CASPER Report 0006D Run Date: 05/24/2017 Name and Address Listing Job # 57880641 For Rural Health Clinic Last Update: 05/23/2017 Based on Current Survey Page 1 of 2 Maine CCN Key Provider Name Address City, State and ZIP Telephone # County Name 208502 * ACADIA FAMILY HEALTH CENTER 460 MAIN STREET SUITE 104 MADAWASKA, ME 04756 (207)728-6359 Aroostook 208523 * ARNOLD MEMORIAL MEDICAL 70 SNARE CREEK ROAD JONESPORT, ME 04649 (207)255-3356 Washington CENTER 203983 * ARTHUR JEWELL COMMUNITY 55 REYNOLDS RD BROOKS, ME 04921 (207)338-2500 Waldo HEALTH CENTER 208509 * CALAIS REGIONAL MEDICAL 37 PALMER STREET, SUITE 3 CALAIS, ME 04619 (207)454-8195 Washington SERVICES 208522 * CORINTH MEDICAL ASSOCIATES 492 MAIN STREET CORINTH, ME 04427 (207)285-3312 Penobscot 203835 * DEXTER FAMILY HEALTH 51 HIGH STREET SUITE A DEXTER, ME 04930 (207)924-7349 Penobscot 203992 * DEXTER INTERNAL MEDICINE 41 HIGH ST DEXTER, ME 04930 (207)924-5226 Penobscot 203993 * DOVER-FOXCROFT FAMILY 891 W MAIN ST DOVER FOXCROFT, ME 04426 (207)924-3424 Piscataquis PRACTICE 203988 * ELSEMORE-DIXFIELD FAMILY 146 WELD STREET DIXFIELD, ME 04224 (207)562-4226 Oxford MEDICINE 203881 * FAMILY MEDICINE 6 FACTORY RD EAST MACHIAS, ME 04630 (207)255-3338 Washington 203890 * FAMILY PLANNING ASSOCIATION OF 147 WALDO AVE BELFAST, ME 04915 (207)338-3736 Waldo MAINE INC 203889 * FULL CIRCLE HEALTH CARE, LLC 1063 ALLAGASH RD ALLAGASH, ME 04774 (207)398-1022 Aroostook 203994 * GUILFORD MEDICAL ASSOCIATES 3 PARK ST GUILFORD, ME 04443 (207)876-3547 Piscataquis 208501 * HOULTON FAMILY PRACTICE 20 HARTFORD ST HOULTON, ME 04730 (207)532-3289 Aroostook 208504 * INLAND FAMILY CARE - UNITY 80 MAIN ST UNITY, ME 04988 (207)984-2100 Waldo 203825 * ISLESBORO HEALTH CENTER 150 MAIN ROAD ISLESBORO, ME 04848 (207)734-2213 Waldo 203975 * LMP FAMILY CARE CENTER 19 ST ANDREWS LANE BOOTHBAY HARBOR, ME (207)633-7820 Lincoln 04538 208510 * LMP FAMILY MEDICINE 79 SCHOONER STREET DAMARISCOTTA, ME 04543 (207)563-4321 Lincoln DAMARISCOTTA 208511 * LMP FAMILY MEDICINE WALDOBORO 592 WEST MAIN STREET WALDOBORO, ME 04572 (207)832-6394 Lincoln 208507 * MILBRIDGE MEDICAL CENTER (RHC) 5 SCHOOL ST MILBRIDGE, ME 04658 (207)546-2391 Washington 208521 * MILLINOCKET FAMILY MEDICINE 200 SOMERSET STREET, SUITE 3 MILLINOCKET, ME 04462 (207)723-5161 Penobscot RHC 208520 * MILLINOCKET PRIMARY CARE RHC 200 SOMERSET STREET MILLINOCKET, ME 04462 (207)723-5173 Penobscot 203991 * MILO FAMILY PRACTICE 135 PARK STREET - PO BOX 7 MILO, ME 04463 (207)943-7752 Piscataquis 208513 * N M M C MEDICAL OFFICE BUILDING 194 E. MAIN ST. FORT KENT, ME 04743 (207)834-3155 Aroostook 208505 * NEW HORIZONS HEALTHCARE 167 MAIN STREET NORTH ANSON, ME 04958 (207)635-2330 Somerset * = Non-Deemed CASPER Report 0006D Run Date: 05/24/2017 Name and Address Listing Job # 57880641 For Rural Health Clinic Last Update: 05/23/2017 Based on Current Survey Page 2 of 2 Maine CCN Key Provider Name Address City, State and ZIP Telephone # County Name 208506 * NEW HORIZONS HEALTHCARE 344 LAKEWOOD ROAD MADISON, ME 04950 (207)474-2994 Somerset 203857 * NEWPORT FAMILY PRACTICE 26 MAIN STREET, SUITE 2, PO BOX J NEWPORT, ME 04953 (207)368-5747 Penobscot 203987 * NORTHWOODS HEALTHCARE PRITHAM