2019 Designated PC HPSA FRN - Attachment J

PRIMARY CARE: Alabama
County and County Equivalent Listing
Autauga County
Service Area: Autaugaville
Population Group: Low Income - Montgomery/Prattville
Baldwin County
Population Group: Low Income - South Baldwin
Facility: Poarch Band of Creek Indians
Barbour County
Service Area: Barbour County
Facility: Easterling Correctional Facility
Facility: Family Care Clinic
Facility: Ventress Correctional Facility
Bibb County
Service Area: Bibb County
Facility: Bibb Correctional Facility
Facility: Cahaba Medical Care Foundation
Blount County
Service Area: Blount County
Bullock County
Service Area: Bullock County
Facility: Bullock Correctional Facility
Butler County
Service Area: Butler County
Calhoun County
Population Group: Low Income - Calhoun County
Chambers County
Service Area: La Fayette
Population Group: Low Income - Valley
Cherokee County
Service Area: Cherokee County
Chilton County
Service Area: Chilton County
Choctaw County
Service Area: Choctaw County
Clarke County
Service Area: Clarke County
Clay County
Service Area: Clay County
Cleburne County
Service Area: Cleburne County
Page 1 of 255

Colbert County
Population Group: Low Income - Colbert/Lauderdale Counties
Conecuh County
Service Area: Conecuh County
Coosa County
Service Area: Coosa County
Covington County
Population Group: Low Income - Covington County
Crenshaw County
Service Area: Crenshaw County
Cullman County
Population Group: Low Income - Cullman County
Facility: Cullman Internal Medicine Primary Care
Dale County
Service Area: Dale County
Dallas County
Service Area: Dallas County
Facility: Rural Health Medical Program
DeKalb County
Service Area: Dekalb County
Facility: Fort Payne Pediatrics - Waterworks
Elmore County
Service Area: Tallassee Service Area
Population Group: Low Income - Montgomery/Prattville
Facility: CF-Draper Correctional Facility
Facility: Julia Tutwiler Prison for Women
Facility: Staton Correctional Facility
Escambia County
Service Area: Escambia County
Facility: Fountain Correctional Facility
Etowah County
Population Group: Low Income-Etowah County
Facility: Quality of Life Health Services
Fayette County
Service Area: Fayette/Lamar Counties
Franklin County
Service Area: Franklin County
Geneva County
Service Area: Geneva County
Greene County
Service Area: Greene County
Page 2 of 255

Hale County
Service Area: Hale County
Henry County
Service Area: Henry County
Jackson County
Population Group: Low Income-Jackson County
Facility: Northeast Alabama Health Services, Inc.
Jefferson County
Population Group: Low Income - Central Jefferson County
Facility: Aletheia House
Facility: Birmingham Healthcare
Facility: CF-William E. Donaldson Correctional Facility
Facility: Christ Health Center, Inc.
Facility: William E. Donaldson Correctional Facility
Lamar County
Service Area: Fayette/Lamar Counties
Lauderdale County
Population Group: Low Income - Colbert/Lauderdale Counties
Lawrence County
Service Area: Lawrence County
Lee County
Population Group: Low Income-Lee County
Limestone County
Service Area: Limestone County
Facility: Limestone Correctional Facility
Lowndes County
Service Area: Lowndes County
Macon County
Service Area: Tallassee Service Area
Facility: Southeast Pediatrics, Primary Care
Madison County
Facility: Central North Alabama Health Services
Facility: Thrive Alabama
Marengo County
Service Area: Marengo County
Marion County
Population Group: Low Income - Marion County
Marshall County
Service Area: Marshall County
Facility: Smart Start Pediatrics
Mobile County
Population Group: Low Income - Mobile County
Page 3 of 255

Facility: Bayou La Batre Area Health Development
Facility: Family Oriented Primary Health Care
Facility: Franklin Primary Health Center
Monroe County
Service Area: Monroe County
Montgomery County
Population Group: Low Income - Montgomery/Prattville
Facility: Health Services, Inc.
Facility: Kilby Correctional Facility
Morgan County
Population Group: Low Income - Morgan County
Perry County
Service Area: Perry County
Pickens County
Service Area: Pickens County
Pike County
Population Group: Low Income - Pike County
Facility: Southeast Alabama Rural Health Association
Randolph County
Service Area: Randolph County
Facility: Tanner Primary Care of Wedowee, Inc.
Facility: Woodland Family Healthcare
Russell County
Service Area: Russell County
St. Clair County
Service Area: St. Clair County
Facility: St. Clair Correctional Facility
Sumter County
Service Area: Sumter County
Talladega County
Service Area: Talladega County
Facility: Federal Correctional Institution - Talladega
Tallapoosa County
Service Area: Tallassee Service Area
Population Group: Low Income-Alexander City
Facility: Lake Martin Family Medicine
Tuscaloosa County
Population Group: Low Income - Tuscaloosa County
Facility: Whatley Health Service
Walker County
Population Group: Low Income - Walker County
Facility: Capstone Rural Health Center
Page 4 of 255

Washington County
Service Area: Washington County
Wilcox County
Service Area: Wilcox County
Winston County
Service Area: Winston County

Page 5 of 255

PRIMARY CARE: Alaska
County and County Equivalent Listing
Aleutians East Borough
Service Area: Aleutians East Borough
Aleutians West Census Area
Service Area: Aleutians West Borough
Facility: Apia St. Paul Health Center
Facility: Iliuliuk Family Health Center
Facility: St. George Community Council
Anchorage Borough
Facility: Alaska Native Medical Center
Facility: Alaska Native Tribal Health Consortium
Facility: Alaska Native Tribal Health Consortium-Ob/Gyn
Facility: Aleutians/Pribilof Islands Association
Facility: Anchorage Neighborhood Health Center
Facility: CF-Anchorage Correctional Complex
Facility: Chugachmiut
Facility: Cook Inlet Tribal Council, Inc.
Facility: Eastern Aleutian Tribe, Inc.
Facility: Eklutna Health Clinic
Facility: Girdwood Health Clinic
Facility: Southcentral Foundation
Bethel Census Area
Service Area: Bethel/Wade Hampton Census Areas
Facility: Akiachak Native Community
Facility: Bethel Family Clinic
Facility: Native Village of Kwinhagak
Facility: Yukon-Kuskokwim Health Corporation
Bristol Bay Borough
Service Area: Bristol Bay Borough
Facility: Bristol Bay Borough
Denali Borough
Service Area: Denali Borough
Dillingham Census Area
Facility: Bristol Bay Area Health Corporation
Facility: Kanakanak Hospital
Fairbanks North Star Borough
Facility: Chief Andrew Isaac Health Center
Facility: Dena' Nena' Henash
Facility: Fairbanks Native Association
Facility: Interior Community Health Center
Facility: Tanana Tribal Council
Hoonah-Angoon Census Area
Service Area: Hoonah-Angoon Census Area
Juneau Borough
Facility: Searhc - Ethel Lund Clinic
Facility: Southeast Alaska Region Health Consortium
Page 6 of 255

Kenai Peninsula Borough
Facility: City of Seward Administration
Facility: Kenaitze Indian Tribe
Facility: Native Village of Tyonek
Facility: Ninilchik Traditional Council
Facility: Peninsula Community Health Services of Alaska, Inc.
Facility: Seldovia Village Health Center
Facility: Spring Creek Correctional Center
Ketchikan Gateway Borough
Facility: Ketchikan Indian Corporation
Kodiak Island Borough
Facility: Kana Clinic Native Village of Karluk
Facility: Kodiak Area Native Association
Facility: Kodiak Island Health Care Foundation
Kusilvak Census Area
Service Area: Bethel/Wade Hampton Census Areas
Matanuska-Susitna Borough
Service Area: Upper Matanuska-Susitna Borough
Facility: Chickaloon Native Village
Facility: Goose Creek Correctional Center
Facility: Knik Tribal Council
Facility: Mat-Su Health Services
Facility: Scf Valley Native Primary Care Center
Facility: Sunshine Community Health Center
Nome Census Area
Service Area: Nome Census Area
Facility: Norton Sound Health Corporation
Facility: Norton Sound Health Corporation-Behavioral Health Tribal
Facility: Norton Sound Health Corporation-Outpatient Primary Care/Dt
Tribal
Facility: Norton Sound Health Corporation-Tribal Clinic
Facility: Norton Sound Regional Hosptial Fast Track
Facility: Nshc Clinic, Native Village of Diomede
North Slope Borough
Service Area: North Slope Borough
Facility: Arctic Slope Native Association
Facility: North Slope Borough Health Corporation
Facility: Samuel Simmonds Memorial Hospital
Facility: Ukpeagvik Inupiat Corporation
Northwest Arctic Borough
Facility: Maniilaq Association
Prince of Wales-Hyder Census Area
Service Area: Prince of Wales-Hyder Census Area
Facility: Annette Island Service Unit/Metlakatla Indian Community
Sitka Borough
Facility: Searhc - Mt. Edgecumbe Primary Care Clinic
Page 7 of 255

Skagway Municipality
Service Area: Skagway Municipality
Facility: Dahl Memorial Clinic
Southeast Fairbanks Census Area
Service Area: Southeast Fairbanks Census Area
Facility: Upper Tanana Health Center
Valdez-Cordova Census Area
Service Area: Northern Valdez-Cordova Census Area
Facility: Chitina Tribal and Community Health Center
Facility: Copper River Native Association
Facility: Cross Roads Medical Center
Facility: Mt. Sanford Tribal Consortium
Facility: Native Village of Eyak
Facility: Valdez Native Tribe
Yakutat Borough
Service Area: Yakutat Borough
Facility: Yakutat Tlingit Tribe
Yukon-Koyukuk Census Area
Service Area: Yukon-Koyukuk Census Area
Facility: Council of Athabascan Tribal Government

Page 8 of 255

PRIMARY CARE: Arizona
County and County Equivalent Listing
Apache County
Service Area: Navajo Nation
Service Area: Springerville/Eager
Facility: Chinle Comprehensive Health Center
Facility: Fort Defiance PHS Indian Hospital
Facility: Navajo Division of Emergency Medical Services
Facility: Navajo Division of Health
Facility: Navajo Division of Social Services
Facility: Navajo Health Foundation Dba Sage Memorial Hospital
Facility: Pinon Health Center
Facility: Rockpoint Health Clinic
Facility: Sanders Clinic
Facility: Shiprock Service Unit-Four Corners Regional Health Center
Facility: St. Michael's Clinic
Facility: Tsaile Indian Health Center
Cochise County
Service Area: Benson
Service Area: Bisbee
Service Area: Douglas and Pirtleville
Service Area: Sierra Vista
Service Area: Willcox and Bowie
Facility: CF-Arizona State Prison-Douglas
Facility: Chiricahua Community Health Center
Facility: Copper Queen Medical Associates - Douglas
Facility: Copper Queen Medical Associates-Bisbee
Facility: Palominas/Hereford Rural Health Clinics
Coconino County
Service Area: Grand Canyon Village
Service Area: Navajo Nation
Service Area: Page
Population Group: Low Income-Cottonwood/Sedona
Facility: Canyonlands Community Health Center
Facility: Kaibab-Paiute Tribe
Facility: Naca Family Health Center
Facility: Native Americans for Community Action
Facility: North Country Community Health Center
Facility: Sacred Peaks Health Center
Facility: San Juan Southern Paiute Tribe
Facility: Supai Clinic
Facility: Tuba City Regional Health Care Corporation
Gila County
Service Area: Globe
Service Area: San Carlos Apache Tribe
Service Area: White Mountain Apache Tribe
Facility: Bylas Health Center
Facility: Cobre Valley Family Practice
Facility: Pleasant Valley Community Medical Center
Facility: San Carlos Apache Tribe
Facility: San Carlos PHS Indian Hospital
Facility: Tonto Apache Tribe
Page 9 of 255

Graham County
Service Area: Safford
Service Area: San Carlos Apache Tribe
Population Group: Low Income-Thatcher
Facility: Arizona State Prison - Safford
Greenlee County
Population Group: Morenci
La Paz County
Service Area: Colorado River Indian Tribe
Service Area: Quartzsite
Population Group: Low Income-Parker
Facility: Colorado River Indian Community
Facility: Parker PHS Indian Hospital
Maricopa County
Service Area: Buckeye
Service Area: Estrella Village and Tolleson
Service Area: Glendale Central
Service Area: New River/Cave Creek
Service Area: North Gateway/Rio Vista Village
Service Area: Surprise North and Wickenburg
Service Area: Tohono O'Odham Nation
Population Group: Apache Junction
Population Group: Low Income-Alhambra Village
Population Group: Low Income-Avondale
Population Group: Low Income-Camelback East Village
Population Group: Low Income-Central City Village
Population Group: Low Income-El Mirage and Youngtown
Population Group: Low Income-Fort McDowell Yavapai Nation
Population Group: Low Income-Gila River Indian Community
Population Group: Low Income-Laveen Village
Population Group: Low Income-Maryvale Village
Population Group: Low Income-Mesa Central
Population Group: Low Income-Mesa West
Population Group: Low Income-North Mountain Village
Population Group: Low Income-Peoria South
Population Group: Low Income-Salt River Pima-Maricopa Indian Community
Population Group: Low Income-South Mountain Village and Guadalupe
Population Group: Low Income-Sun City
Population Group: Low Income-Tempe North
Population Group: Scottsdale South
Facility: Adelante Healthcare, Inc.
Facility: CF-Arizona State Prison-Lewis
Facility: Circle the City
Facility: Community Hospital Clinic
Facility: Federal Correctional Institution - Phoenix
Facility: Fort McDowell Yavapai Nation
Facility: Maricopa County Special Health Care District
Facility: Mountain Park Health Center
Facility: Native American Community Health Center
Facility: Neighborhood Outreach Access to Health
Facility: Phoenix Indian Medical Center
Facility: Salt River Clinic
Facility: Terros Inc.
Facility: Tohono O'Odham Nation
Page 10 of 255

Facility: Valle Del Sol/Dba Mi Salud
Facility: Wesley Community Center Inc.
Mohave County
Service Area: Colorado City
Service Area: Golden Valley
Service Area: Hualapai Tribe
Service Area: Kingman
Population Group: Low Income-Bullhead City
Population Group: Low Income-Lake Havasu City
Facility: Fort Mojave Health Center
Facility: Hualapai Tribe
Facility: Peach Springs PHS Indian Health Center
Navajo County
Service Area: Hopi Tribe
Service Area: Navajo Nation
Service Area: Snowflake/Heber
Service Area: White Mountain Apache Tribe
Population Group: Low Income-Show Low
Population Group: Low Income-Winslow
Facility: Arizona State Prison-Winslow
Facility: Cibecue PHS Indian Health Center
Facility: Hopi Health Care Center
Facility: Inscription House Health Center
Facility: Kayenta PHS Indian Health Center
Facility: Keams Canyon PHS Hospital
Facility: White Mountain Apache Tribe
Facility: Whiteriver Indian Health Services
Facility: Winslow Indian Health Care Center
Pima County
Service Area: Ajo
Service Area: Drexel Heights
Service Area: Pascua Yaqui Tribe
Service Area: Picture Rocks
Service Area: Sahuarita
Service Area: Tanque Verde
Service Area: Tohono O'Odham Nation
Service Area: Tucson South
Service Area: Tucson South East
Service Area: Vail
Population Group: Low Income-San Xavier
Population Group: Low Income-Tucson Central
Population Group: Low Income-Tucson East
Population Group: Low Income-Tucson Estates
Population Group: Low Income-Tucson Foothills
Population Group: Low Income-Tucson West
Population Group: Low Income-Valencia West
Facility: Ajo Community Health Center
Facility: CF-Arizona State Prison Complex-Tucson
Facility: El Rio Health Center
Facility: Federal Correctional Complex-Tucson
Facility: Marana Health Center
Facility: Pascua Yaqui Tribe Health Programs
Facility: San Xavier PHS Indian Health Center
Facility: Sells PHS Indian Health Hospital-Santa Rosa Clinic
Page 11 of 255

Facility: Sells PHS Indian Hospital
Facility: Tucson Indian Center
Facility: United Community Health Center-Maria Auxiliadora,
Pinal County
Service Area: Coolidge
Service Area: Eloy
Service Area: Florence
Service Area: Maricopa
Service Area: Saddlebrooke
Service Area: San Tan Valley
Population Group: Apache Junction
Population Group: Low Income-Gila River Indian Community
Facility: Ak-Chin Indian Community
Facility: CF-Arizona State Prison - Florence
Facility: CF-Arizona State Prison-Eyman
Facility: CF-Aspc-Red Rock
Facility: Desert Visions Wellness Center
Facility: Gila River Health Care Corporation
Facility: Immigration and Customs Enforcement - Eloy
Facility: Immigration and Customs Enforcement - Florence
Facility: Immigration and Customs Enforcement - Florence Correctional
Center
Facility: Kearny Clinic
Facility: Mountain Health and Wellness
Facility: Sun Life Family Health Center
Facility: Superior Clinic
Santa Cruz County
Service Area: Nogales
Service Area: Rio Rico
Facility: Mariposa Community Health Center
Yavapai County
Service Area: Black Canyon City
Service Area: Chino Valley
Service Area: Williamson
Population Group: Low Income-Cottonwood/Sedona
Population Group: Prescott Valley
Facility: Yavapai County Health Department
Facility: Yavapai-Apache Nation
Facility: Yavapai-Prescott Tribe
Yuma County
Service Area: Fortuna Foothills
Service Area: San Luis
Service Area: Somerton
Service Area: Yuma
Facility: Arizona State Prison-Yuma
Facility: Cocopah Tribe
Facility: San Luis Walk-in Center
Facility: San Luis Walk-in Center-Somerton
Facility: Sunset Community Health

Page 12 of 255

PRIMARY CARE: Arkansas
County and County Equivalent Listing
Arkansas County
Population Group: Low Income Arkansas County
Ashley County
Population Group: Low Income Ashley County
Facility: Mainline Health Systems
Baxter County
Population Group: Gassville Service Area
Benton County
Population Group: Low Income - Pea Ridge Service Area
Facility: Decatur Medi Clinic
Boone County
Population Group: Low Income-Boone County
Calhoun County
Service Area: Calhoun County
Facility: Cabun Rural Health Services
Carroll County
Population Group: Low Income-Carroll County
Chicot County
Population Group: Low Income-Chicot County
Facility: Lake Village Clinic, P.A.
Clark County
Population Group: Low Income - Clark County
Clay County
Population Group: Me-Clay County
Facility: Corning Area Health Care
Cleburne County
Population Group: Low Income - Cleburne County
Cleveland County
Service Area: Cleveland County
Columbia County
Population Group: Low Income-Columbia County
Craighead County
Population Group: Low Income Monette Service Area
Crawford County
Population Group: Low Income-Crawford County
Crittenden County
Facility: East Arkansas Family Health
Dallas County
Page 13 of 255

Population Group: Low Income-Dallas County
Desha County
Service Area: Desha County
Faulkner County
Population Group: Low Income - Hardin/Greenbrier Service Area
Population Group: Low Income-Vilonia Service Area
Population Group: Mayflower Service Area
Fulton County
Population Group: Low Income-Fulton County
Grant County
Population Group: Low Income-Grant County
Greene County
Facility: Paragould Doctors Clinic
Hot Spring County
Population Group: Low Income - Hot Spring County
Facility: Ouachita River Correction Facility
Howard County
Service Area: Dierks
Izard County
Population Group: Low Income-Izard County
Jackson County
Facility: CF Grimes Unit
Facility: CF-McPherson Unit
Jefferson County
Service Area: Richland
Population Group: Low Income-Altheimer Service Area
Population Group: Redfield Service Area
Facility: CF Randall Williams Unit
Facility: CF Tucker Maximum
Facility: Jefferson Comprehensive Care System, Inc.
Facility: Tucker Unit
Johnson County
Population Group: Low Income-Johnson County
Lafayette County
Service Area: Lafayette County
Lee County
Population Group: Low Income Lee County
Facility: CF East Arkansas Regional Unit
Facility: Lee County Cooperative
Lincoln County
Service Area: Lincoln County
Facility: Cummins Unit
Facility: Varner/Varner Supermax Unit
Page 14 of 255

Logan County
Population Group: Low Income - Logan County
Facility: Booneville Community and Family Medical Clinic
Facility: River Valley Primary Care Services
Lonoke County
Population Group: Low Income-Lonoke County
Madison County
Population Group: Low Income - Madison County
Marion County
Population Group: Low Income-Marion County
Monroe County
Facility: Mid-Delta Health Systems, Inc.
Montgomery County
Service Area: Montgomery County
Nevada County
Population Group: Low Income-Nevada County
Newton County
Service Area: Newton County
Ouachita County
Service Area: Bearden Service Area
Service Area: Reader Service Area
Perry County
Population Group: Low Income-Perry County
Pike County
Population Group: Low Income-Pike County
Poinsett County
Population Group: Low Income-Poinsett County
Polk County
Service Area: Grannis/Wickes
Facility: Healthy Connections
Prairie County
Service Area: Prairie County
Pulaski County
Population Group: Low Income-Southwest Little Rock
Facility: Wrightsville Unit
Saline County
Population Group: Low Income-Southwest Little Rock
Scott County
Service Area: Scott County
Page 15 of 255

Searcy County
Population Group: Low Income - Searcy County
Facility: Boston Mountain Rural
Facility: Marshall Family Practice Clinic
St. Francis County
Facility: Federal Correctional Institution - Forrest City
Stone County
Population Group: Low Income - Stone County
Union County
Population Group: Me - Union County
Van Buren County
Population Group: Low Income - Van Buren County
Washington County
Population Group: Southern Washington County Service Area
Facility: St. Francis House NWA, Inc.
Woodruff County
Population Group: Me-Woodruff County
Facility: Arcare
Yell County
Population Group: Low Income - Yell County

Page 16 of 255

PRIMARY CARE: California
County and County Equivalent Listing
Alameda County
Service Area: MSSA 2H-Hayward Northeast/San Leandro North Central
Facility: Alameda County Health Department
Facility: Asian Health Services
Facility: Axis Community Health
Facility: Childrens Hospital
Facility: Davis Street Community Center
Facility: La Clinica De La Raza
Facility: Lifelong Medical Center
Facility: Native American Health Center-Oakland
Facility: Tiburcio Vasquez Health Center
Facility: Tri-City Health Center
Facility: West Oakland Health Council
Alpine County
Service Area: MSSA 3/Markleeville
Amador County
Service Area: MSSA 6/Pioneer
Population Group: Low Income/Hmfw-MSSA 4 - Ione-Jackson-Pine GroveSutter Creek
Facility: Jackson Rancheria Health Complex
Facility: Sutter Plymouth Health Center
Butte County
Service Area: MSSA 10/Oroville
Service Area: MSSA 11/Berry Creek
Service Area: MSSA 7.3/Butte Meadows/Forest Ranch
Service Area: MSSA 7.4/Durham
Service Area: MSSA 8-Magalia/Paradise/Stirling City
Service Area: MSSA 9-Biggs/East Biggs/Gridley
Facility: Chuk Ndule Medical Center-Gridley
Facility: Feather River Hospital - Feather River Health Center
Facility: Feather River Hospital Canyon View Clinic
Facility: Feather River Hospital Family Health Center
Facility: Feather River Tribal Health, Inc.
Facility: Gridley Family Care Clinic
Facility: Northern Valley Indian Health - Chico
Facility: Northern Valley Indian Health, Inc. - Children's Hea
Calaveras County
Service Area: MSSA 12/Calaveras County/Angels Camp
Facility: Angels Camp Medical Clinic
Facility: Arnold Medical Clinic
Colusa County
Service Area: Colusa County
Facility: Colusa Indian Community Council
Contra Costa County
Facility: Brighter Beginnings
Facility: Contra Costa County Health
Del Norte County
Page 17 of 255

Service Area: MSSA 19/Del Norte County
Facility: Pelican Bay State Prison
Facility: Sutter Coast Community Clinic
El Dorado County
Service Area: MSSA 22/Georgetown North El Dorado
Service Area: MSSA 23.2-Camino/Pollock Pines
Service Area: MSSA 24/South Lake Tahoe
Facility: Barton Memorial Hospital Community Clinic
Facility: El Dorado County Community Health Center
Facility: Shingle Springs Tribal Health Program
Facility: Western Sierra Medical Center-Camino
Fresno County
Service Area: MSSA 25/Firebaugh
Service Area: MSSA 26/San Joaquin
Service Area: MSSA 29/Herndon/Kerman
Service Area: MSSA 30/Kingsburg/Selma
Service Area: MSSA 31 - Sanger
Service Area: MSSA 32-Parlier
Service Area: MSSA 35B-Clovis West-Fresno East
Service Area: MSSAs 27 and 28/Coalinga/Huron
Service Area: MSSAs 35C,35E/Fresno West Central/Fresno South and West
Population Group: Low Income/Migrant Farmworker/H - MSSA 35D/35F/Fresno
East/North
Facility: Adventist Health Community Care - Caruthers
Facility: Adventist Health Community Care - Caruthers West
Facility: Adventist Health Community Care - Coalinga
Facility: Adventist Health Community Care - Fowler
Facility: Adventist Health Community Care - Huron
Facility: Adventist Health Community Care - Kerman
Facility: Adventist Health Community Care - Kerman Central
Facility: Adventist Health Community Care - Kingsburg
Facility: Adventist Health Community Care - Orange Cove
Facility: Adventist Health Community Care - Parlier Newmark
Facility: Adventist Health Community Care - Reedley
Facility: Adventist Health Community Care - Reedley Children
Facility: Adventist Health Community Care - Reedley Cypress
Facility: Adventist Health Community Care - Reedley Jefferso
Facility: Adventist Health Community Care - Reedley Women's
Facility: Adventist Health Community Care - Sanger
Facility: Adventist Health Community Care - Selma
Facility: Adventist Health Community Care - Selma Central
Facility: Central Valley Indian Health Clinic-Prather
Facility: Central Valley Indian Health, Inc.
Facility: Cold Springs Tribal Council
Facility: Greater Fresno Health Organization
Facility: San Joaquin Prime Care Medical Corporation-Squaw Valley
Facility: San Juaquin Prime Care Medical Corporation-Reedley
Facility: Sierra Tribal Consortium
Facility: Table Mountain Rancheria
Facility: United American Indian Involvement-Fresno
Facility: United Health Centers of San Joaquin Valley
Facility: Valley Family Health Center - Riverdale
Facility: Valley Health Team
Glenn County
Page 18 of 255

Service Area: MSSA 36.2/Hamilton City
Service Area: MSSA 37/Willows
Population Group: Low Income - MSSA 36.1 Orland
Facility: Northern Valley Indian Health
Humboldt County
Service Area: MSSA 38 Hoopa-Willow Creek
Service Area: MSSA 39 and 40-Arcata-Eureka
Service Area: MSSA 42/Fortuna
Service Area: MSSA 44/Garberville/Redway
Facility: Hoopa Valley Tribe
Facility: Open Door Community Health Centers
Facility: Redwood Memorial Hospital Dba St.Joseph Rural Heal
Facility: Redwoods Rural Health Center
Facility: Southern Humboldt Community Clinic
Facility: United Indian Health Service - Potowat
Imperial County
Service Area: MSSA 46, 47, 50/East Imperial
Service Area: MSSA 48 El Centro
Service Area: MSSA 49/Calexico
Facility: Calexico Health Center
Facility: Calexico Outpatient Center
Facility: Clinicas De Salud Del Pueblo
Facility: De Anza Clinic
Facility: El Centro Regional Medical Center Outpatient Clini
Facility: Fort Yuma
Facility: Pioneers Health Center
Facility: Quechan Tribal Council
Inyo County
Service Area: MSSAs 54 and 55 Big Pine/Lone Pine
Facility: Lone Pine Indian Health Clinic
Facility: Northern Inyo Hospital
Facility: Toiyabe Indian Health Project
Kern County
Service Area: MSSA 57.1/Fort Tejon
Service Area: MSSA 57.2/Taft
Service Area: MSSA 58.1-Shafter
Service Area: MSSA 58.2-Lost Hills/Wasco
Service Area: MSSA 59/Buttonwillow
Service Area: MSSA 61/Arvin
Service Area: MSSA 62/Tehachapi
Service Area: MSSA 63/Lake Isabella
Population Group: Low Income-MSSA 64/Ridgecrest
Population Group: Low Income-MSSA 65-Boron/California City
Population Group: Low Income/Migrant Farmworker - MSSA 60 DelanoMcFarland
Population Group: Me-MSSA 66B Bakersfield East
Facility: Adventist Health Community Care - Shafter
Facility: Adventist Health Community Care - Taft
Facility: Adventist Health Community Care - Wasco
Facility: American Indian Health Project
Facility: Clinica Sierra Vista
Facility: Delano Women's Medical Clinic
Facility: Gloria Nelson Center for Women and Children
Page 19 of 255

Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Kern Valley Healthcare District Rural Health Clinic
Omni Family Health
Ridgecrest Regional Rural Health Clinic
Tehachapi Family Health Center - California City
Tehachapi Family Health Center - Mojave
Tehachapi Family Health Center - Tehachapi
United American Indian Involvement-Bakersfield
Wasco State Prison
West Side Family Health Center

Kings County
Service Area: MSSA 67 Avenal
Service Area: MSSA 68/Corcoran
Service Area: MSSA 69/Hanford/Lemoore
Facility: Adventist Health Community Care - Avenal
Facility: Adventist Health Community Care - Avenal West
Facility: Adventist Health Community Care - Corcoran
Facility: Adventist Health Community Care - Corcoran East
Facility: Adventist Health Community Care - Hanford
Facility: Adventist Health Community Care - Home Garden
Facility: Adventist Health Community Care - Lemoore
Facility: Avenal Community Health Center
Facility: Avenal State Prison
Facility: Campus Family Health Medical Center
Facility: Health Valley Medical Group, Inc.
Facility: Santa Rosa Rancheria
Lake County
Service Area: MSSA 71.1 Clearlake/Clearlake Oaks
Service Area: MSSA 71.2 and 71.3/Lower Lake/Cobb
Population Group: Low Income - MSSA 70.1/70.2/Lakeport/Lucerne
Facility: Lake County Tribal Health Consortium
Facility: Lucerne Community Clinic
Facility: Scotts Valley Band of Pomo Indians
Facility: St Helena Family Health Center - Kelseyville
Facility: St Helena Family Health Center - Middletown
Facility: St. Helena Family Center - Clearlake
Facility: St. Helena Konocti Wellness Center
Facility: St. Helena Medical Care
Facility: Sutter Lakeside Community Clinic
Facility: Sutter Lakeside Family Medicine Clinic
Facility: Ukiah Valley Primary Care/Adventist Health-Lakeport
Lassen County
Service Area: MSSA 73/Bieber
Population Group: Low Income-MSSA 72,75/Susanville/Westwood
Facility: California Correctional Center/Lassen
Facility: High Desert State Prison
Facility: Lassen Indian Health Center
Facility: Mountain Valleys Health Centers, Inc.
Facility: Northeastern Rural Health
Los Angeles County
Service Area:
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Page 20 of 255

MSSA
MSSA
MSSA
MSSA

77.1A/Palmdale Central
77.1C/Lancaster Central/Palmdale North Central
77.2/Lake Los Angeles
77.3/Juniper Hills

Service Area: MSSA 78.1/Avalon
Service Area: MSSA 78.2BBB/Compton East
Service Area: MSSA 78.2GGG/South Central Northeast
Service Area: MSSA 78.2JJJ/Long Beach West Central
Service Area: MSSA 78.2K/South Central Northwest
Service Area: MSSA 78.2MMM/Downtown Southeast
Service Area: MSSA 78.2R/Inglewood East
Service Area: MSSA 78.2UUU/Athens
Population Group: Low Income - MSSA 78.2BB/North Hollywood Central a
Population Group: Low Income - MSSA 78.2BBBB/Gardena West
Population Group: Low Income - MSSA 78.2D/City Terrace East
Population Group: Low Income - MSSA 78.2DDD/Bell
Southwest/Cudahy/Maywood/V
Population Group: Low Income - MSSA 78.2FFF/Firestone/Florence South
Population Group: Low Income - MSSA 78.2G/Hollywood East
Population Group: Low Income - MSSA 78.2OO/El Monte
Population Group: Low Income - MSSA 78.2PPP/Pacoima East/Sun Valley
Population Group: Low Income - MSSA 78.2SSS/Downey Southwest
Population Group: Low Income - MSSA 78.2VV/Los Nietos/Santa Fe Springs
Population Group: Low Income - MSSA 78.2WW/Montebello East/Pico Rivera
South/San
Population Group: Low Income-MSSA 78.2C/Bell Northeast
Population Group: Low Income-MSSA 78.2IIII/Gardena Southeast
Population Group: Low Income-MSSA 78.2L/Exposition Park/Leimert Park
Population Group: Low Income-MSSA 78.2LL/San Fernando West
Population Group: Low Income-MSSA 78.2M/Bellflower
Population Group: Low Income-MSSA 78.2OOO/Paramount North/Willowbr
Population Group: Low Income-MSSA 78.2P/Long Beach Port
Population Group: Low Income-MSSA 78.2Q/Inglewood West
Population Group: Low Income-MSSA 78.2S/South Central Southwest
Population Group: Low Income-MSSA 78.2SS/Pomona Central
Population Group: Low Income-MSSA 78.2YYY-Industry West-La Puente
Population Group: Low Income/Homeless-MSSA 78.2Z/Venice/Santa Monica
South
Population Group: Me-MSSA 78.2AAAA/Torrance East Central
Population Group: Me-MSSA 78.2III/North Long Beach
Population Group: Me-MSSA 78.2NNN/Crenshaw/Culver City East
Facility: Aaa Comprehensive Healthcare
Facility: Aghaby Comprehensive Community Health Center
Facility: All for Health, Health for All
Facility: All-Inclusive Community Health Center
Facility: Altamed Health Services Corporation
Facility: Antelope Valley Community Clinic
Facility: Apla Health and Wellness
Facility: Arroyo Vista Family Health
Facility: Asian/Pacific Health Care Venture
Facility: Benevolence Industries
Facility: Bienvenidos Community Health Center
Facility: Center for Family Health and Education, Inc.
Facility: Central Neighborhood Health Foundation
Facility: Chinatown Service Center
Facility: Clinica Monsenor Oscar a. Romero
Facility: Community Health Alliance of Pasadena
Facility: Community Medical Wellness Centers Usa
Facility: Community Medicine Inc.
Facility: Comprehensive Community Health Centers, Inc.
Facility: East Valley Community Health Center
Page 21 of 255

Facility:
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Eisner Pediatric and Family
El Proyecto Del Barrio, Inc.
Family Health Care Centers of Gtr La
Garfield Health Center
Harbor Community Clinic
Health Access for All, Inc.
Herald Christian Health Center
JWCH/Clinic Institute
Kedren Community Health Center, Inc.
Korean Health, Educ., Info and Research (Kheir)
Latino Kids Health
Los Angeles Christian Health Centers
Los Angeles Community Clinic Inc.
Los Angeles Gay and Lesbian Center
Mission City Community
Northeast Community Clinic (Necc)
Northeast Valley Health
Olive View UCLA Medical Center
Pomona Community Health Center
Queenscare Family Clinic
Roads Foundation Inc.
Saint Anthony Medical Centers, Inc.
Samuel Dixon Family Health Centers
San Fernando Community Health Center
South Bay Family Healthcare Center
South Central Family Health
Southern California Medical Center
St. John's Well Child and Family Center
T.H.E. Clinic
The Achievable Foundation
The Los Angeles Free Clinic
United American Indian Involvement
Universal Community Health Center
University Muslim Medical Association Community Cl
Valley Community Clinic
Venice Family Clinic
Watts Healthcare Corporation
Westside Family Health Center
Wilmington Community Clinic
Yehowa Medical Services

Madera County
Service Area: MSSA 79.1-Oakhurst - Yosemite
Service Area: MSSA 79.2/Chowchilla
Service Area: MSSA 80/Madera
Facility: Adventist Health Community Care Facility: Adventist Health Community Care Facility: Adventist Health Community Care Facility: Charlie Mitchell Childrens Clinic
Facility: Darin Camarena Health Center
Marin County
Facility:
Facility:
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Page 22 of 255

Lakes
Madera Ranchos
Oakhurst
Oakhurst East

Coastal Health Alliance
Marin City Health and Wellness Center
Marin Community Clinic
Ritter Center

Mariposa County
Service Area: MSSA 85 and 86/Bootjack/Yosemite Valley
Facility: John C Fremont Healthcare Clinic
Facility: John C Fremont Healthcare Clinic II
Facility: John C Fremont Healthcare District Northside Clini
Mendocino County
Service Area: MSSA 87.2 and 89/Mendocino/Fort Bragg
Service Area: MSSA 90/Laytonville
Service Area: MSSA 93.1/Ukiah
Service Area: MSSA 93.3/Potter Valley
Service Area: MSSA 93.4/Talmage
Population Group: Low Income/Migrant Farmworker/H - MSSA 91/Willits
Population Group: Low Income/Migrant Farmworkers - MSSA 88/Anchor Ba
Population Group: Me-MSSA 92 Covelo/Dos Rios
Facility: Anderson Valley Health Center Inc.
Facility: Consolidated Tribal Health Project, Inc.
Facility: Coyote Valley Tribal Council
Facility: Fort Bragg Rural Health Center
Facility: Guidville Indian Rancheria
Facility: Hopland Band of Pomo Indians
Facility: Long Valley Health Center
Facility: Mendocino Coast Clinics, Inc.
Facility: Mendocino Community
Facility: Pinoleville Band of Pomo Indians
Facility: Redwood Coast Medical Center
Facility: Redwood Medical Clinic
Facility: Round Valley Indian Health Center
Facility: Sherwood Valley Band of Pomo Indians
Facility: Ukiah Valley Primary Care/Adventist Health-North State
Merced County
Service Area: MSSA 94/Los Banos
Service Area: MSSA 96/Atwater
Population Group: Low Income - MSSA 97.1 and 97.2/Merced Central
Population Group: Low Income/Migrant Farmworker - MSSA
95/Ballico/Delhi/Livingston
Population Group: Low Income/Migrant Farmworker - MSSA 97.3/Le
Grand/Planada
Facility: Castle Family Health Center
Facility: Delhi Medical Clinic
Facility: Golden Valley Health Center
Facility: Livingston Community Health Services
Facility: Memorial Hospital Los Banos Rural Health
Facility: USP-Atwater
Modoc County
Service Area: Modoc County
Facility: Canby Family Practice Clinic
Facility: Modoc Indian Health Project Inc.
Facility: Modoc Medical Center
Facility: Stevens Parkview Healthcare
Facility: Surprise Valley Medical Clinic
Facility: Warner Mountain Indian Health Project
Mono County
Facility: Mammoth Hospital
Page 23 of 255

Monterey County
Service Area: MSSA 104-Big Sur
Population Group: Low Income/Migrant Farmworker - MSSA 105 and 107/King
City/Soledad
Population Group: Low Income/Migrant Fw - MSSA 109.1/Prunedale
Facility: Clinica De Salud Del Valle
Facility: Correctional Training Facility/Soledad
Facility: Mee Memorial Hospital Medical Clinic
Facility: Monterey County Health Department
Napa County
Service Area: MSSA 111.3/Berryessa
Facility: Community Health Clinic Ole
Nevada County
Service Area: MSSA 114 and 117/Truckee/Dollar Point
Population Group: Me-MSSA 113/Grass Valley
Facility: Chapa-De Indian Health Program-Grass Valley
Orange County
Population Group: Low Income - MSSA 116C/Anaheim West
Population Group: Low Income - MSSA 116G/Santa Ana South
Population Group: Low Income - MSSA 116R/Garden Grove N./Stanton
Facility: Central City Community Health Centers - Anaheim
Facility: Families Together of Orange County
Facility: Friends of Family Health Center
Facility: Hurtt Family Health Clinic, Inc.
Facility: Korean Community Services, Inc.
Facility: Livingstone Community Development Corporation
Facility: Mission Hospital's Camino Health Center
Facility: Nhan Hoa Comprehensive Health Care Clinic, Inc.
Facility: North Orange County Regional Health Foundation
Facility: Serve the People, Inc.
Facility: Share Our Selves (Sos)
Facility: St. Jude Neighborhood Health Centers
Facility: University of California-Irvine Family Health
Facility: Vietnamese Community of Orange County
Placer County
Service Area: MSSA
Service Area: MSSA
Service Area: MSSA
Facility: Chapa-De

114 and 117/Truckee/Dollar Point
118/Colfax
120/Foresthill
Indian Health Program, Inc.

