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Non-Discrimination Notice SelectHealth complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We provide free aid and services to people with disabilities to help them communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats). We also provide free language services to people whose primary language is not English, such as qualified interpreters and member materials written in other languages. If you need these services, please call SelectHealth Member Services at 1-800-538-5038. Any member or other person who believes he/she may have been subject to discrimination may file a complaint or grievance by calling the SelectHealth 504/Civil Rights Coordinator at 1-844-208-9012 or the Compliance Hotline at 1-800-442-4845 (TTY Users: 711). You may also call the Office for Civil Rights at 1-800-368-1019 (TTY Users: 1-800-537-7697). 2016 SelectHealth. All rights reserved. 203540 09/16

Table of Contents PROVIDER & FACILITY DIRECTORY THIS PROVIDER & FACILITY DIRECTORY IS CURRENT AS OF April 26, 2017 This listing of participating plan providers is subject to change at any time without notice. TABLE OF CONTENTS Introduction... 3 Hospital & Facility Maps... 6 Introducción... 9 Mapas de Hospitales y de Instalaciones... 12 Hospitals - Hospitales... 15 Urgent Care & After-Hours Clinics - Clínicas de Atención Urgente y Después de Hora... 16 Specialty Services & Outpatient Centers - Servicios Especializados y Centros para Pacientes Ambulatorios... 18 Pharmacy List - Lista de Farmacia... 36 Primary Care Providers - Proveedores de Cuidado Primario... 39 Secondary Care Providers - Proveedores de Cuidado Secundario... 61 Ancillary Providers - Proveedores Auxiliares... 74 Provider Index - Índice de Proveedores... 83 2011 SelectHealth. All rights reserved.

Introduction This directory is a list of participating providers and facilities use it to find those participating on your SelectHealth plan. You can also determine whether a provider is a Primary Care Provider (PCP), a Secondary Care Provider (SCP), or an ancillary provider. Search the online directory at selecthealth.org/findadoctor. HOW TO READ THIS DIRECTORY Section Headings Each large, bold heading indicates the general category of providers in that section. For example: Primary Care Physicians (PCPs), Secondary Care Physicians (SCPs), and Ancillary Providers. Detailed Information Providers are sorted by county, specialty, and provider last name under each section heading. Detailed information about each provider includes: > > The network(s) on which the provider participates > > Office address > > Office phone number Footnotes The footnotes at the bottom of a page explain the symbols that may appear next to a provider s name. PRIMARY CARE PROVIDER/PHYSICIAN A Primary Care Provider (PCP) is a doctor who sees patients for common medical problems, performs routine exams, and helps prevent or treat illness. We recommend you choose a PCP. Seeing the same doctor for most visits will help you establish a relationship that can improve your healthcare. The providers and their physician s assistants and nurse practitioners who are considered PCPs are: > > Family Practitioners > > General Practitioners > > Internal Medicine Doctors > > Obstetricians and Gynecologists (OB/GYN) > > Pediatricians PCPs are typically available by phone 24 hours a day, seven days a week for urgent and emergency medical situations. SECONDARY CARE PROVIDER/PHYSICIAN Any doctor who is not considered a PCP is an SCP. Here are some examples of SCPs: > > Cardiologists > > Dermatologists > > Neurologists > > Ophthalmologists > > Orthopedic Surgeons > > Otolaryngologists (Ear, Nose, and Throat or ENT) You do not need a referral from your PCP to make an appointment with an SCP. ANCILLARY PROVIDERS An ancillary provider is not a physician but has credentials to work as a clinician. These caregivers may provide primary, secondary, or ancillary care. This type of provider includes physical therapists, licensed clinical social workers, audiologists, and more. The ancillary provider section of this directory indicates 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. You don t need a referral to see a mental health provider. Network Transparency We regularly monitor the practice location of providers contracted on our networks against where our members live and work to ensure that members have primary care physicians, behavioral health physicians, specialty physicians, and hospitals within reasonable traveling distance. We evaluate these providers based on member complaints, member experience, clinical quality measures, and appropriate use of healthcare resources. For more information on network transparency, visit the Find a Doctor page at selecthealth. org/findadoctor. 2017 SelectHealth. All rights reserved. 6681345 03/17

FINDING A PARTICIPATING PROVIDER OR FACILITY Use these resources to find a participating provider or facility. SelectHealth Member Advocates Member Advocates SM can help you find the right provider for your needs. They can also assist with: > > Scheduling an appointment, including care for urgent conditions > > Finding the closest facility, doctor, or mental health provider with the soonest available appointment > > Providing information about a doctor such as age, training certifications, and languages spoken > > Helping you understand and maximize your benefits Call Member Advocates at 800-515-2220 weekdays, from 7:00 a.m. to 8:00 p.m., and Saturdays, from 9:00 a.m. to 2:00 p.m. Online Provider, Facility Search, and Mobile App The online provider and facility search gives you fast, convenient information about providers participating on your plan. The most current list of providers is available at selecthealth.org. You can search using any of these criteria: Provider Information > > Board certification > > Gender > > Location > > Hospital affiliations > > Languages spoken by the practitioner or clinical staff > > Medical group affiliations > > Office hours Facility Information > > Facility type > > Location > > Plans accepted SELECTHEALTH MOBILE APP If you ve got your phone, we ve got you covered. With the SelectHealth mobile app, you have access to your health plan whenever and wherever you need it. Access your insurance plan on the go. With our secure app, you can: > > View, email, and fax images of your ID card > > Search for doctors and hospitals > > See Intermountain InstaCare wait times and locations, even reserve your place in line > > View your benefits and claims, including year-to-date totals > > Look up pharmacies and medications INTERMOUNTAIN CONNECT CARE Under the weather? We can help you get over it. Intermountain Connect Care is a fast, convenient way to talk to a provider about urgent medical issues. Use your smartphone, tablet, or computer to connect to a provider within minutes, for $49 or less. It s easier than you may think download the app or visit intermountainconnectcare.org to get started. The providers at Connect Care can help you with: > > Cough > > Ear pain > > Eye infection > > Joint pain/strain > > Lower back pain > > Minor burns/rashes/skin infections > > Sinus pain/pressure > > Seasonal allergies > > Sore throat > > Urinary pain Provider Quality and Patient Satisfaction Ratings If you d like to know more before you choose a doctor, review our clinic quality scores and patient satisfaction ratings. These ratings are based on the treatment a clinic delivers and results from an annual member satisfaction survey. Ratings are not available for all clinics. Clinics must have 30 or more completed surveys for their results to appear. To find these ratings, use our online 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, data is not available for that provider. FOR ADDITIONAL INFORMATION If you have questions about participating providers and facilities or your healthcare coverage, call Member Services at 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. TTY users, please call 711. Notice of Availability Enrolling in a SelectHealth plan or a 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 patients. 4 SELECT MED INTRODUCTION

