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Irfsthat SUCCESSFULLY MET QRP REPORTING IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019 CMS populates the provider demographic information appearing on reports from the CMS Survey Processing Environment (ASPEN) system, which is updated by CMS Regional Offices or State Aspen Coordinators. If the information you see displayed is inaccurate or has changed, please review the How to Update IRF Demographic Data tip sheet. CCN IRF Name Address City State ZIP 02T001 PROVIDENCE ALASKA MEDICAL CTR 3200 PROVIDENCE DR. ANCHORAGE AK 99519 02T017 ALASKA REGIONAL HOSPITAL 2801 DEBARR RD ANCHORAGE AK 99508 013025 HEALTHSOUTH LAKESHORE REHABILITATION HOSPITAL 3800 RIDGEWAY DRIVE BIRMINGHAM AL 35209 013028 HEALTHSOUTH REHABILITATION HOSPITAL OF MONTGOMERY 4465 NARROW LANE RD MONTGOMERY AL 36116 013029 HEALTHSOUTH REHABILITATION HOSPITAL OF NORTH AL 107 GOVERNORS DRIVE HUNTSVILLE AL 35801 013030 HEALTHSOUTH REHABILITATION HOSPITAL 1736 EAST MAIN STREET DOTHAN AL 36301 013032 HEALTHSOUTH REHABILITATION HOSPITAL OF GADSDEN 801 GOODYEAR AVE GADSDEN AL 35903 013033 REGIONAL REHABILITATION HOSPITAL 3715 HIGHWAY 280 PHENIX CITY AL 36869 01T011 ST. VINCENTS EAST REHABILITATION CENTER 50 MEDICAL PARK EAST DRIVE BIRMINGHAM AL 35235 01T029 EAMC- LANIER 2000 PEPPERELL PARKWAY. OPELIKA AL 36801 01T033 SPAIN REHABILITATION CENTER SRC 223E BIRMINGHAM AL 35249 01T092 NORTHPORT MEDICAL CENTER 809 UNIVERSITY BOULEVARD, EAST TUSCALOOSA AL 35401 01T104 GRANDVIEW MEDICAL CENTER 3690 GRANDVIEW PARKWAY BIRMINGHAM AL 35243 01T113 MOBILE INFIRMARY POB 2144 MOBILE AL 36652 01T114 MEDICAL WEST HOSPITAL AUTHORITY REHAB UNIT 995 9TH AVENUE SOUTHWEST BESSEMER AL 35022 01T139 AMI BROOKWOOD MEDICAL CENTER 2010 BROOKWOOD MEDICAL CTR. DR HOMEWOOD AL 35209 01T144 SPRINGHILL MEDICAL CENTER 3719 DAUPHIN STREET MOBILE AL 36608 01T157 JW SOMMER REHABILITATION UNIT 201 AVALON AVE MUSCLE SHOALS AL 35661 043026 BAPTIST HEALTH REHABILITATION INSTITUTE 9601 BAPTIST HEALTH DRIVE LITTLE ROCK AR 72205 043028 HEALTHSOUTH REHABILITATION HOSPITAL OF FORT SMITH 1401 SOUTH J STREET FORT SMITH AR 72901 043029 HEALTHSOUTH REHABILITATION HOSPITAL OF JONESBORO 1201 FLEMING AVE JONESBORO AR 72401 043031 ST VINCENT REHABILITATION HOSPITAL 2201 WILDWOOD AVENUE SHERWOOD AR 72120 043032 HEALTHSOUTH REHAB HOSP IN PART W/WASHINGTON REGION 153 E MONTE PAINTER DRIVE FAYETTEVILLE AR 72703 043033 CONWAY REGIONAL REHABILITATION HOSPITAL 2210 ROBINSON STREET CONWAY AR 72034 043035 CHI ST VINCENT HOT SPRINGS REHABILITATION HOSPITAL 1636 HIGDON FERRY ROAD HOT SPRINGS AR 71913 04T002 JOHNSON REGIONAL REHABILITATION CENTER 1100 EAST POPLAR ST. CLARKSVILLE AR 72830 04T014 WHITE COUNTY MEDICAL CENTER SOUTH 1200 SOUTH MAIN STREET SEARCY AR 72143 04T015 MENA REHABILITATION CENTER 311 N. MORROW MENA AR 71953 04T022 NORTHWEST MEDICAL CENTER INPATIENT REHAB 609 W. MAPLE AVE. SPRINGDALE AR 72764 04T027 BAXTER REGIONAL MEDICAL CENTER 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 04T036 BAPTIST HEALTH REHAB INSTITUTE - NORTH LITTLE ROCK 3333 SPRINGHILL DRIVE NORTH LITTLE ROCK AR 72117 04T039 ARKANSAS METHODIST HOSPITAL 900 WEST KINGS HIGHWAY PARAGOULD AR 72451 04T041 S. MARYS REGIONAL MEDICAL CENTER 1808 WEST MAIN STREET RUSSELLVILLE AR 