Preferred Health Choice. Area Specific Provider Directory

Transcription

1 Preferred Health Choice Area Specific Provider Directory

2 Please check with Ohio Health Choice Customer Service Department or the company web site, to verify any provider additions and/or changes. This directory was designed to include the following counties: Boone (KY) Bracken (KY) Brown Butler Campbell (KY) Champaign Clark Clinton Clermont Darke Dearborn (IN) Grant (KY) Greene Hamilton Kenton (KY) Logan Miami Montgomery Pendelton (KY) Preble Ripley (IN) Shelby Union (IN) Wayne (IN) Warren

3 WELCOME Ohio Health Choice (OHC) is Ohio s first Preferred Provider Organizations (PPO). A PPO serves as a link between healthcare purchasers (you or you employer), health plan administrators (insurance companies or third party payors), and health care providers (doctors and hospitals). The Ohio Health Choice Preferred Health Choice network combines the best features of traditional health insurance with the cost savings of a managed care program. You get the benefit of both with the freedom of choice you deserve. The Ohio Health Choice Preferred Health Choice network provides you with access to a comprehensive range of healthcare services to cover virtually all of your medical needs. For information regarding your coverage, benefits or eligibility, please check with your Personnel Department or call your health plan administrator. Ohio Health Choice is not an insurance company or third party administrator and does not make claims payments. Please forward all claims to the address listed on your plan ID card to ensure timely processing. IMPORTANT MESSAGES 1. This directory does not constitute a recommendation of any hospital, physician or other health care provider. The providers listed in this directory are independent contractors, and Ohio Health Choice is not responsible for health care provided or the omission, delay or unavailability of health care by these providers. While this listing of providers is complete as of the time it was created, it is subject to change. More current information may be obtained by calling the Ohio Health Choice Customer Service Department at or visit our website at to print updated regional directories or search for a provider. 2. This directory does not guarantee that all services or all providers will be covered under your health care plan. You must consult your specific benefit plan description to determine what type of providers and services are covered. Failure to verify your plan design or network status may result in non-reimbursed medical expenses. 3. Hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the Ohio Health Choice network. Please refer to the Statewide Hospital Listing for the status of these providers. 4. Hospitals in the network may provide additional services such as mammograms, urgent care services, laboratory, home health care, etc. as part of their agreement with Ohio Health Choice. For further information on these services, please contact your local hospital or contact Ohio Health Choice for network status. 5. Some of the Ohio Health Choice Preferred Health Choice providers may provide services that are not part of the Ohio Health Choice network (i.e., surgical procedures in a doctor s surgical suite). Please contact the provider s office to determine how services will be billed. Contact your benefits office to determine if your coverage is affected.

4 HOW TO USE THE NETWORK Select a provider from the directory or call Customer Service at for assistance in locating a provider or visit to print updated directories or search for a provider. Confirm that your provider is currently part of the Ohio Health Choice network. Always show your membership card to the receptionist when you arrive for your appointment. Some participating providers may require that you pay for all or part of your expenses at the time of service. Any medical expenses not covered under your health benefit plan (i.e., copays, deductible, and coinsurance) are generally payable at the time of service. If your provider needs to refer you to a facility or another health care provider, remind the provider that you are part of the Ohio Health Choice network and be sure the provider refers you to a participating provider when possible. If you use a non-participating provider, your benefits may be reduced. If you have any questions regarding Ohio Health Choice providers, call Customer Service at ) or visit VISIT OUR WEBSITE AT PREFERRED PROVIDER STATUS This provider directory is printed annually. Provider changes and additions occur throughout the year. Contact the Ohio Health Choice Customer Service Department to confirm that your provider is currently a network member or visit OHIO HEALTH CHOICE Phone: Corporate Office 1 S. Main St. Akron, Ohio BENEFIT INFORMATION For information regarding your coverage, benefits or eligibility, please check with your Personnel Department or call your insurance carrier. Ohio Health Choice is not an insurance carrier or third party administrator and does not process claims or make claim payments. Please forward all claims to the address listed on your ID card to ensure timely processing.

5 Table of Contents HOSPITALS BY STATE COUNTY... 3 Indiana... 3 Kentucky... 3 Ohio... 3 Pennsylvania... 6 West Virginia... 6 ANCILLARY SERVICES... 7 Indiana... 7 DEARBORN... 7 WAYNE... 7 Kentucky... 7 BOONE... 7 CAMPBELL... 7 KENTON... 7 Ohio... 7 BROWN... 7 BUTLER... 7 CHAMPAIGN... 8 CLARK... 8 CLERMONT... 9 CLINTON... 9 DARKE... 9 GREENE... 9 HAMILTON LOGAN...11 MIAMI MONTGOMERY PREBLE SHELBY WARREN PHYSICIANS AND OTHER PROVIDERS Indiana DEARBORN RIPLEY UNION Kentucky BOONE BRACKEN CAMPBELL GRANT KENTON Ohio BROWN BUTLER CHAMPAIGN CLARK CLERMONT CLINTON DARKE GREENE HAMILTON LOGAN MIAMI MONTGOMERY PREBLE SHELBY WARREN ALPHABETICAL INDEX OF PROVIDERS