RURAL HEALTHCARE PROVIDER NOTICE Pursuant to Utah Code 31A-8-501 and R590-237, 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 participating 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 participating provider listed elsewhere in this Provider Directory. Qualifying healthcare providers are limited to credentialed staff members of the following: Independent Hospital(s) in Utah > > Brigham City Community Hospital, Brigham City, Box Elder County Federally Qualified Health Centers in Utah > > Beaver Medical Clinic, Beaver, Beaver County > > Blanding Family Practice/Blanding Medical Center, Blanding > > Bryce Valley Clinic, Cannonville > > Carbon Medical Services, Carbon, Carbon County > > Circleview Clinic, Circleview, Piute County > > Duchesne Valley Medical Clinic, Duchesne, Duchesne County > > Emery Medical Center, Castledale, Emery County > > Enterprise Valley Medical Clinic, Enterprise, Washington County > > Garfield Memorial Clinic, Panguitch, Garfield County > > Green Valley/River Clinic, Green River, Emery/Grand Counties > > Halchita Clinic, San Juan County > > Hurricane Family Practice Clinic, Hurricane, Washington County > > Kamas Health Center, Kamas, Summit County > > Kazan Memorial Clinic, Escalante, Garfield County > > Long Valley Medical, Kane County > > Milford Valley Clinic, Milford, Beaver County > > Montezuma Creek Health Center, Montezuma Creek, San Juan County > > Monument Valley Health Center, Monument Valley > > Navajo Mountain Health Center, San Juan County > > Wayne County Medical Clinic, Bicknell, Wayne County This list may change periodically. Please check our website or call for verification. If you choose a nonparticipating provider, you will be responsible for any charges not covered by your plan. If you have questions concerning your rights to see a provider on this list, call Member Services at 800-538-5038. If SelectHealth does not resolve your problem, you may contact the Office of Consumer Health Assistance in the Utah Insurance Department. SELECT MED INTRODUCTION 5

HOSPITALS Use the map and key below to determine which hospitals are participating on your SelectHealth plan. Portneuf Med. Center CH Power County Memorial Hospital CH Caribou Memorial Hospital CH Cassia Regional Hospital* CH Nell J. Redfield Memorial Hospital CH Franklin County Med. Center CH Bear Lake Memorial Hospital CH Logan Regional Hospital* MCH Bear River Valley Hospital* MCH 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 Hospital* MCHV Riverton Hospital* MCHV TOSH The Orthopedic Specialty Hospital * MCHV University of Utah Hospital CH University of Utah Orthopaedic Center CH McKay-Dee Hospital* MCHV Davis Hospital & Med. Center MCH Mountain West Med. Center MCH American Fork Hospital* MCHV Orem Community Hospital* MCHV Utah Valley Hospital* MCHV Park City Hospital* MCH Ashley Valley Med. Center MCH Heber Valley Hospital* MCH Uintah Basin Med. Center MCH PLANS M Select Med C Select Care H Select Choice V Select Value *Intermountain-Owned Facility Central Valley Med. Center MCH Sanpete Valley Hospital* MCH Castleview Hospital MCH Delta Community Hospital* MCH Gunnison Valley Hospital MCH Fillmore Community Hospital* MCH Sevier Valley Hospital* MCH Milford Valley Memorial Hospital MCH Moab Regional Hospital MCH Beaver Valley Hospital MCH Cedar City Hospital* MCH Garfield Memorial Hospital* 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 AND FACILITY MAPS

INTERMOUNTAIN INSTACARE/INTERMOUNTAIN KIDSCARE SELECT CLINICS CARE HOSPITAL & FACILITY MAPS These clinics offer extended hours for urgent care needs that are not life threatening. Visit selecthealth. org/facility, call Member Advocates at 800-515-2220, or use the SelectHealth mobile app for more details. Hyde Park Logan Brigham City North Ogden South Ogden Roy (Herefordshire) efor Syracuse Ogden Layton (Northern Kaysville Utah) Bountiful Salt Lake City Holladay Murray Park City Tooele Sugar House (Memorial) Taylorsville Sandy West Jordan Sandy (Mountain View) Riverton (Southridge) Draper Saratoga Springs Highland North Orem American Fork Provo Springville Payson InstaCare InstaCare & KidsCare KidsCare Cedar City Hurricane St. George (Sunset) St. George (River Road) SELECT MED HOSPITAL AND FACILITY MAPS 7

