Healthy U Table of Contents...2019/07/17 · Referral Service: 801-581-2897 Utah State Medicaid...

Healthy U Table of Contents

WELCOME ........................................................................................................................................................................... 5

BIENVENIDOS ...................................................................................................................................................................... 8

UNIVERSITY OF UTAH HEALTH PLANS CONTRACTING CRITERIA ......................................................................................... 10

PARTICIPATING FACILITIES & ANCILLARY SERVICES ........................................................................................................... 11

HOSPITALS ................................................................................................................................................................................ 11 HOSPITALS, LONG TERM ACUTE CARE (LTAC) ................................................................................................................................. 12 URGENT CARE CENTERS ............................................................................................................................................................... 12 PUBLIC HEALTH CENTERS / CLINICS ................................................................................................................................................ 13 AMBULATORY SURGERY CENTERS .................................................................................................................................................. 14 CARDIAC MONITORING ............................................................................................................................................................... 14 DIABETES EDUCATION CENTERS .................................................................................................................................................... 14 DIABETES SUPPLY CENTERS .......................................................................................................................................................... 15 DIALYSIS CENTERS ...................................................................................................................................................................... 15 HEARING CENTERS ...................................................................................................................................................................... 16 HOME HEALTH AGENCIES ............................................................................................................................................................ 16 HOME INFUSION SERVICES ........................................................................................................................................................... 19 HOME MEDICAL SUPPLIES / DURABLE MEDICAL EQUIPMENT (DME) ................................................................................................... 19 HOSPICE CARE ........................................................................................................................................................................... 21 INFUSION SUITES ........................................................................................................................................................................ 23 LABORATORY / PATHOLOGY ......................................................................................................................................................... 23 LABORATORY DRAW STATIONS ..................................................................................................................................................... 24 LANGUAGE INTERPRETER SERVICES ................................................................................................................................................ 25 MAMMOGRAPHY SCREENING CENTERS ........................................................................................................................................... 25 PERSONAL/HOME CARE AGENCIES ................................................................................................................................................ 26 RADIOLOGY / IMAGING CENTERS ................................................................................................................................................... 26 REHABILITATION SERVICES............................................................................................................................................................ 26 SKILLED NURSING FACILITIES ......................................................................................................................................................... 27 SLEEP STUDY LABS ...................................................................................................................................................................... 28 VISION CENTERS (OPTICAL SUPPLIERS) ........................................................................................................................................... 28

PARTICIPATING PRIMARY CARE PROVIDERS ...................................................................................................................... 30

ADOLESCENT MEDICINE ............................................................................................................................................................... 30 FAMILY MEDICINE ...................................................................................................................................................................... 30 GENERAL PRACTICE ..................................................................................................................................................................... 61 GERIATRIC MEDICINE .................................................................................................................................................................. 62 HEALTH CENTER/CLINIC .............................................................................................................................................................. 63 INTERNAL MEDICINE ................................................................................................................................................................... 65 MULTISPECIALTY CLINIC ............................................................................................................................................................... 83 OBSTETRICS AND GYNECOLOGY ................................................................................................................................................... 126 PEDIATRICS ............................................................................................................................................................................. 142 PREVENTIVE MEDICINE .............................................................................................................................................................. 164

PARTICIPATING SPECIALTY PROVIDERS ........................................................................................................................... 166

ADDICTION MEDICINE ............................................................................................................................................................... 166 ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY ............................................................................................................. 166 ALLERGY AND IMMUNOLOGY ...................................................................................................................................................... 166 AUDIOLOGY............................................................................................................................................................................. 168 BRAIN INJURY MEDICINE ............................................................................................................................................................ 173 CARDIAC ELECTROPHYSIOLOGY, CLINICAL ...................................................................................................................................... 173 CARDIOLOGY, INTERVENTIONAL................................................................................................................................................... 176


CARDIOTHORACIC SURGERY ........................................................................................................................................................ 178 CARDIOVASCULAR DISEASE ......................................................................................................................................................... 180 CHILD ABUSE PEDIATRICS ........................................................................................................................................................... 192 CHIROPRACTIC ......................................................................................................................................................................... 193 CLINICAL INFORMATICS .............................................................................................................................................................. 193 CLINICAL LIPIDOLOGY ................................................................................................................................................................ 193 COLON AND RECTAL SURGERY .................................................................................................................................................... 193 DERMATOLOGY ........................................................................................................................................................................ 193 DIABETES EDUCATION ............................................................................................................................................................... 200 ELECTRODIAGNOSTIC MEDICINE .................................................................................................................................................. 200 ENDOCRINOLOGY, DIABETES AND METABOLISM ............................................................................................................................. 201 FAMILY MEDICINE .................................................................................................................................................................... 203 FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY ............................................................................................................. 203 FOOT AND ANKLE SURGERY ........................................................................................................................................................ 203 GASTROENTEROLOGY ................................................................................................................................................................ 204 GENERAL PRACTICE ................................................................................................................................................................... 209 GENETIC COUNSELING ............................................................................................................................................................... 209 GENETICS AND GENOMICS, CLINICAL ............................................................................................................................................ 210 GERIATRIC MEDICINE ................................................................................................................................................................ 211 HAND SURGERY ....................................................................................................................................................................... 211 HEMATOLOGY.......................................................................................................................................................................... 212 HEMATOLOGY/ONCOLOGY......................................................................................................................................................... 214 HOSPICE AND PALLIATIVE MEDICINE ............................................................................................................................................ 217 INFECTIOUS DISEASE ................................................................................................................................................................. 219 INTERNAL MEDICINE ................................................................................................................................................................. 220 MATERNAL AND FETAL MEDICINE ................................................................................................................................................ 225 MIDWIFERY ............................................................................................................................................................................. 228 MULTISPECIALTY CLINIC ............................................................................................................................................................. 229 NEPHROLOGY .......................................................................................................................................................................... 231 NEURODEVELOPMENTAL DISABILITIES........................................................................................................................................... 240 NEUROLOGICAL SURGERY........................................................................................................................................................... 240 NEUROLOGY ............................................................................................................................................................................ 243 NEUROLOGY WITH SPECIAL QUALIFICATION IN CHILD NEUROLOGY ..................................................................................................... 248 NEUROMUSCULAR MEDICINE ..................................................................................................................................................... 250 NEUROPHYSIOLOGY, CLINICAL ..................................................................................................................................................... 250 NEUROTOLOGY ........................................................................................................................................................................ 250 NUCLEAR CARDIOLOGY .............................................................................................................................................................. 251 NURSE PRACTITIONER ............................................................................................................................................................... 252 NURSE PRACTITIONER, FAMILY ................................................................................................................................................... 252 NURSE PRACTITIONER, WOMEN'S HEALTH .................................................................................................................................... 252 OBSTETRICS AND GYNECOLOGY ................................................................................................................................................... 252 OCCUPATIONAL MEDICINE ......................................................................................................................................................... 253 OCCUPATIONAL THERAPY ........................................................................................................................................................... 254 ONCOLOGY, GYNECOLOGIC ........................................................................................................................................................ 260 ONCOLOGY, MEDICAL ............................................................................................................................................................... 261 OPHTHALMOLOGY .................................................................................................................................................................... 263 OPTOMETRY ............................................................................................................................................................................ 274 ORAL AND MAXILLOFACIAL SURGERY ........................................................................................................................................... 281 ORTHOPAEDIC SPORTS MEDICINE ................................................................................................................................................ 283 ORTHOPEDICS/ORTHOPAEDIC SURGERY........................................................................................................................................ 284 OTOLARYNGOLOGY (ENT) ......................................................................................................................................................... 295


