DIRECTORY OF HEALTHCARE NETWORK PROVIDERS

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1 DIRECTORY OF HEALTHCARE NETWORK PROVIDERS Due to limited update capabilities of a printed directory. Please use this directory as a guide only. Always verify FrontPath Health Coalition network providers through the FrontPath website, or by calling the Customer Service Representatives at , Option 5, or toll free

2 INTRODUCTION Welcome to the FrontPath Health Coalition Provider Network! Your employer, together with other employers located within northwest Ohio, northeast Indiana and Southeastern Michigan, have developed a network of hospitals, medical facilities and professionals to provide your health care needs. Your employer s participation in the FrontPath Health Coalition Provider Network (FrontPath) enables you to take advantage of FrontPath s contractual arrangements when you utilize the FrontPath providers who are listed in this Directory. By obtaining medical services from a FrontPath provider, you gain several advantages. For example: FrontPath Providers have agreed not to balance bill employees or their dependents for amounts exceeding their plan s deductible or co-pay requirements. When using a FrontPath provider, you need no longer be concerned with charges which might exceed your plan s reasonable and customary fee limits. FrontPath Providers will file your claim forms. You no longer have to worry about filing claim forms if you use a FrontPath Network Provider. Your out of pocket expenses will typically be lower if you obtain treatment from a FrontPath Network Provider, due to FrontPath s negotiated fee arrangements. Your employer will provide you with specific information as to how your Plan of Benefits coordinates with the FrontPath network. Remember, the choice of health care provider is always yours to make. Please note that this Directory is intended to offer general information with regard to the FrontPath Health Coalition Provider Network and contains a listing of the FrontPath Network Providers. This directory does not guarantee that all services or providers listed in this directory will be covered under your health care plan of benefits. You must refer to your Plan of Benefits for specific information regarding the details of your employer s Plan, such as levels of coverage, exclusions, eligibility and cost containment procedures. In addition, your employer s Plan may limit coverages regardless of whether they are provided in or out of the FrontPath network, and it is that Plan which determines whether or not a particular medical service is covered, and at what level. 1

3 HOW TO USE THIS DIRECTORY This Directory is designed to help you identify the Network Providers who are members of the FrontPath Health Coalition. It is arranged in a number of convenient ways to assist you in quickly locating a particular hospital, medical facility or physician. As with any organization, the list of Network Providers may change from time to time between editions of the Directory. Your employer may provide you with periodic updates to the directory which will include any changes in the provider panel. You may also review Network Providers on FrontPath s website, Directory listings should not be construed as endorsements of practitioners and/or facilities, or as statements regarding their abilities. If you have any questions, please call FrontPath customer service, , option 5 or toll free , option 5. PHYSICIANS This section of the Directory includes the name, address, telephone number and hospital affiliation of FrontPath Network physician members. A key to the hospital affiliation codes can be found immediately preceding the Primary Care Physicians section. The physicians are listed first by their area of specialization and then alphabetically by last name. An index listing of all physicians alphabetically by the last name, regardless of practice specialty, is provided in the back of the directory. 2

4 ADDITIONAL INFORMATION Sometimes you may need additional information beyond that provided in this Directory. For example, you may want to choose a Network facility, or learn which physician s area of specialization is appropriate for your condition. In these cases, you may want to consult with your primary care physician. In addition, there are other sources of help available through the FrontPath Network s participating hospitals you might wish to consider: Mercy HealthLink ProMedica Call Center 2200 Jefferson Avenue 2142 North Cove Boulevard Toledo, Ohio Toledo, Ohio (419) (419) St. Luke s Hospital MedMatch 5911 Monclova Road Maumee, Ohio (419)

5 Table of Contents INTRODUCTION...1 PARTICIPATING HOSPITALS...5 PARTICIPATING FACILITIES...9 Ambulatory Surgery Center...9 Audiology & Hearing Centers...10 Cardiology...11 Cardiovascular/Thoracic...11 Dialysis Centers...11 DME (Durable Medical Equipment)...11 Extended Care Facilities...16 Family Practice...19 Health Department...19 Home Care - Infusion, Nursing & Hospice...19 Laboratory...22 LTAC (long term acute care facility)...23 Mental Health/Substance Abuse...23 Misc. Inpatient Services...26 Misc. Outpatient Services...26 Miscellaneous Services & Supplies...27 Multi-Specialty Group...28 Occupational Medicine...28 Oncology...29 Outpatient Laboratory...29 Outpatient Radiology...33 Outpatient Rehab Pain Management...43 Pathology...44 Psychiatry, Adults & Children...44 i September, 2018

6 Table of Contents Radiology/Oncology...44 Rehabilitation...44 Reproductive Endocrinology...44 Sleep Disorders Centers...45 Urgent Care Center...45 Walk-in Care...47 Wound Care/Hyperbaric Medicine...51 HOSPITAL AFFILIATION CODES...53 PRIMARY CARE PHYSICIANS...55 Family Practice...55 Family Practice/Pediatrics...80 Gynecology...80 Hospitalist...81 Internal Medicine...81 OB/GYN...89 Pediatrics...99 Pediatrics/Child Abuse SPECIALIST PHYSICIANS Addictionology Allergy/Immunology Bariatric Surgery Cardiology Cardiology/Electrophysiology Cardiovascular/Thoracic Chiropractic Clinical Neurophysiology Colon/Rectal Surgery Dermatology ii September, 2018

7 Table of Contents Endocrinology ENT Female Pelvic Med & Reconstructive Surge Foot & Ankle Surgery Gastroenterology General Surgery Genetics Geriatrics Gynecologic Oncology Hematology/Oncology Infectious Disease Maternal Fetal Medicine Neonatology Nephrology Neuro Ophthalmology Neuro-Endovascular Surgery Neurology Neuropsychology Neurosurgery Occupational Medicine Oncology Ophthalmology Oral Maxillofacial Surgery Orthopedics Otolaryngology/Neurotology Pain Management Palliative Pediatric Allergy/Immunology Pediatric Cardiology iii September, 2018