Introducción Este directorio es una lista de proveedores y centros participantes, úselo para encontrar a los participantes en su plan SelectHealth. Usted también puede determinar si un proveedor es un Proveedor de Atención Primaria (PCP), un Proveedor de Atención Secundaria (SCP), o un proveedor auxiliar. Busque en el directorio en línea en selecthealth.org/findadoctor. CÓMO LEER ESTE DIRECTORIO Encabezados de sección Cada encabezado grande, en negrita, indica la categoría general de proveedores en esa sección. Por ejemplo: Médicos de atención primaria (PCP), Médicos de atención secundaria (SCP), y Proveedores auxiliares. Información detallada Los proveedores están ordenados por condado, especialidad, y apellido del proveedor bajo cada encabezado de sección. La información detallada acerca de cada proveedor incluye: > > La(s) red(es) en la(s) que el proveedor participa > > Dirección del consultorio > > Número de teléfono del consultorio Notas a pie de la página Las notas a pie de página en la parte inferior de una página explican los símbolos que pueden aparecer a la par del nombre de un proveedor. PROVEEDOR/MÉDICO DE ATENCIÓN PRIMARIA Un Proveedor de atención primaria (PCP) es un doctor que ve a pacientes por problemas médicos comunes, realiza exámenes de rutina y ayuda a prevenir o tratar una enfermedad. Le recomendamos que elija a un PCP. Ver al mismo doctor durante la mayoría de visitas le ayudará a establecer una relación que puede mejorar su atención médica. Los proveedores, y sus asistentes médicos y enfermeras registradas, que son considerados PCP son: > > Médicos familiares > > Médicos generales > > Doctores de medicina interna > > Obstetras y ginecólogos (OB/GYN) > Pediatras Los PCP generalmente están disponibles por teléfono las 24 horas del día, los siete días de la semana para situaciones médicas de urgencia y de emergencia. PROVEEDOR/MÉDICO DE ATENCIÓN SECUNDARIA Cualquier doctor no considerado un PCP es un SCP. Aquí tiene algunos ejemplos de SCP: > > Cardiólogos > > Dermatólogos > > Neurólogos > > Oftalmólogos > > Cirujanos ortopédicos > > Otorrinolaringólogos (oído, nariz y garganta o ENT) Usted no necesita una derivación de un PCP para hacer una cita con un SCP. PROVEEDORES AUXILIARES Un proveedor auxiliar no es un médico pero tiene credenciales para trabajar como médico clínico. Estos cuidadores pueden brindar atención primaria, secundaria y auxiliar. Este tipo de proveedor incluye terapeutas físicos, trabajadores sociales clínicos autorizados, audiólogos y demás. La sección de proveedores auxiliares de este directorio indica si un proveedor auxiliar está clasificado como PCP o un SCP. PROVEEDORES DE SALUD MENTAL Los proveedores de salud mental son psiquiatras, psicólogos y trabajadores sociales que brindan asesoramiento. Usted no necesita una derivación para ver a un proveedor de salud mental. Transparencia de la red Monitoreamos con regularidad el lugar de práctica de proveedores contratados en nuestras redes contra el lugar dónde viven y trabajan nuestros miembros para garantizar que nuestros miembros tengan médicos de atención primaria, médicos de atención conductual, médicos especialistas y hospitales dentro de una distancia de viaje razonable. Evaluamos a estos proveedores en base a las quejas de los miembros, la experiencia de los miembros, medidas de calidad clínica, y uso apropiado de recursos de atención médica. Para obtener más información sobre la transparencia de la red, visite la página Encontrar a un Doctor en selecthealth.org/findadoctor. CÓMO ENCONTRAR A UN PROVEEDOR O CENTRO PARTICIPANTE Use estos recursos para encontrar a un proveedor o centro participante. SelectHealth Member Advocates Member Advocates SM puede ayudarlo a encontrar el proveedor adecuado para sus necesidades. También puede ayudarlo a: 2017 SelectHealth. All rights reserved. 6681345 05/17

> > Programar una cita, incluida la atención de afecciones de urgencia > > Encontrar el centro, doctor o proveedor de salud mental más cercano con la cita disponible más temprana > > Proporcionar información sobre un médico, como su edad, certificaciones de capacitación e idiomas que habla > > Ayudarle a comprender y aprovechar al máximo sus beneficios Llame a Member Advocates al 800-515-2220 días de semana, de 7:00 a.m. a 8:00 p.m., y sábados, de 9:00 a.m. a 2:00 p.m. Proveedor en línea, búsqueda de centro y aplicación móvil El proveedor en línea y búsqueda de centro le da una información rápida y conveniente acerca de proveedores participantes en su plan. La lista más actual de proveedores está disponible en selecthealth.org. Puede buscar usando cualquiera de estos criterios: Información sobre el proveedor > > Certificación de la junta > > Sexo > > Lugar > > Horas de oficina Información del centro > > Tipo de centro > > Lugar > > Afiliaciones hospitalarias > > Idiomas hablados por el médico o personal clínico > > Afiliaciones médicas grupales > > Planes aceptados APLICACIÓN MÓVIL DE SELECTHEALTH Si tiene un celular, lo tenemos cubierto. Con la aplicación para celulares de SelectHealth, usted tiene acceso a su plan de salud cada vez y donde lo necesite. Tenga acceso a su plan de seguro médico cuando quiera. Con nuestra aplicación segura, usted puede: > > Ver, enviar por correo electrónico y por fax imágenes de su tarjeta de identificación > > Buscar doctores y hospitales > > Consultar Intermountain InstaCare tiempos de espera y lugares, incluso reservar su lugar en línea > > Ver sus beneficios y reclamaciones, incluyendo los totales del año a la fecha > > Buscar farmacias y medicamentos INTERMOUNTAIN CONNECT CARE Se siente enfermo? Podemos ayudarle a sobreponerse. Intermountain Connect Care es una manera rápida y conveniente para hablar con un proveedor acerca de problemas médicos urgentes. Use su teléfono inteligente, su tableta, o computadora para conectarse con un proveedor en minutos, por $49 o menos. Es más fácil de lo que cree; descargue la aplicación o visite intermountainconnectcare.org para comenzar. Los proveedores en Connect Care pueden asistirlo en casos de: > > Tos > > Dolor de oído > > Dolor de garganta > > Dolor al orinar > > Infección de los ojos > > Dolor/torcedura de las articulaciones > > Dolor de la espalda baja > > Quemaduras menores/ erupciones/infecciones de la piel > > Dolor/presión en los senos nasales > > Alergias estacionales Calidad del proveedor y calificaciones de satisfacción del paciente Si le gustaría saber más antes de elegir a su doctor, revise nuestros puntajes de calidad clínica y calificaciones de satisfacción del paciente. Estas calificaciones están basadas en el tratamiento que un médico clínico entrega y los resultados de una encuesta anual de satisfacción del miembro. Las calificaciones no están disponibles para todos los médicos clínicos. Los médicos clínicos deben tener 30 o más encuestas completadas para que sus resultados aparezcan. Para encontrar estas calificaciones, use nuestra búsqueda de proveedor en línea. Busque a un proveedor de medicina familiar, medicina interna o pediátrico y haga clic en Calificaciones de satisfacción y calidad en el perfil del doctor. Si no aparece un enlace de calificaciones, los datos para ese proveedor no están disponibles. PARA OBTENER INFORMACIÓN ADICIONAL Si tiene preguntas acerca de proveedores y centros participantes o su cobertura de atención médica, llame a Servicios al miembro al 800-538-5038 días de semana, de 7:00 a.m. a 8:00 p.m., y sábados, de 9:00 a.m. a 2:00 p.m. Los usuarios de TTY deben llamar al 711. Aviso de disponibilidad La inscripción en un plan SelectHealth o un plan SelectHealth Benefit Assurance no garantiza los servicios por un proveedor en particular enumerado en este directorio. Si desea recibir atención de proveedores específicos enumerados, debe comunicarse con esos proveedores para asegurarse de que están aceptando pacientes. 4 SELECT MED INTRODUCCIÓN

