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Oxford Participating

We have provided a list of all Oxford participating Acute Care Hospitals as well as Specialty Hospitals in , Delaware, New Jersey, New York and Pennsylvania. The listing includes each ’s Oxford provider ID number (necessary for Oxford’s electronic referral process), County and Oxford network affiliation with our plans (e.g., Freedom Plan®, Liberty PlanSM (NY and NJ only) or Oxford Medicare AdvantageSM (OMA). This list is current as of July 14, 2009.

Most hospital services require precertification. Please refer to Oxford’s Provider Reference Manual to verify which services require precertification. If you are referring a Member for a service that requires precertification, please call 800-666-1353. Participating providers can issue hospital referrals for services that do not require precertification, such as diagnostic testing. When entering the Oxford provider ID number of the hospital to which you are referring a Member, please be certain to use the letter O instead of the numeral 0 (e.g., the provider ID number for Bristol Hospital (HO4722) should be entered as the letter “H”, the letter “O”, then the numerals 4722.)

Connecticut Acute Care Hospitals

Oxford Facility Name County Freedom Oxford Provider Plan Medicare ID Advantage HO3178 Fairfield X HO4722 Bristol Hospital Hartford X HO9265 Charlotte Hungerford Hospital Litchfield X HO9999 Connecticut Children’s Medical Center Hartford X HO3177 Fairfield X HO3414 Day Kimball Hospital Windham X HO4040 Greenwich Hospital Fairfield X HO3255 Griffin Hospital New Haven X X HO1316 Hartford X HO3446 Hospital Of Saint Raphael New Haven X X HO5555 Johnson Memorial Hospital Tolland X HO4961 Lawrence And Memorial Hospital New London X HO4254 Manchester Memorial Hospital Hartford X H2848683 Masonic Health Care Center New Haven X X H378840 Middlesex Hospital Middlesex X HO9638 MidState Medical Center New Haven X X HO4381 Milford Hospital New Haven X X HO4479 New Milford Hospital Litchfield X HO3170 Fairfield X HO2601 Rockville General Hospital Tolland X HO9863 Saint Francis Hospital & Medical Center Hartford X HO1112 Saint Mary's Hospital New Haven X X HO4512 Saint Vincent's Medical Center Fairfield X HO4380 Sharon Hospital Litchfield X HO3172 Stamford Hospital Fairfield X HO2258 The Hospital of Central Connecticut Hartford X UCONN Health Center - John Dempsey HO4491 Hospital Hartford X HO1120 Waterbury Hospital New Haven X X HO4529 William W New London X HO1661 Windham Community Hospital Windham X HO4716 New Haven X X

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Connecticut Specialty Hospitals

Oxford Facility Name County Freedom Oxford Provider Plan Medicare ID Advantage HO6589 Gaylord Hospital New Haven X HO2553 Hospital for Special Care Hartford X H1236206 Natchaug Hospital Tolland X H433125 Rehabilitation Hospital Hartford X HO6011 Silver Hill Hospital Fairfield X

Delaware Acute Care Hospitals

Oxford Facility Name County Freedom Provider Plan ID AI duPont Institute Of The Nemours HO2064 Foundation New Castle X Bay Health Medical Center – H2626881 Kent General Campus Kent X H2647163 Christiana Hospital New Castle X H2626229 Saint Francis Hospital New Castle X H1048513 Wilmington Hospital Center New Castle X

Delaware Specialty Hospital

Oxford Facility Name County Freedom Provider Plan ID H2529674 Rockford Center New Castle X

New Jersey Acute Care Hospitals

Oxford Facility Name County Freedom Liberty Oxford Provider Plan Plan Medicare ID Advantage AtlantiCare Regional Medical HO4393 Center Atlantic X X HO5880 Bayshore Community Hospital Monmouth X X H507602 Cape Regional Medical Center Cape May X X Capital Health System - Fuld HO1486 Campus Mercer X X Capital Health System - Mercer HO1526 Campus Mercer X X HO3037 Centrastate Medical Center Monmouth X X HO3057 Chilton Memorial Hospital Morris X X HO3040 Christ Hospital Hudson X X X HO3032 Clara Maass Medical Center Essex X X X HO3047 Columbus Hospital Essex X X X HO3063 Community Medical Center Ocean X X X Cooper Hospital - University HO1448 Medical Center Camden X X 2

New Jersey Acute Care Hospitals (Continued)

