2019 Designated PC HPSA FRN - Attachment K

DENTAL HEALTH: Alabama
County and County Equivalent Listing
Autauga County
Population Group: Low Income - Autauga/Elmore/Montgomery
Baldwin County
Population Group: Low Income - Mobile/Baldwin
Barbour County
Population Group: Low Income - Barbour/Henry Counties
Facility: Easterling Correctional Facility
Bibb County
Population Group: Low Income - Bibb/Tuscaloosa Counties
Facility: Bibb Correctional Facility
Facility: Cahaba Medical Care Foundation
Blount County
Population Group: Low Income - Blount County
Bullock County
Population Group: Low Income - Bullock/Macon Counties
Facility: Bullock Correctional Facility
Butler County
Population Group: Low Income - Butler/Lowndes Counties
Calhoun County
Population Group: Low Income - Calhoun/Cleburne Counties
Chambers County
Population Group: Low Income - Chambers County
Cherokee County
Population Group: Low Income - Cherokee County
Chilton County
Population Group: Low Income - Chilton County
Choctaw County
Population Group: Low Income - Choctaw/Sumter/Marengo Counties
Clarke County
Population Group: Low Income - Clarke/Washington Counties
Clay County
Population Group: Low Income - Clay County
Cleburne County
Population Group: Low Income - Calhoun/Cleburne Counties
Coffee County
Population Group: Low Income - Coffee/Covington Counties
Colbert County
Population Group: Low Income - Colbert/Lauderdale Counties
Page 1 of 222

Conecuh County
Population Group: Low Income - Conecuh/Escambia Counties
Coosa County
Population Group: Low Income - Coosa County
Covington County
Population Group: Low Income - Coffee/Covington Counties
Crenshaw County
Population Group: Low Income - Crenshaw/Pike Counties
Cullman County
Population Group: Low Income - Cullman County
Dale County
Population Group: Low Income - Dale/Geneva/Houston Counties
Dallas County
Population Group: Low Income - Dallas/Perry Counties
Facility: Rural Health Medical Program
DeKalb County
Population Group: Low Income - Dekalb County
Elmore County
Population Group: Low Income - Autauga/Elmore/Montgomery
Facility: Julia Tutwiler Prison for Women
Escambia County
Population Group: Low Income - Conecuh/Escambia Counties
Facility: Fountain Correctional Facility
Etowah County
Population Group: Low Income - Etowah County
Facility: Quality of Life Health Services
Fayette County
Population Group: Low Income - Fayette/Lamar Counties
Franklin County
Population Group: Low Income - Franklin County
Geneva County
Population Group: Low Income - Dale/Geneva/Houston Counties
Greene County
Population Group: Low Income - Greene/Hale Counties
Hale County
Population Group: Low Income - Greene/Hale Counties
Henry County
Population Group: Low Income - Barbour/Henry Counties
Houston County
Page 2 of 222

Population Group: Low Income - Dale/Geneva/Houston Counties
Jackson County
Population Group: Low Income - Jackson County
Facility: Northeast Alabama Health Services, Inc.
Jefferson County
Population Group: Low Income - Jefferson County
Facility: Aletheia House
Facility: Birmingham Healthcare
Facility: Christ Health Center, Inc.
Facility: William E. Donaldson Correctional Facility
Lamar County
Population Group: Low Income - Fayette/Lamar Counties
Lauderdale County
Population Group: Low Income - Colbert/Lauderdale Counties
Lawrence County
Population Group: Low Income - Lawrence/Morgan Counties
Lee County
Population Group: Low Income - Lee/Russell Counties
Limestone County
Population Group: Low Income - Limestone County
Facility: Limestone Correctional Facility
Lowndes County
Population Group: Low Income - Butler/Lowndes Counties
Macon County
Population Group: Low Income - Bullock/Macon Counties
Facility: Southeast Pediatrics, Primary Care
Madison County
Population Group: Low Income - Central Huntsville
Facility: Central North Alabama Health Services
Facility: Thrive Alabama
Marengo County
Population Group: Low Income - Choctaw/Sumter/Marengo Counties
Marion County
Population Group: Low Income - Marion County
Marshall County
Population Group: Low Income - Marshall County
Mobile County
Population Group: Low Income - Mobile/Baldwin
Facility: Bayou La Batre Area Health Development Board
Facility: Family Oriented Primary Health Care
Facility: Franklin Primary Health Center
Monroe County
Page 3 of 222

Population Group: Low Income - Monroe/Wilcox Counties
Montgomery County
Population Group: Low Income - Autauga/Elmore/Montgomery
Facility: Health Services, Inc.
Facility: Kilby Correctional Facility
Morgan County
Population Group: Low Income - Lawrence/Morgan Counties
Perry County
Population Group: Low Income - Dallas/Perry Counties
Pickens County
Population Group: Low Income - Pickens County
Pike County
Population Group: Low Income - Crenshaw/Pike Counties
Facility: Southeast Alabama Rural Health Association
Randolph County
Population Group: Low Income - Randolph County
Facility: Tanner Primary Care of Wedowee, Inc.
Facility: Woodland Family Healthcare
Russell County
Population Group: Low Income - Lee/Russell Counties
St. Clair County
Population Group: Low Income - St. Clair County
Facility: St. Clair Correctional Facility
Sumter County
Population Group: Low Income - Choctaw/Sumter/Marengo Counties
Talladega County
Population Group: Low Income - Talladega County
Facility: Federal Correctional Institution - Talladega
Tallapoosa County
Population Group: Low Income - Tallapoosa County
Tuscaloosa County
Population Group: Low Income - Bibb/Tuscaloosa Counties
Facility: Whately Health Service
Walker County
Population Group: Low Income - Walker County
Facility: Capstone Rural Health Center
Washington County
Population Group: Low Income - Clarke/Washington Counties
Wilcox County
Population Group: Low Income - Monroe/Wilcox Counties
Winston County
Page 4 of 222

Population Group: Low Income - Winston County

Page 5 of 222

DENTAL HEALTH: Alaska
County and County Equivalent Listing
Aleutians East Borough
Service Area: Aleutians East Borough
Aleutians West Census Area
Service Area: Aleutians West Borough
Facility: Iliuliuk Family Health Center
Anchorage Borough
Facility: Alaska Native Tribal Health Consortium
Facility: Aleutians/Pribilof Islands Association
Facility: Anchorage Neighborhood Health Center
Facility: CF-Anchorage Correctional Complex
Facility: Chugachmiut
Facility: Eastern Aleutian Tribe, Inc.
Facility: Eklutna Health Clinic
Facility: Girdwood Health Clinic
Facility: Southcentral Foundation
Bethel Census Area
Service Area: Bethel and Wade Hampton Census Areas
Facility: Bethel Family Clinic
Facility: Native Village of Kwinhagak
Facility: Yukon-Kuskokwim Health Corporation
Bristol Bay Borough
Service Area: Bristol Bay/Lake and Peninsula Boroughs
Facility: Bristol Bay Borough
Denali Borough
Service Area: Denali Borough
Dillingham Census Area
Facility: Bristol Bay Area Health Corporation
Facility: Kanakanak Hospital
Fairbanks North Star Borough
Facility: Chief Andrew Issac Health Center
Facility: Dena' Nena' Henash
Facility: Interior Community Health Center
Facility: Tanana Tribal Council
Hoonah-Angoon Census Area
Service Area: Hoonah-Angoon Census Area
Juneau Borough
Facility: Southeast Alaska Region Health Consortium
Kenai Peninsula Borough
Facility: City of Seward Administration
Facility: Kenaitze Indian Tribe
Facility: Ninilchik Traditional Council
Facility: Peninsula Community Health Services of Alaska, Inc.
Facility: Seldovia Village Health Center
Facility: Spring Creek Correctional Center
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Ketchikan Gateway Borough
Facility: Ketchikan Indian Corporation
Kodiak Island Borough
Facility: Kana Clinic Native Village of Karluk
Facility: Kodiak Area Native Association
Facility: Kodiak Island Health Care Foundation
Kusilvak Census Area
Service Area: Bethel and Wade Hampton Census Areas
Lake and Peninsula Borough
Service Area: Bristol Bay/Lake and Peninsula Boroughs
Matanuska-Susitna Borough
Service Area: Upper Matanuska-Susitna Borough
Facility: Goose Creek Correctional Center
Facility: Mat-Su Health Services
Facility: Scf Valley Native Primary Care Center
Facility: Sunshine Community Health Center
Nome Census Area
Service Area: Nome Area
Facility: Norton Sound Health Corporation
Facility: Norton Sound Health Corporation-Behavioral Health Tribal
Facility: Norton Sound Health Corporation-Outpatient Primary Care/Dt
Tribal C
Facility: Norton Sound Health Corporation-Tribal Clinic
Facility: Norton Sound Regional Hospital Fast Track
Facility: Nshc Clinic, Native Village of Diomede
North Slope Borough
Service Area: North Slope Borough
Facility: Samuel Simmonds Memorial Hospital
Northwest Arctic Borough
Service Area: Northwest Arctic Borough
Facility: Maniilaq Association
Prince of Wales-Hyder Census Area
Facility: Annette Island Service Unit/Metlakatla Indian Community
Sitka Borough
Facility: Searhc\Mt. Edgecumbe Hospital
Skagway Municipality
Service Area: Skagway Municipality
Facility: Dahl Memorial Clinic
Southeast Fairbanks Census Area
Facility: Upper Tanana Health Center
Valdez-Cordova
Facility:
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Census Area
Chitina Tribal and Community Health Center
Copper River Native Association
Cross Roads Medical Center

Facility: Mt. Sanford Tribal Consortium
Facility: Native Village of Eyak
Yakutat Borough
Service Area: Yakutat Borough
Facility: Yakutat Tlingit Tribe
Yukon-Koyukuk Census Area
Service Area: Yukon-Koyukuk Census Area
Facility: Council of Athabascan Tribal Government

Page 8 of 222

DENTAL HEALTH: Arizona
County and County Equivalent Listing
Apache County
Service Area: Navajo Nation
Service Area: Springerville/Eager
Facility: Chinle Comprehensive Health Center
Facility: Fort Defiance PHS Indian Hospital
Facility: Many Farms Clinic
Facility: Navajo Division of Emergency Medical Services
Facility: Navajo Division of Health
Facility: Navajo Division of Social Services
Facility: Navajo Health Foundation Dba Sage Memorial Hospital
Facility: Pinon Health Center
Facility: Rockpoint Health Clinic
Facility: Shiprock Service Unit-Four Corners Regional Health Center
Facility: Tsaile Indian Health Center
Cochise County
Service Area: Benson
Service Area: Bisbee
Service Area: Willcox and Bowie
Population Group: Low Income-Douglas and Pirtleville
Population Group: Low Income-Sierra Vista
Facility: CF-Arizona State Prison-Douglas
Facility: Chiricahua Community Health Center
Facility: Cooper Queen Medical Associates - Douglas
Facility: Copper Queen Medical Associates-Bisbee
Facility: Palominas/Hereford Rural Health Clinics
Coconino County
Service Area: Grand Canyon Village
Service Area: Navajo Nation
Population Group: Low Income-Cottonwood/Sedona
Population Group: Low Income-Flagstaff
Population Group: Low Income-Hopi Tribe
Facility: Canyonlands Community Health Center
Facility: Kaibab-Paiute Tribe
Facility: Naca Family Health Center
Facility: Native Americans for Community Action
Facility: North Country Community Health Center
Facility: Sacred Peaks Health Center
Facility: San Juan Southern Paiute Tribe
Facility: Supai Clinic
Facility: Tuba City Regional Health Care Corporation
Gila County
Service Area: Globe
Service Area: San Carlos Apache Tribe
Service Area: White Mountain Apache Tribe
Population Group: Low Income-Payson
Facility: Bylas Health Center
Facility: Pleasant Valley Community Medical Center
Facility: San Carlos Apache Tribe
Facility: San Carlos PHS Indian Hospital
Facility: Tonto Apache Tribe
Page 9 of 222

Graham County
Service Area: San Carlos Apache Tribe
Population Group: Low Income-Safford
Population Group: Low Income-Thatcher
Greenlee County
Service Area: Morenci
La Paz County
Service Area: Colorado River Indian Tribe
Service Area: Parker
Service Area: Quartzsite
Facility: Colorado River Indian Community
Facility: Parker PHS Indian Hospital
Maricopa County
Service Area: Fort McDowell Yavapai Nation
Service Area: Gila River Indian Community
Service Area: Surprise North and Wickenburg
Service Area: Tohono O'Odham Nation
Population Group: Low Income-Alhambra Village
Population Group: Low Income-Avondale
Population Group: Low Income-Buckeye
Population Group: Low Income-Camelback East Village
Population Group: Low Income-Central City Village
Population Group: Low Income-El Mirage and Youngtown
Population Group: Low Income-Encanto Village
Population Group: Low Income-Estrella Village and Tolleson
Population Group: Low Income-Glendale Central
Population Group: Low Income-Laveen Village
Population Group: Low Income-Maryvale Village
Population Group: Low Income-Mesa Central
Population Group: Low Income-Mesa West
Population Group: Low Income-North Mountain Village
Population Group: Low Income-Peoria South
Population Group: Low Income-Salt River Pima-Maricopa Indian Community
Population Group: Low Income-South Mountain Village and Guadalupe
Population Group: Low Income-Sun City
Population Group: Low Income-Tempe North
Facility: Adelante Healthcare, Inc.
Facility: CF-Arizona State Prison-Phoenix
Facility: Circle the City
Facility: Community Hospital Clinic
Facility: Federal Correctional Institution - Phoenix
Facility: Fort McDowell Yavapai Nation
Facility: Maricopa County Special Health Care District
Facility: Mountain Park Health Center
Facility: Native American Community Health Center - Dunlap
Facility: Native American Community Health Center, I
Facility: Neighborhood Outreach Access to Health
Facility: Phoenix Indian Medical Center
Facility: Salt River Clinic
Facility: Terros Inc.
Facility: Valle Del Sol/Dba Mi Salud
Facility: Wesley Community Center Inc.
Mohave County
Page 10 of 222

Service Area: Colorado City
Service Area: Golden Valley
Service Area: Hualapai Tribe
Population Group: Low Income-Bullhead City
Population Group: Low Income-Kingman
Population Group: Low Income-Lake Havasu City
Facility: Hualapai Tribe
Facility: Peach Springs PHS Indian Health Center
Navajo County
Service Area: Navajo Nation
Service Area: White Mountain Apache Tribe
Population Group: Low Income-Hopi Tribe
Population Group: Low Income-Show Low
Population Group: Low Income-Snowflake/Heber
Population Group: Low Income-Winslow
Facility: Cibecue PHS Indian Health Center
Facility: Health and Social Services Committee
Facility: Hopi Health Care Center
Facility: Inscription House Health Center
Facility: Kayenta PHS Indian Health Center
Facility: White Mountain Apache Tribe
Facility: Whiteriver Indian Health Services Hospital
Facility: Winslow Indian Health Care Center
Pima County
Service Area: Ajo
Service Area: Drexel Heights
Service Area: Pascua Yaqui Tribe
Service Area: Picture Rocks
Service Area: Tanque Verde
Service Area: Tohono O'Odham Nation
Service Area: Tucson South
Service Area: Tucson South East
Service Area: Tucson West
Service Area: Vail
Population Group: Low Income-Flowing Wells
Population Group: Low Income-San Xavier
Population Group: Low Income-Tucson Central
Population Group: Low Income-Tucson East
Population Group: Low Income-Tucson Estates
Population Group: Low Income-Tucson Foothills
Population Group: Low Income-Valencia West
Facility: Ajo Community Health Center
Facility: El Rio Health Center
Facility: Federal Correctional Complex-Tucson
Facility: Marana Health Center
Facility: Pascua Yaqui Tribe Health Programs
Facility: San Xavier PHS Indian Health Center
Facility: Sells PHS Indian Health Hospital-Santa Rosa Clinic
Facility: Sells PHS Indian Hospital
Facility: Tohono O'Odham Nation
Facility: Tucson Indian Center
Facility: United Community Health Center-Maria Auxiliadora
Pinal County
Service Area: Coolidge
Page 11 of 222

Service Area: Eloy
Service Area: Gila River Indian Community
Service Area: Saddlebrooke
Population Group: Low Income-Casa Grande
Population Group: Low Income-Florence
Population Group: Low Income-Maricopa
Facility: Ak-Chin Indian Community
Facility: CF-Arizona State Prison Complex-Eyman
Facility: Desert Visions Wellness Center
Facility: Gila River Health Care Corporation
Facility: Immigration and Customs Enforcement - Eloy
Facility: Immigration and Customs Enforcement - Florence
Facility: Kearny Clinic
Facility: Mountain Health and Wellness
Facility: Sun Life Family Health Center
Facility: Superior Clinic
Santa Cruz County
Service Area: Rio Rico
Population Group: Nogales
Facility: Mariposa Community Health Center
Yavapai County
Service Area: Black Canyon City
Service Area: Chino Valley
Population Group: Low Income-Cottonwood/Sedona
Population Group: Low Income-Prescott
Population Group: Low Income-Prescott Valley
Facility: Yavapai County Health Department
Facility: Yavapai-Apache Nation
Facility: Yavapai-Prescott Tribe
Yuma County
Service Area: Fortuna Foothills
Service Area: San Luis
Service Area: Somerton
Population Group: Yuma
Facility: CF-Arizona State Prison-Yuma
Facility: Cocopah Tribe
Facility: San Luis Walk-in Center
Facility: San Luis Walk-in Center-Somerton
Facility: Sunset Community Health

Page 12 of 222

DENTAL HEALTH: Arkansas
County and County Equivalent Listing
Ashley County
Population Group: Low Income - Ashley County
Facility: Mainline Health Systems
Baxter County
Population Group: Low Income - Baxter County
Benton County
Facility: Decatur Medi Clinic
Boone County
Population Group: Low Income - Boone County
Calhoun County
Population Group: Low Income - Calhoun County
Facility: Cabun Rural Health Services
Carroll County
Population Group: Low Income - Carroll County
Chicot County
Service Area: Chicot County
Facility: Lake Village Clinic, P.A.
Clark County
Population Group: Low Income - Clark County
Clay County
Population Group: Low Income - Clay County
Facility: Corning Area Health Care
Cleburne County
Population Group: Low Income - Cleburne County
Cleveland County
Service Area: Cleveland County
Conway County
Population Group: Low Income - Conway County
Crawford County
Population Group: Low Income - Crawford County
Crittenden County
Facility: East Arkansas Family Health
Cross County
Population Group: Low Income - Cross County
Dallas County
Population Group: Low Income - Dallas County
Desha County
Population Group: Low Income - Desha County
Page 13 of 222

Drew County
Population Group: Low Income - Drew County
Fulton County
Population Group: Low Income - Fulton County
Grant County
Population Group: Low Income - Grant County
Greene County
Population Group: Low Income - Greene County
Facility: Paragould Doctors Clinic
Hot Spring County
Population Group: Low Income - Hot Spring County
Facility: Ouachita River CF
Howard County
Population Group: Low Income - Howard County
Independence County
Population Group: Low Income - Independence County
Izard County
Population Group: Low Income - Izard County
Jackson County
Population Group: Low Income - Jackson County
Facility: CF-McPherson Correctional Unit/Newport
Jefferson County
Population Group: Low Income - Jefferson County
Facility: Jefferson Comprehensive Care System, Inc.
Johnson County
Population Group: Low Income - Johnson County
Lafayette County
Service Area: Lafayette County
Lawrence County
Population Group: Low Income - Lawrence County
Lee County
Service Area: Lee County
Facility: CF East Arkansas Regional Unit
Facility: Lee County Cooperative
Lincoln County
Population Group: Low Income - Lincoln County
Facility: CF Cummins Unit
Facility: Varner CF
Little River County
Population Group: Low Income - Little River County
Page 14 of 222

Logan County
Facility: Booneville Community and Family Medical Clinic
Facility: River Valley Primary Care Services
Lonoke County
Population Group: Low Income - Lonoke County
Madison County
Population Group: Low Income - Madison County
Marion County
Population Group: Low Income - Marion County
Miller County
Population Group: Low Income - Miller County
Mississippi County
Population Group: Low Income - Mississippi County
Monroe County
Population Group: Low Income - Monroe County
Facility: Mid-Delta Health Systems, Inc.
Montgomery County
Population Group: Low Income - Montgomery County
Nevada County
Population Group: Low Income - Nevada County
Newton County
Population Group: Low Income - Newton County
Ouachita County
Population Group: Low Income - Ouachita County
Perry County
Service Area: Perry County
Phillips County
Service Area: Phillips County
Pike County
Service Area: Pike County
Poinsett County
Population Group: Low Income - Poinsett County
Polk County
Population Group: Low Income - Polk County
Facility: Healthy Connections
Pope County
Population Group: Low Income - Pope County
Prairie County
Service Area: Prairie County
Page 15 of 222

Pulaski County
Facility: CF Wrightsville Unit
Randolph County
Population Group: Low Income - Randolph County
Scott County
Population Group: Low Income - Scott County
Searcy County
Population Group: Low Income-Searcy County
Facility: Boston Mountain Rural
Facility: Marshall Family Practice Clinic
Sevier County
Population Group: Low Income-Sevier County
Sharp County
Population Group: Low Income - Sharp County
St. Francis County
Population Group: Low Income - St. Francis County
Facility: Federal Correctional Institution - Forrest City
Stone County
Population Group: Low Income - Stone County
Van Buren County
Population Group: Low Income - Van Buren County
Washington County
Facility: St. Francis House NWA, Inc.
Woodruff County
Population Group: Low Income - Woodruff County
Facility: Arcare
Yell County
Population Group: Low Income - Yell County

Page 16 of 222

DENTAL HEALTH: California
County and County Equivalent Listing
Alameda County
Population Group: Low Income-MSSA 2H/Ashland/Brookfield
Facility: Alameda County Health Department
Facility: Asian Health Services
Facility: Axis Community Health
Facility: Childrens Hospital
Facility: Davis Street Community Center
Facility: La Clinica De La Raza
Facility: Lifelong Medical Care
Facility: Native American Health Center - Oakland
Facility: Tiburcio Vasquez Health Center
Facility: Tri-City Health Center
Facility: West Oakland Health Council
Amador County
Facility: Jackson Rancheria Health Complex
Facility: Sutter Plymouth Health Center
Butte County
Facility:
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Chuk Ndule Medical Center-Gridley
Feather River Hospital - Feather River Health Center
Feather River Hospital Canyon View Clinic
Feather River Hospital Family Health Center
Ndulue Medical Practice-Oroville
Northern Valley Indian Health - Chico
Northern Valley Indian Health, Inc. - Children's Health

Colusa County
Facility: Colusa Indian Community Council
Contra Costa County
Population Group: Low Income - MSSA 18F/Richmond Central
Facility: Brighter Beginnings
Facility: Contra Costa County Health
Del Norte County
Population Group: Low Income - MSSA 19 Del Norte County
Facility: Sutter Coast Community Clinic
El Dorado County
Population Group: Low Income-MSSA 24/South Lake Tahoe
Facility: Barton Memorial Hospital Community Clinic
Facility: El Dorado County Community Health Center
Facility: Shingle Springs Tribal Health Program
Facility: Western Sierra Medical Center-Camino
Fresno County
Service Area: MSSA 25/Firebaugh/Mendota
Service Area: MSSA 26/San Joaquin - Tranquility
Population Group: Low Income-MSSA 28/Huron
Facility: Adventist Health Community Care - Caruthers
Facility: Adventist Health Community Care - Coalinga
Facility: Adventist Health Community Care - Huron
Facility: Adventist Health Community Care - Kerman
Page 17 of 222

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Adventist Health Community Care - Kerman Central
Adventist Health Community Care - Kingsburg
Adventist Health Community Care - Orange Cove
Adventist Health Community Care - Parlier Newmark
Adventist Health Community Care - Reedley
Adventist Health Community Care - Reedley Children
Adventist Health Community Care - Reedley Cypress
Adventist Health Community Care - Reedley Jefferso
Adventist Health Community Care - Reedley Women's
Adventist Health Community Care - Sanger
Adventist Health Community Care - Selma
Adventist Health Community Care - Selma Central
Adventist Health Community Center - Caruthers West
Adventist Healthcommunity Care - Fowler
Central Valley Indian Health Inc.
Greater Fresno Health Organization
San Joaquin Prime Care Medical Corporation-Squaw Valley
San Juaquin Prime Care Medical Corporation-Reedley
United American Indian Involvement-Fresno
United Health Centers of San Joaquin Valley
Valley Family Health Center - Riverdale
Valley Health Team

Glenn County
Facility: Northern Valley Indian Health
Humboldt County
Population Group: Low Income - MSSA 42/Fortuna/Rio Dell
Population Group: Low Income - MSSA 44/Garverville/Redway
Population Group: Low Income - MSSAs 39 and 40 (Eureka/McKinleyville)
Facility: Hoopa Valley Tribe
Facility: Open Door Community Health Centers
Facility: Redwood Memorial Hospital Dba St.Joseph Rural Heal
Facility: Redwoods Rural Health Center
Facility: Southern Humboldt Community Clinic
Facility: United Indian Health Service - Potowat
Imperial County
Facility: Calexico Health Center
Facility: Calexico Outpatient Center
Facility: Clinicas De Salud Del Pueblo
Facility: De Anza Clinic
Facility: El Centro Regional Medical Center Outpatient Clini
Facility: Fort Yuma
Facility: Pioneers Health Center
Facility: Quechan Tribal Council
Inyo County
Facility: Toiyabe Indian Health Project
Kern County
Service Area: MSSA 62/Tehachapi
Population Group: Low Income/Migrant
Population Group: Low Income/Migrant
64/Inyokern/Ridgecrest
Facility: Adventist Health Community
Facility: Adventist Health Community
Page 18 of 222

Farmworker - MSSA 57.2/Taft
Farmworker-MSSA
Care - Shafter
Care - Taft

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Adventist Health Community Care - Wasco
Clinica Sierra Vista
Gloria Nelson Center for Women and Children
Kern Valley Healthcare District Rural Health Clinic
Omni Family Health
Ridgecrest Regional Rural Health Clinic
Tehachapi Family Health Center - California City
Tehachapi Family Health Center - Mojave
Tehachapi Family Health Center - Tehachapi
United American Indian Involvement-Bakersfield
West Side Family Health Center

Kings County
Service Area: MSSA 67/Avenal
Population Group: Low Income-Migrant Farmworker-MSSA 69-Hanford
Facility: Adventist Health Community Care - Avenal
Facility: Adventist Health Community Care - Avenal West
Facility: Adventist Health Community Care - Corcoran
Facility: Adventist Health Community Care - Corcoran East
Facility: Adventist Health Community Care - Hanford
Facility: Adventist Health Community Care - Home Garden
Facility: Adventist Health Community Care - Lemoore
Facility: Avenal Community Health Center
Facility: Campus Family Health Medical Center
Facility: Health Valley Medical Group, Inc.
Lake County
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Lake County Tribal Health Consortium
Lucerne Community Clinic
St Helena Family Health Center - Kelseyville
St Helena Family Health Center - Middletown
St. Helena Family Center - Clearlake
St. Helena Konocti Wellness Center
St. Helena Medical Care
Sutter Lakeside Community Clinic
Sutter Lakeside Family Medicine Clinic
Ukiah Valley Primary Care/Adventist Health-Lakeport

Lassen County
Service Area: MSSA 73/100 - Bieber/Adin
Facility: Lassen Indian Health Center
Facility: Mountain Valleys Health Centers, Inc.
Facility: Northeastern Rural Health
Los Angeles County
Population Group: Low Income - MSSA 78.2L/Exposition Park/Leimert PA
Population Group: Low Income/Homeless-MSSA 78.2MMM/Downtown Southeast
Facility: Aaa Comprehensive Healthcare
Facility: Aghaby Comprehensive Community Health Center
Facility: All for Health, Health for All
Facility: All-Inclusive Community Health Center
Facility: Altamed Health Services Corporation
Facility: Antelope Valley Community Clinic
Facility: Apla Health and Wellness
Facility: Arroyo Vista Family Health
Facility: Asian/Pacific Health Care Venture
Facility: Benevolence Industries
Page 19 of 222

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Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Bienvenidos Community Health Center
Center for Family Health and Education, Inc.
Central Neighborhood Health Foundation
Chinatown Service Center
Clinica Monsenor Oscar a. Romero
Community Health Alliance of Pasadena
Community Medical Wellness Centers Usa
Community Medicine, Inc.
Comprehensive Community Health Centers, Inc.
East Valley Community Health Center
Eisner Pediatric and Family
El Proyecto Del Barrio, Inc.
Family Health Care Centers of Gtr La
Garfield Health Center
Harbor Community Clinic
Health Access for All, Inc.
Herald Christian Health Center
JWCH/Clinic Institute
Kedren Community Health Center, Inc.
Korean Health, Educ., Info and Research (Kheir)
Latino Kids Health
Los Angeles Christian Health Centers
Los Angeles Community Clinic Inc.
Los Angeles Gay and Lesbian Center
Mission City Community
Northeast Community Clinic (Necc)
Northeast Valley Health
Pomona Community Health Center
Queenscare Family Clinic
Roads Foundation Inc.
Saint Anthony Medical Centers, Inc.
Samuel Dixon Family Health Center
San Fernando Community Health Center
South Bay Family Healthcare Center
South Central Family Health
Southern California Medical Center
St. John's Well Child and Family Center
T.H.E. Clinic
The Achievable Foundation
The Los Angeles Free Clinic
United American Indian Involvement
Universal Community Health Center
University Muslim Medical Association Community Cl
Valley Community Clinic
Venice Family Clinic
Watts Healthcare Corporation
Westside Family Health Center
White Memorial Medical Center
Wilmington Community Clinic
Yehowa Medical Services

Madera County
Population Group: Low Income/Migrant
Population Group: Low Income/Migrant
Facility: Adventist Health Community
Facility: Adventist Health Community
Facility: Adventist Health Community
Page 20 of 222

Farmworker - MSSA 80/Madera
Farmworker-MSSA 79.2/Chowchilla
Care - Madera Ranchos
Care - Oakhurst
Care - Oakhurst East

Facility: Charlie Mitchell Children Clinic
Facility: Darin Camarena Health Center
Marin County
Facility:
Facility:
Facility:
Facility:

Coastal Health Alliance
Marin City Health and Wellness Center
Marin Community Clinic
Ritter Center

Mariposa County
Facility: John C Fremont Healthcare District Northside Clini
Facility: John C. Fremont Healthcare Clinic
Facility: John C. Fremont Healthcare Clinic II
Mendocino County
Service Area: MSSA 87.1/Boonville
Service Area: MSSA 93.3/Potter Valley
Population Group: Low Income/Migrant Farmworker/Homeless-MSSA
93.1/Ukiah
Facility: Anderson Valley Health Center Inc.
Facility: Consolidated Tribal Health Project, Inc.
Facility: Fort Bragg Rural Health Center
Facility: Long Valley Health Center
Facility: Mendocino Coast Clinics, Inc.
Facility: Mendocino Community
Facility: Redwood Coast Medical Center
Facility: Redwood Medical Clinic
Facility: Round Valley Indian Health Center
Facility: Ukiah Valley Primary Care/Adventist Health-North State
Merced County
Service Area: MSSA 25/Firebaugh/Mendota
Population Group: Low Income - MSSA 95/Ballico
Facility: Castle Family Health Center
Facility: Golden Valley Health Center
Facility: Livingston Community Health Services
Facility: USP-Atwater
Modoc County
Service Area: MSSA 73/100 - Bieber/Adin
Facility: Canby Family Practice Clinic
Facility: Modoc Medical Center
Facility: Surprise Valley Medical Clinic
Mono County
Facility: Mammoth Hospital
Monterey County
Population Group: Low Income - MSSA 105/King City
Population Group: Low Income/Migrant Farmworker - MSSA 108 (Carmel
Valley)
Population Group: Low Income/Migrant Farmworker - MSSA 109.2/Salinas
Facility: Clinica De Salud Del Valle
Facility: Monterey County Health Department
Napa County
Facility: Community Health Clinic Ole
Page 21 of 222

Nevada County
Facility: Chapa-De Indian Health Program-Grass Valley
Orange County
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Central City Community Health Centers - Anaheim
Families Together of Orange County
Friends of Family Health Center
Hurtt Family Health Clinic, Inc.
Korean Community Services, Inc.
Livingstone Community Development Corporation
Mission Hospital's Camino Health Center
Nhan Hoa Comprehensive Health Care Clinic, Inc.
North Orange County Regional Health Foundation
Serve the People, Inc.
Share Our Selves (Sos)
St. Jude Neighborhood Health Centers
University of California-Irvine Family Health
Vietnamese Community of Orange County

Placer County
Population Group: Low Income-MSSA 117 Dollar Point
Facility: Chapa De Indian Health Program, Inc.
Plumas County
Facility:
Facility:
Facility:
Facility:

Eastern Plumas Health Care Graeagle Medical Clinic
Eastern Plumas Health Care-Indian Valley Medical C
Eastern Plumas Health Care-Portola Medical Clinic
Plumas Rural Health Center

Riverside County
Population Group: Low Income-MSSA 126/127/Blythe/Desert Center
Facility: Centro Medico Community Clinic, Inc.
Facility: Community Health Systems, Inc.
Facility: County of Riverside
Facility: Riverside-San Bernadino County Indian Health
Facility: Torres-Martinez Indian Health Council
Facility: Urban Community Action Projects
Sacramento County
Facility: California Rural Indian Health Board, Inc.
Facility: Center for AIDS Research, Education and Services
Facility: Elica Health Centers
Facility: Lodi Health Physicians Galt Family and Specialty Care
Facility: Sacramento Community Clinic
Facility: Sacramento County Department of Health
Facility: Sacramento Native American Health Center, Inc.
Facility: The Effort
San Benito County
Facility: San Benito Health Foundation
San Bernardino County
Population Group: Low Income-MSSA 146/Big Bear Lake
Population Group: Low Income-MSSA 149/Barstow
Facility: Chemehuevi Tribe
Facility: Federal Correctional Complex-Victorville
Page 22 of 222

Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Hi-Desert Memorial Health Care District
Inland Behavioral and Health Services
San Bernardino County Health Center
Sean R. Thomas, MD
Social Action Community Health System
Tri-State Community Healthcare Center
Unicare Community Health Center, Inc.