8 Table of Contents Pediatric Critical Care Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology Pediatric Infectious Disease Pediatric Nephrology Pediatric Neurology Pediatric Ophthalmology Pediatric Orthopedic Surgery Pediatric Pulmonary Medicine Pediatric Surgery Pediatric Urology Pediatrics Hematology/Oncology Pediatrics/Developmental Phlebology Physical Medicine & Rehab Plastic Surgery Podiatry Proctology Psychiatry, Adult Psychiatry, Adult & Children Psychiatry, Adults & Children Psychiatry, Child Psychiatry/Neurology Psychology, Adult Psychology, Adults & Children Psychology, Child Pulmonary Medicine Radiology/Oncology iv September, 2018

9 Table of Contents Reproductive Endocrinology Rheumatology Sleep Medicine Sports Medicine Surgery -Trauma/Critical Care Surgery/Cardiac Surgery/Vascular Surgical Oncology Urogynecology Urology Vascular Surgery Wound Care/Hyperbaric Medicine ALPHABETICAL INDEX v September, 2018

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11 INTRODUCTION Welcome to the FrontPath Health Coalition Provider Network! Your employer, together with other employers located within northwest Ohio, northeast Indiana and Southeastern Michigan, have developed a network of hospitals, medical facilities and professionals to provide your health care needs. Your employer s participation in the FrontPath Health Coalition Provider Network (FrontPath) enables you to take advantage of FrontPath s contractual arrangements when you utilize the FrontPath providers who are listed in this Directory. By obtaining medical services from a FrontPath provider, you gain several advantages. For example: FrontPath Providers have agreed not to balance bill employees or their dependents for amounts exceeding their plan s deductible or co-pay requirements. When using a FrontPath provider, you need no longer be concerned with charges which might exceed your plan s reasonable and customary fee limits. FrontPath Providers will file your claim forms. You no longer have to worry about filing claim forms if you use a FrontPath Network Provider. Your out of pocket expenses will typically be lower if you obtain treatment from a FrontPath Network Provider, due to FrontPath s negotiated fee arrangements. Your employer will provide you with specific information as to how your Plan of Benefits coordinates with the FrontPath network. Remember, the choice of health care provider is always yours to make. Please note that this Directory is intended to offer general information with regard to the FrontPath Health Coalition Provider Network and contains a listing of the FrontPath Network Providers. This directory does not guarantee that all services or providers listed in this directory will be covered under your health care plan of benefits. You must refer to your Plan of Benefits for specific information regarding the details of your employer s Plan, such as levels of coverage, exclusions, eligibility and cost containment procedures. In addition, your employer s Plan may limit coverages regardless of whether they are provided in or out of the FrontPath network, and it is that Plan which determines whether or not a particular medical service is covered, and at what level. 1

12 HOW TO USE THIS DIRECTORY This Directory is designed to help you identify the Network Providers who are members of the FrontPath Health Coalition. It is arranged in a number of convenient ways to assist you in quickly locating a particular hospital, medical facility or physician. As with any organization, the list of Network Providers may change from time to time between editions of the Directory. Your employer may provide you with periodic updates to the directory which will include any changes in the provider panel. You may also review Network Providers on FrontPath s website, Directory listings should not be construed as endorsements of practitioners and/or facilities, or as statements regarding their abilities. If you have any questions, please call FrontPath customer service, , option 5 or toll free , option 5. PHYSICIANS This section of the Directory includes the name, address, telephone number and hospital affiliation of FrontPath Network physician members. A key to the hospital affiliation codes can be found immediately preceding the Primary Care Physicians section. The physicians are listed first by their area of specialization and then alphabetically by last name. An index listing of all physicians alphabetically by the last name, regardless of practice specialty, is provided in the back of the directory. 2

13 ADDITIONAL INFORMATION Sometimes you may need additional information beyond that provided in this Directory. For example, you may want to choose a Network facility, or learn which physician s area of specialization is appropriate for your condition. In these cases, you may want to consult with your primary care physician. In addition, there are other sources of help available through the FrontPath Network s participating hospitals you might wish to consider: Mercy HealthLink ProMedica Call Center 2200 Jefferson Avenue 2142 North Cove Boulevard Toledo, Ohio Toledo, Ohio (419) (419) St. Luke s Hospital MedMatch 5911 Monclova Road Maumee, Ohio (419)

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15 PARTICIPATING HOSPITALS Akron General Medical Center 1 Akron General Ave Akron, OH (330) Bellevue Hospital 1400 W Main St Bellevue, OH (419) Bixby Medical Center 818 Riverside Ave Adrian, MI (517) Blanchard Valley Hospital 1900 S Main St Findlay, OH (419) Bluffton Hospital 139 Garau St Bluffton, OH (419) Bucyrus Community Hospital 629 N Sandusky Ave Bucyrus, OH (419) Cameron Memorial Community Hospital 416 E Maumee St Angola, IN (260) Cleveland Clinic Avon Hospital Cleveland Clinic Blvd Avon, OH (440) Cleveland Clinic Children's Hospital for Rehabilit 2801 Martin Luther King Jr Dr Cleveland, OH (216) Cleveland Clinic Foundation 9500 Euclid Ave Cleveland, OH (216) Community Hospitals & Wellness Centers 121 Westfield Dr Archbold, OH (419) W High St Bryan, OH (419) E Snyder Ave Montpelier, OH (419) DeKalb Memorial Hospital 1316 E 7th St Auburn, IN (260) Dupont Hospital 2520 E Dupont Rd Fort Wayne, IN (260) Euclid Hospital Lake Shore Blvd Euclid, OH (216) Fairview Hospital Lorain Ave Cleveland, OH (216) Firelands Regional Medical Center Main Campus 1111 Hayes Ave Sandusky, OH (419) Firelands Regional Medical Center South Campus 1912 Hayes Ave Sandusky, OH (419) Fisher-Titus Medical Center 272 Benedict Ave Norwalk, OH (419) Fulton County Health Center 725 S Shoop Ave Wauseon, OH (419) Greene Memorial Hospital 1141 N Monroe Dr Xenia, OH (937) Henry County Hospital 1600 E Riverview Ave Napoleon, OH (419) Henry Ford Allegiance Health 205 N East Ave Jackson, MI (517) Hicksville Community Memorial Hospital 208 Columbus St Hicksville, OH (419) Specialty Hospitals are considered 'In Network' for limited or referral services ONLY. To determine if a service is considered 'In Network' please contact your Benefits Representative PRIOR to obtaining services at these facilities 5

