2010 MERC / PMAP Grant by Training Site Billing Name and Address: ABBOTT NORTHWESTERN INFECTIOUS DISEASE CLINIC 2545 CHICAGO AVE S #200 MINNEAPOLIS Site Name / Provider Type: Location: 55404 ABBOTT NORTHWESTERN INFECTIOUS BILL ENTITY FOR PHYSICIAN SVCS DISEASE CLINIC 2545 CHICAGO AVE S #200 MINNEAPOLIS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.2500 METROPOLITAN STATE UNIVERSITY TOTAL Grant $45.93 $45.93 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE/PEDIATRICS 0.0530 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ABBOTT NORTHWESTERN INFECTIOUS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $35.41 $35.41 $81.34 $81.34 ABBOTT NORTHWESTERN INFECTIOUS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ADULT AND PEDIATRIC UROLOGY 2351 CONNECTICUT AVE S STE 200 SARTELL Site Name / Provider Type: Location: 56377 ADULT AND PEDIATRIC UROLOGY PHYSICIAN 2351 CONNECTICUT AVE S STE 200 SARTELL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY UNIVERSITY OF MN ACADEMIC HEALTH CENTER ADULT AND PEDIATRIC UROLOGY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.1300 TOTAL Grant $8,495.42 $8,495.42 $8,495.42 $8,495.42 ADULT AND PEDIATRIC UROLOGY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ADVANCED SKIN CARE INSTITUTE 4480 CENTERVILLE RD WHITE BEAR LAKE Site Name / Provider Type: Location: 55127 ADVANCED SKIN CARE INSTITUTE 4480 CENTERVILLE RD PHYSICIAN WHITE BEAR LAKE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - METHODIST 0.0926 $135.79 FAMILY PRACTICE - ST JOHN'S 0.1026 $150.46 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ADVANCED SKIN CARE INSTITUTE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $286.25 $286.25 $286.25 ADVANCED SKIN CARE INSTITUTE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ADVANCEMENTS IN ALLERGY AND ASTHMA 12450 WAYZATA BLVD STE 215 MINNETONKA Site Name / Provider Type: Location: 55305 ADVANCEMENTS IN ALLERGY AND ASTHMA PHYSICIAN 12450 WAYZATA BLVD STE 215 MINNETONKA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0464 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ADVANCEMENTS IN ALLERGY AND ASTHMA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $356.97 $356.97 $356.97 $356.97 ADVANCEMENTS IN ALLERGY AND ASTHMA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ADVANCEMENTS IN DERMATOLOGY 7373 FRANCE AVE S STE 408 EDINA Site Name / Provider Type: Location: 55435 ADVANCEMENTS IN DERMATOLOGY 7373 FRANCE AVE S STE 408 PHYSICIAN EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0857 $381.17 FAMILY PRACTICE - NORTH MEMORIAL 0.2267 $1,008.31 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ADVANCEMENTS IN DERMATOLOGY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $1,389.48 $1,389.48 $1,389.48 ADVANCEMENTS IN DERMATOLOGY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: AFFILIATED MEDICAL CENTERS PA ATTN: ACCOUNTING 101 WILLMAR AVE SW WILLMAR Site Name / Provider Type: Location: 56201 AFFILIATED MEDICAL CENTERS PA PHYSICIAN MEDICARE/MEDICAID 101 WILLMAR AVE SW WILLMAR Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.8400 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $23,941.67 $23,941.67 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $4,560.32 $4,560.32 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant CLINICAL NURSE SPECIALIST 0.2600 $7,410.52 HAND FELLOWSHIP 0.0160 $1,658.05 AFFILIATED MEDICAL CENTERS PA 2010 MERC / PMAP Grant by Training Site MEDICAL SCHOOL 1.0000 $28,751.60 PRECEPTORSHIP SUMMER 0.0400 $1,150.06 TOTAL $38,970.23 UNIVERSITY OF MN ACADEMIC HEALTH CENTER AFFILIATED MEDICAL CENTERS PA - Total Site Name / Provider Type: Location: $67,472.22 AFFILIATED COMMUNITY MEDICAL CENTER MARSHALL PHYSICIAN 300 SOUTH BRUCE STREET MARSHALL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP II 0.0600 $1,725.10 PRECEPTORSHIP SUMMER 0.0400 $1,150.06 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL AFFILIATED COMMUNITY MEDICAL CENTER MARSHALL - Total Site Name / Provider Type: Location: Grant $2,875.16 $2,875.16 AFFILIATED COMMUNITY MEDICAL CENTER REDWOOD FALLS PHYSICIAN 1100 EAST BROADWAY REDWOOD FALLS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program PRECEPTORSHIP II Friday, December 03, 2010 Eligible FTEs 0.0600 Grant $1,725.10 AFFILIATED MEDICAL CENTERS PA 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL AFFILIATED COMMUNITY MEDICAL CENTER REDWOOD FALLS - Total Site Name / Provider Type: Location: $1,725.10 $1,725.10 AFFILIATED COMMUNITY MEDICAL CENTER GRANITE FALLS PHYSICIAN 295 10TH AVENUE GRANITE FALLS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL AFFILIATED COMMUNITY MEDICAL CENTER GRANITE FALLS - Total Site Name / Provider Type: Location: Grant $28,751.60 $28,751.60 $28,751.60 AFFILIATED COMMUNITY MEDICAL CENTER BENSON PHYSICIAN 1805 WISCONSIN AVENUE BENSON Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER AFFILIATED COMMUNITY MEDICAL CENTER BENSON - Total Friday, December 03, 2010 TOTAL Grant $28,751.60 $28,751.60 $28,751.60 AFFILIATED MEDICAL CENTERS PA 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: AFFILIATED COMMUNITY MEDICAL CENTER LITCHFIELD PHYSICIAN 520 S SIBLEY AVENUE LITCHFIELD Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5300 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $15,106.06 $15,106.06 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP II 0.0600 $1,725.10 PRECEPTORSHIP SUMMER 0.0400 $1,150.06 UNIVERSITY OF MN ACADEMIC HEALTH CENTER AFFILIATED COMMUNITY MEDICAL CENTER LITCHFIELD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $2,875.16 $17,981.22 $147,556.88 AFFILIATED MEDICAL CENTERS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALBANY AREA HOSPITAL 300 3RD AVE N ALBANY Site Name / Provider Type: Location: 56307 ALBANY AREA HOSPITAL 300 3RD AVE N HOSPITAL ALBANY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY UNIVERSITY OF MN ACADEMIC HEALTH CENTER ALBANY AREA HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0800 TOTAL Grant $7,837.72 $7,837.72 $7,837.72 $7,837.72 ALBANY AREA HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALBANY MEDICAL CENTER 320 THIRD AVE ALBANY Site Name / Provider Type: Location: 56307 ALBANY MEDICAL CENTER 320 THIRD AVE RURAL HEALTH CLINIC ALBANY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP II 0.0600 $1,678.88 PRECEPTORSHIP SUMMER 0.0400 $1,119.25 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ALBANY MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $2,798.13 $2,798.13 $2,798.13 ALBANY MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALBERT LEA MEDICAL CENTER BUSINESS OFFICE 404 FOUNTAIN ST ALBERT LEA Site Name / Provider Type: Location: 56007 ALBERT LEA MEDICAL CENTER HOSPITAL BUSINESS OFFICE 404 FOUNTAIN ST ALBERT LEA Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.8300 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $33,824.05 $33,824.05 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $6,520.30 $6,520.30 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 0.5000 TOTAL Grant $20,375.93 $20,375.93 ALBERT LEA MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.2800 WINONA STATE UNIVERSITY ALBERT LEA MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $11,410.52 $11,410.52 $72,130.80 $72,130.80 ALBERT LEA MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALBERT LEA MEDICAL CENTER - MHS BUSINESS OFFICE 404 FOUNTAIN ST ALBERT LEA Site Name / Provider Type: Location: 56007 ALBERT LEA MEDICAL CENTER HOSPITAL BUSINESS OFFICE 404 FOUNTAIN ST ALBERT LEA Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs FAMILY PRACTICE 0.5800 MAYO CLINIC ALBERT LEA MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $85,936.64 $85,936.64 $85,936.64 $85,936.64 ALBERT LEA MEDICAL CENTER - MHS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALEXANDRIA CLINIC PA 610 30TH AVE W ALEXANDRIA Site Name / Provider Type: Location: 56308 ALEXANDRIA CLINIC PA 610 30TH AVE W PHYSICIAN ALEXANDRIA Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE TOTAL Grant $6,879.07 $6,879.07 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $4,349.73 $4,349.73 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant NURSE PRACTITIONER 0.6300 $17,127.06 PRECEPTORSHIP II 0.0600 $1,645.43 ALEXANDRIA CLINIC PA 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER ALEXANDRIA CLINIC PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $18,772.50 $30,001.29 $30,001.29 ALEXANDRIA CLINIC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALL ABOUT CHILDREN PEDIATRICS PA 12200 MIDDLESET RD #100 EDEN PRAIRIE Site Name / Provider Type: Location: 55344 ALL ABOUT CHILDREN PEDIATRICS PA 12200 MIDDLESET RD #100 PHYSICIAN EDEN PRAIRIE Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5700 ST. CATHERINE UNIVERSITY TOTAL Grant $297.14 $297.14 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.4737 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ALL ABOUT CHILDREN PEDIATRICS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $249.11 $249.11 $546.25 $546.25 ALL ABOUT CHILDREN PEDIATRICS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALLERGY, ASTHMA AND PULMONARY ASSO PA 1511 NORTHWAY DR #101 ST CLOUD Site Name / Provider Type: Location: 56303 ALLERGY, ASTHMA AND PULMONARY ASSO PA 1511 NORTHWAY DR #101 PHYSICIAN ST CLOUD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY 0.1300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ALLERGY, ASTHMA AND PULMONARY ASSO PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $627.57 $627.57 $627.57 $627.57 ALLERGY, ASTHMA AND PULMONARY ASSO PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALLINA COMMUNITY PHARMACY MEDICAL ARTS BUILDING 825 NICOLLET MALL STE 150 MINNEAPOLIS Site Name / Provider Type: Location: 55402 ALLINA COMMUNITY PHARMACY PHARMACY MEDICAL ARTS BUILDING 825 NICOLLET MALL STE 150 MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ALLINA COMMUNITY PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $5,093.43 $5,093.43 $5,093.43 $5,093.43 ALLINA COMMUNITY PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALLINA HEALTH SYSTEM ATTN: TRISHA SCHIRMERS - MS 10809 PO BOX 43 MINNEAPOLIS Site Name / Provider Type: Location: 55440 ASPEN MEDICAL GROUP BLOOMINGTON 7920 CEDAR AVE S PHYSICIAN BLOOMINGTON Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 2.4300 METROPOLITAN STATE UNIVERSITY TOTAL Grant $4,883.86 $4,883.86 Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.0700 ST. CATHERINE UNIVERSITY TOTAL Grant $140.69 $140.69 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0211 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $42.78 $42.78 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site ASPEN MEDICAL GROUP BLOOMINGTON - Total Site Name / Provider Type: Location: $5,067.33 ST FRANCIS REGIONAL MEDICAL CENTER HOSPITAL SOUTH VALLEY HLTH CMPS 1455 ST FRANCIS AVE SHAKOPEE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program COLON AND RECTAL SURGERY 0.0270 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL ST FRANCIS REGIONAL MEDICAL CENTER - Total Site Name / Provider Type: Location: $159,857.75 $159,857.75 $159,857.75 ABBOTT NORTHWESTERN HOSPITAL 800 E 28TH ST Grant HOSPITAL MINNEAPOLIS Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Teaching Program Eligible FTEs CLINICAL PHARMACY 2.1193 $47,436.02 INTERNAL MEDICINE 25.6225 $1,195,129.52 ABBOTT NORTHWESTERN HOSPITAL TOTAL Grant $1,242,565.54 Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program CLINICAL NURSE SPECIALIST Friday, December 03, 2010 Eligible FTEs 0.5400 Grant $6,927.62 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site NURSE PRACTITIONER COLLEGE OF ST. SCHOLASTICA 0.3400 $4,361.84 TOTAL $11,289.46 Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Eligible FTEs Teaching Program Grant CRITICAL CARE MEDICINE -- I 0.0499 $2,327.52 PODIATRY 0.0230 $1,072.81 SURGERY 1.4752 $68,808.86 HENNEPIN COUNTY MEDICAL CENTER TOTAL $72,209.19 Sponsoring Institution MERCY HOSPITAL Eligible FTEs Teaching Program PODIATRY 0.0502 MERCY HOSPITAL TOTAL Grant $2,341.52 $2,341.52 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MOORHEAD Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.1030 MINNESOTA STATE UNIVERSITY, MOORHEAD TOTAL Grant $1,321.38 $1,321.38 Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs EMERGENCY MEDICINE 0.1438 REGIONS HOSPITAL Friday, December 03, 2010 TOTAL Grant $6,707.37 $6,707.37 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Eligible FTEs Teaching Program NURSE ANESTHESIA 14.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA TOTAL Grant $179,605.09 $179,605.09 Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.4400 ST. CATHERINE UNIVERSITY TOTAL Grant $5,644.73 $5,644.73 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant BLOOD BANK FELLOWSHIP 0.0195 $909.55 CARDIOVASCULAR DISEASE FELLOWSHIP 2.4919 $116,231.56 CLINICAL NURSE SPECIALIST 1.7800 $22,835.50 COLON AND RECTAL SURGERY 0.8831 $41,191.10 CYTOPATHOLOGY 0.1439 $6,712.04 FAMILY MEDICINE UMMC FAIRVIEW 0.0289 $1,348.00 GASTROENTEROLOGY FELLOWSHIP 0.6512 $30,374.41 INFECTIOUS DISEASES FELLOWSHIP 0.1386 $6,464.82 INTERNAL MEDICINE 0.6630 $30,924.81 INTERNAL MEDICINE/PEDIATRICS 0.4508 $21,027.00 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site INTERVENTIONAL CARDIOLOGY PROGRAM FELLOWSHIP 1.2240 $57,091.95 LABORATORY MEDICINE AND PATHOLOGY 2.8932 $134,949.70 MATERNAL FETAL MEDICINE FELLOWSHIP 0.2942 $13,722.59 MEDICAL SCHOOL 13.6743 $176,962.99 NEUROSURGERY 0.0301 $1,403.98 OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH 1.4516 $67,708.07 PEDIATRIC 0.0158 $736.97 PHARMACY 2.1100 $23,314.37 PLASTIC SURGERY 0.0159 $741.64 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL ABBOTT NORTHWESTERN HOSPITAL - Total Site Name / Provider Type: Location: $754,651.07 $2,276,335.35 PHILLIPS EYE INSTITUTE HOSPITAL ALLINA HEALTH SYSTEM 2215 PARK AVE MINNEAPOLIS Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA Friday, December 03, 2010 TOTAL Grant $17,294.17 $17,294.17 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program OPHTHALMOLOGY 0.2811 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PHILLIPS EYE INSTITUTE - Total Site Name / Provider Type: Location: Grant $17,675.16 $17,675.16 $34,969.33 CAMBRIDGE MEDICAL CENTER HOSPITAL HEALTHSPAN HLTH SYSTEMS 701 DELLWOOD ST S CAMBRIDGE Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 1.4400 METROPOLITAN STATE UNIVERSITY TOTAL CAMBRIDGE MEDICAL CENTER - Total Site Name / Provider Type: Location: $179,069.26 $179,069.26 $179,069.26 ASPEN MEDICAL GROUP HOPKINS 715 S 2ND AVE Grant PHYSICIAN HOPKINS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.1579 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $844.11 $844.11 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site ASPEN MEDICAL GROUP HOPKINS - Total Site Name / Provider Type: Location: $844.11 UNITED HOSPITAL INC HOSPITAL 333 SMITH AVE N ST PAUL Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 1.2500 AUGSBURG COLLEGE TOTAL Grant $51,167.32 $51,167.32 Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Teaching Program Eligible FTEs Grant PODIATRY 0.4431 $65,153.87 PSYCHIATRY 0.4175 $61,389.62 TOTAL $126,543.48 HENNEPIN COUNTY MEDICAL CENTER Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $20,221.14 $20,221.14 Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs EMERGENCY MEDICINE 0.3387 REGIONS HOSPITAL Friday, December 03, 2010 TOTAL Grant $49,802.79 $49,802.79 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program Grant FAMILY MEDICINE 6.9941 $1,028,419.44 PHARMACY PRACTICE 1.3300 $93,845.28 UNITED HOSPITAL TOTAL $1,122,264.72 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NEUROPHYSIOLOGY FELLOWSHIP 0.8073 $118,706.20 CLINICAL NURSE SPECIALIST 0.3900 $15,772.49 COLON AND RECTAL SURGERY 0.3125 $45,950.31 CYTOPATHOLOGY 0.3002 $44,141.71 FAMILY PRACTICE - ST JOSEPH'S 0.0190 $2,793.78 LABORATORY MEDICINE AND PATHOLOGY 0.0926 $13,616.00 MEDICAL SCHOOL 1.8158 $74,078.18 PEDIATRIC CARDIOLOGY FELLOWSHIP 0.0034 $499.94 PHARMACY 1.3300 $46,327.40 THERAPEUTIC RADIOLOGY, RADIATION ONCOLOGY 0.4915 $72,270.65 TOTAL $434,156.65 UNIVERSITY OF MN ACADEMIC HEALTH CENTER UNITED HOSPITAL INC - Total Friday, December 03, 2010 Grant $1,804,156.09 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: CAMBRIDGE MEDICAL CENTER 701 DELLWOOD ST S PHYSICIAN CAMBRIDGE Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE Grant 0.1415 UNITED HOSPITAL $6,539.75 TOTAL $6,539.75 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.2500 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $3,177.91 TOTAL CAMBRIDGE MEDICAL CENTER - Total Site Name / Provider Type: Location: Grant $3,177.91 $9,717.66 NEW ULM MEDICAL CENTER HOSPITAL BUSINESS OFFICE 1324 5TH ST N NEW ULM Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.1062 UNITED HOSPITAL NEW ULM MEDICAL CENTER - Total Friday, December 03, 2010 TOTAL Grant $91,303.79 $91,303.79 $91,303.79 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: ASPEN MEDICAL GROUP BANDANA 1020 BANDANA BLVD W PHYSICIAN ST PAUL Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3100 ST. CATHERINE UNIVERSITY TOTAL Grant $5,572.74 $5,572.74 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.0316 $573.03 PEDIATRIC 0.2067 $13,509.85 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL ASPEN MEDICAL GROUP BANDANA - Total Site Name / Provider Type: Location: Grant $14,082.88 $19,655.62 ASPEN MEDICAL GROUP BANDANA SQUARE PHYSICIAN 1021 BANDANA BLVD E STE 200 ST PAUL Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE Friday, December 03, 2010 TOTAL Grant $1,079.28 $1,079.28 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 1.8500 ST. CATHERINE UNIVERSITY TOTAL Grant $15,174.48 $15,174.48 Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE 0.2309 UNITED HOSPITAL TOTAL Grant $6,886.03 $6,886.03 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.6500 $5,331.57 NURSE PRACTITIONER 1.5800 $12,959.83 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL ASPEN MEDICAL GROUP BANDANA SQUARE - Total Site Name / Provider Type: Location: $18,291.40 $41,431.19 ALLINA MEDICAL CLINIC COON RAPIDS 9055 SPRINGBROOK DR Grant PHYSICIAN COON RAPIDS Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs PREVENTIVE MEDICINE 0.0056 REGIONS HOSPITAL Friday, December 03, 2010 TOTAL Grant $608.87 $608.87 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site ALLINA MEDICAL CLINIC COON RAPIDS - Total Site Name / Provider Type: Location: $608.87 OWATONNA HOSPITAL 2250 26TH ST NW HOSPITAL OWATONNA Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs FAMILY PRACTICE 0.4400 MAYO CLINIC TOTAL Grant $66,781.60 $66,781.60 Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA TOTAL OWATONNA HOSPITAL - Total Site Name / Provider Type: Location: $41,744.69 $41,744.69 $108,526.30 UNITY HOSPITAL 550 OSBORNE RD Grant HOSPITAL FRIDLEY Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.0500 COLLEGE OF ST. SCHOLASTICA Friday, December 03, 2010 TOTAL Grant $8,973.74 $8,973.74 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Sponsoring Institution MERCY HOSPITAL Eligible FTEs Teaching Program Grant PHARMACY 0.1833 $57,397.26 PODIATRY 0.0042 $2,740.66 TOTAL $60,137.92 MERCY HOSPITAL Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Eligible FTEs Teaching Program NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA TOTAL Grant $179,474.78 $179,474.78 Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE 0.3830 UNITED HOSPITAL TOTAL Grant $249,922.34 $249,922.34 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program COLON AND RECTAL SURGERY 0.1237 $80,719.04 MEDICAL SCHOOL 0.4737 $85,761.74 PHARMACY 1.0000 $154,580.30 UNIVERSITY OF MN ACADEMIC HEALTH CENTER UNITY HOSPITAL - Total Friday, December 03, 2010 Grant TOTAL $321,061.08 $819,569.87 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: MERCY HOSPITAL HOSPITAL 4050 COON RAPIDS BLVD COON RAPIDS Sponsoring Institution MERCY HOSPITAL Eligible FTEs Teaching Program Grant PHARMACY 1.5500 $231,442.74 PODIATRY 1.5426 $480,001.75 MERCY HOSPITAL TOTAL $711,444.49 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MOORHEAD Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.1660 MINNESOTA STATE UNIVERSITY, MOORHEAD TOTAL Grant $14,206.75 $14,206.75 Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA TOTAL Grant $85,582.83 $85,582.83 Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0127 UNITED HOSPITAL Friday, December 03, 2010 TOTAL Grant $3,951.78 $3,951.78 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program COLON AND RECTAL SURGERY 0.3013 $93,753.75 OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH 0.3032 $94,344.96 PHARMACY 0.8900 $65,603.55 THORACIC SURGERY 0.5375 $167,250.71 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL MERCY HOSPITAL - Total Site Name / Provider Type: Location: $420,952.96 $1,236,138.81 BUFFALO HOSPITAL 303 CATLIN ST Grant HOSPITAL BUFFALO Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.4000 AUGSBURG COLLEGE BUFFALO HOSPITAL - Total Friday, December 03, 2010 TOTAL Grant $121,571.39 $121,571.39 $121,571.39 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: NEW ULM MEDICAL CENTER 1217 8TH ST N PHYSICIAN NEW ULM Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.6300 AUGSBURG COLLEGE TOTAL Grant $2,957.98 $2,957.98 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.6660 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $3,089.45 $3,089.45 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0000 $4,679.44 PRECEPTORSHIP II 0.1200 $561.53 PRECEPTORSHIP SUMMER 0.0800 $374.36 TOTAL $5,615.33 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NEW ULM MEDICAL CENTER - Total Friday, December 03, 2010 Grant $11,662.76 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: ASPEN MEDICAL GROUP EAST LAKE 3024 SNELLING AVE PHYSICIAN MINNEAPOLIS Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 1.0000 ST. CATHERINE UNIVERSITY TOTAL Grant $1,123.84 $1,123.84 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.6527 $739.95 NURSE MIDWIFERY 0.2300 $258.48 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL ASPEN MEDICAL GROUP EAST LAKE - Total Site Name / Provider Type: Location: $998.44 $2,122.27 ASPEN MEDICAL GROUP INVER GROVE HTS 5565 BLAINE AVE Grant PHYSICIAN INVER GROVE HGTS Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.0500 ST. CATHERINE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $1,987.01 $1,987.01 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site ASPEN MEDICAL GROUP INVER GROVE HTS - Total Site Name / Provider Type: Location: $1,987.01 ASPEN MEDICAL GROUP MAPLEWOOD 1850 BEAM AVE PHYSICIAN MAPLEWOOD Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.4000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $2,150.25 $2,150.25 Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5500 ST. CATHERINE UNIVERSITY TOTAL Grant $2,956.59 $2,956.59 Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0341 UNITED HOSPITAL TOTAL Grant $666.48 $666.48 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PEDIATRIC 0.0032 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ASPEN MEDICAL GROUP MAPLEWOOD - Total Friday, December 03, 2010 TOTAL Grant $62.54 $62.54 $5,835.86 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: ALLINA HOME CARE 1055 WESTGATE DR STE 100 HOME HEALTH AGENCY ST PAUL Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0434 UNITED HOSPITAL ALLINA HOME CARE - Total TOTAL Grant $4,455.83 $4,455.83 $4,455.83 TOTAL GRANT TO BILLING ADDRESS $6,934,886.46 Friday, December 03, 2010 ALLINA HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALLINA HOSPICE AND PALLIATIVE CARE 1055 WESTGATE DR STE 100 ST PAUL Site Name / Provider Type: Location: 55114 ALLINA HOSPICE AND PALLIATIVE CARE 1055 WESTGATE DR STE 100 HOSPICE ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.5600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ALLINA HOSPICE AND PALLIATIVE CARE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $78,555.50 $78,555.50 $78,555.50 $78,555.50 ALLINA HOSPICE AND PALLIATIVE CARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALLINA MEDICAL CLINIC PARKVIEW OB/GYN EAGAN 1121 TOWN CENTRE DR #205 EAGAN Site Name / Provider Type: Location: 55121 ALLINA MEDICAL CLINIC PHYSICIAN PARKVIEW OB/GYN EAGAN 1121 TOWN CENTRE DR #205 EAGAN Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.8590 UNITED HOSPITAL ALLINA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,451.86 $3,451.86 $3,451.86 $3,451.86 ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALLINA MEDICAL CLINIC - HASTINGS 1210 1ST ST W HASTINGS Site Name / Provider Type: Location: 55033 ALLINA MEDICAL CLINIC - HASTINGS 1210 1ST ST W PHYSICIAN HASTINGS Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0169 UNITED HOSPITAL ALLINA MEDICAL CLINIC - HASTINGS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $15,248.32 $15,248.32 $15,248.32 $15,248.32 ALLINA MEDICAL CLINIC - HASTINGS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALLINA MEDICAL CLINIC COON RAPIDS 9055 SPRINGBROOK DR COON RAPIDS Site Name / Provider Type: Location: 55433 ALLINA MEDICAL CLINIC COON RAPIDS 9055 SPRINGBROOK DR PHYSICIAN COON RAPIDS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5100 METROPOLITAN STATE UNIVERSITY TOTAL Grant $15,251.30 $15,251.30 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.1300 $3,887.59 MEDICAL SCHOOL 0.0947 $2,856.76 NURSE PRACTITIONER 0.8800 $26,315.97 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ALLINA MEDICAL CLINIC COON RAPIDS - Total Friday, December 03, 2010 Grant TOTAL $33,060.31 $48,311.61 ALLINA MEDICAL CLINIC COON RAPIDS 2010 MERC / PMAP Grant by Training Site TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $48,311.61 ALLINA MEDICAL CLINIC COON RAPIDS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALLINA MEDICAL CLINIC WEST HEALTH 2855 CAMPUS DR STE 400 PLYMOUTH Site Name / Provider Type: Location: 55441 ALLINA MEDICAL CLINIC WEST HEALTH 2855 CAMPUS DR STE 400 PHYSICIAN PLYMOUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH 0.1386 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ALLINA MEDICAL CLINIC WEST HEALTH - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,365.10 $2,365.10 $2,365.10 $2,365.10 ALLINA MEDICAL CLINIC WEST HEALTH 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ALLINA MEDICAL CLINIC-ELK RIVER 14181 BUSINESS CTR DR NW ELK RIVER Site Name / Provider Type: Location: 55330 ALLINA MEDICAL CLINIC-ELK RIVER 14181 BUSINESS CTR DR NW PHYSICIAN ELK RIVER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER UNIVERSITY OF MN ACADEMIC HEALTH CENTER ALLINA MEDICAL CLINIC-ELK RIVER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.2500 TOTAL Grant $4,327.35 $4,327.35 $4,327.35 $4,327.35 ALLINA MEDICAL CLINIC-ELK RIVER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: AMC UNITED MEDICAL SPECIALTIES SP 255 SMITH AVE N #100 JOHN NASSEFF MEDICAL CTR ST PAUL Site Name / Provider Type: Location: 55102 AMC UNITED MEDICAL SPECIALTIES SP PHYSICIAN 255 SMITH AVE N #100 JOHN NASSEFF MEDICAL CTR ST PAUL Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE 0.0715 UNITED HOSPITAL TOTAL Grant $3,662.75 $3,662.75 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0236 UNIVERSITY OF MN ACADEMIC HEALTH CENTER AMC UNITED MEDICAL SPECIALTIES SP - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,208.96 $1,208.96 $4,871.71 $4,871.71 AMC UNITED MEDICAL SPECIALTIES SP 2010 MERC / PMAP Grant by Training Site Billing Name and Address: AMHERST H WILDER FOUNDATION CHILD GUIDANCE CLINIC 451 LEXINGTON PARKWAY N ST PAUL Site Name / Provider Type: Location: 55104 AMHERST H WILDER FOUNDATION COMMUNITY MENTAL HEALTH CENTER CHILD GUIDANCE CLINIC 451 LEXINGTON PARKWAY N ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CHILD AND ADOLESCENT PSYCHIATRY 0.0352 $3,519.05 CLINICAL NURSE SPECIALIST 1.5000 $41,245.01 UNIVERSITY OF MN ACADEMIC HEALTH CENTER AMHERST H WILDER FOUNDATION - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $44,764.07 $44,764.07 $44,764.07 AMHERST H WILDER FOUNDATION 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ANNEX TEEN CLINIC 4915 42ND AVE N ROBBINSDALE Site Name / Provider Type: Location: 55422 ANNEX TEEN CLINIC 4915 42ND AVE N FAMILY PLANNING AGENCY ROBBINSDALE Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.0800 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $1,572.65 $1,572.65 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program ADOLESCENT MEDICINE 0.0475 $3,394.99 FAMILY MEDICINE UMMC FAIRVIEW 0.0017 $121.50 TOTAL $3,516.49 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ANNEX TEEN CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $5,089.14 $5,089.14 ANNEX TEEN CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ANOKA METRO REG TRTMNT CTR 3301 7TH AVE N ANOKA Site Name / Provider Type: Location: 55303 ANOKA METRO REG TRTMNT CTR 3301 7TH AVE N REGIONAL TREATMENT CENTER ANOKA Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3000 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $3,248.55 $3,248.55 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.5000 $5,414.25 MEDICAL SCHOOL 2.2100 $24,140.56 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ANOKA METRO REG TRTMNT CTR - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $29,554.81 $32,803.36 $32,803.36 ANOKA METRO REG TRTMNT CTR 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ANW GENERAL MEDICINE ASSOCIATES 8100 W 78TH ST EDINA Site Name / Provider Type: Location: 55439 ANW GENERAL MEDICINE ASSOCIATES 8100 W 78TH ST PHYSICIAN EDINA Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.0700 COLLEGE OF ST. SCHOLASTICA ANW GENERAL MEDICINE ASSOCIATES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $256.07 $256.07 $256.07 $256.07 ANW GENERAL MEDICINE ASSOCIATES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ARROWHEAD PHARMACY 21 HIGHWAY 61 W PO BOX 758 GRAND MARAIS Site Name / Provider Type: Location: 55604 ARROWHEAD PHARMACY PHARMACY 21 HIGHWAY 61 W PO BOX 758 GRAND MARAIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ARROWHEAD PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $7,109.67 $7,109.67 $7,109.67 $7,109.67 ARROWHEAD PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ARTHRITIS AND RHEUMATOLOGY CONSULT 7250 FRANCE AVE S STE 215 EDINA Site Name / Provider Type: Location: 55435 ARTHRITIS AND RHEUMATOLOGY CONSULT 7250 FRANCE AVE S STE 215 PHYSICIAN EDINA Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Eligible FTEs Teaching Program INTERNAL MEDICINE 0.5672 ABBOTT NORTHWESTERN HOSPITAL TOTAL Grant $6,122.92 $6,122.92 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0342 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ARTHRITIS AND RHEUMATOLOGY CONSULT - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $369.19 $369.19 $6,492.11 $6,492.11 ARTHRITIS AND RHEUMATOLOGY CONSULT 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ASSOCIATED SKIN CARE SPECIALISTS 7205 UNIVERSITY AVE NE FRIDLEY Site Name / Provider Type: Location: 55432 ASSOCIATED SKIN CARE SPECIALISTS 7205 UNIVERSITY AVE NE PHYSICIAN FRIDLEY Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs PREVENTIVE MEDICINE 0.0089 REGIONS HOSPITAL TOTAL Grant $87.66 $87.66 Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0586 UNITED HOSPITAL TOTAL Grant $577.18 $577.18 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant DERMATOLOGY 0.1710 $1,684.25 FAMILY PRACTICE - METHODIST 0.0289 $284.65 ASSOCIATED SKIN CARE SPECIALISTS 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER ASSOCIATED SKIN CARE SPECIALISTS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $1,968.90 $2,633.73 $2,633.73 ASSOCIATED SKIN CARE SPECIALISTS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ASSOCIATES IN WOMENS HEALTH PA ATTN: BRONAGH MACCAFFERTY 6517 DREW AVENUE EDINA Site Name / Provider Type: Location: 55435 ASSOCIATES IN WOMENS HEALTH PA 825 NICOLLET MALL STE 853 PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ASSOCIATES IN WOMENS HEALTH PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $373.01 $373.01 $373.01 $373.01 ASSOCIATES IN WOMENS HEALTH PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: AUSTIN MEDICAL CENTER ATTN: FINANCE DEPARTMENT 1000 1ST DRIVE NW AUSTIN Site Name / Provider Type: Location: 55912 AUSTIN MEDICAL CENTER 1000 1ST DR NW HOSPITAL AUSTIN Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 1.1200 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $30,523.46 $30,523.46 Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs FAMILY PRACTICE 1.0500 $104,041.81 NEUROLOGY 0.0200 $1,981.75 NURSE ANESTHESIA 0.9200 $25,072.84 TOTAL $131,096.39 MAYO CLINIC Friday, December 03, 2010 Grant AUSTIN MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING Grant 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO $4,360.49 TOTAL $4,360.49 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant NURSE PRACTITIONER 0.0500 $1,362.65 PHARMACY 0.1100 $2,582.02 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL $3,944.67 Sponsoring Institution WINONA STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 1.9680 WINONA STATE UNIVERSITY TOTAL AUSTIN MEDICAL CENTER - Total Site Name / Provider Type: Location: Grant $53,634.08 $53,634.08 $223,559.09 AUSTIN MEDICAL CENTER - GRAND MEADOW HOSPITAL 113 MAIN STREET NORTH GRAND MEADOW Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5200 WINONA STATE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $14,171.61 $14,171.61 AUSTIN MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site AUSTIN MEDICAL CENTER - GRAND MEADOW - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $14,171.61 $237,730.70 AUSTIN MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: AVERA MARSHALL REG MED CENTER 300 S BRUCE ST MARSHALL Site Name / Provider Type: Location: 56258 AVERA MARSHALL REG MED CENTER 300 S BRUCE ST HOSPITAL MARSHALL Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA AVERA MARSHALL REG MED CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $82,932.49 $82,932.49 $82,932.49 $82,932.49 AVERA MARSHALL REG MED CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BIG LAKE CLINIC ATTN: KELLY NELSON PO BOX 539 BIG LAKE Site Name / Provider Type: Location: 55309 BIG LAKE CLINIC 16830 198TH AVE NW BILL ENTITY FOR PHYSICIAN SVCS BIG LAKE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BIG LAKE CLINIC - Total TOTAL Grant $437.38 $437.38 $437.38 TOTAL GRANT TO BILLING ADDRESS $437.38 Friday, December 03, 2010 BIG LAKE CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BIGFORK VALLEY PHARMACY 258 PINE TREE DR BIGFORK Site Name / Provider Type: Location: 56628 BIGFORK VALLEY PHARMACY 258 PINE TREE DR PHARMACY BIGFORK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BIGFORK VALLEY PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $10,119.16 $10,119.16 $10,119.16 $10,119.16 BIGFORK VALLEY PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BIOSCRIP PHARMACY no.4046 2100 LYNDALE AVE S MINNEAPOLIS Site Name / Provider Type: Location: 55405 BIOSCRIP PHARMACY no.4046 2100 LYNDALE AVE S PHARMACY MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BIOSCRIP PHARMACY no.4046 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $50,372.64 TOTAL $50,372.64 $50,372.64 $50,372.64 BIOSCRIP PHARMACY no.4046 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BLAINE MEDICAL CENTER 11855 ULYSSES ST NE BLAINE Site Name / Provider Type: Location: 55434 BLAINE MEDICAL CENTER 11855 ULYSSES ST NE PHYSICIAN BLAINE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0632 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BLAINE MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,466.16 $4,466.16 $4,466.16 $4,466.16 BLAINE MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BLOOMINGTON LAKE CLINIC 3017 BLOOMINGTON AVE S MINNEAPOLIS Site Name / Provider Type: Location: 55407 BLOOMINGTON LAKE CLINIC 3017 BLOOMINGTON AVE S PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL Grant 0.2211 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $3,209.11 TOTAL BLOOMINGTON LAKE CLINIC - Total Site Name / Provider Type: Location: $3,209.11 $3,209.11 BLOOMINGTON LAKE CLINIC PHYSICIAN 7901 XERXES AVENUE SOUTH BLOOMINGTON Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.1700 ST. CATHERINE UNIVERSITY Friday, December 03, 2010 Grant $2,446.01 TOTAL $2,446.01 BLOOMINGTON LAKE CLINIC 2010 MERC / PMAP Grant by Training Site BLOOMINGTON LAKE CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $2,446.01 $5,655.13 BLOOMINGTON LAKE CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BOYNTON HEALTH SERVICE 410 CHURCH ST SE STE 300N MINNEAPOLIS Site Name / Provider Type: Location: 55455 BOYNTON HEALTH SERVICE 410 CHURCH ST SE STE 300N PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program DIAGNOSTIC RADIOLOGY 0.0019 $26.54 INTERNAL MEDICINE/PEDIATRICS 0.0235 $328.28 MEDICAL SCHOOL 0.0632 $244.95 NURSE PRACTITIONER 0.3200 $1,229.48 PEDIATRIC 0.0057 $79.63 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BOYNTON HEALTH SERVICE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $1,908.88 $1,908.88 $1,908.88 BOYNTON HEALTH SERVICE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BOYNTON HEALTH SERVICE PHARMACY 410 CHURCH ST SE STE 300N MINNEAPOLIS Site Name / Provider Type: Location: 55455 BOYNTON HEALTH SERVICE PHARMACY 410 CHURCH ST SE STE 300N PHARMACY MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.7800 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BOYNTON HEALTH SERVICE PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $790.07 $790.07 $790.07 $790.07 BOYNTON HEALTH SERVICE PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BRAINERD MED CENTER CLINIC PHARMACY 2024 S 6TH ST BRAINERD Site Name / Provider Type: Location: 56401 BRAINERD MED CENTER CLINIC PHARMACY 2024 S 6TH ST PHARMACY BRAINERD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BRAINERD MED CENTER CLINIC PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $18,387.77 $18,387.77 $18,387.77 $18,387.77 BRAINERD MED CENTER CLINIC PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BRAINERD MEDICAL CENTER INC BUSINESS OFFICE 2024 S 6TH ST BRAINERD Site Name / Provider Type: Location: 56401 BRAINERD MEDICAL CENTER INC PHYSICIAN BUSINESS OFFICE 2024 S 6TH ST BRAINERD Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program Grant CLINICAL NURSE SPECIALIST 0.9200 $14,429.31 NURSE PRACTITIONER 1.2400 $19,448.20 COLLEGE OF ST. SCHOLASTICA TOTAL $33,877.51 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0000 $15,821.38 PRECEPTORSHIP II 0.0600 $949.28 PRECEPTORSHIP SUMMER 0.0400 $632.86 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BRAINERD MEDICAL CENTER INC - Total Friday, December 03, 2010 Grant TOTAL $17,403.52 $51,281.03 BRAINERD MEDICAL CENTER INC 2010 MERC / PMAP Grant by Training Site TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $51,281.03 BRAINERD MEDICAL CENTER INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BROADWAY MEDICAL CENTER LTD 1527 BROADWAY ST ALEXANDRIA Site Name / Provider Type: Location: 56308 BROADWAY MEDICAL CENTER LTD 1527 BROADWAY ST PHYSICIAN ALEXANDRIA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP II 0.0600 $9,372.14 PRECEPTORSHIP SUMMER 0.0400 $6,248.09 TOTAL $15,620.23 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BROADWAY MEDICAL CENTER LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $15,620.23 $15,620.23 BROADWAY MEDICAL CENTER LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BUFFALO ALLINA MEDICAL CLINIC 303 CATLIN ST BUFFALO Site Name / Provider Type: Location: 55313 BUFFALO ALLINA MEDICAL CLINIC 303 CATLIN ST PHYSICIAN BUFFALO Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.1895 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BUFFALO ALLINA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $14,292.16 $14,292.16 $14,292.16 $14,292.16 BUFFALO ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BUFFALO CLINIC 1700 HIGHWAY 25 N BUFFALO Site Name / Provider Type: Location: 55313 BUFFALO CLINIC 1700 HIGHWAY 25 N PHYSICIAN BUFFALO Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.8700 AUGSBURG COLLEGE TOTAL Grant $6,377.63 $6,377.63 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0316 $7,536.88 PRECEPTORSHIP II 0.0600 $438.36 PRECEPTORSHIP SUMMER 0.0400 $292.24 TOTAL $8,267.48 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BUFFALO CLINIC - Total Friday, December 03, 2010 Grant $14,645.11 BUFFALO CLINIC 2010 MERC / PMAP Grant by Training Site TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $14,645.11 BUFFALO CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: BURNSVILLE FAMILY PHYSICIANS PA 625 E NICOLLET BLVD STE 100 BURNSVILLE Site Name / Provider Type: Location: 55337 BURNSVILLE FAMILY PHYSICIANS PA PHYSICIAN 625 E NICOLLET BLVD STE 100 BURNSVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.1263 UNIVERSITY OF MN ACADEMIC HEALTH CENTER BURNSVILLE FAMILY PHYSICIANS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $110.02 $110.02 $110.02 $110.02 BURNSVILLE FAMILY PHYSICIANS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CAMBRIDGE MEDICAL CENTER 701 DELLWOOD ST S CAMBRIDGE Site Name / Provider Type: Location: 55008 CAMBRIDGE MEDICAL CENTER 701 DELLWOOD ST S PHYSICIAN CAMBRIDGE Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.7500 AUGSBURG COLLEGE TOTAL Grant $9,649.62 $9,649.62 Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.5300 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $6,737.17 $6,737.17 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $12,822.97 $12,822.97 CAMBRIDGE MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site CAMBRIDGE MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $29,209.77 $29,209.77 CAMBRIDGE MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CANNON FALLS MEDICAL CENTER-MHS FAMILY PRACTICE 1116 W MILL ST CANNON FALLS Site Name / Provider Type: Location: 55009 CANNON FALLS MEDICAL CENTER-MHS PHYSICIAN FAMILY PRACTICE 1116 W MILL ST CANNON FALLS Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.4160 WINONA STATE UNIVERSITY CANNON FALLS MEDICAL CENTER-MHS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,174.44 $1,174.44 $1,174.44 $1,174.44 CANNON FALLS MEDICAL CENTER-MHS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CANNON VALLEY CLINIC - MAYO HEALTH 924 1ST ST NE FARIBAULT Site Name / Provider Type: Location: 55021 CANNON VALLEY CLINIC - MAYO HEALTH 924 1ST ST NE PHYSICIAN FARIBAULT Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3000 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $3,708.21 $3,708.21 Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs NEUROLOGY 0.0500 MAYO CLINIC TOTAL Grant $2,247.06 $2,247.06 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant FAMILY MEDICINE MANKATO RESIDENCY 0.0290 $1,303.30 NURSE PRACTITIONER 0.8300 $10,259.37 CANNON VALLEY CLINIC - MAYO HEALTH 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER CANNON VALLEY CLINIC - MAYO HEALTH - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $11,562.67 $17,517.94 $17,517.94 CANNON VALLEY CLINIC - MAYO HEALTH 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CASH WISE PHARMACY COBORNS INC 113 S WAITE AVE WAITE PARK Site Name / Provider Type: Location: 56387 CASH WISE PHARMACY PHARMACY COBORNS INC 113 S WAITE AVE WAITE PARK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CASH WISE PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $8,855.36 $8,855.36 $8,855.36 $8,855.36 CASH WISE PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CBHH-ST PETER 2000 KLEIN ST ST PETER Site Name / Provider Type: Location: 56082 CBHH-ST PETER 2000 KLEIN ST HOSPITAL ST PETER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE MANKATO RESIDENCY UNIVERSITY OF MN ACADEMIC HEALTH CENTER CBHH-ST PETER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0274 TOTAL Grant $24,954.90 $24,954.90 $24,954.90 $24,954.90 CBHH-ST PETER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CEDAR RIVERSIDE PEOPLES CENTER 425 20TH AVE S MINNEAPOLIS Site Name / Provider