The file's text, extracted by GovTribe without its formatting.
Instructions Each offeror shall complete one tab for each identified Residential Re-Entry Center (RRC) location, without altering the format or the information. There are 24 tabs and each one represents an RRC. All RRC locations are not included. The completed attachment supersedes any information described in the technical proposal. In the event of any conflicts between the completed attachment and the technical proposal, the information provided in this attachment shall take precedence.
| Space is provided to list additional providers and/or specialists. Please refer to the Sample tab to view a sample sheet. |
| Please do not alter this workbook. Any alterations will result in the proposal not being accepted. |
&A
Sample
| Network Information | |
| Offeror: | ABC Comprehensive Medical |
| RRC: | RRC Anywhere |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) | Hospital Anywhere USA, 25 miles, acute; Hospital California, 10 miles, acute |
| Hospital Here USA, 10 miles, ambulatory |
| Hospital There USA, 15 miles, tertiary |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology | 2 |
| Cardiology/Surgery | 5 |
| Dental (Excluding Oral Surgery) | 2 |
| Dermatology | 1 |
| Emergency Room | 5 |
| ENT/Surgery | 2 |
| Endocrinology | 1 |
| Family Medicine / Primary Care | 10 |
| Gastroenterology | 5 |
| General Surgery | 5 |
| Gynecology (if female) | 2 |
| Hematology | Not Available |
| Infectious Disease | 1 |
| Internal Medicine | 3 |
| Nephrology | 1 |
| Neurology | 2 |
| Obstetrics (if female) | Not Available |
| Oral Surgery | 1 |
| Oncology | 1 |
| Ophthalmology | 3 |
| Optometry | 4 |
| Orthopedics/Surgery | 2 |
| Pathology | 1 |
| Pharmacy | 9 |
| Psychiatry | 2 |
| Pulmonology | 2 |
| Radiology | 1 |
| Urgent Care | 5 |
| Urology | 2 |
| Other (List specialist under the number of providers column) | Geriatrics - 1 |
| Other (List specialist under the number of providers column) | Podiatry - 1 |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
| Other (List specialist under the number of providers column) | N/A |
4DZ Louisville, KY
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
7N3 Manchester, KY
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
5GH Janesville, WI
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
7I2 Topeka, KS
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
5BZ Kalamazoo, MI
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
2FP Bowling Green, KY
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
7D1 Neelyville, MO
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
7E7 Devil's Lake ND
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
3XU Philadelphia, PA
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
AAE Atlanta, GA
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
EB1 Brooklyn, NY
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
SA4 Charlotte, NC
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
4U4 Hattisburg, MS
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
2AG Washington, DC
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
GB3 Pawtuckett, RI
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
3QR Springfield, MA
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
Garden Grove, CA
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
Del Valle, TX
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
Edinburg, TX
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
Houston, TX
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
Hutchins, TX
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
Lubbock, TX
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
Van Nuys, CA
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
Sacramento, CA
| Network Information |
| Offeror: |
| RRC: |
| Hospital Name(s), mileage, and type of facilities offered (e.g., acute, tertiary, ambulatory surgery) |
| Specialists Offered | |
| Providers and Specialists | Number of Providers |
| Anesthesiology |
| Cardiology/Surgery |
| Dental (Excluding Oral Surgery) |
| Dermatology |
| Emergency Room |
| ENT/Surgery |
| Endocrinology |
| Family Medicine / Primary Care |
| Gastroenterology |
| General Surgery |
| Gynecology (if female) |
| Hematology |
| Infectious Disease |
| Internal Medicine |
| Nephrology |
| Neurology |
| Obstetrics (if female) |
| Oral Surgery |
| Oncology |
| Ophthalmology |
| Optometry |
| Orthopedics/Surgery |
| Pathology |
| Pharmacy |
| Psychiatry |
| Pulmonology |
| Radiology |
| Urgent Care |
| Urology |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
| Other (List specialist under the number of providers column) |
