Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5843 Jenny Wiltse (952) 883‐5617 (952) 883‐5660 Ryan Moorse (952) 883‐5655 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Jinju Truong (952) 883‐5691 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Accra Home Care, Inc Colleen Olson Accra Home Health, Inc Colleen Olson Accurate Home Care, LLC Colleen Olson Alere Women's and Children's Health, LLC Colleen Olson Alliance Health Services Colleen Olson Allina Health System Kim Schulte Altru Health System Susie Beauvais Angels Care and Rehabilitation Center Katy Barto Area Nursing Home Inc Katy Barto Around The Clock Home Care Group, LLC Colleen Olson Aspirus Network, Inc Katy Barto Associated Eye Care Ambulatory Surgery Center LLC Nick Michelson Assumption Home, Inc Katy Barto Augustana Dassel Lakeside Community Home, LLC Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Katy Barto (952) 883‐5605 Ryan Moorse (952) 883‐5655 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Avera Health Baldwin Care Center, Inc Katy Barto BAYADA Home Health Care, Inc Colleen Olson Benedictine Health Center of Minneapolis Katy Barto Benedictine Living Community of Mora Katy Barto Benedictine Living Community of Winsted Bethel Care Center Bethesda Wednesday, December 03, 2014 Page 1 of 12 Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Yula Moua (952) 883‐5607 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5574 Gloria Jenson (952) 883‐5131 (952) 883‐5843 Gloria Jenson (952) 883‐5131 Katy Barto (952) 883‐5605 Rhonda Klint (952) 883‐5839 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Elizabeth Nelson (952) 883‐3640 Nick Michelson (952) 883‐5314 Yula Moua (952) 883‐5607 Nick Michelson (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5504 Jinju Truong (952) 883‐5691 (952) 883‐5504 Jinju Truong (952) 883‐5691 (952) 883‐5504 Jinju Truong (952) 883‐5691 (952) 883‐5504 Jinju Truong (952) 883‐5691 Blaine MN Multi‐Specialty ASC, LLC Nick Michelson Brainerd Lakes Surgery Center Colleen Olson Britton Healthcare, LLC Katy Barto Brookings Ambulatory Surgery Center LLP Colleen Olson Brown County Evaluation Center, Inc Nick Michelson Buffalo Lake Healthcare Center Inc Katy Barto Burnett Medical Center Alex Larson C J Elmwood Partners, LP Kim Schulte Capitol View Transitional Care Center CareChoice CareFocus Corporation Colleen Olson CarePlus Home Health Agency, Inc Colleen Olson Cass County Health, Human & Veterans Services Colleen Olson Rochelle Eicher (952) 883‐5504 (952) 883‐5586 Catholic Charities of the Archdiocese of Minneapolis & St. Paul Nick Michelson Catholic Charities of the Diocese St. Cloud CDC Centers, Inc CDI Twin Cities ASC, LLC Nick Michelson Centennial Lakes Surgery Center Nick Michelson Center for Alcohol and Drug Treatment Nick Michelson CentraCare Health ‐ NR, LLC Colleen Olson CentraCare Health ‐ Paynesville, LLC Colleen Olson CentraCare Health ‐ Sauk Centre Colleen Olson CentraCare Surgery Center, LLC Colleen Olson Wednesday, December 03, 2014 Page 2 of 12 Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone Central Minnesota Mental Health Center Nick Michelson (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐6571 Jinju Truong (952) 883‐5691 (952) 883‐5574 Megan Pannier (952) 883‐5114 (952) 883‐5504 Ryan Moorse (952) 883‐5655 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Colleen Olson Katy Barto (952) 883‐5504 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Colleen Olson (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5504 Gloria Jenson (952) 883‐5131 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Central Minnesota Surgical Center, LLC Cerenity Senior Care Katy Barto Chaska Plaza Surgery Center, LLC Sally Goodsell Children's Care Hospital & School Alex Larson