Allen Southside Fort Wayne SA 955 MUA CTs 11, 15, 17, 18, 20, 21, 27-30 53.5 Allen Fr. Wayne-Inner City 1189991855 Geographic CTs 11-18, 20, 21, 23, 25-27, 29-31, 40 9 Allen Neighborhood Health Clinics, 1189991870 Facility Comprehensive Health Center 5 Inc. Brown Brown Service Area 933 MUA Whole County 54.8 Carroll Carroll County 7596 GOV/MUP Whole County none Cass Cass Service Area 934 MUA Whole County 57.2 Clark Clark Service Area 978 GOV/MUP Whole County none Clark Family Health Center of Clark 11899918A4 Facility Comprehensive Health Center 1 County, Indiana Clay Clay Service Area 935 MUA Whole County 55.7 Clay Harrison/Lewis Townships 1189991850 Geographic Harrison/Lewis Townships 6 Clay Brazil Family Medicine, LLC 1189991880 Facility Rural Health Clinic 0 Clay Clay City Center for Family Facility 0 1189991881 Rural Health Clinic Medicine Clinton Warren Service Area 980 MUA Warren Township 59.4 Clinton Ross Service Area 979 MUA Ross Township 61.9 Crawford Crawford Service Area 936 MUA Whole County 58.5 Crawford Crawford 118991896 Low-Income Population Whole County 15 Daviess Daviess Service Area 937 MUA Whole County 54.0 Daviess Daviess 11899918B2 Low-Income Population Whole County 11 Decatur Salt Creek Service Area 981 MUA Salt Creek Township 61.3 Delaware Muncie SA 976 MUA 1990 CTs 1-8, 10-17, 21 40.6 Delaware Open Door/BMH Health Ctr, 1189991858 Facility Comprehensive Health Center 7 Inc. Elkhart Low-Inc Elkhart SA 938 GOV-MUP CTs 17, 18, 21-28 none Elkhart Low-Inc Goshen SA 939 GOV-MUP CTs 1, 2 none Elkhart Elkhart Inner City 11899918A5 Geographic CTs 19, 21-28 7 Elkhart Heart City Health Center 1189991899 Facility Comprehensive Health Center 1 Fayette Waterloo Service Area 995 MUA Waterloo Township none Floyd Floyd Service Area 982 MUA 1990 CT 705 61.6 Fountain Fountain 118045 Geographic Whole County 9 Page 1 of 6
Fountain St. Vincent South Clinic 1189991886 Facility Rural Health Clinic 0 Franklin Franklin Service Area 3922 MUA Whole County 61.3 Gibson Oakland City SA 940 MUA Twps Barton, Center, Columbia, Washington 46.5 Gibson Montgomery/ White River 965 MUA White River Township, Montgomery Township 59.5 Service Area Gibson Tulip Tree Family Health Care 11899918B7 Facility Other Facility 9 Clinic Grant Southwest Marion SA 953 MUA 1990 CTs 1, 2, 7, 8, 9 62.0 Grant 1189991824 Low-Income Population Whole County 5 Greene 984 MUA Wright Township 58.8 Greene 983 MUA Washington Township 60.8 Greene Greene 118055 Low-Income Population Whole County 8 Greene Ridge Medical Center 1189991861 Facility Rural Health Clinic 0 Hendricks Plainfield Correctional Facility 1189991854 Facility Correctional 15 Henry New Castle-partial 11899918B4 Geographic CTs 9760, 61 63 65 66 10 Henry New Castle Pediatrics 1189991869 Rural Health Clinic 0 Henry Knightstown Family Health Care 1189991894 Rural Health Clinic 1 Howard Howard Service Area 960 MUA 1990 CTs 2, 4, 7, 9-12 61.1 Howard Inner City Kokomo 1189991897 Geographic CTs 2, 3, 4, 5, 9, 11, 12 11 Howard Indiana Health Center 1189991844 Facility Medical Facility 11 Huntington Salamonie Service Area 985 MUA Salamonie Township 50.2 Jackson Low-Inc Jackson County 7351 GOV-MUP Whole County none Jasper Jasper/White/Pulaski 1189991829 Low-Income Population Gilliam, Hanging Grove, Marion, Milroy Townships 4 Jefferson Smyrna Service Area 987 MUA Smyrna Township 54.6 Jefferson Milton/ Shelby Service Area 966 MUA Twps Milton, Shelby 56.9 Jennings Marion Service Area 988 MUA Marion Township 49.6 Jennings 11899918A8 Geographic Whole County 15 Johnson Trafalgar SA 941 MUA Twps Blue River, Hensley, Nineveh, Union 61.5 Johnson 986 MUA 1990 CT 6112 59.9 Johnson Trafalgar Family Health Center 1189991876 Facility Comprehensive Health Center 3 Knox Washington Service Area 942 MUA Knox: Twps Busseron, Vigo, Washington, Wildner 59.0 Page 2 of 6
