Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Adams Hettinger ND 3000 Hettinger Clinic 1000 E Hwy 12 PCC INW 4 BC Aitkin Aitkin MN 003205647 Riverwood Aitkin Clinic 200 Bunker Hill Dr. PCC RRC 4 HP Aitkin Aitkin MN 2689 Riverwood Aitkin Clinic 200 Bunker Hill Dr. PCC RRC 4 P1 Aitkin Aitkin MN NA281 Riverwood Aitkin Clinic 200 Bunker Hill Dr. PCC RRC 4 P1 Aitkin McGregor MN NA370 East Lake Clinic 36666 St. Hwy. 65 PCC ICM 3 BC Aitkin McGregor MN 003202142 Ne La Shing (East Lake Clinic) 36666 St. Hwy. 65 PCC ICM 3 HP Aitkin McGregor MN 3213 Ne La Shing (East Lake Clinic) 36666 St. Hwy. 65 PCC ICM 3 BC Aitkin McGregor MN 003195137 Riverwood McGregor Clinic 2 E. Center Ave. PCC RRC 4 HP Aitkin McGregor MN 2690 Riverwood McGregor Clinic 2 E. Center Ave. PCC RRC 4 P1 Aitkin McGregor MN NA280 Riverwood McGregor Clinic 2 E. Center Ave. PCC RRC 4 BC Allamakee Lansing IA 003202596 Gundersen Lansing Clinic 50 N 4th St PCC GUN 3 HP Allamakee Lansing IA 2660 Gundersen Lansing Clinic 50 N 4th St PCC GUN 3 Gundersen Postville Lutheran Hospital & Clinic - BC Allamakee Postville IA 003214645 Postville 111 S Reynolds PCC GUN 3 Gundersen Postville Lutheran Hospital & Clinic - HP Allamakee Postville IA 2682 Postville 111 S Reynolds PCC GUN 3 BC Allamakee Waukon IA 003197235 Gundersen Waukon Clinic 120 2nd Ave SE PCC GUN 3 HP Allamakee Waukon IA 2704 Gundersen Waukon Clinic 120 2nd Ave SE PCC GUN 3 M Health Fairview Clinic - Andover (Fairview Clinics - 13819 Hanson Blvd. BC Anoka Andover MN 004475593 Andover) NW PCC FAI 3 M Health Fairview Clinic - Andover (Fairview Clinics - 13819 Hanson Blvd. HP Anoka Andover MN 2268 Andover) NW PCC FAI 2 M Health Fairview Clinic - Andover (Fairview Clinics - 13819 Hanson Blvd. P1 Anoka Andover MN FP204 Andover) NW PCC FAI 2

HP Anoka Andover MN 2254 HealthPartners RiverWay Clinics - Andover 15245 Bluebird St NW PCC HPR 1 HP Anoka Anoka MN 402 HealthPartners RiverWay Clinics - Anoka 601 Jacob Lane PCC HPR 1 10705 Town Square BC Anoka Blaine MN 003215157 Allina Health Blaine Clinic Drive NE, #100 PCC ALL 2 10705 Town Square HP Anoka Blaine MN 3182 Allina Health Blaine Clinic Drive NE, #100 PCC ALL 3 10705 Town Square P1 Anoka Blaine MN AM160 Allina Health Blaine Clinic Dr. NE, #100 PCC ALL 3

BC Anoka Blaine MN 003197079 Child and Teen Medical Center - Blaine 11107 Ulysses St NE PD PED 2

HP Anoka Blaine MN 3923 Child and Teen Medical Center - Blaine 11107 Ulysses St NE PD PED 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Anoka Blaine MN CP166 Child and Teen Medical Center - Blaine 11107 Ulysses St NE PD PED 2

BC Anoka Blaine MN 003615192 North Memorial Health Clinic - Blaine North 11855 Ulysses St. NE PCC NOR 2

HP Anoka Blaine MN 2354 North Memorial Health Clinic - Blaine North 11855 Ulysses St. NE PCC NOR 2

P1 Anoka Blaine MN NM116 North Memorial Health Clinic - Blaine North 11855 Ulysses St. N.E. PCC NOR 2 M Health Fairview Clinic - Blaine (Fairview Clinics - 10961 Club W. BC Anoka Blaine MN 004476219 Blaine) Parkway NE PCC FAI 3 M Health Fairview Clinic - Blaine (Fairview Clinics - 10961 Club W. HP Anoka Blaine MN 2771 Blaine) Parkway NE PCC FAI 2 M Health Fairview Clinic - Blaine (Fairview Clinics - 10961 Club West P1 Anoka Blaine MN FP205 Blaine) Pkwy PCC FAI 2 Columbia BC Anoka Heights MN 003217456 Total Health Clinic Corp 5178 Central Ave. NE PCC IMT 2 Columbia HP Anoka Heights MN 2790 Total Health Clinic Corp 5178 Central Ave. NE PCC IMT 2 Columbia P1 Anoka Heights MN NA476 Total Health Clinic 5178 Central Ave. NE PCC IMT 2 9055 Springbrook Dr. BC Anoka Coon Rapids MN 003196698 Allina Health Coon Rapids Clinic NW PCC ALL 2

9055 Springbrook Dr. HP Anoka Coon Rapids MN 427 Allina Health Coon Rapids Clinic NW PCC ALL 3

P1 Anoka Coon Rapids MN AM106 Allina Health Coon Rapids Clinic 9055 Springbrook Dr. PCC ALL 3

11475 Robinson Dr HP Anoka Coon Rapids MN 426 HealthPartners Coon Rapids Clinic NW PCC HPR 1 Neighborhood Health Source - North Metro Clinic 10081 Dogwood St. BC Anoka Coon Rapids MN 004313795 (formerly North Metro Pediatrics) NW, #100 PCC IMT 2 Neighborhood Health Source - North Metro Clinic 10081 Dogwood St. HP Anoka Coon Rapids MN 3329 (formerly North Metro Pediatrics) NW, #100 PCC IMT 2 Neighborhood Health Source - North Metro Clinic 10081 Dogwood St. P1 Anoka Coon Rapids MN NA708 (formerly North Metro Pediatrics) NW, #100 PCC IMT 2 500 Osborne Road BC Anoka Fridley MN 003216939 Allina Health Fridley Clinic NE, Suite 255 PCC ALL 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 500 Osborne Road HP Anoka Fridley MN 3143 Allina Health Fridley Clinic NE, Suite 255 PCC ALL 3 500 Osborne Rd., P1 Anoka Fridley MN AM176 Allina Health Fridley Clinic #255 PCC ALL 3 M Health Fairview Clinic - Fridley (Fairview Clinics - 6341 University Ave. BC Anoka Fridley MN 004475669 Fridley) NE PCC FAI 3 M Health Fairview Clinic - Fridley (Fairview Clinics - 6341 University Ave. HP Anoka Fridley MN 749 Fridley) NE PCC FAI 2 M Health Fairview Clinic - Fridley (Fairview Clinics - 6341 University Ave. P1 Anoka Fridley MN FP208 Fridley) NE PCC FAI 2 500 NE Osborne Rd., BC Anoka Fridley MN 003197079 Child & Teen Medical Center #215 PD PED 2 500 NE Osborne Rd., HP Anoka Fridley MN 613 Child & Teen Medical Center #215 PD PED 2 500 N.E. Osborne Rd., P1 Anoka Fridley MN CP105 Child & Teen Medical Center #215 PD PED 2 BC Anoka Fridley MN 003615245 North Memorial Health Clinic - Fridley 480 Osborne Road PCC NOR 2 HP Anoka Fridley MN 2356 North Memorial Health Clinic - Fridley 480 Osborne Road PCC NOR 2 P1 Anoka Fridley MN NM117 North Memorial Health Clinic - Fridley 480 Osborne Rd. PCC NOR 2 HealthPartners North Suburban Family Physicians - HP Anoka Lino Lakes MN 722 Lino Lakes 576 Apollo Dr PCC HPR 1

BC Anoka Ramsey MN 003215664 Allina Health Ramsey Clinic 7231 Sunwood Dr. NW PCC ALL 2

HP Anoka Ramsey MN 509 Allina Health Ramsey Clinic 7231 Sunwood Dr. NW PCC ALL 3

P1 Anoka Ramsey MN AM109 Allina Health Ramsey Clinic 7231 Sunwood Dr. NW PCC ALL 3

HP Ashland Ashland WI 145 Chequamegon Clinic 2201 Lake Shore Dr E PCC SLK 2 2201 Lake Shore Drive P1 Ashland Ashland WI SL107 Chequamegon Clinic E. PCC SLK 4 1615 Maple Lane Suite HP Ashland Ashland WI 2368 Essentia Health - Ashland Clinic 1 PCC SMD 2 1615 Maple Lane Suite P1 Ashland Ashland WI DC101 Essentia Health - Ashland Clinic 1 PCC SMD 3 HP Ashland Ashland WI 2874 Main Street Clinic 1001 W. Main St. PCC INE 2 P1 Ashland Ashland WI NS119 MainStreet Clinic 1001 W. Main St. PCC INE 2 P1 Aurora Stickney SD NA645 Prairie Health Clinic 301 Main St. PCC ISO 4 HP Aurora White Lake SD 3421 White Lake Medical Clinic Avera 306 S Johnston St PCC AVH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Aurora White Lake SD AH231 White Lake Medical Clinic Avera 306 S. Johnston St. PCC AVH 2 HP Barnes Valley City ND 565 Essentia Health - Valley City Clinic 132 4th Ave NE PCC DCH 2

P1 Barnes Valley City ND DC151 Essentia Health Valley City Clinic 132 4th Ave. NE PCC DCH 2 415 Second Avenue HP Barnes Valley City ND 3789 Family HealthCare - Valley City NE, #101 PCC INW 4

HP Barnes Valley City ND 892 Sanford Health Valley City Clinic 520 Chautauqua Blvd PCC MER 2 P1 Barnes Valley City ND SV202 Sanford Health Valley City Clinic 520 Chautauqua PCC MER 2

HP Barron Barron WI 2595 Mayo Clinic Health System Northland - Barron Clinic 1222 E Woodland Ave PCC MAY 4

P1 Barron Barron WI MH172 Mayo Clinic Health System Northland - Barron Clinic 1222 E. Woodland Ave PCC MAY 4

HP Barron Chetek WI 2598 Mayo Clinic Health System Northland - Chetek Clinic 220 Douglas St. PCC MAY 4

P1 Barron Chetek WI MH174 Mayo Clinic Health System Northland - Chetek Clinic 220 Douglas St. PCC MAY 4 HP Barron Chetek WI 2826 Marshfield Clinic Chetek Center 806 2nd St PCC IWI 4 HP Barron Cumberland WI 2792 Cumberland Healthcare Medical Clinic 1110 7th Ave PCC IWI 4 P1 Barron Cumberland WI NA580 Cumberland Healthcare Medical Clinic 1110 7th Ave. PCC IWI 4 HP Barron Cumberland WI 3072 Marshfield Clinic - Cumberland Center 1200 State Rd 48 PCC IWI 4 Mayo Clinic Health System Northland - Rice Lake HP Barron Rice Lake WI 3035 Clinic 331 South Main Street PCC MAY 4 Mayo Clinic Health System Northland - Rice Lake P1 Barron Rice Lake WI MH175 Clinic 331 S. Main St., #H PCC MAY 4 HP Barron Rice Lake WI 3076 Marshfield Medical Center - Rice Lake 1700 W Stout St PCC IWI 4 HP Barron Rice Lake WI 2828 Marshfield Clinic Lakewoods Family Center 1215 W Knapp PCC IWI 4 P1 Barron Rice Lake WI NA680 Prevea Rice Lake Health Center 1051 West Ave. PCC IWI 4 HP Barron Turtle Lake WI 2779 Turtle Lake Clinic, Amery Hospital & Clinic 550 Martin Ave PCC IWI 2 P1 Barron Turtle Lake WI NA464 Turtle Lake Clinic 550 Martin Ave. PCC IWI 4 HP Barron Turtle Lake WI 3402 Cumberland Healthcare Turtle Lake Center 632 US Hwy 8 PCC IWI 4 HP Bayfield Washburn WI 3222 Kreuser Clinic 320 Superior Ave PCC IWI 4 HP Bayfield Bayfield WI 3088 Red Cliff Community Health Center 36745 Aiken Rd PCC IWI 4

HP Bayfield Iron River WI 3082 Northlakes Community Health Center - Iron River 7662 US 2 PCC INE 2

P1 Bayfield Iron River WI NS122 Northlakes Community Health Center - Iron River 7662 US-2 PCC INE 2 HP Beadle Huron SD 3961 Huron Clinic Foundation, LTD 111 4th St. SE PCC ISO 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Beadle Huron SD NA633 Huron Clinic Foundation, LTD 111 4th St. SE PCC ISO 4 455 Kansas Avenue HP Beadle Hurson SD 3962 Tschetter & Hohm Clinic, PC SE PCC ISO 4

BC Becker Detroit Lakes MN 003217443 Sanford Clinic Detroit Lakes (Sanford Clinic North) 1245 S. Washington PCC MER 2 HP Becker Detroit Lakes MN 590 Sanford Health Detroit Lakes Clinic 1245 S. Washington PCC MER 2 P1 Becker Detroit Lakes MN SV177 Sanford Health Detroit Lakes Clinic 1245 S. Washington PCC MER 2

BC Becker Detroit Lakes MN 003218774 Essentia Health St. Mary's - Detroit Lakes Clinic 1027 Washington Ave. PCC DCH 2

HP Becker Detroit Lakes MN 352 Essentia Health St. Mary's - Detroit Lakes Clinic 1027 Washington Ave. PCC DCH 2

P1 Becker Detroit Lakes MN DC160 Essentia Health St. Mary - Detroit Lakes 1027 Washington Ave. PCC DCH 2 BC Becker Frazee MN 003459742 Essentia Health St. Mary's - Frazee Clinic 300 Main Ave. East PCC DCH 2 HP Becker Frazee MN 355 Essentia Health St. Mary's - Frazee Clinic 300 Main Ave. East PCC DCH 2 P1 Becker Frazee MN DC161 Essentia Health St. Mary's - Frazee Clinic 300 Main Ave. E. PCC DCH 2 BC Becker Lake Park MN 003459789 Essentia Health St. Mary's - Lake Park Clinic 1005 1st St. PCC DCH 2 HP Becker Lake Park MN 357 Essentia Health St. Mary's - Lake Park Clinic 1005 1st St. PCC DCH 2 P1 Becker Lake Park MN DC162 Essentia Health St. Mary's - Lake Park Clinic 1005 1st St. PCC DCH 2 40520 County Highway HP Becker Ogema MN 3257 White Earth Health Center 34 PCC INW 4

HP Becker Ponsford MN 3258 Pine Point Clinic 47520 - 282nd Street PCC INW 4 BC Beltrami Bemidji MN 003214245 Sanford Bemidji 1611 Anne St Clinic 1611 Anne St. N.W. PCC MER 2 HP Beltrami Bemidji MN 3410 Sanford Bemidji 1611 Anne St Clinic 1611 Anne St. N.W. PCC MER 2 P1 Beltrami Bemidji MN SV209 Sanford Bemidji 1611 Anne St Clinic 1611 Anne St. N.W. PCC MER 2

BC Beltrami Bemidji MN 003211972 Sanford Bemidji Main Clinic 1233 - 34th Street NW PCC MER 2

HP Beltrami Bemidji MN 2579 Sanford Bemidji Main Clinic 1233 - 34th Street NW PCC MER 2

P1 Beltrami Bemidji MN SV257 Sanford Bemidji Main Clinic 1233 - 34th Street NW PCC MER 2

P1 Beltrami Bemidji MN SV169 Sanford Bemidji Medical Center 1300 Anne Street NW PCC MER 2 BC Beltrami Blackduck MN 003214255 Sanford Bemidji Blackduck Clinic 81 1st St NW PCC MER 2 HP Beltrami Blackduck MN 2386 Sanford Bemidji Blackduck Clinic 81 1st St NW PCC MER 2 P1 Beltrami Blackduck MN SV171 Sanford Bemidji Blackduck Clinic 81 1st St NW PCC MER 2 BC Beltrami Kelliher MN 003204046 Sanford Health Kelliher Clinic 243 Clark Ave. North PCC MER 2 HP Beltrami Kelliher MN 3347 Sanford Health Kelliher Clinic 243 Clark Ave. North PCC MER 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Beltrami Kelliher MN SV245 Sanford Health Kelliher Clinic 243 Clark Ave. PCC MER 2 P1 Benson Maddock ND NA544 Heart of America Johnson Clinic - Maddock 301 Roosevelt Ave. PCC INW 4 BC Benton Foley MN 003210442 Foley Medical Center Ltd 471 Hwy. 23 PCC ICM 3 HP Benton Foley MN 742 Foley Medical Center Ltd 471 Hwy. 23 PCC ICM 3 P1 Benton Foley MN NA130 Foley Medical Center, Ltd. 471 Hwy. 23 PCC ICM 3 Northside Medical Center (part time clinic) (Clinton BC Big Stone Clinton MN 003197228 Clinic) 324 Main St. PCC NMC 2 BC Big Stone Graceville MN 003209582 Essentia Health - Graceville Clinic 115 W. 2nd St. PCC DCH 2 HP Big Stone Graceville MN 316 Essentia Health - Graceville Clinic 115 W. 2nd St. PCC DCH 2 P1 Big Stone Graceville MN DC143 Essentia Health Graceville 115 W. 2nd St. PCC DCH 2 Northside Medical Center - Ortonville Area Health BC Big Stone Ortonville MN 003197228 Services 450 Eastvold Ave. PCC NMC 2 Northside Medical Center - Ortonville Area Health HP Big Stone Ortonville MN 315 Services 450 Eastvold Ave. PCC NMC 3 P1 Big Stone Ortonville MN MR103 Northside Medical Clinic 450 Eastvold Ave. PCC NMC 2 BC Blue Earth Lake Crystal MN 003204797 Mayo Clinic Health System - Lake Crystal 200 E. Prince St. PCC MMC 4 HP Blue Earth Lake Crystal MN 992 Mayo Clinic Health System - Lake Crystal 200 E. Prince St. PCC MMC 4 P1 Blue Earth Lake Crystal MN MH142 Mayo Clinic Health System Lake Crystal 200 E. Prince St. PCC MMC 4 Madelia Clinic - Lake Crystal Family Practice (formerly BC Blue Earth Lake Crystal MN 004466746 Mankato Clinic) 221 S. Murphy St. PCC ISO 3 Madelia Clinic - Lake Crystal Family Practice (formerly HP Blue Earth Lake Crystal MN 2623 Mankato Clinic) 221 S. Murphy St. PCC ISO 2 Madelia Clinic - Lake Crystal Family Practice (formerly P1 Blue Earth Lake Crystal MN NA717 Mankato Clinic) 221 S. Murphy PCC ISO 4 BC Blue Earth Mankato MN 003197340 Mayo Clinic Health System - Mankato 1025 Marsh Street PCC MMC 4 HP Blue Earth Mankato MN 3335 Mayo Clinic Health System - Mankato 1025 Marsh Street PCC MMC 4

P1 Blue Earth Mankato MN MH146 Mayo Clinic Health System - Mankato 1025 March St. PCC MMC 4 101 Martin Luther King BC Blue Earth Mankato MN 003197340 Mayo Clinic Health System Mankato - Eastridge Jr. Dr. PCC MMC 4 101 Martin Luther King HP Blue Earth Mankato MN 2657 Mayo Clinic Health System Mankato - Eastridge Jr. Dr. PCC MMC 4 101 Martin Luther King P1 Blue Earth Mankato MN MH147 Mayo Clinic Health System Mankato - Eastridge Jr. Dr. PCC MMC 4 BC Blue Earth Mankato MN 003207282 Mankato Clinic 1230 E. Main St. PCC MAN 2* HP Blue Earth Mankato MN 2621 Mankato Clinic 1230 E. Main St. PCC MAN 2* P1 Blue Earth Mankato MN NA295 Mankato Clinic, Ltd. 1230 E. Main St. PCC MAN 2* BC Blue Earth Mankato MN 003207282 Mankato Clinic - Wickersham Health Campus 1421 Premiere Dr. PCC MAN 2* Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP Blue Earth Mankato MN 2627 Mankato Clinic - Wickersham Health Campus 1421 Premiere Dr. PCC MAN 2* P1 Blue Earth Mankato MN NA422 Mankato Clinic at Wickersham Health Campus 1421 Premier Dr. PCC MAN 2* BC Blue Earth Mankato MN 003205308 Open Door Health Center 309 Holly Lane PCC ISO 4 HP Blue Earth Mankato MN 3336 Open Door Health Center 309 Holly Lane PCC ISO 4 P1 Blue Earth Mankato MN NA627 Open Door Health Center 309 Holly Lane PCC ISO 4 BC Blue Earth Mapleton MN 003207282 Mapleton Family Practice 305 Main St. NE PCC MAN 2* HP Blue Earth Mapleton MN 2624 Mapleton Family Practice 305 Main St. NE PCC MAN 2* P1 Blue Earth Mapleton MN NA298 Mapleton Family Practice Clinic 305 Main ST NE PCC MAN 2*

HP Bon Homme Avon SD 2571 Bon Homme Family Practice - Avon 130 N Main St PCC AVH 2

P1 Bon Homme Avon SD AH164 Bon Homme Family Practice - Avon 130 N. Main St. PCC AVH 2

HP Bon Homme Scotland SD 2609 Scotland Medical Clinic 610 Billars St PCC AVH 2

P1 Bon Homme Scotland SD AH160 Scotland Medical Clinic 610 Billars St. PCC AVH 2

HP Bon Homme Tyndall SD 2570 Bon Homme Family Practice - Tyndall 410 W 16th Ave PCC AVH 2

P1 Bon Homme Tyndall SD AH163 Bon Homme Family Practice - Tyndall 410 W. 16th Ave. PCC AVH 2 HP Bowman Bowman ND 2998 Bowman Clinic 608 Hwy 12 W PCC INW 4 HP Bowman Bowman ND 2876 Southwest Medical Clinic 802 2nd St N W PCC INW 4 P1 Bowman Bowman ND NA505 Southwest Medical Clinic 802 2nd ST NW PCC INW 4 HP Bowman Scranton ND 3003 Scranton Clinic 211 Main St PCC INW 4 Avera Medical Group a Department of Brookings HP Brookings Brookings SD 2536 Health System 400 22nd Ave PCC AVH 2 Avera Medical Group Brookings Affiliated with P1 Brookings Brookings SD AH166 Brookings Health System 400 22nd Ave. PCC AVH 2

P1 Brookings Brookings SD AH255 Access Health - Brookings 400 - 22nd Avenue, #1 PCC AVH 2 922 - 22nd Avenue BC Brookings Brookings SD 003195025 Sanford Health Brookings Clinic South PCC SAN 3 922 - 22nd Avenue HP Brookings Brookings SD 2730 Sanford Health Brookings Clinic South PCC SAN 2 HP Brookings Elkton SD 2277 Avera Medical Group Elkton 203 Elk St PCC AVH 2 P1 Brookings Elkton SD AH133 Avera Medical Group Elkton 203 Elk St. PCC AVH 2

P1 Brookings Volga SD AH227 Volga Medical Clinic 210 Kasan Avenue PCC AVH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 105 South State HP Brown Aberdeen SD 3204 Avera Medical Group Aberdeen Family Physicians Street, #204 PCC AVH 2

P1 Brown Aberdeen SD AH189 Avera Aberdeen Family Physicians 105 S. State St., #113 PCC AVH 2 105 S. State Street, HP Brown Aberdeen SD 3090 Avera Medical Group Internal Medicine Aberdeen #201 PCC AVH 2 105 S. State St. Ste P1 Brown Aberdeen SD AH185 Avera Medical Group Internal Medicine Aberdeen 201 PCC AVH 2 P1 Brown Aberdeen SD AH230 NSU Health Services 1200 S. Jay St. PCC AVH 2 3015 3rd Ave SE, HP Brown Aberdeen SD 3046 Sanford Children's Aberdeen Clinic #104 PD SAN 2 3015 3rd Ave. SE, P1 Brown Aberdeen SD SV150 Sanford Children's Aberdeen Clinic #104 PD SAN 2 HP Brown Aberdeen SD 3159 Sanford Aberdeen Clinic 3015 3rd Ave SE PCC SAN 2 P1 Brown Aberdeen SD SV155 Sanford Aberdeen Clinic 3015 3rd Ave. S.E. PCC SAN 2 BC Brown Comfrey MN 003216732 Sleepy Eye Medical Center - Comfrey Clinic 104 Brown St. West PCC ISO 2 HP Brown Comfrey MN 3790 Sleepy Eye Medical Center - Comfrey Clinic 104 Brown St. West PCC ISO 2 P1 Brown Comfrey MN MR177 Sleepy Eye Medical Center - Comfrey Clinic 104 Brown St. W. PCC ISO 2 HP Brown Groton SD 3050 Avera Medical Group Groton 8 E Hwy 12 PCC AVH 2 BC Brown New Ulm MN 003207651 New Ulm Medical Center 1217 8th St. N. PCC ALL 2 HP Brown New Ulm MN 387 New Ulm Medical Center 1217 8th St. N. PCC ALL 3 P1 Brown New Ulm MN AM173 New Ulm Medical Center 1217 8th St. N. PCC ALL 3 BC Brown Sleepy Eye MN 003207648 Sleepy Eye Medical Center 400 4th Ave. NW PCC ISO 2 HP Brown Sleepy Eye MN 389 Sleepy Eye Medical Center 400 4th Ave. NW PCC ISO 2 P1 Brown Sleepy Eye MN MR145 Sleepy Eye Medical Clinic 400 4th Ave. N.W. PCC ISO 2 BC Brown Springfield MN 004356638 Springfield Clinic - New Ulm Medical Center 625 N. Jackson Ave. PCC ALL 2 HP Brown Springfield MN 3965 Springfield Clinic - New Ulm Medical Center 625 N. Jackson Ave. PCC ALL 3 P1 Brown Springfield MN AM192 Springfield Clinic - New Ulm Medical Center 625 N. Jackson Ave. PCC ALL 3 HP Brule Chamberlain SD 2749 Dakota Family Medical Center 101 S. Front St. PCC AVH 2 P1 Brule Chamberlain SD AH170 Avera Medical Group Chamberlain 101 S. Front St. PCC AVH 2 HP Brule Chamberlain SD 2504 Sanford Chamberlain Clinic 300 S Byron Blvd PCC SAN 2 P1 Brule Chamberlain SD SV153 Sanford Chamberlain Clinic 300 S. Byron Blvd. PCC SAN 2 HP Brule Kimball SD 2721 Sanford Clinic Kimball 109 S Main St PCC SAN 2 P1 Brule Kimball SD SV127 Sanford Clinic - Kimball 101 Main St. PCC SAN 2

HP Buffalo Alma WI 878 Gundersen - Alma Community Clinic 204 South Main Street PCC GUN 3

HP Buffalo Mondovi WI 2601 Mayo Clinic Health System Oakridge - Mondovi Clinic 700 Buffalo St PCC MAY 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Buffalo Mondovi WI MH171 Mayo Clinic Health System Oakridge - Mondovi Clinic 700 Buffalo St PCC MAY 4 HP Burke Bowbells ND 3395 Northland Community Health Center - Bowbells 18 Main St SW PCC INW 4 4401 Coleman St Ste HP Burleigh Bismarck ND 3323 Biron D. Baker Family Medicine, PC 107 PCC INW 4

HP Burleigh Bismarck ND 3441 Independent Doctors, PC 4535 Northern Sky Dr PCC INW 4

P1 Burleigh Bismarck ND NA632 Independent Doctors, PC 4535 Northern Sky Dr. PCC INW 4 600 Second Street P1 Burleigh Bismarck ND HN130 Legacy Medical LLC South, #200 PCC INW 4

HP Burleigh Bismarck ND 2970 Sanford North Clinic 2830 N Washington St PCC MER 2 P1 Burleigh Bismarck ND SV236 Sanford North Clinic 2830 N Washington PCC MER 2 HP Burleigh Bismarck ND 2972 Sanford South Clinic 1040 Tacoma Ave PCC MER 2

P1 Burleigh Bismarck ND SV233 Sanford South Clinic 1040 Tacoma Ave. S. PCC MER 2 HP Burleigh Bismarck ND 3008 Custer Family Planning Clinic 701 E Rosser Ave PCC INW 4 HP Burleigh Bismarck ND 3028 Jeffrey Smith, MD, PC 1033 Basin Ave PCC INW 4 P1 Burleigh Bismarck ND SV239 Sanford Seventh and Thayer 209 N. 7th St. PCC MER 2 HP Burleigh Bismarck ND 2994 Mid Dakota Clinic 401 N 9th St PCC INW 4 HP Burleigh Bismarck ND 2995 Mid Dakota Clinic Gateway Mall 2700 State St PCC INW 4 HP Burleigh Bismarck ND 2996 Mid Dakota Clinic Kirkwood Mall 727 Kirkwood Mall PCC INW 4 HP Burleigh Bismarck ND 2997 Mid Dakota Clinic University of Mary 7500 University Dr PCC INW 4 914 South 12th Street, HP Burleigh Bismarck ND 3648 Northland Health Center - Bismarck #101 PCC INW 4 HP Burleigh Bismarck ND 2969 Sanford Clinic Bismarck 222 N 7th St PCC MER 2 P1 Burleigh Bismarck ND SV232 Sanford Clinic 222 N. 7th St. PCC MER 2 257 West St. George BC Burnett Grantsburg WI 003200030 Burnett Medical Center Clinic Ave. PCC IWI 4 257 West St. George HP Burnett Grantsburg WI 531 Burnett Medical Center Clinic Ave. PCC IWI 4

P1 Burnett Grantsburg WI NA340 Burnett Medical Center Clinic 257 W. St. George Ave PCC IWI 4 7728 West Main HP Burnett Siren WI 2781 Shell Lake Clinic - Siren Street PCC IWI 4 P1 Burnett Siren WI NA293 Siren Clinic 7728 Main St. PCC IWI 4 St. Croix Regional Medical Center - Webster Health 26425 Lakeland BC Burnett Webster WI 003212918 Center Avenue South PCC IWI 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric St. Croix Regional Medical Center - Webster Health 26425 Lakeland HP Burnett Webster WI 2542 Center Avenue South PCC IWI 4 St. Croix Regional Medical Center - Webster Health 26425 Lakeland Ave. P1 Burnett Webster WI NA341 Center S. PCC IWI 4 HP Butte Belle Fourche SD 3287 Monument Health Belle Fourche Clinic 2200 13th Ave PCC ISO 4 HP Butte Pine Ridge SD 3295 Newell Regional Medical Clinic 1201 E Hwy 18 PCC ISO 4 BC Carlton Cloquet MN 003200462 Min No Aya Win Clinic 927 Trettel Lane PCC INE 2 HP Carlton Cloquet MN 3230 Min No Aya Win Clinic 927 Trettel Lane PCC INE 2 BC Carlton Cloquet MN 003625681 CMH Raiter Family Clinic 417 Skyline Blvd PCC RTR 2 HP Carlton Cloquet MN 143 CMH Raiter Family Clinic 417 Skyline Blvd PCC RTR 2 P1 Carlton Cloquet MN NA681 CMH Raiter Family Clinic 417 Skyline Blvd. PCC RTR 2 BC Carlton Cromwell MN 003211223 Cromwell Medical Clinic 5565 Hwy. 210 PCC INE 2 HP Carlton Cromwell MN 3110 Cromwell Medical Clinic 5565 Hwy. 210 PCC INE 2

P1 Carlton Cromwell MN NS116 Cromwell Medical Clinic 5565 Hwy. 210 PCC INE 2 BC Carlton Moose Lake MN 003215473 Gateway Family Health Clinic - Moose Lake 4570 County Hwy 61 PCC GAT 2* HP Carlton Moose Lake MN 137 Gateway Family Health Clinic - Moose Lake 4570 County Hwy 61 PCC GAT 2* P1 Carlton Moose Lake MN NA496 Gateway Family Health Clinic - Moose Lake 4570 Cty. Hwy. 61 PCC GAT 2*

BC Carver Chanhassen MN 003200844 Park Nicollet Clinic - Chanhassen 300 Lake Drive East PCC PKN 2 HP Carver Chanhassen MN 2700 Park Nicollet Clinic - Chanhassen 300 Lake Drive East PCC PKN 1 P1 Carver Chanhassen MN PN111 Park Nicollet Clinic - Chanhassen 300 Lake Drive East PCC PKN 1 BC Carver Chanhassen MN 003208662 Ridgeview Chanhassen Clinic 7907 Powers Blvd. PCC RGV 3 HP Carver Chanhassen MN 975 Ridgeview Chanhassen Clinic 7907 Powers Blvd. PCC RGV 2 P1 Carver Chanhassen MN NA103 Ridgeview Chanhassen Clinic 7907 Powers Blvd. PCC RGV 3 111 Hundertmark BC Carver Chaska MN 003210387 Allina Health Chaska Clinic Road, #220 PCC ALL 2 111 Hundertmark HP Carver Chaska MN 424 Allina Health Chaska Clinic Road, #220 PCC ALL 3 111 Hundertmark P1 Carver Chaska MN AM158 Allina Health Chaska Clinic Road PCC ALL 3 1200 Chaska Creek BC Carver Chaska MN 004139094 Catalyst Medical Clinic - Chaska Way Ste 200 PCC IMT 2 1200 Chaska Creek HP Carver Chaska MN 3687 Catalyst Medical Clinic - Chaska Way, Suite 200 PCC IMT 2 1200 Chaska Creek P1 Carver Chaska MN FP270 Catalyst Medical Clinic - Chaska Way PCC IMT 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 110105 Pioneer Trail, BC Carver Chaska MN 003209895 Lakeview Clinic - Chaska Ste 100 PCC LAK 2 110105 Pioneer Trail, HP Carver Chaska MN 2402 Lakeview Clinic - Chaska Ste 100 PCC LAK 2 110105 Pioneer Trl W, P1 Carver Chaska MN NA237 Lakeview Clinic - Chaska #100 PCC LAK 2 111 Hundertmark BC Carver Chaska MN 003208662 Ridgeview Chaska Clinic Road, 115N PCC RGV 3 111 Hundertmark HP Carver Chaska MN 3411 Ridgeview Chaska Clinic Road, 115N PCC RGV 2 111 Hundertmark Rd., P1 Carver Chaska MN NA607 Ridgeview Chaska Clinic #115N PCC RGV 3 111 Hundertmark Rd., BC Carver Chaska MN 003200424 South Lake Pediatrics - Chaska #210 PD PED 2 111 Hundertmark Rd., HP Carver Chaska MN 3256 South Lake Pediatrics - Chaska #210 PD PED 2 111 Hundertmark P1 Carver Chaska MN FP262 South Lake Pediatrics - Chaska Road, #210 PD PED 2 111 Hundertmark Rd., BC Carver Chaska MN 003200853 Wayzata Children's Clinic - Chaska #420 PD PED 2 111 Hundertmark Rd., HP Carver Chaska MN 2532 Wayzata Children's Clinic - Chaska #420 PD PED 2 111 Hundertmark Rd., P1 Carver Chaska MN CP149 Wayzata Children's Clinic - Chaska #420 PD PED 2 Norwood Young BC Carver America MN 003209895 Lakeview Clinic West - Norwood 406 Faxon Road PCC LAK 2 Norwood Young HP Carver America MN 499 Lakeview Clinic West - Norwood 406 Faxon Road PCC LAK 2 P1 Carver Norwood MN NA147 Lakeview Clinic West - Norwood 406 Faxon Rd. PCC LAK 2 BC Carver Waconia MN 003209895 Lakeview Clinic - Waconia 424 State Hwy. 5 W. PCC LAK 2 HP Carver Waconia MN 551 Lakeview Clinic - Waconia 424 State Hwy. 5 W. PCC LAK 2 P1 Carver Waconia MN NA148 Lakeview Clinic - Waconia 424 Hwy. 5 W. PCC LAK 2 204 Lewis Ave. S., BC Carver Watertown MN 004139094 Catalyst Medical Clinic - Watertown #201 PCC IMT 2 204 Lewis Ave. S., HP Carver Watertown MN 2538 Catalyst Medical Clinic - Watertown #201 PCC IMT 2

P1 Carver Watertown MN FP269 Twin Cities Orthopedics dba Catalyst Medical Clinic 204 Lewis Ave., #201 PCC IMT 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric BC Carver Watertown MN 003209895 Lakeview Clinic - Watertown 313 Territorial St. E. PCC LAK 2 HP Carver Watertown MN 553 Lakeview Clinic - Watertown 313 Territorial St. E. PCC LAK 2 P1 Carver Watertown MN NA146 Lakeview Clinic - Watertown 313 Territorial St. E. PCC LAK 2 219 Grant Utley Ave BC Cass Cass Lake MN 003214256 Sanford Bemidji Cass Lake Clinic NW PCC MER 2 219 Grant Utley Ave HP Cass Cass Lake MN 886 Sanford Bemidji Cass Lake Clinic NW PCC MER 2 219 Grant Utley Ave. P1 Cass Cass Lake MN SV175 Sanford Bemidji Cass Lake Clinic N.W. PCC MER 2 BC Cass Casselton ND 003202718 Essentia Health - Casselton Clinic 5 9th Ave. North PCC DCH 2 HP Cass Casselton ND 998 Essentia Health - Casselton Clinic 5 9th Ave. North PCC DCH 2

P1 Cass Casselton ND DC159 Essentia Health Casselton Clinic 5 9th Ave. N. PCC DCH 2 4025 - 9th Avenue HP Cass Fargo ND 3657 Family Healthcare - 9th Avenue South PCC INW 4 BC Cass Fargo ND 003204716 Family HealthCare Center - Fargo 301 NP Ave N PCC INW 4 HP Cass Fargo ND 220 Family HealthCare Center - Fargo 301 NP Ave PCC INW 4 222 Broadway North, HP Cass Fargo ND 3692 Homefield Health LLC Suite B100E PCC INW 4 BC Cass Fargo ND 003205099 Independent Family Doctors 1700 Gold Dr., #160 PCC INW 4 HP Cass Fargo ND 3041 Independent Family Doctors 1700 Gold Dr., #160 PCC INW 4 BC Cass Fargo ND 003202715 Essentia Health - 32nd Avenue Clinic 3000 32nd Ave SW PCC DCH 2 HP Cass Fargo ND 2575 Essentia Health - 32nd Avenue Clinic 3000 32nd Ave SW PCC DCH 2

P1 Cass Fargo ND DC154 Essentia Health - 32nd Avenue Clinic 3000 32nd Ave. S. PCC DCH 2 4110 - 51st Avenue BC Cass Fargo ND 003399535 Essentia Health - 52nd Avenue Clinic South PCC DCH 2 4110 - 51st Avenue HP Cass Fargo ND 3623 Essentia Health - 52nd Avenue Clinic South PCC DCH 2 P1 Cass Fargo ND DC172 Essentia Health - 52nd Avenue Clinic 4110 51st Ave. N. PCC DCH 2

BC Cass Fargo ND 003202717 Essentia Health - South University Clinic 1702 S. University Dr. PCC DCH 2

HP Cass Fargo ND 997 Essentia Health - South University Clinic 1702 S. University Dr. PCC DCH 2

P1 Cass Fargo ND DC155 Essentia Health - South University Clinic 1702 S. University Dr. PCC DCH 2 BC Cass Fargo ND 003218913 Essentia Health - West Acres Clinic 3902 - 13th Ave. S. PCC DCH 2 HP Cass Fargo ND 368 Essentia Health - West Acres Clinic 3902 - 13th Ave. S. PCC DCH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Cass Fargo ND DC156 Essentia Health - West Acres Clinic 3902 13th Ave. S. PCC DCH 2 4450 31st Ave S Ste BC Cass Fargo ND 003200352 Internal Medicine Associates - Fargo 102 PCC INW 4 4450 31st Ave S Ste HP Cass Fargo ND 3058 Internal Medicine Associates - Fargo 102 PCC INW 4

P1 Cass Fargo ND SV174 Sanford Broadway Medical Building 736 Broadway PCC MER 2

P1 Cass Fargo ND SV255 Sanford Veteran Square Clinic 3955 56th St S, #D PCC MER 2 2829 University Dr S HP Cass Fargo ND 2976 Pediatric Arts Clinic, PC Ste 101 PD INW 2 2829 University Drive P1 Cass Fargo ND HN123 Pediatric Arts Clinic, PC S., Ste 101 PD INW 2

BC Cass Fargo ND 003197470 Plains Medical Clinic 3290 - 20th St. South PCC INW 4

HP Cass Fargo ND 3042 Plains Medical Clinic 3290 - 20th St. South PCC INW 4 BC Cass Fargo ND 003202834 Sanford Broadway Clinic 801 Broadway North PCC MER 2 HP Cass Fargo ND 881 Sanford Broadway Clinic 801 Broadway North PCC MER 2

P1 Cass Fargo ND SV173 Sanford Broadway Clinic 801 Broadway N. PCC MER 2 Sanford Children's Endocrinology and Primary Care 4656 - 40th Avenue P1 Cass Fargo ND SV258 Clinic South, #214 PD MER 2 BC Cass Fargo ND 003202834 Sanford Children's Southwest Clinic 2701 13th Ave. S PD MER 2 HP Cass Fargo ND 884 Sanford Children's Southwest Clinic 2701 13th Ave. S PD MER 2 P1 Cass Fargo ND SV176 Sanford Children's Southwest Clinic 2701 13th Ave. S. PD MER 2

BC Cass Fargo ND 003202834 Sanford Clinic Internal Medicine at Family Wellness 2960 Seter Pkwy PCC MER 2

HP Cass Fargo ND 3359 Sanford Clinic Internal Medicine at Family Wellness 2960 Seter Pkwy PCC MER 2 2601 Broadway St. BC Cass Fargo ND 003202834 Sanford North Fargo Clinic North PCC MER 2 2601 Broadway St. HP Cass Fargo ND 882 Sanford North Fargo Clinic North PCC MER 2 P1 Cass Fargo ND SV194 Sanford North Fargo Clinic 2601 Broadway PCC MER 2 BC Cass Fargo ND 003202834 Sanford Southpointe Clinic 2400 32nd Ave. S. PCC MER 2 HP Cass Fargo ND 883 Sanford Southpointe Clinic 2400 32nd Ave. S. PCC MER 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Cass Fargo ND SV199 Sanford Southpointe Clinic 2400 32nd Ave. S. PCC MER 2 3274 - 51st Street HP Cass Fargo ND 3272 Stellar Healthcare South PCC INW 4 P1 Cass Fargo ND HN125 Stellar Healthcare 3274 51st St. S. PCC INW 4 BC Cass Hackensack MN 003218725 Essentia Health - Hackensack Clinic 110 Third St. South PCC PIN 1 HP Cass Hackensack MN 3122 Essentia Health - Hackensack Clinic 110 Third St. South PCC PIN 1

P1 Cass Hackensack MN DC137 Essentia Health Hackensack Clinic 110 3rd St. S. PCC PIN 1 BC Cass Longville MN 003199007 Cuyuna Regional Medical Center - Longville 180 Jordan Lane PCC CUY 2 HP Cass Longville MN 2391 Cuyuna Regional Medical Center - Longville 180 Jordan Lane PCC CUY 2 P1 Cass Longville MN NA245 Cuyuna Regional Medical Center - Longville 180 Jordan Lane PCC CUY 2

BC Cass Pillager MN 003210771 Lakewood Clinic - Pillager 653 Pillsbury St. N., #1 PCC LKW 2

HP Cass Pillager MN 2610 Lakewood Clinic - Pillager 653 Pillsbury St. N., #1 PCC LKW 2

