Contracting Entity Service Specialist Service Specialist Accra Home Care, Inc Accra Home Health, Inc Accurate Home Care, LLC Alere Women's and Children's Health, LLC Alliance Health Services Allina Health System Andrew Barnes (952) 883 5843 Jenny Wiltse (952) 883 5617 Kim Schulte Altru Health System Susie Beauvais (952) 883 5660 Ryan Moorse (952) 883 5655 Angels Care and Rehabilitation Center Area Nursing Home Inc Around The Clock Home Care Group, LLC Aspirus Network, Inc Katy Barto (952) 883 5605 Jinju Truong (952) 883 5691 Associated Eye Care Ambulatory Surgery Center LLC Assumption Home, Inc Augustana Dassel Lakeside Community Home, LLC Avera Health Baldwin Care Center, Inc BAYADA Home Health Care, Inc Benedictine Health Center of Minneapolis Benedictine Living Community of Mora Benedictine Living Community of Winsted Bethel Care Center Monday, June 22, 2015 Page 1 of 12
Contracting Entity Service Specialist Service Specialist Bethesda Blaine MN Multi Specialty ASC, LLC Brainerd Lakes Surgery Center Britton Healthcare, LLC Brookings Ambulatory Surgery Center LLP Colleen Olson (952) 883 5504 Yula Moua (952) 883 5607 Brown County Evaluation Center, Inc Buffalo Lake Healthcare Center Inc Burnett Medical Center Alex Larson (952) 883 5574 Gloria Jenson (952) 883 5131 C J Elmwood Partners, LP Jeff Brown (952) 883 6941 Gloria Jenson (952) 883 5131 Capitol View Transitional Care Center Katy Barto (952) 883 5605 Rhonda Klint (952) 883 5839 CareChoice CareFocus Corporation CarePlus Home Health Agency, Inc Cass County Health, Human & Veterans Services Catholic Charities of the Archdiocese of Minneapolis & St. Paul Catholic Charities of the Diocese St. Cloud CDC Centers, Inc CDI Twin Cities ASC, LLC Centennial Lakes Surgery Center Center for Alcohol and Drug Treatment CentraCare Health NR, LLC Colleen Olson (952) 883 5504 Jinju Truong (952) 883 5691 CentraCare Health Paynesville, LLC Colleen Olson (952) 883 5504 Jinju Truong (952) 883 5691 CentraCare Health Sauk Centre Colleen Olson (952) 883 5504 Jinju Truong (952) 883 5691 Monday, June 22, 2015 Page 2 of 12
Contracting Entity Service Specialist Service Specialist CentraCare Surgery Center, LLC Colleen Olson (952) 883 5504 Jinju Truong (952) 883 5691 Central Minnesota Mental Health Center Central Minnesota Surgical Center, LLC Cerenity Senior Care Chaska Plaza Surgery Center, LLC Sally Goodsell (952) 883 6571 Jinju Truong (952) 883 5691 Children's Care Hospital & School Alex Larson (952) 883 5574 Kim Schulte (952) 883 5843 Children's Health Care Colleen Olson (952) 883 5504 Ryan Moorse (952) 883 5655 Chippewa Manor Nursing Home Corporation Chris Jensen LLC Christian Community Home of Hudson, Inc Christian Community Home of Osceola, Inc Chu Surgery Center, LLC Clinicare Corporation Cokato Charitable Trust Community Memorial Home at Osakis Minnesota Incorporated Country Manor Campus LLC Katy Barto (952) 883 5605 County of Rusk Covenant Healthcare, LLC CRC Wisconsin RD LLC Crossroads Surgery Center Colleen Olson (952) 883 5504 Gloria Jenson (952) 883 5131 Crystal Care & Rehabilitation Center Dakota Boys & Girls Ranch Association Dakota County Receiving Center, Inc Monday, June 22, 2015 Page 3 of 12