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7 Hospital Listing By State/County INDIANA DEARBORN DEARBORN COUNTY HOSPITAL 600 WILSON CREEK LAWRENCEBURG, INDIANA (812) KENTUCKY BOONE ST LUKE HOSPITAL WEST 7380 TURFWAY FLORENCE, KENTUCKY (859) ST LUKE HOSPITAL WEST 7280 TURFWAY FLORENCE, KENTUCKY (859) BOYD KINGS DAUGHTERS MEDICAL 2201 LEXINGTON AVE ASHLAND, KENTUCKY (606) OUR LADY OF BELLEFONTE HOSPITAL ST. CHARLES DR ASHLAND, KENTUCKY (606) OUR LADY OF BELLEFONTE HOSPITAL SAINT CHRISTOPHER DR ASHLAND, KENTUCKY (606) CAMPBELL ST LUKE HOSPITAL EAST 85 N GRAND AVE FORT THOMAS, KENTUCKY (859) GRANT ST ELIZABETH GRANT COUNTY 238 BARNES WILLIAMSTOWN, KENTUCKY (859) GREENUP OUR LADY OF BELLEFONTE HOSPITAL 1819 ASHLAND GREENUP, KENTUCKY (606) KENTON ST ELIZABETH MEDICAL CENTER FT MITCHELL, KENTUCKY ST ELIZABETH MEDICAL CENTER - NORTH COVINGTON, KENTUCKY (859) OHIO ADAMS ADAMS COUNTY HOSPITAL 210 N WILSON DR WEST UNION, OHIO (937) ALLEN BLANCHA VALLEY HOSPITAL 139 GARAU ST BLUFFTON, OHIO (419) LIMA MEMORIAL HOSPITAL 1001 BELLEFONTAINE AVE LIMA, OHIO (419) SCCI HOSPITAL - LIMA 730 W MARKET ST 6TH FL LIMA, OHIO (419) ST RITAS MEDICAL CENTER 730 W MARKET ST LIMA, OHIO (419) ASHLAND SAMARITAN REGIONAL HEALTH CENTER 1025 CENTER ST ASHLAND, OHIO (419) ASHTABULA ASHTABULA COUNTY MEDICAL CENTER 2420 LAKE AVE ASHTABULA, OHIO (440) GLENBEIGH OF ROCK CREEK 2863 STATE ROUTE 45 N ROCK CREEK, OHIO (440) UHHS BROWN MEMORIAL HOSPITAL 158 MAIN ST CONNEAUT, OHIO (440) UHHS MEMORIAL HOSPITAL OF GENEVA 870 W MAIN ST GENEVA, OHIO (440) ATHENS DOCTORS HOSP NELSONVILLE 1950 MOUNT ST MARY DR NELSONVILLE, OHIO (740) O'BLENESS MEMORIAL HOSPITAL 55 HOSPITAL DR ATHENS, OHIO (740) AUGLAIZE JOINT TOWNSHIP HOSPITAL 200 ST CLAIR ST SAINT MARYS, OHIO (419) BELMONT BARNESVILLE HOSP ASSN INC 639 W MAIN ST BARNESVILLE, OHIO (740) EAST OHIO REGIONAL HOSPITAL 90 N 4TH ST MARTINS FERRY, OHIO (740) BROWN BROWN COUNTY GENERAL HOSP 425 HOME ST GEORGETOWN, OHIO (937) BUTLER MCCULLOUGH-HYDE MEMORIAL 110 N POPLAR ST OXFO, OHIO (513) MERCY HOSPITAL FAIRFIELD 3000 MACK FAIRFIELD, OHIO (513) MIDDLETOWN REGIONAL HOSPITAL 105 MCKNIGHT DR MIDDLETOWN, OHIO (513) THE FORT HAMILTON HOSPITAL 630 EATON AVE HAMILTON, OHIO (513) UNIVERSITY POINTE SURGICAL HOSPITAL 7750 UNIVERSITY CT WEST CHESTER, OHIO (513) CHAMPAIGN MERCY MEMORIAL HOSPITAL 904 SCIOTO ST URBANA, OHIO (937) CLARK COMMUNITY HOSPITAL 2615 E HIGH ST SPRINGFIELD, OHIO (937) MERCY MEDICAL CENTER 1343 N FOUNTAIN BLVD SPRINGFIELD, OHIO (937) CLERMONT CLERMONT MERCY HOSPITAL 3000 HOSPITAL DR BATAVIA, OHIO (513) CLINTON CLINTON MEMORIAL HOSPITAL 88 N HOWA ST SABINA, OHIO (937) CLINTON MEMORIAL HOSPITAL 610 W MAIN ST WILMINGTON, OHIO (937) COLUMBIANA EAST LIVERPOOL CITY HOSPITAL 425 W 5TH ST EAST LIVERPOOL, OHIO (330) SALEM COMMUNITY HOSPITAL 1995 E STATE ST SALEM, OHIO (330) COSHOCTON COSHOCTON CO MEM HOSPITAL 1460 ORANGE ST COSHOCTON, OHIO (740) CRAWFO BUCYRUS COMMUNITY HOSPITAL 139 GAIUS ST BUCYRUS, OHIO (419) BUCYRUS COMMUNITY HOSPITAL 629 N SANDUSKY AVE BUCYRUS, OHIO (419) GALION COMMUNITY HOSPITAL PORTLAND WAY SOUTH GALION, OHIO (419) MEDCENTRAL CRESTLINE HOSPITAL 291 HEISER CT CRESTLINE, OHIO (419) CUYAHOGA CCF CHILDREN'S HOSPITAL/REHAB 9500 EUCLID AVE CLEVELAND, OHIO (216) CCF CHILDREN'S HOSPITAL/REHAB 2801 MARTIN LUTHER KING DR CLEVELAND, OHIO (216) CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVE CLEVELAND, OHIO (216) FAIRVIEW GENERAL HOSPITAL LORAIN AVE CLEVELAND, OHIO (216) LAKEWOOD HOSPITAL DETROIT AVE LAKEWOOD, OHIO (216) LUTHERAN HOSPITAL 1730 W 25TH ST CLEVELAND, OHIO (216) MARYMOUNT HOSPITAL MCCRACKEN CLEVELAND, OHIO (216) MERIDIA EUCLID HOSPITAL LAKE SHORE BLVD CLEVELAND, OHIO (216) MERIDIA HILLCREST 6780 MAYFIELD CLEVELAND, OHIO (216) MERIDIA HURON HOSPITAL TERRACE CLEVELAND, OHIO (216) MERIDIA SOUTH POINTE HOSPITAL 4110 WARRENSVILLE CENTER BEACHWOOD, OHIO (216) METROHEALTH MEDICAL CENTER 2500 METROHEALTH DR CLEVELAND, OHIO (216) PARMA COMMUNITY GENERAL HOSPITAL 7007 POWERS BLVD CLEVELAND, OHIO (440) SOUTHWEST GENERAL HEALTH CENTER BAGLEY CLEVELAND, OHIO (440) SPECIALTY HEALTHCARE SVC 2351 E 22ND ST 7TH FL CLEVELAND, OHIO (216) ST JOHN WEST SHORE HOSPITAL CENTER RIDGE WESTLAKE, OHIO (440) ST VINCENT CHARITY HOSPITAL 2351 E 22ND ST CLEVELAND, OHIO (216) UHHS BEDFO MEDICAL CENTER 44 BLAINE AVE BEDFO, OHIO (440) UHHS RICHMOND HEIGHTS HOSPITAL CHAON CLEVELAND, OHIO (440) UNIVERSITY HOSPITALS OF CLEVELAND EUCLID AVE CLEVELAND, OHIO (216) DARKE WAYNE HOSPITAL 835 SWEITZER ST GREENVILLE, OHIO (937) DEFIANCE COMMUNITY MEMORIAL HOSPITAL 208 COLUMBUS ST HICKSVILLE, OHIO (419) DEFIANCE HOSPITAL,INC., 1200 RALSTON AVE DEFIANCE, OHIO (800) DEFIANCE HOSPITAL,INC., 1206 E 2ND ST DEFIANCE, OHIO (419) DELAWARE GRADY MEMORIAL HOSPITAL 561 W CENTRAL AVE DELAWARE, OHIO (740) Some hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the Ohio Health Choice network. 3

8 Hospital Listing By State/County ERIE FRMC SOUTH CAMPUS 1912 HAYES AVE SANDUSKY, OHIO (419) FAIRFIELD FAIRFIELD MEDICAL CENTER 401 N EWING ST LANCASTER, OHIO (740) FAIRFIELD MEDICAL CENTER 1231 E MAIN ST LANCASTER, OHIO (740) FAYETTE FAYETTE COUNTY MEMORIAL 1430 COLUMBUS AVE WASHINGTON COURT HOUSE, OHIO (740) FRANKLIN CHILDREN'S HOSPITAL 111 S GRANT AVE COLUMBUS, OHIO (614) CHILDREN'S HOSPITAL 5100 W BROAD ST COLUMBUS, OHIO (614) CHILDREN'S HOSPITAL 3535 OLENTANGY RIVER COLUMBUS, OHIO (614) CHILDREN'S HOSPITAL 700 CHILDRENS DR COLUMBUS, OHIO (614) DOCTORS HOSPITAL WEST 5100 W BROAD ST COLUMBUS, OHIO (614) GRANT MEDICAL CENTER 111 S GRANT AVE COLUMBUS, OHIO (614) JAMES CANCER HOSPITAL 1492 E BROAD ST COLUMBUS, OHIO (614) JAMES CANCER HOSPITAL 300 W 10TH AVE COLUMBUS, OHIO (614) KETTERING MEDICAL CENTER PO BOX COLUMBUS, OHIO (937) MOUNT CARMEL EAST HOSPITAL 6001 E BROAD ST COLUMBUS, OHIO (614) MOUNT CARMEL MEDICAL CENTER 750 MOUNT CARMEL MALL COLUMBUS, OHIO (614) MOUNT CARMEL MEDICAL CENTER 793 W STATE ST COLUMBUS, OHIO (614) OSU HOSPITALS EAST 1492 E BROAD ST COLUMBUS, OHIO (614) RIVERSIDE METHODIST HOSPITAL 3535 OLENTANGY RIVER COLUMBUS, OHIO (614) SELECT SPECIALTY HOSPITAL - COLUMBUS 1492 E BROAD ST COLUMBUS, OHIO (614) SELECT SPECIALTY HOSPITAL - COLUMBUS/ GRANT 793 W STATE ST 5TH FL COLUMBUS, OHIO (614) SELECT SPECIALTY HOSPITAL - COLUMBUS/ GRANT 111 S GRANT AVE 5TH FL COLUMBUS, OHIO (614) SELECT SPECIALTY HOSPITAL - COLUMBUS/ UNIVERS 410 W 10TH AVE COLUMBUS, OHIO (614) SELECT SPECIALTY HOSPITAL - COLUMBUS/ UNIVERS 3535 OLENTANGY RIVER 5 SOUTH COLUMBUS, OHIO (614) ST ANNS HOSPITAL 500 S CLEVELAND AVE WESTERVILLE, OHIO (614) THE OHIO STATE UNIVERSITY 410 W 10TH AVE COLUMBUS, OHIO (614) FULTON FULTON COUNTY HEALTH CENTER 725 S SHOOP AVE WAUSEON, OHIO (419) GALLIA HOLZER MEDICAL CENTER 100 JACKSON PIKE GALLIPOLIS, OHIO (740) GEAUGA LAKE HOSPITAL SYSTEMS 510 5TH AVE CHAON, OHIO (440) UHHS GEAUGA REGIONAL HOSPITAL RAVENNA CHAON, OHIO (440) UHHS HEATHER HILL SKILLED NURSING FACILITY BASS LAKE CHAON, OHIO (440) GREENE GREENE MEMORIAL HOSPITAL 1141 N MONROE DR XENIA, OHIO (937) GREENE MEMORIAL HOSPITAL 3371 KEMP DAYTON, OHIO (937) GUERNSEY S.E. OHIO REGIONAL MED CTR 1324 CLARK ST CAMBRIDGE, OHIO (740) HAMILTON BETHESDA NORTH HOSPITAL MONTGOMERY CINCINNATI, OHIO (513) CHILDRENS HOSP MED CENTER CINCINNATI, OHIO (513) CHRIST HOSPITAL CINCINNATI, OHIO CONVALESCENT HOSPITAL FOR CHILDREN CINCINNATI, OHIO (513) DEACONESS HOSPITAL/CINTI 311 STRAIGHT ST CINCINNATI, OHIO (513) DRAKE CENTER HOSPITAL 151 W GALBRAITH CINCINNATI, OHIO (513) GOOD SAMARITAN HOSPITAL 375 DIXMYTH AVE CINCINNATI, OHIO (513) JEWISH HOSPITAL - KENWOOD 4777 E GALBRAITH CINCINNATI, OHIO (513) MERCY FRAN MT AIRY 2446 KIPLING AVE CINCINNATI, OHIO (513) MERCY FRANSCISCAN HOSP WESTERN HILLS 3131 QUEEN CITY AVE CINCINNATI, OHIO (513) MERCY HOSPITAL ANDERSON 7500 STATE CINCINNATI, OHIO (513) SELECT SPECIALTY HOSPITAL - CINCINNATI, 375 DIXMYTH AVE CINCINNATI, OHIO (513) UNIVERSITY HOSP OF CINCINNATI CINCINNATI, OHIO HANCOCK BLANCHA VALLEY HOSPITAL 145 W WALLACE ST FINDLAY, OHIO (419) HAIN HAIN MEMORIAL HOSPITAL 921 E FRANKLIN ST KENTON, OHIO (419) HARRISON HARRISON COMMUNITY HOSPITAL 951 E MARKET ST CADIZ, OHIO (740) HENRY HENRY COUNTY HOSPITAL INC STATE ROUTE 424 NAPOLEON, OHIO (419) HIGHLAND GREENFIELD AREA MEDICAL CENTER 550 MIRABEAU ST GREENFIELD, OHIO (937) HIGHLAND DISTRICT HOSPITAL 1275 N HIGH ST HILLSBORO, OHIO (937) HIGHLAND DISTRICT HOSPITAL 203 N MAIN ST LYNCHBURG, OHIO (937) HOCKING HOCKING VALLEY HOSPITAL 601 STATE ROUTE 664 N LOGAN, OHIO (740) HOLMES JOEL POMERENE MEMORIAL HOSPITAL 981 WOOSTER MILLERSBURG, OHIO (330) HURON FISHER-TITUS MEDICAL CENTER 272 BENEDICT AVE NORWALK, OHIO (419) MERCY HOSPITAL WILLA 110 E HOWA ST WILLA, OHIO (419) JACKSON HOLZER MEDICAL CENTER JACKSON 500 BURLINGTON JACKSON, OHIO (740) OAK HILL COMMUNITY MEDICAL CENTER 350 CHARLOTTE AVE OAK HILL, OHIO (740) JEFFERSON TRINITY MEDICAL CENTER 4000 JOHNSON STEUBENVILLE, OHIO (740) TRINITY MEDICAL CENTER 380 SUMMIT AVE STEUBENVILLE, OHIO (740) KNOX KNOX COMMUNITY HOSPITAL 1330 COSHOCTON AVE MOUNT VERNON, OHIO (740) LAKE LAURELWOOD HOSPITAL EUCLID AVE WILLOUGHBY, OHIO (440) LICKING LICKING MEMORIAL HOSPITAL 1320 W MAIN ST NEWARK, OHIO (740) LOGAN MARY RUTAN HOSPITAL 205 E PALMER BELLEFONTAINE, OHIO (937) LORAIN ALLEN MEDICAL CENTER 200 W LORAIN ST OBERLIN, OHIO (440) AMHERST HOSPITAL 254 CLEVELAND AVE AMHERST, OHIO (440) COMMUNITY HEALTH PARTNERS 3700 KOLBE LORAIN, OHIO (440) COMMUNITY HEALTH PARTNERS SCHADDEN ELYRIA, OHIO (440) EMH REGIONAL MEDICAL CENTER 630 E RIVER ST ELYRIA, OHIO (440) SPECIALTY HOSP OF LORAIN 205 W 20TH ST #200 LORAIN, OHIO (614) Some hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the Ohio Health Choice network.

