)

Facility: Union Chd/New River Community Health Care Center

Facility: Union County Health Department/New River Community Health

Center

Volusia County

Population Group: Low Income/Migrant Farmworker - Volusia County

Facility: Northeast Florida Health Services

Wakulla County

Service Area: Wakulla County

Facility: Wakulla Correctional Institution

Walton County

Population Group: Low Income - Walton County

Facility: Walton Correctional Institution

Washington County

Population Group: Low Income-Washington County

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 58 of 309

Appling County

Population Group: Low Income-Appling County

Facility: Appling Medical Group

Facility: Appling Obstetrics and Gynecology

Facility: Appling Pediatrics

Facility: South GA Medical Associates

Atkinson County

Service Area: Atkinson County

Bacon County

Population Group: Low Income-Bacon County

Baker County

Population Group: Low Income-Baker County

Baldwin County

Population Group: Low Income - Baldwin County

Banks County

Population Group: Low Income - Banks County

Barrow County

Population Group: Low Income-Barrow County

Bartow County

Population Group: Low Income - Bartow County

Ben Hill County

Population Group: Low Income - Ben Hill County

Berrien County

Service Area: Berrien County

Bibb County

Population Group: Low Income-Bibb County

Facility: First Choice Primary Care, Inc.

Bleckley County

Service Area: Bleckley County

Brantley County

Service Area: Brantley County

Brooks County

Service Area: Brooks County

Bryan County

Facility: Phoebe Worth Pediatrics

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 59 of 309

Bulloch County

Population Group: Low Income - Bulloch County

Burke County

Population Group: Low Income-Burke County

Facility: Burke County Hospital

Facility: Keysville Family Health Center

Butts County

Population Group: Low Income-Butts County

Facility: Georgia Diagnostic Prison

Calhoun County

Population Group: Low Income - Calhoun County

Camden County

Population Group: Low Income-Camden County

Candler County

Population Group: Low Income - Candler County

Carroll County

Population Group: Low Income-Carroll County

Facility: West Carroll Family Health Care Center

Catoosa County

Population Group: Low Income - Catoosa County

Facility: North Georgia Healthcare Center, Inc.

Charlton County

Service Area: Charlton County

Facility: Family Practice Clinic

Chatham County

Service Area: Northwest Savannah

Facility: Coastal State Prison

Facility: Curtis V Cooper Primary Health Care Inc.

Facility: J C Lewis Primary Health Care Center, Inc.

Chattahoochee County

Population Group: Low Income - Chattahoochee County

Chattooga County

Population Group: Low Income - Chattooga County

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 60 of 309

Clarke County

Population Group: Low Income-Clarke County

Facility: Athens Neighborhood Health Center, Inc. (Anhc)

Clay County

Service Area: Clay County

Clayton County

Population Group: Low Income - Clayton County

Clinch County

Population Group: Low Income - Clinch County

Cobb County

Facility: Good Samaritan Health Center of Cobb, Inc.

Facility: Wellstar Northwest Women

Coffee County

Population Group: Low Income - Coffee County

Facility: Coffee Regional First Care

Colquitt County

Service Area: Colquitt County

Facility: Colquitt Regional Medical Center Primary Care

Facility: Kirk Clinic, LLC

Columbia County

Population Group: Low Income-Southern Columbia County

Cook County

Population Group: Low Income/Migrant Farmworker - Cook County

Crawford County

Service Area: Crawford County

Crisp County

Population Group: Low Income-Crisp County

Facility: Georgia Department of Community Health Services

Dade County

Service Area: Dade County

Facility: Primary Health Care Centers of Dade

Dawson County

Population Group: Low Income-Dawson County

Decatur County

Population Group: Low Income - Decatur County

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 61 of 309

DeKalb County

Service Area: South Decatur/Candler/McAfee

Population Group: Low Income-North Dekalb County

Facility: Meridian Educational Resource Group

Facility: Oakhurst Medical Center

Dodge County

Population Group: Low Income - Dodge County

Facility: Center for Community Healthcare Services

Facility: Dodge State Prison

Facility: Eastman Youth Development Campus

Dooly County

Service Area: Dooly County

Facility: Dooly State Prison

Dougherty County

Population Group: Low Income-Dougherty County

Facility: Albany Area Primary Health Care

Douglas County

Population Group: Low Income-Douglas County

Early County

Service Area: Early County

Facility: Primary Care of Southwest Georgia, Inc.

Echols County

Service Area: Echols County

Effingham County

Service Area: North Effingham County

Elbert County

Population Group: Low Income - Elbert County

Facility: Medical Center of Elberton, LLC

Emanuel County

Service Area: Emanuel County

Facility: East Georgia Healthcare Center, Inc.

Facility: Emanuel Prompt Care

Evans County

Population Group: Low Income-Evans County

Fannin County

Population Group: Low Income - Fannin County

Facility: Georgia Mountains Health Services

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 62 of 309

Floyd County

Population Group: Low Income-Floyd County

Forsyth County

Facility: Georgia Highlands Community Health Center

Franklin County

Population Group: Low Income - Franklin County

Fulton County

Service Area: West Atlanta

Population Group: Low Income - Southwest Atlanta

Population Group: Low Income - Westside Atlanta

Population Group: Low Income-Southeast Atlanta

Facility: Health Education, Assessment and Leadership Inc.

Facility: Palmetto Health Council, Inc.

Facility: Southside Medical Center

Facility: St. Joseph's Mercy Care Services

Facility: USP-Atlanta

Facility: West End Medical Centers, Inc.

Gilmer County

Population Group: Low Income-Gilmer County

Glascock County

Service Area: Glascock/Warren Counties

Glynn County

Population Group: Low Income - Glynn County

Facility: Coastal Georgia Community Health Services

Gordon County

Population Group: Low Income - Gordon County

Grady County

Population Group: Low Income - Grady County

Greene County

Population Group: Low Income-Greene County

Facility: Tender Care Clinic

Gwinnett County

Population Group: Low Income-Northwest Gwinnett County

Facility: Center for Pan Asian Community Services, Inc.

Facility: Four Corners Primary Care Center

Facility: Phillips State Prison

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 63 of 309

Habersham County

Population Group: Low Income-Habersham County

Facility: Lee Arrendale State Prison

Hall County

Population Group: Low Income-Hall County

Hancock County

Service Area: Hancock County

Facility: Hancock State Prison

Haralson County

Population Group: Low Income - Haralson County

Facility: Tallapoose Family Healthcare

Facility: Tmc Buchanan Family Healthcare Center

Facility: Tmc Haralson Family Healthcare Center

Harris County

Service Area: Harris County

Hart County

Service Area: Hart County

Heard County

Population Group: Low Income-Heard County

Facility: Tanner Family Healthcare of Franklin

Houston County

Population Group: Low Income - Houston County

Irwin County

Population Group: Low Income-Irwin County

Facility: Irwin County Family Practice

Facility: South Central Health Center

Jackson County

Population Group: Low Income-Jackson County

Jasper County

Service Area: Jasper County

Jeff Davis County

Service Area: Jeff Davis County

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 64 of 309

Jefferson County

Service Area: Jefferson County

Facility: Physician's Health Group

Facility: Wrens Physicians' Health Group

Jenkins County

Service Area: Jenkins County

Facility: Jenkins County Family Medicine

Johnson County

Service Area: Johnson County

Facility: Community Health Care Systems, Inc.

Facility: Johnson State Prison

Jones County

Population Group: Low Income-Jones County

Lamar County

Population Group: Low Income-Lamar County

Lanier County

Service Area: Lanier County

Laurens County

Population Group: Low Income-Laurens County

Lee County

Service Area: Lee County

Liberty County

Service Area: Liberty County

Facility: Diversity Health Center, Inc.

Lincoln County

Service Area: Lincoln County

Long County

Service Area: Long County

Lowndes County

Population Group: Low Income-Lowndes County

Facility: Valdosta State Prison

Lumpkin County

Population Group: Low Income - Lumpkin County

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 65 of 309

Macon County

Service Area: Macon County

Facility: Macon State Prison

Madison County

Population Group: Low Income-Madison County

Facility: Medlink Georgia, Inc.

Marion County

Service Area: Marion County

McDuffie County

Population Group: Low Income - McDuffie County

McIntosh County

Service Area: McIntosh County

Meriwether County

Service Area: Meriwether County

Miller County

Population Group: Low Income - Miller County

Mitchell County

Service Area: Mitchell County

Facility: Phoebe Family Medical Center - Camilla

Facility: Phoebe Family Medical Center – Pelham

Monroe County

Population Group: Low Income/Migrant Farmworker - Monroe County

Montgomery County

Service Area: Montgomery County

Morgan County

Service Area: Morgan County

Murray County

Population Group: Low Income - Murray County

Muscogee County

Population Group: Low Income-Muscogee County

Facility: Valley Healthcare System

Oglethorpe County

Population Group: Low Income-Oglethorpe County

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 66 of 309

Paulding County

Service Area: Paulding County

Peach County

Service Area: Peach County

Pickens County

Population Group: Low Income-Pickens County

Facility: Good Samaritan Health and Wellness Center

Pierce County

Population Group: Low Income - Pierce County

Pike County

Population Group: Low Income-Pike County

Polk County

Population Group: Low Income - Polk County

Pulaski County

Population Group: Low Income-Pulaski County

Facility: Pulaski State Prison

Putnam County

Service Area: Putnam County

Quitman County

Service Area: Quitman County

Rabun County

Population Group: Low Income - Rabun County

Randolph County

Service Area: Randolph County

Facility: Randolph Medical Associates

Richmond County

Population Group: Low Income - Central Augusta

Facility: Christ Community Health Services Augusta, Inc.

Facility: Neighborhood Improvement Project, Inc.

Schley County

Service Area: Schley County

Screven County

Service Area: Screven County

Seminole County

Population Group: Low Income-Seminole County

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 67 of 309

Spalding County

Population Group: Low Income-Spalding County

Stephens County

Population Group: Low Income-Stephens County

Stewart County

Service Area: Stewart/Webster

Facility: Immigration and Customs Enforcement - Stewart

Facility: Southwest Georgia Health Care

Sumter County

Population Group: Low Income - Sumter County

Talbot County

Service Area: Talbot County

Taliaferro County

Service Area: Taliaferro County

Tattnall County

Population Group: Low Income/Migrant Farmworker - Tattnall County

Facility: CF-Georgia State Prison

Facility: Georgia State Prison

Taylor County

Service Area: Taylor County

Telfair County

Population Group: Low Income - Telfair County

Terrell County

Service Area: Terrell County

Thomas County

Population Group: Low Income-Thomas County

Tift County

Population Group: Low Income-Tift County

Toombs County

Population Group: Low Income-Toombs County

Towns County

Population Group: Low Income - Towns County

Facility: Hiawassee Family Health Practice, Primary Care

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 68 of 309

Treutlen County

Service Area: Treutlen County

Troup County

Population Group: Low Income-Troup County

Turner County

Population Group: Low Income - Turner County

Twiggs County

Service Area: Twiggs County

Union County

Population Group: Low Income - Union County

Upson County

Population Group: Low Income - Upson County

Walker County

Population Group: Low Income - Walker County

Walton County

Population Group: Low Income-Walton County

Ware County

Population Group: Low Income - Ware County

Facility: McKinney Community Health Center

Warren County

Service Area: Glascock/Warren Counties

Facility: Tricounty Health Systems

Washington County

Population Group: Low Income - Washington County

Wayne County

Population Group: Low Income-Wayne County

Facility: Federal Correctional Institution – Jesup

Webster County

Service Area: Stewart/Webster

Wheeler County

Service Area: Wheeler County

Wheeler County

Facility: Accord Family Medicine

PRIMARY CARE: Georgia

County and County Equivalent Listing

Page 69 of 309

White County

Population Group: Low Income-White County

Whitfield County

Population Group: Low Income - Whitfield County

Wilcox County

Service Area: Wilcox County

Facility: Wilcox State Prison

Wilkes County

Population Group: Low Income - Wilkes County

Wilkinson County

Population Group: Low Income - Wilkinson County

Worth County

Population Group: Low Income - Worth County

Facility: Phoebe Worth Family Medicine

PRIMARY CARE: Hawaii

County and County Equivalent Listing

Page 70 of 309

Hawaii County

Population Group: Low Income-Hawaii County

Facility: Bay Clinic

Facility: Hamakua Health Center

Facility: West Hawaii Community Health Center

Honolulu County

Facility: Castle Health Clinic of Laie

Facility: Federal Detention Center-Honolulu

Facility: Halawa Correctional Facility

Facility: Kalihi-Palama Health Center

Facility: Kokua Kalihi Valley Comprehensive Family

Facility: Ko'Olauloa Community Health and Wellness

Facility: The Wahiawa Center for Community Health

Facility: Waianae Coast Community Health Center

Facility: Waikiki Health Center

Facility: Waimanalo Health Center

Facility: Womens Community Correctional Center

Kalawao County

Population Group: Low Income - Molokai Island

Kauai County

Facility: Ho'Ola Lahui Hawai'I

Maui County

Service Area: Hana/Haiku

Service Area: Kihei Service Area

Service Area: Lahaina Service Area

Population Group: Low Income - Molokai Island

Facility: Community Clinic of Maui

Facility: Hana Community Health Center

Facility: Lana'I Community Health Center

Facility: Molokai General Hospital

Facility: Molokai Ohana Health Care, Inc.

PRIMARY CARE: Idaho

County and County Equivalent Listing

Page 71 of 309

Ada County

Facility: Family Practice Residency of ID

Facility: Idaho Correctional Center

Facility: Idaho Maximum Security Institution

Facility: Idaho State Correctional Institution

Adams County

Population Group: Low Income - Adams/Northwest Valley

Facility: Adams County Health Center

Bannock County

Population Group: Low Income/Migrant Farmworker - Bannock County

Facility: Health West, Inc.

Facility: Pocatello Women

Bear Lake County

Population Group: Low Income-Bear Lake County

Facility: Bear Lake Family Care and Ob-Gyn

Facility: Bear Lake Internal Medicine

Facility: Clay I Campbell, MD

Benewah County

Population Group: Low Income-Benewah County

Facility: Benewah Medical/Wellness Center

Facility: St Maries Family Medicine

Bingham County

Population Group: Migrant Farmworker-Bingham County

Facility: First Choice Urgent Care and Medical Clinic

Facility: Idaho Physicians Clinic

Facility: Not-Tsoo Gah-Nee Indian Health Center

Facility: Physicians and Surgeons Clinic of Shelly

Facility: Shoshone-Bannock Tribes of the Fort Hall Reservation of

Idaho

Blaine County

Service Area: Carey

Boise County

Service Area: Boise County

Bonner County

Population Group: Low Income - Bonner County

Bonneville County

Service Area: Swan Valley Service Area

PRIMARY CARE: Idaho

County and County Equivalent Listing

Page 72 of 309

Boundary County

Population Group: Low Income-Boundary County

Facility: Bonners Ferry Family Medicine

Facility: Boundary Community Health Clinic

Facility: Boundary Regional Community Health Center

Facility: Kootenai Tribal Health Clinic

Butte County

Population Group: Low Income - Butte County

Facility: Lost Rivers Medical Center Outpatient Clinic – Arc

Camas County

Service Area: Camas County

Canyon County

Population Group: Low Income - Canyon County

Facility: Community Council of Idaho, Inc.

Facility: St. Alphonsus Medical Group - Elm

Facility: St. Alphonsus Medical Group - Iowa

Facility: St. Alphonsus Medical Group-Garrity

Facility: Terry Reilly Community Health Center

Caribou County

Population Group: Low Income-Caribou County

Cassia County

Population Group: Low Income-Cassia County

Clark County

Service Area: Clark County

Clearwater County

Population Group: Low Income - Clearwater County

Facility: Idaho Correctional Institution of Orofino

Facility: Pioneer Medical Clinic

Custer County

Service Area: Custer County

Facility: Challis Area Health Center

Facility: Lost Rivers Medical Center Outpatient Clinic - Mac

Facility: Salmon River Clinic

Elmore County

Service Area: Elmore County

Facility: Desert Sage Health Centers

Facility: St. Luke's Clinic - Trinity Mountain

PRIMARY CARE: Idaho

County and County Equivalent Listing

Page 73 of 309

Franklin County

Service Area: Franklin County

Fremont County

Service Area: Fremont County

Gem County

Population Group: Low Income/Migrant Farmworker - Gem County

Facility: Emmett Medical Center

Gooding County

Population Group: Low Income-Gooding County

Idaho County

Population Group: Low Income-Idaho County

Idaho County

Facility: Syringa Kooskia Clinic

Facility: Syringa Primary Care Clinic

Jefferson County

Population Group: Low Income - Jefferson County

Facility: Upper Valley Family Medicine

Jerome County

Population Group: Low Income-Jerome County

Facility: St. Luke's Clinic Jerome Family Medicine

Kootenai County

Population Group: Low Income/Migrant Farmworker - Kootenai County

Facility: Dirne Community Health Clinic

Latah County

Population Group: Low Income - Latah County

Facility: Kendrick Family Care

Facility: Moscow Medical

Facility: Potlatch Family Care

Lemhi County

Population Group: Low Income-Lemhi County

Facility: Steele Memorial Clinic

Lewis County

Population Group: Low Income - Lewis County

Lincoln County

Service Area: Lincoln County

PRIMARY CARE: Idaho

County and County Equivalent Listing

Page 74 of 309

Madison County

Population Group: Low Income - Madison County

Facility: Upper Valley Free Clinic

Minidoka County

Population Group: Low Income-Minidoka County

Facility: Minidoka Medical Center Rural Health Clinic

Nez Perce County

Population Group: Low Income - Nez Perce County

Facility: Nimiipuu Health Center Nez Perce

Facility: Nimiipuu Health Center-Kamiah

Oneida County

Service Area: Oneida County

Facility: Oneida County Clinic

Owyhee County

Service Area: Owyhee County

Payette County

Population Group: Low Income - Payette County

Facility: Valley Family Health Care

Power County

Population Group: Low Income-Power County

Facility: Power County Family Clinic

Shoshone County

Population Group: Low Income - Shoshone County

Teton County

Service Area: Teton County

Facility: Driggs Health Center

Facility: Teton Valley Medical Center

Facility: Victor Health Clinic

Twin Falls County

Population Group: Low Income-Twin Falls County

Facility: Family Health Services Corporation

Valley County

Service Area: East Valley Sub-County

Population Group: Low Income - Adams/Northwest Valley

PRIMARY CARE: Idaho

County and County Equivalent Listing

Page 75 of 309

Washington County

Population Group: Low Income-Washington County

Facility: Two Rivers Medical Clinic, PA

PRIMARY CARE: Illinois

County and County Equivalent Listing

Page 76 of 309

Adams County

Population Group: Medicaid Eligible - Adams County

Alexander County

Service Area: Alexander/Pulaski Counties

Bond County

Population Group: Low Income - Bond County

Facility: Federal Correctional Institution – Greenville

Boone County

Population Group: Low Income - Belvidere Service Area

Brown County

Service Area: Brown County

Facility: Quincy Medical Group-Mt. Sterling Rural Health

Facility: Western Illinois Correctional Center

Bureau County

Population Group: Low Income - Bureau/Putnam Counties

Calhoun County

Service Area: Jersey/Calhoun Counties

Carroll County

Service Area: Carroll County

Cass County

Service Area: Cass/Schuyler Counties

Facility: Cass County Health Department

Facility: St. Francis Community Clinic

Champaign County

Population Group: Low Income - Champaign County

Christian County

Population Group: Low Income-Christian County

Clark County

Population Group: Low Income - Clark/Edgar Counties

Facility: Casey Clinic

Clay County

Service Area: Clay County

Clinton County

Service Area: Clinton County

Facility: CF – Centralia

PRIMARY CARE: Illinois

County and County Equivalent Listing

Page 77 of 309

Coles County

Population Group: Low Income - Coles County

Cook County

Service Area: Auburn Gresham/Wash Heights/Chatham

Service Area: Calumet City/Burnham

Service Area: Chicago Lawn

Service Area: Humboldt Park

PRIMARY CARE: Illinois

County and County Equivalent Listing

Page 78 of 309

Cook County

Service Area: Rogers Park

Service Area: Roseland/Pullman/Burnside

Service Area: South Deering

Service Area: West Englewood/Englewood

Population Group: Low Income - Austin

Population Group: Low Income - Brighton/Gage Parks

Population Group: Low Income - Chicago/Uptown

Population Group: Low Income - Cicero/Berwyn

Population Group: Low Income - Dalton/South Holland

Population Group: Low Income - East Side/Hegewisch Service Area

Population Group: Low Income - Lower Westside/McKinley Park/Bridgepo

Population Group: Low Income - New City

Population Group: Low Income - North Lawndale/Garfield Park

Population Group: Low Income - Robbins/Dixmoor/Harvey/Phoenix

Population Group: Low Income-Chicago Heights

Population Group: Low Income-Chicago Near West Side

Population Group: Low Income-Hyde Park/Woodlawn/Washington Park

Population Group: Low Income-Lincoln Square/West Ridge

Population Group: Low Income-Logan Square

Population Group: Low Income-Near South/Armour Sq/Douglas

Population Group: Low Income-South Lawndale

Population Group: Low Income-South Shore

Population Group: Low Income-West Town\Chicago

Facility: Access Community Health Network

Facility: Alivio Medical Center

Facility: American Indian Health Service of Chicago, Inc.

Facility: Asian Human Services Family Health Center

Facility: Aunt Martha's Youth Service Center, Inc.

Facility: Beloved Community Family Wellness Center

Facility: Centro De Salud Esperanza

Facility: Chicago Department of Public Health

Facility: Chicago Family Health

Facility: Christian Community Health Center

Facility: Circle Family Care

Facility: City of Chicago Department of Health - Lower Wests

Facility: Community Health Partnership of Illinois

Facility: Community Nurse Health Association

Facility: Erie Family Health Center

Facility: Family Christian Health Center

Facility: Friend Family Health Center

Facility: Hamdard Center for Health and Human Services Nfp

PRIMARY CARE: Illinois

County and County Equivalent Listing

Page 79 of 309

Cook County

Facility: Heartland Health Outreach

Facility: Heartland International Health Center

Facility: Howard Brown Health Center

Facility: Lawndale Christian Health Center

Facility: Legacy Medical Care Inc.

Facility: Mercy Diagnostic and Treatment Center

Facility: Metropolitan Correctional Center-Chicago

Facility: Mile Square Community Health Center

Facility: Near North Health

Facility: Oak Forest Ambulatory Health Center

Facility: PCC Community Wellness Center

Facility: Primecare Community Health

Facility: TCA Health, Inc. (Altgeld Clinic)

Facility: Winfield Moody Health Center

Crawford County

Population Group: Low Income - Crawford County

Cumberland County

Population Group: Low Income - Cumberland County

Facility: Neoga Clinic

Facility: Sbl - Neoga Clinic

De Witt County

Service Area: De Witt County

Facility: Dr. John Warner Hospital Rural Health Clinic

DeKalb County

Service Area: Mendota

Population Group: Low Income - Dekalb Service Area

Facility: Tri-County Community Health Center – Malta

Douglas County

Service Area: Douglas County

Facility: Atwood Rural Health Clinic

Edgar County

Population Group: Low Income - Clark/Edgar Counties

Edwards County

Population Group: Low Income - Edwards/Wabash Counties

Fayette County

Service Area: Fayette County

Facility: Confidence Medical Associates, Ltd.

Facility: Confidence Medical Associates, Ltd. Schwa

PRIMARY CARE: Illinois

County and County Equivalent Listing

Page 80 of 309

Ford County

Population Group: Low Income - Artesia/Loda/Pigeon Grove

Franklin County

Population Group: Low Income-Franklin County

Facility: Christopher Greater Area Rural Health Planning Corporation

Facility: Franklin Rural Health Clinic II

Fulton County

Population Group: Low Income - Fulton County

Facility: Illinois River State Correctional Center

Gallatin County

Service Area: Gallatin County

Greene County

Population Group: Low Income - Greene County

Facility: Rural Health Center – Roodhouse

Facility: Thomas H. Boyd Rural Health Clinic

Hamilton County

Service Area: Hamilton County

Hancock County

Population Group: Low Income - Hancock County

Hardin County

Service Area: Hardin/Pope Counties

Henderson County

Service Area: Henderson County

Facility: Henderson County Rural Health

Henry County

Service Area: Henry/Stark Counties

Iroquois County

Service Area: Hoopeston

Population Group: Low Income - Artesia/Loda/Pigeon Grove

Population Group: Low Income - Watseka

Facility: Roberts Clinic, Ltd.

Facility: Watseka Family Practice

Jackson County

Population Group: Low Income - Jackson County

Facility: Community Health and Emergency Services

Facility: Southern Illinois University Family Practice Center

PRIMARY CARE: Illinois

County and County Equivalent Listing

Page 81 of 309

Jefferson County

Population Group: Me - Jefferson County

Facility: CF - Big Muddy River

Jersey County

Service Area: Jersey/Calhoun Counties

Facility: Medical Associates of Jerseyville, Ltd.

Johnson County

Service Area: Johnson County

Johnson County

Facility: CF - Shawnee Correctional Center

Kane County

Population Group: Low Income - Aurora

Population Group: Low Income - Elgin

Facility: Greater Elgin Family Care Center

Facility: Visiting Nurse Association of Fox Valley

Kankakee County

Population Group: Medicaid Eligible - Kankakee County

Facility: Pembroke Clinic

Kendall County

Facility: Nandra Family Practice

Knox County

Population Group: Low Income-Knox County

Facility: Hill Correctional Center

Facility: Knox County Health Department

La Salle County

Service Area: Mendota

Service Area: Streator Service Area

Population Group: Low Income - Peru Service Area

Facility: CF - Sheridan Correctional Center

Lake County

Population Group: Low Income - Waukegan/Zion/Benton

Facility: Lake County Community Health Department and Community

Lawrence County

Population Group: Low Income - Lawrence County

Facility: CF - Lawrence Correctional Center

Facility: Lawrence County Health Department

PRIMARY CARE: Illinois

County and County Equivalent Listing

Page 82 of 309

Lee County

Service Area: Mendota

Facility: CF – Dixon

Livingston County

Service Area: Streator Service Area

Population Group: Low Income - Artesia/Loda/Pigeon Grove

Facility: CF - Pontiac Correctional Center

Facility: Dwight Correctional Center

Facility: Forrest Family Practice Center

Logan County

Population Group: Low Income - Logan County

Facility: Logan Correctional Center

Macon County

Population Group: Low Income - Decatur City

Macon County

Facility: Community Health Improvement Center

Macoupin County

Service Area: Macoupin County

Facility: Carlinville Medical Clinic

Facility: Dr. Julie Fleisher, LLC

Facility: Macoupin County Public Health Department

Madison County

Service Area: Highland Service Area

Population Group: Low Income - Alton/Wood River/Godfrey

Marion County

Population Group: Low Income - Marion County

Marshall County

Service Area: Marshall County

Mason County

Service Area: Mason County

Massac County

Population Group: Low Income-Massac County

McDonough County

Population Group: Low Income - McDonough County

PRIMARY CARE: Illinois

County and County Equivalent Listing

Page 83 of 309

McLean County

Population Group: Low Income - Bloomington/Normal

Facility: Chestnut Family Health Center

Menard County

Service Area: Menard County

Mercer County

Service Area: Mercer County

Monroe County

Service Area: Chester/Red Bud Service Area

Montgomery County

Population Group: Low Income - Montgomery County

Facility: Graham Correctional Center

Morgan County

Population Group: Low Income - Morgan County

Moultrie County

Service Area: Moultrie County

Facility: Sullivan Clinic

Peoria County

Population Group: Medicaid Eligible - Peoria County

Facility: Heartland Community Health Clinic

Perry County

Population Group: Low Income - Perry County

Perry County

Facility: Pinckneyville Correctional Center

Pike County

Service Area: Pike/Scott Counties

Facility: Quincy Medical Group - Pleasant Hill

Facility: Quincy Medical Group-Barry Rural Health

Facility: Quincy Medical Group-Pike County Family Practice

Facility: Quincy Medical Group-Pittsfield Rural Health

Pope County

Service Area: Hardin/Pope Counties

Pulaski County

Service Area: Alexander/Pulaski Counties

PRIMARY CARE: Illinois

County and County Equivalent Listing

Page 84 of 309

Putnam County

Population Group: Low Income - Bureau/Putnam Counties

Randolph County

Service Area: Chester/Red Bud Service Area

Population Group: Low Income - Sparta

Facility: Menard Correctional Center

Richland County

Population Group: Low Income - Richland County

Rock Island County

Population Group: Low Income - Rock Island Service Area

Saline County

Population Group: Low Income - Saline County

Sangamon County

Facility: Board of Trustees of Southern IL University

Facility: Central Counties Health Centers

Schuyler County

Service Area: Cass/Schuyler Counties

Scott County

Service Area: Pike/Scott Counties

Facility: Quincy Medical Group-Winchester FP

Shelby County

Service Area: Shelby County

Facility: Family Healthcare Center

St. Clair County

Service Area: East St. Louis

Population Group: Low Income - Sparta

Facility: Southern IL Regional Wellness Center

Facility: Southern Illinois Healthcare Foundation

Facility: Southwestern Illinois Correctional Center

Stark County

Service Area: Henry/Stark Counties

Stephenson County

Population Group: Low Income - Stephenson County

Tazewell County

Population Group: Low Income - East Peoria/Pekin

Facility: Federal Correctional Institution – Pekin

PRIMARY CARE: Illinois

County and County Equivalent Listing

Page 85 of 309

Union County

Population Group: Low Income - Union County

Facility: Rural Health, Inc.

Vermilion County

Service Area: Hoopeston

Population Group: Low Income-Danville Service Area

Facility: Danville Correctional Center

Facility: Danville Pediatric Center

Facility: Sabeeha Haque Ali MD LLC

Wabash County

Population Group: Low Income - Edwards/Wabash Counties

Facility: Wabash County Medical Center

Warren County

Population Group: Low Income - Warren County

Washington County

Service Area: Washington County

Wayne County

Population Group: Low Income - Wayne County

Facility: Medical Services Unlimited

White County

Population Group: Low Income - White County

Whiteside County

Population Group: Low Income - Whiteside County

Facility: Morrison Community Hospital Family Care

Facility: Whiteside County Health Department-Rock Falls

Will County

Population Group: Low Income-Eastside Joliet

Facility: Will County Health Department/Will County Community Health

Center

Williamson County

Population Group: Low Income - Williamson County

Facility: Marion Rural Health Clinic

Facility: Shawnee Health Services Corporation

Facility: USP-Marion

Winnebago County

Population Group: Low Income - Rockford Westside

PRIMARY CARE: Illinois

County and County Equivalent Listing

Page 86 of 309

Winnebago County

Facility: Crusaders Clinic

Woodford County

Service Area: Woodford County

PRIMARY CARE: Indiana

County and County Equivalent Listing

Page 87 of 309

Adams County

Service Area: Adams County

Allen County

Service Area: City of Fort Wayne

Facility: Neighborhood Health Clinics, Inc.

Benton County

Service Area: Benton County

Blackford County

Population Group: Low Income - Blackford County

Carroll County

Service Area: Carroll County

Cass County

Population Group: Low Income - Cass County

Clark County

Facility: Family Health Center of Clark County, Indiana

Facility: Lifespring Health Systems

Clay County

Population Group: Me-Clay County

Facility: Brazil Family Medicine, LLC

Facility: Clay City Center for Family Medicine

Clinton County

Service Area: Clinton County

Crawford County

Service Area: Crawford County

Daviess County

Service Area: Daviess County

De Kalb County

Population Group: Low Income-Dekalb County

Decatur County

Population Group: Low Income-Decatur County

Delaware County

Population Group: Me-Delaware County

Facility: Meridian Services Corporation

Facility: Open Door Health Services, Inc.

PRIMARY CARE: Indiana

County and County Equivalent Listing

Page 88 of 309

Elkhart County

Population Group: Low Income-Elkhart County

Facility: Heart City Health Center

Facility: Maple City Health Care Center, Inc.

Fayette County

Population Group: Low Income - Fayette, Franklin and Union Counties

Floyd County

Facility: New Albany Planned Parenthood

Fountain County

Service Area: Fountain County

Facility: St. Vincent South Clinic

Franklin County

Population Group: Low Income - Fayette, Franklin and Union Counties

Gibson County

Population Group: Low Income-Gibson County

Facility: Oakland City Family Practice, LLC

Grant County

Population Group: Low Income-Grant County

Greene County

Service Area: Greene County

Facility: Greene County Health

Facility: Ridge Medical Center

Hendricks County

Facility: Reception Diagnostic Center

Henry County

Population Group: Low Income-Henry County

Facility: Knightstown Family Health Care

Facility: New Castle Pediatrics

Howard County

Population Group: Low Income - Howard County

Huntington County

Population Group: Low Income-Huntington County

Jasper County

Service Area: Jasper County

Facility: Wheatfield Health Centre

PRIMARY CARE: Indiana

County and County Equivalent Listing

Page 89 of 309

Jay County

Service Area: Jay County

Jennings County

Population Group: Low Income-Jennings County

Johnson County

Facility: Trafalgar Family Health Center

Knox County

Population Group: Low Income - Knox County

Lagrange County

Service Area: Lagrange County

Lake County

Service Area: City of Gary

Service Area: East Chicago Service Area

Facility: Community Healthnet, Inc./Dba Gary Community Health

Facility: Southlake Community Mental Health Center

Lawrence County

Population Group: Low Income-Lawrence County

Madison County

Population Group: Low Income - Madison County

Facility: Aspire Indiana Health

Facility: Madison County Community Health Center

Marion County

Service Area: Marion County-Indianapolis

Facility: Adult and Child Mental Health Center, Inc.

Facility: Health and Hospital Corporation of Marion County

Facility: Healthnet Inc.

Facility: Indiana Health Centers

Facility: Jane Pauley Community Health Center

Facility: Raphael Health Center

Facility: Shalom Health Care Center, Inc.

Martin County

Service Area: Martin County

Miami County

Population Group: Low Income-Miami County

Facility: Miami Correctional Facility

Facility: Miami Nation of Indians

PRIMARY CARE: Indiana

County and County Equivalent Listing

Page 90 of 309

Montgomery County

Population Group: Low Income-Montgomery County

Morgan County

Population Group: Low Income-Morgan County

Newton County

Service Area: Newton County

Facility: Brook Health Center

Noble County

Service Area: Noble County

Ohio County

Service Area: Ohio County

Orange County

Population Group: Low Income-Orange County

Facility: Southern Indiana Community Health Care, Inc.

Owen County

Service Area: Owen County

Parke County

Population Group: Low Income-Parke County

Facility: Rockville Correctional Facility

Perry County

Population Group: Low Income-Perry County

Perry County

Facility: Branchville Training Center

Pike County

Population Group: Low Income-Pike County

Porter County

Facility: Healthlinc, Inc. (Formerly Hilltop)

Facility: Northshore Health Centers, Inc.

Facility: Porter Starke Services, Inc.

Posey County

Service Area: Posey County

Pulaski County

Population Group: Low Income-Pulaski County

Facility: Knox Winamac Community Health Centers (Kwchc)

PRIMARY CARE: Indiana

County and County Equivalent Listing

Page 91 of 309

Putnam County

Service Area: Putnam County

Facility: Putnamville Correctional Facility

Randolph County

Service Area: Randolph County

Facility: Family and Occupational Medical - Ridgeville

Facility: Family and Occupational Medicine - Lynn

Facility: Family Health Center of Union City

Facility: Family Health Center of Winchester

Rush County

Population Group: Me-Rush County

Facility: Family Health Services

Scott County

Population Group: Low Income-Scott County

Facility: Scottsburg Family Practice

Shelby County

Population Group: Low Income-Shelby County

St. Joseph County

Population Group: Low Income-St. Joseph County

Starke County

Population Group: Low Income-Starke County

Facility: Knox Family Medical Center

Steuben County

Service Area: Steuben County

Sullivan County

Service Area: Sullivan County

Facility: Carlisle Medical Clinic

Switzerland County

Service Area: Switzerland County

Switzerland County

Facility: Switzerland County Nurse Manage

Tippecanoe County

Population Group: Low Income-Tippecanoe County

Facility: Purdue University - Family Health Clinics

Facility: Riggs Community Health Center, Inc.

