spring directory provider & facility

spring 2011 directory provider & facility

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... 11 SELECT MED PHARMACY LIST... 18 SELECT MED PRIMARY CARE PROVIDERS... 20 SELECT MED SECONDARY CARE PROVIDERS... 39 SELECT MED ANCILLARY PROVIDERS... 52 SELECT MED PROVIDER INDEX... 59 2011 SelectHealth. All rights reserved.

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 801-442-1989 (Salt Lake area) or 800-876-1989, 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

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 801-442-4993 (Salt Lake area) or 800-515-2220 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 801-442-5038 (Salt Lake area) or 800-538-5038 weekdays, from 7:00 a.m. to 8:00 p.m., and Saturdays, from 9:00 a.m. to 2:00 p.m. 4

SELECT MED INTRODUCTION RURAL HEALTH CARE PROVIDER NOTICE Pursuant to Utah Code 31A-8-501 and R590-237-6, 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 801-442-3692. If SelectHealth does not resolve your problem, you may contact the Office of Consumer Health Assistance in the Utah Insurance Department, toll free. 5

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

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 801-442-4993 or 800-515-2220. 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

SELECT MED HOSPITALS Questions about a provider? Call Member Advocates or visit our Web site at www.selecthealth.org. INTERMOUNTAIN HOSPITALS Alta View Hospital... (801) 501-2600 9660 South 1300 East, Sandy, UT 84094 American Fork Hospital... (801) 855-3300 170 North 1100 East, American Fork, UT 84003 Bear River Valley Hospital... (435) 207-4500 905 North 1000 West, Tremonton, UT 84337 Delta Community Medical Center... (435) 864-5591 126 White Sage Ave, Delta, UT 84624 Dixie Regional Medical Center - 400 East Campus... (435) 251-1000 544 South 400 East, St. George, UT 84770 Dixie Regional Medical Center - River Road Campus... (435) 251-1000 1380 East Medical Center Drive, St. George, UT 84790 Fillmore Community Medical Center... (435) 743-5591 674 South Highway 99, Fillmore, UT 84631 Garfield Memorial Hospital... (435) 676-8811 200 North 400 East, Panguitch, UT 84759 Heber Valley Medical Center... (435) 654-2500 1485 South Highway 40, Heber City, UT 84032 Intermountain Medical Center... (801) 507-7000 5121 Cottonwood Street, Murray, UT 84107 LDS Hospital... (801) 408-1100 8th Avenue & C Street, Salt Lake City, UT 84143 Logan Regional Hospital... (435) 716-1000 500 East 1400 North, Logan, UT 84341 McKay-Dee Hospital Center... (801) 387-2800 4401 Harrison Blvd., Ogden, UT 84403 Orem Community Hospital... (801) 224-4080 331 North 400 West, Orem, UT 84057 Park City Medical Center... (435) 658-7000 900 Round Valley Drive, Park City, UT 84060 Primary Children's Medical Center... (801) 662-1000 100 Mario Capecchi Dr., Salt Lake City, UT 84113 Riverton Hospital... (801) 285-4000 3741 West 12600 South, Riverton, UT 84065 Sanpete Valley Hospital... (435) 462-2441 1100 South Medical Drive, Mount Pleasant, UT 84647 Sevier Valley Medical Center... (435) 893-4100 1000 North Main, Richfield, UT 84701 TOSH - The Orthopedic Specialty Hospital... (801) 314-4100 5848 South Fashion Boulevard, Murray, UT 84107 Utah Valley Regional Medical Center... (801) 357-7850 1034 North 500 West, Provo, UT 84604 Valley View Medical Center... (435) 868-5000 1303 North Main Street, Cedar City, UT 84721 Uintah Basin Medical Center...(435) 722-4691 250 West 300 North, Roosevelt, UT 84066 CONTRACT HOSPITALS Beaver Valley Hospital... (435) 438-7100 1109 North 100 West, Beaver, UT 84713 Blue Mountain Hospital... (435) 678-3993 802 S 200 W, Blanding, UT 84511 Central Valley Medical Center... (435) 623-3000 48 West 1500 North, Nephi, UT 84648 Davis Hospital & Medical Center... (801) 807-1000 1600 West Antelope Drive, Layton, UT 84041 Gunnison Valley Hospital... (435) 528-7246 64 East First North, Gunnison, UT 84634 Huntsman Cancer Hospital... (801) 585-0100 1950 Circle of Hope Dr, Salt Lake City, UT 84112 (For Med/Choice: Cancer Treatment Only) Kane County Hospital... (435) 644-5811 355 North Main, Kanab, UT 84741 Milford Valley Memorial Hospital... (435) 387-2411 850 North Main Street, Milford, UT 84751 Moab Regional Hospital... (435) 719-3500 450 W Williams Way, Moab, UT 84532 Mountain West Medical Center... (435) 843-3600 2055 North Main Street, Tooele, UT 84074 San Juan Hospital... (435) 587-2116 380 W 100 N, Monticello, UT 84535 8