9 Hospital Listing By State/County LUCAS BAY PARK COMMUNITY HOSPITAL 2801 BAY PARK DR OREGON, OHIO (419) FLOWER HOSPITAL 5200 HARROUN SYLVANIA, OHIO (419) MERCY CHILDREN'S HOSPITAL 2222 CHERRY ST TOLEDO, OHIO (419) MERCY CHILDREN'S HOSPITAL 3170 W CENTRAL AVE TOLEDO, OHIO (419) ST ANNE MERCY HOSPITAL 3404 W SYLVANIA AVE TOLEDO, OHIO (419) ST CHARLES HOSPITAL 2600 NAVARRE AVE OREGON, OHIO (419) ST LUKE'S HOSPITAL 5901 MONCLOVA MAUMEE, OHIO (419) ST VINCENT MEDICAL CENTER 2213 CHERRY ST TOLEDO, OHIO (419) ST VINCENT MEDICAL CENTER 2409 CHERRY ST TOLEDO, OHIO (419) TOLEDO CHILDREN'S HOSPITAL 2142 N COVE BLVD TOLEDO, OHIO (419) TOLEDO HOSPITAL 2142 N COVE BLVD TOLEDO, OHIO (419) MADISON MADISON COUNTY HOSPITAL 210 N MAIN ST LONDON, OHIO (740) MAHONING BELMONT PINES HOSPITAL 615 CHURCHILL HUBBA YOUNGSTOWN, OHIO (330) MAHONING VALLEY HOSPITAL - YOUNGSTOWN CAMP 345 OAK HILL AVE # 210 YOUNGSTOWN, OHIO (614) NORTHSIDE MEDICAL CENTER 500 GYPSY LN YOUNGSTOWN, OHIO (330) SELECT SPECIALTY HOSPITAL - YOUNGSTOWN, 1044 BELMONT AVE YOUNGSTOWN, OHIO (330) ST ELIZABETH HEALTH CENTER 1041 BELMONT AVE YOUNGSTOWN, OHIO (330) ST ELIZABETH HEALTH CENTER 1044 BELMONT AVE YOUNGSTOWN, OHIO (330) TOD CHILDRENS HOSPITAL 500 GYPSY LN YOUNGSTOWN, OHIO (330) WOMAN & INFANTS PAVILION BEEGHLY MEDICAL PARK 6505 MARKET ST BLDG # B BOAMAN, OHIO (330) MARION MARION GENERAL HOSPITAL MCKINLEY PARK DR MARION, OHIO (740) MARION GENERAL HOSPITAL 278 BARKS W MARION, OHIO (740) MARION GENERAL HOSPITAL 1089 MOUNT VERNON AVE MARION, OHIO (740) MEDINA LODI COMMUNITY HOSPITAL 225 ELYRIA ST LODI, OHIO (330) MEDINA GENERAL HOSPITAL 1000 E WASHINGTON ST MEDINA, OHIO (330) WADSWORTH RITTMAN HOSPITAL 195 WADSWORTH WADSWORTH, OHIO (330) MERCER MERCER COUNTY HOSPITAL 800 W MAIN ST COLDWATER, OHIO (419) MIAMI UPPER VALLEY MEDICAL CENTER 3130 N COUNTY ROAD 25A TROY, OHIO (937) MONTGOMERY CHILDREN'S MEDICAL CENTER 1 CHILDRENS PLZ DAYTON, OHIO (937) GOOD SAMARITAN HOSPITAL & HEALTH CENTER 2222 PHILADELPHIA DR DAYTON, OHIO (937) KETTERING MEDICAL CENTER 3535 SOUTHERN BLVD DAYTON, OHIO (937) LIFECARE HOSPITALS OF DAYTON 2150 LEITER MIAMISBURG, OHIO (937) MIAMI VALLEY HOSPITAL 1 WYOMING ST DAYTON, OHIO (937) SOUTHVIEW (GRANDVIEW) HOSPITAL 405 W GRAND AVE DAYTON, OHIO (937) SOUTHVIEW HOSPITAL & FAMILY HEALTH CENTE 1997 MIAMISBURG CENTERVILLE DAYTON, OHIO (937) SYCAMORE HOSPITAL 2150 LEITER MIAMISBURG, OHIO (937) MORROW MORROW COUNTY HOSPITAL 651 W MARION MOUNT GILEAD, OHIO (419) MUSKINGUM GENESIS HEALTHCARE GSMC 800 FOREST AVE ZANESVILLE, OHIO (740) GENESIS HEALTHCARE SYSTEM 2951 MAPLE AVE ZANESVILLE, OHIO (740) SELECT SPECIALTY HOSPITAL - ZANESVILLE 800 FOREST AVE 6 FL ZANESVILLE, OHIO (740) OTTAWA H B MAGRUDER MEMORIAL HOSP 615 FULTON ST PORT CLINTON, OHIO (419) PAULDING PAULDING COUNTY HOSPITAL 1035 W WAYNE ST PAULDING, OHIO (419) PICKAWAY BERGER HOSPITAL 600 N PICKAWAY ST CIRCLEVILLE, OHIO (740) PIKE PIKE COUNTY HOSPITAL 100 DAWN LN WAVERLY, OHIO (740) PORTAGE ROBINSON MEMORIAL HOSPITAL 6847 N CHESTNUT ST RAVENNA, OHIO (330) RICHLAND MEDCENTRAL HEALTH SYSTEM 335 GLESSNER AVE MANSFIELD, OHIO (419) MEDCENTRAL HEALTH SYSTEM 20 MORRIS SHELBY, OHIO (419) SAMARITAN REGIONAL HEALTH CENTER 597 PARK AVE E MANSFIELD, OHIO (419) SCCI HOSPITAL - MANSFIELD 335 GLESSNER AVE 5TH FL MANSFIELD, OHIO (419) ROSS ADENA REGIONAL MEDICAL CENTER 272 HOSPITAL CHILLICOTHE, OHIO (740) SANDUSKY MEMORIAL HOSPITAL 715 S TAFT AVE FREMONT, OHIO (419) SCIOTO SOUTHERN OHIO MEDICAL CENTER TH ST PORTSMOUTH, OHIO (740) SOUTHERN OHIO MEDICAL CENTER 1248 KINNEYS LN PORTSMOUTH, OHIO (740) SENECA BELLEVUE HOSPITAL 811 NORTHWEST ST BELLEVUE, OHIO (419) FOSTORIA COMMUNITY HOSPITAL 501 VAN BUREN ST FOSTORIA, OHIO (419) MERCY HOSPITAL, TIFFIN 485 W MARKET ST TIFFIN, OHIO (419) SHELBY WILSON MEMORIAL HOSPITAL 915 MICHIGAN ST SIDNEY, OHIO (937) STARK ALLIANCE COMMUNITY HOSPITAL 264 E RICE ST ALLIANCE, OHIO (330) DOCTORS HOSPITAL OF STARK COUNTY 400 AUSTIN AVE NW MASSILLON, OHIO (330) MASSILLON COMMUNITY HOSPITAL 875 EIGHTH ST NE MASSILLON, OHIO (330) MERCY MEDICAL CENTER 1320 MERCY DR NW CANTON, OHIO (330) SELECT SPECIALTY HOSPITAL - NE OHIO INC 1320 MERCY DR NW CANTON, OHIO (330) SUMMIT AKRON CITY HOSPITAL 525 E MARKET ST AKRON, OHIO (330) AKRON GENERAL MEDICAL CENTER 400 WABASH AVE AKRON, OHIO (330) AKRON GENERAL MEDICAL CENTER 241 SPRINGSIDE DR AKRON, OHIO (330) BARBERTON CITIZENS HOSPITAL 155 5TH ST NE BARBERTON, OHIO (330) CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON 1 PERKINS SQ AKRON, OHIO (330) CUYAHOGA FALLS GENERAL HOSP ST CUYAHOGA FALLS, OHIO (330) EDWIN SHAW HOSPITAL/REHAB 1621 FLICKINGER AKRON, OHIO (330) SELECT SPECIALTY HOSPITAL - NE OHIO INC 525 E MARKET ST AKRON, OHIO (330) ST THOMAS HOSPITAL 444 N MAIN ST AKRON, OHIO (330) SUMMA HEALTH SYSTEM 525 E MARKET ST AKRON, OHIO (330) Some hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the Ohio Health Choice network. 5

