STAYWELL HEALTH CARE INC

Family Medicine

Code: 207Q00000X

Pediatrics

Code: 208000000X

Clinic/Center — Dental

Code: 261QD0000X

Clinic/Center — Health Service

Code: 261QH0100X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Clinic/Center — Federally Qualified Health Center (FQHC)

Code: 261QF0400X