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330 2014 Roll Ups National Universal
NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:47 PM EST Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams 16TH STREET COMMUNITY HEALTH CENTER, INC. MILWAUKEE WI H80CS005932014 053060 CHC 1ST CHOICE HEALTHCARE, INC. CORNING AR H80CS005372014 063720 CHC AARON E. HENRY COMMUNITY HEALTH CENTER CLARKSDALE MS H80CS004802014 046150 CHC ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL H80CS008342014 051750 CHC, PHPC ACCESS FAMILY HEALTH SERVICES, INC. SMITHVILLE MS H80CS006332014 046860 CHC ACCESS HEALTH LOUISIANA LULING LA H80CS008672014 0613350 CHC ACHIEVABLE FOUNDATION THE CULVER CITY CA H80CS266112014 09E00422 CHC ADAMS COUNTY HEALTH CENTER, INC COUNCIL ID H80CS083292014 101840 CHC ADAPT, INC ROSEBURG OR H80CS241012014 10E00467 CHC, HCH ADELANTE HEALTHCARE, INC. PHOENIX AZ H80CS001402014 093030 CHC, MHC ADVOCATES FOR A HEALTHY COMMUNITY SPRINGFIELD MO H80CS002752014 077200 CHC NEW YORK NY H80CS105792014 02E00056 CHC AJO COMMUNITY HEALTH CENTER AJO AZ H80CS007532014 092650 CHC AKRON COMMUNITY HEALTH RESOURCES, INC. AKRON OH H80CS001172014 057270 CHC ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY OAKLAND CA H80CS000472014 090870 HCH ALASKA ISLAND COMMUNITY SERVICES WRANGELL AK H80CS042092014 1011770 CHC ALBANY AREA PRIMARY HEALTH CARE, INC. ALBANY GA H80CS007632014 044150 CHC ALBUQUERQUE HEALTH CARE FOR THE HOMELESS ALBUQUERQUE NM H80CS000362014 061440 HCH ALCONA CITIZENS FOR HEALTH, INC. LINCOLN MI H80CS006792014 051980 CHC ALEUTIAN PRIBILOF ISLAND ASSOCIATIONS ANCHORAGE AK H80CS011292014 106170 CHC ALEXANDRIA VA H80CS024462014 0310600 CHC ALIVIO MEDICAL CENTER CHICAGO IL H80CS001162014 056620 CHC ALL CARE HEALTH CENTER COUNCIL BLUFFS IA H80CS005702014 074650 CHC ALL FOR HEALTH, HEALTH FOR ALL GLENDALE CA H80CS128512014 09E00008 CHC ALLINCLUSIVE COMMUNITY HEALTH CENTER BURBANK CA H80CS266122014 09E00123 CHC AHRC HEALTH CARE, INC. D.B.A. ACCESS COMMUNITY HEALTH CENTER ALEXANDRIA NEIGHBORHOOD HEALTH SERVICES, INC. Page 1 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:47 PM EST Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams ALLIANCE MEDICAL CENTER, INC. HEALDSBURG CA H80CS002492014 092080 CHC ALTA MED HEALTH SERVICES CORPORATION LOS ANGELES CA H80CS001422014 093110 CHC, PHPC AMERICAN SAMOA GOVERNMENT DEPT OF HEALTH PAGO PAGO AS H80CS024702014 099040 CHC CORPUS CHRISTI TX H80CS087782014 0627970 CHC AMISTAD COMMUNITY HEALTH CENTER INCORPORATED AMITE COUNTY MEDICAL SERVICES, INC. LIBERTY MS H80CS006092014 045780 CHC AMMONOOSUC COMMUNITY HEALTH SRVS, INC. LITTLETON NH H80CS005542014 010980 CHC AMPLA HEALTH YUBA CITY CA H80CS007652014 090850 CHC, MHC ANCHORAGE NEIGHBORHOOD HEALTH CENTER ANCHORAGE AK H80CS001462014 100020 CHC, HCH ANDERSON VALLEY HEALTH CENTER, INC BOONVILLE CA H80CS226822014 09E00102 CHC, MHC ANSON REGIONAL MEDICAL SERVICES WADESBORO NC H80CS004862014 044230 CHC ANTELOPE VALLEY COMMUNITY CLINIC LANCASTER CA H80CS266132014 09E01050 CHC ANTHONY L. JORDAN HEALTH CORPORATION ROCHESTER NY H80CS215822014 022070 CHC, PHPC APLA HEALTH & WELLNESS LOS ANGELES CA H80CS266142014 09E01052 CHC ARCARE AUGUSTA AR H80CS002072014 060940 CHC, MHC, PHPC ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS, INC. PORTER OK H80CS128872014 06E00035 CHC ARROYO VISTA FAMILY HEALTH FOUNDATION LOS ANGELES CA H80CS003742014 093160 CHC ASHER COMMUNITY HEALTH CENTER FOSSIL OR H80CS042062014 102400 CHC ASHLAND COMMUNITY HEALTH CENTER ASHLAND MT H80CS002972014 085900 CHC HOUSTON TX H80CS241532014 06E00130 CHC SAN JOSE CA H80CS266152014 09E01091 CHC OAKLAND CA H80CS007732014 091030 CHC CHICAGO IL H80CS023272014 0518270 CHC LOS ANGELES CA H80CS007872014 091040 CHC ASIAN SERVICES IN ACTION, INC AKRON OH H80CS265742014 05E00131 CHC ATASCOSA HEALTH CENTER, INC. PLEASANTON TX H80CS004052014 062390 CHC ASIAN AMERICAN HEALTH COALITION DBA HOPE CLINIC ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA, INC, THE ASIAN HEALTH SERVICES, INC. ASIAN HUMAN SERVICES FAMILY HEALTH CENTER, INC. ASIAN PACIFIC HEALTH CARE VENTURE Page 2 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:47 PM EST Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams ATHENS NEIGHBORHOOD HEALTH CENTER ATHENS GA H80CS241292014 04E00480 CHC, PHPC ATLANTICARE HEALTH SERVICES EGG HARBOR TOWNSHIP NJ H80CS008582014 027710 HCH AUNT MARTHA'S YOUTH SERVICE CENTER, INC. OLYMPIA FIELDS IL H80CS006852014 059720 CHC, HCH AVENAL COMMUNITY HEALTH CENTER AVENAL CA H80CS087392014 0911950 CHC, MHC AXIS COMMUNITY HEALTH PLEASANTON CA H80CS128492014 09E00007 CHC HALLSTEAD PA H80CS004202014 030480 CHC BAKERSVILLE COMMUNITY MEDICAL CLINIC, INC. BAKERSVILLE NC H80CS241412014 04E00134 CHC, MHC BALDWIN FAMILY HEALTH CARE, INC. BALDWIN MI H80CS001082014 050210 CHC BALTIMORE MEDICAL SYSTEM, INC. BALTIMORE MD H80CS008002014 033180 CHC BANDON COMMUNITY HEALTH CENTER BANDON OR H80CS266022014 10E00136 CHC, HCH BARCELONETA PRIMARY HEALTH SERVICES, INC BARCELONETA PR H80CS004742014 021870 CHC, HCH SAN ANTONIO TX H80CS006722014 062360 CHC, PHPC LANCASTER CA H80CS226862014 09E00107 HCH BATON ROUGE LA H80CS025852014 0618420 CHC, HCH BATTENKILL VALLEY HEALTH CENTER, INC. ARLINGTON VT H80CS266412014 01E01057 CHC BAY MILLS INDIAN COMMUNITY BRIMLEY MI H80CS066642014 0530870 CHC BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. BAYOU LA BATRE AL H80CS000982014 044700 CHC BEACON CHRISTIAN COMMUNITY HEALTH CENTER STATEN ISLAND NY H80CS128662014 02E00028 CHC BEAR LAKE COMMUNITY HEALTH CENTER, INC. GARDEN CITY UT H80CS007232014 0811150 CHC RIDGELAND SC H80CS006992014 041190 CHC, MHC BEDFORD STUYVESANT FAMILY HEALTH CENTER, INC. BROOKLYN NY H80CS005102014 022120 CHC BEE BUSY WELLNESS CENTER HOUSTON TX H80CS265862014 06E00140 CHC, HCH BELINGTON WV H80CS128782014 03E00052 CHC BELOVED COMMUNITY FAMILY WELLNESS CENTER CHICAGO IL H80CS082582014 0535370 CHC BEN ARCHER HEALTH CENTER HATCH NM H80CS006032014 060370 CHC, MHC BK HEALTH CENTER, INC., D/B/A NEPA COMMUNITY HEALTH CARE BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC. BARTZALTADONNA COMMUNITY HEALTH CENTER BATON ROUGE PRIMARY CARE COLLABORATIVE, INC. BEAUFORTJASPER COMPREHENSIVE HLTH. SERVICES, INC. BELINGTON COMMUNITY MEDICAL SERVICES ASSOCIATION, INC Page 3 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams BENEVOLENCE INDUSTRIES INCORPORATED LOS ANGELES CA H80CS266162014 09E01093 CHC BENEWAH MEDICAL CENTER PLUMMER ID H80CS005442014 101530 CHC BERKS COMMUNITY HEALTH CENTER READING PA H80CS241462014 03E00493 CHC BERTIE COUNTY RURAL HEALTH ASSOCIATION WINDSOR NC H80CS003552014 049190 CHC BETANCES HEALTH CENTER NEW YORK NY H80CS002352014 021200 CHC BETHEL FAMILY CLINIC BETHEL AK H80CS011382014 101470 CHC BETTY JEAN KERR PEOPLE'S HEALTH CENTERS ST. LOUIS MO H80CS001332014 072100 CHC BIENVENIDOS COMMUNITY HEALTH CENTER LOS ANGELES CA H80CS266172014 09E01073 CHC BIG SANDY HEALTH CARE, INC. PRESTONSBURG KY H80CS006192014 040670 CHC ELLINGTON MO H80CS007032014 070430 CHC BIGHORN VALLEY HEALTH CENTER HARDIN MT H80CS241022014 08E00468 CHC BIRMINGHAM HEALTH CARE, INC. BIRMINGHAM AL H80CS000202014 041960 CHC, HCH, PHPC PAWTUCKET RI H80CS001542014 011990 CHC BLAND COUNTY MEDICAL CLINIC, INC. BASTIAN VA H80CS003312014 032650 CHC BLUE RIDGE COMMUNITY HEALTH SERVICES, INC. HENDERSONVILLE NC H80CS006502014 040940 CHC, MHC BLUE RIDGE MEDICAL CENTER, INC. ARRINGTON VA H80CS001752014 034050 CHC BLUESTONE HEALTH ASSOCIATION, INC. PRINCETON WV H80CS004502014 031250 CHC SPRINGFIELD IL H80CS240982014 05E00466 CHC BIG SPRINGS MEDICAL ASSOCIATION DBA MISSOURI HIGHLAND HEALTH CARE BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC. BOARD OF TRUSTEES OF SOUTHER ILLINOIS UNIVERSITY BORINQUEN HEALTH CARE CENTER, INC. MIAMI FL H80CS006182014 040310 CHC BORREGO COMMUNITY HEALTH FOUNDATION BORREGO SPRINGS CA H80CS002872014 099010 CHC, MHC BOSTON HEALTH CARE FOR THE HOMELESS, INC. BOSTON MA H80CS000062014 011210 HCH BOSTON MOUNTAIN RURAL HEALTH CENTER, INC MARSHALL AR H80CS006412014 063730 CHC BONNERS FERRY ID H80CS003022014 106300 CHC, MHC BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. COLLEGE STATION TX H80CS002992014 0612230 CHC BRISTOL BAY AREA HEALTH CORPORATION DILLINGHAM AK H80CS011332014 106200 CHC BOUNDARY REGIONAL COMMUNITY HEALTH CENTER Page 4 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams BRISTOL BAY BOROUGH NAKNEK AK H80CS011342014 106230 CHC BROAD TOP AREA MEDICAL CENTER, INC. BROAD TOP PA H80CS003302014 030220 CHC BROCKTON MA H80CS005602014 010700 CHC BRONX NY H80CS006262014 024270 CHC BRONXLEBANON INTEGRATED SERVICES SYSTEM BRONX NY H80CS006252014 024260 CHC BROOKLYN PLAZA MEDICAL CENTER, INC. BROOKLYN NY H80CS004102014 021980 CHC, PHPC HOLLYWOOD FL H80CS005962014 0415310 CHC BROWNSVILLE COMMUNITY DEVELOPMENT CORP. BROOKLYN NY H80CS005892014 021960 CHC BROWNSVILLE COMMUNITY HEALTH CENTER BROWNSVILLE TX H80CS007172014 061510 CHC, MHC BUCKSPORT REGIONAL HEALTH CENTER BUCKSPORT ME H80CS005912014 010340 CHC BULLHOOK COMMUNITY HEALTH CENTER, INC HAVRE MT H80CS082192014 0818560 CHC MIDDLETOWN OH H80CS087532014 0534830 CHC BUTTESILVER BOW PRI. HLTH. C. CLN. BUTTE MT H80CS007992014 083270 CHC, HCH C A S S E DENTAL HEALTH INSTITUTE MANSFIELD LA H80CS265792014 06E01083 CHC CONCORD NC H80CS066522014 0445230 CHC CABIN CREEK HEALTH CENTER, INC. DAWES WV H80CS002942014 031820 CHC CABUN RURAL HEALTH SERVICES, INC. HAMPTON AR H80CS003422014 062140 CHC CACTUS HEALTH CENTERS SANDERSON TX H80CS014262014 0614120 CHC CAHABA MEDICAL CARE FOUNDATION CENTREVILLE AL H80CS241772014 04E00519 CHC BROCKTON NEIGHBORHOOD HEALTH CENTER, INC. BRONX COMMUNITY HEALTH NETWORK, INC. BROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INC. BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC DBA PRIMARY HEALTH SOLUTIONS CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC CAMARENA HEALTH MADERA CA H80CS001432014 093210 CHC, MHC CAMCARE HEALTH CORPORATION CAMDEN NJ H80CS001722014 021280 CHC CAMDENONGAULEY MEDICAL CENTER, INC. CAMDEN ON GALUEY WV H80CS000782014 033100 CHC CAMILLUS HEALTH CONCERN, INC. MIAMI FL H80CS000262014 042400 HCH CAMINO HEALTH CENTER SAN JUAN CAPISTRANO CA H80CS241952014 09E00520 CHC CAMUY HEALTH SERVICES, INC. CAMUY PR H80CS004892014 020910 CHC Page 5 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:47 PM EST Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams CANTON COMMUNITY CLINIC, INC. CANTON OH H80CS066542014 0530860 CHC CANYONLANDS COMMUNITY HEALTH CARE PAGE AZ H80CS004482014 091300 CHC CAPITOL CITY FAMILY HEALTH CENTER, INC. BATON ROUGE LA H80CS005042014 067570 CHC CAPSTONE RURAL HEALTH CENTER PARRISH AL H80CS082362014 0448530 CHC CARBON MEDICAL SERVICE ASSOCIATION, INC. EAST CARBON UT H80CS005182014 083440 CHC CARE ALLIANCE CLEVELAND OH H80CS000292014 051820 HCH, PHPC CARE FOR THE HOMELESS NEW YORK NY H80CS000072014 020020 HCH CARE NET OF LANCASTER LANCASTER SC H80CS265972014 04E01063 CHC CARESOUTH CAROLINA, INC. HARTSVILLE SC H80CS006542014 045230 CHC CARING HANDS HEALTHCARE CENTERS, INC. MCALESTER OK H80CS128772014 06E00036 CHC CARING HEALTH CENTER SPRINGFIELD MA H80CS005852014 010840 CHC CAROLINA FAMILY HEALTH CENTERS, INC. WILSON NC H80CS007282014 046450 CHC, MHC CAROLINA HEALTH CENTERS, INC. GREENWOOD SC H80CS007852014 042780 CHC, MHC CASCADE CITYCOUNTY HEALTH DEPARTMENT GREAT FALLS MT H80CS005662014 084380 CHC CASS COUNTY HEALTH DEPARTMENT VIRGINIA IL H80CS087772014 0537670 CHC CASTANER GENERAL HOSPITAL CASTANER PR H80CS003542014 020660 CHC, MHC CASWELL FAMILY MEDICAL CENTER YANCEYVILLE NC H80CS004782014 044920 CHC CATAHOULA PARISH HOSPITAL DISTRICT # 2 SICILY ISLAND LA H80CS002062014 062480 CHC CEDAR RIVERSIDE PEOPLES CENTER MINNEAPLIS MN H80CS008592014 0516700 CHC MIAMI GARDENS FL H80CS265892014 04E01089 CHC CENTER FOR FAMILY HEALTH JACKSON MI H80CS007722014 057030 CHC CENTER FOR HEALTH AND WELLNESS WICHITA KS H80CS128542014 07E00016 CHC CENTER FOR PANASIAN COMMUNITY SERVICES INC ATLANTA GA H80CS265912014 04E01070 CHC CENTER STREET COMMUNITY HEALTH CENTER MARION OH H80CS105842014 05E00058 CHC CENTERVILLE CLINICS INC FREDERICKTOWN PA H80CS007052014 031700 CHC CENTER FOR FAMILY AND CHILD ENRICHMENT, INC., THE Page 6 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams CENTRAL CITY COMMUNITY HEALTH CENTER, INC. ANAHEIM CA H80CS106082014 09E00066 CHC, MHC CENTRAL CITY CONCERN PORTLAND OR H80CS002342014 107660 HCH CENTRAL COUNTIES HEALTH CENTERS, INC. SPRINGFIELD IL H80CS005332014 059700 CHC, HCH CENTRAL FLORIDA FAMILY HEALTH CENTER, INC. SANFORD FL H80CS001782014 041720 CHC CENTRAL FLORIDA HEALTH CARE, INC. AVON PARK FL H80CS004232014 040210 CHC, MHC CENTRAL MISSISSIPPI CIVIC IMPROVEMENT JACKSON MS H80CS000842014 040750 CHC, HCH LEWISTOWN MT H80CS105942014 08E00063 CHC CENTRAL MS HEALTH SERVICES JACKSON MS H80CS008602014 046080 CHC CENTRAL NORTH ALABAMA HEALTH HUNTSVILLE AL H80CS001052014 048190 CHC CENTRAL OKLAHOMA FAMILY MEDICAL CENTER KONAWA OK H80CS007572014 063930 CHC CENTRAL VIRGINIA HEALTH SERVICES NEW CANTON VA H80CS004792014 030700 CHC SAN YSIDRO CA H80CS107482014 091080 CHC, PHPC CENTRO DE SALUD DE LARES, INC. LARES PR H80CS003532014 022090 CHC CENTRO DE SALUD FAMILIAR (PALMIERI) ARROYO PR H80CS003252014 020150 CHC, PHPC CENTRO DE SALUD FAMILIAR LA FE EL PASO TX H80CS001282014 061230 CHC, MHC, PHPC CENTRO DE SERVICIOS PRIMARIOS DE SALUD INC FLORIDA PR H80CS001622014 021400 CHC CENTRO SAN VICENTE EL PASO TX H80CS006372014 066580 CHC, HCH ANAHUAC TX H80CS087882014 0621770 CHC WEIRTON WV H80CS082382014 0321030 CHC NEW YORK NY H80CS003582014 021390 CHC OMAHA NE H80CS004382014 072110 CHC, HCH, PHPC CENTRAL MONTANA COMMUNITY HEALTH CENTER, INC. CENTRO DE SALUD DE LA COMUNIDAD SAN YSIDRO, INC CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT #1 CHANGE, INC. CHARLES B. WANG COMMUNITY HEALTH CENTER, INC. CHARLES DREW HEALTH CENTER, INC CHARTER OAK HEALTH CENTER, INC. HARTFORD CT H80CS001532014 011830 CHC, HCH, PHPC CHASE BREXTON HEALTH SERVICES, INC BALTIMORE MD H80CS007342014 036640 CHC CHATTANOOGA TN H80CS000232014 042030 HCH KNOXVILLE TN H80CS003092014 0413090 CHC, HCH, MHC, PHPC CHATTANOOGAHAMILTON COUNTY HEALTH DEPARTMENT CHEROKEE HEALTH SYSTEMS Page 7 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams CHERRY STREET SERVICES, INC. GRAND RAPIDS MI H80CS007702014 052030 CHC, HCH, MHC CHESPENN HEALTH SERVICES CHESTER PA H80CS007382014 033930 CHC CHESTNUT HEALTH SYSTEMS BLOOMINGTON IL H80CS241302014 05E00481 CHC CHEYENNE HEALTH AND WELLNESS CENTER CHEYENNE WY H80CS041962014 0814640 CHC CHICAGO FAMILY HEALTH CENTER, INC. CHICAGO IL H80CS005142014 051050 CHC LONG BEACH CA H80CS002642014 098820 CHC OAKLAND CA H80CS000522014 091850 HCH CHINATOWN SERVICE CENTER LOS ANGELES CA H80CS087352014 0928870 CHC CHIRICAHUA COMMUNITY HEALTH CENTERS DOUGLAS AZ H80CS006962014 092870 CHC, MHC, PHPC CHOPTANK COMMUNITY HEALTH SYSTEM, INC. DENTON MD H80CS001762014 032750 CHC, MHC CHOTA COMMUNITY HEALTH SERVICES VONORE TN H80CS064612014 0442510 CHC CHRIST COMMUNITY HEALTH SERVICES AUGUSTA AUGUSTA GA H80CS241722014 04E00516 CHC, PHPC CHRIST COMMUNITY HEALTH SERVICES, INC. MEMPHIS TN H80CS008812014 0417140 CHC, HCH CHRIST HEALTH CENTER, INC. BIRMINGHAM AL H80CS265882014 04E01095 CHC CHRISTIAN COMMUNITY HEALTH CENTER CHICAGO IL H80CS005942014 0512480 CHC CHRISTIAN COMMUNITY HEALTH SERVICES CINCINNATI OH H80CS256822014 05E01026 CHC CHRISTOPHER IL H80CS007262014 052130 CHC CINCINNATI HEALTH NETWORK, INC. CINCINNATI OH H80CS001892014 051570 HCH CHILDREN'S CLINIC SERVING CHILDREN & THEIR FAMILIES CHILDREN'S HOSP. & RESEARCH CTR. OF OAKLAND CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORPORATION CINCINNATI, CITY OF CINCINNATI OH H80CS256832014 05E00167 CHC CIRCLE FAMILY HEALTHCARE NETWORK, INC. CHICAGO IL H80CS004002014 053130 CHC CITIZENS OF LAKE COUNTY FOR HEALTH TIPTONVILLE TN H80CS003332014 045420 CHC CITRUS COUNTY HEALTH DEPARTMENT LECANTO FL H80CS128602014 04E00014 CHC, HCH, MHC CITRUS HEALTH NETWORK, INC. HIALEAH FL H80CS042142014 0438180 CHC, HCH CITY OF MANCHESTER NEW HAMPSHIRE MANCHESTER NH H80CS000022014 010130 HCH CITY OF NEWARK NEWARK NJ H80CS000092014 020710 CHC, HCH Page 8 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams CITY OF SIOUX FALLS HEALTH DEPARTMENT SIOUX FALLS SD H80CS002192014 081450 CHC, HCH CITY OF SPRINGFIELD, MASSACHUSETTS SPRINGFIELD MA H80CS000012014 010120 HCH OREGON CITY OR H80CS005472014 101310 CHC, MHC CLAIBORNE COUNTY FAMILY HEALTH CENTER PORT GIBSON MS H80CS004822014 048420 CHC CLAY BATTELLE HEALTH SERVICES ASSOC. BLACKSVILLE WV H80CS006162014 030800 CHC CLINCH RIVER HEALTH SERVICES, INC. DUNGANNON VA H80CS004492014 031230 CHC CLINICA CAMPESINA FAMILY HEALTH SVCS LAFAYETTE CO H80CS006902014 081650 CHC CLINICA DE SALUD DEL VALLE DE SALINAS SALINAS CA H80CS002322014 091050 CHC, HCH, MHC CLINICA MONSENOR OSCAR A. ROMERO LOS ANGELES CA H80CS008442014 099410 CHC CLACKAMAS COUNTY COMMUNITY HEALTH DIVISION CLINICA SIERRA VISTA BAKERSFIELD CA H80CS005402014 090390 CHC, HCH, MHC CLINICAS DE SALUD DEL PUEBLO, INC. BRAWLEY CA H80CS007332014 090250 CHC, HCH, MHC CLINICAS DEL CAMINO REAL, INC. VENTURA CA H80CS005502014 093650 CHC, MHC CNMI DEPARTMENT OF PUBLIC HEALTH SAIPAN MP H80CS241042014 09E00184 CHC COAL COUNTRY COMMUNITY HEALTH CENTER BEULAH ND H80CS094692014 08E00054 CHC COASTAL COMMUNITY HEALTH SERVICES, INC. BRUNSWICK GA H80CS265922014 04E01082 CHC COASTAL FAMILY HEALTH CENTER ASTORIA OR H80CS002742014 106280 CHC COASTAL FAMILY HEALTH CENTER, INC. BILOXI MS H80CS001882014 042430 CHC, HCH COASTAL HEALTH & WELLNESS TEXAS CITY TX H80CS003442014 061610 CHC COASTAL HEALTH ALLIANCE POINT REYES STATION CA H80CS003392014 095400 CHC CODMAN SQUARE HEALTH CENTER DORCHESTR CTR MA H80CS112992014 01E00090 CHC COLLIER HEALTH SERVICES IMMOKALEE FL H80CS007352014 041700 CHC, MHC COLORADO COALITION FOR THE HOMELESS DENVER CO H80CS000402014 080620 HCH, PHPC COLUMBIA BASIN HEALTH ASSOCIATION OTHELLO WA H80CS001472014 100460 CHC, MHC COLUMBIA RIVER COMMUNITY HEALTH SERVICES BOARDMAN OR H80CS042072014 107200 CHC, MHC COLUMBIA VALLEY COMMUNITY HEALTH WENATCHEE WA H80CS005742014 100570 CHC, MHC Page 9 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams COLUMBUS NEIGHBORHOOD HEALTH CENTER COLUMBUS OH H80CS001182014 058470 CHC, HCH, PHPC COLVILLE CONFEDERATED TRIBES INCHELIUM WA H80CS014412014 107940 CHC COMANCHE COUNTY HOSPITAL AUTHORITY LAWTON OK H80CS087792014 0627960 CHC COMM HLTH CNTR OF FRANKLIN COUNTY, INC. GREENFIELD MA H80CS008062014 013260 CHC COMMON