Plumas County
Population Group: Low Income - MSSA 123.2 and 124/Graeagle/Portola
Population Group: Low Income - MSSAs 122/125/Greenville/Chester
Facility: Eastern Plumas Health Care Graeagle Medical Clinic
Facility: Eastern Plumas Health Care-Indian Valley Medical C
Facility: Eastern Plumas Health Care-Portola Medical Clinic
Facility: Greenville Rancheria
Facility: Plumas Rural Health Center
Riverside County
Service Area: MSSA 126 and 127/Blythe/Chiriaco Summit
Service Area: MSSA 132 and 133.2/Hemet/San Jacinto
Page 24 of 255

Population Group: Low Income - MSSA 129.2/Indio North
Population Group: Low Income - MSSA 129.3/Agua Caliente
Population Group: Low Income - MSSA 130/Idyllwild/Pine Cove
Population Group: Low Income - MSSA 133.1/Canyon Lake
Population Group: Low Income - MSSA 133.3/Glen Valley
Population Group: Low Income/Migrant Farmworker/Homeless - MSSA
135A/Eastside
Facility: Cabazon Band of Mission Indians
Facility: Centro Medico Community Clinic, Inc.
Facility: Chuckawalla Valley State Prison
Facility: Community Health Systems, Inc.
Facility: County of Riverside
Facility: Riverside-San Bernadino County Indian Health
Facility: Torres-Martinez Indian Health Council
Facility: Urban Community Action Projects
Sacramento County
Service Area: MSSA 136/Galt
Service Area: MSSA 137/Isleton
Population Group: Low Income/Homeless - MSSA 139J - Del Paso Heights/
Facility: California Rural Indian Health Board, Inc.
Facility: Center for AIDS Research, Education and Services
Facility: Elica Health Centers
Facility: Lodi Health Physicians Galt Family and Specialty Care
Facility: Sacramento Community Clinic
Facility: Sacramento County Department of Health
Facility: Sacramento Native American Health Center, Inc.
Facility: The Effort
San Benito County
Service Area: MSSA 140/Hollister
Facility: San Benito Health Foundation
San Bernardino County
Service Area: MSSA 142/Argus
Service Area: MSSA 143/Big River
Service Area: MSSA 144.2 and 144.3/Joshua Tree/Cadiz
Service Area: MSSA 145.2/Adelanto/Victorville Northwest
Service Area: MSSA 145.3/Lucerne Valley
Service Area: MSSA 146/Big Bear Lake
Service Area: MSSA 148/Wrightwood
Service Area: MSSA 149/Barstow
Population Group: Low Income - MSSA 145.1B/Apple Valley
Population Group: Low Income - MSSA 150/Baker
Population Group: Low Income/Migrant Fw - MSSA 145.1A/Hesperia West
Population Group: Low Income/MSSA 147-Lake Arrowhead
Population Group: Me-MSSA 151F/Colton
Facility: Chemehuevi Tribe
Facility: Federal Correctional Complex-Victorville
Facility: Fort Mojave Health Department
Facility: Hi-Desert Memorial Health Care District
Facility: Inland Behavioral and Health Services
Facility: San Bernardino County Health Center
Facility: Sean R. Thomas, MD
Facility: Social Action Community Health System
Facility: Star Medical Clinic
Facility: Tri-State Community Healthcare Center
Page 25 of 255

Facility: Unicare Community Health Center, Inc.
San Diego County
Service Area: MSSA 153.1/Pala
Service Area: MSSA 154/Barona/Moreno
Service Area: MSSA 158.2/San Diego County Estates
Service Area: MSSA 159/Buckman Springs
Service Area: MSSA 161G/Lemon Grove Northwest/National City East
Population Group: Low Income - MSSA 161D/Chollas Creek
Population Group: Low Income - MSSA 161L/Lemon Grove South
Population Group: Low Income-MSSA 161C/Downtown/Golden Hill
Population Group: Low Income/Migrant Farmworker - MSSA 161H/El Cajon
Central and So
Facility: Borrego Community Health Foundation
Facility: Family Health Centers of San Diego
Facility: Immigration and Customs Enforcement-Otay Mesa Detention
Center/San Diego
Facility: Imperial Beach Community Clinic
Facility: Indian Health Council, Inc.
Facility: La Maestra Family Clinic
Facility: Metropolitan Correctional Center-San Diego
Facility: Mountain Health
Facility: Neighborhood Health Care/Escondido
Facility: North County Health Project, Inc.
Facility: Operation Samahan, Inc.
Facility: San Diego American Indian Health Center
Facility: San Diego Family Care
Facility: San Ysidro Health Center
Facility: Southern Indian Health Council
Facility: St. Vincent De Paul Village
Facility: The Sycuan Band of the Kumeyaay Nation
Facility: Vista Community Clinic
San Francisco County
Population Group: Me-MSSA 162F/Bayview/Candlestick/Hunters
Point/Portola
Facility: Asian and Pacific Islander Wellness Center, Inc.
Facility: Friendship House Association of American Indians
Facility: Healthright 360
Facility: Mission Neighborhood Health Center
Facility: Northeast Medical Services
Facility: San Fransico Community Clinic Consortium
Facility: South of Market Health Center
San Joaquin County
Population Group: Low Income - MSSA 167/Lockeford
Population Group: Low Income-MSSA 169A/Stockton North Central
Population Group: MSSA 169B/Stockton South/Stockton Southeast
Facility: Bri Gupta, MD, Inc.
Facility: Community Medical Centers, Inc.
San Luis Obispo County
Facility: Community Health Centers of the Central Coast, Inc.
San Mateo County
Population Group: Low Income-Migrant Farmworker-MSSA 176B/East Palo
Alto
Page 26 of 255

Facility: San Mateo County Health Services Agency
Facility: South County Community Health Center
Santa Barbara County
Facility: American Indian Health and Services Corporation
Facility: Santa Barbara County Public Health Department
Facility: Santa Barbara Neighborhood Clinics
Facility: Santa Ynez Band of Mission Indians
Facility: USP-Lompoc
Santa Clara County
Facility: Asian Americans for Community Involvement
Facility: Gardner Family Health
Facility: Indian Health Center of Santa Clara
Facility: Mayview Community Health Center
Facility: San Jose Foothills Family Community Clinic
Facility: Santa Clara Valley Health and Hospital
Facility: School Health Clinics of Santa Clara County
Santa Cruz County
Population Group: Low Income/Migrant Farmworker - MSSA 184
(Freedom/Watsonville)
Facility: County of Santa Cruz Health Services
Facility: Salud Para Le Gente
Shasta County
Service Area: MSSA 187/Castella/Lakehead/O
Service Area: MSSA 188.1/Montgomery Creek
Service Area: MSSA 190-Burney
Population Group: Low Income-Migrant Farmworker/MSSA 186 Anderson
Population Group: Low Income-MSSA 188.2/Manton
Population Group: Me-MSSA 189.3/Bella Vista/City of Shasta Lake
Facility: Hill Country Community Clinic
Facility: Pit River Health Services
Facility: Redding Rancheria Health Clinic
Facility: Shasta Community Health Center
Facility: Shingletown Medical Center
Sierra County
Facility: Eastern Plumas Health Care-Loyalton Medical Clinic
Facility: Western Sierra Medical Clinic
Siskiyou County
Service Area: MSSA 194/Etna
Service Area: MSSA 196/Tulelake
Service Area: MSSA 200/Dorris
Population Group: Low Income - MSSA 195/Yreka/Grenada
Population Group: Low Income/Migrant Farmworker-MSSA 197/198/199/Mount
Shasta/Dunsm
Facility: Fairchild Medical Group, Inc.
Facility: Karuk Tribe of California
Facility: McCloud Healthcare Clinic
Facility: Mercy Lake Shastina Community Clinic
Facility: Mercy Mt. Shasta Community Clinic
Facility: Pine Street Clinic
Facility: Quartz Valley Indian Reservation
Page 27 of 255

Solano County
Service Area: MSSA 203.2/Rio Vista
Facility: Solano County Health and Social Services
Sonoma County
Service Area: MSSA 206/Cloverdale
Service Area: MSSA 208/Sonoma
Facility: Alliance Medical Center
Facility: Copper Towers Family Medical Clinic
Facility: Lytton Rancheria
Facility: Petaluma Health Center
Facility: Santa Rosa Community Health Centers
Facility: Sonoma County Indian Health
Facility: Sonoma Valley Community Health Center
Facility: West County Health Centers, Inc.
Stanislaus County
Service Area: MSSAs 212.2/212.3/213/Keyes/Salida/Crows Landin
Population Group: Low Income - MSSA 211/Oakdale/Riverbank
Population Group: Low Income - MSSA 214/Hughson
Facility: Del Puerto Health Center
Facility: Oakdale Community Health Center
Facility: Riverbank Community Health Center
Facility: Stanislaus County
Sutter County
Facility: Ampla Health (Formerly) Del Norte Clinics, Inc.
Tehama County
Service Area: MSSA 219/Rancho Tehama
Service Area: MSSA 220/Dairyville/Paynes Creek
Service Area: MSSA 222/Corning, Los Molinos, Tehama County
Population Group: Low Income-Migrant Farmworker/Red Bluff/MSSA 221
Facility: "Dignity Health Solano Street Medical Clinic"
Facility: Corning Rural Health Clinic
Facility: Greenville Rancheria Tribal Health Program-Red Blu
Facility: James Ooi, MD
Facility: Rolling Hills Clinic
Trinity County
Service Area: MSSA 223 and 224/Junction City/Weaverville/Trinity C
Service Area: MSSA 225/Hayfork, Forest Glen, Peanut
Service Area: MSSA 226/Kettenpom
Facility: Southern Trinity Health Services
Facility: Trinity Community Health Clinic
Tulare County
Service Area: MSSA 228.1/Ivanhoe
Service Area: MSSA 229/Three Rivers
Service Area: MSSA 231/Alpaugh
Service Area: MSSA 232/Springville
Service Area: MSSAs 227.1, 227.2-Dinuba-Orosi
Population Group: Low Income-Migrant Farmworker/MSSA
230/Tipton/Tulare/Woodville
Population Group: Low Income/Migrant Farmworker - MSSA 233/Visalia
Population Group: Low Income/Migrant Farmworker - Ssa 228.2/Exeter
Facility: Adventist Health Community Care - Dinuba Plaza
Page 28 of 255

Facility:
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Adventist Health Community Care - Dinuba West
Adventist Health Community Care - Orosi
Adventist Health Community Care-Dinuba
Altura Centers for Health
Family Health Care Network
Lindsay Family and Pediatrics Clinic
San Joaquin Prime Care Medical Corporation-Exeter
San Joaquin Prime Care Medical Corporation-Farmersville
Sequoia Family Medical Center Rural Health Clinic
Tulare County Health
Tule River Indian Health Program

Tuolumne County
Service Area: MSSA 234.1 and 235/Chinese Camp/Big Oak Flat
Service Area: MSSAs 234.2/236-Sonora/East Sonora
Facility: Forest Road Health and Wellness Center
Facility: M.A.C.T. Health Board, Inc.
Facility: Mathiesen Memorial Health Clinic
Facility: Sierra Conservation Center
Facility: Tuolumne Me-Wuk Indian Health Center
Ventura County
Population Group: Low Income-MSSA 241A/Oxnard South
Population Group: Low Income/Migrant Farmworker - MSSA 237/Santa Paula
Facility: Clinicas Del Camino
Facility: Ventura County Public Healthcare Agency
Yolo County
Facility: Communicare Health Center
Facility: Northern Valley Indian Health-Woodland
Facility: Winters Healthcare Foundation
Yuba County
Service Area: MSSA 247/Browns Valley
Population Group: Low Income/Migrant Farmworker-MSSA 249/Marysville
Facility: Dr. Ndulue Medical Practice-Oroville
Facility: Harmony Health Medical Clinic and Family Resource Center
Facility: Peach Tree Clinic

Page 29 of 255

PRIMARY CARE: Colorado
County and County Equivalent Listing
Adams County
Service Area: Strasburg Service Area
Population Group: Low Income - Aurora Northwest
Population Group: Low Income - Thornton/Westminster
Population Group: Low Income-Commerce City
Facility: Regents of the University of Colorado
Alamosa County
Facility: Valley-Wide Health Services
Arapahoe County
Service Area: Strasburg Service Area
Population Group: Low Income - Aurora Northwest
Population Group: Low Income - Littleton/Englewood
Facility: Every Child Pediatrics - Aurora
Facility: Metro Community Provider Network
Archuleta County
Service Area: Archuleta County
Baca County
Population Group: Low Income-Baca County
Bent County
Population Group: Low Income-Bent/Crowley/Otero
Boulder County
Population Group: Low Income - Boulder City
Population Group: Low Income - Longmont
Facility: Clinica Campesina
Chaffee County
Population Group: Low Income-Chaffee County
Facility: Buena Vista Correctional Facility
Cheyenne County
Service Area: Cheyenne County
Clear Creek County
Service Area: Clear Creek County
Conejos County
Service Area: Conejos County
Costilla County
Service Area: Costilla County
Crowley County
Population Group: Low Income-Bent/Crowley/Otero
Facility: Arkansas Valley Correctional Facility
Custer County
Service Area: Custer County
Page 30 of 255

Delta County
Population Group: Low Income - Delta County
Denver County
Population Group: Low Income - Denver West
Population Group: Low Income-Denver North
Population Group: Low Income-Denver Northeast
Facility: Colorado Coalition for the Homeless
Facility: Denver Health and Hospital
Facility: Denver Indian Health and Family Services
Facility: Denver Reception and Diagnostic Center
Facility: Denver Womens Correctional Facility
Facility: Every Child Pediatrics - Denver Campus
Facility: La Clinica Tepeyac
Dolores County
Service Area: Dolores County
Facility: Dolores County Health Association
El Paso County
Service Area: Calhan/Yoder
Population Group: Low Income - Colorado Springs
Facility: Eastern Plains Medical Clinic of Calhan
Facility: Peak Vista Community Health Centers, Inc.
Elbert County
Service Area: Western Elbert County
Population Group: Low Income - Limon/Hugo/Simla
Fremont County
Population Group: Low Income - Fremont County
Facility: Button Family Practice, P.C.
Facility: Centennial Correctional Facility
Facility: Colorado State Penitentiary
Facility: Colorado Territorial Correctional Facility
Facility: Federal Correctional Complex-Florence
Facility: Florence Medical Center, LLC
Facility: Fremont Correctional Facility
Garfield County
Population Group: Low Income-Western Garfield County
Gilpin County
Service Area: Gilpin County
Facility: Mountain Family Health Center
Grand County
Service Area: Grand County
Gunnison County
Service Area: Gunnison County
Hinsdale County
Facility: Lake City Area Medical Center
Huerfano County
Population Group: Low Income-Huerfano County
Page 31 of 255

Jackson County
Service Area: Jackson County
Jefferson County
Population Group: Low Income - Arvada South
Population Group: Low Income - Lakewood East Central
Facility: Jefferson County Public Health Department
Kiowa County
Population Group: Low Income - Kiowa County
Facility: Eads Medical Clinic
Kit Carson County
Population Group: Low Income - Kit Carson County
La Plata County
Service Area: La Plata County
Facility: Southern County Ute/Ignacio PHS Indian Health Center
Facility: Southern Ute Health Center
Facility: Southwest Colorado Mental Health Center, Inc.
Lake County
Population Group: Low Income - Lake County
Larimer County
Service Area: Red Feather Lakes Division
Population Group: Low Income-North Larimer
Las Animas County
Population Group: Low Income - Las Animas County
Facility: Trindidad Area Health Association Dba Mt. San Rafael Hospital
Lincoln County
Population Group: Low Income - Limon/Hugo/Simla
Facility: Limon Correctional Facility
Logan County
Population Group: Low Income-Logan County
Facility: Family Care Clinic
Facility: Sterling Correctional Facility
Mesa County
Population Group: Low Income - Mesa County
Facility: Marillac Clinic, Inc.
Mineral County
Service Area: Mineral County
Moffat County
Service Area: Moffat County
Facility: Northwest Colorado Community Health Center
Montezuma County
Population Group: Low Income-Montezuma County
Facility: Cortez Primary Care Clinic
Facility: Mancos Valley Health Center
Page 32 of 255

Facility: Southwest Memorial Primary Care
Facility: Southwest Walk-in Care
Facility: Ute Mountain Ute Health Program
Montrose County
Service Area: Nucla/Noorwood Service Area
Population Group: Low Income - East Montrose/Ouray
Facility: Olathe Community Clinic
Morgan County
Population Group: Low Income-Morgan County
Otero County
Population Group: Low Income-Bent/Crowley/Otero
Ouray County
Population Group: Low Income - East Montrose/Ouray
Park County
Service Area: Park County
Phillips County
Population Group: Low Income - Phillips County
Facility: Family Practice of Holyoke
Prowers County
Facility: High Plains Community Health Center
Pueblo County
Facility: CF-La Vista Correctional Facility
Facility: Pueblo Community Health Center
Rio Blanco County
Population Group: Low Income - Meeker Division
Rio Grande County
Population Group: Low Income-Rio Grande County
Routt County
Service Area: Oak Creek/Yampa
Saguache County
Population Group: Low Income-Saguache County
San Juan County
Service Area: San Juan County
San Miguel County
Service Area: Eastern San Miguel County
Service Area: Nucla/Noorwood Service Area
Facility: Telluride Medical Center
Facility: Uncompahgre Combined Community Health Center
Sedgwick County
Population Group: Low Income-Sedgwick/Deuel (Colorado/Nebraska)
Summit County
Page 33 of 255

Facility: Summit Community Care Clinic
Washington County
Service Area: Washington County
Facility: Akron Clinic
Weld County
Population Group: Low Income-Weld County
Facility: Plan De Salud Del Valle
Facility: Sunrise Community Health
Yuma County
Population Group: Low Income-Yuma County
Facility: Yuma Clinic

Page 34 of 255

PRIMARY CARE: Connecticut
County and County Equivalent Listing
Fairfield County
Population Group: Low Income - Central Norwalk
Population Group: Low Income - Danbury
Population Group: Low Income - South End Stamford
Population Group: Low Income - Stratford
Population Group: Low Income-Bridgeport
Facility: Connecticut Institute for Communities, Inc.
Facility: Family Centers
Facility: Norwalk Community Health Center
Facility: Optimus Health Care, Inc.
Facility: Southwest Community Health Center
Hartford County
Population Group: Low Income - Bristol Service Area
Population Group: Low Income - East Hartford
Population Group: Low Income - Hartford
Population Group: Low Income - New Britain
Population Group: Low Income - Northwest Enfield
Facility: Charter Oak Health Center, Inc.
Facility: Community Health Services, Inc.
Facility: First Choice Health Centers
Facility: Intercommunity Inc.
Facility: Wheeler Health and Amp; Wellness Center
Litchfield County
Population Group: Low Income-Torrington
Facility: Community Health and Wellness of Gtr Torrington
Middlesex County
Population Group: Low Income - Middletown Service Area
Facility: Community Health Center of Middletown
New Haven County
Population Group: Low Income - Ansonia
Population Group: Low Income - Central Meriden
Population Group: Low Income - New Haven/West Haven
Population Group: Low Income - Waterbury
Facility: Cornell Scott-Hill Health Corporation
Facility: Fair Haven Community Health
Facility: Staywell Health Center, Inc.
New London County
Population Group: Low Income - Groton
Population Group: Low Income - New London
Population Group: Low Income - Norwich
Facility: Mashantuckey Pequot Tribal Nation
Facility: Mohegan Tribe of Indians of CT
Tolland County
Population Group: Low Income - Mansfield
Windham County
Population Group: Low Income - Putnam Service Area
Population Group: Low Income - Town of Windham
Page 35 of 255

Facility: Generations Family Health

Page 36 of 255

PRIMARY CARE: Delaware
County and County Equivalent Listing
Kent County
Population Group: Low Income - Kent County
New Castle County
Service Area: Central Wilmington
Service Area: Wilmington - Southbridge
Population Group: Low Income - Newark
Population Group: Low Income - Southwest Wilmington
Facility: Baylor Women's Correctional Institution
Facility: Howard R. Young Correctional Institution
Facility: Primary Care-Vaughn Correctional Facility
Facility: Southbridge Medical Advisory Council Inc. Formerly Henrietta
Johnson Medical
Facility: Westside Health Service
Sussex County
Population Group: Low Income - Sussex County
Facility: CF-Sussex Correctional Institution
Facility: La Red Health Center, Inc.

Page 37 of 255

PRIMARY CARE: District of Columbia
County and County Equivalent Listing
District of Columbia
Service Area: Anacostia
Service Area: East Capitol Southeast
Service Area: South Capitol
Population Group: Homeless - Downtown Washington
Population Group: Low Income-Brentwood
Population Group: Low Income-Columbia Heights/Ft. Totten/Takoma
Facility: Bread for the City, Inc.
Facility: Community of Hope
Facility: Elaine Ellis Center of Health
Facility: Family and Medical Counseling Services, Inc.
Facility: La Clinica Del Pueblo
Facility: Mary's Center for Maternal and Child Care
Facility: Unity Health Care, Inc.
Facility: Whitman Walker Clinic

Page 38 of 255

PRIMARY CARE: Florida
County and County Equivalent Listing
Alachua County
Population Group: Low Income/Migrant Farmworker - Alachua County
Facility: Acorn Rural Health Clinic
Facility: Children's Medical Center @ Alachua
Baker County
Population Group: Low Income
Facility: Baker Correctional
Facility: Children's Medical
Facility: Children's Medical

- Baker County
Institution
Center of MacClenny
Center-Glen St Mary

Bay County
Population Group: Low Income - Bay County
Facility: Calhoun Correctional Institution
Facility: Pancare of Florida, Inc.
Bradford County
Population Group: Low Income - Bradford County
Brevard County
Population Group: Low
Population Group: Low
Population Group: Low
Facility: The Brevard

Income
Income
Income
Health

- Melbourne/Palm Bay
- Merritt Island
- Titusville-Rockledge
Alliance, Inc.

Broward County
Population Group: Low Income - Coral Springs
Population Group: Low Income - Davie/Hollywood/Dania
Population Group: Low Income - Fort Lauderdale
Population Group: Low Income - Margate
Population Group: Low Income - Pompano Beach
Population Group: Low Income - Sunrise
Population Group: Low Income-Deerfield Beach
Population Group: Low Income-Hallandale/Miramar
Facility: Broward Community and Family Health Center
Facility: North Broward Hospital District/Homeless
Facility: Seminole Tribe of Florida-Health Admin
Calhoun County
Population Group: Low Income-Calhoun County
Charlotte County
Population Group: Low Income - Port Charlotte/Punta Gorda
Facility: Charlotte Correctional Insitution
Citrus County
Population Group: Low Income - Citrus County
Clay County
Service Area: Keystone Heights
Population Group: Low Income Population Group: Low Income Population Group: Low Income Page 39 of 255

- Clay
Green Cove Springs
Jennings
Orange Park

Collier County
Service Area: Imokalee/Everglades Service Area
Population Group: Low Income - East Naples
Population Group: Low Income-Golden Gate
Facility: Collier Health Service
Facility: Immokalee Health Center
Columbia County
Population Group: Low Income - Columbia County
Facility: Children's Medical Center-Lake City
Facility: Columbia Correctional Institution
Facility: North Florida Pediatrics PA
DeSoto County
Population Group: Low Income/Migrant Farmworker - Desoto County
Facility: Desoto Correctional Institution
Dixie County
Service Area: Dixie County
Facility: Cross City Correctional Institution
Duval County
Population Group: Low Income - Atlantic Beach
Population Group: Low Income - East Jax
Population Group: Low Income - Garden City
Population Group: Low Income - North Jax
Population Group: Low Income - South Jax
Population Group: Low Income - West Jax
Population Group: Low Income-Baldwin
Facility: I.M. Sulzbacher Center for the Homeless
Escambia County
Population Group: Low Income - Escambia County
Facility: Century Correctional Institution
Facility: Escambia Community Clinics Inc.
Flagler County
Population Group: Low Income - Flagler County
Franklin County
Population Group: Low Income-Franklin County
Facility: Franklin Correctional Institution
Gadsden County
Service Area: Gadsden County
Gilchrist County
Population Group: Low Income/Migrant Farmworker-Gilchrist County
Facility: Lancaster Correctional Institution
Facility: Trenton Medical Center
Glades County
Service Area: Glades County
Facility: Brighton Health Center
Gulf County
Population Group: Low Income-Wewahitchka
Page 40 of 255

Facility: Gulf Correctional Institution
Facility: Shoreline Medical Group
Hamilton County
Service Area: Hamilton County
Facility: Hamilton Correctional Institution
Hardee County
Service Area: Hardee County
Facility: Hardee Correctional Institution
Hendry County
Service Area: Hendry County
Facility: Big Cypress Indian Heath Service Center
Facility: Urgent and Convenient Care Center
Hernando County
Population Group: Low Income - Hernando County
Highlands County
Population Group: Low Income/Migrant Farmworker - Highlands County
Facility: Avon Park Correctional Institution
Facility: Central Florida Health
Facility: Family Practice Center of Avon Park
Hillsborough County
Population Group: Low Income - East Mango
Population Group: Low Income - Port of Tampa
Population Group: Low Income - Suitcase City
Population Group: Low Income - Town and Country - Hillsborough
Population Group: Low Income - West Tampa
Population Group: Low Income-East Tampa/Ybor City
Population Group: Low Income-Southwest Hillsborough
Population Group: Low Income/Migrant Farmworker-Plant City/Dover
Facility: Suncoast Community Health Centers
Facility: Tampa Family Health Centers, Inc.
Holmes County
Population Group: Low Income - Holmes County
Facility: Ahmad Tariq Ismail
Indian River County
Population Group: Low Income-Indian River County
Facility: Treasure Coast Community Health Center
Jackson County
Population Group: Low Income - Jackson County
Facility: Apalachee Correctional Institution
Facility: Internal Medicine Associates
Facility: Jackson Correctional Institution
Jefferson County
Service Area: Jefferson County
Facility: Jefferson Correctional Institution
Lafayette County
Service Area: Lafayette County
Page 41 of 255

Facility: Mayo Correctional Institution
Lake County
Population Group: Low Income - Lake County
Lee County
Population Group: Low Income - Lehigh Acres
Population Group: Low Income - North Fort Myers
Population Group: Low Income-Bonita Springs
Population Group: Low Income-Cape Coral
Population Group: Low Income-Fort Myers
Facility: Family Health Centers of Southwest Florida
Leon County
Population Group: Low Income - Leon County
Facility: Bond Community
Facility: Neighborhood Medical Center
Facility: North Florida Medical Centers Inc.
Levy County
Population Group: Low Income/Mf-Levy County
Facility: A Woman's Place Inc.
Facility: Chiefland Medical Center, Inc.
Facility: West Florida Medical Associates
Liberty County
Service Area: Liberty County
Facility: Liberty Correctional Institution
Madison County
Service Area: Madison County
Facility: Madison Correctional Institution
Manatee County
Population Group: Low Income - Bradenton/Manatee
Population Group: Low Income - Palmetto/Parrish
Facility: Manatee County Rural Health Services, Inc.
Marion County
Population Group: Low Income - Marion County
Facility: Dr. Bellam Medical Clinic
Facility: Heart of Florida Health Center, Inc.
Facility: Lowell Annex Correctional Institution
Martin County
Service Area: Indiantown Service Area
Facility: Martin Correctional Institution
Miami-Dade County
Population Group:
Population Group:
Population Group:
Population Group:
Population Group:
Population Group:
Population Group:
Population Group:
Page 42 of 255

Low
Low
Low
Low
Low
Low
Low
Low

Income - Homestead
Income - Southwest Dade
Income - Sweetwater
Income-Biscayne Park
Income-Golden Glades
Income-Hialeah Garden
Income-Liberty City
Income-Little Havana

Population Group: Low Income-Norland
Population Group: Low Income-North Beach
Population Group: Low Income-North Miami Beach
Population Group: Low Income-Opa Locka
Population Group: Low Income-West Perrine
Population Group: Low Income-Wynwood
Facility: Banyan Community Health Center
Facility: Borinquen Healthcare
Facility: Camillus Health Concern, Inc.
Facility: Center for Family and Child Enrichment
Facility: Citrus Health Network, Inc.
Facility: Community AIDS Resource/Dba Care Resourse
Facility: Community Health South Florida, Inc.
Facility: Empower U, Incorporated
Facility: Federal Correctional Institution - Miami
Facility: Federal Detention Center-Miami
Facility: Jessie Trice Community Health Center, Inc.
Facility: Miami Beach Community Health Center
Facility: Miccosukee Tribe of Indians of Florida
Monroe County
Facility: Rural Health Network of Monroe County Florida, Inc.
Nassau County
Service Area: Callahan-Hilliard
Population Group: Low Income - Fernandina Beach
Okaloosa County
Population Group: Low Income - Northern Okaloosa County
Facility: Okaloosa Correctional Institution
Okeechobee County
Population Group: Low Income - Okeechobee County
Facility: Okeechobee Correctional Institution
Orange County
Population Group: Low Income - Meadow Woods
Population Group: Low Income - Oak Ridge - Orange
Population Group: Low Income - Parramore
Population Group: Low Income-Alafaya
Population Group: Low Income-Apopka/Winter Garden
Population Group: Low Income-Azalea Park
Population Group: Low Income-North Winter Park
Population Group: Low Income-Pine Hills
Facility: Central FL Correctional Institution
Facility: Community Health Centers, Inc.
Facility: Health Care Center for the Homeless, Inc.
Osceola County
Population Group: Low Income/Migrant Farmworker - Osceola County
Palm Beach County
Population Group:
Population Group:
Population Group:
Population Group:
Population Group:
Page 43 of 255

Low
Low
Low
Low
Low

Income
Income
Income
Income
Income

-

Boca Raton
Boynton Beach
Delray Beach
Lantana/Lake Worth
West Palm Beach

Population Group: Low Income-Greenacres
Population Group: Low Income/Migrant Farmworker - Belle
Glade/Pahokee/Palm Beach
Facility: Florida Community Health Centers, Inc.
Facility: Foundcare Health Center
Facility: Genesis Community Health
Facility: Health Care District of Palm Beach County
Pasco County
Population Group: Low Income - Pasco County
Facility: Premier Community Health Care Group
Pinellas County
Population Group: Low Income - Central Clearwater
Population Group: Low Income - Largo
Population Group: Low Income - Pinellas Park
Population Group: Low Income - St. Petersburg
Population Group: Low Income - Tarpon Springs
Population Group: Low Income-Bayview
Facility: Community Health Centers of Pinellas
Facility: Pinellas County Board of County Commissioners/Huma
Polk County
Population Group: Low Income-East Polk County
Population Group: Low Income-West Polk County
Facility: Polk Correctional Institution
Putnam County
Population Group: Low Income/Migrant Farmworker - Putnam County
Facility: Rural Healthcare, Inc.
Santa Rosa County
Population Group: Low Income - North Santa Rosa County
Facility: Blackwater Correctional Facility
Facility: Santa Rosa Correctional Institution
Sarasota County
Population Group: Low Income - North Port/South Venice
Population Group: Low Income - Sarasota
Population Group: Low Income-Venice
Seminole County
Population Group: Low Income-Sanford
Facility: Central Florida Family Health Center
St. Johns County
Population Group: Low Income - Southwest St Johns
St. Lucie County
Population Group: Low Income/Migrant Farmworker - St. Lucie County
Facility: Whole Family Health Center
Sumter County
Population Group: Low Income - Sumter
Facility: Bushnell Family Practice
Facility: Federal Correctional Complex-Coleman
Facility: Sumter Correctional Institution
Page 44 of 255

Facility: Thomas Langley Medical Center
Suwannee County
Service Area: Suwannee County
Facility: Children's Medical Center @ Live Oak
Facility: Suwannee Correctional Institution
Taylor County
Population Group: Low Income - Taylor County
Facility: Little Pine Pediatrics, PLLC
Facility: Steinhatchee Family Medical Center
Facility: Taylor Correctional Institution
Union County
Population Group: Low Income - Union County
Facility: Lake Butler Family and Pediatric Clinic
Facility: Union Chd/New River Community Health Care Center
Volusia County
Population Group: Low Income/Migrant Farmworker - Volusia County
Facility: Northeast Florida Health Services
Facility: Tomoka Correctional Institution
Wakulla County
Service Area: Wakulla County
Facility: CF - Wakulla
Walton County
Population Group: Low Income - Walton County
Facility: CF - Walton Correctional Institution
Washington County
Service Area: Washington County
Facility: CF - Northwest Florida Reception Center

Page 45 of 255

PRIMARY CARE: Georgia
County and County Equivalent Listing
Appling County
Population Group: Low Income-Appling County
Facility: Appling Medical Group
Facility: South GA Medical Associates
Atkinson County
Service Area: Atkinson County
Bacon County
Population Group: Low Income-Bacon County
Baker County
Population Group: Low Income-Baker County
Baldwin County
Population Group: Low Income - Baldwin County
Banks County
Population Group: Low Income - Banks County
Barrow County
Population Group: Low Income-Barrow County
Bartow County
Population Group: Low Income - Bartow County
Ben Hill County
Population Group: Low Income - Ben Hill County
Berrien County
Service Area: Berrien County
Bibb County
Population Group: Low Income-Bibb County
Facility: First Choice Primary Care, Inc.
Bleckley County
Service Area: Bleckley County
Brantley County
Service Area: Brantley County
Brooks County
Service Area: Brooks County
Bulloch County
Population Group: Low Income - Bulloch County
Burke County
Population Group: Low Income-Burke County
Facility: Burke County Hospital
Butts County
Population Group: Low Income-Butts County
Page 46 of 255

Facility: Georgia Diagnostic Prison
Calhoun County
Population Group: Low Income - Calhoun County
Camden County
Population Group: Low Income-Camden County
Candler County
Population Group: Low Income - Candler County
Carroll County
Population Group: Low Income-Carroll County
Facility: West Carroll Family Health Care Center
Catoosa County
Population Group: Low Income - Catoosa County
Facility: North Georgia Healthcare Center, Inc.
Charlton County
Service Area: Charlton County
Chatham County
Service Area: Northwest Savannah
Facility: Coastal State Prison
Facility: Curtis V Cooper Primary Health Care Inc.
Facility: J C Lewis Primary Health Care Center, Inc.
Chattahoochee County
Population Group: Low Income - Chattahoochee County
Chattooga County
Population Group: Low Income - Chattooga County
Clarke County
Population Group: Low Income-Clarke County
Facility: Athens Neighborhood Health Center, Inc. (Anhc)
Clay County
Service Area: Clay County
Clayton County
Population Group: Low Income - Clayton County
Clinch County
Population Group: Low Income - Clinch County
Cobb County
Facility: Good Samaritan Health Center of Cobb, Inc.
Facility: Wellstar Northwest Women
Coffee County
Population Group: Low Income - Coffee County
Facility: Coffee Regional First Care
Colquitt County
Service Area: Colquitt County
Page 47 of 255

Facility: Colquitt Regional Medical Center Primary Care
Facility: Kirk Clinic, LLC
Columbia County
Population Group: Low Income-Southern Columbia County
Cook County
Population Group: Low Income/Migrant Farmworker - Cook County
Crawford County
Service Area: Crawford County
Crisp County
Population Group: Low Income-Crisp County
Facility: Georgia Department of Community Health Services
Dade County
Service Area: Dade County
Facility: Primary Health Care Centers of Dade
Dawson County
Population Group: Low Income-Dawson County
Decatur County
Population Group: Low Income - Decatur County
DeKalb County
Service Area: South Decatur/Candler/McAfee
Population Group: Low Income-North Dekalb County
Facility: Meridian Educational Resource Group
Facility: Oakhurst Medical Center
Dodge County
Population Group: Low Income - Dodge County
Facility: Dodge State Prison
Dooly County
Service Area: Dooly County
Facility: Dooly State Prison
Dougherty County
Population Group: Low Income-Dougherty County
Facility: Albany Area Primary Health Care
Douglas County
Population Group: Low Income-Douglas County
Early County
Service Area: Early County
Facility: Primary Care of Southwest Georgia, Inc.
Echols County
Service Area: Echols County
Effingham County
Service Area: North Effingham County
Page 48 of 255

Elbert County
Population Group: Low Income - Elbert County
Facility: Medical Center of Elberton, LLC
Emanuel County
Service Area: Emanuel County
Facility: East Georgia Healthcare Center, Inc.
Evans County
Population Group: Low Income-Evans County
Fannin County
Population Group: Low Income - Fannin County
Facility: Georgia Mountains Health Services
Floyd County
Population Group: Low Income-Floyd County
Forsyth County
Facility: Georgia Highlands Community Health Center
Franklin County
Population Group: Low Income - Franklin County
Fulton County
Service Area: West Atlanta
Population Group: Low Income - Southwest Atlanta
Population Group: Low Income - Westside Atlanta
Population Group: Low Income-Southeast Atlanta
Facility: Health Education, Assessment and Leadership Inc.
Facility: Palmetto Health Council, Inc.
Facility: Southside Medical Center
Facility: St. Joseph's Mercy Care Services
Facility: USP-Atlanta
Facility: West End Medical Centers, Inc.
Gilmer County
Population Group: Low Income-Gilmer County
Glascock County
Service Area: Glascock/Warren Counties
Glynn County
Population Group: Low Income - Glynn County
Facility: Coastal Georgia Community Health Services
Gordon County
Population Group: Low Income - Gordon County
Grady County
Population Group: Low Income - Grady County
Greene County
Population Group: Low Income-Greene County
Facility: Tender Care Clinic
Gwinnett County
Page 49 of 255

Population Group: Low Income-Northwest Gwinnett County
Facility: Center for Pan Asian Community Services, Inc.
Facility: Four Corners Primary Care Center
Facility: Phillips State Prison
Habersham County
Population Group: Low Income-Habersham County
Facility: Lee Arrendale State Prison
Hall County
Population Group: Low Income-Hall County
Hancock County
Service Area: Hancock County
Facility: Hancock State Prison
Haralson County
Population Group: Low Income - Haralson County
Facility: Tallapoose Family Healthcare
Facility: Tmc Buchanan Family Healthcare Center
Facility: Tmc Haralson Family Healthcare Center
Harris County
Service Area: Harris County
Hart County
Service Area: Hart County
Heard County
Population Group: Low Income-Heard County
Facility: Tanner Family Healthcare of Franklin
Houston County
Population Group: Low Income - Houston County
Irwin County
Population Group: Low Income-Irwin County
Facility: South Central Health Center
Jackson County
Population Group: Low Income-Jackson County
Jasper County
Service Area: Jasper County
Jeff Davis County
Service Area: Jeff Davis County
Jefferson County
Service Area: Jefferson County
Facility: Physician's Health Group
Facility: Wrens Physicians' Health Group
Jenkins County
Service Area: Jenkins County
Facility: Jenkins County Family Medicine
Page 50 of 255

Johnson County
Service Area: Johnson County
Facility: Community Health Care Systems, Inc.
Facility: Johnson State Prison
Jones County
Population Group: Low Income-Jones County
Lamar County
Population Group: Low Income-Lamar County
Lanier County
Service Area: Lanier County
Laurens County
Population Group: Low Income-Laurens County
Lee County
Service Area: Lee County
Liberty County
Service Area: Liberty County
Facility: Diversity Health Center, Inc.
Lincoln County
Service Area: Lincoln County
Long County
Service Area: Long County
Lowndes County
Population Group: Low Income-Lowndes County
Facility: Valdosta State Prison
Lumpkin County
Population Group: Low Income - Lumpkin County
Macon County
Service Area: Macon County
Facility: Macon State Prison
Madison County
Population Group: Low Income-Madison County
Facility: Medlink Georgia, Inc.
Marion County
Service Area: Marion County
McDuffie County
Population Group: Low Income - McDuffie County
McIntosh County
Service Area: McIntosh County
Meriwether County
Service Area: Meriwether County
Page 51 of 255

Miller County
Population Group: Low Income - Miller County
Mitchell County
Service Area: Mitchell County
Monroe County
Population Group: Low Income/Migrant Farmworker - Monroe County
Montgomery County
Service Area: Montgomery County
Morgan County
Service Area: Morgan County
Murray County
Population Group: Low Income - Murray County
Muscogee County
Population Group: Low Income-Muscogee County
Facility: Valley Healthcare System
Oglethorpe County
Population Group: Low Income-Oglethorpe County
Paulding County
Service Area: Paulding County
Peach County
Service Area: Peach County
Pickens County
Population Group: Low Income-Pickens County
Facility: Good Samaritan Health and Wellness Center
Pierce County
Population Group: Low Income - Pierce County
Pike County
Population Group: Low Income-Pike County
Polk County
Population Group: Low Income - Polk County
Pulaski County
Population Group: Low Income-Pulaski County
Facility: Pulaski State Prison
Putnam County
Population Group: Low Income-Putnam County
Quitman County
Service Area: Quitman County
Rabun County
Population Group: Low Income - Rabun County
Page 52 of 255

Randolph County
Service Area: Randolph County
Facility: Randolph Medical Associates
Richmond County
Population Group: Low Income - Central Augusta
Facility: Christ Community Health Services Augusta, Inc.
Facility: Neighborhood Improvement Project, Inc.
Schley County
Service Area: Schley County
Screven County
Service Area: Screven County
Seminole County
Population Group: Low Income-Seminole County
Spalding County
Population Group: Low Income-Spalding County
Stephens County
Population Group: Low Income-Stephens County
Stewart County
Service Area: Stewart/Webster
Facility: Immigration and Customs Enforcement-Stewart
Facility: Southwest Georgia Health Care
Sumter County
Population Group: Low Income - Sumter County
Talbot County
Service Area: Talbot County
Taliaferro County
Service Area: Taliaferro County
Tattnall County
Population Group: Low Income/Migrant Farmworker - Tattnall County
Facility: CF-Georgia State Prison
Taylor County
Service Area: Taylor County
Telfair County
Population Group: Low Income - Telfair County
Terrell County
Service Area: Terrell County
Thomas County
Population Group: Low Income-Thomas County
Tift County
Population Group: Low Income-Tift County
Page 53 of 255

Toombs County
Population Group: Low Income-Toombs County
Towns County
Population Group: Low Income - Towns County
Facility: Hiawassee Family Health Practice, Primary Care
Treutlen County
Service Area: Treutlen County
Troup County
Population Group: Low Income-Troup County
Turner County
Population Group: Low Income - Turner County
Twiggs County
Service Area: Twiggs County
Union County
Population Group: Low Income - Union County
Upson County
Population Group: Low Income - Upson County
Walker County
Population Group: Low Income - Walker County
Walton County
Population Group: Low Income-Walton County
Ware County
Population Group: Low Income - Ware County
Facility: CF-Ware State Prison
Facility: McKinney Community Health Center
Warren County
Service Area: Glascock/Warren Counties
Washington County
Population Group: Low Income - Washington County
Wayne County
Population Group: Low Income-Wayne County
Webster County
Service Area: Stewart/Webster
Wheeler County
Service Area: Wheeler County
White County
Population Group: Low Income-White County
Whitfield County
Population Group: Low Income - Whitfield County
Page 54 of 255

Wilcox County
Service Area: Wilcox County
Facility: Wilcox State Prison
Wilkes County
Population Group: Low Income - Wilkes County
Wilkinson County
Population Group: Low Income - Wilkinson County
Worth County
Population Group: Low Income - Worth County
Facility: Phoebe Worth Family Medicine

Page 55 of 255

PRIMARY CARE: Hawaii
County and County Equivalent Listing
Hawaii County
Population Group: Low Income-Hawaii County
Facility: Bay Clinic
Facility: Hamakua Health Center
Facility: Kipuka O Ke Ola Five Mountains Hawaii Inc.
Facility: West Hawaii Community Health Center
Honolulu County
Service Area: Oahu Northern Shore
Facility: Castle Health Clinic of Laie
Facility: Federal Detention Center-Honolulu
Facility: Kalihi-Palama Health Center
Facility: Ko'Olauloa Community Health and Wellness
Facility: Kokua Kalihi Valley Comprehensive Family
Facility: The Wahiawa Center for Community Health
Facility: Waianae Coast Community Health Center
Facility: Waikiki Health Center
Facility: Waimanalo Health Center
Kalawao County
Population Group: Low Income - Molokai Island
Kauai County
Facility: Ho'Ola Lahui Hawai'I
Maui County
Service Area: Hana/Haiku
Service Area: Kihei Service Area
Service Area: Kula
Service Area: Lahaina Service Area
Population Group: Low Income - Molokai Island
Facility: Community Clinic of Maui
Facility: Hana Community Health Center
Facility: Lana'I Community Health Center
Facility: Molokai General Hospital
Facility: Molokai Ohana Health Care, Inc.

