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1 spring 2011 directory provider & facility

2 SELECT MED TABLE OF CONTENTS PROVIDER & FACILITY DIRECTORY THIS PROVIDER & FACILITY DIRECTORY IS CURRENT AS OF May 18, 2011 This listing of participating plan providers is subject to change at any time without notice. TABLE OF CONTENTS SELECT MED INTRODUCTION... 3 SELECT MED HOSPITAL & FACILITY MAPS... 6 SELECT MED HOSPITALS... 8 SELECT MED URGENT CARE... 9 SELECT MED SPECIALTY SERVICES & OUTPATIENT CENTERS SELECT MED PHARMACY LIST SELECT MED PRIMARY CARE PROVIDERS SELECT MED SECONDARY CARE PROVIDERS SELECT MED ANCILLARY PROVIDERS SELECT MED PROVIDER INDEX SelectHealth. All rights reserved.

3 SELECT MED INTRODUCTION INTRODUCTION Included in this directory is a comprehensive list of participating providers and facilities. Use it to determine if a provider or facility is participating on your SelectHealth SM plan. You can also determine whether a provider is a Primary Care Provider (PCP), a Secondary Care Provider (SCP), or an ancillary provider. PRIMARY CARE PHYSICIAN OR PRIMARY CARE PROVIDER (PCP) A Primary Care Physician or Primary Care Provider is a general practitioner who attends to your common medical problems and provides preventive care and health maintenance. You are not required to choose a PCP, but seeing one provider routinely will help establish a relationship that can improve your healthcare. SelectHealth has classified the following types of physicians and providers, and their associated physician assistants and nurse practitioners, as PCPs: Certified Nurse Midwives Family Practice Geriatrics Internal Medicine Obstetrics and Gynecology (OB/GYN) Pediatrics Primary care providers have availability (or make certain a provider of comparable specialty is available) by telephone 24 hours, seven days a week for urgent/emergent medical situations to assure the availability of prompt, quality medical services. SECONDARY CARE PHYSICIAN OR SECONDARY CARE PROVIDER (SCP) SelectHealth categorizes any physician who is not classified as a Primary Care Physician as a Secondary Care Provder. Examples of an SCP include the following: Cardiologists; Dermatologists; Neurologists; Opthamologists; Orthopedic Surgeons; and Otolaryngologists (ENTs) You do not need a referral from your PCP to make an appointment with an SCP, or specialist. ANCILLARY PROVIDERS Participating ancillary providers are credentialed nonphysician clinicians that may provide either primary, secondary, or ancillary care. This type of provider includes physical therapists, licensed clinical social workers, audiologists, optometrists, and more. The ancillary provider section of this directory will indicate whether an ancillary provider is classified as a PCP or an SCP. MENTAL HEALTH PROVIDERS Mental health providers are psychiatrists, psychologists, and social workers who provide counseling. To verify your mental health benefits or to obtain help finding a mental health provider, please call our Behavioral Health Advocates SM at (Salt Lake area) or , weekdays, from 8:00 a.m. to 6:00 p.m. A referral is not required to see a mental health provider. EXTRA HELP FINDING A PARTICIPATING PROVIDER OR FACILITY Here are some additional resources that will help you find a participating provider or facility. Online Provider and Facility Search The online provider and facility search gives you fast, convenient information about providers participating on your plan. The most current list of providers (including Primary Care, Secondary Care, Ancillary Care, and Mental Health) is available at selecthealth.org. You can search using different criteria to help you find a provider or facility to meet your needs, including the following: Provider Information Gender Hospital affiliations Medical group affiliations Board certification Languages spoken by the practitioner or clinical staff Office hours Facility Information Facility accreditation 3

4 SELECT MED INTRODUCTION Provider Quality and Patient Satisfaction Ratings Quality scores and patient satisfaction ratings are available for some clinics. These ratings are based on the treatment the clinic delivers and results from an annual member satisfaction survey. Clinics must have 30 or more completed surveys for their results to appear. To take advantage of this feature, visit our provider search. Search for a family medicine, internal medicine, or pediatric provider and click on Satisfaction and Quality Ratings in the doctor s profile. If a ratings link does not appear, then data is not available for that provider. Notice of Availability Enrolling in a SelectHealth or SelectHealth Benefit Assurance plan does not guarantee services by a particular provider listed in this directory. If you wish to receive care from specific providers listed, you should contact those providers to be sure that they are accepting additional patients for SelectHealth. Member Advocates SM To contact Select Health Member Advocates, call (Salt Lake area) or weekdays from 7:00 a.m. to 8:00 p.m. Member Advocates can help you with the following services: Schedule an appointment for annual exams, immunizations, and checkups and help you choose a doctor who provides the type of care you need. Find a doctor who is accepting new patients. Assist in choosing a facility or doctor closest to you with the next availiable appointment. Help you understand and maximize your benefits. Get an appointment for urgent conditions when your Primary Care Provider is unavailable. FOR ADDITIONAL INFORMATION If you have any questions about participating providers and facilities or your healthcare coverage, please call Member Services at (Salt Lake area) or weekdays, from 7:00 a.m. to 8:00 p.m., and Saturdays, from 9:00 a.m. to 2:00 p.m. 4

5 SELECT MED INTRODUCTION RURAL HEALTH CARE PROVIDER NOTICE Pursuant to Utah Code 31A and R , if a healthcare provider is a credentialed staff member (a healthcare provider with active staff privileges) at an Independent Hospital or a Federally Qualified Health Center not contracted with SelectHealth, you may still be entitled to coverage for healthcare services if you live or reside within 30 paved road miles of such healthcare provider, or if you live or reside in closer proximity to such healthcare provider than to a SelectHealth contracted provider listed elsewhere in this Provider Directory. Qualifying health care providers are limited to credentialed staff members of the following: Independent Hospital(s) Brigham City Community Hospital, Brigham City, Box Elder County, Utah Federally Qualified Health Centers Beaver Medical Clinic, Beaver, Beaver County, Utah Blanding Family Practice/Blanding Medical Center, Blanding, Utah Bryce Valley Clinic, Cannonville, Utah Carbon Medical Services, Carbon, Carbon County, Utah Circleview Clinic, Circleview, Piute County, Utah Duchesne Valley Medical Clinic, Duchesne, Duchesne County, Utah Emery Medical Center, Castledale, Emery County, Utah Enterprise Valley Medical Clinic, Enterprise, Washington County, Utah Garfield Memorial Clinic, Panguitch, Garfield County, Utah Green Valley/River Clinic, Green River, Emery/Grand Counties, Utah Halchita Clinic, San Juan County, Utah Hurricane Family Practice Clinic, Hurricane, Washington County, Utah Kamas Health Center, Kamas, Summit County, Utah Kazan Memorial Clinic, Escalante, Garfield County, Utah Long Valley Medical, Kane County, Utah Milford Valley Clinic, Milford, Beaver County, Utah Montezuma Creek Health Center, Montezuma Creek, San Juan County, Utah Monument Valley Health Center, Monument Valley, Utah Navajo Mountain Health Center, San Juan County, Utah Wayne County Medical Clinic, Bicknell, Wayne County, Utah This list may change periodically. Please check our website or call for verification. Please be advised that if you choose a non-contracted provider you will be responsible for any charges not covered by your health insurance plan. If you have questions concerning your rights to see a provider on this list you may contact SelectHealth s Provider Relations department at If SelectHealth does not resolve your problem, you may contact the Office of Consumer Health Assistance in the Utah Insurance Department, toll free. 5