72801 04T062 MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72913 04T071 JEFFERSON REGIONAL MEDICAL CENTER 1600 WEST 40TH AVE. PINE BLUFF AR 71603 04T078 NATIONAL PARK MEDICAL CENTER 1910 MALVERN AVE. HOT SPRINGS AR 71901 04T084 SALINE MEMORIAL HOSPITAL 1 MEDICAL PARK DR. BENTON AR 72015 04T088 MEDICAL CENTER OF S ARKANSAS 700 WEST GROVE STREET EL DORADO AR 71730 04T118 NEA BAPTIST MEMORIAL HOSPITAL 4800 E JOHNSON AVE JONESBORO AR 72401 04T119 WHITE RIVER HEALTH SYSTEM 1710 HARRISON ST BATESVILLE AR 72501 033025 HEALTHSOUTH SCOTTSDALE REHABILITATION HOSPITAL 9630 EAST SHEA BOULEVARD SCOTTSDALE AZ 85260 033028 HEALTHSOUTH REHABILITATION INSTITUTE OF TUCSON 2650 NORTH WYATT DRIVE TUCSON AZ 85712 033029 SOUTHERN ARIZONA REGIONAL REHABILITATION HOSPITAL 1921 WEST HOSPITAL DRIVE TUCSON AZ 85704 033032 HEALTHSOUTH VALLEY OF THE SUN REHABILITATION 13460 NORTH 67TH AVENUE GLENDALE AZ 85304 033034 YUMA REHABILITATION HOSPITAL 901 WEST 24TH STREET YUMA AZ 85364 033036 MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL 3700 NORTH WINDSONG DRIVE PRESCOTT VALLEY AZ 86314 033037 HEALTHSOUTH EAST VALLEY REHABILITATION HOSPITAL 5652 EAST BASELINE ROAD MESA AZ 85206 033038 GLOBALREHAB - SCOTTSDALE, LLC 8850 EAST PIMA CENTER PARKWAY SCOTTSDALE AZ 85258 033040 DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL 1515 WEST CHANDLER BOULEVARD CHANDLER AZ 85224 03T002 BANNER UNIVERSITY MEDICINE 1012 E WILLETTA ST PHOENIX AZ 85006 03T010 CARONDELET ST. MARY'S HOSPITAL 1601 W. ST. MARY'S ROAD TUCSON AZ 85745 Page 1 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019 CCN IRF Name Address City State ZIP 03T011 CARONDELET ST JOSEPH'S INPATIENT REHABILITATION 350 N. WILMOT TUCSON AZ 85711 03T024 ST JOSEPHS HOSP 240 W THOMAS RD PHOENIX AZ 85013 03T030 PHOENIX BAPTIST HOSPITAL 2000 W. BETHANY HOME RD. PHOENIX AZ 85015 03T037 ST. LUKES ACUTE REHAB 1800 E VAN BUREN PHOENIX AZ 85006 03T038 SCOTTSDALE HEALTHCARE 7400 E OSBORN ROAD SCOTTSDALE AZ 85251 03T055 KINGMAN REGIONAL MEDICAL CENTER 3269 STOCKTON HILL RD. KINGMAN AZ 86401 03T061 BANNER BOSWELL MEDICAL CENTER - ACUTE REHABILITATI 10601 W SANTA FE DRIVE SUN CITY AZ 85351 03T085 NORTHWEST MEDICAL CENTER/CHS 6200 N LA CHOLLA BLVD TUCSON AZ 85741 03T088 BANNER BAYWOOD MEDICAL CENTER 6644 EAST BAYWOOD AVENUE MESA AZ 85206 03T093 DEL E. WEBB MEMORIAL HOSPITAL 14502 WEST MEEKER BLVD. SUN CITY WEST AZ 85375 03T103 MAYO CLINIC HOSPITAL 5777 E. MAYO BOULEVARD PHOENIX AZ 85054 03T114 NORTHWEST MED CTR ORO VALLEY 1551 E. TANGERINE RD. ORO VALLEY AZ 85755 03T117 VALLEY VIEW MEDICAL CENTER 5330 S HIGHWAY 95 FT MOHAVE AZ 86426 053031 HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL 5001 COMMERCE DRIVE BAKERSFIELD CA 93309 053032 SAN JOAQUIN VALLEY REHABILITATION HOSP 7173 N SHARON AVENUE FRESNO CA 93720 053034 HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL 14851 YORBA STREET TUSTIN CA 92780 053037 BALLARD REHABILITATION HOSPITAL 1760 WEST 16TH ST SAN BERNARDINO CA 92411 053039 CALIFORNIA REHABILITATION INSTITUTE, LLC 2070 CENTURY PARK EAST LOS ANGELES CA 90067 053040 HEALTHSOUTH REHABILITATION HOSPITAL 1303 MABLE AVENUE MODESTO CA 95355 05T006 ST JOSEPH HOSPITAL 2200 HARRISON AVENUE EUREKA CA 95501 05T008 CALIFORNIA PACIFIC REGIONAL REHABILITATION CENTER P O BOX 7999 SAN