SELECT MED URGENT CARE Questions about a provider? Call Member Advocates or visit our Web site at www.selecthealth.org. SELECT MED URGENT CARE CACHE COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Budge Clinic After Hours Pediatrics... (435) 752-0422 1350 North 500 East, Logan 84341 Mon-Fri 5PM-Varied; Sat-Sun 10AM-Varied (Call for appointment) Intermountain Logan InstaCare... (435) 713-2710 412 North 200 East, Logan 84321 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) 292-6100 390 North Main, Bountiful 84010 Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Bountiful KidsCare... (801) 294-9933 390 North Main, Bountiful 84010 Mon thru Fri 5PM - 10PM; Sat thru Sun 12PM - 10PM Intermountain Layton InstaCare... (801) 779-6200 2075 University Park Blvd. (1200 West ), Layton 84041 Mon thru Fri 8:30AM - 9PM; Sat thru Sun 8:30AM - 5PM No Appointment Necessary. Call for holiday hours. Intermountain Layton KidsCare... (801) 779-6200 2075 University Park Blvd. (1200 West ), Layton 84041 Mon thru Fri 5PM - 9PM; Sat thru Sun 12PM - 6PM Please call ahead for appointments and for holiday hours. Intermountain Syracuse InstaCare... (801) 525-2400 745 South 2000 West, Syracuse 84075 Mon thru Fri 9AM - 9PM; Sat 9AM - 5PM; Sun 9AM - 1PM Call for holiday hours. CONTRACTED SERVICES Mt. View Family Care... (801) 546-9441 124 S Fairfield Road, Layton 84041 Mon thru Fri 8AM - 5PM; Sat 9AM - 5PM; Sun 10AM - 2PM Wee Care Pediatrics - Urgent Care... (801) 773-8644 1580 West Antelope Dr Ste 100, Layton 84041 24 Hours Westside Medical-Urgent Care... (801) 774-8888 1792 West 1800 North, Clinton 84015 Mon thru Fri 8AM - 8PM; Sat 9AM - 5PM IRON COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Cedar City InstaCare... (435) 865-3440 962 Sage Drive, Cedar City 84720 Mon thru Sat 9AM - 9PM Call for holiday hours. SALT LAKE COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Holladay InstaCare... (801) 273-6777 3934 South 2300 East, Salt Lake City 84124 Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Memorial InstaCare... (801) 464-7777 2000 S 900 E (Sugarhouse), Salt Lake City 84105 Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Memorial KidsCare... (801) 464-7788 2000 South 900 East, Salt Lake City 84105 Mon thru Fri 5PM - 10PM; Sat thru Sun 12PM - 10PM Intermountain Mountain View Pediatrics KidsCare... (801) 501-9933 9720 S 1300 E Ste. E100, Sandy 84094 Mon thru Fri 5PM - 10PM; Sat thru Sun 12PM - 10PM Intermountain Murray InstaCare...(801) 639-5500 196 E Winchester St, Murray 84107 Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Sandy InstaCare...(801) 576-0176 9493 South 700 East, Sandy 84070 Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Southridge InstaCare...(801) 285-4560 3723 West 12600 South, #150, Riverton 84065 Mon thru Sun 8AM - 10PM Call for holiday hours. Intermountain Southridge KidsCare...(801) 285-4561 3723 West 12600 South, #150, Riverton 84065 Mon thru Fri 5PM - 10PM; Sat thru Sun 12PM - 10PM Intermountain Taylorsville InstaCare...(801) 840-2000 3845 West 4700 South, Taylorsville 84118 Mon thru Sun 8AM - 10PM Call for holiday hours. Intermountain Taylorsville KidsCare...(801) 840-2000 3845 West 4700 South, Taylorsville 84118 Mon thru Fri 5PM - 10PM; Sat thru Sun 8AM - 10PM Intermountain West Jordan InstaCare...(801) 256-6399 2655 West 9000 South, West Jordan 84088 Mon thru Sun 8AM - 10PM Call for holiday hours. Intermountain West Jordan KidsCare...(801) 568-9933 2655 West 9000 South, West Jordan 84088 Mon thru Fri 5PM - 10PM; Sat thru Sun 12PM - 10PM CONTRACTED SERVICES Alta Ski Clinic... Alta Ski Resort, Alta 84092 (walk-ins during ski season only) Brighton Clinic... Brighton Ski Resort, Brighton 84121 (Walk-ins during ski season only) Exodus Health Care-Urgent Care...(801) 250-9638 8211 W 3500 S, Magna 84044 Mon thru Sun 7AM - 10PM Foothill Family Clinic South Urgent Care...(801) 365-1032 6360 S 3000 E Ste 100, Salt Lake City 84121 Mon thru Fri 5PM - 9PM; Sat thru Sun 9AM - 12PM Granger Medical Clinic Urgent Care...(801) 965-3600 3725 W 4100 S, West Valley City 84120 Mon thru Sat 9AM - 9PM Holladay Family Practice After Hours...(801) 268-2584 3920 S 1100 E Ste 220, Salt Lake City 84124 Mon thru Fri 5PM - 6PM; Sat 9AM - 12PM Jordan Valley Family Health...(801) 569-1999 3570 W 9000 S Ste 100, West Jordan 84088 Mon thru Thu 5PM - 9PM; Sat 8:30AM - 12:30PM (Call for appointment) Olympus Clinic-Urgent Care...(801) 277-2682 4624 S Holladay Blvd, Salt Lake City 84117 Mon thru Thu 5PM - 8PM; Sat 8AM - 2PM Riverton Family Health Center-Urgent Care...(801) 254-0309 1756 W 12800 S, Riverton 84065 Mon thru Fri 5PM - 8PM; Sat 9AM - 1PM Snowbird Clinic... Snowbird Ski Resort, Snowbird 84092 (Walk-ins during ski season only) West Jordan Medical Center-Urgent Care...(801) 566-9211 3570 W 9000 S Ste 200, West Jordan 84088 Mon thru Thu 5PM - 8PM; Sat 9AM - 1PM SANPETE COUNTY, UT CONTRACTED SERVICES Mt. Pleasant Family Practice...(435) 462-3471 1100 S Medical Dr., Mount Pleasant 84647 Mon thru Thu 9AM - 9PM; Fri 9AM - 5PM 9

