PROVIDER2015DIRECTORY

PROVIDER2015DIRECTORY (Printed 11/2014) SecureChoiceSM Hospitals, Behavioral Health Care Facilities, SNFs, Ancillaries, and Clinical Laboratories SecureChoice SM is brought to you by Keystone Health Plan Central, a Capital BlueCross company. Capital BlueCross is an Independent Licensee of the BlueCross BlueShield Association

The following section lists network hospitals. Preauthorization Requirements HOSPITALS All acute care inpatient services, except for emergency services and admissions for delivery, must be preauthorized. Preauthorization for SecureChoice SM Members is an approval process used to determine member eligibility, benefit coverage and medical necessity of proposed services at the time of the request. You may ask your provider if the service requires preauthorization. Network providers are responsible for knowing which services require preauthorization and for obtaining preauthorization from Keystone Health Plan Central or its designated representative before providing the service. Please note: The emergency room (ER), anesthesia, radiology and pathology physicians working in some hospitals may not be participating (network) providers. If you receive covered ER, anesthesia, radiology and/or pathology services in a participating hospital, you may be balance billed by the treating physician(s). Important Notes This directory is accurate only as of the date the information was generated for this printing. To check the most current participation status of any particular provider, visit our website at capbluecross.com/healthypa or call the toll-free number on your ID card. You may also contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM, or contact the provider directly to verify their participation in SecureChoice SM. If you have questions about your benefits or any other aspect of your health care coverage, please call the toll-free number on your ID card or contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM. After normal business hours, you may leave a voice mail message and a Customer Service Representative will return your call during the next business day. Always present your Member identification card each time you seek medical services. For detailed information concerning your benefits, please refer to your Member Handbook. Page 1

Acute Care Hospital Acute Care Hospital Reading Hospital and Medical CBC # 390044 NPI/Ref # 1669530069 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-5192 St Joseph Medical CBC # 390096 NPI/Ref # 1699734665 2500 Bernville Rd Reading, PA 19605 Phone: (610) 378-2000 Fax: (610) 378-2270 Centre Mount Nittany Medical CBC # 390268 NPI/Ref # 1730173154 1800 E Park Ave State College, PA 16803 Phone: (814) 231-7000 Fax: (814) 238-5185 Columbia Berwick Hospital CBC # 390072 NPI/Ref # 1316919699 701 E 16th St Berwick, PA 18603 Phone: (570) 759-5000 Fax: (570) 759-3473 Carlisle Regional Medical CBC # 390058 NPI/Ref # 1730133844 361 Alexander Spring Rd Carlisle, PA 17015 Phone: (717) 249-1212 Fax: (717) 249-0770 Holy Spirit Hospital CBC # 390004 NPI/Ref # 1881690212 503 N 21st St Phone: (717) 763-2100 Fax: (717) 763-2513 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 1995 Technology Pkwy Mechanicsburg, PA 17050 Phone: (717) 782-3131 Milton S Hershey Medical (The) CBC # 390256 NPI/Ref # 1568435477 500 University Dr Hershey, PA 17033 Phone: (717) 531-8521 Fax: (717) 531-3823 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 111 S Front St Harrisburg, PA 17101 Phone: (717) 782-3131 Fax: (717) 230-3435 Counity Campus 4300 Londonderry Rd Phone: (717) 652-3000 Franklin Chambersburg Hospital CBC # 390151 NPI/Ref # 1902804552 112 N 7th St Phone: (717) 267-3000 Fax: (717) 267-4873 Waynesboro Hospital CBC # 390138 NPI/Ref # 1821091059 501 E Main St Waynesboro, PA 17268 Phone: (717) 765-4000 Fax: (717) 765-3431 Fulton Fulton County Medical CBC # 390209 NPI/Ref # 1326044694 214 Peach Orchard Rd Mc Connellsburg, PA 17233 Phone: (717) 485-3155 Fax: (717) 485-6105 Heart of Regional Medical CBC # 390068 NPI/Ref # 1770539637 1500 Highlands Dr Lititz, PA 17543 Phone: (717) 625-5000 Fax: (717) 625-5762 General Hospital CBC # 390100 NPI/Ref # 1104875103 555 N Duke St, PA 17604 Phone: (717) 544-5511 Fax: (717) 544-5185 Regional Medical CBC # 390061 NPI/Ref # 1467491027 250 College Ave, PA 17603 Phone: (717) 291-8211 Fax: (717) 291-8575 Good Samaritan Hospital CBC # 390066 NPI/Ref # 1407928500 4th & Walnut Sts, PA 17042 Phone: (717) 270-7500 Fax: (717) 306-6840 Valley Hospital CBC # 390133 NPI/Ref # 1164400131 1200 S Cedar Crest Blvd Allentown, PA 18105 Phone: (610) 402-8000 Fax: (484) 884-3247 for Orthopedic Medicine 4815 Tilghman St Allentown, PA 18104 Phone: (610) 402-8000 Sacred Heart Hospital CBC # 390197 NPI/Ref # 1952399933 421 Chew St Allentown, PA 18102 Phone: (610) 776-4500 Fax: (610) 776-4559 St Lukes Hospital - Allentown Campus CBC # 390242 NPI/Ref # 1548293954 1736 Hamilton St Allentown, PA 18104 Phone: (610) 628-8300 Fax: (610) 628-8302 Easton Hospital CBC # 390162 NPI/Ref # 1740252964 250 S 21st St Easton, PA 18042 Phone: (610) 250-4000 Fax: (610) 250-4943 Valley Hospital - Muhlenberg CBC # 390263 NPI/Ref # 1598743585 2545 Schoenersville Rd Phone: (610) 402-8000 Fax: (484) 884-3247 St Lukes Hospital CBC # 390049 NPI/Ref # 1013933175 801 Ostrum St Bethlehem, PA 18015 Phone: (610) 954-4000 Fax: (610) 954-6474 St Lukes Hospital - Anderson CBC # 50106241 NPI/Ref # 1497050470 1872 Riverside Cir Easton, PA 18045 Phone: (484) 503-3000 Northumberland Sunbury Counity Hospital CBC # 390084 NPI/Ref # 1467424820 350 N 11th St Sunbury, PA 17801 Phone: (570) 286-3333 Fax: (570) 286-3343 Schuylkill Schuylkill Medical - East Norwegian Street CBC # 390031 NPI/Ref # 1427050376 700 E Norwegian St Pottsville, PA 17901 Phone: (570) 621-4000 Fax: (570) 621-4769 Schuylkill Medical - South Jackson Street CBC # 390030 NPI/Ref # 1235138405 420 S Jackson St Pottsville, PA 17901 Phone: (570) 621-5000 Fax: (570) 621-5113 St Lukes Miners Memorial Hospital CBC # 390183 NPI/Ref # 1437182847 360 W Ruddle St Coaldale, PA 18218 Phone: (570) 645-2131 Fax: (570) 645-2121 Union Evangelical Counity Hospital CBC # 390013 NPI/Ref # 1124076039 1 Hospital Dr Lewisburg, PA 17837 Phone: (570) 522-2000 Fax: (570) 522-2743 Hanover Hospital CBC # 390233 NPI/Ref # 1730158981 300 Highland Ave Hanover, PA 17331 Phone: (717) 316-3711 Fax: (717) 633-2217 Memorial Hospital CBC # 390101 NPI/Ref # 1043585524 325 S Belmont St, PA 17405 Phone: (717) 843-8623 Fax: (717) 849-5329 Acute Care Hospital Outpatient Site St Joseph Medical CBC # 390096 NPI/Ref # 1699734665 St Jos RHN at Broadcasting 2610 Keiser Blvd Phone: (610) 898-0398 Fax: (610) 898-7616 St Jos RHN at Heritage of Green Hills 200 Tranquility Ln Reading, PA 19607 Phone: (484) 269-5108 Fax: (610) 898-0559 St Joseph Health Network at Spring Ridge 2605 Keiser Blvd 2nd Fl Phone: (610) 927-3168 Chester General Hospital CBC # 390100 NPI/Ref # 1104875103 General Health Ctr- Parkesburg 950 S Octorara Trl Parkesburg, PA 19365 Phone: (610) 857-6616 Fax: (610) 857-6633 St Joseph Medical CBC # 390096 NPI/Ref # 1699734665 St Joseph Health Network at Elverson 45 S Pine St Elverson, PA 19520 Phone: (610) 913-1234 Fax: (610) 378-2303 Holy Spirit Hospital CBC # 390004 NPI/Ref # 1881690212 Holy Spirit Cardiovascular Imaging 101 Erford Rd Ste 101 Phone: (717) 972-4900 Fax: (717) 972-4601 Holy Spirit Carlisle Imaging 1211 Forge Rd Ste 400 Carlisle, PA 17013 Phone: (717) 218-3900 Fax: (717) 218-3901 Holy Spirit Magnetic Imaging 4665 E Trindle Rd Mechanicsburg, PA 17050 Phone: (717) 972-4900 Fax: (717) 972-4601 HSH Laboratory at Century Dr 856 Century Dr Mechanicsburg, PA 17055 Phone: (717) 766-8554 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 Fredrickson Outpatient Ctr 2015 Technology Pkwy Mechanicsburg, PA 17050 Phone: (717) 791-2400 PinnacleHealth Cardiovascular Institute 1000 N Front St Wormleysburg, PA 17043 Phone: (717) 731-0101 Fax: (717) 441-0592 PinnacleHealth Cardiovascular Institute 360 Alexander Spring Rd Carlisle, PA 17015 Phone: (717) 243-6557 Fax: (717) 441-0592 PinnacleHealth Cardiovascular Institute 900 Century Dr Ste 100 Mechanicsburg, PA 17055 Phone: (717) 731-0101 Fax: (717) 731-8359 PinnacleHealth Imaging at Camp Hill 240 Grandview Ave Phone: (717) 214-3330 Fax: (717) 214-3350 PinnacleHealth Imaging at Heritage 3 Walnut St Lemoyne, PA 17043 Phone: (717) 737-3037 Fax: (717) 909-0912 PinnacleHealth Imaging at Silver Spring 21 Waterford Dr Mechanicsburg, PA 17050 Phone: (717) 591-3636 Fax: (717) 591-3631 PinnacleHealth Lab Srvcs at Silver Sprg 21 Waterford Dr Mechanicsburg, PA 17050 Phone: (717) 591-3636 Fax: (717) 591-3631 PinnacleHealth Ortenzio Cancer Ctr 2035 Technology Pkwy Mechanicsburg, PA 17050 Phone: (717) 988-1400 Fax: (717) 221-5550 PinnacleHealth Physical Therapy Fredrickson Outpatient 2015 Technology Pkwy Mechanicsburg, PA 17050 Phone: (717) 791-2485 Fax: (717) 791-2404 PinnacleHealth PT of Camp Hill 3 Walnut St Ste 110 Lemoyne, PA 17043 Phone: (717) 214-3688 Fax: (717) 214-3689 PinnacleHlth Lab Svcs Belvedere Med Ctr 850 Walnut Bottom Rd Ste 104 Carlisle, PA 17013 Phone: (717) 462-4450 Fax: (717) 462-4451 Holy Spirit Hospital CBC # 390004 NPI/Ref # 1881690212 Holy Spirit Cardiovascular Imaging 5 Capital Dr Ste 203 Phone: (717) 972-4900 Fax: (717) 972-4601 Holy Spirit Imaging Ctr East 4230 Crums Mill Rd Phone: (717) 972-4900 HOSPITALS For a list of services offered at Acute Care Hospital Outpatient Sites, please contact the facility directly. 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Acute Care Hospital Outpatient Site HOSPITALS HSH East Shore Laboratory 2808 Old Post Rd Phone: (717) 920-4540 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 8105 Adams Dr Huelstown, PA 17036 Phone: (717) 230-3700 Fax: (717) 703-1111 PinnacleHealth Bloom Diagnostic Ctr 4310 Londonderry Rd Phone: (717) 657-7338 PinnacleHealth Cardiovascular Institute 2808 Old Post Rd Phone: (717) 731-0101 Fax: (717) 731-8359 PinnacleHealth Imaging at Hershey 32 Northeast Dr Ste 101 Hershey, PA 17033 Phone: (717) 533-1736 Fax: (717) 534-1307 PinnacleHealth Imaging at Linglestown 2808 Old Post Rd Phone: (717) 901-6800 Fax: (717) 901-6699 PinnacleHealth Imaging at Lower Paxton 2310 Patton Rd Harrisburg, PA 17112 Phone: (717) 724-6535 Fax: (717) 724-6540 PinnacleHealth Imaging at Middletown 1025 Harrisburg Pike Middletown, PA 17057 Phone: (717) 702-3478 Fax: (717) 702-1139 PinnacleHealth Imaging at Millersburg 1000 Evelyn Dr Millersburg, PA 17061 Phone: (717) 896-8091 Fax: (717) 692-1036 PinnacleHealth Imaging at Union Deposit 4518 Union Deposit Rd Harrisburg, PA 17111 Phone: (717) 652-5840 Fax: (717) 652-8152 PinnacleHealth Imaging at West Hanover 8012 Bretz Dr Harrisburg, PA 17112 Phone: (717) 231-8695 Fax: (717) 231-8656 PinnacleHealth Lab Svcs at Lower Paxton 2310 Patton Rd Ste B Harrisburg, PA 17112 Phone: (717) 724-6537 Fax: (717) 724-6540 PinnacleHealth Lab Svcs at Middletown 1025 Harrisburg Pike Middletown, PA 17057 Phone: (717) 702-1137 Fax: (717) 702-1139 PinnacleHealth Lab Svcs at Millersburg 1000 Evelyn Dr Millersburg, PA 17061 Phone: (717) 692-1031 Fax: (717) 692-1036 PinnacleHealth Lab Svcs at Old Post Road 2808 Old Post Rd Phone: (717) 920-4570 Fax: (717) 920-4571 PinnacleHealth Lab Svcs at West Hanover 8012 Bretz Dr Harrisburg, PA 17112 Phone: (717) 231-8695 Fax: (717) 231-8656 PinnacleHealth Medical Sciences Pavilion 4300 Londonderry Rd Phone: (717) 652-3000 PinnacleHealth PT at Middletown 1025 Harrisburg Pike Middletown, PA 17057 Phone: (717) 944-1491 Fax: (717) 944-1436 PinnacleHealth PT of Elizabethtown 125 E Main St Elizabethville, PA 17023 Phone: (717) 362-3685 Fax: (717) 362-4376 Polyclinic Campus 2501 N 3rd St Phone: (717) 782-4141 Women's Cancer Ctr - PinnacleHealth Hosp 3901 N Front St Phone: (717) 221-5940 Fax: (717) 233-1939 Franklin PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 PinnacleHealth Cardiovascular Institute 757 Norland Ave Ste 205 Phone: (717) 217-6881 Fax: (717) 441-0592 General Hospital CBC # 390100 NPI/Ref # 1104875103 306 N 7th St Columbia, PA 17512 Phone: (717) 684-1500 Fax: (717) 681-1564 Columbia Health Ctr 631 Poplar St Columbia, PA 17512 Phone: (717) 684-2841 Fax: (717) 684-3786 Crooked Oak Medical Svcs 1671 Crooked Oak Dr, PA 17601 Phone: (717) 569-5109 Fax: (717) 560-9522 Kissel Hill Health Ctr 51 Peters Rd Lititz, PA 17543 Phone: (717) 627-2400 Fax: (717) 627-2720 General Norlanco 424 Cloverleaf Rd Elizabethtown, PA 17022 Phone: (717) 544-6330 Fax: (717) 544-6305 General Women's & Babies Hosp 690 Good Dr, PA 17604 Phone: (717) 544-3700 Fax: (717) 544-3302 Walter L Aument Family Hlth Ctr 317 S Chestnut St Quarryville, PA 17566 Phone: (717) 786-7383 Fax: (717) 786-8635 Willow Lakes Medical Svcs 222 Willow Vly Lakes Dr Willow Street, PA 17584 Phone: (717) 464-9173 Fax: (717) 464-0823 Good Samaritan Hospital CBC # 390066 NPI/Ref # 1407928500 GSH Ambulatory Services Ctr 1400 S Forge Rd Palmyra, PA 17078 Phone: (717) 832-0960 Fax: (717) 832-0971 GSH Cardiovascular Diagnostic Ctr 781 Norman Dr, PA 17042 Phone: (717) 270-1252 GSH Ctr Wound Care Hyperbaric Med 840 Tuck St, PA 17042 Phone: (717) 675-2545 Fax: (717) 675-2550 GSH OP Surgical Ctr 830 Tuck St, PA 17042 Phone: (717) 228-1620 Fax: (717) 228-1642 GSH OP Diagnostic Ctr E County 297 W Lincoln Ave Myerstown, PA 17067 Phone: (717) 866-9452 Fax: (717) 866-9454 GSH OP Physical Therapy 1400 S Forge Rd Palmyra, PA 17078 Phone: (717) 832-0962 Fax: (717) 838-1395 GSH OP Physical Therapy 950 Isabel Dr Quentin Cir, PA 17042 Phone: (717) 270-8841 Fax: (717) 270-8981 GSH OP Radiology Ctr 805 Helen Dr, PA 17042 Phone: (717) 273-9345 Fax: (717) 274-7518 GSH Satellite Services Jonestown Ctr 100 Queen St Jonestown, PA 17038 Phone: (717) 865-0739 Fax: (717) 865-0428 Perry Holy Spirit Hospital CBC # 390004 NPI/Ref # 1881690212 Duncannon Xray & Maography 510 New Bloomfield Rd Duncannon, PA 17020 Phone: (717) 834-3300 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 PinnacleHealth Imaging at Newport 32 W Shortcut Dr Newport, PA 17074 Phone: (717) 204-1010 Fax: (717) 204-1011 Memorial Hospital CBC # 390101 NPI/Ref # 1043585524 1750 5th Ave, PA 17405 Phone: (717) 843-7613 Fax: (717) 849-5663 Greenbriar Medical Ctr 520 Greenbriar Rd, PA 17404 Phone: (717) 764-9729 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 PinnacleHealth Imaging at Dillsburg 1 Trinity Dr E Dillsburg, PA 17019 Phone: (717) 432-5430 Fax: (717) 502-0306 PinnacleHealth Lab Svcs at Dillsburg 1 Trinity Dr Dillsburg, PA 17019 Phone: (717) 502-0405 Fax: (717) 502-0306 PinnacleHealth PT of Dillsburg 860 N US 15 Dillsburg, PA 17019 Phone: (717) 432-7719 Fax: (717) 432-7531 Long Term Acute Care Hospital Select Specialty Hospital - Central PA-Harrisburg CBC # 390299 NPI/Ref # 1346248333 111 S Front St Alex Grass Bldg 5th Fl Harrisburg, PA 17101 Phone: (717) 724-6610 Fax: (717) 724-6611 Montour Select Specialty Hospital - Danville CBC # 390803 NPI/Ref # 1497754667 Bush Pavilion 3rd Fl MC 4210 100 N Academy Ave Danville, PA 17822 Phone: (570) 214-9653 Fax: (570) 214-9616 Rehabilitation Hospital Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep O/P Rehab - Blandon Maidencreek Towne Ctr 850 Golden Dr Ste 13/14 Blandon, PA 19510 Phone: (610) 944-6504 Fax: (610) 778-1141 Good Shep O/P Rehab - Kutztown 333 Normal Ave Kutztown, PA 19530 Phone: (610) 683-5390 Fax: (610) 778-1144 Good Shep PT - Hamburg 500 Hawk Dr Ste 2A Hamburg, PA 19526 Phone: (610) 562-3523 Fax: (610) 778-1153 HEALTHSOUTH Reading Rehabilitation Hospital CBC # 390302 NPI/Ref # 1457324170 1623 Morgantown Rd Reading, PA 19607 Phone: (610) 796-6000 Fax: (610) 796-6306 Bucks Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep O/P Rehab - Quakertown 134 Mill Rd Quakertown, PA 18951 Phone: (215) 536-2220 Fax: (610) 778-1149 Carbon Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep O/P Rehab - Palmerton 3295 Forest Inn Rd Palmerton, PA 18071 Phone: (610) 824-7440 Fax: (610) 778-1148 Centre HEALTHSOUTH Nittany Valley Rehabilitation Hospital CBC # 390339 NPI/Ref # 1902879620 550 W College Ave Pleasant Gap, PA 16823 Phone: (814) 359-3421 Fax: (814) 359-5897 Columbia Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # 390347 NPI/Ref # 1811961758 410 Glen Ave Ste 101 Bloomsburg, PA 17815 Phone: (570) 287-2135 Fax: (570) 387-2288 Geisinger HEALTHSOUTH Rehab Ctr of Berwick 2202 W Front St Berwick, PA 18603 Phone: (570) 752-5009 Fax: (570) 752-5009 Geisinger HEALTHSOUTH Rehab Ctr of Bloomsburg 415 Central Rd Bloomsburg, PA 17815 Phone: (570) 389-0991 Fax: (570) 389-0232 HEALTHSOUTH Rehabilitation of Mechanicsburg CBC # 390310 NPI/Ref # 1104899814 175 Blvd Mechanicsburg, PA 17055 Phone: (717) 691-3700 Fax: (717) 697-6524 Penn State Hershey Rehabilitation LLC CBC # 390353 NPI/Ref # 1942416946 1135 Old W Chocolate Ave Huelstown, PA 17036 Phone: (717) 832-2600 Fax: (717) 583-1180 Handicap Accessible Page 4 For a list of services offered at Acute Care Hospital Outpatient Sites, please contact the facility directly.

Rehabilitation Unit Juniata HEALTHSOUTH Nittany Valley Rehabilitation Hospital CBC # 390339 NPI/Ref # 1902879620 HEALTHSOUTH O/P Rehab Ctr 4 Industrial Park Rd Mifflintown, PA 17059 Phone: (717) 436-8233 Fax: (717) 436-5513 Rehabilitation Hospital CBC # 390354 NPI/Ref # 1457403966 675 Good Dr, PA 17601 Phone: (717) 406-3000 Fax: (717) 394-7501 Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 850 S 5th St Phone: (610) 778-9255 Fax: (610) 776-3172 Good Shep O/P Rehab - Cedar Crest 1243 S Cedar Crest Blvd Phone: (610) 402-9200 Fax: (610) 402-9269 Good Shep O/P Rehab - Valley 4883 Rte 309 Valley, PA 18034 Phone: (610) 797-0999 Fax: (610) 778-1143 Good Shep O/P Rehab - Hlth & Tech Ctr 850 S 5th St Phone: (610) 778-1000 Fax: (610) 776-3225 Good Shep O/P Rehab - Macungie 6465 Village Ln Ste 5 Macungie, PA 18062 Phone: (484) 519-3801 Fax: (610) 778-1146 Good Shep O/P Rehab - Ortho & Hand Unit 850 S 5th St Phone: (610) 776-3220 Fax: (610) 776-3551 Good Shep O/P Rehab - Pediatrics Hlth 850 S 5th St Phone: (610) 776-3578 Fax: (610) 776-3185 Good Shep O/P Rehab - Schnecksville 4110 Independence Dr Rear Ste 200 Schnecksville, PA 18078 Phone: (610) 769-7299 Fax: (610) 778-1150 Good Shep O/P Therapy Sacred Heart Living by Saucon Crk 4851 Saucon Creek Rd Valley, PA 18034 Phone: (610) 814-2700 Fax: (610) 814-2919 Good Shep O/P Therapy Whitehall Mnr Assisted Living 1177 6th St Whitehall, PA 18052 Phone: (610) 403-1010 Fax: (610) 403-1011 Good Shep PT - Coopersburg 101 S Main St 3rd Fl Coopersburg, PA 18036 Phone: (610) 282-1385 Fax: (610) 778-1154 Good Shep Rehab - Laurys Station Riverside Prof Ctr Ste 103 5649 Wynnwood Dr Rte 145 Laurys Station, PA 18059 Phone: (610) 262-6773 Fax: (610) 778-1145 Mifflin HEALTHSOUTH Nittany Valley Rehabilitation Hospital CBC # 390339 NPI/Ref # 1902879620 HEALTHSOUTH O/P Rehab Ctr 99 Juniata St Lewistown, PA 17044 Phone: (717) 242-5400 Fax: (717) 242-5404 Monroe Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep O/P Rehab - Stroudsburg 1619 N 9th St Ste 4 Stroudsburg, PA 18360 Phone: (570) 421-6110 Fax: (610) 778-1152 Good Shep Rehab - Pocono Med Ctr 206 E Brown St East Stroudsburg, PA 18301 Phone: (570) 476-3410 Fax: (570) 420-2548 Montgomery Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep PT - East Greenville 622 Gravel Pike Ste 110 East Greenville, PA 18041 Phone: (215) 679-4105 Fax: (610) 778-1140 Good Shep PT - Souderton 4036 Bethlehem Pike Telford, PA 18969 Phone: (215) 721-1871 Fax: (610) 778-1872 HEALTHSOUTH Reading Rehabilitation Hospital CBC # 390302 NPI/Ref # 1457324170 HEALTHSOUTH Rehab Ctr - Pottstown 1566 Medical Dr Ste 104 Pottstown, PA 19464 Phone: (610) 327-2404 Fax: (610) 327-8213 Montour Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # 390347 NPI/Ref # 1811961758 2 Rehab Ln Danville, PA 17821 Phone: (570) 271-6110 Fax: (570) 271-5689 Geisinger HEALTHSOUTH Rehab Ctr of Danville 109 Woodbine Ln Danville, PA 17821 Phone: (570) 271-6704 Fax: (570) 271-6715 Good Shepherd Rehabilitation Hospital CBC # 390335 NPI/Ref # 1255374799 Good Shep O/P Rehab - Bath 5970 Nor Bath Blvd Bath, PA 18014 Phone: (610) 440-0362 Fax: (610) 778-1142 Good Shep O/P Rehab - 44 W 21st St, PA 18067 Phone: (610) 261-4292 Fax: (610) 778-1147 Good Shep O/P Rehab - Slatebelt 422 Blue Valley Dr Bangor, PA 18013 Phone: (610) 863-6966 Fax: (610) 778-1151 Good Shep O/P Therapy Sacred Heart Sr Living by Crk 602 E 21st St, PA 18067 Phone: (610) 851-0108 Fax: (610) 851-0185 Good Shep O/P Therapy Saucon Valley Mnr 1050 Main St Hellertown, PA 18055 Phone: (610) 748-8888 Fax: (610) 748-1035 Good Shep Rehab - Pediatric Unit 2855 Schoenersville Rd Phone: (610) 807-4200 Fax: (610) 807-4205 Good Shepherd Physical Therapy N Bethlehem/CORE Physical Therapy 3201 Highfield Dr Ste F Bethlehem, PA 18020 Phone: (610) 882-9611 Fax: (610) 778-1156 Northumberland Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # 390347 NPI/Ref # 1811961758 Geisinger HEALTHSOUTH Rehab Ctr of Kulpmont 3 Vermont Dr Kulpmont, PA 17834 Phone: (570) 373-3856 Fax: (570) 373-5581 Geisinger HEALTHSOUTH Rehab Ctr of Milton 155 Arch St Milton, PA 17847 Phone: (570) 742-2655 Fax: (570) 742-9717 Snyder Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # 390347 NPI/Ref # 1811961758 Geisinger HEALTHSOUTH Rehab Ctr of Selinsgrove 620 University Ave Selinsgrove, PA 17870 Phone: (570) 374-6764 Fax: (570) 374-6760 HEALTHSOUTH Rehabilitation Hospital of CBC # 390337 NPI/Ref # 1811960537 1850 Normandie Dr, PA 17408 Phone: (717) 767-6941 Fax: (717) 767-5572 HEALTHSOUTH Rehab Ctr - Industrial Hwy 2127 Industrial Hwy, PA 17402 Phone: (717) 751-0975 Fax: (717) 840-1319 HEALTHSOUTH Rehab Ctr - Red Lion 679 Lombard Rd Red Lion, PA 17356 Phone: (717) 417-1271 Fax: (717) 417-1273 Rehabilitation Unit HEALTHSOUTH Reading Rehabilitation Hospital CBC # 39T302 NPI/Ref # 1457324170 Brain Injury Unit 1623 Morgantown Rd Reading, PA 19607 Phone: (610) 796-6000 Reading Hospital and Medical Rehabilitation Unit CBC # 39T044 NPI/Ref # 1093875270 2802 Papermill Rd Phone: (484) 388-2701 Fax: (484) 388-2728 Centre HEALTHSOUTH Nittany Valley Rehabilitation Hospital Brain Treatment Unit CBC # 39T339 NPI/Ref # 1902879620 550 W College Ave Pleasant Gap, PA 16823 Phone: (814) 359-3421 Fax: (814) 359-5898 Columbia Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # 39T347 NPI/Ref # 1811961758 2202 W Front St Berwick, PA 18603 Phone: (570) 752-5009 Fax: (570) 752-3129 Carlisle Regional Medical Rehabilitation Unit CBC # 39T058 NPI/Ref # 1396783247 417 Village Dr Ste 4 Carlisle, PA 17015 Phone: (717) 249-1212 Fax: (717) 249-0770 HEALTHSOUTH Rehabilitation of Mechicsburg Brain Treatment Unit CBC # 39T310 NPI/Ref # 1104899814 175 Blvd Mechanicsburg, PA 17055 Phone: (717) 691-3700 Fax: (717) 697-6524 PinnacleHealth Hospitals Rehabilitation Unit CBC # 39T067 NPI/Ref # 1427165125 Helen M Simpson Rehab Hosp PinnacleHealth Co Campus 4300 Londonderry Rd Phone: (717) 920-4300 Franklin Chambersburg Hospital Rehabilitation Unit CBC # 39T151 NPI/Ref # 1902840341 112 N 7th St Phone: (717) 267-3000 Fax: (717) 267-4873 Regional Medical Rehabilitation Unit CBC # 39T061 NPI/Ref # 1649214255 250 College Ave, PA 17603 Phone: (717) 291-8333 Fax: (717) 735-2073 Good Samaritan Hospital Rehabilitation Unit CBC # 39T066 NPI/Ref # 1942383781 4th & Willow Sts, PA 17042 Phone: (717) 270-7501 Fax: (717) 306-6840 Good Shepherd Rehabilitation Head/Spinal Rehab Unit CBC # 39T335 NPI/Ref # 1255374799 850 S 5th St Phone: (610) 776-3120 Fax: (610) 776-3172 Easton Hospital Rehabilitation Unit CBC # 39T162 NPI/Ref # 1669444899 250 S 21st St Easton, PA 18042 Phone: (610) 250-4289 Fax: (610) 250-4980 St Lukes Hospital Rehabilitation Unit CBC # 39T049 NPI/Ref # 1073543120 801 Ostrum St Bethlehem, PA 18015 Phone: (610) 954-4000 Fax: (610) 954-3590 Schuylkill Schuylkill Medical Ctr-E Norwegian St-Rehab Unit CBC # 39T031 NPI/Ref # 1205838919 700 E Norwegian St Pottsville, PA 17901 Phone: (570) 621-4000 Fax: (570) 621-4769 HOSPITALS Handicap Accessible Page 5

Rehabilitation Unit HOSPITALS Union Evangelical Counity Hospital Acute Rehab Unit CBC # 39T013 NPI/Ref # 1326096744 1 Hospital Dr Lewisburg, PA 17837 Phone: (570) 522-2000 Fax: (570) 522-2743 HEALTHSOUTH Rehabilitation Hospital of Brain Treatment Unit CBC # 39T337 NPI/Ref # 1811960537 1850 Normandie Dr, PA 17408 Phone: (717) 767-6941 Fax: (717) 767-5572 Handicap Accessible Page 6