San Diego County
Population Group: Low Income - MSSA 161C/Golden Hill/Logan Heights
Population Group: Low Income-MSSA 159/Campo/Jacumba
Facility: Borrego Community Health Foundation
Facility: Campo Clinic
Facility: Family Health Centers of San Diego
Facility: Immigration and Customs Enforcement-Otay Mesa Detention
Center/San Diego
Facility: Imperial Beach Community Clinic
Facility: Indian Health Council, Inc.
Facility: La Maestra Family Clinic
Facility: Metropolitan Correctional Center-San Diego
Facility: Mountain Health
Facility: Neighborhood Healthcare/Escondido
Facility: North County Health Project, Inc.
Facility: Operation Samahan, Inc.
Facility: San Diego American Indian Health Center
Facility: San Diego Family Care
Facility: San Ysidro Health Center
Facility: Southern Indian Health Council
Facility: St. Vincent De Paul Village
Facility: The Sycuan Band of the Kumeyaay Nation
Facility: Vista Community Clinic
San Francisco County
Facility: Asian and Pacific Islander Wellness Center, Inc.
Facility: Healthright 360
Facility: Mission Neighborhood Health Center
Facility: Northeast Medical Services
Facility: San Fransico Community Clinic Consortium
Facility: South of Market Health Center
San Joaquin County
Facility: Community Medical Centers, Inc.
San Luis Obispo County
Population Group: Low Income - MSSA 172/San Luis Obispo
Population Group: Low Income/Migrant Farmworker - MSSA 173/El Paso De
Robles
Facility: Community Health Centers of the Central Coast, Inc.
San Mateo County
Facility: San Mateo County Health Services Agency
Facility: South County Community Health Center
Santa Barbara County
Facility: American Indian Health and Services Corporation
Facility: Santa Barbara County Public Health Department
Facility: Santa Barbara Neighborhood Clinics
Page 23 of 222

Facility: Santa Ynez Band of Mission Indians
Facility: USP-Lompoc
Santa Clara County
Facility: Asian Americans for Community Involvemen
Facility: Gardner Family Health
Facility: Indian Health Center of Santa Clara
Facility: Mayview Community Health Center
Facility: San Jose Foothills Family Community Clinic
Facility: Santa Clara Valley Health and Hospital
Facility: School Health Clinics of San Jose
Santa Cruz County
Facility: County of Santa Cruz Health Services
Facility: Salud Para La Gente
Shasta County
Service Area: MSSA 187/Castella
Service Area: MSSA 188.1/Big Bend
Population Group: Low Income - MSSA 188.2/Shingletown
Population Group: Low Income - MSSA 189.2/Redding
Population Group: Low Income - MSSA 189.3/Bella Vista
Population Group: Low Income/Migrant Farmworker/Homeless - MSSA 186/
Facility: Hill Country Community Clinic
Facility: Pit River Health Services
Facility: Redding Rancheria Health Clinic
Facility: Shasta Community Health Center
Facility: Shingletown Medical Center
Sierra County
Facility: Eastern Plumas Health Care-Loyalton Medical Clinic
Facility: Western Sierra Medical Clinic
Siskiyou County
Service Area: MSSA 196 and 200/Tulelake/Dorris
Service Area: MSSA 199 McCloud
Population Group: Low Income-MSSA 197/198-Weed/Dunsmuir
Facility: Fairchild Medical Group, Inc.
Facility: Karuk Tribe of California
Facility: McCloud Healthcare Clinic
Facility: Mercy Lake Shastina Community Clinic
Facility: Mercy Mt. Shasta Community Clinic
Facility: Pine Street Clinic
Facility: Quartz Valley Indian Reservation
Solano County
Facility: Solano County Health and Social Services
Sonoma County
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Page 24 of 222

Alliance Medical Center
Copper Towers Family Medical Clinic
Petaluma Health Center
Santa Rosa Community Health Centers
Sonoma County Indian Health
Sonoma Valley Community Health Center
West County Health Centers, Inc.

Stanislaus County
Facility: Del Puerto Health Center
Facility: Oakdale Community Health Center
Facility: Stanislaus County
Sutter County
Facility: Ampla Health (Formerly) Del Norte Clinics, Inc.
Tehama County
Service Area: MSSA 219/Paskenta
Service Area: MSSA 220/Dairyville
Population Group: Low Income/Migrant Farmworker-MSSA 221/222 Red
Bluff/Corning
Facility: "Dignity Health Solano Street Medical Clinic"
Facility: Corning Rural Health Clinic
Facility: Greenville Rancheria Tribal Health Program-Red Blu
Facility: James Ooi, MD
Facility: Northern Valley Indian Health Inc. - Dental
Facility: Rolling Hills Clinic
Trinity County
Population Group: Low Income - MSSA 225/Hayfork
Population Group: Low Income - MSSA 226/Mad River/Ruth/Zenia
Population Group: Low Income-MSSA 223 and 224/Junction City/Weaverville
Facility: Southern Trinity Health Services
Facility: Trinity Community Health Clinic
Tulare County
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Adventist Health Community Care - Dinuba
Adventist Health Community Care - Dinuba Plaza
Adventist Health Community Care - Dinuba West
Adventist Health Community Care - Orosi
Altura Centers for Health
Family Healthcare Network
Lindsay Family and Pediatrics Clinic
San Joaquin Prime Car Medical Corporation-Farmersville
San Joaquin Prime Care Medical Corporation-Exeter
Sequoia Family Medical Center
Tulare County Health
Tule River Indian Health Program

Tuolumne County
Population Group: Low Income-MSSA 234.2 and 236 - Sonora/Phoenix Lake
Facility: Forest Road Health and Wellness Center
Facility: M.A.C.T. Health Board, Inc.
Facility: Mathiesen Memorial Health Clinic
Facility: Tuolumne Me-Wuk Indian Health Center
Ventura County
Population Group: Low Income-MSSA 241A/Oxnard
Population Group: Low Income/Migrant Farmworker-MSSA 237/Santa Paula
Population Group: Low Income/Migrant Farmworker-MSSA 241B/Oxnard North
Central
Facility: Clinicas Del Camino
Facility: Ventura County Public Healthcare Agency
Yolo County
Page 25 of 222

Facility: Communicare Health Center
Facility: Northern Valley Indian Health-Woodland
Facility: Winters Healthcare Foundation
Yuba County
Service Area: MSSA 247/Browns Valley
Facility: Harmony Health Medical Clinic and Family Resource Center
Facility: Peach Tree Clinic

Page 26 of 222

DENTAL HEALTH: Colorado
County and County Equivalent Listing
Adams County
Population Group: Low Income - Adams West
Population Group: Low Income - North West Aurora
Facility: Regents of the University of Colorado
Alamosa County
Population Group: Low Income-Alamosa County
Facility: Valley-Wide Health Services
Arapahoe County
Population Group: Low Income - North West Aurora
Facility: Metro Community Provider Network
Archuleta County
Population Group: Low Income-Archuleta County
Bent County
Service Area: Bent County
Boulder County
Facility: Clinica Campesina
Chaffee County
Population Group: Low Income - Chaffee County
Cheyenne County
Service Area: Cheyenne County
Conejos County
Population Group: Low Income-Conejos County
Costilla County
Service Area: Costilla County
Crowley County
Service Area: Crowley County
Facility: Arkansas Valley Correctional Facility
Custer County
Service Area: Custer County
Delta County
Population Group: Low Income - Delta County
Denver County
Population Group: Low Income - North West Aurora
Facility: Colorado Coalition for the Homeless
Facility: Denver Health and Hospital
Facility: Denver Indian Health and Family Services
Facility: Denver Reception and Diagnostic Center
Facility: La Clinica Tepeyac
Facility: Ofac Inner City Health Center
Dolores County
Page 27 of 222

Facility: Dolores County Health Association
El Paso County
Population Group: Low Income - Colorado Springs
Facility: Peak Vista Communith Health Centers, Inc.
Elbert County
Service Area: Elbert County
Fremont County
Population Group: Low Income - Fremont County
Facility: Button Family Practice, P.C.
Facility: Centennial Correctional Facility
Facility: Colorado State Penitentiary
Facility: Federal Correctional Complex-Florence
Facility: Fremont Correctional Facility
Garfield County
Service Area: Western Garfield
Gilpin County
Service Area: Gilpin County
Facility: Mountain Family Health Center
Grand County
Service Area: Grand County
Gunnison County
Population Group: Low Income - Gunnison
Hinsdale County
Service Area: Hinsdale County
Facility: Lake City Area Medical Center
Huerfano County
Population Group: Low Income-Huerfano County
Jackson County
Service Area: Jackson County
Kiowa County
Service Area: Kiowa County
Facility: Eads Medical Clinic
Kit Carson County
Population Group: Low Income - Kit Carson County
La Plata County
Service Area: La Plata County
Facility: Southern Ute Health Center
Facility: Southwest Colorado Mental Health Center, Inc.
Lake County
Service Area: Lake County
Larimer County
Population Group: Low Income - Fort Collins Northern Service Area
Page 28 of 222

Las Animas County
Population Group: Low Income-Las Animas County
Facility: Trindidad Area Health Association Dba Mt. San Rafael Hospital
Lincoln County
Facility: Limon Correctional Facility
Logan County
Population Group: Low Income-Logan County
Facility: Sterling Correctional Facility
Mesa County
Population Group: Low Income - Mesa County
Facility: Marillac Clinic, Inc.
Mineral County
Population Group: Low Income-Mineral County
Moffat County
Facility: Northwest Colorado Community Health Center
Montezuma County
Population Group: Low Income - Montezuma County
Facility: Cortez Primary Care Clinic
Facility: Mancos Valley Health Center
Facility: Southwest Memorial Primary Care
Facility: Southwest Walk-in Care
Facility: Ute Mountain Ute Health Program
Montrose County
Service Area: Western San Miguel and Western Montrose
Population Group: Low Income - Eastern Montrose
Facility: Olathe Community Clinic
Morgan County
Population Group: Low Income-Morgan County
Otero County
Population Group: Low Income - Otero County
Park County
Service Area: Park County
Phillips County
Service Area: Phillips County
Prowers County
Population Group: Low Income-Prowers County
Facility: High Plains Community Health Center
Pueblo County
Population Group: Low Income-Pueblo County
Facility: CF-La Vista Correctional Facility
Facility: Pueblo Community Health Center
Rio Blanco County
Page 29 of 222

Service Area: Rio Blanco East
Rio Grande County
Population Group: Low Income-Rio Grande County
Saguache County
Service Area: Saguache County
San Juan County
Service Area: San Juan County
San Miguel County
Service Area: Western San Miguel and Western Montrose
Facility: Uncompahgre Combined Community Health Center
Sedgwick County
Population Group: Low Income - Sedgwick County
Summit County
Facility: Summit Community Care Clinic
Teller County
Population Group: Low Income - Cripple Creek
Washington County
Population Group: Low Income-Washington County
Facility: Akron Clinic
Weld County
Population Group: Low Income - Weld County
Facility: Plan De Salud Del Valle
Facility: Sunrise Community Health
Yuma County
Population Group: Low Income - Yuma County
Facility: Yuma Clinic

Page 30 of 222

DENTAL HEALTH: Connecticut
County and County Equivalent Listing
Fairfield County
Population Group: Low Income - Bridgeport
Population Group: Low Income - Danbury
Population Group: Low Income - Norwalk
Population Group: Low Income - Southend Stamford
Facility: Connecticut Institute for Communities, Inc.
Facility: Family Centers
Facility: Norwalk Community Health Center
Facility: Optimus Health Care, Inc.
Hartford County
Population Group: Low Income - Bristol Service Area
Population Group: Low Income - Central New Britain
Population Group: Low Income - East Hartford
Population Group: Low Income - Hartford
Population Group: Low Income - Manchester Service Area
Facility: Charter Oak Health Center, Inc.
Facility: Community Health Services, Inc.
Facility: First Choice Health Centers
Litchfield County
Population Group: Low Income-Torrington
Facility: Community Health and Wellness of Gtr Torrington
Middlesex County
Population Group: Low Income - Central Middletown
Facility: Southwest Community Health Center
New Haven County
Population Group: Low Income - Ansonia
Population Group: Low Income - Meriden
Population Group: Low Income - New Haven/West Haven
Facility: Cornell Scott-Hill Health Corporation
Facility: Fair Haven Community Health
Facility: Staywell Health Center, Inc.
New London County
Population Group: Low Income - Groton
Population Group: Low Income - New London
Population Group: Low Income - Norwich
Facility: Mashantuckey Pequot Tribal Nation
Tolland County
Population Group: Low Income - Mansfield
Windham County
Population Group: Low Income - Town of Windham
Facility: Generations Family Health

Page 31 of 222

DENTAL HEALTH: Delaware
County and County Equivalent Listing
Kent County
Population Group: Low Income-Kent County
New Castle County
Population Group: Low Income-Wilmington/New Castle County Sub County
Facility: CF-Baylor Women's Correctional Institution
Facility: CF-Howard Young Correctional Institution
Facility: CF-Vaughn Correctional Center
Facility: Henrietta Johnson Medical
Facility: Westside Health Services
Sussex County
Population Group: Low Income-Sussex County
Facility: CF-Sussex Correctional Institution
Facility: La Red Health Center, Inc.

Page 32 of 222

DENTAL HEALTH: District of Columbia
County and County Equivalent Listing
District of Columbia
Population Group: Homeless - Downtown D.C.
Population Group: Low Income-Anacostia
Facility: Bread for the City, Inc.
Facility: Community of Hope
Facility: Elaine Ellis Center of Health
Facility: Family and Medical Counseling Services, Inc.
Facility: La Clinica Del Pueblo
Facility: Mary's Center for Maternal and Child Care
Facility: Spanish Catholic Center
Facility: Unity Health Care, Inc.
Facility: Whitman Walker Clinic

Page 33 of 222

DENTAL HEALTH: Florida
County and County Equivalent Listing
Alachua County
Population Group: Low Income - Alachua County
Facility: Children's Medical Center @ Alachua
Baker County
Population Group: Low Income - Baker County
Facility: Baker Correctional Institution
Facility: Children's Medical Center-Glen St. Mary
Bay County
Population Group: Low Income-Bay County
Facility: Pancare of Florida, Inc.
Bradford County
Population Group: Low Income-Bradford County
Brevard County
Population Group: Low
Population Group: Low
Population Group: Low
Facility: The Brevard

Income - Merritt Island
Income - Titusville/Rockledge
Income-Melbourne/Palm Bay
Health Alliance, Inc.

Broward County
Population Group: Low Income - Ft. Lauderdale
Population Group: Low Income - Pompano Beach
Population Group: Low Income-Davie
Population Group: Low Income-South Broward
Facility: Broward Community and Family Health Center
Facility: North Broward Hospital District/Homeless
Facility: Seminole Tribe of Florida-Health Admin
Calhoun County
Population Group: Low Income/Migrant Farmworker-Calhoun County
Facility: Calhoun Correctional Institution
Charlotte County
Population Group: Low Income - Port Charlotte
Facility: Charlotte Correctional Institution
Citrus County
Population Group: Low Income - Citrus County
Collier County
Population Group: Low Income - East Naples
Population Group: Low Income/Migrant Farmworker-Immokalee/Everglades
Facility: Collier Health Service
Facility: Immokalee Health Center
Columbia County
Population Group: Low Income-Columbia County
Facility: Children's Medical Center - Lake City
Facility: Columbia Correctional Institution
DeSoto County
Page 34 of 222

Population Group: Low Income/Migrant Farmworker - Desoto County
Facility: Desoto Correctional Institution
Dixie County
Service Area: Dixie County
Facility: Cross City Correctional Institution
Duval County
Population Group: Low Income - Atlantic Beach
Population Group: Low Income - Baldwin
Population Group: Low Income - East Jacksonville
Population Group: Low Income - South Jacksonville
Population Group: Low Income - West Jacksonville
Population Group: Low Income-Jacksonville
Facility: Duval County Health Department
Facility: I.M. Sulzbacher Center for the Homeless
Escambia County
Population Group: Low Income-Escambia County
Facility: Century Correctional Institution
Facility: Escambia Community Clinics Inc.
Flagler County
Population Group: Low Income - Flagler County
Franklin County
Population Group: Low Income - Franklin County
Facility: Franklin Correctional Institution
Gadsden County
Population Group: Low Income/Migrant Farmworker - Gadsden County
Gilchrist County
Population Group: Low Income-Gilchrist County
Facility: Lancaster Correctional Institution
Facility: Trenton Medical Center
Glades County
Population Group: Low Income-Glades County
Facility: Brighton Health Center
Gulf County
Population Group: Low Income-Gulf County
Facility: Gulf Correctional Institution
Hamilton County
Population Group: Low Income/Migrant Farmworker - Hamilton County
Facility: Hamilton Correctional Institution
Hardee County
Population Group: Low Income/Migrant Farmworker-Hardee County
Facility: Hardee Correctional Institution
Hendry County
Population Group: Low Income/Migrant Farmworker - Hendry County
Facility: Big Cypress Indian Health Service Center
Facility: Urgent and Convenient Care Center
Page 35 of 222

Hernando County
Population Group: Low Income-Hernando County
Facility: Hernando Correctional Institution
Highlands County
Population Group: Low Income/Migrant Farmworker - Highlands County
Facility: Avon Park Correctional Institution
Facility: Central Florida Health
Facility: Family Practice Center of Avon Park
Hillsborough County
Population Group: Low Income - East Tampa/Ybor City
Population Group: Low Income - Egypt Lake
Population Group: Low Income - Plant City/Dover
Population Group: Low Income - Port of Tampa
Population Group: Low Income-Southwest Hillsborough
Population Group: Low Income-Suitcase City
Facility: Suncoast Community Health Centers
Facility: Tampa Family Health Centers, Inc.
Holmes County
Population Group: Low Income - Holmes County
Indian River County
Population Group: Low Income - Fellsmere
Population Group: Low Income - Vero Beach
Facility: Treasure Coast Community Health Center
Jackson County
Population Group: Low Income - Jackson County
Facility: Jackson Correctional Institution
Jefferson County
Service Area: Jefferson County
Facility: Jefferson Correctional Institution
Lafayette County
Population Group: Low Income-Lafayette County
Facility: Mayo Correctional Institution
Lake County
Population Group: Low Income - Lake County
Lee County
Population Group: Low Income-Lee County
Facility: Family Health Centers of Southwest Florida
Leon County
Population Group: Low Income-Leon County
Facility: Bond Community
Facility: Neighborhood Medical Center
Facility: North Florida Medical Centers, Inc.
Levy County
Population Group: Low Income-Levy County
Facility: Chiefland Medical Center, Inc.
Page 36 of 222

Liberty County
Population Group: Low Income-Liberty County
Madison County
Population Group: Low Income-Madison County
Facility: Madison Correctional Institution
Manatee County
Population Group: Low Income-Bradenton
Population Group: Low Income-Palmetto/Parrish
Facility: Manatee County Rural Health Services, Inc.
Marion County
Population Group: Low Income/Migrant Farmworker - Marion County
Facility: Heart of Florida Health Center, Inc.
Facility: Lowell Annex Correctional Institution
Martin County
Facility: Martin Correctional Institution
Miami-Dade County
Population Group: Low Income - Hialeah
Population Group: Low Income - Little Havana
Population Group: Low Income - North Miami
Population Group: Low Income - Sweetwater
Population Group: Low Income-Biscayne Park
Population Group: Low Income-Golden Glades
Population Group: Low Income-Homestead
Population Group: Low Income-Liberty City
Population Group: Low Income-Norland
Population Group: Low Income-North Beach
Population Group: Low Income-North Miami Beach
Population Group: Low Income-Opa Locka
Population Group: Low Income-South Beach
Population Group: Low Income-West Perrine
Population Group: Low Income-Wynwood
Facility: Banyan Community Health Center
Facility: Borinquen Healthcare
Facility: Camillus Health Concern, Inc.
Facility: Center for Family and Child Enrichment
Facility: Citrus Health Network, Inc.
Facility: Community AIDS Resource/Dba Care Resourse
Facility: Community Health South Florida, Inc.
Facility: Dade Correctional Institution
Facility: Empower U, Incorporated
Facility: Federal Correctional Institution - Miami
Facility: Federal Detention Center-Miami
Facility: Jessie Trice Community Health Center, Inc.
Facility: Miami Beach Community Health Center
Facility: Miccosukee Tribe of Indians of Florida
Monroe County
Facility: Rural Health Network of Monroe County Florida, Inc.
Okaloosa County
Population Group: Low Income - North Okaloosa
Page 37 of 222

Facility: Okaloosa Correctional Institution
Okeechobee County
Facility: Okeechobee Correctional Institution
Orange County
Population Group: Low Income - Alafaya
Population Group: Low Income - Apopka
Population Group: Low Income - North Winter Park
Population Group: Low Income - Parramore
Population Group: Low Income - Pine Hills
Population Group: Low Income - Southwest Orange
Population Group: Low Income - Winter Garden/Ocoee
Population Group: Low Income-Hoffner
Population Group: Low Income-South Winter Park
Facility: Central FL Correctional Institution
Facility: Community Health Centers, Inc.
Facility: Health Care Center for the Homeless, Inc.
Palm Beach County
Population Group: Low Income - Belle Glade
Population Group: Low Income-Boynton Beach
Population Group: Low Income-West Palm Beach
Facility: Florida Community Health Centers, Inc.
Facility: Foundcare Health Center
Facility: Genesis Community Health
Facility: Health Care District of Palm Beach County
Pasco County
Population Group: Low Income-Pasco County
Facility: Premier Community Health Care Group
Facility: Zephyrhills Correctional Institution
Pinellas County
Population Group: Low Income-Bayview
Population Group: Low Income-Clearwater
Population Group: Low Income-Largo
Population Group: Low Income-Pinellas Park
Population Group: Low Income-St Pete
Population Group: Low Income-Tarpon Springs
Facility: Community Health Centers of Pinellas
Facility: Pinellas County Board of County Commissioners/Huma
Polk County
Population Group: Low Income-East Polk
Population Group: Low Income-West Polk County
Facility: Polk Correctional Institution
Putnam County
Population Group: Low Income-Putnam County
Facility: Rural Healthcare, Inc.
Santa Rosa County
Population Group: Low Income - North Santa Rosa
Facility: Santa Rosa Correctional Institution
Sarasota County
Page 38 of 222

Population Group: Low Income-North Port/South Venice
Population Group: Low Income-Sarasota Service Area
Seminole County
Population Group: Low Income-South Winter Park
Facility: Central Florida Family Health Center
St. Johns County
Population Group: Low Income-West St. Johns County
St. Lucie County
Population Group: Low Income/Migrant Farmworker-St. Lucie County
Sumter County
Population Group: Low Income - Sumter
Facility: Federal Correctional Complex-Coleman
Facility: Sumter Correctional Institution
Facility: Thomas Langley Medical Center
Suwannee County
Population Group: Low Income-Suwannee County
Facility: Children's Medical Center @ Live Oak
Taylor County
Population Group: Low Income - Taylor County
Facility: Little Pine Pediatrics, PLLC
Facility: Taylor Correctional Institution
Union County
Population Group: Low Income-Union County
Facility: Lake Butler Family and Pediatric Clinic
Facility: Union Chd/New River Community Health Care Center
Volusia County
Population Group: Low Income/Migrant Farmworker-Volusia County
Facility: CF - Tomoka
Facility: Northeast Florida Health Services
Wakulla County
Service Area: Wakulla County
Facility: Wakulla Correctional Institution
Walton County
Population Group: Low Income - Walton County
Facility: Walton Correctional Institution
Washington County
Population Group: Low Income-Washington County
Facility: Northwest Florida Reception Center

Page 39 of 222

DENTAL HEALTH: Georgia
County and County Equivalent Listing
Appling County
Population Group: Low Income - Appling County
Facility: Appling Medical Group
Facility: South GA Medical Associates
Atkinson County
Service Area: Atkinson County
Bacon County
Population Group: Low Income-Bacon County
Baker County
Service Area: Baker County
Baldwin County
Population Group: Low Income - Baldwin County
Facility: CF-Baldwin State Prison
Banks County
Population Group: Low Income-Banks County
Barrow County
Population Group: Low Income - Barrow County
Bartow County
Population Group: Low Income - Bartow County
Ben Hill County
Population Group: Low Income - Ben Hill County
Berrien County
Population Group: Low Income - Berrien County
Bibb County
Facility: First Choice Primary Care, Inc.
Bleckley County
Population Group: Low Income - Bleckley County
Brantley County
Population Group: Low Income - Brantley County
Brooks County
Population Group: Low Income - Brooks County
Burke County
Service Area: Burke County
Facility: Burke County Hospital
Butts County
Population Group: Low Income - Butts County
Calhoun County
Population Group: Low Income-Calhoun County
Page 40 of 222

Camden County
Population Group: Low Income - Camden County
Candler County
Service Area: Candler County
Carroll County
Facility: West Carroll Family Health Care Center
Catoosa County
Population Group: Low Income - Catoosa County
Facility: North Georgia Healthcare Center, Inc.
Charlton County
Service Area: Charlton County
Chatham County
Population Group: Low Income - Northwest Savannah
Population Group: Low Income-West Savannah
Facility: Coastal State Prison
Facility: Curtis V Cooper Primary Health Care Inc.
Facility: J C Lewis Primary Health Care Center, Inc.
Chattahoochee County
Service Area: Chattahoochee County
Chattooga County
Population Group: Low Income - Chattooga County
Clarke County
Facility: Athens Neighborhood Health Center, Inc. (Anhc)
Clay County
Service Area: Clay County
Clayton County
Population Group: Low Income - Clayton County
Clinch County
Service Area: Clinch County
Cobb County
Facility: Good Samaritan Health Center of Cobb, Inc.
Coffee County
Population Group: Low Income - Coffee County
Facility: Coffee Regional First Care
Colquitt County
Service Area: Colquitt County
Facility: Colquitt Regional Medical Center Primary Care
Facility: Kirk Clinic, LLC
Crawford County
Service Area: Crawford County
Page 41 of 222

Crisp County
Population Group: Low Income - Crisp County
Facility: Georgia Department of Community Health Services
Dade County
Population Group: Low Income-Dade County
Facility: Primary Health Care Centers of Dade
Decatur County
Service Area: Decatur County
DeKalb County
Facility: Meridian Educational Resource Group
Facility: Oakhurst Medical Centers, Inc.
Dodge County
Facility: Dodge State Prison
Dooly County
Population Group: Low Income - Dooly County
Dougherty County
Population Group: Low Income - Dougherty County
Facility: Albany Area Primary Health Care
Douglas County
Population Group: Low Income - North Douglas
Early County
Population Group: Low Income - Early County
Facility: Primary Care of Southwest Georgia, Inc.
Echols County
Service Area: Echols County
Effingham County
Service Area: Effingham County
Elbert County
Population Group: Low Income - Elbert County
Facility: Medical Center of Elberton, LLC
Emanuel County
Service Area: Emanuel County
Facility: East Georgia Healthcare Center, Inc.
Evans County
Population Group: Low Income-Evans County
Fannin County
Population Group: Low Income - Fannin County
Facility: Georgia Mountains Health Services
Floyd County
Population Group: Low Income - Floyd County
Forsyth County
Page 42 of 222

Facility: Georgia Highlands Community Health Center
Franklin County
Population Group: Low Income - Franklin County
Fulton County
Population Group: Low Income - West Atlanta
Facility: Health Education, Assessment and Leadership Inc.
Facility: Palmetto Health Council, Inc.
Facility: Southside Medical Center
Facility: St. Joseph's Mercy Care Services
Facility: USP-Atlanta
Facility: West End Medical Centers, Inc.
Gilmer County
Population Group: Low Income - Gilmer County
Glascock County
Service Area: Glascock County
Glynn County
Population Group: Low Income - Glynn County
Facility: Coastal Georgia Community Health Services
Gordon County
Population Group: Low Income - Gordon County
Grady County
Population Group: Low Income-Grady County
Greene County
Population Group: Low Income-Greene County
Facility: Tender Care Clinic
Gwinnett County
Facility: Center for Pan Asian Community Services, Inc.
Facility: Four Corners Primary Care Center
Habersham County
Population Group: Low Income-Habersham County
Facility: Lee Arrendale State Prison
Hancock County
Service Area: Hancock County
Haralson County
Population Group: Low Income - Haralson County
Facility: Tallapoose Family Healthcare
Facility: Tmc Buchanan Family Healthcare Center
Facility: Tmc Haralson Family Healthcare Center
Hart County
Population Group: Low Income - Hart County
Heard County
Population Group: Low Income - Heard County
Facility: Tanner Family Healthcare of Franklin
Page 43 of 222

Henry County
Population Group: Low Income-West Henry County
Irwin County
Facility: South Central Health Center
Jasper County
Population Group: Low Income - Jasper County
Jeff Davis County
Service Area: Jeff Davis County
Jefferson County
Population Group: Low Income-Jefferson County
Jenkins County
Service Area: Jenkins County
Facility: Jenkins County Family Medicine
Johnson County
Service Area: Johnson County
Facility: Community Health Care Systems, Inc.
Facility: Johnson State Prison
Jones County
Population Group: Low Income - Jones County
Lamar County
Population Group: Low Income - Lamar County
Lanier County
Population Group: Low Income - Lanier County
Laurens County
Population Group: Low Income - Laurens County
Lee County
Service Area: Lee County
Liberty County
Population Group: Low Income - Liberty County
Facility: Diversity Health Center, Inc.
Lincoln County
Population Group: Low Income - Lincoln County
Long County
Service Area: Long County
Lumpkin County
Population Group: Low Income - Lumpkin County
Macon County
Service Area: Macon County
Madison County
Page 44 of 222

Population Group: Low Income - Madison County
Facility: Medlink Georgia, Inc.
Marion County
Service Area: Marion County
McIntosh County
Population Group: Low Income - McIntosh County
Meriwether County
Population Group: Low Income - Meriwether County
Miller County
Population Group: Low Income - Miller County
Mitchell County
Population Group: Low Income - Mitchell County
Monroe County
Population Group: Low Income - Monroe County
Montgomery County
Service Area: Montgomery County
Murray County
Population Group: Low Income - Murray County
Muscogee County
Population Group: Low Income - Muscogee County
Facility: Valley Healthcare System
Newton County
Population Group: Low Income - Newton County
Oglethorpe County
Population Group: Low Income - Oglethorpe County
Peach County
Population Group: Low Income-Peach County
Pickens County
Facility: Good Samaritan Health and Wellness Center
Pierce County
Population Group: Low Income-Pierce County
Pike County
Population Group: Low Income - Pike County
Polk County
Population Group: Low Income - Polk County
Pulaski County
Service Area: Pulaski County
Putnam County
Population Group: Low Income-Putnam County
Page 45 of 222

Quitman County
Service Area: Quitman County
Randolph County
Service Area: Randolph County
Richmond County
Facility: Christ Community Health Services Augusta, Inc.
Facility: Neighborhood Improvement Project, Inc.
Schley County
Service Area: Schley County
Screven County
Population Group: Low Income - Screven County
Seminole County
Population Group: Low Income/Migrant Seasonal Farmworkers - Seminole
County
Spalding County
Population Group: Low Income - Spalding County
Stewart County
Service Area: Stewart/Webster Counties
Facility: Immigration and Customs Enforcement-Stewart
Facility: Southwest Georgia Health Care
Sumter County
Population Group: Low Income - Sumter County
Talbot County
Population Group: Low Income-Talbot County
Taliaferro County
Service Area: Taliaferro County
Tattnall County
Service Area: Tattnall County
Facility: Rogers State Prison
Taylor County
Service Area: Taylor County
Telfair County
Service Area: Telfair County
Terrell County
Population Group: Low Income - Terrell County
Toombs County
Population Group: Low Income - Toombs County
Treutlen County
Service Area: Treutlen County
Page 46 of 222

Turner County
Population Group: Low Income - Turner County
Twiggs County
Population Group: Low Income - Twiggs County
Union County
Population Group: Low Income - Union County
Upson County
Service Area: Upson County
Walker County
Population Group: Low Income - Walker County
Walton County
Population Group: Low Income - Walton County
Ware County
Population Group: Low Income - Ware County
Facility: McKinney Community Health Center
Warren County
Service Area: Warren County
Washington County
Service Area: Washington County
Wayne County
Population Group: Low Income - Wayne County
Webster County
Service Area: Stewart/Webster Counties
Wheeler County
Service Area: Wheeler County
Whitfield County
Population Group: Low Income - Whitfield County
Wilcox County
Service Area: Wilcox County
Wilkes County
Population Group: Low Income - Wilkes County
Wilkinson County
Service Area: Wilkinson County
Worth County
Population Group: Low Income - Worth County

Page 47 of 222

DENTAL HEALTH: Hawaii
County and County Equivalent Listing
Hawaii County
Population Group: Low Income-Hawaii County
Facility: Bay Clinic
Facility: Hamakua Health Center
Facility: Kipuka O Ke Ola Five Mountains Hawaii Inc.
Facility: West Hawaii Community Health Center
Honolulu County
Population Group: Low Income - Kalihi-Palama
Facility: Castle Health Clinic of Laie
Facility: Federal Detention Center-Honolulu
Facility: Kalihi-Palama Health Center
Facility: Ko'Olauloa Community Health and Wellness
Facility: Kokua Kalihi Valley Comprehensive Family
Facility: The Wahiawa Center for Community Health
Facility: Waianae Coast Community Health Center
Facility: Waikiki Health Center
Facility: Waimanalo Health Center
Kauai County
Facility: Ho'Ola Lahui Hawai'I
Maui County
Service Area: Hana Haiku Area
Facility: Community Clinic of Maui
Facility: Hana Community Health Center
Facility: Lanai Community Health Center
Facility: Molokai General Hospital
Facility: Molokai Ohana Health Care, Inc.