Contracting Entity Service Specialist Service Specialist Deerfield Care Center, LLC Diversified Enterprises, Inc Divine Healthcare Corporation Divine Providence Community Home East Metro Endoscopy Center LLC Ecumen Katy Barto (952) 883 5605 Equity Services of St. Paul, Inc Extendicare Homes, Inc Fairview Health Services Sally Goodsell (952) 883 6571 Rhonda Klint (952) 883 5839 Fairview Maple Grove Surgery Center, LLC Sally Goodsell (952) 883 6571 Rhonda Klint (952) 883 5839 Fairview Red Wing Health Services dba Fairview Seminary Home Sally Goodsell (952) 883 6571 Rhonda Klint (952) 883 5839 Family Surgery Center, LLC Faribault Healthcare, LLC Foley Health Care Inc. Fond du Lac Reservation Business Committee David Ohmann (952) 883 5590 Rochelle Eicher (952) 883 5586 Gentiva Certified Health Care Corp GGNSC Administrative Services LLC Golden Age Manor Good Shepherd Lutheran Home of Sauk Rapids, MN Good Shepherd Lutheran Services Group Health Plan, Inc Guardian Angels Elim Home Care Inc Monday, June 22, 2015 Page 4 of 12
Contracting Entity Service Specialist Service Specialist Guild Incorporated David Ohmann (952) 883 5590 Josh Farmer (952) 883 5653 Haven Chemical Health Systems, LLC Hazelden Foundation Nick Michelson (952) 883 5314 Elizabeth Nelson (952) 883 3640 Health Dimensions Group HealthEast HealthQuest Inc Heartland Independent Provider Network Anne Ristow (952) 883 5651 Gloria Jenson (952) 883 5131 Hennepin Home Health Care, Inc Heyde Health System, Inc Hiawatha HomeCare High Pointe Surgery Center Highland Manor Inc Home Health Care, Inc Home Lab Partners, Inc Horseshoe Surgery Center, LLC Colleen Olson (952) 883 5504 Gloria Jenson (952) 883 5131 Hutchinson Health Jeff Brown (952) 883 6941 Jinju Truong (952) 883 5691 ILBNC, PA Therese Krech (952) 883 6183 Andy Bliese (952) 883 6289 Independent Healthcare Associates Sally Goodsell (952) 883 6571 Jinju Truong (952) 883 5691 Independent Surgery Center, LLC Colleen Olson (952) 883 5504 Roshelle Badu (952) 883 6347 Innovis Health, LLC Nick Michelson (952) 883 5314 Ryan Moorse (952) 883 5655 Interim HealthCare of the Twin Cities International Quality Homecare Corporation Monday, June 22, 2015 Page 5 of 12
Contracting Entity Service Specialist Service Specialist Intrepid of Golden Valley, Inc Intrepid of the Twin Cities, Inc Isanti County Public Health Services isurgery, LLC Kim Schulte (952) 883 5843 Yula Moua (952) 883 5607 Jacy II, LLC Jenkins Living Center, Inc JRK Services, Inc Kelly Norton Programs Inc Kenyon Sunset Home Kinnic Falls Alcohol and Drug Abuse Services, Inc Knute Nelson KWO 5 Star, Inc Lakewalk Surgery Center, Inc Leo A. Hoffmann Center, Inc Little Sisters of the Poor of St. Paul Lutheran Brethren Home Health Services, Inc Mankato Clinic Endoscopy Center, LLC Sherri Jasper (952) 883 5661 Rochelle Eicher (952) 883 5586 Mankato Surgery Center Marshfield Clinic Anne Ristow (952) 883 5651 Rhonda Klint (952) 883 5839 Mary T. Home Health Maxim Healthcare Services Inc Mayo Clinic Health System MN Susie Beauvais (952) 883 5660 Andy Bliese (952) 883 6289 Monday, June 22, 2015 Page 6 of 12
