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Teaching Hospitals 2021 (PDF)

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Teaching Hospitals 2021 (PDF) A B C D E F G H I J K L M N 1 Open Payments List of Teaching Hospitals 2 3 Note that this list should only be used for the Program Year 2021 data collection period (January 1, 2021 - December 31, 2021) October 2020 Posting 4 Address as appears on hospital cost report NPPES Business Address 5 CCN TIN Hospital Name PECOS Legal Business Name Street Address PO Box City State Zip Code Street Address 1 Street Address 2 City State Zip Code 6 7 010001 636004476 Southeast Health Medical Center Houston County Healthcare Authority 1108 Ross Clark Circle 6987 Dothan AL 36301 1108 Ross Clark Circle Dothan AL 36301 Building 46, Suite 010011 630578923 St. Vincents East St. Vincent'S East 50 Medical Park Drive East Birmingham AL 35235 50 Medical Park Dr E Birmingham AL 35235 8 300, Finance 9 010018 461468253 Callahan Eye Foundation Hosp Uab Callahan Eye Hospital Authority 1720 University Boulevard Birmingham AL 35233 1720 University Blvd Suite 500 Birmingham AL 35233 The Health Care Authority For Baptist Health, An Affiliate 010023 203204949 Baptist Medical Center South 2105 East South Boulevard 11010 Montgomery AL 36116 2105 E South Blvd Montgomery AL 36116 10 Of Uabhs 11 010033 636005396 University Of Alabama Hospital University Of Alabama At Birmingham 619 South 19th Street Birmingham AL 35233 619 19th St S Birmingham AL 35249 12 010039 630845288 Huntsville Hospital The Health Care Authority Of The City Of Huntsville 101 Sivley Road Huntsville AL 35801 101 Sivley Rd Sw Huntsville AL 35801 13 010056 630288864 St Vincents Birmingham St. Vincents Hospital 810 St Vincents Drive Birmingham AL 35205 810 Saint Vincents Dr Birmingham AL 35205 14 010083 621811413 South Baldwin Regional Medical Cente Foley Hospital Corporation 1613 North Mckenzie Foley AL 36535 1613 N Mckenzie St Foley AL 36535 15 010087 630477348 Usa Health University Hospital University Of South Alabama 2451 Fillingim Street Mobile AL 36617 2451 University Hospital Dr Mobile AL 36617 16 010092 636000271 Dch Regional Medical Center Dch Health Care Authority 809 University Blvd East Tuscaloosa AL 35401 809 University Blvd E Tuscaloosa AL 35401 17 010103 474775351 Princeton Baptist Medical Center Bbh Pbmc, Llc 701 Princeton Ave Sw Birmingham AL 35211 701 Princeton Ave Sw Birmingham AL 35211 18 010104 203391873 Grandview Medical Center Affinity Hospital Llc 800 Montclair Road Birmingham AL 35213 3690 Grandview Pkwy Birmingham AL 35243 19 010113 630288856 Mobile Infirmary Medical Center Mobile Infirmary Association Five Mobile Infirmary Circle 2144 Mobile AL 36652 3 Mobile Infirmary Cir Mobile AL 36607 20 010118 621864231 Vaughan Regional Medical Center Vaughan Regional Medical Center Llc 1015 Medical Center Parkway Selma AL 36701 1015 Medical Center Pkwy Selma AL 36701 21 010137 636001579 Cooper Green Mercy Hospital Jefferson County Commission 1515 Sixth Avenue South Birmingham AL 35233 1515 6th Ave S Birmingham AL 35233 22 010152 203713023 Infirmary West Infirmary Health Hospitals, Inc. 5600 Girby Road 144 Mobile AL 36693 5600 Girby Rd Mobile AL 36693 23 010168 331058243 Jack Hughston Memorial Hospital Russell County Community Hospital, Llc 4401 River Chase Drive Phenix City AL 36867 4401 River Chase