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PT. Global Asistensi Manajemen Indonesia (GAMI)

Our Provider Network ListingWelcome to our Provider Network! Note that we have many Networks to suit different Clients so make certain you are using the right List. Check with your Insurance Company, HRD or with our Customer Service staff if you are not sure. This is our Network List for Indonesia Only, ECC List, Hospital Only. If you are not certain what services you are entitled to use on a cashless basis , please check your insurance policy or talk to your Human Resources Department (HRD). If you would like details of our other network providers, an "All Providers" list is available from our website at www.Global-Assistance.net. If you have any questions regarding this list, or if you experience any problems of any kind in accessing services from these Providers, please call us on (021) 29976380. We continue to build and expand our Network of Providers to suit our clients - so please check for updates to this list at our website www.Global-Assistance.net.

INDONESIAState/Province: Bali DenpasarFacility Name RS BaliMed RS Prima Medika RSU Sari Dharma Type Hospital & Clinic Hospital & Clinic Hospital & Clinic Address Jl. Mahendratta No. 57, Denpasar Jl. P. Serangan No.9 X Jl. Pulau Seram 8, Denpasar Telephone (0361) 8450773 (0361) 236 225 (0361) 226 866

SingarajaFacility Name RSU Grehosadha Parama Sidhi Type Hospital & Clinic Address Jl. Ahmad Yani No. 117 A, Baktiseraga Singaraja Telephone (0362) 32701

State/Province: Banten CilegonFacility Name RS Krakatau Medika Type Hospital & Clinic Address Jl. Semang Raya, Cilegon Telephone (0254) 396 333

Facility Name

Type

Address

Telephone

State/Province: Banten Rangkas BitungRS Misi Lebak Hospital & Clinic Jl. Multatuli No. 41 Rangkasbitung (0252) 201014

SerangRS Kencana Serang Hospital & Clinic Jl. A. Yani No. 21 (0254) 211554

TangerangMayapada Hospital Omni Internasional Hospital RS Aminah RS An-Nisa Tangerang RS Ariya Medika RS Asshobirin RS Global Medika RS Ichsan Medical Centre (IMC) Bintaro RS Internasional Bintaro RS Paramita RS QADR RS Sari Asih Karawaci RS Syarif Hidayatullah RS Usada Insani RS. Sari Asih Ciledug RSU Bhakti Asih RSU Mulya Siloam Hospitals Lippo Village Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl.Honoris Raya Kav 6, Kota Modern Jl. Alam Sutera Boulevard Kav. 25, Serpong Jl. HOS Cokroaminoto (Ciledug Raya) No. 4A, Kreo Selatan - Larangan Jl. Gatot Subroto No. 96 KM. 3, Cibodas Jl. Industri Raya I Blok A No. 1 - 10, Jatake Jl. Raya Serpong KM. 11, Pondok Jagung Jl. MH Thamrin No. 3 Cikokol Jl. Raya Jombang No. 56, Bintaro Sektor IX Jl. MH Thamrin Blok B3 No.1, Sektor 7, Bintaro Jaya Kawasan Industri CCM Kav. FL -8, Jl. Raya Serang KM. 28.5, Balaraja Komp. Islamic Village, Desa Kelapa Dua PO Box 492 Jl. Imam Bonjol no 38, Karawaci Jl.Ir.H Juanda No.95, Ciputat Jl. KH. Hasyim Ashari 24, Tangerang Jl. HOS. cokroaminoto No. 38, Ciledug Jl. Rd. Saleh No. 10, Karang Tengah Raya Jl. KH. Hasyim Ashari No. 18, Sudimara, Pinang Jl. Siloam No.6, Lippo Karawaci 1600 (021) 552 9035 (021) 53125555 (021) 737 1919 (021) 5525564 021-5902229 (021) 5374293 (021) 55780888 (021) 7456379 (021) 745 5500 (021) 5954858 (021) 546 4466 (021) 552 2794 (021) 740 2718 (021) 5575 2575 (021) 7333430 (021) 730 5663 (021) 732 2443 (021) 546 0055

State/Province: BengkuluRS Rafflesia Bengkulu Hospital & Clinic Jl. Mahoni No. 10 (0736) 21710

State/Province: Jakarta Jakarta BaratJakarta Eye Center Kebon Jeruk RS Hermina Daan Mogot RS Jantung Harapan Kita RS Kanker Dharmais RS Medika Permata Hijau RS MH. Thamrin Cengkareng RS Pelni Petamburan RS Royal Taruma RSUD Cengkareng Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Gedung Graha Multi, Jl. Panjang No. 55 Kebon Jeruk Jl. Kintamani Raya No.2 Kawasan Daan Mogot JL. Letjen. S Parman Kav. 87 Slipi Jl. S. Parman Kav 84-86, Slipi Jl.Raya Kebayoran Lama, No. 64 Jl. Daan Mogot Km. 17, Cengkareng JL AIP II KS Tubun 92-94 Jl. Daan Mogot No. 34, Grogol Jl. Kamal Raya, Bumi Cengkareng Indah, Cengkareng Timur (021) 5306 754 (021) 540 8989 (021) 5681111 (021) 568 1570 (021) 534 7411 (021) 619 4581 (021) 548 0608 (021) 56967788 (021) 5437 2874

