Sentinel Security Life Insurance Company



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Sentinel Security Life Insurance Company Medicare Select Provider Network Sentinel Security Life SELECT plans are available in the following states: Arizona Colorado Kansas Louisiana Nebraska North Carolina Oklahoma Texas Utah This listing is inclusive of all hospitals available for your use as part of being in the Sentinel Security Life SELECT Provider Network. SENTINEL SECURITY LIFE INSURANCE COMPANY PO BOX 65478 SALT LAKE CITY, UTAH 84165 REV 06/23/2014

Medicare Select Provider Network CONTACT INSURANCE CARRIER TO VERIFY PROVIDER PARTICIPATION AT TIME OF SALE by State and County ALABAMA Calhoun Jacksonville Hospital 1701 South Pelham Rd Jacksonville AL 36265 Coffee Medical Center Enterprise 400 N Edwards St Enterprise AL 36330 Covington Andalusia Regional Hospital 849 S Three Notch St Andalusia AL 36420 Mizell Memorial Hospital 702 N Main St Opp AL 36467 Dale Dale Medical Center 100 Hospital Ave Ozark AL 36360 Etowah Gadsden Regional Medical Center 1007 Goodyear Blvd Gadsden AL 35903 Morgan Decatur General Hospital 1201 7Th Ave Se Decatur AL 35601 Randolph Randolph Medical Center 59928 Highway 22 Roanoke AL 36274 Wedowee Hospital 209 Main St N Wedowee AL 36278 ARIZONA Apache Sage Memorial Hospital Hwy 264 Ganado AZ 86505 Maricopa Arizona Regional Medical Center 515 N Mesa Dr Mesa AZ 85201 Arizona Spine And Joint Hospital 4620 E Baseline Rd Mesa AZ 85206 Pima Carondelet Heart And Vascular Institute 4888 N Stone Ave Tucson AZ 85704 Carondelet St Marys Hospital 1601 W Saint Marys Rd Tucson AZ 85745 El Dorado Hospital 1400 N. Wilmot Tucson AZ 85712 Northwest Medical Center 6200 North La Cholla Blvd Tucson AZ 85741 Northwest Medical Center Ina Urgent Care 2945 W Ina Road Tucson AZ 85741 Northwest Medical Center Outpatient Therapy 2945 W Ina Road Tucson AZ 85741 Northwest Medical Center Rancho Vistoso Urgent Care 13101 North Oracle Road Tucson AZ 85737 Northwest Rancho Vistoso Imaging Services 13101 North Oracle Road Tucson AZ 85737 St Josephs Hospital Of Tucson 350 N Wilmot Rd Tucson AZ 85711 ARIZONA Pinal Arizona Regional Medical Center Apache J 2050 W Southern Ave Apache Junction AZ 85120 Page 1 of 21 Sentinel Medicare Select Provider Network 6/23/2014

ARKANSAS Arkansas Dewitt Hospital And Nursing Home 1641 S Whitehead Dr De Witt AR 72042 Benton Ozarks Community Hospital Of Gravette 1101 Jackson St Sw Gravette AR 72736 Craighead Nea Baptist Memorial Hospital 3024 Stadium Blvd Jonesboro AR 72401 Garland National Park Medical Center 1910 Malvern Avenue Hot Springs AR 71901 Lawrence Lawrence Memorial Hospital 1309 W Main St Walnut Ridge AR 72476 Little River Little River Memorial Hospital 451 W Locke St Ashdown AR 71822 Pulaski St Vincent Doctors Hospital 6101 St Vincent Circle Little Rock AR 72205 St Vincent Infirmary Medical Center 2 St. Vincent Circle Little Rock AR 72209 St Vincent Medical Center North 2215 Wildwood Ave. Sherwood AR 72120 CALIFORNIA Alameda City Of Alameda Health Care District 2070 Clinton Ave Alameda CA 94501 Eden Medical Center 20103 Lake Chabot Rd Castro Valley CA 94546 Laurel Grove Hospital 19933 Lake Chabot Rd Castro Valley CA 94546 San Leandro Hospital 13855 E 14Th St San Leandro CA 94578 Colusa Colusa Regional Medical Center 199 Webster St Colusa CA 95932 Fresno Coalinga Regional Medical Center 1191 Phelps Ave Coalinga CA 93210 Kingsburg District Hospital 1200 Smith St Kingsburg CA 93631 Sanger General Hospital 2558 Jensen Ave Sanger CA 93657 Imperial Palo Verde Hospital 250 N 1St St Blythe CA 92225 Kern Bakersfield Memorial Hospital 420 34Th St Bakersfield CA 93301 Good Samaritan Hospital 901 Olive Dr Bakersfield CA 93308 Los Angeles Beverly Hospital 309 W Beverly Blvd Montebello CA 90640 Brotman Medical Center 3828 Delmas Ter Culver City CA 90232 CALIFORNIA Los Angeles Coast Plaza Doctors Hospital 13100 Studebaker Rd Norwalk CA 90650 Covina Valley Community Hospital 845 N Lark Ellen Ave West Covina CA 91791 Doctors Hospital Of West Covina 725 S Orange Ave West Covina CA 91790 Miracle Mile Medical Center 6000 San Vicente Blvd Los Angeles CA 90036 Pacifica Hospital Of The Valley 9449 San Fernando Rd Sun Valley CA 91352 Silver Lake Medical Center 1711 W Temple St Los Angeles CA 90026 St Johns Hospital & Health Care Center 1328 22Nd St Santa Monica CA 90404 Temple Community Hospital 235 N Hoover St Los Angeles CA 90004 USC University Hospital 1500 San Pablo St Los Angeles CA 90033 Orange Western Medical Center Anaheim 1025 S Anaheim Blvd Anaheim CA 92805 Western Medical Center Santa Ana 1001 N Tustin Ave Santa Ana CA 92705 Riverside San Gorgonio Memorial Hospital 600 N Highland Springs Ave Banning CA 92220 San Bernardino Doctors Hospital 5000 San Bernardino St Montclair CA 91763 Mountains Community Hospital 29101 Hospital Rd Lake Arrowhead CA 92352 Page 2 of 21 Sentinel Medicare Select Provider Network 6/23/2014