16 Participating Hospitals Hillcrest Hospital 6780 Mayfield Rd Mayfield Hts, OH (440) Hillsdale Hospital 168 S Howell St Hillsdale, MI (517) Institute for Orthopaedic Surgery 801 Medical Dr Ste B Lima, OH (419) James Cancer Hospital 460 W 10th Ave Columbus, OH (800) Lakewood Hospital Detroit Ave Lakewood, OH (216) Lima Memorial Hospital 1001 Bellefontaine Ave Lima, OH (419) Lodi Community Hospital 225 Elyria St Lodi, OH (330) Lutheran Hospital 1730 W 25th St Cleveland, OH (216) Lutheran Hospital of Indiana 7950 W Jefferson Blvd Fort Wayne, IN (260) Magruder Hospital 615 Fulton St Port Clinton, OH (419) Marymount Hospital McCracken Rd Garfield Heights, OH (216) Mayo Clinic 200 1st St SW SW Rochester, MN (507) Hennepin Ave Ste 350 Minneapolis, MN (507) Mayo Clinic Hospital - Rochester nd St SW SW Rochester, MN (507) W Center St Rochester, MN (507) Medina Hospital 1000 E Washington St Medina, OH (330) Mercy Allen Hospital 200 W Lorain St Oberlin, OH (440) Mercy Children's Hospital 2213 Cherry St Toledo, OH (419) Mercy Hospital of Defiance 1404 E 2nd St Defiance, OH (419) Mercy Regional Medical Center 3700 Kolbe Rd Lorain, OH (440) Mercy St. Anne Hospital 3404 W Sylvania Ave Toledo, OH (419) Mercy St. Charles Hospital 2600 Navarre Ave Oregon, OH (419) Mercy St. Vincent Medical Center 2213 Cherry St Toledo, OH (419) Mercy Tiffin Hospital 45 St Lawrence Dr Tiffin, OH (419) Mercy Willard Hospital 1100 Neal Zick Rd Willard, OH (419) Nationwide Children's Hospital 100 Coleman's Crossing Blvd Marysville, OH (937) Childrens Dr Columbus, OH (614) Ohio State University Medical Center 410 W 10th Ave Columbus, OH (614) Specialty Hospitals are considered 'In Network' for limited or referral services ONLY. To determine if a service is considered 'In Network' please contact your Benefits Representative PRIOR to obtaining services at these facilities 6

17 Participating Hospitals Orthopaedic Hospital at Parkview North Parkview Circle Dr Fort Wayne, IN (260) Parkview Circle Dr Entrance 6 Fort Wayne, IN (260) OSU University Hospitals East 1492 E Broad St Columbus, OH (614) Parkview Hospital 2200 Randallia Dr Fort Wayne, IN (260) Parkview Huntington Hospital 2001 Stults Rd Huntington, IN (260) Parkview Lagrange Hospital 207 N Townline Rd Lagrange, IN (260) Parkview Noble Hospital 326 N Sawyer Rd Kendallville, IN (260) N Sawyer Rd Kendallville, IN (260) Parkview Regional Medical Center Parkview Plaza Dr Fort Wayne, IN (260) Parkview Warsaw Hospital 1355 Mariners Dr Warsaw, IN (574) Parkview Whitley Hospital 1260 E State Road 205 Columbia City, IN (260) Paulding County Hospital 1035 W Wayne St Paulding, OH (419) ProMedica Bay Park Hospital 2801 Bay Park Dr Oregon, OH (419) ProMedica Coldwater Regional Hospital 274 E Chicago St Coldwater, MI (517) ProMedica Defiance Regional Medical Center 1200 Ralston Ave Defiance, OH (800) ProMedica Flower Hospital 5200 Harroun Rd Sylvania, OH (419) ProMedica Fostoria Hospital 501 Van Buren St Fostoria, OH (419) ProMedica Herrick Hospital 500 E Pottawatamie St Tecumseh, MI (517) ProMedica Memorial Hospital 715 S Taft Ave Fremont, OH (419) ProMedica Monroe Regional Hospital 740 N Macomb St Monroe, MI (734) Rehabilitation Hospital of Fort Wayne 7970 W Jefferson Blvd Fort Wayne, IN (260) Rehabilitation Hospital of Northwest Ohio, LLC 1455 W Medical Loop Toledo, OH (419) South Pointe Hospital Harvard Ave Warrensville Heights, OH (216) St. Joseph Hospital 700 Broadway Fort Wayne, IN (260) St. Lukes Hospital 5901 Monclova Rd Maumee, OH (419) St. Rita's Medical Center 730 W Market St Lima, OH (419) The Orthopaedic Hospital of Lutheran Health Networ 7952 W Jefferson Blvd Fort Wayne, IN (260) The Toledo Hospital 2142 N Cove Blvd Toledo, OH (419) Specialty Hospitals are considered 'In Network' for limited or referral services ONLY. To determine if a service is considered 'In Network' please contact your Benefits Representative PRIOR to obtaining services at these facilities 7

18 Participating Hospitals Toledo Children's Hospital 2142 N Cove Blvd Toledo, OH (419) University of Michigan Hospitals 1500 E Medical Center Dr Ann Arbor, MI (734) University of Toledo Medical Center 3000 Arlington Ave Toledo, OH (419) Van Wert County Hospital 1250 S Washington St Van Wert, OH (419) Wildwood Orthopaedic & Spine Hospital:division of 2901 N Reynolds Rd Toledo, OH (419) Wood County Hospital 950 W Wooster St Bowling Green, OH (419) Specialty Hospitals are considered 'In Network' for limited or referral services ONLY. To determine if a service is considered 'In Network' please contact your Benefits Representative PRIOR to obtaining services at these facilities 8