Page 48 of 222

DENTAL HEALTH: Idaho
County and County Equivalent Listing
Ada County
Facility: Family Practice Residency of ID
Adams County
Population Group: Low Income-Adams and Valley Counties
Facility: Adams County Health Center
Bannock County
Population Group: Low Income - Bannock County
Facility: Health West, Inc.
Bear Lake County
Population Group: Low Income - Bear Lake County
Facility: Bear Lake Family Care and Ob-Gyn
Facility: Bear Lake Internal Medicine
Facility: Clay I Campbell, MD
Benewah County
Population Group: Low Income - Benewah County
Facility: Benewah Medical/Wellness Center
Facility: St Maries Family Medicine
Bingham County
Population Group: Low Income - Bingham County
Facility: First Choice Urgent Care and Medical Clinic
Facility: Idaho Physicians Clinic
Facility: Not-Tsoo Gah-Nee Indian Health Center
Facility: Physicians and Surgeons Clinic of Shelly
Facility: Shoshone-Bannock Tribes of the Fort Hall Reservation of Idaho
Blaine County
Service Area: Carey Division Blaine County
Boise County
Service Area: Boise County
Bonner County
Population Group: Low Income/Migrant Farmworker - Bonner County
Bonneville County
Population Group: Low Income - Bonneville County
Boundary County
Population Group: Low Income-Boundary County
Facility: Bonners Ferry Family Medicine
Facility: Boundary Community Health Clinic
Facility: Boundary Regional Community Health Center
Butte County
Population Group: Low Income - Butte County
Facility: Lost Rivers Medical Center Outpatient Clinic - Arc
Camas County
Service Area: Camas County
Page 49 of 222

Canyon County
Population Group: Low Income - Canyon County
Facility: Community Council of Idaho, Inc.
Facility: St. Alphonsus Medical Group - Elm
Facility: Terry Reilly Community Health Center
Caribou County
Population Group: Low Income-Caribou County
Cassia County
Population Group: Low Income - Cassia County
Clark County
Service Area: Clark County
Clearwater County
Population Group: Low Income-Clearwater County
Facility: Pioneer Medical Clinic
Custer County
Population Group: Low Income-Custer County
Facility: Challis Area Health Center
Facility: Lost Rivers Medical Center Outpatient Clinic - Mac
Facility: Salmon River Clinic
Elmore County
Population Group: Low Income - Elmore County
Facility: Desert Sage Health Centers
Facility: St. Luke's Clinic-Trinity Mountain
Franklin County
Population Group: Low Income/Migrant Seasonal Farmworkers - Franklin
Fremont County
Facility: Upper Valley Free Clinic
Gem County
Population Group: Low Income - Gem County
Facility: Emmett Medical Center
Gooding County
Population Group: Low Income-Gooding County Dental Health
Idaho County
Population Group: Low Income - Idaho County
Facility: Syringa Kooskia Clinic
Facility: Syringa Primary Care Clinic
Jefferson County
Population Group: Low Income - Jefferson County
Facility: Upper Valley Family Medicine
Jerome County
Population Group: Low Income/Migrant Farmworker - Jerome County
Facility: St. Luke's Clinic-Jerome Family Medicine
Page 50 of 222

Kootenai County
Population Group: Low Income - Kootenai County
Facility: Dirne Community Health Clinic
Latah County
Population Group: Low Income - Latah County
Facility: Kendrick Family Care
Facility: Moscow Medical
Facility: Potlatch Family Care
Lemhi County
Population Group: Low Income-Lemhi County
Facility: Steele Memorial Clinic
Lewis County
Population Group: Low Income - Lewis County
Lincoln County
Service Area: Lincoln County
Madison County
Population Group: Low Income - Madison County
Minidoka County
Population Group: Low Income-Migrant Farmworker Minidoka County
Facility: Minidoka Medical Center
Nez Perce County
Population Group: Low Income - Nez Perce County
Facility: Nimiipuu Health Center Nez Perce
Oneida County
Population Group: Low Income-Oneida County
Facility: Oneida County Clinic
Owyhee County
Service Area: Owyhee County
Payette County
Population Group: Low Income-Payette County
Facility: Valley Family Health Care
Power County
Population Group: Low Income-Power County
Facility: Power County Family Clinic
Shoshone County
Population Group: Low Income-Shoshone County
Teton County
Population Group: Low Income - Teton County
Facility: Driggs Health Center
Facility: Victor Health Clinic
Twin Falls County
Population Group: Low Income-Twin Falls County
Facility: Family Health Services
Page 51 of 222

Valley County
Population Group: Low Income-Adams and Valley Counties
Washington County
Population Group: Low Income - Washington County
Facility: Two Rivers Medical Clinic, PA

Page 52 of 222

DENTAL HEALTH: Illinois
County and County Equivalent Listing
Adams County
Population Group: Me-Adams County
Alexander County
Population Group: Me-Alexander and Pulaski Counties
Bond County
Population Group: Low Income-Bond County
Facility: Federal Correctional Institution - Greenville
Boone County
Population Group: Low Income - Belvidere
Brown County
Population Group: Low Income-Brown County
Facility: Quincy Medical Group-Mt. Sterling Rural Health
Facility: Western Illinois Correctional Center
Bureau County
Population Group: Low Income - Bureau/Putnam Counties
Calhoun County
Population Group: Me-Calhoun/Greene Counties
Carroll County
Population Group: Low Income - Carroll County
Cass County
Population Group: Low Income - Cass County
Facility: Cass County Health Department
Champaign County
Population Group: Low Income - Champaign County
Christian County
Service Area: Christian County
Clark County
Population Group: Me-Clark County
Facility: Cork Medical Center
Clay County
Population Group: Me-Clay County
Facility: Cch Medical Clinic
Facility: Louisiville Medical Clinic
Clinton County
Facility: CF - Centralia Correctional Center
Coles County
Population Group: Me - Coles County
Cook County
Population Group: Low Income - Albany Park
Page 53 of 222

Population Group: Low Income - Chicago - Southeast South
Population Group: Low Income - Chicago Midway Central
Population Group: Low Income - Chicago Midway East
Population Group: Low Income - Cottage Grove
Population Group: Low Income - Maywood/Cicero
Population Group: Low Income - Midsouth Area (Chicago)
Population Group: Low Income - Near South (Chicago)
Population Group: Low Income - Robbins/Markham
Population Group: Low Income - Southeast North (Chicago)
Population Group: Low Income - Southwest East
Population Group: Low Income - West Side (Chicago)
Population Group: Low Income-Near North (Chicago)
Facility: Access Community Health Network
Facility: Alivio Medical Center
Facility: American Indian Health Service of Chicago, Inc.
Facility: Asian Human Services Family Health Center
Facility: Aunt Martha's Youth Service, Inc.
Facility: Beloved Community Family Wellness Center
Facility: Centro De Salud Esperanza
Facility: Chicago Family Health
Facility: Christian Community Health Center
Facility: Community Health Partnership of Illinois
Facility: Community Nurse Health Association
Facility: Erie Family Health Center
Facility: Family Christian Health Center
Facility: Friend Family Health Center
Facility: Hamdard Center for Health and Human Services Nfp
Facility: Heartland Health Outreach
Facility: Heartland International Health Center
Facility: Inner City Muslim Action Network
Facility: Lawndale Christian Health Center
Facility: Legacy Medical Care, Inc.
Facility: Metropolitan Correctional Center-Chicago
Facility: Mile Square Community Health Center
Facility: Near North Health
Facility: Oak Park River Forest Infant Welfare Society
Facility: PCC Community Wellness Center
Facility: Primecare Community Health
Facility: TCA Health, Inc. (Altgeld Clinic)
Crawford County
Population Group: Me-Crawford County
Cumberland County
Population Group: Low Income - Cumberland County
Facility: Sbl - Neoga Clinic
De Witt County
Service Area: De Witt County
DeKalb County
Population Group: Low Income - Dekalb Township
Douglas County
Population Group: Low Income-Douglas County
Edgar County
Page 54 of 222

Population Group: Me-Edgar County
Edwards County
Population Group: Me-Edwards and Wabash Counties
Effingham County
Population Group: Me-Effingham County
Fayette County
Population Group: Me-Fayette County
Franklin County
Population Group: Me - Franklin County
Facility: Christopher Greater Area Rural Health Planning Corporation
Fulton County
Population Group: Me - Fulton County
Facility: Illinois River State Correctional Center
Gallatin County
Service Area: Gallatin County
Greene County
Population Group: Me-Calhoun/Greene Counties
Facility: Thomas H. Boyd Rural Health Clinic
Hamilton County
Population Group: Low Income - Hamilton County
Hancock County
Population Group: Me-Hancock County
Hardin County
Population Group: Low Income - Hardin/Pope Counties
Henderson County
Population Group: Me - Henderson/Warren Counties
Facility: Henderson County Rural Health
Henry County
Facility: Unitypoint Clinic Family Medicine - Geneseo
Jackson County
Population Group: Low Income - Jackson County
Facility: Community Health and Emergency Services
Jasper County
Population Group: Me-Richland/Jasper Counties
Jefferson County
Population Group: Me-Jefferson County
Facility: Big Muddy River Correctional Center
Johnson County
Population Group: Low Income - Johnson County
Facility: Shawnee Correctional Center
Page 55 of 222

Kane County
Population Group: Low Income - Aurora
Facility: Greater Elgin Family Care Center
Facility: Visiting Nurse Association of Fox Valley
Knox County
Population Group: Low Income - Knox County
Facility: Hill Correctional Center
Facility: Knox County Health Department
La Salle County
Population Group: Low Income-Lasalle County
Facility: CF - Sheridan Correctional Center
Lake County
Population Group: Low Income - Waukegan/Zion/Benton
Facility: Lake County Community Health Department and Commun
Lawrence County
Population Group: Low Income - Lawrence County
Facility: CF - Lawrence Correctional Center
Facility: Lawrence County Health Department
Lee County
Facility: CF - Dixon
Livingston County
Facility: Pontiac Correctional Center
Logan County
Population Group: Low Income-Lincoln Service Area
Facility: Logan Correctional Center
Macon County
Population Group: Low Income - Decatur
Facility: Community Health Improvement Center
Macoupin County
Population Group: Low Income-Macoupin County
Facility: Macoupin County Public Health Department
Marion County
Population Group: Low Income - Marion County
Massac County
Population Group: Low Income - Massac County
McDonough County
Population Group: Low Income - McDonough County
McLean County
Facility: Chestnut Family Health Center
Menard County
Service Area: Menard County
Montgomery County
Page 56 of 222

Population Group: Low Income-Montgomery County
Moultrie County
Population Group: Low Income-Moultrie and Shelby Counties
Peoria County
Population Group: Low Income-Peoria County
Facility: Heartland Community Health Clinic
Perry County
Population Group: Low Income - Perry County
Facility: Pinckneyville Correction Center
Pike County
Population Group: Low Income-Pike/Scott Counties
Facility: Quincy Medical Group - Pleasant Hill
Facility: Quincy Medical Group-Barry Rural Health
Facility: Quincy Medical Group-Pittsfield Rural Health
Pope County
Population Group: Low Income - Hardin/Pope Counties
Pulaski County
Population Group: Me-Alexander and Pulaski Counties
Putnam County
Population Group: Low Income - Bureau/Putnam Counties
Randolph County
Facility: Menard Correctional Center
Richland County
Population Group: Me-Richland/Jasper Counties
Rock Island County
Population Group: Low Income - Rock Island County
Saline County
Population Group: Me - Saline County
Sangamon County
Population Group: Low Income - East Side Springfield
Facility: Board of Trustees of Southern IL University
Facility: Central Counties Health Centers
Schuyler County
Population Group: Low Income - Schuyler County
Scott County
Population Group: Low Income-Pike/Scott Counties
Facility: Quincy Medical Group-Winchester FP
Shelby County
Population Group: Low Income-Moultrie and Shelby Counties
Facility: Family Healthcare Center
St. Clair County
Page 57 of 222

Population Group: Me-St. Clair County
Facility: Southern IL Regional Wellness Center
Facility: Southern Illinois Healthcare Foundation
Stephenson County
Population Group: Low Income - Freeport
Tazewell County
Facility: Federal Correctional Institution - Pekin
Union County
Population Group: Low Income - Union County
Facility: Rural Health, Inc.
Vermilion County
Population Group: Low Income - Vermilion County
Facility: Danville Correctional Center
Facility: Sabeeha Haque Ali MD LLC
Wabash County
Population Group: Me-Edwards and Wabash Counties
Warren County
Population Group: Me - Henderson/Warren Counties
Wayne County
Population Group: Low Income - Wayne County
White County
Population Group: Low Income - White County
Whiteside County
Population Group: Low Income - Sterling/Rock Falls
Facility: Morrison Community Hospital Family Care
Facility: Whiteside County Health Department - Rock Falls
Will County
Population Group: Low Income - Joliet Service Area
Facility: Will County Health Department/Will County Community Health
Center
Williamson County
Population Group: Me - Williamson County
Facility: Shawnee Health Services Corporation
Facility: USP-Marion
Winnebago County
Population Group: Low Income-Winnebago County
Facility: Crusaders Clinic

Page 58 of 222

DENTAL HEALTH: Indiana
County and County Equivalent Listing
Adams County
Population Group: Low Income - Adams County
Allen County
Population Group: Low Income-Allen County
Facility: Neighborhood Health Clinics, Inc.
Bartholomew County
Population Group: Low Income - Bartholomew County
Benton County
Population Group: Low Income - Benton County
Blackford County
Population Group: Low Income - Blackford County
Brown County
Population Group: Low Income - Brown County
Carroll County
Population Group: Low Income - Carroll County
Cass County
Population Group: Low Income - Cass County
Clark County
Population Group: Low Income - Clark County
Facility: Family Health Center of Clark County, Indiana
Facility: Lifespring Health Systems
Clay County
Population Group: Low Income-Clay County
Facility: Brazil Family Medicine
Facility: Clay City Center for Family Medicine
Clinton County
Population Group: Low Income-Clinton County
Crawford County
Population Group: Low Income-Crawford County
Daviess County
Population Group: Low Income-Daviess County
De Kalb County
Population Group: Low Income-Dekalb County
Decatur County
Population Group: Low Income-Decatur County
Delaware County
Population Group: Low Income-Delaware County
Facility: Meridian Services Corporation
Facility: Open Door Health Services, Inc.
Page 59 of 222

Elkhart County
Population Group: Low Income - Elkhart County
Facility: Heart City Health Center
Facility: Maple City Health Care Center, Inc.
Fayette County
Population Group: Low Income-Fayette County
Fountain County
Population Group: Low Income-Fountain County
Franklin County
Population Group: Low Income-Franklin County
Fulton County
Population Group: Low Income-Fulton County
Gibson County
Population Group: Low Income-Gibson County
Facility: Tulip Tree Health Services of Gibson County
Grant County
Population Group: Low Income - Grant County
Greene County
Population Group: Low Income - Greene County
Facility: Greene County Health
Facility: Ridge Medical Center
Henry County
Population Group: Low Income - Henry County
Facility: Knightstown Family Health Care
Facility: New Castle Correctional Facility
Facility: New Castle Pediatrics
Howard County
Population Group: Low Income - Howard County
Huntington County
Population Group: Low Income - Huntington County
Jackson County
Population Group: Low Income - Jackson County
Jasper County
Facility: Wheatfield Health Centre
Jay County
Population Group: Low Income - Jay County
Jefferson County
Population Group: Low Income-Jefferson County
Jennings County
Population Group: Low Income - Jennings County
Page 60 of 222

Johnson County
Facility: Trafalgar Family Health Center
Knox County
Population Group: Low Income - Knox County
Kosciusko County
Population Group: Low Income - Kosciusko County
La Porte County
Population Group: Low Income - Laporte County
Lagrange County
Population Group: Low Income-Lagrange County
Lake County
Population Group: Low Income-Lake County
Facility: Community Healthnet, Inc./Dba Gary Community Healt
Facility: Southlake Community Mental Health Center
Madison County
Facility: Aspire Indiana Health
Facility: Pendleton Correctional Facility
Marion County
Population Group: Low Income - Highland-Brookside
Population Group: Low Income - Near North Side (Indianapolis)
Facility: Health and Hospital Corporation of Marion County
Facility: Healthnet Inc.
Facility: Indiana Health Centers
Facility: Jane Pauley Community Health Center
Facility: Raphael Health Center
Facility: Shalom Health Care Center, Inc.
Newton County
Facility: Brook Health Center
Noble County
Population Group: Low Income - Noble County
Orange County
Facility: Southern Indiana Community Health Care, Inc.
Parke County
Facility: Rockville Correctional Facility
Perry County
Facility: Branchville Correctional Facility
Porter County
Facility: Healthlinc, Inc. (Formerly Hilltop)
Facility: Northshore Health Centers, Inc.
Facility: Porter Starke Services, Inc.
Pulaski County
Facility: Knox Winamac Community Health Centers (Kwchc)
Page 61 of 222

Randolph County
Population Group: Low Income-Randolph County
Rush County
Population Group: Low Income-Rush County
Scott County
Facility: Scottsburg Family Practice
St. Joseph County
Population Group: Low Income-St. Joseph County
Starke County
Population Group: Low Income-Starke County
Facility: Knox Family Medical Center
Steuben County
Population Group: Low Income - Steuben County
Switzerland County
Population Group: Low Income - Switzerland County
Tippecanoe County
Population Group: Low Income-Tippecanoe County
Facility: Purdue University - Family Health Clinics
Facility: Riggs Community Health Center, Inc.
Union County
Population Group: Low Income-Union County
Vanderburgh County
Population Group: Low Income-Vanderburgh County
Facility: Echo Community Health Care
Vermillion County
Population Group: Low Income-Vermillion County
Facility: Valley Professionals Community Health Center, Inc.
Vigo County
Population Group: Low Income-Vigo County
Facility: Wabash Valley Health Center, Inc.
Wabash County
Population Group: Low Income-Wabash County
Warren County
Service Area: Warren County
Washington County
Population Group: Low Income - Washington County
Wayne County
Population Group: Low Income-Wayne County
Facility: Neighborhood Health Center
Facility: Wayne County Community Health Center

Page 62 of 222

DENTAL HEALTH: Iowa
County and County Equivalent Listing
Adams County
Population Group: Low Income - Adams County
Facility: Alegent Health Rosary Clinic - Corning
Allamakee County
Population Group: Low Income - Allamakee
Appanoose County
Population Group: Low Income - Appanoose County
Black Hawk County
Population Group: Low Income-Black Hawk County
Facility: Peoples Community Health Clinic
Boone County
Population Group: Low Income - Boone County
Bremer County
Facility: Christophel Clinic
Facility: Rohlf Memorial Clinic
Facility: Women's Clinic at Waverly Health Center
Buchanan County
Population Group: Me-Buchanan County
Buena Vista County
Population Group: Low Income - Buena Vista County
Facility: United Community Health Center
Butler County
Facility: Franklin Medical Center-Dumont
Facility: Shell Rock Clinic
Calhoun County
Population Group: Low Income - Calhoun County
Cass County
Population Group: Low Income - Cass County
Facility: Anita Medical Center
Facility: Atlantic Medical Center Rural Health Clinic
Facility: Griswold Medical Center
Facility: Massena Medical Center
Clarke County
Population Group: Low Income - Clarke County
Clay County
Population Group: Medicaid Eligible - Clay County
Clayton County
Population Group: Low Income - Clayton County
Facility: Regional Family Health - Strawberry Point
Clinton County
Page 63 of 222

Population Group: Low Income-Clinton County
Crawford County
Population Group: Low Income - Crawford County
Dallas County
Facility: Redfield Medical Clinic
Davis County
Population Group: Low Income - Davis County
Decatur County
Service Area: Decatur County
Facility: Community Health Centers of Southern Iowa
Des Moines County
Population Group: Low Income - Des Moines County
Facility: Community Health Centers of Southeastern Iowa
Dubuque County
Facility: Crescent Community Health Center
Emmet County
Population Group: Low Income - Emmet County
Fayette County
Population Group: Low Income - Fayette
Floyd County
Population Group: Low Income - Floyd County
Franklin County
Population Group: Low Income - Franklin County
Facility: Franklin Medical Center - Hampton
Facility: Franklin Medical Center - Latimer
Fremont County
Population Group:
Facility: Medical
Facility: Medical
Facility: Medical

Me-Fremont County
Clinic, P.C.
Clinic-Hamburg
Clinic-Sidney

Greene County
Population Group: Low Income - Greene County
Guthrie County
Population Group: Low Income-Guthrie County
Harrison County
Facility: Alegent
Facility: Alegent
Facility: Alegent
Facility: Alegent

Health Clinic Logan
Health Clinic Missouri Valley
Health-Dunlap Clinic
Health-Woodbine Clinic

Henry County
Population Group: Low Income-Henry County
Page 64 of 222

Howard County
Population Group: Low Income - Howard County
Facility: Cresco Clinic
Humboldt County
Population Group: Low Income-Humboldt County
Ida County
Population Group: Low Income - Ida County
Jackson County
Population Group: Low Income - Jackson County
Jasper County
Facility: CF-Newton
Jefferson County
Population Group: Low Income - Jefferson County
Jones County
Facility: CF-Anamosa State Penitentiary
Facility: Monticello Medical Center
Keokuk County
Service Area: Keokuk County
Lee County
Population Group: Low Income - Lee County
Facility: Iowa State Penitentiary
Linn County
Facility: Linn Community Care
Louisa County
Service Area: Louisa County
Lucas County
Population Group: Low Income-Lucas County
Facility: Lucas County Health Center
Mahaska County
Population Group: Low Income - Mahaska County
Marshall County
Population Group: Low Income - Marshall County
Mitchell County
Population Group: Low Income - Mitchell County
Monona County
Population Group: Low Income - Monona County
Monroe County
Service Area: Monroe County
Montgomery County
Population Group: Low Income - Montgomery County
Page 65 of 222

O'Brien County
Facility:
Facility:
Facility:
Facility:

Hartley Mercy Medical Clinic
Paullina Mercy Medical Center
Primghar Mercy Medical Clinic
Sutherland Mercy Medical Clinic

Page County
Population Group: Low Income - Page County
Facility: Clarinda Correctional Facility
Palo Alto County
Service Area: Palo Alto County
Pocahontas County
Population Group: Low Income - Pocahontas County
Polk County
Facility: CF-Iowa Correctional Institute for Women
Facility: Primary Health Care, Inc.
Facility: Proteus, Inc.
Pottawattamie County
Facility: Council Bluffs Community Health Center
Ringgold County
Service Area: Ringgold County
Sac County
Service Area: Sac County
Scott County
Facility: Community Health Care, Inc.
Sioux County
Facility: Greater Sioux Community Health Center (Gschc)
Tama County
Population Group: Low Income - Tama County
Facility: Sac and Fox Tribe of the Mississippi in IA
Taylor County
Population Group: Low Income-Taylor County
Facility: St. Francis Hardin Medical Clinic
Union County
Population Group: Low Income - Union County
Van Buren County
Population Group: Low Income - Van Buren County
Facility: Cantril Medical Clinic
Facility: Farmington Rural Health
Facility: Keosauqua Rural Health
Wapello County
Population Group: Low Income - Wapello County
Facility: River Hills Community Health Center
Page 66 of 222

Washington County
Population Group: Me-Washington County
Wayne County
Service Area: Wayne County
Webster County
Population Group: Low Income - Webster County
Facility: CF-Fort Dodge
Facility: Community Health Center of Fort Dodge
Woodbury County
Population Group: Low Income-Woodbury County
Facility: Siouxland Community Health Center
Wright County
Population Group: Low Income - Wright County
Facility: Franklin Medical Center - Dows

Page 67 of 222

DENTAL HEALTH: Kansas
County and County Equivalent Listing
Allen County
Population Group: Low Income - Allen County
Anderson County
Population Group: Low Income - Anderson County
Atchison County
Population Group: Low Income - Atchison County
Facility: Atchison Clinic
Barber County
Service Area: Barber County
Barton County
Population Group: Low Income - Barton County
Facility: We Care Project
Bourbon County
Population Group: Low Income - Bourbon County
Brown County
Population Group: Low Income - Brown County
Facility: Kickapoo Health Center
Facility: White Cloud Indian Health Station
Butler County
Facility: Augusta Family Practice
Chase County
Service Area: Chase County
Chautauqua County
Population Group: Low Income - Chautauqua County
Cherokee County
Population Group: Low Income - Cherokee County
Facility: St John's Clinic-Columbus-Family Medicine
Cheyenne County
Population Group: Low Income - Cheyenne County
Clark County
Service Area: Clark County
Facility: Ashland Health Center
Clay County
Facility: Clay Center Family Physicians
Cloud County
Population Group: Low Income - Cloud County
Comanche County
Service Area: Comanche County
Page 68 of 222

Cowley County
Population Group: Low Income - Cowley County
Facility: Community Health Center in Cowley County
Crawford County
Population Group: Low Income - Crawford County
Facility: Community Health Center of Southeast Kansas
Decatur County
Service Area: Decatur County
Dickinson County
Population Group: Low Income - Dickinson County
Facility: Heartland Health Care Center
Facility: Herington Area Health Clinic
Doniphan County
Population Group: Low Income - Doniphan County
Douglas County
Population Group: Low Income - Douglas County
Facility: Haskell PHS Indian Health Center
Facility: Heartland Medical Clinic, Inc.
Edwards County
Population Group: Low Income - Edwards County
Elk County
Service Area: Elk County
Ellis County
Facility: First Care Clinic, Inc.
Ellsworth County
Population Group: Low Income - Ellsworth County
Ford County
Population Group: Low Income - Ford County
Franklin County
Population Group: Low Income - Franklin County
Geary County
Population Group: Low Income - Geary County
Facility: Konza Prairie Community Health
Graham County
Population Group: Low Income - Graham County
Grant County
Population Group: Low Income-Grant County
Facility: United Methodist Western Kansas Mexican American M
Gray County
Service Area: Gray County
Greeley County
Page 69 of 222

Population Group: Low Income - Greeley County
Facility: Greeley County Family Practice Clinic
Greenwood County
Service Area: Greenwood County
Harper County
Population Group: Low Income - Harper County
Harvey County
Facility: Health Ministries Clinic
Haskell County
Service Area: Haskell County
Hodgeman County
Service Area: Hodgeman County
Jackson County
Facility: Holton Family Health Clinic
Facility: Prairie Band Potawatomi Tribe
Jefferson County
Service Area: Jefferson County
Jewell County
Population Group: Low Income - Jewell County
Johnson County
Facility: Health Partnership Clinic, Inc.
Kearny County
Population Group: Low Income - Kearny County
Kingman County
Population Group: Low Income - Kingman County
Kiowa County
Service Area: Kiowa County
Labette County
Population Group: Low Income - Labette County
Lane County
Service Area: Lane County
Facility: Lane County Medical Clinic
Lincoln County
Population Group: Low Income - Lincoln County
Linn County
Population Group: Low Income-Linn County
Logan County
Facility: New Frontiers Health Services
Lyon County
Page 70 of 222

Population Group: Low Income - Lyon County
Facility: Flint Hills Community Health Center/Lyon
Marion County
Population Group: Low Income - Marion County
Marshall County
Population Group: Low Income - Marshall County
Facility: Downtown Medical Clinic
Meade County
Population Group: Low Income - Meade County
Miami County
Facility: Associates in Family Care - Osawatomie
Facility: Associates in Family Care - Paola
Facility: Louisburg Family Care
Mitchell County
Population Group: Low Income - Mitchell County
Montgomery County
Population Group: Low Income - Montgomery County
Morris County
Service Area: Morris County
Morton County
Population Group: Low Income - Morton County
Nemaha County
Facility: Centralia Medical Clinic
Neosho County
Population Group: Low Income - Neosho County
Ness County
Service Area: Ness County
Norton County
Population Group: Low Income - Norton County
Osage County
Service Area: Osage County
Phillips County
Facility: Phillips County Medical Clinic
Pottawatomie County
Facility: Onaga Clinic
Facility: St. Mary's Clinic
Pratt County
Population Group: Low Income - Pratt County
Reno County
Population Group: Low Income - Reno County
Page 71 of 222

Facility: Prairie Star Health Center
Riley County
Population Group: Low Income - Riley County
Rooks County
Population Group: Low Income - Rooks County
Rush County
Population Group: Low Income - Rush County
Russell County
Population Group: Low Income - Russell County
Saline County
Population Group: Low Income - Saline County
Facility: Salina Family Healthcare Center
Scott County
Facility: Scott City Cllinic
Sedgwick County
Facility: Center for Health and Wellness
Facility: Gracemed Health Clinic, Inc.
Facility: Hunter Health Clinic
Seward County
Service Area: Seward County
Shawnee County
Population Group: Low Income - Shawnee County
Sheridan County
Population Group: Low Income - Sheridan County
Facility: County of Sheridan Dba Sheridan County Health Complex
Sherman County
Population Group: Low Income - Sherman County
Smith County
Population Group: Low Income - Smith County
Stafford County
Service Area: Stafford County
Stanton County
Service Area: Stanton County
Stevens County
Service Area: Stevens County
Sumner County
Facility: Bass Memorial Baptist Hospital Dba Caldwell Family Cli
Wabaunsee County
Service Area: Wabaunsee County
Page 72 of 222

Wallace County
Service Area: Wallace County
Washington County
Population Group: Low Income - Washington County
Wilson County
Population Group: Low Income - Wilson County
Woodson County
Population Group: Low Income - Woodson County
Wyandotte County
Population Group: Low Income - Wyandotte County

Page 73 of 222

DENTAL HEALTH: Kentucky
County and County Equivalent Listing
Adair County
Population Group: Low Income-Adair County
Bath County
Population Group: Low Income-Bath County
Facility: St. Claire Regional Family Medicine – Owingsville
Bell County
Population Group: Low Income-Bell County
Facility: Red Bird Clinic
Bourbon County
Population Group: Low Income-Bourbon County
Boyd County
Population Group: Low Income-Boyd and Carter Counties
Bracken County
Population Group: Low Income-Bracken County
Breathitt County
Service Area: Breathitt County
Facility: Aaron K. Jonan Memorial Clinic, Inc.
Breckinridge County
Population Group: Low Income - Breckinridge County
Butler County
Population Group: Low Income - Butler/Ohio Counties
Caldwell County
Facility: Pennyroyal Family Health
Campbell County
Facility: Health Point Family Care
Carlisle County
Service Area: Carlisle County
Carroll County
Population Group: Low Income-Carroll and Gallatin Counties
Carter County
Population Group: Low Income-Boyd and Carter Counties
Facility: St. Claire Regional Family Medicine – Olive Hill
Christian County
Service Area: Christian County
Clark County
Facility:
Facility:
Facility:
Facility:
Page 74 of 222

Clark Clinic Primary Care
Clark Family Care
Ertel Medicine and Pediatrics Winchester
Winchester Family Practice

Clay County
Population Group: Low Income - Clay County
Facility: Community Health Center-Clay County
Facility: Federal Correctional Institution - Manchester
Clinton County
Population Group: Low Income-Clinton County
Crittenden County
Service Area: Crittenden and Livington Counties
Cumberland County
Service Area: Cumberland County
Facility: Cumberland Family Medical Center
Daviess County
Facility: Audubon Area Community Care Clinic
Edmonson County
Population Group: Low Income - Edmonson County
Elliott County
Facility: Little Sandy Correctional Complex
Facility: Sandy Hook Family Care Center
Facility: St. Claire Regional Family Medicine - Sandy Hook
Estill County
Facility: Estill Medical Center
Facility: Mercy Primary Care - Irvine
Fayette County
Facility: Bluegrass Farmworker Health Center
Facility: Federal Medical Center-Lexington
Facility: Healthfirst Bluegrass Inc.
Fleming County
Population Group: Low Income-Fleming County
Floyd County
Facility:
Facility:
Facility:
Facility:

Big Sandy Healthcare, Inc.
Eastern Kentucky Tender Care Pediatrics
Martin Clinic
Mountain Comprehensive Care Center, Inc.

Fulton County
Service Area: Fulton/Hickman Counties
Gallatin County
Population Group: Low Income-Carroll and Gallatin Counties
Graves County
Population Group: Low Income-Graves County
Grayson County
Population Group: Low Income - Grayson County
Page 75 of 222

Hardin County
Population Group: Low Income - Radcliff/Northwest Hardin County
Harlan County
Service Area: Harlan County
Facility: Clover Fork Outpatient Medical Project
Hickman County
Service Area: Fulton/Hickman Counties
Jackson County
Facility: Health Help, Inc.
Jefferson County
Facility: Family Health Center, Inc.
Facility: Park Duvalle Community Health Center, Inc.
Facility: Shawnee Christian Healthcare Center, Inc.
Knott County
Population Group: Low Income-Knott County
Facility: Primary Care Centers of Eastern KY-Hindman
Knox County
Facility: Barbourville Family Health Center
Facility: Grace Community Health Center Inc.
Larue County
Population Group: Low Income - Larue County
Laurel County
Facility: Corbin Pediatric Associates
Facility: London Pediatric and Adolescent Medicine
Lawrence County
Population Group: Low Income-Lawrence County
Lee County
Population Group: Low Income - Lee County
Facility: Juniper Health, Inc.
Leslie County
Facility: Primary Care Centers of Eastern KY-Hyden
Letcher County
Facility: Mountain Comprehensive Health Corporation
Lewis County
Facility: Lewis County Primary Care Center
Lincoln County
Population Group: Low Income-Lincoln County
Livingston County
Service Area: Crittenden and Livington Counties
Logan County
Population Group: Low Income - Logan/Todd Counties
Page 76 of 222

Madison County
Facility: Kentucky River Foothills Development Council
Facility: Madison Family Clinic
Facility: Saint Joseph Berea Family Medicine
Magoffin County
Facility: Salyersville Medical Center
Martin County
Service Area: Martin County
McCreary County
Service Area: McCreary County
Facility: McCreary Primary Care Center, Inc.
Facility: South Fork Medical Clinic PLLC
Facility: USP-McCreary
McLean County
Service Area: Muhlenberg/McLean Counties
Meade County
Population Group: Low Income - Radcliff/Northwest Hardin County
Menifee County
Service Area: Menifee County
Facility: St. Claire Regional Medicine - Frenchburg
Montgomery County
Facility: Family Care Clinic - Mt. Sterling
Facility: Sterling Health Solutiions, Inc.
Muhlenberg County
Service Area: Muhlenberg/McLean Counties
Facility: Community Health Centers of Western Kentucky
Nelson County
Population Group: Low Income - Nelson County
Nicholas County
Population Group: Low Income-Nicholas County
Facility: Carlisle Clinic
Ohio County
Population Group: Low Income - Butler/Ohio Counties
Owen County
Facility: Triad Health Systems
Owsley County
Service Area: Owsley County
Pendleton County
Population Group: Low Income-Pendleton County
Perry County
Facility: Appalachian Physicians, PSC
Page 77 of 222

Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Kentucky Mountain Health Alliance
Mountain After-Hours Clinic
Pediatric Associates of Hazard, LLC
Primary Care Centers of Eastern Kentucky-Vicco
Primary Care Centers of Eastern KY-Hazard
University of Kentucky College of Medicine - North

Pike County
Population Group: Low Income-Pike County
Facility: Pediatric Associates of Pikeville, LLC
Powell County
Facility: Casa San Pio
Pulaski County
Population Group: Low Income - Pulaski County
Todd County
Population Group: Low Income - Logan/Todd Counties
Facility: Helping Hands Health Clinic Dba Blount Rural Healt
Trigg County
Service Area: Trigg County
Trimble County
Population Group: Low Income-Trimble County
Warren County
Facility: Bowling Green-Warren Primary Care Center
Wayne County
Population Group: Low Income - Wayne County
Webster County
Population Group: Low Income - Webster County
Facility: Regional Health Care Affilates, Inc.
Whitley County
Population Group: Low Income - Whitley County
Facility: Careplus Rural Health Clinic, LLC
Facility: Ho Physicians Services Corporation
Facility: Maria C. Atienza, MD
Facility: Williamsburg Family Medicine Center
Wolfe County
Service Area: Wolfe County
Facility: United Clinics of Kentucky

Page 78 of 222

DENTAL HEALTH: Louisiana
County and County Equivalent Listing
Acadia Parish
Population Group: Low Income-Acadia Parish
Allen Parish
Service Area: Allen Parish
Facility: Allen Correctional Center
Ascension Parish
Service Area: Donaldsonville Cut-Out
Facility: Reddy Family Clinic - Donaldsonville
Assumption Parish
Service Area: Assumption Parish
Facility: Reddy Family Medical Clinic Pierre Part
Facility: Reddy Family Medical Clinic-Napoleonville
Avoyelles Parish
Population Group: Low Income-Avoyelles Parish
Facility: Raymond Laborde Correctional Center
Facility: Tunica-Biolxi Indian Tribe of Louisiana
Beauregard Parish
Service Area: Beauregard Parish
Bienville Parish
Service Area: Bienville Parish
Bossier Parish
Service Area: Bossier Parish
Caddo Parish
Population Group: Low Income-Caddo Parish
Facility: David Raines Community Health Center
Calcasieu Parish
Population Group: Low Income-Calcasieu Parish
Facility: Chadha Medical Clinic
Facility: Southwest Louisiana Center for Health Services
Caldwell Parish
Service Area: Caldwell Parish
Cameron Parish
Service Area: Cameron Parish
Catahoula Parish
Service Area: Catahoula Parish
Facility: Catahoula Parish Hospital Service District
Claiborne Parish
Service Area: Hn-Claiborne Parish
Concordia Parish
Population Group: Low Income-Concordia Parish
Page 79 of 222

De Soto Parish
Service Area: De Soto Parish
Facility: Casse Dental Health Institute
East Baton Rouge Parish
Population Group: Low Income-East Baton Rouge Parish
Facility: Baton Rouge Primary Care Collabrative
Facility: Capitol City Family Health Center
Facility: Haart, Inc.
East Carroll Parish
Service Area: East Carroll Parish
Facility: Family Medical Clinic
Facility: Family Practice Clinic
East Feliciana Parish
Population Group: East Feliciana Parish
Facility: Primary Care Providers for a Health Feliciana
Evangeline Parish
Service Area: Evangeline Parish
Franklin Parish
Service Area: Franklin Parish
Facility: Franklin Medical Center Rural Health Clinic-Winnsboro
Grant Parish
Service Area: Grant Parish
Facility: Federal Correctional Complex-Pollock
Iberia Parish
Population Group: Low Income-Iberia Parish
Facility: Iberia Comprehensive Community Health Center
Iberville Parish
Population Group: Low Income-Iberville Parish
Facility: Elayn Hunt Correctional Center
Facility: Reddy Family Medical Clinic-Plaquemine
Facility: Reddy Family Medical Clinic-White Castle
Facility: St. Gabriel Health Clinic
Jackson Parish
Service Area: Jackson Parish
Jefferson Davis Parish
Service Area: Jefferson Davis Parish
Facility: Elton Rural Health Clinic
Jefferson Parish
Population Group: Low Income-Jefferson Parish
Facility: Jefferson Community Health Centers, Inc.
Facility: Jefferson Parish Human Services Authority
Facility: Priority Health Care
Lafayette Parish
Population Group: Low Income - Lafayette Parish
Page 80 of 222

LaSalle Parish
Service Area: LA Salle Parish
Lincoln Parish
Population Group: Low Income-Lincoln Parish
Livingston Parish
Population Group: Low Income-Livingston Parish
Madison Parish
Service Area: Madison Parish
Facility: Madison Parish Hospital Rural Health
Morehouse Parish
Service Area: Morehouse Parish
Facility: Morehouse Community Medical Center
Natchitoches Parish
Service Area: Natchitoches Parish
Facility: Natchitoches Out Patient
Orleans Parish
Population Group: Low Income-Orleans Parish
Facility: Common Ground Health Clinic
Facility: Excelth, Inc. Health Care
Facility: Healthcare for the Homeless
Facility: Marillac Community Health Centers
Facility: Mqvn Community Development Corporation/Noela Community Health
Center
Facility: No/AIDS Task Force
Facility: Odyssey House Louisiana, Inc.
Facility: St. Thomas Community Health Center, Inc.
Ouachita Parish
Population Group: Low Income-Ouachita Parish
Facility: Primary Health Service
Plaquemines Parish
Population Group: Low Income-Plaquemines Parish
Pointe Coupee Parish
Service Area: Pointe Coupee Parish
Facility: Innis Community Health
Rapides Parish
Population Group: Low Income-Rapides Parish
Facility: Rapides Primary Health Care Center
Red River Parish
Service Area: Red River Parish
Richland Parish
Population Group: Low Income-Richland Parish
Facility: Delhi Rural Health Clinic
Facility: Northeast Louisiana Health Center
Facility: Parish of Richland/Dba Delhi Community Health Cent
Page 81 of 222

Facility: Start Community Clinic
Sabine Parish
Service Area: Sabine Parish
St. Bernard Parish
Population Group: Low Income-St. Bernard Parish
St. Charles Parish
Facility: St. Charles Community Health Center, Inc.
St. Helena Parish
Service Area: St. Helena Parish
Facility: St. Helena Community Health Center
St. James Parish
Population Group: Low Income - St. James County
St. John the Baptist Parish
Population Group: Low Income-St. John the Baptist Parish
St. Landry Parish
Service Area: St. Landry Parish
Facility: Southwest Louisianna Primary
St. Martin Parish
Service Area: St. Martin Parish
St. Mary Parish
Service Area: St. Mary Parish
Facility: Chitimacha Health Clinic
Facility: Teche Action Clinic
Tangipahoa Parish
Population Group: Low Income-Tangipahoa Parish
Tensas Parish
Service Area: Tensas Parish
Facility: Tensas Community Health Center
Terrebonne Parish
Facility: Start Corporation
Union Parish
Service Area: Union Parish
Vermilion Parish
Service Area: Vermilion Parish
Facility: Earth Delacambre Community Care Clinic
Vernon Parish
Service Area: Vernon Parish
Washington Parish
Service Area: Washington Parish
Facility: Rayburn Correctional Facility
Page 82 of 222

Webster Parish
Service Area: Webster Parish
Facility: North Webster Medical Clinic
Facility: Smc Doctors Clinic
West Baton Rouge Parish
Population Group: Low Income-West Baton Rouge Parish
West Carroll Parish
Service Area: West Carroll Parish
Facility: Oak Grove Medical Clinic
West Feliciana Parish
Population Group: Low Income-West Feliciana Parish
Facility: Louisiana State Penitentiary
Winn Parish
Population Group: Low Income-Winn Parish
Facility: Winn Community Health Center, Inc.

