AdMedika list of nationwide healthcare provider network

File Version : 01 Date: August 2009

No

Code

Hospital Name

Address

Status

Coverage

Total Active Terminal

DENPASAR
001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017 018 019 020 021 022 023 0179 0867 0864 1146 0220 0226 0438 1150 0140 1463 0221 1073 1151 1138 0996 1246 0875 0866 0222 1451 0870 0224 1464 RSU. KASIH IBU BALI KIMIA FARMA HEALTHCARE - DENPASAR APOTIK KIMIA FARMA DENPASAR RSU. BHAKTI RAHAYU DENPASAR RS. PRIMA MEDIKA KLINIK SIMPANG ENAM RS DHARMA USADHA RS. RSIA. PURI BUNDA RS. MANUABA KLINIK PENTA MEDIKA RS. PURI RAHARJA KASIH IBU MEDICAL CENTER BELITON KLINIK QUANTUM SARANA MEDIK RSU. KASIH IBU KEDONGANAN KASIH IBU MEDICAL CENTRE JIMBARAN KLINIK KIMIA FARMA HEALTH CARE KLINIK MANUABA KLINIK KIMIA FARMA - NUSADUA KLINIK PRIMA MEDIKA RSU. PARAMA SIDHI RSU. KERTHA USADA UBUD CLINIC KLINIK PRIMA MEDIKA NYUH KUNING

BALI
JL.TEUKU UMAR, NO.120 JL.DIPENOGORO NO.125, DENPASAR JL. DIPONEGORO, NO.125 Jl.GATOT SUBROTO II, NO.11 JL.PULAU SERANGAN, 9X JL. TEUKU UMAR, NO.148, DENPASAR JL P.B.SUDIRMAN, P B SUDIRMAN NO.50 NO 50 JL. JL. GATOT SUBROTO VI, NO.19 JL. HOS. COKROAMINOTO, NO.28 JL.TEUKU UMAR BARAT-MARLBORO,NO.88 JL. WR.SUPRATMAN, NO.14-19, DENPASAR JL.BELITON NO.1 JL. RAYA SESETAN, NO.20 JL. ULUWATU, NO.69A, KEDONGANAN JL.BY PASS I GUSTI NGURAH RAI, NO.13-14, KOMPLEK CITRA BALI, JIMBARAN JL.KARTIKA PLAZA 67, KUTA JL. RAYA KUTA - TUBAN JL.BY PASS NGURAH RAI, NO.890 JL. BY PASS NGURAH RAI, PERTOKOAN NIAGA, NO.9 JL.A.YANI NO.171A JL.CENDRAWASIH, NO57, SINGARAJA JL. TJAMPUHAN, NO.36, P.O.BOX 10, UBUD, GIANYAR JL.BANJAR NYUH KUNING,UBUD - DENPASAR ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE 5 4 1 1 3 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1

KUTA
ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE

NUSA DUA SINGARAJA UBUD

CILEGON
024 025 026 027 028 029 030 031 032 033 034 035 036 037 038 039 040 041 042 043 044 045 046 047 048 049 050 051 052 053 054 055 0995 0583 0121 1254 1403 1097 0302 0320 0701 0595 0129 0985 0951 0940 0939 0057 0915 0997 1084 1272 0941 1489 0115 0716 0717 1009 1008 1004 1003 0984 1126 0937 KLINIK & APOTIK WARINGIN RB NURFADILAH KLINIK AMALIA KLINIK & RB AFINA KLINIK KELUARGA PULO AMPEL KLINIK & APOTIK PRIMA SEHAT KLINIK ANANDA CILEGON KLINIK BONA MEDIKA APOTIK SEHAT APOTIK & KLINIK 24 JAM PRIMA HUSADA CILEGON APOTIK LABORA FARMA RSIA KURNIA APOTIK & KLINIK KIMIA FARMA - CILEGON KLINIK AL FALAH RSIA MUTIARA BUNDA KLINIK ALFINA RS. KRAKATAU MEDIKA KLINIK DIFFA RS MISI LEBAK RS. SARI ASIH SERANG KLINIK MODERN MEDIKA KRAGILAN KLINIK & RB CITRA MEDIKA KLINIK SERANG MEDIKA RSIA. BUDI ASIH APOTIK RATU FARMA KLINIK IKHLAS MEDIKA 2 KLINIK IKHLAS MEDIKA 1 KLINIK WISATA MEDIKA KLINIK RULIANDA KLINIK CIJAWA MEDIKA KRAKATAU MEDIKA HEALTHCARE KLINIK MODERN MEDIKA CIKANDE

BANTEN
JL.RAYA WARINGIN KURUNG SERDANG CILEGON JL.RAYA ANYER NO.92 SAMANG RAYA JL.S.A TIRTAYASA NO.7 JL. RAMBUTAN 12, PAGEBANGAN - CILEGON JL.SALIRA INDAH DS.SUMURANJA PULOAMPEL JL.S.A. TIRTAYASA NO.96 JL. R. SUPRAPTO KM.8 FESTIVAL RUKO, BLOK B10-11, BONAKARTA RUKO MATAHARI PLAZA, BLOK C, NO.11-16-17-18 (JL.BOJONEGARA) JL. RAYA MERAK, NO.36 JL. ALUN-ALUN UTARA, NO.23 Jl. JOMBANG MASJID No.4 JL. RAYA MERAK, NO.79 RUKO SUKMAJAYA BLOK.B NO.20 SUKMAJAYA Jl.SA TIRTAYASA NO.86 RUKO PONDOK CILEGON INDAH, BLOK KK1, NO.7-8 JL. SEMANG RAYA - CILEGON 42435 JL.RAYA LABUAN KM.12 JL.MULTATULI NO.41 JL.JEND.SUDIRMAN, NO.38, PENANCANGAN, CIPOCOK JL.RAYA SERANG KM15 RUKO D9 KRAGILAN JL.RAYA SERANG KM.9 DS.RANJENG - CIRUAS JL. RAYA SERANG CILEGON RUKO LEGOK SUKMAJAYA BLOK 5C NO.1 JL. K.H. SOHARI, NO.39 JL. MAULANA YUSUF, NO.17 JL.RAYA SERANG - JAKARTA (DEPAN KAMPUS UNTIRTA) KOMPLEK BUMI AGUNG PERMAI 1,NO. DI/6 JL.RAYA ANYER NO.9 JL.RAYA WARINGIN KURUNG NO.205 Jl. KH. A. FATAH HASAN No.8 JL.A.YANI NO.114 JL. RAYA SERANG KM.68 RUKO B6 CIKANDE SERANG ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE 1 1 1 1 1 1 2 1 1 1 1 1 2 1 2 1 2 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1

PANDEGLANG
ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

RANGKASBITUNG SERANG

SORONG
056 057 1452 1476 RS. KARTINI SORONG RS. MITRA MASYARAKAT

IRIAN JAYA
JL.MASJID RAYA,NO.10 SORONG JL. CHARITAS NO. 1 PO BOX 235, TIMIKA ACTIVE ACTIVE ALL COVERAGE ALL COVERAGE 1 1

TIMIKA BEKASI
058 059 060 061 062 063 064 065 066 067 068 069 070 071 072 073 074 0873 0887 0891 0161 0715 0588 0036 0324 1051 0010 0016 0178 0384 0735 0250 0188 0173 APOTIK & KLINIK LEGENDA SEHAT KLINIK MULYA MEDIKA II RS MEDIKA GALAXI RS. MITRA KELUARGA BEKASI TIMUR KLINIK MUTIARA I (CITRA HUSADA I) KLINIK MELVIANA RS. SENTOSA RS. GRAHA JUANDA KLINIK & RB ANGELIKA (RB DEBORAH) RS. MITRA KELUARGA BEKASI BARAT RS. KARYA MEDIKA CIBITUNG RSIA. HERMINA BEKASI RS. MEKAR SARI RSU KARTIKA HUSADA RSU. KLINIK KARYA MEDIKA I KLINIK FAJAR MEDIKA RS. SETO HASBADI

JABOTABEK
JL ZAMRUD UTARA BLOK U16 NO.100 JL.ZAMRUD NO 100 KOTA LEGENDA JL. PERUMAHAN GRAMA PURI, BLOK D1, NO.5, CIBITUNG JL.GARDENIA RAYA SELATAN BLOK BA1 NO.11 JL.PENGASINAN RAWA SEMUT MARGAHAYU, BEKASI TIMUR JL. SULTAN HASANUDIN, NO.14, RUKO PLAZA METROPOLITAN,TAMBUN JL. SAPARUA RAYA NO.239 - 240 PERUMNAS III BEKASI JL. PAHLAWAN, NO.60 DUREN JAYA, BEKASI TIMUR JL. IR. H. JUANDA, NO.326 PERUMAHAN PONDOK TANAH MAS JL.BOSIH RAYA BLOK E15 NO.12-13 CIBITUNG JL. JEND. A.YANI, BEKASI BARAT JL. RAYA IMAM BONJOL, NO.9B, CIKARANG BARAT, CIBITUNG JL. KEMAKMURAN, NO.39, MARGAJAYA JL. MEKAR SARI, NO.1 JL MANGUN JAYA RAYA KP.RUKEM JL.MANGUN KP RUKEM RT.003/013, RT 003/013 DESA MANGUN JAYA, JAYA TAMBUN - BEKASI JL. IR H JUANDA NO.38 C RUKO KAWASAN INDUSTRI MM2100, CIBITUNG JL. RAYA SEROJA NO.19 BEKASI ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE 1 1 1 1 1 1 1 1 1 1 3 1 1 2 1 1 1

ALL COVERAGE ALL COVERAGE ALL COVERAGE

No 075

Code 0147

Hospital Name KLINIK KARYA MEDIKA IV

Address JL. NAROGONG RAYA, KM.11, BANTAR GEBANG

Status PARTIAL

Coverage GP,SP,OP,DENTA L,LAB,PHAR,RMRJ,RM-RG,RMKM,RM-RI,RM-RB ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

Total Active Terminal 1

076 077 078 079 080 081 082 083 084 085 086 087 088 089 090 091 092 093 094 095 096 097 098 099 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171

0151 0409 0063 0185 0768 0766 1417 1244 1259 1261 1277 1293 1296 1530 1532 1541 1514 1553 1486 1493 1053 0945 0949 0950 0974 0982 0987 0988 1120 1122 1123 1205 1206 1207 1208 1215 1216 1136 1140 1203 1204 1060 1062 0410 0767 0620 0294 0819 0843 0845 0847 0706 0835 0468 0290 0720 0067 0133 1410 1411 1419 1251 1297 1509 1524 1525 1484 0932 0986 0992 1103 1134 1166 0411 0755 0190 0389 1404 0263 1234 1308 1494 0916 0929 0850 0709 0960 0967 1119 1218 1064 1067 0155 0306 1034 1041

