PROVIDER ID LOCATION ID ADDRESS CITY STATE ZIP COUNTY SERVICE CATEGORY TXIX/TXXI/NTXIX BALL, STEVEN AND



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RBHA LOCATI ON RBHA SERVED 27 26 A5 27 26 A5 27 26 A5 27 26 A5 PROVID ER TYPE PROVIDER NAME PROVIDER ID LOCATION ID ADDRESS CITY STATE ZIP COUNTY SERVICE CATEGORY BALL, STEVEN 3022 W. Williams SRA 709826 02 Road Benson AZ 85602 COCHISE A BALL, STEVEN 3022 W. Williams SRA 709826 02 Road Benson AZ 85602 COCHISE D BOYS & GIRLS CLUB OF BISBEE 892952 01 405 Arizona Street Bisbee AZ 85603 COCHISE B /TXXI BOYS & GIRLS CLUB OF BISBEE 892952 01 405 Arizona Street Bisbee AZ 85603 COCHISE D /TXXI BOYS & GIRLS CLUB OF BISBEE 892952 01 405 Arizona Street Bisbee AZ 85603 COCHISE H /TXXI BURCHARD, RALPH & DIANNA 845133 01 2980 Williams Road Benson AZ 85602 COCHISE A BURCHARD, RALPH & DIANNA 845133 01 2980 Williams Road Benson AZ 85602 COCHISE D CANTER-COCHISE 7388 E. Chief Joseph COUNTY 865248 01 Drive Vista AZ 85650 COCHISE A /TXXI CANTER-COCHISE 7388 E. Chief Joseph COUNTY 865248 01 Drive Vista AZ 85650 COCHISE D /TXXI CYPRESS INN 709719 01 757 12th St. Douglas AZ 85607 COCHISE A CYPRESS INN 709719 01 757 12th St. Douglas AZ 85607 COCHISE B CYPRESS INN 709719 01 757 12th St. Douglas AZ 85607 COCHISE D CYPRESS INN 709719 01 757 12th St. Douglas AZ 85607 COCHISE H DOUGLAS ASSOCIATION FOR RETARDED CITIZENS 704933 01 610 9TH ST. Douglas AZ 85607 COCHISE A DOUGLAS ASSOCIATION FOR RETARDED CITIZENS 704933 01 610 9TH ST. Douglas AZ 85607 COCHISE B DOUGLAS ASSOCIATION FOR RETARDED CITIZENS 704933 01 610 9TH ST. Douglas AZ 85607 COCHISE D DOUGLAS ASSOCIATION FOR RETARDED CITIZENS 704933 01 610 9TH ST. Douglas AZ 85607 COCHISE H 27 27 A5 GRIMAUD, CAROL & ROSS 738544 01 5699 S. Mountainside Lane Hereford AZ 85615 COCHISE A 27 27 A5 GRIMAUD, CAROL & ROSS 738544 01 5699 S. Mountainside Lane Hereford AZ 85615 COCHISE D 27 27 39 LOPEZ, BRENDA 736887 01 1540 San Antonio Douglas AZ 85607 COCHISE D 27 27 74 MARY'S MISSION DEVELOPMENTAL 755522 01 8360 S. Highway 92 Hereford AZ 85615 COCHISE A 27 27 74 MARY'S MISSION DEVELOPMENTAL 755522 01 8360 S. Highway 92 Hereford AZ 85615 COCHISE G 27 26 74 MARY'S MISSION DEVELOPMENTAL 381400 01 345 Taylor Dr. Vista AZ 85635 COCHISE A CLIENTS SERVED

27 26 74 27 27 74 27 27 74 27 27 A5 27 27 A5 MARY'S MISSION DEVELOPMENTAL 381400 01 345 Taylor Dr. MARY'S MISSION DEVELOPMENTAL 381400 01 345 Taylor Dr. MARY'S MISSION DEVELOPMENTAL 381400 01 345 Taylor Dr. MERREDITH, HEIDI & CHARLES 764763 01 2712 San Xavier MERREDITH, HEIDI & CHARLES 764763 01 2712 San Xavier Vista AZ 85635 COCHISE G TXXI Vista AZ 85635 COCHISE A N Vista AZ 85635 COCHISE G Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE D OPEN-INN, INC. 837461 02 721 Gonzales Blvd. Huachuca AZ 85616 COCHISE B OPEN-INN, INC. 837461 02 721 Gonzales Blvd. Huachuca AZ 85616 COCHISE D 27 27 A2 27 27 A2 HEALTH SERVICES 047381 01 646 Union Street BENSON AZ 85602 COCHISE A HEALTH SERVICES 047381 01 646 Union Street BENSON AZ 85602 COCHISE G HEALTH SERVICES 082893 01 404 Rex Allen Willcox AZ 85643 COCHISE A HEALTH SERVICES 082893 01 404 Rex Allen Willcox AZ 85643 COCHISE B HEALTH SERVICES 082893 01 404 Rex Allen Willcox AZ 85643 COCHISE C HEALTH SERVICES 082893 01 404 Rex Allen Willcox AZ 85643 COCHISE D HEALTH SERVICES 082893 01 404 Rex Allen Willcox AZ 85643 COCHISE E HEALTH SERVICES 082893 01 404 Rex Allen Willcox AZ 85643 COCHISE H