Type: Location: 55454 CEDAR RIVERSIDE PEOPLES CENTER 425 20TH AVE S FEDERALLY QUALIFIED HEALTH CENTER MINNEAPOLIS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.7500 METROPOLITAN STATE UNIVERSITY TOTAL Grant $13,924.59 $13,924.59 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $2,970.58 $2,970.58 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant MEDICAL SCHOOL 0.1579 $2,957.26 NURSE PRACTITIONER 0.6500 $12,067.98 CEDAR RIVERSIDE PEOPLES CENTER 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER CEDAR RIVERSIDE PEOPLES CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $15,025.25 $31,920.42 $31,920.42 CEDAR RIVERSIDE PEOPLES CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CENTENNIAL LAKES SAME DAY SURGERY 3209 W 76TH ST NO.202 EDINA Site Name / Provider Type: Location: 55435 CENTENNIAL LAKES SURGERY CENTER 7373 FRANCE AVE S #508 AMBULATORY SURGERY CENTER EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs OTOLARYNGOLOGY 0.0368 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTENNIAL LAKES SURGERY CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $824.38 $824.38 $824.38 $824.38 CENTENNIAL LAKES SAME DAY SURGERY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CENTENNIAL LAKES SURGERY CENTER 7373 FRANCE AVE S #508 EDINA Site Name / Provider Type: Location: 55435 CENTENNIAL LAKES SURGERY CENTER 7373 FRANCE AVE S #508 AMBULATORY SURGERY CENTER EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PLASTIC SURGERY 0.0408 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTENNIAL LAKES SURGERY CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $913.99 $913.99 $913.99 $913.99 CENTENNIAL LAKES SURGERY CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CENTER FOR ALCOHOL AND DRUG TREATMENT INTENSIVE OUTPT PROGRAM 1402 E SUPERIOR STREET DULUTH Site Name / Provider Type: Location: 55805 CENTER FOR ALCOHOL AND DRUG TREATMENT CHEMICAL HEALTH INTENSIVE OUTPT PROGRAM 1402 E SUPERIOR STREET DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTER FOR ALCOHOL AND DRUG TREATMENT - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,405.36 $2,405.36 $2,405.36 $2,405.36 CENTER FOR ALCOHOL AND DRUG TREATMENT 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CENTER FOR PELVIC FLOOR DISORDERS 1055 WESTGATE DR #190 ST PAUL Site Name / Provider Type: Location: 55114 CENTER FOR PELVIC FLOOR DISORDERS 1055 WESTGATE DR #190 PHYSICIAN ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program COLON AND RECTAL SURGERY 0.1658 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTER FOR PELVIC FLOOR DISORDERS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $391.62 $391.62 $391.62 $391.62 CENTER FOR PELVIC FLOOR DISORDERS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CENTER FOR REPRODUCTIVE MEDICINE PA 991 SIBLEY MEMORIAL HIGHWAY, SUITE NO.100 SAINT PAUL Site Name / Provider Type: Location: 55118 CENTER FOR REPRODUCTIVE MEDICINE PA 991 SIBLEY MEMORIAL HIGHWAY, SUITE NO.100 PHYSICIAN SAINT PAUL Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0148 UNITED HOSPITAL CENTER FOR REPRODUCTIVE MEDICINE PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $22.71 $22.71 $22.71 $22.71 CENTER FOR REPRODUCTIVE MEDICINE PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CENTER FOR VICTIMS OF TORTURE 717 E RIVER RD MINNEAPOLIS Site Name / Provider Type: Location: 55455 CENTER FOR VICTIMS OF TORTURE 717 E RIVER RD PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.6300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTER FOR VICTIMS OF TORTURE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,802.93 $4,802.93 $4,802.93 $4,802.93 CENTER FOR VICTIMS OF TORTURE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CENTRAL AVENUE CLINIC 2610 CENTRAL AVE NE MINNEAPOLIS Site Name / Provider Type: Location: 55418 CENTRAL AVENUE CLINIC 2610 CENTRAL AVE NE FEDERALLY QUALIFIED HEALTH CENTER MINNEAPOLIS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 1.7500 METROPOLITAN STATE UNIVERSITY TOTAL Grant $3,527.63 $3,527.63 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0632 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTRAL AVENUE CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $128.51 $128.51 $3,656.14 $3,656.14 CENTRAL AVENUE CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CENTRAL LAKES MEDICAL CENTER PA 318 E MAIN ST CROSBY Site Name / Provider Type: Location: 56441 CENTRAL LAKES MEDICAL CENTER PA 318 E MAIN ST PHYSICIAN CROSBY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0000 $18,654.15 PRECEPTORSHIP II 0.1200 $2,238.50 PRECEPTORSHIP SUMMER 0.0400 $746.17 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTRAL LAKES MEDICAL CENTER PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $21,638.81 $21,638.81 $21,638.81 CENTRAL LAKES MEDICAL CENTER PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CENTRAL MINNESOTA SURGEONS LTD 2000 ABBOTT NW CT #300 SARTELL Site Name / Provider Type: Location: 56377 CENTRAL MINNESOTA SURGEONS LTD 2000 ABBOTT NW CT #300 PHYSICIAN SARTELL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY 0.3100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTRAL MINNESOTA SURGEONS LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,141.73 $3,141.73 $3,141.73 $3,141.73 CENTRAL MINNESOTA SURGEONS LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CENTRAL PEDIATRICS 7803 AFTON ROAD WOODBURY Site Name / Provider Type: Location: 55125 CENTRAL PEDIATRICS PA PHYSICIAN 7803 AFTON RD WOODBURY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PEDIATRIC 0.0036 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTRAL PEDIATRICS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,998.46 $3,998.46 $3,998.46 $3,998.46 CENTRAL PEDIATRICS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CHAMPLIN ALLINA MEDICAL CLINIC 11269 JEFFERSON HWY CHAMPLIN Site Name / Provider Type: Location: 55316 CHAMPLIN ALLINA MEDICAL CLINIC 11269 JEFFERSON HWY PHYSICIAN CHAMPLIN Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.3053 $1,829.52 NURSE PRACTITIONER 0.3300 $1,960.37 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CHAMPLIN ALLINA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $3,789.89 $3,789.89 $3,789.89 CHAMPLIN ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CHILDRENS HEALTH CARE ATTN: KAREN KOFOOT 2910 CENTRE POINTE DRIVE ROSEVILLE Site Name / Provider Type: Location: 55113 CHILDREN'S HOSPITALS AND CLINICS PHYSICIAN PEDIATRIC RADIOLOGY 2525 CHICAGO AVE S MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE/PEDIATRICS 0.0082 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL CHILDREN'S HOSPITALS AND CLINICS - Total Site Name / Provider Type: Location: Grant $14,921.31 $14,921.31 $14,921.31 CHILDRENS HOSPITALS AND CLINICS OF HOSPITAL MINNESOTA-ST PAUL 345 SMITH AVE N ST PAUL Sponsoring Institution CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA Teaching Program Eligible FTEs PEDIATRIC PHARMACY PRACTICE CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA Friday, December 03, 2010 1.1700 TOTAL Grant $37,278.10 $37,278.10 CHILDRENS HEALTH CARE 2010 MERC / PMAP Grant by Training Site Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs Grant PEDIATRICS HEMATOLOGY AND ONCOLOGY 0.0700 $4,647.76 SURGERY -- GENERAL 0.9600 $63,740.70 UROLOGY 0.6800 $45,149.66 TOTAL $113,538.12 MAYO CLINIC Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs EMERGENCY MEDICINE 1.3341 REGIONS HOSPITAL TOTAL Grant $88,579.65 $88,579.65 Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 3.8400 ST. CATHERINE UNIVERSITY TOTAL Grant $70,125.17 $70,125.17 Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 1.9842 UNITED HOSPITAL TOTAL Grant $131,744.06 $131,744.06 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program CLINICAL NURSE SPECIALIST Friday, December 03, 2010 Eligible FTEs 0.3900 Grant $7,122.09 CHILDRENS HEALTH CARE 2010 MERC / PMAP Grant by Training Site FAMILY PRACTICE - ST JOHN'S 0.6564 $43,582.70 FAMILY PRACTICE - ST JOSEPH'S 1.2265 $81,435.38 INTERNAL MEDICINE/PEDIATRICS 2.7361 $181,667.63 13.3351 $245,655.08 NURSE PRACTITIONER 0.8000 $14,609.41 ORAL AND MAXILLOFACIAL SURGERY 0.0042 $293.41 11.7945 $783,114.24 PEDIATRIC CRITICAL CARE FELLOWSHIP 0.0837 $5,557.39 PEDIATRIC EMERGENCY MEDICINE 0.9922 $65,878.67 PEDIATRIC INFECTIOUS DISEASE FELLOWSHIP 0.2693 $17,880.59 PEDIATRIC NEONATOLOGY FELLOWSHIP 1.5106 $100,298.65 PHARMACY 0.5600 $8,808.08 PLASTIC SURGERY 0.0118 $783.48 UROLOGIC SURGERY 0.3428 $22,760.74 MEDICAL SCHOOL PEDIATRIC UNIVERSITY OF MN ACADEMIC HEALTH CENTER CHILDRENS HOSPITALS AND CLINICS OF - Total Friday, December 03, 2010 TOTAL $1,579,447.54 $2,020,712.65 CHILDRENS HEALTH CARE 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: CHILDRENS HOSPITALS AND CLINICS PHYSICIAN PRIMARY CLINIC 347 N SMITH AVE ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE/PEDIATRICS 0.1177 $617.52 PEDIATRIC 0.8528 $4,474.25 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL CHILDRENS HOSPITALS AND CLINICS - Total Site Name / Provider Type: Location: Grant $5,091.77 $5,091.77 CHILDRENS HOSP AND CLINICS PRIMARY PHYSICIAN CLINIC - TAMS 2425 CHICAGO AVE S MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE/PEDIATRICS 0.0643 $555.71 PEDIATRIC 0.1289 $1,114.00 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CHILDRENS HOSP AND CLINICS PRIMARY - Total Friday, December 03, 2010 Grant TOTAL $1,669.71 $1,669.71 CHILDRENS HEALTH CARE 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: CHILDRENS HOSPITALS AND CLINICS PHYSICIAN PRIMARY CLINIC 2525 CHICAGO AVE S MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE/PEDIATRICS 0.0015 $8.06 PEDIATRIC 1.2852 $6,908.57 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL CHILDRENS HOSPITALS AND CLINICS - Total Site Name / Provider Type: Location: Grant $6,916.64 $6,916.64 CHILDRENS HEALTH CARE MINNEAPOLIS HOSPITAL BUSINESS OFFICE 2525 CHICAGO AVE MINNEAPOLIS Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 1.0000 AUGSBURG COLLEGE TOTAL Grant $39,458.98 $39,458.98 Sponsoring Institution CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA Teaching Program Eligible FTEs PEDIATRIC PHARMACY PRACTICE CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA Friday, December 03, 2010 1.7300 TOTAL Grant $117,671.18 $117,671.18 CHILDRENS HEALTH CARE 2010 MERC / PMAP Grant by Training Site Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Teaching Program Eligible FTEs SURGERY 0.9428 HENNEPIN COUNTY MEDICAL CENTER TOTAL Grant $133,635.30 $133,635.30 Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs UROLOGY 0.2000 MAYO CLINIC TOTAL Grant $28,348.60 $28,348.60 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.4500 METROPOLITAN STATE UNIVERSITY TOTAL Grant $17,543.30 $17,543.30 Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs EMERGENCY MEDICINE 0.6102 REGIONS HOSPITAL TOTAL Grant $86,491.58 $86,491.58 Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 2.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA Friday, December 03, 2010 TOTAL Grant $77,970.22 $77,970.22 CHILDRENS HEALTH CARE 2010 MERC / PMAP Grant by Training Site Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 1.3000 ST. CATHERINE UNIVERSITY TOTAL Grant $50,680.64 $50,680.64 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant ANESTHESIOLOGY 0.7429 $105,300.87 CLINICAL NURSE SPECIALIST 0.2000 $7,797.02 CYTOPATHOLOGY 0.0739 $10,474.81 FAMILY MEDICINE MANKATO RESIDENCY 0.5655 $80,155.67 FAMILY MEDICINE UMMC FAIRVIEW 1.3217 $187,341.72 FAMILY PRACTICE - METHODIST 0.5118 $72,544.07 FAMILY PRACTICE - NORTH MEMORIAL 0.7449 $105,584.36 FAMILY PRACTICE - ST JOSEPH'S 0.1362 $19,305.40 INTERNAL MEDICINE/PEDIATRICS 1.0418 $147,667.86 LABORATORY MEDICINE AND PATHOLOGY 0.0295 $4,181.42 MEDICAL SCHOOL 10.8268 $425,780.35 NEUROSURGERY 0.2521 $35,733.41 NURSE PRACTITIONER 1.1000 $42,883.62 CHILDRENS HEALTH CARE 2010 MERC / PMAP Grant by Training Site OPHTHALMOLOGY 0.0031 $439.40 ORTHOPAEDIC SURGERY 0.0106 $1,502.48 OTOLARYNGOLOGY 0.8395 $118,993.25 PEDIATRIC 7.7419 $1,097,360.12 PEDIATRIC DENTISTRY 0.4100 $61,144.81 PEDIATRIC EMERGENCY MEDICINE 1.4920 $211,480.55 PEDIATRIC INFECTIOUS DISEASE FELLOWSHIP 0.0192 $2,721.47 PEDIATRIC NEPHROLOGY FELLOWSHIP 0.0922 $13,068.70 PHARMACY 2.1100 $70,848.70 PLASTIC SURGERY 0.0194 $2,749.81 PMANDR - PEDIATRIC REHABILITATION MEDICINE 0.0050 $708.72 UROLOGIC SURGERY 0.0025 $354.36 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CHILDRENS HEALTH CARE MINNEAPOLIS - Total Friday, December 03, 2010 TOTAL $2,826,122.93 $3,377,922.72 CHILDRENS HEALTH CARE 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: CHILDRENS SPECIALTY CLINICS ST PAUL HOSPITAL WOODWINDS OAK CENTER 1825 WOODWINDS DR NO.400 WOODBURY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S 0.0521 $3,459.26 PEDIATRIC 0.2167 $14,388.13 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CHILDRENS SPECIALTY CLINICS ST PAUL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $17,847.40 $17,847.40 $5,445,082.18 CHILDRENS HEALTH CARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CHILDRENS HEART CLINIC ABBOTT NORTHWESTERN MED 2545 CHICAGO AV S STE 106 MINNEAPOLIS Site Name / Provider Type: Location: 55404 CHILDRENS HEART CLINIC PHYSICIAN ABBOTT NORTHWESTERN MED 2545 CHICAGO AV S STE 106 MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE/PEDIATRICS 0.1390 $5,632.81 PEDIATRIC 0.4084 $16,549.93 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CHILDRENS HEART CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $22,182.74 $22,182.74 $22,182.74 CHILDRENS HEART CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CHILDREN'S RESP AND CRITICAL CARE ATTN: DEB DANIELSON 2530 CHICAGO AVE S STE 400 MINNEAPOLIS Site Name / Provider Type: Location: 55404 CHILDREN'S RESP AND CRITICAL CARE 2530 CHICAGO AVE S STE 400 PHYSICIAN MINNEAPOLIS Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE 0.0267 UNITED HOSPITAL TOTAL Grant $9,183.74 $9,183.74 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.2600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CHILDREN'S RESP AND CRITICAL CARE - Total Friday, December 03, 2010 TOTAL Grant $24,596.82 $24,596.82 $33,780.56 CHILDREN'S RESP AND CRITICAL CARE 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: CHILDREN'S RESP AND CRITICAL CARE PHYSICIAN GARDEN VIEW BUILDING 347 N SMITH AVENUE STE 601 ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program ALLERGY AND IMMUNOLOGY RESIDENCY 0.0049 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CHILDREN'S RESP AND CRITICAL CARE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,685.41 $1,685.41 $1,685.41 $35,465.97 CHILDREN'S RESP AND CRITICAL CARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CHIPPEWA CO MONTEVIDEO HOSPITAL 824 N 11TH ST MONTEVIDEO Site Name / Provider Type: Location: 56265 CHIPPEWA CO MONTEVIDEO HOSPITAL 824 N 11TH ST HOSPITAL MONTEVIDEO Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 0.2700 COLLEGE OF ST. SCHOLASTICA CHIPPEWA CO MONTEVIDEO HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $42,091.11 $42,091.11 $42,091.11 $42,091.11 CHIPPEWA CO MONTEVIDEO HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CLANCYS PHARMACY no.12 6123 WOODDALE AVE EDINA Site Name / Provider Type: Location: 55424 CLANCYS PHARMACY no.12 6123 WOODDALE AVE PHARMACY EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CLANCYS PHARMACY no.12 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $428.15 $428.15 $428.15 $428.15 CLANCYS PHARMACY no.12 2010 MERC / PMAP Grant by Training Site Billing Name and Address: COBORNS PHARMACY 1105 2ND AVE NE LITTLE FALLS Site Name / Provider Type: Location: 56345 COBORNS PHARMACY 1105 2ND AVE NE PHARMACY LITTLE FALLS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER COBORNS PHARMACY - Total TOTAL Grant $24,730.58 $24,730.58 $24,730.58 TOTAL GRANT TO BILLING ADDRESS $24,730.58 Friday, December 03, 2010 COBORNS PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: COLON AND RECTAL SURG ASSOC 1055 WESTGATE DR #190 ST PAUL Site Name / Provider Type: Location: 55114 COLON AND RECTAL SURG ASSOC 1055 WESTGATE DR #190 PHYSICIAN ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program COLON AND RECTAL SURGERY 0.0093 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $483.00 TOTAL COLON AND RECTAL SURG ASSOC - Total Site Name / Provider Type: Location: Grant $483.00 $483.00 COLON AND RECTAL SURG ASSOC PHYSICIAN 1983 SLOAN PLACE STE 7 ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program COLON AND RECTAL SURGERY UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 0.0423 TOTAL Grant $2,196.87 $2,196.87 COLON AND RECTAL SURG ASSOC 2010 MERC / PMAP Grant by Training Site COLON AND RECTAL SURG ASSOC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $2,196.87 $2,679.87 COLON AND RECTAL SURG ASSOC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: COLON AND RECTAL SURGERY ASSOCIATES - WESTHEALTH 2805 CAMPUS DRIVE STE 405 PLYMOUTH Site Name / Provider Type: Location: 55441 COLON AND RECTAL SURGERY ASSOCIATES - WESTHEALTH 2805 CAMPUS DRIVE STE 405 PHYSICIAN PLYMOUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program COLON AND RECTAL SURGERY 0.0439 UNIVERSITY OF MN ACADEMIC HEALTH CENTER COLON AND RECTAL SURGERY ASSOCIATES - WESTHEALTH - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,279.97 $2,279.97 $2,279.97 $2,279.97 COLON AND RECTAL SURGERY ASSOCIATES - WESTHEALTH 2010 MERC / PMAP Grant by Training Site Billing Name and Address: COMMUNITY MEMORIAL HOSPITAL 512 SKYLINE BLVD CLOQUET Site Name / Provider Type: Location: 55720 COMMUNITY MEMORIAL HOSPITAL 512 SKYLINE BLVD HOSPITAL CLOQUET Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER COMMUNITY MEMORIAL HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $78,567.59 $78,567.59 $78,567.59 $78,567.59 COMMUNITY MEMORIAL HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: COMMUNITY UNIV HEALTH CARE CENTER 2001 BLOOMINGTON AVE MINNEAPOLIS Site Name / Provider Type: Location: 55404 COMMUNITY UNIV HEALTH CARE CENTER 2001 BLOOMINGTON AVE FEDERALLY QUALIFIED HEALTH CENTER MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant CHILD AND ADOLESCENT PSYCHIATRY 0.0023 $64.08 CLINICAL NURSE SPECIALIST 1.5000 $11,494.70 FAMILY MEDICINE UMMC FAIRVIEW 0.0344 $958.45 INTERNAL MEDICINE 0.1024 $2,853.05 INTERNAL MEDICINE/PEDIATRICS 0.5452 $15,190.25 MEDICAL SCHOOL 2.0526 $15,867.09 NURSE PRACTITIONER 1.0200 $7,816.40 PHARMACY PRACTICE 0.6000 $8,022.00 PSYCHIATRY 0.1701 $4,739.29 COMMUNITY UNIV HEALTH CARE CENTER 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER COMMUNITY UNIV HEALTH CARE CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $67,005.32 $67,005.32 $67,005.32 COMMUNITY UNIV HEALTH CARE CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CONSULTANTS-INTERNAL MEDICINE 3400 W66TH ST #385 EDINA Site Name / Provider Type: Location: 55435 CONSULTANTS-INTERNAL MEDICINE 3400 W66TH ST #385 PHYSICIAN EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.7895 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CONSULTANTS-INTERNAL MEDICINE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $534.13 $534.13 $534.13 $534.13 CONSULTANTS-INTERNAL MEDICINE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: COOK HOSPITAL PHARMACY 10 5TH ST SE COOK Site Name / Provider Type: Location: 55723 COOK HOSPITAL PHARMACY 10 5TH ST SE PHARMACY COOK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER COOK HOSPITAL PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,792.08 $1,792.08 $1,792.08 $1,792.08 COOK HOSPITAL PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CORAM HEALTHCARE 2345 WATERS DR MENDOTA HEIGHTS Site Name / Provider Type: Location: 55120 CORAM HEALTHCARE 2345 WATERS DR PHARMACY MENDOTA HEIGHTS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CORAM HEALTHCARE - Total TOTAL Grant $80,903.73 $80,903.73 $80,903.73 TOTAL GRANT TO BILLING ADDRESS $80,903.73 Friday, December 03, 2010 CORAM HEALTHCARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: COTTAGE GROVE ALLINA MEDICAL CLINIC 8611 W PT DOUGLAS RD S COTTAGE GROVE Site Name / Provider Type: Location: 55016 COTTAGE GROVE ALLINA MEDICAL CLINIC 8611 W PT DOUGLAS RD S PHYSICIAN COTTAGE GROVE Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE TOTAL Grant $1,273.82 $1,273.82 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 1.0000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $5,034.11 $5,034.11 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant MEDICAL SCHOOL 0.1895 $962.32 NURSE PRACTITIONER 0.3300 $1,661.26 COTTAGE GROVE ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER COTTAGE GROVE ALLINA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $2,623.57 $8,931.51 $8,931.51 COTTAGE GROVE ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: COURAGE ST CROIX 1460 CURVE CREST BLVD STILLWATER Site Name / Provider Type: Location: 55082 COURAGE ST CROIX 1460 CURVE CREST BLVD REHABILITATION AGENCY STILLWATER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S 0.0071 UNIVERSITY OF MN ACADEMIC HEALTH CENTER COURAGE ST CROIX - Total TOTAL Grant $4,857.22 $4,857.22 $4,857.22 TOTAL GRANT TO BILLING ADDRESS $4,857.22 Friday, December 03, 2010 COURAGE ST CROIX 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CROSBY CARDIOVASCULAR SERVICES LLC 314 E MAIN ST STE 1 CROSBY Site Name / Provider Type: Location: 56441 CROSBY CARDIOVASCULAR SERVICES LLC 314 E MAIN ST STE 1 INDEPEND DIAG TESTING FACILITY CROSBY Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 0.0900 COLLEGE OF ST. SCHOLASTICA CROSBY CARDIOVASCULAR SERVICES LLC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $250.67 $250.67 $250.67 $250.67 CROSBY CARDIOVASCULAR SERVICES LLC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CUYUNA LAKES PHARMACY 320 E MAIN ST STE 2 CROSBY Site Name / Provider Type: Location: 56441 CUYUNA LAKES PHARMACY 320 E MAIN ST STE 2 PHARMACY CROSBY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CUYUNA LAKES PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $8,062.51 $8,062.51 $8,062.51 $8,062.51 CUYUNA LAKES PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: CUYUNA REGIONAL MEDICAL CENTER BUSINESS OFFICE 320 E MAIN ST CROSBY Site Name / Provider Type: Location: 56441 CUYUNA REGIONAL MEDICAL CENTER HOSPITAL BUSINESS OFFICE 320 E MAIN ST CROSBY Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.2700 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $27,164.01 $27,164.01 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CUYUNA REGIONAL MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $58,057.14 $58,057.14 $85,221.15 $85,221.15 CUYUNA REGIONAL MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: DAKOTA CLINIC - DETROIT LAKES 125 FRAZEE ST E DETROIT LAKES Site Name / Provider Type: Location: 56502 DAKOTA CLINIC - DETROIT LAKES 125 FRAZEE ST E PHYSICIAN DETROIT LAKES Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE TOTAL Grant $72.80 $72.80 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP SUMMER UNIVERSITY OF MN ACADEMIC HEALTH CENTER DAKOTA CLINIC - DETROIT LAKES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0400 TOTAL Grant $22.33 $22.33 $95.13 $95.13 DAKOTA CLINIC - DETROIT LAKES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: DAKOTA PEDIATRIC CLINIC DAKOTA PEDIATRIC CLINIC 17504 DOSS BLVD LAKEVILLE Site Name / Provider Type: Location: 55044 DAKOTA PEDIATRIC CLINIC BILL ENTITY FOR PHYSICIAN SVCS DAKOTA PEDIATRIC CLINIC 17504 DOSS BLVD LAKEVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0105 UNIVERSITY OF MN ACADEMIC HEALTH CENTER DAKOTA PEDIATRIC CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $116.41 $116.41 $116.41 $116.41 DAKOTA PEDIATRIC CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: DEER RIVER HEALTHCARE CENTER 1002 COMSTOCK DR DEER RIVER Site Name / Provider Type: Location: 56636 DEER RIVER HEALTHCARE CENTER 1002 COMSTOCK DR HOSPITAL DEER RIVER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER DEER RIVER HEALTHCARE CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $35,191.71 $35,191.71 $35,191.71 $35,191.71 DEER RIVER HEALTHCARE CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: DENFELD MEDICAL CENTER 4702 GRAND AVE DULUTH Site Name / Provider Type: Location: 55807 DENFELD MEDICAL CENTER 4702 GRAND AVE PHYSICIAN DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.0800 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $1,484.52 $1,484.52 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP I 0.0520 UNIVERSITY OF MN ACADEMIC HEALTH CENTER DENFELD MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $973.39 $973.39 $2,457.91 $2,457.91 DENFELD MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: DERM CTR FOR CHILDREN AND YOUNG ADULT 2795 PILOT KNOB RD 300 EAGAN Site Name / Provider Type: Location: 55121 DERM CTR FOR CHILDREN AND YOUNG ADULT 2795 PILOT KNOB RD 300 BILL ENTITY FOR PHYSICIAN SVCS EAGAN Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE/PEDIATRICS 0.0040 $41.16 PEDIATRIC 0.1040 $1,070.05 UNIVERSITY OF MN ACADEMIC HEALTH CENTER DERM CTR FOR CHILDREN AND YOUNG ADULT - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $1,111.21 $1,111.21 $1,111.21 DERM CTR FOR CHILDREN AND YOUNG ADULT 2010 MERC / PMAP Grant by Training Site Billing Name and Address: DERMATOLOGY SPECIALISTS PA EDINA EAST PROF BLDG 3316 W 66TH ST #200 EDINA Site Name / Provider Type: Location: 55435 DERMATOLOGY SPECIALISTS PA PHYSICIAN EDINA EAST PROF BLDG 3316 W 66TH ST #200 EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs DERMATOLOGY 0.0467 UNIVERSITY OF MN ACADEMIC HEALTH CENTER DERMATOLOGY SPECIALISTS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,086.99 $1,086.99 $1,086.99 $1,086.99 DERMATOLOGY SPECIALISTS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: DOUGLAS COUNTY HOSPITAL ATTN: BUSINESS OFFICE 111 17TH AVENUE E ALEXANDRIA Site Name / Provider Type: Location: 56308 DOUGLAS COUNTY HOSPITAL HOSPITAL ATTN: BUSINESS OFFICE 111 17TH AVE E ALEXANDRIA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER DOUGLAS COUNTY HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $140,440.78 TOTAL $140,440.78 $140,440.78 $140,440.78 DOUGLAS COUNTY HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: DULUTH FAMILY PRACTICE CTR 330 N 8TH AVE E DULUTH Site Name / Provider Type: Location: 55805 DULUTH FAMILY PRACTICE CTR 330 N 8TH AVE E PHYSICIAN DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE DULUTH 6.0000 $9,962.89 PRECEPTORSHIP I 0.3900 $179.67 UNIVERSITY OF MN ACADEMIC HEALTH CENTER DULUTH FAMILY PRACTICE CTR - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $10,142.57 $10,142.57 $10,142.57 DULUTH FAMILY PRACTICE CTR 2010 MERC / PMAP Grant by Training Site Billing Name and Address: DULUTH INTERNAL MEDICINE ASSOCIATES ATTN: MARY CZECH 220 MEDICAL ARTS BUILDING DULUTH Site Name / Provider Type: Location: 55802 DULUTH INTERNAL MEDICINE ASSOCIATES 324 W SUPERIOR ST STE 220 PHYSICIAN DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.5000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER DULUTH INTERNAL MEDICINE ASSOCIATES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,196.15 $2,196.15 $2,196.15 $2,196.15 DULUTH INTERNAL MEDICINE ASSOCIATES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: EAGAN CHILD AND FAMILY CARE PA 4178 KNOB DR STE A EAGAN Site Name / Provider Type: Location: 55122 EAGAN CHILD AND FAMILY CARE PA 4178 KNOB DR STE A PHYSICIAN EAGAN Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.1800 ST. CATHERINE UNIVERSITY TOTAL Grant $79.70 $79.70 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.3900 $172.68 NURSE PRACTITIONER 0.2500 $110.69 UNIVERSITY OF MN ACADEMIC HEALTH CENTER EAGAN CHILD AND FAMILY CARE PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $283.38 $363.08 $363.08 EAGAN CHILD AND FAMILY CARE PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: EAGAN VALLEY PEDIATRICS PA 14135 CEDAR AVE S STE 100 APPLE VALLEY Site Name / Provider Type: Location: 55124 EAGAN VALLEY PEDIATRICS PA 14135 CEDAR AVE S STE 100 PHYSICIAN APPLE VALLEY Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.8400 ST. CATHERINE UNIVERSITY EAGAN VALLEY PEDIATRICS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $616.08 $616.08 $616.08 $616.08 EAGAN VALLEY PEDIATRICS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: EAR NOSE AND THROAT SPECIALTY CARE 347 NORTH SMITH AVENUE SUITE 602 ST. PAUL Site Name / Provider Type: Location: 55102 EAR NOSE AND THROAT SPECIALTY CARE PHYSICIAN 347 NORTH SMITH AVENUE SUITE 602 ST. PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PEDIATRIC 0.0140 UNIVERSITY OF MN ACADEMIC HEALTH CENTER EAR NOSE AND THROAT SPECIALTY CARE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,122.27 $1,122.27 $1,122.27 $1,122.27 EAR NOSE AND THROAT SPECIALTY CARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: EAR NOSE AND THROAT SPECIALTYCARE OF MINNESOTA PA 2211 PARK AVE S MINNEAPOLIS Site Name / Provider Type: Location: 55404 EAR NOSE AND THROAT SPECIALTYCARE PHYSICIAN OF MINNESOTA PA 2211 PARK AVE S MINNEAPOLIS Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Teaching Program Eligible FTEs INTERNAL MEDICINE 0.0806 ABBOTT NORTHWESTERN HOSPITAL TOTAL Grant $6,461.08 $6,461.08 Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.1034 UNITED HOSPITAL EAR NOSE AND THROAT SPECIALTYCARE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $8,288.78 $8,288.78 $14,749.86 $14,749.86 EAR NOSE AND THROAT SPECIALTYCARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: EAST SIDE FAMILY CLINIC 860 ARCADE ST ST PAUL Site Name / Provider Type: Location: 55106 EAST SIDE FAMILY CLINIC 860 ARCADE ST FEDERALLY QUALIFIED HEALTH CENTER ST PAUL Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.6300 AUGSBURG COLLEGE TOTAL Grant $6,427.16 $6,427.16 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 1.0000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $10,079.32 $10,079.32 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.9474 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $9,632.78 $9,632.78 EAST SIDE FAMILY CLINIC 2010 MERC / PMAP Grant by Training Site EAST SIDE FAMILY CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $26,139.26 $26,139.26 EAST SIDE FAMILY CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: EDEN VALLEY AREA MEDICAL CLINIC 405 MEEKER AVE E PO BOX 529 EDEN VALLEY Site Name / Provider Type: Location: 55329 EDEN VALLEY AREA MEDICAL CLINIC PHYSICIAN 405 MEEKER AVE E PO BOX 529 EDEN VALLEY Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.8800 COLLEGE OF ST. SCHOLASTICA EDEN VALLEY AREA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $110.97 $110.97 $110.97 $110.97 EDEN VALLEY AREA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: EDINA FAMILY PHYSICIANS 5301 VERNON AVE S EDINA Site Name / Provider Type: Location: 55436 EDINA FAMILY PHYSICIANS 5301 VERNON AVE S PHYSICIAN EDINA Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $781.47 $781.47 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.9474 UNIVERSITY OF MN ACADEMIC HEALTH CENTER EDINA FAMILY PHYSICIANS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,493.70 $1,493.70 $2,275.18 $2,275.18 EDINA FAMILY PHYSICIANS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: EDINA PEDIATRICS 3250 W 66TH ST STE 210 EDINA Site Name / Provider Type: Location: 55435 EDINA PEDIATRICS 3250 W 66TH ST STE 210 PHYSICIAN EDINA Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.6100 ST. CATHERINE UNIVERSITY EDINA PEDIATRICS - Total TOTAL Grant $2,185.46 $2,185.46 $2,185.46 TOTAL GRANT TO BILLING ADDRESS $2,185.46 Friday, December 03, 2010 EDINA PEDIATRICS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: EDINA SPORTS HEALTH AND WELLNESS PA 6363 FRANCE AVE S #525 EDINA Site Name / Provider Type: Location: 55435 EDINA SPORTS HEALTH AND WELLNESS PA 6363 FRANCE AVE S #525 PHYSICIAN EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.1895 UNIVERSITY OF MN ACADEMIC HEALTH CENTER EDINA SPORTS HEALTH AND WELLNESS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $313.69 $313.69 $313.69 $313.69 EDINA SPORTS HEALTH AND WELLNESS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ELY BLOOMENSON HOSPITAL PHARMACY 328 W CONAN ST ELY Site Name / Provider Type: Location: 55731 ELY BLOOMENSON HOSPITAL PHARMACY 328 W CONAN ST PHARMACY ELY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ELY BLOOMENSON HOSPITAL PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $76.78 $76.78 $76.78 $76.78 ELY BLOOMENSON HOSPITAL PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: EYE SURGEONS AND PHYSICIANS PA 109 DOCTORS PARK ST CLOUD Site Name / Provider Type: Location: 56303 EYE SURGEONS AND PHYSICIANS PA 109 DOCTORS PARK PHYSICIAN ST CLOUD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY UNIVERSITY OF MN ACADEMIC HEALTH CENTER EYE SURGEONS AND PHYSICIANS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0800 TOTAL Grant $5,263.33 $5,263.33 $5,263.33 $5,263.33 EYE SURGEONS AND PHYSICIANS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FACE TO FACE HEALTH COUNSELING 1165 ARCADE ST ST PAUL Site Name / Provider Type: Location: 55106 FACE TO FACE HEALTH COUNSELING 1165 ARCADE ST COMMUNITY HEALTH CLINIC ST PAUL Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE 0.1496 UNITED HOSPITAL TOTAL Grant $7,130.81 $7,130.81 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0205 $977.15 INTERNAL MEDICINE/PEDIATRICS 0.0205 $977.15 PEDIATRIC 0.0270 $1,286.98 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FACE TO FACE HEALTH COUNSELING - Total Friday, December 03, 2010 Grant TOTAL $3,241.28 $10,372.09 FACE TO FACE HEALTH COUNSELING 2010 MERC / PMAP Grant by Training Site TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $10,372.09 FACE TO FACE HEALTH COUNSELING 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FAIRMONT MED CTR MAYO HEALTH 800 MEDICAL CENTER DR PO BOX 800 FAIRMONT Site Name / Provider Type: Location: 56031 FAIRMONT MED CTR MAYO HEALTH HOSPITAL 800 MEDICAL CENTER DR PO BOX 800 FAIRMONT Sponsoring Institution MAYO CLINIC Eligible FTEs Teaching Program NURSE ANESTHESIA 1.3800 MAYO CLINIC TOTAL Grant $118,831.33 $118,831.33 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $13,777.55 $13,777.55 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP SUMMER UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 0.0400 TOTAL Grant $3,474.55 $3,474.55 FAIRMONT MED CTR MAYO HEALTH 2010 MERC / PMAP Grant by Training Site FAIRMONT MED CTR MAYO HEALTH - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $136,083.43 $136,083.43 FAIRMONT MED CTR MAYO HEALTH 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FAIRVIEW HEALTH SERVICES ATTN: RENA GARNI, CORP ACCT 3RD FLOOR 400 STINSON BLVD NE MINNEAPOLIS Site Name / Provider Type: Location: 55413 FAIRVIEW NORTHEAST PHARMACY PHARMACY MTM SERVICES 2847 JOHNSON ST NE MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY Grant 0.2500 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $16.14 TOTAL $16.14 FAIRVIEW NORTHEAST PHARMACY - Total Site Name / Provider Type: Location: $16.14 FAIRVIEW HUGO CLINIC 14663 MERCANTILE DR PHYSICIAN HUGO Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Grant TOTAL $245.10 $245.10 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site FAIRVIEW HUGO CLINIC - Total Site Name / Provider Type: Location: $245.10 FAIRVIEW UNIVERSITY CLINIC PHARMACY 516 DELAWARE ST SE MMC812 PHARMACY MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY Grant 0.2490 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW UNIVERSITY CLINIC PHARMACY - Total Site Name / Provider Type: Location: $58,491.33 $58,491.33 $58,491.33 FAIRVIEW UNIVERSITY CLINIC PHARMACY PHARMACY 340B PRICING 516 DELAWARE ST SE MMC812 MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 1.4110 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW UNIVERSITY CLINIC PHARMACY - Total Friday, December 03, 2010 Grant TOTAL $22,070.73 $22,070.73 $22,070.73 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW CHILDRENS CLINIC 2535 UNIVERSITY AVE SE PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant ADOLESCENT MEDICINE 0.2213 $1,346.26 INTERNAL MEDICINE/PEDIATRICS 0.0389 $236.65 MEDICAL SCHOOL 0.5684 $959.37 PEDIATRIC 0.4693 $2,854.95 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW CHILDRENS CLINIC - Total Site Name / Provider Type: Location: $5,397.23 $5,397.23 FAIRVIEW RIDGEVIEW PHARMACY PHARMACY MTM SERVICES 303 E NICOLLET BLVD BURNSVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1650 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW RIDGEVIEW PHARMACY - Total Friday, December 03, 2010 Grant TOTAL $588.01 $588.01 $588.01 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW RIDGES HOSPITAL 201 E NICOLLET BLVD HOSPITAL BURNSVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant COLON AND RECTAL SURGERY 0.0960 $59,653.49 PEDIATRIC 0.0288 $17,896.05 PEDIATRIC CARDIOLOGY FELLOWSHIP 0.0734 $45,610.06 PHARMACY 1.3300 $195,778.09 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW RIDGES HOSPITAL - Total Site Name / Provider Type: Location: $318,937.70 FAIRVIEW BLAINE CLINIC 10961 CLUB WEST PKWY NE $318,937.70 PHYSICIAN BLAINE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0316 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW BLAINE CLINIC - Total Friday, December 03, 2010 Grant TOTAL $4,416.73 $4,416.73 $4,416.73 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW NORTHLAND ELK RIVER CLINIC 290 MAIN ST NW STE 100 PHYSICIAN ELK RIVER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL Grant 1.0211 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW NORTHLAND ELK RIVER CLINIC - Total Site Name / Provider Type: Location: $1,903.58 $1,903.58 FAIRVIEW NORTHLAND CLINIC PRINCETON 919 NORTHLAND DR $1,903.58 PHYSICIAN PRINCETON Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0000 $6,943.55 NURSE PRACTITIONER 0.2500 $1,720.82 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW NORTHLAND CLINIC PRINCETON - Total Friday, December 03, 2010 Grant TOTAL $8,664.37 $8,664.37 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW LAKES PHARMACY WYOMING PHARMACY MTM CLINIC 5200 FAIRVIEW BLVD WYOMING Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY Grant 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW LAKES PHARMACY WYOMING - Total Site Name / Provider Type: Location: $22.97 $22.97 $22.97 FAIRVIEW OXBORO PHARMACY PHARMACY MTM SERVICES 600 W 98TH ST BLOOMINGTON Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1650 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW OXBORO PHARMACY - Total Friday, December 03, 2010 Grant TOTAL $12.55 $12.55 $12.55 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW EAGAN PHARMACY PHARMACY MTM SERVICES 1440 DUCKWOOD DR EAGAN Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY Grant 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW EAGAN PHARMACY - Total Site Name / Provider Type: Location: $53.56 $53.56 $53.56 FAIRVIEW MESABA PHARMACY PHARMACY UNIVERSITY MEDICAL CENTER 3605 MAYFAIR AVE HIBBING Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW MESABA PHARMACY - Total Friday, December 03, 2010 Grant TOTAL $9,484.86 $9,484.86 $9,484.86 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW ROGERS CLINIC 14040 NORTHDALE BLVD #100 BILL ENTITY FOR PHYSICIAN SVCS ROGERS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER Grant 0.1000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $155.56 TOTAL $155.56 FAIRVIEW ROGERS CLINIC - Total Site Name / Provider Type: Location: $155.56 FAIRVIEW RED WING MED CENTER HOSPITAL 701 FAIRVIEW BLVD PO BOX 95 RED WING Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CARDIOVASCULAR DISEASE FELLOWSHIP 0.0538 $8,501.63 MEDICAL SCHOOL 0.0316 $1,385.45 NURSE ANESTHESIA 1.8200 $79,102.21 PHARMACY 0.1100 $4,117.76 TOTAL $93,107.05 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW RED WING MED CENTER - Total Friday, December 03, 2010 Grant $93,107.05 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW PHARMACY SMILEYS CLINIC 2020 E 28TH ST PHARMACY MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY Grant 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW PHARMACY SMILEYS CLINIC - Total Site Name / Provider Type: Location: $9,148.70 $9,148.70 $9,148.70 UNIVERSITY MEDICAL CENTER - MESABI HOSPITAL ATTN: BUSINESS OFFICE 750 E 34TH ST HIBBING Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER Grant 0.6300 COLLEGE OF ST. SCHOLASTICA TOTAL $68,868.56 $68,868.56 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs NURSE ANESTHESIA 0.5300 $57,937.04 PHARMACY 0.8900 $83,795.59 TOTAL $141,732.63 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Grant FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site UNIVERSITY MEDICAL CENTER - MESABI - Total Site Name / Provider Type: Location: $210,601.19 MESABA CLINIC-MT IRON PHYSICIAN 39 ENTERPRISE DR S MOUNTAIN IRON Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER Grant 1.9500 COLLEGE OF ST. SCHOLASTICA TOTAL $4,002.04 $4,002.04 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL Grant 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL MESABA CLINIC-MT IRON - Total Site Name / Provider Type: Location: $2,070.30 $6,072.34 FAIRVIEW ANDOVER CLINIC 13819 HANSON BLVD NW $2,070.30 PHYSICIAN ANDOVER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant MEDICAL SCHOOL 2.0842 $5,183.25 PEDIATRIC 0.0039 $34.96 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW ANDOVER CLINIC - Total Site Name / Provider Type: Location: $5,218.21 FAIRVIEW SPECIALTY SERVICES PHARM 711 KASOTA AVE $5,218.21 PHARMACY MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY Grant 0.1650 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW SPECIALTY SERVICES PHARM - Total Site Name / Provider Type: Location: $29,522.42 $29,522.42 $29,522.42 FAIRVIEW SPECIALTY SERVICES PHARM PHARMACY 340B PRICING 711 KASOTA AVE MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1650 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW SPECIALTY SERVICES PHARM - Total Friday, December 03, 2010 Grant TOTAL $31,044.46 $31,044.46 $31,044.46 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW SOUTHDALE MEDICAL PHARMACY PHARMACY MTM SERVICES 6545 FRANCE AVE S STE 100 EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY Grant 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $9.45 TOTAL $9.45 FAIRVIEW SOUTHDALE MEDICAL PHARMACY - Total Site Name / Provider Type: Location: $9.45 FAIRVIEW SOUTHDALE HOSPITAL 6401 FRANCE AVE S HOSPITAL MINNEAPOLIS Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST Grant 0.1900 COLLEGE OF ST. SCHOLASTICA TOTAL $22,962.72 $22,962.72 Sponsoring Institution MINNESOTA SPORTS MEDICINE Teaching Program Eligible FTEs ORTHOPEDIC AND SPORTS MEDICINE 0.7000 MINNESOTA SPORTS MEDICINE Friday, December 03, 2010 Grant TOTAL $307,588.84 $307,588.84 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER Grant 0.8600 ST. CATHERINE UNIVERSITY TOTAL $103,936.51 $103,936.51 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant CLINICAL NURSE SPECIALIST 0.3900 $47,134.00 COLON AND RECTAL SURGERY 0.3141 $138,019.51 FAMILY MEDICINE UMMC FAIRVIEW 0.0255 $11,205.02 OPHTHALMOLOGY 0.0585 $25,705.64 PHARMACY 0.8900 $92,642.52 TOTAL $314,706.69 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW SOUTHDALE HOSPITAL - Total Site Name / Provider Type: Location: $749,194.75 FAIRVIEW RIDGES HOSPITAL PHYSICIANS 201 E NICOLLET AVE PHYSICIAN BURNSVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0632 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Grant TOTAL $2,006.00 $2,006.00 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site FAIRVIEW RIDGES HOSPITAL PHYSICIANS - Total Site Name / Provider Type: Location: $2,006.00 FAIRVIEW BROOKLYN PARK CLINIC 10000 ZANE AVE N PHYSICIAN BROOKLYN PARK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - NORTH MEMORIAL Grant 0.0041 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW BROOKLYN PARK CLINIC - Total Site Name / Provider Type: Location: $11,021.33 $11,021.33 FAIRVIEW COLUMBIA HEIGHTS CLINIC 4000 CENTRAL