10 Hospital Listing By State/County SUMMA HEALTH SYSTEM 444 N MAIN ST AKRON, OHIO (330) TRUMBULL BELMONT PINES HOSPITAL 1400 TOD AVE NW # 200 WARREN, OHIO (330) HILLSIDE REHABILITATION HOSPITAL 8747 SQUIRES LN N E WARREN, OHIO (330) ST JOSEPH HEALTH CENTER 667 EASTLAND AVE SE WARREN, OHIO (330) TRUMBULL MEMORIAL HOSPITAL 1350 E MARKET ST WARREN, OHIO (330) TUSCARAWAS TWIN CITY HOSPITAL 819 N 1ST ST DENNISON, OHIO (740) UNION HOSPITAL 659 BOULEVA ST DOVER, OHIO (330) UNION MEMORIAL HOSPITAL UNION COUNT 500 LONDON AVE MARYSVILLE, OHIO (937) VAN WERT VAN WERT COUNTY HOSPITAL 1250 S WASHINGTON ST VAN WERT, OHIO (419) WASHINGTON MARIETTA MEMORIAL HOSPITAL 401 MATTHEW ST MARIETTA, OHIO (740) WAYNE DUNLAP MEMORIAL HOSPITAL 832 S MAIN ST ORRVILLE, OHIO (330) WOOSTER COMMUNITY HOSPITAL 1761 BEALL AVE WOOSTER, OHIO (330) WILLIAMS COMMUNITY HOSP. OF WILLMS CTY 433 W HIGH ST BRYAN, OHIO (419) COMMUNITY HOSP. OF WILLMS CTY 909 E SNYDER AVE MONTPELIER, OHIO (419) WOOD WOOD COUNTY HOSPITAL 950 W WOOSTER ST BOWLING GREEN, OHIO (419) WYANDOT WYANDOT MEMORIAL HOSPITAL 885 N SANDUSKY AVE UPPER SANDUSKY, OHIO (419) PENNSYLVANIA ERIE HAMOT MEDICAL CENTER 201 STATE ST ERIE, PENNSYLVANIA (814) MERCER SHARON REGIONAL HEALTH SYSTEM 740 EAST STATE ST SHARON, PENNSYLVANIA (724) WEST VIRGINIA HANCOCK WEIRTON MEDICAL CENTER 601 COLLIERS WAY WEIRTON, WEST VIRGINIA (304) OHIO HILLCREST BEHAVIORAL SERVICES 111 PARK VIEW LN WHEELING, WEST VIRGINIA (304) HILLCREST BEHAVIORAL SERVICES 2000 EOFF ST WHEELING, WEST VIRGINIA (304) OHIO VALLEY MEDICAL CENTER 2000 EOFF ST WHEELING, WEST VIRGINIA (304) PETERSON REHABILITATION HOSPITAL & GERIA 1 HOMESTEAD AVE WHEELING, WEST VIRGINIA (304) WOOD CAEN CLARK MEMORIAL HOSPITAL 800 GARFIELD AVE PARKERSBURG, WEST VIRGINIA (304) Some hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the Ohio Health Choice network.

11 Ancillary Services DEARBORN INDIANA DEARBORN LAWRENCEBURG HOME HEALTH CARE DEARBORN COUNTY HOSPITAL HOME HEALTH 370 BIELBY (812) HOSPICE DEARBORN COUNTY HOSPITAL HOSPICE 370 BIELBY (812) ORTHOTICS AND PROSTHETICS THE BRACE SHOP PROSTHETIC ORTH 62 DOUGHTY (888) RADIOLOGY CENTER DEARBORN COUNTY HOSPITAL BRIGHT MEDICAL PROFESSIONAL PARK DR (812) RIVERHILLS HEALTHCARE INC 606 WILSON CREEK # 210 (812) WAYNE RICHMOND HOME HEALTH CARE AMERICAN NURSING CARE INC 1200 CHESTER BLVD (765) LABORATORY LABCORP 2023 CHESTER (765) KENTUCKY BOONE FLORENCE ANESTHESIOLOGY COMPREHENSIVE ANESTHESIA, PSC, INC US HIGHWAY 42 (859) HEALTH CENTER OCCNET CLINICS 7623 DIXIE HWY (606) HOME HEALTH CARE AMERICAN NURSING CARE INC 7900 TANNERS GATE LN # 100 (800) LABORATORY LABCORP 8160 MALL (859) LABONE OF OHIO INC 7380 TURFWAY LOBBY LEVEL (859) QUEST DIAGNOSTICS INC 6905 BURLINGTON PIKE # A (859) ORTHOTICS AND PROSTHETICS PROSTHETICS & ORTHOTICS OF CINCINNATI 7541 MALL (859) PHYSICAL AND OCCUPATIONAL THERAPY NOVACARE OUTPATIENT REHABILITATION 7570 US HIGHWAY 42 (859) OCCNET DIXIE PHYSICAL THERAPY & REHAB 7623 DIXIE HWY (859) RADIOLOGY RADIOLOGY ASSOCIATES OF NO. KENTUCKY 7380 TURFWAY (859) URGENT CARE CENTER ST LUKE PEDIATRIC CENTER 7380 TURFWAY (859) CAMPBELL ALEXANDRIA RADIOLOGY CENTER KENTUCKY DIAGNOSTIC CENTER 7200 ALEXANDRIA PIKE (859) BELLEVUE HEALTH CENTER OCCNET CLINICS 103 LANDMARK DR # 200 (859) URGENT CARE CENTER ST LUKE PEDIATRIC CENTER 103 LANDMARK DR # 360 (859) FORT THOMAS ANESTHESIOLOGY COMPREHENSIVE ANESTHESIA, PSC, INC. 85 N GRAND AVE (859) HEALTH CENTER OCCNET CLINICS 85 N GRAND AVE (859) LABORATORY LABONE OF OHIO INC 85 NORTH GRAND AVE 1ST FL (859) RADIOLOGY RADIOLOGY ASSOCIATES OF NO. KENTUCKY 85 N GRAND AVE (859) NEWPORT ANESTHESIOLOGY COMPREHENSIVE ANESTHESIA, PSC, INC. 601 WASHINGTON AVE # 390 (859) PHYSICAL AND OCCUPATIONAL THERAPY NOVACARE OUTPATIENT REHABILITATION 1018 TOWN DR # 200 (859) KENTON COVINGTON EMERGENCY MEDICINE MILLS, SHERMAN, GILLIAM & GOODWIN PSC (859) HOME HEALTH CARE ST ELIZABETH HOME CARE PROGRAM (859) HOSPICE ST ELIZABETH HOSPICE PROGRAM (859) RADIOLOGY RADIOLOGY ASSOCIATES OF NO. KENTUCKY (606) CRESTVIEW LABORATORY LABONE OF OHIO INC 320 THOMAS MORE PKWY (859) ERLANGER HEALTH CENTER OCCNET CLINICS 1825 AIRPORT EXCHANGE BLVD # 100 (606) LABORATORY LABCORP 3104 DIXIE HWY # 10 (606) FT MITCHELL HOME HEALTH CARE INTERIM HEALTHCARE 3035 DIXIE HWY # 107 (606) LABORATORY LABCORP 375 THOMAS MORE PKWY (606) QUEST DIAGNOSTICS INC 225 THOMAS MORE PKWY (606) ORTHOTICS AND PROSTHETICS THE BRACE SHOP PROSTHETIC ORTH 375 THOMAS MORE PKWY # 106 (888) PHYSICAL AND OCCUPATIONAL THERAPY HEALTHSOUTH 328 THOMAS MORE PKWY (606) NOVACARE OUTPATIENT REHABILITATION 340 THOMAS MORE PKWY # 220 (606) ORTHOPAEDIC REHABILITATION THERAPY 350 THOMAS MORE PKWY (606) RADIOLOGY RADIOLOGY ASSOCIATES OF NO. KENTUCKY (606) RADIOLOGY CENTER KENTUCKY DIAGNOSTIC CENTER 2904 FOLTZ DR (606) RIVERHILLS HEALTHCARE INC 330 THOMAS MORE PKWY (513) SURGICAL CENTER TRI-STATE DIGEST CENTER 196 BARNWOOD DR (606) OHIO BROWN GEORGETOWN RADIOLOGY CENTER PROFESSIONAL READERS GROUP, INC 425 HOME ST (937) RIPLEY SKILLED NURSING FACILITY OHIO VALLEY MANOR 5280 STATE ROUTES (937) SAINIA PHYSICAL AND OCCUPATIONAL THERAPY MERCY HEALTH PARTNERS SAINIA CENTER 7109 BACHMAN (937) BUTLER CINCINNATI PHYSICAL AND OCCUPATIONAL THERAPY HOWELL REHAB CENTER, THE 8748 UNION CENTRE BLVD (513) FAIRFIELD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY PATHOLOGISTS INC 3000 MACK (513) ANESTHESIOLOGY HAMILTON ANESTHESIA ASSOCIATES INC 5331 S GILMORE # A (513) HEALTH CENTER CHILDREN'S OUTPATIENT FAIRFIELD 3050 MACK (513) MERCY HEALTH SOLUTIONS (FAIRFIELD) 6120 S GILMORE # 213 (513) LABORATORY COMPUNET CLINICAL LABORATORIES 1180 NILES # 2 (513) FAIRFIELD CAIAC CATH LAB LLC 3000 MACK # 100 (513) LABCORP 780 NILLES UNIT B (513) LABONE OF OHIO INC 5130 PLEASANT AVE (513) ORTHOTICS AND PROSTHETICS THE BRACE SHOP PROSTHETIC ORTH 5088 SANDY LN (513) PHYSICAL AND OCCUPATIONAL THERAPY OXFO PHYSICAL THERAPY & REHABILITATION 3787 WOODRIDGE BLVD (513) PETER A. TOWNE PHYSICAL THERAPY, INC 447 NILLES # 10 (513) RADIOLOGY CENTER BETHESDA FAIRFIELD DIAGNOSTIC CENTER 2336 MACK (513) RIVERHILLS HEALTHCARE INC 2960 MACK # 205 (513) REHABILITATION MERCY HEALTH & WELLNESS CTR - FAIRFIELD 3050 MACK (513) SKILLED NURSING FACILITY COMMUNITY MULTICARE 908 SYMMES (513) MANORCARE HEALTH SERVICES - WOODRIDGE 3801 WOODRIDGE BLVD (513) List Subject To Change - 7