PRIMARY CARE: Indiana

County and County Equivalent Listing

Page 92 of 309

Union County

Population Group: Low Income - Fayette, Franklin and Union Counties

Vanderburgh County

Facility: Echo Community Health Care

Vermillion County

Population Group: Me-Vermillion County

Facility: Valley Professionals Community Health Center, Inc.

Vigo County

Facility: Federal Correctional Institution - Terre Haute

Facility: Wabash Valley Health Center, Inc.

Wabash County

Population Group: Low Income-Wabash County

Warren County

Service Area: Warren County

Facility: St. Vincent North Clinic

Washington County

Service Area: Washington County

Wayne County

Population Group: Low Income-Wayne County

Facility: Reid Family Health Center

Facility: Wayne County Community Health Center

White County

Service Area: White County

Facility: Monticello Medical Center LLC

PRIMARY CARE: Iowa

County and County Equivalent Listing

Page 93 of 309

Adair County

Service Area: Adair County

Adams County

Population Group: Low Income - Adams County

Facility: Alegent Health Rosary Clinic – Corning

Allamakee County

Population Group: Medicaid Eligible - Allamakee County

Appanoose County

Population Group: Medicaid Eligible - Appanoose County

Audubon County

Service Area: Audubon County

Facility: Audubon Medical Clinic

Benton County

Service Area: Benton County

Facility: Urbana Family Medical Clinic

Facility: Van Horne Family Medical Clinic

Facility: Vinton Family Medical

Black Hawk County

Population Group: Low Income - Black Hawk County

Facility: Peoples Community Health Clinic

Boone County

Service Area: Dayton/Gowrie

Service Area: Perry

Bremer County

Facility: Christophel Clinic

Facility: Rohlf Memorial Clinic

Facility: Women's Clinic

Facility: Women's Clinic at Waverly Health Center

Buchanan County

Service Area: Buchanan County

Buena Vista County

Service Area: Buena Vista County

Facility: United Community Health Center

Butler County

Facility: Franklin Medical Center-Dumont

Facility: Shell Rock Clinic

PRIMARY CARE: Iowa

County and County Equivalent Listing

Page 94 of 309

Calhoun County

Service Area: Dayton/Gowrie

Service Area: Manson

Facility: North Central Correctional Facility

Cass County

Population Group: Medicaid Eligible - Cass County

Cass County

Facility: Anita Medical Center

Facility: Atlantic Medical Center Rural Health Clinic

Facility: Griswold Medical Center

Facility: Massena Medical Center

Cedar County

Service Area: Cedar County

Chickasaw County

Population Group: Low Income-Chickasaw County

Clarke County

Population Group: Low Income - Clarke County

Clayton County

Population Group: Medicaid Eligible - Clayton County

Facility: Regional Family Health - Strawberry Point

Crawford County

Population Group: Medicaid Eligible - Crawford County

Dallas County

Service Area: Perry

Facility: Redfield Medical Clinic

Davis County

Population Group: Low Income-Davis County

Decatur County

Population Group: Low Income-Decatur County

Facility: Community Health Centers of Southern Iowa

Delaware County

Service Area: Delaware County

Des Moines County

Population Group: Low Income - Des Moines County

Facility: Community Health Centers of Southeastern Iowa

PRIMARY CARE: Iowa

County and County Equivalent Listing

Page 95 of 309

Dubuque County

Facility: Crescent Community Health Center

Fayette County

Service Area: Fayette County

Franklin Count

Facility: Franklin Medical Center – Hampton

Facility: Franklin Medical Center - Latimer

Fremont County

Facility: Medical Clinic, P.C.

Facility: Medical Clinic-Hamburg

Facility: Medical Clinic-Sidney

Greene County

Service Area: Dayton/Gowrie

Greene County

Service Area: Perry

Grundy County

Service Area: Grundy Center/Eldora

Guthrie County

Service Area: Perry

Population Group: Low Income-Guthrie

Hamilton County

Service Area: Dayton/Gowrie

Hardin County

Service Area: Grundy Center/Eldora

Harrison County

Facility: Alegent Health Clinic Logan

Facility: Alegent Health Clinic Missouri Valley

Facility: Alegent Health-Dunlap Clinic

Facility: Alegent Health-Woodbine Clinic

Henry County

Population Group: Low Income-Mt. Pleasant/Swedesburg (or Low Income-

Henry County Partial)

Facility: Mount Pleasant Correctional Facility

Howard County

Facility: Cresco Clinic

PRIMARY CARE: Iowa

County and County Equivalent Listing

Page 96 of 309

Humboldt County

Population Group: Me-Humboldt County

Ida County

Service Area: Ida County

Jasper County

Service Area: Jasper County

Facility: Newton Correctional Facility

Facility: Sully Family Health Center

Jefferson County

Facility: Jchc Rural Health Clinic

Johnson County

Facility: Iowa Medical and Classification Center

Jones County

Facility: Mercy Care Monticello

Facility: Monticello Medical Center

Keokuk County

Service Area: Keokuk County

Linn County

Facility: Linn Community Care

Louisa County

Service Area: Louisa County

Lucas County

Service Area: Lucas County

Facility: Lucas County Health Center

Lyon County

Service Area: Lyon County

Madison County

Population Group: Low Income-Madison County

Mitchell County

Service Area: Mitchell County

Facility: Osage Clinic

Monona County

Population Group: Medicaid Eligible - Monona County

PRIMARY CARE: Iowa

County and County Equivalent Listing

Page 97 of 309

O'Brien County

Facility: Hartley Mercy Medical Center

Facility: Mill Creek Family Practice

Facility: Paullina Mercy Medical Center

Facility: Primghar Mercy Medical Clinic

Facility: Sutherland Mercy Medical Clinic

Page County

Population Group: Low Income - Page County

Facility: Clarinda Correctional Facility

Palo Alto County

Service Area: PALOALTO2015

Pocahontas County

Service Area: Pocahontas County

Polk County

Facility: Iowa Correctional Institute for Women

Facility: Primary Health Care, Inc.

Facility: Proteus, Inc.

Pottawattamie County

Service Area: Oakland

Facility: Council Bluffs Community Health Center

Ringgold County

Population Group: Low Income - Ringgold County

Sac County

Service Area: Sac County

Scott County

Facility: Community Health Care, Inc.

Shelby County

Population Group: Low Income-Shelby County

Sioux County

Facility: Greater Sioux Community Health Center (Gschc)

Story County

Population Group: Low Income - Story County

Tama County

Service Area: Tama County

Facility: Sac and Fox Tribe of the Mississippi in IA

PRIMARY CARE: Iowa

County and County Equivalent Listing

Page 98 of 309

Taylor County

Service Area: Taylor County

Facility: St. Francis Hardin Medical Clinic

Van Buren County

Facility: Birmingham Medical Clinic

Facility: Bonaparte Rural Health Clinic

Facility: Cantril Medical Clinic

Facility: Douds Medical Clinic

Facility: Farmington Rural Health Clinic

Facility: Keosauqua Rural Health

Wapello County

Population Group: Low Income - Wapello County

Facility: River Hills Community Health Center

Washington County

Population Group: Me-Washington County

Wayne County

Population Group: Low Income - Wayne County

Webster County

Service Area: Dayton/Gowrie

Service Area: Manson

Facility: Community Health Center of Fort Dodge

Woodbury County

Facility: Siouxland Community Health Center

Wright County

Population Group: Medicaid Eligible - Wright County

Facility: Franklin Medical Center - Dows

PRIMARY CARE: Kansas

County and County Equivalent Listing

Page 99 of 309

Allen County

Population Group: Low Income-Allen County

Facility: The Family Physicians, PA

Anderson County

Population Group: Low Income - Anderson County

Atchison County

Facility: Atchison Clinic

Barber County

Population Group: Low Income-Barber County

Barton County

Population Group: Low Income-Barton County

Facility: Central Kansas Family Practice

Facility: We Care Project

Brown County

Facility: Esther Becker Health and Wellness Center

Facility: Horton Rural Health Clinic

Facility: Iowa Tribe of Kansas and Nebraska

Facility: Kickapoo Health Center

Facility: Sac and Fox Nation of Missouri

Facility: White Cloud Indian Health Station

Butler County

Facility: Augusta Family Practice

Facility: El Dorado Clinic

Facility: Via Christi Clinic PA

Chase County

Service Area: Chase County

Chautauqua County

Service Area: Chautauqua County

Cherokee County

Population Group: Low Income - Cherokee

Facility: St John's Clinic-Columbus-Family Medicine

Cheyenne County

Population Group: Low Income-Cheyenne County

Clark County

Population Group: Low Income-Clark County

Facility: Ashland Health Center

PRIMARY CARE: Kansas

County and County Equivalent Listing

Page 100 of 309

Clay County

Facility: Clay Center Family Physicians

Cloud County

Population Group: Low Income - Cloud County

Facility: Clyde Clinic

Cowley County

Facility: Community Health Center in Cowley County

Crawford County

Population Group: Low Income-Crawford County

Facility: Community Health Center of Southeast Kansas

Decatur County

Population Group: Low Income - Decatur County

Dickinson County

Population Group: Low Income-Dickinson County

Facility: Heartland Health Care Center

Facility: Herington Area Health Clinic

Doniphan County

Population Group: Low Income - Doniphan County

Douglas County

Population Group: Low Income-Douglas County

Facility: Haskell PHS Indian Health Center

Facility: Heartland Medical Clinic, Inc.

Edwards County

Population Group: Low Income-Edwards County

Elk County

Population Group: Low Income-Elk County

Ellis County

Population Group: Low Income-Ellis County

Facility: First Care Clinic, Inc.

Ellsworth County

Population Group: Low Income-Ellsworth County

Finney County

Population Group: Low Income-Finney County

Ford County

Population Group: Low Income-Ford County

PRIMARY CARE: Kansas

County and County Equivalent Listing

Page 101 of 309

Franklin County

Population Group: Low Income - Franklin County

Facility: Ottawa Family Physicians

Geary County

Population Group: Low Income - Geary County

Facility: Konza Prairie Community Health

Gove County

Population Group: Low Income-Gove County

Graham County

Population Group: Low Income-Graham County

Grant County

Facility: Ulysses Family Physicians

Grant County

Facility: United Methodist Western Kansas Mexican American M

Gray County

Service Area: Gray County

Greeley County

Population Group: Low Income - Greeley County

Facility: Greeley County Family Practice Clinic

Greenwood County

Population Group: Low Income-Greenwood County

Hamilton County

Service Area: Hamilton County

Harper County

Population Group: Low Income-Harper County

Harvey County

Facility: Health Ministries Clinic

Haskell County

Service Area: Haskell County

Hodgeman County

Service Area: Hodgeman

PRIMARY CARE: Kansas

County and County Equivalent Listing

Page 102 of 309

Jackson County

Facility: Holton Family Health Clinic

Facility: Holton PHS Indian Health Center

Facility: Prairie Band Potawatomi Tribe

Jefferson County

Service Area: Jefferson County

Jewell County

Service Area: Jewell County

Johnson County

Facility: Health Partnership Clinic, Inc.

Kingman County

Population Group: Low Income-Kingman

Kiowa County

Population Group: Low Income-Kiowa

Labette County

Facility: St. Johns Medcenter Oswego

Lane County

Facility: Lane County Medical Clinic

Leavenworth County

Facility: USP-Leavenworth

Lincoln County

Population Group: Low Income-Lincoln County

Linn County

Service Area: Linn County

Logan County

Facility: New Frontiers Health Services

Lyon County

Population Group: Low Income - Lyon County

Facility: Flint Hills Community Health Center/Lyon

PRIMARY CARE: Kansas

County and County Equivalent Listing

Page 103 of 309

Marshall County

Population Group: Low Income-Marshall County

Facility: Blue Rapids Medical Clinic

Facility: Community Physicians Clinic

Facility: Downtown Medical Clinic

Facility: Marysville Clinic

Facility: Summerfield Medical Clinic

Meade County

Population Group: Low Income-Meade County

Facility: Meade Medical Clinic

Miami County

Facility: Associates in Family Care - Osawatomie

Facility: Associates in Family Care - Paola

Facility: Louisburg Family Care

Mitchell County

Population Group: Low Income - Mitchell County

Montgomery County

Population Group: Low Income - Montgomery County

Facility: Caney Rural Health Clinic

Facility: Cherryvale Clinic

Morton County

Population Group: Low Income - Morton County

Nemaha County

Population Group: Low Income - Nemaha County

Facility: Centralia Medical Clinic

Ness County

Population Group: Low Income-Ness County

Norton County

Population Group: Low Income-Norton County

Osage County

Service Area: Osage County

Osborne County

Population Group: Low Income - Osborne County

Pawnee County

Population Group: Low Income - Pawnee County

PRIMARY CARE: Kansas

County and County Equivalent Listing

Page 104 of 309

Phillips County

Service Area: Phillips County

Facility: Logan Medical Clinic

Facility: Phillips County Medical Clinic

Pottawatomie County

Facility: Onaga Clinic

Facility: St. Mary's Clinic

Pratt County

Population Group: Low Income - Pratt County

Rawlins County

Population Group: Low Income-Rawlins County

Reno County

Population Group: Low Income-Reno County

Facility: Hutchinson Correctional Facility

Facility: Prairie Star Health Center

Republic County

Population Group: Low Income - Republic County

Riley County

Population Group: Low Income - Riley County

Rush County

Population Group: Low Income - Rush County

Russell County

Population Group: Low Income - Russell County

Facility: Russell Family Medical Clinic

Saline County

Facility: Salina Family Healthcare Center

Scott County

Population Group: Low Income-Scott County

Facility: Scott City Clinic

Sedgwick County

Population Group: Medicaid Eligible - Sedgwick County

Facility: Center for Health and Wellness

Facility: Gracemed Health Clinic, Inc.

Facility: Hunter Health Clinic

Seward County

Population Group: Low Income-Seward County

PRIMARY CARE: Kansas

County and County Equivalent Listing

Page 105 of 309

Shawnee County

Population Group: Medicaid Eligible - Shawnee County

Facility: CF-Topeka

Facility: Kansas Department of Health

Facility: Shawnee County Health Agency

Sheridan County

Population Group: Low Income-Sheridan County

Facility: County of Sheridan Dba Sheridan County Health Complex

Sherman County

Population Group: Low Income-Sherman County

Smith County

Population Group: Medicaid Eligible - Smith County

Stafford County

Service Area: Stafford County

Stanton County

Population Group: Low Income-Stanton County

Sumner County

Facility: Bass Memorial Baptist Hospital Dba Caldwell Family Clinic

Wabaunsee County

Service Area: Wabaunsee County

Wallace County

Service Area: Wallace County

Washington County

Population Group: Low Income - Washington County

Facility: Linn Clinic

Wichita County

Population Group: Low Income-Wichita County

Facility: Wichita County Health Center Clinic

Wilson County

Population Group: Low Income-Wilson County

Facility: Handshy Medical Clinic – Fredonia

Woodson County

Service Area: Woodson County

PRIMARY CARE: Kansas

County and County Equivalent Listing

Page 106 of 309

Wyandotte County

Population Group: Low Income-Wyandotte County

PRIMARY CARE: Kentucky

County and County Equivalent Listing

Page 107 of 309

Adair County

Population Group: Low Income - Adair/Russell Counties

Allen County

Service Area: Allen County

Ballard County

Population Group: Low Income-Ballard County

Barren County

Population Group: Low Income-Barren County

Bath County

Population Group: Low Income - Bath County

Facility: St. Claire Regional Family Medicine – Owingsville

Bell County

Population Group: Low Income - Pineville

Facility: Red Bird Clinic

Boyd County

Facility: Federal Correctional Institution – Ashland

Bracken County

Service Area: Bracken County

Breathitt County

Facility: Aaron K. Jonan Memorial Clinic, Inc.

Facility: Juniper Health, Inc.

Breckinridge County

Population Group: Low Income-Breckinridge County

Bullitt County

Population Group: Low Income - West Bullitt County

Butler County

Service Area: Butler County

Caldwell County

Facility: Pennyroyal Family Health

Campbell County

Service Area: Newport

Facility: Healthpoint Family Care

PRIMARY CARE: Kentucky

County and County Equivalent Listing

Page 108 of 309

Carlisle County

Service Area: Carlisle County

Carter County

Facility: St. Claire Regional Family Medicine – Olive Hill

Casey County

Service Area: Casey County

Christian County

Population Group: Low Income - Christian County

Clark County

Facility: Clark Clinic Primary Care

Clark County

Facility: Clark Family Care

Facility: Ertel Medicine and Pediatrics Winchester

Facility: Winchester Family Practice

Clay County

Service Area: Clay County

Facility: Community Health Center-Clay County

Facility: Federal Correctional Institution - Manchester

Facility: Kate Ireland Health Care Center

Clinton County

Service Area: Clinton and Wayne Counties

Crittenden County

Population Group: Low Income - Crittenden County

Cumberland County

Service Area: Cumberland County

Facility: Cumberland Family Medical Center

Daviess County

Facility: Audubon Area Community Care Clinic

Edmonson County

Service Area: North Edmonson County

Elliott County

Service Area: Elliott County

Facility: Little Sandy Correctional Complex

Facility: Sandy Hook Family Care Center

Facility: St. Claire Regional Family Medicine-Sandy Hook

PRIMARY CARE: Kentucky

County and County Equivalent Listing

Page 109 of 309

Estill County

Population Group: Low Income - Estill County

Facility: Children's Clinic

Facility: Estill Medical Clinic

Facility: Mercy Primary Care – Irvine

Fayette County

Facility: Bluegrass Farmworkers Health Center

Facility: Federal Medical Center-Lexington

Facility: Healthfirst Bluegrass Inc.

Fleming County

Service Area: Fleming County

Floyd County

Facility: Big Sandy Healthcare, Inc.

Facility: Eastern Kentucky Tender Care Pediatrics

Facility: Martin Clinic

Fulton County

Service Area: Fulton County

Graves County

Service Area: Graves County

Harlan County

Service Area: North Harlan County

Population Group: Low Income - Pineville

Facility: Clover Fork Outpatient Medical Project

Hart County

Service Area: Hart County

Henry County

Population Group: Low Income-Henry County

Hickman County

Service Area: Hickman County

Facility: Clinton Family Care Clinic

Jackson County

Service Area: Jackson County

Facility: Health Help, Inc.

PRIMARY CARE: Kentucky

County and County Equivalent Listing

Page 110 of 309

Jefferson County

Service Area: Shawnee-Chickasaw

Service Area: South Central Louisville - Louisville South

Facility: Family Health Center, Inc.

Facility: Park Duvalle Community Health Center, Inc.

Facility: Shawnee Christian Healthcare Center, Inc.

Knott County

Population Group: Low Income - Knott County

Facility: Primary Care Centers of Eastern KY-Hindman

Knox County

Service Area: Knox County

Facility: Barbourville Family Health Center

Facility: Grace Community Health Center Inc.

Larue County

Population Group: Low Income - Larue County

Laurel County

Facility: Corbin Pediatric Associates

Facility: London Pediatric and Adolescent Medicine

Facility: London's Women's Care, PLLC

Lawrence County

Service Area: Western Lawrence

Lee County

Facility: United Clinics of Kentucky Beattyville

Leslie County

Service Area: Leslie County

Facility: Appalachian Clinic-Wooton

Leslie County

Facility: Primary Care Centers of Eastern KY-Hyden

Letcher County

Facility: Mountain Comprehensive Health Corporation

Lewis County

Service Area: Lewis County

Facility: Lewis County Primary Care Center

Livingston County

Service Area: Livingston County

PRIMARY CARE: Kentucky

County and County Equivalent Listing

Page 111 of 309

Logan County

Population Group: Low Income-Logan County

Lyon County

Facility: CF-Kentucky State Penitentiary

Madison County

Population Group: Low Income-Madison County

Facility: Berea Health Ministry, Inc.

Facility: Kentucky River Foothills Development Council

Facility: Madison Family Clinic

Facility: Saint Joseph Berea Family Medicine

Facility: Strauss Family Practice

Magoffin County

Population Group: Low Income-Magoffin County

Marion County

Population Group: Low Income - Marion County

Marshall County

Service Area: Marshall County

Martin County

Facility: USP-Big Sandy

McCracken County

Service Area: Paducah Service Area

McCreary County

Service Area: McCreary County

Facility: McCreary Primary Care Center, Inc.

Facility: South Fork Medical Clinic PLLC

Facility: USP-McCreary

McLean County

Service Area: McLean County

Meade County

Service Area: Meade County

Menifee County

Service Area: Menifee County

Facility: St. Claire Regional Medicine - Frenchburg

Mercer County

Service Area: Mercer County

PRIMARY CARE: Kentucky

County and County Equivalent Listing

Page 112 of 309

Metcalfe County

Population Group: Low Income-Metcalfe County

Monroe County

Population Group: Low Income-Monroe County

Montgomery County

Facility: Family Care Clinic - Mt. Sterling

Facility: Sterling Health Solutions, Inc.

Morgan County

Service Area: Morgan County

Facility: CF-Eastern Kentucky Correctional Complex

Muhlenberg County

Population Group: Low Income-Muhlenberg County

Facility: Community Health Centers of Western Kentucky

Nelson County

Population Group: Low Income-Nelson County

Facility: Flaget Immediate Care Clinic

Nicholas County

Service Area: Nicholas County

Facility: Carlisle Clinic

Facility: Jmhc Rural Health Clinic

Ohio County

Service Area: Ohio County

Oldham County

Facility: CF-Kentucky State Reformatory

Facility: Luther Luckett Correctional Complex

Owen County

Facility: Triad Health Systems, Inc.

Owsley County

Service Area: Owsley County

Pendleton County

Service Area: Pendleton County

PRIMARY CARE: Kentucky

County and County Equivalent Listing

Page 113 of 309

Perry County

Facility: Appalachian Physicians, PSC

Facility: Mountain After-Hours Clinic

Facility: Mountain Health Alliance

Facility: Pediatric Associates of Hazard, LLC

Facility: Primary Care Centers of Eastern Kentucky-Vicco

Facility: Primary Care Centers of Eastern KY-Hazard

Facility: Primary Care Centers of Eastern KY-Vicco

Facility: University of Kentucky College of Medicine - North

Pike County

Service Area: Southeast Pike County

Facility: Pediatric Associates of Pikeville, LLC

Powell County

Service Area: Powell-Wolfe Counties

Facility: Casa San Pio

Facility: Clay City Pediatrics, PSC

Pulaski County

Population Group: Low Income-Pulaski County

Robertson County

Service Area: Robertson County

Rockcastle County

Population Group: Low Income-Rockcastle County

Russell County

Population Group: Low Income - Adair/Russell Counties

Simpson County

Service Area: Simpson County

Todd County

Service Area: Todd County

Facility: Helping Hands Health Clinic Dba Blount Rural Healt

Trigg County

Population Group: Low Income - Trigg County

Trimble County

Service Area: Trimble County

Union County

Service Area: Union County

PRIMARY CARE: Kentucky

County and County Equivalent Listing

Page 114 of 309

Warren County

Service Area: Northeast Warren County

Facility: Bowling Green-Warren Primary Care Center

Washington County

Population Group: Low Income – Washington

Wayne County

Service Area: Clinton and Wayne Counties

Facility: Monticello Medical Associates

Webster County

Facility: Regional Health Care Affiliates, Inc.

Whitley County

Population Group: Low Income - Williamsburg/South Whitley County

Facility: Careplus Rural Health Clinic, LLC

Facility: Corbin Pediatric Associates

Facility:Ho Physicians Services Corporation

Facility: Maria C. Atienza, MD

Whitley County

Facility: Williamsburg Family Medicine

Wolfe County

Service Area: Powell-Wolfe Counties

PRIMARY CARE: Louisiana

County and County Equivalent Listing

Page 115 of 309

Acadia Parish

Population Group: Low Income-Acadia Parish

Allen Parish

Service Area: Allen Parish

Facility: Allen Correctional Center

Facility: Federal Correctional Complex – Oakdale

Ascension Parish

Service Area: Donaldsonville

Facility: Reddy Family Clinic – Donaldsonville

Assumption Parish

Service Area: Assumption Parish

Facility: Reddy Family Medical Clinic Pierre Part

Facility: Reddy Family Medical Clinic-Napoleonville

Avoyelles Parish

Service Area: Avoyelles Parish

Facility: Tunica-Biolxi Indian Tribe of Louisiana

Beauregard Parish

Population Group: Low Income-Beauregard/Dequincy

Bienville Parish

Service Area: Bienville Parish

Bossier Parish

Population Group: Low Income-Bossier Parish

Caddo Parish

Population Group: Low Income-Caddo Parish

Facility: David Raines Community Health Center

Calcasieu Parish

Service Area: North Lake Charles

Service Area: Vinton

Population Group: Low Income-Beauregard/Dequincy

Facility: C. Paul Phelps Correctional Center (PCC)

Facility: Chadha Medical Clinic

Facility: Southwest Louisiana Center for Health Services

Caldwell Parish

Population Group: Low Income-Caldwell Parish

Facility: Citizens Rural Clinic

Cameron Parish

Service Area: Cameron Parish

PRIMARY CARE: Louisiana

County and County Equivalent Listing

Page 116 of 309

Catahoula Parish

Service Area: Catahoula Parish

Facility: Catahoula Parish Hospital Service District

Claiborne Parish

Population Group: Low Income - Claiborne Parish

Concordia Parish

Service Area: Concordia Parish

De Soto Parish

Service Area: De Soto Parish

Facility: Casse Dental Health Institute

East Baton Rouge Parish

Service Area: East Baton Rouge Central Area

Service Area: East Baton Rouge Florida Boulevard to Baker Health

Professional Shortage Area

Service Area: East Baton Rouge LSU Gardere Area

Facility: Baton Rouge Primary Care Collaborative

Facility: Capitol City Family Health Center

Facility: Haart, Inc.

East Carroll Parish

Facility: Family Medical Clinic

Facility: Family Practice Clinic

East Feliciana Parish

Service Area: East Feliciana Parish

Facility: Primary Care Providers for a Health Feliciana

Evangeline Parish

Population Group: Low Income-Evangeline Parish

Franklin Parish

Service Area: Franklin Parish

Facility: Franklin Medical Center Rural Health Clinic-Winnsboro

Grant Parish

Service Area: Grant Parish

Facility: USP-Pollock

Iberia Parish

Facility: Iberia Comprehensive Community Health Center

PRIMARY CARE: Louisiana

County and County Equivalent Listing

Page 117 of 309

Iberville Parish

Service Area: Iberville Parish

Facility: Elayn Hunt Correctional Center

Facility: Reddy Family Medical Center-White Castle

Facility: Reddy Family Medical Clinic-Plaquemine

Facility: St. Gabriel Health Clinic

Jackson Parish

Service Area: Jackson Parish

Jefferson Davis Parish

Population Group: Low Income-Jefferson Davis Parish

Facility: Coushatta Tribe of Louisiana

Facility: Elton Rural Health Clinic

Jefferson Parish

Service Area: Avondale-Westwego

Service Area: Lafitte

Service Area: Old Kenner/River Town

Facility: East Jefferson Community Health Center

Facility: Jefferson Community Health Centers, Inc.

Facility: Jefferson Parish Human Services Authority

Facility: Priority Health Care

Facility: St. Charles Community Health Center-Kenner Pediatrics

Lafayette Parish

Population Group: Low Income-Lafayette Parish

Lafourche Parish

Population Group: Low Income - Lafourche Parish

LaSalle Parish

Service Area: Lasalle Parish

Facility: Immigration and Customs Enforcement - Jena

Facility: Jena Band of Choctaw Indians

Lincoln Parish

Population Group: Low Income-Lincoln Parish

Livingston Parish

Service Area: Livingston Parish

Madison Parish

Service Area: Madison Parish

Facility: Dr. L P Neumann Jr., Apmc

Facility: Madison Parish Hospital Rural Health

PRIMARY CARE: Louisiana

County and County Equivalent Listing

Page 118 of 309

Morehouse Parish

Population Group: Low Income-Morehouse Parish

Facility: Morehouse Community Medical Center

Natchitoches Parish

Population Group: Low Income-Natchitoches Parish

Facility: Natchitoches Out Patient

Orleans Parish

Population Group: Low Income-Orleans Parish

Facility: Common Ground Health Clinic

Facility: Excelth, Inc. Health Care

Facility: Healthcare for the Homeless

Facility: Marillac Community Health Centers

Facility: Mqvn Community Development Corporation/Noela Community

Health Center

Facility: No/AIDS Task Force

Facility: Odyssey House Louisiana, Inc.

Facility: St. Thomas Community Health Center, Inc.

Ouachita Parish

Population Group: Low Income-Ouachita Parish

Facility: Primary Health Service

Plaquemines Parish

Service Area: Plaquemines Parish

Pointe Coupee Parish

Service Area: Pointe Coupee Parish

Facility: Innis Community Health

Rapides Parish

Population Group: Low Income-Rapides Parish

Facility: Rapides Primary Health Care Center

Red River Parish

Population Group: Low Income-Red River Parish

Richland Parish

Population Group: Low Income-Richland Parish

Facility: Delhi Rural Health Clinic

Facility: Northeast Louisiana Health Center

Facility: Parish of Richland/Dba Delhi Community Health Cent

Facility: Start Community Clinic

Sabine Parish

Service Area: Sabine Parish

PRIMARY CARE: Louisiana

County and County Equivalent Listing

Page 119 of 309

St. Bernard Parish

Service Area: St. Bernard Parish

St. Charles Parish

Facility: St. Charles Community Health Center, Inc.

St. Helena Parish

Service Area: St. Helena Parish

Facility: St. Helena Community Health Center

St. John the Baptist Parish

Population Group: Low Income-St. John the Baptist

St. Landry Parish

Population Group: Low Income-St. Landry Parish

Facility: Eunice Rural Health Clinic

Facility: Southwest Louisiana Primary

St. Martin Parish

Service Area: St. Martin Parish

St. Mary Parish

Facility: Chitimacha Health Clinic

Facility: Chitimacha Tribe of Louisiana

Facility: Teche Action Clinic

St. Tammany Parish

Service Area: South Central Slidell

Tangipahoa Parish

Population Group: Low Income-Tangipahoa Parish

Tensas Parish

Service Area: Tensas Parish

Facility: Tensas Community Health Center

Terrebonne Parish

Population Group: Low Income-Terrebonne Parish

Facility: Start Corporation

Union Parish

Service Area: Union Parish

Vermilion Parish

Population Group: Low Income-Vermilion Parish

Vernon Parish

Service Area: Vernon Parish

PRIMARY CARE: Louisiana

County and County Equivalent Listing

Page 120 of 309

Washington Parish

Population Group: Washington

Webster Parish

Facility: Minden Family Care Center

Facility: North Webster Medical Clinic

Facility: Smc Doctors Clinic

West Baton Rouge Parish

Population Group: Low Income-West Baton Rouge Parish

West Carroll Parish

Service Area: West Carroll Parish

Facility: Oak Grove Medical Clinic

West Feliciana Parish

Facility: Louisiana State Penitentiary

Winn Parish

Service Area: Winn Parish

Facility: Winn Community Health Center, Inc

PRIMARY CARE: Maine

County and County Equivalent Listing

Page 121 of 309

Androscoggin County

Facility: Community Clinical Services

Aroostook County

Service Area: Allagash

Service Area: Ashland

Service Area: Danforth

Service Area: Island Falls

Population Group: Low Income - Fort Kent

Facility: Aroostook Band of Micmac Indians

Facility: Fish River Rural Health

Facility: Full Circle Health Care, LLC

Facility: Houlton Band of Maliseet Indians Health

Facility: Pines Health Services

Cumberland County

Service Area: Parsonsfield

Population Group: Homeless - Portland

Facility: Health Care for Portland's Homeless

Franklin County

Service Area: Rangeley

Population Group: Low Income-Rumford Subcounty

Hancock County

Facility: Bucksport Regional

Kennebec County

Facility: DFD Russell Medical Center

Facility: Healthreach Community Health Centers

Facility: Rural Health Centers of Maine, Inc.

Knox County

Service Area: Pen Bay Islands

Facility: Islands Community Medical Center

Facility: Maine State Prison

Lincoln County

Facility: John F. Andrews Family Care Center

Facility: Lincoln Medical Partners-Damariscotta

Facility: Lincoln Medical Partners-Waldoboro

Oxford County

Service Area: Parsonsfield

Service Area: Rangeley

Population Group: Low Income-Rumford Subcounty

Facility: Elsemore Dixfield Center

Facility: Swift River Health Care

PRIMARY CARE: Maine

County and County Equivalent Listing

Page 122 of 309

Penobscot County

Service Area: Danforth

Penobscot County

Service Area: Howland

Service Area: Island Falls

Population Group: Low Income-Millinocket

Facility: Corinna Family Practice

Facility: Dexter Internal Medicine

Facility: Health Access Network

Facility: Kathadin Valley Health

Facility: Newport Family Practice

Facility: Penobscot Community Health Center

Facility: Penobscot Indian Nation

Facility: Penobscot Valley Primary Care

Piscataquis County

Service Area: Greenville

Service Area: Jackman/Bingham

Population Group: Low Income-Skowhegan

Facility: Dover-Foxcroft Family Medicine

Facility: Guilford Medical Associates

Facility: Milo Family Practice

Facility: Norumbega Medical Specialist Ltd.

Somerset County

Service Area: Jackman/Bingham

Population Group: Low Income-Skowhegan

Facility: Dexter Family Practice

Facility: Sebasticook Family Doctors

Facility: Sebasticook Regional Family Care (Rural Health Cli

Waldo County

Service Area: Pen Bay Islands

Facility: Arthur Jewell Community Health Center

Facility: Islesboro Health Center

Washington County

Service Area: Danforth

Service Area: Jonesport Service Area

Service Area: Vanceboro

Population Group: Low Income - Eastport

Population Group: Low Income - Milbridge

Population Group: Low Income-Calais

Facility: Calais Regional Medical Services

Facility: Eastport Healthcare

Facility: Family Medicine

Facility: Harrington Family Health

Facility: Passamaquoddy Pleasant Point Health Center

PRIMARY CARE: Maine

County and County Equivalent Listing

Page 123 of 309

Washington County

Facility: Passamaquoddy Tribe Indian Township

Facility: Regional Medical Center

Facility: St. Croix Regional Family Health

Facility: Stockton Springs Regional Health Center

York County

Service Area: Parsonsfield

Facility: Sacopee Valley Health

Facility: York County Community Action Corporatio

PRIMARY CARE: Maryland

County and County Equivalent Listing

Page 124 of 309

Allegany County

Population Group: Low Income - Allegany County

Facility: Federal Correctional Institution - Cumberland

Facility: North Branch Correctional Institution

Anne Arundel County

Population Group: Me-Upper Anne Arundel and Lower Baltimore Counties

Facility: Jessup Correctional Institute

Facility: Owensville Primary Care

Baltimore City

Service Area: West Central Baltimore

Population Group: Medicaid Eligible - East Baltimore City

Population Group: Medicaid Eligible - Glen-Falstaff

Population Group: Medicaid Eligible - North Baltimore

Population Group: Medicaid Eligible - North Central Baltimore

Population Group: Medicaid Eligible - Southern Baltimore City

Population Group: Medicaid Eligible - Southern Park Heights

Population Group: Medicaid Eligible - West Baltimore

Population Group: Me-Southeastern Baltimore City

Facility: Baltimore Central Booking Intake Facility

Facility: Baltimore City Detention Center

Facility: Baltimore Medical Systems

Facility: Chase Brexton Health Services

Facility: Family Health Centers of Baltimore, Inc.