Page 83 of 222

DENTAL HEALTH: Maine
County and County Equivalent Listing
Androscoggin County
Service Area: Jay Service Area
Facility: Community Clinical Services
Facility: DFD Russell Medical Center
Aroostook County
Service Area: Allagash
Service Area: Danforth
Service Area: Island Falls
Service Area: Madawaska
Population Group: Low Income - Houlton
Population Group: Low Income - Presque Isle
Population Group: Low Income-Lincoln/Millinocket
Population Group: Low Income-Old Town
Facility: Fish River Rural Health
Facility: Full Circle Health Care, LLC
Facility: Pines Health Services
Cumberland County
Service Area: Bridgton
Population Group: Low Income - Parsonsfield
Franklin County
Service Area: Jay Service Area
Service Area: Kingfield
Population Group: Low Income - Farmington
Population Group: Low Income - Rumford
Hancock County
Service Area: Bar Harbor
Service Area: Bucksport
Population Group: Low Income - Blue Hill
Population Group: Low Income - Gouldsboro
Population Group: Low Income-Ellsworth Subcounty Dental Health
Population Group: Low Income-Old Town
Facility: Bucksport Regional
Kennebec County
Service Area: Jay Service Area
Population Group: Low Income - Augusta
Population Group: Low Income - Farmington
Population Group: Low Income - Waterville Service Area
Facility: Healthreach Community Health Centers
Facility: Rural Health Centers of Maine, Inc.
Knox County
Population Group: Low Income - Blue Hill
Population Group: Low Income-Rockland Service Area Dental Health
Facility: Islands Community Medical Center
Lincoln County
Population Group: Low Income - Augusta
Population Group: Low Income - Waterville Service Area
Facility: John F. Andrews Family Care Center
Page 84 of 222

Facility: Lincoln Medical Partners-Damariscotta
Facility: Lincoln Medical Partners-Waldoboro
Oxford County
Service Area: Bridgton
Service Area: Jay Service Area
Service Area: Kingfield
Population Group: Low Income - Fryeburg
Population Group: Low Income - Norway Dental Care Catchment Area #14
Population Group: Low Income - Parsonsfield
Population Group: Low Income - Rumford
Population Group: Low Income-Bethel
Facility: Sacopee Valley Health
Penobscot County
Service Area: Danforth
Service Area: Island Falls
Population Group: Low Income - Dover-Foxcroft
Population Group: Low Income - Pittsfield Service Area
Population Group: Low Income-Lincoln/Millinocket
Population Group: Low Income-Old Town
Facility: Dexter Internal Medicine
Facility: Health Access Network
Facility: Katahdin Valley Health
Facility: Newport Family Practice
Facility: Penobscot Community Health Center
Facility: Penobscot Indian Nation
Facility: Penobscot Valley Primary Care
Facility: Sebasticook Family Doctors
Piscataquis County
Service Area: Bingham Service Area
Population Group: Low Income - Dover-Foxcroft
Population Group: Low Income-Lincoln/Millinocket
Population Group: Low Income-Skowhegan
Facility: Dover-Foxcroft Family Medicine
Facility: Guilford Medical Associates
Facility: Milo Family Practice
Somerset County
Service Area: Bingham Service Area
Service Area: Jackman
Service Area: Kingfield
Population Group: Low Income - Dover-Foxcroft
Population Group: Low Income - Pittsfield Service Area
Population Group: Low Income - Waterville Service Area
Population Group: Low Income-Skowhegan
Facility: Dexter Family Practice
Facility: Sebasticook Regional Family Care (Rural Health Cli
Waldo County
Service Area: Bucksport
Population Group: Low Income - Belfast
Population Group: Low Income - Waterville Service Area
Population Group: Low Income-Rockland Service Area Dental Health
Facility: Arthur Jewell Community Health Center
Facility: Stockton Springs Regional Health Center
Page 85 of 222

Facility: The Islesboro Health Center
Washington County
Service Area: Danforth
Service Area: Eastport/Lubec
Service Area: Machias
Population Group: Low Income - Gouldsboro
Facility: Calais Regional Medical Services
Facility: Eastport Healthcare
Facility: Harrington Family Health
Facility: Passamaquoddy Pleasant Point Health Center
Facility: Passamaquoddy Tribe Indian Township
Facility: Regional Medical Center
Facility: St. Croix Regional Family Health
York County
Population Group: Low Income - Parsonsfield
Population Group: Low Income-Sanford
Facility: York County Community Action Corporation

Page 86 of 222

DENTAL HEALTH: Maryland
County and County Equivalent Listing
Allegany County
Population Group: Me - Allegany County
Facility: Federal Correctional Institution - Cumberland
Anne Arundel County
Population Group: Me-Upper Anne Arundel/Lower Baltimore Counties
Facility: Owensville Primary Care
Baltimore City
Service Area: East Baltimore City
Service Area: South Baltimore-High Needs
Population Group: Me - Claremont
Population Group: Me - East Central Baltimore
Population Group: Me-North Central Baltimore
Population Group: Me-South East Baltimore City
Population Group: Me-West Central Baltimore City
Facility: Baltimore Medical Systems
Facility: Chase Brexton Health Services
Facility: Family Health Centers of Baltimore, Inc.
Facility: Health Care for the Homeless, Inc.
Facility: Lifeline Foundation, Inc.
Facility: Park West Medical Center
Facility: Total Health Care, Inc.
Baltimore County
Population Group: Me-Dundalk
Population Group: Me-Upper Anne Arundel/Lower Baltimore Counties
Caroline County
Population Group: Me-Caroline County
Facility: Choptank Community Health Services, Inc.
Carroll County
Service Area: West Carroll County
Cecil County
Facility: West Cecil Health Center, Inc.
Dorchester County
Population Group: Me-Dorchester County
Frederick County
Service Area: Frederick County
Facility: Frederick Community Action Health Center
Garrett County
Population Group: Me - Garrett County
Facility: Western Maryland Health Care Corporation
Harford County
Service Area: North Harford
Population Group: Me - Southern Harford
Kent County
Page 87 of 222

Service Area: Kent County
Montgomery County
Population Group: Me - Central Kensington/Wheaton
Facility: Mobile Medical Care, Inc.
Prince George's County
Service Area: Brandywine Service Area
Facility: Greater Baden Medical Services
Queen Anne's County
Service Area: Queen Anne's County
Somerset County
Population Group: Me-Tri-County Lower Eastern Shore
Facility: Three Lower Counties Community Services
Talbot County
Service Area: Talbot County
Washington County
Population Group: Me-Hagerstown
Facility: Tri-State Community Health Center, Inc.
Facility: Walnut Street Community Health Center
Wicomico County
Population Group: Me-Tri-County Lower Eastern Shore
Worcester County
Population Group: Me-Tri-County Lower Eastern Shore

Page 88 of 222

DENTAL HEALTH: Massachusetts
County and County Equivalent Listing
Barnstable County
Service Area: Lower Outer Cape
Service Area: Upper Cape
Facility: Cape Cod Free Clinic and Community Health Center
Facility: Duffy Health Center, Inc.
Facility: Mashpee Wampanoag Tribe
Facility: Outer Cape Health
Berkshire County
Population Group: Low Income-Northern Berkshire County
Facility: Community Health Program
Bristol County
Facility: Bristol County House of Corrections
Facility: Greater New Bedford
Facility: Healthfirst Family Care Center
Dukes County
Service Area: Dukes County
Facility: Island Health Inc.
Facility: Wampanoag Tribe of Gay Head
Essex County
Facility: Greater Lawrence Family Health
Facility: Lynn Community Health Center
Facility: North Shore Community Health
Franklin County
Population Group: Low Income - Greenfield/Montague/Sunderland
Facility: Community Health Center of Franklin County
Hampden County
Facility: Caring Health Center, Inc.
Facility: Holyoke Health Center
Facility: Springfield Public Health Department
Hampshire County
Facility: Hilltown Community Health Center, Inc.
Middlesex County
Facility: Lowell Community Health Center
Facility: Massachusetts Correctional Institution - Concord
Facility: Massachusetts Correctional Institution - Framingham
Facility: Massachusetts Correctional Institution - Shirley
Facility: Souza Baranowski Corrrectional Center
Norfolk County
Facility: Manet Community Health Center
Facility: Massachusetts Correctional Institute - Norfolk
Facility: Massachusetts Correctional Institution Cedar Junction
Plymouth County
Facility: Brockton Neighborhood
Facility: Massachusetts Treatment Center (Mtc)
Page 89 of 222

Facility: Old Colony Correctional Center
Suffolk County
Population Group: Low Income - Roxbury
Population Group: Low Income - South End
Facility: Boston Healthcare for the Homeless
Facility: Codman Square Health Center
Facility: Connecticut River Valley Farmworkers/Massachusetts
Facility: Dimock Community Health Center
Facility: Dorchester House Multi-Service Center
Facility: East Boston
Facility: Fenway Community Health Center
Facility: Harbor Health Services
Facility: Harvard Street Neighborhool Health Center
Facility: Joseph M. Smith Community Health
Facility: Mattapan Community Health
Facility: North End Community
Facility: South Boston Community Health Center
Facility: South Cove Community
Facility: Whittier Street Health
Worcester County
Facility: Community Health Connections
Facility: Community Healthlink
Facility: Edward M. Kennedy Community Health Center
Facility: Family Health Center of Worcester, Inc.
Facility: Federal Medical Center-Devens
Facility: North Central Correctional Institution - Gardner

Page 90 of 222

DENTAL HEALTH: Michigan
County and County Equivalent Listing
Alcona County
Population Group: Low Income-Alcona County
Facility: Alcona Health Center
Alger County
Population Group: Low Income-Alger County
Facility: Alger Correctional Facility
Facility: Grand Island Chippewa Community Center
Allegan County
Facility: Allegan Medical Clinic
Facility: Match-East-Be-Nash-She-Wish Pottawatomi
Alpena County
Population Group: Low Income-Alpena County
Facility: Alpena Medical Arts, Primary Care
Antrim County
Population Group: Low Income-Antrim/Charlevoix Counties
Facility: Mancelona Family Practice
Facility: Omh Medical Group-Boyne Valley
Arenac County
Population Group: Low Income-Arenac County
Facility: St. Joseph Health System Augres Family Clinic
Facility: St. Mary's of Michigan Standish Hospital
Facility: Sterling Area Health
Baraga County
Population Group: Low Income-Baraga County
Facility: Baraga Correctional Facility
Facility: Bcmh Physician Group
Facility: Keweenaw Bay Indian Community
Barry County
Facility:
Facility:
Facility:
Facility:

Spectrum
Spectrum
Spectrum
Spectrum

Health
Health
Health
Health

Pennock
Pennock
Pennock
Pennock

Family Medicine - Gun Lake
Family Medicine-Middlevill
Family, Internal and Pediati
Ob/Gyn - Hastings

Benzie County
Population Group: Low Income-Benzie County
Berrien County
Population Group: Low Income-Berrien County
Facility: Coloma Medical Center
Facility: Community Medical Center
Facility: Lakeland Community Hospital Dba Southwestern Medic
Branch County
Facility: Community Health Center Pediatric and Adolescent Center
Facility: Family Medicine Clinic
Facility: Lakeland Correctional Facility
Page 91 of 222

Calhoun County
Facility: Grace Health, Inc.
Facility: Nottawaseppi Huron Band of Potawatomi Southern Hea
Cass County
Population Group: Low Income-Cass County
Facility: Borgess Lee Medical Group - Dowagiac Clinic
Facility: Borgess Lee Medical Group-Cassopolis Clinic
Facility: Lakeland Immediate Care Center
Facility: Pokagon Band of Potawatomi Health Services
Charlevoix County
Population Group: Low Income-Antrim/Charlevoix Counties
Facility: Beaver Island Rural Health Center
Facility: Boyne Area Medical Center
Facility: East Jordan Family Health
Cheboygan County
Population Group: Low Income-Cheboygan County
Chippewa County
Population Group: Low Income-Chippewa County
Facility: Bay Mills Indian Community
Facility: Chippewa Correctional Facility
Facility: Community Care Clinic - Kinross
Facility: Inter-Tribal Council of Michigan, Inc.
Facility: Kinross Correctional Facility
Facility: Sault St. Marie Health and Human Services
Facility: Wmh-Community Care Clinic
Clare County
Population Group: Low
Facility: Midmichigan
Facility: Midmichigan
Facility: Midmichigan

Income-Clare County
Medical Offices-Clare
Medical Offices-Farwell
Medical Offices-Harrison

Crawford County
Population Group: Low Income-Crawford County
Delta County
Population Group: Low Income-Delta County
Facility: Osf Medical Group-Gladstone
Facility: Osf St. Francis Hospital and Medical Group-Escanaba
Dickinson County
Population Group: Low Income-Dickinson County
Facility: Dchs After Hours Care
Facility: Dickinson Family and Geriatric Clinic
Facility: Dickinson Family Practice Center - Norway
Facility: Dickinson Family Practice Clinic
Facility: Dickinson Internal Medicine/Nephrology Clinic
Facility: Dickinson Pediatric Clinic
Eaton County
Facility: Riverside Family Practice
Emmet County
Page 92 of 222

Facility: Little Traverse Bay Band of Odawa
Genesee County
Population Group: Low Income - Flint Service Area
Facility: Genesee County Community Mental Health
Facility: Hamilton Community Health Network, Inc.
Gladwin County
Population Group: Low Income-Gladwin County
Facility: Midmichigan Medical Offices-Gladwin
Gogebic County
Population Group: Low Income-Gogebic County
Facility: Aspirus Grand View Clinic - Ironwood
Facility: Lac Vieux Desert Health Clinic
Grand Traverse County
Facility: Traverse Health Clinic and Coalition
Gratiot County
Population Group: Low Income-Gratiot County
Facility: Alma Internal Medicine
Facility: Center for Obstetrics and Gynecology
Facility: Family Medical Care Breckenridge
Facility: Gratiot Medical Center
Facility: Sparrow Medical Group Ashley
Facility: Sparrow Medical Group Ithaca
Facility: St. Louis Correctional Facility
Facility: Urgent Care Occupational Health
Hillsdale County
Population Group: Low Income-Hillsdale County
Facility: Reading Health Clinic
Houghton County
Population Group: Low Income - Houghton County
Huron County
Population Group: Low Income-Huron County
Ingham County
Facility: Ingham County Health Department
Ionia County
Population Group: Low Income-Ionia County
Facility: Charles R. Barker
Facility: Lakewood Family Health Care
Facility: Michigan Reformatory
Facility: Richard a. Handlon Correctional Facility
Facility: Sparrow Ionia Hospital
Facility: Spectrum Health Belding Family Medicine
Facility: Spectrum Health Pennock Family Medicine – Ionia
Facility: The Family Health Center Portland
Iosco County
Population Group: Low Income-Iosco County
Facility: St. Joseph Health System Internal Medicine Clinic
Page 93 of 222

Facility: St. Joseph's Health Systems-Oscoda Health Park
Facility: Tawas Bay Family Practice
Iron County
Population Group: Low Income-Iron County
Facility: Aspirus Crystal Falls Clinic
Isabella County
Population Group: Low Income-Isabella County
Facility: Isabella Citizens for Health, Inc.
Facility: Nimkee Memorial Wellness Center
Jackson County
Population Group: Low Income-Jackson County
Facility: Center for Family Health, Inc.
Facility: Springport Medical Clinic
Kalamazoo County
Facility: Family Health Center Inc.
Kalkaska County
Population Group: Low Income-Kalkaska County
Facility: Kalkaska Memorial Health Center
Kent County
Facility: Catherine's Health Center
Facility: Cherry Street Services
Facility: Nottawaseppi Huron Band of the Potawatomi-Grand Ra
Facility: Trinity Health Corporation-Dba Mercy Health-Saint Mary's
Community Health Center
Facility: White Pines Family Medicine
Keweenaw County
Population Group: Low Income-Keweenaw County
Lake County
Population Group: Low Income-Lake/Osceola Counties
Facility: Baldwin Family Health
Leelanau County
Facility: Grand Traverse Ottawa and Chippewa
Facility: Northwest Michigan Health Services, Inc.
Lenawee County
Population Group: Low Income-Lenawee County
Facility: Gus Harrison Correctional Facility
Facility: Health Specialists of Lenawee, P.C.
Luce County
Population Group: Low Income-Luce County
Facility: Gibson Family Health Center
Facility: Newberry Correctional Facility
Mackinac County
Population Group: Low Income-MacKinac County
Facility: Lambert Tribal Clinic
Facility: St. Ignace Sault Tribal Health and Human Services Center
Page 94 of 222

Macomb County
Facility: MacOmb Correctional Facility
Facility: Mycare Health Center
Manistee County
Population Group: Low Income-Manistee County
Facility: Little River Band of Ottawa Indians
Facility: Oaks Correctional Facility
Facility: Wellston Medical Center
Marquette County
Population Group: Low Income-Marquette County
Facility: Upper Great Lakes Family Health Center
Mason County
Population Group: Low Income-Mason County
Facility: Mercy Health Physicians Partners-Sable Point Famil
Facility: Primary Health Services
Facility: Spectrum Health Hospital Family Medicine - Ludington
Facility: Spectrum Health Hospital Internal Medicine - Ludington
Facility: Spectrum Health Ludington Hospital Family and Internal
Medicine Ludington
Facility: Spectrum Health Ludington Hospital Ob/Gyn
Facility: Spectrum Health Ludington Hospital Pediatrics
Mecosta County
Population Group: Low Income-Mecosta
Facility: Spectrum Health Big Rapids
Facility: Spectrum Health Big Rapids
Facility: Spectrum Health Big Rapids

County
Hospital Canadian Lakes
Hospital Family Medicine
Ob/Gyn

Menominee County
Population Group: Low Income-Menominee County
Facility: Hannahville Indian Health Center
Facility: Northreach-Daggett Medical Center
Facility: Northreach-Menominee
Missaukee County
Population Group: Low Income-Missaukee County
Monroe County
Facility: Family Medical Center
Montcalm County
Population Group: Low Income-Montcalm County
Facility: Center for Women's Healthcare (Ccwhc)
Facility: Lakeview Family Medicine
Facility: Sheridan Care
Facility: Sparrow Medical Group Carson
Facility: Sparrow Medical Group Greenville
Facility: Sparrow Medical Group Stanton
Facility: Spectrum Health United Hospital Family Medicine and Ob/Gyn
Facility: Spectrum Health United Hospital IM and Ped Greenville
Montmorency County
Population Group: Low Income-Montmorency County
Page 95 of 222

Facility: Omh Medical Group Lewiston Rural Health Clinic
Facility: Thunder Bay Community Health Services
Muskegon County
Facility: Earnest C. Brooks Correctional Facility
Facility: Hackley Community Care Center
Facility: Lakeshore Medical Center
Facility: Muskegon Correctional Facility
Facility: Muskegon Family Care Center
Newaygo County
Population Group: Low Income-Newaygo County
Facility: Grant Medical Center
Facility: Hesperia Medical Center
Facility: Shgm Ob/Gyn
Facility: Spectrum Health Gerber Memorial Fam Medical - Fremont
Facility: Spectrum Health Gerber Memorial Family Medicine Newaygo
Facility: Spectrum Health Gerber Memorial Multispecialty Clinic
Oakland County
Facility: Oakland Integrated Health Network (Oihn)
Oceana County
Population Group: Low Income-Oceana County
Facility: Hart Family Medical Center
Facility: Memorial Medical Center of West Michigan Dba Spectrum Health
Hart Family Medicine
Facility: Shelby Family Care
Facility: Spectrum Health Family Medicine - Pentwater
Ogemaw County
Population Group: Low Income-Ogemaw County
Facility: Primary Care Practice - Alger
Facility: Primary Care Practice - West Branch
Ontonagon County
Population Group: Low Income-Ontonagon County
Facility: Aspirus Ontonagon Family Practice Clinic
Osceola County
Population Group: Low Income-Lake/Osceola Counties
Facility: Spectrum Health Evart Family Practice
Facility: Spectrum Health Reed City Family Practice
Facility: Spectrum Health Tustin Family Practice
Oscoda County
Population Group: Low Income-Oscoda County
Otsego County
Facility: Ostego Memorial Hospital Medcare Rural Health Clinic-Gaylord
Facility: Otsego Memorial Hospital Rural Health Clinic-Center Ave
Presque Isle County
Population Group: Low Income-Presque Isle County
Roscommon County
Population Group: Low Income-Roscommon County
Page 96 of 222

Facility: Mid-Michigan Health Services
Saginaw County
Population Group: Low Income - Saginaw County
Facility: Great Lakes Bay Health Centers
Facility: Saginaw Correctional Facility
Sanilac County
Population Group: Low Income-Sanilac County
Facility: Deckerville Healthcare Services Inc.
Facility: Family Health of Brown City
Facility: McKenzie Rural Health Clinic
Schoolcraft County
Population Group: Low Income-Schoolcraft County
Facility: Manistique Tribal Health Clinic
Facility: Schoolcraft Memorial Hospital Rural Health Clinic
Shiawassee County
Population Group: Low Income-Shiawassee County
St. Clair County
Facility: Dba Community First Health Centers
St. Joseph County
Population Group: Low Income-St. Joseph County
Facility: Covered Bridge Healthcare of St. Joseph County, in
Facility: Family Care Center-White Pigeon
Facility: Smg Practice
Facility: Sturgis Pediatrics
Facility: Three Rivers Health
Tuscola County
Population Group: Low Income-Tuscola County
Facility: Cass City Family Practice
Facility: Cass City Medical Practice
Facility: Family Healthcare of Cass City
Facility: Kingston Family Heathcare
Facility: Kingston Family Practice
Facility: Mayville Family Healthcare
Facility: Thumb Pediatrics
Van Buren County
Population Group: Low Income-Van Buren County
Facility: Bronson Lakeview Family Care-Decatur
Facility: Bronson Lakeview Family Care-Mattawan
Facility: Hartford Medical Center
Facility: Intercare Community Health
Facility: Lakeview Medical Center
Facility: South Haven Community Hospital Cooper Rural Health Clinic
Facility: South Haven Community Hospital Rural Health Clinic
Wayne County
Service Area: Ecorse City Service Area
Population Group: Low Income - River Rouge City
Population Group: Low Income - Southwest Detroit
Population Group: Low Income-Northeast Detroit Service Area
Page 97 of 222

Population Group: Low Income-Northwest Detroit Service Area
Population Group: Low Income-Southeast Detroit Service Area
Facility: American Indian Health and Family Svs of Southeast MI
Facility: Charter County of Wayne
Facility: Community Health and Social Services
Facility: Covenant Community Care, Inc.
Facility: Detroit Central City Community Mental Health, Inc.
Facility: Detroit Community Health Connection
Facility: Detroit Health Care for the Homeless
Facility: Health Centers Detroit Foundation, Inc.
Facility: The Wellness Plan
Facility: Western Wayne Family Health Center
Wexford County
Population Group: Low Income-Wexford County
Facility: Northern Pines Health Center

Page 98 of 222

DENTAL HEALTH: Minnesota
County and County Equivalent Listing
Aitkin County
Population Group: Low Income - Mille Lacs
Population Group: Low Income - North Aitkin County
Anoka County
Population Group: Low Income - Fridley/Columbia Heights
Facility: Minnesota Correctional Facility/Lino Lakes
Becker County
Population Group: Low Income-Becker County
Facility: White Earth Nation-Circle of Life Academy
Facility: White Earth PHS Indian Hospital
Beltrami County
Population Group: Low Income-Beltrami County
Facility: PHS Indian Hospital - Red Lake
Benton County
Population Group: Low Income-Benton County
Big Stone County
Population Group: Low Income-Big Stone County
Facility: Graceville Health Center Clinic
Blue Earth County
Population Group: Low Income - Blue Earth County
Facility: Open Door Health Center
Brown County
Facility: Sleepy Eye Medical Center
Carlton County
Population Group: Low Income - Carlton County
Facility: Fond Du Lac Min-No-Aya-Win Clinic
Facility: Minnesota Correctional Facility/Moose Lake
Cass County
Population Group: Low Income - Cass County
Facility: Cass Lake Indian Heath Service Hospital
Facility: Leech Lake Band of Ojibwe
Chippewa County
Population Group: Low Income - Chippewa County
Chisago County
Facility: Minnesota Correctional Facility/Rush City
Clay County
Facility: Apple Tree Dental - Hawley
Facility: Community Health Service Inc.
Clearwater County
Population Group: Low Income-Clearwater County
Page 99 of 222

Cook County
Service Area: Cook County
Facility: Grand Portage Health Center
Facility: Sawtooth Mountain Clinic
Cottonwood County
Population Group: Low Income-Cottonwood County
Crow Wing County
Population Group: Low Income - Mille Lacs
Population Group: Low Income - Northern Crow Wing
Faribault County
Population Group: Low Income - Faribault County
Fillmore County
Population Group: Low Income - Fillmore County
Freeborn County
Population Group: Low Income - Freeborn County
Grant County
Population Group: Low Income-Grant County
Hennepin County
Population Group: Low Income - Central Minneapolis
Population Group: Low Income - New Hope
Population Group: Low Income - North Minneapolis
Population Group: Low Income - Richfield
Population Group: Low Income-Northeast Minneapolis
Facility: Cedar Riverside People's Center
Facility: Hennepin County - Healthcare for the Homeless
Facility: Indian Health Board
Facility: Native American Community Clinic
Facility: Neighborhood Healthsource
Facility: Northpoint Health and Wellness Center
Facility: Southside Community
Facility: Universal Medical Services, Inc.
Facility: University of Minnesota Community Health Care
Itasca County
Population Group: Low Income - Grand Rapids Rational Service Area 76
Population Group: Low Income-Bigfork
Kanabec County
Population Group: Low Income - Kanabec County
Kandiyohi County
Population Group: Low Income - Kandiyohi County
Kittson County
Facility: Kittson Memorial Clinic of Karlstad
Koochiching County
Population Group: Low Income - Koochiching County
Lac qui Parle County
Page 100 of 222

Population Group: Low Income - Lac Qui Parle County
Lake of the Woods County
Population Group: Low Income - Lake of the Woods County
Lincoln County
Service Area: Lincoln County
Lyon County
Population Group: Low Income - Tracy
Mahnomen County
Population Group: Low Income - Mahnomen County
Marshall County
Service Area: Marshall County
Martin County
Population Group: Low Income-Martin County
Mille Lacs County
Population Group: Low Income - Mille Lacs
Population Group: Low Income - South Mille Lacs Rational Service Area
85
Facility: Mille Lacs Band of Ojibwe Behavioral Health
Facility: Mille Lacs Family Clinic-Onamia
Facility: Mille Lacs Health System-Isle
Facility: Ne-Ia-Shing Clinic
Morrison County
Population Group: Low Income - Mille Lacs
Population Group: Low Income - West Morrison County
Facility: Mille Lacs Family Clinic-Hillman
Mower County
Population Group: Low Income - Mower County
Murray County
Service Area: Murray County
Nobles County
Population Group: Low Income - Nobles County
Norman County
Population Group: Low Income - Norman County
Olmsted County
Facility:
Facility:
Facility:
Facility:

Apple Tree Dental - Rochester
Community Dental Care Rochester - Eastwood
Community Dental Care Rochester - Heintz Center
Federal Medical Center-Rochester

Otter Tail County
Population Group: Low Income - Otter Tail County
Facility: Henning Medical Clinic
Pennington County
Page 101 of 222

Population Group: Low Income - Pennington County
Pine County
Population Group: Low Income - Pine County
Pipestone County
Population Group: Low Income - Pipestone County
Polk County
Population Group: Low Income - Polk County
Ramsey County
Population Group: Low Income - Central St. Paul
Population Group: Low Income-Riverview/St. Paul
Facility: Open Cities Health Center
Facility: United Family Practice Health Center
Facility: Westside Community Health Center
Red Lake County
Population Group: Low Income - Red Lake County
Redwood County
Population Group: Low Income - Greater Redwood Rational Service Area
#97
Population Group: Low Income - Tracy
Facility: Lower Sioux Community Council
Renville County
Population Group: Low Income - Renville County
Rice County
Facility: Minnesota Correctional Facility - Faribault
Rock County
Population Group: Low Income - Rock County
Scott County
Facility: Shakopee Mdewakanton Sioux Community
Sherburne County
Facility: Minnesota Correctional Facility-St Cloud
Sibley County
Facility: Ridgeview Arlington Clinic
Facility: Ridgeview Henderson Clinic
Facility: Ridgeview Winthrop Clinic
St. Louis County
Service Area: Aurora/Hoyt Lakes Rational Service Area 116
Service Area: Cook/Orr
Service Area: Floodwood
Population Group: Low Income - Virginia Rational Service Area 117
Population Group: Low Income-Ely
Facility: Bois Forte Tribal Clinic
Facility: Cook Area Health Services, Inc.
Facility: Lake Superior Community Health Center
Page 102 of 222

Stearns County
Population Group: Low Income - Western Stearns County Rational Service
Area 118
Stevens County
Population Group: Low Income - Stevens County
Facility: Chokio Medical Center
Todd County
Population Group: Low Income - Todd County
Facility: Bertha Medical Clinic
Traverse County
Service Area: Traverse County
Wadena County
Population Group: Low Income - Wadena County
Waseca County
Facility: Federal Correctional Institution - Waseca
Washington County
Facility: Minnesota Correctional Facility-Stillwater
Watonwan County
Service Area: Watonwan County
Facility: Apple Tree Dental - Madelia
Winona County
Population Group: Low Income-Winona County
Yellow Medicine County
Facility: Sanford Canby Clinic

Page 103 of 222

DENTAL HEALTH: Mississippi
County and County Equivalent Listing
Adams County
Service Area: Adams County
Alcorn County
Population Group: Low Income - Alcorn County
Amite County
Service Area: Amite County
Facility: Amite County Medical
Attala County
Service Area: Attala County
Benton County
Service Area: Benton County
Facility: North Benton County Health
Bolivar County
Service Area: Bolivar County
Facility: Delta Health Center, Inc.
Calhoun County
Service Area: Calhoun County
Carroll County
Service Area: Carroll County
Chickasaw County
Population Group: Low Income - Chickasaw County
Choctaw County
Service Area: Choctaw County
Claiborne County
Service Area: Claiborne County
Facility: Claiborne County Family Health Center
Clarke County
Service Area: Clarke County
Facility: Outreach Health Services
Clay County
Service Area: Clay County
Coahoma County
Service Area: Coahoma County
Facility: Aaron E. Henry Community Health Center
Copiah County
Population Group: Low Income - Copiah County
Covington County
Service Area: Covington County
Page 104 of 222