State/Province: Jakarta Jakarta PusatJakarta Eye Centre - Menteng RS (YPR) Yayasan Panti Raharja "SAWO" RS Abdi Waluyo RS Bunda Jakarta RS Husada RS Khusus THT Bedah "Proklamasi" RS Kramat 128 RS Menteng Mitra Afia RS MH. Thamrin Internasional Salemba RS Pertamina Jaya RS PGI Cikini RSPAD Gatot Soebroto "Pav. Dharmawan" RSPAD Gatot Soebroto "Pav. Kartika" RSPAD Gatot Soebroto (Pav Ika) RSPAD Gatot Soebroto Pav Dr Imam Sudjudi Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Cik Ditiro NO. 46, Menteng Jl. Sawo No. 58 - 60 JL. HOS. Cokrominoto 33, Menteng Jl. Teuku Cik Ditiro No.28, Menteng Jl. Mangga Besar, No.137-139 Jl. Proklamasi 43 Jl. Kramat Raya No.128 Jl. Kali Pasir No.9, Cikini Jl.Salemba Tengah 26-28 Jl. Jend. A.Yani No.2, By Pass Jl. Raden Saleh No. 40 Jl. Dr. Abd. Rachman Saleh No.24 Jl. Dr. Abd. Rachman Saleh No.24 Jl. Dr. Abdul Rahman Saleh No. 24 Jl. Dr. Abd. Rachman Saleh No.24 (021) 3107 434 (021) 3192 2553 (021) 314 4989 (021) 3192 2005 (021) 649 0090 (021) 390 0002 (021) 390 9514 (021) 315 4050 (021) 390 4422 (021) 421 1911 (021) 38997777 (021) 350 0004 (021) 384 0484 (021) 3441008 021-3504941-2

Jakarta SelatanRS Agung Manggarai RS Asri Duren Tiga RS Dr. Suyoto RS Gandaria RS Jakarta RS Jakarta Medical Center RS Khusus THT & Bedah Ciranjang RS Medistra RS Pondok Indah RS Prikasih RS Pusat Pertamina RS Siaga Raya Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Sultan Agung No.67, Manggarai Jl. Duren Tiga Raya No. 20 Jl. RC. Veteran No.178 Bintaro Jl. Gandaria Tengah II/6, Kebayoran Baru Jl. Jend Sudirman Kav.49 Jl. Buncit Raya No. 15 Jl. Ciranjang No.20&22, Kebayoran Baru Jl. Gatot Subroto Kav. 59 Jl. Metro Duta Kav.UE, Pondok Indah Jl. RS Fatmawati No. 74, Pondok Labu Jl. Kyai Maja No.43, Kebayoran Baru Jl. Siaga Raya Kav. 4-8, Pejaten Barat Ps. Minggu (021) 829 4955 (021) 7992211 (021) 734 2012 (021) 725 0718 (021) 573 2241 (021) 798 0888 (021) 7243 366 (021) 521 0200 (021) 765 7525 (021) 750 4669 (021) 7219400 (021) 797 2750

RS Tebet RS Tria Dipa RS Zahirah Sahid Sahirman Memorial Hospital Brawijaya Women&Children Hospital

Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic

Jl. Letjen MT. Haryono No. 8 Jl Raya Pasar Minggu No.3A, Pancoran Jl. Sirsak No. 21, Jagakarsa Jl. Jend. Sudirman No. 86 Jl. Taman Brawijaya No. 1, Cipete Utara

(021) 830 7540 (021) 797 4071 (021) 78888723 (021) 57853911 (021) 7211337

State/Province: Jakarta Jakarta TimurRS Dharma Nugraha RS Fakultas Kedokteran UKI RS Harapan Bunda Jakarta RS Harum RS Islam Jakarta Timur RS Khusus Jantung Binawaluya RS Mediros RS MH. Thamrin Pondok Gede RS Mitra Internasional RS Omni Medical Center RS Rawamangun RS Yadika Pondok Bambu RS. Kepolisian Pusat Raden Said Sukanto Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Balai Pustaka Baru, No. 19, Rawamangun Jl. Sutoyo - Cawang Jl. Raya Bogor Km. 22 Jl.Tarum Barat, Kali Malang JL. Raya Pondok Kopi Jl. TB. Simatupang No. 71 Jl. Perintis Kemerdekaan, Kav. 149 Jl. Raya Pondok Gede, No. 23-25 Jl. Raya Jatinegara Timur, No.85-87 Jl. Pulomas Barat VI. Jl. Balai Pustaka Raya No.29-31, Rawamangun Jl. Pahlawan Revolusi No.47, Pondok Bambu Jl. Raya Bogor, Kramat Jati (021) 470 7433 (021) 809 2317 (021) 840 0257 (021) 861 7212 (021) 863 0654 (021) 8778 1605 (021) 472 1336 (021) 809 3602 (021) 280 0888 (021) 472 3332 (021) 4893531 (021) 861 5754 (021) 8093288