Dr Phenix City AL 36867 24 013300 630307306 The Childrens Hospital Of Alabama The Children'S Hospital Of Alabama 1600 7th Avenue South Birmingham AL 35233 1600 7th Ave S Birmingham AL 35233 25 013301 630477348 Usa Childrens And Womens Hospital University Of South Alabama 1700 Center Street Mobile AL 36604 1700 Center St Mobile AL 36604 26 020001 920016429 Providence Alaska Medical Center Providence Health & Services Washington 3200 Providence Drive 196604 Anchorage AK 99519 3200 Providence Dr Anchorage AK 99508 27 030002 270036499 Banner University Medical Center Phx Banner-University Medical Center Phoenix 1111 East Mcdowell Road Phoenix AZ 85006 1111 E Mcdowell Rd Phoenix AZ 85006 28 030006 860137567 Tucson Medical Center Tucson Medical Center 5301 E Grant Road Tucson AZ 85712 5301 E Grant Rd Tucson AZ 85712 29 030007 860100882 Verde Valley Medical Center Verde Valley Medical Center 269 South Candy Lane Cottonwood AZ 86326 269 S Candy Ln Cottonwood AZ 86326 30 030013 866007596 Yuma Regional Medical Center Yuma Regional Medical Center 2400 S Avenue A Yuma AZ 85364 2400 S Ave A Yuma AZ 85364 31 030014 860181654 John C. Lincoln Medical Center Honorhealth 250 West Dunlap Phoenix AZ 85020 250 E Dunlap Ave Phoenix AZ 85020 32 030022 860830701 Valleywise Health Medical Center Maricopa County Special Health Care District 2601 East Roosevelt Street Phoenix AZ 85008 10550 W Mariposa St Suite# 1 Phoenix AZ 85037 33 030024 941196203 St. Josephs Hospital & Medical Ctr Dignity Health 350 West Thomas Road Phoenix AZ 85013 7300 N 99th Ave Glendale AZ 85305 34 030030 621809851 Abrazo Central Campus Vhs Of Phoenix Inc 2000 West Bethany Home Road Phoenix AZ 85015 2000 W Bethany Home Rd Phoenix AZ 85015 35 030038 860181654 Honorhealth Scottsdale Osborn Med Ct Honorhealth 7400 E Osborn Road Scottsdale AZ 85251 7400 E Osborn Rd Scottsdale AZ 85251 36 030043 900942222 Canyon Vista Medical Center Rchp-Sierra Vista Inc 5700 E. Highway 90 Sierra Vista AZ 85635 7 North San Diego Street Tombstone AZ 85638 37 030055 942916102 Kingman Regional Medical Center Kingman Healthcare, Inc 3269 Stockton Hill Road Kingman AZ 86401 3269 N Stockton Hill Rd Kingman AZ 86409 38 030061 900389314 Banner Boswell Medical Center Banner Boswell Medical Center 10401 Thunderbird Blvd. Sun City AZ 85351 10401 W Thunderbird Blvd Sun City AZ 85351 39 030064 901074557 Banner University Med Center Tucson Banner University Medical Center Tucson Campus Llc 1501 North Campbell Ave Tucson AZ 85724 1625 N Campbell Ave Tucson AZ 85719 40 030087 860181654 Honorhealth Scottsdale Shea Med Ctr Honorhealth 10450 N 92nd Street Scottsdale AZ 85258 9003 E Shea Blvd Scottsdale AZ 85260 41 030092 860181654 Deer Valley Medical Center Honorhealth 19829 N 27th Avenue Phoenix AZ 85027 19829 N 27th Ave Phoenix AZ 85027 42 030093 900389312 Banner Del E Webb Medical Center Banner Del E Webb Medical Center 14502 West Meeker Boulevard Sun City West AZ 85375 14502 W Meeker Blvd Sun City West AZ 85375 43 030103 860800150 Mayo Clinic Hospital Mayo Clinic Arizona 5777 East Mayo Blvd Phoenix AZ 85054 5777 E Mayo Blvd Phoenix AZ 85054 3950 S Country Club Rd Ste 030111 901074558 Banner University Med Center South Banner-University Medical Center South Campus Llc 2800 East Ajo Way Tucson AZ 85713 Tucson AZ 85714 44 130&140 45 030121 202066363 Mountain Vista Medical Center Mountain Vista Medical