AVISO SOBRE PROVEEDORES DE SERVICIOS DE SALUD RURALES De conformidad con el Código 31A-8-501 y R590-237 de Utah, si un proveedor de atención médica es miembro del personal con credenciales (un proveedor de atención médica con privilegios de personal activo) en un Hospital Independiente o un Centro de Salud calificado por el gobierno Federal que no participa en SelectHealth, aún así puede tener derecho a cobertura para servicios de atención médica si vive o reside dentro de 30 millas de carretera pavimentada de este proveedor de atención médica, o si usted vive o reside más cerca de este proveedor de atención de salud que un proveedor participante de SelectHealth que aparezca en otro lugar de este Directorio de Proveedores. Los proveedores de atención médica que califican están limitados a miembros del personal con credenciales de los siguientes: Hospital(es) independiente(s) en Utah > > Brigham City Community Hospital, Brigham City, condado de Box Elder Centros de Salud de Calificación Federal en Utah > > Beaver Medical Clinic, Beaver, condado de Beaver > > Blanding Family Practice/Blanding Medical Center, Blanding > > Bryce Valley Clinic, Cannonville > > Carbon Medical Services, Carbon, condado de Carbon > > Circleview Clinic, Circleview, condado de Piute > > Duchesne Valley Medical Clinic, Duchesne, condado de Duchesne > > Emery Medical Center, Castledale, condado de Emery > > Enterprise Valley Medical Clinic, Enterprise, condado de Washington > > Garfield Memorial Clinic, Panguitch, condado de Garfield > > Green Valley/River Clinic, Green River, condados de Emery/Grand > > Halchita Clinic, condado de San Juan > > Hurricane Family Practice Clinic, Hurricane, condado de Washington > > Kamas Health Center, Kamas, condado de Summit > > Kazan Memorial Clinic, Escalante, condado de Garfield > > Long Valley Medical, condado de Kane > > Milford Valley Clinic, Milford, condado de Beaver > > Montezuma Creek Health Center, Montezuma Creek, condado de San Juan > > Monument Valley Health Center, Monument Valley > > Navajo Mountain Health Center, condado de San Juan > > Wayne County Medical Clinic, Bicknell, condado de Wayne Esta lista puede cambiar periódicamente. Consulte nuestra página web o llame para verificar la información. Tenga en cuenta que, si elige un proveedor no contratado, será responsable de los cargos no cubiertos por su plan de seguro médico. Si tiene preguntas acerca de su derecho a ver a un proveedor de esta lista, comuníquese con el Departamento de Relaciones con los Proveedores de SelectHealth llamando al 800-538-5054. Si SelectHealth no resuelve su problema, comuníquese gratuitamente con la Oficina de Asistencia de Salud del Consumidor del Departamento de Seguros de Utah. SELECT MED INTRODUCCIÓN 5

HOSPITALES Utilice el mapa y la clave que aparece abajo para determinar cuáles hospitales están participando en su plan de SelectHealth. Portneuf Med. Center CH Power County Memorial Hospital CH Caribou Memorial Hospital CH Cassia Regional Hospital* CH Nell J. Redfield Memorial Hospital CH Franklin County Med. Center CH Bear Lake Memorial Hospital CH Logan Regional Hospital* MCH Bear River Valley Hospital* MCH McKay-Dee Hospital* MCHV Area de Salt Lake Alta View Hospital* MCHV Huntsman Cancer Hospital MCH (M/H: El tratamiento del cáncer sólo) Intermountain Med. Center* MCHV LDS Hospital* MCHV Primary Children s Hospital* 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 Hospital* MCHV Park City Hospital* MCH Ashley Valley Med. Center MCH Heber Valley Hospital* MCH Uintah Basin Med. Center MCH PLANES M Select Med C Select Care H Select Choice V Select Value Central Valley Med. Center MCH Sanpete Valley Hospital* MCH Castleview Hospital MCH Delta Community Hospital* MCH Gunnison Valley Hospital MCH Fillmore Community Hospital* MCH * Centros Propetarios de Intermountain Sevier Valley Hospital* MCH Milford Valley Memorial Hospital MCH Moab Regional Hospital MCH Beaver Valley Hospital MCH Cedar City Hospital* MCH Garfield Memorial Hospital* 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 Y FACILIDAD MAPAS

CENTROS DE INTERMOUNTAIN INSTACARE Y INTERMOUNTAIN KIDSCARE SELECT CARE HOSPITAL & FACILITY MAPS Estas clínicas ofrecen horas extendidas para necesidades de atención urgente donde la vida no corre peligro. Visite selecthealth.org/facility, llame a Defensores de Afiliados al 800-515-2220, o use la aplicación para teléfono móvil de SelectHealth para más detalles. Hyde Park Logan Brigham City North Ogden South Ogden Roy (Herefordshire) efor Syracuse Ogden Layton (Northern Kaysville Utah) Bountiful Salt Lake City Holladay Murray Park City Tooele Sugar House (Memorial) Taylorsville Sandy West Jordan Sandy (Mountain View) Riverton (Southridge) Draper Saratoga Springs Highland North Orem American Fork Provo Springville Payson InstaCare InstaCare & KidsCare KidsCare Cedar City Hurricane St. George (Sunset) St. George (River Road) SELECT MED HOSPITAL Y FACILIDAD MAPAS 7