Children's Health Care Colleen Olson Chippewa Manor Nursing Home Corporation Chris Jensen LLC Christian Community Home of Hudson, Inc Katy Barto Christian Community Home of Osceola, Inc Katy Barto Chu Surgery Center, LLC Nick Michelson Clinicare Corporation Nick Michelson Cokato Charitable Trust Colleen Olson Community Memorial Home at Osakis Minnesota Incorporated Katy Barto Country Manor Campus LLC County of Rusk Covenant Healthcare, LLC Katy Barto CRC Wisconsin RD LLC Nick Michelson Crossroads Surgery Center Colleen Olson Crystal Care & Rehabilitation Center Katy Barto Dakota Boys & Girls Ranch Association Nick Michelson Dakota County Receiving Center, Inc Nick Michelson Deerfield Care Center, LLC Katy Barto Wednesday, December 03, 2014 Page 3 of 12 Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Nick Michelson (952) 883‐5314 Roshelle Badu (952) 883‐6347 Colleen Olson Katy Barto (952) 883‐5504 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐6571 Rhonda Klint (952) 883‐5839 (952) 883‐6571 Rhonda Klint (952) 883‐5839 (952) 883‐6571 Rhonda Klint (952) 883‐5839 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5557 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 Colleen Olson (952) 883‐5504 Rochelle Eicher (952) 883‐5586 Jill Books (952) 883‐5654 Josh Farmer (952) 883‐5653 Diversified Enterprises, Inc Colleen Olson Divine Healthcare Corporation Colleen Olson Divine Providence Community Home Katy Barto East Metro Endoscopy Center LLC Ecumen Equity Services of St. Paul, Inc Colleen Olson Extendicare Homes, Inc Katy Barto Fairview Health Services Sally Goodsell Fairview Maple Grove Surgery Center, LLC Sally Goodsell Fairview Red Wing Health Services dba Fairview Seminary Home Sally Goodsell Family Surgery Center, LLC Colleen Olson Faribault Healthcare, LLC Katy Barto Foley Health Care Inc. Katy Barto Fond du Lac Reservation Business Committee Tessa Johanson Gentiva Certified Health Care Corp Colleen Olson GGNSC Administrative Services LLC Golden Age Manor Good Shepherd Lutheran Home of Sauk Rapids, MN Katy Barto Good Shepherd Lutheran Services Katy Barto Group Health Plan, Inc Colleen Olson Guardian Angels Elim Home Care Inc Guild Incorporated Wednesday, December 03, 2014 Page 4 of 12 Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone Haven Chemical Health Systems, LLC Nick Michelson (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5314 Elizabeth Nelson (952) 883‐3640 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5651 Gloria Jenson (952) 883‐5131 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 Colleen Olson (952) 883‐5504 Gloria Jenson (952) 883‐5131 Jeff Brown (952) 883‐6941 Jinju Truong (952) 883‐5691 Therese Krech (952) 883‐6183 Andy Bliese (952) 883‐6289 (952) 883‐6571 Jinju Truong (952) 883‐5691 Colleen Olson (952) 883‐5504 Roshelle Badu (952) 883‐6347 Nick Michelson (952) 883‐5314 Ryan Moorse (952) 883‐5655 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 Hazelden Foundation Nick Michelson Health Dimensions Group HealthEast HealthQuest Inc Heartland Independent Provider Network Anne Ristow Hennepin Home Health Care, Inc Colleen Olson Heyde Health System, Inc Katy Barto Hiawatha HomeCare Colleen Olson High Pointe Surgery Center Nick Michelson Highland Manor Inc Katy Barto Home Health Care, Inc Colleen Olson Home Lab Partners, Inc Colleen Olson Horseshoe Surgery Center, LLC Hutchinson Health ILBNC, PA Independent Healthcare Associates Sally Goodsell Independent Surgery Center, LLC Innovis Health, LLC Interim HealthCare of the Twin Cities Colleen Olson International Quality Homecare Corporation Colleen Olson Intrepid of Golden Valley, Inc Colleen Olson Wednesday, December 03, 2014 Page 5 of 12 Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone (952) 883‐5504 Rochelle