19 Ambulatory Surgery Center - Ambulatory Surgery Center PARTICIPATING FACILITIES Name Address City St Zip Phone AMBULATORY SURGERY CENTER Digestive Health & Endoscopy Center, LLC 375 N Eastown Rd Lima OH (419) Endoscopy Center of West Central Ohio, LLC 2793 Shawnee Rd Lima OH (419) Eye Institute of Northwestern Ohio 3509 Briarfield Blvd Maumee OH (419) Eye Surgical Center of Fort Wayne, LLC 321 E Wayne St Fort Wayne IN (260) Findlay Surgery Center 1709 Medical Blvd Findlay OH (419) Firelands Outpatient Surgery Center 2800 Hayes Ave Bldg E Sandusky OH (419) Mercy Digestive Health Center 1120 E Broad St Lower Level Elyria OH (440) Kolbe Rd Ste 019 Lorain OH (440) Mercy Eye Center Surgery 5085 Monroe St Ste B Toledo OH (419) Mercy St. Vincent Surgery Center 1360 Arrowhead Dr Maumee OH (419) Midwest Eye Consultants Ohio Inc Navarre Ave Oregon OH (419) Lewis Ave Toledo OH (419) Nationwide Children's Hospital Westerville Surgery 455 Executive Campus Dr Westerville OH (614) Northern Ohio Surgical Center 2800 Hayes Ave Bldg E Sandusky OH (419) Northwest Ohio Endoscopy Center 4841 Monroe St Toledo OH (419) NovaMed Surgery Center 2616 Hayes Ave Sandusky OH (419) Parkview Ambulatory Surgery Center 1818 Carew St Fort Wayne IN (260) Parkview Endoscopy Center Parkview Circle Dr Entrance 11 Fort Wayne IN (260) Hobson Rd Fort Wayne IN (260) Parkview Inverness Surgery Center 8004 Carnegie Blvd Fort Wayne IN (260) Parkview Premier Surgery Center Parkview Plaza Dr Ste 200 Fort Wayne IN (260) Parkway Surgery Center 2120 W Central Ave Toledo OH (419) Reconstructive and Aesthetic Surgery, Ltd N Reynolds Rd Ste 250 Toledo OH (419) Surgery Center at Regency Park 2000 Regency Ct Ste 101 Toledo OH (419) Surgery Center of Ophthalmology Consultants 7232 Engle Rd Fort Wayne IN (260) Surgi+Care 5959 Monclova Rd Maumee OH (419) Surgical Institute of Monroe 1051 S Telegraph Rd Ste 100 Monroe MI (734) The Endoscopy Center 5700 Monroe St Ste 103 Sylvania OH (419) West Central Ohio Surgery & Endoscopy Center 770 W High St Ste 100 Lima OH (419) West Central Surgical Center 7055 W Central Ave Toledo OH (419) S Coy Rd Oregon OH (419) West Central Surgical Center - Bayside 846 S Coy Rd Oregon OH (419) White Fence Surgical Suites 7277 Smiths Mill Rd Ste 300 New Albany OH (614) Wildwood Surgical Center 2865 N Reynolds Rd Ste 190 Toledo OH (419)

20 Participating Facilities Audiology & Hearing Centers - Audiology & Hearing Centers AUDIOLOGY & HEARING CENTERS Audiology Associates, Inc. 214 E Elm Ave Ste 111 Monroe MI (734) Audiology Associates, Ltd Monroe St Unit C Toledo OH (419) Audiology Clinic of Northwest Ohio, Ltd Scott St Ste B Napoleon OH (419) Audiology Services Company USA LLC dba: Your Hear 1317 Hull Rd Sandusky OH (888) Hill St Bucyrus OH (888) W River Rd N Elyria OH (888) E State Blvd Fort Wayne IN (888) Benedict Ave Ste 109 Norwalk OH (888) Beltone Hearing Centers Eureka Rd Southgate MI (734) Louisiana Ave Perrysburg OH (419) Heatherdowns Blvd Toledo OH (419) Monroe St Toledo OH (419) Connect Hearing Inc Bagley Rd Ste 203 Middlebrg Hts OH (440) Lorain Rd Fairview Park OH (440) Roosevelt Blvd Ste C Middletown OH (513) Pleasant Ave Ste B Fairfield OH (513) Monroe St Sylvania OH (419) E Springhill Dr Terre Haute IN (812) Beechmont Ave Ste 3 Cincinnati OH (513) Kenwood Rd Ste 2 Blue Ash OH (513) Defiance Hearing Aid Center, Inc Revere Dr Bowling Green OH (419) E Clinton St Ste A Napoleon OH (419) E Bryan St Bryan OH (419) State Route 108 Wauseon OH (419) E 2nd St Defiance OH (419) Great Lakes Audiology LLC 3780 King Rd Ste 2C Toledo OH (419) Hearing Center of Northwest Ohio 1075 N Shoop Ave Ste 5 Wauseon OH (419) E High St Bryan OH (419) Hearing Solutions 442 W High St Bryan OH (419) Hyman Speech Language & Hearing Services Inc 5950 Airport Hwy Ste 17 Toledo OH (419) J.C. Kenwood & Associates 217 W Wayne St Fort Wayne IN (260) Kenwood Hearing Center, Inc W Central Ave Ste 134 Toledo OH (419) S Shoop Ave Wauseon OH (419) W Wooster St Ste 206 Bowling Green OH (419) LMH - Speech Therapy & Audiology 1001 Bellefontaine Ave Lima OH (419) Michigan Ear Institute Oakwood Blvd Ste 201 Dearborn MI (248) Providence Pkwy Ste 130 Novi MI (248) Northwestern Hwy Ste 101 Farmington Hills MI (248) W 13 Mile Rd Ste 444 Royal Oak MI (248) Monclova Rd Unit 22 Maumee OH (248) Northwest Ohio Hearing Clinic 1125 Hospital Dr Ste 50 Toledo OH (419) W S Boundary Bldg 9 Perrysburg OH (419)