Facility: Health Care for the Homeless, Inc.

Facility: Lifeline Foundation, Inc.

Facility: Park West Medical Center

Facility: Peoples Community Health Center

Facility: Total Health Care, Inc.

Baltimore County

Population Group: Medicaid Eligible - Middle River

Population Group: Me-Upper Anne Arundel and Lower Baltimore Counties

Calvert County

Service Area: Calvert/Saint Leonard

Caroline County

Population Group: Me-Caroline County

Facility: Choptank Community Health

Cecil County

Facility: West Cecil Health Center, Inc.

Charles County

Service Area: South Charles County

PRIMARY CARE: Maryland

County and County Equivalent Listing

Page 125 of 309

Dorchester County

Population Group: Medicaid Eligible - Dorchester County

Frederick County

Population Group: Low Income-Downtown Frederick

Facility: Frederick Community Action Health Center

Garrett County

Population Group: Me-Garrett County

Facility: Western Maryland Health Care Corporation

Harford County

Service Area: Edgewood Service Area

Kent County

Population Group: Me-Upper Queen Anne and Kent Counties

Montgomery County

Population Group: Medicaid Eligible - Central Kensington Wheaton

Facility: Community Clinic, Inc. (Cci)

Facility: Mobile Medical Care, Inc.

Prince George's County

Service Area: Brandywine

Service Area: Landover/Suitland/Capitol Heights

Population Group: Medicaid Eligible - Greenbelt/Langley Park/College

Facility: Greater Baden Medical Services

Queen Anne's County

Population Group: Me-Upper Queen Anne and Kent Counties

Somerset County

Population Group: Me-Tri-County

Facility: Eastern Correctional Institution

Facility: Three Lower Counties Community Services

St. Mary's County

Service Area: South St. Marys County

Washington County

Population Group: Medicaid Eligible - Hagerstown

Facility: Tri-State Community Health Center, Inc.

Facility: Walnut Street Community Health Center

Wicomico County

Population Group: Me-Tri-County

Worcester County

Population Group: Me-Tri-County

PRIMARY CARE: Massachusetts

County and County Equivalent Listing

Page 126 of 309

Barnstable County

Facility: Cape Cod Free Clinic and Community Health Center

Facility: Duffy Health Center, Inc.

Facility: Mashpee Wampanoag Tribe

Facility: Outer Cape Health

Berkshire County

Service Area: Southern Berkshires

Population Group: Low Income - North Berkshire

Facility: Community Health Program

Bristol County

Population Group: Low Income - New Bedford

Facility: Bristol County House of Corrections

Facility: Greater New Bedford

Facility: Healthfirst Family Care Center

Dukes County

Service Area: Dukes County

Facility: Island Health Inc.

Facility: Wampanoag Tribe of Gay Head

Essex County

Population Group: Low Income - Gloucester

Population Group: Low Income - Salem/Peabody/Lynn/Beverly

Facility: Greater Lawrence Family Health

Facility: Lynn Community Health Center

Facility: North Shore Community Health

Franklin County

Population Group: Low Income - North Quabbin

Population Group: Low Income-Franklin County

Facility: Community Health Center of Franklin County

Hampden County

Service Area: Gateway/Hampshire Regional

Population Group: Low Income - Springfield/Chicopee/Holyoke

Facility: Caring Health Center, Inc.

Facility: Hampden County House of Corrections

Facility: Holyoke Health Center

Facility: mSpringfield Public Health Department

Hampshire County

Service Area: Gateway/Hampshire Regional

Facility: Hilltown Community Health Center, Inc.

PRIMARY CARE: Massachusetts

County and County Equivalent Listing

Page 127 of 309

Middlesex County

Population Group: Low Income - Chelsea Everett Revere

Facility: Lowell Community Health Center

Facility: Massachusetts Correctional Institution - Framingham

Middlesex County

Facility: Massachusetts Correctional Institution - Shirley

Facility: Massachusetts Correctional Institution Concord Northeastern

Correctional Center (Necc

Facility: Souza Baranowski Correctional Center

Nantucket County

Service Area: Nantucket County

Norfolk County

Facility: Bay State Correctional Center (Bscc)

Facility: Manet Community Health Center

Facility: Massachusetts Correctional Institution - Cedar Junction

Facility: Massachusetts Correctional Institution – Norfolk

Plymouth County

Facility: Brockton Neighborhood

Facility: Massachusetts Treatment Center (Mtc)

Facility: Old Colony Correctional Center

Suffolk County

Population Group: Low Income - Chelsea Everett Revere

Facility: Boston Healthcare for the Homeless

Facility: Codman Square Health Center

Facility: Connecticut River Valley Farmworkers/Massachusetts

Facility: Dimock Community Health Center

Facility: Dorchester House Multi-Service Center

Facility: East Boston

Facility: Fenway Community Health Center

Facility: Harbor Health Services

Facility: Harvard Street Neighborhool Health Center

Facility: Joseph M. Smith Community Health

Facility: Mattapan Community Health

Facility: North End Community

Facility: South Boston Community Health Center

Facility: South Cove Community

Facility: South End Community Health Center

Facility: Upham's Corner Health Center

Facility: Whittier Street Health

PRIMARY CARE: Massachusetts

County and County Equivalent Listing

Page 128 of 309

Worcester County

Population Group: Low Income - North Quabbin

Population Group: Low Income - Worcester City

Facility: Community Health Connections

Facility: Community Healthlink

Facility: Edward M. Kennedy Community Health Center

Facility: Family Health Center of Worcester, Inc.

Worcester County

Facility: Federal Medical Center-Devens

Facility: North Central Correctional Institution-Gardner (N

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 129 of 309

Alcona County

Population Group: Low Income-Alcona County

Facility: Alcona Health Center

Alger County

Population Group: Low Income - Alger County

Facility: Alger Correctional Facility

Facility: Bay Care Medical Center

Facility: Grand Island Chippewa Community Center

Allegan County

Service Area: Allegan County Service Area

Population Group: Migrant Farmworker - Ottawa County/Allegan

Population Group: Migrant Seasonal Fw - South Haven/Bangor

Facility: Allegan Medical Clinic

Facility: Borgess Women's Health

Facility: Match-East-Be-Nash-She-Wish Pottawatomi

Alpena County

Facility: Alpena Medical Arts, Primary Care

Antrim County

Service Area: Antrim/Charlevoix

Facility: Kalkaska Family Practice Primary Care-Mancelona

Facility: Mancelona Family Practice

Facility: Omh Medical Group-Boyne Valley

Arenac County

Population Group: Low Income - Arenac/Ogemaw Counties

Facility: Augres St. Joseph Family Clinic

Facility: Saint Mary's Standish Community Hospital

Facility: Sterling Area Health

Baraga County

Facility: Bcmh Physician Group

Facility: Keweenaw Bay Indian Community

Barry County

Service Area: Barry County

Facility: Spectrum Health Pennock Family Medicine - Gun Lake

Facility: Spectrum Health Pennock Family Medicine-Middlevill

Facility: Spectrum Health Pennock Family, Internal and Pediatirican

Facility: Spectrum Health Pennock Ob/Gyn – Hastings

Bay County

Facility: Pinconning Medical Care, Inc.

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 130 of 309

Benzie County

Population Group: Low Income-Benzie County

Berrien County

Population Group: Low Income - Berrien County

Berrien County

Facility: Coloma Medical Center

Facility: Community Medical Center

Facility: Lakeland Community Hospital Dba Southwestern Medic

Facility: Lakeland Family Clinic, Benton Harbor

Branch County

Population Group: Low Income Branch County

Facility: Community Health Center Pediatric and Adolescent Center

Facility: Family Medicine Clinic

Facility: Lakeland Correctional Facility

Facility: Union City Medical Center

Calhoun County

Population Group: Low Income - Albion City Service Area

Population Group: Low Income Eaton Rapids City Service Area

Population Group: Low Income-Calhoun Service Area

Facility: Grace Health, Inc.

Facility: Huron Potawatomi Band

Facility: Nottawaseppi Huron Band of Potawatomi Southern Hlt

Cass County

Population Group: Low Income-Cass County

Facility: Borgess Lee Medical Group - Dowagiac Clinic

Facility: Borgess Lee Medical Group-Cassopolis Clinic

Facility: Borgess Lee Medical Group-Division Street Clinic

Facility: Borgess Lee Medical Group-Pediatric Clinic

Facility: Bronson Lakeview Family Care-Marcellus

Facility: J.N. Patel, MD

Facility: Lakeland Immediate Care Center

Facility: Pokagon Band of Potawatomi Health Services

Charlevoix County

Service Area: Antrim/Charlevoix Service

Area: Beaver Island

Facility: Beaver Island Rural Health Center

Facility: Boyne Area Medical Center

Facility: East Jordan Family Health

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 131 of 309

Cheboygan County

Population Group: Low Income-Cheboygan/Emmet Counties

Facility: Indian River Medical Center

Facility: Internal Medicine Services

Facility: Omh Medical Group-Indian River Rural Health Clinic

Facility: Women's and Children's Health Services

Chippewa County

Population Group: Low Income - Chippewa County

Chippewa County

Facility: Bay Mills Indian Community

Facility: Chippewa Correctional Facility

Facility: Community Care Clinic

Facility: Community Care Clinic - Kinross

Facility: Inter-Tribal Council of Michigan, Inc.

Facility: Kinross Correctional Facility

Facility: Paradise Community Health Clinic

Facility: Pickford Medical Center

Facility: Riverside Medical Associates Primary Care

Facility: Sault St. Marie Health and Human Services

Facility: Superior Family Medical Associates

Facility: Wmh-Community Care Clinic

Clare County

Service Area: Clare County

Facility: Midmichigan Medical Offices

Facility: Midmichigan Medical Offices-Clare

Facility: Midmichigan Medical Offices-Farwell

Facility: Midmichigan Medical Offices-Harrison

Crawford County

Population Group: Low Income - Crawford/Otsego Counties

Facility: North Mercy Primary Care Associates

Delta County

Population Group: Low Income-Delta County

Facility: Osf Medical Group-Gladstone

Facility: Osf St. Francis Hospital and Medical Group-Escanaba

Facility: Osf St. Francis Women's Center

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 132 of 309

Dickinson County

Facility: Dchs After Hours Care

Facility: Dickinson Family and Geriatric Clinic

Facility: Dickinson Family Practice Center-Norway

Facility: Dickinson Family Practice Clinic

Facility: Dickinson Internal Medicine/Nephrology Clinic

Facility: Dickinson Pediatric Clinic

Facility: Michigan-Wisconsin Family Practice Associates, P.C

Facility: MMC-Kingsford Clinic

Facility: Nordic Medical Center

Eaton County

Population Group: Low Income Eaton Rapids City Service Area

Facility: Riverside Family Practice

Emmet County

Population Group: Low Income-Cheboygan/Emmet Counties

Emmet County

Facility: Little Traverse Bay Band of Odawa

Facility: MacKinaw City Medical Clinic

Genesee County

Service Area: Caro/Otter Lake/North Branch Service Area

Population Group: Low Income-Flint

Facility: Genesee County Community Mental Health

Facility: Hamilton Community Health Network, Inc.

Gladwin County

Service Area: Primary Care - Gladwin County

Facility: Beaverton Medical Center Primary Care

Facility: Gladwin Urgent Care

Facility: Midmichigan Medical Offices-Gladwin

Gogebic County

Population Group: Low Income-Gogebic County

Facility: Aspirus Grand View Clinic - Ironwood

Facility: Lac Vieux Desert Health Clinic

Grand Traverse County

Population Group: Low Income-Cadillac-Buckley

Facility: Traverse Health Clinic and Coalition

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 133 of 309

Gratiot County

Facility: Alma Internal Medicine

Facility: Center for Obstetrics and Gynecology

Facility: Family Medical Care Breckenridge

Facility: Gratiot Medical Center

Facility: Ithaca Family Practice

Facility: Midmichigan Health Family Practice Center Alma

Facility: Sparrow Medical Group Ashley

Facility: Sparrow Medical Group Ithaca

Facility: St. Louis Correctional Facility

Facility: St. Louis Family Clinic

Facility: Urgent Care Occupational Health

Hillsdale County

Service Area: Hillsdale County

Facility: Hillsdale Medical Associates

Facility: Primary Care Associates of Jonesville, LLC

Facility: Reading Health Clinic

Houghton County

Population Group: Low Income-Houghton/Keweenaw Counties

Facility: Aspirus Keweenaw Health Center

Facility: Aspirus Keweenaw Laurium Wellness Clinic

Facility: Aspirus Keweenaw Medical Arts Clinic

Houghton County

Facility: Keweenaw Memorial Health Center-Lake Lin

Facility: Portage Health Medical Group

Facility: Portage Health Medical Group-Hancock Clinic

Facility: Portage Health Medical Group-Houghton

Huron County

Population Group: Me-Huron County

Facility: Huron Medical Center D.B.A. Ubly Family Practice

Facility: Scheurer Family Medical Center

Ingham County

Population Group: Low Income Eaton Rapids City Service Area

Population Group: Low Income-Lansing Service Area

Facility: Ingham County Health Department

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 134 of 309

Ionia County

Population Group: Low Income-Ionia County

Facility: Bellamy Creek Correctional Facility

Facility: Charles R. Barker

Facility: Dba Ionia Practice/Ionia Associates, LLC

Facility: Lakewood Family Health Care

Facility: Michigan Reformatory

Facility: Richard a Handlon Correctional

Facility: Sparrow Medical Group Ionia

Facility: Sparrow Medical Group-Lyons

Facility: Sparrow Medical Group-Muir

Facility: Sparrow Medical Group-Portland

Facility: Sparrow Medical Group-Saranac

Facility: Spectrum Health Belding Family Medicine

Facility: Spectrum Health Pennock Family Medicine – Ionia

Facility: The Family Health Center Portland

Iosco County

Population Group: Low Income-Iosco County

Facility: Hale St. Joseph Family Clinic

Facility: St. Joseph Health System Internal Medicine Clinic

Facility: St. Joseph Health System Pediatrics

Facility: St. Joseph Health System Womens Clinic

Facility: St. Joseph Huron Family Medicine Clinic

Facility: St. Joseph's Health Systems-Oscoda Health Park

Facility: Tawas Bay Family Practice

Iron County

Population Group: Low Income-Iron County

Facility: Aspirus Crystal Falls Clinic

Isabella County

Population Group: Low Income - Isabella County

Facility: Broadway Health Services

Facility: Great Lakes Medical Primary Care

Facility: Isabella Citizens for Health, Inc.

Facility: Nimkee Memorial Wellness Center

Jackson County

Population Group: Low Income - Jackson County

Facility: Center for Family Health, Inc.

Facility: Charles Egeler Reception and Guidance Center

Facility: G. Robert Cotton Correctional Facility

Facility: Springport Medical Clinic

Kalamazoo County

Facility: Family Health Center Inc.

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 135 of 309

Kalkaska County

Population Group: Low Income-Kalkaska County

Facility: Kalkaska Memorial Health Center

Kent County

Population Group: Low Income-Grand Rapids Service Area

Population Group: Migrant Farmworkers - North Kent

Facility: Catherine's Health Center

Facility: Cherry Street Services

Facility: Nottawaseppi Huron Band of the Potawatomi-Grand Ra

Facility: Trinity Health Corporation-Dba Mercy Health-Saint Mary's

Community Health Center

Facility: White Pines Family Medicine

Keweenaw County

Population Group: Low Income-Houghton/Keweenaw Counties

Lake County

Service Area: Lake County

Facility: Baldwin Family Health

Lapeer County

Service Area: Caro/Otter Lake/North Branch Service Area

Facility: Thumb Correctional Facility

Leelanau County

Facility: Grand Traverse Ottawa and Chippewa

Facility: Northwest Michigan Health Services, Inc.

Lenawee County

Population Group: Low Income - Adrian-Morenci Service Area

Population Group: Low Income-Woodstock/Clinton/Lenawee

Facility: Health Specialists of Lenawee, P.C.

Luce County

Population Group: Low Income - Luce County

Facility: Gibson Family Health Clinic

Mackinac County

Service Area: Western MacKinac Service Area

Facility: Lambert Tribal Clinic

Facility: MacKinac Straits Rural Health Clinic

Facility: Manistique Lakes Family Clinic

Facility: St. Ignace Sault Tribal Health and Human Services Center

Facility: West MacKinac Health Clinic

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 136 of 309

Macomb County

Facility: MacOmb Correctional Facility

Facility: Mycare Health Center

Manistee County

Facility: Little River Band of Ottawa Indians

Facility: Munson Healthcare Manistee-Family Care

Facility: Munson Healthcare Manistee-OB/GYN

Facility: Munson Healthcare Manistee-Primary Care

Facility: Oaks Correctional Facility

Facility: Wellston Medical Center

Marquette County

Service Area: Western Marquette

Population Group: Low Income - Gwinn

Population Group: Low Income-Ishpeming Service Area

Facility: Upper Great Lakes Family Health Center

Facility: Upper Peninsula Association of Rural Health

Mason County

Population Group: Msw-Mason County

Facility: Great Lakes Urgent Care

Facility: Primary Health Services

Facility: Spectrum Health Hospital Family Medicine - Ludington

Facility: Spectrum Health Hospital Internal Medicine - Ludington

Facility: Spectrum Health Ludington Hospital Family and Internal

Medicine Ludington

Facility: Spectrum Health Ludington Hospital Ob/Gyn

Facility: Spectrum Health Ludington Hospital Pediatrics

Mecosta County

Population Group: Low Income-Mecosta/Osceola Counties

Facility: Eastside Family Medical

Facility: Spectrum Health Big Rapids Hospital Canadian Lakes

Facility: Spectrum Health Big Rapids Hospital Family Medicine

Facility: Spectrum Health Big Rapids Ob/Gyn

Menominee County

Service Area: Menominee County

Facility: Hannahville Indian Health Center

Facility: Northreach-Daggett Medical Clinic

Facility: Northreach-Menominee

Midland County

Population Group: Low Income - Coleman/Sanford

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 137 of 309

Missaukee County

Population Group: Low Income - Missaukee County

Monroe County

Facility: Family Medical Center

Montcalm County

Population Group: Low Income - Montcalm County

Facility: Center for Women's Healthcare (Ccwhc)

Facility: Edmore Care

Facility: Lakeview Family Medicine

Facility: Sheridan Care

Facility: Sparrow Medical Group Carson

Facility: Sparrow Medical Group Greenville

Facility: Sparrow Medical Group Pediatric Carson City

Facility: Sparrow Medical Group Stanton

Facility: Spectrum Health United Hospital Family Medicine and Ob/Gyn

Facility: Spectrum Health United Hospital IM and Ped Greenville

Facility: Stanton 1st Care

Montmorency County

Population Group: Low Income-Montmorency County

Facility: Omh Medical Group Lewiston Rural Health Clinic

Facility: Thunder Bay Community Health Services

Muskegon County

Population Group: Low Income - Muskegon City Service Area

Facility: Brooks Correctional Facility

Facility: Hackley Community Care Center

Facility: Lakeshore Medical Center

Facility: Muskegon Correctional Facility

Facility: Muskegon Family Care Center

Newaygo County

Population Group: Low Income-Newaygo County

Facility: Grant Medical Center

Facility: Hesperia Medical Center

Facility: Pine Medical Group Primary Care

Facility: Shgm Ob/Gyn

Facility: Spectrum Health Gerber Memorial Fam Medical - Fremont

Newaygo County

Facility: Spectrum Health Gerber Memorial Family Medicine Newaygo

Facility: Spectrum Health Gerber Memorial Multispecialty Clinic

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 138 of 309

Oakland County

Population Group: Low Income-Pontiac Service Area

Facility: Oakland

Integrated Health Network (Oihn)

Facility: Oakland Primary HealthServices

Oceana County

Service Area: Oceana County

Facility: Lakeshore Medical Center - Shelby

Facility: Memorial Medical Center of West Michigan Dba Spectrum

Health Hart Family Medicine

Facility: Mercy Health Physician Partners Hart Family Medical

Facility: Shelby Family Care

Facility: Spectrum Health Family Medicine – Pentwater

Ogemaw County

Population Group: Low Income - Arenac/Ogemaw Counties

Facility: Prescott Clinic Primary Care

Facility: Primary Care Inc.

Facility: Primary Care Practice - Alger

Facility: Primary Care Practice - West Branch

Facility: Primary Care, Inc.

Ontonagon County

Population Group: Low Income-Ontonagon County

Facility: Aspirus Ontonagon Family Practice Clinic

Osceola County

Population Group: Low Income-Mecosta/Osceola Counties

Facility: Spectrum Health Evart Family Practice

Facility: Spectrum Health Reed City Family Practice

Facility: Spectrum Health Tustin Family Practice

Oscoda County

Service Area: Oscoda County

Facility: Primary Care Inc.

Otsego County

Population Group: Low Income - Crawford/Otsego Counties

Facility: Otsego Memorial Hospital Medcare Rural Health Clinic-Gaylord

Facility: Otsego Memorial Hospital Rural Health-Center Ave

Ottawa County

Population Group: Migrant Farmworker - Ottawa County/Allegan

Presque Isle County

Service Area: Presque Isle County

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 139 of 309

Roscommon County

Population Group: Low Income - Roscommon County

Facility: Mercy Primary Care Associates

Facility: Mercy Primary Care Association/Roscommon CPS

Facility: Midmichigan Health Services

Facility: Primary Care Inc.

Saginaw County

Service Area: Eastside Saginaw

Facility: Health Delivery, Inc.

Facility: Saginaw Correctional Facility

Sanilac County

Population Group: Low Income - St. Clair/Sanilac Counties

Facility: Deckerville Healthcare Services Inc.

Facility: Family Health of Brown City

Facility: McKenzie Rural Health Clinic

Schoolcraft County

Population Group: Low Income - Schoolcraft County

Facility: Manistique Tribal Health Clinic

Facility: Schoolcraft Memorial Hospital Rural Health Clinic

Shiawassee County

Population Group: Low Income-Shiawassee County

Facility: Arnold Medical Clinic C/O Memorial Healthcare

Facility: Durand Family Health Center

Facility: Perry Family Practice

St. Clair County

Population Group: Low Income - St. Clair/Sanilac Counties

Facility: Downriver Community Service

St. Joseph County

Population Group: Low Income - St. Joseph County

Facility: Colon

Medical Clinic

Facility: Covered Bridge Healthcare of St. Joseph County, in

Facility: Family Care Center-Centreville

Facility: Family Care Center-White Pigeon

Facility: Smg Practice

Facility: Sturgis Pediatrics

Facility: Three Rivers Health

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 140 of 309

Tuscola County

Service Area: Caro/Otter Lake/North Branch Service Area

Facility: Cass City Family Practice

Facility: Cass City Medical Practice

Facility: Family Healthcare of Cass City

Facility: Kingston Family Healthcare

Tuscola County

Facility: Kingston Family Practice

Facility: Mayville Family Healthcare

Facility: Thumb Pediatrics

Van Buren County

Service Area: Hartford Service Area

Population Group: Migrant Seasonal Fw - South Haven/Bangor

Facility: Bronson Lakeview Family Care - Mattawan

Facility: Bronson Lakeview Family Care-Decatur

Facility: Bronson Lakeview Family Care-Lawton

Facility: Bronson Lakeview Family Care-Paw Paw

Facility: Hartford Medical Center

Facility: Intercare Community Health

Facility: Lakeview Medical Center

Facility: South Haven Community Hospital Cooper Rural Health Clinic

Facility: South Haven Community Hospital Rural Health Clinic

Washtenaw County

Facility: Federal Correctional Institution - Milan

Facility: Packard Health, Inc.

Wayne County

Service Area: Brightmoor Service Area

Service Area: Eastside Detroit Service Area

Service Area: Inkster

Service Area: MacKenzie/Brooks

Service Area: North Central Detroit/Highland Park

Service Area: Tireman/Chadsey

Population Group: Low Income-Cornerstone Village/Harper Woods

Service Area

Facility: American Indian Health and Family Svs of Southeast MI

Facility: Charter County of Wayne

Facility: Community Health and Social Services

Facility: Covenant Community Care, Inc.

Facility: Detroit Central City Community Mental Health, Inc.

Facility: Detroit Community Health Connection

Facility: Detroit Health Care for the Homeless

Facility: Health Centers Detroit Foundation

Facility: The Wellness Plan

Facility: Western Wayne Family Health Center

PRIMARY CARE: Michigan

County and County Equivalent Listing

Page 141 of 309

Wexford County

Population Group: Low Income-Cadillac-Buckley

Facility: Cadillac Primary Care and Ob/Gyn

Facility: Northern Pines Health Center

PRIMARY CARE: Minnesota

County and County Equivalent Listing

Page 142 of 309

Aitkin County

Population Group: Low Income - Mille Lacs

Anoka County

Facility: Minnesota Correctional Facility - Lino Lakes

Becker County

Population Group: Low Income-Becker County

Facility: White Earth Nation-Circle of Life Academy

Facility: White Earth PHS Indian Hospital

Beltrami County

Service Area: North Beltrami

Population Group: Low Income-Northome/Blackduck

Facility: PHS Indian Hospital - Red Lake

Facility: Red Lake Comprensive Health Service

Big Stone County

Facility: Graceville Health Center Clinic

Blue Earth County

Service Area: Wells

Facility: Open Door Health Center

Brown County

Facility: Sleepy Eye Medical Center

Carlton County

Facility: Fond Du Lac Min-No-Aya-Win Clinic

Facility: Minnesota Correctional Facility - Moose Lake

Cass County

Population Group: Low Income - Cass County

Facility: Cass Lake Indian Heath Service Hospital

Facility: Lakewood Clinic Pillager

Facility: Leech Lake Band of Ojibwe

Chisago County

Facility: Minnesota Correctional Facility - Rush City

Clay County

Service Area: Barnesville

Facility: Community Health Service Inc.

Clearwater County

Service Area: Clearwater County

PRIMARY CARE: Minnesota

County and County Equivalent Listing

Page 143 of 309

Cook County

Facility: Grand Portage Health Center

Facility: Sawtooth Mountain Clinic

Cottonwood County

Service Area: Westbrook - Rational Service Area 71

Crow Wing County

Population Group: Low Income - Mille Lacs

Faribault County

Service Area: Wells

Fillmore County

Service Area: Fillmore County

Freeborn County

Service Area: Wells

Goodhue County

Facility: Prairie Island Family Health Clinic

Grant County

Service Area: Elbow Lake/Dalton

Hennepin County

Population Group: Low Income - Minneapolis North

Population Group: Low Income - Northeast Minneapolis

Facility: Cedar Riverside People's Center

Facility: Community University Health Care Center

Facility: Hennepin County - Healthcare for the Homeless

Facility: Hennepin County Medical Center

Facility: Indian Health Board

Facility: Native American Community Clinic

Facility: Neighborhood Healthsource

Facility: Northpoint Health and Wellness Center

Facility: Southside Community

Facility: Universal Medical Services, Inc.

Hubbard County

Population Group: Low Income - Hubbard County

Jackson County

Service Area: Jackson County - Rational Service Area 22

Kanabec County

Service Area: Kanabec County

PRIMARY CARE: Minnesota

County and County Equivalent Listing

Page 144 of 309

Kittson County

Facility: Kittson Memorial Clinic

Koochiching County

Population Group: Low Income-International Falls

Population Group: Low Income-Northome/Blackduck

Lac qui Parle County

Population Group: Low Income - Lac Qui Parle County

Facility: Lac Qui Parle Clinic of Madison

Lake of the Woods County

Service Area: Lake of the Woods County

Lincoln County

Service Area: Tyler/Lake Benton

Lyon County

Service Area: Lyon/Tracey Rational Service Area 82

Service Area: Tyler/Lake Benton

Mahnomen County

Service Area: Mahnomen County

Facility: Meritcare Clinic – Mahnomen

Marshall County

Service Area: Marshall County

Facility: Northwest Minnesota Health Clinic-Stephen

Mille Lacs County

Population Group: Low Income - Mille Lacs

Facility: Mille Lacs Band of Ojibwe Behavioral Health

Facility: Mille Lacs Family Clinic - Onamia

Facility: Mille Lacs Health System-Isle

Facility: Ne-Ia-Shing Clinic

Morrison County

Population Group: Low Income - Mille Lacs

Population Group: Low Income - West Morrison Service Area 86

Facility: Lakewood Clinic Motley

Facility: Mille Lacs Family Clinic-Hillman

Murray County

Service Area: Murray County

Facility: Murray Count Clinic

Norman County

Service Area: Norman County

PRIMARY CARE: Minnesota

County and County Equivalent Listing

Page 145 of 309

Olmsted County

Facility: Federal Medical Center-Rochester

Otter Tail County

Service Area: Elbow Lake/Dalton

Service Area: Pelican Rapids Service Area

Population Group: Low Income-East Otter Tail County

Facility: Henning Medical Clinic

Facility: Ottertail Area Medical Clinic

Pennington County

Population Group: Low Income - Pennington County

Pine County

Population Group: Low Income - Pine County

Facility: Federal Correctional Institution - Sandstone

Facility: Pine City Area Clinic

Pipestone County

Service Area: Tyler/Lake Benton

Population Group: Low Income - South Pipestone Rational Service Area

93

Polk County

Population Group: Low Income - Polk/Red Lake Rational Service Area 112

Pope County

Service Area: Pope County

Ramsey County

Facility: Open Cities Health Center, Inc.

Facility: United Family Practice Health Center

Facility: Westside Community Health Center

Red Lake County

Population Group: Low Income - Polk/Red Lake Rational Service Area 112

Redwood County

Service Area: Lyon/Tracey Rational Service Area 82

Service Area: Redwood-Rational Service Area 97

Facility: Lower Sioux Community Council

Renville County

Service Area: Renville County - Rational Service Area 42

Rice County

Facility: Minnesota Correctional Facility – Faribault

PRIMARY CARE: Minnesota

County and County Equivalent Listing

Page 146 of 309

Rock County

Population Group: Low Income - South Pipestone Rational Service Area

93

Roseau County

Service Area: East Roseau

Service Area: West Roseau County

Scott County

Facility: Minnesota Correctional Facility - Shakopee

Facility: Shakopee Mdewakanton Sioux Community

Sherburne County

Facility: Minnesota Correctional Facility - St. Cloud

Sibley County

Service Area: Sibley County

Facility: Ridgeview Arlington Clinic

Facility: Ridgeview Gaylord Clinic

Facility: Ridgeview Henderson Clinic

Facility: Ridgeview Winthrop Clinic

St. Louis County

Service Area: Aurora/Hoyt Lakes

Service Area: Cook/Orr

Service Area: Floodwood

Population Group: Low Income - Ely Rational Service Area 110

Facility: Bois Forte Tribal Clinic

Facility: Cook Area Health Services, Inc.

Facility: Lake Superior Community Health Center

Stearns County

Service Area: Central Rural Stearns Service Area

Population Group: Low Income-Western Rural Service Area

Facility: Albany Area Hospital and Medical Center - Avon

Facility: Albany Area Hospital and Medical Center-Holdinfor

Facility: Albany Medical Center

Stevens County

Facility: Chokio Medical Center

Todd County

Population Group: Low Income-Todd County

Facility: Bertha Medical Clinic

Facility: Lakewood Clinic Browerville

Facility: Lakewood Clinic Eagle Bend

Facility: Lakewood Clinic Staples

PRIMARY CARE: Minnesota

County and County Equivalent Listing

Page 147 of 309

Wadena County

Service Area: North Wadena Rational Service Area 104

Population Group: Low Income-South Wadena

Facility: Sebeka Medical Center

Facility: Wadena Medical Center

Waseca County

Service Area: Wells

Facility: Federal Correctional Institution – Waseca

Washington County

Facility: Minnesota Correctional Facility – Stillwater

Wilkin County

Service Area: Barnesville

Yellow Medicine County

Facility: Sanford Canby Clinic

Facility: Upper Sioux Community

PRIMARY CARE: Mississippi

County and County Equivalent Listing

Page 148 of 309

Adams County

Population Group: Low Income - Adams County

Alcorn County

Population Group: Low Income - Alcorn County

Amite County

Service Area: Amite County

Facility: Amite County Medical

Attala County

Population Group: Low Income - Attala County

Benton County

Service Area: Benton County

Facility: Hickory Flat Clinic Association, Inc.

Facility: North Benton County Health

Bolivar County

Service Area: Bolivar County

Facility: Delta Health Center, Inc.

Calhoun County

Service Area: Calhoun County

Carroll County

Service Area: Carroll County

Chickasaw County

Service Area: Chickasaw County

Choctaw County

Population Group: Low Income - Choctaw County

Claiborne County

Service Area: Claiborne County

Facility: Claiborne County Family Health Center

Clarke County

Service Area: Clarke County

Facility: Outreach Health Services

Clay County

Service Area: Clay County

PRIMARY CARE: Mississippi

County and County Equivalent Listing

Page 149 of 309

Coahoma County

Population Group: Low Income - Coahoma County

Facility: Aaron E. Henry Community Health Center

Copiah County

Service Area: Copiah County

Covington County

Service Area: Covington County

Forrest County

Population Group: Low Income - Forrest County

Facility: Southeast Mississippi Rural Health Initiative, Inc.

Franklin County

Population Group: Low Income - Franklin County

George County

Population Group: Low Income-George County

Greene County

Service Area: Greene County

Facility: Greene Area Medical Extenders, Inc.

Facility: Primary Care-South MS Correctional Institution

Grenada County

Population Group: Low Income-Grenada County

Hancock County

Service Area: Hancock County

Harrison County

Population Group: Low Income - Harrison County

Facility: Coastal Family Health, Inc.

Hinds County

Population Group: Low Income - Hinds County

Facility: Central Mississippi Civic Improvement

Facility: Central Mississippi Health Services

Holmes County

Service Area: Holmes County

Facility: Dr. Arenia C. Mallory Community Health Center

Humphreys County

Service Area: Humphreys County

PRIMARY CARE: Mississippi

County and County Equivalent Listing

Page 150 of 309

Issaquena County

Service Area: Issaquena/Sharkey Counties

Itawamba County

Population Group: Low Income - Itawamba County

Facility: Mantachie Rural Health Care, Inc.

Jackson County

Population Group: Low Income - Jackson County

Jasper County

Service Area: Jasper County

Jefferson County

Service Area: Jefferson County

Facility: Jefferson Comprehensive

Jefferson Davis County

Service Area: Jefferson Davis County

Jones County

Population Group: Low Income - Jones County

Facility: Family Health Center, Inc.

Kemper County

Service Area: Kemper County

Lafayette County

Population Group: Low Income - Lafayette County

Lamar County

Service Area: Lamar County

Lauderdale County

Population Group: Low Income - Lauderdale County

Facility: East Mississippi Medical Clinic - Meridan

Facility: Greater Meridian Health Clinic

Facility: Primary Care-East MS Correctional Facility

Lawrence County

Service Area: Lawrence County

Leake County

Service Area: Leake County

Lee County

Population Group: Low Income - Lee County

PRIMARY CARE: Mississippi

County and County Equivalent Listing

Page 151 of 309

Leflore County

Service Area: Leflore County

Facility: Emergency Medical Services Clinic

Lincoln County

Population Group: Low Income - Lincoln County

Madison County

Population Group: Low Income-Northern Madison County

Facility: G. A. Carmichael Family Health Center

Marion County

Service Area: Marion County

Marshall County

Service Area: Marshall County

Facility: Northeast Mississippi

Facility: Primary Care-Marshall County Correctional Facility

Monroe County

Service Area: Monroe County

Facility: Access Family Health Services

Facility: Chestnut Medical Clinic

Facility: Pioneer Family Medical

Montgomery County

Service Area: Montgomery County

Neshoba County

Service Area: Neshoba County

Facility: Choctaw Health Center

Facility: Mississippi Band of Choctaw Indians

Newton County

Service Area: Newton County

Facility: East Mississippi Medical Clinic

Noxubee County

Service Area: Noxubee County

Oktibbeha County

Population Group: Low Income - Oktibbeha County

Panola County

Service Area: Panola County

Pearl River County

Service Area: Pearl River County

PRIMARY CARE: Mississippi

County and County Equivalent Listing

Page 152 of 309

Perry County

Service Area: Perry County

Pike County

Service Area: McComb/Magnolia

Pontotoc County

Population Group: Low Income - Pontotoc County

Prentiss County

Service Area: Prentiss County

Quitman County

Service Area: Quitman County

Rankin County

Population Group: Low Income-Southern Rankin County

Facility: Family Health Care Clinic

Facility: Primary Care-Central MS Correctional Facility

Scott County

Service Area: Scott County

Facility: East Central Mississippi Health Care, Inc.

