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Provider Indemnity Per 17 Januari 2020

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Provider Indemnity Per 17 Januari 2020 PROVIDERPROVIDER INDEMNITY INDEMNITY SWAKELOLA PER 17 JANUARI PER 17 JANUARI2020 2020 NO PROPINSI WILAYAH NAMA PROVIDER ALAMAT TELEPON COVERAGE TYPE PROVIDER JL. PROF A. MADJID IBRAHIM NO. 10, SIGLI, PIDIE, ACEH 24151 1 NANGGROE ACEH DARUSSALAM KAB. PIDIE KLINIK MUTIARA SIGLI 065321529 PHARMACY,RG,RJ Klinik RT:0 RW:0 Kec.: Dati2:KAB. PIDIE 2 NANGGROE ACEH DARUSSALAM KOTA LANGSA KLINIK & APOTEK KF 81 JL. TM.ZEIN NO.1E ,LANGSA RT:0 RW:0 Kec.: Dati2:KOTA LANGSA 064121020 PHARMACY,RJ Klinik JL. AHMAD YANI NO. 154-B LANGSA RT: RW: Kec.: Dati2:KOTA 3 NANGGROE ACEH DARUSSALAM KOTA LANGSA KLINIK DR. SYARBAINI, M.KES 08111753107 LAB,RG,RJ Klinik LANGSA JL. MERDEKA NO. 47 B -C LHOKSEUMAWE BANDA ACEH RT:0 4 NANGGROE ACEH DARUSSALAM KOTA LHOKSEUMAWE KLINIK & APOTEK KF 60 064541152 PHARMACY,RJ Klinik RW:0 Kec.: Dati2:KOTA LHOKSEUMAWE JL. ISKANDAR NO. 278 - 280, MEDAN RT:0 RW:0 Kec.: 5 SUMATRA UTARA KOTA MEDAN RUMAH SAKIT KHUSUSMATA SMEC 0614525058 PHARMACY,RI,RJ Klinik Dati2:KOTA MEDAN JL. SISINGAMANGARAJA NO.17 RT: RW: Kec.: Dati2:KOTA 6 SUMATRA UTARA KOTA MEDAN KLINIK SPESIALIS BUNDA 0617321666 GCU,PHARMACY,RG,RJ Klinik MEDAN 7 SUMATRA UTARA KOTA MEDAN KLINIK TELKOMEDIKA HEALTH CENTER MEDAN JL. TIMOR NO. 25 MEDAN RT:0 RW:0 Kec.: Dati2:KOTA MEDAN 0614101294 GCU,PHARMACY,LAB,RG,RJ Klinik Jl. International Bandara Kualanamu RT: RW: Kec.: Dati2:KOTA 8 SUMATRA UTARA KOTA MEDAN KLINIK KIMIA FARMA BANDARA KUALANAMU 0 RJ Klinik MEDAN Jl. Bakaran Batu No. 13/15 Kel. Lubuk Pakam, Medan, Sumatera 9 SUMATRA UTARA KOTA MEDAN KLINIK KIMIA FARMA LUBUK PAKAM 0 RJ Klinik Utara RT: RW: Kec.: Dati2:KOTA MEDAN Jl. Karya Wisata Kompleks J City No. 83 Medan RT: RW: Kec.: 10 SUMATRA UTARA KOTA MEDAN KLINIK KIMIA FARMA J CITY 0 RJ Klinik Dati2:KOTA MEDAN Kompleks Multatuli Indah Blok BB 56-57, Jalan Multatuli - Medan 11 SUMATRA UTARA KOTA MEDAN MEDAN MEDICAL CENTER 06177806860 PHARMACY,RG,RJ Klinik RT:0 RW:0 Kec.: Dati2:KOTA MEDAN 12 SUMATRA UTARA KOTA MEDAN KLINIK & APOTEK KF 27 JL. PALANG MERAH NO. 32 RT:0 RW:0 Kec.: Dati2:KOTA MEDAN 0614576023 PHARMACY,RJ Klinik JL. SEI BATANG HARI NO. 28/30 MEDAN SUNGGAL RT:0 RW:0 13 SUMATRA UTARA KOTA MEDAN RS. BUNDA THAMRIN MEDAN 0614553928 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit Kec.: Dati2:KOTA MEDAN JL. SAMUDRA BARU, NO. 3, 24352, KEUDE ACEH, BANDA SAKTI, 14 NANGGROE ACEH DARUSSALAM KOTA LHOKSEUMAWE RS BUNGA MELATI KOTA LHOKSEUMAWE, ACEH RT:0 RW:0 Kec.: Dati2:KOTA 064544821 PHARMACY,LAB,RB,RI,RJ Rumah sakit LHOKSEUMAWE Jl. Tgk. Chik Ditiro No. 28 Lancang Garam, Lhokseumawe 24351 15 NANGGROE ACEH DARUSSALAM KOTA LHOKSEUMAWE RSIA ABBY 06456500284 PHARMACY,LAB,RB,RI,RJ Rumah sakit RT:0 RW:0 Kec.: Dati2:KOTA LHOKSEUMAWE JL. IMAM BONJOL NO. 6, KEL. PETISAH - MEDAN 20112 RT:0 16 SUMATRA UTARA KOTA MEDAN RS. SILOAM DHIRGA SURYA 06188881900 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit RW:0 Kec.: Dati2:KOTA MEDAN JL. ANTARA NO 30, LHOKSEUMAWE RT:0 RW:0 Kec.: Dati2:KOTA 17 NANGGROE ACEH