Oxford Facility Name County Freedom Liberty Oxford Provider Plan Plan Medicare ID Advantage HO1330 Deborah Heart And Lung Center Burlington X X HO3036 Englewood Hospital And Medical Center Bergen X X X HO2010 Hackensack Medical Center Bergen X X X HO3038 Hackettstown Community Hospital Warren X X HO4053 Hoboken University Medical Center Hudson X X X HO2200 Holy Name Hospital Bergen X X X HO4402 Hunterdon Medical Center Hunterdon X X HO5253 Jersey City Medical Center Hudson X X X HO4052 Jersey Shore University Medical Center Monmouth X X X HO4208 John F Kennedy Medical Center Middlesex X X X HO3423 Kimball Medical Center Ocean X X X HO4114 Lourdes Medical Center Of Burlington County Burlington X X HO3060 Meadowlands Hospital Medical Center Hudson X X X HO5665 Memorial Hospital Of Salem Hospital Salem X X HO3044 Monmouth Medical Center Monmouth X X X HO3046 Morristown Memorial Hospital Morris X X HO3175 Mountainside Hospital Essex X X HO4417 Muhlenberg Regional Medical Center Union X X X HO3048 Newark Beth Israel Medical Center Essex X X X HO3050 Newton Memorial Hospital Sussex X X HO4527 Ocean Medical Center Ocean X X X HO3033 Our Lady Of Lourdes Medical Center Camden X X HO3062 Overlook Hospital Union X X HO3051 Palisades General Hospital Hudson X X X HO1294 Raritan Bay Medical Center - Old Bridge Middlesex X X X HO1294 Raritan Bay Medical Center - Perth Amboy Middlesex X X X HO3002 Riverview Medical Center Monmouth X X X H378168 Robert Wood Johnson Hospital At Hamilton Mercer X X X HO4953 Robert Wood Johnson Hospital At Rahway Union X X X HO1111 Robert Wood Johnson Medical Center Middlesex X X HO3043 Saint Barnabas Medical Center Essex X X X HO4729 Saint Clare's Hospital - Boonton Morris X X HO4729 Saint Clare's Hospital - Denville Morris X X HO4729 Saint Clare's Hospital - Dover Morris X X HO4729 Saint Clare's Hospital - Sussex Sussex X X HO3064 Saint Francis Medical Center Mercer X X X HO3056 Saint Joseph's Hospital And Medical Center Passaic X X X HO3066 Saint Joseph's Wayne Hospital Passaic X X X HO3054 Saint Mary’s Hospital Passaic Passaic X X HO1200 Saint Michael's Medical Center Essex X X X HO4263 Saint Peter's Medical Center Middlesex X X HO5102 Shore Memorial Hospital Atlantic X X HO4472 Somerset Medical Center Somerset X X X

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New Jersey Acute Care Hospitals (Continued)

Oxford Facility Name County Freedom Liberty Oxford Provider Plan Plan Medicare ID Advantage South Jersey Healthcare Regional Medical HO4115 Center Cumberland X X South Jersey Healthcare Regional Medical HO4115 Center Salem X X South Jersey Healthcare Regional Medical HO4115 Center Cumberland X X HO4498 Southern Ocean County Hospital Ocean X X X HO4758 Trinitas Hospital - Jersey Street Campus Union X X X HO6262 Underwood Memorial Hospital Gloucester X X HO1016 University Medical Center at Princeton Mercer X X X HO3058 Valley Hospital Bergen X X X HO4582 Virtua Memorial Hospital Burlington County Burlington X X HO1015 Virtua West Jersey Hospital - Berlin Camden X X HO1015 Virtua West Jersey Hospital - Camden Camden X X HO1015 Virtua West Jersey Hospital - Marlton Burlington X X HO1015 Virtua West Jersey Hospital - Voorhees Camden X X HO4649 Warren Hospital Warren X X

New Jersey Specialty Hospitals

Oxford Facility Name County Freedom Liberty Oxford Provider Plan Plan Medicare ID Advantage HO1483 Carrier Foundation Somerset X X X HO1318 Childrens Specialized Hospital Union X X H1309796 Hampton Hospital Burlington X X H1627000 Kessler Rehabilitation Center Essex X X H1077009 Ramapo Ridge Psychiatric Hospital Bergen X X HO1673 Summit Hospital Union X X

New York Acute Care Hospitals

Oxford Facility Name County Freedom Liberty Oxford Provider Plan Plan Medicare ID Advantage HO4260 Benedictine Hospital Ulster X X HO3080 Beth Israel Medical Center New York X X X HO3093 Beth Israel Medical Center - Kings Highway Division Kings X X X H384535 Bon Secours Community Hospital Orange X X HO3443 Bronx Lebanon Hospital Bronx X X X