Jakarta UtaraRS Atmajaya RS Islam Jakarta Utara RS Mitra Keluarga Kelapa Gading RS Mitra Kemayoran RS Port Medical Center RS Puri Medika Jakarta RS Satya Negara RS Royal Progress Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Pluit Raya No. 2 Jl.Tipar, Cakung No. 5, Sukapura Jl. Bukit Gading Raya, Kav. 2 Kelapa Gading Jl. Landasan Pacu Timur, Kemayoran Jl. Enggano No. 10, Tanjung Priok Jl. Sungai Bambu Raya 5, Tanjung Priok Jl. Agung Utara Raya, Blok A No.1 Jl. Danau Sunter Utara Paradise I (021) 660 6127 (021) 440 0778 (021)4585 2700 (021) 654 5555 021-43902350 (021) 4390 3355 (021) 6471 5200 (021) 6400261

State/Province: JambiRS Asia Medika Jambi RS St. Theresia Hospital & Clinic Hospital & Clinic Jl. Soekarno Hatta Pal Merah Jl. Dr. Sutomo No.19 (0741) 573333 (0741) 23119

State/Province: Jawa Barat BandungMelinda Hospital Bandung RS Advent Bandung RS Al Islam Bandung RS Immanuel Bandung RS Kebon Jati, Bandung Maternity & Children Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Pajajaran 46 Bandung Jl. Cihampelas No.161 Jl. Sukarno Hatta No.644 Jl. Kopo No 161 Jln. Kebonjati No. 152 (022) 4222788 (022) 203 4386 (022) 756 3231 (022) 520 1656 (022) 603 1969

RS Muhammadiyah Bandung RSU Pindad Bandung Santosa Bandung Internasional Hospital

Hospital & Clinic Hospital & Clinic Hospital & Clinic

Jl. KH. Ahmad Dahlan No.53 Jl.Jend. Gatot Subroto, No. 517 Jl. Kebonjati No. 38

(022) 730 1062 (022) 732 1964 (022) 4248333

State/Province: Jawa Barat BekasiGlobal Awal Bros Hospital RS Amanda Serang RS Ananda Bekasi RS Annisa Bekasi RS Bhakti Husada Cikarang RS Bhakti Kartini Bekasi RS Budi Lestari RS Citra Harapan Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. KH. Noer Ali Kav. 17-18, Kalimalang Jl. Serang No. 83, Cikarang Selatan Jl. Sultan Agung No.173 Jl. Cikarang Baru No.31, Lemah Abang Jl. RE. Martadinata, Cikarang Jl. Kartini No.11 Jl. KH Noer Ali No.2, Depan Perumnas II Jl. Raya Harapan Indah Kaw. Sentra Niaga No. 3-5, Harapan Indah, Medan Satria Jl. Ir. H. Juanda No. 326 Jl. Pramuka No. 12 RT 004/002, Kel Sepanjang Jaya, Kec Rawa Lumbu Ruko Thamrin Blok C No.3, Lippo Cikarang Jl. KH. Dewantara No. 33 Pilar, Cikarang Utara Jl.Raya Imam Bonjol No. 9B, Cikarang Barat Jl. Ry Ind Pasirgombong, JababekaCikarang Jl. Industri Tegal Gede, Cikarang Selatan Jl. Mekar Sari No.1 Jl. Jend Ahmad Yani Jl. Pengasinan Margahayu Jl. Legenda Raya No. 9 Mustika Jaya J. Gramapuri I Blok CI No. 8-10, Perumahan Gramapuri, Taman sari, Wanasari Cibitung Jl. Pramuka no.12 Narogong Jl. Dasa Darma No. 20-23, Rawa lumbu Jl. Pahlawan No. 60, Duren Jaya Jl. Kasuari Raya Kav. 1A&B, Kota Jababeka, Cikarang Baru Jl. Raya Narogong No. 202, Kemang Pratama, Bojong Rawalumbu Jl. Raya Mangun jaya, Kp. Rukem Tambun Jl. MH. Thamrin Kav. 105, Lippo Cikarang (021) 8885 5333 (021) 8971643 (021) 885 4338 (021) 890 4165 (021) 890 0530 (021) 880 1954 (021) 8893486 (021) 88870606

RS Graha Juanda RS Hosana Medika Bekasi RS Hosana Medika Lippo Cikarang RS Hosana Medika Pilar RS Karya Medika RS Medika Cikarang RS Medirossa RS Mekar Sari RS Mitra Keluarga Bekasi Barat RS Mitra Keluarga Bekasi Timur RS Permata Bekasi RS Permata Bunda Cibitung

Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic

(021) 881 1832 (021) 8221570 (021) 897 2472 (021) 89116177 (021) 890 3003 (021) 890 4160 (021) 89833216 (021) 880 1891 (021) 885 3333 (021) 881 7777 (021) 8254748 (021) 88328001