P1 Cass Pillager MN NA392 Lakewood Clinic 653 Pillsbury St. N., #1 PCC LKW 2 680 Pillsbury Street BC Cass Pillager MN 003213124 Essentia Health St. Joseph's - Pillager Clinic North PCC PIN 1 680 Pillsbury Street HP Cass Pillager MN 2634 Essentia Health St. Joseph's - Pillager Clinic North PCC PIN 1 P1 Cass Pillager MN DC140 Essentia Health Pillager Clinic 680 Pillsbury St. N. PCC PIN 1 280 Barclay Avenue BC Cass Pine River MN 003209491 Essentia Health St. Joseph's - Pine River Clinic West PCC PIN 1 280 Barclay Avenue HP Cass Pine River MN 2635 Essentia Health St. Joseph's - Pine River Clinic West PCC PIN 1 280 Barclay Avenue P1 Cass Pine River MN DC141 Essentia Health St. Joseph's - Pine River Clinic West PCC PIN 1 BC Cass Remer MN 003203485 Essentia Health - Remer Clinic 9 Birch St. NE PCC SMD 2 HP Cass Remer MN 2362 Essentia Health - Remer Clinic 9 Birch St. PCC SMD 2 P1 Cass Remer MN DC117 Essentia Health - Remer Clinic 9 Birch St. PCC SMD 3 110 D Michigan Ave. BC Cass Walker MN 003202000 Essentia Health - Walker Clinic W. PCC DCH 2 110 D Michigan Ave. HP Cass Walker MN 367 Essentia Health - Walker Clinic W. PCC DCH 2

P1 Cass Walker MN DC150 Essentia Health - Walker Clinic 110 Michigan Ave. NW PCC DCH 2 BC Cass Walker MN 003214257 Sanford Health Walker Clinic 614 Michigan Ave. PCC MER 2 HP Cass Walker MN 2387 Sanford Health Walker Clinic 614 Michigan Ave. PCC MER 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Cass Walker MN SV204 Sanford Health Walker Clinic 614 Michigan Ave. PCC MER 2 BC Cass West Fargo ND 003210571 Essentia Health - West Fargo Clinic 1401 13th Ave. E. PCC DCH 2 HP Cass West Fargo ND 054 Essentia Health - West Fargo Clinic 1401 13th Ave. E. PCC DCH 2 P1 Cass West Fargo ND DC157 Essentia Health West Fargo Clinic 1401 13th Ave. S. PCC DCH 2 HP Cass West Fargo ND 3627 Family Healthcare Center 726 13th Ave E PCC INW 4 BC Cass West Fargo ND 003202834 Sanford West Fargo Clinic 1220 Sheyenne St. PCC MER 2 HP Cass West Fargo ND 601 Sanford West Fargo Clinic 1220 Sheyenne St. PCC MER 2 P1 Cass West Fargo ND SV205 Sanford West Fargo Clinic 1220 Sheyenne St. PCC MER 2 HP Cavalier Langdon ND 2813 Langdon Clinic 901 2nd St PCC INW 4 P1 Cavalier Langdon ND NA417 Langdon Clinic 901 2nd St. PCC INW 4 HP Charles Mix Geddes SD 2474 Geddes Medical Clinic/Avera Health 322 S Main Ave PCC AVH 2 P1 Charles Mix Geddes SD AH129 Geddes Medical Clinic/Avera Health 322 Main PCC AVH 2 HP Charles Mix Lake Andes SD 2324 Avera St. Benedict CRHC - Lake Andes 756 E Lake St PCC AVH 2 P1 Charles Mix Lake Andes SD AH137 Avera St. Benedict CRHC/Lake Andes 756 E. Lake St. PCC AVH 2 HP Charles Mix Platte SD 2476 Platte Medical Clinic 601 E 7th St Ste 3 PCC AVH 2 P1 Charles Mix Platte SD AH128 Platte Medical Clinic/Avera Health 601 E. 7th St., #3 PCC AVH 2 HP Charles Mix Wagner SD 3276 Bubak Medical Clinic 517 3rd St SW PCC ISO 4 HP Charles Mix Wagner SD 3255 Wagner Community Clinic - Avera 513 3rd St SW PCC AVH 2 P1 Charles Mix Wagner SD AH205 Wagner Community Clinic - Avera 513 3rd St. S.W. PCC AVH 2 P1 Cherokee Marcus IA AH176 Floyd Valley Clinics - Marcus 101 E. Pine PCC AVH 2 Mayo Clinic Health System Chippewa Valley - HP Chippewa Bloomer WI 2596 Bloomer Clinic 1501 Thompson St PCC MAY 4 Mayo Clinic Health System Chippewa Valley - P1 Chippewa Bloomer WI MH165 Bloomer Clinic 1501 Thompson St. PCC MAY 4 HP Chippewa Bloomer WI 3177 Marshfield Clinic Bloomer Center 1711 York St PCC IWI 4 HP Chippewa Cadott WI 2817 Marshfield Clinic Cadott Center 305 S Hwy 27 PCC IWI 4

HP Chippewa Chippewa Falls WI 2784 Oakleaf Clinics, SC - Eau Claire Medical Clinic 855 Lakeland Drive PCC IWI 4 2829 Cty. Highway I, P1 Chippewa Chippewa Falls WI NA671 OakLeaf Clinics Eau Claire Medical Clinic #2A PCC IWI 4 Mayo Clinic Health System Chippewa Valley - HP Chippewa Chippewa Falls WI 2599 Chippewa Falls Clinic 611 1st Ave PCC MAY 4 Mayo Clinic Health System Chippewa Valley - P1 Chippewa Chippewa Falls WI MH166 Chippewa Falls Clinic 611 1st Ave. PCC MAY 4

HP Chippewa Chippewa Falls WI 2818 Marshfield Clinic Chippewa Center 2655 Cty Hwy I PCC IWI 4

HP Chippewa Chippewa Falls WI 3164 Marshfield Clinic Lake Hallie Center 12961 27th Ave PCC IWI 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Chippewa Chippewa Falls WI 3425 Sacred Heart - Prevea Health 2509 County Hwy I PCC IWI 4

P1 Chippewa Chippewa Falls WI NA626 Sacred Heart Hospital dba Prevea Health 2509 County Hwy. I PCC IWI 4 2829 County Hwy I Ste HP Chippewa Chippewa Falls WI 2735 Sunrise Family Care Clinic, SC 2 PCC IWI 4 2829 County Hwy, I, P1 Chippewa Chippewa Falls WI NA551 Sunrise Family Care Clinic, SC #2 PCC IWI 4 BC Chippewa Clara City MN 003207808 CCM Health - Clara City Clinic 140 NW 1st. Ave. PCC ISO 2 HP Chippewa Clara City MN 791 CCM Health - Clara City Clinic 140 NW 1st. Ave. PCC ISO 2 P1 Chippewa Clara City MN MR105 CCM Health - Clara City Clinic 140 NW 1st. Ave. PCC ISO 2 HP Chippewa Cornell WI 2820 Marshfield Clinic Cornell Center 600 Woodside Drive PCC IWI 4 BC Chippewa Milan MN 003207808 CCM Health- Milan Clinic 237 2nd St. PCC ISO 2 HP Chippewa Milan MN 793 CCM Health- Milan Clinic 237 2nd St. PCC ISO 2 P1 Chippewa Milan MN MR107 CCM Health- Milan Clinic 237 2nd St. PCC ISO 2 BC Chippewa Montevideo MN 003207808 CCM Health - Montevideo Hospital and Clinic 824 N. 11th St. PCC ISO 2 HP Chippewa Montevideo MN 790 CCM Health - Montevideo Hospital and Clinic 824 N. 11th St. PCC ISO 2

P1 Chippewa Montevideo MN MR104 CCM Health - Montevideo Hospital and Clinic 824 N. 11th St. PCC ISO 2 HP Chippewa Stanley WI 2870 Ministry Medical Group - Stanley 1120 Pine St PCC IWI 4 M Health Fairview Clinic - Chisago City (Fairview BC Chisago Chisago City MN 004475643 Clinics - Chisago City) 11725 Stinson Ave. PCC FAI 3 M Health Fairview Clinic - Chisago City (Fairview HP Chisago Chisago City MN 425 Clinics - Chisago City) 11725 Stinson Ave. PCC FAI 2 M Health Fairview Clinic - Chisago City (Fairview P1 Chisago Chisago City MN FP105 Clinics - Chisago City) 11725 Stinson Ave. PCC FAI 2 M Health Fairview Clinic - North Branch (Fairview BC Chisago North Branch MN 004475806 Clinics - North Branch) 5366 - 386th Street PCC FAI 3 M Health Fairview Clinic - North Branch (Fairview HP Chisago North Branch MN 705 Clinics - North Branch) 5366 - 386th Street PCC FAI 2

M Health Fairview Clinic - North Branch (Fairview P1 Chisago North Branch MN FP106 Clinics - North Branch) 5366 386th Street PCC FAI 2 M Health Fairview Clinic - Wyoming (Fairview Clinics - BC Chisago Wyoming MN 004510514 Wyoming) 5200 Fairview Blvd. PCC FAI 3 M Health Fairview Clinic - Wyoming (Fairview Clinics - HP Chisago Wyoming MN 706 Wyoming) 5200 Fairview Blvd. PCC FAI 2 M Health Fairview Clinic - Wyoming (Fairview Clinics - P1 Chisago Wyoming MN FP174 Wyoming) 5200 Fairview Blvd. PCC FAI 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

BC Chisago Lindstrom MN 003210246 St. Croix Regional Medical Center - Lindstrom Clinic 12375 Lindstrom Lane PCC IWI 4

HP Chisago Lindstrom MN 3331 St. Croix Regional Medical Center - Lindstrom Clinic 12375 Lindstrom Lane PCC IWI 4

P1 Chisago Lindstrom MN NA592 St. Croix Regional Medical Center - Lindstrom Clinic 12375 Lindstrom Lane PCC IWI 4 211 N Commercial St., HP Clark Clark SD 2743 Sanford Health Clark Clinic Suite B PCC SAN 2 211 N. Commercial P1 Clark Clark SD SV141 Sanford Clinic - Clark St., #B PCC SAN 2 HP Clark Colby WI 2819 Marshfield Clinic Colby Abbottsford Center 111 Dehne Dr PCC IWI 4 HP Clark Greenwood WI 2823 Marshfield Clinic Greenwood Center 102 W Cannery St PCC IWI 4 HP Clark Neillsville WI 2787 Marshfield Medical Center - Neillsville Clinic 216 Sunset Pl PCC IWI 4 HP Clark Owen WI 2871 Ascension Our Lady of Victory at Owen 6 Johnson St PCC IWI 4 HP Clark Thorp WI 2872 Ascension Our Lady of Victory at Thorp 704 S Clark St PCC IWI 4

BC Clay Barnesville MN 003203703 Lake Region Healthcare - Barnesville Area Clinic 209 2nd St SE PCC FFM 2*

HP Clay Barnesville MN 233 Lake Region Healthcare - Barnesville Area Clinic 209 2nd St SE PCC FFM 2* 209 2nd ST SE, PO P1 Clay Barnesville MN NA612 Lake Region Barnesville Clinic BOX 279 PCC FFM 2* BC Clay Hawley MN 003195146 Sanford Hawley Clinic 1412 Main St PCC MER 2 HP Clay Hawley MN 589 Sanford Hawley Clinic 1412 Main St PCC MER 2 P1 Clay Hawley MN SV185 Sanford Hawley Clinic 1412 Main St. PCC MER 2 HP Clay Moorhead MN 3043 Family HealthCare Center - Concordia 901 S 8th St PCC INW 4 BC Clay Moorhead MN 003212623 Essentia Health - Moorhead Clinic 801 Belsly Blvd. So. PCC DCH 2 HP Clay Moorhead MN 361 Essentia Health - Moorhead Clinic 801 Belsly Blvd. So. PCC DCH 2

P1 Clay Moorhead MN DC158 Essentia Health - Moorhead Clinic 801 Belsly Blvd. S. PCC DCH 2

BC Clay Moorhead MN 003195146 Sanford Moorhead Clinic 4000 - 28th Ave. South PCC MER 2

HP Clay Moorhead MN 588 Sanford Moorhead Clinic 4000 - 28th Ave. South PCC MER 2

P1 Clay Moorhead MN SV192 Sanford Moorhead Clinic 4000 28th Ave. S. PCC MER 2 Avera Medical Group Spencer a Department of HP Clay Spencer IA 2547 Spencer Hospital 116 E 11th St Ste 101 PCC AVH 2 Avera Medical Group a Department of Spencer 116 E. 11th St. Ste P1 Clay Spencer IA AH233 Hospital 101 PCC AVH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric BC Clay Ulen MN 003195740 Sanford Health Ulen Clinic 108 Viking Ave. W. PCC MER 2 HP Clay Ulen MN 216 Sanford Health Ulen Clinic 108 Viking Ave. W. PCC MER 2 P1 Clay Ulen MN SV201 Sanford Health Ulen Clinic 108 Viking Ave. W. PCC MER 2 HP Clay Vermillion SD 2322 Olson Medical Clinic 1330 E Main St PCC ISO 4 HP Clay Vermillion SD 2313 Sanford Clinic Vermillion 20 S. Plum St. PCC SAN 2 P1 Clay Vermillion SD SV124 Sanford Clinic Vermillion 20 S. Plum St. PCC SAN 2 HP Clay Vermillion SD 3079 Vermillion Medical Clinic 101 S Plum PCC ISO 4 P1 Clay Vermillion SD SV158 Vermillion Family Planning 15 S. Plum PCC SAN 2 BC Clearwater Bagley MN 003216686 Essentia Health - Bagley Clinic 121 Central St. West PCC DCH 2 HP Clearwater Bagley MN 3201 Essentia Health - Bagley Clinic 121 Central St. West PCC DCH 2

P1 Clearwater Bagley MN DC167 Essentia Health - Bagley Clinic 121 Central Ave. S.E. PCC DCH 2 BC Clearwater Bagley MN 003203993 Sanford Bagley Clinic 1656 Central St. W. PCC MER 2 HP Clearwater Bagley MN 2713 Sanford Bagley Clinic 1656 Central St. W. PCC MER 2 P1 Clearwater Bagley MN SV217 Sanford Bagley Clinic 1656 Central St. W. PCC MER 2 BC Clearwater Clearbrook MN 003203994 Sanford Bagley Clearbrook Clinic 22 Elm St. SW PCC MER 2 HP Clearwater Clearbrook MN 2714 Sanford Bagley Clearbrook Clinic 22 Elm St. SW PCC MER 2 P1 Clearwater Clearbrook MN SV216 Sanford Bagley Clearbrook Clinic 22 Elm St. PCC MER 2

P1 Codington Watertown SD NA719 Brown Clinic 511 14th Ave. NE PCC ISO 4 HP Codington Watertown SD 2420 Brown Clinic PLLP 506 1st Ave SE PCC ISO 4 P1 Codington Watertown SD NA718 Brown Clinic 506 1st Ave. S.E. PCC ISO 4

HP Codington Watertown SD 2452 Sanford Health Watertown Clinic 901 Fourth Street NE PCC SAN 2 P1 Codington Watertown SD SV123 Sanford Clinic - Watertown 901 4th St. N.W. PCC SAN 2 BC Cook Grand Marais MN 003213691 Sawtooth Mountain Clinic 513 Fifth Ave. W PCC INE 2 HP Cook Grand Marais MN 2961 Sawtooth Mountain Clinic 513 Fifth Ave. W PCC INE 2 HP Cook Grand Portage MN 2981 Grand Portage Health Services 62 Upper Rd PCC INE 2 9 Good Neighbor Hill HP Cook Tofte MN 2980 Birch Grove Clinic Rd PCC INE 2 HP Corson McLaughlin SD 3628 West River Health Clinic 103 1st Ave E PCC ISO 4 P1 Corson Mc Laughlin SD NA638 West River Health Clinic 103 1st Ave. East PCC ISO 4 HP Cottonwood Mountain Lake MN 2336 Sanford Clinic Mountain Lake 308 8th St. N. PCC SAN 2 P1 Cottonwood Mountain Lake MN SV109 Sanford Clinic Mountain Lake 308 8th St. N. PCC SAN 2 BC Cottonwood Westbrook MN 003208375 Sanford Clinic Westbrook 920 Bell Avenue PCC SAN 3 HP Cottonwood Westbrook MN 2334 Sanford Clinic Westbrook 920 Bell Avenue PCC SAN 2

P1 Cottonwood Westbrook MN SV115 Sanford Clinic - Westbrook 920 Bell Avenue PCC SAN 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 2020 Hospital Drive, BC Cottonwood Windom MN 003198993 Avera Medical Group Windom #2 PCC AVH 2 2020 Hospital Drive, HP Cottonwood Windom MN 2480 Avera Medical Group Windom #2 PCC AVH 2 2020 Hospital Drive, P1 Cottonwood Windom MN AH143 Avera Medical Group Windom #2 PCC AVH 2 P1 Cottonwood Windom MN AH254 Access Health - Windom 2020 Hospital Drive PCC AVH 2 BC Cottonwood Windom MN 003208303 Hartberg Medical Clinic 2170 Hospital Dr. PCC ISO 4 P1 Cottonwood Windom MN NA219 Hartberg Medical Clinic 2170 Hospital Dr. PCC ISO 4 2170 Hospital Drive, BC Cottonwood Windom MN 003205122 Windom Family Medical Center Suite A PCC ISO 2 2170 Hospital Drive, HP Cottonwood Windom MN 3029 Windom Family Medical Center Suite A PCC ISO 2 P1 Cottonwood Windom MN NA322 Windom Family Medical Center 2170 Hospital Drive PCC ISO 2 BC Cottonwood Windom MN 003208329 Sanford Clinic Windom 591 2nd Ave. PCC SAN 3 HP Cottonwood Windom MN 2309 Sanford Clinic Windom 591 2nd Ave. PCC SAN 2 P1 Cottonwood Windom MN SV104 Sanford Clinic Windom 591 2nd Ave. PCC SAN 2 Mayo Clinic Health System Franciscan Healthcare - HP Crawford Prairie Du Chien WI 2592 Prairie Du Chien Clinic 800 E Blackhawk Ave PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - P1 Crawford Prairie Du Chien WI FS112 Prairie du Chien 800 E. Blackhawk Ave. PCC MAY 4

HP Crawford Prairie Du Chien WI 2679 Gundersen Prairie Du Chien Clinic 610 E Taylor St PCC GUN 3 HP Crawford Soldiers Grove WI 3199 Kickapoo Valley Medical Clinic 102 Sunset Ave PCC IWI 4

BC Crow Wing Baxter MN 003201510 Cuyuna Regional Medical Center - Baxter Clinic 13205 Isle Drive, # 200 PCC CUY 2

HP Crow Wing Baxter MN 3380 Cuyuna Regional Medical Center - Baxter Clinic 13205 Isle Drive, # 200 PCC CUY 2 P1 Crow Wing Baxter MN NA595 Cuyuna Regional Medical Center - Baxter Clinic 13205 Isle Dr., #200 PCC CUY 2 BC Crow Wing Baxter MN 003211836 Essentia Health St. Joseph's - Baxter Clinic 13060 Isle Drive PCC BRA 2 HP Crow Wing Baxter MN 3343 Essentia Health St. Joseph's - Baxter Clinic 13060 Isle Drive PCC BRA 2 P1 Crow Wing Baxter MN DC165 Essentia Health St. Joseph's Baxter Clinic 13060 Isle Dr. PCC BRA 2 BC Crow Wing Brainerd MN 003198150 Essentia Health St. Joseph's - Brainerd Clinic 2024 South Sixth St PCC BRA 2 HP Crow Wing Brainerd MN 2611 Essentia Health St. Joseph's - Brainerd Clinic 2024 South Sixth St PCC BRA 2 P1 Crow Wing Brainerd MN DC135 Essentia Health Brainerd Medical Clinic 2024 S. 6th St. PCC BRA 2

BC Crow Wing Breezy Point MN 003201510 Cuyuna Regional Medical Center - Breezy Point 30833 North Star Drive PCC CUY 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Crow Wing Breezy Point MN 3922 Cuyuna Regional Medical Center - Breezy Point 30833 North Star Drive PCC CUY 2

P1 Crow Wing Breezy Point MN NA691 Cuyuna Regional Medical Center - Breezy Point 30833 North Star Drive PCC CUY 2 BC Crow Wing Crosby MN 003201510 Cuyuna Regional Medical Center - Crosby 320 East Main St. PCC CUY 2 HP Crow Wing Crosby MN 2384 Cuyuna Regional Medical Center - Crosby 320 East Main St. PCC CUY 2

P1 Crow Wing Crosby MN NA564 Cuyuna Regional Medical Center - Crosby Clinic 320 E. Main St. PCC CUY 2

BC Crow Wing Crosslake MN 003209719 Essentia Health St. Joseph's - Crosslake Clinic 35205 County Road 3 PCC PIN 1

HP Crow Wing Crosslake MN 2632 Essentia Health St. Joseph's - Crosslake Clinic 35205 County Road 3 PCC PIN 1 P1 Crow Wing Crosslake MN DC136 Essentia Health Crosslake Clinic 35205 Cty. Rd. 3 PCC PIN 1 BC Crow Wing Emily MN 003206701 Essentia Health St. Joseph's - Emily Clinic 20918 Cty Rd 1 PCC PIN 1 HP Crow Wing Emily MN 3406 Essentia Health St. Joseph's - Emily Clinic 20918 Cty Rd 1 PCC PIN 1 27378 State Highway BC Crow Wing Garrison MN 003216729 Mille Lacs Family Clinic - Garrison 18 PCC ICM 3 27378 State Highway HP Crow Wing Garrison MN 2798 Mille Lacs Family Clinic - Garrison 18 PCC ICM 3 P1 Crow Wing Garrison MN NA463 Mille Lacs Family Clinic - Garrison 27378 State Hwy. 18 PCC ICM 3 BC Crow Wing Garrison MN 003195138 Riverwood Garrison Clinic 27278 State Hwy. 18 PCC RRC 2* HP Crow Wing Garrison MN 3017 Riverwood Garrison Clinic 27278 State Hwy. 18 PCC RRC 2* P1 Crow Wing Garrison MN NA479 Riverwood Garrison Clinic 27278 State Hwy. 18 PCC RRC 2*

BC Crow Wing Pequot Lakes MN 003202140 Essentia Health St. Joseph's - Pequot Lakes Clinic 4317 W. Woodman St. PCC PIN 1

HP Crow Wing Pequot Lakes MN 2636 Essentia Health St. Joseph's - Pequot Lakes Clinic 4317 W. Woodman St. PCC PIN 1

P1 Crow Wing Pequot Lakes MN DC138 Essentia Health Pequot Lakes Clinic 4317 W. Woodman St. PCC PIN 1 1220 Montgomery HP Custer Custer SD 3286 Monument Health Custer Clinic Street PCC ISO 4 BC Dakota Apple Valley MN 004337625 Allina Health Apple Valley Clinic 14655 Galaxie Ave. PCC ALL 2 HP Dakota Apple Valley MN 404 Allina Health Apple Valley Clinic 14655 Galaxie Ave. PCC ALL 3

P1 Dakota Apple Valley MN AM190 Allina Health Apple Valley Clinic 14655 Galaxie Ave PCC ALL 3 14135 Cedar Ave. S., BC Dakota Apple Valley MN 003213471 Eagan Valley Pediatrics #100 PD PED 2 14135 Cedar Ave. S., HP Dakota Apple Valley MN 2501 Eagan Valley Pediatrics #100 PD PED 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 14135 Cedar Ave. S., P1 Dakota Apple Valley MN CP146 Eagan Valley Pediatrics #100 PD PED 2 M Health Fairview Clinic - Apple Valley (Fairview BC Dakota Apple Valley MN 003212312 Clinics - Apple Valley) 15650 Cedar Ave. S. PCC FAI 3 M Health Fairview Clinic - Apple Valley (Fairview HP Dakota Apple Valley MN 804 Clinics - Apple Valley) 15650 Cedar Ave. S. PCC FAI 2 M Health Fairview Clinic - Apple Valley (Fairview P1 Dakota Apple Valley MN FP104 Clinics - Apple Valley) 15650 Cedar Ave PCC FAI 2 HP Dakota Apple Valley MN 403 HealthPartners Apple Valley Clinic 15290 Pennock Ln PCC HPR 1 1000 West 140th BC Dakota Burnsville MN 003685029 Burnsville Family Physicians Street, #100 PCC IMT 2 1000 West 140th HP Dakota Burnsville MN 417 Burnsville Family Physicians Street, #100 PCC FAI 2 1000 West 140th P1 Dakota Burnsville MN FP103 Burnsville Family Physicians Street, #100 PCC FAI 2 M Health Fairview Clinic - Burnsville (Fairview Clinics - 303 Nicollet Blvd., BC Dakota Burnsville MN 003198304 Burnsville) #140 PCC FAI 3 M Health Fairview Clinic - Burnsville (Fairview Clinics - 303 Nicollet Blvd., HP Dakota Burnsville MN 815 Burnsville) #140 PCC FAI 2 M Health Fairview Clinic - Burnsville (Fairview Clinics - 303 E. Nicollet Blvd. P1 Dakota Burnsville MN FP135 Burnsville) #160 PCC FAI 2 14050 Nicollet Ave., BC Dakota Burnsville MN 003201027 Metropolitan Pediatric Specialists - Burnsville #300 PD CHI 2 14050 Nicollet Ave., HP Dakota Burnsville MN 689 Metropolitan Pediatric Specialists - Burnsville #300 PD CHI 2 14050 Nicollet Avenue, P1 Dakota Burnsville MN CP159 Metropolitan Pediatric Specialists - Burnsville #300 PD CHI 2 150 Travelers Trail P1 Dakota Burnsville MN NA716 New Kingdom Healthcare - Burnsville East, Suites D & E IMT 2 Park Nicollet Clinic and Specialty Center Burnsville BC Dakota Burnsville MN 003200844 14000 14000 Fairview Drive PCC PKN 2 Park Nicollet Clinic and Specialty Center Burnsville HP Dakota Burnsville MN 419 14000 14000 Fairview Drive PCC PKN 1 Park Nicollet Clinic and Specialty Center Burnsville P1 Dakota Burnsville MN PN108 14000 14000 Fairview Dr. PCC PKN 1

HP Dakota Burnsville MN 3955 Park Nicollet SmartCare Clinic - Burnsville 14000 Fairview Drive PCC PKN 1 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 14000 Nicollet Ave. S., BC Dakota Burnsville MN 003196961 Allina Health Burnsville Clinic #100 PCC ALL 2 14000 Nicollet Ave. S., HP Dakota Burnsville MN 418 Allina Health Burnsville Clinic #100 PCC ALL 3 14000 Nicollet Ave S, P1 Dakota Burnsville MN AM179 Allina Health Burnsville Clinic #100 PCC ALL 3 501 E. Nicollet Blvd., BC Dakota Burnsville MN 003200214 Southdale Pediatric Associates - Burnsville #200 PD PED 2 501 E. Nicollet Blvd., HP Dakota Burnsville MN 420 Southdale Pediatric Associates - Burnsville #200 PD PED 2 501 E. Nicollet Blvd., P1 Dakota Burnsville MN FP169 Southdale Pediatric Associates, Ltd. #200 PD PED 2 BC Dakota Burnsville MN 003209133 Dakota Child & Family Clinic 2530 Horizon Drive PCC IMT 2 HP Dakota Burnsville MN 3075 Dakota Child & Family Clinic 2530 Horizon Drive PCC IMT 2 P1 Dakota Burnsville MN NA589 Dakota Child and Family Clinic 2530 Horizon Dr. PCC IMT 2 M Health Fairview Clinic - Eagan (Fairview Clinics - 3305 Central Park BC Dakota Eagan MN 004475655 Eagan) Village Drive PCC FAI 3 M Health Fairview Clinic - Eagan (Fairview Clinics - 3305 Central Park HP Dakota Eagan MN 433 Eagan) Village Drive PCC FAI 2 M Health Fairview Clinic - Eagan (Fairview Clinics - 3305 Central Park P1 Dakota Eagan MN FP110 Eagan) Village Dr., #200 PCC FAI 2 1110 Yankee Doodle BC Dakota Eagan MN 003205648 Allina Health Eagan Clinic Rd. PCC ALL 2 1110 Yankee Doodle P1 Dakota Eagan MN AM129 Allina Health Eagan Clinic Rd. PCC ALL 3 1110 Yankee Doodle HP Dakota Eagan MN 459 Allina Health Eagan Clinic Rd. PCC ALL 3 1654 Diffley Rd Ste HP Dakota Eagan MN 3317 HealthPartners Eagan Clinic 100 PCC HPR 1 BC Dakota Eagan MN 003200844 Park Nicollet Clinic - Eagan 1885 Plaza Dr. PCC PKN 2 HP Dakota Eagan MN 434 Park Nicollet Clinic - Eagan 1885 Plaza Dr. PCC PKN 1 P1 Dakota Eagan MN PN110 Park Nicollet Clinic - Eagan 1885 Plaza Dr. PCC PKN 1 3470 Washington BC Dakota Eagan MN 003203377 Pediatric & Young Adult Medicine - Eagan Drive, Suite 201 PD PED 2 3470 Washington HP Dakota Eagan MN 435 Pediatric & Young Adult Medicine - Eagan Drive, Suite 201 PD PED 2 3470 Washington P1 Dakota Eagan MN CP112 Pediatric & Young Adult Medicine - Eagan Drive, #201 PD PED 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Dakota Eagan MN NA723 Sage Prairie Clinic - Eagan 1440 Duckwood Drive PCC IMT 2 21260 Chippendale BC Dakota Farmington MN 003199685 Allina Health Farmington Clinic Ave. W. PCC ALL 2 21260 Chippendale HP Dakota Farmington MN 452 Allina Health Farmington Clinic Ave. W. PCC ALL 3 21260 Chippendale P1 Dakota Farmington MN AM119 Allina Health Farmington Clinic Ave. W. PCC ALL 3 BC Dakota Farmington MN 003196815 Northfield Hospital & Clinics - Farmington 4645 Knutsen Dr. PCC IMT-FAM 4 HP Dakota Farmington MN 2926 Northfield Hospital & Clinics - Farmington 4645 Knutsen Dr. PCC IMT-FAM 4 P1 Dakota Farmington MN NA469 Northfield Hospital & Clinics - Farmington 4645 Knutsen Dr. PCC IMT-FAM 3 1880 North Frontage BC Dakota Hastings MN 003210877 Allina Health Hastings Clinic Road PCC ALL 2 1880 North Frontage HP Dakota Hastings MN 457 Allina Health Hastings Clinic Road PCC ALL 3

P1 Dakota Hastings MN AM120 Allina Health Hastings Clinic 1880 N. Frontage Rd. PCC ALL 3 Inver Grove BC Dakota Heights MN 003206435 Allina Health Inver Grove Heights Clinic 5565 Blaine Ave. PCC ALL 2 Inver Grove HP Dakota Heights MN 555 Allina Health Inver Grove Heights Clinic 5565 Blaine Ave. PCC ALL 3 Inver Grove P1 Dakota Heights MN AM167 Allina Health Inver Grove Heights Clinic 5565 Blaine Ave. PCC ALL 3 Inver Grove BC Dakota Heights MN 003201286 Grow Pediatrics - Inver Grove Heights Pediatric Clinic 5975 E. Carmen Ave. PD PED 2 Inver Grove HP Dakota Heights MN 611 Grow Pediatrics - Inver Grove Heights Pediatric Clinic 5975 E. Carmen Ave. PD PED 2 Inver Grove P1 Dakota Heights MN CP104 Grow Pediatrics - Inver Grove Heights Pediatric Clinic 5975 Carmen Ave E PD PED 2 Inver Grove BC Dakota Heights MN 003202773 Entira Family Clinics - Inver Grove Heights 2980 Buckley Way PCC FAM 2 Inver Grove HP Dakota Heights MN 763 Entira Family Clinics - Inver Grove Heights 2980 Buckley Way PCC FAM 2 Inver Grove P1 Dakota Heights MN FP252 Entira Family Clinics - Inver Grove Heights 2980 Buckley Way PCC FAM 2 Inver Grove HP Dakota Heights MN 463 HealthPartners Inver Grove Heights Clinic 5625 Cenex Dr PCC HPR 1 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric Inver Grove HP Dakota Heights MN 340 Inver Grove Heights Family Medical Clinic, Ltd 5972 Cahill Ave PCC IMT 2 Inver Grove P1 Dakota Heights MN NA183 Inver Grove Heights Family Medical Center 5972 Cahill Ave., #112 PCC IMT 2 M Health Fairview Clinic - Lakeville (Fairview Clinics - BC Dakota Lakeville MN 003207957 Lakeville) 18580 Joplin Ave. PCC FAI 3 M Health Fairview Clinic - Lakeville (Fairview Clinics - HP Dakota Lakeville MN 2637 Lakeville) 18580 Joplin Ave. PCC FAI 2 M Health Fairview Clinic - Lakeville (Fairview Clinics - P1 Dakota Lakeville MN FP192 Lakeville) 18580 Joplin Ave. PCC FAI 2 BC Dakota Lakeville MN 003199215 Northfield Hospital & Clinics - Lakeville Clinic 9974 214th St W PCC IMT-FAM 4 HP Dakota Lakeville MN 3049 Northfield Hospital & Clinics - Lakeville Clinic 9974 214th St W PCC IMT-FAM 4 P1 Dakota Lakeville MN NA486 Northfield Hospital & Clinics - Lakeville 9974 214th St. W. PCC IMT-FAM 3 BC Dakota Lakeville MN 003196962 Allina Health Lakeville Clinic 20795 Keokuk Ave PCC ALL 2 HP Dakota Lakeville MN 729 Allina Health Lakeville Clinic 20795 Keokuk Ave PCC ALL 3 P1 Dakota Lakeville MN AM181 Allina Health Lakeville Clinic 20795 Keokuk Ave. PCC ALL 3

BC Dakota Lakeville MN 003200844 Park Nicollet Clinic - Lakeville 18484 Kachina Court PCC PKN 2

HP Dakota Lakeville MN 3303 Park Nicollet Clinic - Lakeville 18484 Kachina Court PCC PKN 1 P1 Dakota Lakeville MN PN125 Park Nicollet Clinic - Lakeville 18484 Kachina Ct PCC PKN 1 M Health Fairview Clinic - Rosemount (Fairview BC Dakota Rosemount MN 003200538 Clinics - Rosemount) 15075 Cimarron Ave. PCC FAI 3 M Health Fairview Clinic - Rosemount (Fairview HP Dakota Rosemount MN 3178 Clinics - Rosemount) 15075 Cimarron Ave. PCC FAI 2 M Health Fairview Clinic - Rosemount (Fairview P1 Dakota Rosemount MN FP211 Clinics - Rosemount) 15075 Cimarron Ave. PCC FAI 2

BC Dakota West St. Paul MN 003209584 Allina Health West St. Paul Clinic 150 E. Emerson Ave. PCC ALL 2

HP Dakota West St. Paul MN 528 Allina Health West St. Paul Clinic 150 E. Emerson Ave. PCC ALL 3

P1 Dakota West St. Paul MN AM130 Allina Health West St. Paul Clinic 150 E. Emerson Ave. PCC ALL 3

BC Dakota West St. Paul MN 003202701 Entira Family Clinics - West St. Paul 234 E. Wentworth Ave. PCC FAM 2

HP Dakota West St. Paul MN 762 Entira Family Clinics - West St. Paul 234 E. Wentworth Ave. PCC FAM 2

P1 Dakota West St. Paul MN FP257 Entira Family Clinics - West St. Paul 234 E. Wentworth Ave. PCC FAM 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 1880 Livingston Ave., BC Dakota West St. Paul MN 003207634 Mendakota Pediatrics #102 PD PED 2 1880 Livingston Ave., HP Dakota West St. Paul MN 2639 Mendakota Pediatrics #102 PD PED 2 1880 Livingston Ave., P1 Dakota West St. Paul MN FP261 Mendakota Pediatrics #102 PD PED 2 963 South Robert BC Dakota West St. Paul MN 003216240 Children's West St. Paul Clinic Street PD CHI 2 963 South Robert HP Dakota West St. Paul MN 898 Children's West St. Paul Clinic Street PD CHI 2 P1 Dakota West St. Paul MN CP110 Children's West St. Paul Clinic 963 S Robert St PD CHI 2 HP Davison Mitchell SD 3327 Avera Medical Group Internal Medicine Mitchell 1900 Grassland Dr PCC AVH 2

P1 Davison Mitchell SD AH204 Avera Medical Group Internal Medicine Mitchell 1900 Grassland Dr. PCC AVH 2 Avera Medical Group Family Medicine HP Davison Mitchell SD 3328 Mitchell/AveraNOW 1900 Grassland Dr PCC AVH 2 Avera Medical Group Family Medicine P1 Davison Mitchell SD AH203 Mitchell/AveraNOW 1900 Grassland Drive PCC AVH 2

P1 Davison Mitchell SD AH252 Access Health - Mitchell 1900 Grassland Drive PCC AVH 2

P1 Davison Mitchell SD AH186 Avera Medical Group Pediatrics Mitchell 1900 Grassland Dr. PD AVH 2 HP Davison Mitchell SD 3176 Avera Medical Group Pediatrics Mitchell 1900 Grassland Dr PD AVH 2 HP Davison Mitchell SD 3445 Mitchell Clinic, Ltd 818 W Havens St PCC ISO 4 2100 Highland Way, P1 Davison Mitchell SD SV159 Sanford Clinic - Mitchell Ste. K PCC SAN 2 2100 Highland Way, HP Davison Mitchell SD 3242 Sanford Health Mitchell Ste K PCC SAN 2 HP Day Waubay SD 2503 Avera Medical Group Waubay 80 N Main St PCC AVH 2 P1 Day Waubay SD AH144 Avera Medical Group Waubay 80 N. Main St. PCC AVH 2 HP Day Webster SD 2686 Sanford Clinic Webster 101 Peabody Dr PCC SAN 2 HP Deuel Clear Lake SD 2459 Sanford Clear Lake Clinic 701 3rd Ave S PCC SAN 2 P1 Deuel Clear Lake SD SV119 Sanford Clear Lake Clinic 701 3rd Ave. S. PCC SAN 2 HP Dewey Timber Lake SD 3630 West Dakota Health Center 906 Main St PCC ISO 4 P1 Dewey Timber Lake SD NA637 West Dakota Health Center 906 Main Street PCC ISO 4 P1 Dickey Ellendale ND AH179 Avera Clinic of Ellendale 240 Main St. PCC AVH 2 HP Dickey Ellendale ND 3218 Avera Clinic of Ellendale 240 Main St PCC AVH 2 HP Dickey Ellendale ND 2958 Sanford Clinic Ellendale 141 Main St PCC MER 2 P1 Dickey Ellendale ND SV180 Sanford Health Ellendale Clinic 141 Main St. PCC MER 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Dickey Oakes ND NA577 Oakes Community Clinic 1200 N. 7th St. PCC INW 4 HP Dickey Oakes ND 2953 Sanford Health Oakes Clinic 420 7th St S PCC MER 2 P1 Dickey Oakes ND SV195 Sanford Health Oakes Clinic 420 S. 7th St. PCC MER 2 215 North Market BC Dickinson Lake Park IA 004270070 Sanford Health Lake Park Clinic Street, #2 PCC SAN 3

P1 Dickinson Lake Park IA SV254 Sanford Health Lake Park Clinic 215 N Market St, #2 PCC SAN 2

Lakes Regional Family Medicine (formerly called HP Dickinson Spirit Lake IA 2294 Avera Medical Group Lakes Family Practice) 2700 23rd St Ste C PCC AVH 2

Lakes Regional Family Medicine (formerly called P1 Dickinson Spirit Lake IA AH100 Avera Medical Group Lakes Family Practice) 2700 23rd St., Ste. C PCC AVH 2

Lakes Regional Family Medicine (formerly called P1 Dickinson Spirit Lake IA AH106 Avera Medical Group Spirit Lake Medical Center) 2700 23rd St., Ste. A PCC AVH 2 BC Dodge Kasson MN 003217672 Kasson - Mayo Family Practice Clinic 411 West Main St PCC MAY 4 P1 Dodge Kasson MN MH100 Kasson Mayo Family Practice Clinic 411 W. Main PCC MAY 4 BC Douglas Alexandria MN 003218148 Alexandria Clinic, a Service of Alomere Health 610 30th Ave. W. PCC ALX 2 HP Douglas Alexandria MN 2213 Alexandria Clinic, a Service of Alomere Health 610 30th Ave. W. PCC ALX 2

P1 Douglas Alexandria MN NA251 Alexandria Clinic, A Service of Alomere Health 610 30th Avenue West PCC ALX 2 BC Douglas Alexandria MN 003206327 Sanford Clinic Broadway Clinic 1527 Broadway St PCC MER 2 HP Douglas Alexandria MN 2221 Sanford Clinic Broadway Clinic 1527 Broadway St PCC MER 2 P1 Douglas Alexandria MN SV210 Sanford Health Broadway Clinic 1527 Broadway St. PCC MER 2 P1 Douglas Armour SD NA643 Prairie Health Clinic 708 8th St. PCC ISO 4 P1 Douglas Corsica SD NA644 Prairie Health Clinic 265 E. Main St. PCC ISO 4

BC Douglas Evansville MN 003206376 Prairie Ridge Hospital & Health Services - Evansville 649 1/2 State St. PCC ICM 2

HP Douglas Evansville MN 2620 Prairie Ridge Hospital & Health Services - Evansville 649 1/2 State St. PCC ICM 2

P1 Douglas Evansville MN MR136 Prairie Ridge Hospital & Health Services - Evansville 649 1/2 State St. PCC ICM 2

BC Douglas Osakis MN 003218148 Osakis Medical Clinic, A service of Alomere Health 811 3rd Ave. E. PCC ALX 2

HP Douglas Osakis MN 2214 Osakis Medical Clinic, A service of Alomere Health 811 3rd Ave. E. PCC ALX 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 811 3rd Avenue East P1 Douglas Osakis MN NA252 Osakis Medical Clinic, A Service of Alomere Health Hwy. 127 PCC ALX 2 BC Douglas Superior WI 003197359 Essentia Health St. Mary's - Superior Clinic 3500 Tower Ave., #1 PCC SMD 2 HP Douglas Superior WI 2510 Essentia Health St. Mary's - Superior Clinic 3500 Tower Ave., #1 PCC SMD 2 P1 Douglas Superior WI DC128 Essentia Health St. Mary's-Superior Clinic 3500 Tower Ave. PCC SMD 3

BC Douglas Superior WI 003217580 Lake Superior Community Health Center - Superior 3600 Tower Ave. PCC INE 2

HP Douglas Superior WI 2685 Lake Superior Community Health Center - Superior 3600 Tower Ave. PCC INE 2

P1 Douglas Superior WI NA453 Lake Superior Community Health Center - Superior 3600 Tower Ave. PCC INE 2 109 North 28th Street BC Douglas Superior WI 003218937 Mariner Medical Clinic East PCC SLK 2 109 North 28th Street HP Douglas Superior WI 144 Mariner Medical Clinic East PCC SLK 2 P1 Douglas Superior WI SL106 Mariner Medical Clinic, Ltd. 109 N. 28th St. E. PCC SLK 4 220 Fourth Avenue HP Dunn Killdeer ND 2988 Coal Country Community Health Center - Killdeer SW PCC INW 4 HP Dunn Menomonie WI 2831 Marshfield Clinic Menomonie Center 3603 Schneider Rd PCC IWI 4 Mayo Clinic Health System Red Cedar-Menomonie P1 Dunn Menomonie WI MH167 Clinic 2321 Stout Rd. PCC MAY 4 Mayo Clinic Health System Red Cedar - Menomonie HP Dunn Menomonie WI 2604 Clinic 2321 Stout Rd PCC MAY 4 1125 N Broadway Ste HP Dunn Menomonie WI 3418 Sacred Heart - Preva Health 3 PCC IWI 4 HP Eau Claire Augusta WI 3686 Prevea Health - Augusta 207 West Lincoln PCC IWI 4