Sharkey County

Service Area: Issaquena/Sharkey Counties

Simpson County

Population Group: Low Income-Simpson County

Smith County

Service Area: Smith County

Stone County

Population Group: Low Income - Stone County

Sunflower County

Service Area: Sunflower County

Facility: Mississippi State Penitentiary (MSP)

Tallahatchie County

Service Area: Tallahatchie County

Facility: Tutwiler Clinic

Tate County

Service Area: Tate County

PRIMARY CARE: Mississippi

County and County Equivalent Listing

Page 153 of 309

Tippah County

Service Area: Tippah County

Tishomingo County

Service Area: Tishomingo County

Tunica County

Service Area: Tunica County

Union County

Population Group: Low Income - Union County

Facility: Family Clinic of New Albany

Walthall County

Service Area: Walthall County

Warren County

Population Group: Low Income - Warren County

Washington County

Service Area: Washington County

Wayne County

Service Area: Wayne County

Webster County

Service Area: Webster County

Wilkinson County

Service Area: Wilkinson County

Facility: Wilkinson County Correctional Facility

Winston County

Service Area: Winston County

Yalobusha County

Service Area: Yalobusha County

Yazoo County

Service Area: Yazoo County

Facility: Federal Correctional Institution - Yazoo City

PRIMARY CARE: Missouri

County and County Equivalent Listing

Page 154 of 309

Adair County

Population Group: Low Income-Adair and Knox Counties

Facility: Northeast Missouri Health Council

Facility: Preferred Family Healthcare Inc.

Andrew County

Population Group: Dekalb and Andrew Counties

Atchison County

Population Group: Low Income-Atchison County

Audrain County

Population Group: Low Income-Audrain County

Facility: East Central MO Behavioral Health Svs/Dba Arthur Center

Facility: Pcmh (Pike County Memorial Hospital) Clinic

Barry County

Population Group: Low Income-Barry County

Facility: White Oak Medical, Inc. – Cassville

Barton County

Population Group: Low Income-Vernon/Barton Counties

Bates County

Population Group: Low Income-Bates County

Benton County

Population Group: Low Income-Benton County

Bollinger County

Population Group: Low Income-Bollinger County

Boone County

Population Group: Low Income-Boone County

Facility: Family Health Center of Boone County

Buchanan County

Population Group: Low Income-Buchanan County

Facility: Northwest Health Services

Butler County

Population Group: Low Income-Butler County

Caldwell County

Population Group: Low Income-Caldwell County

Callaway County

Population Group: Low Income-Callaway County

PRIMARY CARE: Missouri

County and County Equivalent Listing

Page 155 of 309

Camden County

Population Group: Low Income - Camden County

Facility: Lake Regioinal Clinic - Camdenton

Facility: Lake Regional Clinic - Lake Ozark

Facility: Lake Regional Clinic - Macks Creek

Facility: Lake Regional Clinic - Osage

Cape Girardeau County

Population Group: Low Income-Cape Girardeau County

Facility: Cross Trails Medical Center

Facility: River City Health Clinic, Inc.

Facility: Woman's Life Holistic Family Health Care

Carroll County

Population Group: Low Income - Carroll/Livingston Counties

Carter County

Population Group: Low Income-Carter/Reynolds/Shannon Counties

Cass County

Facility: Archie Medical Clinic

Facility: Garden City Family Clinic

Facility: Harrisonville Medical Clinic

Facility: Pleasant Hill Medical Clinic

Cedar County

Population Group: Low Income-Cedar County

Facility: Cedar County Family Clinic

Chariton County

Service Area: Chariton County

Christian County

Population Group: Low Income-Christian County

Facility: Sparta Clinic

Facility: Sparta Health Clinic

Clark County

Population Group: Low Income-Clark County

Facility: Wyaconda Medical Services

Population Group: Low Income-Clinton County

Cole County

Population Group: Low Income-Cole County

PRIMARY CARE: Missouri

County and County Equivalent Listing

Page 156 of 309

Cooper County

Population Group: Low Income-Cooper County

Facility: Cooper County Rural Health Clinic

Crawford County

Population Group: Low Income-Crawford County

Facility: Meramec Medical Group

Facility: Mercy Clinic East Communities-Cuba(Healthnet Regional Center

of Cuba)

Dade County

Population Group: Low Income-Dade County

Dallas County

Population Group: Low Income-Dallas/Polk Counties

Daviess County

Service Area: Daviess County

DeKalb County

Population Group: Dekalb and Andrew Counties

Dent County

Population Group: Low Income-Dent County

Douglas County

Population Group: Low Income-Douglas County

Facility: Douglas County Public Health Center

Dunklin County

Population Group: Low Income-Dunklin/Pemiscot Counties

Facility: Doctors Inn Clinic

Franklin County

Population Group: Low Income-Franklin County

Facility: Mercy McAuley Clinic

Facility: St. Johns Mercy Hospital Clinic

Gasconade County

Population Group: Low Income-Gasconade County

Facility: Associated Medical Arts - Hermann

Facility: Medical Clinic Owensville

Facility: Southwest Medical Association

Gentry County

Population Group: Low Income-Gentry County

Facility: Northwest Medical Center (Standberry)

PRIMARY CARE: Missouri

County and County Equivalent Listing

Page 157 of 309

Greene County

Population Group: Low Income-Greene County

Facility: Advocates for a Healthy Community/Dba Jordan Valle

Facility: Mcfp-Springfield

Grundy County

Population Group: Low Income-Sullivan/Grundy Counties

Harrison County

Population Group: Low Income-Harrison County

Facility: Bethany Medical Clinic

Henry County

Population Group: Low Income-Henry County

Facility: Golden Valley Medical - Windsor (Family Care Clinic -

Windsor)

Facility: Golden Valley Medical-Clinton (Wetzel Clinic)

Facility: Montrose Rural Health Clinic

Facility: Pathways Community Behavioral Healthcare Inc.

Hickory County

Service Area: Hickory County

Facility: Lake Area Primary Care Clinic

Hickory County

Facility: Ozarks Resource Group

Holt County

Service Area: Holt County

Howard County

Population Group: Low Income-Howard County

Howell County

Population Group: Low Income-Howell County

Facility: Rural Alliance for Better Health

Facility: Valley Medical Clinic

Iron County

Service Area:Iron County

PRIMARY CARE: Missouri

County and County Equivalent Listing

Page 158 of 309

Jackson County

Population Group: Low Income-Central Kansas City

Population Group: Low Income-Grandview

Population Group: Low Income-Independence

Population Group: Low Income-North Kansas City

Population Group: Low Income-South Kansas City

Facility: Kansas City Care Clinic

Facility: Samuel U. Rodgers Health Center

Facility: Swope Health Services

Jasper County

Population Group: Low Income-Jasper County

Jefferson County

Population Group: Low Income-Desoto/Festus/Valles Mines

Facility: Byrnes Mill Medical Center

Facility: Community Treatment Inc.

Johnson County

Population Group: Low Income-Johnson/Lafayette Counties

Knox County

Population Group: Low Income-Adair and Knox Counties

Laclede County

Population Group: Low Income-Laclede County

Lafayette County

Population Group: Low Income-Johnson/Lafayette Counties

Facility: Family Health Medical Practice

Facility: Health Care Coalition of Lafayette County

Lawrence County

Population Group: Low Income-Lawrence County

Lewis County

Service Area: Lewis County

Facility: Lewistown Rural Health Clinic

Lewis County

Facility: Quincy Medical Group-Canton

Facility: Quincy Medical Group-Labelle Rural Health

Lincoln County

Population Group: Low Income-Lincoln County

Facility: Mercy Hospital Lincoln Family Medicine and Psychiatry

Facility: Mercy Hospital Lincoln Family Medicine Elsberry

Facility: Troy Family Practice

PRIMARY CARE: Missouri

County and County Equivalent Listing

Page 159 of 309

Linn County

Population Group: Low Income-Macon/Linn Counties

Livingston County

Population Group: Low Income - Carroll/Livingston Counties

Macon County

Population Group: Low Income-Macon/Linn Counties

Madison County

Population Group: Low Income-Madison County

Maries County

Population Group: Low Income-Osage and Maries Counties

Marion County

Population Group: Low Income-Marion County

Facility: Hannibal Clinic

Facility: Hannibal Clinic Palmyra

Facility: Salt River Community Health Center

McDonald County

Population Group: Low Income-McDonald County

Facility: Anderson Rural Health Clinic

Facility: Goodman Family Clinic

Facility: Ozark Tricounty Health Center

Facility: Pineville Medical Clinic

Facility: Southwest City Community Clinic

Mercer County

Service Area: Mercer County

Miller County

Population Group: Low Income-Miller County

Facility: Lake Regional Clinic - Eldon

Facility: Lake Regional Clinic – Iberia

Mississippi County

Population Group: Low Income-Mississippi County

Moniteau County

Population Group: Low Income-Moniteau County

Monroe County

Population Group: Low Income-Ralls and Monroe Counties

PRIMARY CARE: Missouri

County and County Equivalent Listing

Page 160 of 309

Montgomery County

Population Group: Low Income-Montgomery County

Facility: Associated Medical Arts - Montgomery City

Facility: Ssm Health Medical Group - Family Medicine

Morgan County

Population Group: Low Income-Morgan County

Facility: Lake Regional Clinic – Laurie

New Madrid County

Population Group: Low Income-New Madrid County

Facility: Southeast Missouri Health Network

Newton County

Population Group: Low Income-Newton County

Facility: Eastern Shawnee Tribe

Nodaway County

Population Group: Low Income-Nodaway County

Oregon County

Population Group: Low Income-Oregon County

Osage County

Population Group: Low Income-Osage and Maries Counties

Facility: Community Health Center of Central Missouri

Ozark County

Population Group: Low Income-Ozark County

Pemiscot County

Population Group: Low Income-Dunklin/Pemiscot Counties

Perry County

Population Group: Low Income-Perry County

Facility: Perryville Family Care Clinic

Pettis County

Population Group: Low Income-Pettis County

Facility: Regional Health Care Clinic, Inc./Katy Trail

Phelps County

Population Group: Low Income-Phelps County

Facility: South Central Missouri Community Health Center

PRIMARY CARE: Missouri

County and County Equivalent Listing

Page 161 of 309

Pike County

Population Group: Low Income-Pike County

Facility: Eastern Missouri Health Services

Facility: Hannibal Clinic Bowling Green

Polk County

Population Group: Low Income-Dallas/Polk Counties

Pulaski County

Population Group: Low Income-Pulaski County

Facility: Central Ozark Medical

Putnam County

Population Group: Low Income-Putnam/Schuyler Counties

Ralls County

Population Group: Low Income-Ralls and Monroe Counties

Facility: Hannibal Clinic Center

Randolph County

Population Group: Low Income-Randolph County

Facility: Randolph County Health Department

Ray County

Population Group: Low Income-Ray County

Reynolds County

Population Group: Low Income-Carter/Reynolds/Shannon Counties

Facility: Missouri Highlands Health Center

Ripley County

Population Group: Low Income-Ripley County

Saline County

Population Group: Low Income-Saline County

Schuyler County

Population Group: Low Income-Putnam/Schuyler Counties

Facility: Lancaster Medical Services

Scotland County

Population Group: Low Income-Scotland County

Facility: Memphis Medical Services

Scott County

Population Group: Low Income-Scott County

Shannon County

Population Group: Low Income-Carter/Reynolds/Shannon Counties

PRIMARY CARE: Missouri

County and County Equivalent Listing

Page 162 of 309

Shelby County

Service Area: Shelby County

St. Charles County

Population Group: Low Income-Kinloch/Berkeley/Bridgeton

Facility: Crider Health Center

St. Clair County

Population Group: Low Income-St. Clair County

Facility: AC Clinic, Inc.

Facility: Osceola Medical Center

Facility: Sac-Osage Hospital Tri-County Clinic

St. Francois County

Population Group: Low Income-St. Francois/Ste. Genevieve Counties

St. Louis City

Population Group: Low Income-East Central St. Louis

Population Group: Low Income-North St. Louis City

St. Louis City

Population Group: Low Income-Southeast St. Louis

Population Group: Low Income-Southwest St. Louis City

Population Group: Low Income-West St. Louis

Facility: Affinia Health Centers

Facility: Family Care Health Centers

Facility: Myrtle Hilliard Davis Comprehensive Heal

Facility: People's Health Centers

St. Louis County

Population Group: Low Income-Central St Louis

Population Group: Low Income-Jennings

Population Group: Low Income-Kinloch/Berkeley/Bridgeton

Population Group: Low Income-Southwest St. Louis City

Facility: Jfk Health Center at St. Johns Mercy Medical Center

Ste. Genevieve County

Population Group: Low Income-St. Francois/Ste. Genevieve Counties

Facility: Family Health Care-Pointe Basse

Facility: St. Genevieve Family Health Clinic

Stoddard County

Population Group: Low Income-Stoddard County

Stone County

Population Group: Low Income-Stone County

Facility: White Oak Medical Clinic Inc. Crane

PRIMARY CARE: Missouri

County and County Equivalent Listing

Page 163 of 309

Sullivan County

Population Group: Low Income-Sullivan/Grundy Counties

Taney County

Population Group: Low Income-Taney County

Texas County

Population Group: Low Income-Texas County

Vernon County

Population Group: Low Income-Vernon/Barton Counties

Warren County

Population Group: Low Income-Warren County

Washington County

Population Group: Low Income-Washington County

Facility: Great Mines Health Center

Wayne County

Population Group: Low Income-Wayne County

Webster County

Population Group: Low Income-Webster County

Facility: Fordland Clinic Inc.

Worth County

Population Group: Low Income-Worth County

Wright County

Population Group: Low Income-Wright County

Facility: Hartville Medical Clinic

PRIMARY CARE: Montana

County and County Equivalent Listing

Page 164 of 309

Beaverhead County

Population Group: Low Income - Beaverhead County

Big Horn County

Population Group: Low Income-Bighorn County

Facility: Big Horn Valley Health Center

Facility: Crow - Pryor Health Station

Facility: Crow Agency PHS Indian Hospital

Facility: Crow-Lodge Grass Clinic

Facility: Lodge Grass Health Clinic

Blaine County

Service Area: Hill-Blaine County

Facility: Fort Belknap PHS Indian Hospital

Facility: Harlem PHS Indian Hospital

Facility: Hays Clinic/Eagle Child Health Center

Facility: Sweet Medical Center, Inc.

Broadwater County

Population Group: Low Income-Broadwater County

Carter County

Service Area: Carter and Fallon County

Cascade County

Population Group: Low Income - Cascade County

Facility: Cascade City County Health Department

Facility: Indian Family Health Clinic

Chouteau County

Service Area: Choteau County

Custer County

Population Group: Low Income - Custer County

Facility: Custer County Community Health Center

Facility: Holy Rosary Healthcare Clinic

Daniels County

Service Area: Daniels County

Facility: Daniels Memorial Medical Clinic

Deer Lodge County

Population Group: Low Income - Deer Lodge County

Fallon County

Service Area: Carter and Fallon County

PRIMARY CARE: Montana

County and County Equivalent Listing

Page 165 of 309

Fergus County

Population Group: Low Income-Fergus County

Facility: Central Montana Community Health Center

Flathead County

Population Group: Low Income - Flathead County

Facility: Flathead City-County Health Department

Gallatin County

Service Area: West Yellowstone

Garfield County

Service Area: Garfield County

Glacier County

Population Group: Low Income - Glacier County

Facility: Blackfeet Tribal Health Department

Facility: Browning PHS Indian Hospital

Facility: Glacier Community Health Center

Facility: Northern Rockies Medical Clinic

Golden Valley County

Service Area: Golden Valley County

Granite County

Service Area: Granite County

Hill County

Service Area: Hill-Blaine County

Facility: Bullhook Community Health Center

Facility: Rocky Boy Tribal Health Department

Jefferson County

Facility: Elkhorn Mountain Health Services Dba Boulder Medical Clinic

Judith Basin County

Service Area: Judith Basin County

Facility: Basin Medical Center

Lake County

Population Group: Low Income-Lake County

Facility: Flathead Tribal Health and Human Services

Facility: The Confederated Salish and Kootenai Tribal Health D

PRIMARY CARE: Montana

County and County Equivalent Listing

Page 166 of 309

Lewis and Clark County

Service Area: Lincoln Service Area

Service Area: Wolf Creek

Facility: Helena Indian Alliance

Facility: Lewis and Clark City/County Health Department

Liberty County

Service Area: Liberty County

Lincoln County

Population Group: Low Income - Lincoln County

Facility: Libby Clinic, Pllp

Facility: Lincoln County Community Health Center

Madison County

Population Group: Low Income - Madison County

Facility: Madison Valley Clinic

Facility: Ruby Valley Medical Clinic

Madison County

Facility: Twin Bridges Medical Clinic

Facility: Twin Bridges Rural Health Clinic

McCone County

Service Area: McCone County

Mineral County

Service Area: Mineral County

Facility: Mineral Regional Health Center

Missoula County

Service Area: Seeley Lake

Facility: Missoula City/County Health Department

Facility: Missoula Indian Center

Musselshell County

Service Area: Musselshell County

Park County

Population Group: Low Income-Park County

Facility: Community Health Partners

Facility: Livingston Healthcare Dba Park Clinic

Facility: Park Clinic - West Crawford

Petroleum County

Service Area: Petroleum County

PRIMARY CARE: Montana

County and County Equivalent Listing

Page 167 of 309

Phillips County

Service Area: Phillips County

Pondera County

Population Group: Low Income-Pondera County

Facility: Heart Butte Clinic

Facility: Heart Butte Health Station

Facility: Pondera Medical Center Clinic

Powder River County

Service Area: Powder River County

Powell County

Population Group: Low Income - Powell County

Facility: CF-Montana State Prison

Facility: Deerlodge State Prison

Prairie County

Service Area: Prairie County

Ravalli County

Population Group: Low Income - Ravalli County

Facility: Sapphire Community Health Inc.

Richland County

Facility: Sidney Health Center

Roosevelt County

Population Group: Low Income - Roosevelt County

Facility: Fort Peck Tribal Health Project

Facility: Poplar PHS Indian Health Center

Facility: Roosevelt Memorial Clinic

Facility: Wolf Point PHS Indian Health Center

Rosebud County

Service Area: Rosebud County

Facility: Ashland Community Health Center

Facility: Lame Deer PHS Indian Health Center

Facility: Northern Cheyenne Tribal Health Department

Facility: Rosebud Health Care Center

Sanders County

Population Group: Low Income - Sanders County

Sheridan County

Population Group: Low Income Sheridan County

PRIMARY CARE: Montana

County and County Equivalent Listing

Page 168 of 309

Silver Bow County

Population Group: Low Income - Silver Bow County

Facility: Butte-Silverbow Primary Health Care

Facility: North American Indian Alliance

Stillwater County

Service Area: Stillwater County

Sweet Grass County

Service Area: Sweet Grass County

Teton County

Population Group: Low Income - Choteau Service Area

Toole County

Population Group: Low Income - Toole County

Facility: Marias Healthcare Services, Inc.

Treasure County

Service Area: Treasure County

Valley County

Population Group: Low Income - Valley County

Wheatland County

Population Group: Low Income-Wheatland County

Wibaux County

Population Group: Low Income-Wibaux County

Yellowstone County

Population Group: Low Income - Yellowstone County

Facility: Indian Health Board of Billings

Facility: Montana Migrant Council

Facility: Yellowstone City/County Health Department

PRIMARY CARE: Nebraska

County and County Equivalent Listing

Page 169 of 309

Banner County

Service Area: Banner County

Blaine County

Service Area: Blaine County

Boone County

Facility: Boone County Medical Clinic

Brown County

Facility: Ainsworth Family Clinic

Burt County

Facility: Cottonwood Rural Health Clinic

Facility: Lyons Mercy Medical Clinic

Facility: Oakland Family Practice

Facility: Oakland Mercy Medical Clinic

Facility: Tekamah Mercy Medical Clinic

Cass County

Facility: Weeping Water Medical Center

Cedar County

Facility: Avera Medical Group - Hartington

Facility: Laurel Mercy Medical Clinic

Cherry County

Facility: Cherry County Clinic

Facility: Valentine Medical Clinic, LLC

Clay County

Facility: Edgar Medical Center

Facility: Sutton Family Practice

Colfax County

Facility: Chi Health Clarkson Clinic

Facility: Chi Health Howells Clinic

Facility: Chi Health Schuyler Clinic

Facility: Howells Family Practice

Cuming County

Facility: Dinklage Medical Clinic

Facility: Wisner Family Practice

Custer County

Facility: Arnold Medical Clinic

Facility: Callaway Medical Clinic

PRIMARY CARE: Nebraska

County and County Equivalent Listing

Page 170 of 309

Dawes County

Facility: Legend Buttes Health Services Clinic

Dawson County

Facility: Family Medicine Specialists

Facility: Gothenburg Medical Arts Rural Health Clinic

Deuel County

Population Group: Low Income-Sedgwick/Deuel (Colorado/Nebraska)

Dodge County

Facility: Scribner Medical Clinic

Douglas County

Facility: Charles Drew Medical Clinic

Facility: Fred Leroy Health and Wellness Clinic\Ponca Tribe of

Facility: Nebraska Urban Indian Health Coalition

Facility: One World Community Health Center

Dundy County

Facility: Quality Healthcare Services Medical Clinic-Benkelm

Fillmore County

Facility: Fillmore County Medical Center, P.C.

Franklin County

Facility: FCMH Campbell Medical Clinic

Facility: FCMH-Hildreth Medical Clinic

Facility: FCMH-Pool Medical Clinic

Frontier County

Service Area: Frontier County

Furnas County

Facility: Arapahoe Medical Clinic

Facility: Cambridge Medical Clinic

Gage County

Facility: Adams Primary Care

Facility: Community Physicians Clinic

Facility: Gage County Medical Clinic

Facility: The Beatrice Women's and Children's Clinic

Facility: Wymore Medical Clinic

Garden County

Facility: Regional West Garden County Clinic

PRIMARY CARE: Nebraska

County and County Equivalent Listing

Page 171 of 309

Garfield County

Facility: Burwell Family Practice Clinic

Hall County

Facility: Heartland Health Center, Inc.

Hayes County

Service Area: Hayes County

Hitchcock County

Service Area: Hitchcock County

Facility: Quality Healthcare Services Medical Clinic-Stratton

Holt County

Facility: Avera O'Neill Family Medicine

Facility: Greater Sandhills Family Healthcare - Atkinson

Holt County

Facility: Grtr Sandhills Family Healthcare-Stuart

Facility: West Holt Medical Clinic

Howard County

Facility: Howard County Medical Clinic

Facility: Tecumseh Family Health Care

Facility: Tecumseh State Correctional Facility

Keya Paha County

Service Area: Keya Paha County

Kimball County

Facility: Kimball County Hospital Clinic

Knox County

Facility: Santee Sioux Nation

Lancaster County

Facility: Lincoln Correctional Center

Facility: Nebraska State Penitentiary

Facility: Nebraska Urban Indian Medical Center

Facility: People's Health Center

Facility: Ponca Tribe of Nebraska

Lincoln County

Facility: Brady Rural Health Clinic

Logan County

Service Area: Logan County

PRIMARY CARE: Nebraska

County and County Equivalent Listing

Page 172 of 309

Madison County

Facility: Midtown Health Center, Inc.

Facility: Ponca Hills Health and Wellness Center\Ponca Tribe O

Merrick County

Facility: Lone Tree Medical Associates, P.C.

Morrill County

Facility: Chimney Rock Medical Center

Facility: Morrill County Hospital Clinic

Nance County

Facility: Lone Tree Medical Associates - Fullerton

Facility: Nance County Medical Clinic

Facility: Park Street Medical Clinic

Nuckolls County

Facility: Superior Family Medical Center - Nelson

Facility: Superior Family Medical Center – Superior Otoe County

Facility: Nebraska City Medical Clinic

Facility: Syracuse Medical Center

Pawnee County

Facility: Pawnee County Rural Health Clinic

Pierce County

Facility: Chi Health Plainview Clinic

Platte County

Facility: East Central District Health Department

Red Willow County

Facility: Indianola Medical Clinic

Richardson County

Facility: Family Medicine

Facility: Humboldt Family Medicine

Rock County

Facility: Greater Sandhills Family Healthcare-Bass

Facility: Rock County Clinic

Saunders County

Facility: Saunders Medical Clinic

Scotts Bluff County

Facility: Community Action Partnership of Western Nebraska

PRIMARY CARE: Nebraska

County and County Equivalent Listing

Page 173 of 309

Sheridan County

Facility: Gordon Clinic

Facility: Rushville Clinic

Thayer County

Facility: Chester Medical Clinic

Facility: Davenport Medical Clinic

Facility: Deshler Medical Clinic

Facility: Tchs Bruning Medical Clinic

Facility: Thayer County Health Services

Thurston County

Facility: Carl T. Curtis Health Center

Facility: Winnebago PHS Indian Hospital

Valley County

Facility: North Loup Medical Clinic

Facility: Vchs Medical Clinic (Formerly Ord Family Health Center)

Washington County

Facility: Fort Calhoun Clinic

Facility: Mch Physicians

Wayne County

Facility: Wayne Mercy Medical Clinic

Webster County

Facility: Main Street Medical Clinic

Facility: Webster County Clinic

York County

Facility: Henderson Health Care Services

PRIMARY CARE: Nevada

County and County Equivalent Listing

Page 174 of 309

Carson City

Population Group: Low Income-Carson City/Indian Hills

Facility: Nevada Health Centers

Facility: Northern Nevada Correctional Facility

Facility: Warm Springs Correctional Center

Churchill County

Service Area: Churchill/Lyon/Mineral/Pershing Counties

Facility: Fallon Health Center

Clark County

Service Area: Boulder City

Service Area: Indian Springs

Service Area: Laughlin

Service Area: Northern Clark Service Area

Population Group: Low Income - Mesquite

Population Group: Low Income North Las Vegas/Downtown Las Vegas

Population Group: Low Income-Henderson

Population Group: Low Income-South Las Vegas Paradise

Population Group: Low Income-Spring Valley

Population Group: Low Income-West Central Las Vegas

Facility: First Person Care Clinic

Facility: Firstmed Health and Wellness Center

Facility: Florence McClure Correctional Center

Facility: High Desert State Prison

Facility: Hope Christian Health Center Corporation

Facility: Las Vegas Indian Center

Facility: Las Vegas Paiute Tribe

Facility: Moapa Band of Paiutes

Facility: Moapa Health Clinic

Facility: Searchlight Healthcare, Inc.

Facility: Silver State Health Services

Facility: Southern Desert Correctional Center

Douglas County

Service Area: South Douglas County

Population Group: Low Income-Carson City/Indian Hills

Population Group: Low Income-Minden/Gardnerville

Facility: Minden Family Medicine

Facility: Topaz Ranch Medical Clinic

Facility: Washoe Tribal Health Center-Gardnerville Health Center

Elko County

Service Area: Eastern Elko Service Area

Service Area: Mountain City/Jarbridge Service Area

Service Area: Spring Creek

PRIMARY CARE: Nevada

County and County Equivalent Listing

Page 175 of 309

Elko County

Facility: Elko Band Council

Facility: Elko Health Center

Facility: Owyhee Community Hospital

Facility: South Fork Band Council

Facility: Te-Moak Tribe of Western Shoshone

Esmeralda County

Service Area: Esmeralda County

Eureka County

Service Area: Eureka County

Humboldt County

Population Group: Low Income-Humboldt

Facility: Humboldt General Rural Health Clinic

Lander County

Service Area: Lander County

Facility: Battle Mountain Band

Facility: Battle Mountain Clinic

Facility: Yomba Shoshone Tribe

Lincoln County

Service Area: Lincoln County

Lyon County

Service Area: Churchill/Lyon/Mineral/Pershing Counties

Facility: Silver Springs Rural Health Centers

Facility: South Lyon Health Center - Barnett

Facility: South Lyon Physicians Clinic

Facility: Yerington Paiute Tribe

Malheur County

Facility: Fort McDermitt Tribal Health Center

Mineral County

Service Area: Churchill/Lyon/Mineral/Pershing Counties

Facility: Mt. Grant Medical Building

Facility: Walker River Paiute Tribal Health Center

Nye County

Population Group: Low Income - Southern Nye County

Population Group: Low Income-Northern Nye County

Facility: Duck Valley Shoshone Tribe

Facility: Duckwater Shoshone Tribe

PRIMARY CARE: Nevada

County and County Equivalent Listing

Page 176 of 309

Pershing County

Service Area: Churchill/Lyon/Mineral/Pershing Counties

Facility: Lovelock Correctional Center

Facility: Lovelock Paiute Tribe

Facility: Pershing General Hospital and Nursing Home Physician Center

Storey County

Service Area: Storey County

Washoe County

Service Area: Incline Village

Service Area: Northern Washoe

Population Group: Low Income Reno

Facility: Health Access Washoe

Facility: Indian Health Board of Nevada

Facility: Inter-Tribal Council of Nevada

Facility: Nevada Urban Indians, Inc.

Facility: Northern Nevada Hopes

Facility: Pyramid Lake Tribal Health Center

Facility: Reno-Sparks Shoshone Paiute Health Center

Facility: Smith Valley Physicians Clinic

White Pine County

Facility: Ely Health Station

Facility: Ely State Prison-Correctional Facility

Facility: Newe Medical Clinic\Ely Shoshone Tribe

Facility: William Bee Ririe Hospital-Rural Health Clinic

PRIMARY CARE: New Hampshire

County and County Equivalent Listing

Page 177 of 309

Carroll County

Service Area: Moultonborough Area

Population Group: Low Income-Conway

Facility: Saco River Medical Group

Cheshire County

Service Area: Hillsborough

Population Group: Low Income-Southwestern Cheshire County

Coos County

Population Group: Low Income - Coos County

Facility: Coos County Family Health Services

Facility: Federal Correctional Institution - Berlin

Facility: Indian Stream Health Center

Facility: North New Hampshire State Correctional Facility

Facility: Weeks Medical Center - Groveton

Facility: Weeks Medical Center - Lancaster

Facility: Weeks Medical Center – Whitefield

Grafton County

Population Group: Low Income-Central NH

Population Group: Low Income-Northern Grafton County

Facility: Ammonoosuc Community Health Services

Facility: Cottage Hospital Internal Medicine

Facility: Mid State Health Center

Facility: Mid-State Health Center-Bristol

Facility: Speare Medical Associates

Hillsborough County

Service Area: Hillsborough

Facility: City of Manchester - Public Health Department - HCH

Facility: Harbor Homes, Inc.

Facility: Manchester Community Health Center

Merrimack County

Service Area: Hillsborough

Population Group: Low Income-Central NH

Facility: Health First Family Care

Rockingham County

Facility: Families First of the Greater Seacoast

Facility: Lamprey Healthcare

Strafford County

Facility: Avis Goodwin Community Health Center

PRIMARY CARE: New Hampshire

County and County Equivalent Listing

Page 178 of 309

Sullivan County

Service Area: Hillsborough

Population Group: Low Income-Southern Sullivan County

Facility: Charlestown Family Medical

Sullivan County

Facility: Newport Health Center

PRIMARY CARE: New Jersey

County and County Equivalent Listing

Page 179 of 309

Atlantic County

Facility: Atlanticare Health Services

Facility: Southern Jersey Family Medical

Burlington County

Facility: Federal Correctional Institution - Fort Dix

Camden County

Facility: Camcare Health Corporation

Facility: Osborn Family Health Center

Facility: Project H.O.P.E. Inc.

Cumberland County

Facility: Bayside State Prison

Facility: Community Health Care, Inc.

Facility: Federal Correctional Institution - Fairton

Facility: South Woods State Prison

Facility: Southern State Correctional Facility

Essex County

Facility: Newark City Health and Human Services

Facility: Newark Community H ealth

Facility: Northern State Prison

Facility: Rutgers, the State University of New Jersey - Newark

Facility: Saint James Health Inc.

Hudson County

Facility: Horizon Health Center

Facility: Metropolitan Family Health Network

Facility: North Hudson Community Action Corporation

Hunterdon County

Facility: Mountainview Youth Correctional Facility

Mercer County

Facility: Garden State Youth Correctional Facility

Facility: Henry J. Austin Health

Middlesex County

Facility: Chandler Health

Facility: Jewish Renaissance Foundation Community Health Center

Facility: Jewish Renaissance Medical Center

Facility: Rutgers the State University of New Jersey

Monmouth County

Facility: Monmouth Family Health Center

Facility: Visiting Nurse Association of Cent Jersey Community

PRIMARY CARE: New Jersey

County and County Equivalent Listing

Page 180 of 309

Morris County

Facility: Zufall Community Clinic

Ocean County

Facility: Lakewood Resource and Referral Center Dba Chemed

Ocean County

Facility: Ocean Health Initiatives, Inc.

Passaic County

Facility: Paterson Community Health Center

Union County

Facility: East Jersey State Prison

Facility: Immigration and Customs Enforcement - Elizabeth

Facility: Plainfield Neighborhood Health Services

PRIMARY CARE: New Mexico

County and County Equivalent Listing

Page 181 of 309

Bernalillo County

Population Group: Low Income - South East Heights

Facility: Albuquerque Healthcare

Facility: Albuquerque PHS Indian Hospital

Facility: First Choice Community Healthcare, Inc.

Facility: First Nations Community Health

Facility: Isleta Health Center

Facility: To'Hajiilee Canoncito Health Center

Catron County

Service Area: Catron County

Chaves County

Service Area: Chaves County

Cibola County

Service Area: Cibola County

Facility: Acoma-Canoncito Laguna PHS Health Center

Facility: New Mexico Womens Correctional Facility

Facility: New Sunrise Regional Treatment Center

Facility: Pine Hill Indian Health Center

Facility: Ramah Navajo School Board, Inc.

Facility: Western New Mexico Correctional Facility

Colfax County

Service Area: Colfax County

Curry County

Population Group: Low Income - Curry County

De Baca County

Service Area: De Baca County

Facility: Debaca Hospital/Family Practice Center

Dona Ana County

Service Area: Hatch

Service Area: Southern Dona Ana

Facility: Ben Archer Community Health Center

Facility: La Clinica De Familia

Facility: St. Luke's Health Care Clinic

Eddy County

Population Group: Low Income - Eddy County

Grant County

Population Group: Low Income - Grant County

PRIMARY CARE: New Mexico

County and County Equivalent Listing

Page 182 of 309

Guadalupe County

Service Area: Guadalupe County

Facility: CF-Guadalupe County Correctional Facility

Harding County

Service Area: Harding County

Hidalgo County

Service Area: Hidalgo County

Facility: Hidalgo Medical Service

Lea County

Service Area: Lea County

Lincoln County

Service Area: Lincoln County

Facility: Carrizozo Health Center

Luna County

Population Group: Low Income - Luna County

McKinley County

Service Area: McKinley County

Facility: Crownpoint Comprehensive Health Center

Facility: Gallup Indian Medical Center

Facility: Presbyterian Medical Services

Facility: Pueblo Pintado Health Center

Facility: Tohatchi PHS Indian Health Center

Facility: Zuni Health Program

Facility: Zuni PHS Indian Hospital

Mora County

Service Area: Mora County

Facility: Mora Valley Community Health Services, Inc.