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New York Acute Care Hospitals (Continued)

Oxford Facility Name County Freedom Liberty Oxford Provider Plan Plan Medicare ID Advantage HO3083 Brookdale Hospital Medical Center Kings HO3146 Brookhaven Memorial Hospital Suffolk X X X HO3101 Brooklyn Hospital Center Kings X X X HO3084 Cabrini Medical Center New York X X HO3085 Calvary Hospital Bronx X X X H2625762 Catskill Regional Medical Center Sullivan X X HO3071 Community Hospital At Dobbs Ferry Westchester X X X HO4224 Coney Island Hospital Kings X X X HO4436 Cornwall Hospital Orange X X X H377164 Eastern Long Island Hospital Suffolk X X H522312 Ellenville Regional Hospital Ulster X X X H946659 Elmhurst Hospital Center Queens X X X HO3088 Flushing Hospital And Medical Center Queens Franklin Hospital Medical Center - Member Of HO3166 North Shore Long Island Jewish Health System Nassau X X X HO3129 Good Samaritan Hospital - Suffern Rockland X X HO3167 Good Samaritan Hospital - West Islip Suffolk X X X HO3090 Hospital For Joint Diseases New York X X X HO3091 Hospital For Special Surgery New York X X X Hudson Valley Hospital Center At HO5080 Peekskill/Cortlandt Westchester X X X Huntington Hospital - Member Of North Shore HO3138 Long Island Jewish Health System Suffolk X X X HO3092 Jamaica Hospital Queens H406390 John T Mather Memorial Hospital Suffolk X X X HO4317 Kingsbrook Jewish Medical Center Kings X X X HO4589 Kingston Hospital Ulster X X HO3069 Lawrence Hospital Westchester X X X HO3095 Lenox Hill Hospital New York X X X HO3140 Long Beach Medical Center Nassau X X HO3097 Long Island College Hospital Kings X X X Long Island Jewish Medical Center - Member Of North Shore Long Island Jewish Health HO3102 System Nassau X X X HO4049 Lutheran Medical Center Kings X X X HO4400 Maimonides Medical Center Kings X X X HO3103 Manhattan Eye, Ear And Throat New York X X X HO1586 Memorial Sloan Kettering Cancer Center New York X X HO3160 Mercy Medical Center Nassau X X X HO3114 Montefiore Medical Center Bronx X X X HO3115 Montefiore Medical Center - Einstein Division Bronx X X X HO3077 Mount Sinai Hospital Of Queens Queens X X X

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New York Acute Care Hospitals (Continued)

Oxford Facility Name County Freedom Liberty Oxford Provider Plan Plan Medicare ID Advantage HO4238 Mount Sinai Medical Center New York X X X HO3075 Mount Vernon Hospital Westchester X X X H792190 Nassau University Medical Center Nassau X X HO3153 New Island Hospital Nassau X X X HO3107 New York Eye And Ear Infirmary New York X X X HO3081 New York Hospital Medical Center Of Queens Queens X X X HO4281 New York Methodist Hospital Kings X X X New York Presbyterian Hospital - Allen HO1248 Pavilion New York X X X New York Presbyterian Hospital - Cornell HO3119 Campus New York X X X New York Presbyterian Hospital - Presbyterian HO3111 Campus New York X X X HO4000 New York University Hospitals Center New York X X X H3290397 New York University Hospitals Center – Rusk New York X X X HO4204 New York Westchester Square Medical Center Bronx X X X HO1488 North General Hospital New York X X X H367349 North Shore University Hospital - Forest Hills Queens X X X HO4801 North Shore University Hospital - Glen Cove Nassau X X X HO3141 North Shore University Hospital - Manhasset Nassau X X X HO3147 North Shore University Hospital - Plainview Nassau X X X H378175 North Shore University Hospital - Syosset Nassau X X X HO1504 Northern Dutchess Hospital Dutchess X X HO3074 Northern Westchester Hospital Center Westchester X X X HO4869 Nyack Hospital Rockland X X X HO4218 NYU Downtown Hospital New York X X X Orange Regional Medical Center - Arden Hill HO4282 Campus Orange X X Orange Regional Medical Center - Horton HO4326 Campus Orange X X HO3109 Our Lady Of Mercy Medical Center Bronx X X X HO3183 Parkway Hospital Queens X X X HO3149 Peconic Bay Medical Center Suffolk X X HO4644 Peninsula Hospital Center Queens X X HO3125 Center Westchester X X X HO3070 Putnam Hospital Center Putnam X X HO4200 Queens Hospital Center Queens X X X Richmond University Medical Center – Bard HO3182 Avenue Richmond X X X HO4399 Saint Anthony Community Hospital Orange X X HO4366 Saint Barnabas Hospital Bronx X X X H2018325 Saint Catherine Of Siena Medical Center Suffolk X X X HO3168 Saint Charles Hospital Suffolk X X X

