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Created on: 01/18/2018 Posted to the Web on: 01/31/2018 A ROSIE PLACE 53131 QUINCE RD SOUTH BEND, IN 46628 Administrator: MICHAELEEN CONLEE Tel: (574)235-8899 Fax: (574)235-8897 Type of Ownership: VOL.NON PROFI Type of Hospital: HOSP LIC ONLY Set Up / Staffed Inpatient Beds: 10 License Number : 18-012157-1 Lic Expire Date: 12/31/2018 ADAMS MEMORIAL HOSPITAL 1100 MERCER AVE DECATUR, IN 46733 Administrator: JO ELLEN EIDAM Tel: (260)724-2145 Fax: (260)728-3865 Type of Ownership: GOVENMENT-LOCA Type of Hospital: CRITICAL ACCESS HOSPITALS Set Up / Staffed Inpatient Beds: 35 License Number : 17-004747-1 Lic Expire Date: 06/30/2018 ASSURANCE HEALTH PSYCHIATRIC HOSPITAL 2725 ENTERPRISE DRIVE ANDERSON, IN 46013 Administrator: KYLE SMALL Tel: (317)372-6611 Fax: Type of Ownership: Type of Hospital: PSYCHIATRIC Set Up / Staffed Inpatient Beds: 22 License Number : 16-99-1-P-IP Lic Expire Date: 07/31/2015 ASSURANCE HEALTH PSYCHIATRIC HOSPITAL 900 NORTH HIGH SCHOOL ROAD INDIANAPOLIS, IN 46214 Administrator: MORRIS LONG Tel: (317)982-3715 Fax: (317)481-0547 Type of Ownership: PROPRIETARY Type of Hospital: PSYCHIATRIC Set Up / Staffed Inpatient Beds: 23 License Number : 17-49-1-P-IP Lic Expire Date: 02/28/2017 BAPTIST HEALTH FLOYD 1850 STATE ST NEW ALBANY, IN 47150 Administrator: DANIEL EICHENBERGER Tel: (812)944-7701 Fax: (812)949-5607 Type of Ownership: VOL.NON PROFI Type of Hospital: CRITICAL ACCESS HOSPITALS Set Up / Staffed Inpatient Beds: 24 License Number : 17-005065-1 Lic Expire Date: 06/30/2018 INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC 1000 S MAIN ST TIPTON, IN 46072 Administrator: MICHAEL HARLOWE Tel: (765)675-8500 Fax: (765)675-8199 Type of Ownership: VOL.NON PROFI Type of Hospital: CRITICAL ACCESS HOSPITALS Set Up / Staffed Inpatient Beds: 25 License Number : 18-005049-1 Lic Expire Date: 12/31/2018 INDIANA UNIVERSITY HEALTH TRANSPLANT 1701 NORTH SENATE BLVD INDIANAPOLIS, IN 46206 Tel: (317)962-8677 Fax: (317)962-5768 Type of Ownership: Type of Hospital: TRANSPLANT HOSPITAL Set Up / Staffed Inpatient Beds: 0 License Number : Lic Expire Date: INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL 720 SOUTH SIXTH ST MONTICELLO, IN 47960 Administrator: MARY MINIER Tel: (574)583-7111 Fax: (574)583-1703 Type of Ownership: VOL.NON PROFI Type of Hospital: SHORT TERM Set Up / Staffed Inpatient Beds: 343 License Number : 18-011437-1 Lic Expire Date: 12/31/2018 COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY 1515 N MADISON AVE ANDERSON, IN 46011 Administrator: ELIZABETH THARP Tel: (765)298-4242 Fax: (765)298-5848 Type of Ownership: PROPRIETARY Type of Hospital: SHORT TERM Set Up / Staffed Inpatient Beds: 137 License Number : 18-005100-1 Lic Expire Date: 12/31/2018 COMMUNITY HOSPITAL OF BREMEN INC 1020 HIGH RD BREMEN, IN 46506 Administrator: DAVID BAILEY Tel: (574)546-2211 Fax: (574)546-4312 Type of Ownership: VOL.NON PROFI Type of Hospital: CRITICAL ACCESS HOSPITALS Set Up / Staffed Inpatient Beds: 24 License Number : 17-005097-1 Lic Expire Date: 06/30/2018 COMMUNITY HOSPITAL SOUTH 1402 E COUNTY LINE RD S INDIANAPOLIS, IN 46227 Administrator: DAVID KILEY Tel: (317)887-7000 Fax: (317)887-7112 Type of Ownership: VOL.NON PROFI Type of Hospital: SHORT TERM Set Up / Staffed Inpatient Beds: 379 License Number : 17-005079-1 Lic Expire Date: 06/30/2018 INDIANA UNIVERSITY HEALTH BEDFORD HOSPITAL 2900 W 16TH ST BEDFORD, IN 47421 Administrator: BRADFORD DYKES Tel: (812)275-1200 Fax: (812)275-1391 Type of Ownership: VOL.NON PROFI Type of Hospital: CRITICAL ACCESS HOSPITALS Set Up / Staffed Inpatient Beds: 25 License Number : 18-004683-1 Lic Expire Date: 12/31/2018 INDIANA UNIVERSITY HEALTH BLACKFORD HOSPITAL 410 PILGRIM BLVD HARTFORD CITY, IN 47348 Administrator: STEVEN WEST Tel: (765)348-0300 Fax: (765)348-0574 Type of Ownership: VOL.

