First Choice Health PPO Network Idaho Directory

Transcription

1 First Choice Health PPO Network Idaho Directory When Looking for a Provider... The provider you select may not be available to all First Choice Health Network customers due to individual benefit plan or network restrictions. Please confirm your benefits and level of network access by contacting your insurance company or health plan administrator. Inclusion of a provider or facility in this directory does not guarantee coverage. A provider's network participation can vary depending upon where he/she is providing services. Be sure to confirm the provider's network participation at the location you plan to visit. Please consult your benefits summary, plan booklet or summary plan description to determine coverage. First Choice Health (FCHN) disclaims any implied warranty or representation about completeness or applicability for a particular purpose. First Choice Health Network, Inc., is not responsible for any claim, loss or damage resulting from use of this website. Important Information (Please read before proceeding) The First Choice Health PPO Network makes every effort to ensure the accuracy of our provider directory. However, a printed directory will always be at risk of being outdated. Before receiving services, you should always verify that the provider is participating in our network. You can take these steps by calling our PPO Customer Service at (800) Monday through Friday between 8 AM and 5 PM (Pacific). You can also use our website to produce customized real-time provider listings. Simply select the "Find a Doctor, Hospital or Facility" button on the homepage. Please note that actual coverage for the health care services you receive is determined by your benefit plan provisions. Introduction Just like you, First Choice Health, is concerned about the high cost of health care. To help lower the cost of care, we negotiate preferred rates with the health care providers in our network. These preferred rates are available to you because the First Choice Health PPO Network is part of your health care plan. Whenever you choose one of our PPO Network providers, you and your family save on the cost of health care. In addition to lower health care costs, there are other advantages to using PPO Network preferred providers: There are no claims to submit. Preferred providers bill your insurance company or health plan administrator for you; Your out-of-pocket costs are usually lower when you receive in-network care; and The First Choice Health PPO Network offers an extensive network of preferred providers from which to choose your family doctor, primary care physician (PCP) or other health care providers. Please take a few minutes to become acquainted with us as your network. Read your member handbook to understand the benefits provided by your health plan. Be prepared. Know your responsibilities and obligations before you or your family receive(s) care. If you have questions regarding your health coverage, please call your insurance company or health plan administrator. This directory was produced based on information available as of 6/23/2016. First Choice Health makes every effort to ensure the accuracy of our provider directory. Before receiving services, you should always verify that the provider is participating in our network. If you need help finding a preferred provider, please contact First Choice Health PPO Network Customer Service at (800) Monday through Friday between 8 AM and 5 PM (Pacific).

2 Check Our Website For the most current provider information, our website, allows you to look up specific health care providers or locate available providers in your area. You can search by city, zip code and county or provider specialty. This is a convenient way to determine your provider's participation. You can also download a complete directory, hospital listing, facility listing, clinic or urgent care listing. How to Use the First Choice Health PPO Network If your health plan requires you to choose a primary care provider (PCP), you should select one from those listed in this directory. A primary care provider is a family or general practitioner, an internist or a pediatrician. When changing your primary care provider, you should advise your insurance company or health plan administrator. This notification may be a requirement of your health plan. Some health plans also recognize Advanced Registered s (ARNP) as primary care providers. You should call your insurance company or health plan administrator to determine if they recognize ARNPs as primary care providers before you select one as a primary care provider. All primary care providers are listed in bold print for easy identification. Not all primary care providers are able to accept new patients. Those who were not accepting new patients at the time this directory was printed are marked with an asterisk (*). Whenever you select a new primary care provider, we recommend you call the provider's office first to be sure s/he is accepting new patients. If You Need to See a Specialist Your health care plan may require a referral from your primary care provider if you need specialty care. If your plan requires a referral, the process is easy: First, you or your primary care provider should select a specialist from this directory or contact our Customer Service Department at (800) Monday through Friday between 8 AM and 5 PM (Pacific) to verify the preferred status of any specialist; Second, have your primary care provider call the appropriate referral number on your member ID card; and Third, schedule your appointment with the specialist. If your plan does not require a referral, you may select a specialist from this directory, confirm that they are currently a preferred provider and schedule an appointment at any time. Some specialty care may not be covered by your health plan. For example, some health plans do not cover care from chiropractors, social workers, physician assistants and others. Before you schedule an appointment, check the schedule of benefits in your member handbook or call your insurance company to be sure you are covered for these services. If you choose an out-of-network provider or if the specialty care is not covered, your out-of-pocket cost for care is usually higher. Your member handbook, insurance company or health plan administrator will be able to tell you what your benefit levels are, if any, when you receive care from an out-of-network provider. Women's Health Care (Washington State) For some health plans, Washington State law provides that women may self-refer to providers who specialize in the treatment of women's health care needs. This means a woman does not need a referral from her primary care provider in order to see a women's health care provider for the diagnosis and treatment of reproductive health services, gynecological care, maternity care, general examinations or preventative care, as well as medically appropriate follow-up visits for these services. This right to selfreferral is not a guarantee of coverage. Before you schedule your appointment you should do the following: Call your insurance company or health plan administrator to be sure the care you want is covered; Call to confirm whether or not you can self-refer to providers who specialize in women's health care needs;