CALIFORNIA San Diego Fallbrook Hospital 624 E Elder St Fallbrook CA 92028 San Francisco UCSF Medical Center 505 Parnassus Ave San Francisco CA 94143 Santa Clara Stanford Medical Center 300 Pasteur Dr Stanford CA 94305 Stanislaus Oak Valley District Hospital 350 S Oak Ave Oakdale CA 95361 COLORADO Alamosa San Luis Valley Regional Medical Center 106 Blanca Ave Alamosa CO 81101 CONNECTICUTT Hartford Bradley Memorial Hospital And Health Cen 81 Meriden Ave Southington CT 06489 Page 3 of 21 Sentinel Medicare Select Provider Network 6/23/2014

District of Columbia District of Columbi Greater Southeast Community Hospital 1310 Southern Ave Se Washington DC 20032 Howard University Hospital 2041 Georgia Ave Nw Washington DC 20060 Specialty Hospital of Washington - Hadley 4601 Martin Luther King Jr Ave Washington DC 20032 FLORIDA Broward Broward Health Coral Springs 3000 Coral Hills Dr. Coral Springs FL 33065 Broward Health Imperial Point 6401 N. Federal Highway Fort Lauderdale FL 33308 Broward Health Medical Center 1600 S. Andrews Ave. Fort Lauderdale FL 33316 Broward Health North 201 East Sample Rd. Pompano Beach FL 33064 Charlotte Charlotte Regional Medical Ctr 809 E Marion Ave Punta Gorda FL 33950 Peace River Regional Medical Center 2500 Harbor Blvd Port Charlotte FL 33952 Citrus Citrus Memorial Hospital 502 W Highland Blvd Inverness FL 34452 Seven Rivers Regional Medical Center 6201 N Suncoast Blvd Crystal River FL 34428 Collier Physicians Regional - Collier 8300 Collier Blvd Naples FL 34114 Physicians Regional - Pine Ridge 6101 Pine Ridge Road Naples FL 34119 Duval Shands Jacksonville- Pavillion 580 W Eighth St Jacksonville FL 32209 Shands Jacksonville-Med. Ctr. 655 W Eighth St Jacksonville FL 32209 Hernando Brooksville Regional Hospital 17240 Cortez Blvd Brooksville FL 34601 FLORIDA Hernando Spring Hill Regional Hospital 10461 Quality Dr Spring Hill FL 34609 Hillsborough H Lee Moffitt Cancer Ctr & Rsrch. Ins. 12902 Magnolia Dr Tampa FL 33612 South Florida Baptist Hospital 301 N Alexander St Plant City FL 33563 St Josephs Hospital 3001 W MLK Jr Blvd Tampa FL 33607 St Josephs Womens Hospital 3030 W MLK Jr Blvd Tampa FL 33607 Indian River Indian River Medical Center 1000 36th Street Vero Beach FL 32960 Lee Lehigh Regional Medical Center 1500 Lee Blvd Lehigh Acres FL 33936 Manatee Lakewood Ranch Medical Center 8330 Lakewood Ranch Bradenton FL 34202 Manatee Memorial Hospital & Health System 206 Second Street East Bradenton FL 34208 Marion Munroe Regional Medical Ctr 1500 SW 1st Ave Ocala FL 34478 Miami-Dade Jackson Memorial Hospital 1611 Nw 12Th Ave Miami FL 33136 Jackson North Medical Center 160 Nw 170Th St North Miami Beach FL 33169 Jackson South Community Hospital 9333 Sw 152Nd St Miami FL 33157 Page 4 of 21 Sentinel Medicare Select Provider Network 6/23/2014

FLORIDA Miami-Dade Miami Jewish Home And Hospital 5200 Ne 2Nd Ave Miami FL 33137 Palm Springs General Hospital 1475 W 49Th St Hialeah FL 33012 Westchester General Hospital 2500 Sw 75Th Ave Miami FL 33155 Orange Health Central Hospital 10000 W Colonial Dr Ocoee FL 34761 Palm Beach Lakeside Medical Center 39200 Hooker Hwy Belle Glade FL 33430 Wellington Regional Medical Center 10101 Forest Hill Blvd Wellington FL 33414 Pasco Florida Hospital Zephyrhills 7050 Gall Blvd Zephyrhills FL 33541 Morton Plant North Bay Hospital 6600 Madison St New Port Richey FL 34652 Pinellas Bayfront Medical Ctr 701 6th St S St Petersburg FL 33701 Largo Medical Center - Indian Rocks Campus 2025 Indian Rocks Rd Largo FL 33774 Mease Countryside Hospital 3231 McMullen Booth Rd Safety Harbor FL 34695 Mease Dunedin Hospital 601 Main St Dunedin FL 34698 Morton Plant Healthcare 300 Pinellas Street Clearwater FL 33756 St Anthonys Hospital 1200 Seventh Ave N St Petersburg FL 33705 FLORIDA Polk Heart of Florida Regional Medical Ctr. 1615 US Hwy. 27 N. Davenport FL 33837 Sarasota Venice Regional Medical Center 540 The Rialto Venice FL 34285 GEORGIA Chatham St Josephs Hospital 11705 Mercy Blvd Savannah GA 31419 Cherokee Northside Hospital Cherokee INC 201 Hospital Rd Canton GA 30114 Clayton Southern Regional Medical Center 11 Upper Riverdale Rd. SW Riverdale GA 30274 Cook Memorial Hospital Of Adel 706 N Parrish Ave Adel GA 31620 Fannin Fannin Regional Hospital 2855 Old Highway 5 Blue Ridge GA 30153 Fulton Kindred Hospital Atlanta 705 Juniper St NE Atlanta GA 30308 Shepherd Center 2020 Peachtree Rd NW Atlanta GA 30309 Greene Minnie G Boswell Memorial Hospital 1201 Siloam Rd Greensboro GA 30642 Jackson BJC Medical Center 70 Medical Center Dr Commerce GA 30529 Newton Newton General Hospital 5126 Hospital Dr NE Covington GA 30014 Page 5 of 21 Sentinel Medicare Select Provider Network 6/23/2014