FRANCISCO CA 94120 05T009 QUEEN OF THE VALLEY HOSPITAL 1000 TRANCAS ST NAPA CA 94558 05T017 MERCY GENERAL HOSPITAL 4001 J STREET SACRAMENTO CA 95819 05T024 SOUTH BAY REHABILITATION CTR 2400 EAST 4TH STREET NATIONAL CITY CA 91950 05T026 GROSSMONT HOSPITAL SHARP 5555 GROSSMONT CENTER DRIVE LA MESA CA 91942 05T038 SANTA CLARA VALLEY MEDICAL CENTER 751 S BASCOM AVE SAN JOSE CA 95128 05T039 ENLOE REHABILITATION CENTER 1531 ESPLANADE CHICO CA 95926 05T043 ALTA BATES SUMMIT MEDICAL CENTER 350 HAWTHORNE AVENUE OAKLAND CA 94609 05T057 KAWEAH DELTA REHABILITATION HOSPITAL 840 S. AKERS RD VISALIA CA 93277 05T058 GLENDALE MEMORIAL HOSPITAL 1420 S. CENTRAL AVE GLENDALE CA 91204 05T060 LEON S PETERS REHABILATION 2823 FRESNO ST FRESNO CA 93721 05T063 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER 1300 N. VERMONT AVENUE LOS ANGELES CA 90027 05T073 KAISER FOUNDATION REHAB CENTER 975 SERENO DR. VALLEJO CA 94589 05T078 PROVIDENCE LITTLE CO OF MARY MEDICAL CTR SAN PEDRO 1300 W. SEVENTH STREET SAN PEDRO CA 90732 05T082 ST JOHNS REGIONAL MEDICAL CENTER 1600 NORTH ROSE AVENUE OXNARD CA 93030 05T100 SHARP MEMORIAL REHABILITATION CENTER 2999 HEALTH CENTER DRIVE SAN DIEGO CA 92123 05T103 WHITE MEMORIAL MEDICAL CENTER 1720 EAST CESAR CHAVEZ AVENUE LOS ANGELOS CA 90033 05T107 MARIAN REGIONAL MEDICAL CENTER 1400 E CHURCH STREET SANTA MARIA CA 93454 05T115 PALOMAR MEDICAL CENTER 555 EAST VALLEY PARKWAY ESCONDIDO CA 92025 05T116 NORTHRIDGE HOSPITAL MEDICAL CENTER 18300 ROSCOE BLVD. NORTHRIDGE CA 91328 05T126 VALLEY PRESBYTERIAN HOSPITAL REHABILITATION CENTER 15107 VANOWEN STREET VAN NUYS CA 91405 05T128 TRI-CITY MEDICAL CENTER 4002 VISTA WAY OCEANSIDE CA 92056 05T135 SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY 3828 DELMAS TERRACE CULVER CITY CA 90231 05T145 COMM HOSP MONTEREY PENINSULA 23625 HOLMAN HWY MONTEREY CA 93942 05T152 SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE ST SAN FRANCISCO CA 94109 05T168 ST. JUDE MEDICAL CENTER 101 E. VALENCIA MESA DRIVE FULLERTON CA 92835 05T169 PRESBYTERIAN INTERCOMMUNITY 12401 WASHINGTON BLVD WHITTIER CA 90602 05T174 SANTA ROSA MEMORIAL HOSPITAL 1165 MONTGOMERY DR. SANTA ROSA CA 95405 05T180 JOHN MUIR MEDICAL CENTER 1601 YGNACIO VALLEY ROAD WALNUT CREEK CA 94598 05T191 ST MARY MEDICAL CENTER 1050 LINDEN AVE LONG BEACH CA 90813 05T204 PALMDALE REGIONAL MEDICAL CTR 38600 MEDICAL CENTER DR PALMDALE CA 93551 05T235 PROVIDENCE ST JOSEPH MED CTR 501 S BUENA VISTA ST BURBANK CA 91505 05T238 METHODIST HOSP S CALIFORNIA 300 W HUNTINGTON DR ARCADIA CA 91007 05T239 GLENDALE ADVENTIST MEDICAL CTR 1509 WILSON TERRACE GLENDALE CA 91206 Page 2 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019 CCN IRF Name Address City State ZIP 05T242 DOMINICAN HOSPITAL 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 05T243 DESERT REGIONAL MEDICAL CENTER 1150 N. INDIAN CANYON DR PALM SPRINGS CA 92263 05T248 SAM KARAS ARU - NATIVIDAD 1441 CONSTITUTION BOULEVARD SALINAS CA 93906 05T278 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI ST MISSION HILLS CA 91345 05T281 ALHAMBRA HOSPITAL MEDICAL CENTER 100 S. RAYMOND AVENUE ALHAMBRA CA 91801 05T308 EL CAMINO HOSP OF LOS GATOS 355 DARDANELLI LOS GATOS CA 95032 05T309 SUTTER ROSEVILLE MEDICAL
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