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New York Acute Care Hospitals (Continued)

Oxford Facility Name County Freedom Liberty Oxford Provider Plan Plan Medicare ID Advantage HO4608 Saint Clare’s Hospital And Health Center New York X X HO4571 Saint Francis Hospital Dutchess X HO1069 Saint Francis Hospital Nassau X X X HO4391 Saint John's Episcopal Hospital - South Shore Queens X X X HO4207 Saint John's Queens Hospital Queens X X X HO3135 Saint John's Riverside Hospital Westchester X X X HO4501 Saint Joseph's Medical Center Westchester X X HO4235 Saint Luke's - Roosevelt Hospital Center New York X X X HO4201 Saint Luke's Hospital - Newburgh Orange X X X HO4217 Saint Vincent's Hospital And Medical Center New York X X X HO3076 Sound Shore Medical Center Westchester X X X HO3145 South Nassau Community Hospital Nassau X X X HO4447 Southampton Hospital Suffolk X X Southside Hospital - Member Of North Shore HO3068 Long Island Jewish Health System Suffolk X X X HO4534 State University Hospital Of Brooklyn Kings X X X Staten Island University Hospital: North - Member Of North Shore Long Island Jewish HO3123 Health System Richmond X X X HO4212 Stony Brook University Hospital Suffolk X The New York Community Hospital Of HO3086 Brooklyn Kings X X X HO3127 United Hospital Bronx X X HO4212 Stony Brook University Hospital Suffolk X HO5540 Vassar Brothers Hospital Dutchess X X HO4245 Victory Memorial Hospital Kings X X X HO4302 Westchester Medical Center Westchester X X X HO3134 White Plains Hospital Center Westchester X X X HO3142 Winthrop University Hospital Nassau X X X HO3124 Wyckoff Heights Hospital Kings X X X

New York Specialty Hospitals

Oxford Facility Name County Freedom Liberty Oxford Provider Plan Plan Medicare ID Advantage HO1012 Blythedale Children’s Hospital Westchester X X H923137 Burke Rehabilitation Center Westchester X X HO6010 Cornerstone of Medical Arts Center Hospital New York X X HO6012 Four Winds Hospital Westchester X X HO3089 New York X X X H999014 Helen Hayes Hospital Rockland X X HO9864 High Point Hospital Westchester X X HO1207 Saint Vincent’s Hospital - Westchester Facility Westchester X X X HO3151 South Oaks Hospital Suffolk X X HO1950 Stony Lodge Hospital Westchester X X

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Pennsylvania Acute Care Hospitals

Oxford Facility Name County Freedom Provider Plan ID HO5003 Abington Hospital Montgomery X HO1096 Albert Einstein Medical Center Philadelphia X American Oncologic Hospital T/A Fox Chase H597341 Cancer Center Philadelphia X H3299770 Barix Clinics of Pennsylvania Bucks X H1306797 Berwick Hospital Center Columbia X HO7010 Brandywine Hospital Chester X HO4412 Bryn Mawr Hospital Delaware X H2558708 Central Montgomery Medical Center Montgomery X HO1315 Chestnut Hill Hospital Philadelphia X HO1048 Children's Hospital Of Philadelphia Philadelphia X H2578112 Crozer Chester Medical Center Delaware X Crozer Chester Medical Center - Springfield H2578100 Division Delaware X HO6015 Delaware County Memorial Hospital Delaware X HO4337 Doylestown Hospital Bucks X HO1146 Easton Hospital Northampton X HO7025 Episcopal Hospital Philadelphia X HO4279 Frankford Hospital Philadelphia X HO4279 Frankford Hospital - Bucks Division Bucks X H2584728 Frankford Hospital – Torresdale Campus Philadelphia X HO3343 Girard Medical Center Philadelphia X HO4418 Gnaden Huetten Memorial Hospital Carbon X H3159088 Good Samaritan Regional Medical Center Schuylkill X H834513 Good Shepherd Rehabilitation Hospital Lehigh X H3159090 Good Shepherd Specialty Hospital - Allentown Lehigh X HO4111 Graduate Hospital Philadelphia X HO1113 Grand View Hospital Bucks X HO6460 Hahnemann University Hospital Philadelphia X H2567444 Hazelton - Saint Joseph Medical Center Luzerne X H1226126 Hazelton General Hospital Luzerne X HO3340 Holy Redeemer Hospital and Medical Center Montgomery X HO1340 Jeanes Hospital Philadelphia X H2538068 Jennersville Regional Hospital Chester X HO3347 Lankenau Hospital Montgomery X H703308 Lehigh Valley Hospital - Muhlenberg Northampton X HO1282 Lehigh Valley Hospital Center Lehigh X HO3346 Mercy Fitzgerald Hospital Delaware X H2559187 Mercy Hospital Lackawanna X H2567801 Mercy Hospital Luzerne X HO3344 Mercy Hospital of Philadelphia Philadelphia X HO4712 Mercy Suburban Hospital Montgomery X HO4568 Montgomery Hospital Montgomery X HO3337 Nazareth Hospital Philadelphia X

