COUNTY: ALLEGHENY 1301 Carlisle Street Natrona Heights, PA Coal Valley Road Pittsburgh, PA Alle Kiski Medical Center

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1 Alle Kiski Medical Center Jefferson Regional Medical Center COUNTY: ALLEGHENY 1301 Carlisle Street Natrona Heights, PA Coal Valley Road Pittsburgh, PA Valley Medical Facilities, Inc. COUNTY: BEAVER 1000 Dutch Ridge Road Beaver, PA COUNTY: BERKS Haven Behavioral Services of Reading 145 North 6 th Street Reading, PA Reading Hospital Sixth Avenue and Spruce Street West Reading, PA COUNTY: BRADFORD Robert Packer Hospital Guthrie Square Sayre, PA St. Joseph s Hospital 555 St. Joseph s Boulevard Elmira, NY Page 1 of 11 Updated: December 2014

2 COUNTY: BUCKS Lower Bucks Hospital St. Luke s Hospital - Quakertown Rockford Center 501 Bath Road Bristol, PA Park Avenue Quakertown, PA Rockford Center New Castle, DE Butler Memorial Hospital COUNTY: BUTLER One Hospital Way Butler, PA Conemaugh Valley Memorial Hospital COUNTY: CAMBRIA 1086 Franklin Street Johnstown, PA Gnaden Huetten Memorial Hospital Palmerton Hospital COUNTY: CARBON 221 North 12st Street Leighton, PA Lafayette Avenue Palmerton, PA Page 2 of 11 Updated: December 2014

3 The Meadows Psychiatric Center Mount Nittany Medical Center COUNTY: CENTRE 132 Meadows Drive Centre Hall, PA East Park Avenue State College, PA Brandywine Hospital Rockford Center COUNTY: CHESTER 201 Reeceville Road Coatesville, PA Rockford Center New Castle, DE Clarion Psychiatric Center COUNTY: CLARION Two Hospital Drive Clarion, PA COUNTY: CLEARFIELD DuBois Regional Medical Center 635 Maple Avenue DuBois, PA Penn Highlands Clearfield 809 Turnpike Avenue Clearfield, PA Penn Highlands DuBois 204 Hospital Avenue DuBois, PA Page 3 of 11 Updated: December 2014

4 Berwick Hospital Geisinger - Bloomsburg Hospital COUNTY: COLUMBIA 701 East 16 th Street Berwick, PA East Fair Street Bloomsburg, PA COUNTY: CRAWFORD 1034 Grove Street Meadville Medical Center Meadville, PA Holy Spirit Hospital Behavioral Health Services COUNTY: CUMBERLAND 503 North 21 st Street Camp Hill, PA COUNTY: DAUPHIN 2501 North Third Street Pennsylvania Psychiatric Institute Harrisburg, PA COUNTY: DELAWARE Crozer Chester Medical Center 15 th Street & Shaw Terrace Chester, PA Mercy Fitzgerald Hospital 1500 Lansdowne Avenue Darby, PA Rockford Center 100 Rockford Center New Castle, DE Page 4 of 11 Updated: December 2014

5 Millcreek Community Hospital COUNTY: ERIE 5515 Peach Street Erie, PA Highlands Hospital Uniontown Hospital COUNTY: FAYETTE 401 East Murphy Avenue Connellsville, PA West Berkeley Street Uniontown, PA COUNTY: FRANKLIN 112 North Seventh Street Chambersburg Hospital Chambersburg, PA Roxbury Psychiatric Hospital & Treatment 601 Roxbury Road Center Shippensburg, PA Essent Healthcare Waynesburg, LLC COUNTY: GREENE 350 Bonar Avenue Waynesburg, PA COUNTY: HUNTINGDON 1225 Warm Springs Avenue J.C. Blair Memorial Hospital Huntingdon, PA Page 5 of 11 Updated: December 2014

6 Penn Highlands Brookville COUNTY: JEFFERSON 100 Hospital Road Brookville, PA COUNTY: LACKAWANNA 809 Turnpike Avenue Community Medical Center Scranton, PA COUNTY: LANCASTER Ephrata Community Hospital 169 Martin Avenue Ephrata, PA Lancaster General Hospital 555 North Duke Street Lancaster, PA Lancaster Regional Medical Center 250 College Avenue Lancaster, PA COUNTY: LAWRENCE 724 Pershing Street Ellwood City Hospital Ellwood City, PA Philhaven COUNTY: LEBANON 283 South Butler Road Mount Gretna, PA Page 6 of 11 Updated: December 2014