AVE NE $11,021.33 PHYSICIAN COLUMBIA HEIGHTS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER Grant 0.5000 METROPOLITAN STATE UNIVERSITY TOTAL $1,613.02 $1,613.02 Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 1.2200 ST. CATHERINE UNIVERSITY Friday, December 03, 2010 Grant TOTAL $3,935.76 $3,935.76 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant MEDICAL SCHOOL 0.0948 $308.51 PEDIATRIC CRITICAL CARE FELLOWSHIP 0.0001 $1.17 TOTAL $309.68 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW COLUMBIA HEIGHTS CLINIC - Total Site Name / Provider Type: Location: $5,858.46 UNIVERSITY OF MN MED CTR 2450 RIVERSIDE AVE HOSPITAL MINNEAPOLIS Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Teaching Program Eligible FTEs INTERNAL MEDICINE Grant 0.2769 ABBOTT NORTHWESTERN HOSPITAL TOTAL $4,770.73 $4,770.73 Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER Grant 0.0700 COLLEGE OF ST. SCHOLASTICA TOTAL $331.71 $331.71 Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant CRITICAL CARE MEDICINE -- I 0.3244 $5,589.11 INTERNAL MEDICINE 0.1224 $2,108.84 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site TRANSITIONAL HENNEPIN COUNTY MEDICAL CENTER 0.0321 $553.05 TOTAL $8,251.01 Sponsoring Institution MAYO CLINIC Eligible FTEs Teaching Program Grant FAMILY PRACTICE 0.0500 $861.45 MEDICAL SCHOOL 0.1400 $669.23 RADIATION ONCOLOGY 0.0500 $861.45 TOTAL $2,392.14 MAYO CLINIC Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER Grant 0.5000 METROPOLITAN STATE UNIVERSITY TOTAL $2,369.35 $2,369.35 Sponsoring Institution MINNESOTA SPORTS MEDICINE Eligible FTEs Teaching Program ORTHOPEDIC AND SPORTS MEDICINE Grant 0.5000 MINNESOTA SPORTS MEDICINE TOTAL $8,614.54 $8,614.54 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MOORHEAD Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST MINNESOTA STATE UNIVERSITY, MOORHEAD Friday, December 03, 2010 Grant 0.2170 TOTAL $1,028.30 $1,028.30 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER Grant 1.2600 ST. CATHERINE UNIVERSITY TOTAL $5,970.76 $5,970.76 Sponsoring Institution UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW Teaching Program Eligible FTEs Grant PHARMACY RESIDENTS -- FAIRVIEW 5.0000 $41,338.48 PHARMACY RESIDENTS RIVERSIDE BEHAVIORAL 1.0000 $8,267.70 PHARMACY RESIDENTS UMMC ADMIN 2.0000 $16,535.39 UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW TOTAL $66,141.57 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Grant ADDICTION PSYCHIATRY 0.4631 $7,978.79 ADOLESCENT MEDICINE 0.0092 $158.51 ADULT NEUROLOGY 6.7530 $116,347.99 ALLERGY AND IMMUNOLOGY RESIDENCY 0.7408 $12,763.30 14.1288 $243,426.24 BLOOD BANK FELLOWSHIP 1.3932 $24,003.56 CARDIOVASCULAR DISEASE FELLOWSHIP 8.8983 $153,309.53 CHILD AND ADOLESCENT PSYCHIATRY 3.9300 $67,710.29 ANESTHESIOLOGY Friday, December 03, 2010 Eligible FTEs FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site CLINICAL CARDIAC ELECTROPHYSIOLOGY 1.7782 $30,636.75 CLINICAL NEUROPHYSIOLOGY FELLOWSHIP 0.7960 $13,714.35 CLINICAL NURSE SPECIALIST 1.9500 $9,240.47 COLON AND RECTAL SURGERY 0.8557 $14,742.92 CYTOPATHOLOGY 1.0559 $18,192.19 DERMATOLOGY 5.5004 $94,766.84 DEVELOPMENTAL-BEHAVIORAL PEDIATRICS 0.0033 $56.86 21.8861 $377,077.40 ENDOCRINOLOGY, DIABETES, AND METABOLISM FELLOWSHIP 2.1694 $37,376.77 FAMILY MEDICINE UMMC FAIRVIEW 9.0437 $155,814.64 FAMILY PRACTICE - NORTH MEMORIAL 0.1789 $3,082.28 GASTROENTEROLOGY FELLOWSHIP 1.8699 $32,216.66 HAND FELLOWSHIP 0.2560 $4,410.64 HEMATOLOGY AND ONCOLOGY FELLOWSHIP 4.2692 $73,554.39 HEMATOPATHOLOGY FELLOWSHIP 1.8188 $31,336.25 INFECTIOUS DISEASES FELLOWSHIP 1.3041 $22,468.45 30.4107 $523,948.42 DIAGNOSTIC RADIOLOGY INTERNAL MEDICINE Friday, December 03, 2010 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site INTERNAL MEDICINE/PEDIATRICS 13.1906 $227,261.92 INTERVENTIONAL CARDIOLOGY PROGRAM FELLOWSHIP 0.8398 $14,468.98 LABORATORY MEDICINE AND PATHOLOGY 9.6672 $166,556.98 MATERNAL FETAL MEDICINE FELLOWSHIP 0.3370 $5,806.20 103.5558 $495,017.36 MOLECULAR GENETIC PATHOLOGY 0.4617 $7,954.67 NEPHROLOGY FELLOWSHIP 4.1478 $71,462.78 NEURORADIOLOGY 0.7018 $12,091.37 NEUROSURGERY 4.9904 $85,980.01 NURSE ANESTHESIA 5.1400 $24,356.92 NURSE PRACTITIONER 0.6600 $3,127.54 OBSTETRICS AND GYNECOLOGIC ONCOLOGY FELLOWSHIP 2.4781 $42,695.39 OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH 11.4291 $196,912.89 OPHTHALMOLOGY 5.1321 $88,421.37 ORAL AND MAXILLOFACIAL SURGERY 5.0800 $92,087.35 ORTHOPAEDIC SURGERY 7.7843 $134,116.34 ORTHOPAEDICS - ADULT RECONSTRUCTION 0.7044 $12,136.16 MEDICAL SCHOOL Friday, December 03, 2010 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site OTOLARYNGOLOGY 4.7562 $81,944.96 27.1835 $468,346.73 PEDIATRIC CARDIOLOGY FELLOWSHIP 3.0372 $52,328.17 PEDIATRIC CRITICAL CARE FELLOWSHIP 1.0600 $18,262.83 PEDIATRIC DENTISTRY 0.5000 $9,063.72 PEDIATRIC ENDOCRINOLOGY 1.7829 $30,717.73 PEDIATRIC GASTROENTEROLOGY 0.4026 $6,936.43 PEDIATRIC HEMATOLOGY AND ONCOLOGY FELLOWSHIP 3.0438 $52,441.88 PEDIATRIC INFECTIOUS DISEASE FELLOWSHIP 0.4444 $7,656.60 PEDIATRIC NEONATOLOGY FELLOWSHIP 1.4704 $25,333.64 PEDIATRIC NEPHROLOGY FELLOWSHIP 0.0189 $325.63 21.3700 $87,219.68 PHYSICAL MEDICINE AND REHABILITATION 2.6669 $45,948.24 PLASTIC SURGERY 0.9151 $15,766.33 18.0468 $310,929.79 PULMONARY/CRITICAL CARE FELLOWSHIP 2.5949 $44,707.74 RHEUMATOLOGY FELLOWSHIP 0.9468 $16,312.49 PEDIATRIC PHARMACY PSYCHIATRY Friday, December 03, 2010 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site SURGERY 14.3741 $247,652.54 SURGICAL CRITICAL CARE 1.3138 $22,635.57 THERAPEUTIC RADIOLOGY, RADIATION ONCOLOGY 4.3204 $74,436.52 THORACIC SURGERY 3.0746 $52,972.53 UROLOGIC SURGERY 3.5915 $61,878.25 VASCULAR AND INTERVENTIONAL RADIOLOGY 0.7677 $13,226.77 VASCULAR NEUROLOGY FELLOWSHIP 0.2359 $4,064.34 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL UNIVERSITY OF MN MED CTR - Total Site Name / Provider Type: Location: $5,499,897.82 $5,599,767.92 FAIRVIEW OXBORO CLINIC PHYSICIAN OXBORO MEDICAL BLDG 600 W 98TH ST BLOOMINGTON Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0102 $4,514.50 PHARMACY 0.1650 $17,299.79 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW OXBORO CLINIC - Total Friday, December 03, 2010 Grant TOTAL $21,814.29 $21,814.29 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW RIDGES CLINIC 303 NICOLLET BLVD STE 160 PHYSICIAN BURNSVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant INTERNAL MEDICINE/PEDIATRICS 0.0076 $1,427.83 ORAL AND MAXILLOFACIAL SURGERY 0.0008 $158.13 PHARMACY 0.1650 $7,343.34 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW RIDGES CLINIC - Total Site Name / Provider Type: Location: $8,929.30 $8,929.30 FAIRVIEW NORTHLAND REGIONAL HOSP HOSPITAL EPIC 1500 911 NORTHLAND DR PRINCETON Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant FAMILY MEDICINE ST. CLOUD RESIDENCY 0.0600 $6,527.21 FAMILY PRACTICE - ST JOHN'S 0.0494 $5,374.07 NURSE ANESTHESIA 3.0300 $90,660.03 PHARMACY 0.6700 $17,266.28 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW NORTHLAND REGIONAL HOSP - Total Site Name / Provider Type: Location: $119,827.59 FAIRVIEW WYOMING CLINIC 5200 FAIRVIEW BLVD $119,827.59 PHYSICIAN WYOMING Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY Grant 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW WYOMING CLINIC - Total Site Name / Provider Type: Location: $231.29 $231.29 FAIRVIEW GERIATRIC SVCS GROUP 3400 W 66TH ST $231.29 PHYSICIAN EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.1579 $516.04 NURSE PRACTITIONER 0.8800 $2,851.03 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW GERIATRIC SVCS GROUP - Total Friday, December 03, 2010 Grant TOTAL $3,367.07 $3,367.07 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW CEDAR RIDGE CLINIC 15650 CEDAR AVE S PHYSICIAN APPLE VALLEY Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE Grant 0.3700 AUGSBURG COLLEGE TOTAL $1,311.02 $1,311.02 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING Grant 0.3330 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL $1,165.74 $1,165.74 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1950 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW CEDAR RIDGE CLINIC - Total Friday, December 03, 2010 Grant TOTAL $587.96 $587.96 $3,064.72 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW EAGAN CLINIC PHYSICIAN 1440 DUCKWOOD DR EAGAN Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant INTERNAL MEDICINE 0.0093 $40.44 INTERNAL MEDICINE/PEDIATRICS 0.6210 $2,700.47 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW EAGAN CLINIC - Total Site Name / Provider Type: Location: $2,740.91 FAIRVIEW CROSSTOWN CLINIC 6545 FRANCE AVE S STE 150 $2,740.91 PHYSICIAN EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW CROSSTOWN CLINIC - Total Friday, December 03, 2010 Grant TOTAL $1,000.89 $1,000.89 $1,000.89 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW HIAWATHA CLINIC 3809 42ND AVE S PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant MEDICAL SCHOOL 0.1895 $684.17 NURSE PRACTITIONER 0.2500 $894.76 PHARMACY 0.2200 $678.17 TOTAL $2,257.10 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW HIAWATHA CLINIC - Total Site Name / Provider Type: Location: $2,257.10 FAIRVIEW NORTHEAST CLINIC 1151 SILVER LAKE RD NW PHYSICIAN NEW BRIGNTON Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2500 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW NORTHEAST CLINIC - Total Friday, December 03, 2010 Grant TOTAL $44,398.09 $44,398.09 $44,398.09 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW RIVERSIDE WOMENS CLINIC 701 25TH AVE S STE 402 PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant FAMILY MEDICINE UMMC FAIRVIEW 0.0693 $1,404.34 NURSE MIDWIFERY 0.3800 $2,117.97 NURSE PRACTITIONER 1.7500 $9,753.79 TOTAL $13,276.09 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW RIVERSIDE WOMENS CLINIC - Total Site Name / Provider Type: Location: $13,276.09 FAIRVIEW RIDGE VALLEY CLINIC 4151 WILLOWWOOD ST SE PHYSICIAN PRIOR LAKE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.1369 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW RIDGE VALLEY CLINIC - Total Friday, December 03, 2010 Grant TOTAL $1,118.38 $1,118.38 $1,118.38 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW UPTOWN CLINIC PHYSICIAN 3033 EXCELSIOR BLVD STE 275 MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs Grant MEDICAL SCHOOL 1.1685 $1,583.63 PHARMACY 0.1650 $190.93 TOTAL $1,774.56 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW UPTOWN CLINIC - Total Site Name / Provider Type: Location: $1,774.56 FAIRVIEW HIGHLAND PARK CLINIC 2155 FORD PKWY STE A PHYSICIAN ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW HIGHLAND PARK CLINIC - Total Friday, December 03, 2010 Grant TOTAL $1,729.41 $1,729.41 $1,729.41 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW HIGHLAND PARK PHARMACY PHARMACY MTM SERVICES 2155 FORD PKWY ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY Grant 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAIRVIEW HIGHLAND PARK PHARMACY - Total Site Name / Provider Type: Location: $118.00 $118.00 $118.00 FAIRVIEW HIAWATHA PHARMACY PHARMACY MTM SERVICES 3809 42ND AVE S MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW HIAWATHA PHARMACY - Total Friday, December 03, 2010 Grant TOTAL $12.34 $12.34 $12.34 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW LAKES REGIONAL HEALTH CARE HOSPITAL EPIC 1500 5200 FAIRVIEW BLVD WYOMING Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE Grant 0.2500 AUGSBURG COLLEGE TOTAL $29,541.62 $29,541.62 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER Grant 0.3800 METROPOLITAN STATE UNIVERSITY TOTAL $44,364.02 $44,364.02 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S 0.0873 $37,056.50 PHARMACY 0.7800 $78,431.87 TOTAL $115,488.37 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW LAKES REGIONAL HEALTH CARE - Total Friday, December 03, 2010 Grant $189,394.00 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW UPTOWN CLINIC MTM BILL ENTITY FOR PHYSICIAN SVCS 3033 EXCELSIOR BLVD STE 275 MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY Grant 0.1650 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $0.93 TOTAL $0.93 FAIRVIEW UPTOWN CLINIC MTM - Total Site Name / Provider Type: Location: $0.93 FAIRVIEW UNIVERSITY CLINIC PHARMACY PHARMACY MTM SERVICES 516 DELAWARE ST SE MMC812 MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3900 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW UNIVERSITY CLINIC PHARMACY - Total Friday, December 03, 2010 Grant TOTAL $264.60 $264.60 $264.60 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: SURGICAL CONSULTANTS PHYSICIAN 6405 FRANCE AVE S W440 EDINA Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE Grant 0.5000 AUGSBURG COLLEGE $185.75 TOTAL $185.75 Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Eligible FTEs Teaching Program SURGERY Grant 0.9300 HENNEPIN COUNTY MEDICAL CENTER TOTAL SURGICAL CONSULTANTS - Total Site Name / Provider Type: Location: $1,241.08 $1,426.83 FAIRVIEW CEDAR RIDGE PHARMACY MTM 15650 CEDAR AVE $1,241.08 PHARMACY APPLE VALLEY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1950 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW CEDAR RIDGE PHARMACY MTM - Total Friday, December 03, 2010 Grant TOTAL $35.20 $35.20 $35.20 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAIRVIEW RED WING CLINIC AND DME 701 FAIRVIEW BLVD PHYSICIAN RED WING Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE Grant 0.1300 AUGSBURG COLLEGE $5,953.35 TOTAL $5,953.35 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant NURSE PRACTITIONER 0.2500 $11,311.26 PRECEPTORSHIP SUMMER 0.0400 $1,825.65 TOTAL $13,136.91 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAIRVIEW RED WING CLINIC AND DME - Total Site Name / Provider Type: Location: $19,090.26 FAIRVIEW UNIVERSITY MEDICAL CENTER - DELAWARE STREET HOSPITAL 420 DELAWARE STREET SE MINNEAPOLIS Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.7500 AUGSBURG COLLEGE Friday, December 03, 2010 Grant TOTAL $3,597.23 $3,597.23 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.3400 ST. CATHERINE UNIVERSITY FAIRVIEW UNIVERSITY MEDICAL CENTER - DELAWARE STREET - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $1,611.16 $1,611.16 $5,208.38 $7,624,112.93 FAIRVIEW HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FAIRVIEW LAKEVILLE CLINIC 18580 JOPLIN AVE LAKEVILLE Site Name / Provider Type: Location: 55044 FAIRVIEW LAKEVILLE CLINIC 18580 JOPLIN AVE PHYSICIAN LAKEVILLE Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY FAIRVIEW LAKEVILLE CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $529.12 $529.12 $529.12 $529.12 FAIRVIEW LAKEVILLE CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FAMILY FOOT AND ANKLE CLINIC PA 3790 117TH LN NW COON RAPIDS Site Name / Provider Type: Location: 55433 FAMILY FOOT AND ANKLE CLINIC PA 3790 117TH LN NW PODIATRIST COON RAPIDS Sponsoring Institution MERCY HOSPITAL Teaching Program Eligible FTEs PODIATRY 0.2405 MERCY HOSPITAL FAMILY FOOT AND ANKLE CLINIC PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $671.32 $671.32 $671.32 $671.32 FAMILY FOOT AND ANKLE CLINIC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FAMILY HEALTH MED CLINIC-NORTHFIELD NORTHFIELD HOSPITAL 2000 NORTH AVE NORTHFIELD Site Name / Provider Type: Location: 55057 FAMILY HEALTH MED CLINIC-NORTHFIELD PHYSICIAN NORTHFIELD HOSPITAL 2000 NORTH AVE NORTHFIELD Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY FAMILY HEALTH MED CLINIC-NORTHFIELD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,197.85 $1,197.85 $1,197.85 $1,197.85 FAMILY HEALTH MED CLINIC-NORTHFIELD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FAMILY HEALTH SERVICES MINNESOTA PA NORTH ST PAUL OFFICE 2601 CENTENNIAL DR. #100 NORTH ST PAUL Site Name / Provider Type: Location: 55118 FAMILY HEALTH SERVICES MINNESOTA PA PHYSICIAN NORTH ST PAUL OFFICE 2601 CENTENNIAL DR. #100 NORTH ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.3474 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAMILY HEALTH SERVICES MINNESOTA PA - Total Site Name / Provider Type: Location: Grant $3,503.31 $3,503.31 $3,503.31 FAMILY HEALTH SERVICES MINNESOTA PA PHYSICIAN BANNING AVENUE OFFICE 4786 BANNING AVE WHITE BEAR LAKE Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE Friday, December 03, 2010 TOTAL Grant $103.28 $103.28 FAMILY HEALTH SERVICES MINNESOTA PA 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE Grant 0.0595 UNITED HOSPITAL $169.80 TOTAL $169.80 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0849 $242.29 FAMILY PRACTICE - ST JOHN'S 0.0198 $56.51 MEDICAL SCHOOL 0.9158 $725.12 TOTAL $1,023.92 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAMILY HEALTH SERVICES MINNESOTA PA - Total Site Name / Provider Type: Location: Grant $1,297.00 FAMILY HEALTH SERVICES MINNESOTA PA PHYSICIAN VADNAIS HEIGHTS OFFICE 3550 LABORE RD #7 VADNAIS HEIGHTS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0632 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAMILY HEALTH SERVICES MINNESOTA PA - Total Friday, December 03, 2010 TOTAL Grant $1,756.77 $1,756.77 $1,756.77 FAMILY HEALTH SERVICES MINNESOTA PA 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAMILY HEALTH SERVICES MINNESOTA PA PHYSICIAN SHOREVIEW OFFICE 404 W HWY 96 SHOREVIEW Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE Grant 0.1300 AUGSBURG COLLEGE $341.02 TOTAL $341.02 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.1263 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $330.20 TOTAL FAMILY HEALTH SERVICES MINNESOTA PA - Total Site Name / Provider Type: Location: Grant $330.20 $671.23 FAMILY HEALTH SERVICES MINNESOTA PA PHYSICIAN MARYLAND OFFICE 911 E MARYLAND AVE ST PAUL Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE FAMILY HEALTH SERVICES MINNESOTA PA - Total Friday, December 03, 2010 TOTAL Grant $2,878.11 $2,878.11 $2,878.11 FAMILY HEALTH SERVICES MINNESOTA PA 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAMILY HEALTH SERVICES MINNESOTA PA PHYSICIAN GORMAN OFFICE 234 E WENTWORTH AVE WEST ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.7895 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAMILY HEALTH SERVICES MINNESOTA PA - Total Site Name / Provider Type: Location: Grant $3,149.76 $3,149.76 $3,149.76 FAMILY HEALTH SERVICES MINNESOTA PA PHYSICIAN AFTON ROAD OFFICE 2716 UPPER AFTON RD MAPLEWOOD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.2526 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAMILY HEALTH SERVICES MINNESOTA PA - Total Friday, December 03, 2010 TOTAL Grant $2,319.10 $2,319.10 $2,319.10 FAMILY HEALTH SERVICES MINNESOTA PA 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: FAMILY HEALTH SERVICES MINNESOTA PA PHYSICIAN WHITE BEAR OFFICE 3220 BELLAIRE AVE WHITE BEAR LAKE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S 0.0091 $49.26 MEDICAL SCHOOL 0.7895 $1,185.62 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL FAMILY HEALTH SERVICES MINNESOTA PA - Total Site Name / Provider Type: Location: Grant $1,234.87 $1,234.87 FAMILY HEALTH SERVICES MINNESOTA PA PHYSICIAN WOODLANE OFFICE 2056 WOODLANE DR WOODBURY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE MIDWIFERY 0.2300 $216.70 NURSE PRACTITIONER 0.5000 $471.10 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAMILY HEALTH SERVICES MINNESOTA PA - Total Friday, December 03, 2010 Grant TOTAL $687.80 $687.80 FAMILY HEALTH SERVICES MINNESOTA PA 2010 MERC / PMAP Grant by Training Site TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $17,497.95 FAMILY HEALTH SERVICES MINNESOTA PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FAMILY MEDICAL CENTER PA 811 SE 2ND ST LITTLE FALLS Site Name / Provider Type: Location: 56345 FAMILY MEDICAL CENTER PA 811 SE 2ND ST PHYSICIAN LITTLE FALLS Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER Grant 0.7000 COLLEGE OF ST. SCHOLASTICA TOTAL $3,132.50 $3,132.50 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING Grant 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL $716.00 $716.00 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant FAMILY MEDICINE ST. CLOUD RESIDENCY 0.2800 $4,555.69 MEDICAL SCHOOL 1.0000 $4,514.19 FAMILY MEDICAL CENTER PA 2010 MERC / PMAP Grant by Training Site PRECEPTORSHIP II 0.1200 $541.70 PRECEPTORSHIP SUMMER 0.0400 $180.57 TOTAL $9,792.15 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAMILY MEDICAL CENTER PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $13,640.65 $13,640.65 FAMILY MEDICAL CENTER PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FAMILY PRACTICE MED CENTER 502 2ND ST SW WILLMAR Site Name / Provider Type: Location: 56201 FAMILY PRACTICE MED CENTER 502 2ND ST SW PHYSICIAN WILLMAR Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3100 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $1,592.61 $1,592.61 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.1579 $6,000.76 PRECEPTORSHIP II 0.1200 $621.89 PRECEPTORSHIP SUMMER 0.0800 $414.60 TOTAL $7,037.25 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAMILY PRACTICE MED CENTER - Total Friday, December 03, 2010 Grant $8,629.87 FAMILY PRACTICE MED CENTER 2010 MERC / PMAP Grant by Training Site TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $8,629.87 FAMILY PRACTICE MED CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FAMILY TREE CLINIC ATTN: ALISSA LIGHT 1619 DAYTON AVENUE STE 205 ST PAUL Site Name / Provider Type: Location: 55104 FAMILY TREE CLINIC 1619 DAYTON AVE COMMUNITY HEALTH CLINIC ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FAMILY TREE CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $5,202.24 $5,202.24 $5,202.24 $5,202.24 FAMILY TREE CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FARIBAULT ALLINA MEDICAL CLINIC 100 STATE AVE FARIBAULT Site Name / Provider Type: Location: 55021 FARIBAULT ALLINA MEDICAL CLINIC 100 STATE AVE PHYSICIAN FARIBAULT Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FARIBAULT ALLINA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $15,021.79 $15,021.79 $15,021.79 $15,021.79 FARIBAULT ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FERGUS FALLS MEDICAL GROUP 615 S MILL ST FERGUS FALLS Site Name / Provider Type: Location: 56537 FERGUS FALLS MEDICAL GROUP 615 S MILL ST PHYSICIAN FERGUS FALLS Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE TOTAL Grant $4,040.72 $4,040.72 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0000 $30,978.12 NURSE PRACTITIONER 0.2500 $7,677.30 PRECEPTORSHIP II 0.0600 $1,858.69 TOTAL $40,514.10 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FERGUS FALLS MEDICAL GROUP - Total Friday, December 03, 2010 Grant $44,554.82 FERGUS FALLS MEDICAL GROUP 2010 MERC / PMAP Grant by Training Site TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $44,554.82 FERGUS FALLS MEDICAL GROUP 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FOND DU LAC HUMAN SERVICES ACCOUNTS RECEIVABLE 927 TRETTEL LN CLOQUET Site Name / Provider Type: Location: 55720 FOND DU LAC HUMAN SERVICES INDIAN HEALTH FACILITY ACCOUNTS RECEIVABLE 927 TRETTEL LN CLOQUET Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs Grant CLINICAL NURSE SPECIALIST 0.2000 $10,035.54 NURSE PRACTITIONER 0.1600 $8,028.43 TOTAL $18,063.98 COLLEGE OF ST. SCHOLASTICA Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.7500 METROPOLITAN STATE UNIVERSITY TOTAL Grant $37,633.29 $37,633.29 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program PHARMACY Friday, December 03, 2010 Eligible FTEs 0.7800 Grant $33,709.80 FOND DU LAC HUMAN SERVICES 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER FOND DU LAC HUMAN SERVICES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $33,709.80 $89,407.07 $89,407.07 FOND DU LAC HUMAN SERVICES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FORENSIC SERVICES ST PETER 100 FREEMAN DR ST PETER Site Name / Provider Type: Location: 56082 FORENSIC SERVICES ST PETER 100 FREEMAN DR INSTITUTION FOR MENTAL DISEASE ST PETER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FORENSIC SERVICES ST PETER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $8.79 $8.79 $8.79 $8.79 FORENSIC SERVICES ST PETER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FRANCE AVENUE FAMILY PHYSICIANS PA 7250 FRANCE AVE S STE 410 EDINA Site Name / Provider Type: Location: 55435 FRANCE AVENUE FAMILY PHYSICIANS PA 7250 FRANCE AVE S STE 410 PHYSICIAN EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.3158 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FRANCE AVENUE FAMILY PHYSICIANS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $289.46 $289.46 $289.46 $289.46 FRANCE AVENUE FAMILY PHYSICIANS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FREMONT COMMUNITY HEALTH SERVICES ATTN JENNIFER MONROE 3300 FREMONT AVE N MINNEAPOLIS Site Name / Provider Type: Location: 55412 CENTRAL AVENUE CLINIC 2610 CENTRAL AVE NE FEDERALLY QUALIFIED HEALTH CENTER MINNEAPOLIS Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5400 ST. CATHERINE UNIVERSITY CENTRAL AVENUE CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,088.53 $1,088.53 $1,088.53 $1,088.53 FREMONT COMMUNITY HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FREMONT COMMUNITY HEALTH SERVICES ATTN: JENNIFER MONROE 3300 FREMONT AVENUE N MINNEAOPLIS Site Name / Provider Type: Location: 55412 SHERIDAN WOMEN AND CHILDREN'S 342 13TH AVE NE FEDERALLY QUALIFIED HEALTH CENTER MINNEAPOLIS Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.3500 ST. CATHERINE UNIVERSITY TOTAL SHERIDAN WOMEN AND CHILDREN'S - Total Site Name / Provider Type: Location: $6,103.93 $6,103.93 $6,103.93 FREMONT COMMUNITY HEALTH SRVCS INC 3300 FREMONT AVE N Grant FEDERALLY QUALIFIED HEALTH CENTER MINNEAPOLIS Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program NURSE PRACTITIONER Friday, December 03, 2010 Eligible FTEs 0.3200 Grant $1,538.20 FREMONT COMMUNITY HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site ST. CATHERINE UNIVERSITY FREMONT COMMUNITY HEALTH SRVCS INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $1,538.20 $1,538.20 $7,642.13 FREMONT COMMUNITY HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FREMONT COMMUNITY HEALTH SRVCS INC 3300 FREMONT AVE N MINNEAPOLIS Site Name / Provider Type: Location: 55412 FREMONT COMMUNITY HEALTH SRVCS INC 3300 FREMONT AVE N FEDERALLY QUALIFIED HEALTH CENTER MINNEAPOLIS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 1.8000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $8,652.38 $8,652.38 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0632 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FREMONT COMMUNITY HEALTH SRVCS INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $306.46 $306.46 $8,958.84 $8,958.84 FREMONT COMMUNITY HEALTH SRVCS INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FRIDLEY CHILD AND TEEN MED CENTER PA 500 OSBORNE RD #310 FRIDLEY Site Name / Provider Type: Location: 55432 FRIDLEY CHILD AND TEEN MED CENTER PA 500 OSBORNE RD #310 PHYSICIAN FRIDLEY Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.7500 ST. CATHERINE UNIVERSITY TOTAL Grant $6,941.85 $6,941.85 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0105 UNIVERSITY OF MN ACADEMIC HEALTH CENTER FRIDLEY CHILD AND TEEN MED CENTER PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $98.04 $98.04 $7,039.89 $7,039.89 FRIDLEY CHILD AND TEEN MED CENTER PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: FRIDLEY OB/GYN ALLINA MEDICAL 500 OSBORNE RD NE #255 FRIDLEY Site Name / Provider Type: Location: 55432 FRIDLEY OB/GYN ALLINA MEDICAL 500 OSBORNE RD NE #255 PHYSICIAN FRIDLEY Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 1.0000 AUGSBURG COLLEGE TOTAL Grant $8,085.66 $8,085.66 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.3300 METROPOLITAN STATE UNIVERSITY FRIDLEY OB/GYN ALLINA MEDICAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,636.22 $2,636.22 $10,721.89 $10,721.89 FRIDLEY OB/GYN ALLINA MEDICAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GATEWAY FAMILY HEALTH CLINIC 4570 CO HWY 61 MOOSE LAKE Site Name / Provider Type: Location: 55767 GATEWAY FAMILY HEALTH CLINIC 4570 CO HWY 61 RURAL HEALTH CLINIC MOOSE LAKE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0000 $11,308.51 PRECEPTORSHIP II 0.1800 $2,035.53 PRECEPTORSHIP SUMMER 0.1200 $1,357.02 TOTAL $14,701.06 UNIVERSITY OF MN ACADEMIC HEALTH CENTER GATEWAY FAMILY HEALTH CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $14,701.06 $14,701.06 GATEWAY FAMILY HEALTH CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GATEWAY FAMILY HEALTH CLINIC LTD 204 LUNDORFF DR SANDSTONE Site Name / Provider Type: Location: 55072 GATEWAY FAMILY HEALTH CLINIC LTD 204 LUNDORFF DR RURAL HEALTH CLINIC SANDSTONE Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program Grant CLINICAL NURSE SPECIALIST 0.0900 $366.18 NURSE PRACTITIONER 0.6100 $2,481.86 COLLEGE OF ST. SCHOLASTICA TOTAL $2,848.03 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER GATEWAY FAMILY HEALTH CLINIC LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,104.25 $4,104.25 $6,952.28 $6,952.28 GATEWAY FAMILY HEALTH CLINIC LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GENOA HEALTHCARE C/O FAMILY LIFE CENTER 1930 COON RAPIDS BOULEVARD COON RAPIDS Site Name / Provider Type: Location: 55433 GENOA HEALTHCARE MINNESOTA LLC PHARMACY 1821 UNIVERSITY AVE W STE #N464 ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER GENOA HEALTHCARE MINNESOTA LLC - Total TOTAL Grant $61,241.50 $61,241.50 $61,241.50 TOTAL GRANT TO BILLING ADDRESS $61,241.50 Friday, December 03, 2010 GENOA HEALTHCARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GILLETTE CHILDRENS HOSPITAL ATTN: SCOTT RYBERG 200 UNIV AVE E ST PAUL Site Name / Provider Type: Location: 55101 GILLETTE CHILDRENS SPEC HOSP 200 UNIVERSITY AVE E HOSPITAL ST PAUL Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Eligible FTEs Teaching Program NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA TOTAL Grant $10,671.41 $10,671.41 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant FAMILY PRACTICE - NORTH MEMORIAL 0.0180 $698.39 HAND FELLOWSHIP 0.0076 $294.88 INTERNAL MEDICINE/PEDIATRICS 1.0564 $40,987.67 MEDICAL SCHOOL 0.9211 $9,915.52 NURSE PRACTITIONER 0.2500 $2,667.85 ORTHOPAEDIC SURGERY 3.2567 $126,357.96 GILLETTE CHILDRENS HOSPITAL 2010 MERC / PMAP Grant by Training Site PEDIATRIC 1.4300 $55,483.12 PEDIATRIC DENTISTRY 0.1700 $6,939.82 PHARMACY 0.5600 $5,147.08 PHYSICAL MEDICINE AND REHABILITATION 1.4799 $57,419.21 PMANDR - PEDIATRIC REHABILITATION MEDICINE 0.8408 $32,622.52 TOTAL $338,534.01 UNIVERSITY OF MN ACADEMIC HEALTH CENTER GILLETTE CHILDRENS SPEC HOSP - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $349,205.43 $349,205.43 GILLETTE CHILDRENS HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GILLETTE CHILDRENS SPEC HOSP 200 UNIVERSITY AVE E ST PAUL Site Name / Provider Type: Location: 55101 GILLETTE CHILDRENS SPEC HOSP 200 UNIVERSITY AVE E HOSPITAL ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.2600 $2,774.57 NEUROSURGERY 0.0105 $407.39 PSYCHIATRY 0.0958 $3,716.98 SURGERY 0.0099 $384.11 TOTAL $7,283.06 UNIVERSITY OF MN ACADEMIC HEALTH CENTER GILLETTE CHILDRENS SPEC HOSP - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $7,283.06 $7,283.06 GILLETTE CHILDRENS SPEC HOSP 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GLENCOE REGIONAL HEALTH SERVICES 1805 HENNEPIN AVE N GLENCOE Site Name / Provider Type: Location: 55336 GLENCOE REGIONAL HEALTH SERVICES 1805 HENNEPIN AVE N PHYSICIAN GLENCOE Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.4930 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $2,200.91 $2,200.91 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0000 $4,503.42 PRECEPTORSHIP SUMMER 0.0400 $180.14 TOTAL $4,683.56 UNIVERSITY OF MN ACADEMIC HEALTH CENTER GLENCOE REGIONAL HEALTH SERVICES - Total Friday, December 03, 2010 Grant $6,884.47 GLENCOE REGIONAL HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: GLENCOE REGIONAL HEALTH SERVICES 1805 HENNEPIN AVE N HOSPITAL GLENCOE Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA GLENCOE REGIONAL HEALTH SERVICES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $66,599.24 $66,599.24 $66,599.24 $73,483.71 GLENCOE REGIONAL HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GLENWOOD MEDICAL CENTER 417 FRANKLIN ST S GLENWOOD Site Name / Provider Type: Location: 56334 GLENWOOD MEDICAL CENTER 417 FRANKLIN ST S RURAL HEALTH CLINIC GLENWOOD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP SUMMER UNIVERSITY OF MN ACADEMIC HEALTH CENTER GLENWOOD MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0400 TOTAL Grant $6,634.04 $6,634.04 $6,634.04 $6,634.04 GLENWOOD MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GLOBE DRUG AND MEDICAL EQUIPMENT 304 N POKEGAMA AVE GRAND RAPIDS Site Name / Provider Type: Location: 55744 GLOBE DRUG AND MEDICAL EQUIPMENT 304 N POKEGAMA AVE PHARMACY GRAND RAPIDS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER GLOBE DRUG AND MEDICAL EQUIPMENT - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $21,903.48 $21,903.48 $21,903.48 $21,903.48 GLOBE DRUG AND MEDICAL EQUIPMENT 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GOODRICH PHARMACY 23122 ST FRANCIS BLVD NW ST FRANCIS Site Name / Provider Type: Location: 55070 GOODRICH PHARMACY 23122 ST FRANCIS BLVD NW PHARMACY ST FRANCIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 1.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL GOODRICH PHARMACY - Total Site Name / Provider Type: Location: $8,402.78 $8,402.78 $8,402.78 GOODRICH PHARMACY 100 MONROE ST Grant PHARMACY ANOKA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 1.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $11,256.05 $11,256.05 GOODRICH PHARMACY 2010 MERC / PMAP Grant by Training Site GOODRICH PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $11,256.05 $19,658.83 GOODRICH PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GOODRICH PHARMACY ELK RIVER 530 3RD ST ELK RIVER Site Name / Provider Type: Location: 55330 GOODRICH PHARMACY ELK RIVER 530 3RD ST PHARMACY ELK RIVER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER GOODRICH PHARMACY ELK RIVER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,046.34 $2,046.34 $2,046.34 $2,046.34 GOODRICH PHARMACY ELK RIVER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GRAND ITASCA CLINIC AND HOSPITAL 1601 GOLF COURSE RD GRAND RAPIDS Site Name / Provider Type: Location: 55744 GRAND ITASCA CLINIC AND HOSPITAL 1601 GOLF COURSE RD HOSPITAL GRAND RAPIDS Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE TOTAL Grant $4,219.93 $4,219.93 Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 2.4000 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $76,970.76 $76,970.76 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant MEDICAL SCHOOL 1.0000 $32,352.01 PRECEPTORSHIP II 0.1800 $5,823.36 GRAND ITASCA CLINIC AND HOSPITAL 2010 MERC / PMAP Grant by Training Site PRECEPTORSHIP SUMMER UNIVERSITY OF MN ACADEMIC HEALTH CENTER GRAND ITASCA CLINIC AND HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0400 $1,294.08 TOTAL $39,469.45 $120,660.14 $120,660.14 GRAND ITASCA CLINIC AND HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GREEN CENTRAL COMMUNITY CLINIC 324 E 35TH ST MINNEAPOLIS Site Name / Provider Type: Location: 55408 GREEN CENTRAL COMMUNITY CLINIC 324 E 35TH ST FEDERALLY QUALIFIED HEALTH CENTER MINNEAPOLIS Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.1600 COLLEGE OF ST. SCHOLASTICA GREEN CENTRAL COMMUNITY CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $17,981.70 $17,981.70 $17,981.70 $17,981.70 GREEN CENTRAL COMMUNITY CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GROVES PHYSICAL THERAPHY INC 514 ST PETER STREET STE 210 ST PAUL Site Name / Provider Type: Location: 55102 GROVES PHYSICAL THERAPHY INC BILL ENTITY FOR REHABILITATION 514 ST PETER STREET STE 210 ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - NORTH MEMORIAL UNIVERSITY OF MN ACADEMIC HEALTH CENTER GROVES PHYSICAL THERAPHY INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0155 TOTAL Grant $140.44 $140.44 $140.44 $140.44 GROVES PHYSICAL THERAPHY INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GUARDIAN ANGELS ELIM HOME HLTH CARE 400 EVANS AVE ELK RIVER Site Name / Provider Type: Location: 55330 GUARDIAN ANGELS ELIM HOME HLTH CARE 400 EVANS AVE HOME HEALTH AGENCY ELK RIVER Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.1400 COLLEGE OF ST. SCHOLASTICA GUARDIAN ANGELS ELIM HOME HLTH CARE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $18,104.38 $18,104.38 $18,104.38 $18,104.38 GUARDIAN ANGELS ELIM HOME HLTH CARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: GUIDEPOINT PHARMACY no.101 108 S 6TH ST BRAINERD Site Name / Provider Type: Location: 56401 GUIDEPOINT PHARMACY no.101 108 S 6TH ST PHARMACY BRAINERD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 1.5600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER GUIDEPOINT PHARMACY no.101 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $14,639.22 $14,639.22 $14,639.22 $14,639.22 GUIDEPOINT PHARMACY no.101 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HAZELDEN FOUNDATION 15245 PLEASANT VALLEY RD CENTER CITY Site Name / Provider Type: Location: 55012 HAZELDEN FOUNDATION 15245 PLEASANT VALLEY RD CHEMICAL HEALTH CENTER CITY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program ADDICTION PSYCHIATRY 0.0503 $679.06 CHILD AND ADOLESCENT PSYCHIATRY 0.1052 $1,420.23 FAMILY MEDICINE MANKATO RESIDENCY 0.0227 $306.46 TOTAL $2,405.74 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HAZELDEN FOUNDATION - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $2,405.74 $2,405.74 HAZELDEN FOUNDATION 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HEALTHEAST ATTN: DAVID KNOWLAN, REVENUE ANALYSIS 1700 UNIVERSITY AVENUE ST PAUL Site Name / Provider Type: Location: 55104 HEALTHEAST ROSELAWN CLINIC 1983 SLOAN PL #1 PHYSICIAN ST PAUL Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3900 ST. CATHERINE UNIVERSITY TOTAL Grant $3,252.77 $3,252.77 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.9158 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHEAST ROSELAWN CLINIC - Total Friday, December 03, 2010 TOTAL Grant $7,705.06 $7,705.06 $10,957.83 HEALTHEAST 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: HEALTHEAST NEONATAL SERVICES 1655 BEAM AVE - #302 PHYSICIAN MAPLEWOOD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER Grant 0.3800 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $894.50 TOTAL $894.50 HEALTHEAST NEONATAL SERVICES - Total Site Name / Provider Type: Location: $894.50 HEALTHEAST WOODWINDS HOSPITAL 1925 WOODWINDS DR HOSPITAL WOODBURY Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.0800 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $6,302.73 $6,302.73 Sponsoring Institution MERCY HOSPITAL Teaching Program Eligible FTEs PODIATRY 0.0045 MERCY HOSPITAL Friday, December 03, 2010 TOTAL Grant $1,289.00 $1,289.00 HEALTHEAST 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.8100 $63,815.17 COLON AND RECTAL SURGERY 0.0220 $6,301.80 FAMILY PRACTICE - ST JOSEPH'S 0.1025 $29,360.65 PHARMACY 0.8900 $60,392.03 TOTAL $159,869.65 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHEAST WOODWINDS HOSPITAL - Total Site Name / Provider Type: Location: Grant $167,461.39 HEALTHEAST ST JOHNS HOSPITAL 1575 BEAM AVE HOSPITAL MAPLEWOOD Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 0.1900 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $4,081.11 $4,081.11 Sponsoring Institution MERCY HOSPITAL Teaching Program Eligible FTEs PODIATRY 0.0034 MERCY HOSPITAL Friday, December 03, 2010 TOTAL Grant $265.53 $265.53 HEALTHEAST 2010 MERC / PMAP Grant by Training Site Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3200 ST. CATHERINE UNIVERSITY TOTAL Grant $6,873.45 $6,873.45 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program COLON AND RECTAL SURGERY 0.2101 $16,407.92 FAMILY PRACTICE - ST JOHN'S 9.3325 $728,828.65 FAMILY PRACTICE - ST JOSEPH'S 0.2587 $20,203.37 MEDICAL SCHOOL 2.6842 $58,160.24 NURSE ANESTHESIA 0.3600 $7,732.63 PHARMACY 0.3300 $6,105.05 TOTAL $837,437.85 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHEAST ST JOHNS HOSPITAL - Total Site Name / Provider Type: Location: $848,657.93 RICE STREET CLINIC 980 RICE ST Grant PHYSICIAN ST PAUL Sponsoring Institution AUGSBURG COLLEGE Teaching Program FAMILY MEDICINE Friday, December 03, 2010 Eligible FTEs 0.2500 Grant $4,855.97 HEALTHEAST 2010 MERC / PMAP Grant by Training Site AUGSBURG COLLEGE TOTAL $4,855.97 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.2842 $5,501.74 NURSE PRACTITIONER 0.3300 $6,332.91 TOTAL $11,834.65 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RICE STREET CLINIC - Total Site Name / Provider Type: Location: $16,690.62 VADNAIS HEIGHTS FAMILY PHYSICIANS 1055 CENTERVILLE CIRCLE Grant PHYSICIAN VADNAIS HEIGHTS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S UNIVERSITY OF MN ACADEMIC HEALTH CENTER VADNAIS HEIGHTS FAMILY PHYSICIANS - Total Friday, December 03, 2010 0.0231 TOTAL Grant $1,826.03 $1,826.03 $1,826.03 HEALTHEAST 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: HEALTHEAST MAPLEWOOD CLINIC 3100 KENNARD ST STE 100 PHYSICIAN MAPLEWOOD Sponsoring Institution MERCY HOSPITAL Teaching Program Eligible FTEs PODIATRY 0.0003 MERCY HOSPITAL TOTAL Grant $2.92 $2.92 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 1.0000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $2,674.73 $2,674.73 Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0162 UNITED HOSPITAL TOTAL Grant $157.54 $157.54 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant CLINICAL NURSE SPECIALIST 0.2600 $695.43 COLON AND RECTAL SURGERY 0.0020 $19.45 FAMILY PRACTICE - ST JOHN'S 0.0657 $638.92 FAMILY PRACTICE - ST JOSEPH'S 0.0043 $41.82 HEALTHEAST 2010 MERC / PMAP Grant by Training Site NURSE PRACTITIONER 0.9100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHEAST MAPLEWOOD CLINIC - Total Site Name / Provider Type: Location: $2,434.00 $3,829.62 $6,664.81 HEALTHEAST MEDICAL CARE FOR SENIORS PHYSICIAN BETHESDA REHAB HOSP-6N 1690 UNIVERSITY AV W #460 ST PAUL Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.7900 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $1,942.17 $1,942.17 Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.2700 ST. CATHERINE UNIVERSITY HEALTHEAST MEDICAL CARE FOR SENIORS - Total Friday, December 03, 2010 TOTAL Grant $663.78 $663.78 $2,605.95 HEALTHEAST 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: HEALTHEAST ST JOSEPHS HOSPITAL 45 W 10TH ST HOSPITAL ST PAUL Sponsoring Institution REGIONS HOSPITAL Eligible FTEs Teaching Program EMERGENCY MEDICINE 0.0655 REGIONS HOSPITAL TOTAL Grant $5,188.25 $5,188.25 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program COLON AND RECTAL SURGERY 0.1099 $8,705.18 FAMILY PRACTICE - ST JOHN'S 0.0628 $4,974.39 14.0456 $1,112,551.78 0.6842 $15,036.50 FAMILY PRACTICE - ST JOSEPH'S MEDICAL SCHOOL UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHEAST ST JOSEPHS HOSPITAL - Total Friday, December 03, 2010 Grant TOTAL $1,141,267.85 $1,146,456.11 HEALTHEAST 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: HEALTHEAST WOODBURY CLINIC 1875 WOODWINDS DR PHYSICIAN WOODBURY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.2600 $950.34 FAMILY PRACTICE - ST JOSEPH'S 0.0072 $95.68 NURSE MIDWIFERY 0.3800 $1,388.95 NURSE PRACTITIONER 0.9600 $3,508.93 PEDIATRIC 0.2708 $3,598.78 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHEAST WOODBURY CLINIC - Total Site Name / Provider Type: Grant $9,542.68 $9,542.68 HEALTHEAST BETHESDA HOSPITAL HOSPITAL Location: 559 CAPITOL BLVD ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant FAMILY PRACTICE - ST JOHN'S 0.0034 $21,502.22 PHARMACY 0.2200 $329,590.63 HEALTHEAST 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHEAST BETHESDA HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $351,092.85 $351,092.85 $2,562,850.69 HEALTHEAST 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HEARTLAND HOME HLTH CARE AND HOSPICE 