Page 56 of 255

PRIMARY CARE: Idaho
County and County Equivalent Listing
Ada County
Facility: Family Practice Residency of ID
Adams County
Population Group: Low Income - Adams/Northwest Valley
Facility: Adams County Health Center
Bannock County
Population Group: Low Income/Migrant Farmworker - Bannock County
Facility: Health West, Inc.
Facility: Pocatello Women's Correctional Center
Bear Lake County
Population Group: Low Income-Bear Lake County
Facility: Bear Lake Family Care and Ob-Gyn
Facility: Bear Lake Internal Medicine
Facility: Clay I Campbell, MD
Benewah County
Population Group: Low Income-Benewah County
Facility: Benewah Medical/Wellness Center
Facility: St Maries Family Medicine
Bingham County
Population Group: Migrant Farmworker-Bingham County
Facility: First Choice Urgent Care and Medical Clinic
Facility: Idaho Physicians Clinic
Facility: Not-Tsoo Gah-Nee Indian Health Center
Facility: Physicians and Surgeons Clinic of Shelly
Facility: Shoshone-Bannock Tribes of the Fort Hall Reservation of Idaho
Blaine County
Service Area: Carey
Boise County
Service Area: Boise County
Bonner County
Population Group: Low Income - Bonner County
Bonneville County
Service Area: Swan Valley Service Area
Boundary County
Population Group: Low Income-Boundary County
Facility: Bonners Ferry Family Medicine
Facility: Boundary Community Health Clinic
Facility: Boundary Regional Cummunity Health Center
Facility: Kootenai Tribal Health Clinic
Butte County
Population Group: Low Income - Butte County
Facility: Lost Rivers Medical Center Outpatient Clinic - Arc
Page 57 of 255

Camas County
Service Area: Camas County
Canyon County
Population Group: Low Income - Canyon County
Facility: Community Council of Idaho, Inc.
Facility: St. Alphonsus Medical Group - Elm
Facility: Terry Reilly Community Health Center
Caribou County
Population Group: Low Income-Caribou County
Cassia County
Population Group: Low Income-Cassia County
Clark County
Service Area: Clark County
Clearwater County
Population Group: Low Income - Clearwater County
Facility: Idaho Correctional Institution of Orofino
Facility: Pioneer Medical Clinic
Custer County
Service Area: Custer County
Facility: Challis Area Health Center
Facility: Lost Rivers Medical Center Outpatient Clinic - Mac
Facility: Salmon River Clinic
Elmore County
Service Area: Elmore County
Facility: Desert Sage Health Centers
Facility: St. Luke's Clinic - Trinity Mountain
Franklin County
Service Area: Franklin County
Fremont County
Service Area: Fremont County
Gem County
Population Group: Low Income/Migrant Farmworker - Gem County
Facility: Emmett Medical Center
Gooding County
Population Group: Low Income-Gooding County
Idaho County
Population Group: Low Income-Idaho County
Facility: Syringa Kooskia Clinic
Facility: Syringa Primary Care Clinic
Jefferson County
Population Group: Low Income - Jefferson County
Facility: Upper Valley Family Medicine
Jerome County
Page 58 of 255

Population Group: Low Income-Jerome County
Facility: St. Luke's Clinic Jerome Family Medicine
Kootenai County
Population Group: Low Income/Migrant Farmworker - Kootenai County
Facility: Dirne Community Health Clinic
Latah County
Population Group: Low Income - Latah County
Facility: Kendrick Family Care
Facility: Moscow Medical
Facility: Potlatch Family Care
Lemhi County
Population Group: Low Income-Lemhi County
Facility: Steele Memorial Clinic
Lewis County
Population Group: Low Income - Lewis County
Lincoln County
Service Area: Lincoln County
Madison County
Population Group: Low Income - Madison County
Facility: Upper Valley Free Clinic
Minidoka County
Population Group: Low Income-Minidoka County
Facility: Minidoka Medical Center Rural Health Clinic
Nez Perce County
Population Group: Low Income - Nez Perce County
Facility: Nimiipuu Health Center Nez Perce
Facility: Nimiipuu Health Center-Kamiah
Oneida County
Service Area: Oneida County
Facility: Oneida County Clinic
Owyhee County
Service Area: Owyhee County
Payette County
Population Group: Low Income - Payette County
Facility: Valley Family Health Care
Power County
Population Group: Low Income-Power County
Facility: Power County Family Clinic
Shoshone County
Population Group: Low Income - Shoshone County
Teton County
Service Area: Teton County
Facility: Driggs Health Center
Page 59 of 255

Facility: Victor Health Clinic
Twin Falls County
Population Group: Low Income-Twin Falls County
Facility: Family Health Services Corporation
Valley County
Service Area: East Valley Sub-County
Population Group: Low Income - Adams/Northwest Valley
Washington County
Population Group: Low Income-Washington County
Facility: Two Rivers Medical Clinic, PA

Page 60 of 255

PRIMARY CARE: Illinois
County and County Equivalent Listing
Adams County
Population Group: Me-Adams County
Alexander County
Service Area: Alexander/Pulaski Counties
Bond County
Population Group: Low Income - Bond County
Facility: Federal Correctional Institution - Greenville
Boone County
Population Group: Low Income - Belvidere Service Area
Brown County
Service Area: Brown County
Facility: Quincy Medical Group-Mt. Sterling Rural Health
Facility: Western Illinois Correctional Center
Bureau County
Population Group: Low Income - Bureau/Putnam Counties
Calhoun County
Service Area: Jersey/Calhoun Counties
Carroll County
Service Area: Carroll County
Cass County
Service Area: Cass/Schuyler Counties
Facility: Cass County Health Department
Champaign County
Population Group: Low Income - Champaign County
Christian County
Population Group: Low Income-Christian County
Clark County
Population Group: Low Income - Clark/Edgar Counties
Facility: Cork Medical Center
Clay County
Service Area: Clay County
Facility: Cch Medical Clinic
Facility: Louisiville Medical Clinic
Clinton County
Service Area: Clinton County
Facility: CF - Centralia
Coles County
Population Group: Low Income - Coles County
Cook County
Page 61 of 255

Service Area: Auburn Gresham/Wash Heights/Chatham
Service Area: Calumet City/Burnham
Service Area: Chicago Lawn
Service Area: Humboldt Park
Service Area: Rogers Park
Service Area: Roseland/Pullman/Burnside
Service Area: South Deering
Service Area: West Englewood/Englewood
Population Group: Low Income - Dalton/South Holland
Population Group: Low Income-Austin
Population Group: Low Income-Brighton/Gage Parks
Population Group: Low Income-Chicago Heights
Population Group: Low Income-Chicago Near West Side
Population Group: Low Income-Chicago Uptown
Population Group: Low Income-Cicero/Berwyn
Population Group: Low Income-East Side/Hegewisch Service Area
Population Group: Low Income-Elgin
Population Group: Low Income-Hyde Park/Woodlawn/Washington Park
Population Group: Low Income-Lincoln Square/West Ridge
Population Group: Low Income-Logan Square
Population Group: Low Income-Lower Westside/McKinley Park/Bridgeport
Population Group: Low Income-Near South/Armour Sq/Douglas
Population Group: Low Income-New City
Population Group: Low Income-North Lawndale/Garfield Park
Population Group: Low Income-Robbins/Dixmoor/Harvey/Phoenix
Population Group: Low Income-South Lawndale
Population Group: Low Income-South Shore
Population Group: Low Income-West Town\Chicago
Facility: Access Community Health Network
Facility: Alivio Medical Center
Facility: American Indian Health Service of Chicago, Inc.
Facility: Asian Human Services Family Health Center
Facility: Aunt Martha's Youth Service Center, Inc.
Facility: Beloved Community Family Wellness Center
Facility: Centro De Salud Esperanza
Facility: Chicago Family Health
Facility: Christian Community Health Center
Facility: Community Health Partnership of Illinois
Facility: Community Nurse Health Association
Facility: Erie Family Health Center
Facility: Family Christian Health Center
Facility: Friend Family Health Center
Facility: Hamdard Center for Health and Human Services Nfp
Facility: Heartland Health Outreach
Facility: Heartland International Health Center
Facility: Inner City Muslim Action Network
Facility: Lawndale Christian Health Center
Facility: Legacy Medical Care Inc.
Facility: Metropolitan Correctional Center-Chicago
Facility: Mile Square Community Health Center
Facility: Near North Health
Facility: Oak Forest Ambulatory Health Center
Facility: PCC Community Wellness Center
Facility: Primecare Community Health
Facility: TCA Health, Inc. (Altgeld Clinic)
Crawford County
Page 62 of 255

Population Group: Low Income - Crawford County
Cumberland County
Population Group: Low Income - Cumberland County
Facility: Sbl - Neoga Clinic
De Witt County
Service Area: De Witt County
Facility: Dr. John Warner Hospital Rural Health Clinic
DeKalb County
Service Area: Mendota
Population Group: Low Income - Dekalb Service Area
Douglas County
Service Area: Douglas County
Facility: Atwood Rural Health Clinic
Edgar County
Population Group: Low Income - Clark/Edgar Counties
Edwards County
Population Group: Low Income - Edwards/Wabash Counties
Effingham County
Population Group: Me-Effingham County
Fayette County
Service Area: Fayette County
Facility: Confidence Medical Associates, Ltd.
Facility: Confidence Medical Associates, Ltd. Schwa
Ford County
Population Group: Low Income - Artesia/Loda/Pigeon Grove
Franklin County
Population Group: Low Income-Franklin County
Facility: Christopher Greater Area Rural Health Planning Corporation
Fulton County
Population Group: Low Income - Fulton County
Facility: Illinois River State Correctional Center
Gallatin County
Service Area: Gallatin County
Greene County
Population Group: Low Income - Greene County
Facility: Rural Health Center - Roodhouse
Facility: Thomas H. Boyd Rural Health Clinic
Hamilton County
Service Area: Hamilton County
Hancock County
Population Group: Low Income - Hancock County
Page 63 of 255

Hardin County
Service Area: Hardin/Pope Counties
Henderson County
Service Area: Henderson County
Facility: Henderson County Rural Health
Henry County
Service Area: Henry/Stark Counties
Facility: Unitypoint Clinic Family Medicine - Geneseo
Iroquois County
Service Area: Hoopeston
Population Group: Low Income - Artesia/Loda/Pigeon Grove
Population Group: Low Income - Watseka
Facility: Roberts Clinic, Ltd.
Jackson County
Population Group: Low Income - Jackson County
Facility: Community Health and Emergency Services
Facility: Southern Illinois University Family Practice Cente
Jefferson County
Population Group: Me - Jefferson County
Facility: CF - Big Muddy River
Jersey County
Service Area: Jersey/Calhoun Counties
Facility: Medical Associates of Jerseyville, Ltd.
Johnson County
Service Area: Johnson County
Kane County
Population Group: Low Income - Aurora
Population Group: Low Income-Elgin
Facility: Greater Elgin Family Care Center
Facility: Visiting Nurse Association of Fox Valley
Kankakee County
Population Group: Low Income - Kankakee County
Facility: Pembroke Clinic
Knox County
Population Group: Low Income-Knox County
Facility: Hill Correctional Center
Facility: Knox County Health Department
La Salle County
Service Area: Mendota
Service Area: Streator Service Area
Population Group: Low Income - Peru Service Area
Facility: CF - Sheridan Correctional Center
Lake County
Population Group: Low Income - Waukegan/Zion/Benton
Facility: Lake County Community Health Department and Commun
Page 64 of 255

Lawrence County
Population Group: Low Income - Lawrence County
Facility: CF - Lawrence Correctional Center
Facility: Lawrence County Health Department
Lee County
Service Area: Mendota
Facility: CF - Dixon
Livingston County
Service Area: Streator Service Area
Population Group: Low Income - Artesia/Loda/Pigeon Grove
Facility: CF - Pontiac Correctional Center
Facility: Forrest Family Practice Center
Logan County
Population Group: Low Income - Logan County
Facility: Logan Correctional Center
Macon County
Population Group: Low Income - Decatur City
Facility: Community Health Improvement Center
Macoupin County
Service Area: Macoupin County
Facility: Carlinville Medical Clinic
Facility: Macoupin County Public Health Department
Madison County
Service Area: Highland Service Area
Population Group: Low Income - Alton/Wood River/Godfrey
Marion County
Population Group: Low Income - Marion County
Marshall County
Service Area: Marshall County
Mason County
Service Area: Mason County
Massac County
Population Group: Low Income-Massac County
McDonough County
Population Group: Low Income - McDonough County
McLean County
Population Group: Low Income - Bloomington/Normal
Facility: Chestnut Family Health Center
Menard County
Service Area: Menard County
Mercer County
Service Area: Mercer County
Page 65 of 255

Monroe County
Service Area: Chester/Red Bud Service Area
Montgomery County
Population Group: Low Income - Montgomery County
Facility: Graham Correctional Center
Morgan County
Population Group: Low Income - Morgan County
Moultrie County
Service Area: Moultrie County
Facility: Sullivan Clinic
Peoria County
Population Group: Low Income-Peoria County
Facility: Heartland Community Health Clinic
Perry County
Population Group: Low Income - Perry County
Facility: Pinckneyville Correctional Center
Pike County
Service Area: Pike/Scott
Facility: Quincy Medical
Facility: Quincy Medical
Facility: Quincy Medical

Counties
Group - Pleasant Hill
Group-Barry Rural Health
Group-Pittsfield Rural Health

Pope County
Service Area: Hardin/Pope Counties
Pulaski County
Service Area: Alexander/Pulaski Counties
Putnam County
Population Group: Low Income - Bureau/Putnam Counties
Randolph County
Service Area: Chester/Red Bud Service Area
Population Group: Low Income - Sparta
Facility: Menard Correctional Center
Richland County
Population Group: Low Income - Richland County
Rock Island County
Population Group: Low Income - Rock Island Service Area
Saline County
Population Group: Low Income - Saline County
Sangamon County
Facility: Board of Trustees of Southern IL University
Facility: Central Counties Health Centers
Schuyler County
Page 66 of 255

Service Area: Cass/Schuyler Counties
Scott County
Service Area: Pike/Scott Counties
Facility: Quincy Medical Group-Winchester FP
Shelby County
Service Area: Shelby County
Facility: Family Healthcare Center
St. Clair County
Service Area: East St. Louis
Population Group: Low Income - Sparta
Facility: Southern IL Regional Wellness Center
Facility: Southern Illinois Healthcare Foundation
Stark County
Service Area: Henry/Stark Counties
Stephenson County
Population Group: Low Income - Stephenson County
Tazewell County
Population Group: Low Income - East Peoria/Pekin
Facility: Federal Correctional Institution - Pekin
Union County
Population Group: Low Income - Union County
Facility: Rural Health, Inc.
Vermilion County
Service Area: Hoopeston
Population Group: Low Income-Danville Service Area
Facility: Danville Correctional Center
Facility: Danville Pediatric Center
Facility: Sabeeha Haque Ali MD LLC
Wabash County
Population Group: Low Income - Edwards/Wabash Counties
Warren County
Population Group: Low Income - Warren County
Washington County
Service Area: Washington County
Wayne County
Population Group: Low Income - Wayne County
White County
Population Group: Low Income - White County
Whiteside County
Population Group: Low Income - Whiteside County
Facility: Morrison Community Hospital Family Care
Facility: Whiteside County Health Department-Rock Falls
Page 67 of 255

Will County
Population Group: Low Income-Eastside Joliet
Facility: Will County Health Department/Will County Community Health
Center
Williamson County
Population Group: Low Income - Williamson County
Facility: Shawnee Health Services Corporation
Facility: USP-Marion
Winnebago County
Population Group: Low Income - Rockford Westside
Facility: Crusaders Clinic
Woodford County
Service Area: Woodford County

Page 68 of 255

PRIMARY CARE: Indiana
County and County Equivalent Listing
Adams County
Service Area: Adams County
Allen County
Service Area: City of Fort Wayne
Facility: Neighborhood Health Clinics, Inc.
Benton County
Service Area: Benton County
Blackford County
Population Group: Low Income - Blackford County
Carroll County
Service Area: Carroll County
Cass County
Population Group: Low Income - Cass County
Clark County
Facility: Family Health Center of Clark County, Indiana
Facility: Lifespring Health Systems
Clay County
Facility: Brazil Family Medicine
Facility: Clay City Center for Family Medicine
Clinton County
Service Area: Clinton County
Crawford County
Service Area: Crawford County
Daviess County
Service Area: Daviess County
De Kalb County
Population Group: Low Income-Dekalb County
Decatur County
Population Group: Low Income-Decatur County
Delaware County
Facility: Meridian Services Corporation
Facility: Open Door Health Services, Inc.
Elkhart County
Population Group: Low Income-Elkhart County
Facility: Heart City Health Center
Facility: Maple City Health Care Center, Inc.
Floyd County
Facility: New Albany Planned Parenthood
Page 69 of 255

Fountain County
Service Area: Fountain County
Facility: St. Vincent South Clinic
Fulton County
Service Area: Fulton County
Gibson County
Population Group: Low Income-Gibson County
Facility: Tulip Tree Health Services of Gibson County
Grant County
Population Group: Low Income-Grant County
Greene County
Service Area: Greene County
Facility: Greene County Health
Facility: Ridge Medical Center
Henry County
Population Group: Low Income-Henry County
Facility: Knightstown Family Health Care
Facility: New Castle Correctional Facility
Facility: New Castle Pediatrics
Huntington County
Population Group: Low Income-Huntington County
Jasper County
Service Area: Jasper County
Facility: Wheatfield Health Centre
Jay County
Service Area: Jay County
Jennings County
Population Group: Low Income-Jennings County
Johnson County
Facility: Trafalgar Family Health Center
Knox County
Population Group: Low Income - Knox County
La Porte County
Facility: Westville Correctional Facility
Lagrange County
Service Area: Lagrange County
Lake County
Service Area: City of Gary
Service Area: East Chicago Service Area
Facility: Community Healthnet, Inc./Dba Gary Community Health
Facility: Southlake Community Mental Health Center
Lawrence County
Page 70 of 255

Population Group: Low Income-Lawrence County
Madison County
Population Group: Low Income - Madison County
Facility: Aspire Indiana Health
Marion County
Service Area: Marion County-Indianapolis
Facility: Adult and Child Mental Health Center, Inc.
Facility: Health and Hospital Corporation of Marion County
Facility: Healthnet Inc.
Facility: Indiana Health Centers
Facility: Jane Pauley Community Health Center
Facility: Raphael Health Center
Facility: Shalom Health Care Center, Inc.
Marshall County
Population Group: Low Income-Marshall County
Martin County
Service Area: Martin County
Miami County
Population Group: Low Income-Miami County
Facility: Miami Nation of Indians
Montgomery County
Population Group: Low Income-Montgomery County
Morgan County
Population Group: Low Income-Morgan County
Newton County
Service Area: Newton County
Facility: Brook Health Center
Noble County
Service Area: Noble County
Ohio County
Service Area: Ohio County
Orange County
Population Group: Low Income-Orange County
Facility: Southern Indiana Community Health Care, Inc.
Owen County
Service Area: Owen County
Parke County
Population Group: Low Income-Parke County
Facility: Rockville Correctional Facility
Perry County
Population Group: Low Income-Perry County
Facility: Branchville Correctional Facility
Page 71 of 255

Pike County
Population Group: Low Income-Pike County
Porter County
Facility: Healthlinc, Inc. (Formerly Hilltop)
Facility: Northshore Health Centers, Inc.
Facility: Porter Starke Services, Inc.
Posey County
Service Area: Posey County
Pulaski County
Population Group: Low Income-Pulaski County
Facility: Knox Winamac Community Health Centers (Kwchc)
Putnam County
Service Area: Putnam County
Facility: Putnamville Correctional Facility
Randolph County
Service Area: Randolph County
Facility: Family Health Center of Union Ciy
Facility: Family Health Center of Winchester
Scott County
Population Group: Low Income-Scott County
Facility: Scottsburg Family Practice
Shelby County
Population Group: Low Income-Shelby County
St. Joseph County
Population Group: Low Income-St. Joseph County
Starke County
Population Group: Low Income-Starke County
Facility: Knox Family Medical Center
Steuben County
Service Area: Steuben County
Sullivan County
Service Area: Sullivan County
Facility: Carlisle Medical Clinic
Switzerland County
Service Area: Switzerland County
Facility: Switzerland County Nurse Manage
Tippecanoe County
Population Group: Low Income-Tippecanoe County
Facility: Purdue University - Family Health Clinics
Facility: Riggs Community Health Center, Inc.
Vanderburgh County
Facility: Echo Community Health Care
Page 72 of 255

Vermillion County
Facility: Valley Professionals Community Health Center, Inc.
Vigo County
Facility: Wabash Valley Health Center, Inc.
Wabash County
Population Group: Low Income-Wabash County
Warren County
Service Area: Warren County
Facility: St. Vincent North Clinic
Washington County
Service Area: Washington County
Wayne County
Population Group: Low Income-Wayne County
Facility: Neighborhood Health Center
Facility: Wayne County Community Health Center
White County
Service Area: White County
Facility: Monticello Medical Center LLC

Page 73 of 255

PRIMARY CARE: Iowa
County and County Equivalent Listing
Adair County
Service Area: Adair County
Adams County
Population Group: Low Income - Adams County
Facility: Alegent Health Rosary Clinic - Corning
Allamakee County
Population Group: Low Income-Allamakee County
Audubon County
Service Area: Audubon County
Benton County
Service Area: Benton County
Facility: Urbana Family Medical Clinic
Facility: Van Horne Family Medical Clinic
Facility: Vinton Family Medical
Black Hawk County
Population Group: Low Income - Black Hawk County
Facility: Peoples Community Health Clinic
Boone County
Service Area: Dayton/Gowrie
Service Area: Perry
Bremer County
Facility: Christophel Clinic
Facility: Rohlf Memorial Clinic
Facility: Women's Clinic at Waverly Health Center
Buchanan County
Service Area: Buchanan County
Buena Vista County
Service Area: Buena Vista County
Facility: United Community Health Center
Butler County
Facility: Franklin Medical Center-Dumont
Facility: Shell Rock Clinic
Calhoun County
Service Area: Dayton/Gowrie
Service Area: Manson
Cass County
Population Group: Low Income-Cass County
Facility: Anita Medical Center
Facility: Atlantic Medical Center Rural Health Clnic
Facility: Griswold Medical Center
Facility: Massena Medical Center
Page 74 of 255

Cedar County
Service Area: Cedar County
Chickasaw County
Population Group: Low Income-Chickasaw County
Clarke County
Service Area: Clarke County
Clayton County
Service Area: Clayton County
Facility: Regional Family Health - Strawberry Point
Crawford County
Population Group: Low Income-Crawford County
Dallas County
Service Area: Perry
Facility: Redfield Medical Clinic
Davis County
Population Group: Low Income-Davis County
Decatur County
Population Group: Low Income-Decatur County
Facility: Community Health Centers of Southern Iowa
Delaware County
Service Area: Delaware County
Des Moines County
Population Group: Low Income - Des Moines County
Facility: Community Health Centers of Southeastern Iowa
Dubuque County
Facility: Crescent Community Health Center
Fayette County
Service Area: Fayette County
Franklin County
Facility: Franklin Medical Center - Hampton
Facility: Franklin Medical Center - Latimer
Fremont County
Facility: Medical Clinic, P.C.
Facility: Medical Clinic-Hamburg
Facility: Medical Clinic-Sidney
Greene County
Service Area: Dayton/Gowrie
Service Area: Perry
Grundy County
Service Area: Grundy Center/Eldora
Guthrie County
Page 75 of 255

Service Area: Perry
Population Group: Low Income-Guthrie
Hamilton County
Service Area: Dayton/Gowrie
Hardin County
Service Area: Grundy Center/Eldora
Harrison County
Facility: Alegent
Facility: Alegent
Facility: Alegent
Facility: Alegent

Health Clinic Logan
Health Clinic Missouri Valley
Health-Dunlap Clinic
Health-Woodbine Clinic

Henry County
Service Area: Keosauqua
Population Group: Low Income-Mt. Pleasant/Swedesburg
Howard County
Facility: Cresco Clinic
Humboldt County
Population Group: Me-Humboldt County
Ida County
Service Area: Ida County
Jackson County
Service Area: Jackson County
Jasper County
Service Area: Jasper County
Facility: CF-Newton
Facility: Sully Family Health Center
Jefferson County
Service Area: Keosauqua
Population Group: Low Income-Fairfield Service Area
Facility: Jchc Rural Health Clinic
Jones County
Facility: Anamosa State Penitentiary
Facility: Monticello Medical Center
Keokuk County
Service Area: Keokuk County
Lee County
Service Area: Keosauqua
Linn County
Facility: Linn Community Care
Louisa County
Service Area: Louisa County
Page 76 of 255

Lucas County
Service Area: Lucas County
Facility: Lucas County Health Center
Lyon County
Service Area: Lyon County
Madison County
Population Group: Low Income-Madison County
Marshall County
Population Group: Low Income-Marshall County
Mitchell County
Service Area: Mitchell County
Facility: Osage Clinic
Monona County
Population Group: Low Income-Monona County
O'Brien County
Facility:
Facility:
Facility:
Facility:
Facility:

Hartley Mercy Medical Center
Mill Creek Family Practice
Paullina Mercy Medical Center
Primghar Mercy Medical Clinic
Sutherland Mercy Medical Clinic

Page County
Population Group: Low Income - Page County
Facility: Clarinda Correctional Facility
Palo Alto County
Service Area: PALOALTO2015
Pocahontas County
Service Area: Pocahontas County
Polk County
Facility: Primary Health Care, Inc.
Facility: Proteus, Inc.
Pottawattamie County
Service Area: Oakland
Facility: Council Bluffs Community Health Center
Ringgold County
Population Group: Low Income-Ringgold County
Sac County
Service Area: Sac County
Scott County
Facility: Community Health Care, Inc.
Shelby County
Population Group: Low Income-Shelby County
Page 77 of 255

Sioux County
Facility: Greater Sioux Community Health Center (Gschc)
Story County
Population Group: Low Income - Story County
Tama County
Service Area: Tama County
Facility: Sac and Fox Tribe of the Mississippi in IA
Taylor County
Service Area: Taylor County
Facility: St. Francis Hardin Medical Clinic
Van Buren County
Service Area: Keosauqua
Facility: Birmingham Medical Clinic
Facility: Bonaparte Rural Health Clinic
Facility: Cantril Medical Clinic
Facility: Farmington Rural Health Clinic
Facility: Keosauqua Rural Health
Wapello County
Population Group: Low Income - Wapello County
Facility: River Hills Community Health Center
Washington County
Population Group: Me-Washington County
Wayne County
Population Group: Low Income - Wayne County
Webster County
Service Area: Dayton/Gowrie
Service Area: Manson
Facility: Community Health Center of Fort Dodge
Facility: Fort Dodge Correctional Facility
Woodbury County
Facility: Siouxland Community Health Center
Wright County
Population Group: Low Income-Wright County
Facility: Franklin Medical Center - Dows

Page 78 of 255

PRIMARY CARE: Kansas
County and County Equivalent Listing
Allen County
Population Group: Low Income-Allen County
Facility: The Family Physicians, PA
Anderson County
Population Group: Low Income - Anderson County
Atchison County
Facility: Atchison Clinic
Barber County
Population Group: Low Income-Barber County
Barton County
Population Group: Low Income-Barton County
Facility: Central Kansas Family Practice
Facility: We Care Project
Bourbon County
Population Group: Low Income-Bourbon County
Brown County
Population Group: Low Income-Brown County
Facility: Horton Rural Health Clinic
Facility: Iowa Tribe of Kansas and Nebraska
Facility: Kickapoo Health Center
Facility: Sac and Fox Nation of Missouri
Facility: White Cloud Indian Health Station
Butler County
Facility: Augusta Family Practice
Facility: El Dorado Clinic
Chase County
Service Area: Chase County
Chautauqua County
Service Area: Chautauqua County
Cherokee County
Population Group: Low Income - Cherokee
Facility: St John's Clinic-Columbus-Family Medicine
Cheyenne County
Population Group: Low Income-Cheyenne County
Clark County
Population Group: Low Income-Clark County
Facility: Ashland Health Center
Clay County
Facility: Clay Center Family Physicians
Cloud County
Page 79 of 255

Population Group: Low Income - Cloud County
Facility: Clyde Clinic
Cowley County
Facility: Community Health Center in Cowley County
Crawford County
Population Group: Low Income-Crawford County
Facility: Community Health Center of Southeast Kansas
Decatur County
Population Group: Low Income - Decatur County
Dickinson County
Population Group: Low Income-Dickinson County
Facility: Heartland Health Care Center
Facility: Herington Area Health Clinic
Doniphan County
Population Group: Low Income - Doniphan County
Douglas County
Population Group: Low Income-Douglas County
Facility: Haskell PHS Indian Health Center
Facility: Heartland Medical Clinic, Inc.
Edwards County
Population Group: Low Income-Edwards County
Elk County
Population Group: Low Income-Elk County
Ellis County
Population Group: Low Income-Ellis County
Facility: First Care Clinic, Inc.
Ellsworth County
Population Group: Low Income-Ellsworth County
Finney County
Population Group: Low Income-Finney County
Ford County
Population Group: Low Income-Ford County
Franklin County
Population Group: Low Income - Franklin County
Facility: Ottawa Family Physicians
Geary County
Population Group: Low Income - Geary County
Facility: Konza Prairie Community Health
Gove County
Population Group: Low Income-Gove County
Graham County
Page 80 of 255

Population Group: Low Income-Graham County
Grant County
Facility: Ulysses Family Physicians
Facility: United Methodist Western Kansas Mexican American M
Gray County
Service Area: Gray County
Greeley County
Population Group: Low Income-Greeley County
Facility: Greeley County Family Practice Clinic
Greenwood County
Population Group: Low Income-Greenwood County
Hamilton County
Service Area: Hamilton County
Harper County
Population Group: Low Income-Harper County
Harvey County
Facility: Health Ministries Clinic
Haskell County
Service Area: Haskell County
Hodgeman County
Service Area: Hodgeman
Jackson County
Facility: Holton Family Health Clinic
Facility: Holton PHS Indian Health Center
Facility: Prairie Band Potawatomi Tribe
Jefferson County
Service Area: Jefferson County
Jewell County
Service Area: Jewell County
Johnson County
Facility: Health Partnership Clinic, Inc.
Kearny County
Facility: Family Health Center Deerfield
Facility: Family Health Center Lakin
Kingman County
Population Group: Low Income-Kingman
Kiowa County
Population Group: Low Income-Kiowa
Labette County
Population Group: Low Income-Labette County
Page 81 of 255

Facility: St. Johns Medcenter Oswego
Lane County
Facility: Lane County Medical Clinic
Lincoln County
Population Group: Low Income-Lincoln County
Linn County
Service Area: Linn County
Logan County
Facility: New Frontiers Health Services
Lyon County
Population Group: Low Income - Lyon County
Facility: Flint Hills Community Health Center/Lyon
Marion County
Service Area: Marion County
Marshall County
Population Group: Low Income-Marshall County
Facility: Blue Rapids Medical Clinic
Facility: Community Physicians Clinic
Facility: Downtown Medical Clinic
Meade County
Population Group: Low Income-Meade County
Facility: Meade Medical Clinic
Miami County
Facility: Associates in Family Care - Osawatomie
Facility: Associates in Family Care - Paola
Facility: Louisburg Family Care
Mitchell County
Population Group: Low Income - Mitchell County
Montgomery County
Population Group: Low Income-Montgomery County
Facility: Caney Rural Health Clinic
Morton County
Population Group: Low Income - Morton County
Nemaha County
Population Group: Low Income - Nemaha County
Facility: Centralia Medical Clinic
Neosho County
Service Area: Neosho County
Ness County
Population Group: Low Income-Ness County
Norton County
Page 82 of 255

Population Group: Low Income-Norton County
Facility: Norton Medical Clinic
Osage County
Service Area: Osage County
Osborne County
Population Group: Low Income - Osborne County
Pawnee County
Population Group: Low Income - Pawnee County
Phillips County
Service Area: Phillips County
Facility: Phillips County Medical Clinic
Pottawatomie County
Facility: Onaga Clinic
Facility: St. Mary's Clinic
Pratt County
Population Group: Low Income - Pratt County
Rawlins County
Population Group: Low Income-Rawlins County
Reno County
Population Group: Low Income-Reno County
Facility: CF-Hutchinson
Facility: Prairie Star Health Center
Republic County
Population Group: Low Income-Republic County
Riley County
Population Group: Low Income - Riley County
Rush County
Population Group: Low Income - Rush County
Russell County
Population Group: Low Income - Russell County
Facility: Russell Family Medical Clinic
Saline County
Facility: Salina Family Healthcare Center
Scott County
Population Group: Low Income-Scott County
Facility: Scott City Clinic
Sedgwick County
Population Group: Low Income-Sedgwick County
Facility: Center for Health and Wellness
Facility: Gracemed Health Clinic, Inc.
Facility: Hunter Health Clinic
Page 83 of 255

Seward County
Population Group: Low Income-Seward County
Shawnee County
Population Group: Low Income-Shawnee County
Facility: CF-Topeka
Sheridan County
Population Group: Low Income-Sheridan County
Facility: County of Sheridan Dba Sheridan County Health Complex
Sherman County
Population Group: Low Income-Sherman County
Smith County
Population Group: Low Income-Smith County
Stafford County
Service Area: Stafford County
Stanton County
Population Group: Low Income-Stanton County
Stevens County
Service Area: Stevens County
Facility: Stevens County Hospital
Sumner County
Facility: Bass Memorial Baptist Hospital Dba Caldwell Family Cli
Wabaunsee County
Service Area: Wabaunsee County
Wallace County
Service Area: Wallace County
Washington County
Population Group: Low Income - Washington County
Facility: Linn Clinic
Wichita County
Population Group: Low Income-Wichita County
Facility: Wichita County Health Center Clinic
Wilson County
Population Group: Low Income-Wilson County
Woodson County
Service Area: Woodson County
Wyandotte County
Population Group: Low Income-Wyandotte County

Page 84 of 255

PRIMARY CARE: Kentucky
County and County Equivalent Listing
Adair County
Population Group: Low Income - Adair/Russell Counties
Allen County
Service Area: Allen County
Anderson County
Population Group: Low Income-Anderson County
Ballard County
Population Group: Low Income-Ballard County
Barren County
Population Group: Low Income-Barren County
Bath County
Population Group: Low Income - Bath County
Facility: St. Claire Regional Family Medicine – Owingsville
Bell County
Population Group: Low Income - Pineville
Facility: Red Bird Clinic
Boyd County
Population Group: Low Income-Boyd County
Boyle County
Population Group: Low Income-Boyle County
Bracken County
Service Area: Bracken County
Breathitt County
Facility: Aaron K. Jonan Memorial Clinic, Inc.
Facility: Juniper Health, Inc.
Breckinridge County
Population Group: Low Income-Breckinridge County
Bullitt County
Population Group: Low Income - Bullitt County/Fairdale-Valley Station
Butler County
Service Area: Butler County
Caldwell County
Population Group: Low Income-Caldwell County
Facility: Pennyroyal Family Health
Calloway County
Population Group: Low Income-Calloway County
Campbell County
Service Area: Newport
Page 85 of 255

Facility: Healthpoint Family Care
Carlisle County
Service Area: Carlisle County
Carter County
Population Group: Low Income-Carter County
Facility: St. Claire Regional Family Medicine – Olive Hill
Casey County
Service Area: Casey County
Christian County
Population Group: Low Income - Christian County
Clark County
Facility:
Facility:
Facility:
Facility:

Clark Clinic Primary Care
Clark Family Care
Ertel Medicine and Pediatrics Winchester
Winchester Family Practice

Clay County
Service Area: Clay County
Facility: Community Health Center-Clay County
Facility: Federal Correctional Institution - Manchester
Clinton County
Service Area: Clinton and Wayne Counties
Crittenden County
Population Group: Low Income - Crittenden County
Cumberland County
Service Area: Cumberland County
Facility: Cumberland Family Medical Center
Daviess County
Facility: Audubon Area Community Care Clinic
Edmonson County
Service Area: North Edmonson County
Elliott County
Service Area: Elliott County
Facility: Little Sandy Correctional Complex
Facility: Sandy Hook Family Care Center
Facility: St. Claire Regional Family Medicine-Sandy Hook
Estill County
Population Group: Low Income - Estill County
Facility: Children's Clinic
Facility: Estill Medical Clinic
Facility: Mercy Primary Care - Irvine
Fayette County
Facility: Bluegrass Farmworkers Health Center
Facility: Federal Medical Center-Lexington
Page 86 of 255

Facility: Healthfirst Bluegrass Inc.
Fleming County
Service Area: Fleming County
Floyd County
Facility:
Facility:
Facility:
Facility:

Big Sandy Healthcare, Inc.
Eastern Kentucky Tender Care Pediatrics
Martin Clinic
Mountain Comprehensive Care Center, Inc.

