List of CRCCP Clinics

Attachment A - List of CRCCP Clinics.pdf

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

List of CRCCP Clinics

OMB: 0920-0879

Document [pdf]
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Clinic List
Grantee
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO

Clinic ID
CO_006_014
CO_010_018
CO_012_020
CO_014_022
CO_014_023
CO_014_024
CO_015_025
CO_015_026
CO_015_027
CO_015_028
CO_015_029
CO_015_030
CO_015_031
CO_015_032
CO_015_091

Health System Name
Telluride Medical Center
Uncompahgre Community Health
Broomfield Family Practice
Rocky Mountain Primary Care
Rocky Mountain Primary Care
Rocky Mountain Primary Care
Metro Community Provider Network
Metro Community Provider Network
Metro Community Provider Network
Metro Community Provider Network
Metro Community Provider Network
Metro Community Provider Network
Metro Community Provider Network
Metro Community Provider Network
Metro Community Provider Network

CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO

CO_015_092
CO_016_033
CO_016_034
CO_016_094
CO_016_095
CO_016_127
CO_018_037
CO_019_038
CO_020_039
CO_021_040
CO_023_042
CO_024_043
CO_025_044
CO_025_045
CO_025_046
CO_027_048
CO_027_081

Metro Community Provider Network
Sunrise Community Health
Sunrise Community Health
Sunrise Community Health
Sunrise Community Health
Sunrise Community Health
Flatiron Internal Medicine
Colorado Mountain Medical
High Plains Community Health
Caritas Clinic-St. Joseph Hospital
Prowers Medical Center
Mt. San Rafael Hospital
Middle Park Medical Center
Middle Park Medical Center
Middle Park Medical Center
Axis Health System
Axis Health System

Clinic Name
Telluride Medical Center
Uncompahgre Community Health Center
Broomfield Family Practice
RMPC - 92nd Ave
RMPC - Arvada
RMPC - Lakewood
MCPN - Arvada
MCPN - Englewood
MCPN - Estes St
MCPN - JeffCo FHSC
MCPN - Potomac St
MCPN - North Aurora
MCPN - South Aurora
MCPN - JeffCo FHSC, Helena, Union St
Helena Health Center
Union Square Plaza at Jefferson Center for
Mental Health
Sunrise - Loveland
Sunrise - Monfort
Sunrise - Touchstone
Sunrise - North Range
Adelante Clinic
Flatiron Internal Medicine
Colorado Mountain Medical
High Plains Community Health
Caritas Clinic-St. Joseph Hospital
Prowers Medical Center
Mt. San Rafael Hospital
MPMC - Kremmling
MPMC - Granby
MPMC - Walden/North Park
La Plata Integrated Healthcare
Cortez Integrated Healthcare

Clinic Type
Health system/Hospital owned
CHC/FQHC
Private/Physician owned
Private/Physician owned
Private/Physician owned
Private/Physician owned
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
Private/Physician owned
Private/Physician owned
CHC/FQHC
Health system/Hospital owned
Health system/Hospital owned
Private/Physician owned
Private/Physician owned
Private/Physician owned
Private/Physician owned
CHC/FQHC
CHC/FQHC

Clinic List
Grantee
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO

Clinic ID
CO_027_136
CO_029_059
CO_029_060
CO_029_061
CO_029_062
CO_029_063
CO_029_065
CO_029_066
CO_029_067
CO_029_068
CO_029_138
CO_029_139
CO_029_140
CO_029_141
CO_029_142
CO_029_143
CO_029_144
CO_036_075
CO_037_076
CO_037_077
CO_037_078
CO_037_079
CO_039_082
CO_042_086
CO_043_087
CO_043_088
CO_043_089
CO_043_090
CO_044_096
CO_052_104
CO_052_105
CO_052_106
CO_052_107

Health System Name
Axis Health System
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Peak Vista Community Health Centers
Foresight Family Physicians
Rio Grande Hospital and Clinics
Rio Grande Hospital and Clinics
Rio Grande Hospital and Clinics
Rio Grande Hospital and Clinics
La Plata Family Medicine
Southeast CO Health Group
Mountain Family Health Centers
Mountain Family Health Centers
Mountain Family Health Centers
Mountain Family Health Centers
First Street Family Health
Denver Health and Hospital Authority
Denver Health and Hospital Authority
Denver Health and Hospital Authority
Denver Health and Hospital Authority