431 East Clairemont P1 Eau Claire Eau Claire WI NA722 Confluence Healthcare SC Avenue, Suite D PCC IWI 4 431 E Clairemont Ave, P1 Eau Claire Eau Claire WI NA688 Oakleaf Clinics, S.C. - Amy Ludwikowski #C PCC IWI 4 3802 W Oakwood Mall HP Eau Claire Eau Claire WI 3414 Oakleaf Clinics, SC - Eau Claire Medical Clinic Dr PCC IWI 4 3802 W. Oakwood P1 Eau Claire Eau Claire WI NA672 Oakleaf Clinics, SC - Eau Claire Medical Clinic Mall Dr. PCC IWI 4 HP Eau Claire Eau Claire WI 2822 Marshfield Clinic Eau Claire Center 2116 Craig Rd PCC IWI 4 HP Eau Claire Eau Claire WI 2835 Marshfield Clinic Oakwood Center 3501 Golf Rd PCC IWI 4 Mayo Clinic Health System in Eau Claire - Clairemont HP Eau Claire Eau Claire WI 2594 Campus 733 W Clairemont Ave PCC MAY 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric Mayo Clinic Health System in Eau Claire - Luther HP Eau Claire Eau Claire WI 2593 Campus 1400 Bellinger St PCC MAY 4

HP Eau Claire Eau Claire WI 2775 Oakleaf Clinics, SC - Oakleaf Pediatrics 3213 Stein Boulevard PD IWI 2 Oakleaf Clinics - Pine Grove Family Medicine - Stein HP Eau Claire Eau Claire WI 3652 Blvd. 3221 Stein Blvd, #4 PCC IWI 4 Oakleaf Clinics - Pine Grove Family Medicine - Stein P1 Eau Claire Eau Claire WI NA670 Blvd. 3221 Stein Blvd. PCC IWI 4 Oakleaf Clinics - Pine Grove Family Medicine - 2741 N Clairemount HP Eau Claire Eau Claire WI 3653 Clairemont Avenue Ave PCC IWI 4 Oakleaf Clinics - Pine Grove Family Medicine - 2741 N Clairemont P1 Eau Claire Eau Claire WI NA669 Clairemont Avenue Ave PCC IWI 4 HP Eau Claire Eau Claire WI 2796 Oakleaf Clinics, SC - Southside Medical Clinic 714 W Hamilton Ave PCC IWI 4

P1 Eau Claire Eau Claire WI NA674 Oakleaf Clinics, SC - Southside Medical Clinic 714 W. Hamilton Ave. PCC IWI 4

HP Eau Claire Eau Claire WI 3685 Prevea Health - Eau Claire 617 West Clairemont PCC IWI 4 HP Edmunds Ipswich SD 3167 Sanford Ipswich Clinic 110 5th Ave PCC SAN 2

P1 Edmunds Ipswich SD SV156 Sanford Ipswich Clinic 110 5th Ave. PCC SAN 2 HP Edmunds Roscoe SD 3266 Roscoe Family Care Center 206 W Merrill Ave PCC ISO 4 Mayo Clinic Health System Fairmont - Armstrong BC Emmet Armstrong IA 003200933 Clinic 412 6th St PCC MAY 4 Mayo Clinic Health System Fairmont - Armstrong HP Emmet Armstrong IA 2458 Clinic 412 6th St PCC MAY 4 Mayo Clinic Health System Fairmont - Armstrong P1 Emmet Armstrong IA MH127 Clinic 412 6th St. PCC MAY 4 HP Emmet Estherville IA 2278 Avera Medical Group Estherville 926 N 8th St PCC AVH 2 P1 Emmet Estherville IA AH127 Avera Medical Group Estherville 926 N. 8th St. PCC AVH 2 HP Fall River Hot Springs SD 3332 Fall River Rural Health Clinic 1201 Hwy 71 S PCC ISO 4 1100 Highway 17 S HP Fall River Hot Springs SD 3912 Monument Health Hot Springs Clinic Ste 101 PCC ISO 4 BC Faribault Blue Earth MN 003199613 United Hospital District - Blue Earth 515 South Moore St. PCC ISO 2* HP Faribault Blue Earth MN 380 United Hospital District - Blue Earth 515 South Moore St. PCC ISO 2* P1 Faribault Blue Earth MN NA312 United Hospital District - Blue Earth 515 S. Moore St. PCC ISO 2* BC Faribault Wells MN 003199613 United Hospital District - Wells 55 First St. SE PCC ISO 2* HP Faribault Wells MN 2737 United Hospital District - Wells 55 First St. SE PCC ISO 2* P1 Faribault Wells MN NA410 United Hospital District Clinics, Inc., Wells 55 1st St. SE PCC ISO 2* Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric Mayo Clinic Health System Albert Lea and Austin - BC Faribault Wells MN 003197965 Wells 301 S. Broadway Ave. PCC MAY 2* Mayo Clinic Health System Albert Lea and Austin - HP Faribault Wells MN 2413 Wells 301 S. Broadway Ave. PCC MAY 2*

P1 Faribault Wells MN MH124 Mayo Clinic Health System Albert Lea - Wells Clinic 301 S. Broadway Ave. PCC MAY 2* BC Faribault Winnebago MN 003199613 United Hospital District - Winnebago 1 N. Main St. PCC ISO 2* HP Faribault Winnebago MN 991 United Hospital District - Winnebago 1 N. Main St. PCC ISO 2* P1 Faribault Winnebago MN NA313 United Hospital District - Winnebago 1 Main St N PCC ISO 2* HP Faulk Faulkton SD 3369 Faulkton Area Medical Center 1300 Oak St PCC ISO 4 Gundersen Palmer Lutheran Hospital and Clinics - HP Fayette Fayette IA 2661 Fayette 110 King St PCC GUN 3 Gundersen Palmer Lutheran Hospital and Clinics - HP Fayette West Union IA 2676 West Union 110 Jefferson St PCC GUN 3 BC Fillmore Chatfield MN 003213588 Olmsted Medical Center - Chatfield 207 Twiford St SW PCC OLM 4 HP Fillmore Chatfield MN 328 Olmsted Medical Center - Chatfield 207 Twiford St SW PCC OLM 4 P1 Fillmore Chatfield MN OM103 Olmsted Medical Center - Chatfield 207 Twiford St. SE PCC OLM 4 BC Fillmore Harmony MN 003202964 Gundersen Harmony Clinic 805 Main Ave. S PCC GUN 2* HP Fillmore Harmony MN 2668 Gundersen Harmony Clinic 805 Main Ave. S PCC GUN 2* BC Fillmore Mabel MN 003214990 Winneshiek Medical Center - Mabel Clinic 114 S. Main PCC ISO 4 HP Fillmore Mabel MN 3188 Winneshiek Medical Center - Mabel Clinic 114 S. Main PCC ISO 4 P1 Fillmore Mabel MN NA440 Winneshiek Medical Center - Mabel Clinic 114 Main St S PCC ISO 4 BC Fillmore Preston MN 003213589 Olmsted Medical Center - Preston 405 Kansas St NW PCC OLM 2* HP Fillmore Preston MN 332 Olmsted Medical Center - Preston 405 Kansas St NW PCC OLM 2*

P1 Fillmore Preston MN OM106 Olmsted Medical Center - Preston 405 Kansas St. N.W. PCC OLM 2* BC Fillmore Rushford MN 003205606 Winona Health Services - Rushford Clinic 109 West Jessie St. PCC WIN 3 HP Fillmore Rushford MN 2509 Winona Health Services - Rushford Clinic 109 West Jessie St. PCC WIN 3 P1 Fillmore Rushford MN NA490 Winona Health Services - Rushford Clinic 109 West Jessie St PCC WIN 3 BC Fillmore Spring Valley MN 003213580 Olmsted Medical Center - Spring Valley 802 Memorial Drive PCC OLM 4 HP Fillmore Spring Valley MN 336 Olmsted Medical Center - Spring Valley 802 Memorial Drive PCC OLM 4 P1 Fillmore Spring Valley MN OM110 Olmsted Medical Center - Spring Valley 802 Memorial Dr. PCC OLM 4 Forest County Potawatomi Health and Wellness HP Forest Crandon WI 3233 Center 8201 Mish Ko Swen Dr PCC IWI 4 HP Forest Crandon WI 2855 Ascension St. Mary's at Crandon 400 W Glen St PCC IWI 4 CHI St. Alexius Health Carrington Medical Clinic & HP Foster Carrington ND 2880 Urgent Care 820 N 5th St PCC INW 4 BC Freeborn Albert Lea MN 003197965 Mayo Clinic Health System Albert Lea 404 W. Fountain St. PCC MAY 2* HP Freeborn Albert Lea MN 2408 Mayo Clinic Health System Albert Lea 404 W. Fountain St. PCC MAY 2* Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Freeborn Albert Lea MN MH107 Mayo Clinic Health System Albert Lea 404 W. Fountain St. PCC MAY 2*

HP Golden Valley Beach ND 2987 CHI St. Alexius Health Dickinson Family Clinic 95 2nd St NW PCC INW 4 32021 County Road 24 BC Goodhue Cannon Falls MN 003699291 Mayo Clinic Health System in Cannon Falls Blvd. PCC MAY 4 32021 County Road 24 HP Goodhue Cannon Falls MN 421 Mayo Clinic Health System in Cannon Falls Blvd. PCC MAY 4 32021 County Rd 24 P1 Goodhue Cannon Falls MN MH148 Mayo Clinic Health System in Cannon Falls Blvd PCC MAY 4 1705 Highway 20 BC Goodhue Cannon Falls MN 003201582 Olmsted Medical Center - Cannon Falls North PCC OLM 4 1705 Highway 20 HP Goodhue Cannon Falls MN 3387 Olmsted Medical Center - Cannon Falls North PCC OLM 4 P1 Goodhue Cannon Falls MN OM102 Olmsted Medical Center - Cannon Falls 1705 Highway 20 N. PCC OLM 4

BC Goodhue Pine Island MN 003213541 Olmsted Medical Center - Pine Island 111 County Rd 11 NW PCC OLM 4

HP Goodhue Pine Island MN 331 Olmsted Medical Center - Pine Island 111 County Rd 11 NW PCC OLM 4

P1 Goodhue Pine Island MN OM104 Olmsted Medical Center - Pine Island 111 County Rd. 11 NW PCC OLM 4

BC Goodhue Red Wing MN 003699928 Mayo Clinic Health System in Red Wing 701 Hewitt Boulevard PCC MAY 2*

HP Goodhue Red Wing MN 510 Mayo Clinic Health System in Red Wing 701 Hewitt Boulevard PCC MAY 2* P1 Goodhue Red Wing MN MH160 Mayo Clinic Health System in Red Wing 701 Hewitt Blvd. PCC MAY 2* BC Goodhue Wanamingo MN 003213598 Olmsted Medical Center - Wanamingo 217 Main St. PCC OLM 4 HP Goodhue Wanamingo MN 338 Olmsted Medical Center - Wanamingo 217 Main St. PCC OLM 4 P1 Goodhue Wanamingo MN OM113 Olmsted Medical Center - Wanamingo 217 Main St., Ste. B PCC OLM 4

BC Goodhue Zumbrota MN 003699928 Mayo Clinic Health System - Red Wing in Zumbrota 1350 Jefferson Dr. PCC MAY 2*

HP Goodhue Zumbrota MN 738 Mayo Clinic Health System - Red Wing in Zumbrota 1350 Jefferson Dr. PCC MAY 2*

P1 Goodhue Zumbrota MN MH161 Mayo Clinic Health System - Red Wing in Zumbrota 1350 Jefferson Dr. PCC MAY 2*

BC Grand Forks Grand Forks ND 003321249 Altru Family Medicine Center 1380 S. Columbia Rd. PCC ALT 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Grand Forks Grand Forks ND 2244 Altru Family Medicine Center 1380 S. Columbia Rd. PCC ALT 2

P1 Grand Forks Grand Forks ND AL102 Altru Family Medicine Center 1380 S. Columbia Rd. PCC ALT 2 BC Grand Forks Grand Forks ND 003321249 Altru Family Medicine Residency 725 Hamline St. PCC ALT 2 HP Grand Forks Grand Forks ND 2698 Altru Family Medicine Residency 725 Hamline St. PCC ALT 2

P1 Grand Forks Grand Forks ND AL117 Altru Family Medicine Residency 725 Hamline St. PCC ALT 2 212 South 4th Street, BC Grand Forks Grand Forks ND 003203058 Spectra Health - Grand Forks Medical #301 PCC INW 4 212 South 4th Street, HP Grand Forks Grand Forks ND 3621 Spectra Health - Grand Forks Medical #301 PCC INW 4

P1 Grand Forks Grand Forks ND NA664 Spectra Health - Grand Forks Medical 212 S 4th St Suite 301 PCC INW 4 BC Grand Forks Larimore ND 003203058 Spectra Health - Larimore Medical 607 Towner Ave. PCC INW 4 HP Grand Forks Larimore ND 3096 Spectra Health - Larimore Medical 607 Towner Ave. PCC INW 4 P1 Grand Forks Larimore ND NA400 Spectra Health - Larimore Medical 607 Towner Ave. PCC INW 4 P1 Grand Forks Northwood ND NA640 Northwood Deaconess Health Center 4 N. Park St. PCC INW 4 Lake Region Healthcare - Ashby Clinic (part time clinic BC Grant Ashby MN 003203703 - Monday & Friday 8 a.m. to 5 p.m.) 110 County Road 82 E PCC FFM 2* Lake Region Healthcare - Ashby Clinic (part time clinic HP Grant Ashby MN 2756 - Monday & Friday 8 a.m. to 5 p.m.) 110 County Road 82 E PCC FFM 2*

P1 Grant Ashby MN NA274 Lake Region Healthcare - Ashby Clinic 110 County Road 82 E PCC FFM 2*

Prairie Ridge Hospital & Health Services - Ashby (part time clinic - 8 a.m. to noon on Tuesdays, shares BC Grant Ashby MN 003206375 space with Lake Region in Ashby) 110 County Road 82 E PCC ICM 2

Prairie Ridge Hospital & Health Services - Ashby (part time clinic - 8 a.m. to noon on Tuesdays, shares HP Grant Ashby MN 2619 space with Lake Region in Ashby) 110 County Road 82 E PCC ICM 2

Prairie Ridge Hospital & Health Services - Ashby (part time clinic - 8 a.m. to noon on Tuesdays, shares P1 Grant Ashby MN MR135 space with Lake Region in Ashby) 110 Co. Rd. 78 E. PCC ICM 2 BC Grant Big Stone City SD 003461067 Avera Medical Group Big Stone City 451 Main St PCC AVH 2 HP Grant Big Stone City SD 2806 Avera Medical Group Big Stone City 451 Main St PCC AVH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Grant Big Stone City SD AH177 Avera Medical Group Big Stone City 451 Main St. PCC AVH 2

BC Grant Elbow Lake MN 003204710 Prairie Ridge Hospital & Health Services - Elbow Lake 1411 Highway 79 East PCC ICM 2

HP Grant Elbow Lake MN 2615 Prairie Ridge Hospital & Health Services - Elbow Lake 1411 Highway 79 East PCC ICM 2

P1 Grant Elbow Lake MN MR133 Prairie Ridge Hospital & Health Services 1411 Hwy. 79 E. PCC ICM 2 HP Grant Elgin ND 3065 Elgin Community Clinic 603 E St N PCC INW 4 P1 Grant Elgin ND NA706 Elgin Community Clinic 603 East St. N. PCC INW 4 Prairie Ridge Hospital & Health Services - Herman HP Grant Herman MN 3647 (part time clinic) 204 5th St East PCC ICM 2

P1 Grant Herman MN MR173 Prairie Ridge Hospital & Health Services - Herman 204 5th St. E. PCC ICM 2

P1 Grant Herman MN NA642 Coteau des Prairies Hospital, Inc. 204 5th St East PCC ICM 3 Prairie Ridge Hospital & Health Services - Hoffman BC Grant Hoffman MN 003206377 (part time clinic) 114 Main Ave. PCC ICM 2 Prairie Ridge Hospital & Health Services - Hoffman HP Grant Hoffman MN 2618 (part time clinic) 114 Main Ave. PCC ICM 2 Prairie Ridge Hospital & Health Services - Hoffman P1 Grant Hoffman MN MR137 (part time clinic) 114 Main Ave PCC ICM 2 BC Grant Milbank SD 003197917 Avera Medical Group Milbank 301 Flynn Drive PCC AVH 2 HP Grant Milbank SD 2481 Avera Medical Group Milbank 301 Flynn Drive PCC AVH 2

P1 Grant Milbank SD AH139 Avera Medical Group Milbank 301 Flynn Drive PCC AVH 2 HP Grant Revillo SD 2562 Avera Medical Group Revillo 305 N 2nd Ave PCC AVH 2 P1 Grant Revillo SD AH159 Avera Medical Group Revillo 305 N. 2nd. Ave. PCC AVH 2 HP Grant Boscobel WI 3283 Bluff Street Clinic 200 W Bluff St PCC IWI 4

HP Grant Muscoda WI 3285 Gundersen Boscobel Area Clinics - Muscoda 525 N Wisconsin Ave PCC GUN 3 HP Grant Fennimore WI 3284 Gundersen Boscobel Area Clinics - Fennimore 220 Lincoln Ave PCC GUN 3 HP Gregory Bonesteel SD 2703 Bonesteel Medical Clinic 314 Mellette St PCC ISO 4 P1 Gregory Bonesteel SD NA689 Bonesteel Medical Clinic 314 Mellette St. PCC ISO 4 P1 Gregory Burke SD NA690 Burke Medical Clinic 814 Jackson St. PCC ISO 4 HP Gregory Burke SD 2270 Burke Medical Clinic 814 Jackson St PCC ISO 4 P1 Gregory Fairfax SD AH109 Avera Medical Group Fairfax 421 Main St. PCC AVH 2 HP Gregory Fairfax SD 2279 Avera Medical Group Fairfax 421 Main St PCC AVH 2 P1 Gregory Gregory SD AH110 Avera Medical Group Gregory 405 Whittecar PCC AVH 2 HP Gregory Gregory SD 2282 Avera Medical Group Gregory 405 Whittecar Ave PCC AVH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Griggs Cooperstown ND 2879 Cooperstown Medical Center 1200 Roberts Ave NE PCC INW 4 HP Hamlin Estelline SD 2658 Sanford Health Estelline Clinic 305 Hospital Dr PCC SAN 2

P1 Hamlin Estelline SD SV138 Sanford Clinic - Estelline 305 Hospital Dr. PCC SAN 2 HP Hamlin Lake Norden SD 2702 Sanford Health Lake Norden Clinic 512 Main Ave PCC SAN 2 P1 Hamlin Lake Norden SD SV139 Sanford Clinic - Lake Norden 512 Main Ave. PCC SAN 2 HP Hand Miller SD 2748 Avera Medical Group Miller 300 W 5th St PCC AVH 2 P1 Hand Miller SD AH172 Avera Medical Group Miller 300 W. 5th St. PCC AVH 2 HP Harding Buffalo SD 3288 Monument Health Buffalo Clinic 209 Ramsland St PCC ISO 4 7920 Old Cedar Ave. BC Hennepin Bloomington MN 003206433 Allina Health Bloomington Clinic S. PCC ALL 2 7920 Old Cedar Ave. HP Hennepin Bloomington MN 406 Allina Health Bloomington Clinic S. PCC ALL 3 7920 Old Cedar Ave. P1 Hennepin Bloomington MN AM163 Allina Health Bloomington Clinic S. PCC ALL 3 M Health Fairview Clinic - Oxboro (Fairview Clinics - BC Hennepin Bloomington MN 003198277 Bloomington, Oxboro) 600 W. 98th St. PCC FAI 3 M Health Fairview Clinic - Oxboro (Fairview Clinics - HP Hennepin Bloomington MN 411 Bloomington, Oxboro) 600 W. 98th St. PCC FAI 2 M Health Fairview Clinic - Oxboro (Fairview Clinics - P1 Hennepin Bloomington MN FP134 Bloomington, Oxboro) 600 W. 98th St. PCC FAI 2 HP Hennepin Bloomington MN 407 HealthPartners Bloomington Clinic 8600 Nicollet Ave S PCC HPR 1 9401 James Ave S., P1 Hennepin Bloomington MN NA679 Lakes Area Health Center #162 PCC IMT 2 5320 Hyland Greens BC Hennepin Bloomington MN 003200844 Park Nicollet Clinic - Bloomington Dr. PCC PKN 2 5320 Hyland Greens HP Hennepin Bloomington MN 410 Park Nicollet Clinic - Bloomington Dr. PCC PKN 1 5320 Hyland Greens P1 Hennepin Bloomington MN PN106 Park Nicollet Clinic - Bloomington Dr. PCC PKN 1

HP Hennepin Brooklyn Center MN 413 HealthPartners Brooklyn Center Clinic 6845 Lee Ave N PCC HPR 1 5615 Xerxes Ave. BC Hennepin Brooklyn Center MN 003199115 North Memorial Health Clinic - Brooklyn Center North, #D PCC NOR 2 5615 Xerxes Ave. HP Hennepin Brooklyn Center MN 2650 North Memorial Health Clinic - Brooklyn Center North, #D PCC NOR 2 5615 Xerxes Ave. N., P1 Hennepin Brooklyn Center MN NM108 North Memorial Health Clinic - Brooklyn Center #D PCC NOR 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

BC Hennepin Brooklyn Center MN 003200844 Park Nicollet Clinic - Brookdale 6000 Earle Brown Dr. PCC PKN 2

HP Hennepin Brooklyn Center MN 414 Park Nicollet Clinic - Brookdale 6000 Earle Brown Dr. PCC PKN 1

P1 Hennepin Brooklyn Center MN PN107 Park Nicollet Clinic - Brookdale 6000 Earle Brown Dr. PCC PKN 1 9300 Noble Parkway BC Hennepin Brooklyn Park MN 003215165 Allina Health Brooklyn Park Clinic North PCC ALL 2 9300 Noble Parkway HP Hennepin Brooklyn Park MN 3183 Allina Health Brooklyn Park Clinic North PCC ALL 3

P1 Hennepin Brooklyn Park MN AM161 Allina Health Brooklyn Park Clinic 9300 Noble Pkwy. N. PCC ALL 3 P1 Hennepin Brooklyn Park MN NA495 Crown Medical Support Services Clinic 7001 78th Ave. N. PCC IMT 2 Crown Medical Support Services Clinic - Brooklyn BC Hennepin Brooklyn Park MN 003396586 Park 7001 78th Ave. N. PCC IMT 2 M Health Fairview Clinic - Brooklyn Park (Fairview BC Hennepin Brooklyn Park MN 004475632 Clinics - Brooklyn Park) 10000 Zane Ave. N. PCC FAI 3 M Health Fairview Clinic - Brooklyn Park (Fairview HP Hennepin Brooklyn Park MN 747 Clinics - Brooklyn Park) 10000 Zane Ave. N. PCC FAI 2 M Health Fairview Clinic - Brooklyn Park (Fairview P1 Hennepin Brooklyn Park MN FP206 Clinics - Brooklyn Park) 10000 Zane Ave. N. PCC FAI 2 8559 Edinbrook Pkwy BC Hennepin Brooklyn Park MN 003207125 North Memorial Health Clinic - Brooklyn Park #100 PCC NOR 2 8559 Edinbrook Pkwy HP Hennepin Brooklyn Park MN 985 North Memorial Health Clinic - Brooklyn Park #100 PCC NOR 2 8559 Edinbrook Pkwy P1 Hennepin Brooklyn Park MN NM100 North Memorial Health Clinic - Brooklyn Park #100 PCC NOR 2

BC Hennepin Brooklyn Park MN 003216297 Partners In Pediatrics Ltd - Brooklyn Park 8500 Edinbrook Pkwy. PD CHI 2

HP Hennepin Brooklyn Park MN 988 Partners In Pediatrics Ltd - Brooklyn Park 8500 Edinbrook Pkwy. PD CHI 2

P1 Hennepin Brooklyn Park MN CP137 Partners in Pediatrics 8500 Edinbrook Pkwy PD CHI 2 BC Hennepin Brooklyn Park MN 003197495 HennepinHealthcare - Brooklyn Park Clinic 7650 Zane Ave N PCC IMT 2 HP Hennepin Brooklyn Park MN 3326 HennepinHealthcare - Brooklyn Park Clinic 7650 Zane Ave N PCC IMT 2

P1 Hennepin Brooklyn Park MN HF109 Hennepin Healthcare Brooklyn Park Clinic 7650 Zane Ave N. PCC IMT 2 P1 Hennepin Brooklyn Park MN NA584 Noble Parkway Medical Clinic 4808 85th Ave No. PCC IMT 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

BC Hennepin Champlin MN 003215665 Allina Health Champlin Clinic 11269 Jefferson Hwy. PCC ALL 2

HP Hennepin Champlin MN 423 Allina Health Champlin Clinic 11269 Jefferson Hwy. PCC ALL 3 11269 Jefferson Hwy P1 Hennepin Champlin MN AM105 Allina Health Champlin Clinic N PCC ALL 3

12142 Business Park BC Hennepin Champlin MN 003200844 Park Nicollet Clinic - Champlin Boulevard North PCC PKN 2

12142 Business Park HP Hennepin Champlin MN 3364 Park Nicollet Clinic - Champlin Boulevard North PCC PKN 1 12142 Business Park P1 Hennepin Champlin MN PN128 Park Nicollet Clinic - Champlin Blvd. N. PCC PKN 1 5700 Bottineau Blvd BC Hennepin Crystal MN 003200118 Northwest Family Physicians - Crystal Ste 100 PCC NWF 3 5700 Bottineau Blvd HP Hennepin Crystal MN 431 Northwest Family Physicians - Crystal Ste 100 PCC NWF 3 P1 Hennepin Crystal MN NA517 Northwest Family Physicians & Travel Clinic 5700 Bottineau Blvd. PCC NWF 3 Voyage Healthcare - Crystal (formerly called North 5109 - 36th Avenue BC Hennepin Crystal MN 003199623 Clinic) North PCC VOY 1 Voyage Healthcare - Crystal (formerly called North 5109 - 36th Avenue HP Hennepin Crystal MN 512 Clinic) North PCC VOY 1 Voyage Healthcare - Crystal (formerly called North P1 Hennepin Crystal MN NP106 Clinic) 5109 36th Ave N PCC VOY 1 12200 Middleset Rd., BC Hennepin Eden Prairie MN 003205277 All About Children Pediatrics - Eden Prairie #100 PD PED 2 12200 Middleset Rd., HP Hennepin Eden Prairie MN 2472 All About Children Pediatrics - Eden Prairie #100 PD PED 2 12200 Middle Set Rd, P1 Hennepin Eden Prairie MN CP144 All About Children Pediatrics - Eden Prairie #100 PD PED 2 M Health Fairview Clinic - Eden Prairie (Fairview BC Hennepin Eden Prairie MN 003195233 Clinics - Eden Prairie) 830 Prairie Center Dr. PCC FAI 3 M Health Fairview Clinic - Eden Prairie (Fairview HP Hennepin Eden Prairie MN 731 Clinics - Eden Prairie) 830 Prairie Center Dr. PCC FAI 2 M Health Fairview Clinic - Eden Prairie (Fairview P1 Hennepin Eden Prairie MN FP111 Clinics - Eden Prairie) 830 Prairie Center Dr PCC FAI 2 HP Hennepin Eden Prairie MN 3390 New Kingdom Healthcare - Eden Prairie 6452 City W Pkwy PD IMT 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Hennepin Eden Prairie MN NA597 New Kingdom Healthcare - Eden Prairie 6452 City West Pkwy PCC IMT 2

BC Hennepin Eden Prairie MN 003200844 Park Nicollet Clinic - Eden Prairie 8455 Flying Cloud Dr. PCC PKN 2

HP Hennepin Eden Prairie MN 437 Park Nicollet Clinic - Eden Prairie 8455 Flying Cloud Dr. PCC PKN 1 8455 Flying Cloud Dr., P1 Hennepin Eden Prairie MN PN101 Park Nicollet Clinic - Eden Prairie Center #200 PCC PKN 1 18315 Cascade Dr., BC Hennepin Eden Prairie MN 003200214 Southdale Pediatric Assoc. - Eden Prairie #170 PD PED 2 18315 Cascade Dr., HP Hennepin Eden Prairie MN 696 Southdale Pediatric Assoc. - Eden Prairie #170 PD PED 2 18315 Cascade Dr., P1 Hennepin Eden Prairie MN FP170 Southdale Pediatric Assoc. - Eden Prairie #170 PD PED 2 8100 West 78th St., BC Hennepin Edina MN 003204595 Abbott Northwestern General Medicine Associates #100 PCC ALL 2 8100 West 78th St., HP Hennepin Edina MN 2715 Abbott Northwestern General Medicine Associates #100 PCC ALL 3

P1 Hennepin Edina MN AM151 ANW General Medicine Associates 8100 W. 78th St., #100 PCC ALL 3 7373 France Ave. S., BC Hennepin Edina MN 003196964 Allina Health Centennial Lakes #202 PCC ALL 2 7373 France Ave. S., HP Hennepin Edina MN 728 Allina Health Centennial Lakes #202 PCC ALL 3 7373 France Ave. S., P1 Hennepin Edina MN AM183 Allina Health Centennial Lakes 202 PCC ALL 3 6565 France Ave. S., P1 Hennepin Edina MN NA702 Doctor's House, The #350 PCC IMT 2 BC Hennepin Edina MN 003206388 Edina Family Physicians 5301 Vernon Ave. S. PCC ALL 2 HP Hennepin Edina MN 440 Edina Family Physicians 5301 Vernon Ave. S. PCC ALL 3 5301 Vernon Ave. P1 Hennepin Edina MN AM171 Edina Family Physicians South PCC ALL 3 7025 France Ave., BC Hennepin Edina MN 003208467 Edina Pediatrics #100 PD PED 2 7025 France Ave Ste HP Hennepin Edina MN 441 Edina Pediatrics 100 PD PED 2 P1 Hennepin Edina MN NA663 Edina Pediatrics, P.A. 7380 France Ave. PD PED 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 7701 York Ave. South, BC Hennepin Edina MN 003199379 Edina Sports Health + Wellness PA #300 PCC FAI 3 7701 York Ave. South, HP Hennepin Edina MN 2552 Edina Sports Health + Wellness PA #300 PCC FAI 2 7701 York Ave So., P1 Hennepin Edina MN FP182 Edina Sports Health & Wellness, P.A. #300 PCC FAI 2 7600 France Avenue BC Hennepin Edina MN 003196575 France Avenue Family Physicians South, #4100 PCC FAI 3 7600 France Avenue HP Hennepin Edina MN 717 France Avenue Family Physicians South, #4100 PCC FAI 2 7600 France Ave, P1 Hennepin Edina MN FP117 France Avenue Family Physicians, P.A. #4100 PCC FAI 2 M Health Fairview Clinic - Edina (Fairview Clinics - 6545 France Ave. S., BC Hennepin Edina MN 003209581 Edina) #150 PCC FAI 3 M Health Fairview Clinic - Edina (Fairview Clinics - 6545 France Ave. S., HP Hennepin Edina MN 805 Edina) #150 PCC FAI 2 M Health Fairview Clinic - Edina (Fairview Clinics - 6545 France Ave. S., P1 Hennepin Edina MN FP151 Edina) #150 PCC FAI 2 BC Hennepin Edina MN 003201027 Metropolitan Pediatric Specialists - Edina 6517 Drew Avenue PD CHI 2 HP Hennepin Edina MN 445 Metropolitan Pediatric Specialists - Edina 6517 Drew Avenue PD CHI 2 P1 Hennepin Edina MN CP161 Metropolitan Pediatric Specialists - Edina 6517 Drew Ave. PD CHI 2 HP Hennepin Edina MN 724 Morningside Family Physicians, PA 3920 Sunnyside Rd PCC IMT 2 P1 Hennepin Edina MN NA327 Morningside Family Physicians 3920 Sunnyside Rd. PCC IMT 2 7600 France Avenue BC Hennepin Edina MN 003209034 Sharpe, Dillon, Cockson & Associates South, #4200 PCC ALL 2 7600 France Avenue HP Hennepin Edina MN 454 Sharpe, Dillon, Cockson & Associates South, #4200 PCC ALL 3 7600 France Ave S., P1 Hennepin Edina MN AM170 Sharpe, Dillon, Cockson & Associates #4200 PCC ALL 3 3955 Parklawn Ave. BC Hennepin Edina MN 003200214 Southdale Pediatric Associates - Edina #120 PD PED 2 3955 Parklawn Ave. HP Hennepin Edina MN 697 Southdale Pediatric Associates - Edina #120 PD PED 2 3955 Parklawn Ave., P1 Hennepin Edina MN FP168 Southdale Pediatric Associates - Edina #120 PD PED 2 BC Hennepin Excelsior MN 003208662 Ridgeview Excelsior Clinic 675 Water St. PCC RGV 3 HP Hennepin Excelsior MN 2651 Ridgeview Excelsior Clinic 675 Water St. PCC RGV 2 P1 Hennepin Excelsior MN NA432 Ridgeview Excelsior Clinic 675 Water St. PCC RGV 3 BC Hennepin Golden Valley MN 003197497 HennepinHealthcare - Golden Valley Clinic 5653 Duluth St. PCC IMT 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP Hennepin Golden Valley MN 3391 HennepinHealthcare - Golden Valley Clinic 5653 Duluth St. PCC IMT 2 P1 Hennepin Golden Valley MN HF113 HennepinHealthcare - Golden Valley Clinic 5653 Duluth Street PCC IMT 2 8301 Golden Valley BC Hennepin Golden Valley MN 003216925 North Memorial Health Clinic - Golden Valley Rd., #100 PCC NOR 2 8301 Golden Valley HP Hennepin Golden Valley MN 430 North Memorial Health Clinic - Golden Valley Rd., #100 PCC NOR 2 8301 Golden Valley Rd P1 Hennepin Golden Valley MN NM102 North Memorial Health Clinic - Golden Valley #100 PCC NOR 2 8401 Golden Valley BC Hennepin Golden Valley MN 003200844 Park Nicollet Clinic - Golden Valley Road PCC PKN 2 8401 Golden Valley HP Hennepin Golden Valley MN 778 Park Nicollet Clinic - Golden Valley Road PCC PKN 1 8401 Golden Valley P1 Hennepin Golden Valley MN PN102 Park Nicollet Clinic - Golden Valley Dr. PCC PKN 1 P1 Hennepin Golden Valley MN NA657 Twin Cities Physicians 1415 Lilac Dr N PCC IMT 2

BC Hennepin Maple Grove MN 003215666 Allina Health Maple Grove Clinic 7840 Vinewood Lane PCC ALL 2

HP Hennepin Maple Grove MN 471 Allina Health Maple Grove Clinic 7840 Vinewood Lane PCC ALL 3 P1 Hennepin Maple Grove MN AM108 Allina Health Maple Grove Clinic 7840 Vinewood Ln. PCC ALL 3 M Health Fairview Clinic - Bass Lake (Fairview Clinics - 6320 Wedgewood BC Hennepin Maple Grove MN 003217128 Bass Lake) Road North PCC FAI 3 M Health Fairview Clinic - Bass Lake (Fairview Clinics - 6320 Wedgewood HP Hennepin Maple Grove MN 2803 Bass Lake) Road North PCC FAI 2 M Health Fairview Clinic - Bass Lake (Fairview Clinics - 6320 Wedgewood Rd. P1 Hennepin Maple Grove MN FP200 Bass Lake) N. PCC FAI 2 9855 Hospital Drive, BC Hennepin Maple Grove MN 003213485 North Memorial Health Clinic - Maple Grove Suite 102B PCC NOR 2 9855 Hospital Drive, HP Hennepin Maple Grove MN 982 North Memorial Health Clinic - Maple Grove Suite 102B PCC NOR 2 9855 Hospital Dr, P1 Hennepin Maple Grove MN NM111 North Memorial Health Clinic - Maple Grove #102B PCC NOR 2 Park Nicollet Clinic & Specialty Center - Pediatrics & 9555 Upland Lane BC Hennepin Maple Grove MN 003200844 Internal Medicine North PCC PKN 2 Park Nicollet Clinic & Specialty Center - Pediatrics & 9555 Upland Lane HP Hennepin Maple Grove MN 2379 Internal Medicine North PCC PKN 1

P1 Hennepin Maple Grove MN PN113 Park Nicollet Clinic and Specialty Center 9555 Upland Lane N. PCC PKN 1 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

BC Hennepin Maple Grove MN 003216297 Partners In Pediatrics Ltd - Maple Grove 12720 Bass Lake Rd PD CHI 2

HP Hennepin Maple Grove MN 987 Partners In Pediatrics Ltd - Maple Grove 12720 Bass Lake Rd PD CHI 2 12720 Bass Lake P1 Hennepin Maple Grove MN CP138 Partners In Pediatrics Ltd - Maple Grove Road PD CHI 2 12000 Elm Creek BC Hennepin Maple Grove MN 003200424 South Lake Pediatrics - Maple Grove Blvd., #250 PD PED 2 12000 Elm Creek HP Hennepin Maple Grove MN 2502 South Lake Pediatrics - Maple Grove Blvd., #250 PD PED 2 12000 Elm Creek Blvd P1 Hennepin Maple Grove MN FP264 South Lake Pediatrics - Maple Grove N, #250 PD PED 2 Voyage Healthcare - Maple Grove (formerly called 9825 Hospital Drive, BC Hennepin Maple Grove MN 003199623 North Clinic) #300 PCC VOY 1 Voyage Healthcare - Maple Grove (formerly called 9825 Hospital Drive, HP Hennepin Maple Grove MN 472 North Clinic) #300 PCC VOY 1 Voyage Healthcare - Maple Grove (formerly called 9825 Hospital Dr., P1 Hennepin Maple Grove MN NP103 North Clinic) #300 PCC VOY 1 9325 Upland Ln N Ste BC Hennepin Maple Grove MN 003200853 Wayzata Children's Clinic - Maple Grove 111 PD PED 2 9325 Upland Ln N Ste HP Hennepin Maple Grove MN 3640 Wayzata Children's Clinic - Maple Grove 111 PD PED 2 9325 Upland Ln. N. P1 Hennepin Maple Grove MN CP163 Wayzata Children's Clinic - Maple Grove #111 PD PED 2 2800 Chicago Ave. BC Hennepin Minneapolis MN 003204597 Abbott Northwestern General Medicine Associates So., #250 PCC ALL 2 2800 Chicago Ave. HP Hennepin Minneapolis MN 444 Abbott Northwestern General Medicine Associates So., #250 PCC ALL 3 2800 Chicago Ave. S., P1 Hennepin Minneapolis MN AM152 ANW General Medicine Associates #250 PCC ALL 3

BC Hennepin Minneapolis MN 003206438 Allina Health East Lake Street Clinic 3024 Snelling Ave. S. PCC ALL 2

HP Hennepin Minneapolis MN 478 Allina Health East Lake Street Clinic 3024 Snelling Ave. S. PCC ALL 3

P1 Hennepin Minneapolis MN AM164 Allina Health East Lake Street Clinic 3024 Snelling Ave. S. PCC ALL 3

BC Hennepin Minneapolis MN 004168202 Allina Health Greenway Clinic 3270 West Lake Street PCC ALL 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Hennepin Minneapolis MN 3925 Allina Health Greenway Clinic 3270 West Lake Street PCC ALL 3

P1 Hennepin Minneapolis MN AM189 Allina Health Greenway Clinic 3270 W Lake St PCC ALL 3

BC Hennepin Minneapolis MN 003202995 Allina Health Isles Clinic 2800 Hennepin Ave. S. PCC ALL 2

HP Hennepin Minneapolis MN 409 Allina Health Isles Clinic 2800 Hennepin Ave. S. PCC ALL 3

P1 Hennepin Minneapolis MN AM113 Allina Health Isles Clinic 2800 Hennepin Ave. S. PCC ALL 3

BC Hennepin Minneapolis MN 003218590 Allina Health Nicollet Mall Clinic 825 Nicollet Mall #300 PCC ALL 2

HP Hennepin Minneapolis MN 476 Allina Health Nicollet Mall Clinic 825 Nicollet Mall #300 PCC ALL 3

P1 Hennepin Minneapolis MN AM114 Allina Health Nicollet Mall Clinic 825 Nicollet Ave., #300 PCC ALL 3 1221 W. Lake St., BC Hennepin Minneapolis MN 003214675 Allina Health Uptown Clinic #201 PCC ALL 2 1221 W. Lake St., HP Hennepin Minneapolis MN 3145 Allina Health Uptown Clinic #201 PCC ALL 3 1221 W. Lake St., P1 Hennepin Minneapolis MN AM143 Allina Health Uptown Clinic #201 PCC ALL 3 HP Hennepin Minneapolis MN 3166 Axis Medical Center 1801 Nicollet Ave S PCC IMT 2 BC Hennepin Minneapolis MN 003200770 Boynton Health Service - Minneapolis 410 Church St. S.E. PCC UOM 4 HP Hennepin Minneapolis MN 271 Boynton Health Service - Minneapolis 410 Church St. S.E. PCC UOM 4 P1 Hennepin Minneapolis MN UM108 Boynton Health Service - Minneapolis 410 Church St. S.E. PCC UOM 4

BC Hennepin Minneapolis MN 003197066 Central Clinic 2301 Central Ave. NE PCC IMT 2

HP Hennepin Minneapolis MN 241 Central Clinic 2301 Central Ave. NE PCC IMT 2

P1 Hennepin Minneapolis MN NA329 Central Clinic 2301 Central Ave. NE PCC IMT 2 2530 Chicago Ave. BC Hennepin Minneapolis MN 003216168 Children's Primary Care Clinic - Minneapolis South, Suite 390 PD CHI 2 2530 Chicago Ave. HP Hennepin Minneapolis MN 610 Children's Primary Care Clinic - Minneapolis South, Suite 390 PD CHI 2 P1 Hennepin Minneapolis MN CP158 Children's Primary Care Clinic - Minneapolis 2525 Chicago Ave S PD CHI 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric Community University Health Care Center/Variety 2001 Bloomington BC Hennepin Minneapolis MN 003196699 Children's Clinic Ave. S. PCC ECP 1 Community University Health Care Center/Variety 2001 Bloomington HP Hennepin Minneapolis MN 283 Children's Clinic Ave. S. PCC ECP 1 2001 Bloomington P1 Hennepin Minneapolis MN UM109 Community University Health Care Center Ave. S. PCC ECP 1

BC Hennepin Minneapolis MN 003396586 Crown Medical Support Services Clinic - Minneapolis 1925 First Ave. PCC IMT 2

P1 Hennepin Minneapolis MN NA484 Crown Medical Support Services Clinic - Minneapolis 1925 1st Ave. S. PCC IMT 2 2700 East Lake St., BC Hennepin Minneapolis MN 003197495 HennepinHealthcare - East Lake Clinic #1100 PCC IMT 2 2700 East Lake St., HP Hennepin Minneapolis MN 3191 HennepinHealthcare - East Lake Clinic #1100 PCC IMT 2 2700 E. Lake Street P1 Hennepin Minneapolis MN HF114 HennepinHealthcare - East Lake Clinic #1100 PCC IMT 2

M Health Fairview Children's Clinic - University 2535 University Ave. BC Hennepin Minneapolis MN 003205258 Children's (Fairview Clinics - University Children's) SE PD FAI 3

M Health Fairview Children's Clinic - University 2535 University Ave. HP Hennepin Minneapolis MN 2242 Children's (Fairview Clinics - University Children's) SE PD FAI 2

M Health Fairview Children's Clinic - University 2535 University Ave. P1 Hennepin Minneapolis MN FP166 Children's (Fairview Clinics - University Children's) S.E. PD FAI 2 M Health Fairview Clinic - Riverside (Fairview Clinics - 606 - 24th Ave., S., BC Hennepin Minneapolis MN 003216066 Riverside) #700 PCC FAI 3 M Health Fairview Clinic - Riverside (Fairview Clinics - 606 - 24th Ave., S., HP Hennepin Minneapolis MN 818 Riverside) #700 PCC FAI 2 M Health Fairview Clinic - Riverside (Fairview Clinics - 606 24th Avenue S., P1 Hennepin Minneapolis MN FP142 Riverside) #700 PCC FAI 2 M Health Fairview Clinic - Uptown (Fairview Clinics - 3033 Excelsior Blvd., BC Hennepin Minneapolis MN 003211816 Uptown) #275 PCC FAI 3 M Health Fairview Clinic - Uptown (Fairview Clinics - 3033 Excelsior Blvd., HP Hennepin Minneapolis MN 813 Uptown) #275 PCC FAI 2 M Health Fairview Clinic - Uptown (Fairview Clinics - 3033 Excelsior Blvd., P1 Hennepin Minneapolis MN FP125 Uptown) #275 PCC FAI 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