23-Hour Psych Observation 23-Hour Psych Observation Regional Medical CBC # 004584000 NPI/Ref # 1467491027 250 College Ave, PA 17603 Phone: (717) 291-8211 Fax: (717) 291-8065 Crisis Stabilization - Outpatient Northumberland Sunbury Counity Hospital CBC # 817586000 NPI/Ref # 1467424820 350 N 11th St Sunbury, PA 17801 Phone: (570) 286-3333 Hospital CBC # 019548000 NPI/Ref # 1326060492 1001 S George St, PA 17403 Phone: (717) 851-2345 Fax: (717) 851-3374 Electro Convulsive Therapy - Inpatient Reading Hospital and Medical CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-9070 Holy Spirit Hospital CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Phone: (717) 763-2219 Fax: (717) 763-2272 Pennsylvania Psychiatric Institute CBC # 600489757 NPI/Ref # 1386820017 2501 N 3rd St Phone: (717) 782-6420 Fax: (717) 782-4727 Sacred Heart Hospital CBC # 219678000 NPI/Ref # 1992794853 421 W Chew St Allentown, PA 18102 Phone: (610) 776-4713 Fax: (610) 776-4559 Hospital CBC # 019548000 NPI/Ref # 1326060492 1001 S George St, PA 17403 Phone: (717) 851-2345 Fax: (717) 851-3374 Electro Convulsive Therapy - Outpatient Reading Hospital and Medical CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-9070 Holy Spirit Hospital CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Phone: (717) 763-2219 Fax: (717) 763-2272 Pennsylvania Psychiatric Institute CBC # 600489757 NPI/Ref # 1386820017 2501 N 3rd St Phone: (717) 782-6420 Fax: (717) 782-4727 Sacred Heart Hospital CBC # 219678000 NPI/Ref # 1992794853 421 W Chew St Allentown, PA 18102 Phone: (610) 776-4713 Fax: (610) 776-4559 Hospital CBC # 019548000 NPI/Ref # 1326060492 1001 S George St, PA 17403 Phone: (717) 851-2345 Fax: (717) 851-3374 Outpatient Bridge Appointment Program Haven Behavioral Hospital of Eastern PA CBC # 263410000 NPI/Ref # 1629384292 145 N 6th St Reading, PA 19601 Phone: (610) 406-4372 Fax: (610) 898-8003 Reading Hospital and Medical CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-9070 Outpatient Psychiatric Pennsylvania Psychiatric Institute CBC # 600489757 NPI/Ref # 1386820017 2501 N 3rd St Phone: (717) 782-6420 Fax: (717) 782-4727 Pennsylvania Psychiatric Institute CBC # 600639860 NPI/Ref # 1386820017 401 Division St Phone: (717) 782-4349 Fax: (717) 782-6518 Pennsylvania Psychiatric Institute CBC # 837199000 NPI/Ref # 1386820017 22 Northeast Dr Hershey, PA 17033 Phone: (717) 531-8338 Fax: (717) 531-6250 Philhaven Hospital CBC # 017711000 NPI/Ref # 1972598076 354 N Reading Rd Ephrata, PA 17522 Phone: (717) 738-1125 Fax: (717) 738-0606 Philhaven Hospital CBC # 086068000 NPI/Ref # 1972598076 422 Cloverleaf Rd Elizabethtown, PA 17022 Phone: (717) 653-9359 Fax: (717) 653-6357 Philhaven Hospital CBC # 086072000 NPI/Ref # 1972598076 1884 Rohrerstown Rd, PA 17601 Phone: (717) 569-1166 Philhaven Hospital CBC # 086069000 NPI/Ref # 1972598076 204 Hathaway Park, PA 17042 Phone: (717) 274-9778 Fax: (717) 274-9815 Philhaven Hospital CBC # 086071000 NPI/Ref # 1972598076 283 Butler Rd Mount Gretna, PA 17064 Phone: (717) 273-8871 Fax: (717) 270-2452 Haven House CBC # 600892643 NPI/Ref # 1689670507 218 N 2nd St Allentown, PA 18102 Phone: (610) 841-8400 Fax: (610) 435-0898 Omni Health Services CBC # 600857032 NPI/Ref # 1619311537 546 Hamilton St Ste 100 Allentown, PA 18101 Phone: (484) 221-8296 Fax: (484) 221-8339 Northeastern Services CBC # 775694000 NPI/Ref # 1134418924 44 E Broad St Ste O-00 Bethlehem, PA 18018 Phone: (610) 868-0435 Fax: (610) 868-5552 Outpatient Substance Abuse Disorders Adams Pennsylvania Counseling Services CBC # 813704000 NPI/Ref # 1366534620 334 St Gettysburg, PA 17325 Phone: (717) 337-0026 Fax: (717) 337-1260 Counseling CBC # 093397000 NPI/Ref # 1881620250 645 Penn St Reading, PA 19601 Phone: (610) 373-4281 Fax: (610) 373-3779 Pennsylvania Counseling Services CBC # 245234000 NPI/Ref # 1366534620 938 Penn St Reading, PA 19602 Phone: (610) 478-8088 Fax: (610) 478-4884 Reading Hospital and Medical CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-9070 Reading Hospital and Medical CBC # 258853000 NPI/Ref # 1841359528 321 N Furnace St Ste 100 Birdsboro, PA 19508 Phone: (610) 628-8070 Fax: (610) 988-5289 Reading Hospital and Medical CBC # 600785653 NPI/Ref # 1841359528 401 Buttonwood St Reading, PA 19611 Phone: (610) 628-8186 Fax: (484) 628-8187 Reading Hospital for Mental health CBC # 158242000 NPI/Ref # 1841359528 Kutztown Boehm Science 15200 Kutztown Rd Kutztown, PA 19530 Phone: (610) 988-8070 New Insights CBC # 057184000 NPI/Ref # 1417025149 716 State St Lemoyne, PA 17043 Phone: (717) 303-2035 Fax: (717) 303-5929 Mazzitti and Sullivan CBC # 158035000 NPI/Ref # 1669414991 1345 E Chocolate Ave Hershey, PA 17033 Phone: (717) 534-1650 Mazzitti and Sullivan CBC # 249253000 NPI/Ref # 1669414991 3207 N Front St Phone: (717) 901-5652 Fax: (717) 540-6874 Pennsylvania Counseling Services CBC # 290106000 NPI/Ref # 1366534620 4918 Locust Ln Phone: (717) 671-9610 Fax: (717) 671-9680 Franklin Pennsylvania Counseling Services CBC # 600661599 NPI/Ref # 1366534620 75 S Main St Phone: (717) 261-1426 Fax: (717) 363-1647 Freedom CBC # 159126000 NPI/Ref # 1942224340 436 N Lime St, PA 17602 Phone: (717) 397-9118 Fax: (717) 397-3514 Pennsylvania Counseling Services CBC # 290097000 NPI/Ref # 1366534620 40 Pearl St, PA 17603 Phone: (717) 397-8081 Fax: (717) 397-8414 Pennsylvania Counseling Services CBC # 290094000 NPI/Ref # 1366534620 618 St, PA 17042 Phone: (717) 274-2741 Fax: (717) 274-5405 Habit Opco Allentown CBC # 600532948 NPI/Ref # 1023175072 4400 S Cedarbrook Rd Phone: (610) 481-0444 Fax: (610) 481-0298 Livengrin Foundation CBC # 186433000 NPI/Ref # 1194889782 Hanover Office Plz 961 Marcon Blvd Ste 304 Allentown, PA 18109 Phone: (610) 264-5521 Fax: (610) 264-5523 Malvern Institute CBC # 600847875 NPI/Ref # 1922141167 881 Marcon Blvd Allentown, PA 18109 Phone: (610) 647-0330 Fax: (610) 266-2627 Mid Atlantic Rehab Services CBC # 600530806 NPI/Ref # 1396912440 826 Delaware Ave Bethlehem, PA 18015 Phone: (610) 419-3101 Fax: (610) 419-3309 Raft Treatment LLC CBC # 600009940 NPI/Ref # 1730306598 860 Broad St Ste 101 Eaus, PA 18049 Phone: (610) 965-8454 Fax: (610) 965-8453 BEHAVIORAL HEALTH FACILITIES Handicap Accessible Page 7

Outpatient Substance Abuse Disorders BEHAVIORAL HEALTH FACILITIES Counity Services Foundation CBC # 241568000 NPI/Ref # 1285783332 544 Main St Bethlehem, PA 18018 Phone: (610) 801-0210 Net Treatment Services CBC # 780605000 NPI/Ref # 1851699631 6 S 3rd St Ste 508 Easton, PA 18042 Phone: (610) 253-6760 Fax: (610) 253-6251 Northeastern Services CBC # 775694000 NPI/Ref # 1134418924 44 E Broad St Ste O-00 Bethlehem, PA 18018 Phone: (610) 868-0435 Fax: (610) 868-5552 Recovery Revolution CBC # 829870000 NPI/Ref # 1114070307 109 Broadway Bangor, PA 18013 Phone: (610) 599-7700 Fax: (610) 599-7714 New Insights CBC # 107501000 NPI/Ref # 1417025149 517 Carlisle Ave, PA 17404 Phone: (717) 845-2079 Fax: (717) 854-2298 Pennsylvania Counseling Services CBC # 290179000 NPI/Ref # 1366534620 128 N George St, PA 17401 Phone: (717) 840-0984 Fax: (717) 755-8859 Rehab After Work CBC # 600749642 NPI/Ref # 1255409827 45 Wyntre Brooke Dr LL, PA 17403 Phone: (610) 644-6464 Fax: (610) 889-0732 Partial Psych Facility - Intensive Outpatient Counseling CBC # 093397000 NPI/Ref # 1881620250 645 Penn St Reading, PA 19601 Phone: (610) 373-4281 Fax: (610) 373-3779 Haven Behavioral Hospital of Eastern PA CBC # 263410000 NPI/Ref # 1629384292 145 N 6th St Reading, PA 19601 Phone: (610) 406-4372 Fax: (610) 898-8003 Centre Universal Counity Behavioral Health CBC # 261654000 NPI/Ref # 1568472801 190 Match Factory Pl Bellefonte, PA 16823 Phone: (814) 353-1487 Universal Counity Behavioral Health CBC # 261729000 NPI/Ref # 1518977610 110 Walton St Philipsburg, PA 16866 Phone: (814) 353-2579 Fax: (814) 342-8092 Holy Spirit Hospital CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Phone: (717) 763-2219 Fax: (717) 763-2272 Pennsylvania Psychiatric Institute CBC # 600639860 NPI/Ref # 1386820017 401 Division St Phone: (717) 782-4349 Fax: (717) 782-6518 Philhaven Hospital CBC # 126131000 NPI/Ref # 1972598076 2601 Herr St Harrisburg, PA 17103 Phone: (800) 527-2322 Philhaven Hospital CBC # 730060000 NPI/Ref # 1174629463 Children & Adolescent O/P Hospitalization 780 Eden Rd, PA 17601 Phone: (717) 735-7770 Philhaven Hospital CBC # 086071000 NPI/Ref # 1972598076 283 Butler Rd Mount Gretna, PA 17064 Phone: (717) 273-8871 Fax: (717) 270-2452 Philhaven Hospital CBC # 813191000 NPI/Ref # 1174629463 Children & Adult Day Program 1245 W Princess St Ste A, PA 17404 Phone: (717) 845-2482 Fax: (717) 845-2621 WellSpan Behavioral Health CBC # 234180000 NPI/Ref # 1326060492 1101 Edgar St, PA 17403 Phone: (717) 851-1500 Fax: (717) 851-1515 Partial Psych Facility - Outpatient Haven Behavioral Hospital of Eastern PA CBC # 263410000 NPI/Ref # 1629384292 145 N 6th St Reading, PA 19601 Phone: (610) 406-4372 Fax: (610) 898-8003 Reading Hospital and Medical CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-9070 Centre Universal Counity Behavioral Health CBC # 261654000 NPI/Ref # 1568472801 190 Match Factory Pl Bellefonte, PA 16823 Phone: (814) 353-1487 Universal Counity Behavioral Health CBC # 261729000 NPI/Ref # 1518977610 110 Walton St Philipsburg, PA 16866 Phone: (814) 353-2579 Fax: (814) 342-8092 Holy Spirit Hospital CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Phone: (717) 763-2219 Fax: (717) 763-2272 New Insights CBC # 057184000 NPI/Ref # 1417025149 716 State St Lemoyne, PA 17043 Phone: (717) 303-2035 Fax: (717) 303-5929 Pennsylvania Psychiatric Institute CBC # 600639860 NPI/Ref # 1386820017 401 Division St Phone: (717) 782-4349 Fax: (717) 782-6518 Pennsylvania Psychiatric Institute CBC # 837199000 NPI/Ref # 1386820017 22 Northeast Dr Hershey, PA 17033 Phone: (717) 531-8338 Fax: (717) 531-6250 Philhaven Hospital CBC # 126131000 NPI/Ref # 1972598076 2601 Herr St Harrisburg, PA 17103 Phone: (800) 527-2322 Regional Medical CBC # 004584000 NPI/Ref # 1467491027 250 College Ave, PA 17603 Phone: (717) 291-8211 Fax: (717) 291-8065 Philhaven Hospital CBC # 730060000 NPI/Ref # 1174629463 Children & Adolescent O/P Hospitalization 780 Eden Rd, PA 17601 Phone: (717) 735-7770 Philhaven Hospital CBC # 086071000 NPI/Ref # 1972598076 283 Butler Rd Mount Gretna, PA 17064 Phone: (717) 273-8871 Fax: (717) 270-2452 Northumberland Sunbury Counity Hospital CBC # 817586000 NPI/Ref # 1467424820 350 N 11th St Sunbury, PA 17801 Phone: (570) 286-3333 Philhaven Hospital CBC # 813191000 NPI/Ref # 1174629463 Children & Adult Day Program 1245 W Princess St Ste A, PA 17404 Phone: (717) 845-2482 Fax: (717) 845-2621 TrueNorth Wellness Services CBC # 600597366 NPI/Ref # 1598946428 33 Frederick St Hanover, PA 17331 Phone: (717) 632-4900 Fax: (717) 632-1942 Psychiatric Hospital Haven Behavioral Hospital of Eastern PA CBC # 263410000 NPI/Ref # 1629384292 145 N 6th St Reading, PA 19601 Phone: (610) 406-4372 Fax: (610) 898-8003 Reading Hospital and Medical CBC # 177271000 NPI/Ref # 1841359528 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-9070 Holy Spirit Hospital CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Phone: (717) 763-2219 Fax: (717) 763-2272 Pennsylvania Psychiatric Institute CBC # 600489757 NPI/Ref # 1386820017 2501 N 3rd St Phone: (717) 782-6420 Fax: (717) 782-4727 General Hospital CBC # 031673000 NPI/Ref # 1578511309 555 N Duke St, PA 17602 Phone: (717) 544-5868 Fax: (717) 560-3787 Regional Medical CBC # 004584000 NPI/Ref # 1467491027 250 College Ave, PA 17603 Phone: (717) 291-8211 Fax: (717) 291-8065 Philhaven Hospital CBC # 086071000 NPI/Ref # 1972598076 283 Butler Rd Mount Gretna, PA 17064 Phone: (717) 273-8871 Fax: (717) 270-2452 Sacred Heart Hospital CBC # 219678000 NPI/Ref # 1992794853 421 W Chew St Allentown, PA 18102 Phone: (610) 776-4713 Fax: (610) 776-4559 Northumberland Sunbury Counity Hospital CBC # 817586000 NPI/Ref # 1467424820 350 N 11th St Sunbury, PA 17801 Phone: (570) 286-3333 Hospital CBC # 019548000 NPI/Ref # 1326060492 1001 S George St, PA 17403 Phone: (717) 851-2345 Fax: (717) 851-3374 Substance Abuse Detox - Intensive Outpatient Adams Pennsylvania Counseling Services CBC # 813704000 NPI/Ref # 1366534620 334 St Gettysburg, PA 17325 Phone: (717) 337-0026 Fax: (717) 337-1260 Counseling CBC # 093397000 NPI/Ref # 1881620250 645 Penn St Reading, PA 19601 Phone: (610) 373-4281 Fax: (610) 373-3779 Pennsylvania Counseling Services CBC # 245234000 NPI/Ref # 1366534620 938 Penn St Reading, PA 19602 Phone: (610) 478-8088 Fax: (610) 478-4884 Pennsylvania Counseling Services CBC # 600558641 NPI/Ref # 1366534620 125 S 5th St Reading, PA 19602 Phone: (610) 685-2188 Fax: (610) 320-5442 Handicap Accessible Page 8

Substance Abuse Rehab - Inpatient Holy Spirit Hospital CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Phone: (717) 763-2219 Fax: (717) 763-2272 New Insights CBC # 057184000 NPI/Ref # 1417025149 716 State St Lemoyne, PA 17043 Phone: (717) 303-2035 Fax: (717) 303-5929 Mazzitti and Sullivan CBC # 249253000 NPI/Ref # 1669414991 3207 N Front St Phone: (717) 901-5652 Fax: (717) 540-6874 Pennsylvania Counseling Services CBC # 290106000 NPI/Ref # 1366534620 4918 Locust Ln Phone: (717) 671-9610 Fax: (717) 671-9680 Franklin Pennsylvania Counseling Services CBC # 600661599 NPI/Ref # 1366534620 75 S Main St Phone: (717) 261-1426 Fax: (717) 363-1647 Freedom CBC # 159126000 NPI/Ref # 1942224340 436 N Lime St, PA 17602 Phone: (717) 397-9118 Fax: (717) 397-3514 Pennsylvania Counseling Services CBC # 290097000 NPI/Ref # 1366534620 40 Pearl St, PA 17603 Phone: (717) 397-8081 Fax: (717) 397-8414 Pennsylvania Counseling Services CBC # 290094000 NPI/Ref # 1366534620 618 St, PA 17042 Phone: (717) 274-2741 Fax: (717) 274-5405 Livengrin Foundation CBC # 186433000 NPI/Ref # 1194889782 Hanover Office Plz 961 Marcon Blvd Ste 304 Allentown, PA 18109 Phone: (610) 264-5521 Fax: (610) 264-5523 Malvern Institute CBC # 600847875 NPI/Ref # 1922141167 881 Marcon Blvd Allentown, PA 18109 Phone: (610) 647-0330 Fax: (610) 266-2627 Mid Atlantic Rehab Services CBC # 600530806 NPI/Ref # 1396912440 826 Delaware Ave Bethlehem, PA 18015 Phone: (610) 419-3101 Fax: (610) 419-3309 Raft Treatment LLC CBC # 600009940 NPI/Ref # 1730306598 860 Broad St Ste 101 Eaus, PA 18049 Phone: (610) 965-8454 Fax: (610) 965-8453 Net Treatment Services CBC # 780605000 NPI/Ref # 1851699631 6 S 3rd St Ste 508 Easton, PA 18042 Phone: (610) 253-6760 Fax: (610) 253-6251 New Insights CBC # 107501000 NPI/Ref # 1417025149 517 Carlisle Ave, PA 17404 Phone: (717) 845-2079 Fax: (717) 854-2298 Pennsylvania Counseling Services CBC # 290179000 NPI/Ref # 1366534620 128 N George St, PA 17401 Phone: (717) 840-0984 Fax: (717) 755-8859 Rehab After Work CBC # 600749642 NPI/Ref # 1255409827 45 Wyntre Brooke Dr LL, PA 17403 Phone: (610) 644-6464 Fax: (610) 889-0732 WellSpan Behavioral Health CBC # 234180000 NPI/Ref # 1326060492 1101 Edgar St, PA 17403 Phone: (717) 851-1500 Fax: (717) 851-1515 Substance Abuse Detox - Outpatient Counseling CBC # 093397000 NPI/Ref # 1881620250 645 Penn St Reading, PA 19601 Phone: (610) 373-4281 Fax: (610) 373-3779 WellSpan Behavioral Health CBC # 234180000 NPI/Ref # 1326060492 1101 Edgar St, PA 17403 Phone: (717) 851-1500 Fax: (717) 851-1515 Substance Abuse Detox - Partial Hospitalization New Insights CBC # 057184000 NPI/Ref # 1417025149 716 State St Lemoyne, PA 17043 Phone: (717) 303-2035 Fax: (717) 303-5929 Freedom CBC # 159126000 NPI/Ref # 1942224340 436 N Lime St, PA 17602 Phone: (717) 397-9118 Fax: (717) 397-3514 Livengrin Foundation CBC # 186433000 NPI/Ref # 1194889782 Hanover Office Plz 961 Marcon Blvd Ste 304 Allentown, PA 18109 Phone: (610) 264-5521 Fax: (610) 264-5523 Counity Services Foundation CBC # 241568000 NPI/Ref # 1285783332 544 Main St Bethlehem, PA 18018 Phone: (610) 801-0210 New Insights CBC # 107501000 NPI/Ref # 1417025149 517 Carlisle Ave, PA 17404 Phone: (717) 845-2079 Fax: (717) 854-2298 Substance Abuse Rehab - Inpatient Reading Hospital and Medical CBC # 600785653 NPI/Ref # 1841359528 401 Buttonwood St Reading, PA 19611 Phone: (610) 628-8186 Fax: (484) 628-8187 Holy Spirit Hospital CBC # 057291000 NPI/Ref # 1881690212 503 N 21st St Phone: (717) 763-2219 Fax: (717) 763-2272 Gaudenzia Outpatient Services CBC # 086312000 NPI/Ref # 1639293418 3740 Chambers Hill Rd Harrisburg, PA 17111 Phone: (717) 561-0400 Fax: (717) 561-0896 Colonial House CBC # 230888000 NPI/Ref # 1174686026 1300 Woodberry Rd, PA 17408 Phone: (717) 792-9702 Fax: (717) 792-9910 BEHAVIORAL HEALTH FACILITIES Handicap Accessible Page 9

The following section lists network skilled nursing facilities. Preauthorization Requirements SKILLED NURSING FACILITIES Some services must be preauthorized. Preauthorization for SecureChoice SM Members is an approval process used to determine member eligibility, benefit coverage and medical necessity of proposed services at the time of the request. You may ask your provider if the service requires preauthorization. Network providers are responsible for knowing which services require preauthorization and for obtaining preauthorization from Keystone Health Plan Central or its designated representative before providing the service. Important Notes This directory is accurate only as of the date the information was generated for this printing. To check the most current participation status of any particular provider, visit our website at capbluecross.com/healthypa or call the toll-free number on your ID card. You may also contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM, or contact the provider directly to verify their participation in SecureChoice SM. If you have questions about your benefits or any other aspect of your health care coverage, please call the toll-free number on your ID card or contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM. After normal business hours, you may leave a voice mail message and a Customer Service Representative will return your call during the next business day. Always present your Member identification card each time you seek medical services. For detailed information concerning your benefits, please refer to your Member handbook. Page 11

Adams Adams Cross Keys Village CBC # 395108 NPI/Ref # 1225034440 2990 Carlisle Pike New Oxford, PA 17350 Phone: (717) 624-2161 Fax: (717) 624-5252 Gettysburg Lutheran Home CBC # 395647 NPI/Ref # 1093829582 1075 Old Harrisburg Rd Gettysburg, PA 17325 Phone: (717) 334-6204 Fax: (717) 334-5081 Golden Living - Gettysburg CBC # 395247 NPI/Ref # 1619928074 741 Chambersburg Rd Gettysburg, PA 17325 Phone: (717) 334-6764 Fax: (717) 334-5652 Transitions Healthcare Gettysburg LLC CBC # 395798 NPI/Ref # 1578550562 595 Biglerville Rd Gettysburg, PA 17325 Phone: (717) 334-6249 Fax: (717) 334-7847 Village of Laurel Run (The) CBC # 395721 NPI/Ref # 1487760765 6375 Chambersburg Rd Fayetteville, PA 17222 Phone: (717) 352-2721 Fax: (717) 352-2142 - Heim CBC # 395094 NPI/Ref # 1053318501 1011 Rd Leesport, PA 19533 Phone: (610) 376-4841 Fax: (610) 376-7371 hire CBC # 395938 NPI/Ref # 1912189317 5501 Perkiomen Ave Reading, PA 19606 Phone: (610) 779-0600 Fax: (610) 370-9688 Golden Living - Reading CBC # 395627 NPI/Ref # 1750332169 21 Fairlane Rd Reading, PA 19606 Phone: (610) 779-8522 Fax: (610) 370-2139 Highlands at Wyomissing CBC # 395800 NPI/Ref # 1588636344 2000 Cambridge Ave Phone: (610) 775-2300 Fax: (610) 775-9851 Kindred Transitional Care and Rehab - Wyomissing CBC # 395237 NPI/Ref # 1326126012 1000 E Wyomissing Blvd Reading, PA 19611 Phone: (610) 376-3991 Fax: (610) 376-3579 Kutztown Manor CBC # 395680 NPI/Ref # 1881691145 120 Trexler Ave Kutztown, PA 19530 Phone: (610) 683-6220 Fax: (610) 683-6849 Laurel - PA CBC # 395408 NPI/Ref # 1356523666 125 Holly Rd Hamburg, PA 19526 Phone: (610) 562-2284 Fax: (610) 562-0775 Lutheran Home at Topton CBC # 395117 NPI/Ref # 1447217153 1 S Home Ave Topton, PA 19562 Phone: (610) 682-2145 Fax: (610) 682-1055 Laureldale #562 CBC # 395477 NPI/Ref # 1710933429 2125 Elizabeth Ave Laureldale, PA 19605 Phone: (610) 921-9292 Fax: (610) 921-9561 Sinking Springs #576 CBC # 395541 NPI/Ref # 1689621484 3000 Windmill Rd Sinking Spring, PA 19608 Phone: (610) 670-2100 Fax: (610) 670-9749 W Reading North #568 CBC # 395351 NPI/Ref # 1720034002 425 Buttonwood St West Reading, PA 19611 Phone: (610) 373-5166 Fax: (610) 374-7560 Mifflin CBC # 395138 NPI/Ref # 1063694370 500 E Philadelphia Ave Shillington, PA 19607 Phone: (610) 777-7841 Fax: (610) 775-7198 Phoebe Health Care CBC # 395880 NPI/Ref # 1578561049 1 Heidelberg Dr Wernersville, PA 19565 Phone: (610) 927-8570 Fax: (610) 927-8400 Spruce Manor Nursing and Rehabilitation CBC # 395226 NPI/Ref # 1568533123 220 S 4th Ave West Reading, PA 19611 Phone: (610) 374-5175 Fax: (610) 374-7659 Transitional Care at Reading Hospital CBC # 395941 NPI/Ref # 1700946605 2802 Papermill Rd Phone: (484) 388-2703 Fax: (484) 388-2728 Centre Centre Crest CBC # 395779 NPI/Ref # 1548602964 502 E Howard St Bellefonte, PA 16823 Phone: (814) 355-6777 Fax: (814) 355-6999 Fairways at Brookline CBC # 395756 NPI/Ref # 1740280890 1950 Cliffside Dr State College, PA 16801 Phone: (814) 238-3139 Fax: (814) 235-2074 Hearthside A Nursing and Rehabilitation (The) CBC # 395868 NPI/Ref # 1184958308 450 Waupelani Dr State College, PA 16801 Phone: (814) 237-0630 Fax: (814) 237-0638 Columbia Balanced Care at Bloomsburg CBC # 395953 NPI/Ref # 1861482283 3298 Ridge Rd Bloomsburg, PA 17815 Phone: (570) 784-6688 Fax: (570) 389-9081 Berwick Retirement Village Nursing Home CBC # 395421 NPI/Ref # 1417928185 801 E 16th St Berwick, PA 18603 Phone: (570) 759-5400 Millville Health CBC # 395872 NPI/Ref # 1831456243 48 Haven Ln Millville, PA 17846 Phone: (570) 458-5566 Fax: (570) 458-4050 Orangeville Nursing and Rehabilitation CBC # 395899 NPI/Ref # 1184981987 200 Berwick Rd Orangeville, PA 17859 Phone: (570) 683-5036 Fax: (570) 683-5403 Bethany Village CBC # 395386 NPI/Ref # 1538133053 325 Wesley Dr Mechanicsburg, PA 17055 Phone: (717) 766-0279 Fax: (717) 591-8449 Chapel Pointe at Carlisle CBC # 395923 NPI/Ref # 1265499636 770 S Hanover St Carlisle, PA 17013 Phone: (717) 249-1363 Fax: (717) 249-4551 Church of God Home CBC # 395784 NPI/Ref # 1659425957 801 N Hanover St Carlisle, PA 17013 Phone: (717) 249-5322 Claremont Nursing and Rehab of County CBC # 395660 NPI/Ref # 1336143023 1000 Claremont Rd Carlisle, PA 17013 Phone: (717) 240-1948 Fax: (717) 240-1910 Crossings CBC # 395876 NPI/Ref # 1275590986 1 Longsdorf Way Carlisle, PA 17015 Phone: (717) 245-9941 Fax: (717) 245-2988 Forest Park Health CBC # 395270 NPI/Ref # 1629110754 700 Walnut Bottom Rd Carlisle, PA 17013 Phone: (717) 960-7700 Fax: (717) 243-8519 Fox Subacute at Mechanicsburg LLC CBC # 396122 NPI/Ref # 1114174703 120 S Filbert St Mechanicsburg, PA 17055 Phone: (717) 458-0930 Fax: (717) 458-0948 Golden Living - Camp Hill CBC # 395123 NPI/Ref # 1124079587 46 Erford Rd Phone: (717) 763-7361 Fax: (717) 763-7842 Golden Living - West Shore CBC # 395223 NPI/Ref # 1669423992 770 Poplar Church Rd Phone: (717) 763-7070 Fax: (717) 763-7850 Camp Hill #583 CBC # 395440 NPI/Ref # 1336194224 1700 Market St Phone: (717) 737-8551 Fax: (717) 737-2189 Carlisle #372 CBC # 395746 NPI/Ref # 1093760837 940 Walnut Bottom Rd Carlisle, PA 17013 Phone: (717) 249-0085 Fax: (717) 249-0647 Messiah Village CBC # 395445 NPI/Ref # 1750432019 100 Mt Allen Dr Mechanicsburg, PA 17055 Phone: (717) 697-4666 Fax: (717) 790-8200 Sarah Todd Memorial Home CBC # 395677 NPI/Ref # 1588655815 1000 W South St Carlisle, PA 17013 Phone: (717) 245-2187 Fax: (717) 245-9733 Shippensburg Health Care CBC # 395964 NPI/Ref # 1073572871 121 Walnut Bottom Rd Shippensburg, PA 17257 Phone: (717) 530-8300 Fax: (717) 530-8304 Swaim Health CBC # 395375 NPI/Ref # 1548254790 210 Big Spring Rd Newville, PA 17241 Phone: (717) 776-8200 Fax: (717) 776-6266 Thornwald Home CBC # 395802 NPI/Ref # 1528059854 442 Walnut Bottom Rd Carlisle, PA 17013 Phone: (717) 249-4118 Fax: (717) 249-8906 Vibra Rehabilitation CBC # 396133 NPI/Ref # 1831525179 707 Shepherdstown Rd Mechanicsburg, PA 17055 Phone: (717) 591-2100 Fax: (717) 591-2110 Colonial Park Care LLC CBC # 395395 NPI/Ref # 1225036478 800 King Russ Rd Phone: (717) 657-1520 Fax: (717) 657-3278 Courtyard Gardens CBC # 395518 NPI/Ref # 1861492258 999 W Harrisburg Pike Middletown, PA 17057 Phone: (717) 944-3351 Fax: (717) 948-1510 Frey Village CBC # 395347 NPI/Ref # 1578520011 1020 N Union St Middletown, PA 17057 Phone: (717) 944-0451 Fax: (717) 930-1310 Golden Living - Blue Ridge Mountain CBC # 395142 NPI/Ref # 1538119573 3625 N Progress Ave Phone: (717) 652-2345 Fax: (717) 652-8325 Homeland CBC # 395475 NPI/Ref # 1841286135 1901 N 5th St Harrisburg, PA 17102 Phone: (717) 221-7900 Fax: (717) 221-7916 Jewish Home of Greater Harrisburg CBC # 395372 NPI/Ref # 1952493272 4000 Linglestown Rd Harrisburg, PA 17112 Phone: (717) 657-0700 Fax: (717) 657-9409 Kepler for Nursing and Rehabilitation CBC # 396112 NPI/Ref # 1174968960 44 S Market St Elizabethville, PA 17023 Phone: (717) 362-8370 Fax: (717) 362-1015 Manor at Susquehanna Village (The) CBC # 395428 NPI/Ref # 1669496287 990 Medical Rd Millersburg, PA 17061 Phone: (717) 692-4751 Fax: (717) 692-0536 Penn State Hershey Rehabilitation - TCU CBC # 396134 NPI/Ref # 1033530878 1135 Old Chocolate Ave Huelstown, PA 17036 Phone: (717) 833-5303 Fax: (717) 833-5395 Spring Creek Rehabilitation and Health Care CBC # 395074 NPI/Ref # 1326151804 1205 S 28th St Harrisburg, PA 17111 Phone: (717) 565-7000 Fax: (717) 558-8138 SKILLED NURSING FACILITIES Handicap Accessible Page 13