Clinic Name
Archuleta Integrated Healthcare
Peak Vista - Divide
Peak Vista - Fountain
Peak Vista - Lane Family Health
Peak Vista - Moreno Health Center
Peak Vista - Myron Stratton
Peak Vista - Suite 3100
Peak Vista - Suite 3500
Peak Vista - Union St
Peak Vista - Wahsatch
Developmental Disabilities Health Center
Health Center at 340 Printers Pkwy
Health Center at 350 Printers Pkwy
Health Center at International Circle
Health Center at Kiowa
Health Center at Limon
Health Center at Strasburg
Foresight Family Physicians
Rio Grande - Del Norte Clinic
Rio Grande - Creede Clinic
Rio Grande - Monte Vista Clinic
Rio Grande - South Fork Clinic
La Plata Family Medicine
Southeast CO Health Group
Mountain Family - Glenwood
Mountain Family - Rifle
Mountain Family - Basalt
Mountain Family - Edwards
First Street Family Health
DHHA - Montbello
DHHA - Lowry
DHHA - Park Hill
DHHA - Eastside

Clinic Type
Private/Physician owned
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
Private/Physician owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Private/Physician owned
Private/Physician owned
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
Private/Physician owned
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

Clinic List
Health System Name
Denver Health and Hospital Authority
Denver Health and Hospital Authority
Denver Health and Hospital Authority
Denver Health and Hospital Authority

Grantee
CO
CO
CO
CO

Clinic ID
CO_052_108
CO_052_109
CO_052_110
CO_052_111

CO
CO
CO

CO_052_112 Denver Health and Hospital Authority
CO_052_130 Denver Health and Hospital Authority
CO_061_125 Rocky Ford Family Health Center
District of Columbia Primary Care
DC_001_001 Association
District of Columbia Primary Care
DC_001_002 Association
District of Columbia Primary Care
DC_001_003 Association
District of Columbia Primary Care
DC_001_004 Association
District of Columbia Primary Care
DC_001_005 Association
District of Columbia Primary Care
DC_001_006 Association
District of Columbia Primary Care
DC_001_007 Association
District of Columbia Primary Care
DC_001_008 Association
District of Columbia Primary Care
DC_001_009 Association
District of Columbia Primary Care
DC_001_010 Association
District of Columbia Primary Care
DC_001_011 Association
District of Columbia Primary Care
DC_001_012 Association

DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC
DC

Clinic Name
DHHA - Webb FIM
DHHA - Webb LOP
DHHA - Westside
DHHA - La Casa
Frederico F. Pena Southwest Family Health
Center
Westwood Family Health Center
Rocky Ford Family Health Center

Clinic Type
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

Whitman Walker Health

CHC/FQHC

Family and Medical Counseling Services

CHC/FQHC

La Clinica Del Pueblo

CHC/FQHC

Mary's Center - Georgia Ave. Site

CHC/FQHC

Mary's Center - Ontario site

CHC/FQHC

Mary's Center - Flower Ave. Site

CHC/FQHC

Mary's Center - Adelphi
Community of Hope DC - Conway Health and
Resource Center

CHC/FQHC

Community of Hope - Marie Reed
Community of Hope - Family Health and Birth
Center

CHC/FQHC

Bread for the City

CHC/FQHC

So Others Might Eat (SOME)

Other primary care facility

CHC/FQHC
CHC/FQHC
Private/Physician owned

CHC/FQHC

CHC/FQHC

Clinic List

DC

DC_001_013

DC

DC_001_014

DC

DC_001_015

DC

DC_001_016

DC
DC
DC
FL
FL
FL
FL
FL
FL

DC_001_017
DC_002_001
DC_002_003
FL_001_001
FL_001_002
FL_002_001
FL_003_001
FL_004_001
FL_004_002

FL

FL_005_001

FL

FL_006_001

FL

FL_006_002

FL
IA
IA
IA
IA

FL_006_003
IA_001_001
IA_001_002
IA_001_003
IA_001_004

Health System Name
District of Columbia Primary Care
Association
District of Columbia Primary Care
Association
District of Columbia Primary Care
Association
District of Columbia Primary Care
Association
District of Columbia Primary Care
Association
Howard University Hospital (HUH)
Howard University Hospital (HUH)
Florida Depart Health in Sarasota
Florida Depart Health in Sarasota
Florida Dept of Health in Osceola
Florida Dept of Health in Alachua
University of Florida Health
University of Florida Health
Florida Department of Health in Pinellas
County
Jessie Trice Community Health System,
Inc.
Jessie Trice Community Health System,
Inc.
Jessie Trice Community Health System,
Inc.
Community Health Care, Inc.
Community Health Care, Inc.
Community Health Care, Inc.
Community Health Care, Inc.