BC Hennepin Minneapolis MN 003197067 Fremont Clinic 3300 Fremont Ave. N. PCC IMT 2

HP Hennepin Minneapolis MN 239 Fremont Clinic 3300 Fremont Ave. N. PCC IMT 2

P1 Hennepin Minneapolis MN NA328 Fremont Clinic 3300 Fremont Ave., N. PCC IMT 2 BC Hennepin Minneapolis MN 003197495 HennepinHealthcare Clinic & Specialty Center 715 South 8th Street PCC IMT 2 HP Hennepin Minneapolis MN 3689 HennepinHealthcare Clinic & Specialty Center 715 South 8th Street PCC IMT 2

P1 Hennepin Minneapolis MN HF116 Hennepin Healthcare Clinic and Specialty Center 715 S. 8th St. PCC IMT 2 P1 Hennepin Minneapolis MN HF101 Hennepin Healthcare Pediatric Clinic 701 Park Ave P7 PD IMT 2 HP Hennepin Minneapolis MN 3348 HealthPartners Nokomis Clinic 4730 Chicago Ave PCC HPR 1 800 Washington Ave N HP Hennepin Minneapolis MN 3633 Hennepin Healthcare North Loop Clinic Ste 190 PCC IMT 2 800 Washington Ave. P1 Hennepin Minneapolis MN HF115 Hennepin Healthcare North Loop Clinic N., #190 PCC IMT 2 2810 Nicollet Ave. BC Hennepin Minneapolis MN 003197495 HennepinHealthcare - Whittier Clinic South PCC IMT 2 2810 Nicollet Ave. HP Hennepin Minneapolis MN 853 HennepinHealthcare - Whittier Clinic South PCC IMT 2 P1 Hennepin Minneapolis MN HF100 Hennepin Healthcare Whittier Clinic 2810 Nicollet Ave. PCC IMT 2 BC Hennepin Minneapolis MN 003197647 Indian Health Board of Minneapolis 1315 East 24th St. PCC IMT 2 HP Hennepin Minneapolis MN 235 Indian Health Board of Minneapolis 1315 East 24th St. PCC IMT 2 P1 Hennepin Minneapolis MN NA397 Indian Health Board 1315 E. 24th St. PCC IMT 2 HP Hennepin Minneapolis MN 3208 MCTC Student Health Clinic 1500 Hennepin Ave PCC UOM 4

BC Hennepin Minneapolis MN 003202664 Native American Community Clinic 1213 E. Franklin Ave. PCC IMT 2

HP Hennepin Minneapolis MN 2608 Native American Community Clinic 1213 E. Franklin Ave. PCC IMT 2

P1 Hennepin Minneapolis MN NA558 Native American Community Clinic 1213 E. Franklin Ave. PCC IMT 2 BC Hennepin Minneapolis MN 003213486 North Memorial Health Clinic - Camden 4209 Webber Pkwy. PCC NOR 2 HP Hennepin Minneapolis MN 480 North Memorial Health Clinic - Camden 4209 Webber Pkwy. PCC NOR 2 P1 Hennepin Minneapolis MN NM110 North Memorial Health Clinic - Camden 4209 Webber Pkwy. PCC NOR 2

BC Hennepin Minneapolis MN 003306482 North Memorial Health Clinic - Downtown Minneapolis 651 Nicollet Ave., #277 PCC NOR 2

HP Hennepin Minneapolis MN 3437 North Memorial Health Clinic - Downtown Minneapolis 651 Nicollet Ave., #277 PCC NOR 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Hennepin Minneapolis MN NM115 North Memorial Health Clinic - Downtown 651 Nicollet Ave., #277 PCC NOR 2 HP Hennepin Minneapolis MN 2385 NorthPoint Health & Wellness Center 1313 Penn Ave N PCC IMT 2 920 E. 28th St., Ste. P1 Hennepin Minneapolis MN NA651 Odam Medical Group LL40 PCC IMT 2

BC Hennepin Minneapolis MN 003200844 Park Nicollet Clinic - Minneapolis 2001 Blaisdell Ave. S. PCC PKN 2

HP Hennepin Minneapolis MN 486 Park Nicollet Clinic - Minneapolis 2001 Blaisdell Ave. S. PCC PKN 1

P1 Hennepin Minneapolis MN PN115 Park Nicollet Clinic - Minneapolis 2001 Blaisdell Ave. S. PCC PKN 1 People's Center Health Services - Cedar Riverside BC Hennepin Minneapolis MN 003216679 Clinic 425 20th Ave. S. PCC IMT 2 People's Center Health Services - Cedar Riverside HP Hennepin Minneapolis MN 251 Clinic 425 20th Ave. S. PCC IMT 2 P1 Hennepin Minneapolis MN NA530 Cedar Riverside People's Center 425 20th Ave. S. PCC IMT 2

BC Hennepin Minneapolis MN 003200021 Robbinsdale Clinic PA 3819 West Broadway PCC IMT 2

HP Hennepin Minneapolis MN 3160 Robbinsdale Clinic PA 3819 West Broadway PCC IMT 2 BC Hennepin Minneapolis MN 003197068 Sheridan Clinic 342 - 13th Ave. NE PCC IMT 2 HP Hennepin Minneapolis MN 242 Sheridan Clinic 342 - 13th Ave. NE PCC IMT 2

P1 Hennepin Minneapolis MN NA330 Sheridan Clinic 342-13th Ave., N.E. PCC IMT 2 BC Hennepin Minneapolis MN 003200427 Southside Medical - Green Central Clinic 324 East 35th St. PCC IMT 2 HP Hennepin Minneapolis MN 238 Southside Medical - Green Central Clinic 324 East 35th St. PCC IMT 2 University of Minnesota Health Clinics & Surgery 909 Fulton St. SE, BC Hennepin Minneapolis MN 003365213 Center Floor 4 PCC UOM 4 University of Minnesota Health Clinics & Surgery 909 Fulton St. SE, HP Hennepin Minneapolis MN 2389 Center Floor 4 PCC UOM 4 M Health Clinics and Surgery Center-Primary Care P1 Hennepin Minneapolis MN UM110 Center 909 Fulton St. SE PCC UOM 4 M Health Fairview Clinic - Smiley's (University of BC Hennepin Minneapolis MN 004477236 Minnesota Physicians - Smiley's Clinic) 2020 East 28th St. PCC UOM 4 M Health Fairview Clinic - Smiley's (University of HP Hennepin Minneapolis MN 2264 Minnesota Physicians - Smiley's Clinic) 2020 East 28th St. PCC UOM 4 M Health Fairview Clinic - Smiley's (University of P1 Hennepin Minneapolis MN FP292 Minnesota Physicians - Smiley's Clinic) 2020 E. 28th St. PCC UOM 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric University of Minnesota Physicians-Broadway Family BC Hennepin Minneapolis MN 003219308 Clinic 1020 W. Broadway PCC UOM 4 University of Minnesota Physicians-Broadway Family HP Hennepin Minneapolis MN 2265 Clinic 1020 W. Broadway PCC UOM 4 University of MN Physicians-Broadway Family P1 Hennepin Minneapolis MN UM102 Medicine 1020 W Broadway Ave PCC UOM 4 901 Second St. South, BC Hennepin Minneapolis MN 003208391 University of MN Physicians - Mill City Clinic Ste. A PCC UOM 4 901 Second St. South, HP Hennepin Minneapolis MN 3114 University of MN Physicians - Mill City Clinic Ste. A PCC UOM 4

P1 Hennepin Minneapolis MN UM116 University of MN Physicians-Mill City Clinic 901 S 2nd St, Suite A PCC UOM 4 15450 Highway 7, BC Hennepin Minnetonka MN 003206687 North Memorial Health Clinic - Minnetonka #100 PCC NOR 2 15450 Highway 7, HP Hennepin Minnetonka MN 3404 North Memorial Health Clinic - Minnetonka #100 PCC NOR 2

P1 Hennepin Minnetonka MN NM113 North Memorial Health Clinic - Minnetonka 15450 Hwy 7, Ste 100 PCC NOR 2 15111 Twelve Oaks BC Hennepin Minnetonka MN 003200844 Park Nicollet Clinic - Carlson Parkway Center Dr. PCC PKN 2 15111 Twelve Oaks HP Hennepin Minnetonka MN 492 Park Nicollet Clinic - Carlson Parkway Center Dr. PCC PKN 1 15111 Twelve Oaks P1 Hennepin Minnetonka MN PN109 Park Nicollet Clinic - Carlson Parkway Center Dr. PCC PKN 1 6060 Clearwater Dr. BC Hennepin Minnetonka MN 003200424 South Lake Pediatrics - Children's West #240 PD PED 2 6060 Clearwater Dr. HP Hennepin Minnetonka MN 2330 South Lake Pediatrics - Children's West #240 PD PED 2 6060 Clearwater Dr., P1 Hennepin Minnetonka MN FP266 South Lake Pediatrics - Children's West #240 PD PED 2 17705 Hutchins Dr. BC Hennepin Minnetonka MN 003200424 South Lake Pediatrics - Minnetonka #101 PD PED 2 17705 Hutchins Dr. HP Hennepin Minnetonka MN 916 South Lake Pediatrics - Minnetonka #101 PD PED 2 17705 Hutchins Dr., P1 Hennepin Minnetonka MN FP263 South Lake Pediatrics - Minnetonka #100 PD PED 2 14001 Ridgedale BC Hennepin Minnetonka MN 003200853 Wayzata Children's Clinic - Minnetonka Drive, #100 PD PED 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 14001 Ridgedale HP Hennepin Minnetonka MN 554 Wayzata Children's Clinic - Minnetonka Drive, #100 PD PED 2 14001 Ridgedale Dr., P1 Hennepin Minnetonka MN CP124 Wayzata Children's Clinic - Minnetonka #100 PD PED 2 BC Hennepin New Hope MN 003213487 North Memorial Health Clinic - New Hope 8100 42nd Ave. N. PCC NOR 2 HP Hennepin New Hope MN 504 North Memorial Health Clinic - New Hope 8100 42nd Ave. N. PCC NOR 2 P1 Hennepin New Hope MN NM109 North Memorial Health Clinic - New Hope 8100 42nd Ave. N. PCC NOR 2 Voyage Healthcare - Osseo (formerly called North BC Hennepin Osseo MN 003199623 Clinic) 50 Central Ave. PCC VOY 1 Voyage Healthcare - Osseo (formerly called North HP Hennepin Osseo MN 502 Clinic) 50 Central Ave. PCC VOY 1 Voyage Healthcare - Osseo (formerly called North P1 Hennepin Osseo MN NP104 Clinic) 50 Central Ave. PCC VOY 1 Abbott Northwestern General Medicine Associates - 2855 Campus Drive, # BC Hennepin Plymouth MN 003204595 Plymouth 325 PCC ALL 2 Abbott Northwestern General Medicine Associates - 2855 Campus Drive, # HP Hennepin Plymouth MN 3960 Plymouth 325 PCC ALL 3 2855 Campus Dr., BC Hennepin Plymouth MN 003214680 Allina Health Plymouth Clinic #400 PCC ALL 2 2855 Campus Dr., HP Hennepin Plymouth MN 526 Allina Health Plymouth Clinic #400 PCC ALL 3 2855 Campus Dr., P1 Hennepin Plymouth MN AM128 Allina Health Plymouth Clinic #400 PCC ALL 3 15655 - 37th Ave. BC Hennepin Plymouth MN 003199623 Voyage Healthcare - Plymouth (formerly North Clinic) North, #100 PCC VOY 1 15655 - 37th Ave. HP Hennepin Plymouth MN 503 Voyage Healthcare - Plymouth (formerly North Clinic) North, #100 PCC VOY 1 15655 37th Ave N. P1 Hennepin Plymouth MN NP105 Voyage Healthcare - Plymouth (formerly North Clinic) #100 PCC VOY 1 1495 County Road 101 BC Hennepin Plymouth MN 003200118 Northwest Family Physicians - Plymouth North PCC NWF 3 1495 County Road 101 HP Hennepin Plymouth MN 505 Northwest Family Physicians - Plymouth North PCC NWF 3 1495 County Road 101 P1 Hennepin Plymouth MN NA518 Northwest Family Physicians - Plymouth N PCC NWF 3

BC Hennepin Plymouth MN 003200844 Park Nicollet Clinic - Plymouth 4155 County Road 101 PCC PKN 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Hennepin Plymouth MN 506 Park Nicollet Clinic - Plymouth 4155 County Road 101 PCC PKN 1 P1 Hennepin Plymouth MN PN118 Park Nicollet Clinic - Plymouth 4155 County Rd 101 PCC PKN 1 2855 Campus Dr., BC Hennepin Plymouth MN 003216297 Partners in Pediatrics Ltd. - Plymouth #350 PD CHI 2 2855 Campus Dr., HP Hennepin Plymouth MN 989 Partners in Pediatrics Ltd. - Plymouth #350 PD CHI 2 2855 Campus Dr., P1 Hennepin Plymouth MN CP140 Partners in Pediatrics Ltd. - Plymouth #350 PD CHI 2 2805 Campus Dr., BC Hennepin Plymouth MN 003200424 South Lake Pediatrics - Plymouth #235 PD PED 2 2805 Campus Dr., HP Hennepin Plymouth MN 693 South Lake Pediatrics - Plymouth #235 PD PED 2 2805 Campus Dr., P1 Hennepin Plymouth MN FP265 South Lake Pediatrics - Plymouth #235 PD PED 2 BC Hennepin Richfield MN 003206983 Allina Health Richfield Clinic 407 W. 66th St. PCC ALL 2 HP Hennepin Richfield MN 570 Allina Health Richfield Clinic 407 W. 66th St. PCC ALL 3 P1 Hennepin Richfield MN AM131 Allina Health Richfield Clinic 407 W. 66th St. PCC ALL 3 6601 Lyndale Avenue BC Hennepin Richfield MN 003201286 Grow Pediatrics - Richfield Pediatric Clinic South, #110 PD PED 2 6601 Lyndale Avenue HP Hennepin Richfield MN 3659 Grow Pediatrics - Richfield Pediatric Clinic South, #110 PD PED 2 6601 Lyndale Ave. S., P1 Hennepin Richfield MN CP164 Grow Pediatrics - Richfield Pediatric Clinic #110 PD PED 2 BC Hennepin Richfield MN 003197497 Hennepin Healthcare Richfield Clinic 790 W 66th St PCC IMT 2 HP Hennepin Richfield MN 860 Hennepin Healthcare Richfield Clinic 790 W 66th St PCC IMT 2

P1 Hennepin Richfield MN HF105 Hennepin Healthcare Richfield Clinic 790 West 66th St. PCC IMT 2 BC Hennepin Richfield MN 003200850 Richfield Medical Group 6440 Nicollet Ave. S. PCC FAI 3 HP Hennepin Richfield MN 739 Richfield Medical Group 6440 Nicollet Ave. S. PCC FAI 2 P1 Hennepin Richfield MN FP140 Richfield Medical Group 6440 Nicollet Ave PCC FAI 2 M Health Fairview Clinic - Rogers (Fairview Clinics - BC Hennepin Rogers MN 003217655 Rogers) 14040 Northdale Blvd. PCC FAI 3 M Health Fairview Clinic - Rogers (Fairview Clinics - HP Hennepin Rogers MN 2962 Rogers) 14040 Northdale Blvd. PCC FAI 2 M Health Fairview Clinic - Rogers (Fairview Clinics - 14040 Northdale Blvd. P1 Hennepin Rogers MN FP201 Rogers) #10 PCC FAI 2

BC Hennepin Rogers MN 003200118 Northwest Family Physicians - Rogers 21395 John Milless Dr. PCC NWF 3 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Hennepin Rogers MN 516 Northwest Family Physicians - Rogers 21395 John Milless Dr. PCC NWF 3

P1 Hennepin Rogers MN NA519 Northwest Family Physicians, P.A. 21395 John Milless Dr PCC NWF 3 13688 Rogers Drive, BC Hennepin Rogers MN 003200844 Park Nicollet Clinic - Rogers #230 PCC PKN 2 13688 Rogers Drive, HP Hennepin Rogers MN 3353 Park Nicollet Clinic - Rogers #230 PCC PKN 1 13688 Rogers Dr., P1 Hennepin Rogers MN PN126 Park Nicollet Clinic - Rogers #230 PCC PKN 1

BC Hennepin Rogers MN 003216297 Partners in Pediatrics Ltd. - Rogers 13980 Northdale Blvd. PD CHI 2

HP Hennepin Rogers MN 2577 Partners in Pediatrics Ltd. - Rogers 13980 Northdale Blvd. PD CHI 2 P1 Hennepin Rogers MN CP151 Partners in Pediatrics Ltd. - Rogers 13980 Northdale Dr. PD CHI 2

BC Hennepin Spring Park MN 003208662 Ridgeview Westonka Clinic - Spring Park 4695 Shoreline Drive PCC RGV 3

HP Hennepin Spring Park MN 875 Ridgeview Westonka Clinic - Spring Park 4695 Shoreline Drive PCC RGV 2 P1 Hennepin Spring Park MN NA302 Ridgeview Westonka Clinic - Spring Park 4695 Shoreline Dr. PCC RGV 3

BC Hennepin Spring Park MN 003200853 Wayzata Children's Clinic - Spring Park 4695 Shoreline Dr., #A PD PED 2

HP Hennepin Spring Park MN 2495 Wayzata Children's Clinic - Spring Park 4695 Shoreline Dr., #A PD PED 2 4695 Shoreline Dr., P1 Hennepin Spring Park MN CP145 Wayzata Children's Clinic - Spring Park Ste. A PD PED 2 BC Hennepin St. Anthony MN 003197497 Hennepin Healthcare St. Anthony Village Clinic 2714 Highway 88 PCC IMT 2 HP Hennepin St. Anthony MN 3330 Hennepin Healthcare St. Anthony Village Clinic 2714 Highway 88 PCC IMT 2

P1 Hennepin St. Anthony MN HF110 Hennepin Healthcare St. Anthony Village Clinic 2714 Highway 88 PCC IMT 2 BC Hennepin St. Anthony MN 003200365 North Memorial Health Clinic - St. Anthony 2600 39th Ave NE PCC NOR 2 HP Hennepin St. Anthony MN 575 North Memorial Health Clinic - St. Anthony 2600 39th Ave NE PCC NOR 2 P1 Anoka St. Anthony MN NM106 North Memorial Health Clinic - St. Anthony 2600 39th Ave NE PCC NOR 2 1665 Utica Ave S Ste HP Hennepin St. Louis Park MN 519 HealthPartners West Clinic 100 PCC HPR 1 Infinite Health Collaborative (formerly Life Clinic 5525 Cedar Lake P1 Hennepin St. Louis Park MN FP293 Medical, P.A.) Road PCC IMT 2 BC Hennepin St. Louis Park MN 003197959 Life Medical - St. Louis Park Location 4201 Excelsior Blvd PCC IMT 2 HP Hennepin St. Louis Park MN 2964 Life Medical - St. Louis Park Location 4201 Excelsior Blvd PCC IMT 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Hennepin St. Louis Park MN NA647 Life Medical - St. Louis Park Location 4201 Excelsior Blvd. PCC IMT 2 6600 Excelsior Blvd. BC Hennepin St. Louis Park MN 003200844 Park Nicollet Clinic - Creekside #160 PCC PKN 2 6600 Excelsior Blvd. HP Hennepin St. Louis Park MN 784 Park Nicollet Clinic - Creekside #160 PCC PKN 1 6600 Excelsior Blvd., P1 Hennepin St. Louis Park MN PN100 Park Nicollet Clinic - Creekside #160 PCC PKN 1 3800 Park Nicollet BC Hennepin St. Louis Park MN 003200844 Park Nicollet Clinic & Specialty Center Blvd. PCC PKN 2 3800 Park Nicollet HP Hennepin St. Louis Park MN 518 Park Nicollet Clinic & Specialty Center Blvd. PCC PKN 1 3850 Park Nicollet BC Hennepin St. Louis Park MN 003200844 Park Nicollet Clinic & Specialty Center Blvd PCC PKN 2 3850 Park Nicollet HP Hennepin St. Louis Park MN 3436 Park Nicollet Clinic & Specialty Center Blvd PCC PKN 1 3850 Park Nicollet P1 Hennepin St. Louis Park MN PN121 Park Nicollet Clinic - St. Louis Park Blvd. PCC PKN 1 3800 Park Nicollet BC Hennepin St. Louis Park MN 003367558 Park Nicollet SmartCare Clinic - St. Louis Park Blvd PCC PKN 2 3800 Park Nicollet HP Hennepin St. Louis Park MN 3431 Park Nicollet SmartCare Clinic - St. Louis Park Blvd PCC PKN 1 3800 Park Nicollet P1 Hennepin St. Louis Park MN PN130 SmartCare@Park Nicollet Blvd., #150 PCC PKN 1 3910 Excelsior BC Hennepin St. Louis Park MN 003216297 Partners In Pediatrics Ltd - St. Louis Park Boulevard PD CHI 2 3910 Excelsior HP Hennepin St. Louis Park MN 690 Partners In Pediatrics Ltd - St. Louis Park Boulevard PD CHI 2 P1 Hennepin St. Louis Park MN CP139 Partners In Pediatrics Ltd - St. Louis Park 3910 Excelsior Blvd. PD CHI 2

BC Hennepin St. Louis Park MN 003199763 Pediatric Services 4700 Park Glen Road PD PED 2 HP Hennepin St. Louis Park MN 691 Pediatric Services 4700 Park Glen Rd PD PED 2 P1 Hennepin St. Louis Park MN CP130 Pediatric Services, P.A. 4700 Park Glen Rd. PD PED 2 250 N. Central Ave., BC Hennepin Wayzata MN 003200844 Park Nicollet Clinic - Wayzata #103, #220, & 228 PCC PKN 2 250 N. Central Ave., HP Hennepin Wayzata MN 877 Park Nicollet Clinic - Wayzata #103, #220, & 228 PCC PKN 1 250 N. Central Ave., P1 Hennepin Wayzata MN PN123 Park Nicollet Clinic - Wayzata #220 & #228 PCC PKN 1 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP Hettinger Mott ND 3001 Mott Clinic 420 Pacific Ave PCC INW 4 HP Hettinger New England ND 3002 New England Clinic 820 2nd Ave W PCC INW 4 Mayo Clinic Health System Franciscan Healthcare - BC Houston Caledonia MN 003196681 Caledonia Clinic 701 N. Sprague St. PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - HP Houston Caledonia MN 2582 Caledonia Clinic 701 N. Sprague St. PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - P1 Houston Caledonia MN FS102 Caledonia 701 N. Sprague St. PCC MAY 4 BC Houston Houston MN 003204997 Gundersen Lutheran Houston Clinic 511 E. Maple St. PCC GUN 2* HP Houston Houston MN 3517 Gundersen Lutheran Houston Clinic 511 E. Maple St. PCC GUN 2*

BC Houston La Crescent MN 003200739 Gundersen LaCrescent Clinic 226 North Second St. PCC GUN 2*

HP Houston La Crescent MN 2670 Gundersen LaCrescent Clinic 226 North Second St. PCC GUN 2* BC Houston Spring Grove MN 003205767 Gundersen Spring Grove Clinic 123 5th Ave. S.E. PCC GUN 2* HP Houston Spring Grove MN 2664 Gundersen Spring Grove Clinic 123 5th Ave. S.E. PCC GUN 2* BC Hubbard Park Rapids MN 003217174 Erickson Medical Clinic 205 W. 7th St. PCC INW 4 P1 Hubbard Park Rapids MN NA246 Erickson Medical Clinic 205 W. 7th St. PCC INW 4 BC Hubbard Park Rapids MN 003201998 Essentia Health - Park Rapids Clinic 705 Pleasant Ave. PCC DCH 2 HP Hubbard Park Rapids MN 363 Essentia Health - Park Rapids Clinic 705 Pleasant Ave. PCC DCH 2

P1 Hubbard Park Rapids MN DC148 Essentia Health - Park Rapids Clinic 705 Pleasant Ave. PCC DCH 2 110 Seventh Street BC Hubbard Park Rapids MN 003504174 Sanford Health Park Rapids Clinic West PCC MER 2

P1 Hughes Pierre SD AH219 Avera Medical Group a Dept. of St. Mary's Hospital 801 E. Sioux Ave. PCC AVH 2 HP Hughes Pierre SD 3056 Sanford Clinic Pierre 521 E. Sioux Avenue PCC SAN 2

P1 Hughes Pierre SD SV147 Sanford Clinic Pierre 521 E. Sioux Ave. PCC SAN 2 HP Hutchinson Freeman SD 3318 Rural Medical Clinics - Freeman 804 S Walnut St PCC AVH 2 P1 Hutchinson Freeman SD AH199 Rural Medical Clinics - Freeman 804 S. Walnut St. PCC AVH 2 HP Hutchinson Menno SD 3321 Rural Medical Clinics - Menno 301 S High St PCC AVH 2 P1 Hutchinson Menno SD AH202 Rural Medical Clinics - Menno 301 S. High St. PCC AVH 2 HP Hutchinson Parkston SD 2326 Avera St. Benedict CRHC - Parkston 401 W Glynn Dr PCC AVH 2 P1 Hutchinson Parkston SD AH135 Avera St. Benedict CRHC/Parkston 401 W. Glynn Dr. PCC AVH 2 HP Hutchinson Tripp SD 2341 Avera St. Benedict CRHC - Tripp 306 S Main St PCC AVH 2

P1 Hutchinson Tripp SD AH136 Avera St. Benedict CRHC/Tripp 306 S. Main St. PCC AVH 2 HP Hyde Highmore SD 3312 Highmore Clinic 200 Commercial PCC AVH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 200 S Commercial Ave P1 Hyde Highmore SD AH234 Highmore Clinic SE PCC AVH 2 HP Iron Mercer WI 2832 Marshfield Clinic Mercer Center 5110 N Hwy 51 PCC IWI 4 BC Isanti Cambridge MN 003210045 Allina Health Cambridge Clinic 701 S. Dellwood St. PCC ALL 2 HP Isanti Cambridge MN 746 Allina Health Cambridge Clinic 701 S. Dellwood St. PCC ALL 3 P1 Isanti Cambridge MN AM103 Allina Health Cambridge Clinic 701 S. Dellwood PCC ALL 3 BC Isanti Isanti MN 003500949 Allina Health Isanti Clinic 300 5th Ave. No. PCC ALL 2 HP Isanti Isanti MN 3638 Allina Health Isanti Clinic 300 5th Ave. No. PCC ALL 3 P1 Isanti Isanti MN AM186 Allina Health Isanti Clinic 300 5th Ave NE PCC ALL 3 BC Itasca Bigfork MN 003215126 Scenic Rivers Health Services - Bigfork 135 Pine Tree Drive PCC INE 2 HP Itasca Bigfork MN 2708 Scenic Rivers Health Services - Bigfork 135 Pine Tree Drive PCC INE 2 P1 Itasca Bigfork MN NA176 Scenic Rivers Health Services - Bigfork 135 Pine Tree Dr. PCC INE 2 P1 Itasca Coleraine MN NA384 Baich, M.D., P.A., V. M. 101 Baich Dr. PCC INE 2 115 Tenth Ave. NE, BC Itasca Deer River MN 003214287 Essentia Health - Deer River Clinic Suite A PCC SMD 2 115 Tenth Ave. NE, HP Itasca Deer River MN 2367 Essentia Health - Deer River Clinic Suite A PCC SMD 2

P1 Itasca Deer River MN DC105 Essentia Health Deer River Clinic 115 10th Ave. NE, #A PCC SMD 3 1542 Golf Course BC Itasca Grand Rapids MN 003802752 Essentia Health - Grand Rapids Clinic Road, #203 PCC SMD 2 1542 Golf Course HP Itasca Grand Rapids MN 3085 Essentia Health - Grand Rapids Clinic Road, #203 PCC SMD 2 1542 Golf Course Rd, P1 Itasca Grand Rapids MN DC170 Essentia Health - Grand Rapids Clinic #204 PCC SMD 3 1601 Golf Course BC Itasca Grand Rapids MN 003214896 Grand Itasca Clinic & Hospital Road PCC GIC 2 1601 Golf Course HP Itasca Grand Rapids MN 2812 Grand Itasca Clinic & Hospital Road PCC GIC 2

P1 Itasca Grand Rapids MN NA368 Grand Itasca Clinic & Hospital 1601 Golf Course Rd. PCC GIC 2 BC Itasca Nashwauk MN 003205259 Fairview Mesaba Clinic - Nashwauk 402 Platt Ave. E. PCC FAI 3 HP Itasca Nashwauk MN 2465 Fairview Mesaba Clinic - Nashwauk 402 Platt Ave. E. PCC FAI 2 P1 Itasca Nashwauk MN NA270 Fairview Mesaba Clinic - Nashwauk 402 Platt Ave. E. PCC FAI 2

HP Jackson Black River Falls WI 2966 Krohn Clinic, Ltd 610 W Adams St PCC IWI 4 BC Jackson Jackson MN 003215875 Sanford Jackson Clinic 1430 North Highway PCC SAN 3 HP Jackson Jackson MN 752 Sanford Jackson Clinic 1430 North Highway PCC SAN 2 P1 Jackson Jackson MN SV222 Sanford Jackson Clinic 1430 N. Hwy. PCC SAN 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric BC Jackson Lakefield MN 003514331 Avera Medical Group Lakefield 221 Third Ave. South PCC AVH 2 HP Jackson Lakefield MN 750 Avera Medical Group Lakefield 221 Third Ave. South PCC AVH 2

P1 Jackson Lakefield MN AH123 Avera Medical Group Lakefield 221 3rd Ave. PCC AVH 2 BC Jackson Lakefield MN 003215876 Sanford Clinic Lakefield 209 Main Ave. PCC SAN 3 HP Jackson Lakefield MN 299 Sanford Clinic Lakefield 209 Main Ave. PCC SAN 2 P1 Jackson Lakefield MN SV223 Sanford Lakefield Clinic 220 Milwaukee St. PCC SAN 2 HP Jones Murdo SD 3313 Jones County Clinic 609 Garfield Ave PCC AVH 2

P1 Jones Murdo SD AH246 Jones County Clinic 609 Garfield Ave. PCC AVH 2

HP Juneau Elroy WI 3019 Gundersen St. Joseph's Hospital and Clinics - Elroy 1705 Omaha St PCC GUN 3 Gundersen St. Joseph's Hospital and Clinics - HP Juneau Wonewoc WI 3021 Wonewoc 301 Railroad St PCC GUN 3

BC Kanabec Mora MN 003195230 Welia Health - Mora 301 Highway 65 South PCC FLH 2

HP Kanabec Mora MN 544 Welia Health - Mora 301 Highway 65 South PCC FLH 2 P1 Kanabec Mora MN NA549 Welia Health - Mora 301 Hwy 65 S. PCC FLH 2 Carris Health - New London Clinic (formerly Affiliated BC Kandiyohi New London MN 004210437 Community Medical Center) 600 Peterson Parkway PCC CAR 4 Carris Health - New London Clinic (formerly Affiliated HP Kandiyohi New London MN 2525 Community Medical Center) 600 Peterson Parkway PCC CAR 4 Carris Health - New London Clinic (formerly Affiliated P1 Kandiyohi New London MN NA699 Community Medical Center) 600 Peterson Pkwy. PCC CAR 4 Carris Health Clinic - Willmar Main Clinic (formerly BC Kandiyohi Willmar MN 004211603 Affiliated Community Medical Center) 101 Willmar Ave. SW PCC CAR 2* Carris Health Clinic - Willmar Main Clinic (formerly HP Kandiyohi Willmar MN 2527 Affiliated Community Medical Center) 101 Willmar Ave. SW PCC CAR 2* Carris Health Clinic - Willmar Main Clinic (formerly P1 Kandiyohi Willmar MN NA698 Affiliated Community Medical Center) 101 Willmar Ave. SW PCC CAR 2*

Carris Health - Willmar Lakeland Clinic (formerly BC Kandiyohi Willmar MN 004428541 called Family Practice Medical Center of Willmar) 502 2nd St. SW PCC CAR 4

Carris Health - Willmar Lakeland Clinic (formerly HP Kandiyohi Willmar MN 314 called Family Practice Medical Center of Willmar) 502 2nd St. SW PCC CAR 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

Carris Health - Willmar Lakeland Clinic (formerly P1 Kandiyohi Willmar MN NA714 called Family Practice Medical Center of Willmar) 502 2nd St. S.W. PCC CAR 4

P1 Kingsbury Arlington SD AH228 Brookings Health System Arlington Medical Center 104 W. Birch St. PCC AVH 2 HP Kingsbury De Smet SD 3168 Avera Medical Group De Smet 801 3rd St SW PCC AVH 2

P1 Kingsbury De Smet SD AH207 Avera Medical Group DeSmet 801 3rd St SW PCC AVH 2 BC Kittson Hallock MN 003203250 Kittson Memorial Clinic - Hallock 1010 South Birch PCC ECP 2 HP Kittson Hallock MN 2396 Kittson Memorial Clinic - Hallock 1010 South Birch PCC ECP 2 P1 Kittson Hallock MN NA222 Kittson Memorial Clinic - Hallock 1010 South Birch PCC ECP 2

BC Kittson Karlstad MN 003209873 Kittson Memorial Clinic of Karlstad 205 Roosevelt Avenue PCC ECP 2

HP Kittson Karlstad MN 2249 Kittson Memorial Clinic of Karlstad 205 Roosevelt Avenue PCC ECP 2 P1 Kittson Karlstad MN NA386 Kittson Memorial Clinic of Karlstad 1st and Roosevelt PCC ECP 2 BC Koochiching Big Falls MN 003218461 Scenic Rivers Health Services - Big Falls Clinic 410 2nd St NW PCC INE 2 HP Koochiching Big Falls MN 2711 Scenic Rivers Health Services - Big Falls Clinic 410 2nd St NW PCC INE 2

P1 Koochiching Big Falls MN NA175 Scenic Rivers Health Services - Big Falls Clinic 410 2nd. St. N.W. PCC INE 2 International BC Koochiching Falls MN 003216924 Essentia Health - International Falls 2501 Keenan Drive PCC SMD 2 International HP Koochiching Falls MN 2364 Essentia Health - International Falls 2501 Keenan Drive PCC SMD 2 International P1 Koochiching Falls MN DC171 Essentia Health - International Falls 2501 Keenan Drive PCC SMD 3 International BC Koochiching Falls MN 003698365 Rainy Lake Medical Clinic 1400 Highway 71 PCC INE 2 International HP Koochiching Falls MN 3399 Rainy Lake Medical Clinic 1400 Highway 71 PCC INE 2 International P1 Koochiching Falls MN NA608 Rainy Lake Clinic 1400 Hwy 71 PCC INE 2 BC Koochiching Littlefork MN 003698346 Rainy Lake Medical Clinic - Littlefork 912 Main St PCC INE 2 HP Koochiching Littlefork MN 2978 Rainy Lake Medical Clinic - Littlefork 912 Main St PCC INE 2 P1 Koochiching Littlefork MN NA254 Rainy Lake Medical Clinic - Littlefork 912 Main St. PCC INE 2 BC Koochiching Northome MN 003206285 Scenic Rivers Health Services - Northome 12052 Main St PCC INE 2 HP Koochiching Northome MN 2710 Scenic Rivers Health Services - Northome 12052 Main St PCC INE 2

P1 Koochiching Northome MN NA174 Scenic Rivers Health Services - Northome 12052 Main St. PCC INE 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 500 North Holmen BC La Crosse Holmen WI 003574561 Gundersen Holmen Clinic Drive, #502 PCC GUN 3 Mayo Clinic Health System Franciscan Healthcare - BC La Crosse Holmen WI 003305025 Holmen 1303 Main St S PCC MAY 4 Mayo Clinic Health System Franciscan Health Care - HP La Crosse Holmen WI 2584 Holmen Clinic 1303 Main St S PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - P1 La Crosse Holmen WI FS104 Holmen 1303 Main St. S. PCC MAY 4 BC La Crosse La Crosse WI 003202989 Gundersen Medical Center - La Crosse 1836 South Ave. PCC GUN 3 HP La Crosse La Crosse WI 2673 Gundersen Medical Center - La Crosse 1836 South Ave. PCC GUN 3 Mayo Clinic Health System Franciscan Healthcare - BC La Crosse La Crosse WI 003207827 La Crosse 800 West Avenue S. PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - HP La Crosse La Crosse WI 2580 La Crosse 800 West Avenue S. PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - P1 La Crosse La Crosse WI FS100 La Crosse 800 West Ave. S. PCC MAY 4

BC La Crosse La Crosse WI 003218097 Franciscan Skemp Healthcare - Family Health Clinic 815 S 10th St PCC MAY 4

HP La Crosse La Crosse WI 3032 Franciscan Skemp Healthcare - Family Health Clinic 815 S 10th St PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - P1 La Crosse La Crosse WI FS113 Family Health Clinic 815 S. 10th St. PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - P1 La Crosse La Crosse WI FS165 La Crosse 232 3rd St. N. PCC MAY 4 BC La Crosse Onalaska WI 003202989 Gundersen Onalaska Clinic 3111 Gundersen Dr. PCC GUN 3 HP La Crosse Onalaska WI 2671 Gundersen Onalaska Clinic 3111 Gundersen Dr. PCC GUN 3 Mayo Clinic Health System - Franciscan Healthcare - BC La Crosse Onalaska WI 003207827 Onalaska 191 Theater Rd. PCC MAY 4 Mayo Clinic Health System - Franciscan Healthcare - HP La Crosse Onalaska WI 2588 Onalaska 191 Theater Rd PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - P1 La Crosse Onalaska WI FS108 Onalaska 191 Theater Rd. PCC MAY 4 Johnson Memorial Health Services - Boyd Community HP Lac Qui Parle Boyd MN 2645 Health Center 115 3rd St PCC ISO 2 Johnson Memorial Health Services - Boyd Community P1 Lac Qui Parle Boyd MN MR129 Health Center 115 3rd St. PCC ISO 2

BC Lac Qui Parle Dawson MN 003206958 Johnson Memorial Health Services - Dawson Clinic 1282 Walnut St. PCC ISO 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Lac Qui Parle Dawson MN 794 Johnson Memorial Health Services - Dawson Clinic 1282 Walnut St. PCC ISO 2

P1 Lac Qui Parle Dawson MN MR109 Johnson Memorial Health Services: Dawson Clinic 1282 Walnut St. PCC ISO 2 Madison Healthcare Services - Lac Qui Parle Clinic of BC Lac Qui Parle Madison MN 003204100 Madison 900 2nd Ave. PCC ISO 2 Madison Healthcare Services - Lac Qui Parle Clinic of HP Lac Qui Parle Madison MN 855 Madison 900 2nd Ave. PCC ISO 2 Madison Healthcare Services - Lac Qui Parle Clinic of P1 Lac Qui Parle Madison MN MR110 Madison 900 2nd Ave PCC ISO 2 HP Lake Madison SD 2768 Madison Community Hospital 323 SW 10th St PCC ISO 4 Lake View Silver Bay Medical Center (formerly Bay BC Lake Silver Bay MN 004406549 Area Health Center) 50 Outer Drive PCC SLK 2 Lake View Silver Bay Medical Center (formerly Bay HP Lake Silver Bay MN 135 Area Health Center) 50 Outer Drive PCC SLK 2 Lake View Silver Bay Medical Center (formerly Bay P1 Lake Silver Bay MN SL108 Area Health Center) 50 Outer Dr. PCC SLK 4 BC Lake Two Harbors MN 003213660 Lake View Medical Clinic 325 - 11th Avenue PCC SLK 2 HP Lake Two Harbors MN 2726 Lake View Medical Clinic 325 - 11th Avenue PCC SLK 2 P1 Lake Two Harbors MN SL113 Lake View Clinic 325 - 11th Avenue PCC SLK 4 Lake Of The BC Woods Baudette MN 003219272 Lakewood Health Center Clinic 600 Main Ave S PCC INW 2* Lake Of The HP Woods Baudette MN 2245 Lakewood Health Center Clinic 600 Main Ave S PCC INW 2* Lake Of The P1 Woods Baudette MN NA462 Lakewood Health Center Clinic 600 Main Ave. S. PCC INW 2* HP Lamoure Edgeley ND 598 Sanford Clinic Edgeley 506 2nd St PCC MER 2 P1 LaMoure Edgeley ND SV179 Sanford Health Edgeley Clinic 506 2nd St. PCC MER 2 HP Lamoure Kulm ND 2811 Kulm Clinic 4 1st Ave SE PCC INW 4 P1 LaMoure Kulm ND NA535 Rural Health Kulm 4 1st Ave. S.E. PCC INW 4 HP Lamoure Lamoure ND 2955 Sanford Clinic Lamoure 100 1st Ave SW PCC MER 2 P1 Lamoure Lamoure ND SV208 Sanford Health Lamoure Clinic 100 1st Ave. SW, #2 PCC MER 2

HP Langlade Antigo WI 2903 Langlade Hospital dba Aspirus General Clinic - Antigo 110 E 5th Ave PCC IWI 4 HP Langlade Elcho WI 2924 Aspirus Elcho Clinic W 10618 Clinic St PCC IWI 4

HP Langlade White Lake WI 3919 NorthLakes Community Health Center - White Lake 524 Bissell Street PCC IWI 4 HP Lawrence Deadwood SD 3292 Monument Health Deadwood Clinic 71 Charles St PCC ISO 4 HP Lawrence Spearfish SD 3296 Monument Health Spearfish Clinic 1420 N 10th St PCC ISO 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Lawrence Spearfish SD 3300 Monument Health Spearfish Clinic - North Avenue 1445 N Ave PCC ISO 4 BC Le Sueur Le Sueur MN 003202687 Mayo Clinic Health System - Le Sueur 625 S. Fourth St. PCC MMC 4 HP Le Sueur Le Sueur MN 379 Mayo Clinic Health System - Le Sueur 625 S. Fourth St. PCC MMC 4 P1 Le Sueur Le Sueur MN MH144 Mayo Clinic Health System - Le Sueur 625 S. Fourth St. PCC MMC 4 625 South Fourth HP Le Sueur Le Sueur MN 3959 Ridgeview Le Sueur Clinic Street, Suite A PCC RGV 2

625 South Fourth P1 Le Sueur Le Sueur MN NA709 Ridgeview Le Sueur Clinic Street, Suite A PCC RGV 3 BC Le Sueur Montgomery MN 003699821 Mayo Clinic Health System - Montgomery 501 Fourth St. NW PCC MMC 4 HP Le Sueur Montgomery MN 2222 Mayo Clinic Health System - Montgomery 501 Fourth St. NW PCC MMC 4 P1 Le Sueur Montgomery MN MH158 MCHS Montgomery 501 4th St. N.W. PCC MMC 4 BC Le Sueur New Prague MN 003699307 Mayo Clinic Health System - New Prague 212 10th Ave. NE PCC MMC 4 HP Le Sueur New Prague MN 2218 Mayo Clinic Health System - New Prague 212 10th Ave. NE PCC MMC 4

P1 Scott New Prague MN MH157 MCHS New Prague 212 10th Ave. NE PCC MMC 4 BC Le Sueur New Prague MN 003209917 Parkview Medical Clinic 1400 1st St. NE PCC IMT 2 HP Le Sueur New Prague MN 2405 Parkview Medical Clinic 1400 1st St. NE PCC IMT 2 P1 Le Sueur New Prague MN NA278 Parkview Medical Clinic 1400 1st St. NE PCC IMT 2

BC Le Sueur Waterville MN 003699848 Mayo Clinic Health System Waseca - Waterville Clinic 212 E. Lake St. PCC MAY 4