Franklin SKILLED NURSING FACILITIES Franklin Falling Spring Nursing and Rehabilitation CBC # 395613 NPI/Ref # 1285062091 201 Franklin Farm Ln Chambersburg, PA 17202 Phone: (717) 264-2715 Fax: (717) 264-8689 Chambersburg #556 CBC # 395348 NPI/Ref # 1851346704 1070 Stauffer Ave Phone: (717) 263-0436 Fax: (717) 263-7468 Menno Village at Menno Haven CBC # 395012 NPI/Ref # 1023015138 2075 Scotland Ave Phone: (717) 263-8545 Fax: (717) 263-6988 Penn Hall at Menno Haven CBC # 395944 NPI/Ref # 1639176712 1425 Philadelphia Ave Phone: (717) 261-0220 Fax: (717) 261-1764 Quincy Village CBC # 395378 NPI/Ref # 1366434284 Colestock 6596 Orphanage Rd Waynesboro, PA 17268 Phone: (717) 749-2300 Fax: (717) 749-2395 Shook Home (The) CBC # 395918 NPI/Ref # 1154320950 55 S 2nd St Phone: (717) 264-6815 Fax: (717) 264-0380 Fulton Fulton County Medical CBC # 395387 NPI/Ref # 1700834314 214 Peach Orchard Rd Mc Connellsburg, PA 17233 Phone: (717) 485-3155 Fax: (717) 485-6105 Juniata Brookline at Mifflintown CBC # 395418 NPI/Ref # 1043268543 2 Manor Blvd Mifflintown, PA 17059 Phone: (717) 436-2178 Fax: (717) 436-6806 Locust Grove Retirement Village CBC # 395350 NPI/Ref # 1265448690 69 Cottage Rd Mifflin, PA 17058 Phone: (717) 436-8921 Fax: (717) 436-9165 Richfield Senior Living and Rehabilitation CBC # 396093 NPI/Ref # 1437486081 631 Main St Richfield, PA 17086 Phone: (717) 694-3434 Fax: (717) 694-3626 Audubon Villa Health and Rehabilitation CBC # 395590 NPI/Ref # 1366709289 125 S Broad St Lititz, PA 17543 Phone: (717) 626-0211 Fax: (717) 626-4441 Brethren Village CBC # 395328 NPI/Ref # 1013912500 3001 Lititz Pike, PA 17606 Phone: (717) 569-2657 Fax: (717) 581-4402 Calvary Fellowship Home CBC # 395349 NPI/Ref # 1891806980 502 Elizabeth Dr, PA 17601 Phone: (717) 393-0711 Fax: (717) 393-0998 Conestoga View Nursing Home CBC # 395774 NPI/Ref # 1528057411 900 E King St, PA 17602 Phone: (717) 299-7850 Fax: (717) 295-5999 Denver Health and Rehabilitation CBC # 395575 NPI/Ref # 1952668881 400 Ave Stevens, PA 17578 Phone: (717) 336-3878 Fax: (717) 336-3637 Ephrata Manor CBC # 395857 NPI/Ref # 1548251879 99 Bethany Rd Ephrata, PA 17522 Phone: (717) 738-4940 Fax: (717) 738-7478 Fairmount Homes CBC # 395805 NPI/Ref # 1568463818 333 Wheat Ridge Dr Ephrata, PA 17522 Phone: (717) 354-1800 Fax: (717) 354-6665 Glen at Willow Valley (The) CBC # 395956 NPI/Ref # 1194758151 675 Willow Valley Sq, PA 17602 Phone: (717) 464-6161 Fax: (717) 464-6034 Golden Living - CBC # 395177 NPI/Ref # 1932150349 425 N Duke St, PA 17602 Phone: (717) 397-4281 Fax: (717) 397-9187 Hamilton Arms CBC # 395224 NPI/Ref # 1386826691 336 S West End Ave, PA 17603 Phone: (717) 393-0419 Fax: (717) 291-9985 Harrison Senior Living of Christiana LLC CBC # 395403 NPI/Ref # 1932384963 41 Newport Ave Christiana, PA 17509 Phone: (610) 593-6901 Fax: (610) 593-0243 Homestead Village CBC # 395720 NPI/Ref # 1487652905 1800 Village Cir, PA 17604 Phone: (717) 397-4831 Fax: (717) 397-5647 Lakeside at Willow Valley CBC # 395771 NPI/Ref # 1740351584 300 Willow Vly Lakes Dr Willow Street, PA 17584 Phone: (717) 464-6161 Fax: (717) 464-6034 Lancashire Hall Nursing and Rehabilitation CBC # 395205 NPI/Ref # 1295735157 2829 Lititz Pike, PA 17601 Phone: (717) 569-3211 Fax: (717) 569-1569 Landis Homes CBC # 395797 NPI/Ref # 1346243227 1001 E Oregon Rd Lititz, PA 17543 Phone: (717) 569-3271 Fax: (717) 569-5203 Luther Acres Manor CBC # 395406 NPI/Ref # 1174510325 400 St Luke Dr Lititz, PA 17543 Phone: (717) 626-1171 Fax: (717) 626-1610 Elizabethtown #582 CBC # 395469 NPI/Ref # 1700831070 320 S Market St Elizabethtown, PA 17022 Phone: (717) 367-1377 Fax: (717) 367-1290 #569 CBC # 395199 NPI/Ref # 1518913136 100 Abbeyville Rd, PA 17603 Phone: (717) 397-4261 Fax: (717) 397-1420 Masonic Village at Elizabethtown CBC # 395560 NPI/Ref # 1720332653 1 Masonic Dr Elizabethtown, PA 17022 Phone: (717) 367-1121 Fax: (717) 367-5813 Mennonite Home CBC # 395559 NPI/Ref # 1770558512 1520 Harrisburg Pike, PA 17601 Phone: (717) 393-1301 Fax: (717) 393-1389 Moravian Manor CBC # 395325 NPI/Ref # 1831184506 300 W Lemon St Lititz, PA 17543 Phone: (717) 626-0214 Fax: (717) 626-6498 Mt Hope Nazarene Retirement Counity CBC # 396119 NPI/Ref # 1508895723 3026 Mt Hope Home Rd Manheim, PA 17545 Phone: (717) 665-6365 Fax: (717) 665-6366 Pleasant View Retirement Counity CBC # 395786 NPI/Ref # 1205835642 544 N Penryn Rd Manheim, PA 17545 Phone: (717) 665-2445 Fax: (717) 665-6553 Rheems Nursing and Rehabilitation CBC # 395844 NPI/Ref # 1891810826 141 Heisey Ave Elizabethtown, PA 17022 Phone: (717) 367-1831 Fax: (717) 367-4439 Susquehanna Valley Nursing and Rehabilitation CBC # 395400 NPI/Ref # 1689633943 745 Chiques Hill Rd Columbia, PA 17512 Phone: (717) 684-7555 Fax: (717) 684-3677 Cornwall Manor CBC # 395180 NPI/Ref # 1508857897 Boyd St Cornwall, PA 17016 Phone: (717) 273-2647 Fax: (717) 274-8052 Countryside Christian Counity CBC # 395681 NPI/Ref # 1225040751 200 Bellann Ct Annville, PA 17003 Phone: (717) 867-4636 Fax: (717) 867-1332 Good Samaritan Hospital Transitional Care Unit CBC # 395933 NPI/Ref # 1891874798 4th & Willow Sts, PA 17042 Phone: (717) 270-7500 Fax: (717) 306-6840 Valley Home (The) CBC # 395832 NPI/Ref # 1497746713 550 E Main St Annville, PA 17003 Phone: (717) 867-4467 Fax: (717) 867-7060 #561 CBC # 395472 NPI/Ref # 1851330195 900 Tuck St, PA 17042 Phone: (717) 273-8595 Fax: (717) 272-8208 Palmyra Health and Rehabilitation CBC # 395506 NPI/Ref # 1275890618 341 N Railroad St Palmyra, PA 17078 Phone: (717) 838-3011 Fax: (717) 838-8335 Spang Crest Manor CBC # 395365 NPI/Ref # 1326035577 945 Duke St, PA 17042 Phone: (717) 274-1495 Fax: (717) 274-1592 StoneRidge Poplar Run CBC # 395927 NPI/Ref # 1508882002 440 E Lincoln Ave Myerstown, PA 17067 Phone: (717) 866-3200 Fax: (717) 866-3252 StoneRidge Towne Centre CBC # 395343 NPI/Ref # 1467478941 7 W Park Ave Myerstown, PA 17067 Phone: (717) 866-6541 Twin Oaks Health and Rehabilitation CBC # 395846 NPI/Ref # 1003174038 2880 Horseshoe Pike Palmyra, PA 17078 Phone: (717) 838-2231 Fax: (717) 838-2064 Cedarbrook County Home CBC # 395465 NPI/Ref # 1043215072 350 S Cedarbrook Rd Allentown, PA 18104 Phone: (610) 395-3727 Fax: (610) 395-0412 Fellowship Manor CBC # 395763 NPI/Ref # 1790767226 3000 Fellowship Dr Whitehall, PA 18052 Phone: (610) 799-3000 Fax: (610) 799-3099 Good Shepherd Home at C W Raker CBC # 395018 NPI/Ref # 1629015078 601 St John St Phone: (610) 776-3111 Fax: (610) 776-3503 Holy Family Manor CBC # 395250 NPI/Ref # 1255338976 1200 Spring St Bethlehem, PA 18018 Phone: (610) 865-5595 Fax: (610) 997-8454 CBC # 395939 NPI/Ref # 1255513560 1718 Spring Creek Rd Macungie, PA 18062 Phone: (610) 366-0500 Fax: (610) 366-8042 Valley Hospital Transitional Skilled Unit CBC # 395951 NPI/Ref # 1235198326 17th & Chew Sts Allentown, PA 18105 Phone: (610) 402-3300 Fax: (610) 402-9736 Liberty Nursing and Rehabilitation #4068 CBC # 395264 NPI/Ref # 1225084239 535 N 17th St Allentown, PA 18104 Phone: (610) 432-4351 Fax: (610) 435-4470 Luther Crest Nursing Facility CBC # 395591 NPI/Ref # 1447217112 800 Hausman Rd Allentown, PA 18104 Phone: (610) 682-2145 Fax: (610) 682-1055 Allentown #481 CBC # 395760 NPI/Ref # 1790739795 1265 S Cedar Crest Blvd Phone: (610) 776-7522 Fax: (610) 776-0270 Handicap Accessible Page 14

Bethlehem II CBC # 395527 NPI/Ref # 1740235613 2029 Westgate Dr Phone: (610) 861-0100 Fax: (610) 861-2754 Mosser Nursing Home CBC # 395105 NPI/Ref # 1356323109 1175 Mosser Rd PO Box 133 Trexlertown, PA 18087 Phone: (610) 395-5661 Fax: (610) 395-0451 Phoebe Home (The) CBC # 395080 NPI/Ref # 1982602447 1925 Turner St Allentown, PA 18104 Phone: (610) 794-5006 Fax: (610) 794-5400 Sacred Heart Hospital Transitional Care Facility CBC # 395926 NPI/Ref # 1710975693 421 Chew St Allentown, PA 18102 Phone: (610) 776-4848 Fax: (610) 776-5489 Valley Manor Nursing and Rehabilitation CBC # 395167 NPI/Ref # 1073684668 7650 Rte 309 Coopersburg, PA 18036 Phone: (610) 282-1919 Fax: (610) 282-2962 Westminster Village CBC # 395171 NPI/Ref # 1518951763 803 N Wahneta St Allentown, PA 18109 Phone: (610) 782-8300 Fax: (610) 434-9578 Mifflin Golden Living - William Penn CBC # 395335 NPI/Ref # 1750332086 163 Suit Dr Lewistown, PA 17044 Phone: (717) 248-3941 Fax: (717) 242-2280 Malta Home Retirement Counity CBC # 395102 NPI/Ref # 1285744474 105 Malta Dr Granville, PA 17029 Phone: (717) 248-3988 Fax: (717) 248-2780 Ohesson Manor CBC # 395373 NPI/Ref # 1154388684 350 Green Ave Ext Lewistown, PA 17044 Phone: (717) 242-1416 Fax: (717) 242-5701 Valley View Haven CBC # 395787 NPI/Ref # 1295722353 4702 E Main St Belleville, PA 17004 Phone: (717) 935-2105 Montour Grandview Health Homes CBC # 395623 NPI/Ref # 1043217243 49 Woodbine Ln Danville, PA 17821 Phone: (570) 275-5240 Fax: (570) 275-3104 Maria Joseph Manor CBC # 395824 NPI/Ref # 1033101803 875 Montour Rd Danville, PA 17821 Phone: (570) 275-4221 Fax: (570) 275-5616 Blough Healthcare LLC CBC # 395599 NPI/Ref # 1508867938 316 E Market St Bethlehem, PA 18018 Phone: (610) 868-4982 Fax: (610) 867-7723 Cedarbrook County Home CBC # 395465 NPI/Ref # 1043215072 Fountain Hill Annex 724 Delaware Ave Bethlehem, PA 18015 Phone: (610) 691-6700 Fax: (610) 867-2332 Easton Health and Rehabilitation CBC # 395729 NPI/Ref # 1396002226 498 Washington St Easton, PA 18042 Phone: (610) 258-2985 Fax: (610) 559-8654 Gracedale Nursing Home CBC # 395476 NPI/Ref # 1588668214 2 Gracedale Ave Nazareth, PA 18064 Phone: (610) 746-1900 Fax: (610) 746-1901 Kirkland Village CBC # 395916 NPI/Ref # 1164416491 1 Kirkland Village Cir Phone: (610) 691-4500 Fax: (610) 691-4541 Bethlehem (2021) #555 CBC # 395429 NPI/Ref # 1568401800 2021 Westgate Dr Phone: (610) 865-6077 Fax: (610) 694-0831 Easton #574 CBC # 395540 NPI/Ref # 1700831013 2600 St Easton, PA 18045 Phone: (610) 250-0150 Fax: (610) 250-2799 Moravian Hall Square Health and Wellness CBC # 395752 NPI/Ref # 1669477261 175 W North St Nazareth, PA 18064 Phone: (610) 746-1000 Fax: (610) 746-1444 Moravian Village of Bethlehem CBC # 396096 NPI/Ref # 1710968458 634 E Broad St Bethlehem, PA 18018 Phone: (610) 625-4885 Fax: (610) 625-4719 New Eastwood Healthcare and Rehabilitation CBC # 395075 NPI/Ref # 1194064683 2125 Fairview Ave Easton, PA 18042 Phone: (610) 258-2801 Fax: (610) 258-0894 Old Orchard Health Care #575 CBC # 396077 NPI/Ref # 1255387114 4100 Freemansburg Ave Easton, PA 18045 Phone: (610) 330-9030 Fax: (610) 330-0941 Praxis Alzheimers Facility CBC # 395708 NPI/Ref # 1902164577 500 Washington St Easton, PA 18042 Phone: (610) 253-3573 Fax: (610) 559-7652 Slate Belt Nursing and Rehabilitation CBC # 395494 NPI/Ref # 1740352905 701 Slate Belt Blvd Bangor, PA 18013 Phone: (610) 588-6161 Fax: (610) 599-1487 Northumberland Golden Living - Mansion CBC # 395482 NPI/Ref # 1194776427 1040 Market St Sunbury, PA 17801 Phone: (570) 286-6922 Fax: (570) 286-8175 Sunbury #567 CBC # 395512 NPI/Ref # 1952340283 800 Court St - Circle Dr Sunbury, PA 17801 Phone: (570) 286-7121 Fax: (570) 286-2418 Milton Nursing and Rehabilitation LP CBC # 395570 NPI/Ref # 1649510108 743 Mahoning St Milton, PA 17847 Phone: (570) 742-2681 Fax: (570) 742-6295 Mount Carmel Nursing and Rehabilitation CBC # 395589 NPI/Ref # 1184626491 2616 Locust Gap Hwy Mount Carmel, PA 17851 Phone: (570) 339-2501 Fax: (570) 339-0430 Mountain View A Nursing and Rehabilitation CBC # 395045 NPI/Ref # 1013244763 2050 Trevorton Rd Coal Township, PA 17866 Phone: (570) 644-4400 Fax: (570) 644-4165 Nottingham Village CBC # 395390 NPI/Ref # 1619062858 58 Neitz Rd Northumberland, PA 17857 Phone: (570) 473-8366 Fax: (570) 473-8280 Sunbury Counity Health & Rehabilitation CBC # 395317 NPI/Ref # 1750622601 350 N 11th St Sunbury, PA 17801 Phone: (570) 286-3333 Fax: (570) 286-3344 Watsontown Nursing and Rehabilitation LP CBC # 395825 NPI/Ref # 1558601013 245 E 8th St Watsontown, PA 17777 Phone: (570) 538-2561 Fax: (570) 538-1595 Perry Kinkora Pythian Home Corporation CBC # 395915 NPI/Ref # 1821096801 25 Cove Rd Duncannon, PA 17020 Phone: (717) 834-4887 Fax: (717) 834-6622 Manor at Perry Village (The) CBC # 395426 NPI/Ref # 1255345302 213 E Main St New Bloomfield, PA 17068 Phone: (717) 582-4346 Fax: (717) 582-8447 Stonebridge Health and Rehabilitation CBC # 395785 NPI/Ref # 1851463350 102 Chandra Dr Duncannon, PA 17020 Phone: (717) 834-4111 Fax: (717) 834-6332 Schuylkill Broad Mountain Manor Extendicare CBC # 395286 NPI/Ref # 1356414759 500 W Laurel St Frackville, PA 17931 Phone: (570) 874-0696 Fax: (570) 874-2947 Golden Living - Terrace CBC # 395252 NPI/Ref # 1386695617 2401 W Market St Pottsville, PA 17901 Phone: (570) 622-3982 Fax: (570) 622-2872 Hometown Nursing and Rehabilitation CBC # 395875 NPI/Ref # 1689676991 149 Lafayette Ave Tamaqua, PA 18252 Phone: (570) 668-1775 Fax: (570) 668-1570 Pottsville #566 CBC # 395344 NPI/Ref # 1508813460 420 Pulaski Dr Pottsville, PA 17901 Phone: (570) 622-9582 Fax: (570) 622-7705 Orwigsburg CBC # 395878 NPI/Ref # 1407038714 1000 Orwigsburg Manor Dr Orwigsburg, PA 17961 Phone: (570) 366-2999 Fax: (570) 366-8924 Ridgeview Healthcare and Rehab LLC CBC # 395929 NPI/Ref # 1740588094 200 Pennsylvania Ave Shenandoah, PA 17976 Phone: (570) 462-1921 Fax: (570) 462-4946 Schuylkill CBC # 395831 NPI/Ref # 1730361056 1000 Schuylkill Mnr Rd Pottsville, PA 17901 Phone: (570) 622-9666 Fax: (570) 622-6791 Schuylkill County Home Rest Haven CBC # 395416 NPI/Ref # 1154318871 401 University Dr Schuylkill Haven, PA 17972 Phone: (570) 385-0331 Fax: (570) 385-1007 Schuylkill Medical - South Jackson Street CBC # 396127 NPI/Ref # 1629303961 420 S Jackson St Pottsville, PA 17901 Phone: (570) 621-5171 Fax: (570) 621-5589 Seton Manor CBC # 396063 NPI/Ref # 1326049271 1000 Seton Dr Orwigsburg, PA 17961 Phone: (570) 366-0400 Fax: (570) 366-1970 Shenandoah Manor Nursing CBC # 395556 NPI/Ref # 1497757710 101 E Washington St Shenandoah, PA 17976 Phone: (570) 462-1908 Fax: (570) 462-1457 St Lukes Miners Memorial Geriatric CBC # 395316 NPI/Ref # 1497837470 360 W Ruddle St Coaldale, PA 18218 Phone: (570) 645-2131 Fax: (570) 645-2121 Tremont Health and Rehabilitation CBC # 395499 NPI/Ref # 1356412936 44 Donaldson Rd Tremont, PA 17981 Phone: (570) 695-3141 Fax: (570) 695-2623 Snyder Manor at Penn Village (The) CBC # 395172 NPI/Ref # 1205841632 51 Rte 204 Selinsgrove, PA 17870 Phone: (570) 372-2415 Fax: (570) 372-2398 Union Buffalo Valley Lutheran Village CBC # 395261 NPI/Ref # 1033176557 889 Fairground Rd Lewisburg, PA 17837 Phone: (570) 524-2221 Fax: (570) 523-3611 RiverWoods CBC # 395283 NPI/Ref # 1053317446 3201 River Rd Lewisburg, PA 17837 Phone: (570) 524-2271 Fax: (570) 524-5137 Barbara J Egan Nursing and Rehabilitation CBC # 395438 NPI/Ref # 1235243742 200 Luther Rd Shrewsbury, PA 17361 Phone: (717) 235-6895 Fax: (717) 235-3832 SKILLED NURSING FACILITIES Handicap Accessible Page 15

Colonial Manor CBC # 395168 NPI/Ref # 1912907841 970 Colonial Ave, PA 17403 Phone: (717) 845-2661 Fax: (717) 845-3101 Hanover Hall CBC # 395016 NPI/Ref # 1154321008 267 Frederick St Hanover, PA 17331 Phone: (717) 637-8937 Fax: (717) 637-3939 Lutheran Nursing and Rehab at Sprenkle Dr CBC # 395612 NPI/Ref # 1912011446 1801 Folkemer Cir, PA 17404 Phone: (717) 767-5404 Fax: (717) 767-0587 Dallastown #554 CBC # 395451 NPI/Ref # 1013961952 100 W Queen St Dallastown, PA 17313 Phone: (717) 246-1671 Fax: (717) 244-6629 Kingston Court #585 CBC # 395037 NPI/Ref # 1215984935 2400 Kingston Ct, PA 17402 Phone: (717) 755-8811 Fax: (717) 755-8367 North #580 CBC # 395442 NPI/Ref # 1770530354 1770 Barley Rd, PA 17408 Phone: (717) 767-6530 Fax: (717) 764-6887 South #581 CBC # 395309 NPI/Ref # 1679520266 200 Pauline Dr, PA 17402 Phone: (717) 741-0824 Fax: (717) 741-4164 Normandie Ridge CBC # 395902 NPI/Ref # 1215933601 1700 Normandie Dr, PA 17408 Phone: (717) 764-6262 Fax: (717) 767-4453 Pleasant Acres Nursing and Rehabilitation CBC # 395290 NPI/Ref # 1790757607 118 Pleasant Acres Rd, PA 17402 Phone: (717) 840-7100 Fax: (717) 840-7520 Rest Haven - CBC # 395058 NPI/Ref # 1346238672 1050 S George St, PA 17403 Phone: (717) 843-9866 Fax: (717) 846-5894 Skilled Care at Utz Terrace CBC # 396111 NPI/Ref # 1417015223 300 Sunset Dr Hanover, PA 17331 Phone: (717) 637-0633 Fax: (717) 637-4163 SKILLED NURSING FACILITIES Handicap Accessible Page 16

The following section lists network ancillary providers. Referral Requirements ANCILLARY PROVIDERS For accurate information regarding referral requirements for SecureChoice SM, please refer to your Member Handbook. Preauthorization Requirements For accurate information regarding preauthorization requirements for SecureChoice SM, please refer to your Member Handbook. Important Notes This directory is accurate only as of the date the information was generated for this printing. To check the most current participation status of any particular provider, visit our website at capbluecross.com/healthypa or call the toll-free number on your ID card. You may also contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM, or contact the provider directly to verify their participation in SecureChoice SM. If you have questions about your benefits or any other aspect of your health care coverage, please call the toll-free number on your ID card or contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM. After normal business hours, you may leave a voice mail message and a Customer Service Representative will return your call during the next business day. Always present your Member identification card each time you seek medical services. For detailed information concerning your benefits, please refer to your Member Handbook. Page 17

Ambulance Adams Adams Caring Hearts Ambulance & Medical Transportation CBC # 39EA42 NPI/Ref # 1508880113 941 Fairfield Rd Gettysburg, PA 17325 Phone: (717) 337-0200 Fax: (866) 856-9742 Gettysburg Fire Department CBC # 39EA34 NPI/Ref # 1497755748 35 N Stratton St Gettysburg, PA 17325 Phone: (717) 334-7548 Fax: (717) 334-0785 White Rose Ambulance CBC # 39EA15 NPI/Ref # 1891785937 941 Fairfield Rd Gettysburg, PA 17325 Phone: (717) 848-4740 Fax: (717) 848-4748 City of Reading EMS CBC # 39EA31 NPI/Ref # 1982601894 638 Walnut St Reading, PA 19601 Phone: (610) 655-6671 Fax: (610) 655-6608 Exeter Ambulance Association CBC # 39EA50 NPI/Ref # 1891771093 30 Fairlane Rd Reading, PA 19606 Phone: (610) 779-7687 Fax: (610) 779-6917 KATS Kutztown Ambulance CBC # 50002968 NPI/Ref # 1144379025 87 S Kemp Rd Kutztown, PA 19530 Phone: (610) 683-3012 Fax: (610) 683-9161 Regional EMS & Critical Care CBC # 50082671 NPI/Ref # 1033385471 125 Holly Rd Hamburg, PA 19526 Phone: (610) 377-9027 Fax: (717) 377-9120 Carbon Regional EMS & Critical Care CBC # 50082671 NPI/Ref # 1033385471 234 1/2 N 3rd St ton, PA 18235 Phone: (610) 377-9027 Ambulance Penn Choice Ambulance CBC # 39EA51 NPI/Ref # 1356579429 3907 Hartzdale Dr Ste 708 Phone: (717) 525-9656 Fax: (215) 933-5303 West Shore Emergency Medical Service CBC # 39EA02 NPI/Ref # 1518960749 205 Grandview Ave Ste 211 Phone: (717) 763-2102 Fax: (717) 972-4753 Counity Life Team CBC # 39EA03 NPI/Ref # 1619994571 2222 Paxton St - Rear Harrisburg, PA 17111 Phone: (717) 782-4699 Fax: (717) 782-4667 Halifax Area Ambulance & Rescue Association CBC # 50002979 NPI/Ref # 1023070505 31 Bunker Hill Halifax, PA 17032 Phone: (717) 896-3636 Fax: (717) 896-8917 Medical Express Ambulance Service CBC # 39EA48 NPI/Ref # 1053598516 3589 Peters Mountain Rd Halifax, PA 17032 Phone: (717) 827-3063 Fax: (717) 827-3058 South Central Emergency Medical Services CBC # 39EA11 NPI/Ref # 1063567196 8065 Allentown Blvd Harrisburg, PA 17112 Phone: (717) 671-4020 Fax: (717) 671-4026 Franklin Mont Alto Ambulance Association CBC # 39EA32 NPI/Ref # 1841299872 603 S Main St Mont Alto, PA 17237 Phone: (717) 749-3453 Fax: (717) 749-5999 EMS CBC # 39EA54 NPI/Ref # 1003819103 1829 Lincoln Hwy E, PA 17602 Phone: (717) 481-4841 Fax: (717) 481-4845 Susquehanna Valley EMS CBC # 39EA44 NPI/Ref # 1568438943 126 Keller Ave, PA 17601 Phone: (717) 435-8101 Fax: (717) 435-8612 Excelsior EMS CBC # 39EA55 NPI/Ref # 1588952246 7 W Bethany Rd Newmanstown, PA 17073 Phone: (610) 757-1153 Fax: (610) 757-1154 Cetronia Ambulance Corps CBC # 39EA07 NPI/Ref # 1114919396 3939 Broadway Allentown, PA 18104 Phone: (610) 398-0239 Fax: (610) 395-5028 City of Allentown EMS CBC # 39EA08 NPI/Ref # 1174508006 723 Chew St Allentown, PA 18102 Phone: (610) 437-7531 Fax: (610) 437-7684 Northern Ambulance Service CBC # 39EA63 NPI/Ref # 1770654774 4525 Spring Hill Dr Schnecksville, PA 18078 Phone: (610) 769-7920 Fax: (610) 769-7887 City of Bethlehem EMS CBC # 39EA04 NPI/Ref # 1891755070 540 Stefko Blvd Bethlehem, PA 18018 Phone: (610) 865-7111 Fax: (610) 865-7292 Easton Emergency Squad CBC # 39EA35 NPI/Ref # 1003800111 908 Packer St Easton, PA 18042 Phone: (610) 258-2866 Fax: (610) 258-1153 Global Medical Transportation Services CBC # 39EA37 NPI/Ref # 1427059369 1801 W Market St Bethlehem, PA 18018 Phone: (610) 746-9378 Fax: (610) 746-5978 Klecknersville Rangers Volunteer Fire Company CBC # 39EA25 NPI/Ref # 1508867615 2718 Mountain View Dr Bath, PA 18014 Phone: (610) 837-1901 Fax: (610) 837-9539 Lifestar Response New Jersey CBC # 39EA38 NPI/Ref # 1205823713 1740 Eaton Ave Bethlehem, PA 18018 Phone: (888) 812-1560 Fax: (888) 812-1561 Nazareth Volunteer Ambulance Corp CBC # 39EA30 NPI/Ref # 1700977998 49 S Broad St Nazareth, PA 18064 Phone: (610) 759-5422 Fax: (610) 746-4009 Regional Emergency Medical Services CBC # 50001404 NPI/Ref # 1235113986 100 Snowhill Rd, PA 18067 Phone: (610) 262-0800 Fax: (610) 262-1522 1525 Canal St, PA 18067 Phone: (610) 262-0800 Fax: (610) 262-1522 Suburban EMS CBC # 39EA09 NPI/Ref # 1720058464 3231 Freemansburg Ave Easton, PA 18045 Phone: (610) 253-0760 Fax: (610) 253-7115 Schuylkill Penn-Mahoning Ambulance Association CBC # 39EA33 NPI/Ref # 1063452324 1748 W Penn Pike New Ringgold, PA 17960 Phone: (570) 386-2233 Fax: (570) 386-4128 Regional EMS & Critical Care CBC # 50082671 NPI/Ref # 1033385471 920 E Broad St Ste 300 Tamaqua, PA 18252 Phone: (570) 668-2121 Memorial Hospital CBC # 39EA20 NPI/Ref # 1497714489 Lifeline Medic 102 325 S Belmont St, PA 17405 Phone: (717) 849-5760 Fax: (717) 849-5731 Quality Care Ambulance CBC # 39EA26 NPI/Ref # 1902104797 54 N Harrison St, PA 17403 Phone: (717) 741-1183 Fax: (717) 848-4748 White Rose Ambulance CBC # 39EA15 NPI/Ref # 1891785937 54 N Harrison St, PA 17403 Phone: (717) 848-4740 Fax: (717) 848-4748 Ambulatory Surgical hire Eye Surgery LP CBC # 390845 NPI/Ref # 1154325686 2220 Ridgewood Rd Phone: (610) 736-0144 Fax: (610) 736-0926 Pennsylvania Eye and Ear Surgery LLC CBC # 390851 NPI/Ref # 1609848472 1 Granite Pointe Dr Ste 200 Phone: (610) 685-9204 Fax: (610) 685-5308 State Hill Surgi LLC CBC # 390893 NPI/Ref # 1225050347 2630 Westview Dr Phone: (610) 898-1515 Fax: (610) 898-1525 Centre Penn State Hershey Endoscopy LLC CBC # 39SC01 NPI/Ref # 1073816690 32 Colonnade Way State College, PA 16803 Phone: (814) 272-4481 Fax: (814) 272-4470 Carlisle Endoscopy Ltd CBC # 390834 NPI/Ref # 1033210760 241 Alexander Spring Rd Carlisle, PA 17015 Phone: (717) 245-2228 Fax: (717) 245-0806 Digestive Disease Institute CBC # 390706 NPI/Ref # 1841295201 899 Poplar Church Rd Phone: (717) 763-0430 Fax: (717) 763-9854 West Shore Endoscopy CBC # 390712 NPI/Ref # 1326047937 423 N 21st St Ste 102 Phone: (717) 975-2430 Fax: (717) 730-2158 Harrisburg Endoscopy and Surgery CBC # 390831 NPI/Ref # 1326097536 4760 Union Deposit Rd Ste 110 Harrisburg, PA 17111 Phone: (717) 545-8525 Fax: (717) 545-6773 Hershey Endoscopy LLC CBC # 390853 NPI/Ref # 1710985445 905 W Governor Rd Ste 100 Hershey, PA 17033 Phone: (717) 531-1318 Fax: (717) 531-0356 Ophthalmology Surgical CBC # 390710 NPI/Ref # 1174525521 92 Tuscarora St 2nd Fl Harrisburg, PA 17104 Phone: (717) 233-2020 Fax: (717) 233-0825 Pennsylvania Eye Surgery CBC # 390717 NPI/Ref # 1730130246 4100 Linglestown Rd Harrisburg, PA 17112 Phone: (717) 657-2020 Fax: (717) 657-2071 Susquehanna Valley Surgery CBC # 390828 NPI/Ref # 1558363549 4310 Londonderry Rd Ste 1 Phone: (717) 657-7556 Fax: (717) 657-7558 Franklin Chambersburg Endoscopy LLC CBC # 390871 NPI/Ref # 1629013164 835 5th Ave Phone: (717) 217-4312 Fax: (717) 217-4314 Dr Roy A Himelfarb Surgery CBC # 390832 NPI/Ref # 1366411829 757 Norland Ave Ste 100 Phone: (717) 217-6720 Fax: (717) 217-6952 Ludwick Laser and Surgery CBC # 390886 NPI/Ref # 1205925278 825 5th Ave Ste 101 Phone: (717) 262-9715 Fax: (717) 262-9717 Physicians Surgery General LLC (The) CBC # 390891 NPI/Ref # 1750592531 2150 Harrisburg Pike, PA 17604 Phone: (717) 735-3993 Fax: (717) 735-3997 ANCILLARY PROVIDERS Page 19