SELECT MED URGENT CARE Questions about a provider? Call Member Advocates or visit our Web site at www.selecthealth.org. SUMMIT COUNTY, UT CONTRACTED SERVICES Park City Healthcare Urgent Care Clinic... (435) 649-7640 1665 Bonanza Dr, Park City 84068 Mon thru Sun 8AM - 9PM Park City Mountain Resort Clinic... (435) 655-7970 Park City Ski Resort, Park City 84060 (Walk-ins during ski season only) Mon thru Fri 9AM - 5PM Summit After Hours Clinic... (435) 647-0700 1665 Bonanza Dr, Park City 84068 Open nightly from 9:00 p.m. to 8:00 a.m. TOOELE COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Tooele InstaCare... (435) 228-1200 777 N Main St., Tooele 84074 Mon thru Sun 9AM - 9PM UTAH COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Highland InstaCare... (801) 763-2900 10968 North Alpine Hwy, Highland 84003 Mon thru Fri 8AM - 8PM; Sat 9AM - 5PM Call for holiday hours. Intermountain North Orem InstaCare... (801) 714-5000 1975 North State Street, Orem 84057 Mon thru Sun 8AM - 10PM Call for holiday hours. Intermountain Provo InstaCare... (801) 357-1770 1134 North 500 West, #102, Provo 84604 Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Springville InstaCare... (801) 429-1200 762 West 400 South, Springville 84663 Mon thru Sun 8AM - 8PM Call for holiday hours. CONTRACTED SERVICES Alpine Pediatrics-Urgent Care... (801) 492-1999 1912 W 930 N, Pleasant Grove 84062 Mon thru Fri 6PM - 10PM Sat-Sun: Call for urgent appointment American Fork Clinic-Urgent Care... (801) 763-3840 226 N 1100 E, American Fork 84003 (Call to arrange Saturday and evening care) Art City Family Medical Center-Urgent Care... (801) 489-8464 5 E 400 N, Springville 84663 Mon thru Fri 6PM - 8PM; Sat 9AM - 12PM Cherry Tree Family Practice-Urgent Care... (801) 224-1300 155 N 400 W Ste B6, Orem 84057 (Call to arrange Saturday and evening care) Lone Peak Pedriatric Clinic-Urgent Care... (801) 492-7851 1888 W 800 N, Pleasant Grove 84062 Spanish Fork Clinic-Urgent Care... (801) 798-7301 325 W Center St, Spanish Fork 84660 Sat 10AM - 5PM Tri City Medical Clinic, Inc.... (801) 756-3511 830 N 2000 W, Pleasant Grove 84062 Mon thru Fri 6PM - 8PM; Sat 10AM - 2PM Utah County Medical Associates - Payson - Urgent... (801) 465-4896 97 S Professional Way, Payson 84651 (Call to arrange Saturday and evening care) Utah County Medical Associates - Springville... (801) 491-9883 269 E 400 S, Springville 84663 (Call to arrange Saturday and evening care) Utah Valley Pediatrics - 800 North... (801) 224-0421 716 W 800 N Ste 30, Orem 84057 Utah Valley Pediatrics - American Fork...(801) 756-5609 1159 E 200 N Ste 200, American Fork 84003 Utah Valley Pediatrics - Orem...(801) 224-4550 171 N 400 W Ste 12, Orem 84057 Utah Valley Pediatrics - Provo- Urgent Care...(801) 373-8930 1055 N 300 W Ste 200, Provo 84604 Utah Valley Pediatrics - University Ave...(801) 373-8930 1355 N University Ave Ste 2, Provo 84604 WASATCH COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Heber Valley Clinic...(435) 657-4400 1473 S Highway 40 Ste E, Heber City 84032 Mon thru Fri 6PM - 9PM; Sat thru Sun 10AM - 2PM WASHINGTON COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Hurricane Valley InstaCare...(435) 635-6550 75 North 2260 West, Hurricane 84737 Mon thru Sat 9AM - 9PM Call for holiday hours. Intermountain River Road InstaCare...(435) 688-6300 577 South River Road, St. George 84790 Mon thru Sun 9AM - 9PM Call for holiday hours. Intermountain Sunset InstaCare...(435) 634-6050 1739 West Sunset Blvd., St. George 84770 Mon thru Sat 9AM - 9PM Call for holiday hours. WEBER COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Herefordshire InstaCare...(801) 387-8100 1915 West 5950 South, Roy 84067 Mon thru Fri 8AM - 9PM; Sat 9AM - 9PM; Sun 1PM - 5PM Call for holiday hours. Intermountain North Ogden InstaCare...(801) 786-7500 2400 North Washington Blvd, North Ogden 84414 Mon thru Sat 9AM - 9PM; Sun 9AM - 5PM Call for holiday hours. Intermountain Northern Utah KidsCare...(801) 387-4500 4403 Harrison Blvd., Suite 4875, Ogden 84403 Mon thru Fri 5PM - 9PM; Sat thru Sun 10AM - 4PM Intermountain South Ogden InstaCare...(801) 387-6200 975 E Chambers Street, South Ogden 84403 Mon thru Fri 9AM - 9PM; Sat 9AM - 5PM; Sun 9AM - 1PM Call for holiday hours. CONTRACTED SERVICES Children's Evening Clinic...(801) 479-0174 5495 S 500 E Ste 120, Ogden 84405 Mon thru Fri 5PM - 9PM; Sat 9AM - 2PM Ogden Clinic-Urgent Care...(801) 475-3433 4650 Harrison Blvd, Ogden 84403 Mon thru Fri 5PM - 9PM Snowbasin Ski Clinic...(801) 620-1040 Snowbasin Ski Resort, Huntsville 84317 (Walk-ins during ski season only) 10