NON PROFI Type of Hospital: SHORT TERM Set Up / Staffed Inpatient Beds: 149 License Number : 17-004171-1 Lic Expire Date: 06/30/2018 INDIANA UNIVERSITY HEALTH PAOLI HOSPITAL 642 W HOSPITAL RD PAOLI, IN 47454 Administrator: LARRY BAILEY Tel: (812)723-2811 Fax: (812)723-7500 Type of Ownership: VOL.

NON PROFI Type of Hospital: SHORT TERM Set Up / Staffed Inpatient Beds: 99 License Number : 18-005059-1 Lic Expire Date: 12/31/2018 FOUR COUNTY COUNSELING CENTER 1015 MICHIGAN AVE LOGANSPORT, IN 46947 Administrator: CARL DAVIS Tel: (574)722-5151 Fax: (574)722-9523 Type of Ownership: Type of Hospital: PSYCHIATRIC Set Up / Staffed Inpatient Beds: 15 License Number : 42-7-1-PI-P Lic Expire Date: FRANCISCAN HEALTH CARMEL 12188 B NORTH MERIDIAN STREET CARMEL, IN 46032 Administrator: JAMES CALLAGHAN III Tel: (317)705-4500 Fax: Type of Ownership: VOL.

NON-PROFI Type of Hospital: SHORT TERM Set Up / Staffed Inpatient Beds: 6 License Number : 17-012826-1 Lic Expire Date: 06/30/2018 FRANCISCAN HEALTH CRAWFORDSVILLE 1710 LAFAYETTE RD CRAWFORDSVILLE, IN 47933 Administrator: TERRENCE KLEIN Tel: (765)362-2800 Fax: (765)364-3189 Type of Ownership: VOL.

NON PROFI Type of Hospital: SHORT TERM Set Up / Staffed Inpatient Beds: 167 License Number : 18-005109-1 Lic Expire Date: 12/31/2018 COMMUNITY HOWARD REGIONAL HEALTH INC 3500 S LAFOUNTAIN ST KOKOMO, IN 46902 Administrator: JOSEPH HOOPER Tel: (765)453-8547 Fax: (765)453-8087 Type of Ownership: VOL.

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NON PROFI Type of Hospital: SHORT TERM Set Up / Staffed Inpatient Beds: 86 License Number : 17-005007-1 Lic Expire Date: 06/30/2018 COMMUNITY HOWARD SPECIALTY HOSPITAL 829 N DIXON RD KOKOMO, IN 46901 Administrator: JOSEPH HOOPER Tel: (765)452-6700 Fax: (765)452-7470 Type of Ownership: PROPRIETARY Type of Hospital: REHABILITATION Set Up / Staffed Inpatient Beds: 22 License Number : 18-003868-1 Lic Expire Date: 12/31/2018 COMMUNITY MENTAL HEALTH CENTER INC 285 BIELBY RD LAWRENCEBURG, IN 47025 Administrator: TOM TALBOT Tel: (812)537-1302 Fax: (812)537-0194 Type of Ownership: Type of Hospital: PSYCHIATRIC Set Up / Staffed Inpatient Beds: 16 License Number : Lic Expire Date: DAVIESS COMMUNITY HOSPITAL 1314 E WALNUT ST WASHINGTON, IN 47501 Administrator: DAVID BIXLER Tel: (812)254-2760 Fax: (812)254-8850 Type of Ownership: GOVENMENT-LOCA Type of Hospital: SHORT TERM Set Up / Staffed Inpatient Beds: 80 License Number : 18-005056-1 Lic Expire Date: 12/31/2018 DEACONESS HOSPITAL INC 600 MARY ST EVANSVILLE, IN 47747 Administrator: SHAWN MCCOY Tel: (812)450-5000 Fax: (812)450-2155 Type of Ownership: VOL.NON PROFI Type of Hospital: SHORT TERM Set Up / Staffed Inpatient Beds: 254 License Number : 18-005017-1 Lic Expire Date: 12/31/2018 ESKENAZI HEALTH 720 ESKENAZI AVENUE INDIANAPOLIS, IN 46202 Administrator: LISA HARRIS Tel: (317)880-4818 Fax: (317)880-0413 Type of Ownership: GOVENMENT-LOCA Type of Hospital: SHORT TERM Set Up / Staffed Inpatient Beds: 337 License Number : 18-005023-1 Lic Expire Date: 12/31/2018 EVANSVILLE PSYCHIATRIC CHILDREN'S CENTER 3300 E MORGAN AVE EVANSVILLE, IN 47715 Administrator: LOTTIE COOK Tel: (812)477-6436 Fax: (812)474-4248 Type of Ownership: Type of Hospital: MEDICAID-ONLY CHILDREN'S PSYCHIATRIC Set Up / Staffed Inpatient Beds: 0 License Number : Lic Expire Date: EVANSVILLE STATE HOSPITAL 3400 LINCOLN AVENUE EVANSVILLE, IN 47714 Administrator: CATHE FULCHER Tel: (812)469-6800 Fax: Type of Ownership: GOVERNMENT-STA Type of Hospital: PSYCHIATRIC Set Up / Staffed Inpatient Beds: 168 License Number : Lic Expire Date: FAIRBANKS 8102 CLEARVISTA PARKWAY INDIANAPOLIS, IN 46256 Administrator: KIMBERLY BLAKE Tel: (317)849-8222 Fax: (317)849-1455 Type of Ownership: VOL.

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