IA
IA

IA_001_005
IA_001_006

Community Health Care, Inc.
Community Health Care, Inc.

Grantee Clinic ID

Clinic Name
Family and Medical Counseling Services - Seat
Pleasant

Clinic Type

La Clinica del Pueblo - Hyattsville

CHC/FQHC

Mary's Center - Telemedicine

CHC/FQHC

Mary's Center - Fort Totten

CHC/FQHC

Whitman-Walker Health - Max Robinson
Department of Internal Medicine
Family Medicine-Med Arts
Ringling Clinic
North Port Health Center
Stadium Place
Main Clinic
Internal Medicine, Medical Plaza Clinic
IM Tower Hill

CHC/FQHC
Health system/Hospital owned
Health system/Hospital owned
CHC/FQHC
CHC/FQHC
CHC/FQHC
Health department
Other primary care facility
Other primary care facility

St. Petersburg Health Department

Health department

Main Clinic

CHC/FQHC

Flamingo Clinic

CHC/FQHC

North Shore Clinic
Community Health Care, Inc: Davenport
Community Health Care, Inc: Rock Island
Community Health Care, Inc: Moline
Community Health Care, Inc: East Moline
Community Health Care, Inc: Homeless
Outreach
Community Health Care, Inc: Clinton

CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

CHC/FQHC

CHC/FQHC
CHC/FQHC

Clinic List
Grantee
IA
IA
IA
IA

Clinic ID
IA_003_003
IA_004_004
IA_011_011
IA_012_012

IA

IA_013_013

KY

KY_001_001

KY

KY_001_002

KY

KY_001_003

KY

KY_001_004

KY
KY
KY
KY
KY
KY
KY
MD
MD
MD

KY_001_005
KY_003_001
KY_003_002
KY_003_003
KY_004_001
KY_005_001
KY_006_001
MD_001_001
MD_001_002
MD_001_034

MD

MD_002_003

MD

MD_002_004

MD

MD_002_005

MD

MD_002_006

Health System Name
Eastern Iowa Health Center
All Care Community Health Center
Primary Health Care, Inc
Siouxland Community Health Center
Community Health Centers of
Southeastern Iowa
Mountain Comprehensive Health
Corporation
Mountain Comprehensive Health
Corporation
Mountain Comprehensive Health
Corporation
Mountain Comprehensive Health
Corporation
Mountain Comprehensive Health
Corporation
Juniper Health INC
Juniper Health INC
Juniper Health INC
Grace Health
Kentucky Mountain Health Alliance
Shawnee Christian Healthcare Center
Baltimore Medical System, Inc.
Baltimore Medical System, Inc.
Baltimore Medical System, Inc.
Primary Care Coalition of Montgomery
County
Primary Care Coalition of Montgomery
County
Primary Care Coalition of Montgomery
County
Primary Care Coalition of Montgomery
County

Clinic Name
Eastern Iowa Health Center
All Care Community Health Center
Primary Health Care, Inc.
Siouxland Community Health Center

Clinic Type
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

CHC of Southeastern Iowa

CHC/FQHC

Whitesburg Medical/Dental Clinic

CHC/FQHC

Buckhorn Medical Clinic

CHC/FQHC

Harlan Medical Clinic

CHC/FQHC

Leatherwood/Blackey Medical Clinic

CHC/FQHC

Owsley County Medical Clinic
Juniper Health Breathitt County
Juniper Health Lee County
Juniper Health Wolfe County
Pineville
Little Flower Clinic
Shawnee Christian Healthcare Center
Belair Edison Family Health Center
Baltimore Medical System at Orleans Square
Middlesex Health Center

CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

Mansfield Kaseman Clinic

CHC/FQHC

Spanish Catholic Clinic

CHC/FQHC

Mercy Health Clinic

CHC/FQHC

Mobile Medical Care, Inc.