3 Schedule your appointment with a recognized women's health care provider; and Be sure the women's health care provider is one of our PPO Network preferred providers. The following providers are recognized as women's health care providers: An MD or DO (osteopath) who is a family or general practitioner, internist, obstetrician or gynecologist; A licensed physician assistant for any of the above listed MDs or DOs; An advanced registered nurse practitioner (ARNP) who specializes in women's health, family practice or midwifery; Certified nurse midwife; or Licensed midwife. Please call and confirm with each listed to ensure he/she is accepting patients as a Primary Care Physician. As noted above, some specialty care may not be covered by your health plan. Please call your insurance company or check with your benefit plan to establish whether coverage is available for services provided by a under your health benefits from your health plan. Complementary and Alternative Medicine (CAM) Providers (Naturopaths, Acupuncturists and Licensed Massage Therapists) The First Choice Health PPO Network offers a CAM network for those health plans which have CAM benefits. Some CAM care may not be covered by your health plan. For example, some health plans do not cover care from Naturopaths, Acupuncturists or Licensed Massage Therapists. Before you schedule an appointment, check the schedule of benefits in your member handbook or call your insurance company to be sure you are covered for these services. If you choose an out-of-network provider or if the specialty care is not covered, your out-of-pocket cost for care is usually higher. If You Need Hospital Care Some health care plans require pre-certification of non-emergent hospital care. Check your member ID card to see if your plan requires pre-certification. If pre-certification is required, you or your doctor must call the number printed on your ID card to obtain the necessary authorization before you are admitted to the hospital. In Case of an Emergency In the case of a life-threatening emergency, whether at home or away from home, seek the most immediate care available. If you are admitted to a hospital for an emergency, you, your doctor or the hospital may need to obtain retroactive authorization for the admission within the time specified by your benefit plan, or as soon as you are reasonably able to do so. To obtain certification, please call the number on your ID card. How to File a Claim In most instances, First Choice Health's PPO Network preferred providers will file a claim for the health care services you receive. However, occasionally you may receive a bill for services. If you receive a bill, be sure your name, member ID number, and group number are written on the bill. Please send the bill to the claims address on your ID card. Your Member ID Card is Very Important Your member ID card identifies you as eligible to see our PPO Network providers. It lists the name, address, and telephone number of your insurance company or health plan administrator and contains important information about hospital and surgical preauthorization. Please show your member ID card every time you visit one of our PPO Network providers.

4 Who to Call if You Have Questions Call your insurance company or health plan administrator if you have questions about any of the following: Your insurance coverage or coverage exclusions Your eligibility for health care services Your health care bills and claim processing Referral requirements You will find your insurance company's customer service phone number on your ID card or in your member handbook. The First Choice Health PPO cannot provide eligibility, coverage or claims information. Call First Choice Health in Seattle at (206) or toll-free at (800) Monday through Friday between 8 AM and 5 PM (Pacific) if you have questions about finding a provider or the preferred provider status of a preferred provider or facility. Call the preauthorization telephone number on your ID card if you have questions about preauthorization of hospital services. Thank you for choosing First Choice Health PPO Network. We look forward to meeting your health care needs.

5 HOSPITALS IMPORTANT: Anesthesiologist, Radiologist, Pathologist and Emergency Room Physicians practicing at the following hospitals may not always be preferred providers. To assure the maximum level of benefits, check on the availability of preferred providers for these services. Idaho American Falls Harms Memorial Hospital District Arco Lost Rivers District Hospital Blackfoot Bingham Memorial Hospital Idaho Doctors Hospital Boise Intermountain Hospital St Alphonsus Regional Medical Center Inc Treasure Valley Surgical Hospital (Healthsouth) Bonners Ferry Boundary Community Hospital Caldwell West Valley Medical Center, Inc. Cascade Cascade Medical Center Coeur d Alene Kootenai Medical Center Cottonwood St Mary's Hospital Inc Emmett Walter Knox Memorial Hospital Gooding North Canyon Medical Center Grangeville Syringa Hospital & Clinics Idaho Falls Eastern Idaho Regional Medical Center Mountain View Hospital LLC Jerome 510 Roosevelt St American Falls, ID Highland Dr Arco, ID Poplar St Blackfoot, ID N Meridian Blackfoot, ID N Allumbaugh St Boise, ID Boise, ID Emerald St Boise, ID Kaniksu St Bonners Ferry, ID Arlington Ave Caldwell, ID Old State Hwy Cascade, ID Kootenai Health Way Lewston St Cottonwood, ID E Locust St Emmett, ID N Canyon Dr Gooding, ID W Main St Grangeville, ID Channing Wy Idaho Falls, ID Coronado St Idaho Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 1

6 First Choice Health Directory St Benedicts Family Medical Center Kellogg Shoshone Medical Center Lewiston St Joseph Regional Medical Center Meridian Vibra Hospital of Boise LLC Montpelier Bear Lake County Memorial Hospital Bear Lake County Memorial Hospital Moscow Gritman Medical Center Inc Mountain Home St Luke's Elmore Hospital Nampa Saint Alphonsus Medical Center Nampa Inc Orofino Clearwater Valley Hospital Pocatello Portneuf Medical Center Post Falls Northwest Specialty Hospital Preston Franklin County Medical Center Rexburg Madison Memorial Hospital Rupert Minidoka Memorial Hospital Saint Maries Benewah Community Hospital Salmon Steele Memorial Medical Center Sandpoint Bonner General Hospital Soda Springs 709 N Lincoln Ave Jerome, ID Jacobs Gulch Kellogg, ID th St Lewiston, ID S Bonita Way S 5th St Montpelier, ID S 5th St Montpelier, ID S Main St Moscow, ID N 6th E Mountain Home, ID th Ave Rd Nampa, ID Cedar St Orofino, ID Hospital Way Pocatello, ID E Polston Ave Post Falls, ID N 100 E Preston, ID E Main St Rexburg, ID th St Rupert, ID S 7th St Saint Maries, ID S Daisy St Salmon, ID N 3rd Ave Sandpoint, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 2