Ambulatory Surgical ANCILLARY PROVIDERS Surgery of LP CBC # 390865 NPI/Ref # 1437115094 810 Plaza Blvd Ste 101, PA 17601 Phone: (717) 431-2368 Fax: (717) 431-2540 Mifflin Mifflin County Counity Surgical CBC # 390822 NPI/Ref # 1003935354 311 4th St Lewistown, PA 17044 Phone: (717) 242-9565 Fax: (717) 242-9510 Bethlehem Endoscopy LLC CBC # 390843 NPI/Ref # 1447362769 Bethlehem Medical Arts Ctr 5325 Northgate Dr Ste 101 Phone: (610) 866-5008 Fax: (610) 866-6008 Valley Eye Surgical CBC # 390876 NPI/Ref # 1437104718 1685 Valley Pkwy Phone: (610) 867-8760 Fax: (610) 867-8340 Schuylkill Schuylkill Endoscopy CBC # 390854 NPI/Ref # 1386833044 48 Tunnel Rd Ste 103 Pottsville, PA 17901 Phone: (570) 622-6520 Fax: (570) 622-6525 Surgery of Pottsville LP CBC # 390880 NPI/Ref # 1598773111 1544 Rte 61 Ste 6192 Pottsville, PA 17901 Phone: (570) 385-7000 Fax: (570) 385-7900 Union Betz Ophthalmology Associates ASC CBC # 390879 NPI/Ref # 1912085333 66 Enterprise Blvd Allenwood, PA 17810 Phone: (570) 538-2613 Fax: (570) 524-4464 Brookpark Surgery LLC CBC # 390883 NPI/Ref # 1619061751 2330 Saint Mary St W Lewisburg, PA 17837 Phone: (570) 524-3338 Fax: (570) 524-5119 Hillside Endoscopy LLC CBC # 390898 NPI/Ref # 1871811257 250 Fame Ave Ste 240 Hanover, PA 17331 Phone: (717) 633-9086 Fax: (717) 633-9379 Endoscopy LP CBC # 390833 NPI/Ref # 1699743393 2690 Southfield Dr, PA 17403 Phone: (717) 741-1414 Fax: (717) 741-4774 Birthing RHPN Reading Birth CBC # 50120781 NPI/Ref # 1417394115 949 New Holland Rd Reading, PA 19607 Phone: (610) 777-7222 Fax: (610) 775-9534 Birth Care and Family Health Services CBC # 390555 NPI/Ref # 1275525289 1138 Georgetown Rd Christiana, PA 17509 Phone: (717) 786-4010 Fax: (717) 786-5507 Blue Distinction s for Bariatric Surgery Reading Hospital and Medical CBC # 390044 NPI/Ref # 1669530069 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-5192 Milton S Hershey Medical (The) CBC # 390256 NPI/Ref # 1568435477 500 University Dr Hershey, PA 17033 Phone: (717) 531-8521 Fax: (717) 531-3823 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 Counity Campus 4300 Londonderry Rd Phone: (717) 652-3000 Valley Hospital CBC # 390133 NPI/Ref # 1164400131 1200 S Cedar Crest Blvd Allentown, PA 18105 Phone: (610) 402-8000 Fax: (484) 884-3247 Sacred Heart Hospital CBC # 390197 NPI/Ref # 1952399933 421 Chew St Allentown, PA 18102 Phone: (610) 776-4500 Fax: (610) 776-4559 St Lukes Hospital - Allentown Campus CBC # 390242 NPI/Ref # 1548293954 1736 Hamilton St Allentown, PA 18104 Phone: (610) 628-8300 Fax: (610) 628-8302 Blue Distinction s for Cardiac Care Reading Hospital and Medical CBC # 390044 NPI/Ref # 1669530069 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-5192 St Joseph Medical CBC # 390096 NPI/Ref # 1699734665 2500 Bernville Rd Reading, PA 19605 Phone: (610) 378-2000 Fax: (610) 378-2270 Regional Medical CBC # 390061 NPI/Ref # 1467491027 250 College Ave, PA 17603 Phone: (717) 291-8211 Fax: (717) 291-8575 Valley Hospital CBC # 390133 NPI/Ref # 1164400131 1200 S Cedar Crest Blvd Allentown, PA 18105 Phone: (610) 402-8000 Fax: (484) 884-3247 Blue Distinction s for Complex & Rare Cancers Milton S Hershey Medical (The) CBC # 390256 NPI/Ref # 1568435477 500 University Dr Hershey, PA 17033 Phone: (717) 531-8521 Fax: (717) 531-3823 Valley Hospital CBC # 390133 NPI/Ref # 1164400131 1200 S Cedar Crest Blvd Allentown, PA 18105 Phone: (610) 402-8000 Fax: (484) 884-3247 Blue Distinction s for Knee & Hip Replacement Reading Hospital and Medical CBC # 390044 NPI/Ref # 1669530069 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-5192 Centre Mount Nittany Medical CBC # 390268 NPI/Ref # 1730173154 1800 E Park Ave State College, PA 16803 Phone: (814) 231-7000 Fax: (814) 238-5185 Franklin Chambersburg Hospital CBC # 390151 NPI/Ref # 1902804552 112 N 7th St Phone: (717) 267-3000 Fax: (717) 267-4873 General Hospital CBC # 390100 NPI/Ref # 1104875103 555 N Duke St, PA 17604 Phone: (717) 544-5511 Fax: (717) 544-5185 Valley Hospital CBC # 390133 NPI/Ref # 1164400131 1200 S Cedar Crest Blvd Allentown, PA 18105 Phone: (610) 402-8000 Fax: (484) 884-3247 Blue Distinction s for Spine Surgery Reading Hospital and Medical CBC # 390044 NPI/Ref # 1669530069 6th Ave & Spruce St Reading, PA 19612 Phone: (610) 988-8000 Fax: (610) 988-5192 Centre Mount Nittany Medical CBC # 390268 NPI/Ref # 1730173154 1800 E Park Ave State College, PA 16803 Phone: (814) 231-7000 Fax: (814) 238-5185 Milton S Hershey Medical (The) CBC # 390256 NPI/Ref # 1568435477 500 University Dr Hershey, PA 17033 Phone: (717) 531-8521 Fax: (717) 531-3823 Valley Hospital CBC # 390133 NPI/Ref # 1164400131 1200 S Cedar Crest Blvd Allentown, PA 18105 Phone: (610) 402-8000 Fax: (484) 884-3247 Blue Distinction s for Transplants (Bone Marrow) Milton S Hershey Medical (The) CBC # 390256 NPI/Ref # 1568435477 500 University Dr Hershey, PA 17033 Phone: (717) 531-8521 Fax: (717) 531-3823 Blue Distinction s+ for Cardiac Care Holy Spirit Hospital CBC # 390004 NPI/Ref # 1881690212 503 N 21st St Phone: (717) 763-2100 Fax: (717) 763-2513 Milton S Hershey Medical (The) CBC # 390256 NPI/Ref # 1568435477 500 University Dr Hershey, PA 17033 Phone: (717) 531-8521 Fax: (717) 531-3823 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 111 S Front St Harrisburg, PA 17101 Phone: (717) 782-3131 Fax: (717) 230-3435 General Hospital CBC # 390100 NPI/Ref # 1104875103 555 N Duke St, PA 17604 Phone: (717) 544-5511 Fax: (717) 544-5185 Good Samaritan Hospital CBC # 390066 NPI/Ref # 1407928500 4th & Walnut Sts, PA 17042 Phone: (717) 270-7500 Fax: (717) 306-6840 Valley Hospital CBC # 390133 NPI/Ref # 1164400131 1200 S Cedar Crest Blvd Allentown, PA 18105 Phone: (610) 402-8000 Fax: (484) 884-3247 Valley Hospital - Muhlenberg CBC # 390263 NPI/Ref # 1598743585 2545 Schoenersville Rd Phone: (610) 402-8000 Fax: (484) 884-3247 Page 20

Diagnostic Imaging St Lukes Hospital CBC # 390049 NPI/Ref # 1013933175 801 Ostrum St Bethlehem, PA 18015 Phone: (610) 954-4000 Fax: (610) 954-6474 Blue Distinction s+ for Knee & Hip Replacement Holy Spirit Hospital CBC # 390004 NPI/Ref # 1881690212 503 N 21st St Phone: (717) 763-2100 Fax: (717) 763-2513 Milton S Hershey Medical (The) CBC # 390256 NPI/Ref # 1568435477 500 University Dr Hershey, PA 17033 Phone: (717) 531-8521 Fax: (717) 531-3823 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 111 S Front St Harrisburg, PA 17101 Phone: (717) 782-3131 Fax: (717) 230-3435 Counity Campus 4300 Londonderry Rd Phone: (717) 652-3000 Regional Medical CBC # 390061 NPI/Ref # 1467491027 250 College Ave, PA 17603 Phone: (717) 291-8211 Fax: (717) 291-8575 Valley Hospital CBC # 390133 NPI/Ref # 1164400131 1200 S Cedar Crest Blvd Allentown, PA 18105 Phone: (610) 402-8000 Fax: (484) 884-3247 Hanover Hospital CBC # 390233 NPI/Ref # 1730158981 300 Highland Ave Hanover, PA 17331 Phone: (717) 316-3711 Fax: (717) 633-2217 Blue Distinction s+ for Spine Surgery Holy Spirit Hospital CBC # 390004 NPI/Ref # 1881690212 503 N 21st St Phone: (717) 763-2100 Fax: (717) 763-2513 PinnacleHealth Hospitals CBC # 390067 NPI/Ref # 1407813603 111 S Front St Harrisburg, PA 17101 Phone: (717) 782-3131 Fax: (717) 230-3435 Counity Campus 4300 Londonderry Rd Phone: (717) 652-3000 Valley Hospital CBC # 390133 NPI/Ref # 1164400131 1200 S Cedar Crest Blvd Allentown, PA 18105 Phone: (610) 402-8000 Fax: (484) 884-3247 Diagnostic Imaging Adams Adams Diagnostic Imaging LLC CBC # 50068446 NPI/Ref # 1013081413 20 Expedition Trl Ste 102 Gettysburg, PA 17325 Phone: (717) 337-5991 Fax: (717) 337-5995 Quantum Imaging and Therapeutic Associates CBC # 02311800 NPI/Ref # 1609863893 New Oxford Diagnostic Ctr 5616 Rd New Oxford, PA 17350 Phone: (717) 624-0058 Fax: (717) 624-1795 Diagnostic Health - Reading CBC # 50000675 NPI/Ref # 1457300972 1025 hire Blvd Ste 500 Reading, PA 19610 Phone: (610) 478-8797 Fax: (610) 478-8859 Lackawanna Mobile X-ray CBC # 50002829 NPI/Ref # 1497702609 5672 Allentown Pike Reading, PA 19605 Phone: (800) 789-7082 Valley Diagnostic Imaging CBC # 02331500 NPI/Ref # 1912956954 700 Hawk Ridge Dr Hamburg, PA 19526 Phone: (610) 562-0170 Fax: (610) 562-3125 Blair 611 Magnetic Imaging Associates CBC # 02279600 NPI/Ref # 1417918756 2950 Fairway Dr Ste 1 Altoona, PA 16602 Phone: (814) 946-8000 Fax: (814) 946-8002 Bucks Ultrasound Services CBC # 50002132 NPI/Ref # 1740224062 27 Blacksmith Rd Ste 200 Newtown, PA 18940 Phone: (215) 860-2044 Fax: (215) 860-6298 Centre 611 Magnetic Imaging Associates CBC # 02279600 NPI/Ref # 1417918756 611 University Dr State College, PA 16801 Phone: (814) 234-2600 Fax: (814) 867-5285 Columbia Susquehanna Valley Diagnostic Imaging CBC # 50104142 NPI/Ref # 1689959595 6850 Lows Rd Ste 317 Bloomsburg, PA 17815 Phone: (570) 784-6243 Fax: (570) 784-6242 OSS Health - Diagnostic Imaging CBC # 50114052 NPI/Ref # 1962758375 856 Century Dr Mechanicsburg, PA 17055 Phone: (717) 848-4800 Fax: (717) 741-9867 Quantum Imaging and Therapeutic Associates CBC # 02311800 NPI/Ref # 1609863893 1 Lemoyne Sq Ste 102 Lemoyne, PA 17043 Phone: (717) 695-9464 21 Waterford Dr Mechanicsburg, PA 17050 Phone: (717) 591-3636 Fax: (717) 591-3635 3399 Trindle Rd Phone: (717) 761-5530 Carlisle Imaging Services 2 Jennifer Ct Ste 2 Carlisle, PA 17015 Phone: (717) 960-3696 Fax: (717) 245-2164 Carlisle Regional Medical 361 Alexander Spring Rd Carlisle, PA 17015 Phone: (717) 249-1212 Fax: (717) 960-3750 Fredrickson Outpatient Ctr 2015 Technology Pkwy Mechanicsburg, PA 17050 Phone: (717) 791-2450 Fax: (717) 791-2452 Holy Spirit Carlisle Ctr 1211 Forge Rd Carlisle, PA 17013 Phone: (717) 218-3900 Fax: (717) 218-3901 Holy Spirit Hospital 503 N 21st St Phone: (717) 763-2685 Fax: (717) 763-2963 Holy Spirit Mechanicsburg Ctr 405 St Johns Church Rd Phone: (717) 761-7470 Fax: (717) 761-6291 Holy Spirit Outpatient Imaging Medical Arts Bldg 890 Poplar Church Rd Phone: (717) 763-7574 Fax: (717) 763-2965 Holy Spirit Silver Spg Ctr 3 Flowers Dr Mechanicsburg, PA 17050 Phone: (717) 972-4900 Imaging of Lemoyne 50 N 12th St Lemoyne, PA 17043 Phone: (717) 731-1782 Fax: (717) 731-1786 Magnetic Imaging Ctr 4665 Trindle Rd Mechanicsburg, PA 17055 Phone: (717) 975-0445 Medical Arts Bldg Imaging Svcs 220 Wilson St Ste 102 Carlisle, PA 17013 Phone: (717) 249-0500 Fax: (717) 243-3693 Oakwood Breast Care Ctr 880 Century Dr Mechanicsburg, PA 17050 Phone: (717) 691-3235 Seidle Memorial Hospital 120 S Filbert St Mechanicsburg, PA 17055 Phone: (717) 795-6720 Fax: (717) 795-6707 Smith Radiology CBC # 02283400 NPI/Ref # 1053384958 1515 Bridge St New, PA 17070 Phone: (717) 774-7351 Fax: (717) 774-7529 Tristan Radiology Specialists PC CBC # 50106389 NPI/Ref # 1366711673 PinnacleHealth 240 Grandview Ave Phone: (717) 652-5840 Fax: (717) 652-8152 Tristan Radiology Specialist - PWHC 5 Brookwood Ave Carlisle, PA 17013 Phone: (717) 652-5840 Tristan Radiology Specialist - PWHW 1 Lemoyne Plz Ste 201 Lemoyne, PA 17043 Phone: (717) 652-5840 Tristan Radiology Specialist PC 3 Walnut St Ste 100 Lemoyne, PA 17043 Phone: (717) 737-3037 Fax: (717) 909-0912 Walnut Bottom Radiology CBC # 02447700 NPI/Ref # 1730141565 850 Walnut Bottom Rd Carlisle, PA 17013 Phone: (717) 245-0071 Fax: (717) 245-0180 Med Health Services Management LP CBC # 50096722 NPI/Ref # 1750421301 722 Allegheny St, PA 17018 Phone: (412) 373-7900 Fax: (412) 373-6861 PinnacleHealth Family Care - Millersburg - Diagnostics CBC # 50000364 NPI/Ref # 1780698415 1000 Evelyn Dr Millersburg, PA 17061 Phone: (717) 692-4761 Fax: (717) 692-2381 Quantum Imaging and Therapeutic Associates CBC # 02311800 NPI/Ref # 1609863893 1025 W Harrisburg Pike Middletown, PA 17057 Phone: (717) 944-0491 Fax: (717) 944-1436 Counity General Osteopathic Hospital 4300 Londonderry Rd Harrisburg, PA 17105 Phone: (717) 657-7200 Fax: (717) 657-7584 Counity Imaging MRI 865 S Arlington Ave Phone: (717) 920-4350 Fax: (717) 920-4351 Harrisburg Hospital 111 S Front St Harrisburg, PA 17101 Phone: (717) 782-3240 Fax: (717) 782-3254 Holy Spirit Progress 20 Capital Dr Phone: (717) 972-6810 Fax: (717) 972-4960 Orthopedic Institute of PA-East 450 Powers Ave Phone: (717) 761-5530 PinnacleHealth at West Hanover 8012 Bretz Dr Huelstown, PA 17036 Phone: (717) 231-8655 Fax: (717) 231-8656 PinnacleHealth Imaging at Millersburg 1000 Evelyn Dr Millersburg, PA 17061 Phone: (717) 230-3700 PinnacleHealth Imaging of Lower Paxton 2310 Patton Rd Harrisburg, PA 17112 Phone: (717) 724-6538 Polyclinic Medical Ctr 2601 N 3rd St Phone: (717) 782-4250 Fax: (717) 782-4256 Tristan Radiology Specialists PC CBC # 50106389 NPI/Ref # 1366711673 8105 Adams Dr Huelstown, PA 17036 Phone: (717) 652-6105 Fax: (717) 652-2165 PinnacleHealth 2808 Old Post Rd Phone: (717) 901-6800 Fax: (717) 901-6699 PinnacleHealth 32 Northeast Dr Ste 201 Hershey, PA 17033 Phone: (717) 533-1736 Fax: (717) 534-1307 PinnacleHealth 4518 Union Deposit Rd Harrisburg, PA 17111 Phone: (717) 652-5840 Fax: (717) 652-8152 Tristan Radiology Specialist - PWHE 810 Sir Thomas Ct Phone: (717) 652-5840 Tristan Radiology Specialist- Womens 1st 4700 Union Deposit Rd Ste 140 Harrisburg, PA 17111 Phone: (717) 652-5840 ANCILLARY PROVIDERS Page 21

Diagnostic Imaging Fulton ANCILLARY PROVIDERS Fulton Fulton Diagnostic Radiology LLC CBC # 50082727 NPI/Ref # 1417100249 Fulton County Medical Ctr 214 Peach Orchard Rd Mc Connellsburg, PA 17233 Phone: (717) 485-6847 Fax: (717) 485-6848 PET Partnership LLP CBC # 50004263 NPI/Ref # 1588668180 2100 Harrisburg Pke, PA 17601 Phone: (717) 290-3030 Fax: (717) 290-3245 Radiology Associates Ltd CBC # 02612700 NPI/Ref # 1669427100 Kissel Hill Health Ctr 51 Peters Rd Lititz, PA 17543 Phone: (717) 627-2400 Fax: (717) 627-2720 Gen Hlth Campus Diagnostic Imaging 2100 Harrisburg Pike, PA 17604 Phone: (717) 544-3104 Fax: (717) 544-3058 Gen Hlth Campus Radiation Oncology 2102 Harrisburg Pike, PA 17604 Phone: (717) 544-3113 Fax: (717) 544-3111 General - Norlanco 424 Cloverleaf Rd Elizabethtown, PA 17022 Phone: (717) 928-2001 Fax: (717) 928-2010 General Hospital 555 N Duke St, PA 17604 Phone: (717) 544-4900 Fax: (717) 544-5907 General Women & Babies Hosp 690 Good Dr, PA 17604 Phone: (717) 544-3458 Fax: (717) 544-3459 Regional Imaging Associates PC CBC # 02495400 NPI/Ref # 1205909611 1500 Highlands Dr Lititz, PA 17543 Phone: (717) 391-7092 Reg Med Ctr 250 College Ave, PA 17603 Phone: (717) 293-0709 Fax: (717) 293-0819 Diagnostic Imaging CBC # 50041387 NPI/Ref # 1346246436 960 Isabel Dr, PA 17042 Phone: (717) 306-4400 Fax: (717) 306-4442 Cedar Crest Imaging CBC # 02741700 NPI/Ref # 1447283916 1125 S Cedar Crest Blvd Ste 102 Phone: (610) 821-9105 Fax: (610) 432-5953 Extremity Imaging Partners CBC # 50020039 NPI/Ref # 1528058245 2895 Hamilton Blvd Ste Ste 102 Allentown, PA 18104 Phone: (866) 398-7364 Magnetic Imaging CBC # 03219800 NPI/Ref # 1487608634 1220 S Cedar Crest Blvd Phone: (610) 740-9500 Fax: (610) 740-0288 1247 S Cedar Crest Blvd Phone: (610) 740-9500 Fax: (610) 437-6263 Valley Diagnostic Imaging CBC # 02331500 NPI/Ref # 1912956954 1230 S Cedar Crest Blvd Ste 104 Phone: (610) 435-1600 Fax: (610) 435-8330 1240 S Cedar Crest Blvd Ste 401 Phone: (610) 435-1600 Fax: (610) 435-8830 1250 S Cedar Crest Blvd Ste 101 Phone: (610) 435-1600 Fax: (610) 435-8330 OAA Orthopaedic Specialists Imaging CBC # 50060632 NPI/Ref # 1467502054 250 Cetronia Rd Ste 101 Allentown, PA 18104 Phone: (610) 973-6500 Fax: (866) 644-0894 Open Air MRI of Allentown CBC # 03191800 NPI/Ref # 1447275029 1146 S Cedar Crest Blvd Ste 102 Phone: (610) 774-0170 Fax: (610) 774-0173 VSAS Orthopaedics - MRI CBC # 50025239 NPI/Ref # 1225195993 Ctr for Advanced Hlth Care 1250 S Cedar Crest Blvd Ste 110 Phone: (610) 663-6945 Fax: (610) 663-6933 Monroe Star Open MRI CBC # 50011481 NPI/Ref # 1093867202 7191 Rte 611 Stroudsburg, PA 18360 Phone: (570) 424-1500 Fax: (570) 424-6900 Montgomery Oaks Radiology CBC # 50076213 NPI/Ref # 1508041393 450 Cresson Blvd Ste 100 Oaks, PA 19456 Phone: (610) 650-0267 Fax: (610) 650-0268 Advanced Radiology and Cardiovascular CBC # 50014422 NPI/Ref # 1225155351 3729 Easton Nazareth Hwy Easton, PA 18045 Phone: (610) 253-0439 Fax: (610) 559-1324 Easton Radiology Associates PC CBC # 02289000 NPI/Ref # 1376535666 Easton Radiology Breast Imaging 3735 Nazareth Rd Ste 103 Easton, PA 18045 Phone: (610) 923-6183 Fax: (610) 252-0573 Easton Radiology Diagnostic Imaging CBC # 50089892 NPI/Ref # 1477595023 2100 Ferry St Easton, PA 18042 Phone: (610) 923-7884 Fax: (610) 923-6340 Magnetic Imaging CBC # 03219800 NPI/Ref # 1487608634 1770 Bathgate Dr Phone: (610) 740-9500 Fax: (610) 437-6263 Valley Diagnostic Imaging CBC # 02331500 NPI/Ref # 1912956954 2101 Emrick Blvd Bethlehem, PA 18020 Phone: (610) 865-5700 Fax: (610) 865-5767 MRI of Easton CBC # 50089879 NPI/Ref # 1063637569 2690 Kingston Rd Easton, PA 18045 Phone: (610) 258-4055 Fax: (610) 258-1458 Radiology and MRI of Bethlehem CBC # 02286700 NPI/Ref # 1225129901 5325 Northgate Dr Ste 100 Phone: (610) 691-8931 Fax: (610) 691-8947 Star Open MRI CBC # 50011481 NPI/Ref # 1093867202 3729 Easton Nazareth Hwy Ste 102 Easton, PA 18045 Phone: (610) 253-0439 Fax: (610) 559-1324 Perry Quantum Imaging and Therapeutic Associates CBC # 02311800 NPI/Ref # 1609863893 Holy Spirit Duncannon Ctr 51 Business Campus Way Ste 100 Duncannon, PA 17020 Phone: (717) 972-4900 Fax: (717) 834-6911 Perry Hlth Ctr Imaging Svcs 110 Montour Rd Loysville, PA 17047 Phone: (717) 789-2177 Fax: (717) 789-4063 PinnacleHealth Imaging at Newport 28 W Shortcut Rd Newport, PA 17074 Phone: (717) 204-1010 Fax: (717) 204-1011 Schuylkill Lackawanna Mobile X-ray CBC # 50002829 NPI/Ref # 1497702609 1000 Schuylkill Mnr Rd Pottsville, PA 17901 Phone: (800) 789-7082 Schuylkill Open MRI CBC # 50003640 NPI/Ref # 1285630293 48 Tunnel Rd Ste 102 Pottsville, PA 17901 Phone: (570) 622-6206 Fax: (570) 622-7181 Snyder Old Trail Imaging LLC CBC # 50044011 NPI/Ref # 1558303016 21 Susquehanna Vly Mall Dr Ste B Selinsgrove, PA 17870 Phone: (570) 374-4411 Fax: (570) 374-3702 Quantum Imaging and Therapeutic Associates CBC # 02311800 NPI/Ref # 1609863893 Evangelical Outpatient Svcs 935 Rte 522 Selinsgrove, PA 17870 Phone: (570) 372-6130 Evangelical Selinsgrove Imaging Ctr 21 Susquehanna Vly Mall Dr Selinsgrove, PA 17870 Phone: (570) 374-4411 Union Quantum Imaging and Therapeutic Associates CBC # 02311800 NPI/Ref # 1609863893 Evangelical Co Hosp 1 Hospital Dr Lewisburg, PA 17837 Phone: (570) 522-2530 Gary L Gasowski MD CBC # 02297000 NPI/Ref # 1679698021 25 Charles St Ste 7 Hanover, PA 17331 Phone: (717) 632-7714 Fax: (717) 632-2839 OSS Health - Diagnostic Imaging CBC # 50114052 NPI/Ref # 1962758375 1861 Powder Mill Rd, PA 17402 Phone: (717) 718-2034 Fax: (717) 718-3467 470 Eisenhower Dr Hanover, PA 17331 Phone: (717) 633-0031 Fax: (717) 632-0337 Quantum Imaging and Therapeutic Associates CBC # 02311800 NPI/Ref # 1609863893 629-D Lowther Rd Lewisberry, PA 17339 Phone: (717) 932-5200 Fax: (717) 932-3095 Apple Hill Radiation Therapy 25 Monument Rd Ste 94, PA 17403 Phone: (717) 741-8180 Fax: (717) 741-8196 Diagnostic Ctr at South Hanover 1404 Baltimore St Hanover, PA 17331 Phone: (717) 637-6717 Fax: (717) 637-8956 Dover Diagnostic Ctr 4020 Carlisle Rd Dover, PA 17315 Phone: (717) 851-6490 Fax: (717) 851-6499 Hanover Hospital 300 Highland Ave Hanover, PA 17331 Phone: (717) 633-2200 Hillside Imaging Ctr 250 Fame Ave Ste 104 Hanover, PA 17331 Phone: (717) 633-8981 Fax: (717) 633-8982 Holy Spirit Dillsburg Ctr 126 W Church St Dillsburg, PA 17019 Phone: (717) 432-7413 PinnacleHealth Imaging Dillsburg 1 Trinity Dr E Ste 120 Dillsburg, PA 17019 Phone: (717) 230-3700 Spring Grove Diagnostic Ctr 24 Roth Church Rd Spring Grove, PA 17362 Phone: (717) 225-7211 Fax: (717) 225-6018 Stonebridge Diagnostic Ctr 13515 Wolfe Rd New Freedom, PA 17349 Phone: (717) 812-2520 Fax: (717) 812-2529 Windsor Diagnostic Ctr 3065 Windsor Rd Red Lion, PA 17356 Phone: (717) 851-1775 Fax: (717) 851-1785 Women's Imaging at Apple Hill 35 Monument Rd Ste 201, PA 17403 Phone: (717) 851-1901 Hosp Imaging at Apple Hill 37 Monument Rd Ste 101, PA 17403 Phone: (717) 851-2568 Hospital 1001 S George St, PA 17405 Phone: (717) 851-4624 Fax: (717) 851-3431 Home Health Agency Adams Lutheran Home Care and Hospice CBC # 397133 NPI/Ref # 1144203811 260 W High St Gettysburg, PA 17325 Phone: (717) 334-6208 Fax: (717) 334-7872 Page 22

Home Health Agency Advance HomeHealth Care CBC # 398114 NPI/Ref # 1790911279 634 Penn Ave West Reading, PA 19611 Phone: (610) 921-9383 Fax: (610) 921-8391 Affilia Home Health CBC # 397013 NPI/Ref # 1891755393 Reading Hospital Home Care The Reading Hosp & Med Ctr 601 Spruce St Reading, PA 19612 Phone: (610) 988-4665 Fax: (610) 988-4664 BAYADA Home Health Care CBC # 398035 NPI/Ref # 1154350262 2 Meridian Blvd Phone: (800) 305-3000 Fax: (800) 705-1429 BAYADA Home Health Care CBC # 3A7770 NPI/Ref # 1710928726 320 Abington Rd Ste 330 Reading, PA 19610 Phone: (800) 305-3000 Fax: (800) 705-1429 Visiting Nurse Association CBC # 397001 NPI/Ref # 1619953775 1170 hire Blvd Phone: (610) 378-0481 Fax: (610) 378-9762 Covenant Home Care CBC # 50115116 NPI/Ref # 1508139817 1223 Pottsville Pike Shoemakersville, PA 19555 Phone: (800) 726-8761 Fax: (570) 385-5287 Health Calls CBC # 397495 NPI/Ref # 1205850807 1220 Broadcasting Rd Ste 202 Phone: (610) 927-3166 Fax: (610) 927-3164 Heartland Home Health Care and Hospice CBC # 397761 NPI/Ref # 1831128925 4 Park Plz Ste 105A Phone: (610) 373-6898 Fax: (610) 373-6098 Lutheran Home Care and Hospice CBC # 397133 NPI/Ref # 1144203811 1030 Reed Ave Ste 102 Phone: (610) 320-7980 Fax: (610) 320-7994 Patient Care CBC # 397578 NPI/Ref # 1730185208 2201 Ridgewood Rd Ste 210 Phone: (610) 373-0300 Fax: (610) 373-3209 Superior Health CBC # 397777 NPI/Ref # 1952498016 2917 Windmill Rd Sinking Spring, PA 19608 Phone: (610) 685-7351 Fax: (610) 685-7373 Blair Home Nursing Agency and Visiting Nurse Association CBC # 397087 NPI/Ref # 1659443158 201 Chestnut Ave Altoona, PA 16603 Phone: (814) 946-5411 Fax: (814) 941-1648 Centre BAYADA Home Health Care CBC # 398177 NPI/Ref # 1366736589 2123 E College Ave Ste 200 State College, PA 16801 Phone: (800) 305-3000 Fax: (800) 705-1429 Centre Homecare CBC # 397126 NPI/Ref # 1093702938 2437 Coercial Blvd State College, PA 16801 Phone: (814) 237-7400 Fax: (814) 237-2900 Home Nursing Agency and Visiting Nurse Association CBC # 397087 NPI/Ref # 1659443158 450 Windmere Dr State College, PA 16801 Phone: (814) 466-4800 Fax: (814) 466-4806 Chester Southeastern Home Health Services CBC # 397472 NPI/Ref # 1518901610 101 Plaza Dr Downingtown, PA 19335 Phone: (610) 269-9876 Fax: (610) 269-9666 Columbia BAYADA Home Health Care CBC # 50106829 NPI/Ref # 1508812637 2041 Columbia Blvd Bloomsburg, PA 17815 Phone: (570) 389-1568 Berwick Home Health and Hospice CBC # 397272 NPI/Ref # 1639103534 6850 Lows Rd Ste 102 Bloomsburg, PA 17815 Phone: (570) 416-0561 Fax: (570) 380-1258 BAYADA Home Health Care CBC # 50106831 NPI/Ref # 1013227677 4909 Louise Dr Ste 102 Mechanicsburg, PA 17055 Phone: (717) 795-5950 Celtic Healthcare of Carlisle CBC # 397047 NPI/Ref # 1396797163 220 Wilson St Ste 100 Carlisle, PA 17013 Phone: (717) 245-5600 Fax: (717) 245-0124 CMHC CBC # 398197 NPI/Ref # 1043563851 421 Village Dr Carlisle, PA 17015 Phone: (717) 422-5112 Fax: (717) 422-5687 Heartland Home Care CBC # 397616 NPI/Ref # 1629007810 1200 Walnut Bottom Rd Ste 302 Carlisle, PA 17013 Phone: (717) 240-0018 Fax: (717) 240-0037 Holy Spirit Home Health Care CBC # 397250 NPI/Ref # 1881690212 205 Grandview Corp Pl Ste 309 Phone: (717) 972-4663 Fax: (717) 972-4699 Intrepid USA Healthcare Services CBC # 397716 NPI/Ref # 1356323992 3 Lemoyne Dr Ste 101 Lemoyne, PA 17043 Phone: (717) 545-1910 Fax: (717) 545-1952 Affilia Home Health CBC # 397013 NPI/Ref # 1891755393 2645 N 3rd St Ste 300 Phone: (717) 724-6670 Fax: (717) 724-6695 BAYADA Home Health Care CBC # 397770 NPI/Ref # 1699713503 750 E Park Dr 1st Fl Harrisburg, PA 17111 Phone: (800) 305-3000 Fax: (800) 705-1429 Bello Nurses LLC CBC # 50108683 NPI/Ref # 1447523691 915 N Mountain Rd Ste A Harrisburg, PA 17112 Phone: (717) 540-1700 Fax: (717) 540-1704 Home Remedy Skilled Nursing CBC # 50092457 NPI/Ref # 1578893186 4813 Jonestown Rd Ste 201 Phone: (717) 715-8700 Fax: (717) 715-8704 Home to Stay CBC # 398159 NPI/Ref # 1184931941 5775 Allentown Blvd Harrisburg, PA 17112 Phone: (717) 545-1293 Fax: (717) 545-3539 Links2Care CBC # 397456 NPI/Ref # 1093788002 4711 Queen Ave Ste 101 Phone: (717) 545-4940 Fax: (717) 540-7071 SUN Home Health Services CBC # 397095 NPI/Ref # 1992705438 340 Berrysburg Rd Ste 3 Millersburg, PA 17061 Phone: (717) 692-3969 Fax: (717) 692-4066 Visiting Nurse Association of Central Pennsylvania CBC # 397585 NPI/Ref # 1619088416 230 Market St Millersburg, PA 17061 Phone: (717) 692-5064 Fax: (717) 692-2199 3315 Derry St Harrisburg, PA 17111 Phone: (717) 233-1035 Fax: (717) 233-2759 Franklin Counity Home Health Care CBC # 398068 NPI/Ref # 1932253515 1035 Wayne Ave Ste 6 Phone: (717) 261-2546 Fax: (717) 263-3614 Home Nursing Agency and Visiting Nurse Association CBC # 397087 NPI/Ref # 1659443158 Suit Home Health 761 5th Ave Ste 2A Phone: (717) 264-2128 Fax: (717) 264-1148 Intrepid USA Healthcare Services CBC # 397716 NPI/Ref # 1356323992 144 8th St Phone: (717) 274-3206 Fax: (717) 838-6101 Links2Care CBC # 3B7456 NPI/Ref # 1013150275 518 Cleveland Ave Phone: (717) 263-2190 Fax: (717) 263-5584 Lutheran Home Care and Hospice CBC # 397133 NPI/Ref # 1144203811 2700 Luther Dr Phone: (717) 264-8178 Fax: (717) 264-6347 Affilia Home Health CBC # 397013 NPI/Ref # 1891755393 1811 Olde Homestead Ln, PA 17605 Phone: (717) 397-8251 Fax: (717) 396-8602 Amedisys Home Health of CBC # 397401 NPI/Ref # 1780889402 480 New Holland Ave Ste 8101, PA 17602 Phone: (717) 291-8396 BAYADA Home Health Care CBC # 3B7770 NPI/Ref # 1649523168 1850 Wm Penn Way Ste 106, PA 17601 Phone: (717) 291-9000 Gentiva Health Services CBC # 397237 NPI/Ref # 1780614412 1860 Charter Ln Ste 106, PA 17601 Phone: (717) 291-5943 Fax: (717) 291-4415 Links2Care CBC # 397456 NPI/Ref # 1093788002 2135 C Noll Dr, PA 17603 Phone: (717) 390-9870 Fax: (717) 390-9875 Intrepid USA Healthcare Services CBC # 397716 NPI/Ref # 1356323992 101 W Cherry St Palmyra, PA 17078 Phone: (717) 838-6101 Fax: (717) 838-6103 Amedisys Home Health of King of Prussia CBC # 397780 NPI/Ref # 1780679548 1605 N Cedar Crest Blvd Ste 509 Allentown, PA 18104 Phone: (225) 298-6480 Arcadia Visiting Nurses LLC CBC # 50121998 NPI/Ref # 1205196334 7248 Tilghman St Ste 160 Allentown, PA 18106 Phone: (610) 336-8000 Fax: (610) 336-6082 At Home CBC # 398053 NPI/Ref # 1144265679 4315 Washington St Schnecksville, PA 18078 Phone: (610) 820-8301 Fax: (267) 319-1531 BAYADA Home Health Care CBC # 397722 NPI/Ref # 1972544070 317 S Cedar Crest Blvd Phone: (800) 305-3000 Fax: (800) 705-1429 BAYADA Home Health Care CBC # 3A7722 NPI/Ref # 1184665168 3900 Hamilton Blvd Ste 101 Phone: (800) 305-3000 Fax: (800) 705-1429 Extended Family Care CBC # 397679 NPI/Ref # 1366552697 1251 S Cedar Crest Blvd Ste 102B Phone: (610) 432-6766 Fax: (610) 432-6737 Heartland Home Health Care and Hospice CBC # 397761 NPI/Ref # 1831128925 881 Marcon Blvd Ste 3700 Allentown, PA 18109 Phone: (610) 266-0134 Fax: (610) 266-8707 Interim Healthcare MidAtlantic CBC # 397202 NPI/Ref # 1659705234 5100 Tilghman St Ste 205 Allentown, PA 18104 Phone: (610) 434-7277 Fax: (610) 434-6974 Valley Home Care CBC # 397023 NPI/Ref # 1821061979 2166 S 12th St Phone: (610) 969-0300 Fax: (610) 969-0305 ANCILLARY PROVIDERS Page 23