HP Le Sueur Waterville MN 995 Mayo Clinic Health System Waseca - Waterville Clinic 212 E. Lake St. PCC MAY 4 P1 Le Sueur Waterville MN MH123 Mayo Clinic Health System - Waterville Clinic 212 East Lake PCC MAY 4 HP Lincoln Canton SD 2316 Sanford Canton Clinic 400 N Hiawatha Dr PCC SAN 2 P1 Lincoln Canton SD SV164 Sanford Canton Clinic 400 N. Hiawatha Dr. PCC SAN 2 220 S Cliff Ave Ste HP Lincoln Harrisburg SD 2758 Avera Medical Group Harrisburg 120 PCC AVH 2

P1 Lincoln Harrisburg SD AH173 Avera Medical Group Harrisburg 220 S. Cliff Ave., #120 PCC AVH 2 BC Lincoln Hendricks MN 003198567 Hendricks Clinic 501 E. Lincoln PCC ISO 4 HP Lincoln Hendricks MN 799 Hendricks Clinic 501 E. Lincoln PCC ISO 4 P1 Lincoln Hendricks MN MR111 Hendricks Clinic 501 E. Lincoln St. PCC ISO 4 315 North Norman BC Lincoln Ivanhoe MN 003198568 Ivanhoe Medical Center Street PCC ISO 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 315 North Normal HP Lincoln Ivanhoe MN 807 Ivanhoe Medical Center Street PCC ISO 4 P1 Lincoln Ivanhoe MN MR160 Ivanhoe Medical Center 315 N. Norman St. PCC ISO 4 BC Lincoln Lake Benton MN 003462363 Avera Medical Group Lake Benton 109 E. Benton PCC AVH 2 HP Lincoln Lake Benton MN 2491 Avera Medical Group Lake Benton 109 E. Benton PCC AVH 2 P1 Lincoln Lake Benton MN AH193 Avera Medical Group Lake Benton 109 E Benton St PCC AVH 2 HP Lincoln Lennox SD 3239 Sanford Clinic Lennox 108 S Main St PCC SAN 2 HP Lincoln Merrill WI 3227 Ascension Medical Group at Merrill 3430 E Main St PCC IWI 4 HP Lincoln Merrill WI 2908 Aspirus Wausau Hospital Merrill Clinic 3333 E Main St PCC IWI 4 HP Lincoln Merrill WI 2833 Marshfield Clinic Merrill Center 1205 O'Day St PCC IWI 4

P1 Lincoln Tea SD AH165 Avera Medical Group Tea 725 Figzel Court, #100 PCC AVH 2 725 Figzel Court Ste HP Lincoln Tea SD 2638 Avera Medical Group Tea 100 PCC AVH 2 401 W Mohawk Dr Ste HP Lincoln Tomahawk WI 2862 Ascension Sacred Heart at Tomahawk 200 PCC IWI 4 BC Lincoln Tyler MN 003462404 Avera Medical Group Tyler 240 Willow St. PCC AVH 2 HP Lincoln Tyler MN 812 Avera Medical Group Tyler 240 Willow St. PCC AVH 2 P1 Lincoln Tyler MN AH192 Avera Medical Group Tyler 240 Willow St. PCC AVH 2 HP Logan Gackle ND 2810 Gackle Clinic 321 Main St PCC INW 4 P1 Logan Gackle ND NA532 Rural Health Gackle 321 Main St. PCC INW 4 HP Logan Napoleon ND 2809 Napoleon Clinic 420 Main Ave W PCC INW 4 P1 Logan Napoleon ND NA534 Rural Health Napoleon 420 Main PCC INW 4 P1 Lyman Kennebec SD AH232 Kennebec Clinic 120 South Main PCC AVH 2 HP Lyman Oacoma SD 2723 Sanford Clinic Oacoma 304 Dougan Ave PCC SAN 2 P1 Lyman Oacoma SD SV136 Sanford Clinic Oacoma 304 Dougan Ave. PCC SAN 2 HP Lyman Presho SD 3316 Stanley Jones Memorial Clinic 116 N Main St PCC AVH 2

P1 Lyman Presho SD AH244 Stanley Jones Memorial Clinic 116 Main St. PCC AVH 2 BC Lyon Balaton MN 003201461 Sanford Tracy Balaton Clinic 551 E. Hwy. 14 PCC SAN 3 HP Lyon Balaton MN 3047 Sanford Tracy Balaton Clinic 551 E. Hwy. 14 PCC SAN 2 P1 Lyon Balaton MN SV146 Sanford Clinic Balaton 551 E. Hwy. 14 PCC SAN 2 HP Lyon George IA 3956 Avera Medical Group George 101 North Main PCC AVH 2 HP Lyon Inwood IA 2329 Sanford Clinic Inwood 300 E Jefferson PCC SAN 2 P1 Lyon Inwood IA SV165 Sanford Health Inwood Clinic 303 E. Jefferson PCC SAN 2 HP Lyon Larchwood IA 2285 Avera Medical Group Larchwood 916 Holder St PCC AVH 2 P1 Lyon Larchwood IA AH101 Avera Medical Group Larchwood 916 Holder St. PCC AVH 2 Avera Medical Group - Marshall - Carlson Street BC Lyon Marshall MN 004172485 location 1521 Carlson St. PCC AVH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric Avera Medical Group - Marshall - Carlson Street HP Lyon Marshall MN 2523 location 1521 Carlson St. PCC AVH 2

P1 Lyon Marshall MN AH249 Avera Medical Group Carlson 1521 Carlson St PCC AVH 2 BC Lyon Marshall MN 003203557 Avera Medical Group Marshall 300 S. Bruce St. PCC AVH 2 HP Lyon Marshall MN 3247 Avera Medical Group Marshall 300 S. Bruce St. PCC AVH 2 P1 Lyon Marshall MN AH194 Avera Marshall Specialty Clinic 300 S. Bruce St. PCC AVH 2 BC Lyon Minneota MN 003207082 Sanford Health Minneota Clinic 700 N. Monroe St. PCC SAN 3 HP Lyon Minneota MN 848 Sanford Health Minneota Clinic 700 N. Monroe St. PCC SAN 2 P1 Lyon Minneota MN SV247 Sanford Clinic Minneota 700 N. Monroe St. PCC SAN 2 1100 S. 10th Ave St., P1 Lyon Rock Rapids IA AH250 Avera Medical Group Rock Rapids #100 PCC AVH 2

BC Lyon Rock Rapids IA 004255748 Sanford Clinic Rock Rapids 104 Buncombe Drive PCC SAN 3

HP Lyon Rock Rapids IA 3954 Sanford Clinic Rock Rapids 104 Buncombe Drive PCC SAN 2

P1 Lyon Rock Rapids IA SV253 Sanford Health Rock Rapids Clinic 104 Buncombe Dr PCC SAN 2 BC Lyon Tracy MN 003201459 Sanford Clinic Tracy 249 5th St. E. PCC SAN 3 HP Lyon Tracy MN 2335 Sanford Clinic Tracy 249 5th St. E. PCC SAN 2 P1 Lyon Tracy MN SV144 Sanford Clinic Tracy 249 5th St. E. PCC SAN 2 BC Mahnomen Mahnomen MN 003216687 Essentia Health St. Mary's - Mahnomen Clinic 117 N. Main St. PCC DCH 2 HP Mahnomen Mahnomen MN 2762 Essentia Health St. Mary's - Mahnomen Clinic 117 N. Main St. PCC DCH 2

P1 Mahnomen Mahnomen MN DC163 Essentia Health St. Mary's - Mahnomen 117 N. Main St. PCC DCH 2 BC Mahnomen Mahnomen MN 003195741 Sanford Clinic Mahnomen 410 West 4th St. PCC MER 2 HP Mahnomen Mahnomen MN 2427 Sanford Clinic Mahnomen 410 West 4th St. PCC MER 2

P1 Mahnomen Mahnomen MN SV191 Sanford Health Mahnomen Clinic 410 4th St. SW PCC MER 2 HP Mahnomen Naytahwaush MN 3259 Naytahwaush Health Station 238 Church St PCC INW 4 HP Marathon Edgar WI 2899 Aspirus Edgar Clinic 103 S 3rd Ave PCC IWI 4 HP Marathon Marathon WI 2907 Aspirus Marathon Clinic 670 Community Cir PCC IWI 4 880 South View Drive, HP Marathon Mosinee WI 3920 Ascension Medical Group at Mosinee #15130 PCC IWI 4 HP Marathon Mosinee WI 2905 Aspirus Kronenwetter Clinic 1881 Hwy XX PCC IWI 4 HP Marathon Mosinee WI 2834 Marshfield Clinic Mosinee Center 390 Orbiting Dr PCC IWI 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 212800 Stainless HP Marathon Stratford WI 2842 Marshfield Clinic Stratford Center Avenue PCC IWI 4 2720 Plaza Dr Ste HP Marathon Wausau WI 2900 Aspirus Family Health Specialists 1300 PCC IWI 4 HP Marathon Wausau WI 2901 Aspirus Family Physicians 212 Sturgeon Eddy PCC IWI 4 2720 Plaza Dr Ste HP Marathon Wausau WI 2909 Aspirus Pediatrics Clinic 2200 PD IWI 2 HP Marathon Wausau WI 2931 Aspirus Wausau Family Medicine 425 Wind Ridge Dr PCC IWI 4 2720 Plaza Dr Ste HP Marathon Wausau WI 2929 Aspirus Westhill Medical Specialists 1400 PCC IWI 4 HP Marathon Wausau WI 2915 Bridge Community Health Clinic 1810 N 2nd St PCC IWI 4 HP Marathon Wausau WI 2841 Marshfield Clinic Stettin Center 3605 Stewart Ave PCC IWI 4 HP Marathon Wausau WI 2844 Marshfield Clinic Wausau Center 2727 Plaza Dr W PCC IWI 4 4005 Community HP Marathon Weston WI 2914 Aspirus Weston Clinic Center Dr PCC IWI 4 HP Marathon Weston WI 2845 Marshfield Clinic Weston Center 3501 Cranberry Blvd PCC IWI 4 HP Marathon Weston WI 2864 Ascension Medical Group at Weston 3301 Cranberry Blvd PCC IWI 4 HP Marshall Britton SD 2475 Marshall County Medical Clinic 415 9th St PCC AVH 2 P1 Marshall Britton SD AH184 Marshall County Medical Center 415 9th Street PCC AVH 2 300 W. Good BC Marshall Warren MN 003203923 North Valley Health Center Samaritan Dr. PCC INW 2* 300 W. Good HP Marshall Warren MN 2563 North Valley Health Center Samaritan Dr. PCC INW 2* 300 W. Good P1 Marshall Warren MN NA389 North Valley Health Center Samaritan Dr. PCC INW 2* 717 S. State St., P1 Martin Fairmont MN NA606 Center for Primary Care #1000 PCC ISO 2* 1950 Center Creek BC Martin Fairmont MN 003200183 Dulcimer Medical Center, P.A. Drive, #100 PCC ISO 2* 1950 Center Creek HP Martin Fairmont MN 2979 Dulcimer Medical Center, P.A. Drive, #100 PCC ISO 2* 1950 Center Creek P1 Martin Fairmont MN NA477 Dulcimer Medical Center, P.A. Dr., #100 PCC ISO 2*

BC Martin Fairmont MN 003209585 Mayo Clinic Health System - Fairmont 800 Medical Center Dr. PCC MAY 4

HP Martin Fairmont MN 2447 Mayo Clinic Health System - Fairmont 800 Medical Center Dr. PCC MAY 4

P1 Martin Fairmont MN MH130 Mayo Clinic Health System Fairmont 800 Medical Center Dr. PCC MAY 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP Martin Fairmont MN 3012 Smart Clinic 829 N. North PCC ISO 2* P1 Martin Fairmont MN NA470 Smart Clinic 829 N. North PCC ISO 2* BC Martin Fairmont MN 003199613 United Hospital District - Fairmont 221 E. 1st St. PCC ISO 2* HP Martin Fairmont MN 3443 United Hospital District - Fairmont 221 E. 1st St. PCC ISO 2* P1 Martin Fairmont MN NA634 United Hospital District Clinics, Inc., Fairmont 221 E. 1st St. PCC ISO 2*

BC Martin Sherburn MN 003209585 Mayo Clinic Health System Fairmont - Sherburn Clinic 32 N. Main St. PCC MAY 4

HP Martin Sherburn MN 2448 Mayo Clinic Health System Fairmont - Sherburn Clinic 32 N. Main St. PCC MAY 4

P1 Martin Sherburn MN MH133 Mayo Clinic Health System Fairmont - Sherburn Clinic 32 N. Main St. PCC MAY 4

BC Martin Trimont MN 003207546 Mayo Clinic Health System St. James - Trimont clinic 437 Main St. E. PCC MMC 4

HP Martin Trimont MN 2951 Mayo Clinic Health System St. James - Trimont clinic 437 Main St. E. PCC MMC 4 P1 Martin Trimont MN MH151 Mayo Health System St. James - Trimont Clinic 437 Main St. E. PCC MMC 4

BC Martin Truman MN 003209585 Mayo Clinic Health System Fairmont - Truman Clinic 401 N. 4th Ave. E. PCC MAY 4

HP Martin Truman MN 2449 Mayo Clinic Health System Fairmont - Truman Clinic 401 N. 4th Ave. E. PCC MAY 4

P1 Martin Truman MN MH134 Mayo Clinic Health System Fairmont - Truman Clinic 401 N. 4th Ave. E. PCC MAY 4 HP McCook Bridgewater SD 3319 Rural Medical Clinics 208 N Main St PCC AVH 2 P1 McCook Bridgewater SD AH200 Rural Medical Clinics 208 N. Main St. PCC AVH 2 HP McCook Salem SD 2289 Avera Medical Group McGreevy Salem 740 S Hill PCC AVH 2 P1 McCook Salem SD AH152 Avera Medical Group McGreevy Salem 740 S. Hill PCC AVH 2 HP McHenry Velva ND 2942 Trinity Community Clinic - Velva 111 1st St W PCC INW 4 P1 Mchenry Velva ND TH101 Trinity Community Clinic - Velva 111 W. 1st St. PCC INW 4 HP McIntosh Ashley ND 2886 AMC Clinic 612 Center Ave N PCC INW 4 HP McIntosh Wishek ND 2808 Wishek Clinic 1015 4th Ave S PCC INW 4 P1 McIntosh Wishek ND NA533 Rural Health Wishek 1015 4th Ave. S. PCC INW 4 HP McIntosh Zeeland ND 2888 AMC Zeeland Clinic 203 S Main PCC INW 4

HP McKenzie Watford City ND 3622 McKenzie County Healthcare Systems - Clinic 709 Fourth Avenue NE PCC INW 4

P1 McKenzie Watford City ND NA437 McKenzie County Healthcare System-Clinic 709 Fourth Avenue NE PCC INW 4 709 Fourth Avenue HP McKenzie Watford City ND 3644 Sanford Health Watford City Clinic NE, # 1 PCC SAN 2 HP McLean Garrison ND 2991 CHI St. Alexius Health Clinic Garrison 437 3rd Ave SE PCC INW 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP McLean Garrison ND 3091 Trinity Community Clinic - Garrison 131 N Main St PCC INW 4 P1 Mclean Garrison ND TH111 Trinity Community Clinic - Garrison 131 N. Main PCC INW 4

HP McLean Turtle Lake ND 2986 Northland Community Health Center - Turtle Lake 416 Kundert St PCC INW 4 HP McLean Underwood ND 3026 Underwood Clinic 87 Lincoln Ave PCC INW 4 HP McLean Washburn ND 2990 CHI St. Alexius Health Clinic Turtle Lake 1177 Border Ln PCC INW 4 HP McLean Washburn ND 3027 Washburn Clinic 1167 Border Ln Rd PCC INW 4 1805 Hennepin Ave. BC McLeod Glencoe MN 003202458 Glencoe Regional Health Services - Glencoe Clinic N. PCC IMT 2 1805 Hennepin Ave. HP McLeod Glencoe MN 455 Glencoe Regional Health Services - Glencoe Clinic N. PCC IMT 2 1805 Hennepin Ave. P1 McLeod Glencoe MN MR134 Glencoe Regional Health Services- Glencoe Clinic N. PCC IMT 2 BC McLeod Hutchinson MN 003210253 Hutchinson Health Clinic 3 Century Ave. SE PCC HUT 2 HP McLeod Hutchinson MN 582 Hutchinson Health Clinic 3 Century Ave. SE PCC HUT 2 P1 Mcleod Hutchinson MN NA129 Hutchinson Health Clinic 3 Century Ave. PCC HUT 2 Glencoe Regional Health Services - Lester Prairie BC McLeod Lester Prairie MN 003202458 Clinic 1024 Central Ave. PCC IMT 2 Glencoe Regional Health Services - Lester Prairie HP McLeod Lester Prairie MN 709 Clinic 1024 Central Ave. PCC IMT 2 Glencoe Regional Health Services- Lester Prairie P1 McLeod Lester Prairie MN MR140 Clinic 1024 Central Ave. PCC IMT 2

BC McLeod Stewart MN 003202458 Glencoe Regional Health Services - Stewart Clinic 300 Bowman St. PCC IMT 2

HP McLeod Stewart MN 710 Glencoe Regional Health Services - Stewart Clinic 300 Bowman St. PCC IMT 2

P1 McLeod Stewart MN MR139 Glencoe Regional Health Services- Stewart Clinic 300 Bowman St. PCC IMT 2 BC McLeod Winsted MN 003208662 Ridgeview Winsted Clinic 551 4th St. N. PCC RGV 3 HP McLeod Winsted MN 217 Ridgeview Winsted Clinic 551 4th St. N. PCC RGV 2 P1 McLeod Winsted MN NA120 Ridgeview Winsted Clinic 551 4th St. N. PCC RGV 3

P1 McPherson Eureka SD AH241 Eureka Medical Clinic Avera 200 J Ave. PCC AVH 2

HP Meade Sturgis SD 3787 Monument Health Sturgis Clinic 2140 Junction Avenue PCC ISO 4 HP Meeker Dassel MN 218 Hutchinson Health Dassel Clinic 460 5th St PCC HUT 2 P1 Meeker Dassel MN NA119 Hutchinson Health Dassel Clinic 460 5th St. N., PCC HUT 2 BC Meeker Dassel MN 003199574 Meeker Memorial Clinic - Dassel 740 Parker Avenue PCC ICM 3 HP Meeker Dassel MN 3181 Meeker Memorial Clinic - Dassel 740 Parker Avenue PCC ICM 3 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Meeker Dassel MN MR174 Meeker Memorial Clinic - Dassel 740 Parker Ave. W. PCC ICM 3

BC Meeker Eden Valley MN 003204256 CentraCare Health Paynesville - Eden Valley Clinic 405 Meeker Ave. E. PCC CEN 2

HP Meeker Eden Valley MN 869 CentraCare Health Paynesville - Eden Valley Clinic 405 Meeker Ave. E. PCC CEN 2

P1 Meeker Eden Valley MN NA599 CentraCare Health Paynesville - Eden Valley Clinic 405 Meeker Ave. E. PCC CEN 2 Meeker Memorial Hospital & Clinics - East Clinic 612 South Sibley BC Meeker Litchfield MN 004368629 (formerly Carris Health - Litchfield West) Avenue PCC ICM 2* Meeker Memorial Hospital & Clinics - East Clinic 612 South Sibley HP Meeker Litchfield MN 2522 (formerly Carris Health - Litchfield West) Avenue PCC ICM 2*

Meeker Memorial Hospital & Clinics - West Clinic 612 South Sibley BC Meeker Litchfield MN 004368629 (formerly Carris Health - Litchfield East Clinic) Avenue PCC ICM 2*

Meeker Memorial Hospital & Clinics - West Clinic 612 South Sibley HP Meeker Litchfield MN 466 (formerly Carris Health - Litchfield East Clinic) Avenue PCC ICM 2* P1 Meeker Litchfield MN MR175 Meeker Memorial Hospital & Clinics 612 S. Sibley Ave. PCC ICM 2*

HP Mercer Beulah ND 2982 Coal Country Community Health Center - Beulah 1312 Hwy 49 N PCC INW 4 HP Mercer Hazen ND 2992 Coal Country Community Health Center - Hazen 510 - 8th Avenue NE PCC INW 4 BC Mille Lacs Isle MN 003631063 Mille Lacs Family Clinic - Isle 375 W. Isle St. PCC ICM 3 HP Mille Lacs Isle MN 248 Mille Lacs Family Clinic - Isle 375 W. Isle St. PCC ICM 3 P1 Mille Lacs Isle MN NA211 Mille Lacs Family Clinic - Isle 375 W. Isle St. PCC ICM 3 BC Mille Lacs Onamia MN 003205138 Mille Lacs Family Clinic - Onamia 200 N. Elm St. PCC ICM 3 HP Mille Lacs Onamia MN 247 Mille Lacs Family Clinic - Onamia 200 N. Elm St. PCC ICM 3 P1 Mille Lacs Onamia MN NA209 Mille Lacs Family Clinic - Onamia 200 N. Elm St. PCC ICM 3 BC Mille Lacs Onamia MN 003202142 Ne La Shing Clinic (Onamia) 43500 Migizi Dr. PCC ICM 3 HP Mille Lacs Onamia MN 227 Ne La Shing Clinic (Onamia) 43500 Migizi Dr. PCC ICM 3 P1 Mille Lacs Onamia MN NA255 Ne La Shing Clinic (Onamia) 43500 Migizi Dr. PCC ICM 3 M Health Fairview Clinic - Princeton (Fairview Clinics - BC Mille Lacs Princeton MN 004475843 Princeton) 919 Northland Dr. PCC FAI 3 M Health Fairview Clinic - Princeton (Fairview Clinics - HP Mille Lacs Princeton MN 587 Princeton) 919 Northland Dr. PCC FAI 2 M Health Fairview Clinic - Princeton (Fairview Clinics - P1 Mille Lacs Princeton MN FP147 Princeton) 919 Northland Dr. PCC FAI 2 HP Minnehaha Brandon SD 2269 Avera Medical Group McGreevy Brandon 1101 Holly Blvd PCC AVH 2 P1 Minnehaha Brandon SD AH153 Avera Medical Group McGreevy Brandon 1101 Holly Blvd. PCC AVH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Minnehaha Brandon SD 2751 Sanford Brandon Family Medicine & Children's Clinic 1105 E Holly Blvd PCC SAN 2 P1 Minnehaha Brandon SD SV143 Sanford Brandon Family Medicine 1105 E. Holly Blvd. PCC SAN 2 HP Minnehaha Dell Rapids SD 2274 Avera Medical Group Dell Rapids 111 E 10th St PCC AVH 2 P1 Minnehaha Dell Rapids SD AH113 Avera Medical Group Dell Rapids 111 E. 10th St. PCC AVH 2 HP Minnehaha Garretson SD 2281 Avera Medical Group Garretson 980 4th St PCC AVH 2 P1 Minnehaha Garretson SD AH138 Avera Medical Group Garretson 980 4th St. PCC AVH 2 HP Minnehaha Hartford SD 2299 Sanford Health Hartford Clinic 905 N Oaks Ave PCC SAN 2

P1 Lincoln Sioux Falls SD AH224 Avera Medical Group 69th and Cliff 6215 S. Cliff Ave. PCC AVH 2

P1 Lincoln Sioux Falls SD NA569 Meaningful Medicine 5000 S. MN Ave., #100 PCC ISO 4 5019 S. Western Ave., BC Minnehaha Sioux Falls SD 003195045 Sanford Women's Internal Medicine Clinic #200 PCC SAN 3 5019 S. Western Ave., P1 Lincoln Sioux Falls SD SV163 Sanford Women's Internal Medicine Clinic #200 PCC SAN 2 300 N Dakota Ave Ste HP Minnehaha Sioux Falls SD 3098 Avera Medical Group Health Care Clinic Sioux Falls 117 PCC AVH 2 2100 S Marion Rd, HP Minnehaha Sioux Falls SD 3641 Avera Medical Group Family Health Center Suite 200 PCC AVH 2

P1 Minnehaha Sioux Falls SD AH151 Avera Medical Group Family Health Center 2100 S. Marion Rd. PCC AVH 2

P1 Minnehaha Sioux Falls SD AH145 Avera Medical Group Functional Medicine 911 E. 20th St., #200 PCC AVH 2 1301 S Cliff Ave Ste HP Minnehaha Sioux Falls SD 2426 Avera Medical Group Internal Medicine Sioux Falls 400 PCC AVH 2

HP Minnehaha Sioux Falls SD 3306 Avera Medical Group McGreevy 69th and Minnesota 116 W 69th St PD AVH 2 Avera Medical Group McGreevy 69th St. and P1 Lincoln Sioux Falls SD AH198 Minnesota 116 W. 69th St. PCC AVH 2

HP Minnehaha Sioux Falls SD 3059 Avera Medical Group McGreevy 69th and Western 1910 W 69th St PCC AVH 2

P1 Lincoln Sioux Falls SD AH182 Avera Medical Group McGreevy 69th and Western 1910 W. 69th St. PCC AVH 2 HP Minnehaha Sioux Falls SD 2291 Avera Medical Group McGreevy 7th Avenue 1200 S 7th Ave PCC AVH 2 P1 Minnehaha Sioux Falls SD AH149 Avera Medical Group McGreevy 7th Avenue 1200 S. 7th Ave. PCC AVH 2 HP Minnehaha Sioux Falls SD 3344 Avera Medical Group McGreevy Dawley Farm 1035 S Highline Pl PCC AVH 2 P1 Minnehaha Sioux Falls SD AH209 Avera Medical Group McGreevy Dawley Farm 1035 S. Highline Pl. PCC AVH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 3400 S Southeastern HP Minnehaha Sioux Falls SD 2293 Avera Medical Group McGreevy Southeastern Avenue Ave PCC AVH 2

HP Minnehaha Sioux Falls SD 3339 Avera Medical Group McGreevy West Benson Road 4011 W Benson Rd PCC AVH 2 4011 West Benson P1 Minnehaha Sioux Falls SD AH206 Avera Medical Group McGreevy West Benson Road Rd. PCC AVH 2 HP Minnehaha Sioux Falls SD 2388 Center for Family Medicine 1115 E 20th St PCC ISO 4 P1 Minnehaha Sioux Falls SD NA720 Center for Family Medicine 1115 E. 20th St. PCC ISO 4 521 N Main Ave Ste HP Minnehaha Sioux Falls SD 3363 Falls Community Health 100 PCC ISO 4 HP Minnehaha Sioux Falls SD 2794 Richardson Family Medicine Clinic LLC 625 W 18th St PCC ISO 4 6101 South Louise BC Minnehaha Sioux Falls SD 003197022 Sanford 69th & Louise Family Medicine Avenue PCC SAN 3 BC Minnehaha Sioux Falls SD 003214163 Sanford Children's 69th & Louise 6101 South Louise PD SAN 3 HP Minnehaha Sioux Falls SD 3393 Sanford Children's 69th & Louise 6101 South Louise PD SAN 2 BC Minnehaha Sioux Falls SD 003214163 Sanford Children's 26th & Sycamore Clinic 4405 E. 26th St. PD SAN 3 HP Minnehaha Sioux Falls SD 2801 Sanford Children's 26th & Sycamore Clinic 4405 E. 26th St. PD SAN 2 P1 Minnehaha Sioux Falls SD SV137 Sanford Children's 26th & Sycamore Clinic 4405 E. 26th St. PD SAN 2 2701 South Kiwanis BC Minnehaha Sioux Falls SD 003197022 Sanford USD 34th & Kiwanis Family Medicine Ave PCC SAN 3 2701 South Kiwanis HP Minnehaha Sioux Falls SD 2298 Sanford USD 34th & Kiwanis Family Medicine Ave PCC SAN 2 2701 South Kiwanis P1 Minnehaha Sioux Falls SD SV132 Sanford USD 34th & Kiwanis Family Medicine Ave PCC SAN 2

HP Minnehaha Sioux Falls SD 3917 Sanford 32nd & Ellis Clinic and Acute Care 2601 South Ellis Road PCC SAN 2 Sanford 32nd & Ellis Family, Peds and OBG Medicine P1 Minnehaha Sioux Falls SD SV252 Clinic 2601 S. Ellis Rd. PCC SAN 2 BC Minnehaha Sioux Falls SD 003214163 Sanford 26th & Sycamore Family Medicine 4405 E. 26th St. PCC SAN 3 HP Minnehaha Sioux Falls SD 2259 Sanford 26th & Sycamore Family Medicine 4405 E. 26th St. PCC SAN 2 P1 Minnehaha Sioux Falls SD SV130 Sanford 26th & Sycamore Family Medicine 4405 E. 26th St. PCC SAN 2 BC Minnehaha Sioux Falls SD 003197022 Sanford 49th & Oxbow Family Medicine 3401 W. 49th St. PCC SAN 3 HP Minnehaha Sioux Falls SD 2325 Sanford 49th & Oxbow Family Medicine 3401 W. 49th St. PCC SAN 2 P1 Minnehaha Sioux Falls SD SV103 Sanford 49th & Oxbow Family Medicine 3401 W. 49th St. PCC SAN 2

BC Minnehaha Sioux Falls SD 003197022 Sanford 4th & Sycamore Family Medicine 600 N. Sycamore Ave. PCC SAN 3

HP Minnehaha Sioux Falls SD 2321 Sanford 4th & Sycamore Family Medicine 600 N. Sycamore Ave. PCC SAN 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Minnehaha Sioux Falls SD SV114 Sanford 4th & Sycamore Family Medicine 600 N. Sycamore Ave. PCC SAN 2 6110 S. Minnesota BC Minnehaha Sioux Falls SD 003197022 Sanford 69th & Minnesota Family Medicine Ave. PCC SAN 3 6110 S. Minnesota HP Minnehaha Sioux Falls SD 2304 Sanford 69th & Minnesota Family Medicine Ave. PCC SAN 2 6110 S. Minnesota P1 Lincoln Sioux Falls SD SV116 Sanford 69th & Minnesota Family Medicine Ave. PCC SAN 2

BC Minnehaha Sioux Falls SD 003197022 Sanford Internal Medicine Clinic 1321 West 22nd Street PCC SAN 3

HP Minnehaha Sioux Falls SD 2327 Sanford Internal Medicine Clinic 1321 West 22nd Street PCC SAN 2

P1 Minnehaha Sioux Falls SD SV105 Sanford Internal Medicine Clinic 1321 W. 22nd St. PCC SAN 2 1205 S. Grange Ave., BC Minnehaha Sioux Falls SD 003195022 Sanford Children's Clinic Grange Avenue #307 PD SAN 3 1205 S. Grange Ave., HP Minnehaha Sioux Falls SD 2300 Sanford Children's Clinic Grange Avenue #307 PD SAN 2 Sanford Children's Clinic Sanford USD Medical Center 1205 S. Grange Ave, P1 Minnehaha Sioux Falls SD SV111 MB2 #307 PD SAN 2 HP Monroe Cashton WI 3107 Scenic Bluffs Health Center, Inc. 238 Front St PCC IWI 4 HP Monroe Norwalk WI 3111 Scenic Bluffs Health Center - Norwalk 200 W North St PCC IWI 4 Mayo Clinic Health System Franciscan Health Care - HP Monroe Sparta WI 2589 Sparta 310 W Main St PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - P1 Monroe Sparta WI FS109 Sparta 310 W. Main St. PCC MAY 4 HP Monroe Tomah WI 2675 Gundersen Tomah Clinic 505 Gopher Drive PCC GUN 3 Mayo Clinic Health System Franciscan Healthcare - HP Monroe Tomah WI 2587 Tomah Clinic 325 Butts Ave PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - P1 Monroe Tomah WI FS107 Tomah 325 Butts Ave. PCC MAY 4 BC Moody Flandreau SD 003213308 Avera Medical Group Flandreau 212 N. Prairie St. PCC AVH 2 HP Moody Flandreau SD 2280 Avera Medical Group Flandreau 212 N. Prairie St. PCC AVH 2 P1 Moody Flandreau SD AH132 Avera Medical Group Flandreau 212 N. Prairie St. PCC AVH 2 BC Morrison Hillman MN 003631056 Mille Lacs Family Clinic - Hillman 26362 370th Ave. PCC ICM 3 HP Morrison Hillman MN 250 Mille Lacs Family Clinic - Hillman 26362 370th Ave. PCC ICM 3 P1 Morrison Hillman MN NA210 Mille Lacs Family Clinic - Hillman 26362 370th Ave. PCC ICM 3 811 SE 2nd St., Suite BC Morrison Little Falls MN 003208659 Family Medical Center - Little Falls A PCC ICM-FAM 3 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 811 SE 2nd St., Suite HP Morrison Little Falls MN 743 Family Medical Center - Little Falls A PCC ICM-FAM 3 P1 Morrison Little Falls MN NA619 Family Medical Center - Little Falls 811 2nd Street SE PCC ICM-FAM 2 BC Morrison Motley MN 003210824 Lakewood Clinic - Motley 1233 Hwy. 10 S. PCC LKW 2 HP Morrison Motley MN 2443 Lakewood Clinic - Motley 1233 Hwy. 10 S. PCC LKW 2 P1 Morrison Motley MN NA344 Lakewood Clinic - Motley 1233 Hwy. 10 S. PCC LKW 2 BC Morrison Pierz MN 003216754 Family Medical Center - Pierz 200 SE First Ave. PCC ICM-FAM 3 HP Morrison Pierz MN 867 Family Medical Center - Pierz 200 SE First Ave. PCC ICM-FAM 3 P1 Morrison Pierz MN NA620 Community Medical Center 200 1st Ave SE PCC ICM-FAM 2

BC Morrison Pierz MN 003217386 Essentia Health St. Joseph's - Pierz Clinic 138 Main Street South PCC PIN 1

HP Morrison Pierz MN 2633 Essentia Health St. Joseph's - Pierz Clinic 138 Main Street South PCC PIN 1 P1 Morrison Pierz MN DC139 Essentia Health St. Joseph's - Pierz Clinic 138 Main St. PCC PIN 1 HP Morrison Randall MN 2800 Randall Lakes Area Clinic 250 White Oak Drive PCC ICM-FAM 3 P1 Morrison Randall MN NA628 Randall Lakes Area Clinic 250 White Oak Drive PCC ICM-FAM 2 HP Morton Glen Ullin ND 3064 Glen Ullin Family Medical Center 602 Ash Ave E PCC INW 4 P1 Morton Glen Ullin ND NA707 Glen Ullin Family Medical Center 602 Ash Ave. PCC INW 4 HP Morton Mandan ND 3083 St. Alexius Mandan Clinic North 2500 Sunset Dr NW PCC INW 4 HP Morton Mandan ND 2968 Sanford East Mandan Clinic 102 Mandan Ave. PCC MER 2 P1 Morton Mandan ND SV234 Sanford East Mandan Clinic 102 Mandan Ave. PCC MER 2 HP Morton Mandan ND 2973 Sanford North Mandan Clinic 910 18th St NW PCC MER 2 P1 Morton Mandan ND SV240 Sanford North Mandan Clinic 910 18th St. N.W. PCC MER 2 HP Mountrail New Town ND 2939 Trinity Community Clinic - New Town 604 1st St N PCC INW 4 P1 Mountrail New Town ND TH113 Trinity Community Clinic - New Town 604 1st St. N. PCC INW 4 Mayo Clinic Health System Albert Lea and Austin - BC Mower Adams MN 003214678 Adams; nurse only visits 908 W. Main St. PCC MAY 2* Mayo Clinic Health System Albert Lea and Austin - HP Mower Adams MN 2416 Adams; nurse only visits 908 W. Main St. PCC MAY 2* P1 Mower Adams MN MH106 Mayo Clinic Health System Austin in Adams 908 W. Main St. PCC MAY 2* Mayo Clinic Health System Albert Lea and Austin - BC Mower Austin MN 003214678 Austin 1000 1st Dr. NW PCC MAY 2* Mayo Clinic Health System Albert Lea and Austin - HP Mower Austin MN 2415 Austin 1000 1st Dr. NW PCC MAY 2* Mayo Clinic Health System Albert Lea and Austin - P1 Mower Austin MN MH109 Austin 1000 1st Dr. NW PCC MAY 2* 119 North St. Paul BC Murray Fulda MN 003211747 Murray County Clinic - Fulda Ave. PCC ISO 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 119 North St. Paul HP Murray Fulda MN 3094 Murray County Clinic - Fulda Ave. PCC ISO 2 P1 Murray Fulda MN MR167 Murray County Clinic - Fulda 119 N. St. Paul Ave. PCC ISO 2 BC Murray Fulda MN 003208377 Avera Medical Group Fulda 201 N. St. Paul Ave. PCC AVH 2 HP Murray Fulda MN 736 Avera Medical Group Fulda 201 N. St. Paul Ave. PCC AVH 2 P1 Murray Fulda MN AH121 Avera Medical Group Fulda 201 N. St. Paul Ave. PCC AVH 2 201 N St. Paul Ave., P1 Murray Fulda MN AH256 Access Health - Fulda #1 PCC AVH 2 BC Murray Slayton MN 003206984 Murray County Clinic - Slayton 20402 Juniper Ave. PCC ISO 2 HP Murray Slayton MN 2340 Murray County Clinic - Slayton 2040 Juniper Ave. PCC ISO 2 P1 Murray Slayton MN MR168 Murray County Clinic - Slayton 2040 Juniper Ave. PCC ISO 2 P1 Nelson Mcville ND NA648 Nelson County Health System Clinic 108 N. Main St. PCC INW 4 BC Nicollet North Mankato MN 003197340 Mayo Clinic Health System Mankato - Northridge 1695 LorRay Dr. PCC MMC 4 HP Nicollet North Mankato MN 388 Mayo Clinic Health System Mankato - Northridge 1695 LorRay Dr. PCC MMC 4 P1 Nicollet North Mankato MN MH143 Mayo Clinic Health System Mankato - Northridge 1695 LorRay Dr. PCC MMC 4 BC Nicollet North Mankato MN 003207282 North Mankato Family Practice Clinic 1575 Lookout Drive PCC MAN 2* HP Nicollet North Mankato MN 2625 North Mankato Family Practice Clinic 1575 Lookout Drive PCC MAN 2* P1 Nicollet North Mankato MN NA296 North Mankato Family Practice Clinic 1575 Lookout Dr. PCC MAN 2* 1901 Old Minnesota BC Nicollet St. Peter MN 003207282 Mankato Clinic at Daniels Health Center Ave. PCC MAN 2* 1901 Old Minnesota HP Nicollet St. Peter MN 2626 Mankato Clinic at Daniels Health Center Ave. PCC MAN 2* 1901 N Minnesota P1 Nicollet St. Peter MN NA391 Mankato Clinic at Daniels Health AVE PCC MAN 2* 1900 North Sunrise BC Nicollet St. Peter MN 003202686 Mayo Clinic Health System - St. Peter Drive, #200 PCC MMC 4 1900 North Sunrise HP Nicollet St. Peter MN 392 Mayo Clinic Health System - St. Peter Drive, #200 PCC MMC 4 1900 N. Sunrise Dr., P1 Nicollet St. Peter MN MH145 Mayo Clinic Health System St. Peter #200 PCC MMC 4 BC Nobles Adrian MN 003217671 Sanford Health Adrian Clinic 201 Maine Ave PCC SAN 3 HP Nobles Adrian MN 2343 Sanford Health Adrian Clinic 201 Maine Ave PCC SAN 2 P1 Nobles Adrian MN SV100 Sanford Health Adrian Clinic 201 Main Ave. PCC SAN 2

BC Nobles Worthington MN 003326495 Access Family Medical Clinic 1216 Ryan's Road, #1 PCC AVH 2

HP Nobles Worthington MN 3424 Access Family Medical Clinic 1216 Ryan's Road, #1 PCC AVH 2

P1 Nobles Worthington MN AH120 Access Family Medical Clinic 1216 Ryan's Rd PCC AVH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric BC Nobles Worthington MN 003196861 Sanford Worthington Medical Center 1680 Diagonal Rd. PCC SAN 3 HP Nobles Worthington MN 2432 Sanford Worthington Medical Center 1680 Diagonal Rd. PCC SAN 2

P1 Nobles Worthington MN SV112 Sanford Worthington Clinic 1680 Diagonal Rd. PCC SAN 2 BC Norman Ada MN 003202369 Essentia Health - Ada Clinic 201 W. 9th St. PCC ECP 2 HP Norman Ada MN 2747 Essentia Health - Ada Clinic 201 W. 9th St. PCC ECP 2

P1 Norman Ada MN DC132 Bridges Medical Center dba Essentia Health Ada 201 W. 9th St. W. PCC ECP 2 BC Norman Halstad MN 003726008 Sanford Clinic Halstad 445 1st St. East PCC MER 2 HP Norman Halstad MN 596 Sanford Clinic Halstad 445 1st St. East PCC MER 2

P1 Norman Halstad MN SV242 Sanford Halstad Clinic 445 1st St. SE PCC MER 2 BC Norman Twin Valley MN 003195739 Sanford Clinic Twin Valley Clinic 501 2nd St NW PCC MER 2 HP Norman Twin Valley MN 215 Sanford Clinic Twin Valley Clinic 501 2nd St NW PCC MER 2 P1 Norman Twin Valley MN SV200 Sanford Health Twin Valley Clinic 501 2nd St. N.W. PCC MER 2 HP Obrien Hartley IA 2301 Sanford Clinic Hartley 512 3rd St NE PCC SAN 2

P1 Obrien Hartley IA SV214 Sanford Clinic Hartley 512 3rd St. N.E. PCC SAN 2 P1 O'Brien Paullina IA NA693 Mill Creek Family Practice 5616 460th St. PCC ISO 4 HP O'Brien Sanborn IA 2297 Sanford Clinic Sanborn 321 Main St PCC SAN 2 P1 O'Brien Sanborn IA SV218 Sanford Clinic Sanborn 321 Main St. PCC SAN 2 HP O'Brien Sheldon IA 2302 Sanford Clinic Sheldon 800 Oak St PCC SAN 2

P1 O'Brien Sheldon IA SV221 Sanford Clinic Sheldon 600 9th Ave. N. PCC SAN 2

HP Oliver Center ND 2983 Coal Country Community Health Center - Center 111 E Main St PCC INW 4 846 High Point Dr. NE, BC Olmsted Byron MN 003213581 Olmsted Medical Center - Byron #101 PCC OLM 2* 846 High Point Dr. NE, P1 Olmsted Byron MN OM101 Olmsted Medical Center - Byron #101 PCC OLM 2* 846 High Point Dr. NE, HP Olmsted Byron MN 317 Olmsted Medical Center - Byron #101 PCC OLM 2* BC Olmsted Rochester MN 003205742 Mayo Clinic 200 1st St. SW PCC MAY 4 BC Olmsted Rochester MN 003214547 Mayo Clinic Community Care 200 1st St. SW PCC MAY 4 3041 Stonehedge Dr. BC Olmsted Rochester MN 003205742 Mayo Family Clinic Northeast N.E. PCC MAY 4 3041 Stonehedge Dr. P1 Olmsted Rochester MN MH149 Mayo Clinic Community Care Northeast Clinic N.E. PCC MAY 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

4111 West Frontage BC Olmsted Rochester MN 003214547 Mayo Clinic Community Care Northwest Clinic Road Highway 52 NW PCC MAY 4 4111 41st. St. N.W., P1 Olmsted Rochester MN MH104 Mayo Clinic Community Care Northwest Clinic #662 PCC MAY 4

BC Olmsted Rochester MN 003214547 Mayo Clinic Community Care Southeast Clinic 4544 Canal Place SE PCC MAY 4

P1 Olmsted Rochester MN MH164 Mayo Clinic Community Care Southeast Clinic 4544 Canal Place SE PCC MAY 4 Mayo Clinic Community Pediatric & Adolescent 221 4th Ave SW, 3rd P1 Olmsted Rochester MN MH102 Medicine Fl. PCC MAY 4