7 First Choice Health Directory Caribou Memorial Hospital Weiser Memorial Hospital 300 S 3rd W Soda Springs, ID E 5th St Weiser, ID (208) (208) Preferred Provider Network 6/23/2016 Page 3

8 CLINIC IMPORTANT: Individual providers practicing at the following clinics may not always be preferred providers. To assure the maximum level of benefits, check on the availability of preferred providers for these services. Idaho Aberdeen Health West Inc American Falls Arthritis Specialty Center, Inc. Bingham Memorial Hospital Health West Inc Power County Hospital District Power County Hospital District Power County Hospital District Speech Therapy Services LLC 330 N Main Aberdeen, ID Roosevelt Ave American Falls, ID Tyhee Ave American Falls, ID Reed St American Falls, ID Roosevelt St American Falls, ID Rossevelt St American Falls, ID Tyhee Ave American Falls, ID Fort Hall Ave Ste B American Falls, ID (208) (208) (208) (208) (208) (208) (208) (208) Ammon Ammon Medical and Urgent Care PLLC 3456 E 17th St Ste 125 Ammon, ID Pearl Health Clinic Rehabilitative Health Services 2705 E 17th St Ammon, ID Curlew Dr Ammon, ID Richard New MD PA 1498 S Midway Ave Ste 2 Ammon, ID Wholesome Health 3040 E 17th St Ammon, ID (208) (208) (208) (208) (208) Arco Mental Wellness Centers Ashton Alpine, P.L.L.C. Medical Imaging Associates of Idaho Falls PA Blackfoot Awareness Center For Counseling Barnes LLC Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital 159 N Idaho Arco, ID N 2nd St Ashton, ID S 8th St Ashton, ID W Bridge Blackfoot, ID W Bridge St Ste F Blackfoot, ID Poplar St Blackfoot, ID W Idaho St Blackfoot, ID Poplar Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 4

9 Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Blackfoot Anesthesia Services LLC Blackfoot Anesthesia Services LLC Blackfoot Medical Clinic Blackfoot CAMP Hippo Pediatric Therapy DJ Marc Cardinal MD PA East Idaho Anesthesia Associates PC East Idaho Anesthesia Associates PC Grove City Anesthesia LLC 98 Poplar St Blackfoot, ID Poplar St Blackfoot, ID W Idaho St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Popular St Blackfoot, ID N Meridian St Blackfoot, ID Parkway Dr Blackfoot, ID W Francis St Blackfoot, ID N 600 W Blackfoot, ID Poplar St Blackfoot, ID Poplar Blackfoot, ID N Meridian Blackfoot, ID Parkway Blackfoot, ID Hyde Ellis 725 Jensen Grove Dr Ste 4 Blackfoot, ID Idaho Physicians Clinic Medical Imaging Associates of Idaho Falls PA Mountain States Neonatology Inc Northwest Emergency Physicians Inc Parkway Foot & Ankle PLLC Pocatello Podiatry Associates PA Portneuf Medical Practices Portneuf Valley Family Center 98 Poplar St Blackfoot, ID Parkway Dr Blackfoot, ID Poplar St Blackfoot, ID Poplar St Blackfoot, ID Parkway Dr Ste B Blackfoot, ID Parkway Blackfoot, ID Parkway Blackfoot, ID Jensen Grove Dr Blackfoot, ID Robert J Lee MD PC 1443 Parkway Dr Ste 1 Blackfoot, ID Rocky Mountain PLLC Boise Abundant Life Counseling Access Anesthesia LLC Access Anesthesia LLC 1441 Parkway Dr Blackfoot, ID S Five Mile Rd Boise, ID N Liberty St Boise, ID Medical Dr Boise, ID Access Behavioral Health Services Inc 1276 W River St Ste 100 Boise, ID Acheive PLLC 4776 N Five Mile Rd Ste 101 Boise, ID Action Chiropractic Clinic Ada Dermatology Clinic Adult, Adolescent & Children's Counseling Center Advance Counseling Center Advanced Chiropractic 1542 S Timesquare Ln Boise, ID W Emerald St Boise, ID N Cole Rd Boise, ID N Cole Rd Ste 200B Boise, ID W Overland Rd Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (509) (509) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 5

