Attachment 3 - Facility List FINAL.pdf

Attachment 4 OM Pharmacutical Facility Listing

Facility Name City State Zip

ACL SERVICE UNIT ‐ ACOMA FEDERAL PUEBLO OF ACOMA NM 87034

ALABAMA‐COUSHATTA LIVINGSTON TX 77351

ALAMO HEALTH CENTER ALAMO NM 87825

ALBUQUERQUE INDIAN HEALTH CENTER (IP,EDI) ALBUQUERQUE NM 87106‐2725

ANADARKO INDIAN HEALTH CLINIC ANADARKO OK 73005

ANNETTE ISLAND SERVICE UNIT METLAKATLA AK 99926

ANNIKKAN INUIT ILUQUTAAT SUBREGIONAL PHARMACY UNALAKLEET AK 99684

ANTHC MEDICAL CENTER AMBULATORY SURGERY PHARMACY ANCHORAGE AK 99508

ANTHC MEDICAL CENTER INFUSION ANCHORAGE AK 99508

ANTHC MEDICAL CENTER INPATIENT PHARMACY ANCHORAGE AK 99508

ANTHC MEDICAL CENTER INTERNAL MEDICINE ANCHORAGE AK 99508

ANTHC MEDICAL CENTER MEDISET PHARMACY ANCHORAGE AK 99508

ANTHC MEDICAL CENTER OUTPATIENT PHARMACY ANCHORAGE AK 99508

ANTHC REGIONAL SUPPLY SERVICE CENTER ANCHORAGE AK 99507

ARDMORE MEDICAL HEALTH CENTER ARDMORE OK 73401

AROOSTOOK BAND OF MICMAC HEALTH DEPARTMENT PRESQUE ISLE ME 4769

AST LITTLE AXE HEALTH CTR PHARMACY NORMAN OK 73026

AST SHAWNEE CLINIC SHAWNEE OK 74801

AYLETT FAMILY WELLNESS UPPER MATTAPONI TRIBE AYLETT VA 23009

BAD RIVER HEALTH & WELLNESS CENTER ASHLAND WI 54806

BEARSKIN HEALTH CENTER WYANDOTTE OK 74370

BENEWAH MEDICAL CENTER COUER D' ALENE PLUMMER ID 83851

BLACK HAWK HEALTH CENTER STROUD OK 74079

BOIS FORTE MEDICAL CLINIC (BOIS FORTE BAND) NETT LAKE MN 55772

BOIS FORTE VERMILION CLINIC TOWER MN 55790

BROWNING HOSPITAL (BLACKFEET COMMUNITY HOSPITAL) BROWNING MT 59417

CANONCITO BAND OF NAVAJOS HEALTH CLINIC TOHAJIILEE NM 87026

CARL T. CURTIS HEALTH CENTER MACY NE 68039

CARNEGIE INDIAN HEALTH CENTER CARNEGIE OK 73015

CASS LAKE INDIAN HOSPITAL CASS LAKE MN 56633‐3360

CATAWBA INDIAN CLINIC ROCK HILL SC 29730

CATTARAUGUS INDIAN RESERVATION HEALTH CENTER IRVING NY 14081

CHEHALIS TRIBAL WELLNESS CENTER OAKVILLE WA 98568

CHEROKEE IND HOSPITAL AUTHORITY CHEROKEE NC 28719

CHEROKEE NATION CRC PHARMACY TAHLEQUAH OK 74464

CHEROKEE NATION EMS (TAHLEQUAH) TAHLEQUAH OK 74464

CHEROKEE NATION OUTPATIENT HEALTH CENTER TAHLEQUAH OK 74464

CHEROKEE NATION WW HASTINGS URGENT CARE TAHLEQUAH OK 74464

CHEYENNE RIVER HEALTH CENTER EAGLE BUTTE SD 57625

CHICKASAW MEDICAL CENTER ADA OK 74820

CHICKASAW NATION MC OUTPATIENT PHARMACY ADA OK 74820

CHICKASAW NATION REFILL CENTER ADA OK 74821

CHICKASAW NATION TISHOMINGO HEALTH CLINIC TISHOMINGO OK 73460

CHIEF ANDREW ISAAC HEALTH CENTER FAIRBANKS AK 99701