CHC/FQHC

Clinic List
Grantee Clinic ID

MD

Health System Name
Primary Care Coalition of Montgomery
MD_002_007 County
Primary Care Coalition of Montgomery
MD_002_008 County
Primary Care Coalition of Montgomery
MD_002_026 County

Clinic Name

Clinic Type

MD

Muslim Community Center Medical Clinic

CHC/FQHC

Proyecto Salud Clinic

CHC/FQHC

Mary's Center
Tristate Community Health Center-Primary
Care
Tristate Women's Health Center
Health Care for the Homeless Downtown
West Baltimore
Baltimore County
Family Healthcare of Hagerstown
Mountain Laurel Medical Center - Oakland
Mountain Laurel Medical Center - Grantsville

CHC/FQHC

MD
MD
MD
MD
MD
MD
MD
MD

MD_003_009
MD_003_010
MD_004_011
MD_004_024
MD_004_025
MD_005_012
MD_006_013
MD_006_014

Tristate Community Health Center
Tristate Community Health Center
Health Care for the Homeless
Health Care for the Homeless
Health Care for the Homeless
Family Healthcare of Hagerstown
Mountain Laurel Medical Center
Mountain Laurel Medical Center

MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD

MD_007_015
MD_008_016
MD_008_017
MD_010_018
MD_011_019
MD_012_020
MD_013_021
MD_013_022
MD_013_023
MD_014_027
MD_015_028

CCI Health & Wellness Services
Health Partners, Inc.
Health Partners, Inc.
Hollywood Medical Center
Robin Bissell, MD
WellSpring Family Medicine
Park West Health System
Park West Health System
Park West Health System
Chapman and Associates Health Care
MedStar Shah Medical Group

CCI Health & Wellness Services - Silver Spring
Health Partners Waldorf
Health Partners Nanjemoy
Hollywood Medical Center
Robin Bissell, MD
WellSpring Family Medicine Oakland
Belvedere Avenue
Men and Family Health Center
Reisterstown Road Plaza
Chapman and Associates Health Care LLC
Philip J. Bean Medical Center
St. Mary's Medical Center at Charlotte
Hall
J. Patrick Jarboe Medical Center
Mechanicsville Medical Center
St. Mary's Medical Arts Building
Shanti Medical Center

CHC/FQHC
CHC/FQHC
Health department
Private/Physician owned
Private/Physician owned
Private/Physician owned
CHC/FQHC
CHC/FQHC
CHC/FQHC
Private/Physician owned
Private/Physician owned

MD
MD
MD
MD
MD

MD_015_029
MD_015_030
MD_015_031
MD_015_032
MD_015_033

MedStar Shah Medical Group
MedStar Shah Medical Group
MedStar Shah Medical Group
MedStar Shah Medical Group
MedStar Shah Medical Group

MD

CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

Private/Physician owned
Private/Physician owned
Private/Physician owned
Private/Physician owned
Private/Physician owned

Clinic List
Grantee
MD
MD
MD
MD

Clinic ID
MD_016_035
MD_016_036
MD_016_037
MD_016_038

MA

MA_001_001

MA

MA_001_003

MA

MA_001_004

MA

MA_001_005

MA

MA_001_006

MA

MA_001_007

MA

MA_001_008

MA

MA_001_009

MA

MA_001_010

MA

MA_001_011

MA

MA_001_012

MA

MA_001_013

MA

MA_001_014

MA
MI

MA_001_015
MI_001_001

Health System Name
Chesapeake Health Care
Chesapeake Health Care
Chesapeake Health Care
Chesapeake Health Care
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
Massachusetts League of Community
Health Centers
ACCESS

Clinic Name
Princess Anne
Pocomoke
Salisbury
Salisbury GYN

Clinic Type
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

Charles River Community Health

CHC/FQHC

Greater Lawrence Family Health Center

CHC/FQHC

Harbor Community Health Center - Hyannis

CHC/FQHC

Lowell Community Health Center

CHC/FQHC

Outer Cape Health Services

CHC/FQHC

South End Community Health Center

CHC/FQHC

Harvard Street Neighborhood Health

CHC/FQHC

Duffy Health Center

CHC/FQHC

Boston Health Care for the Homeless Program CHC/FQHC
Caring Health Center, Inc.

CHC/FQHC

East Boston Neighborhood Health Center

CHC/FQHC

HealthFirst Family Care Center, Inc.