KLINIK MULYA MEDIKA (APOTIK MURNI) KLINIK DHARMA MEDIKA RS. RS AL-MULTAZAM AL MULTAZAM MEDIKA RS. BHAKTI KARTINI KLINIK & RB JATIMULYA MEDICAL CENTRE RS. ANANDA BEKASI KLINIK & RB RINOVA INTAN RSIA. MASMITRA KLINIK WIJAYA KESUMA RS HOSANA MEDIKA BEKASI KLINIK & RB GUCI MEDIKA KLINIK YAKESTI BEKASI RSB. TAMAN HARAPAN BARU KLINIK SAPTA MITRA BEKASI KLINIK SAPTA MITRA BEKASI TIMUR RS. PERMATA BEKASI KLINIK SUMBER WARAS RS HERMINA GRAND WISATA RS. GLOBAL AWAL BROS KLINIK JATI ASIH RS ST.ELISABETH - BEKASI KLINIK HERANI KLINIK HOSANA MEDIKA III KLINIK HOSANA MEDIKA IV KLINIK MITRA MEDIKA RS.BUDI LESTARI KLINIK HARAPAN SEHAT RS. PERMATA BUNDA BEKASI KLINIK PURI NUSAPHALA RSIA. JATI SAMPURNA RS. CITRA HARAPAN KLINIK SADRINA MEDIKA I KLINIK SADRINA MEDIKA II KLINIK DIPONEGORO KLINIK Dr. ROCKY APOTIK NAROGONG RSB. JUWITA KLINIK PERMATA BUNDA BEKASI RS. RAWA LUMBU KLINIK SEHAT SEJAHTERA I KLINIK SEHAT SEJAHTERA II KLINIK TAMBUN SEHAT RS.CITRA MEDIKA RS. BELLA BEKASI TIMUR KLINIK MHT BEKASI RSIA. KARYA MEDIKA II KLINIK KARYA MEDIKA III (APOTIK MEKAR ASRI) KLINIK & RB PERMATA BUNDA SETU KLINIK DHARMA BHAKTI KLINIK & RB SETIA RSIA. ANNA POLIKLINIK CIBULUH RS FAMILY MEDICAL CENTRE BOGOR RS PMI. RS. PMI BOGOR RS. MARY CILEUNGSI HIJAU RSIA. CITRA INSANI RS. KARYA BHAKTI RSIA. HERMINA BOGOR KLINIK DR.SUSILO KLINIK PT CORINTHIAN INDUSTRIES KLINIK & RB CITAMA KLINIK INSANI CIBINONG KLINIK & RB. INSANI KLINIK BUKIT JAYA MEDIKA EMMA MEDICAL CENTER 1 EMMA MEDICAL CENTER 2 KLINIK & RB TRIMITRA KLINIK MHT CIPAYUNG KLINIK MEDISTIRA II RS BOGOR MEDICAL CENTER RS TRIMITRA CIBINONG KLINIK & RB HARAPAN IBU KLINIK ZAHRA MEDIKA RS. AZRA RS BINA HUSADA RS ISLAM BOGOR RS. MHT. CILEUNGSI KLINIK BIO MEDI CENTRE KLINIK BINA MEDIKA RS HOSANA MEDICA PILAR RB. RIDHOKA SALMA KLINIK & RB ANNISA IV KLINIK & RB GRAHA BINA HUSADA KLINIK RENNICHA PUTRA KLINIK HOSANA MEDIKA II RSIA HOSANA MEDIKA RSB. MEKAR MULIA CITRA ARDHITA MEDIFARMA KLINIK SAPTA MITRA CIKARANG KLINIK CIKARANG MEDIKA JAYA KLINIK & RB HOSANA MEDIKA CIBARUSAH RS. MEDIROSSA KLINIK KARYA MEDIKA V RS. ANNISA CIKARANG KLINIK HARAPAN SEHAT II RS HARAPAN INTERNASIONAL

JL. RAYA JATI MULYA, NO.1, BEKASI TIMUR JL. PEMUDA, NO.33, KRANJI JL.RAYA JL RAYA PERUM JATIMULYA, JATIMULYA PENGKALAN KOASI, KOASI K-19, K 19 TAMBUN JL. KARTINI, NO.11 JL.JATIMULYA RAYA NO.14 BEKASI JL.SULTAN AGUNG NO.17, MEDAN SATRIA BEKASI JL.RAYA SEROJA NO.101 JL. KELURAHAN JATIMAKMUR, NO.40, PONDOK GEDE JL.NAROGONG SAKTI RAYA BLOK A 20 NO.1 JL.PRAMUKA NO.12 RAWA LUMBU JL.PRAMUKA NO.79 RAWA LUMBU JL.RAYA NAROGONG KM.7 NO.45 BOJONG MENTENG JL.TAMAN HARAPAN BARU RAYA BLOK R-I NO.20,PEJUANG MEDAN JL. KH. M.TABRANI BLOK I NO. 1 A-1B, MARGAMULIA, BEKASI UTARA JL.RAYA PONDOK TIMUR, RUKO GADING MAS JL. LEGENDA RAYA, NO. 9, MUSTIKA JAYA JL. RAYA CIBARUSAH, KAMPUNG CIJAMBE, SUKADAMI, CIKARANG JL. FESTIVAL BOULEVARD BLOK JA NO. I, GRAND WISATA, JL.KH.NOER ALI KAV.17-18 KALIMALANG JL. JATI ASIH RAYA, NO.8, PONDOK GEDE JL.RAYA NAROGONG NO.202 KEMANG PRATAMA JL.PERUM MUTIARA BEKASI JAYA,BLOK H4 NO.16 - SINDANG MULIA JL.TEUKU UMAR NO.19 CIBITUNG Jl.MANGUN JAYA I BLOK A NO.6 TAMBUN-BEKASI JL.AGUS SALIM 52F BEKASI JL.KH.NOER ALIE, NO.2 DEPAN PERUMNAS II, KALIMALANG JL.TEUKU UMAR NO.33 CIBITUNG PERUM GRAMAPURI TAMANSARI C1/8-10 CIBITUNG JL.CITRA INDAH A/14 PERUM PURI NUSAPALA JATI ASIH JL. STUDIO ANTV KRANGGAN JL. RAYA HARAPAN INDAH KAW.SENTRA NIAGA NO.3-5 MEDAN SATRIA Jl. PERUM MUTIARA GADING TIMUR BLOK.A7 NO.5 Kel.MUSTIKA JAYA BEKASI TIMUR Jl. PERUM BEKASI TIMUR REGENSI BLOK.H2 NO.12, KEL.CIMUNING, BEKASI TIMUR Jl. DIPONEGORO No.26 Tambun Jl. PONDOK PEKAYON INDAH BLOK.DD38 NO.11 - BEKASI Jl. TAMAN NAROGONG INDAH BLOK.TA NO.27 BEKASI Jl. M. HASIBUAN NO.78 - BEKASI JL. BOSIH RAYA RUKO KARTIKA WANASARI Blok.C1/4 CIBITUNG JL.DASA DARMA, NO.20-23, RAWA LUMBU Jl. RAYA NUSANTARA No.2 PERUMNAS III BEKASI TIMUR PERUM REGENSI - BEKASI TIMUR RUKO NIAGA KALIMAS II BLOK A2 JL.INSPEKSI KALIMALANG KM.37 JL.RAYA H.BOSIH NO.117 DS.WANASARI,CIBITUNG-BEKASI JL. IR. JUANDA, NO.141 JL.H.M JOYO MARTONO NO.31B BEKASI TIMUR JL. SULTAN HASANUDIN NO.63 TAMBUN JL. PERJUANGAN, NO.30C, TELUK BUYUNG PERUM GRAHA MUSTIKA MEDIA, BLOK A2, NO.15, SETU JL.RAYA BOSIH BLOK A4 NO.23 PONDOK TANAH MAS, CIBITUNG JL.RAYA SERANG - CIBARUSAH NO.41 BEKASI JL. PEKAYON RAYA NO.36, BEKASI SELATAN JL. KEDUNG HALANG TALANG, NO.148 JL.RAYA BOGOR KM.51 CIMANDALA-SUKARAJA JL RAYA PAJAJARAN, JL. PAJAJARAN NO.80 NO 80 JL. RAYA NAROGONG, KM.21, CILEUNGSI JL. RAYA PARUNG NO.242, LEBAKWANGI PEMAGARSARI JL. DR. SEMERU NO.120 JL. RING ROAD-1, KAV.23,25,27, PERUM. TMN. YASMIN Jl. GRIYA BUKIT JAYA, F1 NO. 8, GUNUNG PUTRI Jl. MERCEDES, CISADAS, GUNUNG PUTRI JL.BOJONG GEDE-BOGOR JL.MAYOR OKING, NO.01/02, CIRIUNG, CIBINONG JL.PAHLAWAN NO.73B CITEUREUP GRIYA BUKIT JAYA RUKO FORTUNA C.I NO. 2, GUNUNG PUTRI KOMP.VILLA NUSA INDAH II, HH2, NO.12, BOJONG KULUR, GUNUNG JL.RAYA CICADAS, KM.9, NO.21, GUNUNG PUTRI JL. RAYA GUNUNG PUTRI KM 117, GUNUNG PUTRI JL RAYA PUNCAK CIPAYUNG JL.RAYA JL.GUNUNG PUTRI DESA CICADAS,RT31/10, GUNUNG PUTRI JL.PAJAJARAN INDAH V/97 BOGOR JL.RAYA CIBINONG KM.43 JL. RAYA CIKABON NO.108 PARUNG PANJANG JL. MERCEDES, NO.97, CICADAS, GUNUNG PUTERI JL. RAYA PAJAJARAN, NO.219 Jl. MAYOR O KING NO.101, CIBINONG - BOGOR JL. PERDANA RAYA NO.22, BUDI AGUNG - KEDUNG BADAK JL. RAYA NAROGONG, KM.16, LIMUS NUNGGAL, CILEUNGSI RUKO UNION BLOK D 12-15 LIPPO CIKARANG KP. KONGSI, CIKARANG JL.K.H.DEWANTARA NO.33,DS KARANG ASIH,CIKARANG UTARA JL.IMAM BONJOL NO.7 GARDU SAWAH JL.RAYA CIBARUSAH NO.63 SERANG BARU JL. INDUSTRI SELATAN NO.1A, BLOK NN 3A, INDUSTRI JABABEKA II JL.RAYA CIKARANG CIBARUSAH JL.KAWASAN INDUSTRI I, JABABEKA B8, CIKARANG UTARA RUKO THAMRIN, BLOK C3, LIPPO CIKARANG JL.KASUARI IV, SEKTOR MEKAR ALAM,PASIMAL - CIKARANG BARU CAPITOL BUSINESS PARK, BLOK B2, JL. NIAGA RAYA JL.RAYA CIKARANG - CIBARUSAH, NO.39A, SUKARESMI Jl. YOS SUDARSO NO.27 CIKARANG JL.RAYA SERANG-CIBARUSAH KP.BUNISARI RT.07/04 DS.SUKARAGAM SERANG BARU JL.INDUSTRI TEGAL GEDE - CIKARANG SELATAN RUKO HARKO HARKO, JABABEKA JABABEKA, CIKARANG JL. CIKARANG BARU, NO.31, LEMAHABANG RUKO TELAGA HARAPAN BLOK F NO.16, PERUMAHAN TELAGA HARAPAN, CIKARANG BARAT JL.KASUARI RAYA KAV.1A-1B

ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 4 1 1 1 2 1 1 1 1 1 2 1 2 1 1 2 2 1 1 1 1 1 1 1 1 1 1 3 1 1 1 2 1 1 1 2 1 2 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 6 1 1 1 1 1 1 1 4 1 3

ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

BOGOR

CIKARANG
ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

ALL COVERAGE

No 172 173 174 175 176 177 178 179

Code 1050 0275 0385 0391 0406 0738 0407 1231

Hospital Name RSIA. AMANDA RS. MEDIKA CIKARANG RS. BHAKTI HUSADA SILOAM HOSPITALS LIPPO CIKARANG KLINIK ANNISA II (CIKARANG) RSIA AMANDA KLINIK ANNISA III (CIKARANG) RB.KARTIKA HUSADA

Address JL.RAYA INDUSTRI NO.36,CIKARANG UTARA JL. RAYA INDUSTRI PASIR GOMBONG JABABEKA, CIKARANG JL. RE. MARTADINATA JL. MH. THAMRIN, KAV.105, LIPPO CIKARANG JL.CIBARUSAH RUKO POIN, NO.31 R JL.RAYA SERANG NO.38 CIKARANG SELATAN JL. JL RAYA CIBARUSAH - RUKO CENTRAL CIKARANG, CIKARANG BLOK A5, A5 CIKARANG JL.UTAMA BII NO.1 CIBARUSAH SERANG RT07/01 DESA RESMI KEC.CIKARANG SELATAN JL.MARIBAYA NO.1 PURI CINERE JL.KH.M.USMAN 168,KUKUSAN BEJI - DEPOK JL. MARGONDA RAYA, PANCORAN MAS - DEPOK JL.KEADILAN NO.4 BLOK.II DEPOK TIMUR JL. RADEN SALEH NO.42 DEPOK JL.MARGONDA RAYA NO.28 PONDOK CINA-DEPOK 16424 JL. RAYA BOGOR KM.33 CISALAK - DEPOK JL. MARGONDA RAYA, NO.45, PESONA ESTATE, BLOK A-1 JL. MARIBAYA BLOK F2, NO.10, PURI CINERE - DEPOK JL. RAYA BOGOR, KM.36, SIDAMUKTI SUKMAJAYA, CIMANGGIS - DEPOK JL.PEMUDA NO.10 JL. RAYA SAWANGAN-DEPOK JL. RAYA BOGOR, KM29, CIMANGGIS-DEPOK JL. RAYA BOGOR, KM.31, NO.23, CIMANGGIS JL. RAYA SILIWANGI, NO.50, PANCORAN DEPOK PERUMAHAN LEMBAH HIJAU GOBEL, BLOK C6, NO.1A, MEKARSARI, CIMANGGIS JL. PETA SELATAN, NO.50 HOTEL MENARA PANINSULA JL.LETJEN S PARMAN KAV.78 LT.7 JL.PURI INDAH RAYA BLOK S2, KEMBANGAN SELATAN JL.KAMAL RAYA BLOK A7 NO.7-11 TEGAL ALUR JL. TUBAGUS ANGKE NO.27. TAMAN DUTA MAS BLOK D-9B NO.2-3 JL. RAYA PERJUANGAN, KAV.8, KEBUN JERUK JL.DAAN MOGOT NO.34 GROGOL JL.AIP II K.S. TUBUN, NO.92-94 BUMI CENGKARENG INDAH, CENGKARENG TIMUR JL. KINTAMANI RAYA, NO.2, KAW. DAAN MOGOT BARU PERUM.TAMAN SURYA III BLOK F/63 CENGKARENG JL.RAYA KEDOYA NO.2 KEBON JERUK JL. RAYA KEBAYORAN LAMA, NO.64, JL. AIPDA K.S.TUBUN, NO.79 JL. DAAN MOGOT, KM.17 JL.TANJUNG DUREN RAYA NO.2 JL. JEND S.PARMAN, KAV.87, SLIPI JL.CENDRAWASIH NO.1 KOMP DEPHAN/MABES TNI JL. PETA SELATAN RAYA-KALIDERES INDAH I BLOK A NO.12 JL.RAYA PERJUANGAN, KEBUN JERUK JL.RAYA MANGGA BESAR 137-139 JL. ABDUL RACHMAN SALEH NO.24 JL.CEMPAKA PUTIH TENGAH I/1 JL.BENDUNGAN HILIR NO.17 JL.ABDUL RACHMAN SALEH NO.24 JL. SAWO NO.56-60 Jl. ABDUL RACHMAN SALEH NO.24 PLAZA SEMANGGI LT7, JL JEND SUDIRMAN KAV 50 JL.ABDUL RAHMAN SALEH NO.24 JL.BUDI KEMULIAAN NO.25 JL. TEUKU CIK DITIRO NO.28, MENTENG JL. SALEMBA RAYA, NO.41 JL. CIKINI RAYA, NO.60 R/S JL.TEUKU CIK DITIRO NO.12, MENTENG HOTEL SARI PAN PACIFIC, LT.1, JL.MH.THAMRIN GD.INDOSAT, LT.23, JL.MEDAN MERDEKA BARAT, NO.21, JL.GEREJA THERESIA 22 MENARA KEBON SIRIH PODIUM I KAV 17-19 GEDUNG BI, JL.KEBON SIRIH KAV 82-84 JL.KEBON SIRIH NO.94 JL. PROKLAMASI NO.43 JL. RAWAMANGUN NO.47 JL. SALEMBA TENGAH, NO.26-28 JL. H. UNG E - 71/2 KEMAYORAN PLAZA KEBON SIRIH PODIUM I P1- P13B Jl.KEBON SIRIH Kav.17-19 JL. H.O.S. COKROAMINOTO, NO.31-33 JL RADEN SALEH, JL. SALEH NO.40 NO 40 JL. A. YANI NO.2 JL. KALI PASIR, NO.9 JL. JEND. SUDIRMAN, KAV.49 JL.TAMBAK,NO.18 MANGGARAI JL. KRAMAT RAYA, NO.128 Jl.BENDUNGAN HILIR RAYA No.1A JL. ABDUL RACHMAN SALEH NO.24 JL. RS. FATMAWATI, NO.80-82 JL.GANDARIA I NO.20 KEBAYORAN BARU JL. JEND. SUDIRMAN, KAV.25 JL. DR. SAHARJO, NO.120 JL.RAYA PASAR MINGGU, NO.3A, PANCORAN FOUR SEASONS HOTEL, HOTEL JL. JL SETIABUDI, SETIABUDI KUNINGAN JL. ADITYAWARMAN I, NO.14, KEBAYORAN BARU JL. SULTAN AGUNG, NO.67, PASAR RUMPUT JL. BUNCIT RAYA, NO.15 GD.BEJ TOWER 1- LL TOWER JL.JEND.SUDIRMAN KAV.52-53 JL. KYAI MAJA 43, KEBAYORAN BARU JL. BANGKA RAYA, NO.28-30, PELA MAMPANG JL. PROF. DR. SATRIO, NO.21E JL. CILANDAK KKO RAYA NO.45 MENARA KADIN INDONESIA, 27TH FLOOR, JL. H.R. RASUNA SAID, BLOK X-5, KAV.2-3 JL. GATOT SUBROTO KAV.49 KAWASAN NIAGA TERPADU SUDIRMAN. JL.JEND.SUDIRMAN KAV.52-53 WISMA PPBI,JL.RASAMALA RAYA NO.2 Jl GATOT SOEBROTO KAV. Jl. KAV 71 - 73 JAKARTA JL.RADIO DALAM RAYA, NO.54A JL. HR. RASUNA SAID BLOCK X-7 LT1. UNIT I, KUNINGAN PLAZA 5 BLOK B NO.15 JL.MARGAGUNA PONDOK INDAH

