Rural Pass-Through Eligible Hospitals by State

Hospital Address City-AHA Zip County CD Representative Party

Alaska (5) Providence Kodiak Island Medical Center 1915 East Rezanof Drive Kodiak 99615 Kodiak Isl. Boro.At-L Young R Petersburg Medical Center 103 Fram Street Petersburg 99615 Kodiak Isl. Boro.At-L Young R Sitka Community Hospital 209 Moller Avenue Sitka 99835 Sitka Boro. At-L Young R Providence Valdez Medical Center 911 Meals Avenue Valdez 99686 Valdez CordovaAt-L Young R Wrangell Medical Center 310 Bennett St Wrangell 99929 Wrangell At-L Young R

Arkansas (13) Ashley County Medical Center 1015 Unity Rd Crossett 71635 Ashley 4 Westerman R Bradley County Medical Center 404 South Bradley Street Warren 71671 Bradley 4 Westerman R Chicot Memorial Medical Center 2729 Highway 65 and 82 South Lake Village 71653 Chicot 1 Crawford R Delta Memorial Hospital 811 South Highway 65 Dumas 71639 Desha 1 Crawford R Eureka Springs Hospital 24 Norris Street Eureka Springs 72632 Carroll 3 Womack R Mercy Hospital Booneville 880 W Main St Booneville 72927 Logan 4 Westerman R Mercy Hospital Ozark 801 West River Street Ozark 72949 Franklin 4 Westerman R Mercy Hospital Paris 500 East Academy Paris 72855 Logan 4 Westerman R Mercy Hospital Waldron 1341 West 6th Street Waldron 72958 Scott 4 Westerman R Piggott Community Hospital 1206 Gordon Duckworth Drive Piggott 72454 Clay 1 Crawford R River Valley Medical Center 200 North Third Street Dardanelle 72834 Yell 4 Westerman R South Mississippi County Regional Medical Center611 W Lee Ave Osceola 72370 Mississippi 1 Crawford R Stone County Medical Center 2106 East Main Street Mountain View 72560 Stone 1 Crawford R

Arizona (4) Copper Queen Community Hospital 101 Cole Avenue Bisbee 85603 Cochise 2 Kirkpatrick D La Paz Regional Hospital 1200 West Mohave Road Parker 85344 La Paz 4 Gosar R Northern Cochise Community Hospital 901 West Rex Allen Drive Willcox 85643 Cochise 2 Kirkpatrick D White Mountain Regional Medical Center 118 South Mountain Avenue Springerville 85938 Apache 1 O'Halleran D

Cailfornia (10) Bear Valley Community Hospital 41870 Garstin Dr Big Bear Lake 92315 San Bernardino8 Cook R Eastern Plumas Health Care 500 First Avenue Portola 96122 Plumas 1 LaMalfa R Mayers Memorial Hospital District 43563 Highway 299 East Fall River Mills 96028 Shasta 1 LaMalfa R Rural Pass-Through Eligible Hospitals by State

Modoc Medical Center 228 West Mcdowell Avenue Alturas 96101 Modoc 1 LaMalfa R Mountain Community Medical Services (formerly60 EasterTrinity AvenueHospital) Weaverville 96093 Trinity 2 Huffman D Orchard Hospital 240 Spruce St Gridley 95948 Butte 1 LaMalfa R Plumas District Hospital 1065 Bucks Lake Road Quincy 95971 Plumas 1 LaMalfa R San Bernardino Mountains Community Hospital29101 District Hospital Rd Lake Arrowhead 96122 Plumas 1 LaMalfa R Seneca Healthcare District 130 Brentwood Drive Chester 96020 Plumas 1 LaMalfa R Kern Valley Healthcare District 6412 Laurel Avenue Mountain Mesa 93240 Kern 21 McCarthy R

Colorado (14) East Morgan County Hospital 2400 West Edison Street Brush 80723 Morgan 4 Buck R Estes Park Medical Center 555 Prospect Ave Estes Park 80517 Larimer 2 Neguse D Haxtun Hospital District 235 West Fletcher Street Haxtun 80731 Phillips 4 Buck R Kit Carson County Health Service District 286 16th St Burlington 80807 Kit Carson 4 Buck R Melissa Memorial Hospital 1001 East Johnson Street Holyoke 80734 Phillips 4 Buck R Mt. San Rafael Hospital 410 Benedicta Ave Trinidad 81082 Las Animas 4 Buck R Pioneers Medical Center 100 Pioneers Medical Center DriveMeeker 81641 Rio Blanco 3 Tipton R Prowers Medical Center 401 Kendall Drive Lamar 81052 Prowers 4 Buck R Rio Grande Hospital 310 County Road 14 Del Norte 81132 Rio Grande 3 Tipton R Sedgwick County Health Center 900 Cedar Street Julesburg 80737 Sedgwick 4 Buck R Southeast Colorado Hospital District 373 East Tenth Avenue Springfield 81073 Baca 4 Buck R Spanish Peaks Regional Health Center 23500 U S Highway 160 Walsenburg 81089 Huerfano 3 Tipton R Wray Community District Hospital 1017 West 7th Street Wray 80758 Yuma 4 Buck R Yuma District Hospital 1000 West 8th Avenue Yuma 80759 Yuma 4 Buck R

Florida (2) Doctors Memorial Hospital 2600 Hospital Drive Bonifay 32425 Holmes 2 Dunn R Northwest Florida Community Hospital 1360 Brickyard Road Chipley 32428 Washington 2 Dunn R

Georgia (11) Bacon County Hospital and Health System 302 South Wayne Street Alma 31510 Bacon 1 Carter R Candler County Hospital 400 Cedar Street Metter 30439 Candler 12 Allen R Jeff Davis Hospital 1215 South Tallahassee Street Hazlehurst 31539 Jeff Davis 12 Allen R Medical Center of Peach County, Navicent Health1960 Hwy 247 Connector Bryon 31008 Peach 2 Bishop D Mitchell County Hospital 90 East Stephens Street Camilla 31730 Mitchell 2 Bishop D Rural Pass-Through Eligible Hospitals by State

Monroe County Hospital 88 Martin Luther King Jr Drive Forsyth 31029 Monroe 8 Scott R Phoebe Worth Medical Center 807 South Isabella Street Sylvester 31791 Worth 8 Scott R Putnam General Hospital 101 Lake Oconee Parkway Eatonton 31024 Putnam 10 Hice R Southwest Georgia Regional Medical Center 361 Randolph Street Cuthbert 39840 Randolph 2 Bishop D Wellstar Sylvan Grove Hospital 1050 McDonough Road Jackson 30233 Butts 10 Hice R Wills Memorial Hospital 120 Gordon Street Washington 30673 Wilkes 10 Hice R