Fulton County
Service Area: Fulton County
Gallatin County
Population Group: Low Income - Gallatin County
Garrard County
Population Group: Low Income-Garrard County
Grant County
Population Group: Low Income - Grant County
Graves County
Service Area: Graves County
Grayson County
Population Group: Low Income - Grayson County
Green County
Service Area: Green County
Greenup County
Population Group: Low Income-Greenup County
Hancock County
Service Area: Hancock County
Harlan County
Service Area: North Harlan County
Population Group: Low Income - Pineville
Facility: Clover Fork Outpatient Medical Project
Hart County
Service Area: Hart County
Henry County
Population Group: Low Income-Henry County
Hickman County
Service Area: Hickman County
Jackson County
Service Area: Jackson County
Facility: Health Help, Inc.
Jefferson County
Page 87 of 255

Service Area: Shawnee-Chickasaw
Service Area: South Central Louisville - Louisville South
Population Group: Low Income - Bullitt County/Fairdale-Valley Station
Facility: Family Health Center, Inc.
Facility: Park Duvalle Community Health Center, Inc.
Facility: Shawnee Christian Healthcare Center, Inc.
Knott County
Population Group: Low Income - Knott County
Facility: Primary Care Centers of Eastern KY-Hindman
Knox County
Service Area: Knox County
Facility: Barbourville Family Health Center
Facility: Grace Community Health Center Inc.
Larue County
Population Group: Low Income - Larue County
Laurel County
Facility: London Pediatric and Adolescent Medicine
Facility: London's Women's Care, PLLC
Lawrence County
Service Area: Western Lawrence
Lee County
Population Group: Low Income - Lee County
Facility: United Clinics of Kentucky Beattyville
Leslie County
Service Area: Leslie County
Facility: Primary Care Centers of Eastern KY-Hyden
Letcher County
Facility: Mountain Comprehensive Health Corporation
Lewis County
Service Area: Lewis County
Facility: Lewis County Primary Care Center
Livingston County
Service Area: Livingston County
Logan County
Population Group: Low Income-Logan County
Lyon County
Population Group: Low Income - Lyon County
Madison County
Population Group: Low Income-Madison County
Facility: Kentucky River Foothills Development Council
Facility: Madison Family Clinic
Facility: Saint Joseph Berea Family Medicine
Magoffin County
Page 88 of 255

Population Group: Low Income-Magoffin County
Marion County
Population Group: Low Income - Marion County
Marshall County
Service Area: Marshall County
McCracken County
Service Area: Paducah Service Area
McCreary County
Service Area: McCreary County
Facility: McCreary Primary Care Center, Inc.
Facility: South Fork Medical Clinic PLLC
Facility: USP-McCreary
McLean County
Service Area: McLean County
Meade County
Service Area: Meade County
Menifee County
Service Area: Menifee County
Facility: St. Claire Regional Medicine - Frenchburg
Mercer County
Service Area: Mercer County
Metcalfe County
Population Group: Low Income-Metcalfe County
Monroe County
Population Group: Low Income-Monroe County
Montgomery County
Facility: Family Care Clinic - Mt. Sterling
Facility: Sterling Health Solutions, Inc.
Morgan County
Service Area: Morgan County
Facility: CF-Eastern Kentucky Correctional Complex
Muhlenberg County
Population Group: Low Income-Muhlenberg County
Facility: Community Health Centers of Western Kentucky
Nelson County
Population Group: Low Income-Nelson County
Nicholas County
Service Area: Nicholas County
Facility: Carlisle Clinic
Ohio County
Service Area: Ohio County
Page 89 of 255

Oldham County
Facility: CF-Kentucky State Reformatory
Owen County
Service Area: Owen County
Facility: Triad Health Systems, Inc.
Owsley County
Service Area: Owsley County
Pendleton County
Service Area: Pendleton County
Perry County
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Appalachian Physicians, PSC
Mountain After-Hours Clinic
Mountain Health Alliance
Pediatric Associates of Hazard, LLC
Primary Care Centers of Eastern Kentucky-Vicco
Primary Care Centers of Eastern KY-Hazard
University of Kentucky College of Medicine - North

Pike County
Service Area: Southeast Pike County
Facility: Pediatric Associates of Pikeville, LLC
Powell County
Service Area: Powell-Wolfe Counties
Facility: Casa San Pio
Facility: Clay City Pediatrics, PSC
Pulaski County
Population Group: Low Income-Pulaski County
Robertson County
Service Area: Robertson County
Rockcastle County
Population Group: Low Income-Rockcastle County
Russell County
Population Group: Low Income - Adair/Russell Counties
Simpson County
Service Area: Simpson County
Todd County
Service Area: Todd County
Facility: Helping Hands Health Clinic Dba Blount Rural Healt
Trigg County
Population Group: Low Income - Trigg County
Trimble County
Service Area: Trimble County
Page 90 of 255

Union County
Service Area: Union County
Warren County
Service Area: Northeast Warren County
Facility: Bowling Green-Warren Primary Care Center
Washington County
Population Group: Low Income - Washington
Wayne County
Service Area: Clinton and Wayne Counties
Facility: Monticello Medical Associates
Webster County
Population Group: Low Income-Webster County
Facility: Regional Health Care Affiliates, Inc.
Whitley County
Population Group: Low Income - Williamsburg/South Whitley County
Facility: Careplus Rural Health Clinic, LLC
Facility: Corbin Pediatric Associates
Facility: Ho Physicians Services Corporation
Facility: Maria C. Atienza, MD
Facility: Williamsburg Family Medicine
Wolfe County
Service Area: Powell-Wolfe Counties
Facility: United Clinics of Kentucky

Page 91 of 255

PRIMARY CARE: Louisiana
County and County Equivalent Listing
Acadia Parish
Population Group: Low Income-Acadia Parish
Allen Parish
Service Area: Allen Parish
Facility: Allen Correctional Center
Ascension Parish
Service Area: Donaldsonville
Facility: Reddy Family Clinic - Donaldsonville
Assumption Parish
Service Area: Assumption Parish
Facility: Reddy Family Medical Clinic Pierre Part
Facility: Reddy Family Medical Clinic-Napoleonville
Avoyelles Parish
Service Area: Avoyelles Parish
Facility: Raymond Laborde Correctional Center
Facility: Tunica-Biolxi Indian Tribe of Louisiana
Beauregard Parish
Population Group: Low Income-Beauregard/Dequincy
Bienville Parish
Service Area: Bienville Parish
Bossier Parish
Population Group: Low Income-Bossier Parish
Caddo Parish
Population Group: Low Income-Caddo Parish
Facility: David Raines Community Health Center
Calcasieu Parish
Service Area: North Lake Charles
Service Area: Vinton
Population Group: Low Income-Beauregard/Dequincy
Facility: Chadha Medical Clinic
Facility: Southwest Louisiana Center for Health Services
Caldwell Parish
Service Area: Caldwell Parish
Facility: Citizens Rural Clinic
Cameron Parish
Service Area: Cameron Parish
Catahoula Parish
Service Area: Catahoula Parish
Facility: Catahoula Parish Hospital Service District
Claiborne Parish
Service Area: Claiborne Parish
Page 92 of 255

Concordia Parish
Service Area: Concordia Parish
De Soto Parish
Service Area: De Soto Parish
Facility: Casse Dental Health Institute
East Baton Rouge Parish
Service Area: East Baton Rouge Central Area
Service Area: East Baton Rouge Florida Boulevard to Baker Health
Professional Shortage Area
Service Area: East Baton Rouge LSU Gardere Area
Facility: Baton Rouge Primary Care Collabrative
Facility: Capitol City Family Health Center
Facility: Haart, Inc.
East Carroll Parish
Population Group: Low Income-East Carroll Parish
Facility: Family Medical Clinic
Facility: Family Practice Clinic
East Feliciana Parish
Service Area: East Feliciana Parish
Facility: Primary Care Providers for a Health Feliciana
Evangeline Parish
Population Group: Low Income-Evangeline Parish
Franklin Parish
Service Area: Franklin Parish
Facility: Franklin Medical Center Rural Health Clinic-Winnsboro
Grant Parish
Service Area: Grant Parish
Facility: Federal Correctional Complex-Pollock
Iberia Parish
Population Group: Low Income - Iberia Parish
Facility: Iberia Comprehensive Community Health Center
Iberville Parish
Service Area: Iberville Parish
Facility: Elayn Hunt Correctional Center
Facility: Reddy Family Medical Center-White Castle
Facility: Reddy Family Medical Clinic-Plaquemine
Facility: St. Gabriel Health Clinic
Jackson Parish
Service Area: Jackson Parish
Jefferson Davis Parish
Population Group: Low Income-Jefferson Davis Parish
Facility: Coushatta Tribe of Louisiana
Facility: Elton Rural Health Clinic
Jefferson Parish
Page 93 of 255

Service Area: Avondale-Westwego
Service Area: Lafitte
Service Area: Old Kenner/River Town
Facility: Jefferson Community Health Centers, Inc.
Facility: Jefferson Parish Human Services Authority
Facility: Priority Health Care
Lafayette Parish
Population Group: Low Income-Lafayette Parish
Lafourche Parish
Population Group: Low Income - Lafourche Parish
LaSalle Parish
Service Area: Lasalle Parish
Facility: Jena Band of Choctaw Indians
Lincoln Parish
Population Group: Low Income-Lincoln Parish
Livingston Parish
Service Area: Livingston Parish
Madison Parish
Service Area: Madison Parish
Facility: Dr. L P Neumann Jr., Apmc
Facility: Madison Parish Hospital Rural Health
Morehouse Parish
Population Group: Low Income-Morehouse Parish
Facility: Morehouse Community Medical Center
Natchitoches Parish
Population Group: Low Income-Natchitoches Parish
Facility: Natchitoches Out Patient
Orleans Parish
Population Group: Low Income-Orleans Parish
Facility: Common Ground Health Clinic
Facility: Excelth, Inc. Health Care
Facility: Healthcare for the Homeless
Facility: Marillac Community Health Centers
Facility: Mqvn Community Development Corporation/Noela Community Health
Center
Facility: No/AIDS Task Force
Facility: Odyssey House Louisiana, Inc.
Facility: St. Thomas Community Health Center, Inc.
Ouachita Parish
Population Group: Low Income-Ouachita Parish
Facility: Primary Health Service
Plaquemines Parish
Service Area: Plaquemines Parish
Pointe Coupee Parish
Service Area: Pointe Coupee Parish
Page 94 of 255

Facility: Innis Community Health
Rapides Parish
Population Group: Low Income-Rapides Parish
Facility: Rapides Primary Health Care Center
Red River Parish
Population Group: Low Income-Red River Parish
Richland Parish
Population Group: Low Income-Richland Parish
Facility: Delhi Rural Health Clinic
Facility: Northeast Louisiana Health Center
Facility: Parish of Richland/Dba Delhi Community Health Cent
Facility: Start Community Clinic
Sabine Parish
Service Area: Sabine Parish
St. Bernard Parish
Service Area: St. Bernard Parish
St. Charles Parish
Facility: St. Charles Community Health Center, Inc.
St. Helena Parish
Service Area: St. Helena Parish
Facility: St. Helena Community Health Center
St. James Parish
Service Area: St. James Parish
St. John the Baptist Parish
Population Group: Low Income-St. John the Baptist
St. Landry Parish
Population Group: Low Income-St. Landry Parish
Facility: Eunice Rural Health Clinic
Facility: Southwest Louisianna Primary
St. Martin Parish
Service Area: St. Martin Parish
St. Mary Parish
Service Area: St. Mary Parish
Facility: Chitimacha Health Clinic
Facility: Chitimacha Tribe of Louisiana
Facility: Teche Action Clinic
St. Tammany Parish
Service Area: South Central Slidell
Tangipahoa Parish
Population Group: Low Income-Tangipahoa Parish
Tensas Parish
Service Area: Tensas Parish
Page 95 of 255

Facility: Tensas Community Health Center
Terrebonne Parish
Population Group: Low Income-Terrebonne Parish
Facility: Start Corporation
Union Parish
Service Area: Union Parish
Vermilion Parish
Service Area: Vermilion Parish
Facility: Earth Delacambre Community Care Clinic
Vernon Parish
Service Area: Vernon Parish
Washington Parish
Population Group: Washington
Facility: Rayburn Correction Center
Webster Parish
Service Area: Webster Parish
Facility: Minden Family Care Center
Facility: North Webster Medical Clinic
Facility: Smc Doctors Clinic
West Baton Rouge Parish
Population Group: Low Income-West Baton Rouge Parish
West Carroll Parish
Service Area: West Carroll Parish
Facility: Oak Grove Medical Clinic
West Feliciana Parish
Population Group: Low Income-West Feliciana Parish
Facility: Louisiana State Penitentiary
Winn Parish
Service Area: Winn Parish
Facility: Winn Community Health Center, Inc.

Page 96 of 255

PRIMARY CARE: Maine
County and County Equivalent Listing
Androscoggin County
Facility: Community Clinical Services
Aroostook County
Service Area: Allagash
Service Area: Ashland
Service Area: Danforth
Service Area: Island Falls
Population Group: Low Income - Fort Kent
Facility: Aroostook Band of Micmac Indians
Facility: Fish River Rural Health
Facility: Full Circle Health Care, LLC
Facility: Houlton Band of Maliseet Indians Health
Facility: Pines Health Services
Cumberland County
Service Area: Parsonsfield
Population Group: Homeless-Portland
Franklin County
Service Area: Rangeley
Population Group: Low Income-Rumford Subcounty
Hancock County
Facility: Bucksport Regional
Kennebec County
Facility: DFD Russell Medical Center
Facility: Healthreach Community Health Centers
Facility: Rural Health Centers of Maine, Inc.
Knox County
Service Area: Pen Bay Islands
Facility: CF-Maine State Prison
Facility: Islands Community Medical Center
Lincoln County
Facility: John F. Andrews Family Care Center
Facility: Lincoln Medical Partners-Damariscotta
Facility: Lincoln Medical Partners-Waldoboro
Oxford County
Service Area: Parsonsfield
Service Area: Rangeley
Population Group: Low Income-Rumford Subcounty
Facility: Elsemore Dixfield Center
Facility: Sacopee Valley Health
Facility: Swift River Health Care
Penobscot County
Service Area: Danforth
Service Area: Howland
Service Area: Island Falls
Population Group: Low Income-Millinocket
Page 97 of 255

Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Dexter Internal Medicine
Health Access Network
Kathadin Valley Health
Newport Family Practice
Penobscot Community Health Center
Penobscot Indian Nation
Penobscot Valley Primary Care

Piscataquis County
Service Area: Greenville
Service Area: Jackman/Bingham
Population Group: Low Income-Skowhegan
Facility: Dover-Foxcroft Family Medicine
Facility: Guilford Medical Associates
Facility: Milo Family Practice
Facility: Norumbega Medical Specialist Ltd.
Somerset County
Service Area: Jackman/Bingham
Population Group: Low Income-Skowhegan
Facility: Dexter Family Practice
Facility: Sebasticook Family Doctors
Facility: Sebasticook Regional Family Care (Rural Health Cli
Waldo County
Service Area: Pen Bay Islands
Facility: Arthur Jewell Community Health Center
Facility: Islesboro Health Center
Washington County
Service Area: Danforth
Service Area: Jonesport Service Area
Service Area: Vanceboro
Population Group: Low Income - Eastport
Population Group: Low Income - Milbridge
Population Group: Low Income-Calais
Facility: Calais Regional Medical Services
Facility: Eastport Healthcare
Facility: Family Medicine
Facility: Harrington Family Health
Facility: Passamaquoddy Pleasant Point Health Center
Facility: Passamaquoddy Tribe Indian Township
Facility: Regional Medical Center
Facility: St. Croix Regional Family Health
Facility: Stockton Springs Regional Health Center
York County
Service Area: Parsonsfield
Facility: York County Community Action Corporation

Page 98 of 255

PRIMARY CARE: Maryland
County and County Equivalent Listing
Allegany County
Population Group: Me-Hancock and Allegany County
Facility: Federal Correctional Institution - Cumberland
Anne Arundel County
Population Group: Me-Upper Anne Arundel and Lower Baltimore Counties
Facility: Owensville Primary Care
Baltimore City
Service Area: West Central Baltimore
Population Group: Me - North Baltimore
Population Group: Me-East Baltimore City
Population Group: Me-Glen-Falstaff
Population Group: Me-Harford Service Area
Population Group: Me-Southeastern Baltimore City
Population Group: Me-Southern Baltimore City
Population Group: Me-Southern Park Heights
Population Group: Me-West Baltimore City
Population Group: Medicaid Eligible - North Central Baltimore
Facility: Baltimore Medical Systems
Facility: Chase Brexton Health Services
Facility: Family Health Centers of Baltimore, Inc.
Facility: Health Care for the Homeless, Inc.
Facility: Lifeline Foundation, Inc.
Facility: Park West Medical Center
Facility: Total Health Care, Inc.
Baltimore County
Population Group: Me-Middle River
Population Group: Me-Upper Anne Arundel and Lower Baltimore Counties
Calvert County
Service Area: Calvert/Saint Leonard
Caroline County
Population Group: Me-Caroline County
Facility: Choptank Community Health
Cecil County
Facility: West Cecil Health Center, Inc.
Charles County
Service Area: South Charles County
Dorchester County
Population Group: Me - Dorchester County
Frederick County
Population Group: Low Income-Downtown Frederick
Facility: Frederick Community Action Health Center
Garrett County
Population Group: Me-Garrett County
Facility: Western Maryland Health Care Corporation
Page 99 of 255

Harford County
Service Area: Edgewood Service Area
Kent County
Population Group: Me-Upper Queen Anne and Kent Counties
Montgomery County
Population Group: Me-Central Kensington Wheaton
Facility: Mobile Medical Care, Inc.
Prince George's County
Service Area: Brandywine
Service Area: Landover/Suitland/Capitol Heights
Population Group: Me-Greenbelt/Langley/College Park
Facility: Greater Baden Medical Services
Queen Anne's County
Population Group: Me-Upper Queen Anne and Kent Counties
Somerset County
Population Group: Me-Tri-County
Facility: Three Lower Counties Community Services
St. Mary's County
Service Area: South St. Marys County
Washington County
Population Group: Me-Hancock and Allegany County
Facility: Tri-State Community Health Center, Inc.
Facility: Walnut Street Community Health Center
Wicomico County
Population Group: Me-Tri-County
Worcester County
Population Group: Me-Tri-County

Page 100 of 255

PRIMARY CARE: Massachusetts
County and County Equivalent Listing
Barnstable County
Facility: Cape Cod Free Clinic and Community Health Center
Facility: Duffy Health Center, Inc.
Facility: Mashpee Wampanoag Tribe
Facility: Outer Cape Health
Berkshire County
Service Area: Southern Berkshires
Population Group: Low Income - North Berkshire
Facility: Community Health Program
Bristol County
Population Group: Low Income - New Bedford
Facility: Greater New Bedford
Facility: Healthfirst Family Care Center
Dukes County
Service Area: Dukes County
Facility: Island Health Inc.
Facility: Wampanoag Tribe of Gay Head
Essex County
Population Group: Low Income - Gloucester
Population Group: Low Income - Salem/Peabody/Lynn/Beverly
Facility: Greater Lawrence Family Health
Facility: Lynn Community Health Center
Facility: North Shore Community Health
Franklin County
Population Group: Low Income - North Quabbin
Population Group: Low Income-Franklin County
Facility: Community Health Center of Franklin County
Hampden County
Service Area: Gateway/Hampshire Regional
Population Group: Low Income - Springfield/Chicopee/Holyoke
Facility: Caring Health Center, Inc.
Facility: Hampden County House of Corrections
Facility: Holyoke Health Center
Facility: Springfield Public Health Department
Hampshire County
Service Area: Gateway/Hampshire Regional
Facility: Hilltown Community Health Center, Inc.
Middlesex County
Population Group: Low Income - Chelsea Everett Revere
Facility: Lowell Community Health Center
Facility: Massachusetts Correctional Institution - Concord
Facility: Massachusetts Correctional Institution - Framingham
Facility: Massachusetts Correctional Institution - Shirley
Facility: Souza Baranowski Correctional Center
Nantucket County
Page 101 of 255

Service Area: Nantucket County
Norfolk County
Facility: Manet Community Health Center
Facility: Massachusetts Correctional Institution - Cedar Junction
Facility: Massachusetts Correctional Institution - Norfolk
Plymouth County
Facility: Brockton Neighborhood
Facility: Massachusetts Treatment Center (Mtc)
Suffolk County
Population Group: Low Income - Chelsea Everett Revere
Facility: Boston Healthcare for the Homeless
Facility: Codman Square Health Center
Facility: Connecticut River Valley Farmworkers/Massachusetts
Facility: Dimock Community Health Center
Facility: Dorchester House Multi-Service Center
Facility: East Boston
Facility: Fenway Community Health Center
Facility: Harbor Health Services
Facility: Harvard Street Neighborhool Health Center
Facility: Joseph M. Smith Community Health
Facility: Mattapan Community Health
Facility: North End Community
Facility: South Boston Community Health Center
Facility: South Cove Community
Facility: Whittier Street Health
Worcester County
Population Group: Low Income - North Quabbin
Population Group: Low Income - Worcester City
Facility: Community Health Connections
Facility: Community Healthlink
Facility: Edward M. Kennedy Community Health Center
Facility: Family Health Center of Worcester, Inc.
Facility: Federal Medical Center-Devens
Facility: North Central Correctional Institution-Gardner

Page 102 of 255

PRIMARY CARE: Michigan
County and County Equivalent Listing
Alcona County
Population Group: Low Income-Alcona County
Facility: Alcona Health Center
Alger County
Population Group: Low Income - Alger County
Facility: Alger Correctional Facility
Facility: Bay Care Medical Center
Facility: Grand Island Chippewa Community Center
Allegan County
Service Area: Allegan County Service Area
Population Group: Migrant Seasonal Farmworkers-South Haven/Bangor
Population Group: Msw-Ottawa/Allegan Counties
Facility: Allegan Medical Clinic
Facility: Match-East-Be-Nash-She-Wish Pottawatomi
Alpena County
Facility: Alpena Medical Arts, Primary Care
Antrim County
Service Area: Antrim/Charlevoix
Facility: Kalkaska Family Practice Primary Care-Mancelona
Facility: Omh Medical Group-Boyne Valley
Arenac County
Population Group: Low Income - Arenac/Ogemaw Counties
Facility: Saint Mary's Standish Community Hospital
Facility: St. Joseph Health System Augres Family Clinic
Facility: Sterling Area Health
Baraga County
Facility: Bcmh Physician Group
Facility: Keweenaw Bay Indian Community
Barry County
Service Area: Barry County
Facility: Spectrum Health Pennock
Facility: Spectrum Health Pennock
Facility: Spectrum Health Pennock
Facility: Spectrum Health Pennock

Family Medicine - Gun Lake
Family Medicine-Middlevill
Family, Internal and Pediati
Ob/Gyn - Hastings

Benzie County
Population Group: Low Income-Benzie County
Berrien County
Population Group: Low Income - Berrien County
Facility: Coloma Medical Center
Facility: Community Medical Center
Facility: Lakeland Community Hospital Dba Southwestern Medic
Branch County
Population Group: Low Income-Branch County
Facility: Community Health Center Pediatric and Adolescent Center
Page 103 of 255

Facility: Family Medicine Clinic
Facility: Lakeland Correctional Facility
Facility: Union City Medical Center
Calhoun County
Population Group: Low Income - Albion City Service Area
Population Group: Low Income Eaton Rapids City Service Area
Population Group: Low Income-Calhoun Service Area
Facility: Grace Health, Inc.
Facility: Huron Potawatomi Band
Facility: Nottawaseppi Huron Band of Potawatomi Southern Hlt
Cass County
Population Group: Low Income-Cass County
Facility: Borgess Lee Medical Group - Dowagiac Clinic
Facility: Borgess Lee Medical Group-Cassopolis Clinic
Facility: Borgess Lee Medical Group-Pediatric Clinic
Facility: Lakeland Immediate Care Center
Facility: Pokagon Band of Potawatomi Health Services
Charlevoix County
Service Area: Antrim/Charlevoix
Service Area: Beaver Island
Facility: Beaver Island Rural Health Center
Facility: Boyne Area Medical Center
Facility: East Jordan Family Health
Cheboygan County
Population Group: Low Income-Cheboygan/Emmet Counties
Facility: Omh Medical Group-Indian River Rural Health Clinic
Chippewa County
Population Group: Low Income - Chippewa County
Facility: Bay Mills Indian Community
Facility: Chippewa Correctional Facility
Facility: Community Care Clinic
Facility: Community Care Clinic - Kinross
Facility: Inter-Tribal Council of Michigan, Inc.
Facility: Kinross Correctional Facility
Facility: Sault St. Marie Health and Human Services
Clare County
Service Area: Clare County
Facility: Midmichigan Medical
Facility: Midmichigan Medical
Facility: Midmichigan Medical
Facility: Midmichigan Medical

Offices
Offices-Clare
Offices-Farwell
Offices-Harrison

Crawford County
Population Group: Low Income - Crawford/Otsego Counties
Facility: North Mercy Primary Care Associates
Delta County
Population Group: Low Income-Delta County
Facility: Osf Medical Group-Gladstone
Facility: Osf St. Francis Women's Center
Page 104 of 255

Dickinson County
Facility: Dchs After Hours Care
Facility: Dickinson Family and Geriatric Clinic
Facility: Dickinson Family Practice Center-Norway
Facility: Dickinson Family Practice Clinic
Facility: Dickinson Internal Medicine/Nephrology Clinic
Facility: Dickinson Pediatric Clinic
Facility: Michigan-Wisconsin Family Practice Associates, P.C
Eaton County
Population Group: Low Income Eaton Rapids City Service Area
Facility: Riverside Family Practice
Emmet County
Population Group: Low Income-Cheboygan/Emmet Counties
Facility: Little Traverse Bay Band of Odawa
Facility: MacKinaw City Medical Clinic
Genesee County
Service Area: Caro/Otter Lake/North Branch Service Area
Population Group: Low Income-Flint
Facility: Genesee County Community Mental Health
Facility: Hamilton Community Health Network, Inc.
Gladwin County
Service Area: Primary Care - Gladwin County
Facility: Beaverton Medical Center Primary Care
Facility: Midmichigan Medical Offices-Gladwin
Gogebic County
Population Group: Low Income-Gogebic County
Facility: Aspirus Grand View Clinic - Ironwood
Facility: Lac Vieux Desert Health Clinic
Grand Traverse County
Population Group: Low Income-Cadillac-Buckley
Facility: Traverse Health Clinic and Coalition
Gratiot County
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Alma Internal Medicine
Center for Obstetrics and Gynecology
Family Medical Care Breckenridge
Gratiot Medical Center
Sparrow Medical Group Ashley
Sparrow Medical Group Ithaca
St. Louis Correctional Facility
Urgent Care Occupational Health

Hillsdale County
Service Area: Hillsdale County
Facility: Hillsdale Medical Associates
Facility: Reading Health Clinic
Houghton County
Population Group: Low Income-Houghton/Keweenaw Counties
Facility: Aspirus Keweenaw Health Center
Facility: Aspirus Keweenaw Laurium Wellness Clinic
Page 105 of 255

Facility: Aspirus Keweenaw Medical Arts Clinic
Facility: Keweenaw Memorial Health Center-Lake Lin
Huron County
Population Group: Low Income-Huron County
Facility: Huron Medical Center D.B.A. Ubly Family Practice
Facility: Scheurer Family Medical Center
Ingham County
Population Group: Low Income Eaton Rapids City Service Area
Population Group: Low Income-Lansing Service Area
Facility: Ingham County Health Department
Ionia County
Population Group: Low Income-Ionia County
Facility: Bellamy Creek Correctional Facility
Facility: Charles R. Barker
Facility: Michigan Reformatory
Facility: Richard a. Handlon Correctional Facility
Facility: Sparrow Medical Group Ionia
Facility: Sparrow Medical Group-Muir
Facility: Sparrow Medical Group-Portland
Facility: Sparrow Medical Group-Saranac
Facility: Spectrum Health Belding Family Medicine
Facility: Spectrum Health Pennock Family Medicine – Ionia
Facility: Spectrum Health Pennock Family Medicine-Lake Odessa
Iosco County
Population Group: Low Income-Iosco County
Facility: Hale St. Joseph Family Clinic
Facility: St. Joseph Health System Internal Medicine Clinic
Facility: St. Joseph Health System Pediatrics
Facility: St. Joseph Health System Womens Clinic
Facility: St. Joseph Huron Family Medicine Clinic
Facility: St. Joseph's Health Systems-Oscoda Health Park
Facility: Tawas Bay Family Practice
Iron County
Population Group: Low Income-Iron County
Facility: Aspirus Crystal Falls Clinic
Isabella County
Population Group: Low Income - Isabella County
Facility: Isabella Citizens for Health, Inc.
Facility: Nimkee Memorial Wellness Center
Jackson County
Population Group: Low Income - Jackson County
Facility: Center for Family Health, Inc.
Facility: CF-Charles Egeler Reception and Guidance Center
Facility: Springport Medical Clinic
Kalamazoo County
Facility: Family Health Center Inc.
Kalkaska County
Population Group: Low Income-Kalkaska County
Page 106 of 255

Facility: Kalkaska Memorial Health Center
Kent County
Population Group: Low Income-West Kent County
Facility: Catherine's Health Center
Facility: Cherry Street Services
Facility: Nottawaseppi Huron Band of the Potawatomi-Grand Ra
Facility: Trinity Health Corporation-Dba Mercy Health-Saint Mary's
Community Health Center
Facility: White Pines Family Medicine
Keweenaw County
Population Group: Low Income-Houghton/Keweenaw Counties
Lake County
Service Area: Lake County
Facility: Baldwin Family Health
Lapeer County
Service Area: Caro/Otter Lake/North Branch Service Area
Facility: Thumb Correctional Facility
Leelanau County
Facility: Grand Traverse Ottawa and Chippewa
Facility: Northwest Michigan Health Services, Inc.
Lenawee County
Population Group: Low Income - Adrian-Morenci Service Area
Population Group: Low Income-Woodstock/Clinton/Lenawee
Facility: Health Specialists of Lenawee, P.C.
Luce County
Population Group: Low Income - Luce County
Facility: Gibson Family Health Clinic
Facility: Newberry Correctional Facility
Mackinac County
Service Area: Western MacKinac Service Area
Facility: Lambert Tribal Clinic
Facility: MacKinac Straits Rural Health Clinic
Facility: Manistique Lakes Family Clinic
Facility: St. Ignace Sault Tribal Health and Human Services Center
Facility: West MacKinac Health Clinic
Macomb County
Population Group: Low Income-South MacOmb Service Area
Facility: MacOmb Correctional Facility
Facility: Mycare Health Center
Manistee County
Facility: Little River Band of Ottawa Indians
Facility: Munson Healthcare Manistee-Family Care
Facility: Munson Healthcare Manistee-OB/GYN
Facility: Munson Healthcare Manistee-Primary Care
Facility: Oaks Correctional Facility
Facility: Wellston Medical Center
Page 107 of 255

Marquette County
Service Area: Western
Population Group: Low
Population Group: Low
Facility: Upper Great

Marquette
Income - Gwinn
Income-Ishpeming Service Area
Lakes Family Health Center

Mason County
Population Group: Msw-Mason County
Facility: Mercy Health Physicians Partners-Sable Point Famil
Facility: Primary Health Services
Facility: Spectrum Health Hospital Family Medicine - Ludington
Facility: Spectrum Health Hospital Internal Medicine - Ludington
Facility: Spectrum Health Ludington Hospital Family and Internal
Medicine Ludington
Facility: Spectrum Health Ludington Hospital Ob/Gyn
Facility: Spectrum Health Ludington Hospital Pediatrics
Mecosta County
Population Group: Low Income-Mecosta/Osceola Counties
Facility: Spectrum Health Big Rapids Hospital Canadian Lakes
Facility: Spectrum Health Big Rapids Hospital Family Medicine
Facility: Spectrum Health Big Rapids Ob/Gyn
Menominee County
Service Area: Menominee County
Facility: Hannahville Indian Health Center
Facility: Northreach-Daggett Medical Clinic
Facility: Northreach-Menominee
Midland County
Population Group: Low Income - Coleman/Sanford
Missaukee County
Population Group: Low Income - Missaukee County
Monroe County
Facility: Family Medical Center
Montcalm County
Population Group: Low Income - Montcalm County
Facility: Center for Women's Healthcare (Ccwhc)
Facility: Sheridan Care
Facility: Sparrow Medical Group Carson
Facility: Sparrow Medical Group Greenville
Facility: Sparrow Medical Group Pediatric Carson City
Facility: Sparrow Medical Group Stanton
Facility: Spectrum Health United Hospital Family Medicine and Ob/Gyn
Facility: Spectrum Health United Hospital IM, Ped and Amp; Spec Clinic
Facility: Spectrum Health United Lakeview Family Medicine
Montmorency County
Population Group: Low Income-Montmorency County
Facility: Omh Medical Group Lewiston Rural Health Clinic
Facility: Thunder Bay Community Health Services
Muskegon County
Population Group: Low Income-Muskegon County
Page 108 of 255

Facility:
Facility:
Facility:
Facility:
Facility:

Brooks Correctional Facility
Hackley Community Care Center
Lakeshore Medical Center
Muskegon Correctional Facility
Muskegon Family Care Center

Newaygo County
Population Group: Low Income-Newaygo County
Facility: Shgm Ob/Gyn
Facility: Spectrum Health Gerber Memorial Fam Medical - Fremont
Facility: Spectrum Health Gerber Memorial Fam Medical-Hesperia
Facility: Spectrum Health Gerber Memorial Family Medical-Grant
Facility: Spectrum Health Gerber Memorial Family Medicine Newaygo
Facility: Spectrum Health Gerber Memorial Multispecialty Clinic
Oakland County
Population Group: Low Income-Oak Park Service Area
Population Group: Low Income-Pontiac Service Area
Facility: Oakland Integrated Health Network (Oihn)
Oceana County
Service Area: Oceana County
Facility: Lakeshore Medical Center - Shelby
Facility: Memorial Medical Center of West Michigan Dba Spectrum Health
Hart Family Medicine
Facility: Mercy Health Physician Partners Hart Family Medical
Facility: Spectrum Health Family Medicine - Pentwater
Ogemaw County
Population Group: Low Income - Arenac/Ogemaw Counties
Facility: Prescott Clinic Primary Care
Facility: Primary Care Inc.
Facility: Primary Care Practice - Alger
Facility: Primary Care, Inc.
Ontonagon County
Population Group: Low Income-Ontonagon County
Facility: Aspirus Ontonagon Family Practice Clinic
Osceola County
Population Group: Low Income-Mecosta/Osceola Counties
Facility: Spectrum Health Evart Family Practice
Facility: Spectrum Health Reed City Family Practice
Facility: Spectrum Health Tustin Family Practice
Oscoda County
Service Area: Oscoda County
Facility: Primary Care Inc.
Otsego County
Population Group: Low Income - Crawford/Otsego Counties
Facility: Otsego Memorial Hospital Medcare Rural Health Clinic-Gaylord
Facility: Otsego Memorial Hospital Rural Health-Center Ave
Ottawa County
Population Group: Msw-Ottawa/Allegan Counties
Page 109 of 255

Presque Isle County
Service Area: Presque Isle County
Roscommon County
Population Group: Low Income
Facility: Mercy Primary Care
Facility: Mercy Primary Care
Facility: Midmichigan Health
Facility: Primary Care Inc.

- Roscommon County
Associates
Association/Roscommon CPS
Services

Saginaw County
Service Area: Eastside Saginaw
Facility: Great Lakes Bay Health Centers
Facility: Saginaw Correctional Facility
Sanilac County
Population Group: Low Income - St. Clair/Sanilac Counties
Facility: Deckerville Healthcare Services Inc.
Facility: Family Health of Brown City
Facility: McKenzie Rural Health Clinic
Schoolcraft County
Population Group: Low Income - Schoolcraft County
Facility: Manistique Tribal Health Clinic
Facility: Schoolcraft Memorial Hospital Rural Health Clinic
Shiawassee County
Population Group: Low Income-Shiawassee County
St. Clair County
Population Group: Low Income - St. Clair/Sanilac Counties
Facility: Dba Community First Health Centers
St. Joseph County
Population Group: Low Income - St. Joseph County
Facility: Covered Bridge Healthcare of St. Joseph County, in
Facility: Family Care Center-White Pigeon
Facility: Smg Practice
Facility: Sturgis Pediatrics
Facility: Three Rivers Health
Tuscola County
Service Area: Caro/Otter Lake/North Branch Service Area
Facility: Cass City Family Practice
Facility: Cass City Medical Practice
Facility: Family Healthcare of Cass City
Facility: Kingston Family Healthcare
Facility: Kingston Family Practice
Facility: Mayville Family Healthcare
Facility: Thumb Pediatrics
Van Buren County
Service Area: Hartford Service Area
Population Group: Migrant Seasonal Farmworkers-South Haven/Bangor
Facility: Bronson Lakeview Family Care - Mattawan
Facility: Bronson Lakeview Family Care-Decatur
Facility: Hartford Medical Center
Page 110 of 255

Facility:
Facility:
Facility:
Facility:

Intercare Community Health
Lakeview Medical Center
South Haven Community Hospital Cooper Rural Health Clinic
South Haven Community Hospital Rural Health Clinic

Washtenaw County
Population Group: Low Income-Ann Arbor/Ypsilanti Service Area
Wayne County
Service Area: Eastside Detroit Service Area
Service Area: Inkster
Service Area: North Central Detroit/Highland Park
Service Area: Northwest Detroit Service Area
Service Area: Southwest Detroit Service Area
Population Group: Low Income-Cornerstone Village/Harper Woods Service
Area
Population Group: Low Income-Downtown Detroit/Hamtramck Service Area
Population Group: Low Income-Oak Park Service Area
Population Group: Low Income-Redford/Dearborn/Taylor Service Area
Population Group: Low Income-Wayne City
Facility: American Indian Health and Family Svs of Southeast MI
Facility: Charter County of Wayne
Facility: Community Health and Social Services
Facility: Covenant Community Care, Inc.
Facility: Detroit Central City Community Mental Health, Inc.
Facility: Detroit Community Health Connection
Facility: Detroit Health Care for the Homeless
Facility: Health Centers Detroit Foundation
Facility: The Wellness Plan
Facility: Western Wayne Family Health Center
Wexford County
Population Group: Low Income-Cadillac-Buckley
Facility: Cadillac Primary Care and Ob/Gyn
Facility: Northern Pines Health Center

Page 111 of 255

PRIMARY CARE: Minnesota
County and County Equivalent Listing
Aitkin County
Population Group: Low Income - Mille Lacs
Anoka County
Facility: Minnesota Correctional Facility/Lino Lakes
Becker County
Population Group: Low Income-Becker County
Facility: White Earth Nation-Circle of Life Academy
Facility: White Earth PHS Indian Hospital
Beltrami County
Service Area: North Beltrami
Population Group: Low Income-Northome/Blackduck
Facility: PHS Indian Hospital - Red Lake
Facility: Red Lake Comprensive Health Service
Big Stone County
Facility: Graceville Health Center Clinic
Blue Earth County
Service Area: Wells
Facility: Open Door Health Center
Brown County
Facility: Sleepy Eye Medical Center
Carlton County
Facility: Fond Du Lac Min-No-Aya-Win Clinic
Facility: Minnesota Correctional Facility-Moose Lake
Cass County
Population Group: Low Income - Cass County
Facility: Cass Lake Indian Heath Service Hospital
Facility: Lakewood Clinic Pillager
Facility: Leech Lake Band of Ojibwe
Chisago County
Facility: Minnesota Correctional Facility/Rush City
Clay County
Service Area: Barnesville
Facility: Community Health Service Inc.
Clearwater County
Service Area: Clearwater County
Cook County
Facility: Grand Portage Health Center
Facility: Sawtooth Mountain Clinic
Cottonwood County
Service Area: Westbrook - Rational Service Area 71
Page 112 of 255

Crow Wing County
Population Group: Low Income - Mille Lacs
Faribault County
Service Area: Wells
Fillmore County
Service Area: Fillmore County
Freeborn County
Service Area: Wells
Goodhue County
Facility: Prairie Island Family Health Clinic
Grant County
Service Area: Elbow Lake/Dalton
Hennepin County
Population Group: Low Income - Minneapolis North
Population Group: Low Income - Northeast Minneapolis
Facility: Cedar Riverside People's Center
Facility: Community University Health Care Center
Facility: Hennepin County - Healthcare for the Homeless
Facility: Indian Health Board
Facility: Native American Community Clinic
Facility: Neighborhood Healthsource
Facility: Northpoint Health and Wellness Center
Facility: Southside Community
Facility: Universal Medical Services, Inc.
Hubbard County
Population Group: Low Income - Hubbard County
Jackson County
Service Area: Jackson County - Rational Service Area 22
Kanabec County
Service Area: Kanabec County
Kittson County
Service Area: Kittson County
Facility: Kittson Memorial Clinic
Facility: Kittson Memorial Clinic of Karlstad
Koochiching County
Population Group: Low Income-International Falls
Population Group: Low Income-Northome/Blackduck
Lac qui Parle County
Population Group: Low Income - Lac Qui Parle County
Facility: Lac Qui Parle Clinic of Madison
Lake of the Woods County
Service Area: Lake of the Woods County
Lincoln County
Page 113 of 255

Service Area: Tyler/Lake Benton
Lyon County
Service Area: Lyon/Tracey Rational Service Area 82
Service Area: Tyler/Lake Benton
Mahnomen County
Service Area: Mahnomen County
Facility: Meritcare Clinic - Mahnomen
Marshall County
Service Area: Marshall County
Mille Lacs County
Population Group: Low Income - Mille Lacs
Facility: Mille Lacs Band of Ojibwe Behavioral Health
Facility: Mille Lacs Family Clinic - Onamia
Facility: Mille Lacs Health System-Isle
Facility: Ne-Ia-Shing Clinic
Morrison County
Population Group: Low Income - Mille Lacs
Population Group: Low Income - West Morrison Service Area 86
Facility: Lakewood Clinic Motley
Facility: Mille Lacs Family Clinic-Hillman
Murray County
Service Area: Murray County
Facility: Murray Count Clinic
Norman County
Service Area: Norman County
Olmsted County
Facility: Federal Medical Center-Rochester
Otter Tail County
Service Area: Elbow Lake/Dalton
Service Area: Pelican Rapids Service Area
Population Group: Low Income-East Otter Tail County
Facility: Henning Medical Clinic
Facility: Ottertail Area Medical Clinic
Pennington County
Population Group: Low Income - Pennington County
Pine County
Population Group: Low Income - Pine County
Pipestone County
Service Area: Tyler/Lake Benton
Population Group: Low Income - South Pipestone Rational Service Area 93
Polk County
Population Group: Low Income - Polk/Red Lake Rational Service Area 112
Pope County
Page 114 of 255

Service Area: Pope County
Ramsey County
Facility: Open Cities Health Center, Inc.
Facility: United Family Practice Health Center
Facility: Westside Community Health Center
Red Lake County
Population Group: Low Income - Polk/Red Lake Rational Service Area 112
Redwood County
Service Area: Lyon/Tracey Rational Service Area 82
Service Area: Redwood-Rational Service Area 97
Facility: Lower Sioux Community Council
Renville County
Service Area: Renville County - Rational Service Area 42
Rice County
Facility: Minnesota Correctional Facility - Faribault
Rock County
Population Group: Low Income - South Pipestone Rational Service Area 93
Roseau County
Service Area: East Roseau
Service Area: West Roseau County
Scott County
Facility: Shakopee Mdewakanton Sioux Community
Sherburne County
Facility: Minnesota Correctional Facility-St. Cloud
Sibley County
Service Area: Sibley County
Facility: Ridgeview Arlington Clinic
Facility: Ridgeview Henderson Clinic
Facility: Ridgeview Winthrop Clinic
St. Louis County
Service Area: Aurora/Hoyt Lakes
Service Area: Cook/Orr
Service Area: Floodwood
Population Group: Low Income - Ely Rational Service Area 110
Facility: Bois Forte Tribal Clinic
Facility: Cook Area Health Services, Inc.
Facility: Lake Superior Community Health Center
Stearns County
Service Area: Central Rural Stearns Service Area
Population Group: Low Income-Western Rural Service Area
Stevens County
Population Group: Low Income-Stevens County
Facility: Chokio Medical Center
Page 115 of 255

Swift County
Population Group: Low Income-Swift County
Todd County
Population Group: Low Income-Todd County
Facility: Bertha Medical Clinic
Facility: Lakewood Clinic Browerville
Facility: Lakewood Clinic Eagle Bend
Facility: Lakewood Clinic Staples
Wadena County
Service Area: North Wadena Rational Service Area 104
Population Group: Low Income-South Wadena
Facility: Sebeka Medical Center
Facility: Wadena Medical Center
Waseca County
Service Area: Wells
Facility: Federal Correctional Institution - Waseca
Washington County
Facility: Minnesota Correctional Facility-Stillwater
Wilkin County
Service Area: Barnesville
Yellow Medicine County
Facility: Sanford Canby Clinic
Facility: Upper Sioux Community