IDAHO Ada Complex Care Hospital Of Idaho 2131 S Bonito Way Meridian ID 83642 ILLINOIS Christian Pana Community Hospital 101 E 9Th St Pana IL 62557 Cook Holy Family Medical Center 100 River Road Des Plaines IL 60016 Our Lady of Resurrection Medical Center 5645 W. Addison ST Chicago IL 60634 Resurrection Medical Center 7435 W. Talcott Ave Chicago IL 60631 Saint Joseph Health Centers & Hospital 2900 N. Lake Shore Drive Chicago IL 60657 St Elizabeths Hospital 1431 N. Claremont Ave Chicago IL 60622 St Francis Hospital 355 Ridge Ave Evanston IL 60202 St Mary of Nazareth Hospital Center 2233 W. Division St Chicago IL 60622 The University of Chicago Hospitals and Health System 5841 S. Maryland Avenue Chicago IL 60637 Westlake Community Hospital 1225 W. Lake St Melrose Park IL 60160 Fulton Graham Hospital 210 W Walnut St Canton IL 61520 La Salle Illinois Valley Community Hospital 925 West St Peru IL 61354 Lake Highland Park Hospital 777 Park Ave W Highland Park IL 60035 ILLINOIS Mercer Mercer County Hospital 409 Nw 9Th Ave Aledo IL 61231 Peoria Proctor Hospital 5409 N Knoxville Ave Peoria IL 61614 Saint Clair Kenneth Hall Regional Hospital Inc 129 N 8Th St East Saint Louis IL 62201 Touchette Regional Hospital 5900 Bond Ave East Saint Louis IL 62207 Williamson Heartland Regional Medical Center 3333 W Deyoung St Marion IL 62959 Winnebago OSF Saint Anthony Medical Center 5666 E State St Rockford IL 61108 Page 6 of 21 Sentinel Medicare Select Provider Network 6/23/2014

INDIANA Clark Clark Memorial Hospital 1220 Missouri Ave Jeffersonville IN 47130 Saint Catherine Regional Hospital 2200 Market St Charlestown IN 47111 Floyd Floyd Memorial Hospital And Health Serv 1850 State St New Albany IN 47150 Lawrence Bedford Regional Medical Center 2900 W 16th St Bedford IN 47421 Washington Washington County Memorial Hospital 911 N Shelby St Salem IN 47167 IOWA Delaware Regional Medical Center Of Ne Ia And Del 709 W Main St Manchester IA 52057 Polk Broadlawns Medical Center 1801 Hickman Rd Des Moines IA 50314 Scott Trinity At Terrace Park 4500 Utica Ridge Rd Bettendorf IA 52722 Story Story County Hospital 630 6Th St Nevada IA 50201 KANSAS Greenwood Greenwood County Hospital 100 W 16th St Eureka KS 67045 Johnson Heartland Spine and Specialty Hospital 10720 Nall Ave Overland Park KS 66211 Sedgwick Kansas Surgery and Recovery Center 2770 N Webb Rd Wichita KS 67226 Shawnee St Francis Hospital and Medical Center 1700 SW 7th St Topeka KS 66606 Page 7 of 21 Sentinel Medicare Select Provider Network 6/23/2014

KENTUCKY Bullitt Jewish Hospital Medical Center South 1903 W Hebron Ln Shepherdsville KY 40165 Caldwell Caldwell Medical Center 101 Hospital Dr Princeton KY 42445 Clay Manchester Memorial Hospital 210 Marie Langdon Dr Manchester KY 40962 Fayette UK Hospital Chandler Medical Ctr. 800 Rose Street Lexington KY 40536 Green Jane Todd Crawford Memorial Hospital 202 Milby St Greensburg KY 42743 Jefferson Frazier Rehab Institute 220 Abraham Flexner Way Louisville KY 40202 Frazier Rehab Institute East 4912 US Hwy 42, Suite 104 Louisville KY 40222 Frazier Rehab Institute Fern Valley 100 High Rise Dr. Louisville KY 40213 Frazier Rehab Institute Jeffersontown 10216 Taylorsville Rd. Suite 950 Louisville KY 40299 Frazier Rehab Institute Newburg 3430 Newburg Road Suite 111A Louisville KY 40218 Frazier Rehab Institute Southwest 4604 Greenwood Rd Louisville KY 40258 Jewish Hospital 217 E Chestnut St. Louisville KY 40202 Livingston Livingston Hospital and Healthcare Services 131 Hospital Dr Salem KY 42078 KENTUCKY Meade Frazier Rehab Institute Meade County 534 Fairway Dr. Brandenburg KY 40108 Owen New Horizons Medical Center 330 Roland Ave Owenton KY 40359 Shelby Jewish Hospital Shelbyville 727 Hospital Dr Shelbyville KY 40065 Taylor Taylor County Hospital 1700 Old Lebanon Rd Campbellsville KY 42718 LOUISIANA Acadia Acadia General Hospital 1305 Crowley Rayne Hwy Crowley LA 70526 Allen Allen Parish Hospital 108 N 6Th St Kinder LA 70648 Bossier CHRISTUS Schumpert Bossier 2105 Airline Drive Bossier City LA 71111 Caddo CHRISTUS Schumpert - St. Mary Place One St. Mary Place Shreveport LA 71101 CHRISTUS Schumpert Highland 1453 East Bert Kouns Shreveport LA 71105 Calcasieu CHRISTUS St Patrick Hospital 524 Dr. Michael Debakey Dr Lake Charles LA 70601 Concordia Riverland Medical Center 1700 E Wallace Blvd N Ferriday LA 71334 East Baton Rouge Integra Hospital Baton Rouge Llc 8000 Summa Ave Baton Rouge LA 70809 Evangeline Savoy Medical Center 801 Poinciana Ave Mamou LA 70554 Jefferson Doctors Hospital of Jefferson 4320 Houma Blvd. Metairie LA 70006 Ochsner Medical Center Kenner 180 W. Esplanade Ave Kenner LA 70065 Ochsner Medical Center West Bank 2500 Belle Chasse Hwy. Gretna LA 70056 Page 8 of 21 Sentinel Medicare Select Provider Network 6/23/2014

