Finding Medica Network Providers



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Finding Medica Network Providers When you enroll, you must select one of these networks: Medica Elect, Medica Essential or Medica Choice Passport. Generally speaking, you can t change networks once you are enrolled, so it s important to choose the best network for your needs. As you consider your network options think about: Whether your current providers participate in Medica Elect or Medica Essential. If they do, you could save on employee premium contributions while keeping your current providers. Whether it s important to have access to specialists without a referral. Medica Choice Passport is a large network that does not require referrals within the network. Medica Elect and Medica Essential are smaller networks that require you to designate a primary care clinic from a participating care system and get a referral for any care you receive outside that care system. Whether you live or work within a reasonable travel distance to network providers, especially if you choose a network that requires you to designate a primary care clinic. Medica Elect Care Systems Allina Health (Twin Cities area) Children s Health Network (Twin Cities area) Hennepin Health (Twin Cities area) Integrity Health Network (Duluth area) Lakeview Medical Group (Stillwater area) Minnesota HealthCare Network (Twin Cities & Central Minnesota areas) Park Nicollet Health Services (Twin Cities area) RiverWay/North Suburban (Twin Cities area) St. Luke s Care System (Duluth area) Medica Essential Care Systems Altru Health System (Grand Forks area) Children s Health Network (Twin Cities area) Essentia Health West (Fargo-Moorhead area) Fairview Physician Associates (Twin Cities area) HealthEast Care System (Twin Cities area) Integrity Health Network (Duluth area) St. Luke s Care System (Duluth area) There are two additional ways to find out if your current providers participate in the Medica network you are considering: 1. Visit welcometomedica.com/cityofminneapolis to search the Choice Passport, Elect and Essential network provider directories. 2. Call Medica Customer Services at 952-945-8000 or 1-800-952-3455.

Medica Elect Elect Care System PCC # Primary Care Clinic Name Address City State Zip Allina Care System 00000001683 Allina Health Annandale Clinic 440 Elm St E Annandale MN 55302 Allina Care System 00000004698 Allina Health Blaine Clinic 10705 Town Square Dr NE Ste 10 Blaine MN 55449 Allina Care System 00000004242 Allina Health Bloomington Clinic 7920 Old Cedar Ave S Bloomington MN 55425 Allina Care System 00000004699 Allina Health Brooklyn Park Clinic 9300 Noble Pkwy N Brooklyn Park MN 55443 Allina Care System 00000001638 Allina Health Clinic - Buffalo 303 Catlin St Buffalo MN 55313 Allina Care System 00000001306 Allina Health Burnsville Clinic 14000 Nicollet Ave Ste 100 Burnsville MN 55337 Allina Care System 00000001188 Allina Health Cambridge Clinic 701 Dellwood St S Cambridge MN 55008 Allina Care System 00000001917 Allina Health Champlin Clinic 11269 Jefferson Hwy N Champlin MN 55316 Allina Care System 00000001307 Allina Health Chanhassen Clinic 7770 Dell Rd Ste 110 Chanhassen MN 55317 Allina Care System 00000001086 Allina Health Chaska Clinic 111 Hundertmark Rd Ste 220 Chaska MN 55318 Allina Care System 00000001097 Allina Health Cokato Clinic 110 Olsen Blvd NE Cokato MN 55321 Allina Care System 00000001818 Allina Health Coon Rapids Clinic 9055 Springbrook Dr NW Coon Rapids MN 55433 Allina Care System 00000007288 Allina Health Mercy Womens Health Clinic 11850 Blackfoot St NW Ste 300 Coon Rapids MN 55433 Allina Care System 00000001500 Allina Health Cottage Grove Clinic 8611 W Point Douglas Rd S Cottage Grove MN 55016 Allina Care System 00000000368 Allina Health Eagan Clinic 1110 Yankee Doodle Rd Eagan MN 55121 Allina Care System 00000007341 Allina Health Eagan Women's Health Clinic 2805 Dodd Rd Ste 100 Eagan MN 55121 Allina Care System 00000004942 Abbott Northwestern General Med Assoc 8100 W 78th St Ste 100 Edina MN 55439 Allina Care System 00000001069 Allina Health Centennial Lakes 7373 France Ave S Ste 202 Edina MN 55435 Allina Care System 00000004410 Allina Health Edina Clinic 7500 France Ave S Edina MN 55435 Allina Care System 00000001019 Edina Family Physicians 5301 Vernon Ave S Edina MN 55436 Allina Care System 00000004297 Sharpe Dillon Cockson & Associates PA 7250 France Ave S Ste 100 Edina MN 55435 Allina Care System 00000000228 Allina Health Elk River Clinic 14181 Business Center Dr NW Elk River MN 55330 Allina Care System 00000001844 Allina Health Faribault Clinic 100 State Ave Faribault MN 55021 Allina Care System 00000001541 Allina Health Farmington Clinic 21260 Chippendale Ave W Farmington MN 55024 Allina Care System 00000001738 Allina Health Forest Lake Clinic 1540 Lake St S Forest Lake MN 55025 Allina Care System 00000007226 Allina Health Fridley Clinic 500 Osborne Rd NE Ste 255 Fridley MN 55432 Allina Care System 00000001224 Allina Health First Street Clinic 1210 1st St W Hastings MN 55033 Allina Care System 00000001944 Allina Health Nininger Road Clinic 1285 Nininger Rd Hastings MN 55033 Allina Care System 00000001342 First Light Health System Hinckley 620 Sandy Ln Hinckley MN 55037 Allina Care System 00000004246 Allina Health Hopkins Clinic 715 2nd Ave S Hopkins MN 55343 Allina Care System 00000000087 Allina Health Inver Grove Heights Clinic 5565 Blaine Ave Inver Grove Heights MN 55076 Medica Elect 1 Updated 10/20/2015