CHC/FQHC

Manet Community Health Center

CHC/FQHC

SSTAR
ACCESS

CHC/FQHC
CHC/FQHC

Clinic List
Grantee
MI
MI
MI
MI
MI
MI
MI
MI

Clinic ID
MI_002_001
MI_003_001
MI_004_001
MI_004_002
MI_004_003
MI_004_004
MI_004_005
MI_004_006

Health System Name
Family Medical Center of Michigan
Hurley Medical Center
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners

Clinic Type
CHC/FQHC
Health system/Hospital owned
Private/Physician owned
Private/Physician owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned

Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners
Integrated Health Partners

Clinic Name
Family Medical Center of Michigan
Hurley Diabetes Center
Summit Healthcare Group
Sudhir Desai, MD
Bronson Internal Medicine - Fremont
Oaklawn Medical Group - Albion
Oaklawn Medical Group - Beadle Lake
Oaklawn Medical Group - Bellevue
Oaklawn Medical Group - Marshall Internal and
Family Medicine
Grace Health
Bronson Internal Medicine & Rheumatology
Marshall Medical Associates
Thomas Family Practice
Dayone Family Healthcare
Historic Family Practice
Oaklawn Medical Group - Homer
Wattles Park Family Medicine
Younho Chung, MD
Mark Richardson, MD
David Byrens, MD
David Lambrix, MD
Thomas Neidlinger, MD

MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI

MI_004_007
MI_004_008
MI_004_009
MI_004_010
MI_004_011
MI_004_012
MI_004_013
MI_004_014
MI_004_015
MI_004_016
MI_004_017
MI_004_018
MI_004_019
MI_004_020

MI
MI
MI
MI
MI
MI
MI
MI
MI

MI_004_021
MI_005_001
MI_005_002
MI_005_003
MI_005_004
MI_005_005
MI_006_001
MI_006_002
MI_006_003

Integrated Health Partners
Inter-Tribal Council of Michigan
Inter-Tribal Council of Michigan
Inter-Tribal Council of Michigan
Inter-Tribal Council of Michigan
Inter-Tribal Council of Michigan
Michigan Primary Care Association
Michigan Primary Care Association
Michigan Primary Care Association

New Day Family Medicine and Medical Spa PC
Pokagon
Gun Lake Site
NHBP
Hannahville Health
Saginaw Chippewa Indian
Muskegon Family Care
Center City
Atherton

Private/Physician owned
Tribal health
Tribal health
Tribal health
Tribal health
Tribal health
CHC/FQHC
CHC/FQHC
CHC/FQHC

Health system/Hospital owned
CHC/FQHC
Health system/Hospital owned
Private/Physician owned
Private/Physician owned
Private/Physician owned
Private/Physician owned
Health system/Hospital owned
Private/Physician owned
Private/Physician owned
Health system/Hospital owned
Private/Physician owned
Health system/Hospital owned
Private/Physician owned

Clinic List
Grantee Clinic ID

Health System Name

Clinic Name

Clinic Type

MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN

Michigan Primary Care Association
MPRO
MPRO
MPRO
MPRO
MPRO
MPRO
MPRO
MPRO
MPRO
MPRO
MPRO
MPRO
MPRO
Lake Superior Community Health Center
North Point Health & Wellness
Open Door Health Center
Community Health Service, Inc.
Neighborhood HealthSource
Neighborhood HealthSource
Neighborhood HealthSource
Southside Community Health Services
Indian Health Board of Minneapolis, Inc.
Native American Community Clinic
Indian Health Service
West Side Community Health Services
West Side Community Health Services
West Side Community Health Services
Axis Medical Center
Hennepin County Medical Center
Hennepin County Medical Center
Hennepin County Medical Center

Cherry Health, Eaton Community Health Center
Botsford Family Care of Novi
Family Medical Center
Botsford Family Practice
Botsford Primary Care Physicians
Botsford Medical Center
Midwest Internal Medicine Associates
Farmington Village Family Practice
Anchor Bay Clinic Family Medical Center
Everingham Clinic Oakwood Ambulatory
Preferred Medical Group PC
Riverbend Healthcare
Metropolitan Medical Associates
Chander Kanta, MD
Lake Superior Community Health Center
North Point Health & Wellness Center
Open Door Health Center
Willmar Community Health Service
NHS Central Clinic
NHS Fremont Clinic
NHS Sheridan Clinic
Southside Medical Clinic
Indian Health Board of Minneapolis, Inc.
Native American Community Clinic
White Earth Health Center and Service Unit
East Side Community Health Services
La Clinica
McDonough Homes
Axis Medical Center
HCMC East Lake Clinic
HCMC Richfield
HCMC Internal Medicine Clinic