Hospitals - Hospitales Questions about a provider? Call Member Advocates or visit our website at 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 Cassia Regional Hospital... (208) 678-4444 1501 Hiland Avenue, Burley, ID 83318 Cedar City Hospital... (435) 868-5000 1303 North Main Street, Cedar City, UT 84721 Cottonwood Hospital... (801) 314-5300 300 East 5770 South, Murray, UT 84107 Delta Community Hospital... (435) 864-5591 126 White Sage Ave, Delta, UT 84624 Dixie Regional Medical Center - 400 East Campus... (435) 251-1000 544 S 400 E, 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 Hospital... (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 Hospital... (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... (801) 387-2800 4401 Harrison Blvd., Ogden, UT 84403 Orem Community Hospital... (801) 224-4080 331 North 400 West, Orem, UT 84057 Park City Hospital... (435) 658-7000 900 Round Valley Drive, Park City, UT 84060 Primary Children's Hospital... (801) 662-1000 100 N 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 Hospital... (435) 893-4100 1000 North Main, Richfield, UT 84701 TOSH - The Orthopedic Specialty Hospital... (801) 314-4100 5848 South 300 East, Murray, UT 84107 Utah Valley Hospital... (801) 357-7850 1034 North 500 West, Provo, UT 84604 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 Mountain West Medical Center...(435) 843-3600 2055 North Main Street, Tooele, UT 84074 Nell J Redfield Memorial Hospital...(208) 766-2231 150 North 200 West, Malad City, ID 83252 San Juan Hospital...(435) 587-2116 380 W 100 N, Monticello, UT 84535 CONTRACT HOSPITALS Ashley Valley Medical Center... (435) 789-3342 151 West 200 North, Vernal, UT 84078 Bear Lake Memorial Hospital... (208) 847-1630 164 S 5th St, Montpelier, ID 83254 Beaver Valley Hospital... (435) 438-7100 1109 North 100 West, Beaver, UT 84713 Castleview Hospital... (435) 637-4800 300 North Hospital Dr., Price, UT 84501 Central Valley Medical Center... (435) 623-3000 48 West 1500 North, Nephi, UT 84648 Davis Hospital & Medical Center... (801) 807-1000 1600 West Antelope Dr, Layton, UT 84041 Franklin County Medical Center... (208) 852-0137 44 North 100 East, Preston, ID 83263 Gunnison Valley Hospital... (435) 528-7246 64 E 100 N, Gunnison, UT 84634 Huntsman Cancer Hospital... (801) 587-7000 1950 Circle of Hope Dr, Salt Lake City, UT 84112 (For Med/Choice: Cancer Treatment Only) 15

Urgent Care & After-Hours Clinics - Clínicas de Atención Urgente y Después de Hora Questions about a provider? Call Member Advocates or visit our website at selecthealth.org BOX ELDER COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Box Elder InstaCare... (435) 695-2700 1050 S 500 W, Brigham City 84302 Mon thru Sun 8AM - 8PM Closed Thanksgiving and Christmas. Open Christmas Eve and New Year's Eve 8 am - 3 pm. Open all other holidays. CACHE COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES 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. Intermountain North Cache Valley InstaCare... (435) 563-4888 4088 N Hwy 91, Hyde Park 84318 Mon thru Sat 8AM - 8PM 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 Walk-ins and call ahead 801-292-6100. Holiday hours may vary*. July 4 = 9am-5pm; July 24 = 9am-9pm; July 25 = 9am-5pm; Thanksgiving = 9am- 3pm; Christmas Eve = 9am-5pm; Christmas = closed; New Year's Eve = 9am-5pm; New Years Day = 9am-9pm Intermountain Bountiful KidsCare... (801) 294-9933 390 North Main, Bountiful 84010 Mon thru Fri 4PM - 9PM; Sat thru Sun 9AM - 9PM *Walk-ins and Appointments 801-294-9933. Holiday hours may vary: July 4 = 12noon-5pm; July 24 = 9am-9pm; July 25 = 12noon-5pm; Thanksgiving = 9am- 3pm; Christmas Eve = 12noon-5pm; Christmas = closed; New Years Eve = 12noon- 5pm; New Years Day = 12noon-9pm Intermountain Kaysville Creekside InstaCare... (801) 498-6000 435 N. Main Street, Kaysville 84037 Mon thru Fri 9AM - 8PM; Sat thru Sun 9AM - 5PM Call for Holiday Hours Intermountain Layton InstaCare... (801) 779-6200 2075 University Park Blvd. (1200 West ), Layton 84041 Mon thru Fri 9AM - 8PM; Sat thru Sun 9AM - 6PM No Appointment Necessary. Call for holiday hours. Intermountain Layton KidsCare... (801) 779-6200 2075 University Park Blvd, Layton 84041 Intermountain Syracuse InstaCare... (801) 525-2410 745 South 2000 West, Syracuse 84075 Mon thru Fri 9AM - 8PM; Sat thru Sun 9AM - 3PM Call for holiday hours 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 clinic for holiday hours. To call ahead and get on the wait list, please call 435-865-3440. SALT LAKE COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Cottonwood Instacare... (801) 314-7700 181 E Medical Tower Drive, Murray 84107 Mon thru Sun 9AM - 12AM Intermountain Draper InstaCare... (801) 495-7970 12473 South Minuteman Drive, Draper 84020 Mon thru Sun 9AM - 9PM Intermountain Holladay InstaCare...(801) 871-6400 6272 S Highland Drive, Murray 84121 Mon thru Sun 9AM - 9PM ~Please Note: Holiday hours may vary. July 4 = 9am-5pm; July 25 = 9am-5pm; Thanksgiving = closed; Christmas Eve = 9am-5pm; Christmas = 10am-3pm; New Years Eve = 9am-5pm; New Years Day = 9am-9pm Intermountain Memorial InstaCare...(801) 464-7777 2000 S 900 E (Sugarhouse), Salt Lake City 84105 Mon thru Sun 9AM - 9PM Holiday hours may vary. July 4 = closed; July 24 = 9am-5pm; Thanksgiving = closed; Christmas Eve = 9am-5pm; Christmas = 9am-3pm; New Year's Eve = 9am- 5pm; New Years Day = 9am-9pm Intermountain Memorial KidsCare...(801) 464-7788 2000 S 900 E, Salt Lake City 84105 Mon thru Fri 4PM - 9PM; Sat thru Sun 12PM - 9PM Holiday hours may vary: July 24 = 12noon-5pm; Halloween = closed; Thanksgiving = closed; Christmas Eve = 12noon-5pm; Christmas = 9am-3pm; New Years Eve = 12noon-5pm; New Years Day = 12noon-10pm Intermountain Mountain View KidsCare...(801) 501-9933 9720 S 1300 E Ste. E100, Sandy 84094 Mon thru Fri 5PM - 10PM; Sat thru Sun 12PM - 9PM Intermountain Salt Lake InstaCare...(385) 282-2400 389 South 900 East, Salt Lake City 84102 Mon thru Sun 9AM - 9PM Holiday Hours: July 4th 9-5, Pioneer Day 9-5, Labor Day 9-9, Halloween 9-9, Thanksgiving 9-3, Christmas Eve 9-5, Christmas-Closed, New Year's Eve 9-5, New Year's Day 9-9 Intermountain Sandy InstaCare...(801) 576-0176 9493 South 700 East, Sandy 84070 Mon thru Sun 9AM - 9PM ~Please Note: Holiday hours may vary. July 4 = 9am-5pm; July 24 = 9am-5pm; Thanksgiving = Closed; Christmas Eve = 9am-5pm; Christmas = Closed; New Years Eve = 9am-5pm; New Years Day = 9am-9pm Intermountain Southridge InstaCare...(801) 285-4560 3723 West 12600 South, #150, Riverton 84065 Mon thru Sun 9AM - 9PM ~Please Note: Holiday hours may vary. July 4 = 9am-5pm; July 24 = 9am-5pm; Thanksgiving = closed; Christmas Eve = 9am-5pm; Christmas = closed; New Years Eve = 9am-5pm; New Years Day = 9am-9pm Intermountain Southridge KidsCare...(801) 285-4561 3723 West 12600 South, #150, Riverton 84065 Mon thru Fri 4PM - 9PM; Sat thru Sun 9AM - 9PM ~Please Note: Holiday hours may vary. July 4 = 12noon-5pm; July 24 = closed; Halloween = closed; Thanksgiving = closed; Christmas Eve = 12noon-5pm; Christmas = closed; New Years Eve = 12noon-5pm; New Years Day = 12noon-9pm Intermountain Taylorsville InstaCare...(801) 840-2020 3845 West 4700 South, Taylorsville 84129 Mon thru Sun 9AM - 9PM ~Please Note: Holiday hours may vary. July 4 = 9am-5pm; July 25 = 9am-5pm; Thanksgiving = 9am-3pm; Christmas Eve = 9am-5pm; Christmas = CLOSED; New Years Eve = 9am-5pm; New Years Day = 9am-9pm Intermountain Taylorsville KidsCare...(801) 840-2101 3845 W 4700 S, Taylorsville 84129 Mon thru Sun 9AM - 9PM ~Please Note: Holiday hours may vary. July 4 = 9am-5pm; July 25 = 9am-5pm; Thanksgiving = 9am-3pm; Christmas Eve = 9am-5pm; Christmas = CLOSED; New Years Eve = 9am-5pm; New Years Day = 9am-9pm Intermountain West Jordan InstaCare...(801) 256-6399 2655 West 9000 South, West Jordan 84088 Mon thru Sun 9AM - 9PM ~Please note: Holiday hours may vary. July 4 = 8am-5pm; July 24 = 8am-5pm; Thanksgiving = closed; Christmas Eve = 9am-5pm; Christmas = CLOSED; New Years Eve = 9am-5pm; New Years Day = 9am-9pm Intermountain West Jordan KidsCare...(801) 568-9933 2655 West 9000 South, West Jordan 84088 Mon thru Fri 4PM - 9PM; Sat thru Sun 12PM - 9PM ~Please Note: July 4 = 12noon-5pm; July 24 = closed; Halloween = 5pm-10pm; Thanksgiving = closed; Christmas Eve = 12noon-5pm; Christmas Day = closed; New Years' Eve = 12noon-5pm; New Years' Day = 12noon-9pm; North Temple Clinic...(801) 359-0901 54 N 800 W, Salt Lake City 84116 Mon thru Sat 10AM - 7PM Thanksgiving=closed;Christmas Eve=Closed;Christmas=closed;New years Eve=Closed 16