Page 116 of 255

PRIMARY CARE: Mississippi
County and County Equivalent Listing
Adams County
Population Group: Low Income - Adams County
Alcorn County
Population Group: Low Income - Alcorn County
Amite County
Service Area: Amite County
Facility: Amite County Medical
Attala County
Population Group: Low Income - Attala County
Benton County
Service Area: Benton County
Facility: North Benton County Health
Bolivar County
Service Area: Bolivar County
Facility: Delta Health Center, Inc.
Calhoun County
Service Area: Calhoun County
Carroll County
Service Area: Carroll County
Chickasaw County
Service Area: Chickasaw County
Choctaw County
Population Group: Low Income - Choctaw County
Claiborne County
Service Area: Claiborne County
Facility: Claiborne County Family Health Center
Clarke County
Service Area: Clarke County
Facility: Outreach Health Services
Clay County
Service Area: Clay County
Coahoma County
Population Group: Low Income - Coahoma County
Facility: Aaron E. Henry Community Health Center
Copiah County
Service Area: Copiah County
Covington County
Service Area: Covington County
Page 117 of 255

Forrest County
Population Group: Low Income - Forrest County
Facility: Southeast Mississippi Rural Health Initiative, Inc.
Franklin County
Population Group: Low Income - Franklin County
George County
Population Group: Low Income-George County
Greene County
Service Area: Greene County
Facility: South Mississippi Correctional Institution
Grenada County
Population Group: Low Income-Grenada County
Hancock County
Service Area: Hancock County
Harrison County
Population Group: Low Income - Harrison County
Facility: Coastal Family Health, Inc.
Hinds County
Population Group: Low Income - Hinds County
Facility: Central Mississippi Civic Improvement
Facility: Central Mississippi Health Services
Holmes County
Service Area: Holmes County
Facility: Dr. Arenia C. Mallory Community Health Center
Humphreys County
Service Area: Humphreys County
Issaquena County
Service Area: Issaquena/Sharkey Counties
Itawamba County
Population Group: Low Income - Itawamba County
Facility: Mantachie Rural Health Care, Inc.
Jackson County
Population Group: Low Income - Jackson County
Jasper County
Service Area: Jasper County
Jefferson County
Service Area: Jefferson County
Facility: Jefferson Comprehensive
Jefferson Davis County
Service Area: Jefferson Davis County
Jones County
Page 118 of 255

Population Group: Low Income - Jones County
Facility: Family Health Center, Inc.
Kemper County
Service Area: Kemper County
Lafayette County
Population Group: Low Income - Lafayette County
Lamar County
Service Area: Lamar County
Lauderdale County
Population Group: Low Income - Lauderdale County
Facility: East Mississippi Correctional Facility
Facility: East Mississippi Medical Clinic - Meridan
Facility: Greater Meridian Health Clinic
Lawrence County
Service Area: Lawrence County
Leake County
Service Area: Leake County
Facility: East Central Mississippi Health Care, Inc.
Lee County
Population Group: Low Income - Lee County
Leflore County
Service Area: Leflore County
Facility: Emergency Medical Services Clinic
Lincoln County
Population Group: Low Income - Lincoln County
Madison County
Population Group: Low Income-Northern Madison County
Facility: G. A. Carmichael Family Health Center
Marion County
Service Area: Marion County
Marshall County
Service Area: Marshall County
Facility: Marshall County Correctional Facility
Facility: Northeast Mississippi
Monroe County
Service Area: Monroe County
Facility: Access Family Health Services
Facility: Chestnut Medical Clinic
Facility: Pioneer Family Medical
Montgomery County
Service Area: Montgomery County
Neshoba County
Page 119 of 255

Service Area: Neshoba County
Facility: Choctaw Health Center
Facility: Mississippi Band of Choctaw Indians
Newton County
Service Area: Newton County
Facility: East Mississippi Medical Clinic
Noxubee County
Service Area: Noxubee County
Oktibbeha County
Population Group: Low Income - Oktibbeha County
Panola County
Service Area: Panola County
Facility: Batesville Pediatric Clinic
Facility: Batesville Women's Clinic
Pearl River County
Service Area: Pearl River County
Perry County
Service Area: Perry County
Pike County
Service Area: McComb/Magnolia
Pontotoc County
Population Group: Low Income - Pontotoc County
Prentiss County
Service Area: Prentiss County
Quitman County
Service Area: Quitman County
Rankin County
Population Group: Low Income-Southern Rankin County
Facility: Central Mississippi Correctional Facility
Facility: Family Health Care Clinic
Scott County
Service Area: Scott County
Sharkey County
Service Area: Issaquena/Sharkey Counties
Simpson County
Population Group: Low Income-Simpson County
Smith County
Service Area: Smith County
Stone County
Population Group: Low Income - Stone County
Page 120 of 255

Sunflower County
Service Area: Sunflower County
Facility: Mississippi State Penitentiary (MSP)
Tallahatchie County
Service Area: Tallahatchie County
Tate County
Service Area: Tate County
Tippah County
Service Area: Tippah County
Tishomingo County
Service Area: Tishomingo County
Tunica County
Service Area: Tunica County
Union County
Population Group: Low Income - Union County
Facility: Family Clinic of New Albany
Walthall County
Service Area: Walthall County
Warren County
Population Group: Low Income - Warren County
Washington County
Service Area: Washington County
Wayne County
Service Area: Wayne County
Webster County
Service Area: Webster County
Wilkinson County
Service Area: Wilkinson County
Facility: Wilkinson County Correctional Facility (Wccf)
Winston County
Service Area: Winston County
Yalobusha County
Service Area: Yalobusha County
Yazoo County
Service Area: Yazoo County
Facility: Federal Correctional Complex-Yazoo City

Page 121 of 255

PRIMARY CARE: Missouri
County and County Equivalent Listing
Adair County
Population Group: Low Income-Adair and Knox Counties
Facility: Preferred Family Healthcare Inc.
Andrew County
Population Group: Dekalb and Andrew Counties
Atchison County
Population Group: Low Income-Atchison County
Audrain County
Population Group: Low Income-Audrain County
Facility: East Central MO Behavioral Health Svs/Dba Arthur Center
Facility: Pcmh (Pike County Memorial Hospital) Clinic
Barry County
Population Group: Low Income-Barry County
Barton County
Population Group: Low Income-Vernon/Barton Counties
Bates County
Population Group: Low Income-Bates County
Benton County
Population Group: Low Income-Benton County
Bollinger County
Population Group: Low Income-Bollinger County
Boone County
Population Group: Low Income-Boone County
Facility: Family Health Center of Boone County
Buchanan County
Population Group: Low Income-Buchanan County
Facility: Northwest Health Services
Butler County
Population Group: Low Income-Butler County
Caldwell County
Population Group: Low Income-Caldwell County
Callaway County
Population Group: Low Income-Callaway County
Camden County
Population Group: Low Income - Camden County
Facility: Lake Regioinal Clinic - Camdenton
Facility: Lake Regional Clinic - Lake Ozark
Facility: Lake Regional Clinic - Macks Creek
Facility: Lake Regional Clinic - Osage
Page 122 of 255

Cape Girardeau County
Population Group: Low Income-Cape Girardeau County
Facility: Cross Trails Medical Center
Carroll County
Population Group: Low Income - Carroll/Livingston Counties
Carter County
Population Group: Low Income-Carter/Reynolds/Shannon Counties
Cass County
Facility:
Facility:
Facility:
Facility:

Archie Medical Clinic
Garden City Family Clinic
Harrisonville Medical Clinic
Pleasant Hill Medical Clinic

Cedar County
Population Group: Low Income-Cedar County
Chariton County
Service Area: Chariton County
Christian County
Population Group: Low Income-Christian County
Facility: Sparta Clinic
Clark County
Population Group: Low Income-Clark County
Facility: Wyaconda Medical Services
Clinton County
Population Group: Low Income-Clinton County
Cole County
Population Group: Low Income-Cole County
Cooper County
Population Group: Low Income-Cooper County
Facility: Cooper County Rural Health Clinic
Crawford County
Population Group: Low Income-Crawford County
Facility: Mercy Clinic East Communities-Cuba(Healthnet Regional Center
of Cuba)
Dade County
Population Group: Low Income-Dade County
Dallas County
Population Group: Low Income-Dallas/Polk Counties
Daviess County
Service Area: Daviess County
DeKalb County
Population Group: Dekalb and Andrew Counties
Page 123 of 255

Dent County
Population Group: Low Income-Dent County
Douglas County
Population Group: Low Income-Douglas County
Dunklin County
Population Group: Low Income-Dunklin/Pemiscot Counties
Franklin County
Population Group: Low Income-Franklin County
Facility: Mercy McAuley Clinic
Gasconade County
Population Group: Low Income-Gasconade County
Facility: Associated Medical Arts - Hermann
Facility: Medical Clinic Owensville
Facility: Southwest Medical Association
Gentry County
Population Group: Low Income-Gentry County
Facility: Northwest Medical Center (Standberry)
Greene County
Population Group: Low Income-Greene County
Facility: Advocates for a Healthy Community/Dba Jordan Valle
Facility: Mcfp-Springfield
Grundy County
Population Group: Low Income-Sullivan/Grundy Counties
Harrison County
Population Group: Low Income-Harrison County
Facility: Bethany Medical Clinic
Henry County
Population Group: Low Income-Henry County
Facility: Golden Valley Medical - Windsor (Family Care Clinic Windsor)
Facility: Golden Valley Medical-Clinton (Wetzel Clinic)
Hickory County
Service Area: Hickory County
Facility: Lake Area Primary Care Clinic
Facility: Ozarks Resource Group
Holt County
Service Area: Holt County
Howard County
Population Group: Low Income-Howard County
Howell County
Population Group: Low Income-Howell County
Facility: Rural Alliance for Better Health
Iron County
Page 124 of 255

Service Area: Iron County
Jackson County
Population Group: Low Income-Central Kansas City
Population Group: Low Income-Grandview
Population Group: Low Income-Independence
Population Group: Low Income-North Kansas City
Population Group: Low Income-South Kansas City
Facility: Kansas City Care Clinic
Facility: Samuel U. Rodgers Health Center
Facility: Swope Health Services
Jasper County
Population Group: Low Income-Jasper County
Jefferson County
Population Group: Low Income-Desoto/Festus/Valles Mines
Facility: Community Treatment Inc.
Johnson County
Population Group: Low Income-Johnson/Lafayette Counties
Knox County
Population Group: Low Income-Adair and Knox Counties
Laclede County
Population Group: Low Income-Laclede County
Lafayette County
Population Group: Low Income-Johnson/Lafayette Counties
Facility: Health Care Coalition of Lafayette County
Lawrence County
Population Group: Low Income-Lawrence County
Lewis County
Service Area: Lewis County
Facility: Lewistown Rural Health Clinic
Facility: Quincy Medical Group-Canton
Facility: Quincy Medical Group-Labelle Rural Health
Lincoln County
Population Group: Low Income-Lincoln County
Facility: Mercy Hospital Lincoln Family Medicine and Psychiatry
Facility: Mercy Hospital Lincoln Family Medicine Elsberry
Facility: Troy Family Practice
Linn County
Population Group: Low Income-Macon/Linn Counties
Livingston County
Population Group: Low Income - Carroll/Livingston Counties
Macon County
Population Group: Low Income-Macon/Linn Counties
Madison County
Page 125 of 255

Population Group: Low Income-Madison County
Maries County
Population Group: Low Income-Osage and Maries Counties
Marion County
Population Group: Low Income-Marion County
Facility: Hannibal Clinic
Facility: Hannibal Clinic Palmyra
McDonald County
Population Group: Low Income-McDonald County
Facility: Anderson Rural Health Clinic
Facility: Goodman Family Clinic
Facility: Ozark Tricounty Health Center
Facility: Pineville Medical Clinic
Facility: Southwest City Community Clinic
Mercer County
Service Area: Mercer County
Miller County
Population Group: Low Income-Miller County
Facility: Lake Regional Clinic - Eldon
Facility: Lake Regional Clinic - Iberia
Mississippi County
Population Group: Low Income-Mississippi County
Moniteau County
Population Group: Low Income-Moniteau County
Monroe County
Population Group: Low Income-Ralls and Monroe Counties
Montgomery County
Population Group: Low Income-Montgomery County
Facility: Associated Medical Arts - Montgomery City
Facility: Ssm Health Medical Group - Family Medicine
Morgan County
Population Group: Low Income-Morgan County
Facility: Lake Regional Clinic - Laurie
New Madrid County
Population Group: Low Income-New Madrid County
Facility: Southeast Missouri Health Network
Newton County
Population Group: Low Income-Newton County
Facility: Eastern Shawnee Tribe
Nodaway County
Population Group: Low Income-Nodaway County
Oregon County
Population Group: Low Income-Oregon County
Page 126 of 255

Osage County
Population Group: Low Income-Osage and Maries Counties
Facility: Community Health Center of Central Missouri
Ozark County
Population Group: Low Income-Ozark County
Pemiscot County
Population Group: Low Income-Dunklin/Pemiscot Counties
Perry County
Population Group: Low Income-Perry County
Facility: Perryville Family Care Clinic
Pettis County
Population Group: Low Income-Pettis County
Facility: Regional Health Care Clinic, Inc./Katy Trail
Phelps County
Population Group: Low Income-Phelps County
Facility: South Central Missouri Community Health Center
Pike County
Population Group: Low Income-Pike County
Facility: Eastern Missouri Health Services
Facility: Hannibal Clinic Bowling Green
Polk County
Population Group: Low Income-Dallas/Polk Counties
Pulaski County
Population Group: Low Income-Pulaski County
Facility: Central Ozark Medical
Putnam County
Population Group: Low Income-Putnam/Schuyler Counties
Ralls County
Population Group: Low Income-Ralls and Monroe Counties
Randolph County
Population Group: Low Income-Randolph County
Facility: Randolph County Health Department
Ray County
Population Group: Low Income-Ray County
Reynolds County
Population Group: Low Income-Carter/Reynolds/Shannon Counties
Facility: Missouri Highlands Health Center
Ripley County
Population Group: Low Income-Ripley County
Saline County
Population Group: Low Income-Saline County
Page 127 of 255

Schuyler County
Population Group: Low Income-Putnam/Schuyler Counties
Facility: Lancaster Medical Services
Scotland County
Population Group: Low Income-Scotland County
Facility: Memphis Medical Services
Scott County
Population Group: Low Income-Scott County
Shannon County
Population Group: Low Income-Carter/Reynolds/Shannon Counties
Shelby County
Service Area: Shelby County
St. Charles County
Population Group: Low Income-Kinloch/Berkeley/Bridgeton
Facility: Crider Health Center
St. Clair County
Population Group: Low Income-St. Clair County
Facility: AC Clinic, Inc.
Facility: Osceola Medical Center
Facility: Sac-Osage Hospital Tri-County Clinic
St. Francois County
Population Group: Low Income-St. Francois/Ste. Genevieve Counties
St. Louis City
Population Group: Low Income-East Central St. Louis
Population Group: Low Income-North St. Louis City
Population Group: Low Income-Southeast St. Louis
Population Group: Low Income-Southwest St. Louis City
Population Group: Low Income-West St. Louis
Facility: Affinia Health Centers
Facility: Family Care Health Centers
Facility: Myrtle Hilliard Davis Comprehensive Heal
Facility: People's Health Centers
St. Louis County
Population Group:
Population Group:
Population Group:
Population Group:

Low
Low
Low
Low

Income-Central St Louis
Income-Jennings
Income-Kinloch/Berkeley/Bridgeton
Income-Southwest St. Louis City

Ste. Genevieve County
Population Group: Low Income-St. Francois/Ste. Genevieve Counties
Facility: Family Health Care-Pointe Basse
Facility: St. Genevieve Family Health Clinic
Stoddard County
Population Group: Low Income-Stoddard County
Stone County
Page 128 of 255

Population Group: Low Income-Stone County
Sullivan County
Population Group: Low Income-Sullivan/Grundy Counties
Taney County
Population Group: Low Income-Taney County
Facility: Douglas County Public Health Center
Texas County
Population Group: Low Income-Texas County
Vernon County
Population Group: Low Income-Vernon/Barton Counties
Warren County
Population Group: Low Income-Warren County
Washington County
Population Group: Low Income-Washington County
Facility: Great Mines Health Center
Wayne County
Population Group: Low Income-Wayne County
Webster County
Population Group: Low Income-Webster County
Worth County
Population Group: Low Income-Worth County
Wright County
Population Group: Low Income-Wright County
Facility: Hartville Medical Clinic

Page 129 of 255

PRIMARY CARE: Montana
County and County Equivalent Listing
Beaverhead County
Population Group: Low Income - Beaverhead County
Big Horn County
Population Group: Low Income-Bighorn County
Facility: Big Horn Valley Health Center
Facility: Crow - Pryor Health Station
Facility: Crow Agency PHS Indian Hospital
Facility: Crow-Lodge Grass Clinic
Facility: Lodge Grass Health Clnic
Blaine County
Service Area: Hill-Blaine County
Facility: Fort Belknap PHS Indian Hospital
Facility: Harlem PHS Indian Hospital
Facility: Hays Clinic/Eagle Child Health Center
Broadwater County
Population Group: Low Income-Broadwater County
Carbon County
Population Group: Low Income - Carbon County
Carter County
Service Area: Carter and Fallon County
Cascade County
Population Group: Low Income - Cascade County
Facility: Community Health Care Center, Inc.
Facility: Indian Family Health Clinic
Chouteau County
Service Area: Choteau County
Custer County
Population Group: Low Income - Custer County
Facility: Holy Rosary Healthcare Clinic
Daniels County
Service Area: Daniels County
Facility: Daniels Memorial Medical Clinic
Dawson County
Population Group: Low Income - Dawson County
Deer Lodge County
Population Group: Low Income - Deer Lodge County
Fallon County
Service Area: Carter and Fallon County
Fergus County
Population Group: Low Income-Fergus County
Page 130 of 255

Flathead County
Population Group: Low Income - Flathead County
Facility: Flathead City-County Health Department
Gallatin County
Population Group: Low Income - Gallatin County
Garfield County
Service Area: Garfield County
Glacier County
Population Group: Low Income - Glacier County
Facility: Blackfeet Tribal Health Department
Facility: Browning PHS Indian Hospital
Facility: Glacier Community Health Center
Facility: Northern Rockies Medical Clinic
Golden Valley County
Service Area: Golden Valley County
Granite County
Service Area: Granite County
Hill County
Service Area: Hill-Blaine County
Facility: Bullhook Community Health Center
Facility: Rocky Boy Tribal Health Department
Jefferson County
Service Area: Jefferson County
Facility: Elkhorn Mountain Health Services Dba Boulder Medical Clinic
Judith Basin County
Service Area: Judith Basin County
Facility: Basin Medical Center
Lake County
Population Group: Low Income-Lake County
Facility: Flathead Tribal Health and Human Services
Facility: The Confederated Salish and Kootenai Tribal Health D
Lewis and Clark County
Service Area: Lincoln Service Area
Service Area: Wolf Creek
Facility: Helena Indian Alliance
Facility: Lewis and Clark City/County Health Department
Liberty County
Service Area: Liberty County
Lincoln County
Population Group: Low Income - Lincoln County
Facility: Libby Clinic, Pllp
Facility: Lincoln County Community Health Center
Madison County
Population Group: Low Income - Madison County
Page 131 of 255

Facility: Madison Valley Clinic
Facility: Ruby Valley Medical Clinic
Facility: Twin Bridges Medical Clinic
McCone County
Service Area: McCone County
Meagher County
Population Group: Low Income-Meagher County
Mineral County
Service Area: Mineral County
Missoula County
Population Group: Low Income-Missoula County
Facility: Missoula City/County Health Department
Facility: Missoula Indian Center
Musselshell County
Service Area: Musselshell County
Park County
Population Group: Low Income-Park County
Facility: Community Health Partners
Facility: Livingston Healthcare Dba Park Clinic
Petroleum County
Service Area: Petroleum County
Phillips County
Service Area: Phillips County
Pondera County
Population Group: Low Income-Pondera County
Facility: Heart Butte Clinic
Facility: Heart Butte Health Station
Facility: Pondera Medical Center Clinic
Powder River County
Service Area: Powder River County
Powell County
Population Group: Low Income - Powell County
Facility: CF-Montana State Prison
Prairie County
Service Area: Prairie County
Ravalli County
Population Group: Low Income - Ravalli County
Facility: Sapphire Community Health Inc.
Richland County
Facility: Sidney Health Center
Roosevelt County
Population Group: Low Income - Roosevelt County
Page 132 of 255

Facility:
Facility:
Facility:
Facility:
Facility:

Fort Peck Tribal Health Project
Poplar PHS Indian Health Center
Riverside Family Clinic, Inc.
Roosevelt Memorial Clinic
Wolf Point PHS Indian Health Center

Rosebud County
Service Area: Rosebud County
Facility: Lame Deer PHS Indian Health Center
Facility: Northern Cheyenne Tribal Health Department
Facility: Rosebud Health Care Center
Sanders County
Population Group: Low Income - Sanders County
Sheridan County
Population Group: Low Income Sheridan County
Silver Bow County
Population Group: Low Income - Silver Bow County
Facility: Butte-Silverbow Primary Health Care
Facility: North American Indian Alliance
Stillwater County
Service Area: Stillwater County
Sweet Grass County
Service Area: Sweet Grass County
Teton County
Population Group: Low Income - Choteau Service Area
Toole County
Population Group: Low Income - Toole County
Treasure County
Service Area: Treasure County
Valley County
Population Group: Low Income - Valley County
Wheatland County
Population Group: Low Income-Wheatland County
Wibaux County
Population Group: Low Income-Wibaux County
Yellowstone County
Population Group: Low Income - Yellowstone County
Facility: Indian Health Board of Billings
Facility: Montana Migrant Council
Facility: Yellowstone City/County Health Department

Page 133 of 255

PRIMARY CARE: Nebraska
County and County Equivalent Listing
Banner County
Service Area: Banner County
Blaine County
Service Area: Blaine County
Boone County
Facility: Boone County Medical Clinic
Brown County
Facility: Ainsworth Family Clinic
Burt County
Facility:
Facility:
Facility:
Facility:
Facility:

Cottonwood Rural Health Clinic
Lyons Mercy Medical Clinic
Oakland Family Practice
Oakland Mercy Medical Clinic
Tekamah Mercy Medical Clinic

Cass County
Facility: Weeping Water Medical Center
Cedar County
Facility: Avera Medical Group - Hartington
Cherry County
Facility: Cherry County Clinic
Facility: Valentine Medical Clinic, LLC
Clay County
Facility: Edgar Medical Center
Facility: Sutton Family Practice
Colfax County
Facility:
Facility:
Facility:
Facility:

Chi Health Clarkson Clinic
Chi Health Howells Clinic
Chi Health Schuyler Clinic
Howells Family Practice

Cuming County
Facility: Dinklage Medical Clinic
Facility: Wisner Family Practice
Custer County
Facility: Arnold Medical Clinic
Facility: Callaway Medical Clinic
Dawes County
Facility: Legend Buttes Health Services Clinic
Dawson County
Facility: Family Medicine Specialists
Facility: Gothenburg Medical Arts Rural Health Clinic
Page 134 of 255

Deuel County
Population Group: Low Income-Sedgwick/Deuel (Colorado/Nebraska)
Dodge County
Facility: Scribner Medical Clinic
Douglas County
Facility:
Facility:
Facility:
Facility:

Charles Drew Medical Clinic
Fred Leroy Health and Wellness Clinic\Ponca Tribe of
Nebraska Urban Indian Health Coalition
One World Community Health Center

Dundy County
Facility: Quality Healthcare Services Medical Clinic-Benkelm
Fillmore County
Facility: Fillmore County Medical Center, P.C.
Franklin County
Facility: FCMH Campbell Medical Clinic
Facility: FCMH-Hildreth Medical Clinic
Facility: FCMH-Pool Medical Clinic
Frontier County
Service Area: Frontier County
Furnas County
Facility: Arapahoe Medical Clinic
Facility: Cambridge Medical Clinic
Gage County
Facility:
Facility:
Facility:
Facility:
Facility:

Adams Primary Care
Community Physicians Clinic
Gage County Medical Clinic
The Beatrice Women's and Children's Clinic
Wymore Medical Clinic

Garden County
Service Area: Garden County
Facility: Regional West Garden County Clinic
Garfield County
Facility: Burwell Family Practice Clinic
Hall County
Facility: Heartland Health Center, Inc.
Hayes County
Service Area: Hayes County
Hitchcock County
Service Area: Hitchcock County
Facility: Quality Healthcare Services Medical Clinic-Stratto
Holt County
Facility: Avera O'Neill Family Medicine
Facility: Greater Sandhills Family Healthcare - Atkinson
Page 135 of 255

Facility: Grtr Sandhills Family Healthcare-Stuart
Facility: West Holt Medical Clinic
Howard County
Facility: Howard County Medical Clinic
Johnson County
Facility: Tecumseh Family Health Care
Keith County
Service Area: Keith County
Keya Paha County
Service Area: Keya Paha County
Kimball County
Facility: Kimball County Hospital Clinic
Knox County
Facility: Santee Sioux Nation
Lancaster County
Facility: Nebraska Urban Indian Medical Center
Facility: People's Health Center
Facility: Ponca Tribe of Nebraska
Lincoln County
Facility: Brady Rural Health Clinic
Logan County
Service Area: Logan County
Madison County
Facility: Midtown Health Center, Inc.
Facility: Ponca Hills Health and Wellness Center\Ponca Tribe O
Merrick County
Facility: Lone Tree Medical Associates, P.C.
Morrill County
Facility: Chimney Rock Medical Center
Facility: Morrill County Hospital Clinic
Nance County
Facility: Lone Tree Medical Associates - Fullerton
Facility: Nance County Medical Clinic
Facility: Park Street Medical Clinic
Nuckolls County
Facility: Superior Family Medical Center - Nelson
Facility: Superior Family Medical Center - Superior
Otoe County
Facility: Nebraska City Medical Clinic
Facility: Syracuse Medical Center
Pawnee County
Page 136 of 255

Facility: Pawnee County Rural Health Clinic
Pierce County
Facility: Chi Health Plainview Clinic
Platte County
Facility: East Central District Health Department
Red Willow County
Facility: Indianola Medical Clinic
Richardson County
Facility: Family Medicine
Facility: Humboldt Family Medicine
Rock County
Facility: Greater Sandhills Family Healthcare-Bass
Facility: Rock County Clinic
Saunders County
Facility: Saunders Medical Clinic
Scotts Bluff County
Facility: Community Action Partnership of Western Nebraska
Sheridan County
Facility: Gordon Clinic
Facility: Rushville Clinic
Thayer County
Facility:
Facility:
Facility:
Facility:
Facility:

Chester Medical Clinic
Davenport Medical Clinic
Deshler Medical Clinic
Tchs Bruning Medical Clinic
Thayer County Health Services

Thurston County
Facility: Carl T. Curtis Health Center
Facility: Winnebago PHS Indian Hospital
Valley County
Facility: Vchs Medical Clinic (Formerly Ord Family Health Center)
Washington County
Facility: Fort Calhoun Clinic
Facility: Mch Physicians
Webster County
Facility: Main Street Medical Clinic
Facility: Webster County Clinic
York County
Facility: Henderson Health Care Services

Page 137 of 255

PRIMARY CARE: Nevada
County and County Equivalent Listing
Carson City
Population Group: Low Income-Carson City/Indian Hills
Facility: Nevada Health Centers
Facility: Northern Nevada Correctional Facility
Churchill County
Service Area: Churchill/Lyon/Mineral/Pershing Counties
Facility: Fallon Health Center
Clark County
Service Area: Boulder City
Service Area: Indian Springs
Service Area: Laughlin
Service Area: Northern Clark Service Area
Population Group: Low Income - Mesquite
Population Group: Low Income North Las Vegas/Downtown Las Vegas
Population Group: Low Income-Henderson
Population Group: Low Income-South Las Vegas Paradise
Population Group: Low Income-Spring Valley
Population Group: Low Income-West Central Las Vegas
Facility: Firstmed Health and Wellness Center
Facility: Florence McClure Correctional Center
Facility: High Desert State Prison
Facility: Hope Christian Health Center Corporation
Facility: Las Vegas Indian Center
Facility: Las Vegas Paiute Tribe
Facility: Moapa Band of Paiutes
Facility: Moapa Health Clinic
Facility: Silver State Health Services
Facility: Southern Desert Correctional Center
Douglas County
Service Area: South Douglas County
Population Group: Low Income-Carson City/Indian Hills
Population Group: Low Income-Minden/Gardnerville
Facility: Minden Family Medicine
Facility: Topaz Ranch Medical Clinic
Facility: Washoe Tribal Health Center-Gardnerville Health Center
Elko County
Service Area: Eastern Elko Service Area
Service Area: Mountain City/Jarbridge Service Area
Service Area: Spring Creek
Facility: Elko Band Council
Facility: Elko Health Center
Facility: Owyhee Community Hospital
Facility: South Fork Band Council
Facility: Te-Moak Tribe of Western Shoshone
Esmeralda County
Service Area: Esmeralda County
Eureka County
Service Area: Eureka County
Page 138 of 255

Humboldt County
Population Group: Low Income-Humboldt
Facility: Fort McDermitt Tribal Health Center
Facility: Humboldt General Rural Health Clinic
Lander County
Service Area: Lander County
Facility: Battle Mountain Band
Facility: Battle Mountain Clinic
Facility: Yomba Shoshone Tribe
Lincoln County
Service Area: Lincoln County
Lyon County
Service Area: Churchill/Lyon/Mineral/Pershing Counties
Facility: Silver Springs Rural Health Centers
Facility: South Lyon Health Center - Barnett
Facility: South Lyon Physicians Clinic
Facility: Yerington Paiute Tribe
Mineral County
Service Area: Churchill/Lyon/Mineral/Pershing Counties
Facility: Mt. Grant Medical Building
Facility: Walker River Paiute Tribal Health Center
Nye County
Population Group: Low Income - Southern Nye County
Population Group: Low Income-Northern Nye County
Facility: Duck Valley Shoshone Tribe
Facility: Duckwater Shoshone Tribe
Pershing County
Service Area: Churchill/Lyon/Mineral/Pershing Counties
Facility: CF Lovelock Correctional Center
Facility: Lovelock Paiute Tribe
Facility: Pershing General Hospital and Nursing Home Physician Center
Storey County
Service Area: Storey County
Washoe County
Service Area: Incline Village
Service Area: Northern Washoe
Population Group: Low Income Reno
Facility: Health Access Washoe
Facility: Indian Health Board of Nevada
Facility: Inter-Tribal Council of Nevada
Facility: Nevada Urban Indians, Inc.
Facility: Northern Nevada Hopes
Facility: Pyramid Lake Tribal Health Center
Facility: Reno-Sparks Shoshone Paiute Health Center
Facility: Smith Valley Physicians Clinic
White Pine County
Population Group: Low Income-White Pine
Page 139 of 255

Facility:
Facility:
Facility:
Facility:

Page 140 of 255

CF Ely State Prison
Ely Health Station
Newe Medical Clinic\Ely Shoshone Tribe
William Bee Ririe Hospital-Rural Health Clinic

PRIMARY CARE: New Hampshire
County and County Equivalent Listing
Carroll County
Service Area: Moultonborough Area
Population Group: Low Income-Conway
Facility: Saco River Medical Group
Facility: White Mountain Community Health Center
Cheshire County
Service Area: Hillsborough
Population Group: Low Income-Southwestern Cheshire County
Coos County
Population Group: Low Income - Coos County
Facility: Coos County Family Health Services
Facility: Federal Correctional Institution - Berlin
Facility: Indian Stream Health Center
Facility: North New Hampshire State Correctional Facility
Facility: Weeks Medical Center - Groveton
Facility: Weeks Medical Center - Lancaster
Facility: Weeks Medical Center - Whitefield
Grafton County
Population Group: Low Income-Central NH
Population Group: Low Income-Northern Grafton County
Facility: Ammonoosuc Community Health Services
Facility: Cottage Hospital Internal Medicine
Facility: Mid State Health Center
Facility: Mid-State Health Center-Bristol
Hillsborough County
Service Area: Hillsborough
Facility: City of Manchester - Public Health Department - HCH
Facility: Harbor Homes, Inc.
Facility: Manchester Community Health Center
Merrimack County
Service Area: Hillsborough
Population Group: Low Income-Central NH
Facility: Health First Family Care
Rockingham County
Facility: Lamprey Healthcare
Strafford County
Facility: Avis Goodwin Community Health Center
Sullivan County
Service Area: Hillsborough
Population Group: Low Income-Southern Sullivan County
Facility: Newport Health Center

Page 141 of 255

PRIMARY CARE: New Jersey
County and County Equivalent Listing
Atlantic County
Facility: Atlanticare Health Services
Facility: Southern Jersey Family Medical
Burlington County
Facility: Federal Correctional Institution - Fort Dix
Facility: Garden State Youth Correctional Facility
Camden County
Facility: Camcare Health Corporation
Facility: Osborn Family Health Center
Facility: Project H.O.P.E. Inc.
Cumberland County
Facility: Bayside State Prison
Facility: Community Health Care, Inc.
Facility: South Woods State Prison
Facility: Southern State Correctional Facility
Essex County
Facility:
Facility:
Facility:
Facility:
Facility:

Newark City Health and Human Services
Newark Community Health
Northern State Prison
Rutgers, the State University of New Jersey - Newark
Saint James Health Inc.

Hudson County
Facility: Horizon Health Center
Facility: Metropolitan Family Health Network
Facility: North Hudson Community Action Corporation
Hunterdon County
Facility: Edna Mahan Correctional Facility for Women
Facility: Mountainview Youth Correctional Facility
Mercer County
Facility: Central Reception and Amp; Assignment Facility
Facility: Henry J. Austin Health
Facility: New Jersey State Prison
Middlesex County
Facility: Jewish Renaissance Foundation Community Health Cen
Facility: Jewish Renaissance Medical Center
Facility: Rutgers the State University of New Jersey
Monmouth County
Facility: Monmouth Family Health Center
Facility: Visiting Nurse Association of Cent Jersy Community
Morris County
Facility: Zufall Community Clinic
Ocean County
Facility: Lakewood Resource and Referral Center Dba Chemed
Page 142 of 255

Facility: Ocean Health Initiatives, Inc.
Passaic County
Facility: Paterson Community Health Center
Union County
Facility: East Jersey State Prison
Facility: Plainfield Neighborhood Health Services

Page 143 of 255

PRIMARY CARE: New Mexico
County and County Equivalent Listing
Bernalillo County
Population Group: Low Income - South East Heights
Facility: Albuquerque Healthcare
Facility: Albuquerque PHS Indian Hospital
Facility: First Choice Community Healthcare, Inc.
Facility: First Nations Community Health
Facility: Isleta Health Center
Facility: To'Hajiilee Canoncito Health Center
Catron County
Service Area: Catron County
Chaves County
Service Area: Chaves County
Cibola County
Service Area: Cibola County
Facility: Acoma-Canoncito Laguna PHS Health Center
Facility: New Sunrise Regional Treatment Center
Facility: Pine Hill Indian Health Center
Facility: Ramah Navajo School Board, Inc.
Colfax County
Service Area: Colfax County
Curry County
Population Group: Low Income - Curry County
De Baca County
Service Area: De Baca County
Facility: Debaca Hospital/Family Practice Center
Dona Ana County
Service Area: Hatch
Service Area: Southern Dona Ana
Facility: Ben Archer Community Health Center
Facility: La Clinica De Familia
Facility: St. Luke's Health Care Clinic
Eddy County
Population Group: Low Income - Eddy County
Grant County
Population Group: Low Income - Grant County
Guadalupe County
Service Area: Guadalupe County
Harding County
Service Area: Harding County
Hidalgo County
Service Area: Hidalgo County
Facility: Hidalgo Medical Service
Page 144 of 255

Lea County
Service Area: Lea County
Lincoln County
Service Area: Lincoln County
Facility: Carrizozo Health Center
Luna County
Population Group: Low Income - Luna County
McKinley County
Service Area: McKinley County
Facility: Crownpoint Comprehensive Health Center
Facility: Gallup Indian Medical Center
Facility: Presbyterian Medical Services
Facility: Pueblo Pintado Health Center
Facility: Tohatchi PHS Indian Health Center
Facility: Zuni Health Program
Facility: Zuni PHS Indian Hospital
Mora County
Service Area: Mora County
Facility: Mora Valley Community Health Services, Inc.
Otero County
Population Group: Low Income - Otero County
Facility: Mescalero PHS Indian Hospital
Quay County
Service Area: Quay County
Rio Arriba County
Service Area: Rio Arriba County
Facility: Circle of Life Behavioral Health
Facility: Eight Northern Indian Pueblos, Inc.
Facility: El Centro Family Health
Facility: Jicarilla PHS Indian Health Center
Facility: La Clinica Del Pueblo De Rio Arriba
Facility: Las Clinicas Del Norte
Facility: San Juan Pueblo Health Program
Facility: Santa Clara PHS Indian Health Center
Roosevelt County
Service Area: Roosevelt County
Facility: Las Casa De Buena Salud
San Juan County
Service Area: San Juan County
Facility: Dzilth-Na-O-Dith-Hle PHS Indian Health Center
Facility: Northern Navajo Medical Center-Shiprock Service Un
San Miguel County
Population Group: Low Income - San Miguel County
Facility: Pecos Valley Medical
Sandoval County
Page 145 of 255

Service Area: Cuba
Service Area: Southern Sandoval
Facility: Cochiti Health Clinic
Facility: El Pueblo Health Services
Facility: Five Sandoval Indian Pueblos, Inc.
Facility: Jemez Health and Human Services
Facility: Pueblo of Jemez
Facility: San Felipe Health Program
Facility: Sandia Health Clinic
Facility: Santa Ana Health Clinic
Facility: Zia Health Clinic
Facility: Zia Pueblo Health Program
Santa Fe County
Service Area: Cerrillos/Madrid/Edgewood
Population Group: Low Income - Santa Fe/LA Familia
Facility: La Familia Medical Center
Facility: San Ildefonso Pueblo Health Program
Facility: Santa Clara Pueblo Health Program
Facility: Sante Fe PHS Indian Hospital
Facility: Santo Domingo Health Program
Facility: Tesuque Pueblo Health Program
Sierra County
Service Area: Sierra County
Socorro County
Service Area: Socorro County
Facility: Alamo Navajo Health Center
Taos County
Population Group: Low Income - Taos County
Facility: Taos CHR Program
Facility: Taos PHS Indian Health Center
Facility: Taos Picuris Health Center
Torrance County
Service Area: Torrance County
Union County
Service Area: Union County
Valencia County
Service Area: Valencia County
Facility: Pueblo of Laguna of Community Health and Wellness

Page 146 of 255

PRIMARY CARE: New York
County and County Equivalent Listing
Albany County
Facility: Whitney Young, Jr. Health Center
Allegany County
Population Group: Me - Allegany County
Bronx County
Population Group: Me - Crotona
Population Group: Me - Fordham
Population Group: Me - High Bridge
Population Group: Me - Hunts Point
Population Group: Me - Northeast Bronx
Population Group: Me - Pelham
Facility: Bronx Community Health Network
Facility: Bronx Lebanon Integrated Services System
Facility: La Casa De Salud, Inc.
Facility: Morris Heights Health Center, Inc.
Facility: Union Community Health Center
Facility: Urban Health Plan, Inc.
Facility: Vip Community Health Center
Broome County
Population Group: Me - Broome County
Cattaraugus County
Service Area: Cattaraugus County
Facility: Lionel John/Allegany I.R. Health Center
Facility: Southern Tier Community Health Center Network D/B/
Cayuga County
Population Group: Me - South Cayuga
Facility: East Hill Family Medical, Inc.
Chautauqua County
Population Group: Me-Chautauqua County
Facility: The Chautauqua Center
Chemung County
Facility: CF - Elmira Correctional Institution
Chenango County
Population Group: Me - Chenango County
Clinton County
Population Group: Me - Clinton County
Facility: CF - Clinton Correctional Institution
Cortland County
Population Group: Me - Cortland County
Facility: Family Health Network of Central New York
Delaware County
Service Area: East Delaware County
Population Group: Low Income - Walton Service Area
Page 147 of 255

Dutchess County
Facility: Downstate Correctional Institution
Erie County
Service Area: Buffalo Service Area
Facility: Cattaraugus Indian Reservation Health Center
Facility: Community Health Center of Buffalo
Facility: Jericho Road Ministries Inc.
Facility: Northwest Buffalo Community Health Center
Essex County
Service Area: Central Adirondack Service Area
Facility: Federal Correctional Institution - Ray Brook
Franklin County
Facility: CF - Bare Hill
Facility: St. Regis Mohawk Health Services
Fulton County
Population Group: Me - Fulton County
Genesee County
Population Group: Me - Genesee County
Facility: Immigration and Customs Enforcement-Buffalo Federal Detention
Facility
Facility: Tonawanda Seneca Nation
Greene County
Population Group: Me - Greene County
Facility: Greene Correctional Institution
Hamilton County
Service Area: Central Adirondack Service Area
Service Area: South Hamilton
Herkimer County
Population Group: Me - Herkimer County
Jefferson County
Population Group: Me-Alexandria Bay
Population Group: Me-Lowville Service Area
Population Group: Me-Watertown
Facility: North Country Children's Clinic
Kings County
Population Group: Me - Borough Park
Population Group: Me - Coney Island
Population Group: Me - Crown Heights - Bedford-Stuyvesant
Population Group: Me - East Flatbush and Brownsville
Population Group: Me - East New York - Brooklyn
Population Group: Me - Sunset Park
Population Group: Me - Williamsburg Service Area
Population Group: Me-Bushwick
Population Group: Me-Ozone Park
Facility: Bedford Stuyvesant Family Health Center, Inc. , the
Facility: Brooklyn Plaza Medical Center, Inc.
Page 148 of 255

Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Brownsville Community
Ezra Medical Center
Housing Works, Inc.
Icl Healthcare Choices, Inc.
Joan Malin Brooklyn Health Center of Brooklyn, NY
Lasante Health Center, Inc.
Metropolitan Detention Center-Brooklyn
ODA Primary Care Health
Sunset Park Family Health