Forrest County
Population Group: Low Income - Forrest County
Facility: Southeast Mississippi Rural Health Initiative, Inc.
Franklin County
Service Area: Franklin County
George County
Population Group: Low Income - George County
Greene County
Service Area: Greene County
Facility: South Mississippi Correctional Institution
Grenada County
Service Area: Grenada County
Hancock County
Population Group: Low Income - Hancock County
Harrison County
Population Group: Low Income - Harrison County
Facility: Coastal Family Health Center
Hinds County
Population Group: Low Income - Hinds County
Facility: Central Mississippi Civic Improvement
Facility: Central Mississippi Health Services
Holmes County
Service Area: Holmes County
Facility: Dr. Arenia C. Mallory Community Health Center
Humphreys County
Service Area: Humphreys County
Issaquena County
Service Area: Issaquena/Sharkey Counties
Itawamba County
Service Area: Itawamba County
Facility: Mantachie Rural Health Care, Inc.
Jackson County
Population Group: Low Income - Jackson County
Jasper County
Population Group: Low Income - Jasper County
Jefferson County
Service Area: Jefferson County
Facility: Jefferson Comprehensive
Jefferson Davis County
Service Area: Jefferson Davis County
Jones County
Page 105 of 222

Population Group: Low Income - Jones County
Facility: Sandersville Family
Kemper County
Service Area: Kemper County
Lafayette County
Service Area: Lafayette County
Lamar County
Population Group: Low Income - Lamar County
Lauderdale County
Population Group: Low Income - Lauderdale County
Facility: East Mississippi Medical Clinic-Meridan
Facility: Greater Meridian Health Clinic
Lawrence County
Population Group: Low Income - Lawrence County
Leake County
Service Area: Leake County
Facility: East Central Mississippi Health Care, Inc.
Lee County
Population Group: Low Income - Lee County
Leflore County
Service Area: Leflore County
Lincoln County
Population Group: Low Income - Lincoln County
Lowndes County
Service Area: Lowndes County
Madison County
Service Area: North Madison County
Facility: G. A. Carmichael Family Health Center
Marion County
Service Area: Marion County
Marshall County
Service Area: Marshall County
Facility: Northeast Mississippi
Monroe County
Population Group: Low Income - Monroe County
Facility: Access Family Health Services
Facility: Chestnut Medical Clinic
Facility: Pioneer Family Medical
Montgomery County
Service Area: Montgomery County
Neshoba County
Page 106 of 222

Service Area: Neshoba County
Facility: Mississippi Band of Choctaw Indians
Newton County
Service Area: Newton County
Facility: East Mississippi Medical Clinic
Noxubee County
Service Area: Noxubee County
Oktibbeha County
Service Area: Oktibbeha County
Panola County
Service Area: Panola County
Facility: Batesville Pediatric Clinic
Facility: Batesville Women's Clinic
Pearl River County
Service Area: Pearl River County
Perry County
Population Group: Low Income - Perry County
Pike County
Population Group: Low Income - Pike County
Pontotoc County
Service Area: Pontotoc County
Prentiss County
Population Group: Low Income - Prentiss County
Quitman County
Service Area: Quitman County
Rankin County
Facility: Central Mississippi Correctional Facility
Facility: Family Healthcare Clinic
Scott County
Population Group: Low Income - Scott County
Sharkey County
Service Area: Issaquena/Sharkey Counties
Simpson County
Service Area: Simpson County
Smith County
Service Area: Smith County
Stone County
Service Area: Stone County
Sunflower County
Service Area: Sunflower County
Page 107 of 222

Facility: Mississippi State Penitentiary (MSP)
Tallahatchie County
Service Area: Tallahatchie County
Tate County
Service Area: Tate County
Tippah County
Service Area: Tippah County
Tishomingo County
Service Area: Tishomingo County
Tunica County
Service Area: Tunica County
Union County
Service Area: Union County
Walthall County
Service Area: Walthall County
Warren County
Population Group: Low Income - Warren County
Washington County
Service Area: Washington County
Wayne County
Service Area: Wayne County
Webster County
Service Area: Webster County
Wilkinson County
Population Group: Low Income - Wilkinson County
Winston County
Service Area: Winston County
Yalobusha County
Service Area: Yalobusha County
Yazoo County
Service Area: Yazoo County
Facility: Federal Correctional Institution - Yazoo City

Page 108 of 222

DENTAL HEALTH: Missouri
County and County Equivalent Listing
Adair County
Population Group: Low Income-Adair and Macon Counties
Facility: Northeast Missouri Health Council
Andrew County
Population Group: Low Income Andrew and Dekalb Counties Dh
Atchison County
Population Group: Low Income-Atchison County
Audrain County
Population Group: Low Income-Callaway and Audrain Counties
Facility: East Central MO Behavioral Health Svs/Dba Arthur Center
Facility: Pcmh (Pike County Memorial Hospital) Clinic
Barry County
Population Group: Low Income-Barry County
Barton County
Population Group: Low Income-Barton County
Bates County
Service Area: Bates County
Benton County
Population Group: Low Income-Benton County
Bollinger County
Population Group: Low Income-Bollinger County
Boone County
Population Group: Low Income-Boone County
Facility: Family Health Center of Boone County
Buchanan County
Population Group: Low Income-Buchanan County
Facility: Northwest Health Services
Butler County
Population Group: Low Income-Butler County
Caldwell County
Population Group: Low Income-Caldwell and Daviess Counties
Callaway County
Population Group: Low Income-Callaway and Audrain Counties
Camden County
Population Group: Low Income-Camden/Miller Counties
Facility: Lake Regioinal Clinic - Camdenton
Facility: Lake Regional Clinic - Lake Ozark
Facility: Lake Regional Clinic - Macks Creek
Facility: Lake Regional Clinic - Osage
Page 109 of 222

Cape Girardeau County
Population Group: Low Income-Cape Girardeau County
Facility: Cross Trails Medical Center
Carroll County
Population Group: Low Income-Livingston and Carroll Counties
Carter County
Population Group: Low Income-Carter/Reynolds/Shannon Counties
Cass County
Service Area: Cass County
Facility: Archie Medical Clinic
Facility: Harrisonville Medical Clinic
Facility: Pleasant Hill Medical Clinic
Cedar County
Population Group: Low Income-Vernon/Cedar County
Chariton County
Population Group: Low Income-Chariton and Linn Counties Dh
Christian County
Population Group: Low Income-Christian and Stone Counties
Facility: Sparta Clinic
Clark County
Population Group: Low Income-Clark County
Clinton County
Population Group: Low Income-Clinton County
Cole County
Population Group: Low Income-Cole County
Cooper County
Population Group: Low Income-Cooper, Moniteau, and Howard Counties
Facility: Cooper County Rural Health Clinic
Crawford County
Population Group: Low Income-Crawford and Phelps Counties
Dade County
Population Group: Low Income-Dade County
Dallas County
Population Group: Low Income-Dallas County
Daviess County
Population Group: Low Income-Caldwell and Daviess Counties
DeKalb County
Population Group: Low Income Andrew and Dekalb Counties Dh
Dent County
Population Group: Low Income-Dent County
Page 110 of 222

Douglas County
Population Group: Low Income-Douglas County
Dunklin County
Population Group: Low Income-Dunklin County Dental Health
Franklin County
Population Group: Low Income-Franklin County
Facility: Mercy McAuley Clinic
Gasconade County
Population Group: Low Income-Gasconade County
Facility: Associated Medical Arts - Hermann
Facility: Medical Clinic Owensville
Facility: Southwest Medical Association
Gentry County
Population Group: Low Income-Gentry and Nodaway Counties
Facility: Northwest Medical Center (Stanberry)
Greene County
Population Group: Low Income-Greene County
Facility: Advocates for a Healthy Community/Dba Jordan Valle
Facility: Mcfp-Springfield
Grundy County
Population Group: Low Income-Grundy County
Harrison County
Population Group: Low Income-Harrison County
Henry County
Population Group: Low Income-Henry County
Facility: Pathways Community Behavioral Healthcare Inc.
Hickory County
Service Area: Hickory County Dh
Facility: Lake Area Primary Care Clinic
Facility: Ozarks Resource Group
Holt County
Population Group: Low Income-Holt County
Howard County
Population Group: Low Income-Cooper, Moniteau, and Howard Counties
Howell County
Population Group: Low Income-Howell County
Facility: Rural Alliance for Better Health
Iron County
Service Area: Washington and Iron
Jackson County
Population Group: Low Income-Central Kansas City
Population Group: Low Income-North Kansas City
Facility: Kansas City Care Clinic
Page 111 of 222

Facility: Samuel U. Rodgers Health Center
Facility: Swope Health Services
Jasper County
Population Group: Low Income-Jasper County
Jefferson County
Population Group: Low Income-Hillsboro/Desoto/Festus
Facility: Community Treatment Inc.
Johnson County
Population Group: Low Income-Lafayette and Johnson Counties
Knox County
Population Group: Low Income-Knox County
Laclede County
Population Group: Low Income-Laclede County
Lafayette County
Population Group: Low Income-Lafayette and Johnson Counties
Facility: Health Care Coalition of Lafayette County
Lawrence County
Population Group: Low Income-Lawrence County
Lewis County
Population Group: Low Income-Lewis County
Facility: Quincy Medical Group - Canton
Facility: Quincy Medical Group - Lewistown Rural Health
Facility: Quincy Medical Group-Labelle Rural Health
Lincoln County
Population Group: Low Income-Montgomery, Lincoln, and Warren Counties
Facility: Mercy Hospital Lincoln Family Medicine Elsberry
Linn County
Population Group: Low Income-Chariton and Linn Counties Dh
Livingston County
Population Group: Low Income-Livingston and Carroll Counties
Macon County
Population Group: Low Income-Adair and Macon Counties
Madison County
Population Group: Low Income-Madison County
Maries County
Population Group: Low Income-Osage and Maries Counties
Marion County
Population Group: Low Income-Ralls and Marion Counties
Facility: Hannibal Clinic-Hannibal
Facility: Hannibal Clinic-Palmyra
McDonald County
Page 112 of 222

Population Group: Low Income-McDonald County
Facility: Anderson Rural Health Clinic
Facility: Goodman Family Clinic
Facility: Ozark Tricounty Health Center
Facility: Pineville Medical Clinic
Facility: Southwest City Community Clinic
Mercer County
Service Area: Mercer County
Miller County
Population Group: Low Income-Camden/Miller Counties
Facility: Lake Regional Clinic - Eldon
Facility: Lake Regional Clinic - Iberia
Mississippi County
Population Group: Low Income-Mississippi County
Moniteau County
Population Group: Low Income-Cooper, Moniteau, and Howard Counties
Monroe County
Population Group: Low Income-Monroe County
Montgomery County
Population Group: Low Income-Montgomery, Lincoln, and Warren Counties
Facility: Associated Medical Arts - Montgomery City
Morgan County
Service Area: Morgan County
Facility: Lake Regional Clinic - Laurie
New Madrid County
Population Group: Low Income-New Madrid County
Facility: Southeast Missouri Health Network, Inc.
Newton County
Population Group: Low Income-Newton County
Facility: Eastern Shawnee Tribe
Nodaway County
Population Group: Low Income-Gentry and Nodaway Counties
Oregon County
Service Area: Oregon County
Osage County
Population Group: Low Income-Osage and Maries Counties
Facility: Community Health Center of Central Missouri
Ozark County
Population Group: Low Income-Ozark County
Pemiscot County
Population Group: Low Income-Pemiscot County
Perry County
Page 113 of 222

Population Group: Low Income-Perry County
Pettis County
Population Group: Low Income-Pettis County
Facility: Regional Health Care Clinic, Inc./Katy Trail
Phelps County
Population Group: Low Income-Crawford and Phelps Counties
Facility: South Central Missouri Community Health Center
Pike County
Population Group: Low Income-Pike County
Facility: Eastern Missouri Health Services
Facility: Hannibal Clinic-Bowling Green
Polk County
Population Group: Low Income-Polk County Dh
Pulaski County
Population Group: Low Income-Pulaski County
Facility: Central Ozark Medical
Putnam County
Population Group: Low Income-Putnam County
Ralls County
Population Group: Low Income-Ralls and Marion Counties
Randolph County
Population Group: Low Income-Randolph County
Facility: Randolph County Health Department
Ray County
Population Group: Low Income-Ray County
Reynolds County
Population Group: Low Income-Carter/Reynolds/Shannon Counties
Facility: Missouri Highlands Health Care
Ripley County
Service Area: Ripley County
Saline County
Population Group: Low Income-Saline County
Schuyler County
Population Group: Low Income-Schuyler County
Scotland County
Population Group: Low Income-Scotland County
Scott County
Population Group: Low Income-Scott County
Shannon County
Population Group: Low Income-Carter/Reynolds/Shannon Counties
Page 114 of 222

Shelby County
Service Area: Shelby County
St. Charles County
Population Group: Low Income-St. Charles City
St. Clair County
Population Group: Low Income-St. Clair County
Facility: Osceola Medical Center
Facility: Sac-Osage Hospital Tri-County Clinic
St. Francois County
Population Group: Low Income-St. Francois County
Facility: Eastern Reception, Diagnostic and Correctional Center
St. Louis City
Population Group: Low Income-East Central St. Louis
Population Group: Low Income-North St. Louis
Population Group: Low Income-Southeast St. Louis
Population Group: Low Income-West Central St. Louis
Facility: Affinia Health Centers
Facility: Family Care Health Centers
Facility: Myrtle Hilliard Davis Comprehensive Heal
Facility: People's Health Centers
St. Louis County
Population Group: Low Income-St. Charles City
Population Group: Low Income-West Central St. Louis
Ste. Genevieve County
Population Group: Low Income-St. Genevieve County Dh
Stoddard County
Population Group: Low Income-Stoddard County
Stone County
Population Group: Low Income-Christian and Stone Counties
Sullivan County
Population Group: Low Income-Sullivan County
Taney County
Population Group: Low Income-Taney County
Facility: Douglas County Public Health Center
Texas County
Population Group: Low Income-Texas County
Vernon County
Population Group: Low Income-Vernon/Cedar County
Warren County
Population Group: Low Income-Montgomery, Lincoln, and Warren Counties
Washington County
Service Area: Washington and Iron
Facility: Great Mines Health Center
Page 115 of 222

Wayne County
Service Area: Wayne County
Webster County
Population Group: Low Income-Webster County
Worth County
Service Area: Worth County
Wright County
Population Group: Low Income-Wright County

Page 116 of 222

DENTAL HEALTH: Montana
County and County Equivalent Listing
Beaverhead County
Population Group: Low Income - Beaverhead County
Big Horn County
Population Group: Low Income - Big Horn County
Facility: Big Horn Valley Health Center
Facility: Crow Agency PHS Indian Hospital
Facility: Crow-Lodge Grass Clinic
Facility: Crow-Pryor Health Station
Facility: Lodge Grass Health Clinic
Blaine County
Population Group: Low Income - Havre
Facility: Fort Belknap PHS Indian Hospital
Facility: Harlem PHS Indian Hospital
Facility: Hays Clinic/Eagle Child Health Center
Broadwater County
Population Group: Low Income - Broadwater County
Carter County
Service Area: Fallon/Ekalaka
Population Group: Low Income - Miles City
Cascade County
Population Group: Low Income - Cascade County
Facility: Community Health Care Center, Inc.
Facility: Indian Family Health Clinic
Chouteau County
Service Area: Choteau County
Custer County
Population Group: Low Income - Miles City
Facility: Holy Rosary Healthcare Clinic
Daniels County
Facility: Daniels Memorial Medical Clinic
Dawson County
Population Group: Low Income - Glendive
Deer Lodge County
Population Group: Low Income - Deer Lodge County
Fallon County
Service Area: Fallon/Ekalaka
Fergus County
Population Group: Low Income - Fergus County
Flathead County
Population Group: Low Income - Flathead County
Facility: Flathead City-County Health Department
Page 117 of 222

Gallatin County
Population Group: Low Income - Gallatin County
Garfield County
Population Group: Low Income - Miles City
Glacier County
Population Group: Low Income - Glacier County
Facility: Blackfeet Tribal Health Department
Facility: Browning PHS Indian Hospital
Facility: Glacier Community Health Center
Golden Valley County
Service Area: Golden Valley County
Granite County
Population Group: Low Income - Granite County
Hill County
Population Group: Low Income - Havre
Facility: Bullhook Community Health Center
Facility: Rocky Boy Tribal Health Department
Jefferson County
Facility: Elkhorn Mountain Health Services Dba Boulder Medical Clinic
Judith Basin County
Service Area: Judith Basin County
Lake County
Population Group: Low Income - Lake County
Facility: Flathead Tribal Health and Human Services
Facility: The Confederated Salish and Kootenai Tribal Health D
Lewis and Clark County
Facility: Helena Indian Alliance
Facility: Lewis and Clark City/County Health Department
Liberty County
Population Group: Low Income - Liberty County
Lincoln County
Population Group: Low Income - Lincoln County
Facility: Libby Clinic, Pllp
Facility: Lincoln County Community Health Center
Madison County
Population Group: Low Income - Madison County
Facility: Madison Valley Clinic
Facility: Ruby Valley Medical Clinic
Facility: Twin Bridges Medical Clinic
McCone County
Population Group: Low Income - Glendive
Meagher County
Page 118 of 222

Service Area: Meagher County
Mineral County
Service Area: Mineral County
Missoula County
Population Group: Low Income - Missoula County
Facility: Missoula City/County Health Department
Facility: Missoula Indian Center
Musselshell County
Population Group: Low Income - Musselshell County
Park County
Population Group: Low Income - Park County
Facility: Community Health Partners
Facility: Livingston Healthcare Dba Park Clinic
Phillips County
Service Area: Phillips County
Pondera County
Population Group: Low Income - Pondera County
Facility: Heart Butte Clinic
Facility: Heart Butte Health Station
Facility: Pondera Medical Center Clinic
Powder River County
Population Group: Low Income - Miles City
Powell County
Population Group: Low Income-Powell County
Prairie County
Population Group: Low Income - Glendive
Population Group: Low Income - Miles City
Ravalli County
Population Group: Low Income - Ravalli County
Facility: Sapphire Community Health Inc.
Roosevelt County
Population Group: Low Income - Roosevelt County
Facility: Fort Peck Tribal Health Project
Facility: Poplar PHS Indian Health Center
Facility: Riverside Family Clinic, Inc.
Facility: Roosevelt Memorial Clinic
Facility: Wolf Point PHS Indian Health Center
Rosebud County
Population Group: Low Income - Rosebud County
Facility: Lame Deer PHS Indian Health Center
Facility: Northern Cheyenne Tribal Health Department
Facility: Rosebud Health Care Center
Sanders County
Population Group: Low Income - Sanders County
Page 119 of 222

Sheridan County
Population Group: Low Income - Sheridan County
Silver Bow County
Population Group: Low Income - Silver Bow County
Facility: Butte-Silverbow Primary Health Care
Facility: North American Indian Alliance
Stillwater County
Service Area: Stillwater County
Teton County
Population Group: Low Income - Teton County
Treasure County
Service Area: Treasure County
Valley County
Population Group: Low Income - Valley County
Wheatland County
Service Area: Wheatland County
Wibaux County
Population Group: Low Income - Glendive
Yellowstone County
Population Group: Low Income - Yellowstone County
Facility: Indian Health Board of Billings
Facility: Montana Migrant
Facility: Yellowstone City/County Health Department

Page 120 of 222

DENTAL HEALTH: Nebraska
County and County Equivalent Listing
Burt County
Facility:
Facility:
Facility:
Facility:
Facility:

Cottonwood Rural Health Clinic
Lyons Mercy Medical Clinic
Oakland Family Practice
Oakland Mercy Medical Clinic
Tekamah Mercy Medical Clinic

Cass County
Facility: Weeping Water Medical Center
Cedar County
Facility: Avera Medical Group - Hartington
Cherry County
Facility: Cherry County Clinic
Facility: Valentine Medical Clinic, LLC
Clay County
Facility: Edgar Medical Center
Facility: Sutton Family Practlice
Colfax County
Facility:
Facility:
Facility:
Facility:

Chi Health Clarkson Clinic
Chi Health Howells Clinic
Chi Health Schuyler Clinic
Howells Family Practice

Cuming County
Facility: Dinklage Medical Clinic
Facility: Wisner Family Practice
Custer County
Facility: Callaway Medical Clinic
Dawes County
Facility: Legend Buttes Health Services Center
Dawson County
Facility: Family Medicine Specialists
Facility: Gothenburg Medical Arts Rural Health Clinic
Dodge County
Facility: Scribner Medical Clinic
Douglas County
Facility:
Facility:
Facility:
Facility:

Charles Drew Medical Clinic
Fred Leroy Health and Wellness Clinic\Ponca Tribe of
Nebraska Urban Indian Health Coalition
One World Community Health Center

Dundy County
Facility: Quality Heathcare Services Medical Clinic-Benkelm
Fillmore County
Page 121 of 222

Facility: Fillmore County Medical Center, P.C.
Gage County
Facility: Adams Primary Care
Facility: Gage County Medical Clinic
Facility: The Beatrice Women's and Children's Clinic
Garden County
Facility: Regional West Garden County Clinic
Garfield County
Facility: Burwell Family Practice Clinic
Hall County
Facility: Heartland Health Center, Inc.
Hitchcock County
Facility: Quality Healthcare Services Medical Clinic-Stratto
Holt County
Facility:
Facility:
Facility:
Facility:

Avera O'Neill Family Medicine
Greater Sandhills Family Healthcare - Atkinson
Grtr Sandhills Family Healthcare-Stuart
West Holt Medical Clinic

Johnson County
Facility: Tecumseh Family Health Care
Kimball County
Facility: Kimball County Hospital Clinic
Knox County
Facility: Santee Sioux Nation
Lancaster County
Facility: Nebraska Urban Indian Medical Center
Facility: People's Heatlh Center
Facility: Ponca Tribe of Nebraska
Lincoln County
Facility: Brady Rural Health Clinic
Madison County
Facility: Midtown Health Center, Inc.
Facility: Ponca Hills Health and Wellness Center\Ponca Tribe O
Merrick County
Facility: Lone Tree Medical Associates, P.C.
Nance County
Facility: Lone Tree Medical Associates - Fullerton
Facility: Park Street Medical Clinic
Nuckolls County
Facility: Superior Family Medical Center - Nelson
Facility: Superior Family Medical Center - Superior
Page 122 of 222

Otoe County
Facility: Nebraska City Medical Clinic
Facility: Syracuse Medical Center
Pawnee County
Facility: Pawnee County Rural Health Clinic
Pierce County
Facility: Chi Health Plainview Clinic
Platte County
Facility: East Central District Health Department
Richardson County
Facility: Family Medicine
Facility: Humboldt Family Medicine
Rock County
Facility: Greater Sandhills Family Healthcare-Bass
Facility: Rock County Clinic
Scotts Bluff County
Facility: Community Action Partnership of Western Nebraska
Sheridan County
Facility: Gordon Clinic
Thayer County
Facility:
Facility:
Facility:
Facility:
Facility:

Chester Medical Clinic
Davenport Medical Clinic
Deshler Medical Clinic
Tchs Bruning Medical Clinic
Thayer County Health Services

Thurston County
Facility: Carl T. Curtis Health Center
Facility: Winnebago PHS Indian Hospital
Valley County
Facility: Vchs Medical Clinic (Formerly Ord Family Health Center)
Washington County
Facility: Fort Calhoun Clinic
Facility: Mch Physicians
York County
Facility: Henderson Health Care Services

Page 123 of 222

DENTAL HEALTH: Nevada
County and County Equivalent Listing
Carson City
Population Group: Low Income Carson City
Facility: Nevada Health Centers
Facility: Northern Nevada Correctional Center
Facility: Warm Springs Correctional Center
Churchill County
Population Group: Low Income-Churchill County
Facility: Fallon Health Center
Clark County
Population Group: Low Income-Henderson
Population Group: Low Income-North Las Vegas
Population Group: Low Income-Northern Clark
Population Group: Low Income-South Las Vegas Paradise
Population Group: Low Income-Southern Clark
Population Group: Low Income-Spring Valley
Population Group: Low Income-West Central Las Vegas
Facility: Firstmed Health and Wellness Center
Facility: Florence McClure Correctional Center
Facility: High Desert State Prison
Facility: Hope Christian Health Center Corporation
Facility: Las Vegas Paiute Tribe
Facility: Moapa Band of Paiutes
Facility: Moapa Health Clinic
Facility: Silver State Health Services
Facility: Southern Desert Correctional Center
Douglas County
Population Group: Low Income-Western Douglas County
Facility: Minden Family Medicine
Facility: Topaz Ranch Medical Clinic
Facility: Washoe Tribal Health Center-Gardnerville Health Center
Elko County
Service Area: Northern Elko County
Service Area: Spring Creek
Population Group: Low Income-White Pine/Eureka/East Elko
Facility: Duck Valley Shoshone Tribe
Facility: Elko Health Center
Facility: Owyhee Community Hospital
Facility: South Fork Band Council
Facility: Te-Moak Tribe of Western Shoshone
Esmeralda County
Service Area: Esmeralda County
Eureka County
Population Group: Low Income-White Pine/Eureka/East Elko
Humboldt County
Population Group: Low Income-Humboldt
Facility: Fort McDermitt Tribal Health Center
Facility: Humboldt General Rural Health Clinic
Page 124 of 222

Lander County
Service Area: Lander County
Facility: Battle Mountain Band
Facility: Battle Mountain Clinic
Facility: Yomba Shoshone Tribe
Lincoln County
Service Area: Lincoln County
Lyon County
Population Group: Low Income Lyon County
Facility: Silver Springs Rural Health Centers
Facility: Smith Valley Physicians Clinic
Facility: South Lyon Health Center - Barnett
Facility: South Lyon Physicians Clinic
Facility: Yerington Paiute Tribe
Mineral County
Population Group: Low Income-Mineral County
Facility: Walker River Paiute Tribal Health Center
Nye County
Population Group: Low Income-Nye County
Facility: Duckwater Shoshone Tribe
Pershing County
Service Area: Pershing County
Facility: Lovelock Correctional Center
Facility: Lovelock Paiute Tribe
Facility: Pershing General Hospital and Nursing Home Physician Center
Storey County
Service Area: Storey County
Washoe County
Population Group: Low Income-Washoe County
Facility: Community Health Alliance
Facility: Nevada Urban Indians, Inc.
Facility: Northern Nevada Hopes
Facility: Pyramid Lake Tribal Health Center
Facility: Reno Sparks Shoshone Paiute Health Center
White Pine County
Population Group: Low Income-White Pine/Eureka/East Elko
Facility: Ely Health Station
Facility: Ely State Prison
Facility: Newe Medical Clinic\Ely Shoshone Tribe
Facility: William Bee Ririe Hospital-Rural Health Clinic

Page 125 of 222

DENTAL HEALTH: New Hampshire
County and County Equivalent Listing
Belknap County
Population Group: Low Income - Plymouth
Carroll County
Facility: Saco River Medical Group
Facility: White Mountain Community Health Center
Coos County
Population Group: Low Income - Coos County
Facility: Coos County Family Health Services
Facility: Federal Correctional Institution - Berlin
Facility: Indian Stream Health Center
Facility: Weeks Medical Center - Groveton
Facility: Weeks Medical Center - Whitefield
Grafton County
Population Group: Low Income - Plymouth
Population Group: Low Income-Northern Grafton County
Facility: Ammonoosuc Community Health Services
Facility: Cottage Hospital Internal Medicine
Facility: Mid State Health Center
Facility: Mid-State Health Center-Bristol
Hillsborough County
Facility: City of Manchester - Public Health Department - HCH
Facility: Harbor Homes, Inc.
Facility: Manchester Community Health Center
Merrimack County
Population Group: Low Income - Plymouth
Facility: Health First Family Care
Facility: State Prison for Men - Concord
Rockingham County
Facility: Lamprey Healthcare
Strafford County
Facility: Avis Goodwin Community Health Center
Sullivan County
Facility: Newport Health Center

Page 126 of 222

DENTAL HEALTH: New Jersey
County and County Equivalent Listing
Atlantic County
Facility: Atlanticare Health Services
Facility: Southern Jersey Family Medical
Burlington County
Facility: Albert C. Wagner Youth Correctional Facility
Facility: Federal Correctional Institution - Fort Dix
Facility: Garden State Youth Correctional Facility
Camden County
Facility: Camcare Health Corporation
Facility: Osborn Family Health Center
Facility: Project H.O.P.E. Inc.
Cumberland County
Facility: Bayside State Prison
Facility: Community Health Care, Inc.
Facility: South Woods State Prison
Facility: Southern State Correctional Facility
Essex County
Facility:
Facility:
Facility:
Facility:
Facility:

Newark City Health and Human Services
Newark Community Health
Northern State Prison
Rutgers, the State University of New Jersey - Newark
Saint James Health Inc.

Hudson County
Facility: Horizon Health Center
Facility: Metropolitan Family Health Network
Facility: North Hudson Community Action Corporation
Hunterdon County
Facility: Edna Mahan Correctional Facility for Women
Facility: Mountainview Youth Correctional Facility
Mercer County
Facility: Henry J. Austin Health
Facility: New Jersey State Prison
Middlesex County
Facility: Jewish Renaissance Foundation Community Health Cen
Facility: Jewish Renaissance Medical Center
Facility: Rutgers the State University of New Jersey
Monmouth County
Facility: Monmouth Family Health Center
Facility: Visiting Nurse Association of Cent Jersy Community
Morris County
Facility: Zufall Community Clinic
Ocean County
Facility: Lakewood Resource and Referral Center Dba Chemed
Page 127 of 222

Facility: Ocean Health Initiatives, Inc.
Passaic County
Facility: Paterson Community Health Center
Union County
Facility: East Jersey State Prison
Facility: Plainfield Neighborhood Health Services

Page 128 of 222

DENTAL HEALTH: New Mexico
County and County Equivalent Listing
Bernalillo County
Service Area: Southwest Valley Service Area
Population Group: Low Income - North Valley
Facility: Albuquerque Healthcare
Facility: Albuquerque PHS Indian Hospital
Facility: First Choice Community Healthcare, Inc.
Facility: First Nations Community Health
Facility: Pueblo of Isleta Health Center
Facility: To'Hajiiilee Canoncito Health Center
Catron County
Service Area: Catron County
Chaves County
Population Group: Low Income - Chaves County
Cibola County
Service Area: Cibola County
Facility: Acoma-Canoncito-Laguna PHS Health Center
Facility: New Sunrise Regional Treatment Center
Facility: Pine Hill Indian Health Center
Colfax County
Population Group: Low Income - Colfax County
Curry County
Population Group: Low Income - Curry County
De Baca County
Population Group: Low Income - De Baca County
Facility: Debaca Hospital/Family Practice Center
Dona Ana County
Service Area: Dona Ana Hill Service Area
Service Area: Hatch
Service Area: Southern Dona Ana
Facility: Ben Archer Community Health Center
Facility: La Clinica De Familia
Facility: St. Luke's Health Care Clinic
Eddy County
Population Group: Low Income - Eddy County
Grant County
Population Group: Low Income - Grant County
Guadalupe County
Service Area: Guadalupe County
Harding County
Service Area: Harding County
Hidalgo County
Service Area: Hildago County
Page 129 of 222

Facility: Hidalgo Medical Service
Lea County
Service Area: Lea County
Lincoln County
Population Group: Low Income - Lincoln County
Facility: Carrizozo Health Center
Luna County
Service Area: Luna County
McKinley County
Population Group: Low Income - McKinley County
Facility: Crownpoint Comprehensive Health Center
Facility: Gallup Indian Medical Center
Facility: Presbyterian Medical Services
Facility: Pueblo Pintado Health Center
Facility: Zuni PHS Indian Hospital
Mora County
Service Area: Mora County
Facility: Mora Valley Community Health Services, Inc.
Otero County
Service Area: Otero County
Facility: Mescalero PHS Indian Hospital
Quay County
Service Area: Quay County
Rio Arriba County
Service Area: North/Western Rio Arriba
Population Group: Low Income - Espanola
Facility: Circle of Life Behavioral Health
Facility: El Centro Family Health
Facility: Jicarilla PHS Indian Health Center
Facility: La Clinica Del Pueblo De Rio Arriba
Facility: Las Clinicas Del Norte
Facility: Santa Clara PHS Indian Health Center
Roosevelt County
Population Group: Low Income - Roosevelt County
Facility: Las Casa De Buena Salud
San Juan County
Population Group: Low Income - San Juan County
Facility: Dzilth-Na-O-Dith-Hle PHS Indian Health Center
Facility: Northern Navajo Medical Center
Facility: Tohatchi PHS Indian Health Center
San Miguel County
Population Group: Low Income - San Miguel County
Facility: Pecos Valley Medical
Sandoval County
Service Area: Cuba (North Sandoval)
Page 130 of 222

Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Cochiti Health Clinic
El Pueblo Health Services
Jemez Health and Human Services
Pueblo of Jemez
Sandia Health Clinic
Zia Health Clinic
Zia Pueblo Health Program

Santa Fe County
Service Area: Cerrillos/Madrid/Edgewood
Population Group: Low Income - La Familia
Facility: La Familia Medical Center
Facility: Sante Fe PHS Indian Hospital
Sierra County
Service Area: Sierra County
Socorro County
Service Area: Socorro County
Facility: Alamo Navajo Health Center
Taos County
Population Group: Low Income - Taos County
Facility: Taos Picuris Health Center
Torrance County
Service Area: Torrance County
Union County
Service Area: Union County
Valencia County
Population Group: Low Income - Valencia County
Facility: Pueblo of Laguna of Community Health and Wellness

Page 131 of 222

DENTAL HEALTH: New York
County and County Equivalent Listing
Albany County
Facility: Whitney Young, Jr. Health Center
Bronx County
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Bronx Community Health Network
Bronx Lebanon Integrated Services System
La Casa De Salud, Inc.
Morris Heights Health Center, Inc.
Union Community Health Center
Urban Health Plan, Inc.
Vip Community Health Center

Broome County
Population Group: Me - Broome County
Cattaraugus County
Population Group: Me - Cattaraugus County
Facility: Lionel John/Allegany I.R. Health Center
Facility: Southern Tier Community Health Center Network D/B/
Cayuga County
Facility: East Hill Family Medical, Inc.
Chautauqua County
Population Group: Low Income - Chautauqua County
Facility: The Chautauqua Center
Chenango County
Population Group: Me - Chenango County
Columbia County
Population Group: Me - Columbia County
Cortland County
Facility: Family Health Network of Central New York
Delaware County
Population Group: Me - Delaware County
Erie County
Population Group: Me-Buffalo
Facility: Cattaraugus Indian Reservation Health Center
Facility: Community Health Center of Buffalo
Facility: Jericho Road Ministries Inc.
Facility: Northwest Buffalo Community Health Center
Essex County
Population Group: Me-Essex County
Facility: Federal Correctional Institution - Ray Brook
Franklin County
Population Group: Me - Franklin County
Facility: St. Regis Mohawk Health Services
Page 132 of 222

Genesee County
Facility: Immigration and Customs Enforcement-Buffalo Federal Detention
Facility
Greene County
Population Group: Me - Greene County
Herkimer County
Population Group: Me-Herkimer County
Jefferson County
Population Group: Me - Jefferson County
Facility: North Country Children's Clinic
Kings County
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Bedford Stuyvesant Family Health Center, Inc. , the
Brooklyn Plaza Medical Center, Inc.
Brownsville Community
Ezra Medical Center
Housing Works, Inc.
Icl Healthcare Choices, Inc.
Lasante Health Center, Inc.
Metropolitan Detention Center-Brooklyn
ODA Primary Care Health
Sunset Park Family Health

Lewis County
Service Area: Lewis County
Madison County
Population Group: Me - Madison County
Facility: Oneida Nation
Monroe County
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Anthony Jordan Health Center
His Branches Health Services
Oak Orchard Community
Rochester Primary Care Network
St. Mary's Hospital of the Sisters
Trillium Health, Inc.