Questions about a provider? Call Member Advocates or visit our website at selecthealth.org Urgent Care & After-Hours Clinics - Clínicas de Atención Urgente y Después de Hora SUMMIT COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Park City InstaCare... (435) 649-7640 1665 Bonanza Dr., Park City 84068 (InstaCare Only) Mon thru Sun 8AM - 8PM Call Ahead waiting: 435-649-7705 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 Please note: Holiday hours may vary. July 4= 9am-5pm; July 24= 9am-5pm; Thanksgiving= Closed; Christmas Eve= 9-5; Christmas Day= Closed; New Years Eve= 9am-5pm UTAH COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain American Fork InstaCare... (801) 492-2550 98 North 1100 East, Suite 102, American Fork 84003 Mon thru Sun 8AM - 8PM To call ahead and get on a wait list, please call 801-714-5585. Call the clinic for holiday hours. Intermountain North Orem InstaCare... (801) 714-5000 1975 North State Street, Orem 84057 Mon thru Sun 8AM - 10PM Closed on New Year's Day. Please go to American Fork or Provo. New Year's Day hours for American Fork will be 10 AM-8 PM and Provo will be 10 AM-9 PM. Intermountain Payson InstaCare... (801) 465-6200 854 Turf Farm Road, Suite 1, Payson 84651 Mon thru Sun 8AM - 8PM Closed on New Year's Day. Provo open 10-9 on New Year's Day. To call ahead and get on the wait list, please call 801-714-5585. Call clinic for holiday hours. Intermountain Provo InstaCare... (801) 357-1770 1134 N 500 W Ste 102, Provo 84604 Mon thru Sun 9AM - 9PM To call ahead and get on the wait list, please call 801-714-5585. Intermountain Saratoga Springs InstaCare... (801) 341-5200 354 West State Road 73, Saratoga Springs 84045 Mon thru Sun 8AM - 8PM Closed on New Year's Day. Please go to American Fork. To call ahead and get on a wait list, please call 801-714-5585. Call the clinic for holiday hours. Intermountain Springville InstaCare... (801) 429-1200 762 West 400 South, Springville 84663 Mon thru Sun 8AM - 8PM Closed on New Year's Day. Please go to Provo Instacare. To call ahead and get on a wait list, please call 801-714-5585. Call the clinic for holiday hours. WEBER COUNTY, UT INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Herefordshire InstaCare...(801) 387-8282 1915 West 5950 South, Roy 84067 Mon, Wed thru Sat 9AM - 8PM; Tue 11AM - 8PM; Sun 1PM - 5PM Sorry for the inconvenience. We are closed on Tuesday 03.28.17 from 9:00-11:00 am in the InstaCare. Intermountain North Ogden InstaCare...(801) 786-7510 2400 N Washington Blvd, North Ogden 84414 Mon thru Sat 9AM - 8PM; Sun 9AM - 5PM Call for holiday hours. Intermountain Northern Utah KidsCare...(801) 387-4500 4403 Harrison Blvd Ste 4875, Ogden 84403 Holiday hours may vary Intermountain South Ogden InstaCare...(801) 387-6200 975 E Chambers Street, South Ogden 84403 Mon thru Fri 9AM - 8PM; Sat 9AM - 5PM; Sun 9AM - 1PM Call for holiday hours. 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 clinic for holiday hours. To call ahead and get on the wait list, please call 435-688-6388. Intermountain River Road InstaCare... (435) 688-6300 577 South River Road, St. George 84790 Mon thru Sun 9AM - 9PM Closed Thanksgiving day and Christmas day.call 435-688-6388 to get in line. Intermountain Sunset InstaCare... (435) 634-6050 1739 West Sunset Blvd., St. George 84770 Mon thru Sat 9AM - 9PM Call clinic for holiday hours. To call ahead and get on the wait list, please call 435-688-6388. 17