Eicher (952) 883‐5586 Colleen Olson (952) 883‐5504 Rochelle Eicher (952) 883‐5586 Kim Schulte (952) 883‐5843 Yula Moua (952) 883‐5607 Nick Michelson (952) 883‐5314 Yula Moua (952) 883‐5607 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Colleen Olson (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Intrepid of the Twin Cities, Inc Colleen Olson Isanti County Public Health Services iSurgery, LLC Jacy II, LLC Jenkins Living Center, Inc JRK Services, Inc Kelly‐Norton Programs Inc Nick Michelson Kenyon Sunset Home Katy Barto Kinnic Falls Alcohol and Drug Abuse Services, Inc Nick Michelson (952) 883‐5314 Yula Moua (952) 883‐5607 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Colleen Olson (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5661 Rochelle Eicher (952) 883‐5586 Colleen Olson (952) 883‐5504 Rochelle Eicher (952) 883‐5586 Anne Ristow (952) 883‐5651 Rhonda Klint (952) 883‐5839 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5660 Andy Bliese (952) 883‐6289 (952) 883‐5660 Andy Bliese (952) 883‐6289 Knute Nelson KWO 5 Star, Inc Lakewalk Surgery Center, Inc Colleen Olson Leo A. Hoffmann Center, Inc Nick Michelson Little Sisters of the Poor of St. Paul Katy Barto Lutheran Brethren Home Health Services, Inc Colleen Olson Mankato Clinic Endoscopy Center, LLC Sherri Jasper Mankato Surgery Center Marshfield Clinic Mary T. Home Health Colleen Olson Maxim Healthcare Services Inc Colleen Olson Mayo Clinic Health System MN Susie Beauvais Mayo Clinic Health System WI Susie Beauvais Wednesday, December 03, 2014 Page 6 of 12 Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone Meridian Behavioral Health, LLC Nick Michelson (952) 883‐5314 Elizabeth Nelson (952) 883‐3640 Anne Ristow (952) 883‐5651 Jinju Truong (952) 883‐5691 (952) 883‐5651 Jinju Truong (952) 883‐5691 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5843 Gloria Jenson (952) 883‐5131 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐6347 Roshelle Badu (952) 883‐6347 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5504 Yula Moua (952) 883‐5607 (952) 883‐5605 Jenny Wiltse (952) 883‐5617 (952) 883‐6571 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 MeritCare Hospital MeritCare Medical Group Anne Ristow Midsota Surgical Suites Nick Michelson Midway Home Health Care Colleen Olson Midwest Surgery Center Nick Michelson Minneapolis Ophthalmology ASC, LLC Nick Michelson Minnesota Eye Institute Surgery Center Kim Schulte Minnesota Eye Laser and Surgery Center Nick Michelson Minnesota Orthopedic Surgery Center, LLC Nick Michelson Minnesota Teen Challenge Nick Michelson Minnesota Valley Surgery Center, LLC Nick Michelson Minnesota Vascular Surgery Center, LLC Roshelle Badu Minnesota Visiting Nurse Agency Colleen Olson Mission Inc., Programs Nick Michelson Mitchell Healthcare LLC Katy Barto MNGI Endoscopy ASC Inc Nick Michelson Mother of Mercy Campus of Care Katy Barto New Beginnings at Waverly, LLC Nick Michelson North Dakota Surgery Center, LLP Colleen Olson North Memorial Ambulatory Surgical Center at Maple Grove LLC Katy Barto Northern Lights Health Care Center Sally Goodsell Northern Lights Services Inc Colleen Olson Wednesday, December 03, 2014 Page 7 of 12 Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone Northwest Passage, Ltd Nick Michelson (952) 883‐5314 Yula Moua (952) 883‐5607 Oak Terrace Health Care Center of Gaylord, LLC Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Nick Michelson (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5662 Rhonda Klint (952) 883‐5839 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5574 (952) 883‐5504 Josh Farmer Rochelle Eicher (952) 883‐5653 (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5660 Yula Moua (952) 883‐5607 (952) 883‐5504 Yula Moua (952) 883‐5607 