First Choice Health PPO Network Idaho Directory www.fchn.com



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First Choice Health PPO Network Idaho Directory www.fchn.com When Looking for a Provider... The provider you select may not be available to all First Choice Health Network customers due to individual benefit plan or network restrictions. Please confirm your benefits and level of network access by contacting your insurance company or health plan administrator. Inclusion of a provider or facility in this directory does not guarantee coverage. A provider's network participation can vary depending upon where he/she is providing services. Be sure to confirm the provider's network participation at the location you plan to visit. Please consult your benefits summary, plan booklet or summary plan description to determine coverage. First Choice Health (FCHN) disclaims any implied warranty or representation about completeness or applicability for a particular purpose. First Choice Health Network, Inc., is not responsible for any claim, loss or damage resulting from use of this website. Important Information (Please read before proceeding) The First Choice Health PPO Network makes every effort to ensure the accuracy of our provider directory. However, a printed directory will always be at risk of being outdated. Before receiving services, you should always verify that the provider is participating in our network. You can take these steps by calling our PPO Customer Service at (800) 231-6935 Monday through Friday between 8 AM and 5 PM (Pacific). You can also use our website to produce customized real-time provider listings. Simply select the "Find a Doctor, Hospital or Facility" button on the homepage. Please note that actual coverage for the health care services you receive is determined by your benefit plan provisions. Introduction Just like you, First Choice Health, is concerned about the high cost of health care. To help lower the cost of care, we negotiate preferred rates with the health care providers in our network. These preferred rates are available to you because the First Choice Health PPO Network is part of your health care plan. Whenever you choose one of our PPO Network providers, you and your family save on the cost of health care. In addition to lower health care costs, there are other advantages to using PPO Network preferred providers: There are no claims to submit. Preferred providers bill your insurance company or health plan administrator for you; Your out-of-pocket costs are usually lower when you receive in-network care; and The First Choice Health PPO Network offers an extensive network of preferred providers from which to choose your family doctor, primary care physician (PCP) or other health care providers. Please take a few minutes to become acquainted with us as your network. Read your member handbook to understand the benefits provided by your health plan. Be prepared. Know your responsibilities and obligations before you or your family receive(s) care. If you have questions regarding your health coverage, please call your insurance company or health plan administrator. This directory was produced based on information available as of 6/23/2016. First Choice Health makes every effort to ensure the accuracy of our provider directory. Before receiving services, you should always verify that the provider is participating in our network. If you need help finding a preferred provider, please contact First Choice Health PPO Network Customer Service at (800) 231-6935 Monday through Friday between 8 AM and 5 PM (Pacific).

Check Our Website For the most current provider information, our website, www.fchn.com allows you to look up specific health care providers or locate available providers in your area. You can search by city, zip code and county or provider specialty. This is a convenient way to determine your provider's participation. You can also download a complete directory, hospital listing, facility listing, clinic or urgent care listing. How to Use the First Choice Health PPO Network If your health plan requires you to choose a primary care provider (PCP), you should select one from those listed in this directory. A primary care provider is a family or general practitioner, an internist or a pediatrician. When changing your primary care provider, you should advise your insurance company or health plan administrator. This notification may be a requirement of your health plan. Some health plans also recognize Advanced Registered s (ARNP) as primary care providers. You should call your insurance company or health plan administrator to determine if they recognize ARNPs as primary care providers before you select one as a primary care provider. All primary care providers are listed in bold print for easy identification. Not all primary care providers are able to accept new patients. Those who were not accepting new patients at the time this directory was printed are marked with an asterisk (*). Whenever you select a new primary care provider, we recommend you call the provider's office first to be sure s/he is accepting new patients. If You Need to See a Specialist Your health care plan may require a referral from your primary care provider if you need specialty care. If your plan requires a referral, the process is easy: First, you or your primary care provider should select a specialist from this directory or contact our Customer Service Department at (800) 231-6935 Monday through Friday between 8 AM and 5 PM (Pacific) to verify the preferred status of any specialist; Second, have your primary care provider call the appropriate referral number on your member ID card; and Third, schedule your appointment with the specialist. If your plan does not require a referral, you may select a specialist from this directory, confirm that they are currently a preferred provider and schedule an appointment at any time. Some specialty care may not be covered by your health plan. For example, some health plans do not cover care from chiropractors, social workers, physician assistants and others. Before you schedule an appointment, check the schedule of benefits in your member handbook or call your insurance company to be sure you are covered for these services. If you choose an out-of-network provider or if the specialty care is not covered, your out-of-pocket cost for care is usually higher. Your member handbook, insurance company or health plan administrator will be able to tell you what your benefit levels are, if any, when you receive care from an out-of-network provider. Women's Health Care (Washington State) For some health plans, Washington State law provides that women may self-refer to providers who specialize in the treatment of women's health care needs. This means a woman does not need a referral from her primary care provider in order to see a women's health care provider for the diagnosis and treatment of reproductive health services, gynecological care, maternity care, general examinations or preventative care, as well as medically appropriate follow-up visits for these services. This right to selfreferral is not a guarantee of coverage. Before you schedule your appointment you should do the following: Call your insurance company or health plan administrator to be sure the care you want is covered; Call to confirm whether or not you can self-refer to providers who specialize in women's health care needs;

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

Who to Call if You Have Questions Call your insurance company or health plan administrator if you have questions about any of the following: Your insurance coverage or coverage exclusions Your eligibility for health care services Your health care bills and claim processing Referral requirements You will find your insurance company's customer service phone number on your ID card or in your member handbook. The First Choice Health PPO cannot provide eligibility, coverage or claims information. Call First Choice Health in Seattle at (206) 292-8255 or toll-free at (800) 231-6935 Monday through Friday between 8 AM and 5 PM (Pacific) if you have questions about finding a provider or the preferred provider status of a preferred provider or facility. Call the preauthorization telephone number on your ID card if you have questions about preauthorization of hospital services. Thank you for choosing First Choice Health PPO Network. We look forward to meeting your health care needs.

HOSPITALS IMPORTANT: Anesthesiologist, Radiologist, Pathologist and Emergency Room Physicians practicing at the following hospitals may not always be preferred providers. To assure the maximum level of benefits, check on the availability of preferred providers for these services. Idaho American Falls Harms Memorial Hospital District Arco Lost Rivers District Hospital Blackfoot Bingham Memorial Hospital Idaho Doctors Hospital Boise Intermountain Hospital St Alphonsus Regional Medical Center Inc Treasure Valley Surgical Hospital (Healthsouth) Bonners Ferry Boundary Community Hospital Caldwell West Valley Medical Center, Inc. Cascade Cascade Medical Center Coeur d Alene Kootenai Medical Center Cottonwood St Mary's Hospital Inc Emmett Walter Knox Memorial Hospital Gooding North Canyon Medical Center Grangeville Syringa Hospital & Clinics Idaho Falls Eastern Idaho Regional Medical Center Mountain View Hospital LLC Jerome 510 Roosevelt St American Falls, ID 83211-1362 551 Highland Dr Arco, ID 83213 98 Poplar St Blackfoot, ID 83221-1758 350 N Meridian Blackfoot, ID 83221-1625 303 N Allumbaugh St Boise, ID 83704-9208 Boise, ID 83706-1309 8800 Emerald St Boise, ID 83704 6640 Kaniksu St Bonners Ferry, ID 83805-7532 1717 Arlington Ave Caldwell, ID 83605-4802 402 Old State Hwy Cascade, ID 83611-1330 2003 Kootenai Health Way -6051 701 Lewston St Cottonwood, ID 83522 1202 E Locust St Emmett, ID 83617-2715 267 N Canyon Dr Gooding, ID 83330-5500 607 W Main St Grangeville, ID 83530-1345 3100 Channing Wy Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 (208) 226-3200 (208) 527-8206 (208) 785-4100 (208) 782-2900 (208) 377-8400 (208) 367-2121 (208) 373-5000 (208) 267-3141 (208) 455-3713 (208) 382-4242 (208) 666-2000 (208) 962-3251 (208) 365-3651 (208) 934-4433 (208) 983-1700 (208) 529-6111 (208) 557-2700 Preferred Provider Network 6/23/2016 Page 1

First Choice Health Directory St Benedicts Family Medical Center Kellogg Shoshone Medical Center Lewiston St Joseph Regional Medical Center Meridian Vibra Hospital of Boise LLC Montpelier Bear Lake County Memorial Hospital Bear Lake County Memorial Hospital Moscow Gritman Medical Center Inc Mountain Home St Luke's Elmore Hospital Nampa Saint Alphonsus Medical Center Nampa Inc Orofino Clearwater Valley Hospital Pocatello Portneuf Medical Center Post Falls Northwest Specialty Hospital Preston Franklin County Medical Center Rexburg Madison Memorial Hospital Rupert Minidoka Memorial Hospital Saint Maries Benewah Community Hospital Salmon Steele Memorial Medical Center Sandpoint Bonner General Hospital Soda Springs 709 N Lincoln Ave Jerome, ID 83338-1851 25 Jacobs Gulch Kellogg, ID 83837-2023 415 6th St Lewiston, ID 83501-2431 2131 S Bonita Way -1659 164 S 5th St Montpelier, ID 83254-1557 166 S 5th St Montpelier, ID 83254 700 S Main St Moscow, ID 83843-0507 895 N 6th E Mountain Home, ID 83647 1512 12th Ave Rd Nampa, ID 83686-6008 301 Cedar St Orofino, ID 83544-9029 777 Hospital Way Pocatello, ID 83201-5175 1593 E Polston Ave Post Falls, ID 83854-5326 44 N 100 E Preston, ID 83263-1326 450 E Main St Rexburg, ID 83440-2048 1224 8th St Rupert, ID 83350-1599 229 S 7th St Saint Maries, ID 83861-1803 203 S Daisy St Salmon, ID 83467-4343 520 N 3rd Ave Sandpoint, ID 83864 (208) 324-4301 (208) 784-1221 (208) 743-2511 (208) 489-9500 (208) 847-1630 (208) 847-1110 (208) 882-4511 (208) 587-8401 (208) 463-5425 (208) 476-4555 (208) 239-1000 (208) 262-2300 (208) 852-0137 (208) 359-6900 (208) 436-0481 (208) 245-5551 (208) 756-5600 (208) 263-1441 Preferred Provider Network 6/23/2016 Page 2

First Choice Health Directory Caribou Memorial Hospital Weiser Memorial Hospital 300 S 3rd W Soda Springs, ID 83276-1559 645 E 5th St Weiser, ID 83672-2202 (208) 547-3341 (208) 549-0370 Preferred Provider Network 6/23/2016 Page 3

CLINIC IMPORTANT: Individual providers practicing at the following clinics may not always be preferred providers. To assure the maximum level of benefits, check on the availability of preferred providers for these services. Idaho Aberdeen Health West Inc American Falls Arthritis Specialty Center, Inc. Bingham Memorial Hospital Health West Inc Power County Hospital District Power County Hospital District Power County Hospital District Speech Therapy Services LLC 330 N Main Aberdeen, ID 83210-4928 510 Roosevelt Ave American Falls, ID 83211 502 Tyhee Ave American Falls, ID 83211 823 Reed St American Falls, ID 83211-1336 510 Roosevelt St American Falls, ID 83211-1362 510 Rossevelt St American Falls, ID 83211-1362 502 Tyhee Ave American Falls, ID 83211 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 (208) 397-4126 (208) 234-1300 (208) 226-7498 (208) 226-2822 (208) 226-3200 (208) 226-3200 (208) 226-1057 (208) 233-4660 Ammon Ammon Medical and Urgent Care PLLC 3456 E 17th St Ste 125 Ammon, ID 83406-6759 Pearl Health Clinic Rehabilitative Health Services 2705 E 17th St Ammon, ID 83406-6601 1675 Curlew Dr Ammon, ID 83406-4850 Richard New MD PA 1498 S Midway Ave Ste 2 Ammon, ID 83406-4587 Wholesome Health 3040 E 17th St Ammon, ID 83406-3760 (208) 529-2828 (208) 346-7500 (208) 523-5319 (208) 552-0920 (208) 557-0200 Arco Mental Wellness Centers Ashton Alpine, P.L.L.C. Medical Imaging Associates of Idaho Falls PA Blackfoot Awareness Center For Counseling Barnes LLC Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital 159 N Idaho Arco, ID 83213-4708 700 N 2nd St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 167 W Bridge Blackfoot, ID 83221-2704 1250 W Bridge St Ste F Blackfoot, ID 83221-5095 98 Poplar St Blackfoot, ID 83221-1758 145 W Idaho St Blackfoot, ID 83221-2255 53 Poplar Blackfoot, ID 83221 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 (208) 542-7026 (208) 652-7461 (208) 652-3396 (208) 782-2060 (208) 785-8018 (208) 782-3800 (208) 782-2950 (208) 785-2220 (208) 785-2220 (208) 782-2930 (208) 782-2495 (208) 785-3900 (208) 782-3701 Preferred Provider Network 6/23/2016 Page 4

Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Blackfoot Anesthesia Services LLC Blackfoot Anesthesia Services LLC Blackfoot Medical Clinic Blackfoot CAMP Hippo Pediatric Therapy DJ Marc Cardinal MD PA East Idaho Anesthesia Associates PC East Idaho Anesthesia Associates PC Grove City Anesthesia LLC 98 Poplar St Blackfoot, ID 83221 98 Poplar St Blackfoot, ID 83221-1758 315 W Idaho St Blackfoot, ID 83221-1711 326 Poplar St Blackfoot, ID 83221 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221 98 Popular St Blackfoot, ID 83221-1758 350 N Meridian St Blackfoot, ID 83221-1625 1441 Parkway Dr Blackfoot, ID 83221-1667 285 W Francis St Blackfoot, ID 83221-1751 7 N 600 W Blackfoot, ID 83221-5533 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar Blackfoot, ID 83221-1799 350 N Meridian Blackfoot, ID 83221-1625 1485 Parkway Blackfoot, ID 83221-1667 Hyde Ellis 725 Jensen Grove Dr Ste 4 Blackfoot, ID 83221-1636 Idaho Physicians Clinic Medical Imaging Associates of Idaho Falls PA Mountain States Neonatology Inc Northwest Emergency Physicians Inc Parkway Foot & Ankle PLLC Pocatello Podiatry Associates PA Portneuf Medical Practices Portneuf Valley Family Center 98 Poplar St Blackfoot, ID 83221-1758 1441 Parkway Dr Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1495 Parkway Dr Ste B Blackfoot, ID 83221-1639 1441 Parkway Blackfoot, ID 83221-1667 1441 Parkway Blackfoot, ID 83221-1667 725 Jensen Grove Dr Blackfoot, ID 83221-1636 Robert J Lee MD PC 1443 Parkway Dr Ste 1 Blackfoot, ID 83221-1637 Rocky Mountain PLLC Boise Abundant Life Counseling Access Anesthesia LLC Access Anesthesia LLC 1441 Parkway Dr Blackfoot, ID 83221-1667 2577 S Five Mile Rd Boise, ID 83709-2325 811 N Liberty St Boise, ID 83704 3115 Medical Dr Boise, ID 83704 Access Behavioral Health Services Inc 1276 W River St Ste 100 Boise, ID 83702-7083 Acheive PLLC 4776 N Five Mile Rd Ste 101 Boise, ID 83713-2715 Action Chiropractic Clinic Ada Dermatology Clinic Adult, Adolescent & Children's Counseling Center Advance Counseling Center Advanced Chiropractic 1542 S Timesquare Ln Boise, ID 83709-8264 6454 W Emerald St Boise, ID 83704-8734 3318 N Cole Rd Boise, ID 83704-4403 2995 N Cole Rd Ste 200B Boise, ID 83704-5966 6720 W Overland Rd Boise, ID 83709-2032 (208) 782-2999 (208) 782-2980 (208) 782-3990 (208) 782-2444 (208) 782-2410 (208) 782-3700 (208) 785-4100 (208) 782-2900 (208) 785-2600 (208) 785-0123 (208) 782-2267 (208) 785-4100 (208) 785-4100 (208) 782-2900 (208) 785-5100 (208) 785-3462 (208) 785-3800 (208) 785-2600 (208) 535-4591 (208) 785-4100 All practitioners providing services are (208) 785-2555 (208) 785-0512 (208) 234-2001 (208) 785-7832 (208) 785-1044 (208) 785-2600 (208) 908-6320 (509) 481-8295 (509) 481-8295 (208) 338-4699 (208) 658-9500 (208) 376-0660 (208) 377-0820 (208) 375-2730 (208) 376-8222 (208) 323-1440 Preferred Provider Network 6/23/2016 Page 5

Advance 9362 W Overland Rd Boise, ID 83709-2505 Advantage Walk-in Chiropractic 2031 E Hospitality Ln Ste 150 Boise, ID 83716-6603 Advantage Walk-In Chiropractic Alare' Counseling & Coaching, P.L.L.C. 3211 N Milwaukee St Boise, ID 83704-4446 6817 W Platinum Dr Boise, ID 83704-4649 Allergy Clinic - Idaho, Inc. 727 E Riverpark Ln Ste 100 Boise, ID 83706-4097 Allied Orthopedics LLC 7979 W Rifleman St Boise, ID 83704-9066 Allied Orthopedics LLC 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 Amy Orlovich 2577 S Five Mile Rd Boise, ID 83719 Ankle & Foot Center PC 222 N 2nd St Ste 301 Boise, ID 83702-6131 APB Medical, PC 222 N 2nd St Ste 304 Boise, ID 83702-6131 Apex Chiropractic and Wellness 2200 E Warm Springs Ave Ste 106 Boise, ID 83712-8405 Artisan Optics 7960 W Rifleman St Ste 150 Boise, ID 83704-9065 Artisan Optics Aspen Mental Health At Chiropractic Audiology & Hearing Aid Center Autobus LLC 190 N 8th St Boise, ID 83702 7950 W King St Boise, ID 83704-7157 1505 S Five Mile Boise, ID 83709-1371 1740 N Milwaukee St Ste A Boise, ID 83704-7191 7265 Potomac Dr Boise, ID 83704-9150 Balance Chiropractic Clinics 6013 Overland Ste 101 Boise, ID 83709 Balanced Solutions Counseling 2577 S Five Mile Rd Boise, ID 83709-2325 Beacon Pain Clinic 115 W Main St Ste 102 Boise, ID 83702-7304 Beacon Pain Clinic 115 W Main St Ste 202 Boise, ID 83702-7303 Beacon Pain Clinic 115 W Main St Ste 201 Boise, ID 83702 Behavioral Health Associates 600 E Riverpark Ln Ste 200 Boise, ID 83706-6562 Blackmer Foot & Ankle Group PA 727 E Riverpark Ln Ste 100 Boise, ID 83706-4097 Boise Advanced Imaging, PLLC Boise Advanced Imaging, PLLC Boise Anesthesia, P.A. 6565 W Emerald St Boise, ID 83704-8737 207 W Washington St Boise, ID 83702 Boise, ID 83706-1309 Boise Anesthesia, P.A. 900 N Liberty St Ste 450 Boise, ID 83704-8891 Boise Arthritis Clinic 901 N Curtis Rd Ste 404 Boise, ID 83706-1342 Boise Asthma & Allergy Clinic 901 N Curtis Rd Ste 100 Boise, ID 83706-1339 Boise Chiropractic Boise Family Chiropractic Boise Family Medicine Center 9217 W State St Boise, ID 83714-1737 1080 W Boise Ave Boise, ID 83706-3502 10798 W Overland Rd Boise, ID 83709-1329 Boise Kidney and Hypertension PLLC 1109 W Myrtle St Ste 100 Boise, ID 83702 Boise Orthopedic Clinic 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 Boise Osteopathic Medical Clinic 7685 W Emerald St Boise, ID 83704-9018 Boise Physical Medicine and Rehabilitation 1000 N Curtis Rd Ste 202 Boise, ID 83706-1346 (208) 672-8144 (208) 336-2225 (208) 375-2225 (208) 761-4050 (208) 388-8900 (208) 855-2410 (208) 482-5500 (208) 968-7153 (208) 344-3324 (208) 342-7722 (208) 331-7000 (208) 377-8899 (208) 338-0500 (208) 342-2950 (208) 377-0577 (208) 658-0238 (208) 559-3319 (208) 344-4469 (208) 901-2282 (208) 342-2104 (208) 342-2104 (208) 342-2104 (208) 344-5457 (208) 319-0497 (208) 377-5055 (208) 343-2079 (208) 367-6416 (208) 367-7431 (208) 322-1920 (208) 378-0800 (208) 853-7221 (208) 388-1895 (208) 377-3368 (208) 846-8335 (208) 323-2600 (208) 376-2522 (208) 377-3435 Preferred Provider Network 6/23/2016 Page 6

Boise Psychological Services 315 N Allumbaugh St Boise, ID 83704-9208 Boise Rheumatology, P.C. 222 N 2nd Ste 304 Boise, ID 83702 Boise Skin Clinic PLLC 1070 N Curtis Rd Ste 150 Boise, ID 83706-1248 Boise Speech and Hearing Clinic 13176 W Persimmon Ln Ste 120 Boise, ID 83713-5027 Boise State University Health Services Boise Vision Care PA 1529 Belmont St Boise, ID 83706 3293 N Milwaukee St Boise, ID 83704-4446 Booth Psychological Solutions, PLLC 4700 N Cloverdale Rd Ste 215 Boise, ID 83713-1068 Cancer Center of Idaho 9357 W Emerald St Boise, ID 83704-9752 Candace Crow, Ph.D. 2717 W Bannock St Ste 101 Boise, ID 83702-4759 Capital Eye Care Center for Lifetime Health 6700 W Emerald St Boise, ID 83704-8727 300 E Bannock St Boise, ID 83712-6207 Charles Novak, M.D. 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Chinese Acupuncture & Natural Therapy Center Chiropractic Arts 2425 N Milwaukee St Boise, ID 83704-5736 1305 S Five Mile Rd Boise, ID 83709-1306 Christian G. Zimmerman, M.D., PA 6140 W Curtisian Ste 400 Boise, ID 83704 Clarity Counseling PLLC Claudia Currie-Mills LCSW 5185 W Overland Rd Boise, ID 83705-2635 300 W Main St Boise, ID 83702 Coire Weathers MD 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Complete Care Audiology 13176 W Persimmon Ln Ste 120 Boise, ID 83713-5027 Connections Counseling Center 6550 W Emerald St Ste 110 Boise, ID 83704 Cross Natural Health 4700 N Cloverdale Rd Ste 103 Boise, ID 83713-1067 Crum Chiropractic LLC David A Sim MD PA David A Teed David J. Antonie, O.D. 1390 S Maple Grove Rd Boise, ID 83709-1610 6014 W Emerald St Boise, ID 83704-8855 1407 N 13th St Boise, ID 83702-3531 10751 W Overland Rd Boise, ID 83709-1375 David Kent, M.D. 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 David N. Price, D.C., DABCO 9508 Fairview Ave Boise, ID 83704 Davis Family Medicine 222 N 2nd St Ste 204 Boise, ID 83702-6130 Deer Point, P.C. 6023 N Eagle Rd Boise, ID 83713-0997 Denae Barowsky LPC 3350 W Americana Ter Ste 215 Boise, ID 83706-2545 Dermatology Clinic of Idaho DH Pitkin 7733 W Emerald St Boise, ID 83704-9020 6700 W Emerald St Boise, ID 83704-8727 Diane Barnhill, L.C.P.C. 2309 N Mountain View Dr Ste 185 Boise, ID 83706-1071 Digestive Health Clinic, LLC Direct Surgical Assist Direct Surgical Assist 6259 W Emerald St Boise, ID 83704-8731 7979 W Rifleman St Boise, ID 83706 Boise, ID 83706-1309 D Peter Reedy MD 999 N Curtis Rd Ste 307 Boise, ID 83706-1333 (208) 376-3546 (208) 433-0232 (208) 258-2078 (208) 376-3591 (208) 426-1459 (208) 322-2020 (208) 377-1171 (208) 672-1000 (208) 343-9900 (208) 336-7100 (208) 342-7400 (208) 323-1125 (208) 373-5888 (208) 327-0066 (208) 367-3500 (208) 391-3168 (208) 570-3815 (208) 323-1125 (208) 376-7591 (208) 921-3501 (208) 392-8383 (208) 372-0100 (208) 376-8666 (208) 424-3105 (208) 327-9809 (208) 323-1125 (208) 323-1313 (208) 429-9100 (208) 322-7284 (208) 342-7030 (208) 939-4599 (208) 336-7100 (208) 602-8867 (208) 489-1836 (208) 989-0598 (208) 989-0598 (208) 367-7500 Preferred Provider Network 6/23/2016 Page 7

Dr. Frederick D. Mondin Elizabeth Betsy Johnson Counseling Services LLC Elizabeth Birchmore Riss PLLC 220 W State St Boise, ID 83702-6052 717 N 11st St Boise, ID 83702 1412 W Washington St Boise, ID 83702-5038 Eloisa S. Walker, M.D. 100 E Idaho St Ste 304 Boise, ID 83712-6269 Emerge Counseling and Yoga 1001 N 27th St Boise, ID 83702-2202 Eric Gilbreath, M.D. 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Erik S. Jones, D.O., P.L.L.C. 222 N 2nd St Ste 202 Boise, ID 83702-6130 Erland PC Etnyre & Associates PLLC Evans Anesthesia Services, P.C. 6023 N Eagle Rd Boise, ID 83713-0997 6650 W Emerald St Boise, ID 83704-8738 727 E Riverpark Ln River Run Surgery Center Boise, ID 83709 Evans Anesthesia Services, P.C. 360 E Mallard Dr Ste 125 Boise, ID 83706-3941 Exodus Pain Clinic 4850 N Rosepoint Way Ste 100 Boise, ID 83713-5262 Exodus Pain Clinic 4850 N Rosepoint Way Ste 100 Boise, ID 83713-5262 Family Health Care 1075 N Curtis Rd Ste 100 Boise, ID 83706-1348 Family Medicine Health Center Family Medicine Health Center Family Medicine Health Center Family Medicine Health Center Medical Center Medical Center 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 215 W 35th St Boise, ID 83714-6520 6094 W Emerald St Boise, ID 83704-8855 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 Fazzio Clinic 7301 W Emerald St Ste 102 Boise, ID 83704-8689 Ferch Family Chiropractic Fletcher Chiropractic Center PLLC Foster Chiropractic 6624 Overland Rd Boise, ID 83709 5246 N Eagle Rd Boise, ID 83713-0945 1675 N Maple Grove Rd Boise, ID 83704-6925 Frances Zucco LCPC LLC 3350 W Americana Ter Way Ste 210 Boise, ID 83706-2546 Francois D Trotta MD PA Full Circle Counseling & Consulting Gail M. Baccheschi, A.C.S.W. 128 E Mallard Dr Boise, ID 83706-3975 2717 W Bannock St Boise, ID 83702-4759 1408 W Hays St Boise, ID 83702 Gail Robison NP PLLC 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Gary W. Lee, L.C.S.W. 600 N Curtis Rd Ste 125 Boise, ID 83706-1450 Gem State Dermatology PA Gem State Gem State 388 E Parkcenter Blvd Boise, ID 83706-3942 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 Gem State 161 E Mallard Dr Ste 130 Boise, ID 83706-5015 Gem State 6200 W Emerald St Boise, ID 83704-8730 Gem State LLP 161 E Mallard Dr Ste 130 Boise, ID 83706-5015 Gem State LLP Boise, ID 83706-1309 (208) 345-3099 (208) 407-0688 (208) 220-2162 (208) 336-9188 (208) 996-9432 (208) 323-1125 (208) 344-6080 (208) 939-9090 (208) 860-0770 (866) 732-8800 (208) 336-8700 (208) 947-7246 (208) 947-7246 (208) 377-5166 (208) 367-6030 (208) 367-6030 (208) 367-6030 (208) 514-2500 (208) 367-6030 (208) 367-6030 (208) 321-8600 (208) 376-3802 (208) 939-3000 (208) 376-4940 (808) 330-6294 (208) 323-8660 (208) 344-2687 (208) 343-1403 (208) 323-1125 (208) 376-6109 (208) 424-9101 (208) 367-5670 (208) 367-7510 (208) 991-5201 (208) 472-8172 (208) 991-5201 (208) 367-2161 Preferred Provider Network 6/23/2016 Page 8

Gem State LLP Gem State LLP Gem State LLP Gem State LLP 6200 W Emerald St Boise, ID 83704 927 W Myrtle St Boise, ID 83702-7061 927 W Myrtle St Boise, ID 83702-7061 6651 W Franklin Rd Boise, ID 83709-0914 Gem State LLP 161 E Mallard Ste 120 Boise, ID 83706-5015 Gem State LLP Gem State LLP 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Glen S. Lovelace, M.D., PA 333 N 1st St Ste 260 Boise, ID 83702-6132 Haase Consulting and Counseling 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Harvey Family Chiropractic Healthquest Chiropractic, P.C. 1209 S Broadway Ave Boise, ID 83706-3701 1100 N Cole Rd Boise, ID 83704-8644 Healthy Creations, Inc. 2999 N Lakeharbor Ln Ste 201 Boise, ID 83703-6289 Helene Belanger Counseling 1524 W Hays St Ste 201 Boise, ID 83702-4035 Hickey Chiropractic DC 376 S Latah St Boise, ID 83705-1539 Hollingshead Eye Center 360 E Mallard Dr Ste 110 Boise, ID 83706-3945 Idaho Dermatologic Surgery & Laser Center 999 N Curtis Rd Ste 505 Boise, ID 83706-1335 Idaho Diabetes & Endocrine Associates PA 9196 W Emerald St Ste 160 Boise, ID 83704-8045 Idaho Emergency Physicians, P.A. Idaho Emergency Physicians, P.A. 2312 N Cole Ste B Boise, ID 83704 Boise, ID 83709 Idaho Endocrinology, PLLC 403 S 11th St Ste 100 Boise, ID 83702-6968 Idaho Eye Care Center Idaho Foot & Ankle Associates 1175 W Boise Ave Boise, ID 83706-3503 809 N Liberty St Boise, ID 83704-8703 Idaho Hand Center 901 N Curtis Rd Ste 304 Boise, ID 83706-1341 Idaho Joint and Spine PC 9510 W Fairview Ave Boise, ID 83704-8103 Idaho Memory & Aging Center PLLC 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Idaho Nephrology Associates 5610 Gage St Ste A Boise, ID 83706-1332 Idaho Neurology 901 N Curtis Rd Ste 101 Boise, ID 83706-1339 Idaho Pediatric Therapy Clinic PLLC 13895 W Wainwright Dr Boise, ID 83713-5011 Idaho Physical Medicine Rehabilitation 600 N Robbins Rd Ste 300 Boise, ID 83702-4568 Idaho Sleep Specialists, P.C. 403 S 11th St Ste 210 Boise, ID 83702-6968 Idaho Spine and Sports Idaho Sports Medicine Institute, P.A. Idaho Urologic Institute, P.A. 12072 W McMillan Rd Boise, ID 83713-2462 1188 University Dr Boise, ID 83706 222 N 2nd Boise, ID 83702 Idaho Urologic Institute, P.A. 222 N 2nd St Ste 115 Boise, ID 83702 Intermountain Eye & Laser Centers PLLC 999 N Curtis Rd Ste 205 Boise, ID 83706-1316 Intermountain Eye & Laser Centers PLLC 251 E Front St Ste 110 Boise, ID 83702 Intermountain Functional Medicine PLLC 13966 W Wainwright Dr Boise, ID 83713-1969 (208) 381-2055 (208) 367-7510 (208) 367-7510 (208) 685-2413 (208) 639-6621 (208) 367-4170 (208) 367-6030 (208) 345-3136 (208) 323-1125 (208) 342-9225 (208) 375-3500 (208) 853-2277 (208) 991-3171 (208) 338-9111 (208) 336-8700 (208) 327-9521 (208) 389-2213 (208) 429-0300 (208) 384-9194 (208) 375-6454 (208) 342-4263 (208) 322-5922 (617) 922-4957 (208) 367-3370 (208) 608-5825 (208) 939-3334 (208) 489-4016 (208) 895-0411 (208) 939-3334 (208) 336-8250 (208) 639-4900 (208) 639-4900 (208) 373-1200 (208) 342-2706 (208) 631-7055 Preferred Provider Network 6/23/2016 Page 9

Intermountain Medical Imaging Intermountain Medical Imaging 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 James E Hollingsworth DC Chtd 10451 Garverdale Ct Ste 203 Boise, ID 83704 James G. Saccomando, Jr., MD 413 N Allumbaugh Ste 101 Boise, ID 83704 James R Barry PhD 6003 W Overland Rd Ste 301 Boise, ID 83709-3077 James W. Kranz, D.C. Janelle Eckhardt PhD J Cameron Preece PhD LMFT Jenny Callao McColl, L.M.H.C. Jenny Zarak Counseling LLC Jon-Eric Baillie 910 N Curtis Rd Boise, ID 83706-1308 1221 W Hays St Boise, ID 83702-5316 1423 W Franklin St Boise, ID 83702-5024 1414 W Franklin St Boise, ID 83702-5023 2577 S Five Mile Rd Boise, ID 83709-2325 9110 W Barnes Dr Boise, ID 83709-1552 Jon R Gray Chiropractic Center 13238 W Persimmon Ln Ste 102 Boise, ID 83713-1968 Jon Wagnild, M.D. 5610 Gage St Ste A Boise, ID 83706-1332 Jordan Looze LPC 4948 Kootenai St Ste 207 Boise, ID 83705 Judit McCullough DC 410 S Orchard St Ste 152 Boise, ID 83705-1210 Julia Gerhardt LCSW LLC 6550 Emerald St Ste 110 Boise, ID 83704-4700 Kafia Abbasi MD 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Kaleidoscope Pediatric Therapy 7211 W Franklin Rd Boise, ID 83709-0926 KB Counseling 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Keeton Counseling Services Keller Skin & Cancer Care PC 10259 W Landmark Ct Boise, ID 83704-5483 6051 N Eagle Rd Boise, ID 83713-0997 Kennth M. Little, M.D. 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 Kimberlee Minter Counseling PLLC 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Kinectic Chiropractic Kirk Parge DC 1819 W Holly St Boise, ID 83702 6003 W Overland Rd Ste L101 Boise, ID 83709-3074 Knowles Chiropractic PA 8752 W Overland Rd Ste 110 Boise, ID 83709-1604 Kristine A Kirsch 3350 Americana Ter Ste 215 Boise, ID 83706-2545 Laura Shockley Counseling 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Lifeline Chiropractic 5440 W Franklin Rd Ste 107 Boise, ID 83705-6433 Lifepath Counseling and Wellness Live Right Chiropractic Living Hope Clinic Inc Main Family Medical 10112 W Overland Rd Boise, ID 83709 2300 S Orchard St Ste A Boise, ID 83705-6723 3308 N Cole Rd Ste A Boise, ID 83704-4407 203 W Main St Boise, ID 83702-7263 Manning Neurosurgery PLLC 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 Maple Grove Eye Clinic 8955 W Hackamore Dr Boise, ID 83709-1673 Marci Danielson LLC 3350 W Americana Terrace Ste 215 Boise, ID 83706-2545 Mardi Stacy, Ph.D. 1718 W Jefferson St Boise, ID 83702-3949 (208) 367-7510 (208) 367-2161 (208) 375-4415 (208) 323-1125 (208) 672-8699 (208) 377-3777 (208) 345-8712 (208) 323-1125 (208) 344-0687 (208) 871-0174 (952) 261-3608 (208) 854-0600 (208) 367-3370 (208) 258-5902 (208) 340-2555 (208) 297-8585 (208) 323-1125 (208) 375-4200 (208) 323-1125 (208) 794-5349 (208) 939-6227 (208) 367-3500 (208) 323-1125 (208) 389-2225 (208) 772-6500 (208) 376-5555 (208) 342-7030 (208) 323-1125 (208) 336-7900 (208) 780-3900 (208) 383-3703 (208) 378-1122 (208) 336-7722 (208) 367-3500 (208) 344-7944 (208) 342-7030 (208) 424-8130 Preferred Provider Network 6/23/2016 Page 10

Mariella L Hogan PhD ATR-BC PLLC 1010 W Hays St Boise, ID 83702-5435 Mark Bostik, M.D. 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Marlys Borreson LCPC Mary M Simon LCSW PLLC McKim Chirorpactic McMillan Medical Center 1074 E Krall St Boise, ID 83712 1412 W Washington St Boise, ID 83702-5038 7149 W Emerald St Boise, ID 83704 4750 N Five Mile Rd Boise, ID 83713-2715 Megan Linz Counseling 6126 W State St Ste 106 Boise, ID 83703-2741 Melinda E Blanchet 12747 N 11th Ave Boise, ID 83714-9334 Melinda E Blanchet 6126 W State St Ste 208 Boise, ID 83703 Metamorphosis Counseling Center of Idaho, L.L.C. 1529 S Timesquare Ln Ste 200 Boise, ID 83709-8257 Michael R Thiry DC 5804 W Emerald St Boise, ID 83704-8803 Michael V. Hajjar, M.D. 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 Michael V. Hajjar, M.D. 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 Michele Boyer, M.D. 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 M Kathryn Montgomery M Kathryn Montgomery LPC 1414 W Franklin St Boise, ID 83702-5023 1502 W Franklin St Boise, ID 83702-4028 Molly and Me Counseling and Training Center 2995 N Cole Rd Ste 115 Boise, ID 83704-5965 Mountain Land Rehabilitation Inc 1435 S Maple Grove Rd Ste 201 Boise, ID 83709-1611 Mountain Land Rehabilitation Inc 1907 S Broadway Ave Ste 203 Boise, ID 83706-4244 Mountain States Counseling and Psychological Serivices, Inc. Mountain States Neonatology Inc Mountain States Neonatology Inc Nagraj Narasimhan, M.D. 311 N Allumbaugh St Boise, ID 83704-9208 6030 W Emerald St Boise, ID 83704-8855 Boise, ID 83706-1309 5610 Gage St Ste A Boise, ID 83706-1332 Ninon Germain MD 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Noah B Edvalson Northend Wellness 3271 N Milwaukee St Boise, ID 83704-4425 1310 W Hays St Boise, ID 83702-5025 Northwest Eye & Laser Center, PLLC 111 W Main St Ste 200 Boise, ID 83702-7308 Northwest Physical Medicine and Rehabilitation 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 Northwest Physical Medicine and Rehabilitation 190 E Bannock St Boise, ID 83712-6241 NS Support, LLC 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 Oakes Chiropractic Health Center PA 3183 N Cole Rd Boise, ID 83704-5921 Orthopaedic Associates, P.A. 8854 W Emerald St Ste 140 Boise, ID 83704 Overton Stiff Professional Anesthesia Services Inc 220 W Jefferson St Boise, ID 83702-6044 Overton Stiff Professional Anesthesia Services Inc 360 E Mallard Dr Ste 125 Boise, ID 83706-3941 Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc 999 N Curtis Rd Boise, ID 83706-1336 6077 N Eagle Rd Boise, ID 83713-0997 6302 N Talcrest Pl Boise, ID 83713-1207 (208) 284-5273 (208) 323-1125 (208) 368-7800 (208) 319-6948 (208) 955-6606 (208) 375-0500 (208) 695-3014 (208) 391-3353 (208) 391-3353 (208) 376-1532 (208) 375-0000 (208) 367-3500 (208) 367-3500 (208) 323-1125 (208) 850-9878 (208) 850-9878 (208) 860-0790 (208) 322-6200 (208) 422-9826 (208) 375-6402 (208) 376-7610 (208) 367-8063 (208) 367-3370 (208) 323-1125 (208) 629-5374 (208) 827-1782 (208) 344-3220 (208) 327-5650 (208) 327-5650 (208) 367-3500 (208) 322-4555 (208) 321-4790 (208) 343-3802 (208) 336-8700 (800) 201-4057 (208) 939-9000 (208) 939-3255 Preferred Provider Network 6/23/2016 Page 11

Overton Stiff Professional Anesthesia Services Inc 333 N 1st St Ste 240 Boise, ID 83702-6132 Overton Stiff Professional Anesthesia Services Inc 403 S 11th St Ste 320 Boise, ID 83702-6968 Overton Stiff Professional Anesthesia Services Inc 403 S 11th St Ste 300 Boise, ID 83702-6968 Overton Stiff Professional Anesthesia Services Inc 727 E Riverpark Ln Boise, ID 83706-4069 Overton Stiff Professional Anesthesia Services Inc 727 E Riverpark Ln Ste 200 Boise, ID 83706-4097 Overton Stiff Professional Anesthesia Services Inc 1529 S Timesquare Ln Ste 100 Boise, ID 83709-8204 Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc Overton Stiff Professional Anesthesia Services Inc Pacific Cataract & Laser Institute Pacific Cataract & Laser Institute Pain Care Center Boise 305 W Idaho St Boise, ID 83702-6040 222 N 2nd St Boise, ID 83702-6109 6700 N Eagle Rd Boise, ID 83713 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 301 W Myrtle Boise, ID 83702 Pain Center 901 N Curtis Rd Ste 304 Boise, ID 83706-1341 Pain Center Boise Pathways of Idaho LLC 301 W Myrtle St Boise, ID 83702-7656 890 Cole Rd Ste B Boise, ID 83704 Paul J. Montalbano, M.D. 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 Peak, P.C. 7550 Emerald St Ste 101 Boise, ID 83704 Pediatric Cardiology 100 E Idaho St Ste 200 Boise, ID 83712-6270 Perma Mental Health 950 W Bannock St Ste 1100 Boise, ID 83702-6140 Personal Care Chiopractic Clinic PA 1319 W River St Boise, ID 83702-6857 Perspectives Counseling 4948 W Kootenai St Ste 207 Boise, ID 83705-2082 180 Pioneer Family Medicine 5909 W State St Boise, ID 83703-3039 13150 W Persimmon Ln Boise, ID 83713-1986 Planned Parenthood of Western Washington 1109 Main Street Suite 500 Boise, ID 83702 Podiatry Center of Idaho 900 N Liberty St Ste 306 Boise, ID 83704-8729 Precision Performance and Therapy 8950 W Emerald St Ste 150 Boise, ID 83704-8296 Preventative Health LLC Primary Health Medical Group Primary Health Medical Group 9171 W State St Boise, ID 83714-1733 1130 E Fairview Ave Boise, ID 83713 8971 W Overland Rd Boise, ID 83709-1651 Primary Health Medical Group 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 Primary Health Medical Group Primary Health Medical Group Primary Health Medical Group 11197 W Fairview Ave Boise, ID 83713-7935 6052 W State St Boise, ID 83703-2739 6348 W Emerald St Boise, ID 83704-8732 Primary Health Medical Group 300 W Myrtle St Ste 100 Boise, ID 83702-7690 Primary Health Medical Group 125 E Idaho St Ste 210 Boise, ID 83719 Primary Health Medical Group 4971 W Overland Rd Boise, ID 83705 Primary Health Medical Group-Urgent Care 1907 S Broadway Ste 101 Boise, ID 83706 (208) 338-8900 (208) 375-0191 (208) 344-9115 (866) 732-8800 (208) 433-9300 (208) 343-1981 (208) 343-7271 (208) 342-2516 (208) 939-9000 (208) 385-7576 All practitioners providing services are (208) 385-7576 All practitioners providing services are (208) 342-8200 (208) 367-4343 (208) 342-8200 (208) 322-1026 (208) 367-3500 (208) 375-0666 (208) 453-9962 (208) 319-3513 (208) 375-0007 (208) 515-0584 (208) 343-7700 (208) 938-3663 (800) 230-7526 (208) 367-7887 (208) 376-7313 (208) 853-2273 (208) 888-9393 (208) 378-4288 (208) 345-1222 (208) 378-8011 (208) 344-7799 (208) 377-4400 (208) 472-9082 (208) 385-9330 (208) 472-5050 (208) 345-1222 Preferred Provider Network 6/23/2016 Page 12

Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care 300 W Myrtle St Boise, ID 83702-7690 8971 W Overland Rd Boise, ID 83709 11197 W Fairview Ave Boise, ID 83713-7935 Quiet Waters Counseling 6003 W Overland Rd Ste 101 Boise, ID 83709-3075 Rachel Root PhD LP LLC 6003 W Overland Rd Ste 301 Boise, ID 83709-3077 Raise the Bottom Training & Counseling Services LLC 9196 W Barnes Dr Boise, ID 83709-1552 Reagan & Associates PLLC 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 RehabAuthority LLC 10790 W Overland Rd Boise, ID 83709-1329 RehabAuthority LLC 5520 N Eagle Rd Suite 102 Boise, ID 83713-2700 RehabAuthority LLC 5520 N Eagle Rd Ste 102 Boise, ID 83713-2700 Renee Hatten LCSW Renee O Bild PLLC 1408 W Hays St Boise, ID 83702-5028 1718 W Jefferson St Boise, ID 83702 Retina Specialists of Idaho, P.L.L.C. 13923 W Wainwright Dr Ste 301 Boise, ID 83704-1969 Retina Specialists of Idaho PLLC 13923 W Wainwright Dr Ste 301 Boise, ID 83713-1969 Richard Lochhead MD PLLC 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 Roman Schwartsman, M.D. 6590 W Norwood Dr Boise, ID 83706 Ronald B. Tye, PSY.D. 6003 W Overland Rd Ste 301 Boise, ID 83709-3077 Rosenberg Chiropractic, P.C. 1150 W State St Ste 220 Boise, ID 83702-5376 Rosmary Luque LCPC 4172 N Creswell Way Boise, ID 83713-2403 Roxanne Nichols LLC 100 Main St Ste 203 Boise, ID 83702 Ryan N. Cole, M.D. 7988 W Marigold St suite 150 Boise, ID 83714-5125 Sage Healthcare 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Sage Health Care, P.L.L.C. 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 Sage K Rogers MS LMFT Saint Alphonsus Behavioral Health Saint Alphonsus Inpatient Medicine Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center 1407 N 13th St Boise, ID 83702-3531 131 N Allumbaugh St Boise, ID 83704-9204 Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 131 N Allumbaugh Boise, ID 83706 6140 W Emerald St Boise, ID 83704-8857 Boise, ID 83706-1309 Saint Alphonsus Regional Medical Center 1075 N Curtis Rd Ste 200 Boise, ID 83706-1300 Saint Alphonsus Regional Medical Center Saint Alphonsus Regional Medical Center Boise, ID 83706-1309 Boise, ID 83706-1309 Saint Alphonsus Rehabilitation Services 901 N Curtis Rd Ste 204 Boise, ID 83706 Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services 717 N Liberty St Boise, ID 83706 5959 N Discovery Pl Boise, ID 83713 (208) 472-9082 (208) 378-4288 (208) 378-8011 (208) 321-1212 (208) 672-8699 (208) 433-0400 (208) 323-1125 (208) 322-8709 (208) 938-5255 (208) 938-5255 (208) 321-7735 (208) 336-3031 (208) 938-5624 (208) 938-5624 (208) 367-3500 (208) 855-2410 (208) 672-8699 (208) 384-9070 (208) 863-1404 (208) 841-8109 (208) 472-1082 (208) 323-1125 (208) 323-1125 (208) 424-0468 (208) 367-2175 (208) 367-6279 (208) 367-3722 (208) 367-6238 (208) 367-2175 (208) 367-3300 (208) 367-2121 (208) 367-8333 (208) 367-3722 (208) 367-2121 (208) 367-3315 (208) 367-8989 (208) 378-0256 Preferred Provider Network 6/23/2016 Page 13

Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services 1050 W State St Boise, ID 83702 2141 E Parkcenter Blvd Boise, ID 83706 Saint Alphonsus Rehabilitation Services 901 N Curtis Rd Ste 204 Boise, ID 83706-1340 Saint Alphonsus Rehabilitation Services 717 N Liberty Boise, ID 83706 Saint Alphonsus Specialty Services Inc 900 N Liberty St Ste 206 Boise, ID 83706-8729 Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 Saint Alphonsus Specialty Services Inc 1880 W Judith Ln Boise, ID 83705-3119 Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 Saint Alphonsus Specialty Services Inc 1070 N Curtis Rd Ste 125 Boise, ID 83706-1249 Saint Alphonsus Specialty Services Inc Boise, ID 83706-1309 Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 102 Boise, ID 83706-1348 Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 501 Boise, ID 83706-1343 Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 503 Boise, ID 83706-1343 Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 6th Fl Boise, ID 83706-1309 6th Fl Boise, ID 83706-1309 Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 503 Boise, ID 83706-1343 Saint Alphonsus Specialty Services Inc Boise, ID 83706-1309 Saint Alphonsus Specialty Services Inc 1075 N Curtis Rd Ste 101 Boise, ID 83706-1348 Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 401 Boise, ID 83706-1342 Saint Alphonsus Specialty Services Inc 900 N Liberty Ste 204 Boise, ID 83704 Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 104 Boise, ID 83706-1339 Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Boise, ID 83706-1309 1075 N Curtis Rd Boise, ID 83706-1300 Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 100 Boise, ID 83704 Saint Alphonsus Specialty Services Inc 6500 W Emerald St Boise, ID 83704-8736 Saint Alphonsus Specialty Services Inc 1072 N Liberty St Ste 303 Boise, ID 83706 Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 501 Boise, ID 83706 Saint Alphonsus Specialty Services Inc 5959 N Discovery Pl Boise, ID 83713-1556 Saint Alphonsus Specialty Services Inc 1072 N Liberty St Ste 201 Boise, ID 83704 Saint Alphonsus Specialty Services Inc 999 N Curtis Rd Ste 415 Boise, ID 83706 Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Boise, ID 83704 6500 W Emerald St Boise, ID 83704-8736 (208) 424-8175 (209) 302-9850 (208) 367-8950 (208) 367-8989 (208) 367-5544 (208) 367-7787 (208) 367-7787 (208) 367-6910 (208) 367-3330 (208) 367-3330 (208) 302-0000 (208) 377-1415 (208) 367-6253 (208) 367-4000 (208) 367-3330 (208) 367-3330 (208) 367-4306 (208) 367-3000 (208) 367-4000 (208) 367-4000 (208) 367-5227 (208) 367-7463 (208) 367-7676 (208) 367-7090 (208) 367-6099 (208) 367-5050 (208) 367-3131 (208) 288-4700 (208) 367-7090 (208) 377-0777 (208) 302-4100 (208) 288-4700 (208) 288-4700 (208) 377-2273 (208) 367-7676 (208) 367-5050 (208) 288-4700 Preferred Provider Network 6/23/2016 Page 14

Saint Alphonsus Specialty Services Inc 6165 W Emerald St Boise, ID 83704 Saint Alphonsus Specialty Services Inc 900 N Liberty St Ste 101 Boise, ID 83704 Saint Alphonsus Specialty Services Inc 900 N Liberty St Ste 101 Boise, ID 83704 Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Boise, ID 83706 Boise, ID 83706 Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave Ste 300 Boise, ID 83704 Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 2141 E Parkcenter Blvd Boise, ID 83706-6701 Boise, ID 83706-0000 Boise, ID 83706 Boise, ID 83706 Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 501 Boise, ID 83706 Saint Alphonsus Vascular & Endovascular Services 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 Saint Alphonsus Wound Healing & Hyperbaric Medicine Boise, ID 83706-1309 Saltzer Clinics 8950 W Emerald St Ste 168 Boise, ID 83704-8296 Saltzer Clinics 7272 W Potomac Dr Boise, ID 83704-9149 Sandra A. Thompson, M.D. 1673 W Shoreline Dr Ste 140 Boise, ID 83702-6749 Satu H Woodland 3060 S Rookery Lane Boise, ID 83706-5484 Sawtooth Epidemiology and Infectious Disease 125 E Idaho St Ste 100 Boise, ID 83712-6202 Sawtooth LLC Sensory Bin Pediatric Therapy Clinic PLLC 7979 W Rifleman St Boise, ID 83704-9066 13895 W Wainwright Dr Boise, ID 83713-5011 Sharon Oster, M.D. 403 S 11th St Ste 310 Boise, ID 83702-6968 Shelly Conley-Durkin, P.L.L.C. ShopKo EyeCare Center #4065 Sonshine Family Health Clinic Soo W. Lee, DC Southwest Idaho Advanced Care Hospital Providers 3775 N Eagle Rd Boise, ID 83713-5005 8105 Fairview Ave Boise, ID 83704 2308 N Cole Rd Ste H Boise, ID 83704-7361 5402 Overland Rd Boise, ID 83705 6651 W Franklin Rd Boise, ID 83709-0914 Southwest Idaho Ear, Nose and Throat 900 N Liberty St Ste 400 Boise, ID 83704-8707 SPD Organ Transplant Speech Spot LLC St Alphonsus Pathology Physcian Services St Alphonsus Pathology Physcian Services St Alphonsus Pathology Physcian Services 5610 W Gage St Ste A Boise, ID 83706-1332 2300 S Orchard St Ste B Boise, ID 83705-6723 1055 N Curtis Boise, ID 83706 Boise, ID 83706-1309 Boise, ID 83706-1309 St Alphonsus Pathology Physcian Services 901 N Curtis Rd Ste 401 Boise, ID 83706-1342 St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 100 Boise, ID 83704-8767 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 1515 W State St Boise, ID 83702-4039 6533 W Emerald St Boise, ID 83704-8737 St. Alphonsus Regional Medical Center, Inc. 6094 W Emerald St Ste 2 Boise, ID 83704-8855 (208) 377-0777 (208) 367-5050 (208) 367-5050 (208) 367-7676 (208) 367-4343 (208) 302-0000 (208) 302-5000 (208) 367-5080 (208) 367-7644 (208) 367-4000 (208) 302-3900 (208) 367-7787 (208) 367-6238 (208) 323-6273 (208) 884-2922 (208) 342-9800 (541) 312-0111 (208) 338-0148 (208) 377-3850 (208) 939-3334 (208) 344-2928 (208) 954-0670 (208) 323-9303 (208) 375-8806 (208) 377-4514 (208) 685-2400 (208) 367-3320 (208) 367-3370 All practitioners providing services are (208) 908-6469 (208) 472-8111 (208) 367-3627 (208) 367-2153 (208) 367-7676 (208) 367-2126 All practitioners providing services are (208) 345-6768 All practitioners providing services are (208) 302-5100 All practitioners providing services are (208) 367-6575 All practitioners providing services are Preferred Provider Network 6/23/2016 Page 15

St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 12273 W McMillan Rd Boise, ID 83713-0555 10255 W Overland Rd Boise, ID 83709-1430 1525 S Owyhee St Boise, ID 83705-6014 St. Alphonsus Regional Medical Center, Inc. 1673 W Shoreline Dr Ste 120 Boise, ID 83702-6749 St. Alphonsus Regional Medical Center, Inc. 900 N Liberty Ste 204 Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. Boise, ID 83706-1309 6500 W Emerald St Boise, ID 83704-8736 1880 W Judith Ln Boise, ID 83705-3119 St. Alphonsus Regional Medical Center, Inc. 6140 W Curtisian Ave Ste 100 Boise, ID 83704-0109 St. Alphonsus Regional Medical Center, Inc. 6533 W Emerald St Boise, ID 83704-8737 St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 204 Boise, ID 83704-8707 St. Alphonsus Regional Medical Center, Inc. 6140 W Curtisian Ave Ste 300 Boise, ID 83704-0107 St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Ste 403 Boise, ID 83706-1342 St. Alphonsus Regional Medical Center, Inc. 5966 W Curtisian Ave Boise, ID 83704-8801 St. Alphonsus Regional Medical Center, Inc. 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 St. Alphonsus Regional Medical Center, Inc. 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 St. Alphonsus Regional Medical Center, Inc. 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 St. Alphonsus Regional Medical Center, Inc. 6140 W Curtisian Ave Ste B10 Boise, ID 83704-8880 St. Alphonsus Regional Medical Center, Inc. 1070 N Curtis Rd Ste 125 Boise, ID 83706-1249 St. Alphonsus Regional Medical Center, Inc. 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. Boise, ID 83706-1309 Boise, ID 83706-1309 St. Alphonsus Regional Medical Center, Inc. 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 206 Boise, ID 83704-8729 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 6533 W Emerald St Boise, ID 83704-8737 6th Fl Boise, ID 83706-1309 St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 501 Boise, ID 83706-1343 St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 503 Boise, ID 83706-1343 St. Alphonsus Regional Medical Center, Inc. 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 St. Alphonsus Regional Medical Center, Inc. 1000 N Curtis Ste 305 Boise, ID 83706 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. Boise, ID 83706-1309 471 E Baybrook Ct Boise, ID 83706-3900 St. Alphonsus Regional Medical Center, Inc. 1075 N Curtis Rd Ste 125 Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. 600 W Robbins Rd Boise, ID 83702 St. Alphonsus Regional Medical Center, Inc. 1075 N Curtis Rd Ste 300 Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 St. Alphonsus Regional Medical Center, Inc. Boise, ID 83706-1309 (208) 302-5500 All practitioners providing services are (208) 302-5600 All practitioners providing services are (208) 367-6910 All practitioners providing services are (208) 429-8311 All practitioners providing services are (208) 367-2229 All practitioners providing services are (208) 367-7644 All practitioners providing services are (208) 377-0777 All practitioners providing services are (208) 302-5200 All practitioners providing services are (208) 367-4224 All practitioners providing services are (208) 367-4179 All practitioners providing services are (208) 367-2229 All practitioners providing services are (208) 367-6575 All practitioners providing services are (208) 367-7272 All practitioners providing services are (208) 375-8100 All practitioners providing services are (208) 367-8333 All practitioners providing services are (208) 367-8333 All practitioners providing services are (208) 367-8333 All practitioners providing services are (208) 367-8333 All practitioners providing services are (208) 377-1415 All practitioners providing services are (208) 367-4278 All practitioners providing services are (208) 367-6279 All practitioners providing services are (208) 367-6279 All practitioners providing services are (208) 367-3330 All practitioners providing services are (208) 367-4224 All practitioners providing services are (208) 367-4179 All practitioners providing services are (208) 367-4343 All practitioners providing services are (208) 367-3300 All practitioners providing services are (208) 367-3330 All practitioners providing services are (208) 367-7787 All practitioners providing services are (208) 367-7800 All practitioners providing services are (208) 367-6279 All practitioners providing services are (208) 367-4250 All practitioners providing services are (208) 377-1415 All practitioners providing services are (208) 302-4200 All practitioners providing services are (208) 367-3330 All practitioners providing services are (208) 367-4000 All practitioners providing services are (208) 367-2121 All practitioners providing services are Preferred Provider Network 6/23/2016 Page 16

St. Alphonsus Regional Medical Center, Inc. 1075 N Curtis Rd Ste 101 Boise, ID 83706-1348 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. Boise, ID 83706-1309 Boise, ID 83706-1309 1118 NW 16th St Ste A Boise, ID 83706 St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 204 Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. Boise, ID 83706-1309 St. Alphonsus Regional Medical Center, Inc. 1000 N Curtis Rd Ste 305 Boise, ID 83706-1347 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 6140 W Emerald St Boise, ID 83704-8857 Boise, ID 83706-1309 7272 Potomac Dr Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 St. Alphonsus Regional Medical Center, Inc. Boise, ID 83706-1309 St. Alphonsus Regional Medical Center, Inc. 1072 N Liberty St Ste 203 Boise, ID 83704-8708 St. Alphonsus Regional Medical Center, Inc. 1072 N Liberty St Ste 100 Boise, ID 83704-8708 St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 204 Boise, ID 83706-1340 St. Alphonsus Regional Medical Center, Inc. 1072 N Liberty St Ste 100 Boise, ID 83704-8708 St. Alphonsus Regional Medical Center, Inc. 6533 W Emerald St Boise, ID 83704-8737 St. Alphonsus Regional Medical Center, Inc. 6140 W Curtisian Ave Ste 100 Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. Boise, ID 83706 St. Alphonsus Regional Medical Center, Inc. 6140 W Curtisian Ave Ste 102 Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 6500 W Emerald St Boise, ID 83704-8736 Entrance N4 Boise, ID 83706 Boise, ID 83706 St. Alphonsus Regional Medical Center, Inc. 1072 N Liberty St Ste 300 Boise, ID 83706-8708 St. Alphonsus Regional Medical Center, Inc. 999 N Curtis Rd Ste 415 Boise, ID 83706 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 3587 S Federal Way Boise, ID 83705 6500 W Emerald Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. 1072 N Liberty St Ste 303 Boise, ID 83706 St. Alphonsus Regional Medical Center, Inc. 6533 W Emerald St Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 204 Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 6022 W Emerald St Boise, ID 83704 5959 N Discovery Pl Boise, ID 83713 St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 501 Boise, ID 83706 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 6165 W Emerald St Boise, ID 83704 2141 E Parkcenter Blvd Boise, ID 83706-6701 St. Alphonsus Regional Medical Center, Inc. 900 N Libery St Ste 101 Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. 901 N Curtis Rd Ste 104 Boise, ID 83706 (208) 367-7463 All practitioners providing services are (208) 367-2121 All practitioners providing services are (208) 367-2121 All practitioners providing services are (208) 464-6449 All practitioners providing services are (208) 367-7090 All practitioners providing services are (208) 367-6038 All practitioners providing services are (208) 367-8879 All practitioners providing services are (208) 367-3300 All practitioners providing services are (208) 367-6130 All practitioners providing services are (208) 367-8333 All practitioners providing services are (208) 367-3330 All practitioners providing services are (208) 367-3131 All practitioners providing services are (208) 367-4321 All practitioners providing services are (208) 367-1200 All practitioners providing services are (208) 367-7644 All practitioners providing services are (208) 302-1200 All practitioners providing services are (208) 302-5150 All practitioners providing services are (208) 367-7090 All practitioners providing services are (208) 367-5227 All practitioners providing services are (208) 367-5050 All practitioners providing services are (208) 367-0777 All practitioners providing services are (208) 367-4224 All practitioners providing services are (208) 367-7246 All practitioners providing services are (208) 367-2800 All practitioners providing services are (208) 367-7676 All practitioners providing services are (208) 302-5300 All practitioners providing services are (208) 288-4700 All practitioners providing services are (208) 302-4200 All practitioners providing services are (208) 367-6206 All practitioners providing services are (208) 367-2161 All practitioners providing services are (208) 452-6851 All practitioners providing services are (208) 288-4700 All practitioners providing services are (208) 288-4700 All practitioners providing services are (208) 377-0777 All practitioners providing services are (208) 302-5000 All practitioners providing services are (208) 367-5050 All practitioners providing services are (208) 367-6099 All practitioners providing services are Preferred Provider Network 6/23/2016 Page 17

St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 101 Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. 900 N Liberty St Ste 101 Boise, ID 83704 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 5966 Curtisian Ave Boise, ID 83704 2141 E Parkcenter Blvd Boise, ID 83706-6701 10583 W Lake Hazel Rd Boise, ID 83709 Boise, ID 83706 St. Alphonsus Regional Medical Center, Inc. 1072 N Liberty St Ste 201 Boise, ID 83704 STARR Family Behavioral Health 2316 N Cole Rd Ste A Boise, ID 83704-7365 Stay Strong Together 910 W Main St Ste 338 Boise, ID 83702-5748 St Clair Specialty Physicians PC 5610 W Gage St Ste A Boise, ID 83706-1332 Stephen Bushi MD 1902 W Judith Ln Ste 110 Boise, ID 83705-5209 St Lukes Clinic-Saltzer Medical Group 8950 W Emerald Ste 168 Boise, ID 83704 St Lukes Clinic-Saltzer Medical Group St Luke's Clinic- Treasure Valley LLC 7272 W Potomac Dr Boise, ID 83704-9149 3301 N Sawgrass Way Boise, ID 83704-4493 St Luke's Clinic- Treasure Valley LLC 1520 W State St Ste 100 Boise, ID 83702-4084 St Luke's Clinic- Treasure Valley LLC St Luke's Clinic- Treasure Valley LLC 130 E Boise Ave Boise, ID 83706-4302 190 E Bannock St 10th Fl Boise, ID 83704 St Luke's Clinic- Treasure Valley LLC 403 S 11th St Ste 100 Boise, ID 83702-6968 St Luke's Clinic- Treasure Valley LLC 100 E Idaho St Ste 316 Boise, ID 83706 St Luke's Clinic- Treasure Valley LLC 100 E Idaho St Ste 200 Boise, ID 83712-6270 St Luke's Clinic- Treasure Valley LLC 703 S Americana Blvd Ste 120 Boise, ID 83702-6754 St Luke's Clinic- Treasure Valley LLC 125 E Idaho St Ste 102 Boise, ID 83702 St Luke's Clinic- Treasure Valley LLC 1906 Fairview Ave Ste 350 Boise, ID 83705 St Luke's Neurosurgical Associates 100 E Idaho St Ste 200 Boise, ID 83712-6270 Strickland Ear Clinic 10112 W Overland Rd Boise, ID 83709-1428 Summit Counseling 413 Allumbaugh St Ste 102 Boise, ID 83704 Suzanne Burton LLC 5185 W Overland Rd Boise, ID 83705-2635 Synergy Chiropractic and Nutrition 5418 N Eagle Rd Ste 120 Boise, ID 83713-0103 Terry Reilly Health Services Terry Reilly Health Services Terry Reilly Health Services 408 N Allumbaugh St Boise, ID 83704-9209 300 S 23rd St Boise, ID 83702 400 N Allumbaugh St Boise, ID 83704-9209 The Allergy Group 1000 N Curtis Rd Ste 303 Boise, ID 83706 The Neighborhood Clinic The Pain Center 2036 N Cole Rd Boise, ID 83704-7309 633 N 4th St Boise, ID 83702-4510 Therapeutic Associates Inc 1520 W State St Ste 210 Boise, ID 83702-4085 Therapeutic Associates Inc 960 Broadway Ave Ste 200 Boise, ID 83706 Therapeutic Associates, Inc.-Boise 1520 W State St Ste 210 Boise, ID 83706 (208) 367-5050 All practitioners providing services are (208) 367-5050 All practitioners providing services are (208) 302-5400 All practitioners providing services are (208) 367-4321 All practitioners providing services are (208) 302-5900 All practitioners providing services are (208) 367-7090 All practitioners providing services are (208) 377-2273 All practitioners providing services are (208) 908-6399 (208) 322-7699 (208) 501-8955 (208) 658-0800 (208) 323-6273 (208) 884-2922 (208) 375-0862 (208) 947-7700 (208) 345-4066 (208) 381-5500 (208) 429-0300 (208) 381-7092 (208) 381-7384 (208) 323-2600 (208) 381-7399 (208) 454-9181 (208) 381-7360 (208) 375-4327 (208) 287-0993 (208) 861-7124 (208) 939-1500 (208) 323-9600 (208) 344-3512 (208) 377-9669 (208) 377-4000 (208) 375-0722 (208) 342-9800 (208) 336-8433 (208) 433-9211 (208) 336-8433 Preferred Provider Network 6/23/2016 Page 18

Therapeutic Associates, Inc.-Boise 390 E Park Center Blvd Ste 130 Boise, ID 83706 The Shoulder Clinic of Idaho, PLLC 8854 W Emerald St Ste 102 Boise, ID 83704 The Walking Center Thiry Chiropractic 220 W Jefferson St Boise, ID 83702-6044 381 W Parkcenter Blvd Boise, ID 83706-3654 Thomas C. Manning, MD, Ph.D. 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 Timothy J. Johans, M.D. 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 Travis Jay Kemp MD 7979 W Rifleman St Boise, ID 83704-9066 Treasure Valley Cardiology 900 N Liberty St Ste 302 Boise, ID 83704-8729 Treasure Valley Endocirnology, P.C. 900 N Liberty St Ste 201 Boise, ID 83704-8707 Treasure Valley Hearing & Balance Clinic 1084 N Cole Rd Boise, ID 83704-8642 Troy Watkins, M.D. 125 E Idaho Ste 104 Boise, ID 83702 Troy Watkins, M.D. 8854 W Emerald St Ste 170 Boise, ID 83706-4859 University Professional Services Vision Quest Medical Center Warm Springs Counseling Wayland Fong MD 5610 S Gage St Boise, ID 83706 5680 W Gage St Boise, ID 83706-1326 740 E Warm Springs Ave Boise, ID 83712-6420 808 S La Cassia Dr Boise, ID 83705-2253 W. Bruce Cherny, M.D. 6140 W Curtisian Ste 400 Boise, ID 83706 W. Bruce Cherny, M.D. 100 E Idaho Ste 202 Boise, ID 83712 Western Pacemaker Clinic PLLC 900 N Liberty St Ste 302 Boise, ID 83704-8729 Westover Anesthesia PLLC 811 N Liberty St Boise, ID 83704-8703 William Michael Tandy PhD LLC 6003 W Overland Rd Ste 301 Boise, ID 83709-3077 Willis Family Chiropractic 10451 Garverdale Ct Ste 201 Boise, ID 83704 Willis Family Chiropractic 10451 Garverdale Ct Ste 201 Boise, ID 83704 Words of Wisdom Counseling Center LLC Words of Wisdom Counseling Center LLC 3724 N Buckingham Boise, ID 83704 14133 W Rochester Dr Boise, ID 83713-0731 (208) 433-9211 (208) 323-4747 (208) 343-8907 (208) 344-0000 (208) 367-3500 (208) 367-3500 (208) 855-2410 (208) 322-1686 (208) 367-6740 (208) 377-0019 (208) 343-2555 (208) 343-2555 (208) 367-3370 All practitioners providing services are (208) 377-3937 (208) 343-7797 (208) 343-6495 (208) 367-3500 (208) 381-7360 (208) 888-4600 (208) 323-4522 (208) 672-8699 (208) 322-4114 (208) 322-4114 (208) 602-6130 (208) 602-6130 Bonners Ferry Bonners Ferry Family Medicine, PLLC Boundary Community Clinics Boundary Community Hospital Boundary Community Hospital Specialty Clinic Heart Clinics Northwest A Division of Kootenai Medical Center Heart Clinics Northwest A Division of Kootenai Medical Center Kaniksu Health Services Moore Chiropractic Center North Idaho Nephrology Associates, Inc. Pend Orelle Vision Care Rawlings Community Counseling LLC 6488 Chinook Bonners Ferry, ID 83805 6641 Kaniksu St Ste A Bonners Ferry, ID 83805-7532 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6640 Kaniksu St Bonners Ferry, ID 83805-7532 HCR 61 Box 61 A Bonners Ferry, ID 83805 6615 Comanche St Bonners Ferry, ID 83805-7523 6843 Main St Bonners Ferry, ID 83805-8552 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6348 Main St Bonners Ferry, ID 83805-8519 6807 Cody St Bonners Ferry, ID 83805-8613 (208) 946-0572 (208) 267-3655 (208) 267-3141 (208) 267-3141 (208) 267-3141 (208) 666-2000 (208) 267-1718 (208) 267-2506 (208) 263-4488 (208) 265-7965 (208) 267-0900 Preferred Provider Network 6/23/2016 Page 19

Sequel Alliance Family Services LLC Thompson Chiropractic Center Buhl Care Compassion Communication Family Health Services 6334 Main St Bonners Ferry, ID 83805-8519 6737B Cody St Bonners Ferry, ID 83805-8504 230 11th Ave N Buhl, ID 83316-1604 725 Fair St Buhl, ID 83316-6442 (208) 265-5049 (208) 267-2225 (208) 733-1131 (208) 543-8271 Burley Arthritis Specialty Center, Inc. 1501 Hiland Ave Burley, ID 83318-2688 Asthma & Allergy of Idaho 1263 Bennett Ave Ste 3 Burley, ID 83318 Blackmer Foot & Ankle Group PA Evans Anesthesia Services, P.C. Family Health Services Portneuf Medical Practices Saint Alphonsus Specialty Services Inc 521 E Main St Burley, ID 83318 1344 Hiland Ave Ste E Burley, ID 83318-1564 1308 Bennet Ave Burley, ID 83318 1501 Hiland Ave Ste B1 Burley, ID 83318-2682 1344 Hiland Ave Burley, ID 83318 Speech Therapy Services LLC 1650 Overland Ave Ste 4 Burley, ID 83318 Wright LLC Caldwell 1945 Hiland Ave Burley, ID 83318-2714 Abundance Behavioral Health Services Inc 524 E Cleveland Blvd Ste 230 Caldwell, ID 83605-4080 Advanced Surgery of Idaho A Fresh Start Recovery Services LLC 404 E Elm St Caldwell, ID 83605-4846 1123 Blaine St Caldwell, ID 83605-3835 Altitude 1906 Fairview Ave Ste 410 Caldwell, ID 83605-5424 Apogee Medical Group Aspire Professional Counseling Services Balance Point Chiropractic Beacon Pain Clinic Boise Anesthesia, P.A. Boise Asthma & Allergy Clinic 1717 Arlington Ave Caldwell, ID 83605-4802 14880 Alkmaar ST Caldwell, ID 83607-0804 309 E Logan St Caldwell, ID 83605-4863 409 E Elm St Caldwell, ID 83605-4847 1717 Arlington Ave Caldwell, ID 83605-4802 1721 S 10th Ave Caldwell, ID 83605-4839 Boise Kidney and Hypertension PLLC 4620 Enterprise Way Ste 100 Caldwell, ID 83605-6764 Caldwell Chiropractic Center 104 E Pine St Caldwell, ID 83605-4836 Caldwell 1818 S 10th Ave Ste 100 Caldwell, ID 83605-4880 Caldwell Psychological Services Caldwell Urology PLLC Canyon Foot & Ankle Associates Carol Collins Chiropractic and Rehabilitiation Diagnostic Pathology Services, Inc. Downey Chiropractic Clinic 1815 S 10th Ave Caldwell, ID 83605-4840 1620 S Kimball Ave Caldwell, ID 83605-4547 303 E Logan Caldwell, ID 83605 1909 S 10th Ave Caldwell, ID 83605-4842 1523 Fairview Ave Caldwell, ID 83605-4609 1717 Arlington Ave Caldwell, ID 83605 108 E Pine St Caldwell, ID 83605-4836 (208) 234-1300 (208) 678-1049 (208) 319-0497 (208) 677-8888 (208) 678-7796 (208) 678-2106 (208) 367-3330 (208) 233-4660 (208) 647-0224 (208) 455-1222 (208) 459-0028 (208) 459-9222 (208) 454-9839 (208) 455-3890 (208) 525-3062 (208) 455-0678 (208) 342-2104 (208) 459-4641 (208) 378-0800 (208) 846-8335 (208) 459-4354 (208) 453-9111 (208) 459-6962 (208) 454-9181 (208) 455-0655 (208) 454-3825 (205) 455-9591 (208) 459-4641 (208) 459-0858 Preferred Provider Network 6/23/2016 Page 20

Downey Chirpractic Clinic 108 East Pine Caldwell, ID 83605 Eloisa S. Walker, M.D. 315 E Elm St Ste 100 Caldwell, ID 83605-4858 Exodus Pain Clinic Exodus Pain Clinic Eye Associates Family Eyecare Specialists 409 E Elm St Caldwell, ID 83605 409 E Elm St Caldwell, ID 83605 1602 Arlington Caldwell, ID 83605 1906 Fairview Ave Caldwell, ID 83605-5407 Foot & Ankle Medical Center 1818 S 10th Ste 250 Caldwell, ID 83605-4838 Gem State Gem State LLP Human Supports of Idaho 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605 314 Badiola St Caldwell, ID 83605-4389 Idaho Arthiritis and Ostpeoporosis Center, P.C. 1818 S 10th Ave Ste 120 Caldwell, ID 83605 Idaho Emergency Physicians, P.A. Idaho Neurology 1717 Arlington Ave Caldwell, ID 83605 1825 S Kimball Ave Caldwell, ID 83605 Idaho Sleep & Neurology, PLLC 1825 S Kimball Ave Ste 105 Caldwell, ID 83605-4828 Imaging Center of Idaho, L.L.C. 4519 Enterprise Way Caldwell, ID 83605-8086 Lifeways Inc 2609 S 10th Ave Ste 102 Caldwell, ID 83605 McKim Chirorpactic 2523 S 10th Ave Ste 102 Caldwell, ID 83605 Michael Boyle, Ph.D. Mountain Land Rehabilitation Inc 5700 E Franklin Rd Caldwell, ID 83607 4623 Enterprise Way Caldwell, ID 83605-6764 Peak Mental Wellness and Counseling LLC 2805 Blaine St Ste 120 Caldwell, ID 83605-4686 Primary Health Medical Group Primary Health Medical Group-Urgent Care RehabAuthority LLC RehabAuthority LLC 4815 Cleveland Blvd Caldwell, ID 83605-6501 4815 Cleveland Blvd Caldwell, ID 83605-6501 120 E Pine St Caldwell, ID 83605-4836 2112 Cleveland Blvd Caldwell, ID 83605-4432 Rocky Mountain Foot & Ankle 1818 S 10th Ave Ste 250 Caldwell, ID 83605-4838 Russell T Snow DO PA 119 W Logan St Ste A Caldwell, ID 83605-4732 Saint Alphonsus Medical Center-Ontario 1906 Fairview Ave Ste 430 Caldwell, ID 83605-5424 Saint Alphonsus Regional Medical Center 315 E Elm St Ste 100 Caldwell, ID 83605-4858 Saint Alphonsus Specialty Services Inc 315 E Elm St Ste 100 Caldwell, ID 83605-4858 Saint Alphonsus Specialty Services Inc 1818 S 10th Ave Ste 200 Caldwell, ID 83605-4880 Saint Alphonsus Specialty Services Inc 1818 S 10th Ave Ste 200 Caldwell, ID 83605-4880 Saint Alphonsus Specialty Services Inc 3125 Medical Dr Caldwell, ID 83605-6972 Saint Alphonsus Specialty Services Inc 1906 Fairview Ave Ste 430 Caldwell, ID 83605-5424 Saint Alphonsus Specialty Services Inc 3123 Medical Dr Caldwell, ID 83605 Saint Alphonsus Specialty Services Inc 1906 Fairview Ave Ste 430 Caldwell, ID 83605 Saltzer Clinics Shannon Sorini LCSW 1818 S 10th Ave Caldwell, ID 83605-4803 1909 S 10th ave Caldwell, ID 83605-4842 (208) 459-0858 (208) 336-9188 (208) 947-7246 (208) 947-7246 (208) 459-0717 (208) 459-2020 (208) 855-5955 (208) 455-3900 (208) 455-3730 (208) 454-8389 (208) 887-9500 (208) 287-3690 (208) 454-0567 (208) 455-7482 All practitioners providing services are (541) 889-9167 All practitioners providing services are (208) 649-4321 (208) 463-4575 (208) 455-4231 (208) 459-4412 (205) 455-3545 (208) 455-3545 (208) 454-5142 (208) 459-5873 (208) 459-0891 (208) 454-2050 (208) 367-7272 (208) 459-7415 (208) 367-4278 (208) 367-5734 (208) 367-5227 (208) 367-3131 (208) 302-0000 (208) 367-3131 (208) 302-4100 (208) 468-5959 (208) 409-7286 Preferred Provider Network 6/23/2016 Page 21

St Alphonsus Pathology Physcian Services 1717 Arlington Ave Caldwell, ID 83605-4802 St. Alphonsus Regional Medical Center, Inc. 1818 S 10th Ave Ste 200 Caldwell, ID 83605-4880 St. Alphonsus Regional Medical Center, Inc. 315 E Elm St Ste 100 Caldwell, ID 83605-4858 St. Alphonsus Regional Medical Center, Inc. 315 E Elm St Ste 100 Caldwell, ID 83605-4858 St. Alphonsus Regional Medical Center, Inc. 1818 S 10th Ave Ste 200 Caldwell, ID 83605-4880 St. Alphonsus Regional Medical Center, Inc. 3123 Medical Dr Caldwell, ID 83605-6972 St. Alphonsus Regional Medical Center, Inc. 315 E Elm St Ste 100 Caldwell, ID 83605-4858 St. Alphonsus Regional Medical Center, Inc. 1906 Fairview Ave Ste 430 Caldwell, ID 83605-5424 St. Alphonsus Regional Medical Center, Inc. 315 E Elm St Ste 100 Caldwell, ID 83605-4858 St. Alphonsus Regional Medical Center, Inc. 315 E Elm St Ste 100 Caldwell, ID 83605-4857 St. Alphonsus Regional Medical Center, Inc. 1906 Fairview Ave Ste 430 Caldwell, ID 83605 St. Alphonsus Regional Medical Center, Inc. 1906 Fairview Ave Ste 430 Caldwell, ID 83605 St Clair Specialty Physicians PC 1906 Fairview Ave Ste 430 Caldwell, ID 83605 St Lukes Clinic-Saltzer Medical Group 1818 S 10th Ave Caldwell, ID 83605-4803 St Luke's Clinic- Treasure Valley LLC 315 E Elm St Ste 100 Caldwell, ID 83605-4858 Terry Reilly Health Services Terry Reilly Health Services The Pain Center Treasure Valley Eyecare West Idaho Anesthesia West Idaho Orthopedic & Sports Medicine 2005 Arlington Ave Caldwell, ID 83605-4808 1508 Hope Ln Caldwell, ID 83605 1825 S Kimball Ave Caldwell, ID 83605-4828 1702 S Kimball Ave Caldwell, ID 83605-4826 3115 Medical Dr Caldwell, ID 83605-6972 206 E Elm St Caldwell, ID 83605-4815 West Valley Medical Group LLC 211 E Logan St Ste 201 Caldwell, ID 83605-4883 West Valley Medical Group LLC 211 E Logan St Ste 203 Caldwell, ID 83605-4883 West Valley Medical Group LLC 211 E Logan St Ste 303 Caldwell, ID 83605-4882 West Valley Medical Group LLC 1906 Fairview Ave Ste 200 & 230 Caldwell, ID 83605-5407 West Valley Medical Group LLC 211 E Logan St Ste 203 & 303 Caldwell, ID 83605-4883 West Valley Medical Group Specialty Services 315 E Elm St Ste 310 Caldwell, ID 83605-4881 West Valley Medical Group Specialty Services 1906 Fairview Ave Ste 230 Caldwell, ID 83605 West Valley Professional Fee Billing, LLC 1717 Arlington Ave Caldwell, ID 83605-4802 (208) 455-3798 (208) 367-7272 All practitioners providing services are (208) 302-7100 All practitioners providing services are (208) 459-7415 All practitioners providing services are (208) 465-6952 All practitioners providing services are (208) 367-4810 All practitioners providing services are (208) 302-4200 All practitioners providing services are (208) 367-7272 All practitioners providing services are (208) 459-7415 All practitioners providing services are (208) 302-7100 All practitioners providing services are (208) 302-4100 All practitioners providing services are (208) 302-0600 All practitioners providing services are (208) 501-8955 (208) 468-5959 (208) 587-8401 (208) 459-1025 (208) 459-1025 (208) 455-3535 (208) 459-2641 (208) 552-8572 (208) 459-4511 (208) 459-4667 (208) 459-4667 (208) 459-4667 (208) 795-5201 (208) 459-4667 (208) 454-2035 (208) 795-5075 (208) 455-3707 All practitioners providing services are Cascade Boise Orthopedic Clinic Boise Orthopedic Clinic Cascade Dermatology Clinic of Idaho Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Chubbuck 402 Old State Hwy Cascade, ID 83611 102 Old State Hwy Cascade, ID 83611 402 Lake Cascade PKWY Cascade, ID 83611-7702 271 Duffers Ln Cascade, ID 83611-5506 402 Old State Hwy Cascade, ID 83611 402 Lake Cascade Pkwy Cascade, ID 83611-7702 (208) 898-0100 (208) 898-0100 (208) 382-4285 (208) 376-4776 (208) 367-5734 (208) 302-0000 Preferred Provider Network 6/23/2016 Page 22

Center Counseling Services Chubbuck Chiropractic PA Custom Rehab LLC Elite Care Chiropractic Family Medical Clinic of Chubbuck Gerald L Knouf Health West Inc Idaho Skin Institute 265 E Chubbuck Rd Chubbuck, ID 83202-5055 445 W Chubbuck Rd Ste A Chubbuck, ID 83202-5069 265 E Cubbuck Rd Ste A Chubbuck, ID 83202-5055 210 W Burnside Ave Ste D Chubbuck, ID 83202 476 E Chubbuck Rd Chubbuck, ID 83202-1816 190 W Burnside Ave Ste C Chubbuck, ID 83202-2411 880 W Quinn Rd Chubbuck, ID 83202-2454 147 W Chubbuck Rd Chubbuck, ID 83202-2314 Lavon M. Cole 4460 Central Way Ste 2 Chubbuck, ID 83202-5095 Mental Health Specialists Physicians Immediate Care Center Sanctuary Neuropsychology and Treatment Consultants 210 W Burnside Ave Chubbuck, ID 83202-4916 134 W Chubbuck Rd Chubbuck, ID 83202-2315 4737 S Afton Pl Ste A Chubbuck, ID 83202-2317 (208) 237-1711 (208) 637-8800 (208) 417-0011 (208) 238-5956 (208) 233-9898 (208) 238-0400 (208) 238-2000 (208) 238-7546 (208) 237-1711 (208) 238-9000 (208) 237-7911 (208) 417-0623 Coeur D Alene Kathleen E Hosack CMHC 118 N 7th St Ste 5C Coeur D Alene, ID 83814-2710 (208) 664-9102 Coeur d Alene 2 Hands 2005 Ironwood Pkwy Ste 224-2647 ACES Community Services 1417 N 4th St -3310 Action Orthopedics and Sports Medicine PLLC 1110 W Park Pl Ste 202-2783 Advanced Chiropractic Clinic Advanced Dermatology & Skin Surgery PLLC Advanced Dermatology & Skin Surgery PLLC 411 W Haycraft Ave Ste D1 Coeur d Alene, ID 83815-8104 1700 W Riverstone Dr -5683 1726 W Riverstone Dr Alan B. Grosset, M.D. 700 Ironwood Dr Ste 103 Albert Crook DO 1103 W Ironwood Dr Ste A -2604 A New Hope Social Services, P.L.L.C. 202 E Anton Ave Ste 206 Coeur d Alene, ID 83815-3779 Answers & Alternatives 5431 N Government Way Ste B Coeur d Alene, ID 83815-5073 Appleway Chiropractic 213 W Appleway Ave Ste 7-9372 A Step Beyond 2201 N Government Way Ste K -3658 Asthma & Allergy of Idaho 714 W Appleway Ave Ste 200-9338 Basic Family Healthcare 401 Front Ave Ste 208-2754 B. Beville and Associates, LLC 315 W Dalton Ave Ste 103 Coeur d Alene, ID 83815-8600 Borders Chiropractic 405 E Best Ste 104-5473 Cancer Care Northwest Centers PS 700 Ironwood Dr Ste 130-4404 Canfield Family Medicine, L.L.C. 700 Ironwood Dr Ste 234 Cardiology Associates of Spokane LLC 980 W Ironwood Dr Ste 205-2668 CDA Hand Therapy & Healing Center 2448 N Merritt Creek Loop -6215 Centennial Eye Care Center 255 W Canfield Ave Ste 6 Coeur d Alene, ID 83815-7736 Cheri McCormack Counseling Services LLC 1042 W Mill Ave Ste 205-2489 (208) 665-2468 (208) 292-2188 (208) 215-2055 (208) 765-6804 (208) 770-2822 (208) 770-2822 (208) 666-3809 (208) 667-9400 (208) 667-6095 (208) 667-7603 (208) 666-1000 (208) 664-0552 (208) 665-1552 (208) 664-1505 (208) 762-3393 (208) 664-7001 (509) 228-1000 (208) 765-6997 (208) 765-2610 (208) 664-2901 (208) 762-4149 (208) 661-1495 Preferred Provider Network 6/23/2016 Page 23

Chiropractic Pain Relief 850 W Ironwood Dr Ste 302-4903 Chiropractic Therapeutics Christopher Butler DPM PC Coeur D'Alene Arthritis Clinic 1019 W Lacrosse Ave -2418 2221 N Ironwood Center Dr -2697 950 W Ironwood Dr -2644 Coeur D Alene Foot and Ankle Clinic LLC 101 Ironwood Dr Ste 131 Coeur D'Alene Pediatrics PA 700 W Ironwood Dr Ste 155-2666 Coeur D'Alene Pediatrics PA 700 W Ironwood Dr Ste 102-2666 Coeur d Alene 1917 N Lakewood Dr -2634 Coeur d'alene Primary Care LLC 2065 Riverston Dr Ste 203 Coeur d Alene Spine and Brain PLLC 3320 N Grand Mill Ln -5689 Coeur D'Alene Surgical and Vein Center, PLLC 608 Northwest Blvd Ste 301-2174 Competitive Fitness & 1321 W Northwood Center Ct Ste B -4944 Cultivation Counseling 211 E Coeur d Alene Ave Ste 102-4926 Daniel S Hayes PhD & Associates LLC 2190 Ironwood Center Dr Ste 2-2695 David Aggen, D.C., Inc. 6125 N Sunshine St Coeur d Alene, ID 83815-8688 Dawn Saari Counseling 212 S 11th St Ste 5-4000 Don J. Schmitt, M.D. Educational & Psychological Services PLLC 1110 Ironwood Drive 1103 W Ironwood Dr -2604 Edward detar, M.D. 700 Ironwood Dr Ste 304 Elite EyeCare P.C. 101 Ironwood Dr Ste 181 Elizabeth M. Mathes, L.M.F.T. 118 N 7th St Ste B8-2704 Ellenbecker Eye Clinic, P.L.L.C. 2140 W Riverstone Drive Ste 101 Emily M Hart LMHC 1015 W Ironwood Dr Ste 200-4952 Empire Eye Physicians PS Empire Eye Physicians PS 2175 N Main St Ste A 2175 N Main St Ste A -5768 Family Health Associates 914 W Ironwood Dr Suite 101-4927 Family Health Associates 914 W Ironwood Dr Suite 101-4927 Family Medicine Coeur d' Alene, P.A. 700 Ironwood Dr Ste 101 Gavin S. Young, M.D. 1607 Lincoln Way Ste 200-2476 Gregory R Keese MD PC Hallowitz Holistic Healing PS 1107 W Ironwood Dr -2604 1310 N 4th St Haluk Tezcan, M.D. 700 Ironwood Dr Ste 103 Hayden Lake 7780 Mineral Dr Coeur d Alene, ID 83815 Health Care for Women 1800 Lincoln Way Ste 202-2570 Health Care for Women 980 W Ironwood Dr Ste 101-2668 Heart Clinics Northwest A Division of Kootenai Medical Center 700 Ironwood Dr Ste 320-4485 Henneberg & Kim OBGYN PLLC 980 W Ironwood Dr Ste 201-2668 (208) 664-5225 (208) 292-4873 (208) 667-3585 (208) 765-5457 (208) 666-0605 (208) 667-0585 (208) 667-0585 (208) 667-3583 (208) 215-2045 (208) 930-4922 (208) 664-4940 (208) 665-7055 (208) 699-6817 (208) 666-0357 (208) 772-0802 (509) 435-7508 (208) 666-2559 (208) 883-1144 (208) 667-1588 (208) 765-2200 (208) 691-5725 (208) 667-2255 (208) 676-8183 (208) 664-9888 (208) 664-9888 (208) 765-5922 (208) 765-5922 (208) 667-2541 (208) 667-5483 (208) 667-7459 (208) 676-0400 (208) 666-3800 (208) 772-6609 (208) 765-1455 (208) 765-1455 (208) 625-5250 (208) 765-4888 Preferred Provider Network 6/23/2016 Page 24

Heritage Health Heritage Health Heritage Health Heritage Health Heritage Health Heritage Health Heritage Health 916 Ironwood Dr 108 E Walnut Street 201 E Harrison Ave -3240 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 610 W Hubbard St -2285 Heritage Health 2201 Ironwood Pl Ste 100 Heritage Health Heritage Health Higgins Clinic NW 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1052 W Mill Ave 1250 N Northwood Center Ct -2470 Houk Chiropractic-Coeur d Alene PC 610 W Hubbard St Ste 116-2286 Idaho Hand and Upper Extremity Therapy 920 Ironwood Dr Ste 207 Ingrid Madsen PLLC 1110 W Park Pl Ste 306-2784 Inland Northwest Spine and Neurosurgery PLLC 850 W Ironwood Dr Ste 300-4903 IPC of Washington Ironwood Drive 2003 Kootenai Health Way -6051 2180 Ironwood Center Dr Ironwood 920 Ironwood Dr Ste 101-2464 Jill Gronholz, D.O. John A Sturges MD PA 1401 N Lincoln Way 2170 Ironwood Center Drive Suite A John A Wolfe PhD 2190 Ironwood Center Dr Ste 2 Jonathan S. King, M.D., P.C. 1107 Ironwood Dr Journey To Wellness Counseling Center 2005 Ironwood Pkway Ste 119 Jud Leifheit 421 E Coeur d' Alene Ave Ste 1A -2862 Judy Kimes MS LCPC LMFT 1130 W Prairie Ave Ste 1 Coeur d Alene, ID 83815-8780 Julie C Thibault Julie Walker Katherine Crawford LCSW 2448 Merritt Creek Loop Ste 2F -6215 2448 Merritt Creek Loop Ste 2F -6242 1104 W Ironwood Dr Ste A -2605 Kootenai Audiology, L.L.C. 700 W Ironwood Dr Ste 236-4484 Kootenai Health Kootenai Health Kootenai Health Kootenai Health Kootenai Health Kootenai Health Kootenai Health 2003 Lincoln Way 2003 Lincoln Way 2003 Lincoln Way 2003 Kootenai Health Way -6051 2022 Governmment Way 2003 Kootenai Health Way -6051 1701 Lincoln Way -2537 Kootenai Health 700 Ironwood Dr Ste 301 (208) 292-0292 (208) 292-0697 (208) 292-0697 (208) 292-0292 (208) 620-5210 (208) 292-0292 (208) 667-0620 (208) 769-2222 (208) 292-0292 (208) 664-3301 (208) 768-1250 (208) 664-9134 (208) 664-0575 (208) 667-3383 (208) 667-1376 (208) 666-2000 (208) 667-6264 (208) 667-4557 (208) 664-5904 (208) 665-5596 (208) 666-0357 (208) 667-7459 (208) 699-6756 (208) 667-6606 (208) 664-9022 (208) 659-5410 (208) 818-1099 (208) 699-1081 (208) 667-3386 (208) 666-3892 All practitioners providing services are (208) 666-2000 All practitioners providing services are (208) 667-1200 All practitioners providing services are (208) 666-2000 All practitioners providing services are (208) 667-5536 All practitioners providing services are (208) 625-4000 All practitioners providing services are (208) 667-7845 All practitioners providing services are (208) 666-3544 All practitioners providing services are Preferred Provider Network 6/23/2016 Page 25

Kootenai Health 980 W Ironwood Dr Ste 306-2668 Kootenai Health 920 Ironwood Dr Ste 1600 Kootenai Health Kootenai Health 1701 Lincoln Way -2537 2300 Kootenai Health Way Kootenai Health 1300 E Mullan Ave Ste 1300-4036 Kootenai Health Kootenai Health 700 Ironwood Dr 2121W Ironwood Center Dr -2639 Kootenai Health 700 Ironwood Dr Ste 130-2656 Kootenai Health 700 Ironwood Dr Ste 350-4487 Kootenai Health 700 Ironwood Dr Ste 234 Kootenai Health 2003 Kootenai Health Way -6051 Kootenai Health 1919 Lincoln Way Ste 110 Kootenai Health 1919 Lincoln Way Ste 315 Kootenai Health 1919 Lincoln Way Ste 211 Kootenai Health 1919 Lincoln Way Ste 415 Kootenai Health 2003 Kootenai Health Way Ste 301-6051 Kootenai Health 700 W Ironwood Dr Ste 278-4400 Kootenai Health 700 W Ironwood Dr Ste 275-4400 Kootenai Health 700 W Ironwood Dr Ste 341-4404 Kootenai Health 700 Ironwood Dr Ste 158-4404 Kootenai Health 2003 Kootenai Health Way -6051 Kootenai Health 1110 W Park Pl Ste 202 Kootenai Health 1919 Lincoln Way Ste 416-2527 Kootenai Imaging Kootenai Imaging 2003 Kootenai Health Way -6051 825 W Ironwood Dr -2673 Kootenai Imaging 700 Ironwood Dr Ste 100 Kootenai Imaging Kootenai MRI 2003 Lincoln Way 825 W Ironwood Dr -2673 Kootenai Outpatient Imaging 700 Ironwood Dr Ste 110 Kootenai Urgent Care LLC 566 W Prairie Ave Coeur d Alene, ID 83815-7766 Kootenai Urgent Care LLC 700 Ironwood Dr Ste 202 Kootenai Urgent Care LLC Kootenai Urgent Care LLC Kootenai Urgent Care LLC Kootenai Urgent Care LLC Kootenai Vision Center, P.L.L.C. Lake City PA 700 Ironwood Dr Ste 120E -4484 700 Ironwood Dr Ste 258N -2656 700 Ironwood Dr Ste 220E 1112 W Ironwood Dr -2474 1801 N 3rd St -3400 920 Ironwood Dr Ste C (208) 664-3101 All practitioners providing services are (208) 664-9205 All practitioners providing services are (208) 765-1866 All practitioners providing services are (208) 625-4000 All practitioners providing services are (208) 773-9113 All practitioners providing services are (208) 666-2000 All practitioners providing services are (208) 664-9784 All practitioners providing services are (208) 666-3800 All practitioners providing services are (208) 676-9913 All practitioners providing services are (208) 667-5536 All practitioners providing services are (208) 625-4467 All practitioners providing services are (208) 625-4601 All practitioners providing services are (208) 625-6000 All practitioners providing services are (208) 625-5500 All practitioners providing services are (208) 625-4595 All practitioners providing services are (208) 666-2000 All practitioners providing services are (209) 625-5083 All practitioners providing services are (208) 625-4780 All practitioners providing services are (208) 625-5200 All practitioners providing services are (208) 625-5100 All practitioners providing services are (208) 666-2552 All practitioners providing services are (208) 215-2055 All practitioners providing services are (208) 625-4601 All practitioners providing services are (208) 666-2900 (208) 666-2910 (208) 666-3200 (208) 666-2900 (208) 666-1805 (208) 666-3200 (208) 772-9110 (208) 292-2959 (208) 667-9110 (208) 292-2959 (208) 209-6800 (208) 292-2959 (208) 667-1591 (208) 667-1988 Preferred Provider Network 6/23/2016 Page 26

Lake City PA Lakeland Family Medicine Lakeside Holistic Health, PLLC 2170 Ironwood Center Dr Ste B 1404 E Sherman Ave -4044 518 N 4th St -2931 Lakeside Pediatric and Adolescent Medicine, P.L.L.C. 980 W Ironwood Dr Ste 302 Coeur d Alene, ID 83816 Lakewood, L.L.C. Laura Sferra LCPC LLC Leanne Elisha Leonard D. Guth, M.D., P.C. 1401 N Lincoln Way 520 E Coeur d Alene Ave -2873 1104 W Ironwood Dr Ste A 5424 N Martha Lp Coeur d Alene, ID 83815 Liberty Services LLC 1042 W Mill Ave Ste 207-2489 Lisa L. Robinson, OD, PC Lloyd E. Witham, M.D., P.A. Michael E. Coats, M.D., P.L.L.C. 409 West Neider Avenue Suite C Coeur d Alene, ID 83815 1107 Ironwood Dr 2022 N Goverment Way Michael J. Drager, D.P.M. 850 West Ironwood Drive Suite 301 Michael T. May, M.D. 700 Ironwood Dr Ste 304 Midlife Center Monarch Mental Health 1423 N Government Way -3335 1713 E Sherman Ave -5326 Monarch Mental Health 2115 E Sherman Ave Ste 102 & 103-5362 Natural Spine Solutions Neurosurgery and Spine Northwest 3913 N Schreiber Way Coeur d Alene, ID 83815-8395 2236 N Merritt Creek Loop Ste A -4960 Northern Idaho Hand Rehabilitation PLLC 943 W Ironwood Dr Ste 100-4904 North Idaho Dermatology North Idaho Eye Institute PA 2288 N Merritt Creek Lp -4959 1814 Lincoln Way -2540 North Idaho Lung, Asthma and Critical Care LLC 700 W Ironwood Dr Ste 378-4415 North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho 2003 Lincoln Way 2100 Ironwood Ct Ste A -2698 2003 Lincoln Way 2003 Lincoln Way 2003 Lincoln Way 1917 N Lakewood Dr -2634 North Idaho Urology PLLC 980 W Ironwood Dr Ste 104-2668 North Lakes Family Center Northwest Specialty Hospital Northwest Specialty Hospital 611 Lakeside Ave 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 315 W Dalton Ave Ste B Coeur d Alene, ID 83815-8600 Northwest Specialty Hospital 315 W Dalton Ave Ste 100 Coeur d Alene, ID 83815-8600 NW Heart & Lung Surgical Assoc 2003 Kootenai Health Way Ste 300-6051 On Site for Seniors Inc 1052 W Mill Ave -2444 Orthopedic Institute 980 Ironwood Dr Ste 207-2668 (208) 667-1988 (208) 666-0909 (208) 758-0568 (208) 292-5437 (208) 676-1424 (208) 659-5119 (208) 667-9400 (208) 676-1852 (208) 676-9912 (208) 765-5665 (208) 667-7459 (208) 667-5536 (208) 667-9762 (208) 667-1588 (208) 691-2515 (208) 676-1075 (208) 676-1075 (208) 966-4425 (208) 684-5467 (208) 667-7097 (208) 665-7546 (208) 667-2531 (208) 765-1252 (208) 666-2000 (208) 664-3064 (208) 666-2000 (208) 666-2000 (208) 666-2000 (208) 664-8194 (208) 667-0621 (208) 664-5941 (208) 262-2600 (208) 209-2066 (208) 209-2066 (208) 666-2552 (208) 664-3301 (208) 770-2971 Preferred Provider Network 6/23/2016 Page 27

Orthopedic Specialty Institute LLC 1875 N Lakewood Dr Ste 200-4928 Pain Management of North Idaho 1686 W Riverstone Dr Ste 1-5779 Paladin Services 1042 W Mill Ave Ste 205-2489 Pathways of Idaho LLC Pathways of Idaho LLC 1417 N 4th St -3310 1103 E Sherman -4154 Peach Counseling 2101 Lakewood Dr Ste 234-2473 & Sports Medicine Institute 850 W Ironwood Dr Ste 103-4903 Pinnacle and Sports Medicine Post Falls Chiropractic Prairie Family Medicine PLLC 3322 Grand Mill Lane -5689 1310 N 4th St -3220 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 Prairie Family Medicine PLLC 560 W Canfield Ave Ste 400 Coeur d Alene, ID 83815 Pure Inc. 3655 N Government Way Ste 3 Coeur d Alene, ID 83815-8332 Radia 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 Raymond K. Greene, O.D., P.A. 850 Ironwood Dr Ste 104 Relief Workers Massage Therapy PLLC 1110 W Park Pl Ste 310-2784 Relief Workers Massage Therapy PLLC 1110 W Park Pl Ste 304-2784 Resilience Psychiatric Medicine 1417 N 4th St Restored Horizons 2115 E Sherman Ave Ste 101-5364 River City 370 E Kathleen Ave Ste 500 Coeur d Alene, ID 83815-5238 Riverside Counseling, Inc. Riverwood Counseling LLC 408 E Montana St -3051 1686 W Riverstone Dr -5779 Robert G. Holman, M.D. 700 Ironwood Drive Suite 304 Robert William Hagen MD Inc 416 E Coeur d A'lene Ave -2825 Rockwood Clinic PS 700 Ironwood Ave Ste 334 Rockwood Clinic PS 980 W Ironwood Dr Ste 205-2668 Rockwood Clinic PS 700 Ironwood Dr Ste 350-4487 Rockwood Clinic PS 700 W Ironwood Dr Ste 375-4401 Roy L Clapper OD Ryan Averett DPM PC Spencer D. Greendyke, M.D., L.L.C. Stephen Gajewski LLC 355 E Neider Ave Coeur d Alene, ID 83815-3723 2221 W Ironwood Center Dr -2697 3318 N Grand Mill Ln -5689 2448 N Merritt Creek Loop Ste 2E -6215 Stillpoint, L.L.C. 212 S 11th St Ste 5-4000 Stoddard Chiropractic 1025 Ironwood Dr Ste 2 Susan Keeley Counseling Services PC 1042 W Mill Ave Ste 205-2489 Susan M Beglinger LMFT 206 E Indiana Ave Ste 112-2969 Swayze Chiropractic, P.C. 402 W Canfield Ave Ste 3 Coeur d Alene, ID 83815-7784 The Laser and Vein Center, P.L.L.C. 608 Northwest Blvd Ste 301-2174 (208) 758-0716 (208) 765-4807 (208) 818-9979 (208) 292-2188 (208) 209-7188 (208) 664-9257 (208) 664-1119 (208) 665-2000 (208) 676-0400 (208) 209-0288 (208) 667-7777 (208) 691-8888 (208) 209-2060 (208) 765-2020 (208) 665-0400 (208) 699-4433 (208) 292-2188 (208) 819-7103 (208) 292-1372 (208) 667-3515 (208) 765-4795 (208) 667-1588 (208) 667-1110 (208) 666-9541 (509) 838-2531 (208) 676-9913 (509) 838-2531 (208) 676-7356 (208) 667-3585 (208) 277-1060 (509) 521-7457 (208) 661-2400 (208) 667-0875 (208) 755-7370 (208) 777-5510 (208) 762-9000 (208) 676-8346 Preferred Provider Network 6/23/2016 Page 28

The Lyman Knee Clinic 1875 N Lakewood Dr Ste 200 Thomas K. Thilo, M.D. 700 Ironwood Drive Suite 304 TRockwell LMP Inc 520 E Coeur D'Alene Ave -2873 Unlimited Health Chiropractic 320 E Neider Ave Ste 105 Coeur d Alene, ID 83815-6007 Vein Clinics Northwest PLLC 850 Ironwood Dr Ste 201 Vickie L. Arriaga-Thorne, L.M.F.T. 1103 W Ironwood Dr Ste A -2604 William M. Green, Ph.D. 401 1/2 Sherman Avenue Suite 206 Coeur d Alene, ID 83816-1209 (208) 758-0716 (208) 667-1588 (509) 869-6484 (208) 930-4944 (208) 676-0104 (208) 818-3581 (208) 765-1894 Cottonwood Heart Clinics Northwest A Division of Kootenai Medical Center St Mary's Cottonwood Clinic St Mary's Hospital Inc Craigmont St Mary's Craigmont Clinic 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 320 N Division St. Craigmont, ID 83523 (208) 666-2000 (208) 962-3267 (208) 962-2473 (208) 924-5504 Dalton Gardens North Idaho Nephrology Associates, Inc. 7600 N Mineral Dr Ste 850 Dalton Gardens, ID 83815-7783 Open Mind Wellness 5920 N Government Way Ste 4 Dalton Gardens, ID 83815-9200 (866) 434-2597 (208) 519-0550 Downey Health West Inc 79 N Main St Downey, ID 83234-0186 (208) 897-5600 Driggs High Peaks PA Medical Imaging Associates of Idaho Falls PA Occupational Therapy Unlimited LLC Pocatello Podiatry Associates PA 500 Ski Hill Rd Driggs, ID 83422 120 E Howard Ave Driggs, ID 83422-5112 30 E Little Ave Driggs, ID 83422-5138 852 Valley Center Dr Driggs, ID 83422-5005 Streubel Therapy Services 18 N Main St Ste 215 Driggs, ID 83422-5141 Eagle Aesthetic Eye PC 323 E Riverside Dr Ste 136 Eagle, ID 83616-6865 Boise Asthma & Allergy Clinic 323 E Riverside Dr Ste 204 Eagle, ID 83616-6865 Booth Psychological Solutions, PLLC 4060 E Chinden Blvd Eagle, ID 83616-6481 Bridgeway Health Services 1032 S Bridge Way Pl Ste 110 Eagle, ID 83616-6099 Cottonwood Family Medicine 100 Cottonwood Ct Ste 150 Eagle, ID 83616-6550 Eagle Cramer Chiropractic PA 1580 E State St Ste 104 Eagle, ID 83616-6853 Eagle Creek Family Medicine 1281 E Iron Eagle Dr Eagle, ID 83616-6599 Eagle Family Health 445 S Fitness Pl Ste 130 Eagle, ID 83616-6828 Eagle Family Medicine, PA 100 W Cottonwood Ct Ste 100 Eagle, ID 83616 Eagle Healh & Wellness 868 E Riverside Dr Ste 200 Eagle, ID 83616-6019 Eagle Hearing 440 E State St Ste 100 Eagle, ID 83616-5935 (208) 354-3128 (208) 354-2383 (208) 709-2911 (208) 233-4355 (208) 354-1999 (208) 995-4451 (208) 378-0080 (208) 377-1131 (208) 475-0800 (208) 995-2875 (208) 939-3737 (208) 939-5535 (208) 939-2332 (208) 939-3197 (208) 938-4040 (208) 939-9359 Preferred Provider Network 6/23/2016 Page 29

Eagle Pediatrics PA Eagle Vision One 125 N Stierman Way Ste A Eagle, ID 83616-5163 355 S Eagle Rd Eagle, ID 83616-5912 Elks Rehab System 533 S Rivershore Ln Ste 120 Eagle, ID 83616-4979 Ellison Family Chiropractic 3225 W Bavaria St Ste 101 Eagle, ID 83616-5547 Eye 2 Eye 440 E State St Ste 140 Eagle, ID 83616-5935 Gem State 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 Gem State LLP 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 Gem State LLP 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 Idaho Allergy 379 E Shore Dr Ste 100 Eagle, ID 83616-5410 Idaho Emergency Physicians, P.A. 323 E Riverside Dr Eagle, ID 83616-6864 Idaho Surgical Partners 323 E Riverside Dr Ste 220 Eagle, ID 83616-6864 Intermountain Eye & Laser Centers PLLC 323 E Riverside Dr Ste 122 Eagle, ID 83616-6865 Intermountain Medical Imaging 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 John "Jay" Robertson PhD LMFT 849 E State St Ste 105 Eagle, ID 83616-7177 Keystone Health 1159 E Iron Eagle Dr Ste 170 Eagle, ID 83616-6870 Lawrence Sassadeck, D.C. 593 E State St Eagle, ID 83616-5938 Lisa Johnson Counseling and Consulting LLC 325 E Shore Dr Ste 120 Eagle, ID 83616-6522 L Schlickman MD PLLC 1139 E Winding Creek Dr Eagle, ID 83616-7232 Mountain Land Rehabilitation Inc 875 E Plaza Dr Ste 103 Eagle, ID 83616-6549 Overton Stiff Professional Anesthesia Services Inc 90 Cottonwood Ct Ste 100 Eagle, ID 83616-6577 Overton Stiff Professional Anesthesia Services Inc 80 Cottonwood Ct Ste 100 Eagle, ID 83616-6577 Overton Stiff Professional Anesthesia Services Inc 325 E Shore Dr Ste 100 Eagle, ID 83616-6584 Pain Care Clinic of Idaho 742 E State St Ste 150 Eagle, ID 83616-5941 Peak, P.C. 90 W Cottonwood Ct Ste 150 Eagle, ID 83616 Peak, P.C. 3217 W Bavaria St Eagle, ID 83616-5171 Peine Osteopathic Medicine 507 S Fitness Pl Ste 110 Eagle, ID 83616-6552 Primary Health Medical Group 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 Primary Health Medical Group-Urgent Care 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 Rocky Mountain Foot & Ankle 323 E Riverside Dr Ste 204 Eagle, ID 83616 Rocky Mountain Health & Wellness 951 E Plaza Dr Ste 110 Eagle, ID 83616-6567 Saint Alphonsus Rehabilitation Services 323 E Riverside Dr Ste 124 Eagle, ID 83616-6824 Saint Alphonsus Specialty Services Inc 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 Silver Creek Forensic & Clinical Psychology PLLC 1005 E Winding Creek Dr Ste 155 Eagle, ID 83616 St. Alphonsus Regional Medical Center, Inc. 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 St. Alphonsus Regional Medical Center, Inc. 323 E Riverside Dr Ste 224 Eagle, ID 83616-6864 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 600 E State St Eagle, ID 83616-6082 3217 W Bavaria St Eagle, ID 83616-5171 (208) 939-4880 (208) 939-2773 (208) 489-4599 (208) 884-8848 (208) 939-7000 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 938-3443 (208) 343-5600 (208) 938-4749 (208) 367-5700 (208) 473-1179 (208) 209-3242 (208) 938-8988 (208) 484-1797 (208) 938-8887 (208) 322-6200 (208) 323-8545 (208) 938-2553 (208) 938-0280 (208) 939-3750 (208) 375-0666 (208) 947-3434 (208) 947-0925 (208) 939-8200 (208) 939-8200 (208) 855-5955 (208) 938-5680 (208) 367-5400 (208) 302-0000 (208) 855-0660 (208) 302-6000 All practitioners providing services are (208) 367-6237 All practitioners providing services are (208) 367-4700 All practitioners providing services are (208) 302-6200 All practitioners providing services are Preferred Provider Network 6/23/2016 Page 30

St. Alphonsus Regional Medical Center, Inc. 323 E Riverside Dr Ste 224 Eagle, ID 83616 St. Alphonsus Regional Medical Center, Inc. State of Mind Counseling and Neurofeedback Center LLC 3217 W Bavaria St Eagle, ID 83616 141 N Palmetto Ave Ste 1626 Eagle, ID 83616-8066 State of Mind Counseling & Wellness Center 141 N Palmetto Ave Ste 1626 Eagle, ID 83616-8066 Therapeutic Associates Inc 12 N Fisher Park Way Ste 100 Eagle, ID 83616 Winding Creek Medical Arts Emmett 1139 E Winding Creek Dr Eagle, ID 83616-7232 Daniel M Pewe DC PC 288 Highway 16 Ste 101 Emmett, ID 83617-5082 Emmett Counseling and Psychiatric Services LLC 2007 E Quail Run Rd Ste 1 Emmett, ID 83617-5059 Emmett Eye Center Emmett Family Medicine & Direct Primary Care Emmett Medical Center, P.L.L.C. Foot & Ankle Medical Center Foot & Ankle Medical Center Gardner Chiropractic Gem Gem State Gem State LLP King PC Mountain Land Rehabilitation Inc Overton Stiff Professional Anesthesia Services Inc Russell T Snow DO PA Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Schreck Chiropractic & Wellness St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. The Walking Center Valley Family Health Care Valor Health-Emmett Medical Center Valor Health-Emmett Medical Center Valor Health-Emmett Medical Center Valor Health Family Medicine West Idaho Orthopedic & Sports Medicine 1108 S Washington Ave Emmett, ID 83617-3535 2001 E Quail Run Rd Emmett, ID 83617-5059 1102 E Locust St Emmett, ID 83617-2713 1202 E Locust St Emmett, ID 83617-2715 1024 E Locust St Emmett, ID 83617 518 S Washington Ave Emmett, ID 83617-3523 1108 S Washington Ave Emmett, ID 83617-3535 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617 103 S Commercial Emmett, ID 83617-2921 912 S Washington Ave Emmett, ID 83617-3501 110 S Washington Ave Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 1024 E Locust St Emmett, ID 83617-2776 1202 E Locust St Emmett, ID 83617-2715 1024 E Locust St Emmett, ID 83617-2715 701 S Washington Ave Emmett, ID 83617-3526 1202 E Locust St Emmett, ID 83617-2715 1024 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 207 E 12th St Emmett, ID 83617-3626 1102 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617 1024 E Locust St Emmett, ID 83617 119 N Wardwell Ave Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 (208) 367-5750 All practitioners providing services are (208) 302-6200 All practitioners providing services are (208) 939-3999 (208) 939-3999 (208) 939-0140 (208) 938-8887 (208) 365-2225 (208) 365-5445 (208) 365-2020 (208) 365-7131 (208) 365-6004 (208) 365-3561 (208) 466-3338 (208) 365-2024 (208) 365-3455 (208) 365-3651 (208) 365-3651 (208) 477-8028 (208) 365-4400 (208) 365-3860 (208) 454-2050 (208) 365-2338 (208) 367-5227 (208) 302-0000 (208) 365-1392 (208) 367-4810 All practitioners providing services are (208) 367-6038 All practitioners providing services are (208) 343-8907 (208) 365-1065 (208) 365-6004 (208) 365-3561 (208) 365-6004 (208) 365-6311 (208) 459-4511 Fairfield Family Health Services 401 W Camas Ave Fairfield, ID 83327 (208) 764-2611 Preferred Provider Network 6/23/2016 Page 31

Firth Firth Medical Center PLLC Fort Hall Pocatello Podiatry Associates PA 114 S Main St Firth, ID 83236-1168 717 Mission Rd Fort Hall, ID 83203 (208) 346-6614 (208) 233-4355 Fruitland Allergy Clinic - Idaho, Inc. Christian Counseling Services CT Derm PC Eloisa S. Walker, M.D. Foot & Ankle Medical Center Iwasa Eye Center PA 1300 NW 16th St Fruitland, ID 83619-2267 100 S Iowa Ave Fruitland, ID 83619-2644 811 NW 12th St Fruitland, ID 83619-2268 1118 NW 16th Fruitland, ID 83619 1210 NW 16th St Fruitland, ID 83619 925 NW 12th St Fruitland, ID 83619-5044 Lifeways Inc 1611 N Whitley Dr Ste 7 Fruitland, ID 83619-2180 Lifeways Inc 4944 Whitley Dr Ste 7 Fruitland, ID 83619 Memorial Hospital 1210 NW 16th St Fruitland, ID 83619 Nan Moss Counseling 1509 N Whitley Ste 11 Fruitland, ID 83619 Precision Chiropractic RehabAuthority LLC 720 Syringa Springs Dr Fruitland, ID 83619 1611 N Whitley Dr Ste 1A Fruitland, ID 83619 Saint Alphonsus Medical Center-Ontario 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 Saint Alphonsus Medical Center-Ontario 910 NW 16th St Ste 102 Fruitland, ID 83619 Saint Alphonsus Medical Center-Ontario 910 NW 16th St Ste 205 Fruitland, ID 83619 Saint Alphonsus Regional Medical Center 1118 NW 16th St Ste A Fruitland, ID 83619-2272 Saint Alphonsus Rehabilitation Services (STARS) 910 NW 16th St Ste 200 Fruitland, ID 83619 Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 1118 NW 16th Ste A Fruitland, ID 83619-2272 1118 NW 16th St Fruitland, ID 83619-2271 1118 NW 16th Ste A Fruitland, ID 83619-2272 910 NW 16th St Fruitland, ID 83619-2265 Saint Alphonsus Specialty Services Inc 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 Saint Alphonsus Specialty Services Inc 910 NW 16th St Fruitland, ID 83619-2265 Saint Alphonsus Specialty Services Inc 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 Saint Alphonsus Specialty Services Inc 910 NW 16th St Ste 102 Fruitland, ID 83619 Snake River Dermatology Specialty Clinic of Idaho Inc St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 1118 NW 16th St Ste A Fruitland, ID 83619 1210 NW 16th St Fruitland, ID 83619-2202 1118 NW 16th Ste A Fruitland, ID 83619-2272 118 NW 16th St Fruitland, ID 83619-2207 910 NW 16th St Fruitland, ID 83619-2265 St. Alphonsus Regional Medical Center, Inc. 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 (208) 452-2323 (208) 452-4378 (208) 452-7450 (208) 336-9188 (208) 466-3338 (208) 642-2151 (208) 291-1020 All practitioners providing services are (541) 889-9167 All practitioners providing services are (208) 549-3452 (541) 212-3151 (208) 452-6453 (208) 452-0021 (208) 452-6851 (208) 452-6851 (208) 452-3111 (208) 452-6851 (208) 452-8060 (208) 452-6851 (208) 367-4000 (208) 452-6851 (208) 452-6851 (208) 452-6851 (208) 367-4000 (208) 302-0000 (208) 452-6851 (208) 452-5999 (208) 433-9300 (208) 452-6851 All practitioners providing services are (208) 452-6851 All practitioners providing services are (208) 367-4000 All practitioners providing services are (208) 452-6851 All practitioners providing services are Preferred Provider Network 6/23/2016 Page 32

St. Alphonsus Regional Medical Center, Inc. 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 910 NW 16th St Fruitland, ID 83619-2265 910 NW 16th St Fruitland, ID 83619-2265 St Clair Specialty Physicians PC 910 NW 16th St Ste 102 Fruitland, ID 83619-2265 St Luke's Clinic- Treasure Valley LLC Therapy Connection LLC 1210 NW 16th St Fruitland, ID 83619-2202 1611 N Whitley Dr Ste 1A Fruitland, ID 83619-2180 Total Wellness Chiropractic & Holistic Care 211 N Whitley Dr Ste 4 Fruitland, ID 83619 Tri-City 215 N Whitley Dr Ste 1 Fruitland, ID 83619-2706 Western Pacemaker Clinic PLLC West Idaho Orthopedic & Sports Medicine 910 NW 16th St Fruitland, ID 83619-2265 1210 NW 16th St Fruitland, ID 83619-2202 (208) 452-6851 All practitioners providing services are (208) 465-6952 All practitioners providing services are (208) 367-4000 All practitioners providing services are (208) 501-8955 (208) 452-8600 (208) 452-0021 (208) 452-7582 (208) 452-6366 (208) 888-4600 (208) 459-4511 Garden City Primary Health Medical Group Primary Health Medical Group-Urgent Care Riverside Rehab Garden Valley Acheive PLLC Garden Valley Family Medicine, P.C. Glenns Ferry Gem State LLP Glenns Ferry Health Center, Inc. Grand View Glenns Ferry Health Center, Inc. Grangeville Brown Family Vision Providence Spokane Heart Institute Providence Spokane Heart Institute St Mary's Grangeville Clinic Syringa General Hospital District CIF Syringa General Hospital District CIF Valley Medical Center, P.L.L.C. Valley Medical Center, P.L.L.C. Hailey Asthma & Allergy of Idaho Blackmer Foot & Ankle Group PA Saint Alphonsus Specialty Services Inc St. Alphonsus Regional Medical Center, Inc. 5601 W Chinden Blvd Garden City, ID 83714 6052 W State St Garden City, ID 83703-2739 7711 W Riverside Dr Garden City, ID 83714 856 Banks Lowman Rd Garden Valley, ID 83622 980 Banks Lowman Rd Garden Valley, ID 83622 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W First Ave Glenns Ferry, ID 83623 350 Main Street Grand View, ID 83624 622 W North St Grangeville, ID 83530-1240 607 W Main Grangeville, ID 83530-1345 607 W Main St Grangeville, ID 83530-1345 617 W North St Grangeville, ID 83530-1239 607 W Main St Grangeville, ID 83530-1345 722 W North St Grangeville, ID 83530 722 W North St Grangeville, ID 83530-1350 607 W Main St Grangeville, ID 83530-1345 408 S Main Hailey, ID 83333 21 E Maple St Ste G Hailey, ID 83333 21 E Maple St Ste A Hailey, ID 83333-4900 706 S Main Hailey, ID 83333-8400 (208) 809-2865 (208) 344-7799 (208) 853-8536 (208) 658-9500 (208) 462-3533 (208) 366-7416 (208) 587-3988 (208) 834-2929 (208) 983-0260 (509) 455-8820 (509) 455-8820 (208) 962-2473 (208) 983-1700 (208) 983-8590 (208) 298-3093 (208) 983-1700 (208) 788-1886 (208) 319-0497 (208) 302-0000 (208) 788-3434 All practitioners providing services are Preferred Provider Network 6/23/2016 Page 33

Hayden Active Family Healthcare PLLC Advanced Rehab Alpine Center Blue Chip Chiropractic, L.L.C. Body Tech Massage & Wellness Inc Chiropractic Pain Relief Coeur D'Alene Pediatrics PA 8836 N Hess Ste E Hayden, ID 83835-7414 8836 N Hess St Ste C Hayden, ID 83835-8718 8257 N Cornerstone Dr Hayden, ID 83835-8683 8276 N Wayne Drive Hayden, ID 83835 2151 W Hayden Ave Hayden, ID 83835-7414 8109 N Wayne Blvd Hayden, ID 83835-5031 9095 N Hess St Hayden, ID 83835-9827 Cunningham Chiropractic PC 8827 N Government Way Ste 3 Hayden, ID 83835-8231 Eye Guys Optical Fitness Plus Foot & Ankle Clinic of Spokane, Inc. Hayden Family Foot and Ankle Clinic PLLC Hayden Lake Chiropractic Hayden Lake Family Physicians Hayden Vision Source Joshua Tree Kootenai Health Lake City PA Lakewood, L.L.C. Lindauer Vision Clinic Makaia Foster North Idaho Nephrology Associates, Inc. North Star and Wellness Palliative Care of North Idaho Palliative Care of North Idaho Physio One Tessendorf Family Chiropractic LLC Walk-In Clinic 8160 N Cornerstone St Ste B Hayden, ID 83835-7075 870 W Hayden Ave Hayden, ID 83835-9724 8944 N Hess St Ste A Hayden, ID 83835-9183 8944 N Hess St Ste A Hayden, ID 83835-9183 8235 North Cornerstone Drive Hayden, ID 83835 8181 Cornerstone Drive Hayden, ID 83835 8445 Government Way Hayden, ID 83835-9280 8475 N Government Way Hayden, ID 83835-8670 566 W Prairie Ave Hayden, ID 83815-7766 8238 N Goverment Way Hayden, ID 83835-5034 870 W Hayden Ave Hayden, ID 83835-9724 550 W Honey Suckle Ave Hayden, ID 83835-6042 2151 W Hayden Ave Hayden, ID 83835-7414 8836 N Hess Ste C Hayden, ID 83835 8944 N Hess St Ste B Hayden, ID 83835-9183 9494 N Government Way Hayden, ID 83835-9848 9493 N Government Way Hayden, ID 83835-9216 8332 N Wayne Dr Hayden, ID 83835-6027 1401 W Biztown Loop Hayden, ID 83835-5113 265 W Prairie Shopping Ctr Hayden, ID 83835-9855 (208) 762-7760 (208) 659-4005 (208) 762-0881 (208) 772-4545 (208) 762-6772 (208) 667-7463 (208) 772-8940 (208) 635-5658 (208) 772-5539 (207) 772-6991 (509) 928-8181 (208) 762-0909 (208) 762-0222 (208) 772-0785 (208) 772-3208 (208) 772-9774 (208) 772-0263 All practitioners providing services are (208) 762-2100 (208) 676-0102 (208) 762-0109 (208) 819-0929 (208) 771-2854 (208) 762-0251 (208) 772-7994 (208) 772-7994 (208) 209-6170 (208) 762-3660 (208) 772-7850 Hayden Lake Empire Eye Physicians PS Homedale RehabAuthority LLC RehabAuthority LLC Terry Reilly Health Services Horseshoe Bend 8445 N Government Way Hayden Lake, ID 83835-9280 134 W Idaho Ave Homedale, ID 83628-4702 134 E Idaho Ave Homedale, ID 83628-5003 108 E Idaho Ave Homedale, ID 83628 (509) 928-8040 (208) 337-3254 (208) 337-3254 (208) 337-3189 Preferred Provider Network 6/23/2016 Page 34

Acheive PLLC 400 Highway 55 Horseshoe Bend, ID 83629-9015 Garden Valley Family Medicine, P.C. Idaho City 102 Quinn St Horseshoe Bend, ID 83629 East Boise County Medical Clinic 3852 Highway 21 Idaho City, ID 83631-4195 Idaho Falls Active Change Center 901 Pier View Dr Ste 204 Idaho Falls, ID 83402-5070 Allied Healthcare PLLC Baker Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Blackfoot Anesthesia Services LLC Blackfoot Anesthesia Services LLC Blackfoot Anesthesia Services LLC Boyd L. Hammond, M.D., P.A. Bradford L. Talcott, M.D., Ph.D., P.C. Brad Jamison Chiropractic, P.L.L.C. 3360 S 15th E Idaho Falls, ID 83404-8321 1880 John Adams Pkwy Idaho Falls, ID 83401-4315 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 2680 Channing Way Idaho Falls, ID 83404-7517 1740 E 17th St Idaho Falls, ID 83404 2025 E 17th St Idaho Falls, ID 83404-6430 2025 E 17th St Idaho Falls, ID 83404-6430 1540 Elk Creek Dr Idaho Falls, ID 83404-8322 2065 E 17th st Idaho Falls, ID 83404-8042 2353 Coronado St Idaho Falls, ID 83404 671 S Woodruff Idaho Falls, ID 83401 Bridgewater Counseling PLLC 1075 S Utah Ste 352 Idaho Falls, ID 83402-3327 Burke Family Chiropractic Integrative Health Services, Inc. 1348 E 17th St Idaho Falls, ID 83404-6270 Carriagehouse Obstetrics and Gynecology LLC 1570 Midway Ste 1 Idaho Falls, ID 83406-6912 Channing PC 2570 Channing Way Idaho Falls, ID 83404-7515 Cloverleaf Therapy 3000 Pancheri Dr Unit 3 Idaho Falls, ID 83402-5095 Community Care Channing Way LLC Community Care, P.L.L.C. Dan I Dragotoiu Daniel K. Hinckley, M.D. Daron L. Scherr, M.D., P.A. Eastern Idaho Cardiology Associates PLLC Eastern Idaho Foot Clinic 2725 Channing Way Idaho Falls, ID 83404-7510 765 S Utah Ave Idaho Falls, ID 83402-5093 3240 S Woodruff Idaho Falls, ID 83404-8305 2065 E 17th st Suite A Idaho Falls, ID 83404-8042 2900 Valencia Dr Idaho Falls, ID 83404-7594 2001 S Woodruff Ave Ste 12A Idaho Falls, ID 83404-6372 2565 Channing Way Idaho Falls, ID 83404-7516 Eastern Idaho Medical Consultants 2985 Cortez Ave Ste 200 Idaho Falls, ID 83404-7554 Eastern Idaho Neurological Associates, P.A. Eastern Idaho Regional Medical Center Inpatient Services 2353 Coronado St Idaho Falls, ID 83404-7407 3100 Channing Way Idaho Falls, ID 83404-7533 East Falls Cardiovascular and Thoracic Surgery, L.L.C. 2860 Channing Way Ste 112 Idaho Falls, ID 83404-7532 East Falls Cardiovascular and Thoracic Surgery, L.L.C. 3242 S Woodruff Idaho Falls, ID 83404-8305 East Falls Family Medicine LLC 2860 Channing Way Ste 100 Idaho Falls, ID 83404-7531 East Falls Family Medicine LLC East Falls Plastic Surgery 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 2860 Channing Way Ste 114A Idaho Falls, ID 83404-7532 (208) 658-9500 (208) 793-2257 (208) 392-4544 (208) 528-7566 (208) 522-8300 (208) 524-6633 (208) 535-3626 (208) 528-7667 (208) 535-3626 (208) 524-2025 (208) 529-2230 (208) 529-8393 (208) 529-0798 (208) 552-4823 (208) 552-2584 (208) 201-9610 (208) 542-6564 (208) 527-2557 (208) 529-8005 (208) 523-5602 (208) 525-8448 (208) 525-2600 (208) 523-6020 (208) 522-1764 (208) 523-7667 (208) 524-2255 (208) 523-2928 (208) 535-4300 (208) 552-4823 (208) 529-7986 (208) 535-4566 (208) 535-4567 (208) 535-4567 (208) 535-4567 (208) 535-4565 Preferred Provider Network 6/23/2016 Page 35

East Idaho Anesthesia Associates PC 1540 Elk Creek Dr Idaho Falls, ID 83404-8322 East Idaho Ear Nose Throat - Facial Plastic Surgery PA 3446 S 15th E Idaho Falls, ID 83404-8262 EIRMC Hospitalist Services Ellis Excellence in Medicine INC Eye Clinic of Idaho Falls PA Family First Medical Center, PLLC Foot & Ankle Specialists of Idaho PC Foothills Rehabilitation and Performance Services LLC Gene K Hodges MD Grand Teton Child Neurology Grand Teton Chiropractic PC Grand Teton Gastroenterology Gregory E. Biddulph, M.D. Grove City Anesthesia LLC 3100 Channing Way Idaho Falls, ID 83404-7533 3100 S Woodruff Ave Idaho Falls, ID 83404 2680 Channing Way Idaho Falls, ID 83404-7517 530 S Holmes Ave Idaho Falls, ID 83401-4751 3614 Washington Parkway Idaho Falls, ID 83404 1277 E 17th St Idaho Falls, ID 83404-6126 3715 Woodking Dr Idaho Falls, ID 83404-4720 2065 E 17th St Ste A Idaho Falls, ID 83404-8042 756 Oxford Dr Idaho Falls, ID 83401-4233 1220 E 17th St Idaho Falls, ID 83404-6147 2770 Cortez Ave Idaho Falls, ID 83404-7590 3300 Washington Pkwy Idaho Falls, ID 83404-7592 3345 S Holmes Ave Ste B Idaho Falls, ID 83404-7981 Health & Wellness Center of Idaho, P.L.L.C. 2001 S Woodruff Ave Ste 5 Idaho Falls, ID 83404-6371 High Valley Dermatology & Dermatologic Surgery, PLLC Huntsman Orthopaedic Surgery & Sports Medicine Idaho Behavioral Health Services Idaho Eye Center, P.A. 2085 Providence Way Idaho Falls, ID 83404-4945 3300 Washington Pkwy Idaho Falls, ID 83404-7592 2280 E 25th St Idaho Falls, ID 83404-7542 2025 E 17th St Idaho Falls, ID 83404-6430 Idaho Falls Clinic, P.A. 2001 S Woodruff Ste 15 Idaho Falls, ID 83404 Idaho Falls Dermatology PA 2860 Channing Way Ste 121 Idaho Falls, ID 83404-7532 Idaho Falls 3360 Washington Pkwy Ste 1 Idaho Falls, ID 83404-8332 Idaho Falls Hand Surgery Idaho Falls Infectious Diseases, P.L.L.C. Idaho Falls Pediatrics Idaho Falls Pulmonary-Sleep & Critical Care Specialists PC Idaho Foot and Ankle Center Idaho Heart Institute Idaho Kidney Institute, L.L.P. Idaho Neurosurgery & Spine PLLC Idaho Neurosurgery & Spine PLLC Idaho Orthopaedic Surgery, P.C. Idaho Physician Services Inc Idaho Physician Services Inc Idaho Physician Services Inc Intermountain Emergency Physicians 933 S Utah Ave Idaho Falls, ID 83402-3322 2900 Cortez Ave Idaho Falls, ID 83404-7554 2375 Coronado St Idaho Falls, ID 83404-7407 2442 E 25th St Idaho Falls, ID 83404-7549 1540 Elk Creek Dr Idaho Falls, ID 83404-8322 2985 Cortez Ave Idaho Falls, ID 83404-7554 2381 E Sunnyside Rd Idaho Falls, ID 83404 3345 Potomac Way Idaho Falls, ID 83404-7533 2375 E Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 3405 Merlin Dr Idaho Falls, ID 83404-7430 2860 Channing Way Ste 100A Idaho Falls, ID 83404-7572 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 3100 Channing Way Idaho Falls, ID 83404-7533 (208) 529-8393 (208) 522-6335 (208) 227-2570 (208) 523-8879 (208) 523-7667 (208) 529-3937 (208) 552-7700 (208) 346-7443 (208) 529-2255 (208) 522-3301 (208) 529-4300 (208) 529-1919 (208) 522-4000 (208) 522-6662 (208) 528-2858 (208) 528-8777 (208) 525-4888 (208) 522-6662 (208) 227-2100 (208) 524-2025 (208) 522-7310 (208) 522-8945 (208) 524-3416 (208) 552-1759 (208) 535-8400 (208) 522-4600 (208) 552-4909 (208) 529-8393 (208) 523-3373 (208) 904-4780 (208) 552-6210 (208) 552-6210 (208) 522-3355 (208) 535-4567 (208) 535-4567 (208) 535-4567 (208) 227-2100 Preferred Provider Network 6/23/2016 Page 36

Intermountain Radiation Oncology PA Jason G Dalling Julian de Bruyn Kops MD PC Kenneth Krell MD PA Leavitt Women's Healthcare Life Change Associates, PLLC Life Spring Women's Clinic, P.A. Lisa Porter Lynn J Stromberg MD PA 1550 Hoopes Ave Idaho Falls, ID 83404 3300 Washington Pkwy Idaho Falls, ID 83404-7592 2065 E 17th St Ste C Idaho Falls, ID 83404-8042 3200 Channing Way Idaho Falls, ID 83404-7546 1550 Elk Creek Dr Idaho Falls, ID 83404-8322 730 S Woodruff Ave Idaho Falls, ID 83401-5285 1660 John Adams Pkwy Idaho Falls, ID 83401-4360 1480 E Lincoln Rd Ste B Idaho Falls, ID 83401 2355 Coronado St Idaho Falls, ID 83404 Machen Family Medicine PC 3500 Potomac Way Ste 100 Idaho Falls, ID 83404-9998 Manual Solutions PLLC 2640 Channing Way Idaho Falls, ID 83404-7517 Manual Solutions PLLC 1075 S Utah Ave Ste 351 Idaho Falls, ID 83402-3327 Mark E Freeman MD PC Mark Weight MD PC Mark Weight MD PC Maternal Fetal Services of Utah, L.L.C. Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA 3760 Washington Pkwy Idaho Falls, ID 83404-7593 2355 Coronado St Idaho Falls, ID 83404-7407 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 Medical Imaging Associates of Idaho Falls PA 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Mental Wellness Centers Monarch Healthcare PLLC Monarch Healthcare PLLC Mountain Crest Foot and Ankle, P.A. Mountain States Neonatology Inc Mountain States Neonatology Inc Mountain States Neonatology Inc Mountain View Hospital LLC Mountain View Hospital LLC 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 2420 E 25th St Idaho Falls, ID 83404-7549 2990 Cortez Ave Idaho Falls, ID 83404-7554 2962 Cortez Ave Idaho Falls, ID 83404-7554 1628 Elk Creek Dr Idaho Falls, ID 83404-8349 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 3200 Channing Way Ste A102 Idaho Falls, ID 83404-7561 2325 Coronado St Idaho Falls, ID 83404-7407 2730 Channing Way Idaho Falls, ID 83404-5049 (208) 542-7220 (208) 522-6662 (208) 522-6106 (208) 535-4300 (208) 529-5942 (208) 233-5433 (208) 523-8844 (208) 525-8686 (208) 528-9800 (208) 522-7666 (208) 552-2248 (208) 552-2248 (208) 881-5351 (208) 537-2700 (208) 529-6111 (208) 529-7174 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 542-5000 (208) 542-1026 (208) 535-0440 (208) 535-0440 (208) 528-8700 (801) 743-4700 (208) 535-4591 (801) 743-4700 (208) 557-2700 All practitioners providing services are (208) 542-7100 All practitioners providing services are Preferred Provider Network 6/23/2016 Page 37

Mountain View Hospital LLC Mountain View Hospital LLC Mountain View Hospital LLC 919 South Utah Ave Idaho Falls, ID 83402 2330 Desoto St Idaho Falls, ID 83404 1957 E 17th St Idaho Falls, ID 83404 Mountain West Dermatology 3425 Merlin Dr Ste 200 Idaho Falls, ID 83404-7430 Mountain West Ear Nose and Throat PC MVH Anesthesia, LLC Neurobehavioral & Developmental Disorders Clinic 1582 Elk Creek Dr Idaho Falls, ID 83404-8322 2325 Coronado St Idaho Falls, ID 83404-7407 2275 W Broadway St Ste G Idaho Falls, ID 83402-2902 New Beginnings, Inc. 2235 East 25th St Ste 185 Idaho Falls, ID 83404 Northstar Healthcare LLC 1995 E 17th St Ste 2 Idaho Falls, ID 83404-6493 Obstetrics and Gynecology Associates of Idaho Falls 2065 E 17th St Ste D Idaho Falls, ID 83404-8042 Overton Stiff Professional Anesthesia Services Inc 1570 Midway Dr Ste 1 Idaho Falls, ID 83406-6912 Overton Stiff Professional Anesthesia Services Inc Pain Specialists of Idaho, L.L.C. Pathology Associates of Idaho Falls 2327 Coronado St Idaho Falls, ID 83404-7407 2375 E Sunnside Rd Ste J Idaho Falls, ID 83404 3100 Channing Way Idaho Falls, ID 83404-7533 Peak Performance Therapy Services 3456 E 17th st Ste 130 Idaho Falls, ID 83406 Performance Therapy 3125 Valencia Dr Idaho Falls, ID 83404 Peter M. Cannon, M.D. 2001 S Woodruff Ste 4 Idaho Falls, ID 83404 Premier Eye Care of Eastern Idaho PLLC 1449 E 17th St Idaho Falls, ID 83404-6236 Radial First Cardiovascular Associates LLC 2001 S Woodruff Ave Ste 3 Idaho Falls, ID 83404-6371 RehabAuthority LLC RehabAuthority LLC Rencher Robert J Lee MD PC Rocco P. Cifrese, M.D. Rocky Mountain Diabetes and Osteoporosis Center Rocky Mountain Diabetes and Osteoporosis Center Ronald M. Zohner, M.D. Rosemark WomenCare Specialists Rosemark WomenCare Specialists Sarah Vlach, M.D. Shoulder & Knee Center, P.A. Simpson DermCare and Family Medicine PLLC Southeast Idaho Stanley J. Cheslock, M.D. Sterling Physician Group PLLC Summit Health Professionals, P.L.L.C. Summit Orthopaedics 720 S Woodruff Ave Idaho Falls, ID 83401-5285 3155 Channing Way Ste D Idaho Falls, ID 83404-7534 2610 Channing Way Idaho Falls, ID 83404-7517 3446 S 15th E Idaho Falls, ID 83404-8262 1995 E 17th St Idaho Falls, ID 83404-6493 2220 E 25th St Idaho Falls, ID 83404-7542 3910 Washington Parkway Idaho Falls, ID 83404 1842 1st St Idaho Falls, ID 83401-4415 808 Pancheri Dr Idaho Falls, ID 83402-3344 3450 Potomac Way Idaho Falls, ID 83404-4970 3155 Channing Way Ste A Idaho Falls, ID 83404-7534 2035 E 17th St Idaho Falls, ID 83404-6430 2225 Teton Plaza Ste B Idaho Falls, ID 83404-6494 2775 Channing Way Idaho Falls, ID 83404-7510 3456 E 17th St Idaho Falls, ID 83404 740 S Woodruff Ave Idaho Falls, ID 83401-5285 3760 Washington Pkwy Idaho Falls, ID 83404-7593 2321 Coronado St Idaho Falls, ID 83404-7407 (208) 542-7100 All practitioners providing services are (208) 552-4909 All practitioners providing services are (208) 523-1100 All practitioners providing services are (208) 528-6653 (208) 542-5414 (20) 855-2857x5233 (208) 524-7400 (208) 522-1904 (208) 529-2352 (208) 522-0747 (208) 522-2557 (208) 557-2900 (208) 522-7246 (208) 529-6050 (208) 523-0030 (208) 529-3332 (208) 524-4511 (208) 529-6600 (208) 523-3050 (208) 938-5255 (208) 552-2700 (208) 523-0888 (208) 522-4409 (208) 522-7666 (208) 523-1122 (208) 523-1122 (208) 552-5707 (208) 552-6900 (206) 557-2900 (208) 535-4343 (208) 524-5633 (208) 524-2222 (208) 524-5948 (208) 529-2828 (208) 542-9111 (208) 524-4953 (208) 227-1100 All practitioners providing services are Preferred Provider Network 6/23/2016 Page 38

Superior Surgery Center Anesthesia PLLC 3345 Potomac Way Idaho Falls, ID 83404-8281 2875 E Sunnyside Rd Ste B Idaho Falls, ID 83404-8281 Terry Baker MD 3200 Channing Way Ste A-105 Idaho Falls, ID 83404-7561 Teton Foot & Ankle Center PC 3345 S Holmes Ave Idaho Falls, ID 83404-7981 Teton Diagnostic, L.L.C. 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 Teton Diagnostic, L.L.C. Teton Vision Center Teton Vision Center PLLC 2922 Cortez Idaho Falls, ID 83404 1340 S Ammon Rd Idaho Falls, ID 83406-5810 1340 S Ammon Rd Idaho Falls, ID 83406-5810 Teton Women's Health Center 2001 S Woodruff Ste 10 Idaho Falls, ID 83404 The Pediatric Center Tony D. Quinton, D.P.M., P.L.L.C. 3430 Washington Pkwy Idaho Falls, ID 83404-7579 3369 Merlin Dr Idaho Falls, ID 83404-7405 Total Family Medicine, P.L.L.C. 1995 E 17th St Ste 5 Idaho Falls, ID 83404-6493 Zoe Interventional Pain Management LLC 2060 S Woodruff Ave Idaho Falls, ID 83404-6396 (208) 417-0090 (208) 557-2767 (208) 522-9530 (208) 528-6225 (208) 524-7237 (208) 552-1800 (208) 523-3141 (208) 523-3141 (208) 523-2060 (208) 523-3060 (208) 529-2230 (208) 529-2544 (208) 523-7246 Jerome Eloisa S. Walker, M.D. Family Care Physicians Family Health Services Family Health Services St Lukes Clinic - Jerome Family Medicine St Luke's Jerome ER Wright LLC Kamiah St Mary's Kamiah Clinic Kellogg Cardiology Associates of Spokane LLC Foot & Ankle Clinic of Spokane, Inc. Hayden Family Foot and Ankle Clinic PLLC Henneberg & Kim OBGYN PLLC Henneberg & Kim OBGYN PLLC Heritage Health James P Osmanski DO Kellogg Inc Kootenai Health Mary-Alice Janzen, M.D. Medical Imaging Associates of Idaho Falls PA Mountain Health Services, P.C. 709 5th Ave Jerome, ID 83338 112 W 5th Jerome, ID 83338 133 West Ave A Ste B Jerome, ID 83338 114 Pioneer Ct Jerome, ID 83338-5193 132 5th Ave W Jerome, ID 83338 709 N Lincoln Ave Jerome, ID 83338 111 Pioneer Ct Jerome, ID 83338-5193 518 Oak St Kamiah, ID 83536 740 McKinley Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Avenue Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 204 Oregon Street Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 (208) 336-9188 (208) 324-1157 (208) 324-3471 (208) 324-3471 (208) 324-5286 (208) 324-1122 (208) 944-9277 (208) 935-2585 (208) 783-1267 (509) 928-8181 (208) 762-0909 (208) 765-4888 (208) 765-1252 (208) 783-1267 (208) 262-2379 (208) 783-3015 (208) 765-1345 All practitioners providing services are (208) 786-7300 (208) 784-1221 (208) 783-1267 Preferred Provider Network 6/23/2016 Page 39