7 Lehigh Valley Hospital St. Luke s Hospital COUNTY: LEHIGH 2545 Schoenersville Road Bethlehem, PA Ostrum Street Bethlehem, PA COUNTY: LUZERNE Wilkes-Barre Behavioral Hospital Company, LLC (First Hospital) 562 Wyoming Avenue Kingston, PA COUNTY: LYCOMING 110 Grampian Boulevard Divine Providence Hospital Williamsport, PA Bradford Hospital COUNTY: MCKEAN 116 Interstate Parkway Bradford, PA Sharon Regional Health Systems COUNTY: MERCER 740 East State Street Sharon, PA Page 7 of 11 Updated: December 2014

8 Geisinger Lewistown Hospital COUNTY: MIFFLIN 400 Highland Avenue Lewistown, PA Pocono Medical Center COUNTY: MONROE 206 East Brown Street East Stroudsburg, PA COUNTY: MONTGOMERY 7170 Lafayette Avenue The Brooke Glen Behavioral Hospital Fort Washington, PA South Bryn Mawr Avenue The Bryn Mawr Hospital Bryn Mawr, PA Eagleville Road Eagleville Hospital Eagleville, PA East Butler Pike The Horsham Clinic Ambler, PA One West Elm Street Mercy Hospital of Philadelphia Suite 100 Conshohocken, PA Mercy Suburban Hospital 2701 Dekalb Pike (Senior Adults ages 55+) East Norriton, PA Beech Drive Montgomery County Emergency Service, Inc. Gate 4 Norristown, PA East High Street Pottstown Memorial Medical Center Pottstown, PA Rockford Center Rockford Center New Castle, DE Page 8 of 11 Updated: December 2014

9 Geisinger Medical Center COUNTY: MONTOUR North Academy Drive Danville, PA COUNTY: NORTHUMBERLAND Geisinger Medical Center 4200 Hospital Road Coal Township, PA Sunbury Hospital Company, LLC 350 North 11 th Street Sunbury, PA COUNTY: PHILADELPHIA The Belmont Center at Einstein Hospital 4200 Monument Road Philadelphia, PA Fairmount Behavioral Health System 561 Fairthorne Avenue Philadelphia, PA Friends Behavioral Health System 4641 Roosevelt Boulevard Philadelphia, PA Mercy Philadelphia Hospital 501 South 54 th Street Philadelphia, PA Rockford Center 100 Rockford Center New Castle, DE Roxborough Community Hospital 5800 Ridge Avenue Philadelphia, PA St. Joseph s Hospital 16 th Street and Girard Avenue Philadelphia, PA Thomas Jefferson University Hospital 11 th and Walnut Streets Philadelphia, PA Page 9 of 11 Updated: December 2014

10 Charles Cole Memorial Hospital COUNTY: POTTER 1001 East Second Street Couldersport, PA COUNTY: SCHUYLKILL 420 South Jackson Street Schuylkill Medical Center Pottsville, PA Schuylkill Medical Center Senior Behavioral 700 East Norwegian Street Health Pottsville, PA COUNTY: SOMERSET 225 South Central Avenue Somerset Community Hospital Somerset, PA COUNTY: TIOGA Soldiers and Sailors Memorial Hospital 32 Central Avenue Wellsboro, PA St. Joseph s Hospital 555 St. Joseph s Boulevard Elmira, NY Warren General Hospital COUNTY: WARREN 2 West Crescent Park Warren, PA Page 10 of 11 Updated: December 2014

11 Brook Lane Health Services The Washington Hospital COUNTY: WASHINGTON Brook Lane Drive Hagerstown, MD Wilson Avenue Washington, PA COUNTY: WESTMORELAND Latrobe Area Hospital 1 Mellon Way Mental Health Center Latrobe, PA West Pittsburgh Street Westmoreland Hospital Association Greenburg, PA York Hospital Behavioral Health Services COUNTY: YORK 1001 South George Street York, PA Page 11 of 11 Updated: December 2014

COUNTY: ALLEGHENY 1301 Carlisle Street Natrona Heights, PA 15065 Coal Valley Road Pittsburgh, PA 15236. Alle Kiski Medical Center

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