10 Advance 9362 W Overland Rd Boise, ID Advantage Walk-in Chiropractic 2031 E Hospitality Ln Ste 150 Boise, ID Advantage Walk-In Chiropractic Alare' Counseling & Coaching, P.L.L.C N Milwaukee St Boise, ID W Platinum Dr Boise, ID Allergy Clinic - Idaho, Inc. 727 E Riverpark Ln Ste 100 Boise, ID Allied Orthopedics LLC 7979 W Rifleman St Boise, ID Allied Orthopedics LLC 1789 S Broadway Ave Ste 100 Boise, ID Amy Orlovich 2577 S Five Mile Rd Boise, ID Ankle & Foot Center PC 222 N 2nd St Ste 301 Boise, ID APB Medical, PC 222 N 2nd St Ste 304 Boise, ID Apex Chiropractic and Wellness 2200 E Warm Springs Ave Ste 106 Boise, ID Artisan Optics 7960 W Rifleman St Ste 150 Boise, ID Artisan Optics Aspen Mental Health At Chiropractic Audiology & Hearing Aid Center Autobus LLC 190 N 8th St Boise, ID W King St Boise, ID S Five Mile Boise, ID N Milwaukee St Ste A Boise, ID Potomac Dr Boise, ID Balance Chiropractic Clinics 6013 Overland Ste 101 Boise, ID Balanced Solutions Counseling 2577 S Five Mile Rd Boise, ID Beacon Pain Clinic 115 W Main St Ste 102 Boise, ID Beacon Pain Clinic 115 W Main St Ste 202 Boise, ID Beacon Pain Clinic 115 W Main St Ste 201 Boise, ID Behavioral Health Associates 600 E Riverpark Ln Ste 200 Boise, ID Blackmer Foot & Ankle Group PA 727 E Riverpark Ln Ste 100 Boise, ID Boise Advanced Imaging, PLLC Boise Advanced Imaging, PLLC Boise Anesthesia, P.A W Emerald St Boise, ID W Washington St Boise, ID Boise, ID Boise Anesthesia, P.A. 900 N Liberty St Ste 450 Boise, ID Boise Arthritis Clinic 901 N Curtis Rd Ste 404 Boise, ID Boise Asthma & Allergy Clinic 901 N Curtis Rd Ste 100 Boise, ID Boise Chiropractic Boise Family Chiropractic Boise Family Medicine Center 9217 W State St Boise, ID W Boise Ave Boise, ID W Overland Rd Boise, ID Boise Kidney and Hypertension PLLC 1109 W Myrtle St Ste 100 Boise, ID Boise Orthopedic Clinic 1075 N Curtis Rd Ste 300 Boise, ID Boise Osteopathic Medical Clinic 7685 W Emerald St Boise, ID Boise Physical Medicine and Rehabilitation 1000 N Curtis Rd Ste 202 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 6

11 Boise Psychological Services 315 N Allumbaugh St Boise, ID Boise Rheumatology, P.C. 222 N 2nd Ste 304 Boise, ID Boise Skin Clinic PLLC 1070 N Curtis Rd Ste 150 Boise, ID Boise Speech and Hearing Clinic W Persimmon Ln Ste 120 Boise, ID Boise State University Health Services Boise Vision Care PA 1529 Belmont St Boise, ID N Milwaukee St Boise, ID Booth Psychological Solutions, PLLC 4700 N Cloverdale Rd Ste 215 Boise, ID Cancer Center of Idaho 9357 W Emerald St Boise, ID Candace Crow, Ph.D W Bannock St Ste 101 Boise, ID Capital Eye Care Center for Lifetime Health 6700 W Emerald St Boise, ID E Bannock St Boise, ID Charles Novak, M.D. 413 N Allumbaugh St Ste 101 Boise, ID Chinese Acupuncture & Natural Therapy Center Chiropractic Arts 2425 N Milwaukee St Boise, ID S Five Mile Rd Boise, ID Christian G. Zimmerman, M.D., PA 6140 W Curtisian Ste 400 Boise, ID Clarity Counseling PLLC Claudia Currie-Mills LCSW 5185 W Overland Rd Boise, ID W Main St Boise, ID Coire Weathers MD 413 N Allumbaugh St Ste 101 Boise, ID Complete Care Audiology W Persimmon Ln Ste 120 Boise, ID Connections Counseling Center 6550 W Emerald St Ste 110 Boise, ID Cross Natural Health 4700 N Cloverdale Rd Ste 103 Boise, ID Crum Chiropractic LLC David A Sim MD PA David A Teed David J. Antonie, O.D S Maple Grove Rd Boise, ID W Emerald St Boise, ID N 13th St Boise, ID W Overland Rd Boise, ID David Kent, M.D. 413 N Allumbaugh St Ste 101 Boise, ID David N. Price, D.C., DABCO 9508 Fairview Ave Boise, ID Davis Family Medicine 222 N 2nd St Ste 204 Boise, ID Deer Point, P.C N Eagle Rd Boise, ID Denae Barowsky LPC 3350 W Americana Ter Ste 215 Boise, ID Dermatology Clinic of Idaho DH Pitkin 7733 W Emerald St Boise, ID W Emerald St Boise, ID Diane Barnhill, L.C.P.C N Mountain View Dr Ste 185 Boise, ID Digestive Health Clinic, LLC Direct Surgical Assist Direct Surgical Assist 6259 W Emerald St Boise, ID W Rifleman St Boise, ID Boise, ID D Peter Reedy MD 999 N Curtis Rd Ste 307 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 7