Iowa (53) Adair County Health System 609 SE Kent Street Greenfield 50849 Adair 3 Axne D Audubon County Memorial Hospital 515 Pacific Street Audubon 50025 Audubon 4 King R Avera Holy Family Hospital 826 North Eighth Street Estherville 51334 Emmet 4 King R Baum Harmon Mercy Hospital 255 North Welch Avenue Primghar 51245 O'Brien 4 King R Buchanan County Health Center 1600 First Street East Independence 50644 Buchanan 1 Finkenauer D Burgess Health Center 1600 Diamond Street Onawa 51040 Monona 4 King R Central Community Hospital 901 Davidson Street NW Elkader 52043 Clayton 1 Finkenauer D CHI Health Mercy Corning 603 Rosary Drive Corning 50841 Adams 3 Axne D CHI Health Missouri Valley 631 North Eighth Street Missouri Valley 51555 Harrison 4 King R Clarinda Regional Health Center 220 Essie Davison Drive Clarinda 51632 Page 3 Axne D Clarke County Hospital 800 South Fillmore Street Osceola 50213 Clarke 2 Loebsack D Community Memorial Hospital 909 West First Street Sumner 50674 Bremer 1 Finkenauer D Dallas County Hospital 610 10th St Perry 50220 Dallas 3 Axne D Davis County Hospital 509 North Madison Street Bloomfield 52537 Davis 2 Loebsack D Decatur County Hospital 1405 NW Church Street Leon 50144 Decatur 2 Loebsack D Franklin General Hospital 1720 Central Avenue East, Ste AHampton 50441 Franklin 4 King R Genesis Medical Center, DeWitt 1118 11th Street De Witt 52742 Clinton 2 Loebsack D George C Grape Community Hospital 2959 US Highway 275 Hamburg 51640 Fremont 3 Axne D Greene County Medical Center 1000 West Lincolnway Jefferson 50129 Greene 4 King R Grundy County Memorial Hospital 201 East 'J' Avenue Grundy Center 50638 Grundy 4 King R Gundersen Palmer Lutheran Hospital and Clinics112 Jefferson Street West Union 52175 Fayette 1 Finkenauer D Guthrie County Hospital 710 North 12th Street Guthrie Center 50115 Guthrie 3 Axne D Guttenberg Municipal Hospital 200 Main Street Guttenberg 52052 Clayton 1 Finkenauer D Hancock County Health System 532 First Street NW Britt 50423 Hancock 4 King R Hawarden Regional Healthcare 1111 11th Street Hawarden 51023 Sioux 4 King R Hegg Memorial Health Center Avera 1202 21st Avenue Rock Valley 51247 Sioux 4 King R Rural Pass-Through Eligible Hospitals by State

Horn Memorial Hospital 701 E 2nd St Ida Grove 51445 Ida 4 King R Humboldt County Memorial Hospital 1000 North 15th Street Humboldt 50548 Humboldt 4 King R Iowa Specialty Hospital-Belmond 403 First Street SE Belmond 50421 Wright 4 King R Jackson County Regional Health Center 700 West Grove Street Maquoketa 52060 Jackson 1 Finkenauer D Knoxville Hospital & Clinics 1002 South Lincoln Street Knoxville 50138 Marion 2 Loebsack D Kossuth Regional Health Center 1515 South Phillips Street Algona 50511 Kossuth 4 King R Loring Hospital 211 Highland Avenue Sac City 50583 Sac 4 King R Lucas County Health Center 1200 North Seventh Street Chariton 50049 Lucas 2 Loebsack D Madison County Health Care System 300 West Hutchings Street Winterset 50273 Madison 3 Axne D Manning Regional Healthcare Center 410 Main Street Manning 51455 Carroll 4 King R Mercy Hospital of Franciscan Sisters 201 Eighth Avenue SE Oelwein 50662 Fayette 1 Finkenauer D Mercy Medical Center-Dyersville 1111 3rd St SW Dyersville 52040 Dubuque 1 Finkenauer D Mercy Medical Center-New Hampton 308 North Maple Avenue New Hampton 50659 Chickasaw 4 King R Mitchell County Regional Health Center 616 North Eighth Street Osage 50461 Mitchell 1 Finkenauer D Monroe County Hospital and Clinics 6580 165th Street Albia 52531 Monroe 2 Loebsack D Osceola Community Hospital 600 Ninth Avenue North Sibley 51249 Osceola 4 King R Palo Alto County Health System 3201 First Street Emmetsburg 50536 Palo Alto 4 King R Pocahontas Community Hospital 606 NW Seventh Street Pocahontas 50574 Pocahontas 4 King R Regional Health Services of Howard County 235 Eighth Avenue West Cresco 52136 Howard 1 Finkenauer D Sanford Rock Rapids Medical Center 801 South Greene Street Rock Rapids 51246 Lyon 4 King R Story County Medical Center 640 S 19th St Nevada 50201 Story 4 King R UnityPoint Health - Jones Regional Medical Center1795 IA-64 Anamosa 52205 Jones 1 Finkenauer D Van Buren County Hospital 304 Franklin Street Keosauqua 52565 Van Buren 2 Loebsack D Van Diest Medical Center 2350 Hospital Drive Webster City 50595 Hamilton 4 King R Veterans Memorial Hospital 40 First Street SE Waukon 52172 Allamakee 1 Finkenauer D Virginia Gay Hospital 502 North Ninth Avenue Vinton 52349 Benton 1 Finkenauer D Wayne County Hospital 417 South East Street Corydon 50060 Wayne 2 Loebsack D

Idaho (19) Bear Lake Memorial Hospital 164 South Fifth Street Montpelier 83254 Bear Lake 2 Simpson R Benewah Community Hospital 229 South Seventh Street Saint Maries 83861 Benewah 1 Fulcher R Boundary Community Hospital 6640 Kaniksu Street Bonners Ferry 83805 Boundary 1 Fulcher R Caribou Memorial Hospital and Living Center 300 South Third West Soda Springs 83276 Caribou 2 Simpson R Clearwater Valley Hospital and Clinics 301 Cedar Orofino 83544 Clearwater 1 Fulcher R Rural Pass-Through Eligible Hospitals by State

Franklin County Medical Center 44 North First East Street Preston 83263 Franklin 2 Simpson R Minidoka Memorial Hospital 1224 Eighth Street Rupert 83350 Minidoka 2 Simpson R Nell J. Redfield Memorial Hospital 150 200 W Malad City 83252 Oneida 2 Simpson R North Canyon Medical Center 267 N Canyon Dr Gooding 83330 Gooding 2 Simpson R Shoshone Medical Center 25 Jacobs Gulch Kellogg 83837 Shoshone 1 Fulcher R St. Luke's Elmore 895 North Sixth East Street Mountain Home 83647 Elmore 2 Simpson R St. Luke's Jerome 709 North Lincoln Street Jerome 83338 Jerome 2 Simpson R St. Luke's McCall 1000 State Street McCall 83638 Valley 1 Fulcher R St. Mary's Hospital Lewiston and North Streets Cottonwood 83522 Idaho 1 Fulcher R Steele Memorial Medical Center 203 South Daisy Street Salmon 83467 Lemhi 2 Simpson R Syringa Hospital and Clinics 607 West Main Street Grangeville 83530 Idaho 1 Fulcher R Teton Valley Health Care 120 East Howard Street Driggs 83422 Teton 2 Simpson R Valor Health 1202 E Locust St Emmett 83617 Gem 1 Fulcher R Weiser Memorial Hospital 645 E 5th St Weiser 83672 Washington 1 Fulcher R