Specialty Services & Outpatient Centers - Servicios Especializados y Centros para Pacientes Ambulatorios Questions about a provider? Call Member Advocates or visit our website at selecthealth.org ACUTE INPATIENT REHABILITATION - REHABILITACIÓN AGUDA DE PACIENTES HOSPITALIZADOS INTERMOUNTAIN OWNED SERVICES Intermountain Medical Center Neurospecialty Rehabilitation Center...(801) 507-1269 5121 S Cottonwood St, Murray 84107 CONTRACTED SERVICES Affinity Behavioral and Mental Health Services... (801) 506-6695 13923 S Haystack Peak Cir, Riverton 84096 (Provides Services in Multiple Counties) Apex Behavior Consulting... (801) 647-3920 243 E 400 S Ste 300, Salt Lake City 84111 (Provides Services in Multiple Counties) Autism Solutions... (801) 735-3252 4062 W Shady Plum Wy, South Jordan 84095 (Provides Services in Multiple Counties) Autism Therapy Services... (435) 313-4571 3214 Broken Rock Wy, Washington 84780 (Provides Services in Multiple Counties) Chrysalis Utah... (801) 655-4950 1443 W 800 N Ste 103, Orem 84057 (Provides Services in Multiple Counties) BEHAVIORAL HEALTH - SALUD DEL COMPORTAMIENTO INTERMOUNTAIN OWNED SERVICES 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-Taylorsville... (801) 313-7800 5770 South 1500 West, Salt Lake City 84123 Psychiatry and Counseling Service - Union Park... (801) 233-4200 1225 E Fort Union Blvd, Ste 215, Midvale 84047 INTERMOUNTAIN MEDICAL GROUP OWNED SERVICES Intermountain Psychiatry and Counseling - St. George... (435) 688-4850 320 E 600 S, St. George 84770 McKay-Dee Behavioral Health Institute (BHI)... (801) 387-5600 3903 Harrison Boulevard, Suite 300, Ogden 84403 CONTRACTED SERVICES Clinical Consultants... (801) 233-8670 7601 S Redwood Rd Bldg E, West Jordan 84084 Cornerstone Counseling... (801) 355-2846 447 W Bearcat Dr, Salt Lake City 84115 First Step House... (801) 359-8862 411 Grant St, Salt Lake City 84116 First Step House - State St... (801) 359-8862 2200 S State St, Salt Lake City 84115 House of Hope... (801) 487-3276 857 E 200 S, Salt Lake City 84102 Odyssey House... (801) 322-3222 340 E 100 S, Salt Lake City 84111 Odyssey House - Martindale... (801) 428-3500 340 E 100 S, Salt Lake City 84111 Provo Canyon School... (801) 227-2000 4501 N University Ave, Provo 84604 Shadow Mountain St George Detox... (435) 272-0220 120 W 1470 S Bldg B, St. George 84770 Turning Leaf Wellness Center... (435) 652-1202 1240 E 100 S Ste 121, St. George 84790 Valley Behavioral Health - Alcohol and Drug Program... (888) 949-4864 1141 E 3900 S Ste A250, Salt Lake City 84124 Valley Behavioral Health - Alliance House...(888) 949-4864 1724 S Main St, Salt Lake City 84115 Valley Behavioral Health - Alternatives to Incarceration...(888) 949-4864 1020 S Main St Ste 300, Salt Lake City 84101 Valley Behavioral Health - ARTEC Boys Residential...(888) 949-4864 3799 W 6200 S, Kearns 84118 Valley Behavioral Health - ARTEC Girls Residential...(888) 949-4864 3791 W 6200 S, Kearns 84118 Valley Behavioral Health - Cottonwood Family Treatment...(888) 949-4864 6856 S 700 E, Midvale 84047 Valley Behavioral Health - Dialectical Behavior Therapy...(888) 949-4864 1141 E 3900 S Ste A160, Salt Lake City 84124 Valley Behavioral Health - Families in Recovery Staying Together...(888) 949-4864 1141 E 3900 S Ste A250, Salt Lake City 84124 Valley Behavioral Health - Highland Springs Riverton...(888) 949-4864 12427 S Pasture Rd, Riverton 84096 Valley Behavioral Health - Highland Springs Specialty Clinic in Holladay... (801) 273-6335 4460 S Highland Dr Ste 100, Salt Lake City 84124 Valley Behavioral Health - Kids Day Treatment...(888) 949-4864 195 W 7200 S, Midvale 84047 Valley Behavioral Health - North Valley Clinic...(888) 949-4864 1020 S Main St Ste 100, Salt Lake City 84101 Valley Behavioral Health - Pingree Autism Center...(801) 581-0194 780 S Guardsman Way, Salt Lake City 84108 Valley Behavioral Health - Tooele New Reflections...(888) 949-4864 565 W 900 S, Tooele 84074 Valley Behavioral Health - West Valley Clinic...(888) 949-4864 2948 S Redwood Rd, West Valley City 84119 Valley Behavioral Health Highland Springs...(801) 273-6557 1875 State St, Orem 84097 Wasatch Mental Health - Heber City...(435) 654-1501 35 S 500 E, Heber City 84032 Wasatch Recovery...(801) 901-0024 8420 Wasatch Blvd, Cottonwood Heights 84121 Weber Human Services...(801) 625-3700 238 27 th St Ste A, Ogden 84401 BREAST PROSTHETICS - PRÓTESIS DE MAMA CONTRACTED SERVICES Carol's Mastectomy Shoppe...(801) 483-1262 3165 S Main Street, Salt Lake City 84115 Carol's Post Mastectomy Specialist...(435) 688-0452 330 E 600 S, St. George 84770 Debra Lynn's Post Mastectomy Specialties...(801) 393-2885 1090 E 30th St, Ogden 84405 J Q Medical...(801) 942-8582 6910 Highland Dr Ste 4, Cottonwood 84121 Lace by Louise - Bountiful...(801) 294-5223 344 S 500 W Ste 2, Bountiful 84010 Lace By Louise - Riverton...(801) 878-1900 2762 W 12600 S #3, Riverton 84065 DIABETES MANAGEMENT SERVICES - SERVICIOS DE GESTIÓN DE LA DIABETES 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 Budge Diabetes Clinic...(435) 792-1710 1350 North 500 East, Logan 84341 Cedar City Hospital - Diabetes Clinic...(435) 586-7029 110 West 1325 North Suite 100, Cedar City 84721 Heber Valley Diabetes Management Clinic...(435) 654-2500 1485 South Highway 40, Heber City 84032 18 Facility only has a CT scan, not an MRI - Facilidad sólo tiene una tomografía computarizada, no una resonancia magnética Facility only has an MRI, not a CT scan - Facilidad sólo tiene resonancia magnética no una tomografía computarizada Ostomy supplies available - Suministros de ostomía disponibles Diabetic services and supplies available - Servicios y suministros disponibles para diabéticos