PAIN MEDICINE ....................................................................................................................................................................... 301 PEDIATRIC CARDIOLOGY............................................................................................................................................................. 307 PEDIATRIC DERMATOLOGY ......................................................................................................................................................... 312 PEDIATRIC ENDOCRINOLOGY ....................................................................................................................................................... 312 PEDIATRIC GASTROENTEROLOGY ................................................................................................................................................. 313 PEDIATRIC HEMATOLOGY-ONCOLOGY .......................................................................................................................................... 315 PEDIATRIC INFECTIOUS DISEASES ................................................................................................................................................. 316 PEDIATRIC NEPHROLOGY ........................................................................................................................................................... 316 PEDIATRIC OTOLARYNGOLOGY .................................................................................................................................................... 317 PEDIATRIC PULMONOLOGY ......................................................................................................................................................... 318 PEDIATRIC REHABILITATION MEDICINE ......................................................................................................................................... 318 PEDIATRIC RHEUMATOLOGY ....................................................................................................................................................... 319 PEDIATRIC SLEEP MEDICINE ........................................................................................................................................................ 319 PEDIATRIC SPORTS MEDICINE ..................................................................................................................................................... 319 PEDIATRIC SURGERY .................................................................................................................................................................. 320 PEDIATRIC UROLOGY ................................................................................................................................................................. 322 PEDIATRICS ............................................................................................................................................................................. 322 PEDIATRICS, DEVELOPMENTAL-BEHAVIORAL .................................................................................................................................. 325 PHYSICAL MEDICINE AND REHABILITATION .................................................................................................................................... 325 PHYSICAL THERAPY ................................................................................................................................................................... 327 PHYSICAL THERAPY, CLINICAL ELECTROPHYSIOLOGY ........................................................................................................................ 357 PHYSICAL THERAPY, ORTHOPAEDICS ............................................................................................................................................ 357 PLASTIC SURGERY ..................................................................................................................................................................... 357 PLASTIC SURGERY WITHIN THE HEAD AND NECK ............................................................................................................................ 359 PODIATRY ............................................................................................................................................................................... 360 PREVENTIVE MEDICINE .............................................................................................................................................................. 364 PULMONARY DISEASE................................................................................................................................................................ 364 RADIATION ONCOLOGY ............................................................................................................................................................. 368 RADIOLOGY, INTERVENTIONAL AND DIAGNOSTIC ............................................................................................................................ 370 RADIOLOGY, VASCULAR AND INTERVENTIONAL ............................................................................................................................... 370 REGISTERED DIETITIAN/NUTRITION PROFESSIONAL ......................................................................................................................... 371 REPRODUCTIVE ENDOCRINOLOGY/INFERTILITY ............................................................................................................................... 372 RHEUMATOLOGY ...................................................................................................................................................................... 373 SLEEP MEDICINE ...................................................................................................................................................................... 374 SPEECH-LANGUAGE PATHOLOGY ................................................................................................................................................. 375 SPINAL CORD INJURY MEDICINE .................................................................................................................................................. 380 SPORTS MEDICINE .................................................................................................................................................................... 380 SURGERY, GENERAL .................................................................................................................................................................. 382 UROLOGY ............................................................................................................................................................................... 390 VASCULAR NEUROLOGY ............................................................................................................................................................. 393 VASCULAR SURGERY ................................................................................................................................................................. 394 WOUND CARE/HYPERBARIC MEDICINE ........................................................................................................................................ 395

INDEX OF PROVIDERS BY LANGUAGES SPOKEN ............................................................................................................... 396

INDEX .............................................................................................................................................................................. 462

Healthy U Welcome

07/17/2019 Page 5

WELCOME TO HEALTHY U

This directory lists the providers in the Healthy U network. All non-emergency services must be received from Healthy U providers. If you are having an emergency, you may see any provider including providers who are not in the Healthy U network.

Choosing Your Doctor: A Primary Care Physician (PCP) is a doctor you see for most of your medical care. Healthy U PCPs are listed in the front of this handbook. You do not have to pick a PCP; but we think you should. A PCP will:

See you for routine check-ups.

Treat you when you are sick or injured.

Refer you to a specialist (if needed).

Approve all non-emergency hospital stays.

Be your contact if you need care after office hours (except emergencies).

Choose a PCP from the list of providers in this directory. These are the kinds of doctors who are PCPs:

Family or General Practice (for all ages)

Internal Medicine (for adults)

Pediatrician (for children)

Obstetrics and Gynecology (OB/GYN – for women). You may also choose a Certified Nurse Midwife (CNM) if you are having a baby.

You may select one PCP for your whole family or a different PCP for every family member with Healthy U as their health plan. If you have a special health need, you may be able to choose a specialist as your PCP. A Case Manager will work with you to choose a specialist as your PCP. Our Case Managers are Registered Nurses. They will work with you and your doctor(s) to make sure you get the care you need.

Remember: Go to the emergency room if you have an Emergency Medical Condition that requires Emergency Service. Do not go to the emergency room, though, for routine medical care. If you think your medical problem might be an emergency, call 911 or go to any hospital emergency room.

“Emergency Medical Condition” means, unless otherwise defined in an applicable Benefit Plan, a medical condition manifesting itself by acute symptoms of sufficient severity, including severe pain, such that a prudent layperson, who possesses an average knowledge of medicine and health, could reasonably expect the absence of immediate medical attention to result in: (a) placing the patient’s health (or, with respect to a pregnant woman, the health of a woman or her unborn child) in serious jeopardy; (b) serious impairment of bodily function; (c) serious dysfunction of any bodily organ or part. Severe bleeding, unconsciousness, and fracture are examples of Emergencies. The determination of whether Emergency Services are Covered Services shall rest with University. Such determination shall be consistent with the definition of “Emergency Medical Condition” as stated above and shall be subject to the appeals process of University. Notwithstanding any other provision in this Agreement, University shall not deny payment for Emergency Services provided by Provider to Members in accordance with USC 42, Section 1395 et seq of the Emergency Medical Treatment and Active Labor Act (EMTALA). “Emergency Services” means covered inpatient and outpatient services that are furnished by a Provider that is qualified to furnish these services and that are needed to evaluate or stabilize an Emergency Medical Condition. For questions about your medical benefits, please refer to your Healthy U Member Handbook or call Member Services at 1-888- 271-5870, option 1. Important Notice: All non-emergency services must be received from Healthy U network providers at facilities participating with Healthy U. The only exceptions to this rule are Emergency Rooms and Urgent Care Centers. This directory is subject to change, and you are encouraged to make sure your doctor is still in the Healthy U network and accepting Healthy U patients by calling the doctor’s office prior to scheduling an appointment. Members may be responsible for payment if the provider you see is not in the Healthy U network.

Healthy U Welcome

07/17/2019 Page 6

Important Phone Numbers:

Member Services: 801-587-6480 or 1-888-271-5870

(Choose option 1) Hours: Mon- Fri: 8 a.m.–6 p.m. U of U Physician Referral Service: 801-581-2897 Utah State Medicaid Hotline: 801-538-6155 or

1-800-662-9651 U of U Health Plan members can call our Access Assistance line to help find a provider, transition to an in-network provider or schedule an appointment. To contact a care coordinator, call 801-587-2851.

Healthy U on the Internet: https://uhealthplan.utah.edu/

Claims may be mailed to: HEALTHY U Attn: Claims Department

P.O. Box 45180 Salt Lake City, UT 84145

https://uhealthplan.utah.edu/

Healthy U Welcome

07/17/2019 Page 7

Healthy U has translators for any language. Please call member services at 1-888-271-5870, option 1. If you have diabetes, heart disease, arthritis or any other chronic condition, Healthy U has a Care Manager ready to assist you to make sure you get the care that you need. Give our Care Management department a call at 801-587-6480 or 1-888-271-5780, option 2.

Spanish ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-271-5870.

Chinese

注意：如果您使用繁體中文，您可以免費獲得語

言援助服務。請致電 1-888-271-5870。

Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-271-5870.

Korean

주의: 한국어를 사용하시는 경우, 언어 지원

서비스를 무료로 이용하실 수 있습니다. 1-888-

271-5870 번으로 전화해 주십시오.