North Idaho Eye Clinics, Inc. North Idaho Nephrology Associates, Inc. North Idaho Urology PLLC Rockwood Clinic PS Shoshone Medical Center Providers Kendrick Gritman Medical Center 403 Bunker Ave Kellogg, ID 83837-2205 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 25 Jacobs Gulch Kellogg, ID 83837 606 E Main St Kendrick, ID 83537-5002 (208) 784-1141 (208) 783-1267 (208) 667-0621 (208) 783-1267 (208) 784-7017 All practitioners providing services are (208) 289-3841 All practitioners providing services are Ketchum Meier Clinics 360 E Ave Ste 200 Ketchum, ID 83340 Meier Clinics Saint Alphonsus Specialty Services Inc 180 1st St W Ste 303C Ketchum, ID 83340 100 Hospital Dr Ketchum, ID 83340 Saint Alphonsus Specialty Services Inc 100 Hospital Dr Ste 107 Ketchum, ID 83340 Kimberly Wright LLC 931 Center St Ste 3-4 Kimberly, ID 83341-1819 Wright LLC Wright LLC 921 Center St E Kimberly, ID 83341 931 Center St Ste C Kimberly, ID 83341 (207) 720-9343 (207) 720-9343 (208) 302-0000 (208) 367-3330 (208) 423-9999 (208) 423-9999 (208) 423-9999 Kooskia Clearwater Valley Hospital & Clinics Syringa General Hospital District CIF 102 Thenon St Kooskia, ID 83539-6013 022 N Main St Kooskia, ID 83539 (208) 926-7801 (208) 926-4776 Kuna Advanced Family Medicine PLLC 943 N Linder Rd Ste 103 Kuna, ID 83634-3395 Boise Family Chiropractic Cedar Health Center ClarifEye Family Eyecare 708 E Wythe Creek Ct Kuna, ID 83634 708 E Wythe Creek Ct Ste 102A Kuna, ID 83634-2473 762 E Wythe Creek Ct Kuna, ID 83634 Family Medicine Health Center 708 E Wythe Creek Ct Ste 103 Kuna, ID 83634-5005 Kuna Chiropractic Family Care Center Kuna Counseling Center, L.L.C. 675 W 4th St Kuna, ID 83634 190 W Main St Kuna, ID 83634 Mountain Land Rehabilitation Inc 672 E Wythe Creek Ct Ste 103 Kuna, ID 83634-5216 Pioneer Sports & Pain Center 1619 N Linder Rd Kuna, ID 83634-5400 RehabAuthority LLC 943 N Linder Rd Ste 104 Kuna, ID 83634-3395 St. Alphonsus Regional Medical Center, Inc. 757 E Wythe Creek Ct Kuna, ID 83634-5006 (208) 922-3355 (208) 922-9904 (208) 922-9904 (208) 922-3060 (208) 514-2523 (208) 922-5057 (206) 922-9001 (208) 922-9828 (208) 922-4908 (208) 922-1719 (208) 302-6500 All practitioners providing services are Lava Hot Springs Health West Inc 85 S 5th W Lava Hot Springs, ID 83246-1603 (208) 776-5202 Lewiston Alpine Vision Center 3510 12th St Ste 400 Lewiston, ID 83501-5575 Alpine Vision Center 739 Bryden Ave Ste A Lewiston, ID 83501-4909 (208) 743-5830 (208) 743-5830 Preferred Provider Network 6/23/2016 Page 40

Anderson Gallaher & Assoc Counseling PLLC Behavioral Health Solutions, P.A. Boyer Chiropractic 450 Thain Rd Ste F Lewiston, ID 83501-5300 2841 Juniper Dr Lewiston, ID 83501-4719 717 D St Lewiston, ID 83501-1826 Bridgeway Counseling Center LC 324 5th St Ste 102 Lewiston, ID 83501-2408 Bryden Family Vision Building Blocks Pediatric Therapy Cardiology Associates of Spokane LLC Carmine Petracca OD ClearView Eye Clinic, LTD Clearwater Gastroenterology Clearwater Medical Clinic 939 Bryden Ave Lewiston, ID 83501-5057 1019 3rd St Lewiston, ID 83501-2713 625 6th Ave Lewiston, ID 83501-2424 939 Bryden Ave Lewiston, ID 83501-5057 1630 23rd Ave Ste 201A Lewiston, ID 83501-6345 2517 17th St Ste B Lewiston, ID 83501-6311 1522 17th St Lewiston, ID 83501-3652 Community Health Association of Spokane 338 6th St Ste 101 Lewiston, ID 83501-2419 Debra Street, M.S.W. Dr. Kracke & Associates, P.A. Dynamic PLLC Eastgate Chiropractic Incorporated Heart Clinics Northwest A Division of Kootenai Medical Center Institute of and Fitness Interventional Pain Consultants PA Jennifer Kaufman ARNP PLLC Joan P Burrow DC Justine Arabi LCPC Kindra J Hibbard MS Eds 0309 2nd St Lewiston, ID 83501-2163 422 17th St Lewiston, ID 83501-2526 1037 21st St Lewiston, ID 83501-3415 1132 Burrell Ave Lewiston, ID 83501-7101 307 St Johns Way Lewiston, ID 83501-2436 678 Southway Lewiston, ID 83501 2841 Juniper Dr Lewiston, ID 83501-4719 224 Larkspur Ln Lewiston, ID 83501-9600 427 Park Ave Lewiston, ID 83501-4307 0309 2nd St Lewiston, ID 83501-2163 312 Miller St Lewiston, ID 83501-1944 Kurt A. Bailey, D.C. 3510 12th St Ste 200 Lewiston, ID 83501-5575 Kym Orthopedics PLLC Larsen Gastroenterology PLLC Lee W. Gould, M.D. Lewiston Orthopaedic Associates, P.A. 3316 4th St Ste 4B Lewiston, ID 83501-4405 2021 Carol Dr Lewiston, ID 83501-3856 307 St. John's Way Lewiston, ID 83501 320 Warner Dr Lewiston, ID 83501-4441 Lori L Holder LCSW 504 Main St Ste 472 Lewiston, ID 83501-1806 Neurosurgery & Spine Care Specialists PLLC 324 5th St Ste 101 Lewiston, ID 83501-2408 Nina J. Woods, L.C.P.C. Northwest Natural healthcare LLC 312 Miller St Lewiston, ID 83501-1944 1114 Main St Lewiston, ID 83501-1902 Orie E. Kaltenbaugh, M.D. 307 St John's Way Ste 1 Lewiston, ID 83501 Pacific Cataract & Laser Institute Pacific Cataract & Laser Institute Pacific Cataract & Laser Institute Pathologists Regional Laboratory - Physicians 3331 4th St Lewiston, ID 83501-4405 3331 4th Ste Lewiston, ID 83501-4405 3330 4th St Lewiston, ID 83501-4405 415 Sixth St Lewiston, ID 83501 (208) 743-0150 (208) 743-9712 (208) 743-1424 (208) 746-6776 (208) 743-1761 (208) 816-4195 (208) 743-8226 (208) 743-1761 (208) 746-5100 (208) 743-4373 (208) 743-8416 (208) 848-8300 (208) 746-0137 (208) 743-4680 (208) 743-1795 (208) 743-0231 (208) 666-2000 (208) 746-1418 (208) 743-9712 (509) 758-2200 (208) 798-8228 (208) 746-0137 (208) 750-1802 (208) 799-3333 (208) 746-2663 (509) 758-2200 (208) 746-2038 (208) 743-3523 (208) 553-1603 (208) 746-5025 (208) 750-1802 (208) 743-1974 (208) 746-5132 (208) 746-2025 All practitioners providing services are (208) 746-2025 All practitioners providing services are (208) 746-2025 All practitioners providing services are (208) 746-0516 Preferred Provider Network 6/23/2016 Page 41

Peak Performance PMG PHC Providence Spokane Heart Institute Providence Spokane Heart Institute Radiation Oncology Associates, P.L.L.C. Sandra Godfrey, L.M.H.C. 1010 Bryden Ave Ste A Lewiston, ID 83501-5353 2315 8th St Lewiston, ID 83501-7301 2315 8th St Grade Lewiston, ID 83501-7301 2315 8th St Grade Lewiston, ID 83501 504 6th St Lewiston, ID 83501-2439 0309 2nd St Lewiston, ID 83501-2163 St Joseph Medical Group 1630 23rd Ave Ste 701 Lewiston, ID 83501-6345 St Joseph Medical Group 1630 23rd Ave Ste 801 Lewiston, ID 83501-6345 St Joseph Medical Group 428 6th St Lewiston, ID 83501 St Joseph Medical Group 307 Saint Johns Way Ste 11 Lewiston, ID 83501-2435 St Joseph Medical Group 415 6th St Sre 2A Lewiston, ID 83501-2431 St Joseph Medical Group 307 St Johns Way Ste 4 Lewiston, ID 83501 St Joseph Medical Group 307 Saint Johns Way Ste 9 Lewiston, ID 83501-2435 St. Joseph Orthopaedic Care St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers 307 St. Johns Way Lewiston, ID 83501 415 6th St Lewiston, ID 83501-2431 1250 Idaho St Lewiston, ID 83501-1965 307 Saint Johns Way Lewiston, ID 83501-2435 St. Joseph Regional Medical Center Providers 307 Saint Johns Way Ste 11 Lewiston, ID 83501-2435 St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers St. Joseph Regional Medical Center Providers Valley Medical Center, P.L.L.C. 222 Southway Ste C Lewiston, ID 83501-2703 821 21st Ave Lewiston, ID 83501-6359 325 Warner Dr Lewiston, ID 83501-4437 3315 8th St Lewiston, ID 83501-4966 1014 Burrell Ave Lewiston, ID 83501-5589 2870 Juniper Dr Lewiston, ID 83501-4720 1917 17th Ave Lewiston, ID 83501-4039 2315 8th St Lewiston, ID 83501-7301 (208) 746-0455 (509) 747-6707 (509) 455-8820 (208) 746-0720 (208) 799-5600 (208) 746-0137 (208) 743-3998 (208) 743-4373 (208) 683-2928 (208) 743-7612 (208) 750-7456 (208) 743-8585 (208) 750-7379 (208) 750-7470 (208) 799-5200 (208) 743-7427 (208) 746-7055 (208) 743-7612 (208) 746-1333 (208) 799-3422 (208) 798-8500 (208) 743-9543 (208) 743-4558 (208) 746-2855 (208) 743-5322 (208) 746-1383 Malad City Christensen Foot & Ankle Clinic Malad Valley Clinic, Department of Oneida County Hosptial Malad Valley Clinic, Department of Oneida County Hosptial Medical Imaging Associates of Idaho Falls PA Marsing Terry Reilly Health Services McCall Boise Orthopedic Clinic Boise Orthopedic Clinic 150 N 200th W Malad City, ID 83252-1239 230 W 200 N Malad City, ID 83252-4714 220 Bannock St Malad City, ID 83252-5068 150 N 200 W Malad City, ID 83252-1239 201 Main St Marsing, ID 83639 211 W Forrest McCall, ID 83638 211 W Forrest McCall, ID 83638 (208) 235-1777 (208) 766-2267 (208) 766-2600 (208) 766-2231 (208) 896-4159 (208) 898-0100 (208) 898-0100 Preferred Provider Network 6/23/2016 Page 42

Comprehensive Dermatology of Idaho PLLC Justin Rowe OD PA Saint Alphonsus Specialty Services Inc McCammon Health West Inc Melba Terry Reilly Health Services 211 Forest St McCall, ID 83638-5256 204 Lenora St McCall, ID 83638-3844 1000 State St McCall, ID 83638-3704 204 Center St McCammon, ID 83250 150 2nd St Melba, ID 83641 (208) 467-7546 (208) 634-4161 (208) 634-2221 (208) 254-9326 (208) 495-1011 Meridian 360 Chiropractic Wellness 1965 S Eagle Rd Ste 120-9287 Access Anesthesia LLC 1828 S Millenium Way Ste 100-5036 Access Anesthesia LLC 3630 E Louise Dr Access Living 690 S Industry Way Ste 45-7907 Adams Center For Counseling 2525 N Stokesberry Pl Unit A Meridian, ID 83646-1510 Ada West Dermatology, P.C. 1618 S Millenium Way Ste 100-6457 Ada West Dermatopathology, LLC 1618 S Millenium Way Ste 100-6457 Advanced Surgery of Idaho 520 S Eagle Rd Ste 1221-6355 Align Chiropractic & Rehabilitation 750 W Ustick Rd Ste 100 Meridian, ID 83646-6133 Allergy Clinic - Idaho, Inc. 3090 E Gentry Way Ste 140-3549 Allied Orthopedics LLC Alpine Cottage Chiropractic Ankle & Foot Center PC 3015 E Magic View Dr 1326 N Main St -1703 1828 S Millenium Way -5036 Austin Family Chiropractic 2320 E Gala St Ste 300-4880 Barney Greenspan, Ph.D. 1500 E Heritage Park St Ste 125 Meridian, ID 83646-5887 Better Life Chiropractic 1220 N Meridian Rd Ste A -2248 Blackmer Foot & Ankle Group PA 3080 E Gentry Way Ste 201 Boise Advanced Imaging, PLLC Boise Anesthesia, P.A. 2855 E Magic View Dr 3025 W Cherry Ln -8531 Boise Asthma & Allergy Clinic 2320 E Gala St Ste 500-4875 Boise Kidney and Hypertension PLLC 3525 E Louise Dr Ste 100-6303 Boise Kidney and Hypertension PLLC 3525 E Louise Dr Ste 195-6303 Boise Orthopedic Clinic 520 S Eagle Ste 3213 Boise Surgical Group, PA 3399 E Louise Ave Ste 400 Borron Family Medicine PLLC 790 W Ustick Rd Ste 110 Meridian, ID 83646-5558 BridgeTower Chiropractic 3120 W Belltower Dr Ste 150 Meridian, ID 83646-7700 Cafferty Counseling Services Caitlin Parker-Weiser LCPC PLLC 39 E State Ave -2342 2584 N Stokesberry Pl Meridian, ID 83646-1144 (208) 887-9355 (509) 481-8295 (509) 481-8295 (208) 922-2207 (208) 321-4166 (208) 884-3376 (208) 884-3376 (208) 888-6768 (208) 639-1397 (208) 433-9300 (208) 855-2410 (208) 884-3368 (208) 884-0313 (208) 895-0317 (208) 884-1205 (208) 884-5000 (208) 319-0497 (208) 639-4900 (208) 367-8500 (208) 378-0800 (208) 846-8335 (208) 846-8335 (208) 898-0100 (208) 364-3000 (208) 639-3990 (208) 846-8898 (208) 994-3599 (208) 695-7517 Preferred Provider Network 6/23/2016 Page 43

Care Chiropractic Clinic, Inc. 1504 N Main St -1707 Center for Hope and Healing 660 E Franklin Rd Ste 260 Columbia Inc PS 2470 N Stokesberry Pl Meridian, ID 83646-5035 Columbia Inc PS 2270 W Everest Ln Ste 2280 Meridian, ID 83646 Dr Misty L Wall Elizabeth Birchmore Riss PLLC 849 E Fairview Ave Meridian, ID 83646-1806 403 W Cherry Ln -1610 Eloisa S. Walker, M.D. 520 S Eagle Rd Ste 3213-6356 Embrace Wellness LLC 1943 N Locust Grove Rd Meridian, ID 83646 Ennis Endocrinology 2450 E Gala St Ste 100-4805 Epic Psychological Services PLLC 2273 E Gala St Ste 100-7289 EP Services LLC 3630 E Louise Dr -7975 Exodus Pain Clinic 3875 E Overland Rd Ste 200 Exodus Pain Clinic Eye Associates 3875 E Overland Rd 2620 S Eagle Rd -6704 Family Medicine Health Center 2275 S Eagle Rd Ste 120-2620 Family Medicine Health Center Foot & Ankle Medical Center Four Rivers Anesthesia, PC Gem State Gem State Gem State LLP Gem State LLP Gem State LLP Gibb Anesthesia 925 NW 1st St 1828 Millienium Way -5036 1828 S Millenium Way 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2131 S Bonito Way -1659 3235 N Tower Bridge Way Meridian, ID 83646 Glen S. Lovelace, M.D., PA 520 S Eagle Rd Ste 1245-6355 Gloria M Beery PLLC 1545 E Leighfield Dr Ste 100 Meridian, ID 83646-5371 Healthy Habits Wellness Clinic Inc 14 S Baltic Pl -5935 Hedrick Counseling, Inc. 2596 N Stokeberry Pl Ste 120 Meridian, ID 83646 Hodges Family Medicine PLLC 2947 E Magic View Dr Ste 1-3562 I Can PT LLC 1626 Wells Ave Ste 105-4528 Idaho Arthiritis and Ostpeoporosis Center, P.C. 3277 E louise Dr Ste 350-5510 Idaho Foot & Ankle Associates 2947 E Magic View Dr Ste 2-3562 Idaho Minor Emergency and Idaho Physical Medicine Rehabilitation Idaho Urologic Institute, P.A. Initial Point Family Medicine, P.L.L.C. 3041 E Copper Point Dr -1740 3551 E Overland Rd 2855 E Magic View Dr -6245 2640 S Eagle Rd -6704 Intermountain Eye & Laser Centers PLLC 3090 E Gentry Way Ste 120-3549 (208) 888-2267 (208) 343-0441 (208) 884-8323 (208) 855-2855 (208) 297-9495 (208) 887-1911 (208) 336-9188 (208) 287-8400 (208) 908-4541 (208) 898-8999 (208) 377-9515 (208) 947-7246 (208) 947-7246 (208) 342-5151 (208) 514-2500 (208) 514-2527 (208) 855-5955 (208) 552-8773 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 489-9500 (208) 895-6611 (208) 345-3136 (208) 855-2710 (208) 887-7872 (208) 724-0426 (208) 854-9534 (208) 789-0200 (208) 887-9500 (208) 888-9876 (208) 514-4400 (208) 489-4016 (208) 639-4900 (208) 884-0835 (208) 888-0005 Preferred Provider Network 6/23/2016 Page 44

Intermountain Medical Imaging 2929 E Magic View Dr -3560 James H Bates MD 2690 S Eagle Rd Ste 150-6704 James Herrold, M.D. 3875 E Overland Rd Ste 201-9048 Jared Anthony Belsher 849 E Fairview Ave -1806 Jennifer Snider 1828 Millenium Way Ste 100-5036 Jennifer Snider 3630 E Louise Dr -7975 John S Fox MD 1545 E Leighfield Dr Ste 100 Meridian, ID 83646-5371 Journey Mental Health 3288 E Pine Ave -5922 Kim Keys LLC 2596 N Stokesberry Pl Ste 120-6114 Kristina L Palmer MS LCPC Kyle Palmer, M.D. 2584 N Stokesberry Pl Meridian, ID 83646-1144 3875 E Overland Rd -9005 Lifespan Wellness PLC 1404 N Main St Ste 101 Lynnee Rogers Counseling Manning Neurosurgery PLLC Marianne L. Zakarian, M.D., F.A.C.O.G. Obstetrics & Gynecology Mark Wigod MD PA Mary M Bosco RD LD Nutrition Counseling 849 E Fairview Ave -1806 3875 E Overland Rd 2536 N Stokesberry Pl Meridian, ID 83646-1144 3630 E Louise Dr 2525 N Stokesbery Pl Ste B Meridian, ID 83646 Melanie Twite, LLC 750 W Ustick Rd Ste 120 Meridian, ID 83646-6133 Meridian Chiropractic Center 323 W Pine Ave -2238 Meridian Family Medicine 1525 E Leigh Field Dr Ste 150 Meridian, ID 83646 Meridian Pain Center 3875 E Overland Rd Ste 200-9048 Meridian Pediatrics PC Meridian Vision Meridian Vision Michael V. Hajjar, M.D. 3653 N Locust Grove Rd Meridian, ID 83646-5924 1012 N Main St -2304 50 E Carmel Dr Meridian, ID 83646-3301 3875 E Overland Rd MidValley Health Care 2321 E Gala St Ste 3 Modern Rehab Moncarch Behavioral Health 745 S Progress Ave Meridian, ID 83646 845 E Fairview Ave -8048 Mountain Land Rehabilitation Inc 1450 E Fairview Ave Ste 201-1819 Mountain States Orthopaedics 520 S Eagle Rd Ste 1201-6355 Neurological Associates Northwest Neurobehavioral Health, LLC 3875 E Overland Rd -9005 2076 S Eagle Rd -6707 Olsen Chiropractic Clinic, P.L.L.C. 2058 E Franklin Rd Suite 110-8001 Overton Stiff Professional Anesthesia Services Inc 3520 E Louise Dr -6304 Overton Stiff Professional Anesthesia Services Inc 2947 E Magic View Dr Ste 4-3562 Overton Stiff Professional Anesthesia Services Inc 6700 N Linder Rd Ste 13 Meridian, ID 83646-6606 Overton Stiff Professional Anesthesia Services Inc 2026 S Eagle Rd -6707 (208) 367-8222 (208) 401-1000 (208) 343-6200 (208) 286-1952 (208) 378-9295 (208) 377-9515 (208) 855-2710 (208) 888-8886 (208) 991-4696 (208) 392-2762 (208) 884-8300 (208) 888-6264 (208) 546-9395 (208) 367-3500 (208) 855-0880 (208) 377-9515 (208) 495-5501 (208) 366-1601 (208) 888-5858 (208) 888-1199 (208) 955-7246 (208) 338-5437 (208) 888-5252 (208) 888-5252 (208) 367-3500 (208) 888-5848 (208) 895-0309 (208) 340-1688 (208) 887-6757 (208) 855-9600 (208) 343-3976 (208) 955-7330 (208) 286-2124 (208) 888-0909 (208) 895-8486 (208) 895-8555 (208) 888-3623 Preferred Provider Network 6/23/2016 Page 45

Overton Stiff Professional Anesthesia Services Inc 2273 E Gala St Ste 110-7289 Panthera LLC 1406 N Main St Ste 212-1746 Paul J. Montalbano, M.D. 3875 E Overland Rd Personal Solutions 2596 N Stokesbury Pl Ste 100 Meridian, ID 83646 Phyllis R Nodler 3709 N Locust Grove Rd Ste 150 Meridian, ID 83646-5924 Primary Health Medical Group Primary Health Medical Group Primary Health Medical Group Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care 3115 E Florence Dr 1623 S Wells Ave 1900 W Chinden Blvd Meridian, ID 83646 1130 E Fairview Ave -1813 3115 E Florence Dr Rand Martel LCPC 2273 E Gala St Ste 100-7289 Rand Martel LCPC 2273 E Gala St Ste 100 Ratus PLLC 2365 E Gala St Ste 2 RehabAuthority LLC RehabAuthority LLC RehabAuthority LLC 3551 E Overland Rd -6757 745 S Progress Ave -5619 1560 S Carol St Meridian, ID 83646-1839 Remedy Counseling Center 750 W Ustick Rd Ste 120 Meridian, ID 83646-6133 Retina Consultants of Idaho, P.L.L.C. 3715 E Overland Rd Ste 250-8395 Revitalize Chiropractic 2985 S Meridian Rd Ste 140 Rocky Mountain Foot & Ankle Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services 1828 S Millenium Way -5036 179 SW 5th Ave 3020 W Cherry Ln Ste D 3875 E Overland Rd Saint Alphonsus Specialty Services Inc 3025 W Cherry Ln Ste 205-8531 Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 3025 W Cherry Ln -8531 2855 E Magic View Dr -6245 3025 W Cherry Ln Ste A -8531 Saint Alphonsus Specialty Services Inc 901 N Curtis Rd Ste 501 Saint Alphonsus Specialty Services Inc 3025 W Cherry Ln Saint Alphonsus Specialty Services Inc 900 N Liberty St Ste 101 Saltzer Clinics 3277 E Louise Dr Ste 200-9360 Scott Hoopes, M.D. 2273 E Gala St Ste 100-7289 Scott P Hoopes MD 2273 E Gala St Ste 100-7289 Sensory Bin Pediatric Therapy Clinic PLLC 1098 N Hickory Ave Ste 110-9255 Serenity Counseling 750 W Ustick Rd Ste 120 Meridian, ID 83646-6133 Serenity Neuropsychology & Counseling 2498 N Stokesberry Pl Ste 150 Meridian, ID 83646-6501 Simply Womens Health LLC 2273 E Gala St Ste 110-7289 (208) 994-5700 (208) 855-4800 (208) 367-3500 (208) 938-3837 (208) 577-7634 (208) 895-8670 (208) 489-1450 (208) 809-2860 (208) 888-9393 (208) 895-8670 (208) 898-8999 (208) 898-8999 (208) 288-2280 (208) 888-3900 (208) 895-6729 (208) 288-1155 (208) 336-1601 (208) 855-5950 (208) 901-4888 (208) 855-8740 (208) 367-8282 (208) 367-8593 (208) 367-4470 (208) 367-8484 (208) 288-4700 (208) 367-3131 (208) 465-6940 (208) 367-5080 (208) 288-4700 (208) 367-5050 (208) 884-2920 (208) 898-8999 (208) 898-8999 (208) 954-0263 (208) 366-1601 (208) 957-5450 (208) 994-5700 Preferred Provider Network 6/23/2016 Page 46

Sinus Center - Idaho PA 3090 E Gentry Way Ste 140-3549 SPD Organ Transplant 3525 E Louise Dr Ste 100-6303 Specialty Clinic of Idaho Inc 3085 E Magic View Dr Ste 140-3757 Specialty Clinic of Idaho Inc 3085 E Magic View Dr Ste 140-3757 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 3025 W Cherry Ln Ste B -8531 3351 E Overland Rd 3025 W Cherry Ln -8531 3025 W Cherry Ln Ste A -8531 3250 W Cherry Ln -1120 3250 W Cherry Ln -1120 3025 W Cherry Ln Ste B -8531 3025 W Cherry Ln St. Alphonsus Regional Medical Center, Inc. 3025 W Cherry Ln Ste 205 St. Alphonsus Regional Medical Center, Inc. State Avenue Offices LLC 3551 E Overland Rd 39 E State Ave -2342 St Lukes Clinic-Saltzer Medical Group 3277 E Louise Dr Ste 200-9360 St Luke's Clinic- Treasure Valley LLC 520 S Eagle Rd Ste 1234-6355 St Luke's Clinic- Treasure Valley LLC 3525 E Louise Dr Ste 250-6303 St Luke's Clinic- Treasure Valley LLC 520 S Eagle Rd Ste 3213-6356 St Luke's Clinic- Treasure Valley LLC 520 S Eagle Rd Ste 1201-6355 St Luke's Clinic- Treasure Valley LLC 3399 E Louise Dr -5047 St Luke's Clinic- Treasure Valley LLC 520 S Eagle Rd Ste 2204 Tadje Orthopaedics LLC 520 S Eagle Rd Ste 1201-6355 Tarter Family Medicine 1560 N Crestmont Dr Ste A -2178 The Allergy Group 520 S Eagle Rd Ste 1245-6355 Therapeutic Associates Inc The Walking Center Thomas C. Manning, MD, Ph.D. Timothy J. Johans, M.D. Tonia Nicholson CRNA PLLC Tony Salkas PLLC 3645 E Overland Rd -6751 520 S Eagle Rd -6351 3875 Overland Rd 3875 E Overland Rd 3630 E Louise Dr -7975 2596 N Stokesberry Pl Meridian, ID 83646-6114 Transformations Idaho PLLC 2857 S Meridian Rd Ste 100-7960 Treasure Valley Anesthesia Treasure Valley Anesthesia 3235 N Tower Bridge Way Meridian, ID 83646 1828 S Millenium Way Treasure Valley Eye Center 3045 E St Lukes St Ste 100-3507 Treasure Valley Family Medicine PLLC Treasure Valley Family Medicine PLLC 2428 N Stokesberry Pl Meridian, ID 83646-5035 2428 N Stokesberry Pl Meridian, ID 83646 (208) 433-9300 (206) 386-3660 All practitioners providing services are (208) 433-9300 (208) 433-9300 (208) 367-8550 All practitioners providing services are (208) 367-7272 All practitioners providing services are (208) 288-4700 All practitioners providing services are (208) 465-6940 All practitioners providing services are (208) 367-6127 All practitioners providing services are (208) 367-5220 All practitioners providing services are (208) 367-8550 All practitioners providing services are (208) 288-4700 All practitioners providing services are (208) 367-8484 All practitioners providing services are (208) 302-4200 All practitioners providing services are (208) 994-3599 (208) 884-2920 (208) 429-0300 (208) 336-9188 (208) 323-2600 (208) 855-9600 (208) 364-3000 (208) 336-9188 (208) 855-9600 (208) 650-4888 (208) 377-4000 (208) 888-7765 (208) 343-8907 (208) 367-3500 (208) 367-3500 (208) 377-9515 (208) 287-9420 (208) 639-7300 (208) 895-6611 (208) 381-0262 (208) 288-2020 (208) 895-0050 (208) 895-0050 Preferred Provider Network 6/23/2016 Page 47

Treasure Valley Hearing & Balance Clinic Unity Health Center PLLC Unity Health Center PLLC 745 S Progress Ave 745 S Progress Ave -5619 3165 Meridian Rd Vision Quest Medical Center 3025 W Cherry Ln Ste 207 Warm Springs Counseling Warm Springs Counseling Western Pacemaker Clinic PLLC 1833 S Millenium Way 745 S Progress Ave 745 S Progress Ave -5619 Western Pacemaker Clinic PLLC 3025 W Cherry Ln Ste 205 West Idaho Orthopedic & Sports Medicine 3875 E Overland Rd -9005 Westover Anesthesia PLLC 1828 S Millenium Way Ste 100-5036 West Valley Medical Group LLC 745 S Progress Ave Ste 120 Willis Family Chiropractic 1565 E Leigh Field Dr Ste 150 Meridian, ID 83646 Middleton Family Eyecare Specialists 381 S Middleton Rd Middleton, ID 83644-5369 Lee 18 E Main St Ste 1 Middleton, ID 83644-5823 Middleton Chiropractic, L.L.C. Peak, P.C. Terry Reilly Health Services West Valley Medical Group LLC 111 E Main St Middleton, ID 83644-5705 533 S Middleton Rd Middleton, ID 83644-6013 201 S 1st Ave E Middleton, ID 83644 381 S Middleton Rd Ste B Middleton, ID 83644-5369 (208) 377-0019 (208) 895-6729 (208) 287-2064 (208) 898-1614 (208) 343-7797 (208) 343-7797 (208) 888-4600 (208) 888-4600 (208) 895-0888 (208) 381-0262 (208) 895-6429 (208) 855-0858 (208) 459-2020 (208) 585-0051 (208) 585-3657 (208) 585-6566 (208) 585-0048 (208) 535-6311 Montpelier Bear Lake County Memorial Hospital Bear Lake County Memorial Hospital Bear Lake County Memorial Hospital Clay L Campbell MD PC Medical Imaging Associates of Idaho Falls PA 164 S 5th St Montpelier, ID 83254-1557 465 Washington St Montpelier, ID 83254-1544 166 S 5th St Montpelier, ID 83254-4959 166 S 5th St Montpelier, ID 83254-4959 164 S 5th St Montpelier, ID 83254-1557 (208) 847-4354 (208) 847-4495 (208) 847-4327 (208) 847-3847 (208) 847-1630 Moscow Alpine Vision Center 872 Troy Rd Ste 130 Moscow, ID 83843-5035 Alpine Vision Center 872 Troy Rd Ste 130 Moscow, ID 83843-5035 Andrea L. Masom, L.M.H.C. 106 E 3rd St Ste 2B Moscow, ID 83843-2970 Aspire Counseling Services LLC 200 S Almon St Ste 204 Moscow, ID 83843-3066 Asthma & Allergy of Idaho 619 S Washington St Ste 201 Moscow, ID 83843 Asthma & Allergy of Idaho Behavioral Health Solutions, P.A. 700 S Main Moscow, ID 83843 832 Ash St Moscow, ID 83844-0001 Charles A. Jacobson, M.D. 2500 W A St Ste 201 Moscow, ID 83843-6000 Chia-Chi Hu 814 S Washington St Moscow, ID 83843-3049 ClearView Eye Clinic, LTD 2500 West A St Ste 202 Moscow, ID 83843 (208) 883-1800 (208) 883-1800 (208) 882-1289 (208) 310-4578 (208) 665-1552 (208) 562-9608x3277 (208) 885-7376 (208) 883-2828 (208) 830-0619 (208) 882-4662 Preferred Provider Network 6/23/2016 Page 48

Community Health Association of Spokane David E Potter LCPC Diana L. Pals, C.M.H.C. Educational & Psychological Services PLLC 719 S Main St Moscow, ID 83843-3041 814 S Washington St Moscow, ID 83843-3049 814 South Washington Street Moscow, ID 83843 2301 W A St Ste C Moscow, ID 83843-4042 Edwin M. Tingstad, M.D., P.L.L.C. 2500 W A St Ste 201 Moscow, ID 83843-6000 Elements of Wellness Aquatic and Manual Therapy, Inc. Gritman Medical Center Gritman Medical Center Heart Clinics Northwest A Division of Kootenai Medical Center Heart Clinics Northwest A Division of Kootenai Medical Center 872 Troy Hwy ste 170 Moscow, ID 83843 700 S Main St Moscow, ID 83843-3056 804 S Washington St Ste A Moscow, ID 83843-3056 623 S Main St Moscow, ID 83843-2983 213 N Main St Moscow, ID 83843-2700 Karen A Knoff 505 S Mountain View Rd Ste 2 Moscow, ID 83843-9205 Moscow Family Eye Clinic Inc 1205 E 6th St Moscow, ID 83843-3705 Moscow Family Medicine 623 S Main St Ste 1 Moscow, ID 83843-2983 Moscow Family Medicine 623 S Main St Ste 1 Moscow, ID 83843-2983 Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Family Medicine Moscow Medical PA Moscow Mountain Sport and 670 W Pullman Rd Moscow, ID 83843-2061 670 W Pullman Rd Moscow, ID 83843-2061 831 Ash St Moscow, ID 83843 831 Ash St Moscow, ID 83843 831 Ash St Moscow, ID 83843 640 w Pullman Rd Moscow, ID 83843-2061 2500 W A St Moscow, ID 83843-6000 2500 W A St Moscow, ID 83843-6000 2500 W A St Moscow, ID 83843-6000 2500 W A St Moscow, ID 83843-6000 2500 W A St Moscow, ID 83843-6000 213 N Main St Moscow, ID 83843-2700 904 E White Ave Moscow, ID 83843-4046 Moscow-Pullman OB/GYN 623 S Main St Ste 5 Moscow, ID 83843-2983 North Idaho Dermatology 619 S Washington St Ste 302 Moscow, ID 83843-3063 Palouse Acupuncture, LLC 200 S Almon Ste 102 Moscow, ID 83843 Palouse Foot and Ankle Clinic, P.S. 619 South Washington Suite 103 Moscow, ID 83843 Palouse Imaging Consultants, PLLC Palouse Imaging Consultants, PLLC Palouse Surgeons, L.L.C. PMG PHC PMG PHC PMG PHC 405 Styner Ave Moscow, ID 83843-9394 700 S Main St Moscow, ID 83843-3056 2301 W A St Ste A Moscow, ID 83843-4042 212 Rodeo Dr Moscow, ID 83843-9798 700 S Main St Moscow, ID 83843-3056 619 S Washington St Moscow, ID 83843-3900 (208) 848-8300 (208) 883-0619 (208) 883-0619 (208) 883-1144 (208) 883-2828 (208) 892-8888 (208) 883-2227 All practitioners providing services are (208) 883-6476 All practitioners providing services are (208) 666-2000 (509) 838-7711 (208) 301-0649 (208) 882-3434 (208) 882-2011 (208) 882-2011 (208) 882-0540 (208) 882-0540 (208) 885-6693 (208) 885-6693 (208) 885-6693 (208) 882-0540 (208) 882-0540 (208) 882-0540 (208) 882-0540 (208) 882-0540 (208) 882-2011 (208) 882-7565 (208) 882-1426 (208) 883-0813 (208) 665-7546 (208) 882-8534 (208) 882-8939 (208) 882-8369 (208) 882-8369 (509) 338-0632 (509) 340-0930 (509) 747-6707 (509) 747-6707 Preferred Provider Network 6/23/2016 Page 49

Pullman Regional Hospital Clinic Network LLC 1420 S Blaine St Ste 5 Moscow, ID 83843-3973 Quality Chiropractic Center 619 S Washington St Ste 101 Moscow, ID 83843-3063 R&B Anesthesia PLLC Root Health - Acupuncture & Chinese Herbs 2300 W A St Moscow, ID 83843-4038 414 S Jefferson St Moscow, ID 83843-2937 Steven E. Pennington, M.D. 623 S Main St Ste 6 Moscow, ID 83843-2983 Steven E. Pennington, M.D. 2500 West A Suite 201 Moscow, ID 83843 St. Joseph Orthopaedic Care 700 S Main St Moscow, ID 83843-3056 Total Health Physician Group, LLC 619 S Washington Ste 203 Moscow, ID 83843 Vein Clinics Northwest PLLC 212 E Rodeo Dr Ste 410 Moscow, ID 83843 Mountain Home Boise Orthopedic Clinic Boise Orthopedic Clinic Doctors Clinic of Elmore County Eloisa S. Walker, M.D. Family Care Clinic/Scott Baldridge Foot & Ankle Medical Center Glenns Ferry Health Center, Inc. Idaho Urologic Institute, P.A. 895 N 6th E Mountain Home, ID 83647-2207 895 N 6th E Mountain Home, ID 83647-2207 2000 American Legion Blvd Mountain Home, ID 83647-3138 890 N 6th E Mountain Home, ID 83647-2206 110 Rattlesnake Ave Ste B Mountain Home, ID 83647-4220 890 N 6th E Mountain Home, ID 83647 2280 American Legion Blvd Mountain Home, ID 83647-3142 890 N 6th E Mountain Home, ID 83647-2206 Kieffer Chiropractic Clinic 667 Old Highway 30 Mountain Home, ID 83647-6202 Peak, P.C. Saint Alphonsus Specialty Services Inc St. Alphonsus Regional Medical Center, Inc. St Clair Specialty Physicians PC St Luke's Clinic- Treasure Valley LLC St Luke's Clinic- Treasure Valley LLC St Luke's Clinic-Trinity Mountain Medical St Luke's Elmore Medical Center Physician Group The Walking Center 1005 Airbase Rd Mountain Home, ID 83647 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 840 N 4th E Mountain Home, ID 83647 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 465 McKenna Dr Mountain Home, ID 83647-2143 895 N 6th E Mountain Home, ID 83647-2207 890 N 6th E Mountain Home, ID 83647-2206 (208) 882-2247 (208) 883-4300 (208) 883-1500 (541) 791-6878 (208) 883-2828 (208) 883-2828 (208) 882-4511 (208) 892-1346 (208) 892-0100 (208) 898-0100 (208) 898-0100 (208) 587-1500 (208) 336-9188 (208) 587-5573 (208) 466-3338 (208) 587-3988 (208) 639-4900 (208) 587-4804 (208) 587-1777 (208) 377-1415 (208) 367-4278 All practitioners providing services are (208) 367-3370 (208) 587-8401 (208) 323-2600 (208) 587-9703 (208) 587-8401 (208) 343-8907 Mullan Heritage Health 117 Terrill Loop Mullan, ID 83846 (208) 783-1267 Nampa Acacia Wellness Center 353 W Iowa Nampa, ID 83686-2856 Access Behavioral Health Services Inc 3307 Caldwell Blvd Ste 104 Nampa, ID 83651-6403 Advanced Eyecare Advanced Specialty Care for Women Allergy Clinic - Idaho, Inc. 901 12th Ave S Nampa, ID 83651-4658 16111 N Brinson St Nampa, ID 83687-5509 1001 Caldwell Blvd Nampa, ID 83651-1779 (208) 498-1760 (208) 465-4833 (208) 466-9251 (208) 468-9400 (208) 318-0145 Preferred Provider Network 6/23/2016 Page 50

Allied Orthopedics LLC Altitude 16818 N Marketplace Blvd Nampa, ID 83687-5140 130 S Midland Blvd Nampa, ID 83686-2601 Andrea Torrez MA LCSW LLC 17 12th Ave S Ste 207 Nampa, ID 83651-3952 Anesthesiology Consultants of ID Anesthesiology Consultants of ID Balanced Movement Chiropractic 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 16730 N Marketplace Blvd Nampa, ID 83687-7909 Barbara A Ottenhoff PsyD 1224 1st St S Ste 304 Nampa, ID 83651-3963 Belnap Chiropractic Center 723 16th Ave S Nampa, ID 83651-4729 Better Health & Play Therapy, Inc. 5700 E Franklin Rd Ste 220 Nampa, ID 83687-8497 Boise Asthma & Allergy Clinic Canyon Chiropractic Center Chiropractic Center Christian Clinical Concepts LLC 16060 Idaho Center Blvd Nampa, ID 83686 723 16th Ave S Nampa, ID 83651-4729 228 Holly St Nampa, ID 83686-5104 5700 E Franklin Rd Ste 220 A & H Nampa, ID 83687-8497 Columbia Inc PS 4301 Garrity Blvd Ste 103 Nampa, ID 83687-9222 Communicate Therapy Services Community Outreach Counseling 156 McClure Ave Nampa, ID 83651-2025 1031 W Sanetta St Nampa, ID 83651-5047 Comprehensive Dermatology of Idaho PLLC 16111 N Brinson St Ste 100 Nampa, ID 83687-5509 Darrell A Kammer MD David J. Antonie, O.D. Deborah Y Wellman Dermatology Center of Canyon County Diagnostic Pathology Services, Inc. Diagnostic Pathology Services, Inc. Eloisa S. Walker, M.D. Eyecare Associates of Nampa Family Eyecare Specialists 1615 12th Ave Rd Ste C Nampa, ID 83686-6184 60 2nd St Nampa, ID 83651 228 12th Ave Rd Nampa, ID 83686-5013 318 2nd St S Nampa, ID 83651-3765 9850 St Lukes Dr Nampa, ID 83687-7912 1512 12th Ave Rd Nampa, ID 83686 1200 Garrity Blvd Nampa, ID 83687-3402 310 2nd St S Nampa, ID 83651-3765 1213 N Jacob Alcott Way Nampa, ID 83687-5198 Family Eyecare Specialists 4424 E Flamingo Ave Ste 100 Nampa, ID 83687-9291 Foot & Ankle Medical Center Gem State Gem State Gem State LLP Gem State LLP Gibb Anesthesia Healing Scars Counseling Center Idaho Counseling Center LLP Idaho Emergency Physicians, P.A. Idaho Emergency Physicians, P.A. 203 12th Ave Rd Nampa, ID 83686-5012 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 6144 Birch Ln Nampa, ID 83687 324 Caldwell Blvd Ste G Nampa, ID 83651-8409 112 9th Ave S Ste B1-B2 Nampa, ID 83651 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 (208) 321-4000 (208) 461-5057 (208) 350-8998 (208) 463-5029 (208) 463-5029 (208) 466-4600 (208) 906-6740 (208) 466-1600 (208) 859-7435 (208) 378-0800 (208) 466-0546 (208) 467-5759 (208) 475-1875 (208) 463-0700 (208) 466-9686 (208) 466-7443 (208) 467-7546 (208) 467-2129 (208) 327-9809 (208) 467-5094 (208) 467-3006 (208) 381-2378 (208) 466-2661 (208) 336-9188 (208) 467-1361 (208) 459-2020 (208) 459-2020 (208) 466-3338 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 936-7111 (208) 467-9044 (208) 250-8837 Preferred Provider Network 6/23/2016 Page 51

Idaho Foot & Ankle Associates 712 16th Ave S Nampa, ID 83651-4730 Idaho Foot & Ankle Associates 2635 Caldwell Blvd Ste 101 Nampa, ID 83651-6407 Idaho Therapy Source PLLC Idaho Urologic Institute, P.A. Intermountain Eye & Laser Centers PLLC Jensen Eye Associates PLLC Jensen Eye Associates PLLC Journey Mental Health Lifestages OB/GYN Luann D Pecsek Mark Chown, M.D. Martin S. Donaldson, D.C. McKim Chirorpactic Medical Directors of Idaho Mercy Physician Group, Inc. Mercy Physician Group, Inc. Mitchell T Smith LCPC LLC Mountain Land Rehabilitation Inc Mountain States Neonatology Inc Mountain States Neonatology Inc Nampa Radiologists, P.A. Nampa Radiologists, P.A. Peak Mental Wellness and Counseling LLC Primary Health Medical Group Primary Health Medical Group Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care RehabAuthority LLC RehabAuthority LLC 16171 N Brinson St Nampa, ID 83687-5509 1613 12th Ave Rd Ste B Nampa, ID 83686-6183 4400 E Flamingo Ave Nampa, ID 83687-9203 1615 12th Ave Rd Ste A Nampa, ID 83686-6184 1603 12th Ave Rd Ste E Nampa, ID 83686 4405 E Flamingo Ave Nampa, ID 83687 3908 E Flamingo Ave Nampa, ID 83687-3102 220 10th Ave S Nampa, ID 83651-3832 1611C 12 Ave Road Nampa, ID 83686 1203 10th St S Nampa, ID 83651-4611 2023 12th Ave Rd Nampa, ID 83686-6311 404 N Horton St Nampa, ID 83651 1524 12th Ave Rd Nampa, ID 83686-6008 1603 E 12th Ave Rd Nampa, ID 83686 104 9th Ave S Ste B3 Nampa, ID 83651-3809 5251 E Exchange Way Nampa, ID 83687-5507 4400 E Flamingo Ave Nampa, ID 83687-9203 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Road Nampa, ID 83686 4403 E Flamingo Ave Nampa, ID 83687-3113 1305 3rd St S Nampa, ID 83651-3903 700 Caldwell Blvd Nampa, ID 83651-1707 1115 12th Ave Rd Nampa, ID 83686-5738 700 Caldwell Blvd Nampa, ID 83651-1707 1115 12th Ave Rd Nampa, ID 83686-5738 337 W Iowa Ave Nampa, ID 83686-2856 337 W Iowa Ave Nampa, ID 83686-2856 Richard Lochhead MD PLLC 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 Saint Alphonsus Medical Center - Nampa Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services Saint Alphonsus Rehabilitation Services (STARS) Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 1512 12th Ave Rd Nampa, ID 83686-6008 131 Constitution Way Nampa, ID 83686 4424 E Flamingo Ave Nampa, ID 83687 840 SW 4th Ave Nampa, ID 83687 1200 Garrity Blvd Nampa, ID 83687-3402 211 W Iowa Ave Nampa, ID 83686-2834 401 E Hawaii Ave Nampa, ID 83686-6014 (208) 463-1660 (208) 455-0654 (208) 442-2525 (208) 639-4900 (208) 466-2222 (208) 467-3271 (208) 466-0255 (208) 899-4042 (208) 442-8035 (208) 697-8434 (208) 466-3322 (208) 467-6567 (208) 467-5756 (208) 466-9292 (208) 463-5050 (208) 463-1455 (208) 461-3086 (208) 466-9642 (208) 367-8063 (208) 367-8063 (208) 463-5431 (208) 463-3000 (208) 475-5701 (208) 466-6567 (208) 498-1080 (208) 466-6567 (208) 499-8108 (208) 467-7889 (208) 467-7889 (208) 288-4700 (208) 467-1171 (208) 463-5570 (208) 288-4700 (541) 881-7330 (208) 367-4278 (208) 465-7377 (208) 465-6940 Preferred Provider Network 6/23/2016 Page 52

Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc 1524 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 214 S Midland Blvd Nampa, ID 83686-2602 4400 E Flamingo Ave Nampa, ID 83687-9203 211 W Iowa Ave Nampa, ID 83686-2834 4400 E Flamingo Ave Nampa, ID 83687 211 W Iowa Ave Nampa, ID 83686 1524 12th Ave Rd Nampa, ID 83686 Saint Alphonsus Specialty Services Inc 4424 E Flamingo Ave Ste 220 Nampa, ID 83686 Saint Alphonsus Specialty Services Inc 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 Saint Alphonsus Specialty Services Inc 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 Saint Alphonsus Specialty Services Inc 4424 E Flamingo Ave Ste 200 Nampa, ID 83687 Saint Alphonsus Specialty Services Inc 1524 12th Ave Rd Nampa, ID 83687 Saint Alphonsus Specialty Services Inc 4424 E Flamingo Ave Ste 200 Nampa, ID 83687 Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Saltzer Clinics Saltzer Clinics Saltzer Clinics Saltzer Clinics 319 E Hawaii Ave Nampa, ID 83686 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 Saltzer Clinics 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 Saltzer Clinics 9850 W St Lukes Dr Ste 229 Nampa, ID 83687-7912 Sound Physicians of Idaho Sound Physicians of Idaho, PLLC 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Road Nampa, ID 83686 Southwest Idaho Ear, Nose and Throat 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 Specialty Clinic of Idaho Inc St Alphonsus Pathology Physcian Services St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 1001 Caldwell Blvd Nampa, ID 83651-1779 1512 12th Ave Rd Nampa, ID 83686-6008 1200 Garrity Blvd Nampa, ID 83687-3402 214 S Midland Blvd Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 1200 Garrity Blvd Nampa, ID 83687-3402 211 W Iowa Ave Nampa, ID 83686-2834 1200 Garrity Blvd Nampa, ID 83687-3402 1512 12th Ave Rd Nampa, ID 83686-6008 1603 12th Ave Rd Ste E Nampa, ID 83686-6100 211 W Iowa Nampa, ID 83686 (208) 367-5227 (208) 367-6099 (208) 288-4700 (208) 463-5997 (208) 465-7377 (208) 367-7090 (208) 465-7377 (208) 463-5290 (208) 288-4901 (208) 288-4700 (208) 463-5050 (208) 367-5527 (208) 463-5050 (208) 463-5050 (208) 367-5227 (208) 367-7676 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 463-3123 (208) 463-5000 (253) 682-6011 (208) 367-3320 (208) 433-9300 (208) 288-4679 (208) 466-9092 All practitioners providing services are (208) 465-6900 All practitioners providing services are (208) 367-8333 All practitioners providing services are (208) 302-7000 All practitioners providing services are (208) 302-4200 All practitioners providing services are (208) 302-6800 All practitioners providing services are (208) 466-9092 All practitioners providing services are (208) 467-1171 All practitioners providing services are (208) 465-6940 All practitioners providing services are (208) 465-7377 All practitioners providing services are Preferred Provider Network 6/23/2016 Page 53

St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 401 E Hawaii Ave Nampa, ID 83686-6014 401 E Hawaii Ave Nampa, ID 83686-6014 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687-9203 St. Alphonsus Regional Medical Center, Inc. 210 W Georgia Ave Ste 120 Nampa, ID 83686-5688 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. 214 S Midland Blvd Nampa, ID 83686-2602 319 E Hawaii Ave Nampa, ID 83686-6002 214 S Midland Blvd Nampa, ID 83686-2602 4400 E Flamingo Ave Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687 403 E Hawaii Ave Nampa, ID 83686 401 E Hawaii Ave Nampa, ID 83686 St. Alphonsus Regional Medical Center, Inc. 4424 E Flamingo Ave Ste 200 Nampa, ID 83687 St. Alphonsus Regional Medical Center, Inc. 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St. Alphonsus Regional Medical Center, Inc. St Clair Specialty Physicians PC 211 W Iowa Ave Nampa, ID 83686 11035 W Karcher Rd Nampa, ID 83651 1524 12th Ave Rd Nampa, ID 83686-6008 846 Park Centre Way Nampa, ID 83651 St Lukes Clinic-Saltzer Medical Group 9850 W St Luke's Dr Ste 129 Nampa, ID 83687 St Lukes Clinic-Saltzer Medical Group St Lukes Clinic-Saltzer Medical Group St Lukes Clinic-Saltzer Medical Group St Lukes Clinic-Saltzer Medical Group St Luke's Clinic- Treasure Valley LLC St Luke's Clinic- Treasure Valley LLC St Luke's Clinic- Treasure Valley LLC St Luke's Clinic- Treasure Valley LLC 215 E Hawaii Ave Nampa, ID 83686-6011 290 W Georgia Ave Nampa, ID 83686-2835 210 W Georgia Ave Nampa, ID 83686-5688 4400 E Flamingo Ave Nampa, ID 83687-9203 1200 Garrity Blvd Nampa, ID 83687-3402 215 E Hawaii Ave Nampa, ID 83687 9850 St Lukes Dr Nampa, ID 83687-7912 215 E Hawaii Ave Nampa, ID 83686 Strive Counseling Inc 5700 E Franklin Rd Ste 190 Nampa, ID 83687-8497 Strive Counseling Inc Susanne L. Stimpson, MS, CCC-SLP Terry Reilly Health Services Terry Reilly Health Services 1305 3rd St Nampa, ID 83651 4609 E Vineyard Way Nampa, ID 83686-5087 223 16th Ave N Nampa, ID 83687-4058 207 N 16th Ave Nampa, ID 83653 Terry Reilly Health Services 1224 1st St S Ste 302 Nampa, ID 83687 (208) 465-6940 All practitioners providing services are (208) 465-6952 All practitioners providing services are (208) 367-6099 All practitioners providing services are (208) 288-4560 All practitioners providing services are (208) 367-6130 All practitioners providing services are (208) 302-7050 All practitioners providing services are (208) 367-7090 All practitioners providing services are (208) 466-8912 All practitioners providing services are (208) 465-6952 All practitioners providing services are (208) 367-3330 All practitioners providing services are (208) 288-4679 All practitioners providing services are (208) 288-4700 All practitioners providing services are (208) 465-5000 All practitioners providing services are (208) 302-7050 All practitioners providing services are (208) 465-6940 All practitioners providing services are (208) 465-6934 All practitioners providing services are (208) 288-4888 All practitioners providing services are (208) 288-4700 All practitioners providing services are (208) 302-0700 All practitioners providing services are (208) 302-6600 All practitioners providing services are (208) 367-4030 All practitioners providing services are (208) 501-8955 (208) 468-5920 (208) 468-5910 (208) 288-4991 (208) 468-5915 (208) 463-3000 (208) 587-8401 (208) 323-2600 (208) 323-2600 (208) 454-9181 (208) 936-1097 (208) 475-4701 (208) 467-9402 (208) 466-7869 (208) 467-7654 (208) 463-2314 Preferred Provider Network 6/23/2016 Page 54

Terry Reilly Health Services The Allergy Group Therapeutic Associates Inc Therapeutic Associates, Inc.-Boise Thomas J Hammer Pedidatrics Treasure Valley Hearing & Balance Clinic Wendell D. Nelson, D.C. West Valley Medical Group LLC Women's Medical Clinic New Plymouth Gibb Anesthesia Saint Alphonsus Medical Center-Ontario Valley Family Health Care West Valley Medical Group LLC Nezperce St Mary's Nezperce Clinic Orofino Clearwater Valley Hospital & Clinics Heart Clinics Northwest A Division of Kootenai Medical Center Palouse Imaging Consultants, PLLC Riverside Osburn Cardiovascular Institute II PC Osburn Family Medicine Parma Parma LLC Shawn Alan Rudkin, D.C. Shawn A Rudkin & Associates PC West Valley Medical Group LLC 207 1st St S Nampa, ID 83651 222 W Iowa Ave Ste A Nampa, ID 83686 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 1209 N Jacob Allcott Way Nampa, ID 83687 1463 Caldwell Blvd Nampa, ID 83651-1607 1012 12th Ave S Nampa, ID 83651-4661 16459 N Midland Blvd Nampa, ID 83687-5222 1603 12th Ave Road Nampa, ID 83686 115 N Plymouth Ave New Plymouth, ID 83655 213 N Plymouth Ave New Plymouth, ID 83655 300 S Plymouth Ave New Plymouth, ID 83655-5535 112 S Plymouth Ave New Plymouth, ID 83655 501 Oak St Nezperce, ID 83543-5066 301 Cedar St Orofino, ID 83544-9029 1055 Riverside Ave Orofino, ID 83544 301 Cedar St Orofino, ID 83544-9029 150 126th St Orofino, ID 83544-5016 801 E Mullan Osburn, ID 83849 801 E Mullan Ave Osburn, ID 83849 206 N 3rd St Parma, ID 83660 119 N 2nd St Parma, ID 83660 101 E Grove Ave Parma, ID 83660 307 Grove St Parma, ID 83660 (208) 466-7869 (208) 377-4000 (208) 442-0577 (208) 442-0577 (208) 461-8900 (208) 463-4900 (208) 466-9249 (208) 795-5075 (208) 467-2400 (208) 278-9900 (208) 674-1444 (208) 278-3335 (209) 278-3406 (208) 962-3267 (208) 476-4555 (208) 476-5777 (208) 476-8019 (208) 476-7105 (509) 838-2676 (208) 556-4803 (208) 722-7350 (208) 722-9999 (208) 722-9999 (208) 722-5147 Payette Emmett Counseling and Psychiatric Services LLC 501 N 16th St Ste 110 Payette, ID 83661-2782 Health Care With Heart 823 Central Ave Payette, ID 83661 Treasure Valley 501 N 16th St Ste 105 Payette, ID 83661 (208) 642-2600 (208) 642-3396 (208) 789-4453 All practitioners providing services are Pierce Clearwater Valley Hospital & Clinics Pinehurst 105 W Carle St Pierce, ID 83546 (208) 476-4555 Preferred Provider Network 6/23/2016 Page 55

Silver Valley Medicine, Inc. Plummer Art and Science Chiropractic Center Benewah Medical Center Benewah Medical Center Benewah Medical Center Cardiovascular Institute II PC St. Maries Family Medicine 107 Church St Pinehurst, ID 83850-5004 888 C St Plummer, ID 83851 1115 B St Plummer, ID 83851 1115 B St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 407 12th St Plummer, ID 83851 1115 B St Plummer, ID 83851 (208) 682-2151 (509) 487-2074 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 777-7500 (208) 245-5551 Pocatello Advanced Performance 333 N 18th Ave Ste D2 Pocatello, ID 83201-3358 Anthony Joseph MD INC 333 N 18th Ave Ste D-1 Pocatello, ID 83201-3358 Arthritis Specialty Center, Inc. 1448 E Center Ste E Pocatello, ID 83201 Art of Motion Chiropractic and Sports Medicine PLLC 1800 Flandro Dr Ste 130 Pocatello, ID 83202-4938 Belnap Chiropractic, P.A. 521 E Halliday St Pocatello, ID 83201-6563 Benjamin Blair, M.D., P.A. 333 N 18th Ave Ste D-1 Pocatello, ID 83201-3358 Bingham Memorial Hospital 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital 1151 Hospital Way Ste D201 Pocatello, ID 83201-5091 2302 E Terry St Pocatello, ID 83201-2733 1151 Hospital Way Ste D201 Pocatello, ID 83201-5091 285 Vista Dr Ste C Pocatello, ID 83201-4987 Bingham Memorial Hospital 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 Bingham Memorial Hospital Bingham Memorial Hospital Bingham Memorial Hospital Blackfoot Anesthesia Services LLC Blackrock Anesthesia Services PA Brizzee Family Medicine Inc 1595 Bannock Hwy Pocatello, ID 83204-3509 1595 Bannock Hwy Pocatello, ID 83204-3509 2302 E Terry St Pocatello, ID 83201-2733 1157 Call Pl Pocatello, ID 83201-3034 5040 Moonlight Mine Rd Pocatello, ID 83201-9031 2010 Flandro Dr Pocatello, ID 83202-1947 Care LLC 500 S 11th Ave Ste 201 Pocatello, ID 83201-4878 Center for Orthopedic Rehabilitation Center Street Health Care 560 Memorial Dr Ste C Pocatello, ID 83201-4073 1553 E Center Pocatello, ID 83201 Christensen Foot & Ankle Clinic 1777 E Clark St Ste 220 Pocatello, ID 83201-3357 Community Care, P.L.L.C. Community Care Pocatello PLLC David L. Wise, M.D. David R Donaldson MD Diabetes and Associates East Idaho Anesthesia Associates PC 1595 Yellowstone Ave Pocatello, ID 83201-4203 1595 Yellowstone Pocatello, ID 83201-4203 115 S 15th St Pocatello, ID 83201 333 N 18th Ave Ste B3 Pocatello, ID 83201-3358 2302 E Terry St Pocatello, ID 83201-2733 285 Vista Dr Ste C Pocatello, ID 83201-4987 (208) 232-6490 (206) 233-2100 (208) 234-1300 (208) 242-3723 (208) 233-3838 (208) 233-2100 (208) 239-8010 (208) 478-2472 (208) 782-3992 (208) 239-8008 (208) 478-1704 (208) 478-7900 (208) 478-2449 (208) 478-2449 (208) 235-5910 (208) 232-2008 (208) 339-5492 (208) 238-0600 (208) 233-8000 (208) 232-4267 (208) 233-9355 (208) 235-1777 (208) 233-0032 (208) 233-0032 (208) 234-0012 (208) 232-2146 (208) 235-5910 (208) 478-1704 Preferred Provider Network 6/23/2016 Page 56

Evans Chiropractic 2010 Flandro Dr Pocatello, ID 83202-1947 EXCEL Weight Loss Solutions 611 Wilson Ave Ste #8 Pocatello, ID 83201-5046 Flicker LLC 4922 Yellowstone Ave Ste J Pocatello, ID 83202-2360 Gateway Counseling Inc 224 S Arthur Ave Ste 2 Pocatello, ID 83204-3202 Grove City Anesthesia LLC Hand & Upper Extremity Center, Inc. Hand & Upper Extremity Center, Inc. Hannah's Place LLC Health and Wellness 1155 Pocatello Creek Rd Pocatello, ID 83201-2949 135 Warren Ave Pocatello, ID 83201-4621 560 Memorial Dr Pocatello, ID 83201-4070 115 N Main St Pocatello, ID 83201-3112 1553 E Center Pocatello, ID 83201 Health West Inc 845 W Center Ste 202 Pocatello, ID 83206 Health West Inc 880 W Quinn Rd Pocatello, ID 83201-2454 Health West Inc 845 W Center Ste 200 Pocatello, ID 83204-4237 Health West Inc Health West Inc Heartland Wellness Center Idaho Eye Center, P.A. Idaho Hyperbarics, Inc. 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 303 N 12th Ave Pocatello, ID 83201-4746 1157 Call Pl Pocatello, ID 83201-3034 1125 W Alameda Rd Pocatello, ID 83201-6143 Idaho Kidney Institute, L.L.P. 444 Hospital Way Ste 607 Pocatello, ID 83201-2714 Idaho Neurosurgery & Spine PLLC Idaho Orthopaedic and Sports Clinic Idaho Regional Hand & Upper Extremity Center Idaho Skin Institute Idaho Sports & Spine PLLC InterMountain Medical Clinic Intermountain Radiation Oncology PA Jason Richards MD PLLC Jason Richards MD PLLC Johnson Family Chiropractic 2240 E Center St Pocatello, ID 83201-2600 560 Memorial Dr Pocatello, ID 83201-4070 560 Memorial Dr Ste B Pocatello, ID 83201-4703 1951 Bench Rd Ste A Pocatello, ID 83201-2073 950 Hospital Way Ste A Pocatello, ID 83201-2762 1951 Bench Rd Ste B Pocatello, ID 83201-2073 777 Hospital Way Pocatello, ID 83201-5175 2240 E Center St Ste A Pocatello, ID 83201-2600 285 Vista Dr Pocatello, ID 83201 2745 Pole Line Rd Pocatello, ID 83201-6111 Juniper Springs 500 S 11th Ave Ste 203 Pocatello, ID 83201-4879 Keith Kevin Harmon, M.D. 500 S 11th St Ste 501 Pocatello, ID 83201 Lavon M. Cole 265 E Chubbuck Rd Pocatello, ID 83202-5055 Life Change Associates, PLLC 1777 E Clark St Ste 210 Pocatello, ID 83201-3357 Meadowland Therapy Inc Medical Imaging Associates of Idaho Falls PA M Elizabeth Gerard MD PLLC 1033 W Quinn Rd Pocatello, ID 83202-2425 777 Hospital Way Pocatello, ID 83201-5175 2240 E Center St Ste A Pocatello, ID 83201-2600 Mental Wellness Centers 1070 Hiline Rd Ste 210 Pocatello, ID 83201-2947 Mountain States Neonatology Inc 651 Memorial Dr Pocatello, ID 83201-4071 (208) 238-0600 (208) 233-0593 (208) 237-1882 (208) 242-3771 (208) 232-0006 (208) 478-0258 (208) 478-0258 (855) 319-1499 (208) 233-9355 (208) 232-7862 (208) 238-2000 (208) 232-6260 (208) 232-6260 (208) 234-4700 (208) 251-2400 (208) 232-2008 (208) 237-1151 (208) 904-4780 (208) 233-8344 (208) 234-1960 (208) 235-4263 (208) 232-7546 (208) 478-4522 (208) 238-1000 (208) 227-2700 (208) 233-8344 (208) 233-8344 (208) 234-2225 (208) 232-5902 (208) 232-7434 (208) 237-1711 (208) 233-5433 (208) 233-4800 (208) 239-1000 (208) 233-8344 (208) 478-9081 (208) 535-4591 Preferred Provider Network 6/23/2016 Page 57

Mountain States Neonatology Inc Mountain View Family Medicine, Inc. Northstar Healthcare LLC Page Family Chiropractic Specialists of Idaho LLC Specialists of Idaho LLC Physicians Immediate Care Center Physicians Immediate Care Center Physicians Immediate Care Center Physicians Mental Health Services Pocatello Children & Adolescent Clinic, P.A. Pocatello Eyecare Pocatello Clinic, PA Pocatello Podiatry Associates PA 777 Hospital Way Pocatello, ID 83201-5175 2006 Birdie Thompson Dr Pocatello, ID 83201-2768 1017 E Young St Pocatello, ID 83201 476 1/2 E Chubbuck Rd Pocatello, ID 83202-1816 2240 E Center St Ste D Pocatello, ID 83201-2600 495 Yellowstone Ave Ste B Pocatello, ID 83201 495 Yellowstone Ave Pocatello, ID 83201-4531 950 Hospital Wy Ste A Pocatello, ID 83201 785 Alpine Dr Pocatello, ID 83202-2643 475 Yellowstone Ave Ste E Pocatello, ID 83201-4528 1151 Hospital Way Bldg F Pocatello, ID 83201-5091 246 N 18th Ave Pocatello, ID 83201-3324 1033 W Quinn Rd Pocatello, ID 83201 1555 E Clark St Pocatello, ID 83201-4133 Pocatello Pulmonary, P.C. 500 S 11th Ste 305 Pocatello, ID 83201 Pocatello Associates 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 Pocatello Women's Health Clinic 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 Portneuf Medical Center 1151 Hospital Way Building B Pocatello, ID 83201-5091 Portneuf Medical Practices 777 Hospital Way Ste 215 Pocatello, ID 83201-5162 Portneuf Medical Practices 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 Portneuf Medical Practices 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 Portneuf Medical Practices Portneuf Medical Practices Portneuf Medical Practices Portneuf Medical Practices 880 W Quinn Rd Pocatello, ID 83201-2454 707 N 7th Pocatello, ID 83201 486 Memorial Dr Pocatello, ID 83201-4008 465 Memorial Dr Pocatello, ID 83201-4008 Portneuf Medical Practices 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 Portneuf Medical Practices 777 Hospital Way Ste 215 Pocatello, ID 83201-5162 Portneuf Medical Practices 500 S 11th Ste 205 Pocatello, ID 83201 Portneuf Medical Practices 777 Hospital Way Ste 201 Pocatello, ID 83201-5162 Portneuf Medical Practices 957 Hospital Way Bldg A Pocatello, ID 83201-5096 Portneuf Medical Practices 777 Hospital Way Ste 115 Pocatello, ID 83201-5162 Portneuf Medical Practices 777 Hospital Way Pocatello, ID 83201-5175 Portneuf Medical Practices 1777 E Clark St Ste 330 Pocatello, ID 83201-3357 Portneuf Medical Practices 777 Hospital Way Ste G-15 Pocatello, ID 83201-5175 Portneuf Medical Practices 500 S 11th Ste 303 Pocatello, ID 83201-4879 Portneuf Medical Practices 500 S 11th Ste 500 Pocatello, ID 83201-4881 Portneuf Medical Practices 777 Hospital Way Pocatello, ID 83201-5162 (208) 535-4591 (208) 232-1132 (208) 233-2301 (208) 478-7243 (208) 478-1488 (208) 478-1488 (208) 478-7422 (208) 232-0021 (208) 238-1096 (208) 232-0021 (208) 232-1443 (208) 234-4100 (208) 233-4800 (208) 233-4355 (208) 233-5864 (208) 233-7931 (208) 232-6100 (208) 233-3000 (208) 239-2580 (208) 239-2640 (208) 239-2260 (208) 238-2000 (208) 233-4562 (208) 282-4700 (208) 282-4700 (208) 234-2001 (208) 239-2580 (208) 239-1470 (208) 239-2260 (208) 239-2055 (208) 239-2260 (208) 239-1920 (208) 239-2065 (208) 239-2722 (208) 239-3815 (208) 239-1940 (208) 239-2065 Preferred Provider Network 6/23/2016 Page 58

Portneuf Medical Practices 777 Hospital Way Ste G1 Pocatello, ID 83201-5175 Portneuf Medical Practices 777 Hospital Way Ste 301 Pocatello, ID 83201-5175 Portneuf Medical Practices Portneuf Medical Practices Portneuf Medical Practices Portneuf Medical Practices 777 Hospital Way Pocatello, ID 83201-5175 444 Hospital Way Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201 Portneuf Medical Practices 777 Hospital Way Ste 215 Pocatello, ID 83201-5162 Portneuf Medical Practices 500 S 11th Ste 300 Pocatello, ID 83201-4835 Portneuf Medical Practices 500 S 11th Ave Ste 301 Pocatello, ID 83201-4879 Portneuf Medical Practices 500 S 11th Ste 303 Pocatello, ID 83201-4879 Portneuf Valley Family Center 2055 Garrett Way Ste 1 Pocatello, ID 83201-5155 Portneuf Valley Family Center 353 N 4th Ave Ste 110 Pocatello, ID 83201-6391 Portneuf Valley Family Center 444 Hospital Way Ste 477 Pocatello, ID 83201-0444 Primary Care Specialists PA Psychological Assessment Specialists RehabAuthority LLC 110 Vista Dr Pocatello, ID 83201-5824 1246 Yellowstone Ste C5 Pocatello, ID 83201-4373 495 Yellowstone Ave Ste A Pocatello, ID 83201-4531 Richard A. Wathne, M.D., P.A. 333 N 18th Ste D-1 Pocatello, ID 83201 Robert R Jones MD 1951 Bench Rd Ste C Pocatello, ID 83201-2013 Rocky Mountain Diabetes and Osteoporosis Center 444 Hospital Way Bldg B Ste 611 Pocatello, ID 83201-2744 Rocky Mountain Emergency Physicians LLC R & R Therapy Plus PLLC Ryan D Hope MD LLC Scott Huneycutt SEI Anesthesia PLLC SEI Anesthesia PLLC Sharp Counseling Inc 777 Hospital Way Pocatello, ID 83201-5175 330 S 4th Ave Pocatello, ID 83201-6403 2240 E Center St Ste B Pocatello, ID 83201-2600 2240 E Center Ste A Pocatello, ID 83201-2600 333 N 18th Ste A Pocatello, ID 83201-3358 777 Hospital Way Pocatello, ID 83201-5175 150 N Main St Ste E Pocatello, ID 83204-3113 S. Jeff Bray, D.P.M., Inc. 333 N 18th Ave Ste D1 Pocatello, ID 83201-3358 S M Maloff MD PC Southeast Idaho Gastroenterology PLLC Specialized Family Medicine PA Speech Therapy Services LLC 2240 E Center St Ste A Pocatello, ID 83201-2600 1151 Hospital Way Bldg A Pocatello, ID 83205 151 N 4th Ave Ste B Pocatello, ID 83201-6300 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 Steelhead Medical, L.T.D. 333 N 18th Ave Ste B-3 Pocatello, ID 83201-3358 Streamline Chiropractic PLLC 560 Memorial Dr Pocatello, ID 83201-4070 Superior 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 Superior 1800 Flandro Dr Ste 110 Pocatello, ID 83202-4936 Teton Brain and Spine Teton Vascular Institute of Pocatello 333 N 18th Ave Ste B4 Pocatello, ID 83201-3358 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 (208) 239-2670 (208) 239-2770 (208) 239-1029 (208) 239-1650 (208) 239-1920 (208) 239-1960 (208) 239-2580 (208) 223-4562 (208) 239-2780 (208) 239-3815 (208) 233-7832 (208) 233-7832 (208) 233-7832 (208) 234-2300 (208) 233-0150 (208) 232-9198 (208) 233-2100 (208) 238-3377 (208) 523-1122 (480) 421-9700 (208) 221-6506 (208) 233-3613 (208) 233-3613 (208) 233-8880 (208) 233-8880 (208) 251-9779 (208) 233-2100 (208) 233-8344 (208) 232-6616 (208) 269-7147 (208) 233-4660 (208) 232-2146 (208) 637-2225 (208) 233-2248 (208) 233-2248 (208) 232-2233 (208) 552-8576 Preferred Provider Network 6/23/2016 Page 59

Therapy Links Timothy E Snell MD PLLC Valley Foot & Ankle, P.C. Valley View Anesthesia PA Valley View Anesthesia PA West Family Medicine 2010 Flandro Dr Pocatello, ID 83202-1947 2240 E Center Pocatello, ID 83201-2600 1155 Pocatello Creek Rd Pocatello, ID 83201-2949 333 N 18th Ave Ste A Pocatello, ID 83201-3358 285 Vista Dr Pocatello, ID 83201-4987 1133 Call Creek Pl Ste A Pocatello, ID 83201-0000 (208) 238-3270 (208) 233-3613 (208) 232-0006 (208) 406-3116 (208) 478-1704 (208) 232-1000 Ponderay Bonner General Immediate Care 400 Schweitzer Plaza Dr Ste 1 Ponderay, ID 83852-9819 Kaniksu Health Services 30410 Highway 200 Ponderay, ID 83852-9601 North Idaho Dermatology 476394 Hwy 95 Ponderay, ID 83852 North Idaho Nephrology Associates, Inc. 204 N Triangle Dr Ponderay, ID 83852-9729 North Idaho Orthopedics & Sports Medicine 30544 Hwy 200 Ste 102 Ponderay, ID 83852-5005 Northwest Orthopaedic Specialists PS 30544 Hwy 200 Ste 102 Ponderay, ID 83852-5005 Ryan F. Webster, D.C. 400 Schweitzer Plaza Dr Ste 4 Ponderay, ID 83852-9819 Woodlands Family Medicine 30544 Highway 200 Ste 101 Ponderay, ID 83852-5005 Woodlands Family Medicine 30544 Hwy 200 Ste 102 Ponderay, ID 83852-5005 Post Falls Abundant Wellness Center ACES Community Services Advanced Rehab Allen Goodall, P.T. and Associates Amy Greene Barbara Kogler, CCC-A Bridgewater Chiropractic and Soft Tissue Center Cancer Care Northwest Centers PS 1125 E Polston Ave Post Falls, ID 83854-6045 1700 E Schneidmiller Ave Post Falls, ID 83854-7085 640 Thornton St Post Falls, ID 83854 1224 North Idaho Suite A1 Post Falls, ID 83854 3900 E 16th Ave Ste B Post Falls, ID 83854-8925 323 N Spokane St Post Falls, ID 83854-5153 640 N Thornton Post Falls, ID 83854 1440 E Mullan Ave Post Falls, ID 83854-9064 Cardiovascular Institute II PC 750 N Syringa St Ste 203 Post Falls, ID 83854-5275 Coeur D'Alene Pediatrics PA 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 Coeur D'Alene Pediatrics PA 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 Coeur D'Alene Pediatrics PA 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 Dr Bowen & Annette Asper NP Dr. Cher Jacobsen 1296 E Polston Ave Ste B Post Falls, ID 83854-5217 185 W 4th Ave Ste B Post Falls, ID 83854-4979 Dr. Toby Ficklin Chiropractic & Sports Therapy 601 East Seltice Way Suite 110 Post Falls, ID 83854 Empowered Through Play LLC Health Within Chiropractic Center Heart Clinics Northwest A Division of Kootenai Medical Center Heritage Health 3491 E Solena Ave Post Falls, ID 83854-6511 2525 E Seltice Way Ste C Post Falls, ID 83854-5089 1300 E Mullen Ave Ste 900 Post Falls, ID 83854-6054 925 E Polston Ave Post Falls, ID 83854-9049 Insight Diagnostic Imaging, P.A. 750 N Syringa Ste 104 Post Falls, ID 83854 (208) 263-0649 (208) 263-7101 (208) 665-7546 (208) 255-4963 (208) 265-9817 (208) 265-9817 (208) 265-9400 (208) 263-6300 (208) 263-6300 (208) 457-1540 (208) 619-0190 (208) 777-9505 (208) 457-8746 (208) 660-3138 (208) 777-1320 (208) 262-8166 (509) 228-1000 (509) 838-2676 (208) 777-1330 (208) 777-1330 (208) 777-1330 (208) 667-7459 (208) 773-1592 (208) 777-0157 (757) 817-4727 (208) 777-7463 (208) 625-5530 (208) 625-5640 (866) 248-4485 Preferred Provider Network 6/23/2016 Page 60

In Touch IPC of Washington James E. Vancho DC, Pc James P Osmanski DO James P Osmanski DO Kootenai Health 104 W 9th St Post Falls, ID 83854 600 N Cecil Post Falls, ID 83854-6200 102 West 11th Street Suite B Post Falls, ID 83854 750 N Syringa St Ste 200B Post Falls, ID 83854-5275 1593 E Polston Ave Post Falls, ID 83854-5326 1440 E Mullan Ave Post Falls, ID 83854-9064 Kootenai Health 1300 E Mullen Ave Ste 900 Post Falls, ID 83854 Kootenai Health 925 Polston Ave Post Falls, ID 83854 Kootenai Health 1300 E Mullan Ave Ste 500 Post Falls, ID 83854-6058 Kootenai Health 1296 E Poston Ave Ste B Post Falls, ID 83854-5217 Kootenai Health 1300 E Mullan Ave Ste 300 Post Falls, ID 83854-6052 Kootenai Health Kootenai Health Kootenai Imaging Kootenai Outpatient Imaging 1296 E Polston Ave Ste C Post Falls, ID 83854-5217 1440 E Mullen Ave Post Falls, ID 83854-9064 1300 E Mullan Ave Post Falls, ID 83854-6052 1300 E Mullan Ave Post Falls, ID 83854-6052 Kootenai Urgent Care LLC 1300 E Mullan Ste 600 Post Falls, ID 83854 Kootenai Vision Center, P.L.L.C. Laura Asbell, Ph.D. Lawrence K. Gibbon, M.D. Life Chiropractic Center Living Well Counseling & Consulting, L.L.C. 1101 E Polston Ave Ste B Post Falls, ID 83854-6045 17080 W Laura Ln Post Falls, ID 83854-6767 185 W 4th Ave Ste B Post Falls, ID 83854-4979 605 Shetland Ct Post Falls, ID 83854 761 N Thornton St Ste C Post Falls, ID 83854-6105 MAC PLLC 927 E Polston Ave Ste 201 Post Falls, ID 83854-9390 Medical Oncology Associates PS 1641 E Poulston Ave Ste 102 Post Falls, ID 83854 Mountain View Chiropractic North Idaho Eye Institute PA North Idaho Eye Institute PA 1624 E Seltice Way Post Falls, ID 83854-7022 1110 Polston Ave Post Falls, ID 83854 1110 Polston Ave Post Falls, ID 83854 North Idaho Nephrology Associates, Inc. 1300 E Mullan Ave Ste 1200 Post Falls, ID 83854-6057 North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Neurosurgery And Spine PLLC North Idaho North Idaho 460 N Garden Plaza Ct Post Falls, ID 83854 600 N Cecil Post Falls, ID 83854 1593 E Polston Ave Post Falls, ID 83854-5326 1641 E Polston Ave Post Falls, ID 83854 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 1593 E Polston Ave Post Falls, ID 83854-5326 North Spokane Pulmonary Clinic, P.S. 609 N Calgary Ct Ste 103 Post Falls, ID 83854-4906 Northwest Muscle Therapy 614 E Seltice Way Ste A Post Falls, ID 83854-6367 Northwest Specialty Hospital 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 Northwest Specialty Hospital 750 N Syringa St Ste 104 Post Falls, ID 83854-5275 (208) 777-9740 (509) 868-0876 (208) 773-1868 (208) 262-2379 (208) 457-9205 (208) 619-4100 All practitioners providing services are (208) 664-3101 All practitioners providing services are (208) 773-9113 All practitioners providing services are (208) 774-1350 All practitioners providing services are (208) 457-7075 All practitioners providing services are (208) 625-5630 All practitioners providing services are (208) 625-6767 All practitioners providing services are (208) 625-4900 All practitioners providing services are (208) 777-1305 (208) 666-3200 (208) 777-9110 (208) 667-1591 (208) 777-8045 (208) 773-1592 (208) 457-1551 (208) 457-1999 (208) 773-2888 (509) 462-2273 (208) 777-0128 (208) 667-2531 (208) 667-2531 (208) 777-0654 (208) 777-0318 (208) 262-2800 (208) 262-2300 (208) 667-4949 (208) 773-8111 (208) 664-8194 (509) 465-3919 (208) 777-9600 (208) 209-2060 (208) 262-2381 Preferred Provider Network 6/23/2016 Page 61

Northwest Specialty Hospital 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 Northwest Specialty Hospital 1593 E Polston Ave Post Falls, ID 83854-5324 Optimal Chiropractic PC 609 N Calgary Ct Ste 1 Post Falls, ID 83854-4906 Pathways of Idaho LLC Patricia Jean Easton LCSE-CHT Pinnacle and Sports Medicine Pinnacle and Sports Medicine Post Falls Family Medicine Post Falls Optometric Physicians PLLS Radia Radia RehabAuthority LLC Resilience Psychiatric Medicine River City Anesthesia Associates PLLC River City Chiropractic Inc River City Rockwood Clinic PS 1700 E Schneidmiller Ave Post Falls, ID 83854-7085 1791 Warbler LN Post Falls, ID 83854-6111 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 2652 E Mullen Post Falls, ID 83854 1220 E Polston Ave Post Falls, ID 83854-6056 185 W 4th Ave Ste A Post Falls, ID 83854-4979 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Post Falls, ID 83854-5275 1101 E Polston Ave Post Falls, ID 83854-6045 1700 Schneidmiller Ave Post Falls, ID 83854 1593 E Polston Ave Post Falls, ID 83854-5326 1109 E Polston Ave Post Falls, ID 83854-6045 1132 E Polston Ave Post Falls, ID 83854-6045 1593 E Polston Ave Post Falls, ID 83854-5326 Rockwood Clinic PS 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 Spokane Radiation Oncology, Inc., P.S. Sports Medicine Sevices, Inc. 1440 E Mullen Post Falls, ID 83854 925 E Polston Ave Ste B Post Falls, ID 83854-9049 St Joseph's Ear Nose and Throat Clinic LLC 323 N Spokane St Ste 100 Post Falls, ID 83854-5153 Surgical Bariatrics Northwest 750 N Syringa Ste 205 Post Falls, ID 83854 Thomas P. Beaton, M.D. 750 N Syringa Ste 203 Post Falls, ID 83854 TW Creative Therapy LLC Virtual Radiologic Professionals, LLC Virtual Radiologic Professionals, LLC Virtual Radiologic Professionals, LLC 1810 Schneidmiller Ave Ste 131 A Post Falls, ID 83854 1593 Polston Ave Post Falls, ID 83854 1593 Polston Ave Post Falls, ID 83854 600 N Cecil Rd Post Falls, ID 83854-6200 (208) 209-2060 (208) 262-2300 (208) 777-4305 (208) 619-0190 (208) 755-2110 (208) 777-4141 (208) 777-4242 (208) 773-1577 (208) 773-7434 (208) 262-2300 (208) 262-2600 (208) 777-1670 (208) 619-0190 (208) 262-2359 (208) 777-4000 (208) 777-7800 (509) 838-2531 (509) 838-2531 (208) 619-4100 (208) 651-1341 (208) 777-1320 (208) 262-0945 (208) 415-0800 All practitioners providing services are (208) 457-0091 (952) 595-1242 (952) 595-1242 (208) 262-2809 Potlatch Gritman Medical Center Gritman Medical Center 156 6th St Potlatch, ID 83855 225 6th St Potlatch, ID 83855 (208) 875-2380 All practitioners providing services are (208) 875-2380 All practitioners providing services are Preston Christensen Foot & Ankle Clinic Franklin County Medical Center Franklin County Medical Center 44 N 100th St E Preston, ID 83263-1326 44 N 1st E Preston, ID 83263-1326 47 N 1st E Preston, ID 83263-1325 Health West Inc 655 S 4th E Ste 600 Preston, ID 83263-1624 Parkway Foot & Ankle PLLC Preston Chirpractic Chartered 10 S 100 W Ste B Preston, ID 83263 122 North State Street Preston, ID 83263 (208) 235-1777 (208) 852-0137 (208) 852-2900 (208) 852-3200 (208) 852-2585 (208) 852-0083 Preferred Provider Network 6/23/2016 Page 62

Western Anesthesia Relief 44 N 1st E Preston, ID 83263-1326 (208) 852-2709 Priest River Chiropractic Plus, PC 314 E Albeni Hwy Ste 103 Priest River, ID 83856-9207 Chiropractic Plus, PC 6509 Hwy 2 Priest River, ID 83856-6609 Delores D. Miller, L.M.P. 208 9th St Priest River, ID 83856-8901 Kaniksu Health Services 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 Sequel Alliance Family Services LLC 5486 Hwy 2 Ste 102 Priest River, ID 83856 Rathdrum Heritage Health 16760 N Hwy 41 Rathdrum, ID 83858 Heritage Health Heritage Health 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Ste B Rathdrum, ID 83858 Kootenai Health 16760 North Hwy 41 Rathdrum, ID 83858 Lakeland Chiropractic Clinic 14822 North Highway 41 Rathdrum, ID 83858 Lakeland Immediate Care 15662 N Highway 41 Rathdrum, ID 83858-8710 Lakeland and Sports Injuries, PA 16768 N Hwy 41 Rathdrum, ID 83858 North Idaho Eye Clinics, Inc. 15630 N Hwy 41 Rathdrum, ID 83858 Rathdrum, Inc. Restored Horizons Rexburg Anesthesia West PA Blackfoot Anesthesia Services LLC Brian W Christensen MD PA Centerpoint Counseling Services LLC Community Care Rexburg LLC Complete Family Care PLLC 14775 North Kimo Court Suite A Rathdrum, ID 83858 14775 Kimo Ct Ste B Rathdrum, ID 83858 256 N 2nd E Rexburg, ID 83440 491 First American Cir Rexburg, ID 83440-5410 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 72 E Main St Rexburg, ID 83440-1926 10 Madison Professional Park Rexburg, ID 83440-2058 Fall Creek Skin & Health Clinic 534 Trejo St Ste 400 Rexburg, ID 83440-5405 Fall River Medical PLLC Green Field Family Medicine Idaho Eye Center, P.A. Idaho Eye Center, P.A. Idaho Foot and Ankle Center Madison Women's Clinic, PLLC 21 Winn Dr Rexburg, ID 83440-5277 420 E 4th N Rexburg, ID 83440-5390 351 E 2nd N Rexburg, ID 83440-1605 491 First American Circle Rexburg, ID 83440 393 E 2nd N Rexburg, ID 83440-1605 15 Madison Professional Park Rexburg, ID 83440-2057 Manual Solutions PLLC 101 E Main St Ste 203 Rexburg, ID 83440-2017 Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 (888) 206-3092 (208) 448-4726 (208) 448-2808 (208) 448-2321 (208) 265-5049 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-9113 All practitioners providing services are (208) 687-7029 (208) 687-4878 (208) 687-9195 (208) 687-0370 (208) 687-9240 All practitioners providing services are (208) 687-5627 (208) 525-2090 (208) 359-1130 (208) 656-9008 (208) 359-4840 (208) 359-1770 (208) 656-9467 (208) 359-2263 (208) 881-5222 (208) 356-9100 (208) 524-2025 (208) 359-1130 (208) 529-8395 (208) 356-6185 (208) 552-2248 (208) 356-3691 (208) 356-9231 (208) 259-1770 Preferred Provider Network 6/23/2016 Page 63

Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA Mountain States Neonatology Inc Rehab Services of Idaho 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 450 E Main St Rexburg, ID 83440-2048 393 E 2nd N Rexburg, ID 83440-1605 Rehab Services of Idaho 36 Professional Plaza Ste 110 Rexburg, ID 83440 Rexburg Counseling Rexburg Medical Center Robert Coray Sarah Vlach, M.D. Seasons Medical LLC Sterling Physician Group PLLC Teton Medical Group PLLC Teton Madison LLC 859 S Yellowstone Hwy Rexburg, ID 83440-5293 393 E 2nd N Rexburg, ID 83440-1605 393 E 2nd N Rexburg, ID 83440-1605 360 E Main Rexburg, ID 83440 37 S 2nd E Rexburg, ID 83440-1906 37 S 2nd E 3rd Fl Rexburg, ID 83440-1603 255 N 3rd E Rexburg, ID 83440-1629 425 E 4th N Rexburg, ID 83440-5390 Upper Valley ENT & Allergy 256 N 2nd E Ste 2 Rexburg, ID 83440-1638 Upper Valley Orthopedics PLLC Rigby 360 E Main St Rexburg, ID 83440-2015 Arthritis Specialty Center, Inc. 711 Rigby Lake Dr Ste 114 Rigby, ID 83442-5230 Community Care Rigby Medical Imaging Associates of Idaho Falls PA Medical Imaging Associates of Idaho Falls PA 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 Monarch Healthcare PLLC 426 Farnsworth Way Ste 3 Rigby, ID 83442 Rigby PLLC Rupert Family Health Services 3854 E 300 N Rigby, ID 83442-5422 1024-8th St Rupert, ID 83350 Mini-Cassia Surgical 1218 9th St Ste 10 Rupert, ID 83350-2207 Minidoka Medical Center RHC 1308 8th St Ste 1 Rupert, ID 83350-1535 Mt Harrision Audiology and Hearing Aids LLC 1218 9th St Ste 2 Rupert, ID 83350-2207 (208) 356-8883 (208) 356-5401 (208) 535-4591 (208) 359-9570 (406) 359-9570 (208) 356-0088 (208) 356-5401 (208) 356-9086 (208) 656-0055 (208) 356-0234 (208) 356-9086 (208) 356-7585 (208) 356-4888 (208) 656-9646 (208) 356-9550 (208) 234-1300 (208) 745-8747 (208) 745-5021 (208) 745-8747 (208) 535-0440 (208) 228-0311 (208) 436-0734 (208) 436-8340 (208) 436-4322 (208) 312-0957 Sagle William Thomas Barker, L.M.F.T. Saint Anthony Medical Imaging Associates of Idaho Falls PA Upper Valley Community Health Services, Inc 1491 Beers Humbird Dr Ste B Sagle, ID 83860-8599 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd St E Saint Anthony, ID 83445-1521 (208) 263-7497 (208) 624-4100 (208) 624-4100 Saint Maries Heart Clinics Northwest A Division of Kootenai Medical Center 229 S 7th St Saint Maries, ID 83861-1803 Kirk Parge DC 201 N 8th St Ste 4 Saint Maries, ID 83861-1869 Medical Oncology Associates PS 229 7th St Saint Maries, ID 83861-1803 (208) 666-2000 (208) 772-6500 (509) 462-2273 Preferred Provider Network 6/23/2016 Page 64

North Idaho Nephrology Associates, Inc. 229 S 8th St Saint Maries, ID 83861-1803 Pathways of Idaho LLC 622 College Ave Ste 2 Saint Maries, ID 83861-1822 St. Maries Eye Clinic St. Maries Family Medicine St. Maries Family Medicine St. Maries Family Medicine Thomas P. Beaton, M.D. 704 College Ave Saint Maries, ID 83861 229 S 8th St Saint Maries, ID 83861-1813 229 S 8th St Saint Maries, ID 83861-1813 229 S 7th St Saint Maries, ID 83861-1803 229 S 8th St Saint Maries, ID 83861-1813 (208) 245-2591 (208) 245-4363 (208) 245-6563 (208) 245-2591 (208) 245-2591 (208) 245-5551 (208) 415-0174 All practitioners providing services are Salmon Medical Imaging Associates of Idaho Falls PA Providence Medical Group-Montana Steele Memorial Clinic 203 S Daisy Salmon, ID 83467 203 S Daisy St Salmon, ID 83467-4343 805 Main St Salmon, ID 83467-4316 (208) 756-4291 (406) 329-5615 All practitioners providing services are (208) 755-6212 All practitioners providing services are Sandpoint Alan B. Grosset, M.D. 420 N 2nd Ave Ste 4 Sandpoint, ID 83864 Asthma & Allergy of Idaho 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 Baker Chiropractic Clinic, P.C. 102 S Euclid Ave Ste 109 Sandpoint, ID 83864-4916 Bonner General Hospital 520 N 3rd Ave Sandpoint, ID 83864 Bonner General Hospital 420 N 2nd Ave Ste 200 Sandpoint, ID 83864 Bonner General Hospital 423 N Third Ave Ste 210 Sandpoint, ID 83864-1505 Bonner Brom Glidden Cardiology Associates of Spokane LLC Cornerstone Cycles of Life Healthcare 1327 Superior St Sandpoint, ID 83864-1735 608 S Division Ave Sandpoint, ID 83864-1749 302 S 1st Ave Sandpoint, ID 83864-1258 1301 N Division Ave Sandpoint, ID 83864-8268 1301 N Division Ave Sandpoint, ID 83864-8268 Cyndee D Darby Counseling Service 1327 Superior St Ste 110 Sandpoint, ID 83864-1735 Eye Care For You Eye Clinic of Sandpoint Foot & Ankle Clinic of Spokane, Inc. Hayden Family Foot and Ankle Clinic PLLC Heart Clinics Northwest A Division of Kootenai Medical Center Heart Clinics Northwest A Division of Kootenai Medical Center Associates PA Judy Kimes MS LCPC LMFT Julie A Price MPT 710 W Superior St Ste A Sandpoint, ID 83864-1684 307 S 1st Ave Sandpoint, ID 83864-1201 302 S 1st Ave Sandpoint, ID 83864 302 S 1st Ave Sandpoint, ID 83864-1258 606 N 3rd Ste 203 Sandpoint, ID 83864-1691 520 N 3rd Ave Sandpoint, ID 83864-1507 207 Church St Sandpoint, ID 83864-1342 1717 Ontario St Sandpoint, ID 83864-9329 1905 W Pine Sandpoint, ID 83864-9325 Kaniksu Health Services 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 Kootenai Audiology, L.L.C. 420 N 2nd Ave Ste 300 Sandpoint, ID 83864 Kootenai Health Kootenai Health 520 N 3rd Ave Sandpoint, ID 83864 1211 Michigan St Ste A Sandpoint, ID 83864-1745 (208) 263-6763 (800) 562-9608x3277 (208) 263-2247 (208) 263-1441 All practitioners providing services are (208) 263-2173 All practitioners providing services are (208) 263-2173 All practitioners providing services are (208) 263-5731 (208) 597-0994 (208) 265-0610 (208) 265-0610 (208) 263-1345 (208) 263-6219 (208) 263-9000 (208) 263-8501 (509) 928-8181 (208) 762-0909 (208) 666-2000 (208) 666-2000 (208) 263-6876 (208) 304-2933 (208) 263-7998 (208) 267-1718 (208) 265-1991 (208) 263-6736 All practitioners providing services are (208) 265-0432 All practitioners providing services are Preferred Provider Network 6/23/2016 Page 65

Kootenai Health 420 2nd Ave Sandpoint, ID 83864 Majeski Counseling 301 N 1st Ave Ste 202 Sandpoint, ID 83864-1457 Michael E. Coats, M.D., P.L.L.C. Michelle Anderson, FNP 1211 Michigan Ave Sandpoint, ID 83864 1207 Michigan St Ste C Sandpoint, ID 83864-6608 Mountain View 102 S Euclid Ave Ste 212 Sandpoint, ID 83864-4916 Northern Lakes Chiropractic Clinic, P.C. 1224 Washington St Ste 203 Sandpoint, ID 83864 North Idaho Children's Mental Health, L.L.C. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. North Idaho Nephrology Associates, Inc. 1717 W Ontario Sandpoint, ID 83864 520 N 3rd Ave Sandpoint, ID 83864 1210 Washington Ave Sandpoint, ID 83864-5052 1210 Washington St Sandpoint, ID 83864 North Idaho Nephrology Associates, Inc. 606 N 3rd Ave Ste 101 Sandpoint, ID 83864 North Idaho Urology PLLC Northwest Orthopaedic Specialists PS Pend Orelle Vision Care 420 2nd Ave Sandpoint, ID 83864-1565 1005 US Hwy 2 W Sandpoint, ID 83864 514 Oak St Unit A Sandpoint, ID 83864-1480 Pinnacle Pain Center PS 1327 Superior Ste 104 Sandpoint, ID 83864 PMG PHC 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 Providence Spokane Heart Institute Providence Spokane Heart Institute Providence Spokane Heart Institute Providence Spokane Heart Institute Pure Inc. Robert E Rust Jr MD Rockwood Clinic PS 207 Church St Sandpoint, ID 83864-1342 606 N Third Ave Pine Grove Medical Bldg Sandpoint, ID 83864-1594 606 N 3rd Ave Sandpoint, ID 83864-1594 207 Church St Sandpoint, ID 83864-1342 2605 N Boyer Rd Sandpoint, ID 83864 1301 N Division Ave Sandpoint, ID 83864-8268 302 S 1st Ave Sandpoint, ID 83864-1258 Sandpoint Family Health Center LLC 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 Sandpoint Family Medicine/Urgent Care Schillar Anesthesia Serivces Inc Tamra M Krutz MA LCPC PA 302 South First Avenue Sandpoint, ID 83864 520 N 3rd Sandpoint, ID 83864 708 Superior St Ste B Sandpoint, ID 83864-1633 Tatum Miller 120 E Lake St Ste 201 Sandpoint, ID 83864-1366 Thomas P. Beaton, M.D. Women's Health Care, P.L.L.C. 606 N 3rd Ave Sandpoint, ID 83864 1215 Michigan St Ste C Sandpoint, ID 83864-5014 (208) 765-1345 All practitioners providing services are (208) 610-6401 (208) 667-5536 (208) 265-2221 (208) 290-5575 (208) 265-1900 (208) 265-6798 (208) 262-1441 (208) 263-4488 (208) 263-4488 (208) 263-1435 (208) 263-2335 (208) 265-9817 (208) 265-7965 (509) 591-0070 (509) 747-6707 (509) 455-8820 (509) 455-8820 (509) 455-8820 (509) 455-8820 (208) 691-8888 (208) 265-0610 (509) 838-2531 (208) 263-1435 (208) 263-5109 (208) 265-3534 (206) 265-3579 (208) 304-4123 (208) 415-0174 All practitioners providing services are (208) 263-1299 Shelley Bingham Memorial Hospital Blackfoot Medical Clinic Shelley Chiropractic Shelley Chiropractic, P.A. Shoshone Shoshone Family Medical Center 275 W Locust Shelley, ID 83274 210 S Emerson Ave Shelley, ID 83274-1229 528 N State St Shelley, ID 83274-1154 528 N State St Shelley, ID 83274-1154 113 S Apple St Shoshone, ID 83352-5287 (208) 357-3960 (208) 347-7404 (208) 357-0333 (208) 357-0333 (208) 886-2224 Preferred Provider Network 6/23/2016 Page 66

Silverton Loving Care & More 104 Wind River Rd Silverton, ID 83867 (208) 752-1019 Soda Springs Bingham Memorial Hospital Bingham Memorial Hospital Caribou Memorial Hospital Caribou Memorial Hospital Christensen Foot & Ankle Clinic Pocatello Podiatry Associates PA 300 S 3rd W Soda Springs, ID 83276-1559 366 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 300S 3rd St W Soda Springs, ID 83276-1559 366 S 3rd St Soda Springs, ID 83276-1559 Portneuf Valley Family Center 15 W Center Ste 2 Soda Springs, ID 83276 Speech Therapy Services LLC 316 W 2nd St S Soda Springs, ID 83276 (208) 547-3341 (208) 547-4961 (208) 547-3118 (208) 547-3118 (208) 235-1777 (208) 233-4355 (208) 233-7832 (208) 233-4660 Spirit Lake Alpine Center Magical Massage St Maries Benewah Community Hospital Star Crane Chiropractic Eye 2 Eye Northstar Troy Gritman Medical Center Moscow Family Medicine Moscow Family Medicine 6186 W Maine Spirit Lake, ID 83869-9998 6186 W Maine St Spirit Lake, ID 83869 229 S 7th St St Maries, ID 83861 9762 W State St Star, ID 83669-5766 170 S Seneca Springs Way Star, ID 83669-5938 9652 W State St Star, ID 83669-5858 412 S Main St Troy, ID 83871-5009 412 S Main St Troy, ID 83871-5009 412 S Main St Troy, ID 83871-5009 (208) 623-6717 (208) 651-2298 (208) 245-5551 (208) 286-7733 (208) 286-9728 (208) 286-0766 (208) 835-5551 All practitioners providing services are (208) 835-5145 (208) 835-5145 Twin Falls Allergy Clinic - Idaho, Inc. 191 Addison Ave Twin Falls, ID 83301-5177 Asthma & Allergy of Idaho 800 Falls Ave Ste 2 Twin Falls, ID 83301-3366 Blackmer Foot & Ankle Group PA Care Compassion Communication Crosspointe Family Services Evans Anesthesia Services, P.C. Evans Anesthesia Services, P.C. 191 N Addison Ave Twin Falls, ID 83301 276 River Vista Pl Twin Falls, ID 83301-3006 1363 Fillmore St Twin Falls, ID 83301-3392 191 Addison Ave Twin Falls, ID 83301-5177 115 Falls Ave W Twin Falls, ID 83301-3115 Family & Adolescent Care of Twin Falls 476 Cheney Dr W Ste 160 Twin Falls, ID 83301-3790 Family Health Services Family Health Services 325 Martin Street Twin Falls, ID 83301 388 Martin Street Twin Falls, ID 83301 Geoffroi A. Golay, DC, PLLC 488 Blue Lakes Blvd N Ste 107 Twin Falls, ID 83301-4882 (208) 732-0700 (208) 734-6091 (208) 319-0497 (208) 733-1131 (208) 736-7090 (2) 085-2520x9017 (208) 733-1662 (208) 944-0947 (208) 734-0451 (208) 734-0451 (208) 733-0123 Preferred Provider Network 6/23/2016 Page 67

Jolliff Counseling & Behavioral Health Inc 834 Falls Ave Ste 1050 Twin Falls, ID 83301-3363 Kelsie Lyn Robinson LPC Magic Valley Magic Valley Foot And Ankle Specialists PLLC Michael V. Hajjar, M.D. Planned Parenthood of Western Washington Psychiatric Services Behavioral Health Clinic Saint Alphonsus Specialty Services Inc Saint Alphonsus Specialty Services Inc Southern Idaho Pain Institute Specialty Clinic of Idaho Inc St. Alphonsus Regional Medical Center, Inc. 1092 Eastland Dr N Ste C Twin Falls, ID 83301-8442 1182 Eastland Dr N Ste B Twin Falls, ID 83301-8972 496 Shoup Ave W Ste B Twin Falls, ID 83301-5043 738 N College Rd Ste C Twin Falls, ID 83301 200 2nd Ave N Twin Falls, ID 83301-6158 493 Eastland Dr Twin Falls, ID 83301 1330 filer Ave E Twin Falls, ID 83301-4119 738 N College Rd Ste C Twin Falls, ID 83301 176 Falls Ave Twin Falls, ID 83301-2306 260 Falls Ave Twin Falls, ID 83301-3370 738 N College Rd Ste C Twin Falls, ID 83301-3387 Tripp Family Medicine Inc 1411 Fillmore St Ste 600 Twin Falls, ID 83301-3343 Wright LLC Wright LLC 1444 Falls Ave E Twin Falls, ID 83301-3455 1444 Falls Ave E Twin Falls, ID 83301-3408 Wright LLC 1411 Falls Ave E Ste 401 Twin Falls, ID 83301 Wright LLC 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 Victor Monarch Healthcare PLLC 338 Mountainside Blvd Ste 4 Victor, ID 83455 Wallace ACES Community Services 416 6th St Wallace, ID 83873 J. Bayard Miller, M.D. 610 Cedar St Wallace, ID 83873-2233 Vester Eye Clinic, L.L.C. 425 Pine St Wallace, ID 83873-2256 (208) 736-0995 (208) 308-5682 (208) 733-5117 (208) 734-7676 (208) 367-3500 (800) 230-7526 (208) 732-0995 (208) 367-4278 (208) 302-4100 (208) 733-3181 (208) 433-9300 (208) 302-4100 All practitioners providing services are (208) 933-4400 (208) 969-9945 (208) 736-2574 (209) 969-9945 (208) 329-7667 (208) 535-0440 (208) 556-0960 (208) 556-1561 (208) 752-2020 Weiser Foot & Ankle Medical Center Gibb Anesthesia Memorial Hospital Memorial Hospital Physician's Primary Care Center Saint Alphonsus Specialty Services Inc St. Alphonsus Regional Medical Center, Inc. Tri-City Two Rivers Medical Clinic Weiser Chiropractic Center PA Wendell Wright LLC 645 E 5th St Weiser, ID 83672 513 E Main St Weiser, ID 83672 360 E Liberty St Weiser, ID 83672-2261 645 E 5th St Weiser, ID 83672 400 E 7th St Weiser, ID 83672 645 E 5th St Weiser, ID 83672-2202 645 E 5th St Weiser, ID 83672-2202 275 E 7th St Weiser, ID 83672 683 E 3rd St Weiser, ID 83672-2248 54 W Court St Weiser, ID 83672-1941 280 W Main St Wendell, ID 83355-5201 (208) 466-3338 (208) 549-1732 (208) 414-1124 (208) 549-3452 (208) 414-8440 (208) 549-3152 (208) 367-4278 All practitioners providing services are (208) 549-1008 (208) 549-0211 (208) 414-3881 (208) 944-4003 Preferred Provider Network 6/23/2016 Page 68

Wilder The Clinic at Wilder West Valley Medical Group LLC 215 3rd St Wilder, ID 83676 124 5th St Ste A Wilder, ID 83676-5540 (208) 585-6311 (208) 482-7430 Preferred Provider Network 6/23/2016 Page 69

URGENT CARE CLINIC IMPORTANT: Individual providers practicing at the following clinics may not always be preferred providers. To assure the maximum level of benefits, check on the availability of preferred providers for these services. Idaho Boise Primary Health Medical Group-Urgent Care 1907 S Broadway Ste 101 Boise, ID 83706 Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care 300 W Myrtle St Boise, ID 83702-7690 8971 W Overland Rd Boise, ID 83709 11197 W Fairview Ave Boise, ID 83713-7935 (208) 345-1222 (208) 472-9082 (208) 378-4288 (208) 378-8011 Caldwell Primary Health Medical Group-Urgent Care 4815 Cleveland Blvd Caldwell, ID 83605-6501 (208) 455-3545 Coeur d Alene Rockwood Clinic PS 700 Ironwood Dr Ste 350-4487 Rockwood Clinic PS 700 W Ironwood Dr Ste 375-4401 Eagle Primary Health Medical Group-Urgent Care 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 (208) 676-9913 (509) 838-2531 (208) 939-8200 Garden City Primary Health Medical Group-Urgent Care Meridian Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care Nampa Primary Health Medical Group-Urgent Care Primary Health Medical Group-Urgent Care 6052 W State St Garden City, ID 83703-2739 1130 E Fairview Ave -1813 3115 E Florence Dr 700 Caldwell Blvd Nampa, ID 83651-1707 1115 12th Ave Rd Nampa, ID 83686-5738 (208) 344-7799 (208) 888-9393 (208) 895-8670 (208) 466-6567 (208) 499-8108 Post Falls Rockwood Clinic PS 1593 E Polston Ave Post Falls, ID 83854-5326 Rockwood Clinic PS 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 (509) 838-2531 (509) 838-2531 Sandpoint Rockwood Clinic PS 302 S 1st Ave Sandpoint, ID 83864-1258 (509) 838-2531 Preferred Provider Network 6/23/2016 Page 70

FACILITIES Ambulatory Surgical Center Idaho Blackfoot Parkway Surgical Center 1485 Parkway Drive Blackfoot, ID 83221 (208) 785-5100 Boise Idaho Endoscopy Center, L.L.C. 6259 W Emerald St Boise, ID 83704 (208) 489-1900 Center of Idaho, LLC 1425 W River Boise, ID 83702 (208) 342-1932 Pacific Cataract and Laser Institute 250 Bobwhite Ct Ste 100 Boise, ID 83706 (800) 926-7380 Pacific Cataract and Laser Institute 2822 S Vista Ave Boise, ID 83705 (208) 385-7576 Pain Care Boise 301 W Myrtle Boise, ID 83702-7656 (208) 342-8200 Saint Alphonsus Outpatient Surgery Boise, ID 83706 (208) 367-2724 Southwest Idaho Surgery Center, Inc. 900 N Liberty St Ste 400 Boise, ID 83704 (208) 367-3320 Surgicare Center of Idaho LLC 360 E Mallard St Ste 125 Boise, ID 83706 (208) 336-8700 Caldwell West Valley Medical Center Outpatient Surgery 1717 Arlington Ave Caldwell, ID 83605 (208) 459-4641 Coeur d Alene Advanced Dermatology & Skin Surgery 1700 W Riverstone Dr (208) 770-2822 Coeur d'alene Foot & Ankle Surgery Center 101 Ironwood Dr Ste 131 (208) 666-0814 Coeur D'Alene Surgery Center 2121 Ironwood Center Dr (208) 765-9059 Kootenai Outpatient Surgery Center 707 Ironwood (208) 666-2700 North Idaho Cataract & Laser Center 1814 Lincoln Way (208) 667-2531 North Idaho Endoscopy Center, P.L.L.C. 1607 Lincoln Way Suite 100 (208) 665-9184 North Idaho Pain Center 1686 W Riverstone Dr Ste 2-5779 (208) 765-4807 Idaho Falls Creekside Surgery Center 2375 E Sunnyside Rd Ste B Idaho Falls, ID 83404 (208) 524-0610 Grand Teton Surgical Center 2290 Coronado St Idaho Falls, ID 83404-7552 (208) 524-3800 Lewiston IPC Surgical Center, L.L.C. 2841 Juniper Dr Lewiston, ID 83501 (208) 743-9712 Lewis & Clark Orthopaedic Institute, L.L.C. 318 Warner Dr Lewiston, ID 83501 (208) 743-3523 Pacific Cataract and Laser Institute 3330 4th St Lewiston, ID 83501-4405 (208) 746-2025 Meridian Eagle Eye Surgery & Laser Center 3090 Gentry Way Ste 100 (208) 288-1600 Meridian Health Plaza 3025 W Cherry Ln (208) 367-8500 Sinus Surgery Center Idaho PA 3085 E Magic View Dr Ste 140-3757 (208) 433-9300 Surgery Center of Idaho, L.L.C. 2855 E Magic View Dr (208) 639-4920 Moscow Palouse Surgery Center 2300 W A Street Moscow, ID 83843 (208) 883-1500 Nampa Treasure Valley Surgery Center Nampa 4400 E Flamingo Ave Nampa, ID 83687-9203 (208) 288-4640 Pocatello Endoscopy Center LLC 1151 Hospital Way Ste A Pocatello, ID 83201-5091 (208) 232-6616 Idaho SurgiCenter Inc 1157 Call Pl Pocatello, ID 83201 (208) 232-0006 PCS Endoscopy Suite, Inc. 500 S 11th Ave Ste 303 Pocatello, ID 83201 (208) 234-0024 Skyline Surgery Center, Inc. 285 Vista Dr Ste C Pocatello, ID 83201 (208) 478-1704 Ponderay Pend Oreille Surgery Center, LLC 30544 Hwy 200 Ste 201 Ponderay, ID 83852 (208) 265-8194 Rexburg Preferred Provider Network 6/23/2016 Page 71

Upper Valley Surgery Center PLLC 256 N 2nd E Ste 1 Rexburg, ID 83440-1638 (208) 656-9646 Sandpoint Sandpoint Surgery Center LLC 1327 Superior St Ste 111 Sandpoint, ID 83864-2742 (208) 263-9757 Behavioral Health Facility Idaho Silverton Loving Care & More 104 Wind River Rd Silverton, ID 83867-0119 (208) 752-1019 Cancer Center Idaho Boise Saint Alphonsus Cancer Care Center Boise, ID 83706 (208) 367-3131 Caldwell Caldwell Cancer Care Center-Medical Oncology 3123 Commercial Way Caldwell, ID 83605 (208) 453-2033 Caldwell Cancer Care Center-Radiation Oncology 3123 Commercial Way Caldwell, ID 83605 (208) 453-2033 Dialysis Idaho Coeur d Alene North Idaho Dialysis Facility 2100 Ironwood Ct (208) 664-3064 Dalton Gardens Fresenius Medical Care Hayden Lake 7600 Mineral Dr Ste 850 Dalton Gardens, ID 83815 (208) 762-4411 Lewiston NRI Lewiston 730 21st St Lewiston, ID 83501 (208) 746-8280 Moscow Fresenius Medical Care Palouse 723 S Main St Moscow, ID 83843-3041 (208) 882-1817 Ponderay Fresenius Medical Care Idaho Panhandle Dialysis Center 204 N Triangle Dr Ponderay, ID 83852 (208) 255-4963 Post Falls Renal Care Group- Post Falls 1300 E Mullan Ave Ste 1200 Post Falls, ID 83854 (208) 777-6054 Durable Medical Equipment Supplier Idaho Blackfoot Includes the following: Wheelchairs (WC), Diabetic Supplies (DS), Mastectomy Prosthetics (MP), Electronic/Mechanical, Equipment (EE), General Equipment (GE). For availablility of these services, check with Preferred durable medical equipment providers listed below. Norco, Inc. 1350 Parkway Dr Ste 26 Blackfoot, ID 83221-1657 (208) 782-0456 Boise Idaho Sleep Health 7272 W Potomac Dr Boise, ID 83704 (208) 375-8222 Norco, Inc. 2150 E Fairview Ave Boise, ID 83704 (208) 898-0202 Northland Hearing Centers Inc 4111 W State St Boise, ID 83703-4438 (208) 853-2650 Rehab Systems Inc. 7446 W Lemhi Boise, ID 83709 (208) 342-4104 The CPAP Clinic 6128 Fairview Avenue Suite 1A Boise, ID 83704 (208) 287-1733 Preferred Provider Network 6/23/2016 Page 72

Caldwell The CPAP Clinic 2423 S Georgia Ave Caldwell, ID 83605 (208) 455-8801 Chubbuck Norco, Inc. 4639 Yellowstone Hwy Chubbuck, ID 83202 (208) 478-9100 Coeur d Alene ADAPT Prosthetics Orthotics LLC 2204 Ironwood Place Ste A (208) 765-0597 Bellevue Healthcare II Inc North Idaho 115 E Harrison Ave -3238 (208) 676-1768 Good Night Medical 2005 Ironwood Pkwy Ste 130 (208) 667-3203 Home Med Plus, Inc. 2201 N Government Way Ste M (208) 667-1269 Idaho Home Medical, Inc. 212 West Ironwood Drive (208) 765-3387 Idaho Home Medical, Inc. 411 W Haycraft Ave Ste B2 Coeur d Alene, ID 83815-8104 (208) 765-3387 Ironwood Medical Supply & Oxygen 2120 Ironwood Center Dr Coeur d Alene, ID 83815 (208) 765-0930 Kootenai Prosthetic Orthotic Service, Inc. 1321 W Northwood Center Ct Ste A -4944 (208) 765-3080 Lake City Shoe Repair 6055 N Government Way Ste 1 Coeur d Alene, ID 83815 (208) 762-0797 Preferred Medical 1101 W Ironwood Dr -2604 (208) 667-1195 Dalton Gardens Soper's Mobility Aids, L.L.C. 7392 N Government Wy Dalton Gardens, ID 83815 (208) 772-6474 Garden City Pacific Pulmonary Services 5220 Sawyer Ct Ste D Garden City, ID 83714 (208) 376-6020 Grangeville Norco, Inc. 329 W Main Grangeville, ID 83530 (208) 983-0390 Hayden Apria Healthcare, Inc. 77 W Commerce Dr Ste B Hayden, ID 83835 (208) 772-5933 Idaho Falls Homecare Medical Equipment 2275 Channing Way Idaho Falls, ID 83404-8012 (208) 523-2700 Norco, Inc. 3908 Washington Pkwy Idaho Falls, ID 83404-7596 (208) 552-3113 Rocky Mountain Artificial Limb & Brace Inc 2230 E 25th St Idaho Falls, ID 83404-7542 (208) 524-3230 Meridian Norco, Inc. 2882 N Eagle Rd Meridian, ID 83646 (208) 898-0202 United Seating & Mobility 1311 E Franklin Rd Ste 104 (208) 288-5460 Walgreens Infusion Services 800 S Industry Way Ste 240-3559 (208) 884-0669 Montpelier Homecare Medical Equipment 386 Washington St Montpelier, ID 83254-1534 (208) 847-3300 Moscow Norco, Inc. 223 W 3rd St Moscow, ID 83843 (208) 882-3571 Northwest Respiratory & Medical 619 S Washington St Ste 102 Moscow, ID 83843-3063 (208) 882-9746 Nampa Idaho Sleep Health 210 W Georgia Ave Ste 120 Nampa, ID 83686 (208) 442-8222 Northland Hearing Centers Inc 106 Holly St Nampa, ID 83686 (208) 899-4223 Pocatello Maag Prescription Center LLC 333 W Center St Pocatello, ID 83204-3243 (20) 823-3206x3131 Rocky Mountain Artificial Limb & Brace Inc 285 Jefferson Ave Pocatello, ID 83201-3922 (208) 232-6611 Post Falls American Seating & Mobility 1640 E Schneidmiller Ave Post Falls, ID 83854-7065 (877) 339-1235 Kootenai Prosthetic Orthotic Service, Inc. 1160 E Polston Ave Post Falls, ID 83854-6045 (208) 457-1545 Rexburg Norco, Inc. 146 N 2nd E Rexburg, ID 83440-1620 (208) 356-7913 Sandpoint Kootenai Prosthetic Orthotic Service, Inc. 1309 Ponderosa Dr Ste 101 Sandpoint, ID 83864-8278 (208) 265-0100 Preferred Provider Network 6/23/2016 Page 73

Twin Falls Apria Healthcare, Inc. 261 Addison Ave W Twin Falls, ID 83301 (208) 733-4450 National Seating & Mobility, Inc. 1247 Filer Ave E Twin Falls, ID 83301 (208) 595-2095 Norco, Inc. 330 N Haven St Twin Falls, ID 83301-5788 (208) 734-9330 Rehab Systems Inc. 542 Addison Ave W Twin Falls, ID 83301 (208) 736-7330 Home Health Idaho Blackfoot Access Home Care 131 N Oak St Blackfoot, ID 83221-1757 (208) 785-2003 Boise CORAM Alternate Site Services, Inc. 11660 W Executive Dr Boise, ID 83713 (208) 323-0303 CORAM Alternate Site Services, Inc. 10306 W Emerald St Boise, ID 83704 (800) 828-8149 Saint Alphonsus Home Health & Hospice LLC 427 N Curtis Rd Boise, ID 83706 (208) 367-3040 Chubbuck Access Home Care LLC 240 W Burnside Ave Ste B Chubbuck, ID 83202-4703 (208) 637-2273 Encompass Home Health of Idaho 4425 Burley Dr Ste C Chubbuck, ID 83202-1956 (208) 637-1100 Coeur d Alene Family Home Care Corp 1620 Northwest Blvd Ste 201-2488 (208) 772-2112 Gentiva Health Services 1230 Northwood Center Court (208) 667-5470 Gentiva Health Services 1620 Northwest Blvd Ste 201 Gentiva Health Services 1230 Northwood Center Ct (208) 667-5470 North Idaho Home Health 850 W Kathleen Ave Coeur d Alene, ID 83815-9405 (208) 677-7494 Gooding Idaho Home Health & Hospice 329 Washington St Gooding, ID 83330-1343 (208) 934-4842 Hayden Panhandle Health District 8500 N Atlas Rd Hayden, ID 83835 (208) 415-5160 Idaho Falls Avalon Home Health 403 1st St Idaho Falls, ID 83401-3928 (208) 419-0896 Encompass Home Health of Idaho 3686 Washington Pkwy Idaho Falls, ID 83404-7573 (208) 528-8100 Idaho Home Health & Hospice 1906 Jennie Lee Dr Idaho Falls, ID 83404-6159 (208) 528-2877 IntegriCare of Eastern Idaho 2236 East 25th Street Idaho Falls, ID 83404 (208) 523-9887 Meridian Idaho Home Health & Hospice 1965 S Eagle Rd Ste 100-9246 (208) 934-4842 Moscow Gritman Home Health & Hospice 700 S Main St Moscow, ID 83843 (208) 883-6256 Pocatello Alliance Home Health of Idaho 440 E Clark St Ste A Pocatello, ID 83201-6308 (208) 478-6677 Heritage Home Health 1009 W Quinn Rd Ste B Pocatello, ID 83202-2425 (208) 238-0088 Idaho Home Health & Hospice 315 E Alameda Rd Pocatello, ID 83201-3619 (208) 232-1122 Preston Access Home Care 307 S 1st E Preston, ID 83263-1503 (208) 852-1699 Rexburg Encompass Home Health of Idaho 351 E 2nd N Rexburg, ID 83440-1605 (208) 356-7087 Twin Falls Idaho Home Health & Hospice 222 Shoshone St E Twin Falls, ID 83301-6105 (208) 734-4061 Preferred Provider Network 6/23/2016 Page 74

Home Infusion Idaho Blackfoot Lincare Inc 90 W Judicial St Blackfoot, ID 83221-2715 (208) 785-1571 Coeur d Alene Lincare Inc 3909 N Schreiber Way Ste 1 Coeur d Alene, ID 83815-8364 (208) 765-3422 Grangeville Lincare Inc 60 Frontage Rd Ste A7A Grangeville, ID 83530-5370 (208) 983-5345 Idaho Falls Lincare Inc 2265 Desoto St Idaho Falls, ID 83404-7540 (208) 524-4211 Meridian Lincare Inc 150 S Adkins Way Ste 120 & 130-7996 (208) 232-6050 Moscow Lincare Inc 428 W 3rd St Unit 2 Moscow, ID 83843-2284 (208) 882-1847 Rexburg Lincare Inc 2685 S 2000 W Rexburg, ID 83440-4049 (208) 359-0706 Salmon Lincare Inc 1102 Main St Salmon, ID 83467-4321 (208) 756-8708 Sandpoint Lincare Inc 525 Cedar St Sandpoint, ID 83864-1535 (208) 255-2238 Twin Falls Lincare Inc 250 2nd Ave S Ste C Twin Falls, ID 83301-6211 (208) 737-0809 Hospice Idaho Boise Four Rivers Hospice 427 N Curtis Rd Boise, ID 83706 (208) 367-3040 Fruitland Heart N Home Hospice & Palliative Care LLC 1100 NW 12th St Fruitland, ID 83619 (208) 452-2662 Meridian Hearts For Hospice, L.L.C. 3090 Gentry Way -3597 (801) 772-0243 Nampa Mercy Medical Center-Hospice 215 E Hawaii Nampa, ID 83686 (208) 463-5220 Sandpoint Bonner Community Hospice 602 N Third Ave Sandpoint, ID 83864 (208) 265-1179 Imaging Facility Idaho Boise Intermountain Medical Imaging 927 W Myrtle Boise, ID 83702 (208) 367-7510 Intermountain Medical Imaging Boise, ID 83706 (208) 367-2161 Intermountain Medical Imaging 161 E Mallard Ste 120 Boise, ID 83706 (206) 639-6621 Saint Alphonsus Regional Medical Center Boise, ID 83706 (208) 367-2161 Caldwell Preferred Provider Network 6/23/2016 Page 75

West Valley Women's Imaging Center 315 E Elm St Ste 330 Caldwell, ID 83605 (208) 455-3905 Eagle Intermountain Medical Imaging 323 E Riverside Dr Ste 108 Eagle, ID 83616 (208) 367-5700 Meridian Intermountain Medical Imaging 2929 E Magic View Dr (208) 367-8222 Nampa St Alphonsus Nampa 1512 12th Ave Road Nampa, ID 83686 (208) 463-5442 St Alphonsus Nampa 4400 E Flamingo Ave Nampa, ID 83687 (208) 288-4630 Pocatello Allied Imaging Inc 2043 E Center St Ste 115 Pocatello, ID 83201-3300 (855) 364-6243 Twin Falls Allied Portable Xray Inc 1255 Filer Ave E Ste C Twin Falls, ID 83301 (208) 423-1119 Independent Laboratory Idaho Boise Cole Diagnostics 7988 W Marigold St Ste 150 Boise, ID 83714-5125 (208) 472-1082 Interpath Laboratory, Inc. 8660 W Emerald Boise, ID 83704 (208) 375-2350 Laboratory Corporation of America 6090 Emerald Street Boise, ID 83704 (208) 376-5359 Saint Alphonsis Laboratory 1055 N Curtis Road Boise, ID 83706 (208) 367-2156 Saint Alphonsis Laboratory 1055 N Curtis Road Boise, ID 83706 (208) 367-2008 Saint Alphonsus Laboratory Boise, ID 83706 (208) 367-2156 Treasure Valley Laboratory 1070 N Curtis Rd Ste 130 Boise, ID 83706 (208) 377-1499 Treasure Valley Laboratory 333 1st Ste 240 Boise, ID 83702 (208) 384-9296 Caldwell Interpath Laboratory, Inc. 1818 S 10th Ave Caldwell, ID 83605 (208) 463-7872 West Valley Medical Center Laboratory 1718 Arlington Ave Caldwell, ID 83606 (208) 459-4642 Coeur d Alene Alpha Medical Labs 920 Ironwood Dr (208) 292-0426 Alpha Medical Labs 700 Ironwood Dr Ste 108 (208) 664-8249 Alpha Medical Labs 980 Ironwood Dr Ste 103 (208) 292-2782 Pathology Associates Med Labs 700 Ironwood Dr Ste 108 (208) 664-8249 Pathology Associates Med Labs 920 Ironwood Dr (208) 292-0426 Pathology Associates Med Labs 1607 Lincoln Wy (208) 666-9193 Pathology Associates Med Labs 980 Ironwood Dr Ste 103 (208) 292-2782 Pathology Associates Med Labs 914 W Ironwood Dr Ste 101 (208) 765-5922 Quest Diagnostics 2207 Ironwood Pl -2610 (208) 765-3601 Idaho Falls Laboratory Corporation of America 2114 Niagra Street Idaho Falls, ID 83404 (208) 529-0712 Quest Diagnostics 1970 East 17th Suite 119 Idaho Falls, ID 83404 (208) 535-0407 Treasure Valley Laboratory 2001 S Woodruff Ste 16 Idaho Falls, ID 83404 (208) 522-2124 Kellogg Mountain Healthcare, Inc. 740 McKinley Avenue Kellogg, ID 83837 (208) 783-1267 Lewiston Pathologists Regional Laboratory 415 Sixth Street Lewiston, ID 83501 (208) 746-0516 Pathologists Regional Laboratory 415 Sixth Street Lewiston, ID 83501 (208) 746-0516 Meridian Treasure Valley Laboratory 3025 W Cherry Ln (208) 367-8562 Nampa Preferred Provider Network 6/23/2016 Page 76

Interpath Laboratory, Inc. 223 16th Ave N Nampa, ID 83653 (208) 463-7872 St Alphonsus Nampa 1512 12th Ave Road Nampa, ID 83686 (208) 463-5270 St Alphonsus Nampa 4400 E Flamingo Ave Nampa, ID 83687 (208) 288-4620 Pocatello Laboratory Corporation of America 1950 East Clark Street Suite F Pocatello, ID 83201 (208) 232-6740 Quest Diagnostics 1777 E Clark St Ste 210 Pocatello, ID 83201-3357 (208) 233-4804 Treasure Valley Laboratory 1951 Bench Rd Ste A Pocatello, ID 83201 (208) 237-0813 Post Falls Pathology Associates Med Labs 1300 Mullan Post Falls, ID 83854 (208) 777-1344 Long Term Acute Care Hospital Idaho Boise Southwest Idaho Advanced Care Hospital 6651 W Franklin Rd Boise, ID 83709 (208) 376-2400 Post Falls Northern Idaho Advanced Care Hospital 600 N Cecil Rd Post Falls, ID 83854 (208) 262-2800 Medical Transportation Services Idaho Boise Acute Rescue & Transport Inc 1104 W Dundee St Boise, ID 83706 (208) 965-8072 Mental Health Center Idaho Boise Saint Alphonsus Behavioral Health 131 N Allumbaugh Boise, ID 83706 (208) 367-2175 Caldwell West Valley Medical Center 1717 Arlington Ave Caldwell, ID 83605 (208) 459-4641 Optical Hardware Center Idaho Lewiston Affordable Optics 1039 21st St Lewiston, ID 83501-3415 (208) 413-6685 Physical Rehabilitation Facility Idaho Boise Saint Alphonsus Rehabilitation Services (STARS) 901 N Curtis Rd Ste 204 Boise, ID 83706-1340 (208) 367-3315 Saint Alphonsus Rehabilitation Services (STARS) 717 N Liberty Boise, ID 83704-9342 (208) 367-8989 Saint Alphonsus Rehabilitation Services (STARS) 5959 N Discovery Way Boise, ID 83713-1556 (208) 378-0256 Saint Alphonsus Rehabilitation Services (STARS) 1050 W State St Boise, ID 83702-5442 (208) 424-8175 Saint Alphonsus Rehabilitation Services (STARS) 2141 E Parkcenter Blvd Boise, ID 83706 (208) 302-9850 Preferred Provider Network 6/23/2016 Page 77

Caldwell West Valley Therapy Connections 222 Elm St Caldwell, ID 83605 (208) 459-2436 Eagle Saint Alphonsus Rehabilitation Services (STARS) 875 E Plaza Ste 105 Eagle, ID 83616-6549 (208) 367-5400 Saint Alphonsus Rehabilitation Services (STARS) 323 E Riverside Dr Ste 124 Eagle, ID 83616-6824 (208) 367-5400 Fruitland Saint Alphonsus Rehabilitation Services (STARS) 910 NW 16th St Fruitland, ID 83619 (208) 452-8060 Meridian Saint Alphonsus Rehabilitation Services (STARS) 3025 W Cherry Ln Ste D -8531 (208) 367-8593 Saint Alphonsus Rehabilitation Services (STARS) 179 SW 5th Ave -2995 (208) 367-8282 Saint Alphonsus Rehabilitation Services (STARS) 3875 E Overland Rd (208) 367-4470 Nampa Saint Alphonsus Rehabilitation Services (STARS) 2707 Garrity Blvd Ste 3 Nampa, ID 83687-3679 (208) 442-2329 Saint Alphonsus Rehabilitation Services (STARS) 131 Constitution Way Nampa, ID 83686 (208) 463-5570 Saint Alphonsus Rehabilitation Services (STARS) 4424 E Flamingo Ave Nampa, ID 83687 (208) 288-4700 Facility Idaho Boise Intermountain Medical Imaging 327 W Myrtle Boise, ID 83702 (208) 367-7510 Intermountain Medical Imaging 161 E Mallard Ste 120 Boise, ID 83706 (208) 639-6621 Saint Alphonsus Breast Care Center 6200 W Emerald Boise, ID 83706 (208) 367-3336 Coeur d Alene Inland Northwest Imaging LLC 850 Ironwood Dr Ste B101 (208) 292-4553 Kootenai Medical Center 700 W Ironwood Dr Ste 110-2666 (208) 666-3200 Kootenai Outpatient Imaging 700 Ironwood Dr Ste 110 (208) 666-3200 Eagle Intermountain Medical Imaging 323 E Riverside Dr Ste 108 Eagle, ID 83616 (208) 367-5700 Meridian Intermountain Medical Imaging 2923 E Magic View Dr (208) 367-8222 Middleton AAA Medical Solutions Inc 412 S King Ave Ste 100 Middleton, ID 83644-5294 (208) 585-2568 Moscow Alliance HealthCare Services, Inc. 700 S Main St Moscow, ID 83843 (800) 530-0912 Pocatello Diagnostic Imaging Services of Idaho 1951 Bench Rd Ste F Pocatello, ID 83201-2073 (208) 257-0977 Post Falls Kootenai Outpatient Imaging 1300 E Mullan Ave Post Falls, ID 83854 (208) 666-3200 Rehabilitation Facility Idaho Boise Saint Alphonsus Rehabilitation Unit Boise, ID 83706 (208) 367-3470 Skilled Nursing Facility Preferred Provider Network 6/23/2016 Page 78

Idaho Boise Avamere Transitional Care And Rehabilitation Boise 1001 S Hilton St Boise, ID 83705-1925 (208) 245-4464 Bridgeview Estates 1828 Bridgeview Blvd Boise, ID 83706 (208) 736-3933 Lcc of Boise 808 North Curtis Road Boise, ID 83706 (208) 376-5273 Lcc of Treasure Valley 502 North Kimball Place Boise, ID 83704 (208) 377-1900 Northview Hospital 8050 Northview Street Boise, ID 83704 (208) 327-0504 Saint Alphonsus Skilled Nursing Unit Boise, ID 83706 (208) 367-2121 Caldwell Cascade Rehabilitation and Care Center 2814 South Indiana Avenue Caldwell, ID 83605 (208) 459-0808 Kindred Nursing & Rehabilitation-Caldwell 210 Cleveland Blvd Caldwell, ID 83605-3622 (208) 459-1522 Kindred Nursing and Rehabilitation-Canyon West 2814 S Indiana Ave Caldwell, ID 83605-5925 (208) 459-0808 West Valley Skilled Nursing Unit 1717 Arlington Ave Caldwell, ID 83605 (208) 459-4641 Coeur d Alene Ivy Court 2200 Ironwood Pl -2610 (208) 667-6486 LaCrosse Health & Rehabilitation Center 210 W LaCrosse Ave -2610 (208) 664-2185 Life Care Center of Coeur d Alene 500 W Aqua Ave -7764 (208) 762-1122 Emmett Holly Hills Care Center 501 West Idaho Blvd. Emmett, ID 83617 (208) 365-3597 Grangeville SunBridge Care and Rehabilitation for Grangeville 410 N.E. Second Street Grangeville, ID 83530 (208) 983-1131 Idaho Falls Lcc of Idaho Falls 2725 East 17th Street Idaho Falls, ID 83406 (208) 529-4567 Kellogg Kindred Nursing & Rehabilitation-Mountain Valley 601 W Cameron Ave Kellogg, ID 83837-2004 (208) 784-1283 Lewiston Kindred Transitional Care & Rehabilitation-Lewiston 3315 8th St Lewiston, ID 83501-4966 (208) 743-9543 Life Care Center of Lewiston 325 Warner Dr Lewiston, ID 83501-4437 (208) 798-8500 SunBridge Care and Rehab for Lewiston 1014 Burrell Avenue Lewiston, ID 83501 (208) 743-4558 The Orchards Rehabilitation & Care Center 1014 Burrell Ave Lewiston, ID 83501-5589 (208) 743-4588 McCall SunBridge Care and Rehabilitation for McCall 418 Floyd St McCall, ID 83638 (208) 634-2112 Meridian SunBridge Rehabilitation and Living Center for Meridian 1351 W Pine Ave (208) 888-7049 Moscow Kindred Nursing & Rehabilitation-Aspen Park 420 Rowe St Moscow, ID 83843-9319 (208) 882-4576 Nampa Karcher Estates 1127 Caldwell Blvd. Nampa, ID 83651 (208) 465-4935 Kindred Nursing & Rehabilitation-Nampa 404 Horton St Nampa, ID 83651-6541 (208) 466-9292 SunBridge Retirement and Rehabilitation Center for Nampa 2609 Sunnybrook Drive Nampa, ID 83686 (208) 467-7298 Payette SunBridge Care and Rehabilitation for Payette 1019 Third Avenue South Payette, ID 83661 (208) 642-4455 Pocatello Pocatello Health Services Inc 527 Memorial Dr Pocatello, ID 83201-4063 (208) 478-3333 Quinn Meadows Rehabilitation & Care Center 1033 W Quinn Rd Pocatello, ID 83202-2425 (208) 637-8888 Sandpoint Life Care Center of Sandpoint 1125 N Division St Sandpoint, ID 83864-2148 (208) 265-9299 Twin Falls SunBridge Care and Rehabilitation for Twin Falls 640 Filer Avenue West Twin Falls, ID 83301 (208) 734-8645 Preferred Provider Network 6/23/2016 Page 79

Weiser Kindred Nursing & Rehabilitation-Weiser 331 E Park St Weiser, ID 83672-2053 (208) 549-2416 Sleep Disorder Center/Lab Idaho Boise Saint Alphonsus Sleep Clinic Boise, ID 83706 (208) 367-2008 Substance Abuse Rehabilitation Facility Idaho Boise Saint Alphonsus Addiction Recovery Center 6138 Emerald St Suite B Boise, ID 83704 (208) 367-3553 Lewiston Riverside Recovery 1720 18th Ave Lewiston, ID 83501 (208) 746-4097 Preferred Provider Network 6/23/2016 Page 80

Preferred Providers Idaho Aberdeen Bowers, Paul Kendell DC, DC, RN Bokelmann, Jean M MD Fenstermaker, John Fernandez, Luis Manual MD, MD Horrocks, Mark T MD Kjos, Melissa R MD Morrison, Chelsie A DO Olsen, Blaine Reed DO Smith, Dean Ty DO Infectious Disease Buitrago, Martha I. Infectious Disease 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 Hutton-Levenson, Judith LMHC 330 N Main, Marriage & Family Aberdeen, ID 83210-4928 Counselor / Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / Poulos-Edmo, Helene ARNP, RN / Dyer, Donald A MD Bieniasz, Paul D PAC Higbee, Logan PAC Judd, Jocelyn Ann PA Petersen, Jedidiah Allen PA, PAC Schaper, Heather Ann PA Brown, Shannon L LSW Collins, Doty J LSW Urgent Care Carbol, Courtland Reid MD Urgent Care 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 330 N Main Aberdeen, ID 83210-4928 (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 Languages: SPANISH (208) 397-4126 Languages: SPANISH (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 -Eastern Idaho Regional Medical Center (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 (208) 397-4126 American Falls Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 81

Bowers, Paul Kendell DC, DC, RN Bokelmann, Jean M MD Fenstermaker, John Fernandez, Luis Manual MD, MD Fernandez, Luis Manual MD, MD Horrocks, Mark T MD Kjos, Melissa R MD Morrison, Chelsie A DO Olsen, Blaine Reed DO Seibold, Spencer Garrett DO Smith, Dean Ty DO Williams, Dean MD Infectious Disease Buitrago, Martha I. Infectious Disease 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 510 Roosevelt St American Falls, ID 83211-1362 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 502 Tyhee Ave American Falls, ID 83211 823 Reed St American Falls, ID 83211-1336 510 Roosevelt St American Falls, ID 83211-1362 823 Reed St American Falls, ID 83211-1336 Hutton-Levenson, Judith LMHC 823 Reed St, Marriage & Family American Falls, ID 83211-1336 Counselor / Babb, Kristine ARNP, RN / Babb, Kristine ARNP, RN / Cassell, Linda Jere ARNP / Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / Poulos-Edmo, Helene ARNP, RN / Dyer, Donald A MD Occupational Therapy Corbet, Heather M OT Occupational Therapy Gaudet, Sarah M OT Occupational Therapy Pierce, Aaron I OT Occupational Therapy Toupin, Megan J OT Occupational Therapy Werth, Amanda OT Occupational Therapy DeVoe, Cara E Stringfield, Sari D PT 510 Roosevelt St American Falls, ID 83211-1362 510 Rossevelt St American Falls, ID 83211-1362 510 Roosevelt St American Falls, ID 83211-1362 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 (208) 226-2822 (208) 226-2822 (208) 226-2822 (208) 226-3200 Languages: SPANISH (208) 226-2822 Languages: SPANISH (208) 226-2822 Languages: SPANISH (208) 226-2822 (208) 226-2822 (208) 226-2822 (208) 226-1057 ADA Accessible (208) 226-2822 (208) 226-3200 (208) 226-2822 -Eastern Idaho Regional Medical Center (208) 226-2822 (208) 226-3200 -Harms Memorial Hospital District (208) 226-3200 -Harms Memorial Hospital District (208) 226-3200 -Harms Memorial Hospital District (208) 226-2822 (208) 226-2822 (208) 226-2822 (208) 226-2822 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 82

Bieniasz, Paul D PAC Higbee, Logan PAC Judd, Jocelyn Ann PA Petersen, Jedidiah Allen PA, PAC Schaper, Heather Ann PA Shelley, David J,, Interventional Rheumatology Walaliyadda, Ananda Rheumatology, Brown, Shannon L LSW Speech Language Pathology Barlow, Jessica L SLPA Speech Language Pathology Furniss, Michele B SLPA Speech Language Pathology Glock, Kellie A SLPA Speech Language Pathology Hall, Chalyse A SLPA Speech Language Pathology Honstetter, Tara J SLPA Speech Language Pathology Jones, Gunda G SLPA Speech Language Pathology Jones, Jacob E SLPA Speech Language Pathology Lee, Wendy K SLPA Speech Language Pathology Pierce, Ashley A SLPA Speech Language Pathology Pierce, Becky A SLPA Speech Language Pathology Suthers, Lindsay A SLPA Speech Language Pathology Tanner, William B SLPA Speech Language Pathology Tingey, Amanda J SLPA Speech Language Pathology Williams, Marcia J SLPA Speech Language Pathology Zaremba, Cheryl Marler SLPA Speech Language Pathology Urgent Care Carbol, Courtland Reid MD Urgent Care Ammon Certified Nutritionist/Registered Diet Zirker, Lindsey Ann RD Certified Nutritionist/Registered Diet Wheeler, Laramie DO Marlowe, Kenneth Roy LMHC Warren, Zakery R 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 823 Reed St American Falls, ID 83211-1336 502 Tyhee Ave American Falls, ID 83211 510 Roosevelt Ave American Falls, ID 83211 823 Reed St American Falls, ID 83211-1336 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 73 Fort Hall Ave Ste B American Falls, ID 83211-1804 823 Reed St American Falls, ID 83211-1336 3040 E 17th St Ammon, ID 83406-3760 3040 E 17th St Ammon, ID 83406-3760 1675 Curlew Dr Ammon, ID 83406-4850 2705 E 17th St Ammon, ID 83406-6601 (208) 226-2822 (208) 226-2822 (208) 226-2822 (208) 226-2822 (208) 226-2822 (208) 226-7498 (208) 234-1300 (208) 226-2822 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 226-2822 (208) 557-0200 (208) 557-0200 (208) 523-5319 ADA Accessible (208) 346-7500 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 83

Weadick, Jill R / Adams, Rachel RN /, Nurse Practitioner/Mental Health Brabec, Jaclyn S PAC Psychiatry Layman, Howard A. Psychiatry New, Richard A. MD Psychiatry Psychiatry, Child/Adolescent Denny, Craig J. MD Psychiatry, Child/Adolescent Moedl, April A LSW Nelson, Amanda Sue LSW Spencer, David E LSW Suarez, Alex Arco Barney, Gene Ryan LSW Brown, Suzanne E LSW Ashton Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Walters, Cris A. PT Bigler, Dirk E. Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Funk, Kevin C., Neuroradiology Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology 2705 E 17th St Ammon, ID 83406-6601 1675 Curlew Dr Ammon, ID 83406-4850 3040 E 17th St Ammon, ID 83406-3760 1675 Curlew Dr Ammon, ID 83406-4850 1498 S Midway Ave Ste 2 Ammon, ID 83406-4587 2705 E 17th St Ammon, ID 83406-6601 1675 Curlew Dr Ammon, ID 83406-4850 1675 Curlew Dr Ammon, ID 83406-4850 2705 E 17th St Ammon, ID 83406-6601 1675 Curlew Dr Ammon, ID 83406-4850 159 N Idaho Arco, ID 83213-4708 159 N Idaho Arco, ID 83213-4708 23 S 8th St Ashton, ID 83420 700 N 2nd St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 (208) 346-7500 (208) 523-5319 ADA Accessible (208) 557-0200 -Eastern Idaho Regional Medical Center (208) 523-5319 ADA Accessible Languages: SPANISH (208) 552-0920 -Eastern Idaho Regional Medical Center (208) 346-7500 -Eastern Idaho Regional Medical Center (208) 523-5319 ADA Accessible (208) 523-5319 ADA Accessible (208) 346-7500 (208) 523-5319 ADA Accessible Languages: SPANISH (208) 542-7026 (208) 542-7026 (208) 652-3396 (208) 652-9979 (208) 652-3396 (208) 652-3396 -Bingham Memorial Hospital -Portneuf Medical Center (208) 652-3396 (208) 652-3396 (208) 652-3396 (208) 652-3396 (208) 652-3396 (208) 652-3396 (208) 652-3396 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 84

Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 23 S 8th St Ashton, ID 83420 (208) 652-3396 (208) 652-3396 -Mountain View Hospital LLC (208) 652-3396 (208) 652-3396 (208) 652-3396 (208) 652-3396 (208) 652-3396 -Mountain View Hospital LLC (208) 652-3396 (208) 652-3396 -Bingham Memorial Hospital -Portneuf Medical Center Blackfoot Allergy & Immunology Bilstrom, David E. Allergy & Immunology Jones, Douglas Harry MD Allergy & Immunology Anesthesiology Garbarini, Michael P Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Cardiovascular Disease Antonelli, Lisa Frances MD Cardiovascular Disease Longmore, Lance Spencer DO Cardiovascular Disease Longmore, Ryan Bradley DO Cardiovascular Disease Narraway, Alfred Iain DO Cardiovascular Disease Stutts, III, Baldwin Shields MD, Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Adams, Henry Michael RN, RN Cert Registered Nurse Anesthetist (CRNA) Driscoll, Dewey Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Field, Jess Paul Cert Registered Nurse Anesthetist (CRNA) Hanks, Jed D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Jackson, Luke J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Knapp, Kenneth Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Murray, Shawn M CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Murray, Shawn M CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Parker, Daniel James CRNA, RN Cert Registered Nurse Anesthetist (CRNA) 326 Poplar St Blackfoot, ID 83221 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Popular St Blackfoot, ID 83221-1758 350 N Meridian St Blackfoot, ID 83221-1625 98 Poplar Blackfoot, ID 83221-1799 350 N Meridian Blackfoot, ID 83221-1625 1441 Parkway Blackfoot, ID 83221-1667 1441 Parkway Blackfoot, ID 83221-1667 1441 Parkway Blackfoot, ID 83221-1667 1441 Parkway Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 1485 Parkway Blackfoot, ID 83221-1667 1485 Parkway Blackfoot, ID 83221-1667 98 Poplar Blackfoot, ID 83221-1799 98 Poplar Blackfoot, ID 83221-1799 1485 Parkway Blackfoot, ID 83221-1667 1485 Parkway Blackfoot, ID 83221-1667 98 Popular St Blackfoot, ID 83221-1758 350 N Meridian St Blackfoot, ID 83221-1625 98 Poplar Blackfoot, ID 83221-1799 350 N Meridian Blackfoot, ID 83221-1625 1485 Parkway Blackfoot, ID 83221-1667 (208) 782-2444 (208) 785-3800 -Bingham Memorial Hospital (208) 782-3800 (208) 785-4100 -Bingham Memorial Hospital (208) 782-2900 -Bingham Memorial Hospital (208) 785-4100 -Bingham Memorial Hospital (208) 782-2900 -Bingham Memorial Hospital (208) 234-2001 (208) 234-2001 (208) 234-2001 (208) 234-2001 -Portneuf Medical Center (208) 785-2220 (208) 785-5100 (208) 785-5100 (208) 785-4100 (208) 785-4100 (208) 785-5100 (208) 785-5100 (208) 785-4100 (208) 782-2900 (208) 785-3830 (208) 782-2900 (208) 785-5100 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 85

Purcell, Blake G CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Scott, Micah Joe CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Stoddard, Nicholas F CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Dermatology Wray, Adam D Dermatology Wray, Adam D Dermatology Wray, Adam D Dermatology Allen, Daniel Holt, Kurtis Murdock, Edward Okasinski, Robert E Beckett, Paul L DO, Bird, Jace A. Call, Thomas Sterling Call, Thomas Sterling Carrigan, Brian W MD Clinger, Steven J MD Fackrell, Matthew J. DO Gillespie, Robert Todd PA Gillespie, Robert Todd PA Gillespie, Robert Todd PA Harris, Michael T. Harris, Michael T. Kam, Jared Michael MD Kam, Jared Michael MD Kam, Jared Michael MD Martin, Brady C DO Martin, Brady C DO McKinlay, Kirt Miles MD Moser, Francis Bryce DO Willey, Jay Warren DO Willey, Jay Warren DO Gastroenterology 1485 Parkway Blackfoot, ID 83221-1667 98 Poplar Blackfoot, ID 83221-1799 350 N Meridian Blackfoot, ID 83221-1625 1485 Parkway Blackfoot, ID 83221-1667 1485 Parkway Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1441 Parkway Dr Blackfoot, ID 83221-1667 145 W Idaho St Blackfoot, ID 83221-2255 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 (208) 785-5100 (208) 785-4100 (208) 782-2900 (208) 785-5100 (208) 785-5100 (208) 785-3800 (208) 782-3800 (208) 782-2930 (208) 785-4100 (208) 785-4100 (208) 785-4100 (208) 785-4100 (208) 785-2600 (208) 782-2950 (208) 782-3700 (208) 785-4100 Not accepting new patients (208) 782-2980 (208) 785-2600 (208) 785-2600 (208) 782-3800 (208) 785-2220 (208) 782-2410 (208) 782-3800 Languages: FRENCH (208) 785-2220 Languages: FRENCH (208) 782-3800 (208) 785-2220 (208) 782-2410 (208) 785-2220 (208) 782-2410 (208) 785-2600 (208) 785-2600 (208) 782-3800 (208) 785-2220 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 86

Cook, Darryl Bruce MD Gastroenterology, Cook, Darryl Bruce MD Gastroenterology, Davis, Thomas V DO Gastroenterology, Davis, Thomas V DO Gastroenterology, Godfrey, Jonathan Dean MD Gastroenterology General Practice Blackner, Kenneth Todd MD General Practice Blackner, Kenneth Todd MD General Practice Blackner, Kenneth Todd MD General Practice General Surgery Coray, Robert Louis MD General Surgery Davis, Anthony Kenyatta MD General Surgery Johansen, Francis Taylor DO General Surgery Medvetz, Lisa Ann MD General Surgery Medvetz, Lisa Ann MD General Surgery Schneider, Doran J DO General Surgery Anderson, Shane K DO Anderson, Shane K DO Anderson, Shane K DO Anderson, Shane K DO Capriccione, Angelo M MD Capriccione, Angelo M MD Haderlie, Michael J MD, Nephrology Reid, Jason Kirkwood MD Scherr, Daron L. Shah, Tushar K MD Shrader, David L MD Siktel, Hira Babu MD, Nephrology Siktel, Hira Babu MD, Nephrology Stutts, III, Baldwin Shields MD, Cardiovascular Disease Wehrle, Lance R DO Tomazin, Kathleen S. LMHC Nephrology Rahim, Fahim MD Nephrology, Rahim, Fahim MD Nephrology, 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1441 Parkway Dr Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 326 Poplar St Blackfoot, ID 83221 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 315 W Idaho St Blackfoot, ID 83221-1711 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 167 W Bridge Blackfoot, ID 83221-2704 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 (208) 782-3800 (208) 785-2220 (208) 782-3800 (208) 785-2220 (208) 785-3800 (208) 782-3800 (208) 785-2220 (208) 782-2410 (208) 785-2220 (208) 782-3993 (208) 785-2600 (208) 785-2220 (208) 782-2444 (208) 785-2220 (208) 782-2495 (208) 785-3900 (208) 782-3701 ADA Accessible (208) 782-2410 (208) 782-3990 Languages: ITALIAN, SPANISH (208) 782-2410 Languages: ITALIAN, SPANISH (208) 782-3800 (208) 785-3822 (208) 782-3800 (208) 785-2220 (208) 782-3800 (208) 785-2220 (208) 782-3701 ADA Accessible (208) 785-3897 (208) 785-2220 (208) 782-2060 (208) 782-3800 (208) 782-2495 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 87

Neurological Surgery Huneycutt, William Scott Neurological Surgery Huneycutt, William Scott Neurological Surgery Kelly, Brandon Reyes MD Neurological Surgery Morgan, Jonathan T DO Neurological Surgery Morgan, Jonathan T DO Neurological Surgery Neurology Gerard, Mary Elizabeth MD Neurology Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Bean, Leslie Ann NPRA, RN Blake, O'Dopherty Beverley ARNP Blake, O'Dopherty Beverley ARNP Holland, David G NPRA, RN Holland, David G NPRA, RN Holland, David G NPRA, RN Moss, Shelia ARNP, RN Moss, Shelia ARNP, RN Moss, Shelia ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Wedler, Trilby M ARNP, RN Wedler, Trilby M ARNP, RN Wedler, Trilby M ARNP, RN Zobell, Anna Lurrine NPRA, RN Zobell, Anna Lurrine NPRA, RN / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Campbell, Bryce ARNP, RN / Campbell, Bryce ARNP, RN / Campbell, Bryce ARNP, RN / Curtright, Sarah E ARNP, RN / 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 315 W Idaho St Blackfoot, ID 83221-1711 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 315 W Idaho St Blackfoot, ID 83221-1711 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 (208) 782-3800 (208) 785-2220 (208) 782-3800 -Eastern Idaho Regional Medical Center (208) 782-3800 (208) 785-2220 (208) 782-3800 -Bingham Memorial Hospital (208) 785-2600 (208) 234-2001 (208) 782-3800 (208) 782-2410 (208) 785-2220 (208) 782-3990 (208) 782-2410 (208) 782-3800 (208) 785-2220 (208) 782-2410 (208) 782-3800 (208) 785-2220 (208) 782-2410 (208) 782-3800 -Bingham Memorial Hospital (208) 785-2220 -Bingham Memorial Hospital (208) 782-3701 ADA Accessible (208) 782-3800 (208) 785-2220 (208) 782-3800 (208) 785-4100 -Bingham Memorial Hospital (208) 782-3990 Not accepting new patients (208) 782-2410 (208) 782-3800 (208) 785-4100 (208) 782-2410 (208) 782-3800 -Bingham Memorial Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 88

Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Evans, Travis Ray NPRA, RN / Evans, Travis Ray NPRA, RN / Evans, Travis Ray NPRA, RN / Finnerty, Christina Marie NPRA, RN / Harris, Tyson A NPRA, RN / Johnson, Brian R NPRA, NPRA / Johnson, Brian R NPRA, NPRA / Johnson, Brian R NPRA, NPRA / Montgomery, Jason Andrew ARNP, RN / Montgomery, Jason Andrew ARNP, RN / Powell, Kay M NPRA, RN / Powell, Kay M NPRA, RN / Powell, Kay M NPRA, RN / Walker, Brad L ARNP, RN / Walker, Brad L ARNP, RN / Walker, Brad L ARNP, RN / Arya, Sushila Arya, Sushila Bourkovski, Heather Shannon Larson, Steven P DO Pugmire, Heather Dawn MD Pugmire, Heather Dawn MD Pugmire, Heather Dawn MD Pugmire, Heather Dawn MD Weaver, Heidi S MD Weaver, Heidi S MD Occupational Therapy Jaques, Betty C Occupational Therapy Oncology, Medical Francisco, Michael Louis MD Oncology, Medical Ririe, David W MD Oncology, Medical Ophthalmology Fornarotto, John Michael Ophthalmology Fornarotto, John Michael Ophthalmology 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 1441 Parkway Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 7 N 600 W Blackfoot, ID 83221-5533 1441 Parkway Blackfoot, ID 83221-1667 1441 Parkway Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 (208) 785-2220 -Bingham Memorial Hospital (208) 782-2410 -Bingham Memorial Hospital (208) 785-3800 (208) 782-3701 ADA Accessible (208) 782-2410 (208) 782-3800 (208) 234-2001 (208) 782-3800 -Bingham Memorial Hospital (208) 785-2220 -Bingham Memorial Hospital (208) 782-2410 -Bingham Memorial Hospital (208) 782-3800 (208) 785-2220 (208) 782-3800 (208) 782-2410 (208) 782-3700 (208) 782-3800 (208) 785-2220 (208) 782-2410 (208) 785-2220 (208) 785-3900 (208) 785-3800 (208) 785-3900 (208) 785-3800 -Bingham Memorial Hospital (208) 785-2220 -Bingham Memorial Hospital (208) 785-3900 -Bingham Memorial Hospital (208) 782-2410 -Bingham Memorial Hospital (208) 785-2220 (208) 785-3900 (208) 782-2267 (208) 234-2001 -Portneuf Medical Center (208) 234-2001 (208) 782-3800 (208) 782-3993 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 89

Fields, Gail E DO Fields, Gail E DO Hansen, Stephen M., Spinal Cord Injury Hansen, Stephen M., Spinal Cord Injury Lee, Robert Jensen MD Peterson, David John DO Peterson, David John DO Peterson, David John DO Peterson, David John DO Selznick, Hugh S Otolaryngology Donaldson, David R MD Otolaryngology McGee, Kraig C Otolaryngology McGee, Kraig C Otolaryngology Pain Management Manjunath, Prashanth S MD Pain Management, Anesthesiology Wagner, Jared Paul MD Pain Management, Anesthesiology Wagner, Jared Paul MD Pain Management, Anesthesiology Pathology Garrison, Charles O Pathology McGee, Kristopher Adamson MD Pathology Patel, Roshan S. MD Pathology Pediatrics Julian, Christie A Pediatrics Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Barnes, Trevor G PT Hawker, Brandon Scott PT Hurst, Ryan B PT Hyde, Jason R Nichols, Deidra R PT Wheelwright, Dale C 53 Poplar Blackfoot, ID 83221 98 Poplar St Blackfoot, ID 83221 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1443 Parkway Dr Ste 1 Blackfoot, ID 83221-1637 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1441 Parkway Dr Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 326 Poplar St Blackfoot, ID 83221 1350 Parkway Dr Blackfoot, ID 83221-1657 1250 W Bridge St Ste F Blackfoot, ID 83221-5095 285 W Francis St Blackfoot, ID 83221-1751 285 W Francis St Blackfoot, ID 83221-1751 725 Jensen Grove Dr Ste 4 Blackfoot, ID 83221-1636 1441 Parkway Dr Blackfoot, ID 83221-1667 7 N 600 W Blackfoot, ID 83221-5533 (208) 785-2220 -Bingham Memorial Hospital -Idaho Doctors Hospital (208) 782-2999 -Bingham Memorial Hospital -Idaho Doctors Hospital (208) 782-3800 Languages: FRENCH, HAITIAN CREOLE (208) 785-2220 Languages: FRENCH, HAITIAN CREOLE (208) 785-1044 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 782-3800 (208) 785-2220 (208) 782-2999 (208) 782-2410 (208) 782-3800 (208) 785-2220 -Bingham Memorial Hospital -Portneuf Medical Center (208) 782-3800 (208) 785-2220 (208) 782-3701 ADA Accessible (208) 785-2220 (208) 782-3701 ADA Accessible (208) 785-2220 (208) 785-2220 (208) 782-2475 (208) 785-2600 (208) 785-2220 (208) 782-2444 (208) 782-2410 (208) 785-8018 (208) 785-0123 (208) 785-0123 (208) 785-3462 Languages: PORTUGUESE (208) 785-3446 (208) 782-2267 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 90

Cooper, Stacy Ann PA Cooper, Stacy Ann PA Dixon, Annie M PA Hatch, Angela G Heier, Julie Marie McGee, Julia R PA McGee, Julia R PA McKay, Lance Winfield PA McKay, Lance Winfield PA McKay, Lance Winfield PA McKay, Lance Winfield PA Miller, Natalie Marie PA Porter, Ryan PA Porter, Ryan PA Robinson, Jennifer Lynn PA Plastic & Reconstructive Surgery Martin, II, Garry Michael MD Plastic & Reconstructive Surgery, Surgery, Hand Plastic Surgery Maloff, Stephen M MD Plastic Surgery, Surgery, Hand Podiatry Gambles, Darin G Podiatry Howard, Karson MD Podiatry Howard, Kert W DPM Podiatry Robinson, Dan E. DPM Podiatry Psychiatry Palmer, Kelly P. DO Psychiatry Psychiatry, Child/Adolescent Denny, Craig J. MD Psychiatry, Child/Adolescent Psychology Whitley, II, Donald M PY Psychology Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Hansen, David V MD Harker, Christopher O 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 1441 Parkway Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221 1350 Parkway Dr Blackfoot, ID 83221-1657 1441 Parkway Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 1350 Parkway Dr Blackfoot, ID 83221-1657 1441 Parkway Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1495 Parkway Dr Ste B Blackfoot, ID 83221-1639 1441 Parkway Blackfoot, ID 83221-1667 1441 Parkway Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 725 Jensen Grove Dr Blackfoot, ID 83221-1636 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 (208) 782-3800 (208) 782-2410 (208) 782-3800 (208) 234-2001 (208) 782-2495 (208) 785-2220 (208) 782-2930 (208) 782-3800 (208) 785-2220 (208) 782-2999 (208) 782-2410 (208) 234-2001 (208) 782-3800 (208) 782-2410 (208) 234-2001 (208) 782-3800 -Bingham Memorial Hospital (208) 782-3800 (208) 785-2555 (208) 785-0512 -Mountain View Hospital LLC -Portneuf Medical Center (208) 785-0512 (208) 785-3800 (208) 785-7832 (208) 782-3800 -Eastern Idaho Regional Medical Center (208) 782-2991 -Bingham Memorial Hospital (208) 785-2600 -Bingham Memorial Hospital -Portneuf Medical Center (208) 785-2600 (208) 785-2600 (208) 785-2600 (208) 785-2600 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 91

Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Shelley, David J,, Interventional Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO, Interventional Whiting, John MD, Interventional,, Nuclear Cardinal, DJ Marc MD, Nuclear, Bilstrom, Jodyne LSW Bilstrom, Jodyne LSW Bilstrom, Jodyne LSW Bilstrom, Jodyne LSW Douglas, Benjamin Thomas LSW, LSW Douglas, Benjamin Thomas LSW, LSW Douglas, Benjamin Thomas LSW, LSW Stephenson, John D LMHC, LSW Speech Language Pathology Gearhart, Carisa A Speech Language Pathology Urology Jones, Peter J MD Urology Sisul, David M MD Urology Sisul, David M MD Urology Sule, J David MD Urology Sule, J David MD Urology Zobell, Richard L MD Urology Boise Licensed Acupuncturist 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 1441 Parkway Dr Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221 326 Poplar St Blackfoot, ID 83221 1350 Parkway Dr Blackfoot, ID 83221-1657 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 326 Poplar St Blackfoot, ID 83221 1309 Camas Blackfoot, ID 83221 7 N 600 W Blackfoot, ID 83221-5533 1441 Parkway Blackfoot, ID 83221-1667 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221-1758 98 Poplar St Blackfoot, ID 83221 (208) 785-2600 (208) 785-2600 (208) 785-2600 (208) 785-2600 -Mountain View Hospital LLC (208) 782-3800 (208) 785-2600 (208) 785-2600 (208) 785-2600 (208) 785-2600 (208) 785-2600 -Mountain View Hospital LLC (208) 785-2600 (208) 785-2600 -Bingham Memorial Hospital -Portneuf Medical Center (208) 782-3800 (208) 785-4100 (208) 785-2220 (208) 782-2999 (208) 782-2444 (208) 782-2410 (208) 782-3800 (208) 785-2220 (208) 782-2444 (208) 782-0675 Not accepting new patients (208) 782-2267 (208) 234-2001 -Portneuf Medical Center (208) 782-3800 -Bingham Memorial Hospital -CHI St Alexius Health Williston (208) 785-2220 -Bingham Memorial Hospital -CHI St Alexius Health Williston (208) 782-3800 (208) 785-2220 (208) 782-2999 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 92

Zhang, Shiyan LAC Acupuncture Allergy & Immunology Callanan, Joseph J MD Allergy & Immunology Jeppson, John D Allergy & Immunology Keiley, Michael V Allergy & Immunology Palmer, George W Allergy & Immunology Talreja, Neetu MD Allergy & Immunology Anesthesiology Baillie, Jon-Eric MD Anesthesiology Evans, John L. NPRA, RNAD Anesthesiology Evans, John L. NPRA, RNAD Anesthesiology Evans, Linda M NPRA, RN Anesthesiology McGarry, Sean Anesthesiology McGarry, Sean Anesthesiology Mortensen, Joseph Anesthesiology Smagula, Carl M. Anesthesiology Smagula, Carl M. Anesthesiology Wilding, Victoria C Anesthesiology, Pain Management Wilding, Victoria C Anesthesiology, Pain Management Audiology Adams, Shalise CA Audiology Cheshire, Spencer L CA Audiology Elcox, Jacquie A CA Audiology Lifferth, Spencer K CA Audiology Olsen, Cynthia K Audiology Redmond, Paul C Audiology Stoker, Brek D CA Audiology Strickland, Tosha K Audiology Whitcomb, Curtis J CA Audiology Workman, Cory D Audiology Behavioral/Mental Health Karcher, Emily Behavioral/Mental Health McConaughey, Karen S. Behavioral/Mental Health Cardiac Electrophysiology Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease 2425 N Milwaukee St Boise, ID 83704-5736 1000 N Curtis Rd Ste 303 Boise, ID 83706 901 N Curtis Rd Ste 100 Boise, ID 83706-1339 901 N Curtis Rd Ste 100 Boise, ID 83706-1339 901 N Curtis Rd Ste 100 Boise, ID 83706-1339 1000 N Curtis Rd Ste 303 Boise, ID 83706 9110 W Barnes Dr Boise, ID 83709-1552 727 E Riverpark Ln River Run Surgery Center Boise, ID 83709 360 E Mallard Dr Ste 125 Boise, ID 83706-3941 727 E Riverpark Ln River Run Surgery Center Boise, ID 83709 Boise, ID 83706-1309 900 N Liberty St Ste 450 Boise, ID 83704-8891 Boise, ID 83706-1309 Boise, ID 83706-1309 900 N Liberty St Ste 450 Boise, ID 83704-8891 6th Fl Boise, ID 83706-1309 Boise, ID 83706 900 N Liberty St Ste 400 Boise, ID 83704-8707 900 N Liberty St Ste 400 Boise, ID 83704-8707 1084 N Cole Rd Boise, ID 83704-8642 1740 N Milwaukee St Ste A Boise, ID 83704-7191 1740 N Milwaukee St Ste A Boise, ID 83704-7191 1084 N Cole Rd Boise, ID 83704-8642 13176 W Persimmon Ln Ste 120 Boise, ID 83713-5027 10112 W Overland Rd Boise, ID 83709-1428 1084 N Cole Rd Boise, ID 83704-8642 900 N Liberty St Ste 400 Boise, ID 83704-8707 6003 W Overland Rd Ste 301 Boise, ID 83709-3077 6003 W Overland Rd Ste 101 Boise, ID 83709-3075 Boise, ID 83706-1309 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 (208) 373-5888 Not accepting new patients (208) 377-4000 -St Alphonsus Regional Medical Center Inc (208) 378-0800 (208) 378-0800 (208) 378-0800 (208) 377-4000 -St Alphonsus Regional Medical Center Inc (952) 261-3608 (866) 732-8800 (208) 336-8700 (2) 085-2520x9019 (208) 367-6416 (208) 367-7431 (208) 367-6416 (208) 367-6416 (208) 367-7431 (208) 367-4306 -St Alphonsus Regional Medical Center Inc (208) 367-4343 -St Alphonsus Regional Medical Center Inc (208) 367-3320 (208) 367-3320 (208) 377-0019 (208) 658-0238 (208) 658-0238 (208) 377-0019 (208) 376-7591 (208) 375-4327 (208) 377-0019 (208) 367-3320 (208) 672-8699 (208) 321-1212 (208) 367-3722 (208) 302-0000 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 93

Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease Vloka, Margo E MD Cardiac Electrophysiology, Cardiovascular Disease Cardiovascular Disease Anderson, Jennifer S MD Cardiovascular Disease Fonken, Steven J Cardiovascular Disease, Interventional Cardiology Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Johnson, Alex C Cardiovascular Disease Malasky, Beth Cardiovascular Disease, Parent, Mark G Cardiovascular Disease, Interventional Cardiology Rich, Michael E Cardiovascular Disease, Seale, Walter L MD Cardiovascular Disease, Cardiac Electrophysiology Sim, David N Cardiovascular Disease Wetherley, Graham K Cardiovascular Disease Writer, Steven L Cardiovascular Disease, Interventional Cardiology Cert Registered Nurse Anesthetist (CRNA) Allen, David S CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Allen, David S CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Allen, David S CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Allen, David S CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Anderson, Nancy L CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Bogsrud, Theodore W. CRNA Cert Registered Nurse Anesthetist (CRNA) Burman, Kevin P Cert Registered Nurse Anesthetist (CRNA) Elsemore, Thomas S. Cert Registered Nurse Anesthetist (CRNA) Gray, Walter S Cert Registered Nurse Anesthetist (CRNA) 1070 N Curtis Rd Ste 125 Boise, ID 83706-1249 6140 W Curtisian Ave Ste 300 Boise, ID 83704 6140 W Curtisian Ave Ste 300 Boise, ID 83704 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 1070 N Curtis Rd Ste 125 Boise, ID 83706-1249 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 900 N Liberty St Ste 302 Boise, ID 83704-8729 6014 W Emerald St Boise, ID 83704-8855 900 N Liberty St Ste 302 Boise, ID 83704-8729 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 220 W Jefferson St Boise, ID 83702-6044 111 W Main St Ste 100 Boise, ID 83702-7307 6077 N Eagle Rd Boise, ID 83713-0997 5680 W Gage St Ste B Boise, ID 83706-1326 2822 S Vista Ave Boise, ID 83705-4159 220 W Jefferson St Boise, ID 83702-6044 333 N 1st St Ste 240 Boise, ID 83702-6132 403 S 11th St Ste 320 Boise, ID 83702-6968 403 S 11th St Ste 300 Boise, ID 83702-6968 727 E Riverpark Ln Boise, ID 83706-4069 727 E Riverpark Ln Ste 200 Boise, ID 83706-4097 1529 S Timesquare Ln Ste 100 Boise, ID 83709-8204 305 W Idaho St Boise, ID 83702-6040 222 N 2nd St Boise, ID 83702-6109 6700 N Eagle Rd Boise, ID 83713 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 6302 N Talcrest Pl Boise, ID 83713-1207 (208) 377-1415 (208) 302-0000 (208) 302-0000 -St Alphonsus Regional Medical Center Inc (208) 302-0000 (208) 302-0000 (208) 302-0000 -Bonner General Hospital (208) 377-1415 -Bonner General Hospital (208) 302-0000 (208) 302-0000 (208) 302-0000 (208) 302-0000 -St Alphonsus Regional Medical Center Inc (208) 888-4600 (208) 376-8666 (208) 322-1686 (208) 302-0000 (208) 343-3802 -Blue Mountain Hospital (208) 342-5900 -Blue Mountain Hospital (208) 939-9000 -Blue Mountain Hospital (208) 377-3937 -Blue Mountain Hospital (208) 385-7576 (208) 343-3802 -Eagle Eye Surgery & Laser Center (208) 338-8900 -Eagle Eye Surgery & Laser Center (208) 375-0191 -Eagle Eye Surgery & Laser Center (208) 344-9115 -Eagle Eye Surgery & Laser Center (866) 732-8800 -Eagle Eye Surgery & Laser Center (208) 433-9300 -Eagle Eye Surgery & Laser Center (208) 343-1981 -Eagle Eye Surgery & Laser Center (208) 343-7271 -Eagle Eye Surgery & Laser Center (208) 342-2516 -Eagle Eye Surgery & Laser Center (208) 939-9000 -Eagle Eye Surgery & Laser Center (208) 385-7576 (208) 385-7576 -Providence Centralia Hosp (208) 385-7576 (208) 939-3255 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 94

Hare, Karl W ARNP Cert Registered Nurse Anesthetist (CRNA) Parent, Cynthia M Cert Registered Nurse Anesthetist (CRNA) Taylor, Susan G. Cert Registered Nurse Anesthetist (CRNA) Varga, Jeffrey Cert Registered Nurse Anesthetist (CRNA) Varga, Jeffrey Cert Registered Nurse Anesthetist (CRNA) Washington, Arlissa M Cert Registered Nurse Anesthetist (CRNA) Whaley, Christopher M. Cert Registered Nurse Anesthetist (CRNA) Zinke, Donald A RN Cert Registered Nurse Anesthetist (CRNA) Certified Nutritionist/Registered Diet Blanchet, Medina E Certified Nutritionist/Registered Diet Blanchet, Medina E Certified Nutritionist/Registered Diet Dammarell, Lynn M Certified Nutritionist/Registered Diet Dammarell, Lynn M Certified Nutritionist/Registered Diet Harris, Marlee Certified Nutritionist/Registered Diet Horrocks, Cindy K Certified Nutritionist/Registered Diet Kidder, Staci M Certified Nutritionist/Registered Diet Rae, Erin M Certified Nutritionist/Registered Diet Rich, Marjorie C Certified Nutritionist/Registered Diet Ruszel, Kelsey E Certified Nutritionist/Registered Diet Shanaberger, Shelby G Certified Nutritionist/Registered Diet Anderson, Carl R. DC Arnold, Matthew A. Bingham, Toby O. DC Crum, Eric R Edvalson, Noah Blue Ferch, Gregory E Fisher, Christopher DC Fisher, Michelle A Fletcher, Scott D Foster, Stoney R DC Gough, Ken Gray, Jon R Harvey, James R Harvey, Nichole Hickey, Thomas Dennis DC Hollingsworth, James E DC 2822 S Vista Ave Boise, ID 83705-4159 6302 N Talcrest Pl Boise, ID 83713-1207 2822 S Vista Ave Boise, ID 83705-4159 Boise, ID 83706-1309 900 N Liberty St Ste 450 Boise, ID 83704-8891 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 12747 N 11th Ave Boise, ID 83714-9334 6126 W State St Ste 208 Boise, ID 83703 1000 N Curtis Rd Ste 305 Boise, ID 83706-1347 Boise, ID 83706-1309 1529 Belmont St Boise, ID 83706 1000 N Curtis Rd Ste 305 Boise, ID 83706-1347 5418 N Eagle Rd Ste 120 Boise, ID 83713-0103 2200 E Warm Springs Ave Ste 106 Boise, ID 83712-8405 1000 N Curtis Rd Ste 305 Boise, ID 83706-1347 777 N Raymond St Boise, ID 83704-9251 300 E Bannock St Boise, ID 83712-6207 1505 S Five Mile Boise, ID 83709-1371 1542 S Timesquare Ln Boise, ID 83709-8264 1080 W Boise Ave Boise, ID 83706-3502 1390 S Maple Grove Rd Boise, ID 83709-1610 3271 N Milwaukee St Boise, ID 83704-4425 6624 Overland Rd Boise, ID 83709 7149 W Emerald St Boise, ID 83704 2300 S Orchard St Ste A Boise, ID 83705-6723 5246 N Eagle Rd Boise, ID 83713-0945 1675 N Maple Grove Rd Boise, ID 83704-6925 901 N Curtis Rd Ste 204 Boise, ID 83706 13238 W Persimmon Ln Ste 102 Boise, ID 83713-1968 1209 S Broadway Ave Boise, ID 83706-3701 1209 S Broadway Ave Boise, ID 83706-3701 376 S Latah St Boise, ID 83705-1539 10451 Garverdale Ct Ste 203 Boise, ID 83704 (208) 385-7576 (208) 939-3255 (208) 385-7576 (208) 367-6416 (208) 367-7431 (208) 385-7576 (208) 385-7576 (208) 385-7576 (208) 391-3353 (208) 391-3353 (208) 367-8879 (208) 367-6130 (208) 426-1459 (208) 367-8879 (208) 939-1500 (208) 331-7000 (208) 367-8879 (208) 367-6030 (208) 342-7400 (208) 377-0577 (208) 376-0660 (208) 388-1895 (208) 372-0100 (208) 629-5374 (208) 376-3802 (208) 955-6606 (208) 383-3703 (208) 939-3000 (208) 376-4940 (208) 367-3315 (208) 854-0600 (208) 342-9225 (208) 342-9225 (208) 338-9111 (208) 375-4415 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 95

Hood, Chad C DC Jellum, Lynne A Jones, Kjersten Jean Kidder, Andrew C Knowles III, John R. Kranz, James W, Acupuncture Kreusel, Kory L DC Laska, Nicole Lee, Soo, Acupuncture McCullough, Judit I DC McKim, Joshua K DC Norris, Troy D. Oakes, Darrell E Parge, Kirk DC, LAC, Acupuncture Pewe, Jeffrey Allen Pfaff, Brian Price, David N Rae, Brian J DC Ranck IV, Miles E Ricks, Jamie M DC Ricks, Jamie M DC Rosenberg, James Robert DC Sayer, Jaren L. Shaffer, Toby J Smith, Scott D DC Spainhower, Jerry T St Michel, Jillaine Dawn Thiry, John Thiry, Michael R Thiry, Robert Edward DC Thompson, L Erik Trapp, James B. Willis, Chad Willis, Nicole Willis, Nicole Clinical Nurse Specialist Hickerson, Joyce B NPRA, RN Clinical Nurse Specialist 3211 N Milwaukee St Boise, ID 83704-4446 5440 W Franklin Rd Ste 107 Boise, ID 83705-6433 2300 S Orchard St Ste A Boise, ID 83705-6723 5418 N Eagle Rd Ste 120 Boise, ID 83713-0103 8752 W Overland Rd Ste 110 Boise, ID 83709-1604 910 N Curtis Rd Boise, ID 83706-1308 5418 N Eagle Rd Ste 120 Boise, ID 83713-0103 2300 S Orchard St Ste A Boise, ID 83705-6723 5402 Overland Rd Boise, ID 83705 410 S Orchard St Ste 152 Boise, ID 83705-1210 7149 W Emerald St Boise, ID 83704 6013 Overland Ste 101 Boise, ID 83709 3183 N Cole Rd Boise, ID 83704-5921 6003 W Overland Rd Ste L101 Boise, ID 83709-3074 1305 S Five Mile Rd Boise, ID 83709-1306 901 N Curtis Rd Ste 204 Boise, ID 83706 9508 Fairview Ave Boise, ID 83704 2200 E Warm Springs Ave Ste 106 Boise, ID 83712-8405 6720 W Overland Rd Boise, ID 83709-2032 2031 E Hospitality Ln Ste 150 Boise, ID 83716-6603 3211 N Milwaukee St Boise, ID 83704-4446 1150 W State St Ste 220 Boise, ID 83702-5376 1100 N Cole Rd Boise, ID 83704-8644 1080 W Boise Ave Boise, ID 83706-3502 3211 N Milwaukee St Boise, ID 83704-4446 9217 W State St Boise, ID 83714-1737 5246 N Eagle Rd Boise, ID 83713-0945 381 W Parkcenter Blvd Boise, ID 83706-3654 5804 W Emerald St Boise, ID 83704-8803 1319 W River St Boise, ID 83702-6857 2999 N Lakeharbor Ln Ste 201 Boise, ID 83703-6289 1819 W Holly St Boise, ID 83702 10451 Garverdale Ct Ste 201 Boise, ID 83704 10451 Garverdale Ct Ste 201 Boise, ID 83704 10451 Garverdale Ct Ste 201 Boise, ID 83704 740 E Warm Springs Ave Boise, ID 83712-6420 (208) 375-2225 (208) 336-7900 (208) 383-3703 (208) 939-1500 (208) 376-5555 (208) 377-3777 (208) 939-1500 (208) 383-3703 (208) 377-4514 (208) 340-2555 (208) 955-6606 (208) 344-4469 (208) 322-4555 (208) 772-6500 Languages: SPANISH (208) 327-0066 (208) 367-3315 (208) 323-1313 (208) 331-7000 (208) 323-1440 (208) 336-2225 (208) 375-2225 (208) 384-9070 (208) 375-3500 (208) 388-1895 (208) 375-2225 (208) 853-7221 (208) 939-3000 (208) 344-0000 (208) 375-0000 (208) 375-0007 (208) 853-2277 (208) 389-2225 (208) 322-4114 (208) 322-4114 (208) 322-4114 (208) 343-7797 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 96

Judd, Connie J NPRA Clinical Nurse Specialist Martsenyuk, Anna V Clinical Nurse Specialist Morgan, Teresa E Clinical Nurse Specialist Nelson, Sarah Clinical Nurse Specialist Osipchuk, Alla V Clinical Nurse Specialist Prinzing, Catherine Clinical Nurse Specialist Prinzing, Catherine Clinical Nurse Specialist Spencer, Jane K Clinical Nurse Specialist Dermatology Bender, Matthew Dermatology Blickenstaff, Richard D Dermatology Brooks, Naomi B Dermatology Cottingham, Teri J Dermatology Keller, Wade R Dermatology Mings, Steven M MD Dermatology Ririe, Marnie R MD Dermatology Stewart, James H Dermatology Angleton, Peter J MD Barnes, Randy L MD Binnion, Dianna L MD Boesiger, Brian M MD Burriesci, Mark A Calder, Jonathan E MD Campbell, Matthew B Conklin, Matthew J MD Cornett, Benjamin L Davis, Robert L Dingman, Jeffrey Elliot, Eric T Ellison, Samantha M MD Epperson, John P Gibson, John M MD Hammerstedt, Heather S Harris, Tyler J MD Henzler, Mark A MD 300 S 23rd St Boise, ID 83702 633 N 4th St Boise, ID 83702-4510 Boise, ID 83706-1309 Boise, ID 83706-1309 633 N 4th St Boise, ID 83702-4510 Boise, ID 83706-1309 1000 N Curtis Rd Ste 305 Boise, ID 83706-1347 1072 N Liberty St Ste 300 Boise, ID 83706-8708 6052 W State St Boise, ID 83703-2739 6454 W Emerald St Boise, ID 83704-8734 7733 W Emerald St Boise, ID 83704-9020 999 N Curtis Rd Ste 505 Boise, ID 83706-1335 6051 N Eagle Rd Boise, ID 83713-0997 388 E Parkcenter Blvd Boise, ID 83706-3942 1070 N Curtis Rd Ste 150 Boise, ID 83706-1248 7733 W Emerald St Boise, ID 83704-9020 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 (208) 344-3512 (208) 342-9800 (208) 367-2121 (208) 367-2121 (208) 342-9800 (208) 367-2121 (208) 367-8879 (208) 367-2800 (208) 344-7799 (208) 377-0820 -St Alphonsus Regional Medical Center Inc (208) 939-4599 (208) 327-9521 (208) 939-6227 (208) 424-9101 (208) 258-2078 (208) 939-4599 -St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 97

Huang, Po Y MD Judd, Matthew T Kim, David T MD Kitamura, Brian C Korinek, Justin D Kraska, Eric MD Lawler, Christopher T MD,, Sports Medicine Lawler, Christopher T MD,, Sports Medicine Lee, Darin J Madsen, Julie M. Mercy, Michael R. MD Miller, Jonathan D MD Morris, Chalmer Morris, C Luke Nelson, Andrew C Peterson, Kari Quinn, Jason M MD Reynolds, Brian Reynolds, Charles M Riss, David DO Rosenquist, Janet A. MD Saak, Kristen H MD Sanderson, Thomas Walter MD Southard, Andrew Stillwagon, Nathan Tobe, Christopher E MD Wasielewski, Jessica N MD Wilding, Brandon J MD Wilhelmsen, Jason Wyatt, Christopher C Endocrinology Christensen, Richard B MD Endocrinology Foote, Julie A MD Endocrinology Roosevelt, Theodore S MD Endocrinology Stanciu, Irinel N Endocrinology Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 703 S Americana Blvd Ste 120 Boise, ID 83702-6754 Boise, ID 83709 7301 W Emerald St Ste 102 Boise, ID 83704-8689 2312 N Cole Ste B Boise, ID 83704 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 2312 N Cole Ste B Boise, ID 83704 Boise, ID 83709 6651 W Franklin Rd Boise, ID 83709-0914 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 Boise, ID 83709 403 S 11th St Ste 100 Boise, ID 83702-6968 900 N Liberty St Ste 201 Boise, ID 83704-8707 9196 W Emerald St Ste 160 Boise, ID 83704-8045 403 S 11th St Ste 100 Boise, ID 83702-6968 -St Alphonsus Regional Medical Center Inc (208) 323-2600 (208) 321-8600 -St Alphonsus Regional Medical Center Inc (208) 947-5390 (208) 429-0300 (208) 367-6740 (208) 389-2213 (208) 429-0300 Not accepting new patients Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 98

Stanciu, Irinel N Endocrinology Allen, Suzanne M MD Allen, Suzanne M MD Allen, Suzanne M MD Alviso, Marvin A Alviso, Marvin A Alviso, Marvin A Bailey, Justin Ballance, David A MD Barinaga, Mary E Belzer, Bruce Biggerstaff, Jennifer Burgess, Anne P MD Burgess, Anne P MD Burgess, Anne P MD Cadwallader, Kara L MD Cadwallader, Kara L MD Cadwallader, Kara L MD Cadwallader, Kara L MD Cadwallader, Kara L MD Cadwallader, Kara L MD Chasin, Judith Clinger, Mark B MD Clinger, Mark B MD Cook, Jennifer L Culpepper, Scott A MD Cyprus, Idalyn G MD, Urgent Care Davids, Abby R MD Davis, Ashley A MD DeBlieck, Timothy M MD DeBlieck, Timothy M MD DeBlieck, Timothy M MD DeBlieck, Timothy M MD Deutsch, Kirsten M MD Devitt, Angeline G MD 403 S 11th St Ste 100 Boise, ID 83702-6968 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 777 N Raymond St Boise, ID 83704-9251 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 6094 W Emerald St Boise, ID 83704-8855 6094 W Emerald St Boise, ID 83704-8855 1075 N Curtis Rd Ste 100 Boise, ID 83706-1348 6094 W Emerald St Boise, ID 83704-8855 6052 W State St Boise, ID 83703-2739 1880 W Judith Ln Boise, ID 83705-3119 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 10255 W Overland Rd Boise, ID 83709-1430 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 777 N Raymond St Boise, ID 83704-9251 1109 Main Street Suite 500 Boise, ID 83702 1109 Main St Ste 500 Boise, ID 83702 3668 N Harbor Ln Boise, ID 83703 1520 W State St Ste 100 Boise, ID 83702-4084 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 6094 W Emerald St Boise, ID 83704-8855 10583 W Lake Hazel Rd Boise, ID 83709 1520 W State St Ste 100 Boise, ID 83702-4084 6094 W Emerald St Boise, ID 83704-8855 222 N 2nd St Ste 204 Boise, ID 83702-6130 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 777 N Raymond St Boise, ID 83704-9251 6094 W Emerald St Boise, ID 83704-8855 3301 N Sawgrass Way Boise, ID 83704-4493 2141 E Parkcenter Blvd Boise, ID 83706-6701 (208) 429-0300 (208) 367-6030 (208) 367-6030 (208) 367-6030 (208) 514-2500 (208) 367-6030 (208) 514-2500 (208) 514-2500 (208) 377-5166 (208) 514-2500 (208) 344-7799 (208) 302-5200 Not accepting new patients (208) 367-6030 (208) 367-6030 (208) 302-5600 (208) 367-6030 (208) 367-6030 (208) 367-6030 (800) 230-7526 (800) 230-7526 (208) 376-9300 ADA Accessible (208) 947-7700 (208) 323-6273 (208) 884-2922 (208) 514-2500 (208) 302-5900 (208) 947-7700 (208) 514-2500 -St Alphonsus Regional Medical Center Inc (208) 429-9100 (208) 367-6030 (208) 367-6030 (208) 367-6030 (208) 514-2500 (208) 375-0862 (208) 302-5000 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 99

Dillion, April Dunay, Megan A MD Durham, Joshua DO Eck, John J MD Edwards, Jeffrey Karl Epperly, Ted D MD Epperly, Ted D MD Epperly, Ted D MD Epperly, Ted D MD Epperly, Ted D MD Erwin, Ann E Esplin, Andrea C Gee, David L MD Gendler, Julie L Gendler, Julie L Gendler, Julie L Gerrish, Sarah MD Glass, Justin A MD Hansen, Jeffrey A Hansen, Jeffrey A Hartman, Donald D MD Higginbotham, Ronald S DO Hlavinka, Jon L Hlavinka, Jon L Hollopeter, Sarah MD Hudon, Tyler W MD Hughes, Meghan Jackson, Derek D MD Johnson, Gregory W Johnson, Mark C MD Johnson, Mark A Johnson, Shae H DO Jones, Erik S DO Kaylor, Michael 300 W Myrtle St Ste 100 Boise, ID 83702-7690 777 N Raymond St Boise, ID 83704-9251 6533 W Emerald St Boise, ID 83704-8737 300 E Bannock St Boise, ID 83712-6207 777 N Raymond St Boise, ID 83704-9251 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 6094 W Emerald St Boise, ID 83704-8855 130 E Boise Ave Boise, ID 83706-4302 777 N Raymond St Boise, ID 83704-9251 203 W Main St Boise, ID 83702-7263 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 6094 W Emerald St Boise, ID 83704-8855 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 7685 W Emerald St Boise, ID 83704-9018 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1880 W Judith Ln Boise, ID 83705-3119 6052 W State St Boise, ID 83703-2739 300 S 23rd St Boise, ID 83702 777 N Raymond St Boise, ID 83704-9251 130 E Boise Ave Boise, ID 83706-4302 3301 N Sawgrass Way Boise, ID 83704-4493 1130 E Fairview Ave Boise, ID 83713 6533 W Emerald St Boise, ID 83704-8737 222 N 2nd St Ste 202 Boise, ID 83702-6130 9196 W Barnes Dr Boise, ID 83709-1552 (208) 472-9082 (208) 514-2500 -St Alphonsus Regional Medical Center Inc (208) 302-5100 Not accepting new patients (208) 342-7400 (208) 367-6030 (208) 367-6030 (208) 367-6030 (208) 367-6030 (208) 367-6030 (208) 514-2500 (208) 345-4066 (208) 367-6030 (208) 336-7722 -St Alphonsus Regional Medical Center Inc (208) 514-2500 (208) 367-6030 (208) 514-2500 (208) 367-6030 (208) 367-6030 (208) 323-6273 (208) 884-2922 (208) 345-1222 (208) 376-2522 (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 302-5200 Not accepting new patients -St Alphonsus Regional Medical Center Inc (208) 344-7799 -St Alphonsus Regional Medical Center Inc (208) 344-3512 (208) 367-6030 (208) 345-4066 (208) 375-0862 (208) 888-9393 (208) 302-5100 (208) 344-6080 (208) 433-0400 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 100

Kern, Lisa M MD King, Ashley J MD Kocemba, Russell M Kuntz, Kara M Kunz, Harold V MD Kunz, Harold V MD Lawler, Christopher T MD,, Sports Medicine Ludwig, Jason S Lyons, Julie A. Lyons, Julie A. Lyons, Julie A. MacDonald, Frank D MD Maier, Eric L MD Maier, Mike K MD Martin, David Anthony MD Martin, David Anthony MD McCoy, Justin A DO McCullough, Stephanie E Michaud, Mark Miller, Katherine E Mock, Dale L Moore, Harold G MD Moore, Ryan Moorhouse, Aaron D Mudge, Sandy L Mulder, Gertjan MD Nasser, Wajeeh E MD, Urgent Care Nelson, Aurelia W MD Nichols, Heather E MD Palmer, Todd R MD Palmer, Todd R MD 2141 E Parkcenter Blvd Boise, ID 83706-6701 1520 W State St Ste 100 Boise, ID 83702-4084 3301 N Sawgrass Way Boise, ID 83704-4493 777 N Raymond St Boise, ID 83704-9251 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 13150 W Persimmon Ln Boise, ID 83713-1986 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 6094 W Emerald St Boise, ID 83704-8855 6052 W State St Boise, ID 83703-2739 3301 N Sawgrass Way Boise, ID 83704-4493 3301 N Sawgrass Way Boise, ID 83704-4493 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 777 N Raymond St Boise, ID 83704-9251 777 N Raymond St Boise, ID 83704-9251 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 2141 E Parkcenter Blvd Boise, ID 83706-6701 10798 W Overland Rd Boise, ID 83709-1329 1880 W Judith Ln Boise, ID 83705-3119 11197 W Fairview Ave Boise, ID 83713-7935 13150 W Persimmon Ln Boise, ID 83713-1986 121 E Fort St Boise, ID 83712-6322 3301 N Sawgrass Way Boise, ID 83704-4493 1520 W State St Ste 100 Boise, ID 83702-4084 3301 N Sawgrass Way Boise, ID 83704-4493 121 E Fort St Boise, ID 83712-6322 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 (208) 302-5000 (208) 947-7700 (208) 375-0862 (208) 367-6030 -St Alphonsus Regional Medical Center Inc (208) 323-6273 Not accepting new patients -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 Not accepting new patients (208) 323-2600 (208) 938-3663 (208) 367-6030 (208) 367-6030 (208) 514-2500 (208) 344-7799 (208) 375-0862 (208) 375-0862 -Saint Alphonsus Medical Center Nampa Inc (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 367-6030 (208) 367-6030 -St Alphonsus Regional Medical Center Inc (208) 345-1222 (208) 302-5000 (208) 377-3368 Languages: SPANISH (208) 302-5200 (208) 378-8011 (208) 938-3663 -St Alphonsus Regional Medical Center Inc (208) 367-6030 -St Alphonsus Regional Medical Center Inc (208) 375-0862 (208) 947-7700 (208) 375-0862 (208) 367-6030 (208) 367-6030 (208) 367-6030 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 101

Palmer, Todd R MD Perko, Robert K MD Pogue, Bryan C MD Quinn, Heather E. Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Rich, Kevin T MD Rich, Kevin T MD Rich, Kevin T MD Richardson, Erik J MD Richardson, Erik J MD Ringo, Shelley, Sports Medicine Roscoe, James MD Roscoe, James MD Roscoe, James MD Roscoe, James MD Roscoe, James MD Roser, Louis A MD Ross, Daniel S MD Ross, Daniel S MD Ross, Daniel S MD Ross, Daniel S MD Rulon, Elizabeth A MD Rulon, Elizabeth A MD Rulon, Elizabeth A MD Rulon, Elizabeth A MD Rutherford, Mark A MD Sackman, Irv E MD Scheffel, Scot B MD, Sports Medicine 777 N Raymond St Boise, ID 83704-9251 12273 W McMillan Rd Boise, ID 83713-0555 10583 W Lake Hazel Rd Boise, ID 83709 1109 Main St Ste 500 Boise, ID 83702 6533 W Emerald St Boise, ID 83704-8737 6094 W Emerald St Ste 2 Boise, ID 83704-8855 12273 W McMillan Rd Boise, ID 83713-0555 900 N Liberty Ste 204 Boise, ID 83704 1880 W Judith Ln Boise, ID 83705-3119 6533 W Emerald St Boise, ID 83704-8737 471 E Baybrook Ct Boise, ID 83706-3900 1072 N Liberty St Ste 203 Boise, ID 83704-8708 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 777 N Raymond St Boise, ID 83704-9251 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 6052 W State St Boise, ID 83703-2739 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 6094 W Emerald St Boise, ID 83704-8855 1880 W Judith Ln Boise, ID 83705-3119 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 215 W 35th St Boise, ID 83714-6520 6094 W Emerald St Boise, ID 83704-8855 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 130 E Boise Ave Boise, ID 83706-4302 100 E Idaho St Ste 316 Boise, ID 83706 130 E Boise Ave Boise, ID 83706-4302 130 E Boise Ave Boise, ID 83706-4302 1188 University Dr Boise, ID 83706 (208) 367-6030 (208) 302-5500 (208) 302-5900 (800) 230-7526 (208) 302-5100 Not accepting new patients (208) 367-6575 (208) 302-5500 (208) 367-2229 (208) 302-5200 Not accepting new patients (208) 367-4179 Not accepting new patients (208) 367-4250 (208) 367-4321 (208) 367-6030 (208) 367-6030 (208) 367-6030 (208) 323-6273 -St Luke's Elmore Hospital (208) 884-2922 -St Luke's Elmore Hospital (208) 344-7799 (208) 367-6030 (208) 367-6030 (208) 367-6030 (208) 367-6030 (208) 514-2500 (208) 302-5200 Not accepting new patients Languages: SPANISH (208) 367-6030 -St Alphonsus Regional Medical Center Inc (208) 367-6030 -St Alphonsus Regional Medical Center Inc (208) 367-6030 -St Alphonsus Regional Medical Center Inc (208) 514-2500 -St Alphonsus Regional Medical Center Inc (208) 367-6030 (208) 367-6030 (208) 345-4066 (208) 381-7092 (208) 345-4066 (208) 345-4066 (208) 336-8250 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 102

Schmitz, David F Schmitz, David F Schmitz, David F Schwendiman, Scott N MD Serio, Vincent J Shappard, Scott A DO Shepherdson, Nikole Shepherdson, Nikole Shepherdson, Nikole Siegersma, Wendy M MD Siegersma, Wendy M MD Sindt, Cezanne E Stutzman, Kimberly R Stutzman, Kimberly R Stutzman, Kimberly R Thomas, George W Tirrell, Laura L. MD Tomlinson, Cynda L MD Tomlinson, Cynda L MD Tomlinson, Cynda L MD Tomlinson, Cynda L MD Tubbs, Gary Vania, Amber M DO Vania, Cyrus H DO Watts, Karl N MD Westbrook, Sharon Westbrook, Sharon Westbrook, Sharon Westbrook, Sharon Westbrook, Sharon Wilkinson, Kelly C MD Wilkinson, Kelly C MD, Sports Medicine Wilkinson, Kelly C MD, Sports Medicine Wilkinson, Kelly C MD, Sports Medicine 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 777 N Raymond St Boise, ID 83704-9251 6533 W Emerald St Boise, ID 83704-8737 1529 Belmont St Boise, ID 83706 10255 W Overland Rd Boise, ID 83709-1430 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 6094 W Emerald St Boise, ID 83704-8855 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 777 N Raymond St Boise, ID 83704-9251 1130 E Fairview Ave Boise, ID 83713 1880 W Judith Ln Boise, ID 83705-3119 900 N Liberty St Ste 100 Boise, ID 83704-8767 6094 W Emerald St Ste 2 Boise, ID 83704-8855 6140 W Curtisian Ave Ste 100 Boise, ID 83704-0109 900 N Liberty St Ste 204 Boise, ID 83704-8707 6023 N Eagle Rd Boise, ID 83713-0997 4971 W Overland Rd Boise, ID 83705 8971 W Overland Rd Boise, ID 83709-1651 10255 W Overland Rd Boise, ID 83709-1430 1130 E Fairview Ave Boise, ID 83713 8971 W Overland Rd Boise, ID 83709-1651 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 11197 W Fairview Ave Boise, ID 83713-7935 6052 W State St Boise, ID 83703-2739 777 N Raymond St Boise, ID 83704-9251 1130 E Fairview Ave Boise, ID 83713 8971 W Overland Rd Boise, ID 83709-1651 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 (208) 367-6030 (208) 367-6030 (208) 367-6030 (208) 302-5100 Not accepting new patients (208) 426-1459 (208) 302-5600 (208) 367-6030 (208) 367-6030 (208) 514-2500 (208) 323-6273 (208) 884-2922 (208) 302-5100 (208) 367-6030 (208) 367-6030 (208) 367-6030 (208) 888-9393 (208) 302-5200 (208) 367-2126 (208) 367-6575 (208) 367-4224 (208) 367-2229 (208) 322-7284 -St Alphonsus Regional Medical Center Inc -St. Luke Community Hospital (208) 472-5050 (208) 378-4288 (208) 302-5600 (208) 888-9393 (208) 378-4288 (208) 345-1222 (208) 378-8011 (208) 344-7799 (208) 514-2500 -St Alphonsus Regional Medical Center Inc (208) 888-9393 -St Alphonsus Regional Medical Center Inc (208) 378-4288 -St Alphonsus Regional Medical Center Inc (208) 345-1222 -St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 103

Wilkinson, Kelly C MD, Sports Medicine Wilkinson, Kelly C MD, Sports Medicine Wilkinson, Kelly C MD, Sports Medicine Wolfe, Rochelle S MD /OB Davidson, Elaine M. MD /OB Davidson, Elaine M. MD /OB Gastroenterology Cordum, Nic R MD Gastroenterology Evans, Ashley T MD Gastroenterology Gibson, Robert F MD Gastroenterology Gibson, Samuel S MD Gastroenterology Goulet, Christopher J MD Gastroenterology Jankowski, Meghan T Gastroenterology, Karasek, Veronika Gastroenterology Mallory, Mark A MD Gastroenterology Schutz, Stephen M MD Gastroenterology General Surgery Anderson, Bryan J General Surgery Barresi, Roberto V. MD General Surgery Bourquard, Renee A. MD General Surgery Chown, Mark S. MD General Surgery Giles, Jonathan V. MD General Surgery Green, Johnny B General Surgery, Colon & Rectal Surgery Heaton, Bren General Surgery Heaton, Bren General Surgery Henson, Scott A. MD General Surgery Mayberry, John C General Surgery, Surgical Critical Care Prier, Elizabeth M General Surgery Verner, Reese A. MD General Surgery Williams, Shauna T MD General Surgery Williams, Steven W MD General Surgery Williams, Steven W MD General Surgery Williams, Steven W MD General Surgery Gynecologic Oncology 11197 W Fairview Ave Boise, ID 83713-7935 6052 W State St Boise, ID 83703-2739 300 W Myrtle St Ste 100 Boise, ID 83702-7690 1529 Belmont St Boise, ID 83706 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 6259 W Emerald St Boise, ID 83704-8731 6259 W Emerald St Boise, ID 83704-8731 6259 W Emerald St Boise, ID 83704-8731 6259 W Emerald St Boise, ID 83704-8731 6259 W Emerald St Boise, ID 83704-8731 6259 W Emerald St Boise, ID 83704-8731 6259 W Emerald St Boise, ID 83704-8731 6259 W Emerald St Boise, ID 83704-8731 6259 W Emerald St Boise, ID 83704-8731 1072 N Liberty St Ste 201 Boise, ID 83704 1055 N Curtis Boise, ID 83706 1055 N Curtis Boise, ID 83706 1055 N Curtis Boise, ID 83706 1055 N Curtis Boise, ID 83706 1072 N Liberty St Ste 201 Boise, ID 83704 900 N Liberty Ste 204 Boise, ID 83704 6140 W Curtisian Ave Ste 100 Boise, ID 83704 1055 N Curtis Boise, ID 83706 999 N Curtis Rd Ste 415 Boise, ID 83706 900 N Liberty St Ste 101 Boise, ID 83704 1055 N Curtis Boise, ID 83706 1072 N Liberty St Ste 201 Boise, ID 83704 900 N Liberty Ste 204 Boise, ID 83704 7272 W Potomac Dr Boise, ID 83704-9149 6140 W Curtisian Ave Ste 100 Boise, ID 83704 (208) 378-8011 -St Alphonsus Regional Medical Center Inc (208) 344-7799 -St Alphonsus Regional Medical Center Inc (208) 472-9082 -St Alphonsus Regional Medical Center Inc (208) 426-1459 (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 489-1836 (208) 489-1836 (208) 489-1836 (208) 489-1836 (208) 489-1836 (208) 489-1836 -St Alphonsus Regional Medical Center Inc (208) 489-1836 (208) 489-1836 (208) 489-1836 (208) 377-2273 -St Alphonsus Regional Medical Center Inc (208) 472-8111 (208) 472-8111 (208) 472-8111 (208) 472-8111 (208) 377-2273 (208) 367-7090 (208) 367-7090 (208) 472-8111 (208) 367-7676 (208) 367-5050 (208) 472-8111 (208) 377-2273 (208) 367-7090 (208) 884-2922 (208) 367-7090 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 104

Connor, Gerard P MD Gynecologic Oncology Perez, Gerardo M. MD Gynecologic Oncology Hospitalist Axtell, Ricky J Hospitalist, Beeson, Donna L. DO Hospitalist, Edwards, William T MD Hospitalist Hayton, Derek D DO, Hospitalist Hayton, Derek D DO, Hospitalist Hoang, Van Ngoc Hospitalist, Hunt, Lisa M MD Hospitalist Krafft, Tanya S MD Hospitalist Matzinger, Carolyn Hospitalist Petersen, Robert L MD Hospitalist Wilson, Martha C, Hospitalist Infectious Disease Blue, Sky Infectious Disease, Blue, Sky Infectious Disease, Blue, Sky Infectious Disease, Blue, Sky Infectious Disease, Dau, Birgitt Infectious Disease Dau, Birgitt Infectious Disease Dau, Birgitt Infectious Disease Dau, Birgitt Infectious Disease, Wyatt, Casi M Infectious Disease Wyatt, Casi M Infectious Disease Wyatt, Casi M Infectious Disease Agnew, Ann C MD Ashby, Laurie J MD Blake, Alice P MD, Pediatrics Box, Lesleigh Anne Buersmeyer, Patricia M MD Buersmeyer, Patricia M MD Capriccione, Angelo M MD Coffman, Thomas, Infectious Disease Boise, ID 83706-1309 Boise, ID 83706-1309 3301 N Sawgrass Way Boise, ID 83704-4493 13960 W Wainwright Dr Boise, ID 83713-1969 Boise, ID 83706-1309 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 13960 W Wainwright Dr Boise, ID 83713-1969 Boise, ID 83706-1309 300 S 23rd St Boise, ID 83702 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 6094 W Emerald St Boise, ID 83704-8855 125 E Idaho St Ste 100 Boise, ID 83712-6202 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 6094 W Emerald St Boise, ID 83704-8855 125 E Idaho St Ste 100 Boise, ID 83712-6202 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 6094 W Emerald St Boise, ID 83704-8855 6651 W Franklin Rd Boise, ID 83709-0914 1520 W State St Ste 100 Boise, ID 83702-4084 222 N 2nd St Ste 304 Boise, ID 83702-6131 1880 W Judith Ln Boise, ID 83705-3119 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 6651 W Franklin Rd Boise, ID 83709-0914 6094 W Emerald St Boise, ID 83704-8855 (208) 367-5227 (208) 367-5227 (208) 375-0862 -Legacy Salmon Creek Hospital (208) 947-5390 (208) 367-6279 (208) 367-6030 -St Alphonsus Regional Medical Center Inc (208) 367-6279 -St Alphonsus Regional Medical Center Inc (208) 367-6279 -St Alphonsus Regional Medical Center Inc (208) 367-6279 (208) 367-6279 (208) 947-5390 (208) 367-6279 (208) 344-3512 (208) 367-6030 (208) 367-6030 (208) 514-2500 (208) 338-0148 (208) 514-2500 (208) 367-6030 (208) 514-2500 (208) 338-0148 (208) 514-2500 (208) 367-6030 (208) 514-2500 (208) 947-5390 -St Alphonsus Regional Medical Center Inc (208) 947-7700 (208) 342-7722 (208) 302-5200 (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 685-2400 Languages: ITALIAN, SPANISH (208) 514-2500 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 105

Coffman, Thomas, Infectious Disease Dee, Michael M Dee, Michael M Erland, Kerilynn Fazlani, Naveed A Ferguison, Kimberly D MD, Pediatrics Ferguison, Kimberly D MD, Pediatrics Fong, Wayland B MD Freeman, John C, Pediatrics Freeman, John C, Pediatrics Guicheteau, John E MD Hahn, Christine G MD, Infectious Disease Hamso, Magni MD Lee, David Lee, Paul Lee, Paul Lewis, Nicholas J MD, Pediatrics Lewis, Nicholas J MD, Pediatrics Mathews, Katherine A MD Mathews, Katherine A MD Oster, Sharon E MD, Infectious Disease Page, Randell Lee MD Qi, Huiling MD Roberts, Rick N MD Roberts, Rick N MD Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Stringam, Stanley Owen MD Stringam, Stanley Owen MD Swanson, Joel C MD Williams, Ryan J MD Interventional Cardiology Fonken, Steven J Cardiovascular Disease, Interventional Cardiology 125 E Idaho St Ste 100 Boise, ID 83712-6202 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 6023 N Eagle Rd Boise, ID 83713-0997 5966 Curtisian Ave Boise, ID 83704 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 808 S La Cassia Dr Boise, ID 83705-2253 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 6140 W Curtisian Ave Ste 300 Boise, ID 83704-0107 6094 W Emerald St Boise, ID 83704-8855 300 S 23rd St Boise, ID 83702 5966 Curtisian Ave Boise, ID 83704 12273 W McMillan Rd Boise, ID 83713-0555 6140 W Curtisian Ave Ste 300 Boise, ID 83704-0107 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 Boise, ID 83706-1309 5966 Curtisian Ave Boise, ID 83704 403 S 11th St Ste 310 Boise, ID 83702-6968 8950 W Emerald St Ste 168 Boise, ID 83704-8296 13960 W Wainwright Dr Boise, ID 83713-1969 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 Boise, ID 83706-1309 Boise, ID 83706-1309 1070 N Curtis Rd Ste 125 Boise, ID 83706-1249 (208) 338-0148 (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 939-9090 (208) 302-5400 (208) 323-6273 (208) 884-2922 (208) 343-6495 (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 367-6575 (208) 514-2500 (208) 344-3512 (208) 302-5400 (208) 302-5500 (208) 367-6575 (208) 323-6273 (208) 884-2922 (208) 367-6279 Not accepting new patients (208) 302-5400 Not accepting new patients (208) 344-2928 (208) 463-3008 -Saint Alphonsus Medical Center Nampa Inc (208) 947-5390 -Southwest Idaho Advanced Care Hospital (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 367-6279 (208) 367-6279 (208) 377-1415 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 106

Johnson, Alex C Cardiovascular Disease, Interventional Cardiology Kapadia, Carl B Interventional Cardiology, Cardiovascular Disease Parent, Mark G Cardiovascular Disease, Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology Adams, Jessica D Akina, Ashley Mary LMHC Arendt, Kelly M Atkinson, Jacob M Baker, Jane D Barnhill, Diane LMHC Barowsky, Denae Beauclaire, Tori LMHC Belanger, Helene LMHC Birchmore Riss, Sarah Elizabeth LMHC Borreson, Marlys A Boise, ID 83706-1309 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 Boise, ID 83706-1309 Boise, ID 83706-1309 740 E Warm Springs Ave Boise, ID 83712-6420 10112 W Overland Rd Boise, ID 83709 600 E Riverpark Ln Ste 200 Boise, ID 83706-6562 1276 W River St Ste 100 Boise, ID 83702-7083 Boise, ID 83706-1309 2309 N Mountain View Dr Ste 185 Boise, ID 83706-1071 3350 W Americana Ter Ste 215 Boise, ID 83706-2545 740 E Warm Springs Ave Boise, ID 83712-6420 1524 W Hays St Ste 201 Boise, ID 83702-4035 1412 W Washington St Boise, ID 83702-5038 1074 E Krall St Boise, ID 83712 Brown, Paula 6817 W Platinum Dr, Marriage & Family Boise, ID 83704-4649 Counselor Burton, Suzanne CMFC Cady, Rebecca Clubb, Shane LMHC Curtis, Charlene Caryl RC Daniel, Diane Elderkin, Anita R Finley, Gretchen R Haase, Travis Hamilton, Hannah L LMHC Harris, Michele LMHC Harris, Michele LMHC Harviel, Robin S LMHC Johnson, Elizabeth J Jones, Victoria R LMHC Journee, Britney Kalk, Leah D LMHC Keeton, Nancy E LMHC Kirsch, Kristine A LMHC Lane, Krista LMHC 5185 W Overland Rd Boise, ID 83705-2635 890 Cole Rd Ste B Boise, ID 83704 4948 W Kootenai St Ste 207 Boise, ID 83705-2082 7950 W King St Boise, ID 83704-7157 600 E Riverpark Ln Ste 200 Boise, ID 83706-6562 1276 W River St Ste 100 Boise, ID 83702-7083 1310 W Hays St Boise, ID 83702-5025 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 408 N Allumbaugh St Boise, ID 83704-9209 3724 N Buckingham Boise, ID 83704 14133 W Rochester Dr Boise, ID 83713-0731 740 E Warm Springs Ave Boise, ID 83712-6420 717 N 11st St Boise, ID 83702 408 N Allumbaugh St Boise, ID 83704-9209 408 N Allumbaugh St Boise, ID 83704-9209 890 Cole Rd Ste B Boise, ID 83704 10259 W Landmark Ct Boise, ID 83704-5483 3350 Americana Ter Ste 215 Boise, ID 83706-2545 1529 Belmont St Boise, ID 83706 (208) 367-3722 Not accepting new patients (208) 302-0000 -St Alphonsus Regional Medical Center Inc (208) 367-3722 (208) 367-3722 (208) 343-7797 (208) 780-3900 (208) 344-5457 (208) 338-4699 (208) 367-6238 (208) 602-8867 (208) 342-7030 (208) 343-7797 (208) 991-3171 (208) 220-2162 (208) 368-7800 (208) 761-4050 (208) 861-7124 (208) 322-1026 (208) 515-0584 (208) 342-2950 (208) 344-5457 (208) 338-4699 (208) 827-1782 (208) 323-1125 (208) 323-9600 (208) 602-6130 (208) 602-6130 (208) 343-7797 (208) 407-0688 (208) 323-9600 (208) 323-9600 (208) 322-1026 (208) 794-5349 (208) 830-8658 (208) 426-1459 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 107

Lipscomb, Ryan Looze, Jordan K LMHC Luque, Rosemary L Martin, David Allen RC Mauk, Susan P Mccoll, Jenny C McCullough, Sandra C LMHC Miller, Terry E Minkler, Brhe A LMHC Mondin, Frederick D LMFT Montgomery Hall, Kathryn LMHC Montgomery Hall, Kathryn LMHC Murphy, Susan Navarro, Anabel Nichols, Roxanne Nichols, Roxanne Niece, Matt R Noleen, Alisa J LMHC Orlovich, Amy S LMHC Phipps, Kate A LMHC Ramsey, Jacalyn Reagan, Leah F LMHC Rhuman, Laureen K LMHC Shockley, Laura S Stevens, Barbara A, Toms, Joseph E LMHC Toth, Dawn Kaelea LMHC Varner, Jennifer Lorena LMHC Ward, Ray A West, Karla J LMFT, LMHC Wilhelm, Ellyn K LMHC Wilson, Christine Wingfield, Andrew Wolfe, Gina Wood, Julia C LMHC Zarak, Jennifer E LMHC Zucco, Frances M LMHC 1880 W Judith Ln Boise, ID 83705-3119 4948 Kootenai St Ste 207 Boise, ID 83705 4172 N Creswell Way Boise, ID 83713-2403 7950 W King St Boise, ID 83704-7157 600 E Riverpark Ln Ste 200 Boise, ID 83706-6562 1414 W Franklin St Boise, ID 83702-5023 300 S 23rd St Boise, ID 83702 1529 S Timesquare Ln Ste 200 Boise, ID 83709-8257 740 E Warm Springs Ave Boise, ID 83712-6420 220 W State St Boise, ID 83702-6052 1502 W Franklin St Boise, ID 83702-4028 1414 W Franklin St Boise, ID 83702-5023 6140 W Emerald St Boise, ID 83704-8857 1276 W River St Ste 100 Boise, ID 83702-7083 6140 W Emerald St Boise, ID 83704-8857 100 Main St Ste 203 Boise, ID 83702 740 E Warm Springs Ave Boise, ID 83712-6420 5185 W Overland Rd Boise, ID 83705-2635 2577 S Five Mile Rd Boise, ID 83719 740 E Warm Springs Ave Boise, ID 83712-6420 2995 N Cole Rd Ste 200B Boise, ID 83704-5966 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 2577 S Five Mile Rd Boise, ID 83709-2325 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 315 N Allumbaugh St Boise, ID 83704-9208 300 S 23rd St Boise, ID 83702 7950 W King St Boise, ID 83704-7157 1001 N 27th St Boise, ID 83702-2202 1276 W River St Ste 100 Boise, ID 83702-7083 1529 Belmont St Boise, ID 83706 890 Cole Rd Ste B Boise, ID 83704 3318 N Cole Rd Boise, ID 83704-4403 1529 Belmont St Boise, ID 83706 740 E Warm Springs Ave Boise, ID 83712-6420 740 E Warm Springs Ave Boise, ID 83712-6420 2577 S Five Mile Rd Boise, ID 83709-2325 3350 W Americana Ter Way Ste 210 Boise, ID 83706-2546 (208) 302-5200 (208) 258-5902 (208) 863-1404 (208) 342-2950 (208) 344-5457 (208) 344-0687 (208) 344-3512 (208) 376-1532 (208) 343-7797 (208) 345-3099 (208) 850-9878 (208) 850-9878 (208) 367-3300 (208) 338-4699 (208) 367-3300 (208) 841-8109 (208) 343-7797 (208) 391-3168 (208) 968-7153 (208) 343-7797 (208) 376-8222 (208) 323-1125 (208) 908-6320 (208) 323-1125 (208) 376-3546 (208) 344-3512 (208) 342-2950 (208) 996-9432 ADA Accessible (208) 338-4699 (208) 426-1459 (208) 322-1026 (208) 375-2730 (208) 426-1459 (208) 343-7797 (208) 343-7797 (208) 871-0174 (808) 330-6294 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 108

Marriage & Family Counselor Danielson, Marci M LMFT Marriage & Family Counselor Humphrey, Marcy Lynn Marriage & Family Counselor Kasefang, Brittany Corinne LMFT Marriage & Family Counselor Preece, John Cameron (J Cameron) Marriage & Family Counselor Rogers, Sage K LMFT Marriage & Family Counselor Teed, David Anthony LMFT Marriage & Family Counselor Tefft, Coby J LMFT Marriage & Family Counselor Walker, Dena M LMFT Marriage & Family Counselor Maternal & Fetal Medicine Betoni, James S MD Maternal & Fetal Medicine Neonatal/Perinatal Medicine Berger, James I MD Neonatal/Perinatal Medicine Dajnowicz, Anthony M. Neonatal/Perinatal Medicine Lawrence, Stewart Neonatal/Perinatal Medicine Lawrence, Stewart Neonatal/Perinatal Medicine Messier-Gieri, Amber M MD Neonatal/Perinatal Medicine Messier-Gieri, Amber M MD Neonatal/Perinatal Medicine Oyafemi, Oluyemisi M MD Neonatal/Perinatal Medicine Nephrology Davidson, Robert L MD Nephrology Fearday, Aaron A MD Nephrology Haake, Robert J. Nephrology Hunt, Nicholas MD Nephrology Hunt, Nicholas MD Nephrology Keller, Christopher R MD Nephrology Kendrick, Elizabeth A Nephrology Langewisch, Eric Donald Nephrology Mallea, Michael MD Nephrology Mallea, Michael MD Nephrology Meng, Jerry MD Nephrology Narasimhan, Nagraj MD Nephrology Norman, Douglas J. Nephrology Pintar, Thomas Nephrology Silva, Arnold MD Nephrology 3350 W Americana Terrace Ste 215 Boise, ID 83706-2545 1276 W River St Ste 100 Boise, ID 83702-7083 2577 S Five Mile Rd Boise, ID 83709-2325 1423 W Franklin St Boise, ID 83702-5024 1407 N 13th St Boise, ID 83702-3531 1407 N 13th St Boise, ID 83702-3531 740 E Warm Springs Ave Boise, ID 83712-6420 7950 W King St Boise, ID 83704-7157 900 N Liberty St Ste 206 Boise, ID 83706-8729 6030 W Emerald St Boise, ID 83704-8855 6030 W Emerald St Boise, ID 83704-8855 6030 W Emerald St Boise, ID 83704-8855 Boise, ID 83706-1309 6030 W Emerald St Boise, ID 83704-8855 Boise, ID 83706-1309 Boise, ID 83706-1309 1109 W Myrtle St Ste 100 Boise, ID 83702 1109 W Myrtle St Ste 100 Boise, ID 83702 5610 W Gage St Ste A Boise, ID 83706-1332 5610 Gage St Ste A Boise, ID 83706-1332 5610 W Gage St Ste A Boise, ID 83706-1332 1109 W Myrtle St Ste 100 Boise, ID 83702 5610 W Gage St Ste A Boise, ID 83706-1332 5610 S Gage St Boise, ID 83706 5610 Gage St Ste A Boise, ID 83706-1332 5610 W Gage St Ste A Boise, ID 83706-1332 1109 W Myrtle St Ste 100 Boise, ID 83702 5610 Gage St Ste A Boise, ID 83706-1332 5610 S Gage St Boise, ID 83706 5610 W Gage St Ste A Boise, ID 83706-1332 1109 W Myrtle St Ste 100 Boise, ID 83702 (208) 342-7030 (208) 338-4699 (208) 901-2282 ADA Accessible (208) 323-1125 (208) 424-0468 (208) 424-3105 (208) 343-7797 (208) 342-2950 (208) 367-5544 (208) 376-7610 (208) 376-7610 (208) 376-7610 (208) 367-8063 (208) 367-8063 -St Alphonsus Regional Medical Center Inc (208) 367-8063 -St Alphonsus Regional Medical Center Inc (208) 367-8063 (208) 846-8335 (208) 846-8335 (208) 501-8955 (208) 367-3370 (208) 501-8955 (208) 846-8335 (208) 501-8955 Languages: SPANISH (208) 367-3370 (208) 367-3370 (208) 501-8955 (208) 846-8335 (208) 367-3370 (208) 367-3370 (208) 501-8955 (208) 846-8335 -St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 109

Wagnild, Jon P. MD Nephrology Neurological Surgery Andersen, Bruce J MD Neurological Surgery Cherny, Walter B MD Neurological Surgery Cherny, Walter B MD Neurological Surgery Cherny, Walter B MD Neurological Surgery Hajjar, Michael V MD Neurological Surgery Hajjar, Michael V MD Neurological Surgery Johans, Timothy J MD Neurological Surgery Little, Kenneth M MD Neurological Surgery Little, Kenneth M MD Neurological Surgery Lochhead, Richard A MD Neurological Surgery Manning, Thomas C MD Neurological Surgery Manning, Thomas C MD Neurological Surgery Manning, Thomas C MD Neurological Surgery Montalbano, Paul J MD Neurological Surgery Reedy, David P MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Neurology Clark, Lukas T MD Neurology Djernes, Michael R MD Neurology Djernes, Michael R MD Neurology Lyons, George R MD Neurology, Sleep Disorder Medicine Lyons, George R MD Neurology, Sleep Disorder Medicine Maxwell, Shane A DO Neurology Maxwell, Shane A DO Neurology Porth, Karen G MD Neurology Redshaw, James D MD Neurology Redshaw, James D MD Neurology River, Mary E MD Neurology River, Mary E MD Neurology 5610 Gage St Ste A Boise, ID 83706-1332 1072 N Liberty St Ste 303 Boise, ID 83706 6140 W Curtisian Ste 400 Boise, ID 83706 100 E Idaho Ste 202 Boise, ID 83712 100 E Idaho St Ste 200 Boise, ID 83712-6270 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 190 E Bannock St 10th Fl Boise, ID 83704 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 999 N Curtis Rd Ste 307 Boise, ID 83706-1333 6140 W Curtisian Ste 400 Boise, ID 83704 1075 N Curtis Rd Ste 102 Boise, ID 83706-1348 6th Fl Boise, ID 83706-1309 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 901 N Curtis Rd Ste 503 Boise, ID 83706-1343 Boise, ID 83706 1072 N Liberty St Ste 303 Boise, ID 83706 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1072 N Liberty St Ste 300 Boise, ID 83706-8708 1072 N Liberty St Ste 303 Boise, ID 83706 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1072 N Liberty St Ste 303 Boise, ID 83706 1072 N Liberty St Ste 300 Boise, ID 83706-8708 1072 N Liberty St Ste 303 Boise, ID 83706 1072 N Liberty St Ste 300 Boise, ID 83706-8708 1072 N Liberty St Ste 303 Boise, ID 83706 (208) 367-3370 (208) 302-4100 (208) 367-3500 (208) 381-7360 (208) 381-7360 (208) 367-3500 (208) 367-3500 (208) 367-3500 (208) 367-3500 (208) 381-5500 (208) 367-3500 (208) 367-3500 (208) 367-3500 (208) 367-3500 (208) 367-3500 (208) 367-7500 -St Alphonsus Regional Medical Center Inc (208) 367-3500 (208) 367-4000 (208) 367-3000 (208) 367-4000 (208) 367-4000 (208) 367-4000 (208) 302-4200 (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 367-2800 (208) 302-4200 (208) 323-6273 (208) 884-2922 (208) 302-4200 -St Alphonsus Regional Medical Center Inc (208) 367-2800 (208) 302-4200 (208) 367-2800 (208) 302-4200 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 110

Seeberger, Lauren C MD Neurology Swanson, Thomas H Neurology Whitesell, Jackie Neurology Whitesell, Jackie Neurology Nurse Midwife Certified/Licensed Ball, Joan E Nurse Midwife Certified/Licensed Cox, Sarah R Nurse Midwife Certified/Licensed Cox, Sarah R Nurse Midwife Certified/Licensed English-Burt, Amy E NPRA, RN Nurse Midwife Certified/Licensed Gomes, Kristin S CNM, RN Nurse Midwife Certified/Licensed Govreau, Rieneke D Nurse Midwife Certified/Licensed Horton, Frances M CNM, NPRA, RN Nurse Midwife Certified/Licensed Johnson, Joann M CNM Nurse Midwife Certified/Licensed Rhodes, Kristine CNM Nurse Midwife Certified/Licensed Widener, Margaret L CNM Nurse Midwife Certified/Licensed Widener, Margaret L CNM Nurse Midwife Certified/Licensed Araquistain, Mary K NPRA, RN Araquistain, Mary K NPRA, RN Asaro, Laura L ARNP, RN Bahadar, Denise R NPRA, RN Barnes, Keri J Bars, Ashleigh T NPRA, RN Boulton, Cynthia M ARNP, RN Boulton, Cynthia M ARNP, RN Boyer, Shannon C NPRA, RN Bullock, Bobbi NPRA Bullock, Bobbi NPRA Bullock, Bobbi NPRA Bullock, Bobbi NPRA Butterfield, Jessica Crill, Carey Deitchler, Lane ARNP Deitchler, Lane ARNP Dey, Patricia T DiRocco, Melissa NPRA 600 N Robbins Rd Boise, ID 83702-4565 901 N Curtis Rd Ste 101 Boise, ID 83706-1339 1072 N Liberty St Ste 300 Boise, ID 83706-8708 1072 N Liberty St Ste 303 Boise, ID 83706 4700 N Cloverdale Rd Ste 103 Boise, ID 83713-1067 121 E Fort St Boise, ID 83712-6322 215 W 35th St Boise, ID 83714-6520 1072 N Liberty St Ste 100 Boise, ID 83704-8708 900 N Liberty St Ste 204 Boise, ID 83704 1072 N Liberty St Ste 100 Boise, ID 83704-8708 1072 N Liberty St Ste 100 Boise, ID 83704-8708 1072 N Liberty St Ste 100 Boise, ID 83704-8708 333 N 1st St Ste 260 Boise, ID 83702-6132 900 N Liberty Ste 204 Boise, ID 83704 900 N Liberty St Ste 204 Boise, ID 83704-8707 1515 W State St Boise, ID 83702-4039 6533 W Emerald St Boise, ID 83704-8737 Boise, ID 83706-1309 2141 E Parkcenter Blvd Boise, ID 83706-6701 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 901 N Curtis Rd Ste 101 Boise, ID 83706-1339 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 1515 W State St Boise, ID 83702-4039 6533 W Emerald St Boise, ID 83704-8737 6140 W Curtisian Ave Ste 300 Boise, ID 83704-0107 6140 W Curtisian Ave Ste B10 Boise, ID 83704-8880 Boise, ID 83706-1309 131 N Allumbaugh St Boise, ID 83704-9204 6533 W Emerald St Boise, ID 83704-8737 3587 S Federal Way Boise, ID 83705 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 Boise, ID 83706-1309 (208) 489-4599 (208) 608-5825 -St Alphonsus Regional Medical Center Inc (208) 367-2800 (208) 302-4200 (208) 392-8383 (208) 367-6030 (208) 367-6030 (208) 367-1200 (208) 367-2161 -St Alphonsus Regional Medical Center Inc (208) 367-1200 (208) 302-1200 (208) 367-1200 (208) 345-3136 (208) 367-2229 (208) 367-2229 (208) 345-6768 (208) 302-5100 Not accepting new patients (208) 367-3131 (208) 302-5000 (208) 367-3500 (208) 608-5825 (208) 323-6273 (208) 884-2922 (208) 367-3500 (208) 345-6768 (208) 302-5100 (208) 367-6575 (208) 367-8333 (208) 367-3131 (208) 367-2175 (208) 302-5100 Not accepting new patients (208) 302-5300 (208) 302-0000 -St Alphonsus Regional Medical Center Inc (208) 367-6130 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 111

Domby, Kylee M NPRA Boise, ID 83706-1309 Duff, Robert H ARNP, RN 4971 W Overland Rd, / Boise, ID 83705 Eshelman, Charlotte G NPRA, PA, RN Eshelman, Charlotte G NPRA, PA, RN Farmer, James R NPRA, RN Fields, Pamela K NPRA, RN Furner, Beverlee K Haley, Amos O NPRA Harmony, Russell B Heidt, Tiffany C ARNP Heilman, Michael NPRA, RN Heilman, Michael NPRA, RN Herr, Jessica Marie Hilpert, Stephanie ARNP Hilpert, Stephanie ARNP Hilpert, Stephanie ARNP Hoffman, Christina Huffine, Cory ARNP, RN Huffine, Cory ARNP, RN Huffine, Esther S ARNP, RN Jeffress, Mary Jones, Robyn Jones, Robyn Jones, Robyn Keene, Hilary A NPRA, RN Khochay, Natalia Khochay, Natalia Khochay, Natalia Knutson, Heather N NPRA, RN Kreizenbeck, D'Nicole Lee, Valerie L NPRA Lee, Valerie L NPRA Lesso, Jennifer C L'Heureux, Nancy J 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1000 N Curtis Rd Ste 202 Boise, ID 83706-1346 6165 W Emerald St Boise, ID 83704 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 6165 W Emerald St Boise, ID 83704 6th Fl Boise, ID 83706-1309 900 N Liberty St Ste 201 Boise, ID 83704-8707 12273 W McMillan Rd Boise, ID 83713-0555 6165 W Emerald St Boise, ID 83704 1072 N Liberty St Ste 201 Boise, ID 83704 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 901 N Curtis Rd Ste 503 Boise, ID 83706-1343 Boise, ID 83706 4971 W Overland Rd Boise, ID 83705 9171 W State St Boise, ID 83714-1733 4850 N Rosepoint Way Ste 100 Boise, ID 83713-5262 1000 N Curtis Rd Ste 202 Boise, ID 83706-1346 1072 N Liberty St Ste 203 Boise, ID 83704-8708 1515 W State St Boise, ID 83702-4039 6533 W Emerald St Boise, ID 83704-8737 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 6140 W Curtisian Ave Ste B10 Boise, ID 83704-8880 6051 N Eagle Rd Boise, ID 83713-0997 1000 N Curtis Rd Ste 305 Boise, ID 83706-1347 5610 Gage St Ste A Boise, ID 83706-1332 Boise, ID 83706-1309 Boise, ID 83709 5966 Curtisian Ave Boise, ID 83704 (208) 367-6130 (208) 472-5050 (208) 323-6273 (208) 884-2922 (208) 377-3435 -St Alphonsus Regional Medical Center Inc (208) 377-0777 (208) 367-8333 (208) 377-0777 (208) 367-4306 (208) 367-6740 (208) 302-5500 -St Alphonsus Regional Medical Center Inc (208) 377-0777 -St Alphonsus Regional Medical Center Inc (208) 377-2273 -Tacoma General Allenmore Hospital (208) 367-4000 (208) 367-4000 (208) 367-7644 (208) 472-5050 (208) 853-2273 (208) 947-7246 (208) 377-3435 -St Alphonsus Regional Medical Center Inc (208) 367-4321 (208) 345-6768 (208) 302-5100 (208) 367-8333 (208) 367-7787 -St Alphonsus Regional Medical Center Inc (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 939-6227 (208) 367-8879 (208) 367-3370 -St Alphonsus Regional Medical Center Inc (208) 367-2121 -St Alphonsus Regional Medical Center Inc (208) 302-5400 -St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 112

Lynch, Chelsea M NPRA, RN Mclain, Margaret L NPRA Mclain, Margaret L NPRA Mclain, Margaret L NPRA McMullen, Susan Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morton, Laura A ARNP Nadolski, Nancy Nadolski, Nancy Nadolski, Nancy Neumayer, Jennifer Nordquist, Jennifer Nordquist, Jennifer Nordquist, Jennifer Peters, Heidi S NPRA Randall, Mary S Randall, Mary S Reiling, June Robbins, Travis Rogien, Frances Rogien, Frances Rye, Jared T Rye, Jared T Sears, Esther M ARNP, RN Sickel, Christopher W NPRA, RN Sjoberg, Christopher Sjoberg, Christopher Smith, Michael Spolar, Ranan G NPRA Suida, Jennifer ARNP 125 E Idaho St Ste 100 Boise, ID 83712-6202 1000 N Curtis Ste 305 Boise, ID 83706 Boise, ID 83706-1309 6140 W Curtisian Ave Ste 300 Boise, ID 83704 Boise, ID 83706-1309 161 E Mallard Dr Ste 130 Boise, ID 83706-5015 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 Boise, ID 83706-1309 6200 W Emerald St Boise, ID 83704 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 6140 W Curtisian Ave Ste B10 Boise, ID 83704-8880 901 N Curtis Rd Ste 100 Boise, ID 83706-1339 1515 W State St Boise, ID 83702-4039 6533 W Emerald St Boise, ID 83704-8737 Boise, ID 83706-1309 901 N Curtis Rd Ste 100 Boise, ID 83706-1339 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 1070 N Curtis Rd Ste 125 Boise, ID 83706-1249 6259 W Emerald St Boise, ID 83704-8731 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 6140 W Curtisian Ave Ste 300 Boise, ID 83704 Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 Boise, ID 83706-1309 5610 W Gage St Ste A Boise, ID 83706-1332 125 E Idaho St Ste 100 Boise, ID 83712-6202 Boise, ID 83706-1309 Boise, ID 83706-1309 (208) 338-0148 (208) 367-7800 (208) 367-6279 (208) 302-0000 (208) 367-2121 (208) 991-5201 (208) 367-7510 (208) 367-2161 (208) 367-2161 (208) 381-2055 (208) 367-4170 (208) 367-6030 (208) 302-0000 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 378-0800 (208) 345-6768 (208) 302-5100 (208) 367-6279 (208) 378-0800 (208) 302-0000 (208) 377-1415 (208) 489-1836 (208) 345-1222 (208) 302-0000 (208) 302-0000 (208) 367-6238 (208) 367-6130 (208) 367-3131 -St Alphonsus Regional Medical Center Inc (208) 367-8333 -St Alphonsus Regional Medical Center Inc (208) 367-2121 (208) 501-8955 (208) 338-0148 (208) 367-2121 (208) 367-3627 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 113

Svangstu, Deborah N NPRA, RN Thornton, Eli G NPRA Unterseher, Kristina L NPRA Walker, Craig A Weeks, Teresa A Weeks, Teresa A Weeks, Teresa A Young, Tracy M ARNP / Aitchison, Brittany L NPRA, RN / Bainbridge, Laura Joanne NPRA, NPRA, PTAS, RN / Barron, Gregory N ARNP, RN / Bethel, Tamara F NPRA / Bowen, Kathryn Louise ARNP, RN / Cross, Karen L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Crume, Geneva NPRA / Cureton, Jeremey S / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Devlin, Katherine L NPRA, RN / 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 8971 W Overland Rd Boise, ID 83709-1651 5610 Gage St Ste A Boise, ID 83706-1332 300 W Myrtle St Ste 100 Boise, ID 83702-7690 1075 N Curtis Rd Ste 102 Boise, ID 83706-1348 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 Boise, ID 83706 6259 W Emerald St Boise, ID 83704-8731 7685 W Emerald St Boise, ID 83704-9018 203 W Main St Boise, ID 83702-7263 13150 W Persimmon Ln Boise, ID 83713-1986 2308 N Cole Rd Ste H Boise, ID 83704-7361 13966 W Wainwright Dr Boise, ID 83713-1969 4700 N Cloverdale Rd Ste 103 Boise, ID 83713-1067 1130 E Fairview Ave Boise, ID 83713 8971 W Overland Rd Boise, ID 83709-1651 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 11197 W Fairview Ave Boise, ID 83713-7935 6052 W State St Boise, ID 83703-2739 300 W Myrtle St Ste 100 Boise, ID 83702-7690 1907 S Broadway Ste 101 Boise, ID 83706 300 W Myrtle St Boise, ID 83702-7690 4750 N Five Mile Rd Boise, ID 83713-2715 12273 W McMillan Rd Boise, ID 83713-0555 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1880 W Judith Ln Boise, ID 83705-3119 Duff, Robert H ARNP, RN 1130 E Fairview Ave, / Boise, ID 83713 Duff, Robert H ARNP, RN 8971 W Overland Rd, / Boise, ID 83709-1651 Duff, Robert H ARNP, RN 1907 S Broadway Ave Ste 101, / Boise, ID 83706-4229 Duff, Robert H ARNP, RN 11197 W Fairview Ave, / Boise, ID 83713-7935 Duff, Robert H ARNP, RN 6052 W State St, / Boise, ID 83703-2739 Duff, Robert H ARNP, RN 300 W Myrtle St Ste 100, / Boise, ID 83702-7690 Farmer, Josie F ARNP, RN / Franden, Julie J NPRA, NPRA, RN / 13150 W Persimmon Ln Boise, ID 83713-1986 13150 W Persimmon Ln Boise, ID 83713-1986 (208) 367-3500 (208) 378-4288 (208) 367-3370 (208) 472-9082 (208) 367-4000 (208) 367-4000 (208) 367-7644 (208) 489-1836 (208) 376-2522 (208) 336-7722 (208) 938-3663 (208) 375-8806 (208) 631-7055 (208) 392-8383 Not accepting new patients (208) 888-9393 (208) 378-4288 (208) 345-1222 (208) 378-8011 (208) 344-7799 (208) 472-9082 (208) 345-1222 (208) 472-9082 (208) 375-0500 (208) 302-5500 (208) 323-6273 -Bingham Memorial Hospital (208) 884-2922 -Bingham Memorial Hospital (208) 302-5200 Not accepting new patients (208) 888-9393 (208) 378-4288 (208) 345-1222 (208) 378-8011 (208) 344-7799 (208) 472-9082 (208) 938-3663 (208) 938-3663 -St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 114

Graf, Janet / Gray, Phoebe / Hellman, Sandra L / Johnston, Tracy NPRA, RN / Kennedy, Andrea M NPRA, RN / King, Amanda D NPRA, RN / King, Amanda D NPRA, RN / Loegering, Michael / Lohani, Sailita NPRA, RN / Morgan, Mary / Mortimer, Margaret / Munting, Babette N / Reinhardt, Kristine M / Reinhardt, Kristine M / Reinhardt, Kristine M / Schimpf, Maya NPRA, RN / Stark, Mary K NPRA / Stark, Mary K NPRA / Sullivan, Deborah L NPRA, RN / Swainston, Keith R / Turner, Roberta Lynn NPRA, RN / Underkofler, Kari Mae NPRA, RN / Underkofler, Kari Mae NPRA, RN / Whitehead-Price, Kelly R / Whitehead-Price, Kelly R / Whitener, Linda A / Whitener, Linda A / Whitener, Linda A / Young, Jane NPRA, RN / /Mental Health Archuleta, Pamela ARNP, RN /Mental Health Corbett, Carolyn S /Mental Health Hawkins, Marie NPRA, RN /Mental Health Jepson, Mark A ARNP /Mental Health Kuehne, Shawna /Mental Health Robison, Gail /Mental Health 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 121 E Fort St Boise, ID 83712-6322 1529 Belmont St Boise, ID 83706 1529 Belmont St Boise, ID 83706 2036 N Cole Rd Boise, ID 83704-7309 777 N Raymond St Boise, ID 83704-9251 121 E Fort St Boise, ID 83712-6322 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 1075 N Curtis Rd Ste 100 Boise, ID 83706-1348 121 E Fort St Boise, ID 83712-6322 6094 W Emerald St Boise, ID 83704-8855 6094 W Emerald St Boise, ID 83704-8855 1515 W State St Boise, ID 83702-4039 6533 W Emerald St Boise, ID 83704-8737 12273 W McMillan Rd Boise, ID 83713-0555 1529 Belmont St Boise, ID 83706 1109 Main St Ste 500 Boise, ID 83702 3668 N Harbor Ln Boise, ID 83703 901 N Curtis Rd Ste 101 Boise, ID 83706-1339 9171 W State St Boise, ID 83714-1733 5610 W Gage St Ste A Boise, ID 83706-1332 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1515 W State St Boise, ID 83702-4039 6533 W Emerald St Boise, ID 83704-8737 1515 W State St Boise, ID 83702-4039 6533 W Emerald St Boise, ID 83704-8737 12273 W McMillan Rd Boise, ID 83713-0555 1075 N Curtis Rd Ste 100 Boise, ID 83706-1348 1276 W River St Ste 100 Boise, ID 83702-7083 1276 W River St Ste 100 Boise, ID 83702-7083 300 S 23rd St Boise, ID 83702 131 N Allumbaugh St Boise, ID 83704-9204 1276 W River St Ste 100 Boise, ID 83702-7083 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 (208) 323-1125 Not accepting new patients (208) 367-6030 (208) 426-1459 (208) 426-1459 (208) 375-0722 (208) 367-6030 (208) 367-6030 (208) 323-1125 (208) 377-5166 (208) 367-6030 (208) 514-2500 (208) 514-2500 (208) 345-6768 (208) 302-5100 Not accepting new patients (208) 302-5500 (208) 426-1459 (800) 230-7526 (208) 376-9300 ADA Accessible (208) 608-5825 (208) 853-2273 (208) 501-8955 (208) 323-6273 (208) 884-2922 (208) 345-6768 (208) 302-5100 Not accepting new patients (208) 345-6768 (208) 302-5100 Not accepting new patients (208) 302-5500 (208) 377-5166 (208) 338-4699 (208) 338-4699 (208) 344-3512 (208) 367-2175 (208) 338-4699 (208) 323-1125 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 115

Salazar, Elisa NPRA, RN /Mental Health Stackle, Mary J NPRA, RN /Mental Health Suhr, Cheryl Lynn NPRA, RN /Mental Health Woodland, Satu H CRNS, RN /Mental Health /Neonatal - Perinatal Allison, Dolla J NPRA /Neonatal - Perinatal Allison, Dolla J NPRA /Neonatal - Perinatal Blanchard, Lesli A NPRA /Neonatal - Perinatal Blanchard, Lesli A NPRA /Neonatal - Perinatal Gale, Lauren B NPRA /Neonatal - Perinatal Gale, Lauren B NPRA /Neonatal - Perinatal Gasser, Linda M NPRA /Neonatal - Perinatal Gasser, Linda M NPRA /Neonatal - Perinatal Reimers, Linda NPRA /Neonatal - Perinatal Reimers, Linda NPRA /Neonatal - Perinatal Siddoway, Alexis NPRA, RN /Neonatal - Perinatal Siddoway, Alexis NPRA, RN /Neonatal - Perinatal Winchester, Robin F /Neonatal - Perinatal Winchester, Robin F /Neonatal - Perinatal /Pediatric Johnson, Heather /Pediatric Weller, Katie /Pediatric Weller, Katie /Pediatric Weller, Katie /Pediatric Weller, Katie /Pediatric /Women's Health Inman, Kandiss /Women's Health Inman, Kandiss /Women's Health Latta, Angela M NPRA, RN /Women's Health Ajmani, Shashi Bouchard, Julia K MD Bradford, Donnell L Bradford, Donnell L Bradford, Donnell L Caplinger, Patricia, Hospitalist 131 N Allumbaugh St Boise, ID 83704-9204 300 S 23rd St Boise, ID 83702 9196 W Barnes Dr Boise, ID 83709-1552 3060 S Rookery Lane Boise, ID 83706-5484 6030 W Emerald St Boise, ID 83704-8855 Boise, ID 83706-1309 6030 W Emerald St Boise, ID 83704-8855 Boise, ID 83706-1309 6030 W Emerald St Boise, ID 83704-8855 Boise, ID 83706-1309 6030 W Emerald St Boise, ID 83704-8855 Boise, ID 83706-1309 6030 W Emerald St Boise, ID 83704-8855 Boise, ID 83706-1309 6030 W Emerald St Boise, ID 83704-8855 Boise, ID 83706-1309 6030 W Emerald St Boise, ID 83704-8855 Boise, ID 83706-1309 1072 N Liberty St Ste 203 Boise, ID 83704-8708 1907 S Broadway Ste 101 Boise, ID 83706 300 W Myrtle St Boise, ID 83702-7690 8971 W Overland Rd Boise, ID 83709 11197 W Fairview Ave Boise, ID 83713-7935 Boise, ID 83706-1309 1072 N Liberty St Ste 100 Boise, ID 83704-8708 333 N 1st St Ste 260 Boise, ID 83702-6132 1072 N Liberty St Ste 100 Boise, ID 83704-8708 900 N Liberty St Ste 204 Boise, ID 83704-8707 900 N Liberty Ste 204 Boise, ID 83704 6140 W Curtisian Ave Ste 300 Boise, ID 83704-0107 1072 N Liberty St Ste 100 Boise, ID 83704-8708 Boise, ID 83706-1309 (208) 367-2175 -St Alphonsus Regional Medical Center Inc (208) 344-3512 (208) 433-0400 (541) 312-0111 (208) 376-7610 (208) 367-8063 (208) 367-8063 -St Alphonsus Regional Medical Center Inc (208) 367-8063 -St Alphonsus Regional Medical Center Inc (208) 376-7610 (208) 367-8063 (208) 376-7610 (208) 367-8063 (208) 376-7610 (208) 367-8063 (208) 367-8063 (208) 367-8063 (208) 376-7610 (208) 367-8063 (208) 367-4321 (208) 345-1222 (208) 472-9082 (208) 378-4288 (208) 378-8011 (208) 367-6279 (208) 367-1200 (208) 345-3136 (208) 367-1200 (208) 367-2229 (208) 367-2229 (208) 367-6575 (208) 367-1200 (208) 367-6222 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 116

Caplinger, Patricia, Hospitalist Digiosia, Juliana L Digiosia, Juliana L Digiosia, Juliana L Digiosia, Juliana L Hayes, Cynthia R MD Iverson, Julie M Janowiak, Mary A Janowiak, Mary A Kaiser, John Rhyan MD Kaiser, John Rhyan MD Kattenhorn, Jon R MD Klomp, G Robert Knutson, Christina M MD Knutson, Christina M MD Lovelace, Glen S MD Ludders, Darrell J MD Lund, Martha H McCaffrey, Rebecca L Shearer, Alison MD Thomson, Brook A Thomson, Brook A Thomson, Brook A Thomson, Sara B MD Young, Debbie L MD Occupational Medicine Cook-Shimanek, Margaret K Occupational Medicine Gibson, Michael P MD Occupational Medicine Kammer, Jacob W MD Occupational Medicine Martinez, Stephen Occupational Medicine Martinez, Stephen Occupational Medicine Martinez, Stephen Occupational Medicine Martinez, Stephen Occupational Medicine Martinez, Stephen Occupational Medicine Occupational Therapy 900 N Liberty St Ste 206 Boise, ID 83704-8729 900 N Liberty St Ste 100 Boise, ID 83704-8767 900 N Liberty Ste 204 Boise, ID 83704 6140 W Curtisian Ave Ste 300 Boise, ID 83704-0107 1072 N Liberty St Ste 100 Boise, ID 83704-8708 6094 W Emerald St Boise, ID 83704-8855 1109 Main St Ste 500 Boise, ID 83702 900 N Liberty St Ste 204 Boise, ID 83704-8707 1072 N Liberty St Ste 100 Boise, ID 83704-8708 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1072 N Liberty St Ste 100 Boise, ID 83704-8708 125 E Idaho St Ste 210 Boise, ID 83719 900 N Liberty St Ste 204 Boise, ID 83704-8707 1072 N Liberty St Ste 100 Boise, ID 83704-8708 333 N 1st St Ste 260 Boise, ID 83702-6132 1072 N Liberty St Ste 100 Boise, ID 83704-8708 900 N Liberty St Ste 206 Boise, ID 83704-8729 1072 N Liberty St Ste 100 Boise, ID 83704-8708 1072 N Liberty St Ste 100 Boise, ID 83704-8708 900 N Liberty St Ste 206 Boise, ID 83706-8729 900 N Liberty St Ste 204 Boise, ID 83704-8707 Boise, ID 83706-1309 1072 N Liberty St Ste 100 Boise, ID 83704-8708 1072 N Liberty St Ste 100 Boise, ID 83704-8708 6533 W Emerald St Boise, ID 83704-8737 6533 W Emerald St Boise, ID 83704-8737 6533 W Emerald St Boise, ID 83704-8737 1130 E Fairview Ave Boise, ID 83713 8971 W Overland Rd Boise, ID 83709-1651 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 11197 W Fairview Ave Boise, ID 83713-7935 6052 W State St Boise, ID 83703-2739 (208) 367-4224 (208) 367-2126 (208) 367-2229 (208) 367-6575 (208) 367-1200 (208) 514-2500 (800) 230-7526 Languages: GERMAN (208) 367-2229 (208) 367-1200 -EvergreenHealth Medical Center -Swedish Medical Center (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 367-1200 (208) 385-9330 (208) 367-2229 (208) 367-1200 (208) 345-3136 (208) 367-1200 (208) 367-4224 (208) 367-1200 (208) 367-1200 (208) 367-5544 (208) 367-2229 (206) 367-6222 (208) 367-1200 (208) 367-1200 (208) 367-4179 (208) 367-4179 (208) 367-4179 (208) 888-9393 (208) 378-4288 (208) 345-1222 (208) 378-8011 (208) 344-7799 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 117

Burback, Eric Occupational Therapy Craig, Amanda Occupational Therapy Deangelis, Caren A Occupational Therapy Ganier, Marcie OT Occupational Therapy Hendrickson, Kim Occupational Therapy Hutt, Macaile M OT Occupational Therapy Kennedy, Anthony J OT Occupational Therapy Moores, Desiree OT Occupational Therapy Page, Maureen A OT Occupational Therapy Poppleton, Sara Leile OT Occupational Therapy Schroeder, Joanna OT Occupational Therapy Spangler, Kamber OT Occupational Therapy Sullivan, Heather Occupational Therapy Town, Brady Occupational Therapy Vania, Carolina Occupational Therapy Oncology, Medical Hodson, Stephanie B MD Oncology, Medical Langerak, Alan D MD Oncology, Medical Pierson, Andrew S MD Oncology, Medical, Hematology, Pulver, Kerry P MD Oncology, Medical Schultheiss, Karl J Oncology, Medical Ophthalmology Anderson, Lawrence D Ophthalmology Boerner, Mark J MD Ophthalmology Carey, Brian J. Ophthalmology Choe, Joyce Eunyoung MD Ophthalmology Chung, Paul Y MD Ophthalmology Chung, Paul Y MD Ophthalmology Earl, James MD Ophthalmology Fethke, Kathryn M MD Ophthalmology Fishburn, Jon R MD Ophthalmology Ford, Robert O. MD Ophthalmology Ford, Robert O. MD Ophthalmology Ford, Robert M Ophthalmology Gano, David L. MD Ophthalmology Gano, David L. MD Ophthalmology Gruzensky, William D. MD Ophthalmology 901 N Curtis Rd Ste 204 Boise, ID 83706 717 N Liberty St Boise, ID 83706 901 N Curtis Rd Ste 304 Boise, ID 83706-1341 7211 W Franklin Rd Boise, ID 83709-0926 717 N Liberty St Boise, ID 83706 7211 W Franklin Rd Boise, ID 83709-0926 7211 W Franklin Rd Boise, ID 83709-0926 7211 W Franklin Rd Boise, ID 83709-0926 7211 W Franklin Rd Boise, ID 83709-0926 13895 W Wainwright Dr Boise, ID 83713-5011 13895 W Wainwright Dr Boise, ID 83713-5011 7211 W Franklin Rd Boise, ID 83709-0926 717 N Liberty St Boise, ID 83706 717 N Liberty St Boise, ID 83706 901 N Curtis Rd Ste 204 Boise, ID 83706 Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 8955 W Hackamore Dr Boise, ID 83709-1673 111 W Main St Ste 200 Boise, ID 83702-7308 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 13923 W Wainwright Dr Ste 301 Boise, ID 83713-1969 999 N Curtis Rd Ste 205 Boise, ID 83706-1316 999 N Curtis Rd Ste 205 Boise, ID 83706-1316 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 (208) 367-3315 (208) 367-8989 (208) 342-4263 (208) 375-4200 ADA Accessible (208) 367-8989 (208) 375-4200 ADA Accessible (208) 375-4200 ADA Accessible (208) 375-4200 ADA Accessible (208) 375-4200 ADA Accessible (208) 939-3334 (208) 939-3334 (208) 375-4200 ADA Accessible (208) 367-8989 (208) 367-8989 (208) 367-3315 (208) 367-3131 (208) 367-3131 (208) 367-3131 (208) 367-3131 (208) 367-3131 Languages: GERMAN (208) 344-7944 (208) 344-3220 (208) 385-7576 (208) 385-7576 (208) 385-7576 -Providence Centralia Hosp (208) 385-7576 -Providence Centralia Hosp (208) 938-5624 -St Alphonsus Regional Medical Center Inc (208) 373-1200 (208) 373-1200 (208) 385-7576 -Providence Centralia Hosp (208) 385-7576 -Providence Centralia Hosp (208) 385-7576 (208) 385-7576 (208) 385-7576 (208) 385-7576 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 118

Guzek, James P MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Harf, Leo S MD Ophthalmology Hollingshead, Mark E MD Ophthalmology Johns, Gordon E MD Ophthalmology Mannschreck, Molly J MD Ophthalmology Mannschreck, Molly J MD Ophthalmology McKinnon, Ryan S MD Ophthalmology McKinnon, Ryan S MD Ophthalmology Mong, Jacob A DO Ophthalmology Reynolds, Adam C MD Ophthalmology Roberts, Denton R MD Ophthalmology Seery, Loren S MD Ophthalmology Sonntag, John R Ophthalmology Sugiyama, Ronald K Ophthalmology Trotta, Francois D MD Ophthalmology Tweeten, James P MD Ophthalmology Optometry Antonie, David J. Optometry Archibald, Alexander C. OD Optometry Archibald, Alexander C. OD Optometry Arvidson, Brian Arthur Optometry Barnhart, Francis J. OD Optometry Barnhart, Francis J. OD Optometry Besecker, Jason R OD Optometry Blacker, Adam Bryce OD Optometry Boespflug, Daniel Richard Optometry Bronner, Aaron W Optometry Bronner, Aaron W Optometry Calnan-Holt, Kimberly J. OD Optometry Carter, Lee Optometry Carter, Lee Optometry Clements, Steven D. OD Optometry 2822 S Vista Ave Boise, ID 83705-4159 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 999 N Curtis Rd Ste 205 Boise, ID 83706-1316 360 E Mallard Dr Ste 110 Boise, ID 83706-3945 2822 S Vista Ave Boise, ID 83705-4159 999 N Curtis Rd Ste 205 Boise, ID 83706-1316 251 E Front St Ste 110 Boise, ID 83702 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 5680 W Gage St Boise, ID 83706-1326 999 N Curtis Rd Ste 205 Boise, ID 83706-1316 13923 W Wainwright Dr Ste 301 Boise, ID 83704-1969 2822 S Vista Ave Boise, ID 83705-4159 5680 W Gage St Boise, ID 83706-1326 2822 S Vista Ave Boise, ID 83705-4159 128 E Mallard Dr Boise, ID 83706-3975 999 N Curtis Rd Ste 205 Boise, ID 83706-1316 10751 W Overland Rd Boise, ID 83709-1375 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 360 E Mallard Dr Ste 110 Boise, ID 83706-3945 360 E Mallard Dr Ste 110 Boise, ID 83706-3945 3293 N Milwaukee St Boise, ID 83704-4446 2822 S Vista Ave Boise, ID 83705-4159 360 E Mallard Dr Ste 110 Boise, ID 83706-3945 2822 S Vista Ave Boise, ID 83705-4159 999 N Curtis Rd Ste 205 Boise, ID 83706-1316 251 E Front St Ste 110 Boise, ID 83702 8105 Fairview Ave Boise, ID 83704 (208) 385-7576 -Providence Centralia Hosp (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 373-1200 (208) 336-8700 -St Alphonsus Regional Medical Center Inc (208) 385-7576 -Providence Centralia Hosp (208) 373-1200 (208) 342-2706 (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 377-3937 -St Alphonsus Regional Medical Center Inc (208) 373-1200 (208) 938-5624 (208) 385-7576 (208) 377-3937 -St Alphonsus Regional Medical Center Inc (208) 385-7576 -Providence Centralia Hosp (208) 323-8660 -St Alphonsus Regional Medical Center Inc (208) 373-1200 (208) 327-9809 (208) 385-7576 (208) 385-7576 (208) 385-7576 (208) 385-7576 (208) 385-7576 (208) 336-8700 (208) 336-8700 (208) 322-2020 (208) 385-7576 (208) 336-8700 (208) 385-7576 (208) 373-1200 Languages: SPANISH (208) 342-2706 Languages: SPANISH (208) 323-9303 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 119

Cleverly, Chad W Optometry Denison, Justin J Optometry Everett, Mark G Optometry Everett, Mark G Optometry Ewing, Vanessa J OD Optometry Ewing, Vanessa J OD Optometry Flint, Bruce G. Optometry Flint, Bruce G. Optometry Gibbs, Robert D. Optometry Gibbs, Robert D. Optometry Hatfield, Dylan L Optometry Hopstad, Luke K Optometry James, Donald K. Optometry James, Donald K. Optometry Johnson, Brian S OD Optometry Johnson, Jeffrey C OD Optometry Johnson, Jeffrey C OD Optometry Johnson, Ryan C OD Optometry Johnson, Ryan C OD Optometry Kronberg, Jill A OD Optometry Kronberg, Jill A OD Optometry Mamiya, Reid I. Optometry Mamiya, Reid I. Optometry Maraman, Mark A Optometry Muto, John H Optometry Pabalis, Gary R OD Optometry Peterson, Donald L. Optometry Pitkin, Dennis H OD Optometry Reynolds, Terrence J OD Optometry Schrempp, Daniel Dinnison OD Optometry Williams, Salisa K Optometry Youngman, Lori A. Z. Optometry Boyer, Jeffrey S MD Chopp, Thomas M MD Clawson, Mark C MD Coughlin, Michael J MD 3293 N Milwaukee St Boise, ID 83704-4446 3293 N Milwaukee St Boise, ID 83704-4446 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 999 N Curtis Rd Ste 205 Boise, ID 83706-1316 251 E Front St Ste 110 Boise, ID 83702 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 360 E Mallard Dr Ste 110 Boise, ID 83706-3945 999 N Curtis Rd Ste 205 Boise, ID 83706-1316 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 7960 W Rifleman St Ste 150 Boise, ID 83704-9065 190 N 8th St Boise, ID 83702 7960 W Rifleman St Ste 150 Boise, ID 83704-9065 190 N 8th St Boise, ID 83702 7960 W Rifleman St Ste 150 Boise, ID 83704-9065 190 N 8th St Boise, ID 83702 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 1175 W Boise Ave Boise, ID 83706-3503 5680 W Gage St Boise, ID 83706-1326 2822 S Vista Ave Boise, ID 83705-4159 6700 W Emerald St Boise, ID 83704-8727 6700 W Emerald St Boise, ID 83704-8727 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 2822 S Vista Ave Boise, ID 83705-4159 901 N Curtis Rd Ste 304 Boise, ID 83706-1341 8854 W Emerald St Ste 102 Boise, ID 83704 901 N Curtis Rd Ste 304 Boise, ID 83706-1341 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 (208) 322-2020 (208) 322-2020 (208) 385-7576 (208) 385-7576 (208) 373-1200 (208) 342-2706 (208) 385-7576 (208) 385-7576 (208) 385-7576 (208) 385-7576 (208) 336-8700 (208) 373-1200 (208) 385-7576 (208) 385-7576 (208) 385-7576 (208) 377-8899 (208) 338-0500 (208) 377-8899 (208) 338-0500 (208) 377-8899 (208) 338-0500 (208) 385-7576 (208) 385-7576 (208) 385-7576 (208) 384-9194 (208) 377-3937 (208) 385-7576 (208) 336-7100 (208) 336-7100 (208) 385-7576 (208) 385-7576 (208) 385-7576 (208) 342-4263 (208) 323-4747 (208) 342-4263 (208) 367-3330 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 120

Daines, Steven B MD Doerr, Timothy E MD Flint, Wesley W MD Floyd, Charles T MD Goodwin, Thomas E MD Gustavel, Michael J MD Hassinger, David MD Hassinger, David MD Hassinger, Sean MD Hassinger, Sean MD Haytmanek, Craig T MD Hessing, Jeffrey G MD Hirose, Christopher B Jastifer, James R MD Johnston, James M. MD Jurgensmeier, Darin MD Kemp, Travis J Kemp, Travis J Kemp, Travis J Kloss, John G MD Kloss, John G MD Kristensen, Ronald M MD Lamey, David M MD Lamey, David M MD Lewis, Kirk J Lindner, William C McGee, Dennis Meier, Mark C MD Menzner, Jeffry P MD Miller, Jennifer R MD Moore, Richard E MD Moss, Stanley W Schwartsman, Roman MD Shearer, David W Spelich, Mark A MD 6165 W Emerald St Boise, ID 83704 8854 W Emerald St Ste 140 Boise, ID 83704 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 1075 N Curtis Rd Ste 101 Boise, ID 83706-1348 8854 W Emerald St Ste 102 Boise, ID 83704 1188 University Dr Boise, ID 83706 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 8854 W Emerald St Ste 140 Boise, ID 83704 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 703 S Americana Blvd Ste 120 Boise, ID 83702-6754 6165 W Emerald St Boise, ID 83704 7979 W Rifleman St Boise, ID 83704-9066 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 901 N Curtis Rd Ste 304 Boise, ID 83706-1341 703 S Americana Blvd Ste 120 Boise, ID 83702-6754 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 901 N Curtis Rd Ste 304 Boise, ID 83706-1341 1188 University Dr Boise, ID 83706 6500 W Emerald St Boise, ID 83704-8736 6165 W Emerald St Boise, ID 83704 6165 W Emerald St Boise, ID 83704 703 S Americana Blvd Ste 120 Boise, ID 83702-6754 1188 University Dr Boise, ID 83706 6165 W Emerald St Boise, ID 83704 125 E Idaho St Ste 102 Boise, ID 83702 6590 W Norwood Dr Boise, ID 83706 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 7979 W Rifleman St Boise, ID 83704-9066 (208) 377-0777 -St Alphonsus Regional Medical Center Inc (208) 321-4790 (208) 367-3330 -St Alphonsus Regional Medical Center Inc (208) 367-7463 (208) 323-4747 (208) 336-8250 (208) 855-2410 (208) 482-5500 (208) 855-2410 (208) 482-5500 (208) 367-3330 -St Alphonsus Regional Medical Center Inc (208) 321-4790 (208) 367-3330 (208) 367-3330 (208) 323-2600 (208) 377-0777 -St Alphonsus Regional Medical Center Inc (208) 855-2410 (208) 855-2410 (208) 482-5500 (208) 323-2600 (208) 342-4263 (208) 323-2600 (208) 323-2600 (208) 342-4263 (208) 336-8250 (208) 377-0777 (208) 377-0777 (208) 377-0777 (208) 323-2600 (208) 336-8250 (208) 377-0777 (208) 381-7399 (208) 377-4003 (208) 367-3330 Languages: SPANISH (208) 855-2410 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 121

Spelich, Mark A MD Walker, Robert MD Watkins, Troy B MD Watkins, Troy B MD Webb, Darby MD Zeigler, Todd E MD Zeigler, Todd E MD Zeigler, Todd E MD Otolaryngology Beasley, Donald J Otolaryngology Garner, Eric T MD Otolaryngology, Plastic Surgery within the Head and Neck Jones, III, Arthur (AC) C. MD Otolaryngology Killian, Peter Otolaryngology Maughan, DelRay MD Otolaryngology Rustad, Todd J MD Otolaryngology Schwarz, Matthew B MD Otolaryngology Tubach, Martin Otolaryngology Van De Graaff, Ryan L MD Otolaryngology Pain Management Binegar, William G Pain Management Binegar, William G Pain Management Farrell, Patrick E MD Pain Management, Anesthesiology Guy, Rebekah E Pain Management Guy, Rebekah E Pain Management Guy, Rebekah E Pain Management Marsh, Daniel R MD Pain Management Marsh, Daniel R MD Pain Management Thompson, Sandra A Pain Management Thompson, Sandra A Pain Management Pallative Care Clifford, Kevin A MD Pallative Care, Pathology Ausmus, Gregory G Pathology Chaffin, Jack C MD Pathology, Cytopathology Cole, Ryan N. Pathology, Dermatopathology 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 703 S Americana Blvd Ste 120 Boise, ID 83702-6754 125 E Idaho Ste 104 Boise, ID 83702 8854 W Emerald St Ste 170 Boise, ID 83706-4859 703 S Americana Blvd Ste 120 Boise, ID 83702-6754 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 901 N Curtis Rd Ste 501 Boise, ID 83706-1343 901 N Curtis Rd Ste 501 Boise, ID 83706 901 N Curtis Rd Ste 104 Boise, ID 83706-1339 900 N Liberty St Ste 400 Boise, ID 83704-8707 900 N Liberty St Ste 400 Boise, ID 83704-8707 900 N Liberty St Ste 400 Boise, ID 83704-8707 900 N Liberty St Ste 400 Boise, ID 83704-8707 900 N Liberty St Ste 400 Boise, ID 83704-8707 900 N Liberty St Ste 400 Boise, ID 83704-8707 6052 W State St Boise, ID 83703-2739 900 N Liberty St Ste 400 Boise, ID 83704-8707 301 W Myrtle St Boise, ID 83702-7656 901 N Curtis Rd Ste 304 Boise, ID 83706-1341 6th Fl Boise, ID 83706-1309 115 W Main St Ste 102 Boise, ID 83702-7304 115 W Main St Ste 202 Boise, ID 83702-7303 115 W Main St Ste 201 Boise, ID 83702 4850 N Rosepoint Way Ste 100 Boise, ID 83713-5262 4850 N Rosepoint Way Ste 100 Boise, ID 83713-5262 1673 W Shoreline Dr Ste 140 Boise, ID 83702-6749 633 N 4th St Boise, ID 83702-4510 Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 7988 W Marigold St suite 150 Boise, ID 83714-5125 (208) 482-5500 (208) 323-2600 (208) 343-2555 (208) 343-2555 (208) 323-2600 (208) 367-3330 (208) 367-3330 (208) 302-3900 (208) 367-6099 (208) 367-3320 (208) 367-3320 (208) 367-3320 (208) 367-3320 (208) 367-3320 (208) 367-3320 (208) 344-7799 (208) 367-3320 (208) 342-8200 (208) 367-4343 (208) 367-4343 -St Alphonsus Regional Medical Center Inc (208) 342-2104 (208) 342-2104 (208) 342-2104 (208) 947-7246 (208) 947-7246 (208) 342-9800 (208) 342-9800 (208) 367-2121 (208) 367-2153 (208) 367-2153 (208) 472-1082 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 122

Hager, Christopher MD Pathology Hall, Brian MD Pathology Johnson, Cary A Pathology Kim, Edward J MD Pathology Kois, Nancy C MD Pathology Moore, Mark O MD Pathology Pediatric Cardiology Adams, Robert F MD Pediatric Cardiology Alexander, Diana C Pediatric Cardiology Anderson, Charles C Pediatric Cardiology Mack, Gordon K MD Pediatric Cardiology Womack, Michael S Pediatric Cardiology Pediatric Surgery Curnow, Adrian J MD Pediatric Surgery LoSasso, Barry E Pediatric Surgery Pediatrics Aguilar, Richard MD Pediatrics Aguilar, Richard MD Pediatrics Aldous, Michael B MD Pediatrics Aldous, Michael B MD Pediatrics Andrews, Deanna M Pediatrics Andrews, Deanna M Pediatrics Anschutz, Travis W MD Pediatrics, Neonatal Medicine Anschutz, Travis W MD Pediatrics, Neonatal Medicine Antink, Naya N MD Pediatrics Archibald, Vaun J Pediatrics Beauchaine, Angela Pediatrics Bennett, Jeannette E MD Pediatrics Bennett, Jeannette E MD Pediatrics Bishop, Bradley G MD Pediatrics Brown, Perry S Pediatrics Copeland, Katie E MD Pediatrics Copeland, Katie E MD Pediatrics Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 Boise, ID 83706-1309 100 E Idaho St Ste 200 Boise, ID 83712-6270 100 E Idaho St Ste 200 Boise, ID 83712-6270 100 E Idaho St Ste 200 Boise, ID 83712-6270 100 E Idaho St Ste 200 Boise, ID 83712-6270 100 E Idaho St Ste 200 Boise, ID 83712-6270 1072 N Liberty St Ste 201 Boise, ID 83704 1072 N Liberty St Ste 201 Boise, ID 83704 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 6030 W Emerald St Boise, ID 83704-8855 Boise, ID 83706-1309 1072 N Liberty St Ste 203 Boise, ID 83704-8708 1072 N Liberty St Ste 203 Boise, ID 83704-8708 6348 W Emerald St Boise, ID 83704-8732 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1072 N Liberty St Ste 203 Boise, ID 83704-8708 121 E Fort St Boise, ID 83712-6322 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 (208) 367-2153 (208) 367-2153 (208) 367-2153 -St Alphonsus Regional Medical Center Inc (208) 367-2153 (208) 367-2153 (208) 367-2153 (208) 381-7384 (208) 381-7384 (208) 381-7384 -Sacred Heart Medical Center (208) 381-7384 (208) 453-9962 (208) 377-2273 -St Alphonsus Regional Medical Center Inc (208) 377-2273 -St Alphonsus Regional Medical Center Inc (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 367-8063 (208) 367-8063 (208) 367-4321 (208) 367-4321 (208) 377-4400 (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 367-4321 -St Alphonsus Regional Medical Center Inc (208) 367-6030 (208) 323-6273 (208) 884-2922 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 123

Julian, Christie A Pediatrics Kiehl, John J MD Pediatrics Kikuchi, Julie Pediatrics King, Jennifer J MD Pediatrics Overy, Ann C Pediatrics Peterman, David Pediatrics Showalter, Kelly R Pediatrics Smith, Steven A Pediatrics Tubach, Shana L MD Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Walker, Eloisa S Pediatrics, Pediatric Cardiology Physical Medicine and Rehabilitation Cox, Rodde D MD Physical Medicine and Rehabilitation Friedman, Robert H MD Physical Medicine and Rehabilitation Greenwald, Nancy E MD Physical Medicine and Rehabilitation Gussner, Christian G MD Physical Medicine and Rehabilitation Harris, Mark J MD Physical Medicine and Rehabilitation Kadyan, Vivek MD Physical Medicine and Rehabilitation Kadyan, Vivek MD Physical Medicine and Rehabilitation Keel, Amanda MD Physical Medicine and Rehabilitation Keel, Amanda MD Physical Medicine and Rehabilitation Krafft, Kevin MD Physical Medicine and Rehabilitation Krafft, Kevin MD Physical Medicine and Rehabilitation Mcmartin, Michael R MD Physical Medicine and Rehabilitation Mcmartin, Michael R MD Physical Medicine and Rehabilitation Moore, Monte H MD Physical Medicine and Rehabilitation Quattrone, Barbara E MD Physical Medicine and Rehabilitation Sant, Michael O MD Physical Medicine and Rehabilitation Whitaker, James Aroet DO Physical Medicine and Rehabilitation Ackerman, Jerrod R PT Ackerman, Jerrod R PT Ackerman, Jerrod R PT Adams, Robert Bret PT Allred, Garren Allred, Jason D. 1072 N Liberty St Ste 203 Boise, ID 83704-8708 1072 N Liberty St Ste 203 Boise, ID 83704-8708 121 E Fort St Boise, ID 83712-6322 1072 N Liberty St Ste 203 Boise, ID 83704-8708 6348 W Emerald St Boise, ID 83704-8732 6348 W Emerald St Boise, ID 83704-8732 121 E Fort St Boise, ID 83712-6322 6348 W Emerald St Boise, ID 83704-8732 1072 N Liberty St Ste 203 Boise, ID 83704-8708 100 E Idaho St Ste 304 Boise, ID 83712-6269 100 E Idaho St Ste 200 Boise, ID 83712-6270 1000 N Curtis Rd Ste 202 Boise, ID 83706-1346 600 N Robbins Rd Ste 300 Boise, ID 83702-4568 600 N Robbins Rd Ste 300 Boise, ID 83702-4568 600 N Robbins Rd Ste 300 Boise, ID 83702-4568 600 N Robbins Rd Ste 300 Boise, ID 83702-4568 1000 N Curtis Rd Ste 202 Boise, ID 83706-1346 6th Fl Boise, ID 83706-1309 1000 N Curtis Rd Ste 202 Boise, ID 83706-1346 901 N Curtis Rd Ste 204 Boise, ID 83706-1340 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 190 E Bannock St Boise, ID 83712-6241 1000 N Curtis Rd Ste 202 Boise, ID 83706-1346 901 N Curtis Rd Ste 204 Boise, ID 83706-1340 600 N Robbins Rd Ste 300 Boise, ID 83702-4568 600 N Robbins Rd Ste 300 Boise, ID 83702-4568 600 N Robbins Rd Ste 300 Boise, ID 83702-4568 9510 W Fairview Ave Boise, ID 83704-8103 1520 W State St Ste 210 Boise, ID 83706 390 E Park Center Blvd Ste 130 Boise, ID 83706 960 Broadway Ave Ste 200 Boise, ID 83706 12072 W McMillan Rd Boise, ID 83713-2462 717 N Liberty St Boise, ID 83706 7550 Emerald St Ste 101 Boise, ID 83704 (208) 367-4321 (208) 367-4321 (208) 367-6030 (208) 367-4321 (208) 377-4400 (208) 377-4400 (208) 367-6030 (208) 377-4400 (208) 367-4321 (208) 336-9188 Languages: SPANISH (208) 381-7384 Languages: SPANISH (208) 377-3435 (208) 489-4016 (208) 489-4016 (208) 489-4016 (208) 489-4016 (208) 377-3435 (208) 367-3000 (208) 377-3435 -St Alphonsus Regional Medical Center Inc (208) 367-7644 -St Alphonsus Regional Medical Center Inc (208) 327-5650 (208) 327-5650 (208) 377-3435 (208) 367-7644 (208) 489-4016 (208) 489-4016 (208) 489-4016 (208) 322-5922 -West Valley Medical Center, Inc. (208) 336-8433 (208) 433-9211 (208) 433-9211 (208) 939-3334 (208) 367-8989 (208) 375-0666 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 124

Amoruso, Melanie Christina PT Armstrong, Jay R PT Ashenbrener, Samantha L Ashenbrener, Samantha L Barnes, Nicole L Barnes, Nicole L Barnes, Nicole L Barnes, Robert M PT Barnes, Robert M PT Berryhill, Jenny Marie Berryhill, Jenny Marie Blalock, Aytree PT Book, Anthony R Book, Anthony R Booth, Matthew R PT Booth, Matthew R PT Borgerd, Wendy L PT Box, Jeffrey A PT Box, Jeffrey A PT Bryner, Kent Bucher, Joshua Charles PT Calvin, Jennifer Clark, Heather Ashley PT Clark, Heather Ashley PT Cope, Adam M PT Danielson, Galen E. PT Douglass, Benjamin Brook PT Douglass, Benjamin Brook PT Duke, Catherine E Duke, Catherine E Dupont, Corey E PT Dupont, Corey E PT English, Mindy E PT English, Mindy E PT Farmer, Greg Fleckenstein, David A. Goodnough, Christina M PT 12072 W McMillan Rd Boise, ID 83713-2462 1188 University Dr Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83702-4085 960 Broadway Ave Ste 200 Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83702-4085 960 Broadway Ave Ste 200 Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83702-4085 1520 W State St Ste 210 Boise, ID 83706 390 E Park Center Blvd Ste 130 Boise, ID 83706 1907 S Broadway Ave Ste 203 Boise, ID 83706-4244 901 N Curtis Rd Ste 204 Boise, ID 83706 2141 E Parkcenter Blvd Boise, ID 83706 390 E Park Center Blvd Ste 130 Boise, ID 83706 960 Broadway Ave Ste 200 Boise, ID 83706 901 N Curtis Rd Ste 204 Boise, ID 83706 1435 S Maple Grove Rd Ste 201 Boise, ID 83709-1611 1907 S Broadway Ave Ste 203 Boise, ID 83706-4244 901 N Curtis Rd Ste 204 Boise, ID 83706 12072 W McMillan Rd Boise, ID 83713-2462 901 N Curtis Rd Ste 204 Boise, ID 83706 10790 W Overland Rd Boise, ID 83709-1329 901 N Curtis Rd Ste 204 Boise, ID 83706 5520 N Eagle Rd Suite 102 Boise, ID 83713-2700 5520 N Eagle Rd Ste 102 Boise, ID 83713-2700 10790 W Overland Rd Boise, ID 83709-1329 5520 N Eagle Rd Ste 102 Boise, ID 83713-2700 1520 W State St Ste 210 Boise, ID 83702-4085 960 Broadway Ave Ste 200 Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83702-4085 960 Broadway Ave Ste 200 Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83702-4085 960 Broadway Ave Ste 200 Boise, ID 83706 717 N Liberty St Boise, ID 83706 600 N Robbins Rd Boise, ID 83702-4565 5520 N Eagle Rd Suite 102 Boise, ID 83713-2700 (208) 939-3334 (208) 336-8250 (208) 336-8433 (208) 433-9211 (208) 336-8433 (208) 336-8433 (208) 433-9211 (208) 336-8433 (208) 336-8433 (208) 336-8433 (208) 433-9211 (208) 422-9826 (208) 367-3315 (209) 302-9850 (208) 433-9211 (208) 433-9211 (208) 367-3315 (208) 322-6200 (208) 422-9826 (208) 367-3315 (208) 939-3334 (208) 367-3315 (208) 322-8709 (208) 367-3315 (208) 938-5255 Languages: SPANISH (208) 938-5255 Languages: SPANISH (208) 322-8709 (208) 938-5255 (208) 336-8433 (208) 433-9211 (208) 336-8433 (208) 433-9211 (208) 336-8433 (208) 433-9211 (208) 367-8989 (208) 489-4599 (208) 938-5255 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 125

Hamilton, Samantha W PT Hammer, James D Hansen, Christopher Herauf, Kyle PT Hoaglun, Jennifer E PT Holgate, Brian PT Hulquist, Kristin K PT Hulsey, Kevin L PT Hulsey, Kevin L PT Huntington, Alexandra Suzanne Savery PT Ineck, Yesenia PT Johnson, Tara Jones, Alvin L Keele, Barb Keele, Jason Kelly, Suzanne Knox, Aaron W. PT Kolb, Peter Kolb, Peter Kornkven, Elizabeth Krall, Darrell Krall, Darrell Kreissler, Phillip PT Kuehn, Kathleen LaBarthe, Jason PT LaFace, Kristina Loree, Todd Andrew PT Lougheed, Christopher J PT Lyons, Clay Marsh, Ryan Daniel PT Maughan, Kyle D PT Mayo, Sue McCord, Maril Mitchell, Jeremy Moores, Paula Morrison, Paul R Morton, Doug 13895 W Wainwright Dr Boise, ID 83713-5011 7550 Emerald St Ste 101 Boise, ID 83704 8950 W Emerald St Ste 150 Boise, ID 83704-8296 1435 S Maple Grove Rd Ste 201 Boise, ID 83709-1611 1188 University Dr Boise, ID 83706 12072 W McMillan Rd Boise, ID 83713-2462 1188 University Dr Boise, ID 83706 5520 N Eagle Rd Suite 102 Boise, ID 83713-2700 5520 N Eagle Rd Ste 102 Boise, ID 83713-2700 12072 W McMillan Rd Boise, ID 83713-2462 4776 N Five Mile Rd Ste 101 Boise, ID 83713-2715 901 N Curtis Rd Ste 204 Boise, ID 83706 9362 W Overland Rd Boise, ID 83709-2505 717 N Liberty St Boise, ID 83706 901 N Curtis Rd Ste 204 Boise, ID 83706 717 N Liberty St Boise, ID 83706 1907 S Broadway Ave Ste 203 Boise, ID 83706-4244 901 N Curtis Rd Ste 204 Boise, ID 83706 2141 E Parkcenter Blvd Boise, ID 83706 717 N Liberty St Boise, ID 83706 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 901 N Curtis Rd Ste 304 Boise, ID 83706-1341 7979 W Rifleman St Boise, ID 83704-9066 901 N Curtis Rd Ste 204 Boise, ID 83706 1188 University Dr Boise, ID 83706 901 N Curtis Rd Ste 204 Boise, ID 83706 901 N Curtis Rd Ste 204 Boise, ID 83706 5520 N Eagle Rd Suite 102 Boise, ID 83713-2700 901 N Curtis Rd Ste 204 Boise, ID 83706 10790 W Overland Rd Boise, ID 83709-1329 4776 N Five Mile Rd Ste 101 Boise, ID 83713-2715 717 N Liberty St Boise, ID 83706 901 N Curtis Rd Ste 204 Boise, ID 83706 901 N Curtis Rd Ste 204 Boise, ID 83706 5959 N Discovery Pl Boise, ID 83713 7550 Emerald St Ste 101 Boise, ID 83704 901 N Curtis Rd Ste 204 Boise, ID 83706 (208) 939-3334 (208) 375-0666 (208) 376-7313 (208) 322-6200 (208) 336-8250 (208) 939-3334 (208) 336-8250 (208) 938-5255 (208) 938-5255 (208) 939-3334 (208) 658-9500 ADA Accessible (208) 367-3315 (208) 672-8144 (208) 367-8989 (208) 367-3315 (208) 367-8989 (208) 422-9826 (208) 367-3315 (209) 302-9850 (208) 367-8989 (208) 323-2600 (208) 342-4263 (208) 377-3850 (208) 367-3315 (208) 336-8250 (208) 367-3315 (208) 367-3315 (208) 938-5255 (208) 367-3315 (208) 322-8709 (208) 658-9500 ADA Accessible (208) 367-8989 (208) 367-3315 (208) 367-3315 (208) 378-0256 (208) 375-0666 (208) 367-3315 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 126

Moss, Mark L PT Moss, Mark L PT Murphy, Nancy Murphy, Shaun Nelson, Steve Oliver, Charles C Page, Bradford R PT Pape, Jim Patterson, Reid J. Repulski, Jana Nicole Reyes, Krystal Lynn PT Rowe, Katie A PT Ruppert, Deanna Sands, Charles Sartin, Paul W PT Saul, Kevin Simpson, Connie Swanson, Kirstin Taylor, Jeffrey R PT Troxler, Josette Claire Trudeau, Brian Tyler, Zacher James PT Tyner, Ashley PT Tyner, Ashley PT Vanderford, Chris Wageman, Josh Wagner, Lynsey J PT Wagner, Lynsey J PT Wagner, Lynsey J PT Wahl, Andrea J. Wegley, Roger S Wegley, Roger S Wegley, Roger S Weiderman, Brian C PT Weiderman, Brian C PT Weiderman, Brian C PT Weiderman, Brian C PT 1520 W State St Ste 210 Boise, ID 83702-4085 960 Broadway Ave Ste 200 Boise, ID 83706 1050 W State St Boise, ID 83702 5959 N Discovery Pl Boise, ID 83713 901 N Curtis Rd Ste 204 Boise, ID 83706 7211 W Franklin Rd Boise, ID 83709-0926 1188 University Dr Boise, ID 83706 1050 W State St Boise, ID 83702 4776 N Five Mile Rd Ste 101 Boise, ID 83713-2715 600 N Robbins Rd Boise, ID 83702-4565 7979 W Rifleman St Boise, ID 83704-9066 7211 W Franklin Rd Boise, ID 83709-0926 717 N Liberty St Boise, ID 83706 7550 Emerald St Ste 101 Boise, ID 83704 1188 University Dr Boise, ID 83706 901 N Curtis Rd Ste 204 Boise, ID 83706 717 N Liberty St Boise, ID 83706 901 N Curtis Rd Ste 204 Boise, ID 83706 12072 W McMillan Rd Boise, ID 83713-2462 5909 W State St Boise, ID 83703-3039 5959 N Discovery Pl Boise, ID 83713 5520 N Eagle Rd Suite 102 Boise, ID 83713-2700 901 N Curtis Rd Ste 204 Boise, ID 83706 12072 W McMillan Rd Boise, ID 83713-2462 901 N Curtis Rd Ste 204 Boise, ID 83706 5959 N Discovery Pl Boise, ID 83713 1520 W State St Ste 210 Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83702-4085 960 Broadway Ave Ste 200 Boise, ID 83706 7550 Emerald St Ste 101 Boise, ID 83704 390 E Park Center Blvd Ste 130 Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83702-4085 960 Broadway Ave Ste 200 Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83706 390 E Park Center Blvd Ste 130 Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83702-4085 960 Broadway Ave Ste 200 Boise, ID 83706 (208) 336-8433 (208) 433-9211 (208) 424-8175 (208) 378-0256 (208) 367-3315 (208) 375-4200 ADA Accessible (208) 336-8250 (208) 424-8175 (208) 658-9500 ADA Accessible (208) 489-4599 (208) 377-3850 (208) 375-4200 ADA Accessible (208) 367-8989 (208) 375-0666 (208) 336-8250 (208) 367-3315 (208) 367-8989 (208) 367-3315 (208) 939-3334 (208) 343-7700 (208) 378-0256 (208) 938-5255 (208) 367-3315 (208) 939-0533 (208) 367-3315 (208) 378-0256 (208) 336-8433 (208) 336-8433 (208) 433-9211 (208) 375-0666 (208) 433-9211 (208) 336-8433 (208) 433-9211 (208) 336-8433 (208) 433-9211 (208) 336-8433 (208) 433-9211 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 127

Weldon, Garrett PT Weldon, Garrett PT White, Brian L PT Whitworth, Kala C PT Whitworth, Kala C PT Whitworth, Kala C PT Whitworth, Kala C PT Wilson, Ashley M PT Wilson, Karen A OT Wilson, Peggy Yoder, Brenda Ambrosier, Amy M Amideo, Nicole M PAC Anstrand, Charles J PA Arhets, Alexander J PA Ayers, Brianne L Babcock, Kelsey F PA Barnes, Darryl Barnes, Darryl Beach, Kelly S PAC Bishop, Rebecca Bledsoe, Aaron L PAC Boutkaska, Jude Briggs, Jessica A Brumpton, Tara J Burke, Danielle N Burke, Ryan PAC Buzzini, Robert J Buzzini, Robert J Cafferty, Ashley B Callaway, Jackie B Callaway, Jackie B Callaway, Jackie B Callaway, Jackie B Carmichael, Lindsey J PA 10790 W Overland Rd Boise, ID 83709-1329 5520 N Eagle Rd Suite 102 Boise, ID 83713-2700 1907 S Broadway Ave Ste 203 Boise, ID 83706-4244 1520 W State St Ste 210 Boise, ID 83706 390 E Park Center Blvd Ste 130 Boise, ID 83706 1520 W State St Ste 210 Boise, ID 83702-4085 960 Broadway Ave Ste 200 Boise, ID 83706 12072 W McMillan Rd Boise, ID 83713-2462 7211 W Franklin Rd Boise, ID 83709-0926 717 N Liberty St Boise, ID 83706 717 N Liberty St Boise, ID 83706 1520 W State St Ste 100 Boise, ID 83702-4084 190 E Bannock St 10th Fl Boise, ID 83704 901 N Curtis Rd Ste 104 Boise, ID 83706 7733 W Emerald St Boise, ID 83704-9020 1000 N Curtis Rd Ste 303 Boise, ID 83706 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 300 W Myrtle St Ste 100 Boise, ID 83702-7690 11197 W Fairview Ave Boise, ID 83713-7935 Boise, ID 83706-1309 6052 W State St Boise, ID 83703-2739 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 1520 W State St Ste 100 Boise, ID 83702-4084 10798 W Overland Rd Boise, ID 83709-1329 6140 W Curtisian Ave Ste 300 Boise, ID 83704-0107 11197 W Fairview Ave Boise, ID 83713-7935 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 901 N Curtis Rd Ste 501 Boise, ID 83706 999 N Curtis Rd Ste 505 Boise, ID 83706-1335 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 901 N Curtis Rd Ste 501 Boise, ID 83706-1343 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 7979 W Rifleman St Boise, ID 83704-9066 (208) 322-8709 (208) 938-5255 (208) 422-9826 Languages: DANISH (208) 336-8433 (208) 433-9211 (208) 336-8433 (208) 433-9211 (208) 939-3334 (208) 375-4200 ADA Accessible (208) 367-8989 (208) 367-8989 (208) 947-7700 (208) 381-5500 (208) 367-6099 (208) 939-4599 (208) 377-4000 (208) 302-0000 (208) 345-1222 (208) 472-9082 (208) 378-8011 (208) 367-3131 (208) 344-7799 (208) 323-1125 (208) 947-7700 (208) 377-3368 (208) 367-6575 (208) 378-8011 (208) 367-3330 -St Alphonsus Regional Medical Center Inc (208) 302-3900 -St Alphonsus Regional Medical Center Inc (208) 327-9521 (208) 367-3330 (208) 367-3330 (208) 855-2410 (208) 482-5500 (208) 855-2410 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 128