RS Ratna Husada RS Rawa Lumbu RS Sentosa RS. Harapan Keluarga RS. St. Elisabeth Bekasi RSU Kartika Husada Siloam Hospitals Cikarang

Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic

(021) 822 1571 (021) 82422512 (021) 880 6140 (021) 8983 5838 (021) 82430101 (021) 88327281 (021) 897 2187

BogorRS Bina Husada, Cibinong RS Bogor Medical Center RS Islam Bogor RS Karya Bhakti RS MH Thamrin Cileungsi Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. May.Oking Jajaatmaja, Cibinong Jl. Pajajaran Indah V No. 97 Jl. Perdana Raya No. 22 Jl. Dr. Sumeru No. 120 Jl. Raya Narogong KM.16 Limus Nunggal, Cileungsi (021) 875 3422 (0251) 8390 435 (0251) 8316 822 (0251) 8312 292 (021) 823 5052

RS PMI Bogor

Hospital & Clinic

Jl. Raya Pajajaran, PO. Box 59

(0251) 8324 080

CikampekRS Karya Husada Hospital & Clinic Jl. Jend. A. Yani No. 98, Cikampek (0264) 316 188

CimahiRS Mitra Kasih Hospital & Clinic Jl. Raya Cibabat No. 341 (022) 665 4852

State/Province: Jawa Barat CirebonRS Mitra Plumbon RS Pelabuhan Cirebon RS Pertamina Cirebon RS Putera Bahagia CIREBON Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Raya Plumbon KM. 11 Jl. Sisingamangaraja No. 45 Jl. Patra Raya Klayan Jl. Ciremei Raya No. 114, Perumnas (0231) 323100 (0231) 205 657 (0231) 224646 (0231) 207351

DepokHospital Cinere RS Harapan Depok RS Mitra Keluarga Depok RS Sentra Medika Cisalak RS Tugu Ibu Cimanggis RSU Bhakti Yudha Depok RSU Bunda Margonda Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Maribaya Blok F2, Cinere-Sawangan Jl. Pemuda No.10 Jl. Margonda Raya, Pancoranmas Jl. Raya Bogor Km. 33, Cisalak Jl. Raya Bogor Km 29, Cimanggis Jl. Raya Sawangan Depok Jl. Margonda Raya No. 28, Pondok Cina (021) 754 5488 (021) 777 3817 (021) 7721 0700 (021) 874 3790 (021) 8710870 (021) 752 0082 (021) 78890551

KarawangRS Bayukarta Karawang RS Dewi Sri Karawang RS Islam Karawang RSU AQMA RSU Proklamasi Rengasdengklok Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Kertabumi No 44 Jl. Arief Rahman Hakim, No. 1A Jl. Pangkal Perjuangan KM. 2 (By-Pass) Jln. Raya Ciselang, Cikampek Utara Jl. Raya Rengasdengklok, Km.2 (0267) 401 818 (0267) 402 855 (0267) 414520-5 (0264) 8386 830 (0267) 482 192

PurwakartaRS Efarina Etaham Hospital & Clinic Jl. Bungur Sari No. 1 (0264) 219168

SubangRS II PTPN VIII Subang Hospital & Clinic Jl. Otto Iskandardinata No. 1 (0260 ) 411 632

SukabumiRS Hermina Sukabumi RS Islam Assyifa Sukabumi RS Kartika Medical Center RS. Betha Medika Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Raya Sukaraja Jl. Jend. Sudirman No. 3 Jl. Jendral ahmad Yani No. 18 A Jl. Raya Cisaat No. 595 (0266) 9100989 (0266) 222 663 (0266) 6250902 (0266) 224128

SumedangRS Pakuwon Sumedang RSUD Sumedang Hospital & Clinic Hospital & Clinic Jln. Raden Dewi Sartika No. 17 Jl. Geusan Ulun No. 41 (0261) 2108 34 (0261) 201021

TasikmalayaRS Jasa Kartini Hospital & Clinic Jln. Otto Iskandardinata No. 15 (0265) 331 641

State/Province: Jawa Tengah CepuRS PKU Muhammadiyah Cepu Hospital & Clinic Jl. Ronggolawe No. 137 (0296) 421 727

CilacapRS Pertamina Cilacap RSI Fatimah Cilacap Hospital & Clinic Hospital & Clinic Jl. Setiabudi, Tegal kamulyan Jl. Ir. Juanda 20 (0282) 531 633 (0282) 545 213

KlatenRS Islam Klaten Hospital & Clinic Jl. Raya Yogya Solo Km 2 (0272) 322 252

KudusRS Mardi Rahayu Kudus Hospital & Clinic Jl. R. Agil Kusumadiya, No. 110 (0291) 434 707

State/Province: Jawa Tengah MagelangRS Harapan Magelang Hospital & Clinic Jl. P Senopati No. 11 (0293) 364 033

PatiKeluarga Sehat Hospital Hospital & Clinic Jl. P. Sudirman No. 9, Margorejo (0295) 386111

PekalonganRS Siti Khodijah Pekalongan Hospital & Clinic Jl. Bandung 39 - 47 Pekalongan (0285) 422 845