Navajo Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’dęę’, t’áá jiik’eh, éí ná hólǫ, kojį’ hódíílnih 1-888-271-5870

Nepali

ध्यान दिनुहोस्: तपारं्इले नेपाली बोल्नुहुन्छ भने तपारं्इको

दनम्ति भाषा सहायता सेवाहरू दनिःशुल्क रूपमा उपलब्ध

छ । फोन गनुुहोस् 1-888-271-5870

Tongan FAKATOKANGA’I: Kapau ‘oku ke Lea-Fakatonga, ko e kau tokoni fakatonu lea ‘oku nau fai atu ha tokoni ta’etotongi, pea teke lava ‘o ma’u ia. Telefoni mai 1-888-271-5870

Serbo-Croatian OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-888-271-5870

Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-271-5870

German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-271-5870

Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-271-5870

Cambodian

ប្រយ័ត្ន៖ បរើសិនជាអ្នកនិយាយ ភាសាខ្មែរ,

បសវាជំនួយខ្ននកភាសា បោយមិនគិត្ឈ្ន លួ

គឺអាចមានសំរារ់រំបរ ើអ្នក។ ចូរ ទូរស័ព្ទ 1-888-271-5870

French ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-888-271-5870

Japanese

注意事項：日本語を話される場合、無料の言語

支援をご利用いただけます。1-888-271-5870

Arabic اللغوية المساعدة خدمات فإن ،اللغة اذكر تتحدث كنت إذا :ملحوظة

5870-271-888-1 برقم اتصل .بالمجان لك تتوافر

Healthy U Bienvenidos

07/17/2019 Page 8

BIENVENIDOS A HEALTHY U Este directorio enumera a los proveedores en la red de Healthy U. Todos los servicios que no sean de emergencia deben recibirse de los proveedores de Healthy U. Si tiene una emergencia, puede ver a cualquier proveedor, incluido los proveedores que no están en la red de Healthy U.

Escogiendo a Su Doctor: Un Médico de Atención Primaria (PCP) es un doctor al que usted ve en la mayoría de sus atenciones médicas. Los PCP de Healthy U aparecen en la parte de atrás de este manual. No tiene que escoger a un PCP, pero creemos que debería. Un PCP realizará lo siguiente:

Lo verá para chequeos de rutina.

Lo atenderá cuando esté enfermo o lesionado.

Lo referirá a un especialista (de ser necesario).

Aprobará todas las hospitalizaciones que no sean de emergencia.

Será su contacto si necesita que lo atiendan fuera del horario del consultorio (excepto las emergencias).

Escoja a un PCP de la lista de proveedores que aparece en este manual. Estas son las clases de doctores que son PCP:

Práctica Familiar (para todas las edades)

Medicina Interna (para adultos)

Pediatría (para niños)

Obstetricia y Ginecología (OB/GYN – para mujeres). También puede escoger una Enfermera Obstétrica Certificada (CNM) si va a tener un bebé.

Puede escoger a un PCP para toda su familia, o un PCP diferente para cada miembro de la familia que tiene Healthy U como su plan de salud. Si tiene una necesidad especial de salud, puede escoger a un especialista como su PCP. Un Administrador de Caso trabajará con usted para escoger a un especialista como su PCP. Nuestros Administradores de Caso son Enfermeras Registradas. Ellas trabajarán con usted y su doctor(es) para asegurarse de que usted reciba la atención que necesita.

Recuerde: Vaya a la sala de emergencias si tiene

una a condición médica de emergencia que

requiere un servicio de emergencia. No vaya a la

sala de emergencia si se trata de una atención

médica de rutina. Si usted piensa que su problema

médico puede ser una emergencia, llame al 911 o

vaya a la sala de emergencia de cualquier hospital.

“Condición de Emergencia Médica” significa a menos que se defina lo contrario en un Plan de Beneficios aplicable, una condición médica que se manifiesta por síntomas agudos de suficiente gravedad, incluyendo dolor severo. De tal manera que un laico prudente, que posee un conocimiento promedio de medicina y salud, podría razonablemente esperar que la ausencia de atención médica inmediata resulte en: (a) poner en grave peligro la salud del paciente (o, con respecto a una mujer embarazada, la salud de una mujer o su feto); (b) deterioro grave de la función corporal; (c) disfunción grave de cualquier órgano o parte del cuerpo. El sangrado severo, la inconsciencia y fracturas son ejemplos de emergencias. La determinación de si los Servicios de Emergencia son Servicios Cubiertos dependerá de la Universidad. Dicha determinación deberá ser consistente con la definición de “Condición de Emergencia Médica” como se indicó anteriormente y estará sujeto al proceso de apelación de la Universidad. No obstante, cualquier otra disposición en este Acuerdo, la Universidad no negará el pago por los Servicios de Emergencia proporcionados por el Proveedor a los Miembros de conformidad con la USC 42, Sección 1395 y siguientes de la Ley de Tratamiento Médico de Emergencia y Trabajo Activo (EMTALA).

"Servicios de Emergencia" se refiere a los servicios cubiertos para pacientes hospitalizados y ambulatorios que proporciona un proveedor que está calificado para brindar estos servicios y que son necesarios para evaluar o estabilizar una condición médica de emergencia.

Si tiene preguntas respecto de sus beneficios

médicos, vea su Manual para Miembros de Healthy

U o llame a los Servicios para Miembros al 1-888-

271-5870, opción 1.

Aviso Importante: Todos los servicios que no sean de emergencia deben ser recibidos de proveedores de la red de

Healthy U Bienvenidos

07/17/2019 Page 9

Healthy U en las instalaciones que participan con Healthy U. Las únicas excepciones a esta regla son las salas de emergencia y los centros de atención de urgencias. Este directorio está sujeto a cambios, y le recomendamos que llame al consultorio del médico antes de programar una cita. Para asegure de que su médico aún esté en la red de Healthy U. Los miembros pueden ser responsables del pago de servicio si el proveedor que usted ve no está en la red de Healthy U.

Números Telefónicos Importantes:

Servicios Para Miembros: 801-587-6480 o 1-888-271-5870

(Escoja la opción 1) Horario: lunes - viernes: 8:00 a.m.- 6:00 p.m. U de U Servicio de Referencia Médica: 801-581-2897 Medicaid del Estado de Utah 801-538-6155 Línea Directa: 1-800-662-9651

Los miembros de U of U Health Plan pueden llamar a nuestra línea de Asistencia de Acceso para ayudar a encontrar un proveedor, hacer la transición a un proveedor dentro de la red o programar una cita. Para comunicarse con un coordinador de atención, llame al 801-587-2851.

Healthy U en Internet: https://uhealthplan.utah.edu/

Envíe sus reclamos a: HEALTHY U Attn: Claims Department

P.O. Box 45180 Salt Lake City, UT 84145

Healthy U tiene traductores para cualquier idioma. Por

favor, llame a Servicios para Miembros al 1-888-271-5870,

opción 1.

Si usted tiene diabetes, enfermedades del corazón, artritis

o cualquier otra enfermedad crónica, Healthy U tiene un

Administrador de Atención disponible para ayudarle y

para asegurarse de que usted reciba la atención médica

que necesita. Llame a nuestro departamento de

Administración de la Atención al 801-587-6480 o 1-888-

271-5870, opción 2.

https://uhealthplan.utah.edu/

Healthy U University of Utah Health Plans Contracting Criteria

07/17/2019 Page 10

The University of Utah Health Plans (UUHP) contracts with physicians and other health care professionals and

facilities for all of our product lines, including commercial, marketplace, and Medicaid, to offer provider networks

essential to the delivery of health care and services to our members. UUHP is committed to the “triple aim” of

improving experience and quality of care, improving the health of populations, and reducing the per capita cost of

care.

We recognize the importance of population health and payment reform and have developed extensive care

management and value-based payment programs that improve health and align provider reimbursement with value

and positive outcomes.

Provider applications to participate in any UUHP network are considered based on the following:

UUHP business needs which may include and are not limited to:

• Network adequacy requirements based on state and/or federal guidelines • Network adequacy requirements based on the current or expected population of a given

geographic area (usually defined by county or zip code) • Network adequacy requirements based on provider type and/or specialty • Network composition based on scope of services required by payer such as employer, health

plan, union/trust, government entity, etc. • Demographic needs including but not limited to languages spoken • Existing, non-compensated, referral patterns with current network providers and/or UUHP

members

Quality, patient experience and cost data as available which may include and is not limited to:

Comparisons of provider practice data to benchmark market averages related to compliance

with industry-standard quality measures. Examples include: Hemoglobin A1c (HbA1c) testing

in diabetic patients, breast cancer screening prevention rates, and child immunization rates.

Industry published and available patient surveys and reviews

Comparisons of provider practice cost data to benchmark market averages on a per-member-

per-month basis for similar populations

The credentialing process which may include and is not limited to, verifying appropriate licensure, education

and training, board certification, DEA licensure, accreditation/certification status, review of sanctions and a

review of an acceptable history of professional liability claims.