Lewis County
Population Group: Me-Lowville Service Area
Livingston County
Population Group: Me - Livingston County
Madison County
Population Group: Me - Madison County
Facility: Oneida Nation
Facility: Oneida Nation of New York Health Program
Monroe County
Population Group: Me - Eastside Rochester
Population Group: Me - Westside Rochester
Facility: Anthony Jordan Health Center
Facility: His Branches Health Services
Facility: Oak Orchard Community
Facility: Rochester Primary Care Network
Facility: St. Mary's Hospital of the Sisters
Facility: Trillium Health, Inc.
Montgomery County
Population Group: Me - Montgomery County
New York County
Population Group: Me - Central Harlem
Population Group: Me - East Harlem
Population Group: Me - Washington Heights
Facility: American Indian Community House
Facility: Betances Health Center
Facility: Boriken Neighborhood
Facility: Care for the Homeless
Facility: Charles B. Wang Community Health Center, Inc.
Facility: Covenant House
Facility: Heritage Health and Housing, Inc.
Facility: Institute for Family Health
Facility: Metropolitan Correctional Center (Metropolitan Correctional
Center) - New York
Facility: New York Children's Health Project
Facility: New York City Health and Hospitals Corporation
Facility: New York Health and Hospitals Corporation
Facility: Project Renewal
Facility: Settlement Health
Facility: Upper Room AIDS Ministry, Inc.
Facility: William F. Ryan Community Health Center
Niagara County
Page 149 of 255

Service Area: Niagara Falls
Facility: Tuscarora Nation
Oneida County
Service Area: Camden Service Area
Facility: Marcy Correctional Institution
Facility: Midstate Correctional Institution
Facility: Upstate Family Health Center, Inc.
Onondaga County
Population Group: Me - City of Syracuse
Facility: Onondaga Nation of New York
Facility: Syracuse Community Health Center
Ontario County
Population Group: Low Income - Finger Lakes Tri-County
Orange County
Facility: Cornerstone Family Healthcare
Facility: Ezras Cholim Health Center, Inc.
Facility: Federal Correctional Institution - Otisville
Orleans County
Population Group: Me - Orleans County
Oswego County
Population Group: Me - Oswego County
Facility: Northern Oswego
Otsego County
Population Group: Me-Otsego County
Queens County
Population Group: Me-Bushwick
Population Group: Me-Ozone Park
Facility: Damian Family Care Centers, Inc.
Facility: J. P. Addabbo Family
Facility: The Floating Hospital
Richmond County
Facility: Beacon Christian Community Health Center
Facility: Community Health Center of Richmond
Rockland County
Facility: Community Medical and Dental Care, Inc.
Facility: Refuah Health Center
Schenectady County
Facility: Schenectady Family Health Services/Dba Hometown He
Schoharie County
Population Group: Medicaid Eligible - Schoharie County
Schuyler County
Population Group: Me - Schuyler County
Seneca County
Page 150 of 255

Population Group: Low Income - Finger Lakes Tri-County
Facility: Five Points Correctional Institution
St. Lawrence County
Service Area: Star Lake
Population Group: Me-Alexandria Bay
Facility: Cerebral Palsy Association of North Country
Steuben County
Service Area: Elkland (PA/NY)
Service Area: Westfield Service Area
Population Group: Me-Greater Steuben
Facility: Tri County Family Medicine Program
Suffolk County
Facility: Shinnecock Indian Nation
Sullivan County
Service Area: Cochecton
Tioga County
Population Group: Me - Tioga County
Tompkins County
Population Group: Me-Tompkins County
Ulster County
Facility: Ulster Correctional Institution
Warren County
Facility: Hudson Headwaters Health Network
Wayne County
Population Group: Me - Wayne County
Westchester County
Population Group: Me-Yonkers
Facility: Hudson River Healthcare
Facility: Mt. Vernon Neighborhood Health Center
Facility: Open Door Family Medical Center
Wyoming County
Population Group: Me - Wyoming County
Facility: Attica Correctional Facility
Yates County
Population Group: Low Income - Finger Lakes Tri-County
Facility: Finger Lakes Migrant Health Center

Page 151 of 255

PRIMARY CARE: North Carolina
County and County Equivalent Listing
Alamance County
Population Group: Mi-Alamance County
Alexander County
Population Group: Mi-Alexander County
Facility: Alexander Correctional Institution
Alleghany County
Population Group: Low Income - Alleghany County
Facility: Appalachian District Health Department
Anson County
Service Area: Anson County
Facility: Anson Regional Medical Services, Inc.
Facility: Lanesboro Correctional Institution
Ashe County
Population Group: Low Income - Ashe County
Avery County
Population Group: Low Income-Avery County
Facility: Avery-Mitchell Correctional Institution
Facility: Mountain View Correctional Institution
Beaufort County
Service Area: Belhaven/Swan Quarter
Population Group: Low Income - Bayboro/Aurora
Facility: Metropolitan Community Health
Bertie County
Population Group: Mi-Bertie County
Facility: Bertie County Rural Health Association
Facility: Cashie Medical Center
Facility: CF-Bertie Correctional Institution
Bladen County
Population Group: Mi-Bladen County
Brunswick County
Population Group: Mi - Brunswick County
Buncombe County
Population Group: Medically Indigent - Buncombe County
Facility: Craggy Correctional Center
Facility: Western North Carolina Community Health
Burke County
Population Group: Mi-Burke County
Facility: Foothills Correctional Institution
Cabarrus County
Population Group: Mi-Kannapolis
Facility: Cabarrus Community Health Center
Page 152 of 255

Caldwell County
Population Group: Mi-Caldwell County
Facility: West Caldwell Health Council, Inc.
Camden County
Service Area: Camden County
Carteret County
Population Group: Mi-Carteret County
Caswell County
Service Area: Caswell County
Facility: Caswell Family Medical Center
Facility: CF-Caswell Correctional Center
Catawba County
Population Group: Mi - Catawba County
Cherokee County
Population Group: Mi-Cherokee County
Chowan County
Population Group: Mi-Chowan County
Clay County
Service Area: Clay County
Cleveland County
Population Group: Mi - Cleveland County
Facility: Kings Mountain Medical Center
Columbus County
Population Group: Mi - Columbus County
Facility: CF-Columbus Correctional Institution
Facility: Chadbourn Family Practice Center
Facility: Columbus County Community Health Center
Facility: Tabor Correctional Institution
Craven County
Population Group: Mi-Craven County
Facility: Craven County Government
Cumberland County
Population Group: Mi - Cumberland County
Facility: Community Health Interventions and Sickle Cell Agency
Facility: Stedman-Wade Health Services
Currituck County
Service Area: Currituck County
Dare County
Service Area: Hatteras/Ocracoke
Davidson County
Population Group: Mi-Davidson County
Duplin County
Page 153 of 255

Population Group: Mi-Duplin County
Facility: Goshen Medical Center
Durham County
Facility: Lincoln Community Health Center
Edgecombe County
Population Group: Low Income/Migrant Farmworker - Edgecombe County
Facility: Opportunities Industrialization Center Inc.
Forsyth County
Population Group: Low Income-Winston-Salem
Facility: Southside United Health Center
Franklin County
Population Group: Mi-Franklin County
Facility: Franklin Correctional Center
Gaston County
Population Group: Mi-Gaston County
Facility: Gaston Family Health Services, Inc.
Gates County
Service Area: Gates County
Facility: Gateway Community Health Centers, Inc.
Graham County
Service Area: Graham County
Granville County
Population Group: Mi-Granville County
Facility: CF-Polk Correctional Institution
Facility: Federal Correctional Complex-Butner
Facility: Granville Internal Medical and Geriatrics
Greene County
Population Group: Low Income-Greene County
Facility: Greene County Health Care, Inc.
Facility: Maury Correctional Institution
Guilford County
Population Group: Mi-Guilford County
Facility: Triad Adult and Pediatric Medicine
Halifax County
Service Area: Halifax County
Facility: Caledonia Correctional Institution
Harnett County
Service Area: Harnett County
Facility: First Choice Community Health Centers
Facility: Harnett Correctional Institution
Haywood County
Population Group: Mi - Haywood County
Henderson County
Page 154 of 255

Population Group: Migrant Farmworker-Henderson/Polk Counties
Facility: Blue Ridge Community Health Services, Inc.
Hertford County
Facility: Roanoke-Chowan Community Health Center
Hoke County
Service Area: Hoke County
Facility: Hoke Family Medical Center
Hyde County
Service Area: Belhaven/Swan Quarter
Service Area: Hatteras/Ocracoke
Facility: Ocracoke Health Center
Iredell County
Population Group: Mi-Iredell County
Facility: Harmony Medical Care PA
Jackson County
Population Group: Mi-Jackson County
Johnston County
Service Area: Johnston County
Facility: Benson Area Medical Center
Jones County
Population Group: Low Income-Jones County
Lee County
Population Group: Mi-Lee County
Lenoir County
Population Group: Mi-Lenoir County
Facility: Kinston Community Health Center
Lincoln County
Population Group: Mi-Lincoln County
Macon County
Population Group: Mi-Macon County
Madison County
Population Group: Mi-Madison County
Facility: Hot Springs Health Program
Martin County
Population Group: Mi - Martin County
McDowell County
Population Group: Mi - McDowell County
Facility: Marion Correctional Center
Mecklenburg County
Population Group: Mi-Charlotte
Facility: C.W. Williams Community Health Center
Facility: Charlotte Community Health Clinic
Page 155 of 255

Mitchell County
Population Group: Mi-Mitchell/Yancey Counties
Facility: Bakersville Community Medical Clinic
Montgomery County
Service Area: Montgomery County
Nash County
Population Group: Mi-Nash County
Facility: CF-Nash Correctional Institution
New Hanover County
Facility: New Hanover Community Health Center
Northampton County
Service Area: Northampton County
Facility: Rural Health Group, Inc.
Onslow County
Service Area: Onslow County
Orange County
Facility: Piedmont Health Services
Pamlico County
Population Group: Low Income - Bayboro/Aurora
Pasquotank County
Population Group: Mi-Pasquotank County
Facility: CF-Pasquotank Correctional Institution
Pender County
Population Group: Mi - Pender County
Facility: Black River Family Practice-Burgaw
Facility: Black River Health Center-Arkinson
Facility: Black River Health Services Inc.
Facility: CF-Pender Correctional Institution
Facility: Maple Hill Medical Center
Perquimans County
Population Group: Mi - Perquimans County
Person County
Service Area: Person County
Facility: Person Family Medical Center
Pitt County
Population Group: Mi-Pitt County
Polk County
Population Group: Migrant Farmworker-Henderson/Polk Counties
Randolph County
Population Group: Mi-Randolph County
Facility: Medical Resource Center for Randolph County, Inc.
Page 156 of 255

Richmond County
Population Group: Mi - Richmond County
Facility: Morrison Correctional Institution
Robeson County
Service Area: Robeson County
Facility: Dr. Arthur Jr. Robinson Medical Clinic
Facility: Fairmont Medical Clinic
Facility: Lumberton Correctional Institution
Facility: Maxton Family Practice Center
Facility: Riverquest Medical Care
Facility: Robeson Healthcare Corporation
Facility: Rowland Medical Clinic
Rockingham County
Population Group: Mi-Rockingham County
Rowan County
Population Group: Mi-Rowan County
Facility: Piedmont Correctional Institution
Rutherford County
Population Group: Mi-Rutherford County
Sampson County
Population Group: Mi-Sampson County
Facility: CF-Sampson Correctional Institution
Facility: Tri-County Community
Scotland County
Population Group: Mi - Scotland County
Facility: Laurel Hill Medical Clinic
Stanly County
Population Group: Mi - Stanly County
Facility: Albemarle Correctional Institution
Stokes County
Service Area: Danbury
Surry County
Population Group: Mi-Surry County
Swain County
Population Group: Low Income-Swain County
Facility: Analenisigi Center
Facility: PHS Indian Hospital - Cherokee
Facility: Unity Healing Center
Transylvania County
Population Group: Low Income-Transylvania County
Tyrrell County
Service Area: Tyrrell County
Wake County
Facility: CF-N.C. Correctional Institution for Women
Page 157 of 255

Facility: Wake Health Services, Inc.
Warren County
Population Group: Mi-Warren County
Washington County
Service Area: Washington County
Watauga County
Facility: High Country Community Health
Wayne County
Population Group: Mi - Wayne County
Facility: CF-Neuse Correctional Institution
Wilkes County
Population Group: Mi-Wilkes County
Facility: Wilkes County of
Wilson County
Service Area: Wilson County
Facility: Carolina Family Health Center
Yancey County
Population Group: Mi-Mitchell/Yancey Counties

Page 158 of 255

PRIMARY CARE: North Dakota
County and County Equivalent Listing
Barnes County
Service Area: Wimbledon
Benson County
Service Area: Benson County
Facility: Fort Totten PHS Indian Health Center
Facility: Spirit Lake Tribe
Billings County
Service Area: Billings County
Bottineau County
Service Area: Bottineau County
Facility: St. Andrews Bottineau Clinic
Bowman County
Service Area: Bowman County
Burke County
Service Area: Burke County
Burleigh County
Facility: North Dakota State Penitentiary
Cass County
Facility: Family Healthcare Center
Cavalier County
Service Area: Cavalier County
Dickey County
Service Area: Dickey County
Divide County
Service Area: Divide County
Dunn County
Service Area: Dunn County
Eddy County
Service Area: Eddy/Foster
Emmons County
Service Area: Emmons County
Facility: Linton Medical Center
Foster County
Service Area: Eddy/Foster
Facility: Foster County Medical Center
Golden Valley County
Service Area: Golden Valley County
Grand Forks County
Page 159 of 255

Service Area: Northwood
Facility: Valley Community Health Centers
Grant County
Service Area: Grant County
Facility: Jacobson Memorial Community Clinic
Griggs County
Service Area: Griggs County
Kidder County
Service Area: Kidder County
LaMoure County
Service Area: Lamoure County
Facility: Rural Health Kulm
Logan County
Service Area: Logan County
Facility: Rural Health - Gackle
Facility: Rural Health Napoleon
McHenry County
Service Area: McHenry County
McIntosh County
Service Area: McIntosh County
Facility: AMC Zeeland Clinic
Facility: Rural Health Wishek
McKenzie County
Service Area: McKenzie County
Facility: Three Affiliated Tribes
McLean County
Service Area: McLean County
Facility: Northland Health Partners Community Health Center
Mercer County
Service Area: Mercer County
Facility: Coal Country Community Health Center
Facility: Sakakawea Beulah Clinic
Morton County
Service Area: East Morton
Service Area: West Morton/East Stark
Mountrail County
Service Area: Mountrail County
Facility: Fort Berthold PHS Indian Health Center
Facility: Mountrail County Rural Health Center
Nelson County
Service Area: Nelson County
Oliver County
Service Area: Oliver County
Page 160 of 255

Pembina County
Service Area: Pembina County
Facility: Clinicare
Pierce County
Population Group: Low Income-Pierce County
Ransom County
Service Area: Ransom County
Renville County
Service Area: Renville County
Richland County
Service Area: Hankinson/Lidgerwood (ND/SD)
Rolette County
Service Area: Rolette County
Facility: Belcourt PHS Indian Hospital
Facility: Turtle Mountain Bank of Chippewa
Sargent County
Service Area: Sargent County
Sheridan County
Service Area: Sheridan County
Sioux County
Service Area: Sioux County
Facility: Fort Yates PHS Indian Hospital
Slope County
Service Area: Slope County
Facility: Southwest Medical Clinic
Stark County
Service Area: West Morton/East Stark
Steele County
Service Area: Finley
Service Area: Northwood
Stutsman County
Service Area: Medina Service Area
Service Area: Wimbledon
Facility: James River Correctional Center
Towner County
Service Area: Towner County
Traill County
Service Area: Northwood
Walsh County
Population Group: Low Income-Walsh County
Page 161 of 255

Ward County
Service Area: Kenmare Service Area
Wells County
Service Area: Wells County
Williams County
Service Area: Tioga
Facility: Trenton Indian Service Unit

Page 162 of 255

PRIMARY CARE: Ohio
County and County Equivalent Listing
Allen County
Service Area: South Side Lima
Facility: CF - Allen Oakwood Correctional Institution
Facility: Health Parnters of Western Ohio
Ashland County
Service Area: Wellington Service Area
Population Group: Low Income - Southern Ashland County
Ashtabula County
Service Area: Orwell
Auglaize County
Service Area: Auglaize County
Belmont County
Population Group: Low Income - Belmont County
Facility: Belmont Correctional Institution
Facility: Ohio Hills Health
Brown County
Facility: All About Kids Pediatrics, LLC
Butler County
Facility: Butler County Community Health/Dba Primary Health
Carroll County
Service Area: Carroll County
Champaign County
Service Area: Champaign County
Clark County
Service Area: Southwest Side Springfield
Facility: Rocking Horse Children's Health Center
Clermont County
Facility: Clermont Pediatric Center
Facility: Healthsource of Ohio, Inc.
Columbiana County
Facility: Community Action Agency of Columbiana County
Coshocton County
Population Group: Low Income - Coshocton County
Crawford County
Population Group: Low Income - Crawford County
Cuyahoga County
Service Area:
Service Area:
Service Area:
Service Area:
Page 163 of 255

Cleveland - South Broadway
East Cleveland
Hough/Norwood/Glenville Service Area
Lee Miles

Service Area: Mt. Pleasant/Union-Miles/Corlett
Service Area: West Side Cleveland
Service Area: Western Collinwood
Facility: Asian Services in Action-International Community Health
Center
Facility: Bolwell Health Center - Uhhs
Facility: Care Alliance
Facility: Neighborhood Health Care
Facility: Northeast Ohio Neighborhood Health Services
Facility: Rainbow Babies Ambulatory Practice
Facility: The Free Medical Clinic of Greater Cleveland
Facility: Uhhs - Douglas Moore Health Center
Facility: Uhhs - Womens Health Center
Darke County
Population Group: Low Income - Darke County
Facility: Famliy Health Services of Darke County
Erie County
Facility: Erie County Health Department (Echd)
Facility: Family Health Services of Erie County
Fairfield County
Facility: Fairfield County Combines General Health Distric
Fayette County
Population Group: Low Income-Fayette County
Facility: Fayette County Memorial Hospital Medical and Surgica
Franklin County
Population Group: Low Income - Franklinton/Greater Hilltop
Facility: Columbus Neighborhood Health Center
Facility: Equitas Health, Inc.
Facility: Heart of Ohio Family Health Center
Facility: Lower Light Christian Health Center
Facility: Lutheran Social Services of Central Ohio
Facility: Ohio State University Total Health and Wellness
Facility: Southeast Inc.
Guernsey County
Service Area: Freeport Service Area
Hamilton County
Service Area: East and Lower Price Hill/South Fairmount
Service Area: Millvale
Facility: Christian Community Health Svs/Dba Crossroad Health
Facility: Cincinnati Health Network
Facility: City of Cincinnati Department of Health
Facility: Lincoln Heights Health Center
Facility: Pediatric Primary Care Center
Facility: Winton Hills Medical Center
Hancock County
Service Area: Seneca/Fostoria Service Area
Hardin County
Service Area: Hardin County
Page 164 of 255

Harrison County
Service Area: Cadiz/Scio/Hopedale
Service Area: Freeport Service Area
Highland County
Population Group: Low Income-Highland County
Facility: Greenfield Medical Services
Facility: Highland Family Healthcare
Facility: Highland Health Providers Corporation
Hocking County
Service Area: Hocking County
Holmes County
Service Area: Holmes County
Huron County
Service Area: Wellington Service Area
Population Group: Low Income - Huron Service Area
Jackson County
Population Group: Low Income - Jackson County
Jefferson County
Population Group: Low Income-Jefferson County
Knox County
Facility: Knox County Health Department
Lake County
Service Area: Painesville Service Area
Facility: Signature Health, Inc.
Lawrence County
Population Group: Low Income - Lawrence County
Facility: Ironton-Lawrence County Community Action Organization
Logan County
Facility: Community Health and Wellness Partners of Logan Coun
Lorain County
Service Area: Wellington Service Area
Facility: CF - Lorain Correctional Institution
Facility: Lorain County Health and Dentistry
Facility: Mercy Allen Rural Health Clinic Lagrange
Facility: Mercy Allen Rural Health Clinic Wellington
Lucas County
Service Area: Center City/Dorr (Toledo)
Service Area: East Toledo
Service Area: Near Southside Toledo
Facility: CF - Toledo Correctional Institution
Facility: Neighborhood Health Association of Toledo
Madison County
Facility: CF - London Correctional Institution
Page 165 of 255

Facility: CF - Madison Correctional Institution
Mahoning County
Service Area: Eastside Youngstown
Service Area: Southside Youngstown
Facility: Ohio Northeast Health Systems, Inc.
Facility: Ohio State Penitentiary
Marion County
Facility: Center Street Community Clinic, Inc.
Facility: CF - Marion Correctional Institution
Facility: CF - North Central Correctional Institution
Medina County
Service Area: Wellington Service Area
Facility: Medina County Health Department
Monroe County
Service Area: Monroe County
Montgomery County
Facility: Community Health Centers of Greater Dayton
Facility: Five Rivers Health Centers Family Health Center
Morgan County
Population Group: Low Income - Morgan County
Facility: Muskingum Valley Health Centers
Morrow County
Service Area: Morrow County
Noble County
Population Group: Low Income - Noble County
Facility: CF - Noble Correctional Institution
Paulding County
Service Area: Paulding County
Perry County
Service Area: Perry County
Pickaway County
Service Area: Pickaway County
Facility: CF - Ohio Doc Correctional Reception Center
Pike County
Population Group: Low Income - Pike County
Facility: Community Action of Pike County
Preble County
Service Area: Preble County
Richland County
Facility: CF - Mansfield Correctional Institution
Facility: CF - Richland Correctional Institution
Facility: Third Street Community
Page 166 of 255

Ross County
Facility: CF - Chillicothe Correctional Institution
Facility: CF - Ross Correctional Institution
Facility: Family Healthcare
Sandusky County
Facility: Community Health Services
Scioto County
Population Group: Low Income - Scioto County
Facility: Compass Community Health
Facility: Southern Ohio Correctional Institution
Seneca County
Service Area: Seneca/Fostoria Service Area
Stark County
Service Area: East Canton
Facility: Richard D Watkins Canton Community Clinic Inc.
Summit County
Service Area: South and East Akron
Population Group: Low Income-Barberton
Facility: Akron Children's Adolescent Medicine
Facility: Akron Children's Locust Pediatric Care Group
Facility: Axesspointe Community Health Center, Inc.
Facility: Community Support Services, Inc.
Facility: Summa Internal Medicine Center
Trumbull County
Service Area: Orwell
Service Area: The Flats (Warren)
Facility: CF - Trumbull Correctional Institution
Tuscarawas County
Service Area: Freeport Service Area
Service Area: Southern Tuscarawas County
Facility: Community Mental Healthcare Inc.
Facility: Trinity Hospital Twin City Dba Trinity Medical Group Dennison
Facility: Trinity Hospital Twin City Dba Trinity Medical Group Gnadenhutten
Facility: Tuscarawas County Health Department
Union County
Facility: CF - Ohio Reformatory for Women
Van Wert County
Service Area: Van Wert County
Facility: Family Health Care of Northwest Ohio, Inc.
Vinton County
Population Group: Low Income-Vinton County
Warren County
Facility: CF - Lebanon Correctional Institution
Facility: CF - Warren Correctional Institution
Page 167 of 255

Facility: Talbert House Health Center
Washington County
Service Area: New Matamoras
Williams County
Population Group: Low Income - Williams County
Wood County
Service Area: Seneca/Fostoria Service Area
Facility: Wood County Community Health and Wellness Center

Page 168 of 255

PRIMARY CARE: Oklahoma
County and County Equivalent Listing
Adair County
Population Group: Low Income - Adair County
Alfalfa County
Service Area: Alfalfa/Wood Counties
Facility: Great Salt Plains Health Center
Atoka County
Service Area: Atoka County
Facility: ABC Medical Clinic, Inc.
Facility: Choctaw Nation Atoka Clinic
Beaver County
Population Group: Low Income-Beaver County
Beckham County
Population Group: Low Income-Beckham County
Facility: North Fork Correctional Facility
Blaine County
Population Group: Low Income-Blaine County
Facility: Watonga PHS Indian Health Center
Bryan County
Population Group: Low Income - Bryan County
Facility: Choctaw Nation of Oklahoma-Durant
Facility: Durant Health Center
Caddo County
Service Area: Caddo County
Facility: Anadarko Health Center
Facility: Anadarko PHS Indian Health Center
Facility: Carnegie Indian Health Center
Canadian County
Population Group: Low Income - West - Central Canadian County
Facility: El Reno PHS Indian Health Clinic
Carter County
Service Area: Healdton
Facility: Ardmore Chickasaw Health Clinic
Facility: Good Shepherd Community Clinic, Inc.
Facility: Mercy Hospital Healdton Primary Care
Cherokee County
Population Group: Low Income-Cherokee County
Facility: Cherokee Nation of Oklahoma
Facility: Northeastern Oklahoma Community Health Center
Facility: W.W. Hastings Indian Hospital
Choctaw County
Population Group: Low Income - Choctaw County
Facility: Choctaw Nation Health Clinic-Hugo
Page 169 of 255

Cimarron County
Population Group: Low Income - Cimarron County
Cleveland County
Population Group: Low Income - Cleveland County
Facility: Absentee Shawnee Tribal Clinic - Little Axe
Facility: Joseph Harp Correctional Center
Facility: Lexington Correctional Center (Lark)
Coal County
Service Area: Coal County
Facility: Helton Rural Health Clinic
Comanche County
Population Group: Low Income-Comanche County
Facility: Comanche County Hospital Authority
Facility: Comanche Tribe of Oklahoma
Facility: Lawton PHS Indian Health Hospital
Cotton County
Population Group: Low Income-Cotton County
Craig County
Population Group: Low Income - Craig County
Facility: Cherokee Nation Vinita Health Clinic
Creek County
Population Group: Low Income - Creek County
Facility: Sapulpa Health Center
Custer County
Population Group: Low Income-Custer County
Facility: Clinton PHS Indian Hospital
Delaware County
Population Group: Low Income - Delaware County
Facility: Cherokee Nation Sam Hider Health Center
Dewey County
Service Area: Dewey County
Ellis County
Population Group: Low Income - Ellis County
Garfield County
Population Group: Low Income-Garfield County
Garvin County
Population Group: Low Income - Garvin County
Facility: So. Central Medical and Resource Center (Scmr)
Grady County
Population Group: Low Income - Grady County
Grant County
Service Area: Grant County
Facility: Medford Family Clinic
Page 170 of 255

Greer County
Population Group: Low Income - Greer County
Harmon County
Population Group: Low Income - Harmon County
Facility: Shortgrass Community Health Center, Inc.
Harper County
Service Area: Harper County
Haskell County
Population Group: Low Income-Haskell County
Facility: Choctaw Nation Health Center - Stigler
Facility: Stigler Health and Wellness Center
Hughes County
Service Area: Hughes County
Facility: East Central Oklahoma Family Health Center, Inc.
Jackson County
Population Group: Low Income-Jackson County
Jefferson County
Population Group: Low Income - Jefferson County
Johnston County
Service Area: Johnston County
Facility: Family Health Center of Southern Oklahoma
Facility: Tishomingo Chickasaw Health Center
Kay County
Population Group: Low Income-Kay County
Facility: Kanza Health Clinic
Facility: Tonkawa Tribe of Oklahoma
Facility: White Eagle Indian Health Center
Kiowa County
Population Group: Low Income - Kiowa County
Latimer County
Population Group: Low Income - Latimer County
Facility: Choctaw Nation Health Care Center-Talihina
Le Flore County
Population Group: Low Income - Le Flore County
Facility: Choctaw Nation Indian Health - Poteau
Lincoln County
Population Group: Low Income - Lincoln County
Facility: Black Hawk Health Center
Facility: Kickapoo Health Center
Logan County
Population Group: Low Income - Logan County
Facility: Mary Mahoney Health Center @ Langston
Page 171 of 255

Love County
Population Group: Low Income-Love County
Major County
Population Group: Low Income - Major County
Marshall County
Population Group: Low Income - Marshall County
Mayes County
Population Group: Low Income - Mayes County
Facility: A-Mo Health Center
McClain County
Service Area: McClain County
Facility: Chickasaw Nation Health Clinic-Purcell
McCurtain County
Population Group: Low Income-McCurtain County
Facility: Choctaw Nation Idabel Clinic
Facility: Choctaw Nation Indian Health - Broken Bow
Facility: Kiamichi Family Medical Center
McIntosh County
Service Area: McIntosh County
Facility: Eufaula Indian Health Center
Murray County
Population Group: Low Income - Murray County
Muskogee County
Population Group: Low Income-Muskogee County
Facility: Muskogee Indian Health Center
Noble County
Population Group: Low Income - Noble County
Facility: Otoe-Missouri Tribe
Nowata County
Population Group: Low Income - Nowata County
Facility: Cherokee Nation Will Rogers Health Center
Okfuskee County
Population Group: Low Income-Okfuskee County
Facility: Okemah Indian Health Center
Oklahoma County
Population Group: Low Income - Northwest 10th - Tulakes Area
Facility: Oklahoma City Indian Clinic
Facility: Oklahoma Community Health Services
Okmulgee County
Population Group: Low Income - Okmulgee County
Facility: Muscogee (Creek) Nation Division of Health Adminis
Facility: Okmulgee Health Center
Osage County
Page 172 of 255

Population Group: Low Income - Osage County
Facility: Dick Conner Correctional Center
Facility: Fairfax Medical Facilities, Inc.
Facility: Osage Nation
Facility: Pawhuska PHS Indian Health Center
Ottawa County
Population Group: Low Income - Ottawa County
Facility: Community Health Center of Northeast Oklahoma, Inc.
Facility: Northeastern Tribal Health System-Miami
Facility: Northeastern Tribal Health System-Miami Tribe of O
Facility: Northeastern Tribal Health System-Modoc
Facility: Northeastern Tribal Health System-Ottowa
Facility: Northeastern Tribal Health System-Peoria
Facility: Northeastern Tribal Health System-Seneca-Cayuga
Facility: Quapaw Tribe of Oklahoma
Facility: Wyandotte Nation/Bearskin Health Center
Pawnee County
Population Group: Low Income - Pawnee County
Facility: Pawnee Nation of Oklahoma
Facility: Pawnee PHS Indian Health Center
Payne County
Population Group: Low Income - Payne County
Facility: Iowa Tribe of Oklahoma
Pittsburg County
Population Group: Low Income-Pittsburg County
Facility: Caring Hands Healthcare Centers Inc.
Facility: Choctaw Nation Indian Health - McAlester
Facility: Oklahoma State Penitentiary - McAlester
Pontotoc County
Population Group: Low Income - Pontotoc County
Facility: Chickasaw Nation Medical Center
Pottawatomie County
Population Group: Low Income - Pottawatomie County
Facility: Absentee Shawnee Tribal Clinic
Facility: Citizen Pottawatomie Nation Health Clinic
Facility: Shawnee Health Center
Pushmataha County
Service Area: Pushmataha County
Facility: Pushmataha Family Medical Center
Roger Mills County
Population Group: Low Income-Roger Mills County
Rogers County
Population Group: Low Income - Central - East Rogers County
Facility: Claremore Indian Hospital
Seminole County
Population Group: Low Income - Seminole County
Facility: Central Oklahoma Family Medical Center
Page 173 of 255

Facility: Wewoka PHS Indian Health Center
Sequoyah County
Population Group: Low Income-Sequoyah County
Facility: Cherokee Nation Redbird Smith Health Center
Stephens County
Population Group: Low Income - Stephens County
Texas County
Population Group: Low Income-Texas County
Facility: Panhandle Counseling and Health Center, Inc.
Tillman County
Population Group: Low Income-Tillman County
Tulsa County
Population Group: Low Income - Tulsa County
Facility: Community Health Connection, Inc.
Facility: Indian Health Care Resource Center of Tulsa
Facility: Morton Comprehensive
Wagoner County
Population Group: Low Income - Wagoner County
Facility: Arkansas Verdigris Valley Health Centers
Facility: Muskogee-Creek Nation-Koweta Facility
Washington County
Population Group: Low Income - Washington County
Facility: Cherokee Nation Bartlesville Health Center
Facility: Cherokee Nation Health Division
Facility: Cooweescoowee Health Center
Facility: Wilma P. Mankiller Health Center
Washita County
Population Group: Low Income - Washita County
Woods County
Service Area: Alfalfa/Wood Counties
Woodward County
Population Group: Low Income-Woodward County

Page 174 of 255

PRIMARY CARE: Oregon
County and County Equivalent Listing
Baker County
Service Area: Halfway Service Area
Population Group: Low Income - Wingville/Baker City
Facility: Saint Alphonsus Group-Valley Medical
Facility: Saint Alphonsus Medical Group-Baker Clinic
Facility: St. Luke's Clinic-Eastern Oregon Medical Associate
Benton County
Service Area: Alsea
Facility: Benton County Health Department
Clackamas County
Population Group: Low Income/Migrant Seasonal Farmworkers - Central
Clackamas
Facility: Canby Healthcare Clinic LLC
Facility: Clackamas County Community Health Division
Facility: Orchid Health Wade Creek Clinic
Clatsop County
Population Group: Low Income-Clatsop County
Facility: Coastal Family Health Center
Facility: Providence North Coast Clinic
Columbia County
Service Area: Columbia County
Facility: Oregon Health and Science University Family Medicine at
Scappoose
Facility: Vernonia Health Center
Coos County
Population Group: Low Income-North Coos County
Population Group: Low Income-South Coos County
Facility: Bandon Community Health Center
Facility: Coos Bay Tribal Clinic
Facility: Coquille Community Health Center
Facility: Waterfall Clinic, Inc.
Crook County
Population Group: Low Income - Crook County
Facility: Casade Direct Care
Facility: Mosaic Medical
Facility: St. Charles Family Care
Curry County
Population Group: Low Income - Curry County
Deschutes County
Service Area: La Pine
Facility: Lapine Community Health Center
Douglas County
Population Group: Low Income-Central Douglas Service Area
Population Group: Low Income-Reedsport Service Area
Facility: Adapt
Page 175 of 255

Facility: Cow Creek Tribal Clinic
Facility: Dunes Family Health Care
Facility: Umpqua Community Health
Gilliam County
Service Area: Gilliam County
Grant County
Population Group: Low Income - Grant County
Harney County
Population Group: Low Income - Harney County
Facility: Burns-Paiute Health Clinic
Facility: Wadatika Health Center
Hood River County
Population Group: Low Income/Migrant Seasonal Farmworkers-Hood River
County
Facility: La Clinica Del Carino/Dba One Community Health
Jackson County
Population Group: Low Income/Migrant Seasonal Farmworkers/H-Jackson
County
Facility: Community Health Center, Inc.
Facility: La Clinica Del Valle
Facility: Shady Cove Clinic
Jefferson County
Population Group: Low Income-Jefferson County
Josephine County
Service Area: Cave Junction
Population Group: Low Income - North Josephine County
Facility: Siskiyou Community Health
Klamath County
Population Group: Low Income - Klamath County
Facility: Klamath Health Partnership
Facility: Klamath Tribal Health Center
Lake County
Population Group: Low Income - Lake County
Lane County
Service Area: McKenzie
Service Area: North Dunes/Siuslaw
Service Area: Oakridge Service Area
Population Group: Low Income-Greater Veneta Area
Population Group: Low Income-Junction City
Population Group: Low Income-South Lane County Service Area
Population Group: Low Income/Migrant Farmworker - Eugene/Springfield
Facility: Community Health Centers of Lane County
Facility: Peacehealth Medical Group-Dexter
Facility: White Bird Clinic
Lincoln County
Service Area: North Dunes/Siuslaw
Page 176 of 255

Population Group: Low Income - North and Central Lincoln County
Facility: Adventist Health Bayshore Medical - Lincoln City
Facility: Coastal Health Practitioners
Facility: Lincoln City Medical Center
Facility: Lincoln County Health and Human Services
Facility: Siletz Community Health Clinic
Linn County
Population Group: Low Income/Migant Farmworker - Linn County
Malheur County
Population Group: Low Income/Migrant Seasonal Farmworkers-Malheur
County
Facility: Malheur Memorial Health Center
Facility: Snake River Correctional Institution
Marion County
Population Group: Low Income/Migrant Farmworker-Marion/Polk Counties
Facility: Chemawa Indian Health Center
Facility: Northwest Human Services
Morrow County
Population Group: Low Income/Migrant Seasonal Farmworkers-Morrow County
Facility: Columbia River Community Health Services
Facility: Irrigon Medical Clinic
Facility: Pioneer Memorial Clinic
Multnomah County
Facility: Central City Concern
Facility: Multnomah County Health Department
Facility: Native American Rehabilitation Association
Facility: Neighborhood Health Center
Facility: Oregon Health and Science University Richmond Community
Health Center
Facility: Outside In
Facility: Portland Area Office
Facility: Portland Urban Indian Clinic
Facility: The Wallace Medical Concern
Polk County
Population Group: Low Income/Migrant Farmworker-Marion/Polk Counties
Facility: Grand Ronde Health Center
Sherman County
Service Area: Sherman County
Tillamook County
Population Group: Low Income/Homeless - Tillamook County
Facility: Adventist Health Bayshore Medical - Pacific City
Facility: Adventist Health Tillamook Medical Group
Facility: Adventist Health Tillamook Medical Group - Bay Ocean
Facility: Adventist Health Tillamook Medical Group Manzanita
Facility: The Rinehart Clinic
Facility: Tillamook County Health Department
Umatilla County
Page 177 of 255

Population Group: Low Income/Migrant Seasonal Farmworkers - Umatilla
County
Facility: Confederated Umatilla Tribes Yellowhawk Clinic
Facility: East Oregon Correctional Institution
Facility: Two Rivers Correctional Institution
Union County
Population Group: Low Income - Union County
Wallowa County
Population Group: Low Income - Wallowa County
Facility: Winding Waters Medical Clinic
Wasco County
Population Group: Low Income/Migrant Seasonal Farmworkers - Wasco
County
Facility: Columbia Hills Family Medicine
Facility: Internal Medicine Group 1810
Facility: Warm Springs PHS Indian Health Center
Washington County
Service Area: Western Washington County
Facility: Virginia Garcia Memorial Health Center
Wheeler County
Service Area: Wheeler County
Facility: Asher Clinic
Yamhill County
Population Group: Low Income/Migrant Farmworker/Homeless - Yamhill
County

Page 178 of 255

PRIMARY CARE: Pennsylvania
County and County Equivalent Listing
Allegheny County
Service Area: Hazelwood
Service Area: Manchester
Service Area: North Braddock
Population Group: Low Income - Homewood Brushton
Population Group: Low Income - McKeesport City
Population Group: Low Income-Hill District
Facility: East Liberty Family Health Care Center
Facility: For Sto Rox
Facility: Metro Community Health Center
Facility: North Side Christian Health Center
Facility: Primary Care Health Services
Facility: Squirrel Hill Health Center
Armstrong County
Service Area: New Bethlehem
Population Group: Low Income - Dayton/Rural Valley
Population Group: Low Income - St. Petersburg
Facility: Armstrong Primary Care Center-Leechburg
Facility: Armstrong Primary Care Center-Rural Valley
Beaver County
Service Area: Aliquippa
Bedford County
Population Group: Low Income - Bedford
Population Group: Low Income - Broadtop/Hopewell
Facility: Hyndman Area Health Center, Inc.
Facility: New Paris Rural Health Clinic
Berks County
Facility: Berks Community Health Center
Blair County
Population Group: Low Income - Bedford
Bradford County
Population Group: Low Income - Canton
Butler County
Population Group: Low Income - Grove City
Population Group: Low Income - St. Petersburg
Cambria County
Population Group: Low Income - Ebensburg
Population Group: Low Income - Hastings
Facility: Cresson Family Practice
Facility: Portage Health Center
Facility: St. Benedict Rural Health Clinic
Cameron County
Facility: Emporium Health Center
Facility: Keystone Rural Health Consortia, Inc.
Page 179 of 255

Carbon County
Facility: St. Luke's Miners Health Center
Centre County
Service Area: Snow Shoe
Population Group: Low Income - Philipsburg
Facility: CF - State Correctional Institution Benner Township
Facility: State Correctional Institution - Rockview
Chester County
Facility: La Communidad Hispana Inc.
Clarion County
Service Area: New Bethlehem
Population Group: Low Income - St. Petersburg
Clearfield County
Service Area: Snow Shoe
Population Group: Low Income - Irvona
Population Group: Low Income - Philipsburg
Facility: CF - State Correctional Institution - Houtzdale
Facility: Glendale Area Medical Center
Clinton County
Service Area: Renovo
Service Area: Snow Shoe
Columbia County
Service Area: Eastern Lycoming
Crawford County
Population Group: Low Income - Union City/Corry
Population Group: Low Income-Meadville
Population Group: Low Income-Titusville
Facility: Cambridge Springs Health Center
Facility: Conneaut Lake Health Center
Facility: Conneaut Valley Health Center
Facility: John E. Balmer D O Canadohta Health Clinic
Facility: John E. Balmer Do, Spartansburg Medical Center
Facility: Meadville Community Health Center
Cumberland County
Facility: CF - State Correctional Institution - Camp Hill
Dauphin County
Facility: Hamilton Health Center
Delaware County
Facility: CF - State Correctional Institution - Chester
Facility: Chespenn Health Service
Elk County
Service Area: Marienville
Population Group: Low Income - Elk
Erie County
Population Group: Low Income - Union City/Corry
Page 180 of 255