HEALTH SERVICES 323725 01 185 S Moorman HEALTH SERVICES 323725 01 185 S Moorman HEALTH SERVICES 323725 01 185 S Moorman HEALTH SERVICES 323725 01 185 S Moorman HEALTH SERVICES 323725 01 185 S Moorman HEALTH SERVICES 323725 01 185 S Moorman Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE B Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Vista AZ 85635 COCHISE E Vista AZ 85635 COCHISE H HEALTH SERVICES 323725 01 185 S Moorman Vista AZ 85635 COCHISE A HEALTH SERVICES 323725 01 185 S Moorman Vista AZ 85635 COCHISE B HEALTH SERVICES 323725 01 185 S Moorman Vista AZ 85635 COCHISE C HEALTH SERVICES 323725 01 185 S Moorman Vista AZ 85635 COCHISE D HEALTH SERVICES 323725 01 185 S Moorman Vista AZ 85635 COCHISE E HEALTH SERVICES 323725 01 185 S Moorman Vista AZ 85635 COCHISE H

HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE A HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE B HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE C HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE D HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE E HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE H HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE A HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE B HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE C HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE D HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE E HEALTH SERVICES 328337 01 590 S Ocotillo Ave Benson AZ 85602 COCHISE H

HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE A HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE B HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE C HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE D HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE E HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE H HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE A HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE B HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE C HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE D HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE E HEALTH SERVICES 342048 01 214 Bisbee Rd Bisbee AZ 85603 COCHISE H

27 27 74 27 27 74 HEALTH SERVICES 496134 01 472 S Ocotillo Ave Benson AZ 85602 COCHISE A HEALTH SERVICES 496134 01 472 S Ocotillo Ave Benson AZ 85602 COCHISE G HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE A HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE B HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE C HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE D HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE E HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE H HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE A HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE B HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE C HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE D

HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE E HEALTH SERVICES 527905 03 1701 N Douglas Ave Douglas AZ 85607 COCHISE H 27 27 B5 27 27 B5 HEALTH SERVICES 589749 01 470 S Ocotillo Ave Benson AZ 85602 COCHISE F HEALTH SERVICES 589749 01 470 S Ocotillo Ave Benson AZ 85602 COCHISE F HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE A HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE B HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE C HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE D HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE A HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE B HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE C HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE D

HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE E HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE E HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE H HEALTH SERVICES 777500 01 75 Colonia de Salud Suite B100 Vista AZ 85635 COCHISE H HEALTH SERVICES 810706 01 382 E. Wilcox Drive Vista AZ 85635 COCHISE A HEALTH SERVICES 810706 01 382 E. Wilcox Drive Vista AZ 85635 COCHISE B HEALTH SERVICES 810706 01 382 E. Wilcox Drive Vista AZ 85635 COCHISE C HEALTH SERVICES 810706 01 382 E. Wilcox Drive Vista AZ 85635 COCHISE D HEALTH SERVICES 810706 01 382 E. Wilcox Drive Vista AZ 85635 COCHISE E HEALTH SERVICES 810706 01 382 E. Wilcox Drive Vista AZ 85635 COCHISE H HEALTH SERVICES 953720 01 HEALTH SERVICES 953720 01 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE A 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE B

HEALTH SERVICES 953720 01 HEALTH SERVICES 953720 01 HEALTH SERVICES 953720 01 HEALTH SERVICES 953720 01 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE C 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE D 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE E 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE H HEALTH SERVICES 953720 01 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE A HEALTH SERVICES 953720 01 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE B HEALTH SERVICES 953720 01 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE C HEALTH SERVICES 953720 01 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE D HEALTH SERVICES 953720 01 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE E 27 26 A3 27 26 A3 27 26 A3 HEALTH SERVICES 953720 01 ARIZONA CONSUMER RUN SERVICES 720864 01 ARIZONA CONSUMER RUN SERVICES 720864 01 ARIZONA CONSUMER RUN SERVICES 720864 01 1326 Highway 92, Suite J Bisbee AZ 85603 COCHISE H 1201 E. Fry Blvd., Suite 3B 1201 E. Fry Blvd., Suite 3B 1201 E. Fry Blvd., Suite 3B Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE B Vista AZ 85635 COCHISE D