12 BUTLER Ancillary Services SURGICAL CENTER MERCY AMBULATORY CENTER 2990 MACK (513) TRI-STATE ENDOSCOPY CENTER 2990 MACK # 203 (513) HAMILTON ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY FT HAMILTON PATHOLOGY INC 630 EATON AVE (513) MIDDLETOWN DIAGNOSTIC SERVICES, INC 3145 HAMILTON-MASON (513) PATHOLOGISTS INC 100 RIVERFRONT PLZ (513) ANESTHESIOLOGY HAMILTON ANESTHESIA ASSOCIATES INC 630 EATON AVE (513) EMERGENCY MEDICINE EMERGENCY ASSOCIATES 630 EATON AVE (513) HOME HEALTH CARE INTERIM HEALTHCARE 226 PARK AVE (513) HOSPITALIST/HOSPITAL-BASED HOSPITALIST SERVICES MEDICAL GROUP OF HA 630 EATON AVE (513) LABORATORY COMPUNET CLINICAL LABORATORIES 860 NW WASHINGTON BLVD # B (513) LABONE OF OHIO INC 1010 CEREAL AVE (513) PHYSICAL AND OCCUPATIONAL THERAPY PETER A. TOWNE PHYSICAL THERAPY, INC 1390 EATON AVE (513) RADIOLOGY CENTER BUTLER COUNTY IMAGING CENTER 3125 HAMILTON MASON (513) PROFESSIONAL RADIOLOGY INC 630 EATON AVE (513) PROFESSIONAL READERS GROUP, INC 930 NW WASHINGTON BLVD # D (513) SKILLED NURSING FACILITY BERKELEY SQUARE RETIREMENT CENTER 100 BERKLEY DR (513) GLEN MEADOWS 2472 HMILTON MERCY FRANCISCAN AT SCHRODER 1302 MILLVILLE AVE (513) RESIDENCE AT HUNTINGTON COURT 350 HANCOCK AVE WELLINGTON MANOR OF BUTLER COUNTY 2923 HAMILTON-MASON SURGICAL CENTER BUTLER COUNTY CENTER LLC 3125 HAMILTON MASON (513) MIDDLETOWN ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY MIDDLETOWN DIAGNOSTIC SERVICES, INC 105 MCKNIGHT DR (513) ANESTHESIOLOGY MIDDLETOWN ANESTHESIA CONSULTANTS INC 105 MCKNIGHT DR (513) EMERGENCY MEDICINE MIDDLETOWN ACUTE CARE SPECIALISTS, INC 105 MCKNIGHT DR (513) HOME HEALTH CARE CAREVIEW HOME HEALTH 4214 GRAND AVE (513) LABORATORY COMPUNET CLINICAL LABORATORIES 1010 SUMMITT DR (513) ORTHOTICS AND PROSTHETICS ORPRO PROSTHETICS & ORTHOTICS 1051 SUMMIT DR (513) RADIOLOGY KETTERING RADIOLOGISTS,INC. 214 THORNHILL LN (800) RADIOLOGY CENTER MEDSCAN OPEN MRI 625 S BREIEL BLVD (513) MIDDLETOWN RADIOLOGIC ASSOC. 105 MCKNIGHT DR (513) MIDDLETOWN REGIONAL HOSPITAL IMAGING CEN 4216 GRAND AVE (513) SKILLED NURSING FACILITY GAEN MANOR EXTENDED CARE 6898 HAMILTON-MIDDLETOWN RESIDENCE AT KENSINGTON PLACE 751 KENSINGTON ST SURGICAL CENTER MIDDLETOWN ENDOSCOPY ASC LLC 257 S BREIEL BLVD (513) SOUTHWEST OHIO AMBULATORY CENTER 295 N BREIEL BLVD (513) URGENT CARE CENTER LIBERTY URGENT CARE 7117 DUTCHLAND PKWY (513) MONROE PHYSICAL AND OCCUPATIONAL THERAPY PETER A. TOWNE PHYSICAL THERAPY, INC 30 OVERBROOK DR # B (513) SKILLED NURSING FACILITY MOUNT PLEASANT VILLAGE 225 BRITTON LN (513) OXFO EMERGENCY MEDICINE TALAWANDA EMERGENCY PHYSICIANS 110 N POPLAR ST (614) PHYSICAL AND OCCUPATIONAL THERAPY OXFO PHYSICAL THERAPY & REHABILITATION 10 N LOCUST ST (513) RADIOLOGY OXFO RADIOLOGY INC 110 N POPLAR ST (513) RADIOLOGY CENTER RIVERHILLS HEALTHCARE INC 5235 MORNING SUN (513) SKILLED NURSING FACILITY MATRIX OF OXFO VIEW 6099 FAIRFIELD (513) WEST CHESTER LABORATORY LABONE OF OHIO INC 7700 UNIVERSITY COURT # 1900 (513) PHYSICAL AND OCCUPATIONAL THERAPY ABC PEDIATRIC THERAPY NETWORK 9898 WINDISCH (513) NOVACARE OUTPATIENT REHABILITATION 7236 TOWNE CENTRE DR (513) ORTHOPAEDIC & SPINE REHAB OF CINCINNATI 9363 ALLEN (513) PETER A. TOWNE PHYSICAL THERAPY, INC 7665 MONARCH CT # 109 (513) PHYSIOTHERAPY ASSOCIATES INC 7109 HAMILTON MASON (901) SPORTS THERAPY INC 7844 KINGLAND DR (513) RADIOLOGY CENTER PROSCAN IMAGING TYLERSVILLE 7307 TYLERS CORENER DR (513) UNIVERSITY POINTE IMAGING CENTER 7700 UNIVERSITY CT # 1800 (513) REHABILITATION MERCY HLTH CTR AT WETHERINGTON 7593 TYLERS PL BLVD (513) CHAMPAIGN URBANA ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY CLARK CHAMPAIGN PATHOLOGISTS INC 904 SCIOTO ST (937) HOSPITALIST/HOSPITAL-BASED HOSPITALIST SERVICES MEDICAL GROUP OF SP 904 SCIOTO ST ( ) - MENTAL HEALTH SERVICES MERCY REACH 904 SCIOTO ST (937) PHYSICAL AND OCCUPATIONAL THERAPY URBANA PHYSICAL THERAPY 848 SCIOTO ST (937) RADIOLOGY DIAGNOSTIC IMAGING ASSOC OF OHIO INC 904 SCIOTO ST (937) SKILLED NURSING FACILITY MERCY MCAULEY CENTER 906 SCIOTO ST (937) CLARK SPRINGFIELD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY CLARK CHAMPAIGN PATHOLOGISTS INC 1343 N FOUNTAIN BLVD (937) SPRINGFIELD PATHOLOGY ASSOC INC 2615 E HIGH ST (937) ANESTHESIOLOGY ASSOCIATED ANESTHESIOLOGISTS 2615 E HIGH ST (937) DURABLE MEDICAL EQUIPMENT MERCY HOME MEDICAL EQUIPMENT (SPRINGFIEL 1702 N LIMESTONE ST (937) HEALTH CENTER COMMUNITY HEALTH CARE CENTER 1 E PLEASANT ST (937) HOME HEALTH CARE AMERICAN NURSING CARE INC 1613 E MAIN ST (800) COMMUNITY HOME CARE SERVICES 530 S BURNETT (937) MERCY HOME CARE - URBANA/ SPRINGFIELD 2600 N LIMESTONE ST (937) HOSPICE MERCY HOSPICE (SPRINGFIELD/URBANA) 2600 N LIMESTONE ST (937) HOSPITALIST/HOSPITAL-BASED HOSPITALIST SERVICES MEDICAL GROUP OF CL 2615 E HIGH ST (937) HOSPITALIST SERVICES MEDICAL GROUP OF SP 1343 N FOUNTAIN BLVD (937) LABORATORY COMPUNET CLINICAL LABORATORIES 2100 E HIGH ST (937) LABCORP 111 N PLUM ST # 2 (216) MENTAL HEALTH SERVICES MERCY REACH 1343 N FOUNTAIN BLVD (937) ORTHOTICS AND PROSTHETICS ORPRO PROSTHETICS & ORTHOTICS 1084 N BELMONT AVE (937) TRI-STATE ORTHOTIC SYSTEMS INC N BELMONT AVE (937) PHYSICAL AND OCCUPATIONAL THERAPY SPRINGFIELD HAND REHAB VILLA (937) List Subject To Change -