GROUND HEALTH CLINIC NEW ORLEANS LA H80CS265802014 06E01048 CHC COMMUNICARE HEALTH CENTERS, INC. DAVIS CA H80CS082162014 0928880 CHC, MHC COMMUNITY ACTION AGENCY OF COLUMBIANA LISBON OH H80CS001972014 056820 CHC COMMUNITY ACTION COMMITTEE OF PIKE COUNTY PIKETON OH H80CS003992014 052900 CHC ALICE TX H80CS023232014 0614350 CHC CHEYENNE WY H80CS000422014 084620 HCH CASPER WY H80CS023302014 083970 HCH GERING NE H80CS003292014 073080 CHC, MHC MIAMI FL H80CS128642014 04E00012 CHC COMMUNITY AND RURAL HEALTH SERVICES FREMONT OH H80CS006612014 050960 CHC, MHC COMMUNITY CARE OF WEST VIRGINIA ROCK CAVE WV H80CS000802014 034210 CHC COMMUNITY CLINIC OF MAUI, INC WAILUKU HI H80CS007222014 096040 CHC COMMUNITY ACTION CORPORATION OF SOUTH TEXAS COMMUNITY ACTION OF LARAMIE COUNTY, INC. COMMUNITY ACTION PARTNERSHIP OF NATRONA COUNTY COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA COMMUNITY AIDS RESOURCE, INC. DBA CARE RESOURCE COMMUNITY CLINIC, INC. SILVER SPRING MD H80CS105912014 03E00060 CHC COMMUNITY COUNCIL OF IDAHO, INC. CALDWELL ID H80CS042012014 1011880 MHC COMMUNITY HEALTH & EMERGENCY SVCS., INC. CAIRO IL H80CS006802014 050030 CHC TORRINGTON CT H80CS128432014 01E00009 CHC WEST LIBERTY OH H80CS265752014 05E01097 CHC DETROIT MI H80CS007242014 056770 CHC COMMUNITY HEALTH ALLIANCE OF PASADENA PASADENA CA H80CS042202014 0910140 CHC, HCH COMMUNITY HEALTH AND DENTAL CARE POTTSTOWN PA H80CS241472014 03E00494 CHC COMMUNITY HEALTH ASSOCIATION OF SPOKANE SPOKANE WA H80CS003192014 102570 CHC, HCH COMMUNITY HEALTH & WELLNESS CENTER OF GREATER TORRINGTON COMMUNITY HEALTH & WELLNESS PARTNERS OF LOGAN COUNTY COMMUNITY HEALTH & SOCIAL SERVICES CENTER, INC. Page 10 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams COMMUNITY HEALTH CARE TACOMA WA H80CS004812014 100450 CHC COMMUNITY HEALTH CARE SYSTEMS, INC. WRIGHTSVILLE GA H80CS005072014 045180 CHC COMMUNITY HEALTH CARE, INC. BRIDGETON NJ H80CS001642014 021270 CHC, MHC COMMUNITY HEALTH CARE, INC. DAVENPORT IA H80CS006702014 071170 CHC, HCH COMMUNITY HEALTH CENTER MEDFORD OR H80CS042042014 102970 CHC, HCH RAPID CITY SD H80CS002162014 081890 CHC, HCH COMMUNITY HEALTH CENTER OF BUFFALO, INC. BUFFALO NY H80CS001572014 024690 CHC, HCH COMMUNITY HEALTH CENTER OF CAPE COD, INC. MASHPEE MA H80CS082432014 0114410 CHC CASPER WY H80CS005642014 086120 CHC FORT DODGE IA H80CS066672014 0715040 CHC LUBBOCK TX H80CS007662014 062910 CHC, HCH, MHC, PHPC JAY OK H80CS265852014 06E01060 CHC STATEN ISLAND NY H80CS166392014 02E00091 CHC EVERETT WA H80CS007462014 102280 CHC, HCH PITTSBURG KS H80CS008412014 077570 CHC MIDDLETOWN CT H80CS003262014 012080 CHC, HCH CORVALLIS OR H80CS025922014 1010810 CHC, MHC BURLINGTON VT H80CS003112014 010150 CHC, HCH DAYTON OH H80CS128822014 05E00029 CHC SAINT PETERSBURG FL H80CS004632014 049070 CHC GONZALES TX H80CS001252014 060810 CHC WEST BURLINGTON IA H80CS002722014 077310 CHC LEON IA H80CS042002014 0712430 CHC BOMOSEEN VT H80CS066592014 0112230 CHC GREENVILLE KY H80CS005622014 048070 CHC COMMUNITY HEALTH CENTER OF BLACK HILLS, INC. COMMUNITY HEALTH CENTER OF CENTRAL WYOMING COMMUNITY HEALTH CENTER OF FORT DODGE, INC COMMUNITY HEALTH CENTER OF LUBBOCK COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC. COMMUNITY HEALTH CENTER OF RICHMOND, INC. COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC COMMUNITY HEALTH CENTER, INC. COMMUNITY HEALTH CENTERS OF BENTON AND LINN COUNTIES COMMUNITY HEALTH CENTERS OF BURLINGTON, INC. COMMUNITY HEALTH CENTERS OF GREATER DAYTON COMMUNITY HEALTH CENTERS OF PINELLAS, INC. COMMUNITY HEALTH CENTERS OF S. CENTRAL TEXAS, INC. COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC. COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC. COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY Page 11 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams COMMUNITY HEALTH CENTERS, INC. SALT LAKE CITY UT H80CS002202014 080220 CHC, MHC COMMUNITY HEALTH CENTERS, INC. OKLAHOMA CITY OK H80CS003202014 060530 CHC, HCH COMMUNITY HEALTH CENTERS, INC. WINTER GARDEN FL H80CS008092014 041660 CHC, MHC COMMUNITY HEALTH CLINIC OLE NAPA CA H80CS042192014 092420 CHC, MHC COMMUNITY HEALTH CLINIC, INC. NEW KENSINGTON PA H80CS128802014 03E00037 CHC COMMUNITY HEALTH CONNECTION, INC. TULSA OK H80CS064462014 0621080 CHC COMMUNITY HEALTH CONNECTIONS, INC. FITCHBURG MA H80CS002572014 013900 CHC, HCH, PHPC COMMUNITY HEALTH CTR OF CENTRAL MISSOURI LINN MO H80CS087482014 0718730 CHC COMMUNITY HEALTH DEVELOPMENT, INC. UVALDE TX H80CS001302014 063910 CHC, MHC COMMUNITY HEALTH IMPROVEMENT DECATUR IL H80CS006812014 053150 CHC COMMUNITY HEALTH NET ERIE PA H80CS005232014 034230 CHC, HCH COMMUNITY HEALTH OF CENTRAL WASHINGTON YAKIMA WA H80CS087742014 1014910 CHC, MHC COMMUNITY HEALTH OF EAST TENNESSEE JACKSBORO TN H80CS003042014 041330 CHC COMMUNITY HEALTH OF SOUTH FLORIDA, INC. MIAMI FL H80CS008212014 040320 CHC, HCH, MHC COMMUNITY HEALTH PARTNERS, INC. LIVINGSTON MT H80CS007362014 084990 CHC, MHC COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS CHICAGO IL H80CS007482014 050060 CHC, MHC COMMUNITY HEALTH PROGRAMS, INC. GREAT BARRINGTON MA H80CS002372014 013840 CHC COMMUNITY HEALTH SERVICE AGENCY, INC. GREENVILLE TX H80CS006752014 060820 CHC MORRISVILLE VT H80CS106112014 01E00069 CHC COMMUNITY HEALTH SERVICES, INC HARTFORD CT H80CS006122014 011260 CHC COMMUNITY HEALTH SERVICES, INC. MOORHEAD MN H80CS006602014 050320 MHC COMMUNITY HEALTH SYSTEMS, INC. MORENO VALLEY CA H80CS002222014 093660 CHC COMMUNITY HEALTH SYSTEMS, INC. BECKLEY WV H80CS003452014 030790 CHC COMMUNITY HEALTH SERVICES OF THE LAMOILLE VALLEY COMMUNITY HEALTH SYSTEMS, INC. BELOIT WI H80CS006762014 059030 CHC COMMUNITY HEALTHCARE NETWORK, INC. NEW YORK NY H80CS005972014 021630 CHC Page 12 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams COMMUNITY HEALTHLINK, INC. WORCESTER MA H80CS000032014 010180 HCH COMMUNITY HEALTHNET, INC. GARY IN H80CS066652014 058660 CHC COMMUNITY HLTH CNTRS/CENTRAL COASTS NIPOMO CA H80CS006212014 090710 CHC, HCH, MHC, PHPC COMMUNITY MEDICAL CENTERS, INC. STOCKTON CA H80CS001382014 090780 CHC, HCH, MHC COMMUNITY MEDICINE FOUNDATION ROCK HILL SC H80CS007502014 042600 CHC, PHPC CENTREVILLE MI H80CS265702014 05E00193 CHC, HCH COMMUNITY NURSE HEALTH ASSOCIATION LA GRANGE IL H80CS241312014 05E00482 CHC, HCH COMMUNITY OF HOPE WASHINGTON DC H80CS066722014 0318420 CHC COMMUNITY TREATMENT, INC. FESTUS MO H80CS241052014 07E00470 CHC COMPREHENSIVE COMMUNITY ACTION, INC CRANSTON RI H80CS066662014 0112210 CHC GLENDALE CA H80CS106072014 09E00065 CHC COMMUNITY MENTAL HEALTH SERVICES OF ST. JOSEPH COUNTY COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC CONCILIO DE SALUD INTEGRAL DE LOIZA, INC LOIZA PR H80CS003232014 020670 CHC, PHPC CONNECTICUT INSTITUTE FOR COMMUNITIES, INC. DANBURY CT H80CS166402014 01E00010 CHC CONSEJO DE SALUD DE PUERTO RICO, INC. PONCE PR H80CS000632014 020680 CHC, MHC, PHPC CONTRA COSTA COUNTY HEALTH SERVICES DEPT MARTINEZ CA H80CS000502014 091120 HCH COOK AREA HEALTH SERVICES, INC. COOK MN H80CS007062014 052710 CHC COOS COUNTY FAMILY HEALTH SERVICES, INC. BERLIN NH H80CS005082014 010850 CHC COPPERTOWER FAMILY MEDICAL CENTER INC CLOVERDALE CA H80CS266082014 09E01046 CHC CORNELL SCOTT HILL HEALTH CORPORATION NEW HAVEN CT H80CS003122014 010070 CHC, HCH, PHPC CORNERSTONE CARE GREENSBORO PA H80CS004012014 033090 CHC CIDRA PR H80CS003792014 020730 CHC, MHC HATILLO PR H80CS003342014 021260 CHC, MHC, PHPC CORPORACION SANOS CAGUAS PR H80CS226872014 02E00103 HCH, PHPC COSTA SALUD COMMUNITY HEALTH CENTERS INC RINCON PR H80CS003562014 021030 CHC COUNCIL OF ATHABASCAN TRIBAL GOVERNMENT FORT YUKON AK H80CS011312014 106220 CHC CORPORACION DE SERVICIOS DE SALUD Y MEDICINA AVANZADA CORPORACION DE SERVICOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO Page 13 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams COUNTRY DOCTOR COMMUNITY CLINIC SEATTLE WA H80CS006472014 102520 CHC COUNTY OF INGHAM, HEALTH DEPARTMENT LANSING MI H80CS000302014 051830 CHC, HCH WAUKEGAN IL H80CS001192014 058870 CHC SACRAMENTO CA H80CS000452014 090800 HCH COUNTY OF SOLANO FAIRFIELD CA H80CS042182014 0921350 HCH COVENANT COMMUNITY CARE INC. DETROIT MI H80CS087382014 0537520 CHC, HCH COVENANT HOUSE (UNDER 21) NEW YORK NY H80CS000132014 021770 HCH COVENANT HOUSE, INC. PHILADELPHIA PA H80CS000712014 032220 CHC COWLITZ FAMILY HEALTH CENTER LONGVIEW WA H80CS005422014 102480 CHC, HCH CRESCENT COMMUNITY HEALTH CENTER DUBUQUE IA H80CS087652014 0719270 CHC CROSS ROAD MEDICAL CENTER GLENNALLEN AK H80CS014442014 107860 CHC COUNTY OF LAKE, DBA LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER COUNTY OF SACRAMENTO DOH & HUMAN SERVICES CROSS TIMBERS HEALTH CLINIC, INC. DE LEON TX H80CS001242014 060710 CHC, MHC CROSS TRAILS MEDICAL CENTER CAPE GIRARDEAU MO H80CS002112014 074020 CHC CRUSADERS CENTRAL CLINIC ASSOCIATION ROCKFORD IL H80CS001132014 052760 CHC, HCH CUMBERLAND FAMILY MEDICAL CENTER BURKESVILLE KY H80CS082182014 0452070 CHC CURTIS V. COOPER PRIMARY HEALTH CENTER INC. SAVANNAH GA H80CS000822014 040490 CHC, PHPC MILES CITY MT H80CS014502014 0811490 CHC RICHMOND VA H80CS000182014 031720 HCH, PHPC CUSTER COUNTY COMMUNITY HEALTH CENTER, INC DAILY PLANET DALLAS COUNTY HOSPITAL DISTRICT DALLAS TX H80CS000392014 069730 HCH DAMIAN FAMILY CARE CENTERS, INC. JAMAICA NY H80CS017652014 028480 CHC, HCH DAVID RAINES COMUNITY HEALTH CENTER, INC. SHREVEPORT LA H80CS007202014 061920 CHC DAYSPRING FAMILY HEALTH CENTER, INC. JELLICO TN H80CS007162014 042160 CHC DAYTON OH H80CS265762014 05E01100 CHC DE BACA FAMILY PRACTICE CLINIC, INC. FORT SUMNER NM H80CS008612014 067560 CHC DELAWARE VALLEY COMMUNITY HEALTH, INC PHILADELPHIA PA H80CS008332014 032900 CHC DAYTON HEALTH CENTER DBA FIVE RIVERS HEALTH CENTERS Page 14 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams DELTA HEALTH CENTER, INC. MOUND BAYOU MS H80CS000852014 040780 CHC DENVER HEALTH & HOSPITAL AUTHORITY DENVER CO H80CS002182014 080060 CHC DETROIT MI H80CS265712014 05E00210 CHC, HCH, PHPC DETROIT COMMUNITY HEALTH CONNECTION, INC. DETROIT MI H80CS003982014 052070 CHC DETROIT HEALTH CARE FOR THE HOMELESS DETROIT MI H80CS000332014 051880 CHC, HCH DFD RUSSELL MEDICAL CENTER LEEDS ME H80CS006422014 013280 CHC DIRNE HEALTH CENTERS, INC. COEUR D ALENE ID H80CS023312014 108170 CHC, HCH DIVERSITY HEALTH CENTER, INC LUDOWICI GA H80CS087802014 0452920 CHC DOLORES COUNTY HEALTH ASSOCIATION DOVE CREEK CO H80CS004642014 080100 CHC DORCHESTER HOUSE MULTISERVICE CENTER DORCHESTER MA H80CS113002014 01E00089 CHC AVA MO H80CS004572014 074400 CHC DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH INC. DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. DOWNRIVER COMMUNITY SERVICES, INC. ALGONAC MI H80CS004972014 052200 CHC, HCH DR. ARENIA C. MALLORY HLTH. CENTER, INC. LEXINGTON MS H80CS005802014 047980 CHC DUFFY HEALTH CENTER, INC. HYANNIS MA H80CS002712014 011720 HCH DUVAL COUNTY HEALTH DEPARTMENT JACKSONVILLE FL H80CS008512014 040230 CHC E.A. HAWSE HEALTH CENTER, INC. BAKER WV H80CS005632014 033130 CHC EAST ARKANSAS FAMILY HEALTH CENTER, INC. WEST MEMPHIS AR H80CS001232014 060140 CHC EAST BAY COMMUNITY ACTION PROGRAM NEWPORT RI H80CS023292014 015160 CHC EAST BOSTON NEIGHBORHOOD HEALTH CENTER BOSTON MA H80CS000582014 010720 CHC EAST CENTRAL MISSISSIPPI HEALTH CARE, INC SEBASTOPOL MS H80CS004312014 042720 CHC MEXICO MO H80CS265602014 07E00214 CHC WETUMKA OK H80CS105832014 06E00057 CHC SWAINSBORO GA H80CS005122014 049010 CHC, MHC NEW YORK NY H80CS000602014 020390 CHC AUBURN NY H80CS241632014 02E00509 CHC EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SVCS INC EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INC EAST GEORGIA HEALTHCARE CENTER, INC. EAST HARLEM COUNCIL FOR HUMAN SERVICES, INC. EAST HILL FAMILY MEDICAL, INC. Page 15 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams EAST JORDAN FAMILY HEALTH CENTER EAST JORDAN MI H80CS195332014 051680 CHC EAST LIBERTY FAMILY HEALTH CARE CENTER PITTSBURGH PA H80CS006642014 030750 CHC EAST TENNESSEE STATE UNIVERSITY JOHNSON CITY TN H80CS008402014 0413490 CHC, HCH, MHC EAST TEXAS BORDER HEALTH CLINIC MARSHALL TX H80CS087812014 0627930 CHC EAST TEXAS COMMUNITY HEALTH SERVICE NACOGDOCHES TX H80CS007932014 061260 CHC EAST VALLEY COMMUNITY HEALTH CENTER INC WEST COVINA CA H80CS002862014 099000 CHC EASTCENTRAL DISTRICT HEALTH DEPARTMENT COLUMBUS NE H80CS008622014 078030 CHC EASTERN ALEUTIAN TRIBES, INC ANCHORAGE AK H80CS007402014 102900 CHC EASTERN KENTUCKY UNIVERSITY RICHMOND KY H80CS004442014 0420550 CHC, HCH, MHC EASTERN SHORE RURAL HEALTH SYSTEM, INC. ONANCOCK VA H80CS007912014 030720 CHC, MHC EASTPORT HEALTH CARE, INC. EASTPORT ME H80CS006302014 010570 CHC EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. COLUMBIA SC H80CS007302014 043270 CHC, HCH, MHC ECHO COMMUNITY HEALTH CARE EVANSVILLE IN H80CS001992014 058490 CHC, HCH WORCESTER MA H80CS004652014 010830 CHC, PHPC EISNER PEDIATRIC & FAMILY MEDICAL CENTER LOS ANGELES CA H80CS042232014 0921340 CHC EL CENTRO DE CORAZON HOUSTON TX H80CS024522014 0614370 CHC EL CENTRO DEL BARRIO, INC. SAN ANTONIO TX H80CS007582014 063250 CHC, HCH EL CENTRO FAMILY HEALTH ESPANOLA NM H80CS006052014 060330 CHC, HCH EL DORADO COUNTY COMMUNITY HEALTH CENTER PLACERVILLE CA H80CS066712014 0923660 CHC EL PROYECTO DEL BARRIO, INC. ARLETA CA H80CS066472014 091620 CHC TUCSON AZ H80CS002302014 090160 CHC, HCH ELAINE ELLIS CENTER OF HEALTH CHELTENHAM MD H80CS226792014 03E00099 CHC, PHPC ELICA HEALTH CENTERS WEST SACRAMENTO CA H80CS241132014 09E00477 CHC ELLIS COUNTY COALITION FOR HEALTH OPTIONS WAXAHACHIE TX H80CS128742014 06E00043 CHC EMPOWER U, INCORPORATED MIAMI FL H80CS265902014 04E00220 CHC EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC. EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER Page 16 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams ENTERPRISE VALLEY MEDICAL CLINIC, INC. ENTERPRISE UT H80CS006442014 082480 CHC ERIE FAMILY HEALTH CENTER, INC. CHICAGO IL H80CS001152014 053210 CHC ERLANGER MEDICAL CENTER CHATTANOOGA TN H80CS000912014 041260 CHC ESCAMBIA COMMUNITY CLINICS, INC. PENSACOLA FL H80CS087552014 0452890 CHC, HCH ESPERANZA HEALTH CENTER PHILADELPHIA PA H80CS066442014 0318390 CHC ESPERANZA HEALTH CENTERS CHICAGO IL H80CS241032014 05E00469 CHC EXCELTH INC. NEW ORLEANS LA H80CS001292014 062870 CHC EZRAS CHOILIM HEALTH CENTER INC. MONROE NY H80CS241382014 02E00487 CHC FAIR HAVEN COMMUNITY HEALTH CLINIC, INC. NEW HAVEN CT H80CS007412014 010060 CHC FAIRFAX MEDICAL FACILITIES, INC FAIRFAX OK H80CS064562014 0622470 CHC FAIRFIELD COMMUNITY HEALTH CENTER LANCASTER OH H80CS195952014 05E00032 CHC FAIRVIEW COMMUNITY HEALTH CENTER BOWLING GREEN KY H80CS008562014 0421240 CHC FAMILIES FIRST OF GREATER SEACOAST PORTSMOUTH NH H80CS002392014 014040 CHC, HCH FAMILY AND MEDICAL COUNSELING SERVICE, INC. WASHINGTON DC H80CS241752014 03E00227 CHC FAMILY CARE HEALTH CENTERS SAINT LOUIS MO H80CS004922014 071700 CHC FAMILY CHRISTIAN HEALTH CENTER HARVEY IL H80CS008792014 059300 CHC FAMILY FIRST HEALTH CORPORATION YORK PA H80CS005292014 031160 CHC FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC. BELL GARDENS CA H80CS128582014 09E00005 CHC FAMILY HEALTH CARE CLINIC, INC. PEARL MS H80CS004872014 042440 CHC FAMILY HEALTH CENTER OF BATTLE CREEK BATTLE CREEK MI H80CS005862014 056430 CHC, HCH FAMILY HEALTH CENTER OF BOONE COUNTY COLUMBIA MO H80CS005732014 075300 CHC FAMILY HEALTH CENTER OF CLARK COUNTY, INC JEFFERSONVILLE IN H80CS087822014 0537610 CHC FAMILY HEALTH CENTER OF MARSHFIELD, INC. MARSHFIELD WI H80CS007922014 050840 CHC TISHOMINGO OK H80CS024542014 0614360 CHC WORCESTER MA H80CS004522014 010800 CHC FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA FAMILY HEALTH CENTER OF WORCESTER, INC. Page 17 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams FAMILY HEALTH CENTER, INC. ORANGEBURG SC H80CS000902014 041180 CHC FAMILY HEALTH CENTER, INC. LOUISVILLE KY H80CS001022014 046840 CHC, HCH FAMILY HEALTH CENTER, INC. KALAMAZOO MI H80CS003362014 056230 CHC, HCH FAMILY HEALTH CENTER, INC. LAUREL MS H80CS005382014 040570 CHC FAMILY HEALTH CENTERS OKANOGAN WA H80CS004092014 101770 CHC, MHC FAMILY HEALTH CENTERS OF BALTIMORE, INC. BROOKLYN MD H80CS004362014 031270 CHC FAMILY HEALTH CENTERS OF SAN DIEGO, INC. SAN DIEGO CA H80CS002242014 093120 CHC, HCH, PHPC FAMILY HEALTH CENTERS OF SW FLORIDA, INC. FORT MYERS FL H80CS001852014 041680 CHC, HCH, MHC CORTLAND NY H80CS000652014 021240 CHC FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC. FAMILY HEALTH SERVICES CORPORATION TWIN FALLS ID H80CS004252014 101650 CHC, MHC FAMILY HEALTH SERVICES OF DARKE COUNTY GREENVILLE OH H80CS004192014 050640 CHC FAMILY HEALTHCARE CENTER FARGO ND H80CS003172014 083670 CHC, HCH FAMILY HEALTHCARE NETWORK VISALIA CA H80CS007862014 093640 CHC, MHC FAMILY MEDICAL CENTER OF MICHIGAN, INC. CARLETON MI H80CS003902014 052910 CHC, MHC FAMILY MEDICINE RESIDENCY OF IDAHO BOISE ID H80CS266012014 10E00721 CHC, MHC FENWAY COMMUNITY HEALTH CENTER, INC. BOSTON MA H80CS003032014 010600 CHC FINGER LAKES MIGRANT HEALTH PROJECT PENN YAN NY H80CS008492014 028210 CHC, MHC FIRST CARE CLINIC, INC HAYS KS H80CS128912014 07E00017 CHC FIRST CHOICE COMMUNITY HEALTH CENTERS MAMERS NC H80CS001002014 045200 CHC FIRST CHOICE COMMUNITY HEALTHCARE, INC. ALBUQUERQUE NM H80CS002022014 060240 CHC FIRST CHOICE HEALTH CENTERS, INC. EAST HARTFORD CT H80CS002622014 013370 CHC FIRST CHOICE PRIMARY CARE, INC MACON GA H80CS082422014 0452110 CHC, HCH FIRST NATIONS COMMUNITY HEALTHSOURCE ALBUQUERQUE NM H80CS082292014 0627300 CHC, HCH FIRSTMED HEALTH AND WELLNESS CENTER LAS VEGAS NV H80CS265132014 09E00231 CHC FISH RIVER RURAL HEALTH EAGLE LAKE ME H80CS003962014 010530 CHC Page 18 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams FIVETOWN HEALTH ALLIANCE, INC. BRISTOL VT H80CS266422014 01E01088 CHC FLATHEAD CITY COUNTY HEALTH DEPT KALISPELL MT H80CS128472014 08E00023 CHC FLORIDA COMMUNITY HEALTH CENTERS WEST PALM BEACH FL H80CS007982014 040370 CHC, MHC LAKE BUTLER FL H80CS241732014 04E00464 CHC FLORIDA DEPARTMENT OF HEALTH UNION COUNTY HEALTH DEPARTMENT FLORIDA DOH, WALTON COUNTY HEALTH DEPT DEFUNIAK SPRINGS FL H80CS241282014 04E00465 CHC FOOTHILLS COMMUNITY HEALTH CARE CLEMSON SC H80CS241572014 04E00503 CHC FORT BEND FAMILY HEALTH CENTER, INC. RICHMOND TX H80CS002632014 066540 CHC FOUNDCARE INC. WEST PALM BEACH FL H80CS266262014 04E01069 CHC FOUR CORNERS PRIMARY CARE CENTER NORCROSS GA H80CS257082014 04E01034 CHC, HCH FOURTH WARD D.B.A GOOD NEIGHBOR HEALTHCARE CENTER