Otero County

Population Group: Low Income - Otero County

Facility: Mescalero PHS Indian Hospital

Quay County

Service Area: Quay County

PRIMARY CARE: New Mexico

County and County Equivalent Listing

Page 183 of 309

Rio Arriba County

Service Area: Coyote Service Area

Service Area: Dixon/Chimayo

Service Area: Rio Chama

Service Area: Western Rio Arriba

Population Group: Low Income - Tierra Amarilla/Vallecitas

Facility: Circle of Life Behavioral Health

Facility: Eight Northern Indian Pueblos, Inc.

Facility: El Centro Family Health

Facility: Jicarilla PHS Indian Health Center

Facility: La Clinica Del Pueblo De Rio Arriba

Facility: Las Clinicas Del Norte

Facility: Presbyterian Healthcare Services

Facility: San Juan Pueblo Health Program

Facility: Santa Clara PHS Indian Health Center

Roosevelt County

Service Area: Roosevelt County

Facility: Las Casa De Buena Salud

San Juan County

Service Area: San Juan County

Facility: Dzilth-Na-O-Dith-Hle PHS Indian Health Center

Facility: Northern Navajo Medical Center-Shiprock Service Un

San Miguel County

Population Group: Low Income - San Miguel County

Facility: Pecos Valley Medical

Sandoval County

Service Area: Cuba

Service Area: Southern Sandoval

Facility: Cochiti Health Clinic

Facility: El Pueblo Health Services

Facility: Five Sandoval Indian Pueblos, Inc.

Facility: Jemez Health and Human Services

Facility: Pueblo of Jemez

Facility: San Felipe Health Program

Facility: Sandia Health Clinic

Facility: Santa Ana Health Clinic

Facility: Zia Health Clinic

Facility: Zia Pueblo Health Program

PRIMARY CARE: New Mexico

County and County Equivalent Listing

Page 184 of 309

Santa Fe County

Service Area: Cerrillos/Madrid/Edgewood

Population Group: Low Income - Santa Fe/LA Familia

Facility: La Familia Medical Center

Facility: Penitentiary of New Mexico

Facility: San Ildefonso Pueblo Health Program

Facility: Santa Clara Pueblo Health Program

Facility: Sante Fe PHS Indian Hospital

Facility: Santo Domingo Health Program

Facility: Tesuque Pueblo Health Program

Sierra County

Service Area: Sierra County

Socorro County

Service Area: Socorro County

Facility: Alamo Navajo Health Center

Taos County

Population Group: Low Income - Taos County

Facility: Holy Cross Hospital Rural Health

Facility: Taos CHR Program

Taos County

Facility: Taos PHS Indian Health Center

Facility: Taos Picuris Health Center

Torrance County

Service Area: Torrance County

Union County

Service Area: Union County

Valencia County

Service Area: Valencia County

Facility: Central New Mexico Correctional Facility

Facility: Pueblo of Laguna of Community Health and Wellness

PRIMARY CARE: New York

County and County Equivalent Listing

Page 185 of 309

Albany County

Facility: Whitney Young, Jr. Health Center

Allegany County

Population Group: Me - Allegany County

Bronx County

Population Group: Me - Northeast Bronx

Population Group: Medicaid Eligible - Fordham/Norwood

Population Group: Medicaid Eligible - Highbridge

Population Group: Medicaid Eligible - Hunts Point/Mott Haven

Population Group: Medicaid Eligible - Morris Heights

Population Group: Medicaid Eligible - Morrisania

Population Group: Medicaid Eligible - Parkchester/Throgs Neck

Population Group: Medicaid Eligible - Soundview/West Farms

Population Group: Medicaid Eligible - Tremont

Facility: Brightpoint Health

Facility: Bronx Community Health Network

Facility: Bronx Lebanon Integrated Services System

Facility: Hunts Point Multi-Service Center, Inc.

Facility: La Casa De Salud, Inc.

Facility: Morris Heights Health Center, Inc.

Facility: Union Community Health Center

Facility: Urban Health Plan, Inc.

Facility: Vip Community Health Center

Broome County

Population Group: Medicaid Eligible - Deposit

Population Group: Medicaid Eligible - Greater Binghamton Service are

Cattaraugus County

Service Area: Cattaraugus County

Facility: Lionel John/Allegany I.R. Health Center

Facility: Southern Tier Community Health Center Network D/B/

Cayuga County

Population Group: Me - South Cayuga

Population Group: Medicaid Eligible - Oswego

Facility: East Hill Family Medical, Inc.

Chautauqua County

Population Group: Me-Chautauqua County

Facility: The Chautauqua Center

Chenango County

Population Group: Medicaid Eligible - Chenango County

PRIMARY CARE: New York

County and County Equivalent Listing

Page 186 of 309

Clinton County

Population Group: Medicaid Eligible - Clinton County

Cortland County

Population Group: Medicaid Eligible - Cortland County

Facility: Family Health Network of Central New York

Delaware County

Service Area: East Delaware County

Population Group: Low Income - Walton Service Area

Population Group: Medicaid Eligible – Deposit

Erie County

Service Area: Buffalo Service Area

Facility: Cattaraugus Indian Reservation Health Center

Facility: Community Health Center of Buffalo

Facility: Hertel-Elmwood Health Center

Facility: Jericho Road Ministries Inc.

Facility: Northwest Buffalo Community Health Center

Essex County

Facility: Association Community Action of Northeast Adironda

Facility: Federal Correctional Institution - Ray Brook

Facility: Mineville Health Center

Franklin County

Population Group: Medicaid Eligible - Canton/Potsdam

Population Group: Medicaid Eligible - Eastern Franklin County

Population Group: Medicaid Eligible - Northwest Franklin County

Facility: St. Regis Mohawk Health Services

Fulton County

Population Group: Medicaid Eligible - Fulton County

Genesee County

Facility: Immigration and Customs Enforcement - Buffalo

Facility: Tonawanda Seneca Nation

Greene County

Population Group: Medicaid Eligible - Greene County

Facility: Greenville Family Health Center

Hamilton County

Service Area: South Hamilton

Herkimer County

Population Group: Medicaid Eligible - Herkimer County

PRIMARY CARE: New York

County and County Equivalent Listing

Page 187 of 309

Jefferson County

Population Group: Medicaid Eligible - Gouverneur Service Area

Population Group: Me-Lowville Service Area

Population Group: Me-Watertown

Facility: North Country Children's Clinic

Kings County

Population Group: Me - Borough Park

Kings County

Population Group: Me - Coney Island

Population Group: Me - Crown Heights - Bedford-Stuyvesant

Population Group: Me - East Flatbush and Brownsville

Population Group: Me - East New York - Brooklyn

Population Group: Me - Sunset Park

Population Group: Me - Williamsburg Service Area

Population Group: Me-Bushwick

Population Group: Me-Ozone Park

Facility: Bedford Stuyvesant Family Health Center, Inc.

Facility: Brooklyn Plaza Medical Center, Inc.

Facility: Brownsville Community

Facility: Ezra Medical Center

Facility: Housing Works, Inc.

Facility: Icl Healthcare Choices, Inc.

Facility: Lasante Health Center, Inc.

Facility: Metropolitan Detention Center - Brooklyn

Facility: ODA Primary Care Health

Facility: Sunset Park Family Health

Lewis County

Population Group: Medicaid Eligible - Boonville

Population Group: Me-Lowville Service Area

Livingston County

Population Group: Me - Livingston County

Madison County

Population Group: Medicaid Eligible - Hamilton

Facility: Oneida Nation

Facility: Oneida Nation of New York Health Program

PRIMARY CARE: New York

County and County Equivalent Listing

Page 188 of 309

Monroe County

Population Group: Me - Eastside Rochester

Facility: Anthony Jordan Health Center

Facility: His Branches Health Services

Facility: Oak Orchard Community

Facility: Rochester Primary Care Network

Facility: St. Mary's Hospital of the Sisters

Facility: Trillium Health, Inc.

Montgomery County

Population Group: Medicaid Eligible - Montgomery County

Nassau County

Population Group: Medicaid Eligible - Rockaway

Facility: Nassau Health Care Corporation

New York County

Population Group: Medicaid Eligible - East Harlem

Population Group: Me-Washington Heights/Inwood

Facility: Ahrc Health Care Inc.

Facility: American Indian Community House

Facility: Asian and Pacific Islander Coalition (Apicha)

Facility: Betances Health Center

Facility: Boriken Neighborhood

Facility: Care for the Homeless

Facility: Charles B. Wang Community Health Center, Inc.

Facility: Community Healthcare Network

Facility: Covenant House

Facility: Heritage Health and Housing, Inc.

Facility: Institute for Family Health

Facility: Metropolitan Correctional Center-New York

Facility: Morningside Clinic

Facility: Mount Sinai Adolescent Health Center

Facility: New York Children's Health Project

Facility: New York Health and Hospitals Corporation

Facility: Project Renewal

Facility: Settlement Health

Facility: Upper Room AIDS Ministry, Inc.

Facility: William F. Ryan Community Health Center

Niagara County

Service Area: Niagara Falls

Facility: Tuscarora Nation

PRIMARY CARE: New York

County and County Equivalent Listing

Page 189 of 309

Oneida County

Service Area: Camden Service Area

Population Group: Medicaid Eligible - Boonville

Population Group: Medicaid Eligible - Hamilton

Population Group: Medicaid Eligible - Rome Primary Care Service Area

Population Group: Medicaid Eligible - Utica

Facility: Upstate Family Health Center, Inc.

Onondaga County

Population Group: Medicaid Eligible - Syracuse

Facility: Onondaga Nation of New York

Facility: Syracuse Community Health Center

Ontario County

Population Group: Low Income - Finger Lakes Tri-County

Orange County

Population Group: Medicaid Eligible - Newburgh City

Facility: Ezras Cholim Health Center, Inc.

Orange County

Facility: Federal Correctional Institution - Otisville

Facility: Greater Hudson Valley Family Health Center

Facility: Middletown Community Health Center

Orleans County

Population Group: Medicaid Eligible - Orleans County

Oswego County

Population Group: Medicaid Eligible - Oswego

Facility: Northern Oswego

Otsego County

Population Group: Me-Otsego County

Queens County

Population Group: Me-Bushwick

Population Group: Medicaid Eligible - Elmhurst

Population Group: Medicaid Eligible - Long Island City

Population Group: Medicaid Eligible - Rockaway

Population Group: Medicaid Eligible - South Jamaica

Population Group: Me-Ozone Park

Facility: J. P. Addabbo Family

Facility: Project Samaritan Health Services

Facility: The Floating Hospital

PRIMARY CARE: New York

County and County Equivalent Listing

Page 190 of 309

Richmond County

Population Group: Medicaid Eligible - Port Richmond

Facility: Beacon Christian Community Health Center

Facility: Community Health Center of Richmond

Rockland County

Population Group: Medicaid Eligible - Monsey/New Square

Facility: Community Medical and Dental Care, Inc.

Facility: Refuah Health Center

Schenectady County

Population Group: Medicaid Eligible - Hamilton Hill/Mount Pleasant

Facility: Schenectady Family Health Services/Dba Hometown He

Schoharie County

Population Group: Medicaid Eligible - Schoharie County

Schuyler County

Population Group: Medicaid Eligible - Schuyler County

Seneca County

Population Group: Low Income - Finger Lakes Tri-County

St. Lawrence County

Service Area: Star Lake

Population Group: Medicaid Eligible - Canton/Potsdam

Population Group: Medicaid Eligible - Gouverneur Service Area

St. Lawrence County

Population Group: Medicaid Eligible - Massena

Population Group: Medicaid Eligible - Ogdensburg

Facility: Cerebral Palsy Association of North Country

Steuben County

Service Area: Elkland (PA/NY)

Service Area: Westfield Service Area

Population Group: Me-Greater Steuben

Facility: Tri County Family Medicine Program

Suffolk County

Facility: Shinnecock Indian Nation

Sullivan County

Service Area: Cochecton

Population Group: Medicaid Eligible - Liberty Service Area

Tioga County

Population Group: Medicaid Eligible - Tioga County

PRIMARY CARE: New York

County and County Equivalent Listing

Page 191 of 309

Tompkins County

Population Group: Me-Tompkins County

Warren County

Facility: Hudson Headwaters Health Network

Westchester County

Population Group: Me - Northeast Bronx

Population Group: Me-Yonkers

Facility: Hudson River Healthcare

Facility: Mt. Vernon Neighborhood Health Center

Facility: Open Door Family Medical Center

Yates County

Population Group: Low Income - Finger Lakes Tri-County

Facility: Finger Lakes Migrant Health Center

PRIMARY CARE: North Carolina

County and County Equivalent Listing

Page 192 of 309

Alamance County

Population Group: Mi-Alamance County

Alexander County

Population Group: Mi-Alexander County

Alleghany County

Population Group: Low Income - Alleghany County

Facility: Appalachian District Health Department

Anson County

Service Area: Anson County

Facility: Anson Regional Medical Services, Inc.

Ashe County

Population Group: Low Income - Ashe County

Avery County

Population Group: Low Income-Avery County

Beaufort County

Service Area: Belhaven/Swan Quarter

Population Group: Low Income - Bayboro/Aurora

Facility: Metropolitan Community Health

Bertie County

Population Group: Mi-Bertie County

Facility: Bertie County Rural Health Association

Facility: Cashie Medical Center

Bladen County

Population Group: Mi-Bladen County

Brunswick County

Population Group: Mi - Brunswick County

Buncombe County

Population Group: Medically Indigent - Buncombe County

Facility: Appalachian Mountain Community Health Centers

Facility: Western North Carolina Community Health

Burke County

Population Group: Mi-Burke County

Cabarrus County

Facility: Cabarrus Community Health Center

PRIMARY CARE: North Carolina

County and County Equivalent Listing

Page 193 of 309

Caldwell County

Population Group: Mi-Caldwell County

Facility: Collettsville Medical Center

Facility: West Caldwell Health Council, Inc.

Camden County

Service Area: Camden County

Carteret County

Population Group: Mi-Carteret County

Caswell County

Facility: Caswell Family Medical Center

Catawba County

Population Group: Mi - Catawba County

Cherokee County

Population Group: Mi-Cherokee County

Chowan County

Population Group: Mi-Chowan County

Clay County

Service Area: Clay County

Cleveland County

Population Group: Mi - Cleveland County

Facility: Kings Mountain Medical Center

Columbus County

Population Group: Mi - Columbus County

Facility: Chadbourn Family Practice Center

Facility: Columbus County Community Health Center

Craven County

Population Group: Mi-Craven County

Facility: Craven County Government

Cumberland County

Population Group: Mi - Cumberland County

Facility: Community Health Interventions and Sickle Cell Agency

Facility: Stedman-Wade Health Services

Currituck County

Service Area: Currituck County

PRIMARY CARE: North Carolina

County and County Equivalent Listing

Page 194 of 309

Dare County

Service Area: Hatteras/Ocracoke

Duplin County

Population Group: Mi-Duplin County

Facility: Goshen Medical Center

Durham County

Facility: Lincoln Community Health Center

Edgecombe County

Population Group: Low Income/Migrant Farmworker - Edgecombe County

Facility: Opportunities Industrialization Center Inc.

Facility: Rocky Mount OIC Family Medical Center

Forsyth County

Population Group: Low Income-Winston-Salem

Facility: Southside United Health Center

Franklin County

Population Group: Mi-Franklin County

Gaston County

Population Group: Mi-Gaston County

Facility: Gaston Family Health Services, Inc.

Gates County

Service Area: Gates County

Facility: Gateway Community Health Centers, Inc.

Graham County

Service Area: Graham County

Granville County

Population Group: Mi-Granville County

Facility: Federal Correctional Complex-Butner

Facility: Granville Family Medicine PA

Facility: Granville Internal Medical and Geriatrics

Greene County

Facility: Greene County Health Care, Inc.

Guilford County

Population Group: Mi-Guilford County

Facility: Triad Adult and Pediatric Medicine

Halifax County

Population Group: Mi-Halifax County

Facility: Medical Clinic of Enfield

PRIMARY CARE: North Carolina

County and County Equivalent Listing

Page 195 of 309

Harnett County

Service Area: Harnett County

Facility: First Choice Community Health Centers

Haywood County

Population Group: Mi - Haywood County

Henderson County

Population Group: Migrant Farmworker-Henderson/Polk Counties

Facility: Blue Ridge Community Health Services, Inc.

Hertford County

Facility: Roanoke-Chowan Community Health Center

Hoke County

Service Area: Hoke County

Facility: Hoke Family Medical Center

Hyde County

Service Area: Belhaven/Swan Quarter

Service Area: Hatteras/Ocracoke

Facility: Ocracoke Health Center

Iredell County

Facility: Harmony Medical Care PA

Jackson County

Population Group: Mi-Jackson County

Johnston County

Service Area: Johnston County

Facility: Benson Area Medical Center

Jones County

Population Group: Low Income-Jones County

Lee County

Population Group: Mi-Lee County

Lenoir County

Population Group: Mi-Lenoir County

Facility: Kinston Community Health Center

Macon County

Population Group: Mi-Macon County

PRIMARY CARE: North Carolina

County and County Equivalent Listing

Page 196 of 309

Madison County

Population Group: Mi-Madison County

Facility: Hot Springs Health Program

Martin County

Population Group: Mi - Martin County

McDowell County

Population Group: Mi - McDowell County

Mecklenburg County

Population Group: Mi-Charlotte

Facility: C.W. Williams Community Health Center

Facility: Charlotte Community Health Clinic

Mitchell County

Population Group: Mi-Mitchell/Yancey Counties

Facility: Bakersville Community Medical Clinic

Montgomery County

Service Area: Montgomery County

Nash County

Population Group: Mi-Nash County

New Hanover County

Facility: New Hanover Community Health Center

Northampton County

Service Area: Northampton County

Facility: Rural Health Group, Inc.

Onslow County

Population Group: Mi - Onslow County

Orange County

Facility: Piedmont Health Services

Pamlico County

Population Group: Low Income - Bayboro/Aurora

Pasquotank County

Population Group: Mi-Pasquotank County

PRIMARY CARE: North Carolina

County and County Equivalent Listing

Page 197 of 309

Pender County

Population Group: Mi - Pender County

Facility: Black River Family Practice-Burgaw

Facility: Black River Health Center-Arkinson

Facility: Black River Health Services Inc.

Facility: Maple Hill Medical Center

Perquimans County

Population Group: Mi - Perquimans County

Person County

Facility: Person Family Medical Center

Pitt County

Population Group: Mi-Pitt County

Polk County

Population Group: Migrant Farmworker-Henderson/Polk Counties

Facility: Saluda Medical Center Inc.

Randolph County

Population Group: Mi-Randolph County

Facility: Medical Resource Center for Randolph County, Inc.

Richmond County

Population Group: Mi - Richmond County

Robeson County

Service Area: Robeson County

Facility: Dr. Arthur Jr. Robinson Medical Clinic

Facility: Fairmont Medical Clinic

Facility: Johnson Medical Clinic

Facility: Maxton Family Practice Center

Facility: Riverquest Medical Care

Facility: Robeson Healthcare Corporation

Facility: Rowland Medical Clinic

Rockingham County

Population Group: Mi-Rockingham County

Facility: RMSA Health Center, Inc.

Rowan County

Population Group: Mi-Rowan County

Rutherford County

Population Group: Mi-Rutherford County

Facility: Community Clinic of Rutherford County

PRIMARY CARE: North Carolina

County and County Equivalent Listing

Page 198 of 309

Sampson County

Population Group: Mi-Sampson County

Facility: Tri-County Community

Scotland County

Population Group: Mi - Scotland County

Facility: Laurel Hill Medical Clinic

Facility: Scotland Correctional Institution

Stanly County

Population Group: Mi - Stanly County

Stokes County

Service Area: Danbury

Facility: Westfield Medical Center

Surry County

Population Group: Mi-Surry County

Swain County

Population Group: Low Income-Swain County

Facility: Analenisigi Center

Facility: PHS Indian Hospital - Cherokee

Facility: Unity Healing Center

Transylvania County

Population Group: Low Income-Transylvania County

Tyrrell County

Service Area: Tyrrell County

Wake County

Facility: North Carolina Department of Health and Human Services

Facility: Wake Health Services, Inc.

Warren County

Population Group: Mi-Warren County

Washington County

Service Area: Washington County

Watauga County

Facility: High Country Community Health

Wayne County

Population Group: Mi - Wayne County

PRIMARY CARE: North Carolina

County and County Equivalent Listing

Page 199 of 309

Wilkes County

Population Group: Mi-Wilkes County

Facility: Wilkes County Wilson County

Service Area: Wilson County

Facility: Carolina Family Health Center

Facility: Johnston Family Care Center

Yancey County

Population Group: Mi-Mitchell/Yancey Counties

PRIMARY CARE: North Dakota

County and County Equivalent Listing

Page 200 of 309

Barnes County

Service Area: Wimbledon

Benson County

Service Area: Benson County

Facility: Fort Totten PHS Indian Health Center

Facility: Spirit Lake Tribe

Billings County

Service Area: Billings County

Bottineau County

Service Area: Bottineau County

Facility: St. Andrews Bottineau Clinic

Bowman County

Service Area: Bowman County

Burke County

Service Area: Burke County

Burleigh County

Facility: North Dakota State Penitentiary

Cass County

Facility: Family Healthcare Center

Cavalier County

Service Area: Cavalier County

Dickey County

Service Area: Dickey County

Divide County

Service Area: Divide County

Dunn County

Service Area: Dunn County

Eddy County

Service Area: Eddy/Foster

Emmons County

Service Area: Emmons County

Facility: Linton Medical Center

PRIMARY CARE: North Dakota

County and County Equivalent Listing

Page 201 of 309

Foster County

Service Area: Eddy/Foster

Facility: Foster County Medical Center

Golden Valley County

Service Area: Golden Valley County

Grand Forks County

Service Area: Northwood

Facility: Valley Community Health Centers

Grant County

Service Area: Grant County

Grant County

Facility: Jacobson Memorial Community Clinic

Griggs County

Service Area: Griggs County

Kidder County

Service Area: Kidder County

LaMoure County

Service Area: Lamoure County

Facility: Rural Health Kulm

Logan County

Service Area: Logan County

Facility: Rural Health - Gackle

Facility: Rural Health Napoleon

McHenry County

Service Area: McHenry County

McIntosh County

Service Area: McIntosh County

Facility: AMC Zeeland Clinic

Facility: Rural Health Wishek

McKenzie County

Service Area: McKenzie County

Facility: Three Affiliated Tribes

McLean County

Service Area: McLean County

Facility: Northland Health Partners Community Health Center

PRIMARY CARE: North Dakota

County and County Equivalent Listing

Page 202 of 309

Mercer County

Service Area: Mercer County

Facility: Coal Country Community Health Center

Facility: Sakakawea Beulah Clinic

Facility: Sakakawea Hazen Clinic

Morton County

Service Area: East Morton

Service Area: West Morton/East Stark

Mountrail County

Service Area: Mountrail County

Facility: Fort Berthold PHS Indian Health Center

Facility: Mountrail County Rural Health Center

Nelson County

Service Area: Nelson County

Oliver County

Service Area: Oliver County

Pembina County

Service Area: Pembina County

Facility: Clinicare

Ransom County

Service Area: Ransom County

Renville County

Service Area: Renville County

Richland County

Service Area: Hankinson/Lidgerwood (ND/SD)

Rolette County

Service Area: Rolette County

Facility: Belcourt PHS Indian Hospital

Facility: Rolla Clinic Primary Care

Facility: Turtle Mountain Bank of Chippewa

Sargent County

Service Area: Sargent County

Sheridan County

Service Area: Sheridan County

PRIMARY CARE: North Dakota

County and County Equivalent Listing

Page 203 of 309

Sioux County

Service Area: Sioux County

Facility: Fort Yates PHS Indian Hospital

Slope County

Service Area: Slope County

Facility: Southwest Medical Clinic

Stark County

Service Area: West Morton/East Stark

Steele County

Service Area: Finley

Service Area: Northwood

Stutsman County

Service Area: Medina Service Area

Service Area: Wimbledon

Facility: James River Correctional Center

Towner County

Service Area: Towner County

Traill County

Service Area: Northwood

Ward County

Service Area: Kenmare Service Area

Wells County

Service Area: Wells County

Williams County

Service Area: Tioga

Facility: Trenton Indian Service Unit

PRIMARY CARE: Ohio

County and County Equivalent Listing

Page 204 of 309

Allen County

Service Area: South Side Lima

Facility: Health Parnters of Western Ohio

Ashland County

Service Area: Wellington Service Area

Population Group: Low Income - Southern Ashland County

Ashtabula County

Service Area: Orwell

Auglaize County

Service Area: Auglaize County

Belmont County

Population Group: Me-Belmont County

Facility: Belmont Correctional Institution

Facility: Ohio Hills Health

Brown County

Facility: All About Kids Pediatrics, LLC

Butler County

Facility: Butler County Community Health/Dba Primary Health

Carroll County

Service Area: Carroll County

Champaign County

Service Area: Champaign County

Clark County

Service Area: Southwest Side Springfield

Facility: Rocking Horse Children's Health Center

Clermont County

Facility: Clermont Pediatric Center

Facility: Healthsource of Ohio, Inc.

Columbiana County

Facility: Community Action Agency of Columbiana County

Facility: Federal Correctional Institution – Elkton

Coshocton County

Population Group: Low Income - Coshocton County

Crawford County

Population Group: Low Income - Crawford County

PRIMARY CARE: Ohio

County and County Equivalent Listing

Page 205 of 309

Cuyahoga County

Service Area: Cleveland - South Broadway

Service Area: East Cleveland

Service Area: Hough/Norwood/Glenville Service Area

Service Area: Lee Miles

Service Area: Mt. Pleasant/Union-Miles/Corlett

Service Area: West Side Cleveland

Cuyahoga County

Service Area: Western Collinwood

Facility: Asian Services in Action-International Community Health

Center

Facility: Bolwell Health Center - Uhhs

Facility: Care Alliance

Facility: Neighborhood Health Care

Facility: Northeast Ohio Neighborhood Health Services

Facility: Rainbow Babies Ambulatory Practice

Facility: The Free Medical Clinic of Greater Cleveland

Facility: Uhhs - Douglas Moore Health Center

Facility: Uhhs - Womens Health Center

Darke County

Population Group: Low Income - Darke County

Facility: Family Health Services of Darke County

Erie County

Facility: Erie County Health Department (Echd)

Facility: Family Health Services of Erie County

Fairfield County

Facility: Fairfield County Combines General Health District

Fayette County

Population Group: Low Income-Fayette County

Facility: Fayette County Memorial Hospital M and South Associates

Facility: Fayette County Memorial Hospital Medical and Surgical

Franklin County

Population Group: Low Income - Franklinton/Greater Hilltop

Facility: Capital Park Family Health Center

Facility: Columbus Neighborhood Health Center

Facility: Lower Lights Christian Health Center

Facility: Lutheran Social Services of Central Ohio

Facility: Ohio State University Total Health and Wellness

Facility: Southeast Inc.

PRIMARY CARE: Ohio

County and County Equivalent Listing

Page 206 of 309

Guernsey County

Service Area: Freeport Service Area

Hamilton County

Undetermined: City of Cincinnati Department of Health

Service Area: East and Lower Price Hill/South Fairmount

Service Area: Millvale

Facility: Christian Community Health Svs/Dba Crossroad Health

Facility: Cincinnati Health Network

Facility: Lincoln Heights Health Center

Facility: Neighborhood Health Care

Facility: Pediatric Primary Care Center

Hamilton County

Facility: Winton Hills Medical Center

Hancock County

Service Area: Seneca/Fostoria Service Area

Hardin County

Service Area: Hardin County

Harrison County

Service Area: Cadiz/Scio/Hopedale

Service Area: Freeport Service Area

Highland County

Population Group: Low Income-Highland County

Facility: Greenfield Medical Services

Facility: Highland Family Healthcare

Facility: Highland Health Providers Corporation

Hocking County

Service Area: Hocking County

Holmes County

Service Area: Holmes County

Huron County

Service Area: Wellington Service Area

Population Group: Low Income - Huron Service Area

Jackson County

Population Group: Medicaid Eligible - Jackson County

Jefferson County

Population Group: Low Income-Jefferson County

PRIMARY CARE: Ohio

County and County Equivalent Listing

Page 207 of 309

Knox County

Facility: Knox County Health Department

Lake County

Service Area: Painesville Service Area

Facility: Signature Health, Inc.

Lawrence County

Population Group: Low Income - Lawrence County

Facility: Ironton-Lawrence County Community Action Organization

Logan County

Facility: Community Health and Wellness Partners of Logan County

Lorain County

Service Area: Wellington Service Area

Facility: Lorain Correctional Institution

Facility: Lorain County Health and Dentistry

Facility: Mercy Allen Rural Health Clinic Lagrange

Facility: Mercy Allen Rural Health Clinic Wellington

Lucas County

Service Area: Center City/Dorr (Toledo)

Service Area: East Toledo

Service Area: Near Southside Toledo

Facility: Lucas County of Toledo

Facility: Neighborhood Health Association of Toledo

Facility: Toledo Correctional Institution

Madison County

Facility: London Correctional Institution - Lci

Facility: Madison Correctional Institution

Mahoning County

Service Area: Eastside Youngstown

Service Area: Southside Youngstown

Facility: Ohio Northeast Health Systems, Inc.

Facility: Ohio State Penitentiary

Marion County

Facility: Center Street Community Clinic, Inc.

Facility: Marion Correctional Institution

Facility: North Central Correctional Institution

Medina County

Service Area: Wellington Service Area

Monroe County

Service Area: Monroe County

PRIMARY CARE: Ohio

County and County Equivalent Listing

Page 208 of 309

Montgomery County

Facility: Community Health Centers of Greater Dayton

Facility: Five Rivers Health Centers Family Health Center

Facility: Samaritan Homeless Clinic

Morgan County

Service Area: Morgan County

Facility: Muskingum Valley Health Centers

Morrow County

Service Area: Morrow County

Noble County

Population Group: Low Income - Noble County

Facility: Noble Correctional Institution

Paulding County

Service Area: Paulding County

Perry County

Service Area: Perry County

Pickaway County

Service Area: Pickaway County

Facility: Ohio Doc Correctional Reception Center

Pickaway County

Facility: Pickaway Correctional Institution

Pike County

Facility: Community Action of Pike County

Preble County

Service Area: Preble County

Richland County

Facility: Mansfield Correctional Institution

Facility: Richland Correctional Institution

Facility: Third Street Community

Ross County

Facility: Chillicothe Correctional Institution-Cci

Facility: Family Healthcare

Facility: Ross Correctional Institution

Sandusky County

Facility: Community Health Services

PRIMARY CARE: Ohio

County and County Equivalent Listing

Page 209 of 309

Scioto County

Population Group: Low Income - Scioto County

Facility: Community Action Organization of Scioto County Hlt

Facility: Compass Community Health

Facility: Southern Ohio Correctional Institution

Seneca County

Service Area: Seneca/Fostoria Service Area

Stark County

Service Area: East Canton

Facility: Richard D Watkins Canton Community Clinic Inc.

Summit County

Service Area: South and East Akron

Population Group: Low Income-Barberton

Facility: Akron Children’South Adolescent Medicine

Facility: Akron Children's Locust Pediatric Care Group

Facility: Akron General Medical Center - Internal Medical Ce

Facility: Axesspointe Community Health Center, Inc.

Facility: Community Support Services, Inc.

Facility: Summa Internal Medicine Center

Trumbull County

Service Area: Orwell

Service Area: The Flats (Warren)

Facility: Trumbull Correctional Institution

Tuscarawas County

Service Area: Freeport Service Area

Service Area: Southern Tuscarawas County

Tuscarawas County

Facility: Community Mental Healthcare Inc.

Facility: Trinity Hospital Twin City Dba Trinity Medical Group –

Dennison

Facility: Trinity Hospital Twin City Dba Trinity Medical Group –

Gnadenhutten

Facility: Tuscarawas County Health Department

Union County

Facility: Ohio Reformatory for Women

Van Wert County

Service Area: Van Wert County

Facility: Family Health Care of Northwest Ohio, Inc.

PRIMARY CARE: Ohio

County and County Equivalent Listing

Page 210 of 309

Vinton County

Population Group: Low Income-Vinton County

Warren County

Facility: Lebanon Correctional Institution

Facility: Talbert House Health Center

Facility: Warren Correctional Institution

Washington County

Service Area: New Matamoras

Williams County

Population Group: Low Income - Williams County

Wood County

Service Area: Seneca/Fostoria Service Area

Facility: Wood County Community Health and Wellness Center

PRIMARY CARE: Oklahoma

County and County Equivalent Listing

Page 211 of 309

Adair County

Population Group: Low Income - Adair County

Facility: Cherokee Nation Health Division

Facility: Neochc – Westville

Alfalfa County

Service Area: Alfalfa/Wood Counties

Facility: Great Salt Plains Health Center

Facility: James Crabtree Correctional Facility

Atoka County

Service Area: Atoka County

Facility: ABC Medical Clinic, Inc.

Facility: Choctaw Nation Atoka Clinic

Facility: Mack Alford Correctional Center

Beaver County

Population Group: Low Income-Beaver County

Beckham County

Population Group: Low Income-Beckham County

Blaine County

Population Group: Low Income-Blaine County

Facility: Watonga PHS Indian Health Center

Bryan County

Population Group: Low Income - Bryan County

Facility: Choctaw Nation of Oklahoma-Durant

Facility: Durant Health Center

Caddo County

Service Area: Caddo County

Facility: Anadarko Health Center

Facility: Anadarko PHS Indian Health Center

Facility: Carnegie Indian Health Center

Canadian County

Population Group: Low Income - West - Central Canadian County

Facility: El Reno PHS Indian Health Clinic

Facility: Federal Correctional Institution - El Reno

Carter County

Service Area: Healdton

Facility: Ardmore Chickasaw Health Clinic

Facility: Mercy Hospital Healdton Primary Care

PRIMARY CARE: Oklahoma

County and County Equivalent Listing

Page 212 of 309

Cherokee County

Population Group: Low Income-Cherokee County

Facility: Cherokee Nation of Oklahoma

Facility: Northeastern Oklahoma Community Health Center

Facility: W.W. Hastings Indian Hospital

Choctaw County

Population Group: Low Income - Choctaw County

Facility: Choctaw Nation Health Clinic-Hugo

Cimarron County

Population Group: Low Income - Cimarron County

Cleveland County

Population Group: Low Income - Cleveland County

Facility: Absentee Shawnee Tribal Clinic - Little Axe

Facility: Joseph Harp Correctional Center

Facility: Lexington Correctional Center (Lark)

Coal County

Service Area: Coal County

Facility: Helton Rural Health Clinic

Comanche County

Population Group: Low Income-Comanche County

Facility: Comanche County Hospital Authority

Facility: Comanche Tribe of Oklahoma

Facility: Lawton PHS Indian Health Hospital

Cotton County

Population Group: Low Income-Cotton County

Craig County

Population Group: Low Income - Craig County

Facility: Cherokee Nation Vinita Health Clinic

Creek County

Population Group: Low Income - Creek County

Facility: Sapulpa Health Center

Custer County

Population Group: Low Income-Custer County

Facility: Clinton PHS Indian Hospital

Delaware County

Population Group: Low Income - Delaware County

Facility: Cherokee Nation Sam Hider Health Center

PRIMARY CARE: Oklahoma

County and County Equivalent Listing

Page 213 of 309

Dewey County

Service Area: Dewey County

Ellis County

Population Group: Low Income - Ellis County

Garfield County

Population Group: Low Income-Garfield County

Facility: Garber Family Clinic

Garvin County

Population Group: Low Income - Garvin County

Facility: Medical Center of Stratford

Garvin County

Facility: So. Central Medical and Resource Center (Scmr)

Grady County

Population Group: Low Income - Grady County

Grant County

Service Area: Grant County

Facility: Medford Family Clinic

Greer County

Population Group: Low Income - Greer County

Facility: Oklahoma State Reformatory

Harmon County

Population Group: Low Income - Harmon County

Facility: Shortgrass Community Health Center, Inc.