Illinois (21) Advocate Eureka Hospital 101 S Major St Eureka 61530 Woodford 18 LaHood R Carlinville Area Hospital 20733 North Broad Street Carlinville 62626 Macoupin 13 Davis R Community Hospital of Staunton 400 Caldwell Street Staunton 62088 Macoupin 13 Davis R Ferrell Hospital 1407 Locust St Eldorado 62930 Saline 15 Shimkus R Genesis Medical Center-Aledo 1007 NW 3rd St Aledo 61231 Mercer 17 Bustos D Hamilton Memorial Hospital District 611 South Marshall Avenue McLeansboro 62859 Hamilton 15 Shimkus R Illini Community Hospital 640 West Washington Street Pittsfield 62363 Pike 18 LaHood R Kirby Medical Center 1000 Medical Center Drive Monticello 61856 Piatt 13 Davis R Lawrence County Memorial Hospital 2200 West State Street Lawrenceville 62439 Lawrence 15 Shimkus R Marshall Browning Hospital 900 North Washington Street Du Quoin 62832 Perry 12 Bost R Mason District Hospital 615 North Promenade Street Havana 62644 Mason 18 LaHood R Memorial Hospital 1454 North County Road 2050 Carthage 62321 Hancock 18 LaHood R Midwest Medical Center One Medical Center Drive Galena 61036 Jo Daviess 17 Bustos D Morrison Community Hospital 303 North Jackson Street Morrison 61270 Whiteside 17 Bustos D Pana Community Hospital 101 East Ninth Street Pana 62557 Christian 15 Shimkus R Pinckneyville Community Hospital 101 North Walnut Street Pinckneyville 62274 Perry 12 Bost R Sarah D. Culbertson Memorial Hospital 238 South Congress Street Rushville 62681 Schuyler 18 LaHood R Union County Hospital 517 North Main Street Anna 62906 Union 12 Bost R Rural Pass-Through Eligible Hospitals by State

Wabash General Hospital 1418 College Drive Mount Carmel 62863 Wabash 15 Shimkus R Warner Hospital and Health Services 422 West White Street Clinton 61727 DeWitt 7 Davis D Washington County Hospital 705 South Grand Avenue Nashville 62263 Washington 15 Shimkus R

Indiana (3) Greene County General Hospital 1185 County Rd 1000 W Linton 47441 Greene 8 Bucshon R Indiana University Health Paoli Hospital 642 West Hospital Road Paoli 47454 Orange 9 Hollingsworth R Sullivan County Community Hospital 2200 North Section Street Sullivan 47882 Sullivan 8 Bucshon R

Kansas (55) Anderson County Hospital 421 South Maple Garnett 66032 Anderson 2 Watkins R Cheyenne County Hospital 210 West First Street Saint Francis 67756 Cheyenne 1 Marshall R Clay County Medical Center 617 Liberty Street Clay Center 67432 Clay 1 Marshall R Cloud County Health Center 1100 Highland Drive Concordia 66901 Cloud 1 Marshall R Community HealthCare System 120 West Eighth Street Onaga 66521 Pottawatomie1 Marshall R Decatur Health Systems 810 West Columbia Street Oberlin 67749 Decatur 1 Marshall R Fredonia Regional Hospital 1527 Madison Street Fredonia 66736 Wilson 2 Watkins R Girard Medical Center 302 North Hospital Drive Girard 66743 Crawford 2 Watkins R Goodland Regional Medical Center 220 West Second Street Goodland 67735 Sherman 1 Marshall R Gove County Medical Center 520 West Fifth Street Quinter 67752 Gove 1 Marshall R Graham County Hospital 304 West Prout Hill City 67642 Graham 1 Marshall R Greeley County Health Services 506 Third Street Tribune 67879 Greeley 1 Marshall R Greenwood County Hospital 100 W 16th St Eureka 67045 Greenwood 4 Estes R Grisell Memorial Hospital District One 210 South Vermont Avenue Ransom 67572 Ness 1 Marshall R Hanover Hospital 205 South Hanover Hanover 66945 Washington 1 Marshall R Harper Hospital District Five 700 West 13th Street Harper 67058 Harper 4 Estes R Herington Municipal Hospital 100 East Helen Street Herington 67449 Dickinson 1 Marshall R Hillsboro Community Hospital 701 South Main Street Hillsboro 67063 Marion 1 Marshall R Hodgeman County Health Center 809 Bramley Street Jetmore 67854 Hodgeman 1 Marshall R Holton Community Hospital 1110 Columbine Drive Holton 66436 Jackson 2 Watkins R Horton Community Hospital 240 West 18th Street Horton 66439 Brown 2 Watkins R Hospital District No 1 of Rice County 619 S Clark Ave Lyons 67554 Rice 1 Marshall R Kearny County Hospital 500 Thorpe Street Lakin 67860 Kearny 1 Marshall R Kingman Community Hospital 750 W D Ave Kingman 67068 Kingman 4 Estes R Rural Pass-Through Eligible Hospitals by State

Kiowa District Hospital and Manor 810 Drumm Street Kiowa 67070 Barber 4 Estes R Lindsborg Community Hospital 605 West Lincoln Street Lindsborg 67456 McPherson 1 Marshall R Logan County Hospital 211 Cherry Street Oakley 67748 Logan 1 Marshall R Meade District Hospital 510 East Carthage Street Meade 67864 Meade 1 Marshall R Medicine Lodge Memorial Hospital 710 North Walnut Street Medicine Lodge 67104 Barber 4 Estes R Memorial Health System 511 NE Tenth Street Abilene 67410 Dickinson 1 Marshall R Minneola District Hospital 212 Main Street Minneola 67865 Ford 1 Marshall R Morris County Hospital 600 North Washington St Council Grove 66846 Morris 1 Marshall R Nemaha Valley Community Hospital 1600 Community Drive Seneca 66538 Nemaha 2 Watkins R Ness County Hospital District No 2 312 E Custer St Ness City 67560 Ness 1 Marshall R Norton County Hospital 102 East Holme Norton 67654 Norton 1 Marshall R Osborne County Memorial Hospital 424 West New Hamp. St Osborne 67473 Osborne 1 Marshall R Pawnee Valley Community Hospital 923 Carroll Avenue Larned 67550 Pawnee 1 Marshall R Phillips County Hospital 1150 State Street Phillipsburg 67661 Phillips 1 Marshall R Rawlins County Health Center 707 Grant Street Atwood 67730 Rawlins 1 Marshall R Republic County Hospital 2420 'G' Street Belleville 66935 Republic 1 Marshall R Rooks County Health Center 1210 North Washington St Plainville 67663 Rooks 1 Marshall R Rush County Memorial Hospital 801 Locust Street La Crosse 67548 Rush 1 Marshall R Russell Regional Hospital 200 S Main St Russell 67665 Russell 1 Marshall R Sabetha Community Hospital 14th and Oregon Streets Sabetha 66534 Nemaha 2 Watkins R Satanta District Hospital and Long Term Care 401 South Cheyenne St Satanta 67870 Haskell 1 Marshall R Scott County Hospital 310 East Third Street Scott City 67871 Scott 1 Marshall R Sheridan County Health Complex 826 18th Street Hoxie 67740 Sheridan 1 Marshall R Smith County Memorial Hospital 614 South Main Street Smith Center 66967 Smith 1 Marshall R St. Luke Hospital and Living Center 535 South Freeborn Marion 66861 Marion 1 Marshall R Stanton County Hospital 404 North Chestnut St Johnson 67855 Stanton 1 Marshall R Stevens County Hospital 1006 South Jackson St Hugoton 67951 Stevens 1 Marshall R Trego County-Lemke Memorial Hospital 320 North 13th Street Wakeeney 67672 Trego 1 Marshall R Wamego Health Center 711 Genn Drive Wamego 66547 Pottawatomie1 Marshall R Washington County Hospital 304 East Third Street Washington 66968 Washington 1 Marshall R Wilson Medical Center 2600 Ottawa Road Neodesha 66757 Wilson 2 Watkins R