605 FRANKLIN AVE NE ST CLOUD Site Name / Provider Type: Location: 56304 HEARTLAND HOME HLTH CARE AND HOSPICE 605 FRANKLIN AVE NE HOME HEALTH AGENCY ST CLOUD Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.1500 COLLEGE OF ST. SCHOLASTICA HEARTLAND HOME HLTH CARE AND HOSPICE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $7,463.79 $7,463.79 $7,463.79 $7,463.79 HEARTLAND HOME HLTH CARE AND HOSPICE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HENNEPIN COUNTY MEDICAL CENTER ATTN: AMY TEPP, P1 REIMBURSEMENT 701 PARK AVENUE SOUTH MINNEAPOLIS Site Name / Provider Type: Location: 55415 HENNEPIN COUNTY MEDICAL CENTER 701 PARK AVE HOSPITAL MINNEAPOLIS Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Eligible FTEs Teaching Program INTERNAL MEDICINE 0.0598 ABBOTT NORTHWESTERN HOSPITAL TOTAL Grant $1,772.83 $1,772.83 Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 2.1300 AUGSBURG COLLEGE TOTAL Grant $17,578.82 $17,578.82 Sponsoring Institution CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA Teaching Program Eligible FTEs PEDIATRIC PHARMACY PRACTICE 0.1500 CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA Friday, December 03, 2010 TOTAL Grant $2,133.93 $2,133.93 HENNEPIN COUNTY MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Eligible FTEs Teaching Program Grant CRITICAL CARE MEDICINE -- I 1.2860 $38,124.74 DENTISTRY 4.9328 $153,862.78 EMERGENCY MEDICINE 29.6947 $880,328.70 FAMILY PRACTICE 27.1046 $803,542.63 FORENSIC MEDICINE 0.4904 $14,538.39 GERIATRIC MEDICINE 1.2170 $36,079.17 INTERNAL MEDICINE 56.5825 $1,677,444.08 2.3217 $68,829.09 10.3677 $307,360.70 SLEEP MEDICINE 1.8191 $53,929.02 SPORTS MEDICINE [FP] 1.9829 $58,785.03 SURGERY 20.6389 $611,860.57 TRANSITIONAL 25.4593 $754,766.08 0.3972 $11,775.39 PODIATRY PSYCHIATRY UNDERSEA AND HYPERBARIC MEDICINE HENNEPIN COUNTY MEDICAL CENTER TOTAL $5,471,226.35 Sponsoring Institution MAYO CLINIC Teaching Program FAMILY PRACTICE Friday, December 03, 2010 Eligible FTEs 0.0600 Grant $1,778.76 HENNEPIN COUNTY MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site OTORHINOLARYNGOLOGY 0.5600 $16,601.75 SELECTIVE PATHOLOGY (SURG AND MED) 0.1500 $4,446.90 TOTAL $22,827.41 MAYO CLINIC Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 3.4000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $27,723.11 $27,723.11 Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs Grant EMERGENCY MEDICINE 0.3825 $11,339.59 MEDICAL TOXICOLOGY 0.2521 $7,473.75 PREVENTIVE MEDICINE 0.0034 $100.80 REGIONS HOSPITAL TOTAL $18,914.14 Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 2.5600 ST. CATHERINE UNIVERSITY TOTAL Grant $20,873.87 $20,873.87 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant ADOLESCENT MEDICINE 0.0074 $219.38 ADULT NEUROLOGY 5.3669 $159,107.05 HENNEPIN COUNTY MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Friday, December 03, 2010 ALLERGY AND IMMUNOLOGY RESIDENCY 0.0316 $936.81 ANESTHESIOLOGY 0.8991 $26,654.71 CARDIOVASCULAR DISEASE FELLOWSHIP 2.6017 $77,129.97 CLINICAL NEUROPHYSIOLOGY FELLOWSHIP 0.5796 $17,182.81 CLINICAL NURSE SPECIALIST 1.3200 $10,763.09 CYTOPATHOLOGY 0.3220 $9,546.01 DERMATOLOGY 1.9570 $58,017.20 DEVELOPMENTAL-BEHAVIORAL PEDIATRICS 0.1788 $5,300.70 DIAGNOSTIC RADIOLOGY 7.9311 $235,125.29 ENDOCRINOLOGY, DIABETES, AND METABOLISM FELLOWSHIP 1.0631 $31,516.65 FAMILY MEDICINE UMMC FAIRVIEW 0.0107 $317.21 FAMILY PRACTICE - METHODIST 0.2853 $8,458.00 FAMILY PRACTICE - NORTH MEMORIAL 0.0090 $266.81 FAMILY PRACTICE - ST JOHN'S 0.1983 $5,878.80 FAMILY PRACTICE - ST JOSEPH'S 0.0092 $272.74 GASTROENTEROLOGY FELLOWSHIP 1.3982 $41,451.02 HAND FELLOWSHIP 0.3408 $10,103.35 HENNEPIN COUNTY MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site HEMATOLOGY AND ONCOLOGY FELLOWSHIP 0.9046 $26,817.76 INFECTIOUS DISEASES FELLOWSHIP 0.6907 $20,476.48 INTERNAL MEDICINE 0.0019 $56.33 INTERNAL MEDICINE/PEDIATRICS 2.7459 $81,404.92 LABORATORY MEDICINE AND PATHOLOGY 4.6798 $138,737.29 MATERNAL FETAL MEDICINE FELLOWSHIP 0.1630 $4,832.30 87.4817 $719,560.00 NEPHROLOGY FELLOWSHIP 2.3447 $69,510.95 NEURORADIOLOGY 0.4868 $14,431.67 NEUROSURGERY 2.3769 $70,465.55 NURSE ANESTHESIA 0.3100 $2,527.70 NURSE MIDWIFERY 1.3800 $11,252.32 NURSE PRACTITIONER 1.1300 $9,213.86 11.1213 $329,701.92 OPHTHALMOLOGY 1.8794 $55,716.67 ORAL AND MAXILLOFACIAL SURGERY 3.3800 $105,428.19 ORTHOPAEDIC SURGERY 6.7935 $201,400.01 OTOLARYNGOLOGY 4.7750 $141,559.59 MEDICAL SCHOOL OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH Friday, December 03, 2010 HENNEPIN COUNTY MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site PEDIATRIC 9.1527 $271,340.83 PEDIATRIC CARDIOLOGY FELLOWSHIP 0.0098 $290.53 PEDIATRIC CRITICAL CARE FELLOWSHIP 0.0002 $5.93 PEDIATRIC DENTISTRY 1.4800 $46,163.82 PEDIATRIC EMERGENCY MEDICINE 0.2001 $5,932.16 PEDIATRIC GASTROENTEROLOGY 0.0004 $11.86 PEDIATRIC INFECTIOUS DISEASE FELLOWSHIP 0.1908 $5,656.45 PEDIATRIC NEONATOLOGY FELLOWSHIP 0.0637 $1,888.45 PHARMACY 6.8900 $48,387.48 PHYSICAL MEDICINE AND REHABILITATION 1.7877 $52,998.13 PROSTHODONTICS 0.2500 $7,797.94 PSYCHIATRY 0.2461 $7,295.88 PULMONARY/CRITICAL CARE FELLOWSHIP 0.8447 $25,041.97 RHEUMATOLOGY FELLOWSHIP 0.7848 $23,266.17 SURGERY 0.5141 $15,241.00 SURGICAL CRITICAL CARE 0.6669 $19,770.91 VASCULAR NEUROLOGY FELLOWSHIP 1.5296 $45,346.50 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL $3,277,777.11 HENNEPIN COUNTY MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site HENNEPIN COUNTY MEDICAL CENTER - Total Site Name / Provider Type: Location: $8,860,827.56 HENNEPIN COUNTY MEDICAL CENTER FAMILY PRACTICE CLINIC HOSPITAL 5 WEST LAKE STREET MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY 0.0600 $1,778.76 MEDICAL SCHOOL 2.1579 $17,749.30 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HENNEPIN COUNTY MEDICAL CENTER FAMILY PRACTICE CLINIC - Total Site Name / Provider Type: Location: Grant $19,528.05 $19,528.05 HENNEPIN CARE NORTH HOSPITAL 6601 SHINGLE CREEK PARKWAY BROOKLYN CENTER Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.1500 ST. CATHERINE UNIVERSITY HENNEPIN CARE NORTH - Total Friday, December 03, 2010 TOTAL Grant $1,223.08 $1,223.08 $1,223.08 HENNEPIN COUNTY MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $8,881,578.70 HENNEPIN COUNTY MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HENNEPIN COUNTY MENTAL HEALTH CTR 1801 NICOLLET AVE MINNEAPOLIS Site Name / Provider Type: Location: 55403 HENNEPIN COUNTY MENTAL HEALTH CTR 1801 NICOLLET AVE COMMUNITY MENTAL HEALTH CENTER MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 1.5000 $22,087.55 PSYCHIATRY 0.0022 $117.78 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HENNEPIN COUNTY MENTAL HEALTH CTR - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $22,205.34 $22,205.34 $22,205.34 HENNEPIN COUNTY MENTAL HEALTH CTR 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HENNEPIN FACULTY ASSOCIATES PARKSIDE PROFESSIONAL BLD 914 S 8TH ST 7TH FLR MINNEAPOLIS Site Name / Provider Type: Location: 55404 HENNEPIN FACULTY ASSOCIATES PHYSICIAN PARKSIDE PROFESSIONAL BLD 914 S 8TH ST 7TH FLR MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NEUROPHYSIOLOGY FELLOWSHIP 0.1955 $190,828.92 CLINICAL NURSE SPECIALIST 0.1300 $34,901.00 FAMILY MEDICINE UMMC FAIRVIEW 0.1233 $120,353.99 MATERNAL FETAL MEDICINE FELLOWSHIP 0.0087 $8,492.13 NEPHROLOGY FELLOWSHIP 0.0968 $94,487.16 OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH 0.0636 $62,080.41 PEDIATRIC 0.4646 $453,499.32 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Grant TOTAL $964,642.93 HENNEPIN FACULTY ASSOCIATES 2010 MERC / PMAP Grant by Training Site HENNEPIN FACULTY ASSOCIATES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $964,642.93 $964,642.93 HENNEPIN FACULTY ASSOCIATES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HENNING MEDICAL CLINIC 401 DOUGLAS AVE PO BOX 16 HENNING Site Name / Provider Type: Location: 56551 HENNING MEDICAL CLINIC RURAL HEALTH CLINIC 401 DOUGLAS AVE PO BOX 16 HENNING Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE HENNING MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,944.59 $2,944.59 $2,944.59 $2,944.59 HENNING MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HIBBING COMM COLL DENTAL CLINIC C/O U OF MN SCHOOL OF DENTISTRY, SADE AIYESE 515 DELAWARE STREET SE, MAIL CODE 1291 MINNEAPOLIS Site Name / Provider Type: Location: 55455 HIBBING COMM COLL DENTAL CLINIC DENTIST U OF MN SCH OF DENTISTRY 1515 E 25TH ST ROOM C153 HIBBING Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs DENTISTRY 3.6000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HIBBING COMM COLL DENTAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,360.24 $1,360.24 $1,360.24 $1,360.24 HIBBING COMM COLL DENTAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HIBBING FAMILY MEDICAL CENTER 1120 E 34TH ST HIBBING Site Name / Provider Type: Location: 55746 HIBBING FAMILY MEDICAL CENTER 1120 E 34TH ST PHYSICIAN HIBBING Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP II 0.0600 $2,970.45 PRECEPTORSHIP SUMMER 0.0400 $1,980.30 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HIBBING FAMILY MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $4,950.74 $4,950.74 $4,950.74 HIBBING FAMILY MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HUMAN DEVELOPMENT CENTER INC 629 1ST AVE TWO HARBORS Site Name / Provider Type: Location: 55616 HUMAN DEVELOPMENT CENTER INC 1401 E 1ST ST COMMUNITY MENTAL HEALTH CENTER DULUTH Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE TOTAL Grant $13,467.90 $13,467.90 Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.4000 COLLEGE OF ST. SCHOLASTICA HUMAN DEVELOPMENT CENTER INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $21,289.86 $21,289.86 $34,757.76 $34,757.76 HUMAN DEVELOPMENT CENTER INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HUMAN SERVICES INC 7066 STILLWATER BLVD N OAKDALE Site Name / Provider Type: Location: 55128 HUMAN SERVICES INC 7066 STILLWATER BLVD N COMMUNITY MENTAL HEALTH CENTER OAKDALE Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 1.0500 COLLEGE OF ST. SCHOLASTICA HUMAN SERVICES INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $36,535.58 $36,535.58 $36,535.58 $36,535.58 HUMAN SERVICES INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HUTCHINSON MEDICAL CENTER PA 3 CENTURY AVE HUTCHINSON Site Name / Provider Type: Location: 55350 HUTCHINSON MEDICAL CENTER PA 3 CENTURY AVE PHYSICIAN HUTCHINSON Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.2500 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $5,106.04 $5,106.04 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.4930 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $10,069.11 $10,069.11 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant PRECEPTORSHIP II 0.1200 $2,472.36 PRECEPTORSHIP SUMMER 0.0400 $824.12 HUTCHINSON MEDICAL CENTER PA 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER HUTCHINSON MEDICAL CENTER PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $3,296.48 $18,471.63 $18,471.63 HUTCHINSON MEDICAL CENTER PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: HY-VEE PHARMACY NO.1177 1920 GRANT ST FARIBAULT Site Name / Provider Type: Location: 55021 HY-VEE PHARMACY NO.1177 1920 GRANT ST PHARMACY FARIBAULT Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HY-VEE PHARMACY NO.1177 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $5,407.00 $5,407.00 $5,407.00 $5,407.00 HY-VEE PHARMACY NO.1177 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ILKO FAMILY MEDICINE PA 1687 WOODLANE DR STE 102 WOODBURY Site Name / Provider Type: Location: 55125 ILKO FAMILY MEDICINE PA 1687 WOODLANE DR STE 102 BILL ENTITY FOR PHYSICIAN SVCS WOODBURY Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.7500 AUGSBURG COLLEGE ILKO FAMILY MEDICINE PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $482.76 $482.76 $482.76 $482.76 ILKO FAMILY MEDICINE PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: IMMANUEL ST JOSEPHS CLC-EASTRIDGE 101 MARTIN LUTHER KING DR MANKATO Site Name / Provider Type: Location: 56001 IMMANUEL ST JOSEPHS CLC-EASTRIDGE 101 MARTIN LUTHER KING DR PHYSICIAN MANKATO Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER IMMANUEL ST JOSEPHS CLC-EASTRIDGE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,181.84 $3,181.84 $3,181.84 $3,181.84 IMMANUEL ST JOSEPHS CLC-EASTRIDGE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: IMMANUEL-ST JOSEPHS HOSPITAL OF MANKATO INC - MAYO HEALTH 1025 MARSH ST MANKATO Site Name / Provider Type: Location: 56002 IMMANUEL-ST JOSEPHS HOSPITAL OF HOSPITAL MANKATO INC - MAYO HEALTH 1025 MARSH ST MANKATO Sponsoring Institution MAYO CLINIC Eligible FTEs Teaching Program EMERGENCY MEDICINE 0.5900 MAYO CLINIC TOTAL Grant $56,673.77 $56,673.77 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE MANKATO RESIDENCY 7.3561 $706,606.66 PHARMACY 0.2200 $5,006.11 TOTAL $711,612.77 UNIVERSITY OF MN ACADEMIC HEALTH CENTER IMMANUEL-ST JOSEPHS HOSPITAL OF - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $768,286.54 $768,286.54 IMMANUEL-ST JOSEPHS HOSPITAL OF 2010 MERC / PMAP Grant by Training Site Billing Name and Address: INNOVIS HEALTH 3000 32 AVE SW FARGO Site Name / Provider Type: Location: 58103 DAKOTA CLINIC - DETROIT LAKES 125 FRAZEE ST E PHYSICIAN DETROIT LAKES Sponsoring Institution MINNESOTA STATE UNIVERSITY, MOORHEAD Eligible FTEs Teaching Program FAMILY NURSE PRACTITIONER MINNESOTA STATE UNIVERSITY, MOORHEAD DAKOTA CLINIC - DETROIT LAKES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.1100 TOTAL Grant $60.86 $60.86 $60.86 $60.86 INNOVIS HEALTH 2010 MERC / PMAP Grant by Training Site Billing Name and Address: INNOVIS HEALTH - FOSSTON 102 SATHER DR FOSSTON Site Name / Provider Type: Location: 56542 INNOVIS HEALTH - FOSSTON 102 SATHER DR PHYSICIAN FOSSTON Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 2.1100 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $9,592.28 $9,592.28 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP II 0.0600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER INNOVIS HEALTH - FOSSTON - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $275.15 $275.15 $9,867.43 $9,867.43 INNOVIS HEALTH - FOSSTON 2010 MERC / PMAP Grant by Training Site Billing Name and Address: INNOVIS HEALTH - PARK RAPIDS 705 PLEASANT AVE PARK RAPIDS Site Name / Provider Type: Location: 56470 INNOVIS HEALTH - PARK RAPIDS 705 PLEASANT AVE PHYSICIAN PARK RAPIDS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP SUMMER UNIVERSITY OF MN ACADEMIC HEALTH CENTER INNOVIS HEALTH - PARK RAPIDS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0400 TOTAL Grant $17,289.66 $17,289.66 $17,289.66 $17,289.66 INNOVIS HEALTH - PARK RAPIDS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: INTERNAL MEDICINE AND GERIATRICS ASSOCIATES PA 701 25TH AVE S STE 505 MINNEAPOLIS Site Name / Provider Type: Location: 55454 INTERNAL MEDICINE AND GERIATRICS PHYSICIAN ASSOCIATES PA 701 25TH AVE S STE 505 MINNEAPOLIS Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 2.0000 AUGSBURG COLLEGE TOTAL Grant $4,537.39 $4,537.39 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3400 UNIVERSITY OF MN ACADEMIC HEALTH CENTER INTERNAL MEDICINE AND GERIATRICS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $762.09 $762.09 $5,299.48 $5,299.48 INTERNAL MEDICINE AND GERIATRICS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ISJ CLINIC - NORTH RIDGE 1695 LOR RAY DR NORTH MANKATO Site Name / Provider Type: Location: 56003 ISJ CLINIC - NORTH RIDGE 1695 LOR RAY DR PHYSICIAN NORTH MANKATO Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.3330 MINNESOTA STATE UNIVERSITY, MANKATO ISJ CLINIC - NORTH RIDGE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $15,380.03 $15,380.03 $15,380.03 $15,380.03 ISJ CLINIC - NORTH RIDGE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ITASCA SURGICAL CLINIC PA 1542 GOLF COURSE RD STE 202 GRAND RAPIDS Site Name / Provider Type: Location: 55744 ITASCA SURGICAL CLINIC PA BILL ENTITY FOR PHYSICIAN SVCS 1542 GOLF COURSE RD STE 202 GRAND RAPIDS Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.2000 COLLEGE OF ST. SCHOLASTICA ITASCA SURGICAL CLINIC PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $403.83 TOTAL $403.83 $403.83 $403.83 ITASCA SURGICAL CLINIC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: IVERSON CORNER DRUG INC 408 MINNESOTA AVE NW BEMIDJI Site Name / Provider Type: Location: 56601 IVERSON CORNER DRUG INC 408 MINNESOTA AVE NW PHARMACY BEMIDJI Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.4400 UNIVERSITY OF MN ACADEMIC HEALTH CENTER IVERSON CORNER DRUG INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,925.66 $4,925.66 $4,925.66 $4,925.66 IVERSON CORNER DRUG INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: JMD PSYCHIATRIC NURSING SERVICES 1526 30TH ST NW BEMIDJI Site Name / Provider Type: Location: 56601 JMD PSYCHIATRIC NURSING SERVICES 1526 30TH ST NW BILL ENTITY FOR MENTAL HEALTH BEMIDJI Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5600 COLLEGE OF ST. SCHOLASTICA JMD PSYCHIATRIC NURSING SERVICES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $316.56 $316.56 $316.56 $316.56 JMD PSYCHIATRIC NURSING SERVICES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: JOHN A HAUGEN ASSOCIATES PA 801 NICOLLET MALL STE 400 MINNEAPOLIS Site Name / Provider Type: Location: 55402 JOHN A HAUGEN ASSOCIATES PA 801 NICOLLET MALL STE 400 PHYSICIAN MINNEAPOLIS Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.1000 MINNESOTA STATE UNIVERSITY, MANKATO JOHN A HAUGEN ASSOCIATES PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,995.87 $4,995.87 $4,995.87 $4,995.87 JOHN A HAUGEN ASSOCIATES PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: JOSEPH J SIVAK MD PLLC 324 W SUPERIOR ST STE 505 DULUTH Site Name / Provider Type: Location: 55802 JOSEPH J SIVAK MD PLLC 324 W SUPERIOR ST STE 505 PHYSICIAN DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 1.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER JOSEPH J SIVAK MD PLLC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,242.24 $1,242.24 $1,242.24 $1,242.24 JOSEPH J SIVAK MD PLLC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: KANABEC COUNTY FAMILY SERVICE 905 FOREST AVE E STE 150 MORA Site Name / Provider Type: Location: 55051 KANABEC COUNTY FAMILY SERVICE 905 FOREST AVE E STE 150 BILL ENTITY FOR MENTAL HEALTH MORA Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.0700 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $48.83 $48.83 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST UNIVERSITY OF MN ACADEMIC HEALTH CENTER KANABEC COUNTY FAMILY SERVICE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 1.0000 TOTAL Grant $697.55 $697.55 $746.38 $746.38 KANABEC COUNTY FAMILY SERVICE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: KANABEC HOSPITAL 301 HIGHWAY 65 S MORA Site Name / Provider Type: Location: 55051 KANABEC HOSPITAL 301 HIGHWAY 65 S HOSPITAL MORA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.8900 UNIVERSITY OF MN ACADEMIC HEALTH CENTER KANABEC HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $102,578.61 $102,578.61 $102,578.61 $102,578.61 KANABEC HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: KIDNEY SPECIALISTS OF MINNESOTA PA 6200 SHINGLE CREEK PKWY STE 300 BROOKLYN CENTER Site Name / Provider Type: Location: 55430 KIDNEY SPECIALISTS OF MINNESOTA PA - ROSEVILLE 2085 RICE STREET PHYSICIAN ROSEVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S 0.0101 UNIVERSITY OF MN ACADEMIC HEALTH CENTER KIDNEY SPECIALISTS OF MINNESOTA PA - ROSEVILLE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $25,767.99 $25,767.99 $25,767.99 $25,767.99 KIDNEY SPECIALISTS OF MINNESOTA PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: KITTSON MEMORIAL HOSPITAL 1010 S BIRCH AVE PO BOX 700 HALLOCK Site Name / Provider Type: Location: 56728 KITTSON MEMORIAL HOSPITAL HOSPITAL 1010 S BIRCH AVE PO BOX 700 HALLOCK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY UNIVERSITY OF MN ACADEMIC HEALTH CENTER KITTSON MEMORIAL HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0600 TOTAL Grant $5,209.59 $5,209.59 $5,209.59 $5,209.59 KITTSON MEMORIAL HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: KMART 12658 COLLECTIONS CENTER DRIVE CHICAGO Site Name / Provider Type: Location: 60693 K-MART PHARMACY no.3190 1734 MALL DR PHARMACY DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER K-MART PHARMACY no.3190 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,763.85 $4,763.85 $4,763.85 $4,763.85 KMART 2010 MERC / PMAP Grant by Training Site Billing Name and Address: KUNDEL AND STREITZ PA 1000 E 1ST ST STE 204 DULUTH Site Name / Provider Type: Location: 55805 KUNDEL AND STREITZ PA 1000 E 1ST ST STE 204 PHYSICIAN DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 COLLEGE OF ST. SCHOLASTICA KUNDEL AND STREITZ PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,075.82 $2,075.82 $2,075.82 $2,075.82 KUNDEL AND STREITZ PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKE CITY CLINIC MAYO HEALTH SYS 500 W GRANT ST LAKE CITY Site Name / Provider Type: Location: 55041 LAKE CITY CLINIC MAYO HEALTH SYS 500 W GRANT ST PHYSICIAN LAKE CITY Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO LAKE CITY CLINIC MAYO HEALTH SYS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,172.47 $3,172.47 $3,172.47 $3,172.47 LAKE CITY CLINIC MAYO HEALTH SYS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKE CITY MED CENTER-WABASHA CLINIC 1202 5TH GRANT BLVD WABASHA Site Name / Provider Type: Location: 55981 LAKE CITY MED CENTER-WABASHA CLINIC 1202 5TH GRANT BLVD PHYSICIAN WABASHA Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.6100 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $346.17 $346.17 Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs FAMILY PRACTICE 0.5100 MAYO CLINIC LAKE CITY MED CENTER-WABASHA CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,052.28 $1,052.28 $1,398.44 $1,398.44 LAKE CITY MED CENTER-WABASHA CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKE CITY MED CTR MAYO HEALTH SYS 500 W GRANT ST LAKE CITY Site Name / Provider Type: Location: 55041 LAKE CITY MED CTR MAYO HEALTH SYS 500 W GRANT ST HOSPITAL LAKE CITY Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.1102 UNITED HOSPITAL LAKE CITY MED CTR MAYO HEALTH SYS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $7,420.13 $7,420.13 $7,420.13 $7,420.13 LAKE CITY MED CTR MAYO HEALTH SYS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKE CITY MEDICAL CENTER ATTN: KAY KLUGE 500 WEST GRANT STREET LAKE CITY Site Name / Provider Type: Location: 55041 LAKE CITY MED CENTER-WABASHA CLINIC 1202 5TH GRANT BLVD PHYSICIAN WABASHA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER UNIVERSITY OF MN ACADEMIC HEALTH CENTER LAKE CITY MED CENTER-WABASHA CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant 0.2500 $141.87 TOTAL $141.87 $141.87 $141.87 LAKE CITY MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKE CITY MEDICAL CENTER - MAYO HEALTH SYSTEM 500 W GRANT ST LAKE CITY Site Name / Provider Type: Location: 55041 LAKE CITY MED CTR MAYO HEALTH SYS 500 W GRANT ST HOSPITAL LAKE CITY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER LAKE CITY MED CTR MAYO HEALTH SYS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $18,681.58 $18,681.58 $18,681.58 $18,681.58 LAKE CITY MEDICAL CENTER - MAYO HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKE REGION HEALTHCARE CORP 712 S CASCADE ST FERGUS FALLS Site Name / Provider Type: Location: 56537 LAKE REGION HEALTHCARE CORP 712 S CASCADE ST HOSPITAL FERGUS FALLS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 1.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER LAKE REGION HEALTHCARE CORP - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $106,369.11 $106,369.11 $106,369.11 $106,369.11 LAKE REGION HEALTHCARE CORP 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKE SUPERIOR COMMUNITY HLTH CTR 4325 GRAND AVE DULUTH Site Name / Provider Type: Location: 55807 LAKE SUPERIOR COMMUNITY HLTH CTR 4325 GRAND AVE FEDERALLY QUALIFIED HEALTH CENTER DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER LAKE SUPERIOR COMMUNITY HLTH CTR - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $12,942.77 $12,942.77 $12,942.77 $12,942.77 LAKE SUPERIOR COMMUNITY HLTH CTR 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKE VIEW CLINIC 1010 4TH ST TWO HARBORS Site Name / Provider Type: Location: 55616 LAKE VIEW CLINIC 1010 4TH ST RURAL HEALTH CLINIC TWO HARBORS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP I 0.0780 UNIVERSITY OF MN ACADEMIC HEALTH CENTER LAKE VIEW CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,133.17 $2,133.17 $2,133.17 $2,133.17 LAKE VIEW CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKES REGION CHEMICAL DEPENDENCY 1510 BEMIDJI AVE N #13 BEMIDJI Site Name / Provider Type: Location: 56601 LAKES REGION CHEMICAL DEPENDENCY 1510 BEMIDJI AVE N #13 CHEMICAL HEALTH BEMIDJI Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.4600 COLLEGE OF ST. SCHOLASTICA LAKES REGION CHEMICAL DEPENDENCY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,074.36 $1,074.36 $1,074.36 $1,074.36 LAKES REGION CHEMICAL DEPENDENCY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKEVIEW CLINIC LTD 424 HWY 5 W WACONIA Site Name / Provider Type: Location: 55387 LAKEVIEW CLINIC LTD PHYSICIAN 424 HWY 5 W WACONIA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - METHODIST 0.2970 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL LAKEVIEW CLINIC LTD - Total Site Name / Provider Type: Location: $9,780.40 $9,780.40 $9,780.40 LAKEVIEW CLINIC, CHASKA 3000 HUDERTMARK RD NO.5 Grant PHYSICIAN CHASKA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.1579 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $1,442.67 $1,442.67 LAKEVIEW CLINIC LTD 2010 MERC / PMAP Grant by Training Site LAKEVIEW CLINIC, CHASKA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $1,442.67 $11,223.07 LAKEVIEW CLINIC LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKEVIEW CLINIC WATERTOWN 309 JEFFERSON AVE SW WATERTOWN Site Name / Provider Type: Location: 55388 LAKEVIEW CLINIC WATERTOWN 309 JEFFERSON AVE SW PHYSICIAN WATERTOWN Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP II 0.0600 $548.20 PRECEPTORSHIP SUMMER 0.0400 $365.46 UNIVERSITY OF MN ACADEMIC HEALTH CENTER LAKEVIEW CLINIC WATERTOWN - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $913.66 $913.66 $913.66 LAKEVIEW CLINIC WATERTOWN 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKEVIEW MEDICAL CLINIC PA 433 ELM ST N SAUK CENTRE Site Name / Provider Type: Location: 56378 LAKEVIEW MEDICAL CLINIC PA 433 ELM ST N PHYSICIAN SAUK CENTRE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP II 0.0600 $3,157.80 PRECEPTORSHIP SUMMER 0.0400 $2,105.20 UNIVERSITY OF MN ACADEMIC HEALTH CENTER LAKEVIEW MEDICAL CLINIC PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $5,263.01 $5,263.01 $5,263.01 LAKEVIEW MEDICAL CLINIC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKEVIEW MEMORIAL HOSPITAL 927 CHURCHILL ST W STILLWATER Site Name / Provider Type: Location: 55082 LAKEVIEW MEMORIAL HOSPITAL 927 CHURCHILL ST W HOSPITAL STILLWATER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs SURGERY 0.5172 UNIVERSITY OF MN ACADEMIC HEALTH CENTER LAKEVIEW MEMORIAL HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $51,035.19 $51,035.19 $51,035.19 $51,035.19 LAKEVIEW MEMORIAL HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKEVIEW MEMORIAL HOSPITAL PHARMACY INPATIENT 927 CHURCHILL ST W STILLWATER Site Name / Provider Type: Location: 55082 LAKEVIEW MEMORIAL HOSPITAL PHARMACY PHARMACY INPATIENT 927 CHURCHILL ST W STILLWATER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.5600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER LAKEVIEW MEMORIAL HOSPITAL PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $167.00 $167.00 $167.00 $167.00 LAKEVIEW MEMORIAL HOSPITAL PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAKEWOOD CLINIC STAPLES 49725 COUNTY 83 STAPLES Site Name / Provider Type: Location: 56479 LAKEWOOD CLINIC STAPLES 49725 COUNTY 83 RURAL HEALTH CLINIC STAPLES Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0000 $34,625.89 PRECEPTORSHIP II 0.1800 $6,232.66 PRECEPTORSHIP SUMMER 0.1200 $4,155.11 TOTAL $45,013.66 UNIVERSITY OF MN ACADEMIC HEALTH CENTER LAKEWOOD CLINIC STAPLES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $45,013.66 $45,013.66 LAKEWOOD CLINIC STAPLES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LAURENTIAN MEDICAL CLINIC 901 9TH ST N #115 VIRGINIA Site Name / Provider Type: Location: 55792 LAURENTIAN MEDICAL CLINIC 901 9TH ST N #115 PHYSICIAN VIRGINIA Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.0500 COLLEGE OF ST. SCHOLASTICA LAURENTIAN MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $660.66 $660.66 $660.66 $660.66 LAURENTIAN MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LE SUEUR CLINIC 625 S 4TH ST LE SUEUR Site Name / Provider Type: Location: 56058 LE SUEUR CLINIC 625 S 4TH ST PHYSICIAN LE SUEUR Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.3330 MINNESOTA STATE UNIVERSITY, MANKATO LE SUEUR CLINIC - Total TOTAL Grant $572.97 $572.97 $572.97 TOTAL GRANT TO BILLING ADDRESS $572.97 Friday, December 03, 2010 LE SUEUR CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LITTLEFORK MEDICAL CENTER 912 MAIN ST PO BOX N LITTLEFORK Site Name / Provider Type: Location: 56653 LITTLEFORK MEDICAL CENTER RURAL HEALTH CLINIC 912 MAIN ST PO BOX N LITTLEFORK Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.6100 COLLEGE OF ST. SCHOLASTICA LITTLEFORK MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,610.33 $2,610.33 $2,610.33 $2,610.33 LITTLEFORK MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: LONGBELLA DRUG INC 421 2ND AVE NE STAPLES Site Name / Provider Type: Location: 56479 LONGBELLA DRUG INC 421 2ND AVE NE PHARMACY STAPLES Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER LONGBELLA DRUG INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $20,642.99 $20,642.99 $20,642.99 $20,642.99 LONGBELLA DRUG INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MADELIA CLINIC - MAYO HEALTH/ISJ 115 DREW AVE SE MADELIA Site Name / Provider Type: Location: 56062 MADELIA CLINIC - MAYO HEALTH/ISJ 115 DREW AVE SE PHYSICIAN MADELIA Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $496.03 $496.03 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE MANKATO RESIDENCY 0.0940 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MADELIA CLINIC - MAYO HEALTH/ISJ - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,059.55 $1,059.55 $1,555.58 $1,555.58 MADELIA CLINIC - MAYO HEALTH/ISJ 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MANKATO CLINIC LTD 1230 E MAIN ST PO BOX 8674 MANKATO Site Name / Provider Type: Location: 56002 MANKATO CLINIC LTD PHYSICIAN 1230 E MAIN ST PO BOX 8674 MANKATO Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE TOTAL Grant $6,783.44 $6,783.44 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 1.1600 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $59,802.28 $59,802.28 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 0.3700 TOTAL Grant $19,074.87 $19,074.87 MANKATO CLINIC LTD 2010 MERC / PMAP Grant by Training Site MANKATO CLINIC LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $85,660.59 $85,660.59 MANKATO CLINIC LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MARK P STESIN MD PA 3366 OAKDALE N STE 408 ROBBINSDALE Site Name / Provider Type: Location: 55422 MARK P STESIN MD PA 3366 OAKDALE N STE 408 PHYSICIAN ROBBINSDALE Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Teaching Program Eligible FTEs INTERNAL MEDICINE 0.4897 ABBOTT NORTHWESTERN HOSPITAL MARK P STESIN MD PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $199.78 $199.78 $199.78 $199.78 MARK P STESIN MD PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MAYO CLINIC ATTN: JAYSEN NESS, 523 SIEBENS BLDG 200 1ST STREET NW ROCHESTER Site Name / Provider Type: Location: 55905 MAYO CLINIC METHODIST HOSPITAL 201 W CENTER ST HOSPITAL ROCHESTER Sponsoring Institution MAYO CLINIC Teaching Program ADULT RECONSTRUCTIVE ORTHOPAEDICS Grant 3.1800 $6,086.76 18.9300 $36,233.46 CARDIOVASCULAR DISEASE 7.5100 $14,374.71 CHILD AND ADOLESCENT NEUROLOGY 0.3900 $746.49 COLON AND RECTAL SURGERY 2.7600 $5,282.85 CRITICAL CARE ANETHESIOLOGY 0.7300 $1,397.28 CRITICAL CARE MEDICINE -- I 1.7600 $3,368.77 DERMATOLOGY 6.2300 $11,924.69 EMERGENCY MEDICINE 1.1600 $2,220.33 ANESTHESIOLOGY Friday, December 03, 2010 Eligible FTEs MAYO CLINIC 2010 MERC / PMAP Grant by Training Site ENDOCRINOLOGY, DIABETES, AND METABOLISM 0.0200 $38.28 FAMILY PRACTICE 6.0900 $11,656.72 GASTROENTEROLOGY 5.8000 $11,101.64 GASTROINTESTINAL AND LIVER PATHOLOGY 0.0200 $38.28 GERIATRIC MEDICINE 0.1500 $287.11 GERIATRIC PSYCHIATRY 0.0500 $95.70 GYNECOLOGIC ONCOLOGY 2.0900 $4,000.42 HAND SURGERY 1.3300 $2,545.72 HEMATOLOGY AND MEDICAL ONCOLOGY 5.1800 $9,914.91 INFECTIOUS DISEASE 1.0400 $1,990.64 INTERNAL MEDICINE 17.5400 $33,572.89 0.0400 $76.56 10.3600 $5,501.77 MUSCULOSKELETAL ONCOLOGY 0.6600 $1,263.29 NEPHROLOGY 2.5400 $4,861.75 NEUROLOGY 0.5800 $1,110.16 NEURORADIOLOGY 1.5700 $3,005.10 NUCLEAR RADIOLOGY 0.4700 $899.62 INTERVENTIONAL CARDIOLOGY MEDICAL SCHOOL Friday, December 03, 2010 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site NURSE ANESTHESIA 14.9100 $7,849.35 OB-MATERNAL FETAL MEDICINE 0.6300 $1,205.87 OBSTETRICS AND GYNECOLOGY 10.3600 $19,829.83 OPHTHALMOLOGY 1.5100 $2,890.25 ORAL AND MAXILLOFACIAL SURGERY 0.3800 $765.27 ORTHOPAEDIC SURGERY 14.1900 $27,160.74 OTORHINOLARYNGOLOGY 4.3200 $8,268.81 PAIN MANAGEMENT 2.6300 $5,034.02 PATHOLOGY -- ANATOMIC AND CLINICAL 1.0100 $1,933.22 PEDIATRICS 3.4500 $6,603.56 PHARMACY PRACTICE 2.0000 $1,837.01 PHYSICAL MEDICINE AND REHABILITATION 0.2600 $497.66 PLASTIC SURGERY 1.9700 $3,770.73 PSYCH-ADDICTIVE DISORDERS 0.0300 $57.42 PSYCHIATRY 0.2800 $535.94 PSYCHOSOMATIC MEDICINE 0.0900 $172.27 RADIATION ONCOLOGY 0.6800 $1,301.57 13.8300 $26,471.67 RADIOLOGY -- DIAGNOSTIC Friday, December 03, 2010 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site REPRODUCTIVE ENDOCRINOLOGY 0.4300 $823.05 RHEUMATOLOGY 0.4400 $842.19 SELECTIVE PATHOLOGY (SURG AND MED) 0.8600 $1,646.11 SLEEP MEDICINE 0.0200 $38.28 18.2000 $34,836.18 TRANSPLANT HEPATOLOGY 0.9500 $1,818.37 UROLOGY 5.4000 $10,336.01 VASCULAR SURGERY 0.9000 $1,722.67 TOTAL $341,843.99 SURGERY -- GENERAL MAYO CLINIC Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant CLINICAL NURSE SPECIALIST 0.0700 $36.85 NURSE PRACTITIONER 0.1900 $100.03 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL $136.88 Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 0.7230 WINONA STATE UNIVERSITY MAYO CLINIC METHODIST HOSPITAL - Total Friday, December 03, 2010 TOTAL Grant $380.62 $380.62 $342,361.49 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: MAYO CLINIC ST MARYS HOSPITAL 1216 2ND ST SW HOSPITAL ROCHESTER Sponsoring Institution MAYO CLINIC Teaching Program Grant ADULT CARDIOTHORACIC ANESTHESIOLOGY 1.3100 $8,052.59 ADULT RECONSTRUCTIVE ORTHOPAEDICS 0.1700 $1,044.99 ANESTHESIOLOGY 28.7200 $176,542.38 CARDIOVASCULAR DISEASE 12.3600 $75,977.15 CHILD AND ADOLESCENT NEUROLOGY 2.0100 $12,355.51 CHILD AND ADOLESCENT PSYCHIATRY 0.2900 $1,782.64 CLINICAL CARDIAC ELECTROPHYSIOLOGY 3.0900 $18,994.29 CRITICAL CARE ANETHESIOLOGY 3.2400 $19,916.34 11.4500 $70,383.36 0.8700 $5,347.91 20.0900 $123,493.61 ENDOCRINOLOGY, DIABETES, AND METABOLISM 2.9500 $18,133.71 FAMILY PRACTICE 7.9800 $49,053.21 CRITICAL CARE MEDICINE -- I DERMATOLOGY EMERGENCY MEDICINE Friday, December 03, 2010 Eligible FTEs MAYO CLINIC 2010 MERC / PMAP Grant by Training Site GASTROENTEROLOGY 6.0800 $37,373.87 GASTROINTESTINAL AND LIVER PATHOLOGY 0.0200 $122.94 GERIATRIC MEDICINE 0.5000 $3,073.51 GYNECOLOGIC ONCOLOGY 0.1800 $1,106.46 HAND SURGERY 1.6200 $9,958.17 HEMATOLOGY AND MEDICAL ONCOLOGY 2.0300 $12,478.45 INFECTIOUS DISEASE 2.9500 $18,133.71 INTERNAL MEDICINE 97.7800 $601,055.49 2.8800 $17,703.41 30.1400 $51,403.38 MUSCULOSKELETAL ONCOLOGY 0.0100 $61.47 NEPHROLOGY 2.2000 $13,523.44 NEUROLOGICAL SURGERY 10.3400 $63,560.17 NEUROLOGY 10.2900 $63,252.82 NEUROPHYSIOLOGY 1.7700 $10,880.22 NEURORADIOLOGY 2.7200 $16,719.89 NURSE ANESTHESIA 24.7800 $41,895.07 0.1400 $860.58 INTERVENTIONAL CARDIOLOGY MEDICAL SCHOOL OB-MATERNAL FETAL MEDICINE Friday, December 03, 2010 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site OBSTETRICS AND GYNECOLOGY 0.5400 $3,319.39 OPHTHALMOLOGY 1.3100 $8,052.59 ORAL AND MAXILLOFACIAL SURGERY 4.0800 $26,387.54 ORTHOPAEDIC SURGERY 21.2800 $130,808.56 OTORHINOLARYNGOLOGY 8.6600 $53,233.18 PAIN MANAGEMENT 0.3800 $2,335.87 PATHOLOGY -- ANATOMIC AND CLINICAL 0.6400 $3,934.09 PEDIATRIC ANESTHESIOLOGY 1.3600 $8,359.95 PEDIATRIC CARDIOLOGY 2.6600 $16,351.07 PEDIATRIC ENDOCRINOLOGY 0.5000 $3,073.51 PEDIATRIC GASTROENTEROLOGY 0.5300 $3,257.92 12.3800 $76,100.09 PEDIATRICS HEMATOLOGY AND ONCOLOGY 0.4000 $2,458.81 PHARMACY PRACTICE 6.7000 $19,763.40 10.1800 $62,576.65 PLASTIC SURGERY 3.1500 $19,363.11 PMR-PEDIATRIC REHABILITATION MEDICINE 0.2100 $1,290.87 PSYCHIATRY 7.3600 $45,242.06 PEDIATRICS PHYSICAL MEDICINE AND REHABILITATION Friday, December 03, 2010 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site PSYCHOSOMATIC MEDICINE 0.0900 $553.23 PULMONARY DISEASE AND CRITICAL CARE MEDICINE 5.5800 $34,300.36 RADIATION ONCOLOGY 0.3300 $2,028.52 13.6500 $83,906.80 RHEUMATOLOGY 0.4400 $2,704.69 SELECTIVE PATHOLOGY (PULMONARY) 0.0300 $184.41 SELECTIVE PATHOLOGY (SURG AND MED) 0.7900 $4,856.14 SLEEP MEDICINE 0.0500 $307.35 45.3900 $279,013.18 SURGICAL CRITICAL CARE 1.3300 $8,175.53 THORACIC SURGERY 4.3800 $26,923.94 UROLOGY 7.5400 $46,348.52 VASCULAR AND INTERVENTIONAL RADIOLOGY 0.7900 $4,856.14 VASCULAR SURGERY 3.6800 $22,621.03 RADIOLOGY -- DIAGNOSTIC SURGERY -- GENERAL MAYO CLINIC TOTAL $2,546,929.25 Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.9800 ST. CATHERINE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $1,656.87 $1,656.87 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant CLINICAL NURSE SPECIALIST 0.8400 $1,420.17 NURSE PRACTITIONER 0.1900 $321.23 PHARMACY 2.2200 $3,232.70 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL $4,974.10 Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 3.2280 WINONA STATE UNIVERSITY TOTAL MAYO CLINIC ST MARYS HOSPITAL - Total Site Name / Provider Type: Location: $5,457.52 $5,457.52 $2,559,017.74 MAYO CLINIC 200 1ST ST SW Grant PHYSICIAN ROCHESTER Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 0.7800 COLLEGE OF ST. SCHOLASTICA Friday, December 03, 2010 TOTAL Grant $507.30 $507.30 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site Sponsoring Institution MAYO CLINIC Teaching Program Grant ADULT RECONSTRUCTIVE ORTHOPAEDICS 1.5600 $3,688.92 ALLERGY AND IMMUNOLOGY 2.6200 $6,195.50 ANESTHESIOLOGY 5.0800 $12,012.65 BLOOD BANKING AND TRANSFUSION MEDICINE 0.2700 $638.47 10.1200 $23,930.70 CHILD AND ADOLESCENT NEUROLOGY 2.6700 $6,313.73 CHILD AND ADOLESCENT PSYCHIATRY 3.9000 $9,222.31 CLINICAL CARDIAC ELECTROPHYSIOLOGY 0.1600 $378.35 CRITICAL CARE ANETHESIOLOGY 0.4600 $1,087.76 CRITICAL CARE MEDICINE -- I 3.9900 $9,435.13 11.4100 $26,981.16 DERMATOPATHOLOGY 2.0600 $4,871.27 EMERGENCY MEDICINE 0.7200 $1,702.58 ENDOCRINOLOGY, DIABETES, AND METABOLISM 5.2200 $12,343.70 FAMILY PRACTICE 8.2100 $19,414.14 GASTROENTEROLOGY 9.0600 $21,424.13 CARDIOVASCULAR DISEASE DERMATOLOGY Friday, December 03, 2010 Eligible FTEs MAYO CLINIC 2010 MERC / PMAP Grant by Training Site GASTROINTESTINAL AND LIVER PATHOLOGY 0.9000 $2,128.22 GERIATRIC MEDICINE 2.0500 $4,847.62 GERIATRIC PSYCHIATRY 0.2700 $638.47 GYNECOLOGIC ONCOLOGY 2.0500 $4,847.62 HAND SURGERY 0.8700 $2,057.28 13.7200 $32,443.60 HEMATOPATHOLOGY 1.6100 $3,807.16 INFECTIOUS DISEASE 3.3200 $7,850.78 INTERNAL MEDICINE 45.7300 $108,137.46 INTERVENTIONAL CARDIOLOGY 0.3300 $780.35 MEDICAL GENETICS 4.8600 $11,492.41 MEDICAL MICROBIOLOGY 0.3300 $780.35 36.1400 $23,710.84 MUSCULOSKELETAL ONCOLOGY 0.2200 $520.23 NEPHROLOGY 5.1600 $12,201.82 NEUROLOGICAL SURGERY 3.8700 $9,151.37 11.6700 $27,595.98 0.6000 $1,418.82 HEMATOLOGY AND MEDICAL ONCOLOGY MEDICAL SCHOOL NEUROLOGY NEUROPATHOLOGY Friday, December 03, 2010 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site NEUROPHYSIOLOGY 3.3700 $7,969.02 NEURORADIOLOGY 0.2300 $543.88 NUCLEAR RADIOLOGY 0.0100 $23.65 OB-MATERNAL FETAL MEDICINE 0.8200 $1,939.05 OBSTETRICS AND GYNECOLOGY 4.8500 $11,468.77 OPHTHALMOLOGY 7.6700 $18,137.20 ORAL AND MAXILLOFACIAL SURGERY 4.3100 $10,723.25 ORTHODONTICS 2.4300 $6,045.82 ORTHOPAEDIC SURGERY 10.7400 $25,396.81 OTORHINOLARYNGOLOGY 5.1400 $12,154.53 PAIN MANAGEMENT 0.4000 $945.88 16.4100 $38,804.63 PEDIATRIC CARDIOLOGY 1.9900 $4,705.74 PEDIATRIC ENDOCRINOLOGY 1.4400 $3,405.16 PEDIATRIC GASTROENTEROLOGY 0.5800 $1,371.52 PEDIATRIC INFECTIOUS DISEASES 0.1600 $378.35 13.9000 $32,869.25 0.7900 $1,868.11 PATHOLOGY -- ANATOMIC AND CLINICAL PEDIATRICS PEDIATRICS HEMATOLOGY AND ONCOLOGY Friday, December 03, 2010 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site PERIODONTICS 1.7200 $4,279.35 10.6500 $25,183.99 PLASTIC SURGERY 1.2000 $2,837.63 PMR-PEDIATRIC REHABILITATION MEDICINE 0.2700 $638.47 PREVENTIVE MEDICINE 1.0700 $2,530.22 PROSTHODONTICS 1.8400 $4,577.91 PSYCH-ADDICTIVE DISORDERS 0.1300 $307.41 11.7500 $27,785.15 PSYCHOSOMATIC MEDICINE 0.5600 $1,324.23 PULMONARY DISEASE AND CRITICAL CARE MEDICINE 5.0200 $11,870.76 RADIATION ONCOLOGY 6.2800 $14,850.28 18.8200 $44,503.54 REPRODUCTIVE ENDOCRINOLOGY 0.9800 $2,317.40 RHEUMATOLOGY 2.5200 $5,959.03 SELECTIVE PATHOLOGY (CARDIOVASCULAR) 0.6900 $1,631.64 SELECTIVE PATHOLOGY (PULMONARY) 0.3500 $827.64 SELECTIVE PATHOLOGY (SURG AND MED) 6.0800 $14,377.34 PHYSICAL MEDICINE AND REHABILITATION PSYCHIATRY RADIOLOGY -- DIAGNOSTIC Friday, December 03, 2010 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site SLEEP MEDICINE 3.8500 $9,104.07 SURGERY -- GENERAL 8.4300 $19,934.37 THORACIC SURGERY 0.8000 $1,891.76 TRANSPLANT HEPATOLOGY 1.5700 $3,712.57 UROLOGY 4.8500 $11,468.77 VASCULAR AND INTERVENTIONAL RADIOLOGY 0.1800 $425.64 VASCULAR SURGERY 0.5400 $1,276.93 TOTAL $806,417.61 MAYO CLINIC Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 3.6600 ST. CATHERINE UNIVERSITY TOTAL Grant $2,380.42 $2,380.42 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 2.1600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL Grant $1,404.84 $1,404.84 Sponsoring Institution WINONA STATE UNIVERSITY Friday, December 03, 2010 Teaching Program Eligible FTEs Grant CLINICAL NURSE SPECIALIST 0.9590 $623.72 NURSE PRACTITIONER 2.9600 $1,925.15 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site WINONA STATE UNIVERSITY TOTAL MAYO CLINIC - Total Site Name / Provider Type: Location: $2,548.87 $813,259.03 MAYO PSYCHIATRY AND PSYCHOLOGY HOSPITAL TREATMNT CTR RECEIPTS 1216 2ND ST SW ROCHESTER Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs CHILD AND ADOLESCENT NEUROLOGY 0.0300 $340.76 CHILD AND ADOLESCENT PSYCHIATRY 0.7100 $8,064.57 FAMILY PRACTICE 0.3400 $3,861.91 GERIATRIC MEDICINE 0.0700 $795.10 GERIATRIC PSYCHIATRY 0.2200 $2,498.88 MEDICAL SCHOOL 1.7500 $5,514.99 NEUROLOGY 0.2400 $2,726.05 PSYCH-ADDICTIVE DISORDERS 0.2000 $2,271.71 PSYCHIATRY 8.7300 $99,160.12 PSYCHOSOMATIC MEDICINE 0.1100 $1,249.44 TOTAL $126,483.52 MAYO CLINIC Friday, December 03, 2010 Grant MAYO CLINIC 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST UNIVERSITY OF MN ACADEMIC HEALTH CENTER MAYO PSYCHIATRY AND PSYCHOLOGY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.1300 TOTAL Grant $406.13 $406.13 $126,889.65 $3,841,527.91 MAYO CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MEADOWBROOK WOMENS CLINIC 825 S 8TH ST STE 1018 MINNEAPOLIS Site Name / Provider Type: Location: 55404 MEADOWBROOK WOMENS CLINIC 825 S 8TH ST STE 1018 PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH UNIVERSITY OF MN ACADEMIC HEALTH CENTER MEADOWBROOK WOMENS CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.1121 TOTAL Grant $9,576.42 $9,576.42 $9,576.42 $9,576.42 MEADOWBROOK WOMENS CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MEDICAL