6 HOSPITAL SELECT MED & FACILITY HOSPITAL MAPS & FACILITY MAPS HOSPITALS Use the map and key below to determine which hospitals are participating on your SelectHealth plan. Caribou Memorial Hospital CH Portneuf Med. Center CH Cassia Regional Med. Center* CH Oneida County Hospital CH Franklin County Med. Center CH Bear Lake Memorial Hospital CH Logan Regional Hospital* MCH Bear River Valley Hospital* MCH McKay-Dee Hospital Center* MCHV Salt Lake Area Alta View Hospital* MCHV Huntsman Cancer Hospital MCH (M/H: Cancer treatment only) Intermountain Med. Center* MCHV LDS Hospital* MCHV Primary Children s Med. Center* MCHV Riverton Hospital* MCHV TOSH The Orthopedic Specialty Hospital * MCHV University of Utah Hospital CH University of Utah Orthopaedic Center CH Davis Hospital & Med. Center MCH Mountain West Med. Center MCH American Fork Hospital* MCHV Orem Community Hospital* MCHV Utah Valley Regional Med. Center* MCHV Park City Med. Center* MCH Ashley Valley Med. Center CH Heber Valley Med. Center* MCH Uintah Basin Med. Center MCH PLANS M Select Med SM C Select Care SM H Select Choice SM V Select Value SM Central Valley Med. Center MCH Sanpete Valley Hospital* MCH Delta Community Med. Center* MCH Gunnison Valley Hospital MCH Fillmore Community Med. Center* MCH *Intermountain Owned Facility Sevier Valley Med. Center* MCH Milford Valley Memorial Hospital MCH Moab Regional Hospital MCH Beaver Valley Hospital MCH Garfield Memorial Hospital* MCH Valley View Med. Center* MCH San Juan Hospital MCH Blue Mountain Hospital MCH Dixie Regional Med. Center* MCH (400 E. & River Rd. Campuses) Kane County Hospital MCH 6

7 SELECT MED HOSPITAL & FACILITY MAPS INTERMOUNTAIN INSTACARE SM /INTERMOUNTAIN KIDSCARE SM CLINICS These facilities offer extended hours for urgent care needs that are not life-threatening. Visit selecthealth.org/facility for more details, or call Member Advocates at or These facilities participate on all SelectHealth plans. Logan South Ogden North Ogden Roy (Herefordshire) Syracuse Layton Ogden (Northern Utah) Bountiful Sugar House (Memorial) Holladay Murray Taylorsville Sandy West Jordan Sandy(Mountain View) Tooele Riverton (Southridge) Saratoga Springs Highland North Orem Provo Springville InstaCare InstaCare & KidsCare KidsCare Cedar City Hurricane St. George (Sunset) St. George (River Road) 7

8 SELECT MED HOSPITALS Questions about a provider? Call Member Advocates or visit our Web site at INTERMOUNTAIN HOSPITALS Alta View Hospital... (801) South 1300 East, Sandy, UT American Fork Hospital... (801) North 1100 East, American Fork, UT Bear River Valley Hospital... (435) North 1000 West, Tremonton, UT Delta Community Medical Center... (435) White Sage Ave, Delta, UT Dixie Regional Medical Center East Campus... (435) South 400 East, St. George, UT Dixie Regional Medical Center - River Road Campus... (435) East Medical Center Drive, St. George, UT Fillmore Community Medical Center... (435) South Highway 99, Fillmore, UT Garfield Memorial Hospital... (435) North 400 East, Panguitch, UT Heber Valley Medical Center... (435) South Highway 40, Heber City, UT Intermountain Medical Center... (801) Cottonwood Street, Murray, UT LDS Hospital... (801) th Avenue & C Street, Salt Lake City, UT Logan Regional Hospital... (435) East 1400 North, Logan, UT McKay-Dee Hospital Center... (801) Harrison Blvd., Ogden, UT Orem Community Hospital... (801) North 400 West, Orem, UT Park City Medical Center... (435) Round Valley Drive, Park City, UT Primary Children's Medical Center... (801) Mario Capecchi Dr., Salt Lake City, UT Riverton Hospital... (801) West South, Riverton, UT Sanpete Valley Hospital... (435) South Medical Drive, Mount Pleasant, UT Sevier Valley Medical Center... (435) North Main, Richfield, UT TOSH - The Orthopedic Specialty Hospital... (801) South Fashion Boulevard, Murray, UT Utah Valley Regional Medical Center... (801) North 500 West, Provo, UT Valley View Medical Center... (435) North Main Street, Cedar City, UT Uintah Basin Medical Center...(435) West 300 North, Roosevelt, UT CONTRACT HOSPITALS Beaver Valley Hospital... (435) North 100 West, Beaver, UT Blue Mountain Hospital... (435) S 200 W, Blanding, UT Central Valley Medical Center... (435) West 1500 North, Nephi, UT Davis Hospital & Medical Center... (801) West Antelope Drive, Layton, UT Gunnison Valley Hospital... (435) East First North, Gunnison, UT Huntsman Cancer Hospital... (801) Circle of Hope Dr, Salt Lake City, UT (For Med/Choice: Cancer Treatment Only) Kane County Hospital... (435) North Main, Kanab, UT Milford Valley Memorial Hospital... (435) North Main Street, Milford, UT Moab Regional Hospital... (435) W Williams Way, Moab, UT Mountain West Medical Center... (435) North Main Street, Tooele, UT San Juan Hospital... (435) W 100 N, Monticello, UT