27 26 A3 27 27 74 27 27 74 27 27 A5 27 27 A5 27 26 B1 27 26 B1 27 27 B1 27 27 B1 27 27 74 27 27 74 ARIZONA CONSUMER RUN SERVICES 720864 01 ARIZONA CONSUMER RUN SERVICES 720864 01 ARIZONA CONSUMER RUN SERVICES 720864 01 ARIZONA CONSUMER RUN SERVICES 720864 01 ARIZONA CONSUMER RUN SERVICES 720864 01 ARIZONA SUBSTANCE 1201 E. Fry Blvd., Suite 3B 1201 E. Fry Blvd., Suite 3B 1201 E. Fry Blvd., Suite 3B 1201 E. Fry Blvd., Suite 3B 1201 E. Fry Blvd., Suite 3B Vista AZ 85635 COCHISE H Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE B Vista AZ 85635 COCHISE D Vista AZ 85635 COCHISE H ABUSE CONTINUUM 986458 01 648 Union Street BENSON AZ 85602 COCHISE A ARIZONA SUBSTANCE ABUSE CONTINUUM 986458 01 648 Union Street BENSON AZ 85602 COCHISE G VALENCIA, KATHLEEN 10330 S. Palominas HEREFO & JOSEPH 868979 01 Rd RD AZ 85615 COCHISE A /TXXI VALENCIA, KATHLEEN 10330 S. Palominas HEREFO & JOSEPH 868979 01 Rd RD AZ 85615 COCHISE D /TXXI VISTA CARE BH CENTER 593104 01 4120 E. Ramsey Rd. Hereford AZ 85615 COCHISE F VISTA CARE BH CENTER 593104 01 4120 E. Ramsey Rd. Hereford AZ 85615 COCHISE F VISTA CARE BH CENTER 593104 01 4120 E. Ramsey Rd. Hereford AZ 85615 COCHISE F VISTA CARE BH CENTER 593104 01 4120 E. Ramsey Rd. Hereford AZ 85615 COCHISE F WOMEN'S TRANSITIONAL PROJECT 989634 01 240 O'Hara Street Bisbee AZ 85603 COCHISE A WOMEN'S TRANSITIONAL PROJECT 989634 01 240 O'Hara Street Bisbee AZ 85603 COCHISE G

RBHA LOCAT ION RBHA SERVED PROVIDER TYPE PROVIDER NAME PROVIDER ID LOCATION ID ADDRESS CITY STATE ZIP COUNTY SERVICE CATEGORY 27 27 11 BENGTSON, BRADLEY 799596 03 Avenue Benson AZ 85602 COCHISE A 27 27 11 BENGTSON, BRADLEY 799596 03 Avenue Benson AZ 85602 COCHISE C 27 27 11 BENGTSON, BRADLEY 799596 03 Avenue Benson AZ 85602 COCHISE D 27 27 19 BINFORD, TANYA 839714 04 27 27 19 BINFORD, TANYA 839714 04 27 27 19 BINFORD, TANYA 839714 04 27 27 19 BINFORD, TANYA 839714 04 Avenue Avenue Avenue Avenue 27 27 19 BINFORD, TANYA 839714 06 185 S. Moorman 27 27 19 BINFORD, TANYA 839714 06 185 S. Moorman 27 27 19 BINFORD, TANYA 839714 06 185 S. Moorman 27 27 19 BINFORD, TANYA 839714 07 27 27 19 BINFORD, TANYA 839714 07 27 27 19 BINFORD, TANYA 839714 07 27 27 19 BINFORD, TANYA 839714 08 27 27 19 BINFORD, TANYA 839714 08 BENSO N AZ 85602 COCHISE A BENSO N AZ 85602 COCHISE C BENSO N AZ 85602 COCHISE D BENSO N AZ 85602 COCHISE F Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Avenue Douglas AZ 85607 COCHISE A Avenue Douglas AZ 85607 COCHISE C Avenue Douglas AZ 85607 COCHISE D Avenue Avenue BENSO N AZ 85602 COCHISE A BENSO N AZ 85602 COCHISE C

27 27 19 BINFORD, TANYA 839714 08 Avenue BENSO N AZ 85602 COCHISE D 27 27 19 BINFORD, TANY 839714 10 214 Bisbee Road Bisbee AZ 85603 COCHISE A 27 27 19 BINFORD, TANY 839714 10 214 Bisbee Road Bisbee AZ 85603 COCHISE C 27 27 19 BINFORD, TANY 839714 10 214 Bisbee Road Bisbee AZ 85603 COCHISE D 27 26 08 BRUWER, MICHAEL 258831 02 Avenue Benson AZ 85602 COCHISE A 27 26 08 BRUWER, MICHAEL 258831 02 Avenue Benson AZ 85602 COCHISE C 27 26 08 BRUWER, MICHAEL 258831 02 Avenue Benson AZ 85602 COCHISE D 27 27 08 BRUWER, MICHAEL 258831 02 Avenue Benson AZ 85602 COCHISE A 27 27 08 BRUWER, MICHAEL 258831 02 27 27 08 BRUWER, MICHAEL 258831 02 27 27 08 CAMPOS, RODOLFO 242404 09 185 S. Moorman 27 27 08 CAMPOS, RODOLFO 242404 09 185 S. Moorman 27 27 08 CAMPOS, RODOLFO 242404 09 185 S. Moorman 27 27 08 CAMPOS, RODOLFO 242404 15 27 27 08 CAMPOS, RODOLFO 242404 15 27 27 08 CAMPOS, RODOLFO 242404 15 Avenue Benson AZ 85602 COCHISE C Avenue Benson AZ 85602 COCHISE D Avenue Avenue Avenue Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D BENSO N AZ 85602 COCHISE A BENSO N AZ 85602 COCHISE C BENSO N AZ 85602 COCHISE D