ARTS PHARMACY 324 W SUPERIOR ST DULUTH Site Name / Provider Type: Location: 55802 MEDICAL ARTS PHARMACY 324 W SUPERIOR ST PHARMACY DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.4400 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MEDICAL ARTS PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $5,538.37 $5,538.37 $5,538.37 $5,538.37 MEDICAL ARTS PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MEDICAL CARE SERVICES PA 4001 STINSON BLVD STE 404 MINNEAPOLIS Site Name / Provider Type: Location: 55421 MEDICAL CARE SERVICES PA 4001 STINSON BLVD STE 404 PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0632 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MEDICAL CARE SERVICES PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $34.65 TOTAL $34.65 $34.65 $34.65 MEDICAL CARE SERVICES PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MEMORY DISORDERS CLINIC 1245 15TH ST N ST CLOUD Site Name / Provider Type: Location: 56303 MEMORY DISORDERS CLINIC 1245 15TH ST N COMMUNITY HEALTH CLINIC ST CLOUD Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.0600 COLLEGE OF ST. SCHOLASTICA MEMORY DISORDERS CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $43.18 TOTAL $43.18 $43.18 $43.18 MEMORY DISORDERS CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MERCY HOSPITAL AND HEALTH CARE CENTER 710 S KENWOOD AVE MOOSE LAKE Site Name / Provider Type: Location: 55767 MERCY HOSPITAL AND HEALTH CARE CENTER 710 S KENWOOD AVE HOSPITAL MOOSE LAKE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MERCY HOSPITAL AND HEALTH CARE CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $48,587.79 $48,587.79 $48,587.79 $48,587.79 MERCY HOSPITAL AND HEALTH CARE CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MERITCARE BEMIDJI PHARMACY 1233 - 34TH ST NW BEMIDJI Site Name / Provider Type: Location: 56601 MERITCARE BEMIDJI PHARMACY 1233 - 34TH ST NW PHARMACY BEMIDJI Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MERITCARE BEMIDJI PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $11,298.97 $11,298.97 $11,298.97 $11,298.97 MERITCARE BEMIDJI PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MERITCARE CLINIC BEMIDJI 1233 34TH ST NW BEMIDJI Site Name / Provider Type: Location: 56601 MERITCARE CLINIC BEMIDJI 1233 34TH ST NW PHYSICIAN BEMIDJI Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0000 $18,659.42 PRECEPTORSHIP II 0.0600 $1,119.56 PRECEPTORSHIP SUMMER 0.0800 $1,492.75 TOTAL $21,271.73 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MERITCARE CLINIC BEMIDJI - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $21,271.73 $21,271.73 MERITCARE CLINIC BEMIDJI 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MERITCARE CLINIC DETROIT LAKES 1245 WASHINGTON AVE DETROIT LAKES Site Name / Provider Type: Location: 56501 MERITCARE CLINIC DETROIT LAKES 1245 WASHINGTON AVE PHYSICIAN DETROIT LAKES Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.3700 AUGSBURG COLLEGE MERITCARE CLINIC DETROIT LAKES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,743.17 $2,743.17 $2,743.17 $2,743.17 MERITCARE CLINIC DETROIT LAKES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MERITCARE CLINIC HAWLEY 1413 MAIN AVE PO BOX 746 HAWLEY Site Name / Provider Type: Location: 56549 MERITCARE CLINIC HAWLEY RURAL HEALTH CLINIC 1413 MAIN AVE PO BOX 746 HAWLEY Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE MERITCARE CLINIC HAWLEY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $525.41 TOTAL $525.41 $525.41 $525.41 MERITCARE CLINIC HAWLEY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MERITCARE CLINIC ULEN 108 VIKING AVE W ULEN Site Name / Provider Type: Location: 56585 MERITCARE CLINIC ULEN 108 VIKING AVE W RURAL HEALTH CLINIC ULEN Sponsoring Institution MINNESOTA STATE UNIVERSITY, MOORHEAD Eligible FTEs Teaching Program FAMILY NURSE PRACTITIONER MINNESOTA STATE UNIVERSITY, MOORHEAD MERITCARE CLINIC ULEN - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.1100 TOTAL Grant $325.14 $325.14 $325.14 $325.14 MERITCARE CLINIC ULEN 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MERWIN LONG TERM CARE 1509 10TH AVE S APT 16 MINNEAPOLIS Site Name / Provider Type: Location: 55404 MERWIN LONG TERM CARE 1509 10TH AVE S APT 16 PHARMACY MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.4400 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MERWIN LONG TERM CARE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $111,003.09 $111,003.09 $111,003.09 $111,003.09 MERWIN LONG TERM CARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: METROPOLITAN CARDIOLOGY CONSULTANTS 4040 COON RAPIDS BLVD STE 120 COON RAPIDS Site Name / Provider Type: Location: 55433 METROPOLITAN CARDIOLOGY CONSULTANTS PHYSICIAN 4040 COON RAPIDS BLVD STE 120 COON RAPIDS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE/PEDIATRICS 0.0070 UNIVERSITY OF MN ACADEMIC HEALTH CENTER METROPOLITAN CARDIOLOGY CONSULTANTS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $147.51 $147.51 $147.51 $147.51 METROPOLITAN CARDIOLOGY CONSULTANTS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: METROPOLITAN OB GYN PA GALLERY PROFESSIONAL BLDG 17 W EXCHANGE ST STE 622 ST PAUL Site Name / Provider Type: Location: 55102 METROPOLITAN OB GYN PA PHYSICIAN GALLERY PROFESSIONAL BLDG 17 W EXCHANGE ST STE 622 ST PAUL Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 1.0000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $9,728.85 $9,728.85 Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0778 UNITED HOSPITAL METROPOLITAN OB GYN PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,751.97 $2,751.97 $12,480.82 $12,480.82 METROPOLITAN OB GYN PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: METROPOLITAN PEDIATRIC SPECIALISTS 6545 FRANCE AVE S STE 400 EDINA Site Name / Provider Type: Location: 55435 METROPOLITAN PEDIATRIC SPECIALISTS 6545 FRANCE AVE S STE 400 PHYSICIAN EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.0316 $96.69 PEDIATRIC 0.0217 $239.31 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL METROPOLITAN PEDIATRIC SPECIALISTS - Total Site Name / Provider Type: Location: Grant $336.00 $336.00 METROPOLITAN PEDIATRIC SPECIALISTS BURNSVILLE PHYSICIAN 303 EAST NICOLLET BLVD STE 260 BURNSVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program NURSE PRACTITIONER Friday, December 03, 2010 Eligible FTEs 0.2500 Grant $758.30 METROPOLITAN PEDIATRIC SPECIALISTS 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL METROPOLITAN PEDIATRIC SPECIALISTS BURNSVILLE - Total Site Name / Provider Type: Location: $758.30 $758.30 METROPOLITAN PEDIATRIC SPECIALISTS SHAKOPEE PHYSICIAN SOUTH VALLEY MEDICAL BLVD 1515 ST FRANCIS AVENUE STE 100 SHAKOPEE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.1579 UNIVERSITY OF MN ACADEMIC HEALTH CENTER METROPOLITAN PEDIATRIC SPECIALISTS SHAKOPEE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,542.90 $3,542.90 $3,542.90 $4,637.20 METROPOLITAN PEDIATRIC SPECIALISTS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: METROPOLITAN UROLOGIC SPECIALISTS 6025 LAKE ROAD STE 100 WOODBURY Site Name / Provider Type: Location: 55125 METROPOLITAN UROLOGIC SPECIALISTS 360 SHERMAN ST STE 450 PHYSICIAN ST PAUL Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE 0.0608 UNITED HOSPITAL TOTAL Grant $6,919.79 $6,919.79 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0231 $2,629.07 UROLOGIC SURGERY 0.0226 $2,572.16 UNIVERSITY OF MN ACADEMIC HEALTH CENTER METROPOLITAN UROLOGIC SPECIALISTS - Total Friday, December 03, 2010 Grant TOTAL $5,201.22 $12,121.02 METROPOLITAN UROLOGIC SPECIALISTS 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: METROPOLITAN UROLOGIC SPECIALISTS - WOODBURY PHYSICIAN CORNERSTONE MEDICAL SPECIALTY CENTER 6025 LAKE ROAD STE 200 WOODBURY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs UROLOGIC SURGERY 0.0230 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL METROPOLITAN UROLOGIC SPECIALISTS - WOODBURY - Total Site Name / Provider Type: Location: $2,617.68 $2,617.68 $2,617.68 METROPOLITAN UROLOGIC SPECIALISTS - PLYMOUTH 2855 CAMPUS DR STE 530 Grant PHYSICIAN PLYMOUTH Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0015 UNITED HOSPITAL METROPOLITAN UROLOGIC SPECIALISTS - PLYMOUTH - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $170.72 $170.72 $170.72 $14,909.42 METROPOLITAN UROLOGIC SPECIALISTS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MID-MINNESOTA HEALTH CLINIC 1520 WHITNEY CT STE 200 ST CLOUD Site Name / Provider Type: Location: 56303 MID-MINNESOTA HEALTH CLINIC 1520 WHITNEY CT STE 200 COMMUNITY HEALTH CLINIC ST CLOUD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.2368 $5,134.05 NURSE PRACTITIONER 0.2500 $5,373.18 TOTAL $10,507.23 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MID-MINNESOTA HEALTH CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $10,507.23 $10,507.23 MID-MINNESOTA HEALTH CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MIDWEST DERMATOLOGY PO BOX 270430 GOLDEN VALLEY Site Name / Provider Type: Location: 55427 MIDWEST DERMATOLOGY 5647 DULUTH ST PHYSICIAN GOLDEN VALLEY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - NORTH MEMORIAL UNIVERSITY OF MN ACADEMIC HEALTH CENTER MIDWEST DERMATOLOGY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0629 TOTAL Grant $16.42 $16.42 $16.42 $16.42 MIDWEST DERMATOLOGY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MIDWEST ENT 225 SMITH AVE N #502A ST PAUL Site Name / Provider Type: Location: 55102 MIDWEST ENT 225 SMITH AVE N #502A PHYSICIAN ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S 0.0509 $3,888.49 FAMILY PRACTICE - ST JOSEPH'S 0.1201 $9,175.00 TOTAL $13,063.49 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MIDWEST ENT - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $13,063.49 $13,063.49 MIDWEST ENT 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MIDWEST HEALTH CENTER FOR WOMEN 33 S 5TH ST - 4TH FL MINNEAPOLIS Site Name / Provider Type: Location: 55402 MIDWEST HEALTH CENTER FOR WOMEN 33 S 5TH ST - 4TH FL PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0057 $1,298.21 OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH 0.0343 $7,812.04 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MIDWEST HEALTH CENTER FOR WOMEN - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $9,110.25 $9,110.25 $9,110.25 MIDWEST HEALTH CENTER FOR WOMEN 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MILLE LACS HEALTH SYSTEM 200 N ELM ST ONAMIA Site Name / Provider Type: Location: 56359 MILLE LACS HEALTH SYSTEM 200 N ELM ST HOSPITAL ONAMIA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP SUMMER UNIVERSITY OF MN ACADEMIC HEALTH CENTER MILLE LACS HEALTH SYSTEM - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant 0.0400 TOTAL $44,235.23 $44,235.23 $44,235.23 $44,235.23 MILLE LACS HEALTH SYSTEM 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MILLER CREEK MEDICAL CLINIC 4884 MILLER TRUNK HWY HERMANTOWN Site Name / Provider Type: Location: 55811 MILLER CREEK MEDICAL CLINIC 4884 MILLER TRUNK HWY PHYSICIAN HERMANTOWN Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.1300 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $444.67 $444.67 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP I 0.0520 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MILLER CREEK MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $179.43 $179.43 $624.10 $624.10 MILLER CREEK MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MINCEP EPILEPSY CARE 5775 WAYZATA BLVD MINNEAPOLIS Site Name / Provider Type: Location: 55416 MINCEP EPILEPSY CARE 5775 WAYZATA BLVD PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MINCEP EPILEPSY CARE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $15,093.75 $15,093.75 $15,093.75 $15,093.75 MINCEP EPILEPSY CARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MINNEAPOLIS CLINIC OF NEUROLOGY 4225 GOLDEN VALLEY RD GOLDEN VALLEY Site Name / Provider Type: Location: 55422 MINNEAPOLIS CLINIC OF NEUROLOGY 4225 GOLDEN VALLEY RD PHYSICIAN GOLDEN VALLEY Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE 0.0331 UNITED HOSPITAL TOTAL MINNEAPOLIS CLINIC OF NEUROLOGY - Total Site Name / Provider Type: Location: Grant $3,689.32 $3,689.32 $3,689.32 MINNEAPOLIS CLINIC OF NEUROLOGY - EDINA PHYSICIAN SOUTHDALE PLACE 3400 WEST 66TH STREET STE 150 EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0526 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $32,551.06 $32,551.06 MINNEAPOLIS CLINIC OF NEUROLOGY 2010 MERC / PMAP Grant by Training Site MINNEAPOLIS CLINIC OF NEUROLOGY - EDINA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $32,551.06 $36,240.38 MINNEAPOLIS CLINIC OF NEUROLOGY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MINNEAPOLIS DIALYSIS UNIT TOTAL RENAL CARE INC 825 S 8TH ST STE SL42 MINNEAPOLIS Site Name / Provider Type: Location: 55404 MINNEAPOLIS DIALYSIS UNIT RENAL DIALYSIS FREE STANDING TOTAL RENAL CARE INC 825 S 8TH ST STE SL42 MINNEAPOLIS Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Teaching Program Eligible FTEs INTERNAL MEDICINE 0.0014 ABBOTT NORTHWESTERN HOSPITAL MINNEAPOLIS DIALYSIS UNIT - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $33,416.30 $33,416.30 $33,416.30 $33,416.30 MINNEAPOLIS DIALYSIS UNIT 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MINNEAPOLIS HEART INSTITUTE 920 E 28TH ST STE 300 MINNEAPOLIS Site Name / Provider Type: Location: 55407 MINNEAPOLIS HEART INSTITUTE 920 E 28TH ST STE 300 PHYSICIAN MINNEAPOLIS Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE TOTAL Grant $532.05 $532.05 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.2000 METROPOLITAN STATE UNIVERSITY MINNEAPOLIS HEART INSTITUTE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $420.53 $420.53 $952.58 $952.58 MINNEAPOLIS HEART INSTITUTE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MINNESOTA CANCER CARE PHARMACY 1580 BEAM AVE MAPLEWOOD Site Name / Provider Type: Location: 55109 MINNESOTA CANCER CARE PHARMACY 1580 BEAM AVE PHARMACY MAPLEWOOD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MINNESOTA CANCER CARE PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,659.62 $1,659.62 $1,659.62 $1,659.62 MINNESOTA CANCER CARE PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MINNESOTA GASTROENTEROLOGY PA PLYMOUTH CLINIC 15700 37TH AVE N STE 300 PLYMOUTH Site Name / Provider Type: Location: 55446 MINNESOTA GASTROENTEROLOGY PA PHYSICIAN PLYMOUTH CLINIC 15700 37TH AVE N STE 300 PLYMOUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program GASTROENTEROLOGY FELLOWSHIP 0.3185 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL MINNESOTA GASTROENTEROLOGY PA - Total Site Name / Provider Type: Location: Grant $32,650.31 $32,650.31 $32,650.31 MINNESOTA GASTROENTEROLOGY PA PHYSICIAN STE 120 2200 UNIVERSITY AVE W ST PAUL Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Teaching Program Eligible FTEs INTERNAL MEDICINE 0.3135 ABBOTT NORTHWESTERN HOSPITAL Friday, December 03, 2010 TOTAL Grant $11,353.13 $11,353.13 MINNESOTA GASTROENTEROLOGY PA 2010 MERC / PMAP Grant by Training Site MINNESOTA GASTROENTEROLOGY PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $11,353.13 $44,003.43 MINNESOTA GASTROENTEROLOGY PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MINNESOTA LUNG CENTER LTD 920 E 28TH ST STE 700 MINNEAPOLIS Site Name / Provider Type: Location: 55407 MINNESOTA LUNG CENTER LTD 920 E 28TH ST STE 700 PHYSICIAN MINNEAPOLIS Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Teaching Program Eligible FTEs INTERNAL MEDICINE 0.0580 ABBOTT NORTHWESTERN HOSPITAL MINNESOTA LUNG CENTER LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $9,266.86 $9,266.86 $9,266.86 $9,266.86 MINNESOTA LUNG CENTER LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MINNESOTA ONCOLOGY HEMATOLOGY PA COURT INTERNATIONAL BLDG 2550 UNIV AVE W STE 110N SAINT PAUL Site Name / Provider Type: Location: 55114 MINNESOTA ONCOLOGY HEMATOLOGY PA 800 E 28TH ST STE 405 PHYSICIAN MINNEAPOLIS Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Teaching Program Eligible FTEs INTERNAL MEDICINE 0.1701 ABBOTT NORTHWESTERN HOSPITAL TOTAL Grant $7.94 $7.94 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.2500 METROPOLITAN STATE UNIVERSITY MINNESOTA ONCOLOGY HEMATOLOGY PA - Total Friday, December 03, 2010 TOTAL Grant $3.21 $3.21 $11.15 MINNESOTA ONCOLOGY HEMATOLOGY PA 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: MINNESOTA ONCOLOGY HEMATOLOGY PA 560 S MAPLE ST STE 100 PHYSICIAN WACONIA Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0269 UNITED HOSPITAL MINNESOTA ONCOLOGY HEMATOLOGY PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $88,866.89 $88,866.89 $88,866.89 $88,878.04 MINNESOTA ONCOLOGY HEMATOLOGY PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MINNESOTA OTOLARYNGOLOGY 675 WATER ST STE 1 EXCELSIOR Site Name / Provider Type: Location: 55331 MINNESOTA OTOLARYNGOLOGY 675 WATER ST STE 1 PHYSICIAN EXCELSIOR Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - METHODIST UNIVERSITY OF MN ACADEMIC HEALTH CENTER MINNESOTA OTOLARYNGOLOGY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0926 TOTAL Grant $145.38 $145.38 $145.38 $145.38 MINNESOTA OTOLARYNGOLOGY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MINNESOTA SPINE REHAB INC 360 SHERMAN ST STE 470 ST PAUL Site Name / Provider Type: Location: 55102 MINNESOTA SPINE REHAB INC 360 SHERMAN ST STE 470 PHYSICIAN ST PAUL Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0161 UNITED HOSPITAL MINNESOTA SPINE REHAB INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $223.80 $223.80 $223.80 $223.80 MINNESOTA SPINE REHAB INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MN CENTER FOR OBESITY METAB AND ENDOC 880 BLUE GENTIAN RD STE 150 EAGAN Site Name / Provider Type: Location: 55121 MN CENTER FOR OBESITY METAB AND ENDOC PHYSICIAN 880 BLUE GENTIAN RD STE 150 EAGAN Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.6300 AUGSBURG COLLEGE TOTAL Grant $1,399.99 $1,399.99 Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0165 UNITED HOSPITAL TOTAL Grant $131.71 $131.71 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0632 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $139.97 $139.97 MN CENTER FOR OBESITY METAB AND ENDOC 2010 MERC / PMAP Grant by Training Site MN CENTER FOR OBESITY METAB AND ENDOC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $1,671.68 $1,671.68 MN CENTER FOR OBESITY METAB AND ENDOC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MN ORTHOPAEDIC SPECIALISTS PA 701 25TH AVE S STE 505 MINNEAPOLIS Site Name / Provider Type: Location: 55454 MN ORTHOPAEDIC SPECIALISTS PA 701 25TH AVE S STE 505 PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0831 $2,187.17 FAMILY PRACTICE - NORTH MEMORIAL 0.0262 $689.58 TOTAL $2,876.75 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MN ORTHOPAEDIC SPECIALISTS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $2,876.75 $2,876.75 MN ORTHOPAEDIC SPECIALISTS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MN VISITING NURSE AGENCY 3433 BROADWAY ST NE STE 300 MINNEAPOLIS Site Name / Provider Type: Location: 55413 MN VISITING NURSE AGENCY PUBLIC HEALTH NURSING ORGANIZATION 3433 BROADWAY ST NE STE 300 MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY PRACTICE 0.6000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MN VISITING NURSE AGENCY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $72,225.97 TOTAL $72,225.97 $72,225.97 $72,225.97 MN VISITING NURSE AGENCY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MNGI ENDOSCOPY-MAPLEWOOD 1997 SLOAN PL STE 26 MAPLEWOOD Site Name / Provider Type: Location: 55117 MNGI ENDOSCOPY-MAPLEWOOD 1997 SLOAN PL STE 26 AMBULATORY SURGERY CENTER MAPLEWOOD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program COLON AND RECTAL SURGERY UNIVERSITY OF MN ACADEMIC HEALTH CENTER MNGI ENDOSCOPY-MAPLEWOOD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.1040 TOTAL Grant $7,372.68 $7,372.68 $7,372.68 $7,372.68 MNGI ENDOSCOPY-MAPLEWOOD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MONTEVIDEO CLINIC 824 N 11TH ST MONTEVIDEO Site Name / Provider Type: Location: 56265 MONTEVIDEO CLINIC 824 N 11TH ST PHYSICIAN MONTEVIDEO Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 1.2400 COLLEGE OF ST. SCHOLASTICA MONTEVIDEO CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $768.13 $768.13 $768.13 $768.13 MONTEVIDEO CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MONTICELLO CLINIC 1001 HART BLVD MONTICELLO Site Name / Provider Type: Location: 55362 MONTICELLO CLINIC 1001 HART BLVD PHYSICIAN MONTICELLO Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE TOTAL Grant $237.86 $237.86 Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.0800 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $144.62 $144.62 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant FAMILY MEDICINE ST. CLOUD RESIDENCY 0.3000 $1,971.77 MEDICAL SCHOOL 1.0000 $1,823.56 MONTICELLO CLINIC 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER MONTICELLO CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $3,795.33 $4,177.81 $4,177.81 MONTICELLO CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MORA ALLINA MEDICAL CLINIC 331 HIGHWAY 65 S MORA Site Name / Provider Type: Location: 55051 MORA ALLINA MEDICAL CLINIC 331 HIGHWAY 65 S PHYSICIAN MORA Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 0.1700 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $564.00 $564.00 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.2600 METROPOLITAN STATE UNIVERSITY TOTAL Grant $862.59 $862.59 Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.1180 UNITED HOSPITAL Friday, December 03, 2010 TOTAL Grant $1,423.36 $1,423.36 MORA ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0000 $3,346.70 PRECEPTORSHIP II 0.0600 $200.80 TOTAL $3,547.50 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MORA ALLINA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $6,397.44 $6,397.44 MORA ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: MT ROYAL MEDICAL CENTER 1400 WOODLAND AVE DULUTH Site Name / Provider Type: Location: 55803 MT ROYAL MEDICAL CENTER 1400 WOODLAND AVE PHYSICIAN DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.1579 $1,080.20 PRECEPTORSHIP I 0.0780 $533.60 TOTAL $1,613.80 UNIVERSITY OF MN ACADEMIC HEALTH CENTER MT ROYAL MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $1,613.80 $1,613.80 MT ROYAL MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NATIVE AMERICAN COMMUNITY CLINIC 1213 E FRANKLIN AVE MINNEAPOLIS Site Name / Provider Type: Location: 55408 NATIVE AMERICAN COMMUNITY CLINIC 1213 E FRANKLIN AVE FEDERALLY QUALIFIED HEALTH CENTER MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NATIVE AMERICAN COMMUNITY CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $17,049.36 $17,049.36 $17,049.36 $17,049.36 NATIVE AMERICAN COMMUNITY CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NEUROLOGICAL ASSOCIATES OF ST PAUL 1650 BEAM AVE MAPLEWOOD Site Name / Provider Type: Location: 55109 NEUROLOGICAL ASSOCIATES OF ST PAUL 1650 BEAM AVE PHYSICIAN MAPLEWOOD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.3158 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NEUROLOGICAL ASSOCIATES OF ST PAUL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $7,595.19 $7,595.19 $7,595.19 $7,595.19 NEUROLOGICAL ASSOCIATES OF ST PAUL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NEUROSURGICAL ASSOCIATES LTD 800 E 28TH ST - #305 MINNEAPOLIS Site Name / Provider Type: Location: 55407 NEUROSURGICAL ASSOCIATES LTD 800 E 28TH ST - #305 PHYSICIAN MINNEAPOLIS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.1000 METROPOLITAN STATE UNIVERSITY TOTAL NEUROSURGICAL ASSOCIATES LTD - Total Site Name / Provider Type: Location: Grant $9,276.66 $9,276.66 $9,276.66 NEUROSURGICAL ASSOCIATES LTD, MINNEAPOLIS PHYSICIAN 305 PIPER BUILDING 913 E 26TH STREET MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs NEUROSURGERY 0.0034 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $1,146.76 $1,146.76 NEUROSURGICAL ASSOCIATES LTD 2010 MERC / PMAP Grant by Training Site NEUROSURGICAL ASSOCIATES LTD, MINNEAPOLIS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $1,146.76 $10,423.42 NEUROSURGICAL ASSOCIATES LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NEW PRAGUE MEDICAL CLINIC PA 301 E MAIN ST NEW PRAGUE Site Name / Provider Type: Location: 56071 NEW PRAGUE MEDICAL CLINIC PA 301 E MAIN ST PHYSICIAN NEW PRAGUE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0000 $2,483.16 PRECEPTORSHIP II 0.0600 $148.99 TOTAL $2,632.15 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NEW PRAGUE MEDICAL CLINIC PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $2,632.15 $2,632.15 NEW PRAGUE MEDICAL CLINIC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NOBLE DRUG 111 N MAIN AVE PO BOX 848 BAUDETTE Site Name / Provider Type: Location: 56623 NOBLE DRUG PHARMACY 111 N MAIN AVE PO BOX 848 BAUDETTE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NOBLE DRUG - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,143.23 $4,143.23 $4,143.23 $4,143.23 NOBLE DRUG 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORDS PHARMACY AND GIFTS INC 115 JOHNSON AVE N FOSSTON Site Name / Provider Type: Location: 56542 NORDS PHARMACY AND GIFTS INC 115 JOHNSON AVE N PHARMACY FOSSTON Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORDS PHARMACY AND GIFTS INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $24,105.24 $24,105.24 $24,105.24 $24,105.24 NORDS PHARMACY AND GIFTS INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTH CLINIC PA STE 315 3366 OAKDALE AVE N ROBBINSDALE Site Name / Provider Type: Location: 55422 NORTH CLINIC PA PHYSICIAN STE 315 3366 OAKDALE AVE N ROBBINSDALE Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE TOTAL Grant $5,968.16 $5,968.16 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - NORTH MEMORIAL 0.1509 $12,940.33 NURSE PRACTITIONER 0.2500 $5,896.48 TOTAL $18,836.81 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORTH CLINIC PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $24,804.97 $24,804.97 NORTH CLINIC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTH COUNTRY REGIONAL HOSPITAL 1300 ANNE ST NW BEMIDJI Site Name / Provider Type: Location: 56601 NORTH COUNTRY REGIONAL HOSPITAL 1300 ANNE ST NW HOSPITAL BEMIDJI Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORTH COUNTRY REGIONAL HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $295,189.04 $295,189.04 $295,189.04 $295,189.04 NORTH COUNTRY REGIONAL HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTH MEMORIAL CLINICS ATTN: CAROL CHRISTIANSON 3300 OAKDALE AVENUE N ROBBINSDALE Site Name / Provider Type: Location: 55420 NORTHBROOK CLINIC PHYSICIAN 8559 EDINBROOK PKWY STE 100 BROOKLYN PARK Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.8800 ST. CATHERINE UNIVERSITY NORTHBROOK CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,558.39 $2,558.39 $2,558.39 $2,558.39 NORTH MEMORIAL CLINICS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTH MEMORIAL HEALTH CARE ATTN: PAT BORAN, CFO 3300 OAKDALE AVE N ROBBINSDALE Site Name / Provider Type: Location: 55422 NORTH MEMORIAL MED CTR PHARMACY 3300 OAKDALE AVE N PHARMACY ROBBINSDALE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY Grant 3.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $22.95 TOTAL $22.95 NORTH MEMORIAL MED CTR PHARMACY - Total Site Name / Provider Type: Location: $22.95 NORTH MEMORIAL HEALTH CARE HOSPITAL BUSINESS OFFICE 3300 OAKDALE AVE N ROBBINSDALE Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Teaching Program Eligible FTEs EMERGENCY MEDICINE 1.8092 HENNEPIN COUNTY MEDICAL CENTER Friday, December 03, 2010 TOTAL Grant $161,147.29 $161,147.29 NORTH MEMORIAL HEALTH CARE 2010 MERC / PMAP Grant by Training Site Sponsoring Institution MAYO CLINIC Eligible FTEs Teaching Program EMERGENCY MEDICINE 0.0800 MAYO CLINIC TOTAL Grant $7,125.68 $7,125.68 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.2500 METROPOLITAN STATE UNIVERSITY TOTAL Grant $6,124.54 $6,124.54 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MOORHEAD Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.1040 MINNESOTA STATE UNIVERSITY, MOORHEAD TOTAL Grant $2,547.81 $2,547.81 Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs EMERGENCY MEDICINE 0.5464 REGIONS HOSPITAL TOTAL Grant $48,668.41 $48,668.41 Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.4400 ST. CATHERINE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $10,779.19 $10,779.19 NORTH MEMORIAL HEALTH CARE 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant ADULT NEUROLOGY 0.2695 $24,004.64 ANESTHESIOLOGY 0.4864 $43,324.14 COLON AND RECTAL SURGERY 0.2233 $19,889.56 FAMILY PRACTICE - NORTH MEMORIAL 15.6295 $1,392,135.53 MEDICAL SCHOOL 11.8158 $292,000.40 NURSE PRACTITIONER 0.6300 $15,433.84 OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH 0.0685 $6,101.37 ORAL AND MAXILLOFACIAL SURGERY 0.3900 $36,548.97 ORTHOPAEDIC SURGERY 0.0050 $445.36 PLASTIC SURGERY 0.1972 $17,564.81 SURGERY 0.9803 $87,316.32 SURGICAL CRITICAL CARE 0.8410 $74,908.73 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL $2,009,673.66 Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 0.1360 WINONA STATE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $3,331.75 $3,331.75 NORTH MEMORIAL HEALTH CARE 2010 MERC / PMAP Grant by Training Site NORTH MEMORIAL HEALTH CARE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $2,249,398.33 $2,249,421.29 NORTH MEMORIAL HEALTH CARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTH METRO PEDIATRICS 9574 FOLEY BLVD NW COON RAPIDS Site Name / Provider Type: Location: 55433 NORTH METRO PEDIATRICS 9574 FOLEY BLVD NW BILL ENTITY FOR PHYSICIAN SVCS COON RAPIDS Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.4200 ST. CATHERINE UNIVERSITY NORTH METRO PEDIATRICS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $36.03 $36.03 $36.03 $36.03 NORTH METRO PEDIATRICS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTH POINT HEALTH AND WELLNESS CTR 1313 PENN AVE N MINNEAPOLIS Site Name / Provider Type: Location: 55411 NORTH POINT HEALTH AND WELLNESS CTR 1313 PENN AVE N FEDERALLY QUALIFIED HEALTH CENTER MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3800 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL NORTH POINT HEALTH AND WELLNESS CTR - Total Site Name / Provider Type: Location: $140,249.37 $140,249.37 $140,249.37 NORTH POINT HEALTH AND WELLNESS CTR FEDERALLY QUALIFIED HEALTH CENTER PHARMACY 1313 PENN AVE N Grant MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program PHARMACY Friday, December 03, 2010 Eligible FTEs 1.0000 Grant $4,051.76 NORTH POINT HEALTH AND WELLNESS CTR 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORTH POINT HEALTH AND WELLNESS CTR - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $4,051.76 $4,051.76 $144,301.13 NORTH POINT HEALTH AND WELLNESS CTR 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTHEAST PEDIATRIC CLINIC 4520 CENTERVILLE RD VADNAIS HEIGHTS Site Name / Provider Type: Location: 55127 NORTHEAST PEDIATRIC CLINIC 4520 CENTERVILLE RD PHYSICIAN VADNAIS HEIGHTS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0737 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORTHEAST PEDIATRIC CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $575.10 $575.10 $575.10 $575.10 NORTHEAST PEDIATRIC CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTHERN LIGHTS PED AND ADOLES MEDICI 3555 WILLOW LAKE BLVD STE 140 VADNAID HEIGHTS Site Name / Provider Type: Location: 55110 NORTHERN LIGHTS PED AND ADOLES MEDICI PHYSICIAN 3555 WILLOW LAKE BLVD STE 140 VADNAID HEIGHTS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.3790 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORTHERN LIGHTS PED AND ADOLES MEDICI - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $611.75 $611.75 $611.75 $611.75 NORTHERN LIGHTS PED AND ADOLES MEDICI 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTHERN ORTHOPEDICS LTD 2014 SOUTH 6TH STREET BRAINERD Site Name / Provider Type: Location: 56401 NORTHERN ORTHOPEDICS LTD 2014 SOUTH 6TH STREET PHYSICIAN BRAINERD Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE NORTHERN ORTHOPEDICS LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $7,241.37 $7,241.37 $7,241.37 $7,241.37 NORTHERN ORTHOPEDICS LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTHERN PINES ORTHO CLINIC PA 111 GOLF COURSE ROAD GRAND RAPIDS Site Name / Provider Type: Location: 55744 NORTHERN PINES ORTHO CLINIC PA 111 GOLF COURSE ROAD PHYSICIAN GRAND RAPIDS Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.1400 COLLEGE OF ST. SCHOLASTICA NORTHERN PINES ORTHO CLINIC PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,940.97 $3,940.97 $3,940.97 $3,940.97 NORTHERN PINES ORTHO CLINIC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTHFIELD ALLINA MEDICAL CLINIC 1400 JEFFERSON RD NORTHFIELD Site Name / Provider Type: Location: 55057 NORTHFIELD ALLINA MEDICAL CLINIC 1400 JEFFERSON RD PHYSICIAN NORTHFIELD Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE 0.0703 UNITED HOSPITAL TOTAL Grant $3,440.18 $3,440.18 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 1.2600 $16,958.73 PRECEPTORSHIP II 0.0600 $814.63 PRECEPTORSHIP SUMMER 0.0800 $1,086.17 TOTAL $18,859.54 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORTHFIELD ALLINA MEDICAL CLINIC - Total Friday, December 03, 2010 Grant $22,299.72 NORTHFIELD ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $22,299.72 NORTHFIELD ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTHFIELD CITY HOSPITAL BUSINESS OFFICE MANAGER 2000 NORTH AVE NORTHFIELD Site Name / Provider Type: Location: 55057 NORTHFIELD CITY HOSPITAL HOSPITAL BUSINESS OFFICE MANAGER 2000 NORTH AVE NORTHFIELD Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA NORTHFIELD CITY HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $57,572.66 TOTAL $57,572.66 $57,572.66 $57,572.66 NORTHFIELD CITY HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTHLAND COUNSELING CENTER 1404 HIGHWAY 71 INTL FALLS Site Name / Provider Type: Location: 56649 NORTHLAND COUNSELING CENTER 1404 HIGHWAY 71 COMMUNITY MENTAL HEALTH CENTER INTL FALLS Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.3500 COLLEGE OF ST. SCHOLASTICA NORTHLAND COUNSELING CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,846.52 $1,846.52 $1,846.52 $1,846.52 NORTHLAND COUNSELING CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTHLAND FAMILY PHYSICIANS LTD 1000 E 1ST ST #108 DULUTH Site Name / Provider Type: Location: 55805 NORTHLAND FAMILY PHYSICIANS LTD 1000 E 1ST ST #108 PHYSICIAN DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP I 0.0260 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORTHLAND FAMILY PHYSICIANS LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $823.29 $823.29 $823.29 $823.29 NORTHLAND FAMILY PHYSICIANS LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTHLAND OB-GYN ASSOC PA 1000 E 1ST ST #LL DULUTH Site Name / Provider Type: Location: 55805 NORTHLAND OB-GYN ASSOC PA 1000 E 1ST ST #LL PHYSICIAN DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.0600 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $237.00 $237.00 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 2.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORTHLAND OB-GYN ASSOC PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $9,283.96 $9,283.96 $9,520.95 $9,520.95 NORTHLAND OB-GYN ASSOC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTHWEST EYE CLINIC PA 8401 GOLDEN VALLEY RD NO.330 GOLDEN VALLEY Site Name / Provider Type: Location: 55427 NORTHWEST EYE CLINIC PA PHYSICIAN 3366 OAKDALE AVE N STE 402 ROBBINSDALE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - NORTH MEMORIAL UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORTHWEST EYE CLINIC PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0374 TOTAL Grant $1,374.76 $1,374.76 $1,374.76 $1,374.76 NORTHWEST EYE CLINIC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NORTHWEST FAMILY PHYSICIANS 5502 W BROADWAY CRYSTAL Site Name / Provider Type: Location: 55428 NORTHWEST FAMILY PHYSICIANS 5502 W BROADWAY PHYSICIAN CRYSTAL Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE TOTAL Grant $148.75 $148.75 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0115 $47.27 MEDICAL SCHOOL 2.9684 $3,385.05 NURSE PRACTITIONER 0.8100 $915.67 TOTAL $4,347.99 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORTHWEST FAMILY PHYSICIANS - Total Friday, December 03, 2010 Grant $4,496.74 NORTHWEST FAMILY PHYSICIANS 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: NORTHWEST FAMILY PHYSICIANS PHYSICIAN 21395 JOHN MILLESS DRIVE ROGERS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.1895 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NORTHWEST FAMILY PHYSICIANS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $216.10 $216.10 $216.10 $4,712.83 NORTHWEST FAMILY PHYSICIANS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NOW MEDICAL, INC. ATTN: JENNIFER DUNLEAVY 2000 PLYMOUTH ROAD S MINNEAPOLIS Site Name / Provider Type: Location: 55305 NOW MEDICAL INC 1970 RAHNCLIFF CT PHYSICIAN EAGAN Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.2500 UNIVERSITY OF MN ACADEMIC HEALTH CENTER NOW MEDICAL INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $65.67 $65.67 $65.67 $65.67 NOW MEDICAL, INC. 2010 MERC / PMAP Grant by Training Site Billing Name and Address: NUCLEUS CLINIC 1323 COON RAPIDS BLVD COON RAPIDS Site Name / Provider Type: Location: 55433 NUCLEUS CLINIC 1323 COON RAPIDS BLVD COMMUNITY HEALTH CLINIC COON RAPIDS Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.0300 MINNESOTA STATE UNIVERSITY, MANKATO NUCLEUS CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $85.02 $85.02 $85.02 $85.02 NUCLEUS CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OAKDALE EAR NOSE AND THROAT CLINIC 3366 OAKDALE AV N STE 150 MINNEAPOLIS Site Name / Provider Type: Location: 55422 OAKDALE EAR NOSE AND THROAT CLINIC 3366 OAKDALE AV N STE 150 PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - NORTH MEMORIAL 0.0956 UNIVERSITY OF MN ACADEMIC HEALTH CENTER OAKDALE EAR NOSE AND THROAT CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,851.89 $4,851.89 $4,851.89 $4,851.89 OAKDALE EAR NOSE AND THROAT CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OAKDALE OBGYN PA 3366 OAKDALE AVE NO #450 ROBBINSDALE Site Name / Provider Type: Location: 55422 OAKDALE OBGYN PA 3366 OAKDALE AVE NO #450 PHYSICIAN ROBBINSDALE Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE TOTAL Grant $3,208.02 $3,208.02 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program Grant FAMILY PRACTICE - NORTH MEMORIAL 0.0978 $4,508.09 NURSE PRACTITIONER 0.1800 $2,282.04 UNIVERSITY OF MN ACADEMIC HEALTH CENTER OAKDALE OBGYN PA - Total TOTAL $6,790.13 $9,998.15 TOTAL GRANT TO BILLING ADDRESS $9,998.15 Friday, December 03, 2010 OAKDALE OBGYN PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OB/GYN AND INFERTILITY PA 6405 FRANCE AVE S STE 400 EDINA Site Name / Provider Type: Location: 55435 OB/GYN AND INFERTILITY PA 6405 FRANCE AVE S STE 400 PHYSICIAN EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.2500 UNIVERSITY OF MN ACADEMIC HEALTH CENTER OB/GYN AND INFERTILITY PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $2,354.75 TOTAL $2,354.75 $2,354.75 $2,354.75 OB/GYN AND INFERTILITY PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OB-GYN WEST PA 250 CENTRAL AVE N STE 103 WAYZATA Site Name / Provider Type: Location: 55391 OB-GYN WEST PA 250 CENTRAL AVE N STE 103 PHYSICIAN WAYZATA Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY OB-GYN WEST PA - Total TOTAL Grant $957.91 $957.91 $957.91 TOTAL GRANT TO BILLING ADDRESS $957.91 Friday, December 03, 2010 OB-GYN WEST PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OLMSTED COUNTY ADULT BEHAVIORAL 2116 CAMPUS DR SE ROCHESTER Site Name / Provider Type: Location: 55904 OLMSTED COUNTY ADULT BEHAVIORAL 2116 CAMPUS DR SE BILL ENTITY FOR MENTAL HEALTH ROCHESTER Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs PSYCHIATRY 0.0800 MAYO CLINIC OLMSTED COUNTY ADULT BEHAVIORAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $14.05 $14.05 $14.05 $14.05 OLMSTED COUNTY ADULT BEHAVIORAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OLMSTED MEDICAL CENTER 1650 4TH ST SE ROCHESTER Site Name / Provider Type: Location: 55904 OLMSTED MEDICAL CENTER 1650 4TH ST SE HOSPITAL ROCHESTER Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3000 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $72,823.63 $72,823.63 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY 0.0800 $70,606.37 PHARMACY 0.1100 $22,998.23 UNIVERSITY OF MN ACADEMIC HEALTH CENTER OLMSTED MEDICAL CENTER - Total Friday, December 03, 2010 Grant TOTAL $93,604.60 $166,428.23 OLMSTED MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: OLMSTED MEDICAL CENTER PINE ISLAND PHYSICIAN 111 COUNTY ROAD 11 NW PINE ISLAND Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs NURSE MIDWIFERY 0.2300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER OLMSTED MEDICAL CENTER PINE ISLAND - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $8,835.09 $8,835.09 $8,835.09 $175,263.32 OLMSTED MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OLMSTED MEDICAL GROUP 210 9TH ST SE BOX 4300 ROCHESTER Site Name / Provider Type: Location: 55903 OLMSTED MEDICAL GROUP 210 9TH ST SE BOX 4300 PHYSICIAN ROCHESTER Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs MEDICAL SCHOOL 0.2500 MAYO CLINIC TOTAL Grant $9,687.46 $9,687.46 Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 1.3760 WINONA STATE UNIVERSITY OLMSTED MEDICAL GROUP - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $52,856.89 $52,856.89 $62,544.35 $62,544.35 OLMSTED MEDICAL GROUP 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OMNICARE MINNESOTA 5534 LAKELAND AVE N CRYSTAL Site Name / Provider Type: Location: 55429 OMNICARE MINNESOTA 5534 LAKELAND AVE N PHARMACY CRYSTAL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.8900 UNIVERSITY OF MN ACADEMIC HEALTH CENTER OMNICARE MINNESOTA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $368,012.01 $368,012.01 $368,012.01 $368,012.01 OMNICARE MINNESOTA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OPEN CITIES HEALTH CENTER 409 DUNLAP ST N ST PAUL Site Name / Provider Type: Location: 55104 OPEN CITIES HEALTH CENTER 409 DUNLAP ST N FEDERALLY QUALIFIED HEALTH CENTER ST PAUL Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.6600 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $8,240.82 $8,240.82 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 3.0000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $37,458.28 $37,458.28 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 1.5000 TOTAL Grant $18,729.14 $18,729.14 OPEN CITIES HEALTH CENTER 2010 MERC / PMAP Grant by Training Site OPEN CITIES HEALTH CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $64,428.25 $64,428.25 OPEN CITIES HEALTH CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OPHTHALMOLOGY ASSOCIATES 6533 DREW AVE S EDINA Site Name / Provider Type: Location: 55435 OPHTHALMOLOGY ASSOCIATES 6533 DREW AVE S PHYSICIAN EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0953 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL OPHTHALMOLOGY ASSOCIATES - Total Site Name / Provider Type: Location: Grant $2,784.09 $2,784.09 $2,784.09 OPHTHALMOLOGY ASSOCIATES PHYSICIAN 1630 ADAMS ST MANKATO UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Sponsoring Institution Eligible FTEs FAMILY MEDICINE MANKATO RESIDENCY UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 0.4074 TOTAL Grant $2,752.52 $2,752.52 OPHTHALMOLOGY ASSOCIATES 2010 MERC / PMAP Grant by Training Site OPHTHALMOLOGY ASSOCIATES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $2,752.52 $5,536.61 OPHTHALMOLOGY ASSOCIATES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OPTION CARE 1000 S BENTON DR STE 405 SAUK RAPIDS Site Name / Provider Type: Location: 56379 OPTION CARE 1000 S BENTON DR STE 405 PHARMACY SAUK RAPIDS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.4400 