12 Dr. Frederick D. Mondin Elizabeth Betsy Johnson Counseling Services LLC Elizabeth Birchmore Riss PLLC 220 W State St Boise, ID N 11st St Boise, ID W Washington St Boise, ID Eloisa S. Walker, M.D. 100 E Idaho St Ste 304 Boise, ID Emerge Counseling and Yoga 1001 N 27th St Boise, ID Eric Gilbreath, M.D. 413 N Allumbaugh St Ste 101 Boise, ID Erik S. Jones, D.O., P.L.L.C. 222 N 2nd St Ste 202 Boise, ID Erland PC Etnyre & Associates PLLC Evans Anesthesia Services, P.C N Eagle Rd Boise, ID W Emerald St Boise, ID E Riverpark Ln River Run Surgery Center Boise, ID Evans Anesthesia Services, P.C. 360 E Mallard Dr Ste 125 Boise, ID Exodus Pain Clinic 4850 N Rosepoint Way Ste 100 Boise, ID Exodus Pain Clinic 4850 N Rosepoint Way Ste 100 Boise, ID Family Health Care 1075 N Curtis Rd Ste 100 Boise, ID Family Medicine Health Center Family Medicine Health Center Family Medicine Health Center Family Medicine Health Center Medical Center Medical Center 777 N Raymond St Boise, ID E Fort St Boise, ID W 35th St Boise, ID W Emerald St Boise, ID N Raymond St Boise, ID E Fort St Boise, ID Fazzio Clinic 7301 W Emerald St Ste 102 Boise, ID Ferch Family Chiropractic Fletcher Chiropractic Center PLLC Foster Chiropractic 6624 Overland Rd Boise, ID N Eagle Rd Boise, ID N Maple Grove Rd Boise, ID Frances Zucco LCPC LLC 3350 W Americana Ter Way Ste 210 Boise, ID Francois D Trotta MD PA Full Circle Counseling & Consulting Gail M. Baccheschi, A.C.S.W. 128 E Mallard Dr Boise, ID W Bannock St Boise, ID W Hays St Boise, ID Gail Robison NP PLLC 413 N Allumbaugh St Ste 101 Boise, ID Gary W. Lee, L.C.S.W. 600 N Curtis Rd Ste 125 Boise, ID Gem State Dermatology PA Gem State Gem State 388 E Parkcenter Blvd Boise, ID Boise, ID W Myrtle St Boise, ID Gem State 161 E Mallard Dr Ste 130 Boise, ID Gem State 6200 W Emerald St Boise, ID Gem State LLP 161 E Mallard Dr Ste 130 Boise, ID Gem State LLP Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (866) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (808) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 8

13 Gem State LLP Gem State LLP Gem State LLP Gem State LLP 6200 W Emerald St Boise, ID W Myrtle St Boise, ID W Myrtle St Boise, ID W Franklin Rd Boise, ID Gem State LLP 161 E Mallard Ste 120 Boise, ID Gem State LLP Gem State LLP 6533 W Emerald St Boise, ID N Raymond St Boise, ID Glen S. Lovelace, M.D., PA 333 N 1st St Ste 260 Boise, ID Haase Consulting and Counseling 413 N Allumbaugh St Ste 101 Boise, ID Harvey Family Chiropractic Healthquest Chiropractic, P.C S Broadway Ave Boise, ID N Cole Rd Boise, ID Healthy Creations, Inc N Lakeharbor Ln Ste 201 Boise, ID Helene Belanger Counseling 1524 W Hays St Ste 201 Boise, ID Hickey Chiropractic DC 376 S Latah St Boise, ID Hollingshead Eye Center 360 E Mallard Dr Ste 110 Boise, ID Idaho Dermatologic Surgery & Laser Center 999 N Curtis Rd Ste 505 Boise, ID Idaho Diabetes & Endocrine Associates PA 9196 W Emerald St Ste 160 Boise, ID Idaho Emergency Physicians, P.A. Idaho Emergency Physicians, P.A N Cole Ste B Boise, ID Boise, ID Idaho Endocrinology, PLLC 403 S 11th St Ste 100 Boise, ID Idaho Eye Care Center Idaho Foot & Ankle Associates 1175 W Boise Ave Boise, ID N Liberty St Boise, ID Idaho Hand Center 901 N Curtis Rd Ste 304 Boise, ID Idaho Joint and Spine PC 9510 W Fairview Ave Boise, ID Idaho Memory & Aging Center PLLC 413 N Allumbaugh St Ste 101 Boise, ID Idaho Nephrology Associates 5610 Gage St Ste A Boise, ID Idaho Neurology 901 N Curtis Rd Ste 101 Boise, ID Idaho Pediatric Therapy Clinic PLLC W Wainwright Dr Boise, ID Idaho Physical Medicine Rehabilitation 600 N Robbins Rd Ste 300 Boise, ID Idaho Sleep Specialists, P.C. 403 S 11th St Ste 210 Boise, ID Idaho Spine and Sports Idaho Sports Medicine Institute, P.A. Idaho Urologic Institute, P.A W McMillan Rd Boise, ID University Dr Boise, ID N 2nd Boise, ID Idaho Urologic Institute, P.A. 222 N 2nd St Ste 115 Boise, ID Intermountain Eye & Laser Centers PLLC 999 N Curtis Rd Ste 205 Boise, ID Intermountain Eye & Laser Centers PLLC 251 E Front St Ste 110 Boise, ID Intermountain Functional Medicine PLLC W Wainwright Dr Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (617) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 9

