ST. JOHNS COMMUNITY HEALTH

Case Manager/Care Coordinator

Code: 171M00000X

Contractor

Code: 171W00000X

Case Management

Code: 251B00000X

Supports Brokerage

Code: 251X00000X

Clinic/Center — Community Health

Code: 261QC1500X

Clinic/Center — Federally Qualified Health Center (FQHC)

Code: 261QF0400X