All providers must be approved through our credentialing process before they may participate in any network.

UUHP plans are designed based on specific criteria that we apply to select participating primary care physicians and specialists which include:

Cardiology

General Surgery

Neurology

Urology

Orthopedics

Obstetrics and Gynecology Additional primary care physicians, specialists, and facilities are included if they meet our credentialing requirements to ensure members have access within a reasonable distance to the number and types of providers needed.

Healthy U Participating Facilities & Ancillary Services

07/17/2019 Page 11

♿ ADA accesible ㏄ Cultural Competency training

Hospitals

American Fork American Fork Hospital ♿

170 N 1100 E ................ (801) 855-3300

Beaver Beaver Valley Hospital ♿

1109 N 100 West St ...... (435) 438-7100

Blanding Blue Mountain Hospital ♿

802 S 200 W ................. (435) 678-3993

Bountiful Lakeview Hospital ♿

630 E Medical Dr .......... (801) 299-2200

Brigham City Brigham City Community Hospital ♿

950 S Medical Dr .......... (435) 734-9471

Cedar City Cedar City Hospital ♿

1303 N Main St............. (435) 868-5000

Delta Delta Community Hospital ♿

126 White Sage Ave ..... (435) 864-5591

Draper Lone Peak Hospital ♿

11925 S State St ........... (801) 545-8000

Fillmore Fillmore Community Hospital ♿

674 South Hwy 99 ........ (435) 743-5591

Gunnison Gunnison Valley Hospital ♿

64 E 100 N .................... (435) 528-7246

Heber City Heber Valley Medical Center ♿

1485 South Hwy 40 ...... (435) 654-2500

Kanab Kane County Hospital ♿

355 N Main St............... (435) 644-5811

Layton Davis Hospital & Medical Center ♿

1600 W Antelope Dr .... (801) 807-1000

Layton Hospital ♿

201 W Layton Pkwy ...... (801) 543-6000

Lehi Mountain Point Medical Center ♿

3000 N Triumph Blvd ... (385) 345-3000

Logan Logan Regional Hospital ♿

500 E 1400 N ................ (435) 716-1000

Milford Milford Memorial Hospital ♿

850 N Main St

Ut Hwy 257 .................. (435) 387-2411

Moab Moab Regional Hospital ♿

450 W Williams Way .... (435) 719-4550

Monticello San Juan Hospital ♿

380 W 100 N ................ (435) 587-2116

Mt. Pleasant Sanpete Valley Hospital ♿

1100 S Medical Dr ........ (435) 462-2441

Murray Intermountain Medical Center ♿

5121 S Cottonwood

St ............................... (801) 507-7000

The Orthopedic Specialty Hospital (TOSH)

♿

5848 S 300 E ................ (801) 314-4100

Nephi Central Valley Medical Center ♿

48 W 1500 N ................ (435) 623-3000

North Logan Cache Valley Hospital ♿

2380 N 400 E ................ (435) 713-9700

Ogden McKay-Dee Hospital ♿

4401 Harrison Blvd ...... (801) 387-2800

Ogden Regional Medical Center ♿

5475 S 500 E ................ (801) 479-2111

Orem Orem Community Hospital ♿

331 N 400 W ................ (801) 224-4080

Timpanogos Regional Hospital ♿

750 W 800 N ................ (801) 714-6000

Panguitch Garfield Memorial Hospital ♿

200 N 400 E .................. (435) 676-8811

Park City Park City Hospital ♿

900 Round Vly Dr ......... (435) 658-7000

Payson Mountain View Hospital ♿

1000 E 100 N ................ (801) 465-7000

Price Castleview Hospital ♿

300 N Hospital Dr ......... (435) 637-4800

Provo Utah Valley Hospital ♿

1034 N 500 W .............. (801) 357-7850

Richfield Sevier Valley Hospital

1000 N Main St ............. (435) 893-4100

Riverton Primary Children's Unit at Riverton

Hospital ♿

3741 W 12600 S............ (801) 285-4000

Riverton Hospital ♿

3741 W 12600 S............ (801) 285-4000

Roosevelt Uintah Basin Medical Center ♿

250 W 300 N ................. (435) 722-4691

Uintah Basin Medical Center - Clinic 1

210 W 300 N ................. (435) 722-4691

Salt Lake City Huntsman Cancer Institute ♿

2000 Cir Of Hope .......... (801) 585-0303

LDS Hospital ♿

8th Ave C St .................. (801) 408-1100

Primary Children's Hospital ♿

100 N Mario Capecchi

Dr................................ (801) 662-1000

Salt Lake Regional Medical Center ♿

1050 East South

Temple ....................... (801) 350-4111

Shriners Hospitals for Children ♿

1275 E Fairfax Rd .......... (801) 536-3500

St. Mark's Hospital ♿

1200 E 3900 S ............... (801) 268-7111

University of Utah Hospital ♿

50 N Medical Dr ............ (801) 581-2121

UUHC University Orthopaedic Center ♿

590 Wakara Way .......... (801) 587-7109

Sandy Alta View Hospital ♿

9660 S 1300 E ............... (801) 501-2600

St. George Dixie Regional Medical Center ♿

1380 E Medical Ctr Dr ... (435) 251-1000

Taylorsville St. Mark's Taylorsville Emergency Center

♿

5400 S 2700 W.............. (801) 982-0050

Tooele Mountain West Medical Center ♿

2055 N Main St ............. (435) 843-3710

Tremonton Bear River Valley Hospital ♿

905 N 1000 W ............... (435) 207-4500

Vernal Ashley Regional Medical Center ♿

150 W 100 N ................. (435) 789-3342


07/17/2019 Page 12


West Jordan Jordan Valley Medical Center ♿

3580 W 9000 S ............. (801) 561-8888

West Valley City Jordan Valley Medical Center - West

Valley Campus ♿

3460 S Pioneer Pkwy .... (801) 964-3100

Hospitals, Long Term Acute Care

(LTAC)