Facility: CF - State Correctional Institution - Albion
Facility: Community Health Net
Fayette County
Population Group: Low Income - Mon Valley
Facility: CF - State Correctional Institution - Fayette
Forest County
Service Area: Marienville
Population Group: Low Income-Titusville
Facility: CF - State Correctional Institution - Forest
Franklin County
Population Group: Low Income - Dry Run
Facility: Keystone Rural Health Center
Fulton County
Service Area: McConnellsburg
Population Group: Low Income - Broadtop/Hopewell
Greene County
Facility: Cornerstone Care, Inc.
Facility: State Correctional Institution - Greene
Facility: Washington Physician Services Organization Family
Huntingdon County
Service Area: McConnellsburg
Population Group: Low Income - Broadtop/Hopewell
Facility: Broadtop Area Medical Center
Facility: CF - State Correctional Institution - Huntingdon
Facility: Mount Union Area Medical Center
Facility: Southern Huntingdon County Medical Center
Facility: State Correctional Institution - Smithfield
Indiana County
Population Group: Low Income - Dayton/Rural Valley
Population Group: Low Income - Ebensburg
Facility: State Correctional Institution - Pine Grove
Jefferson County
Facility: Allegheny Health Center
Facility: Phillips States MD Family Practice
Juniata County
Service Area: Juniata County
Lackawanna County
Facility: Scranton Primary Health Care Center
Lancaster County
Facility: Southeast Lancaster Health Services
Facility: Welsh Mountain Medical and Dental Center
Lawrence County
Population Group: Low Income - Grove City
Lehigh County
Page 181 of 255

Facility: Neighborhood Health Centers (Nhclv) of Lehigh Vall
Luzerne County
Service Area: Eastern Lycoming
Facility: Rural Health Corporation of Northeast Pennsylvania
Facility: State Correctional Institution - Dallas
Facility: State Correctional Institution - Retreat
Lycoming County
Service Area: Eastern Lycoming
Population Group: Low Income - Canton
Facility: State Correctional Institution - Muncy
Facility: Susquehanna Community Health and Dental Clinic
McKean County
Population Group: Low Income Population Group: Low Income Population Group: Low Income Facility: Eldred Health Center
Facility: Federal Correctional
Facility: Port Allegany Health

Bradford Service Area
Coudersport
Warren Service Area
Institution - McKean
Center

Mercer County
Population Group: Low Income - Grove City
Population Group: Low Income-Meadville
Facility: Mercer Family Medicine Center
Facility: Primary Health Network, Inc.
Facility: Sharon Community Health Center
Montgomery County
Facility: Community Health and Dental Care
Facility: State Correctional Institution - Phoenix
Northumberland County
Population Group: Low Income - Herndon Service Area
Facility: CF - State Correctional Institution - Coal Township
Facility: Miller Family Health Center
Philadelphia County
Facility: Covenant House Health Services
Facility: Delaware Valley Community Health, Inc.
Facility: Department of Public Health-City of Philadelphia
Facility: Esperanza Health Center
Facility: Greater Philadelphia Health Action
Facility: Philadelphia Fight
Facility: Philadelphia Health Management Corporation
Facility: Project H.O.M.East
Facility: Quality Community Health
Facility: Resources for Human Development
Facility: Sayre Health Center
Facility: Spectrum Health Services, Inc.
Pike County
Service Area: Central Pike
Facility: Pinnacle Health Partners-Tafton
Potter County
Page 182 of 255

Service Area: Westfield Service Area
Population Group: Low Income - Coudersport
Facility: Coudersport Pediatric Health Center
Facility: Galeton Health Center
Facility: Shinglehouse Health Center
Schuylkill County
Facility: Cornerstone Coordinated Health Care, LLC
Facility: St. Luke's Miners Health Center-Hometown
Facility: State Correctional Institution - Frackville
Facility: State Correctional Institution - Mahanoy
Somerset County
Population Group: Low Income - Confluence Service Area
Population Group: Low Income - Myersdale
Facility: Conemaugh Health Initiatives
Facility: Family Health Care Meyersdale
Facility: Highlands Family Medicince
Facility: Nathan Thomas MD-Rural Health Clinic
Facility: State Correctional Institution - Somerset
Sullivan County
Population Group: Low Income - Canton
Susquehanna County
Service Area: Montrose
Facility: Barnes-Kasson Health Center, Inc.
Facility: Family Health Clinic of Barnes Kasson Hospital
Tioga County
Service Area: Elkland (PA/NY)
Service Area: Westfield Service Area
Population Group: Low Income - Canton
Population Group: Low Income - Coudersport
Facility: North Penitentiary Comprehensive Health Services
Facility: Westfield Health Center
Union County
Facility: Federal Correctional Complex-Allenwood
Venango County
Population Group: Low Income - Grove City
Population Group: Low Income - St. Petersburg
Population Group: Low Income-Titusville
Warren County
Population Group: Low Income - Union City/Corry
Population Group: Low Income - Warren Service Area
Population Group: Low Income-Titusville
Washington County
Population Group: Low Income - Mon Valley
Facility: Centerville Clinics
Wayne County
Service Area: Central Pike
Facility: Highland Physicians, Ltd.
Page 183 of 255

Facility: USP-Canaan
Facility: Wayne Memorial Community Health Center
Westmoreland County
Population Group: Low Income - Ebensburg
Population Group: Low Income - Mon Valley
Facility: Community Health Clinic
Facility: Mon Valley Community Health Services, Inc.
York County
Facility: Family First Health

Page 184 of 255

PRIMARY CARE: Rhode Island
County and County Equivalent Listing
Newport County
Facility: East Bay Community Action Program
Providence County
Population Group: Low Income - Pawtucket/Central Falls
Population Group: Low Income - Providence City
Population Group: Low Income - Woonsocket
Facility: Blackstone Valley Community
Facility: Comprehensive Community Action, Inc.
Facility: Northwest Community Health Center
Facility: Providence Community Health Center
Facility: Thundermist Healthcare
Facility: Tri-Town Community Action Program
Washington County
Service Area: New Shoreham
Facility: Narrangansett Indian Tribe Health Program
Facility: Wood River Health Services

Page 185 of 255

PRIMARY CARE: South Carolina
County and County Equivalent Listing
Abbeville County
Population Group: Low Income-Abbeville County
Aiken County
Population Group: Low Income-Aiken County
Facility: Rural Health Services Inc.
Allendale County
Service Area: Allendale County
Facility: Allendale Correctional Institution
Facility: Low Country Health
Anderson County
Population Group: Low Income-Anderson County
Bamberg County
Service Area: Bamberg County
Facility: F. Marion Dwight, M.D. PA
Barnwell County
Service Area: Barnwell County
Beaufort County
Population Group: Low Income - Beaufort/Jasper
Berkeley County
Population Group: Low Income-Berkeley County
Facility: MacDougall Correctional Institution
Calhoun County
Population Group: Low Income - Calhoun/Orangeburg Counties
Charleston County
Population Group: Low Income-Charleston County
Facility: Franklin C. Fetter Family Health Center
Facility: St. James-Santee Family Health Center
Cherokee County
Population Group: Low Income-Cherokee County
Chester County
Service Area: Chester County
Chesterfield County
Service Area: Chesterfield County
Facility: Sandhills Medical Foundation
Clarendon County
Population Group: Low Income/Clarendon County
Facility: Turbeville Correctional Institution
Colleton County
Service Area: Colleton County
Page 186 of 255

Darlington County
Population Group: Low Income-Darlington County
Facility: Caresouth
Dillon County
Population Group: Low Income-Dillon County
Dorchester County
Population Group: Low Income-Dorchester County
Facility: Lieber Correctional Institution
Edgefield County
Population Group: Low Income-Edgefield County
Facility: Federal Correctional Institution - Edgefield
Facility: Trenton Correctional Institution
Fairfield County
Service Area: Fairfield County
Florence County
Population Group: Low Income - Lower Florence
Facility: Hopehealth, Inc.
Georgetown County
Population Group: Low Income - Georgetown
Greenville County
Population Group: Low Income-Greenville County
Facility: New Horizon Family Health
Facility: Perry Correctional Institution
Greenwood County
Facility: Carolina Health Centers, Inc.
Hampton County
Service Area: Hampton County
Facility: Dba Harrison Peeples Health Care Center, Inc.
Facility: Federal Correctional Institution - Estill
Horry County
Population Group: Low Income-Horry County
Facility: Health Care Partners of South Carolina, Inc.
Facility: Little River Medical Center
Jasper County
Population Group: Low Income - Beaufort/Jasper
Facility: Beaufort Jasper Comprehensive
Facility: CF-Ridgeland Correctional Institution
Kershaw County
Population Group: Low Income - Kershaw County
Lancaster County
Population Group: Low Income Lancaster County
Facility: Carenet of Lancaster
Facility: CF-Kershaw Correctional Institution
Page 187 of 255

Laurens County
Population Group: Low Income - Laurens County
Lee County
Service Area: Lee County
Facility: Lee Correctional Institution
Lexington County
Population Group: Low Income-Lexington County
Marion County
Population Group: Low Income - Marion County
Marlboro County
Service Area: Marlboro County
Facility: Evans Correctional Institution
Facility: Federal Correctional Institution - Bennettsville
McCormick County
Service Area: McCormick County
Facility: McCormick Correctional Institution
Newberry County
Population Group: Low Income-Newberry County
Oconee County
Population Group: Low Income - Oconee County
Facility: Rosa Clark Medical Clinic Inc.
Orangeburg County
Population Group: Low Income - Calhoun/Orangeburg Counties
Facility: Family Health Centers
Pickens County
Population Group: Low Income-Pickens County
Facility: Foothills Community Health Care
Richland County
Population Group: Low Income - Richland County
Facility: Eau Claire Cooperative
Facility: Genesis Healthcare, Inc.
Facility: Kirkland Reception and Evaluation Center CF
Facility: South Carolina Migrant Health Program
Saluda County
Service Area: Saluda County
Spartanburg County
Population Group: Low Income-Spartanburg County
Facility: Regenesis Community Health Center
Facility: Tyger River Correctional Institution
Sumter County
Population Group: Low Income - Sumter County
Facility: Sumter Family Health Center
Facility: Wateree River Correctional Institution
Page 188 of 255

Union County
Service Area: Union County
Williamsburg County
Service Area: Williamsburg County
Facility: Federal Correctional Institution - Williamsburg
York County
Population Group: Low Income-York County
Facility: Affinity Health Center
Facility: Catawba Indian Nation
Facility: Community Medicine Foundation

Page 189 of 255

PRIMARY CARE: South Dakota
County and County Equivalent Listing
Aurora County
Service Area: Corsica/Armour
Service Area: Wessington Springs
Bennett County
Service Area: Bennett County
Bon Homme County
Population Group: Low Income - Bon Homme County
Facility: Mike Durfee State Prison
Brown County
Service Area: Britton
Brule County
Population Group: Low Income-Brule County
Buffalo County
Service Area: Wessington Springs
Facility: Crow Creek Sioux Tribe
Facility: Fort Thompson PHS Indian Hospital
Butte County
Service Area: Butte County
Campbell County
Service Area: Campbell County
Facility: Campbell County Clinic-Herried
Charles Mix County
Population Group: Low Income - Charles Mix County
Facility: Wagner PHS Indian Hospital
Facility: Yankton Sioux Tribe
Clark County
Service Area: Clark County
Clay County
Service Area: Beresford/Alcester Service Area
Corson County
Service Area: Corson
Facility: McLaughlin
Facility: McLaughlin
Facility: West River

County
PHS Indian Hospital
PHS Indian Medical/Dental Clinic
Health Association

Custer County
Service Area: Custer/Hill City
Davison County
Service Area: Corsica/Armour
Day County
Population Group: Low Income - Day County
Page 190 of 255

Facility: Lake Area Family Health Center
Deuel County
Service Area: Deuel County
Facility: Deuel County Memorial Hospital and Clinic
Dewey County
Service Area: Dewey County
Facility: Eagle Butte PHS Indian Hospital
Facility: West Dakota Health Center
Douglas County
Service Area: Corsica/Armour
Facility: Prairie Health Clinic
Edmunds County
Service Area: Edmunds County
Fall River County
Population Group: Low Income - Fall River County
Faulk County
Population Group: Low Income - Faulk County
Gregory County
Service Area: Fairfax Service Area
Facility: Bonesteel Medical Clinic
Facility: Burke Medical Clinic
Haakon County
Population Group: Low Income - Haakon County
Facility: Philip Clinic
Hamlin County
Service Area: Hamlin County
Hand County
Population Group: Low Income - Hand County
Hanson County
Service Area: Salem
Harding County
Service Area: Harding County
Hughes County
Facility: Rural Health Care
Facility: SD Women's Prison
Hutchinson County
Population Group: Low Income - Hutchinson County
Facility: Menno Clinic
Hyde County
Service Area: Hyde County
Jackson County
Page 191 of 255

Service Area: Jackson County
Facility: Kyle PHS Health Center
Facility: Wanblee PHS Indian Health Center
Jerauld County
Service Area: Wessington Springs
Jones County
Service Area: Jones County
Kingsbury County
Service Area: Kingsbury County
Facility: Arlington Medical Clinic
Lawrence County
Population Group: Lawrence County
Lincoln County
Service Area: Beresford/Alcester Service Area
Service Area: Canton Service Area
Lyman County
Service Area: Lyman County
Facility: Lower Brule Sioux Tribe
Marshall County
Service Area: Britton
McCook County
Service Area: Salem
McPherson County
Population Group: Low Income-McPherson County
Meade County
Service Area: Meade County
Mellette County
Service Area: Mellette County
Miner County
Service Area: Miner County
Facility: Horizon Health Care
Minnehaha County
Facility: City of Sioux Falls Health
Facility: SD State Penitentiary
Facility: South Dakota Urban Indian Health, Inc.
Moody County
Service Area: Moody County
Facility: Flandreau Santee Sioux Tribe
Oglala Lakota County
Service Area: Shannon County
Facility: Oglala Sioux Tribe
Facility: Pine Ridge PHS Indian Hospital
Page 192 of 255

Pennington County
Service Area: Custer/Hill City
Service Area: Wall Service Area
Facility: Community Health Center of Black Hill
Facility: Rapid City PHS Indian Health Hospital
Perkins County
Service Area: Perkins County
Potter County
Service Area: Gettysburg/Agar
Roberts County
Service Area: Hankinson/Lidgerwood (ND/SD)
Service Area: Sisseton
Facility: Sisseton PHS Indian Hospital
Facility: Sisseton-Wahpeton Oyate Tribe
Sanborn County
Service Area: Wessington Springs
Spink County
Population Group: Low Income - Spink County
Sully County
Service Area: Gettysburg/Agar
Todd County
Service Area: Todd County
Facility: Rosebud PHS Indian Hospital
Facility: Rosebud Sioux Tribe
Tripp County
Population Group: Low Income - Tripp County
Turner County
Service Area: Turner County
Facility: Centerville Medical Clinic
Facility: Parker Medical Clinic
Facility: Viborg Medical Clinic
Union County
Service Area: Beresford/Alcester Service Area
Walworth County
Population Group: Low Income-Walworth County
Ziebach County
Service Area: Ziebach County
Facility: Cheyenne River Sioux Tribe

Page 193 of 255

PRIMARY CARE: Tennessee
County and County Equivalent Listing
Anderson County
Population Group: Low Income-Anderson County
Bedford County
Population Group: Low Income-Bedford County
Facility: Bedford Urgent Care
Facility: Unionville Family Practice
Facility: Wartrace Family Practice
Benton County
Population Group: Low Income-Benton County
Bledsoe County
Service Area: Bledsoe County
Facility: Bledsoe County Correctional Complex
Blount County
Population Group: Low Income-Blount County
Bradley County
Population Group: Low Income-Bradley County
Campbell County
Population Group: Low Income-Campbell County
Facility: Charles H. Wilkens, M.D., P.C.
Facility: Community Health of East Tennessee, Inc.
Facility: Dayspring Family Health
Cannon County
Population Group: Low Income-Cannon County
Carroll County
Population Group: Low Income-Carroll County
Carter County
Population Group: Low Income-Washington Carter Unicoi
Cheatham County
Population Group: Low Income-Cheatham County
Facility: Family Health Center - Ashland City
Chester County
Population Group: Low Income-Chester County
Facility: The Rickard Clinic
Claiborne County
Population Group: Low Income-Claiborne County
Clay County
Population Group: Low Income-Clay County
Cocke County
Service Area: Cocke County
Facility: Rural Medical Services
Page 194 of 255

Coffee County
Population Group: Low Income-Franklin Coffee Moore
Crockett County
Population Group: Low Income-Crockett County
Cumberland County
Population Group: Low Income-Cumberland County
Davidson County
Population Group: Low Income-Davidson County
Facility: Dba Vine Hill/University Community Health Svs
Facility: Matthew Walker Comprehensive Health Center, Inc.
Facility: United Neighborhood Health
Decatur County
Service Area: Decatur County
Facility: Jennings Family Medical Clinic
DeKalb County
Population Group: Low Income-Dekalb and Warren Counties
Dickson County
Population Group: Low Income-Dickson County
Dyer County
Population Group: Low Income-Dyer County
Fayette County
Population Group: Low Income-Fayette County
Fentress County
Service Area: Fentress County
Franklin County
Population Group: Low Income-Franklin Coffee Moore
Gibson County
Population Group: Low Income-Gibson County
Facility: Gibson County Community Health Center, Tdh
Facility: Rainbow Pediatric Primary Care
Giles County
Population Group: Low Income-Giles County
Facility: One Stop Medical, LLC
Grainger County
Population Group: Low Income-Grainger County
Grundy County
Service Area: Grundy County
Hamblen County
Population Group: Low Income-Jefferson and Hamblen Counties
Facility: Cherokee Health Systems
Page 195 of 255

Hamilton County
Population Group: Low Income-Hamilton County
Facility: Chattanooga/Hamilton County Health Department
Facility: Erlanger Health System
Hancock County
Service Area: Hancock County
Hardeman County
Service Area: Hardeman County
Facility: Hardeman County Community Health Center
Hardin County
Service Area: Hardin County
Facility: Hardin County Regional Health Center
Hawkins County
Population Group: Low Income-Hawkins Sullivan
Facility: Rural Health Services Consortium
Haywood County
Service Area: Haywood County
Henderson County
Population Group: Low Income-Henderson County
Henry County
Population Group: Low Income-Henry County
Hickman County
Service Area: Hickman County
Facility: Turney Center Industrial Complex
Houston County
Population Group: Low Income-Houston County
Humphreys County
Population Group: Low Income-Humphreys County
Jackson County
Service Area: Jackson County
Jefferson County
Population Group: Low Income-Jefferson and Hamblen Counties
Johnson County
Service Area: Johnson County
Facility: Northeast Correctional Complex
Knox County
Population Group: Low Income-Knox County
Lake County
Service Area: Lake County
Facility: Lake County Primary Care
Facility: Northwest Correctional Complex
Page 196 of 255

Lauderdale County
Service Area: Lauderdale County
Facility: Christian Family Medicine, Inc.
Facility: Rural Health Clinics of West TN-Anthony Site
Facility: West Tennessee State Penitentiary
Facility: Women's Therapeutic Residential Center
Lawrence County
Population Group: Low Income-Lawrence County
Facility: One Stop Medical, LLC
Lewis County
Service Area: Lewis County
Facility: Maury Regional Hospital
Lincoln County
Population Group: Low Income-Lincoln County
Loudon County
Population Group: Low Income-Loudon County
Macon County
Population Group: Low Income-Macon/Trousdale Counties
Facility: Hope Family Health Services
Madison County
Population Group: Low Income-Madison County
Marion County
Population Group: Low Income-Marion County
Marshall County
Population Group: Low Income-Marshall County
Maury County
Population Group: Low Income-Maury County
McMinn County
Population Group: Low Income-McMinn County
McNairy County
Service Area: McNairy County
Meigs County
Population Group: Low Income-Meigs County
Monroe County
Population Group: Low Income-Monroe County
Facility: Chota Community Health Services
Facility: Women's Wellness and Maternity Center
Montgomery County
Population Group: Low Income-Montgomery County
Moore County
Population Group: Low Income-Franklin Coffee Moore
Page 197 of 255

Morgan County
Service Area: Morgan County
Facility: Morgan County Health Council, Inc.
Obion County
Population Group: Low Income-Obion/Weakley Counties
Overton County
Population Group: Low Income-Overton County
Perry County
Service Area: Perry County
Facility: Perry County Medical
Pickett County
Population Group: Low Income-Pickett County
Polk County
Service Area: Polk County
Facility: Ocoee Regional Health
Putnam County
Population Group: Low Income-Putnam/White Counties
Facility: Upper Cumberland Primary Care Project
Rhea County
Population Group: Low Income-Rhea County
Roane County
Population Group: Low Income-Roane County
Robertson County
Population Group: Low Income-Robertson County
Rutherford County
Population Group: Low Income-Rutherford County
Facility: Rutherford County Primary Care/Dbaprimary Care and Amp; H
Scott County
Service Area: Scott County
Facility: Mountain Peoples Health Council
Sequatchie County
Population Group: Low Income-Sequatchie County
Sevier County
Population Group: Low Income-Sevier County
Shelby County
Population Group: Low Income-Millington-Woodstock/Lucy
Population Group: Low Income-Parkway Village/Fox Meadows
Facility: Christ Community Health Services, Inc.
Facility: Federal Correctional Institution - Memphis
Facility: Memphis Health Center, Inc.
Facility: Tri State Community Health Center
Smith County
Page 198 of 255

Population Group: Low Income-Smith County
Stewart County
Service Area: Stewart County
Facility: Tennessee Department of Health - Stewart County Health Center
Sullivan County
Population Group: Low Income-Hawkins Sullivan
Tipton County
Population Group: Low Income-Tipton County
Facility: Family First Medical Center
Trousdale County
Population Group: Low Income-Macon/Trousdale Counties
Unicoi County
Population Group: Low Income-Washington Carter Unicoi
Union County
Service Area: Union County
Van Buren County
Service Area: Van Buren County
Warren County
Population Group: Low Income-Dekalb and Warren Counties
Facility: Pioneer Pediatrics
Washington County
Population Group: Low Income-Washington Carter Unicoi
Facility: East Tennessee State University
Wayne County
Service Area: Wayne County
Weakley County
Population Group: Low Income-Obion/Weakley Counties
White County
Population Group: Low Income-Putnam/White Counties
Williamson County
Facility: Mercy Health Services
Facility: Prohealth Rural Health Services, Inc.

Page 199 of 255

PRIMARY CARE: Texas
County and County Equivalent Listing
Anderson County
Population Group: Low Income - Anderson County
Facility: CF-George Beto Unit
Facility: Etmc First Physicians Clinic Frankston
Andrews County
Population Group: Low Income - Andrews County
Angelina County
Population Group: Low Income - Angelina County
Aransas County
Service Area: Aransas County
Archer County
Service Area: Archer County
Armstrong County
Service Area: Armstrong County
Facility: Claude Medical Clinic
Atascosa County
Service Area: Atascosa County
Facility: Atascosa Healthcare
Austin County
Service Area: Austin County
Bailey County
Population Group: Low Income - Bailey County
Facility: Muleshoe Family Clinic
Bandera County
Service Area: Bandera County
Bastrop County
Service Area: Bastrop County
Facility: Federal Correctional Institution - Bastrop
Baylor County
Population Group: Low Income - Baylor County
Facility: Seymour Hosptial Rural Health Clinic
Bee County
Service Area: Bee County
Facility: Beeville Family Practice
Facility: Christus Spohn Women's Health Center
Bell County
Population Group: Low Income-Bell County
Bexar County
Service Area: Northwest Bexar
Population Group: Low Income - San Antonio (Southside)
Page 200 of 255

Facility: Barrio Comprehensive Health Center
Facility: Centromed - El Centro Del Barrio
Facility: CF-Fabian Dale Dominguez State Jail
Blanco County
Service Area: Blanco County
Borden County
Service Area: Borden County
Bosque County
Service Area: Bosque County
Bowie County
Facility: Barry B. Telford Unit
Brazoria County
Service Area: Sweeny West Columbia Service Area
Facility: CF-a.M. "Mac" Stringfellow Unit
Facility: CF-C.T. Terrell Unit
Facility: CF-Ramsey Unit
Facility: Stephen F. Austin Community Health Center,
Brazos County
Service Area: Western Brazos
Facility: Brazos Valley Community Action
Brewster County
Population Group: Low Income - Brewster County
Briscoe County
Service Area: Briscoe County
Brooks County
Service Area: Brooks County
Brown County
Population Group: Low Income-Brown County
Burleson County
Service Area: Burleson County
Burnet County
Facility: Seton Highland Lakes Care-a-Van
Caldwell County
Service Area: Caldwell County
Facility: Children's Care-a-Van
Facility: Seton Lockhart Family Health Center
Calhoun County
Population Group: Low Income - Calhoun County
Facility: Memorial Medical Center
Facility: Port Lavara Clinic Associates
Cameron County
Service Area: South Service Area
Page 201 of 255

Facility: Brownsville Community Health Center
Facility: Su Clinica Familia
Camp County
Population Group: Low Income - Camp County
Carson County
Service Area: Carson County
Cass County
Service Area: Cass County
Castro County
Service Area: Castro County
Chambers County
Service Area: Chambers County
Facility: Chambers County Public Hospital District
Cherokee County
Population Group: Low Income - Cherokee County
Facility: CF-Skyview Unit
Facility: Etmc First Physicians Clinic Jacksonville
Facility: Etmc First Physicians Clinic Rusk
Childress County
Facility: Fox Rural Health Clinic
Clay County
Population Group: Low Income-Clay County
Coke County
Service Area: Coke County
Coleman County
Service Area: Coleman County
Collingsworth County
Population Group: Low Income - Collingsworth
Colorado County
Population Group: Low Income - Colorado County
Facility: Rice Medical Associates
Comanche County
Population Group: Low Income - Comanche County
Facility: Cross Timbers Healthcare
Concho County
Population Group: Low Income - Concho County
Facility: Frontera Healthcare Network
Cooke County
Facility: Cooke County Medical Center
Coryell County
Service Area: Coryell County
Page 202 of 255

Facility: CF-Alfred D Hughes
Cottle County
Service Area: Cottle County
Crane County
Facility: Crane County Rural Health Clinic
Crockett County
Service Area: Crockett County
Crosby County
Service Area: Crosby County
Culberson County
Service Area: Culberson and Hudspeth Counties
Facility: Van Horn Rural Health Clinic
Dallam County
Population Group: Low Income - Dallam/Hartley County
Dallas County
Service Area: Simpson-Stuart
Service Area: Southeast Dallas
Service Area: Trinity Area
Facility: Dallas County Hosptial District Homeless Programs
Facility: Healing Hands Ministries, Inc.
Facility: Los Barrios Unidos Communty Health Center
Facility: Mission East Dallas (Medical) and Metroplex Project
Facility: MLK Jr Family Center
Facility: Ofac-Parkland Center for Internal Medicine (Pcim)
Facility: Urban Inter-Tribal Center of Texas
Dawson County
Service Area: Dawson County
Deaf Smith County
Service Area: Deaf Smith County
Delta County
Service Area: Delta County
Denton County
Facility: Health Services of North Texas, Inc.
DeWitt County
Population Group: Low Income - Dewitt County
Facility: CF - Clarence North Stevenson Facility
Facility: Cuero Medical Clinic
Dickens County
Service Area: Dickens County
Dimmit County
Service Area: Dimmit County
Facility: Children's Clinic of Dimmit and Zavala
Page 203 of 255

Donley County
Service Area: Donley County
Facility: Clarendon Family Medical Center
Duval County
Service Area: Duval County
Eastland County
Service Area: Eastland County
Ector County
Population Group: Low Income-Ector County
Facility: Medical Center Hospital
El Paso County
Service Area: Far Northern El Paso
Service Area: Lower Valley - El Paso
Service Area: Southeast El Paso
Service Area: West Central
Facility: Centro De Salud Familiar La Fe, Inc.
Facility: Centro San Vicente Health Center
Facility: Project Vida Health Center
Facility: University Medical Center - Fabens
Facility: Ysleta Del Sur Pueblo
Ellis County
Facility: Ellis County Coalition for Health Option
Erath County
Population Group: Low Income-Erath County
Falls County
Service Area: Falls County
Fayette County
Population Group: Low Income - Fayette County
Facility: Tejas Health Care (Thc)
Fisher County
Service Area: Fisher County
Facility: Clearfork Health Clinic
Facility: Roby Rural Health Clinic
Foard County
Service Area: Foard County
Fort Bend County
Facility: CF-Jester 1 Unit
Facility: The Access Health Richmond Center
Franklin County
Population Group: Low Income - Franklin County
Freestone County
Population Group: Low Income - Freestone County
Frio County
Page 204 of 255

Service Area: Frio County
Facility: CF-Briscoe Unit
Facility: Immigration Customs Enforcement-South Texas/Pearsall
Gaines County
Service Area: Gaines County
Galveston County
Service Area: Bolivar Peninsula
Facility: Coastal Health and Wellness
Garza County
Service Area: Garza County
Glasscock County
Service Area: Glasscock County
Goliad County
Service Area: Goliad County
Gonzales County
Population Group: Low Income - Gonzales County
Facility: Community Health Centers of South Central Texas
Gray County
Service Area: Gray County
Grayson County
Population Group: Low Income - Grayson County
Gregg County
Facility: Longview Wellness Center
Facility: Special Health Resources of Texas
Grimes County
Population Group: Low Income-Grimes County
Facility: CF-Luther Facility
Facility: CF-Pack Facility
Hale County
Population Group: Low Income-Hale County
Facility: Regence Health Network
Hall County
Service Area: Hall County
Hamilton County
Service Area: Hamilton County
Hansford County
Population Group: Low Income-Hansford County
Facility: Family Medical Clinic of Hansford County
Hardin County
Service Area: Hardin County
Harris County
Page 205 of 255

Service Area: Acres Home
Service Area: Galena Service Area
Service Area: North Central
Service Area: South Central Houston
Facility: Asian Am. Health Coalition of Gtr Houston/Dba Hope C
Facility: Bee Busy Wellness Center
Facility: El Centro De Corazon
Facility: Harris Health System - Homeless Outreach
Facility: Health Care for the Homeless - Houston
Facility: Houston Area Community Services, Inc.
Facility: Houston Community Health Center
Facility: Legacy Community Health Systems, Inc.
Facility: Pasadena Health Center
Facility: South Central Houston Community
Facility: Spring Branch Community Health Center
Facility: St. Hope Foundation
Harrison County
Service Area: Harrison County
Facility: East Texas Border Health Clinics
Hartley County
Population Group: Low Income - Dallam/Hartley County
Facility: Dalhart Family Medicine Clinic
Facility: High Country Community Rural Health Clinic
Haskell County
Population Group: Low Income-Haskell
Facility: Cadenhead Rural Health Clinic
Hays County
Population Group: Low Income - Hays County
Hemphill County
Population Group: Low Income-Hemphill County
Henderson County
Population Group: Low Income-Henderson County
Hidalgo County
Facility: Nuestra Clinica Del Valle
Hill County
Service Area: Hill County
Facility: Lake Whitney Medical Clinic
Hockley County
Facility:
Facility:
Facility:
Facility:

Family Medicine of Levelland
Levelland Clinic
Levelland Clinic North
South Plains Rural Health

Houston County
Service Area: Houston County
Facility: CF-Eastham Unit
Howard County
Page 206 of 255

Population Group: Low Income - Howard County
Hudspeth County
Service Area: Culberson and Hudspeth Counties
Hunt County
Population Group: Low Income - Hunt County
Facility: Community Health Service Agency, Inc.
Hutchinson County
Service Area: Hutchinson County
Irion County
Service Area: Irion County
Jack County
Service Area: Jack County
Facility: Jack County Medical Clinic
Jackson County
Service Area: Jackson County
Facility: Jackson County Medical Clinic
Jasper County
Service Area: Jasper County
Facility: Christus Family Practice Center - Rayburn
Facility: Christus Family Practice Clinic - Kirbyville
Facility: Christus Jasper Family Practice Clinic
Jeff Davis County
Service Area: Jeff Davis County
Jefferson County
Population Group: Low Income-Jefferson County
Facility: CF-Larry Gist State Jail
Facility: CF-Mark W. Stiles
Facility: Federal Correctional Complex - Beaumont
Facility: Gulf Coast Health Center
Facility: Triangle AIDS Network
Jim Hogg County
Service Area: Jim Hogg County
Jim Wells County
Service Area: Jim Wells County
Facility: Community Action Corporation of South Texas
Jones County
Service Area: Jones County
Facility: Anson Family Wellness Clinic
Facility: Memorial Health Clinic
Karnes County
Service Area: Karnes County
Facility: CF - John B Connally Jr Facility
Kenedy County
Page 207 of 255

Service Area: Kenedy County
Kent County
Service Area: Kent County
Facility: Kent County Rural Health Clinic
Kerr County
Population Group: Low Income-Kerr County
Kimble County
Population Group: Low Income-Kimble County
Facility: Junction Medical Clinic
King County
Service Area: King County
Kinney County
Service Area: Kinney County
Knox County
Population Group: Low Income - Knox County
Facility: Munday Clinic
La Salle County
Service Area: La Salle County
Facility: Cotulla Transfer Facility
Facility: South Texas Rural Health Services
Lamb County
Service Area: Lamb County
Lee County
Service Area: Lee County
Leon County
Service Area: Leon County
Liberty County
Facility: Health Center of Southeast Texas
Limestone County
Population Group: Low Income-Limestone County
Facility: Family Medicine Center
Facility: Parkview Regional Health Clinic
Lipscomb County
Service Area: Lipscomb County
Live Oak County
Service Area: Live Oak County
Llano County
Population Group: Low Income - Llano County
Facility: Horseshoe Bay Clinic
Loving County
Service Area: Loving County
Page 208 of 255

Lubbock County
Service Area: East Lubbock County
Facility: Community Health Center of Lubbock
Facility: Texas Tech University Health Sciences Center
Lynn County
Service Area: Lynn County
Facility: LCHD Dba Family Wellness Rural Health Clinic
Madison County
Population Group: Low Income - Madison County
Marion County
Service Area: Marion County
Martin County
Population Group: Low Income-Martin County
Mason County
Service Area: Mason County
Matagorda County
Population Group: Low Income-Matagorda County
Facility: Matagorda Episcopal Health Outreach Prog
Facility: Palacios Medical Clinic
Maverick County
Service Area: Maverick County
Facility: Kickapoo Tribe of Texas
Facility: United Medical Centers
McCulloch County
Population Group: Low Income-McCulloch County
McLennan County
Population Group: Low Income-McLennan
Facility: Heart of Texas Communith Health
McMullen County
Service Area: McMullen County
Medina County
Service Area: Medina County
Menard County
Service Area: Menard County
Midland County
Service Area: Midland County
Facility: Midland Community Healtcare Services, Inc.
Milam County
Service Area: Milam County
Mills County
Service Area: Mills County
Page 209 of 255

Mitchell County
Population Group: Low Income - Mitchell County
Montague County
Service Area: Montague County
Facility: Nocona Medical Clinic PA
Montgomery County
Facility: Lone Star Community Health Center
Moore County
Population Group: Low Income-Moore County
Morris County
Service Area: Morris County
Motley County
Service Area: Motley County
Nacogdoches County
Population Group: Low Income - Nacogdoches
Facility: East Texas Community Health Services
Navarro County
Service Area: Navarro County
Newton County
Service Area: Newton County
Nolan County
Population Group: Low Income-Nolan County
Nueces County
Population Group: Low Income-Nueces County
Facility: Amistad Community Health Center
Facility: Coastal Bend AIDS Foundation
Facility: Robstown Health Center
Ochiltree County
Population Group: Low Income-Ochiltree County
Oldham County
Service Area: Oldham County
Orange County
Service Area: Orange County
Palo Pinto County
Population Group: Low Income - Palo Pinto County
Panola County
Service Area: Panola County
Parker County
Service Area: Parker County
Page 210 of 255

Parmer County
Service Area: Parmer County
Facility: Friona Rural Health Clinic
Pecos County
Service Area: Pecos County
Facility: Cactus Health Services, Inc.
Facility: Family Care Center
Facility: Family Care Center Walk in Clinic
Polk County
Population Group: Low Income - Polk County
Facility: Alabama-Coushatta Tribe of Texas
Facility: CF-Polunsky Unit
Potter County
Service Area: South Potter
Facility: CF-Clements Unit
Presidio County
Service Area: Presidio County
Facility: Presidio County Health Clinic
Rains County
Service Area: Rains County
Real County
Service Area: Real County
Red River County
Service Area: Red River County
Reeves County
Population Group: Low Income - Reeves County
Facility: Pecos Valley Rural Health Clinic
Refugio County
Service Area: Refugio County
Roberts County
Service Area: Roberts County
Robertson County
Service Area: Robertson County
Runnels County
Service Area: Runnels County
Facility: Ballinger Hospital Clinic
Rusk County
Population Group: Low Income - Rusk County
Facility: East Texas Medical Center-Henderson
Facility: Mt. Enterprise Community Health Center
Sabine County
Service Area: Sabine County
Facility: Sabine Family Medical Center
Page 211 of 255

Facility: Toledo Bend Family Medicine
San Augustine County
Service Area: San Augustine County
San Jacinto County
Service Area: San Jacinto County
San Patricio County
Service Area: San Patricio County
Facility: Taft Health Center
San Saba County
Service Area: San Saba County
Schleicher County
Service Area: Schleicher County
Facility: Schleicher County Family Clinic
Scurry County
Service Area: Scurry County
Shackelford County
Service Area: Shackelford County
Facility: Shackelford County Community Resource Center
Shelby County
Service Area: Shelby County
Facility: The Hope Project, Inc.
Sherman County
Service Area: Sherman County
Smith County
Population Group: Low Income - Smith County
Facility: Tyler Family Circle of Care
Starr County
Service Area: Starr County
Facility: Family Health Center, LLP
Facility: Family Health Clinic ROMA
Facility: Family Medical and Specialty Clinic
Facility: Pediatric Practice Association - Rio Grande City
Facility: Pediatric Practice Association - Roma
Stephens County
Service Area: Stephens County
Facility: Stephens County Medical Clinic
Sterling County
Service Area: Sterling County
Stonewall County
Facility: Stonewall Rural Health Clinic
Sutton County
Population Group: Low Income - Sutton County
Page 212 of 255

Swisher County
Population Group: Low Income - Swisher County
Tarrant County
Facility: Federal Medical Center - Fort Worth
Facility: Federal Medical Center-Carswell
Facility: North Texas Area Community Health Center, Inc.
Taylor County
Population Group: Low Income-Taylor County
Terrell County
Service Area: Terrell County
Facility: Sanderson Rural Health Center
Terry County
Population Group: Low Income - Terry County
Throckmorton County
Facility: Throckmorton County Rural Health Care Clinic
Titus County
Population Group: Low Income - Titus County
Tom Green County
Population Group: Low Income - Tom Green County
Facility: La Esperanza Clinic, Inc.
Travis County
Facility: People's Community Clinic
Facility: Travis County Healthcare District/Dba Communitycar
Trinity County
Service Area: Trinity County
Facility: Groveton Family Health Clinic
Tyler County
Service Area: Tyler County
Upshur County
Service Area: Northeast Upshur County
Upton County
Service Area: Upton County
Uvalde County
Service Area: Uvalde County
Facility: Community Health Development, Inc.
Val Verde County
Service Area: Val Verde County
Van Zandt County
Service Area: Van Zandt County
Walker County
Page 213 of 255

Population Group: Low Income - Walker County
Facility: CF-James H. Byrd Unit
Facility: CF-O.B. Ellis Unit
Waller County
Service Area: Waller County
Ward County
Service Area: Ward County
Facility: Sandhills Family Clinic
Washington County
Population Group: Low Income-Washington County
Webb County
Service Area: Rural Laredo
Service Area: South Laredo
Facility: Gateway Community Health Center
Wharton County
Population Group: Low Income-Wharton County
Wheeler County
Population Group: Low Income - Wheeler County
Facility: Parkview Rural Health Clinic
Wichita County
Population Group: Low Income - Wichita County
Facility: CF-James V. Allred Unit
Facility: Iowa Park Clinic
Facility: North Central Texas Community Health Center
Wilbarger County
Population Group: Low Income-Wilbarger County
Willacy County
Service Area: Willacy County
Williamson County
Facility: Lone Star Circle of Care
Wilson County
Service Area: Wilson County
Winkler County
Service Area: Winkler County
Wise County
Population Group: Low Income - Wise County
Wood County
Population Group: Low Income - Wood County
Facility: Clyde M. Johnston Unit
Facility: Etmc First Physician Health Clinic
Yoakum County
Population Group: Low Income-Yoakum County
Page 214 of 255

Young County
Population Group: Low Income - Young County
Facility: Lovett-Meredith Rural Health Clinic
Zapata County
Service Area: Zapata County
Facility: Pediatric Practice Association
Zavala County
Service Area: Zavala County
Facility: Eduardo Moreno, Rural Health Clinic
Facility: Vida Y Salud Health System

Page 215 of 255

PRIMARY CARE: Utah
County and County Equivalent Listing
Beaver County
Service Area: Beaver County
Box Elder County
Service Area: Box Elder County
Cache County
Population Group: Low Income-Cache County
Carbon County
Population Group: Low Income-Carbon County
Facility: Carbon Medical Services
Daggett County
Service Area: Daggett County
Duchesne County
Population Group: Low Income-Duchesne County
Emery County
Service Area: Emery County
Facility: Emery Medical Center
Facility: Green River Medical Center
Garfield County
Population Group: Low Income-Eastern Garfield County
Grand County
Service Area: Thompson Springs/Uintah/Ouray
Iron County
Population Group: Low Income-Iron County
Facility: Paiute Indian Tribe of UT
Juab County
Service Area: Eureka/West Juab
Facility: Goshute Tribe
Kane County
Service Area: Kane County
Millard County
Service Area: Delta
Morgan County
Service Area: South Morgan
Piute County
Service Area: Piute County
Rich County
Service Area: Rich County
Facility: Bear Lake Community Health Center Inc.
Page 216 of 255

Salt Lake County
Service Area: Salt Lake Service Area
Population Group: Low Income - Salt Lake/Kearns
Population Group: Low Income-Salt Lake/Magna
Facility: Community Health Centers, Inc.
Facility: Indian Walk-in Center
Facility: Sacred Circle Health Care
Facility: Utah Partners for Health (Upfh)
Facility: Utah State Prison
Facility: Wasatch Homeless
San Juan County
Population Group: Low Income - Monticello
Facility: Blanding Medical Clinic
Facility: San Juan Clinic
Facility: Utah Navajo Health System, Inc.
Sanpete County
Facility: Central Utah Correctional Facility
Sevier County
Population Group: Low Income-Sevier County
Summit County
Facility: Coalville Health Center
Facility: Kamas Health Center
Tooele County
Service Area: Tooele County
Facility: Skull Valley Health Clinic
Uintah County
Service Area: Uintah and Ouray
Facility: Fort Duchesne PHS Indian Health Center
Facility: Ute Indian Tribe
Facility: Ute Indian Tribe-Alch/Service Area
Utah County
Population Group: Low Income - Utah County
Facility: Mountainlands Community Health Center, Inc.
Wasatch County
Population Group: Low Income - West Wasatch Service Area
Washington County
Population Group: Low Income-Washington County
Facility: Enterprise Valley Medical
Facility: Shivwits Paiute Medical Clinic
Facility: Southwest Utah Community
Wayne County
Service Area: Hanksville Service Area
Facility: Wayne Community Health
Weber County
Population Group: Low Income - Central Weber County
Facility: Midtown Community
Page 217 of 255

Page 218 of 255

PRIMARY CARE: Vermont
County and County Equivalent Listing
Bennington County
Service Area: Arlington
Facility: Battenkill Valley Health Center Inc.
Caledonia County
Facility: Nvrh Corner Medical
Facility: Nvrh St. Johnsbury Pediatrics
Facility: Nvrh-Kingdom Internal Medicince
Chittenden County
Facility: Community Health Center of Burlington, Inc.
Essex County
Population Group: Low Income - Brighton
Facility: Northern Counties Health Care
Franklin County
Facility: Richford Health Center, Inc.
Lamoille County
Facility: Copley Professional Services Group
Facility: Ryder Brook Pediatrics
Orange County
Service Area: Chelsea/Corinth Rational Service Area
Facility: Gifford Health Care, Inc.
Facility: Little Rivers Health Care
Orleans County
Population Group: Low Income - Brighton
Population Group: Low Income - Newport
Facility: Community Medical Associates-186
Facility: Family Practice of Newport-81
Facility: Newport Pediatrics and Adolescent Medicine
Facility: The Barton Clinic
Rutland County
Population Group: Low Income-Ludlow
Facility: Community Health Centers of Rutland Region
Washington County
Facility: Northeast Washington County Community Health Cente
Windham County
Facility: Otis Health Care Dba Grace Cottage Family Health
Windsor County
Population Group: Low Income-Ludlow
Facility: Springfield Medical Care Systems, Inc.