Status ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE

Coverage ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

Total Active Terminal 1 1 1 1 1 3 1 1

ALL COVERAGE

DEPOK
180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 1094 1098 1485 0983 1194 1056 0470 0778 0776 0107 1007 0009 0346 0777 0265 0279 0695 0931 1479 0771 0782 0101 0836 0018 0736 0390 1127 1256 0204 1102 0381 0956 0109 0952 0783 0752 1054 0788 0953 0970 1115 1121 1197 1066 1069 1078 0790 0600 0397 1477 1544 1495 1358 1250 1406 1405 0787 0029 0398 0789 0793 0135 0013 0042 0180 0084 1026 0599 0998 1019 0593 0999 0112 0193 0110 0001 0034 0041 0043 0801 0795 0401 0198 0597 0199 0797 1402 1408 1412 1546 1554 1461 KLINIK KARDIOVASKULAR HOSPITAL CINERE RSIA GRAHA PERMATA IBU RS. MITRA KELUARGA DEPOK KLINIK ABADI JAYA RSIA HASANAH GRAHA AFIAH RS BUNDA MARGONDA RS. SENTRA MEDIKA KLINIK DEPOK 2000 HOSPITAL CINERE RS SIMPANGAN DEPOK RS HARAPAN DEPOK RSU. BHAKTI YUDHA RS. TUGU IBU RSIA TUMBUH KEMBANG RSIA. HERMINA DEPOK KLINIK ANNIE NENTO KLINIK KUSUMA I KLINIK HOTEL MENARA PENINSULA RS PURI INDAH KLINIK YADIKA TEGAL ALUR KLINIK MHT ANGKE SILOAM HOSPITALS KEBUN JERUK RS ROYAL TARUMA RS. PELNI PETAMBURAN RSUD. CENGKARENG RSIA. HERMINA DAAN MOGOT JESSLYN MEDICAL CENTER RS. PURI MANDIRI KEDOYA RS. MEDIKA PERMATA HIJAU RS BHAKTI MULIA RS. MHT CENGKARENG KLINIK TOMANG RSAB. HARAPAN KITA RS PATRIA IKKT KLINIK MHT KALIDERES IN-HOUSE CLINIC RCTI RS HUSADA RSPAD GATOT SUBROTO (PAV.KARTIKA) RS ISLAM JAKARTA (CEMPAKA PUTIH) RSAL DR MINTOHARDJO RSPAD GATOT SUBROTO (PAV.IKA) RS. BEDAH THT PANTI RAHARJA (YPR Hospital) RSPAD GATOT SUBROTO (Non. Pav) SEMANGGI SPECIALIST CLINIC RSPAD GATOT SUBROTO(P.IMAM SUJUDI) RSB BUDI KEMULIAAN RSIA. BUNDA JAKARTA RS. ST. CAROLUS KLINIK BARUNA BUNDA INTERNASIONAL CLINIC KLINIK HOTEL SARI PAN PACIFIC KLINIK KIMIA FARMA (INDOSAT) RB. YPK (YAYASAN PEMERIKSAAN KESEHATAN) CITRA HEALTH CARE CLINIC APOTIK FARMARIN I KLINIK YKK BI KEBON SIRIH RS. KHUSUS THT-BEDAH PROKLAMASI RSIA. EVASARI RS. MH. THAMRIN INTERNASIONAL KLINIK MHT SERDANG KLINIK YES CARE RS. ABDI WALUYO RS PGI. RS. PGI CIKINI RS. PERTAMINA JAYA RSU. MENTENG MITRA AFIA RS. JAKARTA RSIA TAMBAK RS. KRAMAT 128 APOTIK MALINA RSPAD GATOT SUBROTO (P.DARMAWAN) RS. SETIA MITRA RSIA MUHAMMADIYAH TAMAN PURING SUDIRMAN MEDICAL CENTER RSIA. BUDHI JAYA RS. TRIA DIPA KLINIK FOUR SEASONS HOTEL ADITYA MEDICAL CENTER RS. AGUNG RS. JAKARTA MEDICAL CENTER KLINIK MEDICAL CARE RS. PUSAT PERTAMINA APOTIK-KLINIK SPESIALIS-RSB ESTI APOTIK SATRIO KLINIK JMC DHARMA BHAKTI MEDICARE CLINIC RS. MEDISTRA KLINIK RITZ CARLTON PASIFIC PLACE KLINIK YKK BI RASAMALA APOTIK FARMARIN III KLINIK NDH H2E DENTAL CLINIC ALL CARE DENTAL CENTRE

ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE

ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL

COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 3 1 1 1 1 1 1 1 1 1 3 2 1 1 1 1 1 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1

JAKARTA BARAT

ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE PARTIAL RM-RJ,RM-RG,RM-K ACTIVE ALL COVERAGE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

JAKARTA PUSAT

JAKARTA SELATAN

ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

No 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 3 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369

Code 1488 0923 1111 1112 1076 1083 1089 0799 0804 0800 0794 0758 0049 0003 0842 0853 0854 0857 0860 0879 0892 0911 0395 0400 0674 0012 0289 0122 0102 0024 0060 0382 0032 0258 0292 0286 0806 0805 0807 0779 0744 0652 0749 0826 0888 0386 1001 1012 0099 0944 0948 0962 0990 1212 1139 1192 1080 1085 1090 1096 1425 1258 1257 1262 1501 1473 1490 0812 0186 1416 1422 1263 0 8 0587 1033 0811 0170 0011 0876 0882 0910 0392 0748 0610 1552 1049 1223 0064 0733 0412 0702 0007 0017 0021 0337 0571 0062 0291 1455

Hospital Name RS. ASRI PERTAMEDIKA MEDICAL CENTRE KLINIK RITZ CARLTON HOTEL JAKARTA KLINIK J.W MARRIOT HOTEL JAKARTA KLINIK YADIKA PETUKANGAN RS. MATA AINI RS KHUSUS THT & BEDAH CIRANJANG RS. GANDARIA KLINIK HOTEL DHARMAWANGSA KLINIK TRIAZ PERSADA RS. SIAGA RAYA DE BLITZR DENTAL CARE RS. PONDOK INDAH RS. TEBET BRAWIJAYA WOMEN & CHILDREN HOSPITAL KLINIK & RB. PRIMA HUSADA CINERE RSIA ZAHIRAH TIRTA MEDICAL CENTER KLINIK SENAYAN CITY RSIA YADIKA CIPUTAT KLINIK FAMILY DENTISTRY KLINIK MEDIKA PLAZA RS. PRIKASIH MEDIKALOKA HEALTHCARE CENTER NUSANTARA STROKE & MEDICAL CENTER RS. MITRA INTERNASIONAL RS. OMNI MEDICAL CENTER RS. MEDIROS RS ISLAM JAKARTA TIMUR (PONDOK KOPI) KLINIK PRIMA HUSADA CIBUBUR RS. HARAPAN BUNDA RS. MHT PONDOK GEDE RB BUNDA AUNI KLINIK DEVITA KLINIK PONDOK GEDE AGUNG RS. KARTIKA PULO MAS RS. HAJI RS. FK-UKI KLINIK MHT TEGALAN RUSPAU DR.ESNAWAN ANTARIKSA IN-HOUSE CLINIC TPI RB & KLINIK AL - FAUZAN RS HARUM KLINIK SEJAHTERA CIRACAS RS YADIKA PONDOK BAMBU RSIA. HERMINA JATINEGARA RS DHARMA NUGRAHA KLINIK & RB IBIN SINA RS. HARAPAN JAYAKARTA RS POLRI KLINIK SAPTA MITRA KLINIK CONDET JAYA RS. JANTUNG BINA WALUYA CARDIAC CENTER KLINIK BINA HUSADA BHAKTI KLINIK TJAKRA KLINIK & APOTEK PUTEWA RS KESDAM CIJANTUNG RS MEILIA RSIA PERMATA CIBUBUR KLINIK YADIKA CIBUBUR APOTEK HALIM FARMA KLINIK SUCI HUSADA KLINIK SPESIALIS MEDIKA RS.RAWAMANGUN KLINIK & RB PULO GEBANG BKM CAROLUS & RB ST. ANNA RSIA. BUNDA ALIYAH RS. ATMA JAYA RS. MITRA KELUARGA KELAPA GADING KLINIK DELAROSA ROYAL PROGRESS INT HOSPITAL KLINIK SEMPER SISMA MEDIKA RS. S SATYA S NEGARA G (SUNTER (S AGUNG) G G) RS. PORT MEDICAL CENTER RS. SUKMUL RS. PLUIT RS. MITRA KELUARGA KEMAYORAN RSIA. FAMILY RS ISLAM JAKARTA UTARA KLINIK GADING UTAMA RSIA. HERMINA PODOMORO RS GADING PLUIT RSIA. PUTRA DALIMA BUNDA DALIMA HOSPITAL KLINIK SELARAS EKA HOSPITAL KLINIK SPESIALIS DR. DIANA OMNI INTERNASIONAL HOSPITAL RS. INTERNASIONAL BINTARO KLINIK MAHARANI RS UIN SYARIF HIDAYATULLAH RS. AN-NISA TANGERANG SILOAM HOSPITALS LIPPO KARAWACI RS. BHINEKA BAKTI HUSADA KLINIK & RB METTA MEDIKA KLINIK SARANA MEDIKA BARU RS ICHSAN MEDICAL CENTER (IMC) KLINIK PRADHANA