14 Intermountain Medical Imaging Intermountain Medical Imaging 927 W Myrtle St Boise, ID Boise, ID James E Hollingsworth DC Chtd Garverdale Ct Ste 203 Boise, ID James G. Saccomando, Jr., MD 413 N Allumbaugh Ste 101 Boise, ID James R Barry PhD 6003 W Overland Rd Ste 301 Boise, ID James W. Kranz, D.C. Janelle Eckhardt PhD J Cameron Preece PhD LMFT Jenny Callao McColl, L.M.H.C. Jenny Zarak Counseling LLC Jon-Eric Baillie 910 N Curtis Rd Boise, ID W Hays St Boise, ID W Franklin St Boise, ID W Franklin St Boise, ID S Five Mile Rd Boise, ID W Barnes Dr Boise, ID Jon R Gray Chiropractic Center W Persimmon Ln Ste 102 Boise, ID Jon Wagnild, M.D Gage St Ste A Boise, ID Jordan Looze LPC 4948 Kootenai St Ste 207 Boise, ID Judit McCullough DC 410 S Orchard St Ste 152 Boise, ID Julia Gerhardt LCSW LLC 6550 Emerald St Ste 110 Boise, ID Kafia Abbasi MD 413 N Allumbaugh St Ste 101 Boise, ID Kaleidoscope Pediatric Therapy 7211 W Franklin Rd Boise, ID KB Counseling 413 N Allumbaugh St Ste 101 Boise, ID Keeton Counseling Services Keller Skin & Cancer Care PC W Landmark Ct Boise, ID N Eagle Rd Boise, ID Kennth M. Little, M.D W Curtisian Ave Ste 400 Boise, ID Kimberlee Minter Counseling PLLC 413 N Allumbaugh St Ste 101 Boise, ID Kinectic Chiropractic Kirk Parge DC 1819 W Holly St Boise, ID W Overland Rd Ste L101 Boise, ID Knowles Chiropractic PA 8752 W Overland Rd Ste 110 Boise, ID Kristine A Kirsch 3350 Americana Ter Ste 215 Boise, ID Laura Shockley Counseling 413 N Allumbaugh St Ste 101 Boise, ID Lifeline Chiropractic 5440 W Franklin Rd Ste 107 Boise, ID Lifepath Counseling and Wellness Live Right Chiropractic Living Hope Clinic Inc Main Family Medical W Overland Rd Boise, ID S Orchard St Ste A Boise, ID N Cole Rd Ste A Boise, ID W Main St Boise, ID Manning Neurosurgery PLLC 6140 W Curtisian Ave Ste 400 Boise, ID Maple Grove Eye Clinic 8955 W Hackamore Dr Boise, ID Marci Danielson LLC 3350 W Americana Terrace Ste 215 Boise, ID Mardi Stacy, Ph.D W Jefferson St Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (952) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 10

15 Mariella L Hogan PhD ATR-BC PLLC 1010 W Hays St Boise, ID Mark Bostik, M.D. 413 N Allumbaugh St Ste 101 Boise, ID Marlys Borreson LCPC Mary M Simon LCSW PLLC McKim Chirorpactic McMillan Medical Center 1074 E Krall St Boise, ID W Washington St Boise, ID W Emerald St Boise, ID N Five Mile Rd Boise, ID Megan Linz Counseling 6126 W State St Ste 106 Boise, ID Melinda E Blanchet N 11th Ave Boise, ID Melinda E Blanchet 6126 W State St Ste 208 Boise, ID Metamorphosis Counseling Center of Idaho, L.L.C S Timesquare Ln Ste 200 Boise, ID Michael R Thiry DC 5804 W Emerald St Boise, ID Michael V. Hajjar, M.D W Curtisian Ave Ste 400 Boise, ID Michael V. Hajjar, M.D W Curtisian Ave Ste 400 Boise, ID Michele Boyer, M.D. 413 N Allumbaugh St Ste 101 Boise, ID M Kathryn Montgomery M Kathryn Montgomery LPC 1414 W Franklin St Boise, ID W Franklin St Boise, ID Molly and Me Counseling and Training Center 2995 N Cole Rd Ste 115 Boise, ID Mountain Land Rehabilitation Inc 1435 S Maple Grove Rd Ste 201 Boise, ID Mountain Land Rehabilitation Inc 1907 S Broadway Ave Ste 203 Boise, ID Mountain States Counseling and Psychological Serivices, Inc. Mountain States Neonatology Inc Mountain States Neonatology Inc Nagraj Narasimhan, M.D. 311 N Allumbaugh St Boise, ID W Emerald St Boise, ID Boise, ID Gage St Ste A Boise, ID Ninon Germain MD 413 N Allumbaugh St Ste 101 Boise, ID Noah B Edvalson Northend Wellness 3271 N Milwaukee St Boise, ID W Hays St Boise, ID Northwest Eye & Laser Center, PLLC 111 W Main St Ste 200 Boise, ID Northwest Physical Medicine and Rehabilitation 6140 W Curtisian Ave Ste 400 Boise, ID Northwest Physical Medicine and Rehabilitation 190 E Bannock St Boise, ID NS Support, LLC 6140 W Curtisian Ave Ste 400 Boise, ID Oakes Chiropractic Health Center PA 3183 N Cole Rd Boise, ID Orthopaedic Associates, P.A W Emerald St Ste 140 Boise, ID Overton Stiff Professional Anesthesia Services Inc 220 W Jefferson St Boise, ID Overton Stiff Professional Anesthesia Services Inc 360 E Mallard Dr Ste 125 Boise, ID Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc 999 N Curtis Rd Boise, ID N Eagle Rd Boise, ID N Talcrest Pl Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (800) (208) (208) Preferred Provider Network 6/23/2016 Page 11