P1 Olmsted Rochester MN MH101 Mayo Clinic Division of Community Internal Medicine 200 First St. SW PCC MAY 4 221 4th Ave SW, 2nd P1 Olmsted Rochester MN MH103 Mayo Clinic Family Medicine Fl. PCC MAY 4 132 - 17th Avenue BC Olmsted Rochester MN 04365946 Olmsted Medical Center - Miracle Mile NW, #132 OLM 4 132 - 17th Avenue P1 Olmsted Rochester MN OM115 Olmsted Medical Center - Miracle Mile NW, #132 PCC OLM 4 318 First Ave. SW, BC Olmsted Rochester MN 003205748 Olmsted Medical Center - Skyway Clinic #303 PCC OLM 4 318 First Ave. SW, HP Olmsted Rochester MN 3413 Olmsted Medical Center - Skyway Clinic #303 PCC OLM 4 318 First Ave. SW, P1 Olmsted Rochester MN OM109 Olmsted Medical Center - Skyway Clinic #303 PCC OLM 4 BC Olmsted Rochester MN 003205748 Olmsted Medical Center - Northwest Rochester 5067 - 55th St. NW PCC OLM 2* HP Olmsted Rochester MN 2236 Olmsted Medical Center - Northwest Rochester 5067 - 55th St. NW PCC OLM 2* P1 Olmsted Rochester MN OM108 Olmsted Medical Center - Rochester 5067 55th St. NW PCC OLM 2*

BC Olmsted Rochester MN 003205748 Olmsted Medical Center - Rochester Southeast Clinic 210 9th St SE PCC OLM 2*

HP Olmsted Rochester MN 339 Olmsted Medical Center - Rochester Southeast Clinic 210 9th St SE PCC OLM 2*

P1 Olmsted Rochester MN OM107 Olmsted Medical Center - Rochester Southeast Clinic 210 9th St. S.E. PCC OLM 2* BC Olmsted Rochester MN 003196442 Rochester Clinic, PLC 3070 Wellner Dr. NE PCC ISO 2* P1 Olmsted Rochester MN NA561 Rochester Clinic, PLC 3070 Wellner Dr NE PCC ISO 2*

BC Olmsted Stewartville MN 003213578 Olmsted Medical Center - Stewartville 208 Centertown Plaza PCC OLM 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Olmsted Stewartville MN 337 Olmsted Medical Center - Stewartville 208 Centertown Plaza PCC OLM 4

P1 Olmsted Stewartville MN OM112 Olmsted Medical Center - Stewartville 208 Centertown Plaza PCC OLM 4 HP Oneida Minocqua WI 2827 Marshfield Clinic - Minocqua 9601 Townline Rd PCC IWI 4 2251 N Shore Dr Ste HP Oneida Rhinelander WI 2858 Ascension St. Mary's at Rhinelander 200 PCC IWI 4 2260 North Shore HP Oneida Rhinelander WI 3693 Marshfield Clinic - Rhinelander Center Drive PCC IWI 4 6951 S Michigan St HP Oneida Three Lakes WI 2913 Aspirus Three Lakes Clinic Ste 200 PCC IWI 4 HP Oneida Woodruff WI 3184 Aspirus Woodruff Clinic 611 Veterans Pkwy PCC IWI 4 HP Oneida Woodruff WI 2863 Ministry Medical Group - Woodruff 240 Maple St PCC IWI 4 HP Osceola Sibley IA 3248 Avera Medical Group Sibley 600 9th Ave N PCC AVH 2

P1 Osceola Sibley IA AH195 Avera Medical Group Sibley 600 9th Ave N PCC AVH 2 BC Otter Tail Battle Lake MN 003203703 Lake Region Healthcare - Battle Lake Clinic 410 Lake Ave. So. PCC FFM 2* HP Otter Tail Battle Lake MN 2754 Lake Region Healthcare - Battle Lake Clinic 410 Lake Ave. So. PCC FFM 2* P1 Otter Tail Battle Lake MN NA275 Lake Region Healthcare - Battle Lake Clinic 410 Lake Ave. S. PCC FFM 2* 111 West Vernon BC Otter Tail Fergus Falls MN 003203703 Lake Region Healthcare - Main Fergus Falls Clinic Avenue PCC FFM 2* 111 West Vernon HP Otter Tail Fergus Falls MN 2753 Lake Region Healthcare - Main Fergus Falls Clinic Avenue PCC FFM 2* P1 Otter Tail Fergus Falls MN NA271 Lake Region Healthcare Services - Main Clinic 111 W. Vernon Ave. PCC FFM 2* BC Otter Tail Henning MN 003206981 Tri-County Health Care - Henning Clinic 401 Douglas Ave. PCC ECP 2 HP Otter Tail Henning MN 229 Tri-County Health Care - Henning Clinic 401 Douglas Ave. PCC ECP 2 P1 Otter Tail Henning MN NA373 Tri-County Health Care - Henning Clinic 401 Douglas Ave. PCC ECP 2 20 Centennial 84 Dr. BC Otter Tail New York Mills MN 003198999 Perham Health New York Mills Clinic W. PCC INW-PER 2 20 Centennial 84 Dr. HP Otter Tail New York Mills MN 592 Perham Health New York Mills Clinic W. PCC INW-PER 2 20 Centennial 84 Dr. P1 Otter Tail New York Mills MN SV193 Perham Health New York Mills Clinic W. PCC INW-PER 2 BC Otter Tail Otter Tail MN 003198999 Perham Health Ottertail Clinic 105 Otter Drive PCC INW-PER 2 HP Otter Tail Otter Tail MN 2692 Perham Health Ottertail Clinic 105 Otter Drive PCC INW-PER 2 P1 Otter Tail Ottertail MN SV196 Perham Health Ottertail Clinic 105 Otter Dr. PCC INW-PER 2

BC Otter Tail Otter Tail MN 003203263 Tri-County Health Care - Ottertail Area Medical Clinic 232 MN Hwy 78 N PCC ECP 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Otter Tail Otter Tail MN 2750 Tri-County Health Care - Ottertail Area Medical Clinic 232 MN Hwy 78 N PCC ECP 2 232 MN HWY 78 P1 Otter Tail Ottertail MN NA449 Tri-County Health Care - Ottertail Area Medical Clinic North, PO BOX 129 PCC ECP 2 BC Otter Tail Parkers Prairie MN 003206327 Sanford Health Parkers Prairie Clinic 115 E. Soo St. PCC MER 2 HP Otter Tail Parkers Prairie MN 2494 Sanford Health Parkers Prairie Clinic 115 E. Soo St. PCC MER 2 P1 Otter Tail Parkers Prairie MN SV211 Sanford Health Parkers Prairie Clinic 115 E. Soo St. PCC MER 2

BC Otter Tail Pelican Rapids MN 003204443 Essentia Health St Mary's - Pelican Rapids Clinic 301 North Broadway PCC DCH 2

HP Otter Tail Pelican Rapids MN 3334 Essentia Health St Mary's - Pelican Rapids Clinic 301 North Broadway PCC DCH 2

P1 Otter Tail Pelican Rapids MN DC164 Essentia Health St. Mary's - Pelican Rapids 301 N. Broadway PCC DCH 2 BC Otter Tail Pelican Rapids MN 003195742 Sanford Health Pelican Rapids Clinic 211 East Mill St. PCC MER 2 Sanford Health Pelican Rapids Clinic (formerly HP Otter Tail Pelican Rapids MN 2540 MeritCare Clinic) 211 East Mill St. PCC MER 2 P1 Otter Tail Pelican Rapids MN SV197 Sanford Health Pelican Rapids Clinic 211 East Mill St. PCC MER 2

BC Otter Tail Perham MN 003198999 Perham Health Clinic 1000 Coney St. West PCC INW-PER 2

HP Otter Tail Perham MN 591 Perham Health Clinic 1000 Coney St. West PCC INW-PER 2

P1 Otter Tail Perham MN SV198 Perham Health 1000 Coney St. West PCC INW-PER 2 HP Pembina Cavalier ND 3175 CliniCare 301 Mountain St E PCC INW 4 BC Pembina Drayton ND 003321249 Altru Clinic - Drayton 1003 N. Main PCC ALT 2 HP Pembina Drayton ND 2247 Altru Clinic - Drayton 1003 N. Main PCC ALT 2

P1 Pembina Drayton ND AL106 Altru Clinic - Drayton 1003 N. Main PCC ALT 2 HP Pembina Walhalla ND 2814 CCMH Walhalla Clinic 301 5th St PCC INW 4 P1 Pembina Walhalla ND NA418 Walhalla Clinic 301 5th St. PCC INW 4 HP Pennington Hill City SD 3290 Monument Health Hill City Clinic 238 Elm St PCC ISO 4

HP Pennington Rapid City SD 3304 Medical Arts Clinic at Rapid City Medical Center, LLP 717 St Francis St PCC ISO 4

HP Pennington Rapid City SD 3224 Rapid City Medical Center 2820 Mt. Rushmore Rd PCC ISO 4

HP Pennington Rapid City SD 3301 Monument Health Family Medicine Residency Clinic 502 E Monroe St PCC ISO 4

HP Pennington Rapid City SD 3298 Monument Health Rapids City Clinic - Flormann Street 640 Flormann St PCC ISO 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP Pennington Rapid City SD 3223 Westside Family Medicine 3810 Jackson Blvd PCC ISO 4 HP Pennington Rapid City SD 3297 Monument Health Rapid City Clinic 5th Street 2805 5th Street PCC ISO 4 1845 Hwy 59 South, BC Pennington Thief River Falls MN 003513421 Altru Clinic - Thief River Falls Ste 800 PCC ALT 2 1845 Hwy 59 South, HP Pennington Thief River Falls MN 3432 Altru Clinic - Thief River Falls Ste 800 PCC ALT 2 1845 Hwy 59 South, P1 Pennington Thief River Falls MN AL121 Altru Clinic - Thief River Falls Ste 800 PCC ALT 2

BC Pennington Thief River Falls MN 003214565 Hope Pediatrics, PLLC 219 Brooks Ave. North PD INW 2

P1 Pennington Thief River Falls MN HN128 Hope Pediatrics, PLLC 219 Brooks Ave. N. PD INW 2

BC Pennington Thief River Falls MN 003725594 Sanford Thief River Falls 3001 Sanford Parkway PCC MER 2

HP Pennington Thief River Falls MN 365 Sanford Thief River Falls 3001 Sanford Parkway PCC MER 2

P1 Pennington Thief River Falls MN SV207 Sanford Thief River Falls Clinic 3001 Sanford Pkwy. PCC MER 2 213 LaBree Ave. N., P1 Pennington Thief River Falls MN NA579 Sedra Medical Clinic PLC #207 PCC INW 4 HP Pennington Wall SD 3398 Monument Health Wall Clinic 112 7th Ave PCC ISO 4 AdventHealth Medical Group Primary Care at Durand HP Pepin Durand WI 2883 North 905 Seventh Ave. W. PCC IWI 4 P1 Pepin Durand WI NA578 AdventHealth Durand 905 Seventh Ave. W. PCC IWI 4 AdventHealth Medical Group Primary Care at Durand HP Pepin Durand WI 2965 South 1250 3rd Ave W PCC IWI 4 P1 Pepin Durand WI NA684 AdventHealth Durand 1250 3rd Ave. W. PCC IWI 4 HP Perkins Lemmon SD 2999 Lemmon Clinic 411Main Avenue PCC INW 4

BC Pierce Ellsworth WI 003699209 Mayo Clinic Health System Red Wing - Ellsworth 530 W. Cairns St. PCC MAY 4

HP Pierce Ellsworth WI 872 Mayo Clinic Health System Red Wing - Ellsworth 530 W. Cairns St. PCC MAY 4 P1 Pierce Ellsworth WI MH162 MCHS Red Wing - Ellsworth 530 W. Cairns St. PCC MAY 4 Mayo Clinic Health System Red Cedar - Elmwood HP Pierce Elmwood WI 2605 Clinic 236 E Springer Ave PCC MAY 4

P1 Pierce Elmwood WI MH168 Mayo Clinic Health System Red Cedar-Elmwood Clinic 236 E. Springer Ave. PCC MAY 4 BC Pierce River Falls WI 003553619 Allina Health River Falls Clinic 1617 E. Division St. PCC ALL 2 HP Pierce River Falls WI 3646 Allina Health River Falls Clinic 1617 E. Division St. PCC ALL 3 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Pierce River Falls WI AM188 Allina Health River Falls Clinic 1617 E. Division St. PCC ALL 3

BC Pierce River Falls WI 004476282 Vibrant Health Family Clinic - River Falls (Fairview) 1687 E. Division St. PCC FAI 3

HP Pierce River Falls WI 578 Vibrant Health Family Clinic - River Falls (Fairview) 1687 E. Division St. PCC FAI 2

P1 Pierce River Falls WI FP271 Vibrant Health Family Clinic - River Falls (Fairview) 1687 E Division St PCC FAI 2

P1 Pierce Rugby ND NA545 Heart of America Johnson Clinic - Rugby 800 S. Main Ave. PCC INW 4 BC Pine Hinckley MN 003217845 Welia Health - Hinckley 620 Sandy Lane PCC FLH 2 HP Pine Hinckley MN 545 Welia Health - Hinckley 620 Sandy Lane PCC FLH 2 P1 Pine Hinckley MN NA548 Welia Health - Hinckley 620 Sandy Lane PCC FLH 2 BC Pine Hinckley MN 003215096 Gateway Family Health Clinic - Hinckley 45 Lady Luck Drive PCC GAT 4 HP Pine Hinckley MN 2528 Gateway Family Health Clinic - Hinckley 45 Lady Luck Drive PCC GAT 4 P1 Pine Hinckley MN NA498 Gateway Family Health Clinic - Hinckley 45 Lady Luck Dr. PCC GAT 4 BC Pine Pine City MN 003217846 Welia Health - Pine City 1425 N Main St PCC FLH 2 HP Pine Pine City MN 564 Welia Health - Pine City 1425 N Main St PCC FLH 2 P1 Pine Pine City MN NA550 Welia Health - Pine City 1425 Main St. N. PCC FLH 2

BC Pine Sandstone MN 003202142 Aazhoomog Clinic/Lake Lena Clinic 45741 Grace Lake Rd. PCC ICM 3

HP Pine Sandstone MN 3214 Aazhoomog Clinic/Lake Lena Clinic 45741 Grace Lake Rd. PCC ICM 3

P1 Pine Sandstone MN NA369 Aazhoomog Clinic 45741 Grace Lake Rd. PCC ICM 3 BC Pine Sandstone MN 003215095 Gateway Family Health Clinic - Sandstone 707 Lundorff Dr S PCC GAT 4 HP Pine Sandstone MN 2255 Gateway Family Health Clinic - Sandstone 707 Lundorff Dr S PCC GAT 4

P1 Pine Sandstone MN NA497 Gateway Family Health Clinic - Sandstone 707 Lundorff Dr. S., #1 PCC GAT 4 BC Pipestone Edgerton MN 003215323 Edgerton Family Clinic/Avera Health 303 5th Ave. N. PCC AVH 3 HP Pipestone Edgerton MN 2276 Edgerton Family Clinic/Avera Health 303 5th Ave. N. PCC AVH 2 P1 Pipestone Edgerton MN AH104 Edgerton Family Clinic/Avera Health 303 5th Ave. N. PCC AVH 4 733 Main Street, Suite BC Pipestone Edgerton MN 003393422 Sanford Luverne Edgerton Clinic A PCC SAN 3 733 Main Street, Suite HP Pipestone Edgerton MN 3442 Sanford Luverne Edgerton Clinic A PCC SAN 2 P1 Pipestone Edgerton MN SV248 Sanford Luverne Edgerton Clinic 733 Main St. Ste A PCC SAN 2 BC Pipestone Jasper MN 003215323 Jasper Family Clinic/Avera Health 120 Sherman Ave PCC AVH 3 HP Pipestone Jasper MN 2284 Jasper Family Clinic/Avera Health 120 Sherman St. N. PCC AVH 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Rock Jasper MN AH105 Jasper Family Clinic/Avera Health 120 N. Sherman PCC AVH 4 916 Fourth Avenue BC Pipestone Pipestone MN 003215323 Pipestone Family Clinic/Avera Health SW PCC AVH 3 916 Fourth Avenue HP Pipestone Pipestone MN 2286 Pipestone Family Clinic/Avera Health SW PCC AVH 2 P1 Pipestone Pipestone MN AH102 Pipestone Family Clinic/Avera Health 916 4th Ave SW PCC AVH 4

P1 Plymouth Le Mars IA AH187 Floyd Valley Clinics - Le Mars 714 Lincoln St. NE PCC AVH 2 P1 Plymouth Remsen IA AH188 Floyd Valley Clinics - Remsen 15 E. 2nd St. PCC AVH 2 BC Polk Amery WI 003208037 Amery Regional Medical Center - Amery 265 Griffin St. East PCC IWI 4 HP Polk Amery WI 861 Amery Regional Medical Center - Amery 265 Griffin St. East PCC IWI 2 P1 Polk Amery WI NA267 Amery Regional Medical Center - Amery 265 Griffin St. East PCC IWI 4 BC Polk Balsam Lake WI 003212918 St. Croix Regional Medical Center - Unity Clinic 1504 - 190th Ave. PCC IWI 4 HP Polk Balsam Lake WI 586 St. Croix Regional Medical Center - Unity Clinic 1504 - 190th Ave. PCC IWI 4 P1 Polk Balsam Lake WI NA187 St. Croix Regional Medical Center - Unity Clinic 1504 190th Ave. PCC IWI 4 BC Polk Clear Lake WI 003208037 Amery Regional Medical Center - Clear Lake 357 3rd Ave. NW PCC IWI 4 HP Polk Clear Lake WI 577 Amery Regional Medical Center - Clear Lake 357 3rd Ave. NW PCC IWI 2 P1 Polk Clear Lake WI NA268 Amery Regional Medical Center - Clear Lake 357 3rd Ave. PCC IWI 4 BC Polk Crookston MN 003213006 Altru Clinic - Crookston 400 S. Minnesota St. PCC ALT 2 HP Polk Crookston MN 2246 Altru Clinic - Crookston 400 S. Minnesota St. PCC ALT 2

P1 Polk Crookston MN AL105 Altru Clinic - Crookston 400 S. Minnesota St. PCC ALT 2 BC Polk Crookston MN 003205054 Riverview Clinic-North 323 S. Minnesota St. PCC INW 2 HP Polk Crookston MN 2699 Riverview Clinic-North 323 S. Minnesota St. PCC INW 2

P1 Polk Crookston MN NA614 Riverview Family Practice & Integrative Medicine Ctr. 323 Minnesota St. PCC INW 2 East Grand BC Polk Forks MN 003526061 Altru Clinic - East Grand Forks 607 Demers Ave. PCC ALT 2 East Grand HP Polk Forks MN 3426 Altru Clinic - East Grand Forks 607 Demers Ave. PCC ALT 2 East Grand P1 Polk Forks MN AL120 Altru Clinic - East Grand Forks 607 Demers Ave. PCC ALT 2 East Grand BC Polk Forks MN 004358390 Riverview Clinic - East Grand Forks 1428 Central Ave NE PCC INW 2 East Grand HP Polk Forks MN 3429 Riverview Clinic - East Grand Forks 1428 Central Ave NE PCC INW 2 East Grand 210 Gateway Dr. NE, P1 Polk Forks MN NA615 Riverview Clinic - East Grand Forks #4 PCC INW 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric East Grand BC Polk Forks MN 003217443 Sanford Clinic East Grand Forks 621 Demers Ave. PCC MER 2 East Grand HP Polk Forks MN 3280 Sanford Clinic East Grand Forks 621 Demers Ave. PCC MER 2 East Grand P1 Polk Forks MN SV166 Sanford Health 621 Demers Ave. Clinic 621 Demers Ave. PCC MER 2 East Grand BC Polk Forks MN 003217443 Sanford Clinic 929 Central Ave. Clinic 929 Central Ave. NW PCC MER 2 East Grand HP Polk Forks MN 2793 Sanford Clinic 929 Central Ave. Clinic 929 Central Ave. NW PCC MER 2 East Grand P1 Polk Forks MN SV178 Sanford Health 929 Central Ave Clinic 929 Central Ave. N.W. PCC MER 2 BC Polk Erskine MN 003213006 Altru Clinic - Erskine 23076 - 347th St. SE PCC ALT 2 HP Polk Erskine MN 2434 Altru Clinic - Erskine 23076 - 347th St. SE PCC ALT 2

P1 Polk Erskine MN AL114 Altru Clinic - Erskine 23076 347th St. S.E. PCC ALT 2 BC Polk Fertile MN 003205056 Riverview Clinic - Fertile 306 North Mill St. PCC INW 2 HP Polk Fertile MN 2805 Riverview Clinic - Fertile 306 North Mill St. PCC INW 2 P1 Polk Fertile MN NA616 Riverview Clinic - Fertile 306 N. Mill St. PCC INW 2

BC Polk Fosston MN 003202900 Essentia Health - Fosston Clinic 900 Hilligoss Blvd. SE PCC DCH 2

HP Polk Fosston MN 2564 Essentia Health - Fosston Clinic 900 Hilligoss Blvd. SE PCC DCH 2 900 Hilligoss Blvd. P1 Polk Fosston MN DC133 Essentia Health Fosston Clinic S.E. PCC DCH 2 St. Croix Regional Medical Center - Frederic Regional BC Polk Frederic WI 003212918 Medical Clinic 205 Oak St. West PCC IWI 4 St. Croix Regional Medical Center - Frederic Regional HP Polk Frederic WI 2342 Medical Clinic 205 Oak St. West PCC IWI 4 St. Croix Regional Medical Center - Frederic Regional P1 Polk Frederic WI NA217 Medical Clinic 205 Oak St. W. PCC IWI 4 2547 State Road 35, BC Polk Luck WI 003208037 Amery Hospital & Clinic - Luck Clinic Suite 1 PCC IWI 4 2547 State Road 35, HP Polk Luck WI 862 Amery Hospital & Clinic - Luck Clinic Suite 1 PCC IWI 2

P1 Polk Luck WI NA196 Amery Hospital & Clinic - Luck Clinic 2547 State Rd. 35, #1 PCC IWI 4 BC Polk Osceola WI 003210384 Osceola Medical Center 2600 - 65th Ave. PCC IWI 4 HP Polk Osceola WI 580 Osceola Medical Center 2600 - 65th Ave. PCC IWI 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Polk Osceola WI NA236 Osceola Medical Center 2600 65th Ave. PCC IWI 4

BC Polk St. Croix Falls WI 003212918 St. Croix Regional Medical Center - St. Croix Falls 235 State St. PCC IWI 4

HP Polk St. Croix Falls WI 979 St. Croix Regional Medical Center - St. Croix Falls 235 State St. PCC IWI 4

P1 Polk St. Croix Falls WI NA149 St. Croix Regional Medical Center - St. Croix Falls 235 State St. PCC IWI 4 Glacial Ridge Health System - Glenwood Medical 417 South Franklin BC Pope Glenwood MN 003208420 Center Street PCC ICM 2 Glacial Ridge Health System - Glenwood Medical 417 South Franklin HP Pope Glenwood MN 2238 Center Street PCC ICM 2 Glacial Ridge Health System - Glenwood Medical P1 Pope Glenwood MN MR154 Center 417 S. Franklin St. PCC ICM 2 Glacial Ridge Health System - Starbuck Medical BC Pope Starbuck MN 004119996 Center 707 East 7th Street PCC ICM 2 Glacial Ridge Health System - Starbuck Medical HP Pope Starbuck MN 3911 Center 707 East 7th Street PCC ICM 2 Glacial Ridge Health System - Starbuck Medical P1 Pope Starbuck MN MR178 Center 707 E. 7th St. PCC ICM 2

BC Pope Starbuck MN 003200734 Stevens Community Medical Center - Starbuck Clinic 501 Poler St. PCC ICM 2

HP Pope Starbuck MN 2693 Stevens Community Medical Center - Starbuck Clinic 501 Poler St. PCC ICM 2

P1 Pope Starbuck MN NA515 Stevens Community Medical Center - Starbuck Clinic 501 Poler St. PCC ICM 2 HP Portage Amherst WI 2848 Ascension St. Michael's at Amherst 272 Christy St PCC IWI 4 HP Portage Plover WI 2851 Ascension St. Michael's at Plover 2401 Plover Rd PCC IWI 4 HP Portage Stevens Point WI 3279 Aspirus Sentry Clinic 1800 North Point Dr PCC IWI 4

HP Portage Stevens Point WI 2911 Aspirus Stevens Point Clinic 5409 Vern Holmes Dr PCC IWI 4 HP Portage Stevens Point WI 3370 Ascension St. Michael's at Hoover Road 3500 Hoover Rd PCC IWI 4 HP Portage Stevens Point WI 2852 Ascension St. Michael's at Stanley Street 3301 Stanley Rd PCC IWI 4 HP Portage Stevens Point WI 2853 Ascension St. Michael's at Illinois Avenue 824 Illinois Ave PCC IWI 4 Avera Medical Group Gettysburg (formerly called 606 East Garfield, HP Potter Gettysburg SD 3311 Community Care Clinic) Suite C PCC AVH 2 Avera Medical Group Gettysburg (formerly called P1 Potter Gettysburg SD AH235 Community Care Clinic) 606 E Garfield, #C PCC AVH 2 HP Price Park Falls WI 2836 Marshfield Clinic Park Falls 50 Sherry Ave PCC IWI 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP Price Phillips WI 3238 Aspirus Phillips Clinic 625 Peterson Ave PCC IWI 4 HP Price Phillips WI 2837 Marshfield Clinic Phillips Center 104 Trinity Dr PCC IWI 4 HP Price Prentice WI 2918 Aspirus Prentice Clinic 1511 Railroad Ave PCC IWI 4 HP Ramsey Devils Lake ND 2549 Altru Clinic- Devils Lake 1001 7th St. NE PCC ALT 2

P1 Ramsey Devils Lake ND AL116 Altru Clinic- Devils Lake 1001 7th St. NE PCC ALT 2 425 S. College Dr., P1 Ramsey Devils Lake ND NA650 Premier Healthcare #14 PCC INW 4 P1 Ramsey Devils Lake ND NA676 The Sunshine Clinic PLLC 503 3rd St NE PCC INW 4

HP Ramsey Arden Hills MN 405 HealthPartners Arden Hills Clinic 3930 Northwoods Dr PCC HPR 1 BC Ramsey Maplewood MN 003206437 Allina Health Maplewood Clinic 1850 Beam Ave. PCC ALL 2 HP Ramsey Maplewood MN 473 Allina Health Maplewood Clinic 1850 Beam Ave. PCC ALL 3 P1 Ramsey Maplewood MN AM168 Allina Health Maplewood Clinic 1850 Beam Ave. PCC ALL 3 M Health Fairview Clinic - Maplewood (HealthEast - 2945 Hazelwood BC Ramsey Maplewood MN 003210987 Maplewood Clinic) Street PCC FAI 3 M Health Fairview Clinic - Maplewood (HealthEast - 2945 Hazelwood HP Ramsey Maplewood MN 889 Maplewood Clinic) Street PCC FAI 2 M Health Fairview Clinic - Maplewood (HealthEast - 2945 Hazelwood St. P1 Ramsey Maplewood MN FP285 Maplewood Clinic) N., #100 PCC FAI 2 2165 White Bear Ave HP Ramsey Maplewood MN 474 HealthPartners Maplewood Clinic N PCC HPR 1 2165 White Bear Ave HP Ramsey Maplewood MN 3951 HealthPartners SmartCare Clinic - Maplewood N PCC HPR 1 1675 Village Trail East, BC Ramsey Maplewood MN 003217928 LTC Professionals Unit 6 PCC IMT 2 1560 Beam Ave., Ste P1 Ramsey Maplewood MN NA625 My Medical Clinic, PLLC F PCC IMT 2 1965 - 11th Avenue BC Ramsey Maplewood MN 003203377 Pediatric & Young Adult Medicine - Maplewood East, #102 PD PED 2 1965 - 11th Avenue HP Ramsey Maplewood MN 977 Pediatric & Young Adult Medicine - Maplewood East, #102 PD PED 2 1965 - 11th Avenue P1 Ramsey Maplewood MN CP113 Pediatric & Young Adult Medicine - Maplewood East, #102 PD PED 2 M Health Fairview Clinic - New Brighton (Fairview BC Ramsey New Brighton MN 003205204 Clinics - New Brighton) 1151 Silver Lake Road PCC FAI 3 M Health Fairview Clinic - New Brighton (Fairview HP Ramsey New Brighton MN 721 Clinics - New Brighton) 1151 Silver Lake Road PCC FAI 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric M Health Fairview Clinic - New Brighton (Fairview 1151 Silver Lake Rd. P1 Ramsey New Brighton MN FP114 Clinics - New Brighton) NW PCC FAI 2 900 Long Lake Rd Ste HP Ramsey New Brighton MN 3152 Medical Care Services, PA 160 PCC IMT 2 900 Long Lake Rd., P1 Ramsey New Brighton MN NA250 Medical Care Services, P.A. #160 PCC IMT 2 2601 Centennial BC Ramsey North St. Paul MN 003203028 Entira Family Clinics - North St. Paul Drive., #100 PCC FAM 2 2601 Centennial HP Ramsey North St. Paul MN 765 Entira Family Clinics - North St. Paul Drive., #100 PCC FAM 2 2601 Centennial Dr., P1 Ramsey North St. Paul MN FP254 Entira Family Clinics - North St. Paul #100 PCC FAM 2 BC Ramsey Roseville MN 003373587 Dr. Richard Schoewe 2381 N Rice St PCC IMT 2 HP Ramsey Roseville MN 922 Dr. Richard Schoewe 2381 N Rice St PCC IMT 2 HealthPartners North Suburban Family Physicians - HP Ramsey Roseville MN 514 Roseville 2831 N Snelling Ave PCC HPR 1

BC Ramsey Roseville MN 003202657 Central Pediatrics - Roseville 2436 Cleveland Ave N PD PED 2

HP Ramsey Roseville MN 524 Central Pediatrics - Roseville 2436 Cleveland Ave N PD PED 2

P1 Ramsey Roseville MN CP100 Central Pediatrics - Roseville 2436 Cleveland Ave N. PD PED 2

BC Ramsey Roseville MN 003615258 North Memorial Health Clinic - Roseville 1835 W County Rd C PCC NOR 2

HP Ramsey Roseville MN 2355 North Memorial Health Clinic - Roseville 1835 W County Rd C PCC NOR 2 P1 Ramsey Roseville MN NM118 North Memorial Health Clinic - Roseville 1835 Cty. Rd. CW PCC NOR 2

P1 Ramsey Roseville MN NA605 Optage Primary Care 2845 Hamline Ave. N. PCC IMT 2 4194 N. Lexington BC Ramsey Shoreview MN 003206982 Allina Health Shoreview Clinic Ave. PCC ALL 2 4194 N. Lexington HP Ramsey Shoreview MN 546 Allina Health Shoreview Clinic Ave. PCC ALL 3 4194 N. Lexington P1 Ramsey Shoreview MN AM124 Allina Health Shoreview Clinic Ave. PCC ALL 3 BC Ramsey Shoreview MN 003217381 Entira Family Clinics - Shoreview 404 W. Highway 96 PCC FAM 2 HP Ramsey Shoreview MN 2757 Entira Family Clinics - Shoreview 404 W. Highway 96 PCC FAM 2 P1 Ramsey Shoreview MN FP255 Entira Family Clinics - Shoreview 404 W. Hwy. 96 PCC FAM 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 491 University Ave. BC Ramsey St. Paul MN 003210978 Advanced Medical Clinic West, Suite B PCC IMT 2 491 University Ave. HP Ramsey St. Paul MN 2561 Advanced Medical Clinic West, Suite B PCC IMT 2 1021 Bandana Blvd. BC Ramsey St. Paul MN 003200330 Allina Health Bandana Square Clinic East, Suite 100 PCC ALL 2 1021 Bandana Blvd. HP Ramsey St. Paul MN 522 Allina Health Bandana Square Clinic East, Suite 100 PCC ALL 3 1021 Bandana Blvd. P1 Ramsey St. Paul MN AM162 Allina Health Bandana Square Clinic East, #100 PCC ALL 3 BC Ramsey St. Paul MN 003211815 Allina Health Highland Park Clinic 2120 Ford Parkway PCC ALL 2 HP Ramsey St. Paul MN 789 Allina Health Highland Park Clinic 2120 Ford Parkway PCC ALL 3 P1 Ramsey St. Paul MN AM165 Allina Health Highland Park Clinic 2120 Ford Pkwy. PCC ALL 3 BC Ramsey St Paul MN 4524437 Allina Health United Family Physicians 233 Grand Avenue PCC ALL 2 255 N. Smith Ave., Ste BC Ramsey St. Paul MN 003213266 Allina Health United Medical Specialties Clinic 300 PCC ALL 2 255 N. Smith Ave., HP Ramsey St. Paul MN 2568 Allina Health United Medical Specialties Clinic #100 PCC ALL 3 P1 Ramsey St. Paul MN AM150 Allina Health United Medical Specialties Clinic 225 Smith Ave. N., Ste PCC ALL 3 BC Ramsey St. Paul MN 003200770 Boynton Health Service - St. Paul 1420 Eckles Ave. PCC UOM 4 P1 Ramsey St. Paul MN UM117 Boynton Health Service St. Paul Clinic 1420 Eckles Ave. PCC UOM 4 393 N. Dunlap St., P1 Ramsey St. Paul MN NA666 Central Medical Clinic, PLLC #LL34 PCC IMT 2 347 N. Smith Ave., BC Ramsey St. Paul MN 003216168 Children's St. Paul Clinic #302 PD CHI 2 347 N. Smith Ave., HP Ramsey St. Paul MN 699 Children's St. Paul Clinic #302 PD CHI 2 P1 Ramsey St. Paul MN CP143 Children's Primary Clinic 345 N. Smith Ave. PD CHI 2

BC Ramsey St. Paul MN 003203495 Minnesota Community Care - East Side Family Clinic 895 E 7th St PCC IMT 2

HP Ramsey St. Paul MN 541 Minnesota Community Care - East Side Family Clinic 895 E 7th St PCC IMT 2

P1 Ramsey St. Paul MN NA448 Minnesota Community Care - East Side Family Clinic 895 E. 7th St. PCC IMT 2 BC Ramsey St. Paul MN 003196855 Entira Family Clinic - Highland 1540 Randolph Ave. PCC FAM 2 HP Ramsey St. Paul MN 757 Entira Family Clinic - Highland 1540 Randolph Ave. PCC FAM 2 P1 Ramsey St. Paul MN FP251 Entira Family Clinics - Highland 1540 Randolph Ave. PCC FAM 2 1385 Phalen BC Ramsey St. Paul MN 003202604 Entira Family Clinic - East Side Boulevard PCC FAM 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 1385 Phalen HP Ramsey St. Paul MN 764 Entira Family Clinic - East Side Boulevard PCC FAM 2 P1 Ramsey St. Paul MN FP250 Entira Family Clinic - East Side 1385 Phalen Blvd. PCC FAM 2 1050 W. Larpenteur BC Ramsey St. Paul MN 003207746 Entira Family Clinics - Como/Roseville Ave. PCC FAM 2 1050 W. Larpenteur HP Ramsey St. Paul MN 770 Entira Family Clinics - Como/Roseville Ave. PCC FAM 2 1050 Larpenteur Ave P1 Ramsey St. Paul MN FP249 Entira Family Clinics - Como/Roseville W PCC FAM 2

HP Ramsey St. Paul MN 3202 Face To Face Health & Counseling Services, Inc. 1165 Arcade St PCC IMT 2 P1 Ramsey St. Paul MN NA431 Face to Face Health & Counseling 1165 Arcade St. PCC IMT 2 M Health Fairview Clinic - Highland Park (Fairview 2155 Ford Pkwy., Suite BC Ramsey St. Paul MN 003202595 Clinics - Highland Park) A PCC FAI 3 M Health Fairview Clinic - Highland Park (Fairview 2155 Ford Pkwy., Suite HP Ramsey St. Paul MN 776 Clinics - Highland Park) A PCC FAI 2 M Health Fairview Clinic - Highland Park (Fairview 2155 Ford Pkwy., Suite P1 Ramsey St. Paul MN FP160 Clinics - Highland Park) A PCC FAI 2 M Health Fairview Clinic - Midway (HealthEast - 1390 University Ave. BC Ramsey St. Paul MN 003206824 Midway Clinic) West PCC FAI 3 M Health Fairview Clinic - Midway (HealthEast - 1390 University Ave. HP Ramsey St. Paul MN 837 Midway Clinic) West PCC FAI 2 M Health Fairview Clinic - Midway (HealthEast - P1 Ramsey St. Paul MN FP279 Midway Clinic) 1390 University Ave W PCC FAI 2 M Health Fairview Clinic - Rice Street (HealthEast - BC Ramsey St. Paul MN 003206826 Rice St. Clinic) 980 Rice St. PCC FAI 3 M Health Fairview Clinic - Rice Street (HealthEast - HP Ramsey St. Paul MN 843 Rice St. Clinic) 980 Rice St. PCC FAI 2 M Health Fairview Clinic - Rice Street (HealthEast - P1 Ramsey St. Paul MN FP282 Rice St. Clinic) 980 Rice St PCC FAI 2 M Health Fairview Clinic - Roselawn (HealthEast - BC Ramsey St. Paul MN 003206825 Roselawn Clinic) 1983 Sloan Place, #1 PCC FAI 3 M Health Fairview Clinic - Roselawn (HealthEast - HP Ramsey St. Paul MN 840 Roselawn Clinic) 1983 Sloan Place, #1 PCC FAI 2 M Health Fairview Clinic - Roselawn (HealthEast - P1 Ramsey St. Paul MN FP281 Roselawn Clinic) 1983 Sloan Pl, #1 PCC FAI 2 HP Ramsey St. Paul MN 280 HealthPartners Center for International Health 451 N Dunlap St PCC HPR 1 HP Ramsey St. Paul MN 525 HealthPartners Como Clinic 2500 Como Ave PCC HPR 1 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP Ramsey St. Paul MN 537 HealthPartners Midway Clinic 451 N Dunlap St PCC HPR 1 HP Ramsey St. Paul MN 542 HealthPartners St. Paul Clinic 205 S Wabasha St PCC HPR 1 205 South Wabasha HP Ramsey St. Paul MN 3952 HealthPartners SmartCare Clinic - St. Paul Street PCC HPR 1 393 N Dunlap St Ste HP Ramsey St. Paul MN 2770 Internal Medicine, LLC 834 PCC IMT 2 Minnesota Community Care - McDonough Homes 1544 Timberlake Rd BC Ramsey St. Paul MN 003203495 Clinic Ste 235 PCC IMT 2 Minnesota Community Care - McDonough Homes 1544 Timberlake Rd HP Ramsey St. Paul MN 286 Clinic Ste 235 PCC IMT 2

P1 Ramsey St. Paul MN NA265 McDonough Homes Clinic 1544 Timberlake Rd. PCC IMT 2 BC Ramsey St. Paul MN 003202999 Open Cities Health Center 409 North Dunlap St PCC IMT 2 HP Ramsey St. Paul MN 401 Open Cities Health Center 409 North Dunlap St PCC IMT 2 HP Ramsey St. Paul MN 3439 Open Cities Health Center North End 916 Rice St PCC IMT 2 BC Ramsey St. Paul MN 003202707 Parkway Family Physicians 721 Snelling Ave. S. PCC IMT 2 HP Ramsey St. Paul MN 838 Parkway Family Physicians 721 Snelling Ave. S. PCC IMT 2 P1 Ramsey St. Paul MN NA332 Parkway Family Physicians 721 Snelling Ave. S. PCC IMT 2

BC Ramsey St. Paul MN 003203377 Pediatric & Young Adult Medicine - St Paul 1804 - 7th Street West PD PED 2

HP Ramsey St. Paul MN 978 Pediatric & Young Adult Medicine - St Paul 1804 - 7th Street West PD PED 2

P1 Ramsey St. Paul MN CP114 Pediatric & Young Adult Medicine - St Paul 1804 - 7th Street West PD PED 2 M Health Fairview Clinic - Phalen Village (U of M BC Ramsey St. Paul MN 004477229 Physicians - Phalen Village) 1414 Maryland Ave. PCC UOM 4 M Health Fairview Clinic - Phalen Village (U of M HP Ramsey St. Paul MN 841 Physicians - Phalen Village) 1414 Maryland Ave. PCC UOM 4 M Health Fairview Clinic - Phalen Village (U of M P1 Ramsey St. Paul MN FP291 Physicians - Phalen Village) 1414 Maryland Ave E. PCC UOM 4

P1 Ramsey St. Paul MN NA630 St. Paul Clinic, LLC 301 University Ave. W. PCC IMT 2 BC Ramsey St. Paul MN 003200203 St. Paul Family Medical Center 1239 Payne Ave. PCC IMT 2 HP Ramsey St. Paul MN 2546 St. Paul Family Medical Center 1239 Payne Ave. PCC IMT 2 P1 Ramsey St. Paul MN NA371 St. Paul Family Medical Center 1239 Payne Ave. PCC IMT 2

P1 Ramsey St. Paul MN NA624 St. Peter Street Clinic 514 St. Peter St., #250 PCC IMT 2 BC Ramsey St. Paul MN 003203330 United Family Medicine 1026 West 7th St. PCC ALL 2 HP Ramsey St. Paul MN 515 United Family Medicine 1026 West 7th St. PCC ALL 3 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Ramsey St. Paul MN NA398 United Family Practice Health Ctr. 1026 7th St W PCC IMT 2 United Family Practice Health Center - Sibley Plaza BC Ramsey St. Paul MN 003203331 Clinic 2423 W 7th St PCC ALL 2 United Family Practice Health Center - Sibley Plaza HP Ramsey St. Paul MN 3408 Clinic 2423 W 7th St PCC ALL 3 United Family Practice Health Center - Sibley Plaza P1 Ramsey St. Paul MN NA554 Clinic 2423 W. 7th St. PCC IMT 2 M Health Fairview Clinic - Bethesda (U of M BC Ramsey St. Paul MN 004477218 Physicians - Bethesda Clinic) 580 Rice St PCC UOM 4 M Health Fairview Clinic - Bethesda (U of M HP Ramsey St. Paul MN 821 Physicians - Bethesda Clinic) 580 Rice St PCC UOM 4 M Health Fairview Clinic - Bethesda (U of M P1 Ramsey St. Paul MN FP290 Physicians - Bethesda Clinic) 580 Rice St. PCC UOM 4 BC Ramsey St. Paul MN 003218334 University of St. Thomas Health Service 2115 Summit Ave. PCC IMT 2 BC Ramsey St. Paul MN 003203495 Minnesota Community Care - La Clinica 153 Cesar Chavez PCC IMT 2

HP Ramsey St. Paul MN 211 Minnesota Community Care - La Clinica 153 Cesar Chavez PCC IMT 2

P1 Ramsey St. Paul MN NA264 Minnesota Community Care - La Clinica 153 Cesar Chavez St. PCC IMT 2 1155 East County BC Ramsey Vadnais Heights MN 003216151 Allina Health Vadnais Heights Clinic Road E PCC ALL 2 1155 CNTY RD E P1 Ramsey Vadnais Heights MN AM169 Allina Health Vadnais Heights Clinic EAST, STE 100 PCC ALL 3 1155 E County Rd E HP Ramsey Vadnais Heights MN 607 Allina Health Vadnais Heights Clinic Ste 100 PCC ALL 3

P1 Ramsey Vadnais Heights MN FP256 Entira Family Clinics - Vadnais Heights 3550 Labore Rd., #7 PCC FAM 2

BC Ramsey Vadnais Heights MN 003209984 Entira Family Clinics - Vadnais Heights 3550 Labore Rd., #7 PCC FAM 2