DARUSSALAM KOTA LHOKSEUMAWE RS. SAKINAH LHOKSEUMAWE 064545534 PHARMACY,LAB,RB,RI,RJ Rumah sakit LHOKSEUMAWE 18 SUMATRA UTARA KOTA MEDAN RS. MATERNA JL. TEUKU UMAR NO.11 RT:0 RW:0 Kec.: Dati2:KOTA MEDAN 0614514222 PHARMACY,LAB,RB,RI,RJ Rumah sakit JL. MULTATULI KOMP. MULTATULI INDAH NO 1 MEDAN RT:0 19 SUMATRA UTARA KOTA MEDAN RS. MARTHA FRISKA MULTATULI 0614149666 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit RW:0 Kec.: Dati2:KOTA MEDAN JL. NIBUNG RAYA NO 204-212 MEDAN RT:0 RW:0 Kec.: 20 SUMATRA UTARA KOTA MEDAN RSIA. SRI RATU 0614521074 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit Dati2:KOTA MEDAN JL. DARUSSALAM NO. 36 KP JAWA BARU, KOTA LHOKSEUMAWE - 21 NANGGROE ACEH DARUSSALAM KOTA LHOKSEUMAWE KLINIK VINCA ROSEA 06457011117 PHARMACY,RJ Klinik ACEH UTARA RT:0 RW:0 Kec.: Dati2:KOTA LHOKSEUMAWE JL. SAMANHUDI NO.20 MEDAN RT:0 RW:0 Kec.: Dati2:KOTA 22 SUMATRA UTARA KOTA MEDAN RSIA. STELLA MARIS MEDAN 0614158383 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit MEDAN JL. PEUTUA BANTA NO 7, GP BIERUN RT:0 RW:0 Kec.: Dati2:KAB. 23 NANGGROE ACEH DARUSSALAM KAB. BIREUN RS. TELAGA BUNDA BIREUEN 0644324433 PHARMACY,LAB,RB,RI,RJ Rumah sakit BIREUN JL. LISTRIK 2A MEDAN 20112 RT:0 RW:0 Kec.: Dati2:KOTA 24 SUMATRA UTARA KOTA MEDAN RS. COLUMBIA ASIA MEDAN (D/H GLENI MEDAN) 0614566368 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit MEDAN JL. BILAL NO 24 PULO BRAYAN DARAT I MEDAN TIMUR RT:0 25 SUMATRA UTARA KOTA MEDAN RS. IMELDA PEKERJA INDONESIA 0616610072 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit RW:0 Kec.: Dati2:KOTA MEDAN JL. AYAHANDA NO. 68 A, MEDAN - SUMATERA UTARA RT: RW: 26 SUMATRA UTARA KOTA MEDAN RS. ROYAL PRIMA MEDAN 06188813182 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit Kec.: Dati2:KOTA MEDAN JL. TB SIMATUPANG NO 31 MEDAN RT:0 RW:0 Kec.: Dati2:KOTA 27 SUMATRA UTARA KOTA MEDAN RSU. SUNDARI 0618452536 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit MEDAN PROVIDER INDEMNITY SWAKELOLA PER 17 JANUARI 2020 NO PROPINSI WILAYAH NAMA PROVIDER ALAMAT TELEPON COVERAGE TYPE PROVIDER JL. AH. NASUTION PANGKALAN MAHSYUR NO.7, MEDAN RT:0 28 SUMATRA UTARA KOTA MEDAN RS. MITRA SEJATI MEDAN 0617875967 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit RW:0 Kec.: Dati2:KOTA MEDAN JL. MERBABU NO.18-20 a, MEDAN RT:0 RW:0 Kec.: Dati2:KOTA 29 SUMATRA UTARA KOTA MEDAN RS. DELI 0614565229 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit MEDAN Jl. T.M Bachrum No. 1, Langsa, Aceh RT:0 RW:0 Kec.: Dati2:KOTA 30 NANGGROE ACEH DARUSSALAM KOTA LANGSA RSU CUT NYAK DHIEN LANGSA 064121039 PHARMACY,LAB,RB,RI,RJ Rumah sakit LANGSA JL. BAJA RAYA NO. 10 PETISAH RT:0 RW:0 Kec.: Dati2:KOTA 31 SUMATRA UTARA KOTA MEDAN RSU. SARAH 0614528744 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit MEDAN JL. MESJID NO. 3 TANJUNG REJO, MEDAN RT:0 RW:0 Kec.: 32 SUMATRA UTARA KOTA MEDAN RS. KHUSUS BEDAH SETIA BUDI 0618220995 PHARMACY,LAB,RI,RJ Rumah sakit Dati2:KOTA MEDAN JL. A.R. HAKIM NO. 168, KEL. SUKA RAMAI I, KEC. MEDAN AREA, 33 SUMATRA UTARA KOTA MEDAN RS. MADANI MEDAN 0617345911 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit KOTA MEDAN RT: RW: Kec.: Dati2:KOTA MEDAN JL. H. MISBAH NO.7, MEDAN RT:0 RW:0 Kec.: Dati2:KOTA 34 SUMATRA UTARA KOTA MEDAN RS. ST ELISABETH - MEDAN 0614144737 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit MEDAN JL. W. MONGINSIDI NO. 11 MEDAN RT:0 RW:0 Kec.: Dati2:KOTA 35 SUMATRA UTARA KOTA MEDAN RSU. PROF.DR.BOLONI 0614512687 PHARMACY,LAB,RB,RI,RJ Rumah sakit MEDAN JL. JAWA NO. 2 SIMPANG JL. VETERAN RT:0 RW:0 Kec.: 36 SUMATRA UTARA KOTA MEDAN MURNI TEGUH MEMORIAL HOSPITAL 06180501888 GCU,PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit Dati2:KOTA MEDAN 37 SUMATRA UTARA KOTA MEDAN RS. METHODIST JL. MH. THAMRIN, NO.105 RT: RW: Kec.: Dati2:KOTA MEDAN 0617369000 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit JL. HM JONI NO. 64/63 – 65 MEDAN RT: RW: Kec.: Dati2:KOTA 38 SUMATRA UTARA KOTA MEDAN RS IBNU SALEH 0617342241 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit MEDAN Jl. K.L. Yos. Sudarso Km. 7.5, Tanjung Mulia, Jl. Yos Sudarso, • 39 SUMATRA UTARA KOTA MEDAN RS MITRA MEDIKA MEDAN Tanjung Mulia, • Kota Medan, Medan, Sumatera Utara, 20242 RT: 061-6642238 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit RW: Kec.: Dati2:KOTA MEDAN JL. ASRAMA/AMPERA II SEI SIKAMBING C-II MEDAN HELVETIA RT:0 40 SUMATRA UTARA KOTA MEDAN RSU. HERMINA MEDAN 06180862525 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit RW:0 Kec.: Dati2:KOTA MEDAN Jl. Rakyat No.178, Tegal Rejo, Medan Perjuangan, Kota Medan, 41 SUMATRA UTARA KOTA MEDAN RS ARTHA MAHINRUS 06180086404 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit Sumatera Utara 20236 RT: RW: Kec.: Dati2:KOTA MEDAN JL. GARUDA NO. 1 KEL. KEBON BARU KOTA LANGSA RT:0 RW:0 42 NANGGROE ACEH DARUSSALAM KOTA LANGSA RS. CUT MEUTIA MEDIKA NUSANTARA 0641425314 PHARMACY,LAB,RB,RI,RJ Rumah sakit Kec.: Dati2:KOTA LANGSA Jl. Sei Mencirim No.55 - 57 Kel. Babura Kec. Medan Baru, Medan 43 SUMATRA UTARA KOTA MEDAN RSU ROYAL MATERNITY 06142002419 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit RT: RW: Kec.: Dati2:KOTA MEDAN Jl. Sisingamangaraja no. 11 Medan, Kelurahan Harjosari 44 SUMATRA UTARA KOTA MEDAN RSU MITRA MEDIKA AMPLAS 1,Kecamatan Medan Amplas RT:0 RW:0 Kec.: Dati2:KOTA 0617879070 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit MEDAN Jl. Marelan Raya No. 173 A Kel Tanah 600, Medan, Sumatera Utara 45 SUMATRA UTARA KOTA MEDAN RSU ESHMUN 06188818000 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit RT: RW: Kec.: Dati2:KOTA MEDAN JLN MEDAN B.ACEH DESA BUKIT PALA KEC IDI RAYEUK KAB ACEH 46 NANGGROE ACEH DARUSSALAM KAB. ACEH TIMUR RS GRAHA BUNDA 064621221 PHARMACY,LAB,RB,RI,RJ Rumah sakit TIMUR, ACEH RT:0 RW:0 Kec.: Dati2:KAB. ACEH TIMUR JL. SEKOLAH MO. 5 GAMPONG ATEUK PAHLaWAN RT:0 RW:0 47 NANGGROE ACEH DARUSSALAM KOTA BANDA ACEH RS. PERTAMEDIKA UMMI ROSNATI 065135092 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit Kec.: Dati2:KOTA BANDA ACEH 48 NANGGROE ACEH DARUSSALAM KOTA BANDA ACEH RS. CEMPAKA AZ ZAHRA JL.SYAH KUALA RT:0 RW:0 Kec.: Dati2:KOTA BANDA ACEH 065131066 PHARMACY,LAB,RB,RG,RI,RJ Rumah sakit Jl. Medan batang kuis pasar iX Deli Serdang RT: RW: Kec.: 49 SUMATRA UTARA KAB.
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