Bountiful South Davis Community Hospital

485 E 500 S ................... (801) 397-8177

Murray Promise Hospital of Salt Lake

4252 Birkhill Blvd ......... (801) 408-7100

Provo Utah Valley Specialty Hospital

306 West Riv Bnd Ln .... (801) 226-8880

Urgent Care Centers

American Fork Medallus Medical - American Fork

476 N 900 W Ste C ....... (801) 492-1611

Bountiful FirstMed Urgent Care - North

1512 Renaissance Towne Dr

Ste 100 ......................... (801) 295-6483

Ogden Clinic - Cope Family Medicine

Urgent Care

185 S 400 E Ste 100 ...... (801) 397-6200

Brigham City Box Elder InstaCare

1050 S 500 W ............... (435) 695-2424

Centerville UUHC Centerville Health Center - Urgent

Care

26 S Main St ................. (801) 213-8844

Cottonwood Heights FirstMed Urgent Care - East

1950 E 7000 S ............... (801) 943-3300

Draper Medallus Medical - Draper

1126 E 12300 S ............. (801) 545-0600

Eagle Mountain Eagle Mountain Family Medicine &

Urgent Care - Revere Health

4095 E Pony Expy Pkwy

Ste 1 ............................. (801) 429-8037

Farmington Ogden Clinic - Farmington Urgent Care

991 W Shepard Ln ........ (801) 397-6080

UUHC Farmington Health Center - Urgent

Care

165 N University Ave ... (801) 213-3200

Farr West Farr West Urgent Care & Family

Medicine

2850 N 2000 W ............ (801) 732-0805

Revere Health Family medicine

2850 N 2000 W

Ste 101 ......................... (801) 866-0170

Hailey, ID Sterling Urgent Care - Hailey

507 S Main St ............... (208) 788-4122

Holladay Medallus Medical - Holladay

3934 S 2300 E Ste D ..... (801) 849-8500

Hyde Park North Cache Valley InstaCare

4088 North Hwy 91 ...... (435) 563-4888

Idaho Falls, ID Sterling Urgent Care - Idaho Falls

740 S Woodruff Ave ..... (208) 542-9111

Kaysville Kaysville Creekside InstaCare

435 N Main St .............. (801) 498-6000

Layton Layton InstaCare

2075 University Park

Blvd ............................ (801) 779-6200

Medallus Medical - Layton

1868 N 1200 W ............ (801) 614-9030

Ogden Clinic - Davis Family Physicians

Urgent Care

3225 W Gordon Ave .... (801) 397-6150

Wee Care Pediatrics - Layton Office

2084 N 1700 W Ste A ... (801) 773-8644

Lehi Utah Valley Urgent Care & Family

Practice - Lehi

127 E Main St Ste E ...... (801) 766-9822

Logan Logan InstaCare

412 N 200 E .................. (435) 713-2710

Sterling Urgent Care - Logan

1201 S Main St

Ste 110 ......................... (435) 787-8504

Sterling Urgent Care - North Logan

630 E 1400 N Ste 150 ... (435) 915-4465

Magna Exodus Healthcare Network - Magna

Health Center

3665 S 8400 W

Ste 110.......................... (801) 250-9638

Midvale UUHC Greenwood Health Center -

Urgent Care

7495 S State St .............. (801) 213-8840

Mt. Pleasant Mt. Pleasant Family Medicine & Urgent

Care - Revere Health

1075 South Hwy 89 ...... (435) 462-2044

Murray FirstMed Urgent Care - Murray

5911 S Fashion Pl

Blvd ............................ (801) 266-6843

Ogden North Ogden InstaCare

2400 N Washington

Blvd ............................ (801) 786-7500

Ogden Clinic - Canyon View Urgent Care

1159 E 12Th St .............. (801) 475-3700

Ogden Clinic - Professional Center Urgent

Care

4650-4700 South

Harrison Blvd .............. (801) 475-3000

Ogden Clinic - Skyline Urgent Care

6112 S 1550 E ............... (801) 475-3800

Ogden Clinic - South Ogden Center for

Family Medicine Urgent Care

5740 Crestwood Dr ....... (801) 479-7771

Orem Utah Valley Urgent Care & Family

Practice - Orem

960 W 800 N ................. (801) 326-0678

UUHC Parkway Health Center - Urgent

Care

145 W University

Pkwy ........................... (801) 234-8585

Park City Park City Bonanza InstaCare (Ski Season

Only)