Medica Elect Elect Care System PCC # Primary Care Clinic Name Address City State Zip Allina Care System 00000001589 Allina Health Lakeville Clinic 20795 Keokuk Ave Lakeville MN 55044 Allina Care System 00000001919 Allina Health Maple Grove Clinic 7840 Vinewood Ln N Maple Grove MN 55369 Allina Care System 00000004243 Allina Health Maplewood Clinic 1850 Beam Ave Maplewood MN 55109 Allina Care System 00000004562 Allina-United Medical Specialties St Paul 1560 Beam Ave Maplewood MN 55109 Allina Care System 00000004941 ANW General Medicine Associates 2800 Chicago Ave Ste 250 Minneapolis MN 55407 Allina Care System 00000004254 Allina Health East Lake Street Clinic 3024 Snelling Ave Minneapolis MN 55406 Allina Care System 00000004237 Allina Health Isles Clinic 2800 Hennepin Ave Minneapolis MN 55408 Allina Care System 00000004409 Allina Health Nicollet Mall Clinic 825 Nicollet Mall Ste 300 Minneapolis MN 55402 Allina Care System 00000001247 Allina Health Uptown Clinic 1221 W Lake St Ste 201 Minneapolis MN 55408 Allina Care System 00000001299 First Light Health System Mora 331 Highway 65 S Mora MN 55051 Allina Care System 00000001937 New Ulm Medical Center 1217 8th St N New Ulm MN 56073 Allina Care System 00000000318 Allina Health North Branch Clinic 38986 14th Ave North Branch MN 55056 Allina Care System 00000001618 Allina Health Northfield Clinic 1400 Jefferson Rd Northfield MN 55057 Allina Care System 00000005484 Allina Health Oakdale Clinic 7400 33rd St N Ste 100 Oakdale MN 55128 Allina Care System 00000001341 First Light Health System Pine City 1425 Main St N Pine City MN 55063 Allina Care System 00000004487 Allina Health Plymouth Clinic 2855 Campus Dr Plymouth MN 55441 Allina Care System 00000000290 Allina Health Prescott Clinic 1400 N Acres Rd Ste 30 Prescott WI 54021 Allina Care System 00000001918 Allina Health Ramsey Clinic 7231 Sunwood Dr NW Ramsey MN 55303 Allina Care System 00000001959 Allina Health Richfield Clinic 407 W 66th St Richfield MN 55423 Allina Care System 00000000089 Allina Health St Michael Clinic 4300 Edgewood Dr NE Saint Michael MN 55376 Allina Care System 00000004241 Allina Health Bandana Square Clinic 1021 Bandana Blvd E Ste 100 Saint Paul MN 55108 Allina Care System 00000004503 Allina Health Highland Park Clinic 2120 Ford Pkwy Saint Paul MN 55116 Allina Care System 00000004472 Allina Health United Medical Specialties Clinic 255 Smith Ave N Ste 300 Saint Paul MN 55102 Allina Care System 00000002371 Allina Health United Womens Health Clinic 347 Smith Ave N Ste 203 Saint Paul MN 55102 Allina Care System 00000001812 United Family Medicine 1026 7th St W Saint Paul MN 55102 Allina Care System 00000001635 Allina Health Savage Clinic 6350 W 143rd St Ste 102 Savage MN 55378 Allina Care System 00000000417 Allina Health Dean Lakes Clinic 4201 Dean Lakes Blvd Ste 120 Shakopee MN 55379 Allina Care System 00000000184 Allina Health Shakopee Clinic 1601 Saint Francis Ave Ste 100 Shakopee MN 55379 Allina Care System 00000001007 Allina Health Shoreview Clinic 4194 Lexington Ave N Shoreview MN 55126 Allina Care System 00000004044 Allina Health Vadnais Heights Clinic 1155 County Road E E Ste 100 Vadnais Heights MN 55110 Allina Care System 00000001017 Allina Health West St Paul Clinic 150 Emerson Ave E West Saint Paul MN 55118 Medica Elect 2 Updated 10/20/2015

Medica Elect Elect Care System PCC # Primary Care Clinic Name Address City State Zip Allina Care System 00000000216 Winthrop Area Clinic-New Ulm Medical Center 211 E 2nd St Winthrop MN 55396 Allina Care System 00000001499 Allina Health Woodbury Clinic 8675 Valley Creek Rd Woodbury MN 55125 Childrens Health Network 00000012179 Eagan Valley Pediatrics PA 14135 Cedar Ave Ste 100 Apple Valley MN 55124 Childrens Health Network 00000012130 Partners in Pediatrics 8500 Edinbrook Pkwy Brooklyn Park MN 55443 Childrens Health Network 00000012067 Metropolitan Pediatric Specialists 14050 Nicollet Ave Ste 300 Burnsville MN 55337 Childrens Health Network 00000012251 South Lake Pediatrics 111 Hundertmark Rd Ste 210 Chaska MN 55318 Childrens Health Network 00000012184 Wayzata Childrens Clinic PA 111 Hundertmark Rd Ste 420 Chaska MN 55318 Childrens Health Network 00000012059 Pediatric & Young Adult Medicine PA 3470 Washington Dr Ste 201 Eagan MN 55122 Childrens Health Network 00000012176 All About Children Pediatrics 12200 Middle Set Rd Ste 100 Eden Prairie MN 55344 Childrens Health Network 00000012063 South Lake Pediatrics 800 Prairie Center Dr Ste 120 Eden Prairie MN 55344 Childrens Health Network 00000012004 Edina Pediatrics 7025 France Ave S Ste 100 Edina MN 55435 Childrens Health Network 00000012021 Metropolitan Pediatric Specialists 6545 France Ave S Ste 400 Edina MN 55435 Childrens Health Network 00000012055 Fridley Childrens & Teenagers Medical Ctr PA 500 Osborne Rd NE Ste 215 Fridley MN 55432 Childrens Health Network 00000012228 Pediatric & Young Adult Medicine PA 1610 Maxwell Dr Ste 245 Hudson WI 54016 Childrens Health Network 00000012116 Childrens Hugo Clinic 14701 Victor Hugo Blvd N Hugo MN 55038 Childrens Health Network 00000012227 Northern Lights Pediatric and Adolescent Medicine 14712 Victor Hugo Blvd N Hugo MN 55038 Childrens Health Network 00000012041 Dakota Pediatrics PA 5975 Carmen Ave Inver Grove Heights MN 55076 Childrens Health Network 00000012171 Pediatric & Young Adult Medicine PA 8650 Hudson Blvd N Ste 125 Lake Elmo MN 55042 Childrens Health Network 00000012015 Partners in Pediatrics 12720 Bass Lake Rd Maple Grove MN 55369 Childrens Health Network 00000012127 South Lake Pediatrics 12000 Elm Creek Blvd N Ste 250 Maple Grove MN 55369 Childrens Health Network 00000012060 Pediatric & Young Adult Medicine PA 1655 Beam Ave Ste 108 Maplewood MN 55109 Childrens Health Network 00000012139 Childrens Clinic-Minneapolis 2525 Chicago Ave Fl 5 Minneapolis MN 55404 Childrens Health Network 0000012263 Childrens Primary Clinic 2530 Chicago Ave Minneapolis MN 55404 Childrens Health Network 00000012018 South Lake Pediatrics 17705 Hutchins Dr Ste 101 Minnetonka MN 55345 Childrens Health Network 00000012168 South Lake Pediatrics 6060 Clearwater Dr Ste 240 Minnetonka MN 55343 Childrens Health Network 00000012016 Wayzata Childrens Clinic PA 14001 Ridgedale Dr Ste 100 Minnetonka MN 55305 Childrens Health Network 00000012143 Partners in Pediatrics 2855 Campus Dr Ste 350 Plymouth MN 55441 Childrens Health Network 00000012141 South Lake Pediatrics 2805 Campus Dr Ste 235 Plymouth MN 55441 Childrens Health Network 00000012211 Partners in Pediatrics 13980 Northdale Blvd Rogers MN 55374 Childrens Health Network 00000012005 Partners in Pediatrics 3910 Excelsior Blvd Saint Louis Park MN 55416 Childrens Health Network 00000012009 Pediatric Services PA 5111 Minnetonka Blvd Saint Louis Park MN 55416 Medica Elect 3 Updated 10/20/2015