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Colleen Olson Katy Barto (952) 883‐5504 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Nick Michelson (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5557 Yula Moua (952) 883‐5607 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5574 Josh Farmer (952) 883‐5653 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Omegon, Inc On‐Belay of Minnesota, Inc. Nick Michelson Pain Centers of Minnesota ‐ Mankato, LLC Colleen Olson Palisade Healthcare Community, LLC Katy Barto Park Nicollet Health Services Brenda Thommen Pavilion Surgery Center, LLC Colleen Olson People Incorporated Alex Larson Colleen Olson Perham Memorial Hospital and Home Colleen Olson Pleasant Manor Healthcare Center Katy Barto Prairie Lakes Health Care System Susie Beauvais Prairie States Surgical Center Colleen Olson Premier Healthcare Management Services LLC Katy Barto Presbyterian Homes and Services Pride Institute, Inc PrimeCare Health Group Tessa Johanson Ramsey Integrated Health Services Colleen Olson Range Mental Health Center, Inc Alex Larson Recover Health of Minnesota, Inc Colleen Olson Red Wing Health Center Katy Barto Wednesday, December 03, 2014 Page 8 of 12 Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone Reentry House, Inc Nick Michelson (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 Nick Michelson (952) 883‐5314 Roshelle Badu (952) 883‐6347 Colleen Olson (952) 883‐5504 Jinju Truong (952) 883‐5691 Alex Larson Sally Goodsell (952) 883‐5574 (952) 883‐6571 Andy Bliese Rhonda Klint (952) 883‐6289 (952) 883‐5839 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Roshelle Badu (952) 883‐6347 Nick Michelson (952) 883‐5314 Yula Moua (952) 883‐5607 Anne Ristow (952) 883‐5651 Jinju Truong (952) 883‐5691 Anne Ristow (952) 883‐5651 Jinju Truong (952) 883‐5691 (952) 883‐5651 Jinju Truong (952) 883‐5691 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Yula Moua (952) 883‐5607 Regency Home Healthcare Services LLC Colleen Olson Regional Eye Surgery Center Regional Health Regions Hospital Renville Health Services Katy Barto ResCare Minnesota, Inc Nick Michelson Rhinelander Healthcare Operator 100 LLC Katy Barto Rhinelander Healthcare Operator 150, LLC Katy Barto Rice County Public Health Nursing Service Colleen Olson Richard P. Stadter Psychiatric Center Nick Michelson River Falls Healthcare, LLC Katy Barto River Valley Home Care, Inc. Colleen Olson Riverside Endoscopy Center Nick Michelson Rule 36 Limited Partnership of Duluth III Sanford Bismarck Sanford Health Sanford Health of Northern Minnesota Anne Ristow Senior Care Communities, Inc Katy Barto Senior Health Management, Inc Katy Barto Simon/Wisconsin Rapids Properties, LLC Katy Barto Siouxland Surgery Center, LP Colleen Olson Wednesday, December 03, 2014 Page 9 of 12 Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone Siouxland Urology Center, LLC Tessa Johanson (952) 883‐5557 Yula Moua (952) 883‐5607 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5574 Josh Farmer (952) 883‐5653 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Gloria Jenson (952) 883‐5131 (952) 883‐5843 Jenny Wiltse (952) 883‐5617 (952) 883‐5574 Roshelle Badu (952) 883‐6347 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Colleen Olson (952) 883‐5504 Jinju Truong (952) 883‐5691 (952) 883‐5661 Roshelle Badu (952) 883‐6347 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 Katy Barto (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Katy Barto (952) 883‐5605 Jinju Truong (952) 883‐5691 (952) 883‐5314 Ryan Moorse (952) 883‐5655 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Roshelle Badu (952) 883‐6347 Sisters of Mary of the Presentation SMP Prairieland Home Health Snowhill Healthcare LLC Katy Barto South Central Surgical