LOUISIANA Lafayette Lafayette General Medical Center 1214 Coolidge St Lafayette LA 70503 Lafayette General Surgical Center 1000 West Pinhook Rd Lafayette LA 70503 Rehabilitation Hospital of Acadiana 310 Youngsville Highway Lafayette LA 70508 Lincoln Green Clinic Surgical Hospital 1118 S Farmerville St Ruston LA 71270 Orleans Community Care Hospital 1421 General Taylor St New Orleans LA 70115 Methodist Hospital 5620 Read Blvd. New Orleans LA 70127 Ochsner Baptist Medical Center 2700 Napoleon Ave New Orleans LA 70115 Ouachita P & S Surgical Hospital 312 Grammont St Monroe LA 71201 St Francis Medical Center 309 Jackson St Monroe LA 71210 St Francis North Hospital 3421 Medical Park Dr Monroe LA 71203 Pointe Coupee Pointe Coupee General Hospital 2202 False River Dr New Roads LA 70760 Rapides CHRISTUS St. Frances Cabrini Hospital 3330 Masonic Drive Alexandria LA 71301 Red River CHRISTUS Coushatta Health Care Center 1635 Marvelle Street Coushatta LA 71019 LOUISIANA Saint Helena St Helena Parish Hospital Highway 43 North Greensburg LA 70441 Saint Landry Opelousas General Hospital 539 E. Prudhomme St Opelousas LA 70570 Saint Tammany Louisiana Heart Hospital 64030 Highway 434 Lacombe LA 70445 St John The Baptist River Parishes Hospital 500 Rue De Sante La Place LA 70068 St Martin St Martin Hospital 210 Champagne Blvd Breaux Bridge LA 70517 St Tammany Ochsner Medical Center - Northshore 100 Medical Center Dr Slidell LA 70461 Terrebonne Terrebonne General Medical Center 8166 Main St. Houma LA 70360 Vermilion Abrom Kaplan Memorial 1310 W 7th St Kaplan LA 70548 Washington Riverside Medical Center 1900 Main St Franklinton LA 70438 Webster Phc Minden Lp 1 Medical Plaza Pl Minden LA 71055 Springhill Medical Center 2001 Doctors Drive Springhill LA 71075 MASSACHUSETTS Essex Amesbury Hospital 24 Morrill Pl Amesbury MA 01913 North Shore Medical Center Union Campus 500 Lynnfield St Lynn MA 01904 Middlesex Saints Memorial Medical Center Hospital Dr Lowell MA 01852 Somerville Hospital 230 Highland Ave Somerville MA 02143 Norfolk Good Samaritan Medical Center Goddard Ca 909 Sumner St Stoughton MA 02072 Quincy Medical Center 114 Whitwell St Quincy MA 02169 Plymouth Caritas Good Samaritan Medical Center 235 N Pearl St Brockton MA 02301 Suffolk Faulkner Hospital 1153 Centre St Boston MA 02130 Lemuel Shattuck Hospital 170 Morton St Jamaica Plain MA 02130 Tufts New England Medical Center 800 Washington St Boston MA 02111 Worcester Clinton Hospital 201 Highland St Clinton MA 01510 Hubbard Regional Hospital 340 Thompson Rd Webster MA 01570 Page 9 of 21 Sentinel Medicare Select Provider Network 6/23/2014

MICHIGAN Allegan Borgess Pipp Hospital 411 Naomi St Plainwell MI 49080 Hillsdale Hillsdale Community Health Center 168 S Howell St Hillsdale MI 49242 Kalamazoo Borgess Medical Center 1521 Gull Rd Kalamazoo MI 49048 Macomb Kern Hospital 21230 Dequindre Rd Warren MI 48091 Muskegon Lifecare Hospitals Of Western Michigan 1700 Oak Ave Fl 3 Muskegon MI 49442 Wayne Garden City Hospital 6245 Inkster Rd Garden City MI 48135 St Mary Mercy Hospital 36475 5 Mile Rd Livonia MI 48154 MINNESOTA Hennepin North Memorial Medical Center 3300 Oakdale Ave N Robbinsdale MN 55422 MISSISSIPPI Claiborne Patients Choice Medical Center Of Claibo 123 Mccomb Ave Port Gibson MS 39150 Copiah Hardy Wilson Memorial Hospital 233 Magnolia St Hazlehurst MS 39083 Jones South Central Regional Medical Center 1220 Jefferson St Laurel MS 39440 Marion Marion General Hospital 1560 Sumrall Rd Columbia MS 39429 Pearl River Crosby Memorial Hospital 801 Goodyear Blvd Picayune MS 39466 Pearl River County Hospital & Nursing Home 305 W Moody St Poplarville MS 39470 Pike Beacham Memorial Hospital 205 N Cherry St Magnolia MS 39652 Simpson Simpson Community Healthcare Inc 1842 Simpson Highway 149 Mendenhall MS 39114 Walthall Walthall County General 100 Hospital Dr Tylertown MS 39667 Page 10 of 21 Sentinel Medicare Select Provider Network 6/23/2014