Pennsylvania Acute Care Hospitals (Continued) 8

Oxford Facility Name County Freedom Provider ID Plan HO4378 Northeastern Hospital Philadelphia X HO3348 Paoli Memorial Hospital Chester X HO4116 Pennsylvania Hospital Philadelphia X HO3341 Presbyterian Medical Center Philadelphia X HO3339 Quakertown Community Hospital Bucks X HO3338 Riddle Memorial Hospital Delaware X HO6679 Roxborough Memorial Hospital Philadelphia X HO3333 Saint Agnes Medical Center Philadelphia X HO6461 Saint Christopher's Hospital For Children Philadelphia X HO3342 Saint Joseph Hospital Philadelphia Philadelphia X HO3334 Saint Joseph Medical Center Berks X HO3335 Saint Mary Medical Center Bucks X H2579157 Select Specialty Hospital – Philadelphia Philadelphia X H2579726 Specialty Hospital Of Philadelphia Delaware X HO6014 Taylor Hospital Delaware X HO4551 Temple Lower Bucks Hospital Bucks X H833813 Temple University Children’s Medical Center Philadelphia X HO6678 Temple University Hospital Philadelphia X HO1723 The Bloomsburg Hospital Columbia X HO4555 The Chester County Hospital Chester X H2013592 The Milton S. Hershey Medical Center Dauphin X HO1638 Thomas Jefferson University Hospital Philadelphia X Thomas Jefferson University Hospital – HO1638 Ford Road Campus Philadelphia X Thomas Jefferson University Hospital - HO4406 Methodist Division Philadelphia X H1084105 Warminster Hospital Bucks X HO1126 Wills Eye Hospital Philadelphia X

Pennsylvania Specialty Hospitals

Oxford Facility Name County Freedom Provider Plan ID H479728 Artman Lutheran Home Montgomery X H561959 Bryn Mawr Rehabilitation Hospital Chester X HO2606 Chestnut Hill Rehabilitation Hospital Montgomery X H2578087 Childrens Rehabilitation Hospital Philadelphia X HO3350 Childrens Seashore House Philadelphia X HO7474 Delaware Valley Mental Health Foundation Bucks X H609132 Eagleville Hospital Montgomery X H2577262 Eugenia Hospital Montgomery X H804757 Fairmount Behavioral Health System Philadelphia X H834513 Good Shepard Rehabilitation Hospital Lehigh X H905875 Healthsouth Reading Rehabilitation Hospital Berks X H570229 Hospice Saint John Luzerne X HO1715 Institute of PA Hospital Philadelphia X Pennsylvania Specialty Hospitals (Continued)

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Oxford Facility Name County Freedom Provider Plan ID H1083059 Kids Peace Hospital Lehigh X H629900 Livengrin Foundation Bucks X A699453 Magee Rehabilitation Hospital Philadelphia X H1129071 Mirmont Alcohol Treatment Center Delaware X ANC1266 Moss Rehabilitation Hospital Philadelphia X HO4643 Mount Sinai Hospital Philadelphia X H735149 Northwestern Institute – Progressions Montgomery X Roxborough Memorial Hospital Skilled H2579151 Nursing Philadelphia X H2676114 SCCI Hospital Easton Northampton X H2579917 Vendor Hospital – Philadelphia Philadelphia X H511615 Wordsworth Academy Bucks X

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