New York County
Facility: American Indian Community House
Facility: Betances Health Center
Facility: Boriken Neighborhood
Facility: Care for the Homeless
Facility: Charles B. Wang Community Health Center, Inc.
Facility: Covenant House
Facility: Heritage Health and Housing, Inc.
Facility: Institute for Family Health
Facility: Metropolitan Correctional Center (Metropolitan Correctional
Center) - New York
Facility: New York Children's Health Project
Facility: New York City Health and Hospitals Corporation
Facility: New York Health and Hospitals Corporation
Facility: Project Renewal
Facility: Settlement Health
Page 133 of 222

Facility: The Floating Hospital
Facility: Upper Room AIDS Ministry, Inc.
Facility: William F. Ryan Community Health Center
Oneida County
Population Group: Me-Oneida County
Facility: Upstate Family Health Center, Inc.
Onondaga County
Facility: Syracuse Community Health Center
Orange County
Facility: Cornerstone Family Healthcare
Facility: Ezras Cholim Health Center, Inc.
Facility: Federal Correctional Institution - Otisville
Oswego County
Population Group: Me - Oswego County
Facility: Northern Oswego
Otsego County
Population Group: Me - Otsego County
Queens County
Facility: Damian Family Care Centers, Inc.
Facility: J. P. Addabbo Family
Richmond County
Facility: Beacon Christian Community Health Center
Facility: Community Health Center of Richmond
Rockland County
Facility: Community Medical and Dental Care, Inc.
Facility: Refuah Health Center
Schenectady County
Facility: Schenectady Family Health Services/Dba Hometown He
Schuyler County
Population Group: Me - Schuyler County
St. Lawrence County
Population Group: Low Income - St. Lawrence County
Facility: Cerebral Palsy Association of North Country
Steuben County
Population Group: Me - Steuben County
Facility: Tri County Family Medicine Program
Suffolk County
Facility: Shinnecock Indian Nation
Tioga County
Population Group: Me - Tioga County
Tompkins County
Population Group: Me - Tompkins County
Page 134 of 222

Warren County
Facility: Hudson Headwaters Health Network
Wayne County
Population Group: Low Income - Eastern Wayne
Westchester County
Facility: Hudson River Healthcare
Facility: Mt. Vernon Neighborhood Health Center
Facility: Open Door Family Medical Center
Yates County
Facility: Finger Lakes Migrant Health Proj.

Page 135 of 222

DENTAL HEALTH: North Carolina
County and County Equivalent Listing
Alamance County
Population Group: Low Income - Alamance County
Alexander County
Facility: Alexander Correctional Institution
Alleghany County
Population Group: Low Income - Alleghany County
Anson County
Population Group: Low Income-Anson County
Facility: Anson Regional Medical Services, Inc.
Facility: Lanesboro Correctional Institution
Ashe County
Population Group: Low Income - Ashe County
Facility: Appalachian District Health Department
Avery County
Population Group: Low Income-Avery County
Facility: Avery-Mitchell Correctional Institution
Facility: Mountain View Correctional Institution
Beaufort County
Population Group: Low Income-Beaufort County
Facility: Metropolitan Community Health
Bertie County
Population Group: Low Income - Bertie County
Facility: Bertie Correctional Institution
Facility: Bertie County Rural Health Association
Bladen County
Population Group: Low Income - Bladen County
Brunswick County
Population Group: Low Income-Brunswick County
Buncombe County
Facility: Mountain Area Heath Care
Facility: Western North Carolina Community Health
Burke County
Population Group: Low Income - Burke County
Cabarrus County
Population Group: Low Income-Cabarrus County
Facility: Cabarrus Community Health Center
Caldwell County
Population Group: Low Income-Caldwell County
Facility: West Caldwell Health Council, Inc.
Carteret County
Page 136 of 222

Population Group: Low Income-Carteret County
Caswell County
Population Group: Low Income - Caswell County
Facility: Caswell Family Medical Center
Catawba County
Population Group: Low Income-Catawba County
Chatham County
Population Group: Low Income - Chatham County
Cherokee County
Population Group: Low Income-Cherokee County
Chowan County
Population Group: Medically Indigent - Chowan County
Clay County
Population Group: Low Income - Clay County
Cleveland County
Population Group: Low Income - Cleveland County
Columbus County
Population Group: Low Income-Columbus County
Facility: CF-Columbus Correctional Institution
Facility: Chadbourn Family Practice Center
Facility: Columbus County Community Health Center
Facility: Tabor Correctional Institution
Craven County
Population Group: Low Income - Craven County
Facility: Craven Correctional Institution
Facility: Craven County Government
Cumberland County
Population Group: Low Income-Cumberland County
Facility: Community Health Interventions and Sickle Cell Agenc
Facility: Stedman-Wade Health Services
Duplin County
Population Group: Low Income - Duplin County
Facility: Goshen Medical Center
Durham County
Population Group: Low Income - Durham County
Facility: Lincoln Community Health Center
Edgecombe County
Population Group: Low Income-Edgecombe County
Facility: Opportunities Industrialization Center Inc.
Forsyth County
Facility: Southside United Health Center
Franklin County
Page 137 of 222

Population Group: Low Income-Franklin County
Facility: Franklin Correctional Center
Gaston County
Facility: Gaston Family Health Services, Inc.
Gates County
Population Group: Low Income-Gates County
Facility: Gateway Community Health Centers, Inc.
Graham County
Population Group: Low Income - Graham County
Granville County
Service Area: Granville County
Facility: Federal Correctional Complex-Butner
Facility: Granville Internal Medical and Geriatrics
Greene County
Population Group: Low Income - Greene County
Facility: Greene County Health Care, Inc.
Facility: Maury Correctional Institution
Guilford County
Population Group: Low Income - Guilford County
Facility: Triad Adult and Pediatric Medicine
Halifax County
Population Group: Low Income - Halifax County
Harnett County
Population Group: Low Income-Harnett County
Facility: First Choice Community Health Centers
Facility: Harnett Correctional Institution
Haywood County
Population Group: Low Income - Haywood County
Henderson County
Population Group: Low Income/Migrant Farmworker - Henderson County
Facility: Blue Ridge Community Health Services, Inc.
Hertford County
Population Group: Low Income-Hertford County
Facility: Roanoke-Chowan Community Health Center
Hoke County
Population Group: Low Income - Hoke County
Hyde County
Facility: Ocracoke Health Center
Iredell County
Facility: Harmony Medical Care PA
Jackson County
Population Group: Low Income-Jackson County
Page 138 of 222

Johnston County
Facility: Benson Area Medical Center
Jones County
Population Group: Low Income-Jones County
Lee County
Population Group: Low Income - Lee County
Lenoir County
Population Group: Low Income - Lenoir County
Facility: Kinston Community Health Center
Macon County
Population Group: Low Income-Macon County
Madison County
Population Group: Low Income-Madison County
Facility: Hot Springs Health Program
Martin County
Population Group: Low Income-Martin County
Mecklenburg County
Population Group: Mi-Charlotte
Facility: C.W. Williams Community Health Center
Facility: Charlotte Community Health Clinic
Mitchell County
Population Group: Low Income-Mitchell County
Facility: Bakersville Community Medical Clinic
Montgomery County
Population Group: Low Income - Montgomery County
Nash County
Population Group: Low Income - Nash County
Facility: CF-Nash Correctional Institution
New Hanover County
Population Group: Low Income - New Hanover County
Facility: New Hanover
Northampton County
Population Group: Low Income - Northampton County
Facility: Rural Health Group, Inc.
Onslow County
Population Group: Low Income-Onslow County
Orange County
Facility: Piedmont Health Services
Pamlico County
Population Group: Low Income - Pamlico County
Page 139 of 222

Pasquotank County
Population Group: Low Income-Pasquotank County
Pender County
Population Group: Low Income
Facility: Black River Family
Facility: Black River Health
Facility: Black River Health
Facility: Maple Hill Medical

- Pender County
Practice-Burgaw
Center-Atkinson
Services Inc.
Center

Person County
Facility: Person Family Medical Center
Pitt County
Population Group: Low Income - Pitt County
Polk County
Population Group: Low Income-Polk County
Randolph County
Population Group: Low Income-Randolph County
Facility: Medical Resource Center for Randolph County, Inc.
Richmond County
Population Group: Low Income - Richmond County
Robeson County
Population Group: Low Income - Robeson County
Facility: Dr. Arthur Jr. Robinson Medical Clinic
Facility: Fairmont Medical Clinic
Facility: Lumberton Correctional Institution
Facility: Riverquest Medical Care
Facility: Robeson Healthcare Corporation
Facility: Rowland Medical Clinic
Rowan County
Population Group: Low Income - Rowan County
Rutherford County
Population Group: Low Income-Rutherford County
Sampson County
Population Group: Low Income - Sampson County
Facility: CF-Sampson Correctional Institution
Facility: Tri-County Community
Scotland County
Service Area: Scotland County
Facility: Laurel Hill Medical Clinic
Facility: Maxton Family Practice Center
Facility: Scotland Correctional Institution
Stanly County
Population Group: Low Income - Stanly County
Facility: Albemarle Correctional Institution
Surry County
Page 140 of 222

Population Group: Low Income - Surry County
Swain County
Population Group: Low Income-Swain County
Facility: Analenisigi Center
Facility: PHS Indian Hospital - Cherokee
Tyrrell County
Population Group: Low Income-Tyrrell County
Wake County
Facility: Central Prison
Facility: CF-N.C. Correctional Institution for Women
Facility: Wake Health Services, Inc.
Warren County
Service Area: Warren County
Facility: Warren Correctional Institution
Washington County
Population Group: Low Income - Washington County
Watauga County
Population Group: Low Income - Watauga County
Facility: High Country Community Health
Wayne County
Population Group: Low Income - Wayne County
Wilkes County
Population Group: Low Income - Wilkes County
Facility: Wilkes County of
Wilson County
Population Group: Low Income - Wilson County
Facility: Carolina Family Health Center
Yadkin County
Population Group: Low Income - Yadkin County
Yancey County
Population Group: Low Income - Yancey County

Page 141 of 222

DENTAL HEALTH: North Dakota
County and County Equivalent Listing
Benson County
Service Area: Benson County
Facility: Fort Totten PHS Indian Health Center
Facility: Spirit Lake Tribe
Billings County
Service Area: Billings County
Burke County
Service Area: Burke County
Burleigh County
Facility: North Dakota State Penitentiary
Cass County
Facility: Family Healthcare Center
Cavalier County
Service Area: Cavalier County
Divide County
Service Area: Divide County
Dunn County
Service Area: Dunn County
Emmons County
Service Area: Emmons County
Golden Valley County
Service Area: Golden Valley County
Grand Forks County
Service Area: Larimore Service Area
Facility: Valley Community Health Center
Griggs County
Service Area: Griggs/Steele Counties
Kidder County
Service Area: Kidder County
LaMoure County
Service Area: Lamoure County
Facility: Rural Health Kulm
Logan County
Service Area: Logan County
Facility: Rural Health - Gackle
Facility: Rural Health Napoleon
McHenry County
Service Area: McHenry County
Page 142 of 222

McIntosh County
Service Area: McIntosh County
Facility: Rural Health Wishek
McKenzie County
Service Area: McKenzie County
Facility: Fort Berthold PHS Indian Health Center
McLean County
Facility: Northland Health Partners Community Health Center
Mercer County
Facility: Coal Country Community Health Center
Facility: Sakakawea Beulah Clinic
Mountrail County
Service Area: Mountrail County
Nelson County
Service Area: Nelson County
Rolette County
Service Area: Rolette County
Facility: Belcourt PHS Indian Hospital
Sioux County
Service Area: Sioux County
Facility: Fort Yates PHS Indian Hospital
Slope County
Service Area: Slope County
Facility: Southwest Medical Clinic
Steele County
Service Area: Griggs/Steele Counties
Stutsman County
Facility: James River Correctional Center
Towner County
Service Area: Towner County
Wells County
Service Area: Wells County
Williams County
Facility: Trenton Indian Service Unit

Page 143 of 222

DENTAL HEALTH: Ohio
County and County Equivalent Listing
Adams County
Population Group: Low Income - Adams County
Allen County
Population Group: Low Income - Allen County
Facility: CF - Allen Oakwood Correctional Institution
Facility: Health Partners of Western Ohio
Ashland County
Population Group: Low Income - Ashland County
Ashtabula County
Population Group: Low Income - Ashtabula County
Athens County
Population Group: Low Income-Athens County
Belmont County
Population Group: Low Income - Belmont County
Facility: Ohio Hills Health
Brown County
Population Group: Low Income-Brown County
Butler County
Population Group: Low Income - Middletown
Population Group: Low Income-East Hamilton
Facility: Butler County Community Health/Dba Primary Health
Clark County
Population Group: Low Income-Springfield City
Facility: Rocking Horse Children's Health Center
Clermont County
Facility: Clermont Pediatric Center
Facility: Healthsource of Ohio, Inc.
Clinton County
Population Group: Low Income - Clinton County
Columbiana County
Population Group: Low Income - Columbiana County
Facility: Community Action Agency of Columbiana County
Coshocton County
Population Group: Low Income - Coshocton County
Crawford County
Population Group: Low Income-Crawford County
Cuyahoga County
Service Area: Collinwood Service Area
Population Group: Low Income - Glenville
Population Group: Low Income - Hough/Norwood
Page 144 of 222

Population Group: Low Income - Lee Miles
Population Group: Low Income - Mt Pleasant/Buckeye-Shaker
Population Group: Low Income - South Broadway
Population Group: Low Income - West Cleveland
Population Group: Low Income-Central/Fairfax/Kinsman
Population Group: Low Income-Downtown/North Broadway
Population Group: Low Income-East Cleveland
Facility: Asian Services in Action-International Community Health
Center
Facility: Care Alliance
Facility: Neighborhood Health
Facility: Northeast Ohio Neighborhood Health Service
Facility: The Free Medical Clinic of Greater Cleveland
Facility: Uhhs - Rainbow Babies - Tapper Dental Center
Darke County
Facility: Family Health Services of Darke County
Erie County
Population Group: Low Income-Erie County
Facility: Erie County Health Department (Echd)
Facility: Family Health Services of Erie County
Fairfield County
Facility: Fairfield County Combines General Health Distric
Facility: Southeastern Correctional Institution
Fayette County
Facility: Fayette County Memorial Hospital Medical and Surgica
Franklin County
Population Group: Low Income - Northeast Columbus
Population Group: Low Income-Greater Hilltop/Franklin County
Facility: Capital Park Family Health Center
Facility: Columbus Neighborhood Health Center
Facility: Equitas Health
Facility: Lower Light Christian Health Center
Facility: Lutheran Social Services of Central Ohio
Facility: Nationwide Children's Hospital Dental Clinic
Facility: Ohio State University Total Health and Wellness
Facility: Southeast, Inc.
Gallia County
Population Group: Low Income - Gallia County
Guernsey County
Population Group: Low Income - Noble/Guernsey Counties
Hamilton County
Population Group: Low Income - Avondale/Evanston/Walnut Hills
Population Group: Low Income - North Central Cincinnati
Population Group: Low Income - South Central Cincinnati
Population Group: Low Income - Westwood Service Area
Population Group: Low Income - Winton Hills
Population Group: Low Income-Northwest Cincinnati
Facility: Christian Community Health Svs/Dba Crossroad Health
Facility: Cincinnati Health Network
Page 145 of 222

Facility: City of Cincinnati Department of Health
Facility: Lincoln Heights Health Center
Facility: Winton Hills Medical Center
Hancock County
Population Group: Low Income-Findlay
Hardin County
Population Group: Low Income - Hardin County
Harrison County
Population Group: Low Income - Harrison County
Henry County
Population Group: Low Income - Napoleon
Highland County
Population Group: Low Income - Highland County
Facility: Greenfield Medical Services
Facility: Highland Family Healthcare
Facility: Highland Health Providers Corporation
Hocking County
Population Group: Low Income-Hocking County
Holmes County
Population Group: Low Income - Holmes County
Jackson County
Population Group: Low Income-Jackson County
Knox County
Population Group: Low Income - Knox County
Facility: Knox County Health Department
Lake County
Facility: Signature Health, Inc.
Lawrence County
Population Group: Low Income-Lawrence County
Facility: Ironton-Lawrence County Community Action Organizat
Logan County
Facility: Community Health and Wellness Partners of Logan Coun
Lorain County
Population Group: Low Income - East Lorain
Facility: Lorain Correctional Institution
Facility: Lorain County Health and Dentistry
Facility: Mercy Allen Rural Health Clinic Lagrange
Facility: Mercy Allen Rural Health Clinic Wellington
Lucas County
Population Group: Low Income - Central Toledo/Dorr Street
Facility: CF - Toledo Correctional Institution
Facility: Neighborhood Health Association of Toledo
Page 146 of 222

Mahoning County
Population Group: Low Income - Northeast Youngstown
Facility: Ohio Northeast Health System, Inc.
Marion County
Population Group: Low Income - Marion Center City
Facility: Center Street Community Clinic, Inc.
Facility: CF - North Central Correctional Institution
Medina County
Facility: Medina County Health Department
Meigs County
Population Group: Low Income - Meigs County
Monroe County
Population Group: Low Income-Monroe County
Montgomery County
Population Group: Low Income - West Dayton
Population Group: Low Income-Central Dayton
Facility: Community Health Centers of Greater Dayt
Facility: Five Rivers Health Centers Family Health Center
Morgan County
Facility: Muskingum Valley Health Centers
Muskingum County
Population Group: Low Income - Muskingum County
Noble County
Population Group: Low Income - Noble/Guernsey Counties
Facility: CF - Noble Correctional Institution
Paulding County
Population Group: Low Income - Paulding County
Perry County
Population Group: Low Income - Perry County
Pickaway County
Population Group: Low Income - Pickaway County
Facility: Ohio Correctional Reception Center
Pike County
Population Group: Low Income-Pike County
Facility: Community Action of Pike County
Richland County
Population Group: Low Income-Central Mansfield
Facility: CF - Mansfield Correctional Institution
Facility: Third Street Community
Ross County
Population Group: Low Income - Ross County
Facility: CF - Ross Correctional Institution
Facility: Chillicothe Correctional Institution
Page 147 of 222

Facility: Family Healthcare
Sandusky County
Facility: Community Health Services
Scioto County
Population Group: Low Income - Scioto County
Facility: Compass Community Health
Seneca County
Population Group: Low Income - Seneca County
Stark County
Population Group: Low Income - Stark County
Facility: Canton Community Clinic, Inc.
Summit County
Population Group: Low Income - Central Akron
Facility: Axesspointe Community Health Center, Inc.
Trumbull County
Population Group: Low Income - Trumbull County
Facility: CF - Trumbull Correctional Institution
Tuscarawas County
Population Group: Low Income - Tuscarawas County
Facility: Community Mental Healthcare Inc.
Facility: Trinity Hospital Twin City Dba Trinity Medical Group Dennison
Facility: Trinity Hospital Twin City Dba Trinity Medical Group Gnadenhutten
Facility: Tuscarawas County Health Department
Union County
Facility: CF - Ohio Reformatory for Women
Van Wert County
Facility: Family Health Care of Northwest Ohio, Inc.
Vinton County
Service Area: Vinton County
Warren County
Facility: CF - Lebanon Correctional Institution
Facility: CF - Warren Correctional Institution
Facility: Talbert House Health Center
Washington County
Population Group: Low Income - Washington County
Wood County
Facility: Wood County Community Health and Wellness Center

Page 148 of 222

DENTAL HEALTH: Oklahoma
County and County Equivalent Listing
Adair County
Service Area: Adair County
Alfalfa County
Facility: Great Salt Plains Health Center
Facility: James Crabtree CF
Atoka County
Population Group: Low Income - Atoka County
Facility: ABC Medical Clinic, Inc.
Facility: Mack Alford Correctional Facility
Beaver County
Population Group: Low Income-Beaver County
Beckham County
Population Group: Low Income-Beckham County
Facility: North Fork Correctional Facility
Blaine County
Population Group: Low Income-Blaine County
Facility: Watonga Indian Heath Service Clinic
Bryan County
Population Group: Low Income-Bryan County
Facility: Choctaw Nation of Oklahoma-Durant
Facility: Durant Health Center
Caddo County
Service Area: Caddo County
Facility: Anadarko Health Center
Facility: Anadarko PHS Indian Health Center
Facility: Carnegie Indian Health Center
Canadian County
Facility: El Reno PHS Indian Health Clinic
Carter County
Population Group: Low Income-Carter County
Facility: Ardmore Chickasaw Health Clinic
Facility: Good Shepherd Community Clinic, Inc.
Facility: Mercy Hospital Healdton Primary Care
Cherokee County
Population Group: Low Income-Cherokee County
Facility: Cherokee Nation of Oklahoma
Facility: Northeastern Oklahoma Community Health Center
Facility: W.W. Hastings Indian Hospital
Choctaw County
Population Group: Low Income-Choctaw County
Facility: Choctaw Nation Health Clinic-Hugo
Cimarron County
Page 149 of 222

Service Area: Cimarron County
Cleveland County
Facility: Absentee Shawnee Tribal Clinic - Little Axe
Facility: Joseph Harp Correctional Facility
Facility: Lexington Correctional Center (Lark
Coal County
Service Area: Coal County
Comanche County
Population Group: Low Income-Comanche County
Facility: Comanche County Hospital Authority
Facility: Comanche Tribe of Oklahoma
Facility: Lawton PHS Indian Health Hospital
Cotton County
Service Area: Cotton County
Craig County
Population Group: Low Income-Craig County
Facility: Cherokee Nation Vinita Health Clinic
Creek County
Population Group: Low Income - Creek County
Facility: Sapulpa Health Center
Custer County
Population Group: Low Income-Custer County
Facility: Clinton PHS Indian Hospital
Delaware County
Population Group: Low Income-Delaware County
Facility: Cherokee Nation Sam Hider Health Center
Dewey County
Population Group: Low Income-Dewey County
Garfield County
Population Group: Low Income-Garfield County
Garvin County
Population Group: Low Income-Garvin County
Facility: So. Central Medical and Resource Center (Scmr)
Grady County
Population Group: Low Income - Grady County
Greer County
Population Group: Low Income-Greer County
Harmon County
Population Group: Low Income-Harmon County
Facility: Shortgrass Community Health Center, Inc.
Harper County
Population Group: Low Income-Harper County
Page 150 of 222

Haskell County
Facility: Choctaw Nation Health Center - Stigler
Facility: Stigler Health and Wellness Center
Hughes County
Population Group: Low Income-Hughes County
Facility: East Central Oklahoma Family Health Center, Inc.
Jackson County
Population Group: Low Income-Jackson County
Jefferson County
Population Group: Low Income-Jefferson County
Johnston County
Population Group: Low Income-Johnston County
Facility: Family Health Center of Southern Oklahoma
Facility: Tishomingo Chickasaw Health Center
Kay County
Population Group: Low Income-Kay County
Facility: Kanza Health Clinic
Facility: Tonkawa Tribe of Oklahoma
Facility: White Eagle Indian Health Center
Kiowa County
Population Group: Low Income-Kiowa County
Latimer County
Population Group: Low Income-Latimer County
Facility: Choctaw Nation Health Care Center-Talihina
Facility: Diabetes Treatment Center
Le Flore County
Population Group: Low Income - Le Flore County
Facility: Choctaw Nation Indian Health - Poteau
Lincoln County
Population Group: Low Income-Lincoln County
Facility: Black Hawk Health Center
Facility: Kickapoo Tribal Health Center
Love County
Population Group: Low Income-Love County
Major County
Population Group: Low Income - Major County
Marshall County
Population Group: Low Income-Marshall County
Mayes County
Population Group: Low Income-Mayes County
Facility: A-Mo Health Center
McClain County
Page 151 of 222

Facility: Chickasaw Nation Health Clinic-Purcell
McCurtain County
Population Group: Low Income - McCurtain County
Facility: Choctaw Nation Indian Health - Broken Bow
Facility: Kiamichi Family Medical Center
McIntosh County
Population Group: Low Income-McIntosh County
Facility: Eufaula Indian Health Center
Murray County
Population Group: Low Income-Murray County
Muskogee County
Population Group: Low Income-Muskogee County
Facility: Muskogee Indian Health Center
Noble County
Population Group: Low Income-Noble County
Facility: Otoe-Missouri Tribe
Nowata County
Population Group: Low Income-Nowata County
Facility: Cherokee Nation Will Rogers Health Center
Okfuskee County
Population Group: Low Income - Okfuskee County
Facility: Okemah Indian Health Center
Oklahoma County
Facility: Community Health Centers, Inc.
Facility: Oklahoma City Indian Clinic
Facility: Oklahoma Community Health Services
Okmulgee County
Population Group: Low Income-Okmulgee County
Facility: Muscogee (Creek) Nation Div. Of Health
Facility: Okmulgee Health Center
Osage County
Population Group: Low Income-Osage County
Facility: Dick Conner Correctional Center
Facility: Fairfax Medical Facilities, Inc.
Facility: Osage Nation
Facility: Pawhuska PHS Indian Health Center
Ottawa County
Population Group: Low Income-Ottawa County
Facility: Community Health Center of Northeast Oklahoma, Inc.
Facility: Modoc Tribal Council
Facility: Northeastern Tribal Health System
Facility: Northeastern Tribal Health System-Miami
Facility: Northeastern Tribal Health System-Ottawa
Facility: Northeastern Tribal Health System-Peoria
Facility: Northeastern Tribal Health System-Quapaw
Facility: Northeastern Tribal Health System-Seneca-Cayuga
Page 152 of 222

Facility: Wyandotte Nation/Bearskin Health Center
Pawnee County
Population Group: Low Income-Pawnee County
Facility: Pawnee Nation of Oklahoma
Facility: Pawnee PHS Indian Health Center
Payne County
Population Group: Low Income-Payne County
Facility: Iowa Tribe of Oklahoma
Pittsburg County
Population Group: Low Income-Pittsburg County
Facility: Caring Hands Healthcare Centers Inc.
Facility: Choctaw Nation Indian Health - Monroe
Facility: Oklahoma State Penitentiary - McAlester
Pontotoc County
Population Group: Low Income - Pontotoc County
Facility: Chickasaw Nation Medical Center
Pottawatomie County
Facility: Absentee Shawnee Tribal Clinic
Facility: Citizen Pottawatomie Nation Health Clinic
Facility: Mabel Bassett Correctional Facility
Facility: Shawnee Health Center
Pushmataha County
Service Area: Pushmataha County
Facility: Pushmataha Family Medical Center
Roger Mills County
Population Group: Low Income - Roger Mills County
Rogers County
Facility: Claremore Indian Hospital
Seminole County
Population Group: Low Income-Seminole County
Facility: Central Oklahoma Family Medical Center
Facility: Wewoka PHS Indian Health Center
Sequoyah County
Population Group: Low Income - Sequoyah County
Facility: Cherokee Nation Redbird Smith Health Center
Stephens County
Population Group: Low Income-Stephens County
Texas County
Population Group: Low Income-Texas County
Facility: Panhandle Counseling and Health Center, Inc.
Tillman County
Population Group: Low Income - Tillman County
Tulsa County
Page 153 of 222

Population Group: Low Income - North Tulsa
Facility: Community Health Connection, Inc.
Facility: Indian Health Care Resources of Tulsa
Facility: Morton Comprehensive
Wagoner County
Facility: Arkansas Verdigris Valley Health Centers , in
Facility: Muskogee-Creek Nation-Koweta Facility
Washington County
Population Group: Low Income-Washington County
Facility: Cherokee Nation Bartlesville Health Center
Facility: Cooweescoowee Health Center
Facility: Wilma P. Mankiller Health Center
Washita County
Population Group: Low Income-Washita County
Woodward County
Population Group: Low Income-Woodward County

Page 154 of 222

DENTAL HEALTH: Oregon
County and County Equivalent Listing
Baker County
Population Group: Low Income - Baker County
Facility: Saint Alphonsus Group - Valley Medical
Facility: Saint Alphonsus Medical Group-Baker Clinic
Facility: St. Luke's Clinic-Eastern Oregon Medical Associate
Benton County
Population Group: Low Income/Migrant Farmworker - Benton County
Facility: Benton County Health Department
Clackamas County
Population Group: Low Income-East Clackamas County
Facility: Canby Healthcare Clinic LLC
Facility: Clackamas County Community Health Division
Facility: Orchid Health Wade Creek Clinic
Clatsop County
Population Group: Low Income - Clatsop County
Columbia County
Facility: Oregon Health and Science University Family Medicine at
Scappoose
Facility: Vernonia Health Center
Coos County
Population Group: Low Income - Coos County
Facility: Bandon Community Health Center
Facility: Coos, Siuslaw and Lower Umpqua Tribal Dental Clinic
Facility: Coquille Community Health Center
Facility: Waterfall Clinic, Inc.
Crook County
Population Group: Low Income - Crook County
Facility: Casade Direct Care
Facility: Mosaic Medical
Facility: St. Charles Family Care
Curry County
Population Group: Low Income - Curry County
Deschutes County
Population Group: Low Income/Migrant Seasonal Farmworkers/Homeless Deschutes County
Facility: Lapine Community Health Center
Douglas County
Population Group: Low Income/Migrant Farmworker - Douglas County
Facility: Adapt
Facility: Cow Creek Tribal Clinic
Facility: Umpqua Community Health
Gilliam County
Population Group: Sherman/Gilliam Counties
Page 155 of 222

Grant County
Population Group: Low Income - Grant County
Harney County
Population Group: Low Income - Harney
Facility: Burns-Paiute Health Clinic
Facility: Wadatika Health Center
Hood River County
Population Group: Low Income/Migrant Seasonal Farmworkers-Hood River
County
Facility: La Clinica Del Carino/Dba One Community Health
Jackson County
Population Group: Low Income/Migrant Seasonal Farmworkers-Jackson
County
Facility: Community Health Center, Inc.
Facility: La Clinica Del Valle
Jefferson County
Population Group: Low Income-Jefferson County
Josephine County
Population Group: Low Income/Migrant Farmworker - Josephine County
Facility: Siskiyou Community Health
Klamath County
Population Group: Low Income/Migrant Farmworker/Homeless - Klamath C
Facility: Klamath Health Partnership
Facility: Klamath Tribal Health Center
Lake County
Population Group: Low Income - Lake County
Lane County
Population Group: Low Income - Lane County
Facility: Community Health Centers of Lane County
Facility: Peacehealth Medical Group-Dexter
Facility: White Bird Clinic
Lincoln County
Population Group: Low Income - Lincoln County
Facility: Adventist Health Bayshore Medical - Lincoln City
Facility: Coastal Health Practitioners
Facility: Lincoln City Medical Center
Facility: Lincoln County Health and Human Services
Facility: Siletz Community Health Clinic
Linn County
Population Group: Low Income/Migrant Farmworker/Homeless - Linn County
Malheur County
Population Group: Low Income/Migrant Seasonal Farmworkers-Malheur
County
Marion County
Population Group: Low Income/Migrant Farmworker/Homeless - Marion/Polk
Page 156 of 222

Facility: Chemawa Indian Health Center
Facility: Northwest Human Services
Morrow County
Population Group: Low Income/Migrant Farmworker - Morrow County
Facility: Columbia River Community
Facility: Irrigon Medical Clinic
Facility: Pioneer Memorial Clinic
Multnomah County
Population Group: Low Income - Mid-Multnomah
Population Group: Low Income - South East Portland
Population Group: Low Income-North/Northeast Portland
Facility: Central City Concerns
Facility: Multnomah County Health Department
Facility: Native American Rehabilitation Association
Facility: Neighborhood Health Center
Facility: Oregon Health and Science University Richmond Community
Health Center
Facility: Outside In
Facility: Portland Area Office
Facility: The Wallace Medical Concern
Polk County
Population Group: Low Income/Migrant Farmworker/Homeless - Marion/Polk
Facility: Grand Ronde Health Center
Sherman County
Population Group: Sherman/Gilliam Counties
Tillamook County
Population Group: Low Income - Tillamook County
Facility: Adventist Health Bayshore Medical - Pacific City
Facility: Adventist Health Tillamook Medical Group
Facility: Adventist Health Tillamook Medical Group - Bay Ocean
Facility: Adventist Health Tillamook Medical Group Manzanita
Facility: The Rinehart Clinic
Facility: Tillamook County Health Department
Umatilla County
Population Group: Low Income/Migrant Farmworker - Umatilla County
Facility: Confederated Umatilla Tribes Yellowhawk Clinic
Union County
Population Group: Low Income - Union County
Wallowa County
Population Group: Low Income - Wallowa County
Facility: Winding Waters Medical Clinic
Wasco County
Population Group: Low Income/Migrant Farmworker - Wasco County
Facility: Warm Springs PHS Indian Health Center
Washington County
Population Group: Low Income/Migrant Farmworker - Western Washington
Facility: Virginia Garcia Memorial Health Center
Page 157 of 222

Wheeler County
Facility: Asher Clinic
Yamhill County
Population Group: Low Income/Migrant Farmworker/Homeless - Yamhill C

Page 158 of 222

DENTAL HEALTH: Pennsylvania
County and County Equivalent Listing
Adams County
Population Group: Low Income - Gettysburg
Allegheny County
Service Area: North Braddock
Population Group: Low Income - Hill District
Population Group: Low Income - Homewood Brushton
Population Group: Low Income-South Braddock
Facility: East Liberty Family Health Care Center
Facility: For Sto Rox
Facility: Metro Community Health Center
Facility: North Side Christian Health Center
Facility: Primary Care Health Services
Facility: Squirrel Hill Health Center
Armstrong County
Population Group: Low Income - Armstrong County
Facility: Armstrong Primary Care Center-Leechburg
Facility: Armstrong Primary Care Center-Rural Valley
Bedford County
Population Group: Low Income - Bedford County
Facility: Hyndman Area Health Center, Inc.
Facility: New Paris Rural Health Clinic
Berks County
Facility: Berks Community Health Center
Blair County
Population Group: Low Income - Blair County
Bradford County
Population Group: Low Income - Bradford County
Cambria County
Population Group: Low Income - Cambria County
Facility: Portage Health Center
Facility: St. Benedict Rural Health Clinic
Cameron County
Population Group: Low Income - Cameron County
Facility: Keystone Rural Health Consortia, Inc.
Carbon County
Population Group: Low Income - Carbon County
Facility: St. Luke's Miners Health Center
Centre County
Population Group: Low Income - Centre County
Facility: CF - State Correctional Institution Benner Township
Chester County
Facility: La Communidad Hispana Inc.
Page 159 of 222

