Page 1 of 4 PENNSYLVANIA GENERAL ACUTE CARE HOSPITALS WITH HIO AFFILIATIONS, MA HIT PAYMENT STATUS, AND RURAL HEALTH MODEL DESIGNATION Received Rural MA HIT Health CCN NAME HIO AFFILIATION Payment Model ADDRESS CITY ZIP STATE COUNTY 390231 ABINGTON MEMORIAL HOSPITAL HSX X 1200 OLD YORK ROAD ABINGTON 19001 PA MONTGOMERY 390163 ACMH HOSPITAL CCHIE X X ONE NOLTE DRIVE KITTANNING 16201 PA ARMSTRONG 390142 ALBERT EINSTEIN MEDICAL CENTER HSX X 5501 OLD YORK ROAD PHILADELPHIA 19141 PA PHILADELPHIA 390050 ALLEGHENY GENERAL HOSPITAL KeyHIE X 320 EAST NORTH AVENUE PITTSBURGH 15212 PA ALLEGHENY 390032 ALLEGHENY VALLEY HOSPITAL KeyHIE X 1301 CARLISLE STREET NATRONA HEIGHTS 15065 PA ALLEGHENY 391309 BARNES-KASSON COUNTY HOSPITAL X X 2872 TURNPIKE STREET SUSQUEHANNA 18847 PA SUSQUEHANNA 390072 BERWICK HOSPITAL CENTER X 701 EAST 16TH STREET BERWICK 18603 PA COLUMBIA 390194 BLUE MOUNTAIN HOSPITAL X 211 NORTH 12TH STREET LEHIGHTON 18235 PA CARBON 390118 BRADFORD REGIONAL MEDICAL CENTER X 116 INTERSTATE PARKWAY BRADFORD 16701 PA MCKEAN 390076 BRANDYWINE HOSPITAL HSX X 201 REECEVILLE ROAD COATESVILLE 19320 PA CHESTER 390139 BRYN MAWR HOSPITAL, THE HSX 130 SOUTH BRYN MAWR AVENUE BRYN MAWR 19010 PA MONTGOMERY 391304 BUCKTAIL MEDICAL CENTER, THE X 1001 PINE STREET RENOVO 17764 PA CLINTON 390168 BUTLER MEMORIAL HOSPITAL CCHIE X ONE HOSPITAL WAY BUTLER 16001 PA BUTLER 390160 CANONSBURG HOSPITAL 100 MEDICAL BOULEVARD CANONSBURG 15317 PA WASHINGTON 390151 CHAMBERSBURG HOSPITAL, THE MNX X 112 NORTH SEVENTH STREET CHAMBERSBURG 17201 PA FRANKLIN 390112 CHAN SOON-SHIONG MEDICAL CENTER AT WINDBER X X 600 SOMERSET AVENUE WINDBER 15963 PA SOMERSET 390179 CHESTER COUNTY HOSPITAL, THE HSX X 701 EAST MARSHALL STREET WEST CHESTER 19380 PA CHESTER 390026 CHESTNUT HILL HOSPITAL HSX X 8835 GERMANTOWN AVENUE PHILADELPHIA 19118 PA PHILADELPHIA 393303 CHILDREN'S HOSPITAL OF PHILADELPHIA, THE HSX X 3401 CIVIC CENTER BLVD. PHILADELPHIA 19104 PA PHILADELPHIA 390093 CLARION HOSPITAL MNX X ONE HOSPITAL DRIVE CLARION 16214 PA CLARION 390110 CONEMAUGH MEMORIAL MEDICAL CENTER X 1086 FRANKLIN STREET JOHNSTOWN 15905 PA CAMBRIA 391302 CONEMAUGH MEYERSDALE MEDICAL CENTER X 200 HOSPITAL DRIVE MEYERSDALE 15552 PA SOMERSET 390130 CONEMAUGH MINERS MEDICAL CENTER X 290 HAIDA AVENUE HASTINGS 16646 PA CAMBRIA 390062 CONEMAUGH NASON MEDICAL CENTER X 105 NASON DRIVE ROARING SPRING 16673 PA BLAIR 390180 CROZER-CHESTER MEDICAL CENTER