Lagrange 11899918A7 Low-Income Population Whole County 12 Lake City of Gary SA 956 MUA CTs 101, 102.02, 102.03, 103.02, 104-109, 111-119, 121-127, 411, 46.4 412 Lake Central Hammond SA 958 MUA CTs 204-208 51.0 Lake City of East Chicago SA 957 MUA CTs 301-310 51.4 Lake Lake Station SA 943 MUA 1990 CTs 416-418 61.6 Lake Gary 1180891804 Geographic CTs 101, 102.01-102.03, 103.01, 103.02, 104-127 12 Lake East Chicago 1180891828 Geographic CTs 301-310 11 Lake East Chicago Community Health 1189991868 Facility Comprehensive Health Center 7 Center Lake Gary Community Health Center 1189991893 Facility Comprehensive Health Center 7 LaPorte Laporte County 7595 GOV/MUP Whole County none LaPorte Indiana State Prison 1189991815 Facility Correctional Facility 15 LaPorte Westville Correctional Facility 1189991820 Facility Correctional Facility 15 Madison Low-Inc North Madison SA 7274 MUP 2000 CTs 101-106, 109 60.7 Madison Low-Income Population- 6166 MUP CTs 3-5, 8-11, 17,19,20 57.1 Anderson City Madison Anderson 1180951846 Low-Income Population CTs 3-5, 8-11, 17, 119, 120 7 Madison Madison County Community 1189991873 Facility Comprehensive Health Center 9 Health Center Marion 968 MUA 1990 CTs 3512, 3535, 3539 53.37 Marion Low-Inc. Indianapolis Northwest 7482 MUP 2000 CTs 3401.08 3402-07, 3511, 3501, 3511, 3536 61.6 Side Marion Low-Inc North Arlington 7216 GOV-MUP 2000 CTs 3601.01, 3601.02, 3602.01, 3603.02, 3608, 3609 none Marion 963 MUA 1990 CTs 3555-3557, 3559, 3562, 3563, 3569-3576, 3578-3580, 57.3 3612, 3803 Marion 962 MUA 1990 CTs 3525-3527, 3544, 3545, 3547-3551, 3553, 3554 51.8 Marion 961 MUA CTs 3412, 3414, 3415, 3417, 3421.01-3426, 3564, 3581, 3702.01, 55.7 3702.02 Marion Marion Service Area 959 MUA 1990 CTs 3503-3510, 3515-3517, 3519, 3521, 3528, 3531-3533, 59.3 3541, 3542 Marion Low-Inc Forest Manor SA 7261 GOV-MUP 2000 CTs 3224-3227 none Page 3 of 6
Marion Low-Inc Grassy Creek SA 7218 GOV-MUP 2000 CTs 3308.01, 3308.02, 3602.02, 3603.01, 3604.01, 3604.02 none Marion Southwest Indianapolis 1180971806 Geographic CTs 3412, 3414-3417, 3423-3426, 3563, 3564, 3581 17 Marion Near North Side (Indianapolis) 1180971807 Geographic CTs 3509, 3517, 3519, 3521, 3528, 3531, 3532 16 Marion South Central Indianapolis 1180971808 Geographic CTs 3556, 3557, 3559, 3562, 3569-3572, 3578-3580 18 Marion Forest Manor (Indianapolis) 1180971825 Geographic CTs 3225, 3226, 3505-3508, 3523, 3226, 3601.02 15 Marion Blackburn SA 1180971845 Geographic CTs 3501, 3511, 3512, 3515 18 Marion Healthnet 1189991851 Facility Comprehensive Health Center 5 Incorporated/Barrington Marion Indiana Health Centers 1189991859 Facility Comprehensive Health Center 9 Marion Health and Hosptial Corporation 1189991863 Facility Comprehensive Health Center 7 of Marion County Marion Shalom Health Care Center, Inc. 1189991865 Facility Comprehensive Health Center 7 Marion Raphael Health Center 1189991866 Facility Comprehensive Health Center 7 Martin Martin Service Area 969 MUA Lost River Township, Halbert Township, Micheltree Township 57.0 Martin 1189991864 Low-Income Population Whole County 11 Miami Miami County Mup 07663 GOV-MUP Whole County 70.9 Miami Miami Correctional 1189991853 Facility Correctional Facility 15 Miami Miami Nation of Indians 1189991891 Population Native American Tribal Population 0 Monroe Monroe County 7592 MUP Whole County none Newton Newton County Gov Mup 7594 MUP Whole County none Newton 118111 Geographic Whole County 9 Ohio Ohio Service Area 944 MUA Whole County 55.2 Orange Stampers Creek Service Area 996 MUA Stampers Creek Township none Orange 11899918A9 Low-Income Population Whole County 10 Owen 945 MUA Whole County 52.9 Owen 11899918B6 Low-Income Population Whole County 10 Parke Penn Service Area 994 MUA Penn Township 57.6 Parke 1189991898 Low-Income Population Whole County 7 Perry 970 MUA Clark Township, Oil Township 51.05 Perry Branchville Training Center 1189991819 Facility Correctional Facility 9 Pike 946 MUA Whole County 54.9 Porter Low-Inc Porter 7230 GOV-MUP Whole County none Page 4 of 6