PemalangRSU Santa Maria Pemalang Hospital & Clinic Jl. Pemuda No. 24 (0284) 321251

PurwodadiRS Panti Rahayu Purwodadi RS Permata Bunda Purwodadi Hospital & Clinic Hospital & Clinic Jl. R Suprapto 06 Jl. Hayam Wuruk No. 24, Grobogan (0292) 421087 (0292) 422839

PurwokertoRS St. Elisabeth Purwokerto RSU Bunda Purwokerto Hospital & Clinic Hospital & Clinic Jl. Jend. Gatot Subroto No. 44, Purwokerto Jl. Pramuka 249 (0281) 631 761 (0281) 635 424

RembangRSU Rembang Hospital & Clinic Jl. Taman Bahagia No. 16 Rembang (0295) 691 444

SalatigaRSU Ananda Salatiga RSU Puri Asih Salatiga Hospital & Clinic Hospital & Clinic Jl. Ki Penjawi 7 Jl. Jendral Sudirman No. 169 (0298) 324141 (0298) 323209

SemarangRS Banyumanik RS Hermina Pandanaran-Semarang RS Islam Sultan Agung Semarang RS Panti Wilasa "Dr. Cipto" RS Panti Wilasa Citarum Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Bina Remaja 61 Jl.Pandanaran No.24 Jl. Raya Kaligawe Km. 4 Jl. Dr. Cipto No. 50 Jl. Citarum No. 98 (024) 747 1519 (024) 8442525 (024) 658 0019 (024) 354 6040 (024) 3542224

RS Roemani Muhammadiyah Semarang RS St. Elisabeth Semarang RS Telogorejo

Hospital & Clinic Hospital & Clinic Hospital & Clinic

Jl. Wonodri No. 22 Jl. Kawi No. 1 Jl. KH. Ahmad Dahlan

(024) 844 4623 (024) 831 0076 (024) 844 6000

SoloRS Dr. Oen Solo Baru RS Panti Waluyo Hospital & Clinic Hospital & Clinic Komp. Perumahan Solo Baru, Kec.Grogol. Kab. Sukoharjo JL.Jend. A. Yani No.1-2 (0271) 620 220 (0271) 712 077

SukoharjoRS Nirmala Suri Hospital & Clinic Jl. Raya Solo Sukoharjo, Km. 9 (0271) 593 814

SurakartaRS Dr. Oen Surakarta RS Islam Surakarta (YARSIS) RS Kasih Ibu Surakarta Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Brigjen Katamso No. 55, Surakarta Jl. Jend. A. Yani Pabelan, Surakarta Jl. Slamet Riyadi 404, Surakarta (0271) 643 139 (0271) 710 571 (0271) 714 422

TegalRS Mitra Keluarga Tegal RSI Harapan Anda Hospital & Clinic Hospital & Clinic Jl. Sipelem No.4, Kemandungan Tegal Jl. Ababil No.42, Tegal (0283) 394 999 (0283) 358 244

State/Province: Jawa Tengah TemanggungRS Ngesti Waluyo RS PKU Muhammadiyah Temanggung Hospital & Clinic Hospital & Clinic Jl. Parakan, Kab. Temanggung Jl. Raya Kedu KM. 2, Kalisat (0293) 596 008 (0293) 596704

State/Province: Jawa Timur BanyuwangiRS Al Huda Banyuwangi RS Islam Fatimah Banyuwangi Hospital & Clinic Hospital & Clinic Jl. Diponegoro No. 65, Genteng Jl. Jember No.25, Kabat - Banyuwangi (0333) 8420333 (0333) 421 451

GresikRS Petrokimia Gresik RS Semen Gresik Hospital & Clinic Hospital & Clinic Jl. Jendral Ahmad Yani No. 69 Jl. RA. Kartini No. 280 (031) 3978658 (031) 397 3477

JemberRS Bina Sehat RS Perkebunan / PTPN X Jember RSU Kaliwates Jember Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Jaya Negara No. 7 Jl. Bedadung No 2 Jl. Diah Pitaloka No. 1 (0331) 422701 (0331) 487 104 (0331) 483505

KediriRS Baptis Kediri Hospital & Clinic Kotak Pos 1, Jl Brigjen Pol IBH Pranoto (0354) 684 172

LumajangRS Wijaya Kusuma Lumajang Hospital & Clinic Jl. A. Yani No. 149 (0334) 891325

MadiunRS Santa Clara Madiun Hospital & Clinic Jl. Biliton No. 15 (0351) 462 688

RSI Siti Aisyah Madiun

Hospital & Clinic

Jl. Mayjend Sungkono No. 38

(0351) 464822

MaduraRS Larasati Hospital & Clinic Jl. Mandilaras No. 74, Pamekasan (0324) 328305