13 Ancillary Services CLARK SPRINGFIELD PHYSICAL THERAPY 2221 GRUBE ST (937) THERACARE PHYSICAL THERAPY 1219 W FIRST ST (937) RADIOLOGY DIAGNOSTIC IMAGING ASSOC OF OHIO INC 1343 N FOUNTAIN BLVD (937) SPRINGFIELD MEDICAL IMAGING 2615 E HIGH ST (937) RADIOLOGY CENTER COMMUNITY PHYSICIANS OPEN MRI, LLC 2200 N LIMESTONE ST # 114 (937) CRYSTAL CLEAR IMAGING LTD 2100 EMMANUEL WAY (937) SPRINGFIELD REGIONAL CANCER CENTER 148 W NORTH ST (937) THE COMMUNITY HOSPITAL MAMMOGRAPHY CENTER 346 S BURNETT (937) REHABILITATION CENTER FOR REHABILITATION & SPORTS MEDICINE 215 OLYMPIC ST (937) COMMUNITY HOSPITAL CORONARY PREVENTION & REHAB CEN 1911 E HIGH ST (937) EXCEL SPORTS MEDICINE CENTER 362 S BURNETT (937) MERCY REHABILITATION CENTER (SPRINGFIELD 2600 N LIMESTONE ST (937) THE COMMUNITY HOSPITAL ACUTE REHAB UNIT 2615 E HIGH ST (937) SKILLED NURSING FACILITY COMMUNITY HOSPITAL SKILLED NURSING UNIT 2615 E HIGH ST (937) ESSEX OF SPRINGFIELD 2317 E HOME (937) IOOF HOME OF OHIO 404 E MCDREIGHT AVE (937) MERCY CONTINUING CARE UNIT 1343 N FOUNTAIN BLVD (937) MERCY ST JOHNS CENTER 100 W MCCREIGHT AVE (937) OAKWOOD VILLAGE HEALTH CENTER 1500 VILLA (937) SOUTHBROOK CARE CENTER /2 SEMINOLE AVE (937) SURGICAL CENTER MERCY CENTER 2610 N LIMESTONE ST (937) URGENT CARE CENTER COMMUNITY URGENT CARE, INC 2555 CREEKWOOD CT (937) KIEFER MERCY HEALTH CENTER 501 WITTENBERG AVE (937) MERCY NORTHSIDE URGENT CARE 1200 E HOME (937) CLERMONT BATAVIA ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC 3000 HOSPITAL DR (513) EMERGENCY MEDICINE QUALIFIED EMERG SPECIALISTS 3000 HOSPITAL DR (513) MENTAL HEALTH SERVICES MERCY ADOLESCENT CENTER 3000 HOSPITAL DR 3 FL (513) PHYSICAL AND OCCUPATIONAL THERAPY CENTER FOR PHYSICAL THERAPY INC 1090 HOSPITAL DR (513) SKILLED NURSING FACILITY BATAVIA NURSING & CONVALESCENT INN 4000 GOLDEN AGE DR BRANCH HILL SKILLED NURSING FACILITY LODGE CARE CENTER 9370 UNION CEMETARY (513) CINCINNATI ANESTHESIOLOGY COMPREHENSIVE ANESTHESIA, PSC, INC EASTGATE BLVD # 305 (859) HEALTH CENTER CHILDREN'S OUTPATIENT EAST 796 CINCINNATI BATAVIA PIKE (513) PHYSICAL AND OCCUPATIONAL THERAPY NOVACARE OUTPATIENT REHABILITATION 4358 FERGUSON DR # 200 (513) SPECTRUM REHABILITATION SERVICE OF THE C 811 EASTGATE DRIVE S (513) RADIOLOGY CENTER PROSCAN OPEN MRI EAST LTD 4440 GLEN ESTE- WITHAMSVILLE (513) REHABILITATION MERCY REHABILITATION CENTER (CINCINNATI) 4440 GLEN E# WITHAMSVILLE (513) SKILLED NURSING FACILITY EASTGATE HEALTHCARE CENTER 4400 GLEN ESTE-WITHAMSVILLE SURGICAL CENTER NOVAMED EYE CENTER OF CINCINNATI 4452 EASTGATE BLVD # 305 (513) URGENT CARE CENTER MERCY MEDI-CENTER, EASTGATE 796 CINCINNATI BATAVIA PIKE (513) LOVELAND SKILLED NURSING FACILITY LOVELAND HEALTHCARE CENTER 501 N SECOND ST (513) MILFO HOME HEALTH CARE AMERICAN NURSING CARE INC 300 TECHNECTR DR # C (800) LABORATORY LABCORP 83 POWHATTON DR (513) PHYSICAL AND OCCUPATIONAL THERAPY COMPREHENSIVE PHYSICAL THERAPY CTR INC 970 LILA AVE (513) RADIOLOGY CENTER MIDWEST ULTRASOUND INC 50 W TECHNE CENTER DR (513) MILFO MEDICAL IMAGING 201 OLD BANK # 101 (513) PROFESSIONAL READERS GROUP, INC 50 W TECHNE CENTER DR (513) SKILLED NURSING FACILITY ARBORS AT MILFO 5900 MEADOWCREEK DR (513) CLERMONT NURSING & CONVALESCENT CENTER 934 STATE ROUTE 28 (513) URGENT CARE CENTER DOCTORS URGENT CARE 935 STATE ROUTE 28 (513) CLINTON WILMINGTON ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY SOUTHWESTERN PATHOLOGISTS 610 W MAIN ST (937) EMERGENCY MEDICINE PROFESSIONAL EMERGENCY SPECIALISTS OF SO 610 W MAIN ST (937) SURGICAL CENTER CLINTON COUNTY OUTPATIENT INC 1150 W LOCUST ST # 200 (937) URGENT CARE CENTER WILMINGTON U/C AT CMH AFTER 2241 ROMACH AVE (937) DARKE GREENVILLE ANESTHESIOLOGY CONSULTANTS IN ANESTHESIOLOGY INC 835 SWEITZER ST (937) REIER ANESTHESIA ASSOCIATES INC 835 SWEITZER ST (937) DURABLE MEDICAL EQUIPMENT PAMELAS INTIMATE APPAREL 519 S BROADWAY (937) SKILLED NURSING FACILITY BRETHEREN RETIREMENT COMMUNITY 750 CHESTNUT ST HEARTLAND OF GREENVILLE 243 MARION DR (937) THE BRETHERAN RETIREMENT COMMUNITY 750 CHESTNUT ST (937) VERSAILLES DURABLE MEDICAL EQUIPMENT KAUP PHARMACY 42 W MAIN ST (937) LABORATORY VERSAILLES CENTER 471 MARKER (937) GREENE BEAVER CREEK LABORATORY COMPUNET CLINICAL LABORATORIES 2145 N FAIRFIELD # F (937) BELLBROOK LABORATORY COMPUNET CLINICAL LABORATORIES 4403 STATE ROUTE 725 # E (937) PHYSICAL AND OCCUPATIONAL THERAPY BIO ENHANCEMENT PHYSICAL THERAPY INC 155 W FRANKLIN ST (937) SKILLED NURSING FACILITY BELLBROOK REHAB AND HEALTHCARE CENTER 1957 N LAKEMAN DR DAYTON LABORATORY LABCORP 3291 E PATTERSON (937) PHYSICAL AND OCCUPATIONAL THERAPY PHYSIOTHERAPY ASSOCIATES INC 2655 COMMONS BLVD # 120 (937) ROBERT M FRANK INC 1320 WOODMAN DR (937) RADIOLOGY PREMIER RADIOLOGY GROUP, INC 2145 N FAIRFIELD # A (937) RADIOLOGY CENTER BEAVERCREEK MRI DIAGNOSTIC LTD 3371 KEMP (937) MVH MEDICAL IMAGING - BEAVERCREEK 1244 MEADOW BRIDGE DR (937) SKILLED NURSING FACILITY CRESTVIEW MANOR 4381 TONAWANDA TRAIL (937) OAK CREEK TERRACE 2316 SPRINGMILL (937) SURGICAL CENTER BEAVERCREEK CENTER 3359 KEMP (937) DAYTON EYE CENTER 81 SYLVANIA DR (937) List Subject To Change - 9