Porter North Shore Health Center 1189991856 Facility Comprehensive Health Center 3 Porter Healthlinc, Inc. 1189991892 Facility Comprehensive Health Center 5 Posey Harmoney/ Lynn Service Area 971 MUA Twps, Harmony, Lynn 56.9 Pulaski Jasper/White/Pulaski 1189991829 Low-Income Population Cass, Franklin, Jefferson, Rich Grove Salem, White Post 4 Townships Putnam Putnamville Correctional 1189991821 Facility Correctional Facility 9 Facility Randolph 1189991879 Low-Income Population Whole County 3 Randolph Family and Occupational 1189991882 Facility Rural Health Clinic 0 Medicine - Lynn Randolph Family and Occupational 1189991884 Facility Rural Health Clinic 0 Medical - Ridgeville Randolph Family Health Ctr of Union Ciy 1189991885 Facility Rural Health Clinic 0 Randolph Family Health Ctr of Winchester 1189991889 Facility Rural Health Clinic 0 Ripley Center/ Delaware Service Area 972 MUA Twps, Center,Delaware 60.9 Ripley Brown Service Area 989 MUA Brown Township 57.9 Rush Family Health Services 11899918A2 Facility Rural Health Clinic 10 Scott Scott Service Area 947 MUA Whole County 61.5 Scott Scott 1189991838 Low-Income Population Whole County 5 Spencer Spencer Service Area 948 MUA Whole County 59.5 St. Joseph St. Joseph Service Area 964 MUA 1990 CTs 17-24, 27, 29, 30 61.9 St. Joseph Low-Inc Mishawaka 7257 GOV-MUP 2000 CTs 102, 103, 107 none St. Joseph St. Joseph Service Area 990 MUA 1990 CT 112 58.2 St. Joseph Southwest South Bend 1181411817 Geographic CTs 6, 17, 19-24, 26,27, 29, 30 11 Starke Starke Service Area 949 MUA Whole County 53.4 Starke 1189991877 Low-Income Population Whole County 9 Sullivan Washington Service Area 942 MUA Sullivan: Whole County 59.0 Sullivan 11899918B1 Low-Income Population Whole County 15 Sullivan Sullivan Family Practice, LLC 1189991895 Facility Rural Health Clinic 2 Switzerland 951 MUA Whole County 52.3 Switzerland 1189991878 Low-Income Population Whole County 10 Switzerland Switzerland County Nurse 1189991887 Facility Rural Health Clinic 0 Page 5 of 6
Managed Tippecanoe 952 MUA Whole County 47.0 Tippecanoe Tippecanoe Community Health 1189991860 Facility 7 Comprehensive Health Center Center Tippecanoe Purdue University - Monon 11899918B5 Facility 0 Comprehensive Health Center Community Health Union 991 MUA Union Township 60.4 Vanderburgh 954 MUA CTs 2.02, 11-15, 17-21, 23, 25, 26 61.2 Vanderburgh Evansville 1181631837 Homeless Population CTs 8, 10, 11, 12-15, 17-21, 26 14 Vanderburgh Echo Community Health Care 1189991867 Facility Comprehensive Health Center 6 Vermillion Vermillion County 7597 GOV/MUP Whole County none Vermillion 1181651852 Low-Income Population Whole County 10 Vermillion Vermillion-Parke Community 11899918A3 Facility Comprehensive Health Center 2 Health Center Vigo Vigo Service Area 977 MUA 1990 CTs 1-3, 7, 105 56.78 Vigo US Prison Terre Haute 1189991840 Facility Correctional Facility 21 Warren Warren County 7593 GOV/MUP Whole County none Warren 118171 Geographic Whole County 8 Warren St. Vincent North Clinic 1189991888 Facility Rural Health Clinic 0 Washington Posey Service Area 992 MUA Posey Township 61.1 Washington Franklin/ Gibson/ Pierce Service 974 MUA Franklin Township, Gibson Township, Pierce Township 58.33 Area Washington Brown/ Jefferson/ Madison 975 MUA Madison Township, Brown Township, Jefferson Township 54.87 Service Area Washington 1189991839 Low-Income Population Whole County 13 Wayne 1189991890 Low-Income Population Whole County 5 White Liberty/ Lincoln Service Area 998 MUA Twps Liberty, Lincoln 49.3 White Honey Creek Service Area 997 MUA Honey Creek Township none White Jasper/White/Pulaski 1189991829 Low-Income Population Honey Creek, Monon, Princeton, West Point Townships 4 White Monticello Medical Center LLC 1189991883 Facility Rural Health Clinic 0 Page 6 of 6