Carmichael, Lindsey J PA Carver, Erin PA Casebolt, Alex P PA Casebolt, Alex P PA Casebolt, Alex P PA Catchings, David PAC Catchings, David PAC Catchings, David PAC Chorn, Andy S Chorn, Andy S Church, Nathan Clark, Juliet M PAC Clark, Juliet M PAC Coleman, Scott R PAC Coleman, Scott R PAC Colson, Kathryn A Connley, Madeline L Coyne, Angela A PAC Crawford, Christian T PAC Culbertson, Eric R PA Delic, Zana PA DeMasters, Troy A Douthit, Thomas Eisenbraun, Valeri J PAC Fish, Stacy Flaker, Jeffrey PAC Flaker, Jeffrey PAC Fossen, Kathleen L Frelly, Stephen PAC Friel, Fred J Friel, Fred J Frix, Jeremy Fuhriman, Kathryn H Galloway, Meghan PAC Galloway, Meghan PAC 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 8950 W Emerald Ste 168 Boise, ID 83704 3301 N Sawgrass Way Boise, ID 83704-4493 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 6165 W Emerald St Boise, ID 83704 6165 W Emerald St Boise, ID 83704 901 N Curtis Rd Ste 501 Boise, ID 83706 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 6052 W State St Boise, ID 83703-2739 6533 W Emerald St Boise, ID 83704-8737 10255 W Overland Rd Boise, ID 83709-1430 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 8854 W Emerald St Ste 102 Boise, ID 83704 12273 W McMillan Rd Boise, ID 83713-0555 6051 N Eagle Rd Boise, ID 83713-0997 8971 W Overland Rd Boise, ID 83709-1651 633 N 4th St Boise, ID 83702-4510 950 W Bannock St Ste 1100 Boise, ID 83702-6140 6140 W Curtisian Ave Ste 100 Boise, ID 83704 900 N Liberty St Ste 400 Boise, ID 83704-8707 300 W Myrtle St Ste 100 Boise, ID 83702-7690 1072 N Liberty St Ste 100 Boise, ID 83704-8708 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 7733 W Emerald St Boise, ID 83704-9020 301 W Myrtle St Boise, ID 83702-7656 301 W Myrtle Boise, ID 83702 1130 E Fairview Ave Boise, ID 83713 6533 W Emerald St Boise, ID 83704-8737 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 (208) 482-5500 (208) 323-6273 (208) 375-0862 (208) 323-6273 (208) 884-2922 (208) 377-0777 (208) 377-0777 (208) 302-3900 (208) 855-2410 -St Alphonsus Regional Medical Center Inc (208) 482-5500 -St Alphonsus Regional Medical Center Inc (208) 344-7799 (208) 302-5100 Not accepting new patients (208) 302-5600 (208) 323-6273 (208) 884-2922 (208) 323-4747 (208) 302-5500 (208) 939-6227 (208) 378-4288 (208) 342-9800 (208) 319-3513 (208) 367-7090 -St Alphonsus Regional Medical Center Inc (208) 367-3320 (208) 472-9082 (208) 302-1200 (208) 367-3500 (208) 367-3500 (208) 367-3330 -St Alphonsus Regional Medical Center Inc (208) 939-4599 (208) 342-8200 (208) 342-8200 (208) 888-9393 (208) 302-5150 (208) 367-3500 (208) 367-3500 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 129

Gardner, Marshall E. Garver, Rachel Michelle Garver, Rachel Michelle Gill, Taya D PA Gill, Taya D PA Golus, Jaclyn PAC Goodspeed, Rebecca J PAC Griggs, Jeffrey Gunderson, Christopher D PAC Hall, Christine M Hamilton, Brady Hanson, Erik K Hardesty, Michael Hardesty, Michael Hart, Bryan Hart, Bryan Hart, Bryan Heaton, Rhoda E PAC Holder, Katy PAC Holmes, Cynthia L. Holmes, Cynthia L. Hoskins, Anna Hudson, Kevin M PAC Jensen, Brenna Lynn PA Josefow, Kathryn A PAC Josefow, Kathryn A PAC Kasumovic, Sandra PAC Kasumovic, Sandra PAC Kasumovic, Sandra PAC Kerns, Benjamin T King, Rachel M PA King, Rachel M PA King, Rachel M PA Kokoulina, Polina PAC Kokoulina, Polina PAC Lane, Michael J PA Lane, Sarah M PAC 727 E Riverpark Ln Ste 200 Boise, ID 83706-4097 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 901 N Curtis Rd Ste 501 Boise, ID 83706 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 388 E Parkcenter Blvd Boise, ID 83706-3942 6533 W Emerald St Boise, ID 83704-8737 703 S Americana Blvd Ste 120 Boise, ID 83702-6754 777 N Raymond St Boise, ID 83704-9251 6052 W State St Boise, ID 83703-2739 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 1075 N Curtis Rd Ste 101 Boise, ID 83706-1348 999 N Curtis Rd Ste 415 Boise, ID 83706 999 N Curtis Rd Ste 415 Boise, ID 83706 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 1072 N Liberty St Ste 300 Boise, ID 83706-8708 1072 N Liberty St Ste 303 Boise, ID 83706 Boise, ID 83709 222 N 2nd St Ste 115 Boise, ID 83702 1515 W State St Boise, ID 83702-4039 6533 W Emerald St Boise, ID 83704-8737 1072 N Liberty St Ste 201 Boise, ID 83704 1520 W State St Ste 100 Boise, ID 83702-4084 8950 W Emerald St Ste 168 Boise, ID 83704-8296 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 3587 S Federal Way Boise, ID 83705 6533 W Emerald St Boise, ID 83704-8737 6533 W Emerald St Boise, ID 83704-8737 4750 N Five Mile Rd Boise, ID 83713-2715 703 S Americana Blvd Ste 120 Boise, ID 83702-6754 6454 W Emerald St Boise, ID 83704-8734 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 Boise, ID 83709 900 N Liberty St Ste 101 Boise, ID 83704 388 E Parkcenter Blvd Boise, ID 83706-3942 9196 W Emerald St Ste 160 Boise, ID 83704-8045 (208) 433-9300 (208) 367-3330 (208) 302-3900 (208) 323-6273 (208) 884-2922 (208) 424-9101 (208) 302-5100 Not accepting new patients (208) 323-2600 (208) 367-6030 (208) 344-7799 (208) 323-1125 Languages: SPANISH (208) 367-7463 (208) 367-7676 (208) 367-7676 (208) 367-3500 (208) 367-2800 (208) 302-4200 (208) 639-4900 (208) 345-6768 (208) 302-5100 (208) 377-2273 (208) 947-7700 (208) 323-6273 (208) 323-2600 (208) 302-5300 (208) 302-5100 Not accepting new patients (208) 367-4179 Not accepting new patients (208) 375-0500 (208) 323-2600 (208) 377-0820 (208) 323-6273 (208) 884-2922 (208) 367-5050 (208) 424-9101 (208) 389-2213 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 130

Lawler, Helen Leonard, Bryce E Levitch, Rachel Lewis, Heather PA Lilly, Alanna E Loewenstein, Timothy Loewenstein, Timothy Loewenstein, Timothy Loewenstein, Timothy Loewenstein, Timothy Lute, Joshua M Lute, Joshua M Mack, Charisse Maffey, Jenna Magee, Stefanie Marsh, Marian M Marsh, Marian M Martin, Cory M PAC Maus, Eric R McGar, Dale W McIntyre, Shane M PAC Middleton, Julia Millward, Anthony F PAC Mitchell, Janet E. PAC Mitchell, Janet E. PAC Moon, Erin PAC Moore, Alanna Morrill, Scott Moss, Eric C Moss, Eric C Nielson, David E PAC O'Connor, Jared Ostermiller, Mariya PAC Otstot, Todd M Otstot, Todd M Ozier, Mary Ann PA 6140 W Curtisian Ave Ste 200 Boise, ID 83704-0107 1130 E Fairview Ave Boise, ID 83713 777 N Raymond St Boise, ID 83704-9251 1000 N Curtis Rd Ste 202 Boise, ID 83706-1346 12273 W McMillan Rd Boise, ID 83713-0555 1130 E Fairview Ave Boise, ID 83713 8971 W Overland Rd Boise, ID 83709-1651 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 11197 W Fairview Ave Boise, ID 83713-7935 6052 W State St Boise, ID 83703-2739 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 190 E Bannock St 10th Fl Boise, ID 83704 11197 W Fairview Ave Boise, ID 83713-7935 999 N Curtis Rd Ste 415 Boise, ID 83706 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 6140 W Curtisian Ave Ste B10 Boise, ID 83704-8880 3587 S Federal Way Boise, ID 83705 Boise, ID 83709 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 8971 W Overland Rd Boise, ID 83709-1651 7979 W Rifleman St Boise, ID 83704-9066 300 S 23rd St Boise, ID 83702 1515 W State St Boise, ID 83702-4039 6500 W Emerald St Boise, ID 83704-8736 1075 N Curtis Rd Ste 100 Boise, ID 83706-1348 1072 N Liberty St Ste 203 Boise, ID 83704-8708 6052 W State St Boise, ID 83703-2739 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 6140 W Curtisian Ave Ste 400 Boise, ID 83704-8907 10583 W Lake Hazel Rd Boise, ID 83709 7733 W Emerald St Boise, ID 83704-9020 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1188 University Dr Boise, ID 83706 (208) 302-0000 (208) 888-9393 (208) 367-6030 (208) 377-3435 (208) 302-5500 (208) 888-9393 (208) 378-4288 (208) 345-1222 (208) 378-8011 (208) 344-7799 (208) 855-2410 (208) 482-5500 (208) 381-5500 (208) 378-8011 (208) 367-7676 (208) 367-8333 (208) 367-8333 (208) 302-5300 -St Alphonsus Regional Medical Center Inc (208) 367-7787 (208) 378-4288 (208) 855-2410 (208) 344-3512 (208) 345-6768 (208) 377-0777 (208) 377-5166 (208) 367-4321 -St Alphonsus Regional Medical Center Inc (208) 344-7799 (208) 855-2410 (208) 482-5500 (208) 367-3500 (208) 302-5900 (208) 939-4599 (208) 323-6273 (208) 884-2922 (208) 336-8250 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 131

Papa, Jared W Papa, Jared W Paytash, Susan Paytash, Susan Piccono, Molly C Piccono, Molly C Piccono, Molly C Piccono, Molly C Pollmann, Robert PA Poly, Laura PAC Proctor, Erin PA Rambow, Thomas Rios, Raul PAC Rogers, Victoria S Rogers, Victoria S Rota, Nicole PAC Rothwell, Tara C PAC Sampogna, Marina J PA Sanders, Lisa K Schwartz, Amanda R PA Schwartz, Amanda R PA Schwartz, Amanda R PA Schwartz, Amanda R PA Shaw, Brenda J PAC Shinkle, Samuel J Shuey, Yelena Sielaff, Jenna Skelly, Katherine G PAC Smith, Jeffrey D PAC Smith, Jeffrey D PAC Smith, Preston Scott Smith, Preston Scott Snyderman, David PAC Stear, Jennifer L PAC Stear, Jennifer L PAC Steinburg, Rick L 121 E Fort St Boise, ID 83712-6322 215 W 35th St Boise, ID 83714-6520 6533 W Emerald St Boise, ID 83704-8737 2141 E Parkcenter Blvd Boise, ID 83706-6701 6140 W Curtisian Ave Ste 100 Boise, ID 83704 900 N Liberty St Ste 101 Boise, ID 83704 900 N Libery St Ste 101 Boise, ID 83704 900 N Liberty St Ste 101 Boise, ID 83704 600 N Robbins Rd Ste 300 Boise, ID 83702-4568 300 E Bannock St Boise, ID 83712-6207 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 6th Fl Boise, ID 83706-1309 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 7272 W Potomac Dr Boise, ID 83704-9149 13960 W Wainwright Dr Boise, ID 83713-1969 10255 W Overland Rd Boise, ID 83709-1430 403 S 11th St Ste 100 Boise, ID 83702-6968 6533 W Emerald St Boise, ID 83704-8737 6533 W Emerald St Boise, ID 83704-8737 1072 N Liberty St Ste 203 Boise, ID 83704-8708 3587 S Federal Way Boise, ID 83705 4750 N Five Mile Rd Boise, ID 83713-2715 4971 W Overland Rd Boise, ID 83705 6533 W Emerald St Boise, ID 83704-8737 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 300 S 23rd St Boise, ID 83702 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 727 E Riverpark Ln Ste 200 Boise, ID 83706-4097 (208) 367-6030 (208) 367-6030 (208) 302-5100 Not accepting new patients (208) 302-5000 (208) 367-7090 (208) 367-5050 (208) 367-5050 (208) 367-5050 (208) 489-4016 (208) 342-7400 (208) 367-8333 (208) 367-4343 (208) 345-1222 (208) 323-6273 (208) 884-2922 (208) 884-2922 (208) 947-5390 (208) 302-5600 (208) 429-0300 (208) 302-5100 Not accepting new patients (208) 367-4179 Not accepting new patients (208) 367-4321 (208) 302-5300 (208) 375-0500 (208) 472-5050 (208) 302-5100 Not accepting new patients Languages: RUSSIAN (208) 367-7787 (208) 323-1125 (208) 855-2410 (208) 482-5500 (208) 323-6273 (208) 884-2922 (208) 344-3512 (208) 855-2410 -St Alphonsus Regional Medical Center Inc (208) 482-5500 -St Alphonsus Regional Medical Center Inc (208) 433-9300 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 132

Steinburg, Rick L Tate, Nancy Thurston, Christina M Tindal, Megan Marie Trainor, Sadie M PAC Trainor, Sadie M PAC Trump, Richard Trump, Richard Trump, Richard Trump, Richard Tuthill, Mary Ann PAC Tuthill, Mary Ann PAC Valentine, Dominick M PAC Vickers, Amber M PA Vincent, Kelly Jo Wampold, Sarah PAC Watsen, Sharene E PA Weber, Colette D Weber, Colette D Weber, Colette D Wells, Becky White, Michael D PAC Whitted, Daniel Yan, Jie Young, James F Plastic Surgery Etherington, Linsey MD Plastic Surgery Etherington, Linsey MD Plastic Surgery Podiatry Anderson, Kerry W DPM Podiatry Benedict, Randall L DPM Podiatry DeVries, Jason B DPM Podiatry Jones, Stewart O DPM Podiatry Kinghorn, Kurt E DPM Podiatry Leis, Stanley B DPM Podiatry 727 E Riverpark Ln Ste 100 Boise, ID 83706-4097 Boise, ID 83709 222 N 2nd St Ste 204 Boise, ID 83702-6130 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 999 N Curtis Rd Ste 415 Boise, ID 83706 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 6533 W Emerald St Boise, ID 83704-8737 6140 W Curtisian Ave Ste 300 Boise, ID 83704-0107 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 4971 W Overland Rd Boise, ID 83705 8854 W Emerald St Ste 102 Boise, ID 83704 222 N 2nd St Ste 204 Boise, ID 83702-6130 403 S 11th St Ste 100 Boise, ID 83702-6968 6533 W Emerald St Boise, ID 83704-8737 900 N Liberty St Ste 204 Boise, ID 83704 10583 W Lake Hazel Rd Boise, ID 83709 6052 W State St Boise, ID 83703-2739 403 S 11th St Ste 100 Boise, ID 83702-6968 6590 W Norwood Dr Boise, ID 83706 6533 W Emerald St Boise, ID 83704-8737 6165 W Emerald St Boise, ID 83704 6140 W Curtisian Ave Boise, ID 83704 900 N Liberty St Ste 101 Boise, ID 83704 809 N Liberty St Boise, ID 83704-8703 809 N Liberty St Boise, ID 83704-8703 727 E Riverpark Ln Ste 100 Boise, ID 83706-4097 809 N Liberty St Boise, ID 83704-8703 222 N 2nd St Ste 301 Boise, ID 83702-6131 809 N Liberty St Boise, ID 83704-8703 (208) 388-8900 (208) 429-9100 (208) 367-3330 (208) 855-2410 (208) 482-5500 (208) 367-3330 (208) 367-7676 (208) 855-2410 (208) 482-5500 (208) 302-5100 Not accepting new patients (208) 367-6575 (208) 367-7787 (208) 472-5050 -St Alphonsus Regional Medical Center Inc (208) 323-4747 (208) 429-9100 -St Alphonsus Regional Medical Center Inc (208) 429-0300 (208) 302-5100 Not accepting new patients (208) 367-7090 (208) 302-5900 (208) 344-7799 (208) 429-0300 (208) 855-2410 (208) 302-5150 (208) 377-0777 (208) 367-5050 -St Alphonsus Regional Medical Center Inc (208) 367-5050 -St Alphonsus Regional Medical Center Inc (208) 375-6454 (208) 375-6454 (208) 319-0497 (208) 375-6454 (208) 344-3324 -St Alphonsus Regional Medical Center Inc (208) 375-6454 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 133

Owen, Dana S DPM Podiatry Owen, James J DPM Podiatry Smiley-Leis, Rebecca A DPM Podiatry Stano, William S. DPM Podiatry Swensen, Robert A DPM Podiatry Swensen, Robert A DPM Podiatry Psychiatry Abbasi, Kafia Psychiatry Bostick, Marc W MD Psychiatry Boyer, Michele L MD Psychiatry Boyer, Michele L MD Psychiatry Bushi, Stephen T MD Psychiatry Desai, Abhilash K MD Psychiatry Germain, Ninon M Psychiatry Germain, Ninon M Psychiatry Gilbreath, Eric C MD Psychiatry, Psychiatry, Child/Adolescent Hagen, Barbara J. MD Psychiatry Jones, Jeralyn J MD Psychiatry Kent, David A MD Psychiatry Negron, Roberto A MD Psychiatry Negron, Roberto A MD Psychiatry Novak, Charles C MD Psychiatry Novak, Charles C MD Psychiatry Olnes, Andy L. MD Psychiatry Piktel, James H MD Psychiatry Piktel, James H MD Psychiatry Saccomando, James G MD Psychiatry Stoddart, Jeremy R MD Psychiatry Streeter, Christopher D Psychiatry Weathers, Coire Psychiatry Weathers, Coire Psychiatry Wills, Alex B Psychiatry Psychology Barry, James R Psychology Booth, Raydell J PY Psychology Brady, Molly M Psychology 900 N Liberty St Ste 306 Boise, ID 83704-8729 900 N Liberty St Ste 306 Boise, ID 83704-8729 809 N Liberty St Boise, ID 83704-8703 220 W Jefferson St Boise, ID 83702-6044 1075 N Curtis Rd Ste 300 Boise, ID 83706-1348 Boise, ID 83706-1309 131 N Allumbaugh St Boise, ID 83704-9204 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 131 N Allumbaugh St Boise, ID 83704-9204 1902 W Judith Ln Ste 110 Boise, ID 83705-5209 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 131 N Allumbaugh St Boise, ID 83704-9204 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 413 N Allumbaugh Ste 101 Boise, ID 83704 1529 Belmont St Boise, ID 83706 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 131 N Allumbaugh St Boise, ID 83704-9204 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 131 N Allumbaugh St Boise, ID 83704-9204 131 N Allumbaugh Boise, ID 83706 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 131 N Allumbaugh St Boise, ID 83704-9204 6094 W Emerald St Boise, ID 83704-8855 777 N Raymond St Boise, ID 83704-9251 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 131 N Allumbaugh St Boise, ID 83704-9204 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 950 W Bannock St Ste 1100 Boise, ID 83702-6140 6003 W Overland Rd Ste 301 Boise, ID 83709-3077 4700 N Cloverdale Rd Ste 215 Boise, ID 83713-1068 717 N Liberty St Boise, ID 83706 (208) 367-7887 (208) 367-7887 (208) 375-6454 (208) 343-8907 (208) 367-3330 -St Alphonsus Regional Medical Center Inc (208) 367-6038 -St Alphonsus Regional Medical Center Inc (208) 367-2175 -St Alphonsus Regional Medical Center Inc (208) 323-1125 (208) 323-1125 (208) 367-2175 (208) 658-0800 (617) 922-4957 (208) 367-2175 (208) 323-1125 (208) 323-1125 (208) 323-1125 (208) 426-1459 (208) 323-1125 (208) 323-1125 (208) 367-2175 (208) 323-1125 (208) 367-2175 (208) 367-6500 (208) 323-1125 (208) 367-2175 (208) 514-2500 (208) 367-6030 (208) 323-1125 (208) 367-2175 (208) 323-1125 (208) 319-3513 (208) 672-8699 (208) 377-1171 (208) 367-8989 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 134

Brotman, Adam H PY Psychology Calhoun, Robert F Psychology Crow, Candice K PY Psychology DeBoard, Sarah Marion Psychology Dennis, J Michael PY Psychology Eckhardt, Janelle PY Psychology Eiguren, Amaya A PY Psychology Eisenbeiss, Michael J LMHC, PY Psychology, Etnyre, Allison L Psychology Gage, Jason Psychology Gage, Jason Psychology Gerrish, Winslow G Psychology Hogan, Mariella L Psychology Holley, Helen Psychology Holley, Helen Psychology Johnston, Michael D Psychology Magel, Larkin E. Psychology Radcliffe, Alison Psychology Root, Rachel A Psychology Stacy, Mardi PY Psychology Sylvester, Merry E PY Psychology Tandy, William Psychology Tandy, William Psychology Thomas, Brett PY Psychology Tye, Ronald B PY Psychology Pulmonary Disease Charan, Nirmal J Pulmonary Disease Charan, Nirmal J Pulmonary Disease Charan, Nirmal J Pulmonary Disease Charan, Nirmal J Pulmonary Disease Clark, Robert L Pulmonary Disease Crowley, Joseph J MD Pulmonary Disease Crowley, Joseph J MD Pulmonary Disease East, Norman J MD Pulmonary Disease East, Norman J MD Pulmonary Disease East, Norman J MD Pulmonary Disease 740 E Warm Springs Ave Boise, ID 83712-6420 311 N Allumbaugh St Boise, ID 83704-9208 2717 W Bannock St Ste 101 Boise, ID 83702-4759 717 N Liberty St Boise, ID 83706 311 N Allumbaugh St Boise, ID 83704-9208 1221 W Hays St Boise, ID 83702-5316 740 E Warm Springs Ave Boise, ID 83712-6420 315 N Allumbaugh St Boise, ID 83704-9208 6650 W Emerald St Boise, ID 83704-8738 311 N Allumbaugh St Boise, ID 83704-9208 717 N Liberty St Boise, ID 83706 777 N Raymond St Boise, ID 83704-9251 1010 W Hays St Boise, ID 83702-5435 Boise, ID 83706-1309 6th Fl Boise, ID 83706-1309 311 N Allumbaugh St Boise, ID 83704-9208 311 N Allumbaugh St Boise, ID 83704-9208 1529 Belmont St Boise, ID 83706 6003 W Overland Rd Ste 301 Boise, ID 83709-3077 1718 W Jefferson St Boise, ID 83702-3949 Boise, ID 83706-1309 3308 N Cole Rd Ste A Boise, ID 83704-4407 6003 W Overland Rd Ste 301 Boise, ID 83709-3077 311 N Allumbaugh St Boise, ID 83704-9208 6003 W Overland Rd Ste 301 Boise, ID 83709-3077 1075 N Curtis Rd Ste 200 Boise, ID 83706-1300 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 6140 W Curtisian Ave Ste B10 Boise, ID 83704-8880 Boise, ID 83706-1309 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 Boise, ID 83706-1309 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 (208) 343-7797 (208) 375-6402 (208) 343-9900 (208) 367-8989 (208) 375-6402 -St Alphonsus Regional Medical Center Inc (208) 345-8712 (208) 343-7797 (208) 376-3546 (208) 860-0770 (208) 375-6402 (208) 367-8989 (208) 367-6030 (208) 284-5273 (208) 367-3722 (208) 367-4343 (208) 375-6402 -St Alphonsus Regional Medical Center Inc (208) 375-6402 (208) 426-1459 (208) 672-8699 (208) 424-8130 (208) 367-3722 (208) 378-1122 (208) 672-8699 (208) 375-6402 (208) 672-8699 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 367-6238 -St Alphonsus Regional Medical Center Inc (208) 367-8333 (208) 367-8333 (208) 367-3722 (208) 367-8333 (208) 367-8333 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 135

East, Norman J MD Pulmonary Disease East, Norman J MD Pulmonary Disease El-Ashram, Nayer B MD Pulmonary Disease, Goltry, Brian W. MD Pulmonary Disease Holweger, Joshua D MD Pulmonary Disease O'Donnell, Janat E Pulmonary Disease, Sleep Disorder Medicine O'Donnell, Janat E Pulmonary Disease, Sleep Disorder Medicine O'Donnell, Janat E Pulmonary Disease, Sleep Disorder Medicine Patel, Anil Pulmonary Disease Patel, Anil Pulmonary Disease Patel, Anil Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Sutherland, Kathleen R MD Pulmonary Disease Sutherland, Kathleen R MD Pulmonary Disease Radiation Oncology Brooks, Joseph MD Radiation Oncology Gamboa, John E MD Radiation Oncology Sales, Lindsay R MD Radiation Oncology Cegnar, Janet Cegnar, Janet Cegnar, Janet Cegnar, Janet Cegnar, Janet Cegnar, Janet Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Coffman, Carolyn E MD 6140 W Curtisian Ave Ste B10 Boise, ID 83704-8880 7272 Potomac Dr Boise, ID 83704 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 Boise, ID 83706-1309 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 6140 W Curtisian Ave Ste B10 Boise, ID 83704-8880 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 6140 W Curtisian Ave Ste B10 Boise, ID 83704-8880 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 Boise, ID 83706-1309 9357 W Emerald St Boise, ID 83704-9752 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 Boise, ID 83706-1309 6200 W Emerald St Boise, ID 83704 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 161 E Mallard Dr Ste 130 Boise, ID 83706-5015 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 Boise, ID 83706-1309 6200 W Emerald St Boise, ID 83704 927 W Myrtle St Boise, ID 83702-7061 927 W Myrtle St Boise, ID 83702-7061 6651 W Franklin Rd Boise, ID 83709-0914 161 E Mallard Ste 120 Boise, ID 83706-5015 Boise, ID 83706-1309 (208) 367-8333 (208) 367-8333 (208) 367-8333 -St Joseph Regional Medical Center (208) 367-3722 (208) 367-8333 -St Alphonsus Regional Medical Center Inc (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 323-6273 (208) 884-2922 (208) 367-8333 (208) 367-8333 (208) 367-3131 (208) 672-1000 -St Alphonsus Regional Medical Center Inc (208) 367-3131 (208) 367-7510 (208) 367-7510 (208) 367-2161 (208) 381-2055 (208) 367-4170 (208) 367-6030 (208) 991-5201 (208) 367-7510 (208) 367-2161 (208) 367-2161 (208) 381-2055 (208) 367-7510 (208) 367-7510 (208) 685-2413 (208) 639-6621 (208) 367-5670 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 136

Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Giles, David J MD Giles, David J MD Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Goodman, Cyle Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Jackson, John A MD 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 6565 W Emerald St Boise, ID 83704-8737 207 W Washington St Boise, ID 83702 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 161 E Mallard Dr Ste 130 Boise, ID 83706-5015 161 E Mallard Dr Ste 130 Boise, ID 83706-5015 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 Boise, ID 83706-1309 6200 W Emerald St Boise, ID 83704 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 927 W Myrtle St Boise, ID 83702-7061 927 W Myrtle St Boise, ID 83702-7061 6651 W Franklin Rd Boise, ID 83709-0914 161 E Mallard Ste 120 Boise, ID 83706-5015 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 377-5055 (208) 343-2079 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 991-5201 -St Alphonsus Regional Medical Center Inc (208) 991-5201 (208) 367-7510 (208) 367-7510 (208) 367-2161 (208) 381-2055 (208) 367-8333 (208) 367-7510 (208) 367-7510 (208) 685-2413 (208) 639-6621 (208) 367-4170 (208) 367-6030 (208) 367-5670 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 137

Jackson, John A MD Jackson, John A MD Jackson, John A MD Jackson, John A MD Jackson, John A MD Jackson, John A MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Modica, Michael J MD Modica, Michael J MD Modica, Michael J MD Modica, Michael J MD Modica, Michael J MD Modica, Michael J MD Modica, Michael J MD Moore, Matt T Moore, Matt T Moore, Matt T Moore, Matt T Moore, Matt T Moore, Matt T Moore, Matt T Papenfuss, Mark 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 161 E Mallard Dr Ste 130 Boise, ID 83706-5015 6200 W Emerald St Boise, ID 83704-8730 161 E Mallard Dr Ste 130 Boise, ID 83706-5015 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 Boise, ID 83706-1309 6200 W Emerald St Boise, ID 83704 927 W Myrtle St Boise, ID 83702-7061 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 161 E Mallard Dr Ste 130 Boise, ID 83706-5015 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 Boise, ID 83706-1309 6200 W Emerald St Boise, ID 83704 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 927 W Myrtle St Boise, ID 83702-7061 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 991-5201 (208) 472-8172 (208) 991-5201 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 367-7510 (208) 367-2161 (208) 367-2161 (208) 381-2055 (208) 367-7510 (208) 367-4170 (208) 367-6030 (208) 991-5201 (208) 367-7510 (208) 367-2161 (208) 367-2161 (208) 381-2055 (208) 367-4170 (208) 367-6030 (208) 367-7510 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 138

Papenfuss, Mark Papenfuss, Mark Papenfuss, Mark Papenfuss, Mark Papenfuss, Mark Peck, Dallas D Peck, Dallas D Peck, Dallas D Peck, Dallas D Peck, Dallas D Peck, Dallas D Peck, Dallas D Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Boise, ID 83706-1309 Boise, ID 83706-1309 6200 W Emerald St Boise, ID 83704 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 (208) 367-2161 (208) 367-2161 (208) 381-2055 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 139

Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Wegner, Daniel J MD Wegner, Daniel J MD Wegner, Daniel J MD Wegner, Daniel J MD Wegner, Daniel J MD Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6200 W Emerald St Boise, ID 83704 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 161 E Mallard Dr Ste 130 Boise, ID 83706-5015 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 Boise, ID 83706-1309 6200 W Emerald St Boise, ID 83704 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 381-2055 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-4170 (208) 367-6030 (208) 991-5201 (208) 367-7510 (208) 367-2161 (208) 367-2161 (208) 381-2055 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 140

Wegner, Daniel J MD Wegner, Daniel J MD Shaver, Rodger W. MD Shaver, Rodger W. MD Shaver, Rodger W. MD Shaver, Rodger W. MD, Vascular & Interventional Davey, Ian C MD, Vascular & Interventional Davey, Ian C MD, Vascular & Interventional Davey, Neil C MD, Vascular & Interventional Davey, Neil C MD, Vascular & Interventional Garabedian, Vicken MD, Vascular & Interventional, Internal Medicine Garabedian, Vicken MD, Vascular & Interventional, Internal Medicine Giauque, Anthony P MD, Vascular & Interventional Giauque, Anthony P MD, Vascular & Interventional Registered Nurse/First Assistant Crawford, Robert Registered Nurse/First Assistant Rheumatology Ader, John T DO Rheumatology Ader, John T DO Rheumatology Eckland, Steven R. MD Rheumatology Rupp, Peggy A MD Rheumatology Timmons, Kelly A MD Rheumatology, Timmons, Kelly A MD Rheumatology, Sleep Disorder Medicine Carvalho, Paula J Sleep Disorder Medicine Carvalho, Paula J Sleep Disorder Medicine Carvalho, Paula J Sleep Disorder Medicine Carvalho, Paula J Sleep Disorder Medicine Carvalho, Paula J Sleep Disorder Medicine Hale, Jennifer DO Sleep Disorder Medicine Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease 6533 W Emerald St Boise, ID 83704-8737 777 N Raymond St Boise, ID 83704-9251 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 161 E Mallard Dr Ste 130 Boise, ID 83706-5015 6200 W Emerald St Boise, ID 83704-8730 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 927 W Myrtle St Boise, ID 83702-7061 Boise, ID 83706-1309 8854 W Emerald St Ste 140 Boise, ID 83704 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 222 N 2nd Ste 304 Boise, ID 83702 901 N Curtis Rd Ste 404 Boise, ID 83706-1342 8950 W Emerald St Ste 168 Boise, ID 83704-8296 7272 W Potomac Dr Boise, ID 83704-9149 Boise, ID 83706-1309 1075 N Curtis Rd Ste 200 Boise, ID 83706-1300 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 6140 W Curtisian Ave Ste B10 Boise, ID 83704-8880 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1118 NW 16th St Ste A Boise, ID 83706 7272 Potomac Dr Boise, ID 83704 Boise, ID 83706-1309 (208) 367-4170 (208) 367-6030 (208) 367-5670 (208) 367-7510 (208) 991-5201 (208) 472-8172 (208) 367-7510 (208) 367-2161 (208) 367-7510 (208) 367-2161 (208) 367-7510 (208) 367-2161 (208) 367-7510 (208) 367-2161 (208) 321-4790 (208) 323-6273 (208) 884-2922 (208) 433-0232 (208) 322-1920 (208) 323-6273 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2922 -Saint Alphonsus Medical Center Nampa Inc (208) 367-3722 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 464-6449 (208) 367-8333 (208) 367-3722 Not accepting new patients Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 141

Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Troyer, Brett Eric MD Sleep Disorder Medicine, Pulmonary Disease Ahlrichs, Thomas LSW Ashenbrener, Sadie Baccheschi, Gail M LSW Barth, Wendy Bild, Renee O Brown, Katie Cain, Jaimie L Callens, Lloyd Anthony Carlson, Bette Chrisman, Jill Chrisman, Jill Conley-Durkin, Shelly Conley-Durkin, Shelly Currie-Mills, Claudia LSW Eames, Kimi LSW Garcia, Trisha L LSW Gerhardt, Julia P. LSW Gosline, Matthew T LSW Gratton, Molly Diann Hakes, Diane T LSW Hatten, Renee D. LSW Hislop, Donna LSW Hollander, Brigett W LSW Johannsen, Deanna M LSW Johnson, S Lori LSW Johnson, Susanne J LSW Krumm, Jane E Lara, Benjamin Ramon LSW Lee, Gary W. Linz, Megan M Lusby, Laurisa R 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 6140 W Curtisian Ave Ste B10 Boise, ID 83704-8880 7272 Potomac Dr Boise, ID 83704 403 S 11th St Ste 210 Boise, ID 83702-6968 777 N Raymond St Boise, ID 83704-9251 740 E Warm Springs Ave Boise, ID 83712-6420 1408 W Hays St Boise, ID 83702 910 W Main St Ste 338 Boise, ID 83702-5748 1718 W Jefferson St Boise, ID 83702 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 1880 W Judith Ln Boise, ID 83705-3119 413 Allumbaugh St Ste 102 Boise, ID 83704 600 E Riverpark Ln Ste 200 Boise, ID 83706-6562 777 N Raymond St Boise, ID 83704-9251 6094 W Emerald St Boise, ID 83704-8855 3775 N Eagle Rd Boise, ID 83713-5005 131 N Allumbaugh St Boise, ID 83704-9204 300 W Main St Boise, ID 83702 1880 W Judith Ln Boise, ID 83705-3119 1529 Belmont St Boise, ID 83706 6550 Emerald St Ste 110 Boise, ID 83704-4700 740 E Warm Springs Ave Boise, ID 83712-6420 2995 N Cole Rd Ste 115 Boise, ID 83704-5965 315 N Allumbaugh St Boise, ID 83704-9208 1408 W Hays St Boise, ID 83702-5028 2316 N Cole Rd Ste A Boise, ID 83704-7365 3308 N Cole Rd Ste A Boise, ID 83704-4407 131 N Allumbaugh St Boise, ID 83704-9204 10112 W Overland Rd Boise, ID 83709 777 N Raymond St Boise, ID 83704-9251 315 N Allumbaugh St Boise, ID 83704-9208 9196 W Barnes Dr Boise, ID 83709-1552 600 N Curtis Rd Ste 125 Boise, ID 83706-1450 6126 W State St Ste 106 Boise, ID 83703-2741 6550 W Emerald St Ste 110 Boise, ID 83704 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 367-8333 (208) 895-0411 (208) 367-6030 (208) 343-7797 (208) 343-1403 (208) 322-7699 (208) 336-3031 (208) 323-1125 (208) 302-5200 (208) 287-0993 (208) 344-5457 (208) 367-6030 (208) 514-2500 (208) 954-0670 (208) 367-2175 (208) 570-3815 (208) 302-5200 (208) 426-1459 (208) 297-8585 (208) 343-7797 (208) 860-0790 (208) 376-3546 (208) 321-7735 (208) 908-6399 (208) 378-1122 (208) 367-2175 (208) 780-3900 (208) 367-6030 (208) 376-3546 (208) 433-0400 (208) 376-6109 (208) 695-3014 (208) 921-3501 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 142

McCleaft, Esther A LSW McCullough, Mark A LSW Mezo, Melissa LSW Midgett, Bradley LSW Miles, Amy A. Minter, Kimberlee Barrett LSW Moon, Heather K Moon, Heather K Nelsen, Deborah J Niezwaag, Leah M LSW O'Brien, Sarah L LSW Olson, Amy Perry, Kenneth R LSW Posluszny, Matt T LSW Poulsen, Tammy Powell, Nathan E Reusser, John R Root, Laura E LSW Root, Laura E LSW Rutten-Turner, Elizabeth A LSW Schaffeld, Mark P Schlegel-Preheim, Jenna A Simon, Mary M Simon, Mary M Smith, Jim B Smith, Kathy L Stockett, Jeremy J LSW Torrez, Javier LSW Turner, Ann E LSW Uberuaga, Damiana Uberuaga, Damiana Vogel, William LSW Walker-Novi, Dani West, Natalie N LSW Woodall, Deborah LSW Woods, Melissa A LSW Woods, Melissa A LSW 300 S 23rd St Boise, ID 83702 300 S 23rd St Boise, ID 83702 300 S 23rd St Boise, ID 83702 7265 Potomac Dr Boise, ID 83704-9150 413 Allumbaugh St Ste 102 Boise, ID 83704 413 N Allumbaugh St Ste 101 Boise, ID 83704-9219 121 E Fort St Boise, ID 83712-6322 6094 W Emerald St Boise, ID 83704-8855 315 N Allumbaugh St Boise, ID 83704-9208 740 E Warm Springs Ave Boise, ID 83712-6420 1529 Belmont St Boise, ID 83706 Boise, ID 83706-1309 740 E Warm Springs Ave Boise, ID 83712-6420 300 S 23rd St Boise, ID 83702 Boise, ID 83706-1309 740 E Warm Springs Ave Boise, ID 83712-6420 Boise, ID 83706-1309 315 N Allumbaugh St Boise, ID 83704-9208 131 N Allumbaugh St Boise, ID 83704-9204 900 N Liberty St Ste 204 Boise, ID 83704 Boise, ID 83706-1309 740 E Warm Springs Ave Boise, ID 83712-6420 6140 W Emerald St Boise, ID 83704-8857 1412 W Washington St Boise, ID 83702-5038 300 S 23rd St Boise, ID 83702 717 N Liberty St Boise, ID 83706 131 N Allumbaugh St Boise, ID 83704-9204 121 E Fort St Boise, ID 83712-6322 10112 W Overland Rd Boise, ID 83709 131 N Allumbaugh St Boise, ID 83704-9204 2717 W Bannock St Boise, ID 83702-4759 300 S 23rd St Boise, ID 83702 300 S 23rd St Boise, ID 83702 740 E Warm Springs Ave Boise, ID 83712-6420 300 S 23rd St Boise, ID 83702 300 S 23rd St Boise, ID 83702 400 N Allumbaugh St Boise, ID 83704-9209 (208) 344-3512 (208) 344-3512 (208) 344-3512 (208) 559-3319 (208) 287-0993 (208) 323-1125 (208) 367-6030 (208) 514-2500 (208) 376-3546 (208) 343-7797 (208) 426-1459 (208) 367-6238 (208) 343-7797 (208) 344-3512 (208) 367-3722 (208) 343-7797 (208) 367-6238 (208) 376-3546 (208) 367-2175 (208) 367-2161 (208) 367-6238 (208) 343-7797 (208) 367-3300 (208) 319-6948 (208) 344-3512 (208) 367-8989 (208) 367-2175 (208) 367-6030 (208) 780-3900 (208) 367-2175 (208) 344-2687 (208) 344-3512 (208) 344-3512 (208) 343-7797 (208) 344-3512 (208) 344-3512 (208) 377-9669 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 143

Yancey, Becky L LSW Speech Language Pathology Ambrose, Marla Kay SLPA Speech Language Pathology Bethke, Amber M SLPA Speech Language Pathology Boyd, Claire M Speech Language Pathology Burney, Jenifer M SLPA Speech Language Pathology Chatterton, Rian Noel SLPA Speech Language Pathology Harris, Sydney Speech Language Pathology Harris, Sydney Speech Language Pathology Jacobsen, Sara SLPA Speech Language Pathology Marion, Brandi Speech Language Pathology McCarthy, Laura Jean SLPA Speech Language Pathology Neidermyer, Suzanne M Speech Language Pathology Orlando, Kristin Kathleen SLPA Speech Language Pathology Overton, Allyson SLPA Speech Language Pathology Robinson, Heather Speech Language Pathology Subasic, Elizabeth Speech Language Pathology Wiskirchen, Megan K SLPA Speech Language Pathology Sports Medicine Smith, Craig M MD Sports Medicine Smith, Craig M MD Sports Medicine Smith, Craig M MD Sports Medicine Smith, Craig M MD Sports Medicine Smith, Craig M MD Sports Medicine Southard, Jennifer A Sports Medicine, Surgical Critical Care Fujii, Tisha K Surgical Critical Care Fujii, Tisha K Surgical Critical Care Hill, Britani R MD Surgical Critical Care Morgan, Billy R MD Surgical Critical Care Munayirji, Aziz (A George) G MD Surgical Critical Care Munayirji, Aziz (A George) G MD Surgical Critical Care Munayirji, Aziz (A George) G MD Surgical Critical Care Strawn, Dale Surgical Critical Care 740 E Warm Springs Ave Boise, ID 83712-6420 13895 W Wainwright Dr Boise, ID 83713-5011 7211 W Franklin Rd Boise, ID 83709-0926 7211 W Franklin Rd Boise, ID 83709-0926 7211 W Franklin Rd Boise, ID 83709-0926 13176 W Persimmon Ln Ste 120 Boise, ID 83713-5027 901 N Curtis Rd Ste 204 Boise, ID 83706 717 N Liberty St Boise, ID 83706 7211 W Franklin Rd Boise, ID 83709-0926 717 N Liberty St Boise, ID 83706 2300 S Orchard St Ste B Boise, ID 83705-6723 717 N Liberty St Boise, ID 83706 13895 W Wainwright Dr Boise, ID 83713-5011 7211 W Franklin Rd Boise, ID 83709-0926 717 N Liberty St Boise, ID 83706 717 N Liberty St Boise, ID 83706 7211 W Franklin Rd Boise, ID 83709-0926 901 N Curtis Rd Ste 501 Boise, ID 83706 5959 N Discovery Pl Boise, ID 83713-1556 6500 W Emerald St Boise, ID 83704-8736 7979 W Rifleman St Boise, ID 83704-9066 1789 S Broadway Ave Ste 100 Boise, ID 83706-3800 6533 W Emerald St Boise, ID 83704-8737 1075 N Curtis Rd Ste 200 Boise, ID 83704-1350 1075 N Curtis Rd Ste 201 Boise, ID 83706-1350 999 N Curtis Rd Ste 415 Boise, ID 83706 999 N Curtis Rd Ste 415 Boise, ID 83706 1055 N Curtis Boise, ID 83706 901 N Curtis Rd Ste 401 Boise, ID 83706-1342 999 N Curtis Rd Ste 415 Boise, ID 83706 999 N Curtis Rd Ste 415 Boise, ID 83706 (208) 343-7797 (208) 939-3334 (208) 375-4200 ADA Accessible (208) 375-4200 ADA Accessible (208) 375-4200 ADA Accessible (208) 376-3591 (208) 367-3315 (208) 367-8989 (208) 375-4200 ADA Accessible (208) 367-8989 (208) 908-6469 (208) 367-8989 (208) 939-3334 (208) 375-4200 ADA Accessible (208) 367-8989 (208) 367-8989 (208) 375-4200 ADA Accessible (208) 288-4700 -St Alphonsus Regional Medical Center Inc (208) 288-4700 -St Alphonsus Regional Medical Center Inc (208) 288-4700 -St Alphonsus Regional Medical Center Inc (208) 855-2410 -St Alphonsus Regional Medical Center Inc (208) 482-5500 -St Alphonsus Regional Medical Center Inc (208) 302-5100 Not accepting new patients (208) 367-8333 -St Alphonsus Regional Medical Center Inc (208) 367-8333 -St Alphonsus Regional Medical Center Inc (208) 367-7676 (208) 367-7676 (208) 472-8111 (208) 367-7676 (208) 367-7676 (208) 367-7676 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 144

Strong, Michelle L MD General Surgery, Surgical Critical Care Thoracic & Cardiac Surgery Fall, Stephen Thoracic & Cardiac Surgery Jones, Stephen D Thoracic & Cardiac Surgery Taylor, Benedict J Thoracic & Cardiac Surgery Taylor, Benedict J Thoracic & Cardiac Surgery Taylor, Benedict J Thoracic & Cardiac Surgery Underseas & Hyperbaric Medicine Lossmann, Scott D Underseas & Hyperbaric Medicine, Wound Care Urgent Care Ashby, Hansel MD Urgent Care Campana, Kirk A MD Urgent Care Domangue Shiflett, Natalie A MD Urgent Care Graff, Michael Urgent Care Little, Terry M DO Urgent Care Stolworthy, Lloyd D Urgent Care, Stolworthy, Lloyd D Urgent Care, Stone, Janine Urgent Care Turner, Mark A MD Urgent Care, Turner, Mark A MD Urgent Care, Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care 999 N Curtis Rd Ste 415 Boise, ID 83706 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 Boise, ID 83706-0000 Boise, ID 83706-1309 6533 W Emerald St Boise, ID 83704-8737 4750 N Five Mile Rd Boise, ID 83713-2715 4750 N Five Mile Rd Boise, ID 83713-2715 3587 S Federal Way Boise, ID 83705 4750 N Five Mile Rd Boise, ID 83713-2715 1130 E Fairview Ave Boise, ID 83713 11197 W Fairview Ave Boise, ID 83713-7935 11197 W Fairview Ave Boise, ID 83713-7935 4750 N Five Mile Rd Boise, ID 83713-2715 740 E Warm Springs Ave Boise, ID 83712-6420 1907 S Broadway Ste 101 Boise, ID 83706 300 W Myrtle St Boise, ID 83702-7690 8971 W Overland Rd Boise, ID 83709 11197 W Fairview Ave Boise, ID 83713-7935 1130 E Fairview Ave Boise, ID 83713 8971 W Overland Rd Boise, ID 83709-1651 1907 S Broadway Ave Ste 101 Boise, ID 83706-4229 11197 W Fairview Ave Boise, ID 83713-7935 6052 W State St Boise, ID 83703-2739 300 W Myrtle St Ste 100 Boise, ID 83702-7690 1907 S Broadway Ste 101 Boise, ID 83706 300 W Myrtle St Boise, ID 83702-7690 8971 W Overland Rd Boise, ID 83709 11197 W Fairview Ave Boise, ID 83713-7935 4971 W Overland Rd Boise, ID 83705 (208) 367-7676 -St Alphonsus Regional Medical Center Inc -St Joseph Regional Medical Center -Tacoma General Allenmore Hospital (208) 367-7787 (208) 367-7787 (208) 367-7787 -St Alphonsus Regional Medical Center Inc (208) 367-7787 -St Alphonsus Regional Medical Center Inc (208) 367-5080 -St Alphonsus Regional Medical Center Inc (208) 367-6038 (208) 302-5100 Not accepting new patients (208) 375-0500 (208) 375-0500 (208) 302-5300 (208) 375-0500 (208) 888-9393 (208) 378-8011 (208) 378-8011 (208) 375-0500 (208) 343-7797 (208) 345-1222 (208) 472-9082 (208) 378-4288 (208) 378-8011 (208) 888-9393 (208) 378-4288 (208) 345-1222 (208) 378-8011 (208) 344-7799 (208) 472-9082 (208) 345-1222 (208) 472-9082 (208) 378-4288 (208) 378-8011 (208) 472-5050 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 145

Urology Fairfax, Cynthia A MD Urology Fairfax, Cynthia A MD Urology King, Dawn K MD Urology King, Dawn K MD Urology Kuo, Helen MD Urology Miller, Stephen J Urology Miller, Stephen J Urology Morris, Michael S MD Urology Rice, David B Urology Stritzke, Donald K MD Urology Waldmann, Todd M MD Urology Waldmann, Todd M MD Urology Williams, Joseph H MD Urology Williams, Joseph H MD Urology Vascular Surgery Alessi, Christopher Vascular Surgery Arlein, Wes J Vascular Surgery Bonners Ferry Cardiovascular Disease Blakeley, Russell R MD Cardiovascular Disease, Blakeley, Russell R MD Cardiovascular Disease, Orme, Eric C MD Cardiovascular Disease, Interventional Cardiology Moore, Daniel Lee Thompson, James Llewellyn Dietitian Ashford Tucker, Susan M Dietitian Dickens, Tricia MD Luther, Gordon E MD Antoniuk, Nelson MD Carter, Thomas DO Durante, Cynthia T Fletcher, Thomas G. MD 222 N 2nd Boise, ID 83702 222 N 2nd St Ste 115 Boise, ID 83702 222 N 2nd Boise, ID 83702 222 N 2nd St Ste 115 Boise, ID 83702 222 N 2nd St Ste 115 Boise, ID 83702 222 N 2nd Boise, ID 83702 222 N 2nd St Ste 115 Boise, ID 83702 1906 Fairview Ave Ste 350 Boise, ID 83705 222 N 2nd St Ste 115 Boise, ID 83702 1906 Fairview Ave Ste 350 Boise, ID 83705 222 N 2nd Boise, ID 83702 222 N 2nd St Ste 115 Boise, ID 83702 222 N 2nd Boise, ID 83702 222 N 2nd St Ste 115 Boise, ID 83702 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 6140 W Curtisian Ave Ste 102 Boise, ID 83704-0109 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6640 Kaniksu St Bonners Ferry, ID 83805-7532 HCR 61 Box 61 A Bonners Ferry, ID 83805 6843 Main St Bonners Ferry, ID 83805-8552 6737B Cody St Bonners Ferry, ID 83805-8504 6615 Comanche St Bonners Ferry, ID 83805-7523 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 454-9181 (208) 639-4900 (208) 454-9181 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 367-7787 -St Alphonsus Regional Medical Center Inc (208) 367-7787 -Valley Medical Center (208) 267-3141 (208) 267-3141 ADA Accessible (208) 666-2000 (208) 267-2506 (208) 267-2225 (208) 267-1718 (208) 267-3141 ADA Accessible -Bonner General Hospital (208) 267-3141 ADA Accessible (208) 267-1718 Languages: PORTUGUESE, SPANISH (208) 267-1718 (208) 267-1718 -Mid-Valley Hospital (208) 267-1718 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 146

Fowler, Jeffrey B. OD Garwick, Jennifer F. Geyman, Troy W MD Geyman, Troy W MD Kaczmarek, Linda B Lawrence, Thomas L. MD Layeux, Susan J MD Snyder, Michael D MD Wells, Richard Willis III, Henry S MD General Practice Puffer, Steven C. General Practice Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Hettick, Jamie L MD Kim-Brown, Mona J. LMHC Nephrology Foster, Sherwin Stephen MD Nephrology, Cox, Ann ARNP, RN / Fuhrman, Kelly Ann NPRA, RN / Koch, Tracey A. / Manzella, Joan Marie ARNP, RN / O'Keefe, Tawnya D. / Sweeney, Katie ARNP, RN / 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6488 Chinook Bonners Ferry, ID 83805 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6641 Kaniksu St Ste A Bonners Ferry, ID 83805-7532 6641 Kaniksu St Ste A Bonners Ferry, ID 83805-7532 6615 Comanche St Bonners Ferry, ID 83805-7523 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6615 Comanche St Bonners Ferry, ID 83805-7523 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6641 Kaniksu St Ste A Bonners Ferry, ID 83805-7532 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6615 Comanche St Bonners Ferry, ID 83805-7523 Taylor, Travis Lee ARNP, NPRA, RN 6640 Kaniksu St /, Registered Nurse/ Bonners Ferry, ID 83805-7532 First Assistant /Geriatric Rafacz, Ruthann /Geriatric Optometry Harrell, Nathaneal David OD Optometry 6615 Comanche St Bonners Ferry, ID 83805-7523 6348 Main St Bonners Ferry, ID 83805-8519 (208) 267-1718 -Bonner General Hospital (208) 267-1718 -Boundary Community Hospital (208) 267-8710 Languages: PORTUGUESE -Boundary Community Hospital (208) 267-3141 ADA Accessible Languages: PORTUGUESE (208) 267-1718 -Boundary Community Hospital (208) 267-1718 -Bonner General Hospital (208) 267-3655 (208) 267-3655 (208) 267-1718 (208) 267-3141 ADA Accessible (208) 267-1718 (208) 263-4488 (208) 267-1718 (208) 267-1718 (208) 263-4488 (208) 267-1718 (208) 267-1718 (208) 267-1718 (208) 267-3655 (208) 263-4488 (208) 267-1718 (208) 267-3141 ADA Accessible (208) 267-1718 (208) 265-7965 -Bonner General Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 147

DiBenedetto, Michael Raymond Pediatrics DeLand, George MD Pediatrics Helm, Robin E. MD Pediatrics Rose, Hailey Joy DO Pediatrics Seaman, John Mansfield MD Pediatrics Aicken, Sara Ann PA Ainge, Charlotte S MA Allmaras, Tanya Marie PA Jabbour, Albert Kenneth PAC McIsaac, Michael Andrew Sprunt, Matthew W PA Burbank, Nicole S MD Fatz, Casey J MD Beck, Gina Marie LSW Kusler, Adam LSW Lucero, Carol Vanita Ruddle, Celina Ululani LSW Thompson, Silas Theodore LSW Buhl / Milliron, Anastasia B / Hodges, Ryan Dennis PA Josoff, Reena F. Burley Allergy & Immunology Wakefield, Kenneth J MD Allergy & Immunology, Anesthesiology Evans, John L. NPRA, RNAD Anesthesiology Cardiovascular Disease 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6640 Kaniksu St Bonners Ferry, ID 83805-7532 6807 Cody St Bonners Ferry, ID 83805-8613 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 6615 Comanche St Bonners Ferry, ID 83805-7523 725 Fair St Buhl, ID 83316-6442 725 Fair St Buhl, ID 83316-6442 230 11th Ave N Buhl, ID 83316-1604 1263 Bennett Ave Ste 3 Burley, ID 83318 1344 Hiland Ave Ste E Burley, ID 83318-1564 (208) 267-3141 ADA Accessible (208) 267-1718 (208) 267-1718 (208) 267-1718 (208) 267-1718 (208) 267-1718 (208) 267-1718 (208) 267-1718 (208) 267-1718 (208) 267-1718 (208) 267-1718 -Bonner General Hospital -Boundary Community Hospital (208) 267-3141 ADA Accessible (208) 267-3141 ADA Accessible (208) 267-0900 Not accepting new patients (208) 267-1718 (208) 267-1718 (208) 267-1718 (208) 267-1718 (208) 543-8271 (208) 543-8271 (208) 733-1131 (208) 678-1049 -Bonner General Hospital -Gritman Medical Center Inc (208) 677-8888 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 148

Antonelli, Lisa Frances MD Cardiovascular Disease Boehm, Douglas Kent Cardiovascular Disease, Call, Benjamin Flandro MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Longmore, Lance Spencer DO Cardiovascular Disease Longmore, Ryan Bradley DO Cardiovascular Disease Bean, Leslie Ann NPRA, RN / Harris, Tyson A NPRA, RN / Milliron, Anastasia B / Watson, Jennifer A NPRA, RN / Occupational Therapy Corbet, Heather M OT Occupational Therapy Gaudet, Sarah M OT Occupational Therapy Pierce, Aaron I OT Occupational Therapy Toupin, Megan J OT Occupational Therapy Werth, Amanda OT Occupational Therapy Haytmanek, Craig T MD Barker, Jonathan Bishop, Ryan PT Christensen, Cory R PT DeVoe, Cara E King, Daniel M PT Mecham, Tyler D PT Searle, Shane B Stringfield, Sari D PT Toronto, Scott PT Hatch, Angela G Hodges, Ryan Dennis PA Walaliyadda, Ranmali Kalyani PA Podiatry DeVries, Jason B DPM Podiatry Speech Language Pathology 1501 Hiland Ave Ste B1 Burley, ID 83318-2682 1501 Hiland Ave Ste B1 Burley, ID 83318-2682 1501 Hiland Ave Ste B1 Burley, ID 83318-2682 1501 Hiland Ave Ste B1 Burley, ID 83318-2682 1501 Hiland Ave Ste B1 Burley, ID 83318-2682 1501 Hiland Ave Ste B1 Burley, ID 83318-2682 1501 Hiland Ave Ste B1 Burley, ID 83318-2682 1501 Hiland Ave Ste B1 Burley, ID 83318-2682 1308 Bennet Ave Burley, ID 83318 1263 Bennett Ave Ste 3 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1344 Hiland Ave Burley, ID 83318 1945 Hiland Ave Burley, ID 83318-2714 1945 Hiland Ave Burley, ID 83318-2714 1945 Hiland Ave Burley, ID 83318-2714 1650 Overland Ave Ste 4 Burley, ID 83318 1945 Hiland Ave Burley, ID 83318-2714 1945 Hiland Ave Burley, ID 83318-2714 1945 Hiland Ave Burley, ID 83318-2714 1650 Overland Ave Ste 4 Burley, ID 83318 1945 Hiland Ave Burley, ID 83318-2714 1501 Hiland Ave Ste B1 Burley, ID 83318-2682 1308 Bennet Ave Burley, ID 83318 1501 Hiland Ave Burley, ID 83318-2688 521 E Main St Burley, ID 83318 (208) 678-2106 (208) 678-2106 (208) 678-2106 (208) 678-2106 (208) 678-2106 (208) 678-2106 (208) 678-2106 (208) 678-2106 (208) 678-7796 (208) 678-1049 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 367-3330 -St Alphonsus Regional Medical Center Inc (208) 647-0224 (208) 647-0224 (208) 647-0224 (208) 233-4660 (208) 647-0224 (208) 647-0224 (208) 647-0224 (208) 233-4660 (208) 647-0224 (208) 678-2106 (208) 678-7796 (208) 234-1300 (208) 319-0497 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 149

Barlow, Jessica L SLPA Speech Language Pathology Furniss, Michele B SLPA Speech Language Pathology Glock, Kellie A SLPA Speech Language Pathology Hall, Chalyse A SLPA Speech Language Pathology Honstetter, Tara J SLPA Speech Language Pathology Jones, Gunda G SLPA Speech Language Pathology Jones, Jacob E SLPA Speech Language Pathology Lee, Wendy K SLPA Speech Language Pathology Pierce, Ashley A SLPA Speech Language Pathology Pierce, Becky A SLPA Speech Language Pathology Suthers, Lindsay A SLPA Speech Language Pathology Tanner, William B SLPA Speech Language Pathology Tingey, Amanda J SLPA Speech Language Pathology Williams, Marcia J SLPA Speech Language Pathology Zaremba, Cheryl Marler SLPA Speech Language Pathology Urology Jones, Peter J MD Urology Caldwell Allergy & Immunology Keiley, Michael V Allergy & Immunology Anesthesiology McGarry, Sean Anesthesiology Mortensen, Joseph Anesthesiology Smagula, Carl M. Anesthesiology Cardiovascular Disease Box, Lyndon C Cardiovascular Disease Codina, Michael A MD Cardiovascular Disease Duerr, Robert L Cardiovascular Disease Eiriksson, Charles E Cardiovascular Disease Fry, Stefanie J Cardiovascular Disease Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Marks, Melinda L. Cardiovascular Disease Parent, Mark G Cardiovascular Disease, Interventional Cardiology Undesser, Karl P MD Cardiovascular Disease Undesser, Karl P MD Cardiovascular Disease Undesser, Karl P MD Cardiovascular Disease Writer, Steven L Cardiovascular Disease, Interventional Cardiology 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1650 Overland Ave Ste 4 Burley, ID 83318 1501 Hiland Ave Ste B1 Burley, ID 83318-2682 1721 S 10th Ave Caldwell, ID 83605-4839 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1906 Fairview Ave Ste 230 Caldwell, ID 83605 1906 Fairview Ave Ste 430 Caldwell, ID 83605-5424 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1818 S 10th Ave Ste 200 Caldwell, ID 83605-4880 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1906 Fairview Ave Ste 200 & 230 Caldwell, ID 83605-5407 315 E Elm St Ste 310 Caldwell, ID 83605-4881 1906 Fairview Ave Ste 230 Caldwell, ID 83605 315 E Elm St Ste 100 Caldwell, ID 83605-4858 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 678-2106 -Portneuf Medical Center (208) 378-0800 (208) 459-4641 (208) 459-4641 (208) 459-4641 (208) 795-5075 (208) 302-0000 (208) 455-3707 (208) 455-3707 (208) 455-3707 (208) 367-5734 -Bonner General Hospital (208) 455-3707 (208) 455-3707 (208) 795-5201 (208) 454-2035 (208) 795-5075 (208) 367-4278 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 150

Cert Registered Nurse Anesthetist (CRNA) Varga, Jeffrey Cert Registered Nurse Anesthetist (CRNA) Beyer, Floyd E DC Downey, Dennis J DC, Acupuncture Downey, Dennis J DC, Acupuncture Downey, John C. King, Robin W DC McKim, Joshua K DC Mckim, Raymond K DC Soren, Jaron R Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Martsenyuk, Anna V Clinical Nurse Specialist Angleton, Peter J MD Barnes, Randy L MD Binnion, Dianna L MD Boesiger, Brian M MD Burriesci, Mark A Calder, Jonathan E MD Campbell, Matthew B Conklin, Matthew J MD Cornett, Benjamin L Davis, Robert L Dingman, Jeffrey Elliot, Eric T Ellison, Samantha M MD Epperson, John P Gibson, John M MD Hammerstedt, Heather S Harris, Tyler J MD Henzler, Mark A MD Huang, Po Y MD Judd, Matthew T Kim, David T MD 1717 Arlington Ave Caldwell, ID 83605-4802 2523 S 10th Ave Ste 102 Caldwell, ID 83605 108 East Pine Caldwell, ID 83605 108 E Pine St Caldwell, ID 83605-4836 104 E Pine St Caldwell, ID 83605-4836 1523 Fairview Ave Caldwell, ID 83605-4609 2523 S 10th Ave Ste 102 Caldwell, ID 83605 2523 S 10th Ave Ste 102 Caldwell, ID 83605 309 E Logan St Caldwell, ID 83605-4863 2005 Arlington Ave Caldwell, ID 83605-4808 1508 Hope Ln Caldwell, ID 83605 1825 S Kimball Ave Caldwell, ID 83605-4828 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 (208) 459-4641 (208) 649-4321 (208) 459-0858 (208) 459-0858 (208) 459-4354 (205) 455-9591 (208) 649-4321 (208) 649-4321 Languages: SPANISH (208) 455-0678 (208) 459-1025 (208) 459-1025 (208) 455-3535 -St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 151

Kitamura, Brian C Korinek, Justin D Kraska, Eric MD Lee, Darin J Mercy, Michael R. MD Miller, Jonathan D MD Morris, Chalmer Morris, C Luke Nelson, Andrew C Olsen, Molly Peterson, Kari Quinn, Jason M MD Reynolds, Brian Reynolds, Charles M Riss, David DO Rosenquist, Janet A. MD Saak, Kristen H MD Southard, Andrew Thomas, Mark C DO Tobe, Christopher E MD Wasielewski, Jessica N MD Wilding, Brandon J MD Wilhelmsen, Jason Wyatt, Christopher C Allen, Daniel Ball, Katherine L Baron, Andrew R MD Bitters, J'Cinda Blanton, Harrison D MD Clinger, Mark B MD Cortes De Jorge, Vanessa MD Cortes De Jorge, Vanessa MD Gardner, James W MD Gardner, Michelle MD 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1906 Fairview Ave Ste 200 & 230 Caldwell, ID 83605-5407 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1508 Hope Ln Caldwell, ID 83605 1906 Fairview Ave Ste 200 & 230 Caldwell, ID 83605-5407 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1818 S 10th Ave Caldwell, ID 83605-4803 2005 Arlington Ave Caldwell, ID 83605-4808 1508 Hope Ln Caldwell, ID 83605 315 E Elm St Ste 100 Caldwell, ID 83605-4858 315 E Elm St Ste 100 Caldwell, ID 83605-4858 -St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc (208) 795-5201 (208) 302-7100 -St Alphonsus Regional Medical Center Inc (208) 459-1025 (208) 795-5201 (208) 302-7100 -St Alphonsus Regional Medical Center Inc (208) 468-5959 (208) 459-1025 (208) 459-1025 (208) 302-7100 (208) 302-7100 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 152

Hansen, Jeffrey A Hlavinka, Jon L Hughes, Meghan Hughes, Meghan Knorpp, Daniel S DO Kunz, Harold V MD Llenos, Joe Marie F Llenos, Joe Marie F Martin, David Anthony MD Millward, Michael H MD Moore, Ryan Moulton, Travis R DO Portenier, Samantha J MD Redd, Phillip J Richardson, Erik J MD Roach, Michael L MD Siegersma, Wendy M MD Skinner, Jocele A MD Stowell, Patrick D MD Summers, Samuel M Wiberg, Ralene MD Wilkinson, Kelly C MD, Sports Medicine Wyatt, Roger T /OB Augustus, Richard A /OB Davidson, Elaine M. MD /OB General Surgery Agee, Jon M MD General Surgery Cornwell, Ronald W MD General Surgery Hardy, Ryan R MD General Surgery Kreuder, Kent A. MD General Surgery Martin, Richard MD General Surgery Williams, Steven W MD General Surgery Gynecologic Oncology 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Caldwell, ID 83605-4803 2005 Arlington Ave Caldwell, ID 83605-4808 1508 Hope Ln Caldwell, ID 83605 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1818 S 10th Ave Caldwell, ID 83605-4803 211 E Logan St Ste 201 Caldwell, ID 83605-4883 1906 Fairview Ave Ste 200 & 230 Caldwell, ID 83605-5407 1818 S 10th Ave Caldwell, ID 83605-4803 2005 Arlington Ave Caldwell, ID 83605-4808 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1906 Fairview Ave Ste 200 & 230 Caldwell, ID 83605-5407 315 E Elm St Ste 100 Caldwell, ID 83605-4858 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1818 S 10th Ave Caldwell, ID 83605-4803 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1818 S 10th Ave Caldwell, ID 83605-4803 315 E Elm St Ste 100 Caldwell, ID 83605-4858 4815 Cleveland Blvd Caldwell, ID 83605-6501 315 E Elm St Ste 100 Caldwell, ID 83605-4858 2005 Arlington Ave Caldwell, ID 83605-4808 4815 Cleveland Blvd Caldwell, ID 83605-6501 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1717 Arlington Ave Caldwell, ID 83605-4802 1818 S 10th Ave Caldwell, ID 83605-4803 404 E Elm St Caldwell, ID 83605-4846 404 E Elm St Caldwell, ID 83605-4846 404 E Elm St Caldwell, ID 83605-4846 404 E Elm St Caldwell, ID 83605-4846 404 E Elm St Caldwell, ID 83605-4846 1818 S 10th Ave Caldwell, ID 83605-4803 (208) 468-5959 (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 459-1025 (208) 459-1025 (208) 302-7100 (208) 468-5959 Not accepting new patients (208) 459-4667 (208) 795-5201 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 459-1025 (208) 459-7415 (208) 795-5201 (208) 302-7100 (208) 302-7100 (208) 468-5959 -St Luke's Elmore Hospital (208) 302-7100 (208) 468-5959 (208) 302-7100 (205) 455-3545 (208) 302-7100 (208) 459-1025 (205) 455-3545 -St Alphonsus Regional Medical Center Inc (208) 302-7100 -St Alphonsus Regional Medical Center Inc (208) 455-3707 (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 459-0028 (208) 459-0028 (208) 459-0028 (208) 459-0028 (208) 459-0028 (208) 468-5959 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 153

Connor, Gerard P MD Gynecologic Oncology Connor, Gerard P MD Gynecologic Oncology Hospitalist Braun, Derek Hospitalist, Soth, Layhong, Hospitalist Takyar, Harinder K. MD Hospitalist, Wilson, Martha C, Hospitalist Wilson, Martha C, Hospitalist Brown, Sherri L MD Buersmeyer, Patricia M MD Dee, Michael M Ferguison, Kimberly D MD, Pediatrics Freeman, John C, Pediatrics Koga, Steven J MD Koga, Steven J MD Lewis, Nicholas J MD, Pediatrics Roberts, Rick N MD Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Schulte, Michaela Stringam, Stanley Owen MD Wielebinski, Paul T. MD Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology Baughman, Dennis M LMHC Boyle, Michael C. LMHC Collins, Carol T LMHC Conrad-Renteria, Camryn J LMHC 1818 S 10th Ave Ste 200 Caldwell, ID 83605-4880 3123 Medical Dr Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 2005 Arlington Ave Caldwell, ID 83605-4808 1508 Hope Ln Caldwell, ID 83605 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Caldwell, ID 83605-4803 211 E Logan St Ste 201 Caldwell, ID 83605-4883 1906 Fairview Ave Ste 200 & 230 Caldwell, ID 83605-5407 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Caldwell, ID 83605-4803 1717 Arlington Ave Caldwell, ID 83605-4802 1818 S 10th Ave Caldwell, ID 83605-4803 1717 Arlington Ave Caldwell, ID 83605-4802 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1717 Arlington Ave Caldwell, ID 83605-4802 2609 S 10th Ave Ste 102 Caldwell, ID 83605 5700 E Franklin Rd Caldwell, ID 83607 1909 S 10th Ave Caldwell, ID 83605-4842 2609 S 10th Ave Ste 102 Caldwell, ID 83605 Noyes, Virginia D CMFC, LMHC 14880 Alkmaar ST, Marriage & Family Caldwell, ID 83607-0804 Counselor Padden, Kevin Patrick Steele, Maja M Van Der Eijk, Louise LMHC Wall, Charlayne LMHC 2805 Blaine St Ste 120 Caldwell, ID 83605-4686 1123 Blaine St Caldwell, ID 83605-3835 2609 S 10th Ave Ste 102 Caldwell, ID 83605 1123 Blaine St Caldwell, ID 83605-3835 (208) 367-5227 (208) 367-3131 (208) 455-3890 (208) 455-3890 -Evanston Regional Hospital (208) 455-3890 (208) 459-1025 (208) 459-1025 (208) 302-7100 (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5959 (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 459-4667 (208) 795-5201 (208) 468-5959 (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 455-3890 (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 455-3707 (208) 367-4278 (208) 455-3707 (541) 889-9167 (208) 463-4575 (208) 454-3825 (208) 454-2766 (208) 525-3062 (208) 459-4412 (208) 459-9222 (541) 889-9167 (208) 459-9222 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 154

Woodburn, Kelsi K Zucco, Frances M LMHC Nephrology Davidson, Robert L MD Nephrology Fearday, Aaron A MD Nephrology Hunt, Nicholas MD Nephrology Keller, Christopher R MD Nephrology Kendrick, Elizabeth A Nephrology Mallea, Michael MD Nephrology Pintar, Thomas Nephrology Silva, Arnold MD Nephrology Neurology Clark, Lukas T MD Neurology Djernes, Michael R MD Neurology Harris, Wade S. MD Neurology, Sleep Disorder Medicine Harris, Wade S. MD Neurology, Sleep Disorder Medicine Maxwell, Shane A DO Neurology Swanson, Thomas H Neurology Araquistain, Mary K NPRA, RN Bars, Ashleigh T NPRA, RN Boulton, Cynthia M ARNP, RN Bullock, Bobbi NPRA Butterfield, Jessica Eshelman, Charlotte G NPRA, PA, RN Gabica, Andrea Huffine, Cory ARNP, RN Jones, Robyn Lesso, Jennifer C Miyazaki, James Morgan, Laurel D NPRA, RN Nordquist, Jennifer Rye, Jared T Sjoberg, Christopher Swensen, Holly D ARNP 2609 S 10th Ave Ste 102 Caldwell, ID 83605 2805 Blaine St Ste 120 Caldwell, ID 83605-4686 4620 Enterprise Way Ste 100 Caldwell, ID 83605-6764 4620 Enterprise Way Ste 100 Caldwell, ID 83605-6764 1906 Fairview Ave Ste 430 Caldwell, ID 83605 4620 Enterprise Way Ste 100 Caldwell, ID 83605-6764 1906 Fairview Ave Ste 430 Caldwell, ID 83605 1906 Fairview Ave Ste 430 Caldwell, ID 83605 1906 Fairview Ave Ste 430 Caldwell, ID 83605 4620 Enterprise Way Ste 100 Caldwell, ID 83605-6764 1906 Fairview Ave Ste 430 Caldwell, ID 83605 1818 S 10th Ave Caldwell, ID 83605-4803 1717 Arlington Ave Caldwell, ID 83605-4802 1825 S Kimball Ave Ste 105 Caldwell, ID 83605-4828 1818 S 10th Ave Caldwell, ID 83605-4803 1825 S Kimball Ave Caldwell, ID 83605 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1825 S Kimball Ave Caldwell, ID 83605 1818 S 10th Ave Caldwell, ID 83605-4803 315 E Elm St Ste 100 Caldwell, ID 83605-4858 3123 Medical Dr Caldwell, ID 83605-6972 1818 S 10th Ave Caldwell, ID 83605-4803 315 E Elm St Ste 100 Caldwell, ID 83605-4858 409 E Elm St Caldwell, ID 83605 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1717 Arlington Ave Caldwell, ID 83605 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1717 Arlington Ave Caldwell, ID 83605 315 E Elm St Ste 100 Caldwell, ID 83605-4858 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1906 Fairview Ave Ste 430 Caldwell, ID 83605 3123 Medical Dr Caldwell, ID 83605-6972 (541) 889-9167 (208) 459-4412 (208) 846-8335 (208) 846-8335 (208) 501-8955 (208) 846-8335 (208) 501-8955 Languages: SPANISH (208) 501-8955 (208) 501-8955 (208) 846-8335 (208) 302-4100 -St Alphonsus Regional Medical Center Inc (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 455-3707 (208) 454-0567 (208) 468-5959 (208) 287-3690 -St Alphonsus Regional Medical Center Inc (208) 302-7100 (208) 287-3690 (208) 468-5959 (208) 302-7100 (208) 367-4810 (208) 468-5959 (208) 459-7415 (208) 947-7246 (208) 302-7100 (208) 302-7100 -St Alphonsus Regional Medical Center Inc (208) 455-3730 (208) 302-7100 (208) 302-7100 (208) 501-8955 (208) 367-4810 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 155

/ Crum, Sonya L / Curtright, Sarah E ARNP, RN / 4815 Cleveland Blvd Caldwell, ID 83605-6501 1818 S 10th Ave Caldwell, ID 83605-4803 Duff, Robert H ARNP, RN 4815 Cleveland Blvd, / Caldwell, ID 83605-6501 Reinhardt, Kristine M / Robbins, Jeffrey / Schooler Smith, Andrea NPRA / Sobba, Cheryl K NPRA / Sobba, Cheryl K NPRA / Sullivan, Deborah L NPRA, RN / Thacker, Robert S / Underkofler, Kari Mae NPRA, RN / Whitehead-Price, Kelly R / Whitener, Linda A / Wilson, Sara E / /Mental Health Archuleta, Pamela ARNP, RN /Mental Health Croft, Ashley Janae ARNP, RN /Mental Health Stackle, Mary J NPRA, RN /Mental Health /Pediatric Hickey, Samantha /Pediatric Johnson, Heather /Pediatric Weller, Katie /Pediatric /Women's Health Carloy, Karen E /Women's Health Colwell, Theodore W MD Fu, Jessica Kaiser, John Rhyan MD Robinson, Michael J Oncology, Medical Hodson, Stephanie B MD Oncology, Medical Langerak, Alan D MD Oncology, Medical Pierson, Andrew S MD Oncology, Medical, Hematology, Pulver, Kerry P MD Oncology, Medical Ophthalmology Hainsworth, Kenneth M MD Ophthalmology 315 E Elm St Ste 100 Caldwell, ID 83605-4858 4815 Cleveland Blvd Caldwell, ID 83605-6501 2005 Arlington Ave Caldwell, ID 83605-4808 211 E Logan St Ste 201 Caldwell, ID 83605-4883 1906 Fairview Ave Ste 200 & 230 Caldwell, ID 83605-5407 1825 S Kimball Ave Ste 105 Caldwell, ID 83605-4828 211 E Logan St Ste 203 Caldwell, ID 83605-4883 1818 S 10th Ave Caldwell, ID 83605-4803 315 E Elm St Ste 100 Caldwell, ID 83605-4858 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1906 Fairview Ave Ste 230 Caldwell, ID 83605 524 E Cleveland Blvd Ste 230 Caldwell, ID 83605-4080 2609 S 10th Ave Ste 102 Caldwell, ID 83605 2005 Arlington Ave Caldwell, ID 83605-4808 315 E Elm St Ste 100 Caldwell, ID 83605-4858 315 E Elm St Ste 100 Caldwell, ID 83605-4858 4815 Cleveland Blvd Caldwell, ID 83605-6501 315 E Elm St Ste 310 Caldwell, ID 83605-4881 315 E Elm St Ste 310 Caldwell, ID 83605-4881 315 E Elm St Ste 310 Caldwell, ID 83605-4881 1818 S 10th Ave Caldwell, ID 83605-4803 315 E Elm St Ste 310 Caldwell, ID 83605-4881 3123 Medical Dr Caldwell, ID 83605-6972 3123 Medical Dr Caldwell, ID 83605-6972 3123 Medical Dr Caldwell, ID 83605-6972 3123 Medical Dr Caldwell, ID 83605-6972 1818 S 10th Ave Caldwell, ID 83605-4803 (208) 455-3545 (208) 468-5959 -Bingham Memorial Hospital (205) 455-3545 (208) 302-7100 (205) 455-3545 (208) 459-1025 (208) 459-4667 (208) 795-5201 (208) 454-0567 (208) 459-4667 (208) 468-5959 (208) 302-7100 (208) 302-7100 (208) 795-5075 (208) 455-1222 (541) 889-9167 (208) 459-1025 (208) 302-7100 (208) 302-7100 (208) 455-3545 (208) 454-2035 (208) 454-2035 (208) 454-2035 (208) 455-2355 -Saint Alphonsus Medical Center Nampa Inc (208) 454-2035 (208) 367-4810 (208) 367-4810 (208) 367-4810 (208) 367-4810 (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 156

Kent, Gregory J MD Ophthalmology McKinnon, Ryan S MD Ophthalmology Optometry Bewley, James R Optometry Black, William T OD Optometry Dayton, Drew C Optometry Farris, Stephen J OD Optometry Galvan-Shubin, Candice A Optometry Heiner, Darren W Optometry Highsmith, Brittany S OD Optometry Mills, Micah S OD Optometry Norris, Randy OD Optometry Stebel, Holly L Optometry Daines, Michael T MD Hansen, Robert G MD, Surgery, Hand Nicola, George A MD Shevlin, Michael MD Smith, John Q MD Wolf, Jonathon Curtis Pain Management Guy, Rebekah E Pain Management Marsh, Daniel R MD Pain Management Marsh, Daniel R MD Pain Management Thompson, Sandra A Pain Management Pathology Ausmus, Gregory G Pathology Grant, Nicholas G Pathology Hall, Brian MD Pathology Kronz, Joseph D MD Pathology Pediatric Neurology Fleenor, Paul W Pediatric Neurology Pediatrics Aguilar, Richard MD Pediatrics Aldous, Michael B MD Pediatrics Andrews, Deanna M Pediatrics 1602 Arlington Caldwell, ID 83605 1818 S 10th Ave Caldwell, ID 83605-4803 1906 Fairview Ave Caldwell, ID 83605-5407 1906 Fairview Ave Caldwell, ID 83605-5407 1602 Arlington Caldwell, ID 83605 1906 Fairview Ave Caldwell, ID 83605-5407 1906 Fairview Ave Caldwell, ID 83605-5407 1906 Fairview Ave Caldwell, ID 83605-5407 1702 S Kimball Ave Caldwell, ID 83605-4826 1702 S Kimball Ave Caldwell, ID 83605-4826 1602 Arlington Caldwell, ID 83605 1906 Fairview Ave Caldwell, ID 83605-5407 206 E Elm St Caldwell, ID 83605-4815 206 E Elm St Caldwell, ID 83605-4815 206 E Elm St Caldwell, ID 83605-4815 206 E Elm St Caldwell, ID 83605-4815 206 E Elm St Caldwell, ID 83605-4815 206 E Elm St Caldwell, ID 83605-4815 409 E Elm St Caldwell, ID 83605-4847 409 E Elm St Caldwell, ID 83605 409 E Elm St Caldwell, ID 83605 1825 S Kimball Ave Caldwell, ID 83605-4828 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Caldwell, ID 83605-4803 (208) 459-0717 (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 459-2020 (208) 459-2020 (208) 459-0717 (208) 459-2020 (208) 459-2020 (208) 459-2020 (208) 459-2641 (208) 459-2641 (208) 459-0717 (208) 459-2020 (208) 459-4511 (208) 459-4511 (208) 459-4511 (208) 459-4511 (208) 459-4511 (208) 459-4511 (208) 342-2104 (208) 947-7246 (208) 947-7246 (208) 455-3535 (208) 455-3798 (208) 459-4641 (208) 455-3798 (208) 459-4641 (208) 302-7100 (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 157

Babbel, David G DO Pediatrics Bennett, Jeannette E MD Pediatrics Copeland, Katie E MD Pediatrics Hur, Jee Yeun Pediatrics Keller, Merle L Pediatrics Miller, Natasha MD Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Walker, Eloisa S Pediatrics, Pediatric Cardiology Bastian, Steven Merrill PT Box, Jeffrey A PT Douglass, Benjamin Brook PT Hadley, J Kyle PT Hawks, Rulin J PT Muir, James M PT Simonson, Jared W PT Smith, Brian A PT Thomason, Jeffery A PT Vinci, Paul West PT Weatherston, Sean R. PT Weldon, Garrett PT White, Brian L PT Abe, Hodaka P Burch, Joel J Burch, Joel J Casebolt, Alex P PA Coleman, Scott R PAC Culbertson, Eric R PA George, Kyle PAC Gill, Taya D PA Godina, Raul PA Hackenberg, Amber A PAC Hart, Bryan Heaton, Rhoda E PAC Hoewing, Heather M PAC 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Caldwell, ID 83605-4803 315 E Elm St Ste 100 Caldwell, ID 83605-4858 315 E Elm St Ste 100 Caldwell, ID 83605-4858 315 E Elm St Ste 100 Caldwell, ID 83605-4858 315 E Elm St Ste 100 Caldwell, ID 83605-4858 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1906 Fairview Ave Ste 410 Caldwell, ID 83605-5424 4623 Enterprise Way Caldwell, ID 83605-6764 120 E Pine St Caldwell, ID 83605-4836 4623 Enterprise Way Caldwell, ID 83605-6764 1818 S 10th Ave Ste 100 Caldwell, ID 83605-4880 120 E Pine St Caldwell, ID 83605-4836 120 E Pine St Caldwell, ID 83605-4836 120 E Pine St Caldwell, ID 83605-4836 4623 Enterprise Way Caldwell, ID 83605-6764 2112 Cleveland Blvd Caldwell, ID 83605-4432 1906 Fairview Ave Ste 410 Caldwell, ID 83605-5424 120 E Pine St Caldwell, ID 83605-4836 4623 Enterprise Way Caldwell, ID 83605-6764 206 E Elm St Caldwell, ID 83605-4815 4815 Cleveland Blvd Caldwell, ID 83605-6501 4815 Cleveland Blvd Caldwell, ID 83605-6501 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Caldwell, ID 83605-4803 1825 S Kimball Ave Caldwell, ID 83605-4828 1508 Hope Ln Caldwell, ID 83605 1818 S 10th Ave Caldwell, ID 83605-4803 4815 Cleveland Blvd Caldwell, ID 83605-6501 1906 Fairview Ave Ste 200 & 230 Caldwell, ID 83605-5407 1906 Fairview Ave Ste 430 Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1906 Fairview Ave Ste 200 & 230 Caldwell, ID 83605-5407 (208) 302-7100 (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5959 (208) 302-7100 -St Alphonsus Regional Medical Center Inc (208) 302-7100 (208) 302-7100 (208) 336-9188 Languages: SPANISH (208) 587-8401 Languages: SPANISH (208) 454-9839 (208) 455-4231 (208) 454-5142 (208) 455-4231 (208) 453-9111 (208) 454-5142 (208) 454-5142 (208) 454-5142 (208) 455-4231 (208) 459-5873 (208) 454-9839 Languages: FRENCH (208) 454-5142 (208) 455-4231 Languages: DANISH (208) 459-4511 (205) 455-3545 (208) 455-3545 (208) 468-5959 (208) 468-5959 (208) 455-3535 (208) 459-1025 (208) 468-5959 (205) 455-3545 (208) 795-5201 (208) 302-4100 (208) 795-5201 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 158

Holmes, Cynthia L. Jamison, Craig R King, Rachel M PA Kokoulina, Polina PAC Maus, Eric R McGill, Jennifer D Mitchell, Janet E. PAC Ostolasa, Sis E PAC Otstot, Todd M Rogers, Victoria S Sawyer, Rachel S PAC Smith, Preston Scott Smith, Travis Steinmann, Carl W PAC Tate, Nancy Wikfors, Bryce PAC Wood, Sarah PA Wood, Sarah PA Plastic Surgery within the Head and Neck Snow, Russell T DO Plastic Surgery within the Head and Neck, Otolaryngology Podiatry Benedict, Randall L DPM Podiatry Black, Andrew P DPM Podiatry Burk, Phillip N DPM Podiatry Burk, Phillip R Podiatry Erickson, Jed H DPM Podiatry Psychiatry Banta, Lawrence E Psychiatry Banta, Lawrence E Psychiatry Banta, Lawrence E Psychiatry Bates, John R Psychiatry, Behavioral/Mental Health Bates, John R Psychiatry, Behavioral/Mental Health Steinberg, Si Robin MD Psychiatry Psychology Book, Phares PY Psychology Pulmonary Disease 315 E Elm St Ste 100 Caldwell, ID 83605-4858 206 E Elm St Caldwell, ID 83605-4815 1818 S 10th Ave Caldwell, ID 83605-4803 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1818 S 10th Ave Ste 120 Caldwell, ID 83605 315 E Elm St Ste 100 Caldwell, ID 83605-4858 211 E Logan St Ste 203 & 303 Caldwell, ID 83605-4883 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Caldwell, ID 83605-4803 1825 S Kimball Ave Ste 105 Caldwell, ID 83605-4828 1818 S 10th Ave Caldwell, ID 83605-4803 315 E Elm St Ste 100 Caldwell, ID 83605-4858 315 E Elm St Ste 100 Caldwell, ID 83605-4858 1717 Arlington Ave Caldwell, ID 83605 206 E Elm St Caldwell, ID 83605-4815 2609 S 10th Ave Ste 102 Caldwell, ID 83605 314 Badiola St Caldwell, ID 83605-4389 119 W Logan St Ste A Caldwell, ID 83605-4732 303 E Logan Caldwell, ID 83605 1906 Fairview Ave Ste 430 Caldwell, ID 83605-5424 1818 S 10th Ste 250 Caldwell, ID 83605-4838 1818 S 10th Ave Ste 250 Caldwell, ID 83605-4838 1818 S 10th Ave Ste 250 Caldwell, ID 83605-4838 211 E Logan St Ste 201 Caldwell, ID 83605-4883 211 E Logan St Ste 203 Caldwell, ID 83605-4883 1906 Fairview Ave Ste 200 & 230 Caldwell, ID 83605-5407 2609 S 10th Ave Ste 102 Caldwell, ID 83605 314 Badiola St Caldwell, ID 83605-4389 2609 S 10th Ave Ste 102 Caldwell, ID 83605 1815 S 10th Ave Caldwell, ID 83605-4840 (208) 302-7100 (208) 459-4511 (208) 468-5959 (208) 887-9500 (208) 302-7100 (208) 459-4667 (208) 468-5959 (208) 468-5959 (208) 454-0567 (208) 468-5959 (208) 302-7100 (208) 302-7100 (208) 459-4511 (541) 889-9167 (208) 454-8389 (208) 454-2050 -Saint Alphonsus Medical Center Nampa Inc (208) 455-0655 (208) 367-7272 (208) 855-5955 (208) 459-0891 (208) 459-0891 (208) 459-4667 (208) 459-4667 (208) 795-5201 (541) 889-9167 -Saint Alphonsus Medical Center - Ontario (208) 454-8389 -Saint Alphonsus Medical Center - Ontario (541) 889-9167 (208) 459-6962 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 159

Hendrickson, Danny J Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Radiation Oncology Brooks, Joseph MD Radiation Oncology Brooks, Joseph MD Radiation Oncology Sales, Lindsay R MD Radiation Oncology Cegnar, Janet Christianson, Kimball Coffman, Carolyn E MD Coulam, Curtis H MD Gobel, Reginald J MD Hom, Benjamin Jackson, John A MD Knochel, John Q MD Mcgonegle, Shane J Modica, Michael J MD Moore, Matt T Papenfuss, Mark Peck, Dallas D Salber, Jason P MD Scales, Lisa M MD Schaff, Howard B MD Seabourn, Jeffrey T MD Smith, Loreli MD Sobota, Caroline D MD Stemmler, Bertram J MD Taylor, William L MD Wegner, Daniel J MD Yeager, Robert MD Johnson, Michael B. Shaver, Rodger W. MD Rheumatology Ader, John T DO Rheumatology Lagwinski, Mikael D MD Rheumatology Meier, Svetlana Rheumatology 1906 Fairview Ave Ste 430 Caldwell, ID 83605-5424 1818 S 10th Ave Caldwell, ID 83605-4803 3125 Medical Dr Caldwell, ID 83605-6972 3123 Medical Dr Caldwell, ID 83605 3123 Medical Dr Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605-4802 1717 Arlington Ave Caldwell, ID 83605 4519 Enterprise Way Caldwell, ID 83605-8086 4519 Enterprise Way Caldwell, ID 83605-8086 1717 Arlington Ave Caldwell, ID 83605-4802 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Ste 120 Caldwell, ID 83605 1818 S 10th Ave Ste 120 Caldwell, ID 83605 (208) 367-7272 (208) 468-5959 (208) 367-3131 (208) 367-3131 (208) 367-3131 (208) 455-3730 (208) 455-3730 (208) 455-3900 (208) 455-3900 (208) 455-3900 (208) 455-3730 (208) 455-3900 (208) 455-3900 (208) 455-3900 (208) 455-3730 (208) 455-3730 (208) 455-3730 (208) 455-3900 (208) 455-3900 (208) 455-3900 (208) 455-3900 (208) 455-3900 (208) 455-3900 (208) 455-3900 (208) 455-3900 (208) 455-3900 (208) 455-3730 (208) 455-7482 (208) 455-7482 Languages: GERMAN (208) 455-3900 (208) 468-5959 (208) 887-9500 (208) 887-9500 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 160

Palfreyman, Eric Rheumatology Timmons, Kelly A MD Rheumatology, Sleep Disorder Medicine Hale, Jennifer DO Sleep Disorder Medicine Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Andrade, Sarah LSW Collins, Caroline Elizabeth LSW Kelly-Majors, Leslie Kubesh, Brian G Mitchell, Mandy F LSW Ruelas, Terry LSW Sanders, Lorinda Lee Sorini, Shannon Lynn LSW Van Ausdal, Ron Jacob LSW West, Natalie N LSW Wiley, Michael E LSW Woodall, Deborah LSW Underseas & Hyperbaric Medicine Lossmann, Scott D Underseas & Hyperbaric Medicine, Wound Care Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Urology Stritzke, Donald K MD Urology Wozniak, Andrea S. Urology Cascade Cardiovascular Disease Anderson, Jennifer S MD Cardiovascular Disease Anderson, Jennifer S MD Cardiovascular Disease Dermatology Stewart, James H Dermatology Lawler, Christopher T MD,, Sports Medicine 1818 S 10th Ave Ste 120 Caldwell, ID 83605 1818 S 10th Ave Caldwell, ID 83605-4803 1818 S 10th Ave Ste 200 Caldwell, ID 83605-4880 1818 S 10th Ave Ste 200 Caldwell, ID 83605-4880 1906 Fairview Ave Ste 430 Caldwell, ID 83605-5424 2609 S 10th Ave Ste 102 Caldwell, ID 83605 2805 Blaine St Ste 120 Caldwell, ID 83605-4686 2805 Blaine St Ste 120 Caldwell, ID 83605-4686 2609 S 10th Ave Ste 102 Caldwell, ID 83605 2609 S 10th Ave Ste 102 Caldwell, ID 83605 2005 Arlington Ave Caldwell, ID 83605-4808 2609 S 10th Ave Ste 102 Caldwell, ID 83605 1909 S 10th ave Caldwell, ID 83605-4842 2609 S 10th Ave Ste 102 Caldwell, ID 83605 314 Badiola St Caldwell, ID 83605-4389 2805 Blaine St Ste 120 Caldwell, ID 83605-4686 2005 Arlington Ave Caldwell, ID 83605-4808 315 E Elm St Ste 100 Caldwell, ID 83605-4858 4815 Cleveland Blvd Caldwell, ID 83605-6501 4815 Cleveland Blvd Caldwell, ID 83605-6501 1620 S Kimball Ave Caldwell, ID 83605-4547 1620 S Kimball Ave Caldwell, ID 83605-4547 402 Old State Hwy Cascade, ID 83611 402 Lake Cascade Pkwy Cascade, ID 83611-7702 271 Duffers Ln Cascade, ID 83611-5506 102 Old State Hwy Cascade, ID 83611 (208) 887-9500 (208) 468-5959 -Saint Alphonsus Medical Center Nampa Inc (208) 465-6952 (208) 465-6952 (208) 367-7272 (541) 889-9167 (208) 459-4412 (208) 459-4412 (541) 889-9167 (541) 889-9167 (208) 459-1025 (541) 889-9167 (208) 409-7286 (541) 889-9167 (208) 454-8389 (208) 459-4412 (208) 459-1025 (208) 459-7415 (208) 455-3545 (208) 455-3545 (208) 454-9181 (208) 454-9181 -McKenzie-Willamette Medical Center -Sacred Heart RiverBend (208) 367-5734 (208) 302-0000 (208) 376-4776 (208) 898-0100 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 161

Bedell, Mikael E Arhets, Alexander J PA Frelly, Stephen PAC Levitch, Rachel McInally, James T PAC 402 Lake Cascade PKWY Cascade, ID 83611-7702 271 Duffers Ln Cascade, ID 83611-5506 271 Duffers Ln Cascade, ID 83611-5506 402 Lake Cascade PKWY Cascade, ID 83611-7702 402 Lake Cascade PKWY Cascade, ID 83611-7702 (208) 382-4285 (208) 376-4776 (208) 376-4776 (208) 382-4285 (208) 382-4285 Chubbuck Behavioral/Mental Health Cole, Lavon M LMHC Behavioral/Mental Health Cole, Lavon M LMHC Behavioral/Mental Health Bowers, Paul Kendell DC, DC, RN Gneiting, Josh D DC Hale, Jeremy Wayne Bokelmann, Jean M MD Fenstermaker, John Horrocks, Mark T MD Kjos, Melissa R MD Knouf, Gerald L MD Morrison, Chelsie A DO Willey, Jay Warren DO Willis, Howard James DO Harper, Verronica LMHC 4460 Central Way Ste 2 Chubbuck, ID 83202-5095 265 E Chubbuck Rd Chubbuck, ID 83202-5055 880 W Quinn Rd Chubbuck, ID 83202-2454 210 W Burnside Ave Ste D Chubbuck, ID 83202 445 W Chubbuck Rd Ste A Chubbuck, ID 83202-5069 880 W Quinn Rd Chubbuck, ID 83202-2454 880 W Quinn Rd Chubbuck, ID 83202-2454 880 W Quinn Rd Chubbuck, ID 83202-2454 880 W Quinn Rd Chubbuck, ID 83202-2454 190 W Burnside Ave Ste C Chubbuck, ID 83202-2411 880 W Quinn Rd Chubbuck, ID 83202-2454 134 W Chubbuck Rd Chubbuck, ID 83202-2315 134 W Chubbuck Rd Chubbuck, ID 83202-2315 265 E Chubbuck Rd Chubbuck, ID 83202-5055 Hutton-Levenson, Judith LMHC 880 W Quinn Rd, Marriage & Family Chubbuck, ID 83202-2454 Counselor Mckee, William Lawrence LMHC Rasmussen, Kimberly B LMHC Turpin, LeeAnn A LMHC Baab, Samantha ARNP, RN Clegg, Michelle DC McGregror, David Jim ARNP, RN Strong, Brittany Wedler, Trilby M ARNP, RN / 265 E Chubbuck Rd Chubbuck, ID 83202-5055 265 E Chubbuck Rd Chubbuck, ID 83202-5055 265 E Chubbuck Rd Chubbuck, ID 83202-5055 134 W Chubbuck Rd Chubbuck, ID 83202-2315 134 W Chubbuck Rd Chubbuck, ID 83202-2315 134 W Chubbuck Rd Chubbuck, ID 83202-2315 476 E Chubbuck Rd Chubbuck, ID 83202-1816 134 W Chubbuck Rd Chubbuck, ID 83202-2315 (208) 237-1711 (208) 237-1711 (208) 238-2000 (208) 238-5956 Not accepting new patients Languages: SPANISH (208) 637-8800 (208) 238-2000 (208) 238-2000 (208) 238-2000 Languages: SPANISH (208) 238-2000 (208) 238-0400 (208) 238-2000 (208) 237-7911 ADA Accessible (208) 237-7911 ADA Accessible (208) 237-1711 (208) 238-2000 (208) 237-1711 (208) 237-1711 (208) 237-1711 (208) 237-7911 ADA Accessible (208) 237-7911 ADA Accessible (208) 237-7911 ADA Accessible (208) 233-9898 (208) 237-7911 ADA Accessible -Bingham Memorial Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 162

Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / Poulos-Edmo, Helene ARNP, RN / Schaffer, Scott Bradley NPRA, RN / Vawdrey, Randy P ARNP, RN / Winder, Heidi S NPRA, RN / Dyer, Donald A MD Cavner, Brandi PT Ellis, Sadie E PT Higbee, Shawn Robert PT McKee, Jared L PT Barkus, Robert Bieniasz, Paul D PAC Burnside, Leslie I PAC Hale, Nicholas Alexander Judd, Jocelyn Ann PA Manning, Nicole PA McCulloch, Ryan T PA McKinlay, Amy Louise PA Psychiatry Sierra, Manuel A MD Psychiatry Sierra, Manuel A MD Psychiatry Broberg, Scott Bernell LSW Collins, Doty J LSW Comstock, Jacob L LSW Coeur d Alene Licensed Acupuncturist Langenderfer, Pamela Sue LAC Acupuncture Aerospace Medicine Edwards, Bruce Monroe MD Aerospace Medicine Allergy & Immunology Wakefield, Kenneth J MD Allergy & Immunology, 880 W Quinn Rd Chubbuck, ID 83202-2454 880 W Quinn Rd Chubbuck, ID 83202-2454 880 W Quinn Rd Chubbuck, ID 83202-2454 476 E Chubbuck Rd Chubbuck, ID 83202-1816 134 W Chubbuck Rd Chubbuck, ID 83202-2315 476 E Chubbuck Rd Chubbuck, ID 83202-1816 880 W Quinn Rd Chubbuck, ID 83202-2454 265 E Cubbuck Rd Ste A Chubbuck, ID 83202-5055 265 E Cubbuck Rd Ste A Chubbuck, ID 83202-5055 265 E Cubbuck Rd Ste A Chubbuck, ID 83202-5055 265 E Cubbuck Rd Ste A Chubbuck, ID 83202-5055 134 W Chubbuck Rd Chubbuck, ID 83202-2315 880 W Quinn Rd Chubbuck, ID 83202-2454 147 W Chubbuck Rd Chubbuck, ID 83202-2314 134 W Chubbuck Rd Chubbuck, ID 83202-2315 880 W Quinn Rd Chubbuck, ID 83202-2454 134 W Chubbuck Rd Chubbuck, ID 83202-2315 147 W Chubbuck Rd Chubbuck, ID 83202-2314 147 W Chubbuck Rd Chubbuck, ID 83202-2314 210 W Burnside Ave Chubbuck, ID 83202-4916 265 E Chubbuck Rd Chubbuck, ID 83202-5055 265 E Chubbuck Rd Chubbuck, ID 83202-5055 880 W Quinn Rd Chubbuck, ID 83202-2454 4737 S Afton Pl Ste A Chubbuck, ID 83202-2317 518 N 4th St -2931 315 W Dalton Ave Ste B Coeur d Alene, ID 83815-8600 714 W Appleway Ave Ste 200-9338 (208) 238-2000 (208) 238-2000 (208) 238-2000 (208) 233-9898 (208) 237-7911 ADA Accessible Languages: SPANISH (208) 233-9898 (208) 238-2000 (208) 417-0011 (208) 417-0011 (208) 417-0011 Languages: PORTUGUESE (208) 417-0011 (208) 237-7911 ADA Accessible (208) 238-2000 (208) 238-7546 (208) 237-7911 ADA Accessible (208) 238-2000 (208) 237-7911 ADA Accessible (208) 238-7546 (208) 238-7546 (208) 238-9000 (208) 237-1711 (208) 237-1711 (208) 238-2000 (208) 417-0623 (208) 758-0568 (208) 209-2066 ADA Accessible -Northwest Specialty Hospital (208) 665-1552 -Bonner General Hospital -Gritman Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 163

Audiology Schnell, Gloria R. Audiology Strong, Heidi J CA Audiology Torosian, Karen L. Audiology Torosian, Karen L. Audiology Behavioral/Mental Health Berthon, Michelle Behavioral/Mental Health Gage, Irene LSW Behavioral/Mental Health Henderson, Shari L. LSW Behavioral/Mental Health Leonard, Linda Madree Behavioral/Mental Health Leonard, Linda Madree Behavioral/Mental Health Mace-Tucker, Barbara L. Behavioral/Mental Health Pessein, Darlene E. LSW Behavioral/Mental Health Regan, Laurie D. LSW Behavioral/Mental Health Shannon, Lucinda S. LSW Behavioral/Mental Health Winterer, Sandra L. Behavioral/Mental Health Cardiac Electrophysiology Taylor, Matthew G MD Cardiac Electrophysiology, Cardiovascular Disease Taylor, Matthew G MD Cardiac Electrophysiology, Cardiovascular Disease Cardiac Surgery Burnett, Robert J MD Cardiac Surgery, General Surgery Cardiovascular Disease Abate, Joseph A. MD Cardiovascular Disease Bennett, William R. Cardiovascular Disease, Interventional Cardiology Blakeley, Russell R MD Cardiovascular Disease, Byazrova, Eteri S. Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Chilson, Donald A. MD Cardiovascular Disease Cooke, Dennis B Cardiovascular Disease Cooke, Dennis B Cardiovascular Disease, Interventional Cardiology Everett, John P. Cardiovascular Disease Ferraro, Angelo S Cardiovascular Disease Fritz, Ronald M. DO Cardiovascular Disease Galloway, Joel R. MD Cardiovascular Disease, Interventional Cardiology 700 W Ironwood Dr Ste 236-4484 700 W Ironwood Dr Ste 278-4400 700 W Ironwood Dr Ste 236-4484 700 W Ironwood Dr Ste 278-4400 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 1713 E Sherman Ave -5326 2115 E Sherman Ave Ste 102 & 103-5362 212 S 11th St Ste 5-4000 211 E Coeur d Alene Ave Ste 102-4926 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 1423 N Government Way -3335 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 320-4485 2003 Kootenai Health Way Ste 300-6051 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 980 W Ironwood Dr Ste 205-2668 980 W Ironwood Dr Ste 205-2668 700 Ironwood Dr Ste 320-4485 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 980 W Ironwood Dr Ste 205-2668 (208) 667-3386 (209) 625-5083 (208) 667-3386 (209) 625-5083 (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 676-1075 (208) 676-1075 (208) 661-2400 (208) 699-6817 ADA Accessible (208) 625-4000 (208) 625-4000 (208) 691-2515 (208) 625-4000 (208) 625-5250 ADA Accessible (208) 666-2552 (208) 292-0292 (208) 625-5250 ADA Accessible (208) 625-5250 ADA Accessible (208) 625-5250 ADA Accessible Languages: RUSSIAN (208) 765-2610 (509) 838-2531 (208) 625-5250 ADA Accessible (208) 625-4000 -Sacred Heart Medical Center (208) 625-5250 ADA Accessible (208) 625-5250 ADA Accessible (208) 625-5250 ADA Accessible (208) 625-5250 ADA Accessible (509) 838-2531 -Bonner General Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 164

Hill, R Dean MD Cardiovascular Disease, Interventional Cardiology Hostetler, Michael D Cardiovascular Disease Janout, Marek MD Cardiovascular Disease Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Lessmeier, Timothy J. MD Cardiovascular Disease, Cardiac Electrophysiology MacInerney, Jr, Edward James MD Cardiovascular Disease Mueller, Enkhtuyaa L Cardiovascular Disease Murphy, William S. Cardiovascular Disease Murphy, William S. Cardiovascular Disease Orme, Eric C MD Cardiovascular Disease, Interventional Cardiology Spyra, Wolfgang J.T. MD Cardiovascular Disease, Waggoner, Jr., L. Douglas Cardiovascular Disease Wales, Robert Alan MD Cardiovascular Disease Wallace, Eric L DO Cardiovascular Disease Williams, Michael P MD Cardiovascular Disease Certified Nutritionist/Registered Diet Beck, Ashley A RD Certified Nutritionist/Registered Diet Beck, Ashley A RD Certified Nutritionist/Registered Diet Beck, Ashley A RD Certified Nutritionist/Registered Diet Beck, Ashley A RD Certified Nutritionist/Registered Diet Boerner, Tarah RD Certified Nutritionist/Registered Diet Carpenter, Nancy Certified Nutritionist/Registered Diet Criswell, Krista RD Certified Nutritionist/Registered Diet Criswell, Krista RD Certified Nutritionist/Registered Diet Criswell, Krista RD Certified Nutritionist/Registered Diet Hugo, Elizabeth DIET Certified Nutritionist/Registered Diet 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 980 W Ironwood Dr Ste 205-2668 980 W Ironwood Dr Ste 205-2668 980 W Ironwood Dr Ste 205-2668 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 980 W Ironwood Dr Ste 306-2668 1701 Lincoln Way -2537 1300 E Mullan Ave Ste 1300-4036 1919 Lincoln Way Ste 211 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 306-2668 1701 Lincoln Way -2537 1300 E Mullan Ave Ste 1300-4036 1110 Ironwood Drive (208) 625-5250 ADA Accessible -Deaconess Medical Center (208) 625-5250 ADA Accessible -Sacred Heart Medical Center (208) 625-5250 ADA Accessible Languages: CZECH -Sacred Heart Medical Center (208) 625-4000 -Bonner General Hospital (208) 625-5250 ADA Accessible -Bonner General Hospital (208) 625-5250 ADA Accessible -Sacred Heart Univ District (208) 625-5250 ADA Accessible (509) 838-2531 (208) 765-2610 (509) 838-2531 (208) 625-5250 ADA Accessible (208) 625-5250 ADA Accessible Languages: GERMAN -Bonner General Hospital (208) 625-5250 ADA Accessible (208) 625-4000 (208) 625-5250 ADA Accessible (208) 625-5250 ADA Accessible (208) 664-3101 (208) 765-1866 (208) 773-9113 (208) 625-5500 (208) 625-4467 (208) 625-4000 (208) 664-3101 (208) 765-1866 (208) 773-9113 (208) 666-2559 -Bonner General Hospital -Sacred Heart Univ District Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 165

McGahan, Kendra M CD Certified Nutritionist/Registered Diet Mitch, Abigail Shirley RD Certified Nutritionist/Registered Diet Nave, Sarah R RD Certified Nutritionist/Registered Diet Schaal, Shelia R RD Certified Nutritionist/Registered Diet Schaal, Shelia R RD Certified Nutritionist/Registered Diet Schaal, Shelia R RD Certified Nutritionist/Registered Diet Schaal, Shelia R RD Certified Nutritionist/Registered Diet Shobe, Juliann RD Certified Nutritionist/Registered Diet Shobe, Juliann RD Certified Nutritionist/Registered Diet Shobe, Juliann RD Certified Nutritionist/Registered Diet Taylor, Lindsay L. Certified Nutritionist/Registered Diet Aggen, David T. DC Aggen, Laura Nicole Bailey, II, Jerry L. DC, LAC, Acupuncture Borders, Steven Paul DC Eymann, Craig Earl DC Fichter Jr, Wayne Marvin DC Hauser, Richard A. Higgins, William B DC Hull, Brian Jeffrey DC Jacobson, Melissa Anne Martin, Logan C. Mills, Adam Kenneth DC Norce, Brian L. Parsons, Gregory V. Priebe, Jeffrey J DC Stoddard, Charlene R. Stolzel, Samantha Lynn DC Swayze, Charles P. Terry, Michael A DC Dermatology Craig, Stephen D. MD Dermatology Cvancara, Joseph MD Dermatology Dominey, Andrea M MD Dermatology Dunn, Paul T MD Dermatology 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 306-2668 1701 Lincoln Way -2537 1300 E Mullan Ave Ste 1300-4036 1919 Lincoln Way Ste 211 980 W Ironwood Dr Ste 306-2668 1701 Lincoln Way -2537 1919 Lincoln Way Ste 211 2003 Lincoln Way 6125 N Sunshine St Coeur d Alene, ID 83815-8688 6125 N Sunshine St Coeur d Alene, ID 83815-8688 518 N 4th St -2931 405 E Best Ste 104-5473 223 W Ironwood Dr -2651 3913 N Schreiber Way Coeur d Alene, ID 83815-8395 1310 N 4th St -3220 1250 N Northwood Center Ct -2470 320 E Neider Ave Ste 105 Coeur d Alene, ID 83815-6007 1917 N Lakewood Dr -2634 1019 W Lacrosse Ave -2418 610 W Hubbard St Ste 116-2286 213 W Appleway Ave Ste 7-9372 411 W Haycraft Ave Ste D1 Coeur d Alene, ID 83815-8104 850 W Ironwood Dr Ste 302-4903 1025 Ironwood Dr Ste 2 1019 W Lacrosse Ave -2418 402 W Canfield Ave Ste 3 Coeur d Alene, ID 83815-7784 610 W Hubbard St Ste 116-2286 2288 N Merritt Creek Lp -4959 1700 W Riverstone Dr -5683 1700 W Riverstone Dr -5683 1700 W Riverstone Dr -5683 (208) 625-4467 (208) 666-2552 (208) 625-4467 (208) 664-3101 (208) 765-1866 (208) 773-9113 (208) 625-5500 (208) 664-3101 (208) 765-1866 (208) 625-5500 (208) 667-1200 (208) 772-0802 (208) 772-0802 (208) 758-0568 (208) 664-7001 (208) 215-3261 (208) 966-4425 (208) 676-0400 (208) 768-1250 (208) 930-4944 (208) 664-8194 (208) 292-4873 (208) 664-9134 ADA Accessible (208) 666-1000 (208) 765-6804 (208) 664-5225 (208) 667-0875 (208) 292-4873 (208) 762-9000 (208) 664-9134 ADA Accessible Languages: PORTUGUESE (208) 665-7546 (208) 770-2822 ADA Accessible (208) 770-2822 ADA Accessible (208) 770-2822 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 166

Gee, Matthew R Dermatology Hill, Hilary Hadassah MD Dermatology Kern, Steven M MD Dermatology Reynaud, Albert C MD Dermatology Reynaud, Albert C MD Dermatology Ringger, Benjamin Carl MD Dermatology Sukut, Chadd Joseph MD Dermatology Dietitian Adrian, Katie June RD Dietitian Bergeron, Breanna Katrina RD Dietitian Bergeron, Breanna Katrina RD Dietitian Diamond, Linda J RD Dietitian Leifheit, Anastasia Marie RD Dietitian Smith, Tamara L RD Dietitian Wolfe, Britney A RD Dietitian Amon, Jr., Henry G. Chiu, Mary, Chun, Wallace E. MD Ettner, Michael L. MD Fooe, Charles B. Freitag, Corby C. Gelwix, Thomas J. Hankins, Thomas Carlisle MD, Aerospace Medicine Hankins, Thomas Carlisle MD, Aerospace Medicine Hitchcock, Robyn MD Hitchcock, Robyn MD Hitchcock, Robyn MD Hitchcock, Robyn MD Hjeltness, Kirk MD Hjeltness, Kirk MD Hjeltness, Kirk MD Hjeltness, Kirk MD Luther, Gordon E MD Matthews, Cari E Nickol, Thomas E. MD Obligato, Peter R. 2288 N Merritt Creek Lp -4959 2288 N Merritt Creek Lp -4959 2288 N Merritt Creek Lp -4959 2288 N Merritt Creek Lp -4959 1700 W Riverstone Dr -5683 2288 N Merritt Creek Lp -4959 1726 W Riverstone Dr 2003 Kootenai Health Way -6051 1300 E Mullan Ave Ste 1300-4036 1919 Lincoln Way Ste 211 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 566 W Prairie Ave Coeur d Alene, ID 83815-7766 (208) 665-7546 (208) 665-7546 (208) 665-7546 (208) 665-7546 (208) 770-2822 ADA Accessible (208) 665-7546 (208) 770-2822 (208) 625-4000 (208) 773-9113 (208) 625-5500 (208) 666-2552 (208) 625-4000 (208) 625-4467 (208) 625-4000 (208) 625-4000 (208) 262-2600 (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 772-9110 (208) 667-9110 (208) 772-9110 (208) 292-2959 (208) 667-9110 (208) 292-2959 (208) 772-9110 (208) 292-2959 (208) 667-9110 (208) 292-2959 (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 772-9110 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 167

Obligato, Peter R. Obligato, Peter R. Obligato, Peter R. Parker, Sarah M MD Perschau, Benjamin R. Russo, Anthony L MD Russo, Anthony L MD Endocrinology Rodebaugh, Maria R MD Endocrinology Abrahams, Michael MD Abrahams, Michael MD Ancker, Robert A MD Barker, Michael MD Barker, Michael MD Barker, Michael MD Bell, Richard K MD, Urgent Care Bowman, Bradley P Bowman, Bradley P Bowman, Bradley P Brancheau, Shaun P MD Burns, Brittany Carleton MD, Urgent Care Burns, Brittany Carleton MD, Urgent Care Burns, Brittany Carleton MD, Urgent Care Burns, Brittany Carleton MD, Urgent Care Burns, Timothy Burns, Timothy Caldwell, Richard B Caldwell, Richard B, Urgent Care Caldwell, Richard B, Urgent Care Caldwell, Richard B, Urgent Care Caldwell, Richard B, Urgent Care Chambers, David L, Urgent Care Chambers, David L, Urgent Care Chambers, David L, Urgent Care Chambers, David L, Urgent Care 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 220E 1112 W Ironwood Dr -2474 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 315 W Dalton Ave Ste 100 Coeur d Alene, ID 83815-8600 1919 Lincoln Way Ste 211 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 315 W Dalton Ave Ste B Coeur d Alene, ID 83815-8600 2003 Kootenai Health Way -6051 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 914 W Ironwood Dr Suite 101-4927 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1701 Lincoln Way -2537 566 W Prairie Ave Coeur d Alene, ID 83815-7766 1919 Lincoln Way Ste 315 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 920 Ironwood Dr Ste 101-2464 1919 Lincoln Way Ste 315 1401 N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 920 Ironwood Dr Ste 101-2464 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 (208) 292-2959 (208) 209-6800 (208) 292-2959 (208) 625-4000 (208) 625-4000 (208) 262-2600 (208) 209-2066 (208) 625-5500 (208) 262-2600 -Bonner General Hospital (208) 209-2066 ADA Accessible -Bonner General Hospital (208) 625-4000 (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 765-5922 Not accepting new patients (208) 772-9110 -Pullman Regional Hospital (208) 667-9110 -Pullman Regional Hospital (208) 292-2959 -Pullman Regional Hospital (208) 625-5630 (208) 772-9110 (208) 625-6000 (208) 667-9110 (208) 292-2959 (208) 667-4557 (208) 625-6000 (208) 664-5904 (208) 772-9110 (208) 292-2959 (208) 667-9110 (208) 292-2959 (208) 667-4557 (208) 772-9110 (208) 667-9110 (208) 292-2959 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 168

Chisholm, Donald MD, Urgent Care Cox, Craig H. MD, Urgent Care Cox, Craig H. MD, Urgent Care Cox, Craig H. MD, Urgent Care Denny, Stuart, Urgent Care Denny, Stuart, Urgent Care Denny, Stuart, Urgent Care Denny, Stuart, Urgent Care Drury, Bradley C MD Emry, Geoffrey T MD Emry, Geoffrey T MD Esau, Arlie E., Urgent Care Esau, Arlie E., Urgent Care Esau, Arlie E., Urgent Care Esau, Arlie E., Urgent Care Fogarty, Shana D. MD Ford, Morgan D., Urgent Care Ford, Morgan D., Urgent Care Ford, Morgan D., Urgent Care Ford, Morgan D., Urgent Care Gilles, Ryan J Gilles, Ryan J Gilles, Ryan J Gilles, Ryan J Gilles, Ryan J Givens, Jeffery S MD, Urgent Care Givens, Jeffery S MD, Urgent Care Givens, Jeffery S MD, Urgent Care Gronholz, M Jill DO, Osteopathic Manipulation Gronholz, M Jill DO, Osteopathic Manipulation Guth, Leonard D MD, Urgent Care Guth, Leonard D MD, Urgent Care Guth, Leonard D MD, Urgent Care Guth, Leonard D MD, Urgent Care Guth, Leonard D MD, Urgent Care Guth, Leonard D MD, Urgent Care 920 Ironwood Dr Ste 101-2464 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 914 W Ironwood Dr Suite 101-4927 920 Ironwood Dr Ste 101-2464 1401 N Lincoln Way 1401 N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 2003 Kootenai Health Way -6051 566 W Prairie Ave Coeur d Alene, ID 83815-7766 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 1919 Lincoln Way Ste 315 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1401 N Lincoln Way 1401 N Lincoln Way 5424 N Martha Lp Coeur d Alene, ID 83815 1401 N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 (208) 667-4557 (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 772-9110 (208) 292-2959 (208) 667-9110 (208) 292-2959 (208) 765-5922 (208) 667-4557 (208) 664-5904 (208) 664-5904 (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 666-2000 (208) 772-9110 (208) 262-2600 (208) 667-9110 (208) 292-2959 (208) 772-9110 (208) 292-2959 (208) 625-6000 (208) 667-9110 (208) 292-2959 (208) 772-0590 (208) 667-9110 (208) 292-2959 (208) 664-5904 (208) 664-5904 (208) 676-1852 Not accepting new patients (208) 664-5904 (208) 772-9110 (208) 292-2959 (208) 667-9110 (208) 292-2959 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 169

Hagen, Robert W MD Hagen, Robert W MD Hagen, Robert W MD Haynes, Paul B MD Haynes, Paul B MD Haynes, Paul B MD Haynes, Paul B MD Jones, Roxanna S, Urgent Care Jones, Roxanna S, Urgent Care Jones, Roxanna S, Urgent Care Jones, Roxanna S, Urgent Care Keene, Warren C. MD Kindler, Scott R. DO Kindler, Scott R. DO Kindler, Scott R. DO Klein, Dennis DO Klein, Dennis DO Klein, Dennis DO Lakko, Robert Jordan DO Lakko, Robert Jordan DO Lee, Janet Lindley, Lorene H. MD Lindley, Lorene H. MD Lindstrom, Janice A. MD Lorion, S. Jessy MD Malek, Steven J. MD Manteuffel, Mark E. MD Martin, Thomas P. MD Mayer, Alan Douglas Mayer, Alan Douglas Mayer, Alan Douglas McDonald, Jara K MD McFarland, Robert M, Urgent Care McFarland, Robert M, Urgent Care McLandress, Richard A, Urgent Care McLandress, Richard A, Urgent Care 416 E Coeur d A'lene Ave -2825 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 315 W Dalton Ave Ste B Coeur d Alene, ID 83815-8600 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 2003 Kootenai Health Way -6051 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1090 W Park Pl -2785 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 2003 Kootenai Health Way -6051 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 1110 W Ironwood Dr -2475 700 Ironwood Dr Ste 234 1404 E Sherman Ave -4044 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 315 W Dalton Ave Ste 100 Coeur d Alene, ID 83815-8600 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 700 Ironwood Dr Ste 101 1919 Lincoln Way Ste 315 700 Ironwood Dr Ste 101 1919 Lincoln Way Ste 315 (208) 667-1110 (208) 262-2600 (208) 209-2066 ADA Accessible (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 772-9110 (208) 292-2959 (208) 667-9110 (208) 292-2959 (208) 625-4000 (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 292-0292 (208) 292-0292 (208) 625-4000 (208) 209-0288 (208) 664-8818 (208) 765-6997 (208) 666-0909 Not accepting new patients (208) 625-4000 (208) 625-4000 (208) 209-2066 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 667-2541 (208) 625-6000 (208) 667-2541 (208) 625-6000 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 170

Meza, Michael G. MD Meza, Michael G. MD Meza, Michael G. MD Meza, Michael G. MD Meza, Michael G. MD Neal, Thomas A MD, Urgent Care Ragsdale, Sara K DO Ragsdale, Sara K DO Ragsdale, Sara K DO Ragsdale, Sara K DO Rittenour, Timothy Mark MD Rittenour, Timothy Mark MD Rittenour, Timothy Mark MD Rousseau, Leanne M., Urgent Care Rousseau, Leanne M., Urgent Care Rousseau, Leanne M., Urgent Care Rousseau, Leanne M., Urgent Care Rousseau, Leanne M., Urgent Care Scarola, Chad W. MD Schaller, Christine C. MD Schaller, Christine C. MD Schaller, Christine C. MD Schaller, Christine C. MD Schmitt, Don J., Urgent Care Shaw, Alyssa A MD Shaw, Alyssa A MD, Urgent Care Shaw, Alyssa A MD, Urgent Care Shaw, Alyssa A MD, Urgent Care Shaw, Alyssa A MD, Urgent Care Shaw, Robin R. MD Shupe, Jonathan M MD Smith, Gayle Diane Smith, Gayle Diane 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1052 W Mill Ave 920 Ironwood Dr Ste 101-2464 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 700 Ironwood Dr Ste 258N -2656 1112 W Ironwood Dr -2474 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1401 N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1701 Lincoln Way -2537 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1110 Ironwood Drive 914 W Ironwood Dr Suite 101-4927 1401 N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 2003 Kootenai Health Way -6051 1919 Lincoln Way Ste 315 201 E Harrison Ave -3240 1090 W Park Pl -2785 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 664-3301 (208) 667-4557 (208) 772-9110 -Klickitat Valley Hospital -Newport Community Hospital -North Valley Hospital (208) 667-9110 -Klickitat Valley Hospital -Newport Community Hospital -North Valley Hospital (208) 292-2959 -Klickitat Valley Hospital -Newport Community Hospital -North Valley Hospital (208) 292-2959 -Klickitat Valley Hospital -Newport Community Hospital -North Valley Hospital (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 664-5904 (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 292-0292 (208) 765-1866 (208) 772-9110 Languages: SPANISH (208) 292-2959 Languages: SPANISH (208) 667-9110 Languages: SPANISH (208) 292-2959 Languages: SPANISH (208) 666-2559 Not accepting new patients -Northwest Hospital & Medical Center (208) 765-5922 Languages: SPANISH (208) 664-5904 Languages: SPANISH (208) 772-9110 Languages: SPANISH (208) 667-9110 Languages: SPANISH (208) 292-2959 Languages: SPANISH (208) 625-4000 (208) 625-6000 (208) 292-0697 (208) 292-0292 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 171

Snyders, Brian D. Stenhouse, Faine MD Stenhouse, Faine MD Stenhouse, Faine MD Stenhouse, Faine MD Sturges, John A, Urgent Care Sturges, John A, Urgent Care Sturges, John A, Urgent Care Sturges, John A, Urgent Care Sturges, John A, Urgent Care Suriano, Catherine M. Thurston, Richard K. Wester, Daniel C MD Wester, Daniel C MD Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care /OB Mena, Robert M. /OB Mena, Robert M. /OB Mena, Robert M. /OB Siemers, Rebecca MD /OB Gastroenterology James, Michael W MD Gastroenterology Preiksaitis, Harold G MD Gastroenterology Webb, Kevin R MD Gastroenterology Young, Gavin S. Gastroenterology Young, Gavin S. Gastroenterology General Surgery detar, Edward G. General Surgery detar, Edward G. General Surgery 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 566 W Prairie Ave Coeur d Alene, ID 83815-7766 1300 E Mullan Ave Ste 1300-4036 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 2170 Ironwood Center Drive Suite A 1401 N Lincoln Way 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1701 Lincoln Way -2537 2003 Kootenai Health Way -6051 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 315 W Dalton Ave Ste B Coeur d Alene, ID 83815-8600 566 W Prairie Ave Coeur d Alene, ID 83815-7766 201 E Harrison Ave -3240 1090 W Park Pl -2785 2115 E Sherman Ave Ste 101-5364 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1919 Lincoln Way Ste 315 1919 Lincoln Way Ste 415 2003 Kootenai Health Way -6051 1919 Lincoln Way Ste 415 1607 Lincoln Way Ste 200-2476 1919 Lincoln Way Ste 415 700 Ironwood Dr Ste 304 700 W Ironwood Dr Ste 341-4404 (208) 209-0288 (208) 772-9110 (208) 625-5630 (208) 667-9110 (208) 292-2959 (208) 665-5596 Not accepting new patients (208) 664-5904 (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 765-1866 (208) 625-4000 (208) 262-2600 (208) 209-2066 Not accepting new patients ADA Accessible (208) 772-9110 (208) 292-0697 (208) 292-0292 (208) 819-7103 (208) 667-9110 (208) 292-2959 (208) 292-0292 (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 625-6000 (208) 625-4595 (208) 625-4000 Languages: GERMAN (208) 625-4595 (208) 667-5483 (208) 625-4595 (208) 667-1588 (208) 625-5200 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 172

Holman, Robert G MD General Surgery Holman, Robert G MD General Surgery Holman, Robert G MD General Surgery Johnson, Kevin M MD General Surgery Kladar, Philip A MD General Surgery Kontny, Debra A General Surgery Lundeby, John P. General Surgery May, Michael T. General Surgery May, Michael T. General Surgery Pennings, John L. MD General Surgery Quinn, Timothy T General Surgery Stafford, Douglas R. MD General Surgery Thilo, Thomas K. General Surgery Thilo, Thomas K. General Surgery Torgenson, Marcus J MD General Surgery Ward, Christopher A MD General Surgery Ward, Christopher A MD General Surgery Hospitalist Alhafez, Fadi MD Hospitalist, Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Meythaler, Jay Hospitalist Mroczko, Mark P MD Hospitalist Yunusov, Murad Y Hospitalist, Bartels, David Cadwell DO, Oncology/Hematology Bertsch, Rebecca J DO Carraher, Michael J MD Casper, John B MD, Anesthesiology Casper, John B MD, Anesthesiology Casper, John B MD, Anesthesiology 700 Ironwood Drive Suite 304 1919 Lincoln Way Ste 315 700 W Ironwood Dr Ste 341-4404 608 Northwest Blvd Ste 301-2174 700 Ironwood Dr Ste 350-4487 608 Northwest Blvd Ste 301-2174 608 Northwest Blvd Ste 301-2174 700 Ironwood Dr Ste 304 700 W Ironwood Dr Ste 341-4404 2003 Kootenai Health Way -6051 700 W Ironwood Dr Ste 341-4404 850 Ironwood Dr Ste 201 700 Ironwood Drive Suite 304 2003 Kootenai Health Way -6051 700 W Ironwood Dr Ste 341-4404 2003 Kootenai Health Way -6051 700 W Ironwood Dr Ste 341-4404 2003 Kootenai Health Way -6051 2003 Lincoln Way 2100 Ironwood Ct Ste A -2698 2003 Lincoln Way 2003 Lincoln Way 2003 Lincoln Way 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 700 Ironwood Dr 1919 Lincoln Way Ste 110 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 (208) 667-1588 (208) 625-6000 (208) 625-5200 (208) 664-4940 ADA Accessible -Northwest Specialty Hospital (208) 625-5222 (208) 676-8346 Languages: GERMAN (208) 676-8346 (208) 667-1588 Languages: SPANISH (208) 625-5200 Languages: SPANISH (208) 625-4000 (208) 625-5200 (208) 676-0104 (208) 667-1588 (208) 625-4000 (208) 625-5200 (208) 625-4000 (208) 625-5200 (208) 666-2000 (208) 666-2000 (208) 664-3064 (208) 666-2000 (208) 666-2000 (208) 666-2000 (208) 625-4000 (208) 625-4000 (208) 625-4000 Languages: RUSSIAN (208) 666-2000 ADA Accessible (208) 625-4515 (208) 292-0292 (208) 772-9110 (208) 667-9110 (208) 292-2959 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 173

Chester, Catherine A MD Crest, Anthony Bryan MD Crest, Anthony Bryan MD Crest, Anthony Bryan MD Crest, Anthony Bryan MD Daugharty, Barbara A Daugharty-Fowler, Susan M Daugharty-Fowler, Susan M Dinning, Andrea N Dinning, Dustin D DO, Rheumatology Fehir, Kim M. Gersh, Robert H., Oncology/Hematology Gertson, Dawn Gill, Kirandeep Kaur DO, Pediatrics Gill, Kirandeep Kaur DO, Pediatrics Gill, Kirandeep Kaur DO, Pediatrics Haller, Frederick MD Hecker, Susan C. MD Hettick, Jamie L MD Kim, Anna Belle MD, Pediatrics Kim, Anna Belle MD, Pediatrics Kim, Anna Belle MD, Pediatrics Kim, Anna Belle MD, Pediatrics Lahr, Stephanie Lutsenhizer, Del B. MD Melchiore, Susan MD Melchiore, Susan MD Melchiore, Susan MD Melchiore, Susan MD Missirian, Rina Jannik MD, Geriatric Medicine Newcombe, Jr., L. Raymond MD Newcombe, Jr., L. Raymond MD Newcombe, Jr., L. Raymond MD Notestine, Aaron J MD, Cardiovascular Disease Osmanski, Lorene A. Osmanski, Lorene A. Pataky, James 1919 Lincoln Way Ste 110 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 920 Ironwood Dr Ste 1600 2003 Kootenai Health Way -6051 1919 Lincoln Way Ste 110 1919 Lincoln Way Ste 110 700 W Ironwood Dr Ste 275-4400 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 130-4404 2003 Kootenai Health Way -6051 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 2003 Kootenai Health Way -6051 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 1090 W Park Pl -2785 1052 W Mill Ave -2444 2003 Kootenai Health Way -6051 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1090 W Park Pl -2785 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 700 Ironwood Dr Ste 320-4485 916 Ironwood Dr 1090 W Park Pl -2785 1701 Lincoln Way -2537 (208) 625-4515 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 664-9205 (208) 625-4000 (208) 625-4515 (208) 625-4601 (208) 625-4780 (208) 625-4000 (509) 228-1000 (208) 666-2000 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 -Shoshone Medical Center (208) 666-2000 (208) 209-0288 (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 292-0292 (208) 666-2000 (208) 625-4000 (208) 292-0292 (208) 664-3301 (208) 666-2552 (208) 292-0292 (208) 292-0292 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 625-5250 ADA Accessible (208) 292-0292 (208) 292-0292 (208) 667-7845 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 174

Roth, Jason Eric Roth, Jason Eric Schwintek, Jason MD Thykeson, Karen A Uhder, Kerstin A Wilson, Jeffrey D DO Wilson, Jeffrey D DO Wilson, Jeffrey D DO Wilson, Jeffrey D DO Wilson, Jeffrey D DO Wilson, Jeffrey D DO Wise, John M Wise, John M Wise, John M Interventional Cardiology Alexander, Susan J Interventional Cardiology, Cardiovascular Disease Kadel, Keith A MD Interventional Cardiology, Cardiovascular Disease, Kavanaugh, Kevin M MD Interventional Cardiology, Cardiovascular Disease Thew, Stephen T. MD Interventional Cardiology Bradymire, Rena Lorinne LMHC, LSW Bradymire, Rena Lorinne LMHC, LSW Carr-Peterson, Stacia Crista LMHC Daggy, Linda Marie LMHC Daggy, Linda Marie LMHC Daggy, Linda Marie LMHC Donahue-Reed, Lucretia M1 Farrar, Tiffany Layne LMHC Gajewski, Stephen W Gedeik, Jacqueline Amy Hart, Emily M. LMHC Coeur D Alene Hosack, Kathleen E RC Coeur d Alene 980 W Ironwood Dr Ste 205-2668 980 W Ironwood Dr Ste 205-2668 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 201 E Harrison Ave -3240 1090 W Park Pl -2785 2003 Kootenai Health Way -6051 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 700 Ironwood Dr Ste 258N -2656 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 2201 N Government Way Ste K -3658 1103 E Sherman -4154 1417 N 4th St -3310 201 E Harrison Ave -3240 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2003 Kootenai Health Way -6051 211 E Coeur d Alene Ave Ste 102-4926 2448 N Merritt Creek Loop Ste 2E -6215 2005 Ironwood Pkway Ste 119 1015 W Ironwood Dr Ste 200-4952 118 N 7th St Ste 5C Coeur D Alene, ID 83814-2710 (208) 765-2610 (509) 838-2531 (208) 625-4000 (208) 625-4000 (208) 666-2000 (208) 625-4000 (208) 292-0697 (208) 292-0292 (208) 666-2000 (208) 292-0292 (208) 292-0292 (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 625-4000 -Deaconess Medical Center -Sacred Heart Medical Center (208) 625-5250 ADA Accessible (208) 625-5250 ADA Accessible -Bonner General Hospital (208) 625-5250 ADA Accessible (208) 664-0552 (208) 209-7188 (208) 292-2188 (208) 292-0697 (208) 292-0292 (208) 620-5210 (208) 625-4000 (208) 699-6817 ADA Accessible (509) 521-7457 (208) 699-6756 (208) 676-8183 (208) 664-9102 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 175

Huffer, John Brian LMHC Huffer, John Brian LMHC Huffer, John Brian LMHC Kern, Amanda S LSW Kimes, Judy Leifheit, Jud Eugene Madsen, Ingrid E RC McCormack, Cheri A LMHC Olson, Casey Lynn LMHC Olson, Casey Lynn LMHC Olson, Casey Lynn LMHC Park, Kristin Suzanne LMFT Park, Kristin Suzanne LMFT Park, Kristin Suzanne LMFT Piovesan, Dean Stanley LMHC Piovesan, Dean Stanley LMHC Piovesan, Dean Stanley LMHC Poe, Blake M Saari, Dawn L. LMHC Scott, Jennifer Diane LMHC Scott, Jennifer Diane LMHC Sferra, Laura Siena RC Sherman, JoAnne E LMHC Sherman, JoAnne E LMHC Smith, Jodi Suzanne LMHC Smith, Jodi Suzanne LMHC Smith, Jodi Suzanne LMHC Telleria, Brian James LMHC Telleria, Brian James LMHC Telleria, Brian James LMHC Walker, Julie Dawn LMFT Walker, Julie Dawn LMFT Walker, Julie Dawn LMFT Walker, Julie Dawn LMFT White, Rebecca Lynn LMHC White, Rebecca Lynn LMHC 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 1417 N 4th St -3310 1130 W Prairie Ave Ste 1 Coeur d Alene, ID 83815-8780 421 E Coeur d' Alene Ave Ste 1A -2862 1110 W Park Pl Ste 306-2784 1042 W Mill Ave Ste 205-2489 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 408 E Montana St -3051 212 S 11th St Ste 5-4000 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 560 W Canfield Ave Ste 400 Coeur d Alene, ID 83815 520 E Coeur d Alene Ave -2873 2201 N Government Way Ste K -3658 1417 N 4th St -3310 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 201 E Harrison Ave -3240 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2448 Merritt Creek Loop Ste 2F -6242 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 292-2188 (208) 664-9022 (208) 667-6606 (208) 667-3383 Not accepting new patients (208) 661-1495 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 667-3515 Not accepting new patients (509) 435-7508 (208) 209-0288 (208) 667-7777 (208) 659-5119 (208) 664-0552 (208) 292-2188 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 292-0697 (208) 292-0292 (208) 620-5210 (208) 818-1099 (208) 292-0292 (208) 620-5210 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 176

White, Rebecca Lynn LMHC Marriage & Family Counselor Arriaga-Thorne, Vickie L Marriage & Family Counselor Beglinger, Susan Marie LMFT Marriage & Family Counselor Krapfl, Julie Nichole LMFT Marriage & Family Counselor Licensed Massage Therapist Leech, Christopher Alan LMP Massage Therapy Morris, Laura LMP Massage Therapy Rockwell, Tyson J Massage Therapy Taranto, Jessica Massage Therapy Naturopathic Physician Hallowitz, Toby Kyle LAC Naturopathic Physician, Acupuncture Nephrology Carson, Richard W Nephrology Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Groza, Petru Nephrology Jones, Kristie E MD Nephrology, Mielke, Brendan A Nephrology Musa, John L MD Nephrology Petersen, Emily Lara Nephrology Sanchez, Sean Ian Nephrology, Singh, Satinder Nephrology Neurological Surgery Buchanan, Colin C MD Neurological Surgery Dirks, Bret A. Neurological Surgery Ganz, William F. MD Neurological Surgery Larson, Jeffrey J Neurological Surgery Larson, Jeffrey J Neurological Surgery McDonald, Jeffrey D. MD Neurological Surgery Neurology Britt Jr, Charles W MD Neurology 2201 Ironwood Pl Ste 100 1103 W Ironwood Dr Ste A -2604 206 E Indiana Ave Ste 112-2969 211 E Coeur d Alene Ave Ste 102-4926 610 W Hubbard St Ste 116-2286 1110 W Park Pl Ste 304-2784 520 E Coeur D'Alene Ave -2873 1019 W Lacrosse Ave -2418 1310 N 4th St 700 Ironwood Ave Ste 334 2003 Lincoln Way 2100 Ironwood Ct Ste A -2698 2003 Lincoln Way 2003 Lincoln Way 2003 Lincoln Way 700 Ironwood Ave Ste 334 700 W Ironwood Dr Ste 375-4401 700 W Ironwood Dr Ste 375-4401 700 W Ironwood Dr Ste 375-4401 700 W Ironwood Dr Ste 375-4401 700 W Ironwood Dr Ste 375-4401 700 W Ironwood Dr Ste 375-4401 3320 N Grand Mill Ln -5689 850 W Ironwood Dr Ste 300-4903 2236 N Merritt Creek Loop Ste A -4960 3320 N Grand Mill Ln -5689 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 158-4404 (208) 769-2222 (208) 818-3581 (208) 777-5510 (208) 699-6817 ADA Accessible (208) 664-9134 ADA Accessible (208) 699-4433 (509) 869-6484 (208) 292-4873 (208) 676-0400 (208) 666-9541 (208) 666-2000 (208) 664-3064 (208) 666-2000 (208) 666-2000 (208) 666-2000 (208) 666-9541 -Providence Sacred Heart Medical Center & Children's Hospital (509) 838-2531 (509) 838-2531 (509) 838-2531 (509) 838-2531 (509) 838-2531 -Deaconess Medical Center (509) 838-2531 (208) 930-4922 ADA Accessible (208) 667-1376 (208) 684-5467 (208) 930-4922 ADA Accessible -Northwest Specialty Hospital (208) 625-4000 -Northwest Specialty Hospital (208) 625-4000 (208) 625-5100 Not accepting new patients Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 177

Coats, Michael Edwin MD Neurology Coats, Michael Edwin MD Neurology Hampton, Cliff W MD Neurology Hoffman, Donald L MD Neurology Kelts, Eric A MD Neurology Lavy, Louisa Neurology Ramey, David B Neurology Ramey, David B Neurology Schreiber, David J MD Neurology Nurse Midwife Certified/Licensed Holcomb, Pam K NPRA Nurse Midwife Certified/Licensed Krull, Faith M Nurse Midwife Certified/Licensed Olscamp, Stephanie J NPRA, NPRA, RN Nurse Midwife Certified/Licensed Warzecha, Katy Nurse Midwife Certified/Licensed Williamson, Ronda L. RNMW Nurse Midwife Certified/Licensed Arnold, Lynda J. NPRA, RN Arnold, Lynda J. NPRA, RN Arnold, Lynda J. NPRA, RN Arnold, Lynda J. NPRA, RN Arnold, Lynda J. NPRA, RN Asper, Annette L ARNP, RN Bowman, Taffie ARNP Brinkmann, Bart D NPRA, RN Campa, Carolyn M NPRA, RN Capaul, Jessica ARNP, RN Cartwright-Nolting, Kiandra Lynn ARNP, RN Collar, Janet Collar, Janet Collar, Janet Dahlen, Paula I ARNP, PA, Dahlen, Paula I ARNP, PA, Fontana, Paul ARNP, RN Fontana, Paul ARNP, RN Gallegos, Samantha ARNP, RN Hanson, Amber E ARNP Heidenreich, Tanya M ARNP, RN 2022 N Goverment Way 700 Ironwood Dr Ste 158-4404 700 Ironwood Dr Ste 158-4404 700 Ironwood Dr Ste 158-4404 700 Ironwood Dr Ste 158-4404 700 Ironwood Dr Ste 158-4404 700 Ironwood Dr Ste 130-2656 700 Ironwood Dr Ste 158-4404 700 Ironwood Dr Ste 158-4404 980 W Ironwood Dr Ste 306-2668 980 W Ironwood Dr Ste 306-2668 980 W Ironwood Dr Ste 101-2668 980 W Ironwood Dr Ste 306-2668 980 W Ironwood Dr Ste 306-2668 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1052 W Mill Ave -2444 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1875 N Lakewood Dr Ste 200-4928 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 320-4485 2288 N Merritt Creek Lp -4959 920 Ironwood Dr Ste 101-2464 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 980 W Ironwood Dr Ste 205-2668 700 Ironwood Dr Ste 350-4487 700 Ironwood Dr Ste 350-4487 1090 W Park Pl -2785 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 980 W Ironwood Dr Ste 205-2668 980 W Ironwood Dr Ste 205-2668 700 Ironwood Dr Ste 320-4485 700 W Ironwood Dr Ste 375-4401 2300 Kootenai Health Way (208) 667-5536 (208) 625-5100 (208) 625-5100 (208) 625-5100 (208) 625-5100 (208) 625-5100 (208) 666-3800 (208) 625-5100 (208) 625-5100 (208) 664-3101 (208) 664-3101 (208) 765-1455 (208) 664-3101 (208) 664-3101 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 664-3301 (208) 292-0292 (208) 758-0716 (208) 625-5250 ADA Accessible (208) 625-5250 ADA Accessible (208) 665-7546 (208) 667-4557 (208) 209-0288 (509) 838-2531 (208) 676-9913 (208) 676-9913 (208) 292-0292 (208) 292-0292 (208) 765-2610 (509) 838-2531 (208) 625-5250 ADA Accessible (509) 838-2531 (208) 625-4000 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 178

Itveldt, Fred M NPRA Itveldt, Fred M NPRA Itveldt, Fred M NPRA Kastens, Valerie M. Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Liter, Mary M RN Love, Denise NPRA Love, Denise NPRA Manion, Kathleen Marie Masterson, Twyla J ARNP, RN Masterson, Twyla J ARNP, RN Mortensen, Shannon K. NPRA, RN Mueller, Diane M NPRA, RN Mykkanen, Debra Colleen ARNP, RN Mykkanen, Debra Colleen ARNP, RN Pena, Holly B ARNP, RN Pena, Holly B ARNP, RN Pena, Holly B ARNP, RN Reese, Reva Gay ARNP Reese, Reva Gay ARNP Reese, Reva Gay ARNP Reese, Reva Gay ARNP Roby, Amanda Dee ARNP Skurupey, Brooke M NPRA, NPRA Soehren, Pauline M. Spencer, Breanna A. Spencer, Breanna A. Spencer, Breanna A. 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 920 Ironwood Dr Ste 1600 566 W Prairie Ave Coeur d Alene, ID 83815-7766 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 700 Ironwood Dr Ste 120E -4484 700 Ironwood Dr Ste 258N -2656 1112 W Ironwood Dr -2474 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1686 W Riverstone Dr Ste 1-5779 1686 W Riverstone Dr Ste 1-5779 223 W Ironwood Dr -2651 980 W Ironwood Dr Ste 205-2668 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 850 W Ironwood Dr Ste 300-4903 2288 N Merritt Creek Lp -4959 700 Ironwood Dr Ste 158-4404 700 W Ironwood Dr Ste 155-2666 700 W Ironwood Dr Ste 102-2666 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 700 Ironwood Dr Ste 258N -2656 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 850 W Ironwood Dr Ste 300-4903 700 Ironwood Dr Ste 130-2656 980 W Ironwood Dr Ste 205-2668 920 Ironwood Dr Ste 101-2464 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 664-9205 (208) 772-9110 Languages: SPANISH (208) 292-0697 Languages: SPANISH (208) 292-0292 Languages: SPANISH (208) 292-0292 Languages: SPANISH (208) 667-9110 Languages: SPANISH (208) 292-2959 Languages: SPANISH (208) 292-2959 Languages: SPANISH (208) 292-0292 Languages: SPANISH (208) 765-4807 Not accepting new patients (208) 765-4807 (208) 215-3261 (208) 765-2610 -Providence Sacred Heart Medical Center & Children's Hospital (208) 209-2060 (208) 667-1376 (208) 665-7546 -Gritman Medical Center Inc (208) 625-5100 (208) 667-0585 (208) 667-0585 (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 667-1376 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 666-3800 (509) 838-2531 (208) 667-4557 (208) 772-9110 (208) 292-2959 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 179