Home Health Agency ANCILLARY PROVIDERS Loving Care Agency CBC # 398073 NPI/Ref # 1558490169 121 N Cedar Crest Blvd Allentown, PA 18104 Phone: (610) 432-7403 Fax: (610) 433-0814 Lutheran Home Care and Hospice CBC # 397133 NPI/Ref # 1144203811 798 Hausman Rd Ste 170 Allentown, PA 18104 Phone: (610) 391-2300 Fax: (610) 391-2301 Lutheran Home Care and Hospice CBC # 3A7133 NPI/Ref # 1821347329 2268 S 12th St Fl 4 Phone: (610) 871-2802 Fax: (610) 871-5918 Patient Care CBC # 397578 NPI/Ref # 1730185208 4949 Liberty Ln Ste 5 Allentown, PA 18106 Phone: (610) 530-1474 Fax: (610) 530-1846 Pediatric Services of America CBC # 3A7605 NPI/Ref # 1801810270 Rose Prof Bldg 1125 S Cedar Crest Blvd Ste 107 Phone: (610) 439-5700 Fax: (610) 439-7444 Providence Home Health Agency CBC # 50114223 NPI/Ref # 1215218920 151 Main St Ste A Eaus, PA 18049 Phone: (610) 421-8623 Fax: (610) 871-0026 Revolutionary Home Health SVC LLC CBC # 398140 NPI/Ref # 1154653475 1251 S Cedar Crest Blvd Ste 201-A Phone: (484) 244-4827 Fax: (866) 433-4525 Southeastern Home Health Services CBC # 397472 NPI/Ref # 1518901610 3800 Sierra Cir Ste 205 Valley, PA 18034 Phone: (215) 703-3522 Fax: (215) 703-3528 Luzerne Lutheran Home Care and Hospice CBC # 397133 NPI/Ref # 1144203811 1201-B N Church St Ste 403 Hazleton, PA 18202 Phone: (570) 459-6778 Fax: (570) 453-5202 Lycoming SUN Home Health Services CBC # 397095 NPI/Ref # 1992705438 1601 Sycamore Rd Ste 2B Montoursville, PA 17754 Phone: (570) 321-8688 Fax: (570) 321-9881 Mifflin Home Nursing Agency and Visiting Nurse Association CBC # 397087 NPI/Ref # 1659443158 33 E Hale St Ste K Lewistown, PA 17044 Phone: (717) 248-4593 Fax: (717) 248-4595 SUN Home Health Services CBC # 397095 NPI/Ref # 1992705438 31 E Market St Lewistown, PA 17044 Phone: (717) 248-3336 Fax: (717) 248-0488 Montgomery Southeastern Home Health Services CBC # 397472 NPI/Ref # 1518901610 271 Bethlehem Pike Ste 202 Colmar, PA 18915 Phone: (215) 348-7174 Fax: (215) 348-7197 2767 Geryville Pike Pennsburg, PA 18073 Phone: (267) 552-6650 Fax: (610) 754-0708 350 Sentry Pkwy Blue Bell, PA 19422 Phone: (267) 552-6625 Fax: (610) 825-1379 Montour Susquehanna Valley Home Health Care LLC CBC # 398000 NPI/Ref # 1073587796 273 Gotschal Rd Danville, PA 17821 Phone: (570) 271-0933 Fax: (570) 271-2830 BAYADA Home Health Care CBC # 397533 NPI/Ref # 1942571617 95 Highland Ave Ste 260 Phone: (610) 317-6088 Fax: (610) 317-2654 Easton Home Health and Hospice Services CBC # 397014 NPI/Ref # 1225218761 3001 Emrick Blvd Ste 303 Bethlehem, PA 18020 Phone: (610) 866-2410 Fax: (610) 866-2904 Focus Home Care Services CBC # 50106387 NPI/Ref # 1033439310 1 S 3rd St Ste 508 Easton, PA 18042 Phone: (484) 548-6644 Fax: (484) 548-6789 RX Home Care CBC # 397587 NPI/Ref # 1467446609 207 W Broad St Bethlehem, PA 18018 Phone: (610) 868-1801 Fax: (610) 954-9367 Slate Belt Visiting Nurses CBC # 397498 NPI/Ref # 1528045887 455 Blue Valley Dr Bangor, PA 18013 Phone: (800) 597-4228 Fax: (610) 863-6317 VNA of St Lukes Home Health and Hospice CBC # 397002 NPI/Ref # 1386645323 Valley Corp Ctr 200 1510 Valley Pkwy Phone: (610) 691-1100 Northumberland Family Home Medical CBC # 397512 NPI/Ref # 1609830819 50 S Oak St Mount Carmel, PA 17851 Phone: (570) 339-4049 Fax: (570) 339-1643 SUN Home Health Services CBC # 397095 NPI/Ref # 1992705438 102 E Independence St Shamokin, PA 17872 Phone: (570) 644-9061 Fax: (570) 644-3972 61 Duke St Northumberland, PA 17857 Phone: (570) 473-8320 Fax: (570) 473-3070 VNA Health System CBC # 397053 NPI/Ref # 1386631216 21 W Independence St Shamokin, PA 17872 Phone: (570) 648-8989 Fax: (570) 648-1429 Perry Safe Haven Skilled Services LLC CBC # 398138 NPI/Ref # 1457687519 16 W Main St New Bloomfield, PA 17068 Phone: (717) 582-4110 Fax: (717) 582-4138 SUN Home Health Services CBC # 397095 NPI/Ref # 1992705438 705 E Sunbury St PO Box 364 Millerstown, PA 17062 Phone: (717) 589-3012 Fax: (717) 589-7023 Schuylkill Blue Mountain Home Health Care CBC # 50122004 NPI/Ref # 1669749339 1851 W End Ave Ste A Pottsville, PA 17901 Phone: (570) 622-4444 Fax: (570) 622-4465 Kings Home Healthcare CBC # 398134 NPI/Ref # 1457587222 325 Peter St Ashland, PA 17921 Phone: (570) 875-1711 Fax: (570) 875-1911 Precision Home Healthcare CBC # 50108412 NPI/Ref # 1831496454 396 S Centre St Ste 3B Pottsville, PA 17901 Phone: (570) 622-1323 Fax: (570) 622-1329 Schuylkill Health Home Health CBC # 397214 NPI/Ref # 1457350548 420 S Jackson St Pottsville, PA 17901 Phone: (570) 621-5050 Fax: (570) 621-5043 St Lukes Miners Memorial Home Care CBC # 397575 NPI/Ref # 1205839040 801 E Broad St Tamaqua, PA 18252 Phone: (570) 952-8219 Fax: (570) 952-8119 Snyder BAYADA Home Health Care CBC # 50106832 NPI/Ref # 1750680880 8 W Snyder St Selinsgrove, PA 17870 Phone: (570) 374-0000 Union BAYADA Home Health Care CBC # 398151 NPI/Ref # 1013051184 115 Farley Cir Ste 103 Lewisburg, PA 17837 Phone: (570) 523-2600 SUN Home Health Services CBC # 397095 NPI/Ref # 1992705438 260 Reitz Blvd Ste 5 Lewisburg, PA 17837 Phone: (570) 522-0860 Fax: (570) 522-0855 BAYADA Home Health Care CBC # 3A8107 NPI/Ref # 1598905457 Queensgate Towne Ctr 2045 Springwood Rd, PA 17403 Phone: (717) 845-7153 Counity Home Nursing and Therapy Services CBC # 50094400 NPI/Ref # 1710115464 401 Allegheny Ave Hanover, PA 17331 Phone: (717) 632-2600 Fax: (717) 630-0200 HEALTHSOUTH Therapy at Home CBC # 398025 NPI/Ref # 1891764668 1850 Normandie Dr, PA 17408 Phone: (717) 767-6941 Fax: (717) 764-1341 Heartland Home Care CBC # 397616 NPI/Ref # 1629007810 3417-A Concord Rd, PA 17402 Phone: (717) 840-9750 Fax: (717) 840-9655 Links2Care CBC # 397456 NPI/Ref # 1093788002 97 Theatre Ln, PA 17402 Phone: (717) 848-2303 Fax: (717) 848-2327 Lutheran Home Care and Hospice CBC # 397133 NPI/Ref # 1144203811 1651 Mt Zion Rd, PA 17402 Phone: (717) 757-0774 Fax: (717) 757-7274 Memorial White Rose Home Health CBC # 397474 NPI/Ref # 1841566635 1412 6th Ave, PA 17403 Phone: (717) 843-5091 Fax: (717) 849-5630 OSS Health at Home CBC # 50119865 NPI/Ref # 1053669572 1855 Powder Mill Rd, PA 17402 Phone: (717) 747-8365 Fax: (717) 741-5370 Visiting Nurse Association Hanover & Spring Grove CBC # 397061 NPI/Ref # 1891741138 440 N Madison St Hanover, PA 17331 Phone: (717) 637-1227 Fax: (717) 637-9772 Adams Choice Healthcare CBC # 39HA36 NPI/Ref # 1427247519 6 S 6th St Mc Sherrystown, PA 17344 Phone: (717) 630-8858 Fax: (717) 630-2597 Dicks Homecare CBC # 39HA34 NPI/Ref # 1982620407 238 West St Gettysburg, PA 17325 Phone: (717) 338-0711 Fax: (717) 334-0718 Home Medical Equipment American DME LLC CBC # 39HB18 NPI/Ref # 1821238593 1295 Penn Ave Phone: (610) 898-4533 Fax: (610) 750-7247 Medical Equipment CBC # 39HA07 NPI/Ref # 1538137427 10-B Wingco Ln Reading, PA 19605 Phone: (610) 916-1871 Fax: (610) 916-8948 12-A Wingco Ln Reading, PA 19605 Phone: (610) 916-1871 Fax: (610) 916-8948 The Counity Pharmacy 145 N 6th St Reading, PA 19601 Phone: (610) 208-4662 Fax: (610) 373-3679 Healthcare Evolution LLC CBC # 39HB85 NPI/Ref # 1437455474 207 Bellevue Ave Reading, PA 19605 Phone: (610) 921-9700 Fax: (610) 921-2548 Page 24

Home Medical Equipment InHome Oxygen and Medical Supplies CBC # 39HB16 NPI/Ref # 1912915885 103 Ave Reading, PA 19611 Phone: (610) 929-2004 Fax: (610) 939-8338 J and J Medical CBC # 39HA59 NPI/Ref # 1356321418 341-A W Main St Birdsboro, PA 19508 Phone: (610) 404-4900 Fax: (610) 404-4905 Lincare CBC # 3AHA05 NPI/Ref # 1215091475 1039 Bern Rd Phone: (610) 373-5766 Fax: (610) 373-4352 Manny Esh Respiratory Care CBC # 39HA66 NPI/Ref # 1366438269 121 W Ave Shillington, PA 19607 Phone: (800) 332-4293 Fax: (610) 775-8905 Neighborcare At Home CBC # 39HA62 NPI/Ref # 1205806346 1031-D MacArthur Rd Reading, PA 19605 Phone: (610) 374-2226 Fax: (610) 374-6644 Paramount Independent Living Aids CBC # 39HA97 NPI/Ref # 1144222423 275 Forgedale Rd Fleetwood, PA 19522 Phone: (610) 641-9331 Fax: (610) 641-9332 Superior Oxygen and Medical Equipment CBC # 39HB22 NPI/Ref # 1528168846 545 Penn Ave West Reading, PA 19611 Phone: (610) 371-0202 Fax: (610) 371-0748 Webb Medical Systems CBC # 3AHA45 NPI/Ref # 1609942523 6-A Parkside Ave Shillington, PA 19607 Phone: (610) 777-2273 Fax: (610) 777-4329 Blair Dicks Homecare CBC # 39HA34 NPI/Ref # 1982620407 401 Maple Ave Altoona, PA 16601 Phone: (800) 472-4352 Fax: (814) 949-6767 Cambria Walnut Medical Services CBC # 39HB28 NPI/Ref # 1699828509 226 Main St Johnstown, PA 15901 Phone: (814) 533-0901 Fax: (814) 535-6376 Carbon Keystone Medical Equipment CBC # 39HA49 NPI/Ref # 1780676965 422-424 St Jim Thorpe, PA 18229 Phone: (570) 325-2787 Fax: (570) 325-8795 Centre American HomePatient CBC # 39HA06 NPI/Ref # 1003880915 200 Shady Ln Philipsburg, PA 16866 Phone: (814) 342-6710 Fax: (814) 342-4412 American HomePatient CBC # 3AHA39 NPI/Ref # 1548234487 2437 Coercial Blvd Ste 4 State College, PA 16801 Phone: (814) 234-9771 Fax: (814) 234-9610 Care Plus Oxygen CBC # 39HB04 NPI/Ref # 1891735619 205 Park Pl Ste 5 Bellefonte, PA 16823 Phone: (814) 353-7700 Fax: (814) 353-0764 Care Plus Oxygen CBC # 3AHB04 NPI/Ref # 1205875077 205 Park Pl Ste 4 Bellefonte, PA 16823 Phone: (814) 353-7700 Fax: (814) 353-0764 Dicks Homecare CBC # 39HA34 NPI/Ref # 1982620407 1063 N Front St Philipsburg, PA 16866 Phone: (814) 342-0900 Fax: (814) 342-7049 1300 Benner Pike State College, PA 16801 Phone: (814) 867-1970 Fax: (814) 867-1973 T and B Medical CBC # 39HB42 NPI/Ref # 1730127408 3604 S Atherton St State College, PA 16801 Phone: (814) 466-8736 Fax: (814) 466-6399 Chester Animas Diabetes Care LLC CBC # 50022753 NPI/Ref # 1871578815 200 Lawrence Dr West Chester, PA 19380 Phone: (877) 937-7867 Fax: (484) 885-2380 Spectrum Healthcare CBC # 50080589 NPI/Ref # 1356535108 1260 Valley Forge Rd Ste 111 Phoenixville, PA 19460 Phone: (888) 210-5576 Fax: (888) 812-6330 Clearfield Columbia Ancillary Services CBC # 39HB32 NPI/Ref # 1104914811 978 Spring St Houtzdale, PA 16651 Phone: (814) 684-4463 Fax: (814) 378-7032 Columbia Bloomsburg Medical Supply CBC # 39HA58 NPI/Ref # 1295795110 3081-A Columbia Blvd Bloomsburg, PA 17815 Phone: (570) 387-2300 Fax: (570) 387-1983 Care Plus Oxygen CBC # 39HB04 NPI/Ref # 1891735619 1154 6th Ave Ste 6 Berwick, PA 18603 Phone: (570) 759-9986 Fax: (570) 759-9266 Columbia Ancillary Services CBC # 39HB32 NPI/Ref # 1104914811 1388 State Rte 487 Bloomsburg, PA 17815 Phone: (570) 784-1410 Fax: (800) 326-8307 CPO2 CBC # 3EHA20 NPI/Ref # 1124098025 232 S Poplar St Berwick, PA 18603 Phone: (570) 759-1233 Fax: (570) 759-2851 American Home Medical Equipment Company LLC CBC # 39HB03 NPI/Ref # 1932368180 2300-A Old Gettysburg Rd Phone: (717) 761-9124 Fax: (717) 761-9127 American HomePatient CBC # 3CHA39 NPI/Ref # 1811961063 3825 Hartzdale Dr Phone: (717) 737-6122 Fax: (717) 734-6472 Apria Healthcare LLC CBC # 3BHA04 NPI/Ref # 1962411629 405 St Johns Church Rd Stes 105-106 Phone: (717) 761-4630 Fax: (717) 761-7120 Care Plus Oxygen CBC # 39HB04 NPI/Ref # 1891735619 850-A State St Lemoyne, PA 17043 Phone: (717) 731-0522 Fax: (717) 731-0523 CPO2 CBC # 3CHA20 NPI/Ref # 1225008121 4700 Westport Dr Ste 1600 Mechanicsburg, PA 17055 Phone: (717) 766-7522 Fax: (717) 796-1744 CressCare Medical CBC # 39HA51 NPI/Ref # 1093761074 1531 Coerce Ave Carlisle, PA 17015 Phone: (717) 241-4441 Fax: (717) 241-6118 Family Home Medical CBC # 39HA72 NPI/Ref # 1700857661 1 Sprint Dr Carlisle, PA 17015 Phone: (717) 249-8051 Fax: (717) 243-9423 Lincare CBC # 3BHA87 NPI/Ref # 1457426660 2208 Gettysburg Rd Phone: (866) 763-4866 Fax: (717) 763-8056 National Rehab Equipment CBC # 39HB11 NPI/Ref # 1649244138 135 N Spring Garden St Carlisle, PA 17013 Phone: (800) 451-6510 Fax: (800) 749-0711 Numotion CBC # 39HA60 NPI/Ref # 1114995404 3401 Hartzdale Dr Ste 137 Phone: (717) 731-1655 Fax: (717) 731-1658 OSS Health CBC # 50122950 NPI/Ref # 1902230519 856 Century Dr Mechanicsburg, PA 17055 Phone: (717) 730-7099 Respira CBC # 39HB65 NPI/Ref # 1598054629 4928 Louise Dr Ste 103 Mechanicsburg, PA 17055 Phone: (717) 790-3100 Fax: (717) 790-3102 The Perfect Match Boutique CBC # 39HB00 NPI/Ref # 1629151139 1180 Lowther Rd Phone: (717) 774-0144 Fax: (717) 724-1388 Apria Healthcare LLC CBC # 3BHA26 NPI/Ref # 1396769063 22-A Briarcrest Sq Hershey, PA 17033 Phone: (717) 533-8466 Fax: (717) 533-1937 Central Medical Equipment Co CBC # 39HA33 NPI/Ref # 1386685899 35 Sarhelm Rd Harrisburg, PA 17112 Phone: (717) 657-2100 Fax: (717) 657-2176 CressCare Medical CBC # 3AHA51 NPI/Ref # 1356396477 1820 Linglestown Rd Phone: (717) 236-7482 Fax: (717) 236-7485 DJO LLC CBC # 39HB12 NPI/Ref # 1023296035 450 Powers Ave Phone: (717) 761-5530 Fax: (717) 561-4878 Dynamic Rehab Solutions LLC CBC # 39HB44 NPI/Ref # 1013241447 4400 Lewis Rd Ste E1 Harrisburg, PA 17111 Phone: (717) 972-0391 Fax: (717) 972-0389 KCI USA CBC # 39HB15 NPI/Ref # 1609863588 4400 Lewis Rd Ste E Harrisburg, PA 17111 Phone: (800) 275-4524 Fax: (888) 245-2295 Keystone Mobility CBC # 39HB41 NPI/Ref # 1558435651 8118 Adams Dr Huelstown, PA 17036 Phone: (717) 482-8140 Fax: (717) 482-8141 Millersburg Pharmacy CBC # 39HA91 NPI/Ref # 1356343800 242 Market St Side Millersburg, PA 17061 Phone: (717) 692-2161 Fax: (717) 692-2162 Youngs Medical Equipment CBC # 39HA13 NPI/Ref # 1417968751 6345 Flank Dr Ste 1400 Harrisburg, PA 17112 Phone: (717) 564-9485 Fax: (610) 828-4810 Franklin American HomePatient CBC # 3BHA39 NPI/Ref # 1942274675 11668 Orchard Rd Waynesboro, PA 17268 Phone: (717) 762-8141 Fax: (717) 765-4434 Care Plus Oxygen CBC # 3DHB04 NPI/Ref # 1457392813 1637 E Main St Waynesboro, PA 17268 Phone: (717) 765-0022 Fax: (717) 765-0046 CPO2 CBC # 3AHA20 NPI/Ref # 1396715397 93 Brim Blvd Ste 1 Phone: (717) 267-3431 Fax: (717) 267-0560 Dicks Homecare CBC # 39HA34 NPI/Ref # 1982620407 440 Gateway Ave Phone: (717) 264-1799 Fax: (717) 264-1899 Fulton Dicks Homecare CBC # 39HA34 NPI/Ref # 1982620407 416 Lincoln Way E Mc Connellsburg, PA 17233 Phone: (717) 987-4007 Fax: (717) 987-4009 Huntingdon Dicks Homecare CBC # 39HA34 NPI/Ref # 1982620407 8994 Wm Penn Hwy Huntingdon, PA 16652 Phone: (814) 643-2397 Apria Healthcare LLC CBC # 39HA04 NPI/Ref # 1366559288 155 N Donnerville Rd Ste 2 Mountville, PA 17554 Phone: (717) 285-7805 Fax: (717) 285-5639 Bon-Cliff CBC # 39HB31 NPI/Ref # 1992711550 56 Scheller Rd New Providence, PA 17560 Phone: (717) 786-1462 Fax: (717) 786-9135 ANCILLARY PROVIDERS Page 25

Home Medical Equipment ANCILLARY PROVIDERS Central Medical Equipment Co CBC # 3BHA33 NPI/Ref # 1952342362 1397 Arcadia Rd, PA 17601 Phone: (717) 390-2700 Fax: (717) 390-2724 Valley Respiratory Care CBC # 39HA41 NPI/Ref # 1710983978 1176 Enterprise Ct East Petersburg, PA 17520 Phone: (717) 569-4667 Fax: (717) 569-5555 Life Solutions Plus CBC # 39HB63 NPI/Ref # 1982917811 2850 Willow St Pike N Ste D Willow Street, PA 17584 Phone: (717) 464-7110 Fax: (717) 464-7109 Lincare CBC # 39HA05 NPI/Ref # 1184670010 2981 Hempland Rd Unit 3, PA 17601 Phone: (717) 291-5534 Fax: (717) 291-0412 Respitech Medical CBC # 39HA55 NPI/Ref # 1366436289 250 Ranck Ave, PA 17602 Phone: (717) 399-0030 Fax: (717) 399-0033 UDS Home Medical Equipment LLC CBC # 39HB27 NPI/Ref # 1861793168 1905 Olde Homestead Ln Manheim, PA 17545 Phone: (717) 665-1490 Fax: (717) 665-1491 W L Schneider Associates CBC # 39HB69 NPI/Ref # 1992800247 13 N Main St Manheim, PA 17545 Phone: (866) 357-7201 Fax: (215) 624-7204 Youngs Medical Equipment CBC # 39HA12 NPI/Ref # 1770680985 278 Granite Run Dr, PA 17601 Phone: (800) 222-2438 Fax: (610) 828-4810 Burmans Medical Supplies CBC # 39HB43 NPI/Ref # 1730174764 22 Rosemont Dr Myerstown, PA 17067 Phone: (800) 604-6068 Fax: (800) 599-5560 GSH Home Medical Care CBC # 39HA02 NPI/Ref # 1831202944 301 Schneider Dr, PA 17046 Phone: (717) 272-2057 Fax: (717) 272-0796 GSH Home Medical Care CBC # 3AHA02 NPI/Ref # 1831208784 901 E Main St Palmyra, PA 17078 Phone: (717) 838-7511 Fax: (717) 838-9468 American Home Medical Equipment and Services CBC # 39HB38 NPI/Ref # 1154591196 3325 Hamilton Blvd Phone: (610) 841-4986 Fax: (610) 841-4987 Baird Medical Equipment CBC # 39HB19 NPI/Ref # 1285671081 5374 Hamilton Blvd Allentown, PA 18106 Phone: (610) 395-7028 Fax: (610) 395-7054 Boas Surgical CBC # 39HB14 NPI/Ref # 1891751160 3050 Hamilton Blvd Ste 220 Allentown, PA 18102 Phone: (484) 244-0300 Fax: (484) 895-0350 Hartzells Pharmacy and Home Health Care CBC # 39HA38 NPI/Ref # 1770582397 300 American St Catasauqua, PA 18032 Phone: (610) 264-5471 Fax: (610) 264-8774 Health Spectrum Pharmacy Services CBC # 39HA15 NPI/Ref # 1780607929 1202 S Cedar Crest Blvd Phone: (610) 402-5310 Fax: (610) 402-8457 Mobility Unlimited CBC # 39HA30 NPI/Ref # 1538133590 515 N 12th St Allentown, PA 18102 Phone: (610) 433-8797 Fax: (610) 433-7972 Northeast Medical Sales CBC # 39HA79 NPI/Ref # 1073835039 2354 Old Post Rd Ste 2 Coplay, PA 18037 Phone: (610) 262-3331 Fax: (610) 262-3399 RecoverCare LLC CBC # 39HB26 NPI/Ref # 1548235237 964 Marcon Blvd Ste 110 Allentown, PA 18109 Phone: (800) 547-3899 Fax: (800) 772-4811 Luzerne KCI USA CBC # 3AHB15 NPI/Ref # 1366439366 134 point Blvd Pittston, PA 18640 Phone: (800) 275-4524 Fax: (888) 245-2295 Luzerne Medical CBC # 39HB70 NPI/Ref # 1245212257 92 N Wyoming St Hazleton, PA 18201 Phone: (570) 459-5144 Fax: (570) 459-0806 Lycoming Susquehanna Ventures CBC # 39HA50 NPI/Ref # 1528015567 1201 Grampian Blvd Ste 1F Williamsport, PA 17701 Phone: (570) 321-6790 Fax: (570) 320-7659 Mifflin American HomePatient CBC # 3BHA06 NPI/Ref # 1316911019 115 S Plaza Dr Lewistown, PA 17044 Phone: (717) 242-2766 Fax: (717) 242-2339 Dicks Homecare CBC # 39HA34 NPI/Ref # 1982620407 224 N Logan Blvd Burnham, PA 17009 Phone: (717) 247-0445 Fax: (717) 247-0447 Lewistown Pharmacy CBC # 39HB54 NPI/Ref # 1184620221 7 N Wayne St Lewistown, PA 17044 Phone: (717) 248-0041 Fax: (717) 248-1128 Montgomery Otto Bock Orthopedic Services LLC CBC # 39HB57 NPI/Ref # 1992030555 2 Bala Plz Ste IL-21 333 E City Ave Bala Cynwyd, PA 19004 Phone: (800) 736-8276 Fax: (866) 642-2302 PR02 Respiratory Services CBC # 39HB86 NPI/Ref # 1649574013 741 3rd Ave King Of Prussia, PA 19406 Phone: (610) 768-0210 Fax: (610) 768-0240 Royal Medical Supply CBC # 39HB58 NPI/Ref # 1477500924 34 E High St Pottstown, PA 19464 Phone: (610) 705-9292 Fax: (610) 705-9777 Montour 1st Choice Medical CBC # 39HA88 NPI/Ref # 1568429314 1815 Bloom Rd Danville, PA 17821 Phone: (570) 271-2525 Fax: (570) 271-1711 Apria Healthcare LLC CBC # 3AHA26 NPI/Ref # 1083638787 1339 Bloom Rd Danville, PA 17821 Phone: (570) 275-0909 Fax: (570) 275-8279 Advantage Orthopedics CBC # 39HB59 NPI/Ref # 1073828067 174 Bath Nazareth Hwy Nazareth, PA 18064 Phone: (484) 298-1050 Fax: (484) 222-2787 Allcare Medical CBC # 50101306 NPI/Ref # 1811978141 89 S Coerce Way Phone: (800) 784-7786 Fax: (888) 510-8400 Apria Healthcare LLC CBC # 3CHA04 NPI/Ref # 1295743938 2041 Ave C Ste 400 Phone: (610) 266-6333 Fax: (610) 266-6187 At Home Medical Equipment LLC CBC # 39HB47 NPI/Ref # 1790987907 680 Berger Dr Easton, PA 18042 Phone: (888) 871-8841 Fax: (888) 871-8847 Bell Apothecary CBC # 39HA31 NPI/Ref # 1457319469 2045 Fairview Ave Easton, PA 18042 Phone: (610) 253-1911 Fax: (610) 252-0972 Boas Surgical CBC # 39HB14 NPI/Ref # 1891751160 3535 High Point Blvd Ste 200 Phone: (484) 895-3451 Fax: (484) 895-0350 Helping Hands Medical Supply LLC CBC # 39HB36 NPI/Ref # 1316934912 3464 Linden St Phone: (610) 868-8911 Fax: (610) 266-4282 Hoveround Corporation CBC # 39HB02 NPI/Ref # 1023096104 6363 Winside Dr Phone: (800) 701-5781 Fax: (800) 311-9465 Lincare CBC # 39HA87 NPI/Ref # 1558447144 5 Highland Ave Unit E Phone: (610) 814-2344 Fax: (610) 814-5812 Newhard Pharmacy CBC # 39HB46 NPI/Ref # 1770659500 1001 Main St, PA 18067 Phone: (610) 262-6721 Fax: (610) 262-7593 Royal Homestar LLC CBC # 50118573 NPI/Ref # 1003154352 2710 Emrick Blvd Bethlehem, PA 18020 Phone: (610) 419-7600 Fax: (888) 662-0172 Slate Belt Medical Equipment and Supplies CBC # 39HA75 NPI/Ref # 1255390977 457 Blue Valley Dr Bangor, PA 18013 Phone: (610) 863-9157 Fax: (610) 863-5698 Walgreens Infusion Services CBC # 39HA14 NPI/Ref # 1033166814 3895 Adler Pl Bldg A Ste 120 Bethlehem, PA 18020 Phone: (610) 867-7774 Fax: (610) 867-6473 Webb Medical Systems CBC # 39HA45 NPI/Ref # 1912034356 1540 Main St, PA 18067 Phone: (610) 440-0265 Fax: (610) 440-1978 Wellcare Home Mobility CBC # 39HB21 NPI/Ref # 1417129057 1310-B Blue Valley Dr Pen Argyl, PA 18072 Phone: (610) 863-3055 Fax: (610) 863-3036 Youngs Medical Equipment CBC # 39HA10 NPI/Ref # 1699872804 2710 Emrick Blvd Bethlehem, PA 18020 Phone: (610) 258-1585 Fax: (610) 828-4810 Northumberland Assist Home Care CBC # 39HB17 NPI/Ref # 1255334470 27 W Independence St Shamokin, PA 17872 Phone: (570) 644-9840 Fax: (570) 644-9841 Millersburg Pharmacy CBC # 39HA91 NPI/Ref # 1356343800 Dal-Hern Pharmacy 4372 State Rte 147 Herndon, PA 17830 Phone: (570) 758-2042 Fax: (570) 758-5486 Susquehanna Valley Mobility Services CBC # 39HB09 NPI/Ref # 1922003599 1085 Dance Hall Rd Milton, PA 17847 Phone: (570) 246-5300 Fax: (570) 246-5310 Perry Bloomfield Pharmacy CBC # 39HB53 NPI/Ref # 1053317792 1 W Main St New Bloomfield, PA 17068 Phone: (717) 582-2313 Fax: (717) 582-4015 Schuylkill American HomePatient CBC # 39HA39 NPI/Ref # 1720052665 124 S Claude A Lord Blvd Rte 61 Pottsville, PA 17901 Phone: (570) 622-5800 Fax: (570) 628-9684 American Surgical Supply CBC # 39HB45 NPI/Ref # 1649318429 347 Pottsville St Clair Hwy Ste 2 Pottsville, PA 17901 Phone: (570) 622-8713 Fax: (570) 622-8191 Apria Healthcare LLC CBC # 39HA26 NPI/Ref # 1952316507 Sharp Mountain Plz 880-882 Gordon Nagle Trl Ste 9-10 Pottsville, PA 17901 Phone: (570) 622-6320 Fax: (570) 622-4002 Care Plus Oxygen CBC # 3EHB04 NPI/Ref # 1457391252 Ste 110 Branch Twp 2880 Pottsville Minersville Hwy Minersville, PA 17954 Phone: (570) 544-6207 Fax: (570) 544-6211 Page 26