21 Participating Facilities Audiology & Hearing Centers - DME (Durable Medical Equipment) Perrysburg Hearing Center, LLC Eckel Junction Rd Perrysburg OH (419) Portage Valley Hearing, LLC 133 E Front St Pemberville OH (419) ProMedica Hearing Center 5300 Harroun Rd Ste 218 Sylvania OH (419) St. Rita's Medical Center Audiology 770 W High St Ste 230 Lima OH (419) Toledo Audiology 5700 Monroe St Sylvania OH (419) Monclova Rd Ste 320 Maumee OH (419) CARDIOLOGY LMH - Cardiac Treatment Center at HINO 951 Commerce Pkwy Ste 100A Lima OH (419) Mercy Defiance Cardiopulmonary and Neuroscience Te 1400 E 2nd St Ste 102 Defiance OH (419) CARDIOVASCULAR/THORACIC Cardiovascular Diagnostic Group 2409 Cherry St Toledo OH (419) DIALYSIS CENTERS Blanchard Valley Dialysis Services 1717 Medical Blvd Findlay OH (419) Firelands Outpatient Dialysis 290 Progress Dr Ste A Bellevue OH (419) Pierce St Sandusky OH (419) St. Rita's Hemodialysis 730 W Market St Lima OH (419) U S Renal Care Briarfield Home LLC 3214 Briarfield Blvd Maumee OH (567) U S Renal Care Northwest Ohio Dialysis 1037 Conneaut Ave Bowling Green OH (419) Indian Wood Cir Ste B Maumee OH (419) S East Ave Jackson MI (517) Stadium Dr Defiance OH (419) N Reynolds Rd Toledo OH (419) Enterprise St Fremont OH (419) Woodley Rd C-12 Toledo OH (419) Talmadge Rd Ste E Toledo OH (419) Jackman Rd Toledo OH (419) Sylvania Ave Sylvania OH (419) DME (DURABLE MEDICAL EQUIPMENT) 1 Natural Way, LLC 4064 Technology Dr Maumee OH (888) Access One by MSG, Inc Speedway Dr Fort Wayne IN (260)

22 Participating Facilities DME (Durable Medical Equipment) - DME (Durable Medical Equipment) Advanced Home Medical 4730 W Bancroft St Ste 13 Toledo OH (419) Advanced Home Medical, LLC 6665 Huntley Rd Ste N Columbus OH (866) American HomePatient 1220 S Defiance St Archbold OH (419) Keystone Dr Unit G Maumee OH (419) Ashland Rd Mansfield OH (419) Apria Healthcare 2327 Crowne Point Dr Sharonville OH (513) Apria Healthcare LLC 120 Sunrise Center Dr Zanesville OH (740) Lyons Rd Miamisburg OH (937) Cherry St Toledo OH (419) Navarre Ave Oregon OH (419) Industrial Dr Minster OH (419) Technology Dr Maumee OH (419) Cloverleaf Pkwy Ste 4 and Ste 5 Valley View OH (216) Technology Ave Ste D Kalamazoo MI (269) Leavitt Rd Amherst OH (440) Apria Healthcare, LLC 36 Eagle Dr Lexington OH (419) Cross Creek Blvd Fort Wayne IN (260) Promler St NW North Canton OH (330) B&K Home Medical Services 11 Jackson St Tiffin OH (419) S Sandusky Ave Bucyrus OH (419) Breg, Inc Loker Ave E Carlsbad CA (877) Cole Orthotics & Prosthetics Center 723 Phillips Ave Bldg F Toledo OH (419) Compression Solutions LLC 817 E 4th St Tulsa OK (800) Darah Medical Equipment & Supplies, LLC 6465 Wheatstone Ct Ste A Maumee OH (844) DASCO Home Medical Equipment 1054 Bellefontaine Ave Ste A Lima OH (419) N Monroe Dr Ste A Xenia OH (937) Mount Vernon Ave Marion OH (740) E State Road 44 Ste D Shelbyville IN (317) Eagle Way Ashland OH (419) E State St Ste 130 Alliance OH (330) N West St Westerville OH (614) McCorkle Blvd Ste F Westerville OH (614) Diabetes Care & Education (Edwards Health Care) Mile Rd Ste 205 Livonia MI (734) DJO, LLC 1430 Decision St Vista CA (800) Old Hook Rd Westwood NJ (201) Merchandise Dr Fort Wayne IN (260) N 44th St Ste 220E Phoenix AZ (760) S Shoop Ave Ste A Wauseon OH (419) Dynasplint Systems, Inc. 770 Ritchie Hwy Ste W21 Severna Park MD (800) EBI LLC 100 Interpace Pkwy Parsippany NJ (800) Edgepark Medical Supplies 1810 Summit Commerce Park Twinsburg OH (800) Mail Order DME Supplies (800) Edwards Health Care Services Inc Hudson Industrial Pkwy Hudson OH (888) Enhanced Living Solutions, LLC 8177 Secor Rd Lambertville MI (734) Erie Drug 4502 Lewis Ave Toledo OH (419)