Address JL.DUREN TIGA RAYA, NO.20 JL. PAKUBUWONO, NO. 1 JL.LINGKAR MEGA KUNINGAN KAV.E.1.1 NO.1 MEGA KUNINGAN JL.MEGA KUNINGAN KAV.E.1.2 NO1&2 MEGA KUNINGAN JL.DAMAI RAYA NO.1 PETUKANGAN SELATAN - JAKARTA SELATAN JL.H.R.RASUNA SAID (KUNINGAN) JAKARTA 12920 JL.CIRANJANG JL CIRANJANG NO.20-22 NO 20 22 KEB.BARU KEB BARU JL. GANDARIA TENGAH II, NO.12-14, KEBAYORAN BARU JL.BRAWIJAYA RAYA NO.26, KEBAYORAN BARU GRAHA NIAGA TOWER LT.B1, JL. JEND. SUDIRMAN NO.58 JL. PEJATEN BARAT KAV.4-8, PASAR MINGGU BELLEZZA SHOPPING ARCADE UNIT 230-231ARTERI PERMATA HIJAU,JL.LETJEND SOEPENO NO.34 JL. METRO DUTA, KAV. UE, PONDOK INDAH JL. M.T. HARYONO, NO.8, PANCORAN JL. TAMAN BRAWIJAYA NO.1 CIPETE UTARA JL.CINERE RAYA BLOK F1 NO.1 CINERE JAKSEL JL.SIRSAK NO.21, JAGAKARSA BELLAGIO MALL O UG 17-20,KAWASAN MEGA KUNINGAN BARAT,KAV.E JL.ASIA AFRIKA LOT 19 JL CIPUTAT RAYA, RAYA NO.5, NO 5 KEBAYORAN LAMA JL. JL.PANGLIMA POLIM II/2 KARTIKA CHANDRA HOTEL, JL.JEND GATOT SOEBROTO KAV 18-20 JL. RS.FATMAWATI, NO.74, PONDOK LABU - CILANDAK JL. HR. RASUNA SAID, BI X-1, KUNINGAN GRANADI BUILDING, 3RD FLOOR, JL. HR. RASUNA SAID, BLOCK X-1, JL. RAYA JATINEGARA TIMUR, NO.85-87 JL. PULO MAS BARAT VI, NO.20 JL. PERINTIS KEMERDEKAAN, KAV.149 JL. RAYA PONDOK KOPI JL. LAP. TEMBAK, NO.2A, CIBUBUR JL. RAYA BOGOR, KM22, NO.44 , NO. 23-25, , KRAMAT JATI JL. RAYA PONDOK GEDE, VILLA NUSA INDAH, BLOK D5, NO.19 JL. JATINEGARA TIMUR NO.57 JATINEGARA JL. RAYA HANKAM, NO.58C-D, PONDOK GEDE JL. PULO MAS TIMUR K BLOK G-H-C/1 JL. RAYA PONDOK GEDE JL. MAYJEN SOETOYO, CAWANG JL. TEGALAN NO. 30 JL.MERPATI NO.2 LANUD HALIM PERDANAKUSUMA JL. PINTU II, TAMAN MINI, LUBANG BUAYA - PONDOK GEDE JL. RAYA CONDET NO.13, BALEKAMBANG CONDET JL.TARUM BARAT, KALIMALANG JAKTIM JL.RAYA CIRACAS NO.7 JL. PAHLAWAN REVOLUSI NO.47 PONDOK BAMBU - JAKARTA TIMUR , NO.126 JL. RAYA JATINEGARA BARAT, JL.BALAI PUSTAKA BARU NO.19 RAWAMANGUN JL.PENDIDIKAN RAYA NO.33 DUREN SAWIT JL. BEKASI TIMUR RAYA, NO.6 KM.18, PULO GADUNG JL.RAYA KRAMAT JATI JL.PONDOK KELAPA RAYA BLOK C4 NO.2E MALAKA JAYA - DUREN SAWIT JL.CONDET JAYA NO.18 BATU AMPAR JL.TB SIMATUPANG NO.71 JL. PENGGILINGAN RAYA NO.1 Rt.01/07 CAKUNG Jl. RAYA BOGOR, KM.24, NO.35, SUSUKAN CIRACAS JL.NUSA INDAH RAYA BLOK 40 NO.17H JL.MAHONI NO.2 CIJANGTUNG JL.ALTERNATIF CIBUBUR KM.1 JL ALTERNATIF CIBUBUR NO.6A CILUENGSI JL.LAPANGAN TEMBAK NO.9 PEKAYON PEKAYON-CIBUBUR CIBUBUR JL.RAYA KOMODOR NO.47 KEBUN PALA, KOMP HALIM PERDANA KUSUMA JL.SUCI NO.21 RT.08/06 SUSUKAN - CIRACAS JL. BATU AMPAR III, NO.5, CONDET JL. BALAI PUSTAKA RAYA, NO.29-31 JL. RAYA PULO GEBANG NO. 41, CAKUNG JL.RAYA BOGOR KM.24,6 CIJANTUNG JL.PAHLAWAN REVOLUSI NO.100 PONDOK BAMBU JL. PLUIT RAYA NO.2 JL. BUKIT GADING RAYA KAV.2 KELAPA GADING PERMAI APARTEMEN GADING RESORT RESIDENCES CLUB HOUSE LT.1 JL.DANAU SUNTER UTARA, SUNTER PARADISE I JL. KESEMEK, NO.3-5, SEMPER BARAT, CILINCING JL. AGUNG G G UTARA RAYA, BLOK O A, NO.1 O JL. ENGGANO NO.10 TANJUNG PRIOK JL. TAWES NO.18 - 20, TANJUNG PRIOK JL. RAYA PLUIT SELATAN, NO. 2 JL. LANDAS PACU TIMUR, KEMAYORAN JL. PLUIT MAS I BLOK A NO.2A-5A, KOMPLEK PERUMAHAN PLUIT MAS, JAKARTA UTARA Jl.TIPAR CAKUNG NO.5 JAKARTA UTARA JL.KELAPA GADING BOULEVARD CN 2/25 JL. DANAU AGUNG 2, BLOK E3, NO.28-30, SUNTER AGUNG, PODOMORO JL.BOULEVARD TIMUR RAYA, KELAPA GADING. JAKARTA UTARA GRIYA LOKA, SEKTOR 1.2, BLOK UA/26-27, BUMI SERPONG DAMAI BUMI SERPONG DAMAI, SEKTOR XIV, BLOK J11, NO.1 JL.RAYA SERPONG BSD SEKTOR IV,RUKO E.NO.43-45 SERPONGCENTRAL BUSINESS DISTRICT, LOT IX, BSD CITY JL. MH. THAMRIN, NO.87C JL.ALAM SUTERA BOULEVARD KAV.25 SERPONG - TANGERANG JL. MH THAMRIN NO.1, SEKTOR 7, BINTARO JAYA JL. PRAMBANAN RAYA NO. 31 PERUMNAS II JL. IR. H. JUANDA, NO.95, CIPUTAT JL. GATOT SOEBROTO, NO.96, KM.3, CIBODAS JL. SILOAM NO.6, LIPPO KARAWACI JL. CABE RAYA NO.17 PONDOK CABE PAMULANG JL.LIO BARU NO.1 BATUJAYA , BATU CEPER JL. RAYA PERUMAHAN KOTA BUMI KP.TERITI DS.KARET.SEPATAN JL. RAYA JOMBANG NO.56 BINTARO SEKTOR IX, TANGERANG RUKO PANORAMA NIAGA NO.14-15 JURUMUDI BARU BENDA

Status ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE

Coverage ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

Total Active Terminal 1 1 1 1 1 1 1 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 5 1 1 2 1 1 1 1 1 1 1 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

JAKARTA TIMUR
ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE PARTIAL RJ,RM-RG,RM-KM,R ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ALL COVERAGE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE C ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE CO COVERAGE G COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

JAKARTA UTARA

ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

SERPONG

TANGERANG

ALL COVERAGE ALL COVERAGE

No 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413

Code 1459 1467 1480 1487 1491 1077 1081 1086 1426 1322 1496 1531 1527 1528 1547 1014 1020 1025 0572 0737 0878 0936 0942 0955 0971 0981 1113 1116 1168 0344 0696 0750 0285 0108 0091 0022 0844 0851 0859 0872 0902 0907 0912 0308

Hospital Name KLINIK KARUNIA SEHAT II RS. MUTIARA BUNDA KLINIK BONA SARANA MEDIKA RS. MULYA RS.HERMINA TANGERANG KLINIK CITRA SEHAT TIGARAKSA KLINIK&RB KELUARGA SEHAT RSIA SARI ASIH SANGIANG APOTEK BANDARA SOEKARNO-HATTA RB. KARUNIA BUNDA MEDIPRO CLINIC CIMONE KLINIK SAPTA MITRA TANGERANG RSIA.TIARA KLINIK & RB.ILANUR KLINIK AMIRA RB PERMATA (DR JAMILAH) RSIA SELARAS CIKUPA RS. ARIYA MEDIKA KLINIK KUTA JAYA RS USADA INSANI KLINIK DR. HARYOKO RS SARI ASIH CILEDUG RB MURNI ASIH DENTAL INTERNASIONAL BINTARO RS ISLAM ASSHOBIRIN KLINIK CITRA SEHAT MEDIPRO CLINIC RS GLOBAL MEDIKA RSU. BHAKTI ASIH RS. QADR KLINIK KARYA MEDICA KLINIK & RB MEDIKA SILIWANGI RSIA. MELATI KLINIK PROVITA MAYAPADA HOSPITAL (d/h RS.HONORIS) RS. SARI ASIH KARAWACI RSIA BUNDA SEJATI RB MULYA RAHAYU RS AMINAH RB & KLINIK MUTIARA OBBINI MEDIKA KLINIK & RB BUNDA MULIA (H UPEN) KLINIK KARUNA MEDIKA KLINIK KARUNIA SEHAT PAMULANG MEDICAL CENTER

Address JL.PAHLAWAN SERIBU RAYA RUKO TOL BOULEVARD BLOK B NO.18.BSD JL.DR.CIPTO MANGUNKUSUMO, NO.3, CILEDUG JL.MH. THAMRIN NO.43 KEBON NANAS - CIKOKOL JL.KH.HASYIM ASHARI NO.18 SUDIMARA PINANG JL.KS.TUBUN, NO.10, PASAR BARU JL.ARYA WANGSA KARYA NO.168-169 KEC.TIGARAKSA - TANGERANG VILLA REGENSI II BLOK.AD BLOK AD NO.1-2 NO 1 2 PASAR KEMIS JL.RAYA MAUK.KM.3,5 SIMPANG TIGA SANGIANG JL.TERMINAL 2 D BANDAR SOEKARNO-HATTA JL.ARIA SANTIKA NO.28 KEL.MARGASARI Jl.Raya Merdeka No.325 -326 Ruko Kayamas II Cimone JL.PANDAN RAYA, NO.21, PERUMNAS 1 JL.RAYA SERANG, NO.1, KM.4.5, CIKUPA JL.RAYA SERANG, NO.1, BALARAJA RUKO GOLDEN MADRID II, BLOK G06, NO.8, JL.LETJEND.SOETOPO, BSD JL.NUSA INDAH I, BLOK A7 NO.1, PERUM. CIBODAS JL.RAYA SERANG KM.18,5 DS BOJONG, CIKUPA JL.INDUSTRI RAYA 1, BLOK A, NO.1-6, JATAKE JL.RAYA PASAR KEMIS, RUKO BONA SUBUR REGENSI, BLOK A, NO.9 JL.KH HASYIM ASHARI NO.24 TANGERANG JL. M. TOHA NO.18, PARUNG PANJANG JL.HOS COKROAMINOTO NO.38 CILEDUG JL.RAYA BOJONGNANGKA LEGOK Jl. MH TAHAMRIN NO1, SEKTOR 7, BINTARO JAYA JL.RAYA SERPONG KM.11 PONDOK JAGUNG RUKO CITRA RAYA BLOK G1 NO.17R, CIKUPA RUKO CITRA RAYA BLOK.L NO.7 R CIKUPA JL.MH.THAMRIN NO.3 KEBON NANAS -CIKOKOL JL.RADEN SALEH, NO.10, KARANG TENGAH KOMPLEK ISLAMIC VILLAGE, KELAPA DUA JL. KARET RAYA, BLOK 7/69, PERUMNAS TANGERANG JL.SILIWANGI BLOK D - 2 NO.2 PAMULANG TANGERANG JL. MERDEKA NO.92 TANGERANG JL. IR.H.JUANDA NO.125 CIPUTAT JL. HONORIS RAYA, KAV.6, KOTA MODERN/KODYA DATI II JL. IMAM BONJOL, NO.38 JL.PRABU SILIWANGI NO.11, JATIUWUNG JL.RAYA PLP CURUG -TANGERANG Jl.HOS COKROAMINOTO (CILEDUG RAYA) NO.4A KREO SELATANJL.RAYA KRESEK NO.27, DS.MERAK, BALARAJA JL. SUMANTRI NO. 11 MEKAR MULYA PARUNG PANJANG JL. IMAM BONJOL KAV.19-20 RUKO CIKUPA BLOK B NO.21-23, DEPAN PERUM CITRA RAYA- CIKUPA JL. RAYA PAMULANG BLOK D II/2, PAMULANG