Hospice Concept Medical CBC # 39HA23 NPI/Ref # 1043204670 7th & Chestnut Sts Ashland, PA 17921 Phone: (570) 875-3611 Fax: (570) 875-2885 CPO2 CBC # 3BHA20 NPI/Ref # 1285604777 2880 Pottsville Minersville Hwy Ste 100 Minersville, PA 17954 Phone: (570) 544-6606 Fax: (570) 544-6507 Manny Esh Respiratory Care CBC # 39HA66 NPI/Ref # 1366438269 55 S James St Schuylkill Haven, PA 17972 Phone: (570) 385-4115 Fax: (570) 385-3463 Standard Drug CBC # 39HA85 NPI/Ref # 1063465383 322 S Hancock St McAdoo, PA 18237 Phone: (570) 929-1130 Fax: (570) 929-1208 Union CPO2 CBC # 39HA20 NPI/Ref # 1831169739 150 E Chestnut St Mifflinburg, PA 17844 Phone: (570) 966-3178 Fax: (570) 966-9863 Homecare Products CBC # 39HA29 NPI/Ref # 1154743631 7105 Westbranch Hwy Lewisburg, PA 17837 Phone: (570) 522-2585 Fax: (570) 522-2819 Hub's Home Oxygen and Medical Supplies CBC # 39HB08 NPI/Ref # 1205886470 131 JPM Rd Ste D Lewisburg, PA 17837 Phone: (570) 522-8060 Fax: (570) 522-8022 All Medical and Equipment Supplies CBC # 39HB68 NPI/Ref # 1841291820 140 E Broadway Red Lion, PA 17356 Phone: (717) 246-8900 Fax: (717) 246-8982 American HomePatient CBC # 3AHA06 NPI/Ref # 1700850641 180 Leader Hghts Rd, PA 17402 Phone: (717) 741-5353 Fax: (717) 741-5335 Care Plus Oxygen CBC # 3FHB04 NPI/Ref # 1831139658 1600 6th Ave Ste 119-A, PA 17403 Phone: (717) 718-4114 Fax: (717) 718-4167 Central Medical Equipment Co CBC # 3AHA33 NPI/Ref # 1811939291 524 Greenbriar Rd, PA 17404 Phone: (717) 764-8300 Fax: (717) 764-8383 Counity Care of Harrisburg LLC CBC # 39HB64 NPI/Ref # 1912292426 689 town Rd Lewisberry, PA 17339 Phone: (717) 932-4849 Fax: (717) 932-4852 Foot Solutions of CBC # 39HB20 NPI/Ref # 1114906922 2944 Whiteford Rd, PA 17402 Phone: (717) 757-3338 Fax: (717) 757-3339 Life Changes Boutique CBC # 39HB49 NPI/Ref # 1740432079 400 St Hanover, PA 17331 Phone: (717) 633-1111 Fax: (717) 633-9111 Lincare CBC # 3AHA87 NPI/Ref # 1972677219 130 Eisenhower Dr Hanover, PA 17331 Phone: (717) 637-0595 Fax: (717) 637-5146 Lincare CBC # 3CHA87 NPI/Ref # 1003039009 2350 Freedom Way Ste 100, PA 17402 Phone: (717) 741-6682 Fax: (717) 741-0571 OSS Health CBC # 390325 NPI/Ref # 1821334426 1861 Powder Mill Rd, PA 17402 Phone: (717) 718-2000 Fax: (717) 718-3470 OSS Health CBC # 50122855 NPI/Ref # 1316380181 1750 5th Ave, PA 17403 Phone: (717) 848-2297 Fax: (717) 747-2966 OSS Health CBC # 50122857 NPI/Ref # 1942644687 470 Eisenhower Dr Hanover, PA 17331 Phone: (717) 633-0031 Fax: (717) 630-1085 Health Boutique for Women LLC CBC # 39HA96 NPI/Ref # 1548239536 180 Leader Heights Rd, PA 17402 Phone: (717) 741-0127 Fax: (717) 741-0168 Home Medical Equipment - Mail Order 180 Medical CBC # 39HB52 NPI/Ref # 1639160708 Phone: (877) 688-2729 Fax: (888) 718-0633 ActivStyle CBC # 50005793 NPI/Ref # 1225023922 Phone: (800) 949-4445 Fax: (800) 563-2937 ApniCure CBC # 50114141 NPI/Ref # 1851658546 Phone: (650) 361-9300 Fax: (650) 361-9399 Arriva Medical LLC CBC # 39HB76 NPI/Ref # 1023285723 Phone: (800) 700-4442 Fax: (954) 346-7496 Better Living Now CBC # 39HB79 NPI/Ref # 1093711996 Phone: (631) 348-0032 Fax: (631) 348-7704 Biomet Spine and Bone Healing Technologies CBC # 50010211 NPI/Ref # 1366423220 Phone: (800) 526-2579 Fax: (973) 257-7841 Bioventus LLC CBC # 50113144 NPI/Ref # 1861761785 Phone: (800) 836-4080 Fax: (866) 832-7284 Byram Healthcare s CBC # 39HB48 NPI/Ref # 1710932173 Phone: (877) 902-9726 Fax: (914) 286-2100 CCS Medical CBC # 50004901 NPI/Ref # 1295827780 Phone: (800) 726-9811 Fax: (800) 860-4326 Edgepark Medical Supplies CBC # 50003601 NPI/Ref # 1609858729 Phone: (800) 321-0591 Fax: (330) 425-4355 Electromed CBC # 50083534 NPI/Ref # 1821030909 Phone: (952) 758-9299 Fax: (952) 758-5077 Empi CBC # 39HB80 NPI/Ref # 1174574032 Phone: (800) 328-2536 Fax: (800) 450-3593 Home Care Delivered CBC # 50053410 NPI/Ref # 1245239540 Phone: (800) 565-5644 Fax: (888) 565-4411 Insulet Corporation CBC # 39HB61 NPI/Ref # 1013914027 Phone: (978) 600-7000 Fax: (978) 600-0120 KCI USA CBC # 3BHB15 NPI/Ref # 1154318301 Phone: (800) 275-4524 Fax: (888) 245-2295 Liberator Medical Supply CBC # 39HB66 NPI/Ref # 1881698439 Phone: (800) 323-0914 Fax: (800) 755-0843 Medical Solutions Supplier CBC # 39HB62 NPI/Ref # 1760459010 Phone: (800) 734-0422 Fax: (800) 758-0339 Medline Healthcare Company CBC # 50013606 NPI/Ref # 1811997638 Phone: (800) 678-7852 Fax: (847) 949-2000 National Biological Corporation CBC # 50092550 NPI/Ref # 1396891495 Phone: (800) 358-5045 Fax: (216) 765-0271 NeighborCare At Home CBC # 3AHA62 NPI/Ref # 1548349806 Phone: (610) 494-1691 Fax: (610) 494-1841 Numotion CBC # 39HB40 NPI/Ref # 1194077289 Phone: (610) 485-1235 Fax: (610) 485-1239 Orthofix CBC # 39HB78 NPI/Ref # 1235136060 Phone: (800) 527-0404 Fax: (214) 937-2739 Respir Tech CBC # 50110271 NPI/Ref # 1962459537 Phone: (651) 379-8999 Fax: (866) 727-3235 Tactile Systems Technology CBC # 50074924 NPI/Ref # 1427131424 Phone: (612) 355-5219 Fax: (866) 435-3949 Verus Healthcare CBC # 39HB75 NPI/Ref # 1245221092 Phone: (800) 487-5566 Fax: (800) 936-7395 Zoll Lifecor Corporation CBC # 50075606 NPI/Ref # 1164535274 Phone: (412) 968-3333 Fax: (866) 567-7615 Adams Lutheran Home Care and Hospice CBC # 391527 NPI/Ref # 1417917097 260 W High St Gettysburg, PA 17325 Phone: (717) 334-6208 Fax: (717) 334-7872 Hospice Visiting Nurse Association CBC # 391904 NPI/Ref # 1760468532 1170 hire Blvd Phone: (610) 378-0481 Fax: (610) 378-9762 Covenant Home Care - Hospice CBC # 50115130 NPI/Ref # 1245503549 1223 Pottsville Pike Shoemakersville, PA 19555 Phone: (800) 726-8761 Fax: (570) 385-5287 Heartland Hospice Services CBC # 391637 NPI/Ref # 1407885593 4 Park Plz Ste 105-A Phone: (610) 373-6898 Fax: (610) 373-6098 Lutheran Home Care and Hospice CBC # 3B1527 NPI/Ref # 1548306194 1030 Reed Ave Ste 102 Phone: (610) 320-7980 Fax: (610) 320-7974 Blair Home Nursing Agency & Visiting Nurse Association Hospice CBC # 391505 NPI/Ref # 1699840736 201 Chestnut Ave Altoona, PA 16603 Phone: (814) 946-5411 Centre Centre Hospice CBC # 391518 NPI/Ref # 1053393447 2437 Coerical Blvd State College, PA 16801 Phone: (814) 237-7400 Fax: (814) 237-2900 Home Nursing Agency & Visiting Nurse Association Hospice CBC # 391505 NPI/Ref # 1699840736 450 Windmere Dr State College, PA 16801 Phone: (814) 466-4800 Fax: (814) 466-4806 Columbia Berwick Home Health and Hospice CBC # 391636 NPI/Ref # 1457385353 6850 Lows Rd Ste 102 Bloomsburg, PA 17815 Phone: (570) 416-0561 Fax: (570) 380-1258 Celtic Hospice and Palliative Care of Carlisle CBC # 391692 NPI/Ref # 1164567186 900 Century Dr Ste 201 Mechanicsburg, PA 17055 Phone: (717) 245-5600 Fax: (877) 570-5954 Compassionate Care Hospice CBC # 391589 NPI/Ref # 1619970266 1513 Cedar Cliff Dr Ste 100 Phone: (717) 944-4466 Fax: (717) 944-4497 Grane Hospice Care CBC # 391732 NPI/Ref # 1528049160 4 Lemoyne Dr Ste 201 Lemoyne, PA 17043 Phone: (717) 763-4001 Heartland Hospice Services CBC # 391638 NPI/Ref # 1154350346 1200 Walnut Bottom Rd Ste 302 Carlisle, PA 17015 Phone: (717) 240-0018 Fax: (717) 249-0032 Odyssey HealthCare of Harrisburg CBC # 391671 NPI/Ref # 1316921323 4660 Trindle Rd Ste 204 Phone: (717) 612-1200 Fax: (717) 612-1201 ANCILLARY PROVIDERS Page 27

Hospice ANCILLARY PROVIDERS AseraCare Hospice CBC # 391607 NPI/Ref # 1710926654 75 S Houcks Rd Ste 101 Phone: (717) 541-4466 Fax: (717) 541-4470 Crossings Hospice CBC # 391606 NPI/Ref # 1437254893 230 Market St Millersburg, PA 17061 Phone: (717) 692-5064 Fax: (717) 692-2199 3315 Derry St Harrisburg, PA 17111 Phone: (717) 233-1035 Fax: (717) 233-2759 Homeland Hospice CBC # 391714 NPI/Ref # 1841286135 2300 Vartan Way Ste 115 Phone: (717) 221-7890 Fax: (717) 221-7891 Hospice of Central Pennsylvania CBC # 391530 NPI/Ref # 1982608949 1320 Linglestown Rd Phone: (717) 732-1000 Fax: (717) 734-0375 Legacy Hospice and Palliative Care CBC # 391745 NPI/Ref # 1457667768 4813 Jonestown Rd Ste 201 Phone: (717) 715-8701 Fax: (717) 715-8704 SUN Home Health Services CBC # 391901 NPI/Ref # 1982604203 340 Berrysburg Rd Ste 3 Millersburg, PA 17061 Phone: (717) 692-3969 Fax: (717) 692-4066 Franklin Home Nursing Agency & Visiting Nurse Association Hospice CBC # 391505 NPI/Ref # 1699840736 Suit Home Health 761 5th Ave Ste 2A Phone: (717) 264-2128 Fax: (717) 264-1148 Lutheran Home Care and Hospice CBC # 391527 NPI/Ref # 1417917097 2700 Luther Dr Phone: (717) 264-8178 Fax: (717) 264-6347 AseraCare Hospice CBC # 391662 NPI/Ref # 1508805417 315 Primrose Ln Ste 101 Mountville, PA 17554 Phone: (717) 285-2039 Fax: (717) 285-7761 Hospice & Counity Care CBC # 391515 NPI/Ref # 1750389193 4075 Old Harrisburg Pike Mount Joy, PA 17552 Phone: (717) 735-9661 Fax: (717) 735-9674 685 Good Dr, PA 17604 Phone: (717) 295-3900 Fax: (717) 391-9582 Masonic Village Hospice CBC # 391721 NPI/Ref # 1932453867 1 Masonic Dr Elizabethtown, PA 17022 Phone: (717) 367-1121 Fax: (717) 367-6768 Good Samaritan Hospital Hospice (The) CBC # 391561 NPI/Ref # 1396827796 4th & Walnut Sts, PA 17042 Phone: (717) 270-7672 Fax: (717) 274-3923 Arcadia Hospice LLC CBC # 391659 NPI/Ref # 1083808281 7248 Tilghman St Ste 160 Allentown, PA 18106 Phone: (610) 336-8000 Fax: (610) 336-8001 AseraCare Hospice CBC # 391712 NPI/Ref # 1487808200 5920 Hamilton Blvd Ste 103 Allentown, PA 18106 Phone: (610) 336-0711 Fax: (610) 336-0719 At Home Hospice Care CBC # 391748 NPI/Ref # 1144265679 4315 Washington St Schnecksville, PA 18078 Phone: (610) 820-8301 Fax: (267) 319-1531 Heartland Hospice Services CBC # 391637 NPI/Ref # 1407885593 881 Marcon Blvd Ste 3700 Allentown, PA 18109 Phone: (610) 266-0134 Fax: (610) 266-8707 Valley Hospice CBC # 391900 NPI/Ref # 1841261237 2166 S 12th St Phone: (610) 969-0300 Fax: (610) 969-0305 Lutheran Home Care and Hospice CBC # 3A1527 NPI/Ref # 1790821346 798 Hausman Rd Ste 170 Allentown, PA 18104 Phone: (610) 391-2300 Fax: (610) 391-2301 Lycoming SUN Home Health Services CBC # 391901 NPI/Ref # 1982604203 1601 Sycamore Rd Ste 2B Montoursville, PA 17754 Phone: (570) 321-8688 Fax: (570) 321-9881 Mifflin Home Nursing Agency & Visiting Nurse Association Hospice CBC # 391505 NPI/Ref # 1699840736 33 E Hale St Ste K Lewistown, PA 17044 Phone: (717) 248-4593 Fax: (717) 248-4595 SUN Home Health Services CBC # 391901 NPI/Ref # 1982604203 31 E Market St Lewistown, PA 17044 Phone: (717) 248-3336 Fax: (717) 248-0488 Easton Home Health and Hospice Services CBC # 391911 NPI/Ref # 1508049958 3001 Emrick Blvd Ste 303 Bethlehem, PA 18020 Phone: (610) 866-2410 Fax: (610) 866-2904 VNA of St Lukes Home Health and Hospice CBC # 391905 NPI/Ref # 1881764736 Valley Corp Ctr 200 1510 Valley Pkwy Phone: (610) 691-1100 Northumberland Family Home Medical Hospice CBC # 391739 NPI/Ref # 1972813301 50 S Oak St Mount Carmel, PA 17851 Phone: (570) 339-4049 Fax: (570) 339-1643 SUN Home Health Services CBC # 391901 NPI/Ref # 1982604203 102 E Independence St Shamokin, PA 17872 Phone: (570) 644-9061 Fax: (570) 644-3972 61 Duke St Northumberland, PA 17857 Phone: (570) 473-8320 Fax: (570) 473-3070 VNA Health System Crossings Hospice CBC # 391566 NPI/Ref # 1699757088 21 W Independence St Shamokin, PA 17872 Phone: (570) 648-8989 Fax: (570) 648-1429 Perry SUN Home Health Services CBC # 391901 NPI/Ref # 1982604203 705 E Sunbury St PO Box 364 Millerstown, PA 17062 Phone: (717) 589-3012 Fax: (717) 589-7023 Union Evangelical Counity Hospital Hospice CBC # 391545 NPI/Ref # 1720046519 1 Hospital Dr Lewisburg, PA 17837 Phone: (570) 522-2550 Fax: (570) 522-2803 SUN Home Health Services CBC # 391901 NPI/Ref # 1982604203 260 Reitz Blvd Ste 5 Lewisburg, PA 17837 Phone: (570) 522-0860 Fax: (570) 522-0855 AseraCare Hospice CBC # 391653 NPI/Ref # 1932140449 44 Bowman Rd, PA 17408 Phone: (717) 845-8599 Fax: (717) 845-9256 Heartland Hospice Services CBC # 391638 NPI/Ref # 1154350346 3417-C Concord Rd, PA 17402 Phone: (717) 840-1002 Fax: (717) 840-1690 Hospice & Counity Care CBC # 391515 NPI/Ref # 1750389193 224 St Charles Way Ste 200, PA 17402 Phone: (888) 236-9563 Memorial White Rose Hospice CBC # 391552 NPI/Ref # 1780940585 1412 6th Ave, PA 17403 Phone: (717) 849-5642 Fax: (717) 849-5630 VNA of Hanover and Spring Grove Hospice Program CBC # 391548 NPI/Ref # 1831124189 440 N Madison St Hanover, PA 17331 Phone: (717) 637-1227 Fax: (717) 637-9772 Infusion Therapy Adams Choice Critical Care CBC # 39HI17 NPI/Ref # 1508852120 10 S 6th St Mc Sherrystown, PA 17344 Phone: (717) 630-2773 Fax: (717) 630-2824 Healthcare Evolution LLC CBC # 39HI30 NPI/Ref # 1437455474 207 Bellevue Ave Reading, PA 19605 Phone: (610) 921-9700 Fax: (610) 921-2548 Coram Alternate Site Services CBC # 3AHI02 NPI/Ref # 1790062552 405 St Johns Church Rd Stes 105-106 Phone: (717) 761-4630 Fax: (717) 761-7120 Coram Alternate Site Services CBC # 3AHI02 NPI/Ref # 1790062552 26 Briarcrest Sq Hershey, PA 17033 Phone: (717) 761-4630 Fax: (717) 761-7120 Critical Care Systems CBC # 39HI11 NPI/Ref # 1326047739 6380 Flank Dr Ste 600 Harrisburg, PA 17112 Phone: (717) 540-6800 Fax: (717) 540-6805 Coram Alternate Site Services CBC # 3AHI02 NPI/Ref # 1790062552 155 N Donnerville Rd Ste 1 Mountville, PA 17554 Phone: (717) 285-2510 Fax: (717) 285-5953 Horizon Healthcare Services CBC # 39HI06 NPI/Ref # 1750378436 1070 New Holland Ave, PA 17601 Phone: (717) 544-3590 Fax: (717) 544-3611 Burmans Specialty Pharmacy CBC # 39HI27 NPI/Ref # 1457346488 22 Rosemont Dr Myerstown, PA 17067 Phone: (800) 604-6068 Fax: (800) 599-5560 Health Spectrum Pharmacy Services CBC # 39HI03 NPI/Ref # 1356364491 1247 S Cedar Crest Blvd Ste 105 Phone: (610) 402-1968 Fax: (610) 402-8799 SH Pharmacy and Infusion Services CBC # 39HI09 NPI/Ref # 1710014576 451 W Chew St Ste 201 Allentown, PA 18102 Phone: (610) 776-5998 Fax: (610) 776-0947 Montour Coram Alternate Site Services CBC # 3AHI02 NPI/Ref # 1790062552 1339 Bloom Rd Danville, PA 17821 Phone: (570) 275-0909 Fax: (570) 275-8279 Page 28

Prosthetics & Orthotics Snyder Coram Alternate Site Services CBC # 3AHI02 NPI/Ref # 1790062552 2041 Ave C Ste 400 Phone: (610) 266-6333 Fax: (610) 226-6187 Homestar RX and Infusion Services CBC # 39HI15 NPI/Ref # 1003086455 77 S Coerce Way Ste 200 Phone: (484) 526-4210 Fax: (610) 882-0246 Walgreens Infusion Services CBC # 39HI04 NPI/Ref # 1033166814 3895 Adler Pl Bldg A Ste 120 Bethlehem, PA 18020 Phone: (610) 867-7774 Fax: (610) 867-6473 Schuylkill Concept Medical CBC # 39HI16 NPI/Ref # 1043204670 7th & Chestnut Sts Ashland, PA 17921 Phone: (570) 875-3611 Fax: (570) 875-2885 Coram Alternate Site Services CBC # 3AHI02 NPI/Ref # 1790062552 Sharp Mountain Plz 880-882 Gordon Nagle Trl Stes 9-10 Pottsville, PA 17901 Phone: (570) 622-6230 Fax: (570) 622-4002 DeBalkos Standard Drug CBC # 39HI25 NPI/Ref # 1134179435 322 S Hancock St McAdoo, PA 18237 Phone: (570) 929-1130 Fax: (570) 929-1208 Coram Alternate Site Services CBC # 3AHI02 NPI/Ref # 1790062552 2 Interchange Pl Ste C, PA 17402 Phone: (717) 779-0053 Fax: (717) 779-0563 Home Solutions CBC # 39HI26 NPI/Ref # 1598934887 3415-C Concord Rd, PA 17402 Phone: (888) 755-1123 Physical Rehab - Outpatient Schuylkill Schuylkill Rehabilitation CBC # 390516 NPI/Ref # 1174522205 300 Schuylkill Medical Plz Pottsville, PA 17901 Phone: (570) 621-9500 Fax: (570) 621-9510 Prosthetics & Orthotics Boas Surgical CBC # 3AHA32 NPI/Ref # 1073565230 1075 hire Blvd Ste 900 Phone: (610) 378-4833 Fax: (610) 378-4893 Hanger Prosthetics and Orthotics CBC # 39HA86 NPI/Ref # 1417021304 1829 New Holland Rd Shillington, PA 19607 Phone: (610) 796-2272 Fax: (610) 796-7678 NexStep CBC # 39HB05 NPI/Ref # 1962609081 2211 Quarry Dr Ste E63 West Lawn, PA 19609 Phone: (610) 678-1200 Fax: (610) 678-0600 Prosthetic Orthotic Service CBC # 39HB30 NPI/Ref # 1659423440 114 N 9th St Reading, PA 19601 Phone: (610) 373-6860 Fax: (877) 471-8290 Blair Allegheny Orthotics and Prosthetics CBC # 39HA94 NPI/Ref # 1023010899 3500 6th Ave Altoona, PA 16602 Phone: (814) 944-0187 Fax: (814) 942-1712 Centre Lindquist Family Foot Care CBC # 39HB25 NPI/Ref # 1588732796 141 E College Ave Pleasant Gap, PA 16823 Phone: (814) 359-3259 Fax: (814) 359-3330 Chester Ability Prosthetics and Orthotics CBC # 3AHB07 NPI/Ref # 1639362338 660 W Lincoln Hwy Exton, PA 19341 Phone: (610) 873-6733 Fax: (610) 884-6090 Ability Prosthetics and Orthotics CBC # 3BHB07 NPI/Ref # 1922382928 2005 Technology Pkwy 200 Mechanicsburg, PA 17050 Phone: (717) 458-8429 Fax: (717) 458-8437 Cardin and Miller Physical Therapy CBC # 39HB33 NPI/Ref # 1528172707 156 Pkwy Mechanicsburg, PA 17055 Phone: (717) 697-6600 Fax: (717) 697-6700 290 E Pomfret St Ste 1 Carlisle, PA 17013 Phone: (717) 245-0400 Fax: (717) 243-5688 for Advanced Orthotics & Prosthetics (The) CBC # 39HA25 NPI/Ref # 1174585079 940 Century Dr Mechanicsburg, PA 17055 Phone: (800) 676-7846 Fax: (717) 764-3577 Hanger/Teufel Prosthetics and Orthotics CBC # 3AHA24 NPI/Ref # 1265506315 3514 Trindle Rd Phone: (717) 731-8181 Fax: (717) 737-0357 National Rehab Equipment CBC # 39HB01 NPI/Ref # 1649244138 135 N Spring Garden St Carlisle, PA 17013 Phone: (800) 451-6510 Fax: (800) 749-0711 for Advanced Orthotics & Prosthetics (The) CBC # 39HA25 NPI/Ref # 1174585079 4601 Devonshire Rd Ste 100 Phone: (717) 764-8737 Fax: (717) 764-3577 Children's Brace CBC # 39HA95 NPI/Ref # 1528024999 475 Governor Rd Ste 8 Hershey, PA 17033 Phone: (717) 790-0600 Fax: (717) 790-0617 DJO LLC CBC # 39HB13 NPI/Ref # 1497731533 450 Powers Ave Phone: (717) 761-5530 Fax: (717) 561-4878 Hanger/Teufel Prosthetics and Orthotics CBC # 3BHA24 NPI/Ref # 1356415400 989 E Park Dr Harrisburg, PA 17111 Phone: (717) 564-4521 Fax: (717) 564-4524 Lawall at Hershey CBC # 39HA98 NPI/Ref # 1477554400 30 Hope Dr EC 182 Hershey, PA 17033 Phone: (717) 531-5882 Fax: (717) 531-4309 Lawall at Hershey CBC # 3AHA98 NPI/Ref # 1295854487 883 S Arlington Ave Phone: (717) 541-1605 Fax: (717) 541-1607 Randy Stevens Family Footcare CBC # 39HB51 NPI/Ref # 1487675203 250 E Park Dr Ste 100 Harrisburg, PA 17111 Phone: (717) 561-1453 Fax: (717) 561-1879 Franklin Hanger/Teufel Prosthetics and Orthotics CBC # 3CHA24 NPI/Ref # 1447324595 765 5th Ave Ste D Phone: (717) 264-7117 Fax: (717) 264-7232 Superior Medical Equipment Group CBC # 50005115 NPI/Ref # 1497009112 120 N 7th St Ste 101 Phone: (717) 263-1220 Benchmark Orthotics and Prosthetics CBC # 39HB23 NPI/Ref # 1184699373 1944 Lincoln Hwy E Ste 4, PA 17602 Phone: (717) 295-3073 Fax: (717) 397-6917 Boas Surgical CBC # 3CHA32 NPI/Ref # 1578740551 5970 Lemon St East Petersburg, PA 17520 Phone: (717) 239-1570 Fax: (717) 239-1572 for Advanced Orthotics & Prosthetics (The) CBC # 39HA25 NPI/Ref # 1174585079 315 W James St Ste 101, PA 17603 Phone: (717) 393-0511 Fax: (717) 393-1683 Hanger Prosthetics and Orthotics CBC # 3AHA86 NPI/Ref # 1902832348 2108 Harrisburg Pike Ste 308, PA 17604 Phone: (717) 544-3084 Fax: (717) 544-3085 Hanger/Teufel Prosthetics and Orthotics CBC # 39HA24 NPI/Ref # 1992879043 915 N Hanover St Elizabethtown, PA 17022 Phone: (717) 367-1277 Fax: (717) 367-5997 Prosthetic Orthotic Service CBC # 39HB30 NPI/Ref # 1659423440 905 Ave, PA 17042 Phone: (610) 373-6860 Valley Prosthetics and Orthotics CBC # 39HB39 NPI/Ref # 1447410402 1251 S Cedar Crest Blvd Ste 105 Phone: (610) 770-1515 Fax: (610) 770-1522 Montgomery Harry J Lawall and Son CBC # 39HA61 NPI/Ref # 1346218732 Sunny Brook Village 800 Heritage Dr Ste 803 Pottstown, PA 19464 Phone: (610) 705-5797 Fax: (610) 705-5795 Synergy Orthopedics LLC CBC # 39HB55 NPI/Ref # 1710900857 2901 Jolly Rd Plymouth Meeting, PA 19462 Phone: (610) 292-8400 Fax: (610) 292-0908 Montour Hanger Prosthetics and Orthotics East CBC # 3AHA93 NPI/Ref # 1942375738 317 E Market St Danville, PA 17821 Phone: (570) 275-1673 Fax: (570) 822-1429 Allied OP CBC # 39HA63 NPI/Ref # 1578775896 2550 Brodhead Rd Ste 106 Phone: (610) 954-0180 Fax: (610) 954-0760 Boas Surgical CBC # 39HA32 NPI/Ref # 1982606208 3535 High Point Blvd Ste 200 Phone: (484) 895-3451 Fax: (484) 895-0350 Boas Surgical CBC # 3BHA32 NPI/Ref # 1497849319 3535 High Point Blvd Ste 200 Phone: (484) 895-0381 Fax: (484) 895-0350 Cocco Enterprises CBC # 50080181 NPI/Ref # 1093081853 4321 Easton Ave Bethlehem, PA 18020 Phone: (484) 891-0330 Foot Solutions Easton CBC # 39HB60 NPI/Ref # 1750509428 3601 Nazareth Rd Ste D Easton, PA 18045 Phone: (610) 438-8267 Fax: (610) 438-8294 Hanger Prosthetics and Orthotics East CBC # 39HA93 NPI/Ref # 1487728358 3400 Bath Pike Ste 102 Phone: (610) 867-3460 Fax: (610) 865-4075 Northumberland Central PA Prosthetics and Orthotics CBC # 39HA89 NPI/Ref # 1447226287 173 S Market St Elysburg, PA 17824 Phone: (570) 672-4580 Fax: (570) 672-4581 Snyder Susquehanna Valley Prosthetics and Orthotics CBC # 39HA76 NPI/Ref # 1932194271 3120 N Old Trl Ste A Shamokin Dam, PA 17876 Phone: (570) 743-1414 Fax: (570) 743-5215 ANCILLARY PROVIDERS Page 29