CHIEF REDSTONE HEALTH CENTER WOLF POINT MT 59201

CHINLE HEALTH CENTER CHINLE AZ 86503

CHITIMACHA TRIBE OF LOUISIANA CHARENTON LA 70523

CHOCTAW HEALTH CENTER CHOCTAW MS 39350‐6781

CHOCTAW NATION ATOKA INDIAN HEALTH CENTER ATOKA OK 74525

CHOCTAW NATION DURANT INDIAN HEALTH CLINIC DURANT OK 74701

CHOCTAW NATION HUGO INDIAN HEALTH CLINIC HUGO OK 74743

CHOCTAW NATION IDABEL INDIAN HEALTH CENTER IDABEL OK 74745

CHOCTAW NATION MCALESTER INDIAN HEALTH CLINIC MCALESTER OK 74501

CHOCTAW NATION RUBIN WHITE HEALTH CENTER POTEAU POTEAU OK 74953

CHOCTAW NATION STIGLER INDIAN HEALTH CENTER STIGLER OK 74462

CHOCTAW NATION TALIHINA HEALTH CARE CENTER TALIHINA OK 74571

CIBECUE HEALTH CENTER CIBECUE AZ 85911

CIT TRIBAL PHARMACY COOS BAY OR 97420

CITIZEN POTAWATOMI NATION WEST CLINIC SHAWNEE OK 74804‐1005

CITIZEN POTAWOTOMI HEALTH CENTER EAST SHAWNEE OK 74801

CLAREMORE INDIAN HOSPITAL CLAREMORE OK 74017

CLINTON INDIAN HEALTH CENTER CLINTON OK 73601

COCHITI HEALTH STATION COCHITI PUEBLO NM 87072

COLVILLE PHS INDIAN HEALTH CENTER (NESPELEM) NESPELEM WA 99155

COOWEESCOOWEE HEALTH CENTER PHARMACY OCHELATA OK 74051

COUNCIL OAK COMPREHENSIVE INPATIENT TULSA OK 74133

COUNCIL OAK COMPREHENSIVE OUTPATIENT TULSA OK 74133

COUSHATTA HEALTH DEPT ELTON LA 70532

CPN MAIL ORDER PHARMACY SHAWNEE OK 74801

CREEK NATION COMMUNITY HOSPITAL OKEMAH OK 74859

CRNA PHARMACY COPPER CENTER AK 99573

CROW HOSPITAL (PUBLIC HEALTH INDIAN HOSPITAL) (OP, IP) CROW AGENCY MT 59022

CROWNPOINT COMPREHENSIVE HLT CARE FACILITY (OP, IP) CROWNPOINT NM 87313

DALLAS INTER‐TRIBAL CENTER DALLAS TX 75235

DAVID C WYNECOOP MEMORIAL CLINIC (WELLPINIT INDIAN HC)(SPOKEANE TRIBE) WELLPINIT WA 99040

DUCKWATER HEALTH CLINIC DUCKWATER NV 89314

DZILTH‐NA‐O‐DITH‐HLE HEALTH CENTER BLOOMFIELD NM 87413

EL RENO INDIAN HEALTH CENTER EL RENO OK 73036

ELY SHOSHONE HEALTH DEPARTMENT ELY NV 89301‐3139

EUFAULA HEALTH CENTER EUFAULA OK 74432

FALLON TRIBAL HEALTH CENTER FALLON NV 89406‐5463

FEATHER RIVER TRIBAL HEALTH OROVILLE CA 95965

FLANDREAU SANTEE SIOUX TRIBAL HEALTH CLINIC (OP, IP) IHS FLANDREAU SD 57028

FORT DEFIANCE PHS IND HOSP (OP, IP) FORT DEFIANCE AZ 86504

FORT DUCHESNE INDIAN HEALTH CLINIC FORT DUCHESNE UT 84026

FORT HALL HEALTH CENTER FORT HALL ID 83203

FORT MOJAVE INDIAN HEALTH CENTER MOHAVE VALLEY AZ 86440

FORT PECK SERVICE UNIT POPLAR MT 59225

FORT THOMPSON INDIAN HEALTH CENTER FORT THOMPSON SD 57339