HP Ramsey Vadnais Heights MN 484 Entira Family Clinics - Vadnais Heights 3550 Labore Rd., #7 PCC FAM 2 M Health Fairview Clinic - Vadnais Heights BC Ramsey Vadnais Heights MN 003206829 (HealthEast - Vadnais Heights Clinic 480 Hwy 96 E PCC FAI 3 M Health Fairview Clinic - Vadnais Heights HP Ramsey Vadnais Heights MN 760 (HealthEast - Vadnais Heights Clinic 480 Hwy 96 E PCC FAI 2 M Health Fairview Clinic - Vadnais Heights P1 Ramsey Vadnais Heights MN FP283 (HealthEast - Vadnais Heights Clinic 480 Hwy. 96 E. PCC FAI 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 3555 Willow Lake BC Ramsey Vadnais Heights MN 003203545 Northern Lights Pediatric & Adolescent Medicine Boulevard, #140 PD PED 2 3555 Willow Lake HP Ramsey Vadnais Heights MN 345 Northern Lights Pediatric & Adolescent Medicine Boulevard, #140 PD PED 2 3555 Willow Lake P1 Ramsey Vadnais Heights MN CP109 Northern Lights Pediatric & Adolescent Medicine Blvd. #140 PD PED 2

BC Ramsey White Bear Lake MN 003202682 AALFA Family Clinic 4465 White Bear Pkwy PCC IMT 2

HP Ramsey White Bear Lake MN 819 AALFA Family Clinic 4465 White Bear Pkwy PCC IMT 2 4465 White Bear P1 Ramsey White Bear Lake MN NA483 AALFA Family Clinic Pkwy. PCC IMT 2 Entira Family Clinics - White Bear Lake - Banning BC Ramsey White Bear Lake MN 003207744 Ave. 4786 Banning Ave. PCC FAM 2 Entira Family Clinics - White Bear Lake - Banning HP Ramsey White Bear Lake MN 768 Ave. 4786 Banning Ave. PCC FAM 2 Entira Family Clinics - White Bear Lake - Banning P1 Ramsey White Bear Lake MN FP258 Ave. 4786 Banning Ave. PCC FAM 2

HP Ramsey White Bear Lake MN 561 HealthPartners White Bear Lake Clinic 1430 Hwy 96 E PCC HPR 1

BC Ramsey White Bear Lake MN 003213958 Synergy Family Physicians 4422 White Bear Ave. PCC IMT 2

P1 Ramsey White Bear Lake MN NA541 Synergy Family Physicians, PA 4422 White Bear Ave. PCC IMT 2 HP Ransom Enderlin ND 880 Sanford Clinic Enderlin 201 4th Ave Ste 1 PCC MER 2 P1 Ransom Enderlin ND SV181 Sanford Health Enderlin Clinic 201 4th Ave., #1 PCC MER 2 HP Ransom Lisbon ND 358 Essentia Health - Lisbon Clinic 819 Main St PCC DCH 2 P1 Ransom Lisbon ND DC147 Essentia Health Lisbon Clinic 819 Main St. PCC DCH 2

HP Ransom Lisbon ND 2959 Sanford Clinic Lisbon 102 Tenth Avenue W. PCC MER 2

P1 Ransom Lisbon ND SV190 Sanford Health Lisbon Clinic 102 Tenth Avenue W. PCC MER 2 BC Red Lake Oklee MN 003325232 Essentia Health - Oklee Clinic 400 Governor St PCC DCH 2 HP Red Lake Oklee MN 2565 Essentia Health - Oklee Clinic 400 Governor St PCC DCH 2 P1 Red Lake Oklee MN DC134 Essentia Health Oklee Clinic 400 Governor ST PCC DCH 2 BC Red Lake Red Lake Falls MN 003213006 Altru Clinic - Red Lake Falls 312 International Dr. PCC ALT 2 HP Red Lake Red Lake Falls MN 2251 Altru Clinic - Red Lake Falls 312 International Dr. PCC ALT 2

P1 Red Lake Red Lake Falls MN AL110 Altru Clinic - Red Lake Falls 312 International Dr. PCC ALT 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric Park Place Mall, 105 BC Red Lake Red Lake Falls MN 003205057 RiverView Clinic-Red Lake Falls International Dr. SW PCC INW 2 Park Place Mall, 105 HP Red Lake Red Lake Falls MN 2799 RiverView Clinic-Red Lake Falls International Dr. SW PCC INW 2

P1 Red Lake Red Lake Falls MN NA617 Riverview Clinic - Red Lake Falls 105 International Dr. PCC INW 2

BC Redwood Lamberton MN 004357983 Lamberton Clinic - New Ulm Medical Center 310 S. Main St. PCC ALL 2

HP Redwood Lamberton MN 3966 Lamberton Clinic - New Ulm Medical Center 310 S. Main St. ALL 3 P1 Redwood Lamberton MN AM191 Lamberton Clinic - New Ulm Medical Center 310 S. Main St. PCC ALL 3 BC Redwood Morgan MN 003209284 Sleepy Eye Medical Center - Morgan Clinic 96 Third St. PCC ISO 2 HP Redwood Morgan MN 2688 Sleepy Eye Medical Center - Morgan Clinic 96 Third St. PCC ISO 2 P1 Redwood Morgan MN MR146 Sleepy Eye Medical Center - Morgan Clinic 96 3rd St. PCC ISO 2 Carris Health - Redwood Clinic (formerly Affiliated BC Redwood Redwood Falls MN 004357404 Community Medical Center) 1100 East Broadway PCC CAR 2* Carris Health - Redwood Clinic (formerly Affiliated HP Redwood Redwood Falls MN 2526 Community Medical Center) 1100 East Broadway PCC CAR 2* Carris Health - Redwood Clinic (formerly Affiliated P1 Redwood Redwood Falls MN NA700 Community Medical Center) 1100 E Broadway St PCC CAR 2* BC Redwood Walnut Grove MN 003201460 Sanford Clinic Walnut Grove 830 8th St. PCC SAN 3 HP Redwood Walnut Grove MN 2454 Sanford Clinic Walnut Grove 830 8th St. PCC SAN 2 P1 Redwood Walnut Grove MN SV145 Sanford Clinic Walnut Grove 830 8th St. PCC SAN 2 BC Renville Fairfax MN 003208163 Fairfax Medical Clinic, P.A. 300 S. Park St. PCC ISO 4 HP Renville Fairfax MN 829 Fairfax Medical Clinic, P.A. 300 S. Park St. PCC ISO 4 P1 Renville Fairfax MN NA334 Fairfax Medical Clinic, P.A. 300 S. Park St. PCC ISO 4 Hector Clinic (formerly Olivia Hospital & Clinic - Hector BC Renville Hector MN 004406174 Clinic) 131 Birch Ave. W. PCC ISO 4 Hector Clinic (formerly Olivia Hospital & Clinic - Hector HP Renville Hector MN 824 Clinic) 131 Birch Ave. W. PCC ISO 4 Hector Clinic (formerly Olivia Hospital & Clinic - Hector P1 Renville Hector MN MR115 Clinic) 131 Birch Ave. W. PCC ISO 4 HP Renville Mohall ND 3093 Trinity Community Clinic - Mohall 504 1st St SE PCC INW 4 P1 Renville Mohall ND TH112 Trinity Community Clinic - Mohall 504 1st St. S.E. PCC INW 4 BC Renville Olivia MN 004405135 Olivia Clinic (formerly Olivia Hospital & Clinic) 100 Healthy Way PCC ISO 4 HP Renville Olivia MN 823 Olivia Clinic (formerly Olivia Hospital & Clinic) 100 Healthy Way PCC ISO 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Renville Olivia MN MR114 Olivia Clinic (formerly Olivia Hospital & Clinic) 100 Healthy Way PCC ISO 4 Renville Clinic (formerly Olivia Hospital & Clinic - BC Renville Renville MN 004406039 Renville Clinic) 420 N. Main St. PCC ISO 4 Renville Clinic (formerly Olivia Hospital & Clinic - HP Renville Renville MN 828 Renville Clinic) 420 N. Main St. PCC ISO 4 Renville Clinic (formerly Olivia Hospital & Clinic - P1 Renville Renville MN MR116 Renville Clinic) 420 N. Main PCC ISO 4 BC Rice Faribault MN 003216163 Allina Health Faribault Clinic 100 State Ave. PCC ALL 2 HP Rice Faribault MN 567 Allina Health Faribault Clinic 100 State Ave. PCC ALL 3 P1 Rice Faribault MN AM134 Allina Health Faribault Clinic 100 State Ave. PCC ALL 3 BC Rice Faribault MN 003699903 Mayo Clinic Health System in Faribault 300 State Avenue PCC MAY 4 HP Rice Faribault MN 2712 Mayo Clinic Health System in Faribault 300 State Avenue PCC MAY 4 P1 Rice Faribault MN MH139 Mayo Clinic Health System in Faribault 300 State Ave. PCC MAY 4 Mayo Clinic Health System - Faribault (Family BC Rice Faribault MN 003699903 Medicine/Women's Health) 200 State Ave. PCC MAY 4 Mayo Clinic Health System in Faribault OB/GYN & P1 Rice Faribault MN MH163 Women's Clinic 200 State Ave., #200E PCC MAY 4 BC Rice Lonsdale MN 003205037 Northfield Hospital & Clinics - Lonsdale 103 15th Ave. SE PCC IMT-FAM 4 HP Rice Lonsdale MN 2752 Northfield Hospital & Clinics - Lonsdale 103 15th Ave. SE PCC IMT-FAM 4 P1 Rice Lonsdale MN NA460 Northfield Hospital & Clinics - Lonsdale 103 15th Ave. S.E. PCC IMT-FAM 3 BC Rice Northfield MN 003199686 Allina Health Northfield Clinic 1400 Jefferson Rd. PCC ALL 2 HP Rice Northfield MN 498 Allina Health Northfield Clinic 1400 Jefferson Rd. PCC ALL 3 P1 Rice Northfield MN AM121 Allina Health Northfield Clinic 1400 Jefferson Rd. PCC ALL 3 BC Rice Northfield MN 003196792 Northfield Hospital & Clinics - Northfield Clinic 2000 North Ave. PCC IMT-FAM 4 HP Rice Northfield MN 2952 Northfield Hospital & Clinics - Northfield Clinic 2000 North Ave. PCC IMT-FAM 4 P1 Rice Northfield MN NA459 Northfield Hospital & Clinics - Northfield Clinic 2000 North Ave. PCC IMT-FAM 3 BC Richland Hankinson ND 003205085 Essentia Health - Hankinson Clinic 501 S. Main PCC DCH 2 HP Richland Hankinson ND 2377 Essentia Health - Hankinson Clinic 501 S. Main PCC DCH 2 P1 Richland Hankinson ND DC153 Essentia Health - Hankinson Clinic 501 S. Main PCC DCH 2 BC Richland Lidgerwood ND 003195151 Sanford Clinic Lidgerwood 21 Wiley Ave. South PCC MER 2 HP Richland Lidgerwood ND 2954 Sanford Clinic Lidgerwood 21 Wiley Ave. South PCC MER 2 P1 Richland Lidgerwood ND SV189 Sanford Health Lidgerwood Clinic 21 Wiley Ave. S. PCC MER 2 BC Richland Wahpeton ND 003218741 Essentia Health - Wahpeton Clinic 275 S. 11th St. PCC DCH 2 HP Richland Wahpeton ND 366 Essentia Health - Wahpeton Clinic 275 S. 11th St. PCC DCH 2

P1 Richland Wahpeton ND DC152 Essentia Health Wahpeton Clinic 275 S. 11th St. PCC DCH 2 BC Richland Wahpeton ND 003195151 Sanford Health Wahpeton Clinic 332 2nd Ave N PCC MER 2 HP Richland Wahpeton ND 599 Sanford Health Wahpeton Clinic 332 2nd Ave N PCC MER 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Richland Wahpeton ND SV203 Sanford Health Wahpeton Clinic 332 2nd Ave. N. PCC MER 2

HP Roberts Rosholt SD 2734 Coteau des Prairies Health Care System - Rosholt 116 W Main St PCC ISO 4

P1 Roberts Rosholt SD NA641 Coteau des Prairies Hospital, Inc. 116 W. Main St PCC ISO 4

HP Roberts Sisseton SD 3220 Coteau des Prairies Healthcare System - Sisseton 205 Orchard Dr PCC ISO 4 P1 Roberts Sisseton SD NA425 Coteau des Prairies Clinic 205 Orchard Dr. PCC ISO 4 HP Roberts Wilmot SD 2482 Avera Medical Group Wilmot 409 4th St PCC AVH 2 P1 Roberts Wilmot SD AH140 Avera Medical Group Wilmot 409 4th St. PCC AVH 2

BC Rock Luverne MN 003214640 Sanford Luverne Clinic 1601 Sioux Valley Dr. PCC SAN 3

HP Rock Luverne MN 2315 Sanford Luverne Clinic 1601 Sioux Valley Dr. PCC SAN 2

P1 Rock Luverne MN SV107 Sanford Luverne Clinic 1601 Sioux Valley Dr. PCC SAN 2 P1 Rolette Dunseith ND NA543 Heart of America Johnson Clinic - Dunseith 215 Main St. SE PCC INW 4

P1 Rolette Dunseith ND HN127 Turtle Mountain Family Medicine, LLC 115 Main St. NE PCC INW 4 HP Rolette Rolla ND 2892 Northland Health Center - Rolla 114 NE 3rd St PCC INW 4 BC Roseau Greenbush MN 003212967 Altru Clinic - Greenbush 19120 - 200th St. PCC ALT 2 HP Roseau Greenbush MN 2248 Altru Clinic - Greenbush 19120 - 200th St. PCC ALT 2

P1 Roseau Greenbush MN AL107 Altru Clinic - Greenbush 19120 200th St. PCC ALT 2 BC Roseau Roseau MN 003212966 Altru Clinic - Roseau 711 Delmore Dr. PCC ALT 2 HP Roseau Roseau MN 2252 Altru Clinic - Roseau 711 Delmore Dr. PCC ALT 2

P1 Roseau Roseau MN AL111 Altru Clinic - Roseau 711 Delmore Dr. PCC ALT 2 BC Roseau Warroad MN 003212965 Altru Clinic - Warroad 412 N. Main Ave. PCC ALT 2 HP Roseau Warroad MN 2253 Altru Clinic - Warroad 412 N. Main Ave. PCC ALT 2

P1 Roseau Warroad MN AL113 Altru Health System - Warroad 412 N. Main Ave. PCC ALT 2 HP Rusk Ladysmith WI 2825 Marshfield Clinic Ladysmith Center 906 College Ave W PCC IWI 4

P1 Rusk Ladysmith WI NA710 Prevea Ladysmith Health Center 1101 W. Lake Ave. PCC IWI 4 HP Sargent Forman ND 2957 Sanford Clinic Forman 336 Main St PCC MER 2 P1 Sargent Forman ND SV182 Sanford Health Forman Clinic 336 Main St. PCC MER 2 HP Sargent Gwinner ND 2956 Sanford Clinic Gwinner 69 Hwy 13 W PCC MER 2 P1 Sargent Gwinner ND SV183 Sanford Health Gwinner Clinic 69 Hwy. 13 W. PCC MER 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP Sargent Milnor ND 3246 Milnor Clinic 401 Main St PCC INW 4 P1 Sargent Milnor ND NA342 Milnor Clinic 401 Main PCC INW 4

HP Sawyer Hayward WI 2353 Essentia Health - Hayward Clinic 11134 N State Hwy 77 PCC SMD 2

P1 Sawyer Hayward WI DC109 Essentia Health - Hayward Clinic 11134 Hwy. 77 PCC SMD 3 10212 N Greenwood HP Sawyer Hayward WI 2687 Marshfield Clinic Hayward Center Ln PCC IWI 4

HP Sawyer Hayward WI 139 Northlakes Community Health Center - Hayward 11128 N State Hwy 77 PCC INE 2 11128 N. State Hwy. P1 Sawyer Hayward WI NS108 Northlakes Community Health Center - Hayward 77 PCC INE 2 BC Scott Belle Plaine MN 003699821 Mayo Clinic Health System - Belle Plaine 700 W. Prairie St. PCC MMC 4 HP Scott Belle Plaine MN 753 Mayo Clinic Health System - Belle Plaine 700 W. Prairie St. PCC MMC 4 700 West Prairie P1 Scott Belle Plaine MN MH155 MCHS Belle Plaine Street PCC MMC 4 165 Commerce Drive BC Scott Belle Plaine MN 003208662 Ridgeview Belle Plaine Clinic West PCC RGV 3 165 Commerce Drive HP Scott Belle Plaine MN 3643 Ridgeview Belle Plaine Clinic West PCC RGV 2 165 Commerce Drive P1 Scott Belle Plaine MN NA653 Ridgeview Belle Plaine Clinic West PCC RGV 3 St. Francis Health Services in Jordan/ now St. Francis BC Scott Jordan MN 003206457 Jordan Clinic 265 Creek Lane South PCC ALL 2

HP Scott Jordan MN 3367 St. Francis Health Services in Jordan 265 Creek Lane South PCC ALL 3

P1 Scott Jordan MN AM174 St. Francis - Jordan Clinic 265 Creek Lane South PCC ALL 3 M Health Fairview Clinic - Prior Lake (Fairview Clinics - 4151 Willowwood BC Scott Prior Lake MN 003218090 Prior Lake) Street SE PCC FAI 3 M Health Fairview Clinic - Prior Lake (Fairview Clinics - 4151 Willowwood HP Scott Prior Lake MN 816 Prior Lake) Street SE PCC FAI 2 M Health Fairview Clinic - Prior Lake (Fairview Clinics - 4151 Willowwood St. P1 Scott Prior Lake MN FP141 Prior Lake) S.E. PCC FAI 2 4670 Park Nicollet BC Scott Prior Lake MN 003200844 Park Nicollet Clinic - Prior Lake Ave. SE PCC PKN 2 4670 Park Nicollet HP Scott Prior Lake MN 508 Park Nicollet Clinic - Prior Lake Ave. SE PCC PKN 1 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 4670 Park Nicollet P1 Scott Prior Lake MN PN119 Park Nicollet Clinic - Prior Lake Ave. S.E. PCC PKN 1

BC Scott Savage MN 003196965 Allina Health Savage Clinic 6350 - 143rd St., #102 PCC ALL 2

HP Scott Savage MN 730 Allina Health Savage Clinic 6350 - 143rd St., #102 PCC ALL 3 6350 W. 143rd Street, P1 Scott Savage MN AM182 Allina Health Savage Clinic #102 PCC ALL 3 4201 Deans Lake BC Scott Shakopee MN 003210388 Allina Health Dean Lakes Clinic Blvd., #120 PCC ALL 2 4201 Deans Lake HP Scott Shakopee MN 605 Allina Health Dean Lakes Clinic Blvd., #120 PCC ALL 3 4201 Deans Lake P1 Scott Shakopee MN AM159 Allina Health Dean Lakes Clinic Blvd., #120 PCC ALL 3 1601 St. Francis Ave., BC Scott Shakopee MN 003218086 Allina Health Shakopee Clinic #100 PCC ALL 2 1601 St. Francis Ave., HP Scott Shakopee MN 566 Allina Health Shakopee Clinic #100 PCC ALL 3 1601 St. Francis Ave., P1 Scott Shakopee MN AM140 Allina Health Shakopee Clinic #100 PCC ALL 3 1515 St. Francis Ave., BC Scott Shakopee MN 003201027 Metropolitan Pediatric Specialists - Shakopee #100 PD CHI 2 1515 Saint Francis HP Scott Shakopee MN 2460 Metropolitan Pediatric Specialists - Shakopee Ave Ste 100 PD CHI 2 1515 St. Francis Ave., P1 Scott Shakopee MN CP160 Metropolitan Pediatric Specialists - Shakopee #100 PD CHI 2

BC Scott Shakopee MN 003200844 Park Nicollet Clinic - Shakopee 1415 St. Francis Ave. PCC PKN 2

HP Scott Shakopee MN 732 Park Nicollet Clinic - Shakopee 1415 St. Francis Ave. PCC PKN 1

P1 Scott Shakopee MN PN120 Park Nicollet Clinic - Shakopee 1415 St. Francis Ave. PCC PKN 1 HP Shawano Birnamwood WI 2904 Langlade Hospital General Clinic Birnamwood 375 Main St PCC IWI 4 HP Shawano Wittenberg WI 2847 Marshfield Clinic Wittenberg Center 201 Liberty Dr PCC IWI 4 12800 Rolling Ridge BC Sherburne Becker MN 003217448 CentraCare - Becker Clinic Rd. PCC CEN 2 12800 Rolling Ridge HP Sherburne Becker MN 018 CentraCare - Becker Clinic Rd. PCC CEN 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 12800 Rolling Ridge P1 Sherburne Becker MN NA197 CentraCare - Becker Clinic Rd. PCC CEN 2

BC Sherburne Big Lake MN 003214310 CentraCare - Big Lake Clinic 16830 198th Ave NW PCC CEN 2

HP Sherburne Big Lake MN 3060 CentraCare - Big Lake Clinic 16830 198th Ave NW PCC CEN 2 16830 198th Ave. P1 Sherburne Big Lake MN NA493 CentraCare - Big Lake Clinic N.W. PCC CEN 2 14181 Business BC Sherburne Elk River MN 003196091 Allina Health Elk River Clinic Center Dr. NW PCC ALL 2 14181 Business HP Sherburne Elk River MN 2517 Allina Health Elk River Clinic Center Dr. NW PCC ALL 3 14181 Business P1 Sherburne Elk River MN AM148 Allina Health Elk River Clinic Center Dr. NW PCC ALL 3 M Health Fairview Clinic - Elk River (Fairview Clinics - 290 Main St. N.W., BC Sherburne Elk River MN 004475660 Elk River) #100 PCC FAI 3 M Health Fairview Clinic - Elk River (Fairview Clinics - 290 Main St. N.W., HP Sherburne Elk River MN 809 Elk River) #100 PCC FAI 2 M Health Fairview Clinic - Elk River (Fairview Clinics - 290 Main St. N.W., P1 Sherburne Elk River MN FP145 Elk River) #100 PCC FAI 2 HP Sherburne Elk River MN 450 HealthPartners RiverWay Clinics - Elk River 530 3rd St NW PCC HPR 1 800 Freeport Avenue BC Sherburne Elk River MN 003217675 North Memorial Health Clinic - Elk River NW, #100 PCC NOR 2 800 Freeport Avenue HP Sherburne Elk River MN 2497 North Memorial Health Clinic - Elk River NW, #100 PCC NOR 2 800 Freeport Ave. N., P1 Sherburne Elk River MN NM101 North Memorial Health Clinic - Elk River #100A PCC NOR 2 HP Sheridan McClusky ND 2985 Northland Community Health Center - McClusky 122 E 2nd St PCC INW 4 BC Sibley Arlington MN 003209296 Ridgeview Arlington Clinic 601 W. Chandler St. PCC RGV 3 HP Sibley Arlington MN 343 Ridgeview Arlington Clinic 601 W. Chandler St. PCC RGV 2

P1 Sibley Arlington MN NA319 Ridgeview Arlington Clinic 601 W. Chandler St. PCC RGV 3 BC Sibley Gaylord MN 003209299 Ridgeview Gaylord Clinic 660 Third St. PCC RGV 3 HP Sibley Gaylord MN 353 Ridgeview Gaylord Clinic 660 Third St. PCC RGV 2 P1 Sibley Gaylord MN NA307 Ridgeview Gaylord Clinic 660 3rd St. PCC RGV 3 BC Sibley Henderson MN 003209298 Ridgeview Henderson Clinic 505 Main St. PCC RGV 3 P1 Sibley Henderson MN NA447 Ridgeview Henderson Clinic 505 Main St. PCC RGV 3 HP Sibley Henderson MN 3015 Ridgeview Henderson Clinic 505 Main St. PCC RGV 2 BC Sibley Winthrop MN 003209297 Ridgeview Winthrop Clinic 202 S County Rd 33 PCC RGV 3 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Sibley Winthrop MN NA308 Ridgeview Winthrop Clinic 202 S County Rd 33 PCC RGV 3 HP Sibley Winthrop MN 364 Ridgeview Winthrop Clinic 202 S County Rd 33 PCC RGV 2 BC Sibley Winthrop MN 003207652 Winthrop Area Clinic - New Ulm Medical Center 211 East Second St. PCC ALL 2 HP Sibley Winthrop MN 3036 Winthrop Area Clinic - New Ulm Medical Center 211 East Second St. PCC ALL 3 P1 Sibley Winthrop MN AM172 Winthrop Area Clinic - New Ulm Medical Center 211 E. 2nd St. PCC ALL 3 HP Sioux Boyden IA 3377 Sanford Clinic Boyden 3971 320th St PCC SAN 2

P1 Sioux Boyden IA SV219 Sanford Clinic Boyden 3971 320th St. PCC SAN 2 HP Sioux Hawarden IA 3924 Sioux Center Health Hawarden Medical Clinic 920 Avenue F PCC AVH 2 P1 Sioux Hospers IA NA692 Hospers Medical Clinic 102 3rd Ave. S. PCC ISO 4 HP Sioux Hull IA 2719 Hull Medical Clinic/Avera Health 807 Main Ste D PCC AVH 2 1000 Lincoln Cir. S.E., P1 Sioux Orange City IA NA694 Orange City Medical Clinic #100 PCC ISO 4 HP Sioux Rock Valley IA 2287 Hegg Medical Clinic Avera 1202 - 21st Avenue PCC AVH 2

P1 Sioux Rock Valley IA AH130 Hegg Medical Clinic - Avera Health 1202 21st Ave. PCC AVH 2 HP Sioux Sioux Center IA 2718 Sioux Center Health 1101 9th St SE PCC AVH 2 HP Spink Redfield SD 3428 Redfield Clinic 1010 West 1st St. PCC AVH 2 P1 Spink Redfield SD AH237 Redfield Clinic 1010 West 1st St. PCC AVH 2 HP Spink Doland SD 3624 Doland Clinic 213 N Humphrey Dr PCC AVH 2

P1 Spink Doland SD AH238 Doland Clinic 213 N. Humphrey Dr. PCC AVH 2

BC St. Croix Baldwin WI 003205380 Western Wisconsin Health - Main Campus 1100 Bergslien Street PCC IWI 4

HP St. Croix Baldwin WI 579 Western Wisconsin Health - Main Campus 1100 Bergslien Street PCC IWI 4

P1 St. Croix Baldwin WI NA207 Western Wisconsin Health - Main Campus 1100 Bergslien St. PCC IWI 4 BC St. Croix Baldwin WI 003668154 Hudson Physicians - Baldwin 840 Spruce Street PCC HUD 2 HP St. Croix Baldwin WI 3681 Hudson Physicians - Baldwin 840 Spruce Street PCC HUD 2 P1 St. Croix Baldwin WI NA713 Hudson Physicians - Baldwin 840 Spruce Street PCC HUD 2 Mayo Clinic Health System Red Cedar - Glenwood HP St. Croix Glenwood City WI 2606 City Clinic 219 E Oak PCC MAY 4 Mayo Clinic Health System Red Cedar - Glenwood P1 St. Croix Glenwood City WI MH169 City Clinic 219 E. Oak Ave. PCC MAY 4 HP St. Croix Hudson WI 3324 HealthPartners Hudson Clinic 411 Stageline Rd PCC IWI 4 BC St. Croix Hudson WI 003211887 Hudson Physicians 403 Stageline Rd. PCC HUD 2 HP St. Croix Hudson WI 571 Hudson Physicians 403 Stageline Rd. PCC HUD 2 P1 St. Croix Hudson WI NA203 Hudson Physicians, S.C. 403 Stageline Rd. PCC HUD 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 1610 Maxwell Drive, BC St. Croix Hudson WI 003215560 Pediatric & Young Adult Medicine - Hudson #245 PD PED 2 1610 Maxwell Drive, HP St. Croix Hudson WI 3061 Pediatric & Young Adult Medicine - Hudson #245 PD PED 2 1610 Maxwell Dr., P1 St. Croix Hudson WI CP155 Pediatric & Young Adult Medicine - Hudson #245 PD PED 2

BC St. Croix New Richmond WI 003197070 Westfields Hospital & Clinic 535 Hospital Road PCC IWI 4

HP St. Croix New Richmond WI 581 Westfields Hospital & Clinic 535 Hospital Road PCC IWI 2

P1 St. Croix New Richmond WI HP130 New Richmond Clinic 551 Hospital Rd. PCC IWI 4 BC St. Croix Roberts WI 003216730 Western Wisconsin Health - Roberts Location 503 Cherry Lane PCC IWI 4 HP St. Croix Roberts WI 3228 Western Wisconsin Health - Roberts Location 503 Cherry Lane PCC IWI 4

P1 St. Croix Roberts WI NA547 Western Wisconsin Health - Roberts 503 Cherry Ln. PCC IWI 4 BC St. Croix Somerset WI 003367536 Stillwater Medical Group - Somerset Clinic 700 Rivard St. PCC SCV 2 HP St. Croix Somerset WI 2471 Stillwater Medical Group - Somerset Clinic 700 Rivard St. PCC SCV 2 P1 St. Croix Somerset WI HP135 Stillwater Medical Group - Somerset Clinic 700 Rivard St. PCC SCV 2 BC St. Louis Aurora MN 003712354 Essentia Health - Northern Pines Clinic 5211 Highway 110 PCC SMD 2 HP St. Louis Aurora MN 2398 Essentia Health - Northern Pines Clinic 5211 Highway 110 PCC SMD 2 P1 St. Louis Aurora MN DC102 Essentia Health - Northern Pines Clinic 5211 Highway 110 PCC SMD 3 BC St. Louis Babbitt MN 003202761 Essentia Health - Babbitt Clinic 71 South Drive PCC SMD 2 HP St. Louis Babbitt MN 2361 Essentia Health - Babbitt Clinic 71 South Drive PCC SMD 2

P1 St. Louis Babbitt MN DC103 Essentia Health - Babbitt Clinic 71 South Drive PCC SMD 3 BC St. Louis Chisholm MN 003206986 Essentia Health - Chisholm Clinic 400 NW 1st St. PCC SMD 2 HP St. Louis Chisholm MN 2369 Essentia Health - Chisholm Clinic 400 NW 1st St. PCC SMD 2 P1 St. Louis Chisholm MN DC104 Essentia Health - Chisholm Clinic 400 N.W. 1st St. PCC SMD 3 BC St. Louis Cook MN 003213674 Scenic Rivers Health Services - Cook 20 Fifth St SE PCC INE 2 HP St. Louis Cook MN 2707 Scenic Rivers Health Services - Cook 20 Fifth St SE PCC INE 2 P1 St. Louis Cook MN NA591 Scenic Rivers Health Services - Cook 20 5th St. S.E. PCC INE 2 BC St. Louis Duluth MN 003212555 Denfeld Medical Center 4702 Grand Ave. PCC SLK 2 HP St. Louis Duluth MN 26 Denfeld Medical Center 4702 Grand Ave. PCC SLK 2 P1 St. Louis Duluth MN SL103 Denfeld Medical Center 4702 Grand Ave. PCC SLK 4 BC St. Louis Duluth MN 003213702 Duluth Family Medicine Clinic 330 N. 8th Ave. E. PCC INE 2 HP St. Louis Duluth MN 136 Duluth Family Medicine Clinic 330 N. 8th Ave. E. PCC INE 2 P1 St. Louis Duluth MN DC168 Duluth Family Medicine Clinic 330 N. 8th Ave. E. PCC INE 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

BC St. Louis Duluth MN 004321686 Essentia Health - Duluth Clinic 1st Street Building 420 East First Street PCC SMD 2

HP St. Louis Duluth MN 2346 Essentia Health - Duluth Clinic 1st Street Building 420 East First Street PCC SMD 2

P1 St. Louis Duluth MN DC173 Essentia Health Duluth Clinic (1st St Bldg) 420 E 1st St PCC SMD 3

BC St. Louis Duluth MN 003202806 Essentia Health - Lakeside Clinic 4621 East Superior St PCC SMD 2

HP St. Louis Duluth MN 2347 Essentia Health - Lakeside Clinic 4621 East Superior St PCC SMD 2

P1 St. Louis Duluth MN DC116 Essentia Health - Lakeside Clinic 4621 E. Superior St. PCC SMD 3 BC St. Louis Duluth MN 003217980 Essentia Health - Lakewalk Clinic 1502 London Road PCC SMD 2 HP St. Louis Duluth MN 2725 Essentia Health - Lakewalk Clinic 1502 London Road PCC SMD 2 1502 London Road, P1 St. Louis Duluth MN DC129 Essentia Health - Lakewalk Clinic #102 PCC SMD 3 BC St. Louis Duluth MN 003202754 Essentia Health - West Duluth Clinic 4212 Grand Ave. PCC SMD 2 HP St. Louis Duluth MN 2351 Essentia Health - West Duluth Clinic 4212 Grand Ave. PCC SMD 2

P1 St. Louis Duluth MN DC127 Essentia Health - West Duluth Clinic 4212 Grand Ave. PCC SMD 3

BC St. Louis Duluth MN 003213694 Lake Superior Community Health Center - Duluth 4325 Grand Ave. PCC INE 2

HP St. Louis Duluth MN 2684 Lake Superior Community Health Center - Duluth 4325 Grand Ave. PCC INE 2

P1 St. Louis Duluth MN NA452 Lake Superior Community Health Center - Duluth 4325 Grand Ave. PCC INE 2 BC St. Louis Duluth MN 003211507 Lester River Medical Clinic 6351 E. Superior St. PCC SLK 2 HP St. Louis Duluth MN 3215 Lester River Medical Clinic 6351 E. Superior St. PCC SLK 2

P1 St. Louis Duluth MN SL114 Lester River Medical Center 6351 E. Superior St. PCC SLK 4 Min No Aya Win Clinic (aka Center for American BC St. Louis Duluth MN 003200462 Indian Resources) 211 W 4th St PCC INE 2 Min No Aya Win Clinic (aka Center for American HP St. Louis Duluth MN 3229 Indian Resources) 211 W 4th St PCC INE 2 BC St. Louis Duluth MN 003215290 Mount Royal Medical Center 1400 Woodland Ave. PCC SLK 2 HP St. Louis Duluth MN 138 Mount Royal Medical Center 1400 Woodland Ave. PCC SLK 2 P1 St. Louis Duluth MN SL105 Mt. Royal Medical Center 1400 Woodland Ave. PCC SLK 4 26 E. Superior St., BC St. Louis Duluth MN 003205376 P.S. Rudie Medical Clinic #205 PCC SLK 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric 26 E. Superior St., HP St. Louis Duluth MN 147 P.S. Rudie Medical Clinic #205 PCC SLK 2 26 E. Superior St., P1 St. Louis Duluth MN SL112 P.S. Rudie Medical Clinic #205 PCC SLK 4 1001 East Superior BC St. Louis Duluth MN 003202904 St. Luke's Internal Medicine Associates Street, Suite 401 PCC SLK 2 1001 East Superior HP St. Louis Duluth MN 2628 St. Luke's Internal Medicine Associates Street, Suite 401 PCC SLK 2 1001 East Superior P1 St. Louis Duluth MN SL100 St. Luke's Internal Medicine Associates Street, Suite 401 PCC SLK 4 1012 East Second BC St. Louis Duluth MN 003200125 St. Luke's Pediatric Associates Street, 4th Floor PD SLK 2 1012 East Second HP St. Louis Duluth MN 2629 St. Luke's Pediatric Associates Street, 4th Floor PD SLK 2

P1 St. Louis Duluth MN SL109 St. Luke's Pediatric Associates 1012 E 2nd St, 5th Flr PD SLK 4 BC St. Louis Ely MN 004096725 Essentia Health - Ely Clinic 300 W. Conan St. PCC SMD 2 HP St. Louis Ely MN 2360 Essentia Health - Ely Clinic 300 W. Conan St. PCC SMD 2

P1 St. Louis Ely MN DC106 Essentia Health - Ely Clinic 300 W. Conan St. PCC SMD 3 BC St. Louis Floodwood MN 003213675 Scenic Rivers Health Services - Floodwood 810 Poplar Street PCC INE 2 HP St. Louis Floodwood MN 2709 Scenic Rivers Health Services - Floodwood 810 Poplar Street PCC INE 2

P1 St. Louis Floodwood MN NA354 Scenic Rivers Health Services - Floodwood 810 Poplar St. PCC INE 2 4855 W. Arrowhead BC St. Louis Hermantown MN 003202816 Essentia Health - Hermantown Clinic Rd. PCC SMD 2 4855 W. Arrowhead HP St. Louis Hermantown MN 2350 Essentia Health - Hermantown Clinic Rd. PCC SMD 2

P1 St. Louis Hermantown MN DC110 Essentia Health - Hermantown Clinic 4855 W. Arrowhead PCC SMD 3

BC St. Louis Hermantown MN 003215004 Miller Creek Medical Clinic 4190 Loberg Avenue PCC SLK 2

HP St. Louis Hermantown MN 2512 Miller Creek Medical Clinic 4190 Loberg Avenue PCC SLK 2

P1 St. Louis Duluth MN SL102 Miller Creek Medical Clinic 4190 Loberg Avenue PCC SLK 4 BC St. Louis Hibbing MN 003206985 Essentia Health - Hibbing Clinic 730 E. 34th St. PCC SMD 2 HP St. Louis Hibbing MN 2365 Essentia Health - Hibbing Clinic 730 E. 34th St. PCC SMD 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 St. Louis Hibbing MN DC111 Essentia Health - Hibbing Clinic 730 E. 34th St. PCC SMD 3 BC St. Louis Hibbing MN 003199535 Hibbing Family Medical Center 1120 E. 34th St. PCC SLK 2 HP St. Louis Hibbing MN 2406 Hibbing Family Medical Center 1120 E. 34th St. PCC SLK 2 P1 St. Louis Hibbing MN SL101 Hibbing Family Medical Center 1120 E. 34th St. PCC SLK 4 BC St. Louis Hibbing MN 003205259 Fairview Mesaba Clinic - Hibbing 3605 Mayfair Ave. PCC FAI 3 HP St. Louis Hibbing MN 28 Fairview Mesaba Clinic - Hibbing 3605 Mayfair Ave. PCC FAI 2 P1 St. Louis Hibbing MN NA238 Fairview Mesaba Clinic - Hibbing 3605 Mayfair Ave. PCC FAI 2 8496 Enterprise Drive BC St. Louis Mountain Iron MN 003205259 Fairview Mesaba Clinic - Mountain Iron South PCC FAI 3 8496 Enterprise Drive HP St. Louis Mountain Iron MN 2464 Fairview Mesaba Clinic - Mountain Iron South PCC FAI 2 P1 St. Louis Mountain Iron MN NA269 Fairview Mesaba Clinic - Mountain Iron 8496 Enterprise Dr. PCC FAI 2 BC St. Louis Nett Lake MN 3212902 Bois Forte Medical Clinic 5219 St. John Drive INE 2 HP St. Louis Nett Lake MN 3967 Bois Forte Medical Clinic 5219 St. John Drive PCC INE 2 BC St. Louis Proctor MN 003217981 Essentia Health - Proctor Clinic 211 S Boundary Ave PCC SMD 2 HP St. Louis Proctor MN 2727 Essentia Health - Proctor Clinic 211 S Boundary Ave PCC SMD 2 211 S. Boundary P1 St. Louis Proctor MN DC130 Essentia Health - Proctor Clinic Avenue PCC SMD 3 BC St. Louis Tower MN 003213676 Scenic Rivers Health Services - Tower 415 N 2nd St Ste 2 PCC INE 2 HP St. Louis Tower MN 3362 Scenic Rivers Health Services - Tower 415 N 2nd St Ste 2 PCC INE 2 1613 Farm Road HP St. Louis Tower MN 3968 Bois Forte Medical Clinic - Vermillion Clinic South PCC INE 2 BC St. Louis Virginia MN 003214814 Essentia Health - Virginia Clinic 1101 9th St. North PCC SMD 2 HP St. Louis Virginia MN 2400 Essentia Health - Virginia Clinic 1101 9th St. North PCC SMD 2

P1 St. Louis Virginia MN DC124 Essentia Health - Virginia Clinic 1101 9th St. N. PCC SMD 3 BC St. Louis Virginia MN 003199136 Laurentian Medical Clinic 8373 Unity Drive PCC SLK 2 HP St. Louis Virginia MN 2376 Laurentian Medical Clinic 8373 Unity Drive PCC SLK 2

P1 St. Louis Virginia MN SL104 Laurentian Medical Clinic 8373 Unity Dr. PCC SLK 4 HP Stanley Fort Pierre SD 3314 Oahe Valley Health Center 202 Island Dr Ste 1 PCC AVH 2 P1 Stanley Fort Pierre SD AH236 Oahe Valley Health Center 202 Island Dr., #1 PCC AVH 2 HP Stark Dickinson ND 3007 Sanford Clinic East Dickinson 33 9th St W PCC MER 2 P1 Stark Dickinson ND SV250 Sanford Health East Dickinson Clinic 33 9th St. W. PCC MER 2 HP Stark Dickinson ND 2974 Sanford Health West Dickinson Clinic 2615 Fairway St PCC MER 2

P1 Stark Dickinson ND SV230 Sanford Health West Dickinson Clinic 2615 Fairway St. PCC MER 2 HP Stark Richardton ND 3005 Richardton Health Center Clinic 215 3rd Ave W PCC INW 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric P1 Stark Richardton ND NA705 Richardton Clinic 215 3rd Ave N PCC INW 4 BC Stearns Albany MN 003351476 CentraCare - Albany Clinic 30 Railroad Avenue PCC CEN 2 HP Stearns Albany MN 741 CentraCare - Albany Clinic 30 Railroad Avenue PCC CEN 2 P1 Stearns Albany MN NA154 CentraCare - Albany Clinic 30 Railroad Ave PCC CEN 2

BC Stearns Brooten MN 003216733 Glacial Ridge Health System - Brooten Medical Center 111 Pleasant Ave. N. PCC ICM 2

HP Stearns Brooten MN 2240 Glacial Ridge Health System - Brooten Medical Center 111 Pleasant Ave. N. PCC ICM 2

P1 Stearns Brooten MN MR156 Glacial Ridge Health System - Brooten Medical Center 111 Pleasant Ave. N. PCC ICM 2 402 N. Red River Ave., BC Stearns Cold Spring MN 003638585 CentraCare - Cold Spring Clinic #2 PCC CEN 2 402 N. Red River Ave., HP Stearns Cold Spring MN 2557 CentraCare - Cold Spring Clinic #2 PCC CEN 2 402 N. Red River Ave., P1 Stearns Cold Spring MN NA116 CentraCare - Cold Spring Clinic #2 PCC CEN 2 BC Stearns Cold Spring MN 003200086 Wenner, Christopher J. MD, PA 218 Main Street PCC ICM 3 HP Stearns Cold Spring MN 3193 Wenner, Christopher J. MD, PA 218 Main Street PCC ICM 3 P1 Stearns Cold Spring MN NS120 Wenner, MD, PA, Christopher J. 218 Main St. PCC ICM 3 BC Stearns Collegeville MN 003643510 CentraCare Quick Care 2749 Sexton Drive PCC CEN 2 2850 Abbey Plaza P1 Stearns Collegeville MN NA675 CentraCare Clinic - St. John's HlthC, #109 PCC CEN 2 BC Stearns Melrose MN 003208713 CentraCare - Melrose Clinic 525 W. Main St. PCC CEN 2 HP Stearns Melrose MN 740 CentraCare - Melrose Clinic 525 W. Main St. PCC CEN 2 P1 Stearns Melrose MN NA135 CentraCare - Melrose Clinic 525 W. Main St. PCC CEN 2 BC Stearns Paynesville MN 003204253 CentraCare - Paynesville Clinic 200 W. 1st. St. PCC CEN 2 HP Stearns Paynesville MN 744 CentraCare - Paynesville Clinic 200 W. 1st. St. PCC CEN 2 P1 Stearns Paynesville MN NA600 CentraCare - Paynesville Clinic 200 W. 1st St. PCC CEN 2 BC Stearns Richmond MN 003204255 CentraCare Paynesville - Richmond Clinic 130 First St. NE PCC CEN 2 HP Stearns Richmond MN 870 CentraCare Paynesville - Richmond Clinic 130 First St. NE PCC CEN 2 P1 Stearns Richmond MN NA601 CentraCare Paynesville - Richmond Clinic 130 1st St. N.E. PCC CEN 2