HOUSTON TX H80CS064452014 0617170 CHC FRANKLIN C. FETTER FAMILY HEALTH CENTER CHARLESTON SC H80CS090882014 041110 CHC, HCH, MHC FRANKLIN PRIMARY HEALTH CENTER, INC. MOBILE AL H80CS000992014 044710 CHC, HCH, MHC, PHPC FREDERIKSTED HEALTH CARE INC. ST. CROIX VI H80CS003722014 025320 CHC FREE CLINIC OF THE NEW RIVER VALLEY INC CHRISTIANSBURG VA H80CS265162014 03E01039 CHC FRIEND FAMILY HEALTH CENTER, INC. CHICAGO IL H80CS001202014 059110 CHC FRIENDS OF FAMILY HEALTH CENTER LA HABRA CA H80CS241962014 09E00521 CHC FRONT STREET COMMUNITY HEALTH CENTER JUNEAU AK H80CS268022014 10E01114 HCH FRONTERA HEALTHCARE NETWORK EDEN TX H80CS082252014 0627190 CHC G.A. CARMICHAEL FAMILY HEALTH CARE CLINIC CANTON MS H80CS004842014 040760 CHC GARDNER FAMILY HEALTH NETWORK, INC. SAN JOSE CA H80CS003592014 090210 CHC, HCH GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC H80CS002932014 045630 CHC GATEWAY COMMUNITY HEALTH CENTER, INC LAREDO TX H80CS007792014 061750 CHC GATEWAY COMMUNITY HEALTH CENTERS, INC. GATESVILLE NC H80CS268932014 04E01116 CHC, MHC GENERATIONS FAMILY HEALTH CENTER, INC. WILLIMANTIC CT H80CS001552014 010220 CHC, HCH GENESEE HEALTH SYSTEM FLINT MI H80CS257092014 05E01033 HCH, PHPC Page 19 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams GENESIS COMMUNITY HEALTH, INC. BOYNTON BEACH FL H80CS241072014 04E00471 CHC, HCH GEORGIA DEPT. OF COMMUNITY HEALTH ATLANTA GA H80CS003222014 048270 MHC GEORGIA HIGHLANDS MEDICAL SERVICES, INC. CUMMING GA H80CS004702014 047430 CHC GEORGIA MOUNTAINS HEALTH SERVICES, INC. MORGANTON GA H80CS000932014 042110 CHC GIFFORD HEALTH CARE, INC. RANDOLPH VT H80CS267982014 01E01113 CHC GLACIER COMMUNITY HEALTH CENTER, INC. CUT BANK MT H80CS014512014 0811480 CHC GLENDALE AREA MEDICAL ASSOCIATION, INC. COALPORT PA H80CS004132014 032430 CHC GLENNS FERRY HEALTH CENTER, INC. GLENNS FERRY ID H80CS004732014 101610 CHC, MHC GOLDEN VALLEY HEALTH CENTER MERCED CA H80CS007422014 090470 CHC, HCH, MHC GOOD SAMARITAN HEALTH CENTER OF COBB, INC. MARIETTA GA H80CS265932014 04E01055 CHC GOOD SAMARITAN HOSPITAL DAYTON OH H80CS000272014 0511330 HCH GOODWIN COMMUNITY HEALTH SOMERSWORTH NH H80CS042102014 019980 CHC GOSHEN MEDICAL CENTER, INC. FAISON NC H80CS001812014 045800 CHC, HCH, MHC GRACE COMMUNITY HEALTH CENTER, INC. GRAY KY H80CS099592014 04E00055 CHC GRACE HILL HEALTH CENTERS, INC. SAINT LOUIS MO H80CS004152014 071190 CHC, HCH, PHPC GRACEMED HEALTH CLINIC, INC WICHITA KS H80CS087722014 073430 CHC, HCH GREAT MINES HEALTH CENTER POTOSI MO H80CS066702014 078000 CHC GREAT SALT PLAINS HEALTH CENTER, INC. CHEROKEE OK H80CS087442014 0627800 CHC GREATER BADEN MEDICAL SERVICE INC BRANDYWINE MD H80CS005492014 033770 CHC, MHC GREATER ELGIN FAMILY CARE CENTER ELGIN IL H80CS002882014 0515160 CHC LAWRENCE MA H80CS003142014 012160 CHC, HCH MERIDIAN MS H80CS004392014 042070 CHC NEW BEDFORD MA H80CS005112014 011930 CHC PHILADELPHIA PA H80CS007082014 033200 CHC WOODBRIDGE VA H80CS128712014 03E00049 CHC, HCH GREATER LAWRENCE FAMILY HEALTH CENTER, INC GREATER MERIDIAN HEALTH CLINIC, INC GREATER NEW BEDFORD COMMUNITY HEALTH CTR GREATER PHILADELPHIA HEALTH ACTION, INC. GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER Page 20 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams GREATER SIOUX COMMUNITY HEALTH CENTER SIOUX CENTER IA H80CS241712014 07E00515 CHC GREEN RIVER MEDICAL CENTER GREEN RIVER UT H80CS004622014 082490 CHC GREENE AREA MEDICAL EXTENDERS, INC. LEAKESVILLE MS H80CS008192014 044470 CHC GREENE COUNTY HEALTH CARE INCORPORATED SNOW HILL NC H80CS000882014 041020 CHC, MHC GREENVILLE RANCHERIA RED BLUFF CA H80CS266072014 09E01065 CHC, MHC GUAM DEPARTMENT OF PUBLIC HEALTH HAGATNA GU H80CS024682014 093530 CHC GULF COAST HEALTH CENTER, INC. PORT ARTHUR TX H80CS004082014 061730 CHC GULF COUNTY HEALTH DEPARTMENT PORT SAINT JOE FL H80CS008462014 045940 CHC HACKLEY COMMUNITY CARE CENTER, INC. MUSKEGON MI H80CS006842014 051020 CHC HAMAKUA HEALTH CENTER HONOKAA HI H80CS004512014 092160 CHC ADDISON IL H80CS265652014 05E01076 CHC HAMILTON COMMUNITY HEALTH NETWORK, INC. FLINT MI H80CS004352014 053300 CHC, HCH HAMILTON HEALTH CENTER, INC. HARRISBURG PA H80CS006592014 030290 CHC HAMDARD CENTER FOR HEALTH & HUMAN SERVICES NFP HANA COMMUNITY HEALTH CENTER, INC. HANA HI H80CS002902014 098550 CHC HARBOR HEALTH SERVICES MATTAPAN MA H80CS007432014 010170 CHC HARBOR HOMES, INC NASHUA NH H80CS128672014 01E00025 HCH HARDEMAN COUNTY COMMUNITY HEALTH CENTER BOLIVAR TN H80CS005302014 045190 CHC HARDIN COUNTY REGIONAL HEALTH CENTER SAVANNAH TN H80CS001802014 046560 CHC HARRINGTON FAMILY HEALTH CENTER HARRINGTON ME H80CS008022014 013250 CHC HARRIS COUNTY HOSPITAL DISTRICT HOUSTON TX H80CS000382014 061600 HCH HARRISONBURG VA H80CS105922014 03E00061 CHC HARRISONBURG COMMUNITY HEALTH CENTER, INC. HEALTH ACCESS NETWORK, INC. LINCOLN ME H80CS024502014 015110 CHC HEALTH ACCESS WASHOE COUNTY RENO NV H80CS005392014 092280 CHC, HCH HEALTH CARE CENTER FOR THE HOMELESS, INC. ORLANDO FL H80CS002402014 0413580 CHC, HCH HEALTH CARE COALITION OF LAFAYETTE COUNTY LEXINGTON MO H80CS265612014 07E00251 CHC Page 21 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:47 PM EST Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams HEALTH CARE DISTRICT OF PALM BEACH COUNTY LAKE WORTH FL H80CS256842014 04E00551 CHC, HCH, MHC HEALTH CARE FOR THE HOMELESS BALTIMORE MD H80CS000172014 031690 HCH CONWAY SC H80CS004112014 047000 CHC HEALTH CENTER OF SOUTHEAST TEXAS CLEVELAND TX H80CS087702014 0627760 CHC HEALTH DELIVERY, INC. SAGINAW MI H80CS006892014 050360 CHC, MHC ATLANTA GA H80CS265942014 04E01061 CHC HEALTH FIRST FAMILY CARE CENTER, INC. FRANKLIN NH H80CS002952014 014060 CHC HEALTH HELP, INC. MCKEE KY H80CS004592014 044820 CHC HEALTH MINISTRIES CLINIC, INC. NEWTON KS H80CS241692014 07E00513 CHC CENTER TX H80CS128502014 06E00045 CHC HEALTH PARTNERS OF WESTERN OHIO LIMA OH H80CS042122014 0516380 CHC, MHC HEALTH PARTNERSHIP CLINIC, INC. OLATHE KS H80CS241082014 07E00472 CHC, HCH HEALTH SERVICES OF NORTH TEXAS, INC. DENTON TX H80CS241972014 06E00522 CHC HEALTH SERVICES, INC. MONTGOMERY AL H80CS007952014 040130 CHC HEALTH CARE PARTNERS OF SOUTH CAROLINA, INC. HEALTH EDUCATION, ASSESSMENT AND LEADERSHIP, INC. HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS, INC. HEALTH WEST, INC. POCATELLO ID H80CS003212014 100180 CHC, MHC HEALTHCARE FOR THE HOMELESSHOUSTON HOUSTON TX H80CS003002014 0612210 HCH HEALTHFIRST FAMILY CARE CENTER, INC. FALL RIVER MA H80CS042152014 012120 CHC HEALTHLINC, INC. VALPARAISO IN H80CS066622014 0530920 CHC HEALTHNET, INC. INDIANAPOLIS IN H80CS001142014 053200 CHC, HCH HEALTHPOINT RENTON WA H80CS003602014 101300 CHC HEALTHPOINT FAMILY CARE COVINGTON KY H80CS004222014 044090 CHC HEALTHREACH COMMUNITY HEALTH CENTERS WATERVILLE ME H80CS007972014 010460 CHC HEALTHSOURCE OF OHIO, INC. MILFORD OH H80CS002012014 050990 CHC HEALTHY CONNECTIONS, INC. MENA AR H80CS002792014 0612200 CHC HEART CITY HEALTH CENTER, INC. ELKHART IN H80CS082212014 0526110 CHC Page 22 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams HEART OF FLORIDA HEALTH CENTER, INC OCALA FL H80CS128592014 04E00013 CHC HEART OF KANSAS FAMILY HEALTH CARE, INC. GREAT BEND KS H80CS008252014 076340 CHC HEART OF OHIO FAMILY HEALTH CENTERS COLUMBUS OH H80CS078972014 0518310 CHC WACO TX H80CS007192014 068160 CHC, HCH, PHPC HEART OF TEXAS COMMUNITY HEALTH CENTER, INC. HEARTLAND COMMUNITY HEALTH CLINIC PEORIA IL H80CS024572014 0518330 CHC HEARTLAND HEALTH CENTER, INC. GRAND ISLAND NE H80CS265622014 07E01086 CHC HEARTLAND HEALTH OUTREACH, INC. CHICAGO IL H80CS001112014 051900 HCH HEARTLAND INTERNATIONAL HEALTH CENTER CHICAGO IL H80CS002152014 0512780 CHC HEARTLAND MEDICAL CLINIC, INC. LAWRENCE KS H80CS241702014 07E00514 CHC HELP/PROJECT SAMARITAN SERVICES CORP. BRONX NY H80CS241392014 02E00256 HCH HENDERSON CO. RURAL HEALTH CENTER, INC. OQUAWKA IL H80CS001922014 052140 CHC HENNEPIN CO COMMUNITY HEALTH DEPARTMENT MINNEAPOLIS MN H80CS000282014 051810 HCH MINNEAPOLIS MN H80CS067032014 050080 CHC HENRY J AUSTIN HEALTH CENTER INC TRENTON NJ H80CS005312014 020070 CHC, HCH HERALD CHRISTIAN HEALTH CENTER SAN GABRIEL CA H80CS266182014 09E01051 CHC HERITAGE HEALTH AND HOUSING, INC. NEW YORK NY H80CS112852014 020130 CHC BROOKSVILLE FL H80CS064442014 0414900 CHC HIDESERT MEMORIAL HEALTH CARE DISTRICT JOSHUA TREE CA H80CS266102014 09E01096 CHC HENNEPIN COUNTY, DEPARTMENT OF PRIMARY CARE HERNANDO COUNTY HEALTH DEPARTMENT/NATURE COAST CHC, INC. HIDALGO MEDICAL SERVICES LORDSBURG NM H80CS007442014 067230 CHC HIGH COUNTRY COMMUNITY HEALTH BOONE NC H80CS241422014 04E00489 CHC, MHC HIGH PLAINS COMMUNITY HEALTH CENTER LAMAR CO H80CS002142014 084100 CHC, MHC HIGHLAND MEDICAL CENTER, INC. MONTEREY VA H80CS016862014 038580 CHC HILL COUNTRY COMMUNITY CLINIC, INC ROUND MOUNTAIN CA H80CS042262014 0920440 CHC HILLTOWN COMMUNITY HEALTH CENTER, INC. WORTHINGTON MA H80CS006012014 010330 CHC HO'OLA LAHUI HAWAI'I LIHUE HI H80CS008522014 091290 CHC Page 23 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams HOLYOKE HEALTH CENTER, INC. HOLYOKE MA H80CS008032014 010030 CHC HOPE FAMILY HEALTH SERVICES WESTMORELAND TN H80CS241092014 04E00473 CHC HOPEHEALTH, INC. FLORENCE SC H80CS082402014 0452150 CHC HOPEWELL HEALTH CENTERS, INC. CHILLICOTHE OH H80CS001932014 052270 CHC HORIZON HEALTH CARE, INC. HOWARD SD H80CS001352014 081030 CHC HORIZON HEALTH CENTER JERSEY CITY NJ H80CS195342014 023480 CHC HORIZON HEALTH SERVICES, INC. IVOR VA H80CS003522014 032840 CHC DELHI LA H80CS241672014 06E00261 CHC HOUSING WORKS HEALTH SERVICES III, INC. BROOKLYN NY H80CS261912014 02E01036 CHC, HCH HOSPITAL SERVICE DISTRICT NO. 1A OF THE PARISH OF RICHLAND HOUSTON AREA COMNTY SERVICES, INC. HOUSTON TX H80CS128852014 06E00044 CHC, HCH, PHPC HOUSTON COMMUNITY HEALTH CENTERS, INC. HOUSTON TX H80CS082312014 0613920 CHC HPM FOUNDATION, INC. SAN JUAN PR H80CS006952014 020700 CHC HUDSON HEADWATERS HEALTH NETWORK, INC. QUEENSBURY NY H80CS001592014 021790 CHC HUDSON RIVER HEALTH CARE, INC. PEEKSKILL NY H80CS003132014 021510 CHC, HCH, MHC, PHPC HURTT FAMILY HEALTH CLINIC TUSTIN CA H80CS128752014 09E00006 CHC, HCH HYNDMAN AREA HEALTH CENTER, INC. HYNDMAN PA H80CS005322014 032440 CHC I.M. SULZBACHER CENTER FOR THE HOMELESS JACKSONVILLE FL H80CS003052014 0420630 HCH NEW IBERIA LA H80CS006972014 062350 CHC ICL HEALTHCARE CHOICES, INC. BROOKLYN NY H80CS226802014 02E00100 CHC, HCH ILIULIUK FAMILY AND HEALTH SERVICES, INC. UNALASKA AK H80CS011372014 102040 CHC IMPERIAL BEACH COMMUNITY CLINIC IMPERIAL BEACH CA H80CS066482014 092500 CHC IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER INDIAN HEALTH BOARD OF MINNEAPOLIS, INC. MINNEAPOLIS MN H80CS004412014 051770 CHC INDIAN HEALTH CENTER OF SANTA CLARA VALLEY SAN JOSE CA H80CS023252014 0912090 CHC INDIAN STREAM HEALTH CENTER COLEBROOK NH H80CS066552014 0112200 CHC INDIANA HEALTH CENTERS, INC. INDIANAPOLIS IN H80CS006682014 053110 CHC, HCH, MHC Page 24 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams INLAND BEHAVIORAL & HEALTH SERVICES, INC. SAN BERNARDINO CA H80CS002482014 098620 CHC INNIS COMMUNITY HEALTH CENTER, INC. INNIS LA H80CS008552014 0610680 CHC INTERCARE COMMUNITY HEALTH NETWORK BANGOR MI H80CS007712014 050220 CHC, MHC INTERFAITH COMMUNITY HEALTH CENTER BELLINGHAM WA H80CS087732014 1016960 CHC INTERIOR COMMUNITY HEALTH CENTER FAIRBANKS AK H80CS007452014 102270 CHC INTERNATIONAL COMMUNITY HEALTH SERVICES SEATTLE WA H80CS004372014 102530 CHC IRONTON LAWRENCE COUNTY CAO IRONTON OH H80CS004712014 051660 CHC, HCH ISLAND HEALTH INC WEST TISBURY MA H80CS266382014 01E00272 CHC ISLANDS COMMUNITY MEDICAL SERVICES, INC VINALHAVEN ME H80CS066572014 010450 CHC J.C. LEWIS PRIMARY HEALTH CARE CENTER, INC. SAVANNAH GA H80CS256792014 04E01031 CHC, HCH JANE PAULEY COMMUNITY HEALTH CENTER, INC. INDIANAPOLIS IN H80CS265662014 05E01099 CHC AVONDALE LA H80CS067162014 0623760 CHC PINE BLUFF AR H80CS007272014 060110 CHC, HCH JEFFERSON COMPREHENSIVE HLTH, CTR., INC. FAYETTE MS H80CS005822014 048800 CHC JEFFERSON, PARISH OF METAIRIE LA H80CS265812014 06E01062 CHC JERICHO ROAD MINISTRIES, INC. BUFFALO NY H80CS266302014 02E01074 CHC JESSIE TRICE COMMUNITY HEALTH CENTER, INC. MIAMI FL H80CS007322014 040330 CHC JEWISH RENAISSANCE MEDICAL CENTER PERTH AMBOY NJ H80CS002532014 027000 CHC JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC. JEFFERSON COMPREHENSIVE CARE SYSTEM JOHNSON HEALTH CENTER MADISON HEIGHTS VA H80CS024452014 0310560 CHC JOSEPH M. SMITH COMMUNITY HEALTH CENTER ALLSTON MA H80CS003782014 011890 CHC JOSEPH P. ADDABBO FAMILY HEALTH CENTER ARVERNE NY H80CS004302014 022110 CHC JUNIPER HEALTH, INC. BEATTYVILLE KY H80CS042032014 0438280 CHC JWCH INSTITUTE, INC. LOS ANGELES CA H80CS066732014 0925360 CHC, HCH KALIHIPALAMA HEALTH CENTER HONOLULU HI H80CS008142014 096010 CHC TOPEKA KS H80CS001312014 070090 MHC KANSAS STATE DEPT OF HEALTH AND ENVIRONMENT Page 25 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams KARUK TRIBE OF CALIFORNIA HAPPY CAMP CA H80CS042242014 0921240 CHC KATAHDIN VALLEY HEALTH CENTER PATTEN ME H80CS004882014 013240 CHC KEDREN COMMUNITY HEALTH CENTER, INC. LOS ANGELES CA H80CS266192014 09E00280 CHC KENOSHA COMMUNITY HEALTH CENTER, INC. KENOSHA WI H80CS006622014 057260 CHC KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC HAZARD KY H80CS077722014 0450640 HCH KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC. RICHMOND KY H80CS044322014 0441420 HCH KEYSTONE RURAL HEALTH CENTER CHAMBERSBURG PA H80CS000762014 032700 CHC, MHC KEYSTONE RURAL HEALTH CONSORTIA, INC. EMPORIUM PA H80CS006882014 032300 CHC KIAMICHI FAMILY MEDICAL CENTER, INC. BROKEN BOW OK H80CS002672014 0611930 CHC KINSTON COMMUNITY HEALTH CENTER, INC. KINSTON NC H80CS001042014 048120 CHC, MHC KLAMATH HEALTH PARTNERSHIP,INC. KLAMATH FALLS OR H80CS002332014 102910 CHC KNOX COUNTY HEALTH DEPARTMENT GALESBURG IL H80CS241322014 05E00286 CHC KAHUKU HI H80CS066412014 0925370 CHC KODIAK AREA NATIVE ASSOCIATION KODIAK AK H80CS265992014 10E00288 CHC KODIAK ISLAND HEALTH CARE FOUNDATION KODIAK AK H80CS014452014 107930 CHC HONOLULU HI H80CS007762014 093410 CHC, PHPC JUNCTION CITY KS H80CS002102014 074010 CHC LOS ANGELES CA H80CS266202014 09E01079 CHC KUUMBA COMM. HLTH & WELLNESS CENTER ROANOKE VA H80CS006082014 037480 CHC L'REFUAH MEDICAL AND REHABILITATION CENTER BROOKLYN NY H80CS241642014 02E00510 CHC LA CASA DE BUENA SALUD, INC. PORTALES NM H80CS004042014 061290 CHC KO'OLAULOA COMMUNITY HEALTH AND WELLNESS CENTER, INC. KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES KONZA PRAIRIE COMMUNITY HEALTH CENTER KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER LA CASA DE SALUD, INC. BRONX NY H80CS266312014 02E00291 HCH LA CLINICA DE FAMILIA, INC. LAS CRUCES NM H80CS003162014 063010 CHC, MHC LA CLINICA DE LA RAZA INC. OAKLAND CA H80CS006312014 091230 CHC WAUTOMA WI H80CS007132014 050900 CHC, MHC LA CLINICA DE LOS CAMPESINOS, INC.DBA FAMLY HLTH & DENT CTR Page 26 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams LA CLINICA DEL CARINO HOOD RIVER OR H80CS004262014 102080 CHC, MHC LA CLINICA DEL PUEBLO WASHINGTON DC H80CS082442014 036820 CHC LA CLINICA DEL PUEBLO DE RIO ARRIBA TIERRA AMARILLA NM H80CS004032014 060460 CHC LA CLINICA DEL VALLE FAMILY HEALTH MEDFORD OR H80CS007592014 100790 CHC, HCH, MHC, PHPC LA COMUNIDAD HISPANA KENNETT SQUARE PA H80CS241482014 03E00495 CHC, MHC LA ESPERANZA CLINIC, INC. SAN ANGELO TX H80CS002032014 066570 CHC LA FAMILIA MEDICAL CENTER SANTA FE NM H80CS006062014 063920 CHC, HCH LA MAESTRA FAMILY CLINIC, INC. SAN DIEGO CA H80CS008122014 095440 CHC, HCH, PHPC LA RED HEALTH CENTER, INC. GEORGETOWN DE H80CS066512014 0314560 CHC, HCH LAKE SUPERIOR COMMUNITY HEALTH CENTER DULUTH MN H80CS008112014 0510280 CHC LAKELAND IMMEDIATE CARE CENTER CASSOPOLIS MI H80CS087522014 056900 CHC LAKESHORE COMMUNITY HEALTH CARE, INC. SHEBOYGAN WI H80CS241522014 05E00499 CHC LAKEWOOD NJ H80CS128682014 02E00026 CHC LAKEWOOD RESOURCE AND REFERRAL CENTER, INC. LAMPREY HEALTH CARE NEWMARKET NH H80CS006402014 011580 CHC LANA'I COMMUNITY HEALTH CENTER LANAI CITY HI H80CS087752014 0931570 CHC LANE COUNTY EUGENE OR H80CS014432014 107920 CHC, HCH, MHC LAPINE COMMUNITY HEALTH CENTER LA PINE OR H80CS114622014 1018560 CHC LAS CLINICAS DEL NORTE, INC. EL RITO NM H80CS006072014 060310 CHC LAWNDALE CHRISTIAN HEALTH CENTER CHICAGO IL H80CS007252014 056420 CHC LEE COUNTY COOPERATIVE CLINIC, INC. MARIANNA AR H80CS001222014 060060 CHC LEGACY COMMUNITY HEALTH SERVICES, INC. HOUSTON TX H80CS075022014 0625340 CHC LEWIS & CLARK CITYCO. HEALTH DEPT. HELENA MT H80CS005152014 083930 CHC, HCH CHEHALIS WA H80CS042052014 1011760 CHC VANCEBURG KY H80CS001062014 048980 CHC LEXINGTON KY H80CS005462014 048140 CHC, HCH LEWIS COUNTY COMMUNITY HEALTH SERVICES, INC. D/B/A VALLEY VIEW HEALTH CENTER LEWIS COUNTY PRIMARY CARE CENTER LEXINGTONFAYETTE COUNTY HEALTH DEPARTMENT Page 27 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams LIFELONG MEDICAL CARE BERKELEY CA H80CS008082014 092880 CHC, PHPC LINCOLN COMMUNITY HEALTH CENTER, INC DURHAM NC H80CS004772014 040910 CHC, HCH LIBBY MT H80CS008052014 088300 CHC NEWPORT OR H80CS066392014 1014200 CHC LINCOLN COUNTY PRIMARY CARE CENTER HAMLIN WV H80CS002542014 030850 CHC LINN COMMUNITY CARE CEDAR RAPIDS IA H80CS082262014 0718570 CHC, HCH LITTLE RIVER MEDICAL CENTER, INC. LITTLE RIVER SC H80CS007002014 047060 CHC, HCH, MHC LITTLE RIVERS HEALTH CARE, INC BRADFORD VT H80CS066582014 0112220 CHC LIVINGSTON MEDICAL GROUP, INC LIVINGSTON CA H80CS025882014 0919630 CHC, MHC LINCOLN COUNTY COMMUNITY HEALTH CENTER DBA NORTHWEST COMMUNITY HEALTH CENTER LINCOLN COUNTY HEALTH AND HUMAN SERVICES LONE STAR CIRCLE OF CARE GEORGETOWN TX H80CS042892014 0619490 CHC LONE STAR COMMUNITY HEALTH CENTER, INC. CONROE TX H80CS024512014 0614320 CHC LONG VALLEY HEALTH CENTER, INC. LAYTONVILLE CA H80CS005242014 091650 CHC LONGVIEW WELLNESS CENTER LONGVIEW TX H80CS082172014 0627010 CHC LORAIN COUNTY HEALTH & DENTISTRY LORAIN OH H80CS128882014 05E00030 CHC, PHPC LOS ANGELES CHRISTIAN HEALTH CENTERS LOS ANGELES CA H80CS066742014 0921430 HCH, PHPC LOS ANGELES CA H80CS266212014 09E01087 CHC LOS BARRIOS UNIDOS COMMUNITY CLINIC DALLAS TX H80CS005052014 060680 CHC LOUDOUN COMMUNITY HEALTH CENTER LEESBURG VA H80CS128622014 03E00050 CHC LOW COUNTRY HEALTH CARE SYSTEM, INC. FAIRFAX SC H80CS000922014 0416080 CHC LOWELL COMMUNITY HEALTH CENTER LOWELL MA H80CS003972014 011460 CHC LOWER LIGHT CHRISTIAN HEALTH CENTER, INC COLUMBUS OH H80CS128862014 05E00033 CHC LYNN COMMUNITY HEALTH CENTER, INC. LYNN MA H80CS006242014 