9 SELECT MED URGENT CARE Questions about a provider? Call Member Advocates or visit our Web site at SELECT MED URGENT CARE CACHE COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Budge Clinic After Hours Pediatrics... (435) North 500 East, Logan Mon-Fri 5PM-Varied; Sat-Sun 10AM-Varied (Call for appointment) Intermountain Logan InstaCare... (435) North 200 East, Logan Mon thru Sun 8AM - 8PM Open on most holidays. Call for holiday hours. DAVIS COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Bountiful InstaCare... (801) North Main, Bountiful Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Bountiful KidsCare... (801) North Main, Bountiful Mon thru Fri 5PM - 10PM; Sat thru Sun 12PM - 10PM Intermountain Layton InstaCare... (801) University Park Blvd. (1200 West ), Layton Mon thru Fri 8:30AM - 9PM; Sat thru Sun 8:30AM - 5PM No Appointment Necessary. Call for holiday hours. Intermountain Layton KidsCare... (801) University Park Blvd. (1200 West ), Layton Mon thru Fri 5PM - 9PM; Sat thru Sun 12PM - 6PM Please call ahead for appointments and for holiday hours. Intermountain Syracuse InstaCare... (801) South 2000 West, Syracuse Mon thru Fri 9AM - 9PM; Sat 9AM - 5PM; Sun 9AM - 1PM Call for holiday hours. CONTRACTED SERVICES Mt. View Family Care... (801) S Fairfield Road, Layton Mon thru Fri 8AM - 5PM; Sat 9AM - 5PM; Sun 10AM - 2PM Wee Care Pediatrics - Urgent Care... (801) West Antelope Dr Ste 100, Layton Hours Westside Medical-Urgent Care... (801) West 1800 North, Clinton Mon thru Fri 8AM - 8PM; Sat 9AM - 5PM IRON COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Cedar City InstaCare... (435) Sage Drive, Cedar City Mon thru Sat 9AM - 9PM Call for holiday hours. SALT LAKE COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Holladay InstaCare... (801) South 2300 East, Salt Lake City Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Memorial InstaCare... (801) S 900 E (Sugarhouse), Salt Lake City Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Memorial KidsCare... (801) South 900 East, Salt Lake City Mon thru Fri 5PM - 10PM; Sat thru Sun 12PM - 10PM Intermountain Mountain View Pediatrics KidsCare... (801) S 1300 E Ste. E100, Sandy Mon thru Fri 5PM - 10PM; Sat thru Sun 12PM - 10PM Intermountain Murray InstaCare...(801) E Winchester St, Murray Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Sandy InstaCare...(801) South 700 East, Sandy Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Southridge InstaCare...(801) West South, #150, Riverton Mon thru Sun 8AM - 10PM Call for holiday hours. Intermountain Southridge KidsCare...(801) West South, #150, Riverton Mon thru Fri 5PM - 10PM; Sat thru Sun 12PM - 10PM Intermountain Taylorsville InstaCare...(801) West 4700 South, Taylorsville Mon thru Sun 8AM - 10PM Call for holiday hours. Intermountain Taylorsville KidsCare...(801) West 4700 South, Taylorsville Mon thru Fri 5PM - 10PM; Sat thru Sun 8AM - 10PM Intermountain West Jordan InstaCare...(801) West 9000 South, West Jordan Mon thru Sun 8AM - 10PM Call for holiday hours. Intermountain West Jordan KidsCare...(801) West 9000 South, West Jordan Mon thru Fri 5PM - 10PM; Sat thru Sun 12PM - 10PM CONTRACTED SERVICES Alta Ski Clinic... Alta Ski Resort, Alta (walk-ins during ski season only) Brighton Clinic... Brighton Ski Resort, Brighton (Walk-ins during ski season only) Exodus Health Care-Urgent Care...(801) W 3500 S, Magna Mon thru Sun 7AM - 10PM Foothill Family Clinic South Urgent Care...(801) S 3000 E Ste 100, Salt Lake City Mon thru Fri 5PM - 9PM; Sat thru Sun 9AM - 12PM Granger Medical Clinic Urgent Care...(801) W 4100 S, West Valley City Mon thru Sat 9AM - 9PM Holladay Family Practice After Hours...(801) S 1100 E Ste 220, Salt Lake City Mon thru Fri 5PM - 6PM; Sat 9AM - 12PM Jordan Valley Family Health...(801) W 9000 S Ste 100, West Jordan Mon thru Thu 5PM - 9PM; Sat 8:30AM - 12:30PM (Call for appointment) Olympus Clinic-Urgent Care...(801) S Holladay Blvd, Salt Lake City Mon thru Thu 5PM - 8PM; Sat 8AM - 2PM Riverton Family Health Center-Urgent Care...(801) W S, Riverton Mon thru Fri 5PM - 8PM; Sat 9AM - 1PM Snowbird Clinic... Snowbird Ski Resort, Snowbird (Walk-ins during ski season only) West Jordan Medical Center-Urgent Care...(801) W 9000 S Ste 200, West Jordan Mon thru Thu 5PM - 8PM; Sat 9AM - 1PM SANPETE COUNTY, UT CONTRACTED SERVICES Mt. Pleasant Family Practice...(435) S Medical Dr., Mount Pleasant Mon thru Thu 9AM - 9PM; Fri 9AM - 5PM 9