27 27 08 CONNOLLY, BRIGID 321555 02 185 S. Moorman 27 27 08 CONNOLLY, BRIGID 321555 02 185 S. Moorman 27 27 08 CONNOLLY, BRIGID 321555 02 185 S. Moorman 27 27 08 CONNOLLY, BRIGID 321555 06 27 27 08 CONNOLLY, BRIGID 321555 06 27 27 08 CONNOLLY, BRIGID 321555 06 27 27 08 CONNOLLY, BRIGID 321555 06 27 27 08 CONNOLLY, BRIGID 321555 06 27 27 08 CONNOLLY, BRIGID 321555 06 27 27 11 DELGADO, MARIA 714057 02 185 S. Moorman 27 27 11 DELGADO, MARIA 714057 02 185 S. Moorman 27 27 11 DELGADO, MARIA 714057 02 185 S. Moorman 27 27 11 DELGADO, MARIA 714057 04 27 27 11 DELGADO, MARIA 714057 04 27 27 11 DELGADO, MARIA 714057 04 27 27 11 DELGADO, MARIA 714057 08 27 27 11 DELGADO, MARIA 714057 08 Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Avenue Benson AZ 85602 COCHISE A Avenue Benson AZ 85602 COCHISE C Avenue Benson AZ 85602 COCHISE D Avenue Benson AZ 85602 COCHISE A Avenue Benson AZ 85602 COCHISE C Avenue Benson AZ 85602 COCHISE D Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Avenue Douglas AZ 85607 COCHISE A Avenue Douglas AZ 85607 COCHISE C Avenue Douglas AZ 85607 COCHISE D Avenue Benson AZ 85602 COCHISE A Avenue Benson AZ 85602 COCHISE C

27 27 11 DELGADO, MARIA 714057 08 Avenue Benson AZ 85602 COCHISE D 27 27 11 DELGADO, MARIA 714057 12 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE A 27 27 11 DELGADO, MARIA 714057 12 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE C 27 27 11 DELGADO, MARIA 714057 12 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE D 27 27 85 FORGEY, MARGARET 639693 02 27 27 85 FORGEY, MARGARET 639693 02 27 27 85 FORGEY, MARGARET 639693 02 27 27 19 GREENWOOD, KIM 488462 09 185 S. Moorman 27 27 19 GREENWOOD, KIM 488462 09 185 S. Moorman 27 27 19 GREENWOOD, KIM 488462 09 185 S. Moorman 27 27 08 GUNTHER, JENNIFER S. 883951 01 27 27 08 GUNTHER, JENNIFER S. 883951 01 27 27 08 GUNTHER, JENNIFER S. 883951 01 27 27 08 GUNTHER, JENNIFER S. 883951 02 185 S. Moorman 27 27 08 GUNTHER, JENNIFER S. 883951 02 185 S. Moorman Avenue Douglas AZ 85607 COCHISE A Avenue Douglas AZ 85607 COCHISE D Avenue Douglas AZ 85607 COCHISE E Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Avenue Benson AZ 85602 COCHISE A Avenue Benson AZ 85602 COCHISE C Avenue Benson AZ 85602 COCHISE D Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C

27 27 08 GUNTHER, JENNIFER S. 883951 02 185 S. Moorman 27 27 08 GUNTHER, JENNIFER S. 883951 03 27 27 08 GUNTHER, JENNIFER S. 883951 03 27 27 08 GUNTHER, JENNIFER S. 883951 03 27 27 08 GUNTHER, JENNIFER S. 883951 05 27 27 08 GUNTHER, JENNIFER S. 883951 05 27 27 08 GUNTHER, JENNIFER S. 883951 05 27 27 08 GUNTHER, JENNIFER S. 883951 10 27 27 08 GUNTHER, JENNIFER S. 883951 10 27 27 08 GUNTHER, JENNIFER S. 883951 10 27 27 08 GUNTHER, JENNIFER S. 883951 10 75 Colonia de Salud, Ste B100 75 Colonia de Salud, Ste B100 75 Colonia de Salud, Ste B100 Vista AZ 85635 COCHISE D Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Avenue Douglas AZ 85607 COCHISE A Avenue Douglas AZ 85607 COCHISE C Avenue Douglas AZ 85607 COCHISE D Avenue Benson AZ 85602 COCHISE A Avenue Benson AZ 85602 COCHISE C Avenue Benson AZ 85602 COCHISE D Avenue Benson AZ 85602 COCHISE F 27 27 08 GUNTHER, JENNIFER S. 883951 11 732 W. 4th Street Benson AZ 85602 COCHISE A 27 27 08 GUNTHER, JENNIFER S. 883951 11 732 W. 4th Street Benson AZ 85602 COCHISE C 27 27 08 GUNTHER, JENNIFER S. 883951 11 732 W. 4th Street Benson AZ 85602 COCHISE D 27 27 08 GUNTHER, JENNIFER 883951 15 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE A