Kentucky (14) Barbourville ARH Hospital 80 Hospital Dr Barbourville 40906 Knox 5 Rogers R Rural Pass-Through Eligible Hospitals by State

Breckinridge Memorial Hospital 1011 Old Highway 60 Hardinsburg 40143 Breckinridge 2 Guthrie R Casey County Hospital 187 Wolford Ave Liberty 42539 Casey 5 Rogers R Ephraim McDowell Fort Logan Hospital 110 Metker Trail Stanford 40484 Lincoln 5 Rogers R Jane Todd Crawford Hospital 202 Milby St Greensburg 42743 Green 2 Guthrie R Mary Breckinridge ARH Hospital 202-206 Milby Street Hyden 41749 Leslie 5 Rogers R McDowell ARH Hospital Route 122 McDowell 41647 Floyd 5 Rogers R Methodist Hospital Union County 4604 Highway 60 West Morganfield 42437 Union 1 Comer R Morgan County ARH Hospital 476 Liberty Rd West Liberty 41472 Morgan 5 Rogers R Saint Joseph - Martin 11203 Main Street Martin 41649 Floyd 5 Rogers R T.J. Health Columbia 901 Westlake Dr Columbia 42728 Adair 1 Comer R The Medical Center at Caverna 1501 S Dixie St Horse Cave 42749 Hart 2 Guthrie R Trigg County Hospital 254 Main Street Cadiz 42211 Trigg 1 Comer R Wayne County Hospital 166 Hospital Street Monticello 42633 Wayne 5 Rogers R

Louisiana (7) Abrom Kaplan Memorial Hospital 1310 West Seventh St Kaplan 70548 Vermillion 3 Higgins R Bunkie General Hospital 427 Evergreen St. Bunkie 71322 Avoyelles 5 Abraham R Franklin Foundation Hospital 1097 Northwest Blvd Franklin 70538 St. Mary 3 Higgins R Hardtner Medical Center 1102 North Pine Road Olla 71465 LaSalle 5 Abraham R Lady of the Sea General Hospital 200 W 134th Pl Cut Off 70345 Lafourche 1 Scalise R North Caddo Medical Center 1000 South Spruce Street Vivian 71082 Caddo Prsh 4 Johnson R Pointe Coupee General Hospital 2202 False River Drive New Roads 70760 Pointe Coupee6 Graves R

Michigan (9) Aspirus Iron River Hospitals & Clinics 1400 West Ice Lake Road Iron River 49935 Iron 1 Bergman R Baraga County Memorial Hospital 18341 US-41 L'Anse 49946 Baraga 1 Bergman R Deckerville Community Hospital 3559 Pine Street Deckerville 48427 Sanilac 10 Mitchell R Harbor Beach Community Hospital 210 S 1st St Harbor Beach 48441 Huron 10 Mitchell R McKenzie Health System 120 North Delaware Street Sandusky 48471 Sanilac 10 Mitchell R Mercy Health, Lakeshore Campus 72 S State St Shelby 49455 Oceana 2 Huizenga R MidMichigan Medical Center-Gladwin 515 Quarter Street Gladwin 48624 Gladwin 4 Moolenaar R Schoolcraft Memorial Hospital 7870 US-2 Manistique 49854 Schoolcraft 1 Bergman R Sheridan Community Hospital 301 North Main Street Sheridan 48884 Montcalm 4 Moolenaar R Rural Pass-Through Eligible Hospitals by State

Minnesota (49) Essentia Health Ada 201 9th Street West Ada 56510 Norman 7 Peterson D Appleton Area Health Services 30 South Behl Street Appleton 56208 Swift 7 Peterson D Ridgeview Sibley Medical Center 601 West Chandler St Arlington 55307 Sibley 7 Peterson D Essentia Health Northern Pines Medical Center5211 Highway 110 Aurora 55705 St.Louis 8 Stauber R CHI LakeWood Health 600 Main Avenue South Baudette 56623 Lake of the Wds7 Peterson D Swift County - Benson Health Services 1815 Wisconsin Ave Benson 56215 Swift 7 Peterson D Bigfork Valley Hospital 258 Pine Tree Drive Bigfork 56628 Itasca 8 Stauber R Sanford Canby Medical Center 112 St Olaf Avenue S Canby 56220 Yellow Medicine7 Peterson D Mayo Clinic Health System in Cannon Falls 1116 West Mill Street Cannon Falls 55009 Goodhue 2 Craig D Johnson Memorial Health Services 1282 Walnut Street Dawson 56232 Lac Qui Parle 7 Peterson D Prairie Ridge Hospital and Health Services 930 First Street NE Elbow Lake 56531 Grant 7 Peterson D Essentia Health Fosston 900 Hilligoss Blvd SE Fosston 56542 Polk 7 Peterson D Glacial Ridge Health System 10 Fourth Avenue SE Glenwood 56334 Pope 7 Peterson D Essentia Health-Graceville 115 West Second Street Graceville 56240 Big Stone 7 Peterson D Granite Falls Municipal Hospital and Manor 345 Tenth Avenue Granite Falls 56241 Yellow Medicine7 Peterson D Kittson Memorial Healthcare Center 1010 South Birch Street Hallock 56728 Kittson 7 Peterson D Hendricks Community Hospital Association 503 East Lincoln Street Hendricks 56136 Lincoln 7 Peterson D Rainy Lake Medical Center 1400 Highway 71 International Falls 56649 Koochiching 8 Stauber R Sanford Jackson Medical Center 1430 North Highway Jackson 56143 Jackson 1 Hagedorn R Mayo Clinic Health System in Lake City 500 West Grant Street Lake City 55041 Goodhue 2 Craig D Ridgeview Le Sueur Medical Center 621 S 4th St Le Sueur 56058 Le Sueur 1 Hagedorn R Meeker Memorial Hospital 612 South Sibley Ave Litchfield 55355 Meeker 7 Peterson D CentraCare Health-Long Prairie 20 Ninth Street SE Long Prairie 56347 Todd 7 Peterson D Sanford Luverne Medical Center 1600 North Kniss Ave Luverne 56156 Rock 1 Hagedorn R Madelia Community Hospital 121 Drew Avenue SE Madelia 56062 Watonwan 1 Hagedorn R Madison Healthcare Services 900 Second Avenue Madison 56256 Lac Qui Parle 7 Peterson D CentraCare Health-Melrose 525 W Main St Melrose 56352 Stearns 7 Peterson D Stevens Community Medical Center 400 East First Street Morris 56267 Stevens 7 Peterson D RC Hospital and Clinics 611 East Fairview Ave Olivia 56277 Renville 7 Peterson D Mille Lacs Health System 200 North Elm Street Onamia 56359 Mille Lacs 8 Stauber R Ortonville Area Health Services 450 Eastvold Avenue Ortonville 56278 Big Stone 7 Peterson D CHI St. Joseph's Health 600 Pleasant Ave Park Rapids 56470 Hubbard 8 Stauber R CentraCare Health-Paynesville 200 W 1st St Paynesville 56362 Stearns 7 Peterson D Rural Pass-Through Eligible Hospitals by State