SELECT MED SPECIALTY SELECT SERVICES MED SPECIALTY & OUTPATIENT SERVICES & OUTPATIENT CENTERS Questions about a provider? Call Member Advocates or visit our Web site at www.selecthealth.org. BEHAVIORAL HEALTH INTERMOUNTAIN OWNED SERVICES McKay-Dee Behavioral Health Institute (BHI)... (801) 387-5600 5030 Harrison Blvd, Ogden 84403 Primary Children's Behavioral Health -Salt Lake... (801) 662-5592 675 East 500 South, Suite 330, Salt Lake City 84102 Primary Children's Behavioral Health-Research Park... (801) 662-6400 497 Colorow Way, Salt Lake City 84108 Primary Children's Behavioral Health-Wasatch... (801) 662-7000 5770 South 1500 West, Salt Lake City 84123 Psychiatry and Counseling Service - Avenues... (801) 408-8500 324 10th Ave, Ste 154, Salt Lake City 84103 Psychiatry and Counseling Service - Union Park... (801) 233-4200 1225 E Fort Union Blvd, Ste 215, Midvale 84047 Southern Utah Behavioral Health... (435) 688-5588 515 South 300 East, Suite 109, St. George 84770 BREAST PROSTHETICS CONTRACTED SERVICES Carol's Personal Mastectomy Boutique... (801) 483-1262 3165 S Main Street, Salt Lake City 84115 Carol's Post Mastectomy Specialist - St. George... (435) 688-0452 330 E 600 S, St. George 84770 Debra Lynn's Post Mastectomy Specialties... (801) 393-2885 160 W 36th St., Ogden 84405 DIABETES MANAGEMENT SERVICES INTERMOUNTAIN OWNED SERVICES American Fork Hospital Diabetes Management Clinic... (801) 855-3471 170 North 1100 East, American Fork 84003 Bear River Valley Diabetes Education... (435) 716-5329 440 West 600 North, Tremonton 84337 Bryner Diabetes Clinic... (801) 519-7192 525 East 100 South Suite 500, Salt Lake City 84102 Budge Diabetes Clinic... (435) 792-1710 1350 North 500 East, Logan 84341 Cottonwood Endocrine and Diabetes Center... (801) 314-4500 5770 S 250 E Ste 310, Murray 84107 Dixie Regional Medical Center Diabetes Clinic... (435) 251-2888 736 South 900 East Suite 107, St. George 84790 Heber Valley Diabetes Management Clinic... (435) 654-2500 1485 South Highway 40, Heber City 84032 Internal Medicine Associates Diabetes Clinic... (801) 572-1472 9844 South 1300 East #200, Sandy 84094 Logan Regional Diabetes Education... (435) 716-5329 1400 North 500 East, Logan 84341 McKay-Dee Endocrine and Diabetes Clinic... (801) 387-7900 4403 Harrison Blvd. # 3630, Ogden 84403 Memorial Diabetes Clinic... (801) 464-7667 2000 South 900 East, Salt Lake City 84105 Primary Children's Medical Center Diabetes Clinic... (801) 587-3922 615 Arapeen Dr Ste 100, Salt Lake City 84108 Salt Lake Diabetes Clinic... (801) 535-8398 333 South 900 East, Salt Lake City 84105 Sandy Diabetes Clinic... (801) 501-2120 9500 South 1300 East, Sandy 84094 Sevier Valley Medical Center Diabetes Management Clinic... (435) 893-0371 1100 North Main, Richfield 84701 Taylorsville Health Center Diabetes Clinic... (801) 840-2100 3845 West 4700 South, Taylorsville 84118 Valley View Medical Center Diabetes Clinic... (435) 586-7029 110 West 1325 North Suite 100, Cedar City 84721 West Jordan Health Center Diabetes Clinic... (801) 256-6343 2655 West 9000 South, West Jordan 84088 INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Utah Valley Diabetes Management Clinic...(801) 357-7546 1134 North 500 West Suite 103, Provo 84604 DIALYSIS CENTERS INTERMOUNTAIN OWNED SERVICES Intermountain Bridgerland Dialysis Center...(435) 716-2918 1400 North 500 East, Logan 84341 Intermountain Central Valley Dialysis Center...(801) 408-2950 880 East 3900 South, Salt Lake City 84107 Intermountain Sevier Valley Dialysis...(435) 893-0358 1000 North Main, Ste D, Richfield 84701 Intermountain Tooele Valley Dialysis Center...(801) 408-1430 196 East 2000 North #112, Tooele 84074 Intermountain Utah Dialysis Center...(801) 408-1400 1000 South Main Street, Suite 105, Salt Lake City 84101 CONTRACTED SERVICES Bonneville Dialysis Center...(801) 479-0351 5575 S 500 E, Ogden 84405 Burley Dialysis Center-Davita...(208) 677-5483 2303 Park Ave, Burley 83318 Castleview Dialysis Center...(435) 637-8696 955 Hospital Dr., Price 84501 Davita...(800) 400-8331 For other locations nationally, Salt Lake City 84101 Dixie Dialysis Center...(435) 656-0857 720 S River Rd, Ste D1100, St. George 84770 Farmington Bay Dialysis...(801) 593-9111 942 S Main, Layton 84041 Idaho Kidney Center...(208) 478-5600 444 Hospital Way Ste 600, Pocatello 83201 Intermountain Pediatric Dialysis...(801) 581-4561 50 N Medical Dr, #PA 220, Salt Lake City 84112 Iron Mission Dialysis Center...(435) 867-8175 1277 N Northfield Rd, Cedar City 84720 Liberty Dialysis... Visit www.libertydialysis.com for locations, Salt Lake City 84101 Liberty Dialysis - Layton...(801) 779-6100 2132 N 1700 W Ste G, Layton 84041 Liberty Dialysis - Ogden...(801) 394-1230 4780 Old Post Rd, Ogden 84405 Liberty Dialysis - St. George...(435) 652-7154 1173 S 250 W Ste 406, St. George 84770 Liberty Dialysis - West Jordan...(801) 280-0444 3823 W 9000 S Ste. D, West Jordan 84088 Liberty Dialysis - Woods Cross...(801) 292-2658 572 W 750 S, Bountiful 84010 Lone Peak Dialysis (Davita)...(801) 763-1304 1175 E 50 S Ste 111, American Fork 84003 Mark Lindsay Dialysis Center...(801) 479-4460 1151 E Country Hills Dr, Ogden 84403 Oquirrh Artificial Kidney Center...(801) 417-9900 2496 W 4700 S, Taylorsville 84118 South Mountain Dialysis...(801) 253-9696 10969 S Riverfront Parkway, South Jordan 84095 Timpanogos Dialysis - Da Vita...(801) 356-8907 852 North 500 West #200, Provo 84604 Uintah Basin Medical Center - Roosevelt Dialysis...(435) 722-5056 384 N 100 W, Roosevelt 84066 Uintah Basin Medical Center - Vernal Dialysis...(435) 781-2335 224 E 500 S, Vernal 84079 Utah Valley Dialysis - DaVita...(801) 373-5400 1055 North 500 West #221, Provo 84604 Wasatch Artificial Kidney Center...(801) 747-0880 650 E 4500 S Ste 100, Murray 84107 Weber Valley Dialysis...(801) 731-4178 1920 W 250th N, Marriott 84404 West Bountiful Dialysis-Davita...(801) 296-9091 724 W 500 S, Ste 300, West Bountiful 84087 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