011430 CHC LYON COUNTY HEALTH DEPARTMENT EMPORIA KS H80CS008392014 074540 CHC MA LEAGUE OF COMUNITY HEALTH CENTERS BOSTON MA H80CS001522014 011450 MHC MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT CARLINVILLE IL H80CS226902014 05E00106 CHC, PHPC LOS ANGELES GAY AND LESBIAN COMMUNITY SERVICES CENTER, THE Page 28 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams MADISON CNTY COMMUNITY HEALTH CENTER ANDERSON IN H80CS008722014 0516760 CHC MADISON WI H80CS002802014 0515200 CHC MAINE MIGRANT PROGRAMS, INC. AUGUSTA ME H80CS004432014 010040 MHC MAINLINE HEALTH SYSTEMS, INC. PORTLAND AR H80CS006382014 062730 CHC MADISON COMMUNITY HEALTH CENTER, INC. D/B/A ACCESS COMMUNITY HEALTH CENTERS MANATEE COUNTY RURAL HEALTH SERVICES, INC. PARRISH FL H80CS000972014 044310 CHC, MHC MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH H80CS005712014 010760 CHC MANET COMMUNITY HEALTH CENTER, INC. NORTH QUINCY MA H80CS004532014 011640 CHC MANILLAQ ASSOCIATION KOTZEBUE AK H80CS011272014 100800 CHC MANTACHIE RURAL HEALTH CARE, INC MANTACHIE MS H80CS000962014 043920 CHC MAPLE CITY HEALTH CARE CENTER GOSHEN IN H80CS241332014 05E00303 CHC MARANA HEALTH CENTER MARANA AZ H80CS002312014 090080 CHC MARICOPA COUNTY PUBLIC HLTH SERVS DEPT PHOENIX AZ H80CS000442014 090750 HCH MARILLAC COMMUNITY HEALTH CENTERS NEW ORLEANS LA H80CS241982014 06E00523 CHC MARIN CITY HEALTH & WELLNESS CENTER SAUSALITO CA H80CS226892014 09E00105 HCH, PHPC MARIN COMMUNITY CLINIC NOVATO CA H80CS003432014 095380 CHC MARIPOSA COMMUNITY HEALTH CENTER, INC NOGALES AZ H80CS007522014 090090 CHC MARTIN LUTHER KING, JR. FAMILY CLINIC, INC. DALLAS TX H80CS001272014 061010 CHC MARTINSVILLE VA H80CS087492014 0322430 CHC MARY'S CENTER FOR MATERNAL & CHILD CARE INC WASHINGTON DC H80CS042022014 037030 CHC MATSU HEALTH SERVICES, INC. WASILLA AK H80CS044352014 1012890 CHC BAY CITY TX H80CS128892014 06E00042 CHC MATTAPAN COMMUNITY HEALTH CENTER BOSTON MA H80CS003952014 012010 CHC MATTHEW WALKER COMPREHENSIVE NASHVILLE TN H80CS007102014 041420 CHC MAURY REGIONAL HOSPITAL COLUMBIA TN H80CS265982014 04E01085 CHC MCCLOUD HEALTHCARE CLINIC, INC MCCLOUD CA H80CS241122014 09E00476 CHC MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM Page 29 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams MCKINNEY COMMUNITY HEALTH CENTER, INC. WAYCROSS GA H80CS005062014 048080 CHC ASHEBORO NC H80CS087872014 0452910 CHC MEDLINK GEORGIA, INC. COLBERT GA H80CS004272014 040390 CHC MEMPHIS HEALTH CENTER MEMPHIS TN H80CS007802014 041410 CHC, HCH MEDICAL RESOURCE CENTER FOR RANDOLPH COUNTY, INC MENDOCINO COAST CLINICS, INC. FORT BRAGG CA H80CS008762014 0910250 CHC MENDOCINO COMMUNITY HEALTH CLINIC, INC. UKIAH CA H80CS006282014 091940 CHC, HCH, MHC MERCY HEALTH SERVICES, INC. FRANKLIN TN H80CS241492014 04E00496 CHC MERIDIAN EDUCATION RESOURCE GROUP, INC ATLANTA GA H80CS008842014 0429000 CHC MERIDIAN HEALTH SERVICES CORP MUNCIE IN H80CS265672014 05E01058 CHC METRO COMMUNITY PROVIDER NETWORK ENGLEWOOD CO H80CS002172014 080730 CHC, HCH WASHINGTON NC H80CS008642014 0428200 CHC METROPOLITAN COMMUNITY HEALTH SERVICES, INC. METROPOLITAN DEVELOPMENT COUNCIL TACOMA WA H80CS000542014 100690 HCH METROPOLITAN FAMILY HEALTH NETWORK, INC JERSEY CITY NJ H80CS075882014 0217710 CHC, HCH MGH FAMILY HC DBA MUSKEGON FAMILY CARE MUSKEGON MI H80CS008652014 0516820 CHC MIAMI BEACH COMMUNITY HEALTH CENTER MIAMI BEACH FL H80CS001822014 044130 CHC MIDDELTA HEALTH SYSTEMS, INC. CLARENDON AR H80CS171472014 062090 CHC MIDSTATE HEALTH CENTER PLYMOUTH NH H80CS266402014 01E01077 CHC MIDDLETOWN COMMUNITY HEALTH CENTER, INC. MIDDLETOWN NY H80CS007822014 026250 CHC MIDLAND COMMUNITY HEALTHCARE SERVICES MIDLAND TX H80CS064552014 0622480 CHC MIDMICHIGAN HEALTH SERVICES HOUGHTON LAKE MI H80CS001902014 050290 CHC MIDTOWN COMMUNITY HEALTH CENTER OGDEN UT H80CS008312014 083800 CHC MIDTOWN HEALTH CENTER, INC. NORFOLK NE H80CS105902014 07E00059 CHC MIGRANT HEALTH CENTER, WESTERN REGION, INC MAYAGUEZ PR H80CS006202014 021040 CHC, HCH, MHC MILWAUKEE HEALTH SERVICES, INC. MILWAUKEE WI H80CS008262014 052090 CHC MINERAL REGIONAL HEALTH CENTER SUPERIOR MT H80CS241102014 08E00474 CHC Page 30 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams MINISTRY OF HEALTH AND ENVIRONMENT EBEYE MH H80CS024722014 093570 CHC MINNIE HAMILTON HEALTH CARE CENTER, INC. GRANTSVILLE WV H80CS007612014 034190 CHC MISSION AREA HEALTH ASSOCIATES DBA MISSION NEIGHBORHOOD HEALTH CENTER SAN FRANCISCO CA H80CS005902014 090660 CHC MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA H80CS082412014 0929830 CHC MISSION EAST DALLAS DALLAS TX H80CS241542014 06E00500 CHC MISSOULA MT H80CS005282014 083430 CHC, HCH MOBILE COUNTY HEALTH DEPARTMENT MOBILE AL H80CS003182014 047080 CHC, MHC, PHPC MOLOKAI OHANA HEALTH CARE, INC KAUNAKAKAI HI H80CS024492014 0912120 CHC MONMOUTH FAMILY HEALTH CENTER LONG BRANCH NJ H80CS128552014 02E00027 CHC MONONGAHELA VALLEY ASSOCIATION OF FAIRMONT WV H80CS003832014 030820 CHC MONROE COUNTY HEALTH CENTER UNION WV H80CS003842014 030990 CHC MONTANA MIGRANT COUNCIL, INC. BILLINGS MT H80CS007042014 082160 MHC MONTEFIORE MEDICAL CENTER BRONX NY H80CS000112014 020800 HCH, PHPC MORA VALLEY COMMUNITY HEALTH SERVICES, INC. MORA NM H80CS002962014 060300 CHC MOREHOUSE COMMUNITY MEDICAL CENTERS, INC BASTROP LA H80CS087642014 0627740 CHC MORGAN COUNTY HEALTH COUNCIL, INC. WARTBURG TN H80CS001832014 041290 CHC MOROVIS COMMUNITY HEALTH CENTER, INC. MOROVIS PR H80CS003822014 022230 CHC MORRIS HEIGHTS HEALTH CENTER BRONX NY H80CS004722014 021610 CHC MORTON COMPREHENSIVE HEALTH SERVICES TULSA OK H80CS004402014 063890 CHC, HCH MOSAIC MEDICAL PRINEVILLE OR H80CS002702014 105600 CHC, MHC MOSES LAKE COMMUNITY HEALTH CENTER MOSES LAKE WA H80CS007022014 101000 CHC, MHC MOUNT VERNON NY H80CS001612014 021500 CHC, HCH MOUNTAIN COMPREHENSIVE CARE CENTER, INC. PRESTONSBURG KY H80CS246922014 04E00527 HCH MOUNTAIN COMPREHENSIVE HEALTH CORP. WHITESBURG KY H80CS003672014 040600 CHC MOUNTAIN FAMILY HEALTH CENTER NEDERLAND CO H80CS008302014 081260 CHC MISSOULA CITY/COUNTY HEALTH DEPT/PARTNERSHIP HC MOUNT VERNON NEIGHBORHOOD HEALTH CENTER Page 31 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. ALPINE CA H80CS002842014 091520 CHC MOUNTAIN PARK HEALTH CENTER PHOENIX AZ H80CS001412014 093070 CHC MOUNTAIN PEOPLE'S HEALTH COUNCILS, INC. HUNTSVILLE TN H80CS004672014 041440 CHC MOUNTAIN VALLEYS HEALTH CENTERS, INC BIEBER CA H80CS002602014 091750 CHC MOUNTAINLANDS COMMUNITY HEALTH CENTER PROVO UT H80CS002132014 083950 CHC MQVN COMMUNITY DEVELOPMENT CORP NEW ORLEANS LA H80CS265822014 06E01066 CHC, MHC MT. ENTERPRISE COMMUNITY HEALTH CENTER MT. ENTERPRISE TX H80CS128562014 06E00046 CHC, MHC MULTNOMAH COUNTY PORTLAND OR H80CS001492014 101120 CHC, HCH MUNICIPALITY OF SAN JUAN SAN JUAN PR H80CS000082014 020690 HCH MUNICIPALITY OF SKAGWAY SKAGWAY AK H80CS082322014 1017080 CHC MUSKINGUM VALLEY HEALTH CENTERS, INC. ZANESVILLE OH H80CS087832014 0537630 CHC MYCARE HEATLH CENTER MOUNT CLEMENS MI H80CS265722014 05E01101 CHC MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH CENTERS, INC. SAINT LOUIS MO H80CS007492014 070370 CHC N. A. T. I. V. E. PROJECT, THE SPOKANE WA H80CS266032014 10E01053 CHC, HCH N.E.W. COMMUNITY CLINIC GREEN BAY WI H80CS000352014 056360 CHC, HCH NATIVE AMERICAN COMMUNITY CLINIC MINNEAPOLIS MN H80CS066612014 0530890 CHC NATIVE AMERICAN COMMUNITY HEALTH CENTER, INC. PHOENIX AZ H80CS128452014 09E00002 CHC PORTLAND OR H80CS015882014 107880 CHC, HCH CORDOVA AK H80CS044342014 1012860 CHC RALEIGH NC H80CS003152014 044030 MHC PLAINFIELD VT H80CS082302014 011440 CHC NEAR NORTH HEALTH SERVICE CORPORATION CHICAGO IL H80CS001942014 053280 CHC NEIGHBORCARE HEALTH SEATTLE WA H80CS008292014 100640 CHC, PHPC TOLEDO OH H80CS001102014 051780 CHC, HCH CLEVELAND OH H80CS006652014 050920 CHC NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST NATIVE VILLAGE OF EYAK NC DEPARTMENT OF HEALTH AND HUMAN SERVICES NE WASHINGTON CTY CMTY HEALTH, INC. DBA THE HEALTH CENTER NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC. NEIGHBORHOOD HEALTH CARE INCORPORATED Page 32 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams NEIGHBORHOOD HEALTH CENTER BEAVERTON OR H80CS241602014 10E00506 CHC, MHC NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY ALLENTOWN PA H80CS241582014 03E00504 CHC NEIGHBORHOOD HEALTH CLINICS, INC. FORT WAYNE IN H80CS005482014 058480 CHC NEIGHBORHOOD HEALTH SERVICE INC TALLAHASSEE FL H80CS268032014 04E00336 CHC, HCH, PHPC PLAINFIELD NJ H80CS006452014 021230 CHC NEIGHBORHOOD HEALTHCARE ESCONDIDO CA H80CS002852014 093540 CHC NEIGHBORHOOD HEALTH SERVICES CORPORATION, INC. NEIGHBORHOOD HEALTHSOURCE MINNEAPOLIS MN H80CS005162014 056750 CHC NEIGHBORHOOD IMPROVEMENT PROJECT, INC. AUGUSTA GA H80CS087512014 0438590 CHC NEIGHBORHOOD OUTREACH ACCESS TO HEALTH SCOTTSDALE AZ H80CS266042014 09E01078 CHC NEOMED CENTER INC GURABO PR H80CS006562014 022030 CHC, PHPC NEVADA HEALTH CENTERS, INC. CARSON CITY NV H80CS008182014 091570 CHC, HCH NEW ENGLAND HOSPITAL DBA DIMOCK CHC ROXBURY MA H80CS001512014 011280 CHC NEW HANOVER CHC WILMINGTON NC H80CS005722014 045240 CHC, HCH NEW HEALTH PROGRAMS ASSOCIATION CHEWELAH WA H80CS004932014 100360 CHC NEW HORIZON FAMILY HEALTH SERVICES, INC. GREENVILLE SC H80CS005782014 042610 CHC, HCH NEW ORLEANS AIDS TASK FORCE NEW ORLEANS LA H80CS265832014 06E00338 CHC NEW ORLEANS HEALTH DEPARTMENT NEW ORLEANS LA H80CS000372014 061550 HCH NEW RIVER HEALTH ASSOCIATION, INC. SCARBRO WV H80CS000752014 032600 CHC NEWARK COMMUNITY HEALTH CENTERS, INC. NEWARK NJ H80CS000622014 020500 CHC NHAN HOA COMPREHENSIVE HEALTH CARE CLINIC, INC. GARDEN GROVE CA H80CS266222014 09E01092 CHC NORTH BROWARD HOSPITAL DISTRICT FORT LAUDERDALE FL H80CS000192014 0412940 HCH NORTH CENTRAL TEXAS COMMUNITY HLTH CARE WICHITA FALLS TX H80CS005532014 063740 CHC, PHPC NORTH COUNTRY FAMILY HEALTH CENTER, INC. WATERTOWN NY H80CS241652014 02E00340 CHC, HCH NORTH COUNTRY HEALTHCARE, INC. FLAGSTAFF AZ H80CS006512014 092890 CHC NORTH COUNTY HEALTH PROJECT, INC. SAN MARCOS CA H80CS002282014 090720 CHC, MHC Page 33 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA H80CS002212014 090670 CHC NORTH END COMMUNITY HLTH COMMITTEE, INC. BOSTON MA H80CS004992014 010160 CHC NORTH FLORIDA MEDICAL CENTERS, INC. TALLAHASSEE FL H80CS006932014 040380 CHC NORTH HUDSON COMMUNITY ACTION CORPORATION UNION CITY NJ H80CS005212014 024490 CHC NORTH MISSISSIPPI PRIMARY HEALTH CARE INC. ASHLAND MS H80CS006352014 049100 CHC NORTH PENN COMPREHENSIVE HEALTH SERVICES, INC WELLSBORO PA H80CS006822014 031220 CHC NORTH SHORE COMMUNITY HEALTH, INC. SALEM MA H80CS004942014 010860 CHC NORTH SIDE CHRISTIAN HEALTH CENTER PITTSBURGH PA H80CS128812014 03E00038 CHC, HCH, PHPC NORTH TEXAS AREA COMMUNITY HEALTH CENTER, INC. FORT WORTH TX H80CS064572014 0622450 CHC NORTHEAST ALABAMA HEALTH SERVICES, INC. SCOTTSBORO AL H80CS007602014 045710 CHC NORTHEAST COMMUNITY CLINIC, INC ALHAMBRA CA H80CS128692014 09E00004 CHC NORTHEAST FLORIDA HEALTH SERVICES, INC. PIERSON FL H80CS025202014 0423770 CHC NORTHEAST MISSISSIPPI HEALTH CARE, INC. BYHALIA MS H80CS004322014 043060 CHC NORTHEAST MISSOURI HEALTH COUNCIL, INC. KIRKSVILLE MO H80CS007312014 070300 CHC NORTHEAST OHIO NEIGHBORHOOD HLTH. SVCS. CLEVELAND OH H80CS001912014 050580 CHC NORTHEAST VALLEY HEALTH CORPORATION SAN FERNANDO CA H80CS001392014 091000 CHC, HCH NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTER HULBERT OK H80CS008482014 0612740 CHC NORTHEASTERN RURAL HEALTH CLINICS, INC. SUSANVILLE CA H80CS007092014 091960 CHC NORTHERN COUNTIES HEALTH CARE, INC. SAINT JOHNSBURY VT H80CS006322014 010640 CHC NORTHERN GREENBRIER HEALTH CLINIC, INC. WILLIAMSBURG WV H80CS005022014 032580 CHC NORTHERN HEALTH CENTERS, INC. LAKEWOOD WI H80CS004912014 051490 CHC RENO NV H80CS266052014 09E00345 CHC, HCH PULASKI NY H80CS001662014 020870 CHC TURTLE LAKE ND H80CS008472014 0810710 CHC PORTAGE IN H80CS024582014 0518280 CHC NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC. NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER NORTHSHORE HEALTH CENTERS, INC. Page 34 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name NORTHWEST BUFFALO COMMUNITY HEALTH CARE CENTER, INC. NORTHWEST COLORADO VISITING NURSE ASSOCIATION, INC. City State Tracking Number BHCMIS ID Funding Streams BUFFALO NY H80CS001712014 020010 CHC, HCH CRAIG CO H80CS106102014 08E00068 CHC NORTHWEST COMMUNITY HEALTH CARE PASCOAG RI H80CS003082014 010480 CHC NORTHWEST HEALTH SERVICES, INC. SAINT JOSEPH MO H80CS006712014 072130 CHC, HCH NORTHWEST HUMAN SERVICES, INC SALEM OR H80CS001482014 100760 CHC, HCH NORTHWEST MICHIGAN HEALTH SERVICES, INC. TRAVERSE CITY MI H80CS006692014 050390 MHC NORTON SOUND HEALTH CORPORATION NOME AK H80CS011302014 100070 CHC NORWALK COMMUNITY HEALTH CENTER, INC. NORWALK CT H80CS128442014 01E00011 CHC, HCH, PHPC NUESTRA CLINICA DEL VALLE, INC. PHARR TX H80CS002092014 060750 CHC, MHC OAK ORCHARD COMMUNITY HEALTH CENTER, INC. BROCKPORT NY H80CS001702014 020180 CHC, MHC OAKHURST MEDICAL CENTERS, INC. STONE MOUNTAIN GA H80CS001792014 046900 CHC OAKLAND PRIMARY HEALTH SERVICES, INC. PONTIAC MI H80CS002832014 0515170 CHC OCEAN HEALTH INITIATIVES, INC. LAKEWOOD NJ H80CS066562014 0216220 CHC OCOEE REGIONAL HEALTH CORPORATION BENTON TN H80CS007622014 041230 CHC OCRACOKE HEALTH CENTER INC OCRACOKE NC H80CS265962014 04E00350 CHC, MHC OHIO HILLS HEALTH SERVICES BARNESVILLE OH H80CS008162014 050560 CHC OHIO NORTH EAST HEALTH SYSTEMS, INC. YOUNGSTOWN OH H80CS001962014 056440 CHC OLATHE COMMUNITY CLINIC, INC. OLATHE CO H80CS241762014 08E00518 CHC, MHC OMNI FAMILY HEALTH BAKERSFIELD CA H80CS006152014 091600 CHC, MHC ONE WORLD COMMUNITY HEALTH CENTERS OMAHA NE H80CS007372014 076290 CHC OPEN CITIES HEALTH CENTER SAINT PAUL MN H80CS001122014 052730 CHC OPEN DOOR COMMUNITY HEALTH CENTERS ARCATA CA H80CS002252014 091540 CHC, HCH OPEN DOOR FAMILY MEDICAL CENTER, INC. OSSINING NY H80CS001602014 021520 CHC OPEN DOOR HEALTH CENTER MANKATO MN H80CS128842014 05E00022 CHC OPEN DOOR HEALTH SERVICES, INC. MUNCIE IN H80CS003402014 0510700 CHC Page 35 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams OPERATION SAMAHAN NATIONAL CITY CA H80CS266232014 09E00352 CHC OPPORTUNITIES INDUSTRIALIZATION CENTER, INC. ROCKY MOUNT NC H80CS241622014 04E00508 CHC, HCH, PHPC BROOKLYN NY H80CS000642014 021210 CHC OPTIMUS HEALTH CARE, INC. BRIDGEPORT CT H80CS003772014 011270 CHC, HCH OREGON HEALTH AND SCIENCE UNIVERSITY PORTLAND OR H80CS241612014 10E00507 CHC OSCEOLA COUNTY HEALTH DEPARTMENT KISSIMMEE FL H80CS064582014 0418990 CHC OUTPATIENT MEDICAL CENTER NATCHITOCHES LA H80CS005132014 060190 CHC OUTER CAPE HEALTH SERVICES, INC. WELLFLEET, MA H80CS004682014 011190 CHC OUTREACH COMMUNITY HEALTH CENTERS, INC. MILWAUKEE WI H80CS000342014 051920 CHC, HCH OUTREACH HEALTH SERVICES, INC. SHUBUTA MS H80CS007752014 048870 CHC OUTSIDE IN PORTLAND OR H80CS002432014 106290 CHC, HCH OWENSVILLE PRIMARY CARE INC WEST RIVER MD H80CS266332014 03E01049 CHC NEOSHO MO H80CS006732014 074490 CHC OZARKS RESOURCE GROUP HERMITAGE MO H80CS241372014 07E00486 CHC PAIUTE INDIAN TRIBE OF UTAH, THE CEDAR CITY UT H80CS265152014 08E01040 CHC PALMETTO HEALTH COUNCIL, INC. ATLANTA GA H80CS004602014 045260 CHC PANAMA CITY FL H80CS064522014 0442450 CHC, MHC PARK DUVALLE COMMUNITY HEALTH CENTER, INC. LOUISVILLE KY H80CS000832014 040650 CHC OPPORTUNITY DEVELOPMENT ASSOCIATION, ODA PRIMARY CARE HEALTH CENTER OZARK TRICOUNTY HEALTH CARE CONSORTIUM DBA ACCESS FAMILY CARE PANCARE OF FLORIDA, INC. D.B.A. CHCBAY COUNTY PARKWEST HEALTH SYSTEMS, INC. BALTIMORE MD H80CS000672014 030130 CHC PARTNERSHIP COMMUNITY HEALTH CENTER, INC. MENASHA WI H80CS041972014 0526690 CHC, HCH PASADENA HEALTH CENTER PASADENA TX H80CS064492014 0622440 CHC PATERSON COMMUNITY HEALTH CENTER, INC. PATERSON NJ H80CS001632014 021300 CHC CLINTON MO H80CS265632014 07E01084 CHC PATILLAS COMMUNITY GOVERNING BOARD PATILLAS PR H80CS007472014 020890 CHC, MHC, PHPC PCC COMMUNITY WELLNESS CENTER OAK PARK IL H80CS002762014 057440 CHC PATHWAYS COMMUNITY BEHAVIORAL HEALTHCARE INC. Page 36 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams PEACH TREE HEALTHCARE MARYSVILLE CA H80CS066292014 097180 CHC PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO H80CS002122014 081460 CHC, HCH PECOS VALLEY MEDICAL CENTER, INC. PECOS NM H80CS002082014 060400 CHC PENDLETON COMMUNITY CARE FRANKLIN WV H80CS003372014 031040 CHC PENINSULA COMMUNITY HEALTH SERVICES BREMERTON WA H80CS006772014 101540 CHC SOLDOTNA AK H80CS011392014 107170 CHC PENINSULA INSTITUTE FOR COMMUNITY HEALTH NEWPORT NEWS VA H80CS000732014 032240 CHC, HCH PENNYROYAL HEALTHCARE SERVICE INC. HOPKINSVILLE KY H80CS265952014 04E01090 CHC PENOBSCOT COMMUNITY HEALTH CENTER, INC. BANGOR ME H80CS042912014 014580 CHC PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC. PEOPLE'S COMMUNITY CLINIC AUSTIN TX H80CS241502014 06E00497 CHC PEOPLE'S COMMUNITY HEALTH CLINIC, INC. WATERLOO IA H80CS008152014 071410 CHC, HCH PEOPLES HEALTH CENTER LINCOLN NE H80CS002362014 078170 CHC PERRY COUNTY MEDICAL CENTER, INC. LINDEN TN H80CS003462014 041370 CHC PERSON FAMILY MEDICAL CENTER, INC. ROXBORO NC H80CS004832014 046800 CHC PETALUMA HEALTH CENTER, INC. PETALUMA CA H80CS005872014 097880 CHC PHILADELPHIA FIGHT PHILADELPHIA PA H80CS266342014 03E01047 CHC PIEDMONT ACCESS TO HEALTH SERVICES (PATHS) DANVILLE VA H80CS039722014 0315250 CHC PIEDMONT HEALTH SERVICES, INC. CARRBORO NC H80CS000862014 040890 CHC CLEARWATER FL H80CS000242014 042040 HCH PINES HEALTH SERVICES CARIBOU ME H80CS087692014 0115570 CHC PLAN DE SALUD DEL VALLE, INC. FORT LUPTON CO H80CS008012014 080130 CHC, MHC POHNPEI COMMUNITY HEALTH CENTER KOLONIA POHNPEI FM H80CS043022014 091920 CHC POMONA COMMUNITY HEALTH CENTER POMONA CA H80CS266242014 09E01080 CHC PORTLAND COMMUNITY HEALTH CENTER PORTLAND ME H80CS256802014 01E01028 CHC, HCH PORTLAND MAINE, CITY OF PORTLAND ME H80CS256812014 010620 HCH PINELLAS COUNTY BOARD OF COUNTY COMMISSIONERS Page 37 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams PORTSMOUTH COMMUNITY HEALTH CENTER, INC PORTSMOUTH VA H80CS007292014 034100 CHC, HCH, PHPC PRAIRIE COMMUNITY HEALTH, INC. ISABEL SD H80CS003492014 082100 CHC PRAIRIESTAR HEALTH CENTER, INC. HUTCHINSON KS H80CS082392014 0717410 CHC PREFERRED FAMILY HEALTHCARE INC KIRKSVILLE MO H80CS265122014 07E01041 CHC PREMIER COMMUNITY HEALTHCARE GROUP, INC. DADE CITY FL H80CS001012014 045500 CHC, MHC PRESBYTERIAN MEDICAL SERVICES SANTA FE NM H80CS002052014 063450 CHC, HCH PRESIDIO COUNTY HEALTH SERVICES, INC. MARFA