FORT WASHAKIE HEALTH CENTER FORT WASHAKIE WY 82514

FORT YATES INDIAN HOSPITAL FORT YATES ND 58538

FORT YUMA HEALTH CENTER WINTERHAVEN CA 92283

FOUR CORNERS REGIONAL HOSPITAL TEEC NOS POS AZ 86514

FRED LEROY HEALTH AND WELLNESS CENTER OMAHA NE 68107

FT. BELKNAP HEALTH CENTER (AKA:HARLEM HOSPITAL) HARLEM MT 59526

GALLUP INDIAN MEDICAL CENTER GALLUP NM 87301

HASKELL HEALTH CENTER USPHS LAWRENCE KS 66046

HAUPAL RED TAIL HAWK HEALTH CENTER CHANDLER AZ 85248

HEART BUTTE HEALTH STATION HEART BUTTE MT 59448

HOPI HEALTH CARE CENTER (KEAMS CANYON) POLACCA AZ 86042

HU HU KAM MEMORIAL HOSPITAL SACATON AZ 85147

IHC SANTA YSABEL PHARMACY SANTA YSABEL CA 92070

INDIAN HEALTH CARE RESOURCE HEALTH CENTER TULSA OK 74120

INDIAN HEALTH COUNCIL INC VALLEY CENTER CA 92082

INSCRIPTION HOUSE HEALTH CENTER SHONTO AZ 86054

IOWA TRIBE OF OKLAHOMA PERKINS OK 74059

ISLETA PUEBLO HEALTH CENTER ISLETA NM 87022

JEMEZ HEALTH CENTER JEMEZ PUEBLO NM 87024

JICARILLA APACHE HEALTHCARE FACILITY DULCE NM 87528

K A N A PHARMACY KODIAK AK 99615

KANAKANAK HOSPITAL DILLINGHAM AK 99576

KANZA HEALTH CLINIC NEWKIRK OK 74647

KAYENTA SU PHS IND HEALTH CENTER (IP, OP, EDI) KAYENTA AZ 86033‐0368

KETCHIKAN INDIAN COMMUNITY TRIBAL HEALTH CLINIC KETCHIKAN AK 99901

KEWA PUEBLO HEALTH CORPORATION SANTO DOMINGO NM 870520340

KICKAPOO NATION HEALTH CENTER HORTON KS 66439

KICKAPOO TRIBAL HEALTH CENTER MCLOUD OK 74851

KLAMATH TRIBAL HEALTH PHARMACY CHILOQUIN OR 97624

KOMATKE HEALTH CENTER PHARMACY LAVEEN AZ 85339

KOWETA INDIAN HEALTH FACILITY COWETA OK 74429

KYLE INDIAN HEALTH CENTER KYLE SD 57752

LAC COURTE OREILLES COMMUNITY HEALTH CENTER (+ EDI) HAYWARD WI 54843

LACREEK DISTRICT CLINIC MARTIN SD 57551‐5835

LAGUNA COMMUNITY HEALTH CENTER PARAJE NM 87007

LAS VEGAS PAIUTE HEALTH STATION LAS VEGAS NV 89106

LAWTON INDIAN HOSPITAL LAWTON OK 73507

LECHEE HEALTH FACILITY PAGE AZ 86040

LIONEL R JOHN HEALTH CENTER SALAMANCA NY 14779

LODGE GRASS HEALTH CENTER LODGE GRASS MT 59050

LOWER SIOUX HEALTH CARE CENTER MORTON MN 56270‐0308

LUMMI INDIAN HEALTH CENTER (BELLINGHAM) BELLINGHAM WA 98226

MANIILAQ HEALTH CENTER KOTZEBUE AK 99752

MASHPEE SRVC CLINIC IHS MASHPEE MA 02649‐3707

MCLAUGHLIN INDIAN HEALTH CLINIC MCLAUGHLIN SD 57642‐0879

MCNDH PHARMACY REFILL CENTER COWETA OK 74429

MENOMINEE TRIBAL CLINIC KESHENA WI 54135

MESCALERO INDIAN HOSP O/P MESCALERO NM 88340

MESKWAKI TRIBAL HEALTH CENTER (+PHARMACY) (AKA: SAC & FOX HEALTH CLINIC) TAMA IA 52339