CHC/FQHC
Other primary care facility
Other primary care facility
Other primary care facility
Other primary care facility
Other primary care facility
Other primary care facility
Other primary care facility
Other primary care facility
Other primary care facility
Private/Physician owned
Private/Physician owned
Private/Physician owned
Private/Physician owned
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
Tribal health
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned

MI_006_004
MI_007_001
MI_007_002
MI_007_003
MI_007_004
MI_007_005
MI_007_006
MI_007_007
MI_007_008
MI_007_009
MI_007_010
MI_007_011
MI_007_012
MI_007_013
MN_001_001
MN_002_001
MN_003_001
MN_005_001
MN_006_001
MN_006_002
MN_006_003
MN_007_001
MN_008_001
MN_009_001
MN_010_001
MN_011_001
MN_011_002
MN_011_003
MN_012_001
MN_013_001
MN_013_002
MN_013_003

Clinic List
Grantee
MN
MN
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY

Clinic ID
MN_013_004
MN_014_001
NH_001_001
NH_010_001
NH_030_001
NH_040_001
NH_050_001
NH_060_001
NH_070_001
NH_080_001
NH_090_001
NH_090_002
NH_090_003
NH_090_004
NH_090_005
NH_100_001
NH_110_001
NY_003_001
NY_003_002
NY_003_003
NY_004_001
NY_005_001
NY_005_002
NY_006_001
NY_007_001
NY_008_001
NY_009_001
NY_009_002

Health System Name
Hennepin County Medical Center
People's Center
Goodwin Community Health
Families First Health & Support Center
HealthFirst Family Care Center
Manchester Community Health Center
LRGHealthcare
Wentworth Douglass Hospital
Foundation Medical Partners/SNHHS
Catholic Medical Center
Dartmouth-Hitchcock
Dartmouth-Hitchcock
Dartmouth-Hitchcock
Dartmouth-Hitchcock
Dartmouth-Hitchcock
Harbor Homes, Inc.
Lamprey Health Care
Anthony L. Jordan Health Center
Anthony L. Jordan Health Center
Anthony L. Jordan Health Center
Christian Health Service of Syracuse
Erie County Medical Center
Erie County Medical Center
Family Health Network of CNY
Family Medicine Medical Services
Letchworth Family Medicine
Rochester Regional Health
Rochester Regional Health

NY
NY
NY
NY

NY_009_003
NY_009_004
NY_010_001
NY_011_001

Rochester Regional Health
Rochester Regional Health
Syracuse Community Health Center
UB|MD

Clinic Name
HCMC Brooklyn Park
People's Center Clinics and Services
Goodwin Community Health
Families First Health and Support Center
HealthFirst Family Care Center
Manchester Community Health Center
LRGHealthcare
Wentworth Douglass Hospital
Foundation Medical Partners/SNHHS
Catholic Medical Center
Dartmouth-Hitchcock Nashua
Dartmouth-Hitchcock Heater Road
Dartmouth-Hitchcock Keene
Dartmouth-Hitchcock Concord
Dartmouth-Hitchcock Manchester
Harbor Care Health And Wellness Center
Lamprey Health Care
Woodward Health Center
Anthony L. Jordan Health Center
Brown Square
Christian Health Service of Syracuse
Cleve-Hill Family Health Center
ECMC Internal Medicine Center
Family Health Network - Cortland
Family Medicine Medical Services Group
Letchworth Family Medicine
Unity Family Medicine at Orchard St.
Unity Family Medicine at St. Mary's
Unity Health REACH, Healthcare for the
Homeless
Center for Refugee Health
Syracuse Community Health Center - Salina
UB|MD Family Medicine at Jefferson

Clinic Type
Health system/Hospital owned
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
Other primary care facility
Health system/Hospital owned
Health system/Hospital owned
CHC/FQHC
Health system/Hospital owned
Other primary care facility
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
CHC/FQHC
CHC/FQHC
Health system/Hospital owned

Clinic List
Grantee Clinic ID

Health System Name

NY
NY
NY
NY
NY
NY

NY_011_002
NY_012_001
NY_012_002
NY_012_003
NY_013_001
NY_014_001

UB|MD
Gotham Health
Gotham Health
Gotham Health
Betances Health Center
Cornerstone Family Healthcare