SELECT MED SPECIALTY SERVICES & OUTPATIENT CENTERS Questions about a provider? Call Member Advocates or visit our Web site at www.selecthealth.org. DURABLE MEDICAL EQUIPMENT INTERMOUNTAIN OWNED SERVICES Intermountain Homecare Equipment - Bountiful... (801) 294-0636 1440 South 500 West, Bountiful 84010 Intermountain Homecare Equipment - Cedar City... (435) 868-5851 1333 N Main St. Ste. 102, Cedar City 84721 Intermountain Homecare Equipment - Fillmore/Delta... (435) 864-2545 25 N Main St., Fillmore 84631 Intermountain Homecare Equipment - Heber... (435) 657-4323 175 N Main St. Ste. 104, Heber City 84032 Intermountain Homecare Equipment - IMED... (801) 507-9100 5171 S. Cottonwood St. Ste. 150, Murray 84107 Intermountain Homecare Equipment - Logan... (435) 716-5396 1300 N 200 E Ste. 106, Logan 84341 Intermountain Homecare Equipment - Main Office... (801) 977-9900 2250 S 1300 W Ste. A, Salt Lake City 84119 Intermountain Homecare Equipment - Mt. Pleasant... (435) 462-3431 130 W Main St, Mount Pleasant 84647 Intermountain Homecare Equipment - Ogden... (801) 622-5150 4387 S Harrison Blvd Ste D5, Ogden 84403 Intermountain Homecare Equipment - Provo... (801) 357-8250 289 West 1230 North, Provo 84604 Intermountain Homecare Equipment - Richfield... (435) 896-5884 45 E 500 N, Richfield 84701 Intermountain Homecare Equipment - St. George... (435) 251-2323 1424 E Foremaster Dr. Ste. 130, St. George 84790 CONTRACTED SERVICES Advanced Respiratory... (800) 426-4224 (Home Delivery Services Only), Salt Lake City 84101 Advanced Tissue... (866) 217-9900 (home delivery services only), Salt Lake City 84101 CCS Medical... (800) 726-9811 (Home delivery services only), Salt Lake City 84101 Dexcom... (877) 339-2664 (Continuous Glucose Monitoring Supplies & Equipment Only), Salt Lake City 84101 Diabetes Specialty Center - Arapeen Drive... (801) 587-3670 615 Arapeen Drive #100, Salt Lake City 84108 Diabetes Specialty Center - Ogden... (801) 392-2362 3955 Harrison Blvd, Ogden 84403 Diabetes Specialty Center - Provo... (801) 377-1487 1254 N State St, Provo 84604 Diabetes Specialty Center - State Street... (801) 268-9699 3793 S State Street, Salt Lake City 84115 DJO... (800) 321-9549 (Home delivery services only), Salt Lake City 84101 Dynasplint... (800) 262-8828 (Home delivery services only), Salt Lake City 84101 EBI... (800) 526-2579 Home delivery only., Salt Lake City 84101 Edgepark Surgical... (800) 321-0591 (Home delivery services only), Salt Lake City 84101 Empi... (800) 328-2536 (home delivery services only), Salt Lake City 84101 Intermountain Orthopedic Care... (801) 376-9004 680 W 800 N Ste 100, Orem 84097 Joint Active Systems... (801) 944-6309 (Home delivery services only), Salt Lake City 84101 JQ Medical... (801) 942-8582 6910 Highland Dr. Ste. 4, Cottonwood 84121 KCI, USA (wound vacs & supplies only)... (888) 275-4524 1761 S 900 W, Ste 75, Salt Lake City 84104 Medicor... (801) 942-5543 2469 E Fort Union Blvd, Salt Lake City 84121 National DME... (888) 809-5968 7757 Allen St., Midvale 84047 Norco, Inc. - Burley... (208) 678-8558 198 North Overland, Burley 83318 Orthofix... (800) 535-4492 (Home delivery services only), Salt Lake City 84101 Otto Bock Orthopedic Services...(800) 736-8276 1348 East 3300 South, #102, Salt Lake City 84106 Petersen Medical - Blanding...(801) 373-1010 145 S Main St, Blanding 84511 Petersen Medical - Orem...(801) 373-1010 1268 S 1380 W, Orem 84058 (Diabetes, ostomy, wound supplies, breast prosthetics only) Respirtech...(800) 793-1261 (Home delivery services only), Salt Lake City 84101 Smith & Nephew...(800) 821-5700 (home delivery services only), Salt Lake City 84111 Southern Utah Home Oxygen & Medical Equipment...(435) 673-8666 640 E 700 S #101, St. George 84770 Southern Utah Home Oxygen & Medical Equipment....(435) 867-0301 (Product Showroom at St. George Location), Cedar City 84720 Southern Utah Home Oxygen & Medical Equipment.....(435) 635-9029 (Products Showroom at St. George Location), Hurricane 84737 Symbius Medical...(801) 576-8888 427 W Universal Cir, Sandy 84070 (ostomy, diabetic, and catheter supplies only) Uintah Basin Home Health Sup....(435) 722-2418 26 West 200 North, #78-15, Roosevelt 84066 Western Diabetic Supplies...(877) 937-8342 3293 Harrison Blvd, Ste 210, Ogden 84403 EXPRESSCARE CLINICS INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain ExpressCare - Draper...(801) 571-4666 212 E 12300 S, Draper 84020 (Located inside Smith's Food & Drug) Intermountain ExpressCare - Farmington...(801) 447-3361 1316 N Highway 89, Farmington 84025 (Located inside Smith's Food & Drug) Intermountain ExpressCare - Salt Lake City...(801) 466-3102 3215 S. Valley Street (3300 East), Salt Lake City 84109 (Located inside Smith's Marketplace) HOME HEALTH & HOSPICE INTERMOUNTAIN OWNED SERVICES Intermountain Homecare - Cedar City...(435) 868-5852 1333 N Main St. Ste. 102, Cedar City 84721 Intermountain Homecare - Fillmore/Delta...(435) 743-5430 25 N. Main St., Fillmore 84631 Intermountain Homecare - Heber...(435) 657-4323 175 N. Main, Suite 101, Heber City 84032 Intermountain Homecare - Logan...(435) 716-5477 550 E 1400 N, Ste G, Logan 84341 Intermountain Homecare - Mt. Pleasant...(435) 462-3431 130 West Main St, Mount Pleasant 84647 (Sanpete and Millard Counties) Intermountain Homecare - Ogden...(801) 399-1400 3776 Wall Ave, Ogden 84405 (Weber, Davis, and Morgan Counties) Intermountain Homecare - Orem...(801) 225-0584 1165 South 800 East, Orem 84097 Intermountain Homecare - Richfield...(435) 893-0371 70 East 1000 North, Richfield 84701 Intermountain Homecare - Salt Lake City...(801) 977-9900 2250 South 1300 West, Ste A, Salt Lake City 84119 (Salt Lake, Wasatch, and Summit Counties) Intermountain Homecare - St. George...(435) 251-2367 1424 E. Foremaster Dr., St. George 84790 (Washington, Garfield, Piute, and Kane Counties) CONTRACTED SERVICES Beaver Valley Home Health...(435) 438-5481 171 Main St, Beaver 84713 Community Nursing Service - Moab...(435) 259-0466 1030 S Bowling Alley Ln, Moab 84532 12 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