1665 Bonanza Dr .......... (435) 649-7640

Stat MD Urgent Care Park City

1784 W Uinta Way

Ste E-2 .......................... (435) 601-0160

UUHC Redstone Health Center - Urgent

Care

1743 W Redstone Ctr Dr

Ste 115.......................... (435) 658-9262


07/17/2019 Page 13


Payson Payson Family Medicine & Urgent Care -

Revere Health

97 Professional Way

Ste 2 ............................. (801) 465-4896

Pleasant View Ogden Clinic - Mountain View Urgent

Care

1100 W 2700 N ............ (801) 475-3600

Price Gagon Family Medicine & Urgent Care

377 N Fairgrounds Rd ... (435) 613-2200

Provo Provo Family Medicine & Urgent Care -

Revere Health

1055 N 500 W Bldg A ... (801) 812-5033

Riverwoods Urgent Care

280 W Riverpark Dr

Ste 120 ......................... (801) 229-2011

Riverton Granger Medical Riverton - Urgent Care

12391 S 4000 W ........... (801) 302-1700

Medallus Medical - South Bangerter

13348 S Market Ctr Dr

Ste 100 ......................... (801) 844-1600

Roy Ogden Clinic - Grand View Urgent Care

3485 N 5200 S .............. (801) 475-3900

Roy Rock Run Family Medicine & Urgent


5640 S 3500 W ............. (801) 773-2838

Salem Salem Urgent Care - Revere Health

555 W Sr 164 N ............ (801) 465-4896

Salt Lake City FirstMed Urgent Care - Central

441 S Redwood Rd ....... (801) 973-2588

Granger Medical Millcreek - Urgent Care

1121 E 3900 S Ste 130 .. (801) 281-1300

Revere Health - Clinton

1407 N 2000 W Ste C ... (801) 866-0170

University of Utah Hospital - Urgent Care

50 N Medical Dr ........... (801) 581-2121

UUHC Orthopaedic Center Injury Clinic

590 Wakara Way .......... (801) 587-7109

UUHC Redwood Health Center - Urgent

Care

1525 W 2100 S ............. (801) 213-9900

Sandy Medallus Medical - Sandy

7998 S 1300 E ............... (801) 255-2000

South Jordan Copperview Medical Center

3556 W 9800 S

Ste 101 ......................... (801) 567-9780

Medallus Medical - South Jordan

10433 S Redwood Rd ... (801) 501-0500

UUHC South Jordan Health Center -

Urgent Care

5126 W Daybreak

Pkwy .......................... (801) 213-4500

South Ogden South Ogden InstaCare

975 E Chambers St ....... (801) 387-6200

St. George St. George Clinic Urgent Care - Revere

Health

736 S 900 E Ste 203...... (435) 673-6131

Stansbury Park Tooele Valley Urgent Care

1244 N Main St

Ste 201 ......................... (435) 882-3968

Syracuse Syracuse InstaCare

745 S 2000 W ............... (801) 525-2400

Washington Washington Family Medicine & Urgent


195 W Telegraph St ..... (435) 215-0600

West Jordan FirstMed Urgent Care - West Jordan

8822 S Redwood Rd

Ste E-122 ...................... (801) 256-0009

Granger Medical West Jordan - Urgent

Care

3181 W 9000 S ............. (801) 352-5900

Stat MD Urgent Care West Jordan

7724 S 5600 W

Ste 102 ......................... (801) 432-8480

West Valley City Granger Medical West Valley - Urgent

Care

3725 W 4100 S ............. (801) 965-3600

Medallus Medical - West Valley

3451 S 5600 W Ste F .... (801) 957-0900

UUHC Westridge Health Center - Urgent

Care

3730 W 4700 S ............. (801) 213-8843

Public Health Centers / Clinics

Beaver Southwest Utah Public Health

Department - Beaver

75 W 1175 N ................ (435) 438-2482

Brigham City Bear River Health Department - Brigham

City

817 W 950 S.................. (435) 734-0845

Castle Dale Southeastern Utah District Health

Department - Castle Dale

25 W Main St ................ (435) 381-2252

Cedar City Southwest Utah Public Health

Department - Cedar City

260 E Dl Sargent Dr ....... (435) 586-2437

Coalville Summit County Health Department -

Coalville Office

85 N 50 E ...................... (435) 336-3234

Delta Central Utah Public Health Dept - West

Millard Office

428 E Topaz Blvd .......... (435) 864-3612

Farmington Davis County Health Department

22 S State St .................. (801) 525-5041

Fillmore Central Utah Public Health Dept - East

Millard Office

40 N 400 W ................... (435) 743-5723

Heber City Wasatch County Health Department

55 S 500 E ..................... (435) 657-3257

Junction Central Utah Public Health Dept - Piute

550 N Main St ............... (435) 577-2521

Kamas Summit County Health Department -

Kamas Office

110 N Main St ............... (435) 783-4351

Kanab Southwest Utah Public Health

Department - Kanab

445 N Main St ............... (435) 644-2537

Loa Central Utah Public Health Dept - Wayne

Office

18 S Main St .................. (435) 836-1317

Logan Bear River Health Department - Logan

655 E 1300 N ................ (435) 792-6500

Manti Central Utah Public Health Dept - South

Sanpete Office

40 W 200 N ................... (435) 835-2231


07/17/2019 Page 14


Moab Southeastern Utah District Health

Department - Moab

575 S Kane Crk Blvd ...... (435) 259-5602

Mt. Pleasant Central Utah Public Health Dept - North

Sanpete Office

20 S 100 W ................... (435) 462-2449

Nephi Central Utah Public Health Dept - Juab

Office

160 N Main St............... (435) 623-0696

Ogden Weber-Morgan Health Department

477 23rd St ................... (801) 399-7252

Panguitch Southwest Utah Public Health

Department - Panguitch

601 East Ctr St .............. (435) 676-8800

Park City Summit County Health Department -

Park City Office

650 Round Vly Dr ......... (435) 333-1500

Price Southeastern Utah District Health

Department - Price

28 S 100 E ..................... (435) 637-3671

Provo Utah County Public Health Clinic

151 S University Ave .... (801) 851-7051

Richfield Central Utah Public Health Dept - Sevier

Office

70 Westview Dr ............ (435) 896-5451

St. George Southwest Utah Public Health

Department - St. George

620 S 400 E Ste 400 ...... (435) 986-2545

Tooele Tooele County Health Department

151 N Main St............... (435) 277-2300

Tremonton Bear River Health Department -

Tremonton

40 W 100 N .................. (435) 257-3318

Ambulatory Surgery Centers

American Fork Revere Health - American Fork Surgery

Center

1175 E 50 S Ste 101...... (801) 492-5994

Bountiful Lakeview Endoscopy Center

620 E Medical Dr

Ste 200 ......................... (801) 296-2122

Mountain West Surgical Center

1551 S Renaissance Towne Dr

Ste 200 ......................... (801) 383-1111

Draper EyeSurg of Utah ♿

11820 S State St

Ste 150 ......................... (801) 568-0200

Logan South Pointe Surgical Center ♿

810 S 100 N Ste 120 ..... (435) 213-1917

Murray Family Surgical Suite - Murray

151 E 5600 S Ste 104.... (801) 288-1211

Ogden McKay-Dee Surgical Center

3903 Harrison Blvd

Ste 100 ......................... (801) 387-3600

Mt. Ogden Surgical Center

4364 Washington

Blvd ............................ (801) 479-4470

Providence Spring Creek Surgical Center

65 North Gtwy Dr

Ste 3 ............................. (435) 535-3257

Provo Central Utah Surgical Center

1067 N 500 W .............. (801) 374-0354

Riverwoods Surgery Center

320 W Riverpark Dr

Ste 125 ......................... (801) 437-4500

Salt Lake City Avenues Surgical Center

359 8th Ave .................. (801) 408-1883

Mountain West Endoscopy Center

6360 S 3000 E Ste 320.. (801) 944-3166

St. Mark's Outpatient Surgery Center

1250 E 3900 S Ste 100.. (801) 262-0358

Wasatch Endoscopy Center

1220 E 3900 S Ste 1B ... (801) 281-4258

Sandy Granite Peaks Endoscopy

10150 S Petunia Way ... (801) 619-1115

Lone Peak Surgery Center

10011 Centennial Pkwy

Ste 100.......................... (801) 233-9300

South Ogden Ridgeline Endoscopy Center

6028 S Ridgeline Dr

Ste 100.......................... (801) 475-4900

St. George Coral Desert Surgery Center

1490 E Foremaster Dr

Bldg C............................ (435) 674-5230

St. George Surgical Center

676 South Blf St ............ (435) 673-0095

Zion Surgery Center ♿

1791 E 280 N ................ (435) 656-2020

Tooele NorthPointe Surgical Center ♿

2326 N 400 E

Bldg C Ste 100 ............... (435) 843-0180

West Jordan Family Surgical Suite - West Jordan

8822 S Redwood Rd

Ste C-113 ...................... (801) 748-1427

West Valley City Utah Surgical Center

3715 W 4100 S.............. (801) 957-0200

Cardiac Monitoring

Out of State Preventice Services

Houston, TX .................. (888) 500-3522

Diabetes Education Centers

American Fork American Fork Diabetes Management

Clinic

170 N 1100 E ................ (801) 855-3471

Bountiful Lakeview Hospital Diabetes Education

630 E Medical Dr .......... (801) 299-6868

Cedar City Cedar City Diabetes Education Clinic

110 W 1335 N

Ste 100.......................... (435) 868-5576

Heber City Heber Valley Diabetes Clinic

380 E 1500 S Ste 204 .... (435) 657-4311

Layton Davis Hospital and Medical Center’s

Diabetes Care Clinic

Robert Bitner Medical Ofc Bldg

1600 W Antelope Dr ..... (801) 807-7360


07/17/2019 Page 15


Logan Budge Diabetes Clinic

1350 N 500 E ................ (435) 792-1710

Logan Regional Hospital Diabetes

Services

500 E 1400 N ................ (435) 716-5669

Mt. Pleasant Sanpete Valley Hospital Diabetes

Education

1100 S Medical Dr ........ (435) 462-4163

Murray Intermountain Medical Center Diabetes

Education

5121 S Cottonwood

St ................................ (801) 507-3366

Ogden McKay-Dee Endocrine & Diabetes Clinic

4403 Harrison Blvd

Ste 3630 ....................... (801) 387-7900

Provo Utah Valley Diabetes Management Clinic

1034 N 500 W .............. (801) 357-7546

Richfield Sevier Valley Hospital Diabetes Services

1000 N Main St............. (435) 893-0640

Riverton Primary Children's Outpatient

Endocrinology/Diabetes

3773 W 12600 S ........... (801) 213-3599

Salt Lake City Byram Healthcare Diabetes Specialty

Center

3793 S State St ............. (801) 268-9699

Diabetes Care Center of Utah at Salt Lake

Regional Medical Center

1050 East South

Temple ....................... (801) 350-8108

Primary Children's Hospital Diabetes

Clinic

81 N Mario Capecchi

Dr ............................... (801) 213-3599

St. Mark's Hospital Diabetes Center

1160 E 3900 S

N Medical Ofc Bldg

Ste 3300 ..................... (801) 268-7358

Utah Diabetes & Endocrinology Center

615 Arapeen Dr

Ste 100 ......................... (801) 581-7761

Sandy Alta View - Sandy Diabetes Clinic

9500 S 1300 E ............... (801) 501-2100

St. George Dixie Regional Medical Center Diabetes

Education Clinic

348 E 600 S 2nd Fl ........ (435) 251-2888

Tremonton Bear River Valley Diabetes and

Endocrinology

905 N 1000 W .............. (435) 207-4500

West Jordan Diabetes Care Center of Utah at Jordan

Valley Medical Center

3580 W 9000 S ............. (801) 561-8888

West Valley City Diabetes Care Center of Utah at Jordan

Valley Medical Center - West Valley

Campus

3460 S Pioneer Pkwy ... (801) 964-3100

Diabetes Supply Centers

Centerville UUHC Centerville Health Center

Pharmacy

26 S Main St ................. (801) 693-7950

Midvale UUHC Greenwood Health Center

Pharmacy

7495 S State St ............. (801) 213-9540

Ogden Byram Healthcare - Ogden

4421 Harrison Blvd

Ste 1 ............................. (801) 392-2362

Western Diabetic Supplies

3293 Harrison Blvd

Ste 210 ......................... (877) 937-8342

Orem UUHC Parkway Health Center Pharmacy

145 W 1300 S ............... (801) 234-8510

Park City UUHC Redstone Health Center Pharmacy

1743 W Redstone Ctr Dr

Ste 115 ......................... (435) 658-9280

Provo Byram Healthcare - Provo

1254 N State St

Riverside Plz ................. (801) 377-1487

Salt Lake City Byram Healthcare - Murray (CSC)