Center Lp 1301 South Crimson Road Mesa AZ 85209 4545 N Hunt Hwy Florence AZ 85132 7400 E Thompson Peak 030123 860181654 Honorhealth Scottdale Thompson Peak Honorhealth 7400 East Thompson Peak Pkwy Scottsdale AZ 85255 Scottsdale AZ 85255 46 Parkway 47 033302 860422559 Phoenix Childrens Hospital Phoenix Children'S Hospital 1919 E. Thomas Road Phoenix AZ 85016 1919 E Thomas Rd Phoenix AZ 85016 48 040004 710664687 Washington Regional Medical Center Washington Regional Medical Center 3215 N. North Hills Blvd Fayetteville AR 72703 3215 N Northhills Blvd Fayetteville AR 72703 49 040007 710236917 St Vincent Infirmary Medical Center St Vincent Infirmary Medical Center Two St Vincent Circle Little Rock AR 72205 2 Saint Vincent Cir Little Rock AR 72205 50 040010 710294390 Mercy Medical Center Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 16035 Cypress Ln Rogers AR 72756 51 040014 710772737 White County Medical Center White County Medical Center 3214 East Race 809 Searcy AR 72143 504 W Main St # A Bradford AR 72020 52 040016 716046242 Uams Medical Centrer University Of Arkansas For Medical Sciences 4301 West Markham Little Rock AR 72205 4301 W Markham St Little Rock AR 72205 53 040020 710290019 St Bernards Medical Center St Bernards Hospital Inc. 225 East Jackson Jonesboro AR 72401 225 E Washington Ave Jonesboro AR 72401 54 040022 205896848 Northwest Medical Center Of Washingt Northwest Arkansas Hospitals Llc 609 West Maple Springdale AR 72764 609 W Maple Ave Springdale AR 72764 55 040042 710236932 Crittenden Regional Hospital Crittenden Hospital Association 200 Tyler St 2248 West Memphis AR 72303 200 W Tyler Ave West Memphis AR 72301 56 040055 825426152 Baptist Health Medical Center - Fs Baptist Health Regional Hospitals 1001 Towson Avenue Fort Smith AR 72901 1001 Towson Ave Fort Smith AR 72901 57 040067 716014562 Magnolia Regional Medical Center Magnolia Regional Medical Center 807 N Jackson 629 Magnolia AR 71753 101 Hospital Dr Magnolia AR 71753 58 040071 710329353 Jefferson Regional Medical Center Jefferson Hospital Association, Inc. 1600 West 40th Avenue Pine Bluff AR 71603 1600 W. 40th Avenue Pine Bluff AR 71603 59 040114 710236856 Baptist Health Medical Center - Lr Baptist Health 9601 Baptist Health Drive Little Rock AR 72205 9601 Baptist Health Drive Little Rock AR 72205 60 040118 261214372 Nea Baptist Memorial Hospital Baptist Memorial Hospital-Jonesboro Inc 4800 East Johnson Avenue Jonesboro AR 72401 4800 E Johnson Ave Jonesboro AR 72401 61 040119 710411459 White River Medical Center White River Health System Inc 1710 Harrison Street 2197 Batesville AR 72501 3443 Harrison St Batesville AR 72501 62 043026 710236856 Baptist Health Rehabilitation Instit Baptist Health 9601 Baptist Health Drive Little Rock AR 72205 9601 Baptist Health Drive Little Rock AR 72205 63 043300 710236857 Arkansas Childrens Hospital Arkansas Childrens Hospital 1 Childrens Way Little Rock AR 72202 1 Childrens Way Little Rock AR 72202 64 050008 940562680 Cpmc-R.K. Davies Medical Center Sutter Bay Hospitals 601 Duboce Ave San Francisco CA 94117 45 Castro St San Francisco CA 94114 65 050017 941196203 Mercy General Hospital Dignity Health 4001 J Street Sacramento CA 95819 4001 J St Sacramento CA 95819 66 050022 330751869 Riverside Community Hospital Riverside Healthcare System, L.P.
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