TX H80CS082352014 0627260 CHC, MHC GRAFTON WV H80CS006172014 030890 CHC PRIMARY CARE HEALTH SERVICES, INC PITTSBURGH PA H80CS007142014 030440 CHC, HCH, PHPC PRIMARY CARE OF SOUTHWEST GEORGIA, INC BLAKELY GA H80CS064542014 0443690 CHC CLINTON LA H80CS064592014 0618980 CHC PRESTONTAYLOR COMMUNITY HEALTH CENTERS, INC. PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA PRIMARY CONNECTION HEALTH CARE, INC WAUSAU WI H80CS005172014 057250 CHC PRIMARY HEALTH CARE CENTER OF DADE, INC TRENTON GA H80CS006492014 044790 CHC PRIMARY HEALTH CARE, INC. URBANDALE IA H80CS007152014 070550 CHC, HCH PRIMARY HEALTH NETWORK SHARON PA H80CS006632014 034060 CHC PRIMARY HEALTH SERVICES CENTER MONROE LA H80CS007542014 068480 CHC, HCH, PHPC PRIMECARE COMMUNITY HEALTH,INC. CHICAGO IL H80CS003412014 0510220 CHC PROGRESSIVE COMMUNITY HEALTH CENTERS, INC. MILWAUKEE WI H80CS007512014 0511020 CHC PROJECT H.O.M.E. PHILADELPHIA PA H80CS266352014 03E01107 HCH PROJECT H.O.P.E., INCORPORATED CAMDEN NJ H80CS090322014 02E00053 HCH PROJECT HEALTH, INC. SUMTERVILLE FL H80CS004122014 040250 CHC PROJECT RENEWAL, INC. NEW YORK NY H80CS003062014 024580 HCH PROJECT VIDA HEALTH CENTER EL PASO TX H80CS042872014 067960 CHC PROTEUS EMPLOYMENT OPPORTUNITIES, INC. DES MOINES IA H80CS003352014 070530 MHC PRYMED MEDICAL CARE, INC. CIALES PR H80CS007122014 021250 CHC Page 38 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams PUBLIC HEALTH MANAGEMENT CORPORATION PHILADELPHIA PA H80CS000162014 031670 HCH, PHPC PUEBLO COMMUNITY HEALTH CENTER, INC. PUEBLO CO H80CS006922014 080170 CHC, HCH, MHC PUEBLO OF JEMEZ JEMEZ PUEBLO NM H80CS265842014 06E01075 CHC PURDUE UNIVERSITY WEST LAFAYETTE IN H80CS128462014 05E00015 CHC PUSHMATAHA FAMILY MEDICAL CENTER, INC. CLAYTON OK H80CS064532014 0622460 CHC QUALITY COMMUNITY HEALTH CARE, INC. PHILADELPHIA PA H80CS006872014 033780 CHC QUALITY OF LIFE HEALTH SERVICES, INC. GADSDEN AL H80CS006582014 044120 CHC, MHC, PHPC QUEENSCARE HEALTH CENTERS LOS ANGELES CA H80CS008712014 0910240 CHC RAINELLE MEDICAL CENTER, INC. RAINELLE WV H80CS182782014 033080 CHC RAPHAEL HEALTH CENTER INDIANAPOLIS IN H80CS002662014 0514720 CHC RAPIDES PRIMARY HEALTH CARE CENTER, INC. ALEXANDRIA LA H80CS002442014 067090 CHC REDWOOD COAST MEDICAL SERVICES GUALALA CA H80CS005752014 096030 CHC REDWOODS RURAL HEALTH CENTER, INC. REDWAY CA H80CS002512014 091700 CHC REFUAH HEALTH CENTER SPRING VALLEY NY H80CS002812014 027260 CHC REGENCE HEALTH NETWORK, INC. PLAINVIEW TX H80CS001262014 060950 CHC, HCH, MHC SPARTANBURG SC H80CS002982014 0421000 CHC PROVIDENCE KY H80CS171572014 04E00092 CHC SEDALIA MO H80CS066682014 0714960 CHC LUBEC ME H80CS001502014 010380 CHC KOROR PW H80CS024672014 090730 CHC RESOURCES FOR HUMAN DEVELOPMENT, INC. PHILADELPHIA PA H80CS007182014 036670 PHPC RICHFORD HEALTH CENTER, INC. RICHFORD VT H80CS002612014 013970 CHC RICHLAND MEDICAL CENTER INC RICHLAND MO H80CS001322014 071670 CHC RIGGS COMMUNITY HEALTH CENTER, INC. LAFAYETTE IN H80CS005652014 057480 CHC RINEHART CLINIC WHEELER OR H80CS105932014 10E00062 CHC REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER REGIONAL HEALTH CARE AFFILIATES, INC REGIONAL HEALTH CARE CLINIC, INC. DBA KATY TRAIL COMMUNITY HEALTH REGIONAL MEDICAL CENTER AT LUBEC, INC. REPUBLIC OF PALAU BUREAU OF HEALTH SERVICES Page 39 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:47 PM EST Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams RITCHIE COUNTY PRIMARY CARE ASSOC., INC. HARRISVILLE WV H80CS008432014 037920 CHC RITTER CENTER SAN RAFAEL CA H80CS266092014 09E01068 HCH RIVER HILLS COMMUNITY HEALTH CENTER, INC. OTTUMWA IA H80CS007962014 075660 CHC RIVER VALLEY PRIMARY CARE SERVICES RATCLIFF AR H80CS042882014 0612020 CHC ROANE CO. FAMILY HLTH CARE, INC. SPENCER WV H80CS003882014 034120 CHC AHOSKIE NC H80CS087372014 0448640 CHC, MHC ROBESON HEALTH CARE CORPORATION PEMBROKE NC H80CS001072014 049000 CHC ROCHESTER PRIMARY CARE NETWORK ROCHESTER NY H80CS001672014 020560 CHC ROCKBRIDGE AREA FREE CLINIC LEXINGTON VA H80CS266362014 03E00378 CHC ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC ROCKING HORSE CENTER SPRINGFIELD OH H80CS128922014 05E00031 CHC RURAL ALLIANCE FOR BETTER FAMILY HLTH WEST PLAINS MO H80CS003012014 077470 CHC RURAL HEALTH CARE, INC. PALATKA FL H80CS000812014 040340 CHC, MHC RURAL HEALTH CARE, INC. FORT PIERRE SD H80CS004562014 080590 CHC RURAL HEALTH CORP. OF NORTHEASTERN PA WILKESBARRE PA H80CS007072014 030560 CHC, HCH RURAL HEALTH GROUP, INC. ROANOKE RAPIDS NC H80CS008662014 046680 CHC RURAL HEALTH MEDICAL PROGRAM, INC. SELMA AL H80CS007942014 042850 CHC MARATHON FL H80CS241742014 04E00517 CHC, HCH RURAL HEALTH SERVICES CONSORTIUM, INC. ROGERSVILLE TN H80CS004212014 0412790 CHC RURAL HEALTH SERVICES, INC. CLEARWATER SC H80CS006532014 045220 CHC RURAL HEALTH, INC. ANNA IL H80CS007112014 052180 CHC RURAL MEDICAL SERVICES, INC. NEWPORT TN H80CS004062014 046810 CHC, MHC NEW BRUNSWICK NJ H80CS267632014 02E01108 CHC MURFREESBORO TN H80CS241562014 04E00502 CHC, PHPC RURAL HEALTH NETWORK OF MONROE COUNTY FLORIDA, INC. RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY RUTHERFORD COUNTY PRIMARY CARE INC. S.E. ALABAMA RURAL HEALTH ASSOCIATES TROY AL H80CS003762014 048950 CHC, MHC SACOPEE VALLEY HEALTH CENTER PARSONSFIELD ME H80CS004582014 011230 CHC Page 40 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams SAINT HOPE FOUNDATION HOUSTON TX H80CS265872014 06E01098 CHC SALINA HEALTH EDUCATION FOUNDATION SALINA KS H80CS042162014 0712470 CHC SALUD INTEGRAL EN LA MONTANA, INC. NARANJITO PR H80CS005982014 020650 CHC, MHC SALUD PARA LA GENTE, INC. WATSONVILLE CA H80CS002262014 091160 CHC, MHC SAMUEL DIXON FAMILY HEALTH CENTERS, INC VALENCIA CA H80CS241512014 09E00498 CHC SAMUEL U RODGERS HEALTH CENTER, INC. KANSAS CITY MO H80CS007842014 070290 CHC SAN BENITO HEALTH FOUNDATION HOLLISTER CA H80CS082232014 091800 CHC, MHC SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT SAN BERNARDINO CA H80CS006572014 091250 CHC SAN DIEGO FAMILY CARE SAN DIEGO CA H80CS023192014 0911100 CHC SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM SAN FRANCISCO CA H80CS000492014 091070 HCH SAN FRANCISCO CA H80CS003812014 090530 CHC SAN JOSE FOOTHILLS FAMILY COMMUNITY CLINIC SAN JOSE CA H80CS066462014 0925350 CHC SAN MATEO COUNTY HEALTH SERVICES AGENCY SAN MATEO CA H80CS000512014 091140 HCH, MHC SAN FRANCISCO MEDICAL CENTER OUTPATIENT IMPROVEMENT PROGRAMS, INC. SANDHILLS MEDICAL FOUNDATION, INC. JEFFERSON SC H80CS005012014 045050 CHC SANTA BARBARA COUNTY PUBLIC HEALTH DEPT SANTA BARBARA CA H80CS000462014 090830 CHC, HCH SANTA BARBARA NEIGHBORHOOD CLINICS SANTA BARBARA CA H80CS266252014 09E01102 CHC SAN JOSE CA H80CS014422014 0911810 HCH SANTA CRUZ COUNTY SANTA CRUZ CA H80CS000482014 090880 HCH SANTA CRUZ WOMEN'S HEALTH CENTER SANTA CRUZ CA H80CS241142014 09E00478 CHC, HCH SANTA ROSA COMMUNITY HEALTH CENTERS SANTA ROSA CA H80CS002592014 098790 CHC, HCH SARASOTA COUNTY HEALTH DEPARTMENT SARASOTA FL H80CS105952014 0426190 CHC SANTA CLARA VALLEY HEALTH AND HOSPITAL SYSTEM SAWTOOTH MOUNTAIN CLINIC, INC GRAND MARAIS MN H80CS004962014 052700 CHC SCENIC BLUFFS HEALTH CENTER, INC. CASHTON WI H80CS008242014 056730 CHC SCHENECTADY FAMILY HEALTH SERVICES, INC. SCHENECTADY NY H80CS004752014 021830 CHC SAN JOSE CA H80CS008852014 0911320 CHC SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY Page 41 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams SCRANTON PRIMARY HEALTH CARE CENTER, INC SCRANTON PA H80CS000742014 032560 CHC SEAMAR COMMUNITY HEALTH CENTER SEATTLE WA H80CS004452014 101020 CHC, HCH, MHC SEATTLE INDIAN HEALTH BOARD INC SEATTLE WA H80CS005522014 102550 CHC SEATTLEKING COUNTY PUBLIC HEALTH DEPT SEATTLE WA H80CS000562014 102340 HCH SEBASTICOOK FAMILY DOCTORS NEWPORT ME H80CS024482014 015170 CHC SELDOVIA VILLAGE TRIBE SELDOVIA AK H80CS011362014 106210 CHC SERVE THE PEOPLE, INC. SANTA ANA CA H80CS266272014 09E01103 CHC NEW YORK NY H80CS003272014 021080 CHC SEWARD AK H80CS266002014 10E00170 CHC SHACKELFORD COUNTY COMMUNITY RESOURCE ALBANY TX H80CS064602014 0622370 CHC SHALOM HEALTH CARE CENTER, INC INDIANAPOLIS IN H80CS008802014 0517410 CHC SHARE OUR SELVES COSTA MESA CA H80CS241992014 09E00524 CHC, HCH SHASTA COMMUNITY HEALTH CENTER REDDING CA H80CS008322014 092240 CHC, HCH TOPEKA KS H80CS005222014 075000 CHC CARTERVILLE IL H80CS006672014 050040 CHC, MHC SHENANDOAH VALLEY MEDICAL SYSTEMS, INC. MARTINSBURG WV H80CS007812014 030900 CHC, MHC SHINGLETOWN MEDICAL CENTER SHINGLETOWN CA H80CS014402014 0911800 CHC SHORTGRASS COMMUNITY HEALTH CENTERS, INC HOLLIS OK H80CS241442014 06E00491 CHC SETTLEMENT HEALTH AND MEDICAL SERVICES, INC. SEWARD, CITY OF SHAWNEE COUNTY D/B/A SHAWNEE COUNTY HEALTH AGENCY SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORPORATION SIOUXLAND COMMUNITY HEALTH CENTER SIOUX CITY IA H80CS005352014 070890 CHC SISKIYOU COMMUNITY HEALTH CENTER, INC. GRANTS PASS OR H80CS003692014 100150 CHC SMMHC, INC. APACHE JUNCTION AZ H80CS266062014 09E01014 CHC SONOMA VALLEY COMMUNITY HEALTH CENTER SONOMA CA H80CS066492014 0925380 CHC SOUTH BAY FAMILY HEALTHCARE CENTER TORRANCE CA H80CS008772014 0910260 CHC SOUTH BOSTON COMMUNITY HEALTH CENTER BOSTON MA H80CS079282014 013600 CHC COLUMBIA SC H80CS041842014 0438110 MHC SOUTH CAROLINA PRIMARY HEALTH CARE ASSOCIATION Page 42 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams SOUTH CENTRAL FAMILY HEALTH CENTER LOS ANGELES CA H80CS002652014 090200 CHC SOUTH CENTRAL HOUSTON ACTION COUNCIL, INC. HOUSTON TX H80CS002042014 065800 CHC LINDSAY OK H80CS128832014 06E00034 CHC ROLLA MO H80CS265642014 07E01094 CHC OCILLA GA H80CS008362014 047990 CHC EAST PALO ALTO CA H80CS001452014 098150 CHC SOUTH COVE COMMUNITY HEALTH CTR, INC. BOSTON MA H80CS006002014 010710 CHC SOUTH END COMMUNITY HEALTH CENTER BOSTON MA H80CS266392014 01E00392 PHPC SOUTH PLAINS RURAL HEALTH SERVICES, INC. LEVELLAND TX H80CS007212014 061220 CHC, MHC SOUTH CENTRAL MEDICAL AND RESOURCE CENTER, INC. SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER SOUTH CENTRAL PRIMARY CARE CENTER SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. SOUTH TEXAS RURAL HEALTH SERVICES, INC. COTULLA TX H80CS003612014 062120 CHC, MHC SOUTHBRIDGE MED. ADVISORY COUNCIL, INC. WILMINGTON DE H80CS003852014 031260 CHC, HCH SOUTHCENTRAL FOUNDATION ANCHORAGE AK H80CS011282014 106180 CHC SOUTHEAST ALASKA REGIONAL HEALTH CONSORT SITKA AK H80CS005592014 101270 CHC, HCH SOUTHEAST COMMUNITY HEALTH SYSTEMS GREENSBURG LA H80CS003702014 063710 CHC, MHC SOUTHEAST LANCASTER HEALTH SERVICES LANCASTER PA H80CS006862014 033620 CHC SOUTHEAST MISSISSIPPI RHI, INC. HATTIESBURG MS H80CS006102014 045770 CHC SOUTHEAST MISSOURI HEALTH NETWORK, INC. NEW MADRID MO H80CS005572014 071370 CHC, MHC SOUTHEAST, INC. COLUMBUS OH H80CS226812014 05E00101 HCH SOUTHERN DOMINION HEALTH SYSTEMS, INC. VICTORIA VA H80CS001732014 034180 CHC SOUTHERN ILLINOIS HEALTHCARE FOUNDATION EAST SAINT LOUIS IL H80CS001952014 053320 CHC, HCH, MHC, PHPC SOUTHERN JERSEY FAMILY HAMMONTON NJ H80CS003802014 020930 CHC, MHC OLEAN NY H80CS241402014 02E00488 CHC MAD RIVER CA H80CS044312014 097210 CHC MERRILLVILLE IN H80CS265682014 05E01106 CHC, HCH, PHPC MINNEAPOLIS MN H80CS001982014 056960 CHC SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC. SOUTHERN TRINITY HEALTH SERVICES SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC. SOUTHSIDE COMMUNITY HEALTH SERVICES Page 43 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams SOUTHSIDE MEDICAL CENTER, INC. ATLANTA GA H80CS005762014 040400 CHC SOUTHSIDE UNITED HEALTH CENTER WINSTON SALEM NC H80CS241432014 04E00490 CHC SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC. DURANGO CO H80CS265102014 08E00393 CHC, HCH SOUTHWEST COMMUNITY HEALTH CENTER BRIDGEPORT CT H80CS006132014 010810 CHC, HCH SOUTHWEST GEORGIA HEALTH CARE, INC. RICHLAND GA H80CS003932014 043340 CHC OPELOUSAS LA H80CS005792014 062900 CHC, HCH ST GEORGE UT H80CS078902014 0818490 CHC SALTVILLE VA H80CS002782014 031810 CHC, MHC PHILADELPHIA PA H80CS003892014 034140 CHC SPRING BRANCH COMMUNITY HEALTH CENTER HOUSTON TX H80CS064472014 0622420 CHC SPRINGFIELD MEDICAL CARE SYSTEMS, INC SPRINGFIELD VT H80CS128732014 01E00051 CHC SQUIRREL HILL HEALTH CENTER PITTSBURGH PA H80CS066432014 0318410 CHC ST. CHARLES HEALTH COUNCIL, INC. PENNINGTON GAP VA H80CS006042014 030740 CHC ST. CROIX REGIONAL FAMILY HEALTH CENTER PRINCETON ME H80CS005262014 013470 CHC SOUTHWEST LOUISIANA PRIMARY HEALTH CARE CTR, INC. SOUTHWEST UTAH COMMUNITY HEALTH CENTER SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC. SPECTRUM HEALTH SERVICES ST. FRANCIS HOUSE NWA, INC SPRINGDALE AR H80CS042902014 0619500 CHC ST. GABRIEL HEALTH CLINIC, INC. ST GABRIEL LA H80CS005512014 064760 CHC ST. GEORGE MEDICAL CLINIC, INC. ST. GEORGE WV H80CS008452014 033690 CHC ST. JAMESSANTEE FAMILY HEALTH CENTER, INC. MC CLELLANVILLE SC H80CS008282014 048430 CHC ST. JOHNS WELL CHILD & FAMILY CENTER LOS ANGELES CA H80CS008732014 0910370 CHC, HCH, PHPC ST. JOSEPH'S MERCY CARE SERVICES ATLANTA GA H80CS000222014 042010 HCH ST. JUDE NEIGHBORHOOD HEALTH CENTERS FULLERTON CA H80CS266282014 09E01056 CHC ST. THOMAS COMMUNITY HEALTH CENTER, INC. NEW ORLEANS LA H80CS128632014 06E00020 CHC ST. THOMAS EAST END MEDICAL CENTER CORPORATION ST THOMAS VI H80CS003732014 025310 CHC ST. VINCENT DE PAUL VILLAGE, INC SAN DIEGO CA H80CS106062014 09E00064 HCH STAYWELL HEALTH CARE, INC. WATERBURY CT H80CS003502014 012410 CHC, HCH Page 44 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams STEDMANWADE HEALTH SERVICES, INC. WADE NC H80CS004902014 046910 CHC ALVIN TX H80CS112552014 06E00070 CHC STERLING AREA HEALTH CENTER STERLING MI H80CS007562014 052250 CHC STERLING HEALTH SOLUTIONS, INC MOUNT STERLING KY H80CS241682014 04E00512 CHC, MHC STIGLER HEALTH AND WELLNESS CENTER STIGLER OK H80CS042862014 0619510 CHC STOROX FAMILY HEALTH COUNCIL, INC. MCKEES ROCKS PA H80CS000722014 032230 CHC STONY CREEK COMMUNITY HEALTH CENTER STONY CREEK VA H80CS003862014 031760 CHC SU CLINICA FAMILIAR HARLINGEN TX H80CS003482014 060840 CHC, MHC SUMTER FAMILY HEALTH CENTER SUMTER SC H80CS008682014 0423590 CHC STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC. SUN LIFE FAMILY HEALTH CENTER CASA GRANDE AZ H80CS004662014 090030 CHC SUNCOAST COMMUNITY HEALTH CENTERS, INC. RUSKIN FL H80CS005412014 041750 CHC, MHC SUNRISE COMMUNITY HEALTH EVANS CO H80CS008042014 080140 CHC, MHC SUNSET COMMUNITY HEALTH CENTER SOMERTON AZ H80CS043212014 090130 CHC, MHC SUNSET PARK HEALTH COUNCIL, INC BROOKLYN NY H80CS079142014 0218870 CHC, HCH, PHPC SUNSHINE COMMUNITY HEALTH CENTER, INC. TALKEETNA AK H80CS005682014 102120 CHC WILLIAMSPORT PA H80CS241592014 03E00505 CHC SUSQUEHANNA COMMUNITY HEALTH & DENTAL CLINIC, INC. SWEET MEDICAL CENTER, INC. CHINOOK MT H80CS008692014 081100 CHC SWEETWATER COUNTY CHC ROCK SPRINGS WY H80CS266452014 08E01072 CHC SWLA CENTER FOR HEALTH SERVICES LAKE CHARLES LA H80CS005582014 063380 CHC, PHPC SWOPE HEALTH SERVICES KANSAS CITY MO H80CS005992014 070270 CHC, HCH SYRACUSE COMMUNITY HEALTH CENTER, INC. SYRACUSE NY H80CS004342014 020160 CHC T.H.E. CLINIC, INC. LOS ANGELES CA H80CS007552014 092440 CHC TALBERT HOUSE HEALTH CENTER FRANKLIN OH H80CS265772014 05E01059 CHC TAMPA FAMILY HEALTH CENTERS, INC. TAMPA FL H80CS004072014 0412810 CHC, HCH TANANA CHIEFS CONFERENCE FAIRBANKS AK H80CS082202014 101250 CHC Page 45 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams TCA HEALTH INC. CHICAGO IL H80CS001092014 051030 CHC, PHPC TECHE ACTION BOARD INC. FRANKLIN LA H80CS007672014 060180 CHC TEJAS HEALTH CARE LA GRANGE TX H80CS241552014 06E00501 CHC TENDERCARE CLINIC, INC. GREENSBORO GA H80CS007642014 0421720 CHC TENNESSEE STATE DEPARTMENT OF HEALTH COOKEVILLE TN H80CS003512014 041780 CHC TENNESSEE STATE DEPATMENT OF HEALTH NASHVILLE TN H80CS004292014 049040 CHC TENSAS COMMUNITY HEALTH CENTER, INC. SAINT JOSEPH LA H80CS064502014 0622350 CHC TERRY REILLY HEALTH SERVICES NAMPA ID H80CS006362014 100160 CHC, HCH, MHC LUBBOCK TX H80CS128532014 06E00041 CHC HILO HI H80CS008372014 091880 CHC CHICAGO IL H80CS003242014 057580 CHC, PHPC MELBOURNE FL H80CS042132014 0438230 CHC, HCH, PHPC CHARLOTTE NC H80CS004282014 047770 CHC THE CHAUTAUQUA CENTER DUNKIRK NY H80CS241662014 02E00511 CHC TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER THE BAY CLINIC, INC. THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS THE BREVARD HEALTH ALLIANCE, INC. THE C.W. WILLIAMS COMMUNITY HEALTH CENTER, INC. THE EFFORT SACRAMENTO CA H80CS128722014 09E00003 CHC, HCH THE FAMILY HEALTH CENTERS OF GEORGIA, INC. ATLANTA GA H80CS004852014 040410 CHC, PHPC THE FLOATING HOSPITAL LONG ISLAND CITY NY H80CS002682014 025500 CHC, HCH, PHPC THE FREE MEDICAL CLINIC OF GREATER CLEVELAND CLEVELAND OH H80CS241112014 05E00475 CHC CORNWALL NY H80CS004692014 020620 CHC, HCH INDIANAPOLIS IN H80CS254362014 052360 CHC, PHPC CINCINNATI OH H80CS002002014 059880 CHC THE HUNTER HEALTH CLINIC INCORPORATED WICHITA KS H80CS006222014 070150 CHC, HCH THE INSTITUTE FOR FAMILY HEALTH NEW YORK NY H80CS007682014 023710 CHC THE LAKES COMMUNITY HEALTH CENTER, INC. IRON RIVER WI H80CS087842014 0537600 CHC THE LOS ANGELES FREE CLINIC LOS ANGELES CA H80CS241152014 09E00427 CHC THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER, INC. THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY THE HEALTHCARE CONNECTION, INC. Page 46 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams PROVIDENCE RI H80CS000572014 010580 CHC, HCH THE SAYRE HEALTH CENTER PHILADELPHIA PA H80CS066452014 0318400 CHC THE WALLACE MEDICAL CONCERN PORTLAND OR H80CS241452014 10E00492 CHC, PHPC THE WELLNESS PLAN MEDICAL CENTERS DETROIT MI H80CS241342014 05E00483 CHC THIRD STREET COMMUNITY CLINIC MANSFIELD OH H80CS005812014 057110 CHC SALISBURY MD H80CS007742014 033010 CHC, MHC THUNDER BAY COMMUNITY HEALTH SERVICE, INC. HILLMAN MI H80CS004022014 053160 CHC THUNDERMIST HEALTH CENTER WOONSOCKET RI H80CS004542014 011820 CHC, HCH TIBURCIO VASQUEZ HEALTH CENTER, INC. UNION CITY CA H80CS002232014 093190 CHC TILLAMOOK COUNTY HEALTH DEPARTMENT TILLAMOOK OR H80CS005552014 102360 CHC TOIYABE INDIAN HEALTH PROJECT, INC. BISHOP CA H80CS266292014 09E01104 CHC THE PROVIDENCE COMMUNITY HLTH CENTERS, INC. THREE LOWER COUNTIES COMMUNITY SERVICES, INC. TOTAL HEALTH CARE, INC. BALTIMORE MD H80CS000682014 030150 CHC TRAVERSE HEALTH CLINIC AND COALITION TRAVERSE CITY MI H80CS265732014 05E00433 CHC TRAVIS COUNTY HEALTHCARE DISTRICT AUSTIN TX H80CS112982014 0630790 CHC, HCH TREASURE COAST COMMUNITY HEALTH, INC. FELLSMERE FL