AVE GREENVILLE, ME 04441 (207)695-2084 Piscataquis 208517 * OXFORD HILLS FAMILY PRACTICE 34 WINTER ST NORWAY, ME 04268 (207)743-8031 Oxford 208516 * PENOBSCOT VALLEY PRIMARY 252 ENFIELD RD SUITE 2 LINCOLN, ME 04457 (207)794-3321 Penobscot CARE 208515 * RIVER VALLEY INTERNAL MEDICINE 431 FRANKLIN STREET RUMFORD, ME 04276 (207)269-1032 Oxford 203839 * SEAPORT FAMILY PRACTICE, P A 41 WIGHT ST BELFAST, ME 04915 (207)338-6900 Waldo 208514 * SEBASTICOOK VALLEY HEALTH 470 SOMERSET AVE PITTSFIELD, ME 04967 (207)487-5141 Somerset 208508 * SIGRID E TOMPKINS HEALTH 20 HARTFORD STREET HOULTON, ME 04730 (207)532-2234 Aroostook CENTER 208512 * STATION HILL MEDICAL OFFICE 104 EAST MAIN STREET FORT KENT, ME 04743 (207)834-3101 Aroostook BUILDING 203985 * STOCKTON SPRINGS REGIONAL MILL ROAD PO BOX 309 STOCKTON SPRINGS, ME (207)567-4000 Waldo HEALTH CENTER 04981 203989 * SWIFT RIVER HEALTH CARE 430 FRANKLIN ST RUMFORD, ME 04276 (207)369-0146 Oxford 208503 * VALLEY MEDICAL ASSOCIATION 194 E MAIN ST FORT KENT, ME 04743 (207)834-5877 Aroostook 208518 * WESTERN MAINE FAMILY PRACTICE 193 MAIN STREET NORWAY, ME 04268 (207)743-9292 Oxford 208519 * WESTERN MAINE PEDIATRICS 193 MAIN STREET NORWAY, ME 04268 (207)743-8766 Oxford Total Providers for this State = 40 * = Non-Deemed CASPER Report 0006D Run Date: 05/24/2017 Name and Address Listing Job # 57880641 For Rural Health Clinic Last Update: 05/23/2017 Based on Current Survey Page 1 of 1 Massachusetts CCN Key Provider Name Address City, State and ZIP Telephone # County Name 223800 * ISLAND HEALTH INC 245 VINEYARD HAVEN ROAD EDGARTOWN, MA 02539 (508)693-5090 Dukes Total Providers for this State = 1 * = Non-Deemed CASPER Report 0006D Run Date: 05/24/2017 Name and Address Listing Job # 57880641 For Rural Health Clinic Last Update: 05/23/2017 Based on Current Survey Page 1 of 1 New Hampshire CCN Key Provider Name Address City, State and ZIP Telephone # County Name 303992 * ANTRIM MEDICAL GROUP 12 ELM ST ANTRIM, NH 03440 (603)588-4200 Hillsboro 303989 * COTTAGE HOSPITAL INTERNAL 79 SWIFTWATER RD, SUITE 2 WOODSVILLE, NH 03785 (603)747-2900 Grafton MEDICINE 303816 * DARTMOUTH HITCHCOCK 71 HIGHLAND STREET PLYMOUTH, NH 03264 (603)536-3700 Grafton PLYMOUTH 303984 * NEWFOUND FAMILY PRACTICE 5 SCHOOL STREET BRISTOL, NH 03222 (603)744-5441 Grafton 303978 * NEWPORT HEALTH CENTER 11 JOHN STARK HIGHWAY NEWPORT, NH 03773 (603)863-4100 Sullivan 303988 * NORTH COUNTRY PRIMARY CARE 580 ST JOHNSBURY RD LITTLETON, NH 03561 (603)444-7070 Grafton 303990 * PLYMOUTH OB/GYN 16 HOSPITAL RD PLYMOUTH, NH 03264 (603)536-1104 Grafton 303814 * SACO RIVER MEDICAL GROUP 7 GREENWOOD AVENUE CONWAY, NH 03818 (603)447-3500 Carroll 303987 * SPEARE PRIMARY CARE 103 BOULDER POINTE DR PLYMOUTH, NH 03264 (603)536-6355 Grafton 303991 * WEEKS MEDICAL CENTER 43 MAIN STREET NORTH STRATFORD, NH (603)922-5039 Coos 03590 303977 * WEEKS MEDICAL CENTER - 47 CHURCH STREET GROVETON, NH 03582 (603)788-2521 Coos GROVETON 303975 * WEEKS MEDICAL CENTER - 170 MIDDLE STREET LANCASTER, NH 03584 (603)788-2521 Coos LANCASTER 303976 * WEEKS MEDICAL CENTER 8 CLOVER LANE WHITEFIELD, NH 03598 (603)837-9005 Coos WHITEFIELD 303980 * WESTSIDE HEALTH CARE 15 AIKEN AVE FRANKLIN, NH 03235 (603)934-4259 Merrimack Total Providers for this State = 14 * = Non-Deemed CASPER Report 0006D Run Date: 05/24/2017 Name and Address Listing Job # 57880641 For Rural Health Clinic Last Update: 05/23/2017 Based on Current Survey Page 1 of 1 Vermont CCN Key Provider Name Address City, State and ZIP Telephone # County Name 473824 * COLD HOLLOW FAMILY PRACTICE 84 WATER TOWER ROAD ENOSBURG FALLS, VT 05450 (802)933-6664 Franklin 473981 * GRACE COTTAGE FAMILY HEALTH 185 GRAFTON RD, PO BOX 216 TOWNSHEND, VT 05353 (802)365-4331 Windham 473982 * NORTH COUNTRY OB/GYN 81 MEDICAL VILLAGE DRIVE SUITE 2 NEWPORT, VT 05855 (802)334-4110 Orleans SERVICES 473814 * NORTH COUNTRY PEDIATRICS 121 MEDICAL VILLAGE DRIVE NEWPORT, VT 05855 (802)334-5929 Orleans 473979 * NORTH COUNTRY PRIMARY CARE 186 MEDICAL VILLAGE DRIVE NEWPORT, VT 05855 (802)334-3522 Orleans NEWPORT 473988 * NVRH CORNER MEDICAL 195 INDUSTRIAL PARKWAY LYNDONVILLE, VT 05851 (802)748-9501 Caledonia 473991 None NVRH KINGDOM INTERNAL 714 BREEZY HILL ROAD SAINT JOHNSBURY, VT 05819 (802)748-7500 Caledonia MEDICINE 473989 * NVRH ST JOHNSBURY PEDIATRICS 97 SHERMAN DRIVE SAINT JOHNSBURY, VT 05819 (802)748-5131 Caledonia 473992 None NVRH-WOMENS WELLNESS CENTER 1315 HOSPITAL DRIVE SAINT JOHNSBURY, VT 05819 (802)748-7520 Caledonia 473827 * RYDER BROOK PEDIATRICS PO BOX 608 MORRISVILLE, VT 05661 (802)888-2448 Lamoille 473987 * THE BARTON HEALTH CLINIC 488 ELM STREET BARTON, VT 05822 (802)525-3539 Orleans Total Providers for this State = 11 * = Non-Deemed CASPER Report 0006D Run Date: 05/24/2017 Name and Address Listing Job # 57880641 For Rural Health Clinic Last Update: 05/23/2017 Based on Current Survey Page 1 of 1 New York CCN Key Provider Name Address City, State and ZIP Telephone # County Name 333805 * COMMUNITY HEALTH CENTER 2 MAIN STREET CHERRY VALLEY, NY 13320 (607)264-3036 Otsego 333835 * FAMILY HEALTH CENTER OF CMH - 164 BROAD STREET HAMILTON, NY 13346 (315)824-8447 Madison HAMILTON 333834 * FAMILY HEALTH CENTER OF CMH - 3460 SOUTH STREET MORRISVILLE, NY 13408 (315)684-9848 Madison MORRISVILLE 333833 * FAMILY HEALTH CENTER OF CMH - 117 WEST MAIN STREET WATERVILLE, NY 13480 (315)841-4566 Oneida WATERVILLE 333831 * GREENVILLE FAMILY HEALTH CARE 20 BRYANT'S COUNTRY SQUARE, GREENVILLE, NY 12083 (518)966-8786 Greene CENTER ROUTE 32 333803 * TRI-COUNTY FAMILY COHOCTON PARK AVENUE COHOCTON, NY 14826 (518)384-5310 Steuben 333829 * TRI-COUNTY FAMILY MEDICINE 60 RED JACKET STREET DANSVILLE, NY 14437 (585)335-6041 Livingston 333830 * TRI-COUNTY FAMILY MEDICINE 200 NORTH MAIN STREET WAYLAND, NY 14572 (585)728-5131 Steuben PROGRAM 333808 * TRI-COUNTY FAMILY NUNDA 61 NORTH STATE STREET NUNDA, NY 14517 (585)468-2528 Livingston Total Providers for this State = 9 * = Non-Deemed CASPER Report 0006D Run Date: 05/24/2017 Name and Address Listing Job # 57880641 For Rural Health Clinic Last Update: 05/23/2017 Based on Current Survey Page 1 of 4 Pennsylvania CCN Key Provider Name Address City, State and ZIP Telephone # County Name 393899 * AC VALLEY MEDICAL CENTER 855 ROUTE 58 SUITE 1 PARKER, PA 16049 (724)659-5601 Armstrong 393414 * ALLEGHENY HEALTH CENTER 22 INDUSTRIAL PARK ROAD BROOKVILLE, PA 15825 (814)849-0990 Jefferson 393977