27 27 08 GUNTHER, JENNIFER 883951 15 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE C 27 27 08 GUNTHER, JENNIFER 883951 15 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE D 27 26 08 HARRIS, GLENN 562175 01 185 S. Moorman 27 26 08 HARRIS, GLENN 562175 01 185 S. Moorman 27 26 08 HARRIS, GLENN 562175 01 185 S. Moorman 27 27 08 HARRIS, GLENN 562175 01 185 S. Moorman 27 27 08 HARRIS, GLENN 562175 01 185 S. Moorman 27 27 08 HARRIS, GLENN 562175 01 185 S. Moorman 27 26 08 HARRIS, GLENN 562175 02 27 26 08 HARRIS, GLENN 562175 02 27 26 08 HARRIS, GLENN 562175 02 27 27 08 HARRIS, GLENN 562175 02 27 27 08 HARRIS, GLENN 562175 02 27 27 08 HARRIS, GLENN 562175 02 Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Avenue Douglas AZ 85607 COCHISE A Avenue Douglas AZ 85607 COCHISE C Avenue Douglas AZ 85607 COCHISE D Avenue Douglas AZ 85607 COCHISE A Avenue Douglas AZ 85607 COCHISE C Avenue Douglas AZ 85607 COCHISE D 27 26 08 HARRIS, GLENN 562175 04 214 Bisbee Road Bisbee AZ 85603 COCHISE A

27 26 08 HARRIS, GLENN 562175 04 214 Bisbee Road Bisbee AZ 85603 COCHISE C 27 26 08 HARRIS, GLENN 562175 04 214 Bisbee Road Bisbee AZ 85603 COCHISE D 27 26 08 HARRIS, GLENN 562175 06 27 26 08 HARRIS, GLENN 562175 06 27 26 08 HARRIS, GLENN 562175 06 27 27 08 HARRIS, GLENN 562175 06 27 27 08 HARRIS, GLENN 562175 06 27 27 08 HARRIS, GLENN 562175 06 27 26 08 HARRIS, GLENN 562175 08 27 26 08 HARRIS, GLENN 562175 08 27 26 08 HARRIS, GLENN 562175 08 27 27 08 HARRIS, GLENN 562175 08 27 27 08 HARRIS, GLENN 562175 08 27 27 08 HARRIS, GLENN 562175 08 27 27 08 HARRIS, GLENN 562175 12 Avenue Benson AZ 85602 COCHISE A Avenue Benson AZ 85602 COCHISE C Avenue Benson AZ 85602 COCHISE D Avenue Benson AZ 85602 COCHISE A Avenue Benson AZ 85602 COCHISE C Avenue Benson AZ 85602 COCHISE D 75 Colonia de Salud, Ste B100 75 Colonia de Salud, Ste B100 75 Colonia de Salud, Ste B100 75 Colonia de Salud, Ste B100 75 Colonia de Salud, Ste B100 75 Colonia de Salud, Ste B100 Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Avenue Benson AZ 85602 COCHISE A

27 27 08 HARRIS, GLENN 562175 12 27 27 08 HARRIS, GLENN 562175 12 27 27 08 HARRIS, GLENN 562175 12 Avenue Benson AZ 85602 COCHISE C Avenue Benson AZ 85602 COCHISE D Avenue Benson AZ 85602 COCHISE F 27 27 08 HARRIS, GLENN 562175 13 732 4th Street Benson AZ 85602 COCHISE A 27 27 08 HARRIS, GLENN 562175 13 732 4th Street Benson AZ 85602 COCHISE C 27 27 08 HARRIS, GLENN 562175 13 732 4th Street Benson AZ 85602 COCHISE D 27 26 08 HARRIS, GLENN 562175 15 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE A 27 26 08 HARRIS, GLENN 562175 15 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE C 27 26 08 HARRIS, GLENN 562175 15 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE D 27 27 08 HARRIS, GLENN 562175 15 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE A 27 27 08 HARRIS, GLENN 562175 15 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE C 27 27 08 HARRIS, GLENN 562175 15 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE D 4120 East Ramsey Herefor 27 26 08 HERZER, FRED 275603 02 Road d AZ 85615 COCHISE A 4120 East Ramsey Herefor 27 26 08 HERZER, FRED 275603 02 Road d AZ 85615 COCHISE C 4120 East Ramsey Herefor 27 26 08 HERZER, FRED 275603 02 Road d AZ 85615 COCHISE D 4120 East Ramsey Herefor 27 27 08 HERZER, FRED 275603 02 Road d AZ 85615 COCHISE A 4120 East Ramsey Herefor 27 27 08 HERZER, FRED 275603 02 Road d AZ 85615 COCHISE C 4120 East Ramsey Herefor 27 27 08 HERZER, FRED 275603 02 Road d AZ 85615 COCHISE D 27 27 19 HILL, GAY C. 406208 03 1840 Paseo San Luis Vista AZ 85635 COCHISE A