16 Overton Stiff Professional Anesthesia Services Inc 333 N 1st St Ste 240 Boise, ID Overton Stiff Professional Anesthesia Services Inc 403 S 11th St Ste 320 Boise, ID Overton Stiff Professional Anesthesia Services Inc 403 S 11th St Ste 300 Boise, ID Overton Stiff Professional Anesthesia Services Inc 727 E Riverpark Ln Boise, ID Overton Stiff Professional Anesthesia Services Inc 727 E Riverpark Ln Ste 200 Boise, ID Overton Stiff Professional Anesthesia Services Inc 1529 S Timesquare Ln Ste 100 Boise, ID Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc Pacific Cataract & Laser Institute Pacific Cataract & Laser Institute Pain Care Center Boise 305 W Idaho St Boise, ID N 2nd St Boise, ID N Eagle Rd Boise, ID S Vista Ave Boise, ID S Vista Ave Boise, ID W Myrtle Boise, ID Pain Center 901 N Curtis Rd Ste 304 Boise, ID Pain Center Boise Pathways of Idaho LLC 301 W Myrtle St Boise, ID Cole Rd Ste B Boise, ID Paul J. Montalbano, M.D W Curtisian Ave Ste 400 Boise, ID Peak, P.C Emerald St Ste 101 Boise, ID Pediatric Cardiology 100 E Idaho St Ste 200 Boise, ID Perma Mental Health 950 W Bannock St Ste 1100 Boise, ID Personal Care Chiopractic Clinic PA 1319 W River St Boise, ID Perspectives Counseling 4948 W Kootenai St Ste 207 Boise, ID Pioneer Family Medicine 5909 W State St Boise, ID W Persimmon Ln Boise, ID Planned Parenthood of Western Washington 1109 Main Street Suite 500 Boise, ID Podiatry Center of Idaho 900 N Liberty St Ste 306 Boise, ID Precision Performance and Therapy 8950 W Emerald St Ste 150 Boise, ID Preventative Health LLC Primary Health Medical Group Primary Health Medical Group 9171 W State St Boise, ID E Fairview Ave Boise, ID W Overland Rd Boise, ID Primary Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID Primary Health Medical Group Primary Health Medical Group Primary Health Medical Group W Fairview Ave Boise, ID W State St Boise, ID W Emerald St Boise, ID Primary Health Medical Group 300 W Myrtle St Ste 100 Boise, ID Primary Health Medical Group 125 E Idaho St Ste 210 Boise, ID Primary Health Medical Group 4971 W Overland Rd Boise, ID Primary Health Medical Group-Urgent Care 1907 S Broadway Ste 101 Boise, ID (208) (208) (208) (866) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (800) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 12

17 Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care 300 W Myrtle St Boise, ID W Overland Rd Boise, ID W Fairview Ave Boise, ID Quiet Waters Counseling 6003 W Overland Rd Ste 101 Boise, ID Rachel Root PhD LP LLC 6003 W Overland Rd Ste 301 Boise, ID Raise the Bottom Training & Counseling Services LLC 9196 W Barnes Dr Boise, ID Reagan & Associates PLLC 413 N Allumbaugh St Ste 101 Boise, ID RehabAuthority LLC W Overland Rd Boise, ID RehabAuthority LLC 5520 N Eagle Rd Suite 102 Boise, ID RehabAuthority LLC 5520 N Eagle Rd Ste 102 Boise, ID Renee Hatten LCSW Renee O Bild PLLC 1408 W Hays St Boise, ID W Jefferson St Boise, ID Retina Specialists of Idaho, P.L.L.C W Wainwright Dr Ste 301 Boise, ID Retina Specialists of Idaho PLLC W Wainwright Dr Ste 301 Boise, ID Richard Lochhead MD PLLC 6140 W Curtisian Ave Ste 400 Boise, ID Roman Schwartsman, M.D W Norwood Dr Boise, ID Ronald B. Tye, PSY.D W Overland Rd Ste 301 Boise, ID Rosenberg Chiropractic, P.C W State St Ste 220 Boise, ID Rosmary Luque LCPC 4172 N Creswell Way Boise, ID Roxanne Nichols LLC 100 Main St Ste 203 Boise, ID Ryan N. Cole, M.D W Marigold St suite 150 Boise, ID Sage Healthcare 413 N Allumbaugh St Ste 101 Boise, ID Sage Health Care, P.L.L.C. 413 N Allumbaugh St Ste 101 Boise, ID Sage K Rogers MS LMFT Saint Alphonsus Behavioral Health Saint Alphonsus Inpatient Medicine Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center 1407 N 13th St Boise, ID N Allumbaugh St Boise, ID Boise, ID Boise, ID Boise, ID N Allumbaugh Boise, ID W Emerald St Boise, ID Boise, ID Saint Alphonsus Regional Medical Center 1075 N Curtis Rd Ste 200 Boise, ID Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Boise, ID Boise, ID Saint Alphonsus Rehabilitation Services 901 N Curtis Rd Ste 204 Boise, ID Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services 717 N Liberty St Boise, ID N Discovery Pl Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 13