Clarion County
Population Group: Low Income - Clarion County
Clearfield County
Population Group: Low Income - Clearfield County
Facility: CF - State Correctional Institution - Houtzdale
Facility: Glendale Area Medical Center
Clinton County
Population Group: Low Income - Clinton County
Columbia County
Population Group: Low Income - Columbia County
Crawford County
Population Group: Low Income - Crawford County
Facility: Cambridge Springs Health Center
Facility: Conneaut Lake Health Center
Facility: Conneaut Valley Health Center
Facility: John E. Balmer D O Canadohta Health Clinic
Facility: John E. Balmer Do, Spartansburg Medical Center
Facility: Meadville Community Health Center
Cumberland County
Facility: CF - State Correctional Institution - Camp Hill
Dauphin County
Facility: Hamilton Health Center
Delaware County
Population Group: Low Income - City of Chester
Facility: CF - State Correctional Institution - Chester
Facility: Chespenn Health Service
Elk County
Population Group: Low Income - Elk County
Erie County
Population Group: Low Income - Erie County
Facility: CF - State Correctional Institution - Albion
Facility: Community Health Net
Fayette County
Population Group: Low Income - Fayette County
Facility: State Correctional Institution Fayette
Forest County
Population Group: Low Income - Forest County
Facility: State Correctional Institution - Forest
Franklin County
Population Group: Low Income - Dry Run
Facility: Keystone Rural Health Center
Fulton County
Population Group: Low Income - Fulton County
Page 160 of 222

Greene County
Facility: CF - State Correctional Institution - Greene
Facility: Cornerstone Care, Inc.
Facility: Washington Physician Services Organization Family
Huntingdon County
Population Group: Low Income - Huntingdon County
Facility: Broadtop Area Medical Center
Facility: Mount Union Area Medical Center
Facility: Southern Huntingdon County Medical Center
Facility: State Correctional Institution - Smithfield
Indiana County
Population Group: Low Income - Indiana County
Jefferson County
Population Group: Low Income - Jefferson County
Facility: Allegheny Health Center
Facility: Phillips States MD Family Practice
Juniata County
Population Group: Low Income - Mifflin/Juniata Counties
Lackawanna County
Population Group: Low Income - Lackawanna County
Facility: Scranton Primary Health Care Center
Lancaster County
Population Group: Low Income - Lancaster City
Facility: Southeast Lancaster Health Services
Facility: Welsh Mountain Medical and Dental Center
Lawrence County
Population Group: Low Income - Lawrence County
Lebanon County
Population Group: Low Income - Lebanon City
Lehigh County
Population Group: Low Income - Allentown City
Facility: Neighborhood Health Centers (Nhclv) of Lehigh Vall
Luzerne County
Population Group: Low Income - Luzerne County
Facility: Rural Health Corporation of Northeast Pennsylvania
Facility: State Correctional Institution Retreat
Lycoming County
Population Group: Low Income - Lycoming County
Facility: State Correctional Institution - Muncy
Facility: Susquehanna Community Health and Dental Clinic
McKean County
Population Group: Low Income - McKean County
Facility: Federal Correctional Institution - McKean
Mercer County
Page 161 of 222

Facility: Mercer Family Medicine Center
Facility: Primary Health Network, Inc.
Facility: Sharon Community Health Center
Mifflin County
Population Group: Low Income - Mifflin/Juniata Counties
Montgomery County
Facility: Community Health and Dental Care
Facility: State Correctional Institution - Graterford
Montour County
Population Group: Low Income - Northumberland/Montour
Northampton County
Population Group: Low Income - Bethlehem
Population Group: Low Income - Easton
Northumberland County
Population Group: Low Income - Northumberland/Montour
Facility: CF - State Correctional Institution - Coal Township
Facility: Miller Family Health Center
Perry County
Population Group: Low Income - Western Perry
Philadelphia County
Population Group: Low Income - Philadelphia D-5
Population Group: Low Income - Philadelphia D1
Population Group: Low Income - Philadelphia D2
Population Group: Low Income - Philadelphia D4
Facility: Covenant House Health Services
Facility: Delaware Valley Community Health, Inc.
Facility: Department of Public Health-City of Philadelphia
Facility: Esperanza Health Center
Facility: Greater Philadelphia Health Action
Facility: Philadelphia Fight
Facility: Philadelphia Health Management Corporation
Facility: Project H.O.M.East
Facility: Quality Community Health
Facility: Resources for Human Development
Facility: Sayre Health Center
Facility: Spectrum Health Services, Inc.
Pike County
Facility: Pinnacle Health Partners-Tafton
Potter County
Population Group: Low Income - Potter County
Facility: Coudersport Pediatric Health Center
Schuylkill County
Population Group: Low Income - Schuylkill County
Facility: Cornerstone Coordinated Health Care, LLC
Facility: St. Luke's Miners Health Center-Hometown
Facility: State Correctional Institution - Mahanoy
Facility: State Correctional Institution Frackville
Page 162 of 222

Snyder County
Population Group: Low Income - Snyder County
Somerset County
Population Group: Low Income - Somerset County
Facility: Conemaugh Health Initiatives
Facility: Family Health Care Meyersdale
Facility: Highlands Family Medicine
Facility: Nathan Thomas, MD-Rural Health Clinic
Facility: State Correctional Institution - Somerset
Sullivan County
Population Group: Low Income - Sullivan County
Susquehanna County
Population Group: Low Income - Susquehanna County
Facility: Barnes-Kasson Health Center, Inc.
Facility: Family Health Clinic of Barnes Kasson Hospital
Tioga County
Population Group: Low Income - Tioga County
Facility: North Pennsylvania Comprehensive
Union County
Population Group: Low Income - Mifflinburg
Facility: Federal Correctional Complex-Allenwood
Venango County
Population Group: Low Income - Venango County
Warren County
Population Group: Low Income - Warren County
Washington County
Facility: Centerville Clinics
Wayne County
Population Group: Low Income - Wayne County
Facility: Highland Physicians, Ltd.
Facility: USP-Canaan
Facility: Wayne Memorial Community Health Center
Westmoreland County
Facility: Community Health Clinic
Facility: Mon Valley Community Health Services, Inc.
Wyoming County
Population Group: Low Income - Wyoming County
York County
Service Area: York City
Facility: Family First Health

Page 163 of 222

DENTAL HEALTH: Rhode Island
County and County Equivalent Listing
Newport County
Population Group: Low Income-Newport/Middletown Area
Facility: East Bay Community Action Program
Providence County
Population Group: Low Income-Central Falls and Pawtucket
Population Group: Low Income-Providence City
Population Group: Low Income-Woonsocket
Facility: Blackstone Valley Community
Facility: Comprehensive Community Action, Inc.
Facility: Northwest Community Health Center
Facility: Providence Community Health Center
Facility: Thundermist Healthcare
Facility: Tri-Town Community Action Program
Washington County
Facility: Narragansett Indian Tribe Health Pgm
Facility: Wood River Health Services

Page 164 of 222

DENTAL HEALTH: South Carolina
County and County Equivalent Listing
Abbeville County
Population Group: Low Income - Abbeville/Greenwood/McCormick Countie
Aiken County
Population Group: Low Income - Aiken County
Facility: Rural Health Services Inc.
Allendale County
Service Area: Allendale/Hampton Counties
Facility: Allendale Correctional Institution
Facility: Low Country Health
Anderson County
Population Group: Low Income - Anderson County
Bamberg County
Service Area: Bamberg/Calhoun/Orangeburg Counties
Barnwell County
Service Area: Barnwell County
Beaufort County
Population Group: Low Income - Beaufort Service Area
Berkeley County
Population Group: Low Income - Northern Berkeley County
Calhoun County
Service Area: Bamberg/Calhoun/Orangeburg Counties
Charleston County
Facility: Franklin C. Fetter Family Health Center
Facility: St. James-Santee Family Health Center
Cherokee County
Service Area: Cherokee County
Chester County
Service Area: Chester County
Chesterfield County
Service Area: Chesterfield County
Facility: Sandhills Medical Foundation
Clarendon County
Service Area: Clarendon County
Facility: Turbeville Correctional Institution
Colleton County
Service Area: Colleton County
Darlington County
Service Area: Darlington County
Facility: Caresouth
Page 165 of 222

Dillon County
Service Area: Dillon/Marion Counties
Dorchester County
Population Group: Low Income-Dorchester County
Facility: Lieber Correctional Institution
Edgefield County
Service Area: Edgefield County
Facility: Federal Correctional Institution - Edgefield
Facility: Trenton Correctional Institution
Fairfield County
Service Area: Fairfield County
Florence County
Population Group: Low Income - Florence County
Facility: Hopehealth, Inc.
Georgetown County
Population Group: Low Income-Georgetown County
Greenville County
Facility: New Horizon Family Health
Facility: Perry Correctional Institution
Greenwood County
Population Group: Low Income - Abbeville/Greenwood/McCormick Countie
Facility: Carolina Health Centers, Inc.
Facility: Leath Correctional Institution
Hampton County
Service Area: Allendale/Hampton Counties
Facility: Dba Harrison Peeples Health Care Center, Inc.
Facility: Federal Correctional Institution - Estill
Horry County
Population Group: Low Income - Horry County
Facility: Healthcare Partners
Facility: Little River Medical Center
Jasper County
Service Area: Jasper County
Facility: Beaufort Jasper Comprehensive
Facility: Ridgeland Correctional Institution
Kershaw County
Population Group: Low Income - Kershaw County
Lancaster County
Population Group: Low Income - Lancaster County
Facility: Carenet of Lancaster
Facility: Kershaw Correctional Institution
Laurens County
Service Area: Laurens County
Page 166 of 222

Lee County
Service Area: Lee County
Facility: Lee Correctional Institution
Lexington County
Population Group: Low Income - Pelion/Swansea
Marion County
Service Area: Dillon/Marion Counties
Marlboro County
Service Area: Marlboro County
Facility: Evans Correctional Institution
Facility: Federal Correctional Institution - Bennettsville
McCormick County
Population Group: Low Income - Abbeville/Greenwood/McCormick Countie
Facility: CF-McCormick Correctional Facility
Newberry County
Population Group: Low Income - Newberry County
Oconee County
Population Group: Low Income - Oconee County
Facility: Rosa Clark Medical Clinic Inc.
Orangeburg County
Service Area: Bamberg/Calhoun/Orangeburg Counties
Facility: Family Health Centers
Pickens County
Population Group: Low Income - Pickens County
Facility: Foothills Community Health Care
Richland County
Population Group: Low Income - Lower Richland County
Facility: Broad River Correctional Institution
Facility: CF-Kirkland Reception and Evaluation Center
Facility: Eau Claire Cooperative
Facility: Genesis Healthcare, Inc.
Facility: South Carolina Migrant Health Program
Saluda County
Service Area: Saluda County
Spartanburg County
Population Group: Low Income - Spartanburg County
Facility: Regenesis Community Health Center
Facility: Tyger River Correctional Institution
Sumter County
Population Group: Low Income-Sumter County
Facility: Sumter Family Health Center
Union County
Service Area: Union County
Page 167 of 222

Williamsburg County
Service Area: Williamsburg County
Facility: Federal Correctional Institution - Williamsburg
York County
Service Area: Southwest York County
Facility: Affinity Health Center
Facility: Catawba Indian Nation
Facility: Community Medicine Foundation

Page 168 of 222

DENTAL HEALTH: South Dakota
County and County Equivalent Listing
Bennett County
Population Group: Bennett County
Brown County
Facility: South Dakota Urban Indian Health, Inc.
Buffalo County
Service Area: Buffalo County
Facility: Crow Creek Sioux Tribe
Facility: Fort Thompson PHS Indian Hospital
Campbell County
Service Area: Campbell County
Charles Mix County
Population Group: Low Income-Charles Mix County
Facility: Wagner PHS Indian Hospital
Facility: Yankton Sioux Tribe
Clark County
Population Group: Low Income-Clark County
Corson County
Service Area: Corson County
Facility: McLaughlin PHS Indian Hospital
Facility: McLaughlin PHS Indian Medical/Dental Clinic
Custer County
Service Area: Custer County
Day County
Service Area: Day County
Dewey County
Service Area: Dewey County
Facility: Eagle Butte PHS Indian Hospital
Facility: West Dakota Health Center
Faulk County
Population Group: Low Income-Faulk County
Gregory County
Population Group: Low Income - Gregory County
Haakon County
Facility: Philip Clinic
Hand County
Population Group: Low Income-Hand County
Harding County
Service Area: Harding County
Hughes County
Page 169 of 222

Facility: Rural Health Care
Jackson County
Service Area: Jackson County
Facility: Kyle PHS Health Center
Facility: Wanblee PHS Indian Health Center
Kingsbury County
Facility: Arlington Medical Clinic
Lyman County
Service Area: Lyman County
Facility: Lower Brule Sioux Tribe
Marshall County
Service Area: Marshall County
McCook County
Population Group: Low Income - McCook County
Mellette County
Service Area: Mellette County
Miner County
Facility: Horizon Health Care
Minnehaha County
Population Group: Low Income - Central Sioux Falls
Facility: City of Sioux Falls Health
Facility: SD State Penitentiary
Moody County
Population Group: Low Income-Moody County
Facility: Flandreau Santee Sioux Tribe
Oglala Lakota County
Service Area: Shannon County
Facility: Oglala Sioux Tribe
Facility: Pine Ridge PHS Indian Hospital
Pennington County
Facility: Community Health Center of Black Hill
Facility: Rapid City PHS Indian Health Hospital
Perkins County
Service Area: Perkins County
Roberts County
Service Area: Roberts County
Facility: Sisseton PHS Indian Hospital
Facility: Sisseton-Wahpeton Oyate Tribe
Todd County
Service Area: Todd County
Facility: Rosebud PHS Indian Hospital
Facility: Rosebud Sioux Tribe
Page 170 of 222

Tripp County
Population Group: Low Income-Tripp County
Turner County
Facility: Parker Medical Clinic
Yankton County
Population Group: Low Income - Yankton County
Ziebach County
Service Area: Ziebach County
Facility: Cheyenne River Sioux Tribe

Page 171 of 222

DENTAL HEALTH: Tennessee
County and County Equivalent Listing
Anderson County
Population Group: Low Income-Anderson County
Bedford County
Population Group: Low Income-Bedford County
Facility: Bedford Urgent Care
Facility: Unionville Family Practice
Benton County
Population Group: Low Income-Benton County
Bledsoe County
Population Group: Low Income-Bledsoe County
Facility: Bledsoe County Correctional Complex
Blount County
Population Group: Low Income-Blount County
Bradley County
Population Group: Low Income-Bradley County
Campbell County
Population Group: Low Income-Campbell County
Facility: Charles H. Wilkens, MD, P.C.
Facility: Community Health of East Tennessee, Inc.
Facility: Dayspring Family Health
Cannon County
Population Group: Low Income-Cannon County
Carroll County
Population Group: Low Income-Carroll County
Carter County
Population Group: Low Income-Carter County
Cheatham County
Population Group: Low Income-Cheatham County
Facility: Family Health Center - Ashland City
Chester County
Population Group: Low Income-Chester County
Facility: The Rickard Clinic
Claiborne County
Population Group: Low Income-Claiborne County Dh
Clay County
Population Group: Low Income-Clay County
Cocke County
Population Group: Low Income-Cocke County
Facility: Rural Medical Services
Page 172 of 222

Coffee County
Population Group: Low Income-Coffee County
Crockett County
Population Group: Low Income-Crockett County
Cumberland County
Population Group: Low Income-Cumberland County
Davidson County
Population Group: Low Income-Davidson County
Facility: Dba Vine Hill/University Community Health Services
Facility: Matthew Walker Comprehensive Health Center, Inc.
Facility: United Neighborhood Health
Decatur County
Population Group: Low Income-Decatur County
Facility: Jennings Family Medical Clinic
DeKalb County
Population Group: Low Income-Dekalb County
Dickson County
Population Group: Low Income-Dickson County
Dyer County
Population Group: Low Income-Dyer County Dh
Fayette County
Population Group: Low Income-Fayette County
Fentress County
Population Group: Low Income-Fentress County
Franklin County
Population Group: Low Income-Franklin County
Gibson County
Population Group: Low Income-Gibson County
Facility: Gibson County Community Health Center, Tdh
Facility: Rainbow Pediatric Primary Care
Giles County
Population Group: Low Income-Giles County Dh
Facility: One Stop Medical, LLC
Grainger County
Population Group: Low Income-Grainger County
Greene County
Population Group: Low Income-Greene County
Grundy County
Service Area: Grundy County
Hamblen County
Population Group: Low Income-Hamblen County
Page 173 of 222

Facility: Cherokee Health Systems
Hamilton County
Population Group: Low Income-Hamilton County
Facility: Chattanooga/Hamilton County Health Department
Facility: Erlanger Health System
Hancock County
Service Area: Hancock County
Hardeman County
Population Group: Low Income-Hardeman County
Facility: Hardeman County Community Health Center
Hardin County
Population Group: Low Income-Hardin County
Facility: Hardin County Regional Health Center
Hawkins County
Population Group: Low Income-Hawkins County
Facility: Rural Health Services Consortium
Haywood County
Population Group: Low Income-Haywood County
Henderson County
Population Group: Low Income-Henderson County
Henry County
Population Group: Low Income-Henry County
Hickman County
Population Group: Low Income-Hickman County
Houston County
Population Group: Low Income-Houston County
Humphreys County
Population Group: Low Income-Humphreys County
Jackson County
Population Group: Low Income-Jackson County
Jefferson County
Population Group: Low Income-Jefferson County
Johnson County
Population Group: Low Income-Johnson County
Facility: Northeast Correctional Complex
Knox County
Population Group: Low Income-Knox County
Lake County
Service Area: Lake County
Facility: Lake County Primary Care
Facility: Northwest Correctional Complex
Page 174 of 222

Lauderdale County
Population Group: Low Income-Lauderdale County
Facility: Christian Family Medicine, Inc.
Facility: Rural Health Clinics of West TN-Anthony Site
Facility: Women's Therapeutic Residential Center
Lawrence County
Population Group: Low Income-Lawrence County
Facility: One Stop Medical, LLC
Lewis County
Population Group: Low Income-Lewis County
Facility: Maury Regional Hospital
Lincoln County
Population Group: Low Income-Lincoln County
Loudon County
Population Group: Low Income-Loudon County
Macon County
Population Group: Low Income-Macon County
Facility: Hope Family Health Services
Madison County
Population Group: Low Income-Madison County Dh
Marion County
Population Group: Low Income-Marion County
Marshall County
Population Group: Low Income-Marshall County
Maury County
Population Group: Low Income-Maury County Dh
McMinn County
Population Group: Low Income-McMinn County
McNairy County
Population Group: Low Income-McNairy County
Meigs County
Population Group: Low Income-Meigs County
Monroe County
Population Group: Low Income-Monroe County
Facility: Chota Community Health Services
Facility: Women's Wellness and Maternity Center
Montgomery County
Population Group: Low Income-Montgomery County
Moore County
Population Group: Low Income-Moore County
Page 175 of 222

Morgan County
Population Group: Low Income-Morgan County
Facility: Morgan County Correctional Complex
Facility: Morgan County Health Council, Inc.
Obion County
Population Group: Low Income-Obion County
Overton County
Population Group: Low Income-Overton County
Perry County
Population Group: Low Income-Perry County
Facility: Perry County Medical
Pickett County
Population Group: Low Income-Pickett County
Polk County
Population Group: Low Income-Polk County
Facility: Ocoee Regional Health
Putnam County
Population Group: Low Income-Putnam County
Facility: Upper Cumberland Primary Care Project
Rhea County
Population Group: Low Income-Rhea County
Roane County
Population Group: Low Income-Roane County
Robertson County
Population Group: Low Income-Robertson County
Rutherford County
Population Group: Low Income-Rutherford and Wilson Counties
Facility: Rutherford County Primary Care/Dbaprimary Care and Amp; H
Scott County
Population Group: Low Income-Scott County
Facility: Mountain Peoples Health Council
Sequatchie County
Population Group: Low Income-Sequatchie County Dh
Sevier County
Population Group: Low Income-Sevier County
Shelby County
Population Group: Low Income-Millington Northwest Shelby County
Population Group: Low Income-Mullins Station-Macon
Population Group: Low Income-Northwest Memphis/Frayser
Population Group: Low Income-Parkway Village/Fox Meadows
Population Group: Low Income-Southwest Memphis/Whitehaven-Levi
Facility: Christ Community Health Services, Inc.
Facility: Federal Correctional Institution - Memphis
Page 176 of 222

Facility: Memphis Health Center, Inc.
Facility: Tri State Community Health Center
Smith County
Population Group: Low Income-Smith County
Stewart County
Population Group: Low Income-Stewart County
Facility: Tennessee Department of Health - Stewart County Health Center
Sullivan County
Population Group: Low Income-Sullivan County
Tipton County
Population Group: Low Income-Tipton County
Facility: Family First Medical Center
Trousdale County
Population Group: Low Income-Trousdale County
Unicoi County
Population Group: Low Income-Unicoi County
Union County
Population Group: Low Income-Union County
Van Buren County
Population Group: Low Income-Van Buren County
Warren County
Population Group: Low Income-Warren County
Facility: Pioneer Pediatrics
Washington County
Population Group: Low Income-Washington County
Facility: East Tennessee State University
Wayne County
Population Group: Low Income-Wayne County
Weakley County
Population Group: Low Income-Weakley County
White County
Population Group: Low Income-White County
Williamson County
Facility: Mercy Health Services
Facility: Prohealth Rural Health Services, Inc.
Wilson County
Population Group: Low Income-Rutherford and Wilson Counties

Page 177 of 222

DENTAL HEALTH: Texas
County and County Equivalent Listing
Anderson County
Facility: CF-George Beto Unit
Facility: CF-Joe F. Gurney Unit
Facility: Etmc First Physicians Clinic Frankston
Aransas County
Service Area: Aransas County
Armstrong County
Service Area: Armstrong County
Atascosa County
Service Area: Atascosa County
Facility: Atascosa Healthcare
Bailey County
Facility: Muleshoe Family Clinic
Bastrop County
Facility: Federal Correctional Institution - Bastrop
Bee County
Service Area: Bee County
Facility: Beeville Family Practice
Facility: Christus Spohn Women's Health Center
Bexar County
Facility: Barrio Comprehensive Health Center
Facility: CF-Fabian Dale Dominguez State Jail
Facility: El Centro Del Barrio
Borden County
Service Area: Borden County
Brazoria County
Facility: CF-a.M. "Mac" Stringfellow Unit
Facility: CF-C.T. Terrell Unit
Facility: CF-Ramsey Unit
Facility: Stephen F. Austin Community Health Center,
Brazos County
Facility: Brazos Valley Community Action
Briscoe County
Service Area: Briscoe County
Brooks County
Service Area: Brooks County
Burleson County
Service Area: Burleson County
Caldwell County
Facility: Children's Care-a-Van
Page 178 of 222

Facility: Seton Lockhart Family Health Center
Calhoun County
Facility: Memorial Medical Center
Facility: Port Lavara Clinic Associates
Cameron County
Facility: Brownsville Community Health Center
Facility: Su Clinica Familia
Carson County
Service Area: Carson County
Castro County
Service Area: Castro County
Chambers County
Service Area: Chambers County
Facility: Chambers County Public Hospital District
Cherokee County
Facility: CF-Skyview Unit
Facility: Etmc First Physicians Clinic Jacksonville
Facility: Etmc First Physicians Clinic Rusk
Childress County
Facility: CF-T.L. Roach Unit
Facility: Fox Rural Health Clinic
Cochran County
Service Area: Cochran County
Coke County
Service Area: Coke County
Coleman County
Service Area: Coleman County
Colorado County
Facility: Rice Medical Associates
Comanche County
Service Area: Comanche County
Facility: Cross Timbers Healthcare
Concho County
Facility: Frontera Healthcare Network
Cooke County
Facility: Cooke County Medical Center
Coryell County
Facility: CF-Alfred D Hughes
Facility: CF-Dr. Lane Murray Unit
Facility: CF-Mountain View Unit
Crosby County
Page 179 of 222

Service Area: Crosby County
Culberson County
Service Area: Culberson County
Facility: Van Horn Rural Health Clinic
Dallas County
Service Area: Lisbon Service Area
Service Area: West Dallas/Cliff Hall
Facility: Dallas County Hosptial District Homeless Programs
Facility: Healing Hands Ministries, Inc.
Facility: Los Barrios Unidos Community Health Center
Facility: Mission East Dallas (Medical) and Metroplex Project
Facility: MLK Jr. Family Center
Facility: Urban Inter-Tribal Center of Texas
Delta County
Service Area: Delta County
Denton County
Facility: Health Services of North Texas, Inc.
DeWitt County
Service Area: De Witt County
Facility: Cuero Medical Clinic
Dickens County
Service Area: Dickens County
Donley County
Service Area: Donley County
Facility: Clarendon Family Medical Center
Duval County
Service Area: Duval County
Eastland County
Service Area: Eastland County
Ector County
Facility: Medical Center Hospital
Edwards County
Service Area: Edwards County
El Paso County
Service Area: Far Northern El Paso
Service Area: Southeast El Paso
Facility: Centro De Salud Familiar La Fe, Inc.
Facility: Centro San Vicente Health Center
Facility: Project Vida Health Center
Facility: Ysleta Del Sur Pueblo
Ellis County
Facility: Ellis County Coalition for Health Option
Fannin County
Page 180 of 222

Service Area: Fannin County
Fayette County
Population Group: Low Income - Fayette County
Facility: Tejas Health Care (Thc)
Fisher County
Facility: Clearfork Health Clinic
Facility: Roby Rural Health Clinic
Fort Bend County
Facility: CF-Jester 1 Unit
Facility: The Access Health Richmond Center
Frio County
Service Area: Frio County
Facility: Briscoe Unit
Facility: Immigration Customs Enforcement-South Texas/Pearsall
Gaines County
Service Area: Gaines County
Galveston County
Facility: Coastal Health and Wellness
Glasscock County
Service Area: Glasscock County
Goliad County
Service Area: Goliad County
Gonzales County
Service Area: Gonzales County
Facility: Community Health Centers of South Central Texas
Gregg County
Facility: Longview Wellness Center
Facility: Special Health Resources of Texas
Grimes County
Facility: CF-Luther Facility
Facility: CF-Pack Facility
Hale County
Service Area: Hale County
Facility: Regence Health Network
Hall County
Service Area: Hall County
Hansford County
Facility: Family Medical Clinic of Hansford County
Harris County
Service Area: East Central
Service Area: Settegast Service Area
Service Area: South Central Service Area
Page 181 of 222

Facility: Asian Am. Health Coalition of Gtr Houston/Dba Hope C
Facility: Bee Busy Wellness Center
Facility: El Centro De Corazon
Facility: Harris Health System - Homeless Outreach
Facility: Houston Area Community Services, Inc.
Facility: Houston Community Health Center
Facility: Houston Health Care for the Homeless
Facility: Immigration and Customs Enforcement-Houston Contract
Detention Facility
Facility: Legacy Community Health Systems, Inc.
Facility: Pasadena Health Center
Facility: South Central Houston Community
Facility: Spring Branch Community Health Center
Facility: St. Hope Foundation
Harrison County
Facility: East Texas Border Health Clinics
Hartley County
Facility: Dalhart Family Medicine Clinic
Hidalgo County
Facility: Nuestra Clinica Del Valle
Hill County
Facility: Lake Whitney Medical Clinic
Hockley County
Facility: Family Medicine of Levelland
Facility: Levelland Clinic
Facility: South Plains Rural Health
Houston County
Facility: Eastham Unit
Hudspeth County
Service Area: Hudspeth County
Hunt County
Facility: Community Health Service Agency, Inc.
Jack County
Facility: Jack County Medical Clinic
Jasper County
Facility: Christus Family Practice Center - Rayburn
Facility: Christus Family Practice Clinic - Kirbyville
Facility: Christus Jasper Family Practice Clinic
Jefferson County
Facility: Federal Correctional Complex - Beaumont
Facility: Gulf Coast Health Center
Facility: Triangle AIDS Network
Jim Hogg County
Service Area: Jim Hogg County
Page 182 of 222

Jim Wells County
Facility: Community Action Corporation of South Texas
Jones County
Service Area: Jones County
Facility: Anson Family Wellness Clinic
Facility: Memorial Health Clinic
Kent County
Service Area: Kent County
Facility: Kent County Rural Health Clinic
King County
Service Area: King County
Kinney County
Service Area: Kinney County
Knox County
Service Area: Knox County
Facility: Munday Clinic
La Salle County
Service Area: La Salle County
Facility: South Texas Rural Health Services
Lamb County
Service Area: Lamb County
Liberty County
Facility: Health Center of Southeast Texas
Limestone County
Facility: Family Medicine Center
Facility: Parkview Regional Health Clinic
Live Oak County
Service Area: Live Oak/McMullen Counties
Llano County
Facility: Horseshoe Bay Clinic
Loving County
Service Area: Loving County
Lubbock County
Facility: Community Health Center of Lubbock
Facility: Texas Tech University Health Sciences Center
Lynn County
Facility: LCHD Dba Family Wellness Rural Health Clinic
Matagorda County
Facility: Matagorda Episcopal Health Outreach Prog
Facility: Palacios Medical Clinic
Maverick County
Page 183 of 222

Service Area: Maverick County
Facility: United Medical Centers
McLennan County
Facility: Heart of Texas Community Health
McMullen County
Service Area: Live Oak/McMullen Counties
Medina County
Service Area: Medina County
Midland County
Facility: Midland Community Healthcare Services, Inc.
Mitchell County
Service Area: Mitchell County
Montgomery County
Facility: Lone Star Community Health
Motley County
Service Area: Motley County
Nacogdoches County
Population Group: Low Income - Nacogdoches County
Facility: East Texas Community Health Services
Newton County
Population Group: Low Income - Newton County
Nueces County
Facility: Amistad Community Health Center
Facility: Coastal Bend AIDS Foundation
Oldham County
Service Area: Oldham County
Panola County
Service Area: Panola County
Parmer County
Facility: Friona Rural Health Clinic
Pecos County
Service Area: Pecos County
Facility: Cactus Health Services, Inc.
Facility: Family Care Center
Facility: Family Care Center Walk in Clinic
Polk County
Facility: CF-Polunsky Unit
Potter County
Facility: CF-Clements Unit
Presidio County
Page 184 of 222

Service Area: Presidio County
Facility: Presidio County Health Clinic
Real County
Population Group: Low Income - Real County
Red River County
Service Area: Red River County
Reeves County
Service Area: Reeves County
Roberts County
Service Area: Roberts County
Robertson County
Service Area: Robertson County
Runnels County
Facility: Ballinger Hospital Clinic
Rusk County
Facility: East Texas Medical Center-Henderson
Facility: Mt. Enterprise Community Health Center
San Jacinto County
Service Area: San Jacinto County
Schleicher County
Service Area: Schleicher County
Facility: Schleicher County Family Clinic
Shackelford County
Service Area: Shackelford County
Facility: Shackelford County Community Resource Center
Shelby County
Facility: The Hope Project Inc.
Sherman County
Service Area: Sherman County
Smith County
Facility: Tyler Family Circle of Care
Starr County
Service Area: Starr County
Facility: Family Health Center, LLP
Facility: Family Health Clinic ROMA
Facility: Family Medical and Specialty Clinic
Facility: Pediatric Practice Association - Rio Grande City
Facility: Pediatric Practice Association - Roma
Stephens County
Population Group: Low Income-Stephens County
Facility: Stephens County Medical Clinic
Page 185 of 222

Sterling County
Service Area: Sterling County
Stonewall County
Service Area: Stonewall County
Facility: Stonewall Rural Health Clinic
Tarrant County
Facility: Federal Medical Center - Fort Worth
Facility: Federal Medical Center-Carswell
Facility: North Texas Area Community Health Center, Inc.
Terrell County
Service Area: Terrell County
Facility: Sanderson Rural Health Center
Terry County
Service Area: Terry County
Throckmorton County
Service Area: Throckmorton County
Facility: Throckmorton County Rural Health Care Clinic
Titus County
Population Group: Low Income - Titus County
Tom Green County
Population Group: Low Income - Tom Green County
Facility: La Esperanza Clinic, Inc.
Travis County
Facility: People's Community Clinic
Facility: Travis County Healthcare District/Dba Communitycar
Trinity County
Service Area: Trinity County
Facility: Groveton Family Health Clinic
Uvalde County
Facility: Community Health Development, Inc.
Walker County
Facility: CF-James H. Byrd Unit
Ward County
Service Area: Ward County
Webb County
Population Group: Low Income-Webb County
Facility: Gateway Community Health Center
Wheeler County
Facility: Parkview Rural Health Clinic
Wichita County
Facility: Iowa Park Clinic
Facility: North Central Texas Community Health Center
Page 186 of 222

Willacy County
Service Area: Willacy County
Williamson County
Facility: Lone Star Circle of Care
Wood County
Facility: CF-Clyde M Johnston Unit
Facility: Etmc First Physician Health Clinic
Yoakum County
Service Area: Yoakum County
Young County
Facility: Lovett-Meredith Rural Health Clinic
Zapata County
Service Area: Zapata County
Zavala County
Service Area: Zavala County
Facility: Eduardo Moreno, Rural Health Clinic
Facility: Vida Y Salud Health System

Page 187 of 222

DENTAL HEALTH: Utah
County and County Equivalent Listing
Beaver County
Population Group: Low Income-Beaver County
Cache County
Population Group: Low Income-Cache County
Carbon County
Facility: Carbon Medical Services
Daggett County
Service Area: Daggett County
Davis County
Population Group: Low Income-North Davis Service Area
Duchesne County
Population Group: Low Income-Duchesne County
Emery County
Population Group: Low Income-Emery County
Facility: Green River Medical Center
Garfield County
Population Group: Low Income-Garfield County
Grand County
Service Area: Thompson Springs/Uintah/Ouray Service Area
Iron County
Population Group: Low Income-Iron County
Facility: Paiute Indian Tribe of UT
Juab County
Population Group: Low Income-Juab County
Facility: Goshute Tribe
Kane County
Service Area: Kane County
Millard County
Population Group: Low Income-Millard County
Piute County
Service Area: Piute County
Rich County
Population Group: Low Income-Rich County
Facility: Bear Lake Community Health Center Inc.
Salt Lake County
Population Group:
Population Group:
Population Group:
Population Group:
Page 188 of 222

Low
Low
Low
Low

Income
Income
Income
Income

-

Kearns Service Area
Magna Service Area
Midvale Service Area
Salt Lake Service Area

Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Community Health Centers, Inc.
Indian Walk-in Center
Sacred Circle Health Care
Utah Partners for Health (Upfh)
Utah State Prison - Draper
Wasatch Homeless

San Juan County
Population Group: Low Income-San Juan County
Facility: Blanding Medical Clinic
Facility: San Juan Clinic
Facility: Utah Navajo Health System, Inc.
Sevier County
Population Group: Low Income-Sevier County
Tooele County
Population Group: Low Income-West Tooele County
Facility: Skull Valley Health Clinic
Uintah County
Population Group: Low Income - Ouray/Vernal Service Area
Facility: Fort Duchesne PHS Indian Health Center
Facility: Ute Indian Tribe
Facility: Ute Indian Tribe-Alch/Service Area
Utah County
Population Group: Low Income - Utah County
Facility: Mountainlands Community Health Center, Inc.
Washington County
Population Group: Low Income-Washington County
Facility: Enterprise Valley Medical
Facility: Shivwits Paiute Medical Clinic
Facility: Southwest Utah Community
Wayne County
Service Area: Hanksville Service Area
Facility: Wayne Community Health
Weber County
Population Group: Low Income - Weber County
Facility: Midtown Community

Page 189 of 222

DENTAL HEALTH: Vermont
County and County Equivalent Listing
Bennington County
Facility: Battenkill Valley Health Center Inc.
Caledonia County
Facility: Nvrh Corner Medical
Facility: Nvrh St. Johnsbury Pediatrics
Facility: Nvrh-Kingdom Internal Medicine
Chittenden County
Facility: Community Health Center of Burlington, Inc.
Essex County
Facility: Northern Counties Health Care
Franklin County
Facility: Richford Health Center, Inc.
Lamoille County
Facility: Copley Professional Services Group
Facility: Ryder Brook Pediatrics
Orange County
Facility: Gifford Health Care, Inc.
Facility: Little Rivers Health Care
Orleans County
Service Area: Newport
Facility: Community Medical Associates-186
Facility: Family Practice of Newport
Facility: Newport Pediatrics and Adolescent Medicine
Facility: The Barton Clinic
Rutland County
Population Group: Low Income - Ludlow
Facility: Community Health Centers of the Rutland Region
Washington County
Service Area: Waitsfield Dental
Facility: Northeast Washington County Community Health Cente
Windham County
Facility: Otis Health Care Dba Grace Cottage Family Health
Windsor County
Population Group: Low Income - Ludlow
Facility: Springfield Medical Care Systems, Inc.