23 Participating Facilities DME (Durable Medical Equipment) - DME (Durable Medical Equipment) Findlay American Prosthetic-Orthotic Centre, Inc County Road 99 Findlay OH (419) Fostoria HomeCare 601 Parkway Dr Fostoria OH (419) FTMC Home Health 257 Benedict Ave Norwalk OH (419) Hanger Prosthetics & Orthotics Inc Dublin Rd Columbus OH (614) Taylor Station Rd Ste 200 Columbus OH (614) Health Campus Dr Ste 104 Westlake OH (440) Highland Rd Ste 108 Waterford MI (248) Landerhaven Dr Ste A Mayfield Hts OH (440) Ridge Rd Ste 104 Parma OH (440) Michigan Ave Ste B Holland MI (616) Hanger Prosthetics & Orthotics, Inc Bellefontaine Ave Ste B Lima OH (419) Independence Ave Marion OH (740) Mile Rd Livonia MI (248) W Jefferson Blvd Ste 140 Fort Wayne IN (260) Monroe St Sylvania OH (419) W Michigan Ave Ste 100A Jackson MI (517) Health Care Solutions dba HealthLink Medical Equip 543 Liberty St Jackson MI (517) Health Care Solutions, Inc Plaza Dr Ann Arbor MI (800) State Route 15 Bryan OH (800) Capital Commons Dr Ste 1 Toledo OH (800) Henry Ford Allegiance Home Medical 700 E Michigan Ave Jackson MI (517) Hicksville Pharmacy & Home Medical, Inc. 116 E High St Hicksville OH (419) Hillsdale Home Oxygen 451 Hidden Meadows Dr Ste 250 Hillsdale MI (517) Hometown - Professional Village Pharmacy S Dixie Hwy Monroe MI (734) Hygeia II Medical Group, DBA A Breast Pump and Mor 6005 Hidden Valley Rd Ste 230 Carlsbad CA (714) InfuSystem, Inc Research Park Dr Madison Hts MI (800) JACE Systems 5 Rockhill Rd Ste 2 Cherry Hill NJ (800) Kahler Pharmacy 1941 Airport Hwy Toledo OH (419) KCI USA, Inc Currie Ct Livonia MI (800) Englewood Dr Ste 21 & 22 Middlebrg Hts OH (440) Centennial Rd Unit C Sylvania OH (800) Fisher Rd Columbus OH (800) Salzman Rd Middletown OH (800) Mayflower Rd South Bend IN (800) Key Seating & Mobility LLC 2016 E Perkins Ave Ste D Sandusky OH (419) Landra Prosthetics & Orthotics, Inc Northline Rd Southgate MI (734) N Telegraph Rd Monroe MI (734) Leimkuehler Orthotic & Prosthetic Center, Inc W Perkins Ave Sandusky OH (419) N Leavitt Rd Amherst OH (440) Lorain Rd North Olmsted OH (440) Leimkuehler, Inc Detroit Ave Cleveland OH (216) Lima Brace & Limb, Inc Bellefontaine Ave Lima OH (419) E Ervin Rd Van Wert OH (419) Lincare, Inc Airport North Office Park Ste C&D Fort Wayne IN (260) W Robb Ave Lima OH (419)

24 Participating Facilities DME (Durable Medical Equipment) - DME (Durable Medical Equipment) Lincare, Inc Pole Lane Rd Marion OH (740) E Garfield Rd Ste A Coldwater MI (517) Milan Rd Ste 2 Sandusky OH (419) Middlebelt Rd Livonia MI (734) Centennial Rd Toledo OH (419) Dryden Rd Moraine OH (937) N Leavitt Rd Amherst OH (440) N Main St Mansfield OH (419) Macino's Comfort Shoes & Orthotics, LLC 3140 W Sylvania Ave Toledo OH (419) Mantel Home Health Care 442 W High St Bryan OH (419) Marina Home Health LLC 709 W Washington St Sandusky OH (419) Marshall-Kloene Ortho, Inc. 419 Tomahawk Dr Maumee OH (419) McKesson Patient Care Solutions State Route 15 Montpelier OH (800) McKesson Patient Care Solutions, Inc. 540 Lindbergh Dr Moon Twp PA (800) Medical Service Company 1740 Harmon Ave Ste G Columbus OH (866) Broadway Ave Cleveland OH (866) Interstate Dr West Chester OH (866) Monroe St Ste 103 Toledo OH (866) McEwen Rd Dayton OH (866) Mercy Defiance Clinic DME 1400 E 2nd St Defiance OH (419) Mercy Willard Home Health 1100 Neal Zick Rd Willard OH (419) Mitchell Home Medical, Inc Carpenter Rd Ste 100 Ann Arbor MI (734) E Grand River Ave Ste 206 Brighton MI (810) Carpenter Rd Ypsilanti MI (734) MLK Associates, Inc Luschek Dr Blue Ash OH (888) Mobile Medical Maintenance State Road 1 Leo IN (260) Monroe Home Care Shoppe 474 N Telegraph Rd Monroe MI (734) National Seating & Mobility, Inc N Meridian Rd Youngstown OH (844) E 5th Ave Columbus OH (614) Angola Rd Unit P Holland OH (419) Industrial Pkwy North Olmsted OH (440) Northwest Ohio Medical Equipment 1204 W Wooster St Bowling Green OH (419) Oak Harbor Rd Fremont OH (419) Tiffin Ave Findlay OH (419) Monclova Rd Ste 22 Maumee OH (419) W Main St Bellevue OH (419) Numotion Citation Dr Ste 300 Brighton MI (248) Production Rd Fort Wayne IN (260) N Bendix Dr Ste 700 South Bend IN (574) Crowne Point Dr Cincinnati OH (513) W Dussel Dr Maumee OH (866) Huntley Rd Ste M Columbus OH (614) Crossroads Ct Vandalia OH (877) Resource Dr Brooklyn Heights OH (216) O.E. Meyer Co. Homecare 1005 Everett Rd Fremont OH (419)