Spencer, Breanna A. Spencer, Breanna A. Stow, Marti NPRA, RN Szymanski, Michael E ARNP, RN Szymanski, Michael E ARNP, RN Thompson, Carrie Thomson, Valerie J NPRA Trenkle, Susan Youmans, Angela R NPRA, RN Youmans, Angela R NPRA, RN /Adult LejaMeyer, Kathleen Ruth NPRA /Adult / Bailey, Chad D. / Baran, Susan E. / Barnes, Cindy L ARNP, RN / Barnes, Cindy L ARNP, RN / Breisacher, Lisa G M ARNP, RN / Brown, Jessica Brook NPRA / Brown, Peter Christopher NPRA, RN / Brown, Peter Christopher NPRA, RN / Brown, Peter Christopher NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Cleveland, Eileen Melody ARNP, RN / Cutler, Hilary L ARNP, RN / Dummer, Susan L. / Dummer, Susan L. / Ficek, Brittany ARNP, RN / Forsman, Katie L / Hansen, Holli NPRA, RN / Hansen, Holli NPRA, RN / Hansen, Holli NPRA, RN / Harder, Paige A. / Hickman, Jennifer Lynn ARNP / 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 980 W Ironwood Dr Ste 104-2668 1090 W Park Pl -2785 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 2003 Kootenai Health Way -6051 850 W Ironwood Dr Ste 300-4903 1919 Lincoln Way Ste 211 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 158-4404 1700 W Riverstone Dr -5683 2300 Kootenai Health Way 980 W Ironwood Dr Ste 205-2668 1701 Lincoln Way -2537 1300 E Mullan Ave Ste 1300-4036 1919 Lincoln Way Ste 315 980 W Ironwood Dr Ste 201-2668 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 401 Front Ave Ste 208-2754 2288 N Merritt Creek Lp -4959 980 W Ironwood Dr Ste 101-2668 920 Ironwood Dr Ste 1600 1919 Lincoln Way Ste 315 980 W Ironwood Dr Ste 101-2668 1090 W Park Pl -2785 1052 W Mill Ave -2444 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 2003 Kootenai Health Way -6051 201 E Harrison Ave -3240 (208) 667-9110 (208) 292-2959 (208) 667-0621 (208) 292-0293 (208) 292-0292 (208) 625-4000 (208) 667-1376 (208) 625-5500 (208) 625-4000 (208) 625-5100 (208) 770-2822 ADA Accessible (208) 625-4000 (509) 838-2531 (208) 765-1866 (208) 773-9113 (208) 625-6000 (208) 765-4888 Not accepting new patients (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 664-1505 (208) 665-7546 (208) 765-1455 (208) 664-9205 (208) 625-6000 (208) 765-1455 (208) 292-0292 (208) 664-3301 (208) 292-0292 (208) 625-4000 (208) 292-0697 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 180

Hickman, Jennifer Lynn ARNP / Hickman, Jennifer Lynn ARNP / Hickman, Jennifer Lynn ARNP / Hildebrandt, Susan Eileen ARNP, RN / Hughes, Laine D. / Hunter, Nancy Mae NPRA, RN / Hunter, Nancy Mae NPRA, RN / Hunter, Nancy Mae NPRA, RN / Hunter, Nancy Mae NPRA, RN / Hurst, Gary Arthur ARNP, RN / Kilroy, Stephanie L / Koep, Julia J NPRA / Koep, Julia J NPRA / Koep, Julia J NPRA / Koep, Julia J NPRA / Kugler, Tiffany Sue NPRA, RN / Kugler, Tiffany Sue NPRA, RN / Meyer, Sean Alan NPRA, RN / Meyer, Sean Alan NPRA, RN / Moore, Holly K ARNP, ARNP / Nelson, Janice M. ARNP / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / Prindle, Regina M ARNP, RN / Prindle, Regina M ARNP, RN / Prindle, Regina M ARNP, RN / Prindle, Regina M ARNP, RN / Qualls, Jana Marie ARNP, RN / Qualls, Jana Marie ARNP, RN / Sutton, Christy ARNP, RN / Sutton, Christy ARNP, RN / Szymanski, Mary T / Taylor, Ellen J. NPRA, RN / 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1919 Lincoln Way Ste 415 980 W Ironwood Dr Ste 302 Coeur d Alene, ID 83816 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1875 N Lakewood Dr Ste 200-4928 700 Ironwood Dr Ste 320-4485 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1090 W Park Pl -2785 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1090 W Park Pl -2785 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 3320 N Grand Mill Ln -5689 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 2003 Kootenai Health Way -6051 2003 Lincoln Way 2100 Ironwood Ct Ste A -2698 2003 Lincoln Way 2003 Lincoln Way 2003 Lincoln Way 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1090 W Park Pl -2785 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 700 W Ironwood Dr Ste 155-2666 700 W Ironwood Dr Ste 102-2666 700 Ironwood Dr Ste 336 566 W Prairie Ave Coeur d Alene, ID 83815-7766 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 625-4595 (208) 292-5437 ADA Accessible (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 758-0716 (208) 625-5250 ADA Accessible (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 930-4922 ADA Accessible (208) 209-0288 (208) 625-4000 (208) 666-2000 (208) 664-3064 (208) 666-2000 (208) 666-2000 (208) 666-2000 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 667-0585 (208) 667-0585 (208) 765-1252 (208) 772-9110 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 181

Taylor, Ellen J. NPRA, RN / Taylor, Ellen J. NPRA, RN / Taylor, Ellen J. NPRA, RN / Tickemyer, Krista Ann NPRA, RN / Tickemyer, Krista Ann NPRA, RN / Tickemyer, Krista Ann NPRA, RN / Tickemyer, Krista Ann NPRA, RN / Torok, Jennifer M NPRA, RN /, Nurse Practitioner/Pediatric Vecchio, Pamela J ARNP / Vesser, Tana ARNP, RN / Wagner, Jacqueline L NPRA, RN / Wagner, Jacqueline L NPRA, RN / Wagner, Jacqueline L NPRA, RN / Wagner, Jacqueline L NPRA, RN / Wagner, Jacqueline L NPRA, RN / Wagner, Jacqueline L NPRA, RN / Watson, Jennifer A NPRA, RN / Wigle, Michael Eugene ARNP, RN / Wigle, Michael Eugene ARNP, RN / Wigle, Michael Eugene ARNP, RN / Wigle, Michael Eugene ARNP, RN / Williams, Marty Jay ARNP, RN / Wilson, Connie Marie NPRA, RN / Young, Lana Rochelle NPRA, RN / Young, Lana Rochelle NPRA, RN / Young, Lana Rochelle NPRA, RN / Young, Lana Rochelle NPRA, RN / /Geriatric Rafacz, Ruthann /Geriatric /Mental Health Elisha, Leanne NPRA, RN /Mental Health Elisha, Leanne NPRA, RN /Mental Health Elisha, Leanne NPRA, RN /Mental Health Elisha, Leanne NPRA, RN /Mental Health Ely, J Roye NPRA, RN /Mental Health Ely, J Roye NPRA, RN /Mental Health 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 980 W Ironwood Dr Ste 302 Coeur d Alene, ID 83816 1090 W Park Pl -2785 700 Ironwood Dr Ste 120E -4484 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 714 W Appleway Ave Ste 200-9338 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 700 W Ironwood Dr Ste 155-2666 1919 Lincoln Way Ste 315 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1090 W Park Pl -2785 201 E Harrison Ave -3240 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 1104 W Ironwood Dr Ste A 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 (208) 292-2959 (208) 667-9110 (208) 292-2959 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 292-5437 ADA Accessible (208) 292-0292 (208) 667-9110 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 667-9110 (208) 292-2959 (208) 292-0292 (208) 665-1552 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 667-0585 (208) 625-6000 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 292-0292 (208) 292-0697 (208) 292-0292 (208) 620-5210 (208) 667-9400 (208) 292-0292 (208) 620-5210 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 182

Gourley, Janet M. /Mental Health, / Adult Gourley, Peter G ARNP /Mental Health Harris, Charlotte R ARNP, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health /Pediatric Adamson, Krista S ARNP, NPRA /Pediatric Bartell, Natalie Jeane ARNP, RN /Pediatric McLachlan, Nicola L ARNP, RN /Pediatric Taylor, Jordan E. ARNP, RN /Pediatric Young, Christine Amarisa ARNP, RN /Pediatric Young, Christine Amarisa ARNP, RN /Pediatric /Women's Health Rock, Ellen K NPRA, RN /Women's Health Bering, Stacie C. Cutting, Jon A. MD Duke, Adam R MD Helal, Kenneth J MD Henneberg, Andrew A. MD Henneberg, Deward A. MD Henneberg, R. Randel MD Hill, Regan MD Hill, Regan MD Kim, John Jene MD McCrummen, Brenna K MD Meltzer, Julie M MD Pates, Jason A, Maternal & Fetal Medicine Pates, Jason A, Maternal & Fetal Medicine Penney, Brett A MD 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 2003 Kootenai Health Way -6051 201 E Harrison Ave -3240 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 700 W Ironwood Dr Ste 155-2666 700 W Ironwood Dr Ste 155-2666 700 W Ironwood Dr Ste 155-2666 700 W Ironwood Dr Ste 155-2666 1090 W Park Pl -2785 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 980 W Ironwood Dr Ste 201-2668 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 101-2668 980 W Ironwood Dr Ste 201-2668 980 W Ironwood Dr Ste 101-2668 980 W Ironwood Dr Ste 201-2668 980 W Ironwood Dr Ste 201-2668 980 W Ironwood Dr Ste 201-2668 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 306-2668 980 W Ironwood Dr Ste 201-2668 980 W Ironwood Dr Ste 306-2668 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 306-2668 1800 Lincoln Way Ste 202-2570 (208) 209-0288 (208) 209-0288 (208) 625-4467 (208) 292-0697 (208) 292-0292 (208) 620-5210 (208) 292-0292 (208) 667-0585 (208) 667-0585 (208) 667-0585 (208) 667-0585 (208) 292-0292 (208) 292-0292 (208) 765-4888 Not accepting new patients (208) 625-4000 (208) 765-1455 (208) 765-4888 Not accepting new patients (208) 765-1455 (208) 765-4888 Not accepting new patients -Northwest Specialty Hospital (208) 765-4888 Not accepting new patients Languages: SPANISH (208) 765-4888 Not accepting new patients Languages: SPANISH (208) 625-4000 (208) 664-3101 (208) 765-4888 Not accepting new patients (208) 664-3101 (208) 625-4000 (208) 625-4000 (208) 664-3101 (208) 765-1455 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 183

Penney, Brett A MD Penney, Larry L MD Schultz, Kevin Jay MD Woods, Steven K. Occupational Therapy Douglas, Mary S OT Occupational Therapy Swider, Robert Occupational Therapy Taft, Virginia E OT Occupational Therapy Walker Satren, Debra J. Occupational Therapy Oncology, Medical Bemiller, Lynn S. Oncology, Medical Bergland, Eric F. Oncology, Medical Bouda, David Oncology, Medical Denes, Alex Oncology, Medical Fangman, Michael Oncology, Medical Garfield, David Oncology, Medical Mulvey, Kevin P MD Oncology, Medical, Hematology, Padolick, Joseph M. Oncology, Medical Patel, Dinesh Oncology, Medical Siegel, William Oncology, Medical Zietz, Bruce H. Oncology, Medical Oncology/Hematology Allen, Jeffrey W Oncology/Hematology Chester, Kawal D. Oncology/Hematology Chester, Kawal D. Oncology/Hematology Forsythe, Alice M Oncology/Hematology Grosset, Alan B. Oncology/Hematology, Kaya, Hakan Oncology/Hematology Kim, Kevin T MD Oncology/Hematology Tezcan, Haluk Oncology/Hematology Ophthalmology Buckland III, G. Thaddeus MD Ophthalmology Dance, David Gerald MD Ophthalmology Duke, Sara Lin MD Ophthalmology Granier, Alison Marie MD Ophthalmology Kent, Roderick S MD Ophthalmology 980 W Ironwood Dr Ste 101-2668 980 W Ironwood Dr Ste 101-2668 980 W Ironwood Dr Ste 201-2668 980 W Ironwood Dr Ste 306-2668 920 Ironwood Dr Ste 207 920 Ironwood Dr Ste 207 2448 N Merritt Creek Loop -6215 943 W Ironwood Dr Ste 100-4904 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 130-2656 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 130-2656 700 Ironwood Dr Ste 301 700 Ironwood Dr Ste 130-4404 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 103 700 Ironwood Dr Ste 130-4404 700 Ironwood Dr Ste 130-2656 700 Ironwood Dr Ste 103 1814 Lincoln Way -2540 1814 Lincoln Way -2540 1814 Lincoln Way -2540 1814 Lincoln Way -2540 1814 Lincoln Way -2540 (208) 765-1455 (208) 765-1455 (208) 765-4888 Not accepting new patients (208) 664-3101 (208) 664-0575 (208) 664-0575 (208) 664-2901 (208) 667-7097 (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 625-4700 (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 666-3800 (208) 666-2000 (509) 228-1000 (208) 666-2000 (208) 666-3809 (509) 228-1000 (208) 666-3800 (208) 666-3800 Languages: GERMAN, TURKISH (208) 667-2531 (208) 667-2531 (208) 667-2531 (208) 667-2531 (208) 667-2531 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 184

Kontos, Mark A. MD Ophthalmology Moss, Stephen A MD Ophthalmology Parden, Patrick J. MD Ophthalmology Skale, David M Ophthalmology StormoGipson, D. Justin Ophthalmology Wold, David A. MD Ophthalmology Optometry Butherus, Kelsi Optometry Clapper, Roy L. OD Optometry Ellenbecker, Cindy L. Optometry Ellenbecker, Wayne D OD Optometry Fagan, Lance W. OD Optometry Garn, Daniel N. Optometry Greene, Raymond K. Optometry Hamlin, Lindsay J Optometry Jangula, Rebecca Jael Optometry Robinson, Lisa L. Optometry Ulrich, Bret A. Optometry Weisel, John C OD Optometry Brown, Scott A. Dunteman, Roger C. Greendyke, Spencer D. Halvorson, Thomas L MD Keese, Gregory Robert MD King, Jonathan S MD, Sports Medicine King, Jonathan S MD, Sports Medicine Linthicum, Jonathan J MD Lyman, Jeffrey R MD Lyman, Jeffrey R MD McInnis, Douglas P. Quinn, Connor W MD Quinn, Connor W MD, Sports Medicine Quinn, Connor W MD, Sports Medicine Sims, William Witham, Lloyd E. 2175 N Main St Ste A -5768 1814 Lincoln Way -2540 1814 Lincoln Way -2540 2175 N Main St Ste A 1814 Lincoln Way -2540 1814 Lincoln Way -2540 355 E Neider Ave Coeur d Alene, ID 83815-3723 355 E Neider Ave Coeur d Alene, ID 83815-3723 2140 W Riverstone Drive Ste 101 2140 W Riverstone Drive Ste 101 1801 N 3rd St -3400 101 Ironwood Dr Ste 181 850 Ironwood Dr Ste 104 850 Ironwood Dr Ste 104 255 W Canfield Ave Ste 6 Coeur d Alene, ID 83815-7736 409 West Neider Avenue Suite C Coeur d Alene, ID 83815 101 Ironwood Dr Ste 181 1814 Lincoln Way -2540 2003 Lincoln Way 2003 Kootenai Health Way -6051 3318 N Grand Mill Ln -5689 1875 N Lakewood Dr Ste 200-4928 1107 W Ironwood Dr -2604 1107 Ironwood Dr 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 1875 N Lakewood Dr Ste 200 1875 N Lakewood Dr Ste 200-4928 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 1110 W Park Pl Ste 202-2783 1110 W Park Pl Ste 202 2003 Kootenai Health Way -6051 1107 Ironwood Dr (208) 664-9888 ADA Accessible (208) 667-2531 (208) 667-2531 (208) 664-9888 ADA Accessible (208) 667-2531 (208) 667-2531 (208) 676-7356 (208) 676-7356 (208) 667-2255 (208) 667-2255 (208) 667-1591 Languages: SPANISH (208) 765-2200 Languages: SPANISH (208) 765-2020 (208) 765-2020 (208) 762-4149 (208) 765-5665 (208) 765-2200 Languages: SPANISH (208) 667-2531 (208) 666-2000 (208) 625-4000 (208) 277-1060 (208) 758-0716 (208) 667-7459 (208) 667-7459 Languages: SPANISH (208) 625-4000 Languages: SPANISH (208) 625-4000 (208) 758-0716 ADA Accessible (208) 758-0716 (208) 625-4000 (208) 625-4000 (208) 215-2055 (208) 215-2055 (208) 625-4000 (208) 667-7459 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 185

Witham, Lloyd E. Otolaryngology De Tar, Thomas R MD Otolaryngology Gilbert, Michael E. MD Otolaryngology McCormick, Chad D. Otolaryngology Smith, Ian M MD Otolaryngology Stout, Ronald J. Otolaryngology Tacia, Brandy M Otolaryngology Pain Management Jameson, Jessica Berryman MD Pain Management Magnuson, Scott K MD Pain Management Pediatric Cardiology Burg, Pamela G Pediatric Cardiology, Cardiovascular Disease Garabedian, Carl P Pediatric Cardiology Garabedian, Hrair A Pediatric Cardiology, Neonatal/Perinatal Medicine, Pediatrics Jensen, Richard A Pediatric Cardiology Plymale, Jennifer M Pediatric Cardiology Pediatric Endocrinology Hassing, Jeanne M Pediatric Endocrinology Pediatric Psychiatry Boydston, Lauren A MD Pediatric Psychiatry Pediatrics Craddock, Duane E. MD Pediatrics Craddock, Duane E. MD Pediatrics Edwards, Randi L MD Pediatrics, Edwards, Randi L MD Pediatrics, Ford, Leila Dawn MD Pediatrics Hickok, Brian J MD Pediatrics Hickok, Brian J MD Pediatrics Martin, Beth A MD Pediatrics Martin, Beth A MD Pediatrics Neff, Terence E. MD Pediatrics Neff, Terence E. MD Pediatrics Nichols, Michael G. MD Pediatrics 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 700 W Ironwood Dr Ste 278-4400 700 W Ironwood Dr Ste 278-4400 2003 Kootenai Health Way -6051 700 W Ironwood Dr Ste 278-4400 1686 W Riverstone Dr Ste 1-5779 1686 W Riverstone Dr Ste 1-5779 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2300 Kootenai Health Way 700 W Ironwood Dr Ste 375-4401 2003 Kootenai Health Way -6051 700 W Ironwood Dr Ste 155-2666 2003 Kootenai Health Way -6051 700 W Ironwood Dr Ste 155-2666 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 302 Coeur d Alene, ID 83816 980 W Ironwood Dr Ste 302 Coeur d Alene, ID 83816 2003 Kootenai Health Way -6051 700 W Ironwood Dr Ste 155-2666 2003 Kootenai Health Way -6051 700 W Ironwood Dr Ste 155-2666 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 (208) 625-4000 (208) 625-4000 (208) 625-4000 Languages: SPANISH (209) 625-5083 (208) 765-1345 (208) 625-4000 (208) 765-1345 (208) 765-4807 (208) 765-4807 Not accepting new patients (208) 625-4000 -Providence Sacred Heart Medical Center & Children's Hospital (208) 625-4000 (208) 625-4000 (208) 625-4000 (208) 625-4000 (509) 838-2531 (208) 625-4000 (208) 667-0585 (208) 625-4000 (208) 667-0585 (208) 625-4000 (208) 292-5437 ADA Accessible (208) 292-5437 ADA Accessible (208) 625-4000 (208) 667-0585 (208) 625-4000 (208) 667-0585 (208) 625-4000 (208) 625-4000 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 186

Park, Sung Eun MD Pediatrics Prince, Jean M. MD Pediatrics Prince, Jean M. MD Pediatrics Riley, Christy L MD Pediatrics Savage, Cheri K MD Pediatrics Savage, Cheri K MD Pediatrics Shaw, Mary Jo MD Pediatrics Shaw, Mary Jo MD Pediatrics Webb, Kathleen S MD Pediatrics, Perinatal Medicine Weeda, Charlotte E MD Pediatrics Westcott, Ronda L. Pediatrics Westcott, Ronda L. Pediatrics Physical Medicine and Rehabilitation Ludwig, Michael MD Physical Medicine and Rehabilitation Ludwig, Michael MD Physical Medicine and Rehabilitation Sanders, Hanna O MD Physical Medicine and Rehabilitation Andres, Jeremy E. Angel, Genita Gail Baird, Dirk A. Baird, Dirk A. Band, Kathleen A PT Bartoo, Gary F. PT Bartoo, Joshua B. Bauer, Tina M. PT Bauer, Tina M. PT Baxter, Tyler Mitchell PT Bengtson, Mark B. Borg, Adam Michael PT Butler, Jennifer E. PT Clegg, Shawna Lea PT Cook, Todd Vincent PT Cook, Todd Vincent PT DiBiase, Sheree L Dye, Jeremy Albert PT Ehrhart, Caitlin Shizue PT 980 W Ironwood Dr Ste 302 Coeur d Alene, ID 83816 980 W Ironwood Dr Ste 302 Coeur d Alene, ID 83816 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 302 Coeur d Alene, ID 83816 700 W Ironwood Dr Ste 155-2666 2003 Kootenai Health Way -6051 700 W Ironwood Dr Ste 155-2666 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 700 W Ironwood Dr Ste 155-2666 980 W Ironwood Dr Ste 302 Coeur d Alene, ID 83816 2003 Kootenai Health Way -6051 3320 N Grand Mill Ln -5689 2003 Kootenai Health Way -6051 2003 Lincoln Way 1401 N Lincoln Way 2448 N Merritt Creek Loop -6215 2180 Ironwood Center Dr 7780 Mineral Dr Coeur d Alene, ID 83815 980 Ironwood Dr Ste 207-2668 1917 N Lakewood Dr -2634 1917 N Lakewood Dr -2634 1401 N Lincoln Way 2170 Ironwood Center Dr Ste B 980 Ironwood Dr Ste 207-2668 3322 Grand Mill Lane -5689 1917 N Lakewood Dr -2634 2170 Ironwood Center Dr Ste B 3322 Grand Mill Lane -5689 3322 Grand Mill Lane -5689 1917 N Lakewood Dr -2634 2170 Ironwood Center Dr Ste B 1917 N Lakewood Dr -2634 980 Ironwood Dr Ste 207-2668 (208) 292-5437 ADA Accessible (208) 292-5437 ADA Accessible (208) 625-4000 (208) 292-5437 ADA Accessible (208) 667-0585 (208) 625-4000 (208) 667-0585 (208) 625-4000 (208) 625-4000 (208) 667-0585 (208) 292-5437 ADA Accessible (208) 625-4000 (208) 930-4922 ADA Accessible (208) 625-4000 (208) 666-2000 (208) 676-1424 (208) 664-2901 (208) 667-6264 (208) 772-6609 (208) 770-2971 (208) 667-3583 Not accepting new patients (208) 667-3583 Not accepting new patients (208) 676-1424 (208) 667-1988 (208) 770-2971 (208) 665-2000 (208) 664-8194 (208) 667-1988 (208) 665-2000 (208) 665-2000 (208) 664-8194 (208) 667-1988 (208) 664-8194 (208) 770-2971 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 187

Faletto, Peter J. Feasline, Mark E. Gallatin, Angela J PT Garner, Bryan Robert PT Gephart, Cathleen Marie PT, Orthopedics Hall, Leola E PT Hammond, Lucas P PT Hankes, Matthew Beier PT Hankes, Matthew Beier PT Hillman, David W PT Hopper, Dean M. Kane, Justin T. PT Kim, Michael C. PT Kiracofe, Clifford L. Lamphier, Tom C Lucas, Matthew J. Moehring, Kimberly Elaine PT Morrison, Stephanie Alyse PT Norling, Zachary K PT Olsen, Jerald R PT Olsen, Jerald R PT Papineau, Timothy L. PT Pruitt, Sky R PT Randklev, Scott Robert PT Sampsel, Malea Lynn PT Sayler, John P Scherr, Brian M Scherr, Brian M Shellman, Lee C. PT Shipley, Heather Lea PT Smalley, Lisa M. Smith, Diana Lynn Smith, Diana L PT Smith, Diana L PT Steininger, Laura Handyside PT Stephenson, Brenda K PT Stephenson, Brenda K PT 3655 N Government Way Ste 3 Coeur d Alene, ID 83815-8332 1917 N Lakewood Dr -2634 3320 N Grand Mill Ln -5689 3322 Grand Mill Lane -5689 2005 Ironwood Pkwy Ste 224-2647 2170 Ironwood Center Dr Ste B 370 E Kathleen Ave Ste 500 Coeur d Alene, ID 83815-5238 3322 Grand Mill Lane -5689 1917 N Lakewood Dr -2634 370 E Kathleen Ave Ste 500 Coeur d Alene, ID 83815-5238 1917 N Lakewood Dr -2634 1917 N Lakewood Dr -2634 370 E Kathleen Ave Ste 500 Coeur d Alene, ID 83815-5238 1401 N Lincoln Way 1401 N Lincoln Way 1917 N Lakewood Dr -2634 610 W Hubbard St -2285 1917 N Lakewood Dr -2634 3322 Grand Mill Lane -5689 2180 Ironwood Center Dr 7780 Mineral Dr Coeur d Alene, ID 83815 3322 Grand Mill Lane -5689 1917 N Lakewood Dr -2634 370 E Kathleen Ave Ste 500 Coeur d Alene, ID 83815-5238 223 W Ironwood Dr -2651 3322 Grand Mill Lane -5689 3322 Grand Mill Lane -5689 610 W Hubbard St -2285 1917 N Lakewood Dr -2634 3322 Grand Mill Lane -5689 3322 Grand Mill Lane -5689 920 Ironwood Dr Ste C 2180 Ironwood Center Dr 7780 Mineral Dr Coeur d Alene, ID 83815 3322 Grand Mill Lane -5689 2180 Ironwood Center Dr 7780 Mineral Dr Coeur d Alene, ID 83815 (208) 691-8888 (208) 664-8194 Languages: SPANISH (208) 930-4922 ADA Accessible (208) 665-2000 (208) 665-2468 (208) 667-1988 (208) 292-1372 (208) 665-2000 (208) 664-8194 (208) 292-1372 (208) 664-8194 (208) 664-8194 (208) 292-1372 (208) 676-1424 (208) 676-1424 (208) 664-8194 (208) 667-0620 (208) 664-8194 (208) 665-2000 (208) 667-6264 (208) 667-6264 (208) 665-2000 (208) 664-8194 (208) 292-1372 (208) 215-3261 (208) 665-2000 (208) 665-2000 (208) 667-0620 (208) 664-8194 (208) 665-2000 (208) 665-2000 (208) 667-1988 (208) 667-6264 (208) 772-6609 (208) 665-2000 (208) 667-6264 (208) 772-6609 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 188

Suarez, Kerry K PT Thoreson, Nate S PT Toews, Norman Lawrence PT Verhaeghe, Eric N PT Weber, Fred J. Wheeler, Adam Laurence PT Whiting, Michael A. Ahrndt, Scott B. PA Almeida, Susan B. PA Atkins, David Scott PA, PA Atkins, David Scott PA, PA Atkins, David Scott PA, PA Atkins, David Scott PA, PA Bobbitt, Anna K Brown, Lura A PAC Buckland, Audrey S PA Byrne, Thomas J. PA Byrne, Thomas J. PA Chrysler, Nicole S. Cohen, Jeffrey M. Comstock, Calista DeAnne Davis, Robert PAC Doty, Timothy J PA Duncan, Douglas McEnery Dutkiewicz, James W PA Eggleston-Thompson, Mary H. Eggleston-Thompson, Mary H. Eggleston-Thompson, Mary H. Ellern, Jeanne M PA Ellsworth, Amy L PA Ellsworth, Amy L PA Ellsworth, Amy L PA Fiola, Amanada L Flygare, Richard A PA Foley, Gretchen M Gibbs, Scott W. PA 3320 N Grand Mill Ln -5689 370 E Kathleen Ave Ste 500 Coeur d Alene, ID 83815-5238 610 W Hubbard St -2285 370 E Kathleen Ave Ste 500 Coeur d Alene, ID 83815-5238 1321 W Northwood Center Ct Ste B -4944 980 Ironwood Dr Ste 207-2668 850 W Ironwood Dr Ste 103-4903 1700 W Riverstone Dr -5683 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 1090 W Park Pl -2785 2288 N Merritt Creek Lp -4959 920 Ironwood Dr Ste 101-2464 1090 W Park Pl -2785 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 2065 Riverston Dr Ste 203 700 Ironwood Dr Ste 320-4485 700 Ironwood Dr Ste 350-4487 3320 N Grand Mill Ln -5689 1919 Lincoln Way Ste 415 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 2121W Ironwood Center Dr -2639 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 100 1700 W Riverstone Dr -5683 700 Ironwood Ave Ste 334 1919 Lincoln Way Ste 110 700 W Ironwood Dr Ste 275-4400 700 Ironwood Ave Ste 334 2288 N Merritt Creek Lp -4959 700 Ironwood Dr Ste 320-4485 201 E Harrison Ave -3240 (208) 930-4922 ADA Accessible (208) 292-1372 (208) 667-0620 (208) 292-1372 (208) 665-7065 (208) 770-2971 (208) 664-1119 (208) 770-2822 ADA Accessible (208) 209-0288 (208) 292-0697 -Syringa Hospital & Clinics (208) 292-0292 -Syringa Hospital & Clinics (208) 292-0292 -Syringa Hospital & Clinics (208) 292-0292 -Syringa Hospital & Clinics (208) 292-0292 (208) 665-7546 (208) 667-4557 (208) 292-0292 (208) 292-0292 (208) 215-2045 (208) 625-5250 ADA Accessible (208) 676-9913 (208) 930-4922 ADA Accessible (208) 625-4595 (208) 209-0288 (208) 625-4680 (208) 666-2900 (208) 625-4000 (208) 666-3200 (208) 770-2822 ADA Accessible (509) 838-2531 (208) 625-4601 (208) 625-4780 (208) 666-9541 (208) 665-7546 Languages: PORTUGUESE (208) 625-5250 ADA Accessible (208) 292-0697 -Shoshone Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 189

Gibbs, Scott W. PA Gibbs, Scott W. PA Gibbs, Scott W. PA Graham, Michael C PA Graham, Michael C PA Graham, Michael C PA Handyside, Christopher John PAC Handyside, Christopher John PAC Hartzell, Sarah O PA Hartzell, Sarah O PA Hartzell, Sarah O PA Hays, Melodie Headley, Travis C. Houseman, Mary F. Jackson, Rebecca L PAC Jacobsen, Elizabeth Joan Jarstad, Katie Dawn Johansen, Sophea R PA Jones, Sarah M PA Keyser, Lawrence E. Lang, Gregory Lien, Jeffrey E. Lo-Tomblin, Jin Mei PAC Lo-Tomblin, Jin Mei PAC McMahon IV, James P PAC McMahon IV, James P PAC Melgaard, John P. Melgaard, John P. Melgaard, John P. Melgaard, John P. Melgaard, John P. Mikles, Erika M PA Mohr, Michael A PA Richlie, Taryn M PAC Richlie, Taryn M PAC 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1090 W Park Pl -2785 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 201 E Harrison Ave -3240 1090 W Park Pl -2785 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 1090 W Park Pl -2785 920 Ironwood Dr Ste 101-2464 1700 W Riverstone Dr -5683 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 700 Ironwood Dr Ste 320-4485 700 W Ironwood Dr Ste 275-4400 700 Ironwood Dr Ste 320-4485 980 W Ironwood Dr Ste 205-2668 2003 Kootenai Health Way -6051 2003 Kootenai Health Way Ste 300-6051 2003 Kootenai Health Way -6051 1919 Lincoln Way Ste 415 1919 Lincoln Way Ste 416-2527 914 W Ironwood Dr Suite 101-4927 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 700 Ironwood Dr Ste 320-4485 201 E Harrison Ave -3240 1090 W Park Pl -2785 (208) 292-0292 -Shoshone Medical Center (208) 292-0292 -Shoshone Medical Center (208) 292-0292 -Shoshone Medical Center (208) 772-9110 -Gritman Medical Center Inc (208) 667-9110 -Gritman Medical Center Inc (208) 292-2959 -Gritman Medical Center Inc (208) 292-0292 (208) 292-0292 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 625-4000 (208) 625-4000 (208) 292-0292 (208) 667-4557 (208) 770-2822 ADA Accessible (208) 292-0292 -Shoshone Medical Center (208) 625-5250 ADA Accessible (208) 625-4780 (208) 625-5250 ADA Accessible (509) 838-2531 (208) 625-4000 (208) 666-2552 Languages: CANTONESE (CHINESE DIALECT) (208) 666-2552 Languages: CANTONESE (CHINESE DIALECT) (208) 625-4595 (208) 625-4601 (208) 765-5922 Not accepting new patients (208) 772-9110 (208) 292-2959 (208) 667-9110 (208) 292-2959 (208) 292-0292 Languages: SPANISH (208) 625-5250 ADA Accessible (208) 292-0697 (208) 292-0292 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 190

Richlie, Taryn M PAC Richlie, Taryn M PAC Rodriguez, Craig A PA Rose-Wolf, Gretchen E. Ruiz, Jose Anthony Sarkis, Heather J. PA Sarkis, Heather J. PA Sarkis, Heather J. PA Sarkis, Heather J. PA Sarkis, Heather J. PA Schmidt, Magen Sielaff, Jenna Sijan, Tod A. Sijan, Tod A. Smith, Ryan Lee PA Smith, Ryan Lee PA Smith, Ryan Lee PA Smith, Ryan Lee PA Starley, Savannah Janeve PA Trudeau, Randy J. PAC Trudeau, Randy J. PAC Trudeau, Randy J. PAC Trudeau, Randy J. PAC Trudeau, Randy J. PAC Vail, Torrey PA Vieth, Patricia Ann Knoll PAC Vieth, Patricia Ann Knoll PAC Vieth, Patricia Ann Knoll PAC Vieth, Patricia Ann Knoll PAC Wagstaff, Tyler B PAC Wagstaff, Tyler B PAC Yourzek Sr, Michael J PAC Yourzek Sr, Michael J PAC Yourzek Sr, Michael J PAC Yourzek Sr, Michael J PAC 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 2288 N Merritt Creek Lp -4959 700 Ironwood Dr Ste 320-4485 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 916 Ironwood Dr 108 E Walnut Street 201 E Harrison Ave -3240 1090 W Park Pl -2785 315 W Dalton Ave Ste B Coeur d Alene, ID 83815-8600 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 916 Ironwood Dr 1090 W Park Pl -2785 201 E Harrison Ave -3240 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 700 Ironwood Dr Ste 320-4485 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 120E -4484 1112 W Ironwood Dr -2474 2003 Kootenai Health Way Ste 300-6051 3320 N Grand Mill Ln -5689 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 700 Ironwood Dr Ste 350-4487 2003 Kootenai Health Way -6051 201 E Harrison Ave -3240 1090 W Park Pl -2785 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 1765 W Golf Course Rd Coeur d Alene, ID 83815-9033 (208) 292-0292 (208) 292-0292 (208) 665-7546 (208) 625-5250 ADA Accessible (208) 209-2060 -EvergreenHealth Medical Center -Swedish Cherry Hill -Swedish Edmonds (208) 292-0292 (208) 292-0697 (208) 292-0697 (208) 292-0292 (208) 209-2066 ADA Accessible (208) 625-4000 (208) 625-4000 (208) 292-0292 (208) 292-0292 (208) 292-0697 (208) 292-0292 (208) 620-5210 (208) 292-0292 (208) 625-5250 ADA Accessible (208) 209-0288 (208) 772-9110 (208) 292-2959 (208) 667-9110 (208) 292-2959 (208) 666-2552 -Providence Sacred Heart Medical Center & Children's Hospital (208) 765-9100 ADA Accessible (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 625-5222 (208) 625-4000 (208) 292-0697 (208) 292-0292 (208) 292-0292 (208) 292-0292 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 191

Plastic & Reconstructive Surgery Kuhlman-Wood, Kate A MD Plastic & Reconstructive Surgery, Surgery, Hand Plastic Surgery Mandel, Benjamin A MD Plastic Surgery, General Surgery Mullen, Patrick James MD Plastic Surgery, General Surgery Podiatry Averett, Ryan K. DPM Podiatry Averett, Ryan K. DPM Podiatry Butler, Christopher R. DPM Podiatry Butler, Christopher R. DPM Podiatry Drager, Michael J. Podiatry Nunez, Orlando Enrique MD Podiatry Thompson, Bryan T. Podiatry Preventive Medicine Swanson, IV, John David MD Preventive Medicine, Aerospace Medicine, Occupational Medicine Psychiatry Alexander, Coralyn J Psychiatry Carlberg, Nicole L Psychiatry Carlberg, Nicole L Psychiatry Crook, Albert A DO Psychiatry Forsyth, William A MD Psychiatry Garrett, Justin P DO Psychiatry Kirby, James V. Psychiatry Lavy, Eric T Psychiatry Nolte, Thomas MD Psychiatry Ragan II, Charles L MD Psychiatry Stoddard, Tim J. Psychiatry Wait, David B. MD Psychiatry Wait, David B. MD Psychiatry Wait, David B. MD Psychiatry Psychiatry, Child/Adolescent Nelson, Sandra K. Psychiatry, Child/Adolescent Psychology Crawford, Emily K PY Psychology Green, William M. PY Psychology Hanger, Philip PY Psychology 1875 N Lakewood Dr Ste 200-4928 2003 Kootenai Health Way Ste 301-6051 2121W Ironwood Center Dr -2639 2003 Kootenai Health Way -6051 2221 W Ironwood Center Dr -2697 2003 Kootenai Health Way -6051 2221 N Ironwood Center Dr -2697 850 West Ironwood Drive Suite 301 101 Ironwood Dr Ste 131 2003 Kootenai Health Way -6051 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 2003 Kootenai Health Way -6051 1417 N 4th St -3310 1417 N 4th St 1103 W Ironwood Dr Ste A -2604 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2025 W Park Pl Ste B -2787 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 2003 Kootenai Health Way -6051 201 E Harrison Ave -3240 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 1115 Ironwood Dr Ste A 2190 Ironwood Center Dr Ste 2-2695 401 1/2 Sherman Avenue Suite 206 Coeur d Alene, ID 83816-1209 2190 Ironwood Center Dr Ste 2-2695 (208) 758-0716 (208) 666-2000 (208) 664-9784 (208) 625-4000 (208) 667-3585 (208) 625-4000 (208) 667-3585 (208) 667-9762 (208) 666-0605 (208) 625-4000 -Northwest Specialty Hospital (208) 209-2060 -Northwest Specialty Hospital (208) 625-4467 (208) 292-2188 (208) 292-2188 (208) 667-9400 Not accepting new patients (208) 666-2000 (208) 625-4888 (208) 620-5210 (208) 666-2000 -Seattle Children's Hospital (208) 625-4467 -Eastern Idaho Regional Medical Center (208) 666-2000 (208) 625-4000 (208) 292-0697 (208) 292-0292 (208) 620-5210 (208) 765-0955 (208) 666-0357 (208) 765-1894 (208) 666-0357 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 192

Hayes, Daniel S PY Psychology Rehnberg, Timothy S PY Psychology Wolfe, John A PY Psychology Pulmonary Disease Chang, Kevin J MD Pulmonary Disease, Critical Care Medicine Fairfax, Walter R MD Pulmonary Disease, Critical Care Medicine, Sleep Disorder Medicine Robinson, Richard J. Pulmonary Disease Scoggins, Robert Myles MD Pulmonary Disease Strait, Kevin B. Pulmonary Disease, Critical Care Medicine Radiation Oncology Call, Jason Radiation Oncology Davenport, David E MD Radiation Oncology Fairbanks, Robert K. MD Radiation Oncology Griffith, Jon L. Radiation Oncology Griffith, Jon L. Radiation Oncology Kelly, Karie-Lynn J MD Radiation Oncology Laing, Susan M MD Radiation Oncology Lamoreaux, Wayne T. Radiation Oncology Lee, Christopher M. Radiation Oncology Wagner, Aaron Eugene Radiation Oncology Caywood, Devin T MD Caywood, Devin T MD Larsen, Michael L MD Larsen, Michael L MD McKlendin, Keith P. MD McKlendin, Keith P. MD McKlendin, Keith P. MD Thatcher, Stephen Hasler MD Burbank, Nicole S MD 2190 Ironwood Center Dr Ste 2-2695 1103 W Ironwood Dr -2604 2190 Ironwood Center Dr Ste 2 700 W Ironwood Dr Ste 378-4415 700 Ironwood Dr Ste 158-4404 700 W Ironwood Dr Ste 378-4415 700 W Ironwood Dr Ste 378-4415 700 W Ironwood Dr Ste 378-4415 700 Ironwood Dr Ste 130-4404 700 Ironwood Dr Ste 130-4404 700 Ironwood Dr Ste 130-4404 700 Ironwood Dr 700 Ironwood Dr Ste 130-4404 700 Ironwood Dr 700 Ironwood Dr Ste 130-4404 700 Ironwood Dr Ste 130-4404 700 Ironwood Dr Ste 130-4404 700 Ironwood Dr Ste 130-4404 700 Ironwood Dr Ste 100 2003 Lincoln Way 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 100 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 110 825 W Ironwood Dr -2673 700 Ironwood Dr Ste 130-4404 2003 Kootenai Health Way -6051 (208) 666-0357 (208) 883-1144 -Pullman Regional Hospital (208) 666-0357 Not accepting new patients (208) 765-1252 Not accepting new patients -Northern Idaho Advanced Care Hospital (208) 625-5100 (208) 765-1252 Not accepting new patients -Northern Idaho Advanced Care Hospital (208) 765-1252 (208) 765-1252 Not accepting new patients (509) 228-1000 (509) 228-1000 (509) 228-1000 -Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital (208) 666-3800 (509) 228-1000 (208) 666-3800 -Sacred Heart Medical Center (509) 228-1000 (509) 228-1000 Languages: SPANISH (509) 228-1000 Languages: GERMAN (509) 228-1000 (208) 666-3200 (208) 666-2900 (208) 666-2900 (208) 666-3200 (208) 666-2900 (208) 666-3200 (208) 666-1805 (509) 228-1000 (208) 666-2900 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 193

Burbank, Nicole S MD Fatz, Casey J MD Fatz, Casey J MD Fatz, Casey J MD Ley, Carl E. Ley, Carl E. Lowe, Philip N Martinez, Alberto J MD Martinez, Alberto J MD Martinez, Alberto J MD Martinez, Alberto J MD Martinez, Alberto J MD Martinez, Alberto J MD McNamee, Brian J. MD McNamee, Brian J. MD McNamee, Brian J. MD Michalson, Arne E MD Michalson, Arne E MD Michalson, Arne E MD Michalson, Arne E MD Michalson, Arne E MD Michalson, Arne E MD Michel, Jerry A,,, Vascular & Interventional, Therapeutic Schomberg, Paula Jean, Therapeutic Van Heuvelen, Gary MD, Therapeutic Registered Nurse/First Assistant McPaul, Margaret Registered Nurse/First Assistant Rheumatology Sakai, Linda M. MD Rheumatology Wiesenhutter, Craig W. MD Rheumatology Beville, Barbara A. Beville, Barbara A. Brinton, Barbara F LSW Brinton, Barbara F LSW Bullick, Patty LSW 825 W Ironwood Dr -2673 2003 Kootenai Health Way -6051 825 W Ironwood Dr -2673 700 Ironwood Dr Ste 100 700 Ironwood Dr Ste 110 825 W Ironwood Dr -2673 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 110 825 W Ironwood Dr -2673 825 W Ironwood Dr -2673 700 Ironwood Dr Ste 100 2003 Lincoln Way 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 110 825 W Ironwood Dr -2673 2003 Kootenai Health Way -6051 700 Ironwood Dr Ste 110 825 W Ironwood Dr -2673 825 W Ironwood Dr -2673 700 Ironwood Dr Ste 100 2003 Lincoln Way 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 700 Ironwood Dr Ste 130-4404 700 Ironwood Dr Ste 130-4404 2003 Kootenai Health Way -6051 950 W Ironwood Dr -2644 950 W Ironwood Dr -2644 5431 N Government Way Ste B Coeur d Alene, ID 83815-5073 315 W Dalton Ave Ste 103 Coeur d Alene, ID 83815-8600 1417 N 4th St -3310 1103 E Sherman -4154 1686 W Riverstone Dr -5779 (208) 666-1805 (208) 666-2900 (208) 666-2910 (208) 666-3200 (208) 666-3200 (208) 666-1805 (208) 209-2060 (208) 666-2900 (208) 666-3200 (208) 666-1805 (208) 666-2910 (208) 666-3200 (208) 666-2900 (208) 666-2900 (208) 666-3200 (208) 666-1805 (208) 666-2900 (208) 666-3200 (208) 666-1805 (208) 666-2910 (208) 666-3200 (208) 666-2900 (208) 209-2060 (509) 228-1000 -Deaconess Medical Center (509) 228-1000 (208) 625-4000 (208) 765-5457 (208) 765-5457 (208) 667-7603 (208) 762-3393 (208) 292-2188 (208) 209-7188 (208) 765-4795 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 194

Cartwright, Laura Elaine LSW Cartwright, Laura Elaine LSW Cartwright, Laura Elaine LSW Crawford, Katherine May Crawford, Katherine May Croteau, Carol J Currie, Karen Joy LSW Currie, Karen Joy LSW Currie, Karen Joy LSW DeTienne, Wayne Eugene LSW Easton, Patricia J LSW Easton, Patricia J LSW Easton, Patricia J LSW Easton, Patricia J LSW Enger, Sonja L LSW Garrett, Christopher A LSW Garrett, Christopher A LSW Garrett, Christopher A LSW Garrett, Christopher A LSW Grayhek, Paul A LSW Grayhek, Paul A LSW Heisler, Sharene M LSW Hennige, Susan Jenkins, Joyl LSW, LSW Keeley, Susan Elizabeth LSW Lee, Kimberly Suzanne LSW Marceau, Cathleen J LSW Marceau, Michael W May, Diana Lynn LSW May, Diana Lynn LSW Nicholas Anderson, Kristina Lynn LSW Nicholas Anderson, Kristina Lynn LSW Nicholas Anderson, Kristina Lynn LSW Nishek, Shoba Marie LSW Nishek, Shoba Marie LSW Nishek, Shoba Marie LSW Schilling, Lea Beth LSW 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 202 E Anton Ave Ste 206 Coeur d Alene, ID 83815-3779 1104 W Ironwood Dr Ste A -2605 2003 Kootenai Health Way -6051 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 1130 W Prairie Ave Coeur d Alene, ID 83815-8780 201 E Harrison Ave -3240 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 196 W Haycraft Ave Coeur d Alene, ID 83815-9317 2201 Ironwood Pl Ste 100 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 211 E Coeur d Alene Ave Ste 102-4926 2201 Ironwood Pl Ste 100 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 2101 Lakewood Dr Ste 234-2473 1919 Lincoln Way Ste 315 1417 N 4th St -3310 1042 W Mill Ave Ste 205-2489 1042 W Mill Ave Ste 207-2489 611 Lakeside Ave 611 Lakeside Ave 1417 N 4th St -3310 1103 E Sherman -4154 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 1090 W Park Pl -2785 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 667-6095 (208) 699-1081 (208) 666-2000 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 209-0288 (208) 292-0697 (208) 292-0292 (208) 620-5210 (208) 292-0292 (208) 769-2222 (208) 292-0292 (208) 620-5210 (208) 699-6817 ADA Accessible (208) 769-2222 (208) 620-5210 (208) 769-2222 (208) 664-9257 (208) 625-6000 (208) 292-2188 (208) 755-7370 (208) 676-9912 ADA Accessible (208) 664-5941 (208) 664-5941 (208) 292-2188 (208) 209-7188 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 292-0292 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 195

Schilling, Lea Beth LSW Schilling, Lea Beth LSW Sherman, Robert Pierce LSW Stone, Jared Thomas LSW Stone, Jared Thomas LSW Sutton, Tracey Lee LSW Sutton, Tracey Lee LSW Sutton, Tracey Lee LSW Tavares, Dee Marla Jo LSW Tavares, Dee Marla Jo LSW Tavares, Dee Marla Jo LSW Timonen, Wayne Bingham LSW, LSW Videtich, Kevin Lawrence LSW, LSW, LSW Videtich, Kevin Lawrence LSW, LSW, LSW Williams, Jeffrey K. LSW Woods, Kelly Ryan LSW Woods, Kelly Ryan LSW Woods, Kelly Ryan LSW Surgery, Hand Kuhlman-Wood, Kate A MD Plastic & Reconstructive Surgery, Surgery, Hand Thoracic & Cardiac Surgery Coleman, William S MD Thoracic & Cardiac Surgery Nisco, Steven J MD Thoracic & Cardiac Surgery Siwek, Leland G MD Thoracic & Cardiac Surgery, General Surgery Vishwanath, Mandya MD Thoracic & Cardiac Surgery Thoracic Surgery Koutlas, Theodore MD Thoracic Surgery Reynolds, Branden R MD Thoracic Surgery, General Surgery Worrall, Neil K MD Thoracic Surgery, Cardiovascular Disease Urgent Care Brinton, Howard MD Urgent Care Brinton, Howard MD Urgent Care Brinton, Howard MD Urgent Care Brinton, Howard MD Urgent Care Crites, John D MD Urgent Care Crites, John D MD Urgent Care Crites, John D MD Urgent Care 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 1042 W Mill Ave Ste 207-2489 1417 N 4th St -3310 1103 E Sherman -4154 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 5431 N Government Way Ste B Coeur d Alene, ID 83815-5073 1417 N 4th St -3310 1103 E Sherman -4154 1042 W Mill Ave Ste 205-2489 1090 W Park Pl -2785 2025 W Park Pl Ste B -2787 2201 Ironwood Pl Ste 100 2003 Kootenai Health Way -6051 2003 Kootenai Health Way Ste 300-6051 2003 Kootenai Health Way Ste 300-6051 2003 Kootenai Health Way Ste 300-6051 2003 Kootenai Health Way Ste 300-6051 2003 Kootenai Health Way Ste 300-6051 2003 Kootenai Health Way Ste 300-6051 2003 Kootenai Health Way Ste 300-6051 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 120E -4484 700 Ironwood Dr Ste 258N -2656 1112 W Ironwood Dr -2474 566 W Prairie Ave Coeur d Alene, ID 83815-7766 700 Ironwood Dr Ste 202 700 Ironwood Dr Ste 120E -4484 (208) 620-5210 (208) 769-2222 (208) 676-9912 ADA Accessible (208) 292-2188 (208) 209-7188 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 667-7603 (208) 292-2188 (208) 209-7188 (208) 818-9979 (208) 292-0292 (208) 620-5210 (208) 769-2222 (208) 625-4000 (208) 666-2552 (208) 666-2552 (208) 666-2552 -Providence Sacred Heart Medical Center & Children's Hospital (208) 668-2552 (208) 666-2552 (208) 666-2552 (208) 666-2552 Languages: FRENCH (208) 772-9110 (208) 667-9110 (208) 292-2959 (208) 292-2959 (208) 772-9110 (208) 292-2959 (208) 667-9110 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 196

Crites, John D MD Urgent Care Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Urology Clark, Randil MD Urology Clark, Randil MD Urology Ellison, Edward D. MD Urology Ellison, Edward D. MD Urology Gates, Charles L MD Urology Gates, Charles L MD Urology McLaughlin, Matthew D. DO Urology McLaughlin, Matthew D. DO Urology Peterson, Chad A MD Urology Peterson, Chad A MD Urology 1112 W Ironwood Dr -2474 566 W Prairie Ave Coeur d Alene, ID 83815-7766 1300 E Mullan Ave Ste 1300-4036 315 W Dalton Ave Ste A Coeur d Alene, ID 83815-8600 700 Ironwood Dr Ste 120E -4484 700 Ironwood Dr Ste 220E 1112 W Ironwood Dr -2474 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 104-2668 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 104-2668 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 104-2668 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 104-2668 2003 Kootenai Health Way -6051 980 W Ironwood Dr Ste 104-2668 (208) 292-2959 (208) 772-9110 (208) 773-9113 (208) 262-2600 (208) 667-9110 (208) 209-6800 (208) 292-2959 (208) 625-4000 (208) 667-0621 (208) 625-4000 (208) 667-0621 (208) 625-4000 (208) 667-0621 (208) 625-4000 (208) 667-0621 (208) 625-4000 (208) 667-0621 Cottonwood Cardiovascular Disease Hostetler, Michael D Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Bouis, Charles CRNA Cert Registered Nurse Anesthetist (CRNA) Gustin, Kent B Cert Registered Nurse Anesthetist (CRNA) Krahn, Matthew George CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Loseth, Patrick W CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Martin, Dana D Cert Registered Nurse Anesthetist (CRNA) Merritt, Albert William CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Overly, Thomas W. CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Stormes, Michael Scott RN Cert Registered Nurse Anesthetist (CRNA) Wilson, Jr, Carlan Albert CRNA Cert Registered Nurse Anesthetist (CRNA) Dermatology Yokel, Benjamin Karl MD Dermatology 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 (208) 666-2000 -Sacred Heart Medical Center (208) 962-3267 ADA Accessible (208) 962-2473 ADA Accessible (208) 962-2473 ADA Accessible (208) 962-2473 ADA Accessible -St Mary's Hospital Inc -Tri-State Memorial Hospital (208) 962-2473 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-2473 ADA Accessible (208) 962-2473 ADA Accessible -Yakima Valley Memorial Hospital -Clearwater Valley Hospital -St Joseph Regional Medical Center -St Mary's Hospital Inc -Clearwater Valley Hospital -St Mary's Hospital Inc (208) 962-2473 ADA Accessible (208) 962-3267 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 197

Sanderson, Thomas Walter MD Atkinson, Obbie Ted Farnworth, Marc Van MD Jones, Andrew E DO Luensmann, Abby Marie MD, MD Meredith, Lindsay L MD Minnehan, Haley J. MD Pikus, Jared Jan DO Secrest, Alvin J MD Sigler, Ronald L. / Gehring, Margaret A ARNP, RN / Hewlitt, Brenda K. / Uhlenkott, Scarlett J ARNP, RN / Wilson, Megan W ARNP, RN / Keyser, Lawrence E. Rose-Wolf, Gretchen E. Psychiatry LaCroix, Camille A MD Psychiatry Weir, Rachel A MD Psychiatry Psychiatry, Child/Adolescent Smith, Amy S MD, MD Psychiatry, Child/Adolescent Easton, Dean MD Gordon, Benjamin HollisJames Serra, Alexander D 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 (208) 962-2473 ADA Accessible (208) 962-3267 ADA Accessible -St Mary's Hospital Inc (208) 962-3267 ADA Accessible -St Mary's Hospital Inc (208) 962-3267 ADA Accessible -St Mary's Hospital Inc (208) 962-2473 ADA Accessible Languages: SPANISH -St Mary's Hospital Inc (208) 962-2473 ADA Accessible (208) 962-3267 ADA Accessible -St Mary's Hospital Inc (208) 962-3267 ADA Accessible -St Mary's Hospital Inc (208) 962-3267 ADA Accessible -St Mary's Hospital Inc (208) 962-3267 ADA Accessible -St Mary's Hospital Inc (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-3251 ADA Accessible (208) 962-3267 ADA Accessible (208) 666-2000 (208) 666-2000 (208) 962-3267 ADA Accessible (208) 962-2473 ADA Accessible (208) 962-3267 ADA Accessible -St Alphonsus Regional Medical Center Inc -St Mary's Hospital Inc (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible -Gritman Medical Center Inc (208) 962-2473 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 198

Awobuluyi, Marc Taiwo, Neuroradiology Bechtel, Mark H. Bulczak, Dariusz Piotr Burgoyne, Brian MD Cheng, Sam Dixon, Joseph Trammell MD Farner, Robert M. MD Fiore, Marissa A MD, MD, Pediatric Foral, Jonathan Michael MD Henry, Charles MD, MD Hurt, Christopher J Kang, Margaret Kenyherz, Gregory E Lovelace, Todd Delton MD McCorvey, Barbara M MD Montella, Marc MD Paul, Marc H MD Petrovich, Linda M MD Philip, Shailendri ER MD Reisenauer, Christin S Rickman, Christopher E Romey, Roy L. Rossin, Richard D Shkurovich, Sergey MD Spinuzza, Thomas Strong, Benjamin W. MD Takeuchi, Sean Y MD Uytana, Vinson L 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible -St Mary's Hospital Inc (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible -Clearwater Valley Hospital -Klickitat Valley Hospital -Whitman County Hospital & Medical Center -Gritman Medical Center Inc (208) 962-2473 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-2473 ADA Accessible (208) 962-2473 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-2473 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 962-2473 ADA Accessible (208) 962-3267 ADA Accessible -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 962-2473 ADA Accessible (208) 962-2473 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-3267 ADA Accessible (208) 962-2473 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 199

Wong, William J. Zaytsev, Igor Viktorovitch Sports Medicine Bruner, Jack C. MD Sports Medicine Craigmont Farnworth, Marc Van MD / Wilson, Megan W ARNP, RN / Bechtel, Mark H. Reisenauer, Christin S Romey, Roy L. Dalton Gardens Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Garcia, Michael D LMHC Nephrology Foster, Sherwin Stephen MD Nephrology, / O'Keefe, Tawnya D. / Downey Bowers, Paul Kendell DC, DC, RN Bokelmann, Jean M MD Fenstermaker, John Fernandez, Luis Manual MD, MD Kjos, Melissa R MD Morrison, Chelsie A DO Olsen, Blaine Reed DO Smith, Dean Ty DO Infectious Disease 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 701 Lewiston St Cottonwood, ID 83522-9750 320 N Division St. Craigmont, ID 83523 320 N Division St. Craigmont, ID 83523 320 N Division St. Craigmont, ID 83523 320 N Division St. Craigmont, ID 83523 320 N Division St. Craigmont, ID 83523 7600 N Mineral Dr Ste 850 Dalton Gardens, ID 83815-7783 5920 N Government Way Ste 4 Dalton Gardens, ID 83815-9200 7600 N Mineral Dr Ste 850 Dalton Gardens, ID 83815-7783 7600 N Mineral Dr Ste 850 Dalton Gardens, ID 83815-7783 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 (208) 962-2473 ADA Accessible (208) 962-2473 ADA Accessible (208) 962-3267 ADA Accessible -St Mary's Hospital Inc (208) 924-5504 -St Mary's Hospital Inc (208) 924-5504 (208) 924-5504 -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 924-5504 -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 924-5504 -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (866) 434-2597 (208) 519-0550 (866) 434-2597 (866) 434-2597 (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 Languages: SPANISH (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 200

Buitrago, Martha I. Infectious Disease 79 N Main St Downey, ID 83234-0186 Hutton-Levenson, Judith LMHC 79 N Main St, Marriage & Family Downey, ID 83234-0186 Counselor / Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / Poulos-Edmo, Helene ARNP, RN / Dyer, Donald A MD Bieniasz, Paul D PAC Higbee, Logan PAC Judd, Jocelyn Ann PA Petersen, Jedidiah Allen PA, PAC Schaper, Heather Ann PA Brown, Shannon L LSW Collins, Doty J LSW Urgent Care Carbol, Courtland Reid MD Urgent Care 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 79 N Main St Downey, ID 83234-0186 (208) 897-5600 -Eastern Idaho Regional Medical Center (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 (208) 897-5600 Driggs Williamson, Larry A LMHC Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Occupational Therapy Enrico, Amanda Cheyenne OT Occupational Therapy Evans, Heather Dawn OT Occupational Therapy Davidson, Paige H PT Petersen, Brett W PT Streubel, Dan N PT Podiatry Howard, Karson MD Podiatry Howard, Kert W DPM Podiatry Bachman, Lorin Christopher MD 120 E Howard St Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 30 E Little Ave Driggs, ID 83422-5138 30 E Little Ave Driggs, ID 83422-5138 500 Ski Hill Rd Driggs, ID 83422 500 Ski Hill Rd Driggs, ID 83422 18 N Main St Ste 215 Driggs, ID 83422-5141 852 Valley Center Dr Driggs, ID 83422-5005 852 Valley Center Dr Driggs, ID 83422-5005 120 E Howard Ave Driggs, ID 83422-5112 (208) 705-7898 (208) 354-2383 (208) 709-2911 ADA Accessible (208) 709-2911 ADA Accessible (208) 354-3128 ADA Accessible (208) 354-3128 ADA Accessible (208) 354-1999 (208) 233-4355 -Mountain View Hospital LLC -Portneuf Medical Center (208) 233-4355 (208) 354-2383 -Bingham Memorial Hospital -Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 201

Biddulph, Michael C. MD Cameron, David M Funk, Kevin C., Neuroradiology Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO Speech Language Pathology Walker, Cynthia W SLPA Speech Language Pathology Eagle Allergy & Immunology Fritz, Stephen B Allergy & Immunology, Jeppson, John D Allergy & Immunology Keiley, Michael V Allergy & Immunology Palmer, George W Allergy & Immunology Audiology Vore, Abram P Audiology Cramer, Todd R Ellison, Gary C Pfaff, Brian Sassadeck, Lawrence Angleton, Peter J MD Barnes, Randy L MD Binnion, Dianna L MD Boesiger, Brian M MD Burriesci, Mark A 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 120 E Howard Ave Driggs, ID 83422-5112 500 Ski Hill Rd Driggs, ID 83422 379 E Shore Dr Ste 100 Eagle, ID 83616-5410 323 E Riverside Dr Ste 204 Eagle, ID 83616-6865 323 E Riverside Dr Ste 204 Eagle, ID 83616-6865 323 E Riverside Dr Ste 204 Eagle, ID 83616-6865 440 E State St Ste 100 Eagle, ID 83616-5935 1580 E State St Ste 104 Eagle, ID 83616-6853 3225 W Bavaria St Ste 101 Eagle, ID 83616-5547 323 E Riverside Dr Ste 124 Eagle, ID 83616-6824 593 E State St Eagle, ID 83616-5938 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 (208) 354-2383 (208) 354-2383 (208) 354-2383 (208) 354-2383 (208) 354-2383 (208) 354-2383 (208) 354-2383 (208) 354-2383 (208) 354-2383 -Mountain View Hospital LLC (208) 354-2383 (208) 354-2383 (208) 354-2383 (208) 354-2383 (208) 354-2383 -Mountain View Hospital LLC (208) 354-2383 (208) 354-2383 -Bingham Memorial Hospital -Portneuf Medical Center (208) 354-3128 ADA Accessible (208) 938-3443 (208) 378-0080 (208) 378-0080 (208) 378-0080 (208) 939-9359 (208) 939-3737 (208) 884-8848 (208) 367-5400 (208) 938-8988 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 202

Calder, Jonathan E MD Campbell, Matthew B Conklin, Matthew J MD Cornett, Benjamin L Dingman, Jeffrey Elliot, Eric T Epperson, John P Gibson, John M MD Hammerstedt, Heather S Harris, Tyler J MD Henzler, Mark A MD Huang, Po Y MD Judd, Matthew T Kim, David T MD Kitamura, Brian C Kraska, Eric MD Lee, Darin J Mercy, Michael R. MD Miller, Jonathan D MD Morris, Chalmer Morris, C Luke Nelson, Andrew C Peterson, Kari Quinn, Jason M MD Reynolds, Brian Riss, David DO Rosenquist, Janet A. MD Saak, Kristen H MD Stillwagon, Nathan Tobe, Christopher E MD Wasielewski, Jessica N MD Wilding, Brandon J MD Wilhelmsen, Jason Wyatt, Christopher C Burke, Linda D MD 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 323 E Riverside Dr Eagle, ID 83616-6864 445 S Fitness Pl Ste 130 Eagle, ID 83616-6828 -St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc (208) 939-2332 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 203

Clukey, Kristi A Elstun, Katherine M MD Herold, Heidi A Hill, Douglas M. MD, Occupational Medicine Jones, IV, Arthur C MD Knorpp, Daniel S DO Nowierski, Shawn C MD Orchard, Douglas H. MD Price-Miller, Marcia D MD Redd, Phillip J Reed, Daniel Westbrook, Sharon Wilkinson, Kelly C MD, Sports Medicine Wooll, Vicki General Surgery Macha, Matthew General Surgery Boggossian, Debra A. MD, Hospitalist Casper, John B MD, Anesthesiology Luque, Marion L MD McCusker, Kevin T Schlickman, Louis M MD Swanson, Joel C MD Johnson, Lisa R LMHC Minkler, Brhe A LMHC Smith, Lynda S LMHC Smith, Lynda S LMHC Marriage & Family Counselor Mitchell, Jill Marriage & Family Counselor Robertson, John (Jay) A Marriage & Family Counselor Neuromusculoskeletal Medicine Peine, Christopher Neuromusculoskeletal Medicine, Nurse Midwife Certified/Licensed Gomes, Kristin S CNM, RN Nurse Midwife Certified/Licensed Araquistain, Mary K NPRA, RN 600 E State St Eagle, ID 83616-6082 868 E Riverside Dr Ste 200 Eagle, ID 83616-6019 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 3217 W Bavaria St Eagle, ID 83616-5171 3217 W Bavaria St Eagle, ID 83616-5171 100 W Cottonwood Ct Ste 100 Eagle, ID 83616 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 100 Cottonwood Ct Ste 150 Eagle, ID 83616-6550 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 1281 E Iron Eagle Dr Eagle, ID 83616-6599 323 E Riverside Dr Ste 220 Eagle, ID 83616-6864 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 1032 S Bridge Way Pl Ste 110 Eagle, ID 83616-6099 1139 E Winding Creek Dr Eagle, ID 83616-7232 1159 E Iron Eagle Dr Ste 170 Eagle, ID 83616-6870 1139 E Winding Creek Dr Eagle, ID 83616-7232 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 325 E Shore Dr Ste 120 Eagle, ID 83616-6522 1032 S Bridge Way Pl Ste 110 Eagle, ID 83616-6099 141 N Palmetto Ave Ste 1626 Eagle, ID 83616-8066 141 N Palmetto Ave Ste 1626 Eagle, ID 83616-8066 1032 S Bridge Way Pl Ste 110 Eagle, ID 83616-6099 849 E State St Ste 105 Eagle, ID 83616-7177 507 S Fitness Pl Ste 110 Eagle, ID 83616-6552 323 E Riverside Dr Ste 224 Eagle, ID 83616-6864 600 E State St Eagle, ID 83616-6082 (208) 367-4700 (208) 938-4040 (208) 939-8200 (208) 302-6000 (208) 302-6200 (208) 302-6200 (208) 939-3197 (208) 302-6000 (208) 995-2875 (208) 302-6000 (208) 939-8200 (208) 939-8200 (208) 939-8200 -St Alphonsus Regional Medical Center Inc (208) 939-5535 (208) 343-5600 (208) 302-6000 (208) 475-0800 (208) 938-8887 (208) 209-3242 (208) 938-8887 (208) 302-6000 (208) 484-1797 (208) 475-0800 (208) 939-3999 (208) 939-3999 (208) 475-0800 (208) 473-1179 Not accepting new patients (208) 947-0925 (208) 367-6237 -St Alphonsus Regional Medical Center Inc (208) 367-4700 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 204

Dey, Patricia T Flynn, Courtney N Jones, Robyn Morgan, Laurel D NPRA, RN Morton, Laura A ARNP Neumayer, Jennifer Nordquist, Jennifer Peters, Heidi S NPRA Randall, Mary S / Coate, Katherine T ARNP / Crum, Sonya L / Crum, Sonya L / DeLacy, Kara E / Draper, Amanda ARNP / 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 379 E Shore Dr Ste 100 Eagle, ID 83616-5410 3217 W Bavaria St Eagle, ID 83616-5171 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 323 E Riverside Dr Ste 204 Eagle, ID 83616-6865 3217 W Bavaria St Eagle, ID 83616-5171 323 E Riverside Dr Ste 204 Eagle, ID 83616-6865 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 600 E State St Eagle, ID 83616-6082 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 951 E Plaza Dr Ste 110 Eagle, ID 83616-6567 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 Duff, Robert H ARNP, RN 435 S Eagle Rd Ste 100, / Eagle, ID 83616-6018 Jensen, Leonard R / Reinhardt, Kristine M / Shackelford, Colleen M / Whitener, Linda A / /Mental Health Braswell, Donna /Mental Health /Pediatric Johnson, Heather /Pediatric Weller, Katie /Pediatric Bradford, Donnell L Digiosia, Juliana L Guzman, Guillermo Guzman, Guillermo Janowiak, Mary A Self, Lee MD Serrano, Maribel MD Occupational Medicine Martinez, Stephen Occupational Medicine Ophthalmology McInnes, Alan W MD Ophthalmology, Plastic Surgery within the Head and Neck 1159 E Iron Eagle Dr Ste 170 Eagle, ID 83616-6870 3217 W Bavaria St Eagle, ID 83616-5171 951 E Plaza Dr Ste 110 Eagle, ID 83616-6567 3217 W Bavaria St Eagle, ID 83616-5171 1032 S Bridge Way Pl Ste 110 Eagle, ID 83616-6099 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 3217 W Bavaria St Eagle, ID 83616-5171 3217 W Bavaria St Eagle, ID 83616 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 80 W Cottonwood Ct Ste 100 Eagle, ID 83616 3217 W Bavaria St Eagle, ID 83616 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 323 E Riverside Dr Ste 136 Eagle, ID 83616-6865 (208) 302-0000 -St Alphonsus Regional Medical Center Inc (208) 938-3443 (208) 302-6200 (208) 367-5700 (208) 302-0000 (208) 378-0080 (208) 302-6200 (208) 378-0080 (208) 302-0000 (208) 367-4700 (208) 939-8200 (208) 939-8200 (208) 938-5680 (208) 302-6000 (208) 939-8200 (208) 209-3242 (208) 302-6200 (208) 938-5680 (208) 302-6200 (208) 475-0800 (208) 302-6000 (208) 939-8200 (208) 302-6000 (208) 302-6000 (208) 302-6200 (208) 302-6200 (208) 302-6000 (208) 938-2553 (208) 302-6200 (208) 939-8200 (208) 995-4451 -St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 205

Reynolds, Adam C MD Ophthalmology Optometry Hall, Zackary N OD Optometry Moss, Craig M OD Optometry Schwers, Jeffrey E OD Optometry Simmons, Deric Optometry Sorenson, Shawn C Optometry Warner, Aaron J Optometry Pain Management Boese, Edmund C Pain Management, Anesthesiology Pediatrics Grigore, Daniela Pediatrics Humphrey, Carrie A MD Pediatrics Miller, Alan Paul MD Pediatrics Townsend, Stacey MD Pediatrics Ackerman, Jerrod R PT Ashenbrener, Samantha L Barnes, Nicole L Barnes, Robert M PT Booth, Matthew R PT Box, Jeffrey A PT Duke, Catherine E Dupont, Corey E PT English, Mindy E PT Fleckenstein, David A. Habig, Debbie Hammer, James D Herauf, Kyle PT Januzzi, Joe PT Morrison, Paul R Moss, Mark L PT Murphy, Shaun Repulski, Jana Nicole Spencer, Carri Trudeau, Brian Wagner, Lynsey J PT 323 E Riverside Dr Ste 122 Eagle, ID 83616-6865 440 E State St Ste 140 Eagle, ID 83616-5935 355 S Eagle Rd Eagle, ID 83616-5912 440 E State St Ste 140 Eagle, ID 83616-5935 323 E Riverside Dr Ste 122 Eagle, ID 83616-6865 355 S Eagle Rd Eagle, ID 83616-5912 355 S Eagle Rd Eagle, ID 83616-5912 742 E State St Ste 150 Eagle, ID 83616-5941 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 125 N Stierman Way Ste A Eagle, ID 83616-5163 323 E Riverside Dr Ste 224 Eagle, ID 83616-6865 12 N Fisher Park Way Ste 100 Eagle, ID 83616 12 N Fisher Park Way Ste 100 Eagle, ID 83616 12 N Fisher Park Way Ste 100 Eagle, ID 83616 12 N Fisher Park Way Ste 100 Eagle, ID 83616 12 N Fisher Park Way Ste 100 Eagle, ID 83616 875 E Plaza Dr Ste 103 Eagle, ID 83616-6549 12 N Fisher Park Way Ste 100 Eagle, ID 83616 12 N Fisher Park Way Ste 100 Eagle, ID 83616 12 N Fisher Park Way Ste 100 Eagle, ID 83616 533 S Rivershore Ln Ste 120 Eagle, ID 83616-4979 323 E Riverside Dr Ste 124 Eagle, ID 83616-6824 3217 W Bavaria St Eagle, ID 83616-5171 875 E Plaza Dr Ste 103 Eagle, ID 83616-6549 323 E Riverside Dr Ste 124 Eagle, ID 83616-6824 90 W Cottonwood Ct Ste 150 Eagle, ID 83616 12 N Fisher Park Way Ste 100 Eagle, ID 83616 323 E Riverside Dr Ste 124 Eagle, ID 83616-6824 533 S Rivershore Ln Ste 120 Eagle, ID 83616-4979 323 E Riverside Dr Ste 124 Eagle, ID 83616-6824 323 E Riverside Dr Ste 124 Eagle, ID 83616-6824 12 N Fisher Park Way Ste 100 Eagle, ID 83616 (208) 938-4749 (208) 939-7000 (208) 939-2773 ADA Accessible (208) 939-7000 (208) 938-4749 (208) 939-2773 ADA Accessible (208) 939-2773 ADA Accessible (208) 939-3750 (208) 302-6000 (208) 302-6000 (208) 939-4880 (208) 302-6000 (208) 939-0140 (208) 939-0140 (208) 939-0140 (208) 939-0140 (208) 939-0140 (208) 322-6200 (208) 939-0140 (208) 939-0140 (208) 939-0140 (208) 489-4599 (208) 367-5400 (208) 947-3434 (208) 322-6200 (208) 367-5400 (208) 375-0666 (208) 939-0140 (208) 367-5400 (208) 489-4599 (208) 367-5400 (208) 367-5400 (208) 939-0140 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 206

Wegley, Roger S Weiderman, Brian C PT White, Brian L PT Whitworth, Kala C PT Chan, Rylan J Crockett, Kellee J PA Fuhriman, Kathryn H Huffaker, Kristina PAC Inzer Castillo, Christa Johnson, Jeffery L PA Loewenstein, Timothy Morris, Bradley PAC Sierra, Talia M Podiatry Burk, Phillip R Podiatry Erickson, Jed H DPM Podiatry Psychiatry Belnap, Grant B MD Psychiatry Merrill, Jordan W Psychiatry Psychology Arnold, Bill R PY Psychology Booth, Raydell J PY Psychology Cegnar, Janet Christianson, Kimball Christianson, Kimball Christianson, Kimball Coffman, Carolyn E MD Coffman, Carolyn E MD Coulam, Curtis H MD Coulam, Curtis H MD Gobel, Reginald J MD Gobel, Reginald J MD Hom, Benjamin Hom, Benjamin Hom, Benjamin 12 N Fisher Park Way Ste 100 Eagle, ID 83616 12 N Fisher Park Way Ste 100 Eagle, ID 83616 875 E Plaza Dr Ste 103 Eagle, ID 83616-6549 12 N Fisher Park Way Ste 100 Eagle, ID 83616 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 1032 S Bridge Way Pl Ste 110 Eagle, ID 83616-6099 3217 W Bavaria St Eagle, ID 83616-5171 1281 E Iron Eagle Dr Eagle, ID 83616-6599 1281 E Iron Eagle Dr Eagle, ID 83616-6599 3217 W Bavaria St Eagle, ID 83616-5171 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 3217 W Bavaria St Eagle, ID 83616-5171 3217 W Bavaria St Eagle, ID 83616-5171 323 E Riverside Dr Ste 204 Eagle, ID 83616 323 E Riverside Dr Ste 204 Eagle, ID 83616 1032 S Bridge Way Pl Ste 110 Eagle, ID 83616-6099 1032 S Bridge Way Pl Ste 110 Eagle, ID 83616-6099 1005 E Winding Creek Dr Ste 155 Eagle, ID 83616 4060 E Chinden Blvd Eagle, ID 83616-6481 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 (208) 939-0140 (208) 939-0140 (208) 322-6200 Languages: DANISH (208) 939-0140 (208) 939-8200 (208) 475-0800 (208) 302-6200 (208) 939-5535 (208) 939-5535 (208) 302-6200 (208) 939-8200 (208) 302-6200 -St Alphonsus Regional Medical Center Inc (208) 302-6200 (208) 855-5955 (208) 855-5955 (208) 475-0800 (208) 475-0800 (208) 855-0660 (208) 377-1131 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 207

Jackson, John A MD Jackson, John A MD Knochel, John Q MD Knochel, John Q MD Mcgonegle, Shane J Mcgonegle, Shane J Modica, Michael J MD Modica, Michael J MD Moore, Matt T Papenfuss, Mark Peck, Dallas D Peck, Dallas D Salber, Jason P MD Salber, Jason P MD Scales, Lisa M MD Scales, Lisa M MD Schaff, Howard B MD Schaff, Howard B MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Smith, Loreli MD Smith, Loreli MD Sobota, Caroline D MD Sobota, Caroline D MD Stemmler, Bertram J MD Stemmler, Bertram J MD Taylor, William L MD Taylor, William L MD Wegner, Daniel J MD Shaver, Rodger W. MD, Vascular & Interventional Davey, Ian C MD, Vascular & Interventional Davey, Neil C MD, Vascular & Interventional Garabedian, Vicken MD, Vascular & Interventional, Internal Medicine Giauque, Anthony P MD, Vascular & Interventional 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 323 E Riverside Dr Ste 108 Eagle, ID 83616-6865 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 (208) 367-5700 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 208

Harris, Jami D LSW Kelly-Majors, Leslie Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care 1032 S Bridge Way Pl Ste 110 Eagle, ID 83616-6099 1032 S Bridge Way Pl Ste 110 Eagle, ID 83616-6099 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 435 S Eagle Rd Ste 100 Eagle, ID 83616-6018 (208) 475-0800 (208) 475-0800 (208) 939-8200 (208) 939-8200 (208) 939-8200 Emmett Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Gardner, Aaron R Pewe, Daniel M Schreck, Jason C DC Mcguffey, Tina A MD Mumford, Brett T Petrie, Jennifer L MD, Obstetrics Rodriguez-Lopez, Eddie O. MD Sebastian, Robin MD Thomson, James F Vetter, William H General Surgery Bastian, Zachary MD General Surgery Gynecologic Oncology Connor, Gerard P MD Gynecologic Oncology Butterfield, Jessica Gabica, Andrea Morgan, Laurel D NPRA, RN Swensen, Holly D ARNP / Casdorph, Deborah A. / Corbin, Carlie G NPRA, RN / Lisenbey, Dana M / Phillips, Debra / Phillips, Debra / /Mental Health Barfield, Patricia /Mental Health 110 S Washington Ave Emmett, ID 83617 518 S Washington Ave Emmett, ID 83617-3523 288 Highway 16 Ste 101 Emmett, ID 83617-5082 701 S Washington Ave Emmett, ID 83617-3526 119 N Wardwell Ave Emmett, ID 83617 119 N Wardwell Ave Emmett, ID 83617 2001 E Quail Run Rd Emmett, ID 83617-5059 207 E 12th St Emmett, ID 83617-3626 207 E 12th St Emmett, ID 83617-3626 1102 E Locust St Emmett, ID 83617 1102 E Locust St Emmett, ID 83617 1024 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1024 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 1108 S Washington Ave Emmett, ID 83617-3535 207 E 12th St Emmett, ID 83617-3626 1102 E Locust St Emmett, ID 83617 1102 E Locust St Emmett, ID 83617 119 N Wardwell Ave Emmett, ID 83617 2007 E Quail Run Rd Ste 1 Emmett, ID 83617-5059 (208) 365-3860 -Eagle Eye Surgery & Laser Center (208) 365-2024 (208) 365-2225 (208) 365-1392 (208) 365-6311 -Walter Knox Memorial Hospital (208) 365-6311 -Walter Knox Memorial Hospital (208) 365-7131 (208) 365-1065 Languages: SPANISH (208) 365-1065 (208) 365-6004 -Walter Knox Memorial Hospital (208) 365-6004 -Walter Knox Memorial Hospital (208) 365-6004 (208) 367-5227 (208) 367-4810 (208) 367-6038 (208) 365-3651 (208) 367-4810 (208) 365-3455 (208) 365-1065 (208) 365-6004 (208) 365-6004 -Walter Knox Memorial Hospital (208) 365-6311 -Walter Knox Memorial Hospital (208) 365-5445 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 209

Robison, Gail /Mental Health Fox, John S Oncology, Medical Hodson, Stephanie B MD Oncology, Medical Langerak, Alan D MD Oncology, Medical Pierson, Andrew S MD Oncology, Medical, Hematology, Pulver, Kerry P MD Oncology, Medical Optometry Warner, Trenton G OD Optometry Woodward, Thomas W. OD Optometry Hansen, Robert G MD, Surgery, Hand Nicola, George A MD Shevlin, Michael MD Shevlin, Michael MD Shevlin, Michael MD Smith, John Q MD Box, Jeffrey A PT King, Scott Glen PT Murri, David B PT White, Brian L PT Abe, Hodaka P Beech, Louie W Estep, Cherish Jamison, Craig R McVey, Douglas K Petrie, Joseph W PAC Sherwood, Charles T PAC Shuey, II, David Martin PAC Sternes, Roy A PAC Wikfors, Bryce PAC Plastic Surgery within the Head and Neck Snow, Russell T DO Plastic Surgery within the Head and Neck, Otolaryngology Podiatry 2007 E Quail Run Rd Ste 1 Emmett, ID 83617-5059 1024 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1108 S Washington Ave Emmett, ID 83617-3535 1108 S Washington Ave Emmett, ID 83617-3535 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617 1024 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 912 S Washington Ave Emmett, ID 83617-3501 103 S Commercial Emmett, ID 83617-2921 912 S Washington Ave Emmett, ID 83617-3501 912 S Washington Ave Emmett, ID 83617-3501 1202 E Locust St Emmett, ID 83617-2715 207 E 12th St Emmett, ID 83617-3626 1102 E Locust St Emmett, ID 83617-2713 1202 E Locust St Emmett, ID 83617-2715 1102 E Locust St Emmett, ID 83617 2001 E Quail Run Rd Emmett, ID 83617-5059 1102 E Locust St Emmett, ID 83617 1102 E Locust St Emmett, ID 83617 1102 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 (208) 365-5445 (208) 365-6004 (208) 367-4810 (208) 367-4810 (208) 367-4810 (208) 367-4810 (208) 365-2020 (208) 365-2020 (208) 459-4511 (208) 459-4511 (208) 459-4511 (208) 365-3561 (208) 365-6004 (208) 459-4511 (208) 365-4400 (208) 477-8028 (208) 365-4400 (208) 365-4400 Languages: DANISH (208) 459-4511 (208) 365-1065 (208) 365-6004 (208) 459-4511 (208) 365-6004 (208) 365-7131 (208) 365-6004 (208) 365-6004 -Walter Knox Memorial Hospital (208) 365-6004 -St Alphonsus Regional Medical Center Inc (208) 459-4511 (208) 454-2050 -Saint Alphonsus Medical Center Nampa Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 210

Burk, Phillip N DPM Podiatry Martin, Trever J DPM Podiatry Martin, Trever J DPM Podiatry Martin, Trever J DPM Podiatry Stano, William S. DPM Podiatry Pulmonary Disease Charan, Nirmal J Pulmonary Disease Charan, Nirmal J Pulmonary Disease Cegnar, Janet Christianson, Kimball Coffman, Carolyn E MD Coulam, Curtis H MD Gobel, Reginald J MD Hom, Benjamin Jackson, John A MD Knochel, John Q MD Mcgonegle, Shane J Modica, Michael J MD Moore, Matt T Papenfuss, Mark Peck, Dallas D Salber, Jason P MD Scales, Lisa M MD Schaff, Howard B MD Seabourn, Jeffrey T MD Smith, Loreli MD Sobota, Caroline D MD Stemmler, Bertram J MD Taylor, William L MD Wegner, Daniel J MD Shaver, Rodger W. MD Calhoun, Bernice R LSW Heald, Teresa Labernik, Julie N 1024 E Locust St Emmett, ID 83617 1024 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617 1024 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 1102 E Locust St Emmett, ID 83617 1024 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617-2715 1202 E Locust St Emmett, ID 83617 1202 E Locust St Emmett, ID 83617-2715 2007 E Quail Run Rd Ste 1 Emmett, ID 83617-5059 2007 E Quail Run Rd Ste 1 Emmett, ID 83617-5059 2007 E Quail Run Rd Ste 1 Emmett, ID 83617-5059 (208) 466-3338 (208) 466-3338 (208) 365-3561 (208) 365-6004 (208) 343-8907 (208) 365-6004 (208) 365-6004 (208) 365-3651x3324 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-3651 (208) 365-5445 (208) 365-5445 (208) 365-5445 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 211

Lee, Michael S Mitchell, Mandy L Underseas & Hyperbaric Medicine Lossmann, Scott D Underseas & Hyperbaric Medicine, Wound Care Fairfield / Milliron, Anastasia B / Hodges, Ryan Dennis PA Firth / Searle, Kathleen L ARNP, RN / Steffler, Shantel RN, RN, RN, RN / Fort Hall Podiatry Howard, Karson MD Podiatry Howard, Kert W DPM Podiatry Fruitland Cardiovascular Disease Johnson, Alex C Cardiovascular Disease Malasky, Beth Cardiovascular Disease, Malasky, Beth Cardiovascular Disease, Parent, Mark G Cardiovascular Disease, Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Seale, Walter L MD Cardiovascular Disease, Cardiac Electrophysiology Duncan, Michael A Lindsey, Jonathan Dermatology Andersen, Brock Dermatology Thornfeldt, Carl R Dermatology Acor, Barry L MD, Sports Medicine Baker, Bridgette M Gardner, James W MD Gardner, James W MD 2007 E Quail Run Rd Ste 1 Emmett, ID 83617-5059 2007 E Quail Run Rd Ste 1 Emmett, ID 83617-5059 1024 E Locust St Emmett, ID 83617 401 W Camas Ave Fairfield, ID 83327 401 W Camas Ave Fairfield, ID 83327 114 S Main St Firth, ID 83236-1168 114 S Main St Firth, ID 83236-1168 717 Mission Rd Fort Hall, ID 83203 717 Mission Rd Fort Hall, ID 83203 1118 NW 16th Ste A Fruitland, ID 83619-2272 910 NW 16th St Fruitland, ID 83619-2265 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 1118 NW 16th Ste A Fruitland, ID 83619-2272 910 NW 16th St Fruitland, ID 83619-2265 910 NW 16th St Fruitland, ID 83619-2265 720 Syringa Springs Dr Fruitland, ID 83619 211 N Whitley Dr Ste 4 Fruitland, ID 83619 1118 NW 16th St Ste A Fruitland, ID 83619 811 NW 12th St Fruitland, ID 83619-2268 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 1118 NW 16th St Ste A Fruitland, ID 83619-2272 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 (208) 365-5445 (208) 365-5445 (208) 367-6038 (208) 764-2611 (208) 764-2611 (208) 346-6614 (208) 346-6614 (208) 233-4355 -Mountain View Hospital LLC -Portneuf Medical Center (208) 233-4355 (208) 452-6851 (208) 452-6851 (208) 302-0000 (208) 452-6851 (208) 452-6851 (208) 888-4600 (208) 452-6453 (208) 452-7582 (208) 452-5999 (208) 452-7450 -Saint Alphonsus Medical Center - Ontario (208) 452-6851 (208) 452-6851 (208) 452-6851 (208) 452-6851 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 212

Gardner, James W MD Goldberg, Marcel A Hill, Douglas M. MD, Occupational Medicine Hoilien, Michael J DO Moore, Ryan Moore, Ryan Roach, Michael L MD Roach, Michael L MD Roser, Louis A MD Roser, Louis A MD Skinner, Jocele A MD General Surgery Tesnohlidek, Dwaine Anthony MD General Surgery Christenson, Mark D MD Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Baughman, Dennis M LMHC Brown, Cody J Moss, Nan LMHC Stramel, Janice Aileen LMHC Van Der Eijk, Louise LMHC Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Zimmerman, Christian G MD Neurological Surgery Neurology Nelsen, Mihoko M MD Neurology River, Mary E MD Neurology River, Mary E MD Neurology Araquistain, Mary K NPRA, RN Beveridge, Tricia A. Furner, Beverlee K Hilpert, Stephanie ARNP Randall, Mary S Randall, Mary S 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 1118 NW 16th Ste A Fruitland, ID 83619-2272 1118 NW 16th Ste A Fruitland, ID 83619-2272 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 1118 NW 16th St Ste A Fruitland, ID 83619-2272 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 1118 NW 16th Ste A Fruitland, ID 83619-2272 1118 NW 16th St Ste A Fruitland, ID 83619-2272 1118 NW 16th Ste A Fruitland, ID 83619-2272 1118 NW 16th St Ste A Fruitland, ID 83619-2272 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 1210 NW 16th St Fruitland, ID 83619-2202 910 NW 16th St Ste 102 Fruitland, ID 83619 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 4944 Whitley Dr Ste 7 Fruitland, ID 83619 1611 N Whitley Dr Ste 7 Fruitland, ID 83619-2180 1509 N Whitley Ste 11 Fruitland, ID 83619 100 S Iowa Ave Fruitland, ID 83619-2644 1611 N Whitley Dr Ste 7 Fruitland, ID 83619-2180 1118 NW 16th St Fruitland, ID 83619-2271 910 NW 16th St Fruitland, ID 83619-2265 910 NW 16th St Fruitland, ID 83619-2265 910 NW 16th St Fruitland, ID 83619-2265 910 NW 16th St Fruitland, ID 83619-2265 910 NW 16th St Fruitland, ID 83619-2265 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 1118 NW 16th Ste A Fruitland, ID 83619-2272 910 NW 16th St Fruitland, ID 83619-2265 910 NW 16th St Fruitland, ID 83619-2265 1118 NW 16th Ste A Fruitland, ID 83619-2272 910 NW 16th St Fruitland, ID 83619-2265 (208) 452-6851 (208) 452-6851 (208) 452-6851 (208) 452-6851 (208) 452-6851 (208) 452-6851 (208) 452-6851 (208) 452-6851 (208) 452-6851 Languages: SPANISH (208) 452-6851 Languages: SPANISH (208) 452-6851 (208) 452-8600 (208) 452-6851 (208) 302-0000 (541) 889-9167 (208) 291-1020 (541) 212-3151 (208) 452-4378 (208) 291-1020 (208) 367-4000 (208) 367-4000 (208) 367-4000 (208) 367-4000 (208) 367-4000 (208) 367-4000 (208) 452-6851 (208) 452-6851 (208) 465-6952 (208) 367-4000 (208) 452-6851 (208) 452-6851 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 213

Randall, Mary S Weeks, Teresa A Weeks, Teresa A Weeks, Teresa A / Whitehead-Price, Kelly R / Whitehead-Price, Kelly R / Optometry Iwasa, Daniel E OD Optometry Davis, Richard, Sports Medicine Hansen, Robert G MD, Surgery, Hand Nicola, George A MD Peterson, Randolph E MD Shevlin, Michael MD Smith, John Q MD Otolaryngology Boyajian, John A. CRNA Otolaryngology Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Black, Jake Douglass, Benjamin Brook PT Hamann, Craig L PT Heaton, JaNeil M PT Hoopes, Gary L Johnson, Lynn R PT McDaniel, Amy Schamber, Jane Stephens, Cody D PT Trudeau, Brian Woods, Seneca Abe, Hodaka P Barclay, David J Branch, Anne M PA Branch, Anne M PA Brioschi Jr, Charles Edward 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 1118 NW 16th St Fruitland, ID 83619-2271 910 NW 16th St Fruitland, ID 83619-2265 910 NW 16th St Fruitland, ID 83619-2265 1118 NW 16th Ste A Fruitland, ID 83619-2272 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 925 NW 12th St Fruitland, ID 83619-5044 910 NW 16th St Ste 205 Fruitland, ID 83619 1210 NW 16th St Fruitland, ID 83619-2202 1210 NW 16th St Fruitland, ID 83619-2202 1210 NW 16th St Fruitland, ID 83619 1210 NW 16th St Fruitland, ID 83619-2202 1210 NW 16th St Fruitland, ID 83619-2202 1210 NW 16th St Fruitland, ID 83619-2202 1118 NW 16th Fruitland, ID 83619 910 NW 16th St Ste 200 Fruitland, ID 83619 1611 N Whitley Dr Ste 1A Fruitland, ID 83619 215 N Whitley Dr Ste 1 Fruitland, ID 83619-2706 215 N Whitley Dr Ste 1 Fruitland, ID 83619-2706 215 N Whitley Dr Ste 1 Fruitland, ID 83619-2706 1611 N Whitley Dr Ste 1A Fruitland, ID 83619-2180 910 NW 16th St Ste 200 Fruitland, ID 83619 910 NW 16th St Ste 200 Fruitland, ID 83619 215 N Whitley Dr Ste 1 Fruitland, ID 83619-2706 910 NW 16th St Ste 200 Fruitland, ID 83619 910 NW 16th St Ste 200 Fruitland, ID 83619 1210 NW 16th St Fruitland, ID 83619-2202 811 NW 12th St Fruitland, ID 83619-2268 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 910 NW 16th St Ste 205 Fruitland, ID 83619 (208) 452-6851 (208) 367-4000 (208) 367-4000 (208) 367-4000 (208) 452-6851 (208) 452-6851 (208) 642-2151 (208) 452-3111 (208) 459-4511 (208) 459-4511 (208) 549-3452 (208) 459-4511 (208) 459-4511 (208) 433-9300 ADA Accessible (208) 336-9188 Languages: SPANISH (208) 452-8060 (208) 452-0021 (208) 452-6366 (208) 452-6366 (208) 452-6366 (208) 452-0021 (208) 452-8060 (208) 452-8060 (208) 452-6366 (208) 452-8060 (208) 452-8060 (208) 459-4511 (208) 452-7450 (208) 452-6851 (208) 452-6851 (208) 452-3111 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 214

Gardner, Marshall E. Heninger, Bradley PA Jamison, Craig R Lawler, Helen Lawler, Helen Mccray, Tiffany A Olson, Chelsea L PA Peterson, Jamie B PAC Steinburg, Rick L Steinburg, Rick L Sweet, Christina PAC Weber, Colette D Wikfors, Bryce PAC Wood, Sarah PA Podiatry Martin, Trever J DPM Podiatry Psychiatry Bates, John R Psychiatry, Behavioral/Mental Health Steinberg, Si Robin MD Psychiatry Pulmonary Disease Hendrickson, Danny J Pulmonary Disease Sleep Disorder Medicine Hale, Jennifer DO Sleep Disorder Medicine Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Bollingberg, Cristy Ann LSW Koberlein, Timothy L LSW Lamberti, Paola Fabiana Rupp, Chelsea Marie Sanders, Lorinda Lee Van Ausdal, Ron Jacob LSW Sports Medicine Foote, John Sports Medicine, Orthopedics Urology King, Dawn K MD Urology Klein, Eric W MD Urology Kuo, Helen MD Urology 1300 NW 16th St Fruitland, ID 83619-2267 910 NW 16th St Ste 205 Fruitland, ID 83619 1210 NW 16th St Fruitland, ID 83619-2202 1118 NW 16th Ste A Fruitland, ID 83619-2272 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 811 NW 12th St Fruitland, ID 83619-2268 1118 NW 16th St Ste A Fruitland, ID 83619 1210 NW 16th St Fruitland, ID 83619 1300 NW 16th St Fruitland, ID 83619-2267 1300 NW 16th St Fruitland, ID 83619-2267 1118 NW 16th St Ste A Fruitland, ID 83619 1118 NW 16th Ste A Fruitland, ID 83619-2272 1210 NW 16th St Fruitland, ID 83619-2202 1611 N Whitley Dr Ste 7 Fruitland, ID 83619-2180 1210 NW 16th St Fruitland, ID 83619 1611 N Whitley Dr Ste 7 Fruitland, ID 83619-2180 4944 Whitley Dr Ste 7 Fruitland, ID 83619 910 NW 16th St Fruitland, ID 83619-2265 1118 NW 16th Ste A Fruitland, ID 83619-2272 910 NW 16th St Fruitland, ID 83619-2265 1611 N Whitley Dr Ste 7 Fruitland, ID 83619-2180 1611 N Whitley Dr Ste 7 Fruitland, ID 83619-2180 1611 N Whitley Dr Ste 7 Fruitland, ID 83619-2180 1611 N Whitley Dr Ste 7 Fruitland, ID 83619-2180 1611 N Whitley Dr Ste 7 Fruitland, ID 83619-2180 1611 N Whitley Dr Ste 7 Fruitland, ID 83619-2180 910 NW 16th St Ste 205 Fruitland, ID 83619 910 NW 16th St Ste 102 Fruitland, ID 83619 910 NW 16th St Ste 102 Fruitland, ID 83619 910 NW 16th St Ste 102 Fruitland, ID 83619 (208) 452-2323 (208) 452-3111 -Saint Alphonsus Medical Center - Ontario (208) 459-4511 (208) 452-6851 (208) 302-0000 (208) 452-7450 (208) 452-5999 (208) 549-3452 -Memorial Hospital (208) 452-2323 (208) 452-2323 (208) 452-5999 (208) 452-6851 (208) 459-4511 (208) 291-1020 (208) 466-3338 (208) 291-1020 -Saint Alphonsus Medical Center - Ontario (541) 889-9167 (208) 465-6952 (208) 452-6851 (208) 465-6952 (208) 291-1020 (208) 291-1020 (208) 291-1020 (208) 291-1020 (208) 291-1020 (208) 291-1020 (208) 452-3111 (208) 452-6851 (208) 452-6851 (208) 452-6851 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 215

Stritzke, Donald K MD Urology Vascular Surgery Alessi, Christopher Vascular Surgery Alessi, Christopher Vascular Surgery Garden City Behavioral/Mental Health Alexander, Erin A. Behavioral/Mental Health Collier, Anita A. Behavioral/Mental Health / Crum, Sonya L / /Pediatric Weller, Katie /Pediatric Bledsoe, Aaron L PAC Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Garden Valley Koenig, Michael R MD Maughan, Kyle D PT Glenns Ferry Ensminger, Mark R MD General Surgery Welch, John C MD General Surgery Jenks, Barry Edward LMHC Best, Dawn D Morgan, Laurel D NPRA, RN Swartz, Rachel M 1210 NW 16th St Fruitland, ID 83619-2202 1118 NW 16th Ste A Fruitland, ID 83619-2272 910 NW 16th St Ste 101 Fruitland, ID 83619-2265 7711 W Riverside Dr Garden City, ID 83714 7711 W Riverside Dr Garden City, ID 83714 6052 W State St Garden City, ID 83703-2739 6052 W State St Garden City, ID 83703-2739 6052 W State St Garden City, ID 83703-2739 6052 W State St Garden City, ID 83703-2739 6052 W State St Garden City, ID 83703-2739 5601 W Chinden Blvd Garden City, ID 83714 980 Banks Lowman Rd Garden Valley, ID 83622 856 Banks Lowman Rd Garden Valley, ID 83622 486 W First Ave Glenns Ferry, ID 83623 486 W First Ave Glenns Ferry, ID 83623 486 W First Ave Glenns Ferry, ID 83623 486 W First Ave Glenns Ferry, ID 83623 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W First Ave Glenns Ferry, ID 83623 (208) 452-8600 (208) 452-6851 -St Alphonsus Regional Medical Center Inc (208) 452-6851 -St Alphonsus Regional Medical Center Inc (208) 853-8536 (208) 853-8536 (208) 344-7799 (208) 344-7799 (208) 344-7799 (208) 344-7799 (208) 344-7799 (208) 809-2865 (208) 462-3533 (208) 658-9500 (208) 587-3988 ADA Accessible -Ocean Beach Hospital (208) 587-3988 ADA Accessible Languages: JAPANESE, SPANISH (208) 587-3988 ADA Accessible Languages: SPANISH (208) 587-3988 ADA Accessible (208) 366-7416 (208) 587-3988 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 216

Cegnar, Janet Coffman, Carolyn E MD Coulam, Curtis H MD Gobel, Reginald J MD Hom, Benjamin Jackson, John A MD Knochel, John Q MD Mcgonegle, Shane J Modica, Michael J MD Moore, Matt T Papenfuss, Mark Peck, Dallas D Salber, Jason P MD Scales, Lisa M MD Schaff, Howard B MD Seabourn, Jeffrey T MD Smith, Loreli MD Sobota, Caroline D MD Stemmler, Bertram J MD Taylor, William L MD Wegner, Daniel J MD Grand View Ensminger, Mark R MD Jenks, Barry Edward LMHC Grangeville Cardiovascular Disease Wales, Robert Alan MD Cardiovascular Disease Whisenant, Michael Neil Cardiovascular Disease Dardis, James Walter MD Dardis, James Walter MD Farnworth, Marc Van MD 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 486 W 1st Ave Glenns Ferry, ID 83623-2701 350 Main Street Grand View, ID 83624 350 Main Street Grand View, ID 83624 607 W Main St Grangeville, ID 83530-1345 607 W Main St Grangeville, ID 83530-1345 607 W Main St Grangeville, ID 83530-1345 722 W North St Grangeville, ID 83530 617 W North St Grangeville, ID 83530-1239 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 366-7416 (208) 834-2929 ADA Accessible -Ocean Beach Hospital (208) 834-2929 ADA Accessible Languages: SPANISH (509) 455-8820 (509) 455-8820 -St Joseph Regional Medical Center (208) 983-1700 ADA Accessible -Syringa Hospital & Clinics (208) 983-8590 ADA Accessible -Syringa Hospital & Clinics (208) 962-2473 -St Mary's Hospital Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 217

Griffis, Daniel Christopher MD Griffis, Daniel Christopher MD Jessup, Tema Lynn DO Jessup, Tema Lynn DO Minnehan, Haley J. MD Sigler, Ronald L. Told, Matthew DO Told, Matthew DO General Surgery Bell, Adam D DO General Surgery / Gehring, Margaret A ARNP, RN / Imus, William Mark NPRA, RN / Imus, William Mark NPRA, RN / Long, Deborah J / McHugh, Lynn G / Wilson, Megan W ARNP, RN / Bigsby, Geneen E DO Bigsby, Geneen E DO Bigsby, Geneen E DO Optometry Brown, Joel I. Optometry Atkins, David Scott PA, PA Atkins, David Scott PA, PA Bell, Keith E. Bledsoe, Todd PAC 607 W Main St Grangeville, ID 83530-1345 722 W North St Grangeville, ID 83530 607 W Main St Grangeville, ID 83530-1345 722 W North St Grangeville, ID 83530 617 W North St Grangeville, ID 83530-1239 617 W North St Grangeville, ID 83530-1239 607 W Main St Grangeville, ID 83530-1345 722 W North St Grangeville, ID 83530 607 W Main St Grangeville, ID 83530-1345 617 W North St Grangeville, ID 83530-1239 607 W Main St Grangeville, ID 83530-1345 722 W North St Grangeville, ID 83530 607 W Main Grangeville, ID 83530-1345 607 W Main Grangeville, ID 83530-1345 617 W North St Grangeville, ID 83530-1239 607 W Main St Grangeville, ID 83530-1345 607 W Main St Grangeville, ID 83530-1345 722 W North St Grangeville, ID 83530 622 W North St Grangeville, ID 83530-1240 607 W Main St Grangeville, ID 83530-1345 722 W North St Grangeville, ID 83530 607 W Main Grangeville, ID 83530-1345 607 W Main St Grangeville, ID 83530-1345 (208) 983-1700 ADA Accessible -Syringa Hospital & Clinics (208) 983-8590 ADA Accessible -Syringa Hospital & Clinics (208) 983-1700 ADA Accessible -Syringa Hospital & Clinics (208) 983-8590 ADA Accessible -Syringa Hospital & Clinics (208) 962-2473 -St Mary's Hospital Inc (208) 962-2473 -St Mary's Hospital Inc (208) 983-1700 ADA Accessible (208) 983-8590 ADA Accessible (208) 983-1700 -Clearwater Valley Hospital -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 962-2473 (208) 983-1700 ADA Accessible -Syringa Hospital & Clinics (208) 983-8590 ADA Accessible -Syringa Hospital & Clinics (509) 455-8820 (509) 455-8820 (208) 962-2473 (208) 983-1700 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 983-1700 ADA Accessible (208) 983-8590 ADA Accessible (208) 983-0260 -St Joseph Regional Medical Center -Tri-State Memorial Hospital -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 983-1700 ADA Accessible -Syringa Hospital & Clinics (208) 983-8590 ADA Accessible -Syringa Hospital & Clinics (509) 455-8820 -Newport Community Hospital (208) 983-1700 ADA Accessible Languages: SPANISH Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 218

Bledsoe, Todd PAC Davis, Heather Nicole PA Wynn, Derek Ron PA Sports Medicine Bruner, Jack C. MD Sports Medicine Hailey Allergy & Immunology Wakefield, Kenneth J MD Allergy & Immunology, Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology / Watson, Jennifer A NPRA, RN / Podiatry DeVries, Jason B DPM Podiatry Hayden Certified Nutritionist/Registered Diet Beck, Ashley A RD Certified Nutritionist/Registered Diet Criswell, Krista RD Certified Nutritionist/Registered Diet Schaal, Shelia R RD Certified Nutritionist/Registered Diet Shobe, Juliann RD Certified Nutritionist/Registered Diet Cunningham, Wendy Nagy Jacobson, Melissa Anne Marsh, Kevin R. DC May, Richard J Priebe, Jeffrey J DC Priebe, Randall P. DC Tessendorf, Joseph N DC Tessendorf, Thomas N DC Ancker, Robert A MD Borsheim, Mark P MD, Urgent Care Brososky, Bradley W. MD, Urgent Care Esau, Arlie E., Urgent Care Fogarty, Shana D. MD 722 W North St Grangeville, ID 83530 722 W North St Grangeville, ID 83530-1350 722 W North St Grangeville, ID 83530 617 W North St Grangeville, ID 83530-1239 408 S Main Hailey, ID 83333 21 E Maple St Ste A Hailey, ID 83333-4900 21 E Maple St Ste A Hailey, ID 83333-4900 408 S Main Hailey, ID 83333 21 E Maple St Ste G Hailey, ID 83333 566 W Prairie Ave Hayden, ID 83815-7766 566 W Prairie Ave Hayden, ID 83815-7766 566 W Prairie Ave Hayden, ID 83815-7766 566 W Prairie Ave Hayden, ID 83815-7766 8827 N Government Way Ste 3 Hayden, ID 83835-8231 1172 W Hayden Ave Hayden, ID 83835-8700 8235 North Cornerstone Drive Hayden, ID 83835 8276 N Wayne Drive Hayden, ID 83835 8109 N Wayne Blvd Hayden, ID 83835-5031 8109 N Wayne Blvd Hayden, ID 83835-5031 1401 W Biztown Loop Hayden, ID 83835-5113 1401 W Biztown Loop Hayden, ID 83835-5113 9493 N Government Way Hayden, ID 83835-9216 8181 Cornerstone Drive Hayden, ID 83835 8181 Cornerstone Drive Hayden, ID 83835 8181 Cornerstone Drive Hayden, ID 83835 9494 N Government Way Hayden, ID 83835-9848 (208) 983-8590 ADA Accessible Languages: SPANISH (208) 298-3093 -St Joseph Regional Medical Center (208) 983-8590 ADA Accessible (208) 962-2473 -St Mary's Hospital Inc (208) 788-1886 -Bonner General Hospital -Gritman Medical Center Inc (208) 367-4278 (208) 367-4278 (208) 788-1886 (208) 319-0497 (208) 772-0263 (208) 772-0263 (208) 772-0263 (208) 772-0263 (208) 635-5658 (208) 762-3332 (208) 762-0222 (208) 772-4545 (208) 667-7463 (208) 667-7463 (208) 762-3660 (208) 762-3660 (208) 772-7994 (208) 772-0785 (208) 772-0785 (208) 772-0785 (208) 772-7994 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 219

Linford, Douglas S. MD Riske, Terrance A MD, Urgent Care Torquato, John L. MD, Urgent Care Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Licensed Massage Therapist Foster, Makaia M. Massage Therapy Morningstar, Rose M. Massage Therapy Nephrology Foster, Sherwin Stephen MD Nephrology, Ngo, Thuy-Trang Thi MD Nephrology, Mykkanen, Debra Colleen ARNP, RN Volking, Camille Lagene NPRA, RN / Fletcher, Jennifer S NPRA, RN / Gentry, Carla J. / LaPlante, Jessica L NPRA / Long, Deborah J / O'Keefe, Tawnya D. / Palmer, Renee Michelle ARNP / Sutton, Christy ARNP, RN / Williams, Marty Jay ARNP, RN / /Pediatric Adamson, Krista S ARNP, NPRA /Pediatric Bartell, Natalie Jeane ARNP, RN /Pediatric Taylor, Jordan E. ARNP, RN /Pediatric Optometry Breazeal, Larry D OD Optometry Heaton, Alisha Optometry Lindauer, Robin R OD Optometry Sorensen, Robert A Optometry Stoenner, Debra L. Optometry Pediatrics Craddock, Duane E. MD Pediatrics Edwards, Randi L MD Pediatrics, Martin, Beth A MD Pediatrics 566 W Prairie Ave Hayden, ID 83815-7766 8181 Cornerstone Drive Hayden, ID 83835 265 W Prairie Shopping Ctr Hayden, ID 83835-9855 8836 N Hess Ste C Hayden, ID 83835 2151 W Hayden Ave Hayden, ID 83835-7414 2151 W Hayden Ave Hayden, ID 83835-7414 8836 N Hess Ste C Hayden, ID 83835 8836 N Hess Ste C Hayden, ID 83835 9095 N Hess St Hayden, ID 83835-9827 8836 N Hess Ste C Hayden, ID 83835 8836 N Hess Ste E Hayden, ID 83835-7414 8181 Cornerstone Drive Hayden, ID 83835 8836 N Hess Ste E Hayden, ID 83835-7414 8181 Cornerstone Drive Hayden, ID 83835 8836 N Hess Ste C Hayden, ID 83835 8181 Cornerstone Drive Hayden, ID 83835 9095 N Hess St Hayden, ID 83835-9827 9095 N Hess St Hayden, ID 83835-9827 9095 N Hess St Hayden, ID 83835-9827 9095 N Hess St Hayden, ID 83835-9827 9095 N Hess St Hayden, ID 83835-9827 8160 N Cornerstone St Ste B Hayden, ID 83835-7075 8445 Government Way Hayden, ID 83835-9280 550 W Honey Suckle Ave Hayden, ID 83835-6042 8445 Government Way Hayden, ID 83835-9280 8445 Government Way Hayden, ID 83835-9280 9095 N Hess St Hayden, ID 83835-9827 9095 N Hess St Hayden, ID 83835-9827 9095 N Hess St Hayden, ID 83835-9827 (208) 772-0263 (208) 772-0785 (208) 772-7850 (208) 771-2854 (208) 819-0929 (208) 762-6772 (208) 771-2854 (208) 771-2854 -Northwest Specialty Hospital (208) 772-8940 (208) 762-7760 (208) 758-0560 (208) 772-0785 (208) 762-7760 (208) 772-0785 (208) 771-2854 (208) 772-0785 (208) 772-8940 (208) 772-8940 (208) 772-8940 (208) 772-8940 (208) 772-8940 (208) 772-5539 (208) 772-3208 (208) 762-0109 (208) 772-3208 (208) 772-3208 (208) 772-8940 (208) 772-8940 (208) 772-8940 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 220

Neff, Terence E. MD Pediatrics Savage, Cheri K MD Pediatrics Shaw, Mary Jo MD Pediatrics Weeda, Charlotte E MD Pediatrics Andrews, David B. Bauer, Tina M. PT Blackwelder, Tyler Bluemer, Lori-Ann I. Borg, Adam Michael PT Bruns, Jason Cook, Todd Vincent PT Cooper-Scott, Haley E PT DiBiase, Sheree L Dye, Jeremy Albert PT Ehrhart, Caitlin Shizue PT Feasline, Mark E. Hall, Leola E PT Hankes, Matthew Beier PT Hopper, Dean M. Kane, Justin T. PT Kiracofe, Clifford L. Lucas, Matthew J. Morrison, Stephanie Alyse PT Schneider, Gary D. Sgroi, Kevin J. Shellman, Lee C. PT Steininger, Laura Handyside PT Swider, Deborah E PT Venera, Teri Ann PT Wheeler, Adam Laurence PT Foster, Michael Foster, Michael Petersen, Henry Aron PAC Triphahn, Laura K. PA Podiatry 9095 N Hess St Hayden, ID 83835-9827 9095 N Hess St Hayden, ID 83835-9827 9095 N Hess St Hayden, ID 83835-9827 9095 N Hess St Hayden, ID 83835-9827 1172 W Hayden Ave Hayden, ID 83835-8700 870 W Hayden Ave Hayden, ID 83835-9724 8332 N Wayne Dr Hayden, ID 83835-6027 8836 N Hess St Ste C Hayden, ID 83835-8718 1172 W Hayden Ave Hayden, ID 83835-8700 8944 N Hess St Ste B Hayden, ID 83835-9183 1172 W Hayden Ave Hayden, ID 83835-8700 8332 N Wayne Dr Hayden, ID 83835-6027 8238 N Goverment Way Hayden, ID 83835-5034 1172 W Hayden Ave Hayden, ID 83835-8700 8257 N Cornerstone Dr Hayden, ID 83835-8683 1172 W Hayden Ave Hayden, ID 83835-8700 8238 N Goverment Way Hayden, ID 83835-5034 1172 W Hayden Ave Hayden, ID 83835-8700 1172 W Hayden Ave Hayden, ID 83835-8700 1172 W Hayden Ave Hayden, ID 83835-8700 870 W Hayden Ave Hayden, ID 83835-9724 1172 W Hayden Ave Hayden, ID 83835-8700 1172 W Hayden Ave Hayden, ID 83835-8700 8257 N Cornerstone Dr Hayden, ID 83835-8683 8475 N Government Way Hayden, ID 83835-8670 1172 W Hayden Ave Hayden, ID 83835-8700 8238 N Goverment Way Hayden, ID 83835-5034 8257 N Cornerstone Dr Hayden, ID 83835-8683 8332 N Wayne Dr Hayden, ID 83835-6027 8257 N Cornerstone Dr Hayden, ID 83835-8683 8836 N Hess Ste C Hayden, ID 83835 8836 N Hess Ste E Hayden, ID 83835-7414 8836 N Hess Ste C Hayden, ID 83835 8836 N Hess Ste C Hayden, ID 83835 (208) 772-8940 (208) 772-8940 (208) 772-8940 (208) 772-8940 (208) 762-3332 (208) 676-0102 (208) 209-6170 (208) 659-4005 (208) 762-3332 (208) 762-0251 (208) 762-3332 (208) 209-6170 (208) 762-2100 ADA Accessible (208) 762-3332 (208) 762-0881 (208) 762-3332 Languages: SPANISH (208) 762-2100 ADA Accessible (208) 762-3332 (208) 762-3332 (208) 762-3332 (207) 772-6991 (208) 762-3332 (208) 762-3332 (208) 762-0881 (208) 772-9774 (208) 762-3332 (208) 762-2100 Not accepting new patients ADA Accessible (208) 762-0881 (208) 209-6170 (208) 762-0881 (208) 771-2854 (208) 762-7760 (208) 771-2854 (208) 762-7760 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 221

Babol, Jacqueline M Podiatry Hix, Joel D Podiatry Urgent Care Panos, Craig J MD Urgent Care, Hayden Lake Ophthalmology Kontos, Mark A. MD Ophthalmology Homedale Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Hughes, Meghan Hospitalist Wilson, Martha C, Hospitalist /Mental Health Stackle, Mary J NPRA, RN /Mental Health Applegate, Evan J PT Douglass, Benjamin Brook PT Hartley, Nicholas C PT Homstad, Brett Jeffrey Hulsey, Kevin L PT Weldon, Garrett PT Greaves, Gordon Brad Ruelas, Terry LSW Horseshoe Bend Koenig, Michael R MD Ineck, Yesenia PT Maughan, Kyle D PT Idaho City Maricle-Kuwahara, Lynda J. 8944 N Hess St Ste A Hayden, ID 83835-9183 8944 N Hess St Ste A Hayden, ID 83835-9183 566 W Prairie Ave Hayden, ID 83815-7766 8445 N Government Way Hayden Lake, ID 83835-9280 108 E Idaho Ave Homedale, ID 83628 108 E Idaho Ave Homedale, ID 83628 108 E Idaho Ave Homedale, ID 83628 108 E Idaho Ave Homedale, ID 83628 134 E Idaho Ave Homedale, ID 83628-5003 134 W Idaho Ave Homedale, ID 83628-4702 134 E Idaho Ave Homedale, ID 83628-5003 134 W Idaho Ave Homedale, ID 83628-4702 134 W Idaho Ave Homedale, ID 83628-4702 134 W Idaho Ave Homedale, ID 83628-4702 108 E Idaho Ave Homedale, ID 83628 108 E Idaho Ave Homedale, ID 83628 102 Quinn St Horseshoe Bend, ID 83629 400 Highway 55 Horseshoe Bend, ID 83629-9015 400 Highway 55 Horseshoe Bend, ID 83629-9015 3852 Highway 21 Idaho City, ID 83631-4195 (509) 928-8181 (208) 762-0909 Languages: SPANISH (208) 772-0263 (509) 928-8040 (208) 337-3189 (208) 337-3189 (208) 337-3189 (208) 337-3189 (208) 337-3254 (208) 337-3254 (208) 337-3254 (208) 337-3254 (208) 337-3254 (208) 337-3254 (208) 337-3189 (208) 337-3189 (208) 793-2257 -Northwest Specialty Hospital (208) 658-9500 ADA Accessible (208) 658-9500 ADA Accessible (208) 392-4544 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 222

Idaho Falls Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Poulter, Alan J MD Anesthesiology, Pain Management Zoe, Holly MD Anesthesiology Cardiac Electrophysiology Perez-Verdia, Alejandro MD Cardiac Electrophysiology Cardiovascular Disease Garcia, George M MD Cardiovascular Disease Gerlach, Paul A MD Cardiovascular Disease Kaufman, Jay Stuart Cardiovascular Disease Lassetter, John E. MD Cardiovascular Disease Lassetter, John E. MD Cardiovascular Disease Wachter, Susan B MD Cardiovascular Disease Webb, Kipp B. Cardiovascular Disease, Cert Registered Nurse Anesthetist (CRNA) Adams, Henry Michael RN, RN Cert Registered Nurse Anesthetist (CRNA) Driscoll, Dewey Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Jackson, Luke J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Knapp, Kenneth Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Murray, Shawn M CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Nebeker, Gregory D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Parker, Daniel James CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Purcell, Blake G CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Scott, Micah Joe CRNA, RN Cert Registered Nurse Anesthetist (CRNA) 2025 E 17th St Idaho Falls, ID 83404-6430 2025 E 17th St Idaho Falls, ID 83404-6430 1540 Elk Creek Dr Idaho Falls, ID 83404-8322 1540 Elk Creek Dr Idaho Falls, ID 83404-8322 2375 E Sunnside Rd Ste J Idaho Falls, ID 83404 2060 S Woodruff Ave Idaho Falls, ID 83404-6396 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 2985 Cortez Ave Idaho Falls, ID 83404-7554 2985 Cortez Ave Idaho Falls, ID 83404-7554 2985 Cortez Ave Idaho Falls, ID 83404-7554 2001 S Woodruff Ave Ste 12A Idaho Falls, ID 83404-6372 2001 S Woodruff Ave Ste 3 Idaho Falls, ID 83404-6371 2985 Cortez Ave Idaho Falls, ID 83404-7554 2001 S Woodruff Ave Ste 3 Idaho Falls, ID 83404-6371 3345 S Holmes Ave Ste B Idaho Falls, ID 83404-7981 3345 S Holmes Ave Ste B Idaho Falls, ID 83404-7981 3345 S Holmes Ave Ste B Idaho Falls, ID 83404-7981 3345 S Holmes Ave Ste B Idaho Falls, ID 83404-7981 2025 E 17th St Idaho Falls, ID 83404-6430 2025 E 17th St Idaho Falls, ID 83404-6430 1540 Elk Creek Dr Idaho Falls, ID 83404-8322 1540 Elk Creek Dr Idaho Falls, ID 83404-8322 2875 E Sunnyside Rd Ste B Idaho Falls, ID 83404-8281 3345 S Holmes Ave Ste B Idaho Falls, ID 83404-7981 3345 S Holmes Ave Ste B Idaho Falls, ID 83404-7981 2025 E 17th St Idaho Falls, ID 83404-6430 2025 E 17th St Idaho Falls, ID 83404-6430 1540 Elk Creek Dr Idaho Falls, ID 83404-8322 1540 Elk Creek Dr Idaho Falls, ID 83404-8322 3345 S Holmes Ave Ste B Idaho Falls, ID 83404-7981 (208) 524-2025 -Bingham Memorial Hospital (208) 529-2230 -Bingham Memorial Hospital (208) 529-8393 -Bingham Memorial Hospital (208) 529-8393 -Bingham Memorial Hospital (208) 522-7246 (208) 523-7246 -Eastern Idaho Regional Medical Center (208) 535-4567 -Eastern Idaho Regional Medical Center (208) 523-3373 (208) 523-3373 (208) 523-3373 (208) 524-2255 Languages: SPANISH (208) 523-3050 Languages: SPANISH (208) 523-3373 (208) 523-3050 (208) 528-2858 (208) 528-2858 (208) 528-2858 (208) 528-2858 (208) 524-2025 (208) 529-2230 (208) 529-8393 (208) 529-8393 (208) 557-2767 ADA Accessible (208) 528-2858 (208) 528-2858 (208) 524-2025 (208) 529-2230 (208) 529-8393 (208) 529-8393 (208) 528-2858 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 223

Stoddard, Nicholas F CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Burke Sr, Terry Lynn DC Gardner, James C DC Jamison, Nolan B. Nelson, Aaron M DC Dermatology Brooke, Paul MD Dermatology Hinkson, Mark E. Dermatology Miner, Brandon Lynn DO Dermatology Sewell, Lindsay D MD Dermatology Anderson, Joseph M. Anderson, Joseph M. Bloxham, Brandon Dee DO Cross, Scott G. Griggs, Matthew R. Maughan, Eric B. Packer, Scott Michael Thompson, Justin Wells, Edwin G Endocrinology Liljenquist, David R. MD Endocrinology Liljenquist, John E. Endocrinology Baker, Wallace C. Bennett, Barry F. Browne, Ronald Orie Brumfield, Troy R. DO Cheslock, Stanley J. Christensen, Kay L. Cifrese, Rocco P. de Bruyn Kops, III, Julian MD Gillespie, Robert Todd PA Gillespie, Robert Todd PA 3345 S Holmes Ave Ste B Idaho Falls, ID 83404-7981 1348 E 17th St Idaho Falls, ID 83404-6270 1220 E 17th St Idaho Falls, ID 83404-6147 671 S Woodruff Idaho Falls, ID 83401 3360 S 15th E Idaho Falls, ID 83404-8321 2860 Channing Way Ste 121 Idaho Falls, ID 83404-7532 3425 Merlin Dr Ste 200 Idaho Falls, ID 83404-7430 2085 Providence Way Idaho Falls, ID 83404-4945 2085 Providence Way Idaho Falls, ID 83404-4945 3100 Channing Way Idaho Falls, ID 83404-7533 2420 E 25th St Idaho Falls, ID 83404-7549 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 765 S Utah Ave Idaho Falls, ID 83402-5093 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 3910 Washington Parkway Idaho Falls, ID 83404 2220 E 25th St Idaho Falls, ID 83404-7542 1880 John Adams Pkwy Idaho Falls, ID 83401-4315 2775 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2725 Channing Way Idaho Falls, ID 83404-7510 3456 E 17th St Idaho Falls, ID 83404 2775 Channing Way Idaho Falls, ID 83404-7510 1995 E 17th St Idaho Falls, ID 83404-6493 2065 E 17th St Ste C Idaho Falls, ID 83404-8042 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 (208) 528-2858 (208) 542-6564 (208) 529-1919 (208) 552-2584 (208) 522-8300 (208) 522-8945 -Eastern Idaho Regional Medical Center (208) 528-6653 -Eastern Idaho Regional Medical Center (208) 525-4888 (208) 525-4888 (208) 227-2100 -Eastern Idaho Regional Medical Center (208) 542-1026 ADA Accessible (208) 227-2100 (208) 227-2100 -Eastern Idaho Regional Medical Center (208) 227-2100 -Intermountain Hospital (208) 227-2001 -Eastern Idaho Regional Medical Center (208) 525-2600 (208) 227-2100 -Eastern Idaho Regional Medical Center (208) 227-2100 -Eastern Idaho Regional Medical Center (208) 523-1122 -Eastern Idaho Regional Medical Center (208) 523-1122 (208) 524-6633 Languages: SPANISH -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 524-5948 -Mountain View Hospital LLC (208) 542-9111 (208) 525-8448 (208) 529-2828 (208) 524-5948 -Eastern Idaho Regional Medical Center (208) 522-7666 (208) 522-6106 (208) 535-3626 (208) 535-3626 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 224

Harris, Michael T. Harris, Michael T. Hill, David L DO Hodges, Gene K. MD Hodges, Gene K. MD Johnson, Teresa K. Kam, Jared Michael MD Kam, Jared Michael MD Machen, Shane Gary DO Maguire III, James F. DO Mangan, Martin Angus Martin, Brady C DO Martin, Brady C DO Mayo, Tyler F DO McLaughlin, Daniel W. MD Packer, Flint R. Payne, Matthew DO Payne, Matthew DO Perttula, Eric W. Rindfleisch, Dallas George DO Roisum, Tony C. MD Simpson, Isac Phil DO Southwick, Boyd K. Thompson, Peter J. MD Thompson, Peter J. MD Thompson, Peter J. MD Gastroenterology Behrend, Clint E MD Gastroenterology Evans, Larry C DO Gastroenterology Hendrix, Paul M MD Gastroenterology 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 2280 E 25th St Idaho Falls, ID 83404-7542 2065 E 17th St Ste A Idaho Falls, ID 83404-8042 1995 E 17th St Ste 5 Idaho Falls, ID 83404-6493 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 3500 Potomac Way Ste 100 Idaho Falls, ID 83404-9998 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 2775 Channing Way Idaho Falls, ID 83404-7510 2775 Channing Way Idaho Falls, ID 83404-7510 3614 Washington Parkway Idaho Falls, ID 83404 2860 Channing Way Ste 100 Idaho Falls, ID 83404-7531 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 2001 S Woodruff Ave Ste 5 Idaho Falls, ID 83404-6371 2610 Channing Way Idaho Falls, ID 83404-7517 3360 Washington Pkwy Ste 1 Idaho Falls, ID 83404-8332 2225 Teton Plaza Ste B Idaho Falls, ID 83404-6494 3614 Washington Parkway Idaho Falls, ID 83404 2325 Coronado St Idaho Falls, ID 83404-7407 2730 Channing Way Idaho Falls, ID 83404-5049 919 South Utah Ave Idaho Falls, ID 83402 2770 Cortez Ave Idaho Falls, ID 83404-7590 2770 Cortez Ave Idaho Falls, ID 83404-7590 2770 Cortez Ave Idaho Falls, ID 83404-7590 (208) 535-3626 Languages: FRENCH (208) 535-3626 Languages: FRENCH (208) 535-4567 -Eastern Idaho Regional Medical Center (208) 227-2100 -Mountain View Hospital LLC (208) 522-3301 -Mountain View Hospital LLC (208) 529-2544 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 535-3626 (208) 535-3626 (208) 522-7666 (208) 525-8448 (208) 542-9111 (208) 535-3626 (208) 535-3626 (208) 524-5948 (208) 524-5948 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 552-7700 -Eastern Idaho Regional Medical Center (208) 535-4567 -Eastern Idaho Regional Medical Center (208) 535-4567 -Eastern Idaho Regional Medical Center (208) 528-8777 -Eastern Idaho Regional Medical Center (208) 523-0888 (208) 524-3416 Not accepting new patients Languages: SPANISH (208) 524-2222 -Mountain View Hospital LLC (208) 552-7700 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 557-2700 -Eastern Idaho Regional Medical Center (208) 542-7100 -Eastern Idaho Regional Medical Center (208) 542-7100 -Eastern Idaho Regional Medical Center (208) 522-4000 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 522-4000 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 522-4000 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 225

Warner, Ned R DO Gastroenterology, Williams, Todd A MD Gastroenterology, General Practice Blackner, Kenneth Todd MD General Practice General Surgery Coray, Robert Louis MD General Surgery Coray, Robert Louis MD General Surgery Davis, Anthony Kenyatta MD General Surgery Davis, Anthony Kenyatta MD General Surgery Hammond, Boyd L. MD General Surgery Hammond, Boyd L. MD General Surgery Hammond, Boyd L. MD General Surgery Lemon, Michael L DO General Surgery Lemon, Michael L DO General Surgery Medvetz, Lisa Ann MD General Surgery Schneider, Doran J DO General Surgery Infectious Disease Buitrago, Martha I. Infectious Disease Nathan, Richard Infectious Disease Anderson, Shane K DO Avondet, Alan G. Bates, Jr, Rodney DO Blank, Douglas U., Cardiovascular Disease Coffman, Kim J., Cardiovascular Disease Cook, Brady L. Dragotoiu, Dan Ionel MD Fink, Jude Aaron R MD Focht, Stephen J. MD Haderlie, Michael J MD Krantz, Leland K. Krell, Kenneth E. MD Rahim, Naeem, Nephrology 2770 Cortez Ave Idaho Falls, ID 83404-7590 2770 Cortez Ave Idaho Falls, ID 83404-7590 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 2065 E 17th st Idaho Falls, ID 83404-8042 2860 Channing Way Ste 100A Idaho Falls, ID 83404-7572 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 2860 Channing Way Ste 100A Idaho Falls, ID 83404-7572 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 2900 Cortez Ave Idaho Falls, ID 83404-7554 2900 Cortez Ave Idaho Falls, ID 83404-7554 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 2001 S Woodruff Ste 15 Idaho Falls, ID 83404 2860 Channing Way Ste 213 Idaho Falls, ID 83404-7541 2985 Cortez Ave Idaho Falls, ID 83404-7554 2985 Cortez Ave Idaho Falls, ID 83404-7554 2985 Cortez Ave Ste 200 Idaho Falls, ID 83404-7554 3240 S Woodruff Idaho Falls, ID 83404-8305 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 2381 E Sunnyside Rd Idaho Falls, ID 83404 2001 S Woodruff Ste 15 Idaho Falls, ID 83404 3200 Channing Way Idaho Falls, ID 83404-7546 2381 E Sunnyside Rd Idaho Falls, ID 83404 (208) 522-4000 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 522-4000 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 535-3626 (208) 535-3626 (208) 535-3626 (208) 528-3934 (208) 535-3626 (208) 529-0798 (208) 535-4567 ADA Accessible (208) 535-4567 (208) 535-4585 ADA Accessible -Eastern Idaho Regional Medical Center (208) 535-4567 -Eastern Idaho Regional Medical Center (208) 535-3626 (208) 535-3626 (208) 535-8400 -Eastern Idaho Regional Medical Center (208) 535-8400 -Eastern Idaho Regional Medical Center (208) 535-3626 (208) 522-7310 -Eastern Idaho Regional Medical Center (208) 227-2570 (208) 523-3373 -Eastern Idaho Regional Medical Center (208) 523-3373 -Eastern Idaho Regional Medical Center (208) 535-4300 ADA Accessible (208) 523-6020 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 227-2570 -Eastern Idaho Regional Medical Center (208) 227-2570 (208) 904-4780 (208) 522-7310 -Eastern Idaho Regional Medical Center (208) 535-4300 (208) 904-4780 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 226

Scherr, Daron L. Shrader, David L MD Snarr, Patrick Vincent DO Stoddard, Bradley K. Stutts, III, Baldwin Shields MD, Cardiovascular Disease Stutts, III, Baldwin Shields MD, Cardiovascular Disease Taylor, Scott A. MD Vance, Carl D. MD Wagner, Margaret A. Whatmore, Douglas N., Cardiovascular Disease Andersen, Scott Kay Dudley, M, Kenneth D LMHC Koester, JoAnn LMHC Whitehead, Elizabeth LMHC Maternal & Fetal Medicine Adams, Lan Le MD Maternal & Fetal Medicine, Beauchamp, Luanna MD Maternal & Fetal Medicine, Carpenter, Jeanette Ruth MD Maternal & Fetal Medicine Carpenter, Jeanette Ruth MD Maternal & Fetal Medicine Spencer, Andrew Harding MD Maternal & Fetal Medicine, Nephrology Ghani, Nasimul MD Nephrology Rahim, Fahim MD Nephrology, Neurological Surgery Allen, Clark H MD Neurological Surgery Allen, Clark H MD Neurological Surgery Kelly, Brandon Reyes MD Neurological Surgery Neurology Cheatham, Robert MD Neurology Cheatham, Robert MD Neurology Talcott, Bradford L Neurology Talcott, Bradford L Neurology Vincent, Stephen G. MD Neurology Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, 2900 Valencia Dr Idaho Falls, ID 83404-7594 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 3100 Channing Way Idaho Falls, ID 83404-7533 2001 S Woodruff Ste 15 Idaho Falls, ID 83404 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 2985 Cortez Ave Ste 200 Idaho Falls, ID 83404-7554 3910 Washington Parkway Idaho Falls, ID 83404 2001 S Woodruff Ste 15 Idaho Falls, ID 83404 2985 Cortez Ave Ste 200 Idaho Falls, ID 83404-7554 2420 E 25th St Idaho Falls, ID 83404-7549 2420 E 25th St Idaho Falls, ID 83404-7549 901 Pier View Dr Ste 204 Idaho Falls, ID 83402-5070 2420 E 25th St Idaho Falls, ID 83404-7549 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 3200 Channing Way Ste A102 Idaho Falls, ID 83404-7561 3100 Channing Way Idaho Falls, ID 83404-7533 2001 S Woodruff Ste 15 Idaho Falls, ID 83404 2381 E Sunnyside Rd Idaho Falls, ID 83404 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 3345 Potomac Way Idaho Falls, ID 83404-7533 3345 Potomac Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 2353 Coronado St Idaho Falls, ID 83404 2680 Channing Way Idaho Falls, ID 83404-7517 2353 Coronado St Idaho Falls, ID 83404-7407 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 (208) 523-7667 (208) 535-3626 (208) 227-2570 (208) 522-7310 (208) 535-3626 (208) 535-3626 (208) 535-4300 ADA Accessible (208) 523-1122 -Eastern Idaho Regional Medical Center (208) 522-7310 (208) 535-4300 ADA Accessible (208) 542-1026 ADA Accessible (208) 542-1026 ADA Accessible (208) 534-7878 (208) 542-1026 ADA Accessible (801) 743-4700 ADA Accessible (801) 743-4700 ADA Accessible (801) 743-4700 ADA Accessible (801) 743-4700 ADA Accessible (801) 743-4700 ADA Accessible (208) 522-7310 -Eastern Idaho Regional Medical Center (208) 904-4780 (208) 535-3626 (208) 552-6210 (208) 552-6210 -Eastern Idaho Regional Medical Center (801) 743-4700 ADA Accessible (208) 535-4591 (208) 552-4823 (208) 523-7667 (208) 552-4823 -Mountain View Hospital LLC (208) 529-6111 (208) 557-2700 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 227

Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Blair, Victoria L NPRA, RN Holland, David G NPRA, RN Huntsman, Elliot V ARNP, RN Huntsman, Elliot V ARNP, RN Moss, Shelia ARNP, RN Moss, Shelia ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Thompson, Terry L ARNP Thompson, Terry L ARNP Zobell, Anna Lurrine NPRA, RN / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Boyle, Nate J NPRA, RN / Campbell, Bryce ARNP, RN / Curtright, Sarah E ARNP, RN / Evans, Travis Ray NPRA, RN / Evans, Travis Ray NPRA, RN / Finnerty, Christina Marie NPRA, RN / Finnerty, Christina Marie NPRA, RN / Garland, Jan S NPRA, RN / Johnson, Brian R NPRA, NPRA / Roth, Kathryn Jill ARNP, RN / Walker, Brad L ARNP, RN / 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 2001 S Woodruff Ave Ste 3 Idaho Falls, ID 83404-6371 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 3345 Potomac Way Idaho Falls, ID 83404-7533 2375 E Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 1957 E 17th St Idaho Falls, ID 83404 3100 Channing Way Idaho Falls, ID 83404-7533 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 3345 Potomac Way Idaho Falls, ID 83404-7533 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 2420 E 25th St Idaho Falls, ID 83404-7549 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 2680 Channing Way Idaho Falls, ID 83404-7517 2680 Channing Way Idaho Falls, ID 83404-7517 2001 S Woodruff Ave Ste 3 Idaho Falls, ID 83404-6371 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1995 E 17th St Ste 2 Idaho Falls, ID 83404-6493 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 524-7237 (208) 552-1800 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 523-3050 (208) 535-3626 (208) 552-6210 (208) 552-6210 ADA Accessible (208) 535-3626 (208) 535-3626 (208) 535-3626 (208) 535-3626 (208) 523-1100 ADA Accessible (208) 529-7986 (208) 535-4567 (208) 552-6210 (208) 535-3626 (208) 535-3626 (208) 542-1026 ADA Accessible (208) 535-3626 (208) 535-3626 -Bingham Memorial Hospital (208) 528-3934 (208) 535-3626 (208) 528-7667 (208) 523-7667 (208) 523-3050 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 535-3626 -Bingham Memorial Hospital (208) 529-2352 (208) 535-3626 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 228

Walker, Brad L ARNP, RN / /Mental Health Anderson, Jeffrey C NPRA /Mental Health Swope, Wendy F ARNP, RN /Mental Health /Neonatal Shinever, Rachel T ARNP /Neonatal Shinever, Rachel T ARNP /Neonatal /Neonatal - Perinatal Reimers, Linda NPRA /Neonatal - Perinatal Siddoway, Alexis NPRA, RN /Neonatal - Perinatal Siddoway, Alexis NPRA, RN /Neonatal - Perinatal /Pediatric Bagley, Heather Ann ARNP, RN /Pediatric Obstetrics Gundersen, Jason Bill MD Obstetrics Adams, Steven DO Allphin, Christopher James MD Allphin, Christopher James MD Asay, Kayla LeAnn MD Baker, Jeffrey B. MD Baker, Jeffrey B. MD Ball, Robert H., Maternal & Fetal Medicine Ball, Robert H., Maternal & Fetal Medicine Belfort, Michael A. Clark, Steven L. Erickson, Ty B. MD Erickson, Ty B. MD Huggins, Margaret C MD Huggins, Margaret C MD Isbell, Richard D. Leavitt, Glenn R. DO McGregor, Jonathan Kent Merrill, Carrie L. 1740 E 17th St Idaho Falls, ID 83404 2420 E 25th St Idaho Falls, ID 83404-7549 2280 E 25th St Idaho Falls, ID 83404-7542 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 3430 Washington Pkwy Idaho Falls, ID 83404-7579 3450 Potomac Way Idaho Falls, ID 83404-4970 1550 Elk Creek Dr Idaho Falls, ID 83404-8322 2990 Cortez Ave Idaho Falls, ID 83404-7554 2962 Cortez Ave Idaho Falls, ID 83404-7554 1550 Elk Creek Dr Idaho Falls, ID 83404-8322 808 Pancheri Dr Idaho Falls, ID 83402-3344 3450 Potomac Way Idaho Falls, ID 83404-4970 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 808 Pancheri Dr Idaho Falls, ID 83402-3344 3450 Potomac Way Idaho Falls, ID 83404-4970 2990 Cortez Ave Idaho Falls, ID 83404-7554 2962 Cortez Ave Idaho Falls, ID 83404-7554 2065 E 17th St Ste D Idaho Falls, ID 83404-8042 1550 Elk Creek Dr Idaho Falls, ID 83404-8322 1570 Midway Ste 1 Idaho Falls, ID 83406-6912 808 Pancheri Dr Idaho Falls, ID 83402-3344 (208) 535-3626 (208) 542-1026 ADA Accessible (208) 227-2100 -Eastern Idaho Regional Medical Center (801) 743-4700 ADA Accessible (208) 535-4591 (801) 743-4700 ADA Accessible (801) 743-4700 ADA Accessible (208) 535-4591 (208) 523-3060 (206) 557-2900 -Mountain View Hospital LLC (208) 529-5942 (208) 535-0440 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 535-0440 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 529-5942 -Mountain View Hospital LLC (208) 552-6900 -Eastern Idaho Regional Medical Center (206) 557-2900 Not accepting new patients (208) 529-7174 (801) 743-4700 ADA Accessible -Eastern Idaho Regional Medical Center (208) 529-7174 Languages: AFRIKAAN (208) 529-7174 (208) 552-6900 -Eastern Idaho Regional Medical Center (206) 557-2900 Not accepting new patients -Eastern Idaho Regional Medical Center (208) 535-0440 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 535-0440 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 522-0747 -Eastern Idaho Regional Medical Center (208) 529-5942 Not accepting new patients (208) 527-2557 (208) 552-6900 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 229

Merrill, Carrie L. Nelson, Barbara MD Nelson, Barbara MD Oldroyd, James M MD Pugmire, Heather Dawn MD Robison, Matthew DO Robison, Matthew DO Robison, Steven W. Robison, Steven W. Weaver, Heidi S MD Occupational Medicine Curtis, Stewart R DO Occupational Medicine Occupational Therapy Fisher, Katie Lyn Occupational Therapy Hansen, Marisa E L OT Occupational Therapy Hong, Lisa Kay OT Occupational Therapy Marion, Neil Vance OT Occupational Therapy Peterson, Barbara K OT Occupational Therapy Oncology, Medical Adams, Nathan B Oncology, Medical Dickson, Dane J MD Oncology, Medical Hancock, Jeffrey D MD Oncology, Medical Shull, Christian T MD Oncology, Medical Ophthalmology Anderson, David Ray MD Ophthalmology Cannon, Richard P. MD Ophthalmology Gardner, Bradley P. MD Ophthalmology Romriell, Eric K. Ophthalmology Thompson, Kyle G MD Ophthalmology Traynor, Matthew Preston Ophthalmology Optometry Cook, D. Bryan OD Optometry Denney, Mark Donald OD Optometry Porter, Lisa L. Optometry 3450 Potomac Way Idaho Falls, ID 83404-4970 808 Pancheri Dr Idaho Falls, ID 83402-3344 3450 Potomac Way Idaho Falls, ID 83404-4970 2001 S Woodruff Ste 10 Idaho Falls, ID 83404 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 808 Pancheri Dr Idaho Falls, ID 83402-3344 3450 Potomac Way Idaho Falls, ID 83404-4970 808 Pancheri Dr Idaho Falls, ID 83402-3344 3450 Potomac Way Idaho Falls, ID 83404-4970 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 3360 S 15th E Idaho Falls, ID 83404-8321 3715 Woodking Dr Idaho Falls, ID 83404-4720 3715 Woodking Dr Idaho Falls, ID 83404-4720 3715 Woodking Dr Idaho Falls, ID 83404-4720 3715 Woodking Dr Idaho Falls, ID 83404-4720 3345 Potomac Way Idaho Falls, ID 83404-8281 1957 E 17th St Idaho Falls, ID 83404 1957 E 17th St Idaho Falls, ID 83404 1957 E 17th St Idaho Falls, ID 83404 1957 E 17th St Idaho Falls, ID 83404 530 S Holmes Ave Idaho Falls, ID 83401-4751 2025 E 17th St Idaho Falls, ID 83404-6430 2025 E 17th St Idaho Falls, ID 83404-6430 2025 E 17th St Idaho Falls, ID 83404-6430 1449 E 17th St Idaho Falls, ID 83404-6236 1449 E 17th St Idaho Falls, ID 83404-6236 1340 S Ammon Rd Idaho Falls, ID 83406-5810 1340 S Ammon Rd Idaho Falls, ID 83406-5810 1480 E Lincoln Rd Ste B Idaho Falls, ID 83401 (206) 557-2900 Not accepting new patients -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 552-6900 -Eastern Idaho Regional Medical Center (206) 557-2900 Not accepting new patients (208) 523-2060 -Eastern Idaho Regional Medical Center (208) 528-3934 -Bingham Memorial Hospital (208) 552-6900 -Mountain View Hospital LLC (206) 557-2900 Not accepting new patients -Mountain View Hospital LLC (208) 552-6900 -Eastern Idaho Regional Medical Center (206) 557-2900 Not accepting new patients (208) 535-3626 -Eastern Idaho Regional Medical Center (208) 522-8300 Not accepting new patients (208) 529-2255 (208) 529-2255 (208) 529-2255 (208) 529-2255 (208) 417-0090 (208) 523-1100 ADA Accessible (208) 523-1100 ADA Accessible (208) 523-1100 ADA Accessible (208) 523-1100 ADA Accessible (208) 529-3937 -Eastern Idaho Regional Medical Center (208) 524-2025 (208) 524-2025 -Eastern Idaho Regional Medical Center (208) 524-2025 -Eastern Idaho Regional Medical Center (208) 529-6600 -Eastern Idaho Regional Medical Center (208) 529-6600 (208) 523-3141 ADA Accessible (208) 523-3141 (208) 525-8686 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 230