MISSOURI Barton Barton County Memorial Hospital 29 Nw 1St Ln Lamar MO 64759 Greene Ozarks Community Hospital 2828 N National Ave Springfield MO 65803 Jackson St Joseph Medical Center 1000 Carondelet Dr Kansas City MO 64114 Jasper Landmark Hospital Of Joplin 2040 W 32Nd St Joplin MO 64804 Mercy McCune-Brooks Hospital 3125 Dr. Russell Smith Way Carthage MO 64836 Newton Freeman Hospital East 932 East 34th St Joplin MO 64804 Freeman Hospital West 1102 West 32nd St Joplin MO 64804 Freeman Neosho Hospital 113 West Hickory St Neosho MO 64850 Ray Excelsior Springs Medical Ctr 1700 Rainbow Blvd Excelsior Springs MO 64024 Ray County Memorial Hospital 904 Wollard Blvd Richmond MO 64085 Ripley Ripley County Memorial Hospital 109 Plum St Doniphan MO 63935 St Louis Des Peres Hospital 2345 Dougherty Ferry Rd St Louis MO 63122 St Louis University Hospital 3635 Vista at Grand Blvd St Louis MO 63110 MONTANA Missoula Community Medical Center 2827 Fort Missoula Rd Missoula MT 59804 NEVADA Clark Desert Springs Hospital Medical Center 2075 East Flamingo Road Las Vegas NV 89119 Spring Valley Hospital Medical Center 5400 So. Rainbow Blvd. Las Vegas NV 89118 Summerlin Hospital Medical Center 657 Town Center Drive Las Vegas NV 89134 Valley Hospital Medical Center 620 Shadow Ln Las Vegas NV 89106 Washoe Saint Marys Regional Medical Center 235 West Sixth St Reno NV 89503 Page 11 of 21 Sentinel Medicare Select Provider Network 6/23/2014

NEW HAMPSHIRE Strafford Wentworth Douglass Hospital 789 Central Ave Dover NH 3820 NEW JERSEY Bergen Bergen Regional Medical Center 230 E Ridgewood Ave Paramus NJ 07652 Hudson Jersey City Medical Center 355 Grand St Jersey City NJ 07302 Meadowlands Hospital Medical Center 55 Meadowlands Pkwy Secaucus NJ 07094 Morris Kindred Hospital Morris County 400 W Blackwell St Dover NJ 07801 Passaic Kindred Hospital Wayne 224 Hamburg Tpke Wayne NJ 07470 Union Kindred Hospital Rahway 865 Stone St Rahway NJ 07065 Robert Wood Johnson University Hospital 865 Stone St Rahway NJ 07065 Warren St. Luke s Hospital Warren Campus 185 Roseberry Street Phillipsburg NJ 08865 NEW MEXICO Bernalillo Heart Hospital Of New Mexico Llc 504 Elm St Ne Albuquerque NM 87102 Page 12 of 21 Sentinel Medicare Select Provider Network 6/23/2014

NEW YORK Erie Sheehan Memorial Hospital 425 Michigan Ave Buffalo NY 14203 Kings Coney Island Hospital 2601 Ocean Pkwy Brooklyn NY 11235 Kings County Hospital Center 451 Clarkson Ave Brooklyn NY 11203 Victory Memorial Hospital 699 92Nd St Brooklyn NY 11228 Nassau Nassau University Medical Center 2201 Hempstead Tpke East Meadow NY 11554 New York Bellevue Hospital Center 462 1St Ave New York NY 10016 Queens Peninsula Hospital Center 5115 Beach Channel Dr Far Rockaway NY 11691 The Parkway Hospital Inc 7035 113Th St Forest Hills NY 11375 Richmond Staten Island University Hospital - North Campus 475 Seaview Ave Staten Island NY 10305 Staten Island University Hospital - South Campus 375 Seguine Ave Staten Island NY 10309 Suffolk Brunswick Hospital Center Inc 366 Broadway Amityville NY 11701 Warren Glens Falls Hospital 100 Park St Glens Falls NY 12801 NEW YORK Westchester Mount Vernon Hospital 12 N 7Th Ave Mount Vernon NY 10550 NORTH CAROLINA Orange University of North Carolina Hospitals 101 Manning Dr Chapel Hill NC 27514 Rockingham Annie Penn Memorial Hospital 618 S Main St Reidsville NC 27320 Page 13 of 21 Sentinel Medicare Select Provider Network 6/23/2014