10 SELECT MED URGENT CARE Questions about a provider? Call Member Advocates or visit our Web site at SUMMIT COUNTY, UT CONTRACTED SERVICES Park City Healthcare Urgent Care Clinic... (435) Bonanza Dr, Park City Mon thru Sun 8AM - 9PM Park City Mountain Resort Clinic... (435) Park City Ski Resort, Park City (Walk-ins during ski season only) Mon thru Fri 9AM - 5PM Summit After Hours Clinic... (435) Bonanza Dr, Park City Open nightly from 9:00 p.m. to 8:00 a.m. TOOELE COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Tooele InstaCare... (435) N Main St., Tooele Mon thru Sun 9AM - 9PM UTAH COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Highland InstaCare... (801) North Alpine Hwy, Highland Mon thru Fri 8AM - 8PM; Sat 9AM - 5PM Call for holiday hours. Intermountain North Orem InstaCare... (801) North State Street, Orem Mon thru Sun 8AM - 10PM Call for holiday hours. Intermountain Provo InstaCare... (801) North 500 West, #102, Provo Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Springville InstaCare... (801) West 400 South, Springville Mon thru Sun 8AM - 8PM Call for holiday hours. CONTRACTED SERVICES Alpine Pediatrics-Urgent Care... (801) W 930 N, Pleasant Grove Mon thru Fri 6PM - 10PM Sat-Sun: Call for urgent appointment American Fork Clinic-Urgent Care... (801) N 1100 E, American Fork (Call to arrange Saturday and evening care) Art City Family Medical Center-Urgent Care... (801) E 400 N, Springville Mon thru Fri 6PM - 8PM; Sat 9AM - 12PM Cherry Tree Family Practice-Urgent Care... (801) N 400 W Ste B6, Orem (Call to arrange Saturday and evening care) Lone Peak Pedriatric Clinic-Urgent Care... (801) W 800 N, Pleasant Grove Spanish Fork Clinic-Urgent Care... (801) W Center St, Spanish Fork Sat 10AM - 5PM Tri City Medical Clinic, Inc.... (801) N 2000 W, Pleasant Grove Mon thru Fri 6PM - 8PM; Sat 10AM - 2PM Utah County Medical Associates - Payson - Urgent... (801) S Professional Way, Payson (Call to arrange Saturday and evening care) Utah County Medical Associates - Springville... (801) E 400 S, Springville (Call to arrange Saturday and evening care) Utah Valley Pediatrics North... (801) W 800 N Ste 30, Orem Utah Valley Pediatrics - American Fork...(801) E 200 N Ste 200, American Fork Utah Valley Pediatrics - Orem...(801) N 400 W Ste 12, Orem Utah Valley Pediatrics - Provo- Urgent Care...(801) N 300 W Ste 200, Provo Utah Valley Pediatrics - University Ave...(801) N University Ave Ste 2, Provo WASATCH COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Heber Valley Clinic...(435) S Highway 40 Ste E, Heber City Mon thru Fri 6PM - 9PM; Sat thru Sun 10AM - 2PM WASHINGTON COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Hurricane Valley InstaCare...(435) North 2260 West, Hurricane Mon thru Sat 9AM - 9PM Call for holiday hours. Intermountain River Road InstaCare...(435) South River Road, St. George Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Sunset InstaCare...(435) West Sunset Blvd., St. George Mon thru Sat 9AM - 9PM Call for holiday hours. WEBER COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Herefordshire InstaCare...(801) West 5950 South, Roy Mon thru Fri 8AM - 9PM; Sat 9AM - 9PM; Sun 1PM - 5PM Call for holiday hours. Intermountain North Ogden InstaCare...(801) North Washington Blvd, North Ogden Mon thru Sat 9AM - 9PM; Sun 9AM - 5PM Call for holiday hours. Intermountain Northern Utah KidsCare...(801) Harrison Blvd., Suite 4875, Ogden Mon thru Fri 5PM - 9PM; Sat thru Sun 10AM - 4PM Intermountain South Ogden InstaCare...(801) E Chambers Street, South Ogden Mon thru Fri 9AM - 9PM; Sat 9AM - 5PM; Sun 9AM - 1PM Call for holiday hours. CONTRACTED SERVICES Children's Evening Clinic...(801) S 500 E Ste 120, Ogden Mon thru Fri 5PM - 9PM; Sat 9AM - 2PM Ogden Clinic-Urgent Care...(801) Harrison Blvd, Ogden Mon thru Fri 5PM - 9PM Snowbasin Ski Clinic...(801) Snowbasin Ski Resort, Huntsville (Walk-ins during ski season only) 10

11 SELECT MED SPECIALTY SELECT SERVICES MED SPECIALTY & OUTPATIENT SERVICES & OUTPATIENT CENTERS Questions about a provider? Call Member Advocates or visit our Web site at BEHAVIORAL HEALTH INTERMOUNTAIN OWNED SERVICES McKay-Dee Behavioral Health Institute (BHI)... (801) Harrison Blvd, Ogden Primary Children's Behavioral Health -Salt Lake... (801) East 500 South, Suite 330, Salt Lake City Primary Children's Behavioral Health-Research Park... (801) Colorow Way, Salt Lake City Primary Children's Behavioral Health-Wasatch... (801) South 1500 West, Salt Lake City Psychiatry and Counseling Service - Avenues... (801) th Ave, Ste 154, Salt Lake City Psychiatry and Counseling Service - Union Park... (801) E Fort Union Blvd, Ste 215, Midvale Southern Utah Behavioral Health... (435) South 300 East, Suite 109, St. George BREAST PROSTHETICS CONTRACTED SERVICES Carol's Personal Mastectomy Boutique... (801) S Main Street, Salt Lake City Carol's Post Mastectomy Specialist - St. George... (435) E 600 S, St. George Debra Lynn's Post Mastectomy Specialties... (801) W 36th St., Ogden DIABETES MANAGEMENT SERVICES INTERMOUNTAIN OWNED SERVICES American Fork Hospital Diabetes Management Clinic... (801) North 1100 East, American Fork Bear River Valley Diabetes Education... (435) West 600 North, Tremonton Bryner Diabetes Clinic... (801) East 100 South Suite 500, Salt Lake City Budge Diabetes Clinic... (435) North 500 East, Logan Cottonwood Endocrine and Diabetes Center... (801) S 250 E Ste 310, Murray Dixie Regional Medical Center Diabetes Clinic... (435) South 900 East Suite 107, St. George Heber Valley Diabetes Management Clinic... (435) South Highway 40, Heber City Internal Medicine Associates Diabetes Clinic... (801) South 1300 East #200, Sandy Logan Regional Diabetes Education... (435) North 500 East, Logan McKay-Dee Endocrine and Diabetes Clinic... (801) Harrison Blvd. # 3630, Ogden Memorial Diabetes Clinic... (801) South 900 East, Salt Lake City Primary Children's Medical Center Diabetes Clinic... (801) Arapeen Dr Ste 100, Salt Lake City Salt Lake Diabetes Clinic... (801) South 900 East, Salt Lake City Sandy Diabetes Clinic... (801) South 1300 East, Sandy Sevier Valley Medical Center Diabetes Management Clinic... (435) North Main, Richfield Taylorsville Health Center Diabetes Clinic... (801) West 4700 South, Taylorsville Valley View Medical Center Diabetes Clinic... (435) West 1325 North Suite 100, Cedar City West Jordan Health Center Diabetes Clinic... (801) West 9000 South, West Jordan INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Utah Valley Diabetes Management Clinic...(801) North 500 West Suite 103, Provo DIALYSIS CENTERS INTERMOUNTAIN OWNED SERVICES Intermountain Bridgerland Dialysis Center...(435) North 500 East, Logan Intermountain Central Valley Dialysis Center...(801) East 3900 South, Salt Lake City Intermountain Sevier Valley Dialysis...(435) North Main, Ste D, Richfield Intermountain Tooele Valley Dialysis Center...(801) East 2000 North #112, Tooele Intermountain Utah Dialysis Center...(801) South Main Street, Suite 105, Salt Lake City CONTRACTED SERVICES Bonneville Dialysis Center...(801) S 500 E, Ogden Burley Dialysis Center-Davita...(208) Park Ave, Burley Castleview Dialysis Center...(435) Hospital Dr., Price Davita...(800) For other locations nationally, Salt Lake City Dixie Dialysis Center...(435) S River Rd, Ste D1100, St. George Farmington Bay Dialysis...(801) S Main, Layton Idaho Kidney Center...(208) Hospital Way Ste 600, Pocatello Intermountain Pediatric Dialysis...(801) N Medical Dr, #PA 220, Salt Lake City Iron Mission Dialysis Center...(435) N Northfield Rd, Cedar City Liberty Dialysis... Visit for locations, Salt Lake City Liberty Dialysis - Layton...(801) N 1700 W Ste G, Layton Liberty Dialysis - Ogden...(801) Old Post Rd, Ogden Liberty Dialysis - St. George...(435) S 250 W Ste 406, St. George Liberty Dialysis - West Jordan...(801) W 9000 S Ste. D, West Jordan Liberty Dialysis - Woods Cross...(801) W 750 S, Bountiful Lone Peak Dialysis (Davita)...(801) E 50 S Ste 111, American Fork Mark Lindsay Dialysis Center...(801) E Country Hills Dr, Ogden Oquirrh Artificial Kidney Center...(801) W 4700 S, Taylorsville South Mountain Dialysis...(801) S Riverfront Parkway, South Jordan Timpanogos Dialysis - Da Vita...(801) North 500 West #200, Provo Uintah Basin Medical Center - Roosevelt Dialysis...(435) N 100 W, Roosevelt Uintah Basin Medical Center - Vernal Dialysis...(435) E 500 S, Vernal Utah Valley Dialysis - DaVita...(801) North 500 West #221, Provo Wasatch Artificial Kidney Center...(801) E 4500 S Ste 100, Murray Weber Valley Dialysis...(801) W 250th N, Marriott West Bountiful Dialysis-Davita...(801) W 500 S, Ste 300, West Bountiful Facility only has a CT scan, not an MRI Facility only has an MRI, not a CT scan Ostomy supplies available Diabetic services and supplies available 11