Status ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE

Coverage ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

Total Active Terminal 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1

ALL COVERAGE

BANDUNG
414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 0303 1087 0144 0268 0145 0880 0044 1171 1169 1125 1211 0959 0958 1088 1104 0852 0093 1172 1497 0908 1409 1423 1300 1301 0540 0375 1516 1302 0293 1091 1095 1436 1174 0602 0690 0691 0200 1418 1239 1310 1311 1314 1500 1510 1543 1006 1022 1023 1035 1133 1058 0689 RS. ADVENT BANDUNG RS BUNGSU RS. IMMANUEL BANDUNG RS. MITRA KASIH RS. MUHAMMADIYAH BANDUNG RS AL ISLAM BANDUNG RSIA. HERMINA PASTEUR SANTOSA BANDUNG INTERNASIONAL HOSPITAL RS. AMC (Annisa Medical Center) RS. CAHYA KAWALUYAN KLINIK ASRI HUSADA II KLINIK ASRI HUSADA I KLINIK AN-NUR RS RAJAWALI RS. PERMATA BUNDA CIAMIS RSUD CIANJUR KLINIK KLINIK KLINIK KLINIK KLINIK KLINIK KLINIK KLINIK AQMA CIKAMPEK PUTRA MEDIKA SEHAT KELUARGA GRAHA MEDIS PURI ASIH JATISARI BAKTI MEDIKA ANDINA CIKAMPEK 24 JAM & RB. FATIMA AZZAHRA

JAWA BARAT
JL. CIHAMPELAS, NO.161 JL.VETERAN, NO.6 JL. KOPPO, NO.161 JL. RAYA CIBABAT NO. 341. CIMAHI JL. KH. AHMAD DAHLAN NO.53 Jl.SOEKARNO-HATTA No.644 JL. DR. DJUNDJUNAN, NO.107, PASTEUR Jl. KEBONJATI, NO.38 JL.RAYA CILEUNYI RANCAEKEK JL. PARAHYANGAN KM.3 KAV.HOS PADALARANG JL. TITIRAN NO.16 JL.BEKAMIN NO.18 JL.DR SETIA BUDI NO.63 JL.RAJAWALI NO.38 JL.MR.IWA KUSUMASOMANTRI NO.1 JL.RUMAH SAKIT NO.1 CIANJUR JL. STASIUN, NO.93 JL.IR.H.JUANDA NO.14 JL. PAWARENGAN NO. 37, DESA DAWUAN TIMUR JL. ACHMAD YANI NO. 51 JL.RAYA JATISARI NO.3 PASAR JATISARI JL. AHMAD YANI NO.100, DAWUAN BARAT JL.IR.H.JUANDA NO.17 JL. JEND. SUDIRMAN No. 10 DESA SARIMULYA, KEC. KOTABARU JL. JEND. A.YANI, NO.92, DAWUAN, CIKAMPEK-KARAWANG JL. JEND. A.YANI, NO.98, CIKAMPEK-KARAWANG JL. JEND.A.YANI, NO.12, DAUWAN BARAT JL.STASIUN NO.2 CIKAMPEK KOTA JL. SISINGAMANGARAJA, NO.45 JL.CIREMAI RAYANO.114 ,PERUMNAS JL.TUPAREV, NO.51A JL.SILIWANGI, NO.5 JL.SILIWANGI NO.135 JL. PATRA RAYA, KLAYAN JL. RAYA KLARI, Rt. 04 / 01, GINTUNGKERTA KLARI JL. RAYA TAMELANG NO.53, KERAWANG JL. RAYA BADAMIN, KARAWANG BARAT JL.RAYA RENGAS DENGKLOK, KARAWANG JL.Kp.CISELAN Ds.CIKAMPEK UTARA.KARAWANG JL.PANCAWATI, NO.5A, KLARI JL.RAYA KOSAMBI NO.40 PASAR KOSAMBI JL.PANATAYUDA NO.35 JL.PROF.DR.IR.H.SOETAMI, NO.88 KL. RAYA KLARI, SASAK MISRAN JL. DESA KUTA MEKAR, KARAWANG JL.RAYA KOSAMBI-TELAGASARI, KM.3, KLARI, KARAWANG TIMUR JL.RAYA KOSAMBI- TELAGASARI, DS BLENDUNG , KLARI JL.PANGKAL PERJUANGAN KM.2 JL.RAYA PROKLAMASI NO.89, DS KALANGSARI, RENGAS DENGKLOK Jl. ARTERI TOL KARAWANG BARAT TELUK JAMBE JL.PRINGGODANI BLOK J-47 PERUMNAS TELUK JAMBE,KARAWANG BARAT JL. KOSAMBI CURUG, NO.28, KLARI ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 1 1 1 1 2 4 1 1 1 1 1 1 1 1 1 1 1 1 2 3 1 1 1 7 2 1 1 1 1 1 1 1 3 1 1 1 1

CIAMIS
ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

CIANJUR CIKAMPEK

RS. SARASWATI RS. KARYA HUSADA KLINIK MADANIA KLINIK PURI ASIH CIKAMPEK RS. PELABUHAN CIREBON RS PUTERA BAHAGIA KLINIK SATELIT (RS.PERTAMINA KLAYAN APOTIK GARUDA RSIA. SUMBER KASIH RS. PERTAMINA KLAYAN KLINIK YAKESTI KLINIK PURWAMEDIKA KLINIK CENTRAL MEDIKA KLINIK PURI MEDIKA RENGAS DENGKLOK RSU.AQMA CIKAMPEK KLINIK ANDINA KARAWANG KLINIK PURI MEDIKA KOSAMBI RSB. DR. DJOKO PRAMONO APOTIK PINDO DELI I KLINIK & RB ZAHIRA KLINIK PINDO DELI II RS.CITRA SARI HUSADA (d/h Klinik Intan Barokah) RSU. FIKRI MEDIKA RS. ISLAM KARAWANG KLINIK MITRA GEMPOL RS. CITO KARAWANG KLINIK NAFILA MEDIKA KLINIK MITRA SEHAT

CIREBON

KARAWANG

ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE

No 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488

Code 0197 0869 0255 0083 0095 0704 1315 1526 1545 1043 1044 1175 1057 0189 0191 1506 1507 0056 0832 0227 1128 0253 0256

Hospital Name KLINIK GEMPOL RS DELIMA ASIH SISMA MEDIKA RS. BAYUKARTA RS. DEWI SRI KLINIK GRAHA MEDIS KLINIK CITO KARAWANG KLINIK MIRACLE GROUP RS.AMIRA RS.MH.THAMRIN PURWAKARTA RS. EFARINA ETAHAM KLINIK KOPINDOSAT KLINIK AQMA PLERED RSIA. ASRI MEDICAL CENTER KLINIK AQMA PURWAKARTA RS. PERKEBUNAN NUSANTARA 8 SUBANG KARTIKA MEDICAL CENTER RS. BHAKTI MEDICARE RS ISLAM ASSYIFA RS HERMINA SUKABUMI KLINIK & RB. PERMATA BUNDA RS. PAKUWON SUMEDANG RS. JASA KARTINI RSI. HJ. SITI MUNIROH TASIKMALAYA

Address JL. RANGGAGEDE, NO.25 KARAWANG BARAT JL.WIRASABA NO.54 JOHAR - KARAWANG JL. KERTABUMI, NO.44 JL. ARIF RAHMAN HAKIM, NO.1 JL. RAYA KOSAMBI, NO.23, DUREN KLARI, KARAWANG TIMUR JL. KERTABUMI, NO.29 KOMP. ANEKA JASA BLOK AII NO.9-10 KOTA BUKIT INDAH JL.IPIK GANDA MANAN, RT35/03, MUNJUL JAYA JL.BUNGURSARI, NO.36 JL.BUNGURSARI NO.1 PO.BOX 167 - Purwakarta JL.RE MARTADINATA, NO.39 JL.ANJUN NO.96 PLERED JL.VETERAN CIHIDEUNG NO.15 PURWAKARTA JL. IBRAHIM SINGADILAGA, NO.14 JL. OTISTA, NO.1 JL. JEND. A.YANI, NO.18 JL.RAYA SILIWANGI, CICURUG JL. JEND. SUDIRMAN, NO. 27 JL.RAYA SUKARAJA RT.003/03,SUKARAJA JL. SILIWANGI, NO.64, PARUNG KUDA JL.RD.DEWI SARTIKA NO.17 SUMEDANG 45311 JL. SARIANINGRAT, NO.2 JL. TAMAN SARI, GOBRAS, NO.208

Status ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE

Coverage ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

Total Active Terminal 3 1 4 1 1 1 2 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1

PURWAKARTA

SUBANG
ALL COVERAGE ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

SUKABUMI

SUMEDANG
ALL COVERAGE ALL COVERAGE ALL COVERAGE

TASIKMALAYA

CILACAP
489 490 491 492 493 494 495 496 497 498 99 499 1005 0884 0926 0975 1221 1243 0754 1519 0146 1132 0335 1299 1534 1220 0120 1219 1226 1447 0201 0825 0182 0299 0160 0050 1450 0053 0377 0901 0379 0212 0118 0214 0119 0745 0746 1483 1179 1180 1540 0753 1144 1229 1286 0606 1400 0077 0604 1437 KLINIK DR TUTUK KLINIK& APOTIK KIMIA FARMA CILACAP RS PERTAMINA CILACAP RS. ISLAM FATIMAH CILACAP RS. ISLAM NU DEMAK RS PALANG BIRU RS ISLAM KLATEN RS.ISLAM MUHAMMADIYAH DELANGGU RS. MARDI RAHAYU RS. LESTARI RAHARJA S HARAPAN MAGELANG G G RS. KELUARGA SEHAT HOSPITAL RS.MITRA BANGSA RS. BUDI RAHAYU PEKALONGAN RS. SITI KHODIJAH PEKALONGAN RSU. SANTA MARIA PEMALANG RS. PANTI RAHAYU RSU. ANANDA PURWOKERTO RSU. BUNDA PURWOKERTO RS. ST. ELISABETH - PURWOKERTO RS ISLAM SULTAN AGUNG RSIA. HERMINA PANDANARAN RS. ST. ELISABETH - SEMARANG RS. PANTI WILASA DR. CIPTO RS. PERMATA MEDIKA RS. ROEMANI MUHAMMADIYAH RS. TELOGOREJO RS BANYUMANIK RS. PANTI WILASA CITARUM RS ISLAM KUSTATI RS DR. RS. DR OEN SOLO BARU RS. DR. OEN SURAKARTA(KANDANG SAPI) RSU. KASIH IBU SOLO RS ISLAM SURAKARTA RS PKU MUHAMMADIYAH SOLO RS. PANTI WALUYO SURAKARTA RS BRAYAT MINULYA KLINIK BUDI SEHAT RS.MITRA KELUARGA TEGAL RS ISLAM HARAPAN ANDA RS. NGESTI WALUYO JOGJA INTERNATIONAL HOSPITAL RS HAPPYLAND MEDICAL CENTER RS. PKU MUHAMMADIYAH YOGYAKARTA RSU. BETHESDA LEMPUYANGWANGI RS. BETHESDA RS. LUDIRA HUSADA TAMA RS. PKU MUHAMMADIYAH BANTUL