SELECT MED SPECIALTY SELECT SERVICES MED SPECIALTY & OUTPATIENT SERVICES & OUTPATIENT CENTERS Questions about a provider? Call Member Advocates or visit our Web site at www.selecthealth.org. Community Nursing Service - Murray... (801) 233-6100 383 W Vine St Ste 300, Murray 84123 Community Nursing Service - Price... (435) 613-8887 480 S Carbon Ave, Price 84501 Community Nursing Service - Providence... (435) 752-3355 221 Springcreek Pkwy, Ste G, Providence 84332 Community Nursing Service - Provo... (801) 224-8138 667 N 1890 W, Provo 84601 Community Nursing Service - Salt Lake... (801) 747-1307 1255 E 3900 S, Salt Lake City 84124 Community Nursing Service - St. George... (435) 652-9077 720 S River Rd Ste E101, St. George 84790 Community Nursing Service - Tooele... (435) 882-3913 601 N Main St, Tooele 84074 Community Nursing Service - West Jordan... (801) 967-9207 6271 S Dixie Dr, Ste 200, West Jordan 84084 Community Nursing Services - Layton... (801) 774-4960 2179 N Robins Rd, Ste. 1, Layton 84041 Community Nursing Services - South Ogden... (801) 476-0088 425 E 5350 S Ste. 110, South Ogden 84405 Gunnison Valley Home Health... (435) 528-7246 64 E 100 N, Gunnison 84634 Mountain West Home Health... (435) 882-4163 1887 N Aaron Dr, Ste D, Tooele 84074 Southern Utah Home Care & Hospice - Cedar City... (435) 586-9400 337 S Main #210, Cedar City 84720 Southern Utah Home Care & Hospice - Enterprise... (435) 878-2024 737 E Main, Enterprise 84725 Southern Utah Home Care & Hospice - Hildale... (435) 874-2333 1280 W Utah Ave. Ste. 101, Hildale 84784 Southern Utah Home Care & Hospice - Hurricane... (435) 635-9300 51 N 1000 W #6, Hurricane 84737 Southern Utah Home Care & Hospice - Kanab... (435) 644-2200 60 S 100 E Ste.1, Kanab 84741 Southern Utah Home Care & Hospice - St. George... (435) 673-8666 640 E 700 S #101, St. George 84770 Uintah Basin Home Health... (435) 722-2418 26 W 200 N Box 78-15, Roosevelt 84066 IMAGING CENTERS INTERMOUNTAIN OWNED SERVICES Alta View Hospital Imaging Center... (801) 501-2744 9660 South 1300 East, Sandy 84094 American Fork Hospital Imaging Center... (801) 855-3350 170 North 1100 East, American Fork 84003 Bear River Valley Hospital Imaging Center... (435) 207-4550 905 North 1000 West, Tremonton 84337 Delta Community Medical Center Imaging... (435) 864-5591 126 South White Sage Avenue, Delta 84624 Dixie Regional Medical Center (400 East) Imaging... (435) 688-4000 544 South 400 East, St. George 84770 Dixie Regional Medical Center (River Road) Imaging... (435) 251-1000 1380 East Medical Center Drive, St. George 84790 Fillmore Community Medical Center Imaging... (435) 743-5591 674 south Highway 99, Fillmore 84631 Heber Valley Medical Center Imaging Center... (435) 654-2500 1485 South Hwy 40, Heber City 84032 Intermountain Layton Clinic - Imaging Center... (801) 387-7200 2075 University Park Blvd (1200 W), Layton 84041 Intermountain Medical Center Imaging... (801) 507-7000 5121 Cottonwood Street, Murray 84157 LDS Hospital Imaging Center... (801) 408-1100 8th Avenue & C Street, Salt Lake City 84103 Logan Regional Hospital Imaging Center... (435) 716-1000 1400 North 500 East, Logan 84341 McKay-Dee Hospital Center Imaging Center... (801) 387-7200 4401 Harrison Blvd, Ogden 84403 North Ogden Clinic... (801) 786-7500 2400 North Washington Blvd, Ogden 84414 (MRI, Ultrasound, Mammography) Orem Community Hospital Imaging Center...(801) 224-4080 331 North 400 West, Orem 84057 Primary Children's Medical Center Imaging Center...(801) 588-2000 100 Mario Capecchi Dr., Salt Lake City 84113 Salt Lake Clinic Imaging Center...(801) 535-8221 333 South 900 East, Salt Lake City 84102 Sanpete Valley Hospital Imaging Center...(435) 462-2441 1100 South Medical Drive, Mount Pleasant 84647 Sevier Valley Medical Center Imaging...(435) 896-8271 1000 North Main, Richfield 84701 Taylorsville Clinic MRI...(801) 840-2100 3845 W 4700 S, Taylorsville 84118 TOSH - Imaging Services...(801) 314-4100 5848 S 300 E, Murray 84107 Utah Valley Regional Medical Center Imaging Center...(801) 357-7850 1034 North 500 West, Provo 84604 Valley View Medical Center Imaging Center...(435) 868-5000 1303 N Main, Cedar City 84720 INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Budge Clinic Imaging Center...(435) 752-1558 1350 N 500 E, Logan 84341 CONTRACTED SERVICES Allen Memorial Hospital Imaging Center...(435) 259-7191 719 W 400 N, Moab 84532 Ashley Valley Medical Center Imaging Center...(435) 789-3342 151 West 200 North, Vernal 84078 Beaver Valley Hospital Imaging Center...(435) 438-7172 1109 North 100 West, Beaver 84713 Central Valley Medical Center Imaging Center...(435) 623-3000 48 West 1500 North, Nephi 84648 Davis Hospital & Medical Center Imaging Center...(801) 807-1000 1600 West Antelope Drive, Layton 84041 Franklin County Medical Center Imaging Center...(208) 852-0137 44 North 100 East, Preston 83263 (Facility only has a CT scan, not an MRI) Garfield Memorial Hospital Imaging Center...(435) 676-8811 200 North 400 East, Panguitch 84759 (Facility only has a CT scan, not an MRI) Gunnison Valley Hospital Imaging Center...(435) 528-7246 64 East 100 North, Gunnison 84634 Holorad, Inc....(801) 983-6075 2929 S Main St, Salt Lake City 84115 Kane County Hospital Imaging Center...(435) 644-5811 355 North Main, Kanab 84741 (Facility only has a CT scan, not an MRI) Kings Medical Imaging...(801) 288-9671 6243 S Redwood Rd, Suite 130, Taylorsville 84123 (Facility only has an MRI, not a CT scan) Mountain Medical Imaging Center...(801) 713-0600 5323 S Woodrow St, Murray 84107 Mountain West Medical Center Imaging Center...(435) 843-3600 2055 North Main Street, Tooele 84074 Oneida County Hospital Imaging Center...(208) 766-2231 150 North 200 West, Malad City 83252 (facility only has a CT scan) Riverwoods Advanced Diagnostic Imaging Center...(801) 229-2002 280 W Riverpark Dr. Ste 100, Provo 84604 San Juan Hospital - Imaging Center...(435) 587-2116 380 W 100 N, Monticello 84535 Southern Utah MRI...(435) 865-9293 1335 North Northfield Rd, Suite 100, Cedar City 84720 (Facility only has an MRI, not a CT scan) Uintah Basin Medical Center Imaging Center...(435) 722-4691 250 West 300 North, Roosevelt 84066 Utah Valley Obstetrical Ultrasound...(801) 420-2449 394 W 800 N, Provo 84604 Wasatch Imaging...(801) 576-1290 9844 South 1300 East, Suite 175, Sandy 84094 Western Neurological Associates...(801) 262-3441 1151 East 3900 South, Suite B-150, Holladay 84124 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