12 SELECT MED SPECIALTY SERVICES & OUTPATIENT CENTERS Questions about a provider? Call Member Advocates or visit our Web site at DURABLE MEDICAL EQUIPMENT INTERMOUNTAIN OWNED SERVICES Intermountain Homecare Equipment - Bountiful... (801) South 500 West, Bountiful Intermountain Homecare Equipment - Cedar City... (435) N Main St. Ste. 102, Cedar City Intermountain Homecare Equipment - Fillmore/Delta... (435) N Main St., Fillmore Intermountain Homecare Equipment - Heber... (435) N Main St. Ste. 104, Heber City Intermountain Homecare Equipment - IMED... (801) S. Cottonwood St. Ste. 150, Murray Intermountain Homecare Equipment - Logan... (435) N 200 E Ste. 106, Logan Intermountain Homecare Equipment - Main Office... (801) S 1300 W Ste. A, Salt Lake City Intermountain Homecare Equipment - Mt. Pleasant... (435) W Main St, Mount Pleasant Intermountain Homecare Equipment - Ogden... (801) S Harrison Blvd Ste D5, Ogden Intermountain Homecare Equipment - Provo... (801) West 1230 North, Provo Intermountain Homecare Equipment - Richfield... (435) E 500 N, Richfield Intermountain Homecare Equipment - St. George... (435) E Foremaster Dr. Ste. 130, St. George CONTRACTED SERVICES Advanced Respiratory... (800) (Home Delivery Services Only), Salt Lake City Advanced Tissue... (866) (home delivery services only), Salt Lake City CCS Medical... (800) (Home delivery services only), Salt Lake City Dexcom... (877) (Continuous Glucose Monitoring Supplies & Equipment Only), Salt Lake City Diabetes Specialty Center - Arapeen Drive... (801) Arapeen Drive #100, Salt Lake City Diabetes Specialty Center - Ogden... (801) Harrison Blvd, Ogden Diabetes Specialty Center - Provo... (801) N State St, Provo Diabetes Specialty Center - State Street... (801) S State Street, Salt Lake City DJO... (800) (Home delivery services only), Salt Lake City Dynasplint... (800) (Home delivery services only), Salt Lake City EBI... (800) Home delivery only., Salt Lake City Edgepark Surgical... (800) (Home delivery services only), Salt Lake City Empi... (800) (home delivery services only), Salt Lake City Intermountain Orthopedic Care... (801) W 800 N Ste 100, Orem Joint Active Systems... (801) (Home delivery services only), Salt Lake City JQ Medical... (801) Highland Dr. Ste. 4, Cottonwood KCI, USA (wound vacs & supplies only)... (888) S 900 W, Ste 75, Salt Lake City Medicor... (801) E Fort Union Blvd, Salt Lake City National DME... (888) Allen St., Midvale Norco, Inc. - Burley... (208) North Overland, Burley Orthofix... (800) (Home delivery services only), Salt Lake City Otto Bock Orthopedic Services...(800) East 3300 South, #102, Salt Lake City Petersen Medical - Blanding...(801) S Main St, Blanding Petersen Medical - Orem...(801) S 1380 W, Orem (Diabetes, ostomy, wound supplies, breast prosthetics only) Respirtech...(800) (Home delivery services only), Salt Lake City Smith & Nephew...(800) (home delivery services only), Salt Lake City Southern Utah Home Oxygen & Medical Equipment...(435) E 700 S #101, St. George Southern Utah Home Oxygen & Medical Equipment....(435) (Product Showroom at St. George Location), Cedar City Southern Utah Home Oxygen & Medical Equipment.....(435) (Products Showroom at St. George Location), Hurricane Symbius Medical...(801) W Universal Cir, Sandy (ostomy, diabetic, and catheter supplies only) Uintah Basin Home Health Sup....(435) West 200 North, #78-15, Roosevelt Western Diabetic Supplies...(877) Harrison Blvd, Ste 210, Ogden EXPRESSCARE CLINICS INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain ExpressCare - Draper...(801) E S, Draper (Located inside Smith's Food & Drug) Intermountain ExpressCare - Farmington...(801) N Highway 89, Farmington (Located inside Smith's Food & Drug) Intermountain ExpressCare - Salt Lake City...(801) S. Valley Street (3300 East), Salt Lake City (Located inside Smith's Marketplace) HOME HEALTH & HOSPICE INTERMOUNTAIN OWNED SERVICES Intermountain Homecare - Cedar City...(435) N Main St. Ste. 102, Cedar City Intermountain Homecare - Fillmore/Delta...(435) N. Main St., Fillmore Intermountain Homecare - Heber...(435) N. Main, Suite 101, Heber City Intermountain Homecare - Logan...(435) E 1400 N, Ste G, Logan Intermountain Homecare - Mt. Pleasant...(435) West Main St, Mount Pleasant (Sanpete and Millard Counties) Intermountain Homecare - Ogden...(801) Wall Ave, Ogden (Weber, Davis, and Morgan Counties) Intermountain Homecare - Orem...(801) South 800 East, Orem Intermountain Homecare - Richfield...(435) East 1000 North, Richfield Intermountain Homecare - Salt Lake City...(801) South 1300 West, Ste A, Salt Lake City (Salt Lake, Wasatch, and Summit Counties) Intermountain Homecare - St. George...(435) E. Foremaster Dr., St. George (Washington, Garfield, Piute, and Kane Counties) CONTRACTED SERVICES Beaver Valley Home Health...(435) Main St, Beaver Community Nursing Service - Moab...(435) S Bowling Alley Ln, Moab Ostomy supplies available Diabetic services and supplies available Facility only has a CT scan, not an MRI Facility only has an MRI, not a CT scan

