THE BOI CORPORATION

Case Management

Code: 251B00000X

Clinic/Center — Corporate Health

Code: 261QC1800X

Clinic/Center — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Code: 261QR0401X

Religious Nonmedical Health Care Institution

Code: 282J00000X

Point of Service

Code: 305S00000X

Pharmacy

Code: 333600000X