UNIVERSITY OF MN ACADEMIC HEALTH CENTER OPTION CARE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $63,823.47 $63,823.47 $63,823.47 $63,823.47 OPTION CARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ORTHOPEDIC AND SPORTS REHABILITATION 7872 CENTURY BLVD CHANHASSEN Site Name / Provider Type: Location: 55317 ORTHOPEDIC AND SPORTS REHABILITATION 7872 CENTURY BLVD BILL ENTITY FOR REHABILITATION CHANHASSEN Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - NORTH MEMORIAL 0.0020 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ORTHOPEDIC AND SPORTS REHABILITATION - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $40.67 $40.67 $40.67 $40.67 ORTHOPEDIC AND SPORTS REHABILITATION 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ORTHOPEDIC CONSULTANTS PA 775 PRAIRIE CENTER DR 250 EDEN PRAIRIE Site Name / Provider Type: Location: 55439 ORTHOPEDIC CONSULTANTS PA 775 PRAIRIE CENTER DR 250 PHYSICIAN EDEN PRAIRIE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW UNIVERSITY OF MN ACADEMIC HEALTH CENTER ORTHOPEDIC CONSULTANTS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0270 TOTAL Grant $23.96 $23.96 $23.96 $23.96 ORTHOPEDIC CONSULTANTS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ORTHOPEDIC MEDICINE AND SURGERY 3250 W 66TH ST EDINA Site Name / Provider Type: Location: 55435 ORTHOPEDIC MEDICINE AND SURGERY 3250 W 66TH ST PHYSICIAN EDINA Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Teaching Program Eligible FTEs INTERNAL MEDICINE 0.0744 ABBOTT NORTHWESTERN HOSPITAL ORTHOPEDIC MEDICINE AND SURGERY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,692.96 $2,692.96 $2,692.96 $2,692.96 ORTHOPEDIC MEDICINE AND SURGERY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ORTHOPEDIC SURGICAL CONSULTANTS PA 1601 ST FRANCIS AVE STE 200 SHAKOPEE Site Name / Provider Type: Location: 55379 ORTHOPEDIC SURGICAL CONSULTANTS PA PHYSICIAN 1601 ST FRANCIS AVE STE 200 SHAKOPEE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - METHODIST 0.0675 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ORTHOPEDIC SURGICAL CONSULTANTS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,877.72 $1,877.72 $1,877.72 $1,877.72 ORTHOPEDIC SURGICAL CONSULTANTS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OWATONNA CLINIC 134 SOUTHVIEW ST OWATONNA Site Name / Provider Type: Location: 55060 OWATONNA CLINIC - MAYO HEALTH SYS 2200 NW 26TH ST PHYSICIAN OWATONNA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER OWATONNA CLINIC - MAYO HEALTH SYS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $16,542.78 $16,542.78 $16,542.78 $16,542.78 OWATONNA CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: OWATONNA CLINIC - MAYO HEALTH SYS 2200 NW 26TH ST OWATONNA Site Name / Provider Type: Location: 55060 OWATONNA CLINIC - MAYO HEALTH SYS 2200 NW 26TH ST PHYSICIAN OWATONNA Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs Grant FAMILY PRACTICE 0.3000 $17,887.34 RHEUMATOLOGY 0.0200 $1,192.49 TOTAL $19,079.83 MAYO CLINIC Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.6660 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $10,921.84 $10,921.84 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program NURSE PRACTITIONER Friday, December 03, 2010 Eligible FTEs 0.1300 Grant $2,131.89 OWATONNA CLINIC - MAYO HEALTH SYS 2010 MERC / PMAP Grant by Training Site PEDIATRIC 0.0073 $435.26 PRECEPTORSHIP II 0.0600 $992.57 PRECEPTORSHIP SUMMER 0.0400 $661.71 TOTAL $4,221.43 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 0.3180 WINONA STATE UNIVERSITY OWATONNA CLINIC - MAYO HEALTH SYS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $5,214.93 $5,214.93 $39,438.04 $39,438.04 OWATONNA CLINIC - MAYO HEALTH SYS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: P S RUDIE MEDICAL CLINIC 324 W SUPERIOR ST STE 302 DULUTH Site Name / Provider Type: Location: 55802 P S RUDIE MEDICAL CLINIC 324 W SUPERIOR ST STE 302 PHYSICIAN DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP I 0.1560 UNIVERSITY OF MN ACADEMIC HEALTH CENTER P S RUDIE MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,158.28 $4,158.28 $4,158.28 $4,158.28 P S RUDIE MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PAPARELLA EAR HEAD AND NECK INST 701 25TH AVE S STE 200 MINNEAPOLIS Site Name / Provider Type: Location: 55454 PAPARELLA EAR HEAD AND NECK INST 701 25TH AVE S STE 200 PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0310 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PAPARELLA EAR HEAD AND NECK INST - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $7,108.92 $7,108.92 $7,108.92 $7,108.92 PAPARELLA EAR HEAD AND NECK INST 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PARK HOUSE 2120 PARK AVE S MINNEAPOLIS Site Name / Provider Type: Location: 55407 PARK HOUSE 2120 PARK AVE S BILL ENTITY FOR MENTAL HEALTH MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NEPHROLOGY FELLOWSHIP 0.0029 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARK HOUSE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $10.45 $10.45 $10.45 $10.45 PARK HOUSE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PARK NICOLLET ATTN: CRAIG LARSON 3800 PARK NICOLLET BLVD ST. LOUIS PARK Site Name / Provider Type: Location: 55416 PARK NICOLLET CLINIC MINNETONKA PHYSICIAN STE 2 17821 HIGHWAY 7 MINNETONKA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - METHODIST 0.1807 $972.32 PEDIATRIC 0.0004 $2.15 TOTAL $974.47 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARK NICOLLET CLINIC MINNETONKA - Total Site Name / Provider Type: Location: Grant $974.47 PARK NICOLLET CLINIC MEADOWBROOK 3931 LOUISIANA AVENUE SOUTH PHYSICIAN ST LOUIS PARK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program FAMILY MEDICINE UMMC FAIRVIEW Friday, December 03, 2010 Eligible FTEs 0.0057 Grant $372.32 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site FAMILY PRACTICE - METHODIST 0.1175 $7,675.07 NURSE MIDWIFERY 1.0000 $17,965.59 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PARK NICOLLET CLINIC MEADOWBROOK - Total Site Name / Provider Type: Location: $26,012.98 PARK NICOLLET CLINIC AIRPORT 7550 34TH AVE S $26,012.98 PHYSICIAN MINNEAPOLIS Sponsoring Institution REGIONS HOSPITAL Eligible FTEs Teaching Program PREVENTIVE MEDICINE 0.2039 REGIONS HOSPITAL $132.15 $132.15 PARK NICOLLET CLINIC SHAKOPEE 1515 ST FRANCIS AVE $132.15 TOTAL PARK NICOLLET CLINIC AIRPORT - Total Site Name / Provider Type: Location: Grant PHYSICIAN SHAKOPEE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0526 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $2,253.90 $2,253.90 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site PARK NICOLLET CLINIC SHAKOPEE - Total Site Name / Provider Type: Location: $2,253.90 PARK NICOLLET CLINIC BROOKDALE 6000 EARLE BROWN DR PHYSICIAN BROOKLYN CENTER Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.3330 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $2,212.26 $2,212.26 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - METHODIST 0.1484 $3,584.50 INTERNAL MEDICINE 0.0614 $1,483.08 MEDICAL SCHOOL 0.8000 $5,361.29 PEDIATRIC 0.1556 $3,758.41 TOTAL $14,187.28 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARK NICOLLET CLINIC BROOKDALE - Total Friday, December 03, 2010 Grant $16,399.54 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: PARK NICOLLET ALEXANDER CENTER 11455 VIKING DR STE 300 PHYSICIAN EDEN PRAIRIE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program DEVELOPMENTAL-BEHAVIORAL PEDIATRICS 0.1214 $1,048.04 FAMILY PRACTICE - METHODIST 0.0340 $293.52 INTERNAL MEDICINE/PEDIATRICS 0.0530 $457.55 PEDIATRIC 0.4407 $3,804.55 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PARK NICOLLET ALEXANDER CENTER - Total Site Name / Provider Type: Location: $5,603.66 $5,603.66 PARK NICOLLET CLINIC MAPLE GROVE 15800 95TH AVE N Grant PHYSICIAN MAPLE GROVE Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.1400 MINNESOTA STATE UNIVERSITY, MANKATO Friday, December 03, 2010 TOTAL Grant $798.50 $798.50 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE/PEDIATRICS 0.0643 $1,333.40 MEDICAL SCHOOL 0.6527 $3,755.33 PEDIATRIC 0.0051 $105.76 TOTAL $5,194.49 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARK NICOLLET CLINIC MAPLE GROVE - Total Site Name / Provider Type: Location: $5,992.99 PARK NICOLLET CLINIC PRIOR LAKE 4670 PARK NICOLLET AVE SE Grant PHYSICIAN PRIOR LAKE Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY PARK NICOLLET CLINIC PRIOR LAKE - Total Friday, December 03, 2010 TOTAL Grant $1,204.81 $1,204.81 $1,204.81 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: PARK NICOLLET METHODIST HOSPITAL HOSPITAL ATTN: BUSINESS OFFICE 6500 EXCELSIOR BLVD ST LOUIS PARK Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 1.0000 AUGSBURG COLLEGE TOTAL Grant $13,861.52 $13,861.52 Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 0.2500 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $3,423.76 $3,423.76 Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Teaching Program Eligible FTEs Grant CRITICAL CARE MEDICINE -- I 0.7234 $36,020.12 INTERNAL MEDICINE 0.1053 $5,243.18 PODIATRY 0.1080 $5,377.62 TOTAL $46,640.93 HENNEPIN COUNTY MEDICAL CENTER Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs PREVENTIVE MEDICINE 0.0038 REGIONS HOSPITAL Friday, December 03, 2010 TOTAL Grant $189.21 $189.21 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3500 ST. CATHERINE UNIVERSITY TOTAL Grant $4,793.27 $4,793.27 Sponsoring Institution TRIA ORTHOPAEDIC RESEARCH INSTITUTE Eligible FTEs Teaching Program TRIA ORTHOPAEDIC RESEARCH INSTITUTE 0.3840 TRIA ORTHOPAEDIC RESEARCH INSTITUTE TOTAL Grant $19,120.44 $19,120.44 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant CARDIOVASCULAR DISEASE FELLOWSHIP 0.8115 $40,406.87 FAMILY MEDICINE MANKATO RESIDENCY 0.5565 $27,709.70 FAMILY MEDICINE UMMC FAIRVIEW 0.4125 $20,539.54 FAMILY PRACTICE - METHODIST 8.6427 $430,344.39 FAMILY PRACTICE - ST JOSEPH'S 0.0536 $2,668.90 HAND FELLOWSHIP 0.0153 $761.83 INFECTIOUS DISEASES FELLOWSHIP 0.0064 $318.67 MEDICAL SCHOOL 8.1316 $112,337.98 OBSTETRICS AND GYNECOLOGIC ONCOLOGY FELLOWSHIP 0.1207 $6,009.99 OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH 2.3026 $114,652.94 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site ORTHOPAEDIC SURGERY 0.0355 $1,767.65 OTOLARYNGOLOGY 0.0422 $2,101.26 PEDIATRIC 0.1862 $9,271.42 PULMONARY/CRITICAL CARE FELLOWSHIP 0.3027 $15,072.29 SURGERY 3.3781 $168,205.12 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PARK NICOLLET METHODIST HOSPITAL - Total Site Name / Provider Type: Location: $1,040,197.69 PARK NICOLLET CLINIC SHAKOPEE 1415 ST FRANCIS AVE $952,168.55 PHYSICIAN SHAKOPEE Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.0300 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $126.14 $126.14 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.4100 MINNESOTA STATE UNIVERSITY, MANKATO Friday, December 03, 2010 TOTAL Grant $1,723.94 $1,723.94 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 1.0200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PARK NICOLLET CLINIC SHAKOPEE - Total Site Name / Provider Type: Location: $4,288.83 $4,288.83 $6,138.91 PARK NICOLLET CLINIC CARLSON 15111 TWELVE OAKS CTR DR Grant PHYSICIAN MINNETONKA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.6948 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PARK NICOLLET CLINIC CARLSON - Total Site Name / Provider Type: Location: $13,164.42 $13,164.42 $13,164.42 PARK NICOLLET CLINIC MINNEAPOLIS 2001 BLAISDELL AVE Grant PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant CLINICAL NURSE SPECIALIST 0.3900 $11,721.62 FAMILY PRACTICE - METHODIST 0.0035 $382.47 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site MEDICAL SCHOOL 0.0316 $958.07 NURSE PRACTITIONER 0.2500 $7,513.86 TOTAL $20,576.02 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARK NICOLLET CLINIC MINNEAPOLIS - Total Site Name / Provider Type: Location: $20,576.02 PARK NICOLLET PHARMACY 300 LAKE DR E PHARMACY CHANHASSEN Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PARK NICOLLET PHARMACY - Total Site Name / Provider Type: Location: $1,757.65 $1,757.65 $1,757.65 PARK NICOLLET CLINIC HOPKINS 47 9TH AVE S Grant PHYSICIAN HOPKINS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.8300 METROPOLITAN STATE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $4,893.91 $4,893.91 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site PARK NICOLLET CLINIC HOPKINS - Total Site Name / Provider Type: Location: $4,893.91 PARK NICOLLET CLINIC CHANHASSEN 300 LAKE DR E PHYSICIAN CHANHASSEN Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.3330 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $1,983.09 $1,983.09 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - METHODIST 0.0151 $326.95 NURSE PRACTITIONER 0.3800 $2,262.99 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PARK NICOLLET CLINIC CHANHASSEN - Total Site Name / Provider Type: Location: $2,589.94 $4,573.03 PARK NICOLLET CLINIC TRIA 8100 NORTHLAND DR Grant PHYSICIAN MINNEAPOLIS Sponsoring Institution TRIA ORTHOPAEDIC RESEARCH INSTITUTE Teaching Program TRIA ORTHOPAEDIC RESEARCH INSTITUTE Friday, December 03, 2010 Eligible FTEs 0.9000 Grant $6,513.07 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site TRIA ORTHOPAEDIC RESEARCH INSTITUTE TOTAL $6,513.07 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - METHODIST 0.0674 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $487.76 TOTAL PARK NICOLLET CLINIC TRIA - Total Site Name / Provider Type: Location: Grant $487.76 $7,000.82 PARK NICOLLET CLINIC BLOOMINGTON PHYSICIAN STE 100 5320 HYLAND GREENS DR BLOOMINGTON Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - METHODIST 0.1901 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PARK NICOLLET CLINIC BLOOMINGTON - Total Site Name / Provider Type: Location: $3,314.28 $3,314.28 $3,314.28 PARK NICOLLET CLINIC WAYZATA 250 CENTRAL AVE N Grant PHYSICIAN WAYZATA Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program NURSE PRACTITIONER Friday, December 03, 2010 Eligible FTEs 0.5000 Grant $3,280.08 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site METROPOLITAN STATE UNIVERSITY TOTAL PARK NICOLLET CLINIC WAYZATA - Total Site Name / Provider Type: Location: $3,280.08 PARK NICOLLET CLINIC PLYMOUTH 3007 HARBOR LN N $3,280.08 PHYSICIAN PLYMOUTH Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $748.48 $748.48 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.0105 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL Grant $15.86 $15.86 Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.3600 WINONA STATE UNIVERSITY PARK NICOLLET CLINIC PLYMOUTH - Total Friday, December 03, 2010 TOTAL Grant $538.90 $538.90 $1,303.24 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: PARK NICOLLET CLINIC CREEKSIDE PHYSICIAN STE 160 6600 EXCELSIOR BLVD ST LOUIS PARK Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Eligible FTEs Teaching Program SPORTS MEDICINE [FP] Grant 0.0714 HENNEPIN COUNTY MEDICAL CENTER $35.10 TOTAL $35.10 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - METHODIST 4.3133 $2,120.15 MEDICAL SCHOOL 0.3842 $52.40 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PARK NICOLLET CLINIC CREEKSIDE - Total Site Name / Provider Type: Location: $2,172.54 $2,207.64 PARK NICOLLET CLINIC EAGAN 1885 PLAZA DR Grant PHYSICIAN EAGAN Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE Friday, December 03, 2010 TOTAL Grant $148.68 $148.68 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER Grant 1.0000 METROPOLITAN STATE UNIVERSITY $587.56 TOTAL $587.56 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING Grant 0.6660 MINNESOTA STATE UNIVERSITY, MANKATO $391.32 TOTAL $391.32 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.8842 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $524.07 TOTAL PARK NICOLLET CLINIC EAGAN - Total Site Name / Provider Type: Grant $524.07 $1,651.63 PARK NICOLLET CLINIC BURNSVILLE PHYSICIAN Location: 14000 FAIRVIEW DR BURNSVILLE Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 1.1300 AUGSBURG COLLEGE Friday, December 03, 2010 TOTAL Grant $9,982.73 $9,982.73 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.6900 ST. CATHERINE UNIVERSITY TOTAL Grant $6,022.44 $6,022.44 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOSEPH'S 0.1741 $5,524.91 NURSE PRACTITIONER 0.2500 $2,182.04 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PARK NICOLLET CLINIC BURNSVILLE - Total Site Name / Provider Type: Location: $7,706.96 $23,712.13 METHODIST HOSPITAL PHARMACY 6490 EXCELSIOR BLVD Grant PHARMACY ST LOUIS PARK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 1.8900 UNIVERSITY OF MN ACADEMIC HEALTH CENTER METHODIST HOSPITAL PHARMACY - Total Friday, December 03, 2010 TOTAL Grant $2,583.71 $2,583.71 $2,583.71 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: PARK NICOLLET CLINICS 3800 PARK NICOLLET BLVD PHYSICIAN ST LOUIS PARK Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.5000 AUGSBURG COLLEGE TOTAL Grant $6,434.35 $6,434.35 Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Teaching Program Eligible FTEs PSYCHIATRY 0.0818 HENNEPIN COUNTY MEDICAL CENTER TOTAL Grant $3,781.32 $3,781.32 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.8600 METROPOLITAN STATE UNIVERSITY TOTAL Grant $10,934.18 $10,934.18 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $2,034.27 $2,034.27 Sponsoring Institution REGIONS HOSPITAL Teaching Program PREVENTIVE MEDICINE Friday, December 03, 2010 Eligible FTEs 0.0076 Grant $351.32 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site REGIONS HOSPITAL TOTAL $351.32 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program ALLERGY AND IMMUNOLOGY RESIDENCY 0.1618 $7,479.44 DERMATOLOGY 1.4274 $65,983.65 DIAGNOSTIC RADIOLOGY 0.0779 $3,601.04 FAMILY PRACTICE - METHODIST 0.5017 $23,191.82 FAMILY PRACTICE - ST JOSEPH'S 0.0256 $1,183.40 MEDICAL SCHOOL 3.6421 $46,711.78 NURSE PRACTITIONER 1.4100 $17,926.97 PEDIATRIC 0.0356 $1,645.66 TOTAL $167,723.76 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARK NICOLLET CLINICS - Total Site Name / Provider Type: Location: $191,259.21 TRIA ORTHOPAEDIC CENTER ASC LLC 8100 NORTHLAND DR Grant AMBULATORY SURGERY CENTER BLOOMINGTON Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program HAND FELLOWSHIP Friday, December 03, 2010 Eligible FTEs 0.3395 Grant $280.11 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site MEDICAL SCHOOL 1.7895 $409.64 ORTHOPAEDIC SURGERY 1.4975 $1,235.52 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TRIA ORTHOPAEDIC CENTER ASC LLC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $1,925.26 $1,925.26 $1,388,114.13 PARK NICOLLET 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PARKVIEW MEDICAL CLINIC 1400 1ST ST NE NEW PRAGUE Site Name / Provider Type: Location: 56071 PARKVIEW MEDICAL CLINIC 1400 1ST ST NE PHYSICIAN NEW PRAGUE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP SUMMER UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARKVIEW MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0400 TOTAL Grant $1,260.49 $1,260.49 $1,260.49 $1,260.49 PARKVIEW MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PARTNERS IN PEDIATRICS LDT 12370 BASS LAKE ROAD MAPLE GROVE Site Name / Provider Type: Location: 55369 PARTNERS IN PEDIATRICS ROGERS 13980 NORTHDALE BLVD PHYSICIAN ROGERS Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.1000 ST. CATHERINE UNIVERSITY PARTNERS IN PEDIATRICS ROGERS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,284.49 $1,284.49 $1,284.49 $1,284.49 PARTNERS IN PEDIATRICS LDT 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PARTNERS IN PEDIATRICS LTD 12730 BASS LAKE RD MAPLE GROVE Site Name / Provider Type: Location: 55369 PARTNERS IN PEDIATRICS LTD 12730 BASS LAKE RD PHYSICIAN MAPLE GROVE Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.2600 ST. CATHERINE UNIVERSITY TOTAL Grant $3,339.67 $3,339.67 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.1579 $2,045.97 PEDIATRIC 0.0701 $3,273.79 PEDIATRIC CARDIOLOGY FELLOWSHIP 0.0633 $2,956.22 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARTNERS IN PEDIATRICS LTD - Total Friday, December 03, 2010 Grant TOTAL $8,275.98 $11,615.65 PARTNERS IN PEDIATRICS LTD 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: PARTNERS IN PEDIATRICS MINNEAPOLIS PHYSICIAN 3145 HENNEPIN AVENUE MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.0211 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $273.40 TOTAL PARTNERS IN PEDIATRICS MINNEAPOLIS - Total Site Name / Provider Type: Location: Grant $273.40 $273.40 PARTNERS IN PEDIATRICS BROOKLYN PARK PHYSICIAN 8500 EDINBROOK PARKWAY BROOKLYN PARK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0105 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARTNERS IN PEDIATRICS BROOKLYN PARK - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $136.05 $136.05 $136.05 $12,025.10 PARTNERS IN PEDIATRICS LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PARTNERS IN PEDIATRICS, LTD 12730 BASS LAKE ROAD MAPLE GROVE Site Name / Provider Type: Location: 55369 PARTNERS IN PEDIATRICS PLYMOUTH PHYSICIAN 2855 CAMPUS DRIVE STE 350 PLYMOUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.2000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARTNERS IN PEDIATRICS PLYMOUTH - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,591.47 $2,591.47 $2,591.47 $2,591.47 PARTNERS IN PEDIATRICS, LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PARTNERS IN PEDIATRICS, LTD. 12730 BASS LAKE RD MAPLE GROVE Site Name / Provider Type: Location: 55369 PARTNERS IN PEDIATRICS ROGERS 13980 NORTHDALE BLVD PHYSICIAN ROGERS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0211 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARTNERS IN PEDIATRICS ROGERS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $273.40 $273.40 $273.40 $273.40 PARTNERS IN PEDIATRICS, LTD. 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PARTNERS OBSTETRICS AND GYNECOLOGY PA 1737 BEAM AVE MAPLEWOOD Site Name / Provider Type: Location: 55109 PARTNERS OBSTETRICS AND GYNECOLOGY PA 1737 BEAM AVE PHYSICIAN MAPLEWOOD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S 0.0207 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PARTNERS OBSTETRICS AND GYNECOLOGY PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,445.70 $4,445.70 $4,445.70 $4,445.70 PARTNERS OBSTETRICS AND GYNECOLOGY PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PATIENT CENTERED CARE LLC 238 WENTWORTH AVE E WEST ST PAUL Site Name / Provider Type: Location: 55118 PATIENT CENTERED CARE LLC 238 WENTWORTH AVE E BILL ENTITY FOR PHYSICIAN SVCS WEST ST PAUL Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE PATIENT CENTERED CARE LLC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $60.76 $60.76 $60.76 $60.76 PATIENT CENTERED CARE LLC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PAYNESVILLE AREA HOSP KORONIS 200 W 1ST ST PAYNESVILLE Site Name / Provider Type: Location: 56362 PAYNESVILLE AREA HOSP KORONIS 200 W 1ST ST HOSPITAL PAYNESVILLE Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE TOTAL Grant $1,509.42 $1,509.42 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY 0.6700 $6,619.80 PHARMACY PRACTICE 1.0000 $20,014.50 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PAYNESVILLE AREA HOSP KORONIS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $26,634.30 $28,143.72 $28,143.72 PAYNESVILLE AREA HOSP KORONIS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PAYNESVILLE AREA MEDICAL CLINIC 200 1ST ST W PAYNESVILLE Site Name / Provider Type: Location: 56362 PAYNESVILLE AREA MEDICAL CLINIC 200 1ST ST W PHYSICIAN PAYNESVILLE Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.0100 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $31.82 $31.82 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0000 $3,209.77 PRECEPTORSHIP II 0.0600 $192.59 TOTAL $3,402.36 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PAYNESVILLE AREA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $3,434.18 $3,434.18 PAYNESVILLE AREA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PEDIATRIC AND YOUNG ADULT MEDICINE 233 GRAND AVE ST PAUL Site Name / Provider Type: Location: 55102 PEDIATRIC AND YOUNG ADULT MEDICINE 233 GRAND AVE PHYSICIAN ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S 0.0295 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL PEDIATRIC AND YOUNG ADULT MEDICINE - Total Site Name / Provider Type: Location: $3,028.87 $3,028.87 $3,028.87 PEDIATRIC AND YOUNG ADULT MEDICINE, MAPLEWOOD 1655 BEAM AVENUE NO.108 Grant PHYSICIAN MAPLEWOOD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0632 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $1,800.36 $1,800.36 PEDIATRIC AND YOUNG ADULT MEDICINE 2010 MERC / PMAP Grant by Training Site PEDIATRIC AND YOUNG ADULT MEDICINE, MAPLEWOOD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $1,800.36 $4,829.24 PEDIATRIC AND YOUNG ADULT MEDICINE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PEDIATRIC ENT ASSOCIATES 910 E 26TH ST #323 MINNEAPOLIS Site Name / Provider Type: Location: 55404 PEDIATRIC ENT ASSOCIATES 910 E 26TH ST #323 PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs OTOLARYNGOLOGY 0.1127 $3,694.62 PEDIATRIC 0.0541 $1,773.55 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PEDIATRIC ENT ASSOCIATES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $5,468.17 $5,468.17 $5,468.17 PEDIATRIC ENT ASSOCIATES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PEDIATRIC SURGICAL ASSOCS LTD 7710 COMPUTER AVE SUITE 110 EDINA Site Name / Provider Type: Location: 55435 PEDIATRIC SURGICAL ASSOCS LTD PHYSICIAN 7710 COMPUTER AVE SUITE 110 EDINA Sponsoring Institution MAYO CLINIC Eligible FTEs Teaching Program UROLOGY 0.1000 MAYO CLINIC TOTAL PEDIATRIC SURGICAL ASSOCS LTD - Total Site Name / Provider Type: Location: Grant $16,896.69 $16,896.69 $16,896.69 PEDIATRIC SURGICAL ASSOCS LTD PHYSICIAN CHILDREN'S MINNEAPOLIS 2530 CHICAGO AVE S STE 550 MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0316 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $1,481.40 $1,481.40 PEDIATRIC SURGICAL ASSOCS LTD 2010 MERC / PMAP Grant by Training Site PEDIATRIC SURGICAL ASSOCS LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $1,481.40 $18,378.09 PEDIATRIC SURGICAL ASSOCS LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PEQUOT LAKES CLINIC 4317 W WOODMAN ST PO BOX 356 PEQUOT LAKES Site Name / Provider Type: Location: 56472 PEQUOT LAKES CLINIC PHYSICIAN 4317 W WOODMAN ST PO BOX 356 PEQUOT LAKES Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP II 0.0600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PEQUOT LAKES CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $327.06 $327.06 $327.06 $327.06 PEQUOT LAKES CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PERHAM MEMORIAL HOSPITAL AND HOME 665 3RD ST SW PERHAM Site Name / Provider Type: Location: 56573 PERHAM MEMORIAL HOSPITAL AND HOME 665 3RD ST SW PHARMACY PERHAM Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PERHAM MEMORIAL HOSPITAL AND HOME - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,983.14 $1,983.14 $1,983.14 $1,983.14 PERHAM MEMORIAL HOSPITAL AND HOME 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PHS INDIAN HOSPITAL 425 7TH ST NW CASS LAKE Site Name / Provider Type: Location: 56633 PHS INDIAN HOSPITAL 425 7TH ST NW INDIAN HEALTH FACILITY CASS LAKE Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.7000 COLLEGE OF ST. SCHOLASTICA PHS INDIAN HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $21,655.07 $21,655.07 $21,655.07 $21,655.07 PHS INDIAN HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PHYSICIANS NECK AND BACK CLINIC PA STE 200 3050 CENTRE POINTE DR ROSEVILLE Site Name / Provider Type: Location: 55113 PHYSICIANS NECK AND BACK CLINIC PA PHYSICIAN STE 200 3050 CENTRE POINTE DR ROSEVILLE Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs PREVENTIVE MEDICINE 0.0194 REGIONS HOSPITAL PHYSICIANS NECK AND BACK CLINIC PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $394.04 $394.04 $394.04 $394.04 PHYSICIANS NECK AND BACK CLINIC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PINE MEDICAL CENTER 109 COURT AVE S SANDSTONE Site Name / Provider Type: Location: 55072 PINE MEDICAL CENTER 109 COURT AVE S HOSPITAL SANDSTONE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.4400 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PINE MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $37,898.78 $37,898.78 $37,898.78 $37,898.78 PINE MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PLANNED PARENTHOOD MINNESOTA, ETC. ATTN: PHYLLIS WIENER 1965 FORD PARKWAY ST. PAUL Site Name / Provider Type: Location: 55116 PPMNS MINNEAPOLIS 1200 LAGOON AVE FAMILY PLANNING AGENCY MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs NURSE MIDWIFERY 0.0100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PPMNS MINNEAPOLIS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $66.85 $66.85 $66.85 $66.85 PLANNED PARENTHOOD MINNESOTA, ETC. 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PLANNED PARENTHOOD OF MN/ND/SD ATTN: PHYLLIS WIENER 1965 FORD PARKWAY ST PAUL Site Name / Provider Type: Location: 55116 PPMNS MINNEAPOLIS 1200 LAGOON AVE FAMILY PLANNING AGENCY MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.8800 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PPMNS MINNEAPOLIS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $5,883.04 $5,883.04 $5,883.04 $5,883.04 PLANNED PARENTHOOD OF MN/ND/SD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PPMNS HIGHLAND 1965 FORD PKWY ST PAUL Site Name / Provider Type: Location: 55116 PPMNS HIGHLAND FAMILY PLANNING AGENCY 1965 FORD PKWY ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PEDIATRIC 0.0993 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PPMNS HIGHLAND - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $101,932.89 $101,932.89 $101,932.89 $101,932.89 PPMNS HIGHLAND 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PREFERRED CHIROPRACTIC 3570 LEXINGTON AVENUE N, SUITE 208 ATTN CHERYL SHOREVIEW Site Name / Provider Type: Location: 55126 PREFERRED CHIROPRACTIC CHIROPRACTOR 3570 LEXINGTON AVENUE N, STE. 208 SHOREVIEW Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs PREVENTIVE MEDICINE 0.0158 REGIONS HOSPITAL PREFERRED CHIROPRACTIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $5.98 $5.98 $5.98 $5.98 PREFERRED CHIROPRACTIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PRO PHARMACY 242 CLEVELAND AVE S ST PAUL Site Name / Provider Type: Location: 55105 PRO PHARMACY 242 CLEVELAND AVE S PHARMACY ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.4400 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PRO PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,523.32 $1,523.32 $1,523.32 $1,523.32 PRO PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PROGRESSIVE HEALTH CARE OF BEMIDJI 405 BELTRAMI AVE NW STE A BEMIDJI Site Name / Provider Type: Location: 56601 PROGRESSIVE HEALTH CARE OF BEMIDJI 405 BELTRAMI AVE NW STE A PHARMACY BEMIDJI Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER PROGRESSIVE HEALTH CARE OF BEMIDJI - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $14,897.33 $14,897.33 $14,897.33 $14,897.33 PROGRESSIVE HEALTH CARE OF BEMIDJI 2010 MERC / PMAP Grant by Training Site Billing Name and Address: PULMONARY CRIT CARE ST PAUL LUNG CL 225 N SMITH AVE #300 ST PAUL Site Name / Provider Type: Location: 55102 PULMONARY CRIT CARE ST PAUL LUNG CL 225 N SMITH AVE #300 PHYSICIAN ST PAUL Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0445 UNITED HOSPITAL PULMONARY CRIT CARE ST PAUL LUNG CL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $8,117.89 $8,117.89 $8,117.89 $8,117.89 PULMONARY CRIT CARE ST PAUL LUNG CL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: QUEEN OF PEACE HOSPITAL 301 2ND ST NE NEW PRAGUE Site Name / Provider Type: Location: 56071 QUEEN OF PEACE HOSPITAL 301 2ND ST NE HOSPITAL NEW PRAGUE Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA QUEEN OF PEACE HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $33,861.04 $33,861.04 $33,861.04 $33,861.04 QUEEN OF PEACE HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: QUELLO CLINIC LTD 7801 E BUSH LAKE RD STE 300 BLOOMINGTON Site Name / Provider Type: Location: 55439 QUELLO CLINIC LTD PHYSICIAN QUELLO CLINIC LTD 14000 NICOLLET AVE S BURNSVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.0632 $2,773.15 NURSE PRACTITIONER 0.2500 $10,874.52 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL QUELLO CLINIC LTD - Total Site Name / Provider Type: Location: $13,647.68 $13,647.68 QUELLO CLINIC - EDEN PRAIRIE 16570 W 78TH ST Grant PHYSICIAN EDEN PRAIRIE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program MEDICAL SCHOOL Friday, December 03, 2010 Eligible FTEs 0.0632 Grant $262.74 QUELLO CLINIC LTD 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL QUELLO CLINIC - EDEN PRAIRIE - Total Site Name / Provider Type: Location: $262.74 QUELLO CLINIC LTD 7373 FRANCE AVE S STE 202 $262.74 PHYSICIAN EDINA Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE QUELLO CLINIC LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,645.09 $3,645.09 $3,645.09 $17,555.52 QUELLO CLINIC LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RAINY LAKE MEDICAL CENTER BUSINESS OFFICE 1400 HIGHWAY 71 INTL FALLS Site Name / Provider Type: Location: 56649 RAINY LAKE MEDICAL CENTER HOSPITAL BUSINESS OFFICE 1400 HIGHWAY 71 INTL FALLS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RAINY LAKE MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $37,962.20 $37,962.20 $37,962.20 $37,962.20 RAINY LAKE MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RAINY LAKE MEDICAL CENTER CLINIC 2501 KEENAN DR INTL FALLS Site Name / Provider Type: Location: 56649 RAINY LAKE MEDICAL CENTER CLINIC 2501 KEENAN DR PHYSICIAN INTL FALLS Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 2.4200 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $2,383.69 $2,383.69 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP II 0.0600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RAINY LAKE MEDICAL CENTER CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $59.62 $59.62 $2,443.31 $2,443.31 RAINY LAKE MEDICAL CENTER CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RAITER CLINIC LTD 417 SKYLINE BLVD CLOQUET Site Name / Provider Type: Location: 55720 RAITER CLINIC LTD 417 SKYLINE BLVD PHYSICIAN CLOQUET Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP I 0.1820 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RAITER CLINIC LTD - Total TOTAL Grant $7,533.39 $7,533.39 $7,533.39 TOTAL GRANT TO BILLING ADDRESS $7,533.39 Friday, December 03, 2010 RAITER CLINIC LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RAMSEY COUNTY MENTAL HEALTH CENTER ATTN: KIRK FOWLER 160 EAST KELLOGG BLVD, STE. 8200 ST. PAUL Site Name / Provider Type: Location: 55101 RAMSEY COUNTY MENTAL HEALTH CTR COMMUNITY MENTAL HEALTH CENTER 1919 UNIVERSITY W STE 200 ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 1.0200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RAMSEY COUNTY MENTAL HEALTH CTR - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $24,109.54 $24,109.54 $24,109.54 $24,109.54 RAMSEY COUNTY MENTAL HEALTH CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RANGE MENTAL HEALTH CENTER INC 3203 W 3RD AVE HIBBING Site Name / Provider Type: Location: 55746 RANGE MENTAL HEALTH CENTER INC 3203 W 3RD AVE CHEMICAL HEALTH HIBBING Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.0700 COLLEGE OF ST. SCHOLASTICA RANGE MENTAL HEALTH CENTER INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $194.93 $194.93 $194.93 $194.93 RANGE MENTAL HEALTH CENTER INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RED WING CORNER DRUG 401 W 3RD ST RED WING Site Name / Provider Type: Location: 55066 RED WING CORNER DRUG 401 W 3RD ST PHARMACY RED WING Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.5600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RED WING CORNER DRUG - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $25,360.41 $25,360.41 $25,360.41 $25,360.41 RED WING CORNER DRUG 2010 MERC / PMAP Grant by Training Site Billing Name and Address: REGINA MEDICAL CENTER 1175 NININGER RD HASTINGS Site Name / Provider Type: Location: 55033 REGINA MEDICAL CENTER 1175 NININGER RD HOSPITAL HASTINGS Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.5000 AUGSBURG COLLEGE TOTAL Grant $26,113.87 $26,113.87 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.1263 UNIVERSITY OF MN ACADEMIC HEALTH CENTER REGINA MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $58,626.64 $58,626.64 $84,740.51 $84,740.51 REGINA MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: REGIONS HOSPITAL ATTN: RICK ROBERTS, MAIL STATION 11603A 690 ROBERTS STREET, ROOM 3004 ST PAUL Site Name / Provider Type: Location: 55101 HEALTHPARTNERS HOSPICE OF THE LAKES HOSPICE 8170 33RD AVE S PO BOX 1309 MINNEAPOLIS Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5600 COLLEGE OF ST. SCHOLASTICA TOTAL HEALTHPARTNERS HOSPICE OF THE LAKES - Total Site Name / Provider Type: Location: Grant $55,332.63 $55,332.63 $55,332.63 RIVERWAY CLINICS-ELK RIVER PHYSICIAN 530 3RD ST NW ELK RIVER UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Sponsoring Institution Eligible FTEs NURSE PRACTITIONER UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 0.2500 TOTAL Grant $3,688.20 $3,688.20 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site RIVERWAY CLINICS-ELK RIVER - Total Site Name / Provider Type: Location: $3,688.20 NS LINO LAKES FP PHYSICIAN 576 APOLLO DR LINO LAKES Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S 0.0072 $117.39 MEDICAL SCHOOL 0.0632 $285.89 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL NS LINO LAKES FP - Total Site Name / Provider Type: Location: $403.29 $403.29 RIVERWAY CLINICS-ANOKA 1833 2ND AVE S Grant PHYSICIAN ANOKA Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $5,573.87 $5,573.87 Sponsoring Institution REGIONS HOSPITAL Teaching Program PREVENTIVE MEDICINE Friday, December 03, 2010 Eligible FTEs 0.0040 Grant $162.13 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site REGIONS HOSPITAL TOTAL $162.13 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.0632 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $710.71 $6,446.71 NS ROSEVILLE FP 2831 SNELLING AVE N $710.71 TOTAL RIVERWAY CLINICS-ANOKA - Total Site Name / Provider Type: Location: Grant PHYSICIAN ROSEVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.1895 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $689.71 $689.71 REGIONS HOSPITAL OUTPATIENT PHARM 640 JACKSON ST $689.71 TOTAL NS ROSEVILLE FP - Total Site Name / Provider Type: Location: Grant PHARMACY ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program PHARMACY Friday, December 03, 2010 Eligible FTEs 3.2200 Grant $56,225.86 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL REGIONS HOSPITAL OUTPATIENT PHARM - Total Site Name / Provider Type: Location: $56,225.86 $56,225.86 HEALTHPARTNERS GERIATRICS PHYSICIAN 8100 34TH AVE S PO BOX 1309 BLOOMINGTON Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 2.7800 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHPARTNERS GERIATRICS - Total Site Name / Provider Type: Location: $18,020.34 $18,020.34 $18,020.34 HEALTHPARTNERS MIDWAY CLINIC 451 DUNLAP ST N Grant PHYSICIAN ST PAUL Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $1,292.45 $1,292.45 Sponsoring Institution REGIONS HOSPITAL Teaching Program PREVENTIVE MEDICINE Friday, December 03, 2010 Eligible FTEs 0.0081 Grant $76.13 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site REGIONS HOSPITAL TOTAL $76.13 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE 0.3103 $2,916.27 INTERNAL MEDICINE/PEDIATRICS 1.9319 $18,156.42 MEDICAL SCHOOL 0.0105 $27.38 PEDIATRIC 0.0522 $490.59 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHPARTNERS MIDWAY CLINIC - Total Site Name / Provider Type: Location: $21,590.65 $22,959.22 HEALTHPARTNERS WEST 5100 GAMBLE DR STE 100 Grant PHYSICIAN ST LOUIS PARK Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 1.0000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $2,496.41 $2,496.41 Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs PREVENTIVE MEDICINE 0.0261 REGIONS HOSPITAL Friday, December 03, 2010 TOTAL Grant $236.90 $236.90 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0577 $523.71 INFECTIOUS DISEASES FELLOWSHIP 0.0030 $27.23 INTERNAL MEDICINE 0.0595 $540.05 NURSE PRACTITIONER 0.3500 $873.74 PHARMACY 0.8900 $1,913.62 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHPARTNERS WEST - Total Site Name / Provider Type: Location: $3,878.36 $6,611.67 HEALTHPARTNERS RIVERSIDE 2220 RIVERSIDE AVE S Grant PHYSICIAN MINNEAPOLIS Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs PREVENTIVE MEDICINE 0.6087 REGIONS HOSPITAL TOTAL Grant $26,901.52 $26,901.52 Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.3100 ST. CATHERINE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $3,768.19 $3,768.19 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.3369 $4,131.03 NURSE PRACTITIONER 0.1100 $1,337.10 PEDIATRIC 0.0725 $3,204.14 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHPARTNERS RIVERSIDE - Total Site Name / Provider Type: Location: $8,672.27 $39,341.97 HEALTHPARTNERS ARDEN HILLS 3930 NORTHWOODS DR Grant PHYSICIAN ARDEN HILLS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.2500 METROPOLITAN STATE UNIVERSITY TOTAL Grant $1,480.60 $1,480.60 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHPARTNERS ARDEN HILLS - Total Friday, December 03, 2010 0.2500 TOTAL Grant $1,480.60 $1,480.60 $2,961.20 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: HEALTHPARTNERS BLOOMINGTON 8600 NICOLLET AVE PHYSICIAN BLOOMINGTON Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.4800 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $4,918.93 $4,918.93 Sponsoring Institution REGIONS HOSPITAL Eligible FTEs Teaching Program PREVENTIVE MEDICINE 0.0213 REGIONS HOSPITAL TOTAL Grant $793.62 $793.62 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE/PEDIATRICS 0.0043 $160.21 MEDICAL SCHOOL 0.0211 $218.12 NURSE PRACTITIONER 0.2500 $2,561.94 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHPARTNERS BLOOMINGTON - Total Friday, December 03, 2010 Grant TOTAL $2,940.28 $8,652.83 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: HEALTHPARTNERS BROOKLYN CENTER 6845 LEE AVE N PHYSICIAN BROOKLYN CENTER Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE TOTAL Grant $1,918.30 $1,918.30 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $3,790.53 $3,790.53 Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.4300 ST. CATHERINE UNIVERSITY TOTAL Grant $3,259.86 $3,259.86 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.2947 $2,253.70 NURSE PRACTITIONER 0.2500 $1,895.27 PEDIATRIC 0.0015 $41.35 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Grant TOTAL $4,190.31 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site HEALTHPARTNERS BROOKLYN CENTER - Total Site Name / Provider Type: Location: $13,159.01 HEALTHPARTNERS COMO 2500 COMO AVE PHYSICIAN ST PAUL Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.8100 ST. CATHERINE UNIVERSITY TOTAL Grant $2,182.75 $2,182.75 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE 0.1503 $1,472.59 INTERNAL MEDICINE/PEDIATRICS 0.1618 $1,585.26 MEDICAL SCHOOL 0.1579 $429.23 NURSE PRACTITIONER 1.1300 $3,045.08 PEDIATRIC 0.1648 $1,614.66 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHPARTNERS COMO - Total Friday, December 03, 2010 Grant TOTAL $8,146.81 $10,329.57 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: HEALTHPARTNERS COON RAPIDS 11475 ROBINSON DR PHYSICIAN COON RAPIDS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.2500 METROPOLITAN STATE UNIVERSITY TOTAL Grant $2,249.25 $2,249.25 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.6616 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHPARTNERS COON RAPIDS - Total Site Name / Provider Type: Location: $6,004.55 $6,004.55 $8,253.81 HEALTHPARTNERS INVER GROVE HEIGHTS 5625 CENEX DR Grant PHYSICIAN INVERGROVE HEIGHTS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $2,257.82 $2,257.82 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.1263 $575.32 PEDIATRIC 0.1720 $2,823.91 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHPARTNERS INVER GROVE HEIGHTS - Total Site Name / Provider Type: Location: Grant $5,657.05 HEALTHPARTNERS MAPLEWOOD 2165 WHITE BEAR AVE $3,399.23 PHYSICIAN MAPLEWOOD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 1.0000 $2,428.01 INTERNAL MEDICINE 0.0781 $689.45 INTERNAL MEDICINE/PEDIATRICS 0.1625 $1,434.52 MEDICAL SCHOOL 0.8527 $2,088.50 PEDIATRIC 0.1579 $1,393.91 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHPARTNERS MAPLEWOOD - Total Friday, December 03, 2010 Grant TOTAL $8,034.40 $8,034.40 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: HEALTHPARTNERS WHITE BEAR LAKE 1430 HIGHWAY 96 E PHYSICIAN WHITE BEAR LAKE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE 0.1116 $1,408.47 MEDICAL SCHOOL 0.0421 $147.42 NURSE PRACTITIONER 0.6100 $2,117.43 PEDIATRIC 0.0029 $36.60 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHPARTNERS WHITE BEAR LAKE - Total Site Name / Provider Type: Location: $3,709.91 $3,709.91 HEALTHPARTNERS WOODBURY 8450 SEASONS PKWY Grant PHYSICIAN WOODBURY Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.1400 ST. CATHERINE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $2,848.63 $2,848.63 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.2105 $4,320.63 PEDIATRIC 0.0202 $1,494.39 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHPARTNERS WOODBURY - Total Site Name / Provider Type: Location: $5,815.02 $8,663.66 HEALTHPARTNERS ST PAUL 205 WABASHA ST S Grant PHYSICIAN ST PAUL Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.9200 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $5,451.48 $5,451.48 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $2,962.76 $2,962.76 Sponsoring Institution REGIONS HOSPITAL Friday, December 03, 2010 Teaching Program Eligible FTEs Grant MEDICAL TOXICOLOGY 0.0004 $8.62 PREVENTIVE MEDICINE 0.5447 $11,735.11 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site REGIONS HOSPITAL TOTAL $11,743.73 Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER Grant 0.1400 ST. CATHERINE UNIVERSITY $829.57 TOTAL $829.57 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.5000 $2,962.76 INTERNAL MEDICINE 0.2281 $4,914.23 INTERNAL MEDICINE/PEDIATRICS 0.0633 $1,363.75 MEDICAL SCHOOL 0.0211 $126.12 NURSE PRACTITIONER 0.5000 $2,962.76 TOTAL $12,329.62 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHPARTNERS ST PAUL - Total Site Name / Provider Type: Location: $33,317.17 HEALTHPARTNERS SPECIALTY CENTER 401 PHALEN BLVD Grant PHYSICIAN ST PAUL Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program NURSE PRACTITIONER Friday, December 03, 2010 Eligible FTEs 0.3000 Grant $256.11 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site COLLEGE OF ST. SCHOLASTICA TOTAL $256.11 Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Teaching Program Eligible FTEs SPORTS MEDICINE [FP] 0.0430 HENNEPIN COUNTY MEDICAL CENTER TOTAL Grant $133.47 $133.47 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $426.85 $426.85 Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs Grant PODIATRY 0.5837 $1,811.75 PREVENTIVE MEDICINE 0.1022 $317.22 TOTAL $2,128.97 REGIONS HOSPITAL Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.9300 ST. CATHERINE UNIVERSITY TOTAL Grant $793.94 $793.94 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant FAMILY PRACTICE - ST JOHN'S 0.0234 $72.63 GERIATRIC MEDICINE 0.5658 $1,756.19 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site HAND FELLOWSHIP 0.1615 $501.28 HEMATOLOGY AND ONCOLOGY FELLOWSHIP 0.0750 $232.79 INFECTIOUS DISEASES FELLOWSHIP 0.0820 $254.52 INTERNAL MEDICINE 5.3346 $16,558.08 INTERNAL MEDICINE/PEDIATRICS 1.3744 $4,266.00 OPHTHALMOLOGY 1.3017 $4,040.35 ORTHOPAEDIC SURGERY 0.6367 $1,976.25 PHYSICAL MEDICINE AND REHABILITATION 0.9199 $2,855.28 PLASTIC SURGERY 0.0206 $63.94 PULMONARY/CRITICAL CARE FELLOWSHIP 0.0792 $245.83 RHEUMATOLOGY FELLOWSHIP 0.1666 $517.11 SURGERY 0.2346 $728.18 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHPARTNERS SPECIALTY CENTER - Total Friday, December 03, 2010 TOTAL $34,068.44 $37,807.77 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: HEALTHPARTNERS SPECIALTY CLINIC 435 435 PHALEN BLVD PHYSICIAN ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE MIDWIFERY 0.2300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHPARTNERS SPECIALTY CLINIC 435 - Total Site Name / Provider Type: Location: $21,379.06 $21,379.06 $21,379.06 REGIONS HOSPITAL 640 JACKSON ST Grant HOSPITAL ST PAUL Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 2.7500 AUGSBURG COLLEGE TOTAL Grant $29,925.73 $29,925.73 Sponsoring Institution HENNEPIN COUNTY MEDICAL CENTER Teaching Program Grant EMERGENCY MEDICINE 0.3230 $12,626.13 FAMILY PRACTICE 0.0394 $1,540.15 10.5722 $413,269.34 PSYCHIATRY Friday, December 03, 2010 Eligible FTEs REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site HENNEPIN COUNTY MEDICAL CENTER TOTAL $427,435.63 Sponsoring Institution MAYO CLINIC Eligible FTEs Teaching Program MEDICAL SCHOOL 0.0800 MAYO CLINIC TOTAL Grant $867.64 $867.64 Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.2500 METROPOLITAN STATE UNIVERSITY TOTAL Grant $2,687.85 $2,687.85 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MOORHEAD Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.0550 MINNESOTA STATE UNIVERSITY, MOORHEAD TOTAL Grant $591.33 $591.33 Sponsoring Institution REGIONS HOSPITAL Teaching Program Eligible FTEs EMERGENCY MEDICINE 21.4405 $838,113.28 MEDICAL TOXICOLOGY 0.4870 $19,036.92 PODIATRY 2.4455 $95,595.07 PREVENTIVE MEDICINE 0.2004 $7,833.67 TOTAL $960,578.95 REGIONS HOSPITAL Friday, December 03, 2010 Grant REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Eligible FTEs Teaching Program NURSE ANESTHESIA 6.