JAWA TENGAH
JL.PERINTIS KEMERDEKAAN 21 JL.GATOT SUBROTO, NO.59 , TEGAL MULYA JL.SETIA BUDI, JL.H JUANDA NO.20 JL. JOGOLOYO NO.9 JL.KARTINI, NO.37 JL.RAYA SOLO KM.4 JL.DELANGGU UTARA, NO.19 JL. AKBP.R. AGIL KUSUMADYA, NO.110 JL. MAYJEN SUTOPO NO.5 J O , NO.11 O JL. P. S SENOPATI, JL.P.SUDIRMAN NO.9 MARGOREJO JL.KOL.SUGIYONO, NO.75 JL. BARITO, NO.5 JL. BANDUNG, NO.39-47 JL. PEMUDA NO.24 JL. LETJEND. SUPRAPTO NO.6 JL.PEMUDA, NO.30 JL. PRAMUKA, NO.249 JL.JEND GATOT SUBROTO NO.44 - PURWOKERTO JL. KALIGAWE KM.4 JL. PANDANARAN NO.24 JL. KAWI NO. 1 JL. DR. CIPTO, NO.50 JL.MR.MOCH. ICHSAN, NO.93-97, NGALIYAN JL. WONDRI, NO.22 JL. KH. AHMAD DAHLAN JL.BINA REMAJA NO.61 JL. CITARUM, NO. 98 JL. KAPTEN MULYADI NO.249 KOMP. PERUM KOMP PERUM. SOLO BARU BARU, GROGOL GROGOL, SUKOHARJO JL. BRIGJEN KATAMSO NO.55, KANDANG SAPI JL. BRIGJEND SLAMET RIYADI NO.404 JL.A YANI PABELAN KARTASURA, SOLO JL.RONGGOWARSITO NO130, SOLO JL.JEND.A.YANI NO.1 Jl. Dr.SETIABUDI NO.106 SURAKARTA JL.S.PARMAN 131 PASAR LEGI JL.SIPELEM, NO.4, KEMANDUNGAN, TEGAL BARAT JL.ABABIL NO.42 JL. PAHLAWAN-PARAKAN JL.RING ROAD UTARA NO.160 CONDONG CATUR SLEMAN JL. IPDA TUT HARSONO NO. 53, TIMOHO JL. K.H. ACHMAD DAHLAN, NO.20 JL.HAYAM WURUK NO.6 JL. JEND.SUDIRMAN NO.70 JL. WIRATAMA NO.4 TEGALREJO 55244 Jl. JEND. SUDIRMAN 124-126 ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE C ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

DEMAK
ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE G ALL CO COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

GOMBONG KLATEN KUDUS MAGELANG PATI

500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536

PEKALONGAN PEMALANG PURWODADI PURWOKERTO

SEMARANG

SOLO

TEGAL
ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

TEMANGGUNG YOGYAKARTA

BANYUWANGI
537 538 539 540 541 0726 0724 1429 0269 0731 RS ISLAM FATIMAH BANYUWANGI RS. AL-HUDA RS. YASMIN BANYUWANGI RS. BUDI RAHAYU BLITAR RS. AISYIYAH BOJONEGORO

JAWA TIMUR
JL. JEMBER, NO.25 JL. DIPONEGORO, NO.65, GENTENG JL.LETKOL ISTIQLAL NO.80-84 JL. A.YANI BLITAR JL. HASHIM ASHAARI, NO.17 ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE 1 1 1 1 1

BLITAR BOJONEGORO

No

Code

Hospital Name

Address

Status

Coverage

Total Active Terminal

GRESIK
542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 0596 1427 1428 0725 0978 0248 0977 1430 0722 0113 1326 1325 1252 1482 0252 0094 0125 0815 0609 0708 0192 0785 0088 0164 0928 1329 0700 0823 1330 0309 0249 0927 0545 1339 1336 1413 0271 1548 0546 0544 0547 0548 0980 0829 1453 0917 0809 1201 1018 1052 1361 1362 1363 1364 0163 0136 0897 0896 0895 0830 0081 1198 0813 RS. SEMEN GRESIK RS. PETROKIMIA RS. BINA SEHAT RS. PERKEBUNAN (PTPN) X JEMBER RS KRISTEN MOJOWARNO RS. HVA TOELOENGREDJO RS BAPTIS KEDIRI RSIA. AURA SYIFA RS. SANTA CLARA RS. LARASATI RS. WAVA HUSADA KEPANJEN RS. MARSUDI WALUYO RS. ISLAM MALANG APOTIK & KLINIK 24 JAM GRIYA BROMO RS ISLAM AISYIYAH MALANG RSIA. HERMINA TANGKUBANPRAHU RS. MELATI HUSADA RS. PANTI WALUYA SAWAHAN RS. PANTI NIRMALA RS. LAVALETTE RS. BAPTIS BATU RS.EMMA RS. KARTINI MOJOKERTO RS. REKSA WALUYA RS GATOEL MOJOKERTO RS. PANCA DHARMA RS ISLAM MASYITHO RSU.AISYIYAH PONOROGO RSU. WONOLANGAN RS. DHARMA HUSADA RS. DELTA SURYA RS ANWAR MEDIKA RSU SITI KHODIJAH SIDOARJO KLINIK GRAHA MEDICA KLINIK CITRA GADING MEDIKA KLINIK D DOTHE RS ISLAM SITI HAJAR SIDOARJO KLINIK MEDIS PUSURA 5 (BALONGSARI) KLINIK MEDIS PUSURA 1 (YOS SUDARSO) RS. ST.VINCENTIUS A.PAULO (RS. RKZ) KLINIK MEDIS PUSURA 2 (RUNGKUT) KLINIK MEDIS PUSURA 3 (SUNGKONO) RS ISLAM SURABAYA RS. SURABAYA INTERNASIONAL RS. ONKOLOGI RS WILLIAM BOOTH RS SPESIALIS HUSADA UTAMA RS. ADI HUSADA KAPASARI KLINIK SENTRA MEDIKA SURABAYA KLINIK MEDIS PUSURA 4 (TEGAL SARI) RS. AL IRSYAD SURABAYA RS. BHAKTI RAHAYU SURABAYA RS. BUNDA SURABAYA RS. ISLAM SURABAYA JEMURSARI RS. DARMO RS. MITRA KELUARGA SURABAYA KLINIK BENOWO KLINIK KEBRAON RS PELABUHAN SURABAYA (PHC SURABAYA) RS. ADI HUSADA UNDAAN WETAN SILOAM HOSPITALS SURABAYA RS. MEDIKA MULIA RS.ISLAM ORPEHA JL. RA. KARTINI, NO.280 GRESIK JL. JEND. A.YANI NO.69 JL.JAYANEGARA NO.7 JL. BEDADUNG, NO.2 JL.MERDEKA NO.59 JL. A. YANI NO. 25 PARE JL.BRIDJEN POLLBH PRANOTO NO.1 JL. JOYOBOYO NO.42 DLOPO JL. BILITON, NO.15 JL. MANDILARAS, NO.74, PAMEKASAN JL.PANGLIMA SUDIRMAN NO.99A KEPANJEN JL.RAYA MONDOROKO KM.9 SINGOSARI JL. MAYJEND HARYONO NO. 139 JL.BROMO NO.7 JL. SULAWESI, NO.16 JL. TANGKUBAN PRAHU, NO.33 JL. KAWI, NO.32 JL. NUSAKAMBANGANNO.5 JL. KEBALEN WETAN, NO.2-8 JL. W.R. SUPRATMAN, NO.10 JL. RAYA TLEKUNG NO.1 JUNREJO, BATU JL.RAYA IJEN WATES NO.67 JL. ERLANGGA, NO.137, MOJOSARI JL. MOJOPAHIT, NO.422 JL.R.WIJAYA NO.56 JL.RAYA NO.14A SUKOREJO JL. A. YANI, NO.6 JL.DR SUTOMO NO.18-24 JL.RAYA DRINGU NO.118 JL. SOEKARNO HATTA NO.10 JL. PAHLAWAN NO.9 JL.DUSUN SEMAWUT, KEC BALONG BENDA JL. PAHLAWAN, NO.260, SEPANJANG JL.BRIGJEN KATAMSO NO.7 WARU JL.BRIGJEN KATAMSO BLOK A 408-409 REWIN WARU JL. MONGINSIDI NO.86-88 JL. RADEN PATAH NO.70 JL. BALONGSARI TAMA, BLOK B, NO.8-9 JL. KOM ( L) YOS SUDARSO, 9A JL. DIPONEGORO NO.51 JL. RUNGKUT ASRI TENGAH NO.2 JL. MAYJEN, SUNGKONO, NO.64 JL.JEND A YANI NO.2-4 JL.NGINDEN INTAN BARAT, BLOK B ARAYA GALAXI BUMI PERMAI BLOK A2/7 JL.ARIEF RAHMAN HAKIM 182 JL. DIPENOGORO NO.34 JL.PROF JL PROF DR MOESTOPO 31-35 31 35 Jl. KAPASARI NO.97-101 JL.RAYA TENGGILIS, NO.91-93 JL.TEGAL SARI NO.59 JL.KH.MAS MANSYUR 210-214 JL.KETINTANG MADYA I/16 JL.RAYA KANDANGAN NO.23-24 BENOWO JL.JEMURSARI NO.51-57 JL. RAYA DARMO, NO.90 JL. SATELIT INDAH II, DARMO SATELIT PONDOK BENOWO INDAH, BLOK PP/22 JL.GRIYA KEBRAON BLOK FA NO.37 JL.PRAPAT KURUNG SELATAN NO.1 TANJUNG PERAK JL.UNDAAN WETAN NO40-44 SURABAYA JL RAYA GUBENG NO. JL. NO 70 JL. MOJOPAHIT, NO.699 JL.KH.R.ABDUL FATAH ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 6 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 3 1 1 1 1

JEMBER JOMBANG KEDIRI

MADIUN MADURA MALANG

MOJOKERTO

PASURUAN
ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

PONOROGO PROBOLINGGO SIDOARJO

SURABAYA

TUBAN
ALL COVERAGE ALL COVERAGE

TULUNG AGUNG BALIKPAPAN

605 606 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 1213 1109 0686 0633 0692 1374 0672 0631 0849 1214 1074 1106 0096 1431 0635 0230 0636 RS. BALIKPAPAN BARU RS KHUSUS BEDAH HARAPAN MULIA PANACEA CLINIC RS. PERTAMINA BALIKPAPAN APOTIK KANIDA FARMA II RS BALIKPAPAN HUSADA RS. RSIA. PERMATA HATI BALIKPAPAN RS. SARI MULIA RS ISLAM BANJARMASIN RS. PUPUK KALTIM KLINIK MAJU SEJAHTERA RS. SANTO ANTONIUS KLINIK ROSYE JAYA MEDIKA RSIA ANUGERAH BUNDA KHATULISTIWA RS ISLAM SAMARINDA RS. H. DARJAD RS. DIRGAHAYU