Prosthetics & Orthotics ANCILLARY PROVIDERS Ability Prosthetics and Orthotics CBC # 39HB07 NPI/Ref # 1619971199 250 Fame Ave Hanover, PA 17331 Phone: (717) 337-2273 Fax: (717) 337-2285 Ability Prosthetics and Orthotics CBC # 3CHB07 NPI/Ref # 1871809277 960 S George St, PA 17403 Phone: (717) 851-0156 Fax: (717) 851-0157 for Advanced Orthotics & Prosthetics (The) CBC # 39HA25 NPI/Ref # 1174585079 130-D Eisenhower Dr Hanover, PA 17331 Phone: (800) 676-7846 Fax: (717) 764-3577 1590 Rodney Rd, PA 17408 Phone: (717) 764-8737 Fax: (717) 764-3577 Zielke Orthotics and Prosthetics CBC # 39HA57 NPI/Ref # 1972677862 1603 Rodney Rd, PA 17408 Phone: (717) 767-6667 Fax: (717) 767-4222 Radiation Therapy Franklin Chambersburg Health Services Cancer Treatment CBC # 390724 NPI/Ref # 1104882174 260 N 7th St Phone: (717) 262-4660 Fax: (717) 263-6251 Renal Dialysis FMC Dialysis Services of Kutztown CBC # 392685 NPI/Ref # 1265536031 45 Constitution Blvd Kutztown, PA 19530 Phone: (610) 683-9766 Fax: (610) 683-9798 Pennsylvania Dialysis Clinic of Reading CBC # 392549 NPI/Ref # 1023002391 625 Spring St Phone: (610) 375-1215 Fax: (610) 375-0245 Reading Dialysis CBC # 392587 NPI/Ref # 1518171271 2201 Dengler St Reading, PA 19606 Phone: (610) 370-5323 Fax: (610) 370-5329 Centre Bio-Medical Applications of State College CBC # 392647 NPI/Ref # 1790889566 3901 S Atherton St Ste 7 State College, PA 16801 Phone: (814) 466-7029 Fax: (814) 466-7316 Bio-Medical Applications of County CBC # 392634 NPI/Ref # 1518061381 254 E High St Carlisle, PA 17013 Phone: (717) 240-2944 Fax: (717) 240-2949 DCA of Camp Hill LLC CBC # 392750 NPI/Ref # 1083873988 158 S 32nd St Ste 19 Phone: (717) 731-0506 Fax: (717) 731-0508 Dialysis Corporation of America - Mechanicsburg CBC # 392691 NPI/Ref # 1083677587 120 S Filbert St Mechanicsburg, PA 17055 Phone: (717) 790-6080 Fax: (717) 790-6081 Dialysis Services of Pennsylvania - Carlisle CBC # 392627 NPI/Ref # 1285697706 101 Noble Blvd Ste 103 Carlisle, PA 17013 Phone: (717) 258-3099 Fax: (717) 258-1845 Fresenius Medical Care Camp Hill CBC # 392755 NPI/Ref # 1194989434 240 Grandview Ave Phone: (717) 737-7800 Fax: (717) 737-7818 Liberty Dialysis - Camp Hill CBC # 50108233 NPI/Ref # 1609160167 500 N 12th St Lemoyne, PA 17043 Phone: (717) 230-1630 Fax: (717) 230-1635 Bio-Medical Applications of Harrisburg CBC # 392594 NPI/Ref # 1952405821 4343 Union Deposit Rd Union Ct Harrisburg, PA 17111 Phone: (717) 564-5690 Fax: (717) 564-8490 FMC Dialysis Services of the Capital Area CBC # 392672 NPI/Ref # 1063516839 1300 Linglestown Rd Phone: (717) 234-8840 Fax: (717) 234-8860 Renal Care Group Harrisburg CBC # 392653 NPI/Ref # 1841394624 2601 N 3rd St Ste 101 Phone: (717) 909-9450 Fax: (717) 909-9452 Renal Care Group Millersburg CBC # 392650 NPI/Ref # 1932203718 75 Evelyn Dr Millersburg, PA 17061 Phone: (717) 692-2145 Fax: (717) 692-2021 Franklin Dialysis Services of Pennsylvania - Chambersburg CBC # 392648 NPI/Ref # 1033172556 Park 5th Ave Prof Ctr 765 5th Ave Ste A Phone: (717) 263-9300 Fax: (717) 263-7879 FMC Dialysis Services of Waynesboro CBC # 392701 NPI/Ref # 1407895899 27 Vista Dr Waynesboro, PA 17268 Phone: (717) 765-8880 Fresenius Medical Care Chambersburg CBC # 392741 NPI/Ref # 1336268168 755 Norland Ave Ste 104 Phone: (717) 263-8505 Fax: (717) 263-4329 FMC Dialysis Services of County CBC # 392659 NPI/Ref # 1972607745 Rte 422 38-42 Londonderry Sq Shopping Ctr Palmyra, PA 17078 Phone: (717) 838-6050 Fax: (717) 838-6907 Bio-Medical Applications of Allentown CBC # 392505 NPI/Ref # 1750485629 3136 Hamilton Blvd Phone: (610) 435-6718 Fax: (610) 435-2556 Bio-Medical Applications of Fullerton CBC # 392603 NPI/Ref # 1639115744 1320 Mickley Rd Whitehall, PA 18052 Phone: (610) 264-2228 Fax: (610) 264-2229 FMC NA of South Allentown CBC # 392711 NPI/Ref # 1083719363 2820 Mitchell Ave Phone: (610) 797-7655 Bio-Medical Applications of Bethlehem CBC # 392511 NPI/Ref # 1396849261 2014 City Line Rd Ste 200 Phone: (610) 974-9542 Fax: (610) 974-9908 Bio-Medical Applications of Easton CBC # 392517 NPI/Ref # 1235234022 3501 Northwood Ave Easton, PA 18045 Phone: (610) 253-2724 Fax: (610) 253-7565 Kidney Treatment of SlateBelt CBC # 392638 NPI/Ref # 1902901291 525 E West St Wind Gap, PA 18091 Phone: (610) 863-7852 Fax: (610) 863-1243 Perry Fresenius Medical Care New Bloomfield CBC # 392784 NPI/Ref # 1134490402 218 S Carlisle St New Bloomfield, PA 17068 Phone: (717) 582-0165 Fax: (717) 582-0173 Schuylkill Bio-Medical Applications of Pottsville CBC # 392518 NPI/Ref # 1790865707 278 Industrial Park Rd Pottsville, PA 17901 Phone: (570) 429-1900 Fax: (570) 429-1166 FMC of Tamaqua CBC # 392708 NPI/Ref # 1326143124 1215 E Broad St Tamaqua, PA 18252 Phone: (570) 668-6494 Dialysis Corporation of America - CBC # 392731 NPI/Ref # 1861435497 1975 Kenneth Rd, PA 17408 Phone: (717) 764-8322 Fax: (717) 764-4714 Urgent Care Advanced Urgent Care of Sinking Spring CBC # 50098392 NPI/Ref # 1255633459 4631 W Penn Ave Sinking Spring, PA 19608 Phone: (610) 898-4984 Fax: (610) 898-4998 Concentra Urgent Care CBC # 50090547 NPI/Ref # 1477734861 4201 Pottsville Pike Reading, PA 19605 Phone: (866) 944-6046 Fax: (610) 921-8345 Patient First - Urgent Care CBC # 50100309 NPI/Ref # 1194039560 2600 Papermill Rd Phone: (484) 220-0051 Fax: (484) 220-0052 Premier Iediate Medical Care LLC Urgent Care CBC # 50079303 NPI/Ref # 1821040890 1139 W Ben Franklin Hwy Ste 114 Douglassville, PA 19518 Phone: (610) 385-4444 Fax: (610) 371-9189 Priority Care - Urgent Care CBC # 50104495 NPI/Ref # 1558684332 5001 Perkiomen Ave Reading, PA 19606 Phone: (610) 898-1000 Fax: (610) 898-0010 Bucks Patient First - Urgent Care CBC # 50100309 NPI/Ref # 1194039560 Patient First Festerville 75 E Street Rd Feasterville Trevos, PA 19053 Phone: (267) 684-1047 Fax: (267) 684-1048 Centre Advanced Urgent Care CBC # 50097986 NPI/Ref # 1609187905 2615 E College Ave State College, PA 16803 Phone: (814) 308-8155 Fax: (814) 308-8584 Dr Pauls Clinic - Urgent Care CBC # 50116858 NPI/Ref # 1962748285 2214 N Atherton St Ste 100 State College, PA 16803 Phone: (814) 826-2081 Fax: (814) 826-2083 MedExpress Urgent Care - State College CBC # 50094481 NPI/Ref # 1982839031 1613 N Atherton St Ste B State College, PA 16803 Phone: (814) 238-1066 Fax: (814) 238-1455 Chester Premier Iediate Medical Care LLC Urgent Care CBC # 50079303 NPI/Ref # 1821040890 278 Eagleview Blvd Exton, PA 19341 Phone: (610) 561-6400 Fax: (610) 561-6401 All Better Care - Urgent CBC # 50091977 NPI/Ref # 1750513826 1175 Walnut Bottom Rd Carlisle, PA 17013 Phone: (717) 258-9355 Fax: (717) 620-8093 6481 Carlisle Pike Mechanicsburg, PA 17050 Phone: (717) 796-9355 Fax: (717) 620-8093 Concentra Urgent Care CBC # 50090547 NPI/Ref # 1477734861 4910 Ritter Rd Mechanicsburg, PA 17055 Phone: (866) 944-6046 Fax: (717) 795-2757 Patient First - Urgent Care CBC # 50100309 NPI/Ref # 1194039560 107 S Sporting Hill Rd Mechanicsburg, PA 17050 Phone: (717) 943-1781 Fax: (717) 943-1782 Page 30

Urgent Care Concentra Urgent Care CBC # 50090547 NPI/Ref # 1477734861 4200 Union Deposit Rd Harrisburg, PA 17111 Phone: (866) 944-6046 Fax: (717) 558-6709 Patient First - Urgent Care CBC # 50100309 NPI/Ref # 1194039560 5125 Jonestown Rd Ste 105 Harrisburg, PA 17112 Phone: (717) 943-1566 Fax: (717) 943-1567 Franklin MedExpress Urgent Care - State College CBC # 50094481 NPI/Ref # 1982839031 1048 Lincoln Way E Ste 101 Phone: (717) 267-2273 Fax: (717) 261-4882 Concentra Urgent Care CBC # 50090547 NPI/Ref # 1477734861 113 Butler Ave, PA 17601 Phone: (866) 944-6046 Fax: (717) 391-6752 LGH Urgent Care - Ephrata CBC # 50107977 NPI/Ref # 1295000719 895 E Main St Ephrata, PA 17522 Phone: (717) 721-4585 Fax: (717) 721-4597 LGH Urgent Care - Rohrerstown CBC # 50094411 NPI/Ref # 1881925931 2118 Spring Valley Rd, PA 17601 Phone: (717) 544-0150 Fax: (717) 544-0151 MedExpress Urgent Care - State College CBC # 50094481 NPI/Ref # 1982839031 4 Rohrerstown Rd, PA 17603 Phone: (717) 299-3627 Fax: (717) 299-5986 Patient First - Urgent Care CBC # 50100309 NPI/Ref # 1194039560 Patient First 1625 Oregon Pike, PA 17601 Phone: (717) 925-2995 Fax: (717) 925-2996 MedExpress Urgent Care - State College CBC # 50094481 NPI/Ref # 1982839031 1010 W Crestview Dr, PA 17042 Phone: (717) 272-7469 Fax: (717) 270-0397 East Penn Medical - Urgent Care CBC # 50113820 NPI/Ref # 1619213865 1003 Chestnut St Eaus, PA 18049 Phone: (610) 928-1150 Fax: (610) 625-2314 Saucon Valley Medical - Urgent Care CBC # 50094552 NPI/Ref # 1467774596 4801 Saucon Creek Rd Valley, PA 18034 Phone: (610) 625-9090 Fax: (610) 625-9020 SCHC Pediatric Associates LLC-Urgent Care CBC # 50119208 NPI/Ref # 1992054985 501 Cetronia Rd Ste 100 Allentown, PA 18104 Phone: (215) 427-5000 Fax: (215) 427-8551 St Lukes Urgent Care - West End CBC # 50118651 NPI/Ref # 1700220985 501 Centronia Rd Ste 103 Allentown, PA 18104 Phone: (484) 426-2501 Fax: (484) 426-2551 Montgomery Patient First - Urgent Care CBC # 50100309 NPI/Ref # 1194039560 Patient First East Norriton 400 E Germantown Pk East Norriton, PA 19401 Phone: (610) 994-0063 Fax: (610) 994-0064 Patient First Montgomeryville 713 Bethlehem Pike Montgomeryville, PA 18936 Phone: (267) 695-3944 Fax: (267) 695-3945 Patient First Pottstown 119 Shoemaker Rd Pottstown, PA 19464 Phone: (610) 427-4919 Fax: (610) 427-4920 Premier Iediate Medical Care LLC Urgent Care CBC # 50079303 NPI/Ref # 1821040890 43 W Ridge Pike Limerick, PA 19468 Phone: (610) 226-6200 Fax: (610) 226-6201 450 Cresson Blvd Oaks, PA 19456 Phone: (610) 728-6100 Fax: (610) 728-6071 Northstar Urgent Care CBC # 50096731 NPI/Ref # 1548586340 430 Nazareth Pike Nazareth, PA 18064 Phone: (610) 365-2300 Patient First - Urgent Care CBC # 50100309 NPI/Ref # 1194039560 Patient First Bethlehem 2310 Schoenersville Rd Phone: (484) 403-7560 Fax: (484) 403-7561 Patient First Easton 2450 Butler St Easton, PA 18042 Phone: (610) 991-3136 Fax: (610) 991-3137 Premier Iediate Medical Care LLC Urgent Care CBC # 50079303 NPI/Ref # 1821040890 15 S Main St Hellertown, PA 18055 Phone: (610) 456-8000 Fax: (610) 456-8001 Priority Care - Urgent Care CBC # 50104495 NPI/Ref # 1558684332 951 Male Rd Wind Gap, PA 18091 Phone: (610) 654-5454 Fax: (610) 654-5458 St Lukes Urgent Care - Wind Gap CBC # 50122977 NPI/Ref # 1376965731 487 E Moorestown Rd Wind Gap, PA 18091 Phone: (484) 526-7850 Fax: (484) 526-7851 St Lukes Urgent Care - North CBC # 50118658 NPI/Ref # 1740232719 153 Brodhead Rd Phone: (484) 526-3218 Fax: (484) 526-3180 Snyder MedExpress Urgent Care - State College CBC # 50094481 NPI/Ref # 1982839031 MedExpress Urgent Care - Selinsgrove 1597 N Susquehanna Trl Selinsgrove, PA 17870 Phone: (570) 743-7821 Fax: (570) 743-7427 Concentra Urgent Care CBC # 50090547 NPI/Ref # 1477734861 2141 Pennsylvania Ave, PA 17404 Phone: (866) 944-6046 Fax: (717) 761-1017 970 Loucks Rd Unit D, PA 17404 Phone: (866) 944-6046 Fax: (717) 764-1017 MedExpress Urgent Care - State College CBC # 50094481 NPI/Ref # 1982839031 1139 Baltimore St Hanover, PA 17331 Phone: (717) 633-3647 Fax: (717) 633-5902 400 Loucks Rd, PA 17404 Phone: (717) 845-2946 Patient First - Urgent Care CBC # 50100309 NPI/Ref # 1194039560 2960 E Market St, PA 17402 Phone: (717) 751-2483 Fax: (717) 541-2496 ANCILLARY PROVIDERS Page 31

LABORATORIES The following section lists Quest Diagnostics Patient Service s, Health Network Laboratories (HNL) Patient Service s, and other in-network laboratories. SecureChoice SM membership cards indicate the laboratory arrangements for the Member s PCP. If the SecureChoice SM membership card has a laboratory indicator of DL for Quest Diagnostics, specimens for all routine outpatient laboratory services must either be drawn in the participating provider s office and sent to Quest Diagnostics or be drawn at a Quest Diagnostics Patient Service. SecureChoice SM Members who have a PCP that is part of the Valley Physician Hospital Organization (LVPHO) must obtain laboratory services through HNL for such Members, specimens for all routine outpatient laboratory services must either be drawn in the participating provider s office and sent to HNL, or be drawn at an HNL draw center. SecureChoice SM Members should contact their PCP, or SecureChoice SM Customer Service, for information concerning their PCP s laboratory arrangements. Important Notes This directory is accurate only as of the date the information was generated for this printing. To check the most current participation status of any particular provider, visit our website at capbluecross.com/healthypa or call the toll-free number on your ID card. You may also contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM, or contact the provider directly to verify their participation in SecureChoice SM. If you have questions about your benefits or any other aspect of your health care coverage, please call the toll-free number on your ID card or contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM. After normal business hours, you may leave a voice mail message and a Customer Service Representative will return your call during the next business day. Always present your Member identification card each time you seek medical services. For detailed information concerning your benefits, please refer to your Member Handbook. Page 33

LABORATORIES DRAW CENTERS QUEST DIAGNOSTICS The following section lists Quest Diagnostics orporated Draw s. SecureChoice SM Member ID cards indicate the laboratory arrangement for the Member s PCP. If the Member ID card has a laboratory indicator of DL for Quest Diagnostics, specimens for all routine outpatient laboratory services must be either drawn in the participating provider s office and sent to Quest Diagnostics or be drawn at a Quest Diagnostics Patient Service. Important Notes Members may now schedule an appointment at a Quest Diagnostics Patient Service through the Quest Diagnostics website at questdiagnostics.com/appointment or by calling the interactive voice response system at 1-888-277-8772. Zip code entry ensures scheduling at the nearest Patient Service. This directory is accurate only as of the date the information was generated for this printing. To check the most current participation status of any particular provider, visit our website at capbluecross.com/healthypa or call the toll-free number on your ID card. You may also contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM, or contact the provider directly to verify their participation in SecureChoice SM. If you have questions about your benefits or any other aspect of your health care coverage, please call the toll-free number on your ID card or contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 to 6:00 pm. After normal business hours, you may leave a voice mail message and a Customer Service Representative will return your call during the next business day. Always present your Member identification card each time you seek medical services. For detailed information concerning your benefits, please refer to your Member handbook. Page 35

Quest Diagnostics 1323 Rte 100 Barto, PA 19504 Phone: (610) 845-1580 Fax: (610) 845-1582 Mon: 7:00 am-1:00 pm Tues: 7:00 am-1:00 pm Wed: 7:00 am-1:00 pm Thurs: 7:00 am-1:00 pm Fri: 7:00 am-1:00 pm 2001 State Hill Rd Ste 130 Phone: (610) 373-5242 Fax: (610) 373-5931 Mon: 6:30 am-11:30 am; 12:30 pm-5:00 pm Tues: 6:30 am-11:30 am; 12:30 pm-5:00 pm Wed: 6:30 am-11:30 am; 12:30 pm-5:00 pm Thurs: 6:30 am-11:30 am; 12:30 pm-5:00 pm Fri: 6:30 am-11:30 am; 12:30 pm-5:00 pm Sat: 7:00 am-12:00 pm 3050 N 5th St Hwy Reading, PA 19605 Phone: (610) 921-0305 Fax: (610) 921-5954 Mon: 7:00 am-11:00 am; Tues: 7:00 am-11:00 am; Wed: 7:00 am-11:00 am; Thurs: 7:00 am-11:00 am; Fri: 7:00 am-11:00 am; Sat: 7:00 am-12:00 pm 321 N Furnace St Birdsboro, PA 19508 Phone: (610) 582-8886 Fax: (610) 582-3260 12:00 pm-1:00 pm 12:00 pm-1:00 pm 12:00 pm-1:00 pm 12:00 pm-1:00 pm 12:00 pm-1:00 pm 400-B S 4th St Hamburg, PA 19526 Phone: (610) 562-7078 Fax: (610) 562-7083 Mon: 6:30 am-12:00 pm Tues: 7:00 am-12:00 pm Wed: 6:30 am-12:00 pm Thurs: 7:00 am-12:00 pm Fri: 6:30 am-12:00 pm Sat: 7:00 am-10:00 pm 4400 Perkiomen Ave Reading, PA 19606 Phone: (610) 779-9450 Fax: (610) 370-0478 Mon: 6:30 am-12:15 pm; 1:00 pm-2:30 pm Tues: 6:30 am-12:15 pm; 1:00 pm-2:30 pm Wed: 6:30 am-12:15 pm; 1:00 pm-2:30 pm Thurs: 6:30 am-12:15 pm; 1:00 pm-2:30 pm Fri: 6:30 am-12:15 pm; 1:00 pm-2:30 pm Sat: 7:00 am-11:30 am 520 E Ave Shillington, PA 19607 Phone: (610) 777-7199 Fax: (610) 777-8735 Mon: 6:30 am-12:00 pm; 12:45 pm-2:00 pm Tues: 6:30 am-12:00 pm; 12:45 pm-2:00 pm Wed: 6:30 am-12:00 pm; 12:45 pm-2:00 pm Thurs: 6:30 am-12:00 pm; 12:45 pm-2:00 pm Fri: 6:30 am-12:00 pm; 12:45 pm-2:00 pm Sat: 7:00 am-11:30 am 525 Penn St Reading, PA 19601 Phone: (610) 373-0797 Fax: (610) 373-0870 Mon: 7:00 am-1:30 pm Tues: 7:00 am-1:30 pm Wed: 7:00 am-1:30 pm Thurs: 7:00 am-1:30 pm Fri: 7:00 am-1:30 pm Quality Medical Labs Schoolside Plz Rte 61 & Wall St Leesport, PA 19533 Phone: (610) 926-0401 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm St Joseph Health Ctr 5400 Perkiomen Ave Reading, PA 19606 Phone: (973) 971-5271 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm St Joseph Hosp Imaging Ctr 3935 Perkiomen Ave Reading, PA 19606 Phone: (610) 404-2230 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm St Joseph Hospital Lab 2500 Bernville Rd Reading, PA 19605 Phone: (610) 378-2200 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm St Joseph Quality Med Lab 1800 N 12th St Reading, PA 19604 Phone: (610) 921-3723 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm Bucks Quest Diagnostics 130 Almshouse Rd Richboro, PA 18954 Phone: (215) 322-5747 Fax: (215) 322-5982 Mon: 7:00 am-4:00 pm Tues: 7:00 am-4:00 pm Wed: 7:00 am-4:00 pm Thurs: 7:00 am-4:00 pm Fri: 7:00 am-4:00 pm 14 Memorial Dr Ste B Doylestown, PA 18901 Phone: (215) 345-5693 Fax: (215) 345-5784 Mon: 8:00 am-12:00 pm; 12:45 pm-2:00 pm Tues: 8:00 am-12:00 pm; 12:45 pm-2:00 pm Wed: 8:00 am-12:00 pm; 12:45 pm-2:00 pm Thurs: 8:00 am-12:00 pm; 12:45 pm-2:00 pm Fri: 8:00 am-12:00 pm; 12:45 pm-2:00 pm 153 Levittown Pkwy Ste 5A Levittown, PA 19055 Phone: (215) 949-0120 Fax: (215) 949-0136 1609 Woodbourne Rd Levittown, PA 19057 Phone: (215) 946-1427 Fax: (215) 946-1457 Mon: 7:30 am-12:00 pm; 12:45 pm-3:30 pm Tues: 7:30 am-12:00 pm; 12:45 pm-3:30 pm Wed: 7:30 am-12:00 pm; 12:45 pm-3:30 pm Thurs: 7:30 am-12:00 pm; 12:45 pm-3:30 pm Fri: 7:30 am-12:00 pm; 12:45 pm-3:30 pm 1700 Horizon Dr Ste 205 Chalfont, PA 18914 Phone: (215) 997-2524 Fax: (215) 997-2990 Mon: 6:30 am-11:30 am; Tues: 6:30 am-11:30 am; Wed: 6:30 am-11:30 am; Thurs: 6:30 am-11:30 am; Fri: 6:30 am-11:30 am; Sat: 8:00 am-12:00 pm 210 E Street Rd 3rd Fl Ste 3D Feasterville, PA 19053 Phone: (215) 396-1458 Fax: (215) 396-1534 Mon: 6:30 am-11:30 am; Tues: 6:30 am-11:30 am; Wed: 6:30 am-11:30 am; Thurs: 6:30 am-11:30 am; Fri: 6:30 am-11:30 am; 2118 S Eagle Rd Store 14 Newtown, PA 18940 Phone: (215) 579-1968 Fax: (215) 579-2013 229 N West End Blvd Quakertown, PA 18951 Phone: (215) 538-2047 Fax: (215) 538-2081 Mon: 7:00 am-3:30 pm Tues: 7:00 am-3:30 pm Wed: 7:00 am-3:30 pm Thurs: 7:00 am-3:30 pm Fri: 7:00 am-3:30 pm Sat: 8:00 am-12:00 pm 252 W Swamp Rd Doylestown, PA 18901 Phone: (215) 340-0348 Fax: (215) 340-7989 Mon: 6:30 am-3:30 pm Tues: 6:30 am-3:30 pm Wed: 6:30 am-3:30 pm Thurs: 6:30 am-3:30 pm Fri: 6:30 am-3:30 pm Sat: 8:00 am-12:00 pm 300 Farm Ln Ste 300 Doylestown, PA 18901 Phone: (215) 348-2851 Fax: (215) 348-2986 12:15 pm-1:00 pm 12:15 pm-1:00 pm 12:15 pm-1:00 pm 12:15 pm-1:00 pm 12:15 pm-1:00 pm 333 N Oxford Vly Rd Ste 203 Fairless Hills, PA 19030 Phone: (215) 946-6818 Fax: (215) 946-7363 Mon: 7:30 am-11:30 am; Tues: 7:30 am-11:30 am; Wed: 7:30 am-11:30 am; Thurs: 7:30 am-11:30 am; Fri: 7:30 am-11:30 am; 406 Floral Vale Blvd Yardley, PA 19067 Phone: (215) 968-0138 Fax: (215) 968-0205 541 Constitution Ave Perkasie, PA 18944 Phone: (215) 257-7042 586 Middletown Blvd Ste C-11 Langhorne, PA 19047 Phone: (215) 750-9481 Fax: (215) 750-9783 Mon: 7:00 am-12:00 pm; 12:45 pm-6:00 pm Tues: 7:00 am-12:00 pm; 12:45 pm-6:00 pm Wed: 7:00 am-12:00 pm; 12:45 pm-6:00 pm Thurs: 7:00 am-12:00 pm; 12:45 pm-6:00 pm Fri: 7:00 am-12:00 pm; 12:45 pm-6:00 pm Sat: 8:00 am-12:00 pm 634 Easton Rd Warrington, PA 18976 Phone: (215) 491-2403 Fax: (215) 491-2390 Bristol Park Shopping Ctr 200 Coerce Cir Bristol, PA 19007 Phone: (215) 781-5902 Fax: (215) 788-4725 Mon: 7:00 am-11:00 am; 11:45 am-3:30 pm Tues: 7:00 am-11:00 am; 11:45 am-3:30 pm Wed: 7:00 am-11:00 am; 11:45 am-3:30 pm Thurs: 7:00 am-11:00 am; 11:45 am-3:30 pm Fri: 7:00 am-11:00 am; 11:45 am-3:30 pm Sat: 7:00 am-11:00 am Buckingham Green Shopping Ctr 4920 Rd Unit 2 Holicong, PA 18928 Phone: (215) 794-7807 Fax: (215) 794-7867 QUEST PATIENT SERVICE CENTERS Page 37

Centre QUEST PATIENT SERVICE CENTERS Centre Quest Diagnostics Mount Nittany Med Ctr 1800 E Park Ave State College, PA 16803 Phone: (814) 234-6117 Mon: 7:00 am-7:00 pm Tues: 7:00 am-7:00 pm Wed: 7:00 am-7:00 pm Thurs: 7:00 am-7:00 pm Fri: 7:00 am-7:00 pm Sat: 7:00 am-12:00 pm Chester Quest Diagnostics 1011 Baltimore Pike Ste 112 West Grove, PA 19390 Phone: (610) 345-0946 Fax: (610) 345-9038 Mon: 6:00 am-4:00 pm Tues: 6:00 am-4:00 pm Wed: 6:00 am-4:00 pm Thurs: 6:00 am-4:00 pm Fri: 6:00 am-4:00 pm Sat: 8:00 am-12:00 pm 1235 Horseshoe Pike Downingtown, PA 19335 Phone: (610) 269-3914 Fax: (610) 269-3916 Mon: 6:30 am-11:30 am; 12:00 pm-2:00 pm Tues: 6:30 am-11:30 am; 12:00 pm-2:00 pm Wed: 6:30 am-11:30 am; 12:00 pm-2:00 pm Thurs: 6:30 am-11:30 am; 12:00 pm-2:00 pm Fri: 6:30 am-11:30 am; 12:00 pm-2:00 pm 15 Industrial Blvd Ste A-101 Paoli, PA 19301 Phone: (610) 695-9035 Fax: (610) 644-2405 Mon: 6:30 am-11:45 am; 12:30 pm-3:00 pm Tues: 6:30 am-11:45 am; 12:30 pm-3:00 pm Wed: 6:30 am-11:45 am; 12:30 pm-3:00 pm Thurs: 6:30 am-11:45 am; 12:30 pm-3:00 pm Fri: 6:30 am-11:45 am; 12:30 pm-3:00 pm Sat: 8:00 am-12:00 pm 1502 W Chester Pike West Chester, PA 19382 Phone: (610) 696-6969 Fax: (610) 696-6396 227 W Ave Devon, PA 19333 Phone: (610) 995-0190 Fax: (610) 995-0275 Mon: 7:00 am-11:15 am; Tues: 7:00 am-11:15 am; Wed: 7:00 am-11:15 am; Thurs: 7:00 am-11:15 am; Fri: 7:00 am-11:15 am; 250 W Ave Paoli, PA 19301 Phone: (610) 647-2045 Fax: (610) 347-2321 Mon: 7:00 am-11:15 am; 12:00 pm-3:30 pm Tues: 7:00 am-11:15 am; 12:00 pm-3:30 pm Wed: 7:00 am-11:15 am; 12:00 pm-3:30 pm Thurs: 7:00 am-11:15 am; 12:00 pm-3:30 pm Fri: 7:00 am-11:15 am; 12:00 pm-3:30 pm 308 E Ave Downingtown, PA 19335 Phone: (610) 269-5115 Fax: (610) 269-9627 Mon: 6:30 am-3:00 pm Tues: 6:30 am-3:00 pm Wed: 6:30 am-3:00 pm Thurs: 6:30 am-3:00 pm Fri: 6:30 am-3:00 pm Sat: 7:00 am-11:00 am 309 Ave Frazer, PA 19355 Phone: (610) 644-7078 Fax: (610) 644-7187 3301 E Lincoln Hwy Thorndale, PA 19372 Phone: (610) 384-1894 Fax: (610) 384-3525 Mon: 6:30 am-4:00 pm Tues: 6:30 am-4:00 pm Wed: 6:30 am-4:00 pm Thurs: 6:30 am-4:00 pm Fri: 6:30 am-4:00 pm Sat: 8:00 am-12:00 pm 402 McFarlan Rd Kennett Square, PA 19348 Phone: (610) 444-3213 Fax: (610) 444-3261 Mon: 6:30 am-3:30 pm Tues: 6:30 am-3:30 pm Wed: 6:30 am-3:30 pm Thurs: 6:30 am-3:30 pm Fri: 6:30 am-3:30 pm Sat: 7:30 am-11:30 am 600 E Marshall St West Chester, PA 19380 Phone: (610) 344-0106 Fax: (610) 344-9525 Mon: 6:30 am-3:00 pm Tues: 6:30 am-3:00 pm Wed: 6:30 am-3:00 pm Thurs: 6:30 am-3:00 pm Fri: 6:30 am-3:00 pm Sat: 8:00 am-12:00 pm 80 W Welsh Pool Rd Ste 102 Exton, PA 19341 Phone: (610) 363-9695 Fax: (610) 363-5774 Mon: 6:30 am-11:30 am; 12:00 pm-3:30 pm Tues: 6:30 am-11:30 am; 12:00 pm-3:30 pm Wed: 6:30 am-11:30 am; 12:00 pm-3:30 pm Thurs: 6:30 am-11:30 am; 12:00 pm-3:30 pm Fri: 6:30 am-11:30 am; 12:00 pm-3:30 pm Sat: 8:00 am-12:00 pm Oaks Corporate Ctr 450 Cresson Blvd Ste 3 Phoenixville, PA 19460 Phone: (610) 650-0197 Fax: (610) 650-0530 Mon: 6:30 am-11:30 am; Tues: 6:30 am-11:30 am; Wed: 6:30 am-11:30 am; Thurs: 6:30 am-11:30 am; Fri: 6:30 am-11:30 am; Phoenixville Plz 700 Nutt Rd Unit 735 Phoenixville, PA 19460 Phone: (610) 933-3197 Fax: (610) 933-3212 Mon: 6:30 am-2:30 pm Tues: 6:30 am-2:30 pm Wed: 6:30 am-2:30 pm Thurs: 6:30 am-2:30 pm Fri: 6:30 am-2:30 pm Sat: 8:00 am-11:30 am Phoneixville Hospital 140 Nutt Rd Phoenixville, PA 19460 Phone: (610) 983-1000 Mon: 8:00 am-4:00 pm Tues: 8:00 am-4:00 pm Wed: 8:00 am-4:00 pm Thurs: 8:00 am-4:00 pm Fri: 8:00 am-4:00 pm School House Rd & Rte 1 132 Onix Dr Kennett Square, PA 19348 Phone: (610) 347-1482 Fax: (610) 347-1484 Mon: 6:30 am-12:30 pm; 1:00 pm-2:30 pm Tues: 6:30 am-12:30 pm; 1:00 pm-2:30 pm Wed: 6:30 am-12:30 pm; 1:00 pm-2:30 pm Thurs: 6:30 am-12:30 pm; 1:00 pm-2:30 pm Fri: 6:30 am-12:30 pm; 1:00 pm-2:30 pm St Joseph Health Network 45 S Pine St Elverson, PA 19520 Phone: (610) 913-1234 Mon: 7:00 am-9:00 pm Sat: 8:00 am-4:00 pm Sun: 10:00 am-4:00 pm Whiteland Towne S/C 183 W Lincoln Hwy Unit 820-A Exton, PA 19341 Phone: (610) 363-0520 Fax: (610) 363-0541 Mon: 7:00 am-11:15 am; Tues: 7:00 am-11:15 am; Wed: 7:00 am-11:15 am; Thurs: 7:00 am-11:15 am; Fri: 7:00 am-11:15 am; Columbia Quest Diagnostics Berwick Hospital 701 E 16th St Berwick, PA 18603 Phone: (570) 759-5112 Mon: 7:00 am-7:00 pm Tues: 7:00 am-7:00 pm Wed: 7:00 am-7:00 pm Thurs: 7:00 am-7:00 pm Fri: 7:00 am-7:00 pm Sat: 7:00 am-11:30 am Quest Diagnostics 3401 Hartzdale Dr Phone: (717) 737-6013 Fax: (717) 737-6148 Mon: 7:00 am-4:00 pm Tues: 7:00 am-4:00 pm Wed: 7:00 am-4:00 pm Thurs: 7:00 am-4:00 pm Fri: 7:00 am-4:00 pm Sat: 8:00 am-11:30 am 40 Brookwood Ave Carlisle, PA 17013 Phone: (717) 258-3165 Fax: (717) 258-3904 Mon: 6:00 am-3:30 pm Tues: 6:00 am-3:30 pm Wed: 6:00 am-3:30 pm Thurs: 6:00 am-3:30 pm Fri: 6:00 am-3:30 pm Sat: 7:00 am-11:00 am Holy Spirit Hospital N 21st St Phone: (717) 763-2922 Mon: 7:00 am-5:00 pm Tues: 7:00 am-5:00 pm Wed: 7:00 am-7:00 pm Thurs: 7:00 am-5:00 pm Fri: 7:00 am-5:00 pm Sat: 8:00 am-12:00 pm PinnacleHealth Hospitals Seidle Outpatient Ctr 120 S Filbert St Mechanicsburg, PA 17055 Phone: (717) 795-6730 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm Quest Diagnostics 110-122 S 17th St Phone: (717) 213-0420 Fax: (717) 213-0620 Mon: 8:00 am-12:00 pm; 12:45 pm-4:30 pm Tues: 8:00 am-12:00 pm; 12:45 pm-4:30 pm Wed: 8:00 am-12:00 pm; 12:45 pm-4:30 pm Thurs: 8:00 am-12:00 pm; 12:45 pm-4:30 pm Fri: 8:00 am-12:00 pm; 12:45 pm-4:30 pm 2021 Linglestown Rd Phone: (717) 652-3186 Fax: (717) 652-3863 Mon: 7:30 am-12:30 pm; 1:15 pm-3:30 pm Tues: 7:30 am-12:30 pm; 1:15 pm-3:30 pm Wed: 7:30 am-12:30 pm; 1:15 pm-3:30 pm Thurs: 7:30 am-12:30 pm; 1:15 pm-3:30 pm Fri: 7:30 am-12:30 pm; 1:15 pm-3:30 pm 4824 Londonderry Rd Phone: (717) 540-5505 Fax: (717) 540-0052 Mon: 7:00 am-12:00 pm; 12:30 pm-3:00 pm Tues: 7:00 am-12:00 pm; 12:30 pm-3:00 pm Wed: 7:00 am-12:00 pm; 12:30 pm-3:00 pm Thurs: 7:00 am-12:00 pm; 12:30 pm-3:00 pm Fri: 7:00 am-12:00 pm; 12:30 pm-3:00 pm Sat: 7:00 am-11:00 am PinnacleHealth Hospitals Counity Gen Osteopathic Hosp 4300 Londonderry Rd Phone: (717) 657-7214 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm PinnacleHealth Hospitals Polyclinic Medical Ctr 2601 N 3rd St Phone: (717) 778-2412 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm Franklin Quest Diagnostics 144 S 8th St Phone: (717) 263-2037 Fax: (717) 263-3422 Mon: 7:00 am-3:00 pm Tues: 7:00 am-3:00 pm Wed: 7:00 am-3:00 pm Thurs: 7:00 am-3:00 pm Fri: 7:00 am-3:00 pm Sat: 7:00 am-11:00 am Page 38