14 GREENE Ancillary Services DIGESTIVECARE ENDOSCOPY UNIT 75 SYLVANIA DR (937) URGENT CARE CENTER GREENE MEMORIAL HOSPITAL URGENT CARE 3371 KEMP (937) FAIRBORN URGENT CARE CENTER DOCTORS URGENT CARE 2131 GATEWAY DR (937) JAMESTOWN SKILLED NURSING FACILITY LIBERTY NURSING CENTER OF JAMESTOWN 4960 US 35 EAST (937) XENIA ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY SOUTHWESTERN PATHOLOGISTS 382 N DETROIT ST (937) EMERGENCY MEDICINE GREENE EMERGENCY MEDICAL SERVICES 1141 N MONROE DR (937) HEALTH CENTER GMH WORK PLUS 1141 N MONROE DR (937) HOSPITALIST/HOSPITAL-BASED GREENE HEALTH NETWORK 1141 N MONROE DR (937) LABORATORY COMPUNET CLINICAL LABORATORIES 1237 N MONROE DR # 201 (937) PHYSICAL AND OCCUPATIONAL THERAPY HANEY & TURNER PHYSICAL THERAPY ASSOC. 36 KINSEY (937) HEALTHSOUTH 36 KINSEY (937) RADIOLOGY DIAGNOSTIC IMAGING ASSOC OF OHIO INC 1141 N MONROE DR (937) SKILLED NURSING FACILITY LIBERTY NURSING CENTER OF XENIA 126 WILSON DR (937) HAMILTON ANDERSON SKILLED NURSING FACILITY MOUNT WASHINGTON CARE CENTER 6990 BEECHMONT AVE (513) BEVIS RADIOLOGY CENTER WESTSIDE MEDICAL IMAGING 5819 CHEVIOT (513) BRIDGETOWN SKILLED NURSING FACILITY MATRIX HEALTHCARE OF WESTWOOD 2171 HARRISON AVE (513) CAMP WASHINGTON HOME HEALTH CARE MCH SERVICES INC 2721 CENTRAL PKY # D (513) CINCINATI HOSPITALIST/HOSPITAL-BASED CHILDREN'S HOSPITAL MEDICAL CENTER - RAD (513) CINCINNATI ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY MEDICAL LABORATORY CONSULTANTS, INC 4777 E GALBRAITH (513) PATHOLOGY CONSULTANTS 2446 KIPLING AVE (513) ANESTHESIOLOGY CAIAC ANESTHESIA ASSOC. OF ZANESVILLE SPRINGFIELD PIKE (513) CHILDREN'S MEDICAL SERVICES INC (513) COMPREHENSIVE ANESTHESIA, PSC, INC WINSLOW AVE # 203 (859) MERCY ANESTHESIOLOGISTS,INC SPRINGFIELD PIKE (513) QUEEN CITY ANESTHESIOLOGISTS, INC 3131 QUEEN CITY AVE (513) DURABLE MEDICAL EQUIPMENT AMERIMED, INC INTERNATIONAL BLVD (800) APRIA HEALTHCARE 2327 CROWNE POINT DR (513) MERCY HOME MEDICAL EQUIPMENT 5520 CHEVIOT (513) EMERGENCY MEDICINE CHILDREN'S HOSPITAL MEDICAL CENTER - EME (513) PROF ER PHYS OF CINCINNATI MONTGOMERY (513) QUALIFIED EMERG SPECIALISTS MONTGOMERY (513) HEALTH CENTER JEWISH HOSPITAL - EVENDALE READING (513) MERCY FRANCISCAN AMB CARE CTR WESTERN HI 3131 QUEEN CITY AVE (513) OCCNET CLINICS 2123 AUBURN AVE (513) OCCNET UNIVERSITY MEDICAL CENTER 222 PIEDMONT AVE # 3400 (513) TRI HEALTH FITNESS & HEALTH PAVILION 6200 PFEIFFER (513) HOME HEALTH CARE ABILITIES IN MOTION 5701 CHEVIOT (513) AMERICAN NURSING CARE INC INTERNATIONAL BLVD (800) DEACONESS HOME HEALTH CARE 311 STRAIGHT ST (800) INTERIM HEALTHCARE 8050 HOSBROOK # 406 (800) MERCY HOME CARE 4370 GLENDALE MILFO (513) HOME INFUSION CARE CHARTWELL CARE GIVERS, INC KENWOOD (513) CORAM ALTERNATE SITE SERVICES, INC. 53 CIRCLE FREEWAY DR (513) INFUSION PARTNERS INC 4623 WESLEY AVE # H (513) INTEGRITY HEALTHCARE SERVICES, INC WESLEY AVE # K (513) HOSPICE HOSPICE OF CINCINNATI, INC COOPER (513) VITAS HEALTHCARE CORPORATION OF OHIO 1132 W KEMPER (513) HOSPITALIST/HOSPITAL-BASED CHILDREN'S HOSPITAL MEDICAL CENTER - ANE (513) CHILDREN'S HOSPITAL MEDICAL CENTER - PAT (513) HOSPITALIST SERVICE MEDICAL GROUP OF ANDERSON TOWN 7500 STATE (513) HOSPITALISTS OF MT AUBURN # 6162 (513) KENWOOD HOSPITALIST, LLC 4777 E GALBRAITH (513) MERCY FRANCISCAN UC FAMILY PRACTICE CEN 2446 KIPLING AVE (513) LABORATORY BETHESDA NORTH LABORATORY MONTGOMERY (513) BETHESDA OAK LABORATORY 619 OAK ST (513) BN NORTHEAST CAIAC CENTER LLC MONTGOMERY (513) GOOD SAMARITAN HOSPITAL- LABORATORY 6350 CHEVIOT # 2 (513) LABCORP 3301 WESTBOURNE DR # 105 (513) LABONE OF OHIO INC 4750 GALBRAITH # B (513) QUEST DIAGNOSTICS INC ALLIANCE (800) MENTAL HEALTH SERVICES CHRIST HOSP OUTPT BEHAVIORAL HEALTH SERV 2223 AUBURN AVE (513) MERCY FRANCISCAN BEHAVIORAL HEALTH SERVI 2446 KIPLING AVE (513) ORTHOTICS AND PROSTHETICS CENTRAL ORTHOPEDIC PROSTHETIC 2031 AUBURN AVE (513) FELDMAN ORTHOPEDICS INC 1020 DELTA AVE (513) HANGER PROSTHETICS & ORTHOTICS INC 2031 AUBURN AVE (513) J.F. ROWLEY P. & O. LABS 2729 VINE ST (513) PROSTHETICS & ORTHOTICS OF CINCINNATI 431 OHIO PIKE # 108 (513) THE BRACE SHOP PROSTHETIC ORTH MILE # 303 (513) PHYSICAL AND OCCUPATIONAL THERAPY BETHESDA WINSLOW PHYSICAL THERAPY 2800 WINSLOW AVE # 215 (513) BETHESDA WORK CAPACITY CENTERS KENWOOD (513) BLAKE & ASSOCIATES PHYSICAL THERAPY INC 3502 BOUDINOT AVE (513) BRYANT PHYSICAL THERAPY ASSOC MONTGOMERY # 32 (513) CENTER FOR PHYSICAL THERAPY INC 431 OHIO PIKE # 108 (513) CENTERS FOR FOOT & ANKLE CARE LLC 2859 BOUDINOT AVE # 205 (513) COMPREHENSIVE PHYSICAL THERAPY CTR INC 2727 MADISON # 301 (513) EDELSTEIN PHYSICAL THERAPY GRANDSTONE LN (513) GOOD SAMARITAN HOSPITAL-PHYSICAL THERAPY 5575 CHEVIOT (513) GUENTHNER PHYSICAL THERAPY INC 6379 BRIDGETOWN (513) HEALTHSOUTH 311 STRAIGHT ST (513) HOWELL REHAB CENTER, THE 7770 BEACHMONT AVE (513) MERCY FRANCISCAN PHYSICAL THERAPY & SPOR 2446 KIPLING AVE (513) MERCY FRANCISCAN WORKPLACE HEALTH 3131 QUEEN CITY AVE (513) NOVACARE OUTPATIENT REHABILITATION 2060 READING # 130 (513) ORTHOPAEDIC PHYSICAL THERAPY & ASSOCIATE MONTGOMERY # 700 (513) ORTHOPAEDIC REHABILITATION THERAPY 250 WILLIAM HOWA TAFT # 218 (513) OXFO PHYSICAL THERAPY & REHABILITATION 9469 KENWOOD (513) List Subject To Change -