13 SELECT MED SPECIALTY SELECT SERVICES MED SPECIALTY & OUTPATIENT SERVICES & OUTPATIENT CENTERS Questions about a provider? Call Member Advocates or visit our Web site at Community Nursing Service - Murray... (801) W Vine St Ste 300, Murray Community Nursing Service - Price... (435) S Carbon Ave, Price Community Nursing Service - Providence... (435) Springcreek Pkwy, Ste G, Providence Community Nursing Service - Provo... (801) N 1890 W, Provo Community Nursing Service - Salt Lake... (801) E 3900 S, Salt Lake City Community Nursing Service - St. George... (435) S River Rd Ste E101, St. George Community Nursing Service - Tooele... (435) N Main St, Tooele Community Nursing Service - West Jordan... (801) S Dixie Dr, Ste 200, West Jordan Community Nursing Services - Layton... (801) N Robins Rd, Ste. 1, Layton Community Nursing Services - South Ogden... (801) E 5350 S Ste. 110, South Ogden Gunnison Valley Home Health... (435) E 100 N, Gunnison Mountain West Home Health... (435) N Aaron Dr, Ste D, Tooele Southern Utah Home Care & Hospice - Cedar City... (435) S Main #210, Cedar City Southern Utah Home Care & Hospice - Enterprise... (435) E Main, Enterprise Southern Utah Home Care & Hospice - Hildale... (435) W Utah Ave. Ste. 101, Hildale Southern Utah Home Care & Hospice - Hurricane... (435) N 1000 W #6, Hurricane Southern Utah Home Care & Hospice - Kanab... (435) S 100 E Ste.1, Kanab Southern Utah Home Care & Hospice - St. George... (435) E 700 S #101, St. George Uintah Basin Home Health... (435) W 200 N Box 78-15, Roosevelt IMAGING CENTERS INTERMOUNTAIN OWNED SERVICES Alta View Hospital Imaging Center... (801) South 1300 East, Sandy American Fork Hospital Imaging Center... (801) North 1100 East, American Fork Bear River Valley Hospital Imaging Center... (435) North 1000 West, Tremonton Delta Community Medical Center Imaging... (435) South White Sage Avenue, Delta Dixie Regional Medical Center (400 East) Imaging... (435) South 400 East, St. George Dixie Regional Medical Center (River Road) Imaging... (435) East Medical Center Drive, St. George Fillmore Community Medical Center Imaging... (435) south Highway 99, Fillmore Heber Valley Medical Center Imaging Center... (435) South Hwy 40, Heber City Intermountain Layton Clinic - Imaging Center... (801) University Park Blvd (1200 W), Layton Intermountain Medical Center Imaging... (801) Cottonwood Street, Murray LDS Hospital Imaging Center... (801) th Avenue & C Street, Salt Lake City Logan Regional Hospital Imaging Center... (435) North 500 East, Logan McKay-Dee Hospital Center Imaging Center... (801) Harrison Blvd, Ogden North Ogden Clinic... (801) North Washington Blvd, Ogden (MRI, Ultrasound, Mammography) Orem Community Hospital Imaging Center...(801) North 400 West, Orem Primary Children's Medical Center Imaging Center...(801) Mario Capecchi Dr., Salt Lake City Salt Lake Clinic Imaging Center...(801) South 900 East, Salt Lake City Sanpete Valley Hospital Imaging Center...(435) South Medical Drive, Mount Pleasant Sevier Valley Medical Center Imaging...(435) North Main, Richfield Taylorsville Clinic MRI...(801) W 4700 S, Taylorsville TOSH - Imaging Services...(801) S 300 E, Murray Utah Valley Regional Medical Center Imaging Center...(801) North 500 West, Provo Valley View Medical Center Imaging Center...(435) N Main, Cedar City INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Budge Clinic Imaging Center...(435) N 500 E, Logan CONTRACTED SERVICES Allen Memorial Hospital Imaging Center...(435) W 400 N, Moab Ashley Valley Medical Center Imaging Center...(435) West 200 North, Vernal Beaver Valley Hospital Imaging Center...(435) North 100 West, Beaver Central Valley Medical Center Imaging Center...(435) West 1500 North, Nephi Davis Hospital & Medical Center Imaging Center...(801) West Antelope Drive, Layton Franklin County Medical Center Imaging Center...(208) North 100 East, Preston (Facility only has a CT scan, not an MRI) Garfield Memorial Hospital Imaging Center...(435) North 400 East, Panguitch (Facility only has a CT scan, not an MRI) Gunnison Valley Hospital Imaging Center...(435) East 100 North, Gunnison Holorad, Inc....(801) S Main St, Salt Lake City Kane County Hospital Imaging Center...(435) North Main, Kanab (Facility only has a CT scan, not an MRI) Kings Medical Imaging...(801) S Redwood Rd, Suite 130, Taylorsville (Facility only has an MRI, not a CT scan) Mountain Medical Imaging Center...(801) S Woodrow St, Murray Mountain West Medical Center Imaging Center...(435) North Main Street, Tooele Oneida County Hospital Imaging Center...(208) North 200 West, Malad City (facility only has a CT scan) Riverwoods Advanced Diagnostic Imaging Center...(801) W Riverpark Dr. Ste 100, Provo San Juan Hospital - Imaging Center...(435) W 100 N, Monticello Southern Utah MRI...(435) North Northfield Rd, Suite 100, Cedar City (Facility only has an MRI, not a CT scan) Uintah Basin Medical Center Imaging Center...(435) West 300 North, Roosevelt Utah Valley Obstetrical Ultrasound...(801) W 800 N, Provo Wasatch Imaging...(801) South 1300 East, Suite 175, Sandy Western Neurological Associates...(801) East 3900 South, Suite B-150, Holladay Facility only has a CT scan, not an MRI Facility only has an MRI, not a CT scan Ostomy supplies available Diabetic services and supplies available 13