HSX X ONE MEDICAL CENTER BOULEVARD CHESTER 19013 PA DELAWARE 390081 DELAWARE COUNTY MEMORIAL HOSPITAL HSX X 501 NORTH LANSDOWNE AVENUE DREXEL HILL 19026 PA DELAWARE 390203 DOYLESTOWN HOSPITAL HSX 595 WEST STATE STREET DOYLESTOWN 18901 PA BUCKS 390312 EASTERN REGIONAL MEDICAL CENTER, INC. HSX-Pending 1331 EAST WYOMING AVENUE PHILADELPHIA 19124 PA PHILADELPHIA 390162 EASTON HOSPITAL X 250 SOUTH 21ST STREET EASTON 18042 PA NORTHAMPTON 390329 EINSTEIN MEDICAL CENTER MONTGOMERY HSX X 559 W. GERMANTOWN PIKE EAST NORRITON 19403 PA MONTGOMERY 390008 ELLWOOD CITY MEDICAL CENTER X 724 PERSHING STREET ELLWOOD CITY 16117 PA LAWRENCE 391306 ENDLESS MOUNTAINS HEALTH SYSTEMS, INC. KeyHIE X X 100 HOSPITAL DRIVE MONTROSE 18801 PA SUSQUEHANNA 390013 EVANGELICAL COMMUNITY HOSPITAL KeyHIE X ONE HOSPITAL DRIVE LEWISBURG 17837 PA UNION 390217 EXCELA HEALTH FRICK HOSPITAL CCHIE X 508 SOUTH CHURCH STREET MOUNT PLEASANT 15666 PA WESTMORELAND 390219 EXCELA HEALTH LATROBE HOSPITAL CCHIE X ONE MELLON WAY LATROBE 15650 PA WESTMORELAND 390145 EXCELA HEALTH WESTMORELAND HOSPITAL CCHIE X 532 WEST PITTSBURGH STREET GREENSBURG 15601 PA WESTMORELAND 390267 FORBES HOSPITAL KeyHIE X 2570 HAYMAKER ROAD MONROEVILLE 15146 PA ALLEGHENY 391303 FULTON COUNTY MEDICAL CENTER, THE KeyHIE X X 214 PEACH ORCHARD ROAD MCCONNELLSBURG 17233 PA FULTON 391300 GEISINGER JERSEY SHORE HOSPITAL KeyHIE X X 1020 THOMPSON STREET JERSEY SHORE 17740 PA LYCOMING 390006 GEISINGER MEDICAL CENTER KeyHIE X 100 NORTH ACADEMY AVENUE DANVILLE 17822 PA MONTOUR 390270 GEISINGER WYOMING VALLEY MEDICAL CENTER KeyHIE X 1000 EAST MOUNTAIN BOULEVARD WILKES BARRE 18711 PA LUZERNE 390003 GEISINGER-BLOOMSBURG HOSPITAL KeyHIE X 549 EAST FAIR STREET BLOOMSBURG 17815 PA COLUMBIA 390001 GEISINGER-COMMUNITY MEDICAL CENTER KeyHIE X 1800 MULBERRY STREET SCRANTON 18510 PA LACKAWANNA 390048 GEISINGER-LEWISTOWN HOSPITAL KeyHIE X 400 HIGHLAND AVENUE LEWISTOWN 17044 PA MIFFLIN 390057 GRAND VIEW HEALTH HSX X 700 LAWN AVENUE SELLERSVILLE 18960 PA BUCKS 390266 GROVE CITY MEDICAL CENTER X 631 NORTH BROAD STREET EXT. GROVE CITY 16127 PA MERCER 390236 GUTHRIE TOWANDA MEMORIAL HOSPITAL X 91 HOSPITAL DRIVE TOWANDA 18848 PA BRADFORD 390036 HERITAGE VALLEY BEAVER CCHIE X 1000 DUTCH RIDGE ROAD BEAVER 15009 PA BEAVER 390157 HERITAGE VALLEY KENNEDY CCHIE X 25 HECKEL ROAD MCKEES ROCKS 15136 PA ALLEGHENY 390037 HERITAGE VALLEY SEWICKLEY CCHIE X 720 BLACKBURN ROAD SEWICKLEY 