H80CS001872014 0413190 CHC, MHC TRENTON FL H80CS006912014 042710 CHC TRI COUNTY COMMUNITY HEALTH COUNCIL, INC NEWTON GROVE NC H80CS006552014 040900 CHC, MHC TRIAREA COMMUNITY HEALTH LAUREL FORK VA H80CS004462014 033230 CHC TRICITIES COMMUNITY HEALTH PASCO WA H80CS004982014 101520 CHC, MHC TRICITY HEALTH CENTER FREMONT CA H80CS023262014 091220 CHC TRISTATE COMMUNITY HEALTH CENTER HANCOCK MD H80CS000692014 031600 CHC TRITOWN ECONOMIC OPPORTUNITY COMMITTEE JOHNSTON RI H80CS128792014 01E00040 CHC TRIAD ADULT AND PEDIATRIC MEDICINE, INC. GREENSBORO NC H80CS265142014 04E00754 HCH, PHPC TRIAD HEALTH SYSTEMS, INC. WARSAW KY H80CS087852014 0452880 CHC GRAND RAPIDS MI H80CS000312014 051840 HCH TRENTON MEDICAL CENTER, INC. DBA PALMS MEDICAL GROUP TRINITY HEALTH, MICHIGAN D/B/A MERCY HEALTH SAINT MARY'S Page 47 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams TUBA CITY AZ H80CS242002014 09E00436 CHC TUG RIVER HEALTH ASSOCIATION, INC. GARY WV H80CS007012014 031000 CHC TULARE COMMUNITY HEALTH CLINIC TULARE CA H80CS003382014 095340 CHC, MHC TYLER FAMILY CIRCLE OF CARE TYLER TX H80CS261902014 06E01037 CHC UMPQUA COMMUNITY HEALTH CENTER ROSEBURG OR H80CS005672014 103100 CHC UNCOMPAHGRE COMBINED CLINICS NORWOOD CO H80CS006232014 081740 CHC UNION COUNTY HEALTH FOUNDATION ELK POINT SD H80CS005342014 080890 CHC CANTON NY H80CS087462014 0219440 CHC UNITED COMMUNITY HEALTH CENTER STORM LAKE IA H80CS066692014 0714880 CHC UNITED COMMUNITY HEALTH CENTER, INC. GREEN VALLEY AZ H80CS004162014 093590 CHC UNITED FAMILY PRACTICE HEALTH CENTER, INC. SAINT PAUL MN H80CS241362014 05E00485 CHC PARLIER CA H80CS001372014 090560 CHC, MHC UNITED MEDICAL CENTERS EAGLE PASS TX H80CS006432014 060740 CHC, MHC UNITED METHODIST WESTERN KANSAS GARDEN CITY KS H80CS008382014 074630 CHC TUBA CITY REGIONAL HEALTH CARE CORPORATION UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY, INC. UNITED HLTH CNTRS OF SAN JOAQUIN VALLEY, INC. UNITED NEIGHBORHOOD HEALTH SERVICES NASHVILLE TN H80CS003942014 044110 CHC, HCH, PHPC UNITY HEALTH CARE, INC. WASHINGTON DC H80CS000702014 037020 CHC, HCH UNITY HOSPITAL OF ROCHESTER ROCHESTER NY H80CS112742014 023890 HCH UNIVERSITY COMMUNITY HEALTH SERVICES, INC. NASHVILLE TN H80CS087672014 0450710 CHC UNIVERSITY MUSLIM MEDICAL ASSOCIATION, INC. LOS ANGELES CA H80CS106092014 09E00067 CHC UNIVERSITY OF CALIFORNIA, IRVINE IRVINE CA H80CS004612014 093080 CHC UNIVERSITY OF COLORADO DENVER AURORA CO H80CS240992014 08E00441 CHC UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION LEXINGTON KY H80CS066502014 0445250 CHC UNIVERSITY OF MINNESOTA MINNEAPOLIS MN H80CS002412014 0513810 CHC UNIVERSITY OF PITTSBURGH PITTSBURGH PA H80CS002912014 039290 PHPC UPPER GREAT LAKES FAMILY HEALTH CENTER GWINN MI H80CS265112014 05E00445 CHC Page 48 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams NEW YORK NY H80CS172512014 02E00093 HCH SAINT ANTHONY ID H80CS087562014 1017440 CHC URBAN COMMUNITY ACTION PROJECTS RIVERSIDE CA H80CS242012014 09E00525 HCH URBAN HEALTH PLAN, INC. BRONX NY H80CS003682014 023600 CHC UTAH NAVAJO HEALTH SYSTEM, INC. MONTEZUMA CREEK UT H80CS008202014 084980 CHC UTAH PARTNERS FOR HEALTH MAGNA UT H80CS266442014 08E01071 CHC UPPER ROOM AIDS MINISTRY, INC. HEALTH CARE CENTER UPPER VALLEY COMMUNITY HEALTH SERVICES, INC. VALLEY COMMUNITY CLINIC NORTH HOLLYWOOD CA H80CS042222014 095320 CHC VALLEY COMMUNITY HEALTH CENTERS NORTHWOOD ND H80CS018082014 0811510 CHC VALLEY FAMILY HEALTH CARE, INC. PAYETTE, ID H80CS005562014 101630 CHC, MHC VALLEY HEALTH CARE, INC. MILL CREEK WV H80CS005832014 037460 CHC VALLEY HEALTH SYSTEMS, INC. HUNTINGTON WV H80CS006142014 030880 CHC, HCH VALLEY HEALTH TEAM, INC. SAN JOAQUIN CA H80CS005252014 091100 CHC, MHC VALLEY HEALTHCARE SYSTEM, INC. COLUMBUS GA H80CS006782014 048130 CHC CLINTON IN H80CS087762014 0537580 CHC VALLEYWIDE HEALTH SYSTEMS, INC. ALAMOSA CO H80CS001342014 080030 CHC, MHC VARIETY CARE, INC. OKLAHOMA CITY OK H80CS005432014 063620 CHC, MHC VENICE FAMILY CLINIC VENICE CA H80CS042172014 094890 CHC, HCH, PHPC VENTURA COUNTY HEALTH SERVICES AGENCY OXNARD CA H80CS002472014 098480 HCH VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC. VERNON J. HARRIS EAST END CHC RICHMOND VA H80CS001742014 037150 CHC VIDA Y SALUD HEALTH SYSTEMS, INC. CRYSTAL CITY TX H80CS003752014 060670 CHC, MHC VIRGINIA GARCIA MEMORIAL HEALTH CENTER CORNELIUS OR H80CS008172014 101230 CHC, MHC ASBURY PARK NJ H80CS008742014 027670 CHC VISTA COMMUNITY CLINIC VISTA CA H80CS002822014 091670 CHC, MHC VNA HEALTH CARE AURORA IL H80CS039832014 0526100 CHC, HCH WA'AB CHC/YAP STATE DEPT OF HEALTH SERVICES YAP FM H80CS066532014 0925390 CHC VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALTH CENTER, INC. Page 49 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams WABASH VALLEY HEALTH CENTER, INC. TERRE HAUTE IN H80CS265692014 05E01067 CHC WAIANAE HI H80CS008072014 090990 CHC WAIKIKI HEALTH HONOLULU HI H80CS000532014 092060 CHC, HCH WAIMANALO HEALTH CENTER WAIMANALO HI H80CS006462014 092290 CHC WAKE HEALTH SERVICES, INC. RALEIGH NC H80CS000872014 041000 CHC, HCH HAGERSTOWN MD H80CS008572014 039840 CHC WAIANAE DISTRICT COMP HLTH & HOSPITAL BOARD, INC. WALNUT STREET COMMUNITY HEALTH CENTER, INC. WASATCH HOMELESS HLTH CARE/4TH ST. CLINIC SALT LAKE CITY UT H80CS000432014 085060 HCH WATERFALL CLINIC, INC NORTH BEND OR H80CS087712014 1010860 CHC WATTS HEALTHCARE CORPORATION LOS ANGELES CA H80CS008502014 099480 CHC WAYNE COMMUNITY HEALTH CENTERS, INC. BICKNELL UT H80CS005192014 082240 CHC WAYNE MEMORIAL COMMUNITY HEALTH CENTERS HONESDALE PA H80CS087602014 0322290 CHC WAYNE, COUNTY OF DETROIT MI H80CS241352014 05E00484 CHC WELSH MOUNTAIN MEDICAL & DENTAL CENTER NEW HOLLAND PA H80CS004952014 030340 CHC WESLEY COMMUNITY CENTER INC PHOENIX AZ H80CS128482014 09E00001 CHC WEST CALDWELL HEALTH COUNCIL, INC COLLETTSVILLE NC H80CS128702014 04E00024 CHC WEST CECIL HEALTH CENTER, INC. CONOWINGO MD H80CS087662014 0322280 CHC WEST COUNTY HEALTH CENTERS, INC. GUERNEVILLE CA H80CS002422014 090350 CHC WEST HAWAII COMMUNITY HEALTH CENTER, INC KAILUA KONA HI H80CS066402014 0924640 CHC WEST OAKLAND HEALTH COUNCIL, INC. OAKLAND CA H80CS003472014 090540 CHC WEST SIDE COMMUNITY HEALTH SERVICES SAINT PAUL MN H80CS007902014 053020 CHC, HCH, PHPC WESTERN MARYLAND HEALTH CARE CORPORATION OAKLAND MD H80CS066422014 0318380 CHC WESTERN NC COMMUNITY HEALTH SERVICES INC ASHEVILLE NC H80CS087862014 0413510 CHC WESTERN SIERRA MEDICAL CLINIC DOWNIEVILLE CA H80CS082342014 0921760 CHC WESTERN WAYNE FAMILY HEALTH CENTERS INKSTER MI H80CS066632014 0530900 CHC WESTSIDE FAMILY HEALTH CENTER SANTA MONICA CA H80CS087302014 0930080 CHC Page 50 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams WESTSIDE FAMILY HEALTHCARE, INC. WILMINGTON DE H80CS007892014 032960 CHC, MHC WHATLEY HEALTH SERVICES, INC TUSCALOOSA AL H80CS000942014 042450 CHC, HCH WHITE BIRD CLINIC EUGENE OR H80CS000552014 100700 HCH WHITESIDE COUNTY HEALTH DEPARTMENT AND WHITESIDE COUNTY COMMUNITY HEALTH CLINIC, ROCK FALLS IL H80CS066602014 059840 CHC WHITMANWALKER CLINIC, INC. WASHINGTON DC H80CS266322014 03E01064 CHC WHITNEY M. YOUNG, JR. COMMUNITY HEALTH CENTER COMMUNITY BOARD, INC. ALBANY NY H80CS004332014 020110 CHC WHITTIER STREET HEALTH COMMITTEE, INC. ROXBURY MA H80CS005362014 012070 CHC, PHPC WILL COUNTY HEALTH DEPARTMENT/WILL COUNTY CHC JOLIET IL H80CS004762014 057880 CHC WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. NEW YORK NY H80CS000612014 020490 CHC, HCH WILLIAMSON HEALTH AND WELLNESS CENTER WILLIAMSON WV H80CS266372014 03E01054 CHC, PHPC WILMINGTON COMMUNITY CLINIC WILMINGTON CA H80CS242022014 09E00526 CHC WINDROSE HEALTH NETWORK, INC. TRAFALGAR IN H80CS024562014 0518290 CHC WINN COMMUNITY HEALTH CENTER, INC WINNFIELD LA H80CS128572014 06E00021 CHC WINTERS HEALTHCARE FOUNDATION WINTERS CA H80CS044302014 0922930 CHC, MHC WINTON HILLS MEDICAL & HEALTH CENTER, INC. CINCINNATI OH H80CS008532014 0516210 CHC WIRT COUNTY HEALTH SERVICES ASSOCIATION, INC. ELIZABETH WV H80CS002562014 038800 CHC INC. WOMENCARE, INC. SCOTT DEPOT WV H80CS008272014 038440 CHC WOOD RIVER HEALTH SERVICES INC. HOPE VALLEY RI H80CS000592014 012230 CHC WOOD, COUNTY OF BOWLING GREEN OH H80CS265782014 05E01081 CHC WYOMING HEALTH COUNCIL CHEYENNE WY H80CS007692014 080790 MHC YAKIMA NEIGHBORHOOD HEALTH SERVICES YAKIMA WA H80CS060782014 101340 CHC, HCH, MHC YAKIMA VALLEY FARMWORKERS CLINIC TOPPENISH WA H80CS006392014 101030 CHC, MHC YAKUTAT TLINGIT TRIBE YAKUTAT AK H80CS042082014 1011870 CHC YAVAPAI COUNTY COMMUNITY HEALTH SERVICES PRESCOTT AZ H80CS008422014 099420 CHC BILLINGS MT H80CS004182014 082500 CHC, HCH YELLOWSTONE CITY & COUNTY HEALTH DEPARTMENT D/B/A RIVERSTONE HEALTH Page 51 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 List of Health Centers 2014 National Universal 1278 Health Centers Health Center Name City State Tracking Number BHCMIS ID Funding Streams YORK COUNTY COMMUNITY ACTION CORPORATION SANFORD ME H80CS041912014 019970 CHC, HCH, PHPC YUKON KUSKOKWIM HEALTH CORPORATION BETHEL AK H80CS004472014 101050 CHC ZUFALL HEALTH CENTER, INC. DOVER NJ H80CS042112014 0213350 CHC, HCH, MHC, PHPC Page 52 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 3A Patients by Age and Gender 2014 National Universal 1278 Health Centers S.No. Age Groups Male Patients Female Patients (a) (b) All Patients 1. Under Age 1 315,060 301,176 616,236 2. Age 1 211,300 203,346 414,646 3. Age 2 199,617 192,941 392,558 4. Age 3 209,745 202,423 412,168 5. Age 4 227,529 219,821 447,350 6. Age 5 230,395 222,344 452,739 7. Age 6 216,782 208,878 425,660 8. Age 7 208,465 199,924 408,389 9. Age 8 197,182 189,894 387,076 10. Age 9 185,809 178,522 364,331 11. Age 10 179,604 173,219 352,823 12. Age 11 184,581 179,457 364,038 13. Age 12 182,085 179,075 361,160 14. Age 13 174,891 173,654 348,545 15. Age 14 173,235 180,515 353,750 16. Age 15 165,374 184,441 349,815 17. Age 16 160,185 193,355 353,540 18. Age 17 150,282 199,256 349,538 3,572,121 3,582,241 7,154,362 Subtotal Patients (Sum lines 118) 19. Age 18 124,230 198,069 322,299 20. Age 19 99,212 191,884 291,096 21. Age 20 94,722 199,585 294,307 22. Age 21 94,828 206,502 301,330 23. Age 22 97,637 218,176 315,813 24. Age 23 100,863 227,987 328,850 25. Age 24 104,492 231,935 336,427 26. Ages 25 29 533,638 1,123,994 1,657,632 27. Ages 30 34 559,702 1,065,301 1,625,003 28. Ages 35 39 534,650 925,461 1,460,111 29. Ages 40 44 556,685 876,663 1,433,348 30. Ages 45 49 606,391 857,713 1,464,104 31. Ages 50 54 675,344 898,140 1,573,484 32. Ages 55 59 617,352 812,853 1,430,205 33. Ages 60 64 479,786 659,246 1,139,032 5,279,532 8,693,509 13,973,041 Subtotal Patients (Sum lines 1933) 34. Ages 65 69 286,833 411,386 698,219 35. Ages 70 74 179,544 252,739 432,283 36. Ages 75 79 113,112 168,617 281,729 37. Ages 80 84 66,245 109,632 175,877 38. Ages 85 and over 51,167 106,565 157,732 Subtotal Patients (Sum lines 3438) 39. Total Patients (Sum lines 138) % of Total Page 53 696,901 1,048,939 1,745,840 9,548,554 13,324,689 22,873,243 41.75% 58.25% NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:47 PM EST Date of Last Report Refreshed: 05/14/2015 Table 3B Patients by Hispanic or Latino Ethnicity / Race / Language 2014 National Universal 1278 Health Centers Patients by Hispanic or Latino Ethnicity S.No. Patients by Race 1. Asian 2a. Native Hawaiian 2b. Hispanic/Latino (a) Non Hispanic/Latino (b) Number (a) Number (b) Unreported/Refused to Report Ethnicity (c) % of Total Number (c) Total (d) Sum Columns(A+B+C) % of Total Number (d) Patients1 % of Known Race2 Patients1 19,034 726,305 745,339 3.26% 3.79% 8,523 43,017 51,540 0.23% 0.26% Other Pacific Islander 33,529 146,014 179,543 0.78% 0.91% 2. Total Hawaiian/Pacific Islander (Sum lines 2a+2b) 42,052 189,031 231,083 1.01% 1.18% 3. Black/African American 163,723 4,428,616 4,592,339 20.08% 23.37% 4. American Indian/Alaska Native 39,956 221,612 261,568 1.14% 1.33% 5. White 4,868,558 8,225,869 13,094,427 57.25% 66.63% 6. More than one race 513,513 212,793 726,306 6a. Total Known (Sum lines 1+2+3+4+5+6) 5,646,836 14,004,226 19,651,062 7. Unreported/Refused to report Race 2,111,618 452,480 8. Total Patients (Sum lines 1+2+3 through 7) 7,758,454 14,456,706 Total Known Ethnicity (Sum line 8, columns A + B) 9. 22,215,160 % of Non Hispanic/Latino of Total Known of Total Known Ethnicity3 (a) Ethnicity3 (b) 34.92% 658,083 3,222,181 14.09% 22,873,243 100.00% 65.08% Number (a) S.No. Patients by Language 12. 2.88% 3.70% % of Hispanic/Latino Total Patients 658,083 3.18% Patients best served in a language other than English % of Total 5,295,742 1 Total Patients is reported on line 8, column D. 2 Known Race is reported on line 6a, column D. 3 Known Ethnicity is shown on the line titled ‘Total Known Ethnicity'. % may not equal 100% due to rounding. Page 54 23.15% NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:47 PM EST Date of Last Report Refreshed: 05/14/2015 Table 4 Selected Patient Characteristics 2014 National Universal 1278 Health Centers Number of Patients S.No. Characteristic (a) % of Total % of Known Income as Percent of Poverty Level 1. 100% and Below 12,029,627 52.59% 71.18% 2. 101 150% 2,501,594 10.94% 14.80% 3. 151 200% 1,080,880 4.73% 6.40% 4. Over 200% 1,288,454 5.63% 7.62% 5. Unknown 5,972,688 26.11% 6. Total (Sum lines 15) 22,873,243 100.00% Ages 0 17 (a) Principal Third Party Medical Insurance Source Ages 18+ (b) Total % 7. None/Uninsured 1,017,869 5,355,260 6,373,129 27.86% 8a. Regular Medicaid (Title XIX) 5,105,356 5,423,214 10,528,570 46.03% 8b. CHIP Medicaid 121,422 22,160 143,582 0.63% 8. Total Medicaid (Sum lines 8a+8b) 5,226,778 5,445,374 10,672,152 46.66% 9. Medicare (Title XVIII) 6,716 1,958,112 1,964,828 8.59% 19,787 135,886 155,673 0.68% 10a. Other Public Insurance NonCHIP 10b. Other Public Insurance CHIP 105,258 31,970 137,228 0.60% 10. Total Public Insurance (Sum lines 10a+10b) 125,045 167,856 292,901 1.28% 11. Private Insurance 777,954 2,792,279 3,570,233 15.61% 12. Total (Sum Lines 7+8+9+10+11) 7,154,362 15,718,881 22,873,243 100.00% Managed Care Utilization Medicaid (a) Medicare (b) Other Public Including NonMedicaid CHIP (c) Private (d) Total (e) S.No. Payor Category 13a. Capitated Member months 36,956,502 672,298 549,611 1,668,710 39,847,121 13b. Feeforservice Member months 32,489,210 1,520,938 869,852 2,226,535 37,106,535 13c. Total Member Months (Sum lines 13a+13b) 69,445,712 2,193,236 1,419,463 3,895,245 76,953,656 S.No. Characteristics Special Populations Number of Patients (a) % 14. Migratory (330g Health Centers only) 299,705 33.61% 15. Seasonal (330g Health Centers only) 509,928 57.18% 82,163 9.21% Migratory/Seasonal (non330g Health Centers) 16. Total Agricultural Workers or Dependents (All Health Centers Report This Line) 891,796 100.00% 17. Homeless Shelter (330h Health Centers only) 262,341 22.79% 18. Transitional (330h Health Centers only) 105,727 9.19% 19. Doubling Up (330h Health Centers only) 226,869 19.71% 20. Street (330h Health Centers only) 70,801 6.15% 21. Other (330h Health Centers only) 99,260 8.62% 22. Unknown (330h Health Centers only) 67,794 5.89% Homeless (non330h Health Centers) 318,254 27.65% 1,151,046 100.00% 23. Total Homeless (All Health Centers Report This Line) 24. Total School Based Health Center Patients (All Health Centers Report This Line) 569,107 25. Total Veterans (All Health Centers Report This Line) 289,391 26. Total Public Housing Patients (All Health Centers Report This Line) 429,251 % may not equal 100% due to rounding. Page 55 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:47 PM EST Date of Last Report Refreshed: 05/14/2015 Table 5 Staffing and Utilization 2014 National Universal 1278 Health Centers S.No Personnel by Major Service Category 1. Family Physicians 2. General Practitioners 3. 4. FTEs Clinic Visits Patients (a) (b) (c) 5,172.05 16,748,307 407.42 1,396,216 Internists 1,777.10 5,435,938 Obstetrician/Gynecologists 1,120.54 3,325,916 5. Pediatricians 2,380.37 8,215,343 7. Other Specialty Physicians 345.31 1,192,012 8. Total Physicians (Sum lines 17) 11,202.79 36,313,732 9a. Nurse Practitioners 5,879.12 15,514,610 9b. Physician Assistants 2,594.06 7,618,433 10. Certified Nurse Midwives 618.62 1,444,747 10a. Total NPs, PAs, CNMs (Sum lines 9a10) 9,091.80 24,577,790 11. Nurses 14,329.98 2,942,087 12. Other Medical Personnel 23,363.50 13. Laboratory Personnel 2,094.72 14. XRay Personnel 810.62 15. Total Medical Services (Sum lines 8+10a through 14) 16. 17. 