OHIO Allen Lima Memorial Hospital 1001 Bellefontaine Ave Lima OH 45804 Belmont East Ohio Regional Hospital 90 N Fourth St Martin's Ferry OH 43935 Butler Mercy Hospital of Fairfield 3000 Mack Rd Fairfield OH 45014 Clermont Mercy Hospital Clermont 3000 Hospital Dr Batavia OH 45103 Cuyahoga Lakewood Hospital 14519 Detroit Ave Lakewood OH 44107 Erie Firelands Regional Medical Center - Main Campus 1111 Hayes Ave Sandusky OH 44870 Firelands Regional Medical Ctr -S. Campus 1912 Hayes Ave Sandusky OH 44870 Fairfield Fairfield Medical Center 401 N Ewing St Lancaster OH 43130 Franklin Arthur G. James Cancer Hospital 300 W 10th Ave Columbus OH 43210 Ohio State University Hospital East 1492 E Broad St. Columbus OH 43205 Ohio State University Hospitals 410 W 10th Ave Columbus OH 43210 Richard G. Solove Research Institute 300 W 10th Ave Columbus OH 43210 OHIO Guernsey Southeastern Ohio Regional Medical Center 1341 N Clark St Cambridge OH 43725 Hamilton Mercy Franciscan Hospital-Mt Airy Campus 2446 Kipling Ave Cincinnati OH 45239 Mercy Franciscan Hospital-Western Hills Campus 3131 Queen City Ave Cincinnati OH 45238 Mercy Hospital Anderson 7500 State Rd Cincinnati OH 45255 Licking The Medical Center of Newark 2000 Tamarack Rd Newark OH 43055 Lorain Lorain Commty/St Josephs Reg. Hlth Ctr 3700 Kolbe Rd Lorain OH 44053 Lucas St Anne Mercy Hospital 3404 Sylvania Ave Toledo OH 43623 St Charles Mercy Hospital 2600 Navarre Ave Oregon OH 43616 St Vincents Mercy Health Center 2213 Cherry St Toledo OH 43608 Mahoning St Elizabeth Health Ctr 1044 Belmont Ave Youngstown OH 44504 Medina Lodi Community Hospital 225 Elyria St Lodi OH 44254 Stark Massillon Community Hospital 875 8th St NE Massillon OH 44646 OKLAHOMA Beckham Sayre Memorial Hospital 911 Hospital Dr Sayre OK 73662 Caddo Physicians Hospital In Anadarko 1002 E Central Blvd Anadarko OK 73005 Latimer Latimer County General Hospital 806 Highway 2 N Wilburton OK 74578 Mcintosh Epic Medical Center 1 Hospital Dr Eufaula OK 74432 Murray Arbuckle Memorial Hospital 2011 W Broadway Ave Sulphur OK 73086 Oklahoma Edmond Medical Ctr One South Bryant St Edmond OK 73034 Midwest Regional Medical Center 2825 Parklawn Drive Midwest City OK 73110 OU Medical Center 1200 N. Everett Dr Oklahoma City OK 73104 Presbyterian Tower Hospital 700 NE 13th St Oklahoma City OK 73104 Sequoyah Sequoyah Memorial Hospital And Homecare 213 E Redwood Ave Sallisaw OK 74955 Tulsa Hillcrest Medical Center 1120 S Utica Ave Tulsa OK 74104 Oklahoma State University Medical Center 744 W 9th St Tulsa OK 74127 Page 14 of 21 Sentinel Medicare Select Provider Network 6/23/2014

PENNSYLVANIA Bucks St. Luke s Emergency & Transport Services, Inc. 11th Street & Park Avenue Quakertown PA 18951 St. Luke s Quakertown Hospital 1021 Park Avenue Quakertown PA 18951 Warminster Hospital 225 Newton Rd Warminster PA 18974 Delaware Crozer-Chester Medical Center One Medical Center Boulevard Upland PA 19013 Crozer-Chester Medical Center - Community Hospital 2600 West Ninth Street Chester PA 19013 Crozer-Chester Medical Center - Crozer Health Pavilion 145 South Brinton Lake Road Glen Mills PA 19342 Crozer-Chester Medical Center - Media Medical Pavilion 200 State Street Media PA 19063 Crozer-Chester Medical Center - Springfield Hospital 190 West Sproul Road Springfield PA 19064 Crozer-Chester Medical Center Crozer Medical Plaza at Brinton Lake 300 Evergreen Avenue Glen Mills PA 19342 Crozer-Chester Medical Center Crozer Medical Plaza Regional Cancer Center at Brinton Lake 500 Evergreen Avenue Glen Mills PA 19342 Crozer-Chester Medical Center Springfield Pavilion 30 Lawrence Road Broomall PA 19008 Crozer-Chester Medical Center Taylor Hospital 175 East Chester Pike Ridley Park PA 19078 DCMH Pavilion 30 Lawrence Road Broomall PA 19008 PENNSYLVANIA Delaware DCMH Rehab 1500 Garrett Road Upper Darby PA 19083 Delaware County Memorial Hospital 501 North Lansdowne Avenue Drexel Hill PA 19026 Delaware County Memorial Hospital - MOB Wellness Center II 2010 West Sproul Road Chester Pike Springfield PA 19064 Taylor Hospital 175 East Chester Pike Ridley Park PA 19078 Lawrence Jameson Hospital 1211 Wilmington Rd New Castle PA 16101 Lehigh St. Luke's Hospital - Allentown Campus 1736 Hamilton Street Allentown PA 18104 Northampton St. Luke s HomeStar Services, LLC 77 South Commerce Way Bethlehem PA 18017 St. Luke s Hospital Anderson Campus 1872 Riverside Circle Easton PA 18045 St. Luke s Physician Group, Inc. 240 Union Station Bethlehem PA 18015 St. Luke's Hospital Bethlehem Campus 801 Ostrum Street Bethlehem PA 18015 Visiting Nurse Association of St. Luke s Home Health/Hospice, Inc. 1510 Valley Center Parkway, Suite 200 Bethlehem PA 18017 Philadelphia Episcopal Hospital 100 E Lehigh Ave Philadelphia PA 19125 Graduate Hospital 1800 Lombard Street Philadelphia PA 19146 PENNSYLVANIA Philadelphia Hahnemann University Hospital Broad and Vine Streets Philadelphia PA 19102 St Christophers Hospital for Children Erie Avenue at Front Street Philadelphia PA 19134 Schuylkill St. Luke s Miners Memorial Hospital 360 West Ruddle Street Coaldale PA 18218 Westmoreland Westmoreland Hospital 532 W Pittsburgh St Greensburg PA 15601 Page 15 of 21 Sentinel Medicare Select Provider Network 6/23/2014

RHODE ISLAND Providence Roger Williams Medical Center 825 Chalkstone Ave Providence RI 2908 SOUTH CAROLINA Allendale Allendale County Hospital Highway 278 West Fairfax SC 29827 Edgefield Edgefield County Hospital 300 Ridge Medical Plaza Rd Edgefield SC 29824 Marlboro Marlboro Park Hospital 1138 Cheraw St Bennettsville SC 29512 SOUTH DAKOTA Yankton Lewis And Clark Specialty Hospital 2601 Fox Run Pkwy Yankton SD 57078 Page 16 of 21 Sentinel Medicare Select Provider Network 6/23/2014