14 SELECT MED SPECIALTY SERVICES & OUTPATIENT CENTERS Questions about a provider? Call Member Advocates or visit our Web site at LABORATORY DRAW CENTERS INTERMOUNTAIN OWNED SERVICES Alta View Hospital Lab Draw Center... (801) South 1300 East, Sandy Alta View Life Center Draw Station... (801) South 1300 East, Suite 200, Sandy Alta View Women's Center Lab Draw Center... (801) S 1300 E Ste. 304, Sandy American Fork Clinic Lab Draw Center... (801) North 1100 East, American Fork American Fork Copper Peaks Medical Plaza Lab Draw... (801) E 200 N Ste 150A, American Fork American Fork Hospital Lab Draw Center... (801) North 1100 East, American Fork Bear River Valley Hospital Lab Draw Center... (435) W 600 N, Tremonton Cassia Regional Medical Center Lab Draw Center... (208) Hiland Avenue, Burley Cedar City Outpatient Draw Station... (435) W 1325 N Ste 100, Cedar City Cottonwood Medical Office Building Lab Draw... (801) S 250 E, Murray Delta Community Medical Center Lab Draw Center... (435) South White Sage Avenue, Delta Dixie Regional Medical Center Lab Draw Center... (435) S 400 E, St. George Eccles Outpatient Pavilion... (801) S Cottonwood St Ste 110, Murray Fillmore Community Medical Center Lab Draw Center... (435) South Highway 99, Fillmore Gardner Women's Center Lab Draw Clinic... (801) South Cottonwood St. Suite 222, Murray Gardner Women's Center Level 4 Lab Draw Clinic... (801) South Cottonwood St. Suite 410, Murray Garfield Memorial Hospital Lab Draw Center... (435) North 400 East, Panguitch Heber Valley Medical Center Lab Draw Center... (435) South Highway 40, Heber City Hurricane Valley Clinic... (435) North 2260 West, Hurricane Intermountain Holladay Clinic Lab Draw Center... (801) East 5600 South, Holladay Intermountain Layton Lab Draw Center... (801) University Park Blvd (1200 W), Layton Intermountain River Road Clinic Lab... (435) S River Rd, St. George Intermountain Taylorsville Lab... (801) W 4700 S, Taylorsville LDS Hospital Lab Draw Center... (801) th Avenue & C Street, Salt Lake City LDS Physicians Office Building Lab Draw Center... (801) th Avenue Ste. 107, Salt Lake City LDSH Temple Medical Center Lab Draw Clinic... (801) E South Temple Ste. 15, Salt Lake City Life Center... (801) South 1300 East, Sandy Logan Regional Hospital Lab Draw Center... (435) East 1400 North, Logan McKay-Dee Hospital Center Lab Draw Center... (801) Harrison Boulevard, Ogden Orem Community Hospital Lab Draw Center... (801) North 400 West, Orem Park City Medical Center Lab Draw Center... (435) Round Valley Dr., Park City Primary Children's Lab Draw Center... (801) Mario Capecchi Dr., 2nd Floor, Salt Lake City Primary Children's Outpatient Draw Station... (801) Mario Capecchi Dr., Salt Lake City Primary Children's-Riverton Outpatient Draw Center... (801) W S, Riverton River Road Health Center Lab Draw Clinic...(435) S River Road, St. George River Road Outpatient Services Lab Draw Center...(435) East Medical Drive, St. George Riverton Hospital Lab Draw Center...(801) West South, Riverton Salt Lake Clinic Lab Draw Center...(801) South 900 East, Salt Lake City Sandy Life Centre Draw Station...(801) S 1300 E, Ste 230, Sandy Sanpete Valley Hospital Lab Draw Center...(435) South Medical Drive, Mount Pleasant Sevier Valley Medical Center Lab Draw Center...(435) North Main, Richfield Utah Valley Regional Lab Draw Center...(801) North 500 West, Provo Valley View Medical Center Lab Draw Center...(435) North Main, Cedar City CONTRACTED SERVICES Genomic Health...(888) (Reference Genetic Labs Only), Salt Lake City LabCorp - Bountiful Service Center...(801) S 400 E Ste. 101, Bountiful LabCorp - Hidden Valley Medical Center...(801) S 1000 E, Draper LabCorp - Main Lab...(801) S Green St, Salt Lake City LabCorp - Medical Towers...(801) E 100 S Ste L-7, Salt Lake City LabCorp - National Locations...(800) For other locations nationally, Salt Lake City LabCorp - Ogden Service Center...(801) S Ridgeline Dr Ste. 203, South Ogden LabCorp - Parkview...(801) E 3900 S Ste B165, Salt Lake City LabCorp - Salt Lake City Service Center...(801) E 4500 S Ste 210, Salt Lake City LabCorp - Springville...(801) E 400 S, Ste 102, Springville LabCorp - St. George Service Center...(435) E Foremaster Dr Ste 230, St. George LabCorp - St. Marks Service Center...(801) E 3900 S Bldg B Ste 302, Salt Lake City LabCorp - Tooele...(435) N 400 E #204, Tooele Myriad Genetic Laboratories, Inc....(801) Wakara Wy, Salt Lake City Prometheus Laboratories...(888) (Reference Genetics Labs Only), Salt Lake City Transgenomic...(866) (Reference Genetic Labs Only), Salt Lake City MEDICAL / PHYSICIAN CLINICS INTERMOUNTAIN OWNED SERVICES Adult Congenital Heart Clinic...(801) Cottonwood Street, Murray Cardiology Speciality Clinic...(801) Cottonwood Street, Murray INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain McKay-Dee Wound and Hyperbaric Clinic...(801) Harrison Blvd,, #2600, Ogden CONTRACTED SERVICES Intermountain Vein Center...(801) N 300 W Ste. 308, Provo Ostomy supplies available Diabetic services and supplies available Facility only has a CT scan, not an MRI Facility only has an MRI, not a CT scan