27 27 19 HILL, GAY C. 406208 03 1840 Paseo San Luis Vista AZ 85635 COCHISE C 27 27 19 HILL, GAY C. 406208 03 1840 Paseo San Luis Vista AZ 85635 COCHISE D 4120 East Ramsey Herefor 27 26 08 MARTINEZ-CELAYA, JOSE 299116 21 Road d AZ 85625 COCHISE A 4120 East Ramsey Herefor 27 26 08 MARTINEZ-CELAYA, JOSE 299116 21 Road d AZ 85625 COCHISE C 4120 East Ramsey Herefor 27 26 08 MARTINEZ-CELAYA, JOSE 299116 21 Road d AZ 85625 COCHISE D 4120 East Ramsey Herefor 27 27 08 MARTINEZ-CELAYA, JOSE 299116 21 Road d AZ 85625 COCHISE A 4120 East Ramsey Herefor 27 27 08 MARTINEZ-CELAYA, JOSE 299116 21 Road d AZ 85625 COCHISE C 4120 East Ramsey Herefor 27 27 08 MARTINEZ-CELAYA, JOSE 299116 21 Road d AZ 85625 COCHISE D 27 27 18 MCCAW, JOSEPH 483818 08 185 S. Moorman Vista AZ 85635 COCHISE A 27 27 18 MCCAW, JOSEPH 483818 08 185 S. Moorman Vista AZ 85635 COCHISE C 27 27 18 MCCAW, JOSEPH 483818 08 185 S. Moorman Vista AZ 85635 COCHISE D 27 27 19 OLDFATHER, KATHLEEN 621765 01 27 27 19 OLDFATHER, KATHLEEN 621765 01 27 27 19 OLDFATHER, KATHLEEN 621765 01 27 27 19 OLDFATHER, KATHLEEN 621765 03 27 27 19 OLDFATHER, KATHLEEN 621765 03 27 27 19 OLDFATHER, KATHLEEN 621765 03 27 27 19 OLDFATHER, KATHLEEN 621765 03 Avenue Benson AZ 85602 COCHISE A Avenue Benson AZ 85602 COCHISE C Avenue Benson AZ 85602 COCHISE D Avenue Benson AZ 85602 COCHISE A Avenue Benson AZ 85602 COCHISE C Avenue Benson AZ 85602 COCHISE D Avenue Benson AZ 85602 COCHISE F

27 27 19 OLDFATHER, KATHLEEN 621765 04 185 S. Moorman 27 27 19 OLDFATHER, KATHLEEN 621765 04 185 S. Moorman 27 27 19 OLDFATHER, KATHLEEN 621765 04 185 S. Moorman 27 27 19 OLDFATHER, KATHLEEN 621765 10 732 W. 4th Street 27 27 19 OLDFATHER, KATHLEEN 621765 10 732 W. 4th Street 27 27 19 OLDFATHER, KATHLEEN 621765 10 732 W. 4th Street Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D BENSO N AZ 85602 COCHISE A BENSO N AZ 85602 COCHISE C BENSO N AZ 85602 COCHISE D 27 27 19 OLDFATHER, KATHLEEN 621765 12 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE A 27 27 19 OLDFATHER, KATHLEEN 621765 12 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE C 27 27 19 OLDFATHER, KATHLEEN 621765 12 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE D 4120 East Ramsey Herefor 27 27 08 RUBEN, DAVID 218570 03 Road d AZ 85615 COCHISE A 4120 East Ramsey Herefor 27 27 08 RUBEN, DAVID 218570 03 Road d AZ 85615 COCHISE C 4120 East Ramsey Herefor 27 27 08 RUBEN, DAVID 218570 03 Road d AZ 85615 COCHISE D 27 27 08 SULLIVAN, WILLIAM 192774 16 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE A 27 27 08 SULLIVAN, WILLIAM 192774 16 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE C 27 27 08 SULLIVAN, WILLIAM 192774 16 1326 Hwy 92, Suite J Bisbee AZ 85603 COCHISE D 27 26 08 SULLIVAN II, WILLIAM 192774 01 Avenue BENSO N AZ 85602 COCHISE A

27 26 08 SULLIVAN II, WILLIAM 192774 01 27 26 08 SULLIVAN II, WILLIAM 192774 01 Avenue Avenue 27 26 08 SULLIVAN II, WILLIAM 192774 02 185 S. Moorman 27 26 08 SULLIVAN II, WILLIAM 192774 02 185 S. Moorman 27 26 08 SULLIVAN II, WILLIAM 192774 02 185 S. Moorman 27 27 08 SULLIVAN II, WILLIAM 192774 02 185 S. Moorman 27 27 08 SULLIVAN II, WILLIAM 192774 02 185 S. Moorman 27 27 08 SULLIVAN II, WILLIAM 192774 02 185 S. Moorman BENSO N AZ 85602 COCHISE C BENSO N AZ 85602 COCHISE D Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D 27 26 08 SULLIVAN II, WILLIAM 192774 03 214 Bisbee Road Bisbee AZ 85603 COCHISE A 27 26 08 SULLIVAN II, WILLIAM 192774 03 214 Bisbee Road Bisbee AZ 85603 COCHISE C 27 26 08 SULLIVAN II, WILLIAM 192774 03 214 Bisbee Road Bisbee AZ 85603 COCHISE D 27 27 08 SULLIVAN II, WILLIAM 192774 05 27 27 08 SULLIVAN II, WILLIAM 192774 05 27 27 08 SULLIVAN II, WILLIAM 192774 05 27 27 08 SULLIVAN II, WILLIAM 192774 06 75 Colonia de Salud, Ste B100 75 Colonia de Salud, Ste B100 75 Colonia de Salud, Ste B100 Vista AZ 85635 COCHISE A Vista AZ 85635 COCHISE C Vista AZ 85635 COCHISE D Avenue Douglas AZ 85607 COCHISE A