Page 190 of 222

DENTAL HEALTH: Virginia
County and County Equivalent Listing
Accomack County
Population Group: Low Income - Accomack/Northampton Counties
Alexandria City
Population Group: Low Income-Alexandria-Arlington (Arlandria)
Facility: Alexandria Neighborhood Health Services
Alleghany County
Population Group: Low Income - Alleghany County/Covington City
Amelia County
Service Area: Amelia County
Amherst County
Population Group: Low Income-Amherst County
Appomattox County
Population Group: Low Income-Appomattox County
Arlington County
Population Group: Low Income-Alexandria-Arlington (Arlandria)
Augusta County
Population Group: Low Income - Augusta County/Waynesboro City/Staunton
City
Bath County
Service Area: Bath County
Bedford County
Service Area: Bedford County and Bedford City
Bland County
Population Group: Low Income-Bland/Giles Counties
Facility: Bland County Medical
Botetourt County
Population Group: Low Income - Botetourt County North
Bristol City
Population Group: Low Income-Washington County/Bristol City
Brunswick County
Population Group: Low Income - Brunswick County
Buchanan County
Population Group: Low Income - Buchanan County
Buckingham County
Population Group: Low Income-Buckingham/Cumberland Counties
Facility: Central Virginia Health Services
Buena Vista City
Page 191 of 222

Population Group: Low Income - Rockbridge County/Lexington
City/Buenavista City
Campbell County
Population Group: Low Income - Campbell County/Lynchburg City
Carroll County
Population Group: Low Income - Grayson and Carroll Counties/Galax City
Facility: Tri-Area/Laurel Fork Health Clinic
Charlotte County
Population Group: Low Income-Charlotte County
Colonial Heights City
Population Group: Low Income - Petersburg/Colonial Heights Cities
Covington City
Population Group: Low Income - Alleghany County/Covington City
Craig County
Service Area: Craig County
Cumberland County
Population Group: Low Income-Buckingham/Cumberland Counties
Danville City
Population Group: Low Income-Pittsylvania County/Danville City
Facility: Piedmont Access to Health Services (Path)
Dickenson County
Service Area: Dickenson County
Dinwiddie County
Service Area: Dinwiddie County
Emporia City
Service Area: Greensville County/Emporia City
Essex County
Population Group: Low Income - Essex/Richmond Counties
Floyd County
Service Area: Floyd County
Franklin City
Service Area: Southampton/Franklin City
Franklin County
Population Group: Low Income - Franklin County
Fredericksburg City
Population Group: Low Income - Fredericksburg City
Galax City
Population Group: Low Income - Grayson and Carroll Counties/Galax City
Giles County
Page 192 of 222

Population Group: Low Income-Bland/Giles Counties
Grayson County
Population Group: Low Income - Grayson and Carroll Counties/Galax City
Greensville County
Service Area: Greensville County/Emporia City
Halifax County
Service Area: Halifax County
Harrisonburg City
Facility: Harrisonburg Community Health Center
Henry County
Population Group: Low Income - Henry County/Martinsville City
Highland County
Facility: Highland Medical Center
Hopewell City
Population Group: Low Income - Hopewell City
James City County
Facility: Olde Towne Medical Center
King George County
Service Area: King George/Westmoreland Counties
Lancaster County
Population Group: Low Income - Lancaster/Northumberland Counties
Lee County
Service Area: Lee County
Facility: Stone Mountain Health Services
Facility: USP-Lee
Lexington City
Population Group: Low Income - Rockbridge County/Lexington
City/Buenavista City
Loudoun County
Facility: Loudoun Community Health Center
Lunenburg County
Population Group: Low Income-Lunenburg County
Facility: Southern Dominion Health Systems, Inc.
Lynchburg City
Population Group: Low Income - Campbell County/Lynchburg City
Facility: Community Access Network
Facility: Johnson Health Center
Martinsville City
Population Group: Low Income - Henry County/Martinsville City
Facility: Martinsville Henry County Coalition Health and Human Services
Page 193 of 222

Mathews County
Service Area: Middlesex and Mathews Counties
Mecklenburg County
Service Area: Mecklenburg County
Middlesex County
Service Area: Middlesex and Mathews Counties
Montgomery County
Population Group: Low Income - Montgomery County
Facility: Free Clinic of the New River Valley, Inc.
Nelson County
Population Group: Low Income - Nelson County
Facility: Blue Ridge Medical Center, Inc.
Newport News City
Facility: Peninsula Institute for Community Health
Northampton County
Population Group: Low Income - Accomack/Northampton Counties
Facility: Eastern Shore Rural Health
Northumberland County
Population Group: Low Income - Lancaster/Northumberland Counties
Norton City
Population Group: Low Income - Wise County/Norton City
Nottoway County
Population Group: Low Income - Nottoway County
Orange County
Service Area: Orange County
Page County
Service Area: Page County
Patrick County
Service Area: Patrick County
Petersburg City
Population Group: Low Income - Petersburg/Colonial Heights Cities
Pittsylvania County
Population Group: Low Income-Pittsylvania County/Danville City
Portsmouth City
Facility: Portsmouth Community Health Center
Prince Edward County
Population Group: Low Income-Prince Edward County
Prince William County
Facility: Greater Prince William Community Health Ct
Page 194 of 222

Pulaski County
Population Group: Low Income - Pulaski County/Radford City
Radford City
Population Group: Low Income - Pulaski County/Radford City
Richmond City
Population Group: Low Income-Richmond City
Facility: Daily Planet
Facility: Vernon J. Harris East End Community Health Center
Richmond County
Population Group: Low Income - Essex/Richmond Counties
Roanoke City
Population Group: Low Income - Roanoke/Salem
Facility: Kuumba Community Health
Roanoke County
Population Group: Low Income - Roanoke/Salem
Rockbridge County
Population Group: Low Income - Rockbridge County/Lexington
City/Buenavista City
Facility: Rockbridge Area Free Clinic
Russell County
Service Area: Russell County
Salem City
Population Group: Low Income - Roanoke/Salem
Scott County
Service Area: Scott County
Facility: Clinch River Health Services
Shenandoah County
Service Area: Shenandoah County
Smyth County
Population Group: Low Income - Smyth County
Facility: Southwest Virginia Community Health Services
Southampton County
Service Area: Southampton/Franklin City
Facility: Horizon Health Services
Staunton City
Population Group: Low Income - Augusta County/Waynesboro City/Staunton
City
Surry County
Population Group: Low Income - Surry/Sussex Counties
Sussex County
Population Group: Low Income - Surry/Sussex Counties
Facility: Stony Creek Community Health Center
Page 195 of 222

Tazewell County
Population Group: Low Income - Tazewell County
Warren County
Service Area: Warren County
Washington County
Population Group: Low Income-Washington County/Bristol City
Waynesboro City
Population Group: Low Income - Augusta County/Waynesboro City/Staunton
City
Westmoreland County
Service Area: King George/Westmoreland Counties
Williamsburg City
Population Group: Low Income - Williamsburg County
Winchester City
Population Group: Low Income - Winchester City
Wise County
Population Group: Low Income - Wise County/Norton City
Wythe County
Service Area: Wythe County

Page 196 of 222

DENTAL HEALTH: Washington
County and County Equivalent Listing
Adams County
Population Group: Low Income-Adams County
Facility: Columbia Basin Health Association
Asotin County
Population Group: Low Income-Asotin County
Benton County
Population Group: Low Income/Migrant Farmworker-Benton/Franklin
Counties
Chelan County
Population Group: Low Income/H/Migrant Farmworker-Chelan/Douglas
Counties
Facility: Columbia Valley Community Health Center
Clallam County
Service Area: West Clallam and West Jefferson Counties
Population Group: Low Income-Port Angeles/Sequim Service Area
Facility: CF-Clallam Bay Corrections Center
Facility: Jamestown South'Klallam Tribe
Facility: Lower Elwha Klallam Health Clinic
Facility: Makah - Sophie Trettevick Indian Health Center
Facility: North Olympic Healthcare Network, Primary Care
Facility: Quileute Clinic
Clark County
Population Group: Low Income-Southern Clark County
Population Group: Northern Clark County
Columbia County
Population Group: Low Income/H/Migrant Farmworker Columbia/Walla Walla
Counties
Cowlitz County
Population Group: Low Income-Cowlitz and Wahkiakum Counties
Facility: Cowlitz Family Health
Facility: Cowlitz Tribe
Douglas County
Population Group: Low Income/H/Migrant Farmworker-Chelan/Douglas
Counties
Ferry County
Service Area: Ferry County
Facility: Colville Confederated Tribes
Franklin County
Population Group: Low Income/Migrant Farmworker-Benton/Franklin
Counties
Facility: CF-Coyote Ridge Correctional Center
Facility: Tri-Cities Community Health
Garfield County
Page 197 of 222

Population Group: Low Income-Garfield County
Grant County
Service Area: Grant County
Facility: Moses Lake Community Health Center
Facility: Quincy Valley Clinic/Dba Sageview Family Care
Facility: Samaritan Clinic
Grays Harbor County
Service Area: Grays Harbor County
Facility: CF-Stafford Creek Correctional Center
Facility: Chehalis Tribal Clinic
Facility: Roger Saux Health Center
Island County
Service Area: Island County
Jefferson County
Service Area: Port Townsend/Quilcene
Service Area: West Clallam and West Jefferson Counties
King County
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:
Facility:

Country Doctors Community Clinic
Healthpoint
International Community Health Services
Muckleshoot Tribal Clinic
Neighborcare Health (Formerly Puget Sound)
Sea Mar Community Health Center
Seattle Indian Health
Seattle King County Department of Public Health
Snoqualmie-North Bend Family Clinic
Snoqualmie-Tolt Community Clinic

Kitsap County
Service Area: Kitsap County
Facility: Peninsula Community Health
Facility: Port Gamble South'Klallam Tribal Clinic
Facility: Suquamish Tribe
Kittitas County
Service Area: Kittitas County
Klickitat County
Population Group: Low Income/Migrant Farmworker - Klickitat County
Lewis County
Population Group: Low Income/H/Migrant Farmworker-Lewis County
Facility: Valley View Health Center
Lincoln County
Population Group: Low Income - Lincoln County
Mason County
Service Area: Mason County
Facility: Skokomish Tribal Health Clinic
Facility: Squaxin Island Health Center
Facility: Washington Corrections Center
Page 198 of 222

Okanogan County
Population Group: Low Income/Migrant Farmworker/H-Okanogan County
Facility: Colville PHS Indian Health Center
Facility: Family Health Centers
Facility: Omak Clinic
Pacific County
Population Group: Low Income-Pacific County
Facility: Naselle Clinic
Facility: Ocean Beach Medical Clinic
Facility: Shoalwater Bay Health Clinic
Pend Oreille County
Population Group: Low Income-Pend Oreille County
Facility: Family Health Center Newport
Facility: Kalispel Tribe
Pierce County
Service Area: Longbranch
Facility: Community Health Care Delivery
Facility: Immigration and Customs Enforcement - Tacoma Northwest
Detention Center
Facility: Puyallup Tribal Health Authority
San Juan County
Service Area: San Juan County
Skagit County
Population Group: Low Income/H/Migrant Farmworker-Skagit County
Facility: Sauk-Suiattle Health Clinic
Facility: Swinomish Health Clinic
Facility: Upper Skagit Tribal Clinic
Skamania County
Population Group: Low Income-Skamania County
Snohomish County
Service Area: Darrington
Service Area: Monroe/Sultan
Facility: CF-Monroe Correctional Complex
Facility: Community Health Center of Snohomish
Facility: Stillaguamish Tribal Clinic
Facility: Tulalip Clinic
Spokane County
Population Group: Low Income/H-Spokane County
Facility: CF-Airway Heights Corrections Center
Facility: Community Health Association of Spokane
Facility: Healing Lodge of Seven Nations
Facility: N.A.T.I.V.E. Project of Spokane
Stevens County
Population Group: Low Income-Stevens County
Facility: David C. Wynecoop Memorial Clinic
Facility: N.E.W. Health Programs
Facility: Providence Northeast Washington Medical Group - Colville
Page 199 of 222

Facility: Providence Northeast Washington Medical Group-Kettle Fall
Facility: Spokane Tribe
Thurston County
Service Area: North Thurston County
Service Area: South Thurston County
Facility: Nisqually Health Clinic
Wahkiakum County
Population Group: Low Income-Cowlitz and Wahkiakum Counties
Walla Walla County
Population Group: Low Income/H/Migrant Farmworker Columbia/Walla Walla
Counties
Facility: Adventist Health/Medical Group
Facility: CF-Washington State Penitentiary
Whatcom County
Population Group: Low Income/H/Migrant Farmworker - Whatcom County
Facility: Indian Tribal Consortium
Facility: Interfaith Community Health Center
Facility: Lummi Tribal Health Center
Facility: Nooksack Tribal Health Center
Whitman County
Population Group: Low Income/H/Migrant Farmworker - Whitman County
Yakima County
Population Group: Low Income-Yakima County
Facility: Central Washington Family Medicine
Facility: Grandview Medical Center
Facility: John Hughes Student Health Center
Facility: Lincoln Ave Fam Medical
Facility: Sunnyside Pediatrics
Facility: Valley Internal Medicine
Facility: Valley Regional Rural Health Clinic V
Facility: White Swan Clinic
Facility: Yakima Indian Health Center
Facility: Yakima Neighborhood Health Services
Facility: Yakima Valley Farmworkers Clinic

Page 200 of 222

DENTAL HEALTH: West Virginia
County and County Equivalent Listing
Barbour County
Population Group: Low Income - Barbour County
Facility: Belington Community Medical Services
Berkeley County
Population Group: Low Income - Berkeley County
Facility: Shenandoah Valley Medical Center
Boone County
Population Group: Low Income - Boone County
Facility: Boone Memorial Hospital Rural Health Clinic
Facility: Hygeia Facilities Foundation
Braxton County
Population Group: Low Income-Braxton County
Cabell County
Population Group: Low Income-Cabell County
Facility: Valley Health Systems
Calhoun County
Population Group: Low Income - Calhoun County
Doddridge County
Service Area: Doddridge County
Fayette County
Population Group: Low Income-Fayette County
Facility: New River Family Health Center
Gilmer County
Service Area: Gilmer County
Facility: Federal Correctional Institution - Gilmer
Grant County
Population Group: Low Income-Grant County
Greenbrier County
Population Group: Low Income-Greenbrier County
Facility: Rainelle Medical Center
Hampshire County
Population Group: Low Income - Hampshire County
Facility: Hampshire Memorial Hospital
Hancock County
Facility: Change, Inc. Dba Family Medical Care
Hardy County
Population Group: Low Income-Hardy County
Facility: E.A. Hawse Health Center
Harrison County
Population Group: Low Income - Harrison County
Page 201 of 222

Jackson County
Population Group: Low Income-Jackson County
Kanawha County
Population Group: Low Income-Kanawha County
Facility: Cabin Creek Health Center
Lewis County
Population Group: Low Income-Lewis County
Lincoln County
Service Area: Lincoln County
Facility: Lincoln County Primary Care Center
Logan County
Population Group: Low Income - Logan County
Facility: Family Healthcare Associates, Inc.-Man
Facility: Rural Health Access Corporation/Dba Coalfield Health Center
Marion County
Population Group: Low Income - Marion County
Facility: Douglas D. Wolfe Do, Inc.
Facility: Monongahela Valley Association of Health Centers
Marshall County
Population Group: Low Income - Marshall County
Mason County
Population Group: Low Income-Mason County
McDowell County
Service Area: McDowell County
Facility: Bradshaw Medical Rural Health Clinic
Facility: Federal Correctional Institution - McDowell
Facility: Tug River Health Association
Facility: Welch Emergency Hospital Rural Health Clinic
Facility: Yukon Medical Clinic
Mercer County
Population Group: Low Income - Mercer County
Facility: Athens Medical Center
Facility: Bluestone Health Center
Facility: Jana Peters, Do
Mineral County
Service Area: Mineral County
Mingo County
Service Area: Mingo County
Facility: Williamson Health and Wellness Center
Monongalia County
Population Group: Low Income-Monongalia County
Facility: Clay-Battelle Health Services
Monroe County
Page 202 of 222

Service Area: Monroe County
Facility: Miller Family Practice
Facility: Monroe County Health Center
Morgan County
Population Group: Low Income - Morgan County
Facility: Mountaineer Community Health Center, Inc.
Nicholas County
Population Group: Low Income - Nicholas County
Ohio County
Facility: Wheeling Health Right
Pendleton County
Population Group: Low Income - Pendleton County
Facility: Pendleton Community Center
Pleasants County
Population Group: Low Income-Pleasants County
Pocahontas County
Population Group: Low Income - Pocahontas County
Facility: Pocahontas Memorial Hospital Medical Practice
Preston County
Population Group: Low Income-Preston County
Facility: Federal Correctional Complex-Hazelton
Putnam County
Facility: Family Care, Inc.
Raleigh County
Population Group: Low Income-Raleigh County
Facility: Community Health Systems
Facility: Federal Correctional Institution - Beckley
Randolph County
Population Group: Low Income-Randolph County
Facility: Valley Health Care, Inc.
Ritchie County
Population Group: Low Income - Ritchie County
Facility: Ritchie County Primary Care Association Inc.
Roane County
Population Group: Low Income-Roane County
Facility: Roane County Family Health Center
Facility: Roane General Medical Associates
Facility: Roane General Medical Clinic
Facility: Southern Roane Medical Clinic
Summers County
Population Group: Low Income-Summers County
Taylor County
Population Group: Low Income - Taylor County
Page 203 of 222

Facility: Preston-Taylor Community Health Center
Facility: Tygart Valley Total Care Clinic
Tucker County
Population Group: Low Income-Tucker County
Facility: St. George Medical Clinic, Inc.
Tyler County
Population Group: Low Income - Tyler County
Upshur County
Population Group: Low Income - Upshur County
Facility: Community Care of West Virginia
Wayne County
Population Group: Low Income-Wayne County
Webster County
Service Area: Webster County
Facility: Camden-on-Gauley Medical Center
Facility: Webster County Memorial Hospital
Wetzel County
Population Group: Low Income-Wetzel County
Facility: Pine Grove Health Center
Wirt County
Service Area: Wirt County
Wood County
Population Group: Low Income-Wood County
Facility: Wirt County Health Services Association
Wyoming County
Population Group: Low Income - Wyoming County
Facility: Family Healtcare Associates, Inc.
Facility: Family Healthcare Associates, Inc.-Mullens

Page 204 of 222

DENTAL HEALTH: Wisconsin
County and County Equivalent Listing
Adams County
Population Group: Low Income - Adams County
Ashland County
Population Group: Low Income - Ashland County
Facility: Bad River Health Svs
Barron County
Population Group: Low Income - Ladysmith
Facility: Turtle Lake Medical Clinic
Bayfield County
Population Group: Low Income - Bayfield County
Facility: Red Cliff Health Services
Facility: The Lakes Community Health Center, Inc.
Brown County
Population Group: Low Income-Green Bay Service Area
Facility: Green Bay Correctional Institution
Facility: N.E.W. Community Clinic
Facility: Oneida Community Health Center
Buffalo County
Population Group: Low Income-Buffalo County
Burnett County
Population Group: Low Income - Burnett County
Facility: Burnett Medical Center Clinic
Facility: Ingalls - St. Croix Regional Medical Center
Facility: St. Croix Tribal Health Dpt
Chippewa County
Population Group: Low Income - Ladysmith
Facility: Stanley Correctional Institution
Clark County
Population Group: Low Income - Ladysmith
Facility: Memorial Medical Center - Greenwood
Facility: Memorial Medical Clinic-Neillsville
Columbia County
Facility: Columbia Correctional Institution
Crawford County
Population Group: Low Income - Crawford County
Facility: Kickapoo Valley Medical Clinic
Facility: Prairie Du Chien Correctional Institution
Dane County
Population Group: Low Income - Central Madison
Population Group: Low Income - Northeast Madison
Facility: Madison Community Health Center
Dodge County
Page 205 of 222

Population Group: Low Income-Beaver Dam
Facility: Dodge Correctional Institution
Facility: Fox Lake Correctional Institution
Facility: Waupun Correctional Institution
Door County
Population Group: Low Income-Sturgeon Bay Algoma
Douglas County
Population Group: Low Income - Douglas County
Dunn County
Population Group: Low Income - Dunn/Pepin
Eau Claire County
Population Group: Low Income - Ladysmith
Florence County
Population Group: Low Income-Florence County
Fond du Lac County
Facility: Taycheedah Correctional Institution
Forest County
Population Group: Low Income - Forest County
Facility: Potawatomi Health and Wellness Center
Facility: Sokaogon Chippewa Indian Community
Grant County
Population Group: Low Income - Grant County
Facility: Boscobel Area Health Center Bluff Street Clinic
Facility: Riverside Family Practice
Facility: Upland Hills Health Clinic - Mortfort
Facility: Wisconsin Secure Program Facility
Green Lake County
Population Group: Low Income-Green Lake County
Iowa County
Facility: Upland Hills Health Clinic - Highland
Iron County
Population Group: Low Income - Iron County
Facility: Aspirus Grand View Clinic - Hurley
Jackson County
Population Group: Low Income - Jackson County
Facility: Ho-Chunk Nation Health Department
Facility: Jackson Correctional Institution
Jefferson County
Population Group: Low Income - Fort Atkinson
Juneau County
Population Group: Low Income - Juneau County
Facility: Elroy Family Medical Center
Facility: Mile Bluff Clinic, LLP
Page 206 of 222

Facility: Necedah Family Medical Center
Facility: New Lisbon Clinic
Facility: New Lisbon Correctional Institution
Facility: St. Joseph's Health Services, Inc. Dba Gundersen St. Joseph's
Hospital and Clinic Elroy Clinic
Facility: St. Joseph's Health Services, Inc. Dba Gundersen St. Joseph's
Hospital and Clinic Wonewoc Clinic
Kenosha County
Population Group: Low Income - Kenosha County
Facility: Kenosha Community Health Center
Kewaunee County
Population Group: Low Income-Sturgeon Bay Algoma
La Crosse County
Population Group: Low Income-La Crosse County
Lafayette County
Population Group: Low Income-Lafayette County
Langlade County
Population Group: Low Income - Langlade County
Marathon County
Facility: Bridge Community Health Center
Marinette County
Population Group: Low Income - Marinette County
Facility: Northreach Healthcare Crivitz
Facility: Northreach-Family Care Medical Clinic
Marquette County
Population Group: Low Income - Marquette County
Menominee County
Facility: Menominee Tribal Clinic-Wolf River
Milwaukee County
Population Group: Low Income-North Milwaukee Service Area
Population Group: Low Income-South Milwaukee Service Area
Facility: 16th Street Community Health Center
Facility: Gerald I. Ignace Health Center
Facility: Milwaukee Health Services
Facility: Outreach Community Health Centers, Inc.
Facility: Progressive Community Health Centers, Inc.
Monroe County
Population Group: Low Income - Monroe County
Facility: Scenic Bluffs Health Center
Oconto County
Facility:
Facility:
Facility:
Facility:
Page 207 of 222

St.
St.
St.
St.

Clare
Clare
Clare
Clare

Memorial
Memorial
Memorial
Memorial

Hospital
Hospital
Hospital
Hospital

-

Gillett Health Center
Lena Health Center
Mountain Health Center
Suring Health Center

Oneida County
Population Group: Low Income - Oneida County
Pepin County
Population Group: Low Income - Dunn/Pepin
Polk County
Population Group: Low Income-Polk County
Facility: Clear Lake Clinic
Facility: Frederic Clinic - St Croix Regional Medical Center
Facility: Luck Medical Clinic
Portage County
Population Group: Low Income-Portage County
Price County
Population Group: Low Income - Ladysmith
Racine County
Population Group: Low Income-East Racine County
Facility: Racine Correctional Institution
Facility: Racine Youthful Offender Correctional Facility
Richland County
Population Group: Low Income - Richland County
Rock County
Population Group: Low Income-Rock County
Facility: Community Health Systems
Rusk County
Population Group: Low Income - Ladysmith
Sauk County
Population Group: Low Income-Sauk County
Facility: House of Wellness Clinic
Facility: Spring Green Medical Center
Facility: Upland Hills Health Clinic - Spring Green
Sawyer County
Population Group: Low Income - Ladysmith
Facility: Lac Courte Oreilles Tribal Health Center
Shawano County
Population Group: Low Income-Shawano County
Facility: Stockbridge-Munsee Tribal Health Center
Sheboygan County
Population Group: Low Income - Sheboygan City
Facility: Kettle Moraine Correctional Institution
Facility: Sheboygan Area Community Clinics
St. Croix County
Facility: Baldwin Clinic
Taylor County
Population Group: Low Income - Ladysmith
Page 208 of 222

Trempealeau County
Population Group: Low Income - Trempealeau County
Vernon County
Population Group: Low Income - Vernon County
Facility: Bland Clinic - Vmh
Facility: Hirsch Clinic - Vhm
Facility: La Farge Medical Clinic - Vhm
Facility: St. Joseph's Health Services, Inc. Dba Gundersen St. Joseph's
Hospital and Clinic Hillsboro Clinic
Vilas County
Population Group: Low Income - Vilas County
Facility: Great Lakes Inter-Tribal Council
Facility: Peter Christensen Health Center
Walworth County
Population Group: Low Income-Walworth County
Washburn County
Population Group: Low Income - Washburn County
Waukesha County
Population Group: Low Income - Waukesha City
Waupaca County
Population Group: Low Income-Marion
Waushara County
Population Group: Low Income - Waushara County
Facility: La Clinica De Los Campesinos, Inc.
Winnebago County
Facility: Fox Cities Community Health Center
Facility: Oshkosh Correctional Institution
Wood County
Population Group: Low Income-Wood County
Facility: Marshfield Family Health

Page 209 of 222

DENTAL HEALTH: Wyoming
County and County Equivalent Listing
Albany County
Population Group: Low Income - Albany County
Facility: University of Wyoming
Big Horn County
Facility: North Big Horn Hospital Clinic
Carbon County
Service Area: Northeast Carbon County
Converse County
Facility: Glenrock Hospital District Dba Glenrock Health Cen
Crook County
Facility: Hulett Clinic
Facility: Moorcroft Clinic
Facility: Sundance Clinic
Fremont County
Population Group: Low Income - Fremont County
Facility: Arapaho Clinic
Facility: Arapahoe PHS Indian Health Center
Facility: Ft. Washakie PHS Indian Health Center
Facility: Shoshone Tribal Health Dpt
Goshen County
Population Group: Low Income - Goshen County
Hot Springs County
Facility: Red Rock Family Practice - Thermopolis
Laramie County
Facility: Cheyenne Health and Wellness Center
Facility: Community Action of Laramie County
Natrona County
Service Area: West Natrona County
Facility: Community Action Partnership of Natrona
Facility: Community Health Center
Niobrara County
Service Area: Niobrara County
Park County
Facility: Powell Health Care Coalition
Platte County
Population Group: Low Income - Platte County
Sheridan County
Service Area: West Sheridan County
Washakie County
Facility: Red Rock Family Practice - Worland
Page 210 of 222

Page 211 of 222

DENTAL HEALTH: American Samoa
County and County Equivalent Listing
Eastern District
Service Area: American Samoa
Manu'a District
Service Area: American Samoa
Rose Island
Service Area: American Samoa
Swains Island
Service Area: American Samoa
Western District
Service Area: American Samoa
Facility: American Samoa Department of Health

Page 212 of 222

DENTAL HEALTH: Federated States of Micronesia
County and County Equivalent Listing
Chuuk State
Service Area: Chuuk State
Facility: Chuuk State Department of Health Services
Kosrae State
Service Area: Kosrae State
Facility: Kosrae Department of Health Services
Pohnpei State
Service Area: Pohnpei State
Facility: Pohnpei Community Health Center
Yap State
Service Area: Yap State
Facility: Wa'Ab Community Health Center/Yap State Department of Health
Services

Page 213 of 222

DENTAL HEALTH: Guam
County and County Equivalent Listing
Guam

Population Group: Low Income - Guam
Facility: Guam Department of Public Health

Page 214 of 222

DENTAL HEALTH: Marshall Islands
County and County Equivalent Listing
Ailinginae
Service Area: Republic of the Marshall Islands
Ailinglaplap
Service Area: Republic of the Marshall Islands
Ailuk
Service Area: Republic of the Marshall Islands
Arno
Aur

Service Area: Republic of the Marshall Islands
Service Area: Republic of the Marshall Islands

Bikar
Service Area: Republic of the Marshall Islands
Bikini
Service Area: Republic of the Marshall Islands
Bokak
Service Area: Republic of the Marshall Islands
Ebon

Service Area: Republic of the Marshall Islands

Enewetak
Service Area: Republic of the Marshall Islands
Erikub
Service Area: Republic of the Marshall Islands
Jabat
Service Area: Republic of the Marshall Islands
Jaluit
Service Area: Republic of the Marshall Islands
Jemo Municipality
Service Area: Republic of the Marshall Islands
Kwajalein
Service Area: Republic of the Marshall Islands
Facility: Ministry of Health
Lae
Lib

Service Area: Republic of the Marshall Islands
Service Area: Republic of the Marshall Islands

Likiep
Service Area: Republic of the Marshall Islands
Page 215 of 222

Majuro
Service Area: Republic of the Marshall Islands
Maloelap
Service Area: Republic of the Marshall Islands
Mejit
Service Area: Republic of the Marshall Islands
Mili

Service Area: Republic of the Marshall Islands

Namorik
Service Area: Republic of the Marshall Islands
Namu

Service Area: Republic of the Marshall Islands

Rongelap
Service Area: Republic of the Marshall Islands
Rongrik
Service Area: Republic of the Marshall Islands
Toke
Ujae

Service Area: Republic of the Marshall Islands
Service Area: Republic of the Marshall Islands

Ujelang
Service Area: Republic of the Marshall Islands
Utrik
Service Area: Republic of the Marshall Islands
Wotho
Service Area: Republic of the Marshall Islands
Wotje
Service Area: Republic of the Marshall Islands

Page 216 of 222

DENTAL HEALTH: Northern Mariana Islands
County and County Equivalent Listing
Northern Islands Municipality
Service Area: Commonwealth Northern Mariana Islands
Rota Municipality
Service Area: Commonwealth Northern Mariana Islands
Saipan Municipality
Service Area: Commonwealth Northern Mariana Islands
Tinian Municipality
Service Area: Commonwealth Northern Mariana Islands

Page 217 of 222

DENTAL HEALTH: Republic of Palau
County and County Equivalent Listing
Aimeliik State
Service Area: Republic of Palau
Airai State
Service Area: Republic of Palau
Angaur State
Service Area: Republic of Palau
Hatoboheit State
Service Area: Republic of Palau
Kayangel State
Service Area: Republic of Palau
Koror State
Service Area: Republic of Palau
Facility: Ministry of Health
Melekeok State
Service Area: Republic of Palau
Ngaraard State
Service Area: Republic of Palau
Ngarchelong State
Service Area: Republic of Palau
Ngardmau State
Service Area: Republic of Palau
Ngatpang State
Service Area: Republic of Palau
Ngchesar State
Service Area: Republic of Palau
Ngernmlengui State
Service Area: Republic of Palau
Ngiwal State
Service Area: Republic of Palau
Peleliu State
Service Area: Republic of Palau
Sonsorol State
Service Area: Republic of Palau

Page 218 of 222

DENTAL HEALTH: Puerto Rico
County and County Equivalent Listing
Arroyo Municipio
Facility: Centro De Salud Familia
Barceloneta Municipio
Facility: Barceloneta Primary Health
Bayamo'n Municipio
Facility: Centro De Detencion Bayamon (1072)
Facility: Community Health Foundation of PR, Inc.
Caguas Municipio
Facility: Sanos
Camuy Municipio
Facility: Camuy Health Service
Canovanas Municipio
Facility: Concilio De Salud Integral De Loiza
Ciales Municipio
Facility: Ciales Primary Health
Cidra Municipio
Facility: COSSMA Corporation
Florida Municipio
Facility: Centro De Servicios Primarios De Salud Inc.
Guaynabo Municipio
Facility: Metropolitan Detention Center-Guaynabo
Gurabo Municipio
Facility: Gurabo Community Health Center
Hatillo Municipio
Facility: Centro De Servicios Primarios Y Prevencion De Hatillo
Lares Municipio
Facility: Castaner General Hospital
Mayaguez Municipio
Facility: Western Region/Migrant Health
Morovis Municipio
Facility: Morovis Community Health
Naranjito Municipio
Facility: Salud Integral En La Montane
Patillas Municipio
Facility: Centro Servicios Primarios De Salud De Patillas in
Ponce Municipio
Facility: Consejo De Salud
Page 219 of 222

Rincon Municipio
Facility: Costa Salud Community Health Center
San Juan Municipio
Facility: Healthpromed Foundation, Inc.
Facility: San Juan Comprehensive
Utuado Municipio
Facility: Lares Health Center
Vieques Municipio
Service Area: Vieques Municipio

Page 220 of 222

DENTAL HEALTH: U.S. Minor Islands
County and County Equivalent Listing
No Health Professional Service Areas (HPSAs) available for the County and
County Equivalent Listing.

Page 221 of 222

DENTAL HEALTH: U.S. Virgin Islands
County and County Equivalent Listing
St. Croix
Service Area: St. Croix Island
Facility: Frederiksted Healthcare
St. Thomas
Service Area: St. Thomas
Facility: East End Family Health Center

Page 222 of 222