MICCOSUKEE HEALTH CLINIC MIAMI FL 33194

MOHEGAN PHARMACY DBA MOHEGAN TRIBE OF INDIANS UNCASVILLE CT 06382‐1111

MUCKLESHOOT HWC PHARMACY AUBURN WA 98092

MUSCOGEE CREEK NATION MEDICAL CENTER OKMULGEE OK 74447‐6429

MUSCOGEE CREEK NATION PHYSICAL REHAB CENTER OKMULGEE OK 74447‐9082

MUSCOGEE(CREEK) NATION LTACH HOSPITAL OKMULGEE OK 74447‐9082

NAHATADZIIL HEALTH CENTER SANDERS AZ 86512

NATIONAL SUPPLY SERVICE CENTER DISTRIBUTION CENTER OKLAHOMA CITY OK 73114‐8138

NAYTAHWAUSH HEALTH STATION (WHITE EARTH HC SATELLITE CLINIC) NAYTAHWAUSH MN 56569

NIMIIPUU HEALTH IHS (LAPWAI) LAPWAI ID 83540

NIMKEE MEMORIAL HEALTH MT PLEASANT MI 48858

NOOKSACK TRIBAL HLT CNTR EVERSON WA 98247‐9749

NORTH STAR HEALTH CLINIC PHARMACY SEWARD AK 99664

NORTHEASTERN TRIBAL HEALTH CENTER (MIAMI HEALTH CLINIC, OP) MIAMI OK 74354

NORTHERN CHEYENNE SERVICE UNIT LAME DEER MT 59043

NORTHERN NAVAJO MEDICAL CENTER SHIPROCK NM 874200160

NORTON SOUND REGIONAL PHARMACY NOME AK 99762

OKEMAH INDIAN HEALTH CENTER OKEMAH OK 74859

OKLAHOMA CITY INDIAN URBAN CLINIC OKLAHOMA CITY OK 73127

OKMULGEE INDIAN HEALTH CENTER OKMULGEE OK 74447

OMAK TRIBAL HEALTH STATION OMAK WA 98841

OWYHEE COMMUNITY HEALTH FACILITY OWYHEE NV 89832

OYATE HEALTH CENTER RAPID CITY SD 57702

PARKER INDIAN HOSPITAL COLORADO RIVER SU (OP, IP) PARKER AZ 85344

PASSAMAQUODDY HEALTH CENTER INDIAN TWP ME 04668‐0097

PAWNEE SERVICE UNIT PAWNEE OK 74058

PEACH SPRINGS INDIAN HEALTH CENTER PEACH SPRINGS AZ 86434

PETER CHRISTIANSEN HEALTH CNTR (+ EDI) LAC DU FLAMBEAU WI 54540

PHOENIX MEDICAL CENTER PHOENIX AZ 85016

PINE HILL HEALTH CENTER PINEHILL NM 87357

PINE RIDGE PUBLIC HEALTH SERVICE HOSPITAL PINE RIDGE SD 57770‐1201

PINON HEALTH CENTER PINON AZ 86510

PLEASANT POINT HEALTH CENTER (PERRY) PERRY ME 4667

POARCH BAND‐CREEK INDIAN CLINIC (BUFORD L. ROLIN HEALTH CLINIC) ATMORE AL 36502

POKAGON POTAWATOMI HEALTH SERVICE (POKAGON BAND OF POTAWATOMI) DOWAGIAC MI 49047

POLSON HEALTH CENTER POLSON MT 59860

PONCA HEALTH SERVICES, PONCA TRIBE OF NE LINCOLN NE 68512

PONCA HILLS HEALTH AND WELLNESS CENTER NORFOLK NE 68701

PRAIRIE BAND POTAWATOMI HEALTH CENTER MAYETTA KS 66509

PRYOR INDIAN HEALTH CLINIC PRYOR MT 59066

PUEBLO OF SANDIA HEALTH CENTER BERNALILLO NM 87004

PURCELL INDIAN HEALTH CLINIC PURCELL OK 73080

PUYALLUP TRIBAL HLTH TACOMA WA 98404

PYRAMID LAKE HEALTH CLINIC NIXON NV 89424

QUENTIN N BURDICK MEMORIAL HOSPITAL‐ (TURTLE MOUNTAIN SU) (OP, IP) BELCOURT ND 58316