27 27 08 SULLIVAN II, WILLIAM 192774 06 27 27 08 SULLIVAN II, WILLIAM 192774 06 27 27 08 SULLIVAN II, WILLIAM 192774 09 27 27 08 SULLIVAN II, WILLIAM 192774 09 27 27 08 SULLIVAN II, WILLIAM 192774 09 27 27 08 SULLIVAN II, WILLIAM 192774 09 Avenue Douglas AZ 85607 COCHISE C Avenue Douglas AZ 85607 COCHISE D Avenue Benson AZ 85602 COCHISE A Avenue Benson AZ 85602 COCHISE C Avenue Benson AZ 85602 COCHISE D Avenue Benson AZ 85602 COCHISE F 27 27 08 SULLIVAN II, WILLIAM 192774 12 732 W. 4th Street Benson AZ 85602 COCHISE A 27 27 08 SULLIVAN II, WILLIAM 192774 12 732 W. 4th Street Benson AZ 85602 COCHISE C 27 27 08 SULLIVAN II, WILLIAM 192774 12 732 W. 4th Street Benson AZ 85602 COCHISE D

PROVIDER PROVIDER/LAST LOCATION RBHA TYPE NAME PROVIDER ID ID ADDRESS CITY STATE ZIP COUNTY Bob's IGA 900 W. REX ALLEN GSA 3 03 Pharmacy 447286 01 WILCOX AZ 85644 COCHISE C Food City United GSA 3 03 Drug 707507 01 1300 SAN ANTONIO AVE DOUGLAS AZ 85607 COCHISE C SIERRA GSA 3 03 Food City United Dr 638182 01 85 S. HIGHWAY 92 VISTA AZ 85635 COCHISE C Fry's Food and SIERRA GSA 3 03 Drug 489337 01 4351 E. HIGHWAY 90 VISTA AZ 85635 COCHISE C SIERRA GSA 3 03 K-Mart Corporation 308074 01 2011 E. FRY BLVD. VISTA AZ 85635 COCHISE C SIERRA GSA 3 03 OSCO DRUG 038704 01 2090 E. FRY BLVD. VISTA AZ 85635 COCHISE C GSA 3 03 Safeway Inc. 116443 01 599 W. 4TH BENSON AZ 85602 COCHISE C GSA 3 03 Safeway Inc. 405052 01 101 NACO HIGHWAY BISBEE AZ 85603 COCHISE C GSA 3 03 Safeway Inc. 147050 01 90 FIFTH STREET DOUGLAS AZ 85607 COCHISE C GSA 3 03 Safeway Inc. 119447 01 650 N. BISBEE AVENUE WILLCOX AZ 85643 COCHISE C GSA 3 03 Territorial Drug Co. dba Tombstone Pharmacy 325838 01 524 ALLEN STREET GSA 3 03 WALGREENS 459067 01 1950 E. Fry Blvd SERVICE CATEGORY TOMBSTO NE AZ 85638 COCHISE C SIERRA VISTA AZ 85635 COCHISE C GSA 3 03 Wal-Mart, Inc. 112920 01 204 W. 5TH STREET DOUGLAS AZ 85607 COCHISE C PLAZA VISTA 657 SIERRA GSA 3 03 Wal-Mart, Inc. 304866 01 STATE HWY 90 VISTA AZ 85635 COCHISE C /TXXI/ CLIENTS N SERVED /TXXI/ N /TXXI/ N /TXXI/ N /TXXI/ N /TXXI/ N /TXXI/ N /TXXI/ N /TXXI/ N /TXXI/ N /TXXI/ N /TXXI/ N /TXXI/ N /TXXI/ N /TXXI/ N