Andary, John L. Biddulph, Gregory E. MD Griffiths, Stan R MD Huntsman, Casey Lee, Robert Jensen MD Liljenquist, Joseph R., Sports Medicine McCowin, Philip Ross MD Peterson, David John DO Peterson, David John DO Richardson, Nathan Davis MD Stromberg, Lynn J MD Weight, Mark Anthony MD Weight, Mark Anthony MD West, Gregory G PY Orthopedics Dalling, Jason Glenn MD Orthopedics Otolaryngology Baker, Terry MD Otolaryngology, Surgery, Head & Neck Hanks, Kevin M. Otolaryngology Hinckley, Daniel K. Otolaryngology Lee, Richard Garrett MD Otolaryngology, Pediatric Otolaryngology Pain Management Poston, Jason M. MD Pain Management Wagner, Jared Paul MD Pain Management, Anesthesiology Pathology Daines, Clark R. MD Pathology Tannenbaum, Matt MD Pathology Teermann, Gabriele E MD Pathology Pediatric Neurology Castellanos, Peter William MD Pediatric Neurology Pediatrics Anderson, Kelly Jarom MD Pediatrics 2035 E 17th St Idaho Falls, ID 83404-6430 3300 Washington Pkwy Idaho Falls, ID 83404-7592 2321 Coronado St Idaho Falls, ID 83404-7407 3300 Washington Pkwy Idaho Falls, ID 83404-7592 3446 S 15th E Idaho Falls, ID 83404-8262 3405 Merlin Dr Idaho Falls, ID 83404-7430 2321 Coronado St Idaho Falls, ID 83404-7407 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 1740 E 17th St Idaho Falls, ID 83404 2355 Coronado St Idaho Falls, ID 83404 2355 Coronado St Idaho Falls, ID 83404-7407 3100 Channing Way Idaho Falls, ID 83404-7533 2321 Coronado St Idaho Falls, ID 83404-7407 3300 Washington Pkwy Idaho Falls, ID 83404-7592 3200 Channing Way Ste A-105 Idaho Falls, ID 83404-7561 1582 Elk Creek Dr Idaho Falls, ID 83404-8322 2065 E 17th st Suite A Idaho Falls, ID 83404-8042 3446 S 15th E Idaho Falls, ID 83404-8262 2375 E Sunnside Rd Ste J Idaho Falls, ID 83404 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 756 Oxford Dr Idaho Falls, ID 83401-4233 3430 Washington Pkwy Idaho Falls, ID 83404-7579 (208) 524-5633 -Eastern Idaho Regional Medical Center (208) 522-6662 -Mountain View Hospital LLC (208) 227-1100 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 522-6662 -Eastern Idaho Regional Medical Center (208) 522-4409 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 522-3355 -Eastern Idaho Regional Medical Center (208) 227-1100 -Mountain View Hospital LLC (208) 535-3626 (208) 535-3626 (208) 535-3626 (208) 528-9800 -Eastern Idaho Regional Medical Center (208) 537-2700 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 529-6111 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 227-1100 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 522-6662 -Mountain View Hospital LLC (208) 522-9530 (208) 542-5414 -Eastern Idaho Regional Medical Center (208) 522-1764 -Eastern Idaho Regional Medical Center (208) 522-6335 (208) 522-7246 (205) 528-3934 (208) 529-6050 (208) 529-6050 -Eastern Idaho Regional Medical Center -Idaho Doctors Hospital -Lost Rivers District Hospital -Mountain View Hospital LLC -Star Valley Medical Center (208) 529-6050 (208) 529-4300 Not accepting new patients Languages: SPANISH -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 523-3060 -Mountain View Hospital LLC Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 231

Aughney, Jeffrey John DO Pediatrics Buonaiuto, Salvatore J MD Pediatrics Meyers, Stephen A. Pediatrics Moore, Joseph R MD Pediatrics Porter, Ron W. Pediatrics Smith, Scott A. Pediatrics Steorts, Mitchael C MD, MD Pediatrics Perinatal Medicine Gesteland, Katherine M. MD Perinatal Medicine Physical Medicine and Rehabilitation Anderson, Sean D DO Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Vlach, Sarah A. MD Physical Medicine and Rehabilitation Anderson, Michael PT Bailey, Greg James PT Daniels, Zachary Lucas PT Daniels, Zachary Lucas PT Dimond, Trevor B PT Douglass, Benjamin Brook PT Douglass, Benjamin Brook PT Ellis, Jay T PT Ellis, Sadie E PT Goode, Andrew Blake PT Horman, P. Briggs PT Hunsaker, Nathan A PT Hunsaker, Nathan A PT Jones, Jeremy PT Kennedy, Brent S. PT King, Tristan M PT Larson, Tyler John PT Lasco-Sanders, Kari Anne Lemon, Richard W Liddle, Stephanie A. Loertscher, Jed G PT Maiers, Bret L 3430 Washington Pkwy Idaho Falls, ID 83404-7579 3100 Channing Way Idaho Falls, ID 83404-7533 2275 W Broadway St Ste G Idaho Falls, ID 83402-2902 2375 Coronado St Idaho Falls, ID 83404-7407 2375 Coronado St Idaho Falls, ID 83404-7407 2375 Coronado St Idaho Falls, ID 83404-7407 2375 Coronado St Idaho Falls, ID 83404-7407 3100 Channing Way Idaho Falls, ID 83404-7533 3100 Channing Way Idaho Falls, ID 83404-7533 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 3155 Channing Way Ste A Idaho Falls, ID 83404-7534 3715 Woodking Dr Idaho Falls, ID 83404-4720 720 S Woodruff Ave Idaho Falls, ID 83401-5285 2640 Channing Way Idaho Falls, ID 83404-7517 1075 S Utah Ave Ste 351 Idaho Falls, ID 83402-3327 720 S Woodruff Ave Idaho Falls, ID 83401-5285 720 S Woodruff Ave Idaho Falls, ID 83401-5285 3155 Channing Way Ste D Idaho Falls, ID 83404-7534 3100 S Woodruff Ave Idaho Falls, ID 83404 3345 Potomac Way Idaho Falls, ID 83404-8281 3345 Potomac Way Idaho Falls, ID 83404-8281 3456 E 17th st Ste 130 Idaho Falls, ID 83406 720 S Woodruff Ave Idaho Falls, ID 83401-5285 3155 Channing Way Ste D Idaho Falls, ID 83404-7534 2640 Channing Way Idaho Falls, ID 83404-7517 3715 Woodking Dr Idaho Falls, ID 83404-4720 3360 S 15th E Idaho Falls, ID 83404-8321 3155 Channing Way Ste D Idaho Falls, ID 83404-7534 3155 Channing Way Ste D Idaho Falls, ID 83404-7534 3345 Potomac Way Idaho Falls, ID 83404-8281 3125 Valencia Dr Idaho Falls, ID 83404 3155 Channing Way Ste D Idaho Falls, ID 83404-7534 3345 Potomac Way Idaho Falls, ID 83404-8281 (208) 523-3060 (801) 743-4700 ADA Accessible (208) 524-7400 (208) 522-4600 (208) 522-4600 Languages: SPANISH (208) 522-4600 Languages: SPANISH -Mountain View Hospital LLC (208) 522-4600 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (801) 743-4700 ADA Accessible (208) 227-2570 -Eastern Idaho Regional Medical Center (208) 535-3626 (208) 535-4343 (208) 529-2255 (208) 938-5255 (208) 552-2248 ADA Accessible (208) 552-2248 ADA Accessible (208) 938-5255 (208) 938-5255 (208) 552-2700 (208) 523-8879 (208) 417-0090 (208) 417-0090 (208) 523-0030 (208) 938-5255 Languages: ITALIAN (208) 552-2700 Languages: ITALIAN (208) 552-2248 ADA Accessible (208) 529-2255 (208) 522-8300 (208) 552-2700 (208) 552-2700 (208) 417-0090 (208) 529-3332 (208) 552-2700 (208) 417-0090 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 232

McAteer, Jennifer Lisa McDonald, Bart W. O'Keef, Daniel Glen PT Pahis, Casondra Dawn PT Peterson, Emilie Louise PT Rupp, Michael David PT Schmitt, Dustin C PT Stewart, Ryan Christopher PT Thompson, Mark Craig PT Waite, Christine Fischer PT Weber, Renee Angela PT Weldon, Garrett PT Weldon, Garrett PT Woodland, Lynn Harry Anderson, Joseph Dee PA Bartschi, Jed T PAC Belnap, Kylee G PAC Christensen, Travis Arlen PA Christensen, Wade Kent Cooper, Stacy Ann PA Coryell, Laura C Dixon, Annie M PA Fagan, Sara Kathleen PA Fowler, Cody J PAC French, Vanessa K PA Gambles, Dallin B PAC Gammon, Stanford Benjamin, Cardiac Surgery Gardner, Lee Shane PA Hanson, Beverly A PA Hanson, Brandon Carl PA, PA Heier, Julie Marie Josten, Karie Elizabeth PAC Kenney, Helen Kay PA McKay, Lance Winfield PA McKay, Lance Winfield PA 3345 Potomac Way Idaho Falls, ID 83404-8281 3345 Potomac Way Idaho Falls, ID 83404-8281 3345 Potomac Way Idaho Falls, ID 83404-8281 3125 Valencia Dr Idaho Falls, ID 83404 3345 Potomac Way Idaho Falls, ID 83404-8281 2640 Channing Way Idaho Falls, ID 83404-7517 3360 S 15th E Idaho Falls, ID 83404-8321 3345 Potomac Way Idaho Falls, ID 83404-8281 3155 Channing Way Ste D Idaho Falls, ID 83404-7534 3345 Potomac Way Idaho Falls, ID 83404-8281 3125 Valencia Dr Idaho Falls, ID 83404 720 S Woodruff Ave Idaho Falls, ID 83401-5285 3155 Channing Way Ste D Idaho Falls, ID 83404-7534 2570 Channing Way Idaho Falls, ID 83404-7515 2085 Providence Way Idaho Falls, ID 83404-4945 1957 E 17th St Idaho Falls, ID 83404 1957 E 17th St Idaho Falls, ID 83404 2375 Coronado St Idaho Falls, ID 83404-7407 1880 John Adams Pkwy Idaho Falls, ID 83401-4315 1660 John Adams Pkwy Idaho Falls, ID 83401-4360 2375 Coronado St Idaho Falls, ID 83404-7407 3345 Potomac Way Idaho Falls, ID 83404-7533 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 3345 Potomac Way Idaho Falls, ID 83404-7533 2420 E 25th St Idaho Falls, ID 83404-7549 1957 E 17th St Idaho Falls, ID 83404 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 3300 Washington Pkwy Idaho Falls, ID 83404-7592 2001 S Woodruff Ave Ste 5 Idaho Falls, ID 83404-6371 3300 Washington Pkwy Idaho Falls, ID 83404-7592 2725 Channing Way Idaho Falls, ID 83404-7510 3430 Washington Pkwy Idaho Falls, ID 83404-7579 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 (208) 417-0090 (208) 417-0090 (208) 417-0090 (208) 529-3332 (208) 417-0090 (208) 552-2248 ADA Accessible (208) 522-8300 (208) 417-0090 (208) 552-2700 (208) 417-0090 (208) 529-3332 (208) 938-5255 (208) 552-2700 (208) 529-8005 (208) 525-4888 (208) 523-1100 ADA Accessible (208) 523-1100 ADA Accessible (208) 522-4600 (208) 524-6633 (208) 523-8844 ADA Accessible (208) 522-4600 (208) 552-6210 (208) 535-3626 (208) 552-6210 (208) 542-1026 ADA Accessible (208) 523-1100 ADA Accessible (208) 535-4567 ADA Accessible (208) 522-6662 -Mountain View Hospital LLC (208) 528-8777 (208) 522-6662 -Eastern Idaho Regional Medical Center (208) 525-8448 (208) 523-3060 (208) 542-9111 (208) 535-3626 (208) 535-3626 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 233

Morgan, Stephanie M PA Nealis, Monica J PA Powell, Tara PA, PA Tabor, Laura A Turpin, Lance P PAC Willis, Robert D Plastic & Reconstructive Surgery Martin, II, Garry Michael MD Plastic & Reconstructive Surgery, Surgery, Hand Plastic Surgery Bruggeman, Brian Barry MD Plastic Surgery Bruggeman, Brian Barry MD Plastic Surgery Bruggeman, Brian Barry MD Plastic Surgery Freeman, Mark Edward MD Plastic Surgery, General Surgery Podiatry Black, Timothy R. DPM Podiatry Cooper, Jerry D. Podiatry Howard, Kert W DPM Podiatry James, Michael K. DPM Podiatry Kovac, Kylin Todd DPM Podiatry Peterson, John David DPM Podiatry Quinton, Tony D. DPM Podiatry Robinson, Dan E. DPM Podiatry Robinson, Dan E. DPM Podiatry Psychiatry Brooks, Gerald A MD Psychiatry Bunnell, Susan Lynn MD Psychiatry Girling, Philip W. Psychiatry Kowalski, Peter C MD Psychiatry Larsen, Matthew F DO Psychiatry Layman, Howard A. Psychiatry New, Richard A. MD Psychiatry Ostrom, Mary Beth MD Psychiatry Ostrom, Mary Beth MD Psychiatry 1660 John Adams Pkwy Idaho Falls, ID 83401-4360 1550 Elk Creek Dr Idaho Falls, ID 83404-8322 2001 S Woodruff Ave Ste 5 Idaho Falls, ID 83404-6371 1880 John Adams Pkwy Idaho Falls, ID 83401-4315 2321 Coronado St Idaho Falls, ID 83404-7407 3425 Merlin Dr Ste 200 Idaho Falls, ID 83404-7430 1740 E 17th St Idaho Falls, ID 83404 2860 Channing Way Ste 114A Idaho Falls, ID 83404-7532 3100 Channing Way Idaho Falls, ID 83404-7533 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 3760 Washington Pkwy Idaho Falls, ID 83404-7593 1628 Elk Creek Dr Idaho Falls, ID 83404-8349 2565 Channing Way Idaho Falls, ID 83404-7516 3910 Washington Parkway Idaho Falls, ID 83404 3345 S Holmes Ave Idaho Falls, ID 83404-7981 1540 Elk Creek Dr Idaho Falls, ID 83404-8322 1277 E 17th St Idaho Falls, ID 83404-6126 3369 Merlin Dr Idaho Falls, ID 83404-7405 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 2280 E 25th St Idaho Falls, ID 83404-7542 2280 E 25th St Idaho Falls, ID 83404-7542 3760 Washington Pkwy Idaho Falls, ID 83404-7593 2280 E 25th St Idaho Falls, ID 83404-7542 2280 E 25th St Idaho Falls, ID 83404-7542 2420 E 25th St Idaho Falls, ID 83404-7549 2420 E 25th St Idaho Falls, ID 83404-7549 2280 E 25th St Idaho Falls, ID 83404-7542 2420 E 25th St Idaho Falls, ID 83404-7549 (208) 523-8844 ADA Accessible (208) 529-5942 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 528-8777 -Mountain View Hospital LLC (208) 524-6633 (208) 227-1100 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 528-6653 (208) 535-3626 -Bingham Memorial Hospital (208) 535-4565 -Eastern Idaho Regional Medical Center (208) 529-7986 -Eastern Idaho Regional Medical Center (208) 535-4567 -Eastern Idaho Regional Medical Center (208) 881-5351 -Mountain View Hospital LLC (208) 528-8700 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 523-2928 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 523-1122 (208) 528-6225 -Eastern Idaho Regional Medical Center (208) 529-8393 (208) 346-7443 (208) 529-2230 -Eastern Idaho Regional Medical Center (208) 535-3626 (208) 535-3626 (208) 227-2100 -Eastern Idaho Regional Medical Center (208) 227-2100 (208) 524-4953 (208) 227-2100 (208) 227-2100 -Eastern Idaho Regional Medical Center (208) 542-1026 ADA Accessible Languages: SPANISH (208) 542-1026 ADA Accessible -Eastern Idaho Regional Medical Center (208) 227-2100 -Eastern Idaho Regional Medical Center (208) 542-1026 ADA Accessible -Eastern Idaho Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 234

Palmer, Kelly P. DO Psychiatry Ravsten, Deric V. DO Psychiatry Schultz, Steven Lee MD Psychiatry, Psychiatry, Child/Adolescent Psychiatry, Child/Adolescent Denny, Craig J. MD Psychiatry, Child/Adolescent Psychology Bishop, Kelli M Psychology Pulmonary Disease Salem, Allen Pulmonary Disease, Sleep Disorder Medicine Salem, Allen Pulmonary Disease, Sleep Disorder Medicine Radiation Oncology Callaghan, Michael T MD Radiation Oncology McAllister, Calvin J MD Radiation Oncology Todd, Steven J. Radiation Oncology Bailey, Jared H Bailey, Jared H Bigler, Dirk E. Bigler, Dirk E. Chugg, Jared A Chugg, Jared A Lance, Jason N MD Pierson, Nicholas S Preece, Stephen Richard MD Preece, Stephen Richard MD Wray, Alan B Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD 2420 E 25th St Idaho Falls, ID 83404-7549 730 S Woodruff Ave Idaho Falls, ID 83401-5285 2280 E 25th St Idaho Falls, ID 83404-7542 2420 E 25th St Idaho Falls, ID 83404-7549 2420 E 25th St Idaho Falls, ID 83404-7549 2442 E 25th St Idaho Falls, ID 83404-7549 2330 Desoto St Idaho Falls, ID 83404 1550 Hoopes Ave Idaho Falls, ID 83404 1550 Hoopes Ave Idaho Falls, ID 83404 1550 Hoopes Ave Idaho Falls, ID 83404 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 3100 Channing Way Idaho Falls, ID 83404-7533 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 3456 E 17th St Idaho Falls, ID 83406 (208) 542-1026 ADA Accessible (208) 233-5433 (208) 227-2100 (208) 542-1026 ADA Accessible (208) 542-1026 ADA Accessible (208) 552-4909 (208) 552-4909 (208) 542-7220 (208) 542-7220 (208) 542-7220 (208) 524-7237 (208) 542-5000 (208) 524-7237 (208) 552-1800 (208) 524-7237 (208) 542-5000 (208) 524-7237 (208) 542-5000 (208) 542-5000 (208) 542-5000 -Eastern Idaho Regional Medical Center (208) 524-7237 -Mountain View Hospital LLC -St Joseph Regional Medical Center (208) 529-6111 -Bingham Memorial Hospital -Portneuf Medical Center (208) 557-2700 -Bingham Memorial Hospital -Portneuf Medical Center (208) 535-4555 -Bingham Memorial Hospital -Portneuf Medical Center (208) 525-3201 -Bingham Memorial Hospital -Portneuf Medical Center (208) 525-8448 -Bingham Memorial Hospital -Portneuf Medical Center (208) 525-9111 -Bingham Memorial Hospital -Portneuf Medical Center (208) 529-2828 -Bingham Memorial Hospital -Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 235

Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Behrmann, David A MD Behrmann, David A MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Clinger, Neal J MD Clinger, Neal J MD Ferdinand, Andrew J Ferdinand, Andrew J 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 (208) 529-1945 -Bingham Memorial Hospital -Portneuf Medical Center (208) 525-2600 -Bingham Memorial Hospital -Portneuf Medical Center (208) 542-7100 -Bingham Memorial Hospital -Portneuf Medical Center (208) 542-5000 -Bingham Memorial Hospital -Portneuf Medical Center (208) 524-7237 Languages: CAMBODIAN -Madison Valley Medical Center -Minidoka Memorial Hospital (208) 542-5000 Languages: CAMBODIAN (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 524-7237 (208) 552-1800 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 542-5000 (208) 524-7237 (208) 552-1800 (208) 524-7237 (208) 542-5000 -Madison Valley Medical Center -Minidoka Memorial Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 236

Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B. 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 524-7237 (208) 552-1800 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 524-7237 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 542-7100 (208) 525-9111 (208) 524-7237 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 524-7237 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 237

Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B. Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Neeley, James P. Neeley, James P. Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology 2922 Cortez Idaho Falls, ID 83404 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 (208) 552-1800 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 524-7237 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 542-5000 (208) 524-7237 (208) 552-1800 (208) 529-6111 -Mountain View Hospital LLC (208) 557-2700 -Mountain View Hospital LLC (208) 535-4555 -Mountain View Hospital LLC (208) 525-3201 -Mountain View Hospital LLC (208) 525-8448 -Mountain View Hospital LLC (208) 525-9111 -Mountain View Hospital LLC (208) 524-7237 -Mountain View Hospital LLC (208) 552-1800 -Mountain View Hospital LLC Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 238

Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Shelley, David J,, Interventional Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 3456 E 17th St Idaho Falls, ID 83406 (208) 529-2828 -Mountain View Hospital LLC (208) 529-1945 -Mountain View Hospital LLC (208) 525-2600 -Mountain View Hospital LLC (208) 542-7100 -Mountain View Hospital LLC (208) 535-3626 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 524-7237 (208) 552-1800 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 542-5000 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 524-7237 (208) 552-1800 (208) 529-2828 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 239

Strobel, John J. Strobel, John J. Strobel, John J. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 2001 S Woodruff Ste 17 Idaho Falls, ID 83404 2922 Cortez Idaho Falls, ID 83404 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 524-7237 (208) 552-1800 (208) 529-2828 (208) 529-1945 (208) 525-2600 (208) 542-7100 (208) 529-6111 -Mountain View Hospital LLC (208) 557-2700 -Mountain View Hospital LLC (208) 535-4555 -Mountain View Hospital LLC (208) 525-3201 -Mountain View Hospital LLC (208) 525-8448 -Mountain View Hospital LLC (208) 525-9111 -Mountain View Hospital LLC (208) 524-7237 -Mountain View Hospital LLC (208) 552-1800 -Mountain View Hospital LLC (208) 529-2828 -Mountain View Hospital LLC (208) 529-1945 -Mountain View Hospital LLC (208) 525-2600 -Mountain View Hospital LLC (208) 542-7100 -Mountain View Hospital LLC (208) 529-6111 (208) 557-2700 (208) 535-4555 (208) 525-3201 (208) 525-8448 (208) 525-9111 (208) 524-7237 (208) 552-1800 (208) 529-2828 (208) 529-1945 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 240

Warden III, David R. Warden III, David R. Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO, Interventional Whiting, John MD, Interventional, Whiting, John MD, Interventional, Registered Nurse/First Assistant Angelo, Frank R RN Registered Nurse/First Assistant Adamson, Cindy L Bilstrom, Jodyne LSW DaBell, Sheila M LSW Denison, Steven Kent LSW Douglas, Benjamin Thomas LSW, LSW Douglas, Benjamin Thomas LSW, LSW Hartley, Michael T Peninger, Shaylene LSW Pettingill, Eric V CMFC, LSW Smith, Debbie D LSW Steimlosk, Heather M LSW Suarez, Alex Speech Language Pathology Adamski, Margaret Ellen SLPA Speech Language Pathology 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 3100 Channing Way Idaho Falls, ID 83404-7533 2325 Coronado St Idaho Falls, ID 83404-7407 1670 John Adams Pkwy Idaho Falls, ID 83401-4360 2001 S Woodruff Ave Ste 20 Idaho Falls, ID 83404-6373 2725 Channing Way Idaho Falls, ID 83404-7510 740 S Woodruff Ave Idaho Falls, ID 83401-5285 3456 E 17th St Idaho Falls, ID 83406 1945 E 17th St Idaho Falls, ID 83404-6429 765 S Utah Ave Idaho Falls, ID 83402-5093 2730 Channing Way Idaho Falls, ID 83404-5049 2265 E Sunnyside Rd Idaho Falls, ID 83404-7598 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 2321 Coronado St Idaho Falls, ID 83404-7407 2420 E 25th St Idaho Falls, ID 83404-7549 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1075 S Utah Ste 352 Idaho Falls, ID 83402-3327 2420 E 25th St Idaho Falls, ID 83404-7549 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 1740 E 17th St Idaho Falls, ID 83404 2420 E 25th St Idaho Falls, ID 83404-7549 2420 E 25th St Idaho Falls, ID 83404-7549 2420 E 25th St Idaho Falls, ID 83404-7549 2420 E 25th St Idaho Falls, ID 83404-7549 3000 Pancheri Dr Unit 3 Idaho Falls, ID 83402-5095 2235 East 25th St Ste 185 Idaho Falls, ID 83404 3715 Woodking Dr Idaho Falls, ID 83404-4720 (208) 525-2600 (208) 542-7100 (208) 529-6111 -Bingham Memorial Hospital -Portneuf Medical Center (208) 557-2700 -Bingham Memorial Hospital -Portneuf Medical Center (208) 535-4555 -Bingham Memorial Hospital -Portneuf Medical Center (208) 525-3201 -Bingham Memorial Hospital -Portneuf Medical Center (208) 525-8448 -Bingham Memorial Hospital -Portneuf Medical Center (208) 525-9111 -Bingham Memorial Hospital -Portneuf Medical Center (208) 529-2828 -Bingham Memorial Hospital -Portneuf Medical Center (208) 529-1945 -Bingham Memorial Hospital -Portneuf Medical Center (208) 525-2600 -Bingham Memorial Hospital -Portneuf Medical Center (208) 542-7100 -Bingham Memorial Hospital -Portneuf Medical Center (208) 542-5000 -Bingham Memorial Hospital -Portneuf Medical Center (208) 535-3626 (208) 535-3626 (208) 227-1100 (208) 542-1026 ADA Accessible (208) 535-3626 (208) 201-9610 (208) 542-1026 ADA Accessible (208) 535-3626 (208) 535-3626 (208) 542-1026 ADA Accessible (208) 542-1026 ADA Accessible (208) 542-1026 ADA Accessible (208) 542-1026 ADA Accessible (208) 523-5602 (208) 522-1904 Languages: SPANISH (208) 529-2255 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 241

Bullock, Kristan Margaret SLPA, SLPA Speech Language Pathology Fisher, Amy Elizabeth SLPA Speech Language Pathology Fullmer, Lorenza Marie SLPA Speech Language Pathology Hulet, Vicki N SLPA Speech Language Pathology Padron, Brenda Durtschi SLPA Speech Language Pathology Stephens, Samantha N SLPA Speech Language Pathology Stowell, Kimberly Dawn SLPA Speech Language Pathology Taylor, Dawn SL Speech Language Pathology Woolstenhulme, Shelby Dee SLPA Speech Language Pathology Surgery, Hand Thurman, Robert T. MD Surgery, Hand Surgical Critical Care Miller, John Garth Oliver MD Surgical Critical Care, Vascular Surgery Thoracic & Cardiac Surgery Hodson, Gregory R. MD Thoracic & Cardiac Surgery Needham, Charles S MD Thoracic & Cardiac Surgery, General Surgery Setser, Edward R MD Thoracic & Cardiac Surgery Thoracic Surgery Denyer, Michael H. Thoracic Surgery, General Surgery Urology Cannon, Peter M MD Urology Sisul, David M MD Urology Sule, J David MD Urology Jerome Davis, Keith E MD Irwin, James S MD Kern, Joshua W Kern, Joshua W Lohmann, James D MD Sugden, Elizabeth H MD Tangen, Lorraine M MD Zepeda, Thomas H MD /OB Johnson, Brian L. MD /OB Hospitalist Housley, Jonathan W MD Hospitalist 3715 Woodking Dr Idaho Falls, ID 83404-4720 3715 Woodking Dr Idaho Falls, ID 83404-4720 3715 Woodking Dr Idaho Falls, ID 83404-4720 3715 Woodking Dr Idaho Falls, ID 83404-4720 3715 Woodking Dr Idaho Falls, ID 83404-4720 3715 Woodking Dr Idaho Falls, ID 83404-4720 3715 Woodking Dr Idaho Falls, ID 83404-4720 3715 Woodking Dr Idaho Falls, ID 83404-4720 3715 Woodking Dr Idaho Falls, ID 83404-4720 933 S Utah Ave Idaho Falls, ID 83402-3322 3100 Channing Way Idaho Falls, ID 83404-7533 3242 S Woodruff Idaho Falls, ID 83404-8305 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 3242 S Woodruff Ave Idaho Falls, ID 83404-8305 2860 Channing Way Ste 112 Idaho Falls, ID 83404-7532 2001 S Woodruff Ste 4 Idaho Falls, ID 83404 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 2375 Sunnyside Rd Ste F Idaho Falls, ID 83404-8281 709 N Lincoln Ave Jerome, ID 83338 132 5th Ave W Jerome, ID 83338 112 W 5th Jerome, ID 83338 132 5th Ave W Jerome, ID 83338 132 5th Ave W Jerome, ID 83338 132 5th Ave W Jerome, ID 83338 132 5th Ave W Jerome, ID 83338 709 N Lincoln Ave Jerome, ID 83338 112 W 5th Jerome, ID 83338 709 N Lincoln Ave Jerome, ID 83338 (208) 529-2255 (208) 529-2255 (208) 529-2255 (208) 529-2255 (208) 529-2255 (208) 529-2255 (208) 529-2255 (208) 529-2255 (208) 529-2255 (208) 552-1759 -Mountain View Hospital LLC (208) 227-2570 (208) 535-4567 -Eastern Idaho Regional Medical Center (208) 535-4567 (208) 535-4567 ADA Accessible (208) 535-4566 -Eastern Idaho Regional Medical Center (208) 524-4511 -Eastern Idaho Regional Medical Center (208) 535-3626 -Bingham Memorial Hospital -CHI St Alexius Health Williston (208) 535-3626 (208) 324-1122 (208) 324-5286 (208) 324-1157 (208) 324-5286 (208) 324-5286 (208) 324-5286 (208) 324-5286 (208) 324-1122 (208) 324-1157 (208) 324-1122 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 242

Nurse Midwife Certified/Licensed Merrill, Melissa D ARNP, CNM, RN 132 5th Ave W Nurse Midwife Certified/Licensed, / Jerome, ID 83338 Women's Health / Milliron, Anastasia B / Trabert, Alice R / Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Barker, Jonathan Bishop, Ryan PT Christensen, Cory R PT King, Daniel M PT Toronto, Scott PT Williams, Eric PT, Sports Medicine Hodges, Ryan Dennis PA Sedano, Yolanda S PAC 114 Pioneer Ct Jerome, ID 83338-5193 132 5th Ave W Jerome, ID 83338 709 5th Ave Jerome, ID 83338 111 Pioneer Ct Jerome, ID 83338-5193 111 Pioneer Ct Jerome, ID 83338-5193 111 Pioneer Ct Jerome, ID 83338-5193 111 Pioneer Ct Jerome, ID 83338-5193 111 Pioneer Ct Jerome, ID 83338-5193 111 Pioneer Ct Jerome, ID 83338-5193 133 West Ave A Ste B Jerome, ID 83338 132 5th Ave W Jerome, ID 83338 (208) 324-5286 (208) 324-3471 (208) 324-5286 (208) 336-9188 Languages: SPANISH (208) 944-9277 (208) 944-9277 (208) 944-9277 (208) 944-9277 (208) 944-9277 (208) 944-9277 (208) 324-3471 (208) 324-5286 Kamiah Atkinson, Obbie Ted Farnworth, Marc Van MD Jones, Andrew E DO Minnehan, Haley J. MD Secrest, Alvin J MD Sigler, Ronald L. / Gehring, Margaret A ARNP, RN / Hewlitt, Brenda K. / Wilson, Megan W ARNP, RN / Bechtel, Mark H. Reisenauer, Christin S Romey, Roy L. Sports Medicine Bruner, Jack C. MD Sports Medicine 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 518 Oak St Kamiah, ID 83536 (208) 935-2585 -St Mary's Hospital Inc (208) 935-2585 -St Mary's Hospital Inc (208) 935-2585 -St Mary's Hospital Inc (208) 935-2585 -St Mary's Hospital Inc (208) 935-2585 -St Mary's Hospital Inc (208) 935-2585 -St Mary's Hospital Inc (208) 935-2585 (208) 935-2585 (208) 935-2585 (208) 935-2585 -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 935-2585 -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 935-2585 -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 935-2585 -St Mary's Hospital Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 243

Kellogg Cardiovascular Disease Abate, Joseph A. MD Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Galloway, Joel R. MD Cardiovascular Disease, Interventional Cardiology Kelley, Michael B Cardiovascular Disease Murphy, William S. Cardiovascular Disease Backman, Stephen J Mueller, Mark E, Urgent Care Nelson, Peter N MD Silha, Paula M, Zachary, William H Barstad, Brian K Haigh, Charles P Haynes, Paul B MD Jaeger, Mary Alice Elizabeth Mayer, Alan Douglas McDonald, Jara K MD McDonald, Jara K MD Meza, Michael G. MD Porr, Darrel R Smith, Gayle Diane Whiting, Michael D., Urgent Care General Surgery Brinkman, James F MD General Surgery Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Crest, Anthony Bryan MD Gill, Kirandeep Kaur DO, Pediatrics Haller, Frederick MD Haller, Frederick MD Newcombe, Jr., L. Raymond MD Roth, Jason Eric 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 204 Oregon Street Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 25 Jacobs Gulch Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 784-7017 (208) 784-7017 (208) 784-7017 (208) 784-7017 -North Valley Hospital -Valley Hospital and Medical Center (208) 784-7017 (208) 784-7017 (208) 784-7017 (208) 783-1267 (208) 786-7300 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 -Shoshone Medical Center (208) 783-1267 (208) 783-1267 (208) 784-7017 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 -Shoshone Medical Center (208) 783-1267 -Shoshone Medical Center (208) 783-1267 (208) 783-1267 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 244

Roth, Jason Eric Wilson, Jeffrey D DO Daggy, Linda Marie LMHC Huffer, John Brian LMHC Olson, Casey Lynn LMHC Park, Kristin Suzanne LMFT Piovesan, Dean Stanley LMHC Smith, Jodi Suzanne LMHC Telleria, Brian James LMHC Walker, Julie Dawn LMFT White, Rebecca Lynn LMHC Nephrology Foster, Sherwin Stephen MD Nephrology, Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Heston, Thomas F Nuclear Medicine, Heston, Thomas F Nuclear Medicine, Heston, Thomas F Nuclear Medicine, Arnold, Lynda J. NPRA, RN Dahlen, Paula I ARNP, PA, Fontana, Paul ARNP, RN Fontana, Paul ARNP, RN Itveldt, Fred M NPRA Lata, Laura Jean ARNP, RN Reese, Reva Gay ARNP Szymanski, Michael E ARNP, RN / Brown, Peter Christopher NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Hickman, Jennifer Lynn ARNP / Hunter, Nancy Mae NPRA, RN / Koep, Julia J NPRA / O'Keefe, Tawnya D. / Prindle, Regina M ARNP, RN / Tickemyer, Krista Ann NPRA, RN / 740 McKinley Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 25 Jacobs Gulch Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 25 Jacobs Gulch Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 784-1221 (208) 783-1267 (208) 784-7017 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 Languages: SPANISH (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 245

Wagner, Jacqueline L NPRA, RN / Wigle, Michael Eugene ARNP, RN / Young, Lana Rochelle NPRA, RN / /Mental Health Elisha, Leanne NPRA, RN /Mental Health Ely, J Roye NPRA, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health /Pediatric Young, Christine Amarisa ARNP, RN /Pediatric Henneberg, Deward A. MD Henneberg, R. Randel MD Kim, John Jene MD Optometry Miller, Brian R. Optometry Otolaryngology McCormick, Chad D. Otolaryngology Williams, Michael Andrew PT Wood, Rusty Marion PT Atkins, David Scott PA, PA Byrne, Thomas J. PA Gibbs, Scott W. PA Gibbs, Scott W. PA Hartzell, Sarah O PA Jarstad, Katie Dawn Jarstad, Katie Dawn Richlie, Taryn M PAC Richlie, Taryn M PAC Sarkis, Heather J. PA Vieth, Patricia Ann Knoll PAC Yourzek Sr, Michael J PAC Podiatry Babol, Jacqueline M Podiatry 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 403 Bunker Ave Kellogg, ID 83837-2205 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Avenue Kellogg, ID 83837 740 McKinley Avenue Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 765-4888 Not accepting new patients Languages: SPANISH (208) 765-4888 Not accepting new patients Languages: SPANISH (208) 765-4888 Not accepting new patients (208) 784-1141 (208) 765-1345 (208) 783-3015 (208) 783-3015 (208) 783-1267 -Syringa Hospital & Clinics (208) 783-1267 (208) 783-1267 -Shoshone Medical Center (208) 783-1267 -Shoshone Medical Center (208) 783-1267 (208) 783-1267 -Shoshone Medical Center (208) 783-1267 -Shoshone Medical Center (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (509) 928-8181 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 246

Hix, Joel D Podiatry Psychiatry Wait, David B. MD Psychiatry Pulmonary Disease Osmanski II, James P. OD Pulmonary Disease, Critical Care Medicine, Sleep Disorder Medicine Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Melendez, Michael G MD Melendez, Michael G MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO Cartwright, Laura Elaine LSW Currie, Karen Joy LSW Easton, Patricia J LSW Garrett, Christopher A LSW Grayhek, Paul A LSW Nicholas Anderson, Kristina Lynn LSW Schilling, Lea Beth LSW Sutton, Tracey Lee LSW Tavares, Dee Marla Jo LSW Woods, Kelly Ryan LSW 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 25 Jacobs Gulch Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 740 McKinley Ave Kellogg, ID 83837-2693 (208) 762-0909 Languages: SPANISH -Northwest Specialty Hospital (208) 783-1267 (208) 262-2379 (208) 784-1221 -Bingham Memorial Hospital -Portneuf Medical Center (208) 784-1221 (208) 784-1221 (208) 784-1221 (208) 784-1221 (208) 784-1221 (208) 784-1221 (208) 784-1221 (208) 783-1267 (208) 784-7017 (208) 784-1221 -Mountain View Hospital LLC (208) 784-1221 (208) 784-1221 (208) 784-1221 (208) 784-1221 (208) 784-1221 -Mountain View Hospital LLC (208) 784-1221 (208) 784-1221 -Bingham Memorial Hospital -Portneuf Medical Center (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 247

Urgent Care Panos, Craig J MD Urgent Care, Urology Gates, Charles L MD Urology Kendrick Rice, Matthew L. DOIR Boughton, Janice M. MD Park, Melissa L. MD White, Kama Sibbell MD / Seegmiller, Jennifer A ARNP / Von Bargen, Elizabeth L ARNP, RN / Christensen, Heather PA Landle, Kelly Marie PA Shoemaker, Carolyn PA Ketchum Cardiovascular Disease Parent, Mark G Cardiovascular Disease, Interventional Cardiology Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology Psychology Day, Lisa A Psychology Day, Lisa A Psychology Kimberly Barker, Jonathan Bishop, Ryan PT Bishop, Ryan PT Christensen, Cory R PT Toronto, Scott PT Wood, James PT Kooskia 25 Jacobs Gulch Kellogg, ID 83837 740 McKinley Ave Kellogg, ID 83837-2693 606 E Main St Kendrick, ID 83537-5002 606 E Main St Kendrick, ID 83537-5002 606 E Main St Kendrick, ID 83537-5002 606 E Main St Kendrick, ID 83537-5002 606 E Main St Kendrick, ID 83537-5002 606 E Main St Kendrick, ID 83537-5002 606 E Main St Kendrick, ID 83537-5002 606 E Main St Kendrick, ID 83537-5002 606 E Main St Kendrick, ID 83537-5002 100 Hospital Dr Ketchum, ID 83340 100 Hospital Dr Ketchum, ID 83340 360 E Ave Ste 200 Ketchum, ID 83340 180 1st St W Ste 303C Ketchum, ID 83340 931 Center St Ste C Kimberly, ID 83341 931 Center St Ste 3-4 Kimberly, ID 83341-1819 931 Center St Ste C Kimberly, ID 83341 931 Center St Ste C Kimberly, ID 83341 931 Center St Ste C Kimberly, ID 83341 931 Center St Ste C Kimberly, ID 83341 (208) 784-7017 (208) 667-0621 (208) 289-3841 Languages: GERMAN -Gritman Medical Center Inc -Pullman Regional Hospital (208) 289-3841 -Gritman Medical Center Inc (208) 289-3841 (208) 289-3841 (208) 289-3841 -Gritman Medical Center Inc (208) 289-3841 -Gritman Medical Center Inc (208) 289-3841 (208) 289-3841 (208) 289-3841 -St Joseph Regional Medical Center (208) 302-0000 (208) 367-4278 (207) 720-9343 (207) 720-9343 (208) 423-9999 (208) 423-9999 (208) 423-9999 (208) 423-9999 (208) 423-9999 (208) 423-9999 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 248

Dardis, James Walter MD Griffis, Daniel Christopher MD Jessup, Tema Lynn DO Robinson, Charity D. MD Schochler, Amy L. Told, Matthew DO / Imus, William Mark NPRA, RN / Bigsby, Geneen E DO Atkins, David Scott PA, PA Bledsoe, Todd PAC Wynn, Derek Ron PA Easton, Dean MD Kuna Burtenshaw, Stephen K Dennis, William J Rosenlund, Kevin A DC Shaffer, Toby J Armijo, Molly B Elstun, Katherine M MD Foutz, Michael W Lamers, Stacy J MD Nichols, Heather E MD Porr, Darrel R Ross, Daniel S MD Optometry Grigg, Lisa S Optometry 022 N Main St Kooskia, ID 83539 022 N Main St Kooskia, ID 83539 022 N Main St Kooskia, ID 83539 102 Thenon St Kooskia, ID 83539-6013 102 Thenon St Kooskia, ID 83539-6013 022 N Main St Kooskia, ID 83539 022 N Main St Kooskia, ID 83539 022 N Main St Kooskia, ID 83539 022 N Main St Kooskia, ID 83539 022 N Main St Kooskia, ID 83539 022 N Main St Kooskia, ID 83539 102 Thenon St Kooskia, ID 83539-6013 1619 N Linder Rd Kuna, ID 83634-5400 708 E Wythe Creek Ct Ste 102A Kuna, ID 83634-2473 675 W 4th St Kuna, ID 83634 708 E Wythe Creek Ct Kuna, ID 83634 943 N Linder Rd Ste 103 Kuna, ID 83634-3395 943 N Linder Rd Ste 103 Kuna, ID 83634-3395 943 N Linder Rd Ste 103 Kuna, ID 83634-3395 757 E Wythe Creek Ct Kuna, ID 83634-5006 708 E Wythe Creek Ct Ste 103 Kuna, ID 83634-5005 708 E Wythe Creek Ct Ste 103 Kuna, ID 83634-5005 708 E Wythe Creek Ct Ste 103 Kuna, ID 83634-5005 762 E Wythe Creek Ct Kuna, ID 83634 (208) 926-4776 ADA Accessible -Syringa Hospital & Clinics (208) 926-4776 ADA Accessible -Syringa Hospital & Clinics (208) 926-4776 ADA Accessible -Syringa Hospital & Clinics (208) 926-7801 -Clearwater Valley Hospital (208) 926-7801 -Clearwater Valley Hospital (208) 926-4776 ADA Accessible (208) 926-4776 ADA Accessible -Syringa Hospital & Clinics (208) 926-4776 ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 926-4776 ADA Accessible -Syringa Hospital & Clinics (208) 926-4776 ADA Accessible Languages: SPANISH (208) 926-4776 ADA Accessible (208) 926-7801 (208) 922-4908 (208) 922-9904 (208) 922-5057 (208) 922-9904 (208) 922-3355 (208) 922-3355 (208) 922-3355 Languages: VIETNAMESE (208) 302-6500 Not accepting new patients (208) 514-2523 (208) 514-2523 -Shoshone Medical Center (208) 514-2523 -St Alphonsus Regional Medical Center Inc (208) 922-3060 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 249

Grigg, Robert S Optometry Box, Jeffrey A PT Cope, Adam M PT Douglass, Benjamin Brook PT Hulsey, Kevin L PT Peterson, Kimberlee A PT Shaw, Clayton Towner PT Vinci, Paul West PT Weldon, Garrett PT White, Brian L PT Ball, Jeffrey V PAC Crawford, Andrew R Kasumovic, Sandra PAC Schwartz, Amanda R PA Barnes, Dolly A. 762 E Wythe Creek Ct Kuna, ID 83634 672 E Wythe Creek Ct Ste 103 Kuna, ID 83634-5216 943 N Linder Rd Ste 104 Kuna, ID 83634-3395 943 N Linder Rd Ste 104 Kuna, ID 83634-3395 943 N Linder Rd Ste 104 Kuna, ID 83634-3395 672 E Wythe Creek Ct Ste 103 Kuna, ID 83634-5216 943 N Linder Rd Ste 104 Kuna, ID 83634-3395 943 N Linder Rd Ste 104 Kuna, ID 83634-3395 943 N Linder Rd Ste 104 Kuna, ID 83634-3395 672 E Wythe Creek Ct Ste 103 Kuna, ID 83634-5216 757 E Wythe Creek Ct Kuna, ID 83634-5006 943 N Linder Rd Ste 103 Kuna, ID 83634-3395 757 E Wythe Creek Ct Kuna, ID 83634-5006 757 E Wythe Creek Ct Kuna, ID 83634-5006 190 W Main St Kuna, ID 83634 (208) 922-3060 (208) 922-9828 (208) 922-1719 Languages: SPANISH (208) 922-1719 (208) 922-1719 (208) 922-9828 (208) 922-1719 (208) 922-1719 (208) 922-1719 (208) 922-9828 Languages: DANISH (208) 302-6500 (208) 922-3355 (208) 302-6500 (208) 302-6500 (206) 922-9001 Lava Hot Springs Bowers, Paul Kendell DC, DC, RN Bokelmann, Jean M MD Fenstermaker, John Fernandez, Luis Manual MD, MD Horrocks, Mark T MD Kjos, Melissa R MD Morrison, Chelsie A DO Olsen, Blaine Reed DO Smith, Dean Ty DO Infectious Disease Buitrago, Martha I. Infectious Disease 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 Hutton-Levenson, Judith LMHC 85 S 5th W, Marriage & Family Lava Hot Springs, ID 83246-1603 Counselor / Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 (208) 776-5202 (208) 776-5202 (208) 776-5202 (208) 776-5202 Languages: SPANISH (208) 776-5202 Languages: SPANISH (208) 776-5202 (208) 776-5202 (208) 776-5202 (208) 776-5202 (208) 776-5202 -Eastern Idaho Regional Medical Center (208) 776-5202 (208) 776-5202 (208) 776-5202 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 250

Poulos-Edmo, Helene ARNP, RN / Dyer, Donald A MD Bieniasz, Paul D PAC Higbee, Logan PAC Petersen, Jedidiah Allen PA, PAC Schaper, Heather Ann PA Brown, Shannon L LSW Collins, Doty J LSW Urgent Care Carbol, Courtland Reid MD Urgent Care Lewiston Anesthesiology Flinders, Craig G. MD Anesthesiology, Pain Management Haas, Gary D DO Anesthesiology, Pain Management Stoutin, Lyndal E. Anesthesiology Audiology Cheng, Julia W Audiology Wood, David CA Audiology Behavioral/Mental Health Godfrey, Sandra LMHC Behavioral/Mental Health Kelly Anderson, Kay V LMHC, LSW Behavioral/Mental Health Shull, Frank E. LMHC Behavioral/Mental Health Cardiovascular Disease Fuhs, Bryan E Cardiovascular Disease Goldberg, Harold R Cardiovascular Disease, Gould, Lee W Cardiovascular Disease, Katz, Guy E Cardiovascular Disease,, Interventional Cardiology Konarzewska, Hanna Barbara MD Cardiovascular Disease Lessmeier, Timothy J. MD Cardiovascular Disease, Cardiac Electrophysiology Mallavarapu, Christopher Thomas MD Cardiovascular Disease Moosa, Yunus Ali MD Cardiovascular Disease, Interventional Cardiology Murphy, William S. Cardiovascular Disease Orme, Eric C MD Cardiovascular Disease, Interventional Cardiology 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 85 S 5th W Lava Hot Springs, ID 83246-1603 2841 Juniper Dr Lewiston, ID 83501-4719 2841 Juniper Dr Lewiston, ID 83501-4719 2841 Juniper Dr Lewiston, ID 83501-4719 1630 23rd Ave Ste 201A Lewiston, ID 83501-6345 1630 23rd Ave Ste 201A Lewiston, ID 83501-6345 0309 2nd St Lewiston, ID 83501-2163 450 Thain Rd Ste F Lewiston, ID 83501-5300 324 5th St Ste 102 Lewiston, ID 83501-2408 2315 8th St Grade Lewiston, ID 83501 2315 8th St Grade Lewiston, ID 83501 307 St. John's Way Lewiston, ID 83501 2315 8th St Grade Lewiston, ID 83501 415 6th St Lewiston, ID 83501-2431 307 St Johns Way Lewiston, ID 83501-2436 415 6th St Lewiston, ID 83501-2431 415 6th St Lewiston, ID 83501-2431 625 6th Ave Lewiston, ID 83501-2424 307 St Johns Way Lewiston, ID 83501-2436 (208) 776-5202 (208) 776-5202 (208) 776-5202 (208) 776-5202 (208) 776-5202 (208) 776-5202 (208) 776-5202 (208) 776-5202 (208) 776-5202 (208) 743-9712 -St Joseph Regional Medical Center (208) 743-9712 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-9712 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 746-5100 (208) 746-5100 (208) 746-0137 (208) 743-0150 (208) 746-6776 (208) 746-0720 (208) 746-0720 -Providence Sacred Heart Medical Center & Children's Hospital (208) 746-2038 -St Joseph Regional Medical Center (208) 746-0720 -Deaconess Medical Center -Sacred Heart Univ District (208) 799-5200 -St Joseph Regional Medical Center (208) 746-2038 -Sacred Heart Univ District (208) 799-5200 (208) 762-6384 (208) 743-8226 (208) 666-2000 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 251

Perry, John J MD Cardiovascular Disease, Interventional Cardiology Vandergon, Dirk D MD Cardiovascular Disease Wales, Robert Alan MD Cardiovascular Disease Whisenant, Michael Neil Cardiovascular Disease Zubair, Imran MD Cardiovascular Disease, Cardiac Electrophysiology Cert Registered Nurse Anesthetist (CRNA) Anderson, Nancy L CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Bogsrud, Theodore W. CRNA Cert Registered Nurse Anesthetist (CRNA) Bullock, Brian Lorin CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Burman, Kevin P Cert Registered Nurse Anesthetist (CRNA) Elsemore, Thomas S. Cert Registered Nurse Anesthetist (CRNA) Hare, Karl W ARNP Cert Registered Nurse Anesthetist (CRNA) Strohm, Mandi L Cert Registered Nurse Anesthetist (CRNA) Taylor, Susan G. Cert Registered Nurse Anesthetist (CRNA) Washington, Arlissa M Cert Registered Nurse Anesthetist (CRNA) Whaley, Christopher M. Cert Registered Nurse Anesthetist (CRNA) Zinke, Donald A RN Cert Registered Nurse Anesthetist (CRNA) Zinke, Donald A RN Cert Registered Nurse Anesthetist (CRNA) Boyer, Thomas Burrow, Joan P Hall, Joseph E. DC Moore-Fisher, Julie A Kessinger, Stephen Ray DO Bare, David H Hansen, Mulloy G. MD Harries, Larry D. Hedrick, Frances A MD Jefferson, Glenn E MD Jones, Leah Jeanne MD Niska, Lois Ruth DO 415 6th St Sre 2A Lewiston, ID 83501-2431 415 6th St Sre 2A Lewiston, ID 83501-2431 2315 8th St Grade Lewiston, ID 83501 2315 8th St Grade Lewiston, ID 83501 415 6th St Lewiston, ID 83501-2431 3331 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 415 6th St Sre 2A Lewiston, ID 83501-2431 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 415 6th St Lewiston, ID 83501-2431 3331 4th St Lewiston, ID 83501-4405 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3331 4th Ste Lewiston, ID 83501-4405 717 D St Lewiston, ID 83501-1826 427 Park Ave Lewiston, ID 83501-4307 1132 Burrell Ave Lewiston, ID 83501-7101 1132 Burrell Ave Lewiston, ID 83501-7101 415 6th St Sre 2A Lewiston, ID 83501-2431 338 6th St Ste 101 Lewiston, ID 83501-2419 338 6th St Ste 101 Lewiston, ID 83501-2419 1250 Idaho St Lewiston, ID 83501-1965 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 415 6th St Lewiston, ID 83501-2431 338 6th St Ste 101 Lewiston, ID 83501-2419 (208) 750-7456 -Benefis Hospitals, Inc. -St Joseph Regional Medical Center (208) 750-7445 -St Joseph Regional Medical Center (208) 746-0720 (208) 746-0720 -St Joseph Regional Medical Center (208) 799-5200 (208) 746-2025 (208) 746-2025 (208) 750-7456 -St Joseph Regional Medical Center (208) 746-2025 -Providence Centralia Hosp (208) 746-2025 (208) 746-2025 (208) 799-5200 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 743-1424 (208) 798-8228 (208) 743-0231 Languages: TAGALOG (208) 743-0231 (208) 750-7456 -St Joseph Regional Medical Center (208) 848-8300 ADA Accessible (208) 848-8300 ADA Accessible Languages: FRENCH -Overlake Hospital Medical Center -St Joseph Regional Medical Center (208) 743-7427 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center (208) 799-5200 -St Joseph Regional Medical Center (208) 848-8300 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 252

Osborn, Scott DO Petersen, David A. /OB Olupona, Damilola Ewonubah OD /OB Gastroenterology Adams, Frank Beuregard DO Gastroenterology Dettwiler, Carl R MD Gastroenterology Dettwiler, Carl R MD Gastroenterology Larsen, Murray I MD Gastroenterology, Morgenstern, John Carl MD Gastroenterology Parent, Michael K. MD Gastroenterology, Parent, Michael K. MD Gastroenterology, Scowcroft, Charles MD Gastroenterology Serrano, Oluwagbenga MD Gastroenterology Stitcher, Richard J MD Gastroenterology General Practice Chavez, Celso R MD General Practice General Surgery Bell, Adam D DO General Surgery Bell, Adam D DO General Surgery Fenster, Harold A MD General Surgery Fenster, Harold A MD General Surgery Hanson, Ray W. MD General Surgery Harrison, Vincent MD General Surgery Hoffmann, Brian A MD General Surgery, Colon & Rectal Surgery Hoffmann, Brian A MD General Surgery, Colon & Rectal Surgery Hutner, Edward S MD General Surgery Jones, Sallee Eckler DO General Surgery Manley, Justin Dale MD General Surgery McHale, Matthew J DO General Surgery McHale, Matthew J DO General Surgery 307 St Johns Way Ste 4 Lewiston, ID 83501 2315 8th St Lewiston, ID 83501-7301 338 6th St Ste 101 Lewiston, ID 83501-2419 1630 23rd Ave Ste 701 Lewiston, ID 83501-6345 1630 23rd Ave Ste 801 Lewiston, ID 83501-6345 2517 17th St Ste B Lewiston, ID 83501-6311 2021 Carol Dr Lewiston, ID 83501-3856 1630 23rd Ave Ste 701 Lewiston, ID 83501-6345 1630 23rd Ave Ste 701 Lewiston, ID 83501-6345 1630 23rd Ave Ste 801 Lewiston, ID 83501-6345 1630 23rd Ave Ste 701 Lewiston, ID 83501-6345 1630 23rd Ave Ste 701 Lewiston, ID 83501-6345 1630 23rd Ave Ste 701 Lewiston, ID 83501-6345 1522 17th St Lewiston, ID 83501-3652 2315 8th St Lewiston, ID 83501-7301 1630 23rd Ave Ste 801 Lewiston, ID 83501-6345 415 6th St Lewiston, ID 83501-2431 415 6th St Sre 2A Lewiston, ID 83501-2431 415 6th St Lewiston, ID 83501-2431 307 Saint Johns Way Ste 11 Lewiston, ID 83501-2435 2315 8th St Lewiston, ID 83501-7301 1630 23rd Ave Ste 801 Lewiston, ID 83501-6345 307 St Johns Way Ste 4 Lewiston, ID 83501 307 Saint Johns Way Ste 11 Lewiston, ID 83501-2435 415 6th St Lewiston, ID 83501-2431 415 6th St Lewiston, ID 83501-2431 415 6th St Sre 2A Lewiston, ID 83501-2431 (208) 743-8585 -St Joseph Regional Medical Center (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 848-8300 ADA Accessible (208) 743-3998 -St Joseph Regional Medical Center (208) 743-4373 (208) 743-4373 (509) 758-2200 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-3998 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-3998 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-3998 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-3998 -St Joseph Regional Medical Center (208) 743-3998 -Rapid City Regional Hospital -St Joseph Regional Medical Center (208) 743-3998 (208) 743-8416 -St Joseph Regional Medical Center (208) 746-1383 ADA Accessible -Clearwater Valley Hospital -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-4373 -Clearwater Valley Hospital -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 762-6384 -St Joseph Regional Medical Center (208) 750-7456 -St Joseph Regional Medical Center (208) 762-6384 (208) 743-7612 ADA Accessible (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-4373 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-8585 (208) 743-7612 -St Joseph Regional Medical Center (208) 762-6384 -St Joseph Regional Medical Center (208) 799-5200 -St Joseph Regional Medical Center (208) 750-7456 -St Joseph Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 253

Strong, Michelle L MD General Surgery Strong, Michelle L MD General Surgery Thorne, Gary M MD General Surgery Hospitalist Brady, Patricia MD Hospitalist Brady, Patricia MD Hospitalist Brady, Patricia MD Hospitalist Brady, Patricia MD Hospitalist Brady, Patricia MD Hospitalist Brady, Patricia MD Hospitalist Infectious Disease Yu, Inski Howard E Quan MD Infectious Disease Yu, Inski Howard E Quan MD Infectious Disease Dattilo, Ginger L MD, Geriatric Medicine Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Davis, Barbara MD Dykstra, Timothy J. OD Eggleston, Melanie T MD Felt, Richard W Greene, Magdelena MD Leach, Robert MD McIntosh, Daniel B Muoghalu, Marie-Perez Agin MD 415 6th St Lewiston, ID 83501-2431 415 6th St Sre 2A Lewiston, ID 83501-2431 307 Saint Johns Way Lewiston, ID 83501-2435 821 21st Ave Lewiston, ID 83501-6359 325 Warner Dr Lewiston, ID 83501-4437 3315 8th St Lewiston, ID 83501-4966 1014 Burrell Ave Lewiston, ID 83501-5589 2870 Juniper Dr Lewiston, ID 83501-4720 1917 17th Ave Lewiston, ID 83501-4039 415 6th St Sre 2A Lewiston, ID 83501-2431 307 Saint Johns Way Ste 9 Lewiston, ID 83501-2435 415 6th St Sre 2A Lewiston, ID 83501-2431 415 6th St Lewiston, ID 83501-2431 222 Southway Ste C Lewiston, ID 83501-2703 821 21st Ave Lewiston, ID 83501-6359 325 Warner Dr Lewiston, ID 83501-4437 3315 8th St Lewiston, ID 83501-4966 1014 Burrell Ave Lewiston, ID 83501-5589 2870 Juniper Dr Lewiston, ID 83501-4720 1917 17th Ave Lewiston, ID 83501-4039 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 307 Saint Johns Way Lewiston, ID 83501-2435 415 6th St Sre 2A Lewiston, ID 83501-2431 415 6th St Lewiston, ID 83501-2431 307 Saint Johns Way Lewiston, ID 83501-2435 415 6th St Lewiston, ID 83501-2431 (208) 799-5200 -St Alphonsus Regional Medical Center Inc -St Joseph Regional Medical Center -Tacoma General Allenmore Hospital (208) 750-7456 -St Alphonsus Regional Medical Center Inc -St Joseph Regional Medical Center -Tacoma General Allenmore Hospital (208) 746-0133 -St Joseph Regional Medical Center (208) 799-3422 -St Joseph Medical Center -Tri-State Memorial Hospital (208) 798-8500 -St Joseph Medical Center -Tri-State Memorial Hospital (208) 743-9543 -St Joseph Medical Center -Tri-State Memorial Hospital (208) 743-4558 -St Joseph Medical Center -Tri-State Memorial Hospital (208) 746-2855 -St Joseph Medical Center -Tri-State Memorial Hospital (208) 743-5322 -St Joseph Medical Center -Tri-State Memorial Hospital (208) 750-7456 -St Joseph Regional Medical Center (208) 750-7379 -St Joseph Regional Medical Center (208) 750-7456 -St Charles Health System Inc (208) 799-5200 (208) 746-1333 (208) 799-3422 (208) 798-8500 (208) 743-9543 (208) 743-4558 (208) 746-2855 (208) 743-5322 (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 746-1383 ADA Accessible (208) 743-8585 -Tri-State Memorial Hospital (208) 750-7456 -St Joseph Regional Medical Center (208) 799-5200 (208) 746-7055 -St Joseph Regional Medical Center (208) 799-5200 -St Joseph Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 254

Willis, Charla R. Interventional Cardiology Jafary, Fahim Haider MD Interventional Cardiology, Cardiovascular Disease Lubbe, Dieter F Interventional Cardiology Schmidt, James Edward MD Interventional Cardiology, Cardiovascular Disease Sochanski, Miroslaw Tadeusz MD Interventional Cardiology, Cardiovascular Disease Arabi, Justine L LMHC Hibbard, Kindra Joy LMHC Woods, Nina J LMHC Licensed Massage Therapist Tye, Loretta Jane Massage Therapy Neurological Surgery Soloniuk, Donald S MD Neurological Surgery Neurology Chowdhury, Arif A MD Neurology Keane, Mark MD Neurology Thomas, Jean K MD Neurology Nurse Midwife Certified/Licensed Hedrick, Andrea N CNM, NPRA Nurse Midwife Certified/Licensed Andrechak, Laurel A NPRA, RN Bailey, Kurt A ARNP, RN, Bailey, Kurt A ARNP, RN, Carpenter, Todd M NPRA, RN Dickison, Michele NPRA, RN Evans, Geni RN Fast, Eric T ARNP, RN Giolitti, Dino Joseph ARNP, RN Giolitti, Dino Joseph ARNP, RN Huffman, Fawna Sunshine ARNP, RN Kaufman, Jennifer A ARNP, RN Kaufman, Jennifer A ARNP, RN Loetscher, Cheryl A ARNP, RN Richardson, Joan E ARNP, NPRA 2315 8th St Lewiston, ID 83501-7301 415 6th St Sre 2A Lewiston, ID 83501-2431 2315 8th St Grade Lewiston, ID 83501 415 6th St Lewiston, ID 83501-2431 415 6th St Sre 2A Lewiston, ID 83501-2431 0309 2nd St Lewiston, ID 83501-2163 312 Miller St Lewiston, ID 83501-1944 312 Miller St Lewiston, ID 83501-1944 1114 Main St Lewiston, ID 83501-1902 324 5th St Ste 101 Lewiston, ID 83501-2408 307 St. Johns Way Lewiston, ID 83501 307 Saint Johns Way Lewiston, ID 83501-2435 307 St. Johns Way Lewiston, ID 83501 2315 8th St Lewiston, ID 83501-7301 415 6th St Sre 2A Lewiston, ID 83501-2431 3510 12th St Ste 200 Lewiston, ID 83501-5575 2841 Juniper Dr Lewiston, ID 83501-4719 2315 8th St Lewiston, ID 83501-7301 1250 Idaho St Lewiston, ID 83501-1965 1522 17th St Lewiston, ID 83501-3652 2315 8th St Lewiston, ID 83501-7301 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 3316 4th St Ste 4B Lewiston, ID 83501-4405 1630 23rd Ave Ste 701 Lewiston, ID 83501-6345 224 Larkspur Ln Lewiston, ID 83501-9600 1522 17th St Lewiston, ID 83501-3652 1522 17th St Lewiston, ID 83501-3652 (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 750-7456 -St Joseph Regional Medical Center (208) 746-0720 -Deaconess Medical Center (208) 762-6384 -St Joseph Regional Medical Center (208) 750-7456 -St Joseph Regional Medical Center (208) 746-0137 (208) 750-1802 (208) 750-1802 (208) 743-1974 (208) 746-5025 -Pullman Regional Hospital -St Joseph Regional Medical Center (208) 750-7470 -St Joseph Regional Medical Center (208) 750-7474 (208) 750-7470 -St Joseph Regional Medical Center (208) 746-1383 ADA Accessible (208) 750-7456 -St Joseph Regional Medical Center (208) 799-3333 Languages: PORTUGUESE, SPANISH (208) 743-9712 Languages: PORTUGUESE, SPANISH (208) 746-1383 ADA Accessible (208) 743-7427 -St Joseph Regional Medical Center (208) 743-8416 (208) 746-1383 ADA Accessible (208) 799-6500 -St Joseph Regional Medical Center (208) 750-7456 -St Joseph Regional Medical Center (208) 746-2663 (208) 743-3998 (509) 758-2200 (208) 743-8416 -St Joseph Regional Medical Center (208) 743-8416 -St Joseph Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 255

Ringering, Anita R ARNP, RN Shearon, Karine Leigh NPRA, RN Smith, Theresa Ziegeldorf, Doris E ARNP, RN /Adult DeWitt, Linda K ARNP, RN /Adult / Capdeboscq, Linda A / Carpenter, Stephanie M ARNP, RN /, Nurse Practitioner/Mental Health Carpenter, Stephanie M ARNP, RN /, Nurse Practitioner/Mental Health Christenson, April Lynn NPRA, RN / Ellis, Carol A ARNP, RN / Engledow, Nicole ARNP / Harris, Cody B NPRA, RN / Hight, Robin L / Knight, Lynley Renee ARNP, RN / Larson, Amy L NPRA, RN / Long, Deborah J / Mahal, Robert Scott ARNP, RN / McHugh, Lynn G / McHugh, Maree Patricia ARNP, RN / Morris, Katherine L ARNP, RN / Norwood, Christine L / Piscitello, April Brooke ARNP, RN / Piscitello, April Brooke ARNP, RN / Stolte, Carmen R. ARNP, RN / Taylor, Julie Anne ARNP, RN, RN / Uhlenkott, Scarlett J ARNP, RN / Von Bargen, Elizabeth L ARNP, RN / Von Bargen, Elizabeth L ARNP, RN / /Mental Health Bentley, Katrina Kaye /Mental Health Bowman, Carrie Kay NPRA, RN /Mental Health Clements, Rachel Eron ARNP, RN /Mental Health 2315 8th St Lewiston, ID 83501-7301 415 6th St Sre 2A Lewiston, ID 83501-2431 1522 17th St Lewiston, ID 83501-3652 1522 17th St Lewiston, ID 83501-3652 2517 17th St Ste B Lewiston, ID 83501-6311 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 2315 8th St Lewiston, ID 83501-7301 415 6th St Lewiston, ID 83501-2431 1522 17th St Lewiston, ID 83501-3652 1522 17th St Lewiston, ID 83501-3652 2315 8th St Lewiston, ID 83501-7301 338 6th St Ste 101 Lewiston, ID 83501-2419 2315 8th St Grade Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 2315 8th St Grade Lewiston, ID 83501-7301 338 6th St Ste 101 Lewiston, ID 83501-2419 2315 8th St Lewiston, ID 83501-7301 1522 17th St Lewiston, ID 83501-3652 1630 23rd Ave Ste 701 Lewiston, ID 83501-6345 415 6th St Sre 2A Lewiston, ID 83501-2431 2315 8th St Lewiston, ID 83501-7301 338 6th St Ste 101 Lewiston, ID 83501-2419 2517 17th St Ste B Lewiston, ID 83501-6311 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 324 5th St Ste 102 Lewiston, ID 83501-2408 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 (208) 746-1383 ADA Accessible (208) 750-7456 -St Joseph Regional Medical Center (208) 743-8416 (208) 743-8416 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-4373 -Harrison Medical Center (208) 746-1383 ADA Accessible (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center (208) 799-6500 -St Joseph Regional Medical Center (208) 750-7456 (509) 254-2730 ADA Accessible (208) 762-6384 (208) 743-8416 (208) 743-8416 -St Joseph Regional Medical Center (208) 746-1383 ADA Accessible (208) 848-8300 ADA Accessible (509) 455-8820 (208) 746-1383 ADA Accessible (509) 455-8820 -Gritman Medical Center Inc (208) 848-8300 ADA Accessible -Gritman Medical Center Inc (208) 746-1383 ADA Accessible (208) 743-8416 -St Joseph Regional Medical Center (208) 743-3998 -St Joseph Regional Medical Center (208) 750-7456 -St Joseph Regional Medical Center (208) 746-1383 ADA Accessible (208) 848-8300 ADA Accessible (208) 743-4373 (208) 683-2928 -Gritman Medical Center Inc (208) 750-7456 -Gritman Medical Center Inc (208) 746-6776 (208) 799-6500 -St Joseph Regional Medical Center (208) 750-7456 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 256

Kainuma, Koji ARNP, RN /Mental Health Kainuma, Koji ARNP, RN /Mental Health Larsen, Dorian LaMont NPRA, RN /Mental Health Peashka, Lynn-Marie Morgan NPRA, RN /Mental Health Bigsby, Geneen E DO Steiger, Irwin H., Urquhart, Sean T. Watson, Alex B MD Occupational Medicine Chicoine, Kevin MD Occupational Medicine Oncology, Medical Braud, Edward Louis MD Oncology, Medical Middleman, Edward L MD Oncology, Medical Middleman, Edward L MD Oncology, Medical Oncology/Hematology Morgan, Clinton R MD Oncology/Hematology, Ophthalmology Carey, Brian J. Ophthalmology Choe, Joyce Eunyoung MD Ophthalmology Chung, Paul Y MD Ophthalmology Chung, Paul Y MD Ophthalmology Ford, Robert O. MD Ophthalmology Ford, Robert M Ophthalmology Gano, David L. MD Ophthalmology Gruzensky, William D. MD Ophthalmology Guzek, James P MD Ophthalmology Johns, Gordon E MD Ophthalmology Richards, Shawn C MD Ophthalmology Seery, Loren S MD Ophthalmology Sugiyama, Ronald K Ophthalmology Optometry Archibald, Alexander C. OD Optometry Arvidson, Brian Arthur Optometry Barnhart, Francis J. OD Optometry 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 415 6th St Lewiston, ID 83501-2431 428 6th St Lewiston, ID 83501 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 222 Southway Ste C Lewiston, ID 83501-2703 415 6th St Lewiston, ID 83501-2431 415 6th St Lewiston, ID 83501-2431 1250 Idaho St Lewiston, ID 83501-1965 415 6th St Sre 2A Lewiston, ID 83501-2431 3330 4th St Lewiston, ID 83501-4405 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 1630 23rd Ave Ste 201A Lewiston, ID 83501-6345 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 (208) 683-2928 -St Joseph Regional Medical Center (208) 750-7456 -St Joseph Regional Medical Center (208) 799-5200 -St Joseph Regional Medical Center (208) 683-2928 -St Joseph Regional Medical Center (208) 746-1383 ADA Accessible (208) 746-1383 ADA Accessible (208) 746-1383 ADA Accessible (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center -Tri-State Memorial Hospital -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 746-1333 -St Joseph Regional Medical Center (208) 743-2511 (208) 799-5200 -St Joseph Regional Medical Center -St Mary's Hospital Inc (208) 743-7427 -St Joseph Regional Medical Center -St Mary's Hospital Inc (208) 750-7456 -St Joseph Regional Medical Center (208) 746-2025 (208) 746-2025 (208) 746-2025 -Providence Centralia Hosp (208) 746-2025 -Providence Centralia Hosp (208) 746-2025 -Providence Centralia Hosp (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 -Providence Centralia Hosp (208) 746-2025 -Providence Centralia Hosp (208) 746-5100 (208) 746-2025 (208) 746-2025 -Providence Centralia Hosp (208) 746-2025 (208) 746-3025 (208) 746-2025 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 257

Brockbank, Stephen R. Optometry Bronner, Aaron W Optometry Calnan-Holt, Kimberly J. OD Optometry Everett, Mark G Optometry Flint, Bruce G. Optometry Flint, Bruce G. Optometry Gibbs, Robert D. Optometry James, Donald K. Optometry Johnson, Brian S OD Optometry Johnson, Brian S OD Optometry Mamiya, Reid I. Optometry Maraman, Mark A Optometry Peterson, Donald L. Optometry Petracca, Carmine J Optometry Polito, Julia Christine OD Optometry Ritter, Jason S OD Optometry Schrempp, Daniel Dinnison OD Optometry Williams, Salisa K Optometry Wilson, Nathan Michael OD Optometry Youngman, Lori A. Z. Optometry Zollman, Stacie Leann OD Optometry Beardsley, Bryan J. Dietrich, Gregory D MD Flock, Timothy J Hansen, Regan B Jelinek, John A, Sports Medicine Kaltenbaugh, Orie E. MD Kaltenbaugh, Orie E. MD Kaltenbaugh, Orie E. MD Kym, Marvin R MD Thueson, Kaden John PA, PA Pathology Cihak, Robert W. Pathology Fulton, Rebecca Lynn Pathology 3510 12th St Ste 400 Lewiston, ID 83501-5575 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3330 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 3331 4th St Lewiston, ID 83501-4405 939 Bryden Ave Lewiston, ID 83501-5057 739 Bryden Ave Ste A Lewiston, ID 83501-4909 939 Bryden Ave Lewiston, ID 83501-5057 3330 4th St Lewiston, ID 83501-4405 3330 4th St Lewiston, ID 83501-4405 739 Bryden Ave Ste A Lewiston, ID 83501-4909 3331 4th St Lewiston, ID 83501-4405 739 Bryden Ave Ste A Lewiston, ID 83501-4909 320 Warner Dr Lewiston, ID 83501-4441 320 Warner Dr Lewiston, ID 83501-4441 320 Warner Dr Lewiston, ID 83501-4441 320 Warner Dr Lewiston, ID 83501-4441 320 Warner Dr Lewiston, ID 83501-4441 307 St John's Way Ste 1 Lewiston, ID 83501 320 Warner Dr Lewiston, ID 83501-4441 307 St. Johns Way Lewiston, ID 83501 3316 4th St Ste 4B Lewiston, ID 83501-4405 320 Warner Dr Lewiston, ID 83501-4441 415 Sixth St Lewiston, ID 83501 415 Sixth St Lewiston, ID 83501 (208) 743-5830 Languages: SPANISH (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 746-2025 (208) 743-1761 (208) 743-5830 (208) 743-1761 (208) 746-2025 (208) 746-2025 (208) 743-5830 (208) 746-2025 (208) 743-5830 (208) 743-3523 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-3523 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-3523 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-3523 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-3523 (208) 746-5132 (208) 743-3523 (208) 750-7470 (208) 746-2663 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-3523 -St Joseph Regional Medical Center (208) 746-0516 -St Joseph Regional Medical Center (208) 746-0516 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 258

Peterson, Alan Pathology Pediatric Cardiology Anderson, Charles C Pediatric Cardiology Burg, Pamela G Pediatric Cardiology, Cardiovascular Disease Jensen, Richard A Pediatric Cardiology Pediatrics Ambroson, Craig N MD Pediatrics Carasali, Natale A MD Pediatrics Krisher, Theodore K MD Pediatrics Lynch Justis, Darby S MD Pediatrics Moorman, Daniel R Pediatrics Schultz, Gregory P. MD Pediatrics Biery, Tami Rachele Frasier, Lloyd P L Larsen, Jamie Lynn Larsen, Jamie Lynn Ohman, Lawrence Charles PT Schlangen, Colleen Ann PT Strehle, Johanna M PT Strehle, Johanna M PT Arnzen, Barbara R. Barnes, Danielle Morgan PA Bell, Keith E. Blankenship, Beth L PA Brown, Bradly Kenneth Leroy PA Davis, Heather Nicole PA Davis, Heather Nicole PA Grinage, Jennifer A PA Hebrlee, Jr, James Michael PA 415 Sixth St Lewiston, ID 83501 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 338 6th St Ste 101 Lewiston, ID 83501-2419 2315 8th St Lewiston, ID 83501-7301 1010 Bryden Ave Ste A Lewiston, ID 83501-5353 678 Southway Lewiston, ID 83501 1010 Bryden Ave Ste A Lewiston, ID 83501-5353 1019 3rd St Lewiston, ID 83501-2713 678 Southway Lewiston, ID 83501 1010 Bryden Ave Ste A Lewiston, ID 83501-5353 678 Southway Lewiston, ID 83501 1037 21st St Lewiston, ID 83501-3415 2315 8th St Lewiston, ID 83501-7301 320 Warner Dr Lewiston, ID 83501-4441 2315 8th St Grade Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 320 Warner Dr Lewiston, ID 83501-4441 2315 8th St Lewiston, ID 83501-7301 428 6th St Lewiston, ID 83501 2315 8th St Lewiston, ID 83501-7301 338 6th St Ste 101 Lewiston, ID 83501-2419 (208) 746-0516 -St Joseph Regional Medical Center (509) 747-6707 ADA Accessible -Sacred Heart Medical Center (509) 747-6707 ADA Accessible (509) 747-6707 ADA Accessible -Providence Sacred Heart Medical Center & Children's Hospital (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center (208) 746-1383 ADA Accessible (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center (208) 848-8300 ADA Accessible (208) 746-1383 ADA Accessible (208) 746-0455 (208) 746-1418 (208) 746-0455 (208) 816-4195 (208) 746-1418 (208) 746-0455 (208) 746-1418 (208) 743-1795 -St Joseph Regional Medical Center (208) 746-1383 ADA Accessible (208) 743-3523 (509) 455-8820 -Newport Community Hospital (208) 746-1383 ADA Accessible (208) 743-3523 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 746-1383 ADA Accessible -St Joseph Regional Medical Center (208) 683-2928 -St Joseph Regional Medical Center (208) 746-1383 ADA Accessible (208) 848-8300 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 259

Keyser, Lawrence E. Lassen, Matthew Gordon PA, PA, PA Lewis, Chad ARNP McKinney, Amber McKinney, Amber Nieraeth, Michael Robert PAC Obray, Gregory Robert PA Ostermiller, Jeremy B PAC Paulson, Bret A Rose-Wolf, Gretchen E. Schug, Andrew J Podiatry Washington, Neil Bendel DPM Podiatry Psychiatry Bye, Brenda Kay Deal DO Psychiatry Bye, Brenda Kay Deal DO Psychiatry Johnson, Robert L. Psychiatry Johnson, Robert L. Psychiatry Rambeau, Jamie MD Psychiatry Roberts Jr, Eugene Leornard MD Psychiatry Sherman, Vance Eugene MD Psychiatry Sherman, Vance Eugene MD Psychiatry Sullivan, Robert MD Psychiatry Sullivan, Robert MD Psychiatry Psychiatry, Child/Adolescent March, Robert Lee MD Psychiatry, Child/Adolescent March, Robert Lee MD Psychiatry, Child/Adolescent Psychology Kracke, Kevin R. PY Psychology MacKinnon, Philip Psychology Yama, Mark Francis Psychology Pulmonary Disease El-Ashram, Nayer B MD Pulmonary Disease Radiation Oncology Anderson, Kent W MD Radiation Oncology, 307 St Johns Way Lewiston, ID 83501-2436 338 6th St Ste 101 Lewiston, ID 83501-2419 428 6th St Lewiston, ID 83501 415 6th St Lewiston, ID 83501-2431 1630 23rd Ave Ste 701 Lewiston, ID 83501-6345 320 Warner Dr Lewiston, ID 83501-4441 320 Warner Dr Lewiston, ID 83501-4441 320 Warner Dr Lewiston, ID 83501-4441 320 Warner Dr Lewiston, ID 83501-4441 307 St Johns Way Lewiston, ID 83501-2436 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 2315 8th St Lewiston, ID 83501-7301 415 6th St Sre 2A Lewiston, ID 83501-2431 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 422 17th St Lewiston, ID 83501-2526 415 6th St Lewiston, ID 83501-2431 2841 Juniper Dr Lewiston, ID 83501-4719 307 Saint Johns Way Lewiston, ID 83501-2435 504 6th St Lewiston, ID 83501-2439 (208) 666-2000 (208) 848-8300 ADA Accessible (208) 683-2928 (208) 799-5200 -St Joseph Regional Medical Center (208) 743-3998 -St Joseph Regional Medical Center (208) 743-3523 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-3523 (208) 743-3523 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 743-3523 -St Joseph Regional Medical Center (208) 666-2000 (208) 746-1383 ADA Accessible (208) 746-1383 ADA Accessible (208) 683-2928 (208) 750-7456 (208) 799-6500 (208) 743-2511 (208) 746-1383 ADA Accessible (208) 750-7456 -St Joseph Regional Medical Center -St Joseph Regional Medical Center (208) 683-2928 -St Joseph Regional Medical Center (208) 743-2511 -St Joseph Regional Medical Center (208) 683-2928 -St Joseph Regional Medical Center (208) 750-7456 -St Joseph Regional Medical Center (208) 683-2928 -St Joseph Regional Medical Center (208) 750-7456 -St Joseph Regional Medical Center (208) 743-4680 (208) 799-5200 (208) 743-9712 -Gritman Medical Center Inc (208) 746-7055 -St Joseph Regional Medical Center (208) 799-5600 -St Joseph Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 260

Ho, John W. MD,, Vascular & Interventional, Interventional Valji, Karim, Interventional, Bomley, Olisa M LSW Bomley, Olisa M LSW Graves, Darci M LSW Hirsch, Pamala Gynn LSW Holthaus, Marcia G LSW Keene, David Hal LSW Lawhead, Alison LSW Lawhead, Alison LSW McIntosh, Brandon LSW Mraz, Chivonne LSW Nystrom, Rebecca A LSW, LSW Nystrom, Rebecca A LSW, LSW Patzer, Elizabeth Galene Powell, Alicia F LSW Street, Debra L. LSW Young, Erin J LSW, LSW Surgery, Hand Boyea, Steven R MD Surgery, Hand Urgent Care Leon, Richard Scott MD Urgent Care Urology Cochran, John L MD, MD Urology Kronholm, Stephen K MD Urology Rainwater, Leslie M MD Urology Malad City Dixon, Tyler Carnahan DO Flinders, Kurt Timothy DO Johnson, Stephen C 415 6th St Lewiston, ID 83501-2431 338 6th St Ste 101 Lewiston, ID 83501-2419 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 428 6th St Lewiston, ID 83501 0309 2nd St Lewiston, ID 83501-2163 428 6th St Lewiston, ID 83501 338 6th St Ste 101 Lewiston, ID 83501-2419 428 6th St Lewiston, ID 83501 415 6th St Sre 2A Lewiston, ID 83501-2431 428 6th St Lewiston, ID 83501 428 6th St Lewiston, ID 83501 338 6th St Ste 101 Lewiston, ID 83501-2419 428 6th St Lewiston, ID 83501 428 6th St Lewiston, ID 83501 428 6th St Lewiston, ID 83501 0309 2nd St Lewiston, ID 83501-2163 428 6th St Lewiston, ID 83501 320 Warner Dr Lewiston, ID 83501-4441 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 2315 8th St Lewiston, ID 83501-7301 222 Southway Ste C Lewiston, ID 83501-2703 220 Bannock St Malad City, ID 83252-5068 220 Bannock St Malad City, ID 83252-5068 230 W 200 N Malad City, ID 83252-4714 (208) 799-5200 Languages: CANTONESE (CHINESE DIALECT), MANDARIN (CHINESE DIALECT) (208) 848-8300 ADA Accessible (208) 683-2928 (208) 750-7456 -Harborview Medical Center -UW Medical Center (208) 683-2928 -St Joseph Regional Medical Center (208) 746-0137 (208) 683-2928 (208) 848-8300 ADA Accessible (208) 683-2928 (208) 750-7456 (208) 683-2928 (208) 683-2928 (208) 848-8300 ADA Accessible (208) 683-2928 (208) 683-2928 -St Joseph Regional Medical Center (208) 799-6500 (208) 746-0137 (208) 683-2928 (208) 743-3523 -St Joseph Regional Medical Center -Tri-State Memorial Hospital (208) 746-1383 ADA Accessible (208) 746-1383 ADA Accessible (208) 746-1383 ADA Accessible (208) 746-1333 (208) 766-2600 (208) 766-2600 (208) 766-2267 -St Joseph Regional Medical Center -Tri-State Memorial Hospital -St Joseph Regional Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 261

Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Podiatry Christensen, Brent DPM Podiatry Bigler, Dirk E. Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO Marsing Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Hughes, Meghan Hospitalist Wilson, Martha C, Hospitalist Lutes, Kendra LMHC /Mental Health Stackle, Mary J NPRA, RN /Mental Health Buchmiller, Camille PAC Landes, Troy A PAC 150 N 200 W Malad City, ID 83252-1239 150 N 200th W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 150 N 200 W Malad City, ID 83252-1239 201 Main St Marsing, ID 83639 201 Main St Marsing, ID 83639 201 Main St Marsing, ID 83639 201 Main St Marsing, ID 83639 201 Main St Marsing, ID 83639 201 Main St Marsing, ID 83639 201 Main St Marsing, ID 83639 (208) 766-2231 (208) 235-1777 (208) 766-2231 (208) 766-2231 -Bingham Memorial Hospital -Portneuf Medical Center (208) 766-2231 (208) 766-2231 (208) 766-2231 (208) 766-2231 (208) 766-2231 (208) 766-2231 (208) 766-2231 (208) 766-2231 -Mountain View Hospital LLC (208) 766-2231 (208) 766-2231 (208) 766-2231 (208) 766-2231 (208) 766-2231 -Mountain View Hospital LLC (208) 766-2231 (208) 766-2231 -Bingham Memorial Hospital -Portneuf Medical Center (208) 896-4159 (208) 896-4159 (208) 896-4159 (208) 896-4159 (208) 896-4159 (208) 896-4159 (208) 896-4159 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 262

Ruelas, Terry LSW Woodall, Deborah LSW McCall Dermatology Owsley, Ryan Dermatology Lawler, Christopher T MD,, Sports Medicine Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology Optometry Rowe, Justin M Optometry Wilkey, Thad 201 Main St Marsing, ID 83639 201 Main St Marsing, ID 83639 211 Forest St McCall, ID 83638-5256 211 W Forrest McCall, ID 83638 1000 State St McCall, ID 83638-3704 1000 State St McCall, ID 83638-3704 204 Lenora St McCall, ID 83638-3844 211 Forest St McCall, ID 83638-5256 (208) 896-4159 (208) 896-4159 (208) 467-7546 (208) 898-0100 (208) 634-2221 (208) 634-2221 (208) 634-4161 (208) 467-7546 McCammon Bowers, Paul Kendell DC, DC, RN Smith, Dean Ty DO 204 Center St McCammon, ID 83250 204 Center St McCammon, ID 83250 Hutton-Levenson, Judith LMHC 204 Center St, Marriage & Family McCammon, ID 83250 Counselor / Karroum, Brandi Binh NPRA, RN / Petersen, Jedidiah Allen PA, PAC Schaper, Heather Ann PA 204 Center St McCammon, ID 83250 204 Center St McCammon, ID 83250 204 Center St McCammon, ID 83250 (208) 254-9326 (208) 254-9326 (208) 254-9326 (208) 254-9326 (208) 254-9326 (208) 254-9326 Melba Acevedo-Daniels, Suhrei Hughes, Meghan Hospitalist Wilson, Martha C, Hospitalist /Mental Health Stackle, Mary J NPRA, RN /Mental Health Meridian Allergy & Immunology 150 2nd St Melba, ID 83641 150 2nd St Melba, ID 83641 150 2nd St Melba, ID 83641 150 2nd St Melba, ID 83641 (208) 495-1011 (208) 495-1011 (208) 495-1011 (208) 495-1011 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 263

Jeppson, John D Allergy & Immunology Keiley, Michael V Allergy & Immunology Palmer, George W Allergy & Immunology Talreja, Neetu MD Allergy & Immunology Anesthesiology McGarry, Sean Anesthesiology Smagula, Carl M. Anesthesiology Audiology Elcox, Jacquie A CA Audiology Redmond, Paul C Audiology Whitcomb, Curtis J CA Audiology Cardiovascular Disease Moore, Timothy R MD Cardiovascular Disease Seale, Walter L MD Cardiovascular Disease, Cardiac Electrophysiology Seale, Walter L MD Cardiovascular Disease, Cardiac Electrophysiology Cert Registered Nurse Anesthetist (CRNA) Allen, David S CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Berg, Steven CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Brinton, Clark L. Cert Registered Nurse Anesthetist (CRNA) Price, Emily CRNA Cert Registered Nurse Anesthetist (CRNA) Snider, Jennifer L RNAD Cert Registered Nurse Anesthetist (CRNA) Snider, Jennifer L RNAD Cert Registered Nurse Anesthetist (CRNA) Watson, Russell J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Watson, Russell J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Westover, Shad B CRNA Cert Registered Nurse Anesthetist (CRNA) Certified Nutritionist/Registered Diet Bosco, Mary M Certified Nutritionist/Registered Diet Dammarell, Lynn M Certified Nutritionist/Registered Diet Horrocks, Cindy K Certified Nutritionist/Registered Diet Austin, Adam M Gibbons, Scott H DC Hanson, Jared L Jensen, Jared L Jessop Jr, David V Lundahl, Kimball Telford DC Price, Christian B DC 2320 E Gala St Ste 500-4875 2320 E Gala St Ste 500-4875 2320 E Gala St Ste 500-4875 520 S Eagle Rd Ste 1245-6355 3025 W Cherry Ln -8531 3025 W Cherry Ln -8531 745 S Progress Ave 745 S Progress Ave 745 S Progress Ave 3025 W Cherry Ln Ste 205-8531 745 S Progress Ave -5619 3025 W Cherry Ln Ste 205 3090 E Gentry Way Ste 100-3548 6700 N Linder Rd Ste 13 Meridian, ID 83646-6606 3090 E Gentry Way Ste 100-3548 3630 E Louise Dr -7975 1828 Millenium Way Ste 100-5036 3630 E Louise Dr -7975 3235 N Tower Bridge Way Meridian, ID 83646 1828 S Millenium Way 1828 S Millenium Way Ste 100-5036 2525 N Stokesbery Pl Ste B Meridian, ID 83646 3250 W Cherry Ln -1120 3250 W Cherry Ln -1120 2320 E Gala St Ste 300-4880 3120 W Belltower Dr Ste 150 Meridian, ID 83646-7700 1965 S Eagle Rd Ste 120-9287 2985 S Meridian Rd Ste 140 323 W Pine Ave -2238 14 S Baltic Pl -5935 1220 N Meridian Rd Ste A -2248 (208) 378-0800 (208) 378-0800 (208) 378-0800 (208) 377-4000 -St Alphonsus Regional Medical Center Inc (208) 367-8500 (208) 367-8500 (208) 377-0019 (208) 377-0019 (208) 377-0019 (208) 367-8484 (208) 888-4600 (208) 888-4600 (208) 288-1600 -Blue Mountain Hospital (208) 895-8555 -Eagle Eye Surgery & Laser Center (208) 288-1600 (208) 377-9515 (208) 378-9295 (208) 377-9515 (208) 895-6611 (208) 381-0262 (208) 381-0262 (208) 495-5501 (208) 367-6127 (208) 367-6127 (208) 895-0317 (208) 846-8898 (208) 887-9355 (208) 901-4888 (208) 888-5858 (208) 887-7872 (208) 884-5000 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 264

Sampson, Richard P. DC, LAC, Acupuncture Strickland, Roy I. Whalen, John E Willis, Nicole Woolner, Chad M DC Dermatology Burr, Randall D Dermatology Funke, Alisa Dermatology Measham, Christine A Dermatology Measham, Christine A Dermatology Pitt, Alan J A Dermatology Wells, Gregory L Dermatology Wells, Gregory L Dermatology Lawler, Christopher T MD,, Sports Medicine Endocrinology Christensen, Richard B MD Endocrinology Ennis, Robert F Endocrinology Stanciu, Irinel N Endocrinology Alviso, Marvin A Battaglia, Marisa Andreini Beach, Ann Burgess, Anne P MD Butuk, David J MD Cadwallader, Kara L MD Clinger, Mark B MD Crownover, Brian K MD, Hospitalist Crownover, Brian K MD, Hospitalist Dockter, Lisa Epperly, Ted D MD Fender, Fred W MD Gendler, Julie L Goldberg, Marcel A Grajcar, Mark S DO Hamblin, Derek Hansen, Jeffrey A 1504 N Main St -1707 1220 N Meridian Rd Ste A -2248 1326 N Main St -1703 1565 E Leigh Field Dr Ste 150 Meridian, ID 83646 750 W Ustick Rd Ste 100 Meridian, ID 83646-6133 1618 S Millenium Way Ste 100-6457 1618 S Millenium Way Ste 100-6457 1618 S Millenium Way Ste 100-6457 1618 S Millenium Way Ste 100-6457 1618 S Millenium Way Ste 100-6457 1618 S Millenium Way Ste 100-6457 1618 S Millenium Way Ste 100-6457 520 S Eagle Rd Ste 3213-6356 520 S Eagle Rd Ste 1234-6355 2450 E Gala St Ste 100-4805 520 S Eagle Rd Ste 1234-6355 2275 S Eagle Rd Ste 120-2620 1623 S Wells Ave 2275 S Eagle Rd Ste 120-2620 3025 W Cherry Ln Ste B -8531 1525 E Leigh Field Dr Ste 150 Meridian, ID 83646 2112 E Franklin Rd -9024 3277 E Louise Dr Ste 200-9360 2428 N Stokesberry Pl Meridian, ID 83646-5035 2428 N Stokesberry Pl Meridian, ID 83646 3115 E Florence Dr 2275 S Eagle Rd Ste 120-2620 3025 W Cherry Ln Ste B -8531 2275 S Eagle Rd Ste 120-2620 3025 W Cherry Ln Ste B -8531 2640 S Eagle Rd -6704 3115 E Florence Dr 3277 E Louise Dr Ste 200-9360 (208) 888-2267 (208) 884-5000 (208) 884-3368 (208) 855-0858 (208) 639-1397 (208) 884-3376 (208) 884-3376 (208) 884-3376 (208) 884-3376 (208) 884-3376 (208) 884-3376 (208) 884-3376 (208) 323-2600 (208) 429-0300 (208) 908-4541 (208) 429-0300 (208) 514-2500 (208) 489-1450 (208) 514-2500 (208) 367-8550 (208) 888-1199 (208) 893-6300 ADA Accessible (208) 884-2920 (208) 895-0050 (208) 895-0050 (208) 895-8670 (208) 514-2500 (208) 367-8550 (208) 514-2500 (208) 367-8550 (208) 884-0835 (208) 895-8670 (208) 884-2920 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 265

Hlavinka, Jon L Hodges, Timothy P Hodges, Timothy P Holliday, Jennifer Hooft, Raymond P MD House, Angela L DO Jencks, Crystal L Kuntz, Kara M Kunz, Harold V MD Lawler, Christopher T MD,, Sports Medicine Lyons, Robert Martin, David Anthony MD McCullough, Stephanie E Mills, Denise Partridge, Christopher A Porr, Darrel R Quinn, Heather E. Redd, Phillip J Richardson, Erik J MD Ringo, Shelley, Sports Medicine Roscoe, James MD Ross, Daniel S MD Ross, Daniel S MD Schelhaas, Kristyn A DO Scott, Jeffrey L DO Shepherdson, Nikole Siegersma, Wendy M MD Thomas, George W Vania, Cyrus H DO Westbrook, Sharon Wilkinson, Kelly C MD, Sports Medicine 3277 E Louise Dr Ste 200-9360 3277 E Louise Dr Ste 200-9360 2947 E Magic View Dr Ste 1-3562 2275 S Eagle Rd Ste 120-2620 3041 E Copper Point Dr -1740 1900 W Chinden Blvd Meridian, ID 83646 3025 W Cherry Ln Ste B -8531 2275 S Eagle Rd Ste 120-2620 3277 E Louise Dr Ste 200-9360 520 S Eagle Ste 3213 1623 S Wells Ave 3277 E Louise Dr Ste 200-9360 2275 S Eagle Rd Ste 120-2620 3115 E Florence Dr 2428 N Stokesberry Pl Meridian, ID 83646 2275 S Eagle Rd Ste 120-2620 2112 E Franklin Rd -9024 3025 W Cherry Ln Ste B -8531 3277 E Louise Dr Ste 200-9360 3115 E Florence Dr 2275 S Eagle Rd Ste 120-2620 2275 S Eagle Rd Ste 120-2620 925 NW 1st St 1900 W Chinden Blvd Meridian, ID 83646 3025 W Cherry Ln Ste B -8531 2275 S Eagle Rd Ste 120-2620 3277 E Louise Dr Ste 200-9360 1900 W Chinden Blvd Meridian, ID 83646 3115 E Florence Dr 3115 E Florence Dr 3115 E Florence Dr (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 854-9534 -Saint Alphonsus Medical Center Nampa Inc (208) 514-2500 (208) 514-4400 (208) 809-2860 (208) 367-8550 -St Alphonsus Regional Medical Center Inc (208) 514-2500 -St Alphonsus Regional Medical Center Inc (208) 884-2920 Not accepting new patients (208) 898-0100 (208) 489-1450 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 514-2500 -St Alphonsus Regional Medical Center Inc (208) 895-8670 (208) 895-0050 (208) 514-2500 -Shoshone Medical Center (208) 893-6300 ADA Accessible (208) 367-8550 (208) 884-2920 -St Luke's Elmore Hospital (208) 895-8670 (208) 514-2500 (208) 514-2500 -St Alphonsus Regional Medical Center Inc (208) 514-2527 -St Alphonsus Regional Medical Center Inc (208) 809-2860 (208) 367-8550 -St Alphonsus Regional Medical Center Inc (208) 514-2500 (208) 884-2920 (208) 809-2860 (208) 895-8670 (208) 895-8670 (208) 895-8670 -St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 266

Wilkinson, Kelly C MD, Sports Medicine You, Phyllis /OB Davidson, Elaine M. MD /OB General Surgery Agee, Jon M MD General Surgery Barresi, Roberto V. MD General Surgery Cornwell, Ronald W MD General Surgery Getz, Jon B. MD General Surgery Giles, Jonathan V. MD General Surgery Hardy, Ryan R MD General Surgery Henson, Scott A. MD General Surgery Martin, Richard MD General Surgery Taylor, Amber M General Surgery Verner, Reese A. MD General Surgery Williams, Steven W MD General Surgery Gynecologic Oncology Connor, Gerard P MD Gynecologic Oncology Infectious Disease Blue, Sky Infectious Disease, Dau, Birgitt Infectious Disease Wyatt, Casi M Infectious Disease Agnew, Ann C MD Buersmeyer, Patricia M MD Dee, Michael M Eisele, Stan A MD Ferguison, Kimberly D MD, Pediatrics Freeman, John C, Pediatrics Jeffery, Allan DO Lewis, Nicholas J MD, Pediatrics Roberts, Rick N MD Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Stringam, Stanley Owen MD 1623 S Wells Ave 2275 S Eagle Rd Ste 120-2620 3277 E Louise Dr Ste 200-9360 520 S Eagle Rd Ste 1221-6355 3399 E Louise Ave Ste 400 520 S Eagle Rd Ste 1221-6355 3399 E Louise Ave Ste 400 3399 E Louise Ave Ste 400 520 S Eagle Rd Ste 1221-6355 3399 E Louise Ave Ste 400 520 S Eagle Rd Ste 1221-6355 3025 W Cherry Ln Ste A -8531 3399 E Louise Ave Ste 400 3277 E Louise Dr Ste 200-9360 900 N Liberty St Ste 101 2275 S Eagle Rd Ste 120-2620 2275 S Eagle Rd Ste 120-2620 2275 S Eagle Rd Ste 120-2620 2131 S Bonito Way -1659 3277 E Louise Dr Ste 200-9360 3277 E Louise Dr Ste 200-9360 3025 W Cherry Ln Ste B -8531 3277 E Louise Dr Ste 200-9360 3277 E Louise Dr Ste 200-9360 14 S Baltic Pl -5935 3277 E Louise Dr Ste 200-9360 3277 E Louise Dr Ste 200-9360 3277 E Louise Dr Ste 200-9360 3277 E Louise Dr Ste 200-9360 (208) 489-1450 -St Alphonsus Regional Medical Center Inc (208) 514-2500 (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 888-6768 (208) 364-3000 (208) 888-6768 (208) 364-3000 (208) 364-3000 (208) 888-6768 (208) 364-3000 (208) 888-6768 (208) 465-6940 (208) 364-3000 (208) 884-2920 (208) 367-5050 (208) 514-2500 (208) 514-2500 (208) 514-2500 (208) 947-5390 -St Alphonsus Regional Medical Center Inc (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 367-8550 (208) 884-2920 (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 887-7872 (208) 884-2920 (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 267

Absalonson, Amy L Arambul, Brittany L LMHC Arambul, Brittany L LMHC Belsher, Jared Anthony LMHC Birchmore Riss, Sarah Elizabeth LMHC Burks, Michelle M LMHC Campbell, Stacy A LMHC Clubb, Shane LMHC Fehrer, Kristin H Glorfield, Cyndia Kay Glorfield, Cyndia Kay Hansen, William Alfred LMHC Harris, Jessica L LMHC Hedrick, Amy Elisa LMHC Hiner, Kama LMHC, LMHC Kaserman, Melinda LMHC Keys, Kim R LMFT Martel, Rand Martel, Rand Myers, Victor E LMHC Nearman, JoAnne LMHC Niece, Matt R Niece, Matt R Niece, Matt R Nodler, Phyllis R Nodler, Phyllis R Palmer, Kristina Parker-Weiser, Caitlin A LMHC Pearson-Cafferty, Camilla Stayne LMHC Pearson-Cafferty, Camilla Stayne LMHC Price, Tessa B Rhuman, Laureen K LMHC Rogers, Lynnee Chantel LMFT Scholten, Debra L LMHC Senieur, Cherie Anne LMHC Szudera, John W LMHC 1833 S Millenium Way 750 W Ustick Rd Ste 120 Meridian, ID 83646-6133 750 W Ustick Rd Ste 120 Meridian, ID 83646-6133 849 E Fairview Ave -1806 403 W Cherry Ln -1610 2321 E Gala St Ste 3 3288 E Pine Ave -5922 39 E State Ave -2342 750 W Ustick Rd Ste 120 Meridian, ID 83646-6133 39 E State Ave -2342 1833 S Millenium Way 690 S Industry Way Ste 45-7907 3288 E Pine Ave -5922 2596 N Stokeberry Pl Ste 120 Meridian, ID 83646 690 S Industry Way Ste 45-7907 1833 S Millenium Way 2596 N Stokesberry Pl Ste 120-6114 2273 E Gala St Ste 100-7289 2273 E Gala St Ste 100 690 S Industry Way Ste 45-7907 3288 E Pine Ave -5922 745 S Progress Ave -5619 1833 S Millenium Way 745 S Progress Ave 2596 N Stokesbury Pl Ste 100 Meridian, ID 83646 3709 N Locust Grove Rd Ste 150 Meridian, ID 83646-5924 2584 N Stokesberry Pl Meridian, ID 83646-1144 2584 N Stokesberry Pl Meridian, ID 83646-1144 39 E State Ave -2342 39 E State Ave -2342 2076 S Eagle Rd -6707 750 W Ustick Rd Ste 120 Meridian, ID 83646-6133 849 E Fairview Ave -1806 750 W Ustick Rd Ste 120 Meridian, ID 83646-6133 690 S Industry Way Ste 45-7907 2076 S Eagle Rd -6707 (208) 343-7797 (208) 336-1601 (208) 366-1601 (208) 286-1952 (208) 887-1911 (208) 888-5848 (208) 888-8886 (208) 994-3599 (208) 336-1601 (208) 994-3599 (208) 343-7797 (208) 922-2207 (208) 888-8886 (208) 724-0426 (208) 922-2207 (208) 343-7797 (208) 991-4696 ADA Accessible (208) 898-8999 (208) 898-8999 (208) 922-2207 (208) 888-8886 (208) 895-6729 (208) 343-7797 (208) 343-7797 (208) 938-3837 (208) 577-7634 (208) 392-2762 ADA Accessible (208) 695-7517 (208) 994-3599 (208) 994-3599 (208) 955-7330 (208) 336-1601 (208) 546-9395 (208) 336-1601 (208) 922-2207 (208) 955-7330 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 268

Thompson, Andrea Jo LMHC Throne, Jarilyn M LMHC Twite, Melanie T Twite, Melanie T Whiteman, Leslee Lynn Williams, Lisa C LMHC Yeager, Joyce F LMHC Zuniga, Valarie L LMHC Marriage & Family Counselor Benjamin, Janet L LMFT Marriage & Family Counselor Dunkley, Gregory J Marriage & Family Counselor Grigg, Michael LMFT Marriage & Family Counselor Nephrology Davidson, Robert L MD Nephrology Davidson, Robert L MD Nephrology Dittrich, Mary T Nephrology Hall, Amanda K Nephrology, Keller, Christopher R MD Nephrology Keller, Christopher R MD Nephrology Meng, Jerry MD Nephrology Silva, Arnold MD Nephrology Silva, Arnold MD Nephrology Neurological Surgery Hajjar, Michael V MD Neurological Surgery Johans, Timothy J MD Neurological Surgery Manning, Thomas C MD Neurological Surgery Montalbano, Paul J MD Neurological Surgery Neurology Asher, Stephen W MD Neurology Cline, Martha A MD Neurology Djernes, Michael R MD Neurology Han, Allen C MD Neurology Herrold, James M MD Neurology Maxwell, Shane A DO Neurology Orme, Heidi T Neurology Whitesell, Jackie Neurology 690 S Industry Way Ste 45-7907 1833 S Millenium Way 750 W Ustick Rd Ste 120 Meridian, ID 83646-6133 750 W Ustick Rd Ste 120 Meridian, ID 83646-6133 660 E Franklin Rd Ste 260 2076 S Eagle Rd -6707 660 E Franklin Rd Ste 260 2321 E Gala St Ste 3 2076 S Eagle Rd -6707 3288 E Pine Ave -5922 3288 E Pine Ave -5922 3525 E Louise Dr Ste 100-6303 3525 E Louise Dr Ste 195-6303 3525 E Louise Dr Ste 100-6303 3525 E Louise Dr Ste 195-6303 3525 E Louise Dr Ste 100-6303 3525 E Louise Dr Ste 195-6303 3525 E Louise Dr Ste 100-6303 3525 E Louise Dr Ste 100-6303 3525 E Louise Dr Ste 195-6303 3875 E Overland Rd 3875 E Overland Rd 3875 E Overland Rd 3875 E Overland Rd 3875 E Overland Rd -9005 3875 E Overland Rd -9005 3277 E Louise Dr Ste 200-9360 3875 E Overland Rd -9005 3875 E Overland Rd Ste 201-9048 3277 E Louise Dr Ste 200-9360 3875 E Overland Rd Ste 201-9048 3551 E Overland Rd (208) 922-2207 (208) 343-7797 (208) 366-1601 (208) 336-1601 (208) 343-0441 (208) 955-7330 (208) 343-0441 (208) 888-5848 (208) 955-7330 (208) 888-8886 (208) 888-8886 (208) 846-8335 (208) 846-8335 (208) 846-8335 (208) 846-8335 -St Alphonsus Regional Medical Center Inc (208) 846-8335 (208) 846-8335 (208) 846-8335 (208) 846-8335 (208) 846-8335 (208) 367-3500 (208) 367-3500 (208) 367-3500 (208) 367-3500 (208) 343-3976 -St Alphonsus Regional Medical Center Inc (208) 343-3976 -St Alphonsus Regional Medical Center Inc (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 343-3976 (208) 343-6200 (208) 884-2920 (208) 343-6200 (208) 302-4200 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 269

Nurse Midwife Certified/Licensed Rhodes, Kristine CNM Nurse Midwife Certified/Licensed Abel, Angela Marie ARNP, RN Abel, Angela Marie ARNP, RN Araquistain, Mary K NPRA, RN Boulton, Cynthia M ARNP, RN Boyer, Shannon C NPRA, RN Bullock, Bobbi NPRA Christensen, Paul H Connley, Katy NPRA, RN Cook, Jennifer K NPRA, RN Eshelman, Charlotte G NPRA, PA, RN Huffine, Cory ARNP, RN Jeppesen, Virginia Jones, Robyn Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Morton, Laura A ARNP Neilson, Janice Neumayer, Jennifer Nordquist, Jennifer Peters, Heidi S NPRA Ralph, Susan Lynette NPRA Robbins, Travis Rye, Jared T Svangstu, Deborah N NPRA, RN / Beattie, Christie J ARNP / Beery, Gloria M NPRA / Crum, Sonya L / Crum, Sonya L / Crum, Sonya L / Curtright, Sarah E ARNP, RN / 520 S Eagle Rd Ste 1245-6355 745 S Progress Ave -5619 690 S Industry Way Ste 45-7907 3025 W Cherry Ln Ste B -8531 3277 E Louise Dr Ste 200-9360 3875 E Overland Rd 3025 W Cherry Ln Ste B -8531 745 S Progress Ave -5619 3250 W Cherry Ln -1120 1618 S Millenium Way Ste 100-6457 3277 E Louise Dr Ste 200-9360 3875 E Overland Rd 520 S Eagle Rd Ste 1201-6355 3025 W Cherry Ln Ste B -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln Ste 205-8531 1618 S Millenium Way Ste 100-6457 2320 E Gala St Ste 500-4875 3025 W Cherry Ln Ste B -8531 2320 E Gala St Ste 500-4875 14 S Baltic Pl -5935 1900 W Chinden Blvd Meridian, ID 83646 3025 W Cherry Ln Ste B -8531 3875 E Overland Rd 790 W Ustick Rd Ste 110 Meridian, ID 83646-5558 1545 E Leighfield Dr Ste 100 Meridian, ID 83646-5371 3115 E Florence Dr 3115 E Florence Dr 1623 S Wells Ave 3277 E Louise Dr Ste 200-9360 Duff, Robert H ARNP, RN 3115 E Florence Dr, / Duff, Robert H ARNP, RN 1623 S Wells Ave, / Frunchak, Yelena / 2640 S Eagle Rd -6704 (208) 345-3136 (208) 895-6729 (208) 922-2207 (208) 367-8550 (208) 884-2920 (208) 367-3500 (208) 367-8550 (208) 895-6729 (208) 367-6127 -St Alphonsus Regional Medical Center Inc (208) 884-3376 (208) 884-2920 (208) 947-7246 (208) 855-9600 (208) 367-8550 (208) 367-8222 (208) 367-8222 (208) 367-8484 (208) 884-3376 (208) 378-0800 (208) 367-8550 (208) 378-0800 (208) 887-7872 (208) 809-2860 (208) 367-8550 (208) 367-3500 (208) 639-3990 (208) 855-2710 (208) 895-8670 (208) 895-8670 (208) 489-1450 (208) 884-2920 -Bingham Memorial Hospital (208) 895-8670 (208) 489-1450 (208) 884-0835 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 270

Gray, Phoebe / Gray, Phoebe / Mangum, Meredith K NPRA, RN / Montierth, Shawnee K NPRA, RN / Morgan, Mary / Moser, Leanna M NPRA, RN / Reinhardt, Kristine M / Ricciardi, Suzanne Marie / Snyder, Nancy L NPRA / Stark, Mary K NPRA / Stone, Brookney R NPRA / Tarter, Cherese R / Underkofler, Kari Mae NPRA, RN / Van Zandt, Shirley NPRA / Whitehead-Price, Kelly R / Whitener, Linda A / Woolston, Courtney M / /Mental Health Corey, Ann M NPRA /Mental Health Nation, Rebekah ARNP, RN /Mental Health Reiland, Joycelyn J /Mental Health /Pediatric McCrory, Vanessa I /Pediatric Weller, Katie /Pediatric Weller, Katie /Pediatric /Women's Health Hadfield, Tammy L NPRA, RN /Women's Health Terrell, Stephanie L NPRA, RN /Women's Health Bradford, Donnell L Digiosia, Juliana L Fox, John S Jacobs, Jeffrey R Janowiak, Mary A Kaiser, John Rhyan MD Kasper, Megan E MD 2275 S Eagle Rd Ste 120-2620 925 NW 1st St 1525 E Leigh Field Dr Ste 150 Meridian, ID 83646 2273 E Gala St Ste 110-7289 925 NW 1st St 1525 E Leigh Field Dr Ste 150 Meridian, ID 83646 3025 W Cherry Ln Ste B -8531 745 S Progress Ave -5619 2275 S Eagle Rd Ste 120-2620 2112 E Franklin Rd -9024 790 W Ustick Rd Ste 110 Meridian, ID 83646-5558 1560 N Crestmont Dr Ste A -2178 3277 E Louise Dr Ste 200-9360 3025 W Cherry Ln Ste B -8531 3025 W Cherry Ln Ste B -8531 3025 W Cherry Ln Ste B -8531 2112 E Franklin Rd -9024 2076 S Eagle Rd -6707 1404 N Main St Ste 101 2273 E Gala St Ste 100-7289 3653 N Locust Grove Rd Meridian, ID 83646-5924 1130 E Fairview Ave -1813 3115 E Florence Dr 1943 N Locust Grove Rd Meridian, ID 83646 2273 E Gala St Ste 110-7289 3025 W Cherry Ln Ste B -8531 3025 W Cherry Ln Ste B -8531 1545 E Leighfield Dr Ste 100 Meridian, ID 83646-5371 2857 S Meridian Rd Ste 100-7960 3025 W Cherry Ln Ste B -8531 3277 E Louise Dr Ste 200-9360 3277 E Louise Dr Ste 200-9360 (208) 514-2500 (208) 514-2527 (208) 888-1199 (208) 994-5700 (208) 514-2527 (208) 888-1199 (208) 367-8550 (208) 895-6729 (208) 514-2500 (208) 893-6300 ADA Accessible (208) 639-3990 (208) 650-4888 (208) 884-2920 (208) 367-8550 Not accepting new patients (208) 367-8550 (208) 367-8550 (208) 893-6300 ADA Accessible (208) 955-7330 -St Alphonsus Regional Medical Center Inc (208) 888-6264 Not accepting new patients ADA Accessible (208) 898-8999 (208) 338-5437 (208) 888-9393 (208) 895-8670 (208) 287-8400 (208) 994-5700 (208) 367-8550 (208) 367-8550 (208) 855-2710 (208) 639-7300 (208) 367-8550 (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2920 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 271

Knutson, Christina M MD Lovelace, Glen S MD Siudzinski, Kelly MD Zakarian, Marianne L Occupational Medicine Martinez, Stephen Occupational Medicine Occupational Therapy Bjornson, Michelle L Occupational Therapy Curtis, Candice Faye OT Occupational Therapy Curtis, Candice Faye OT Occupational Therapy Galm, Heather Dawn Occupational Therapy List, Kimberly Occupational Therapy Moroge, Andrea M Occupational Therapy Strickler, Rebecca Occupational Therapy VanOrder, Charee Occupational Therapy Wagner, Tricia Occupational Therapy Ophthalmology Carter, Tracy D DO Ophthalmology Fethke, Kathryn M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hufsmith, Sandra J MD Ophthalmology Kent, Gregory J MD Ophthalmology McKinnon, Ryan S MD Ophthalmology Miller, Mark R Ophthalmology Mong, Jacob A DO Ophthalmology Simpson, Scott C MD Ophthalmology Optometry Carter, Lee Optometry Christensen, Robert D OD Optometry Crawford, Brandon B OD Optometry Dayton, Drew C Optometry Mcelroy, Kevin W OD Optometry Nielson, Dennis E. OD Optometry Pabalis, Gary R OD Optometry Simmons, Deric Optometry 3025 W Cherry Ln Ste B -8531 520 S Eagle Rd Ste 1245-6355 2273 E Gala St Ste 110-7289 2536 N Stokesberry Pl Meridian, ID 83646-1144 3115 E Florence Dr 3020 W Cherry Ln Ste D 1098 N Hickory Ave Ste 110-9255 179 SW 5th Ave 1098 N Hickory Ave Ste 110-9255 179 SW 5th Ave 1098 N Hickory Ave Ste 110-9255 179 SW 5th Ave 3020 W Cherry Ln Ste D 179 SW 5th Ave 3025 W Cherry Ln Ste 207 3090 E Gentry Way Ste 120-3549 3277 E Louise Dr Ste 200-9360 2620 S Eagle Rd -6704 2620 S Eagle Rd -6704 3277 E Louise Dr Ste 200-9360 3045 E St Lukes St Ste 100-3507 3025 W Cherry Ln Ste 207 3715 E Overland Rd Ste 250-8395 3090 E Gentry Way Ste 120-3549 3045 E St Lukes St Ste 100-3507 3045 E St Lukes St Ste 100-3507 2620 S Eagle Rd -6704 50 E Carmel Dr Meridian, ID 83646-3301 1012 N Main St -2304 3025 W Cherry Ln Ste 207 3090 E Gentry Way Ste 120-3549 (208) 367-8550 (208) 345-3136 (208) 994-5700 (208) 855-0880 (208) 895-8670 (208) 367-8593 (208) 954-0263 (208) 367-8282 (208) 888-6885 (208) 367-8282 (208) 954-0263 (208) 367-8282 (208) 367-8593 (208) 367-8282 (208) 898-1614 -St Alphonsus Regional Medical Center Inc (208) 888-0005 (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 342-5151 (208) 342-5151 (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 288-2020 (208) 898-1614 -St Alphonsus Regional Medical Center Inc (208) 855-5950 -St Alphonsus Regional Medical Center Inc (208) 888-0005 Languages: SPANISH (208) 288-2020 Languages: PORTUGUESE (208) 288-2020 (208) 342-5151 (208) 888-5252 (208) 888-5252 (208) 898-1614 (208) 888-0005 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 272

Williams, Bret D Optometry Curran, Andrew R, Sports Medicine Daines, Michael T MD Hansen, Robert G MD, Surgery, Hand Hassinger, David MD Hassinger, Sean MD Holley, Keith G MD Johnston, James M. MD Kemp, Travis J Kloss, John G MD Kristensen, Ronald M MD Lamey, David M MD Menzner, Jeffry P MD Moss, Stanley W Moss, Stanley W Nicola, George A MD Palmer, Kyle L MD Robinson, Tildon Clark MD Shevlin, Michael MD Smith, John Q MD Spelich, Mark A MD Tadje, Jared P Walker, Robert MD Webb, Darby MD Otolaryngology Boyajian, John A. CRNA Otolaryngology Boyajian, John A. CRNA Otolaryngology Tubach, Martin Otolaryngology Pain Management Marsh, Daniel R MD Pain Management Marsh, Daniel R MD Pain Management Pediatric Cardiology Adams, Robert F MD Pediatric Cardiology Alexander, Diana C Pediatric Cardiology Mack, Gordon K MD Pediatric Cardiology Pediatrics 3045 E St Lukes St Ste 100-3507 3025 W Cherry Ln -8531 3875 E Overland Rd -9005 3875 E Overland Rd -9005 3015 E Magic View Dr 3015 E Magic View Dr 3025 W Cherry Ln -8531 520 S Eagle Rd Ste 3213-6356 3015 E Magic View Dr 520 S Eagle Ste 3213 520 S Eagle Rd Ste 3213-6356 520 S Eagle Ste 3213 520 S Eagle Rd Ste 3213-6356 520 S Eagle Rd Ste 1201-6355 520 S Eagle Rd Ste 1201-6355 3875 E Overland Rd -9005 3875 E Overland Rd -9005 3025 W Cherry Ln -8531 3875 E Overland Rd -9005 3875 E Overland Rd -9005 3015 E Magic View Dr 520 S Eagle Rd Ste 1201-6355 520 S Eagle Rd Ste 3213-6356 520 S Eagle Rd Ste 3213-6356 3085 E Magic View Dr Ste 140-3757 3085 E Magic View Dr Ste 140-3757 3115 E Florence Dr 3875 E Overland Rd Ste 200 3875 E Overland Rd 3525 E Louise Dr Ste 250-6303 3525 E Louise Dr Ste 250-6303 3525 E Louise Dr Ste 250-6303 (208) 288-2020 (208) 288-4700 (208) 895-0888 (208) 895-0888 (208) 855-2410 (208) 855-2410 (208) 288-4700 (208) 323-2600 (208) 855-2410 (208) 898-0100 (208) 323-2600 (208) 898-0100 (208) 323-2600 (208) 855-9600 (208) 855-9600 (208) 895-0888 (208) 884-8300 (208) 288-4700 (208) 895-0888 (208) 895-0888 (208) 855-2410 (208) 855-9600 (208) 323-2600 (208) 323-2600 (208) 433-9300 ADA Accessible (208) 433-9300 (208) 895-8670 (208) 947-7246 (208) 947-7246 (208) 336-9188 (208) 336-9188 (208) 587-8401 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 273

Aguilar, Richard MD Pediatrics Aldous, Michael B MD Pediatrics Andrews, Deanna M Pediatrics Bennett, Jeannette E MD Pediatrics Bradford, Velma S Pediatrics Brown, Perry S Pediatrics Copeland, Katie E MD Pediatrics Dominguez-Owens, Heather N. Pediatrics Kissam, Barbara E Pediatrics Knowles, Byron D MD Pediatrics Smith, Steven A Pediatrics Taylor, Brandon M DO Pediatrics Van Steenbergen, Allyson A Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Walker, Eloisa S Pediatrics, Pediatric Cardiology Zieba, Angella M Pediatrics Physical Medicine and Rehabilitation Bates, James H MD Physical Medicine and Rehabilitation Friedman, Robert H MD Physical Medicine and Rehabilitation Greenwald, Nancy E MD Physical Medicine and Rehabilitation Gussner, Christian G MD Physical Medicine and Rehabilitation Harris, Mark J MD Physical Medicine and Rehabilitation Moore, Monte H MD Physical Medicine and Rehabilitation Morland, James H MD Physical Medicine and Rehabilitation Quattrone, Barbara E MD Physical Medicine and Rehabilitation Sant, Michael O MD Physical Medicine and Rehabilitation Ackerman, Jerrod R PT Allred, Garren Ashenbrener, Samantha L Barnes, Nicole L Barnes, Robert M PT Booth, Matthew R PT Box, Jeffrey A PT Bunnell, Erica L PT 3277 E Louise Dr Ste 200-9360 3277 E Louise Dr Ste 200-9360 3277 E Louise Dr Ste 200-9360 3277 E Louise Dr Ste 200-9360 3653 N Locust Grove Rd Meridian, ID 83646-5924 2275 S Eagle Rd Ste 120-2620 3277 E Louise Dr Ste 200-9360 3653 N Locust Grove Rd Meridian, ID 83646-5924 3653 N Locust Grove Rd Meridian, ID 83646-5924 3277 E Louise Dr Ste 200-9360 3653 N Locust Grove Rd Meridian, ID 83646-5924 3653 N Locust Grove Rd Meridian, ID 83646-5924 3653 N Locust Grove Rd Meridian, ID 83646-5924 520 S Eagle Rd Ste 3213-6356 520 S Eagle Rd Ste 2204 3653 N Locust Grove Rd Meridian, ID 83646-5924 2690 S Eagle Rd Ste 150-6704 3551 E Overland Rd 3551 E Overland Rd 3551 E Overland Rd 3551 E Overland Rd 3551 E Overland Rd 3875 E Overland Rd Ste 200-9048 3551 E Overland Rd 3551 E Overland Rd 3645 E Overland Rd -6751 179 SW 5th Ave 3645 E Overland Rd -6751 3645 E Overland Rd -6751 3645 E Overland Rd -6751 3645 E Overland Rd -6751 1450 E Fairview Ave Ste 201-1819 3551 E Overland Rd -6757 (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 338-5437 (208) 514-2500 (208) 884-2920 (208) 338-5437 (208) 338-5437 (208) 884-2920 (208) 338-5437 (208) 338-5437 (208) 338-5437 -St. Luke Community Hospital (208) 336-9188 Languages: SPANISH (208) 336-9188 Languages: SPANISH (208) 338-5437 (208) 401-1000 -St Alphonsus Regional Medical Center Inc (208) 489-4016 (208) 489-4016 (208) 489-4016 (208) 489-4016 (208) 489-4016 (208) 955-7246 (208) 489-4016 (208) 489-4016 (208) 888-7765 (208) 367-8282 (208) 888-7765 (208) 888-7765 (208) 888-7765 (208) 888-7765 (208) 887-6757 (208) 888-3900 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 274

Cazier, Caleb P PT Cope, Adam M PT Danielson, Galen E. PT Danielson, Galen E. PT Douglass, Benjamin Brook PT Douglass, Benjamin Brook PT Duke, Catherine E Dupont, Corey E PT English, Mindy E PT Gabrielsen, Jacob A. PT Gabrielsen, Jacob A. PT Gerard, Therese Gleason, Stephanie Glenn, Rilee Hatab, Christine Henderson, Heather J PT Hietschold, Shannon Hulsey, Kevin L PT Johnson, Miranda Keele, Barb Keele, Jason Krall, Darrell Kuznia, Benjamin Allen Lausen, Jon Patrick Meyer, Nichol Moss, Mark L PT Partridge Gammo, Lyndsey Pearson, Allison Pierce, Brett Andrew PT Pierce, Brett Andrew PT Richey, Beth Saul, Kevin Schow, Michael PT Simpson, Douglas B. Simpson, Douglas B. Smith, Matthew E PT Smith, Matthew E PT 3551 E Overland Rd -6757 745 S Progress Ave Meridian, ID 83646 1560 S Carol St Meridian, ID 83646-1839 745 S Progress Ave Meridian, ID 83646 3551 E Overland Rd -6757 745 S Progress Ave -5619 3645 E Overland Rd -6751 3645 E Overland Rd -6751 3645 E Overland Rd -6751 2470 N Stokesberry Pl Meridian, ID 83646-5035 2270 W Everest Ln Ste 2280 Meridian, ID 83646 179 SW 5th Ave 179 SW 5th Ave 3875 E Overland Rd 179 SW 5th Ave 1626 Wells Ave Ste 105-4528 3020 W Cherry Ln Ste D 745 S Progress Ave Meridian, ID 83646 179 SW 5th Ave 3020 W Cherry Ln Ste D 3875 E Overland Rd 520 S Eagle Ste 3213 3551 E Overland Rd -6757 1450 E Fairview Ave Ste 201-1819 179 SW 5th Ave 3645 E Overland Rd -6751 3020 W Cherry Ln Ste D 3020 W Cherry Ln Ste D 2470 N Stokesberry Pl Meridian, ID 83646-5035 2270 W Everest Ln Ste 2280 Meridian, ID 83646 3020 W Cherry Ln Ste D 3020 W Cherry Ln Ste D 1450 E Fairview Ave Ste 201-1819 2470 N Stokesberry Pl Meridian, ID 83646-5035 2270 W Everest Ln Ste 2280 Meridian, ID 83646 1560 S Carol St Meridian, ID 83646-1839 745 S Progress Ave Meridian, ID 83646 (208) 888-3900 (208) 895-0309 Languages: SPANISH (208) 288-1155 Languages: SPANISH (208) 895-0309 Languages: SPANISH (208) 888-3900 (208) 895-6729 (208) 888-7765 (208) 888-7765 (208) 888-7765 (208) 884-8323 Languages: SPANISH (208) 855-2855 Languages: SPANISH (208) 367-8282 (208) 367-8282 (208) 367-4470 (208) 367-8282 (208) 789-0200 (208) 367-8593 (208) 895-0309 (208) 367-8282 (208) 367-8593 (208) 367-4470 (208) 898-0100 (208) 888-3900 (208) 887-6757 (208) 367-8282 (208) 888-7765 (208) 367-8593 (208) 367-8593 (208) 884-8323 (208) 855-2855 (208) 367-8593 (208) 367-8593 (208) 887-6757 Languages: DANISH (208) 884-8323 (208) 855-2855 (208) 288-1155 Languages: SPANISH (208) 895-0309 Languages: SPANISH Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 275

Stephens, Scott Allen PT Vinci, Paul West PT Wagner, Lynsey J PT Walker, Nikki L. PT Weerts, Robin Wegley, Roger S Weiderman, Brian C PT Weishaar, Jamie A PT Weldon, Garrett PT Weldon, Garrett PT White, Brian L PT Whitworth, Kala C PT Zbaraschuk, Korey L PT Abe, Hodaka P Allen, Laura B Allen, Nicolas J PAC Barclay, David J Barnes, Daryn Burke, Louis Callaway, Jackie B Carmichael, Lindsey J PA Casebolt, Alex P PA Chorn, Andy S Church, Nathan Coleman, Scott R PAC Erstad, Lindsay Flaker, Jeffrey PAC Flaker, Jeffrey PAC Frazee Whitson, Heather Frazee Whitson, Heather Frelly, Stephen PAC Friedt, Brian D Frisby, Scott Frix, Jeremy Galloway, Meghan PAC 3551 E Overland Rd -6757 745 S Progress Ave Meridian, ID 83646 3645 E Overland Rd -6751 1560 S Carol St Meridian, ID 83646-1839 3875 E Overland Rd 3645 E Overland Rd -6751 3645 E Overland Rd -6751 745 S Progress Ave Meridian, ID 83646 3551 E Overland Rd -6757 745 S Progress Ave -5619 1450 E Fairview Ave Ste 201-1819 3645 E Overland Rd -6751 2470 N Stokesberry Pl Meridian, ID 83646-5035 3875 E Overland Rd -9005 1618 S Millenium Way Ste 100-6457 3399 E Louise Dr -5047 2947 E Magic View Dr Ste 1-3562 3115 E Florence Dr 3875 E Overland Rd -9005 3015 E Magic View Dr 3015 E Magic View Dr 3277 E Louise Dr Ste 200-9360 3015 E Magic View Dr 1900 W Chinden Blvd Meridian, ID 83646 3277 E Louise Dr Ste 200-9360 2536 N Stokesberry Pl Meridian, ID 83646-1144 3875 Overland Rd 3875 E Overland Rd 745 S Progress Ave -5619 3165 Meridian Rd 1618 S Millenium Way Ste 100-6457 1618 S Millenium Way Ste 100-6457 1525 E Leigh Field Dr Ste 150 Meridian, ID 83646 1900 W Chinden Blvd Meridian, ID 83646 3875 E Overland Rd (208) 888-3900 (208) 895-0309 (208) 888-7765 (208) 288-1155 Languages: SPANISH (208) 367-4470 (208) 888-7765 (208) 888-7765 (208) 895-0309 (208) 888-3900 (208) 895-6729 (208) 887-6757 Languages: DANISH (208) 888-7765 (208) 884-8323 (208) 895-0888 (208) 884-3376 (208) 364-3000 (208) 854-9534 (208) 895-8670 (208) 884-8300 (208) 855-2410 (208) 855-2410 (208) 884-2920 (208) 855-2410 -St Alphonsus Regional Medical Center Inc (208) 809-2860 (208) 884-2920 (208) 855-0880 (208) 367-3500 (208) 367-3500 (208) 895-6729 (208) 287-2064 (208) 884-3376 (208) 884-3376 (208) 888-1199 (208) 809-2860 (208) 367-3500 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 276

Gardner, Marshall E. Gill, Taya D PA Gill, Taya D PA Gonzales, Gladys Graklanoff, Teresa E Griggs, Jeffrey Hanson, Stephanie PA Hartley, Arlene C Holder, Katy PAC Holmes, Cynthia L. Jamison, Craig R Josefow, Kathryn A PAC Kerns, Benjamin T King, Rachel M PA Lawler, Helen Levitch, Rachel Loewenstein, Timothy Loewenstein, Timothy Lute, Joshua M Maffey, Jenna McClenahan, Melissa B McGill, Jennifer D McMeekin, David O Middleton, Julia Miles, Michele L PAC Mitchell, Janet E. PAC Moss, Eric C Nielsen, Kathleen R PAC Noel, Brenton J PAC Otstot, Todd M Papa, Jared W Pollmann, Robert PA Proffitt, Frannie A PAC Rogers, Victoria S Ruiz, Jamie PA Sanders, Lisa K Schwartz, Amanda R PA 3090 E Gentry Way Ste 140-3549 2947 E Magic View Dr Ste 1-3562 3277 E Louise Dr Ste 200-9360 2273 E Gala St Ste 100-7289 1618 S Millenium Way Ste 100-6457 520 S Eagle Rd Ste 3213-6356 1525 E Leigh Field Dr Ste 150 Meridian, ID 83646 3025 W Cherry Ln Ste B -8531 2855 E Magic View Dr -6245 3025 W Cherry Ln Ste B -8531 3875 E Overland Rd -9005 520 S Eagle Ste 3213 520 S Eagle Rd Ste 3213-6356 3277 E Louise Dr Ste 200-9360 3025 W Cherry Ln Ste 205 925 NW 1st St 3115 E Florence Dr 1623 S Wells Ave 3015 E Magic View Dr 1900 W Chinden Blvd Meridian, ID 83646 2855 E Magic View Dr -6245 3277 E louise Dr Ste 350-5510 3115 E Florence Dr 3875 E Overland Rd Ste 200-9048 1525 E Leigh Field Dr Ste 150 Meridian, ID 83646 3025 W Cherry Ln Ste B -8531 3015 E Magic View Dr 2640 S Eagle Rd -6704 1623 S Wells Ave 3277 E Louise Dr Ste 200-9360 2275 S Eagle Rd Ste 120-2620 3551 E Overland Rd 3115 E Florence Dr 3277 E Louise Dr Ste 200-9360 2450 E Gala St Ste 100-4805 520 S Eagle Rd Ste 1234-6355 3025 W Cherry Ln Ste B -8531 (208) 433-9300 (208) 854-9534 (208) 884-2920 (208) 898-8999 (208) 884-3376 (208) 323-2600 (208) 888-1199 (208) 367-8550 (208) 639-4900 (208) 367-8550 (208) 895-0888 (208) 898-0100 (208) 323-2600 (208) 884-2920 (208) 367-8484 (208) 514-2527 (208) 895-8670 (208) 489-1450 (208) 855-2410 (208) 809-2860 (208) 639-4900 (208) 887-9500 (208) 895-8670 (208) 955-7246 (208) 888-1199 (208) 367-8550 (208) 855-2410 (208) 884-0835 (208) 489-1450 (208) 884-2920 (208) 514-2500 (208) 489-4016 (208) 895-8670 (208) 884-2920 (208) 908-4541 (208) 429-0300 (208) 367-8550 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 277

Sherwood, Charles T PAC Smith, Jeffrey D PAC Smith, Preston Scott Stear, Jennifer L PAC Steinburg, Rick L Steinburg, Rick L Steinburg, Rick L Talford, David B Talford, David B Vickers, Amber M PA Visser, Juliann C PAC Watsen, Sharene E PA Wells, Becky White, Michael D PAC Wikfors, Bryce PAC Wilson, Ryan G Plastic Surgery Wigod, Mark D Plastic Surgery Podiatry Anderson, Kerry W DPM Podiatry Benedict, Randall L DPM Podiatry Burk, Phillip N DPM Podiatry Burk, Phillip R Podiatry Jones, Stewart O DPM Podiatry Kinghorn, Kurt E DPM Podiatry Leis, Stanley B DPM Podiatry Smiley-Leis, Rebecca A DPM Podiatry Stano, William S. DPM Podiatry Psychiatry Ashaye, Olurotimi A MD Psychiatry Ashaye, Olurotimi A MD Psychiatry Harrington, Kristina J MD Psychiatry Hoopes, Scott P MD Psychiatry Warren-Sutton, Hamilton Psychiatry Wills, Alex B Psychiatry 14 S Baltic Pl -5935 3015 E Magic View Dr 3277 E Louise Dr Ste 200-9360 3015 E Magic View Dr 3090 E Gentry Way Ste 140-3549 3090 E Gentry Way Ste 140-3549 3085 E Magic View Dr Ste 140-3757 745 S Progress Ave -5619 3165 Meridian Rd 1623 S Wells Ave 1618 S Millenium Way Ste 100-6457 520 S Eagle Rd Ste 1234-6355 1900 W Chinden Blvd Meridian, ID 83646 520 S Eagle Rd Ste 1234-6355 3875 E Overland Rd -9005 1623 S Wells Ave 3630 E Louise Dr 2947 E Magic View Dr Ste 2-3562 2947 E Magic View Dr Ste 2-3562 1828 Millienium Way -5036 1828 S Millenium Way -5036 2947 E Magic View Dr Ste 2-3562 1828 S Millenium Way -5036 2947 E Magic View Dr Ste 2-3562 2947 E Magic View Dr Ste 2-3562 520 S Eagle Rd -6351 2321 E Gala St Ste 3 2365 E Gala St Ste 2 2321 E Gala St Ste 3 2273 E Gala St Ste 100-7289 2076 S Eagle Rd -6707 2321 E Gala St Ste 3 (208) 887-7872 (208) 855-2410 (208) 884-2920 (208) 855-2410 -St Alphonsus Regional Medical Center Inc (208) 433-9300 (208) 433-9300 (208) 433-9300 ADA Accessible (208) 895-6729 (208) 287-2064 (208) 489-1450 -St Alphonsus Regional Medical Center Inc (208) 884-3376 (208) 429-0300 (208) 809-2860 (208) 429-0300 (208) 895-0888 (208) 489-1450 (208) 377-9515 (208) 888-9876 (208) 888-9876 (208) 855-5955 (208) 855-8740 (208) 888-9876 (208) 884-0313 -St Alphonsus Regional Medical Center Inc (208) 888-9876 (208) 888-9876 (208) 343-8907 (208) 888-5848 -St Alphonsus Regional Medical Center Inc (208) 288-2280 -St Alphonsus Regional Medical Center Inc (208) 888-5848 -Intermountain Hospital (208) 898-8999 (208) 955-7330 (208) 888-5848 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 278

Psychology Brady, Molly M Psychology Brinker, Michael J PY Psychology Connelly, James W PY Psychology Golden, Carolyn S Psychology Greenspan, Barney PY Psychology Hall, Jeffrey D PY Psychology Hulbert, Ryan J Psychology Hulbert, Ryan J Psychology Jorgensen, Melinda L Psychology Klabo, Colleen G Psychology Latta, Amy Psychology Pape, Terrence E Psychology Parks, Kimberly L PY Psychology Peters, Meaghan E PY Psychology Ponsford Hall, Rebekah E PY Psychology Porter, Emily Psychology Sharrette, Johnathan A PY Psychology Snider, Melody L Psychology Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Cegnar, Janet Cegnar, Janet Christianson, Kimball Christianson, Kimball Christianson, Kimball Christianson, Kimball Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coffman, Carolyn E MD Coulam, Curtis H MD Coulam, Curtis H MD Coulam, Curtis H MD Giles, David J MD Gobel, Reginald J MD 2076 S Eagle Rd -6707 2076 S Eagle Rd -6707 2076 S Eagle Rd -6707 2076 S Eagle Rd -6707 1500 E Heritage Park St Ste 125 Meridian, ID 83646-5887 2076 S Eagle Rd -6707 2273 E Gala St Ste 100-7289 2273 E Gala St Ste 100-7289 2076 S Eagle Rd -6707 2076 S Eagle Rd -6707 2076 S Eagle Rd -6707 660 E Franklin Rd Ste 260 2076 S Eagle Rd -6707 2076 S Eagle Rd -6707 2076 S Eagle Rd -6707 2076 S Eagle Rd -6707 2076 S Eagle Rd -6707 2498 N Stokesberry Pl Ste 150 Meridian, ID 83646-6501 3277 E Louise Dr Ste 200-9360 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2131 S Bonito Way -1659 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2855 E Magic View Dr 2929 E Magic View Dr -3560 (208) 955-7330 (208) 955-7330 (208) 955-7330 (208) 955-7330 (208) 884-1205 (208) 955-7330 (208) 898-8999 (208) 898-8999 (208) 955-7330 (208) 955-7330 (208) 955-7330 (208) 343-0441 (208) 955-7330 (208) 955-7330 (208) 955-7330 (208) 955-7330 (208) 955-7330 (208) 957-5450 (208) 884-2920 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 489-9500 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 639-4900 (208) 367-8222 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 279

Gobel, Reginald J MD Gobel, Reginald J MD Gobel, Reginald J MD Hom, Benjamin Hom, Benjamin Hom, Benjamin Hom, Benjamin Jackson, John A MD Jackson, John A MD Jackson, John A MD Jackson, John A MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Knochel, John Q MD Mcgonegle, Shane J Mcgonegle, Shane J Mcgonegle, Shane J Modica, Michael J MD Modica, Michael J MD Moore, Matt T Moore, Matt T Papenfuss, Mark Papenfuss, Mark Peck, Dallas D Peck, Dallas D Peck, Dallas D Peck, Dallas D Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Salber, Jason P MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Scales, Lisa M MD Schaff, Howard B MD 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2131 S Bonito Way -1659 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 489-9500 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 280

Schaff, Howard B MD Schaff, Howard B MD Schaff, Howard B MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Smith, Loreli MD Sobota, Caroline D MD Sobota, Caroline D MD Sobota, Caroline D MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Stemmler, Bertram J MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Taylor, William L MD Wegner, Daniel J MD Wegner, Daniel J MD Shaver, Rodger W. MD Shaver, Rodger W. MD, Vascular & Interventional Davey, Ian C MD, Vascular & Interventional Davey, Neil C MD, Vascular & Interventional Garabedian, Vicken MD, Vascular & Interventional, Internal Medicine Giauque, Anthony P MD, Vascular & Interventional Registered Nurse/Surgical Assist Cornwall, Kelli Registered Nurse/Surgical Assist Thomas, Vera Registered Nurse/Surgical Assist Rheumatology Ader, John T DO Rheumatology 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3025 W Cherry Ln -8531 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 2929 E Magic View Dr -3560 3399 E Louise Ave Ste 400 3399 E Louise Ave Ste 400 3277 E Louise Dr Ste 200-9360 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 368-8573 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 367-8222 (208) 364-3000 (208) 364-3000 (208) 884-2920 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 281

Lagwinski, Mikael D MD Rheumatology Meier, Svetlana Rheumatology Palfreyman, Eric Rheumatology Timmons, Kelly A MD Rheumatology, Sleep Disorder Medicine Hale, Jennifer DO Sleep Disorder Medicine Adams, Jyl E LSW Ahlrichs, Thomas LSW Anderst, Jodi LSW Carpenter, James A LSW Chrisman, Jill Curtis, Laura J Curvey, Lynn P LSW Davis, Eva L LSW De Nofa, Angelique LSW Fisher, Trina Freeman, Jeannie Gonser, Rikki LSW Harsch, Tricia A LSW Hislop, Donna LSW Hitt, Shelly L LSW Jessen, Rachel E LSW La Jeunesse, Jennifer A LSW Leschinski, Alan J LMFT Martindale, Tina M Moreno, Marcos LSW Morgan, Jonathan J LSW Peck, Brian S LSW Phillips, Sandra E LSW Phillips, Sandra E LSW Roethlisberger, Hillary E Salkas, Anthony J Schwartz, Michael D Symmonds, Lauren E Torrez, Javier LSW Wall, Misty Lynn LSW 3277 E louise Dr Ste 350-5510 3277 E louise Dr Ste 350-5510 3277 E louise Dr Ste 350-5510 3277 E Louise Dr Ste 200-9360 3025 W Cherry Ln Ste B -8531 2525 N Stokesberry Pl Unit A Meridian, ID 83646-1510 2275 S Eagle Rd Ste 120-2620 845 E Fairview Ave -8048 2076 S Eagle Rd -6707 2275 S Eagle Rd Ste 120-2620 2076 S Eagle Rd -6707 1833 S Millenium Way 2076 S Eagle Rd -6707 2321 E Gala St Ste 3 2321 E Gala St Ste 3 1833 S Millenium Way 2321 E Gala St Ste 3 1833 S Millenium Way 2321 E Gala St Ste 3 2321 E Gala St Ste 3 2321 E Gala St Ste 3 2076 S Eagle Rd -6707 1406 N Main St Ste 212-1746 660 E Franklin Rd Ste 260 2076 S Eagle Rd -6707 2076 S Eagle Rd -6707 2076 S Eagle Rd -6707 39 E State Ave -2342 2321 E Gala St Ste 3 925 NW 1st St 2596 N Stokesberry Pl Meridian, ID 83646-6114 3288 E Pine Ave -5922 1833 S Millenium Way 2275 S Eagle Rd Ste 120-2620 849 E Fairview Ave Meridian, ID 83646-1806 (208) 887-9500 (208) 887-9500 (208) 887-9500 (208) 884-2920 -Saint Alphonsus Medical Center Nampa Inc (208) 367-8550 (208) 321-4166 (208) 514-2500 (208) 340-1688 (208) 955-7330 (208) 514-2500 (208) 955-7330 (208) 343-7797 (208) 955-7330 (208) 888-5848 (208) 888-5848 (208) 343-7797 (208) 888-5848 (208) 343-7797 (208) 888-5848 (208) 888-5848 (208) 888-5848 (208) 955-7330 (208) 855-4800 (208) 343-0441 (208) 955-7330 (208) 955-7330 (208) 955-7330 (208) 994-3599 (208) 888-5848 (208) 514-2527 (208) 287-9420 (208) 888-8886 (208) 343-7797 (208) 514-2500 (208) 297-9495 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 282

Wick, Cathie D Speech Language Pathology Ambrose, Marla Kay SLPA Speech Language Pathology Colter, Lindsey M Speech Language Pathology Dean, Tiffany Speech Language Pathology Gresham, Amber Speech Language Pathology Holcomb, Kristen Speech Language Pathology Learned, Laura E SLPA Speech Language Pathology Leigh, Meghan Speech Language Pathology Obert, Elsa Speech Language Pathology Pifer, Jami D SLPA Speech Language Pathology Robinson, Heather Speech Language Pathology Van Donsel, Mary Speech Language Pathology Vandervelden, Pat Speech Language Pathology Sports Medicine Smith, Craig M MD Sports Medicine Smith, Craig M MD Sports Medicine Thoracic & Cardiac Surgery Jones, Stephen D Thoracic & Cardiac Surgery Urgent Care Stone, Janine Urgent Care Turner, Mark A MD Urgent Care, Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care Urology Fairfax, Cynthia A MD Urology Fredriksson, William MD Urology Greer, John A MD Urology King, Dawn K MD Urology Klein, Eric W MD Urology Kuo, Helen MD Urology Miller, Stephen J Urology 2321 E Gala St Ste 3 1098 N Hickory Ave Ste 110-9255 179 SW 5th Ave 179 SW 5th Ave 179 SW 5th Ave 179 SW 5th Ave 2076 S Eagle Rd -6707 179 SW 5th Ave 179 SW 5th Ave 2076 S Eagle Rd -6707 3020 W Cherry Ln Ste D 179 SW 5th Ave 179 SW 5th Ave 3025 W Cherry Ln 3015 E Magic View Dr 3399 E Louise Ave Ste 400 3115 E Florence Dr 2076 S Eagle Rd -6707 1130 E Fairview Ave -1813 3115 E Florence Dr 1900 W Chinden Blvd Meridian, ID 83646 3115 E Florence Dr 1130 E Fairview Ave -1813 3115 E Florence Dr 1623 S Wells Ave 2855 E Magic View Dr -6245 2855 E Magic View Dr -6245 2855 E Magic View Dr -6245 2855 E Magic View Dr -6245 2855 E Magic View Dr -6245 2855 E Magic View Dr -6245 2855 E Magic View Dr -6245 (208) 888-5848 (208) 954-0263 (208) 367-8282 (208) 367-8282 (208) 367-8282 (208) 367-8282 (208) 955-7330 (208) 367-8282 (208) 367-8282 (208) 955-7330 (208) 367-8593 (208) 367-8282 (208) 367-8282 (208) 288-4700 -St Alphonsus Regional Medical Center Inc (208) 855-2410 -St Alphonsus Regional Medical Center Inc (208) 364-3000 (208) 895-8670 (208) 955-7330 (208) 888-9393 (208) 895-8670 (208) 809-2860 (208) 895-8670 (208) 888-9393 (208) 895-8670 (208) 489-1450 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 639-4900 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 283