BC Stearns Sartell MN 003216221 Sartell Pediatrics 111 Second St. South PD PED 2

HP Stearns Sartell MN 3350 Sartell Pediatrics 111 Second St. South PD PED 2 P1 Stearns Sartell MN NS131 Sartell Pediatrics, PA 111 2nd St S PD PED 2 BC Stearns Sartell MN 003204919 Williams Integracare Clinic 100 South 2nd St. PCC ICM 3 HP Stearns Sartell MN 3340 Williams Integracare Clinic 100 South 2nd St. PCC ICM 3 P1 Stearns Sartell MN MR143 Williams Integracare Clinic 100 2nd St S PCC ICM 3 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric BC Stearns Sauk Centre MN 003206481 CentraCare - Sauk Centre Clinic 425 Elm St. North PCC CEN 2 HP Stearns Sauk Centre MN 745 CentraCare - Sauk Centre Clinic 425 Elm St. North PCC CEN 2 P1 Stearns Sauk Centre MN NA184 CentraCare - Sauk Centre Clinic 425 Elm St. N. PCC CEN 2 1900 CentraCare BC Stearns St. Cloud MN 003208464 CentraCare - Plaza Clinic Internal Medicine Circle, Suite 2425 PCC CEN 2 1900 CentraCare HP Stearns St. Cloud MN 3953 CentraCare - Plaza Clinic Internal Medicine Circle, Suite 2425 PCC CEN 2 1900 CentraCare Cir P1 Stearns St. Cloud MN NA356 CentraCare - Plaza Clinic Internal Medicine #2425 PCC CEN 2 1555 Northway Drive, BC Stearns St. Cloud MN 003217449 CentraCare - Northway Clinic #100 PCC CEN 2 1555 Northway Drive, HP Stearns St. Cloud MN 019 CentraCare - Northway Clinic #100 PCC CEN 2 1555 Northway Dr. P1 Stearns St. Cloud MN NA131 CentraCare Clinic - Northway Family Medicine #100 PCC CEN 2

BC Stearns St. Cloud MN 003211800 CentraCare - River Campus Clinic 1200 Sixth Ave. North PCC CEN 2

HP Stearns St. Cloud MN 024 CentraCare - River Campus Clinic 1200 Sixth Ave. North PCC CEN 2 P1 Stearns St. Cloud MN NA134 CentraCare - River Campus Clinic 1200 6th Ave N PCC CEN 2 CentraCare - Health Plaza Obstetrics & Women's 1900 CentraCare BC Stearns St. Cloud MN 003209689 Health Circle, #2300 PCC CEN 2 CentraCare Clinic - Women & Children's Health 1900 CentraCare P1 Stearns St. Cloud MN NA139 Center Circle PCC CEN 2

BC Stearns St. Cloud MN 003207233 CentraCare - Family Health Clinic 1555 Northway Drive PCC CEN 2

HP Stearns St. Cloud MN 2212 CentraCare - Family Health Clinic 1555 Northway Drive PCC CEN 2 1555 Northway Dr., P1 Stearns St. Cloud MN NA137 CentraCare Family Health Center #200 PCC CEN 2

BC Stearns St. Cloud MN 003642549 CentraCare - St. Cloud Medical Group - South 1301 - 33rd St. South PCC CEN 2

HP Stearns St. Cloud MN 2554 CentraCare - St. Cloud Medical Group - South 1301 - 33rd St. South PCC CEN 2 P1 Stearns St. Cloud MN NA117 CentraCare - St. Cloud Medical Group - South 1301 33rd St. S. PCC CEN 2

BC Stearns St. Cloud MN 003638673 CentraCare - St. Cloud Medical Group North 251 County Road 120 PCC CEN 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Stearns St. Cloud MN 2555 CentraCare - St. Cloud Medical Group North 251 County Road 120 PCC CEN 2 P1 Stearns St. Cloud MN NA212 CentraCare - St. Cloud Medical Group North 251 County Rd. 120 PCC CEN 2 1511 Northway Drive, BC Stearns St. Cloud MN 004087090 Simplicity Health #103 PCC ICM 3 1511 Northway Drive, HP Stearns St. Cloud MN 3690 Simplicity Health #103 PCC ICM 3 1511 Northway Drive, P1 Stearns St. Cloud MN NS133 Simplicity Health #103 PCC ICM 3 BC Stearns St. Joseph MN 003217446 CentraCare - St. Joseph Clinic 1360 Elm St. East PCC CEN 2 HP Stearns St. Joseph MN 022 CentraCare - St. Joseph Clinic 1360 Elm St. East PCC CEN 2 P1 Stearns St. Joseph MN NA133 CentraCare - St. Joseph Clinic 1360 Elm St. E. PCC CEN 2

HP Steele Finley ND 3260 Sanford Clinic Finley 407 Washington Ave E PCC MER 2 407 Washington Ave P1 Steele Finley ND SV168 Sanford Finley Clinic E. PCC MER 2 BC Steele Owatonna MN 003698575 Mayo Clinic Health System - Owatonna 2200 - 26th St. NW PCC MAY 4 HP Steele Owatonna MN 2548 Mayo Clinic Health System - Owatonna 2200 - 26th St. NW PCC MAY 4 P1 Steele Owatonna MN MH138 Mayo Clinic Health System - Owatonna 2200 26th St. NW PCC MAY 4 BC Stevens Hancock MN 003448230 Swift County Benson Hospital - Hancock Clinic 668 Atlantic Ave. PCC ICM 2* HP Stevens Hancock MN 2521 Swift County Benson Hospital - Hancock Clinic 668 Atlantic Ave. PCC ICM 2* P1 Stevens Hancock MN MR170 Swift County Benson Hospital - Hancock Clinic 686 Atlantic Ave. PCC ICM 2*

BC Stevens Morris MN 003206374 Prairie Ridge Hospital & Health Services - Morris 24 E. 7th St. PCC ICM 2

HP Stevens Morris MN 2372 Prairie Ridge Hospital & Health Services - Morris 24 E. 7th St. PCC ICM 2

P1 Stevens Morris MN MR126 Prairie Ridge Hospital & Health Services - Morris 24 E. 7th St. PCC ICM 2 BC Stevens Morris MN 003212310 Stevens Community Medical Center - Morris 400 E. 1st St. PCC ICM 2 HP Stevens Morris MN 2217 Stevens Community Medical Center - Morris 400 E. 1st St. PCC ICM 2 P1 Stevens Morris MN NA226 Stevens Community Medical Center - Morris 400 E. 1st St. PCC ICM 2 HP Stutsman Jamestown ND 3192 Central Valley Health District 122 2nd St NW PCC INW 4 HP Stutsman Jamestown ND 356 Essentia Health - Jamestown Clinic 2430 20th St SW PCC DCH 2

P1 Stutsman Jamestown ND DC145 Essentia Health - Jamestown Clinic 2430 20th St. SW PCC DCH 2

P1 Stutsman Jamestown ND NA677 Medallus & Vacharothone, Ltd. 721 1st Ave. S., Unit A PCC INW 4 HP Stutsman Jamestown ND 2971 Sanford Clinic 2nd Ave Clinic 300 2nd Ave NE PCC MER 2 P1 Stutsman Jamestown ND SV231 Sanford Health 2nd Ave. Clinic 300 2nd Ave. N.E. PCC MER 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP Stutsman Jamestown ND 894 Sanford Clinic Jamestown 904 5th Ave NE PCC MER 2 P1 Stutsman Jamestown ND SV187 Sanford Health Jamestown Clinic 904 5th Ave. N.E. PCC MER 2 HP Sully Onida SD 3315 Onida Clinic 303 S Main St PCC AVH 2 P1 Sully Onida SD AH245 Onida Clinic 303 S. Main St. PCC AVH 2 BC Swift Appleton MN 003207890 Appleton Medical Clinic 30 S. Behl St. PCC ICM 2 HP Swift Appleton MN 839 Appleton Medical Clinic 30 S. Behl St. PCC ICM 2 P1 Swift Appleton MN MR118 Appleton Medical Clinic 30 S. Behl St. PCC ICM 2 1815 Wisconsin BC Swift Benson MN 003448230 Swift County Benson Hospital - Benson Clinic Avenue PCC ICM 2* 1815 Wisconsin HP Swift Benson MN 3626 Swift County Benson Hospital - Benson Clinic Avenue PCC ICM 2* 1815 Wisconsin P1 Swift Benson MN MR169 Swift County Benson Hospital - Benson Clinic Avenue PCC ICM 2* HP Taylor Gilman WI 2919 Aspirus Gilman Clinic 320 E Main St PCC IWI 4 HP Taylor Medford WI 2927 Aspirus Medford Clinic 143 S Gibson St PCC IWI 4 HP Taylor Rib Lake WI 2933 Aspirus Rib Lake Clinic 1121 Hwy 102 PCC IWI 4 BC Todd Bertha MN 003206450 Tri-County Health Care - Bertha Clinic 214 First St. NW PCC ECP 2 HP Todd Bertha MN 230 Tri-County Health Care - Bertha Clinic 214 First St. NW PCC ECP 2 P1 Todd Bertha MN NA375 Tri-County Health Care - Bertha Clinic 214 1st St. NW PCC ECP 2 BC Todd Browerville MN 003210796 Lakewood Clinic - Browerville 30525 - 241st Ave. PCC LKW 2 HP Todd Browerville MN 2442 Lakewood Clinic - Browerville 30525 - 241st Ave. PCC LKW 2 P1 Todd Browerville MN NA347 Lakewood Clinic - Browerville 30535 241st Ave. PCC LKW 2

BC Todd Eagle Bend MN 003210724 Lakewood Clinic - Eagle Bend 815 Highway 71 South PCC LKW 2

HP Todd Eagle Bend MN 2441 Lakewood Clinic - Eagle Bend 815 Highway 71 South PCC LKW 2 P1 Todd Eagle Bend MN NA346 Lakewood Clinic - Eagle Bend 815 Hwy. 71 S. PCC LKW 2 BC Todd Long Prairie MN 003208712 CentraCare - Long Prairie Clinic 50 CentraCare Drive PCC CEN 2 HP Todd Long Prairie MN 199 CentraCare - Long Prairie Clinic 50 CentraCare Drive PCC CEN 2

P1 Todd Long Prairie MN NA173 CentraCare Clinic - Long Prairie 50 CentraCare Drive PCC CEN 2 BC Todd Staples MN 003207748 Lakewood Clinic - Staples 49725 County 83 PCC LKW 2 HP Todd Staples MN 2440 Lakewood Clinic - Staples 49725 County 83 PCC LKW 2 P1 Todd Staples MN NA345 Lakewood Clinic - Staples 49725 County 83 PCC LKW 2

P1 Towner Cando ND NA536 Cando Clinic Hwy. 281 N. PCC INW 4

BC Traill Hillsboro ND 003725992 Sanford Clinic Hillsboro 315 E Caledonia Ave PCC MER 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Traill Hillsboro ND 595 Sanford Clinic Hillsboro 315 E Caledonia Ave PCC MER 2

P1 Traill Hillsboro ND SV243 Sanford Hillsboro Clinic 315 E. Caledonia Ave. PCC MER 2 BC Traill Mayville ND 003725919 Sanford Clinic Mayville 600 First St. SE PCC MER 2 HP Traill Mayville ND 890 Sanford Clinic Mayville 600 First St. SE PCC MER 2

P1 Traill Mayville ND SV167 Sanford Mayville Clinic 600 1st Street SW PCC MER 2 HP Traverse Browns Valley MN 3221 Browns Valley Clinic 404 W Broadway PCC ICM 3 P1 Traverse Browns Valley MN NA427 Browns Valley Clinic 404 W. Broadway PCC ICM 3 BC Traverse Wheaton MN 003725547 Sanford Medical Center Wheaton 401 - 12th St. North PCC MER 2 HP Traverse Wheaton MN 2694 Sanford Medical Center Wheaton 401 - 12th St. North PCC MER 2

P1 Traverse Wheaton MN SV251 Sanford Wheaton Clinic 401 12th St. N. PCC MER 2 Mayo Clinic Health Care Franciscan Healthcare - BC Trempealeau Arcadia WI 003307438 Arcadia 895 Detloff Dr PCC MAY 4 Mayo Clinic Health Care Franciscan Healthcare - HP Trempealeau Arcadia WI 2581 Arcadia 895 Detloff Dr PCC MAY 4 Mayo Clinic Health System Franciscan Healthcare - P1 Trempealeau Arcadia WI FS101 Arcadia 895 Detloff Dr. PCC MAY 4

HP Trempealeau Arcadia WI 3373 Sacred Heart - Prevea Health 945 Dettloff Dr PCC IWI 4

BC Trempealeau Blair WI 003206740 Gundersen Tri-County Hospital & Clinics - Blair 420 S Peterson Ave PCC GUN 3

HP Trempealeau Blair WI 2666 Gundersen Tri-County Hospital & Clinics - Blair 420 S Peterson Ave PCC GUN 3

BC Trempealeau Galesville WI 003201862 Gundersen Galesville Clinic 16812 S Main St PCC GUN 3

HP Trempealeau Galesville WI 2583 Gundersen Galesville Clinic 16812 S Main St PCC GUN 3 Gundersen Tri-County Hospital & Clinics - BC Trempealeau Independence WI 003206741 Independence 35791 Osseo Rd PCC GUN 3 Gundersen Tri-County Hospital & Clinics - HP Trempealeau Independence WI 2669 Independence 35791 Osseo Rd PCC GUN 3

HP Trempealeau Osseo WI 2772 Buffalo River Clinic, SC 12830 Cox Ln PCC IWI 4

HP Trempealeau Osseo WI 2602 Mayo Clinic Health System Oakridge - Osseo Clinic 13025 E 8th St PCC MAY 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Trempealeau Osseo WI MH170 Mayo Clinic Health System Oakridge - Osseo Clinic 13025 8th St. PCC MAY 4

BC Trempealeau Whitehall WI 003206739 Gundersen Tri-County Hospital & Clinics - Whitehall 18606 Ervin St PCC GUN 3

HP Trempealeau Whitehall WI 2678 Gundersen Tri-County Hospital & Clinics - Whitehall 18606 Ervin St PCC GUN 3 HP Tripp Winner SD 2477 Avera Medical Group Winner 660 W 2nd St PCC AVH 2

P1 Tripp Winner SD AH141 Avera Medical Group Winner 660 W. 2nd St. PCC AVH 2

P1 Tripp Winner SD NA682 Winner Regional Clinic 825 E. 8th St. PCC ISO 4 HP Turner Centerville SD 2314 Centerville Medical Clinic 512 Broadway PCC ISO 4 P1 Turner Centerville SD NA685 Centerville Medical Clinic 512 Broadway PCC ISO 4 HP Turner Marion SD 3320 Rural Medical Clinics 307 E State St PCC AVH 2 P1 Turner Marion SD AH201 Rural Medical Clinics 307 E. State St. PCC AVH 2

HP Turner Parker SD 2404 Parker Medical Clinic 100 E. Sanborn, #100 PCC ISO 4

P1 Turner Parker SD NA686 Parker Medical Clinic 100 E. Sanborn, #100 PCC ISO 4 HP Turner Viborg SD 2381 Viborg Medical Clinic 103 W Pioneer PCC ISO 4 P1 Turner Viborg SD NA687 Viborg Medical Clinic 103 W. Pioneer PCC ISO 4 600 W Cedar St Hwy HP Union Beresford SD 2263 Sanford Clinic Family Medicine Beresford 46 PCC SAN 2 P1 Union Beresford SD SV129 Sanford Clinic Family Medicine Beresford 600 W. Cedar St. PCC SAN 2 Gundersen St. Joseph's Hospital and Clinics - HP Vernon Hillsboro WI 3020 Hillsboro 400 Water Ave PCC GUN 3 HP Vernon La Farge WI 3200 La Farge Medical Clinic 206 N Mill St PCC IWI 4 407 South Main St., BC Vernon Viroqua WI 003200482 Gundersen Lutheran Viroqua Clinic Suite #200 PCC GUN 3 407 South Main St., HP Vernon Viroqua WI 2674 Gundersen Lutheran Viroqua Clinic Suite #200 PCC GUN 3 HP Vernon Viroqua WI 3198 Hirsch Clinic 407 S Main Ste 400 PCC IWI 4 HP Vernon Westby WI 3197 Bland Clinic 100 Melby St PCC IWI 4

HP Vilas Eagle River WI 2821 Marshfield Clinic Eagle River Center 500 Commerce Loop PCC IWI 4 HP Vilas Eagle River WI 2856 Ascension St. Mary's at Eagle River 930 E Wall St PCC IWI 4 HP Vilas Land O Lakes WI 2906 Aspirus Land O' Lakes Clinic 4348 Hwy B Unit B PCC IWI 4 Olmsted Medical Center - Lake City Branch Clinic BC Wabasha Lake City MN 003732185 (formerly Lake City Family Physicians) 507 W. Doughty St. PCC OLM 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric Olmsted Medical Center - Lake City Branch Clinic HP Wabasha Lake City MN 3281 (formerly Lake City Family Physicians) 507 W. Doughty St. PCC OLM 4 P1 Wabasha Lake City MN OM114 Olmsted Medical Center - Lake City 507 W. Doughty St. PCC OLM 4 BC Wabasha Lake City MN 003208382 Mayo Clinic Health System - Lake City 500 W. Grant St. PCC MAY 4 HP Wabasha Lake City MN 550 Mayo Clinic Health System - Lake City 500 W. Grant St. PCC MAY 4

P1 Wabasha Lake City MN MH114 Mayo Clinic Health System - Lake City 500 W. Grant St. PCC MAY 4 BC Wabasha Plainview MN 003197112 Mayo Clinic Health System - Plainview Clinic 275 1st St SW PCC MAY 4 HP Wabasha Plainview MN 583 Mayo Clinic Health System - Plainview Clinic 275 1st St SW PCC MAY 4

P1 Wabasha Plainview MN MH132 Mayo Clinic Health System Lake City - Plainview Clinic 275 1st St. S.W. PCC MAY 4 BC Wabasha Plainview MN 003213590 Olmsted Medical Center - Plainview 20 2nd Ave NE PCC OLM 4 HP Wabasha Plainview MN 329 Olmsted Medical Center - Plainview 20 2nd Ave NE PCC OLM 4 P1 Wabasha Plainview MN OM105 Olmsted Medical Center - Plainview 20 2nd Ave. NE PCC OLM 4 1200 Grant Boulevard BC Wabasha Wabasha MN 003628047 Gundersen - St. Elizabeth's Rural Health Clinic West PCC GUN 2* 1200 Grant Boulevard HP Wabasha Wabasha MN 3655 Gundersen - St. Elizabeth's Rural Health Clinic West PCC GUN 2* P1 Wabasha Wabasha MN NA655 Gundersen - St. Elizabeth's Rural Health Clinic 1200 Grant Blvd. W. PCC GUN 2* BC Wadena Menahga MN 003201999 Essentia Health - Menahga Clinic 212 Aspen Ave. NE PCC DCH 2 HP Wadena Menahga MN 360 Essentia Health - Menahga Clinic 212 Aspen Ave. NE PCC DCH 2

P1 Wadena Menahga MN DC149 Essentia Health - Menahga Clinic 212 Aspen Ave. NE PCC DCH 2

BC Wadena Sebeka MN 003219395 Tri-County Health Care - Sebeka Clinic 106 Minnesota Avenue PCC ECP 2

HP Wadena Sebeka MN 232 Tri-County Health Care - Sebeka Clinic 106 Minnesota Avenue PCC ECP 2

P1 Wadena Sebeka MN NA374 Tri-County Health Care - Sebeka Clinic 106 Minnesota Ave. E. PCC ECP 2 BC Wadena Verndale MN 003201988 Tri County Health Care - Verndale Clinic 102 S Farwell St PCC ECP 2 HP Wadena Verndale MN 3403 Tri-County Health Care - Verndale Clinic 102 Farwell St S PCC ECP 2 P1 Wadena Verndale MN NA613 Tri-County Health Care - Verndale Clinic 102 S Farwell St PCC ECP 2 BC Wadena Wadena MN 003217123 Tri-County Health Care - Wadena Clinic 4 Deerwood Ave NW PCC ECP 2 HP Wadena Wadena MN 2505 Tri-County Health Care - Wadena Clinic 4 Deerwood Ave NW PCC ECP 2

P1 Wadena Wadena MN NA366 Tri-County Health Care - Wadena Clinic 4 Deerwood Ave. NW PCC ECP 2 HP Walsh Grafton ND 2947 Grafton Family Clinic 164 W 13th St PCC INW 4 P1 Walsh Grafton ND NA282 Grafton Family Clinic 155 W. 14th St. PCC INW 4 P1 Walsh Park River ND NA526 First Care Health Care Center 115 Vivian St. PCC INW 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric Park River Family Clinic (formerly Midgarden Family HP Walsh Park River ND 3217 Clinic) 503 Park St W PCC INW 4 Park River Family Clinic (formerly Midgarden Family P1 Walsh Park River ND NA712 Clinic) 503 Park St W, #B PCC INW 4 HP Walworth Mobridge SD 3629 Mobridge Medical Clinic 1309 10th Ave W PCC ISO 4 P1 Walworth Mobridge SD NA636 Mobridge Medical Clinic 1309 10th Ave. West PCC ISO 4 HP Ward Kenmare ND 2938 Trinity Community Clinic - Kenmare 307 1st Ave NW PCC INW 4 P1 Ward Kenmare ND TH100 Trinity Community Clinic - Kenmare 307 N.W. 1st Ave. PCC INW 4

HP Ward Minot ND 2989 CHI St. Alexius Health Minot 2111 Landmark Circle PCC INW 4

HP Ward Minot ND 3913 Health Center - East Ridge 1251 - 21st Avenue SE PCC INW 4

P1 Ward Minot ND NA665 Minot Health Clinic 1418 S. Broadway, #B PCC INW 4 HP Ward Minot ND 2945 Trinity Health Center - Medical Arts 400 Burdick Expy E PCC INW 4 P1 Ward Minot ND TH107 Health Center - Medical Arts 400 Burdick Expy E PCC INW 4 P1 Ward Minot ND TH108 Health Center - South Ridge 1500 24th Ave SW PCC INW 4 831 S Broadway, Suite HP Ward Minot ND 2946 Trinity Health Center - Town & Country 113 PCC INW 4 P1 Ward Minot ND TH109 Health Center - T&C 831 S. Broadway PCC INW 4 HP Ward Minot ND 3034 Trinity Health Center - West 101 3rd Ave SW PCC INW 4 P1 Ward Minot ND TH110 Health Center - West 101 3rd Ave. SW PCC INW 4 1600 2nd Ave SW Ste HP Ward Minot ND 3396 Northland Community Health Center - Minot 19 PCC INW 4 1500 21st Ave NW Ste HP Ward Minot ND 3625 Sanford Health Northwest Clinic 101 PCC MER 2 1500 21st Ave. N.W., P1 Ward Minot ND SV249 Sanford Health Northwest Clinic #101 PCC MER 2 P1 Ward Minot ND TH104 Trinity Health 1 Burdick Expy. W. PCC INW 4 HP Ward Minot ND 3033 Trinity Health Center - East 20 Burdick Expy W PCC INW 4

BC Waseca Janesville MN 003699848 Mayo Clinic Health System Waseca - Janesville Clinic 312 N. Main PCC MAY 4

HP Waseca Janesville MN 258 Mayo Clinic Health System Waseca - Janesville Clinic 312 N. Main PCC MAY 4

P1 Waseca Janesville MN MH112 Mayo Clinic Health System Waseca - Janesville Clinic 312 N. Main PCC MAY 4 Mayo Clinic Health System Albert Lea and Austin - BC Waseca New Richland MN 003197965 New Richland 318 1st St. SW PCC MAY 2* Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric Mayo Clinic Health System Albert Lea and Austin - HP Waseca New Richland MN 2411 New Richland 318 1st St. SW PCC MAY 2* Mayo Clinic Health System Albert Lea - New Richland P1 Waseca New Richland MN MH118 Clinic 318 1st St. S.W. PCC MAY 2* BC Waseca Waseca MN 003699848 Mayo Clinic Health System - Waseca 501 N. State St. PCC MAY 4 HP Waseca Waseca MN 393 Mayo Clinic Health System - Waseca 501 N. State St. PCC MAY 4 P1 Waseca Waseca MN MH122 Mayo Clinic Health System - Waseca 501 N. State St. PCC MAY 4 HP Washburn Minong WI 194 Northlakes Community Health Center - Minong 600 Shell Creek Rd PCC INE 2 P1 Washburn Minong WI NS109 Northlakes Community Health Center - Minong 600 Shell Creek Rd. PCC INE 2 HP Washburn Shell Lake WI 2777 Indianhead Medical Center - Shell Lake 105 4th Ave PCC IWI 4 P1 Washburn Shell Lake WI NA283 Shell Lake Clinic 105 4th Ave. PCC IWI 4 HP Washburn Spooner WI 2357 Essentia Health - Spooner Clinic 1180 Chandler Dr PCC SMD 2

P1 Washburn Spooner WI DC120 Essentia Health - Spooner Clinic 1180 Chandler Dr. PCC SMD 3 8611 W. Point Douglas BC Washington Cottage Grove MN 003199533 Allina Health Cottage Grove Clinic Rd. South PCC ALL 2 8611 W. Point Douglas HP Washington Cottage Grove MN 429 Allina Health Cottage Grove Clinic Rd. South PCC ALL 3 8611 West Point P1 Washington Cottage Grove MN AM118 Allina Health Cottage Grove Clinic Douglas Rd. S. PCC ALL 3 M Health Fairview Clinic - Cottage Grove (HealthEast - 6936 Pine Arbor Dr. BC Washington Cottage Grove MN 003202618 Cottage Grove Clinic) S., #100 PCC FAI 3 M Health Fairview Clinic - Cottage Grove (HealthEast - 6936 Pine Arbor Dr. HP Washington Cottage Grove MN 755 Cottage Grove Clinic) S., #100 PCC FAI 2 M Health Fairview Clinic - Cottage Grove (HealthEast - 6936 Pine Arbor Dr S, P1 Washington Cottage Grove MN FP277 Cottage Grove Clinic) #100 PCC FAI 2 BC Washington Forest Lake MN 003210790 Allina Health Forest Lake Clinic 1540 S. Lake St. PCC ALL 2 HP Washington Forest Lake MN 453 Allina Health Forest Lake Clinic 1540 S. Lake St. PCC ALL 3 P1 Washington Forest Lake MN AM111 Allina Health Forest Lake Clinic 1540 S. Lake St. PCC ALL 3 Lakes Area Health Center (formerly called Ottomeyer BC Washington Forest Lake MN 003203111 Clinic) 967 Lake St. South PCC IMT 2 P1 Washington Forest Lake MN NA656 Lakes Area Health Center 967 Lake St. S. PCC IMT 2 14701 Victor Hugo BC Washington Hugo MN 003208931 Children's Hugo Clinic Blvd. North PD CHI 2 14701 Victor Hugo HP Washington Hugo MN 560 Children's Hugo Clinic Blvd. North PD CHI 2 14701 Victor Hugo P1 Washington Hugo MN CP156 Children's Hugo Clinic Blvd. N. PD CHI 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric M Health Fairview Clinic - Hugo (Fairview Clinics - 14712 Victor Hugo BC Washington Hugo MN 004475678 Hugo) Blvd. PCC FAI 3 M Health Fairview Clinic - Hugo (Fairview Clinics - 14712 Victor Hugo HP Washington Hugo MN 2739 Hugo) Blvd. PCC FAI 2 M Health Fairview Clinic - Hugo (Fairview Clinics - 14712 Victor Hugo P1 Washington Hugo MN FP196 Hugo) Blvd N PCC FAI 2 HealthPartners North Suburban Family Physicians - 14701 Victor Hugo HP Washington Hugo MN 3372 Hugo Blvd N PCC HPR 1 7400 - 33rd St. North, BC Washington Oakdale MN 003195608 Allina Health Oakdale Clinic #100 PCC ALL 2 7400 - 33rd St. North, HP Washington Oakdale MN 3400 Allina Health Oakdale Clinic #100 PCC ALL 3 7400 33rd St. N. Ste P1 Washington Oakdale MN AM185 Allina Health Oakdale Clinic 100 PCC ALL 3 M Health Fairview Clinic - Oakdale (HealthEast - 1099 Helmo Ave. N., BC Washington Oakdale MN 003203324 Oakdale Clinic) #100 PCC FAI 3 M Health Fairview Clinic - Oakdale (HealthEast - 1099 Helmo Ave. N., HP Washington Oakdale MN 825 Oakdale Clinic) #100 PCC FAI 2 M Health Fairview Clinic - Oakdale (HealthEast - 1099 Helmo Ave N, P1 Washington Oakdale MN FP276 Oakdale Clinic) #100 PCC FAI 2 21150 Ozark Ave. BC Washington Scandia MN 003201357 Osceola Medical Center - Scandia location North PCC IWI 4 21150 Ozark Ave. HP Washington Scandia MN 3264 Osceola Medical Center - Scandia location North PCC IWI 4 P1 Washington Scandia MN NA542 Osceola Medical Center/Scandia Clinic 21150 Ozark CT N PCC IWI 4 270 Main St. North, BC Washington Stillwater MN 003219414 Bluestone Physician Services Suite 300 PCC IMT 2 M Health Fairview Clinic - Stillwater (HealthEast - BC Washington Stillwater MN 003218057 Stillwater Clinic) 2900 Curve Crest Blvd. PCC FAI 3 M Health Fairview Clinic - Stillwater (HealthEast - HP Washington Stillwater MN 3322 Stillwater Clinic) 2900 Curve Crest Blvd. PCC FAI 2 M Health Fairview Clinic - Stillwater (HealthEast - 2900 Curve Crest Blvd P1 Washington Stillwater MN FP288 Stillwater Clinic) W PCC FAI 2

BC Washington Stillwater MN 003365756 Stillwater Medical Group - Curve Crest Clinic 1500 Curve Crest Blvd. PCC SCV 2

HP Washington Stillwater MN 547 Stillwater Medical Group - Curve Crest Clinic 1500 Curve Crest Blvd. PCC SCV 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

P1 Washington Stillwater MN HP132 Stillwater Medical Group - Curve Crest Clinic 1500 Curve Crest Blvd. PCC SCV 2

BC Washington Woodbury MN 003199340 Allina Health Woodbury Clinic 8675 Valley Creek Rd PCC ALL 2

HP Washington Woodbury MN 562 Allina Health Woodbury Clinic 8675 Valley Creek Rd PCC ALL 3

P1 Washington Woodbury MN AM122 Allina Health Woodbury Clinic 8675 Valley Creek Rd. PCC ALL 3 BC Washington Woodbury MN 003202657 Central Pediatrics PA - Woodbury 9680 Tamarack Rd. PD PED 2 HP Washington Woodbury MN 609 Central Pediatrics PA - Woodbury 9680 Tamarack Rd. PD PED 2 P1 Washington Woodbury MN CP101 Central Pediatrics PA - Woodbury 9680 Tamarack Rd. PD PED 2

BC Washington Woodbury MN 003207747 Entira Family Clinics - Woodbury 8325 City Centre Drive PCC FAM 2

HP Washington Woodbury MN 774 Entira Family Clinics - Woodbury 8325 City Centre Drive PCC FAM 2 P1 Washington Woodbury MN FP260 Entira Family Clinics - Woodbury 8325 City Center Dr. PCC FAM 2 M Health Fairview Clinic - Woodwinds (HealthEast - BC Washington Woodbury MN 003210974 Woodwinds Clinic) 1825 Woodwinds Dr PCC FAI 3 M Health Fairview Clinic - Woodwinds (HealthEast - HP Washington Woodbury MN 2383 Woodwinds Clinic) 1825 Woodwinds Dr PCC FAI 2 M Health Fairview Clinic - Woodwinds (HealthEast - P1 Washington Woodbury MN FP284 Woodwinds Clinic) 1825 Woodwinds Dr. PCC FAI 2 M Health Fairview Clinic - Tamarack (HealthEast BC Washington Woodbury MN 003206712 Clinic - Tamarack) 9900 Tamarack Road PCC FAI 3 M Health Fairview Clinic - Tamarack (HealthEast HP Washington Woodbury MN 3405 Clinic - Tamarack) 9900 Tamarack Road PCC FAI 2 M Health Fairview Clinic - Tamarack (HealthEast P1 Washington Woodbury MN FP289 Clinic - Tamarack) 9900 Tamarack Rd. PCC FAI 2 HP Washington Woodbury MN 557 HealthPartners Woodbury Clinic 8450 Seasons Pkwy PCC HPR 1 BC Watonwan Madelia MN 003198994 Madelia Community Hospital & Clinic 121 Drew Ave. SE PCC ISO 3 HP Watonwan Madelia MN 3337 Madelia Community Hospital & Clinic 121 Drew Ave. SE PCC ISO 2 P1 Watonwan Madelia MN NA562 Madelia Community Hospital & Clinic 121 Drew Ave. S.E. PCC ISO 4 1101 Moulton & BC Watonwan St. James MN 003207546 Mayo Clinic Health System - St. James Parsons Drive PCC MMC 4 1101 Moulton & HP Watonwan St. James MN 391 Mayo Clinic Health System - St. James Parsons Drive PCC MMC 4 1101 Moulton and P1 Watonwan St. James MN MH150 Mayo Clinic Health System - St. James Parsons Dr. PCC MMC 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP Waupaca Iola WI 2850 Ascension St. Michael's at Iola 205 S Main St PCC IWI 4

HP Waupaca Waupaca WI 2849 Ascension St. Michael's at Waupaca 190 Grand Seasons Dr PCC IWI 4 P1 Wells Harvey ND NA635 Family Care Clinic, P.C. 817 Lincoln Ave. PCC INW 4 24 Railroad Avenue, HP Williams Ray ND 3682 Northland Community Health Center - Ray #16 PCC INW 4

HP Williams Williston ND 2943 Trinity Community Clinic - Western Dakota 1321 W Dakota Pkwy PCC INW 4 1321 W. Dakota P1 Williams Williston ND TH102 Trinity Community Clinic - Western Dakota Parkway PCC INW 4 Mayo Clinic Health System Albert Lea and Austin - BC Winnebago Lake Mills IA 003200737 Lake Mills 309 Tenth Ave. East PCC MAY 4 Mayo Clinic Health System Albert Lea and Austin - HP Winnebago Lake Mills IA 2410 Lake Mills 309 Tenth Ave. East PCC MAY 4 Mayo Clinic Health System Albert Lea - Lake Mills P1 Winnebago Lake Mills IA MH115 Clinic 309 S. 10th Ave. E. PCC MAY 4 BC Winneshiek Calmar IA 003206818 Gundersen Lutheran Calmar Clinic 106 E. Main PCC GUN 3 HP Winneshiek Calmar IA 2680 Gundersen Lutheran Calmar Clinic 106 E. Main PCC GUN 3 BC Winneshiek Decorah IA 003206819 Gundersen Decorah Clinic 1830 State Hwy 9 PCC GUN 3 HP Winneshiek Decorah IA 2672 Gundersen Decorah Clinic 1830 State Hwy 9 PCC GUN 3 P1 Winneshiek Decorah IA NA523 The Family Care Clinic 903 Commerce Dr. PCC ISO 4 BC Winneshiek Decorah IA 003202489 Winneshiek Medical Center - Decorah Clinic 901 Montgomery St. PCC ISO 4 HP Winneshiek Decorah IA 2706 Winneshiek Medical Center - Decorah Clinic 901 Montgomery St. PCC ISO 4 P1 Winneshiek Decorah IA NA439 Winneshiek Medical Center - Decorah Clinic 901 Montgomery St. PCC ISO 4 P1 Winneshiek Ossian IA NA603 Winneshiek Medical Center - Ossian Clinic 112 East Main St. PCC ISO 4 BC Winona St. Charles MN 003213579 Olmsted Medical Center - St. Charles 403 4th St. PCC OLM 4 HP Winona St. Charles MN 335 Olmsted Medical Center - St. Charles 403 4th St. PCC OLM 4 P1 Winona St. Charles MN OM111 Olmsted Medical Center - St. Charles 403 W. Fourth St. PCC OLM 4

BC Winona Winona MN 004320253 Gundersen Winona Campus 1122 West Highway 61 PCC GUN 2*

HP Winona Winona MN 3964 Gundersen Winona Campus 1122 West Highway 61 PCC GUN 2* 855 Mankato Avenue, BC Winona Winona MN 003205606 Winona Health - Winona 2nd Floor PCC WIN 3 855 Mankato Avenue, HP Winona Winona MN 2508 Winona Health - Winona 2nd Floor PCC WIN 3 P1 Winona Winona MN NA489 Winona Health - Winona 855 Mankato Ave. PCC WIN 3 HP Wood Marshfield WI 2830 Marshfield Clinic 1000 N Oak Ave PCC IWI 4 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric

HP Wood Nekoosa WI 2921 Aspirus Riverview Clinics - Rome Center Drive 1160 Rome Center Dr PCC IWI 4 HP Wood Nekoosa WI 2920 Aspirus Riverview Clinics 1015 Angelus Dr PCC IWI 4 Wisconsin HP Wood Rapids WI 2925 Aspirus Doctors Clinic, Inc. 2031 Peach St PCC IWI 4 Wisconsin HP Wood Rapids WI 2846 Marshfield Clinic Wisconsin Rapids Center 220 24th St S PCC IWI 4 Wisconsin HP Wood Rapids WI 2922 Aspirus Riverview Clinics 420 Dewey St PCC IWI 4 5600 La Centre P1 Wright Albertville MN NA715 New Kingdom Pediatrics - Albertville Avenue, #103 PD PED 2

BC Wright Albertville MN 003211034 Stellis Health - Albertville-St. Michael 11091 Jason Ave. NE PCC WRS 1

HP Wright Albertville MN 3013 Stellis Health - Albertville-St. Michael 11091 Jason Ave. NE PCC WRS 1

P1 Wright Albertville MN NM121 Stellis Health, PA - Albertville/St. Michael Clinic 11091 Jason Ave. N.E. PCC WRS 1 BC Wright Annandale MN 003208466 Allina Health Annandale Clinic 440 Elm St. E. PCC ALL 2 HP Wright Annandale MN 416 Allina Health Annandale Clinic 440 Elm St. E. PCC ALL 3 P1 Wright Annandale MN AM100 Allina Health Annandale Clinic 440 Elm St. E. PCC ALL 3 BC Wright Buffalo MN 003209592 Allina Health Buffalo Clinic 303 Catlin St. PCC ALL 2 HP Wright Buffalo MN 707 Allina Health Buffalo Clinic 303 Catlin St. PCC ALL 3 P1 Wright Buffalo MN AM101 Allina Health Clinic - Buffalo 303 Catlin St. PCC ALL 3 755 Crossroads BC Wright Buffalo MN 003542985 Allina Health Clinic Buffalo Crossroads Campus Drive PCC ALL 2 755 Crossroads HP Wright Buffalo MN 3656 Allina Health Clinic Buffalo Crossroads Campus Drive PCC ALL 3 755 Crossroads P1 Wright Buffalo MN AM187 Allina Health Clinic - Buffalo Crossroads Campus Dr. PCC ALL 3 BC Wright Buffalo MN 003211034 Stellis Health - Buffalo Clinic 1700 Hwy. 25 N. PCC WRS 1 HP Wright Buffalo MN 446 Stellis Health - Buffalo Clinic 1700 Hwy. 25 N. PCC WRS 1 P1 Wright Buffalo MN NM119 Stellis Health - Buffalo Clinic 1700 Hwy. 25 N. PCC WRS 1 BC Wright Clearwater MN 003642456 CentraCare - Clearwater Clinic 615 Nelson Dr. PCC CEN 2 HP Wright Clearwater MN 2556 CentraCare - Clearwater Clinic 615 Nelson Dr. PCC CEN 2 P1 Wright Clearwater MN NA118 CentraCare - Clearwater Clinic 615 Nelson Dr. PCC CEN 2 BC Wright Cokato MN 003195248 Allina Health Cokato Clinic 110 Olsen Blvd. PCC ALL 2 HP Wright Cokato MN 467 Allina Health Cokato Clinic 110 Olsen Blvd. PCC ALL 3 P1 Wright Cokato MN AM133 Allina Health Cokato Clinic 110 Olsen Blvd NE PCC ALL 3 BC Wright Delano MN 003208662 Ridgeview Delano Clinic 916 St. Peter Ave. PCC RGV 3 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric HP Wright Delano MN 781 Ridgeview Delano Clinic 916 St. Peter Ave. PCC RGV 2 P1 Wright Delano MN NA304 Ridgeview Delano Clinic 916 St. Peter Ave. PCC RGV 3 916 St. Peter Ave., BC Wright Delano MN 003200853 Wayzata Children's Clinic - Delano #120 PD CHI 2 916 St. Peter Ave., HP Wright Delano MN 3356 Wayzata Children's Clinic - Delano #120 PD CHI 2 916 St. Peter Ave., P1 Wright Delano MN CP162 Wayzata Children's Clinic - Delano #120 PD CHI 2 BC Wright Howard Lake MN 003208662 Ridgeview Howard Lake Clinic 900 6th St. #G PCC RGV 3 HP Wright Howard Lake MN 2261 Ridgeview Howard Lake Clinic 900 6th St. #G PCC RGV 2 P1 Wright Howard Lake MN NA213 Ridgeview Howard Lake Clinic 900 6th St. PCC RGV 3

BC Wright Monticello MN 003211034 Stellis Health - Monticello Clinic 1001 Hart Blvd., #100 PCC WRS 1

HP Wright Monticello MN 447 Stellis Health - Monticello Clinic 1001 Hart Blvd., #100 PCC WRS 1

P1 Wright Monticello MN NM120 Stellis Health, PA - Monticello Clinic 1001 Hart Blvd., #100 PCC WRS 1 4300 Edgewood Dr. BC Wright St. Michael MN 003213244 Allina Health St. Michael Clinic NE PCC ALL 2 4300 Edgewood Dr. HP Wright St. Michael MN 2884 Allina Health St. Michael Clinic NE PCC ALL 3 4300 Edgewood Dr. P1 Wright St. Michael MN AM154 Allina Health St. Michael Clinic NE PCC ALL 3 2525 Fox Run HP Yankton Yankton SD 3642 Avera Medical Group Family Medicine Yankton Parkway, #200 PCC AVH 2 2525 Fox Run Pkwy, P1 Yankton Yankton SD AH248 Avera Medical Group Family Medicine Yankton #200 PCC AVH 2 HP Yankton Yankton SD 3080 Yankton Medical Clinic 1104 W 8th St PCC ISO 4 P1 Yankton Yankton SD NA421 Yankton Medical Clinic, P.C. 1104 W. 8th St. PCC ISO 4 Yellow BC Medicine Canby MN 003218456 Sanford Clinic Canby 112 St. Olaf Ave. PCC SAN 3 Yellow HP Medicine Canby MN 846 Sanford Clinic Canby 112 St. Olaf Ave. PCC SAN 2 Yellow P1 Medicine Canby MN SV246 Sanford Clinic Canby 112 St. Olaf Avenue PCC SAN 2 Yellow BC Medicine Clarkfield MN 003207808 CCM Health - Clarkfield Medical Clinic 812 10th Ave. PCC ISO 2 Yellow HP Medicine Clarkfield MN 792 CCM Health - Clarkfield Medical Clinic 812 10th Ave. PCC ISO 2 Updated February 1, 2021 2021 Cost Level (* denotes clinic moved Care to 2 for

Plan County City State PCC # Primary Care Clinic Name Clinic Address System access)

Type = PCC Primary Care; PD=Pediatric Yellow P1 Medicine Clarkfield MN MR106 CCM Health - Clarkfield Medical Clinic 812 10th Ave. PCC ISO 2 Yellow BC Medicine Granite Falls MN 004325871 Avera Medical Group Granite Falls 345 10th Ave. PCC AVH 2 Yellow HP Medicine Granite Falls MN 3639 Avera Medical Group Granite Falls 345 10th Ave. PCC AVH 2 Yellow Avera Medical Group Granite Falls (formerly Granite P1 Medicine Granite Falls MN AH253 Falls Health - Clinic) 345 10th Ave. PCC AVH 2