Medica Elect Elect Care System PCC # Primary Care Clinic Name Address City State Zip Childrens Health Network 00000012013 Central Pediatrics PA 1536 Larpenteur Ave W Saint Paul MN 55113 Childrens Health Network 00000012177 Childrens Clinic-St Paul 347 Smith Ave N Ste 302 Saint Paul MN 55102 Childrens Health Network 00000012006 Pediatric & Young Adult Medicine PA 233 Grand Ave Saint Paul MN 55102 Childrens Health Network 00000012175 Metropolitan Pediatric Specialists 1515 Saint Francis Ave Ste 100 Shakopee MN 55379 Childrens Health Network 00000012183 Wayzata Childrens Clinic PA 4695 Shoreline Dr Ste A Spring Park MN 55384 Childrens Health Network 00000012237 Northern Lights Pediatric and Adolescent Medicine 3555 Willow Lake Blvd Ste 140 Vadnais Heights MN 55110 Childrens Health Network 00000012052 Childrens West St Paul Clinic 1547 Livingston Ave West Saint Paul MN 55118 Childrens Health Network 00000012212 Mendakota Pediatrics Ltd 1880 Livingston Ave Ste 102 West Saint Paul MN 55118 Childrens Health Network 00000012057 Central Pediatrics PA 7803 Afton Rd Woodbury MN 55125 Hennepin County Medical Center 00000004461 Brooklyn Center Clinic HCMC 6601 Shingle Creek Pkwy Ste 40 Brooklyn Center MN 55430 Hennepin County Medical Center 00000004892 Brooklyn Park Clinic HCMC 7650 Zane Ave N Brooklyn Park MN 55443 Hennepin County Medical Center 00000003835 Golden Valley Clinic HCMC 5653 Duluth St Golden Valley MN 55422 Hennepin County Medical Center 00000000086 East Lake Clinic HCMC 2700 E Lake St Ste 1100 Minneapolis MN 55406 Hennepin County Medical Center 00000004551 HCMC Medicine Clinic 701 Park Ave Dept P7 Minneapolis MN 55415 Hennepin County Medical Center 00000012162 HCMC Pediatric Clinic 701 Park Ave Dept P7 Minneapolis MN 55415 Hennepin County Medical Center 00000004470 Internal Med at Parkside HCMC 825 S 8th St Ste 206 Minneapolis MN 55404 Hennepin County Medical Center 00000001214 Whittier Clinic HCMC 2810 Nicollet Ave Minneapolis MN 55408 Hennepin County Medical Center 00000000302 HCMC Richfield Clinic 44 W 66th St Richfield MN 55423 Hennepin County Medical Center 00000000678 St Anthony Clinic HCMC 2714 Highway 88 Saint Anthony MN 55418 Integrity Health Network LLC 00000000448 Mainstreet Clinic 1001 Main St W Ashland WI 54806 Integrity Health Network LLC 00000001966 Clearwater Medical Clinic PA 615 Nelson Dr Clearwater MN 55320 Integrity Health Network LLC 00000000210 Raiter Clinic Ltd 417 Skyline Blvd Cloquet MN 55720 Integrity Health Network LLC 00000004701 Christopher J Wenner MD PA 218 Main St Cold Spring MN 56320 Integrity Health Network LLC 00000001963 Cold Spring Medical Clinic 402 Red River Ave N Ste 2 Cold Spring MN 56320 Integrity Health Network LLC 00000000255 Cromwell Medical Clinic PLLC 5565 Highway 210 Cromwell MN 55726 Integrity Health Network LLC 00000000829 Iron Range Clinic 239 McKinley Ave Eveleth MN 55734 Integrity Health Network LLC 00000001825 NorthLakes Community Clinic 11128 N State Hwy 77 Hayward WI 54843 Integrity Health Network LLC 00000001824 NorthLakes Community Clinic 600 W Shell Creek Rd Ste 1 Minong WI 54859 Integrity Health Network LLC 00000000235 St Cloud Express Care - North Campus 251 County Road 120 Saint Cloud MN 56303 Integrity Health Network LLC 00000000337 St Cloud Medical Group - Northwest 251 County Road 120 Saint Cloud MN 56303 Integrity Health Network LLC 00000001962 St Cloud Medical Group - South Campus 1301 33rd St S Saint Cloud MN 56301 Medica Elect 4 Updated 10/20/2015

Medica Elect Elect Care System PCC # Primary Care Clinic Name Address City State Zip Integrity Health Network LLC 00000002377 Sartell Pediatrics 111 2nd St S Sartell MN 56377 Lakeview Health 00000002403 Stillwater Medical Group Mahtomedi 700 Wildwood Rd Mahtomedi MN 55115 Lakeview Health 00000000577 Stillwater Medical Group 700 Rivard St Somerset WI 54025 Lakeview Health 00000001206 Stillwater Medical Group 1500 Curve Crest Blvd W Stillwater MN 55082 Minnesota Healthcare Network 00000000103 Albertville-St Michael Clinic 11091 Jason Ave NE Albertville MN 55301 Minnesota Healthcare Network 00000000354 Apple Valley Medical Center 14655 Galaxie Ave Apple Valley MN 55124 Minnesota Healthcare Network 00000001817 Multicare Associates - Blaine Medical Center 11855 Ulysses St NE Ste 110 Blaine MN 55434 Minnesota Healthcare Network 00000001938 Buffalo Clinic PA 1700 Highway 25 N Buffalo MN 55313 Minnesota Healthcare Network 00000000720 Burnsville Family Physicians 625 E Nicollet Blvd Ste 100 Burnsville MN 55337 Minnesota Healthcare Network 00000000499 Trinity Integrative Medicine PA 2434 E 117th St Ste 200 Burnsville MN 55337 Minnesota Healthcare Network 00000001675 Ridgeview Chanhassen Clinic 7907 Powers Blvd Chanhassen MN 55317 Minnesota Healthcare Network 00000000493 Lakeview Clinic Ltd-Chaska 110105 Pioneer Trl W Ste 100 Chaska MN 55318 Minnesota Healthcare Network 00000000922 Ridgeview Specialty Clinic 111 Hundertmark Rd Ste 490 Chaska MN 55318 Minnesota Healthcare Network 00000001087 Valley Family Practice PA 822 Yellow Brick Rd Chaska MN 55318 Minnesota Healthcare Network 00000001921 Northwest Family Physicians 5700 Bottineau Blvd Ste 100 Crystal MN 55429 Minnesota Healthcare Network 00000001693 Ridgeview Delano Clinic 916 Saint Peter St Delano MN 55328 Minnesota Healthcare Network 00000000606 Edina Sports Health and Wellness PA 7701 York Ave S Ste 300 Edina MN 55435 Minnesota Healthcare Network 00000001040 France Avenue Family Physicians 7250 France Ave S Ste 410 Edina MN 55435 Minnesota Healthcare Network 00000004805 Wright Medical Care PLLC 7300 Metro Blvd Ste 140 Edina MN 55439 Minnesota Healthcare Network 00000000278 Vibrant Health Family Clinics 144 S Plum St Ellsworth WI 54011 Minnesota Healthcare Network 00000000922 Ridgeview Excelsior Clinic 675 Water St Excelsior MN 55331 Minnesota Healthcare Network 00000000090 Dulcimer Medical Center PA 1950 Center Creek Dr Ste 100 Fairmont MN 56031 Minnesota Healthcare Network 00000000097 Smart Clinic 322 S State St Fairmont MN 56031 Minnesota Healthcare Network 00000001815 Multicare Associates of the Twin Cities 480 Osborne Rd NE # 100 Fridley MN 55432 Minnesota Healthcare Network 00000001356 Glencoe Regional Health Services (MRHC) 1805 Hennepin Ave N Glencoe MN 55336 Minnesota Healthcare Network 00000000175 Burnett Medical Center Clinic 257 W Saint George Ave Grantsburg WI 54840 Minnesota Healthcare Network 00000000455 Ridgeview Howard Lake Clinic 900 6th St Howard Lake MN 55349 Minnesota Healthcare Network 00000001568 Hudson Physicians 403 Stageline Rd Hudson WI 54016 Minnesota Healthcare Network 00000004871 Lake City Family Physicians 507 W Doughty St Lake City MN 55041 Minnesota Healthcare Network 00000004227 Glencoe Regional Health Srvc-Lester Prairie (MRHC) 1024 Central Ave Lester Prairie MN 55354 Minnesota Healthcare Network 00000002153 Odom Sports Medicine 10500 Wayzata Blvd Minnetonka MN 55305 Medica Elect 5 Updated 10/20/2015