NY
NY
NY
NY

NY_014_002
NY_014_003
NY_015_001
NY_015_002

NY

NY_016_001

OR

OR_001_001

OR

OR_001_002

OR
OR
OR
OR
OR
OR
OR
OR
OR
RI
RI
RI
RI
RI

OR_001_003
OR_002_001
OR_002_002
OR_002_003
OR_002_004
OR_002_007
OR_002_008
OR_002_009
OR_003_001
RI_002_001
RI_002_002
RI_003_001
RI_005_001
RI_006_001

Cornerstone Family Healthcare
Cornerstone Family Healthcare
The Institute for Family Health
The Institute for Family Health
William E. Ryan Community Health
Network (Ryan Network)
InterCommunity Health Plans dba
InterCommunity Hea
InterCommunity Health Plans dba
InterCommunity Hea
InterCommunity Health Plans dba
InterCommunity Hea
Oregon Primary Care Association
Oregon Primary Care Association
Oregon Primary Care Association
Oregon Primary Care Association
Oregon Primary Care Association
Oregon Primary Care Association
Oregon Primary Care Association
Yamhill Community Care Organization
2
2
3
5
6

Clinic Name
UB|MD Internal Medicine - Adult & Pediatric
Office
Gouverneur
Morrisania
Renaissance
Betances Health Center
Kaplan Family Pavilion
Cornerstone Family Healthcare at Highland
Falls
New Windsor
New Paltz Family Health Center
Stevenson Family Health Center
Ryan/Chelsea-Clinton Community Health
Center

Clinic Type

Lincoln Health Center

CHC/FQHC

Monroe Health Center

CHC/FQHC

Lincoln County Community Health Centers
The Wallace Medical Concern
White Bird Clinic
Central City Concern
Outside In
Valley Family Health Care
NARA
La Clinica
Virginia Garcia McMinnville
002_001
002_002
003_001
005_001
006_001

CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
Tribal health
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

Other primary care facility
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

Clinic List
Grantee
RI
RI
RI
RI
RI
RI
RI
RI
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA

Clinic ID
RI_006_002
RI_006_003
RI_007_001
RI_008_001
RI_008_002
RI_008_003
RI_008_008
RI_009_001
SD_001_001
SD_001_002
SD_001_003
SD_001_004
SD_001_005
SD_001_006
SD_001_007
SD_001_008
SD_001_009
SD_002_001
SD_002_002
SD_003_002
SD_004_001
WA_001_001
WA_001_002
WA_001_003
WA_001_004
WA_001_005
WA_001_006
WA_001_007
WA_001_008
WA_001_009
WA_001_010
WA_001_011
WA_001_012

Health System Name
6
6
7
8
8
8
8
9
Sanford
Sanford
Sanford
Sanford
Sanford
Sanford
Sanford
Sanford
Sanford
South Dakota Urban Indian Health
South Dakota Urban Indian Health
Avera Health Plans
Falls Community Health
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers

Clinic Name
006_002
006_003
007_001
008_001
008_002
008_003
008_004
009_001
Brandon
69th and Minnesota
26th and Sycamore
4th and Sycamore
49th and Oxbow
Sanford Chamberlain
Sanford Clinic Vermillion
Sanford Clinic Watertown Family Medicine
Sanford Clinic Watertown Internal Medicine
South Dakota Urban Indian Health
South Dakota Urban Indian Health
Avera McGreevy West 41st Street
Falls Community Health
Aberdeen Medical
Battle Ground Medical
Bellevue Medical
Bellingham Medical
Burien Medical
Concrete Medical
Des Moines
Elma Medical
Everett Medical
Everson Medical
Federal Way Medical
Kent Medical

Clinic Type
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
Health system/Hospital owned
CHC/FQHC
CHC/FQHC
Other primary care facility
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

Clinic List
Grantee
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA

Clinic ID
WA_001_013
WA_001_014
WA_001_016
WA_001_017
WA_001_018
WA_001_019
WA_001_020
WA_001_021
WA_001_023
WA_001_024
WA_001_026
WA_001_027
WA_001_028
WA_001_029
WA_001_031
WA_001_032
WA_001_033
WA_001_034
WA_002_001
WA_002_002
WA_002_003
WA_002_004
WA_002_005
WA_002_006
WA_002_007
WA_002_008
WA_002_009
WA_002_010
WA_003_001
WA_003_002
WA_003_003
WA_003_004
WA_003_005