Perham Health 1000 Coney Street West Perham 56573 Ottertail 7 Peterson D Pipestone County Medical Center Avera 916 4th Avenue SW Pipestone 56164 Pipestone 7 Peterson D Redwood Area Hospital 100 Fallwood Road Redwood Falls 56283 Redwood 7 Peterson D LifeCare Medical Center 715 Delmore Avenue Roseau 56751 Roseau 7 Peterson D Mayo Clinic Health System in Saint James 1101 Moulton and Parsons Dr. Saint James 56081 Watonwan 1 Hagedorn R Essentia Health Sandstone 109 Court Avenue South Sandstone 55072 Pine 8 Stauber R CentraCare Health-Sauk Centre 425 North Elm Street Sauk Centre 56378 Stearns 7 Peterson D Murray County Medical Center 2042 Juniper Avenue Slayton 56172 Murray 7 Peterson D Sleepy Eye Medical Center 400 Fourth Avenue NW Sleepy Eye 56085 Brown 1 Hagedorn R Mayo Clinic Health System in Springfield 625 North Jackson Avenue Springfield 56087 Brown 1 Hagedorn R Sanford Tracy Medical Center 251 Fifth Street East Tracy 56175 Lyon 7 Peterson D Avera Tyler Hospital 240 Willow Street Tyler 56178 Lincoln 7 Peterson D Saint Elizabeth's Medical Center 1200 Grant Boulevard W Wabasha 55981 Wabasha 2 Craig D Mayo Clinic Health System in Waseca 501 North State Street Waseca 56093 Waseca 1 Hagedorn R Sanford Westbrook Medical Center 920 Bell Avenue Westbrook 56183 Cottonwood 7 Peterson D Sanford Wheaton Medical Center 401 12th Street North Wheaton 56296 Traverse 7 Peterson D

Missouri (19) Northwest Medical Center 705 North College Street Albany 64402 Gentry 6 Graves R Harrison County Community Hospital 2600 Miller Street Bethany 64424 Harrison 6 Graves R General John J. Pershing Memorial Hospital 130 East Lockling Avenue Brookfield 64628 Linn 6 Graves R Carroll County Memorial Hospital 1502 N Jefferson St Carrollton 64633 Carroll 6 Graves R Mercy Hospital Cassville 94 Main Street Cassville 65625 Barry 7 Long R Cedar County Memorial Hospital 1401 South Park Street El Dorado Springs 64744 Cedar 4 Hartzler R Community Hospital-Fairfax 26136 US Highway 59 Fairfax 64446 Atchison 6 Graves R Madison Medical Center 611 West Main Street Fredericktown 63645 Madison 8 Smith R Hermann Area District Hospital 509 West 18th Street Hermann 65041 Gasconade 3 Luetkemeyer R Cox Barton County Memorial Hospital 29 NW First Lane Lamar 64759 Barton 4 Hartzler R Pike County Memorial Hospital 2305 Georgia Street Louisiana 63353 Pike 6 Graves R Samaritan Hospital 1205 North Missouri Street Macon 63552 Macon 6 Graves R Scotland County Hospital 450 Sigler Avenue Memphis 63555 Scotland 6 Graves R Sullivan County Memorial Hospital 630 West Third Street Milan 63556 Sullivan 6 Graves R Mercy St. Francis Hospital 100 West Highway 60 Mountain View 65548 Shannon 8 Smith R Washington County Memorial Hospital 300 Health Way Potosi 63664 Washington 8 Smith R Rural Pass-Through Eligible Hospitals by State

Salem Memorial District Hospital Highway 72 North Salem 65560 Dent 8 Smith R Wright Memorial Hospital 191 Iowa Boulevard Trenton 64683 Grundy 6 Graves R Putnam County Memorial Hospital 1926 Oak St Unionville 63565 Putnam 6 Graves R

Mississippi (5) Field Memorial Community Hospital 270 West Main Street Centreville 39631 Wilkinson 3 Guest R Baptist Medical Center Attala 220 MS-12 Kosciusko 39090 Attala 2 Thompson D Laird Hospital 25117 Highway 15 Union 39365 Newton 3 Guest R Stone County Hospital 1434 E Central Ave Wiggins 39577 Stone 4 Palazzo R Copiah County Medical Center 27190 Highway 28 Hazlehurst 39083 Copiah 2 Thompson D

Montana (17) Fallon Medical Complex 202 South 4th Street West Baker 59313 Fallon At-L Gianforte R Liberty Medical Center 315 West Madison Avenue Chester 59522 Liberty At-L Gianforte R Pondera Medical Center 805 Sunset Boulevard Conrad 59425 Pondera At-L Gianforte R Northern Rockies Medical Center 802 Second Street SE Cut Bank 59427 Glacier At-L Gianforte R Deer Lodge Medical Center 1101 Texas Avenue Deer Lodge 59722 Powell At-L Gianforte R Big Horn County Memorial Hospital 17 North Miles Avenue Hardin 59034 Big Horn At-L Gianforte R Cabinet Peaks Medical Center 209 Health Park Drive Libby 59923 Lincoln At-L Gianforte R Clark Fork Valley Hospital 10 Kruger Road Plains 59859 Sanders At-L Gianforte R Providence St. Joseph Medical Center 6 Thirteenth Avenue East Polson 59860 Lake At-L Gianforte R Poplar Community Hospital 'H' and Court Avenue Poplar 59255 Roosevelt At-L Gianforte R Beartooth Billings Clinic 2525 North Broadway Red Lodge 59068 Carbon At-L Gianforte R St. Luke Community Healthcare 107 Sixth Avenue SW Ronan 59864 Lake At-L Gianforte R Mineral Community Hospital 1208 6th Avenue East Superior 59872 Mineral At-L Gianforte R Mountainview Medical Center 16 West Main Street White Sulphur Springs 59645 Meagher At-L Gianforte R Trinity Hospital 315 Knapp Street Wolf Point 59201 Roosevelt At-L Gianforte R Benefis Teton Medical Center 915 4th Street North West Choteau 59422 Teton At-L Gianforte R Central Montana Medical Center

North Carolina (4) Cape Fear Valley - Bladen County Hospital 501 S Poplar St Elizabethtown 28337 Bladen 7 Rouzer R Washington County Hospital 958 U S Highway 64 East Plymouth 27962 Washington 1 Butterfield D Alleghany Memorial Hospital 233 Doctors Street Sparta 28675 Alleghany 5 Foxx R Rural Pass-Through Eligible Hospitals by State

Vidant Bertie Hospital 1403 South King Street Windsor 27983 Bertie 1 Butterfield D