RED LAKE HOSPITAL RED LAKE MN 56671

REDBIRD SMITH HEALTH CENTER SALLISAW OK 74955

RENO‐SPARKS TRIBAL HEALTH CENTER RENO NV 89502

RIVER PEOPLE HEALTH CENTER SCOTTSDALE AZ 85256

ROCKY BOY HEALTH CENTER BOX ELDER MT 59521

ROGER SAUX HEALTH CENTER (QUINAULT INDIAN NATION) TAHOLAH WA 98587

ROSEBUD HOSPITAL ROSEBUD SD 57570

SACRED PEAKS TCRHCC FLAGSTAFF AZ 86004

SALINA PRIMARY HEALTH CARE CLINIC ‐ CHEROKEE NATION SALINA OK 74365

SALISH INTEGRATIVE MEDICINE INC PUYLLUP TRIBE OF INDIANS FIFE WA 98424

SALT RIVER PIMA‐MARCIOPA INDIAN COMMUNITY SCOTTSDALE AZ 85256

SAM HIDER COMMUNITY CLINIC JAY OK 74346

SAMUEL SIMMONDS MEMORIAL HOSPITAL BARROW AK 99723

SAN CARLOS APACHE HEALTHCARE (CLARENCE WESLEY HEALTH) BYLAS AZ 85530

SAN CARLOS APACHE HEALTHCARE CORPORATION PERIDOT AZ 85542

SAN FELIPE HEALTH CENTER SAN FELIPE NM 87001

SANTA ANA HEALTH STATION (ALBUQUERQUE INDIAN HOSPITAL) BERNALILLO NM 87004

SANTA CLARA HEALTH CENTER ESPANOLA NM 87532‐9614

SANTA FE PUBLIC HEALTH SERVICE INDIAN HOSPITAL SANTA FE NM 87505

SANTEE CLINIC HEALTH STATION NIOBRARA NE 68760

SAPULPA INDIAN HEALTH CENTER SAPULPA OK 74066

SCF ANCHORAGE NATIVE PRIMARY CARE ANCHORAGE AK 99508

SCF RASU PHARMACY ANCHORAGE AK 99508

SCF VALLEY NATIVE PRIMARY CARE WASILLA AK 99654

SEARHC ALICIA ROBERTS MEDICAL CENTER PHARMACY KLAWOCK AK 99925

SEARHC HAINES MEDICAL CLINIC PHARMACY HAINES AK 99827

SEARHC MEDICAL CENTER JUNEAU AK 99801

SEARHC MT EDGECUMBE HOSPITAL PHARMACY SITKA AK 99835

SEARHC WRANGELL PHARMACY WRANGELL AK 99929

SILETZ COMMUNITY HEALTH CLINIC SILETZ OR 97380

SIOUX SAN IHS INDIAN HOSPITAL RAPID CITY SD 57702

SOKAOGON CHIPPEWA HEALTH CLINIC CRANDON WI 54520

SOPHIE TRETTEVICK IND HLT CNTR (NEAH BAY SU)(MAKAH TRIBE) NEAH BAY WA 98357

SOUTHERN BANDS HEALTH CENTER ELKO NV 89801

SOUTHERN UTE HEALTH CENTER IGNACIO CO 81137

SPIRIT LAKE HEALTH CENTER FORT TOTTEN ND 58335

ST IGNATIUS COMMUNITY HEALTH CLINIC ST IGNATIUS MT 59865

ST REGIS MOHAWK TRIBE HEALTH SERVICES HOGANSBURG NY 13655

STOCKBRIDGE‐MUNSEE HEALTH CENTER BOWLER WI 54416

TAOS‐PICURIS INDIAN HEALTH CENTER TAOS NM 87571

THOREAU HEALTH CENTER PHARMACY THOREAU NM 87323

THREE AFFILIATED TRIBES (MANDAREE HLTH STATION)(FORT BERTHOLD) (SATELLITE OF MINNETOHE HC) MANDAREE ND 58757

THREE AFFILIATED TRIBES (PARSHALL CLINIC) PARSHALL ND 58770

THREE AFFILIATED TRIBES (TAT‐ELBOWOODS MEMORIAL HEALTH CENTER) NEW TOWN ND 58763