645 E 4500 S Ste 200.... (800) 775-4372

Byram Healthcare - Salt Lake City

3793 S State St ............. (801) 268-9699

Byram Healthcare - Salt Lake City

615 Arapeen Dr

Ste 100.......................... (727) 540-0221

University of Utah Hospital Pharmacy

50 N Medical Dr ............ (801) 581-2276

UUHC Redwood Health Center Pharmacy

1525 W 2100 S.............. (801) 213-9950

South Jordan UUHC South Jordan Health Center

Pharmacy

5126 W Daybreak

Pkwy ........................... (801) 213-4550

Stansbury Park UUHC Stansbury Health Center Pharmacy

220 Millpond Rd ........... (435) 843-3050

West Valley City UUHC Westridge Health Center

Pharmacy

3730 W 4700 S.............. (801) 213-9250

Dialysis Centers

American Fork UUHC American Fork Dialysis

1159 E 200 N Ste 150 ... (801) 763-0652

Blanding Blue Mountain Hospital ♿

802 S 200 W.................. (435) 678-3993

Bountiful UUHC Lakeside Dialysis

532 S 500 W.................. (801) 299-3470

Cedar City UUHC Iron Mission Dialysis & Kidney

Clinic

1277 Northfield Rd ....... (435) 867-8175

Heber City Heber Valley Dialysis Center at IHC

380 E 1500 S Ste 101 .... (435) 654-2500

Heber Valley Dialysis Center at IHC

380 E 1500 S Ste 101 .... (435) 654-2500

Hurricane UUHC Hurricane Dialysis & Kidney Clinic

48 S 2500 W Unit 100 ... (435) 635-0399

Idaho Falls, ID UUHC Gem State Dialysis

2225 Teton Plz Ste A ..... (208) 522-4831

Kanab Kanab Nephrology Clinic

355 N Main ................... (435) 867-8175

Layton UUHC Farmington Bay Dialysis

942 S Main St ................ (801) 593-9111


07/17/2019 Page 16


Logan Logan Regional Hospital Dialysis Center

550 E 1400 N Ste K ....... (435) 716-5314

Mesquite, NV UUHC Desert Valley Dialysis & Kidney

Clinic

350 Falcon Rdg Pkwy

Bldg 700 Ste 104 .......... (702) 345-4144

Murray Intermountain Medical Center Dialysis

Services

74 W Vine St ................. (801) 507-9013

Ogden UUHC Bonneville Dialysis

5575 S 500 E ................. (801) 479-0351

UUHC Mark Lindsay Dialysis

1151 E Country Hls Dr .. (801) 479-4460

Payson UUHC Payson Dialysis & Kidney Clinic

15 S 1000 E Ste 50 ........ (801) 465-2060

Pleasant View UUHC Pleasant View Dialysis

2715 North Hwy 89

Ste 15 ........................... (801) 737-9555

Price UUHC Castleview Dialysis & Kidney Clinic

230 N Hospital Dr

Ste 1 ............................. (801) 637-8696

Provo UUHC Provo Dialysis & Kidney Clinic

1675 N Freedom Blvd

Ste 15 ........................... (801) 373-0167

Rexburg, ID UUHC Yellowstone Dialysis Center

1165 Summers Dr

Ste 15 ........................... (208) 656-0396

Richfield Sevier Valley Dialysis

81 E 900 N .................... (435) 893-0358

Roosevelt Uintah Basin Dialysis Center

250 W 300 N ................ (435) 725-2008

Salt Lake City IMC Utah Dialysis

1000 S Main St

Ste 105 ......................... (801) 408-1400

Primary Children's Dialysis Center

81 N Mario Capecchi

Dr ............................... (801) 662-1000

UUHC Kidney & Liver Clinic

50 N Medical Dr ........... (801) 581-6709

UUHC Kolff Dialysis

423 Wakara Way

Ste 200 ......................... (801) 581-3981

Sandy UUHC South Valley Dialysis

8750 S Sandy Pkwy ...... (801) 233-8745

St. George UUHC Dixie Dialysis & Kidney Clinic

720 South Riv Rd

Ste D-1100 ................... (435) 656-0857

Taylorsville UUHC West Valley Dialysis

3854 W 5400 S ............. (801) 587-8578

Tooele Tooele Valley Dialysis at IHC

196 E 2000 N Ste 112 ... (801) 408-1430

Tooele Valley Dialysis at IHC

196 E 2000 N Ste 112 ... (801) 408-1430

Hearing Centers

Layton Intermountain Hearing Centers - Layton

755 W Antelope Dr ...... (385) 383-7161

Ogden Intermountain Hearing Centers - Ogden

5349 S Adams Ave

Ste C ............................. (801) 479-3346

Rock Springs, WY Intermountain Hearing Centers - Rock

Springs

1573 Dewar Dr Ste 2 .... (307) 362-8221

Home Health Agencies

Ada County, ID Encompass Home

Health and Hospice ....... (208) 519-4330

Bannock County, ID Encompass Home

Health of Idaho -

Pocatello ........................ (208) 637-1100

Beaver County Beaver Valley Hospital -

Home Health &

Hospice .......................... (435) 438-7100

IHC Homecare Home

Health Cedar City ........... (435) 868-5852

Zion's Way Home Health

& Hospice - Cedar City ... (435) 688-0648

Bonneville County, ID Encompass Home

Health of Idaho - Idaho

Falls ................................ (208) 528-8100

Box Elder County Canyon Home Care

Ogden ............................. (801) 475-5300

Caregiver Support

Network - Box Elder

and Cache Counties ........ (435) 915-3424

Community Nursing

Services (CNS) -

Brigham Office ............... (435) 723-4404

Community Nursing

Services (CNS) - Logan

Office .............................. (435) 752-3355

Community Nursing

Services (CNS) - Ogden

Office .............................. (801) 476-0088

Hearts for Hospice &

Home Health -

Riverdale ........................ (801) 475-0601

IHC Homecare Home

Health Logan .................. (435) 716-5477

Ivy Lane Pediatrics -

Ogden Office .................. (801) 774-9698

Peregrine Home Health .... (435) 723-8705

Symbii Home Health

and Hospice - Layton ...... (801) 444-0221

Cache County Canyon Home Care

Ogden ............................. (801) 475-5300

Caregiver Support

Network - Box Elder

and Cache Counties ........ (435) 915-3424

Community Nursing

Services (CNS) -

Brigham Office ............... (435) 723-4404

Community Nursing


Office .............................. (435) 752-3355

Encompass Health

Home Health -

Providence ..................... (435) 753-7001

IHC Homecare Home

Health Logan .................. (435) 716-5477


Ogden Office .................. (801) 774-9698

Rocky Mountain Care -

Logan .............................. (435) 753-8220

Signature Healthcare at

Home - Logan ................. (801) 463-2478

Sunshine Home Health

& Hospice ♿.................... (435) 716-8553

Symbii Home Health

and Hospice - Layton ...... (801) 444-0221


07/17/2019 Page 17


Canyon County, ID Encompass Home

Health of Idaho -

Nampa ........................... (208) 461-1600

Carbon County Community Nursing

Services (CNS) - Price

Office ............................. (435) 613-8887

IHC Homecare Home

Health Mt. Pleasant ....... (435) 462-3431


Price ............................... (435) 637-0665

Daggett County Good Shepherd

Homecare ...................... (435) 789-0499

Davis County A Step Forward -

Clearfield ♿ .................... (801) 562-8564

Applegate Homecare &

Hospice - Salt Lake ......... (801) 261-3023

At Home Nursing Care -

North Office ................... (801) 266-5126

Canyon Home Care

Ogden ............................ (801) 475-5300

Caregiver Support

Network -

Davis/Weber/Morgan

Counties ......................... (801) 547-0060

Community Nursing

Services (CNS) - Layton

Office ............................. (801) 774-4960

Cozy Healthcare Home

Health & Hospice ........... (801) 278-4663

Dignity Home Health -

Weber/Davis County ...... (801) 492-4892


Home Health -

Riverdale ........................ (801) 475-0601

Heartwood Home

Health & Hospice ........... (801) 261-9490

Homewatch CareGivers

of Layton ♿ .................... (801) 608-1552

IHC Homecare Home

Health Fillmore .............. (435) 743-8821

IHC Homecare Home

Health Ogden ................. (801) 399-1400

IHC Homecare Home

Health Salt Lake ............. (385) 887-6000

Inspiration Home Health .. (801) 281-1314


Ogden Office .................. (801) 774-9698

Legacy Health Care -

Layton ............................ (801) 771-9099


Layton ............................ (801) 525-4850

Salus Homecare -

Midvale .......................... (801) 352-7358


Home - Salt Lake City ..... (801) 463-2478

South Davis Home

Health & Hospice ........... (801) 298-8983

Summit Home Health -

Layton Office ................. (801) 542-7150

Symbii Home Health

and Hospice - Layton ..... (801) 444-0221

Tender Care Home

Health & Hospice ♿ ....... (801) 294-0560

Utah Home Health &

Hospice .......................... (801) 335-6455

Duchesne County Good Shepherd

Homecare ...................... (435) 789-0499

Uintah Basin Home

Health / Hospice ............ (435) 722-4691

Emery County Community Nursing

Services (CNS) - Price

Office ............................. (435) 613-8887

IHC Homecare Home


Franklin County, ID Willow Valley Clinic .......... (208) 852-2900

Garfield County Zion's Way Home Health

& Hospice - Kanab ......... (435) 688-0648

Grand County Community Nursing

Services (CNS) - Moab

Office ............................. (435) 259-0466


Blanding ......................... (435) 678-3266

Iron County Encompass Health

Home Health - St.