North Dakota (24) Ashley Medical Center 612 North Center Avenue Ashley 58413 McIntosh At-L Armstrong R St. Andrew's Health Center 316 Ohmer Street Bottineau 58318 Bottineau At-L Armstrong R Southwest Healthcare Services 802 2nd Street Northwest Bowman 58623 Bowman At-L Armstrong R Towner County Medical Center State Highway 281 North Cando 58324 Towner At-L Armstrong R CHI St Alexius Health Carrington Medical Center800 North Fourth Street Carrington 58421 Foster At-L Armstrong R Pembina County Memorial Hospital and Wedgewood301 Mountain Manor Street East Cavalier 58220 Pembina At-L Armstrong R St. Luke's Medical Center 702 First Street Southwest Crosby 58730 Divide At-L Armstrong R CHI St. Alexius Health Devils Lake Hospital 1031 7th Street Northeast Devils Lake 58301 Ramsey At-L Armstrong R Unity Medical Center 164 West 13th Street Grafton 58237 Walsh At-L Armstrong R St. Aloisius Medical Center 325 East Brewster Street Harvey 58341 Wells At-L Armstrong R Sakakawea Medical Center 510 Eighth Avenue NE Hazen 58545 Mercer At-L Armstrong R West River Regional Medical Center 1000 US-12 Hettinger 58639 Adams At-L Armstrong R Cavalier County Memorial Hospital and Clinics 909 Second Street Langdon 58249 Cavalier At-L Armstrong R Linton Hospital 518 North Broadway Linton 58552 Emmons At-L Armstrong R CHI Lisbon Health 905 Main Street Lisbon 58054 Ransom At-L Armstrong R Sanford Mayville Medical Center 42 Sixth Avenue SE Mayville 58257 Traill At-L Armstrong R CHI Oakes Hospital 1200 North Seventh Street Oakes 58474 Dickey At-L Armstrong R First Care Health Center 115 Vivian Street Park River 58270 Walsh At-L Armstrong R Presentation Medical Center 213 Second Avenue NE Rolla 58367 Rolette At-L Armstrong R Heart of America Medical Center 800 Main Avenue South Rugby 58368 Pierce At-L Armstrong R Tioga Medical Center 810 North Welo Street Tioga 58852 Williams At-L Armstrong R CHI Mercy Health 570 Chautauqua Boulevard Valley City 58072 Barnes At-L Armstrong R McKenzie County Healthcare System 516 North Main Street Watford City 58854 McKenzie At-L Armstrong R Wishek Community Hospital and Clinics 1007 Fourth Avenue South Wishek 58495 McIntosh At-L Armstrong R

Nebraska (51) Brown County Hospital 945 East Zero Street Ainsworth 69210 Brown 3 Smith R Boone County Health Center 723 West Fairview Street Albion 68620 Boone 3 Smith R Harlan County Health System 717 North Brown Street Alma 68920 Harlan 3 Smith R West Holt Medical Services 406 West Neely Street Atkinson 68713 Holt 3 Smith R Nemaha County Hospital 2022 13th Street Auburn 68305 Nemaha 3 Smith R Rural Pass-Through Eligible Hospitals by State

Memorial Community Health 1423 Seventh Street Aurora 68818 Hamilton 3 Smith R Rock County Hospital 102 East South Street Bassett 68714 Rock 3 Smith R Dundy County Hospital 1313 North Cheyenne St Benkelman 69021 Dundy 3 Smith R Morrill County Community Hospital 1313 'S' Street Bridgeport 69336 Morrill 3 Smith R Callaway District Hospital 211 East Kimball Callaway 68825 Custer 3 Smith R Tri Valley Health System 1305 West Hwy 6 and 34 Cambridge 69022 Furnas 3 Smith R Merrick Medical Center (formerly Litzenberg Memorial1715 26th County Street Hospital) Central City 68826 Merrick 3 Smith R Chadron Community Hospital and Health Services825 Centennial Drive Chadron 69337 Dawes 3 Smith R Cozad Community Hospital 300 East 12th Street Cozad 69130 Dawson 3 Smith R Avera Creighton Hospital 1503 Main Street Creighton 68729 Knox 3 Smith R Crete Area Medical Center 2910 Betten Drive Crete 68333 Saline 3 Smith R Butler County Health Care Center 372 South Ninth Street David City 68632 Butler 1 Fortenberry R Jefferson Community Health and Life 2200 'H' Street Fairbury 68352 Jefferson 3 Smith R Community Medical Center, Inc. 3307 Barada Street Falls City 68355 Richardson 3 Smith R Franklin County Memorial Hospital 1406 'Q' Street Franklin 68939 Franklin 3 Smith R Friend Community Healthcare System 905 2nd St Friend 68359 Saline 3 Smith R Fillmore County Hospital 1900 'F' Street Geneva 68361 Fillmore 3 Smith R Genoa Medical Facilities 706 Ewing Avenue Genoa 68640 Nance 3 Smith R Gordon Memorial Hospital 300 East Eighth Street Gordon 69343 Sheridan 3 Smith R Gothenburg Health 910 20th Street Gothenburg 69138 Dawson 3 Smith R Perkins County Health Services 900 Lincoln Avenue Grant 69140 Perkins 3 Smith R Thayer County Health Services 120 Park Avenue Hebron 68370 Thayer 3 Smith R Henderson Health Care Services 1621 Front Street Henderson 68371 York 3 Smith R Chase County Community Hospital 600 West 12th Street Imperial 69033 Chase 3 Smith R Kimball Health Services 505 South Burg Street Kimball 69145 Kimball 3 Smith R Niobrara Valley Hospital 401 South Fifth Street Lynch 68746 Boyd 3 Smith R Kearney County Health Services 727 East First Street Minden 68959 Kearny 3 Smith R Antelope Memorial Hospital 102 West Ninth Street Neligh 68756 Antelope 3 Smith R Oakland Mercy Hospital 601 East Second Street Oakland 68045 Burt 1 Fortenberry R Valley County Health System 2707 L Street Ord 68862 Valley 3 Smith R Annie Jeffrey Memorial County Health Center 531 Beebe Street Osceola 68651 Polk 1 Fortenberry R Osmond General Hospital 402 North Maple St Osmond 68765 Pierce 3 Smith R Pawnee County Memorial Hospital and Rural Health600 'I' ClinicStreet Pawnee City 68420 Pawnee 3 Smith R Pender Community Hospital 100 Hospital Drive Pender 68047 Thurston 1 Fortenberry R Rural Pass-Through Eligible Hospitals by State

CHI Health Plainview 704 N 3rd St Plainview 68769 Pierce 3 Smith R Webster County Community Hospital Sixth Ave and Franklin St Red Cloud 68970 Webster 3 Smith R Howard County Medical Center 1113 Sherman Street Saint Paul 68873 Howard 3 Smith R CHI Health Schuyler 104 West 17th Street Schuyler 68661 Colfax 1 Fortenberry R Memorial Health Care Systems 300 North Columbia Ave Seward 68434 Seward 1 Fortenberry R Brodstone Memorial Hospital 520 East Tenth Street Superior 68978 Nuckolls 3 Smith R Community Memorial Hospital 1579 Midland Street Syracuse 68446 Otoe 1 Fortenberry R Johnson County Hospital 202 High Street Tecumseh 68450 Johnson 3 Smith R Cherry County Hospital 510 North Green Street Valentine 69201 Cherry 3 Smith R Saunders Medical Center 1760 County Rd J Wahoo 68066 Saunders 1 Fortenberry R Providence Medical Center 1200 Providence Road Wayne 68787 Wayne 3 Smith R St. Francis Memorial Hospital 430 North Monitor St West Point 68788 Dodge 1 Fortenberry R

New Hampshire (1) Upper Connecticut Valley Hospital 181 Corliss Lane Colebrook 03576 Coos 2 Kuster D

New Mexico (3) Cibola General Hospital 1016 E Roosevelt Ave Grants 87020 Cibola 2 Torres-Small D Sierra Vista Hospital 800 East Ninth Avenue Truth or Consequences 87901 Sierra 2 Torres-Small D Union County General Hospital 300 Wilson Street Clayton 88415 union 3 Lujan D

Nevada (2) William Bee Ririe Hospital 1500 Avenue 'H' Ely 89301 White Pine 4 Horsford D Mount Grant General Hospital First and 'A' Street Hawthorne 89415 Mineral 4 Horsford D