Center, LLC Nick Michelson South Metro Human Services Alex Larson Southview Acres Health Care Center Katy Barto Southwest Minnesota Surgical Center, Inc Colleen Olson Southwest Surgical Center LLC Kim Schulte Spooner Health System, Inc Alex Larson St. Anthony Nursing Home Limited Partnership Katy Barto St. Anthony Park Home St. Cloud Hospital St. Cloud MN Ophthalmology ASC, LLC Sherri Jasper St. Cloud OP Surgery, LTD Nick Michelson St. Croix Health Center Katy Barto St. Croix Valley Shared Services, Inc Colleen Olson St. Gertrude's Health Center St. Luke's Hospital St. Mary's Regional Health Center Nick Michelson Stanley Jones & Associates Inc Colleen Olson Steele County Public Health Nursing Colleen Olson Strand‐Kjorsvig Community Rest Home Katy Barto Summit Orthopedics, Ltd Nick Michelson Wednesday, December 03, 2014 Page 10 of 12 Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐6347 Yula Moua (952) 883‐5607 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Nick Michelson (952) 883‐5314 Roshelle Badu (952) 883‐6347 Jill Books (952) 883‐5654 Josh Farmer (952) 883‐5653 Rochelle Eicher (952) 883‐5586 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5661 Yula Moua (952) 883‐5607 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5574 Josh Farmer (952) 883‐5653 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 Brenda Thommen (952) 883‐5662 Rhonda Klint (952) 883‐5839 Anne Ristow (952) 883‐5651 Jinju Truong (952) 883‐5691 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Yula Moua (952) 883‐5607 Sunnyside Care Center Katy Barto Sunrise Health Services, Inc Colleen Olson Superior Home Health Care, Inc Colleen Olson Surgical Associates Endoscopy Clinic LLC Roshelle Badu Talahi Nursing & Rehab Center, LLC Katy Barto Tealwood Care Centers Katy Barto The Edina MN Ophthalmology ASC, LLC The Emily Program The Evangelical Lutheran Good Samaritan Society Colleen Olson Katy Barto (952) 883‐5504 (952) 883‐5605 The Homestead at Anoka, Inc, VOA Care Centers, Minnesota Katy Barto (952) 883‐5605 The Lutheran Home Association: Belle Plaine, LLC Katy Barto Tioga Medical Center Sherri Jasper TMS Treatment Center Inc Nick Michelson Touchstone Mental Health Alex Larson Transitions at Oakwood, LLC Katy Barto Traveling Angel, PC TRIA Orthopaedic Center ASC, LLC Trinity Health Tweeten Lutheran Healthcare Center, Inc Katy Barto United Hospital District ‐ Blue Earth Colleen Olson Universal Nursing Services, LTD Colleen Olson Victory Through Faith Recovery Services, Inc Nick Michelson Wednesday, December 03, 2014 Page 11 of 12 Ancillary Locations Contracting Entity Service Specialist (Home Care, Skilled Nursing Fac., Surgery Ctrs., Treatment Ctrs.) Service Specialist Phone Contract Manager Contract Manager Phone (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐5605 Rochelle Eicher (952) 883‐5586 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5504 Roshelle Badu (952) 883‐6347 (952) 883‐5314 Yula Moua (952) 883‐5607 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐6941 Jenny Wiltse (952) 883‐5617 (952) 883‐5314 Roshelle Badu (952) 883‐6347 (952) 883‐5504 Rochelle Eicher (952) 883‐5586 (952) 883‐6571 Yula Moua (952) 883‐5607 Vietnamese Minnesotans Association Colleen Olson Villa at St. Louis Park LLC Katy Barto Vinland National Center Nick Michelson Volunteers of America Minnesota Nick Michelson Walker Senior Services Walker Thompson Hill, LLC Wausau Surgery Center Colleen Olson Wayside House, Inc, The Nick Michelson Willmar Surgery Center Colleen Olson Winona Health Services Jeff Brown Woodbury Ambulatory Surgery Center Nick Michelson Wright County Public Health Colleen Olson Yankton Medical Clinic, PC Sally Goodsell Wednesday, December 03, 2014 Page 12 of 12
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