Medica Elect Elect Care System PCC # Primary Care Clinic Name Address City State Zip Minnesota Healthcare Network 00000004477 Monticello Clinic 1001 Hart Blvd Ste 100 Monticello MN 55362 Minnesota Healthcare Network 00000001865 Parkview Medical Clinic 1400 1st St NE New Prague MN 56071 Minnesota Healthcare Network 00000001837 Lakeview Clinic Ltd- West 406 Faxon Rd N Norwood MN 55368 Minnesota Healthcare Network 00000001923 Northwest Family Physicians 1495 County Road 101 N Plymouth MN 55447 Minnesota Healthcare Network 00000001035 Richfield Medical Group LTD 6440 Nicollet Ave Richfield MN 55423 Minnesota Healthcare Network 00000000277 Vibrant Health Family Clinics 1687 E Division St River Falls WI 54022 Minnesota Healthcare Network 00000001980 Northwest Family Physicians 21395 John Milless Dr Rogers MN 55374 Minnesota Healthcare Network 00000001816 Multicare Associates of the Twin Cities 1835 County Road C W Roseville MN 55113 Minnesota Healthcare Network 00000001142 Richard Schoewe MD 2381 Rice St Roseville MN 55113 Minnesota Healthcare Network 00000000231 Advanced Medical Clinic Inc 491 University Ave W Ste B Saint Paul MN 55103 Minnesota Healthcare Network 00000000355 Parkway Family Physicians 721 Snelling Ave S Saint Paul MN 55116 Minnesota Healthcare Network 00000000433 St Paul Family Medical Center 1239 Payne Ave Saint Paul MN 55130 Minnesota Healthcare Network 00000001691 Ridgeview Westonka Clinic 4695 Shoreline Dr Spring Park MN 55384 Minnesota Healthcare Network 00000000279 Vibrant Health Family Clinics 130 S McKay Ave Spring Valley WI 54767 Minnesota Healthcare Network 00000001392 Glencoe Regional Health Services (MRHC) 300 Bowman St Stewart MN 55385 Minnesota Healthcare Network 00000001196 Lakeview Clinic Ltd 424 W Highway 5 Waconia MN 55387 Minnesota Healthcare Network 00000000074 Catalyst Medical Clinic PA 204 Lewis Ave S Ste 201 Watertown MN 55388 Minnesota Healthcare Network 00000001130 Lakeview Clinic Ltd 309 Jefferson Ave SW Watertown MN 55388 Minnesota Healthcare Network 00000001941 AALFA Family Clinic 4465 White Bear Pkwy White Bear Lake MN 55110 Minnesota Healthcare Network 00000001437 Family Practice Medical Center-Willmar (MRHC) 502 2nd St SW Willmar MN 56201 Minnesota Healthcare Network 00000001990 Ridgeview Winsted Clinic 551 4th St N Winsted MN 55395 Minnesota Healthcare Network 00000000395 Ilko Family Medicine PA 1687 Woodlane Dr Ste 102 Woodbury MN 55125 Park Nicollet Health Services 00000000980 Park Nicollet Clinic-Bloomington 5320 Hyland Greens Dr Bloomington MN 55437 Park Nicollet Health Services 00000000981 Park Nicollet Clinic-Brookdale 6000 Earle Brown Dr Brooklyn Center MN 55430 Park Nicollet Health Services 00000000982 Park Nicollet Clinic-Burnsville 14000 Fairview Dr Burnsville MN 55337 Park Nicollet Health Services 00000002396 Park Nicollet Clinic - Champlin 12142 Business Park Blvd N Champlin MN 55316 Park Nicollet Health Services 00000000984 Park Nicollet Clinic-Chanhassen 300 Lake Dr E Chanhassen MN 55317 Park Nicollet Health Services 00000000983 Park Nicollet Clinic-Eagan 1885 Plaza Dr Eagan MN 55122 Park Nicollet Health Services 00000000011 Park Nicollet Clinic-Alexander Center 8455 Flying Cloud Dr Ste 205 Eden Prairie MN 55344 Park Nicollet Health Services 00000001099 Park Nicollet Clinic-Prairie Center 8455 Flying Cloud Dr Ste 200 Eden Prairie MN 55344 Park Nicollet Health Services 00000001147 Morningside Family Physicians PA 3920 Sunnyside Rd Edina MN 55424 Medica Elect 6 Updated 10/20/2015