New York (3) Medina Memorial Hospital 200 Ohio St Medina 14103 Orleans 27 Collins R Soldiers and Sailors Memorial Hospital of Yates418 County North Main Street Penn Yan 14527 Yates 23 Reed R UHS Delaware Valley Hospital 1 Titus Pl Walton 13856 Delaware 19 Delgado D

Oklahoma (11) Roger Mills Memorial Hospital Fifth and L L Males Avenue Cheyenne 73628 Roger Mills 3 Lucas R Cleveland Area Hospital 1401 W Pawnee St Cleveland 74020 Pawnee 3 Lucas R Drumright Regional Hospital 610 W Bypass Drumright 74030 Creek 3 Lucas R Rural Pass-Through Eligible Hospitals by State

Fairfax Community Hospital Taft Avenue and Highway 18 Fairfax 74637 Osage 3 Lucas R Holdenville General Hospital 100 McDougal Drive Holdenville 74848 Hughes 2 Mullin R Mercy Hospital Kingfisher 1000 Kingfisher Rgnl Hospital DriveKingfisher 73750 Kingfisher 3 Lucas R AllianceHealth Madill 901 S 5th Ave Madill 73446 Marshall 2 Mullin R Newman Memorial Hospital 905 South Main Street Shattuck 73858 Ellis 3 Lucas R Memorial Hospital 1401 W Locust St Stilwell 74960 Adair 2 Mullin R Stroud Regional Medical Center Highway 66 West Stroud 74079 Lincoln 3 Lucas R Mercy Hospital Tishomingo 1000 South Byrd Street Tishomingo 73460 Johnston 2 Mullin R

Oregon (12) Southern Coos Hospital and Health Center 900 11th Street SE Bandon 97411 Coos 4 DeFazio D Harney District Hospital 557 W Washington St Burns 97720 Harney 2 Walden R Coquille Valley Hospital 940 East Fifth Street Coquille 97423 Coos 4 DeFazio D Salem Health West Valley 525 SE Washington Street Dallas 97338 Polk 5 Schrader D Wallowa Memorial Hospital 601 Medical Parkway Enterprise 97828 Wallowa 2 Walden R PeaceHealth Peace Harbor Medical Center 400 Ninth Street Florence 97439 Lane 4 DeFazio D Curry General Hospital 94220 4th St Gold Beach 97444 Curry 4 DeFazio D Blue Mountain Hospital 170 Ford Road John Day 97845 Grant 2 Walden R Lake District Hospital 700 South 'J' Street Lakeview 97630 Lake 2 Walden R St. Charles Madras 470 NE A St Madras 97741 Jefferson 2 Walden R St. Charles Prineville 384 SE Combs Flat Rd Prineville 97754 Crook 2 Walden R Lower Umpqua Hospital District 600 Ranch Rd Reedsport 97467 Douglas 4 DeFazio D

Pennsylvania (2) Corry Memorial Hospital 612 West Smith Street Corry 16407 Erie 5 Scanlon D Troy Community Hospital 101 Elmira Street Troy 16947 Bradford 10 Perry R

South Dakota (25) Douglas County Memorial Hospital 708 Eighth Street Armour 57313 Douglas At-L Johnson R Sanford Chamberlain Medical Center 300 South Byron Boulevard Chamberlain 57325 Brule At-L Johnson R Sanford Clear Lake Medical Center 701 Third Avenue South Clear Lake 57226 Deuel At-L Johnson R Lead-Deadwood Regional Hospital 61 Charles Street Deadwood 57732 Lawrence At-L Johnson R Eureka Community Health Services Avera 410 Ninth Street Eureka 57437 McPherson At-L Johnson R Avera Flandreau Hospital 214 North Prairie Street Flandreau 57028 Moody At-L Johnson R Rural Pass-Through Eligible Hospitals by State

Freeman Regional Health Services 510 East Eighth Street Freeman 57029 Hutchinson At-L Johnson R Avera Gregory Hospital 400 Park Avenue Gregory 57533 Gregory At-L Johnson R Fall River Hospital 1201 Highway 71 South Hot Springs 57747 Fall River At-L Johnson R Madison Community Hospital 917 North Washington Avenue Madison 57042 Lake At-L Johnson R Milbank Area Hospital Avera 901 East Virgil Avenue Milbank 57252 Grant At-L Johnson R Avera Hand County Memorial Hospital 300 West Fifth Street Miller 57362 Hand At-L Johnson R Mobridge Regional Hospital 1401 Tenth Avenue West Mobridge 57601 Walworth At-L Johnson R Avera St. Benedict Health Center 401 West Glynn Drive Parkston 57366 Hutchinson At-L Johnson R Platte Health Center Avera 601 East Seventh Platte 57369 Charles Mix At-L Johnson R Community Memorial Hospital 110 West Tenth Avenue Redfield 57469 Spink At-L Johnson R Landmann-Jungman Memorial Hospital Avera 600 Billars Street Scotland 57059 Bon Homme At-L Johnson R Coteau des Prairies Hospital 205 Orchard Drive Sisseton 57262 Roberts At-L Johnson R Sturgis Regional Hospital 949 Harmon St Sturgis 57785 Meade At-L Johnson R St. Michael's Hospital Avera 410 West 16th Avenue Tyndall 57066 Bon Homme At-L Johnson R Sanford Vermillion Medical Center 20 South Plum Street Vermillion 57069 Clay At-L Johnson R Wagner Community Memorial Hospital Avera 513 Third Street SW Wagner 57380 Charles Mix At-L Johnson R Sanford Webster Medical Center 1401 West 1st Street Webster 57274 Day At-L Johnson R Avera Weskota Memorial Hospital 604 First Street NE Wessington Springs 57382 Jerauld At-L Johnson R Winner Regional Healthcare Center 745 East Eighth Street Winner 57580 Tripp At-L Johnson R

Tennessee (2) Camden General Hospital 175 Hospital Drive Camden 38320 Benton 7 Green R Macon County General Hospital 204 Medical Drive Lafayette 37083 Macon 6 Rose R

Texas (26) AdventHealth Rollins Brook 608 North Key Avenue Lampasas 76550 Lampasas 25 Williams R Bayside Community Hospital 200 Hospital Dr Anahuac 77514 Chambers 36 Babin R Big Bend Regional Medical Center 2600 Highway 118 North Alpine 79830 Brewster 23 Hurd R CHRISTUS Mother Frances Hospital - Winnsboro719 West Coke Road Winnsboro 75494 Wood 5 Gooden R Coleman County Medical Center 310 South Pecos Street Coleman 76834 Coleman 11 Conaway R Comanche County Medical Center 10201 TX-16 Comanche 76442 Comanche 11 Conaway R Crane Memorial Hospital 1310 South Alford Street Crane 79731 Crane 23 Hurd R Electra Memorial Hospital 1207 S Bailey St Electra 76360 Witchita 13 Thornberry R Golden Plains Community Hospital 100 Medical Dr Borger 79007 Hutchinson 13 Thornberry R Rural Pass-Through Eligible Hospitals by State