MalangRS Baptis Batu RS Islam Aisyiyah Malang RS Islam Malang RS Manu Husada Malang RS Marsudi Waluyo Singosari RS Panti Nirmala RS Panti Waluya Sawahan Malang RS Wava Husada RSU. Lavalette Malang Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital IPD Only Hospital & Clinic Hospital & Clinic Hospital IPD Only Hospital & Clinic Hospital & Clinic Jl. Raya Tlekung No. 1 Junrejo, Batu Jl. Sulawesi 16 Jl. Mayjen Haryono 139 Jl. Sultan Agung No. 12 Jl. Raya Mondoroko Km.9 Jl. Kebalen Wetan No.8 Jl. Nusa Kambangan 56 Jl. Panglima Sudirman 99 A, Kepanjen Jl. W.R. Supratman No. 10 (0354) 594 161 (0341) 326 773 (0341) 551356 (0341) 320 376 (0341) 458 974 (0341) 362 459 (0341) 362 017 (0341) 393000 (0341) 470 805

MojokertoRS Gatoel Mojokerto RS Kartini Mojosari RS Reksa Waluya RS. Emma Mojokerto RSI Arofah Mojosari Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. R. Wijaya 56 Mojokerto Jl. Airlangga 137 Mojosari Jl. Mojopahit No.442 Mojokerto Jl. Raya Ijen No. 67 Jl. Gajah Mada No. 1 Mojosari (0321) 322 329 (0321) 592261 (0321) 322 170 (0321) 328 737 (0321) 596 900

PasuruanRSI Masyithoh Bangil Hospital & Clinic Jl. A. Yani No. 6, Bangil (0343) 741018

ProbolinggoRS Dharma Husada Probolinggo Hospital & Clinic Jl. Soekarno Hatta No. 10 (0335) 422176

State/Province: Jawa Timur SidoarjoRS Anwar Medika RS Delta Surya RS Siti Khodijah Sepanjang RSI Siti Hajar Sidoarjo Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Semawut Balongbendo, Sidoarjo Jl. Pahlawan No.9 Jl. Pahlawan 260 Sepanjang Jl. Raden Patah No. 70 (031) 897 2052 (031) 896 2531 (031) 788 1130 (031) 8921 233

SurabayaRS Adi Husada Undaan Wetan RS Darmo Surabaya RS Islam A.Yani Surabaya RS Islam Jemursari Surabaya RS Mitra Keluarga Surabaya RS PHC Surabaya RS Spesialis Husada Utama RS Surabaya Internasional RS William Booth Surabaya RS. Muji Rahayu RSAL Dr. Ramelan Siloam Hospitals Surabaya Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital IPD Only Hospital & Clinic Jl. Undaan Wetan No. 40-44 Jl. Raya Darmo 90 Jl. Jend. A. Yani No. 2-4 Jl. Raya Jemur Sari No. 51-57 Jl. Satelit Indah II, Darmo Satelit Surabaya Jl. Prapat Kurung Selatan No. 1, Tanjung Perak Jl. Prof. Dr. Moestopo No. 31-35 Jl. Nginden Intan Brt Bl.B Jl. Diponegoro, No 34 Jl. Manukan Wetan 68 - 68A Jl. Gadung No.1 Jl. Raya Gubeng No. 70, Surabaya (031)5321256-59 (031) 567 6253 (031) 8284505 (031) 8471877 (031) 734 5333 (031) 329 4801 (031) 5018335 (031) 599 3211 (031) 567 8917 (031) 740 4132 (031) 843 8153 (031) 503 1333

State/Province: Kalimantan Barat SingkawangRS Vincentius Singkawang Hospital & Clinic Jl. Pangeran Diponegoro No. 5 (0562) 631 008

State/Province: Kalimantan Selatan BanjarmasinRS Islam Banjarmasin RS Sari Mulia Banjarmasin RSK Bedah Banjarmasin Siaga Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Letjend S. Parman, Gg. Purnama No.1 Jl. P. Antasari No. 139, Banjarmasin Jl. A. Yani No. 149 KM. 3.5 (0511) 3354896 (0511) 325 2570 (0511) 325 3111

TanjungRS Pertamina Tanjung Hospital & Clinic Jl. Gas Murung Pudak (0526) 2022 550

State/Province: Kalimantan Timur BalikpapanRS Balikpapan Baru RS Balikpapan Husada RS Harapan Mulia Balikpapan RS Pertamina Balikpapan RS Restu Ibu Balikpapan Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. MT. Haryono, Komp. Balikpapan Baru, Blok A-3A No 7-9 Jl. M.T Haryono No.9 Ring Road Balikpapan Jl. Wiluyo Puspoyudo No. 26-30 Jl. Jend Sudirman No.1 Jl. A. Yani No. 85 (0542) 877 330 (0542) 720 6509 (0542) 441572 (0542) 734020 (0542) 422304

SamarindaRS Dirgahayu Samarinda RS Haji Darjad Samarinda RS Islam Samarinda RSUD A. Wahab Sjahranie Hospital & Clinic Hospital IPD Only Hospital & Clinic Hospital & Clinic JL. Gunung Merbabu No.40 Jl. Dahlia No. 4 Jl. Gurame No. 18 Jl. Palang Merah Indonesia (0541) 742116 (0541) 732 698 (0541) 7415 10 (0541)738118