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA TOTAL Grant $64,508.39 $64,508.39 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Grant ADOLESCENT MEDICINE 0.0017 $66.45 ADULT NEUROLOGY 1.8001 $70,366.26 ANESTHESIOLOGY 0.7084 $27,691.49 CLINICAL NURSE SPECIALIST 0.2600 $2,795.36 COLON AND RECTAL SURGERY 0.0179 $699.71 DIAGNOSTIC RADIOLOGY 0.1705 $6,664.88 GASTROENTEROLOGY FELLOWSHIP 0.9156 $35,790.98 GERIATRIC MEDICINE 0.0280 $1,094.53 HAND FELLOWSHIP 0.2156 $8,427.85 HEMATOLOGY AND ONCOLOGY FELLOWSHIP 1.6566 $64,756.81 INFECTIOUS DISEASES FELLOWSHIP 0.0148 $578.53 16.8987 $660,573.45 6.0485 $236,437.03 INTERNAL MEDICINE INTERNAL MEDICINE/PEDIATRICS Friday, December 03, 2010 Eligible FTEs REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site MEDICAL SCHOOL 40.9187 $443,785.92 NEUROSURGERY 0.3218 $12,579.22 NURSE ANESTHESIA 1.8000 $19,352.52 NURSE MIDWIFERY 1.3800 $14,836.93 OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH 8.5456 $334,049.15 OPHTHALMOLOGY 0.5328 $20,827.25 ORAL AND MAXILLOFACIAL SURGERY 0.4000 $16,451.37 ORTHOPAEDIC SURGERY 4.9004 $191,557.58 OTOLARYNGOLOGY 3.6321 $141,979.49 PEDIATRIC 0.0107 $418.27 PEDIATRIC EMERGENCY MEDICINE 0.4065 $15,890.16 PHYSICAL MEDICINE AND REHABILITATION 0.9427 $36,850.33 PLASTIC SURGERY 0.7428 $29,036.20 PMANDR - PEDIATRIC REHABILITATION MEDICINE 0.0150 $586.35 PULMONARY/CRITICAL CARE FELLOWSHIP 2.4783 $96,877.23 RHEUMATOLOGY FELLOWSHIP 0.6668 $26,065.34 10.2717 $401,522.74 SURGERY Friday, December 03, 2010 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site SURGICAL CRITICAL CARE 0.6932 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL REGIONS HOSPITAL - Total Site Name / Provider Type: Location: $2,945,706.70 $4,432,302.22 RIVERWAY CLINICS-ANDOVER 15245 BLUEBIRD ST NW $27,097.32 PHYSICIAN ANDOVER Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 1.0000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $2,411.66 $2,411.66 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0211 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RIVERWAY CLINICS-ANDOVER - Total Friday, December 03, 2010 TOTAL Grant $51.33 $51.33 $2,462.99 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: HEALTHPARTNERS COON RAPIDS PHARMACY 11475 ROBINSON DR NW PHARMACY COON RAPIDS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTHPARTNERS COON RAPIDS PHARMACY - Total Site Name / Provider Type: Location: Grant $4,789.76 $4,789.76 $4,789.76 HEALTHPARTNERS CENTRAL MN CLINICS PHYSICIAN BUSINESS OFFICE 1245 15TH ST N ST CLOUD Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.7500 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $19,641.32 $19,641.32 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHPARTNERS CENTRAL MN CLINICS - Total Friday, December 03, 2010 0.0300 TOTAL Grant $2,856.50 $2,856.50 $22,497.81 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: HEALTH CENTER FOR WOMEN 2635 UNIV AVE W #160 PHYSICIAN ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE 0.0302 $167.08 INTERNAL MEDICINE/PEDIATRICS 0.0162 $89.62 OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH 0.4364 $2,414.33 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL HEALTH CENTER FOR WOMEN - Total Site Name / Provider Type: Location: $2,671.03 $2,671.03 HEALTHPARTNERS CENTRAL REFILL PHARM 9700 W 76TH ST STE A Grant PHARMACY EDEN PRAIRIE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER HEALTHPARTNERS CENTRAL REFILL PHARM - Total Friday, December 03, 2010 TOTAL Grant $3,388.15 $3,388.15 $3,388.15 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $4,839,757.01 REGIONS HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RELF EYE ASSOCIATES PA 5007 MATTERHORN DR DULUTH Site Name / Provider Type: Location: 55811 RELF EYE ASSOCIATES PA 5007 MATTERHORN DR PHYSICIAN DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0800 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RELF EYE ASSOCIATES PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,061.61 $1,061.61 $1,061.61 $1,061.61 RELF EYE ASSOCIATES PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RICE MEMORIAL HOSPITAL 301 BECKER AVE SW WILLMAR Site Name / Provider Type: Location: 56201 RICE MEMORIAL HOSPITAL 301 BECKER AVE SW HOSPITAL WILLMAR Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 1.3200 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $115,653.29 $115,653.29 Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA TOTAL Grant $87,616.13 $87,616.13 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $8,300.94 $8,300.94 RICE MEMORIAL HOSPITAL 2010 MERC / PMAP Grant by Training Site RICE MEMORIAL HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $211,570.37 $211,570.37 RICE MEMORIAL HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RICE REGIONAL DENTAL CLINIC 301 BECKER AVE SW WILLMAR Site Name / Provider Type: Location: 56201 RICE REGIONAL DENTAL CLINIC 301 BECKER AVE SW DENTIST WILLMAR Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs DENTISTRY 2.1000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RICE REGIONAL DENTAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,930.69 $2,930.69 $2,930.69 $2,930.69 RICE REGIONAL DENTAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RICHMOND AREA MEDICAL CLINIC 130 FIRST ST NE PO BOX 250 RICHMOND Site Name / Provider Type: Location: 56368 RICHMOND AREA MEDICAL CLINIC PHYSICIAN 130 FIRST ST NE PO BOX 250 RICHMOND Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 1.0400 COLLEGE OF ST. SCHOLASTICA RICHMOND AREA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $209.38 $209.38 $209.38 $209.38 RICHMOND AREA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RIDGEVIEW CHANHASSEN CLINIC 7907 POWERS BLVD PO BOX 423 CHANHASSEN Site Name / Provider Type: Location: 55317 RIDGEVIEW CHANHASSEN CLINIC PHYSICIAN 7907 POWERS BLVD PO BOX 423 CHANHASSEN Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO RIDGEVIEW CHANHASSEN CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $896.08 $896.08 $896.08 $896.08 RIDGEVIEW CHANHASSEN CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RIDGEVIEW CLINICS - WACONIA 500 S MAPLE ST WACONIA Site Name / Provider Type: Location: 55387 RIDGEVIEW CLINICS - WACONIA 500 S MAPLE ST PHYSICIAN WACONIA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH UNIVERSITY OF MN ACADEMIC HEALTH CENTER RIDGEVIEW CLINICS - WACONIA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0240 TOTAL Grant $886.22 $886.22 $886.22 $886.22 RIDGEVIEW CLINICS - WACONIA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RIDGEVIEW EXCELSIOR CLINIC 675 WATER ST EXCELSIOR Site Name / Provider Type: Location: 55331 RIDGEVIEW EXCELSIOR CLINIC 675 WATER ST PHYSICIAN EXCELSIOR Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $145.90 $145.90 Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.8700 ST. CATHERINE UNIVERSITY RIDGEVIEW EXCELSIOR CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $793.33 $793.33 $939.23 $939.23 RIDGEVIEW EXCELSIOR CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RIDGEVIEW HOWARD LAKE CLINIC 824 6TH ST PO BOX G HOWARD LAKE Site Name / Provider Type: Location: 55349 RIDGEVIEW HOWARD LAKE CLINIC 824 6TH ST PO BOX G PHYSICIAN HOWARD LAKE Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.9500 METROPOLITAN STATE UNIVERSITY RIDGEVIEW HOWARD LAKE CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $491.92 $491.92 $491.92 $491.92 RIDGEVIEW HOWARD LAKE CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RIDGEVIEW MEDICAL CENTER 500 S MAPLE ST WACONIA Site Name / Provider Type: Location: 55387 RIDGEVIEW MEDICAL CENTER 500 S MAPLE ST HOSPITAL WACONIA Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE TOTAL Grant $17,243.46 $17,243.46 Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA RIDGEVIEW MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $68,145.53 $68,145.53 $85,388.99 $85,388.99 RIDGEVIEW MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RIVERWOOD AITKIN CLINIC 200 BUNKER HILL DR AITKIN Site Name / Provider Type: Location: 56431 RIVERWOOD AITKIN CLINIC 200 BUNKER HILL DR RURAL HEALTH CLINIC AITKIN Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.1400 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $2,718.89 $2,718.89 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RIVERWOOD AITKIN CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $19,590.74 $19,590.74 $22,309.63 $22,309.63 RIVERWOOD AITKIN CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RIVERWOOD GARRISON CLINIC PHARMACY 27278 STATE HIGHWAY 18 PO BOX 426 GARRISON Site Name / Provider Type: Location: 56450 RIVERWOOD GARRISON CLINIC PHARMACY PHARMACY 27278 STATE HIGHWAY 18 PO BOX 426 GARRISON Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RIVERWOOD GARRISON CLINIC PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,095.60 $1,095.60 $1,095.60 $1,095.60 RIVERWOOD GARRISON CLINIC PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RIVERWOOD HEALTHCARE CENTER ATTN: SUE CHARON 200 BUNKER HILL DRIVE AITKIN Site Name / Provider Type: Location: 56431 RIVERWOOD HEALTHCARE CENTER 200 BUNKER HILL DR HOSPITAL AITKIN Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA TOTAL Grant $20,978.38 $20,978.38 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs NURSE ANESTHESIA 1.3300 $27,901.24 PHARMACY 0.1100 $1,987.54 TOTAL $29,888.78 UNIVERSITY OF MN ACADEMIC HEALTH CENTER RIVERWOOD HEALTHCARE CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $50,867.16 $50,867.16 RIVERWOOD HEALTHCARE CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: RIVERWOOD MCGREGOR CLINIC 2 E CENTER AVE MCGREGOR Site Name / Provider Type: Location: 55760 RIVERWOOD MCGREGOR CLINIC 2 E CENTER AVE RURAL HEALTH CLINIC MCGREGOR Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.1600 COLLEGE OF ST. SCHOLASTICA RIVERWOOD MCGREGOR CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,460.54 $2,460.54 $2,460.54 $2,460.54 RIVERWOOD MCGREGOR CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ROSEVILLE MEDICAL CENTER 1835 COUNTY RD C W ROSEVILLE Site Name / Provider Type: Location: 55113 ROSEVILLE MEDICAL CENTER 1835 COUNTY RD C W PHYSICIAN ROSEVILLE Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE ROSEVILLE MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $815.70 $815.70 $815.70 $815.70 ROSEVILLE MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ROSEVILLE PODIATRY CLINIC 2680 SNELLING AVE N STE 260 ROSEVILLE Site Name / Provider Type: Location: 55113 ROSEVILLE PODIATRY CLINIC PODIATRIST 2680 SNELLING AVE N STE 260 ROSEVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S UNIVERSITY OF MN ACADEMIC HEALTH CENTER ROSEVILLE PODIATRY CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant 0.0567 TOTAL $38.86 $38.86 $38.86 $38.86 ROSEVILLE PODIATRY CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SAMS CLUB PHARMACY NO.10-6320 4743 MAPLE GROVE RD HERMANTOWN Site Name / Provider Type: Location: 55811 SAMS CLUB PHARMACY NO.10-6320 4743 MAPLE GROVE RD PHARMACY HERMANTOWN Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SAMS CLUB PHARMACY NO.10-6320 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,940.42 $1,940.42 $1,940.42 $1,940.42 SAMS CLUB PHARMACY NO.10-6320 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SANFORD CLINIC LUVERNE 1601 SIOUX VALLEY DR LUVERNE Site Name / Provider Type: Location: 56156 SANFORD CLINIC LUVERNE 1601 SIOUX VALLEY DR PHYSICIAN LUVERNE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP SUMMER UNIVERSITY OF MN ACADEMIC HEALTH CENTER SANFORD CLINIC LUVERNE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0400 TOTAL Grant $3,491.83 $3,491.83 $3,491.83 $3,491.83 SANFORD CLINIC LUVERNE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SAWTOOTH MOUNTAIN CLINIC 513 5TH AVE W GRAND MARAIS Site Name / Provider Type: Location: 55604 SAWTOOTH MOUNTAIN CLINIC 513 5TH AVE W FEDERALLY QUALIFIED HEALTH CENTER GRAND MARAIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP SUMMER UNIVERSITY OF MN ACADEMIC HEALTH CENTER SAWTOOTH MOUNTAIN CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0400 TOTAL Grant $2,451.80 $2,451.80 $2,451.80 $2,451.80 SAWTOOTH MOUNTAIN CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SCENIC RIVERS HEALTH SERVICES 126 W 7TH AVE PO BOX 126 FLOODWOOD Site Name / Provider Type: Location: 55736 SCENIC RIVERS HEALTH SERVICES FEDERALLY QUALIFIED HEALTH CENTER 126 W 7TH AVE PO BOX 126 FLOODWOOD Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.6100 COLLEGE OF ST. SCHOLASTICA TOTAL SCENIC RIVERS HEALTH SERVICES - Total Site Name / Provider Type: Location: $1,096.15 $1,096.15 $1,096.15 SCENIC RIVERS HEALTH SERVICES FEDERALLY QUALIFIED HEALTH CENTER 135 PINE TREE DR PO BOX 135 Grant BIGFORK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program PRECEPTORSHIP II Friday, December 03, 2010 Eligible FTEs 0.0600 Grant $1,523.31 SCENIC RIVERS HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site PRECEPTORSHIP SUMMER UNIVERSITY OF MN ACADEMIC HEALTH CENTER SCENIC RIVERS HEALTH SERVICES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0800 TOTAL $2,031.08 $3,554.40 $3,554.40 $4,650.54 SCENIC RIVERS HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SETZER PHARMACY INC 1685 RICE ST ROSEVILLE Site Name / Provider Type: Location: 55113 SETZER PHARMACY INC 1685 RICE ST PHARMACY ROSEVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SETZER PHARMACY INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $28,580.58 $28,580.58 $28,580.58 $28,580.58 SETZER PHARMACY INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SHOREVIEW ALLINA MEDICAL CLINIC 4194 LEXINGTON AVE N SHOREVIEW Site Name / Provider Type: Location: 55126 SHOREVIEW ALLINA MEDICAL CLINIC 4194 LEXINGTON AVE N PHYSICIAN SHOREVIEW Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.2842 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SHOREVIEW ALLINA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,586.99 $2,586.99 $2,586.99 $2,586.99 SHOREVIEW ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SISTER KENNY REHABILITATION ASSOC DOCTORS PROFESSIONAL BLDG 280 SMITH AVE N #220 ST PAUL Site Name / Provider Type: Location: 55102 SISTER KENNY REHABILITATION ASSOC PHYSICIAN DOCTORS PROFESSIONAL BLDG 280 SMITH AVE N #220 ST PAUL Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.2000 METROPOLITAN STATE UNIVERSITY SISTER KENNY REHABILITATION ASSOC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $503.04 $503.04 $503.04 $503.04 SISTER KENNY REHABILITATION ASSOC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SOUTH CENTRAL HUMAN RELATIONS CTR 610 FLORENCE AVE OWATONNA Site Name / Provider Type: Location: 55060 SOUTH CENTRAL HUMAN RELATIONS CTR 610 FLORENCE AVE COMMUNITY MENTAL HEALTH CENTER OWATONNA Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5100 COLLEGE OF ST. SCHOLASTICA SOUTH CENTRAL HUMAN RELATIONS CTR - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $52,525.40 $52,525.40 $52,525.40 $52,525.40 SOUTH CENTRAL HUMAN RELATIONS CTR 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SOUTH LAKE PEDIATRICS ATTN: STEVE TJETTVEIT 17705 HUTCHINS DR STE 101 MINNETONKA Site Name / Provider Type: Location: 55345 SOUTH LAKE PEDIATRICS EDEN PRAIRIE PHYSICIAN 800 PRAIRIE CENTER DRIVE EDEN PRAIRIE Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.2700 ST. CATHERINE UNIVERSITY TOTAL Grant $1,607.05 $1,607.05 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PEDIATRIC 0.0989 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SOUTH LAKE PEDIATRICS EDEN PRAIRIE - Total Friday, December 03, 2010 TOTAL Grant $2,140.25 $2,140.25 $3,747.31 SOUTH LAKE PEDIATRICS 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: SOUTH LAKE PEDIATRICS MAPLE GROVE PHYSICIAN 12000 ELM CREEK BLVD. , STE 250 MAPLE GROVE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PEDIATRIC 0.1043 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL SOUTH LAKE PEDIATRICS MAPLE GROVE - Total Site Name / Provider Type: Location: Grant $2,257.11 $2,257.11 $2,257.11 SOUTH LAKE PEDIATRICS - CHILDRENS WEST MINNETONKA PHYSICIAN 6060 CLEARWATER DRIVE STE 240 MINNETONKA Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.1300 ST. CATHERINE UNIVERSITY SOUTH LAKE PEDIATRICS - CHILDRENS WEST MINNETONKA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $773.77 $773.77 $773.77 $6,778.19 SOUTH LAKE PEDIATRICS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SOUTH LAKE PEDIATRICS - CHILDRENS WEST MINNETONKA 6060 CLEARWATER DRIVE STE 240 MINNETONKA Site Name / Provider Type: Location: 55343 SOUTH LAKE PEDIATRICS - CHILDRENS WEST MINNETONKA PHYSICIAN 6060 CLEARWATER DRIVE STE 240 MINNETONKA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0421 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SOUTH LAKE PEDIATRICS - CHILDRENS WEST MINNETONKA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $252.78 $252.78 $252.78 $252.78 SOUTH LAKE PEDIATRICS - CHILDRENS WEST MINNETONKA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SOUTH LAKE PEDIATRICS MAPLE GROVE 12000 ELM CREEK BLVD. , STE 250 MAPLE GROVE Site Name / Provider Type: Location: 55369 SOUTH LAKE PEDIATRICS MAPLE GROVE PHYSICIAN 12000 ELM CREEK BLVD. , STE 250 MAPLE GROVE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0421 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SOUTH LAKE PEDIATRICS MAPLE GROVE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $252.78 $252.78 $252.78 $252.78 SOUTH LAKE PEDIATRICS MAPLE GROVE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SOUTHDALE INTERNAL MED PA 6545 FRANCE AVE S STE 510 EDINA Site Name / Provider Type: Location: 55435 SOUTHDALE INTERNAL MED PA 6545 FRANCE AVE S STE 510 PHYSICIAN EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.9474 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SOUTHDALE INTERNAL MED PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $278.24 $278.24 $278.24 $278.24 SOUTHDALE INTERNAL MED PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SOUTHDALE PEDIATRIC ASSOCIATES 501 E NICOLLET BLVD # 200 BURNSVILLE Site Name / Provider Type: Location: 55337 SOUTHDALE PEDIATRIC ASSOCIATES 501 E NICOLLET BLVD # 200 PHYSICIAN BURNSVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.0421 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $143.49 $143.49 SOUTHDALE PEDIATRIC ASSOCIATES - EDEN PRAIRIE 18315 CASCADE DRIVE STE 170 $143.49 TOTAL SOUTHDALE PEDIATRIC ASSOCIATES - Total Site Name / Provider Type: Location: Grant PHYSICIAN EDEN PRAIRIE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PEDIATRIC 0.1586 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $1,948.26 $1,948.26 SOUTHDALE PEDIATRIC ASSOCIATES 2010 MERC / PMAP Grant by Training Site SOUTHDALE PEDIATRIC ASSOCIATES - EDEN PRAIRIE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $1,948.26 $2,091.74 SOUTHDALE PEDIATRIC ASSOCIATES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SOUTHDALE PEDIATRIC ASSOCIATES - EDEN PRAIRIE 18315 CASCADE DRIVE STE 170 EDEN PRAIRIE Site Name / Provider Type: Location: 55347 SOUTHDALE PEDIATRIC ASSOCIATES - EDEN PRAIRIE 18315 CASCADE DRIVE STE 170 PHYSICIAN EDEN PRAIRIE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0211 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SOUTHDALE PEDIATRIC ASSOCIATES - EDEN PRAIRIE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $71.91 $71.91 $71.91 $71.91 SOUTHDALE PEDIATRIC ASSOCIATES - EDEN PRAIRIE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SOUTHDALE PEDIATRIC ASSOCIATES - EDINA 3955 PARKLAWN AVENUE, STE 200 EDINA Site Name / Provider Type: Location: 55435 SOUTHDALE PEDIATRIC ASSOCIATES - EDINA 3955 PARKLAWN AVENUE, STE 200 PHYSICIAN EDINA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program ALLERGY AND IMMUNOLOGY RESIDENCY 0.0152 $186.72 DIAGNOSTIC RADIOLOGY 0.0320 $393.09 MEDICAL SCHOOL 0.0316 $107.70 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SOUTHDALE PEDIATRIC ASSOCIATES - EDINA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $687.51 $687.51 $687.51 SOUTHDALE PEDIATRIC ASSOCIATES - EDINA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SOUTHSIDE COMMUNITY CLINIC 4243 4TH AVE S MINNEAPOLIS Site Name / Provider Type: Location: 55409 SOUTHSIDE COMMUNITY CLINIC 4730 CHICAGO AVE FEDERALLY QUALIFIED HEALTH CENTER MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.0632 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SOUTHSIDE COMMUNITY CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $13,971.66 $13,971.66 $13,971.66 $13,971.66 SOUTHSIDE COMMUNITY CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SPECIALISTS IN GENERAL SURGERY 9825 HOSPITAL DR NO.105 MAPLE GROVE Site Name / Provider Type: Location: 55369 SPECIALISTS IN GENERAL SURGERY 3300 OAKDALE AVENUE NORTH PHYSICIAN ROBBINSDALE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - NORTH MEMORIAL UNIVERSITY OF MN ACADEMIC HEALTH CENTER SPECIALISTS IN GENERAL SURGERY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0180 TOTAL Grant $662.64 $662.64 $662.64 $662.64 SPECIALISTS IN GENERAL SURGERY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SPECIALISTS IN GENERAL SURGERY LTD 9825 HOSPITAL DR #105 MAPLE GROVE Site Name / Provider Type: Location: 55369 SPECIALISTS IN GENERAL SURGERY LTD 9825 HOSPITAL DR #105 PHYSICIAN MAPLE GROVE Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.5000 AUGSBURG COLLEGE SPECIALISTS IN GENERAL SURGERY LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $5,124.14 $5,124.14 $5,124.14 $5,124.14 SPECIALISTS IN GENERAL SURGERY LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SPORTS AND ORTHOPAEDIC SPECIALISTS 8100 W 78TH ST STE 225 EDINA Site Name / Provider Type: Location: 55439 SPORTS AND ORTHOPAEDIC SPECIALISTS 8100 W 78TH ST STE 225 PHYSICIAN EDINA Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Eligible FTEs Teaching Program INTERNAL MEDICINE 0.0858 ABBOTT NORTHWESTERN HOSPITAL TOTAL Grant $864.80 $864.80 Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE TOTAL Grant $701.48 $701.48 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 0.0451 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $454.57 $454.57 SPORTS AND ORTHOPAEDIC SPECIALISTS 2010 MERC / PMAP Grant by Training Site SPORTS AND ORTHOPAEDIC SPECIALISTS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $2,020.85 $2,020.85 SPORTS AND ORTHOPAEDIC SPECIALISTS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SPRINGFIELD MEDICAL CENTER 625 N JACKSON AVE PO BOX 110 SPRINGFIELD Site Name / Provider Type: Location: 56087 SPRINGFIELD MEDICAL CENTER PHYSICIAN 625 N JACKSON AVE PO BOX 110 SPRINGFIELD Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.3330 MINNESOTA STATE UNIVERSITY, MANKATO SPRINGFIELD MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,578.68 $1,578.68 $1,578.68 $1,578.68 SPRINGFIELD MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST CLOUD EAR NOSE AND THROAT HEAD & NECK CLINIC PA 1528 NORTHWAY DR ST CLOUD Site Name / Provider Type: Location: 56303 ST CLOUD EAR NOSE AND THROAT PHYSICIAN HEAD & NECK CLINIC PA 1528 NORTHWAY DR ST CLOUD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST CLOUD EAR NOSE AND THROAT - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.2000 TOTAL Grant $11,935.13 $11,935.13 $11,935.13 $11,935.13 ST CLOUD EAR NOSE AND THROAT 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST CLOUD HOSPITAL ATTN: GREG KLUGHERZ 1406 6TH AVENUE NORTH ST CLOUD Site Name / Provider Type: Location: 56303 CENTRACARE CLINIC-WOMEN AND CHILDRENS PHYSICIAN CENTRACARE PLAZA 1900 CENTRACARE CIR ST CLOUD Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.6100 COLLEGE OF ST. SCHOLASTICA TOTAL CENTRACARE CLINIC-WOMEN AND CHILDRENS - Total Site Name / Provider Type: Location: Grant $32,097.92 $32,097.92 $32,097.92 CENTRACARE CLINIC HEARTLAND FAMILY PHYSICIAN MEDICINE 1900 CENTRACARE CIR ST CLOUD Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO Friday, December 03, 2010 TOTAL Grant $1,892.14 $1,892.14 ST CLOUD HOSPITAL 2010 MERC / PMAP Grant by Training Site CENTRACARE CLINIC HEARTLAND FAMILY - Total Site Name / Provider Type: Location: $1,892.14 CENTRACARE CLINIC HEALTH PLAZA 1900 CENTRACARE CIR PHYSICIAN ST CLOUD Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.3330 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL CENTRACARE CLINIC HEALTH PLAZA - Total Site Name / Provider Type: Location: $15,126.77 $15,126.77 $15,126.77 CENTRACARE CLINIC LONG PRAIRIE 24 9TH ST SE Grant RURAL HEALTH CLINIC LONG PRAIRIE Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.0800 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $331.77 $331.77 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO Friday, December 03, 2010 TOTAL Grant $663.53 $663.53 ST CLOUD HOSPITAL 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE Grant 0.0576 UNITED HOSPITAL $868.49 TOTAL $868.49 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.1579 $4,843.94 PRECEPTORSHIP II 0.0600 $251.00 PRECEPTORSHIP SUMMER 0.0400 $167.34 TOTAL $5,262.28 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTRACARE CLINIC LONG PRAIRIE - Total Site Name / Provider Type: Location: Grant $7,126.07 CENTRACARE CLINIC MELROSE PHYSICIAN 525 W MAIN ST MELROSE UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Sponsoring Institution Eligible FTEs PRECEPTORSHIP SUMMER UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTRACARE CLINIC MELROSE - Total Friday, December 03, 2010 0.0400 TOTAL Grant $3,884.84 $3,884.84 $3,884.84 ST CLOUD HOSPITAL 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: ST CLOUD HOSPITAL 1406 6TH AVE N HOSPITAL ST CLOUD Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program Grant CLINICAL NURSE SPECIALIST 2.0800 $132,044.51 NURSE PRACTITIONER 0.0800 $5,078.64 TOTAL $137,123.14 COLLEGE OF ST. SCHOLASTICA Sponsoring Institution MINNESOTA STATE UNIVERSITY, MOORHEAD Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.2060 MINNESOTA STATE UNIVERSITY, MOORHEAD TOTAL Grant $13,077.49 $13,077.49 Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Eligible FTEs Teaching Program NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA TOTAL Grant $63,482.94 $63,482.94 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant CLINICAL NURSE SPECIALIST 0.3900 $24,758.35 FAMILY MEDICINE ST. CLOUD RESIDENCY 6.1200 $1,412,574.32 NURSE ANESTHESIA 1.8900 $119,982.75 ST CLOUD HOSPITAL 2010 MERC / PMAP Grant by Training Site PEDIATRIC 0.0073 $1,684.93 PHARMACY 0.6700 $36,633.85 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL ST CLOUD HOSPITAL - Total Site Name / Provider Type: Location: $1,809,317.77 CENTRACARE CLINIC RIVER CAMPUS 1200 6TH AVE N ST CLOUD UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program $1,595,634.20 PHYSICIAN Sponsoring Institution Eligible FTEs FAMILY MEDICINE ST. CLOUD RESIDENCY UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTRACARE CLINIC RIVER CAMPUS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 1.1000 TOTAL Grant $74,547.71 $74,547.71 $74,547.71 $1,943,993.21 ST CLOUD HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST CLOUD MEDICAL GROUP 1301 33RD ST S SAINT CLOUD Site Name / Provider Type: Location: 56301 ST CLOUD MEDICAL GROUP 1301 33RD ST S PHYSICIAN ST CLOUD Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.8700 AUGSBURG COLLEGE TOTAL Grant $3,978.73 $3,978.73 Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5800 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $2,620.63 $2,620.63 Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Teaching Program Eligible FTEs FAMILY NURSING 1.0000 MINNESOTA STATE UNIVERSITY, MANKATO Friday, December 03, 2010 TOTAL Grant $4,518.34 $4,518.34 ST CLOUD MEDICAL GROUP 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST CLOUD MEDICAL GROUP - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.6300 TOTAL Grant $10,349.56 $10,349.56 $21,467.26 $21,467.26 ST CLOUD MEDICAL GROUP 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST CLOUD ORTHOPEDIC ASSOCIATES 1555 NORTHWAY DR ST CLOUD Site Name / Provider Type: Location: 56303 ST CLOUD ORTHOPEDIC ASSOCIATES 1555 NORTHWAY DR PHYSICIAN ST CLOUD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE ST. CLOUD RESIDENCY 0.3000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST CLOUD ORTHOPEDIC ASSOCIATES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $15,524.29 $15,524.29 $15,524.29 $15,524.29 ST CLOUD ORTHOPEDIC ASSOCIATES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST CROIX ORTHOPAEDICS PA 1991 NORTHWESTERN AVE S STILLWATER Site Name / Provider Type: Location: 55082 ST CROIX ORTHOPAEDICS PA 1991 NORTHWESTERN AVE S PHYSICIAN STILLWATER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST CROIX ORTHOPAEDICS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant 0.0476 $8,645.94 TOTAL $8,645.94 $8,645.94 $8,645.94 ST CROIX ORTHOPAEDICS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST ELIZABETHS MEDICAL CENTER 1200 GRANT BLVD W WABASHA Site Name / Provider Type: Location: 55981 ST ELIZABETHS MEDICAL CENTER 1200 GRANT BLVD W HOSPITAL WABASHA Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 1.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA TOTAL Grant $18,908.48 $18,908.48 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST ELIZABETHS MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,791.43 $1,791.43 $20,699.91 $20,699.91 ST ELIZABETHS MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST GABRIELS HOSPITAL 815 2ND ST SE LITTLE FALLS Site Name / Provider Type: Location: 56345 ST GABRIELS HOSPITAL 815 2ND ST SE HOSPITAL LITTLE FALLS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.5600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST GABRIELS HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $59,389.96 $59,389.96 $59,389.96 $59,389.96 ST GABRIELS HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST JOSEPHS AREA HEALTH SERVICES HOSPITAL PHARMACY 600 PLEASANT AVE PARK RAPIDS Site Name / Provider Type: Location: 56470 ST JOSEPHS AREA HEALTH SERVICES PHARMACY HOSPITAL PHARMACY 600 PLEASANT AVE PARK RAPIDS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY Grant 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $6.15 TOTAL $6.15 ST JOSEPHS AREA HEALTH SERVICES - Total Site Name / Provider Type: Location: $6.15 ST JOSEPHS AREA HEALTH SERVICES 600 PLEASANT AVE HOSPITAL PARK RAPIDS Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.2500 AUGSBURG COLLEGE Friday, December 03, 2010 TOTAL Grant $75,419.37 $75,419.37 ST JOSEPHS AREA HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site ST JOSEPHS AREA HEALTH SERVICES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $75,419.37 $75,425.52 ST JOSEPHS AREA HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST JOSEPHS MEDICAL CENTER PATIENT ACCOUNTS 523 N 3RD ST BRAINERD Site Name / Provider Type: Location: 56401 ST JOSEPHS MEDICAL CENTER HOSPITAL PATIENT ACCOUNTS 523 N 3RD ST BRAINERD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST JOSEPHS MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $222,727.07 $222,727.07 $222,727.07 $222,727.07 ST JOSEPHS MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST LUKES CARDIOLOGY ASSOCIATES 1001 E SUPERIOR ST L201 DULUTH Site Name / Provider Type: Location: 55802 ST LUKES CARDIOLOGY ASSOCIATES 1001 E SUPERIOR ST L201 PHYSICIAN DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.0500 COLLEGE OF ST. SCHOLASTICA ST LUKES CARDIOLOGY ASSOCIATES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,477.99 $3,477.99 $3,477.99 $3,477.99 ST LUKES CARDIOLOGY ASSOCIATES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST LUKES HOME HEALTH SERVICES 220 N 6TH AVE E DULUTH Site Name / Provider Type: Location: 55805 ST LUKES HOME HEALTH SERVICES 220 N 6TH AVE E HOME HEALTH AGENCY DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST LUKES HOME HEALTH SERVICES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,398.66 $1,398.66 $1,398.66 $1,398.66 ST LUKES HOME HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST LUKES HOSPITAL BUSINESS SERVICES 915 E 1ST ST DULUTH Site Name / Provider Type: Location: 55805 ST LUKES HOSPITAL HOSPITAL BUSINESS SERVICES 915 E 1ST ST DULUTH Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.5000 AUGSBURG COLLEGE TOTAL Grant $4,393.51 $4,393.51 Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.0300 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $260.44 $260.44 Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Teaching Program Eligible FTEs NURSE ANESTHESIA 2.