SELECT MED SPECIALTY SERVICES & OUTPATIENT CENTERS Questions about a provider? Call Member Advocates or visit our Web site at www.selecthealth.org. LABORATORY DRAW CENTERS INTERMOUNTAIN OWNED SERVICES Alta View Hospital Lab Draw Center... (801) 501-5041 9660 South 1300 East, Sandy 84094 Alta View Life Center Draw Station... (801) 553-3278 9844 South 1300 East, Suite 200, Sandy 84094 Alta View Women's Center Lab Draw Center... (801) 501-2550 9600 S 1300 E Ste. 304, Sandy 84094 American Fork Clinic Lab Draw Center... (801) 855-3869 266 North 1100 East, American Fork 84003 American Fork Copper Peaks Medical Plaza Lab Draw... (801) 855-4370 1159 E 200 N Ste 150A, American Fork 84003 American Fork Hospital Lab Draw Center... (801) 763-3387 170 North 1100 East, American Fork 84003 Bear River Valley Hospital Lab Draw Center... (435) 257-4338 440 W 600 N, Tremonton 84337 Cassia Regional Medical Center Lab Draw Center... (208) 677-6490 1501 Hiland Avenue, Burley 83318 Cedar City Outpatient Draw Station... (435) 867-8894 110 W 1325 N Ste 100, Cedar City 84721 Cottonwood Medical Office Building Lab Draw... (801) 314-4103 5770 S 250 E, Murray 84107 Delta Community Medical Center Lab Draw Center... (435) 864-5591 126 South White Sage Avenue, Delta 84624 Dixie Regional Medical Center Lab Draw Center... (435) 688-5022 544 S 400 E, St. George 84770 Eccles Outpatient Pavilion... (801) 507-3036 5169 S Cottonwood St Ste 110, Murray 84157 Fillmore Community Medical Center Lab Draw Center... (435) 743-5591 674 South Highway 99, Fillmore 84631 Gardner Women's Center Lab Draw Clinic... (801) 507-7447 5063 South Cottonwood St. Suite 222, Murray 84157 Gardner Women's Center Level 4 Lab Draw Clinic... (801) 507-7091 5063 South Cottonwood St. Suite 410, Murray 84157 Garfield Memorial Hospital Lab Draw Center... (435) 676-8811 200 North 400 East, Panguitch 84759 Heber Valley Medical Center Lab Draw Center... (435) 657-4392 1485 South Highway 40, Heber City 84032 Hurricane Valley Clinic... (435) 688-5022 75 North 2260 West, Hurricane 84737 Intermountain Holladay Clinic Lab Draw Center... (801) 273-5019 1955 East 5600 South, Holladay 84117 Intermountain Layton Lab Draw Center... (801) 779-6379 2075 University Park Blvd (1200 W), Layton 84041 Intermountain River Road Clinic Lab... (435) 688-6312 577 S River Rd, St. George 84770 Intermountain Taylorsville Lab... (801) 840-2060 3845 W 4700 S, Taylorsville 84118 LDS Hospital Lab Draw Center... (801) 408-1152 8th Avenue & C Street, Salt Lake City 84103 LDS Physicians Office Building Lab Draw Center... (801) 408-1248 324 10th Avenue Ste. 107, Salt Lake City 84103 LDSH Temple Medical Center Lab Draw Clinic... (801) 408-5924 508 E South Temple Ste. 15, Salt Lake City 84102 Life Center... (801) 553-3278 9844 South 1300 East, Sandy 84094 Logan Regional Hospital Lab Draw Center... (435) 716-5401 500 East 1400 North, Logan 84341 McKay-Dee Hospital Center Lab Draw Center... (801) 387-7300 4401 Harrison Boulevard, Ogden 84403 Orem Community Hospital Lab Draw Center... (801) 714-3216 331 North 400 West, Orem 84057 Park City Medical Center Lab Draw Center... (435) 658-7030 900 Round Valley Dr., Park City 84060 Primary Children's Lab Draw Center... (801) 588-3100 100 Mario Capecchi Dr., 2nd Floor, Salt Lake City 84113 Primary Children's Outpatient Draw Station... (801) 662-2122 100 Mario Capecchi Dr., Salt Lake City 84113 Primary Children's-Riverton Outpatient Draw Center... (801) 285-1001 3773 W 12600 S, Riverton 84065 River Road Health Center Lab Draw Clinic...(435) 688-6312 577 S River Road, St. George 84790 River Road Outpatient Services Lab Draw Center...(435) 688-6312 1380 East Medical Drive, St. George 84790 Riverton Hospital Lab Draw Center...(801) 285-2240 3773 West 12600 South, Riverton 84065 Salt Lake Clinic Lab Draw Center...(801) 535-8333 333 South 900 East, Salt Lake City 84102 Sandy Life Centre Draw Station...(801) 553-3278 9844 S 1300 E, Ste 230, Sandy 84094 Sanpete Valley Hospital Lab Draw Center...(435) 462-4139 1100 South Medical Drive, Mount Pleasant 84647 Sevier Valley Medical Center Lab Draw Center...(435) 893-0242 1100 North Main, Richfield 84701 Utah Valley Regional Lab Draw Center...(801) 357-7041 1034 North 500 West, Provo 84604 Valley View Medical Center Lab Draw Center...(435) 868-5081 1303 North Main, Cedar City 84720 CONTRACTED SERVICES Genomic Health...(888) 401-4363 (Reference Genetic Labs Only), Salt Lake City 84101 LabCorp - Bountiful Service Center...(801) 296-2265 185 S 400 E Ste. 101, Bountiful 84010 LabCorp - Hidden Valley Medical Center...(801) 495-9514 12176 S 1000 E, Draper 84020 LabCorp - Main Lab...(801) 288-9000 5199 S Green St, Salt Lake City 84123 LabCorp - Medical Towers...(801) 355-8559 1060 E 100 S Ste L-7, Salt Lake City 84102 LabCorp - National Locations...(800) 444-4522 For other locations nationally, Salt Lake City 84101 LabCorp - Ogden Service Center...(801) 475-7195 6028 S Ridgeline Dr Ste. 203, South Ogden 84405 LabCorp - Parkview...(801) 281-9803 1151 E 3900 S Ste B165, Salt Lake City 84124 LabCorp - Salt Lake City Service Center...(801) 281-9581 348 E 4500 S Ste 210, Salt Lake City 84107 LabCorp - Springville...(801) 489-1006 269 E 400 S, Ste 102, Springville 84663 LabCorp - St. George Service Center...(435) 673-8266 1490 E Foremaster Dr Ste 230, St. George 84770 LabCorp - St. Marks Service Center...(801) 264-9675 1250 E 3900 S Bldg B Ste 302, Salt Lake City 84124 LabCorp - Tooele...(435) 882-7106 2356 N 400 E #204, Tooele 84074 Myriad Genetic Laboratories, Inc....(801) 584-3600 320 Wakara Wy, Salt Lake City 84108 Prometheus Laboratories...(888) 423-5227 (Reference Genetics Labs Only), Salt Lake City 84101 Transgenomic...(866) 326-4546 (Reference Genetic Labs Only), Salt Lake City 84101 MEDICAL / PHYSICIAN CLINICS INTERMOUNTAIN OWNED SERVICES Adult Congenital Heart Clinic...(801) 507-4000 5121 Cottonwood Street, Murray 84157 Cardiology Speciality Clinic...(801) 507-4000 5121 Cottonwood Street, Murray 84157 INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain McKay-Dee Wound and Hyperbaric Clinic...(801) 387-4870 4403 Harrison Blvd,, #2600, Ogden 84403 CONTRACTED SERVICES Intermountain Vein Center...(801) 379-6700 1055 N 300 W Ste. 308, Provo 84604 14 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