Contracting Entity Service Specialist Service Specialist Mayo Clinic Health System WI Susie Beauvais (952) 883 5660 Andy Bliese (952) 883 6289 Meridian Behavioral Health, LLC MeritCare Hospital Anne Ristow (952) 883 5651 Jinju Truong (952) 883 5691 MeritCare Medical Group Anne Ristow (952) 883 5651 Jinju Truong (952) 883 5691 Midsota Surgical Suites Midway Home Health Care Midwest Surgery Center Minneapolis Ophthalmology ASC, LLC Minnesota Eye Institute Surgery Center Kim Schulte (952) 883 5843 Gloria Jenson (952) 883 5131 Minnesota Eye Laser and Surgery Center Minnesota Orthopedic Surgery Center, LLC Minnesota Teen Challenge Minnesota Valley Surgery Center, LLC Minnesota Vascular Surgery Center, LLC Roshelle Badu (952) 883 6347 Roshelle Badu (952) 883 6347 Minnesota Visiting Nurse Agency Mission Inc., Programs Mitchell Healthcare LLC MNGI Endoscopy ASC Inc Mother of Mercy Campus of Care New Beginnings at Waverly, LLC North Dakota Surgery Center, LLP Colleen Olson (952) 883 5504 Yula Moua (952) 883 5607 North Memorial Ambulatory Surgical Center at Maple Grove LLC Monday, June 22, 2015 Page 7 of 12
Contracting Entity Service Specialist Service Specialist Northern Lights Health Care Center Sally Goodsell (952) 883 6571 Rochelle Eicher (952) 883 5586 Northern Lights Services Inc Northwest Passage, Ltd Oak Terrace Health Care Center of Gaylord, LLC Omegon, Inc On Belay of Minnesota, Inc. Pain Centers of Minnesota Mankato, LLC Palisade Healthcare Community, LLC Park Nicollet Health Services Brenda Thommen (952) 883 5662 Rhonda Klint (952) 883 5839 Pavilion Surgery Center, LLC People Incorporated Alex Larson (952) 883 5574 Josh Farmer (952) 883 5653 Perham Memorial Hospital and Home Pleasant Manor Healthcare Center Prairie Lakes Health Care System Susie Beauvais (952) 883 5660 Yula Moua (952) 883 5607 Prairie States Surgical Center Colleen Olson (952) 883 5504 Yula Moua (952) 883 5607 Premier Healthcare Management Services LLC Presbyterian Homes and Services Katy Barto (952) 883 5605 Pride Institute, Inc PrimeCare Health Group David Ohmann (952) 883 5590 Yula Moua (952) 883 5607 Ramsey Integrated Health Services Range Mental Health Center, Inc Alex Larson (952) 883 5574 Josh Farmer (952) 883 5653 Monday, June 22, 2015 Page 8 of 12
Contracting Entity Service Specialist Service Specialist Recover Health of Minnesota, Inc Red Wing Health Center Reentry House, Inc Regency Home Healthcare Services LLC Regional Eye Surgery Center Regional Health Colleen Olson (952) 883 5504 Jinju Truong (952) 883 5691 Regions Hospital Alex Larson (952) 883 5574 Andy Bliese (952) 883 6289 Sally Goodsell (952) 883 6571 Rhonda Klint (952) 883 5839 Renville Health Services ResCare Minnesota, Inc Rhinelander Healthcare Operator 100 LLC Rhinelander Healthcare Operator 150, LLC Rice County Public Health Nursing Service Richard P. Stadter Psychiatric Center River Falls Healthcare, LLC River Valley Home Care, Inc. Riverside Endoscopy Center Rule 36 Limited Partnership of Duluth III Sanford Bismarck Anne Ristow (952) 883 5651 Jinju Truong (952) 883 5691 Sanford Health Anne Ristow (952) 883 5651 Jinju Truong (952) 883 5691 Sanford Health of Northern Minnesota Anne Ristow (952) 883 5651 Jinju Truong (952) 883 5691 Senior Care Communities, Inc Senior Health Management, Inc Monday, June 22, 2015 Page 9 of 12