60,893.41 63,833,609 Dentists 3,730.33 9,838,509 Dental Hygienists 1,692.62 2,094,495 18. Dental Assistants, Aides, Techs 7,454.45 19. Total Dental Services (Sum lines 1618) 20a. Psychiatrists 19,495,235 12,877.40 11,933,004 4,776,465 520.48 1,337,971 20a1. Licensed Clinical Psychologists 583.79 618,245 20a2. Licensed Clinical Social Workers 2,022.15 1,905,979 20b. Other Licensed Mental Health Providers 1,496.40 1,490,031 20c. Other Mental Health Staff 1,749.08 861,953 20. Total Mental Health Services (Sum lines 20a20c) 6,371.90 6,214,179 1,251,498 21. Substance Abuse Services 22. Other Professional Services 22a. Ophthalmologists 22b. 897.79 977,074 100,238 1,163.48 1,461,700 530,537 39.34 114,303 Optometrists 185.41 482,947 22c. Other Vision Care Staff 201.90 22d. Total Vision Services (Sum lines 22a22c) 23. Pharmacy Personnel 3,674.44 24. Case Managers 5,702.80 3,696,422 25. Patient/Community Education Specialists 2,381.69 1,666,203 26. Outreach Workers 2,655.36 27. Transportation Staff 539.05 27a. Eligibility Assistance Workers 4,586.96 27b. Interpretation Staff 929.19 28. Other Enabling Services 454.80 29. Total Enabling Services (Sum lines 2428) 29a. Other Programs/Services 426.65 597,250 17,249.85 5,015.32 Clinic visits are shown only for personnel that generate reportable visits. Subtotals may differ from the sum of cells due to rounding. Page 56 433,086 5,362,625 2,205,003 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 5 Staffing and Utilization 2014 National Universal 1278 Health Centers S.No Personnel by Major Service Category FTEs Clinic Visits Patients (a) (b) (c) 30a. Management and Support Staff 16,430.50 30b. Fiscal and Billing Staff 10,206.13 30c. IT Staff 2,643.04 31. Facility Staff 4,072.95 32. Patient Support Staff 28,408.41 33. Total Facility and NonClinical Support Staff (Lines 30a 32) 61,761.03 34. Grand Total (Sum lines 15+19+20+21+22+22d+23+29+29a+33) 170,331.27 Clinic visits are shown only for personnel that generate reportable visits. Subtotals may differ from the sum of cells due to rounding. Page 57 90,379,441 NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 5 Staffing and Utilization 2014 National Universal 1278 Health Centers FTEs S.No Clinic Visits Personnel by Major Service Category % Group % Total % Group % Total 1. Family Physicians 8.49% 3.04% 26.24% 18.53% 2. General Practitioners 0.67% 0.24% 2.19% 1.54% 3. Internists 2.92% 1.04% 8.52% 6.01% 4. Obstetrician/Gynecologists 1.84% 0.66% 5.21% 3.68% 5. Pediatricians 3.91% 1.40% 12.87% 9.09% 7. Other Specialty Physicians 0.57% 0.20% 1.87% 1.32% 8. Total Physicians (Sum lines 17) 18.40% 6.58% 56.89% 40.18% 9a. Nurse Practitioners 9.65% 3.45% 24.30% 17.17% 9b. Physician Assistants 4.26% 1.52% 11.93% 8.43% 10. Certified Nurse Midwives 1.02% 0.36% 2.26% 1.60% 10a. Total NPs, PAs, CNMs (Sum lines 9a10) 14.93% 5.34% 38.50% 27.19% 11. Nurses 23.53% 8.41% 4.61% 3.26% 12. Other Medical Personnel 38.37% 13.72% 13. Laboratory Personnel 3.44% 1.23% 14. XRay Personnel 1.33% 0.48% 15. Total Medical (Sum lines 8+10a through 14) 100.00% 35.75% 100.00% 70.63% 16. Dentists 28.97% 2.19% 82.45% 10.89% 17. Dental Hygienists 13.14% 0.99% 17.55% 2.32% 18. Dental Assistants, Aides, Techs 57.89% 4.38% 19. Total Dental Services (Sum lines 1618) 100.00% 7.56% 100.00% 13.20% 20a. Psychiatrists 8.17% 0.31% 21.53% 1.48% 20a1. Licensed Clinical Psychologists 9.16% 0.34% 9.95% 0.68% 20a2. Licensed Clinical Social Workers 31.74% 1.19% 30.67% 2.11% 20b. Other Licensed Mental Health Providers 23.48% 0.88% 23.98% 1.65% 20c. Other Mental Health Staff 27.45% 1.03% 13.87% 0.95% 20. Total Mental Health Services (Sum lines 20a20c) 100.00% 3.74% 100.00% 6.88% 21. Substance Abuse Services 100.00% 0.53% 100.00% 1.08% 22. Other Professional Services 100.00% 0.68% 100.00% 1.62% 22a. Ophthalmologists 9.22% 0.02% 19.14% 0.13% 22b. Optometrists 43.46% 0.11% 80.86% 0.53% 22c. Other Vision Care Staff 47.32% 0.12% 22d. Total Vision Services (Sum lines 22a22c) 100.00% 0.25% 23. Pharmacy Personnel 100.00% 2.16% 24. Case Managers 33.06% 3.35% 25. Patient/Community Education Specialists 13.81% 1.40% 26. Outreach Workers 15.39% 1.56% 27. Transportation Staff 3.12% 0.32% 27a. Eligibility Assistance Workers 26.59% 2.69% 27b. Interpretation Staff 5.39% 0.55% 28. Other Enabling Services 2.64% 0.27% 29. Total Enabling Services (Sum lines 2428) 100.00% 10.13% 29a. Other Programs/Services 100.00% 2.94% Clinic visits are shown only for personnel that generate reportable visits. Subtotals may differ from the sum of cells due to rounding. % may not equal 100% due to rounding. Page 58 100.00% 0.66% 68.93% 4.09% 31.07% 1.84% 100.00% 5.93% NATIONAL Date Requested: 05/29/2015 02:47 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 5 Staffing and Utilization 2014 National Universal 1278 Health Centers FTEs Clinic Visits S.No Personnel by Major Service Category % Group % Total % Group % Total 30a. Management and Support Staff 9.65% 30b. Fiscal and Billing Staff 5.99% 30c. IT Staff 1.55% 31. Facility Staff 2.39% 32. Patient Support Staff 16.68% 33. Total Facility and NonClinical Support Staff (Lines 30a 32) 36.26% 34. Grand Total (Sum lines 15+19+20+21+22+22d+23+29+29a+33) 100.00% 100.00% Clinic Visits are shown only for personnel that generate reportable visits. Subtotals may differ from the sum of cells due to rounding. % may not equal 100% due to rounding. Page 59 100.00% NATIONAL Date Requested: 05/29/2015 02:48 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 5A Tenure for Health Center Staff 2014 National Universal 1278 Health Centers Full and Part Time S.No Key Staff 1. Family Physicians 2. General Practitioners 3. 4. Persons (a) Locum, OnCall, etc Total Months (b) Persons (c) Total Months (d) 7,016 476,703 1,468 33,748 607 42,732 75 692 Internists 2,461 195,751 775 20,643 Obstetrician/Gynecologists 1,700 111,288 547 20,625 5. Pediatricians 3,060 248,478 640 23,653 7. Other Specialty Physicians 1,058 110,916 511 23,650 9a. Nurse Practitioners 7,964 406,297 468 14,262 9b. Physician Assistants 3,284 201,053 190 7,209 10. Certified Nurse Midwives 856 58,905 115 5,395 11. Nurses 17,833 1,075,509 667 31,548 16. Dentists 5,186 270,613 469 15,703 17. Dental Hygienists 2,340 141,198 111 2,521 20a. Psychiatrists 991 58,112 182 5,650 20a1. Licensed Clinical Psychologists 842 53,461 27 540 20a2. Licensed Clinical Social Workers 2,749 147,319 100 2,257 20b. Other Licensed Mental Health Providers 2,634 133,517 77 1,812 22a. Ophthalmologists 121 14,480 56 3,972 22b. Optometrists 307 23,935 88 5,220 30a1. Chief Executive Officer 1,290 159,522 2 74 30a2. Chief Medical Officer 1,221 90,547 9 267 30a3. Chief Financial Officer 1,199 87,670 20 841 30a4. Chief Information Officer 531 41,998 12 617 OMB Control Number: 01950193 Page 60 NATIONAL Date Requested: 05/29/2015 02:48 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 6A Selected Diagnoses and Services Rendered 2014 National Universal 1278 Health Centers S.No Diagnostic Category Applicable ICD 9 CM Codes Number of Number of Visits by Patients with Diagnosis Diagnosis Visits per Regardless of Primacy Regardless of Primacy Patient (a) (b) Selected Infectious and Parasitic Diseases 12. Symptomatic and Asymptomatic HIV 042, 079.53, V08 Firsttime diagnosis of HIV1 3. Tuberculosis 010.xx 018.xx 17,669 9,169 1.93 4. Syphilis and other sexually transmitted infections 090.xx 099.xx 151,291 96,642 1.57 4a. Hepatitis B 070.20,070.22, 070.30, 070.32 58,806 28,337 2.08 4b. Hepatitis C 070.41, 070.44, 070.51, 070.54, 070.70, 070.71 378,474 167,816 2.26 2,134,267 1,137,617 1.88 1 2a. 582,834 134,540 4.33 Selected Diseases of the Respiratory System 5. Asthma 493.xx 6. Chronic Bronchitis and Emphysema 490.xx 492.xx 496,980 335,692 1.48 174.xx; 198.81; 233.0x; 238.3; 793.8x 172,511 109,655 1.57 235,935 149,768 1.58 6,823,848 2,005,338 3.40 1,662,248 639,639 2.60 Selected Other Medical Conditions 7. Abnormal Breast Findings, Female 8. Abnormal Cervical Findings 9. Diabetes Mellitus 10. Heart Disease (selected) 11. Hypertension 401.xx 405.xx 9,879,784 3,808,106 2.59 12. Contact Dermatitis and other Eczema 692.xx 817,865 643,466 1.27 13. Dehydration 276.5x 58,242 41,390 1.41 14. Exposure to Heat or Cold 991.xx 992.xx 8,960 6,479 1.38 Overweight and Obesity ICD9 : 278.0 – 278.02 or V85.xx (Excluding V85.0, V85.1, V85.51 5,154,025 2,822,118 1.83 1,159,189 803,237 1.44 155,878 90,018 1.73 1,100,486 653,658 1.68 14a. 180.xx; 198.82; 233.1x; 795.0x 250.xx; 648.0x; 775.1x 391.xx 392.0x 410.xx 429.xx V85.52) Selected Childhood Conditions 15. Otitis Media and Eustachian Tube Disorders 16. Selected Perinatal Medical Conditions 381.xx 382.xx 770.xx; 771.xx; 773.xx; 774.xx 779.xx (Excluding 779.3x) 17. Lack of Expected Normal Physiological Development (Such as 260.xx 269.xx; Delayed Milestone;Failure to Gain Weight;Failure to Thrive). Does not 779.3x; include Sexual or Mental Development;Nutritional Deficiencies 783.3x 783.4x 1 See Table 6B, line 20, column A Page 61 NATIONAL Date Requested: 05/29/2015 02:48 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 6A Selected Diagnoses and Services Rendered 2014 National Universal 1278 Health Centers S.No Diagnostic Category Applicable ICD 9 CM Codes Number of Number of Visits by Diagnosis Patients with Diagnosis Visits per Regardless of Regardless of Patient Primacy (a) Primacy (b) Selected Mental Health and Substance Abuse Conditions 18. 19. Alcohol Related Disorders Other Substance Related Disorders (Excludes Tobacco Use Disorders) 291.xx, 303.xx; 305.0x; 357.5x 292.1x 292.8x; 304.xx; 305.2x 305.9x; 827,366 252,486 3.28 1,393,238 314,148 4.43 2,070,765 1,175,700 1.76 5,638,339 1,799,436 3.13 357.6x; 648.3x 19a. Tobacco Use Disorders 305.1 20a. Depression and other Mood Disorders 20b. Anxiety Disorders Including PTSD 300.0x; 300.2x; 300.3; 308.3; 309.81 3,614,085 1,221,126 2.96 20c. Attention Deficit and Disruptive Behavior Disorders 312.8x; 312.9x; 313.81; 314.xx 1,431,856 405,607 3.53 3,206,366 1,094,292 2.93 296.xx; 300.4 301.13; 311.xx 290.xx; 293.xx 302.xx 20d. Other Mental Disorders, Excluding Drug or Alcohol Dependence (includes Mental Retardation) (Excluding 296.xx; 300.0x; 300.2x; 300.3; 300.4; 301.13); 306.xx 319.xx (Excluding 308.3; 309.81; 311.xx; 312.8x; 312.9x; 313.81; 314.xx) Page 62 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:48 PM EST Date of Last Report Refreshed: 05/14/2015 Table 6A Selected Diagnoses and Services Rendered 2014 National Universal 1278 Health Centers S.No Service Category Applicable ICD 9 CM or CPT 4 Codes Number of Number of Visits (a) Patients (b) Visits per Patient Selected Diagnostic Tests/Screening/Preventive Services 21. HIV Test CPT 4: 86689; 86701 86703; 1,322,317 1,194,684 1.11 87390 87391 21a. Hepatitis B Test CPT4: 86704, 86706, 8751517 421,482 359,714 1.17 21b. Hepatitis C Test CPT4: 8680304, 8752022 432,947 387,597 1.12 515,913 470,976 1.10 1,876,599 1,750,863 1.07 3,771,322 2,725,722 1.38 CPT4: 77052, 77057 22. Mammogram OR ICD9: V76.11; V76.12 CPT 4: 88141 88155; 23. Pap Tests 88164 88167; 88174 88175 OR ICD 9:V72.3; V72.31; V76.2 CPT 4: 90633 90634, 24. 24a. Selected Immunizations (Hepatitis A, Hemophilus Influenza B (HiB), Pneumococcal, Diptheria, Tetanus, Pertussis (DTaP) (DTP) 90645 90648; 90670; 90696 90702; (DT), Mumps, Measles, Rubella, Poliovirus, Varicella, Hepatitis B Child) 90704 90716; 90718 90723; 90743 90744; 90748 Seasonal Flu Vaccine CPT4: 90655 90662 3,365,104 3,093,653 1.09 25. Contraceptive Management ICD 9: V25.xx 2,389,223 1,336,111 1.79 26. Health Supervision of Infant or Child (ages 0 through 11) CPT 4: 99391 99393; 99381 99383 4,381,982 2,834,403 1.55 26a. Childhood Lead Test Screening (Ages 9 to 72 months) CPT4: 83655 437,804 404,528 1.08 26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT4: 9940899409 402,421 229,288 1.76 26c. Smoke and Tobacco Use Cessation Counseling CPT4: 99406 and 99407; S9075 1,075,568 682,359 1.58 26d. Comprehensive and Intermediate Eye Exams CPT4: 92002, 92004, 92012, 92014 389,506 332,563 1.17 Page 63 NATIONAL Date Requested: 05/29/2015 02:48 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 6A Selected Diagnoses and Services Rendered 2014 National Universal 1278 Health Centers S.No Service Category Applicable ADA Code Number of Visits (a) Number of Patients (b) Visits per Patient Selected Dental Services 27. I. Emergency Services ADA: D9110 249,813 213,136 1.17 28. II. Oral Exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0180 5,124,448 3,882,984 1.32 29. Prophylaxis Adult or Child ADA: D1110, D1120 2,948,977 2,364,787 1.25 30. Sealants ADA: D1351 431,514 341,307 1.26 31. Fluoride Treatment Adult or Child ADA: D1203, D1204, D1206 1,868,303 1,478,627 1.26 32. III. Restorative Services ADA: D21xx D29xx 2,698,756 1,401,811 1.93 IV. Oral Surgery ADA: D7111, D7140, D7210, D7220, D7230, D7240, D7241, 1,146,759 860,430 1.33 1,137,280 595,613 1.91 33. 34. (Extractions and other Surgical Procedures) D7250, D7260, D7261, D7270, D7272, D7280 V. Rehabilitation Services (Endo,Perio,Prostho,Orhto) ADA: D3xxx, D4xxx, D5xxx, D6xxx, D8xxx Sources of codes: – International Classification of Diseases, 9th Revision, Clinical Modification (ICD9CM), Volumes 1 and 2, 2012/2013. American Medical Association. – Current Procedural Terminology, (CPT) 2013/2012. American Medical Association. – Current Dental Terminology, (CDT) 2013/2012. American Dental Association. NOTE: x in a code denotes any number including the absence of a number in that place. Page 64 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:48 PM EST Date of Last Report Refreshed: 05/14/2015 Table 6B Quality of Care Indicators 2014 National Universal 1278 Health Centers Section A Age Categories For Prenatal Patients (Health Centers Who Provide Prenatal Care Only) Demographic Characteristics of Prenatal Care Patients S.No Number of Patients Age 1. Less than 15 Years 2. 3. Percent (a) 1,100 0.21% Ages 15 19 59,726 11.31% Ages 20 24 155,540 29.45% 4. Ages 25 44 310,432 58.79% 5. Ages 45 and Over 1,276 0.24% 6. Total Patients (Sum lines 15) 528,074 100.00% Section B Trimester of Entry Into Prenatal Care S.No Women Having First Visit with Health Center Trimester of First Known Visit for Women Receiving Prenatal Care During Reporting Year Women Having First Visit with Another Provider % Total (a) % (b) % 7. First Trimester 358,540 67.90% 22,794 4.32% 72.21% 8. Second Trimester 104,923 19.87% 11,541 2.19% 22.05% 9. Third Trimester 23,497 4.45% 6,779 1.28% 5.73% Section C Childhood Immunization Total Number of Patients with S.No Childhood Immunization 3rd Birthday Estimated Number Patients Estimated % Patients During Measurement Year (a) Immunized Immunized Children who have received age appropriate vaccines prior to 10. reaching their 3rd birthday during measurement year (on or prior to 31 December) 306,241 236,381 77.19% Section D Cervical Cancer Screening S.No Pap Test Total Number of Female Patients 2464 Years of Age (a) 11. Female patients aged 2464 who received one or more Pap Tests to screen for cervical cancer 6,072,396 Estimated Number Patients Tested 3,421,045 Estimated % Patients Tested 56.34% Section E – Weight Assessment and Counseling For Children and Adolescents Total Patients Aged 3 – 17 on S.No Child and Adolescent Weight Assessment and Counseling December 31 (a) Estimated Number Patients Assessed and Counseled Estimated % Patients Assessed and Counseled Children and adolescents aged 3 until 17 during measurement year 12. (on or prior to 31 December) with a BMI percentile, and counseling on nutrition and physical activity documented in current year 4,482,081 2,538,507 56.64% % may not equal 100% due to rounding. Estimated % Patients for the Childhood Immunization, Pap Tests, Weight Assessment and Counseling, Weight Screening and Followup, Tobacco Assessment and Counseling, Tobacco Cessation Advice, Asthma Treatment Plan, Coronary Artery Disease (CAD): Lipid Therapy, Ischemic Vascular Disease: Aspirin or Antithrombotic Therapy, Colorectal Cancer Screening, HIV Cases and Depression Followup is based on the total of the estimated number of patients included in column b for each Health Center, for each measure, divided by the total number of patients in the applicable category (i.e., the Universe) for each measure. Page 65 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:48 PM EST Date of Last Report Refreshed: 05/14/2015 Table 6B Quality of Care Indicators 2014 National Universal 1278 Health Centers Section F – Adult Weight Screening and FollowUp S.No 13. Adult Weight Screening and FollowUp Total Patients Aged 18 and Older (a) Patients aged 18 and Older with (1) BMI charted and (2) followup BMI Charted and FollowUp Plan Documented as Appropriate 13,150,304 plan documented if patients are overweight or underweight Estimated Number Patients with Estimated % Patients with BMI Charted and FollowUp Plan Documented as Appropriate 7,382,249 56.14% Estimated Number Patients Assessed for Tobacco Use and provided Intervention if a Estimated % Patients Assessed for Tobacco Use and provided Intervention if Tobacco User a Tobacco User Section G – Tobacco Use Screening and Cessation Intervention S.No Tobacco Use Screening and Cessation Intervention Total Patients Aged 18 and Older (a) Patients aged 18 and older who (1) were screened for tobacco use 14a. one or more times in the measurement year or the prior year AND (2) for those found to be a tobacco user, received cessation counseling, intervention, or medication* 11,537,277 9,350,227 81.04% Section H – Asthma Pharmacological Therapy Total Patients aged 540 with S.No 16. Asthma Treatment Plan Persistent Asthma (a) Patients aged 5 through 40 diagnosed with persistent asthma who 388,135 have an acceptable pharmacological treatment plan Estimated Number with Acceptable Plan 313,463 Estimated % Patients with Acceptable Plan 80.76% Section I – Coronary Artery Disease (CAD): Lipid Therapy S.No 17. Total Patients Aged 18 and Older Estimated Number Patients Estimated % Patients with CAD Diagnosis (a) Prescribed a Lipid Lowering Therapy Prescribed a Lipid Lowering Therapy Lipid Therapy Patients aged 18 and Older with a diagnosis of CAD who were 268,518 prescribed a Lipid Lowering Therapy 210,551 78.41% Estimated Number Patients with Estimated % Patients with Aspirin or other Antithrombotic Therapy Aspirin or other Antithrombotic Therapy Section J – Ischemic Vascular Disease (IVD): Aspirin or Antithrombotic Therapy Total Patients Aged 18 and Older S.No Aspirin or Other Antithrombotic Therapy with IVD Diagnosis or AMI, CABG, OR PTCA Procedure (a) 18. Patients aged 18 and Older with a diagnosis of IVD or AMI, CABG, or PTCA procedure with aspirin or another antithrombotic therapy 436,419 335,367 76.85% % may not equal 100% due to rounding. Estimated % Patients for the Childhood Immunization, Pap Tests, Weight Assessment and Counseling, Weight Screening and Followup, Tobacco Assessment and Counseling, Tobacco Cessation Advice, Asthma Treatment Plan, Coronary Artery Disease (CAD): Lipid Therapy, Ischemic Vascular Disease: Aspirin or Antithrombotic Therapy, Colorectal Cancer Screening, HIV Cases and Depression Followup is based on the total of the estimated number of patients included in column b for each Health Center, for each measure, divided by the total number of patients in the applicable category (i.e., the Universe) for each measure. * Measure was revised in 2014. Changes in measure criteria limit comparability to prior years. Page 66 NATIONAL Date Requested: 05/29/2015 02:48 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 6B Quality of Care Indicators 2014 National Universal 1278 Health Centers Section K – Colorectal Cancer Screening S.No Colorectal Cancer Screening 19. Patients age 51 through 74 years of age during measurement year (on or prior to 31 December) with appropriate screening for colorectal cancer Total Patients Aged 51 – 74 Years of Age (a) 4,411,674 Estimated Number Patients with Appropriate Screening for Colorectal Cancer Estimated % Patients with Appropriate Screening for Colorectal Cancer 1,523,524 34.53% Section L – HIV Linkage to Care S.No HIV Linkage to Care 20. Patients whose first ever HIV diagnosis was made by Health Center staff between October 1 of prior year and September 30 of current year and who were seen for followup treatment within 90 days of that first ever diagnosis Total Patients First Diagnosed with HIV (a) Estimated Number Patients Seen Within 90 Days