Page 219 of 255

PRIMARY CARE: Virginia
County and County Equivalent Listing
Accomack County
Service Area: Accomack County
Facility: Eastern Shore Rural Health
Alexandria City
Facility: Alexandria Neighborhood Health Services
Alleghany County
Population Group: Low Income-Alleghany County/Covington City
Amelia County
Service Area: Amelia County
Amherst County
Service Area: Amherst County
Appomattox County
Service Area: Appomattox County
Bath County
Service Area: Bath County
Bedford County
Service Area: Bedford County
Bland County
Service Area: Bland County
Facility: Bland County Medical
Botetourt County
Service Area: Northern Botetourt
Brunswick County
Service Area: Brunswick County
Buchanan County
Population Group: Low Income - Buchanan County
Facility: Keen Mountain Correctional Center
Buckingham County
Population Group: Low Income-Buckingham/Cumberland Counties
Facility: Central Virginia Health Services
Buena Vista City
Population Group: Low Income - Rockbridge Area
Campbell County
Service Area: Campbell County
Caroline County
Service Area: Caroline County
Carroll County
Population Group: Low Income-Carroll and Grayson Counties/Galax City
Page 220 of 255

Facility: Tri-Area/Laurel Fork Health Clinic
Charles City County
Service Area: Charles City
Charlotte County
Service Area: Charlotte County
Chesapeake City
Service Area: South Norfolk/Chesapeake City
Facility: St. Brides Correctional Center
Covington City
Population Group: Low Income-Alleghany County/Covington City
Craig County
Service Area: Craig County
Cumberland County
Population Group: Low Income-Buckingham/Cumberland Counties
Danville City
Facility: Piedmont Access to Health Services (Path)
Dickenson County
Service Area: Dickenson County
Dinwiddie County
Service Area: Dinwiddie County
Emporia City
Service Area: Greensville/Emporia
Essex County
Service Area: Essex/Richmond
Floyd County
Service Area: Floyd County
Fluvanna County
Service Area: Fluvanna Service Area
Franklin City
Population Group: Low Income - Southampton County/Franklin City
Franklin County
Service Area: Franklin County
Frederick County
Population Group: Mi-Frederick County/Winchester City
Galax City
Population Group: Low Income-Carroll and Grayson Counties/Galax City
Giles County
Service Area: Giles County
Page 221 of 255

Goochland County
Service Area: Goochland/Fife
Grayson County
Population Group: Low Income-Carroll and Grayson Counties/Galax City
Greene County
Service Area: Greene/Madison Counties
Greensville County
Service Area: Greensville/Emporia
Halifax County
Service Area: Halifax County
Hampton City
Service Area: Newport News
Harrisonburg City
Facility: Harrisonburg Community Health Center
Henrico County
Service Area: Richmond/Henrico
Henry County
Population Group: Low Income-Martinsville City/Henry County
Highland County
Service Area: Highland County
Facility: Highland Medical Center
Hopewell City
Population Group: Mi-Petersburg and Hopewell City/Prince George County
James City County
Facility: Olde Towne Medical Center
King and Queen County
Service Area: King and Queen County
King George County
Service Area: King George/Westmoreland Counties
King William County
Service Area: King William/New Kent Counties
Lancaster County
Population Group: Low Income-Lancaster and Northumberland Counties
Lee County
Service Area: Lee County
Facility: Stone Mountain Health Services
Facility: USP-Lee
Lexington City
Population Group: Low Income - Rockbridge Area
Page 222 of 255

Loudoun County
Facility: Loudoun Community Health Center
Louisa County
Service Area: Louisa County
Lunenburg County
Service Area: Lunenburg County
Facility: Southern Dominion Health System
Lynchburg City
Service Area: Lynchburg City East
Facility: Community Access Network
Facility: Johnson Health Center
Madison County
Service Area: Greene/Madison Counties
Martinsville City
Population Group: Low Income-Martinsville City/Henry County
Facility: Martinsville Henry County Coalition Health and Human Services
Mathews County
Service Area: Middlesex-Mathews Counties
Mecklenburg County
Service Area: Mecklenburg County
Middlesex County
Service Area: Middlesex-Mathews Counties
Montgomery County
Facility: Free Clinic of the New River Valley, Inc.
Nelson County
Population Group: Low Income - Nelson County
Facility: Blue Ridge Medical Center, Inc.
New Kent County
Service Area: King William/New Kent Counties
Newport News City
Service Area: Newport News
Facility: Peninsula Institute for Community Health
Facility: Peninsula Public Health District Clinic
Norfolk City
Service Area: South Norfolk/Chesapeake City
Population Group: Low Income-S. Portsmouth-Norfolk
Northampton County
Population Group: Low Income/Migrant Seasonal Farmworkers/Homeless Northampton County
Northumberland County
Population Group: Low Income-Lancaster and Northumberland Counties
Page 223 of 255

Norton City
Population Group: Mi-Wise County/Norton City
Page County
Service Area: Shenandoah-Page
Patrick County
Service Area: Patrick County
Petersburg City
Population Group: Mi-Petersburg and Hopewell City/Prince George County
Pittsylvania County
Service Area: Northern Pittsylvania
Portsmouth City
Population Group: Low Income-S. Portsmouth-Norfolk
Facility: Porstmouth Community Health Center
Prince Edward County
Population Group: Low Income-Prince Edward County
Prince George County
Population Group: Mi-Petersburg and Hopewell City/Prince George County
Prince William County
Facility: Greater Prince William Community Health Ct
Rappahannock County
Service Area: Rappahannock County
Richmond City
Service Area: Richmond/Henrico
Facility: Daily Planet
Facility: Vernon J. Harris East End Community Health Center
Richmond County
Service Area: Essex/Richmond
Roanoke City
Service Area: Northwest Roanoke
Facility: Kuumba Community Health
Rockbridge County
Population Group: Low Income - Rockbridge Area
Facility: Rockbridge Area Free Clinic
Russell County
Service Area: Russell County
Facility: Community Health Clinic Primary Care
Scott County
Service Area: Scott County
Facility: Clinch River Health Services
Shenandoah County
Service Area: Shenandoah-Page
Page 224 of 255

Smyth County
Service Area: Konnarock
Facility: Southwest Virginia Community Health Services
Southampton County
Population Group: Low Income - Southampton County/Franklin City
Facility: Horizon Health Services
Surry County
Service Area: Surry County
Sussex County
Facility: Stony Creek Community Health Center
Tazewell County
Population Group: Low Income-Tazewell County
Facility: Bluefield Internal Medicine
Facility: Clinch Valley Physicians, Inc.
Facility: Merit Medical Rural Health Clinic Richlands
Warren County
Service Area: Warren County
Washington County
Service Area: Konnarock
Westmoreland County
Service Area: King George/Westmoreland Counties
Winchester City
Population Group: Mi-Frederick County/Winchester City
Wise County
Population Group: Mi-Wise County/Norton City
Facility: Red Onion State Prison
Facility: Wallens Ridge State Prison

Page 225 of 255

PRIMARY CARE: Washington
County and County Equivalent Listing
Adams County
Population Group: Low Income-Adams County
Facility: Columbia Basin Health Association
Asotin County
Population Group: Low Income/H-Asotin County
Benton County
Population Group: Low Income/H/Mfwbenton/Franklin Counties
Chelan County
Population Group: Low Income/Migrant Farmworker/H-Chelan and Douglas
Counties
Facility: Columbia Valley Community Health Center
Clallam County
Service Area: West Clallam and West Jefferson
Population Group: Low Income/H/Migrant Farmworker-Port Angeles/SequimElwah
Facility: Clallam Bay Corrections Center
Facility: Jamestown South'Klallam Tribe
Facility: Lower Elwha Klallam Health Clinic
Facility: Makah - Sophie Trettevick Indian Health Center
Facility: North Olympic Healthcare Network, Primary Care
Facility: Quileute Clinic
Clark County
Population Group: Low Income-Northern Clark County
Population Group: Low Income-Southern Clark County
Columbia County
Population Group: Low Income/H-Columbia County
Cowlitz County
Population Group: Low Income-Cowlitz County
Facility: Cowitz Tribe
Facility: Cowlitz Family Health
Douglas County
Population Group: Low Income/Migrant Farmworker/H-Chelan and Douglas
Counties
Ferry County
Service Area: Ferry County
Facility: Colville Confederated Tribes
Franklin County
Population Group: Low Income/H/Mfwbenton/Franklin Counties
Facility: CF-Coyote Ridge Correctional Center
Facility: Tri-Cities Community Health
Garfield County
Service Area: Garfield County
Facility: Pomeroy Medical Clinic
Page 226 of 255

Grant County
Service Area: Grand Coulee
Service Area: Lower Grant
Population Group: Low Income-Central Grant County
Facility: Columbia Basin Family Medicine
Facility: Coulee Community Hospital and Immediate Catchment
Facility: Moses Lake Community Health Center
Facility: Quincy Valley Clinic/Dba Sageview Family Care
Facility: Samaritan Clinic
Grays Harbor County
Population Group: Low Income-Grays Harbor County
Facility: Chehalis Tribal Clinic
Facility: Elma Family Medicine
Facility: McClearly Health Care Center
Facility: Roger Saux Health Center
Facility: Stafford Creek Correctional Center
Island County
Service Area: Island County
Jefferson County
Service Area: West Clallam and West Jefferson
Population Group: Low Income/H-Port Townsend/Quilcene
Facility: Port Townsend Family Physicians
Facility: South County Medical Clinic
King County
Service Area: Enumclaw
Service Area: Snoqualmie/North Bend
Service Area: Vashon Maury Island
Facility: Country Doctors Community Clinic
Facility: Healthpoint
Facility: International Community Health Services
Facility: Muckleshoot Tribal Clinic
Facility: Neighborcare Health (Formerly Puget Sound)
Facility: Sea Mar Community Health Center
Facility: Seattle Indian Health
Facility: Seattle King County Department of Public Health
Facility: Snoqualmie-North Bend Family Clinic
Facility: Snoqualmie-Tolt Community Clinic
Kitsap County
Service Area: Kitsap County
Facility: Peninsula Community Clinic
Facility: Port Gamble South'Klallam Tribal Clinic
Facility: Suquamish Tribe
Kittitas County
Population Group: Low Income/Migrant Farmworker/H-Kittitas County
Facility: Cle Elum Family Medicine Center
Klickitat County
Population Group: Low Income/Migrant Farmworker/H-Klickitat County
Facility: Northshore Medical Group - White Salmon
Page 227 of 255

Lewis County
Population Group: Low Income/H/Migrant Farmworker-Lewis County
Facility: Valley View Health Center
Lincoln County
Population Group: Low Income-Lincoln County
Mason County
Service Area: Mason County
Facility: CF-Washington Corrections Center
Facility: Mountain View Women's Health Group, PLLC
Facility: Skokomish Tribal Health Clinic
Facility: Squaxin Island Health Center
Okanogan County
Service Area: Grand Coulee
Population Group: Low Income-Central Okanogan
Population Group: Low Income-North Okanogan County
Population Group: Low Income-West Okanogan
Population Group: Low Income/Migrant Farmworker-South Okanogan
Facility: Colville PHS Indian Health Center
Facility: Family Health Centers
Facility: Main Street Health Associates, PS
Facility: Mid Valley Medical Group
Facility: Omak Clinic
Pacific County
Population Group: Low Income-Pacific County
Facility: Naselle Clinic
Facility: Ocean Beach Medical Clinic
Facility: Shoalwater Bay Health Clinic
Pend Oreille County
Population Group: Low Income - Pend Oreille County
Facility: Family Health Center Newport
Facility: Kalispel Tribe
Pierce County
Service Area: Buckley Service Area
Service Area: Eatonville/Roy
Service Area: Longbranch
Facility: Community Health Care Delivery
Facility: Immigration and Customs Enforcement - Tacoma Northwest
Detention Center
Facility: Puyallup Tribal Health Authority
San Juan County
Service Area: Lopez Island
Service Area: San Juan Island
Population Group: Low Income-Orcas Island
Skagit County
Population Group: Low Income/H/Migrant Farmworker-Skagit County
Facility: Sauk-Suiatte Health Center
Facility: Swinomish Health Clinic
Facility: Upper Skagit Tribal Clinic
Page 228 of 255

Skamania County
Population Group: Low Income-Skamania County
Facility: Northshore Medical Group - Stevenson
Snohomish County
Service Area: Darrington
Service Area: Monroe/Sultan Service Area
Service Area: Tulalip
Population Group: Low Income-Everett
Facility: Community Health Center of Snohomish
Facility: Monroe Correctional Complex
Facility: Stillaguamish Tribal Clinic
Facility: Tulalip Clinic
Spokane County
Service Area: North Spokane
Service Area: Southeast Spokane
Service Area: Southwest Spokane
Population Group: Low Income/H/Migrant Farmworker-Downtown Spokane
Facility: CF-Airway Heights Corrections Center
Facility: Community Health Association of Spokane (Chas)
Facility: Healing Lodge of Seven Nations
Facility: N.A.T.I.V.E. Project of Spokane
Stevens County
Population Group: Low Income/H/Migrant Farmworker-Stevens County
Facility: David C. Wynecoop Memorial Clinic
Facility: N.E.W. Health Programs
Facility: Providence Northeast Washington Medical Group - Colville
Facility: Providence Northeast Washington Medical Group-Kettle Fall
Facility: Spokane Tribe
Thurston County
Service Area: North Thurston County
Service Area: South Thurston County
Facility: Nisqually Health Clinic
Wahkiakum County
Service Area: Wahkiakum County
Walla Walla County
Population Group: Low Income/H/Migrant Farmworker - Walla Walla County
Facility: Adventist Health/Medical Group
Facility: CF-Washington State Penitentiary
Facility: Walla Walla Clinic
Whatcom County
Population Group: Low Income/H/Migrant Farmworker-Whatcom County
Facility: Indian Tribal Consortium
Facility: Interfaith Community Health Center
Facility: Lummi Tribal Health Center
Facility: Nooksack Tribal Health Center
Whitman County
Service Area: Northeast Whitman County
Service Area: Rock Lake/LA Cross Service Area
Population Group: Low Income - East Whitman
Page 229 of 255

Yakima County
Population Group: Low Income-Yakima County
Facility: Central Washington Family Medicine
Facility: Grandview Medical Center
Facility: John Hughes Student Health Center
Facility: Lincoln Avenue Family Medicine
Facility: Sunnyside Pediatrics
Facility: Valley Internal Medicine
Facility: Valley Regional Rural Health Clinic V
Facility: White Swan Clinic
Facility: Yakima Indian Health Center
Facility: Yakima Neighborhood Health Services

Page 230 of 255

PRIMARY CARE: West Virginia
County and County Equivalent Listing
Barbour County
Population Group: Low Income - Barbour County
Facility: Belington Community Medical Services
Berkeley County
Population Group: Low Income - Berkeley County
Facility: Shenandoah Valley Medical Center
Boone County
Population Group: Low Income - Boone County
Facility: Boone Memorial Hospital Rural Health Clinic
Facility: Hygeia Facilities Foundation
Braxton County
Population Group: Low Income-Braxton County
Facility: Braxton Community Health Center
Cabell County
Population Group: Low Income - Cabell County
Facility: Valley Health Systems
Calhoun County
Population Group: Low Income - Calhoun County
Clay County
Population Group: Low Income-Clay County
Doddridge County
Population Group: Low Income - Doddridge County
Fayette County
Population Group: Low Income-Fayette County
Facility: Mt. Olive Correctional Center
Facility: New River Community Health Center
Gilmer County
Population Group: Low Income - Gilmer County
Facility: Federal Correctional Institution - Gilmer
Grant County
Service Area: Grant County
Greenbrier County
Population Group: Low Income-Greenbrier County
Facility: Rainelle Medical Center
Hampshire County
Service Area: Hampshire County
Hancock County
Population Group: Low Income-Hancock County
Facility: Change Inc. , Dba Family Medical Care
Hardy County
Page 231 of 255

Population Group: Low Income - Hardy County
Facility: E.A. Hawse Health Center
Harrison County
Population Group: Low Income - Harrison County
Jackson County
Service Area: Jackson County
Jefferson County
Facility: Harpers Ferry Family Medicine
Kanawha County
Population Group: Low Income - Kanawha County
Facility: Cabin Creek Health Center
Lewis County
Population Group: Low Income-Lewis County
Lincoln County
Population Group: Low Income - Lincoln County
Facility: Lincoln County Primary Care Center
Logan County
Population Group: Low Income - Logan County
Facility: Family Healthcare Associates, Inc.-Man
Facility: Rural Health Access Corporation/Dba Coalfield Health Center
Marion County
Population Group: Low Income-Marion County
Facility: Douglas D. Wolfe Do, Inc.
Facility: Monongahela Valley Association of Health Centers
Marshall County
Population Group: Low Income - Marshall County
Mason County
Population Group: Low Income - Mason County
Facility: Lakin Correctional Center
McDowell County
Service Area: McDowell County
Facility: Bradshaw Medical Rural Health Clinic
Facility: Federal Correctional Institution - McDowell
Facility: Tug River Community Health Center
Facility: Welch Emergency Clinic
Facility: Yukon Medical Clinic
Mercer County
Population Group: Low Income-Mercer County
Facility: Athens Medical Center
Facility: Bluestone Health Center
Facility: Jana Peters, Do
Mineral County
Population Group: Low Income - Mineral County
Facility: Elk Garden Clinic
Page 232 of 255

Mingo County
Population Group: Low Income - Mingo County
Facility: Williamson Health and Wellness Center
Monongalia County
Facility: Clay-Battelle Health Services
Monroe County
Population Group: Low Income-Monroe County
Facility: Miller Family Practice
Facility: Monroe County Health Center
Morgan County
Population Group: Low Income-Morgan County
Facility: Mountaineer Community Health Center, Inc.
Nicholas County
Population Group: Low Income - Nicholas County
Pendleton County
Population Group: Low Income - Pendleton County
Facility: Pendleton Community Center
Pleasants County
Population Group: Low Income - Pleasants County
Pocahontas County
Population Group: Low Income - Pocahontas County
Facility: Pocahontas Memorial Hospital Medical Practice
Preston County
Facility: Federal Correctional Complex-Hazelton
Putnam County
Facility: Family Care, Inc.
Raleigh County
Facility: Beckley Health Right
Facility: Community Health Systems
Facility: Federal Correctional Institution - Beckley
Randolph County
Population Group: Low Income-Randolph County
Facility: Huttonsville Correctional Center
Facility: Valley Health Care, Inc.
Ritchie County
Population Group: Low Income-Ritchie County
Facility: Ritchie County Primary Care Association Inc.
Roane County
Population Group: Low Income - Roane County
Facility: Roane County Family Health Center
Facility: Roane General Medical Associates
Facility: Roane General Medical Clinic
Facility: Southern Roane Medical Clinic
Page 233 of 255

Summers County
Population Group: Low Income-Summers County
Taylor County
Population Group: Low Income-Taylor County
Facility: Preston-Taylor Community Health Center
Facility: Tygart Valley Total Care Clinic
Tucker County
Population Group: Low Income-Tucker County
Facility: St. George Medical Clinic, Inc.
Tyler County
Population Group: Low Income-Tyler County
Upshur County
Population Group: Low Income - Upshur County
Facility: Community Care of West Virginia
Webster County
Population Group: Low Income - Webster County
Facility: Camden-on-Gauley Medical Center
Facility: Webster County Memorial Hospital
Wetzel County
Population Group: Low Income - Wetzel County
Facility: New Martinsville Health Center
Facility: Pine Grove Health Center
Wirt County
Service Area: Wirt County
Wood County
Population Group: Low Income-Wood County
Facility: Wirt County Health Services Association
Wyoming County
Service Area: Wyoming County
Facility: Family Healtcare Associates, Inc.
Facility: Family Healthcare Associates, Inc.-Mullens
Facility: Family Healthcare Associates, Inc.-Pineville

Page 234 of 255

PRIMARY CARE: Wisconsin
County and County Equivalent Listing
Adams County
Service Area: Adams County
Ashland County
Service Area: La Pointe Town
Population Group: Low Income - Price/Mellen
Facility: Bad River Health Svs
Barron County
Population Group: Low Income - Spooner/Shell Lake
Facility: Turtle Lake Medical Clinic
Bayfield County
Facility: Red Cliff Health Services
Facility: The Lakes Community Health Center, Inc.
Brown County
Facility: Green Bay Correctional Institution
Facility: N.E.W. Community Clinic
Facility: Oneida Community Health Center
Buffalo County
Service Area: Durand
Service Area: Mondovi
Burnett County
Service Area: Burnett County
Facility: Burnett Medical Center Clinic
Facility: Ingalls - St. Croix Regional Medical Center
Facility: St. Croix Tribal Health Dpt
Calumet County
Service Area: Chilton/New Holstein/Brillion
Chippewa County
Service Area: Stanley-Cornell Service Area
Clark County
Service Area: Clark County
Facility: Memorial Medical Center - Greenwood
Facility: Memorial Medical Clinic-Neillsville
Facility: Victory Medical Group
Columbia County
Population Group: Low Income-Beaver Dam Service Area
Facility: Columbia Correctional Institution
Crawford County
Population Group: Low Income-Crawford County
Facility: Kickapoo Valley Medical Clinic
Dane County
Facility: Madison Community Health Center
Page 235 of 255

Dodge County
Population Group: Low Income-Beaver Dam Service Area
Population Group: Low Income-Jefferson Service Area
Facility: Fox Lake Correctional Institution
Facility: Waupun Correctional Institution
Door County
Service Area: Sister Bay/Washington Island
Douglas County
Service Area: Minong/Solon Springs
Dunn County
Service Area: Baldwin/Knapp
Service Area: Durand
Eau Claire County
Service Area: Stanley-Cornell Service Area
Florence County
Service Area: Florence County
Fond du Lac County
Service Area: Chilton/New Holstein/Brillion
Forest County
Population Group: Low Income - Forest County
Facility: Potawatomi Health and Wellness Center
Facility: Sokaogon Chippewa Indian Community
Grant County
Population Group: Low Income-Grant County
Facility: Boscobel Area Health Center Bluff Street Clinic
Facility: Riverside Family Practice
Facility: Upland Hills Health Clinic - Mortfort
Green Lake County
Service Area: Markesan/Kingston Service Area
Iowa County
Facility: Upland Hills Health Clinic - Highland
Iron County
Service Area: Hurley/Mercer
Population Group: Low Income - Price/Mellen
Facility: Aspirus Grand View Clinic - Hurley
Jackson County
Service Area: Galesville/Trempealeau
Facility: Ho-Chunk Nation Health Department
Facility: Jackson Correctional Institution
Jefferson County
Population Group: Low Income-Jefferson Service Area
Juneau County
Population Group: Low Income - Hillsboro
Page 236 of 255

Facility: Elroy Family Medical Center
Facility: Mile Bluff Clinic, LLP
Facility: Necedah Family Medical Center
Facility: New Lisbon Clinic
Facility: St. Joseph's Health Services, Inc. Dba Gundersen St. Joseph's
Hospital and Clinic Elroy Clinic
Facility: St. Joseph's Health Services, Inc. Dba Gundersen St. Joseph's
Hospital and Clinic Wonewoc Clinic
Kenosha County
Population Group: Low Income-Kenosha County
Facility: Kenosha Community Health Center
Kewaunee County
Service Area: Kewaunee County
Facility: Family Medical Center - Kewaunee
Facility: Federal Medical Center - Algoma
La Crosse County
Population Group: Low Income-Sparta
Lafayette County
Service Area: Lafayette County
Langlade County
Population Group: Low Income-Langlade County
Manitowoc County
Service Area: Chilton/New Holstein/Brillion
Marathon County
Service Area: City of Wausau
Population Group: Low Income-Athens Stratford Service Area
Facility: Bridge Community Health Center
Marinette County
Population Group: Low Income-Marinette County
Facility: Northreach Healthcare Crivitz
Facility: Northreach-Family Care Medical Clinic
Facility: Peshtigo Family Medicine
Marquette County
Service Area: Marquette County
Menominee County
Facility: Menominee Tribal Clinic-Wolf River
Milwaukee County
Service Area: Inner City South
Service Area: North Milwaukee Service Area
Facility: 16th Street Community Health Center
Facility: Gerald I. Ignace Health Center
Facility: Milwaukee Health Services
Facility: Outreach Community Health Centers, Inc.
Facility: Progressive Community Health Centers, Inc.
Monroe County
Page 237 of 255

Population Group: Low Income - Hillsboro
Population Group: Low Income-Sparta
Facility: Scenic Bluffs Health Center
Oconto County
Service Area: Oconto County
Facility: Family Medical Center - Oconto
Facility: Family Medical Center - Oconto Falls
Facility: St. Clare Memorial Hospital - Gillett Health Center
Facility: St. Clare Memorial Hospital - Lena Health Center
Facility: St. Clare Memorial Hospital - Mountain Health Center
Facility: St. Clare Memorial Hospital - Suring Health Center
Oneida County
Population Group: Low Income-Oneida Vilas
Outagamie County
Population Group: Low Income - Clintonville/Marion
Pepin County
Service Area: Durand
Service Area: Mondovi
Pierce County
Service Area: Durand
Polk County
Population Group: Low Income-Polk County
Facility: Clear Lake Clinic
Facility: Frederic Clinic - St Croix Regional Medical Center
Facility: Luck Medical Clinic
Portage County
Population Group: Low Income-Portage County
Price County
Population Group: Low Income - Price/Mellen
Racine County
Population Group: Low Income - City of Racine
Facility: Racine Correctional Institution
Richland County
Population Group: Low Income - Hillsboro
Rock County
Population Group: Low Income-Rock County
Facility: Community Health Systems
Rusk County
Population Group: Low Income - Rusk County
Sauk County
Population Group: Low Income - Hillsboro
Population Group: Low Income-Sauk Subcounty
Facility: House of Wellness Clinic
Facility: Spring Green Medical Center
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Facility: Upland Hills Health Clinic - Spring Green
Sawyer County
Population Group: Low Income-Sawyer County
Facility: Lac Courte Oreilles Tribal Health Center
Shawano County
Service Area: Shawano County
Facility: Stockbridge-Munsee Tribal Health Center
Sheboygan County
Service Area: Downtown Sheboygan
Facility: Kettle Moraine Correctional Institution
Facility: Sheboygan Area Community Clinics
St. Croix County
Service Area: Baldwin/Knapp
Facility: Baldwin Clinic
Taylor County
Population Group: Low Income-Taylor County
Trempealeau County
Service Area: Galesville/Trempealeau
Population Group: Low Income - Central Trempealeau Service Area
Vernon County
Population Group: Low Income - Hillsboro
Facility: Bland Clinic - Vmh
Facility: Hirsch Clinic - Vhm
Facility: La Farge Medical Clinic - Vhm
Facility: St. Joseph's Health Services, Inc. Dba Gundersen St. Joseph's
Hospital and Clinic Hillsboro Clinic
Vilas County
Population Group: Low Income - Land O Lakes/Presque Isle
Population Group: Low Income-Oneida Vilas
Facility: Great Lakes Inter-Tribal Council
Facility: Peter Christesen Health Center
Walworth County
Population Group: Low Income-Walworth County
Washburn County
Service Area: Minong/Solon Springs
Population Group: Low Income - Spooner/Shell Lake
Waupaca County
Population Group: Low Income - Clintonville/Marion
Waushara County
Population Group: Low Income-Waushara County
Facility: La Clinica De Los Campesinos, Inc.
Winnebago County
Facility: Fox Cities Community Health Center
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Wood County
Population Group: Low Income-Wood County
Facility: Marshfield Family Health

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PRIMARY CARE: Wyoming
County and County Equivalent Listing
Albany County
Facility: University of Wyoming
Big Horn County
Service Area: Big Horn County
Facility: North Big Horn Hospital Clinic
Campbell County
Service Area: South Campbell Service Area
Carbon County
Service Area: Carbon County
Converse County
Service Area: Glenrock
Facility: Glenrock Hospital District Dba Glenrock Health Cen
Crook County
Service Area: Crook County
Facility: Hulett Clinic
Facility: Moorcroft Clinic
Facility: Sundance Clinic
Fremont County
Service Area: Dubois
Population Group: Low Income - Central/Eastern Fremont County
Facility: Arapaho Clinic
Facility: Arapahoe PHS Indian Health Center
Facility: Ft. Washakie PHS Indian Health Center
Facility: Shoshone Tribal Health Dpt
Goshen County
Population Group: Low Income - Goshen County
Hot Springs County
Population Group: Low Income - Hot Springs County
Facility: Red Rock Family Practice - Thermopolis
Johnson County
Service Area: Kaycee Service Area
Laramie County
Service Area: Pine Bluffs
Service Area: Western Laramie County
Facility: Cheyenne Health and Wellness Center
Facility: Community Action of Laramie County
Lincoln County
Service Area: Kemmerer (East and West)
Population Group: Low Income - Afton
Natrona County
Service Area: Northeast Natrona County
Facility: Community Action Partnership of Natrona
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Facility: Community Health Center
Niobrara County
Service Area: Niobrara County
Park County
Service Area: Meeteetse Division
Facility: Powell Health Care Coalition
Platte County
Service Area: Platte County
Sheridan County
Service Area: Eastern Sheridan County
Sublette County
Service Area: Sublette County
Sweetwater County
Service Area: Sweetwater County
Uinta County
Service Area: Eastern Uinta
Population Group: Low Income - Western Uinta
Washakie County
Facility: Red Rock Family Practice - Worland
Weston County
Service Area: Weston County

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PRIMARY CARE: American Samoa
County and County Equivalent Listing
Eastern District
Service Area: American Samoa
Manu'a District
Service Area: American Samoa
Rose Island
Service Area: American Samoa
Swains Island
Service Area: American Samoa
Western District
Service Area: American Samoa
Facility: American Samoa Department of Health

Page 243 of 255

PRIMARY CARE: Federated States of Micronesia
County and County Equivalent Listing
Chuuk State
Service Area: Chuuk State
Facility: Chuuk State Department of Health Services
Kosrae State
Population Group: Low Income - Kosrae State
Facility: Kosrae Department of Health Services
Pohnpei State
Service Area: Pohnpei State
Facility: Pohnpei Community Health Center
Yap State
Service Area: Yap State
Facility: Wa'Ab Community Health Center/Yap State Department of Health
Services

Page 244 of 255

PRIMARY CARE: Guam
County and County Equivalent Listing
Guam

Service Area: Guam
Facility: Guam Department of Public Health

Page 245 of 255

PRIMARY CARE: Marshall Islands
County and County Equivalent Listing
Ailinginae
Service Area: Republic of the Marshall Islands
Ailinglaplap
Service Area: Republic of the Marshall Islands
Ailuk
Service Area: Republic of the Marshall Islands
Arno
Aur

Service Area: Republic of the Marshall Islands
Service Area: Republic of the Marshall Islands

Bikar
Service Area: Republic of the Marshall Islands
Bikini
Service Area: Republic of the Marshall Islands
Ebon

Service Area: Republic of the Marshall Islands

Enewetak
Service Area: Republic of the Marshall Islands
Erikub
Service Area: Republic of the Marshall Islands
Jabat
Service Area: Republic of the Marshall Islands
Jaluit
Service Area: Republic of the Marshall Islands
Jemo Municipality
Service Area: Republic of the Marshall Islands
Kwajalein
Service Area: Republic of the Marshall Islands
Facility: Ministry of Health
Lae
Lib

Service Area: Republic of the Marshall Islands
Service Area: Republic of the Marshall Islands

Likiep
Service Area: Republic of the Marshall Islands
Majuro
Service Area: Republic of the Marshall Islands
Page 246 of 255

Maloelap
Service Area: Republic of the Marshall Islands
Mejit
Service Area: Republic of the Marshall Islands
Mili

Service Area: Republic of the Marshall Islands

Namorik
Service Area: Republic of the Marshall Islands
Namu

Service Area: Republic of the Marshall Islands

Rongelap
Service Area: Republic of the Marshall Islands
Rongrik
Service Area: Republic of the Marshall Islands
Toke
Ujae

Service Area: Republic of the Marshall Islands
Service Area: Republic of the Marshall Islands

Ujelang
Service Area: Republic of the Marshall Islands
Utrik
Service Area: Republic of the Marshall Islands
Wotho
Service Area: Republic of the Marshall Islands
Wotje
Service Area: Republic of the Marshall Islands

Page 247 of 255

PRIMARY CARE: Northern Mariana Islands
County and County Equivalent Listing
Northern Islands Municipality
Service Area: Commonwealth Northern Mariana Islands
Rota Municipality
Service Area: Commonwealth Northern Mariana Islands
Saipan Municipality
Service Area: Commonwealth Northern Mariana Islands
Tinian Municipality
Service Area: Commonwealth Northern Mariana Islands

Page 248 of 255

PRIMARY CARE: Republic of Palau
County and County Equivalent Listing
Aimeliik State
Service Area: Republic of Palau
Airai State
Service Area: Republic of Palau
Angaur State
Service Area: Republic of Palau
Hatoboheit State
Service Area: Republic of Palau
Kayangel State
Service Area: Republic of Palau
Koror State
Service Area: Republic of Palau
Facility: Ministry of Health
Melekeok State
Service Area: Republic of Palau
Ngaraard State
Service Area: Republic of Palau
Ngarchelong State
Service Area: Republic of Palau
Ngardmau State
Service Area: Republic of Palau
Ngatpang State
Service Area: Republic of Palau
Ngchesar State
Service Area: Republic of Palau
Ngernmlengui State
Service Area: Republic of Palau
Ngiwal State
Service Area: Republic of Palau
Peleliu State
Service Area: Republic of Palau
Sonsorol State
Service Area: Republic of Palau

Page 249 of 255

PRIMARY CARE: Puerto Rico
County and County Equivalent Listing
Adjuntas Municipio
Population Group: Low Income - Rational Service Area
7/Adjuntas/Arecibo/Barceloneta/Flor
Aguada Municipio
Population Group: Low Income - Aguada/Aguadilla/Isabel/Moca/Rincon M
Aguadilla Municipio
Population Group: Low Income - Aguada/Aguadilla/Isabel/Moca/Rincon M
Aguas Buenas Municipio
Population Group: Low Income - Caguas
Anasco Municipio
Population Group: Low Income - Anasco/Las Marias/Maricao/Mayaguez/San
Arecibo Municipio
Population Group: Low Income - Rational Service Area
7/Adjuntas/Arecibo/Barceloneta/Flor
Arroyo Municipio
Population Group: Low Income - Arroyo County
Facility: Centro De Salud Familia
Barceloneta Municipio
Population Group: Low Income - Rational Service Area
7/Adjuntas/Arecibo/Barceloneta/Flor
Facility: Barceloneta Primary Health
Bayamo'n Municipio
Population Group: Low Income - Bayamon
Facility: Community Health Foundation of PR, Inc.
Cabo Rojo Municipio
Population Group: Low Income - Rational Service Area 3
Caguas Municipio
Population Group: Low Income - Caguas
Facility: Sanos
Camuy Municipio
Population Group: Low Income - Camuy/Lares/Hatillo Municipios Rational
Service Area 27
Facility: Camuy Health Service
Canovanas Municipio
Facility: Concilio De Salud Integral De Loiza
Catano Municipio
Population Group: Low Income - Bayamon
Ceiba Municipio
Population Group: Low Income - Northeast
Page 250 of 255

Ciales Municipio
Facility: Prymed Medical Clinic, Inc.
Cidra Municipio
Facility: COSSMA Corporation
Culebra Municipio
Population Group: Low Income - Culebra
Fajardo Municipio
Population Group: Low Income - Northeast
Florida Municipio
Population Group: Low Income - Rational Service Area
7/Adjuntas/Arecibo/Barceloneta/Flor
Facility: Centro De Servicios Primarios De Salud Inc.
Guayanilla Municipio
Population Group: Low Income - Ponce Area
Guaynabo Municipio
Facility: Metropolitan Detention Center-Guaynabo
Gurabo Municipio
Population Group: Low Income - Caguas
Facility: Gurabo Community Health Center
Hatillo Municipio
Population Group: Low Income - Camuy/Lares/Hatillo Municipios Rational
Service Area 27
Facility: Centro De Servicios Primarios Y Prevencion De Hatillo
Hormigueros Municipio
Population Group: Low Income - Rational Service Area 3
Jayuya Municipio
Population Group: Low Income - Rational Service Area
7/Adjuntas/Arecibo/Barceloneta/Flor
Lajas Municipio
Population Group: Low Income - Rational Service Area 3
Lares Municipio
Population Group: Low Income - Camuy/Lares/Hatillo Municipios Rational
Service Area 27
Facility: Castaner General Hospital
Las Marias Municipio
Population Group: Low Income - Anasco/Las Marias/Maricao/Mayaguez/San
Loiza Municipio
Population Group: Low Income - Northeast
lsabela Municipio
Population Group: Low Income - Aguada/Aguadilla/Isabel/Moca/Rincon M
Luquillo Municipio
Page 251 of 255

Population Group: Low Income - Northeast
Maricao Municipio
Population Group: Low Income - Anasco/Las Marias/Maricao/Mayaguez/San
Maunabo Municipio
Population Group: Low Income - Maunabo
Mayaguez Municipio
Population Group: Low Income - Anasco/Las Marias/Maricao/Mayaguez/San
Facility: Western Region Community Health Center
Moca Municipio
Population Group: Low Income - Aguada/Aguadilla/Isabel/Moca/Rincon M
Morovis Municipio
Facility: Morovis Community Health
Naguabo Municipio
Population Group: Low Income - Northeast
Naranjito Municipio
Population Group: Low Income - Bayamon
Facility: Salud Integral En La Montana
Patillas Municipio
Population Group: Low Income-Patillas Municipio
Facility: Centro Servicios Primarios De Salud De Patillas in
Penuelas Municipio
Population Group: Low Income - Ponce Area
Ponce Municipio
Population Group: Low Income - Ponce Area
Facility: Consejo De Salud
Rincon Municipio
Population Group: Low Income - Aguada/Aguadilla/Isabel/Moca/Rincon M
Facility: Costa Salud Community Health Center
Rio Grande Municipio
Population Group: Low Income - Northeast
San German Municipio
Population Group: Low Income - Rational Service Area 3
San Juan Municipio
Population Group: Low Income-San Juan Municipio
Facility: Healthpromed Foundation, Inc.
Facility: San Juan Comprehensive
San Lorenzo Municipio
Population Group: Low Income - Caguas
San Sebastian Municipio
Population Group: Low Income - Anasco/Las Marias/Maricao/Mayaguez/San
Page 252 of 255

Santa Isabel Municipio
Population Group: Low Income-Santa Isabel Municipio
Toa Alta Municipio
Population Group: Low Income - Bayamon
Utuado Municipio
Population Group: Low Income - Rational Service Area
7/Adjuntas/Arecibo/Barceloneta/Flor
Facility: Lares Health Center
Vieques Municipio
Population Group: Low Income - Vieques Island
Villalba Municipio
Population Group: Low Income - Villalba County
Yauco Municipio
Population Group: Low Income - Ponce Area

Page 253 of 255

PRIMARY CARE: U.S. Minor Islands
County and County Equivalent Listing
No Health Professional Service Areas (HPSAs) available for the County and
County Equivalent Listing.

Page 254 of 255

PRIMARY CARE: U.S. Virgin Islands
County and County Equivalent Listing
St. Croix
Service Area: St. Croix Island
Facility: Frederiksted Healthcare
St. John
Service Area: St. John Island
St. Thomas
Service Area: St. Thomas
Facility: East End Family Health Center

Page 255 of 255