25 Participating Facilities DME (Durable Medical Equipment) - DME (Durable Medical Equipment) O.E. Meyer Co. Homecare Tracy Rd Walbridge OH (419) Tiffin Ave Sandusky OH (419) Wentz St Tiffin OH (419) Okuley's Pharmacy and Home Medical Inc E 2nd St Defiance OH (419) Okuley's Pharmacy Inc. 102 S Main St Continental OH (419) Orthofix Inc Plano Pkwy Lewisville TX (800) Orthotic Prosthetic Center, Inc W Wooster St Ste A Bowling Green OH (419) N Reynolds Rd Toledo OH (419) Ansonia St Ste 4 Oregon OH (419) Paulding County Durable Medical Equipment 1035 W Wayne St Paulding OH (419) Perry Prosthetics, Inc Dixie Hwy Ste 101 Perrysburg OH (419) Pharmacy Counter 1661 Holland Rd Ste 400 Maumee OH (419) Pharmacy Counter, The 1515 S Byrne Rd Toledo OH (419) W Central Ave Toledo OH (419) Physician Diagnostics Sleep Technology Specialists 900 W S Boundary Bldg 10 Perrysburg OH (419) Pierce Medical Products, Inc Secor Rd Lambertville MI (734) Positive Sleep Solutions, LLC 3450 W Central Ave Ste 118 Toledo OH (419) Primary Medical Equipment Inc Laplaisance Rd Ste 137 Monroe MI (586) Ryan Rd Ste 110A Warren MI (586) ProMedica Home Health Care 5855 Monroe St Sylvania OH (419) ProMedica Home Medical Equipment 100 Stadium Dr Ste F Defiance OH (419) N Monroe St Ste C Monroe MI (734) E US Highway 223 Ste B Adrian MI (517) ProMedica Monroe DME 700 Ste art Rd Monroe MI (734) ProMedica Pharmacy Counter 5700 Monroe St Ste 112 Sylvania OH (567) Reflection Medical, Inc W Temperance Rd Ste B Temperance MI (734) Renee's Survivor Shop 1325 Conference Dr Toledo OH (419) Schmidt & Sons 120 E Chicago Blvd Tecumseh MI (517) Sleep Solutions Inc E Big Beaver Rd Troy MI (248) Bay Rd Saginaw MI (989) Solara Medical Supplies, Inc Plymouth Rd Livonia MI (888) SRT Prosthetics & Orthotic LLC 8936 Southpointe Dr Indianapolis IN (317) SRT Prosthetics & Orthotics LLC 1900 N Meridian St Indianapolis IN (866) E Southway Blvd Ste 100 Kokomo IN (765) W Bethel Ave Muncie IN (866) W Jefferson Blvd Fort Wayne IN (260) N High School Rd Ste B Indianapolis IN (866) SRT Prosthetics & Orthotics, LLC 408 E Washington St Butler IN (419) SRTProsthetics & Orthotics LLC 618 N High School Rd Ste B Indianapolis IN (866) St. Rita's Home Medical Equipment 770 W North St Lima OH (419) Swanson Orthotic & Prosthetic Center 124 Cole Rd Monroe MI (734) Navarre Ave Oregon OH (419) B W Central Ave Toledo OH (419) S Shoop Ave Ste 3 Wauseon OH (419) Team Post-Op, Inc Red Hill Ave Irvine CA (800)

26 Participating Facilities DME (Durable Medical Equipment) - Extended Care Facilities Team Post-Op, Inc 4126 Waxwing Trl Stow OH (330) That Special Woman, Inc N Reynolds Rd Toledo OH (419) The Convalescent Shop 603 N Wayne St Ste 1A Angola IN (260) W Jefferson Blvd Fort Wayne IN (260) The Toledo Clinic Pharmacy 4235 Secor Rd Toledo OH (419) Tri-State Medical Supply 1255 Scott St Ste 340 Napoleon OH (419) S Shoop Ave Wauseon OH (419) Wright & Filippis 212 W Milham Ave Portage MI (800) Middlebelt Rd Farmington Hills MI (800) Washtenaw Ave Ann Arbor MI (800) Young Medical 2213 Cherry St Toledo OH (419) Navarre Ave Oregon OH (419) Technology Dr Maumee OH (419) Z Med LLC 1133 Corporate Dr Ste C Holland OH (888) N Monroe St Ste B1 Monroe MI (888) EXTENDED CARE FACILITIES Arbors at Oregon 904 Isaac Streets Dr Oregon OH (419) Arbors at Sylvania 7120 Port Sylvania Dr Toledo OH (419) Autumn Court 1925 E 4th St Ottawa OH (419) Avalon by Otterbein at Monclova 5069 Otterbein Way Monclova OH (419) Avalon by Otterbein at Perrysburg 3525 Rivers Edge Dr Perrysburg OH (419) Avon Oaks Nursing Home French Creek Rd Avon OH (440) Bennington Glen Nursing and Rehabilitation 825 State Route 61 Marengo OH (419) Birchaven Village Birchaven Ln Findlay OH (419) Bowling Green Care Center 850 W Poe Rd Bowling Green OH (419) Bowling Green Manor 1021 W Poe Rd Bowling Green OH (419) Briarwood Village 100 Don Desch Dr Coldwater OH (419) Brookview Healthcare Center 214 Harding St Defiance OH (419) Bryan Care and Rehabilitation Center 1104 Wesley Ave Bryan OH (419) Celina Manor 1001 Myers Rd Celina OH (419) Chapel Hill Community Strausser St NW Canal Fulton OH (330) Coghlin Rehabilitation Center 3000 Arlington Ave Toledo OH (419) Columbus Alzheimer Care Center 700 Jasonway Ave Columbus OH (614) Communicare at Waterford Commons 955 Garden Lake Pkwy Toledo OH (419) Convalarium at Indian Run 6430 Post Rd Dublin OH (614) Court House Manor 250 Glenn Ave Wshngtn Ct Hs OH (740) Covington Manor Health & Rehabilitation Center 5700 Wilkie Dr Fort Wayne IN (260) Cridersville Healthcare Center 603 E Main St Cridersville OH (419) Darlington Nursing & Rehabilitation Center 2735 Darlington Rd Toledo OH (419) Eden Springs Nursing and Rehabilitation East 430 N Broadway St Green Springs OH (419) Eden Springs Nursing and Rehabilitation West 401 N Broadway St Green Springs OH (419)