Franklin Waynesboro Mall 626 E Main St Waynesboro, PA 17268 Phone: (717) 765-4592 Fax: (717) 765-4189 Mon: 7:00 am-12:00 pm Tues: 7:00 am-12:00 pm Wed: 7:00 am-12:00 pm Thurs: 7:00 am-12:00 pm Fri: 7:00 am-12:00 pm Sat: 7:00 am-10:00 am Fulton Quest Diagnostics Fulton County Medical Ctr 214 Peach Orchard Rd Mc Connellsburg, PA 17233 Phone: (717) 485-6102 Mon: 7:00 am-7:00 pm Tues: 7:00 am-7:00 pm Wed: 7:00 am-7:00 pm Thurs: 7:00 am-7:00 pm Fri: 7:00 am-7:00 pm Sat: 7:00 am-11:00 am Quest Diagnostics 112 N Reading Rd Ephrata, PA 17522 Phone: (717) 738-0787 Fax: (717) 738-0810 12:00 pm-2:30 pm 12:00 pm-2:30 pm 12:00 pm-2:30 pm 12:00 pm-2:30 pm 12:00 pm-2:30 pm Sat: 7:00 am-11:00 am 215 Granite Run Dr, PA 17601 Phone: (717) 569-8539 Fax: (717) 569-9433 Mon: 7:00 am-12:00 pm; 12:45 pm-3:00 pm Tues: 7:00 am-12:00 pm; 12:45 pm-3:00 pm Wed: 7:00 am-12:00 pm; 12:45 pm-3:00 pm Thurs: 7:00 am-12:00 pm; 12:45 pm-3:00 pm Fri: 7:00 am-12:00 pm; 12:45 pm-3:00 pm Sat: 7:00 am-11:00 am Ephrata Medical Ctr Rothsville Medical Ctr 1810 Rothsville Rd Lititz, PA 17543 Phone: (717) 627-7444 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm Heart of Reg Med Ctr 1500 Highlands Dr Lititz, PA 17543 Phone: (717) 625-5585 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm Regional Med Ctr 250 College Ave, PA 17603 Phone: (717) 291-8022 Mon: 7:00 am-5:00 pm Tues: 7:00 am-5:00 pm Wed: 7:00 am-5:00 pm Thurs: 7:00 am-5:00 pm Fri: 7:00 am-5:00 pm Sat: 7:00 am-12:00 pm Quest Diagnostics 725 E Lincoln Ave Myerstown, PA 17067 Phone: (717) 866-0303 Fax: (717) 866-0305 Mon: 7:00 am-12:00 pm; 12:30 pm-1:00 pm Tues: 7:00 am-12:00 pm; 12:30 pm-1:00 pm Wed: 7:00 am-12:00 pm; 12:30 pm-1:00 pm Thurs: 7:00 am-12:00 pm; 12:30 pm-1:00 pm Fri: 7:00 am-12:00 pm; 12:30 pm-1:00 pm Sat: 7:00 am-11:00 am Rte 422 W, PA 17042 Phone: (717) 272-3563 Fax: (717) 272-8253 Sat: 7:00 am-11:00 am Quest Diagnostics 111 E Harrison St Eaus, PA 18049 Phone: (610) 966-8210 Fax: (610) 966-8504 Mon: 7:30 am-4:00 pm Tues: 7:30 am-4:00 pm Wed: 7:30 am-4:00 pm Thurs: 7:30 am-4:00 pm Fri: 7:30 am-4:00 pm 1251 S Cedar Crest Blvd Phone: (610) 435-6104 Fax: (610) 435-6541 Mon: 7:30 am-1:30 pm Tues: 7:30 am-1:30 pm Wed: 7:30 am-1:30 pm Thurs: 7:30 am-1:30 pm Fri: 7:30 am-1:30 pm Sat: 7:30 am-11:30 am 1608 W Allen St Allentown, PA 18102 Phone: (610) 435-6776 Fax: (610) 435-6361 Mon: 6:30 am-3:30 pm Tues: 6:30 am-3:30 pm Wed: 6:30 am-3:30 pm Thurs: 6:30 am-3:30 pm Fri: 6:30 am-3:30 pm Sat: 7:00 am-11:00 am 4662 Broadway Rd Unit A-13 Allentown, PA 18104 Phone: (610) 336-8026 Fax: (610) 336-8028 Mon: 7:00 am-11:45 am; 12:30 pm-3:30 pm Tues: 7:00 am-11:45 am; 12:30 pm-3:30 pm Wed: 7:00 am-11:45 am; 12:30 pm-3:30 pm Thurs: 7:00 am-11:45 am; 12:30 pm-3:30 pm Fri: 7:00 am-11:45 am; 12:30 pm-3:30 pm 7096 Decatur St New Tripoli, PA 18066 Phone: (610) 298-3231 Fax: (610) 298-3242 Mon: 7:00 am-12:00 pm; 12:30 pm-3:30 pm Tues: 7:00 am-12:00 pm; 12:30 pm-3:30 pm Wed: 7:00 am-12:00 pm; 12:30 pm-3:30 pm Thurs: 7:00 am-12:00 pm; 12:30 pm-3:30 pm Fri: 7:00 am-12:00 pm; 12:30 pm-3:30 pm Caramoor Vlg 6465 Village Ln Macungie, PA 18062 Phone: (610) 966-3825 Fax: (610) 966-3897 Mon: 7:00 am-1:00 pm Tues: 7:00 am-1:00 pm Wed: 7:00 am-1:00 pm Thurs: 7:00 am-1:00 pm Fri: 7:00 am-1:00 pm Fairmount Vlg Shopping Ctr 7001 Rte 309 Coopersburg, PA 18036 Phone: (484) 499-1000 Fax: (484) 499-1008 Mon: 6:30 am-12:30 pm Tues: 6:30 am-12:30 pm Wed: 6:30 am-12:30 pm Thurs: 6:30 am-12:30 pm Fri: 6:30 am-12:30 pm Sacred Heart Hospital 421 Chew St Allentown, PA 18102 Phone: (610) 776-4720 Mon: 7:00 am-6:00 pm Tues: 7:00 am-6:00 pm Wed: 7:00 am-6:00 pm Thurs: 7:00 am-6:00 pm Fri: 7:00 am-6:00 pm Sat: 8:00 am-12:00 pm Luzerne Quest Diagnostics 20 N Laurel St Hazleton, PA 18201 Phone: (570) 459-2660 Mon: 6:30 am-11:30 am; Tues: 6:30 am-11:30 am; Wed: 6:30 am-11:30 am; Thurs: 6:30 am-11:30 am; Fri: 6:30 am-11:30 am; Sat: 7:00 am-11:00 am Pennant Laboratories 425 Tioga Ave Kingston, PA 18704 Phone: (570) 287-6661 Mon: Varies-Varies Tues: Varies-Varies Wed: Varies-Varies Thurs: Varies-Varies Fri: Varies-Varies Monroe Quest Diagnostics Intermountain Medical Group Rtes 940 & 155 Blakeslee, PA 18610 Phone: (570) 288-5441 Mon: Varies-Varies Tues: Varies-Varies Wed: Varies-Varies Thurs: Varies-Varies Fri: Varies-Varies Pleasant Valley Plz 1656 Rte 209 Brodheadsville, PA 18322 Phone: (570) 992-6944 Fax: (570) 992-7086 Pocono Plz 314 Lincoln Ave East Stroudsburg, PA 18301 Phone: (570) 424-5378 Fax: (570) 424-5205 Mon: 7:00 am-3:00 pm Tues: 7:00 am-3:00 pm Wed: 7:00 am-3:00 pm Thurs: 7:00 am-3:00 pm Fri: 7:00 am-3:00 pm Sat: 8:00 am-12:00 pm Montgomery Quest Diagnostics 1000 Easton Rd Ste 270 Wyncote, PA 19095 Phone: (215) 884-5121 Fax: (215) 884-5257 1050 E Philadelphia Ave Gilbertsville, PA 19525 Phone: (610) 369-0365 Fax: (610) 369-0368 Mon: 6:00 am-2:30 pm Tues: 6:00 am-2:30 pm Wed: 6:00 am-2:30 pm Thurs: 6:00 am-2:30 pm Fri: 6:00 am-2:30 pm Sat: 7:00 am-11:30 am 1050 S Broad St Lansdale, PA 19446 Phone: (215) 361-4123 Fax: (215) 361-4125 Mon: 6:30 am-11:15 am; Tues: 6:30 am-11:15 am; Wed: 6:30 am-11:15 am; Thurs: 6:30 am-11:15 am; Fri: 6:30 am-11:15 am; Sat: 8:00 am-11:30 am 1107 Bethlehem Pike Ste 103 Flourtown, PA 19031 Phone: (215) 836-1370 Fax: (215) 836-2053 Mon: 7:30 am-11:30 am; 12:15 pm-4:00 pm Tues: 7:30 am-11:30 am; 12:15 pm-4:00 pm Wed: 7:30 am-11:30 am; 12:15 pm-4:00 pm Thurs: 7:30 am-11:30 am; 12:15 pm-4:00 pm Fri: 7:30 am-11:30 am; 12:15 pm-4:00 pm 130 W Main St Trappe, PA 19426 Phone: (610) 454-7921 Fax: (610) 454-7985 Mon: 7:00 am-11:15 am; Tues: 7:00 am-11:15 am; Wed: 7:00 am-11:15 am; Thurs: 7:00 am-11:15 am; Fri: 7:00 am-11:15 am; Sat: 8:00 am-11:30 am 1419 Old Rd Abington, PA 19001 Phone: (215) 886-8254 Fax: (215) 886-8256 Mon: 6:30 am-4:30 pm Wed: 6:30 am-4:30 pm Thurs: 6:30 am-4:30 pm Fri: 6:30 am-4:30 pm Sat: 8:00 am-12:00 pm 1437 DeKalb St Norristown, PA 19401 Phone: (610) 277-6017 Fax: (610) 277-6379 Mon: 7:30 am-11:30 am; 12:15 pm-4:00 pm Tues: 7:30 am-11:30 am; 12:15 pm-4:00 pm Wed: 7:30 am-11:30 am; 12:15 pm-4:00 pm Thurs: 7:30 am-11:30 am; 12:15 pm-4:00 pm Fri: 7:30 am-11:30 am; 12:15 pm-4:00 pm 1569 Medical Dr Pottstown, PA 19464 Phone: (610) 718-0336 Fax: (610) 718-0338 Mon: 6:00 am-4:00 pm Tues: 6:00 am-4:00 pm Wed: 6:00 am-4:00 pm Thurs: 6:00 am-4:00 pm Fri: 6:00 am-4:00 pm Sat: 8:00 am-11:30 am QUEST PATIENT SERVICE CENTERS Page 39

Montgomery QUEST PATIENT SERVICE CENTERS 170 N Henderson Rd Ste 204 King of Prussia, PA 19406 Phone: (610) 337-2561 Fax: (610) 337-2616 200 Lakeside Dr Ste 230 Horsham, PA 19044 Phone: (215) 672-9823 Fax: (215) 672-9921 Mon: 7:00 am-3:30 pm Tues: 7:00 am-3:30 pm Wed: 7:00 am-3:30 pm Thurs: 7:00 am-3:30 pm Fri: 7:00 am-3:30 pm Sat: 8:00 am-12:00 pm 2131 N Broad St Lansdale, PA 19446 Phone: (215) 412-5259 Fax: (215) 412-5291 223-A Shoemaker Rd Ste 169 Pottstown, PA 19464 Phone: (610) 323-3606 Fax: (610) 323-3758 Mon: 6:30 am-11:30 am; Tues: 6:30 am-11:30 am; Wed: 6:30 am-11:30 am; Thurs: 6:30 am-11:30 am; Fri: 6:30 am-11:30 am; 345 Main St Harleysville, PA 19438 Phone: (215) 256-9747 Fax: (215) 256-9789 491 Allendale Rd Ste 111 King of Prussia, PA 19406 Phone: (610) 768-9010 Fax: (610) 768-9012 Sat: 8:00 am-12:00 pm 515 Pennsylvania Ave Fort Washington, PA 19034 Phone: (215) 646-6424 Fax: (215) 646-6432 Mon: 7:30 am-12:00 pm Tues: 7:30 am-12:00 pm Wed: 7:30 am-12:00 pm Thurs: 7:30 am-12:00 pm Fri: 7:30 am-12:00 pm 555 2nd Ave Collegeville, PA 19426 Phone: (610) 409-2871 Fax: (610) 409-2873 Mon: 7:30 am-1:00 pm Tues: 7:30 am-1:00 pm Wed: 7:30 am-1:00 pm Thurs: 7:30 am-1:00 pm Fri: 7:30 am-1:00 pm 599 Arcola Rd Collegeville, PA 19426 Phone: (610) 560-8406 Mon: 7:45 am-12:30 pm; 1:00 pm-4:00 pm Tues: 7:45 am-12:30 pm; 1:00 pm-4:00 pm Wed: 7:45 am-12:30 pm; 1:00 pm-4:00 pm Thurs: 7:45 am-12:30 pm; 1:00 pm-4:00 pm Fri: 7:45 am-12:30 pm; 1:00 pm-4:00 pm 622 Gravel Pike East Greenville, PA 18041 Phone: (215) 541-4581 Fax: (610) 541-4859 Mon: 7:00 am-3:30 pm Tues: 7:00 am-3:30 pm Wed: 7:00 am-3:30 pm Thurs: 7:00 am-3:30 pm Fri: 7:00 am-3:30 pm Sat: 7:00 am-11:00 am 628 Old Rd Ste 628 Jenkintown, PA 19046 Phone: (215) 572-0840 Fax: (215) 572-0874 708 Rte 113 Souderton, PA 18964 Phone: (215) 721-7593 Fax: (215) 721-7595 Mon: 6:30 am-11:30 am; Tues: 6:30 am-11:30 am; Wed: 6:30 am-11:30 am; Thurs: 6:30 am-11:30 am; Fri: 6:30 am-11:30 am; Sat: 8:00 am-11:30 am 720-730 E Johnson Hwy Norristown, PA 19401 Phone: (610) 239-1787 Fax: (610) 239-6782 Mon: 6:30 am-3:00 pm Tues: 6:30 am-3:00 pm Wed: 6:30 am-3:00 pm Thurs: 6:30 am-3:00 pm Fri: 6:30 am-3:00 pm Sat: 8:00 am-12:00 pm 724 DeKalb Pike Blue Bell, PA 19422 Phone: (610) 239-1605 Fax: (610) 239-1607 Limerick Sq 70 Buckwalter Rd Royersford, PA 19468 Phone: (610) 948-3402 Fax: (610) 948-3451 Mon: 7:00 am-12:00 pm; 12:45 pm-3:00 pm Tues: 7:00 am-12:00 pm; 12:45 pm-3:00 pm Wed: 7:00 am-12:00 pm; 12:45 pm-3:00 pm Thurs: 7:00 am-12:00 pm; 12:45 pm-3:00 pm Fri: 7:00 am-12:00 pm; 12:45 pm-3:00 pm MainLine Health Lab 233 E Ave Ste 100A Ardmore, PA 19003 Phone: (484) 476-3311 Fax: (484) 414-2489 Mon: 6:30 am-5:00 pm Tues: 6:30 am-5:00 pm Wed: 6:30 am-5:00 pm Thurs: 6:30 am-5:00 pm Fri: 6:30 am-5:00 pm Quest Diagnostics 2045 Westgate Dr Ste 306 Phone: (610) 868-8722 Fax: (610) 866-9337 Mon: 6:30 am-3:00 pm Tues: 6:30 am-3:00 pm Wed: 6:30 am-3:00 pm Thurs: 6:30 am-3:00 pm Fri: 6:30 am-3:00 pm Sat: 7:00 am-11:00 am 229 S 22nd St Easton, PA 18042 Phone: (610) 515-9784 Fax: (610) 515-9786 Mon: 6:30 am-3:00 pm Tues: 6:30 am-3:00 pm Wed: 6:30 am-3:00 pm Thurs: 6:30 am-3:00 pm Fri: 6:30 am-3:00 pm Sat: 7:00 am-11:00 am 25 S Broad St Ste 102 Nazareth, PA 18064 Phone: (610) 746-0972 Fax: (610) 746-0973 Mon: 7:00 am-12:30 pm Tues: 7:00 am-12:30 pm Wed: 7:00 am-12:30 pm Thurs: 7:00 am-12:30 pm Fri: 7:00 am-12:30 pm 3601 Nazareth Rd Easton, PA 18045 Phone: (610) 253-2768 Fax: (610) 253-4906 Mon: 6:30 am-4:00 pm Tues: 6:30 am-4:00 pm Wed: 6:30 am-4:00 pm Thurs: 6:30 am-4:00 pm Fri: 6:30 am-4:00 pm Sat: 8:00 am-12:00 pm 406 Delaware Ave Bethlehem, PA 18015 Phone: (610) 866-6171 Fax: (610) 866-7967 Mon: 6:30 am-1:30 pm Tues: 6:30 am-1:30 pm Wed: 6:30 am-1:30 pm Thurs: 6:30 am-1:30 pm Fri: 6:30 am-1:30 pm 4333 Easton Ave Ste A Bethlehem, PA 18020 Phone: (610) 867-0661 Fax: (610) 867-9483 Mon: 6:30 am-5:00 pm Tues: 6:30 am-5:00 pm Wed: 6:30 am-5:00 pm Thurs: 6:30 am-5:00 pm Fri: 6:30 am-5:00 pm Sat: 7:00 am-11:00 am Rte 512 418 Blue Valley Dr Bangor, PA 18013 Phone: (610) 863-7808 Fax: (610) 863-7003 Mon: 7:00 am-3:00 pm Tues: 7:00 am-3:00 pm Wed: 7:00 am-3:00 pm Thurs: 7:00 am-3:00 pm Fri: 7:00 am-3:00 pm Sat: 7:30 am-11:30 am Sacred Heart Hospital 2014 Laubach Ave, PA 18067 Phone: (610) 261-0919 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm The Shoppes at Hellertown 25 Main St Hellertown, PA 18055 Phone: (610) 838-8904 Fax: (610) 838-8546 Mon: 7:00 am-12:00 pm; 12:30 pm-2:00 pm Tues: 7:00 am-12:00 pm; 12:30 pm-2:00 pm Wed: 7:00 am-12:00 pm; 12:30 pm-2:00 pm Thurs: 7:00 am-12:00 pm; 12:30 pm-2:00 pm Fri: 7:00 am-12:00 pm; 12:30 pm-2:00 pm Sat: 7:00 am-11:00 am Schuylkill Quest Diagnostics 1851 W End Ave Pottsville, PA 17901 Phone: (570) 622-3100 Fax: (570) 622-9588 Mon: 8:00 am-11:00 am; 11:30 am-2:00 pm Tues: 8:00 am-11:00 am; 11:30 am-2:00 pm Wed: 8:00 am-11:00 am; 11:30 am-2:00 pm Thurs: 8:00 am-11:00 am; 11:30 am-2:00 pm Fri: 8:00 am-11:00 am; 11:30 am-2:00 pm Schuylkill Medical Ctr 700 E Norwegian St Pottsville, PA 17901 Phone: (717) 621-4157 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm St Catherine Med Ctr 101 Broad St Ashland, PA 17921 Phone: (570) 875-2000 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm St Joseph Quality Med Lab 5 W Washington St Shenandoah, PA 17976 Phone: (570) 462-1048 Mon: 8:00 am-5:00 pm Tues: 8:00 am-5:00 pm Wed: 8:00 am-5:00 pm Thurs: 8:00 am-5:00 pm Fri: 8:00 am-5:00 pm St Lukes Miners Mem Hosp 360 W Ruddle St Coaldale, PA 18218 Phone: (570) 645-8184 Mon: 8:00 am-4:00 pm Tues: 8:00 am-4:00 pm Wed: 8:00 am-4:00 pm Thurs: 8:00 am-4:00 pm Fri: 8:00 am-4:00 pm Union Quest Diagnostics Evangelical Counity Hosp 1 Hospital Dr Lewisburg, PA 17837 Phone: (570) 522-2705 Mon: 7:00 am-7:00 pm Tues: 7:00 am-7:00 pm Wed: 7:00 am-7:00 pm Thurs: 7:00 am-7:00 pm Fri: 7:00 am-7:00 pm Sat: 7:00 am-12:00 pm Quest Diagnostics 1748 6th Ave, PA 17403 Phone: (717) 846-1286 Fax: (717) 846-1301 Mon: 7:00 am-11:00 am; 12:00 pm-3:30 pm Tues: 7:00 am-11:00 am; 12:00 pm-3:30 pm Wed: 7:00 am-11:00 am; 12:00 pm-3:30 pm Thurs: 7:00 am-11:00 am; 12:00 pm-3:30 pm Fri: 7:00 am-11:00 am; 12:00 pm-3:30 pm Sat: 8:00 am-12:00 pm Crossings 2189 Crossing Dr, PA 17408 Phone: (717) 764-4541 Fax: (717) 764-7035 Mon: 6:30 am-1:00 pm Tues: 6:30 am-1:00 pm Wed: 6:30 am-1:00 pm Thurs: 6:30 am-1:00 pm Fri: 6:30 am-1:00 pm Page 40

LABORATORIES DRAW CENTERS HEALTH NETWORK LABORATORIES The following section lists Health Network Laboratories (HNL) Patient Service s. SecureChoice SM Members who have a PCP that is part of the Valley Physician Hospital Organization (LVPHO) must obtain laboratory services through HNL for such Members, specimens for all routine outpatient laboratory services must either be drawn in the participating provider s office and sent to HNL, or be drawn at an HNL Patient Service. SecureChoice SM Members should contact their PCP, or Capital BlueCross Customer Service, for information concerning their PCP s laboratory arrangements. Important Notes Information regarding individual HNL Patient Service hours of operation, driving directions, and telephone number are available at healthnetworklabs.com. Members may use the Patient Service Locator on the home page or may contact HNL s 24-hour customer service line for assistance at 1-877-402-4221. This directory is accurate only as of the date the information was generated for this printing. To check the most current participation status of any particular provider, visit our website at capbluecross.com/healthypa or call the toll-free number on your ID card. You may also contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM, or contact the provider directly to verify their participation in SecureChoice SM. If you have questions about your benefits or any other aspect of your health care coverage, please call the toll-free number on your ID card or contact our Customer Service Department for SecureChoice SM Members at 1-888-210-5600 (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM. After normal business hours, you may leave a voice mail message and a Customer Service Representative will return your call during the next business day. Always present your Member identification card each time you seek medical services. For detailed information concerning your benefits, please refer to your Member Handbook. Page 41

Health Network Laboratories CBC # 02288500 NPI/Ref # 1548280852 Hamburg Co Hlth Ctr 700 Hawk Ridge Dr Hamburg 19526 Phone: (610) 562-9026 Fax: (610) 562-9027 Kutztown Professional Ctr 333 Normal Ave Ste 101 Kutztown 19530 Phone: (610) 683-3999 Fax: (610) 683-9101 West Reading Shopping Ctr 525 Penn Ave Reading 19611 Phone: (610) 927-5102 Fax: (610) 927-5106 Bucks Health Network Laboratories CBC # 02288500 NPI/Ref # 1548280852 Oxford Ct Business Ctr 582 Middletown Blvd B-11 Langhorne 19047 Phone: (215) 702-8107 Fax: (215) 702-8109 Quakertown Atrium 127 S 5th St Ste 195 Quakertown 18951 Phone: (215) 538-8505 Fax: (215) 538-8645 Carbon Health Network Laboratories CBC # 02288500 NPI/Ref # 1548280852 1001 Mahoning St Ste 3A ton 18235 Phone: (610) 379-9144 Fax: (610) 379-9154 Health Network Laboratories CBC # 02288500 NPI/Ref # 1548280852 1200 Walnut Bottom Rd Carlisle 17015 Phone: (717) 243-2634 Fax: (717) 243-3486 Franklin Health Network Laboratories CBC # 02288500 NPI/Ref # 1548280852 465 Phoenix Dr Chambersburg 17201 Phone: (717) 414-7452 Fax: (717) 414-7459 Health Network Laboratories CBC # 02288500 NPI/Ref # 1548280852 274-A Granite Run Dr 17601 Phone: (717) 560-8891 Fax: (717) 560-8893 Health Network Laboratories CBC # 02288500 NPI/Ref # 1548280852 200 Schneider Dr Ste 4 17046 Phone: (717) 273-4441 Fax: (717) 273-3583 Health Network Laboratories CBC # 02288500 NPI/Ref # 1548280852 1040 Chestnut St Eaus 18049 Phone: (610) 966-5353 Fax: (610) 966-5344 1251 S Cedar Crest Blvd Ste 103C Allentown 18103 Phone: (610) 434-5577 Fax: (610) 434-9245 1630 N Cedar Crest Blvd Allentown 18104 Phone: (484) 884-7291 Fax: (484) 884-7293 2024 St Allentown 18103 Phone: (610) 402-8170 Fax: (610) 530-9811 798 Hausman Rd Allentown 18104 Phone: (610) 973-1403 Fax: (610) 973-1453 Allentown Medical Ctr 401 N 17th St Ste 108 Allentown 18104 Phone: (610) 969-2790 Fax: (610) 969-3085 Health Ctr at Trexlertown 6900 Hamilton Blvd Trexlertown 18087 Phone: (610) 402-0150 Fax: (610) 402-7163 Valley Hospital 17th & Chew Sts Allentown 18104 Phone: (610) 969-2322 Fax: (610) 969-2399 Valley Hospital Diagnostic Care Ctr/Jaindl Pavilion 1200 S Cedar Crest Blvd Allentown 18103 Phone: (610) 402-8838 Fax: (610) 402-8019 Riverside Prof Ctr 5649 Wynnewood Dr Ste 204 Laurys Station 18059 Phone: (610) 262-7714 Fax: (610) 262-3968 Monroe Health Network Laboratories CBC # 02288500 NPI/Ref # 1548280852 505 Independence Rd East Stroudsburg 18301 Phone: (570) 420-9309 Fax: (570) 420-8825 Rte 15 & Switzgable Dr Brodheadsville 18322 Phone: (570) 992-4322 Fax: (570) 992-4289 Health Network Laboratories CBC # 02288500 NPI/Ref # 1548280852 131 N 11th St Bangor 18013 Phone: (610) 588-6072 Fax: (610) 588-2530 1825 Franklin St Ste C 18067 Phone: (610) 440-2251 Fax: (610) 440-2268 3219-B Schoenersville Rd & Ave C Bethlehem 18017 Phone: (610) 419-9789 Fax: (610) 419-9758 91 Bangor Jct Rd Bangor 18013 Phone: (610) 599-0875 Fax: (610) 588-8939 Bath Co Med Ctr 6649 Chrisphalt Dr Bath 18014 Phone: (610) 837-3740 Fax: (610) 837-8385 Health Ctr at Bethlehem Twp 2101 Emrick Blvd Bethlehem 18020 Phone: (610) 861-9000 Fax: (610) 861-9007 Health Ctr at Hellertown 1072 Main St Hellertown 18055 Phone: (610) 748-8812 Fax: (610) 748-8814 Valley Hosp - Muhlenberg 2545 Schoenersville Rd Bethlehem 18017 Phone: (484) 884-7031 Fax: (484) 884-2443 Northwood Surgery Prof Bldg 3729 Easton Nazareth Hwy Ste 102 Easton 18045 Phone: (610) 559-1501 Fax: (610) 559-9122 HEALTH NETWORK LABORATORIES Page 43

FOR INFORMATION CALL CUSTOMER SERVICE MONDAY through FRIDAY 8 a.m. to 6 p.m. EST 888.210.5600 (TTY 711) If you require information presented in this directory in a language other than English, please call our Customer Service Department at 888.210.5600 (TTY 711), Monday through Friday, 8 a.m. to 6 p.m. EST, and ask for interpreting services. Si usted requiere información presentada en este directorio en otro idioma aparte de inglés, por favor llame a nuestro Departamento del Servicio al Cliente al 888.210.5600 (TTY 711), de lunes a viernes de 8 a.m. a 6 p.m. tiempo del este y pida los servicios de interpretación. SecureChoice SM is an HMO issued by Keystone Health Plan Central through a contract with the Coonwealth of Pennsylvania. Healthy PA is funded by the Coonwealth of Pennsylvania. Vision coverage is issued by Capital Advantage Assurance Company. Capital Advantage Assurance Company and Keystone Health Plan Central are subsidiaries of Capital BlueCross. All are independent licensees of the BlueCross BlueShield Association. Counications are issued by Capital BlueCross in its capacity as administrator of programs and provider relations. HPA-3 (11/2014)