15143 PA ALLEGHENY 390184 HIGHLANDS HOSPITAL X 401 EAST MURPHY AVENUE CONNELLSVILLE 15425 PA FAYETTE Page 2 of 4 PENNSYLVANIA GENERAL ACUTE CARE HOSPITALS WITH HIO AFFILIATIONS, MA HIT PAYMENT STATUS, AND RURAL HEALTH MODEL DESIGNATION Received Rural MA HIT Health CCN NAME HIO AFFILIATION Payment Model ADDRESS CITY ZIP STATE COUNTY 390097 HOLY REDEEMER HOSPITAL HSX X 1648 HUNTINGDON PIKE MEADOWBROOK 19046 PA MONTGOMERY 390004 HOLY SPIRIT HOSPITAL KeyHIE X 503 NORTH 21ST STREET CAMP HILL 17011 PA CUMBERLAND 390196 HOSPITAL OF THE FOX CHASE CANCER CENTER HSX 333 COTTMAN AVENUE PHILADELPHIA 19111 PA PHILADELPHIA 390111 HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA, THE HSX X 3400 SPRUCE STREET PHILADELPHIA 19104 PA PHILADELPHIA 390173 INDIANA REGIONAL MEDICAL CENTER X P.O. BOX 788, HOSPITAL ROAD INDIANA 15701 PA INDIANA 390080 JEANES HOSPITAL HSX X 7600 CENTRAL AVENUE PHILADELPHIA 19111 PA PHILADELPHIA 390265 JEFFERSON HOSPITAL KeyHIE 565 COAL VALLEY ROAD, P.O. BOX 18119 PITTSBURGH 15236 PA ALLEGHENY 390115 JEFFERSON TORRESDALE HOSPITAL HSX 10800 KNIGHTS ROAD PHILADELPHIA 19114 PA PHILADELPHIA 390220 JENNERSVILLE HOSPITAL HSX X 1015 WEST BALTIMORE PIKE WEST GROVE 19390 PA CHESTER 390025 KENSINGTON HOSPITAL 136 WEST DIAMOND STREET PHILADELPHIA 19122 PA PHILADELPHIA 390100 LANCASTER GENERAL HOSPITAL, THE CPC X 555 NORTH DUKE STREET LANCASTER 17604 PA LANCASTER 390195 LANKENAU MEDICAL CENTER HSX 100 LANCASTER AVENUE WYNNEWOOD 19096 PA MONTGOMERY 390012 LANSDALE HOSPITAL HSX X 100 MEDICAL CAMPUS DRIVE LANSDALE 19446 PA MONTGOMERY 391308 LECOM HEALTH CORRY MEMORIAL HOSPITAL X 965 SHAMROCK LANE CORRY 16407 PA ERIE 390133 LEHIGH VALLEY HOSPITAL X P.O. BOX 689 ALLENTOWN 18103 PA LEHIGH 390185 LEHIGH VALLEY HOSPITAL - HAZLETON X 700 EAST BROAD STREET HAZLETON 18201 PA LUZERNE 390201 LEHIGH VALLEY HOSPITAL - POCONO 206 EAST BROWN STREET EAST STROUDSBURG 18301 PA MONROE 390030 LEHIGH VALLEY HOSPITAL-SCHUYLKILL X 420 SOUTH JACKSON STREET POTTSVILLE 17901 PA SCHUYLKILL 390070 LOWER BUCKS HOSPITAL HSX X 501 BATH ROAD BRISTOL 19007 PA BUCKS 390113 MEADVILLE MEDICAL CENTER 751 LIBERTY STREET MEADVILLE 16335 PA CRAWFORD 390156 MERCY CATHOLIC MEDICAL CENTER HSX X 1500 LANSDOWNE AVENUE DARBY 19023 PA DELAWARE 390198 MILLCREEK COMMUNITY HOSPITAL X 5515 PEACH STREET ERIE 16509 PA ERIE 390256 MILTON S. HERSHEY MEDICAL CENTER, THE KeyHIE X 500 UNIVERSITY DRIVE HERSHEY 17033 PA DAUPHIN 