Harper County

Service Area: Harper County

Haskell County

Population Group: Low Income-Haskell County

Facility: Choctaw Nation Health Center - Stigler

Facility: Stigler Health and Wellness Center

Hughes County

Service Area: Hughes County

Facility: East Central Oklahoma Family Health Center, Inc.

Jackson County

Population Group: Low Income-Jackson County

PRIMARY CARE: Oklahoma

County and County Equivalent Listing

Page 214 of 309

Jefferson County

Population Group: Low Income - Jefferson County

Johnston County

Service Area: Johnston County

Facility: Family Health Center of Southern Oklahoma

Facility: Tishomingo Chickasaw Health Center

Kay County

Population Group: Low Income-Kay County

Facility: Kanza Health Clinic

Facility: Newkirk Rural Health Clinic

Facility: Tonkawa Tribe of Oklahoma

Facility: White Eagle Indian Health Center

Kiowa County

Population Group: Low Income - Kiowa County

Latimer County

Population Group: Low Income - Latimer County

Facility: Choctaw Nation Health Care Center-Talihina

Le Flore County

Population Group: Low Income - Le Flore County

Facility: Choctaw Nation Indian Health – Poteau

Lincoln County

Population Group: Low Income - Lincoln County

Facility: Black Hawk Health Center

Facility: Kickapoo Health Center

Logan County

Population Group: Low Income - Logan County

Facility: Mary Mahoney Health Center @ Langston

Love County

Population Group: Low Income-Love County

Major County

Population Group: Low Income - Major County

Marshall County

Population Group: Low Income - Marshall County

Mayes County

Population Group: Low Income - Mayes County

Facility: A-Mo Health Center

Facility: Grand Lake Medical Park

PRIMARY CARE: Oklahoma

County and County Equivalent Listing

Page 215 of 309

McClain County

Service Area: McClain County

Facility: Chickasaw Nation Health Clinic-Purcell

McCurtain County

Population Group: Low Income-McCurtain County

Facility: Choctaw Nation Idabel Clinic

Facility: Choctaw Nation Indian Health - Broken Bow

Facility: Kiamichi Family Medical Center

McIntosh County

Service Area: McIntosh County

Facility: Eufaula Indian Health Center

Murray County

Population Group: Low Income - Murray County

Muskogee County

Population Group: Low Income-Muskogee County

Facility: Muskogee Indian Health Center

Noble County

Population Group: Low Income - Noble County

Facility: Otoe-Missouri Tribe

Nowata County

Population Group: Low Income - Nowata County

Facility: Cherokee Nation Will Rogers Health Center

Okfuskee County

Population Group: Low Income-Okfuskee County

Facility: Okemah Indian Health Center

Oklahoma County

Population Group: Low Income - Northwest 10th - Tulakes Area

Facility: Community Health Centers, Inc.

Facility: FTC-Oklahoma City

Facility: Oklahoma City Indian Clinic

Facility: Oklahoma Community Health Services

Okmulgee County

Population Group: Low Income - Okmulgee County

Facility: Muscogee (Creek) Nation Division of Health Adminis

Facility: Okmulgee Health Center

PRIMARY CARE: Oklahoma

County and County Equivalent Listing

Page 216 of 309

Osage County

Population Group: Low Income - Osage County

Facility: Dick Conner Correctional Center

Facility: Fairfax Medical Facilities, Inc.

Facility: Osage Nation

Facility: Pawhuska PHS Indian Health Center

Ottawa County

Population Group: Low Income - Ottawa County

Facility: Community Health Center of Northeast Oklahoma, Inc.

Facility: Northeastern Tribal Health System-Miami

Facility: Northeastern Tribal Health System-Miami Tribe of O

Facility: Northeastern Tribal Health System-Modoc

Facility: Northeastern Tribal Health System-Ottowa

Facility: Northeastern Tribal Health System-Peoria

Facility: Northeastern Tribal Health System-Seneca-Cayuga

Facility: Quapaw Tribe of Oklahoma

Facility: Wyandotte Nation/Bearskin Health Center

Pawnee County

Population Group: Low Income - Pawnee County

Facility: Pawnee Nation of Oklahoma

Facility: Pawnee PHS Indian Health Center

Payne County

Population Group: Low Income - Payne County

Facility: Iowa Tribe of Oklahoma

Pittsburg County

Population Group: Low Income-Pittsburg County

Facility: Caring Hands Healthcare Centers Inc.

Facility: Choctaw Nation Indian Health - McAlester

Facility: Oklahoma State Penitentiary - McAlester

Pontotoc County

Population Group: Low Income - Pontotoc County

Facility: Chickasaw Nation Medical Center

Pottawatomie County

Population Group: Low Income - Pottawatomie County

Facility: Absentee Shawnee Tribal Clinic

Facility: Citizen Pottawatomie Nation Health Clinic

Facility: Mabel Basset Correctional Center

Facility: Shawnee Health Center

Pushmataha County

Service Area: Pushmataha County

Facility: Pushmataha Family Medical Center

PRIMARY CARE: Oklahoma

County and County Equivalent Listing

Page 217 of 309

Roger Mills County

Population Group: Low Income-Roger Mills County

Rogers County

Population Group: Low Income - Central - East Rogers County

Facility: Claremore Indian Hospital

Seminole County

Population Group: Low Income - Seminole County

Facility: Central Oklahoma Family Medical Center

Facility: Wewoka PHS Indian Health Center

Sequoyah County

Population Group: Low Income-Sequoyah County

Facility: Cherokee Nation Redbird Smith Health Center

Stephens County

Population Group: Low Income - Stephens County

Texas County

Population Group: Low Income-Texas County

Facility: Panhandle Counseling and Health Center, Inc.

Tillman County

Population Group: Low Income-Tillman County

Tulsa County

Population Group: Low Income - Tulsa County

Facility: Community Health Connection, Inc.

Facility: Indian Health Care Resource Center of Tulsa

Facility: Morton Comprehensive

Wagoner County

Population Group: Low Income - Wagoner County

Facility: Arkansas Verdigris Valley Health Centers

Facility: Muskogee-Creek Nation-Koweta Facility

Washington County

Facility: Wilma P. Mankiller Health Center

Washington County

Population Group: Low Income - Washington County

Facility: Cherokee Nation Bartlesville Health Center

Facility: Cooweescoowee Health Center

Washita County

Population Group: Low Income - Washita County

PRIMARY CARE: Oklahoma

County and County Equivalent Listing

Page 218 of 309

Woods County

Service Area: Alfalfa/Wood Counties

Woodward County

Population Group: Low Income-Woodward County

PRIMARY CARE: Oregon

County and County Equivalent Listing

Page 219 of 309

Baker County

Service Area: Halfway Service Area

Population Group: Low Income - Wingville/Baker City

Facility: Saint Alphonsus Group-Valley Medical

Facility: Saint Alphonsus Medical Group-Baker Clinic

Facility: St. Luke's Clinic-Eastern Oregon Medical Associate

Benton County

Service Area: Alsea

Facility: Alsea Rural Health Care, Inc.

Facility: Benton County Health Department

Clackamas County

Population Group: Low Income/Migrant Seasonal Farmworkers - Central

Clackamas

Facility: Canby Healthcare Clinic LLC

Facility: Clackamas County Community Health Division

Facility: Coffee Creek Correctional Facility

Facility: Orchid Health Wade Creek Clinic

Clatsop County

Population Group: Low Income-Clatsop County

Facility: Coastal Family Health Center

Facility: Providence North Coast Clinic

Columbia County

Service Area: Columbia County

Facility: Oregon Health and Science University Family Medicine at

Scappoose

Facility: Vernonia Health Center

Coos County

Population Group: Low Income-North Coos County

Population Group: Low Income-South Coos County

Facility: Bandon Community Health Center

Facility: Coos Bay Tribal Clinic

Facility: Coquille Community Health Center

Facility: Waterfall Clinic, Inc.

Crook County

Population Group: Low Income - Crook County

Facility: Casade Direct Care

Facility: Mosaic Medical

Facility: St. Charles Family Care

Curry County

Population Group: Low Income - Curry County

PRIMARY CARE: Oregon

County and County Equivalent Listing

Page 220 of 309

Deschutes County

Service Area: La Pine

Facility: Lapine Community Health Center

Douglas County

Population Group: Low Income-Central Douglas Service Area Population

Group: Low Income-Reedsport Service Area

Facility: Adapt

Facility: Cow Creek Tribal Clinic

Facility: Dunes Family Health Care

Facility: Umpqua Community Health

Gilliam County

Service Area: Gilliam County

Grant County

Population Group: Low Income - Grant County

Harney County

Population Group: Low Income - Harney County

Facility: Burns-Paiute Health Clinic

Facility: Wadatika Health Center

Hood River County

Population Group: Low Income/Migrant Seasonal Farmworkers-Hood River

County

Facility: La Clinica Del Carino/Dba One Community Health

Jackson County

Population Group: Low Income/Migrant Seasonal Farmworkers/H-Jackson

County

Facility: Community Health Center, Inc.

Facility: La Clinica Del Valle

Facility: Shady Cove Clinic

Jefferson County

Population Group: Low Income-Jefferson County

Josephine County

Service Area: Cave Junction

Population Group: Low Income - North Josephine County

Facility: Siskiyou Community Health

Klamath County

Population Group: Low Income - Klamath County

Facility: Klamath Health Partnership

Facility: Klamath Tribal Health Center

PRIMARY CARE: Oregon

County and County Equivalent Listing

Page 221 of 309

Lake County

Population Group: Low Income - Lake County

Lane County

Service Area: McKenzie

Service Area: North Dunes/Siuslaw

Service Area: Oakridge Service Area

Population Group: Low Income - Cottage Grove

Population Group: Low Income/Migrant Farmworker - Eugene/Springfield

Facility: Community Health Centers of Lane County

Lane County

Facility: Peacehealth Medical Group-Dexter

Facility: White Bird Clinic

Lincoln County

Service Area: North Dunes/Siuslaw

Population Group: Low Income - North and Central Lincoln County

Facility: Adventist Health Bayshore Medical - Lincoln City

Facility: Coastal Health Practitioners

Facility: Lincoln City Medical Center

Facility: Lincoln County Health and Human Services

Facility: Siletz Community Health Clinic

Linn County

Population Group: Low Income/Migant Farmworker - Linn County

Malheur County

Population Group: Low Income/Migrant Seasonal Farmworkers-Malheur

County

Facility: Malheur Memorial Health Center

Facility: Snake River Correctional Institution

Marion County

Population Group: Low Income/Migrant Farmworker-Marion/Polk Counties

Facility: Chemawa Indian Health Center

Facility: Northwest Human Services

Facility: Oregon State Correctional Institution

Morrow County

Population Group: Low Income/Migrant Seasonal Farmworkers-Morrow

County

Facility: Columbia River Community Health Services

Facility: Irrigon Medical Clinic

Facility: Pioneer Memorial Clinic

PRIMARY CARE: Oregon

County and County Equivalent Listing

Page 222 of 309

Multnomah County

Facility: Central City Concern

Facility: Multnomah County Health Department

Facility: Native American Rehabilitation Association

Facility: Neighborhood Health Center

Facility: Oregon Health and Science University Richmond Community

Health Center

Facility: Outside In

Facility: Portland Area Office

Facility: Portland Urban Indian Clinic

Facility: The Wallace Medical Concern

Polk County

Population Group: Low Income/Migrant Farmworker-Marion/Polk Counties

Facility: Grand Ronde Health Center

Sherman County

Service Area: Sherman County

Tillamook County

Population Group: Low Income/Homeless - Tillamook County

Facility: Adventist Health Bayshore Medical - Pacific City

Facility: Adventist Health Tillamook Medical Group

Facility: Adventist Health Tillamook Medical Group - Bay Ocean

Facility: Adventist Health Tillamook Medical Group Manzanita

Facility: The Rinehart Clinic

Facility: Tillamook County Health Department

Umatilla County

Population Group: Low Income/Migrant Seasonal Farmworkers - Umatilla

County

Facility: Confederated Umatilla Tribes Yellowhawk Clinic

Facility: East Oregon Correctional Institution

Facility: Two Rivers Correctional Institution

Union County

Population Group: Low Income - Union County

Wallowa County

Population Group: Low Income - Wallowa County

Facility: Winding Waters Medical Clinic

PRIMARY CARE: Oregon

County and County Equivalent Listing

Page 223 of 309

Wasco County

Population Group: Low Income/Migrant Seasonal Farmworkers - Wasco

County

Facility: Columbia Hills Family Medicine

Facility: Internal Medicine Group 1810

Facility: Internal Medicine Group 1815

Facility: Internal Medicine Group 1825

Facility: The Dalles Family Practice

Facility: Warm Springs PHS Indian Health Center

Washington County

Facility: Virginia Garcia Memorial Health Center

Wheeler County

Service Area: Wheeler County

Facility: Asher Clinic

Yamhill County

Population Group: Low Income/Migrant Farmworker/Homeless - Yamhill

County

Facility: Federal Correctional Institution - Sheridan

PRIMARY CARE: Pennsylvania

County and County Equivalent Listing

Page 224 of 309

Allegheny County

Service Area: Hazelwood

Service Area: Manchester

Service Area: North Braddock

Population Group: Low Income - Homewood Brushton

Population Group: Low Income - McKeesport City

Population Group: Low Income-Hill District

Facility: East Liberty Family Health Care Center

Facility: For Sto Rox

Facility: Metro Community Health Center

Facility: Metro Family Practice, Inc.

Facility: North Side Christian Health Center

Facility: Primary Care Health Services

Facility: Squirrel Hill Health Center

Facility: University of Pittsburgh - Matilda Theiss Health C

Armstrong County

Service Area: New Bethlehem

Population Group: Low Income - Dayton/Rural Valley

Population Group: Low Income - St. Petersburg

Facility: Armstrong Primary Care Center-Leechburg

Facility: Armstrong Primary Care Center-Rural Valley

Beaver County

Service Area: Aliquippa

Bedford County

Population Group: Low Income - Bedford

Population Group: Low Income - Broadtop/Hopewell

Facility: Hyndman Area Health Center, Inc.

Facility: New Paris Rural Health Clinic

Berks County

Facility: Berks Community Health Center

Blair County

Population Group: Low Income – Bedford

Bradford County

Population Group: Low Income – Canton

Butler County

Population Group: Low Income - Grove City

Population Group: Low Income - St. Petersburg

PRIMARY CARE: Pennsylvania

County and County Equivalent Listing

Page 225 of 309

Cambria County

Population Group: Low Income - Ebensburg

Population Group: Low Income - Hastings

Facility: Cresson Family Practice

Facility: Federal Correctional Institution - Loretto

Cambria County

Facility: Portage Health Center

Facility: St. Benedict Rural Health Clinic

Cameron County

Facility: Emporium Health Center

Facility: Keystone Rural Health Consortia, Inc.

Carbon County

Facility: St. Luke's Miners Health Center

Centre County

Service Area: Snow Shoe

Population Group: Low Income - Philipsburg

Facility: State Correctional Institution - Benner Township

Facility: State Correctional Institution – Rockview

Chester County

Facility: La Communidad Hispana Inc.

Clarion County

Service Area: New Bethlehem

Population Group: Low Income - St. Petersburg

Clearfield County

Service Area: Snow Shoe

Population Group: Low Income - Irvona

Population Group: Low Income - Philipsburg

Facility: Glendale Area Medical Center

Facility: State Correctional Institution – Houtzdale

Clinton County

Service Area: Renovo

Service Area: Snow Shoe

Columbia County

Service Area: Eastern Lycoming

PRIMARY CARE: Pennsylvania

County and County Equivalent Listing

Page 226 of 309

Crawford County

Population Group: Low Income - Union City/Corry

Population Group: Low Income-Meadville

Population Group: Low Income-Titusville

Facility: Cambridge Springs Health Center

Facility: Conneaut Lake Health Center

Facility: Conneaut Valley Health Center

Facility: John E. Balmer D O Canadohta Health Clinic

Facility: John E. Balmer Do, Spartansburg Medical Center

Facility: Meadville Community Health Center

Cumberland County

Facility: Sadler Health Care Corporation

Facility: State Correctional Institution - Camp Hill

Dauphin County

Facility: Hamilton Health Center

Delaware County

Facility: Chespenn Health Service

Facility: State Correctional Institution – Chester

Elk County

Service Area: Marienville

Population Group: Low Income – Elk

Erie County

Population Group: Low Income - Union City/Corry

Facility: Community Health Net

Facility: State Correctional Institution – Albion

Fayette County

Population Group: Low Income - Mon Valley

Facility: State Correctional Institution – Fayette

Forest County

Service Area: Marienville

Population Group: Low Income-Titusville

Facility: State Correctional Institution - Forest County

Franklin County

Population Group: Low Income - Dry Run

Facility: Keystone Rural Health Center

Fulton County

Service Area: McConnellsburg

Population Group: Low Income - Broadtop/Hopewell

PRIMARY CARE: Pennsylvania

County and County Equivalent Listing

Page 227 of 309

Greene County

Facility: Cornerstone Care, Inc.

Facility: State Correctional Institution - Greene

Facility: Washington Physician Services Organization Family

Huntingdon County

Service Area: McConnellsburg

Population Group: Low Income - Broadtop/Hopewell

Facility: Broadtop Area Medical Center

Facility: Mount Union Area Medical Center

Facility: Southern Huntingdon County Medical Center

Facility: State Correctional Institution - Huntingdon

Facility: State Correctional Institution – Smithfield

Indiana County

Population Group: Low Income - Dayton/Rural Valley

Population Group: Low Income - Ebensburg

Facility: State Correctional Institution - Pine Grove

Jefferson County

Facility: Allegheny Health Center

Facility: Phillips States MD Family Practice

Juniata County

Service Area: Juniata County

Lackawanna County

Facility: Scranton Primary Health Care Center

Lancaster County

Facility: Southeast Lancaster Health Services

Facility: Welsh Mountain Medical and Dental Center

Population Group: Low Income - Grove City

Lehigh County

Facility: Neighborhood Health Centers (Nhclv) of Lehigh Vall

Luzerne County

Service Area: Eastern Lycoming

Facility: Rural Health Corporation of Northeast Pennsylvania

Facility: State Correctional Institution - Dallas

Facility: State Correctional Institution – Retreat

Lycoming County

Service Area: Eastern Lycoming

Population Group: Low Income - Canton

Facility: State Correctional Institution - Muncy

Facility: Susquehanna Community Health and Dental Clinic

PRIMARY CARE: Pennsylvania

County and County Equivalent Listing

Page 228 of 309

McKean County

Population Group: Low Income - Bradford Service Area

Population Group: Low Income - Coudersport

Population Group: Low Income - Warren Service Area

Facility: Eldred Health Center

Facility: Federal Correctional Institution - McKean

Facility: Port Allegany Health Center

Mercer County

Population Group: Low Income - Grove City

Population Group: Low Income-Meadville

Facility: Mercer Family Medicine Center

Facility: Primary Health Network, Inc.

Facility: Sharon Community Health Center

Montgomery County

Facility: Community Health and Dental Care

Facility: State Correctional Institution – Graterford

Northumberland County

Population Group: Low Income - Herndon Service Area

Northumberland County

Facility: Miller Family Health Center

Facility: State Correctional Institution - Coal Township

Philadelphia County

Facility: Covenant House Health Services

Facility: Delaware Valley Community Health, Inc.

Facility: Department of Public Health-City of Philadelphia

Facility: Esperanza Health Center

Facility: Federal Detention Center-Philadelphia

Facility: Greater Philadelphia Health Action

Facility: Philadelphia Fight

Facility: Philadelphia Health Management Corporation

Facility: Project H.O.M.East

Facility: Quality Community Health

Facility: Resources for Human Development

Facility: Sayre Health Center

Facility: Spectrum Health Services, Inc.

Facility: Urban Health Initiatives Inc.

Pike County

Service Area: Central Pike

Facility: Pinnacle Health Partners-Tafton

PRIMARY CARE: Pennsylvania

County and County Equivalent Listing

Page 229 of 309

Potter County

Service Area: Westfield Service Area

Population Group:Low Income - Coudersport

Facility: Coudersport Pediatric Health Center

Facility: Galet on Health Center

Facility: Shinglehouse Health Center

Schuylkill County

Facility: Cornerstone Coordinated Health Care, LLC

Facility: Federal Correctional Institution - Schuylkill

Facility: St. Luke's Miners Health Center-Hometown

Facility: St. Luke's Miners Health Center-McAdoo

Facility: State Correctional Institution - Frackville

Facility: State Correctional Institution – Mahanoy

Somerset County

Population Group: Low Income - Confluence Service Area

Facility: Conemaugh Health Initiatives

Facility: Family Health Care Meyersdale

Facility: Highlands Family Medicince

Facility: Nathan Thomas MD-Rural Health Clinic

Facility: State Correctional Institution - Somerset

Sullivan County

Population Group: Low Income – Canton

Susquehanna County

Service Area: Montrose

Facility: Barnes-Kasson Health Center, Inc.

Facility: Family Health Clinic of Barnes Kasson Hospital

Tioga County

Service Area: Elkland (PA/NY)

Service Area: Westfield Service Area

Population Group: Low Income - Canton

Population Group: Low Income - Coudersport

Facility: North Pennsylvania Comprehensive

Facility: Health Center

Union County

Facility: Federal Correctional Complex-Allenwood

Facility: USP-Lewisburg

Venango County

Population Group: Low Income - Grove City

Population Group: Low Income - St. Petersburg

Population Group: Low Income-Titusville

PRIMARY CARE: Pennsylvania

County and County Equivalent Listing

Page 230 of 309

Warren County

Population Group: Low Income - Union City/Corry

Population Group: Low Income - Warren Service Area

Population Group: Low Income-Titusville

Washington County

Population Group: Low Income - Mon Valley

Facility: Centerville Clinics

Facility: Wpso/McDonald Family Medicine

Wayne County

Service Area: Central Pike

Facility: Highland Physicians, Ltd.

Facility: USP-Canaan

Facility: Wayne Memorial Community Health Center

Westmoreland County

Population Group: Low Income - Ebensburg

Population Group: Low Income - Mon Valley

Facility: Community Health Clinic

Facility: Mon Valley Community Health Services, Inc.

Facility: State Correctional Institution – Greensburg

York County

Facility: Family First Health

PRIMARY CARE: Rhode Island

County and County Equivalent Listing

Page 231 of 309

Newport County

Facility: East Bay Community Action Program

Providence County

Population Group: Low Income - Pawtucket/Central Falls

Population Group: Low Income - Providence City

Population Group: Low Income - Woonsocket

Facility: Blackstone Valley Community

Facility: Comprehensive Community Action, Inc.

Facility: Northwest Community Health Center

Facility: Providence Community Health Center

Facility: Rhode Island Adult Correctional Institution

Facility: Thundermist Healthcare

Facility: Tri-Town Community Action Program

Washington County

Facility: Narrangansett Indian Tribe Health Program

Facility: Wood River Health Services

Abbeville County

Population Group: Low Income-Abbeville County

Aiken County

Population Group: Low Income-Aiken County

Facility: Rural Health Services Inc.

Allendale County

Service Area: Allendale County

Facility: Allendale Correctional Institution

Facility: Low Country Health

Anderson County

Population Group: Low Income-Anderson County

Bamberg County

Service Area: Bamberg County

Facility: F. Marion Dwight, M.D. PA

Barnwell County

Service Area: Barnwell County

Beaufort County

Population Group: Low Income - Beaufort/Jasper

Berkeley County

Population Group: Low Income-Berkeley County

Facility: MacDougall Correctional Institution

PRIMARY CARE: Rhode Island

County and County Equivalent Listing

Page 232 of 309

Calhoun County

Population Group: Low Income - Calhoun/Orangeburg Counties

Charleston County

Population Group: Low Income-Charleston County

Facility: Franklin C. Fetter Family Health Center

Facility: St. James-Santee Family Health Center

Cherokee County

Population Group: Low Income-Cherokee County

Chester County

Service Area: Chester County

Chesterfield County

Service Area: Chesterfield County

Facility: Sandhills Medical Foundation

Clarendon County

Population Group: Low Income/Clarendon County

Facility: Turbeville Correctional Institution

Colleton County

Service Area: Colleton County

Darlington County

Population Group: Low Income-Darlington County

Facility: Caresouth

Dillon County

Population Group: Low Income-Dillon County

Dorchester County

Population Group: Low Income-Dorchester County

Facility: Lieber Correctional Institution

Edgefield County

Population Group: Low Income-Edgefield County

Facility: Federal Correctional Institution - Edgefield

Facility: Trenton Correctional Institution

Fairfield County

Service Area: Fairfield County

Florence County

Population Group: Low Income - Lower Florence

Facility: Hopehealth, Inc.

PRIMARY CARE: Rhode Island

County and County Equivalent Listing

Page 233 of 309

Georgetown County

Population Group: Low Income – Georgetown

Greenville County

Population Group: Low Income-Greenville County

Facility: New Horizon Family Health

Facility: Perry Correctional Institution

Greenwood County

Facility: Carolina Health Centers, Inc.

Facility: Leath Correctional Institution

Hampton County

Service Area: Hampton County

Facility: Dba Harrison Peeples Health Care Center, Inc.

Facility: Federal Correctional Institution – Estill

Horry County

Population Group: Low Income-Horry County

Facility: Healthcare Partners

Facility: Little River Medical Center

Jasper County

Population Group: Low Income - Beaufort/Jasper

Facility: Beaufort Jasper Comprehensive

Facility: CF-Ridgeland Correctional Institution

Kershaw County

Population Group: Low Income - Kershaw County

Lancaster County

Population Group: Low Income Lancaster County

Facility: Carenet of Lancaster

Facility: CF-Kershaw Correctional Institution

Laurens County

Population Group: Low Income - Laurens County

Lee County

Service Area: Lee County

Facility: CF-Lee Correctional Institution

Lexington County

Population Group: Low Income-Lexington County

Marion County

Population Group: Low Income - Marion County

Facility: Fowler Rural Medical

PRIMARY CARE: Rhode Island

County and County Equivalent Listing

Page 234 of 309

Marlboro County

Service Area: Marlboro County

Facility: CF-Evans Correctional Institution

Facility: Federal Correctional Institution – Bennettsville

McCormick County

Service Area: McCormick County

Facility: CF-McCormick Correctional Institution

Newberry County

Population Group: Low Income-Newberry County

Oconee County

Population Group: Low Income - Oconee County

Facility: Rosa Clark Medical Clinic Inc.

Orangeburg County

Population Group: Low Income - Calhoun/Orangeburg Counties

Facility: Family Health Centers

Pickens County

Population Group: Low Income-Pickens County

Facility: Foothills Community Health Care

Richland County

Population Group: Low Income - Richland County

Facility: Eau Claire Cooperative

Facility: Genesis Health Care, Inc.

Facility: Genesis Healthcare, Inc.

Facility: Kirkland Reception and Evaluation Center

Facility: South Carolina Migrant Health Program

Saluda County

Service Area: Saluda County

Spartanburg County

Population Group: Low Income-Spartanburg County

Facility: Regenesis Community Health Center

Facility: Tyger River Correctional Institution

Sumter County

Population Group: Low Income - Sumter County

Facility: Sumter Family Health Center

Facility: Wateree River Correctional Institution

Union County

Service Area: Union County

Facility: Cha Family Medicine

Facility: Cha Family Practice Associates

PRIMARY CARE: Rhode Island

County and County Equivalent Listing

Page 235 of 309

Williamsburg County

Service Area: Williamsburg County

Facility: Federal Correctional Institution – Williamsburg

York County

Population Group: Low Income-York County

Facility: Affinity Health Center

Facility: Catawba Indian Nation

Facility: Community Medicine Foundation

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 236 of 309

Aurora County

Service Area: Corsica/Armour

Service Area: Wessington Springs

Bennett County

Service Area: Bennett County

Bon Homme County

Population Group: Low Income - Bon Homme County

Brown County

Service Area: Britton

Buffalo County

Service Area: Wessington Springs

Facility: Crow Creek Sioux Tribe

Facility: Fort Thompson PHS Indian Hospital

Butte County

Service Area: Butte County

Campbell County

Service Area: Campbell County

Facility: Campbell County Clinic-Herried

Charles Mix County

Population Group: Low Income - Charles Mix County

Facility: Wagner PHS Indian Hospital

Facility: Yankton Sioux Tribe

Clark County

Service Area: Clark County

Clay County

Service Area: Beresford/Alcester Service Area

Corson County

Service Area: Corson County

Facility: McLaughlin PHS Indian Hospital

Facility: McLaughlin PHS Indian Medical/Dental Clinic

Facility: West River Health Association

Custer County

Service Area: Custer/Hill City

Davison County

Service Area: Corsica/Armour

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 237 of 309

Day County

Population Group: Low Income - Day County

Facility: Lake Area Family Health Center

Deuel County

Service Area: Deuel County

Facility: Deuel County Memorial Hospital and Clinic

Dewey County

Service Area: Dewey County

Facility: Cheyenne River Sioux Tribe

Facility: Eagle Butte PHS Indian Hospital

Facility: Isabel Community Clinic

Facility: West Dakota Health Center

Douglas County

Service Area: Corsica/Armour

Facility: Prairie Health Clinic

Edmunds County

Service Area: Edmunds County

Fall River County

Population Group: Low Income - Fall River County

Faulk County

Population Group: Low Income - Faulk County

Gregory County

Service Area: Fairfax Service Area

Facility: Bonesteel Medical Clinic

Facility: Burke Medical Clinic

Haakon County

Population Group: Low Income - Haakon County

Facility: Philip Clinic

Hamlin County

Service Area: Hamlin County

Hand County

Population Group: Low Income - Hand County

Hanson County

Service Area: Salem

Harding County

Service Area: Harding County

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 238 of 309

Hughes County

Facility: Rural Health Care

Hutchinson County

Population Group: Low Income - Hutchinson County

Facility: Menno Clinic

Hyde County

Service Area: Hyde County

Jackson County

Service Area: Jackson County

Facility: Kyle PHS Health Center

Facility: Wanblee PHS Indian Health Center

Jerauld County

Service Area: Wessington Springs

Jones County

Service Area: Jones County

Kingsbury County

Service Area: Kingsbury County

Facility: Arlington Medical Clinic

Lawrence County

Population Group: Lawrence County

Lincoln County

Service Area: Beresford/Alcester Service Area

Service Area: Canton Service Area

Lyman County

Service Area: Lyman County

Facility: Lower Brule Sioux Tribe

Marshall County

Service Area: Britton

McCook County

Service Area: Salem

McPherson County

Population Group: Low Income-McPherson County

Meade County

Service Area: Meade County

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 239 of 309

Mellette County

Service Area: Mellette County

Miner County

Service Area: Miner County

Facility: Horizon Health Care

Minnehaha County

Facility: City of Sioux Falls Health

Facility: South Dakota Urban Indian Health, Inc.

Moody County

Service Area: Moody County

Facility: Flandreau Santee Sioux Tribe

Not Determined

Service Area: Shannon County

Oglala Lakota County

Facility: Oglala Sioux Tribe

Facility: Pine Ridge PHS Indian Hospital

Pennington County

Service Area: Custer/Hill City

Service Area: Wall Service Area

Pennington County

Facility: Community Health Center of Black Hill

Facility: Rapid City PHS Indian Health Hospital

Perkins County

Service Area: Perkins County

Potter County

Service Area: Gettysburg/Agar

Roberts County

Service Area: Hankinson/Lidgerwood (ND/SD)

Service Area: Sisseton

Facility: Sisseton PHS Indian

Hospital

Facility: Sisseton-Wahpeton Oyate Tribe

Sanborn County

Service Area: Wessington Springs

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 240 of 309

Spink County

Population Group: Low Income - Spink County

Sully County

Service Area: Gettysburg/Agar

Todd County

Service Area: Todd County

Facility: Rosebud PHS Indian Hospital

Facility: Rosebud Sioux Tribe

Tripp County

Population Group: Low Income - Tripp County

Turner County

Service Area: Turner County

Facility: Centerville Medical Clinic

Facility: Parker Medical Clinic

Facility: Viborg Medical Clinic

Union County

Service Area: Beresford/Alcester Service Area

Facility: Union County Health

Walworth County

Population Group: Low Income-Walworth County

Ziebach County

Service Area: Ziebach County

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 241 of 309

Anderson County

Population Group: Low Income-Anderson County

Bedford County

Population Group: Low Income-Bedford County

Facility: Bedford Urgent Care

Facility: Lynette M Adams, M.D

Facility: Unionville Family Practice

Facility: Wartrace Family Practice

Benton County

Population Group: Low Income-Benton County

Bledsoe County

Service Area: Bledsoe County

Blount County

Population Group: Low Income-Blount County

Bradley County

Population Group: Low Income-Bradley County

Campbell County

Population Group: Low Income-Campbell County

Facility: Charles H. Wilkens, M.D., P.C.

Facility: Community Health of East Tennessee, Inc.

Facility: Dayspring Family Health

Facility: Wynn Habersham Community Clinic

Cannon County

Population Group: Low Income-Cannon County

Carroll County

Population Group: Low Income-Carroll County

Carter County

Population Group: Low Income-Washington Carter Unicoi

Cheatham County

Population Group: Low Income-Cheatham County

Facility: Family Health Center - Ashland City

Chester County

Population Group: Low Income-Chester County

Facility: The Rickard Clinic

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 242 of 309

Claiborne County

Population Group: Low Income-Claiborne County

Clay County

Population Group: Low Income-Clay County

Cocke County

Service Area: Cocke County

Facility: Rural Medical Services

Coffee County

Population Group: Low Income-Franklin Coffee Moore

Crockett County

Population Group: Low Income-Crockett County

Cumberland County

Population Group: Low Income-Cumberland County

Davidson County

Population Group: Low Income-Davidson County

Facility: Dba Vine Hill/University Community Health Svs

Facility: Matthew Walker Comprehensive Health Center, Inc.

Facility: United Neighborhood Health

Decatur County

Service Area: Decatur County

Facility: Jennings Family Medical Clinic

DeKalb County

Population Group: Low Income-Dekalb and Warren Counties

Dickson County

Population Group: Low Income-Dickson County

Dyer Count

Population Gro up: Low Income-Dyer County

Facility: Dyersburg Family Walk-in Clinic-Taylorsburg

Fayette County

Population Group: Low Income-Fayette County

Fentress County

Service Area: Fentress County

Franklin County

Population Group: Low Income-Franklin Coffee Moore

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 243 of 309

Gibson County

Population Group: Low Income-Gibson County

Facility: Gibson County Community Health Center, Tdh

Giles County

Population Group: Low Income-Giles County

Facility: One Stop Medical, LLC

Grainger County

Population Group: Low Income-Grainger County

Grundy County

Population Group: Low Income-Grundy County

Hamblen County

Population Group: Low Income-Jefferson and Hamblen Counties

Facility: Cherokee Health Systems

Hamilton County

Population Group: Low Income-Hamilton County

Hamilton County

Facility: Chattanooga/Hamilton County Health Department

Facility: Erlanger Health System

Hancock County

Service Area: Hancock County

Hardeman County

Service Area: Hardeman County

Facility: Hardeman County Community Health Center

Facility: New Hope Family Health Center, Inc.