Medica Elect Elect Care System PCC # Primary Care Clinic Name Address City State Zip Park Nicollet Health Services 00000000988 Park Nicollet Clinic Shorewood 19685 Highway 7 Excelsior MN 55331 Park Nicollet Health Services 00000001038 Park Nicollet Clinic-Golden Valley 8240 Golden Valley Rd Golden Valley MN 55427 Park Nicollet Health Services 00000004896 Park Nicollet Clinic-Lakeville 18432 Kenrick Ave Lakeville MN 55044 Park Nicollet Health Services 00000000545 Park Nicollet Clinic-Maple Grove 15800 95th Ave N Maple Grove MN 55369 Park Nicollet Health Services 00000000986 Park Nicollet Clinic-Minneapolis 2001 Blaisdell Ave Minneapolis MN 55404 Park Nicollet Health Services 00000000987 Park Nicollet Clinic-Carlson Parkway 15111 Twelve Oaks Center Dr Minnetonka MN 55305 Park Nicollet Health Services 00000000989 Park Nicollet Clinic-Plymouth 4155 County Road 101 N Plymouth MN 55446 Park Nicollet Health Services 00000000990 Park Nicollet Clinic-Prior Lake 4670 Park Nicollet Ave SE Prior Lake MN 55372 Park Nicollet Health Services 00000012265 Park Nicollet Clinic - Rogers 13688 Rogers Dr Ste 230 Rogers MN 55374 Park Nicollet Health Services 00000001743 Park Nicollet Clinic-Creekside 6600 Excelsior Blvd Ste 160 Saint Louis Park MN 55426 Park Nicollet Health Services 00000004435 Park Nicollet Clinic-Meadowbrook 3931 Louisiana Ave S Saint Louis Park MN 55426 Park Nicollet Health Services 00000004429 Park Nicollet Clinic-St Louis Park 3800 Park Nicollet Blvd Saint Louis Park MN 55416 Park Nicollet Health Services 00000004438 Park Nicollet Clinic-Shakopee 1415 Saint Francis Ave Shakopee MN 55379 Park Nicollet Health Services 00000000543 Park Nicollet Clinic Wayzata - Family Medicine 250 Central Ave N Ste 228 Wayzata MN 55391 Park Nicollet Health Services 00000004029 Park Nicollet Clinic Wayzata Internal Med 250 Central Ave N Ste 220 Wayzata MN 55391 Riverway-North Suburban 00000000462 Riverway Clinics-Andover 15245 Bluebird St NW Andover MN 55304 Riverway-North Suburban 00000001193 Riverway Clinics-Anoka 601 Jacob Ln Anoka MN 55303 Riverway-North Suburban 00000000623 HealthPartners-Coon Rapids Clinic 11475 Robinson Dr NW Coon Rapids MN 55433 Riverway-North Suburban 00000001009 Riverway Clinics-Elk River 530 3rd St NW Elk River MN 55330 Riverway-North Suburban 00000000178 North Suburban Family Physicians PA 576 Apollo Dr Lino Lakes MN 55014 Riverway-North Suburban 00000000179 North Suburban Family Physicians PA 2831 Snelling Ave N Roseville MN 55113 St Lukes Care System 00000000489 Chequamegon Clinic SC 415 Ellis Ave Ashland WI 54806 St Lukes Care System 00000001446 Denfeld Medical Center 4702 Grand Ave Duluth MN 55807 St Lukes Care System 00000004164 Duluth Internal Medicine Associates 324 W Superior St Ste 220 Duluth MN 55802 St Lukes Care System 00000004776 Lester River Medical Clinic 6351 E Superior St Duluth MN 55804 St Lukes Care System 00000001814 Mount Royal Medical Center 1400 Woodland Ave Duluth MN 55803 St Lukes Care System 00000000340 PS Rudie Medical Clinic 26 E Superior St Ste 205 Duluth MN 55802 St Lukes Care System 00000004530 St Lukes Internal Medicine Associates 1001 E Superior St Ste L401 Duluth MN 55802 St Lukes Care System 00000000772 St Lukes Pediatric Associates 1012 E 2nd St Duluth MN 55805 St Lukes Care System 00000000029 Miller Creek Medical Clinic 4884 Miller Trunk Hwy Hermantown MN 55811 St Lukes Care System 00000000497 Hibbing Family Medical Center 1120 E 34th St Hibbing MN 55746 Medica Elect 7 Updated 10/20/2015

Medica Elect Elect Care System PCC # Primary Care Clinic Name Address City State Zip St Lukes Care System 00000000450 Bay Area Health Center 50 Outer Dr Silver Bay MN 55614 St Lukes Care System 00000001491 Mariner Medical Clinic 109 N 28th St E Superior WI 54880 St Lukes Care System 00000000970 Lake View Clinic 1010 4th St Two Harbors MN 55616 St Lukes Care System 00000000881 Laurentian Medical Clinic 8373 Unity Dr Virginia MN 55792 Medica Elect 8 Updated 10/20/2015

MEDICA ESSENTIAL Essential Care System PCC # Primary Care Clinic Name Address City State Zip Altru Health System 00000000635 Lakewood Health Center Clinic 600 Main Ave S Baudette MN 56623 Altru Health System 00000000636 Altru Clinic-Cavalier 201 E 3rd Ave S Cavalier ND 58220 Altru Health System 00000000631 Altru Clinic-Crookston 400 S Minnesota St Crookston MN 56716 Altru Health System 00000000643 Altru Clinic-Lake Region 1001 7th St NE Devils Lake ND 58301 Altru Health System 00000000638 Altru Clinic-Drayton 1003 N Main St Drayton ND 58225 Altru Health System 00000000639 Altru Clinic-Erskine 23076 347th St SE Erskine MN 56535 Altru Health System 00000000640 Altru Clinic-Fertile Mill St and Main Fertile MN 56540 Altru Health System 00000000632 Altru Family Medicine Center 1380 S Columbia Rd Grand Forks ND 58201 Altru Health System 00000000630 Altru Main Clinic 1000 S Columbia Rd Grand Forks ND 58201 Altru Health System 00000000641 Altru Clinic-Greenbush 19120 200th St Greenbush MN 56726 Altru Health System 00000000646 Altru Clinic-Red Lake Falls 312 International Dr Red Lake Falls MN 56750 Altru Health System 00000000647 Altru Clinic-Roseau 711 Delmore Dr Roseau MN 56751 Altru Health System 00000000648 Altru Clinic-Warroad 412 Main Ave NE Warroad MN 56763 Childrens Health Network 00000012179 Eagan Valley Pediatrics PA 14135 Cedar Ave Ste 100 Apple Valley MN 55124 Childrens Health Network 00000012130 Partners in Pediatrics 8500 Edinbrook Pkwy Brooklyn Park MN 55443 Childrens Health Network 00000012067 Metropolitan Pediatric Specialists 14050 Nicollet Ave Ste 300 Burnsville MN 55337 Childrens Health Network 00000012066 Southdale Pediatric Associates Ltd 501 E Nicollet Blvd Ste 200 Burnsville MN 55337 Childrens Health Network 00000012251 South Lake Pediatrics 111 Hundertmark Rd Ste 210 Chaska MN 55318 Childrens Health Network 00000012184 Wayzata Childrens Clinic PA 111 Hundertmark Rd Ste 420 Chaska MN 55318 Childrens Health Network 00000012059 Pediatric & Young Adult Medicine PA 3470 Washington Dr Ste 201 Eagan MN 55122 Childrens Health Network 00000012176 All About Children Pediatrics 12200 Middle Set Rd Ste 100 Eden Prairie MN 55344 Childrens Health Network 00000012063 South Lake Pediatrics 800 Prairie Center Dr Ste 120 Eden Prairie MN 55344 Childrens Health Network 00000012132 Southdale Pediatric Associates Ltd 18315 Cascade Dr Ste 170 Eden Prairie MN 55347 Childrens Health Network 00000012021 Metropolitan Pediatric Specialists 6545 France Ave S Ste 400 Edina MN 55435 Childrens Health Network 00000012003 Southdale Pediatric Associates Ltd 3955 Parklawn Ave Ste 120 Edina MN 55435 Childrens Health Network 00000012055 Fridley Childrens & Teenagers Medical Ctr PA 500 Osborne Rd NE Ste 215 Fridley MN 55432 Childrens Health Network 00000012228 Pediatric & Young Adult Medicine PA 1610 Maxwell Dr Ste 245 Hudson WI 54016 Childrens Health Network 00000012116 Childrens Hugo Clinic 14701 Victor Hugo Blvd N Hugo MN 55038 Childrens Health Network 00000012227 Northern Lights Pediatric and Adolescent Medicine 14712 Victor Hugo Blvd N Hugo MN 55038 Childrens Health Network 00000012171 Pediatric & Young Adult Medicine PA 8650 Hudson Blvd N Ste 125 Lake Elmo MN 55042 Childrens Health Network 00000012015 Partners in Pediatrics 12720 Bass Lake Rd Maple Grove MN 55369 Medica Essential 1 Updated 10/20/2015