TENNESSEE Bradley Skyridge Medical Center - Main Campus 2305 Chambliss Ave Nw Cleveland TN 37311 Skyridge Medical Center - Westside Campus 2800 Westside Dr Nw Cleveland TN 37312 Coffee Medical Center Of Manchester 481 Interstate Dr Manchester TN 37355 Davidson Vanderbilt University Medical Center 1211 22nd Avenue S. Nashville TN 37232 Hardin Hardin Medical Center 935 Wayne Road Savanna TN 38372 Houston Patients Choice Medical Center Of Erin 5001 E Main St Erin TN 37061 Knox University of Tennessee Medical Center 1924 Alcoa Hwy Knoxville TN 37920 Scott Scott County Hospital 18797 Alberta St Oneida TN 37841 Shelby Delta Medical Center 3000 Getwell Rd Memphis TN 38118 Unicoi Unicoi Memorial Hospital 100 Greenway Cir Erwin TN 37650 TEXAS Anderson Palestine Regional Med. Ctr - E. Campus 2900 S Loop 256 Palestine TX 75802 Palestine Regional Med. Ctr-W. Campus 4000 S Loop 256 Palestine TX 75802 Andrews Permian Regional Medical Center 720 Hospital Dr Andrews TX 79714 Angelina Memorial Medical Center of East Texas 1201 Frank Lufkin TX 75904 Memorial Specialty Hospital 1201 Frank Lufkin TX 75904 Bee CHRISTUS Spohn Hospital Beeville 1500 E Houston St Beeville TX 78102 Bexar Christus Santa Rosa Hospital 519 W Houston St San Antonio TX 78207 Christus Santa Rosa Medical Ctr 2827 Babcock Rd San Antonio TX 78229 Christus Santa Rosa Rehab. Hospital 2827 Babcock Rd-1st Floor San Antonio TX 78229 Bowie Christus St Michael Health System 2600 Saint Michael Dr Texarkana TX 75503 Brazoria Sweeny Community Hospital 305 N Mckinney St Sweeny TX 77480 Brazos St Josephs Home Health 3030 E 29th St, Suite 108 Bryan TX 77802 St Josephs Regional Health Ctr 2801 Franciscan Dr Bryan TX 77802 TEXAS Brazos St Josephs Regional Rehabilitation Ctr 1600 Joseph Dr Bryan TX 77802 Burleson Burleson St Joseph Health Center 1101 Woodson Dr Caldwell TX 77836 Somerville Family Medicine Clinic 600 Avenue C Somerville TX 77879 St Joseph - Caldwell Family Med. Clinic 1103 Woodson Dr Caldwell TX 77836 Camp East Texas Medical Center Pittsburg 2701 Us Highway 271 N Pittsburg TX 75686 Cherokee Mother Frances Hospital - Jacksonville 2026 S. Jackson Jacksonville TX 75766 Collin Integra Hospital Plano Llc 2301 Marsh Ln Plano TX 75093 Colorado Rice Medical Center 600 South Austin Rd Eagle Lake TX 77434 Culberson Culberson Hospital District Eisenhower Road Fm 2185 Van Horn TX 79855 Dallas Pine Creek Medical Center 9032 Harry Hines Blvd Dallas TX 75235 Denton Atrium Medical Center At Corinth 3305 Corinth Pkwy Corinth TX 76208 El Paso East El Paso Physicians Medical Center L 1416 George Dieter Dr El Paso TX 79936 Page 17 of 21 Sentinel Medicare Select Provider Network 6/23/2014

TEXAS El Paso University Medical Center Of El Paso 4815 Alameda Ave El Paso TX 79905 Fort Bend Sugarland Rehabilitation Hospital 1325 Highway 6 Sugar Land TX 77478 Frio Community General Hospital 230 W Miller St Dilley TX 78017 Gaines Memorial Hospital 209 Nw 8Th St Seminole TX 79360 Gregg Allegiance Specialty Hospital of Kilgore 1612 S Henderson Blvd Kilgore TX 75662 Good Shepherd Medical Center 700 E Marshall Ave Longview TX 75601 Longview Regional Medical Center 2901 North 4th St Longview TX 75605 Grimes Grimes St Joseph Health Ctr 210 S Judson St Navasota TX 77868 Harris CHRISTUS St Catherine Health & Wellness Center 701 S Fry Road Katy TX 77450 CHRISTUS St John Hospital 18300 St John Drive Nassau Bay TX 77058 St Joseph Medical Center 1401 St Joseph Parkway Houston TX 77002 Hidalgo Edinburg Regional Medical Center 1102 W Trenton Edinburg TX 78539 TEXAS Hidalgo McAllen Medical Center 301 W Expwy 83 McAllen TX 78503 Hill Lake Whitney Medical Center 200 N San Jacinto St Whitney TX 76692 Houston East Texas Medical Center Crockett 1100 E Loop 304 Crockett TX 75835 Jackson Jackson Healthcare Center 1013 S Wells St Edna TX 77957 Jasper CHRISTUS Jasper Memorial Hospital 1275 Marvin Hancock Dr Jasper TX 75951 Jefferson CHRISTUS Hospital St Mary 3600 Gates Boulevard Port Arthur TX 77642 CHRISTUS Outpatient Center 3701 Highway 73 Port Arthur TX 77642 Memorial Hermann Baptist Beaumont Hosp. 3576 College St Beaumont TX 77701 Jim Wells CHRISTUS Spohn Hospital Alice 2500 E. Main St. Alice TX 78332 Jones Anson General Hospital 101 Avenue J Anson TX 79501 Kleberg CHRISTUS Spohn Hospital Kleberg 1300 General Cavazos Blvd. Kingsville TX 78363 Knox Knox County Hospital District 701 Se 5Th St Knox City TX 79529 TEXAS Lee Burleson St Joseph Lexington Fam. Med Clinic 609 Main St Lexington TX 78947 Leon Powell Memorial Health Center 102 E Main Centerville TX 75833 St Joseph - Normangee Fam. Med. Clinic Highway 3 W, Main and 9th St Normangee TX 77871 Liberty Cleveland Regional Medical Center 300 E Crockett St Cleveland TX 77327 Lubbock University Medical Ctr 602 Indiana Ave Lubbock TX 79415 Madison J B Heath Family Health Center 100 W Cross St Madisonville TX 77864 Madison St Joseph Health Ctr 100 W Cross St Madisonville TX 77864 Matagorda Palacios Community Medical Center 311 Green Ave Palacios TX 77465 Mclennan Providence Health Center 6901 Medical Pkwy Waco TX 76712 Montague Bowie Memorial Hospital 705 E Greenwood Ave Bowie TX 76230 Nacogdoches Nacogdoches Medical Center 4920 NE Stallings Dr Nacogdoches TX 75965 Nueces CHRISTUS Spohn Hospital Corpus Christi - Memorial 2606 Hospital Blvd Corpus Christi TX 78405 Page 18 of 21 Sentinel Medicare Select Provider Network 6/23/2014