18 Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services 1050 W State St Boise, ID E Parkcenter Blvd Boise, ID Saint Alphonsus Rehabilitation Services 901 N Curtis Rd Ste 204 Boise, ID Saint Alphonsus Rehabilitation Services 717 N Liberty Boise, ID Saint Alphonsus Specialty Services Inc 900 N Liberty St Ste 206 Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 102 Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 102 Boise, ID Saint Alphonsus Specialty Services Inc 1880 W Judith Ln Boise, ID Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 300 Boise, ID Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 300 Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 200 Boise, ID Saint Alphonsus Specialty Services Inc 1070 N Curtis Rd Ste 125 Boise, ID Saint Alphonsus Specialty Services Inc Boise, ID Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 102 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 501 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 503 Boise, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 6th Fl Boise, ID th Fl Boise, ID Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 201 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 503 Boise, ID Saint Alphonsus Specialty Services Inc Boise, ID Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 101 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 401 Boise, ID Saint Alphonsus Specialty Services Inc 900 N Liberty Ste 204 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 104 Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 102 Boise, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Boise, ID N Curtis Rd Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 100 Boise, ID Saint Alphonsus Specialty Services Inc 6500 W Emerald St Boise, ID Saint Alphonsus Specialty Services Inc 1072 N Liberty St Ste 303 Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 501 Boise, ID Saint Alphonsus Specialty Services Inc 5959 N Discovery Pl Boise, ID Saint Alphonsus Specialty Services Inc 1072 N Liberty St Ste 201 Boise, ID Saint Alphonsus Specialty Services Inc 999 N Curtis Rd Ste 415 Boise, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Boise, ID W Emerald St Boise, ID (208) (209) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) Preferred Provider Network 6/23/2016 Page 14

19 Saint Alphonsus Specialty Services Inc 6165 W Emerald St Boise, ID Saint Alphonsus Specialty Services Inc 900 N Liberty St Ste 101 Boise, ID Saint Alphonsus Specialty Services Inc 900 N Liberty St Ste 101 Boise, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Boise, ID Boise, ID Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 300 Boise, ID Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 2141 E Parkcenter Blvd Boise, ID Boise, ID Boise, ID Boise, ID Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 501 Boise, ID Saint Alphonsus Vascular & Endovascular Services 6140 W Curtisian Ave Ste 102 Boise, ID Saint Alphonsus Wound Healing & Hyperbaric Medicine Boise, ID Saltzer Clinics 8950 W Emerald St Ste 168 Boise, ID Saltzer Clinics 7272 W Potomac Dr Boise, ID Sandra A. Thompson, M.D W Shoreline Dr Ste 140 Boise, ID Satu H Woodland 3060 S Rookery Lane Boise, ID Sawtooth Epidemiology and Infectious Disease 125 E Idaho St Ste 100 Boise, ID Sawtooth LLC Sensory Bin Pediatric Therapy Clinic PLLC 7979 W Rifleman St Boise, ID W Wainwright Dr Boise, ID Sharon Oster, M.D. 403 S 11th St Ste 310 Boise, ID Shelly Conley-Durkin, P.L.L.C. ShopKo EyeCare Center #4065 Sonshine Family Health Clinic Soo W. Lee, DC Southwest Idaho Advanced Care Hospital Providers 3775 N Eagle Rd Boise, ID Fairview Ave Boise, ID N Cole Rd Ste H Boise, ID Overland Rd Boise, ID W Franklin Rd Boise, ID Southwest Idaho Ear, Nose and Throat 900 N Liberty St Ste 400 Boise, ID SPD Organ Transplant Speech Spot LLC St Alphonsus Pathology Physcian Services St Alphonsus Pathology Physcian Services St Alphonsus Pathology Physcian Services 5610 W Gage St Ste A Boise, ID S Orchard St Ste B Boise, ID N Curtis Boise, ID Boise, ID Boise, ID St Alphonsus Pathology Physcian Services 901 N Curtis Rd Ste 401 Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 100 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc W State St Boise, ID W Emerald St Boise, ID St. Alphonsus Regional Medical Center, Inc W Emerald St Ste 2 Boise, ID (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (541) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) (208) (208) (208) (208) (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 15

20 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc W McMillan Rd Boise, ID W Overland Rd Boise, ID S Owyhee St Boise, ID St. Alphonsus Regional Medical Center, Inc W Shoreline Dr Ste 120 Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Liberty Ste 204 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. Boise, ID W Emerald St Boise, ID W Judith Ln Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste 100 Boise, ID St. Alphonsus Regional Medical Center, Inc W Emerald St Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 204 Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste 300 Boise, ID St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Ste 403 Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 200 Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 201 Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 201 Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste B10 Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 125 Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste 200 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. Boise, ID Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 300 Boise, ID St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 206 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc W Emerald St Boise, ID th Fl Boise, ID St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 501 Boise, ID St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 503 Boise, ID St. Alphonsus Regional Medical Center, Inc W Curtisian Ave Ste 102 Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Ste 305 Boise, ID St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. Boise, ID E Baybrook Ct Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 125 Boise, ID St. Alphonsus Regional Medical Center, Inc. 600 W Robbins Rd Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 300 Boise, ID St. Alphonsus Regional Medical Center, Inc N Curtis Rd Ste 201 Boise, ID St. Alphonsus Regional Medical Center, Inc. Boise, ID (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are (208) All practitioners providing services are Preferred Provider Network 6/23/2016 Page 16