Hardin County

Service Area: Hardin County

Facility: Hardin County Regional Health Center

Hawkins County

Population Group: Low Income-Hawkins Sullivan

Facility: Rural Health Services Consortium

Haywood County

Service Area: Haywood County

Henderson County

Population Group: Low Income-Henderson County

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 244 of 309

Henry County

Population Group: Low Income-Henry County

Hickman County

Service Area: Hickman County

Houston County

Population Group: Low Income-Houston County

Humphreys County

Population Group: Low Income-Humphreys County

Jackson County

Service Area: Jackson County

Jefferson County

Population Group: Low Income-Jefferson and Hamblen Counties

Johnson County

Service Area: Johnson County

Knox County

Population Group: Low Income-Knox County

Lake County

Service Area: Lake County

Facility: Lake County Primary Care

Lauderdale County

Service Area: Lauderdale County

Facility: Christian Family Medicine, Inc.

Facility: Rural Health Clinics of West TN-Anthony Site

Lauderdale County

Facility: Rural Health Clinics of West TN-East Main

Lawrence County

Population Group: Low Income-Lawrence County

Facility: One Stop Medical, LLC

Lewis County

Service Area: Lewis County

Facility: Maury Regional Hospital

Lincoln County

Population Group: Low Income-Lincoln County

Loudon County

Population Group: Low Income-Loudon County

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 245 of 309

Macon County

Population Group: Low Income-Macon/Trousdale Counties

Facility: Hope Family Health Services

Madison County

Population Group: Low Income-Madison County

Marion County

Population Group: Low Income-Marion County

Marshall County

Population Group: Low Income-Marshall County

Maury County

Population Group: Low Income-Maury County

McMinn County

Population Group: Low Income-McMinn County

McNairy County

Population Group: Low Income-McNairy County

Meigs County

Population Group: Low Income-Meigs County

Monroe County

Population Group: Low Income-Monroe County

Facility: Chota Community Health Services

Facility: Women's Wellness and Maternity Center

Montgomery County

Population Group: Low Income-Montgomery County

Moore County

Population Group: Low Income-Franklin Coffee Moore

Morgan County

Service Area: Morgan County

Facility: Morgan County Health Council, Inc.

Obion County

Population Group: Low Income-Obion/Weakley Counties

Overton County

Population Group: Low Income-Overton County

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 246 of 309

Perry County

Service Area: Perry County

Facility: Perry County Medical

Pickett County

Population Group: Low Income-Pickett County

Polk County

Service Area: Polk County

Facility: Ocoee Regional Health

Putnam County

Population Group: Low Income-Putnam/White Counties

Facility: Baxter Medical Clinic

Facility: Upper Cumberland Primary Care Project

Rhea County

Population Group: Low Income-Rhea County

Roane County

Population Group: Low Income-Roane County

Robertson County

Population Group: Low Income-Robertson County

Rutherford County

Population Group: Low Income-Rutherford County

Facility: Rutherford County Primary Care/Dbaprimary Care and H

Scott County

Population Group: Low Income-Scott County

Facility: Mountain Peoples Health Council

Sequatchie County

Population Group: Low Income-Sequatchie County

Sevier County

Population Group: Low Income-Sevier County

Shelby County

Population Group: Low Income-Frayser/Raleigh

Population Group: Low Income-Millington-Woodstock/Lucy

Population Group: Low Income-Parkway Village/Fox Meadows

Population Group: Low Income-Southwest Memphis

Facility: Christ Community Health Services, Inc.

Facility: Federal Correctional Institution - Memphis

Facility: Memphis Health Center, Inc.

Facility: Tri State Community Health Center

PRIMARY CARE: Tennessee

County and County Equivalent Listing

Page 247 of 309

Smith County

Population Group: Low Income-Smith County

Stewart County

Service Area: Stewart County

Facility: Tennessee Department of Health - Stewart County Health

Center

Sullivan County

Population Group: Low Income-Hawkins Sullivan

Tipton County

Population Group: Low Income-Tipton County

Facility: Family First Medical Center

Trousdale County

Population Group: Low Income-Macon/Trousdale Counties

Unicoi County

Population Group: Low Income-Washington Carter Unicoi

Union County

Service Area: Union County

Van Buren County

Population Group: Low Income-Van Buren County

Warren County

Population Group: Low Income-Dekalb and Warren Counties

Facility: Pioneer Pediatrics

Washington County

Population Group: Low Income-Washington Carter Unicoi

Facility: East Tennessee State University

Wayne County

Service Area: Wayne County

Weakley County

Population Group: Low Income-Obion/Weakley Counties

Population Group: Low Income-Putnam/White Counties

Williamson County

Facility: Mercy Health Services

Facility: Prohealth Rural Health Services, Inc

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 248 of 309

Anderson County

Facility: CF-George Beto Unit

Facility: CF-H. H. Coffield Unit

Facility: CF-Joe F. Gurney Unit

Facility: CF-Louis C Powledge Unit

Facility: CF-Mark West Michael Unit

Facility: Etmc First Physicians Clinic Frankston

Andrews County

Population Group: Low Income - Andrews County

Angelina County

Population Group: Low Income - Angelina County

Aransas County

Service Area: Aransas County

Archer County

Service Area: Archer County

Armstrong County

Service Area: Armstrong County

Facility: Claude Medical Clinic

Atascosa County

Service Area: Atascosa County

Facility: Atascosa Healthcare

Austin County

Service Area: Austin County

Bailey County

Population Group: Low Income - Bailey County

Facility: Muleshoe Family Clinic

Bandera County

Service Area: Bandera County

Bastrop County

Service Area: Bastrop County

Facility:Federal Correctional Institution – Bastrop

Baylor County

Population Group: Low Income - Baylor County

Facility: Seymour Hosptial Rural Health Clinic

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 249 of 309

Bee County

Service Area: Bee County

Facility: Beeville Family Practice

Facility: CF-William G. McConnell Unit

Facility: Christus Spohn Women's Health Center

Facility: La Bahia Clinic

Bexar County

Service Area: Northwest Bexar

Bexar County

Population Group: Low Income - San Antonio (Southside)

Facility: Barrio Comprehensive Health Center

Facility: CF-Fabian Dale Dominguez State Jail

Facility: El Centro Del Barrio

Blanco County

Service Area: Blanco County

Borden County

Service Area: Borden County

Bosque County

Service Area: Bosque County

Bowie County

Facility: CF-Barry B. Telford Unit

Facility: Federal Correctional Institution – Texarkana

Brazoria County

Facility: CF-a.M. "Mac" Stringfellow Unit

Facility: CF-C.T. Terrell Unit

Facility: CF-Clemens Unit

Facility: CF-Darrington Unit

Facility: CF-Ramsey Unit

Facility: CF-Wayne Scott Unit

Facility: Stephen F. Austin Community Health Center,

Brazos County

Service Area: Western Brazos

Facility: Brazos Valley Community Action

Brewster County

Population Group: Low Income - Brewster County

Facility: Marathon Rural Health Center

Briscoe County

Service Area: Briscoe County

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 250 of 309

Brooks County

Service Area: Brooks County

Burleson County

Service Area: Burleson County

Burnet County

Facility: Seton Highland Lakes Care-a-Van

Facility: Seton Highland Lakes Clinic Marbles Fall

Facility: Seton Highland Lakes Dba Marble Falls Health Center

Caldwell County

Service Area: Caldwell County

Facility: Children's Care-a-Van

Calhoun County

Population Group: Low Income - Calhoun County

Facility: Memorial Medical Center

Facility: Port Lavara Clinic Associates

Cameron County

Service Area: South Service Area

Facility: Brownsville Community Health Center

Facility: Immigration and Customs Enforcement - Port Isabel

Facility: Su Clinica Familia

Carson County

Service Area: Carson County

Cass County

Service Area: Cass County

Castro County

Service Area: Castro County

Chambers County

Service Area: Chambers County

Facility: Chambers County Public Hospital District

Cherokee County

Facility: CF-Hodge Unit

Facility: Etmc First Physicians Clinic Jacksonville

Facility: Etmc First Physicians Clinic Rusk

Childress County

Facility: Fox Rural Health Clinic

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 251 of 309

Clay County

Population Group: Low Income-Clay County

Coke County

Service Area: Coke County

Coleman County

Service Area: Coleman County

Collin County

Facility: Collin County Adult Clinic

Collingsworth County

Population Group: Low Income – Collingsworth

Colorado County

Population Group: Low Income - Colorado County

Facility: Rice Medical Associates

Comanche County

Facility: Cross Timbers Healthcare

Concho County

Facility: Frontera Healthcare Network

Cooke County

Facility: Cooke County Medical Center

Coryell County

Service Area: Coryell County

Facility: CF-Alfred D Hughes

Facility: CF-Christina Melton Crain

Facility: CF-Dr. Lane Murray Unit

Facility: CF-Mountain View Unit

Cottle County

Service Area: Cottle County

Crane County

Facility: Crane County Rural Health Clinic

Crockett County

Service Area: Crockett County

Crosby County

Service Area: Crosby County

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 252 of 309

Culberson County

Service Area: Culberson and Hudspeth Counties

Facility: Van Horn Rural Health Clinic

Dallam County

Population Group: Low Income - Dallam/Hartley County

Dallas County

Service Area: Simpson-Stuart

Service Area: Southeast Dallas

Service Area: Trinity Area

Facility: CF-Hutchins State Jail

Facility: Dallas County Hosptial District Homeless Programs

Facility: Federal Correctional Institution - Seagoville

Facility: Healing Hands Ministries, Inc.

Facility: Los Barrios Unidos Communty Health Center

Facility: Mission East Dallas (Medical) and Metroplex Project

Facility: MLK Jr Family Center

Facility: Parkland Internal Medical Clinic

Facility: Urban Inter-Tribal Center of Texas

Dawson County

Service Area: Dawson County

Deaf Smith County

Service Area: Deaf Smith County

Delta County

Service Area: Delta County

Denton County

Facility: Health Services of North Texas, Inc.

DeWitt County

Facility: CF - Clarence North Stevenson Facility

Facility: Cuero Medical Clinic

Dickens County

Service Area: Dickens County

Dimmit County

Facility: Children's Clinic of Dimmit and Zavala

Facility: Women's Clinic of Dimmit and Zavala

Donley County

Service Area: Donley County

Facility: Clarendon Family Medical Center

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 253 of 309

Duval County

Service Area: Duval County

Eastland County

Service Area: Eastland County

Ector County

Population Group: Low Income-Ector County

Facility: Ector County Hospital District

El Paso County

Service Area: Far Northern El Paso

Service Area: Lower Valley - El Paso

Service Area: Southeast El Paso

Service Area: West Central

Facility: Centro De Salud Familiar La Fe, Inc.

Facility: Centro San Vicente Health Center

Facility: Federal Correctional Institution - La Tuna

Facility: Immigration and Customs Enforcement - El Paso

Facility: Project Vida Health Center

Facility: University Medical Center - Fabens

Facility: Ysleta Del Sur Pueblo

Ellis County

Facility: Ellis County Coalition for Health Option

Falls County

Service Area: Falls County

Fannin County

Facility: CF - Buster Cole State Jail

Facility: CF-Choice Moore Transfer Facility

Fayette County

Population Group: Low Income - Fayette County

Facility: Flatonia Community Clinic

Facility: Tejas Health Care (Thc)

Fisher County

Service Area: Fisher County

Facility: Clearfork Health Clinic

Facility: Roby Rural Health Clinic

Foard County

Service Area: Foard County

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 254 of 309

Fort Bend County

Facility: CF-Jester 1 Unit

Facility: CF-Jester 3 Unit

Facility: CF-Jester 4 Unit

Facility: CF-Vance Unit

Facility: The Access Health Richmond Center

Franklin County

Population Group: Low Income - Franklin County

Freestone County

Population Group: Low Income - Freestone County

Facility: CF-William R. Boyd Unit

Frio County

Service Area: Frio County

Facility: Immigration Customs Enforcement-South Texas/Pearsall

Gaines County

Service Area: Gaines County

Galveston County

Service Area: Bolivar Peninsula

Facility: Coastal Health and Wellness

Garza County

Service Area: Garza County

Glasscock County

Service Area: Glasscock County

Goliad County

Service Area: Goliad County

Gonzales County

Population Group: Low Income - Gonzales County

Facility: Community Health Centers of South Central Texas

Gray County

Service Area: Gray County

Facility: CF-Jordan/Baten Unit

Grayson County

Population Group: Low Income - Grayson County

Gregg County

Facility: Longview Wellness Center

Facility: Special Health Resources of Texas

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 255 of 309

Grimes County

Population Group: Low Income-Grimes County

Facility: CF-Luther Facility

Facility: CF-Pack Facility

Hale County

Population Group: Low Income-Hale County

Facility: Regence Health Network

Hall County

Service Area: Hall County

Hamilton County

Service Area: Hamilton County

Hansford County

Population Group: Low Income-Hansford County

Facility: Family Medical Clinic of Hansford County

Harris County

Service Area: Acres Home

Service Area: Galena Service Area

Service Area: North Central

Service Area: South Central Houston

Facility: Asian Am. Health Coalition of Gtr Houston/Dba Hope C

Facility: Bee Busy Wellness Center

Facility: CF-Joe Kegans State Jail

Facility: El Centro De Corazon

Facility: Federal Detention Center-Houston

Facility: Fourth Ward Clinic Dba Good Neighbor Hcc

Facility: Harris Health System - Homeless Outreach

Facility: Health Care for the Homeless - Houston

Facility: Houston Area Community Services, Inc.

Facility: Houston Community Health Center

Facility: Immigration and Customs Enforcement - Houston

Facility: Legacy Community Health Systems, Inc.

Facility: Pasadena Health Center

Facility: Shriners Hospital for Children-Houston

Facility: South Central Houston Action Council, Inc.

Facility: Spring Branch Community Health Center

Facility: St. Hope Foundation

Harrison County

Service Area: Harrison County

Facility: East Texas Border Health Clinics

Facility: East Texas Pediatrics

Facility: Marshall Health Clinic

Facility: Marshall Pediatric Clinic

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 256 of 309

Hartley County

Population Group: Low Income - Dallam/Hartley County

Facility: Dalhart Family Medicine Clinic

Facility: High Country Community Rural Health Clinic

Haskell County

Population Group: Low Income-Haskell

Facility: Cadenhead Rural Health Clinic

Hays County

Population Group: Low Income - Hays County

Hemphill County

Population Group: Low Income-Hemphill County

Henderson County

Population Group: Low Income-Henderson County

Hidalgo County

Facility: Nuestra Clinica Del Valle

Hill County

Service Area: Hill County

Facility: Goodall Witcher Hospital Authority

Hockley County

Facility: Family Medicine Clinic of Sundown

Facility: Family Medicine of Levelland

Facility: Levelland Clinic

Facility: Levelland Clinic North

Facility: South Plains Rural Health

Houston County

Service Area: Houston County

Facility: CF-Eastham Unit

Howard County

Population Group: Low Income - Howard County

Facility: Federal Correctional Institution - Big Spring

Hudspeth County

Service Area: Culberson and Hudspeth Counties

Hunt County

Population Group: Low Income - Hunt County

Facility: Community Health Service Agency, Inc.

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 257 of 309

Hutchinson County

Service Area: Hutchinson County

Irion County

Service Area: Irion County

Jack County

Service Area: Jack County

Jackson County

Service Area: Jackson County

Facility: Jackson County Medical Clinic

Jasper County

Facility: Christus Family Practice Center - Rayburn

Facility: Christus Family Practice Clinic - Jasper

Facility: Christus Family Practice Clinic - Kirbyville

Facility: Christus Jasper Family Practice Clinic

Jeff Davis County

Service Area: Jeff Davis County

Jefferson County

Facility: CF-Larry Gist State Jail

Facility: CF-Leblanc Unit

Facility: Gulf Coast Health Center

Facility: Triangle AIDS Network

Jim Hogg County

Service Area: Jim Hogg County

Jim Wells County

Service Area: Jim Wells County

Facility: Community Action Corporation of South Texas

Jones County

Service Area: Jones County

Facility: Anson Family Wellness Clinic

Facility: Kapu Medical Clinic

Facility: Memorial Health Clinic

Karnes County

Service Area: Karnes County

Facility: CF - John B Connally Jr Facility

Kenedy County

Service Area: Kenedy County

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 258 of 309

Kent County

Service Area: Kent County

Facility: Kent County Rural Health Clinic

Kerr County

Population Group: Low Income-Kerr County

Kimble County

Facility: Junction Medical Clinic

King County

Service Area: King County

Kinney County

Service Area: Kinney County

Knox County

Population Group: Low Income - Knox County

Facility: Munday Clinic

La Salle County

Service Area: La Salle County

Facility: South Texas Rural Health Services

Lamb County

Service Area: Lamb County

Leon County

Service Area: Leon County

Liberty County

Facility: CF - Lv Hightower

Facility: CF-Henley State Jail

Facility: CF-Lucile Plane State Jail

Facility: Health Center of Southeast Texas

Limestone County

Facility: Family Medicine Center

Facility: Parkview Regional Health Clinic

Lipscomb County

Service Area: Lipscomb County

Live Oak County

Service Area: Live Oak County

Facility: Federal Correctional Institution - Three Rivers

Facility: Spohn Three Rivers Family Health Clinic

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 259 of 309

Llano County

Population Group: Low Income - Llano County

Facility: Horseshoe Bay Clinic

Loving County

Service Area: Loving County

Lubbock County

Facility: Community Health Center of Lubbock

Facility: Texas Tech University Health Sciences Center

Lynn County

Service Area: Lynn County

Madison County

Population Group: Low Income - Madison County

Facility: CF - Jim Ferguson Unit

Marion County

Service Area: Marion County

Martin County

Population Group: Low Income-Martin County

Mason County

Service Area: Mason County

Matagorda County

Population Group: Low Income-Matagorda County

Facility: Matagorda Episcopal Health Outreach Prog

Facility: Palacios Medical Clinic

Maverick County

Service Area: Maverick County

Facility: Kickapoo Tribe of Texas

Facility: United Medical Centers

McCulloch County

Population Group: Low Income-McCulloch County

McLennan County

Facility: Heart of Texas Community Health

McMullen County

Service Area: McMullen County

Medina County

Service Area: Medina County

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 260 of 309

Menard County

Service Area: Menard County

Midland County

Service Area: Midland County

Facility: Midland Community Healtcare Services, Inc.

Milam County

Service Area: Milam County

Mills County

Service Area: Mills County

Mitchell County

Population Group: Low Income - Mitchell County

Montague County

Service Area: Montague County

Facility: Nocona Medical Clinic PA

Montgomery County

Facility: Lone Star Community Health Center

Moore County

Population Group: Low Income-Moore County

Morris County

Service Area: Morris County

Motley County

Service Area: Motley County

Nacogdoches County

Population Group: Low Income - Nacogdoches

Nacogdoches County

Facility: East Texas Community Health Services

Navarro County

Population Group: Low Income-Navarro County

Newton County

Service Area: Newton County

Nolan County

Population Group: Low Income-Nolan County

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 261 of 309

Nueces County

Facility: Amistad Community Health Center

Facility: Coastal Bend AIDS Foundation

Facility: Robstown Health Center

Ochiltree County

Population Group: Low Income-Ochiltree County

Oldham County

Service Area: Oldham County

Orange County

Service Area: Orange County

Facility: Vidor Community Health Clinic, Inc.

Palo Pinto County

Population Group: Low Income - Palo Pinto County

Panola County

Service Area: Panola County

Parmer County

Service Area: Parmer County

Facility: Friona Rural Health Clinic

Pecos County

Facility: Cactus Health Services, Inc.

Facility: Family Care Center

Facility: George Rural Health Center

Polk County

Facility: Alabama-Coushatta Tribe of Texas

Facility: CF-Polunsky Unit

Potter County

Service Area: South Potter

Facility: Nathaniel J. Neal Unit

Presidio County

Facility: Presidio County Health Clinic

Rains County

Service Area: Rains County

Real County

Service Area: Real County

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 262 of 309

Red River County

Service Area: Red River County

Facility: Bogata Medical Clinic

Reeves County

Population Group: Low Income - Reeves County

Facility: Pecos Valley Rural Health Clinic

Refugio County

Service Area: Refugio County

Roberts County

Service Area: Roberts County

Robertson County

Service Area: Robertson County

Runnels County

Service Area: Runnels County

Facility: Ballinger Hospital Clinic

Rusk County

Facility: CF-Billy Moore Correctional Facility

Facility: CF-James Bradshaw State Jail

Facility: East Texas Medical Center-Henderson

Facility: Mt. Enterprise Community Health Center

Sabine County

Service Area: Sabine County

Facility: Sabine Family Medical Center

Facility: Toledo Bend Family Medicine

San Augustine County

Service Area: San Augustine County

San Jacinto County

Service Area: San Jacinto County

San Patricio County

Service Area: San Patricio County

Facility: Taft Health Center

San Saba County

Service Area: San Saba County

Schleicher County

Service Area: Schleicher County

Facility: Schleicher County Family Clinic

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 263 of 309

Scurry County

Service Area: Scurry County

Shackelford County

Service Area: Shackelford County

Facility: Shackelford County Community Resource Center

Shelby County

Service Area: Shelby County

Facility: Etmc First Physicians Clinic Center

Facility: The Hope Project, Inc.

Sherman County

Service Area: Sherman County

Smith County

Facility: Tyler Family Circle of Care

Starr County

Service Area: Starr County

Facility: Family Health Center, LLP

Facility: Family Health Clinic ROMA

Facility: Family Medical and Specialty Clinic

Facility: Pediatric Practice Association - Rio Grande City

Facility: Pediatric Practice Association – Roma

Stephens County

Facility: Stephens County Medical Clinic

Sterling County

Service Area: Sterling County

Stonewall County

Facility: Stonewall Rural Health Clinic

Sutton County

Population Group: Low Income - Sutton County

Tarrant County

Facility: Federal Correctional Institution - Fort Worth

Facility: Federal Medical Center-Carswell

Facility: North Texas Area Community Health Center, Inc.

Terrell County

Service Area: Terrell County

Facility: Sanderson Rural Health Center

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 264 of 309

Terry County

Population Group: Low Income - Terry County

Throckmorton County

Facility: Throckmorton County Rural Health Care Clinic

Titus County

Population Group: Low Income - Titus County

Tom Green County

Facility: La Esperanza Clinic, Inc.

Travis County

Facility: People's Community Clinic

Facility: Travis County Healthcare District/Dba Community care

Trinity County

Service Area: Trinity County

Facility: Groveton Family Health Clinic

Tyler County

Service Area: Tyler County

Facility: CF-Gib Lewis Unit

Upshur County

Service Area: Northeast Upshur County

Upton County

Service Area: Upton County

Uvalde County

Service Area: Uvalde County

Facility: Community Health Development, Inc.

Val Verde County

Service Area: Val Verde County

Van Zandt County

Service Area: Van Zandt County

Walker County

Population Group: Low Income - Walker County

Facility: CF - Rev Catchment Area Holliday Transfer Facility

Facility: CF-Huntsville Unit

Facility: CF-James H. Byrd Unit

Facility: CF-John M. Wynne Unit

Facility: CF-O.B. Ellis Unit

Facility: CF-Thomas Goree Unit

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 265 of 309

Waller County

Service Area: Waller County

Ward County

Service Area: Ward County

Facility: Sandhills Family Clinic

Webb County

Service Area: Rural Laredo

Service Area: South Laredo

Facility: Gateway Community Health Center

Wharton County

Population Group: Low Income-Wharton County

Wheeler County

Population Group: Low Income - Wheeler County

Wichita County

Population Group: Low Income - Wichita County

Facility: North Central Texas Community Health Center

Wilbarger County

Population Group: Low Income-Wilbarger County

Willacy County

Service Area: Willacy County

Williamson County

Facility: Immigration and Customs Enforcement - Taylor

Facility: Lone Star Circle of Care

Wilson County

Service Area: Wilson County

Winkler County

Service Area: Winkler County

Wise County

Population Group: Low Income - Wise County

Wood County

Facility: CF-Clyde M Johnston Unit

Facility: Etmc First Physician Health Clinic

PRIMARY CARE: Texas

County and County Equivalent Listing

Page 266 of 309

Young County

Population Group: Low Income - Young County

Facility: Lovett-Meredith Rural Healt h Clinic

Zapata Count

Service Area: Zapata County

Facility: Pediatric Practice Association

Zavala County

Service Area: Zavala County

Facility: Eduardo Moreno, Rural Health Clinic

Facility: Vida Y Salud Health System

PRIMARY CARE: Utah

County and County Equivalent Listing

Page 267 of 309

Box Elder County

Service Area: Box Elder County

Cache County

Population Group: Low Income-Cache County

Carbon County

Population Group: Low Income-Carbon County

Facility: Carbon Medical Services

Daggett County

Service Area: Daggett County

Duchesne County

Population Group: Low Income-Duchesne County

Emery County

Service Area: Emery County

Facility: Emery Medical Center

Facility: Green River Medical Center

Garfield County

Population Group: Low Income-Eastern Garfield County

Grand County

Service Area: Thompson Springs/Uintah/Ouray

Iron County

Population Group: Low Income-Iron County

Facility: Paiute Indian Tribe of UT

Juab County

Service Area: Eureka/West Juab

Facility: Goshute Tribe

Kane County

Service Area: Kane County

Millard County

Service Area: Delta

Morgan County

Service Area: South Morgan

Piute County

Service Area: Piute County

PRIMARY CARE: Utah

County and County Equivalent Listing

Page 268 of 309

Rich County

Service Area: Rich County

Facility: Bear Lake Community Health Center Inc.

Salt Lake County

Population Group: Low Income - Salt Lake/Kearns

Population Group: Low Income-Salt Lake/Magna

Facility: Community Health Centers, Inc.

Facility: Indian Walk-in Center

Facility: Midvale Family Health Clinic

Salt Lake County

Facility: Sacred Circle Health Care

Facility: Utah Partners for Health (Upfh)

Facility: Utah State Prison - Draper

Facility: Wasatch Homeless

San Juan County

Population Group: Low Income - Monticello

Facility: Blanding Medical Clinic

Facility: San Juan Clinic

Facility: Utah Navajo Health System, Inc.

Sanpete County

Facility: Central Utah Correctional Facility

Sevier County

Population Group: Low Income-Sevier County

Summit County

Facility: Coalville Health Center

Facility: Kamas Health Center

Tooele County

Service Area: Tooele County

Uintah County

Service Area: Uintah and Ouray

Facility: Fort Duchesne PHS Indian Health Center

Facility: Ute Indian Tribe

Facility: Ute Indian Tribe-Alch/Service Area

Utah County

Population Group: Low Income - Utah County

Facility: Mountainlands Community Health Center, Inc.

Wasatch County

Population Group: Low Income - West Wasatch Service Area

PRIMARY CARE: Utah

County and County Equivalent Listing

Page 269 of 309

Washington County

Population Group: Low Income-Washington County

Facility: Enterprise Valley Medical

Facility: Shivwits Paiute Medical Clinic

Facility: Southwest Utah Community

Facility: Southwest Utah Public Health Department

Wayne County

Service Area: Hanksville Service Area

Facility: Wayne Community Health

Weber County

Population Group: Low Income - Central Weber County

Facility: Midtown Community

PRIMARY CARE: Vermont

County and County Equivalent Listing

Page 270 of 309

Bennington County

Service Area: Arlington

Facility: Battenkill Valley Health Center Inc.

Facility: Michael Welther Dba Arlington Family Practice

Caledonia County

Facility: Nvrh Corner Medical

Facility: Nvrh St. Johnsbury Pediatrics

Facility: Nvrh-Kingdom Internal Medicince

Chittenden County

Facility: Community Health Center of Burlington, Inc.

Essex County

Facility: Northern Counties Health Care

Franklin County

Facility: Richford Health Center, Inc.

Lamoille County

Facility: Chslv-CH Services of the Lamoille Valley

Facility: Copley Professional Services Group

Facility: Ryder Brook Pediatrics

Orange County

Service Area: Chelsea/Corinth Rational Service Area

Facility: East Corinth

Facility: Gifford Health Care, Inc.

Facility: Little Rivers Health Care

Orleans County

Facility: Community Medical Associates-186

Facility: Community Medical Associates-41

Facility: Family Practice of Newport

Facility: Family Practice of Newport-81

Facility: Newport Pediatrics and Adolescent Medicine

Facility: North Country Hospitals

Facility: North Country OB/GYN Practice

Facility: North Country OB/GYN Services

Facility: Orleans Medical Clinic

Facility: The Barton Clinic

Rutland County

Population Group: Low Income-Ludlow

Facility: Community Health Centers of Rutland Region

Washington County

Facility: Northeast Washington County Community Health Center

PRIMARY CARE: Vermont

County and County Equivalent Listing

Page 271 of 309

Windham County

Facility: Dba Mountain Valley Medical Clinic

Facility: Mountain Valley Health Council, Inc.

Windham County

Facility: Otis Health Care Dba Grace Cottage Family Health

Windsor County

Population Group: Low Income-Ludlow

Facility: Springfield Medical Care Systems, Inc

PRIMARY CARE: Virginia

County and County Equivalent Listing

Page 272 of 309

Accomack County

Service Area: Accomack County

Alexandria City

Facility: Alexandria Neighborhood Health Services

Alleghany County

Population Group: Low Income-Alleghany County/Covington City

Amelia County

Service Area: Amelia County

Amherst County

Service Area: Amherst County

Appomattox County

Service Area: Appomattox County

Augusta County

Facility: Augusta Correctional Center

Bath County

Service Area: Bath County

Bedford County

Service Area: Bedford County

Bland County

Service Area: Bland County

Facility: Bland County Medical

Botetourt County

Service Area: Northern Botetourt

Brunswick County

Service Area: Brunswick County

Facility: Lawrenceville Correctional Center

Buchanan County

Population Group: Low Income - Buchanan County

Facility: Keen Mountain Correctional Center

Buckingham County

Population Group: Low Income-Buckingham/Cumberland Counties

Facility: Buckingham Correctional Center

Facility: Central Virginia Health Services

Facility: Dillwyn Correctional Center

PRIMARY CARE: Virginia

County and County Equivalent Listing

Page 273 of 309

Buena Vista City

Population Group: Low Income - Rockbridge Area

Caroline County

Service Area: Caroline County

Carroll County

Population Group: Low Income-Carroll and Grayson Counties/Galax City

Facility: Tri-Area/Laurel Fork Health Clinic

Charles City County

Service Area: Charles City

Charlotte County

Service Area: Charlotte County

Chesapeake City

Service Area: South Norfolk/Chesapeake City

Facility: St. Brides Correctional Center

Covington City

Population Group: Low Income-Alleghany County/Covington City

Craig County

Service Area: Craig County

Cumberland County

Population Group: Low Income-Buckingham/Cumberland Counties

Danville City

Facility: Piedmont Access to Health Services (Path)

Dickenson County

Service Area: Dickenson County

Dinwiddie County

Service Area: Dinwiddie County

Emporia City

Service Area: Greensville/Emporia

Essex County

Service Area: Essex/Richmond

Floyd County

Service Area: Floyd County

Fluvanna County

Service Area: Fluvanna Service Area

PRIMARY CARE: Virginia

County and County Equivalent Listing

Page 274 of 309

Franklin City

Population Group: Low Income - Southampton County/Franklin City

Franklin County

Service Area: Franklin County

Galax City

Population Group: Low Income-Carroll and Grayson Counties/Galax City

Giles County

Service Area: Giles County

Goochland County

Service Area: Goochland/Fife

Grayson County

Population Group: Low Income-Carroll and Grayson Counties/Galax City

Greene County

Service Area: Greene/Madison Counties

Greensville County

Service Area: Greensville/Emporia

Halifax County

Service Area: Halifax County

Hampton City

Service Area: Newport News

Harrisonburg City

Facility: Harrisonburg Community Health Center

Henrico County

Service Area: Richmond/Henrico

Henry County

Population Group: Low Income-Martinsville City/Henry County

Highland County

Service Area: Highland County

Facility: Highland Medical Center

Hopewell City

Population Group: Mi-Petersburg and Hopewell City/Prince George County

PRIMARY CARE: Virginia

County and County Equivalent Listing

Page 275 of 309

James City County

Facility: Olde Towne Medical Center

King and Queen County

Service Area: King and Queen County

King George County

Service Area: King George/Westmoreland Counties

King William County

Service Area: King William/New Kent Counties

Lancaster County

Population Group: Low Income-Lancaster and Northumberland Counties

Lee County

Population Group: Low Income - Lee County

Facility: Stone Mountain Health Services

Facility: USP-Lee

Lexington City

Population Group: Low Income - Rockbridge Area

Loudoun County

Facility: Loudoun Community Health Center

Louisa County

Service Area: Louisa County

Lunenburg County

Service Area: Lunenburg County

Facility: Southern Dominion Health System

Lynchburg City

Service Area: Lynchburg City East

Lynchburg City

Facility: Community Access Network

Facility: Johnson Health Center

Madison County

Service Area: Greene/Madison Counties

Martinsville City

Population Group: Low Income-Martinsville City/Henry County

Facility: Martinsville Henry County Coalition Health and Human

Services

Mathews County

Service Area: Middlesex-Mathews Counties

PRIMARY CARE: Virginia

County and County Equivalent Listing

Page 276 of 309

Mecklenburg County

Service Area: Mecklenburg County

Middlesex County

Service Area: Middlesex-Mathews Counties

Montgomery County

Facility: Free Clinic of the New River Valley, Inc.

Nelson County

Population Group: Low Income - Nelson County

Facility: Blue Ridge Medical Center, Inc.

New Kent County

Service Area: King William/New Kent Counties

Newport News City

Service Area: Newport News

Facility: Peninsula Institute for Community Health

Facility: Peninsula Public Health District Clinic

Norfolk City

Service Area: South Norfolk/Chesapeake City

Population Group: Low Income-S. Portsmouth-Norfolk

Northampton County

Population Group: Low Income/Migrant Seasonal Farmworkers/Homeless –

Northampton County

Facility: Eastern Shore Rural Health

Northumberland County

Population Group: Low Income-Lancaster and Northumberland Counties

Page County

Service Area: Shenandoah-Page

Patrick County

Service Area: Patrick County

Petersburg City

Population Group: Mi-Petersburg and Hopewell City/Prince George County

Pittsylvania County

Service Area: Northern Pittsylvania

Pittsylvania County

Facility: Green Rock Correctional Center

PRIMARY CARE: Virginia

County and County Equivalent Listing

Page 277 of 309

Portsmouth City

Population Group: Low Income-S. Portsmouth-Norfolk

Facility: Porstmouth Community Health Center

Prince Edward County

Population Group: Low Income-Prince Edward County

Prince George County

Population Group: Mi-Petersburg and Hopewell City/Prince George County

Facility: Federal Correctional Complex-Petersburg

Prince William County

Facility: Greater Prince William Community Health Ct

Rappahannock County

Service Area: Rappahannock County

Richmond City

Service Area: Richmond/Henrico

Facility: Daily Planet

Facility: Hayes E. Willis Health Center

Facility: Vernon J. Harris East End Community Health Center

Service Area: Essex/Richmond

Roanoke City

Service Area: Northwest Roanoke

Facility: Kuumba Community Health

Rockbridge County

Population Group: Low Income - Rockbridge Area

Facility: Rockbridge Area Free Clinic

Russell County

Service Area: Russell County

Facility: Community Health Clinic Primary Care

Scott County

Service Area: Scott County

Facility: Clinch River Health Services

Shenandoah County

Service Area: Shenandoah-Page

Smyth County

Service Area: Konnarock

Facility: Southwest Virginia Community Health Services

PRIMARY CARE: Virginia

County and County Equivalent Listing

Page 278 of 309

Southampton County

Population Group: Low Income - Southampton County/Franklin City

Facility: Deerfield Correctional Center

Facility: Horizon Health Services

Surry County

Service Area: Surry County

Sussex County

Facility: Stony Creek Community Health Center

Tazewell County

Population Group: Low Income-Tazewell County

Facility: Bluefield Internal Medicine

Facility: Clinch Valley Physicians, Inc.