Rice, David B Urology Waldmann, Todd M MD Urology Watkins, Wilfred MD Urology Williams, Joseph H MD Urology Middleton Squire, Jr, George C DC Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Hughes, Meghan Laitinen, William T MD, Hospitalist Hospitalist Wilson, Martha C, Hospitalist / Bean, Karen / Guy, Rebecca NPRA / McConkie, Richard M NPRA, RN / Schooler Smith, Andrea NPRA / Swainston, Rebecca A / /Mental Health Stackle, Mary J NPRA, RN /Mental Health Optometry Bewley, James R Optometry Black, William T OD Optometry Farris, Stephen J OD Optometry Galvan-Shubin, Candice A Optometry Stebel, Holly L Optometry Allred, Jason D. Lee, Brian W PT Sands, Charles Wahl, Andrea J. Christensen, Kristin Hackenberg, Amber A PAC Kingery, Kristine Ostolasa, Sis E PAC 2855 E Magic View Dr -6245 2855 E Magic View Dr -6245 2855 E Magic View Dr -6245 2855 E Magic View Dr -6245 111 E Main St Middleton, ID 83644-5705 201 S 1st Ave E Middleton, ID 83644 201 S 1st Ave E Middleton, ID 83644 201 S 1st Ave E Middleton, ID 83644 201 S 1st Ave E Middleton, ID 83644 381 S Middleton Rd Ste B Middleton, ID 83644-5369 381 S Middleton Rd Ste B Middleton, ID 83644-5369 381 S Middleton Rd Ste B Middleton, ID 83644-5369 201 S 1st Ave E Middleton, ID 83644 381 S Middleton Rd Ste B Middleton, ID 83644-5369 201 S 1st Ave E Middleton, ID 83644 381 S Middleton Rd Middleton, ID 83644-5369 381 S Middleton Rd Middleton, ID 83644-5369 381 S Middleton Rd Middleton, ID 83644-5369 381 S Middleton Rd Middleton, ID 83644-5369 381 S Middleton Rd Middleton, ID 83644-5369 533 S Middleton Rd Middleton, ID 83644-6013 18 E Main St Ste 1 Middleton, ID 83644-5823 533 S Middleton Rd Middleton, ID 83644-6013 533 S Middleton Rd Middleton, ID 83644-6013 381 S Middleton Rd Ste B Middleton, ID 83644-5369 381 S Middleton Rd Ste B Middleton, ID 83644-5369 381 S Middleton Rd Ste B Middleton, ID 83644-5369 381 S Middleton Rd Ste B Middleton, ID 83644-5369 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 585-3657 (208) 585-0048 (208) 585-0048 (208) 585-0048 (208) 585-0048 (208) 535-6311 (208) 535-6311 (208) 535-6311 (208) 585-0048 (208) 535-6311 (208) 585-0048 (208) 459-2020 (208) 459-2020 (208) 459-2020 (208) 459-2020 (208) 459-2020 (208) 585-6566 (208) 585-0051 (208) 585-6566 (208) 585-6566 (208) 535-6311 (208) 535-6311 (208) 535-6311 (208) 535-6311 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 284

Montpelier Campbell, Clay Ian MD Crane, Peter Melvin Hansen, Lance Andrew MD Jacobson, Trevor Dean MD General Surgery Podany, Joseph E General Surgery Caldwell, Nicole L Clark, Jack Osborne MD Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Jepsen, Kerry Glen MD Dayton, Joseph Lymen PA Moss, Alex Cameron PA Moss, Alex Cameron PA Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Funk, Kevin C., Neuroradiology Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO 166 S 5th St Montpelier, ID 83254-4959 465 Washington St Montpelier, ID 83254-1544 465 Washington St Montpelier, ID 83254-1544 166 S 5th St Montpelier, ID 83254-4959 166 S 5th St Montpelier, ID 83254-4959 164 S 5th St Montpelier, ID 83254-1557 166 S 5th St Montpelier, ID 83254-4959 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 465 Washington St Montpelier, ID 83254-1544 166 S 5th St Montpelier, ID 83254-4959 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 164 S 5th St Montpelier, ID 83254-1557 (208) 847-3847 (208) 847-4495 (208) 847-4495 -Bear Lake County Memorial Hospital (208) 847-4327 (208) 847-4327 (208) 847-4354 (208) 847-1110 -Bear Lake County Memorial Hospital (208) 847-1630 (208) 847-4354 Languages: GERMAN (208) 847-4354 (208) 847-4495 (208) 847-1110 (208) 847-1630 -Bingham Memorial Hospital -Portneuf Medical Center (208) 847-1630 (208) 847-1630 (208) 847-1630 (208) 847-1630 (208) 847-1630 (208) 847-1630 (208) 847-1630 (208) 847-1630 (208) 847-1630 -Mountain View Hospital LLC (208) 847-1630 (208) 847-1630 (208) 847-1630 (208) 847-1630 (208) 847-1630 -Mountain View Hospital LLC (208) 847-1630 (208) 847-1630 -Bingham Memorial Hospital -Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 285

Moscow Licensed Acupuncturist McLean, Cass Marie LAC Acupuncture Schott, Kameron Renee LAC Acupuncture Allergy & Immunology Wakefield, Kenneth J MD Allergy & Immunology, Wakefield, Kenneth J MD Allergy & Immunology, Audiology Cheng, Julia W Audiology Wood, David CA Audiology Behavioral/Mental Health Pals, Diana L. Behavioral/Mental Health Cardiovascular Disease Chilson, Donald A. MD Cardiovascular Disease Waggoner, Jr., L. Douglas Cardiovascular Disease Williams, Michael P MD Cardiovascular Disease Williams, Michael P MD Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Ellison, Robert L CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Smith, Robert K Cert Registered Nurse Anesthetist (CRNA) McKenzie, James E. DC Dermatology Craig, Stephen D. MD Dermatology Hill, Hilary Hadassah MD Dermatology Kern, Steven M MD Dermatology Ringger, Benjamin Carl MD Dermatology Baker Jr, Norman D DO Baldwin, Ronald F. MD Bentwood, Jennifer Louise MD Bentwood, Jennifer Louise MD Blewett, Kimberley Dawn DO 200 S Almon Ste 102 Moscow, ID 83843 414 S Jefferson St Moscow, ID 83843-2937 619 S Washington St Ste 201 Moscow, ID 83843 700 S Main Moscow, ID 83843 2500 West A St Ste 202 Moscow, ID 83843 2500 West A St Ste 202 Moscow, ID 83843 814 South Washington Street Moscow, ID 83843 623 S Main St Moscow, ID 83843-2983 623 S Main St Moscow, ID 83843-2983 623 S Main St Moscow, ID 83843-2983 213 N Main St Moscow, ID 83843-2700 2300 W A St Moscow, ID 83843-4038 2300 W A St Moscow, ID 83843-4038 619 S Washington St Ste 101 Moscow, ID 83843-3063 619 S Washington St Ste 302 Moscow, ID 83843-3063 619 S Washington St Ste 302 Moscow, ID 83843-3063 619 S Washington St Ste 302 Moscow, ID 83843-3063 619 S Washington St Ste 302 Moscow, ID 83843-3063 700 S Main St Moscow, ID 83843-3056 2500 W A St Moscow, ID 83843-6000 831 Ash St Moscow, ID 83843 2500 W A St Moscow, ID 83843-6000 2500 W A St Moscow, ID 83843-6000 (208) 882-8534 (541) 791-6878 Not accepting new patients ADA Accessible Languages: GERMAN (208) 665-1552 -Bonner General Hospital -Gritman Medical Center Inc (208) 562-9608x3277 (208) 882-4662 (208) 882-4662 (208) 883-0619 -Bonner General Hospital -Gritman Medical Center Inc (208) 882-1523 -Sacred Heart Medical Center (509) 838-7711 (509) 838-7711 -Bonner General Hospital -Sacred Heart Univ District (509) 838-7711 -Bonner General Hospital -Sacred Heart Univ District (208) 883-1500 Not accepting new patients -Gritman Medical Center Inc (208) 883-1500 Not accepting new patients (208) 883-4300 -Gritman Medical Center Inc (208) 665-7546 (208) 665-7546 (208) 665-7546 (208) 665-7546 (208) 883-2227 ADA Accessible (208) 882-2011 (208) 885-6693 -Gritman Medical Center Inc (208) 882-0540 -Gritman Medical Center Inc (208) 882-2011 -Gritman Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 286

Clair, Charles MD Collins, Deborah Anne Kuhn MD Cox, Craig H. MD, Urgent Care Elsbury, Nancy J. Elsbury, Nancy J. Geidl, Ramona Sue MD Grauke, John H. MD Marciano, Patricia Nicolle MD Niska, Lois Ruth DO Paz, Raymond M MD Reetz, Heidi Johanna MD Ruby, Wayne L. MD Ruby, Wayne L. MD Ruby, Wayne L. MD Shearer, Helen M. MD Shearer, Helen M. MD Spain, Francis K. MD Spain, Francis K. MD Spain, Francis K. MD Stoops, Kyrsten E MD Story, Rodney R MD Ting, Robert M. Ting, Robert M. Wagner, Drue O. MD White, Kraig Arthur MD Worth, Dustin K Worth, Dustin K Worth, Dustin K /OB Parker, Bryn E MD /OB Parker, Bryn E MD /OB Parker, Bryn E MD /OB General Surgery Parra, Juan D General Surgery 623 S Main St Ste 1 Moscow, ID 83843-2983 213 N Main St Moscow, ID 83843-2700 623 S Main St Ste 1 Moscow, ID 83843-2983 623 S Main St Ste 1 Moscow, ID 83843-2983 2500 W A St Moscow, ID 83843-6000 213 N Main St Moscow, ID 83843-2700 213 N Main St Moscow, ID 83843-2700 2500 W A St Moscow, ID 83843-6000 719 S Main St Moscow, ID 83843-3041 213 N Main St Moscow, ID 83843-2700 623 S Main St Ste 1 Moscow, ID 83843-2983 623 S Main St Ste 1 Moscow, ID 83843-2983 2500 W A St Moscow, ID 83843-6000 2500 W A St Moscow, ID 83843-6000 623 S Main St Ste 1 Moscow, ID 83843-2983 2500 W A St Moscow, ID 83843-6000 623 S Main St Ste 1 Moscow, ID 83843-2983 640 w Pullman Rd Moscow, ID 83843-2061 2500 W A St Moscow, ID 83843-6000 623 S Main St Ste 1 Moscow, ID 83843-2983 700 S Main St Moscow, ID 83843-3056 623 S Main St Ste 1 Moscow, ID 83843-2983 2500 W A St Moscow, ID 83843-6000 619 S Washington Ste 203 Moscow, ID 83843 623 S Main St Ste 1 Moscow, ID 83843-2983 623 S Main St Ste 1 Moscow, ID 83843-2983 831 Ash St Moscow, ID 83843 2500 W A St Moscow, ID 83843-6000 623 S Main St Ste 1 Moscow, ID 83843-2983 831 Ash St Moscow, ID 83843 2500 W A St Moscow, ID 83843-6000 2301 W A St Ste A Moscow, ID 83843-4042 (208) 882-2011 (208) 882-7565 -Gritman Medical Center Inc (208) 882-2011 (208) 882-2011 -Gritman Medical Center Inc (208) 882-0540 -Gritman Medical Center Inc (208) 882-7565 -Gritman Medical Center Inc (208) 882-7565 Languages: GERMAN (208) 882-2011 -Gritman Medical Center Inc (208) 848-8300 ADA Accessible (208) 882-7565 -Gritman Medical Center Inc (208) 882-2011 (208) 882-2011 -Gritman Medical Center Inc (208) 882-0540 -Gritman Medical Center Inc (208) 882-0540 -Gritman Medical Center Inc (208) 882-2011 -Gritman Medical Center Inc (208) 882-0540 -Gritman Medical Center Inc (208) 882-2011 -Gritman Medical Center Inc -Pullman Regional Hospital (208) 882-0540 -Gritman Medical Center Inc -Pullman Regional Hospital (208) 882-0540 -Gritman Medical Center Inc -Pullman Regional Hospital (208) 882-2011 (208) 883-2227 ADA Accessible (208) 882-2011 -Gritman Medical Center Inc (208) 882-0540 -Gritman Medical Center Inc (208) 892-1346 -Gritman Medical Center Inc (208) 882-2011 (208) 882-2011 -Gritman Medical Center Inc (208) 885-6693 -Gritman Medical Center Inc (208) 882-0540 -Gritman Medical Center Inc (208) 882-2011 -Mary Bridge Children's Hospital -Tacoma General Allenmore Hospital (208) 885-6693 -Mary Bridge Children's Hospital -Tacoma General Allenmore Hospital (208) 882-0540 -Mary Bridge Children's Hospital -Tacoma General Allenmore Hospital (509) 338-0632 Not accepting new patients Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 287

Visger, John S. MD General Surgery Hospitalist Fore, Jane A. Hospitalist Boughton, Janice M. MD Griffing, Katherine L Moon, David K. Park, Melissa L. MD Peterson, Dennis L. Peterson, Dennis L. Spady, Robert N MD White, Kama Sibbell MD Knoff, Karen A. Konen, Nicole Masom, Andrea L RC Vaughn, Glenn Alan LMHC Licensed Massage Therapist Lundgren, Teleea LMP Massage Therapy Rhodes, Belinda Lee LMP Massage Therapy Swanger, Erica LMP Massage Therapy Weston, Paul J LMP Massage Therapy Nephrology Chow, Nelson Nephrology, Neurology Chowdhury, Arif A MD Neurology Campa, Carolyn M NPRA, RN Mortensen, Shannon K. NPRA, RN / Cutler, Hilary L ARNP, RN / Larson, Amy L NPRA, RN / Von Bargen, Elizabeth L ARNP, RN / Watson, Jennifer A NPRA, RN / 2301 W A St Ste A Moscow, ID 83843-4042 700 S Main St Moscow, ID 83843-3056 804 S Washington St Ste A Moscow, ID 83843-3056 212 Rodeo Dr Moscow, ID 83843-9798 405 Styner Ave Moscow, ID 83843-9394 804 S Washington St Ste A Moscow, ID 83843-3056 623 S Main St Ste 1 Moscow, ID 83843-2983 670 W Pullman Rd Moscow, ID 83843-2061 619 S Washington Ste 203 Moscow, ID 83843 804 S Washington St Ste A Moscow, ID 83843-3056 505 S Mountain View Rd Ste 2 Moscow, ID 83843-9205 200 S Almon St Ste 204 Moscow, ID 83843-3066 106 E 3rd St Ste 2B Moscow, ID 83843-2970 2301 W A St Ste C Moscow, ID 83843-4042 700 S Main St Moscow, ID 83843-3056 700 S Main St Moscow, ID 83843-3056 700 S Main St Moscow, ID 83843-3056 700 S Main St Moscow, ID 83843-3056 212 Rodeo Dr Moscow, ID 83843-9798 700 S Main St Moscow, ID 83843-3056 619 S Washington St Ste 302 Moscow, ID 83843-3063 619 S Washington St Ste 302 Moscow, ID 83843-3063 619 S Washington St Ste 302 Moscow, ID 83843-3063 719 S Main St Moscow, ID 83843-3041 700 S Main St Moscow, ID 83843-3056 619 S Washington St Ste 201 Moscow, ID 83843 (509) 338-0632 Not accepting new patients -Gritman Medical Center Inc -Pullman Regional Hospital (208) 883-2227 ADA Accessible (208) 883-6476 ADA Accessible -Gritman Medical Center Inc (509) 340-0930 -Sacred Heart Medical Center (208) 882-8369 -PeaceHealth St John Medical Center (208) 883-6476 ADA Accessible (208) 882-2011 (208) 882-0540 (208) 892-1346 -Gritman Medical Center Inc -Pullman Regional Hospital (208) 883-6476 ADA Accessible (208) 301-0649 (208) 310-4578 (208) 882-1289 (208) 883-1144 (208) 883-2227 ADA Accessible (208) 883-2227 ADA Accessible -Gritman Medical Center Inc (208) 883-2227 ADA Accessible (208) 883-2227 ADA Accessible (509) 340-0930 (208) 882-4511 -St Joseph Regional Medical Center (208) 665-7546 (208) 665-7546 -Gritman Medical Center Inc (208) 665-7546 (208) 848-8300 ADA Accessible (208) 883-2227 ADA Accessible (208) 665-1552 -Gritman Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 288

Watson, Jennifer A NPRA, RN / /Mental Health Blazzard, Deborah NPRA, RN /Mental Health Minudri, Ric MD Trinh, Huong MD Occupational Therapy Willbanks, Dayna K. OT Occupational Therapy Ophthalmology Hoehn, Alyssa Susann MD Ophthalmology Leach, David B. Ophthalmology Richards, Shawn C MD Ophthalmology Optometry Brockbank, Stephen R. Optometry Gleason, Katherine M Baughman OD Optometry Polito, Julia Christine OD Optometry Wilson, Nathan Michael OD Optometry Zollman, Stacie Leann OD Optometry Jacobson, Charles A. Pennington, Steven E. MD Pennington, Steven E. MD Tingstad, Edwin M. MD, Sports Medicine Pediatric Cardiology Anderson, Charles C Pediatric Cardiology Burg, Pamela G Pediatric Cardiology, Cardiovascular Disease Garabedian, Carl P Pediatric Cardiology Garabedian, Hrair A Pediatric Cardiology, Neonatal/Perinatal Medicine, Pediatrics Plymale, Jennifer M Pediatric Cardiology Pediatrics Ariyawansa, P. Malini Pediatrics Boyer, Lennis K. Pediatrics 700 S Main Moscow, ID 83843 1420 S Blaine St Ste 5 Moscow, ID 83843-3973 623 S Main St Ste 5 Moscow, ID 83843-2983 623 S Main St Ste 5 Moscow, ID 83843-2983 872 Troy Hwy ste 170 Moscow, ID 83843 1205 E 6th St Moscow, ID 83843-3705 2500 West A St Ste 202 Moscow, ID 83843 2500 West A St Ste 202 Moscow, ID 83843 872 Troy Rd Ste 130 Moscow, ID 83843-5035 2500 West A St Ste 202 Moscow, ID 83843 872 Troy Rd Ste 130 Moscow, ID 83843-5035 872 Troy Rd Ste 130 Moscow, ID 83843-5035 872 Troy Rd Ste 130 Moscow, ID 83843-5035 2500 W A St Ste 201 Moscow, ID 83843-6000 623 S Main St Ste 6 Moscow, ID 83843-2983 2500 West A Suite 201 Moscow, ID 83843 2500 W A St Ste 201 Moscow, ID 83843-6000 619 S Washington St Moscow, ID 83843-3900 700 S Main St Moscow, ID 83843-3056 700 S Main St Moscow, ID 83843-3056 700 S Main St Moscow, ID 83843-3056 700 S Main St Moscow, ID 83843-3056 1420 S Blaine St Ste 5 Moscow, ID 83843-3973 1420 S Blaine St Ste 5 Moscow, ID 83843-3973 (208) 562-9608x3277 (208) 882-2247 ADA Accessible (208) 883-0813 -Gritman Medical Center Inc (208) 883-0813 (208) 892-8888 (208) 882-3434 -Gritman Medical Center Inc (208) 882-4662 -Gritman Medical Center Inc (208) 882-4662 (208) 883-1800 Languages: SPANISH (208) 882-4662 (208) 883-1800 (208) 883-1800 (208) 883-1800 (208) 883-2828 (208) 883-2828 -Gritman Medical Center Inc (208) 883-2828 -Gritman Medical Center Inc (208) 883-2828 -Gritman Medical Center Inc -Pullman Regional Hospital (509) 747-6707 ADA Accessible -Sacred Heart Medical Center (509) 747-6707 ADA Accessible (509) 747-6707 ADA Accessible (509) 747-6707 ADA Accessible (509) 747-6707 ADA Accessible -Providence Sacred Heart Medical Center & Children's Hospital (208) 882-2247 ADA Accessible -Gritman Medical Center Inc -Pullman Regional Hospital (208) 882-2247 ADA Accessible -Pullman Regional Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 289

Edgehouse, Kristin Ann DO Pediatrics, Pediatric Hematology/Oncology Frostad, Michael J MD Pediatrics Gordon, Methuel Adriano Vishnu MD Pediatrics Kinkel, Amy Nicole MD Pediatrics Riley, Jarrett DO Pediatrics Boyko, Brenda L Eriksson, Marie H. PT Fletcher, Kimberly M. PT Fletcher, Rory Michael PT Godfrey, Matthew PT Isakson, Kelly P. PT Miller, Thomas PT, PT Snell, Hilary PT Thie, Glenda Dorman Ainge, Charlotte S MA Bickford, Albert D PA Bickford, Albert D PA Blazzard, Jacob I PAC Bledsoe, Todd PAC Brown, Lura A PAC Flygare, Richard A PA Goodrich, Wendy Monique PA Goodrich, Wendy Monique PA Graham, Michael C PA Graham, Michael C PA Hebrlee, Jr, James Michael PA Lassen, Matthew Gordon PA, PA, PA Rodriguez, Craig A PA Podiatry 1420 S Blaine St Ste 5 Moscow, ID 83843-3973 1420 S Blaine St Ste 5 Moscow, ID 83843-3973 1420 S Blaine St Ste 5 Moscow, ID 83843-3973 1420 S Blaine St Ste 5 Moscow, ID 83843-3973 1420 S Blaine St Ste 5 Moscow, ID 83843-3973 904 E White Ave Moscow, ID 83843-4046 904 E White Ave Moscow, ID 83843-4046 904 E White Ave Moscow, ID 83843-4046 904 E White Ave Moscow, ID 83843-4046 904 E White Ave Moscow, ID 83843-4046 904 E White Ave Moscow, ID 83843-4046 904 E White Ave Moscow, ID 83843-4046 904 E White Ave Moscow, ID 83843-4046 904 E White Ave Moscow, ID 83843-4046 213 N Main St Moscow, ID 83843-2700 623 S Main St Ste 1 Moscow, ID 83843-2983 670 W Pullman Rd Moscow, ID 83843-2061 1420 S Blaine St Ste 5 Moscow, ID 83843-3973 213 N Main St Moscow, ID 83843-2700 619 S Washington St Ste 302 Moscow, ID 83843-3063 619 S Washington St Ste 302 Moscow, ID 83843-3063 623 S Main St Ste 1 Moscow, ID 83843-2983 2500 W A St Moscow, ID 83843-6000 623 S Main St Ste 1 Moscow, ID 83843-2983 2500 W A St Moscow, ID 83843-6000 719 S Main St Moscow, ID 83843-3041 719 S Main St Moscow, ID 83843-3041 619 S Washington St Ste 302 Moscow, ID 83843-3063 (208) 882-2247 ADA Accessible -Providence Sacred Heart Medical Center & Children's Hospital (208) 882-2247 ADA Accessible -Gritman Medical Center Inc -Pullman Regional Hospital () 2-0888x2247 ADA Accessible -Gritman Medical Center Inc -Pullman Regional Hospital (208) 882-2247 ADA Accessible -Pullman Regional Hospital (208) 882-2247 ADA Accessible (208) 882-1426 (208) 882-1426 (208) 882-1426 (208) 882-1426 (208) 882-1426 (208) 882-1426 (208) 882-1426 (208) 882-1426 (208) 882-1426 (208) 882-7565 -Gritman Medical Center Inc -Pullman Regional Hospital (208) 882-2011 -St Alphonsus Regional Medical Center Inc (208) 882-0540 -St Alphonsus Regional Medical Center Inc (208) 882-2247 ADA Accessible (208) 882-7565 Languages: SPANISH (208) 665-7546 (208) 665-7546 Languages: PORTUGUESE (208) 882-2011 (208) 882-0540 (208) 882-2011 -Gritman Medical Center Inc (208) 882-0540 -Gritman Medical Center Inc (208) 848-8300 ADA Accessible (208) 848-8300 ADA Accessible (208) 665-7546 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 290

Capawana, Bradly J Podiatry Psychiatry Ravasia, Sajid Psychiatry Psychology Fitzgerald, Jarod John PY Psychology Hu, Chia-Chi PY Psychology Rehnberg, Timothy S PY Psychology Steffen, Jeanne Marie Psychology Walker, Walter Rand Psychology Yama, Mark Francis Psychology Gordon, Benjamin HollisJames Ho-Laumann, Nancy Hoo, Charles C Khan, Toseef MD Okoh, James I. MD Parshad, Sulekha Sussman, Arlene MD Archibald, Steven A MD Bulczak, Dariusz Piotr Burkholz, Kimberly MD Caldemeyer, Karen S. MD Calhoun, Shannon Patrick DO Cheng, Sam Cheng, Sam Chilukuri, Ananthakrishna MD Cho, Parina G MD Davis, Mark Cameron MD DeRoo, Teresa Anne Dutton, Amanda MD Dymond, Melissa Lee MD Eggleston, Ben Foral, Jonathan Michael MD Goni, Michelle MD Henry, Charles MD, MD 619 South Washington Suite 103 Moscow, ID 83843 212 Rodeo Dr Moscow, ID 83843-9798 2301 W A St Ste C Moscow, ID 83843-4042 814 S Washington St Moscow, ID 83843-3049 2301 W A St Ste C Moscow, ID 83843-4042 2301 W A St Ste C Moscow, ID 83843-4042 2301 W A St Ste C Moscow, ID 83843-4042 832 Ash St Moscow, ID 83844-0001 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 700 S Main St Moscow, ID 83843-3056 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 700 S Main St Moscow, ID 83843-3056 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 (208) 882-8939 -Pullman Regional Hospital (509) 340-0930 (208) 883-1144 (208) 830-0619 (208) 883-1144 -Pullman Regional Hospital (208) 883-1144 (208) 883-1144 (208) 885-7376 -Gritman Medical Center Inc (208) 882-8369 -Gritman Medical Center Inc (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 ADA Accessible (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 ADA Accessible (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 -Clearwater Valley Hospital -Klickitat Valley Hospital -Whitman County Hospital & Medical Center (208) 882-8369 (208) 882-8369 -Gritman Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 291

Hotchkiss, Laura A. MD Hurt, Christopher J Lovelace, Todd Delton MD Montella, Marc MD Paul, Marc H MD Paul, Marc H MD Philip, Shailendri ER MD Reisenauer, Christin S Rossin, Richard D Spinuzza, Thomas Strong, Benjamin W. MD Takeuchi, Sean Y MD Toothman, Richard L. MD Uytana, Vinson L Wong, William J. Keene, David Hal LSW 700 S Main St Moscow, ID 83843-3056 700 S Main St Moscow, ID 83843-3056 700 S Main St Moscow, ID 83843-3056 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 700 S Main St Moscow, ID 83843-3056 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 700 S Main St Moscow, ID 83843-3056 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 405 Styner Ave Moscow, ID 83843-9394 700 S Main St Moscow, ID 83843-3056 700 S Main St Moscow, ID 83843-3056 700 S Main St Moscow, ID 83843-3056 719 S Main St Moscow, ID 83843-3041 (208) 882-8369 ADA Accessible (208) 882-8369 ADA Accessible (208) 882-8369 ADA Accessible (208) 882-8369 (208) 882-8369 (208) 882-8369 ADA Accessible (208) 882-8369 (208) 882-8369 -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 882-8369 ADA Accessible (208) 882-8369 (208) 882-8369 (208) 882-8369 (208) 882-8369 ADA Accessible (208) 882-8369 ADA Accessible (208) 882-8369 ADA Accessible (208) 848-8300 ADA Accessible -Lake Chelan Community Hospital -Prosser Memorial Hospital Mountain Home Cardiovascular Disease Fonken, Steven J Cardiovascular Disease, Interventional Cardiology Cert Registered Nurse Anesthetist (CRNA) Garrett, Michael P CRNA Cert Registered Nurse Anesthetist (CRNA) Kieffer, Jeffrey F DC Kuracina, Marilee J. Lawler, Christopher T MD,, Sports Medicine Lawler, Christopher T MD,, Sports Medicine Mercy, Michael R. MD Rosenquist, Janet A. MD Thompson, Harold K. Baldridge, Scott A Brininger, Timothy L MD 890 N 6th E Mountain Home, ID 83647-2206 895 N 6th E Mountain Home, ID 83647-2207 667 Old Highway 30 Mountain Home, ID 83647-6202 895 N 6th E Mountain Home, ID 83647-2207 895 N 6th E Mountain Home, ID 83647-2207 890 N 6th E Mountain Home, ID 83647-2206 895 N 6th E Mountain Home, ID 83647-2207 895 N 6th E Mountain Home, ID 83647-2207 895 N 6th E Mountain Home, ID 83647-2207 110 Rattlesnake Ave Ste B Mountain Home, ID 83647-4220 465 McKenna Dr Mountain Home, ID 83647-2143 (208) 377-1415 (208) 587-8401 -St Alphonsus Regional Medical Center Inc (208) 587-4804 (208) 587-8401 (208) 898-0100 (208) 323-2600 (208) 587-8401 (208) 587-8401 (208) 587-8401 (208) 587-5573 (208) 587-9703 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 292

Crossley, Dennis D MD Crossley, Dennis D MD Ensminger, Mark R MD Olson, Karl H MD Roberts, Layne D /OB Muhonen, Timothy J. MD /OB General Surgery Welch, John C MD General Surgery Ziola, Krzysztof H. Ziola, Krzysztof H. Jenks, Barry Edward LMHC Nephrology Hunt, Nicholas MD Nephrology Kendrick, Elizabeth A Nephrology Mallea, Michael MD Nephrology Pintar, Thomas Nephrology Best, Dawn D Sjoberg, Christopher Swartz, Rachel M Johnston, James M. MD Kristensen, Ronald M MD Menzner, Jeffry P MD Walker, Robert MD Webb, Darby MD Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Walker, Eloisa S Pediatrics, Pediatric Cardiology Allred, Jason D. Wahl, Andrea J. 895 N 6th E Mountain Home, ID 83647-2207 465 McKenna Dr Mountain Home, ID 83647-2143 2280 American Legion Blvd Mountain Home, ID 83647-3142 465 McKenna Dr Mountain Home, ID 83647-2143 2000 American Legion Blvd Mountain Home, ID 83647-3138 465 McKenna Dr Mountain Home, ID 83647-2143 2280 American Legion Blvd Mountain Home, ID 83647-3142 895 N 6th E Mountain Home, ID 83647-2207 465 McKenna Dr Mountain Home, ID 83647-2143 2280 American Legion Blvd Mountain Home, ID 83647-3142 840 N 4th E Mountain Home, ID 83647 840 N 4th E Mountain Home, ID 83647 840 N 4th E Mountain Home, ID 83647 840 N 4th E Mountain Home, ID 83647 2280 American Legion Blvd Mountain Home, ID 83647-3142 840 N 4th E Mountain Home, ID 83647 2280 American Legion Blvd Mountain Home, ID 83647-3142 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 1005 Airbase Rd Mountain Home, ID 83647 1005 Airbase Rd Mountain Home, ID 83647 (208) 587-8401 (208) 587-9703 (208) 587-3988 ADA Accessible (208) 587-9703 (208) 587-1500 (208) 587-9703 -Ocean Beach Hospital (208) 587-3988 ADA Accessible Languages: JAPANESE, SPANISH (208) 587-8401 Languages: GERMAN, POLISH (208) 587-9703 Languages: GERMAN, POLISH (208) 587-3988 ADA Accessible Languages: SPANISH (208) 367-3370 (208) 367-3370 Languages: SPANISH (208) 367-3370 (208) 367-3370 (208) 587-3988 ADA Accessible (208) 367-3370 (208) 587-3988 ADA Accessible (208) 323-2600 (208) 323-2600 (208) 323-2600 (208) 323-2600 (208) 323-2600 -St Alphonsus Regional Medical Center Inc (208) 336-9188 Languages: SPANISH (208) 587-8401 Languages: SPANISH (208) 587-1777 (208) 587-1777 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 293

Griggs, Jeffrey Kerns, Benjamin T Lawler, Helen Petrie, Breeann M PA Smith, Delmar W Podiatry Martin, Trever J DPM Podiatry Stano, William S. DPM Podiatry Radiation Oncology Brooks, Joseph MD Radiation Oncology Urology Miller, Stephen J Urology Waldmann, Todd M MD Urology Mullan McDonald, Jara K MD Meza, Michael G. MD / Koep, Julia J NPRA / Wigle, Michael Eugene ARNP, RN / Gibbs, Scott W. PA Yourzek Sr, Michael J PAC Nampa Allergy & Immunology Jeppson, John D Allergy & Immunology Keiley, Michael V Allergy & Immunology Palmer, George W Allergy & Immunology Talreja, Neetu MD Allergy & Immunology Anesthesiology Allen, Andrew W DO Anesthesiology Allen, Andrew W DO Anesthesiology Decker, Michael J. Anesthesiology Mortensen, Joseph Anesthesiology Mortensen, Joseph Anesthesiology Stratton, Michael Anesthesiology 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 465 McKenna Dr Mountain Home, ID 83647-2143 2000 American Legion Blvd Mountain Home, ID 83647-3138 890 N 6th E Mountain Home, ID 83647 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 890 N 6th E Mountain Home, ID 83647-2206 117 Terrill Loop Mullan, ID 83846 117 Terrill Loop Mullan, ID 83846 117 Terrill Loop Mullan, ID 83846 117 Terrill Loop Mullan, ID 83846 117 Terrill Loop Mullan, ID 83846 117 Terrill Loop Mullan, ID 83846 16060 Idaho Center Blvd Nampa, ID 83686 16060 Idaho Center Blvd Nampa, ID 83686 16060 Idaho Center Blvd Nampa, ID 83686 222 W Iowa Ave Ste A Nampa, ID 83686 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 1512 12th Ave Rd Nampa, ID 83686-6008 (208) 323-2600 (208) 323-2600 (208) 367-4278 (208) 587-9703 (208) 587-1500 (208) 466-3338 (208) 343-8907 (208) 639-4900 (208) 639-4900 (208) 639-4900 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 (208) 783-1267 -Shoshone Medical Center (208) 783-1267 (208) 378-0800 (208) 378-0800 (208) 378-0800 (208) 377-4000 -St Alphonsus Regional Medical Center Inc (208) 463-5029 (208) 463-5029 (208) 463-5029 (208) 463-5029 (208) 463-5029 (208) 463-5029 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 294

Stratton, Michael Anesthesiology Trainer, Kerri D Anesthesiology Trainer, Kerri D Anesthesiology Audiology Adams, Shalise CA Audiology Cheshire, Spencer L CA Audiology Elcox, Jacquie A CA Audiology Redmond, Paul C Audiology Whitcomb, Curtis J CA Audiology Workman, Cory D Audiology Cardiac Electrophysiology Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease Oakes, David F Cardiac Electrophysiology, Cardiovascular Disease Vloka, Margo E MD Cardiac Electrophysiology, Cardiovascular Disease Cardiovascular Disease Byrd, Randolph C Cardiovascular Disease Byrd, Randolph C Cardiovascular Disease Byrd, Randolph C Cardiovascular Disease Chambers, John D Cardiovascular Disease Chambers, John D Cardiovascular Disease Codina, Michael A MD Cardiovascular Disease Ferraro, Angelo S Cardiovascular Disease Fonken, Steven J Cardiovascular Disease, Interventional Cardiology Hostetler, Michael D Cardiovascular Disease Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Johnson, Alex C Cardiovascular Disease Katz, Guy E Cardiovascular Disease,, Interventional Cardiology Undesser, Karl P MD Cardiovascular Disease Wetherley, Graham K Cardiovascular Disease Certified Nutritionist/Registered Diet Dammarell, Lynn M Certified Nutritionist/Registered Diet Horrocks, Cindy K Certified Nutritionist/Registered Diet Rich, Marjorie C Certified Nutritionist/Registered Diet Storms, April D Certified Nutritionist/Registered Diet Belnap, Cameron J DC 4400 E Flamingo Ave Nampa, ID 83687-9203 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 1463 Caldwell Blvd Nampa, ID 83651-1607 1463 Caldwell Blvd Nampa, ID 83651-1607 1463 Caldwell Blvd Nampa, ID 83651-1607 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 4424 E Flamingo Ave Ste 200 Nampa, ID 83687 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 1524 12th Ave Rd Nampa, ID 83686-6008 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 4424 E Flamingo Ave Ste 200 Nampa, ID 83687 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 4424 E Flamingo Ave Ste 200 Nampa, ID 83687 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 1200 Garrity Blvd Nampa, ID 83687-3402 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 16459 N Midland Blvd Nampa, ID 83687-5222 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687-9203 211 W Iowa Ave Nampa, ID 83686 723 16th Ave S Nampa, ID 83651-4729 (208) 463-5029 (208) 463-5029 (208) 463-5029 (208) 367-3320 (208) 367-3320 (208) 463-4900 (208) 463-4900 (208) 463-4900 (208) 367-3320 (208) 463-5050 (208) 463-5050 (208) 463-5050 -St Alphonsus Regional Medical Center Inc (208) 463-5050 (208) 463-5050 (208) 463-5050 (208) 463-5050 (208) 463-5050 (208) 463-5050 (208) 463-5050 (208) 463-5050 (208) 463-5050 -Sacred Heart Medical Center (208) 463-5050 -Bonner General Hospital (208) 367-4278 (208) 463-5050 -Deaconess Medical Center -Sacred Heart Univ District (208) 795-5075 (208) 463-5050 (208) 367-6130 (208) 367-6130 (208) 367-6130 (208) 302-0700 (208) 466-1600 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 295

Beyer, Floyd E DC Donaldson, Martin S DC McConnell, Michael J DC McKim, Joshua K DC Moldenhauer, Glenn DC Nelson, Wendell D Swenson, David L DC Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Judd, Connie J NPRA Clinical Nurse Specialist Dermatology Harris, Ryan J MD Dermatology Owsley, Ryan Dermatology Powell, Gavin R MD Dermatology Angleton, Peter J MD Angleton, Peter J MD Barnes, Randy L MD Barnes, Randy L MD Binnion, Dianna L MD Binnion, Dianna L MD Boesiger, Brian M MD Boesiger, Brian M MD Burriesci, Mark A Burriesci, Mark A Calder, Jonathan E MD Calder, Jonathan E MD Campbell, Matthew B Campbell, Matthew B Conklin, Matthew J MD Conklin, Matthew J MD Cornett, Benjamin L Cornett, Benjamin L Davis, Robert L Davis, Robert L Dingman, Jeffrey 2023 12th Ave Rd Nampa, ID 83686-6311 1203 10th St S Nampa, ID 83651-4611 16730 N Marketplace Blvd Nampa, ID 83687-7909 2023 12th Ave Rd Nampa, ID 83686-6311 228 Holly St Nampa, ID 83686-5104 1012 12th Ave S Nampa, ID 83651-4661 723 16th Ave S Nampa, ID 83651-4729 223 16th Ave N Nampa, ID 83687-4058 207 N 16th Ave Nampa, ID 83653 207 1st St S Nampa, ID 83651 318 2nd St S Nampa, ID 83651-3765 16111 N Brinson St Ste 100 Nampa, ID 83687-5509 318 2nd St S Nampa, ID 83651-3765 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 (208) 467-5756 (208) 467-6567 (208) 466-4600 (208) 467-5756 (208) 467-5759 (208) 466-9249 (208) 466-0546 (208) 466-7869 (208) 467-7654 (208) 466-7869 (208) 467-3006 (208) 467-7546 (208) 467-3006 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 296

Dingman, Jeffrey Elliot, Eric T Elliot, Eric T Ellison, Samantha M MD Ellison, Samantha M MD Epperson, John P Epperson, John P Gibson, John M MD Gibson, John M MD Hammerstedt, Heather S Hammerstedt, Heather S Harris, Tyler J MD Harris, Tyler J MD Henzler, Mark A MD Henzler, Mark A MD Huang, Po Y MD Huang, Po Y MD Judd, Matthew T Judd, Matthew T Kim, David T MD Kim, David T MD Kitamura, Brian C Kitamura, Brian C Korinek, Justin D Kraska, Eric MD Kraska, Eric MD Lawler, Christopher T MD,, Sports Medicine Lawler, Christopher T MD,, Sports Medicine Lee, Darin J Lee, Darin J Marshall, Shane K Miller, Jonathan D MD Miller, Jonathan D MD Morris, Chalmer 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 215 E Hawaii Ave Nampa, ID 83687 9850 St Lukes Dr Nampa, ID 83687-7912 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 -St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc (208) 323-2600 (208) 323-2600 -St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc -St Alphonsus Regional Medical Center Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 297

Morris, Chalmer Morris, C Luke Morris, C Luke Nelson, Andrew C Nelson, Andrew C Olsen, Molly Peterson, Kari Peterson, Kari Quinn, Jason M MD Quinn, Jason M MD Reynolds, Brian Reynolds, Brian Reynolds, Charles M Riss, David DO Riss, David DO Saak, Kristen H MD Saak, Kristen H MD Southard, Andrew Southard, Andrew Stillwagon, Nathan Stillwagon, Nathan Thomas, Mark C DO Thomas, Mark C DO Tobe, Christopher E MD Tobe, Christopher E MD Wasielewski, Jessica N MD Wasielewski, Jessica N MD Wilding, Brandon J MD Wilding, Brandon J MD Wilhelmsen, Jason Wyatt, Christopher C Wyatt, Christopher C Acevedo-Daniels, Suhrei Allen, Daniel Baron, Andrew R MD Baron, Andrew R MD 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 223 16th Ave N Nampa, ID 83687-4058 16459 N Midland Blvd Nampa, ID 83687-5222 207 N 16th Ave Nampa, ID 83653 207 1st St S Nampa, ID 83651 (208) 466-7869 (208) 795-5075 (208) 467-7654 (208) 466-7869 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 298

Barrus, Paul E Bitters, J'Cinda Black, Stuart A MD Black, Stuart A MD Bowman, Jonathan MD Bowman, Jonathan MD Buxton, Robert B Clinger, Mark B MD Clinger, Mark B MD Clinger, Mark B MD Clinger, Mark B MD Clinger, Mark B MD Culpepper, Scott A MD Danis, Laura Arnheim DO Goldberg, Marcel A Googe, Sarah L Graham, Austin J. Hansen, Jeffrey A Hansen, Jeffrey A Hansen, Jeffrey A Hansen, Jeffrey A Hansen, Jeffrey A Hill, Douglas M. MD, Occupational Medicine Hlavinka, Jon L Hlavinka, Jon L Hlavinka, Jon L Hlavinka, Jon L Hlavinka, Jon L Hughes, Meghan Hughes, Meghan Hutchings, Randall H. MD Hutchings, Randall H. MD Ingham, Maxine Jensen, Julia M DO Kantayya, Vivek S MD 207 1st St S Nampa, ID 83651 16459 N Midland Blvd Nampa, ID 83687-5222 207 N 16th Ave Nampa, ID 83653 207 1st St S Nampa, ID 83651 207 N 16th Ave Nampa, ID 83653 207 1st St S Nampa, ID 83651 211 W Iowa Ave Nampa, ID 83686-2834 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687 215 E Hawaii Ave Nampa, ID 83686-6011 4400 E Flamingo Ave Nampa, ID 83687-9203 223 16th Ave N Nampa, ID 83687-4058 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1200 Garrity Blvd Nampa, ID 83687-3402 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 223 16th Ave N Nampa, ID 83687-4058 207 1st St S Nampa, ID 83651 1512 12th Ave Rd Nampa, ID 83686-6008 211 W Iowa Ave Nampa, ID 83686-2834 1512 12th Ave Rd Nampa, ID 83686-6008 223 16th Ave N Nampa, ID 83687-4058 207 N 16th Ave Nampa, ID 83653 (208) 466-7869 (208) 795-5075 (208) 467-7654 (208) 466-7869 (208) 467-7654 (208) 466-7869 (208) 302-6800 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 465-5000 (208) 468-5910 (208) 302-7000 (208) 466-7869 (208) 463-5000 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 466-9092 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 466-7869 (208) 466-7869 (208) 463-5000 (208) 302-6800 (208) 463-5000 (208) 466-7869 (208) 467-7654 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 299

Kantayya, Vivek S MD Knorpp, Daniel S DO Kunz, Harold V MD Kunz, Harold V MD Kunz, Harold V MD Kunz, Harold V MD Kunz, Harold V MD Lam, Linda Linn, Erik S MD Linn, Erik S MD Llenos, Joe Marie F Lundberg, Joshua E MD Martin, David Anthony MD Martin, David Anthony MD Martin, David Anthony MD Martin, David Anthony MD Martin, David Anthony MD Mullins, John MD Nichols, Heather E MD Partridge, Christopher A Pearce, John DO Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Redd, Phillip J Richardson, Erik J MD Richardson, Erik J MD Richardson, Erik J MD Richardson, Erik J MD 207 1st St S Nampa, ID 83651 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 211 W Iowa Ave Nampa, ID 83686-2834 214 S Midland Blvd Nampa, ID 83687 11035 W Karcher Rd Nampa, ID 83651 16459 N Midland Blvd Nampa, ID 83687-5222 215 E Hawaii Ave Nampa, ID 83686-6011 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1115 12th Ave Rd Nampa, ID 83686-5738 4400 E Flamingo Ave Nampa, ID 83687 207 1st St S Nampa, ID 83651 16459 N Midland Blvd Nampa, ID 83687-5222 1200 Garrity Blvd Nampa, ID 83687-3402 1512 12th Ave Rd Nampa, ID 83686-6008 214 S Midland Blvd Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687-9203 211 W Iowa Ave Nampa, ID 83686-2834 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 (208) 466-7869 (208) 302-7000 (208) 463-3000 Not accepting new patients -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 Not accepting new patients -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 Not accepting new patients -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 Not accepting new patients (208) 302-6800 (208) 465-6900 (208) 302-6600 (208) 795-5075 (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 498-1080 (208) 465-5000 (208) 466-7869 (208) 795-5075 (208) 466-9092 (208) 463-5000 (208) 465-6900 (208) 302-7000 (208) 302-6800 (208) 463-3000 -St Luke's Elmore Hospital (208) 468-5910 -St Luke's Elmore Hospital (208) 468-5915 -St Luke's Elmore Hospital (208) 288-4991 -St Luke's Elmore Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 300

Richardson, Erik J MD Riley, Mari A Riley, Mari A Siegersma, Wendy M MD Siegersma, Wendy M MD Siegersma, Wendy M MD Siegersma, Wendy M MD Siegersma, Wendy M MD Staller, Sarah R MD Westbrook, Sharon Wiberg, Ralene MD Wilkinson, Kelly C MD, Sports Medicine Wilkinson, Kelly C MD, Sports Medicine Wilson, Martha C, Hospitalist /OB Davidson, Elaine M. MD /OB Davidson, Elaine M. MD /OB Davidson, Elaine M. MD /OB Davidson, Elaine M. MD /OB Davidson, Elaine M. MD /OB General Surgery Ballantyne, Richard MD General Surgery Chown, Mark S. MD General Surgery Fredline, Forrest R DO General Surgery Harmon, Keith Kevin General Surgery Smith, Barry DO General Surgery Williams, Steven W MD General Surgery Williams, Steven W MD General Surgery Williams, Steven W MD General Surgery Williams, Steven W MD General Surgery Gynecologic Oncology Connor, Gerard P MD Gynecologic Oncology Hospitalist Adnan, Muhammad K MD Hospitalist Bensch, Peggie A MD, Hospitalist 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 215 E Hawaii Ave Nampa, ID 83686-6011 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 207 1st St S Nampa, ID 83651 700 Caldwell Blvd Nampa, ID 83651-1707 3908 E Flamingo Ave Nampa, ID 83687-3102 700 Caldwell Blvd Nampa, ID 83651-1707 1115 12th Ave Rd Nampa, ID 83686-5738 4400 E Flamingo Ave Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1603 E 12th Ave Rd Nampa, ID 83686 1611C 12 Ave Road Nampa, ID 83686 401 E Hawaii Ave Nampa, ID 83686-6014 401 E Hawaii Ave Nampa, ID 83686-6014 401 E Hawaii Ave Nampa, ID 83686-6014 215 E Hawaii Ave Nampa, ID 83686-6011 290 W Georgia Ave Nampa, ID 83686-2835 210 W Georgia Ave Nampa, ID 83686-5688 4400 E Flamingo Ave Nampa, ID 83687-9203 319 E Hawaii Ave Nampa, ID 83686 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 (208) 468-5920 -St Luke's Elmore Hospital (208) 468-5910 (208) 468-5920 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 466-7869 (208) 466-6567 (208) 442-8035 (208) 466-6567 -St Alphonsus Regional Medical Center Inc (208) 498-1080 -St Alphonsus Regional Medical Center Inc (208) 465-5000 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 463-1455 (208) 466-3322 (208) 465-6940 (208) 465-6940 (208) 465-6940 (208) 468-5910 (208) 288-4991 (208) 468-5915 (208) 463-3000 (208) 367-5227 (208) 463-5000 (208) 463-5000 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 301

Gangappa, Malatesha MD Hospitalist Reddy, Swetha Hospitalist Vargas Villazon, Patrick D MD Hospitalist Wilson, Martha C, Hospitalist Wilson, Martha C, Hospitalist Buersmeyer, Patricia M MD Buersmeyer, Patricia M MD Buersmeyer, Patricia M MD Buersmeyer, Patricia M MD Buersmeyer, Patricia M MD Chang, Basil DO Dee, Michael M Dee, Michael M Dee, Michael M Dee, Michael M Dee, Michael M Ferguison, Kimberly D MD, Pediatrics Ferguison, Kimberly D MD, Pediatrics Ferguison, Kimberly D MD, Pediatrics Ferguison, Kimberly D MD, Pediatrics Ferguison, Kimberly D MD, Pediatrics Freeman, John C, Pediatrics Freeman, John C, Pediatrics Freeman, John C, Pediatrics Freeman, John C, Pediatrics Freeman, John C, Pediatrics Griggs, Jr., Hilliard, Hospitalist Koga, Steven J MD Lewis, Nicholas J MD, Pediatrics Lewis, Nicholas J MD, Pediatrics 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 223 16th Ave N Nampa, ID 83687-4058 207 1st St S Nampa, ID 83651 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1512 12th Ave Rd Nampa, ID 83686-6008 16459 N Midland Blvd Nampa, ID 83687-5222 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 (208) 463-5000 (208) 463-5000 (208) 463-5000 (208) 466-7869 (208) 466-7869 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 463-5000 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 463-5000 (208) 795-5075 (208) 463-3000 (208) 468-5910 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 302

Lewis, Nicholas J MD, Pediatrics Lewis, Nicholas J MD, Pediatrics Lewis, Nicholas J MD, Pediatrics Page, Randell Lee MD Roan, Peter G MD, Interventional Cardiology Roan, Peter G MD, Interventional Cardiology Roan, Peter G MD, Interventional Cardiology Roan, Peter G MD, Interventional Cardiology Roberts, Rick N MD Roberts, Rick N MD Roberts, Rick N MD Roberts, Rick N MD Roberts, Rick N MD Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Sadaj, John Michael MD, Critical Care Medicine, Pulmonary Disease Stringam, Stanley Owen MD Stringam, Stanley Owen MD Stringam, Stanley Owen MD Stringam, Stanley Owen MD Austin, Melody Anne LMHC 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 215 E Hawaii Ave Nampa, ID 83686-6011 1512 12th Ave Rd Nampa, ID 83686-6008 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 1524 12th Ave Rd Nampa, ID 83687 4424 E Flamingo Ave Ste 200 Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 112 9th Ave S Ste B1-B2 Nampa, ID 83651 Brumpton, Rona M LMFT, LMHC 5700 E Franklin Rd Ste 220, Marriage & Family Nampa, ID 83687-8497 Counselor Elderkin, Anita R Fisher, Wendy Hamilton, Hannah L LMHC Hernandez-Henry, Angela LMHC Lutes, Kendra LMHC Miller, Amber L LMHC 3307 Caldwell Blvd Ste 104 Nampa, ID 83651-6403 4405 E Flamingo Ave Nampa, ID 83687 207 N 16th Ave Nampa, ID 83653 207 N 16th Ave Nampa, ID 83653 207 N 16th Ave Nampa, ID 83653 5700 E Franklin Rd Ste 190 Nampa, ID 83687-8497 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 467-1171 (208) 463-5050 (208) 463-5050 (208) 463-5050 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 250-8837 (208) 859-7435 (208) 465-4833 (208) 899-4042 (208) 467-7654 (208) 467-7654 (208) 467-7654 (208) 936-1097 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 303

Miller, Amber L LMHC Navarro, Anabel Padden, Kevin Patrick Pecsek, Luann Dunn LMHC Salazar, Beronica Smith, Mitchell T Toms, Joseph E LMHC Wall, Charlayne LMHC Ward, Ray A Waters, SuzAnna Zucco, Frances M LMHC Marriage & Family Counselor 1305 3rd St Nampa, ID 83651 3307 Caldwell Blvd Ste 104 Nampa, ID 83651-6403 1305 3rd St S Nampa, ID 83651-3903 220 10th Ave S Nampa, ID 83651-3832 324 Caldwell Blvd Ste G Nampa, ID 83651-8409 104 9th Ave S Ste B3 Nampa, ID 83651-3809 1224 1st St S Ste 302 Nampa, ID 83687 353 W Iowa Nampa, ID 83686-2856 3307 Caldwell Blvd Ste 104 Nampa, ID 83651-6403 207 N 16th Ave Nampa, ID 83653 1305 3rd St S Nampa, ID 83651-3903 Wellman, Deborah Y LMFT, LMHC 228 12th Ave Rd Marriage & Family Counselor, Licensed Professional Nampa, ID 83686-5013 Counselors Maternal & Fetal Medicine Betoni, James S MD Maternal & Fetal Medicine Betoni, James S MD Maternal & Fetal Medicine Neonatal/Perinatal Medicine Lawrence, Stewart Neonatal/Perinatal Medicine Messier-Gieri, Amber M MD Neonatal/Perinatal Medicine Messier-Gieri, Amber M MD Neonatal/Perinatal Medicine Nephrology Mallea, Michael MD Nephrology Pintar, Thomas Nephrology Neurological Surgery Lochhead, Richard A MD Neurological Surgery Neurology Djernes, Michael R MD Neurology Djernes, Michael R MD Neurology Djernes, Michael R MD Neurology Djernes, Michael R MD Neurology Djernes, Michael R MD Neurology Maxwell, Shane A DO Neurology Maxwell, Shane A DO Neurology Maxwell, Shane A DO Neurology Maxwell, Shane A DO Neurology 211 W Iowa Ave Nampa, ID 83686-2834 4424 E Flamingo Ave Ste 220 Nampa, ID 83686 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 1512 12th Ave Rd Nampa, ID 83686-6008 846 Park Centre Way Nampa, ID 83651 846 Park Centre Way Nampa, ID 83651 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 (208) 475-4701 (208) 465-4833 (208) 475-5701 (208) 697-8434 ADA Accessible (208) 467-9044 (208) 461-3086 (208) 463-2314 (208) 498-1760 (208) 465-4833 (208) 467-7654 (208) 475-5701 (208) 467-5094 (208) 465-7377 (208) 288-4901 (208) 367-8063 (208) 367-8063 -St Alphonsus Regional Medical Center Inc (208) 367-8063 -St Alphonsus Regional Medical Center Inc (208) 501-8955 (208) 501-8955 (208) 288-4700 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 304

Maxwell, Shane A DO Neurology Nelsen, Mihoko M MD Neurology Whitesell, Jackie Neurology Araquistain, Mary K NPRA, RN Baldwin, Sharon M Baldwin, Sharon M Boulton, Cynthia M ARNP, RN Boulton, Cynthia M ARNP, RN Boulton, Cynthia M ARNP, RN Boulton, Cynthia M ARNP, RN Boulton, Cynthia M ARNP, RN Bullock, Bobbi NPRA Bullock, Bobbi NPRA Bullock, Bobbi NPRA Butterfield, Jessica Connley, Katy NPRA, RN Drewrey, Kimberly Eshelman, Charlotte G NPRA, PA, RN Eshelman, Charlotte G NPRA, PA, RN Eshelman, Charlotte G NPRA, PA, RN Eshelman, Charlotte G NPRA, PA, RN Eshelman, Charlotte G NPRA, PA, RN Gabica, Andrea Hart, Jill K Johnson, Tosha J ARNP Johnson, Tosha J ARNP Johnson, Tosha J ARNP Jones, Robyn Lesso, Jennifer C Miyazaki, James Morgan, Laurel D NPRA, RN Morgan, Laurel D NPRA, RN Neumayer, Jennifer Nordquist, Jennifer Peters, Heidi S NPRA 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 401 E Hawaii Ave Nampa, ID 83686 1200 Garrity Blvd Nampa, ID 83687-3402 4400 E Flamingo Ave Nampa, ID 83687-9203 223 16th Ave N Nampa, ID 83687-4058 207 N 16th Ave Nampa, ID 83653 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1200 Garrity Blvd Nampa, ID 83687-3402 4400 E Flamingo Ave Nampa, ID 83687-9203 211 W Iowa Ave Nampa, ID 83686-2834 319 E Hawaii Ave Nampa, ID 83686-6002 211 W Iowa Ave Nampa, ID 83686 16459 N Midland Blvd Nampa, ID 83687-5222 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687-9203 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 1524 12th Ave Rd Nampa, ID 83687 4424 E Flamingo Ave Ste 200 Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687 11035 W Karcher Rd Nampa, ID 83651 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 16060 Idaho Center Blvd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687-9203 16060 Idaho Center Blvd Nampa, ID 83686 (208) 468-5920 (208) 465-6934 (208) 302-4200 (208) 302-7000 (208) 466-7869 (208) 467-7654 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 466-9092 (208) 302-7000 (208) 302-6800 (208) 288-4679 (208) 302-0700 -St Alphonsus Regional Medical Center Inc (208) 795-5075 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 288-4560 (208) 302-7000 (208) 463-5050 (208) 463-5050 (208) 463-5050 (208) 302-7000 (208) 302-6600 -St Alphonsus Regional Medical Center Inc (208) 463-5431 (208) 288-4620 (208) 378-0800 (208) 302-7000 (208) 378-0800 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 305

Randall, Mary S Swensen, Holly D ARNP / Barnhart, Carolyn G NPRA, RN / Condon, Amy V NPRA, RN / Crum, Sonya L / Crum, Sonya L / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Dozier, Amanda Lynn / 4424 E Flamingo Ave Ste 300 Nampa, ID 83687 319 E Hawaii Ave Nampa, ID 83686-6002 1115 12th Ave Rd Nampa, ID 83686-5738 214 S Midland Blvd Nampa, ID 83687 700 Caldwell Blvd Nampa, ID 83651-1707 1115 12th Ave Rd Nampa, ID 83686-5738 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 Duff, Robert H ARNP, RN 700 Caldwell Blvd, / Nampa, ID 83651-1707 Duff, Robert H ARNP, RN 1115 12th Ave Rd, / Nampa, ID 83686-5738 McConkie, Richard M NPRA, RN / Morgan, Mary / Morgan, Mary / Morgan, Mary / Patterson, Sara ARNP, RN / Reinhardt, Kristine M / Reinhardt, Kristine M / Ryder, Renee B / Schooler Smith, Andrea NPRA / Sobba, Cheryl K NPRA / Thacker, Robert S / Underkofler, Kari Mae NPRA, RN / Underkofler, Kari Mae NPRA, RN / Underkofler, Kari Mae NPRA, RN / Underkofler, Kari Mae NPRA, RN / Underkofler, Kari Mae NPRA, RN / Whitehead-Price, Kelly R / Whitener, Linda A / /Mental Health Archuleta, Pamela ARNP, RN /Mental Health Corbett, Carolyn S /Mental Health 16459 N Midland Blvd Nampa, ID 83687-5222 214 S Midland Blvd Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687 214 S Midland Blvd Nampa, ID 83687 1200 Garrity Blvd Nampa, ID 83687-3402 4400 E Flamingo Ave Nampa, ID 83687-9203 223 16th Ave N Nampa, ID 83687-4058 223 16th Ave N Nampa, ID 83687-4058 16459 N Midland Blvd Nampa, ID 83687-5222 16459 N Midland Blvd Nampa, ID 83687-5222 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1200 Garrity Blvd Nampa, ID 83687-3402 1200 Garrity Blvd Nampa, ID 83687-3402 3307 Caldwell Blvd Ste 104 Nampa, ID 83651-6403 3307 Caldwell Blvd Ste 104 Nampa, ID 83651-6403 (208) 463-5050 (208) 288-4679 (208) 498-1080 (208) 465-6900 -St Alphonsus Regional Medical Center Inc (208) 466-6567 (208) 498-1080 (208) 463-3000 -Bingham Memorial Hospital (208) 468-5910 -Bingham Memorial Hospital (208) 468-5915 -Bingham Memorial Hospital (208) 288-4991 -Bingham Memorial Hospital (208) 468-5920 -Bingham Memorial Hospital (208) 302-7000 -St Alphonsus Regional Medical Center Inc (208) 466-6567 (208) 498-1080 (208) 795-5075 (208) 465-6900 (208) 465-6900 -St Alphonsus Regional Medical Center Inc (208) 466-9092 (208) 302-7000 (208) 466-7869 (208) 466-7869 (208) 795-5075 (208) 795-5075 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 466-9092 (208) 466-9092 (208) 465-4833 (208) 465-4833 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 306

Gray, Katherine NPRA /Mental Health Peppersack, Deo Marie NPRA, RN /Mental Health Reed, Ann Marie NPRA, RN /Mental Health Stackle, Mary J NPRA, RN /Mental Health Stackle, Mary J NPRA, RN /Mental Health /Neonatal - Perinatal Allison, Dolla J NPRA /Neonatal - Perinatal Blanchard, Lesli A NPRA /Neonatal - Perinatal Gale, Lauren B NPRA /Neonatal - Perinatal Gasser, Linda M NPRA /Neonatal - Perinatal Reimers, Linda NPRA /Neonatal - Perinatal Siddoway, Alexis NPRA, RN /Neonatal - Perinatal Winchester, Robin F /Neonatal - Perinatal /Pediatric Weller, Katie /Pediatric Weller, Katie /Pediatric Carlson, Gerald E. DO Gregerson, Gary N MD Gregerson, Gary N MD Guzman, Guillermo Hughes, Dustan T MD Hughes, Juliette E MD Kaiser, John Rhyan MD Kaiser, John Rhyan MD Kaiser, John Rhyan MD Kaiser, John Rhyan MD Kasper, Megan E MD Rudeen, Randall L MD Serrano, Maribel MD Occupational Medicine Martinez, Stephen Occupational Medicine Occupational Therapy Bjornson, Michelle L Occupational Therapy Dickens, Christine Meyers Occupational Therapy Harmon, Stacy A OT Occupational Therapy 207 N 16th Ave Nampa, ID 83653 353 W Iowa Nampa, ID 83686-2856 207 1st St S Nampa, ID 83651 207 N 16th Ave Nampa, ID 83653 207 1st St S Nampa, ID 83651 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 700 Caldwell Blvd Nampa, ID 83651-1707 1115 12th Ave Rd Nampa, ID 83686-5738 1603 12th Ave Road Nampa, ID 83686 223 16th Ave N Nampa, ID 83687-4058 16111 N Brinson St Nampa, ID 83687-5509 4424 E Flamingo Ave Ste 200 Nampa, ID 83687 3908 E Flamingo Ave Nampa, ID 83687-3102 3908 E Flamingo Ave Nampa, ID 83687-3102 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 9850 W St Lukes Dr Ste 229 Nampa, ID 83687-7912 215 E Hawaii Ave Nampa, ID 83686-6011 4424 E Flamingo Ave Ste 200 Nampa, ID 83687 4424 E Flamingo Ave Ste 200 Nampa, ID 83687 700 Caldwell Blvd Nampa, ID 83651-1707 4424 E Flamingo Ave Nampa, ID 83687 16171 N Brinson St Nampa, ID 83687-5509 4424 E Flamingo Ave Nampa, ID 83687 (208) 467-7654 (208) 498-1760 (208) 466-7869 (208) 467-7654 (208) 466-7869 (208) 367-8063 (208) 367-8063 -St Alphonsus Regional Medical Center Inc (208) 367-8063 (208) 367-8063 (208) 367-8063 (208) 367-8063 (208) 367-8063 (208) 466-6567 (208) 499-8108 (208) 467-2400 (208) 466-7869 (208) 468-9400 (208) 288-4888 (208) 442-8035 (208) 442-8035 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 463-3138 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4930 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 (208) 288-4888 (208) 288-4888 (208) 466-6567 (208) 288-4700 (208) 442-2525 Not accepting new patients (208) 288-4700 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 307

Lonseth, Lindsey J OT Occupational Therapy Taucer, Kent Occupational Therapy VanOrder, Charee Occupational Therapy Oncology, Medical Hodson, Stephanie B MD Oncology, Medical Langerak, Alan D MD Oncology, Medical Pierson, Andrew S MD Oncology, Medical, Hematology, Pulver, Kerry P MD Oncology, Medical Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Hainsworth, Kenneth M MD Ophthalmology Harf, Leo S MD Ophthalmology Jensen, Johanna M MD Ophthalmology Jensen, Peter E Ophthalmology McKinnon, Ryan S MD Ophthalmology McKinnon, Ryan S MD Ophthalmology McKinnon, Ryan S MD Ophthalmology McKinnon, Ryan S MD Ophthalmology McKinnon, Ryan S MD Ophthalmology Reynolds, Adam C MD Ophthalmology Optometry Antonie, David J. Optometry Bewley, James R Optometry Bewley, James R Optometry Black, William T OD Optometry Black, William T OD Optometry Carter, Lee Optometry Ewing, Vanessa J OD Optometry Farris, Stephen J OD Optometry Galvan-Shubin, Candice A Optometry 16171 N Brinson St Nampa, ID 83687-5509 840 SW 4th Ave Nampa, ID 83687 4424 E Flamingo Ave Nampa, ID 83687 319 E Hawaii Ave Nampa, ID 83686-6002 319 E Hawaii Ave Nampa, ID 83686-6002 319 E Hawaii Ave Nampa, ID 83686-6002 319 E Hawaii Ave Nampa, ID 83686-6002 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 1615 12th Ave Rd Ste A Nampa, ID 83686-6184 1615 12th Ave Rd Ste A Nampa, ID 83686-6184 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 60 2nd St Nampa, ID 83651 1213 N Jacob Alcott Way Nampa, ID 83687-5198 4424 E Flamingo Ave Ste 100 Nampa, ID 83687-9291 1213 N Jacob Alcott Way Nampa, ID 83687-5198 4424 E Flamingo Ave Ste 100 Nampa, ID 83687-9291 901 12th Ave S Nampa, ID 83651-4658 4400 E Flamingo Ave Nampa, ID 83687-9203 4424 E Flamingo Ave Ste 100 Nampa, ID 83687-9291 1213 N Jacob Alcott Way Nampa, ID 83687-5198 (208) 442-2525 (541) 881-7330 (208) 288-4700 (208) 288-4679 (208) 288-4679 (208) 288-4679 (208) 288-4679 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 466-2222 (208) 467-3271 (208) 467-3271 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 466-2222 (208) 327-9809 (208) 459-2020 (208) 459-2020 (208) 459-2020 (208) 459-2020 (208) 466-9251 Languages: SPANISH (208) 466-2222 (208) 459-2020 (208) 459-2020 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 308

Galvan-Shubin, Candice A Optometry Hagberg, Landon K OD Optometry Heiner, Darren W Optometry Heiner, Darren W Optometry Hopstad, Luke K Optometry Mcgourty, Brian J OD Optometry Sparhawk, Justin D Optometry Sparhawk, Justin D Optometry Stebel, Holly L Optometry Stebel, Holly L Optometry Tiller, Daniel Optometry Watson, Jacob C Optometry White, Rodney Optometry Andrew, Shane A Curran, Andrew R, Sports Medicine Hassinger, David MD Hassinger, Sean MD Holley, Keith G MD Johnson, Miers C Johnston, James M. MD Johnston, James M. MD Kemp, Travis J Kristensen, Ronald M MD Kristensen, Ronald M MD Menzner, Jeffry P MD Menzner, Jeffry P MD Robinson, Tildon Clark MD Spelich, Mark A MD Walker, Robert MD Walker, Robert MD Webb, Darby MD Webb, Darby MD Otolaryngology Beasley, Donald J Otolaryngology Boyajian, John A. CRNA Otolaryngology Garner, Eric T MD Otolaryngology, Plastic Surgery within the Head and Neck 4424 E Flamingo Ave Ste 100 Nampa, ID 83687-9291 310 2nd St S Nampa, ID 83651-3765 1213 N Jacob Alcott Way Nampa, ID 83687-5198 4424 E Flamingo Ave Ste 100 Nampa, ID 83687-9291 4400 E Flamingo Ave Nampa, ID 83687-9203 310 2nd St S Nampa, ID 83651-3765 1615 12th Ave Rd Ste A Nampa, ID 83686-6184 1603 12th Ave Rd Ste E Nampa, ID 83686 1213 N Jacob Alcott Way Nampa, ID 83687-5198 4424 E Flamingo Ave Ste 100 Nampa, ID 83687-9291 901 12th Ave S Nampa, ID 83651-4658 901 12th Ave S Nampa, ID 83651-4658 901 12th Ave S Nampa, ID 83651-4658 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 16818 N Marketplace Blvd Nampa, ID 83687-5140 16818 N Marketplace Blvd Nampa, ID 83687-5140 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 215 E Hawaii Ave Nampa, ID 83687 9850 St Lukes Dr Nampa, ID 83687-7912 16818 N Marketplace Blvd Nampa, ID 83687-5140 215 E Hawaii Ave Nampa, ID 83687 9850 St Lukes Dr Nampa, ID 83687-7912 215 E Hawaii Ave Nampa, ID 83687 9850 St Lukes Dr Nampa, ID 83687-7912 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 16818 N Marketplace Blvd Nampa, ID 83687-5140 215 E Hawaii Ave Nampa, ID 83687 9850 St Lukes Dr Nampa, ID 83687-7912 215 E Hawaii Ave Nampa, ID 83687 9850 St Lukes Dr Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 1001 Caldwell Blvd Nampa, ID 83651-1779 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 (208) 459-2020 (208) 467-1361 (208) 459-2020 (208) 459-2020 (208) 466-2222 (208) 467-1361 (208) 467-3271 (208) 466-0255 (208) 459-2020 (208) 459-2020 (208) 466-9251 (208) 466-9251 (208) 466-9251 (208) 288-4700 (208) 288-4700 (208) 321-4000 (208) 321-4000 (208) 288-4700 (208) 288-4700 (208) 323-2600 (208) 323-2600 (208) 321-4000 (208) 323-2600 (208) 323-2600 (208) 323-2600 (208) 323-2600 (208) 288-4700 (208) 321-4000 (208) 323-2600 (208) 323-2600 (208) 323-2600 (208) 323-2600 (208) 367-6099 (208) 433-9300 (208) 367-3320 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 309

Jones, III, Arthur (AC) C. MD Otolaryngology Kammer, Darrell A MD Otolaryngology Killian, Peter Otolaryngology Maughan, DelRay MD Otolaryngology Rustad, Todd J MD Otolaryngology Schwarz, Matthew B MD Otolaryngology Van De Graaff, Ryan L MD Otolaryngology Pain Management Collins, Branson J MD Pain Management, Anesthesiology Pathology Grant, Nicholas G Pathology Kronz, Joseph D MD Pathology Kronz, Joseph D MD Pathology Pediatrics Aguilar, Richard MD Pediatrics Aguilar, Richard MD Pediatrics Aguilar, Richard MD Pediatrics Aguilar, Richard MD Pediatrics Aguilar, Richard MD Pediatrics Aldous, Michael B MD Pediatrics Aldous, Michael B MD Pediatrics Aldous, Michael B MD Pediatrics Aldous, Michael B MD Pediatrics Aldous, Michael B MD Pediatrics Andrews, Deanna M Pediatrics Andrews, Deanna M Pediatrics Andrews, Deanna M Pediatrics Andrews, Deanna M Pediatrics Andrews, Deanna M Pediatrics Anschutz, Travis W MD Pediatrics, Neonatal Medicine Bennett, Jeannette E MD Pediatrics 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 1615 12th Ave Rd Ste C Nampa, ID 83686-6184 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 1524 12th Ave Rd Nampa, ID 83686 1512 12th Ave Rd Nampa, ID 83686 9850 St Lukes Dr Nampa, ID 83687-7912 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 (208) 367-3320 (208) 467-2129 (208) 367-3320 (208) 367-3320 (208) 367-3320 (208) 367-3320 (208) 367-3320 (208) 463-5290 (208) 466-2661 (208) 381-2378 (208) 466-2661 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 367-8063 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 310

Bennett, Jeannette E MD Pediatrics Bennett, Jeannette E MD Pediatrics Bennett, Jeannette E MD Pediatrics Bennett, Jeannette E MD Pediatrics Brown, Matthew S MD Pediatrics Brus, Mario Pediatrics Copeland, Katie E MD Pediatrics Copeland, Katie E MD Pediatrics Copeland, Katie E MD Pediatrics Copeland, Katie E MD Pediatrics Copeland, Katie E MD Pediatrics Hammer, Thomas J MD Pediatrics Omer, Preston S MD Pediatrics Suski, Alicia MD Pediatrics Walker, Eloisa S Pediatrics, Pediatric Cardiology Walker, Eloisa S Pediatrics, Pediatric Cardiology Wheaton, Michael MD Pediatrics Ackerman, Jerrod R PT Ashenbrener, Samantha L Barnes, Nicole L Bastian, Steven Merrill PT Cardoza, Marisol Cook, Tyson Cook, Tyson Dobson, Beau Douglass, Benjamin Brook PT Dufur, Kathy A Duke, Catherine E Dummer, Brook Dupont, Corey E PT Edwards, Steen English, Mindy E PT Fleckenstein, David A. Fleckenstein, David A. 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 11035 W Karcher Rd Nampa, ID 83651 1200 Garrity Blvd Nampa, ID 83687-3402 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1209 N Jacob Allcott Way Nampa, ID 83687 215 E Hawaii Ave Nampa, ID 83686-6011 207 N 16th Ave Nampa, ID 83653 1200 Garrity Blvd Nampa, ID 83687-3402 1512 12th Ave Rd Nampa, ID 83686-6008 1200 Garrity Blvd Nampa, ID 83687-3402 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 130 S Midland Blvd Nampa, ID 83686-2601 840 SW 4th Ave Nampa, ID 83687 131 Constitution Way Nampa, ID 83686 4424 E Flamingo Ave Nampa, ID 83687 131 Constitution Way Nampa, ID 83686 337 W Iowa Ave Nampa, ID 83686-2856 4424 E Flamingo Ave Nampa, ID 83687 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 840 SW 4th Ave Nampa, ID 83687 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 4424 E Flamingo Ave Nampa, ID 83687 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 9850 W St Luke's Dr Ste 129 Nampa, ID 83687 290 W Georgia Ave Nampa, ID 83686-2835 (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 302-6600 (208) 466-9092 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 461-8900 (208) 468-5910 (208) 467-7654 (208) 336-9188 Languages: SPANISH (208) 467-1171 Languages: SPANISH (208) 466-9092 (208) 442-0577 (208) 442-0577 (208) 442-0577 (208) 461-5057 (541) 881-7330 (208) 463-5570 (208) 288-4700 (208) 463-5570 (208) 467-7889 (208) 288-4700 (208) 442-0577 (541) 881-7330 (208) 442-0577 (208) 288-4700 (208) 442-0577 (208) 468-5920 (208) 288-4991 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 311

Fujimoto, Ann Gabrielsen, Jacob A. PT Howell, Rosemary C Hulsey, Kevin L PT Johnson, Lynn R PT Johnson, Tara Kinsman, Deanna Cowles PT Kinsman, Deanna Cowles PT Kromrei, Tonja Mansor Jess, Marcy Martin, Nathan Brian Miller, James Moss, Mark L PT Myhre, Ryan L PT Ousley-Trevett, Jennifer Robin Ousley-Trevett, Jennifer Robin Owens, Michael Rayhorn, Ethan Rayhorn, Ethan Schamber, Jane Shaw, Daniel D Shaw, Daniel D Simpson, Douglas B. Smith, Samantha L. Thornock, Brian Wayne PT Wagner, Lynsey J PT Wagner, Lynsey J PT Weatherston, Sean R. PT Wegley, Roger S Weiderman, Brian C PT Weiderman, Brian C PT Weldon, Garrett PT Whiles, Jami J White, Brian L PT Whitworth, Kala C PT Whitworth, Kala C PT Woolley, Jon 4424 E Flamingo Ave Nampa, ID 83687 4301 Garrity Blvd Ste 103 Nampa, ID 83687-9222 4424 E Flamingo Ave Nampa, ID 83687 337 W Iowa Ave Nampa, ID 83686-2856 840 SW 4th Ave Nampa, ID 83687 131 Constitution Way Nampa, ID 83686 9850 W St Luke's Dr Ste 129 Nampa, ID 83687 290 W Georgia Ave Nampa, ID 83686-2835 4424 E Flamingo Ave Nampa, ID 83687 4424 E Flamingo Ave Nampa, ID 83687 337 W Iowa Ave Nampa, ID 83686-2856 4424 E Flamingo Ave Nampa, ID 83687 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 5251 E Exchange Way Nampa, ID 83687-5507 9850 W St Luke's Dr Ste 129 Nampa, ID 83687 290 W Georgia Ave Nampa, ID 83686-2835 131 Constitution Way Nampa, ID 83686 131 Constitution Way Nampa, ID 83686 4424 E Flamingo Ave Nampa, ID 83687 840 SW 4th Ave Nampa, ID 83687 131 Constitution Way Nampa, ID 83686 4424 E Flamingo Ave Nampa, ID 83687 4301 Garrity Blvd Ste 103 Nampa, ID 83687-9222 16171 N Brinson St Nampa, ID 83687-5509 337 W Iowa Ave Nampa, ID 83686-2856 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 130 S Midland Blvd Nampa, ID 83686-2601 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 337 W Iowa Ave Nampa, ID 83686-2856 4424 E Flamingo Ave Nampa, ID 83687 5251 E Exchange Way Nampa, ID 83687-5507 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 2635 Caldwell Blvd Ste B Nampa, ID 83651-6407 840 SW 4th Ave Nampa, ID 83687 (208) 288-4700 (208) 463-0700 Languages: SPANISH (208) 288-4700 (208) 467-7889 (541) 881-7330 (208) 463-5570 (208) 468-5920 (208) 288-4991 (208) 288-4700 (208) 288-4700 (208) 467-7889 (208) 288-4700 (208) 442-0577 (208) 466-9642 (208) 468-5920 (208) 288-4991 (208) 463-5570 (208) 463-5570 (208) 288-4700 (541) 881-7330 (208) 463-5570 (208) 288-4700 (208) 463-0700 (208) 442-2525 Not accepting new patients (208) 467-7889 (208) 442-0577 (208) 442-0577 (208) 461-5057 Languages: FRENCH (208) 442-0577 (208) 442-0577 (208) 442-0577 (208) 467-7889 (208) 288-4700 (208) 466-9642 Languages: DANISH (208) 442-0577 (208) 442-0577 (541) 881-7330 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 312

Zbaraschuk, Korey L PT Allen, Nicolas J PAC Anstrand, Charles J PA Anstrand, Charles J PA Ayers, Brianne L Barcelo, Julia PAC Barnes, Daryn Buchmiller, Camille PAC Buchmiller, Camille PAC Callaway, Jackie B Carmichael, Lindsey J PA Carver, Erin PA Casebolt, Alex P PA Casebolt, Alex P PA Casebolt, Alex P PA Casebolt, Alex P PA Casebolt, Alex P PA Chorn, Andy S Clements, David H Coleman, Scott R PAC Coleman, Scott R PAC Coleman, Scott R PAC Coleman, Scott R PAC Coleman, Scott R PAC DeHaven, Erin PAC Derkacs, Derek PAC Derkacs, Derek PAC Douthit, Thomas Flynn, Christie PA Flynn, Christie PA Fossen, Kathleen L Franco, Janine Frost, Charles PA Frost, Charles PA Gardner, Marshall E. 4301 Garrity Blvd Ste 103 Nampa, ID 83687-9222 215 E Hawaii Ave Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687-9203 222 W Iowa Ave Ste A Nampa, ID 83686 207 1st St S Nampa, ID 83651 700 Caldwell Blvd Nampa, ID 83651-1707 207 N 16th Ave Nampa, ID 83653 207 1st St S Nampa, ID 83651 16818 N Marketplace Blvd Nampa, ID 83687-5140 16818 N Marketplace Blvd Nampa, ID 83687-5140 9850 W St Luke's Dr Ste 129 Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 16818 N Marketplace Blvd Nampa, ID 83687-5140 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 215 E Hawaii Ave Nampa, ID 83686-6011 401 E Hawaii Ave Nampa, ID 83686-6014 4400 E Flamingo Ave Nampa, ID 83687-9203 4424 E Flamingo Ave Ste 320 Nampa, ID 83687 9850 W St Luke's Dr Ste 129 Nampa, ID 83687 215 E Hawaii Ave Nampa, ID 83686-6011 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 3908 E Flamingo Ave Nampa, ID 83687-3102 4400 E Flamingo Ave Nampa, ID 83687-9203 4400 E Flamingo Ave Nampa, ID 83687-9203 1001 Caldwell Blvd Nampa, ID 83651-1779 (208) 463-0700 (208) 323-2600 (208) 302-7000 (208) 367-6099 (208) 377-4000 (208) 466-7869 (208) 466-6567 (208) 467-7654 (208) 466-7869 (208) 321-4000 (208) 321-4000 (208) 468-5920 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 321-4000 -St Alphonsus Regional Medical Center Inc (208) 288-4700 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 468-5910 (208) 465-6940 (208) 367-7090 (208) 367-3320 (208) 463-3309 (208) 468-5910 (208) 288-4700 -St Alphonsus Regional Medical Center Inc (208) 442-8035 (208) 442-2388 (208) 466-8912 (208) 318-0146 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 313

George, Kyle PAC George, Megan F PAC George, Megan F PAC Gill, Taya D PA Gill, Taya D PA Gill, Taya D PA Gill, Taya D PA Gill, Taya D PA Griggs, Jeffrey Griggs, Jeffrey Grote, Heather L Hall, Christine M Hall, Christine M Hall, Christine M Harrold, Calvin M PAC Heaton, Rhoda E PAC Heaton, Thea PA Heywood, Nicole Broadbent PAC Heywood, Nicole Broadbent PAC Hoewing, Heather M PAC Holmes, Cynthia L. Jensen, Brenna Lynn PA Karas, Daria E Kasumovic, Sandra PAC Kerns, Benjamin T Kerns, Benjamin T King, Rachel M PA King, Rachel M PA King, Rachel M PA King, Rachel M PA King, Rachel M PA Kokoulina, Polina PAC Lobb, Brian C PAC Lobb, Brian C PAC Loewenstein, Timothy Loewenstein, Timothy Lute, Joshua M 207 1st St S Nampa, ID 83651 207 N 16th Ave Nampa, ID 83653 207 1st St S Nampa, ID 83651 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 215 E Hawaii Ave Nampa, ID 83687 9850 St Lukes Dr Nampa, ID 83687-7912 1115 12th Ave Rd Nampa, ID 83686-5738 215 E Hawaii Ave Nampa, ID 83686-6011 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 9850 W St Lukes Dr Ste 229 Nampa, ID 83687-7912 1200 Garrity Blvd Nampa, ID 83687-3402 4400 E Flamingo Ave Nampa, ID 83687 318 2nd St S Nampa, ID 83651-3765 215 E Hawaii Ave Nampa, ID 83686-6011 9850 W St Lukes Dr Ste 229 Nampa, ID 83687-7912 16459 N Midland Blvd Nampa, ID 83687-5222 1200 Garrity Blvd Nampa, ID 83687-3402 215 E Hawaii Ave Nampa, ID 83686-6011 211 W Iowa Ave Nampa, ID 83686-2834 11035 W Karcher Rd Nampa, ID 83651 215 E Hawaii Ave Nampa, ID 83687 9850 St Lukes Dr Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687 215 E Hawaii Ave Nampa, ID 83686-6011 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 700 Caldwell Blvd Nampa, ID 83651-1707 1115 12th Ave Rd Nampa, ID 83686-5738 16818 N Marketplace Blvd Nampa, ID 83687-5140 (208) 466-7869 (208) 467-7654 (208) 466-7869 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 323-2600 (208) 323-2600 (208) 498-1080 (208) 468-5910 (208) 468-5920 (208) 463-3123 (208) 466-9092 (208) 467-3006 (208) 468-5910 (208) 463-3123 (208) 795-5075 (208) 466-9092 (208) 468-5910 (208) 302-6800 (208) 302-6600 (208) 323-2600 (208) 323-2600 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 468-5910 (208) 468-5920 (208) 466-6567 (208) 498-1080 (208) 321-4000 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 314

Lynam, Rochelle M Maddux, Sarah Christine PA Maddux, Sarah Christine PA Maddux, Sarah Christine PA Maddux, Sarah Christine PA Maus, Eric R McCabe, Patrick B McCabe, Patrick B McComb, Michael PA McComb, Michael PA McComb, Michael PA McCready, Vernon D PAC Mitchell, Janet E. PAC Moss, Eric C Murgoitio, Jacob PAC Nielson, David E PAC Nutting, Rachel E PAC Ostolasa, Sis E PAC Otstot, Todd M Otstot, Todd M Otstot, Todd M Otstot, Todd M Otstot, Todd M Otstot, Todd M Permann, Seth A Pyatek, Kathleen M PAC Rambow, Thomas Reimers, Jeffrey L Reimers, Jeffrey L Reimers, Jeffrey L Reimers, Jeffrey L Relyea, Ramon A PA Relyea, Ramon A PA Rios, Raul PAC Rogers, Victoria S Rogers, Victoria S Rogers, Victoria S 223 16th Ave N Nampa, ID 83687-4058 9850 W St Luke's Dr Ste 129 Nampa, ID 83687 215 E Hawaii Ave Nampa, ID 83686-6011 215 E Hawaii Ave Nampa, ID 83686-6011 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 16818 N Marketplace Blvd Nampa, ID 83687-5140 401 E Hawaii Ave Nampa, ID 83686-6014 4400 E Flamingo Ave Nampa, ID 83687-9203 403 E Hawaii Ave Nampa, ID 83686 223 16th Ave N Nampa, ID 83687-4058 1200 Garrity Blvd Nampa, ID 83687-3402 16818 N Marketplace Blvd Nampa, ID 83687-5140 207 1st St S Nampa, ID 83651 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 16459 N Midland Blvd Nampa, ID 83687-5222 4400 E Flamingo Ave Nampa, ID 83687-9203 4424 E Flamingo Ave Ste 110 Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 318 2nd St S Nampa, ID 83651-3765 223 16th Ave N Nampa, ID 83687-4058 1524 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 211 W Iowa Ave Nampa, ID 83686-2834 4400 E Flamingo Ave Nampa, ID 83687-9203 211 W Iowa Ave Nampa, ID 83686-2834 700 Caldwell Blvd Nampa, ID 83651-1707 700 Caldwell Blvd Nampa, ID 83651-1707 700 Caldwell Blvd Nampa, ID 83651-1707 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 (208) 466-7869 (208) 468-5920 (208) 468-5910 (208) 468-5910 (208) 468-5920 (208) 288-4700 (208) 321-4000 (208) 465-6940 (208) 367-7090 (208) 465-6940 (208) 466-7869 (208) 466-9092 (208) 321-4000 (208) 466-7869 (208) 288-4700 (208) 795-5075 (208) 302-7000 (208) 288-4700 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 467-3006 (208) 466-7869 (208) 367-4030 (208) 465-6970 (208) 302-6800 (208) 302-7000 (208) 302-6800 (208) 466-6567 (208) 466-6567 (208) 466-6567 (208) 463-3000 (208) 468-5910 (208) 468-5915 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 315

Rogers, Victoria S Rogers, Victoria S Rota, Nicole PAC Short, William PA Smith, Jeffrey D PAC Smith, Preston Scott Smith, Preston Scott Smith, Preston Scott Smith, Preston Scott Smith, Preston Scott Smith, Travis Smith, Travis Stear, Jennifer L PAC Steinburg, Rick L Steinburg, Rick L Tate, Nancy Trainor, Sadie M PAC Trump, Richard White, Michael D PAC White, Michael D PAC Wilkey, Thad Podiatry Anderson, Kerry W DPM Podiatry Anderson, Kerry W DPM Podiatry Benedict, Randall L DPM Podiatry Burk, Phillip N DPM Podiatry Jones, Stewart O DPM Podiatry Leis, Stanley B DPM Podiatry Martin, Trever J DPM Podiatry Smiley-Leis, Rebecca A DPM Podiatry Psychiatry Banta, Lawrence E Psychiatry Pulmonary Disease East, Norman J MD Pulmonary Disease East, Norman J MD Pulmonary Disease Hendrickson, Danny J Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 215 E Hawaii Ave Nampa, ID 83686-6011 1031 W Sanetta St Nampa, ID 83651-5047 16818 N Marketplace Blvd Nampa, ID 83687-5140 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1200 Garrity Blvd Nampa, ID 83687-3402 4400 E Flamingo Ave Nampa, ID 83687-9203 16818 N Marketplace Blvd Nampa, ID 83687-5140 1001 Caldwell Blvd Nampa, ID 83651-1779 1001 Caldwell Blvd Nampa, ID 83651-1779 4400 E Flamingo Ave Nampa, ID 83687 16818 N Marketplace Blvd Nampa, ID 83687-5140 214 S Midland Blvd Nampa, ID 83686-2602 9850 W St Luke's Dr Ste 129 Nampa, ID 83687 215 E Hawaii Ave Nampa, ID 83686-6011 16111 N Brinson St Ste 100 Nampa, ID 83687-5509 712 16th Ave S Nampa, ID 83651-4730 2635 Caldwell Blvd Ste 101 Nampa, ID 83651-6407 2635 Caldwell Blvd Ste 101 Nampa, ID 83651-6407 203 12th Ave Rd Nampa, ID 83686-5012 2635 Caldwell Blvd Ste 101 Nampa, ID 83651-6407 2635 Caldwell Blvd Ste 101 Nampa, ID 83651-6407 203 12th Ave Rd Nampa, ID 83686-5012 2635 Caldwell Blvd Ste 101 Nampa, ID 83651-6407 16459 N Midland Blvd Nampa, ID 83687-5222 4400 E Flamingo Ave Nampa, ID 83687-9203 210 W Georgia Ave Ste 120 Nampa, ID 83686-5688 401 E Hawaii Ave Nampa, ID 83686-6014 4400 E Flamingo Ave Nampa, ID 83687-9203 (208) 288-4991 (208) 468-5920 (208) 468-5910 (208) 466-7443 (208) 321-4000 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 466-9092 (208) 302-7050 (208) 321-4000 -St Alphonsus Regional Medical Center Inc (208) 318-0146 (208) 318-0145 (208) 321-4000 (208) 367-3330 (208) 463-3309 (208) 463-3309 (208) 467-7546 (208) 463-1660 (208) 455-0654 (208) 455-0654 (208) 466-3338 (208) 455-0654 (208) 455-0654 (208) 466-3338 (208) 455-0654 (208) 795-5075 (208) 302-7000 (208) 465-6952 (208) 465-6952 (208) 463-3000 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 316

Rasmus, Mark A MD Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Rasmus, Mark A MD Pulmonary Disease Radiation Oncology Brooks, Joseph MD Radiation Oncology Cegnar, Janet Cegnar, Janet Christianson, Kimball Christianson, Kimball Coffman, Carolyn E MD Coffman, Carolyn E MD Coulam, Curtis H MD Coulam, Curtis H MD Gobel, Reginald J MD Gobel, Reginald J MD Hom, Benjamin Hom, Benjamin Jackson, John A MD Jackson, John A MD Knochel, John Q MD Knochel, John Q MD Mcgonegle, Shane J Mcgonegle, Shane J Modica, Michael J MD Modica, Michael J MD Moore, Matt T Moore, Matt T Papenfuss, Mark Papenfuss, Mark Peck, Dallas D Peck, Dallas D Salber, Jason P MD Salber, Jason P MD Scales, Lisa M MD Scales, Lisa M MD 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1613 12th Ave Rd Ste B Nampa, ID 83686-6183 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 1512 12th Ave Rd Nampa, ID 83686-6008 4400 E Flamingo Ave Nampa, ID 83687-9203 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 639-4900 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 317

Schaff, Howard B MD Schaff, Howard B MD Seabourn, Jeffrey T MD Seabourn, Jeffrey T MD Smith, Loreli MD Smith, Loreli MD Sobota, Caroline D MD Sobota, Caroline D MD Stemmler, Bertram J MD Stemmler, Bertram J MD Taylor, William L MD Taylor, William L MD Wegner, Daniel J MD Wegner, Daniel J MD Wegner, Daniel J MD Wegner, Daniel J MD Rheumatology Ader, John T DO Rheumatology Ader, John T DO Rheumatology Ader, John T DO Rheumatology Ader, John T DO Rheumatology Ader, John T DO Rheumatology Timmons, Kelly A MD Rheumatology, Timmons, Kelly A MD Rheumatology, Timmons, Kelly A MD Rheumatology, Timmons, Kelly A MD Rheumatology, Timmons, Kelly A MD Rheumatology, Sleep Disorder Medicine Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease Ramsey, Rory R Sleep Disorder Medicine, Pulmonary Disease 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 1512 12th Ave Road Nampa, ID 83686 4403 E Flamingo Ave Nampa, ID 83687-3113 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 4400 E Flamingo Ave Nampa, ID 83687-9203 215 E Hawaii Ave Nampa, ID 83686-6011 210 W Georgia Ave Nampa, ID 83686-5688 290 W Georgia Ave Nampa, ID 83686-2835 9850 W St Luke's Dr Ste 129 Nampa, ID 83687-7912 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 401 E Hawaii Ave Nampa, ID 83686-6014 210 W Georgia Ave Ste 120 Nampa, ID 83686-5688 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686-6008 210 W Georgia Ave Ste 120 Nampa, ID 83686-5688 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 288-4620 (208) 463-5431 (208) 463-3000 (208) 463-5431 (208) 288-4620 (208) 463-3000 (208) 468-5910 (208) 468-5915 (208) 288-4991 (208) 468-5920 (208) 463-3000 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5910 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5915 -Saint Alphonsus Medical Center Nampa Inc (208) 288-4991 -Saint Alphonsus Medical Center Nampa Inc (208) 468-5920 -Saint Alphonsus Medical Center Nampa Inc (208) 465-6952 (208) 467-1171 (208) 465-6952 (208) 465-6952 (208) 467-1171 Not accepting new patients (208) 467-1171 (208) 465-6952 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 318

Channer, Tylene K Channer, Tylene K Engebrecht, Elizabeth A LSW Hammagren Freeman, Ashley Johannsen, Deanna M LSW Jones, Jessica L Jones, Jessica L Judson, Julie A Kelly-Majors, Leslie McCullough, Mark A LSW Perry, Jennifer L LSW Perry, Jennifer L LSW Torrez, Andrea LSW Torrez, Javier LSW Vogel, William LSW Speech Language Pathology Harder, Patricia Lynne SLPA Speech Language Pathology Hazlet, Ben Speech Language Pathology Holcomb, Kristen Speech Language Pathology Kelli, Mikelle Waite Speech Language Pathology Kossick, Ashley Speech Language Pathology Stimpson, Suzanne L. Speech Language Pathology Willoughby, Laura K Speech Language Pathology Sports Medicine Smith, Craig M MD Sports Medicine Southard, Jennifer A Sports Medicine, Surgical Critical Care Munayirji, Aziz (A George) G MD Surgical Critical Care Strawn, Dale Surgical Critical Care Underseas & Hyperbaric Medicine Lossmann, Scott D Underseas & Hyperbaric Medicine, Wound Care Urgent Care Ward, Nathan J DO Urgent Care Ward, Nathan J DO Urgent Care Yerger, James Urgent Care Yerger, James Urgent Care 5700 E Franklin Rd Ste 190 Nampa, ID 83687-8497 1305 3rd St Nampa, ID 83651 207 N 16th Ave Nampa, ID 83653 207 N 16th Ave Nampa, ID 83653 5700 E Franklin Rd Ste 220 A & H Nampa, ID 83687-8497 5700 E Franklin Rd Ste 190 Nampa, ID 83687-8497 1305 3rd St Nampa, ID 83651 223 16th Ave N Nampa, ID 83687-4058 1305 3rd St S Nampa, ID 83651-3903 1224 1st St S Ste 302 Nampa, ID 83687 5700 E Franklin Rd Ste 190 Nampa, ID 83687-8497 1305 3rd St Nampa, ID 83651 17 12th Ave S Ste 207 Nampa, ID 83651-3952 17 12th Ave S Ste 207 Nampa, ID 83651-3952 1224 1st St S Ste 302 Nampa, ID 83687 16171 N Brinson St Nampa, ID 83687-5509 840 SW 4th Ave Nampa, ID 83687 840 SW 4th Ave Nampa, ID 83687 840 SW 4th Ave Nampa, ID 83687 840 SW 4th Ave Nampa, ID 83687 4609 E Vineyard Way Nampa, ID 83686-5087 156 McClure Ave Nampa, ID 83651-2025 16818 N Marketplace Blvd Nampa, ID 83687-5140 4400 E Flamingo Ave Nampa, ID 83687-9203 1512 12th Ave Rd Nampa, ID 83686-6008 1512 12th Ave Rd Nampa, ID 83686 4400 E Flamingo Ave Nampa, ID 83687-9203 700 Caldwell Blvd Nampa, ID 83651-1707 1115 12th Ave Rd Nampa, ID 83686-5738 700 Caldwell Blvd Nampa, ID 83651-1707 1115 12th Ave Rd Nampa, ID 83686-5738 (208) 936-1097 (208) 475-4701 (208) 467-7654 (208) 467-7654 (208) 475-1875 (208) 936-1097 (208) 475-4701 (208) 466-7869 (208) 475-5701 (208) 463-2314 (208) 936-1097 (208) 475-4701 (208) 350-8998 (208) 350-8998 (208) 463-2314 (208) 442-2525 (541) 881-7330 (541) 881-7330 (541) 881-7330 (541) 881-7330 (208) 467-9402 (208) 466-9686 (208) 321-4000 -St Alphonsus Regional Medical Center Inc (208) 302-7000 (208) 288-4679 (208) 367-7676 (208) 288-4560 (208) 466-6567 (208) 499-8108 (208) 466-6567 (208) 498-1080 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 319

Yerger, James Urgent Care Yerger, James Urgent Care Urology Fredriksson, William MD Urology Klein, Eric W MD Urology Morris, Michael S MD Urology New Plymouth Allen, Daniel, Baker, Bridgette M Sebastian, Robin MD Thomas, Geoffrey L / Barfield, Patrick A / Bean, Karen / Corbin, Carlie G NPRA, RN / Andersen, Colby J PA Beech, Louie W Hackenberg, Amber A PAC Kingery, Kristine Sternes, Roy A PAC Nezperce Jones, Andrew E DO / Wilson, Megan W ARNP, RN / Bechtel, Mark H. Reisenauer, Christin S Romey, Roy L. Orofino Cardiovascular Disease Bennett, William R. Cardiovascular Disease, Interventional Cardiology 700 Caldwell Blvd Nampa, ID 83651-1707 1115 12th Ave Rd Nampa, ID 83686-5738 1613 12th Ave Rd Ste B Nampa, ID 83686-6183 1613 12th Ave Rd Ste B Nampa, ID 83686-6183 215 E Hawaii Ave Nampa, ID 83686 112 S Plymouth Ave New Plymouth, ID 83655 213 N Plymouth Ave New Plymouth, ID 83655 300 S Plymouth Ave New Plymouth, ID 83655-5535 300 S Plymouth Ave New Plymouth, ID 83655-5535 300 S Plymouth Ave New Plymouth, ID 83655-5535 112 S Plymouth Ave New Plymouth, ID 83655 300 S Plymouth Ave New Plymouth, ID 83655-5535 300 S Plymouth Ave New Plymouth, ID 83655-5535 300 S Plymouth Ave New Plymouth, ID 83655-5535 112 S Plymouth Ave New Plymouth, ID 83655 112 S Plymouth Ave New Plymouth, ID 83655 213 N Plymouth Ave New Plymouth, ID 83655 501 Oak St Nezperce, ID 83543-5066 501 Oak St Nezperce, ID 83543-5066 501 Oak St Nezperce, ID 83543-5066 501 Oak St Nezperce, ID 83543-5066 501 Oak St Nezperce, ID 83543-5066 1055 Riverside Ave Orofino, ID 83544 (208) 466-6567 (208) 499-8108 (208) 639-4900 (208) 639-4900 (208) 454-9181 (209) 278-3406 (208) 674-1444 (208) 278-3335 (208) 278-3335 (208) 278-3335 (209) 278-3406 (208) 278-3335 (208) 278-3335 (208) 278-3335 (209) 278-3406 (209) 278-3406 (208) 674-1444 -St Alphonsus Regional Medical Center Inc (208) 937-2496 -St Mary's Hospital Inc (208) 962-3267 (208) 962-3267 -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 962-3267 -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 962-3267 -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 476-5777 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 320

Williams, Michael P MD Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Bouis, Charles CRNA Cert Registered Nurse Anesthetist (CRNA) Gustin, Kent B Cert Registered Nurse Anesthetist (CRNA) Martin, Dana D Cert Registered Nurse Anesthetist (CRNA) Merritt, Albert William CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Overly, Thomas W. CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Stormes, Michael Scott RN Cert Registered Nurse Anesthetist (CRNA) Dermatology Yokel, Benjamin Karl MD Dermatology Nelson, Peter N MD Sanderson, Thomas Walter MD Campbell, Kimberly Jordan MD 1055 Riverside Ave Orofino, ID 83544 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 Danke, William E. 301 Cedar St, Geriatric Medicine, Orofino, ID 83544-9029 Jenkins, Christopher K Robinson, Charity D. MD Schochler, Amy L. Sholar, Colleen P DO /OB Morris, Joshua MD /OB General Practice Berg, Cay E MD General Practice Interventional Cardiology Kavanaugh, Kevin M MD Interventional Cardiology, Cardiovascular Disease Stephenson, Kelli D NPRA, RN 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 1055 Riverside Ave Orofino, ID 83544 301 Cedar St Orofino, ID 83544-9029 (208) 476-5777 ADA Accessible -Bonner General Hospital -Sacred Heart Univ District (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible -Yakima Valley Memorial Hospital -Clearwater Valley Hospital -St Joseph Regional Medical Center -St Mary's Hospital Inc -Clearwater Valley Hospital -St Mary's Hospital Inc (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible -Clearwater Valley Hospital (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible Languages: SPANISH -Clearwater Valley Hospital -Coulee Medical Center (208) 476-4555 ADA Accessible -Clearwater Valley Hospital (208) 476-4555 ADA Accessible -Clearwater Valley Hospital (208) 476-4555 ADA Accessible -Clearwater Valley Hospital (208) 476-5777 ADA Accessible (208) 476-4555 ADA Accessible -Mountain View Hospital LLC (208) 476-5777 ADA Accessible -Bonner General Hospital (208) 476-4555 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 321

/ Braun, Joanne ARNP, RN / Miller, Tammy Jo NPRA, RN / Marks, William L. Odren, Donelle L. Thomas, Alison J. Box, Nicholas Julien PA Psychiatry LaCroix, Camille A MD Psychiatry Easton, Dean MD Ho-Laumann, Nancy Khan, Toseef MD Parshad, Sulekha Serra, Alexander D Archibald, Steven A MD Awobuluyi, Marc Taiwo, Neuroradiology Bechtel, Mark H. Bulczak, Dariusz Piotr Cavazos, Cristina MD Cheng, Sam Chilukuri, Ananthakrishna MD Cho, Parina G MD Davis, Mark Cameron MD Dixon, Joseph Trammell MD Dymond, Melissa Lee MD Eggleston, Ben Finch, Lisa Foral, Jonathan Michael MD 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 150 126th St Orofino, ID 83544-5016 150 126th St Orofino, ID 83544-5016 150 126th St Orofino, ID 83544-5016 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-7105 (208) 476-7105 (208) 476-7105 (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible -St Alphonsus Regional Medical Center Inc -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible -Swedish Medical Center (208) 476-4555 ADA Accessible -Clearwater Valley Hospital -Klickitat Valley Hospital -Whitman County Hospital & Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 322

Goni, Michelle MD Hotchkiss, Laura A. MD Hurt, Christopher J Kang, Margaret Lovelace, Todd Delton MD Moon, David M MD Paul, Marc H MD Philip, Shailendri ER MD Reisenauer, Christin S Rickman, Christopher E Romey, Roy L. Rossin, Richard D Shah, Samir MD Shkurovich, Sergey MD Spinuzza, Thomas Strong, Benjamin W. MD Tague, David F Takeuchi, Sean Y MD Uytana, Vinson L Verhey, Peter T, Wong, William J. Zaytsev, Igor Viktorovitch Osburn Cardiovascular Disease Pavlic, Romeo A Cardiovascular Disease Branz, Anthony J MD Parma Rudkin, Shawn A Rudkin, Shawn A / 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 301 Cedar St Orofino, ID 83544-9029 801 E Mullan Osburn, ID 83849 801 E Mullan Ave Osburn, ID 83849 119 N 2nd St Parma, ID 83660 101 E Grove Ave Parma, ID 83660 (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible -Gritman Medical Center Inc -Lake Chelan Community Hospital -Prosser Memorial Hospital -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible -Clearwater Valley Hospital -Gritman Medical Center Inc -St Mary's Hospital Inc (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible (208) 476-4555 ADA Accessible -Lake Chelan Community Hospital (208) 777-7500 Languages: GERMAN, RUSSIAN, SPANISH (208) 556-4803 -Shoshone Medical Center (208) 722-9999 (208) 722-9999 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 323

Bean, Karen / Guy, Rebecca NPRA / Swainston, Rebecca A / Grow, Marc P PT Hackenberg, Amber A PAC Kingery, Kristine Payette Carrell, Kenneth K Carroll, Ronald Eugene MD Rodriguez-Lopez, Eddie O. MD Schantz, Shannon D Phillips, Alisha L ARNP, RN, RN / Buhr-Cote, JoAnn / Corbin, Carlie G NPRA, RN / Stark, Jody A ARNP, RN /, Nurse Practitioner/Mental Health /Mental Health Barfield, Patricia /Mental Health Robison, Gail /Mental Health Chudleigh, Daniel Walter Hardy, David Oran Heaton, Brian Beech, Louie W Rodriguez, Katee J PAC Shuey, Yelena Calhoun, Bernice R LSW Heald, Teresa Labernik, Julie N Mitchell, Mandy L Sanchez, Thomas R LSW 307 Grove St Parma, ID 83660 307 Grove St Parma, ID 83660 307 Grove St Parma, ID 83660 206 N 3rd St Parma, ID 83660 307 Grove St Parma, ID 83660 307 Grove St Parma, ID 83660 1441 NE 10th Ave Payette, ID 83661-5420 823 Central Ave Payette, ID 83661 1441 NE 10th Ave Payette, ID 83661-5420 1441 NE 10th Ave Payette, ID 83661-5420 823 Central Ave Payette, ID 83661 1441 NE 10th Ave Payette, ID 83661-5420 1441 NE 10th Ave Payette, ID 83661-5420 501 N 16th St Ste 110 Payette, ID 83661-2782 501 N 16th St Ste 110 Payette, ID 83661-2782 501 N 16th St Ste 110 Payette, ID 83661-2782 501 N 16th St Ste 105 Payette, ID 83661 501 N 16th St Ste 105 Payette, ID 83661 501 N 16th St Ste 105 Payette, ID 83661 1441 NE 10th Ave Payette, ID 83661-5420 1441 NE 10th Ave Payette, ID 83661-5420 1441 NE 10th Ave Payette, ID 83661-5420 501 N 16th St Ste 110 Payette, ID 83661-2782 501 N 16th St Ste 110 Payette, ID 83661-2782 501 N 16th St Ste 110 Payette, ID 83661-2782 501 N 16th St Ste 110 Payette, ID 83661-2782 1441 NE 10th Ave Payette, ID 83661-5420 (208) 722-5147 (208) 722-5147 (208) 722-5147 (208) 722-7350 (208) 722-5147 (208) 722-5147 (208) 642-9376 (208) 642-3396 (208) 642-9376 Languages: SPANISH (208) 642-9376 -Saint Alphonsus Medical Center - Ontario (208) 642-3396 (208) 642-9376 (208) 642-9376 (208) 642-2600 (208) 642-2600 (208) 642-2600 (208) 789-4453 (208) 789-4453 (208) 789-4453 (208) 642-9376 (208) 642-9376 (208) 642-9376 Languages: RUSSIAN (208) 642-2600 (208) 642-2600 (208) 642-2600 (208) 642-2600 (208) 642-9376 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 324

Pierce Jenkins, Christopher K Easton, Dean MD Pinehurst Beier, Rafael L.W. DO Plummer Cardiovascular Disease Pavlic, Romeo A Cardiovascular Disease Kain, Ryan Gregory Lee DC Lies, Lynna Marie DC Aragundi, Soraya O. Barinaga, Mary E Beck, James W. MD Fullen, Coy B Gonzalez, Marilou Marcelo MD Paz, Raymond M MD Rush, Shelby Renae MD General Surgery Wheeler, William W General Surgery / Griffin, June G NPRA, RN / Hildebrandt, Susan Eileen ARNP, RN / Vetter, Nichole Carol NPRA, RN / Optometry Meyer, Brian OD Optometry Ainge, Charlotte S MA Davis, Robert PAC Anardi, Chrystal M Anardi, Chrystal M 105 W Carle St Pierce, ID 83546 105 W Carle St Pierce, ID 83546 107 Church St Pinehurst, ID 83850-5004 407 12th St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 888 C St Plummer, ID 83851 1115 B St Plummer, ID 83851 1115 B St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 1115 B St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 1115 B St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 1115 B St Plummer, ID 83851 1115 B St Plummer, ID 83851 1115 B St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 (208) 476-4555 Languages: SPANISH (208) 476-4555 (208) 682-2151 -Clearwater Valley Hospital -Coulee Medical Center (208) 777-7500 Languages: GERMAN, RUSSIAN, SPANISH (208) 686-1931 (509) 487-2074 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 686-1931 -Gritman Medical Center Inc (208) 686-1931 (208) 245-5551 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 686-1449 (208) 686-1449 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 325

Kenyon, Willow R LSW Munson, Angela M LSW Printz, Carl W LSW Threadgill, Heather Nicole LSW Williams, Katarzyna LSW, LSW Urgent Care Hartwig, R. Kim Urgent Care, Pocatello Anesthesiology Cook, Roger A MD Anesthesiology Follett, Steven Larry MD Anesthesiology Huff, Daniel M MD Anesthesiology Leon De Los Rios, Juan Jose MD Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Shelton, Ryan Robert MD Anesthesiology Snell, Daniel D. Anesthesiology Behavioral/Mental Health Cole, Lavon M LMHC Behavioral/Mental Health Cardiovascular Disease Antonelli, Lisa Frances MD Cardiovascular Disease Antonelli, Lisa Frances MD Cardiovascular Disease Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Boehm, Douglas Kent Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, 427 N 12th St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 427 N 12th St Plummer, ID 83851 1115 B St Plummer, ID 83851 1115 B St Plummer, ID 83851 333 N 18th Ste A Pocatello, ID 83201-3358 285 Vista Dr Pocatello, ID 83201-4987 333 N 18th Ave Ste A Pocatello, ID 83201-3358 333 N 18th Ste A Pocatello, ID 83201-3358 1157 Call Pl Pocatello, ID 83201-3034 285 Vista Dr Ste C Pocatello, ID 83201-4987 333 N 18th Ste A Pocatello, ID 83201-3358 333 N 18th Ste A Pocatello, ID 83201-3358 265 E Chubbuck Rd Pocatello, ID 83202-5055 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5162 777 Hospital Way Ste 215 Pocatello, ID 83201-5162 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 880 W Quinn Rd Pocatello, ID 83201-2454 707 N 7th Pocatello, ID 83201 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 500 S 11th Ste 303 Pocatello, ID 83201-4879 777 Hospital Way Ste 215 Pocatello, ID 83201-5162 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 880 W Quinn Rd Pocatello, ID 83201-2454 707 N 7th Pocatello, ID 83201 486 Memorial Dr Pocatello, ID 83201-4008 465 Memorial Dr Pocatello, ID 83201-4008 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 686-1931 (208) 233-8880 ADA Accessible (208) 478-1704 -Skyline Surgery Center (208) 406-3116 (208) 233-8880 ADA Accessible (208) 232-2008 -Bingham Memorial Hospital (208) 478-1704 -Bingham Memorial Hospital (208) 233-8880 ADA Accessible (208) 233-8880 ADA Accessible (208) 237-1711 (208) 234-2001 ADA Accessible (208) 239-2065 (208) 239-2580 (208) 239-2640 (208) 234-2001 (208) 238-2000 (208) 233-4562 (208) 234-2001 ADA Accessible (208) 234-2001 (208) 239-3815 Not accepting new patients (208) 239-2580 (208) 239-2640 (208) 239-2260 (208) 238-2000 (208) 233-4562 (208) 282-4700 (208) 282-4700 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 326

Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Gonzalez, David Manuel MD Cardiovascular Disease, Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Grigera, Fernando MD Cardiovascular Disease,, Interventional Cardiology Longmore, Lance Spencer DO Cardiovascular Disease Longmore, Ryan Bradley DO Cardiovascular Disease Narraway, Alfred Iain DO Cardiovascular Disease Narraway, Alfred Iain DO Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Bringhurst, Alex John ARNP, RN Cert Registered Nurse Anesthetist (CRNA) Brook, Leon CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Chow, Daniel Justin CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Driscoll, Dewey Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Driscoll, Dewey Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Jackson, Luke J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Jackson, Luke J CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Johanson, Gary ARNP, RN Cert Registered Nurse Anesthetist (CRNA) Knapp, Kenneth Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Knapp, Kenneth Michael CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Marler, Richard Aaron CRNA, RN Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Murray, Shawn M CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Parker, Daniel James CRNA, RN Cert Registered Nurse Anesthetist (CRNA) 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 500 S 11th Ste 303 Pocatello, ID 83201-4879 777 Hospital Way Ste 215 Pocatello, ID 83201-5162 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 880 W Quinn Rd Pocatello, ID 83201-2454 707 N 7th Pocatello, ID 83201 486 Memorial Dr Pocatello, ID 83201-4008 465 Memorial Dr Pocatello, ID 83201-4008 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 500 S 11th Ste 303 Pocatello, ID 83201-4879 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 500 S 11th Ste 303 Pocatello, ID 83201-4879 333 N 18th Ste A Pocatello, ID 83201-3358 333 N 18th Ste A Pocatello, ID 83201-3358 333 N 18th Ste A Pocatello, ID 83201-3358 333 N 18th Ste A Pocatello, ID 83201-3358 1155 Pocatello Creek Rd Pocatello, ID 83201-2949 333 N 18th Ste A Pocatello, ID 83201-3358 1155 Pocatello Creek Rd Pocatello, ID 83201-2949 333 N 18th Ste A Pocatello, ID 83201-3358 333 N 18th Ste A Pocatello, ID 83201-3358 1155 Pocatello Creek Rd Pocatello, ID 83201-2949 333 N 18th Ste A Pocatello, ID 83201-3358 1157 Call Pl Pocatello, ID 83201-3034 285 Vista Dr Ste C Pocatello, ID 83201-4987 333 N 18th Ste A Pocatello, ID 83201-3358 (208) 234-2001 ADA Accessible (208) 239-1920 (208) 239-3815 Not accepting new patients (208) 239-2580 (208) 239-2640 (208) 239-2260 (208) 238-2000 (208) 233-4562 (208) 282-4700 (208) 282-4700 (208) 234-2001 ADA Accessible (208) 239-1920 (208) 239-3815 Not accepting new patients (208) 234-2001 ADA Accessible (208) 234-2001 ADA Accessible (208) 234-2001 ADA Accessible -Portneuf Medical Center (208) 239-3815 Not accepting new patients -Portneuf Medical Center (208) 233-8880 ADA Accessible (208) 233-8880 ADA Accessible (208) 233-8880 ADA Accessible (208) 233-8880 ADA Accessible (208) 232-0006 (208) 233-8880 ADA Accessible (208) 232-0006 (208) 233-8880 ADA Accessible (208) 233-8880 ADA Accessible (208) 232-0006 (208) 233-8880 ADA Accessible (208) 232-2008 (208) 478-1704 (208) 233-8880 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 327

Parker, Daniel James CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Roper, Benson Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Scott, Micah Joe CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Scott, Micah Joe CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Skidmore, Tammy L ARNP, RN Cert Registered Nurse Anesthetist (CRNA) Stoddard, Nicholas F CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Stoddard, Nicholas F CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Stoddard, Nicholas F CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Waterman, Cassidi B NPRA, RN Cert Registered Nurse Anesthetist (CRNA) Certified Nutritionist/Registered Diet Donaldson, Karen Diane RD, RD Certified Nutritionist/Registered Diet Donaldson, Karen Diane RD, RD Certified Nutritionist/Registered Diet Belnap, Mark E. Bowers, Paul Kendell DC, DC, RN Bowers, Paul Kendell DC, DC, RN Bowers, Paul Kendell DC, DC, RN Bowers, Paul Kendell DC, DC, RN Evans, Nathan J. DC Johnson, II, Gary L DC Ofisa, Shaloam DC Page, Timothy Lee Williams, Jeffrey M DC, RN Dermatology Stoddard, Earl R. Dermatology Stoddard, Earl R. Dermatology Wray, Adam D Dermatology Wray, Adam D Dermatology Dietitian Roberts, Misty Ann CD Dietitian Conner, John Shelton MD Favor, Douglas Garth Fowler, Randall Scott MD Fowler, Randall Scott MD 1155 Pocatello Creek Rd Pocatello, ID 83201-2949 333 N 18th Ste A Pocatello, ID 83201-3358 1157 Call Pl Pocatello, ID 83201-3034 285 Vista Dr Ste C Pocatello, ID 83201-4987 333 N 18th Ste A Pocatello, ID 83201-3358 1155 Pocatello Creek Rd Pocatello, ID 83201-2949 5040 Moonlight Mine Rd Pocatello, ID 83201-9031 333 N 18th Ste A Pocatello, ID 83201-3358 1155 Pocatello Creek Rd Pocatello, ID 83201-2949 777 Hospital Way Pocatello, ID 83201-5175 333 N 18th Ste A Pocatello, ID 83201-3358 1951 Bench Rd Ste B Pocatello, ID 83201-2073 611 Wilson Ave Ste #8 Pocatello, ID 83201-5046 521 E Halliday St Pocatello, ID 83201-6563 845 W Center Ste 202 Pocatello, ID 83206 845 W Center Ste 200 Pocatello, ID 83204-4237 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 2010 Flandro Dr Pocatello, ID 83202-1947 2745 Pole Line Rd Pocatello, ID 83201-6111 1800 Flandro Dr Ste 130 Pocatello, ID 83202-4938 476 1/2 E Chubbuck Rd Pocatello, ID 83202-1816 560 Memorial Dr Pocatello, ID 83201-4070 1951 Bench Rd Ste B Pocatello, ID 83201-2073 1951 Bench Rd Ste A Pocatello, ID 83201-2073 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 2302 E Terry St Pocatello, ID 83201-2733 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 500 S 11th Ste 500 Pocatello, ID 83201-4881 (208) 232-0006 (208) 233-8880 ADA Accessible (208) 232-2008 (208) 478-1704 (208) 233-8880 ADA Accessible (208) 232-0006 (208) 339-5492 (208) 233-8880 ADA Accessible (208) 232-0006 (208) 233-8880 (208) 233-8880 ADA Accessible (208) 238-1000 ADA Accessible (208) 233-0593 (208) 233-3838 (208) 232-7862 (208) 232-6260 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 238-0600 (208) 234-2225 (208) 242-3723 ADA Accessible (208) 478-7243 Not accepting new patients (208) 637-2225 (208) 238-1000 ADA Accessible (208) 232-7546 (208) 239-8010 (208) 478-7900 (208) 235-5910 (480) 421-9700 (480) 421-9700 (480) 421-9700 (208) 239-1940 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 328

Gerber, David Aaron Holt, Kurtis, Urgent Care Marshall, Jordon Scott DO, PHAR Packer, Scott Michael Packer, Scott Michael Parmley, Willis Earl MD Parmley, Willis Earl MD Ryan, Kenneth Craig Sandy, Curtis Clinton MD Sandy, Curtis Clinton MD Endocrinology Liljenquist, David R. MD Endocrinology Liljenquist, John E. Endocrinology Bailey, Jordan MD Bokelmann, Jean M MD Bokelmann, Jean M MD Bokelmann, Jean M MD Bokelmann, Jean M MD Brizzee, David DO Burton, Bradley MD Clair, Charles MD Clark, Sharla DO Clark, Sharla DO Clifford, Kyle Layton Cree, Jonathan MD Cree, Jonathan MD Fenstermaker, John Fenstermaker, John Fernandez, Luis Manual MD, MD Fernandez, Luis Manual MD, MD Fernandez, Luis Manual MD, MD Fernandez, Luis Manual MD, MD Fernandez, Luis Manual MD, MD Gillespie, Robert Todd PA Gillespie, Robert Todd PA Gillespie, Robert Todd PA 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 1595 Yellowstone Ave Pocatello, ID 83201-4203 1595 Yellowstone Pocatello, ID 83201-4203 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Ste G1 Pocatello, ID 83201-5175 444 Hospital Way Bldg B Ste 611 Pocatello, ID 83201-2744 444 Hospital Way Bldg B Ste 611 Pocatello, ID 83201-2744 151 N 4th Ave Ste B Pocatello, ID 83201-6300 465 Memorial Dr Pocatello, ID 83201-4008 777 Hospital Way Pocatello, ID 83201-5175 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 2010 Flandro Dr Pocatello, ID 83202-1947 2006 Birdie Thompson Dr Pocatello, ID 83201-2768 845 W Center Ste 202 Pocatello, ID 83206 1951 Bench Rd Ste B Pocatello, ID 83201-2073 465 Memorial Dr Pocatello, ID 83201 2006 Birdie Thompson Dr Pocatello, ID 83201-2768 777 Hospital Way Ste 201 Pocatello, ID 83201-5162 465 Memorial Dr Pocatello, ID 83201 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201-5175 500 S 11th Ste 303 Pocatello, ID 83201-4879 880 W Quinn Rd Pocatello, ID 83201-2454 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 (480) 421-9700 (480) 421-9700 (480) 421-9700 (208) 233-0032 (208) 233-0032 (480) 421-9700 (208) 239-1029 (480) 421-9700 (480) 421-9700 (208) 239-2670 (208) 523-1122 -Eastern Idaho Regional Medical Center (208) 523-1122 (208) 269-7147 (208) 282-4700 (208) 239-1920 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 238-0600 (208) 232-1132 (208) 232-7862 (208) 238-1000 ADA Accessible (208) 234-4700 ADA Accessible (208) 232-1132 (208) 239-2260 Languages: FRENCH (208) 234-4700 ADA Accessible Languages: FRENCH (208) 232-6260 (208) 234-4700 ADA Accessible (208) 239-1920 Languages: SPANISH (208) 239-3815 ADA Accessible Languages: SPANISH (208) 238-2000 Languages: SPANISH (208) 232-6260 Languages: SPANISH (208) 234-4700 ADA Accessible Languages: SPANISH (208) 239-8010 (208) 478-7900 (208) 478-2449 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 329

Gregson, Michael J MD Gregson, Michael J MD Gregson, Michael J MD Holmstead, Earl Evan MD Horrocks, Mark T MD Joseph, Anthony E., Sports Medicine Kam, Jared Michael MD Kam, Jared Michael MD Kam, Jared Michael MD Kjos, Melissa R MD Kjos, Melissa R MD Kjos, Melissa R MD Mangan, Martin Angus Mangan, Martin Angus Mansfield, Mark L MD Martin, Brady C DO Martin, Brady C DO Martin, Brady C DO Maynard, Richard M DO Mickelsen, Brandon C DO Mickelsen, Brandon C DO Mickelsen, Brandon C DO Mickelsen, Brandon C DO Mills, Lavonne R MD Mills, Lavonne R MD Morrison, Chelsie A DO Morrison, Chelsie A DO Nielsen, Travis Dale DO Nielsen, Travis Dale DO Nielsen, Travis Dale DO Olsen, Blaine Reed DO Olsen, Blaine Reed DO Olsen, Blaine Reed DO Olsen, Blaine Reed DO Price, Jared M DO Price, Jared M DO 1125 W Alameda Rd Pocatello, ID 83201-6143 777 Hospital Way Pocatello, ID 83201-5175 845 W Center Ste 202 Pocatello, ID 83206 2006 Birdie Thompson Dr Pocatello, ID 83201-2768 845 W Center Ste 202 Pocatello, ID 83206 333 N 18th Ave Ste D-1 Pocatello, ID 83201-3358 1151 Hospital Way Ste D201 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 845 W Center Ste 202 Pocatello, ID 83206 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 1595 Yellowstone Ave Pocatello, ID 83201-4203 1595 Yellowstone Pocatello, ID 83201-4203 110 Vista Dr Pocatello, ID 83201-5824 1151 Hospital Way Ste D201 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 110 Vista Dr Pocatello, ID 83201-5824 1951 Bench Rd Ste B Pocatello, ID 83201-2073 777 Hospital Way Pocatello, ID 83201-5175 845 W Center Ste 202 Pocatello, ID 83206 465 Memorial Dr Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201-5175 845 W Center Ste 202 Pocatello, ID 83206 845 W Center Ste 200 Pocatello, ID 83204-4237 465 Memorial Dr Pocatello, ID 83201 1951 Bench Rd Ste B Pocatello, ID 83201-2073 777 Hospital Way Pocatello, ID 83201-5175 845 W Center Ste 202 Pocatello, ID 83206 1951 Bench Rd Ste B Pocatello, ID 83201-2073 880 W Quinn Rd Pocatello, ID 83201-2454 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 560 Memorial Dr Pocatello, ID 83201-4070 845 W Center Ste 202 Pocatello, ID 83206 (208) 237-1151 (208) 239-1920 (208) 232-7862 (208) 232-1132 (208) 232-7862 Languages: SPANISH (206) 233-2100 (208) 239-8008 (208) 478-7900 (208) 478-2449 (208) 232-7862 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 233-0032 (208) 233-0032 (208) 234-2300 -Bingham Memorial Hospital -Portneuf Medical Center (208) 239-8010 (208) 478-7900 (208) 478-2449 (208) 234-2300 -Portneuf Medical Center (208) 238-1000 ADA Accessible (208) 239-1920 (208) 232-7862 (208) 234-4700 ADA Accessible (208) 239-1920 (208) 232-7862 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 238-1000 ADA Accessible -Portneuf Medical Center (208) 239-1920 -Portneuf Medical Center (208) 232-7862 -Portneuf Medical Center (208) 238-1000 ADA Accessible (208) 238-2000 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 234-1960 (208) 232-7862 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 330

Price, Jared M DO Price, Jared M DO Ragan, Joseph Neil MD Ragan, Joseph Neil MD Ragan, Joseph Neil MD Smith, Dean Ty DO Smith, Dean Ty DO Smith, Dean Ty DO Solbrig, Ronald M. MD Solbrig, Ronald M. MD Solbrig, Ronald M. MD Thayne, Andrew W. Walker, Kris M MD Warnock, Zachary B MD Warnock, Zachary B MD West, Brandon DO Willey, Jay Warren DO Willey, Jay Warren DO Willis, Howard James DO Wise, David Leo MD Woodhouse, William M MD Woodhouse, William M MD Woodhouse, William M MD Gastroenterology Cook, Darryl Bruce MD Gastroenterology, Davis, Thomas V DO Gastroenterology, Godfrey, Jonathan Dean MD Gastroenterology General Practice Blackner, Kenneth Todd MD General Practice Blackner, Kenneth Todd MD General Practice Blackner, Kenneth Todd MD General Practice General Surgery Birkenhagen, Walter Kurt MD General Surgery Birkenhagen, Walter Kurt MD General Surgery Coray, Robert Louis MD General Surgery Coray, Robert Louis MD General Surgery 777 Hospital Way Ste G1 Pocatello, ID 83201-5175 465 Memorial Dr Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201-5175 880 W Quinn Rd Pocatello, ID 83201-2454 465 Memorial Dr Pocatello, ID 83201 880 W Quinn Rd Pocatello, ID 83201-2454 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201-4008 777 Hospital Way Pocatello, ID 83201-5175 845 W Center Ste 202 Pocatello, ID 83206 1951 Bench Rd Ste B Pocatello, ID 83201-2073 1951 Bench Rd Ste B Pocatello, ID 83201-2073 1951 Bench Rd Ste B Pocatello, ID 83201-2073 845 W Center Ste 200 Pocatello, ID 83204-4237 1133 Call Creek Pl Ste A Pocatello, ID 83201-0000 495 Yellowstone Ave Pocatello, ID 83201-4531 475 Yellowstone Ave Ste E Pocatello, ID 83201-4528 495 Yellowstone Ave Pocatello, ID 83201-4531 115 S 15th St Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201-5175 845 W Center Ste 202 Pocatello, ID 83206 465 Memorial Dr Pocatello, ID 83201 1151 Hospital Way Bldg A Pocatello, ID 83205 1151 Hospital Way Bldg A Pocatello, ID 83205 1151 Hospital Way Bldg A Pocatello, ID 83205 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 2302 E Terry St Pocatello, ID 83201-2733 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 (208) 239-2670 (208) 234-4700 ADA Accessible (208) 239-1920 (208) 238-2000 (208) 234-4700 ADA Accessible (208) 238-2000 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 282-4700 -Portneuf Medical Center (208) 239-1920 -Portneuf Medical Center (208) 232-7862 -Portneuf Medical Center (208) 238-1000 ADA Accessible (208) 238-1000 ADA Accessible (208) 238-1000 ADA Accessible (208) 232-6260 (208) 232-1000 (208) 478-7422 ADA Accessible (208) 232-0021 ADA Accessible (208) 478-7422 ADA Accessible (208) 234-0012 (208) 239-1920 (208) 232-7862 (208) 234-4700 ADA Accessible (208) 232-6616 (208) 232-6616 (208) 232-6616 (208) 239-8010 (208) 782-3992 (208) 478-7900 (208) 239-8010 -Bingham Memorial Hospital -Idaho Doctors Hospital (208) 478-7900 -Bingham Memorial Hospital -Idaho Doctors Hospital (208) 239-8010 (208) 478-7900 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 331

Davis, Anthony Kenyatta MD General Surgery De La Rosa, Jacob MD General Surgery, Thoracic Surgery Fritz, Katie Jane General Surgery Garay, Alian G General Surgery Harmon, Keith Kevin General Surgery Marshall, Gregg Arthur MD General Surgery Marshall, Gregg Arthur MD General Surgery McRoberts, Drew W General Surgery McRoberts, Drew W General Surgery Medvetz, Lisa Ann MD General Surgery Preston, Kate Elizabeth MD General Surgery Schneider, Doran J DO General Surgery Hospitalist Knight, Charles MD Hospitalist, Infectious Disease Buitrago, Martha I. Infectious Disease Buitrago, Martha I. Infectious Disease Buitrago, Martha I. Infectious Disease Buitrago, Martha I. Infectious Disease Buitrago, Martha I. Infectious Disease Allen, Eric DO Anderson, Shane K DO Anghel, Gabriela Corina MD Babbitt, Linda Lou MD Benson, Mark P Benson, Mark P Benson, Mark P Capriccione, Angelo M MD Groom, Corwin P MD Haderlie, Michael J MD O'Mara, Thomas MD Critical Care Medicine, Rahim, Naeem, Nephrology Scherr, Daron L. Shrader, David L MD Stutts, III, Baldwin Shields MD, Cardiovascular Disease 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 777 Hospital Way Ste 215 Pocatello, ID 83201-5162 777 Hospital Way Ste 201 Pocatello, ID 83201-5162 777 Hospital Way Ste 115 Pocatello, ID 83201-5162 500 S 11th St Ste 501 Pocatello, ID 83201 777 Hospital Way Ste 201 Pocatello, ID 83201-5162 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Ste 201 Pocatello, ID 83201-5162 957 Hospital Way Bldg A Pocatello, ID 83201-5096 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 777 Hospital Way Ste 201 Pocatello, ID 83201-5162 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 777 Hospital Way Ste 201 Pocatello, ID 83201-5162 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 465 Memorial Dr Pocatello, ID 83201-4008 880 W Quinn Rd Pocatello, ID 83201-2454 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201-5175 1151 Hospital Way Ste D201 Pocatello, ID 83201-5091 500 S 11th Ste 303 Pocatello, ID 83201-4879 500 S 11th Ave Ste 203 Pocatello, ID 83201-4879 777 Hospital Way Pocatello, ID 83201-5175 500 S 11th Ste 300 Pocatello, ID 83201-4835 500 S 11th Ave Ste 301 Pocatello, ID 83201-4879 2302 E Terry St Pocatello, ID 83201-2733 500 S 11th Ste 300 Pocatello, ID 83201-4835 444 Hospital Way Ste 607 Pocatello, ID 83201-2714 777 Hospital Way Pocatello, ID 83201-5175 444 Hospital Way Ste 607 Pocatello, ID 83201-2714 1553 E Center Pocatello, ID 83201 1595 Bannock Hwy Pocatello, ID 83204-3509 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 (208) 239-8010 (208) 239-2580 (208) 239-2260 (208) 239-2260 (208) 232-7434 (208) 239-2260 (208) 239-1920 (208) 239-2260 (208) 239-2055 (208) 239-8010 (208) 239-2260 (208) 239-8010 (208) 239-2260 (208) 239-2260 -Eastern Idaho Regional Medical Center (208) 282-4700 -Eastern Idaho Regional Medical Center (208) 238-2000 -Eastern Idaho Regional Medical Center (208) 232-6260 -Eastern Idaho Regional Medical Center (208) 234-4700 ADA Accessible (208) 239-1920 (208) 478-2472 -Eastern Idaho Regional Medical Center (208) 239-3815 ADA Accessible Languages: ROMANIAN (208) 232-5902 (208) 239-1920 (208) 223-4562 (208) 239-2780 (208) 235-5910 Languages: ITALIAN, SPANISH (208) 223-4562 (208) 904-4780 (208) 239-1920 (208) 904-4780 (208) 233-9355 (208) 478-2449 (208) 239-8010 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 332

Vance, Carl D. MD Wehrle, Lance R DO Andersen, Matthew Colt LMHC Davies, Pamela L LMHC Evans, Cody R. Hall, Lisa Janine LSW 444 Hospital Way Bldg B Ste 611 Pocatello, ID 83201-2744 2302 E Terry St Pocatello, ID 83201-2733 475 Yellowstone Ave Ste E Pocatello, ID 83201-4528 1246 Yellowstone Ste C5 Pocatello, ID 83201-4373 475 Yellowstone Ave Ste E Pocatello, ID 83201-4528 475 Yellowstone Ave Ste E Pocatello, ID 83201-4528 Hutton-Levenson, Judith LMHC 845 W Center Ste 202, Marriage & Family Pocatello, ID 83206 Counselor Hutton-Levenson, Judith LMHC 1000 N 8th St, Marriage & Family Pocatello, ID 83201 Counselor Hutton-Levenson, Judith LMHC 465 Memorial Dr, Marriage & Family Pocatello, ID 83201 Counselor Zierke, Justin Dean LMHC, RC, RCCD Zierke, Justin Dean LMHC, RC, RCCD Maternal & Fetal Medicine Draper, Michael L Maternal & Fetal Medicine, Nephrology Rahim, Fahim MD Nephrology, Neurological Surgery Harrison, Gregory S Neurological Surgery Huneycutt, William Scott Neurological Surgery Morgan, Jonathan T DO Neurological Surgery Morgan, Jonathan T DO Neurological Surgery Neurology Cheatham, Robert MD Neurology Gerard, Mary Elizabeth MD Neurology Kennedy, Robert Michael Neurology, Kennedy, Robert Michael Neurology, Nurse Midwife Certified/Licensed Ackerman, Patty Jo CNM, RN Nurse Midwife Certified/Licensed Lamb, Nicole CNM, RN Nurse Midwife Certified/Licensed Muckerman, Julia L. Nurse Midwife Certified/Licensed Anderson, Kyle C ARNP, RN Baab, Samantha ARNP, RN Bean, Leslie Ann NPRA, RN Blake, O'Dopherty Beverley ARNP 1070 Hiline Rd Ste 210 Pocatello, ID 83201-2947 444 Hospital Way Ste 477 Pocatello, ID 83201-0444 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 444 Hospital Way Ste 607 Pocatello, ID 83201-2714 777 Hospital Way Ste 201 Pocatello, ID 83201-5162 2240 E Center Ste A Pocatello, ID 83201-2600 777 Hospital Way Ste 115 Pocatello, ID 83201-5162 333 N 18th Ave Ste B4 Pocatello, ID 83201-3358 777 Hospital Way Pocatello, ID 83201-5175 2240 E Center St Ste A Pocatello, ID 83201-2600 777 Hospital Way Pocatello, ID 83201-5175 1777 E Clark St Ste 330 Pocatello, ID 83201-3357 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 333 N 18th Ste A Pocatello, ID 83201-3358 495 Yellowstone Ave Pocatello, ID 83201-4531 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 2302 E Terry St Pocatello, ID 83201-2733 Blake, O'Dopherty Beverley ARNP 777 Hospital Way, / Pocatello, ID 83201-5175 (208) 523-1122 -Eastern Idaho Regional Medical Center (208) 235-5910 (208) 232-0021 ADA Accessible (208) 233-0150 (208) 232-0021 ADA Accessible (208) 232-0021 ADA Accessible (208) 232-7862 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 478-9081 (208) 233-7832 (208) 232-6100 (208) 904-4780 (208) 239-2260 (208) 233-3613 (208) 239-2260 (208) 232-2233 (208) 535-4591 (208) 233-8344 -Bingham Memorial Hospital (208) 239-1920 (208) 239-2065 (208) 232-6100 (208) 239-3412 -Portneuf Medical Center (208) 232-6100 (208) 233-8880 ADA Accessible (208) 478-7422 ADA Accessible (208) 234-2001 ADA Accessible (208) 782-3992 (480) 421-9700 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 333

Champlin, Colleen NPRA, RN Follett, Stephanie Dianne NPRA, RN Hampton, Nicolette R NPRA, RN Holland, David G NPRA, RN Holland, David G NPRA, RN Holland, David G NPRA, RN Horst, Jessica Rose NPRA, NPRA, RN Horst, Jessica Rose NPRA, NPRA, RN Huntsman, Elliot V ARNP, RN Kaufmann, Theresa M ARNP, RN McGregror, David Jim ARNP, RN Moss, Shelia ARNP, RN Moss, Shelia ARNP, RN Moss, Shelia ARNP, RN Packer, Adam Alden NPRA, RN Robertson, Codie Melissa ARNP, RN Rodriguez, Debra Lynn Rosenkrance, Mary B NPRA, RN Sabel, William G ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Stanley, Malissa Anne ARNP, RN Thompson, Laura M. ARNP Wedler, Trilby M ARNP, RN /Adult Barron, Cynthia L CRNS, RN /Adult / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Adams, Karla K NPRA, RN / Blad, Gustin Ross NPRA, RN / Bullock, Nicholas Freeman NPRA, RN / Bullock, Nicholas Freeman NPRA, RN / Campbell, Bryce ARNP, RN / Campbell, Bryce ARNP, RN / Campbell, Bryce ARNP, RN / 777 Hospital Way Ste 201 Pocatello, ID 83201-5162 110 Vista Dr Pocatello, ID 83201-5824 1951 Bench Rd Ste B Pocatello, ID 83201-2073 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 2302 E Terry St Pocatello, ID 83201-2733 2302 E Terry St Pocatello, ID 83201-2733 2240 E Center St Pocatello, ID 83201-2600 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 495 Yellowstone Ave Pocatello, ID 83201-4531 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 777 Hospital Way Pocatello, ID 83201-5175 110 Vista Dr Pocatello, ID 83201-5824 777 Hospital Way Pocatello, ID 83201-5162 777 Hospital Way Pocatello, ID 83201-5162 1951 Bench Rd Ste B Pocatello, ID 83201-2073 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 2302 E Terry St Pocatello, ID 83201-2733 495 Yellowstone Ave Pocatello, ID 83201-4531 777 Hospital Way Ste G-15 Pocatello, ID 83201-5175 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 880 W Quinn Rd Pocatello, ID 83201-2454 500 S 11th Ste 500 Pocatello, ID 83201-4881 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 (208) 239-2620 (208) 234-2300 (208) 238-1000 ADA Accessible (208) 239-8010 (208) 478-7900 (208) 478-2449 (208) 235-5910 (208) 235-5910 (208) 233-8344 ADA Accessible (208) 234-2001 ADA Accessible (208) 478-7422 ADA Accessible (208) 239-8010 (208) 478-7900 (208) 478-2449 (208) 239-1029 (208) 234-2300 (208) 239-2065 (208) 239-2065 -Portneuf Medical Center (208) 238-1000 ADA Accessible (208) 239-8010 (208) 478-7900 (208) 478-2449 (208) 782-3992 (208) 478-7422 ADA Accessible -Bingham Memorial Hospital (208) 239-2722 ADA Accessible (208) 239-8010 (208) 478-7900 (208) 478-2449 (208) 239-2640 (208) 238-2000 -Portneuf Medical Center (208) 239-1940 -Portneuf Medical Center (208) 239-8010 (208) 478-7900 (208) 478-2449 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 334

Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Curtright, Sarah E ARNP, RN / Dekker, Ruth ARNP, RN / Evans, Travis Ray NPRA, RN / Evans, Travis Ray NPRA, RN / Evans, Travis Ray NPRA, RN / Fletcher, Zuzana ARNP, RN / Fletcher, Zuzana ARNP, RN / Fletcher, Zuzana ARNP, RN / Harris, Tyson A NPRA, RN / Harris, Tyson A NPRA, RN / Johnson, Brian R NPRA, NPRA / Johnson, Brian R NPRA, NPRA / Johnson, Brian R NPRA, NPRA / Karroum, Brandi Binh NPRA, RN / Millward, Erin Louise NPRA, RN / Montgomery, Jason Andrew ARNP, RN / Poulos-Edmo, Helene ARNP, RN / Poulos-Edmo, Helene ARNP, RN / Poulos-Edmo, Helene ARNP, RN / Poulos-Edmo, Helene ARNP, RN / Poulos-Edmo, Helene ARNP, RN / Powell, Kay M NPRA, RN / Powell, Kay M NPRA, RN / Roth, Kathryn Jill ARNP, RN / Turner, Roberta Lynn NPRA, RN / Turner, Roberta Lynn NPRA, RN / Turner, Roberta Lynn NPRA, RN / Vawdrey, Randy P ARNP, RN / Vawdrey, Randy P ARNP, RN / Walker, Brad L ARNP, RN / Walker, Brad L ARNP, RN / /Mental Health Clark, Stephanie Ann ARNP, RN /Mental Health Clark, Stephanie Ann ARNP, RN /Mental Health /Women's Health 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 777 Hospital Way Pocatello, ID 83201-5175 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 880 W Quinn Rd Pocatello, ID 83201-2454 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 151 N 4th Ave Ste B Pocatello, ID 83201-6300 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 465 Memorial Dr Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 333 N 18th Ave Ste B4 Pocatello, ID 83201-3358 1553 E Center Pocatello, ID 83201 1553 E Center Pocatello, ID 83201 845 W Center Ste 202 Pocatello, ID 83206 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 1017 E Young St Pocatello, ID 83201 500 S 11th Ste 303 Pocatello, ID 83201-4879 500 S 11th Ste 500 Pocatello, ID 83201-4881 777 Hospital Way Pocatello, ID 83201-5162 495 Yellowstone Ave Pocatello, ID 83201-4531 475 Yellowstone Ave Ste E Pocatello, ID 83201-4528 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 1070 Hiline Rd Ste 210 Pocatello, ID 83201-2947 475 Yellowstone Ave Ste E Pocatello, ID 83201-4528 (208) 239-8010 -Bingham Memorial Hospital (208) 478-7900 -Bingham Memorial Hospital (208) 478-2449 -Bingham Memorial Hospital (208) 239-1920 ADA Accessible (208) 239-8010 (208) 478-7900 (208) 478-2449 (208) 238-2000 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 234-2001 ADA Accessible (208) 269-7147 (208) 239-8010 -Bingham Memorial Hospital (208) 478-7900 -Bingham Memorial Hospital (208) 478-2449 -Bingham Memorial Hospital (208) 234-4700 ADA Accessible (208) 234-4700 ADA Accessible (208) 232-2233 (208) 233-9355 (208) 233-9355 (208) 232-7862 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 478-7900 (208) 478-2449 (208) 233-2301 (208) 239-3815 ADA Accessible (208) 239-1940 (208) 239-2065 (208) 478-7422 ADA Accessible Languages: SPANISH (208) 232-0021 ADA Accessible Languages: SPANISH (208) 478-7900 (208) 478-2449 (208) 478-9081 (208) 232-0021 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 335