MEDICA ESSENTIAL Essential Care System PCC # Primary Care Clinic Name Address City State Zip Childrens Health Network 00000012127 South Lake Pediatrics 12000 Elm Creek Blvd N Ste 250 Maple Grove MN 55369 Childrens Health Network 00000012060 Pediatric & Young Adult Medicine PA 1655 Beam Ave Ste 108 Maplewood MN 55109 Childrens Health Network 00000012139 Childrens Clinic-Minneapolis 2525 Chicago Ave Fl 5 Minneapolis MN 55404 Childrens Health Network 0000012263 Childrens Primary Clinic 2530 Chicago Ave Minneapolis MN 55404 Childrens Health Network 00000012018 South Lake Pediatrics 17705 Hutchins Dr Ste 101 Minnetonka MN 55345 Childrens Health Network 00000012168 South Lake Pediatrics 6060 Clearwater Dr Ste 240 Minnetonka MN 55343 Childrens Health Network 00000012016 Wayzata Childrens Clinic PA 14001 Ridgedale Dr Ste 100 Minnetonka MN 55305 Childrens Health Network 00000012143 Partners in Pediatrics 2855 Campus Dr Ste 350 Plymouth MN 55441 Childrens Health Network 00000012141 South Lake Pediatrics 2805 Campus Dr Ste 235 Plymouth MN 55441 Childrens Health Network 00000012211 Partners in Pediatrics 13980 Northdale Blvd Rogers MN 55374 Childrens Health Network 00000012005 Partners in Pediatrics 3910 Excelsior Blvd Saint Louis Park MN 55416 Childrens Health Network 00000012009 Pediatric Services PA 5111 Minnetonka Blvd Saint Louis Park MN 55416 Childrens Health Network 00000012013 Central Pediatrics PA 1536 Larpenteur Ave W Saint Paul MN 55113 Childrens Health Network 00000012177 Childrens Clinic-St Paul 347 Smith Ave N Ste 302 Saint Paul MN 55102 Childrens Health Network 00000012006 Pediatric & Young Adult Medicine PA 233 Grand Ave Saint Paul MN 55102 Childrens Health Network 00000012175 Metropolitan Pediatric Specialists 1515 Saint Francis Ave Ste 100 Shakopee MN 55379 Childrens Health Network 00000012183 Wayzata Childrens Clinic PA 4695 Shoreline Dr Ste A Spring Park MN 55384 Childrens Health Network 00000012237 Northern Lights Pediatric and Adolescent Medicine 3555 Willow Lake Blvd Ste 140 Vadnais Heights MN 55110 Childrens Health Network 00000012052 Childrens West St Paul Clinic 1547 Livingston Ave West Saint Paul MN 55118 Childrens Health Network 00000012212 Mendakota Pediatrics Ltd 1880 Livingston Ave Ste 102 West Saint Paul MN 55118 Childrens Health Network 00000012057 Central Pediatrics PA 7803 Afton Rd Woodbury MN 55125 Essentia Health West 00000001769 EH-Bagley Clinic 121 Central St W Bagley MN 56621 Essentia Health West 00000001993 EH-Casselton Clinic 5 9th Ave N Casselton ND 58012 Essentia Health West 00000001828 EH-SM Hospital Detroit Lakes 1027 Washington Ave Detroit Lakes MN 56501 Essentia Health West 00000000052 EH-32 Ave Clinic 3000 32nd Ave S Fargo ND 58103 Essentia Health West 00000001382 EH-South University Clinic 1702 University Dr S Fargo ND 58103 Essentia Health West 00000000040 EH-West Acres Clinic 3902 13th Ave S Fargo ND 58103 Essentia Health West 00000000452 EH-Fosston Clinic 900 Hilligoss Blvd SE Fosston MN 56542 Essentia Health West 00000001899 EH-SM Frazee Clinic 300 W Main Ave Frazee MN 56544 Essentia Health West 00000001581 EH-Hankinson Clinic 501 Main Ave S Hankinson ND 58041 Essentia Health West 00000001586 EH-Jamestown Clinic 2430 20th St SW Jamestown ND 58401 Medica Essential 2 Updated 10/20/2015

MEDICA ESSENTIAL Essential Care System PCC # Primary Care Clinic Name Address City State Zip Essentia Health West 00000000039 EH-SM Lake Park Clinic 1005 1st St Lake Park MN 56554 Essentia Health West 00000000035 EH-Lisbon Clinic 819 Main St Lisbon ND 58054 Essentia Health West 00000000064 EH-Mahnomen Clinic 117 N Main St Mahnomen MN 56557 Essentia Health West 00000001914 EH-Menahga Clinic 212 Aspen Ave NE Menahga MN 56464 Essentia Health West 00000000038 EH-Moorhead Clinic 801 Belsly Blvd Moorhead MN 56560 Essentia Health West 00000000037 EH-Park Rapids Clinic 705 Pleasant Ave S Park Rapids MN 56470 Essentia Health West 00000004936 EH-SM Pelican Rapids Clinic 301 N Broadway Pelican Rapids MN 56572 Essentia Health West 00000001722 EH-Valley City Clinic 132 4th Ave NE Valley City ND 58072 Essentia Health West 00000001948 EH-Wahpeton Clinic 275 11th St S Wahpeton ND 58075 Essentia Health West 00000000041 EH-Walker Clinic 110D Michigan Ave W Walker MN 56484 Essentia Health West 00000000036 EH-West Fargo Clinic 1401 13th Ave E West Fargo ND 58078 Fairview Physicians Associates 00000000470 Fairview Clinics - Andover 13819 Hanson Blvd NW Andover MN 55304 Fairview Physicians Associates 00000001973 Fairview Clinics - Apple Valley 15650 Cedar Ave Apple Valley MN 55124 Fairview Physicians Associates 00000007383 Metropolitan Obstetrics and Gynecology PA 14655 Galaxie Ave Apple Valley MN 55124 Fairview Physicians Associates 00000000062 Fairview Clinics - Blaine 10961 Club West Pkwy Blaine MN 55449 Fairview Physicians Associates 00000004134 Fairview Clinics - Bloomington Oxboro 600 W 98th St Bloomington MN 55420 Fairview Physicians Associates 00000001310 Fairview Clinics-Bloomington Lake-Xerxes 7901 Xerxes Ave S Ste 116 Bloomington MN 55431 Fairview Physicians Associates 00000001410 Fairview Clinics - Brooklyn Park 10000 Zane Ave N Brooklyn Park MN 55443 Fairview Physicians Associates 00000000720 Burnsville Family Physicians 625 E Nicollet Blvd Ste 100 Burnsville MN 55337 Fairview Physicians Associates 00000004240 Fairview Clinics - Burnsville 303 E Nicollet Blvd Ste 160 Burnsville MN 55337 Fairview Physicians Associates 00000007105 Obstetrics and Gynecology Specialists 305 E Nicollet Blvd Ste 170 Burnsville MN 55337 Fairview Physicians Associates 00000007075 Southdale Ob/Gyn Consultants PA 305 E Nicollet Blvd Ste 393 Burnsville MN 55337 Fairview Physicians Associates 00000004857 Obstetrics & Gynecology West PA 111 Hundertmark Rd Ste 440 Chaska MN 55318 Fairview Physicians Associates 00000000224 Fairview Clinics - Chisago City 11725 Stinson Ave Chisago City MN 55013 Fairview Physicians Associates 00000001408 Fairview Clinics - Columbia Heights 4000 Central Ave NE Columbia Heights MN 55421 Fairview Physicians Associates 00000007039 Oakdale OB-Gyn PA 5700 Bottineau Blvd Ste 210 Crystal MN 55429 Fairview Physicians Associates 00000001631 Fairview Clinics - Eagan 1440 Duckwood Dr Eagan MN 55122 Fairview Physicians Associates 00000001758 Fairview Clinics - Eden Prairie 830 Prairie Center Dr Eden Prairie MN 55344 Fairview Physicians Associates 00000007300 Obstetrics & Gynecology West PA 800 Prairie Center Dr Ste 130 Eden Prairie MN 55344 Fairview Physicians Associates 00000007188 Associates in Womens Health 6517 Drew Ave S Edina MN 55435 Fairview Physicians Associates 00000007323 Clinic Sofia OB-GYN PA 6545 France Ave S Ste 490 Edina MN 55435 Medica Essential 3 Updated 10/20/2015