15 Ancillary Services HAMILTON PHYSICAL THERAPY OPTIONS 420 SPRINGFIELD PIKE # D (513) PHYSIOTHERAPY ASSOCIATES INC 4760 RED BANK (513) SPECTRUM REHABILITATION SERVICE OF THE C 9250 BLUE ASH (513) SPINE ORTHOPAEDIC & SPORTS PHYSICAL THER 330 STRAIGHT ST # 411 (513) SPORTS THERAPY INC 6881 CHEVIOT (513) THE THERAPY SOURCE INC 6566 GLENWAY AVE (513) WELLINGTON ORTHOPAEDIC/SPORTS MEDICINE P 4701 CREEK #110 (513) RADIOLOGY ANDERSON RADIOLOGY ASSOCIATES 7500 STATE (513) CT AT MIDTOWN LLC 5400 KENNEDY AVE (513) HEHMAN & BRAMLAGE M.D.'S INC READING # 170 (513) MEDICAL XRAY INC 375 DIXMYTH AVE (513) NORTHEAST RADIOLOGY INC MONTGOMERY (513) QUEEN CITY RADIOLOGISTS 3131 QUEEN CITY AVE (513) UNIVERSITY DIAGNOSTIC SERVICES LLC 305 CRESENT AVE (513) RADIOLOGY CENTER ANDERSON MEDICAL ARTS BLDG MILE # 105 (513) CHRIST HOSPITAL BREAST CENTER, THE 2123 AUBURN AVE (513) CINCINNATI MEDICAL IMAGING 8154 MONTGOMERY # 102 (513) CINCINNATI PET SCAN 7730 MONTGOMERY # 120 (513) GLENWAY IMAGING INC 6350 GLENWAY AVE # 102 (513) GOOD SAMARITAN HOSPITAL-RADIOLOGY 5571 CHEVIOT (513) HEALTHSOUTH DIAGNOSTIC CENTER OF LYNDHUR MONTGOMERY # 300 (513) INTERCOMMUNITY CANCER CENTER 2452 KIPLING AVE (513) MEDICAL IMAGING MILE (513) MEDICENTER NORTH DIAGNOSTICS MONTGOMERY (513) MEDI-CENTER OPEN MRI MONTGOMERY (513) MERCY FRANCISCAN BREAST CENTER - WESTERN 2841 BOUDINOT AVE # 302 (513) MERCY FRANCISCAN BREAST CENTER MT AIRY 2446 KIPLING AVE (513) OPEN MRI OF CINCINNATI 2100 SHERMAN AVE # 125 (513) OPENSIDED MRI OF CINCINNATI, LLC 2060 READING # 170 (513) PROFESSIONAL RADIOLOGY INC 4777 E GALBRAITH (513) PROFESSIONAL READERS GROUP, INC MONTGOMERY PROSCAN DBA CINCINNATI IMAGING 5400 KENNEDY AVE (513) PROSCAN OPEN MRI NORTH LTD SHERATON LN (513) PROSCAN WOMENS IMAGING AT REDBANK 4850 REDBANK EXP (513) RIVERHILLS HEALTHCARE INC 2800 WINSLOW AVE # 310 (513) STADIUM OPEN MRI LLC 6 PAUL BROWN STADIUM (513) WELLINGTON DIAGNOSTIC SERVICES - WEST 3285 WESTBOURNE DR (513) WESTERN HILLS OPEN MRI LLC 6021 GLENWAY AVE (513) REHABILITATION MERCY ANDERSON PHYSICAL MEDICINE & REHAB 7010 ROWAN HILL DR (513) MERCY FRANCISCAN WORK REHAB CENTER 2270 BANNING (513) MERCY HEALTH & WELLNESS CTR - ANDERSON 7495 STATE (513) SKILLED NURSING FACILITY BROOKWOOD RETIREMENT COMMUNITY REED HARTMAN HWY (513) COMMUNICARE OF CLIFTON 625 PROBASCO ST DAYSPRING OF MIAMI VALLEY 8001 DAYTON-SPRINGFIELD (937) DEUPREE COMMUNITY 4001 ROSYLN DR (513) EAST GALBRAITH HEALTH CARE CENTER 3889 GALBRAITH (513) GAEN PARK HEALTH CARE CENTER 3544 WASGTON AVE (513) GLENCARE 3627 HARVEY AVE IVY WOODS CARE CENTER 2025 WYOMING AVE (513) KENWOOD TERRACE 7450 KELLER (513) LLANFAIR RETIREMENT COMMUNITY 1701 LLANFAIR AVE (513) MANORCARE OF WOODSIDE 5970 KENWOOD DR (513) MATRIX HEALTHCARE OF THREE RIVERS 7800 JANDARACRES DR (513) MEADOWBROOK CARE CENTER 8211 WELLER (513) MERCY FRANCISCAN AT TERRACE 100 COMPTON (513) MERCY FRANCISCAN WEST PARK 2950 W PARK DR (513) MERCY ST. THERESA CENTER 7010 ROWAN HILL DR (513) MOUNTAIN CREST NURSING & REHAB CENTER 2586 LEFEVILLE AVE (513) OAK PAVILION NURSING CENTER 510 OAK ST (513) RESIDENCE AT GAEN GATE 6922 OHIO AVE RESIDENCE AT GREYSTONE 2420 HARRISON AVE RESIDENCE AT PARKVIEW 6300 DALY RIVERVIEW COMMUNITY 5999 BENDER (513) TERRACE VIEW GAENS 3904 N BEND WESLEY HALL 315 LILIENTHAL ST (513) WESTERN HILLS RETIREMENT VILLAGE 6210 CLEVES-WARSAW (513) SURGICAL CENTER BETHESDA NORTH AMBULATORY CENTER MONTGOMERY (513) ENDOSCOPY CENTER WEST 3654 WERK (513) HEALTHSOUTH DEACONESS CTR OF MONTGOMERY MONTGOMERY (513) MERCY ANDERSON AMBULATORY CENTER 7520 STATE (513) MERCY FRANCISCAN AMBULATORY CARE CENTER 5520 CHEVIOT (513) MERCY FRANCISCAN CENTER FOR SIGHT - WEST 2841 BOUDINOT AVE # 302 (513) REDBANK CENTER 4850 RED BANK EXPRESSWAY (513) THE AMEND CENTER FOR EYE 5939 COLERAIN AVE (513) THE HAND CENTER 538 OAK ST (513) THE UROLOGY CENTER 4700 SMITH # M (513) TRI-STATE ENDOSCOPY CENTER 2925 VERNON PL # 101 (513) UNIVERSITY ENDOSCOPY CENTER 9275 MONTGOMERY # 400 (513) URGENT CARE CENTER DOCTORS URGENT CARE 360 GLENSPRINGS DR (513) MERCY MEDICAL ASSOC INC SHERATON LANE (513) EVENDALE LABORATORY LABONE OF OHIO INC READING (513) PHYSICAL AND OCCUPATIONAL THERAPY ORTHOPAEDIC PHYSICAL THERAPY & ASSOCIATE READING # 105 (513) HARRISON EMERGENCY MEDICINE QUALIFIED EMERG SPECIALISTS NEW HAVEN (513) HEALTH CENTER CHILDREN'S OUTPATIENT HARRISON NEW HAVEN (513) MERCY FRANCISCAN MEDI - CENTER, HARRISON NEW HAVEN (513) PHYSICAL AND OCCUPATIONAL THERAPY HARRISON PHYSICAL THERAPY 1149 STONE DR # 500 (513) MERCY FRANCISCAN PHYSICAL THERAPY & SPOR B HARRISON AVE (513) MERCY FRANCISCAN WORKPLACE HEALTH NEW HAVEN (513) RADIOLOGY CENTER DEARBORN COUNTY HOSP HARRISON OUTPT DIAG 1100 HARRISON AVE 3 FL (513) RIVERHILLS HEALTHCARE INC 116 S WALNUT ST (513) SURGICAL CENTER MERCY FRANCISCAN CENTER FOR SIGHT - HARR NEW HAVEN (513) MT WASHINGTON SKILLED NURSING FACILITY RESIDENCE AT SALEM WOODS 6164 SALEM WESTWOOD LABORATORY LABONE OF OHIO INC 2852 BOUDINOT AVE (513) LOGAN BELLEFONTAINE ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY THE PATHOLOGY CENTER INC 205 E PALMER (937) List Subject To Change - 11