Gunning, Janelise ARNP, RN /Women's Health Rice, Cynthia M /Women's Health Callaghan, Cheryl Mary MD Carlson, Joel Andrew Cox, Kim Leon Dyer, Donald A MD Dyer, Donald A MD Dyer, Donald A MD Dyer, Donald A MD Dyer, Donald A MD Jones, Michael Gary DO Pugmire, Heather Dawn MD Pugmire, Heather Dawn MD Shelley, Carole Elizabeth MD Stinger, William Barrett DO Weaver, Heidi S MD Occupational Therapy Brown, Andrea OT Occupational Therapy Corbet, Heather M OT Occupational Therapy Gaudet, Sarah M OT Occupational Therapy Jean, Janice OT Occupational Therapy Jean, Janice OT Occupational Therapy Peterson, Barbara K OT Occupational Therapy Pierce, Aaron I OT Occupational Therapy Schmidt, Mary A. OT Occupational Therapy Toupin, Megan J OT Occupational Therapy Werth, Amanda OT Occupational Therapy Oncology, Medical Francisco, Michael Louis MD Oncology, Medical Francisco, Michael Louis MD Oncology, Medical Pierson, Andrew S MD Oncology, Medical, Hematology, Ririe, David W MD Oncology, Medical Ophthalmology Fornarotto, John Michael Ophthalmology Fornarotto, John Michael Ophthalmology 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 1553 E Center Pocatello, ID 83201 500 S 11th Ave Ste 201 Pocatello, ID 83201-4878 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 777 Hospital Way Pocatello, ID 83201-5175 845 W Center Ste 202 Pocatello, ID 83206 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 2302 E Terry St Pocatello, ID 83201-2733 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 777 Hospital Way Ste 300 Pocatello, ID 83201-5176 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 115 N Main St Pocatello, ID 83201-3112 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 135 Warren Ave Pocatello, ID 83201-4621 560 Memorial Dr Pocatello, ID 83201-4070 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 2010 Flandro Dr Pocatello, ID 83202-1947 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 500 S 11th Ste 205 Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201-5175 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 246 N 18th Ave Pocatello, ID 83201-3324 (208) 232-6100 (208) 233-9355 (208) 233-8000 (208) 232-6100 (208) 232-6100 (208) 232-6100 (208) 239-1920 (208) 232-7862 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 232-6100 -Portneuf Medical Center (208) 239-8010 -Bingham Memorial Hospital (208) 239-8020 -Bingham Memorial Hospital (208) 232-6100 (208) 232-6100 (208) 239-8010 (855) 319-1499 (208) 233-4660 (208) 233-4660 (208) 478-0258 (208) 478-0258 (208) 233-2248 ADA Accessible (208) 233-4660 (208) 238-3270 (208) 233-4660 (208) 233-4660 (208) 239-1920 -Portneuf Medical Center (208) 239-1920 ADA Accessible (208) 239-1470 (208) 239-1920 (208) 239-8010 (208) 234-4100 -Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 336

Gardner, Bradley P. MD Ophthalmology Jones, Robert Randall MD Ophthalmology Romriell, Eric K. Ophthalmology Blair, Benjamin Esplin, Vermon Sims MD, Surgery, Hand Hansen, Stephen M., Spinal Cord Injury Peterson, David John DO Peterson, David John DO Peterson, David John DO Richards, Jason P MD, Sports Medicine Richards, Jason P MD, Sports Medicine Richardson, Nathan Davis MD Stucki, Jeffrey Dee DO, Surgery, Hand Wathne, Richard A MD, Sports Medicine Orthopedics Coker, Steven Lloyd MD Orthopedics Otolaryngology Donaldson, David R MD Otolaryngology McGee, Kraig C Otolaryngology Yost, Morgan G DO Otolaryngology Pain Management Hope, Ryan Don MD Pain Management, Anesthesiology Snell, Timothy Earl MD Pain Management Snell, Timothy Earl MD Pain Management Wagner, Jared Paul MD Pain Management, Anesthesiology Wagner, Jared Paul MD Pain Management, Anesthesiology Pathology Garrison, Charles O Pathology Pediatrics Denton, David Miles MD Pediatrics Duty, Laura Marie MD Pediatrics Fulks, Brian Christopher Pediatrics Hardin, Creighton A MD Pediatrics McInturff, Don E MD Pediatrics, Murdoch, Matthew Ayers MD Pediatrics Parsons, Cindy Elizabeth MD Pediatrics 1157 Call Pl Pocatello, ID 83201-3034 1951 Bench Rd Ste C Pocatello, ID 83201-2013 1157 Call Pl Pocatello, ID 83201-3034 333 N 18th Ave Ste D-1 Pocatello, ID 83201-3358 560 Memorial Dr Ste B Pocatello, ID 83201-4703 950 Hospital Way Ste A Pocatello, ID 83201-2762 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 2240 E Center St Ste A Pocatello, ID 83201-2600 285 Vista Dr Pocatello, ID 83201 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 560 Memorial Dr Ste B Pocatello, ID 83201-4703 333 N 18th Ste D-1 Pocatello, ID 83201 560 Memorial Dr Pocatello, ID 83201-4070 333 N 18th Ave Ste B3 Pocatello, ID 83201-3358 333 N 18th Ave Ste B-3 Pocatello, ID 83201-3358 777 Hospital Way Pocatello, ID 83201 2240 E Center St Ste B Pocatello, ID 83201-2600 333 N 18th Ste A Pocatello, ID 83201-3358 2240 E Center Pocatello, ID 83201-2600 1151 Hospital Way Ste D201 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1125 W Alameda Rd Pocatello, ID 83201-6143 1151 Hospital Way Bldg F Pocatello, ID 83201-5091 1151 Hospital Way Bldg F Pocatello, ID 83201-5091 1151 Hospital Way Bldg F Pocatello, ID 83201-5091 1151 Hospital Way Bldg F Pocatello, ID 83201-5091 1151 Hospital Way Bldg F Pocatello, ID 83201-5091 1151 Hospital Way Bldg F Pocatello, ID 83201-5091 1151 Hospital Way Bldg F Pocatello, ID 83201-5091 (208) 232-2008 -Eastern Idaho Regional Medical Center (208) 238-3377 (208) 232-2008 -Eastern Idaho Regional Medical Center (208) 233-2100 (208) 235-4263 (208) 478-4522 Languages: FRENCH, HAITIAN CREOLE (208) 239-8010 (208) 478-7900 (208) 478-2449 (208) 233-8344 (208) 233-8344 (208) 239-8010 (208) 235-4263 (208) 233-2100 (208) 234-1960 (208) 232-2146 -Bingham Memorial Hospital -Portneuf Medical Center (208) 232-2146 (208) 239-1960 (208) 233-3613 Languages: SPANISH (208) 233-8880 ADA Accessible (208) 233-3613 (208) 239-8008 (208) 478-7900 (208) 237-1151 (208) 232-1443 (208) 232-1443 (208) 232-1443 (208) 232-1443 (208) 232-1443 (208) 232-1443 (208) 232-1443 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 337

Stelzer, Matthew Alan MD Pediatrics Summerill, Shaun Stephen MD Pediatrics Yost, Gentry C Pediatrics Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation Hill, Kevin Scott MD Physical Medicine and Rehabilitation Aitken, Elizabeth PT Aitken, Elizabeth PT Bates, John T Des Fosses, Danny Rae DeVoe, Cara E Ellis, Sadie E PT Flicker, Timothy Andrew PT Goode, Andrew Blake PT Goode, Andrew Blake PT Higbee, Shawn Robert PT Johnson, Joni Lynn PT Johnson, Joni Lynn PT Klitgaard, Steven R PT Klitgaard, Steven R PT Lane, Brelan J PT Lane, Brelan J PT Lemon, Richard W Lemon, Richard W Maiers, Bret L Maiers, Bret L Marshall, Robert Lance McAteer, Jennifer Lisa McDonald, Bart W. McKee, Jared L PT Merrill, Melissa PT Merrill, Melissa PT O'Keef, Daniel Glen PT 1151 Hospital Way Bldg F Pocatello, ID 83201-5091 1151 Hospital Way Bldg F Pocatello, ID 83201-5091 1151 Hospital Way Bldg F Pocatello, ID 83201-5091 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 777 Hospital Way Ste G-15 Pocatello, ID 83201-5175 2240 E Center St Ste D Pocatello, ID 83201-2600 495 Yellowstone Ave Ste B Pocatello, ID 83201 560 Memorial Dr Ste C Pocatello, ID 83201-4073 1033 W Quinn Rd Pocatello, ID 83201 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 4922 Yellowstone Ave Ste J Pocatello, ID 83202-2360 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 1800 Flandro Dr Ste 110 Pocatello, ID 83202-4936 500 S 11th Ste 500 Pocatello, ID 83201-4881 2240 E Center St Ste D Pocatello, ID 83201-2600 495 Yellowstone Ave Ste B Pocatello, ID 83201 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 1800 Flandro Dr Ste 110 Pocatello, ID 83202-4936 495 Yellowstone Ave Ste A Pocatello, ID 83201-4531 2240 E Center St Ste D Pocatello, ID 83201-2600 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 1033 W Quinn Rd Pocatello, ID 83202-2425 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 1800 Flandro Dr Ste 110 Pocatello, ID 83202-4936 333 N 18th Ave Ste D2 Pocatello, ID 83201-3358 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 560 Memorial Dr Ste C Pocatello, ID 83201-4073 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 1800 Flandro Dr Ste 110 Pocatello, ID 83202-4936 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 (208) 232-1443 (208) 232-1443 Languages: SPANISH (208) 232-1443 (208) 239-8010 (208) 478-7900 (208) 478-2449 -Portneuf Medical Center (208) 239-2722 ADA Accessible (208) 478-1488 (208) 478-1488 (208) 232-4267 ADA Accessible (208) 233-4800 (208) 233-4660 (208) 233-2248 ADA Accessible (208) 237-1882 Not accepting new patients (208) 233-2248 ADA Accessible (208) 233-2248 ADA Accessible (208) 239-1940 Languages: PORTUGUESE (208) 478-1488 (208) 478-1488 (208) 233-2248 ADA Accessible (208) 233-2248 ADA Accessible (208) 232-9198 (208) 478-1488 (208) 233-2248 ADA Accessible (208) 233-4800 (208) 233-2248 ADA Accessible (208) 233-2248 ADA Accessible (208) 232-6490 (208) 233-2248 ADA Accessible (208) 233-2248 ADA Accessible (208) 232-4267 ADA Accessible (208) 233-2248 ADA Accessible (208) 233-2248 ADA Accessible (208) 233-2248 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 338

Peterson, Emilie Louise PT Rasmussen, Corey L PT Rasmussen, Corey L PT Rasmussen, Corey L PT Sidwell, Randy Curt PT Stewart, Ryan Christopher PT Strait, Joshua P PT Stringfield, Sari D PT Waite, Christine Fischer PT Zitractch, Blaire M PT Barkus, Robert Barto, Allison D PA Belnap, Dale M PAC Bieniasz, Paul D PAC Bieniasz, Paul D PAC Bills, Kebai Dawn Bills, Kebai Dawn Borgholthaus, Lana Jo PAC Borgholthaus, Lana Jo PAC Eddie, Derek Berkley PA Eddie, Derek Berkley PA Eddie, Derek Berkley PA Gregson, Matthew M PAC Hale, Nicholas Alexander Hansen, Lisa Anne PA Hansen, Lisa Anne PA Hatch, Angela G Heier, Julie Marie Heier, Julie Marie Heier, Julie Marie Higbee, Logan PAC Higbee, Logan PAC Higbee, Logan PAC Hill, David Wayne Johnson, Shad C Judd, Jocelyn Ann PA 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 495 Yellowstone Ave Ste A Pocatello, ID 83201-4531 2240 E Center St Ste D Pocatello, ID 83201-2600 495 Yellowstone Ave Ste B Pocatello, ID 83201 333 N 18th Ave Ste D2 Pocatello, ID 83201-3358 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1800 Flandro Dr Ste 190 Pocatello, ID 83202-4940 560 Memorial Dr Ste C Pocatello, ID 83201-4073 495 Yellowstone Ave Pocatello, ID 83201-4531 110 Vista Dr Pocatello, ID 83201-5824 560 Memorial Dr Ste B Pocatello, ID 83201-4703 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 1777 E Clark St Ste 210 Pocatello, ID 83201-3357 1000 N 8th St Pocatello, ID 83201 495 Yellowstone Ave Pocatello, ID 83201-4531 785 Alpine Dr Pocatello, ID 83202-2643 560 Memorial Dr Pocatello, ID 83201-4070 777 Hospital Way Pocatello, ID 83201-5175 1595 Yellowstone Pocatello, ID 83201-4203 1151 Hospital Way Bldg A Pocatello, ID 83205 495 Yellowstone Ave Pocatello, ID 83201-4531 444 Hospital Way Pocatello, ID 83201 1000 N 8th St Pocatello, ID 83201 777 Hospital Way Bldg A #101 Pocatello, ID 83201-5175 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 1595 Yellowstone Ave Pocatello, ID 83201-4203 1595 Yellowstone Pocatello, ID 83201-4203 880 W Quinn Rd Pocatello, ID 83201-2454 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201-5175 1151 Hospital Way Bldg A Pocatello, ID 83205 1000 N 8th St Pocatello, ID 83201 (208) 233-2248 ADA Accessible (208) 232-9198 Languages: SPANISH (208) 478-1488 Languages: SPANISH (208) 478-1488 Languages: SPANISH (208) 232-6490 (208) 233-2248 ADA Accessible (208) 233-2248 ADA Accessible (208) 233-4660 (208) 233-2248 ADA Accessible (208) 232-4267 ADA Accessible (208) 478-7422 ADA Accessible (208) 234-2300 (208) 235-4263 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 233-5433 (208) 232-6260 (208) 478-7422 ADA Accessible (208) 238-1096 (208) 234-1960 (480) 421-9700 (208) 233-0032 (208) 232-6616 (208) 478-7422 ADA Accessible (208) 239-1650 (208) 232-6260 (208) 234-2001 ADA Accessible (208) 239-8010 (208) 233-0032 (208) 233-0032 (208) 238-2000 (208) 232-6260 (208) 234-4700 ADA Accessible (480) 421-9700 (208) 232-6616 (208) 232-6260 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 339

Judd, Jocelyn Ann PA Katter, Renee Lynn Katter, Renee Lynn Lachapelle, Brian Keith PAC Letko, Karl Max PA Letko, Karl Max PA Manning, Nicole PA Manning, Nicole PA Manning, Nicole PA Martin, David McDonald, David Mosiah PAC McDonald, David Mosiah PAC McGee, Julia R PA McGee, Julia R PA McGee, Julia R PA McKay, Lance Winfield PA McKay, Lance Winfield PA McKay, Lance Winfield PA Miller, Natalie Marie PA Nielson, Tyrell P PA Petersen, Jedidiah Allen PA, PAC Petersen, Jedidiah Allen PA, PAC Petersen, Jedidiah Allen PA, PAC Phelps, Paula B Pool, Justin Craig PA Pool, Justin Craig PA Porter, Ryan PA Rasmussen, Nicholas PA Ray, Debra R. Redding, Jessica PA Richins, Stephen L PA Rizor, Helena MB PA Robinson, Jennifer Lynn PA Schaper, Heather Ann PA Schaper, Heather Ann PA Schaper, Heather Ann PA Simmons, Steven Boe PA 465 Memorial Dr Pocatello, ID 83201 2055 Garrett Way Ste 1 Pocatello, ID 83201-5155 1070 Hiline Rd Ste 210 Pocatello, ID 83201-2947 777 Hospital Way Ste 215 Pocatello, ID 83201-5162 500 S 11th Ste 205 Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201-5162 495 Yellowstone Ave Pocatello, ID 83201-4531 950 Hospital Wy Ste A Pocatello, ID 83201 785 Alpine Dr Pocatello, ID 83202-2643 1951 Bench Rd Ste B Pocatello, ID 83201-2073 880 W Quinn Rd Pocatello, ID 83201-2454 777 Hospital Way Ste 215 Pocatello, ID 83201-5162 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 1151 Hospital Way Ste D201 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 777 Hospital Way Pocatello, ID 83201-5175 1133 Call Creek Pl Ste A Pocatello, ID 83201-0000 845 W Center Ste 202 Pocatello, ID 83206 845 W Center Ste 200 Pocatello, ID 83204-4237 465 Memorial Dr Pocatello, ID 83201 500 S 11th Ave Ste 203 Pocatello, ID 83201-4879 333 N 18th Ste D-1 Pocatello, ID 83201 333 N 18th Ave Ste D-1 Pocatello, ID 83201-3358 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 110 Vista Dr Pocatello, ID 83201-5824 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 333 N 18th Ave Ste B3 Pocatello, ID 83201-3358 1448 E Center Ste E Pocatello, ID 83201 1448 E Center Ste E Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201-5175 880 W Quinn Rd Pocatello, ID 83201-2454 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 333 N 18th Ste D-1 Pocatello, ID 83201 (208) 234-4700 ADA Accessible (208) 233-7832 (208) 478-9081 (208) 239-2580 (208) 239-1740 (208) 239-2065 (208) 478-7422 ADA Accessible (208) 232-0021 (208) 238-1096 (208) 238-1000 ADA Accessible (208) 238-2000 (208) 239-2580 (208) 239-8010 (208) 478-7900 (208) 478-2449 (208) 239-8008 (208) 478-7900 (208) 478-2449 (208) 239-1920 ADA Accessible (208) 232-1000 (208) 232-7862 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 232-5902 (208) 233-2100 (208) 233-2100 (208) 239-8010 (208) 234-2300 -Portneuf Medical Center (208) 239-2640 (208) 232-2146 (208) 234-1300 (208) 234-1300 (208) 239-1920 ADA Accessible (208) 238-2000 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 233-2100 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 340

Simmons, Steven Boe PA Walaliyadda, Ranmali Kalyani PA Wilson, Jared Kent PA Plastic Surgery Maloff, Stephen M MD Plastic Surgery, Surgery, Hand Podiatry Bray, S Jeff Podiatry Christensen, Brent DPM Podiatry Howard, Karson MD Podiatry Howard, Kert W DPM Podiatry Howard, Kert W DPM Podiatry Matthews, Adam C DPM Podiatry Robinson, Dan E. DPM Podiatry Robinson, Dan E. DPM Podiatry Wilde, Brandon Dean DPM Podiatry Psychiatry Erwin, Kathleen A MD Psychiatry Hazle, William H Psychiatry Palmer, Kelly P. DO Psychiatry Ravsten, Deric V. DO Psychiatry Psychiatry, Child/Adolescent Fife, David A DO Psychiatry, Child/Adolescent, Psychiatry Psychology Amen, Cynthia Lee Psychology Christensen, John L PY Psychology Dickey, John H. Psychology Dickey, John H. Psychology Dickey, John H. Psychology Gardner, Eunice Grace PY Psychology Roberts, Verena Margarete PY Psychology Ross, Theresa L PY Psychology Westehaus, Kendra PY Psychology Whitley, II, Donald M PY Psychology Pulmonary Disease Krawtz, Steven M Pulmonary Disease, Critical Care Medicine, Internal Medicine Radiation Oncology Callaghan, Michael T MD Radiation Oncology 333 N 18th Ave Ste D-1 Pocatello, ID 83201-3358 1448 E Center Ste E Pocatello, ID 83201 777 Hospital Way Pocatello, ID 83201-5175 2240 E Center St Ste A Pocatello, ID 83201-2600 333 N 18th Ave Ste D1 Pocatello, ID 83201-3358 1777 E Clark St Ste 220 Pocatello, ID 83201-3357 1555 E Clark St Pocatello, ID 83201-4133 1555 E Clark St Pocatello, ID 83201-4133 444 Hospital Way Bldg B Ste 611 Pocatello, ID 83201-2744 1555 E Clark St Pocatello, ID 83201-4133 1151 Hospital Way Ste D201 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1155 Pocatello Creek Rd Pocatello, ID 83201-2949 777 Hospital Way Pocatello, ID 83201-5175 500 S 11th Ste 303 Pocatello, ID 83201-4879 353 N 4th Ave Ste 110 Pocatello, ID 83201-6391 1777 E Clark St Ste 210 Pocatello, ID 83201-3357 475 Yellowstone Ave Ste E Pocatello, ID 83201-4528 1246 Yellowstone Ste C5 Pocatello, ID 83201-4373 1246 Yellowstone Ste C5 Pocatello, ID 83201-4373 465 Memorial Dr Pocatello, ID 83201-4008 777 Hospital Way Pocatello, ID 83201-5175 845 W Center Ste 202 Pocatello, ID 83206 1246 Yellowstone Ste C5 Pocatello, ID 83201-4373 465 Memorial Dr Pocatello, ID 83201 500 S 11th Ste 303 Pocatello, ID 83201-4879 1246 Yellowstone Ste C5 Pocatello, ID 83201-4373 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 777 Hospital Way Ste 202 Pocatello, ID 83201-5162 777 Hospital Way Pocatello, ID 83201-5175 (208) 233-2100 (208) 234-1300 (208) 239-2620 (208) 233-8344 (208) 233-2100 (208) 235-1777 (208) 233-4355 -Mountain View Hospital LLC -Portneuf Medical Center (208) 233-4355 (208) 523-1122 (208) 233-4355 (208) 239-8010 (208) 478-7900 (208) 232-0006 (208) 239-1920 (208) 239-3815 Not accepting new patients (208) 233-7832 (208) 233-5433 (208) 232-0021 ADA Accessible (208) 233-0150 (208) 233-0150 (208) 282-4700 (208) 239-1920 (208) 232-7862 (208) 233-0150 (208) 234-4700 ADA Accessible (208) 239-3815 Not accepting new patients (208) 233-0150 (208) 239-8010 -Bingham Memorial Hospital (208) 239-2640 (208) 227-2700 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 341

McAllister, Calvin J MD Radiation Oncology Todd, Steven J. Radiation Oncology Bailey, Jared H Bailey, Jared H Chugg, Jared A Pierson, Nicholas S Preece, Stephen Richard MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Behrmann, David A MD Cameron, David M Cameron, David M Eng, Allen A MD Ferdinand, Andrew J Ferdinand, Andrew J Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Shelley, David J,, Interventional Shelley, David J,, Interventional Shelley, David J,, Interventional Stephens, George H Stephens, George H Strobel, John J. Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO, Interventional Whiting, John MD, Interventional, Whiting, John MD, Interventional, Rheumatology 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 777 Hospital Way Pocatello, ID 83201-5175 777 Hospital Way Pocatello, ID 83201-5175 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 1151 Hospital Way Building B Pocatello, ID 83201-5091 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 777 Hospital Way Pocatello, ID 83201-5175 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 1151 Hospital Way Building B Pocatello, ID 83201-5091 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 777 Hospital Way Pocatello, ID 83201-5175 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 285 Vista Dr Ste C Pocatello, ID 83201-4987 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1151 Hospital Way Building B Pocatello, ID 83201-5091 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 1151 Hospital Way Building B Pocatello, ID 83201-5091 1151 Hospital Way Bldg B Pocatello, ID 83201-5091 777 Hospital Way Pocatello, ID 83201-5175 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 2302 E Terry St Pocatello, ID 83201-2733 (208) 227-2700 (208) 227-2700 (208) 239-1000 (208) 552-8576 ADA Accessible (208) 239-1000 (208) 239-1000 (208) 552-8576 ADA Accessible (208) 233-3000 -Bingham Memorial Hospital -Portneuf Medical Center (208) 233-7931 -Bingham Memorial Hospital -Portneuf Medical Center (208) 239-1000 -Bingham Memorial Hospital -Portneuf Medical Center (208) 552-8576 ADA Accessible Languages: CAMBODIAN (208) 233-3000 (208) 233-7931 (208) 233-7931 (208) 239-1000 (208) 552-8576 ADA Accessible (208) 233-7931 (208) 552-8576 ADA Accessible (208) 239-8010 (208) 478-1704 (208) 478-7900 (208) 233-3000 (208) 233-7931 -Madison Valley Medical Center -Minidoka Memorial Hospital -Mountain View Hospital LLC (208) 552-8576 ADA Accessible (208) 233-3000 -Bingham Memorial Hospital -Portneuf Medical Center (208) 233-7931 -Bingham Memorial Hospital -Portneuf Medical Center (208) 239-1000 -Bingham Memorial Hospital -Portneuf Medical Center (208) 239-8009 (208) 289-8020 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 342

Walaliyadda, Ananda Rheumatology, Sleep Disorder Medicine Jackson, Cary Sleep Disorder Medicine, Pulmonary Disease Bilstrom, Jodyne LSW Bilstrom, Jodyne LSW Bilstrom, Jodyne LSW Broberg, Scott Bernell LSW Brown, Crete Brown, Shannon L LSW Brown, Shannon L LSW Brown, Shannon L LSW Brown, Shannon L LSW Collins, Doty J LSW Collins, Doty J LSW Collins, Doty J LSW Comstock, Jacob L LSW Douglas, Benjamin Thomas LSW, LSW Douglas, Benjamin Thomas LSW, LSW Douglas, Benjamin Thomas LSW, LSW Dye, Robb D LSW Dye, Robb D LSW Golightly, Brooke Jacqueline LSW Lewis, Deborah Gene LSW Sharp, Linda C LSW Smith, Dawn Elizabeth LSW Speech Language Pathology Ament, Robin Pierce SLPA Speech Language Pathology Ament, Robin Pierce SLPA Speech Language Pathology Barlow, Jessica L SLPA Speech Language Pathology Furniss, Michele B SLPA Speech Language Pathology Glock, Kellie A SLPA Speech Language Pathology Hall, Chalyse A SLPA Speech Language Pathology Honstetter, Tara J SLPA Speech Language Pathology Jemmett, McKenzie SLPA Speech Language Pathology Jemmett, McKenzie SLPA Speech Language Pathology Jones, Gunda G SLPA Speech Language Pathology 1448 E Center Ste E Pocatello, ID 83201 500 S 11th Ste 305 Pocatello, ID 83201 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 224 S Arthur Ave Ste 2 Pocatello, ID 83204-3202 303 N 12th Ave Pocatello, ID 83201-4746 880 W Quinn Rd Pocatello, ID 83201-2454 845 W Center Ste 200 Pocatello, ID 83204-4237 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 845 W Center Ste 200 Pocatello, ID 83204-4237 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 1070 Hiline Rd Ste 210 Pocatello, ID 83201-2947 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 777 Hospital Way Pocatello, ID 83201-5175 1133 Call Creek Pl Ste A Pocatello, ID 83201-0000 353 N 4th Ave Ste 110 Pocatello, ID 83201-6391 1070 Hiline Rd Ste 210 Pocatello, ID 83201-2947 150 N Main St Ste E Pocatello, ID 83204-3113 500 S 11th Ste 303 Pocatello, ID 83201-4879 560 Memorial Dr Ste C Pocatello, ID 83201-4073 115 N Main St Pocatello, ID 83201-3112 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 560 Memorial Dr Ste C Pocatello, ID 83201-4073 115 N Main St Pocatello, ID 83201-3112 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 (208) 234-1300 (208) 233-5864 (208) 239-8010 (208) 478-7900 (208) 478-2449 (208) 242-3771 (208) 251-2400 (208) 238-2000 (208) 232-6260 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 232-6260 (208) 232-6260 (208) 234-4700 ADA Accessible (208) 478-9081 (208) 239-8010 (208) 478-7900 (208) 478-2449 (208) 239-1920 (208) 232-1000 (208) 233-7832 (208) 478-9081 (208) 251-9779 (208) 239-3815 Not accepting new patients (208) 232-4267 ADA Accessible (855) 319-1499 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 232-4267 ADA Accessible (855) 319-1499 (208) 233-4660 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 343

Jones, Jacob E SLPA Speech Language Pathology Lee, Wendy K SLPA Speech Language Pathology Miller, Karissa D SLPA Speech Language Pathology Pierce, Ashley A SLPA Speech Language Pathology Pierce, Becky A SLPA Speech Language Pathology Suthers, Lindsay A SLPA Speech Language Pathology Tanner, William B SLPA Speech Language Pathology Tingey, Amanda J SLPA Speech Language Pathology Waldron, Shayna Lyn SLPA, SLPA Speech Language Pathology Waldron, Shayna Lyn SLPA, SLPA Speech Language Pathology Williams, Marcia J SLPA Speech Language Pathology Zaremba, Cheryl Marler SLPA Speech Language Pathology Sports Medicine Johnson, Chris R DO Sports Medicine, Thoracic Surgery Vasquez, Julio C MD Thoracic Surgery, General Surgery Vasquez, Julio C MD Thoracic Surgery, General Surgery Vasquez, Julio C MD Thoracic Surgery, General Surgery Urgent Care Carbol, Courtland Reid MD Urgent Care Carbol, Courtland Reid MD Urgent Care Carbol, Courtland Reid MD Urgent Care Shaw, James F MD Urgent Care Shaw, James F MD Urgent Care Urology Bohus, Robert W MD Urology Jones, Peter J MD Urology Sisul, David M MD Urology Sisul, David M MD Urology Sisul, David M MD Urology Sule, J David MD Urology Sule, J David MD Urology 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 115 N Main St Pocatello, ID 83201-3112 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 560 Memorial Dr Ste C Pocatello, ID 83201-4073 115 N Main St Pocatello, ID 83201-3112 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 1110 Call Creek Dr Ste 4B Pocatello, ID 83201-3072 950 Hospital Way Ste A Pocatello, ID 83201-2762 777 Hospital Way Ste 215 Pocatello, ID 83201-5162 444 Hospital Way Pocatello, ID 83201 777 Hospital Way Ste 215 Pocatello, ID 83201-5162 880 W Quinn Rd Pocatello, ID 83201-2454 1000 N 8th St Pocatello, ID 83201 465 Memorial Dr Pocatello, ID 83201 1951 Bench Rd Ste B Pocatello, ID 83201-2073 777 Hospital Way Ste G1 Pocatello, ID 83201-5175 777 Hospital Way Ste 301 Pocatello, ID 83201-5175 777 Hospital Way Ste 301 Pocatello, ID 83201-5175 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 353 N 4th Ave Ste 102 Pocatello, ID 83201-6390 1595 Bannock Hwy Pocatello, ID 83204-3509 1151 Hospital Way Bldg D Ste 100 Pocatello, ID 83201-5091 1595 Bannock Hwy Pocatello, ID 83204-3509 (208) 233-4660 (208) 233-4660 (855) 319-1499 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 232-4267 ADA Accessible (855) 319-1499 (208) 233-4660 (208) 233-4660 (208) 478-4522 (208) 239-2580 Languages: SPANISH -Portneuf Medical Center (208) 239-1650 Languages: SPANISH -Portneuf Medical Center (208) 239-2580 Languages: SPANISH (208) 238-2000 (208) 232-6260 -Portneuf Medical Center (208) 234-4700 ADA Accessible (208) 238-1000 ADA Accessible (208) 239-2670 (208) 239-2770 ADA Accessible -Portneuf Medical Center (208) 239-2770 ADA Accessible -Portneuf Medical Center (208) 239-8010 -Bingham Memorial Hospital -CHI St Alexius Health Williston (208) 478-7900 -Bingham Memorial Hospital -CHI St Alexius Health Williston (208) 478-2449 -Bingham Memorial Hospital -CHI St Alexius Health Williston (208) 239-8010 (208) 478-2449 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 344

Ponderay Webster, Ryan F Dermatology Craig, Stephen D. MD Dermatology Hill, Hilary Hadassah MD Dermatology Kern, Steven M MD Dermatology Dietitian Ashford Tucker, Susan M Dietitian DeHaven, Charlene MD Rumore, Paul MD Antoniuk, Nelson MD Bloom, Joan M. MD Carter, Thomas DO Christensen, Stephen MD Dardine, Jade MD Durante, Cynthia T Fletcher, Thomas G. MD Fowler, Jeffrey B. OD Kaczmarek, Linda B Lawrence, Thomas L. MD Reinhardt, Ligeia A MD Simmons, Samuel Eric PA Wells, Richard General Practice Puffer, Steven C. General Practice Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Hettick, Jamie L MD Kim-Brown, Mona J. LMHC Nephrology Foster, Sherwin Stephen MD Nephrology, Campa, Carolyn M NPRA, RN 400 Schweitzer Plaza Dr Ste 4 Ponderay, ID 83852-9819 476394 Hwy 95 Ponderay, ID 83852 476394 Hwy 95 Ponderay, ID 83852 476394 Hwy 95 Ponderay, ID 83852 30410 Highway 200 Ponderay, ID 83852-9601 400 Schweitzer Plaza Dr Ste 1 Ponderay, ID 83852-9819 400 Schweitzer Plaza Dr Ste 1 Ponderay, ID 83852-9819 30410 Highway 200 Ponderay, ID 83852-9601 30544 Highway 200 Ste 101 Ponderay, ID 83852-5005 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 400 Schweitzer Plaza Dr Ste 1 Ponderay, ID 83852-9819 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 204 N Triangle Dr Ponderay, ID 83852-9729 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 204 N Triangle Dr Ponderay, ID 83852-9729 476394 Hwy 95 Ponderay, ID 83852 (208) 265-9400 (208) 665-7546 (208) 665-7546 (208) 665-7546 (208) 263-7101 (208) 263-0649 (208) 263-0649 (208) 263-7101 Languages: PORTUGUESE, SPANISH (208) 263-6300 -Bonner General Hospital (208) 263-7101 (208) 263-7101 (208) 263-7101 (208) 263-7101 -Mid-Valley Hospital (208) 263-7101 (208) 263-7101 -Bonner General Hospital (208) 263-7101 (208) 263-7101 -Bonner General Hospital (208) 263-0649 (208) 263-7101 (208) 263-7101 (208) 263-7101 (208) 255-4963 (208) 263-7101 (208) 263-7101 (208) 255-4963 (208) 665-7546 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 345

Cox, Ann ARNP, RN Mortensen, Shannon K. NPRA, RN / Cutler, Hilary L ARNP, RN / Fuhrman, Kelly Ann NPRA, RN / Grimm, Nichole Suzanne ARNP, RN / Grimm, Nichole Suzanne ARNP, RN / Koch, Tracey A. / O'Keefe, Tawnya D. / Sweeney, Katie ARNP, RN / 30410 Highway 200 Ponderay, ID 83852-9601 476394 Hwy 95 Ponderay, ID 83852 476394 Hwy 95 Ponderay, ID 83852 30410 Highway 200 Ponderay, ID 83852-9601 30544 Highway 200 Ste 101 Ponderay, ID 83852-5005 30544 Hwy 200 Ste 102 Ponderay, ID 83852-5005 30410 Highway 200 Ponderay, ID 83852-9601 204 N Triangle Dr Ponderay, ID 83852-9729 30410 Highway 200 Ponderay, ID 83852-9601 Taylor, Travis Lee ARNP, NPRA, RN 30544 Hwy 200 Ste 102 /, Registered Nurse/ Ponderay, ID 83852-5005 First Assistant /Geriatric Rafacz, Ruthann /Geriatric DiBenedetto, Michael Raymond Magee, William Thomas Pediatrics DeLand, George MD Pediatrics Helm, Robin E. MD Pediatrics Rose, Hailey Joy DO Pediatrics Seaman, John Mansfield MD Pediatrics Aicken, Sara Ann PA Ainge, Charlotte S MA Allmaras, Tanya Marie PA Bazzano, Robert B. Brown, Lura A PAC Dryden, Chelsy Layne PAC Flygare, Richard A PA Jabbour, Albert Kenneth PAC McIsaac, Michael Andrew Rodriguez, Craig A PA Sprunt, Matthew W PA Podiatry Fisher, Jonathan Donald DPM Podiatry 30410 Highway 200 Ponderay, ID 83852-9601 30544 Hwy 200 Ste 102 Ponderay, ID 83852-5005 30544 Hwy 200 Ste 102 Ponderay, ID 83852-5005 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30544 Hwy 200 Ste 102 Ponderay, ID 83852-5005 476394 Hwy 95 Ponderay, ID 83852 30410 Highway 200 Ponderay, ID 83852-9601 476394 Hwy 95 Ponderay, ID 83852 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 476394 Hwy 95 Ponderay, ID 83852 30410 Highway 200 Ponderay, ID 83852-9601 30544 Hwy 200 Ste 102 Ponderay, ID 83852-5005 (208) 263-7101 (208) 665-7546 -Gritman Medical Center Inc (208) 665-7546 (208) 263-7101 (208) 263-6300 (208) 263-6300 (208) 263-7101 (208) 255-4963 (208) 263-7101 (208) 265-9817 -Bonner General Hospital (208) 263-7101 (208) 265-9817 -Bonner General Hospital -Boundary Community Hospital (208) 265-9817 -Bonner General Hospital -Boundary Community Hospital (208) 263-7101 (208) 263-7101 (208) 263-7101 (208) 263-7101 (208) 263-7101 (208) 263-7101 (208) 263-7101 (208) 265-9817 (208) 665-7546 (208) 263-7101 (208) 665-7546 Languages: PORTUGUESE (208) 263-7101 (208) 263-7101 (208) 665-7546 (208) 263-7101 (208) 265-9817 -Bonner General Hospital -Boundary Community Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 346

Ely, Mallorie LSW Kusler, Adam LSW Lucero, Carol Vanita Ruddle, Celina Ululani LSW Thompson, Silas Theodore LSW Post Falls Anesthesiology Bertoni, Raymond Anesthesiology Herndon, Brian N RN, RN Anesthesiology, Cert Registered Nurse Anesthetist (CRNA) Riley, Eric T. Anesthesiology Audiology Kogler, Barbara K CA Audiology Kogler, Barbara K CA Audiology Larson, Clarissa G Audiology Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Canaday, Donald B. Cardiovascular Disease Damrongpipatkij, Yudthsak Cardiovascular Disease Everett, John P. Cardiovascular Disease Ferraro, Angelo S Cardiovascular Disease Galloway, Joel R. MD Cardiovascular Disease, Interventional Cardiology Galloway, Joel R. MD Cardiovascular Disease, Interventional Cardiology Hill, R Dean MD Cardiovascular Disease, Interventional Cardiology Janout, Marek MD Cardiovascular Disease Jones, David T. Cardiovascular Disease Jones, David T. Cardiovascular Disease McGann, Christopher J Cardiovascular Disease Mueller, Enkhtuyaa L Cardiovascular Disease Mueller, Enkhtuyaa L Cardiovascular Disease Muni, Nimish H Cardiovascular Disease Orme, Eric C MD Cardiovascular Disease, Interventional Cardiology Pavlic, Romeo A Cardiovascular Disease Waggoner, Jr., L. Douglas Cardiovascular Disease 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 30410 Highway 200 Ponderay, ID 83852-9601 1593 E Polston Ave Post Falls, ID 83854-5326 1593 E Polston Ave Post Falls, ID 83854-5326 1593 E Polston Ave Post Falls, ID 83854-5326 323 N Spokane St Ste 100 Post Falls, ID 83854-5153 323 N Spokane St Post Falls, ID 83854-5153 323 N Spokane St Ste 100 Post Falls, ID 83854-5153 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 1593 E Polston Ave Post Falls, ID 83854-5326 1300 E Mullen Ave Ste 900 Post Falls, ID 83854-6054 1300 E Mullen Ave Ste 900 Post Falls, ID 83854-6054 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 1300 E Mullen Ave Ste 900 Post Falls, ID 83854-6054 1300 E Mullen Ave Ste 900 Post Falls, ID 83854-6054 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 1593 E Polston Ave Post Falls, ID 83854-5326 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 1593 E Polston Ave Post Falls, ID 83854-5326 1300 E Mullen Ave Ste 900 Post Falls, ID 83854-6054 750 N Syringa St Ste 203 Post Falls, ID 83854-5275 1300 E Mullen Ave Ste 900 Post Falls, ID 83854-6054 (208) 263-7101 (208) 263-7101 (208) 263-7101 (208) 263-7101 (208) 263-7101 (208) 262-2359 (208) 262-2359 (208) 262-2359 -Yakima Valley Memorial Hospital (208) 777-1320 (208) 777-1320 (208) 777-1320 (509) 838-2531 (509) 838-2531 (208) 262-2300 Languages: THAI (208) 625-5530 (208) 625-5530 (509) 838-2531 (509) 838-2531 -Harrison Medical Center (208) 625-5530 -Deaconess Medical Center (208) 625-5530 Languages: CZECH -Sacred Heart Medical Center (509) 838-2531 -Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital (509) 838-2531 -Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital (208) 262-2300 (509) 838-2531 (509) 838-2531 (208) 262-2300 -Swedish Medical Center (208) 625-5530 (208) 777-7500 Languages: GERMAN, RUSSIAN, SPANISH (208) 625-5530 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 347

Cert Registered Nurse Anesthetist (CRNA) Gibbar, Angela Rae ARNP, RN Cert Registered Nurse Anesthetist (CRNA) Honcoop, Barry Cert Registered Nurse Anesthetist (CRNA) Moos, Jeffrey A RN Cert Registered Nurse Anesthetist (CRNA) Reames, Daryl V RN, RNAD Cert Registered Nurse Anesthetist (CRNA) Webb, Clarke B ARNP, RN Cert Registered Nurse Anesthetist (CRNA) Certified Nutritionist/Registered Diet Marshall, Jill E. Certified Nutritionist/Registered Diet Shobe, Juliann RD Certified Nutritionist/Registered Diet Badders, Jedediah Daniel DC Crawford, Scott Nathan DC Elliott, Scott DC Ficklin, Toby A. DC Hardison, Michael David DC Higgins, William B DC Irwin, Brendan James DC Jacobson, Melissa Anne Thomas, Richard J DC Vancho, James E DC Wentworth, Emily Rene DC Chiu, Mary, Hankins, Thomas Carlisle MD, Aerospace Medicine Hitchcock, Robyn MD Hjeltness, Kirk MD Obligato, Peter R. Russo, Anthony L MD Winter, James P MD Abrahams, Michael MD Barker, Michael MD Billingslea, Christopher M DO Bowman, Bradley P Burns, Brittany Carleton MD, Urgent Care Caldwell, Richard B, Urgent Care Chambers, David L, Urgent Care 1593 E Polston Ave Post Falls, ID 83854-5326 1593 E Polston Ave Post Falls, ID 83854-5326 1593 E Polston Ave Post Falls, ID 83854-5326 1593 E Polston Ave Post Falls, ID 83854-5326 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Ste 103 Post Falls, ID 83854-5275 1300 E Mullan Ave Ste 300 Post Falls, ID 83854-6052 640 N Thornton Post Falls, ID 83854 1109 E Polston Ave Post Falls, ID 83854-6045 1109 E Polston Ave Post Falls, ID 83854-6045 601 East Seltice Way Suite 110 Post Falls, ID 83854 1624 E Seltice Way Post Falls, ID 83854-7022 2525 E Seltice Way Ste C Post Falls, ID 83854-5089 2525 E Seltice Way Ste C Post Falls, ID 83854-5089 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 605 Shetland Ct Post Falls, ID 83854 102 West 11th Street Suite B Post Falls, ID 83854 609 N Calgary Ct Ste 1 Post Falls, ID 83854-4906 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 1300 E Mullan Ste 600 Post Falls, ID 83854 1220 E Polston Ave Post Falls, ID 83854-6056 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 (208) 262-2359 (208) 262-2359 (208) 262-2359 -Benewah Community Hospital (208) 262-2300 (208) 262-2359 (208) 415-0151 (208) 625-5630 (208) 262-8166 (208) 777-4000 (208) 777-4000 (208) 777-0157 (208) 777-0128 (208) 777-7463 (208) 777-7463 (208) 773-8111 (208) 457-1551 (208) 773-1868 (208) 777-4305 (208) 209-2060 (208) 777-9110 (208) 777-9110 (208) 777-9110 (208) 777-9110 (208) 209-2060 (208) 209-2060 (208) 209-2060 -Bonner General Hospital (208) 777-9110 (208) 773-1577 (208) 777-9110 -Pullman Regional Hospital (208) 777-9110 (208) 777-9110 (208) 777-9110 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 348

Cox, Craig H. MD, Urgent Care Denny, Stuart, Urgent Care Esau, Arlie E., Urgent Care Ford, Morgan D. Ford, Morgan D., Urgent Care Ford, Morgan D., Urgent Care Gibbon, Lawrence K. MD, Urgent Care Gilles, Ryan J Givens, Jeffery S MD, Urgent Care Guth, Leonard D MD, Urgent Care Hagen, Robert W MD Haynes, Paul B MD Jacobsen, Cher A MD Jones, Roxanna S, Urgent Care Kindler, Scott R. DO Klein, Dennis DO Lindblad, Donald (Blair) MD Meza, Michael G. MD Monohan, Michael W. DO Neal, Thomas A MD, Urgent Care Peters, Anthony D DO Ragsdale, Sara K DO Rittenour, Timothy Mark MD Rousseau, Leanne M., Urgent Care Rousseau, Leanne M., Urgent Care Schaller, Christine C. MD Shaw, Alyssa A MD, Urgent Care Stenhouse, Faine MD Sturges, John A, Urgent Care Wester, Daniel C MD Whiting, Michael D., Urgent Care /OB Mena, Robert M. /OB General Surgery Pennings, John L. MD General Surgery Sarkis, Antoine Y MD General Surgery 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1220 E Polston Ave Post Falls, ID 83854-6056 1300 E Mullan Ste 600 Post Falls, ID 83854 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 185 W 4th Ave Ste B Post Falls, ID 83854-4979 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 925 E Polston Ave Post Falls, ID 83854-9049 185 W 4th Ave Ste B Post Falls, ID 83854-4979 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ave Ste 300 Post Falls, ID 83854-6052 925 E Polston Ave Post Falls, ID 83854-9049 1220 E Polston Ave Post Falls, ID 83854-6056 1593 E Polston Ave Post Falls, ID 83854-5324 1220 E Polston Ave Post Falls, ID 83854-6056 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 925 E Polston Ave Post Falls, ID 83854-9049 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 750 N Syringa Ste 205 Post Falls, ID 83854 750 N Syringa St Ste 103 Post Falls, ID 83854-5275 (208) 777-9110 (208) 777-9110 (208) 777-9110 (208) 773-1577 (208) 777-9110 (208) 209-2060 (208) 773-1592 (208) 777-9110 (208) 777-9110 (208) 777-9110 (208) 209-2060 (208) 625-5640 (208) 773-1592 (208) 777-9110 (208) 777-9110 (208) 777-9110 (208) 625-5630 (208) 625-5640 (208) 773-1577 (208) 262-2300 (208) 773-1577 (208) 777-9110 -Klickitat Valley Hospital -Newport Community Hospital -North Valley Hospital (208) 777-9110 (208) 777-9110 (208) 625-5640 (208) 777-9110 Languages: SPANISH (208) 777-9110 Languages: SPANISH (208) 777-9110 (208) 777-9110 (208) 209-2060 (208) 777-9110 (208) 777-9110 (208) 262-0945 (208) 415-0151 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 349

Stackow, John C. MD General Surgery Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Bartels, David Cadwell DO, Oncology/Hematology Benson, Eric P. MD Carraher, Michael J MD Casper, John B MD, Anesthesiology Dinning, Andrea N Gersh, Robert H., Oncology/Hematology Kim, Anna Belle MD, Pediatrics Kim, Anna Belle MD, Pediatrics Melchiore, Susan MD Roth, Jason Eric Roth, Jason Eric Wise, John M Interventional Cardiology Houck, Robin C Interventional Cardiology Thew, Stephen T. MD Interventional Cardiology Carr-Peterson, Stacia Crista LMHC Kimmel, Katie LMHC Mitchell, Kristine I LMHC Olson, Casey Lynn LMHC Piovesan, Dean Stanley LMHC Record, Susan Nasser LMHC, RN Wenig, Tanya C White, Rebecca Lynn LMHC Licensed Massage Therapist Greene, Amy Elizabeth LMP Massage Therapy Hurt, Sonja LMP Massage Therapy Lee, Shannon L Massage Therapy Robertson, Omega LMP Massage Therapy Nephrology 750 N Syringa St Ste 103 Post Falls, ID 83854-5275 1300 E Mullan Ave Ste 1200 Post Falls, ID 83854-6057 460 N Garden Plaza Ct Post Falls, ID 83854 600 N Cecil Post Falls, ID 83854 1593 E Polston Ave Post Falls, ID 83854-5326 1641 E Poulston Ave Ste 102 Post Falls, ID 83854 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 925 E Polston Ave Post Falls, ID 83854-9049 1300 E Mullan Ste 600 Post Falls, ID 83854 925 Polston Ave Post Falls, ID 83854 1440 E Mullan Ave Post Falls, ID 83854-9064 1300 E Mullan Ste 600 Post Falls, ID 83854 925 E Polston Ave Post Falls, ID 83854-9049 925 E Polston Ave Post Falls, ID 83854-9049 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 1300 E Mullan Ste 600 Post Falls, ID 83854 1593 E Polston Ave Post Falls, ID 83854-5326 1300 E Mullen Ave Ste 900 Post Falls, ID 83854-6054 3491 E Solena Ave Post Falls, ID 83854-6511 1125 E Polston Ave Post Falls, ID 83854-6045 761 N Thornton St Ste C Post Falls, ID 83854-6105 925 E Polston Ave Post Falls, ID 83854-9049 925 E Polston Ave Post Falls, ID 83854-9049 1700 E Schneidmiller Ave Post Falls, ID 83854-7085 1810 Schneidmiller Ave Ste 131 A Post Falls, ID 83854 925 E Polston Ave Post Falls, ID 83854-9049 3900 E 16th Ave Ste B Post Falls, ID 83854-8925 1109 E Polston Ave Post Falls, ID 83854-6045 614 E Seltice Way Ste A Post Falls, ID 83854-6367 1109 E Polston Ave Post Falls, ID 83854-6045 (208) 415-0151 -Benewah Community Hospital -Shoshone Medical Center (208) 777-0654 (208) 777-0318 (208) 262-2800 (208) 262-2300 (509) 462-2273 ADA Accessible (208) 262-2311 (208) 625-5640 (208) 777-9110 (208) 618-0787 (509) 228-1000 ADA Accessible (208) 777-9110 (208) 625-5640 (208) 625-5640 (509) 838-2531 (509) 838-2531 (208) 777-9110 (208) 262-2300 Languages: FRENCH (208) 625-5530 (757) 817-4727 (208) 457-1540 ADA Accessible (208) 457-1999 (208) 625-5640 (208) 625-5640 (208) 619-0190 (208) 457-0091 ADA Accessible (208) 625-5640 (208) 660-3138 (208) 777-4000 (208) 777-9600 (208) 777-4000 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 350

Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Mielke, Brendan A Nephrology Neurological Surgery McDonald, Jeffrey D. MD Neurological Surgery Neurology Coats, Michael Edwin MD Neurology, Sleep Disorder Medicine Nuclear Medicine Black, Richard R. Nuclear Medicine Nurse Midwife Certified/Licensed Krull, Faith M Nurse Midwife Certified/Licensed Williamson, Ronda L. RNMW Nurse Midwife Certified/Licensed Arnold, Lynda J. NPRA, RN Asper, Annette L ARNP, RN Asper, Annette L ARNP, RN Bowman, Taffie ARNP Cano-Keighley, Michelle Nicole NPRA, RN Collar, Janet Fontana, Paul ARNP, RN Fontana, Paul ARNP, RN Itveldt, Fred M NPRA Lata, Laura Jean ARNP, RN Lata, Laura Jean ARNP, RN Masterson, Twyla J ARNP, RN Mykkanen, Debra Colleen ARNP, RN Pena, Holly B ARNP, RN Reese, Reva Gay ARNP Spencer, Breanna A. / Baran, Susan E. / Brulotte, Natalie Rose NPRA, RN / Harder, Paige A. / Hunter, Nancy Mae NPRA, RN / Koep, Julia J NPRA / 1300 E Mullan Ave Ste 1200 Post Falls, ID 83854-6057 460 N Garden Plaza Ct Post Falls, ID 83854 600 N Cecil Post Falls, ID 83854 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 1641 E Polston Ave Post Falls, ID 83854 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 750 N Syringa Ste 104 Post Falls, ID 83854 1300 E Mullen Ave Ste 900 Post Falls, ID 83854 1300 E Mullan Ave Ste 500 Post Falls, ID 83854-6058 925 E Polston Ave Post Falls, ID 83854-9049 1296 E Polston Ave Ste B Post Falls, ID 83854-5217 1296 E Poston Ave Ste B Post Falls, ID 83854-5217 750 N Syringa St Ste 200B Post Falls, ID 83854-5275 323 N Spokane St Ste 100 Post Falls, ID 83854-5153 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 925 E Polston Ave Post Falls, ID 83854-9049 1300 E Mullan Ste 600 Post Falls, ID 83854 925 E Polston Ave Post Falls, ID 83854-9049 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ste 600 Post Falls, ID 83854 925 E Polston Ave Post Falls, ID 83854-9049 1300 E Mullan Ste 600 Post Falls, ID 83854 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 925 E Polston Ave Post Falls, ID 83854-9049 1641 E Polston Ave Post Falls, ID 83854 925 E Polston Ave Post Falls, ID 83854-9049 600 N Cecil Post Falls, ID 83854-6200 (208) 777-0654 (208) 777-0318 (208) 262-2800 (208) 262-2300 (509) 838-2531 (208) 667-4949 (509) 838-2531 Not accepting new patients (866) 248-4485 (208) 664-3101 (208) 774-1350 (208) 625-5640 (208) 667-7459 (208) 457-7075 (208) 262-2379 (208) 777-1320 (509) 838-2531 (509) 838-2531 (509) 838-2531 (208) 625-5640 (208) 777-9110 Languages: SPANISH (208) 625-5640 Languages: SPANISH (208) 262-2600 (208) 777-1330 (208) 777-9110 (208) 625-5640 (208) 777-9110 (509) 838-2531 Not accepting new patients (208) 625-5640 (208) 667-4949 (208) 625-5640 (509) 868-0876 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 351

Koep, Julia J NPRA / Kugler, Tiffany Sue NPRA, RN / Marsh, Joni D / O Neill, Chelsey J ARNP, RN / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / Prindle, Regina M ARNP, RN / Spellman, Shauna A. ARNP, RN / Sutton, Christy ARNP, RN / Taylor, Ellen J. NPRA, RN / Tickemyer, Krista Ann NPRA, RN / Wagner, Jacqueline L NPRA, RN / Wigle, Michael Eugene ARNP, RN / Williams, Marty Jay ARNP, RN / Wilson, Annalee M ARNP, RN / Young, Lana Rochelle NPRA, RN / /Pediatric Adamson, Krista S ARNP, NPRA /Pediatric Bartell, Natalie Jeane ARNP, RN /Pediatric McLachlan, Nicola L ARNP, RN /Pediatric Taylor, Jordan E. ARNP, RN /Pediatric Hill, Regan MD McCrummen, Brenna K MD Woods, Steven K. Oncology, Medical Ahmad, Naseer MD Oncology, Medical Ahmad, Naseer MD Oncology, Medical Mulvey, Kevin P MD Oncology, Medical, Hematology, Oncology/Hematology Allen, Jeffrey W Oncology/Hematology Chester, Kawal D. Oncology/Hematology Kaya, Hakan Oncology/Hematology Samuels, Brian L. Oncology/Hematology, Samuels, Brian L. Oncology/Hematology, 925 E Polston Ave Post Falls, ID 83854-9049 925 E Polston Ave Post Falls, ID 83854-9049 1641 E Poulston Ave Ste 102 Post Falls, ID 83854 1220 E Polston Ave Post Falls, ID 83854-6056 1300 E Mullan Ave Ste 1200 Post Falls, ID 83854-6057 460 N Garden Plaza Ct Post Falls, ID 83854 600 N Cecil Post Falls, ID 83854 1593 E Polston Ave Post Falls, ID 83854-5326 925 E Polston Ave Post Falls, ID 83854-9049 1220 E Polston Ave Post Falls, ID 83854-6056 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ste 600 Post Falls, ID 83854 925 E Polston Ave Post Falls, ID 83854-9049 925 E Polston Ave Post Falls, ID 83854-9049 925 E Polston Ave Post Falls, ID 83854-9049 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1220 E Polston Ave Post Falls, ID 83854-6056 925 E Polston Ave Post Falls, ID 83854-9049 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ave Ste 500 Post Falls, ID 83854-6058 1300 E Mullen Ave Ste 900 Post Falls, ID 83854 1300 E Mullen Ave Ste 900 Post Falls, ID 83854 750 N Syringa St Ste 104 Post Falls, ID 83854-5275 1641 E Poulston Ave Ste 102 Post Falls, ID 83854 1440 E Mullen Ave Post Falls, ID 83854-9064 1440 E Mullan Ave Post Falls, ID 83854-9064 1440 E Mullan Ave Post Falls, ID 83854-9064 1440 E Mullan Ave Post Falls, ID 83854-9064 1440 E Mullan Ave Post Falls, ID 83854-9064 750 N Syringa St Ste 104 Post Falls, ID 83854-5275 (208) 625-5640 (208) 625-5640 (509) 462-2273 ADA Accessible (208) 773-1577 (208) 777-0654 (208) 777-0318 (208) 262-2800 (208) 262-2300 (208) 625-5640 (208) 773-1577 (208) 777-1330 (208) 777-9110 (208) 625-5640 (208) 625-5640 (208) 625-5640 (208) 777-1330 (208) 773-1577 (208) 625-5640 (208) 777-1330 (208) 777-1330 (208) 777-1330 (208) 777-1330 (208) 774-1350 (208) 664-3101 (208) 664-3101 (208) 262-2381 (509) 462-2273 ADA Accessible (208) 625-4900 (208) 625-4900 (509) 228-1000 ADA Accessible (509) 228-1000 ADA Accessible (208) 619-4100 (208) 262-2381 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 352

Samuels, Brian L. Oncology/Hematology, Tezcan, Haluk Oncology/Hematology Ophthalmology Buckland III, G. Thaddeus MD Ophthalmology Dance, David Gerald MD Ophthalmology Duke, Sara Lin MD Ophthalmology Granier, Alison Marie MD Ophthalmology Kent, Roderick S MD Ophthalmology Moss, Stephen A MD Ophthalmology Parden, Patrick J. MD Ophthalmology StormoGipson, D. Justin Ophthalmology Optometry Fagan, Lance W. OD Optometry Jangula, Jesse James Optometry Jangula, Rebecca Jael Optometry Weisel, John C OD Optometry Bowen, Joseph Marshall MD Linthicum, Jonathan J MD Quinn, Connor W MD, Sports Medicine Otolaryngology Beaton, Thomas P. Otolaryngology De Tar, Thomas R MD Otolaryngology Gilbert, Michael E. MD Otolaryngology Pain Management Jameson, Jessica Berryman MD Pain Management Pediatrics Craddock, Duane E. MD Pediatrics Edwards, Randi L MD Pediatrics, Martin, Beth A MD Pediatrics Neff, Terence E. MD Pediatrics Savage, Cheri K MD Pediatrics Shaw, Mary Jo MD Pediatrics Weeda, Charlotte E MD Pediatrics 1641 E Poulston Ave Ste 102 Post Falls, ID 83854 1440 E Mullan Ave Post Falls, ID 83854-9064 1110 Polston Ave Post Falls, ID 83854 1110 Polston Ave Post Falls, ID 83854 1110 Polston Ave Post Falls, ID 83854 1110 Polston Ave Post Falls, ID 83854 1110 Polston Ave Post Falls, ID 83854 1110 Polston Ave Post Falls, ID 83854 1110 Polston Ave Post Falls, ID 83854 1110 Polston Ave Post Falls, ID 83854 1101 E Polston Ave Ste B Post Falls, ID 83854-6045 185 W 4th Ave Ste A Post Falls, ID 83854-4979 185 W 4th Ave Ste A Post Falls, ID 83854-4979 1110 Polston Ave Post Falls, ID 83854 1296 E Polston Ave Ste B Post Falls, ID 83854-5217 1296 E Polston Ave Ste C Post Falls, ID 83854-5217 1296 E Polston Ave Ste C Post Falls, ID 83854-5217 750 N Syringa Ste 203 Post Falls, ID 83854 323 N Spokane St Ste 100 Post Falls, ID 83854-5153 323 N Spokane St Ste 100 Post Falls, ID 83854-5153 1593 E Polston Ave Post Falls, ID 83854-5324 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 1300 E Mullan Ave Ste 1000 Post Falls, ID 83854-6054 (509) 462-2273 ADA Accessible (208) 619-4100 Languages: GERMAN, TURKISH (208) 667-2531 (208) 667-2531 (208) 667-2531 (208) 667-2531 (208) 667-2531 (208) 667-2531 (208) 667-2531 (208) 667-2531 (208) 773-2020 Languages: SPANISH (208) 773-7434 (208) 773-7434 (208) 667-2531 (208) 667-7459 (208) 625-6767 (208) 625-6767 (208) 415-0800 (208) 777-1320 (208) 777-1320 Languages: SPANISH (208) 262-2300 (208) 777-1330 (208) 777-1330 (208) 777-1330 (208) 777-1330 (208) 777-1330 (208) 777-1330 (208) 777-1330 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 353

Andrews, David B. Andrews, David B. Bengtson, Mark B. Bengtson, Mark B. Bluemer, Lori-Ann I. Borg, Adam Michael PT Brouwer, Jesse PT Clegg, Shawna Lea PT Cook, Todd Vincent PT Cook, Todd Vincent PT Cox, Bailly Rene PT Dye, Jeremy Albert PT Feasline, Mark E. Feasline, Mark E. Garner, Bryan Robert PT Goodall, Fay A PT Hammond, Lucas P PT Hankes, Matthew Beier PT Hankes, Matthew Beier PT Hankes, Matthew Beier PT Hankes, Matthew Beier PT Hillman, David W PT Holmes, Katharine L. Hopper, Dean M. Johnson, Brett C Kane, Justin T. PT Kim, Michael C. PT Lucas, Matthew J. Moehring, Shawn G PT Morris, Neil David PT Morrison, Stephanie Alyse PT Nagle, Lee E. Norling, Zachary K PT Norling, Zachary K PT Papineau, Timothy L. PT Pruitt, Sky R PT Randklev, Scott Robert PT 925 E Polston Ave Ste B Post Falls, ID 83854-9049 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 2652 E Mullen Post Falls, ID 83854 640 Thornton St Post Falls, ID 83854 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 104 W 9th St Post Falls, ID 83854 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 104 W 9th St Post Falls, ID 83854 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 1101 E Polston Ave Post Falls, ID 83854-6045 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 1224 North Idaho Suite A1 Post Falls, ID 83854 1132 E Polston Ave Post Falls, ID 83854-6045 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 2652 E Mullen Post Falls, ID 83854 1593 E Polston Ave Post Falls, ID 83854-5326 1132 E Polston Ave Post Falls, ID 83854-6045 104 W 9th St Post Falls, ID 83854 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 1132 E Polston Ave Post Falls, ID 83854-6045 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 1132 E Polston Ave Post Falls, ID 83854-6045 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 927 E Polston Ave Ste 201 Post Falls, ID 83854-9390 104 W 9th St Post Falls, ID 83854 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 104 W 9th St Post Falls, ID 83854 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 2652 E Mullen Post Falls, ID 83854 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 1132 E Polston Ave Post Falls, ID 83854-6045 (208) 651-1341 (208) 773-8111 (208) 777-4141 (208) 777-4242 (208) 777-9505 (208) 773-8111 (208) 777-9740 (208) 777-4141 (208) 777-4141 (208) 773-8111 (208) 777-9740 (208) 773-8111 (208) 777-1670 Languages: SPANISH (208) 773-8111 Languages: SPANISH (208) 777-4141 (208) 457-8746 (208) 777-7800 (208) 777-4141 (208) 773-8111 (208) 777-4242 (208) 664-8194 (208) 777-7800 (208) 777-9740 Not accepting new patients (208) 773-8111 (208) 777-7800 (208) 773-8111 (208) 777-7800 (208) 773-8111 (208) 773-2888 (208) 777-9740 (208) 773-8111 (208) 777-9740 Not accepting new patients (208) 777-4141 (208) 777-4242 (208) 777-4141 (208) 773-8111 (208) 777-7800 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 354

Sayler, John P Scherr, Brian M Scherr, Brian M Sharples-Faucher, Brad E PT Shellman, Lee C. PT Shipley, Heather Lea PT Smalley, Lisa M. Steininger, Laura Handyside PT Sweetapple, Jean C Thoreson, Nate S PT Tonani, Karen Verhaeghe, Eric N PT Waldo, Chad Phillip PT Atkins, David Scott PA, PA Biondo, Natale PAC Gibbs, Scott W. PA Graham, Michael C PA Hartzell, Sarah O PA Kazmierski, Brian E PA Lang, Gregory Lang, Gregory Melgaard, John P. Richlie, Taryn M PAC Rosenthal, Seth T Ruiz, Jose Anthony Ruiz, Jose Anthony Spraggins, Rasan L Trudeau, Randy J. PAC Whitmore, Megan N PAC Yourzek Sr, Michael J PAC Podiatry Thompson, Bryan T. Podiatry Preventive Medicine Swanson, IV, John David MD Preventive Medicine, Aerospace Medicine, Occupational Medicine 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 2652 E Mullen Post Falls, ID 83854 104 W 9th St Post Falls, ID 83854 1101 E Polston Ave Ste A Post Falls, ID 83854-6045 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 104 W 9th St Post Falls, ID 83854 1132 E Polston Ave Post Falls, ID 83854-6045 104 W 9th St Post Falls, ID 83854 1132 E Polston Ave Post Falls, ID 83854-6045 1590 E Polston Ave Ste B Post Falls, ID 83854-5218 925 E Polston Ave Post Falls, ID 83854-9049 750 N Syringa St Ste 103 Post Falls, ID 83854-5275 925 E Polston Ave Post Falls, ID 83854-9049 1300 E Mullan Ste 600 Post Falls, ID 83854 1220 E Polston Ave Post Falls, ID 83854-6056 750 N Syringa Ste 205 Post Falls, ID 83854 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 1300 E Mullan Ste 600 Post Falls, ID 83854 925 E Polston Ave Post Falls, ID 83854-9049 1296 E Polston Ave Ste B Post Falls, ID 83854-5217 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Post Falls, ID 83854-5275 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 1300 E Mullan Ste 600 Post Falls, ID 83854 1440 E Mullan Ave Post Falls, ID 83854-9064 925 E Polston Ave Post Falls, ID 83854-9049 1590 E Polston Ave Ste A Post Falls, ID 83854-5218 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 (208) 777-4141 (208) 777-4141 (208) 777-4242 (208) 777-9740 Not accepting new patients (208) 773-8111 (208) 777-4141 (208) 777-4141 (208) 777-4141 (208) 777-9740 Not accepting new patients (208) 777-7800 (208) 777-9740 (208) 777-7800 (208) 777-4141 (208) 625-5640 -Syringa Hospital & Clinics (208) 415-0151 -Northwest Specialty Hospital (208) 618-0787 -Shoshone Medical Center (208) 777-9110 -Gritman Medical Center Inc (208) 773-1577 (208) 262-0945 (509) 838-2531 (509) 838-2531 (208) 777-9110 (208) 625-5640 (208) 667-7459 -Northwest Specialty Hospital (208) 262-2300 -EvergreenHealth Medical Center -Swedish Cherry Hill -Swedish Edmonds (208) 262-2600 -EvergreenHealth Medical Center -Swedish Cherry Hill -Swedish Edmonds (509) 838-2531 (208) 777-9110 (208) 619-4100 (208) 625-5640 (208) 777-9794 -Northwest Specialty Hospital (208) 209-2060 -Northwest Specialty Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 355

Psychiatry Carlberg, Nicole L Psychiatry Carlberg, Nicole L Psychiatry Psychology Asbell, Laura PY Psychology Pulmonary Disease Green, Todd R Pulmonary Disease, Osmanski II, James P. OD Pulmonary Disease, Critical Care Medicine, Sleep Disorder Medicine Osmanski II, James P. OD Pulmonary Disease, Critical Care Medicine, Sleep Disorder Medicine Werchowski, Jeffrey L MD Pulmonary Disease, Sleep Disorder Medicine Radiation Oncology Call, Jason Radiation Oncology Davenport, David E MD Radiation Oncology Fairbanks, Robert K. MD Radiation Oncology Griffith, Jon L. Radiation Oncology Kelly, Karie-Lynn J MD Radiation Oncology Kelly, Karie-Lynn J MD Radiation Oncology Laing, Susan M MD Radiation Oncology Lamm, Frank R MD Radiation Oncology Lamoreaux, Wayne T. Radiation Oncology Lee, Christopher M. Radiation Oncology Wagner, Aaron Eugene Radiation Oncology McKlendin, Keith P. MD Bageac, Alexandru C Bardo, Dianna M.E. Brockenbrough, Kimberly B Clemett, John Fatz, Casey J MD Gapinski, Connie J Johnson, Germaine Richard MD, Nuclear Medicine Ley, Carl E. 1700 E Schneidmiller Ave Post Falls, ID 83854-7085 1700 Schneidmiller Ave Post Falls, ID 83854 17080 W Laura Ln Post Falls, ID 83854-6767 609 N Calgary Ct Ste 103 Post Falls, ID 83854-4906 750 N Syringa St Ste 200B Post Falls, ID 83854-5275 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Ste 204 Post Falls, ID 83854-5275 1440 E Mullan Ave Post Falls, ID 83854-9064 1440 E Mullan Ave Post Falls, ID 83854-9064 1440 E Mullan Ave Post Falls, ID 83854-9064 1440 E Mullan Ave Post Falls, ID 83854-9064 1440 E Mullen Post Falls, ID 83854 1641 E Poulston Ave Ste 102 Post Falls, ID 83854 1440 E Mullan Ave Post Falls, ID 83854-9064 1641 E Poulston Ave Ste 102 Post Falls, ID 83854 1440 E Mullan Ave Post Falls, ID 83854-9064 1440 E Mullan Ave Post Falls, ID 83854-9064 1440 E Mullan Ave Post Falls, ID 83854-9064 1300 E Mullan Ave Post Falls, ID 83854-6052 1593 E Polston Ave Post Falls, ID 83854-5326 1593 E Polston Ave Post Falls, ID 83854-5326 1593 E Polston Ave Post Falls, ID 83854-5326 1593 E Polston Ave Post Falls, ID 83854-5326 1300 E Mullan Ave Post Falls, ID 83854-6052 1593 Polston Ave Post Falls, ID 83854 1593 E Polston Ave Post Falls, ID 83854-5326 1300 E Mullan Ave Post Falls, ID 83854-6052 (208) 619-0190 (208) 619-0190 (208) 777-8045 (509) 465-3919 -Providence Holy Family Hospital (208) 262-2379 (208) 457-9205 (509) 838-2531 Not accepting new patients (509) 228-1000 ADA Accessible (509) 228-1000 ADA Accessible (509) 228-1000 ADA Accessible (509) 228-1000 ADA Accessible -Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital (208) 619-4100 -Sacred Heart Medical Center (509) 462-2273 ADA Accessible -Sacred Heart Medical Center (509) 228-1000 ADA Accessible (509) 462-2273 ADA Accessible (509) 228-1000 ADA Accessible Languages: SPANISH (509) 228-1000 ADA Accessible Languages: GERMAN (509) 228-1000 ADA Accessible (208) 666-3200 (208) 262-2300 -Providence Portland Medical Center (208) 262-2300 (208) 262-2300 (208) 262-2300 (208) 777-1305 (952) 595-1242 (208) 262-2300 (208) 666-3200 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 356

Lowe, Philip N Lowe, Philip N Martinez, Alberto J MD Martinez, Alberto J MD McNamee, Brian J. MD Michalson, Arne E MD Michalson, Arne E MD Michel, Jerry A,,, Vascular & Interventional Michel, Jerry A,,, Vascular & Interventional Pfleger, Mark J Smith, Justin B,, Interventional Theoharis, Jennifer A, Therapeutic Schomberg, Paula Jean, Therapeutic Van Heuvelen, Gary MD, Therapeutic Brinton, Barbara F LSW Currie, Karen Joy LSW Easton, Patricia J LSW May, Diana Lynn LSW Nicholas Anderson, Kristina Lynn LSW Osterson, Cara P LSW Schilling, Lea Beth LSW Stone, Jared Thomas LSW Videtich, Kevin Lawrence LSW, LSW, LSW Urgent Care Brinton, Howard MD Urgent Care Crites, John D MD Urgent Care Panos, Craig J MD Urgent Care, Panos, Craig J MD Urgent Care, Potlatch Rice, Matthew L. DOIR Park, Melissa L. MD 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Post Falls, ID 83854-5275 1300 E Mullan Ave Post Falls, ID 83854-6052 1300 E Mullan Ave Post Falls, ID 83854-6052 1300 E Mullan Ave Post Falls, ID 83854-6052 1300 E Mullan Ave Post Falls, ID 83854-6052 1300 E Mullan Ave Post Falls, ID 83854-6052 1593 E Polston Ave Post Falls, ID 83854-5326 750 N Syringa St Post Falls, ID 83854-5275 1593 E Polston Ave Post Falls, ID 83854-5326 1593 E Polston Ave Post Falls, ID 83854-5326 1593 Polston Ave Post Falls, ID 83854 1440 E Mullan Ave Post Falls, ID 83854-9064 1440 E Mullan Ave Post Falls, ID 83854-9064 1700 E Schneidmiller Ave Post Falls, ID 83854-7085 925 E Polston Ave Post Falls, ID 83854-9049 1791 Warbler LN Post Falls, ID 83854-6111 1700 E Schneidmiller Ave Post Falls, ID 83854-7085 925 E Polston Ave Post Falls, ID 83854-9049 1700 E Schneidmiller Ave Post Falls, ID 83854-7085 925 E Polston Ave Post Falls, ID 83854-9049 1700 E Schneidmiller Ave Post Falls, ID 83854-7085 1700 E Schneidmiller Ave Post Falls, ID 83854-7085 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 1300 E Mullan Ste 600 Post Falls, ID 83854 750 N Syringa St Ste 100 Post Falls, ID 83854-5275 156 6th St Potlatch, ID 83855 156 6th St Potlatch, ID 83855 (208) 262-2300 (208) 262-2600 (208) 666-3200 (208) 777-1305 (208) 666-3200 (208) 666-3200 (208) 777-1305 (208) 262-2300 (208) 262-2600 (208) 262-2300 (208) 262-2300 (952) 595-1242 -Lake Chelan Community Hospital (509) 228-1000 ADA Accessible -Deaconess Medical Center (509) 228-1000 ADA Accessible (208) 619-0190 (208) 625-5640 (208) 755-2110 (208) 619-0190 (208) 625-5640 (208) 619-0190 (208) 625-5640 (208) 619-0190 (208) 619-0190 (208) 777-9110 (208) 777-9110 (208) 777-9110 (208) 209-2060 (208) 875-2380 Languages: GERMAN (208) 875-2380 -Gritman Medical Center Inc -Pullman Regional Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 357

White, Kama Sibbell MD / Seegmiller, Jennifer A ARNP / Davis, Jennifer L PA Landle, Kelly Marie PA 225 6th St Potlatch, ID 83855 156 6th St Potlatch, ID 83855 156 6th St Potlatch, ID 83855 156 6th St Potlatch, ID 83855 (208) 875-2380 (208) 875-2380 -Gritman Medical Center Inc (208) 875-2380 -Gritman Medical Center Inc (208) 875-2380 Preston Cert Registered Nurse Anesthetist (CRNA) Holt, Alan D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Bowers, Paul Kendell DC, DC, RN Ward, Dallas K. Ward, Leonard E., Acupuncture Bokelmann, Jean M MD Christensen, Kelli Deanne MD Fenstermaker, John Fernandez, Luis Manual MD, MD Harris, Marcus D DO Harris, Marcus D DO Horrocks, Mark T MD Kjos, Melissa R MD Knapp, Stuart G MD Knapp, Stuart G MD Morrison, Chelsie A DO Olsen, Blaine Reed DO Smith, Dean Ty DO /OB Curtis, Jacob K DO /OB Curtis, Jacob K DO /OB Patten, Daniel Y /OB Patten, Daniel Y /OB Infectious Disease Buitrago, Martha I. Infectious Disease 44 N 1st E Preston, ID 83263-1326 655 S 4th E Ste 600 Preston, ID 83263-1624 122 N State St Preston, ID 83263-1143 122 North State Street Preston, ID 83263 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 44 N 1st E Preston, ID 83263-1326 47 N 1st E Preston, ID 83263-1325 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 44 N 1st E Preston, ID 83263-1326 47 N 1st E Preston, ID 83263-1325 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 44 N 1st E Preston, ID 83263-1326 47 N 1st E Preston, ID 83263-1325 44 N 1st E Preston, ID 83263-1326 47 N 1st E Preston, ID 83263-1325 655 S 4th E Ste 600 Preston, ID 83263-1624 Hutton-Levenson, Judith LMHC 655 S 4th E Ste 600, Marriage & Family Preston, ID 83263-1624 Counselor / (208) 852-2709 (208) 852-3200 (208) 852-0083 (208) 852-0083 (208) 852-3200 (208) 852-3200 (208) 852-3200 (208) 852-3200 Languages: SPANISH (208) 852-0137 ADA Accessible (208) 852-2900 ADA Accessible (208) 852-3200 Languages: SPANISH (208) 852-3200 (208) 852-0137 ADA Accessible (208) 852-2900 ADA Accessible (208) 852-3200 (208) 852-3200 (208) 852-3200 (208) 852-0137 ADA Accessible (208) 852-2900 ADA Accessible (208) 852-0137 ADA Accessible Languages: SPANISH (208) 852-2900 ADA Accessible Languages: SPANISH (208) 852-3200 -Eastern Idaho Regional Medical Center (208) 852-3200 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 358

Fletcher, Zuzana ARNP, RN / Karroum, Brandi Binh NPRA, RN / Poulos-Edmo, Helene ARNP, RN / Dyer, Donald A MD Bieniasz, Paul D PAC Higbee, Logan PAC Judd, Jocelyn Ann PA Schaper, Heather Ann PA Wyatt, Chantee I PAC Wyatt, Chantee I PAC Podiatry Christensen, Brent DPM Podiatry Gambles, Darin G Podiatry Brown, Shannon L LSW Collins, Doty J LSW Urgent Care Carbol, Courtland Reid MD Urgent Care Priest River Kiriaka, Bradley Dean DC Kiriaka, Bradley Dean DC Thomas, Christopher A. Antoniuk, Nelson MD Carter, Thomas DO Fletcher, Thomas G. MD Fowler, Jeffrey B. OD Kim-Brown, Mona J. LMHC Licensed Massage Therapist Miller, Delores D Massage Therapy Cox, Ann ARNP, RN / Fuhrman, Kelly Ann NPRA, RN / 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 44 N 1st E Preston, ID 83263-1326 47 N 1st E Preston, ID 83263-1325 44 N 100th St E Preston, ID 83263-1326 10 S 100 W Ste B Preston, ID 83263 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 655 S 4th E Ste 600 Preston, ID 83263-1624 314 E Albeni Hwy Ste 103 Priest River, ID 83856-9207 6509 Hwy 2 Priest River, ID 83856-6609 314 E Albeni Hwy Ste 103 Priest River, ID 83856-9207 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 208 9th St Priest River, ID 83856-8901 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 (208) 852-3200 (208) 852-3200 (208) 852-3200 (208) 852-3200 (208) 852-3200 (208) 852-3200 (208) 852-3200 (208) 852-3200 (208) 852-0137 ADA Accessible (208) 852-2900 ADA Accessible (208) 235-1777 (208) 852-2585 (208) 852-3200 (208) 852-3200 (208) 852-3200 (888) 206-3092 (208) 448-4726 (208) 448-4726 (208) 448-2321 Languages: PORTUGUESE, SPANISH (208) 448-2321 (208) 448-2321 (208) 448-2321 -Bonner General Hospital (208) 448-2321 (208) 448-2808 (208) 448-2321 (208) 448-2321 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 359

Koch, Tracey A. / /Geriatric Rafacz, Ruthann /Geriatric Pediatrics DeLand, George MD Pediatrics Helm, Robin E. MD Pediatrics Rose, Hailey Joy DO Pediatrics Seaman, John Mansfield MD Pediatrics Aicken, Sara Ann PA Jabbour, Albert Kenneth PAC Kusler, Adam LSW Ruddle, Celina Ululani LSW Thompson, Silas Theodore LSW Rathdrum Hall, Steven B. Haynes, Paul B MD Haynes, Paul B MD Mayer, Alan Douglas Meza, Michael G. MD Meza, Michael G. MD Whiting, Michael D., Urgent Care Whiting, Michael D., Urgent Care Crest, Anthony Bryan MD Gill, Kirandeep Kaur DO, Pediatrics Melchiore, Susan MD Newcombe, Jr., L. Raymond MD Wilson, Jeffrey D DO Daggy, Linda Marie LMHC Huffer, John Brian LMHC Olson, Casey Lynn LMHC Olson, Casey Lynn LMHC 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 6509 Hwy 2 Ste 101 Priest River, ID 83856-6609 14822 North Highway 41 Rathdrum, ID 83858 16760 North Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 14775 N Kimo Ct Ste B Rathdrum, ID 83858 14775 Kimo Ct Ste B Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 (208) 448-2321 (208) 448-2321 (208) 448-2321 (208) 448-2321 (208) 448-2321 (208) 448-2321 (208) 448-2321 (208) 448-2321 (208) 448-2321 (208) 448-2321 (208) 448-2321 (208) 687-7029 (208) 687-9113 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 360

Park, Kristin Suzanne LMFT Piovesan, Dean Stanley LMHC Smith, Jodi Suzanne LMHC Telleria, Brian James LMHC White, Rebecca Lynn LMHC Arnold, Lynda J. NPRA, RN Itveldt, Fred M NPRA Lata, Laura Jean ARNP, RN Reese, Reva Gay ARNP / Brown, Peter Christopher NPRA, RN / Brulotte, Natalie Rose NPRA, RN / Hunter, Nancy Mae NPRA, RN / Koep, Julia J NPRA / Kugler, Tiffany Sue NPRA, RN / Prindle, Regina M ARNP, RN / Tickemyer, Krista Ann NPRA, RN / Vecchio, Pamela J ARNP / Wagner, Jacqueline L NPRA, RN / Wigle, Michael Eugene ARNP, RN / Young, Lana Rochelle NPRA, RN / /Mental Health Elisha, Leanne NPRA, RN /Mental Health Ely, J Roye NPRA, RN /Mental Health Splaine, Natasha Maria ARNP, RN /Mental Health Optometry Miller, Brian R. Optometry Bailey, Michael D Bartoo, Joshua B. Danser, Christine PT Garrett, Christopher J. Atkins, David Scott PA, PA Gibbs, Scott W. PA Richlie, Taryn M PAC 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Ste B Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 14775 Kimo Ct Ste B Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 15630 N Hwy 41 Rathdrum, ID 83858 16768 N Hwy 41 Rathdrum, ID 83858 16768 N Hwy 41 Rathdrum, ID 83858 14775 North Kimo Court Suite A Rathdrum, ID 83858 14775 North Kimo Court Suite A Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 Languages: SPANISH (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-0370 (208) 687-9195 (208) 687-9195 (208) 687-9240 (208) 687-9240 (208) 687-5627 -Syringa Hospital & Clinics (208) 687-5627 -Shoshone Medical Center (208) 687-5627 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 361

Sarkis, Heather J. PA Sarkis, Heather J. PA Smith, Ryan Lee PA Vieth, Patricia Ann Knoll PAC Yourzek Sr, Michael J PAC Psychiatry Wait, David B. MD Psychiatry Cartwright, Laura Elaine LSW Currie, Karen Joy LSW Easton, Patricia J LSW Garrett, Christopher A LSW Nicholas Anderson, Kristina Lynn LSW Schilling, Lea Beth LSW Sutton, Tracey Lee LSW Tavares, Dee Marla Jo LSW Urgent Care Morse, Jeremy Charles MD Urgent Care 14775 Kimo Ct Ste B Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 14775 N Kimo Ct Ste B Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 16760 N Hwy 41 Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 14775 N Kimo Ct Rathdrum, ID 83858 15662 N Highway 41 Rathdrum, ID 83858-8710 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-5627 (208) 687-4878 Rexburg Anesthesiology Pieper, Brandon K. CRNA, RN Anesthesiology Cert Registered Nurse Anesthetist (CRNA) McClellan, Steven D CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Sayre, Ryan T CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Daniels, David F. Dustin, Kelly L DO, DO Gillette, Austin C MD Hardy, Scott R DO Jones, Richard T MD Prince, Clay C MD Speakman, William B DO Watson, Joseph E MD Wilde, Trevor Glade DO /OB Zollinger, Charles J. MD /OB General Surgery 491 First American Cir Rexburg, ID 83440-5410 491 First American Cir Rexburg, ID 83440-5410 491 First American Cir Rexburg, ID 83440-5410 72 E Main St Rexburg, ID 83440-1926 21 Winn Dr Rexburg, ID 83440-5277 21 Winn Dr Rexburg, ID 83440-5277 420 E 4th N Rexburg, ID 83440-5390 255 N 3rd E Rexburg, ID 83440-1629 10 Madison Professional Park Rexburg, ID 83440-2058 72 E Main St Rexburg, ID 83440-1926 393 E 2nd N Rexburg, ID 83440-1605 393 E 2nd N Rexburg, ID 83440-1605 393 E 2nd N Rexburg, ID 83440-1605 (208) 359-1130 -Bingham Memorial Hospital (208) 359-1130 (208) 359-1130 (208) 359-1770 (208) 881-5222 (208) 881-5222 (208) 356-9100 (208) 356-7585 ADA Accessible (208) 656-9467 ADA Accessible (208) 359-1770 (208) 356-5401 (208) 356-5401 (208) 356-5401 Languages: SPANISH Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 362

Christensen, Brian Wade MD General Surgery Coray, Robert Louis MD General Surgery Coray, Robert Louis MD General Surgery Andersen, Scott Kay Marriage & Family Counselor Anderson, Kellie M LMFT Marriage & Family Counselor Neurology Cheatham, Robert MD Neurology Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, / Jeppesen, Nichole Ann / Jeppson, Rebecca M NPRA, RN / /Women's Health Jones, Rachelle NPRA, RN /Women's Health Allred, John W MD Evans, Edward E MD Occupational Therapy Anderson, Rebecca Jo Occupational Therapy Anderson, Rebecca Jo Occupational Therapy Chidester, Jonathan G OT Occupational Therapy Clift, Jeffery M OT Occupational Therapy Daybell, Matthew K OT Occupational Therapy Kingsford, Brian D Occupational Therapy Kingsford, Brian D Occupational Therapy Ophthalmology Cannon, Richard P. MD Ophthalmology Gardner, Bradley P. MD Ophthalmology Larson, Michael J MD Lee, Kevin Murdock MD, Sports Medicine Torngren, Travis Roy MD 20 Madison Professional Park Rexburg, ID 83440-2058 37 S 2nd E 3rd Fl Rexburg, ID 83440-1603 393 E 2nd N Rexburg, ID 83440-1605 859 S Yellowstone Hwy Rexburg, ID 83440-5293 393 E 2nd N Rexburg, ID 83440-1605 450 E Main St Rexburg, ID 83440-2048 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 10 Madison Professional Park Rexburg, ID 83440-2058 15 Madison Professional Park Rexburg, ID 83440-2057 15 Madison Professional Park Rexburg, ID 83440-2057 15 Madison Professional Park Rexburg, ID 83440-2057 15 Madison Professional Park Rexburg, ID 83440-2057 393 E 2nd N Rexburg, ID 83440-1605 36 Professional Plaza Ste 110 Rexburg, ID 83440 393 E 2nd N Rexburg, ID 83440-1605 36 Professional Plaza Ste 110 Rexburg, ID 83440 393 E 2nd N Rexburg, ID 83440-1605 393 E 2nd N Rexburg, ID 83440-1605 36 Professional Plaza Ste 110 Rexburg, ID 83440 491 First American Circle Rexburg, ID 83440 351 E 2nd N Rexburg, ID 83440-1605 360 E Main St Rexburg, ID 83440-2015 360 E Main St Rexburg, ID 83440-2015 360 E Main St Rexburg, ID 83440-2015 (208) 656-9008 (208) 356-9086 (208) 356-9086 (208) 356-0088 (208) 359-4840 (208) 535-4591 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 656-9467 ADA Accessible (208) 356-6185 (208) 356-6185 (208) 356-6185 (208) 356-6185 (208) 359-9570 (406) 359-9570 (208) 359-9570 Not accepting new patients (406) 359-9570 (208) 359-9570 Not accepting new patients (208) 359-9570 (406) 359-9570 (208) 524-2025 (208) 359-1130 -Eastern Idaho Regional Medical Center (208) 356-9550 (208) 356-9550 (208) 356-9550 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 363

Otolaryngology McMaster, Jay R DO Otolaryngology Peterson, Barry J DO Otolaryngology, Allergy & Immunology Pediatrics Gates, Gene P MD Pediatrics Hymas, Jason E MD Pediatrics Physical Medicine and Rehabilitation Vlach, Sarah A. MD Physical Medicine and Rehabilitation Cordero, Bradley Stewart PT Little, Stacie L. Rupp, Michael David PT Anderson, Terry J. PAC Bagley, Brett G PAC Batt, David Porter PA Brunson, Zachery Michael PA Day, David PAC Hammar, Mark S PA Perez, Rebecca PAC Weber, Dan L PAC Podiatry Kovac, Kylin Todd DPM Podiatry Bigler, Dirk E. Bigler, Dirk E. Bigler, Dirk E. Bigler, Dirk E. Lance, Jason N MD Sievers, Ralph E. MD Wray, Alan B Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD 256 N 2nd E Ste 2 Rexburg, ID 83440-1638 256 N 2nd E Ste 2 Rexburg, ID 83440-1638 37 S 2nd E Rexburg, ID 83440-1906 37 S 2nd E Rexburg, ID 83440-1906 360 E Main Rexburg, ID 83440 393 E 2nd N Rexburg, ID 83440-1605 393 E 2nd N Rexburg, ID 83440-1605 101 E Main St Ste 203 Rexburg, ID 83440-2017 21 Winn Dr Rexburg, ID 83440-5277 534 Trejo St Ste 400 Rexburg, ID 83440-5405 393 E 2nd N Rexburg, ID 83440-1605 393 E 2nd N Rexburg, ID 83440-1605 255 N 3rd E Rexburg, ID 83440-1629 37 S 2nd E Rexburg, ID 83440-1906 393 E 2nd N Rexburg, ID 83440-1605 256 N 2nd E Ste 2 Rexburg, ID 83440-1638 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 1 Professional Plz Rexburg, ID 83440-2024 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 425 E 4th N Rexburg, ID 83440-5390 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 (208) 656-9646 ADA Accessible (208) 656-9646 ADA Accessible (208) 356-0234 (208) 356-0234 (208) 656-0055 (208) 359-9570 (208) 359-9570 Not accepting new patients (208) 552-2248 ADA Accessible (208) 881-5222 (208) 359-2263 (208) 356-5401 (208) 356-5401 (208) 356-7585 ADA Accessible (208) 356-0234 (208) 356-5401 (208) 656-9646 ADA Accessible (208) 529-8395 (208) 356-4888 (208) 356-9231 (208) 356-8883 (208) 356-5401 (208) 356-4888 (208) 356-4888 (208) 356-4888 -Mountain View Hospital LLC -St Joseph Regional Medical Center (208) 356-3691 -Bingham Memorial Hospital -Portneuf Medical Center (208) 356-9231 -Bingham Memorial Hospital -Portneuf Medical Center (208) 259-1770 -Bingham Memorial Hospital -Portneuf Medical Center (208) 356-8883 -Bingham Memorial Hospital -Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 364

Bachman, Lorin Christopher MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Biddulph, Michael C. MD Cameron, David M Cameron, David M Cameron, David M Cameron, David M Cameron, David M Clinger, Neal J MD Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Hansen, David V MD Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harker, Christopher O Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B. Harris, James B. 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 (208) 356-5401 -Bingham Memorial Hospital -Portneuf Medical Center (208) 356-4888 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-4888 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-4888 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-4888 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-4888 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 365

Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Larsen, Steven A. MD Neeley, James P. Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Smith, Steven D. Stephens, George H Stephens, George H Stephens, George H Stephens, George H Stephens, George H Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Strobel, John J. Taylor, James W. Taylor, James W. 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 (208) 356-4888 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-4888 (208) 356-4888 -Mountain View Hospital LLC (208) 356-3691 -Mountain View Hospital LLC (208) 356-9231 -Mountain View Hospital LLC (208) 259-1770 -Mountain View Hospital LLC (208) 356-8883 -Mountain View Hospital LLC (208) 356-5401 -Mountain View Hospital LLC (208) 356-4888 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-4888 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-4888 (208) 356-3691 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 366

Taylor, James W. Taylor, James W. Taylor, James W. Taylor, James W. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Vance, Peter L. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Warden III, David R. Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO Williamson, Matthew E DO, Interventional Penney, Richard M. MD, Interventional Rigby Hammar, Bryan D. Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Edlin, James P. MD Nuclear Medicine, Allphin, Christopher James MD Huggins, Margaret C MD McGary, Trent Robert PT 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 450 E Main St Rexburg, ID 83440-2048 1 Professional Plz Rexburg, ID 83440-2024 72 E Main St Rexburg, ID 83440-1926 20 Madison Professional Park Rexburg, ID 83440-2058 393 E 2nd N Rexburg, ID 83440-1605 425 E 4th N Rexburg, ID 83440-5390 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 426 Farnsworth Way Ste 3 Rigby, ID 83442 426 Farnsworth Way Ste 3 Rigby, ID 83442 3854 E 300 N Rigby, ID 83442-5422 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-4888 -Mountain View Hospital LLC (208) 356-3691 -Mountain View Hospital LLC (208) 356-9231 -Mountain View Hospital LLC (208) 259-1770 -Mountain View Hospital LLC (208) 356-8883 -Mountain View Hospital LLC (208) 356-5401 -Mountain View Hospital LLC (208) 356-4888 (208) 356-3691 (208) 356-9231 (208) 259-1770 (208) 356-8883 (208) 356-5401 (208) 356-3691 -Bingham Memorial Hospital -Portneuf Medical Center (208) 356-9231 -Bingham Memorial Hospital -Portneuf Medical Center (208) 259-1770 -Bingham Memorial Hospital -Portneuf Medical Center (208) 356-8883 -Bingham Memorial Hospital -Portneuf Medical Center (208) 356-5401 -Bingham Memorial Hospital -Portneuf Medical Center (208) 356-4888 (208) 745-8747 -Mountain View Hospital LLC (208) 745-5021 (208) 745-8747 (208) 535-0440 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 535-0440 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 228-0311 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 367

Richins, Stephen L PA Rizor, Helena MB PA Walaliyadda, Ranmali Kalyani PA Bigler, Dirk E. Bachman, Lorin Christopher MD Bachman, Lorin Christopher MD Biddulph, Michael C. MD Biddulph, Michael C. MD Cameron, David M Cameron, David M Funk, Kevin C., Neuroradiology Funk, Kevin C., Neuroradiology Hansen, David V MD Hansen, David V MD Harker, Christopher O Harker, Christopher O Harris, James B. Harris, James B. Lamb, Justin Alvin, Neuroradiology Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Schmutz, James F. MD, Neuroradiology Smith, Steven D. Smith, Steven D. Stephens, George H Stephens, George H Strobel, John J. Strobel, John J. Taylor, James W. Taylor, James W. Vance, Peter L. Vance, Peter L. 711 Rigby Lake Dr Ste 114 Rigby, ID 83442-5230 711 Rigby Lake Dr Ste 114 Rigby, ID 83442-5230 711 Rigby Lake Dr Ste 114 Rigby, ID 83442-5230 711 Rigby Lake Dr Rigby, ID 83442-5229 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 (208) 234-1300 (208) 234-1300 (208) 234-1300 (208) 745-5021 (208) 745-5021 -Bingham Memorial Hospital -Portneuf Medical Center (208) 745-8747 -Bingham Memorial Hospital -Portneuf Medical Center (208) 745-5021 (208) 745-8747 (208) 745-5021 (208) 745-8747 (208) 745-5021 (208) 745-8747 (208) 745-5021 (208) 745-8747 (208) 745-5021 (208) 745-8747 (208) 745-5021 (208) 745-8747 (208) 745-5021 (208) 745-8747 (208) 745-5021 (208) 745-8747 (208) 745-5021 -Mountain View Hospital LLC (208) 745-8747 -Mountain View Hospital LLC (208) 745-5021 (208) 745-8747 (208) 745-5021 (208) 745-8747 (208) 745-5021 (208) 745-8747 (208) 745-5021 (208) 745-8747 (208) 745-5021 -Mountain View Hospital LLC (208) 745-8747 -Mountain View Hospital LLC Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 368

Warden III, David R. Warden III, David R. Williamson, Matthew E DO Williamson, Matthew E DO Rheumatology Walaliyadda, Ananda Rheumatology, Urgent Care Curtis, Larry T MD Urgent Care Rupert Audiology Pickup, Christine Wilcox Audiology Swenson, Jeffrey Scott MD General Surgery Johnson, Daclynn S MD General Surgery Saunders, Margo MD / Catmull, Aaron Bradley NPRA, RN / McHan, Cameron NPRA, RN / Milliron, Anastasia B / Hodges, Ryan Dennis PA Sagle Marriage & Family Counselor Barker, William T. Marriage & Family Counselor Saint Anthony Williams, Kerry Chant DC Spaulding, Tiffany /OB Curtis, Jacob K DO /OB Nuclear Medicine Edlin, James P. MD Nuclear Medicine, 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Rigby, ID 83442-5229 167 E 1st S Rigby, ID 83442-1401 711 Rigby Lake Dr Ste 114 Rigby, ID 83442-5230 167 E 1st S Rigby, ID 83442-1401 1218 9th St Ste 2 Rupert, ID 83350-2207 1308 8th St Ste 1 Rupert, ID 83350-1535 1218 9th St Ste 10 Rupert, ID 83350-2207 1308 8th St Ste 1 Rupert, ID 83350-1535 1308 8th St Ste 1 Rupert, ID 83350-1535 1308 8th St Ste 1 Rupert, ID 83350-1535 1024-8th St Rupert, ID 83350 1024-8th St Rupert, ID 83350 1491 Beers Humbird Dr Ste B Sagle, ID 83860-8599 20 N 3rd St E Saint Anthony, ID 83445-1521 20 N 3rd St E Saint Anthony, ID 83445-1521 20 N 3rd St E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 (208) 745-5021 (208) 745-8747 (208) 745-5021 -Bingham Memorial Hospital -Portneuf Medical Center (208) 745-8747 -Bingham Memorial Hospital -Portneuf Medical Center (208) 234-1300 (208) 745-8747 (208) 312-0957 (208) 436-4322 ADA Accessible (208) 436-8340 -Minidoka Memorial Hospital (208) 436-4322 ADA Accessible -Minidoka Memorial Hospital (208) 436-4322 ADA Accessible (208) 436-4322 ADA Accessible Languages: SPANISH (208) 650-7941 (208) 436-0734 -Minidoka Memorial Hospital (208) 263-7497 Languages: SPANISH (208) 624-4100 ADA Accessible (208) 624-4100 ADA Accessible (208) 624-4100 ADA Accessible (208) 624-4100 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 369

Miller, Whittney K NPRA, RN Brower, Andrew L PAC Hansen, Bryant F PAC Bigler, Dirk E. Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Funk, Kevin C., Neuroradiology Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO Saint Maries Cardiovascular Disease Cooke, Dennis B Cardiovascular Disease, Interventional Cardiology Fritz, Ronald M. DO Cardiovascular Disease Parge, Kirk DC, LAC, Acupuncture Davenport, Terry E OD Katovich Jr, John R MD Schneider, Jesse A DO Spence, W. Scott MD 20 N 3rd St E Saint Anthony, ID 83445-1521 20 N 3rd St E Saint Anthony, ID 83445-1521 20 N 3rd St E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 20 N 3rd E Saint Anthony, ID 83445-1521 229 S 7th St Saint Maries, ID 83861-1803 229 S 7th St Saint Maries, ID 83861-1803 201 N 8th St Ste 4 Saint Maries, ID 83861-1869 229 S 8th St Saint Maries, ID 83861-1813 229 S 8th St Saint Maries, ID 83861-1813 229 S 8th St Saint Maries, ID 83861-1813 229 S 8th St Saint Maries, ID 83861-1813 (208) 624-4100 ADA Accessible (208) 624-4100 ADA Accessible (208) 624-4100 ADA Accessible (208) 624-4100 (208) 624-4100 -Bingham Memorial Hospital -Portneuf Medical Center (208) 624-4100 (208) 624-4100 (208) 624-4100 (208) 624-4100 (208) 624-4100 (208) 624-4100 (208) 624-4100 (208) 624-4100 (208) 624-4100 -Mountain View Hospital LLC (208) 624-4100 (208) 624-4100 (208) 624-4100 (208) 624-4100 (208) 624-4100 -Mountain View Hospital LLC (208) 624-4100 (208) 624-4100 -Bingham Memorial Hospital -Portneuf Medical Center (208) 666-2000 (509) 838-7711 -Bonner General Hospital (208) 772-6500 Languages: SPANISH (208) 245-2591 -Benewah Community Hospital (208) 245-2591 -Benewah Community Hospital (208) 245-2591 -Benewah Community Hospital (208) 245-2591 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 370

Spence, W. Scott MD Thurston, Richard K. General Surgery Stackow, John C. MD General Surgery Wheeler, William W General Surgery Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Nephrology Foster, Sherwin Stephen MD Nephrology, Nuclear Medicine Sigg, Daniel M Nuclear Medicine / O'Keefe, Tawnya D. / Rogers, Leslie Corrine ARNP, RN / Taylor, Jessica Ann / Watson, Alex B MD Oncology, Medical Ahmad, Naseer MD Oncology, Medical Chaudhry, Arvind Oncology, Medical, Oncology/Hematology Samuels, Brian L. Oncology/Hematology, Optometry Magwire, Robert D. Optometry Otolaryngology Beaton, Thomas P. Otolaryngology Radiation Oncology Kelly, Karie-Lynn J MD Radiation Oncology Lamm, Frank R MD Radiation Oncology Brinton, Barbara F LSW May, Diana Lynn LSW Stone, Jared Thomas LSW Videtich, Kevin Lawrence LSW, LSW, LSW Salmon Cardiovascular Disease Navone, Anthony J MD Cardiovascular Disease, 229 S 7th St Saint Maries, ID 83861-1803 229 S 8th St Saint Maries, ID 83861-1813 229 S 8th St Saint Maries, ID 83861-1813 229 S 8th St Saint Maries, ID 83861-1813 229 S 8th St Saint Maries, ID 83861-1803 229 S 8th St Saint Maries, ID 83861-1803 229 7th St Saint Maries, ID 83861-1803 229 S 8th St Saint Maries, ID 83861-1803 229 S 8th St Saint Maries, ID 83861-1813 229 7th St Saint Maries, ID 83861-1803 229 S 8th St Saint Maries, ID 83861-1813 229 7th St Saint Maries, ID 83861-1803 229 7th St Saint Maries, ID 83861-1803 229 7th St Saint Maries, ID 83861-1803 704 College Ave Saint Maries, ID 83861 229 S 8th St Saint Maries, ID 83861-1813 229 7th St Saint Maries, ID 83861-1803 229 7th St Saint Maries, ID 83861-1803 622 College Ave Ste 2 Saint Maries, ID 83861-1822 622 College Ave Ste 2 Saint Maries, ID 83861-1822 622 College Ave Ste 2 Saint Maries, ID 83861-1822 622 College Ave Ste 2 Saint Maries, ID 83861-1822 203 S Daisy St Salmon, ID 83467-4343 (208) 245-5551 (208) 245-2591 (208) 245-2591 -Benewah Community Hospital -Shoshone Medical Center (208) 245-2591 (208) 245-2591 (208) 245-2591 (509) 462-2273 (208) 245-2591 (208) 245-2591 (509) 462-2273 (208) 245-2591 (509) 462-2273 (509) 462-2273 (509) 462-2273 (208) 245-6563 (208) 415-0174 (509) 462-2273 -Sacred Heart Medical Center (509) 462-2273 (208) 245-4363 (208) 245-4363 (208) 245-4363 (208) 245-4363 (406) 329-5615 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 371

Hayward, Bruce T. Zavotsky, Diane, /OB Gardner, Samuel Interventional Cardiology Bandow, George T Interventional Cardiology, Infectious Disease Nuclear Medicine Edlin, James P. MD Nuclear Medicine, Campbell, Ruth Nebeker, Suzanne Natelson, Richard Behm, Gregory M. Nolan, David E. Bachman, Lorin Christopher MD Biddulph, Michael C. MD Cameron, David M Hansen, David V MD Harker, Christopher O Harris, James B. Lamb, Justin Alvin, Neuroradiology Larsen, Steven A. MD Schmutz, James F. MD, Neuroradiology Smith, Steven D. Stephens, George H Strobel, John J. Taylor, James W. Vance, Peter L. Warden III, David R. Williamson, Matthew E DO Sandpoint Allergy & Immunology 805 Main St Salmon, ID 83467-4316 805 Main St Salmon, ID 83467-4316 805 Main St Salmon, ID 83467-4316 203 S Daisy St Salmon, ID 83467-4343 203 S Daisy Salmon, ID 83467 805 Main St Salmon, ID 83467-4316 805 Main St Salmon, ID 83467-4316 805 Main St Salmon, ID 83467-4316 805 Main St Salmon, ID 83467-4316 805 Main St Salmon, ID 83467-4316 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 203 S Daisy Salmon, ID 83467 (208) 755-6212 (208) 755-6212 (208) 755-6212 (406) 329-5615 (208) 756-4291 (208) 755-6212 (208) 755-6212 (208) 755-6212 (208) 755-6212 (208) 755-6212 (208) 756-4291 -Bingham Memorial Hospital -Portneuf Medical Center (208) 756-4291 (208) 756-4291 (208) 756-4291 (208) 756-4291 (208) 756-4291 (208) 756-4291 (208) 756-4291 (208) 756-4291 -Mountain View Hospital LLC (208) 756-4291 (208) 756-4291 (208) 756-4291 (208) 756-4291 (208) 756-4291 -Mountain View Hospital LLC (208) 756-4291 (208) 756-4291 -Bingham Memorial Hospital -Portneuf Medical Center Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 372

Wakefield, Kenneth J MD Allergy & Immunology, Anesthesiology Smith, Daniel Philip Wiser Anesthesiology, Pain Management Audiology Schnell, Gloria R. Audiology Strong, Heidi J CA Audiology Torosian, Karen L. Audiology Cardiovascular Disease Blakeley, Russell R MD Cardiovascular Disease, Blakeley, Russell R MD Cardiovascular Disease, Canaday, Donald B. Cardiovascular Disease Fritz, Ronald M. DO Cardiovascular Disease Galloway, Joel R. MD Cardiovascular Disease, Interventional Cardiology Hollenbaugh, Darren C Cardiovascular Disease Hollenbaugh, Darren C Cardiovascular Disease Holman, Robert L. Cardiovascular Disease, Jenkins, Ronald D MD Cardiovascular Disease,, Interventional Cardiology Murphy, William S. Cardiovascular Disease Cert Registered Nurse Anesthetist (CRNA) Schillar, Pamella Arline CRNA, RN Cert Registered Nurse Anesthetist (CRNA) Baker, Rick A. DC Leisy, Ryan A. Dietitian Buck, Audrey Dietitian Davidson, James Riley MD Uzabel, Samuel MD Antoniuk, Nelson MD Carter, Thomas DO Dunn, Scott R. MD Fletcher, Thomas G. MD 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 1327 Superior Ste 104 Sandpoint, ID 83864 420 N 2nd Ave Ste 300 Sandpoint, ID 83864 420 2nd Ave Sandpoint, ID 83864 420 N 2nd Ave Ste 300 Sandpoint, ID 83864 606 N 3rd Ste 203 Sandpoint, ID 83864-1691 520 N 3rd Ave Sandpoint, ID 83864-1507 302 S 1st Ave Sandpoint, ID 83864-1258 520 N 3rd Ave Sandpoint, ID 83864-1507 302 S 1st Ave Sandpoint, ID 83864-1258 606 N 3rd Ave Sandpoint, ID 83864-1594 207 Church St Sandpoint, ID 83864-1342 520 N 3rd Ave Sandpoint, ID 83864 606 N 3rd Ste 203 Sandpoint, ID 83864-1691 302 S 1st Ave Sandpoint, ID 83864-1258 520 N 3rd Sandpoint, ID 83864 102 S Euclid Ave Ste 109 Sandpoint, ID 83864-4916 1224 Washington St Ste 203 Sandpoint, ID 83864 520 N 3rd Ave Sandpoint, ID 83864 520 N 3rd Ave Sandpoint, ID 83864 520 N 3rd Ave Sandpoint, ID 83864 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 (800) 562-9608x3277 (509) 591-0070 (208) 265-1991 (208) 765-1345 (208) 265-1991 (208) 666-2000 (208) 666-2000 (509) 838-2531 -Bonner General Hospital -Gritman Medical Center Inc (208) 666-2000 -Bonner General Hospital (509) 838-2531 (509) 455-8820 -Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital -Valley Medical Center (509) 455-8820 -Deaconess Medical Center -Providence Sacred Heart Medical Center & Children's Hospital -Valley Medical Center (208) 263-1441 Languages: GERMAN -Bonner General Hospital (208) 666-2000 -Bonner General Hospital (208) 265-0610 (208) 265-3534 -Bonner General Hospital (208) 263-2247 (208) 265-1900 (208) 263-1441 (208) 263-1441 (208) 263-1441 (208) 267-1718 Languages: PORTUGUESE, SPANISH (208) 267-1718 (208) 263-1435 -Bonner General Hospital (208) 267-1718 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 373

Meulenberg, Daniel J. MD Rust Jr, Robert E MD Schwartz, Bradley L. Schwartz, Bradley L. Waters, Jeremy MD Waters, Kara DO General Practice Hernandez, Mark A MD General Practice Puffer, Steven C. General Practice General Surgery May, Michael T. General Surgery Torgenson, Marcus J MD General Surgery Hospitalist Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Joshi, Shaun K. Hospitalist,, Nephrology Crane, Charles M MD Dinning, Dustin D DO, Rheumatology Morley, Kimberly A Roth, Jason Eric Roth, Jason Eric Darby, Cynthia D LMFT Glidden, Brom Joshua Phillip LMHC Hicks, Jill K LMHC Kimes, Judy Krutz, Tamra Mae LMHC Majeski, Susan Margaret Miller, Tatum Marie LMHC Nephrology Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, Foster, Sherwin Stephen MD Nephrology, 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 1301 N Division Ave Sandpoint, ID 83864-8268 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 520 N 3rd Ave Sandpoint, ID 83864 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 302 South First Avenue Sandpoint, ID 83864 520 N 3rd Ave Sandpoint, ID 83864 520 N 3rd Ave Sandpoint, ID 83864 520 N 3rd Ave Sandpoint, ID 83864 520 N 3rd Ave Sandpoint, ID 83864 1210 Washington Ave Sandpoint, ID 83864-5052 1210 Washington St Sandpoint, ID 83864 606 N 3rd Ave Ste 101 Sandpoint, ID 83864 207 Church St Sandpoint, ID 83864-1342 520 N 3rd Ave Sandpoint, ID 83864 520 N 3rd Ave Sandpoint, ID 83864 302 S 1st Ave Sandpoint, ID 83864-1258 302 S 1st Ave Sandpoint, ID 83864-1258 1327 Superior St Ste 110 Sandpoint, ID 83864-1735 608 S Division Ave Sandpoint, ID 83864-1749 1717 W Ontario Sandpoint, ID 83864 1717 Ontario St Sandpoint, ID 83864-9329 708 Superior St Ste B Sandpoint, ID 83864-1633 301 N 1st Ave Ste 202 Sandpoint, ID 83864-1457 120 E Lake St Ste 201 Sandpoint, ID 83864-1366 520 N 3rd Ave Sandpoint, ID 83864 1210 Washington Ave Sandpoint, ID 83864-5052 1210 Washington St Sandpoint, ID 83864 606 N 3rd Ave Ste 101 Sandpoint, ID 83864 (208) 263-1435 -Bonner General Hospital (208) 265-0610 Languages: SPANISH (208) 263-1435 (208) 263-1441 -Bonner General Hospital (208) 263-1435 -Bonner General Hospital (208) 263-1435 -Bonner General Hospital (208) 263-5109 -Bonner General Hospital (208) 263-1441 (208) 263-1441 Languages: SPANISH (208) 263-1441 (208) 262-1441 (208) 263-4488 (208) 263-4488 (208) 263-1435 (208) 263-6876 (208) 263-6736 (208) 263-6736 (208) 265-0610 (509) 838-2531 (208) 263-6219 (208) 597-0994 Not accepting new patients (208) 265-6798 (208) 304-2933 (206) 265-3579 (208) 610-6401 (208) 304-4123 Not accepting new patients (208) 262-1441 (208) 263-4488 (208) 263-4488 (208) 263-1435 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 374

Neurology Coats, Michael Edwin MD Neurology Ramey, David B Neurology Nurse Midwife Certified/Licensed Britain, Elizabeth A CNM Nurse Midwife Certified/Licensed Britain, Elizabeth A CNM Nurse Midwife Certified/Licensed Bowman, Taffie ARNP Cox, Ann ARNP, RN / Anderson, Michelle M. ARNP, RN / Fuhrman, Kelly Ann NPRA, RN / Hoover, Jane E NPRA, RN / Kendra, Regina Marie Domingo / Koch, Tracey A. / Long, Deborah J / Long, Deborah J / McHugh, Lynn G / McHugh, Lynn G / O'Connor, Brett D NPRA, RN / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / O'Keefe, Tawnya D. / Robertson, Kathryn Collene / Watson, Jennifer A NPRA, RN / /Women's Health Dalsing, Cynthia W CNM, RN /Women's Health McLaughlin, Patricia R. NPRA, RN /Women's Health Algoe, Kristin Kathleen MD Bowden, Margaret M MD Honsinger, Bruce W. MD Jones Huntsberger, Amelia Welsh MD Santarpio, Camille M. Oncology, Medical Mason, Francene Oncology, Medical Oncology/Hematology 1211 Michigan Ave Sandpoint, ID 83864 1211 Michigan St Ste A Sandpoint, ID 83864-1745 420 N 2nd Ave Ste 200 Sandpoint, ID 83864 423 N Third Ave Ste 210 Sandpoint, ID 83864-1505 606 N 3rd Ste 203 Sandpoint, ID 83864-1691 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 1207 Michigan St Ste C Sandpoint, ID 83864-6608 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 1327 Superior Ste 104 Sandpoint, ID 83864 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 207 Church St Sandpoint, ID 83864-1342 606 N Third Ave Pine Grove Medical Bldg Sandpoint, ID 83864-1594 207 Church St Sandpoint, ID 83864-1342 606 N Third Ave Pine Grove Medical Bldg Sandpoint, ID 83864-1594 302 South First Avenue Sandpoint, ID 83864 520 N 3rd Ave Sandpoint, ID 83864 1210 Washington Ave Sandpoint, ID 83864-5052 1210 Washington St Sandpoint, ID 83864 606 N 3rd Ave Ste 101 Sandpoint, ID 83864 302 South First Avenue Sandpoint, ID 83864 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 1215 Michigan St Ste C Sandpoint, ID 83864-5014 420 N 2nd Ave Ste 200 Sandpoint, ID 83864 423 N Third Ave Ste 210 Sandpoint, ID 83864-1505 420 N 2nd Ave Ste 200 Sandpoint, ID 83864 420 N 2nd Ave Ste 200 Sandpoint, ID 83864 420 N 2nd Ave Ste 200 Sandpoint, ID 83864 420 N 2nd Ave Ste 200 Sandpoint, ID 83864 520 N 3rd Ave Sandpoint, ID 83864 (208) 667-5536 (208) 265-0432 (208) 263-2173 (208) 263-2173 (208) 263-2505 (208) 263-3410 (208) 265-2221 (208) 267-1718 (208) 263-1435 (509) 591-0070 (208) 267-1718 (509) 455-8820 (509) 455-8820 (509) 455-8820 (509) 455-8820 (208) 263-5109 (208) 262-1441 (208) 263-4488 (208) 263-4488 (208) 263-1435 (208) 263-5109 (800) 562-9608x3277 (208) 263-1299 (208) 263-2173 (208) 263-2173 -Bonner General Hospital (208) 263-2173 -Bonner General Hospital (208) 263-2173 -Bonner General Hospital (208) 263-2173 (208) 263-2173 -Bonner General Hospital (208) 263-6736 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 375

Grosset, Alan B. Oncology/Hematology, Ophthalmology Bellin, Bruce D. Ophthalmology Optometry Gagnon, Julie Beth OD Optometry Harrell, Nathaneal David OD Optometry Moore, Andrea OD Optometry Shuster, John K. Otolaryngology Beaton, Thomas P. Otolaryngology Pain Management Ispirescu, Jeffrey Sorin MD Pain Management, Anesthesiology Pediatric Cardiology Anderson, Charles C Pediatric Cardiology Burg, Pamela G Pediatric Cardiology, Cardiovascular Disease Jensen, Richard A Pediatric Cardiology Pediatrics DeLand, George MD Pediatrics Gilbert, Joyce A Pediatrics Helm, Robin E. MD Pediatrics Rose, Hailey Joy DO Pediatrics Seaman, John Mansfield MD Pediatrics Physical Medicine and Rehabilitation Dechter, Stephen M Physical Medicine and Rehabilitation Boyd, Mary A PT Crandall-Williams, Cheryl Jean PT Faletto, Peter J. Price, Julie Ann Rust, Christina M PT Sodorff, Steven A Bell, Keith E. Bell, Keith E. 420 N 2nd Ave Ste 4 Sandpoint, ID 83864 307 S 1st Ave Sandpoint, ID 83864-1201 710 W Superior St Ste A Sandpoint, ID 83864-1684 514 Oak St Unit A Sandpoint, ID 83864-1480 710 W Superior St Ste A Sandpoint, ID 83864-1684 1005 US Hwy 2 W Sandpoint, ID 83864 606 N 3rd Ave Sandpoint, ID 83864 1327 Superior Ste 104 Sandpoint, ID 83864 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 606 N 3rd Ave Ste 101 Sandpoint, ID 83864-1594 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 520 N 3rd Ave Sandpoint, ID 83864 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 1327 Superior Ste 104 Sandpoint, ID 83864 102 S Euclid Ave Ste 212 Sandpoint, ID 83864-4916 1327 Superior Ste 104 Sandpoint, ID 83864 2605 N Boyer Rd Sandpoint, ID 83864 1905 W Pine Sandpoint, ID 83864-9325 1301 N Division Ave Sandpoint, ID 83864-8268 1327 Superior St Sandpoint, ID 83864-1735 207 Church St Sandpoint, ID 83864-1342 606 N Third Ave Pine Grove Medical Bldg Sandpoint, ID 83864-1594 (208) 263-6763 (208) 263-8501 -Bonner General Hospital (208) 263-9000 (208) 265-7965 (208) 263-9000 (208) 265-9817 -Providence Sacred Heart Medical Center & Children's Hospital (208) 415-0174 (509) 591-0070 (509) 747-6707 ADA Accessible -Sacred Heart Medical Center (509) 747-6707 ADA Accessible (509) 747-6707 ADA Accessible (208) 267-1718 -Providence Sacred Heart Medical Center & Children's Hospital (208) 263-1441 -Providence St Peter Hosp (208) 267-1718 (208) 267-1718 (208) 267-1718 (509) 591-0070 (208) 290-5575 (509) 591-0070 (208) 691-8888 (208) 263-7998 (208) 265-0610 (208) 263-5731 (509) 455-8820 -Newport Community Hospital (509) 455-8820 -Newport Community Hospital Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 376

Boyd, John C. Butcher, Julie Nicole Foord, Donna J Jabbour, Albert Kenneth PAC Niculaescu, Alina Cipriana PA Stone, Precious Alexandra Ravina Podiatry Babol, Jacqueline M Podiatry Hix, Joel D Podiatry Psychiatry Johnson, Terry M MD Psychiatry Davis, Neal Kusler, Adam LSW Ruddle, Celina Ululani LSW Ruguleiski, Cynthia Denise Urology Clark, Randil MD Urology Ellison, Edward D. MD Urology McLaughlin, Matthew D. DO Urology Peterson, Chad A MD Urology Shelley Wilkins, Travis R. Williams, Brennan Todd DC Clinger, Steven J MD Fackrell, Matthew J. DO Gillespie, Robert Todd PA Kam, Jared Michael MD Martin, Brady C DO General Practice Blackner, Kenneth Todd MD General Practice General Surgery Coray, Robert Louis MD General Surgery Davis, Anthony Kenyatta MD General Surgery 1005 US Hwy 2 W Sandpoint, ID 83864 1327 Superior Ste 104 Sandpoint, ID 83864 1301 N Division Ave Sandpoint, ID 83864-8268 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 1327 Superior Ste 104 Sandpoint, ID 83864 1327 Superior Ste 104 Sandpoint, ID 83864 302 S 1st Ave Sandpoint, ID 83864 302 S 1st Ave Sandpoint, ID 83864-1258 520 N 3rd Ave Sandpoint, ID 83864 1717 W Ontario Sandpoint, ID 83864 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 420 N 2nd Ave Ste 100 Sandpoint, ID 83864-1552 1717 W Ontario Sandpoint, ID 83864 420 2nd Ave Sandpoint, ID 83864-1565 420 2nd Ave Sandpoint, ID 83864-1565 420 2nd Ave Sandpoint, ID 83864-1565 420 2nd Ave Sandpoint, ID 83864-1565 528 N State St Shelley, ID 83274-1154 528 N State St Shelley, ID 83274-1154 210 S Emerson Ave Shelley, ID 83274-1229 210 S Emerson Ave Shelley, ID 83274-1229 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 (208) 265-9817 -Providence Sacred Heart Medical Center & Children's Hospital (509) 591-0070 (208) 263-1345 (208) 267-1718 (509) 591-0070 (509) 591-0070 (509) 928-8181 ADA Accessible (208) 762-0909 Languages: SPANISH (208) 263-1441 (208) 265-6798 (208) 267-1718 (208) 267-1718 (208) 265-6798 (208) 263-2335 (208) 263-2335 (208) 667-0621 -Northwest Specialty Hospital (208) 263-2335 (208) 357-0333 Languages: FRENCH (208) 357-0333 (208) 347-7404 (208) 347-7404 (208) 357-3960 (208) 357-3960 (208) 357-3960 (208) 357-3960 (208) 357-3960 (208) 357-3960 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 377

Anderson, Shane K DO Shrader, David L MD Blake, O'Dopherty Beverley ARNP Moss, Shelia ARNP, RN Stanley, Malissa Anne ARNP, RN / Adams, Karla K NPRA, RN / Campbell, Bryce ARNP, RN / Curtright, Sarah E ARNP, RN / Evans, Travis Ray NPRA, RN / Johnson, Brian R NPRA, NPRA / Walker, Brad L ARNP, RN / Pugmire, Heather Dawn MD Weaver, Heidi S MD Fields, Gail E DO Peterson, David John DO Pain Management Wagner, Jared Paul MD Pain Management, Anesthesiology Pediatrics Julian, Christie A Pediatrics Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation McKay, Lance Winfield PA Bilstrom, Jodyne LSW Shoshone Davis, Keith E MD Nurse Midwife Certified/Licensed Habeck, Michella Nurse Midwife Certified/Licensed / Sandy, Janet NPRA, RN / 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 210 S Emerson Ave Shelley, ID 83274-1229 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 275 W Locust Shelley, ID 83274 113 S Apple St Shoshone, ID 83352-5287 113 S Apple St Shoshone, ID 83352-5287 113 S Apple St Shoshone, ID 83352-5287 (208) 357-3960 (208) 357-3960 (208) 357-3960 (208) 357-3960 (208) 357-3960 (208) 357-3960 (208) 357-3960 (208) 357-3960 -Bingham Memorial Hospital (208) 357-3960 (208) 357-3960 -Bingham Memorial Hospital (208) 357-3960 (208) 357-3960 -Bingham Memorial Hospital (208) 357-3960 (208) 357-3960 -Bingham Memorial Hospital -Idaho Doctors Hospital (208) 357-3960 (208) 357-3960 (208) 347-7404 (208) 357-3960 (208) 357-3960 (208) 357-3960 (208) 886-2224 (208) 886-2224 (208) 886-2224 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 378

Roberts, Stephanie PAC Silverton Bauer, Joseph Anthony LSW Johnson, Meghann Elizabeth LSW, LSW McAdams, Melanie M LSW Soda Springs Franson, John Karl MD Franson, John Karl MD General Surgery Podany, Joseph E General Surgery Podany, Joseph E General Surgery Weber, Nita B, Pediatrics Occupational Therapy Corbet, Heather M OT Occupational Therapy Gaudet, Sarah M OT Occupational Therapy Pierce, Aaron I OT Occupational Therapy Toupin, Megan J OT Occupational Therapy Werth, Amanda OT Occupational Therapy Jepsen, Kerry Glen MD Richardson, Nathan Davis MD Richardson, Nathan Davis MD Physical Medicine and Rehabilitation Bilstrom, David Jon MD Physical Medicine and Rehabilitation DeVoe, Cara E Stringfield, Sari D PT McKay, Lance Winfield PA Miller, Natalie Marie PA Robinson, Jennifer Lynn PA Smith, Brett A Smith, Brett A Walker, Heidi Y PAC 113 S Apple St Shoshone, ID 83352-5287 104 Wind River Rd Silverton, ID 83867 104 Wind River Rd Silverton, ID 83867 104 Wind River Rd Silverton, ID 83867 300 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 300 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 366 S 3rd W Soda Springs, ID 83276-1559 366 S 3rd W Soda Springs, ID 83276-1559 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 366 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 (208) 886-2224 (208) 752-1019 (208) 752-1019 (208) 752-1019 (208) 547-3118 (208) 547-3118 (208) 547-3341 (208) 547-3118 (208) 547-3118 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 547-3341 Languages: GERMAN (208) 547-3341 (208) 547-4961 Not accepting new patients (208) 547-4961 (208) 233-4660 (208) 233-4660 (208) 547-4961 Not accepting new patients (208) 547-3118 (208) 547-3118 (208) 547-3341 (208) 547-3118 (208) 547-3118 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 379

Podiatry Christensen, Brent DPM Podiatry Howard, Karson MD Podiatry Howard, Kert W DPM Podiatry Robinson, Dan E. DPM Podiatry Robinson, Dan E. DPM Podiatry Shelley, David J,, Interventional Bilstrom, Jodyne LSW Golightly, Brooke Jacqueline LSW Speech Language Pathology Barlow, Jessica L SLPA Speech Language Pathology Furniss, Michele B SLPA Speech Language Pathology Glock, Kellie A SLPA Speech Language Pathology Hall, Chalyse A SLPA Speech Language Pathology Honstetter, Tara J SLPA Speech Language Pathology Jones, Gunda G SLPA Speech Language Pathology Jones, Jacob E SLPA Speech Language Pathology Lee, Wendy K SLPA Speech Language Pathology Pierce, Ashley A SLPA Speech Language Pathology Pierce, Becky A SLPA Speech Language Pathology Suthers, Lindsay A SLPA Speech Language Pathology Tanner, William B SLPA Speech Language Pathology Tingey, Amanda J SLPA Speech Language Pathology Williams, Marcia J SLPA Speech Language Pathology Zaremba, Cheryl Marler SLPA Speech Language Pathology Urology Sule, J David MD Urology Spirit Lake Licensed Massage Therapist Willis, Roxanne Marie LMP Massage Therapy Ehrhart, Caitlin Shizue PT Schneider, Gary D. Swider, Deborah E PT Wheeler, Adam Laurence PT 300S 3rd St W Soda Springs, ID 83276-1559 366 S 3rd St Soda Springs, ID 83276-1559 366 S 3rd St Soda Springs, ID 83276-1559 300 S 3rd W Soda Springs, ID 83276-1559 366 S 3rd W Soda Springs, ID 83276-1559 366 S 3rd W Soda Springs, ID 83276-1559 366 S 3rd W Soda Springs, ID 83276-1559 15 W Center Ste 2 Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 316 W 2nd St S Soda Springs, ID 83276 300 S 3rd W Soda Springs, ID 83276-1559 6186 W Maine St Spirit Lake, ID 83869 6186 W Maine Spirit Lake, ID 83869-9998 6186 W Maine Spirit Lake, ID 83869-9998 6186 W Maine Spirit Lake, ID 83869-9998 6186 W Maine Spirit Lake, ID 83869-9998 (208) 235-1777 (208) 233-4355 -Mountain View Hospital LLC -Portneuf Medical Center (208) 233-4355 (208) 547-3341 (208) 547-4961 Not accepting new patients (208) 547-4961 (208) 547-4961 (208) 233-7832 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 233-4660 (208) 547-3341 (208) 651-2298 (208) 623-6717 (208) 623-6717 (208) 623-6717 (208) 623-6717 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 380

St Maries Cert Registered Nurse Anesthetist (CRNA) Bowles, Brent V CRNA, NPRA Cert Registered Nurse Anesthetist (CRNA) Breckenridge, Harold K ARNP Cert Registered Nurse Anesthetist (CRNA) Watts, Richard Gary CRNA Cert Registered Nurse Anesthetist (CRNA) Baker Jr, Norman D DO Luther, David J. MD Ross, Dale J MD Watson, Alex B MD Podiatry Clark, Brent A DPM Podiatry Melendez, Michael G MD 229 S 7th St St Maries, ID 83861 229 S 7th St St Maries, ID 83861 229 S 7th St St Maries, ID 83861 229 S 7th St St Maries, ID 83861 229 S 7th St St Maries, ID 83861 229 S 7th St St Maries, ID 83861 229 S 7th St St Maries, ID 83861 229 S 7th St St Maries, ID 83861 229 S 7th St St Maries, ID 83861 (208) 245-5551 (208) 245-5551 (208) 245-5551 -St. James Healthcare (208) 245-5551 (208) 245-5551 (208) 245-5551 -Benewah Community Hospital -Sacred Heart Univ District (208) 245-5551 (208) 245-5551 (208) 245-5551 Star Crane, Stephen DC Optometry Graviet, Jeffrey P OD Optometry Hall, Zackary N OD Optometry DeCloss, Lindsey E PT Nichols, Brian D PT Nichols, Judianne K Troy Rice, Matthew L. DOIR Spain, Francis K. MD Worth, Dustin K Boughton, Janice M. MD Park, Melissa L. MD Peterson, Dennis L. White, Kama Sibbell MD 9762 W State St Star, ID 83669-5766 170 S Seneca Springs Way Star, ID 83669-5938 170 S Seneca Springs Way Star, ID 83669-5938 9652 W State St Star, ID 83669-5858 9652 W State St Star, ID 83669-5858 9652 W State St Star, ID 83669-5858 412 S Main St Troy, ID 83871-5009 412 S Main St Troy, ID 83871-5009 412 S Main St Troy, ID 83871-5009 412 S Main St Troy, ID 83871-5009 412 S Main St Troy, ID 83871-5009 412 S Main St Troy, ID 83871-5009 412 S Main St Troy, ID 83871-5009 (208) 286-7733 (208) 286-9728 (208) 286-9728 (208) 286-0766 (208) 286-0766 (208) 286-0766 (208) 835-5551 Languages: GERMAN -Gritman Medical Center Inc -Pullman Regional Hospital (208) 835-5145 -Gritman Medical Center Inc -Pullman Regional Hospital (208) 835-5145 -Gritman Medical Center Inc (208) 835-5551 -Gritman Medical Center Inc (208) 835-5551 (208) 835-5145 (208) 835-5551 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 381

/ Seegmiller, Jennifer A ARNP / Von Bargen, Elizabeth L ARNP, RN / Landle, Kelly Marie PA Shoemaker, Carolyn PA 412 S Main St Troy, ID 83871-5009 412 S Main St Troy, ID 83871-5009 412 S Main St Troy, ID 83871-5009 412 S Main St Troy, ID 83871-5009 (208) 835-5551 -Gritman Medical Center Inc (208) 835-5551 -Gritman Medical Center Inc (208) 835-5551 (208) 835-5551 -St Joseph Regional Medical Center Twin Falls Allergy & Immunology Wakefield, Kenneth J MD Allergy & Immunology, Anesthesiology Evans, John L. NPRA, RNAD Anesthesiology Evans, John L. NPRA, RNAD Anesthesiology Evans, Linda M NPRA, RN Anesthesiology Golay, Geoffroi DC Adamson, Theran MD Cadwallader, Kara L MD Cadwallader, Kara L MD Quinn, Heather E. Romney, Kenneth C. Tripp, Jonathan P Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Corle, Tracie LMHC Gritton, Mark Allen LMHC Guzman, Jennifer Renee LMHC Mietzner, Karen L LMHC Robinson, Kelsie L. LMHC, LMHC Neurological Surgery Andersen, Bruce J MD Neurological Surgery Hajjar, Michael V MD Neurological Surgery Nurse Midwife Certified/Licensed 800 Falls Ave Ste 2 Twin Falls, ID 83301-3366 191 Addison Ave Twin Falls, ID 83301-5177 115 Falls Ave W Twin Falls, ID 83301-3115 191 Addison Ave Twin Falls, ID 83301-5177 488 Blue Lakes Blvd N Ste 107 Twin Falls, ID 83301-4882 493 Eastland Dr Twin Falls, ID 83301 200 2nd Ave N Twin Falls, ID 83301-6158 200 2nd Ave N Twin Falls, ID 83301-6158 200 2nd Ave N Twin Falls, ID 83301-6158 388 Martin Street Twin Falls, ID 83301 1411 Fillmore St Ste 600 Twin Falls, ID 83301-3343 1330 filer Ave E Twin Falls, ID 83301-4119 834 Falls Ave Ste 1050 Twin Falls, ID 83301-3363 1363 Fillmore St Twin Falls, ID 83301-3392 1363 Fillmore St Twin Falls, ID 83301-3392 1363 Fillmore St Twin Falls, ID 83301-3392 1092 Eastland Dr N Ste C Twin Falls, ID 83301-8442 738 N College Rd Ste C Twin Falls, ID 83301 738 N College Rd Ste C Twin Falls, ID 83301 Merrill, Melissa D ARNP, CNM, RN 200 2nd Ave N Nurse Midwife Certified/Licensed, / Twin Falls, ID 83301-6158 Women's Health (208) 734-6091 -Bonner General Hospital -Gritman Medical Center Inc (2) 085-2520x9017 (208) 733-1662 (2) 085-2520x9017 (208) 733-0123 (208) 732-0995 (800) 230-7526 (208) 734-9955 (208) 734-9955 (208) 734-0451 -Forks Community Hospital (208) 933-4400 (208) 367-4278 (208) 736-0995 (208) 736-7090 ADA Accessible (208) 736-7090 ADA Accessible (208) 736-7090 ADA Accessible (208) 308-5682 (208) 302-4100 (208) 367-3500 (208) 734-9955 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 382

Pehrson, Michelle Marie ARNP, RN Simmons, Drew B NPRA, RN / Asher, Lacie Shilo ARNP / King, Krystal ARNP, RN / Lammers, Beverly Ann NPRA, RN / Mancari, Roanne W NPRA, RN / Milliron, Anastasia B / Milliron, Anastasia B / Watson, Jennifer A NPRA, RN / Iverson, Julie M Otolaryngology Boyajian, John A. CRNA Otolaryngology Pain Management Dille, Clinton L MD Pain Management Barker, Jonathan Barker, Jonathan Barker, Jonathan Billings, David PT Billings, David PT Bishop, Ryan PT Bishop, Ryan PT Christensen, Cory R PT Hortin, Arthur J Hortin, Arthur J Jarrett, Travis E Jarrett, Travis E Johnson, Sylvan PT Johnson, Sylvan PT King, Daniel M PT King, Daniel M PT Mecham, Tyler D PT Mecham, Tyler D PT Searle, Shane B 1363 Fillmore St Twin Falls, ID 83301-3392 1182 Eastland Dr N Ste B Twin Falls, ID 83301-8972 1363 Fillmore St Twin Falls, ID 83301-3392 1411 Fillmore St Ste 600 Twin Falls, ID 83301-3343 1363 Fillmore St Twin Falls, ID 83301-3392 476 Cheney Dr W Ste 160 Twin Falls, ID 83301-3790 325 Martin Street Twin Falls, ID 83301 388 Martin Street Twin Falls, ID 83301 800 Falls Ave Ste 2 Twin Falls, ID 83301-3366 200 2nd Ave N Twin Falls, ID 83301-6158 260 Falls Ave Twin Falls, ID 83301-3370 176 Falls Ave Twin Falls, ID 83301-2306 1444 Falls Ave E Twin Falls, ID 83301-3455 1411 Falls Ave E Ste 401 Twin Falls, ID 83301 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 1444 Falls Ave E Twin Falls, ID 83301-3455 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 1444 Falls Ave E Twin Falls, ID 83301-3455 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 1444 Falls Ave E Twin Falls, ID 83301-3408 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 1444 Falls Ave E Twin Falls, ID 83301-3408 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 1444 Falls Ave E Twin Falls, ID 83301-3455 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 1444 Falls Ave E Twin Falls, ID 83301-3455 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 1444 Falls Ave E Twin Falls, ID 83301-3455 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 (208) 736-7090 ADA Accessible (208) 733-5117 -Lost Rivers District Hospital (208) 736-7090 ADA Accessible (208) 933-4400 (208) 736-7090 ADA Accessible (208) 944-0947 (208) 734-0451 (208) 734-0451 (208) 734-6091 (208) 734-9955 Languages: GERMAN (208) 433-9300 ADA Accessible (208) 733-3181 (208) 969-9945 (209) 969-9945 (208) 329-7667 -EvergreenHealth Medical Center -Swedish Medical Center (208) 969-9945 Languages: SPANISH (208) 329-7667 Languages: SPANISH (208) 969-9945 (208) 329-7667 (208) 329-7667 (208) 736-2574 (208) 329-7667 (208) 736-2574 (208) 329-7667 (208) 969-9945 (208) 329-7667 (208) 969-9945 (208) 329-7667 (208) 969-9945 (208) 329-7667 (208) 329-7667 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 383

Toronto, Scott PT Toronto, Scott PT Toronto, Scott PT Williams, Eric PT, Sports Medicine Williams, Eric PT, Sports Medicine Wood, James PT Wright, Cliff R PT Wright, Cliff R PT Attebury, Benjamin W Dalley, Jeremy Buxton PA Etcheto, John L PAC Gardner, Marshall E. Hess, Jennifer L PAC Hodges, Ryan Dennis PA Hodges, Ryan Dennis PA Singleton, Russell Neal PAC Steinburg, Rick L Steinburg, Rick L Steinburg, Rick L Urrutia, Johnny M PAC Podiatry DeVries, Jason B DPM Podiatry Roberts, Caleb E DPM Podiatry Psychology Gardner, Theodore William PY Psychology Ellis, Mark Dalton LSW Espinoza, Nancy J LSW Ginder, Whitney Dawn LSW Jones, Christine Lee LSW Josoff, Reena F. Kaschmitter, Rachel Mary LSW McRill, Kathleen Marie LSW, LSW Ohlensehlen, Lora A LSW Schwennen, Katelyn Mary LSW Smith, Tomais Jed LSW 1444 Falls Ave E Twin Falls, ID 83301-3455 1411 Falls Ave E Ste 401 Twin Falls, ID 83301 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 1444 Falls Ave E Twin Falls, ID 83301-3455 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 1444 Falls Ave E Twin Falls, ID 83301-3455 452 Cheney Dt W Ste 190 Twin Falls, ID 83301-3733 176 Falls Ave Twin Falls, ID 83301-2306 1411 Fillmore St Ste 600 Twin Falls, ID 83301-3343 176 Falls Ave Twin Falls, ID 83301-2306 191 Addison Ave Twin Falls, ID 83301-5177 493 Eastland Dr Twin Falls, ID 83301 325 Martin Street Twin Falls, ID 83301 388 Martin Street Twin Falls, ID 83301 1411 Fillmore St Ste 600 Twin Falls, ID 83301-3343 191 Addison Ave Twin Falls, ID 83301-5177 191 Addison Ave Twin Falls, ID 83301-5177 260 Falls Ave Twin Falls, ID 83301-3370 176 Falls Ave Twin Falls, ID 83301-2306 191 N Addison Ave Twin Falls, ID 83301 496 Shoup Ave W Ste B Twin Falls, ID 83301-5043 1363 Fillmore St Twin Falls, ID 83301-3392 1363 Fillmore St Twin Falls, ID 83301-3392 834 Falls Ave Ste 1050 Twin Falls, ID 83301-3363 1363 Fillmore St Twin Falls, ID 83301-3392 1363 Fillmore St Twin Falls, ID 83301-3392 276 River Vista Pl Twin Falls, ID 83301-3006 1363 Fillmore St Twin Falls, ID 83301-3392 1363 Fillmore St Twin Falls, ID 83301-3392 1363 Fillmore St Twin Falls, ID 83301-3392 1363 Fillmore St Twin Falls, ID 83301-3392 1363 Fillmore St Twin Falls, ID 83301-3392 (208) 969-9945 (209) 969-9945 (208) 329-7667 (208) 969-9945 (208) 329-7667 (208) 329-7667 (208) 969-9945 (208) 329-7667 (208) 733-3181 (208) 933-4400 (208) 733-3181 (208) 732-0700 (208) 732-0995 (208) 734-0451 (208) 734-0451 (208) 933-4400 (208) 732-0700 (208) 732-0700 (208) 433-9300 ADA Accessible (208) 733-3181 (208) 319-0497 (208) 734-7676 (208) 736-7090 ADA Accessible (208) 736-7090 ADA Accessible (208) 736-0995 (208) 736-7090 ADA Accessible (208) 736-7090 ADA Accessible (208) 733-1131 (208) 736-7090 ADA Accessible (208) 736-7090 ADA Accessible (208) 736-7090 ADA Accessible (208) 736-7090 ADA Accessible (208) 736-7090 ADA Accessible Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 384

Stringam, Chase Alan LSW, LSW Wilson, Shannon Lynn LSW Victor Allphin, Christopher James MD Huggins, Margaret C MD Wallace Miller Jr., Joseph B. Optometry Vester, Dick L. Optometry Cartwright, Laura Elaine LSW Weiser Cardiovascular Disease Johnson, Alex C Cardiovascular Disease Waite, Alan L Blanchard, Jordan V MD Blanchard, Jordan V MD Drake, Bryan L DO Gardner, Jonathan M MD Hemphill, Bryon D DO Hubele, Suzanna Snyder, Paul J MD Wootton, Lore Interventional Cardiology Parent, Mark G Cardiovascular Disease, Interventional Cardiology Writer, Steven L Cardiovascular Disease, Interventional Cardiology / Ankarberg, Selena / Peterson, Randolph E MD Hoopes, Gary L 1363 Fillmore St Twin Falls, ID 83301-3392 1363 Fillmore St Twin Falls, ID 83301-3392 338 Mountainside Blvd Ste 4 Victor, ID 83455 338 Mountainside Blvd Ste 4 Victor, ID 83455 610 Cedar St Wallace, ID 83873-2233 425 Pine St Wallace, ID 83873-2256 416 6th St Wallace, ID 83873 645 E 5th St Weiser, ID 83672-2202 54 W Court St Weiser, ID 83672-1941 360 E Liberty St Weiser, ID 83672-2261 645 E 5th St Weiser, ID 83672 360 E Liberty St Weiser, ID 83672-2261 360 E Liberty St Weiser, ID 83672-2261 360 E Liberty St Weiser, ID 83672-2261 683 E 3rd St Weiser, ID 83672-2248 400 E 7th St Weiser, ID 83672 683 E 3rd St Weiser, ID 83672-2248 645 E 5th St Weiser, ID 83672-2202 645 E 5th St Weiser, ID 83672-2202 683 E 3rd St Weiser, ID 83672-2248 645 E 5th St Weiser, ID 83672 275 E 7th St Weiser, ID 83672 (208) 736-7090 ADA Accessible (208) 736-7090 ADA Accessible (208) 535-0440 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 535-0440 -Eastern Idaho Regional Medical Center -Mountain View Hospital LLC (208) 556-1561 -Shoshone Medical Center (208) 752-2020 (208) 556-0960 (208) 549-3152 (208) 414-3881 (208) 414-1124 (208) 549-3452 (208) 414-1124 (208) 414-1124 (208) 414-1124 (208) 549-0211 (208) 414-8440 (208) 549-0211 (208) 549-3152 (208) 549-3152 (208) 549-0211 (208) 549-3452 (208) 549-1008 Preferred Provider Network 6/23/2016 Primary Care Physicians are in bold. Page 385

Ankarberg, Ryan K PAC Hamilton, Kent Peterson, Jamie B PAC Peterson, Jamie B PAC Podiatry Martin, Trever J DPM Podiatry White, Barbara A Wendell Bishop, Ryan PT King, Daniel M PT Searle, Shane B Williams, Eric PT, Sports Medicine Wilder Allen, Daniel, / Bean, Karen / Guy, Rebecca NPRA / Pesnell, Kelly / Swainston, Rebecca A / Hackenberg, Amber A PAC Kingery, Kristine Kingery, Kristine 400 E 7th St Weiser, ID 83672 683 E 3rd St Weiser, ID 83672-2248 360 E Liberty St Weiser, ID 83672-2261 645 E 5th St Weiser, ID 83672 645 E 5th St Weiser, ID 83672 645 E 5th St Weiser, ID 83672 280 W Main St Wendell, ID 83355-5201 280 W Main St Wendell, ID 83355-5201 280 W Main St Wendell, ID 83355-5201 280 W Main St Wendell, ID 83355-5201 124 5th St Ste A Wilder, ID 83676-5540 124 5th St Ste A Wilder, ID 83676-5540 124 5th St Ste A Wilder, ID 83676-5540 215 3rd St Wilder, ID 83676 124 5th St Ste A Wilder, ID 83676-5540 124 5th St Ste A Wilder, ID 83676-5540 215 3rd St Wilder, ID 83676 124 5th St Ste A Wilder, ID 83676-5540 (208) 414-8440 (208) 549-0211 (208) 414-1124 -Memorial Hospital (208) 549-3452 -Memorial Hospital (208) 466-3338 (208) 549-3452 (208) 944-4003 (208) 944-4003 (208) 944-4003 (208) 944-4003 (208) 482-7430 (208) 482-7430 (208) 482-7430 (208) 585-6311 (208) 482-7430 (208) 482-7430 (208) 585-6311 (208) 482-7430 Preferred Provider Network 6/23/2016 Page 386

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