15 SELECT MED SPECIALTY SELECT SERVICES MED SPECIALTY & OUTPATIENT SERVICES & OUTPATIENT CENTERS Questions about a provider? Call Member Advocates or visit our Web site at PHYSICAL THERAPY & REHABILITATION INTERMOUNTAIN OWNED SERVICES Intermountain Hearing & Balance Center... (801) S 500 E Ste 150, Salt Lake City Intermountain Neuro Rehabilitation (LDS Hospital)... (801) th Ave and C St, Salt Lake City Intermountain Neuro Rehabilitation (TOSH)... (801) S Fashion Blvd, Murray Intermountain Physical Therapy at Bountiful... (801) N Main St, Bountiful Intermountain Physical Therapy at Layton... (801) University Park Blvd, Layton Intermountain Physical Therapy at Memorial... (801) S 900 E, Salt Lake City Intermountain Physical Therapy at South Jordan... (801) S Redwood Road, South Jordan Intermountain Physical Therapy at South Valley... (801) E 9400 S, Sandy Intermountain Physical Therapy at Taylorsville... (801) W 4700 S, Taylorsville Intermountain Physical Therapy at West Jordan... (801) W 9000 S, West Jordan LDS Hospital Geriatric Clinic Rehab... (801) th Avenue & C Street, Salt Lake City LDS Hospital Physical Therapy... (801) th Avenue & C Street, Salt Lake City Logan Regional Hospital Physical Therapy & Sports Medicine (435) N 500 E Ste 120, Logan Logan Regional Pediatric Physical Therapy... (435) N 550 E Ste W, Logan Logan Regional Physical Therapy - USU... (435) USU Student Health & Wellness 1250 North 850 East, Logan Logan Regional Spine Clinic & Industrial Medicine Therapy Cl... (435) N 500 E, Logan McKay-Dee Sports Medicine... (801) Harrison Boulevard Ste. 2440, Ogden McKay-Dee Stewart Rehabilitation Center - Layton... (801) University Park Blvd, Layton McKay-Dee Stewart Rehabilitation Center - Ogden... (801) Harrison Blvd, Ste 400, Ogden Neuro Science Outpatient Clinic... (801) S Cottonwood St, Murray Park City Medical Center Physical Therapy... (435) Round Valley Drive, Park City South Cache Valley Physical Therapy... (435) S Highway 165, Providence TOSH Physical Therapy - Kearns... (801) S 4800 W, Kearns TOSH Physical Therapy - Murray... (801) S 300 E, Murray Utah Valley Regional Med. Center Physical Therapy... (801) N 500 W, Provo PROSTHETICS & ORTHOTICS CONTRACTED SERVICES Center for Prosthetics, Inc.... (801) E South Temple, Ste. 320, Salt Lake City Eye Prosthetics of Utah... (801) South 2000 East, Suite 220, Salt Lake City FitWell Prosthetic and Orthotic Center-Ogden... (801) South Harrison Blvd Ste. 302, Ogden FitWell Prosthetic and Orthotic Center-St. George... (435) South River Rd Ste. B205, St. George FitWell Prosthetics and Orthotic Center-Salt Lake... (801) South 900 East Ste. 1, Salt Lake City Hanger Prosthetics & Orthotics - Provo... (801) N University Ave, Ste 160, Provo Hanger Prosthetics & Orthotics - Salt Lake...(801) S College Dr Ste 103, Salt Lake City Hanger Prosthetics & Orthotics - St. George...(435) S 400 E Ste 102, St. George Insight Orthotics & Prosthetics...(801) W 4800 S, Salt Lake City Jenco Prosthetics & Orthotics...(801) S Commerce Park Dr. Ste. 2, Midvale Jenco Prosthetics & Orthotics-Logan...(435) N Main Street Ste. B-140, Logan Northwest Orthotics Prosthetics...(801) North 200 West, Bldg 12-C, Provo Ogden Prosthetics Orthotics...(801) Harrison Blvd, Suite 100, Ogden Peak Prosthetic Designs, Inc...(801) W Alexander St Ste. 20, Salt Lake City Rocky Mountain Artificial Limb & Brace...(435) N 400 E Ste 100, Logan Shields Orthotic Prosthetic Services - Ogden...(801) S Harrison Blvd, Ogden Shields Orthotic Prosthetic Services - Salt Lake City...(801) East 3300 South, Salt Lake City Utah Prosthetic and Orthotic - St. George...(435) E 600 S, St. George Wasatch Orthotics & Pedorthics...(801) E Vine St, Salt Lake City PUBLIC HEALTH CLINICS CONTRACTED SERVICES Bear River Health Department- Brigham City...(435) West 950 South, Brigham City (Contracted for Immunizations Only) Bear River Health Department- Logan...(435) East 1300 North, Logan (Contracted for Immunizations Only) Bear River Health Department- Randolph...(435) North Main, Randolph (Contracted for Immunizations Only) Bear River Health Department- Tremonton...(435) South 100 West, Tremonton (Contracted for Immunizations Only) Central Utah Public Health Department...(435) Westview Dr, Richfield (Immunizations Only) Davis County Health Department...(801) S State St., Clearfield (Contracted for Immunizations Only) Salt Lake Valley Health Department - Ellis R Shipp Ctr...(801) S 5600 W, West Valley City Salt Lake Valley Health Department - Rose Park Center...(801) W 700 N #H, Salt Lake City Salt Lake Valley Health Department - SLC Center...(801) S 200 E, Salt Lake City Salt Lake Valley Health Department - South Main...(801) S Main Street, Salt Lake City Salt Lake Valley Health Department - Southeast Center...(801) S 700 E, Sandy Southeastern UT Health Department-Carbon County...(435) South 100 East, Price Southeastern UT Health Department-Emery County...(435) West Main, Castle Dale Southeastern UT Health Department-Grand County...(435) South Main #4, Moab Southeastern UT Health Department-San Juan County...(435) East Center, Blanding Southeastern UT Health Dept -San Juan County...(435) South Main, Monticello Southwest UT Health Department - Beaver...(435) West 1175 North, Beaver (Contracted for Immunizations Only) Facility only has a CT scan, not an MRI Facility only has an MRI, not a CT scan Ostomy supplies available Diabetic services and supplies available 15

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