390147 MONONGAHELA VALLEY HOSPITAL, INC. X X 1163 COUNTRY CLUB ROAD MONONGAHELA 15063 PA WASHINGTON 390119 MOSES TAYLOR HOSPITAL KeyHIE X 700 QUINCY AVENUE SCRANTON 18510 PA LACKAWANNA 390268 MOUNT NITTANY MEDICAL CENTER MNX X 1800 EAST PARK AVENUE STATE COLLEGE 16803 PA CENTRE 390204 NAZARETH HOSPITAL HSX X 2601 HOLME AVENUE PHILADELPHIA 19152 PA PHILADELPHIA 390153 PAOLI HOSPITAL HSX 255 WEST LANCASTER AVENUE PAOLI 19301 PA CHESTER 391312 PENN HIGHLANDS BROOKVILLE X 100 HOSPITAL ROAD BROOKVILLE 15825 PA JEFFERSON 390052 PENN HIGHLANDS CLEARFIELD X 809 TURNPIKE AVE CLEARFIELD 16830 PA CLEARFIELD 390086 PENN HIGHLANDS DUBOIS X 100 HOSPITAL AVE DUBOIS 15801 PA CLEARFIELD 391315 PENN HIGHLANDS ELK X 763 JOHNSONBURG ROAD SAINT MARYS 15857 PA ELK 390056 PENN HIGHLANDS HUNTINGDON X 1225 WARM SPRINGS AVENUE HUNTINGDON 16652 PA HUNTINGDON 390223 PENN PRESBYTERIAN MEDICAL CENTER HSX X 51 NORTH 39TH STREET PHILADELPHIA 19104 PA PHILADELPHIA 390226 PENNSYLVANIA HOSP OF THE UNIV OF PA HEALTH SYS HSX X 800 SPRUCE STREET PHILADELPHIA 19107 PA PHILADELPHIA 390127 PHOENIXVILLE HOSPITAL HSX X 140 NUTT ROAD PHOENIXVILLE 19460 PA CHESTER 390123 POTTSTOWN HOSPITAL HSX X 1600 EAST HIGH STREET POTTSTOWN 19464 PA MONTGOMERY 390199 PUNXSUTAWNEY AREA HOSPITAL, INC. MNX X X 81 HILLCREST DRIVE PUNXSUTAWNEY 15767 PA JEFFERSON 390044 READING HOSPITAL HSX X 420 S. FIFTH AVENUE WEST READING 19611 PA BERKS 390237 REGIONAL HOSPITAL OF SCRANTON X 746 JEFFERSON AVENUE SCRANTON 18501 PA LACKAWANNA 390222 RIDDLE MEMORIAL HOSPITAL HSX 1068 WEST BALTIMORE PIKE MEDIA 19063 PA DELAWARE 390079 ROBERT PACKER HOSPITAL, THE X ONE GUTHRIE SQUARE SAYRE 18840 PA BRADFORD 390304 ROXBOROUGH MEMORIAL HOSPITAL HSX X 5800 RIDGE AVENUE PHILADELPHIA 19128 PA PHILADELPHIA 390049 SAINT LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA KeyHIE-Pending X 801 OSTRUM STREET BETHLEHEM 18015 PA LEHIGH 390009 SAINT VINCENT HOSPITAL KeyHIE X 232 WEST 25TH STREET ERIE 16544 PA ERIE 390211 SHARON REGIONAL HEALTH SYSTEM X 740 EAST STATE STREET SHARON 16146 PA MERCER 393307 ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN HSX 160 EAST ERIE AVE PHILADELPHIA 19134 PA PHILADELPHIA 390228 ST. CLAIR HOSPITAL CCHIE X 1000 BOWER HILL ROAD PITTSBURGH 15243 PA ALLEGHENY 390096 ST. JOSEPH MEDICAL CENTER KeyHIE 2500 BERNVILLE ROAD READING 19605 PA BERKS 390326 ST. LUKE'S HOSPITAL - ANDERSON CAMPUS KeyHIE-Pending X 1872 ST. LUKE'S BLVD.