of First Diagnosis of HIV 8,233 6,363 Total Patients Aged 12 and Older (a) Estimated Number Patients Screened for Depression and Followup Plan Documented as Appropriate Estimated % Patients Seen Within 90 Days of First Diagnosis of HIV 77.29% Section M – Patients Screened For Depression and Followup S.No 21. Patients Screened For Depression and Followup Patients aged 12 and over who were (1) screened for depression with a standardized tool and if screening was positive (2) had a 13,607,995 5,283,552 Estimated % Patients Screened for Depression and Followup Plan Documented as Appropriate 38.83% followup plan documented if patients were considered depressed % may not equal 100% due to rounding. Estimated % Patients for the Childhood Immunization, Pap Tests, Weight Assessment and Counseling, Weight Screening and Followup, Tobacco Assessment and Counseling, Tobacco Cessation Advice, Asthma Treatment Plan, Coronary Artery Disease (CAD): Lipid Therapy, Ischemic Vascular Disease: Aspirin or Antithrombotic Therapy, Colorectal Cancer Screening, HIV Cases and Depression followup is based on the total of the estimated number of patients included in column b for each Health Center, for each measure, divided by the total number of patients in the applicable category (i.e., the Universe) for each measure. * Measure was revised in 2014. Changes in measure criteria limit comparability to prior years. Page 67 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:48 PM EST Date of Last Report Refreshed: 05/14/2015 Table 7 Health Outcomes and Disparities 2014 National Universal 1278 Health Centers Total (i) HIV Positive Pregnant Women 790 Deliveries Performed by Health Center Provider 187,424 Section A: Deliveries And Birth Weight Prenatal Care Patients Who Live Births < 1500 Live Births 1500 Live Births >= Delivered During the Year grams 2499 grams 2500 grams (1a) (1b) (1c) (1d) % Low and Very Low Birth Weight By Race Asian (a) 10,871 3.86% 87 640 10,026 6.76% 650 0.23% 17 42 553 9.64% Native Hawaiian (b1) Other Pacific Islander (b2) 3,824 1.36% 50 237 3,511 7.56% Black/African American (c) 52,291 18.59% 1,100 4,520 46,686 10.74% Hispanic/Latino 2,720 0.97% 49 187 2,376 9.04% NonHispanic/Latino 49,571 17.62% 1,051 4,333 44,310 10.83% American Indian/Alaska Native (d) 3,163 White (e) 154,752 1.12% 40 55.02% 1,505 182 8,247 2,968 142,604 6.96% 6.40% Hispanic/Latino 93,095 33.10% 865 4,376 85,047 5.80% NonHispanic/Latino 61,657 21.92% 640 3,871 57,557 7.27% More than one race (f) Race Unreported/Refused to Report (g) Subtotal (Sum a+b1+b2+c+d+e+f+g) 10,336 3.67% 97 39,124 13.91% 556 275,011 97.78% 3,452 588 9,807 6.53% 2,002 37,526 6.38% 16,458 253,681 7.28% By Ethnicity Hispanic/Latino (section 1) 140,369 49.91% 1,509 6,780 129,730 6.01% NonHispanic/Latino (section 2) 134,642 47.87% 1,943 9,678 123,951 8.57% Subtotal (Sum section 1 + section 2) Unreported/Refused to Report Race and Ethnicity (h) Total (i) 275,011 97.78% 3,452 16,458 253,681 7.28% 6,258 2.22% 106 444 6,624 7.67% 281,269 100.00% 3,558 16,902 260,305 7.29% % shown are rounded to the .01% level for table display purposes; calculations are made using % to 8 decimal places. Page 68 NATIONAL Date Requested: 05/29/2015 02:48 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 7 Health Outcomes and Disparities 2014 National Universal 1278 Health Centers Section B: Hypertension Patients 18 to 85 Diagnosed with Hypertension whose Last Blood Pressure was Less than 140/90 Total Hypertensive Patients (2a) Estimated % Patients with Controlled Blood Pressure By Race Asian (a) Native Hawaiian (b1) 109,012 69.17% 6,365 62.62% Other Pacific Islander (b2) 15,818 60.65% Black/African American (c) 797,259 57.54% Hispanic/Latino NonHispanic/Latino 17,403 60.25% 779,856 57.48% American Indian/Alaska Native (d) White (e) Hispanic/Latino NonHispanic/Latino 29,005 61.85% 1,762,654 65.69% 499,911 66.52% 1,262,743 65.34% More than one race (f) 73,093 Race Unreported/Refused to Report (g) 68.78% 228,971 Subtotal (Sum a+b1+b2+c+d+e+f+g) 3,022,177 66.30% By Ethnicity Hispanic/Latino (section 1) NonHispanic/Latino (section 2) 773,400 66.82% 2,248,777 62.65% Subtotal (Sum section 1 + section 2) 3,022,177 Unreported/Refused to Report Race and Ethnicity (h) Total (i) 60.77% 3,083,149 63.68% % shown are rounded to the .01% level for table display purposes; calculations are made using % to 8 decimal places % by race are low estimates, not adjusted at the Health Center level for samples with zero patients in racial categories. Page 69 60,972 NATIONAL Date Requested: 05/29/2015 02:48 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 7 Health Outcomes and Disparities 2014 National Universal 1278 Health Centers Section C: Diabetes Patients 18 to 75 Diagnosed with Type I or Type II Diabetes: Most Recent Test Results Total Patients with Diabetes (3a) Estimated % Patients with Hba1c <= 9% Estimated % Patients with Hba1c < 8% By Race Asian (a) Native Hawaiian (b1) 56,705 79.88% 66.99% 3,950 59.38% 48.30% Other Pacific Islander (b2) 13,217 58.23% 43.90% Black/African American (c) 364,758 67.48% 55.78% Hispanic/Latino NonHispanic/Latino 9,648 72.90% 59.89% 355,110 67.39% 55.72% American Indian/Alaska Native (d) White (e) 17,677 64.17% 52.67% 927,502 68.85% 56.68% Hispanic/Latino 368,444 66.98% 54.08% NonHispanic/Latino 559,058 70.12% 58.45% More than one race (f) 41,645 Race Unreported/Refused to Report (g) 72.45% 179,898 Subtotal (Sum a+b1+b2+c+d+e+f+g) 1,605,352 59.76% 68.10% 54.89% By Ethnicity Hispanic/Latino (section 1) NonHispanic/Latino (section 2) Subtotal (Sum section 1 + section 2) Unreported/Refused to Report Race and Ethnicity (h) Total (i) 571,471 67.69% 54.64% 1,033,881 69.40% 57.65% 1,605,352 32,084 66.61% 54.99% 1,637,436 68.78% 56.57% % shown are rounded to the .01% level for table display purposes; calculations are made using % to 8 decimal places % by race are low estimates, not adjusted at the Health Center level for samples with zero patients in racial categories. Page 70 NATIONAL Date Requested: 05/29/2015 02:48 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 8A Financial Costs 2014 National Universal 1278 Health Centers Accrued Cost (a) S.No Total Cost After Allocation of Facility Allocation of Facility and NonClinical Support Services $ and NonClinical Support Services (b) $ (c) $ Financial Costs for Medical Care 1. Medical Staff 2. Lab and Xray 5,471,091,392 3,001,922,047 8,473,013,439 354,404,709 179,901,979 534,306,688 3. Medical/Other Direct 1,035,783,905 549,599,749 1,585,383,654 4. Total Medical Care Services (Sum lines 13) 6,861,280,006 3,731,423,775 10,592,703,781 1,396,393,988 699,963,077 2,096,357,065 617,899,881 312,769,054 930,668,935 69,756,599 40,693,779 110,450,378 236,251,050 686,246,991 Financial Costs for Other Clinical Services 5. Dental 6. Mental Health 7. Substance Abuse 8a. Pharmacy not including pharmaceuticals 449,995,941 8b. Pharmaceuticals 837,482,512 124,208,920 56,896,138 181,105,058 52,645,242 27,576,141 80,221,383 3,548,383,083 1,374,149,239 4,922,532,322 9. Other Professional 9a. Vision 10. Total Other Clinical Services (Sum lines 59a) 837,482,512 Financial Costs of Enabling and Other Program Related Services 11a. Case Management 11b. Transportation 317,209,261 317,209,261 37,560,239 37,560,239 11c. Outreach 144,706,859 144,706,859 11d. Patient and Community Education 139,663,037 139,663,037 11e. Eligibility Assistance 202,939,736 202,939,736 11f. Interpretation Services 50,311,348 50,311,348 11g. Other Enabling Services 31,307,579 31,307,579 11. Total Enabling Services Cost (Sum lines 11a11g) 923,698,059 439,829,620 1,363,527,679 12. Other Related Services 409,063,219 155,860,410 564,923,629 13. Total Enabling and Other Services (Sum lines 1112) 1,332,761,278 595,690,030 1,928,451,308 Facility and NonClinical Support Services and Totals 14. Facility 1,352,865,908 15. NonClinical Support Services 4,348,397,136 16. Total Facility and NonClinical Support Services(Sum lines 14 and 15) 5,701,263,044 17. Total Accrued Costs (Sum lines 4+10+13+16) 17,443,687,411 17,443,687,411 18. Value of Donated Facilities, Services and Supplies 436,451,241 19. Grand Total including Donations (Sum lines 1718) 17,880,138,652 Page 71 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:48 PM EST Date of Last Report Refreshed: 05/14/2015 Table 9D Patient Related Revenue (Scope of Project Only) 2014 National Universal 1278 Health Centers Charges S.No Payor Category Collections Amount Full Charges This Period (a) % of Payor % of Total Collected % of Payor This Period (b) % of Total % of Charges 1. Medicaid NonManaged Care 4,412,937,356 47.05% 24.71% 3,523,269,136 46.16% 30.86% 79.84% 2a. Medicaid Managed Care (capitated) 1,922,940,362 20.50% 10.77% 1,789,483,666 23.45% 15.67% 93.06% 2b. Medicaid Managed Care (feeforservice) 3,043,957,072 32.45% 17.05% 2,319,165,519 30.39% 20.31% 76.19% 3. Total Medicaid (Sum lines 1+2a+2b) 9,379,834,790 100.00% 52.52% 7,631,918,321 100.00% 66.85% 81.37% 1,416,227,548 81.29% 7.93% 926,817,876 84.41% 8.12% 65.44% 96,889,419 5.56% 0.54% 60,151,563 5.48% 0.53% 62.08% 229,000,508 13.14% 1.28% 111,051,159 10.11% 0.97% 48.49% 1,742,117,475 100.00% 9.76% 1,098,020,598 100.00% 9.62% 63.03% 308,694,312 67.13% 1.73% 177,819,041 64.36% 1.56% 57.60% 29,225,231 6.36% 0.16% 27,476,491 9.95% 0.24% 94.02% 121,925,088 26.51% 0.68% 70,973,609 25.69% 0.62% 58.21% 459,844,631 100.00% 2.57% 276,269,141 100.00% 2.42% 60.08% 4. Medicare NonManaged Care 5a. Medicare Managed Care (capitated) 5b. Medicare Managed Care (feeforservice) 6. Total Medicare (Sum lines 4+5a+5b) 7. 8a. 8b. Other Public including NonMedicaid CHIP (Non Managed Care) Other Public including NonMedicaid CHIP (Managed Care Capitated) Other Public including NonMedicaid CHIP (Managed Care feeforservice) 9. Total Other Public (Sum lines 7+8a+8b) 10. Private NonManaged Care 2,120,703,673 83.08% 11.88% 1,218,494,620 83.04% 10.67% 57.46% 11a. Private Managed Care (Capitated) 109,442,619 4.29% 0.61% 71,138,396 4.85% 0.62% 65.00% 11b. Private Managed Care (feeforservice) 322,495,514 12.63% 1.81% 177,718,068 12.11% 1.56% 55.11% 12. Total Private (Sum lines 10+11a+11b) 2,552,641,806 100.00% 14.29% 1,467,351,084 100.00% 12.85% 57.48% 13. Self Pay 3,723,811,991 100.00% 20.85% 942,910,953 100.00% 8.26% 25.32% 14. Total (Sum lines 3+6+9+12+13) 100.00% 11,416,470,097 100.00% 63.93% 17,858,250,693 % may not equal 100% due to rounding. Page 72 NATIONAL Date Requested: 05/29/2015 02:48 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 9D Patient Related Revenue (Scope of Project Only) 2014 National Universal 1278 Health Centers Retroactive Settlements, Receipts, and Paybacks (c) Collection of S.No Payor Category Recon/Wrap Around Current Year (c1) 1. Collection of Recon/Wrap Around Previous Years (c2) Allowances Collection of other Retroactive Penalty/ Payback Payments (c3) (c4) Net Retros Net Retros % of Charges Allowances (d) Allowances % of Charges Medicaid NonManaged Care 382,734,508 120,094,130 37,510,618 10,208,372 530,130,884 12.01% 790,505,658 17.91% 2a. Medicaid Managed Care (capitated) 719,016,819 107,824,421 95,122,650 7,811,986 914,151,904 47.54% 132,947,546 6.91% 2b. Medicaid Managed Care (feeforservice) 574,739,855 158,166,183 38,914,707 7,271,634 764,549,111 25.12% 620,881,525 20.40% 1,676,491,182 386,084,734 171,547,975 25,291,992 2,208,831,899 23.55% 1,544,334,729 16.46% 11,545,921 7,625,277 1,948,674 24,537,851 1.73% 381,304,583 26.92% 3. Total Medicaid (Sum lines 1+2a+2b) 4. Medicare NonManaged Care 7,315,327 5a. Medicare Managed Care (capitated) 1,803,884 448,996 2,031,661 2,577 4,281,964 4.42% 36,637,750 37.81% 5b. Medicare Managed Care (feeforservice) 4,778,767 3,057,927 927,557 35,688 8,728,563 3.81% 90,320,548 39.44% 13,897,978 15,052,844 10,584,495 1,986,939 37,548,378 2.16% 508,262,881 29.18% 6. Total Medicare (Sum lines 4+5a+5b) 7. Other Public including NonMedicaid CHIP (Non Managed Care) 918,385 1,747,551 370,333 378,397 2,657,872 0.86% 121,245,573 39.28% 8a. Other Public including NonMedicaid CHIP (Managed Care Capitated) 2,579,905 1,482,748 4,629,640 354,310 8,337,983 28.53% 1,333,859 4.56% 8b. Other Public including NonMedicaid CHIP (Managed Care feeforservice) 1,724,141 3,556,053 310,261 181,388 5,409,067 4.44% 45,922,468 37.66% Total Other Public (Sum lines 7+8a+8b) 5,222,431 6,786,352 5,310,234 914,095 16,404,922 3.57% 168,501,900 36.64% 9. % may not equal 100% due to rounding. Page 73 NATIONAL Date Requested: 05/29/2015 02:48 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Table 9D Patient Related Revenue (Scope of Project Only) 2014 National Universal 1278 Health Centers Retroactive Settlements, Receipts, and Paybacks (c) S.No Payor Category 10. Collection of Recon/Wrap Around Previous Years (c2) Collection of Recon/Wrap Around Current Year (c1) Collection of other retroactive payments (c3) Penalty/ Payback (c4) Allowances Net Retros % of Charges Net Retros Allowances (d) Allowances % of Charges Private NonManaged Care 5,289,144 152,983 5,136,161 0.24% 753,263,658 35.52% 11a. Private Managed Care (Capitated) 2,117,404 0 2,117,404 1.93% 38,454,965 35.14% 11b. Private Managed Care (feeforservice) 2,265,666 46,520 2,219,146 0.69% 117,820,285 36.53% 12. Total Private (Sum lines 10+11a+11b) 9,672,214 199,503 9,472,711 0.37% 909,538,908 35.63% 13. Self Pay 14. Total (Sum lines 3+6+9+12+13) 1,695,611,591 407,923,930 197,114,918 28,392,529 2,272,257,910 Sliding Discounts (e) S.No 13. Self Pay Page 74 12.72% 3,130,638,418 17.53% Bad Debt Write Off (f) 2,281,916,031 % may not equal 100% due to rounding. 376,004,011 NATIONAL Program: Health Center 330 Date Requested: 05/29/2015 02:48 PM EST Date of Last Report Refreshed: 05/14/2015 Table 9E Other Revenues 2014 National Universal 1278 Health Centers Amount (a) $ S.No Source % Group Total BPHC Grants (Enter Amount Drawn Down Consistent with PMS272) 1a. Migrant Health Center 1b. Community Health Center 244,685,058 7.62% 2,417,139,724 75.31% 1c. Health Care for the Homeless 246,842,822 7.69% 1e. Public Housing Primary Care 40,052,515 1.25% 1g. Total Health Center Cluster (Sum lines 1a through 1e) 2,948,720,119 91.87% 1j. Capital Improvement Program Grants(excluding ARRA) 42,320,824 1.32% 1k. Affordable Care Act (ACA) Capital Development Grants, including School Based Health Center Capital Grants 218,557,456 6.81% 1. Total BPHC Grants (Sum Lines 1g+1j+1k) 3,209,598,399 100.00% 76,884,907 15.99% Other Federal Grants 2. Ryan White Part C HIV Early Intervention 3. Other Federal Grants 212,722,929 44.23% 3a. Medicare and Medicaid EHR Incentive Payments for Eligible Providers 119,240,578 24.79% 4a. American Recovery and Reinvestment Act (ARRA) Capital Improvement Project (CIP) and Facility Investment Program (FIP) 72,110,105 14.99% 480,958,519 100.00% State Government Grants and Contracts 597,828,228 27.80% State/Local Indigent Care Programs 445,683,700 20.73% 7. Local Government Grants and Contracts 486,778,715 22.64% 8. Foundation/Private Grants and Contracts 9. Total NonFederal Grants And Contracts (Sum lines 6+6a+7+8) 5. Total Other Federal Grants (Sum Lines 24a) NonFederal Grants or Contracts 6. 6a. 10. Other Revenue (Nonpatient related revenue not reported elsewhere) 11. Grand Total Revenue (Sum lines 1+5+9+10) 619,876,655 28.83% 2,150,167,298 100.00% 729,835,818 100.00% 6,570,560,034 % may not equal 100% due to rounding. Page 75 NATIONAL Date Requested: 05/29/2015 02:48 PM EST Program: Health Center 330 Date of Last Report Refreshed: 05/14/2015 Electronic Health Record Capabilities and Quality Recognition 2014 National Universal 1278 Health Centers S.No. Measures 1. Health Centers that have an EHR installed and in use 1a. Installed at all sites and for all providers 1b. Installed but only at some sites or for some providers Total Health Centers with EHR installed (Sum 1a + 1b) 1c. Number of Health Centers 1,173 % of Total 91.78% 75 5.87% 1,248 97.65% Health Centers who will install the EHR system in 3 months 7 0.55% 1d. Health Centers who will install the EHR system in 6 months 9 0.70% 1e. Health Centers who will install the EHR system in 1 year or more 8 0.63% 1f. Health Centers who have Not Planned on installing the EHR system 6 0.47% Total Health Centers with No EHR installed (sum 1c + 1d + 1e + 1f) 30 2.35% Total Health Centers reported 1,278 100.00% 2. Does your center send prescriptions to the pharmacy electronically? (Do not include faxing) 1,212 94.84% 34 2.66% 2 0.16% 1,212 94.84% No 19 1.49% Not Sure 17 1.33% Yes 703 55.01% No 510 39.91% 35 2.74% Yes 869 68.00% No 365 28.56% 14 1.10% 1,136 88.89% 103 8.06% 9 0.70% 535 41.86% 69 5.40% 636 49.77% 38 2.97% 1,149 89.91% 115 9.00% 14 1.10% Yes 797 62.36% No 481 37.64% 832 65.10% Yes No Not Sure 3. Does your center use computerized, clinical decision support such as alerts for drug allergies, checks for drugdrug interations, reminders for preventive screening tests, or other similar functions? Yes 4. Does your center exchange clinical information electronically with other key providers/health care settings such as hospitals, emergency rooms, or subspecialty clinicians? Not Sure 5. Does your center engage patients through health IT such as patient portals, kiosks, secure messaging (i.e., secure email) either through the EHR or through other technologies? Not Sure 6. Does your center use the EHR or other health IT system to provide patients with electronic summaries of office visits or other clinical information when requested? Yes No Not Sure 7. How do you collect data for UDS clinical reporting (Tables 6B and 7)? We use the EHR to extract automated reports We use the EHR but only to access individual patient charts We use the EHR in combination with another data analytic system We do not use the EHR 8. Are your eligible providers participating in the Centers for Medicare and Medicaid Services (CMS) EHR Incentive Program commonly known as "Meaningful Use"? Yes No Not Sure 9. 10. Does your center use health IT to coordinate or to provide enabling services such as outreach, language translation, transportation, case management, or other similar services? Has your health center received or retained patient centered medical home recognition or certification for one or more sites during the measurement year? Yes Page 76 S.No. Measures Number of Health Centers No 11. % of Total 446 34.90% Yes 332 25.98% No 946 74.02% Has your health center received accreditation? Page 77