State/Province: Kalimantan Timur SangattaRS Prima Sangatta RS Sangatta Occupational Health Centre RSU Meloy Sangatta Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Yos Sudarso I No. 1 Jl. Yos Sudarso IV, No. 1 Jl. Yos Sudarso II No. 101 (0549) 24555 (0549) 23417 (0549) 2026258

TarakanPertamedika Hospital Tarakan Hospital & Clinic Jl. Mulawarman No. 14 (0551) 31403

State/Province: Kepulauan Riau BatamRS Awal Bros Batam RS Santa Elisabeth Batam RSU Casa Medical Centre Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Gajah Mada Kav. I Jln. Anggrek Blok II Jl. Jend. A. Yani No.8 Muka Kuning, Batam (0778) 431 777 (0778) 457357 (0778) 371 002

State/Province: LampungRS Advent Bandar Lampung RS Bumi Waras Hospital & Clinic Hospital & Clinic Jl. Teuku Umar No. 48 Jl. Wolter Mongonsidi No. 235, Teluk Betung Jl. Soekarno-Hatta, Tromol Pos I, Bandar Lampung (0721) 703 459 (0721) 254499

- Outpatient cashless services only available for GP and Emergency Room treatmentsRS Immanuel Way Halim Hospital & Clinic (0721) 704 900

State/Province: Nanggroe Aceh Darussalam Banda AcehRS Teungku Fakinah RSU Bulan Sabit Merah Indonesia Hospital & Clinic Hospital & Clinic Jl. Jend.Sudirman 27-29 Jl. Sultan Malikul Saleh, Lamlagang (0651) 41454 (0651) 638701

LhokseumaweRSU Bunga Melati RSU Kasih Ibu Lhokseumawe RSU Sakinah Hospital & Clinic Hospital & Clinic Hospital & Clinic Jln. Samudera Baru No. 3 Keude Aceh Lhokseumawe Jl. Merdeka No. 17 Simpang Blang Jl. Antara No. 30 0645 - 44821 (0645) 48713 (0645) 45534

State/Province: Papua Barat SorongRS TNI AL Dr. R.Oetojo Sorong Hospital & Clinic Jl. A. Yani, Klademak IIIC (0951) 321946

State/Province: Riau DuriRS Permata Hati Duri RS Thursina Duri Hospital & Clinic Hospital & Clinic Jl. Jend. Sudirman No.37 Duri Jl. Jend. Sudirman No.65, Riau (0765) 598 101 (0765) 5977 73

PekanbaruEka Hospital Pekanbaru RS Awal Bros Pekanbaru RS Santa Maria Pekanbaru RS. Pekanbaru Medical Centre RSI Ibnu Sina Pekanbaru Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Soekarno Hatta Km.6,5 Jl. Jend. Sudirman no.117 Jl. Jend. Ahmad Yani No.68, Pekanbaru Jl. Lembaga Pemasyarakatan, Pekanbaru Jl. Melati No. 60, Pekanbaru (0761) 6989999 (0761) 47333 (0761) 222 13 (0761) 848 100 (0761) 24242

State/Province: Sulawesi Barat PolewaliRSUD Polewali Hospital & Clinic Jl. Dr. Ratulangi No. 50 (0428) 21451

State/Province: Sulawesi Selatan MakassarRS Bhayangkara Andi Mappa Oudang RS Dr. Wahidin Sudirohusodo Hospital & Clinic Hospital & Clinic Jl. letjen Pol. Andi Mappa Oudang No. 63, Makassar Jl. Perintis Kemerdekaan Km.11, T l (0411) 872 514 (0411) 584675/7

RS Islam Faisal RS Labuang Baji RS TK. II Pelamonia

Hospital & Clinic Hospital & Clinic Hospital & Clinic

Tamalanrea JL. A. Pangerang Pettarani Jl. Ratulangi No. 81, Somba Opu Jl. Jend. Sudirman No. 27, Makassar

(0411) 871 942 (0411) 872 120 (0411) 324 710

Pare-pareRS Fatima Pare-pare Hospital & Clinic Jl. Ilham 3 (0421) 21847

State/Province: Sulawesi Tengah PaluRS "Woodward" Palu Hospital & Clinic Jl. L.H. Woodward no.1 (0451) 421 769

State/Province: Sulawesi Utara BitungRSAL BITUNG RSUD Bitung Hospital & Clinic Hospital & Clinic Jl. Yos Sudarso No. 26, Bitung Jl. Manembo-nembo, Bitung (0438) 21264 (0438) 38066

ManadoRS Advent Manado RS Pancaran Kasih RSI Sitti Maryam Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. 14 Februari No. 1 Teling Atas Jl. Sam Ratulangi XIII, Manado Jl. Pegiden Raya no. 53, Tuminting (0431) 847950 (0431) 865 800 (0431) 851 577

State/Province: Sumatera Barat Bukit TinggiRSI Ibnu Sina Bukit Tinggi Hospital & Clinic Jl. Batang Agam (0752) 21208