27 Participating Facilities Extended Care Facilities - Extended Care Facilities Edgewood Manor Nursing Center 1330 Fulton St Port Clinton OH (419) Elizabeth Scott Community 2720 Albon Rd Maumee OH (419) Evergreen Manor Nursing Home 924 Charlies Way Montpelier OH (419) Fairhaven Community 850 Marseilles Ave Upper Sandusky OH (419) Fairlawn Haven 407 E Lutz Rd Archbold OH (419) Fairview Skilled Nursing & Rehabilitation Center 4420 South Ave Toledo OH (419) Fostoria Community Hospital Advanced Rehab. 610 Plaza Dr Fostoria OH (419) Fox Run Manor Township Road 145 Findlay OH (419) Franciscan Care Center 4111 N Holland Sylvania Rd Toledo OH (419) Gardens of Celina 1301 Myers Rd Celina OH (419) Gardens of Paulding 199 Road 103 Paulding OH (419) Gardens of St. Henry 522 Western Ave SR 119 Saint Henry OH (419) Goerlich Center for Alzeimer 5320 Harroun Rd Sylvania OH (419) Good Shepherd Home 725 Columbus Ave Fostoria OH (419) Harmar Place 401 Harmar St Marietta OH (740) Heartland at ProMedica Flower Hospital 5360 Harroun Rd Sylvania OH (419) Heartland of Bellefontaine OH LLC 221 School St Bellefontaine OH (937) Heartland of Bucyrus OH LLC 1170 W Mansfield St Bucyrus OH (419) Heartland of Marion OH LLC 400 Barks Rd W Marion OH (740) Heartland of Oregon OH LLC 3953 Navarre Ave Oregon OH (419) Heartland of Perrysburg OH LLC Fremont Pike Perrysburg OH (419) Heartland of Waterville OH LLC 8885 Browning Dr Waterville OH (419) Heartland of Wauseon OH LLC 303 W Leggett St Wauseon OH (419) Heartland-Holly Glen of Toledo OH LLC 4293 Monroe St Toledo OH (419) Heartland-Indian Lake of Lakeview OH LLC US Highway 33 Lakeview OH (937) Heatherdowns Nursing & Rehab 2401 Cass Rd Toledo OH (419) Heritage Corner Nursing Home 1069 Klotz Rd Ste B Bowling Green OH (419) Hilty Memorial Home 304 Hilty Dr Pandora OH (419) Independence House 1000 Independence Ave Fostoria OH (419) Kingston Care Center of Fort Wayne 1010 W Washington Center Rd Fort Wayne IN (260) Kingston Care Center of Sylvania 4121 King Rd Sylvania OH (419) Kingston of Ashland 20 Amberwood Pkwy Ashland OH (419) Kingston of Miamisburg 1120 Dunaway St Miamisburg OH (937) Kingston of Vermilion 4210 Telegraph Ln Vermilion OH (440) Kingston Rehabilitation of Perrysburg 345 E Boundary St Perrysburg OH (419) Lakeland Skilled Nursing & Rehabilitation 500 Williams St Angola IN (260) Laurel Lake Retirement Community 200 Laurel Lake Dr Hudson OH (330) Laurels of Defiance 1701 Jefferson Ave Defiance OH (419) Laurels of Toledo 1011 N Byrne Rd Toledo OH (419) Lima Convalescent Home 1650 Allentown Rd Lima OH (419) Lima Manor 750 Brower Rd Lima OH (419) Lima Memorial Rehab Care Unit 1001 Bellefontaine Ave Lima OH (419) LMH - Transitional Care Center 1001 Bellefontaine Ave Lima OH (419) Lutheran Home at Napoleon 1036 S Perry St Napoleon OH (419) Lutheran Home at Toledo 131 N Wheeling St Toledo OH (419)

28 Participating Facilities Extended Care Facilities - Extended Care Facilities Lutheran Memorial Home 795 Bardshar Rd Sandusky OH (419) Lutheran Village at Wolf Creek 2001 Perrysburg Holland Rd Holland OH (419) Lynwood Manor 730 Kimole Ln Adrian MI (517) Mac McGuire Skilled Nursing Facility 168 S Howell St Hillsdale MI (517) Manor at Perrysburg 250 Manor Dr Perrysburg OH (419) Marion Rehabilitation & Assisted Living Center 614 W 14th St Marion IN (765) Mennonite Memorial Home 410 W Elm St Bluffton OH (419) Monroe Skilled Care & Rehab 700 Ste art Rd Monroe MI (734) Norwood Health & Rehabilitation Center 3720 N Norwood Rd Huntington IN (260) Oak Grove Healthcare Center 620 E Water St Deshler OH (419) Ohio Eastern Star Health Care Center Inc Gambier Rd Mount Vernon OH (740) Ohio Living Dorothy Love 3003 Cisco Rd Sidney OH (937) Ohio Living Swan Creek 1650 Swan Creek Ln Toledo OH (419) Orchard Villa 2841 Munding Dr Oregon OH (419) Otterbein Cridersville 100 Red Oak Cir Cridersville OH (419) Otterbein North Shore 9400 E Northshore Blvd Lakeside OH (419) Otterbein Portage Valley Pemberville Rd Pemberville OH (419) Otterbein Saint Marys State Route 364 Saint Marys OH (419) Park View Nursing Center 328 W Vine St Edgerton OH (419) Parkvue Community 3800 Boardwalk Blvd Sandusky OH (419) Patriot Ridge Community 789 Stoneybrook Trl Fairborn OH (937) Perrysburg Care and Rehabilitation Center Starbright Blvd Perrysburg OH (419) Piqua Manor 1840 W High St Piqua OH (937) Point Place Care and Rehabilitation Center 6101 N Summit St Toledo OH (419) Provincial House Rehabilitation and Nursing Care C 700 Lakeshire Trl Adrian MI (517) Roselawn Manor 420 E 4th St Spencerville OH (419) Sarah Jane Living Center 328 W 2nd St Delphos OH (419) Shawnee Manor 2535 Fort Amanda Rd Lima OH (419) Sprenger Health Care of Massillon 205 Rohr Ave NW Massillon OH (330) St. Catherine's Manor Findlay 2101 Greendale Ave Findlay OH (419) St. Catherine's Manor of Washington Court House 555 N Glenn Ave Wshngtn Ct Hs OH (740) St. Catherine's of Fostoria 25 Christopher Dr Fostoria OH (419) St. Clare Commons Five Point Rd Perrysburg OH (419) St. Marys Living Center 1209 Indiana Ave Saint Marys OH (419) Swanton Health Care & Retirement Center 214 S Munson Rd Swanton OH (419) Swanton Valley Care and Rehabilitation Center 401 W Airport Hwy Swanton OH (419) Sylvania Care & Rehabilitation Center 5757 Whiteford Rd Sylvania OH (419) The Village at St. Edward 3131 Smith Rd Fairlawn OH (330) Twin Rivers Care and Rehabilitation Center 395 Harding St Defiance OH (419) University Park Health & Retirement Center 1400 Medical Park Dr Fort Wayne IN (260) Van Wert Manor 160 Fox Rd Van Wert OH (419) Vancrest of Convoy 510 E Tully St Convoy OH (419) Vancrest of Delphos 1425 E 5th St Delphos OH (419) Vancrest of Holgate 600 Joe E Brown Ave Holgate OH (419) Vancrest of Van Wert Van Wert Decatur Rd Van Wert OH (419)

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