Facility: Merit Medical Rural Health Clinic Richlands

Warren County

Service Area: Warren County

Washington County

Service Area: Konnarock

Westmoreland County

Service Area: King George/Westmoreland Counties

Wise County

Facility: CF-Red Onion

Facility: Wallens Ridge State Prison

PRIMARY CARE: Washington

County and County Equivalent Listing

Page 279 of 309

Adams County

Population Group: Low Income-Adams County

Facility: Columbia Basin Health Association

Asotin County

Population Group: Low Income/H-Asotin County

Benton County

Population Group: Low Income/H/Mfwbenton/Franklin Counties

Chelan County

Population Group: Low Income/Migrant Farmworker/H-Chelan and Douglas

Counties

Facility: Columbia Valley Community Health Center

Clallam County

Service Area: West Clallam and West Jefferson

Population Group: Low Income/H/Migrant Farmworker-Port Angeles/Sequim-

Elwah

Facility: Clallam Bay Corrections Center

Facility: Family Medical Center

Facility: Jamestown South'Klallam Tribe

Facility: Lower Elwha Klallam Health Clinic

Facility: Makah - Sophie Trettevick Indian Health Center

Facility: North Olympic Healthcare Network, Primary Care

Facility: Peninsula Children's Clinic, Inc.

Facility: Quileute Clinic

Clark County

Population Group: Low Income-Northern Clark County

Population Group: Low Income-Southern Clark County

Columbia County

Population Group: Low Income/H-Columbia County

Cowlitz County

Population Group: Low Income-Cowlitz County

Facility: Cowitz Tribe

Facility: Cowlitz Family Health

Douglas County

Population Group: Low Income/Migrant Farmworker/H-Chelan and Douglas

Counties

Ferry County

Service Area: Ferry County

Facility: Colville Confederated Tribes

PRIMARY CARE: Washington

County and County Equivalent Listing

Page 280 of 309

Franklin County

Population Group: Low Income/H/Mfwbenton/Franklin Counties

Facility: CF-Coyote Ridge Correctional Center

Facility: La Clinica Community Health Center

Garfield County

Service Area: Garfield County

Facility: Pomeroy Medical Clinic

Grant County

Service Area: Grand Coulee

Service Area: Lower Grant

Population Group: Low Income-Central Grant County

Facility: Columbia Basin Family Medicine

Facility: Coulee Community Hospital and Immediate Catchment

Facility: Ephrata Medical Center

Facility: Grant County Public Hospital (Gcphd)Dba Mattawa Communit

Facility: Moses Lake Community Health Center

Facility: Quincy Valley Clinic/Dba Sageview Family Care

Facility: Samaritan Clinic

Facility: Samaritan Parkview Pediatrics

Grays Harbor County

Population Group: Low Income-Grays Harbor County

Facility: Chehalis Tribal Clinic

Facility: Elma Family Medicine

Facility: McClearly Health Care Center

Facility: Roger Saux Health Center

Facility: Stafford Creek Correctional Center

Facility: Summit Pacific Medical Center

Facility: The Beach Clinic Inc., PS

Island County

Service Area: Island County

Jefferson County

Service Area: West Clallam and West Jefferson

Population Group: Low Income/H-Port Townsend/Quilcene

Facility: Port Townsend Family Physicians

Facility: South County Medical Clinic

PRIMARY CARE: Washington

County and County Equivalent Listing

Page 281 of 309

King County

Service Area: Enumclaw

Service Area: Snoqualmie/North Bend

Service Area: Vashon Maury Island

Facility: Country Doctors Community Clinic

Facility: Federal Detention Center-Seatac

Facility: Healthpoint

Facility: International Community Health Services

Facility: Muckleshoot Tribal Clinic

Facility: Neighborcare Health (Formerly Puget Sound)

Facility: Sea Mar Community Health Center

Facility: Seattle Indian Health

Facility: Seattle King County Department of Public Health

Facility: Snoqualmie-North Bend Family Clinic

King County

Facility: Snoqualmie-Tolt Community Clinic

Kitsap County

Service Area: Kitsap County

Facility: Peninsula Community Clinic

Facility: Port Gamble South'Klallam Tribal Clinic

Facility: Suquamish Tribe

Kittitas County

Population Group: Low Income/Migrant Farmworker/H-Kittitas County

Facility: Cle Elum Family Medicine Center

Klickitat County

Population Group: Low Income/Migrant Farmworker/H-Klickitat County

Facility: Northshore Medical Group - White Salmon

Facility: Skyline Clinic

Lewis County

Population Group: Low Income/H/Migrant Farmworker-Lewis County

Facility: Valley View Health Center

Lincoln County

Population Group: Low Income-Lincoln County

Mason County

Service Area: Mason County

Facility: Mountain View Women's Health Group, PLLC

Facility: Skokomish Tribal Health Clinic

Facility: Squaxin Island Health Center

Facility: Washington Corrections Center

PRIMARY CARE: Washington

County and County Equivalent Listing

Page 282 of 309

Okanogan County

Service Area: Grand Coulee

Population Group: Low Income/Migrant Farmworker-South Okanogan

Population Group: Low Income-Central Okanogan

Population Group: Low Income-North Okanogan County

Population Group: Low Income-West Okanogan

Facility: Colville PHS Indian Health Center

Facility: Family Health Centers

Facility: Main Street Health Associates, PS

Facility: Mid Valley Medical Group

Facility: Omak Clinic

Pacific County

Population Group: Low Income-Pacific County

Facility: Naselle Clinic

Facility: Ocean Beach Medical Clinic

Facility: Shoalwater Bay Health Clinic

Pend Oreille County

Population Group: Low Income - Pend Oreille County

Facility: Family Health Center Newport

Facility: Kalispel Tribe

Pierce County

Service Area: Buckley Service Area

Service Area: Eatonville/Roy

Service Area: Longbranch

Facility: Community Health Care Delivery

Facility: Immigration and Customs Enforcement - Tacoma

Facility: Metropolitan Devolopment Council

Facility: Puyallup Tribal Health Authority

San Juan County

Service Area: Lopez Island

Service Area: San Juan Island

Population Group: Low Income-Orcas Island

Skagit County

Population Group: Low Income/H/Migrant Farmworker-Skagit County

Facility: Sauk-Suiatte Health Center

Facility: Swinomish Health Clinic

Facility: Upper Skagit Tribal Clinic

Skamania County

Population Group: Low Income-Skamania County

Facility: Northshore Medical Group – Stevenson

PRIMARY CARE: Washington

County and County Equivalent Listing

Page 283 of 309

Snohomish County

Service Area: Darrington

Service Area: Monroe/Sultan Service Area

Service Area: Tulalip

Population Group: Low Income-Everett

Facility: Community Health Center of Snohomish

Facility: Monroe Correctional Complex

Facility: Stillaguamish Tribal Clinic

Facility: Tulalip Clinic

Spokane County

Service Area: North Spokane

Service Area: Southeast Spokane

Service Area: Southwest Spokane

Population Group: Low Income/H/Migrant Farmworker-Downtown Spokane

Facility: CF-Airway Heights Corrections Center

Facility: Community Health Association of Spokane (Chas)

Facility: Healing Lodge of Seven Nations

Facility: N.A.T.I.V.E. Project of Spokane

Stevens County

Population Group: Low Income/H/Migrant Farmworker-Stevens County

Facility: David C. Wynecoop Memorial Clinic

Facility: N.E.W. Health Programs

Facility: Northeast Washington Medical Group

Facility: Spokane Tribe

Thurston County

Service Area: North Thurston County

Service Area: South Thurston County

Facility: Nisqually Health Clinic

Wahkiakum County

Service Area: Wahkiakum County

Walla Walla County

Population Group: Low Income/H/Migrant Farmworker - Walla Walla County

Facility: Adventist Health/Medical Group

Facility: CF-Washington State Penitentiary

Facility: Walla Walla Clinic

Whatcom County

Population Group: Low Income/H/Migrant Farmworker-Whatcom County

Facility: Indian Tribal Consortium

Facility: Interfaith Community Health Center

Facility: Lummi Tribal Health Center

Facility: Nooksack Tribal Health Center

PRIMARY CARE: Washington

County and County Equivalent Listing

Page 284 of 309

Whitman County

Service Area: Northeast Whitman County

Service Area: Rock Lake/LA Cross Service Area

Population Group: Low Income - East Whitman

Yakima County

Population Group: Low Income-Yakima County

Facility: Central Washington Family Medicine

Facility: Grandview Medical Center

Facility: John Hughes Student Health Center

Facility: Lincoln Avenue Family Medicine

Facility: Sunnyside Pediatrics

Facility: Valley Internal Medicine

Facility: Valley Regional Rural Health Clinic V

Facility: White Swan Clinic

Facility: Yakima Indian Health Center

Facility: Yakima Neighborhood Health Services

Facility: Yakima Valley Farmworkers Clinic

PRIMARY CARE: West Virginia

County and County Equivalent Listing

Page 285 of 309

Barbour County

Population Group: Low Income - Barbour County

Facility: Belington Community Medical Services

Facility: The Myers Clinic, Inc.

Berkeley County

Population Group: Low Income - Berkeley County

Facility: Shenandoah Valley Medical Center

Boone County

Population Group: Low Income - Boone County

Facility: Boone County Hospital Medical Clinic

Facility: Boone Memorial Hospital Rural Health Clinic

Facility: Hygeia Facilities Foundation

Braxton County

Population Group: Low Income-Braxton County

Facility: Braxton Community Health Center

Cabell County

Population Group: Low Income - Cabell County

Facility: Ebenezer Medical Outreach, Inc.

Facility: Valley Health Systems

Calhoun County

Population Group: Low Income - Calhoun County

Facility: Minnie Hamilton Health Center

Clay County

Population Group: Low Income-Clay County

Doddridge County

Population Group: Low Income - Doddridge County

Fayette County

Population Group: Low Income-Fayette County

Facility: Mt. Olive Correctional Center

Facility: New River Community Health Center

Gilmer County

Population Group: Low Income - Gilmer County

Facility: Federal Correctional Institution – Gilmer

Grant County

Service Area: Grant County

PRIMARY CARE: West Virginia

County and County Equivalent Listing

Page 286 of 309

Greenbrier County

Population Group: Low Income-Greenbrier County

Facility: Northern Greenbrier Health Clinic

Facility: Rainelle Medical Center

Facility: Rupert Primary Care

Hampshire County

Service Area: Hampshire County

Hancock County

Population Group: Low Income-Hancock County

Facility: Change Inc., Dba Family Medical Care

Hardy County

Population Group: Low Income - Hardy County

Facility: E.A. Hawse Health Center

Harrison County

Population Group: Low Income - Harrison County

Jackson County

Service Area: Jackson County

Jefferson County

Facility: Harpers Ferry Family Medicine

Kanawha County

Population Group: Low Income - Kanawha County

Facility: Cabin Creek Health Center

Facility: WV Health Right

Lewis County

Population Group: Low Income-Lewis County

Lincoln County

Population Group: Low Income - Lincoln County

Facility: Lincoln County Primary Care Center

Logan County

Facility: Family Healthcare Associates, Inc.-Man

Facility: Rural Health Access Corporation/Dba Coalfield Health Center

Marion County

Population Group: Low Income-Marion County

Facility: Douglas D. Wolfe Do, Inc.

Facility: Monongahela Valley Association of Health Centers

Facility: North Marion Medical Associates

PRIMARY CARE: West Virginia

County and County Equivalent Listing

Page 287 of 309

Marshall County

Population Group: Low Income - Marshall County

Facility: Northern Correctional Facility

Mason County

Population Group: Low Income - Mason County

Facility: Lakin Correctional Center

McDowell County

Service Area: McDowell County

Facility: Bradshaw Medical Rural Health Clinic

Facility: Federal Correctional Institution - McDowell

Facility: Tug River Community Health Center

Facility: Welch Emergency Clinic

Facility: Yukon Medical Clinic

Mercer County

Population Group: Low Income-Mercer County

Facility: Athens Medical Center

Facility: Bluestone Health Center

Facility: Jana Peters, Do

Mineral County

Population Group: Low Income - Mineral County

Facility: Elk Garden Clinic

Mingo County

Facility: Williamson Health and Wellness Center

Monongalia County

Facility: Clay-Battelle Health Services

Facility: Federal Correctional Institution – Morgantown

Monroe County

Population Group: Low Income-Monroe County

Facility: Miller Family Practice

Facility: Monroe County Health Center

Morgan County

Population Group: Low Income-Morgan County

Facility: Mountaineer Community Health Center, Inc.

Nicholas County

Population Group: Low Income - Nicholas County

Facility: Richwood Area Community Hospital Rural Health Clinic

Ohio County

Facility: Wheeling Health Right, Inc.

PRIMARY CARE: West Virginia

County and County Equivalent Listing

Page 288 of 309

Pendleton County

Population Group: Low Income - Pendleton County

Facility: Pendleton Community Center

Pleasants County

Population Group: Low Income - Pleasants County

Pocahontas County

Population Group: Low Income - Pocahontas County

Facility: Pocahontas Memorial Hospital Medical Practice

Preston County

Facility: Federal Correctional Complex-Hazelton

Putnam County

Facility: Family Care, Inc.

Raleigh County

Facility: Beckley Health Right

Facility: Community Health Systems

Facility: Federal Correctional Institution - Beckley

Randolph County

Population Group: Low Income-Randolph County

Facility: Huttonsville Correctional Center

Facility: Valley Health Care, Inc.

Ritchie County

Population Group: Low Income-Ritchie County

Facility: Ritchie County Primary Care Association Inc.

Roane County

Population Group: Low Income - Roane County

Facility: Roane County Family Health Center

Facility: Roane General Medical Associates

Facility: Roane General Medical Clinic

Facility: Southern Roane Medical Clinic

Summers County

Population Group: Low Income-Summers County

Facility: Family Care Clinic

Facility: S. K. Shammaa, MD

PRIMARY CARE: West Virginia

County and County Equivalent Listing

Page 289 of 309

Taylor County

Population Group: Low Income-Taylor County

Facility: Pinewood Medical Center

Facility: Preston-Taylor Community Health Center

Facility: Pruntytown Correctional Center

Facility: Tygart Valley Total Care Clinic

Tucker County

Population Group: Low Income-Tucker County

Facility: St. George Medical Clinic, Inc.

Tyler County

Population Group: Low Income-Tyler County

Upshur County

Population Group: Low Income - Upshur County

Facility: Community Care of West Virginia

Webster County

Population Group: Low Income - Webster County

Facility: Camden-on-Gauley Medical Center

Facility: Webster County Memorial Hospital

Wetzel County

Population Group: Low Income - Wetzel County

Facility: New Martinsville Health Center

Facility: Pine Grove Health Center

Wirt County

Service Area: Wirt County

Facility: Wirt County Health Services Association

Wood County

Population Group: Low Income-Wood County

Wyoming County

Service Area: Wyoming County

Facility: Family Healtcare Associates, Inc.

Facility: Family Healthcare Associates, Inc.-Mullens

Facility: Family Healthcare Associates, Inc.-Pineville

PRIMARY CARE: Wisconsin

County and County Equivalent Listing

Page 290 of 309

Adams County

Service Area: Adams County

Facility: Federal Correctional Institution – Oxford

Ashland County

Service Area: La Pointe Town

Population Group: Low Income - Price/Mellen

Facility: Bad River Health Svs

Barron County

Population Group: Low Income - Spooner/Shell Lake

Facility: Turtle Lake Medical Clinic

Bayfield County

Facility: Red Cliff Health Services

Facility: The Lakes Community Health Center, Inc.

Brown County

Facility: Green Bay Correctional Institution

Facility: N.E.W. Community Clinic

Facility: Oneida Community Health Center

Buffalo County

Service Area: Durand

Service Area: Mondovi

Burnett County

Service Area: Burnett County

Facility: Burnett Medical Center Clinic

Facility: Ingalls - St. Croix Regional Medical Center

Facility: St. Croix Tribal Health Dpt

Calumet County

Service Area: Chilton/New Holstein/Brillion

Chippewa County

Service Area: Stanley-Cornell Service Area

Clark County

Service Area: Clark County

Facility: Memorial Medical Center - Greenwood

Facility: Memorial Medical Center - Loyal

Facility: Memorial Medical Clinic-Neillsville

Facility: Victory Medical Group

Columbia County

Population Group: Low Income-Beaver Dam Service Area

Facility: Columbia Correctional Institution

PRIMARY CARE: Wisconsin

County and County Equivalent Listing

Page 291 of 309

Crawford County

Facility: Kickapoo Valley Medical Clinic

Dane County

Facility: Madison Community Health Center

Dodge County

Population Group: Low Income-Beaver Dam Service Area

Population Group: Low Income-Jefferson Service Area

Facility: Fox Lake Correctional Institution

Facility: Waupun Correctional Institution

Door County

Service Area: Sister Bay/Washington Island

Douglas County

Service Area: Minong/Solon Springs

Dunn County

Service Area: Baldwin/Knapp

Service Area: Durand

Eau Claire County

Service Area: Stanley-Cornell Service Area

Florence County

Service Area: Florence County

Fond du Lac County

Service Area: Chilton/New Holstein/Brillion

Forest County

Population Group: Low Income - Forest County

Facility: Potawatomi Health and Wellness Center

Facility: Sokaogon Chippewa Indian Community

Grant County

Population Group: Low Income-Grant County

Facility: Boscobel Area Health Center Bluff Street Clinic

Facility: Riverside Family Practice

Facility: Upland Hills Health Clinic – Mortfort

Green Lake County

Service Area: Markesan/Kingston Service Area

Iowa County

Facility: Upland Hills Health Clinic – Highland

PRIMARY CARE: Wisconsin

County and County Equivalent Listing

Page 292 of 309

Iron County

Service Area: Hurley/Mercer

Population Group: Low Income - Price/Mellen

Facility: Aspirus Grand View Clinic – Hurley

Jackson County

Service Area: Galesville/Trempealeau

Facility: Ho-Chunk Nation Health Department

Jefferson County

Population Group: Low Income-Jefferson Service Area

Juneau County

Population Group: Low Income - Hillsboro

Juneau County

Facility: Elroy Family Medical Center

Facility: Mile Bluff Clinic, LLP

Facility: Necedah Family Medical Center

Facility: New Lisbon Clinic

Facility: St. Joseph's Health Services, Inc. Dba Gundersen St.

Joseph's Hospital and Clinic Elroy Clinic

Facility: St. Joseph's Health Services, Inc. Dba Gundersen St.

Joseph's Hospital and Clinic Wonewoc Clinic

Kenosha County

Service Area: City of Kenosha

Facility: Kenosha Community Health Center

Kewaunee County

Service Area: Kewaunee County

Facility: Family Medical Center - Kewaunee

Facility: Federal Medical Center – Algoma

Lafayette County

Service Area: Lafayette County

Langlade County

Population Group: Low Income-Langlade County

Manitowoc County

Service Area: Chilton/New Holstein/Brillion

Marathon County

Service Area: City of Wausau

Population Group: Low Income-Athens Stratford Service Area

Facility: Bridge Community Health Center

PRIMARY CARE: Wisconsin

County and County Equivalent Listing

Page 293 of 309

Marinette County

Population Group: Low Income-Marinette County

Facility: Northreach Healthcare Crivitz

Facility: Northreach-Family Care Medical Clinic

Facility: Peshtigo Family Medicine

Marquette County

Service Area: Marquette County

Menominee County

Facility: Menominee Tribal Clinic-Wolf River

Milwaukee County

Service Area: Inner City South

Service Area: North Milwaukee Service Area

Facility: 16th Street Community Health Center

Facility: Gerald I. Ignace Health Center

Facility: Milwaukee Health Services

Facility: Milwaukee Secure Detention Facility

Facility: Outreach Community Health Centers, Inc.

Milwaukee County

Facility: Progressive Community Health Centers, Inc.

Monroe County

Population Group: Low Income - Hillsboro

Facility: Scenic Bluffs Health Center

Oconto County

Service Area: Oconto County

Facility: Family Medical Center - Oconto

Facility: Family Medical Center - Oconto Falls

Facility: Northern Health Centers, Inc.

Facility: St. Clare Memorial Hospital - Gillett Health Center

Facility: St. Clare Memorial Hospital - Lena Health Center

Facility: St. Clare Memorial Hospital - Mountain Health Center

Facility: St. Clare Memorial Hospital - Suring Health Center

Oneida County

Population Group: Low Income-Oneida Vilas

Outagamie County

Population Group: Low Income - Clintonville/Marion

Pepin County

Service Area: Durand

Service Area: Mondovi

PRIMARY CARE: Wisconsin

County and County Equivalent Listing

Page 294 of 309

Pierce County

Service Area: Durand

Polk County

Population Group: Low Income-Polk County

Facility: Clear Lake Clinic

Facility: Frederic Clinic - St Croix Regional Medical Center

Facility: Luck Medical Clinic

Portage County

Population Group: Low Income-Portage County

Price County

Population Group: Low Income - Price/Mellen

Racine County

Population Group: Low Income - City of Racine

Facility: Racine Correctional Institution

Richland County

Population Group: Low Income - Hillsboro

Rock County

Population Group: Low Income-Rock County

Facility: Community Health Systems

Rusk County

Population Group: Low Income - Rusk County

Sauk County

Population Group: Low Income - Hillsboro

Population Group: Low Income-Sauk Subcounty

Facility: House of Wellness Clinic

Facility: Spring Green Medical Center

Facility: Upland Hills Health Clinic - Spring Green

Sawyer County

Population Group: Low Income-Sawyer County

Facility: Lac Courte Oreilles Tribal Health Center

Shawano County

Service Area: Shawano County

Facility: Stockbridge-Munsee Tribal Health Center

Sheboygan County

Service Area: Downtown Sheboygan

Facility: Kettle Moraine Correctional Institution

Facility: Sheboygan Area Community Clinics

PRIMARY CARE: Wisconsin

County and County Equivalent Listing

Page 295 of 309

St. Croix County

Service Area: Baldwin/Knapp

Facility: Baldwin Clinic

Taylor County

Population Group: Low Income-Taylor County

Trempealeau County

Service Area: Galesville/Trempealeau

Population Group: Low Income - Central Trempealeau Service Area

Vernon County

Population Group: Low Income - Hillsboro

Facility: Bland Clinic - Vmh

Facility: Hirsch Clinic - Vhm

Facility: La Farge Medical Clinic - Vhm

Facility: St. Joseph's Health Services, Inc. Dba Gundersen St.

Joseph's Hospital and Clinic Hillsboro Clinic

Vilas County

Population Group: Low Income - Land O Lakes/Presque Isle Population

Group: Low Income-Oneida Vilas

Facility: Great Lakes Inter-Tribal Council

Facility: Peter Christesen Health Center

Walworth County

Population Group: Low Income-Walworth County

Washburn County

Service Area: Minong/Solon Springs

Population Group: Low Income - Spooner/Shell Lake

Waupaca County

Population Group: Low Income - Clintonville/Marion

Waushara County

Facility: La Clinica De Los Campesinos, Inc.

Winnebago County

Facility: Fox Cities Community Health Center

Facility: Oshkosh Medium Security Institution

Facility: Wisconsin Resource Center

Wood County

Population Group: Low Income-Wood County

Facility: Marshfield Family Health

PRIMARY CARE: Wyoming

County and County Equivalent Listing

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Albany County

Facility: University of Wyoming

Big Horn County

Service Area: Big Horn County

Facility: North Big Horn Hospital Clinic

Campbell County

Service Area: South Campbell Service Area

Carbon County

Service Area: Carbon County

Converse County

Service Area: Glenrock

Facility: Glenrock Hospital District Dba Glenrock Health Center

Crook County

Service Area: Crook County

Facility: Hulett Clinic

Facility: Moorcroft Clinic

Facility: Sundance Clinic

Fremont County

Service Area: Dubois

Facility: Arapaho Clinic

Facility: Arapahoe PHS Indian Health Center

Facility: Ft. Washakie PHS Indian Health Center

Facility: Shoshone Tribal Health Dpt

Goshen County

Population Group: Low Income - Goshen County

Hot Springs County

Population Group: Low Income - Hot Springs County

Facility: Red Rock Family Practice – Thermopolis

Johnson County

Service Area: Kaycee Service Area

Laramie County

Service Area: Pine Bluffs

Service Area: Western Laramie County

Facility: Cheyenne Health and Wellness Center

Facility: Community Action of Laramie County

Facility: University of Wyoming

Facility: Wyoming Migrant Health Program

PRIMARY CARE: Wyoming

County and County Equivalent Listing

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Lincoln County

Service Area: Kemmerer (East and West)

Natrona County

Service Area: Northeast Natrona County

Facility: Community Action Partnership of Natrona

Natrona County

Facility: Community Health Center

Niobrara County

Service Area: Niobrara County

Park County

Service Area: Meeteetse Division

Facility: Powell Health Care Coalition

Platte County

Service Area: Platte County

Sheridan County

Service Area: Eastern Sheridan County

Sublette County

Service Area: Sublette County

Sweetwater County

Service Area: Sweetwater County

Facility: Sweetwater County Community Health Clinic

Uinta County

Service Area: Eastern Uinta

Washakie County

Facility: Red Rock Family Practice – Worland

Weston County

Service Area: Weston County

PRIMARY CARE: Wyoming

County and County Equivalent Listing

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Eastern District

Service Area: Territory of American Samoa

Manu'a District

Service Area: Territory of American Samoa

Rose Island

Service Area: Territory of American Samoa

Swains Island

Service Area: Territory of American Samoa

Western District

Service Area: Territory of American Samoa

Facility: American Samoa Department of Health

PRIMARY CARE: Federated States of Micronesia

County and County Equivalent Listing

Page 299 of 309

Chuuk State

Service Area: Chuuk State

Facility: Chuuk State Department of Health Services

Kosrae State

Population Group: Low Income - Kosrae State, Fsm

Facility: Kosrae Department of Health Services

Pohnpei State

Service Area: Pohnpei State, Fsm

Facility: Pohnpei Community Health Center

Yap State

Service Area: Yap State

Facility: Wa'Ab Community Health Center/Yap State Department of Health

Services

PRIMARY CARE: Guam

County and County Equivalent Listing

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Guam

Service Area: Guam

Facility: Guam Department of Public Health

PRIMARY CARE: Republic of Palau

County and County Equivalent Listing

Page 301 of 309

Ailinginae

Service Area: Republic of the Marshall Islands

Ailinglaplap

Service Area: Republic of the Marshall Islands

Ailuk

Service Area: Republic of the Marshall Islands

Arno

Service Area: Republic of the Marshall Islands

Aur

Service Area: Republic of the Marshall Islands

Bikar

Service Area: Republic of the Marshall Islands

Bikini

Service Area: Republic of the Marshall Islands

Ebon

Service Area: Republic of the Marshall Islands

Enewetak

Service Area: Republic of the Marshall Islands

Erikub

Service Area: Republic of the Marshall Islands

Jabat

Service Area: Republic of the Marshall Islands

Jaluit

Service Area: Republic of the Marshall Islands

Jemo Municipality

Service Area: Republic of the Marshall Islands

Kwajalein

Service Area: Republic of the Marshall Islands

Lae Lib

Service Area: Republic of the Marshall Islands

Service Area: Republic of the Marshall Islands

PRIMARY CARE: Republic of Palau

County and County Equivalent Listing

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Likiep

Service Area: Republic of the Marshall Islands

Majuro

Service Area: Republic of the Marshall Islands

Maloelap

Service Area: Republic of the Marshall Islands

Mejit

Service Area: Republic of the Marshall Islands

Mili

Service Area: Republic of the Marshall Islands

Namorik

Service Area: Republic of the Marshall Islands

Namu

Service Area: Republic of the Marshall Islands

Not Determined

Facility: Ministry of Health

Rongelap

Service Area: Republic of the Marshall Islands

Rongrik

Service Area: Republic of the Marshall Islands

Toke

Service Area: Republic of the Marshall Islands

Ujae

Service Area: Republic of the Marshall Islands

Ujelang

Service Area: Republic of the Marshall Islands

Utrik

Service Area: Republic of the Marshall Islands

Wotho

Service Area: Republic of the Marshall Islands

Wotje

Service Area: Republic of the Marshall Islands

PRIMARY CARE: Republic of Palau

County and County Equivalent Listing

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Northern Islands Municipality

Service Area: Commonwealth Northern Mariana Islands

Rota Municipality

Service Area: Commonwealth Northern Mariana Islands

Saipan Municipality

Service Area: Commonwealth Northern Mariana Islands

Facility: Cnmi Department of Public Health

Facility: Kagman Community Health Center

Tinian Municipality

Service Area: Commonwealth Northern Mariana Islands

PRIMARY CARE: Republic of Palau

County and County Equivalent Listing

Page 304 of 309

Aimeliik State

Service Area: Republic of Palau

Airai State

Service Area: Republic of Palau

Angaur State

Service Area: Republic of Palau

Hatoboheit State

Service Area: Republic of Palau

Kayangel State

Service Area: Republic of Palau

Koror State

Service Area: Republic of Palau

Facility: Ministry of Health

Melekeok State

Service Area: Republic of Palau

Ngaraard State

Service Area: Republic of Palau

Ngarchelong State

Service Area: Republic of Palau

Ngardmau State

Service Area: Republic of Palau

Ngatpang State

Service Area: Republic of Palau

Ngchesar State

Service Area: Republic of Palau

Ngernmlengui State

Service Area: Republic of Palau

Ngiwal State

Service Area: Republic of Palau

Peleliu State

Service Area: Republic of Palau

Sonsorol State

Service Area: Republic of Palau

PRIMARY CARE: Puerto Rico

County and County Equivalent Listing

Page 305 of 309

Adjuntas Municipio

Population Group: Low Income - Rational Service Area

7/Adjuntas/Arecibo/Barceloneta/Flor

Aguada Municipio

Population Group: Low Income - Aguada/Aguadilla/Isabel/Moca/Rincon M

Aguadilla Municipio

Population Group: Low Income - Aguada/Aguadilla/Isabel/Moca/Rincon M

Aguas Buenas Municipio

Population Group: Low Income - Caguas

Anasco Municipio

Population Group: Low Income - Anasco/Las Marias/Maricao/Mayaguez/San

Arecibo Municipio

Population Group: Low Income - Rational Service Area

7/Adjuntas/Arecibo/Barceloneta/Flor

Arroyo Municipio

Population Group: Low Income - Arroyo County

Facility: Centro De Salud Familia

Barceloneta Municipio

Population Group: Low Income - Rational Service Area

7/Adjuntas/Arecibo/Barceloneta/Flor

Facility: Barceloneta Primary Health

Bayamo'n Municipio

Population Group: Low Income - Bayamon

Facility: Community Health Foundation of PR, Inc.

Cabo Rojo Municipio

Population Group: Low Income - Rational Service Area 3

Caguas Municipio

Population Group: Low Income - Caguas

Facility: Sanos

Camuy Municipio

Population Group: Low Income - Camuy/Lares/Hatillo Municipios Rational

Service Area 27

Facility: Camuy Health Service

Catano Municipio

Population Group: Low Income – Bayamon

PRIMARY CARE: Puerto Rico

County and County Equivalent Listing

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Ceiba Municipio

Population Group: Low Income – Northeast

Ciales Municipio

Facility: Ciales Primary Health

Cidra Municipio

Facility: COSSMA Corporation

Culebra Municipio

Population Group: Low Income – Culebra

Fajardo Municipio

Population Group: Low Income – Northeast

Florida Municipio

Population Group: Low Income - Rational Service Area

7/Adjuntas/Arecibo/Barceloneta/Flor

Facility: Centro De Servicios Primarios De Salud Inc.

Guayanilla Municipio

Population Group: Low Income - Ponce Area

Guaynabo Municipio

Facility: Metropolitan Detention Center – Guaynabo

Gurabo Municipio

Population Group: Low Income - Caguas

Facility: Gurabo Community Health Center

Hatillo Municipio

Population Group: Low Income - Camuy/Lares/Hatillo Municipios Rational

Service Area 27

Facility: Centro De Servicios Primarios Y Prevencion De Hatillo

Hormigueros Municipio

Population Group: Low Income - Rational Service Area 3

Jayuya Municipio

Population Group: Low Income - Rational Service Area

7/Adjuntas/Arecibo/Barceloneta/Flor

Lajas Municipio

Population Group: Low Income - Rational Service Area 3

PRIMARY CARE: Puerto Rico

County and County Equivalent Listing

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Lares Municipio

Population Group: Low Income - Camuy/Lares/Hatillo Municipios Rational

Service Area 27

Facility: Castaner General Hospital

Facility: Lares Health Center

Las Marias Municipio

Population Group: Low Income - Anasco/Las Marias/Maricao/Mayaguez/San

Loiza Municipio

Population Group: Low Income - Northeast

Facility: Concilio De Salud Integral De Loiza

lsabela Municipio

Population Group: Low Income - Aguada/Aguadilla/Isabel/Moca/Rincon M

Luquillo Municipio

Population Group: Low Income – Northeast

Maricao Municipio

Population Group: Low Income - Anasco/Las Marias/Maricao/Mayaguez/San

Maunabo Municipio

Population Group: Low Income - Maunabo

Mayaguez Municipio

Population Group: Low Income - Anasco/Las Marias/Maricao/Mayaguez/San

Facility: Western Region Community Health Center

Moca Municipio

Population Group: Low Income - Aguada/Aguadilla/Isabel/Moca/Rincon M

Morovis Municipio

Facility: Morovis Community Health

Naguabo Municipio

Population Group: Low Income – Northeast

Naranjito Municipio

Population Group: Low Income - Bayamon

Facility: Salud Integral En La Montana

Patillas Municipio

Population Group: Low Income-Patillas Municipio

Facility: Centro Servicios Primarios De Salud De Patillas in

Penuelas Municipio

Population Group: Low Income - Ponce Area

PRIMARY CARE: Puerto Rico

County and County Equivalent Listing

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Ponce Municipio

Population Group: Low Income - Ponce Area

Facility: Consejo De Salud

Rincon Municipio

Population Group: Low Income - Aguada/Aguadilla/Isabel/Moca/Rincon M

Facility: Costa Salud Community Health Center

Rio Grande Municipio

Population Group: Low Income – Northeast

San German Municipio

Population Group: Low Income - Rational Service Area 3

San Juan Municipio

Population Group: Low Income-San Juan Municipio

Facility: Healthpromed Foundation, Inc.

Facility: San Juan Comprehensive

San Lorenzo Municipio

Population Group: Low Income – Caguas

San Sebastian Municipio

Population Group: Low Income - Anasco/Las Marias/Maricao/Mayaguez/San

Santa Isabel Municipio

Population Group: Low Income-Santa Isabel Municipio

Toa Alta Municipio

Population Group: Low Income – Bayamon

Utuado Municipio

Population Group: Low Income - Rational Service Area

7/Adjuntas/Arecibo/Barceloneta/Flor

Vieques Municipio

Population Group: Low Income - Vieques Island

Villalba Municipio

Population Group: Low Income - Villalba County

Yauco Municipio

Population Group: Low Income - Ponce Area

PRIMARY CARE: U.S. Virgin Islands

County and County Equivalent Listing

Page 309 of 309

St. Croix

Service Area: St. Croix Island

Facility: Frederiksted Healthcare

St. John

Service Area: St. John Island

St. Thomas

Service Area: St. Thomas/Water Island

Facility: East End Family Health Center