RBHA LOCATI ON RBHA SERVED PROVID ER TYPE PROVIDER ID LOCATION ID ADDRESS CITY STATE ZIP COUNTY SERVICE CATEGORY PROVIDER NAME GRAHAM COUNTY ASSOCIATION FOR RETARDED CITIZENS 622961 01 502 Main St. Safford AZ 85548 GRAHAM A GRAHAM COUNTY ASSOCIATION FOR RETARDED CITIZENS 622961 01 502 Main St. Safford AZ 85548 GRAHAM B TXXI GRAHAM COUNTY ASSOCIATION FOR RETARDED CITIZENS 622961 01 502 Main St. Safford AZ 85548 GRAHAM D N GRAHAM COUNTY ASSOCIATION FOR RETARDED CITIZENS 622961 01 502 Main St. Safford AZ 85548 GRAHAM H CLIENTS SERVED HEALTH SERVICES 895659 01 1615 S. 1st Ave. Safford AZ 85546-2103 GRAHAM A HEALTH SERVICES 895659 01 1615 S. 1st Ave. Safford AZ 85546-2103 GRAHAM B HEALTH SERVICES 895659 01 1615 S. 1st Ave. Safford AZ 85546-2103 GRAHAM C HEALTH SERVICES 895659 01 1615 S. 1st Ave. Safford AZ 85546-2103 GRAHAM D HEALTH SERVICES 895659 01 1615 S. 1st Ave. Safford AZ 85546-2103 GRAHAM E HEALTH SERVICES 895659 01 1615 S. 1st Ave. Safford AZ 85546-2103 GRAHAM H

RBHA LOCAT ION RBHA SERVED PROVIDER TYPE PROVIDER NAME PROVIDER ID LOCATION ID ADDRESS CITY STATE ZIP COUNTY 27 27 19 BINFORD, TANYA 839714 15 1615 S. 1st Avenue Safford AZ 85546 GRAHAM A 27 27 19 BINFORD, TANYA 839714 15 1615 S. 1st Avenue Safford AZ 85546 GRAHAM C 27 27 19 BINFORD, TANYA 839714 15 1615 S. 1st Avenue Safford AZ 85546 GRAHAM D 27 26 08 BRUWER, MICHAEL 258831 06 1615 S. 1st Avenue Safford AZ 85546 GRAHAM A 27 26 08 BRUWER, MICHAEL 258831 06 1615 S. 1st Avenue Safford AZ 85546 GRAHAM C 27 26 08 BRUWER, MICHAEL 258831 06 1615 S. 1st Avenue Safford AZ 85546 GRAHAM D 27 27 08 BRUWER, MICHAEL 258831 06 1615 S. 1st Avenue Safford AZ 85546 GRAHAM A 27 27 08 BRUWER, MICHAEL 258831 06 1615 S. 1st Avenue Safford AZ 85546 GRAHAM C 27 27 08 BRUWER, MICHAEL 258831 06 1615 S. 1st Avenue Safford AZ 85546 GRAHAM D 27 27 11 DELGADO, MARIA 714057 09 1615 S. 1st Avenue Safford AZ 85546 GRAHAM A 27 27 11 DELGADO, MARIA 714057 09 1615 S. 1st Avenue Safford AZ 85546 GRAHAM C 27 27 11 DELGADO, MARIA 714057 09 1615 S. 1st Avenue Safford AZ 85546 GRAHAM D 27 08 GUNTHER, JENNIFER S. 883951 12 1615 S. 1st Avenue Safford AZ 85548 GRAHAM A 27 08 GUNTHER, JENNIFER S. 883951 12 1615 S. 1st Avenue Safford AZ 85548 GRAHAM C 27 08 GUNTHER, JENNIFER S. 883951 12 1615 S. 1st Avenue Safford AZ 85548 GRAHAM D SERVICE CATEGORY

27 26 08 HARRIS, GLENN 562175 14 1615 S. 1st Avenue Safford AZ 85546 GRAHAM A 27 26 08 HARRIS, GLENN 562175 14 1615 S. 1st Avenue Safford AZ 85546 GRAHAM C 27 26 08 HARRIS, GLENN 562175 14 1615 S. 1st Avenue Safford AZ 85546 GRAHAM D 27 27 08 HARRIS, GLENN 562175 14 1615 S. 1st Avenue Safford AZ 85546 GRAHAM A 27 27 08 HARRIS, GLENN 562175 14 1615 S. 1st Avenue Safford AZ 85546 GRAHAM C 27 27 08 HARRIS, GLENN 562175 14 1615 S. 1st Avenue Safford AZ 85546 GRAHAM D 27 27 87 McMann, Neal 714156 15 1615 S. 1st Avenue Safford AZ 85546 GRAHAM A 27 27 87 McMann, Neal 714156 15 1615 S. 1st Avenue Safford AZ 85546 GRAHAM D 27 27 87 McMann, Neal 714156 15 1615 S. 1st Avenue Safford AZ 85546 GRAHAM E 27 27 19 OLDFATHER, KATHLEEN 621765 11 1615 S. 1st Avenue Safford AZ 85546 GRAHAM A 27 27 19 OLDFATHER, KATHLEEN 621765 11 1615 S. 1st Avenue Safford AZ 85546 GRAHAM C 27 27 19 OLDFATHER, KATHLEEN 621765 11 1615 S. 1st Avenue Safford AZ 85546 GRAHAM D 27 26 08 SULLIVAN, WILLIAM 192774 13 1615 S. 1st Avenue Safford AZ 85546 GRAHAM A 27 27 08 SULLIVAN, WILLIAM 192774 13 1615 S. 1st Avenue Safford AZ 85546 GRAHAM C 27 27 08 SULLIVAN, WILLIAM 192774 13 1615 S. 1st Avenue Safford AZ 85546 GRAHAM D