PadangRS Khusus Bedah Ropanasuri Padang RS Selaguri Padang RS Yos Sudarso RSI Ibnu Sina Padang RSI Siti Rahmah Padang Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Aur No. 8 Jl. Jend. Ahmad Yani No. 26, Padang Jl. Situjuh No.1 Jl. Gajah Mada, Gunung Pangilun Jl. Raya By Pass KM 15 0751-31938 (0751) 33010 (0751) 33230 (0751) 444712 (0751) 463059

State/Province: Sumatera Selatan PalembangRS Islam Siti Khadijah Palembang RS R.K. Charitas Palembang Hospital & Clinic Hospital & Clinic Jl. Demang Lebar Daun, Pakjo Jl. Jend. Sudirman No.1054 (0711) 356 008 (0711) 350 426

PrabumulihRS AR Bunda Prabumulih RS Pertamina Prabumulih Hospital & Clinic Hospital & Clinic Jl. Angkatan 45 Jl. Kesehatan No.100, Komperta (0713) 322 954 (0713) 382 742

State/Province: Sumatera Utara BinjaiRSU Artha Medika Binjai Hospital & Clinic Jl. Samanhudi No. 22 (061) 8827277

Medan

Gleni International Hospital

Hospital & Clinic

Jl. Listrik No. 6

(061) 456 6368

- We have received patient complaints re this hospital. The hospital tells us it occurs because some of their doctors demand cash payment. They tell us they cannot control this. If you want to avoid possible problems consider using another facility.RS Advent Medan RS Haji Medan RS Horas Insani RS Islam Malahayati RS Methodist Medan RS Permata Bunda Medan RS Santa Elisabeth Medan RS Sari Mutiara RSU Dewi Maya RSU Materna Medan RSU Sarah Medan Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital IPD Only Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Gatot Subroto KM. 4, Medan - Binjai Jl. RS Haji Medan Estate Jl. Medan Km. 2,5, Pematang Siantar Jl. Diponegoro No. 2 Jl. MH. Thamrin Medan 105 Jl.Sisingamangaraja No 7 Jl. H. Misbah No. 7 Jl. Kapten Muslim No.79 Jl. Surakarta No. 2 Jl. Teuku Umar No. 9 - 11 Jl. Baja Raya No. 10 (061) 452 4875 (061) 661 9520 (0622) 433 444 (061) 4518766 (061) 736 9000 (061) 736 2777 (061) 414 4737 (061) 845 1812 (061) 455 1333 (061) 451 4222 (061) 452 8744

Padang SidempuanRSU Ester Kabanjahe Hospital & Clinic Jl. Veteran No. 21, Kabanjahe, Kab. Karo (0628)20714

State/Province: YogyakartaJogja International Hospital RS Bethesda RS Ludira Husada Tama RS Panti Nugroho RS Panti Rini RS PKU Muhammadiyah Yogyakarta RS. St. Elizabeth Bantul RSUD Wates Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Hospital & Clinic Jl. Ring Road Utara No. 160 Jl. Jendral Sudirman, No. 70 Jl. Wiratama No.4, Tegalrejo Jl. Kaliurang Km. 17, Pakem Jl. Solo Km. 12,5, Kalasan Jl. KH Ahmad Dahlan No. 20 Jl. Ganjuran, Sumber Mulya, Bantul Jl. Tentara Pelajar KM. 1 No. 5, Wates Kulonprogo (0274) 4463535 (0274) 586 688 (0274) 620 333 (0274) 895 186 (0274) 496 022 (0274) 512 653 (0274) 367 502 (0274) 773169

If you would like a Healthcare Provider added to our Network, please fax us at (021) 782 9332 or email our team at [email protected]. We are always happy to add quality healthcare providers to our Network, especially where we do not have alternate providers available. Experiencing a Problem? If you or your employees experience any problems in accessing services at any one of the Healthcare Providers included in our List, call your Customer Service Hotline immediately. The number is provided on your Membership Card. If you call us while you are still at the hospital or clinic - we most likely can help you immediately. You can also email us at [email protected] and we will investigate any concern you might have with one of our Network Providers. Remember, to help us in our discussions with the Healthcare Provider, we need to know the date, time, location and name of the Provider Staff who created the problem. Perhaps it is a new Receptionist at the Provider's Admissions Desk that needs training - the only way we can work together with our contracted Providers to ensure you are provided the best service, is to have as many details as we can from you about any problem you have in accessing service from our Network Providers. Don't forget to let us know about any con For updates to our Provider List or for information on our other services, please check our website www.Global-Assistance.net or check with your HR Department.

Released: 31 March 2010, 2:44:41PM Network Listing - All Indonesia, ECC List, Hospital Only

Page 12 of 12 Maximizing Service, Minimizing Risk Health Benefits Administration & Risk Management PT Global Asistensi Manajemen Indonesia (GAMI) Graha Simatupang Tower 1D 8th Floor, Jl. Letjend. T.B. Simatupang Kav 38, Jakarta 12540, Indonesia Telephone +62 21 782 8040 Fax: +62 21 782 9332 Email [email protected]


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