TEXAS Nueces CHRISTUS Spohn Hospital Corpus Christi - Shoreline 600 Elizabeth St Corpus Christi TX 78404 CHRISTUS Spohn Hospital Corpus Christi - South 5920 Saratoga Blvd Corpus Christi TX 78405 Corpus Christi Med. Ctr. Bay Area Surgery 7101 S Padre Island Dr Corpus Christi TX 78469 Corpus Christi Med. Ctr. The Heart Hospital 7002 Williams Dr Corpus Christi TX 78412 Corpus Christi Medical Center 7101 S Padre Island Dr Corpus Christi TX 78469 Doctors Regional Medical Center 3315 S Alameda St Corpus Christi TX 78469 Northwest Regional Hospital 13725 Northwest Blvd Corpus Christi TX 78469 Orange Mem. Hermann Baptist Orange Hospital 608 Strickland Orange TX 77630 Panola East Texas Medical Ctr - Carthage 409 W Cottage Rd Carthage TX 75633 Polk Memorial Medical Center - Livingston 1717 Hwy 59 Bypass Livingston TX 77351 Potter Baptist St Anthonys Health System - Baptist Campus 1600 Wallace Blvd Amarillo TX 79106 Baptist St Anthonys Health System - St Anthonys Campus 200 NW 7th Amarillo TX 79107 Physicians Surgical Hospital 7100 W 9th Amarillo TX 79106 TEXAS Potter Physicians Surgical Hospital 1 6819 Plum Creek Amarillo TX 79124 Robertson St Joseph - Franklin Family Medicine Clinic 1 305 Gay St Franklin TX 77856 St Joseph - Hearne Family Medicine Clinic 709 Barton St Hearne TX 77859 San Augustine Memorial Medical Center - San Augustine 511 Hospital Street San Augustine TX 75972 San Patricio North Bay Hospital 1711 W Wheeler Ave Aransas Pass TX 78336 Shelby Shelby Regional Medical Center 602 Hurst St Center TX 75935 Smith Trinity Mother Frances Health Systems 800 E Dawson Tyler TX 75701 Tyler ContinueCARE Hospital 800 E. Dawson Tyler TX 75701 UT Health Center at Tyler 11937 US Hwy 271 Tyler TX 75708 Starr Starr County Memorial Hospital Farm Road 3167 Rio Grande TX 78582 Tom Green San Angelo Community Medical Center 3501 Knickerbocker Rd San Angelo TX 76904 Travis Austin Surgical Hospital 3003 Bee Cave Rd Austin TX 78746 TEXAS Winkler Winkler County Memorial Hospital 821 Jeffee Dr Kermit TX 79745 Wood East Texas Medical Center Wood County 117 N Winnsboro St Quitman TX 75783 Page 19 of 21 Sentinel Medicare Select Provider Network 6/23/2014

UTAH Davis Davis Hospital & Medical Center 1600 W Antelope Dr Layton UT 84041 Salt Lake Jordan Valley Hospital 3580 West 9000 South West Jordan UT 84088 Pioneer Valley Hospital 3460 South Pioneer Parkway West Valley City UT 84120 Salt Lake Regional Medical Center 1050 East South Temple Salt Lake City UT 84102 University of Utah Hospitals and Clinics 50 North Medical Drive Salt Lake City UT 84132 VIRGINIA Patrick RJ Reynolds Patrick County Memorial Hosp 18688 Jeb Stuart Hwy Stuart VA 24171 WASHINGTON Kittitas Kittitas Valley Community Hospital 603 S Chestnut St Ellensburg WA 98926 Pacific Willapa Harbor Hospital 800 Alder Street South Bend WA 98586 Page 20 of 21 Sentinel Medicare Select Provider Network 6/23/2014

WEST VIRGINIA Marion Fairmont General Hospital 1325 Locust Ave Fairmont WV 26554 Nicholas Richwood Area Community Hospital 75 Avenue B Richwood WV 26261 Ohio Ohio Valley Medical Center 2000 Eoff St Wheeling WV 26003 WISCONSIN Milwaukee Lifecare Hospitals Of Milwaukee 5000 W Chambers St Milwaukee WI 53210 Outagamie Appleton Medical Center 1818 N Meade St Appleton WI 54911 Washburn Indianhead Medical Center 113 4Th Avenue Shell Lake WI 54871 Winnebago Theda Clark Medical Center 130 2nd St Neenah WI 54956 Page 21 of 21 Sentinel Medicare Select Provider Network 6/23/2014