Hamilton Hospital 901 West Hamilton Street Olney 76374 Young 19 Arrington R Lavaca Medical Center 1400 North Texana Street Hallettsville 77964 Lavaca 27 Cloud R Limestone Medical Center 701 McClintic Dr Groesbeck 76642 Limestone 17 Flores R Martin County Hospital District 600 Interstate Stanton 79782 Martin 11 Conaway R Medina Regional Hospital 3100 Avenue E Hondo 78861 Medina 23 Hurd R Memorial Hospital 209 NW Eighth Street Seminole 79360 Gaines 19 Arrington R Mitchell County Hospital 997 West Interstate 20 Colorado City 79512 Mitchell 11 Conaway R Ochiltree General Hospital 3101 Garrett Drive Perryton 79070 Ochiltree 13 Thornberry R Otto Kaiser Memorial Hospital 3349 South Highway 181 Kenedy 78119 Karnes 15 Gonzalez D Refugio County Memorial Hospital 107 Swift Street Refugio 78377 Refugio 27 Cloud R Rice Medical Center 600 Austin Rd Eagle Lake 77434 Colorado 10 McCaul R Seton Edgar B. Davis Hospital 130 Hays St Luling 78648 Caldwell 27 Cloud R TMC Bonham Hospital 504 Lipscomb St Bonham 75418 Fannin 4 Ratcliffe R W. J. Mangold Memorial Hospital 320 North Main Street Lockney 79241 Floyd 13 Thornberry R Ward Memorial Hospital 406 South Gary Street Monahans 79756 Ward 23 Hurd R Yoakum Community Hospital 1200 Carl Ramert Drive Yoakum 77995 Lavaca 27 Cloud R Yoakum County Hospital 412 Mustang Avenue Denver City 79323 Yoakum 19 Arrington R

Utah (8) Beaver Valley Hospital 1109 North 100 West Beaver 84713 Beaver 2 Stewart R Blue Mountain Hospital 802 S 200 W Blanding 84511 San Juan 3 Curtis R Delta Community Medical Center 126 South White Sage Avenue Delta 84624 Millard 2 Stewart R Fillmore Community Medical Center 674 South Highway 99 Fillmore 84631 Millard 2 Stewart R Kane County Hospital 355 North Main Street Kanab 84741 Kane 2 Stewart R Moab Regional Hospital 450 West Williams Way Moab 84532 Grande 3 Curtis R San Juan Hospital 380 West 100 North Monticello 84535 San Juan 3 Curtis R Sanpete Valley Hospital 1100 S Medical Dr Mount Pleasant 84647 Sanpete 4 McAdams D

Virginia (1) Page Memorial Hospital 200 Memorial Drive Luray 22835 Page 6 Cline R

Washington (17) Three Rivers Hospital 507 Hospital Way Brewster 98812 Okanogan 4 Newhouse R Lake Chelan Community Hospital 503 East Highland Avenue Chelan 98816 Chelan 8 Schrier D Rural Pass-Through Eligible Hospitals by State

Providence St. Joseph's Hospital 500 East Webster Street Chewelah 99109 Stevens 5 McMorris-RodgersR Whitman Hospital and Medical Center 1200 West Fairview Street Colfax 99111 Whitman 5 McMorris-RodgersR Lincoln Hospital 10 Nicholls Street Davenport 99122 Lincoln 5 McMorris-RodgersR Forks Community Hospital 530 Bogachiel Way Forks 98331 Clallam 6 Kilmer D Klickitat Valley Health 310 South Roosevelt Avenue Goldendale 98620 Klickitat 3 Beutler R Coulee Medical Center 411 Fortuyn Road Grand Coulee 99133 Grant 4 Newhouse R Ocean Beach Hospital 174 First Avenue North Ilwaco 98624 Pacific 3 Beutler R Arbor Health, Morton Hospital (Morton General521 Hospital) Adams Avenue Morton 98356 Lewis 3 Beutler R Newport Hospital and Health Services 714 West Pine Street Newport 99156 Pend Oreille 5 McMorris-RodgersR Odessa Memorial Healthcare Center 502 East Amende Drive Odessa 99159 Lincoln 5 McMorris-RodgersR PMH Medical Center 723 Memorial St Prosser 99350 Benton 4 Newhouse R Willapa Harbor Hospital 800 Alder Street South Bend 98586 Willapa 3 Beutler R North Valley Hospital 203 South Western Avenue Tonasket 98855 Okanogan 4 Newhouse R Skyline Hospital 211 Skyline Drive White Salmon 98672 Klickitat 3 Beutler R Providence Mount Carmel Hospital 982 East Columbia Avenue Colville 99114 Stevens 5 McMorris-RodgersR

Wisconsin (17) Western Wisconsin Health 1100 Bergslien Street Baldwin 54002 St. Croix 7 Duffy R Gundersen Boscobel Area Hospital and Clinics 205 Parker Street Boscobel 53805 Grant 3 Kind D Cumberland Memorial Hospital 1110 Seventh Avenue Cumberland 54829 Barron 7 Duffy R Memorial Hospital of Lafayette County 800 Clay Street Darlington 53530 Lafayette 2 Pocan D Gundersen Moundview Hospital & Clinics( Formerly402 West Moundview Lake Street Memorial HospitalFriendship & Clinics) 53934 Adams 3 Kind D Burnett Medical Center 257 West St George Avenue Grantsburg 54840 Burnett 7 Duffy R Gundersen St. Joseph's Hospital and Clinics 400 Water Avenue Hillsboro 54634 Vernon 3 Kind D Osceola Medical Center 2600 65th Avenue Osceola 54020 Polk 7 Duffy R Flambeau Hospital 98 Sherry Avenue Park Falls 54552 Price 7 Duffy R Indianhead Medical Center 113 Fourth Avenue Shell Lake 54871 Washburn 7 Duffy R Spooner Health 819 Ash Street Spooner 54801 Washburn 7 Duffy R Ministry Our Lady of Victory Hospital 1120 Pine Street Stanley 54801 Washburn 7 Duffy R Gundersen Tri-County Hospital and Clinics 18601 Lincoln Street Whitehall 54768 Clark 7 Duffy R Theda Care Medical Center - Wild Rose 601 Grove Ave Wild Rose 54773 Trempeauleau3 Kind D AdventHealth Durand( Formerly Chippewa Valley1220 Hospital) Third Avenue West Durand 54736 Pepin 3 Kind D Ascension Eagle River Hospital 201 Hospital Road Eagle River 54521 Vilas 7 Duffy R Mayo Clinic Health System - Chippewa Valley in1501 Bloomer Thompson Street Bloomer 54724 Chippewa 7 Duffy R Rural Pass-Through Eligible Hospitals by State

West Virginia (4) War Memorial Hospital One Healthy Way Berkeley Springs 25411 Morgan 2 Mooney R Grafton City Hospital 500 Market Street Grafton 26354 Taylor 1 McKinley R Hampshire Memorial Hospital 363 Sunrise Boulevard Romney 26757 Hampshire 2 Mooney R Roane General Hospital 200 Hospital Dr Spencer 25276 Roane 2 Mooney R

Wyoming (5) Johnson County Healthcare Center 497 West Lott Street Buffalo 82834 Johnson At-L Cheney R South Lincoln Medical Center 711 Onyx Street Kemmerer 83101 Lincoln At-L Cheney R North Big Horn Hospital District 1115 Lane 12 Lovell 82431 Big Horn At-L Cheney R Hot Springs County Memorial Hospital 150 East Arapahoe Street Thermopolis 82443 Hot Springs At-L Cheney R Washakie Medical Center 400 South 15th Street Worland 82401 Washakie At-L Cheney R