MEDICA ESSENTIAL Essential Care System PCC # Primary Care Clinic Name Address City State Zip Fairview Physicians Associates 00000007173 Diamond Womens Center 6545 France Ave S Ste 540 Edina MN 55435 Fairview Physicians Associates 00000012004 Edina Pediatrics 7025 France Ave S Ste 100 Edina MN 55435 Fairview Physicians Associates 00000000606 Edina Sports Health and Wellness PA 7701 York Ave S Ste 300 Edina MN 55435 Fairview Physicians Associates 00000000362 Fairview Clinics - Edina 6545 France Ave S Ste 150 Edina MN 55435 Fairview Physicians Associates 00000001040 France Avenue Family Physicians 7250 France Ave S Ste 410 Edina MN 55435 Fairview Physicians Associates 00000007104 John A Haugen Associates PA 3400 W 66th St Ste 385 Edina MN 55435 Fairview Physicians Associates 00000000754 Minnesota Gynecology and Surgery - Fairview 7450 France Ave S Ste 240 Edina MN 55435 Fairview Physicians Associates 00000007020 Paul Larson Ob-Gyn Clinic PA 6525 France Ave S Ste 100 Edina MN 55435 Fairview Physicians Associates 00000007003 Southdale Ob/Gyn Consultants PA 3625 W 65th St Ste 100 Edina MN 55435 Fairview Physicians Associates 00000007361 Women and Adolescents Gynecology Center 7300 France Ave S Ste 328 Edina MN 55435 Fairview Physicians Associates 00000001840 Fairview Clinics - Elk River 290 Main St NW Ste 100 Elk River MN 55330 Fairview Physicians Associates 00000000141 Fairview Clinics - Farmington 19685 Pilot Knob Rd Ste 100 Farmington MN 55024 Fairview Physicians Associates 00000001409 Fairview Clinics - Fridley 6341 University Ave NE Fridley MN 55432 Fairview Physicians Associates 00000000061 Fairview Clinics - Hugo 14712 Victor Hugo Blvd N Hugo MN 55038 Fairview Physicians Associates 00000012041 Dakota Pediatrics PA 5975 Carmen Ave Inver Grove Heights MN 55076 Fairview Physicians Associates 00000000880 Fairview Clinics - Lakeville 18580 Joplin Ave Lakeville MN 55044 Fairview Physicians Associates 00000000467 Fairview Clinics - Lino Lakes 7455 Village Dr Lino Lakes MN 55014 Fairview Physicians Associates 00000007410 Clinic Sofia OB-GYN PA 15679 Grove Cir N Maple Grove MN 55369 Fairview Physicians Associates 00000000084 Fairview Clinics - Bass Lake 6320 Wedgwood Rd N Maple Grove MN 55311 Fairview Physicians Associates 00000000134 Fairview Clinics - Maple Grove 14500 99th Ave N Maple Grove MN 55369 Fairview Physicians Associates 00000007333 Oakdale OB-Gyn PA 9825 Hospital Dr Ste 205 Maple Grove MN 55369 Fairview Physicians Associates 00000007389 Obstetrics Gynecology and Infertility PA 9550 Upland Ln N Ste 230 Maple Grove MN 55369 Fairview Physicians Associates 00000000750 Metropolitan Obstetrics and Gynecology PA 1655 Beam Ave Ste 102 Maplewood MN 55109 Fairview Physicians Associates 00000007163 Partners Obstetrics and Gynecology PA 1737 Beam Ave Maplewood MN 55109 Fairview Physicians Associates 00000001591 Fairview Clinics - Milaca 150 10th St NW Milaca MN 56353 Fairview Physicians Associates 00000007187 Associates in Womens Health 825 Nicollet Mall Ste 853 Minneapolis MN 55402 Fairview Physicians Associates 00000002303 Fairview Clinics - Bloomington Lake 1527 E Lake St Ste 150 Minneapolis MN 55407 Fairview Physicians Associates 00000001807 Fairview Clinics - Hiawatha 3809 42nd Ave S Minneapolis MN 55406 Fairview Physicians Associates 00000001002 Fairview Clinics - Riverside 606 24th Ave S Ste 700 Minneapolis MN 55454 Fairview Physicians Associates 00000012165 Fairview Clinics - University Childrens 2535 University Ave SE Minneapolis MN 55414 Fairview Physicians Associates 00000001612 Fairview Clinics - Uptown 3033 Excelsior Blvd Ste 275 Minneapolis MN 55416 Medica Essential 4 Updated 10/20/2015