SELECT MED SPECIALTY SELECT SERVICES MED SPECIALTY & OUTPATIENT SERVICES & OUTPATIENT CENTERS Questions about a provider? Call Member Advocates or visit our Web site at www.selecthealth.org. PHYSICAL THERAPY & REHABILITATION INTERMOUNTAIN OWNED SERVICES Intermountain Hearing & Balance Center... (801) 595-1700 230 S 500 E Ste 150, Salt Lake City 84102 Intermountain Neuro Rehabilitation (LDS Hospital)... (801) 408-5489 8th Ave and C St, Salt Lake City 84143 Intermountain Neuro Rehabilitation (TOSH)... (801) 314-4736 5801 S Fashion Blvd, Murray 84107 Intermountain Physical Therapy at Bountiful... (801) 294-1155 280 N Main St, Bountiful 84010 Intermountain Physical Therapy at Layton... (801) 779-6366 2075 University Park Blvd, Layton 84041 Intermountain Physical Therapy at Memorial... (801) 464-7888 2000 S 900 E, Salt Lake City 84105 Intermountain Physical Therapy at South Jordan... (801) 253-5970 11444 S Redwood Road, South Jordan 84095 Intermountain Physical Therapy at South Valley... (801) 553-9330 834 E 9400 S, Sandy 84094 Intermountain Physical Therapy at Taylorsville... (801) 840-2191 3845 W 4700 S, Taylorsville 84118 Intermountain Physical Therapy at West Jordan... (801) 256-6430 2655 W 9000 S, West Jordan 84088 LDS Hospital Geriatric Clinic Rehab... (801) 408-8600 8th Avenue & C Street, Salt Lake City 84103 LDS Hospital Physical Therapy... (801) 408-2034 8th Avenue & C Street, Salt Lake City 84103 Logan Regional Hospital Physical Therapy & Sports Medicine (435) 716-2880 1400 N 500 E Ste 120, Logan 84321 Logan Regional Pediatric Physical Therapy... (435) 716-6440 1400 N 550 E Ste W, Logan 84321 Logan Regional Physical Therapy - USU... (435) 797-8074 USU Student Health & Wellness 1250 North 850 East, Logan 84321 Logan Regional Spine Clinic & Industrial Medicine Therapy Cl... (435) 716-5310 1400 N 500 E, Logan 84321 McKay-Dee Sports Medicine... (801) 387-2775 4401 Harrison Boulevard Ste. 2440, Ogden 84403 McKay-Dee Stewart Rehabilitation Center - Layton... (801) 779-6966 2075 University Park Blvd, Layton 84041 McKay-Dee Stewart Rehabilitation Center - Ogden... (801) 387-2080 3903 Harrison Blvd, Ste 400, Ogden 84403 Neuro Science Outpatient Clinic... (801) 507-9800 5121 S Cottonwood St, Murray 84157 Park City Medical Center Physical Therapy... (435) 658-7350 900 Round Valley Drive, Park City 84060 South Cache Valley Physical Therapy... (435) 755-3360 191 S Highway 165, Providence 84332 TOSH Physical Therapy - Kearns... (801) 955-0331 5662 S 4800 W, Kearns 84118 TOSH Physical Therapy - Murray... (801) 314-4040 5848 S 300 E, Murray 84107 Utah Valley Regional Med. Center Physical Therapy... (801) 357-7540 1034 N 500 W, Provo 84604 PROSTHETICS & ORTHOTICS CONTRACTED SERVICES Center for Prosthetics, Inc.... (801) 364-0083 508 E South Temple, Ste. 320, Salt Lake City 84102 Eye Prosthetics of Utah... (801) 942-1600 7050 South 2000 East, Suite 220, Salt Lake City 84121 FitWell Prosthetic and Orthotic Center-Ogden... (801) 334-6000 4699 South Harrison Blvd Ste. 302, Ogden 84403 FitWell Prosthetic and Orthotic Center-St. George... (435) 634-0070 720 South River Rd Ste. B205, St. George 84790 FitWell Prosthetics and Orthotic Center-Salt Lake... (801) 364-3100 50 South 900 East Ste. 1, Salt Lake City 84102 Hanger Prosthetics & Orthotics - Provo... (801) 356-1830 1355 N University Ave, Ste 160, Provo 84604 Hanger Prosthetics & Orthotics - Salt Lake...(801) 266-7768 5292 S College Dr Ste 103, Salt Lake City 84123 Hanger Prosthetics & Orthotics - St. George...(435) 673-6449 630 S 400 E Ste 102, St. George 84770 Insight Orthotics & Prosthetics...(801) 269-1030 457 W 4800 S, Salt Lake City 84123 Jenco Prosthetics & Orthotics...(801) 566-5795 7026 S Commerce Park Dr. Ste. 2, Midvale 84047 Jenco Prosthetics & Orthotics-Logan...(435) 750-6579 1153 N Main Street Ste. B-140, Logan 84341 Northwest Orthotics Prosthetics...(801) 377-3433 1675 North 200 West, Bldg 12-C, Provo 84604 Ogden Prosthetics Orthotics...(801) 392-5999 3585 Harrison Blvd, Suite 100, Ogden 84403 Peak Prosthetic Designs, Inc...(801) 972-5270 1751 W Alexander St Ste. 20, Salt Lake City 84119 Rocky Mountain Artificial Limb & Brace...(435) 753-5100 1515 N 400 E Ste 100, Logan 84341 Shields Orthotic Prosthetic Services - Ogden...(801) 475-4428 5687 S Harrison Blvd, Ogden 84403 Shields Orthotic Prosthetic Services - Salt Lake City...(801) 467-5483 2785 East 3300 South, Salt Lake City 84109 Utah Prosthetic and Orthotic - St. George...(435) 688-9338 350 E 600 S, St. George 84770 Wasatch Orthotics & Pedorthics...(801) 293-8777 887 E Vine St, Salt Lake City 84107 PUBLIC HEALTH CLINICS CONTRACTED SERVICES Bear River Health Department- Brigham City...(435) 734-0845 817 West 950 South, Brigham City 84302 (Contracted for Immunizations Only) Bear River Health Department- Logan...(435) 792-6500 655 East 1300 North, Logan 84341 (Contracted for Immunizations Only) Bear River Health Department- Randolph...(435) 793-2445 275 North Main, Randolph 84064 (Contracted for Immunizations Only) Bear River Health Department- Tremonton...(435) 257-3318 125 South 100 West, Tremonton 84337 (Contracted for Immunizations Only) Central Utah Public Health Department...(435) 896-5451 70 Westview Dr, Richfield 84701 (Immunizations Only) Davis County Health Department...(801) 525-5000 22 S State St., Clearfield 84015 (Contracted for Immunizations Only) Salt Lake Valley Health Department - Ellis R Shipp Ctr...(801) 963-7335 4535 S 5600 W, West Valley City 84120 Salt Lake Valley Health Department - Rose Park Center...(801) 521-0778 1625 W 700 N #H, Salt Lake City 84116 Salt Lake Valley Health Department - SLC Center...(801) 534-4568 610 S 200 E, Salt Lake City 84111 Salt Lake Valley Health Department - South Main...(801) 468-3690 3690 S Main Street, Salt Lake City 84115 Salt Lake Valley Health Department - Southeast Center...(801) 255-7114 9340 S 700 E, Sandy 84070 Southeastern UT Health Department-Carbon County...(435) 637-3671 28 South 100 East, Price 84501 Southeastern UT Health Department-Emery County...(435) 381-2252 25 West Main, Castle Dale 84513 Southeastern UT Health Department-Grand County...(435) 259-5602 471 South Main #4, Moab 84532 Southeastern UT Health Department-San Juan County...(435) 678-2723 196 East Center, Blanding 84511 Southeastern UT Health Dept -San Juan County...(435) 587-2021 117 South Main, Monticello 84535 Southwest UT Health Department - Beaver...(435) 438-2482 75 West 1175 North, Beaver 84713 (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