THREE AFFILIATED TRIBES (TWIN BUTTES HEALTH STATION) HALLIDAY ND 58636

THREE AFFILIATED TRIBES (WHITE SHIELD) ROSEGLEN ND 58775

THREE RIVERS HEALTH CENTER ‐ MUSKOGEE MUSKOGEE OK 74403

TOHATCHI PHS INDIAN HEALTH CENTER TOHATCHI NM 87325

TON SAN SIMON HEALTH CENTER SELLS AZ 85634

TON SAN XAVIER HEALTH CENTER TUCSON AZ 85746

TON SELLS HOSPITAL SELLS AZ 85634

TRENTON COMMUNITY CLINIC TRENTON ND 58853

TSAILE HEALTH CENTER TSAILE AZ 86556

TUBA CITY ONCOLOGY CENTER TUBA CITY AZ 86045

TUBA CITY REG HEALTH CARE CENTER (OP EDI, OP #1, IP) TUBA CITY AZ 86045

TUBA CITY REGIONAL OUTPATIENT TUBA CITY AZ 86045

UPPER TANANA HEALTH CENTER TOK TOK AK 99780

USPHS INDIAN HEALTH CLINIC‐ IHS LOWER BRULLE LOWER BRULE SD 57548

UTE MOUNTAIN UTE (TOWAOC) HEALTH CENTER TOWAOC CO 81334

VINITA HEALTH CENTER VINITA OK 74301

WAGNER INDIAN HEALTH SERVICE WAGNER SD 57380

WAH‐ZHA‐ZHI HEALTH CENTER PAWHUSKA OK 74056

WALKER RIVER PAIUTE TRIBAL HEALTH CLINIC SCHURZ NV 89427

WANBLEE HEALTH CLINIC WANBLEE SD 57577

WARM SPRINGS HEALTH & WELLNESS CENTER WARM SPRINGS OR 97761

WASHOE TRIBE CLINIC GARDNERVILLE NV 89460

WASSAJA MEMORIAL HEALTH CENTER FOUNTAIN HILLS AZ 85264

WATONGA HEALTH CENTER WATONGA OK 73772

WESTERN OREGON SERVICE UNIT SALEM OR 97305

WETUMKA INDIAN HEALTH CENTER WETUMKA OK 74883‐5522

WEWOKA INDIAN HEALTH CENTER WEWOKA OK 74884

WHITE CLOUD HEALTH CENTER WHITE CLOUD KS 66094

WHITE EAGLE HEALTH CENTER PONCA CITY OK 74601

WHITE EARTH HEALTH CENTER OGEMA MN 56569‐9612

WHITERIVER HOSPTIAL (USPHS) (OP) WHITERIVER AZ 85941

WILL ROGERS HEALTH CENTER ‐ NOWATA IHC NOWATA OK 74048

WILMA P. MANKILLER HEALTH CENTER STILWELL OK 74960‐8703

WIND RIVER CARES ‐ ETHETE ETHETE WY 82520

WIND RIVER CARES ‐ RIVERTON RIVERTON WY 82501

WIND RIVER FAMILY & COMMUNITY HEALTH CARE ARAPAHOE WY 82510

WINNEBAGO COMPREHENSIVE HEALTHCARE SYSTEM WINNEBAGO NE 68071

WINSLOW INDIAN HEALTH CARE CENTER WINSLOW AZ 86047

WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER SISSETON SD 57262

WW HASTINGS INDIAN HOSPITAL TAHLEQUAH OK 74464

YAKIMA PHS IND HLT CNTR TOPPENISH WA 98948

YAKUTAT COMMUNITY HEALTH CENTER YAKUTAT AK 99689

YELLOWHAWK TRIBAL HLT CNTR (CONFEDERATED UMATILLA TRIBES YELLOWHAWK CLINIC) PENDLETON OR 97801

YERINGTON PAIUTE TRIBAL HEALTH CLINIC YERINGTON NV 89447

YUKON‐KUSKOKWIM DELTA REGIONAL HOSPITAL BETHEL AK 99559

ZIA HEALTH AND DENTAL CLINIC ZIA PUEBLO NM 87053

ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER (OP, IP) ZUNI NM 87327