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA Friday, December 03, 2010 TOTAL Grant $17,362.98 $17,362.98 ST LUKES HOSPITAL 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE DULUTH 10.0000 $315,643.79 MEDICAL SCHOOL 1.0358 $9,071.04 PHARMACY 0.5600 $4,187.29 TOTAL $328,902.12 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST LUKES HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $350,919.06 $350,919.06 ST LUKES HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST LUKES INTERNAL MEDICINE ASSOC 1001 E SUPERIOR ST L401 DULUTH Site Name / Provider Type: Location: 55802 ST LUKES INTERNAL MEDICINE ASSOC 1001 E SUPERIOR ST L401 PHYSICIAN DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 1.4800 COLLEGE OF ST. SCHOLASTICA ST LUKES INTERNAL MEDICINE ASSOC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,947.72 $3,947.72 $3,947.72 $3,947.72 ST LUKES INTERNAL MEDICINE ASSOC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST LUKES PAVILION SURGICAL ASSOC 920 E 1ST ST STE P302 DULUTH Site Name / Provider Type: Location: 55805 ST LUKES PAVILION SURGICAL ASSOC 920 E 1ST ST STE P302 PHYSICIAN DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.1700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST LUKES PAVILION SURGICAL ASSOC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,400.49 $2,400.49 $2,400.49 $2,400.49 ST LUKES PAVILION SURGICAL ASSOC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST MARYS / DULUTH CLINIC ATTN: LYNNE SCALZO 400 E 3RD STREET DULUTH Site Name / Provider Type: Location: 55805 DULUTH CLINIC WEST PHARMACY 4212 GRAND AVE PHARMACY DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL DULUTH CLINIC WEST PHARMACY - Total Site Name / Provider Type: Location: $4,300.51 $4,300.51 $4,300.51 DULUTH CLINIC-AURORA 405 W 3RD AVE NORTH Grant PHYSICIAN AURORA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP II 0.0600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $1,928.06 $1,928.06 ST MARYS / DULUTH CLINIC 2010 MERC / PMAP Grant by Training Site DULUTH CLINIC-AURORA - Total Site Name / Provider Type: Location: $1,928.06 SMDC MED CTR - DULUTH CLINIC LAKESIDE 4621 E SUPERIOR ST PHYSICIAN DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.8600 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $3,505.28 $3,505.28 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP I 0.0520 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $213.80 $3,719.08 SMDC MED CTR - DULUTH CLINIC 400 E 3RD ST $213.80 TOTAL SMDC MED CTR - DULUTH CLINIC LAKESIDE - Total Site Name / Provider Type: Location: Grant PHYSICIAN DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Friday, December 03, 2010 Teaching Program Eligible FTEs Grant CLINICAL NURSE SPECIALIST 0.1200 $6,262.64 NURSE PRACTITIONER 4.3300 $225,977.02 ST MARYS / DULUTH CLINIC 2010 MERC / PMAP Grant by Training Site COLLEGE OF ST. SCHOLASTICA TOTAL $232,239.66 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5100 $26,616.23 PEDIATRIC 0.0153 $2,903.16 TOTAL $29,519.39 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SMDC MED CTR - DULUTH CLINIC - Total Site Name / Provider Type: Location: Grant $261,759.05 SMDC MED CTR - HERMANTOWN CLINIC PHYSICIAN DULUTH CLINIC/HERMANTOWN 4855 W ARROWHEAD RD HERMANTOWN Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 1.9000 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $6,467.26 $6,467.26 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP I 0.1040 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SMDC MED CTR - HERMANTOWN CLINIC - Total Friday, December 03, 2010 TOTAL Grant $357.10 $357.10 $6,824.36 ST MARYS / DULUTH CLINIC 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: DULUTH CLINIC-VIRGINIA 1101 9TH ST N PHYSICIAN VIRGINIA Sponsoring Institution AUGSBURG COLLEGE Eligible FTEs Teaching Program FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE TOTAL Grant $4,391.81 $4,391.81 Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 0.0700 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $2,336.42 $2,336.42 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER DULUTH CLINIC-VIRGINIA - Total Friday, December 03, 2010 TOTAL Grant $33,669.77 $33,669.77 $40,398.00 ST MARYS / DULUTH CLINIC 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: SMDC MED CTR - DULUTH CLINIC WEST 4212 GRAND AVE PHYSICIAN DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 1.3500 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $6,655.52 $6,655.52 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP I 0.1560 UNIVERSITY OF MN ACADEMIC HEALTH CENTER $775.82 $7,431.34 DULUTH CLINIC-DEER RIVER 1025 10TH AVE NE $775.82 TOTAL SMDC MED CTR - DULUTH CLINIC WEST - Total Site Name / Provider Type: Location: Grant PHYSICIAN DEER RIVER Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.3700 AUGSBURG COLLEGE DULUTH CLINIC-DEER RIVER - Total Friday, December 03, 2010 TOTAL Grant $12,839.75 $12,839.75 $12,839.75 ST MARYS / DULUTH CLINIC 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: DULUTH CLINIC PHARMACY 400 E 3RD ST PHARMACY DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL DULUTH CLINIC PHARMACY - Total Site Name / Provider Type: Location: $42,505.95 $42,505.95 $42,505.95 ST MARYS MEDICAL CENTER 407 E 3RD ST Grant HOSPITAL DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs Grant CLINICAL NURSE SPECIALIST 0.6000 $9,259.82 NURSE PRACTITIONER 0.1600 $2,469.29 TOTAL $11,729.11 COLLEGE OF ST. SCHOLASTICA Sponsoring Institution SAINT MARYS MEDICAL CENTER Teaching Program Eligible FTEs PHARMACY PRACTICE RESIDENCY 2.0000 SAINT MARYS MEDICAL CENTER Friday, December 03, 2010 TOTAL Grant $53,852.61 $53,852.61 ST MARYS / DULUTH CLINIC 2010 MERC / PMAP Grant by Training Site Sponsoring Institution SAINT MARY'S UNIVERSITY OF MINNESOTA Eligible FTEs Teaching Program NURSE ANESTHESIA 2.0000 SAINT MARY'S UNIVERSITY OF MINNESOTA TOTAL Grant $30,866.08 $30,866.08 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE DULUTH 12.0000 $673,341.85 MEDICAL SCHOOL 11.1937 $174,265.70 1.8900 $25,122.57 TOTAL $872,730.11 PHARMACY UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST MARYS MEDICAL CENTER - Total Site Name / Provider Type: Location: $969,177.91 DULUTH CLINIC-ELY 300 W CONAN ST Grant PHYSICIAN ELY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.1579 $5,240.29 PRECEPTORSHIP SUMMER 0.0400 $1,327.50 UNIVERSITY OF MN ACADEMIC HEALTH CENTER DULUTH CLINIC-ELY - Total Friday, December 03, 2010 Grant TOTAL $6,567.79 $6,567.79 ST MARYS / DULUTH CLINIC 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: SMDC MEDICAL CENTER 502 E 2ND ST HOSPITAL DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 1.7900 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $121,156.11 $121,156.11 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE ANESTHESIA 1.0300 $69,715.53 PHARMACY 0.3300 $19,237.87 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL SMDC MEDICAL CENTER - Total Site Name / Provider Type: Location: $88,953.39 $210,109.50 DULUTH CLINIC HIBBING 730 E 34TH ST Grant PHYSICIAN HIBBING Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.6100 COLLEGE OF ST. SCHOLASTICA Friday, December 03, 2010 TOTAL Grant $19,666.32 $19,666.32 ST MARYS / DULUTH CLINIC 2010 MERC / PMAP Grant by Training Site Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.1579 $5,135.26 PRECEPTORSHIP II 0.0600 $1,951.33 PRECEPTORSHIP SUMMER 0.0400 $1,300.89 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL DULUTH CLINIC HIBBING - Total Site Name / Provider Type: Location: $8,387.48 $28,053.80 DULUTH CLINIC 1ST ST PHARMACY 420 E 1ST ST Grant PHARMACY DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER DULUTH CLINIC 1ST ST PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $9,165.70 $9,165.70 $9,165.70 $1,604,780.81 ST MARYS / DULUTH CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST MARYS INNOVIS HEALTH CLINIC 125 FRAZEE ST E DETROIT LAKES Site Name / Provider Type: Location: 56501 ST MARYS INNOVIS HEALTH CLINIC 125 FRAZEE ST E PHYSICIAN DETROIT LAKES Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.6300 AUGSBURG COLLEGE ST MARYS INNOVIS HEALTH CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $12,645.80 $12,645.80 $12,645.80 $12,645.80 ST MARYS INNOVIS HEALTH CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST MARYS REGIONAL HEALTH CENTER BUSINESS OFFICE 1027 WASHINGTON AVE DETROIT LAKES Site Name / Provider Type: Location: 56501 ST MARYS REGIONAL HEALTH CENTER HOSPITAL BUSINESS OFFICE 1027 WASHINGTON AVE DETROIT LAKES Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST MARYS REGIONAL HEALTH CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $107,236.27 $107,236.27 $107,236.27 $107,236.27 ST MARYS REGIONAL HEALTH CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST MICHAELS HOSPITAL 425 N ELM ST SAUK CENTRE Site Name / Provider Type: Location: 56378 ST MICHAELS HOSPITAL 425 N ELM ST HOSPITAL SAUK CENTRE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST MICHAELS HOSPITAL - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $22,148.15 $22,148.15 $22,148.15 $22,148.15 ST MICHAELS HOSPITAL 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST PAUL CARDIOLOGY PA 17 W EXCHANGE ST STE 750 ST PAUL Site Name / Provider Type: Location: 55102 ST PAUL CARDIOLOGY PA 17 W EXCHANGE ST STE 750 PHYSICIAN ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOSEPH'S UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST PAUL CARDIOLOGY PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.1503 TOTAL Grant $3,397.96 $3,397.96 $3,397.96 $3,397.96 ST PAUL CARDIOLOGY PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST PAUL EYE CLINIC ST PAUL EYE CLINIC PA 2080 WOODWINDS DR STE 110 WOODBURY Site Name / Provider Type: Location: 55125 ST PAUL EYE CLINIC PHYSICIAN ST PAUL EYE CLINIC PA 2080 WOODWINDS DR STE 110 WOODBURY Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0265 UNITED HOSPITAL $895.26 TOTAL ST PAUL EYE CLINIC - Total Site Name / Provider Type: Location: Grant $895.26 $895.26 ST PAUL EYE CLINIC PA - DOWNTOWN PHYSICIAN WELLS FARGO PLACE 30 EAST 7TH STREET ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant FAMILY PRACTICE - ST JOHN'S 0.0439 $1,483.10 FAMILY PRACTICE - ST JOSEPH'S 0.1015 $3,429.03 ST PAUL EYE CLINIC 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST PAUL EYE CLINIC PA - DOWNTOWN - Total TOTAL $4,912.13 $4,912.13 TOTAL GRANT TO BILLING ADDRESS $5,807.40 Friday, December 03, 2010 ST PAUL EYE CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST PAUL HEART CLINIC PA 225 SMITH AVE N STE 400 ST PAUL Site Name / Provider Type: Location: 55102 ST PAUL HEART CLINIC PA 225 SMITH AVE N STE 400 PHYSICIAN ST PAUL Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE 0.1375 UNITED HOSPITAL TOTAL ST PAUL HEART CLINIC PA - Total Site Name / Provider Type: Location: $12,441.06 $12,441.06 $12,441.06 ST PAUL HEART CLINIC PA - MAPLEWOOD OFFICE 1600 ST JOHN'S BLVD STE 200 Grant PHYSICIAN MAPLEWOOD Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.2500 METROPOLITAN STATE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $6,221.46 $6,221.46 ST PAUL HEART CLINIC PA 2010 MERC / PMAP Grant by Training Site ST PAUL HEART CLINIC PA - MAPLEWOOD OFFICE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $6,221.46 $18,662.52 ST PAUL HEART CLINIC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST PAUL INFECTIOUS DISEASE ASSOCS 1959 SLOAN PLACE #200 ST PAUL Site Name / Provider Type: Location: 55117 ST PAUL INFECTIOUS DISEASE ASSOCS 1959 SLOAN PLACE #200 PHYSICIAN ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOSEPH'S 0.0984 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST PAUL INFECTIOUS DISEASE ASSOCS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,653.02 $1,653.02 $1,653.02 $1,653.02 ST PAUL INFECTIOUS DISEASE ASSOCS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST PAUL RAMSEY CO PUB HEALTH 555 CEDAR ST ST PAUL Site Name / Provider Type: Location: 55101 ST PAUL RAMSEY CO PUB HEALTH 555 CEDAR ST PUBLIC HEALTH CLINIC ST PAUL Sponsoring Institution MAYO CLINIC Teaching Program Eligible FTEs PREVENTIVE MEDICINE 0.1400 MAYO CLINIC ST PAUL RAMSEY CO PUB HEALTH - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $12,331.06 $12,331.06 $12,331.06 $12,331.06 ST PAUL RAMSEY CO PUB HEALTH 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST PAUL SURGEONS LTD 310 SMITH AVE N STE 330 ST PAUL Site Name / Provider Type: Location: 55102 ST PAUL SURGEONS LTD PHYSICIAN 310 SMITH AVE N STE 330 ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOSEPH'S 0.1279 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL ST PAUL SURGEONS LTD - Total Site Name / Provider Type: Location: Grant $2,695.97 $2,695.97 $2,695.97 ST PAUL SURGEONS LTD PHYSICIAN 302 MAPLEWOOD PROFESSIONAL BLDG 1655 BEAM AVENUE MAPLEWOOD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 0.0940 TOTAL Grant $1,981.40 $1,981.40 ST PAUL SURGEONS LTD 2010 MERC / PMAP Grant by Training Site ST PAUL SURGEONS LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $1,981.40 $4,677.37 ST PAUL SURGEONS LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST PETER CLINIC-MAYO HLTH SYSTEM 1900 N SUNRISE DR STE 200 ST PETER Site Name / Provider Type: Location: 56082 ST PETER CLINIC-MAYO HLTH SYSTEM 1900 N SUNRISE DR STE 200 PHYSICIAN ST PETER Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.1600 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $885.53 $885.53 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 0.2000 $1,106.91 PRECEPTORSHIP II 0.0600 $334.98 TOTAL $1,441.89 UNIVERSITY OF MN ACADEMIC HEALTH CENTER ST PETER CLINIC-MAYO HLTH SYSTEM - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $2,327.42 $2,327.42 ST PETER CLINIC-MAYO HLTH SYSTEM 2010 MERC / PMAP Grant by Training Site Billing Name and Address: ST PETER STREET INTERNAL MEDICINE 514 ST PETER ST STE 250 ST PAUL Site Name / Provider Type: Location: 55102 ST PETER STREET INTERNAL MEDICINE 514 ST PETER ST STE 250 PHYSICIAN ST PAUL Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5000 METROPOLITAN STATE UNIVERSITY ST PETER STREET INTERNAL MEDICINE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $666.31 $666.31 $666.31 $666.31 ST PETER STREET INTERNAL MEDICINE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: STEVENS COMMUNITY MED CTR CLINIC 400 E 1ST ST MORRIS Site Name / Provider Type: Location: 56267 STEVENS COMMUNITY MED CTR CLINIC 400 E 1ST ST PHYSICIAN MORRIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PRECEPTORSHIP SUMMER 0.0400 UNIVERSITY OF MN ACADEMIC HEALTH CENTER STEVENS COMMUNITY MED CTR CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $6,447.93 $6,447.93 $6,447.93 $6,447.93 STEVENS COMMUNITY MED CTR CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: STILLWATER MEDICAL GROUP 1500 CURVE CREST BLVD STILLWATER Site Name / Provider Type: Location: 55082 STILLWATER MEDICAL GROUP 1500 CURVE CREST BLVD PHYSICIAN STILLWATER Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Teaching Program Eligible FTEs INTERNAL MEDICINE 0.0681 ABBOTT NORTHWESTERN HOSPITAL TOTAL Grant $1,358.30 $1,358.30 Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.3900 ST. CATHERINE UNIVERSITY TOTAL Grant $2,139.48 $2,139.48 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant CLINICAL NURSE SPECIALIST 0.1000 $548.59 MEDICAL SCHOOL 1.9789 $10,951.03 STILLWATER MEDICAL GROUP 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER STILLWATER MEDICAL GROUP - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $11,499.61 $14,997.39 $14,997.39 STILLWATER MEDICAL GROUP 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SUMMIT ORTHOPEDICS LTD 17 W EXCHANGE ST STE 307 ST PAUL Site Name / Provider Type: Location: 55102 SUMMIT ORTHOPEDICS LTD 17 W EXCHANGE ST STE 307 PHYSICIAN ST PAUL Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 0.0719 UNITED HOSPITAL SUMMIT ORTHOPEDICS LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $29,076.90 $29,076.90 $29,076.90 $29,076.90 SUMMIT ORTHOPEDICS LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SUPERIORHEALTH CENTER 1502 LONDON RD STE 102 DULUTH Site Name / Provider Type: Location: 55812 SUPERIORHEALTH CENTER 1502 LONDON RD STE 102 PHYSICIAN DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Eligible FTEs Teaching Program NURSE PRACTITIONER 1.3900 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $2,524.93 $2,524.93 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP I 0.0260 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SUPERIORHEALTH CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $47.64 $47.64 $2,572.57 $2,572.57 SUPERIORHEALTH CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SUPERIORHEALTH MEDICAL GROUP - PROCTOR 211 S BOUNDARY AVE PROCTOR Site Name / Provider Type: Location: 55810 SUPERIORHEALTH MEDICAL GROUP - PROCTOR PHYSICIAN 211 S BOUNDARY AVE PROCTOR Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PRECEPTORSHIP I 0.0260 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SUPERIORHEALTH MEDICAL GROUP - PROCTOR - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $47.64 $47.64 $47.64 $47.64 SUPERIORHEALTH MEDICAL GROUP - PROCTOR 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SUPERIORHEALTH PHARMACY TWO HARBORS 1010 4TH ST TWO HARBORS Site Name / Provider Type: Location: 55616 SUPERIORHEALTH PHARMACY PHARMACY TWO HARBORS 1010 4TH ST TWO HARBORS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY 0.1100 $431.08 PHARMACY PRACTICE 1.0000 $7,938.46 UNIVERSITY OF MN ACADEMIC HEALTH CENTER SUPERIORHEALTH PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $8,369.54 $8,369.54 $8,369.54 SUPERIORHEALTH PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: SUPERVALU PHARMACIES INC ATTN: CINDY MARKS 3030 CULLERTON DRIVE FRANKLIN PARK Site Name / Provider Type: Location: 60131 CUB PHARMACY no.693 2013 BROADWAY AVE W PHARMACY FOREST LAKE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL CUB PHARMACY no.693 - Total Site Name / Provider Type: Location: $3,784.91 $3,784.91 $3,784.91 CUB PHARMACY NO.678 8432 TAMARACK VLG Grant PHARMACY WOODBURY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $1,659.64 $1,659.64 SUPERVALU PHARMACIES INC 2010 MERC / PMAP Grant by Training Site CUB PHARMACY NO.678 - Total Site Name / Provider Type: Location: $1,659.64 CUB PHARMACY no.715 PHARMACY 2100 SNELLING AVE N ROSEVILLE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL CUB PHARMACY no.715 - Total Site Name / Provider Type: Location: Grant $4,030.78 $4,030.78 $4,030.78 CUB PHARMACY no.653 PHARMACY 615 WEST CENTRAL ENTRANCE DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CUB PHARMACY no.653 - Total Friday, December 03, 2010 TOTAL Grant $3,014.18 $3,014.18 $3,014.18 SUPERVALU PHARMACIES INC 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: CUB PHARMACY no.690 3620 TEXAS AVE S PHARMACY ST LOUIS PARK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY 0.4400 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL CUB PHARMACY no.690 - Total Site Name / Provider Type: Location: $4,562.36 $4,562.36 $4,562.36 CUB PHARMACY no.624 3550 VICKSBURG LN N Grant PHARMACY PLYMOUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER CUB PHARMACY no.624 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,928.34 $4,928.34 $4,928.34 $21,980.20 SUPERVALU PHARMACIES INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: TARGET PHARMACY PO BOX 309 MINNEAPOLIS Site Name / Provider Type: Location: 55440 TARGET PHARMACY T-0619 3800 LEXINGTON AVE N PHARMACY SHOREVIEW Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL TARGET PHARMACY T-0619 - Total Site Name / Provider Type: Location: $4,041.97 $4,041.97 $4,041.97 TARGET PHARMACY T-1456 21615 S DIAMOND LAKE RD Grant PHARMACY ROGERS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $1,677.28 $1,677.28 TARGET PHARMACY 2010 MERC / PMAP Grant by Training Site TARGET PHARMACY T-1456 - Total Site Name / Provider Type: Location: $1,677.28 TARGET PHARMACY T-0659 700 DELLWOOD DR N PHARMACY BAXTER Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL TARGET PHARMACY T-0659 - Total Site Name / Provider Type: Location: $8,151.02 $8,151.02 $8,151.02 TARGET PHARMACY T-0100 13201 RIDGEDALE DR Grant PHARMACY MINNETONKA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TARGET PHARMACY T-0100 - Total Friday, December 03, 2010 TOTAL Grant $2,248.33 $2,248.33 $2,248.33 TARGET PHARMACY 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: TARGET PHARMACY T-0693 7535 W BROADWAY AVE PHARMACY BROOKLYN PARK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL TARGET PHARMACY T-0693 - Total Site Name / Provider Type: Location: $5,711.47 $5,711.47 $5,711.47 TARGET PHARMACY T-0657 2100 PAUL BUNYAN DR NW Grant PHARMACY BEMIDJI Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TARGET PHARMACY T-0657 - Total Friday, December 03, 2010 TOTAL Grant $6,555.70 $6,555.70 $6,555.70 TARGET PHARMACY 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: TARGET PHARMACY T-2135 PHARMACY 7900 32ND ST N OAKDALE UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Sponsoring Institution Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TARGET PHARMACY T-2135 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,177.34 $2,177.34 $2,177.34 $30,563.12 TARGET PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: THE DOCTORS UPTOWN AMC UPTOWN ROW BUILDING 1221 W LAKE ST STE 201 MINNEAPOLIS Site Name / Provider Type: Location: 55408 THE DOCTORS UPTOWN AMC PHYSICIAN UPTOWN ROW BUILDING 1221 W LAKE ST STE 201 MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER THE DOCTORS UPTOWN AMC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $2,428.28 TOTAL $2,428.28 $2,428.28 $2,428.28 THE DOCTORS UPTOWN AMC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: THRIFTY WHITE DRUG NO.734 107 E LINCOLN AVE FERGUS FALLS Site Name / Provider Type: Location: 56537 THRIFTY WHITE DRUG NO.734 107 E LINCOLN AVE PHARMACY FERGUS FALLS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER THRIFTY WHITE DRUG NO.734 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $25,384.20 $25,384.20 $25,384.20 $25,384.20 THRIFTY WHITE DRUG NO.734 2010 MERC / PMAP Grant by Training Site Billing Name and Address: TRUMM DRUG NO.1 600 FILLMORE ST ALEXANDRIA Site Name / Provider Type: Location: 56308 TRUMM DRUG NO.1 600 FILLMORE ST PHARMACY ALEXANDRIA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TRUMM DRUG NO.1 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $27,187.83 $27,187.83 $27,187.83 $27,187.83 TRUMM DRUG NO.1 2010 MERC / PMAP Grant by Training Site Billing Name and Address: TWIN CITIES ORTHOPEDICS ATTN: JAY HEMPE 6465 WAYZATA BLVD STE 900 ST LOUIS PARK Site Name / Provider Type: Location: 55426 ORTHOPEDIC CONSULTANTS PA 775 PRAIRIE CENTER DR 250 PHYSICIAN EDEN PRAIRIE Sponsoring Institution MINNESOTA SPORTS MEDICINE Teaching Program Eligible FTEs ORTHOPEDIC AND SPORTS MEDICINE 0.6000 MINNESOTA SPORTS MEDICINE ORTHOPEDIC CONSULTANTS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $532.45 $532.45 $532.45 $532.45 TWIN CITIES ORTHOPEDICS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: UNITED FAMILY MEDICINE 1026 W 7TH ST ST PAUL Site Name / Provider Type: Location: 55102 UNITED FAMILY MEDICINE 1026 W 7TH ST FEDERALLY QUALIFIED HEALTH CENTER ST PAUL Sponsoring Institution UNITED HOSPITAL Teaching Program Eligible FTEs FAMILY MEDICINE 3.0088 UNITED HOSPITAL TOTAL Grant $58,698.24 $58,698.24 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.7816 UNIVERSITY OF MN ACADEMIC HEALTH CENTER UNITED FAMILY MEDICINE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $4,230.58 $4,230.58 $62,928.82 $62,928.82 UNITED FAMILY MEDICINE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: UNITED HEALTH CARE SERVICES DBA EVERCARE ATTN: CATHY LAURING 12755 HIGHWAY 55 PLYMOUTH Site Name / Provider Type: Location: 55441 UNITED HEALTH CARE SERVICES DBA EVERCARE 9701 DATA PARK DRIVE NURSE PRACTITIONER MINNETONKA Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3000 METROPOLITAN STATE UNIVERSITY TOTAL Grant $84.43 $84.43 Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.9800 ST. CATHERINE UNIVERSITY TOTAL Grant $275.81 $275.81 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER 2.0600 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $579.77 $579.77 UNITED HEALTH CARE SERVICES DBA EVERCARE 2010 MERC / PMAP Grant by Training Site UNITED HEALTH CARE SERVICES DBA EVERCARE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $940.01 $940.01 UNITED HEALTH CARE SERVICES DBA EVERCARE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: UNIV OF MN SCHOOL OF DENTISTRY 15-224 MOOS HEALTH SCIENCE TOWER 515 DELAWARE STREET SE MINNEAPOLIS Site Name / Provider Type: Location: 55455 UNIV OF MN SCHOOL OF DENTISTRY DENTIST PATIENT ACCOUNTING 515 DELAWARE ST SE MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program DENTISTRY 147.6600 $10,207.47 ENDODONTICS 6.1600 $700.00 ORAL AND MAXILLOFACIAL SURGERY 0.2790 $31.70 ORTHODONTICS 8.4000 $954.55 PEDIATRIC DENTISTRY 6.5900 $748.87 PERIODONTICS 8.0000 $909.10 PHARMACY 0.4400 $11.26 PROSTHODONTICS 7.0500 $801.14 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Grant TOTAL $14,364.09 UNIV OF MN SCHOOL OF DENTISTRY 2010 MERC / PMAP Grant by Training Site UNIV OF MN SCHOOL OF DENTISTRY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $14,364.09 $14,364.09 UNIV OF MN SCHOOL OF DENTISTRY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: UNIVERSITY OF MINNESOTA DULUTH HLTH 615 NIAGARA COURT DULUTH Site Name / Provider Type: Location: 55812 UNIVERSITY OF MINNESOTA DULUTH HLTH 615 NIAGARA COURT PHYSICIAN DULUTH Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 0.6200 $6.46 NURSE PRACTITIONER 0.1200 $1.25 COLLEGE OF ST. SCHOLASTICA UNIVERSITY OF MINNESOTA DULUTH HLTH - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $7.71 $7.71 $7.71 UNIVERSITY OF MINNESOTA DULUTH HLTH 2010 MERC / PMAP Grant by Training Site Billing Name and Address: UNIVERSITY OF MN PHYSICIANS ATTN: KURT KAISER, ACCOUNTING 720 WASHINGTON AVE SE MINNEAPOLIS Site Name / Provider Type: Location: 55414 UMP - PHALEN VILLAGE CLINIC 1414 MARYLAND AVE E PHYSICIAN ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S 4.1131 $9,573.46 MEDICAL SCHOOL 2.1763 $1,405.41 TOTAL $10,978.87 UNIVERSITY OF MN ACADEMIC HEALTH CENTER UMP - PHALEN VILLAGE CLINIC - Total Site Name / Provider Type: Location: $10,978.87 UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE ST SE Grant PHYSICIAN MINNEAPOLIS Sponsoring Institution METROPOLITAN STATE UNIVERSITY Teaching Program NURSE PRACTITIONER Friday, December 03, 2010 Eligible FTEs 0.8000 Grant $20,906.35 UNIVERSITY OF MN PHYSICIANS 2010 MERC / PMAP Grant by Training Site METROPOLITAN STATE UNIVERSITY TOTAL $20,906.35 Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE 0.0156 UNITED HOSPITAL TOTAL Grant $1,482.23 $1,482.23 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.2600 $6,794.56 DIAGNOSTIC RADIOLOGY 0.1042 $9,900.54 HEMATOLOGY AND ONCOLOGY FELLOWSHIP 0.9287 $88,240.23 INTERNAL MEDICINE/PEDIATRICS 0.0500 $4,750.74 NURSE PRACTITIONER 0.6300 $16,463.75 OBSTETRICS AND GYNECOLOGIC ONCOLOGY FELLOWSHIP 0.0410 $3,895.61 OBSTETRICS, GYNECOLOGY, AND WOMEN'S HEALTH 0.4516 $42,908.68 PEDIATRIC 0.0734 $6,974.09 PEDIATRIC CARDIOLOGY FELLOWSHIP 0.0564 $5,358.83 PEDIATRIC CRITICAL CARE FELLOWSHIP 0.0007 $66.51 PEDIATRIC HEMATOLOGY AND ONCOLOGY FELLOWSHIP 0.4767 $45,293.55 TOTAL $230,647.08 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Grant UNIVERSITY OF MN PHYSICIANS 2010 MERC / PMAP Grant by Training Site Sponsoring Institution WINONA STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3600 WINONA STATE UNIVERSITY TOTAL UNIVERSITY OF MINNESOTA PHYSICIANS - Total Site Name / Provider Type: Location: $9,407.86 $9,407.86 $262,443.53 UMP SMILEYS CLINIC 2020 E 28TH ST Grant PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE UMMC FAIRVIEW 3.4517 $12,992.60 MEDICAL SCHOOL 3.6947 $3,858.57 PHARMACY 0.8900 $793.60 PHARMACY PRACTICE 0.2000 $361.26 PSYCHIATRY 0.0725 $272.90 UNIVERSITY OF MN ACADEMIC HEALTH CENTER UMP SMILEYS CLINIC - Total Friday, December 03, 2010 Grant TOTAL $18,278.91 $18,278.91 UNIVERSITY OF MN PHYSICIANS 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: UMP BROADWAY FAMILY MEDICINE 1020 W BROADWAY AVE PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - NORTH MEMORIAL 5.0622 $14,472.17 MEDICAL SCHOOL 0.8645 $685.71 PHARMACY 0.8900 $602.74 PHARMACY PRACTICE 0.6000 $823.13 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL UMP BROADWAY FAMILY MEDICINE - Total Site Name / Provider Type: Location: $16,583.76 $16,583.76 CENTER FOR SEXUAL HEALTH 1300 S 2ND ST STE 180 Grant PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S UNIVERSITY OF MN ACADEMIC HEALTH CENTER CENTER FOR SEXUAL HEALTH - Total Friday, December 03, 2010 0.0263 TOTAL Grant $1,082.34 $1,082.34 $1,082.34 UNIVERSITY OF MN PHYSICIANS 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: UMP BETHESDA CLINIC 580 RICE ST PHYSICIAN ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - ST JOHN'S 0.0308 $52.41 FAMILY PRACTICE - ST JOSEPH'S 6.1277 $10,426.54 MEDICAL SCHOOL 3.5763 $1,688.34 PHARMACY 0.7800 $314.40 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL UMP BETHESDA CLINIC - Total Site Name / Provider Type: Location: Grant $12,481.69 $12,481.69 STAR CLINIC PHYSICIAN 200 OAK STREET SE STE. 260 MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program ADOLESCENT MEDICINE 0.1540 $14,632.28 CHILD AND ADOLESCENT PSYCHIATRY 0.1082 $10,280.60 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Grant TOTAL $24,912.88 UNIVERSITY OF MN PHYSICIANS 2010 MERC / PMAP Grant by Training Site STAR CLINIC - Total Site Name / Provider Type: Location: $24,912.88 KDWB UNIVERSITY PEDS FAMILY CNTR 200 OAK ST SE STE 160 PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program DEVELOPMENTAL-BEHAVIORAL PEDIATRICS 0.1233 $11,715.32 INTERNAL MEDICINE/PEDIATRICS 0.0173 $1,643.76 PEDIATRIC 0.2555 $24,276.28 UNIVERSITY OF MN ACADEMIC HEALTH CENTER KDWB UNIVERSITY PEDS FAMILY CNTR - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $37,635.36 $37,635.36 $384,397.32 UNIVERSITY OF MN PHYSICIANS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: UPTOWN DERMATOLOGY AND SKIN SPA PA UPTOWN ROW BUILDING 1221 W LAKE ST STE 208 MINNEAPOLIS Site Name / Provider Type: Location: 55405 UPTOWN DERMATOLOGY AND SKIN SPA PA BILL ENTITY FOR PHYSICIAN SVCS UPTOWN ROW BUILDING 1221 W LAKE ST STE 208 MINNEAPOLIS Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Teaching Program Eligible FTEs INTERNAL MEDICINE 0.0824 ABBOTT NORTHWESTERN HOSPITAL UPTOWN DERMATOLOGY AND SKIN SPA PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,469.53 $1,469.53 $1,469.53 $1,469.53 UPTOWN DERMATOLOGY AND SKIN SPA PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: UROLOGY ASSOCIATES LTD 6525 FRANCE AV S STE 200 EDINA Site Name / Provider Type: Location: 55435 UROLOGY ASSOCIATES LTD 6525 FRANCE AV S STE 200 PHYSICIAN EDINA Sponsoring Institution ABBOTT NORTHWESTERN HOSPITAL Eligible FTEs Teaching Program INTERNAL MEDICINE 0.0757 ABBOTT NORTHWESTERN HOSPITAL TOTAL Grant $3,014.43 $3,014.43 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY PRACTICE - METHODIST UNIVERSITY OF MN ACADEMIC HEALTH CENTER UROLOGY ASSOCIATES LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.0463 TOTAL Grant $1,843.70 $1,843.70 $4,858.13 $4,858.13 UROLOGY ASSOCIATES LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: VALLEY CREEK FAMILY PHYSICIANS 8301 GOLDEN VALLEY RD STE 100 GOLDEN VALLEY Site Name / Provider Type: Location: 55427 VALLEY CREEK FAMILY PHYSICIANS PHYSICIAN 8301 GOLDEN VALLEY RD STE 100 GOLDEN VALLEY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.6316 UNIVERSITY OF MN ACADEMIC HEALTH CENTER VALLEY CREEK FAMILY PHYSICIANS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $1,497.89 $1,497.89 $1,497.89 $1,497.89 VALLEY CREEK FAMILY PHYSICIANS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: VALLEY FAMILY PRACTICE 822 YELLOW BRICK RD CHASKA Site Name / Provider Type: Location: 55018 VALLEY FAMILY PRACTICE 822 YELLOW BRICK RD BILL ENTITY FOR PHYSICIAN SVCS CHASKA Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.3400 ST. CATHERINE UNIVERSITY TOTAL Grant $498.34 $498.34 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.1895 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL Grant $280.18 $280.18 Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.2400 WINONA STATE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $351.77 $351.77 VALLEY FAMILY PRACTICE 2010 MERC / PMAP Grant by Training Site VALLEY FAMILY PRACTICE - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $1,130.28 $1,130.28 VALLEY FAMILY PRACTICE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: VIRGINIA REGIONAL MED CTR PHARMACY VIRGINIA REGIONAL MED CTR 901 9TH ST N VIRGINIA Site Name / Provider Type: Location: 55792 VIRGINIA REGIONAL MED CTR PHARMACY PHARMACY VIRGINIA REGIONAL MED CTR 901 9TH ST N VIRGINIA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.7800 UNIVERSITY OF MN ACADEMIC HEALTH CENTER VIRGINIA REGIONAL MED CTR PHARMACY - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,898.51 $3,898.51 $3,898.51 $3,898.51 VIRGINIA REGIONAL MED CTR PHARMACY 2010 MERC / PMAP Grant by Training Site Billing Name and Address: VIRGINIA REGIONAL MEDICAL CENTER 901 9TH ST N VIRGINIA Site Name / Provider Type: Location: 55792 VIRGINIA REGIONAL MEDICAL CENTER 901 9TH ST N HOSPITAL VIRGINIA Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs CLINICAL NURSE SPECIALIST 0.0500 COLLEGE OF ST. SCHOLASTICA VIRGINIA REGIONAL MEDICAL CENTER - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $89,276.25 $89,276.25 $89,276.25 $89,276.25 VIRGINIA REGIONAL MEDICAL CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WADENA MEDICAL CENTER LTD 4 DEERWOOD AVE NW WADENA Site Name / Provider Type: Location: 56482 WADENA MEDICAL CENTER LTD 4 DEERWOOD AVE NW PHYSICIAN WADENA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program ORTHOPAEDIC SURGERY 0.0227 $188.56 PRECEPTORSHIP II 0.0600 $138.28 PRECEPTORSHIP SUMMER 0.0400 $92.19 TOTAL $419.03 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WADENA MEDICAL CENTER LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $419.03 $419.03 WADENA MEDICAL CENTER LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WALGREENS REGIONAL OFFICE 3030 CENTRE POINT DRIVE N NO 800 ROSEVILLE Site Name / Provider Type: Location: 55113 WALGREENS PHARMACY no.05413 600 COUNTY ROAD 10 NE PHARMACY BLAINE Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL WALGREENS PHARMACY no.05413 - Total Site Name / Provider Type: Location: $17,817.42 $17,817.42 $17,817.42 WALGREENS PHARMACY NO.01160 621 W BROADWAY AVE Grant PHARMACY MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 TOTAL Grant $38,582.81 $38,582.81 WALGREENS REGIONAL OFFICE 2010 MERC / PMAP Grant by Training Site WALGREENS PHARMACY NO.01160 - Total Site Name / Provider Type: Location: $38,582.81 WALGREENS PHARMACY no.06730 1675 HIGHWAY 7 PHARMACY HOPKINS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL WALGREENS PHARMACY no.06730 - Total Site Name / Provider Type: Location: $8,692.46 $8,692.46 $8,692.46 WALGREENS PHARMACY NO.01303 4323 CHICAGO AVE Grant PHARMACY MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WALGREENS PHARMACY NO.01303 - Total Friday, December 03, 2010 TOTAL Grant $18,056.23 $18,056.23 $18,056.23 WALGREENS REGIONAL OFFICE 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: WALGREENS PHARMACY NO.01895 2643 CENTRAL AVE NE PHARMACY MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program PHARMACY 0.1700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL WALGREENS PHARMACY NO.01895 - Total Site Name / Provider Type: Location: $51,293.62 $51,293.62 $51,293.62 WALGREENS PHARMACY no.03832 7700 BROOKLYN BLVD Grant PHARMACY BROOKLYN PARK Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WALGREENS PHARMACY no.03832 - Total Friday, December 03, 2010 TOTAL Grant $52,883.46 $52,883.46 $52,883.46 WALGREENS REGIONAL OFFICE 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: WALGREENS PHARMACY no.02784 1301 E SUPERIOR ST PHARMACY DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL WALGREENS PHARMACY no.02784 - Total Site Name / Provider Type: Location: $44,942.07 $44,942.07 $44,942.07 WALGREENS PHARMACY NO.11125 1130 E 37TH ST Grant PHARMACY HIBBING Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WALGREENS PHARMACY NO.11125 - Total Friday, December 03, 2010 TOTAL Grant $10,289.74 $10,289.74 $10,289.74 WALGREENS REGIONAL OFFICE 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: WALGREENS PHARMACY NO.02661 15250 CEDAR AVE PHARMACY APPLE VALLEY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.3300 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL WALGREENS PHARMACY NO.02661 - Total Site Name / Provider Type: Location: $20,172.61 $20,172.61 $20,172.61 WALGREENS PHARMACY NO.00828 12 W 66TH ST Grant PHARMACY RICHFIELD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.7200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WALGREENS PHARMACY NO.00828 - Total Friday, December 03, 2010 TOTAL Grant $28,176.68 $28,176.68 $28,176.68 WALGREENS REGIONAL OFFICE 2010 MERC / PMAP Grant by Training Site Site Name / Provider Type: Location: WALGREENS PHARMACY no.06056 1965 DONEGAL DR PHARMACY WOODBURY Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL WALGREENS PHARMACY no.06056 - Total Site Name / Provider Type: Location: $11,244.10 $11,244.10 $11,244.10 WALGREENS PHARMACY no.10500 1201 MILLER TRUNK HWY Grant PHARMACY DULUTH Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.6700 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WALGREENS PHARMACY no.10500 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $15,651.75 $15,651.75 $15,651.75 $317,802.95 WALGREENS REGIONAL OFFICE 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WALKER DENTAL CLINIC 3737 BRYANT AVE SO MINNEAPOLIS Site Name / Provider Type: Location: 55409 WALKER DENTAL CLINIC 3737 BRYANT AVE SO DENTIST MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs DENTISTRY 0.5400 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WALKER DENTAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $758.54 $758.54 $758.54 $758.54 WALKER DENTAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WAL-MART PHARMACY NO.10-1696 3300 STATE HIGHWAY 210 W FERGUS FALLS Site Name / Provider Type: Location: 56537 WAL-MART PHARMACY NO.10-1696 3300 STATE HIGHWAY 210 W PHARMACY FERGUS FALLS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.2200 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WAL-MART PHARMACY NO.10-1696 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $9,924.55 $9,924.55 $9,924.55 $9,924.55 WAL-MART PHARMACY NO.10-1696 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WAL-MART PHARMACY NO.10-1929 1308 HIGHWAY 33 S CLOQUET Site Name / Provider Type: Location: 55720 WAL-MART PHARMACY NO.10-1929 1308 HIGHWAY 33 S PHARMACY CLOQUET Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PHARMACY 0.1100 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WAL-MART PHARMACY NO.10-1929 - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $9,654.21 $9,654.21 $9,654.21 $9,654.21 WAL-MART PHARMACY NO.10-1929 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WASECA MEDICAL CENTER-MAYO HEALTH 501 N STATE ST WASECA Site Name / Provider Type: Location: 56093 WASECA MEDICAL CENTER-MAYO HEALTH 501 N STATE ST PHYSICIAN WASECA Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.3330 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $1,599.08 $1,599.08 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program FAMILY MEDICINE MANKATO RESIDENCY 0.0089 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WASECA MEDICAL CENTER-MAYO HEALTH - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $155.39 $155.39 $1,754.46 $1,754.46 WASECA MEDICAL CENTER-MAYO HEALTH 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WAYZATA CHILDREN'S CLINIC PA 14001 RIDGEDALE DRIVE NO.100 MINNETONKA Site Name / Provider Type: Location: 55305 WAYZATA CHILDREN'S CLINIC PA 14001 RIDGEDALE DRIVE NO.100 PHYSICIAN MINNETONKA Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.7100 ST. CATHERINE UNIVERSITY TOTAL Grant $1,176.94 $1,176.94 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.3369 $563.36 PEDIATRIC 0.1254 $755.78 TOTAL $1,319.14 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WAYZATA CHILDREN'S CLINIC PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $2,496.09 $2,496.09 WAYZATA CHILDREN'S CLINIC PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WEST SIDE COMMUNITY HEALTH CENTER 153 CESAR CHAVEZ ST ST PAUL Site Name / Provider Type: Location: 55107 WEST SIDE COMMUNITY HEALTH SERVICES 153 CESAR CHAVEZ ST FEDERALLY QUALIFIED HEALTH CENTER ST PAUL Sponsoring Institution ST. CATHERINE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 0.5500 ST. CATHERINE UNIVERSITY TOTAL Grant $4,248.70 $4,248.70 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 0.7579 $5,905.98 NURSE PRACTITIONER 0.8500 $6,566.17 PHARMACY 0.8900 $5,921.53 PHARMACY PRACTICE 1.0000 $13,477.78 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WEST SIDE COMMUNITY HEALTH SERVICES - Total Friday, December 03, 2010 Grant TOTAL $31,871.46 $36,120.16 WEST SIDE COMMUNITY HEALTH CENTER 2010 MERC / PMAP Grant by Training Site TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $36,120.16 WEST SIDE COMMUNITY HEALTH CENTER 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WEST SIDE COMMUNITY HEALTH SERVICES 860 ARCADE ST ST PAUL Site Name / Provider Type: Location: 55106 HEALTH START - HARDING HIGH SCHOOL 1540 6TH ST E FEDERALLY QUALIFIED HEALTH CENTER ST PAUL Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.2100 ST. CATHERINE UNIVERSITY TOTAL HEALTH START - HARDING HIGH SCHOOL - Total Site Name / Provider Type: Location: $2,986.82 $2,986.82 $2,986.82 HEALTH START - JOHNSON HIGH SCHOOL 1349 ARCADE ST Grant FEDERALLY QUALIFIED HEALTH CENTER ST PAUL Sponsoring Institution ST. CATHERINE UNIVERSITY Teaching Program NURSE PRACTITIONER Friday, December 03, 2010 Eligible FTEs 0.1800 Grant $864.53 WEST SIDE COMMUNITY HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site ST. CATHERINE UNIVERSITY TOTAL HEALTH START - JOHNSON HIGH SCHOOL - Total Site Name / Provider Type: Location: $864.53 WEST SIDE COMMUNITY HEALTH SERVICES 153 CESAR CHAVEZ ST $864.53 FEDERALLY QUALIFIED HEALTH CENTER ST PAUL Sponsoring Institution METROPOLITAN STATE UNIVERSITY Eligible FTEs Teaching Program NURSE PRACTITIONER 1.2500 METROPOLITAN STATE UNIVERSITY TOTAL Grant $9,656.13 $9,656.13 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 0.2600 $2,008.48 INTERNAL MEDICINE/PEDIATRICS 0.0196 $550.49 TOTAL $2,558.97 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WEST SIDE COMMUNITY HEALTH SERVICES - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant $12,215.10 $16,066.46 WEST SIDE COMMUNITY HEALTH SERVICES 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WEST ST PAUL ALLINA MEDICAL CLINIC 150 E EMERSON AVE W ST PAUL Site Name / Provider Type: Location: 55118 WEST ST PAUL ALLINA MEDICAL CLINIC 150 EMERSON AVE E PHYSICIAN WEST ST PAUL Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.6632 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WEST ST PAUL ALLINA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $11,499.78 $11,499.78 $11,499.78 $11,499.78 WEST ST PAUL ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WEST SUBURBAN TEEN CLINIC 478 2ND ST EXCELSIOR Site Name / Provider Type: Location: 55331 WEST SUBURBAN TEEN CLINIC 478 2ND ST FAMILY PLANNING AGENCY EXCELSIOR Sponsoring Institution MINNESOTA STATE UNIVERSITY, MANKATO Eligible FTEs Teaching Program FAMILY NURSING 0.0500 MINNESOTA STATE UNIVERSITY, MANKATO TOTAL Grant $1,879.54 $1,879.54 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER UNIVERSITY OF MN ACADEMIC HEALTH CENTER WEST SUBURBAN TEEN CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.2500 TOTAL Grant $9,397.71 $9,397.71 $11,277.26 $11,277.26 WEST SUBURBAN TEEN CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WESTERN OB/GYN LTD 560 S MAPLE ST STE 130 WACONIA Site Name / Provider Type: Location: 55387 WESTERN OB/GYN LTD 560 S MAPLE ST STE 130 PHYSICIAN WACONIA Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs MEDICAL SCHOOL 0.4737 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WESTERN OB/GYN LTD - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $2,164.43 $2,164.43 $2,164.43 $2,164.43 WESTERN OB/GYN LTD 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WESTHEALTH INC BUSINESS OFFICE 2855 CAMPUS DR STE 465 PLYMOUTH Site Name / Provider Type: Location: 55441 WESTHEALTH INC PHYSICIAN BUSINESS OFFICE 2855 CAMPUS DR STE 465 PLYMOUTH Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE TOTAL Grant $757.11 $757.11 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Teaching Program Eligible FTEs PLASTIC SURGERY 0.1601 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WESTHEALTH INC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $3,349.38 $3,349.38 $4,106.50 $4,106.50 WESTHEALTH INC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WINONA HEALTH PHYSICIAN CLINICS 855 MANKATO AVENUE WINONA Site Name / Provider Type: Location: 55987 WINONA HEALTH PHYSICIAN CLINICS 855 MANKATO AVENUE PHYSICIAN WINONA Sponsoring Institution UNITED HOSPITAL Eligible FTEs Teaching Program FAMILY MEDICINE 0.1141 UNITED HOSPITAL TOTAL Grant $0.33 $0.33 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program MEDICAL SCHOOL 1.0000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER TOTAL Grant $0.81 $0.81 Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.6360 WINONA STATE UNIVERSITY Friday, December 03, 2010 TOTAL Grant $0.51 $0.51 WINONA HEALTH PHYSICIAN CLINICS 2010 MERC / PMAP Grant by Training Site WINONA HEALTH PHYSICIAN CLINICS - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 $1.65 $1.65 WINONA HEALTH PHYSICIAN CLINICS 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WINONA HEALTH PHYSICIANS CLINIC 855 MANKATO AVENUE WINONA Site Name / Provider Type: Location: 55987 LEWISTON CLINIC PHYSICIAN 100 HARRISON STREET LEWISTON Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.1800 WINONA STATE UNIVERSITY LEWISTON CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $0.14 $0.14 $0.14 $0.14 WINONA HEALTH PHYSICIANS CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WINONA STATE UNIV STUD HLTH SVC WINONA STATE UNIV STUD HL 175 W MARK ST WINONA Site Name / Provider Type: Location: 55987 WINONA STATE UNIV STUD HLTH SVC PHYSICIAN WINONA STATE UNIV STUD HL 175 W MARK ST WINONA Sponsoring Institution WINONA STATE UNIVERSITY Teaching Program Eligible FTEs NURSE PRACTITIONER 0.5200 WINONA STATE UNIVERSITY WINONA STATE UNIV STUD HLTH SVC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL Grant $927.35 $927.35 $927.35 $927.35 WINONA STATE UNIV STUD HLTH SVC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WOMENS HEALTH CONSULTANTS PA 121 S 8TH ST STE 600 MINNEAPOLIS Site Name / Provider Type: Location: 55402 WOMENS HEALTH CONSULTANTS PA 121 S 8TH ST STE 600 PHYSICIAN MINNEAPOLIS Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program NURSE PRACTITIONER UNIVERSITY OF MN ACADEMIC HEALTH CENTER WOMENS HEALTH CONSULTANTS PA - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 0.2500 TOTAL Grant $2,928.39 $2,928.39 $2,928.39 $2,928.39 WOMENS HEALTH CONSULTANTS PA 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WOODBURY ALLINA MEDICAL CLINIC 8675 VALLEY CREEK RD WOODBURY Site Name / Provider Type: Location: 55125 WOODBURY ALLINA MEDICAL CLINIC 8675 VALLEY CREEK RD PHYSICIAN WOODBURY Sponsoring Institution AUGSBURG COLLEGE Teaching Program Eligible FTEs FAMILY MEDICINE 0.1300 AUGSBURG COLLEGE TOTAL Grant $2,670.49 $2,670.49 Sponsoring Institution COLLEGE OF ST. SCHOLASTICA Teaching Program Eligible FTEs NURSE PRACTITIONER 0.0300 COLLEGE OF ST. SCHOLASTICA TOTAL Grant $608.87 $608.87 Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Friday, December 03, 2010 Teaching Program Eligible FTEs Grant CLINICAL NURSE SPECIALIST 0.3900 $7,915.25 MEDICAL SCHOOL 0.1895 $3,879.68 WOODBURY ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site UNIVERSITY OF MN ACADEMIC HEALTH CENTER WOODBURY ALLINA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 TOTAL $11,794.93 $15,074.28 $15,074.28 WOODBURY ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WOODLAKE ALLINA MEDICAL CLINIC 407 W 66TH ST RICHFIELD Site Name / Provider Type: Location: 55423 WOODLAKE ALLINA MEDICAL CLINIC 407 W 66TH ST PHYSICIAN RICHFIELD Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program INTERNAL MEDICINE/PEDIATRICS 0.0878 $3,318.71 MEDICAL SCHOOL 0.1579 $1,655.93 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WOODLAKE ALLINA MEDICAL CLINIC - Total TOTAL GRANT TO BILLING ADDRESS Friday, December 03, 2010 Grant TOTAL $4,974.64 $4,974.64 $4,974.64 WOODLAKE ALLINA MEDICAL CLINIC 2010 MERC / PMAP Grant by Training Site Billing Name and Address: WOODLAND CENTERS 1125 SE 6TH ST WILLMAR Site Name / Provider Type: Location: 56201 WOODLAND CENTERS 1125 SE 6TH ST COMMUNITY MENTAL HEALTH CENTER WILLMAR Sponsoring Institution UNIVERSITY OF MN ACADEMIC HEALTH CENTER Eligible FTEs Teaching Program CLINICAL NURSE SPECIALIST 1.5000 UNIVERSITY OF MN ACADEMIC HEALTH CENTER WOODLAND CENTERS - Total TOTAL Grant $35,999.38 $35,999.38 $35,999.38 TOTAL GRANT TO BILLING ADDRESS $35,999.38 Friday, December 03, 2010 WOODLAND CENTERS
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