Health System Name
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health Centers
HealthPoint
HealthPoint
HealthPoint
HealthPoint
HealthPoint
HealthPoint
HealthPoint
HealthPoint
HealthPoint
HealthPoint
Community Health Care
Community Health Care
Community Health Care
Community Health Care
Community Health Care

Clinic Name
Lacey Medical
Marysville Medical
Monroe Medical
Mt. Vernon Medical
Ocean Shores Medical
Olympia
Puyallup Medical
Seattle Medical
Skagit Valley Womens Health Clinic
Tacoma Medical
Tillicum Medical
Vancouver Salmon Creek Medical
Vancouver Medical
Vancouver Womens Health Center
White Center Medical
Yelm Medical
Hiddenbrook (East Vancouver) Medical
Vancouver 4th Plain Medical
HealthPoint Auburn Medical
HealthPoint Bothell Medical
HealthPoint Federal Way Medical
HealthPoint Kent Medical
HealthPoint Midway Medical
HealthPoint Redmond Medical
HealthPoint Renton
HealthPoint SeaTac
HealthPoint Tukwila
Auburn North
Parkland Clinic
Spanaway Clinic
Hilltop Regional Health Center
Lakewood Clinic
Tanbara Eastside Clinic

Clinic Type
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

Clinic List

WA

Health System Name
Community Health Of Central
WA_004_001 Washington
Community Health Of Central
WA_004_002 Washington
Community Health Of Central
WA_004_003 Washington

WA

WA_005_001 Cowlitz Family Health Center

WA
WA

WA_005_002 Cowlitz Family Health Center
WA_005_003 Cowlitz Family Health Center

WA

WA_005_004 Cowlitz Family Health Center

WA

WA_005_005 Cowlitz Family Health Center

WA

WA_005_006 Cowlitz Family Health Center

WA
WA
WA
WA
WA
WA
WA
WA
WA

WA_005_007
WA_006_001
WA_006_002
WA_006_004
WA_006_005
WA_006_006
WA_006_007
WA_006_008
WA_006_009

Grantee Clinic ID
WA
WA

WA
WA
WA

Cowlitz Family Health Center
Valley View Health Center
Valley View Health Center
Valley View Health Center
Valley View Health Center
Valley View Health Center
Valley View Health Center
Valley View Health Center
Valley View Health Center
International Community Health
WA_007_001 Services (ICHS)
International Community Health
WA_007_002 Services (ICHS)
International Community Health
WA_007_003 Services (ICHS)

Clinic Name
Community Health Of Central Washington,
Ellensburg

Clinic Type

Naches Medical Clinic

CHC/FQHC

Highland Clinic
Cowlitz Family Health Center - Longview 14th
Avenue Clinic
Cowlitz Family Health Center - Castle Rock
Clinic
Cowlitz Family Health Center - Kelso Clinic
Cowlitz Family Health Center - Longview 12th
Avenue Clinic
Cowlitz Family Health Center - North Beach
Clinic
Cowlitz Family Health Center - Wahkiakum
Clinic

CHC/FQHC

Cowlitz Family Health Center - Woodland Clinic
Chehalis
Centralia Medical (Cascade)
Olympia Medical
Onalaska
Pe Ell
Raymond Medical
Tenino
Toledo

CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

ICHS International District Clinic

CHC/FQHC

ICHS Holly Park Clinic

CHC/FQHC

ICHS Bellevue Clinic

CHC/FQHC

CHC/FQHC

CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC

Clinic List
Grantee Clinic ID
WA
WA
WA
WA
WA
WA
WA
WA

WA_007_004
WA_008_001
WA_008_002
WA_008_003
WA_008_004
WA_008_005
WA_008_006
WA_008_007

Health System Name
International Community Health
Services (ICHS)
Peninsula Community Health Services
Peninsula Community Health Services
Peninsula Community Health Services
Peninsula Community Health Services
Peninsula Community Health Services
Peninsula Community Health Services
Peninsula Community Health Services

Clinic Name

Clinic Type

ICHS Shoreline Clinic
PCHS Sixth St Medical
PCHS Wheaton Way Medical
PCHS Almira Medical
PCHS Kingston Medical
PCHS Poulsbo Medical
PCHS Port Orchard Medical
PCHS Belfair Medical

CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC
CHC/FQHC


File Typeapplication/pdf
File TitleCRCCP_active clinic list_05072020.xlsx
Authorzef2
File Modified2020-05-07
File Created2020-05-07

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