Contracting Entity Service Specialist Service Specialist Simon/Wisconsin Rapids Properties, LLC Siouxland Surgery Center, LP Colleen Olson (952) 883 5504 Yula Moua (952) 883 5607 Siouxland Urology Center, LLC Colleen Olson (952) 883 5504 Yula Moua (952) 883 5607 Sisters of Mary of the Presentation SMP Prairieland Home Health Snowhill Healthcare LLC South Central Surgical Center, LLC South Metro Human Services Alex Larson (952) 883 5574 Josh Farmer (952) 883 5653 Southview Acres Health Care Center Southwest Minnesota Surgical Center, Inc Colleen Olson (952) 883 5504 Gloria Jenson (952) 883 5131 Southwest Surgical Center LLC Kim Schulte (952) 883 5843 Jenny Wiltse (952) 883 5617 Spooner Health System, Inc Alex Larson (952) 883 5574 Roshelle Badu (952) 883 6347 St. Anthony Nursing Home Limited Partnership St. Anthony Park Home St. Cloud Hospital Colleen Olson (952) 883 5504 Jinju Truong (952) 883 5691 St. Cloud MN Ophthalmology ASC, LLC Sherri Jasper (952) 883 5661 Roshelle Badu (952) 883 6347 St. Cloud OP Surgery, LTD St. Croix Health Center St. Croix Valley Shared Services, Inc St. Gertrude's Health Center St. Luke's Hospital Katy Barto (952) 883 5605 Jinju Truong (952) 883 5691 St. Mary's Regional Health Center Nick Michelson (952) 883 5314 Ryan Moorse (952) 883 5655 Stanley Jones & Associates Inc Steele County Public Health Nursing Monday, June 22, 2015 Page 10 of 12
Contracting Entity Service Specialist Service Specialist Strand Kjorsvig Community Rest Home Summit Orthopedics, Ltd Sunnyside Care Center Sunrise Health Services, Inc Superior Home Health Care, Inc Surgical Associates Endoscopy Clinic LLC Roshelle Badu (952) 883 6347 Yula Moua (952) 883 5607 Talahi Nursing & Rehab Center, LLC Tealwood Care Centers The Edina MN Ophthalmology ASC, LLC The Emily Program David Ohmann (952) 883 5590 Josh Farmer (952) 883 5653 The Evangelical Lutheran Good Samaritan Society Katy Barto (952) 883 5605 The Homestead at Anoka, Inc, VOA Care Centers, Minnesota The Lutheran Home Association: Belle Plaine, LLC Tioga Medical Center Sherri Jasper (952) 883 5661 Yula Moua (952) 883 5607 TMS Treatment Center Inc Touchstone Mental Health Alex Larson (952) 883 5574 Josh Farmer (952) 883 5653 Transitions at Oakwood, LLC Traveling Angel, PC TRIA Orthopaedic Center ASC, LLC Brenda Thommen (952) 883 5662 Rhonda Klint (952) 883 5839 Trinity Health Anne Ristow (952) 883 5651 Yula Moua (952) 883 5607 Tweeten Lutheran Healthcare Center, Inc United Hospital District Blue Earth Monday, June 22, 2015 Page 11 of 12
Contracting Entity Service Specialist Service Specialist Universal Nursing Services, LTD Victory Through Faith Recovery Services, Inc Vietnamese Minnesotans Association Villa at St. Louis Park LLC Vinland National Center Volunteers of America Minnesota Walker Senior Services Walker Thompson Hill, LLC Wausau Surgery Center Colleen Olson (952) 883 5504 Roshelle Badu (952) 883 6347 Wayside House, Inc, The Willmar Surgery Center Winona Health Services Jeff Brown (952) 883 6941 Jenny Wiltse (952) 883 5617 Woodbury Ambulatory Surgery Center Wright County Public Health Yankton Medical Clinic, PC Sally Goodsell (952) 883 6571 Yula Moua (952) 883 5607 Monday, June 22, 2015 Page 12 of 12