George ........................... (435) 634-9300

Horizon Home Health -

Cedar City ...................... (435) 865-7481

IHC Homecare Home

Health Cedar City ........... (435) 868-5852


& Hospice - Blanding ..... (435) 688-0648



Juab County Central Valley Home


Gunnison Valley Home


IHC Homecare Home

Health Mt. Pleasant........ (435) 462-3431

Maple Creek Home

Health and Hospice ♿ ..... (801) 798-5333

Kane County Encompass Health

Home Health - Kanab ..... (435) 644-2200

Encompass Home

Health of Utah - Kanab ... (435) 644-2200

IHC Homecare Home

Health St. George ........... (435) 251-2367


& Hospice - Kanab .......... (435) 688-0648

Madison County, ID Encompass Home

Health of Idaho -

Rexburg .......................... (208) 356-7087

Morgan County Canyon Home Care

Ogden ............................. (801) 475-5300

Caregiver Support

Network -

Davis/Weber/Morgan

Counties ......................... (801) 547-0060

Community Nursing

Services (CNS) - Ogden

Office .............................. (801) 476-0088


Home Health -

Riverdale ........................ (801) 475-0601

IHC Homecare Home

Health Ogden ................. (801) 399-1400


Ogden Office .................. (801) 774-9698

Symbii Home Health

and Hospice - SLC ........... (801) 433-0344

Payette County, ID Encompass Home

Health and Hospice of

Idaho - Fruitland ............. (208) 452-4972

Piute County IHC Homecare Home

Health Richfield .............. (435) 893-0371

Rich County Canyon Home Care

Ogden ............................. (801) 475-5300

Community Nursing

Services (CNS) -

Brigham Office ............... (435) 723-4404

Community Nursing


Office .............................. (435) 752-3355

IHC Homecare Home

Health Logan .................. (435) 716-5477


07/17/2019 Page 18


Salt Lake County A Step Forward -

Murray ........................... (801) 562-8564


Hospice - Salt Lake ......... (801) 261-3023

Ashby Healthcare ............. (801) 478-2521

At Home Nursing Care -

Salt Lake Office .............. (801) 266-5126

Canyon Home Care Salt

Lake ................................ (801) 485-6166

Community Nursing

Services (CNS) -

Infusion Pharmacy ......... (801) 233-6120


Health & Hospice ........... (801) 278-4663

Diabetic Home Options .... (801) 262-0702


Salt Lake County ............ (801) 649-5038

Encompass Health

Home Health - Murray ... (801) 747-5500

First Choice Home

Health & Hospice -

Murray ........................... (801) 685-2233


Home Health - Salt

Lake City ......................... (888) 772-0243

Heartwood Home

Health & Hospice ........... (801) 261-9490

Home Watch CareGivers

of Salt Lake ♿ ................. (801) 746-1080


of Sandy ......................... (801) 309-0718


of West Jordan ............... (385) 482-4269

Horizon Home Health &

Hospice - Salt Lake City .. (801) 359-5437

Icare Home Health and

Hospice .......................... (801) 228-0411

IHC Homecare Home

Health Fillmore .............. (435) 743-8821

IHC Homecare Home

Health Salt Lake ............. (385) 887-6000

Ivy Lane Pediatrics - Salt

Lake Office ..................... (801) 728-4694

Legacy Health Care -

Cottonwood Heights ...... (385) 831-7074

Maxim Healthcare

Services .......................... (801) 685-7070


Salt Lake City .................. (801) 397-4900

Salt Lake Regional

Medical Center ♿ ........... (801) 350-4111

Salus Homecare -

Midvale .......................... (801) 352-7358


Home - Murray .............. (801) 463-2478


Home - Salt Lake City ..... (801) 463-2478


Main Office .................... (801) 542-7150

Superior Home Care and

Hospice .......................... (801) 254-3200

Symbii Home Health

and Hospice - SLC .......... (801) 433-0344

Synergy Homecare ........... (801) 946-0355

Tender Care Home

Health & Hospice ♿ ....... (801) 294-0560

Total Knee and Hip

Rehabilitation ................ (801) 576-6417

San Juan County Community Nursing

Services (CNS) - Moab

Office ............................. (435) 259-0466


Blanding ......................... (435) 678-3266

Sanpete County Gunnison Valley Home


IHC Homecare Home


Maple Creek Home

Health and Hospice ♿ .... (801) 798-5333




& Hospice - Richfield ..... (435) 688-0648

Sevier County Gunnison Valley Home


IHC Homecare Home

Health Richfield ............. (435) 893-0371




& Hospice - Richfield ..... (435) 688-0648

Summit County Applegate Homecare &

Hospice - Heber City ...... (801) 654-5983


Hospice - Park City ......... (435) 647-3765


Lake ............................... (801) 485-6166


Health & Hospice ........... (801) 278-4663


Home Health - Salt

Lake City ........................ (888) 772-0243

IHC Homecare Home

Health Salt Lake ............. (385) 887-6000


Lake Office ..................... (801) 728-4694

Salus Homecare - Heber .. (435) 657-0574


Main Office ..................... (801) 542-7150

Symbii Home Health

and Hospice - SLC ........... (801) 433-0344

Tooele County Canyon Home Care Salt

Lake ................................ (801) 485-6166

Community Nursing

Services (CNS) - Tooele

Office .............................. (435) 882-3913


Health & Hospice ........... (801) 278-4663


Home Health - Salt

Lake City ......................... (888) 772-0243

IHC Homecare Home

Health Salt Lake .............. (385) 887-6000


Lake Office ..................... (801) 728-4694


Tooele ............................ (801) 397-4900


Tooele ............................ (435) 843-2099


Main Office ..................... (801) 542-7150

Twin Falls County, ID Encompass Home

Health and Hospice of

Idaho - Twin Falls ........... (208) 733-8600

Uintah County Good Shepherd

Homecare ....................... (435) 789-0499

Utah County A Caring Hand Home

Care ♿ ............................ (801) 377-2760


Hospice - American

Fork ................................ (801) 763-0101


Lake ................................ (801) 485-6166

Community Nursing

Services (CNS) - Orem

Office .............................. (801) 224-8138


Utah County ................... (801) 492-4892

Encompass Health

Home Health - Orem ...... (801) 221-0660

Encompass Health

Home Health - Payson .... (801) 465-4401

First Choice Home

Health - Orem Office ...... (801) 434-4100


Home Health -

American Fork ................ (801) 772-0243


of Orem .......................... (801) 309-0718


07/17/2019 Page 19


Horizon Home Health &

Hospice - Provo/Orem ... (801) 226-1919

Icare Home Health and

Hospice .......................... (801) 228-0411

IHC Homecare Home

Health Provo .................. (801) 225-0584


Lake Office ..................... (801) 728-4694

Maple Creek Home

Health and Hospice ♿ .... (801) 798-5333


Orem .............................. (801) 765-4903

Salus Homecare -

Midvale .......................... (801) 352-7358


Home - Riverdale ........... (801) 475-7500


Utah County ................... (801) 404-5599

Symbii Home Health

and Hospice - Orem ....... (801) 655-4272

Utah Home Health &

Hospice - Provo .............. (801) 373-1400


& Hospice - Blanding ...... (435) 688-0648

Wasatch County Applegate Homecare &

Hospice - Heber City ...... (801) 654-5983


Hospice - Park City ......... (435) 647-3765


Lake ................................ (801) 485-6166

Encompass Health

Home Health - Heber

City ................................. (435) 654-1464

IHC Homecare Home

Health Heber.................. (435) 657-4323


Lake Office ..................... (801) 728-4694

Lighten Home Health &

Hospice .......................... (801) 203-3131

Salus Homecare - Heber ... (435) 657-0574

Symbii Home Health

and Hospice - SLC ........... (801) 433-0344

Washington County Community Nursing

Services (CNS) - St.

George Office ................. (435) 652-9077

Encompass Health

Home Health - St.

George ........................... (435) 634-9300

Horizon Home Health -

St. George ...................... (435) 688-9202

IHC Homecare Home

Health St. George .......

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Healthy U Table of Contents...2019/07/17 · Referral Service: 801-581-2897 Utah State Medicaid...

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