MEDICA ESSENTIAL Essential Care System PCC # Primary Care Clinic Name Address City State Zip Fairview Physicians Associates 00000007008 John A Haugen Associates PA 801 Nicollet Mall Ste 400 Minneapolis MN 55402 Fairview Physicians Associates 00000007079 Obstetrics & Gynecology West PA 14001 Ridgedale Dr Ste 200 Minnetonka MN 55305 Fairview Physicians Associates 00000001554 Fairview Clinics - New Brighton 1151 Silver Lake Rd NW New Brighton MN 55112 Fairview Physicians Associates 00000001230 Fairview Clinics - North Branch 5366 386th St NE North Branch MN 55056 Fairview Physicians Associates 00000004741 Fairview Clinics - Pine City 100 Evergreen Sq SW Pine City MN 55063 Fairview Physicians Associates 00000007235 John A Haugen Associates PA 2805 Campus Dr Ste 315 Plymouth MN 55441 Fairview Physicians Associates 00000007203 Oakdale OB-Gyn PA 15535 34th Ave N Ste 200 Plymouth MN 55447 Fairview Physicians Associates 00000001159 Fairview Clinics - Princeton 919 Northland Dr Princeton MN 55371 Fairview Physicians Associates 00000000149 Fairview Clinics - Prior Lake 4151 Willowwood St SE Prior Lake MN 55372 Fairview Physicians Associates 00000001035 Richfield Medical Group LTD 6440 Nicollet Ave Richfield MN 55423 Fairview Physicians Associates 00000000093 Fairview Clinics - Rogers 14040 Northdale Blvd Ste 10 Rogers MN 55374 Fairview Physicians Associates 00000004696 Fairview Clinics - Rosemount 15075 Cimarron Ave Rosemount MN 55068 Fairview Physicians Associates 00000001749 Fairview Clinics - Rush City 760 W 4th St Rush City MN 55069 Fairview Physicians Associates 00000004858 Fairview Clinics - St Francis 23671 Saint Francis Blvd NW St Saint Francis MN 55070 Fairview Physicians Associates 00000000204 Fairview Clinics - Highland Park 2155 Ford Pkwy Ste A Saint Paul MN 55116 Fairview Physicians Associates 00000000751 Metropolitan Obstetrics and Gynecology PA 17 Exchange St W Ste 622 Saint Paul MN 55102 Fairview Physicians Associates 00000004965 Fairview Clinics Savage 5725 Loftus Dr Savage MN 55378 Fairview Physicians Associates 00000007293 Adefris and Toppin Womens Specialists MD 1875 Woodwinds Dr Ste 110 Woodbury MN 55125 Fairview Physicians Associates 00000007267 Comprehensive Healthcare for Women PA 1687 Woodlane Dr Ste 101 Woodbury MN 55125 Fairview Physicians Associates 00000000752 Metropolitan Obstetrics and Gynecology PA 2101 Woodwinds Dr Ste 300 Woodbury MN 55125 Fairview Physicians Associates 00000001057 Fairview Clinics - Wyoming 5200 Fairview Blvd Wyoming MN 55092 Fairview Physicians Associates 00000001158 Fairview Clinics - Zimmerman 25945 Gateway Dr Zimmerman MN 55398 HealthEast Care System 00000001996 HealthEast Cottage Grove Clinic 6936 Pine Arbor Dr S Ste 100 Cottage Grove MN 55016 HealthEast Care System 00000004687 HealthEast Hugo Clinic 14688 Everton Ave N Ste 101 Hugo MN 55038 HealthEast Care System 00000007268 HealthEast Maplewood Clinic 3100 Kennard St Ste 100 Maplewood MN 55109 HealthEast Care System 00000001602 HealthEast Oakdale Clinic 1099 Helmo Ave N Ste 100 Oakdale MN 55128 HealthEast Care System 00000004865 Healtheast Roseville Clinic 2680 Snelling Ave N Ste 200 Roseville MN 55113 HealthEast Care System 00000004045 HealthEast Downtown St Paul Clinic 17 Exchange St W Ste 500 Saint Paul MN 55102 HealthEast Care System 00000000222 HealthEast Grand Ave Clinic 870 Grand Ave Saint Paul MN 55105 HealthEast Care System 00000004467 HealthEast Medical Care for Seniors 1700 University Ave W Fl 1 Saint Paul MN 55104 HealthEast Care System 00000004067 HealthEast Midway Clinic 1390 University Ave W Saint Paul MN 55104 Medica Essential 5 Updated 10/20/2015

MEDICA ESSENTIAL Essential Care System PCC # Primary Care Clinic Name Address City State Zip HealthEast Care System 00000001413 HealthEast Rice Street Clinic 980 Rice St Saint Paul MN 55117 HealthEast Care System 00000001003 HealthEast Roselawn Clinic 1983 Sloan Pl Ste 1 Saint Paul MN 55117 HealthEast Care System 00000000677 HealthEast Stillwater Clinic 2900 Curve Crest Blvd W Stillwater MN 55082 HealthEast Care System 00000001485 HealthEast Vadnais Heights Clinic 1055 Centerville Cir Vadnais Heights MN 55127 HealthEast Care System 00000006601 HealthEast Tamarack Clinic 9900 Tamarack Rd Woodbury MN 55125 HealthEast Care System 00000000501 HealthEast Woodbury Clinic 1875 Woodwinds Dr Woodbury MN 55125 Integrity Health Network LLC 00000000448 Mainstreet Clinic 1001 Main St W Ashland WI 54806 Integrity Health Network LLC 00000001966 Clearwater Medical Clinic PA 615 Nelson Dr Clearwater MN 55320 Integrity Health Network LLC 00000000210 Raiter Clinic Ltd 417 Skyline Blvd Cloquet MN 55720 Integrity Health Network LLC 00000004701 Christopher J Wenner MD PA 218 Main St Cold Spring MN 56320 Integrity Health Network LLC 00000001963 Cold Spring Medical Clinic 402 Red River Ave N Ste 2 Cold Spring MN 56320 Integrity Health Network LLC 00000000255 Cromwell Medical Clinic PLLC 5565 Highway 210 Cromwell MN 55726 Integrity Health Network LLC 00000000829 Iron Range Clinic 239 McKinley Ave Eveleth MN 55734 Integrity Health Network LLC 00000001825 NorthLakes Community Clinic 11128 N State Hwy 77 Hayward WI 54843 Integrity Health Network LLC 00000001824 NorthLakes Community Clinic 600 W Shell Creek Rd Ste 1 Minong WI 54859 Integrity Health Network LLC 00000000235 St Cloud Express Care - North Campus 251 County Road 120 Saint Cloud MN 56303 Integrity Health Network LLC 00000000337 St Cloud Medical Group - Northwest 251 County Road 120 Saint Cloud MN 56303 Integrity Health Network LLC 00000001962 St Cloud Medical Group - South Campus 1301 33rd St S Saint Cloud MN 56301 Integrity Health Network LLC 00000002377 Sartell Pediatrics 111 2nd St S Sartell MN 56377 St Lukes Care System 00000000489 Chequamegon Clinic SC 415 Ellis Ave Ashland WI 54806 St Lukes Care System 00000001446 Denfeld Medical Center 4702 Grand Ave Duluth MN 55807 St Lukes Care System 00000004164 Duluth Internal Medicine Associates 324 W Superior St Ste 220 Duluth MN 55802 St Lukes Care System 00000004776 Lester River Medical Clinic 6351 E Superior St Duluth MN 55804 St Lukes Care System 00000001814 Mount Royal Medical Center 1400 Woodland Ave Duluth MN 55803 St Lukes Care System 00000000340 PS Rudie Medical Clinic 26 E Superior St Ste 205 Duluth MN 55802 St Lukes Care System 00000004530 St Lukes Internal Medicine Associates 1001 E Superior St Ste L401 Duluth MN 55802 St Lukes Care System 00000000772 St Lukes Pediatric Associates 1012 E 2nd St Duluth MN 55805 St Lukes Care System 00000000029 Miller Creek Medical Clinic 4884 Miller Trunk Hwy Hermantown MN 55811 St Lukes Care System 00000000497 Hibbing Family Medical Center 1120 E 34th St Hibbing MN 55746 St Lukes Care System 00000000450 Bay Area Health Center 50 Outer Dr Silver Bay MN 55614 St Lukes Care System 00000001491 Mariner Medical Clinic 109 N 28th St E Superior WI 54880 Medica Essential 6 Updated 10/20/2015

MEDICA ESSENTIAL Essential Care System PCC # Primary Care Clinic Name Address City State Zip St Lukes Care System 00000000970 Lake View Clinic 1010 4th St Two Harbors MN 55616 St Lukes Care System 00000000881 Laurentian Medical Clinic 8373 Unity Dr Virginia MN 55792 Medica Essential 7 Updated 10/20/2015