Specialty Services & Outpatient Centers - Servicios Especializados y Centros para Pacientes Ambulatorios Questions about a provider? Call Member Advocates or visit our website at selecthealth.org DIABETES MANAGEMENT SERVICES - SERVICIOS DE GESTIÓN DE LA DIABETES (CONTINUED) 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 Hospital 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 Hospital - Diabetes Clinic... (435) 893-0371 1100 North Main, Richfield 84701 Taylorsville Health Center Diabetes Clinic... (801) 840-2100 3845 West 4700 South, Taylorsville 84118 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 N 500 W Ste 103, Provo 84604 DIALYSIS CENTERS - CENTRO DE DIÁLISIS INTERMOUNTAIN OWNED SERVICES Intermountain Central Valley Dialysis Center... (801) 408-2950 880 East 3900 South, Salt Lake City 84107 Intermountain Sevier Valley Dialysis... (435) 893-0358 1100 North Main, Ste D, Richfield 84701 Logan Regional Hospital Dialysis Center... (435) 716-2917 550 E 1400 N, Logan 84341 Primary Children's Dialysis Center... (801) 662-7600 81 N Mario Capecchi Dr, Salt Lake City 84113 CONTRACTED SERVICES Blue Mountain Hospital Dialysis... (435) 678-4825 802 S 200 W Ste A, Blanding 84511 Bonneville Dialysis Center... (801) 479-0351 5575 S 500 E, Ogden 84405 Castleview Dialysis Center... (435) 637-8696 230 N Hospital Dr Ste 1, Price 84501 DaVita... (800) 400-8331 For other locations nationally, Salt Lake City 84101 DaVita Burley Dialysis Center... (208) 677-5483 741 N Overland Ave, Burley 83318 DaVita Lone Peak Dialysis... (801) 763-1304 1175 E 50 S Ste 111, American Fork 84003 DaVita Timpanogos Dialysis... (801) 356-8907 1055 N 500 W, Ste 222, Provo 84604 DaVita Utah Valley Dialysis... (801) 373-5400 1055 North 500 West #221, Provo 84604 DaVita Weber Valley Dialysis... (801) 731-4178 1920 W 250th N, Marriott 84404 DaVita West Bountiful Dialysis... (801) 296-9091 724 W 500 S, Ste 300, West Bountiful 84087 Idaho Kidney Center - Blackfoot... (208) 782-2220 98 Poplar St, Blackfoot 83221 Idaho Kidney Center - Pocatello... (208) 478-5600 444 Hospital Way Ste 600, Pocatello 83201 Liberty Dialysis... Visit www.libertydialysis.com for locations, Salt Lake City 84101 Liberty Dialysis - Caldwell... (205) 454-1101 4620 Enterprise Way Ste 101, Caldwell 83605 Liberty Dialysis - Idaho Falls...(208) 523-8500 2381 E Sunnyside Rd, Idaho Falls 83404 Liberty Dialysis - Layton...(801) 779-6100 2132 N 1700 W Ste 120, Layton 84041 Liberty Dialysis - Meridian...(208) 846-8335 3525 E Louise Dr Ste 100, Meridian 83642 Liberty Dialysis - Nampa...(208) 463-8558 280 W Georgia Ave, Nampa 83686 Liberty Dialysis - Ogden...(801) 394-1230 4780 Old Post Rd, Ogden 84405 Liberty Dialysis - Sandpoint...(208) 263-4488 1210 Washington Ave, Sandpoint 83864 Liberty Dialysis - St. George...(435) 634-6600 1173 S 250 W Ste 406, St. George 84770 Liberty Dialysis - West Jordan...(801) 280-4600 3823 W 9000 S Ste. D, West Jordan 84088 Liberty Dialysis - Woods Cross...(801) 292-2658 572 W 750 S Bldg B, Bountiful 84010 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 Pleasant View Dialysis...(801) 737-9555 2715 N Hwy 89, Pleasant View 84404 South Mountain Dialysis...(801) 747-0880 10969 S Riverfront Parkway Ste 100, South Jordan 84095 Uintah Basin Medical Center - Roosevelt Dialysis...(435) 725-2008 205 W 300 N, Roosevelt 84066 Uintah Basin Medical Center - Vernal Dialysis...(435) 781-2335 224 E 500 S, Vernal 84079 Wasatch Artificial Kidney Center...(801) 747-0880 650 E 4500 S Ste 100, Murray 84107 DURABLE MEDICAL EQUIPMENT - EQUIPO MÉDICO DURADERO 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 - Delta...(435) 743-1790 126 South White Sage Ave., Delta 84624 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 - Mt. Pleasant...(435) 462-3431 130 W Main St, Mount Pleasant 84647 Intermountain Homecare Equipment - Ogden...(801) 387-5450 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 - Salt Lake...(801) 977-9900 11520 S. Redwood Road, South Jordan 84095 Intermountain Homecare Equipment - Salt Lake Clinic...(385) 282-2200 389 S 900 E, Salt Lake City 84102 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 Facility only has a CT scan, not an MRI - Facilidad sólo tiene una tomografía computarizada, no una resonancia magnética Facility only has an MRI, not a CT scan - Facilidad sólo tiene resonancia magnética no una tomografía computarizada Ostomy supplies available - Suministros de ostomía disponibles Diabetic services and supplies available - Servicios y suministros disponibles para diabéticos 19