KALIMANTAN
KOMP.BALIKPAPAN BARU Jl. MT.HARYONO Blok.A-A3 JL.WILUYO PUSPOYUDO NO.26-30 KOMP MAL FANTASI BLOK AB2 NO.18-20 BALIKPAPAN BARU 76114 JL. JEND SUDIRMAN NO.1 JL. JEND. SUDIRMAN, NO. 23 JL.MT.HARYONO JL MT HARYONO NO NO.9 9 RING ROAD JL. IMAM BONJOL NO.1 JL. PANGERAN ANTASARI NO. 139B JL. LET JEN S PARMAN GG.PURNAMA NO.1 BANJARMASIN Jl. OKSIGEN NO.1, KOMP.PUPUK KALTIM JL.MOH. HATTA, HANDIL 3, MUARA JAWA JL.KH. WAHID HASYIM NO.249 JL. A.R. SALEH (BLKI), KOMP. TAMAN PERMATA INDAH, NO.A5 JL. AHMAD YANI NO. 5-7 JL. GURAMI, NO.18 JL. DAHLIA, NO.4 JL.GN. MERBABU, NO. 62 ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

BANJARMASIN
ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE

BONTANG KUTAI KERTANEGARA PONTIANAK

SAMARINDA

No

Code

Hospital Name

Address

Status

Coverage

Total Active Terminal

SANGATTA
622 623 624 625 1376 1368 1456 1529 RS. PRIMA SANGATTA RS. SANTO VINCENTIUS SINGKAWANG KLINIK AZKA MEDIKA RS PERTAMINA TARAKAN JL.YOS SUDARSOI NO.1 SANGATA JL.P.DIPONEGORO NO.5 JL. JEND. AHMAD YANI, NO.85 JL. MULAWARMAN NO. 14, TARAKAN ACTIVE ACTIVE ACTIVE ACTIVE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE 1 1 1 1

SINGKAWANG TANAH GROGOT TARAKAN AMBON

626 627 1439 1503 RS BHAKTI RAHAYU AMBON RS.MEDIKA HARIFALM

MALUKU
JL. BATU KERBAU, BELAKANG RRI JL. ZAINAL ABIDINSYAH, NO.25, KOMPLEX POHON PALA ACTIVE ACTIVE ALL COVERAGE ALL COVERAGE 1 1

TERNATE BANDA ACEH

628 629 630 1100 1253 0769 RS.TEUNGKU FAKINAH RS. KASIH IBU LHOKSEUMAWE RS ISLAM LHOKSEUMAWE

NAD
JL.JEND.SUDIRMAN NO.27-29 JL. MERDEKA NO.17 SIMPANGAN KUTA BLANG JL.MERDEKA BARAT NO.25 CUNDA ACTIVE ACTIVE ACTIVE ALL COVERAGE ALL COVERAGE ALL COVERAGE 1 1 1

LHOKSEUMAWE

MATARAM
631 632 1124 1539 RSB. EXONERO RS.RISA SENTRA MEDIKA

NTB
JL. PEMUDA NO.16 JL. PEJANGGIK, NO.115, CAKRANEGARA ACTIVE ACTIVE ALL COVERAGE ALL COVERAGE 1 1

KUPANG
633 1380 KLINIK & APOTIK KARTINI JL.ELTARI I NO.2

NTT
ACTIVE ALL COVERAGE 1

BATAM
634 635 636 637 638 639 640 641 642 643 644 645 646 647 648 649 650 651 652 0484 0485 0764 0483 1241 0584 1240 1010 0921 0930 0922 1443 1444 0663 0841 0664 1535 0625 0791 KLINIK BUDI ROSARI GENTA MEDICAL CENTER RS. HARAPAN BUNDA BATAM BATAM MEDICAL CENTER KLINIK BERSALIN ERNES RS. AWAL BROS BATAM KLINIK TIARA MEDIKA RS ST. ELISABETH - BATAM RS. PERMATA HATI DURI RSU THURSINA KLINIK THURSINA RS. KHATOLIK BHAKTI WARA RS. RS LANCANG KUNING RB. ERIA BUNDA RSIA ZAINAB RS ISLAM IBNU SINA PEKANBARU EKA HOSPITAL PEKAN BARU RS. SANTA MARIA PEKANBARU RS. PEKAN BARU MEDICAL CENTER

RIAU
JL. MAHKOTA SIMPANG, NO.1, BENGKONG MAHKOTA MUKA KUNING INDAH, BLOK F, NO.10 JL.SERAYA NO.1 LIBRA CENTRE, JL. RADEN PATAH JL.PERMAISURI NO.8 TANJUNG UBAN JL.GAJAH MADA KAV.1 BALOI KAPLING TELUK SASAH JL.ANGGREK BLOK II, BALOI JL.JEND SUDIRMAN NO.37 SIMPANG PADANG JL.HANGTUAH NO.93 JL.JEND SUDIRMAN NO.65 SIMPANG PADANG JL.SUNGAI SELAN, KM.4, NO.180 JL. JL RONGGOWARSITO UJUNG, UJUNG NO.5A, NO 5A JL. KH. AHMAD DAHLAN, NO.163 JL.RONGGOWARSITO I NO.1 JL. MELATI, NO.60 JL.SOEKARNO HATTA, KM.6,5 JL. A. YANI, NO.68 JL. LEMBAGA PEMASYARAKATAN NO.25,GOBAH ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE PARTIAL ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE 2 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1

DURI
ALL COVERAGE ALL COVERAGE PHAR,RM-RJ,RM-R ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

PANGKAL PINANG PEKAN BARU

BITUNG
653 654 655 656 657 658 659 660 661 662 663 1421 1420 0644 1190 0641 1389 1388 0640 1502 0639 1394 RS BUDI MULIA RSB. SITTI KHODIJAH GORONTALO RS HIKMAH RS. RS AKADEMIS JAURY YUSUF PUTERA RS. STELLA MARIS RS. GRESTELINA RATULANGI MEDICAL CENTRE RS PANCARAN KASIH RS. ADVENT MANADO RSU. WOODWARD (BALA KESELAMATAN) RS. FATIMA PARE-PARE

SULAWESI
JL. SAM RATULANGI, BLOK X/9A JL. AHMAD YANI, NO.101 JL.YOSEF JL YOSEF LATUMAHINA NO.1 NO 1 JL.GN BULUSARAUNG NO.57 A JL.SOMBA OPU NO.273, PO.BOX 122 JL.LETJEN HERTASNING RAYA NO.51 JL.SAM RATULANGI NO.28 JL.SAM RATULANGI XIII TITIWUNGEN JL. 14 FEBRUARI, NO.1, TELING ATAS JL. LH. WOODWARD NO.1 JL.ILHAMV KOTAK POS 12 ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE 1 1 1 1 1 1 1 1 1 1 1

GORONTALO MAKASAR

MANADO
ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE

PALU PARE-PARE BUKIT TINGGI

664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 0687 1398 0575 1260 0792 1303 0730 0894 0573 0621 0553 0665 0550 0623 0487 1378 0751 1228 0486 1141 0742 0523 0590 0741 RS ISLAM IBNU SINA BUKIT TINGGI RSU. MADINA APOTIK ANAK IBU KLINIK & APOTIK MANDIAH BALAI PENGOBATAN & RB SEJAHTERA OPTIK CEMERLANG OPTIK CITRA (MH.Thamrin) RS ASIA MEDIKA KLINIK MAYANG MEDICAL CENTER APOTIK PERMATA HATI JAMBI OPTIK INTERNASIONAL APOTIK SEJAHTERA RS. ST.THERESIA OPTIK CITRA (Gatot Soebroto) RS. ADVENT LAMPUNG RS. URIP SUMOHARJO MEDICAL CENTRE CPB RS. BUMI WARAS RS. IMMANUEL WAY HALIM RS NUR SAADAH RS. RSU MARTHA FRISKA RS. ADVENT MEDAN GLENI INTERNASIONAL HOSPITAL RS ISLAM MALAHAYATI

SUMATERA
JL. BATANG AGAM, BELAKANG BALOK JL.GURU HAMZAH NO.17 JL. DR. SUTOMO JL.PUSKESMAS RT.06 NO.67,DS TEBING TINGGI,TUNGKAL ULU KAB.TJG JABUNG BRT DESA TEBING TINGGI,KEC TUNGKAL ULU,KAB TANJUNG JABUNG BARAT JL.KOL ABUNJANI NO.59 SIPIN UJUNG JL. MH. THAMRIN, NO.60 JL.SOEKARNO - HATTA, PALMERAH JL.JUANDA RAYA JL. AGUNG NO.86 JL. HUSNI THAMRIN, NO.110 DESA TEBING TINGGI,KEC TUNGKAL ULU,TANJUNG JABUNG BARAT JL. SUTOMO, NO.19 JL. GATOT SUBROTO, NO.31 JL. TEUKU UMAR, NO.48 JL.URIP SUMOHARJO NO.200 SUKARAME DESA BRATASENA ADIWARNA, KEC.DENTE TELADAN, KAB.TULANG BAWANG JL.WOLTER MONGINSIDI, NO.235 JL. SOEKARNO-HATTA, WAY HALIM JL RAYA MEDAN-TANJUNG JL. MEDAN TANJUNG MORAWA KM.12 KM 12 JL.KOL YOS SUDARSO KM.6, NO.91, PULO BRAYAN JL. GATOT SUBROTO, KM. 4 JL. LISTRIK 2A Medan 20112 JL.DIPENOGORO NO.2-4, MEDAN ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE 1 1 1 1 2 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1

JAMBI

ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL COVERAGE ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

LAMPUNG

MEDAN

No 688 689 690 691 692 693 694 695 696 697 698 699 700 701 702 703 704 705 706 707 708 709

Code 0418 0740 0739 0322 0626 0416 1399 1061 1193 0304 0423 0734 0616 1114 1449 0824 0883 0688 0627 0817 0719 0924

Hospital Name KLINIK SPESIALIS BUNDA RS HERNA MEDAN MEDICAL CENTRE RSU PERMATA BUNDA MEDAN RS. SARI MUTIARA RS MATERNA KLINIK METTA HEALTHCARE CENTRE RS. ESTOMIHI RS SARAH RS SELAGURI RSU BUNDA MEDICAL CENTER (RS. RESTU IBU) RS SELASIH RS. YOS SUDARSO KLINIK GRAHA BUNDA RS. AR BUNDA PRABUMULIH RS. PERTAMINA PRABUMULIH RSAB BUNDA PALEMBANG RS ISLAM SITI KHADIJAH PALEMBANG RS. PT. PUSRI RS. RK. CHARITAS RS. VITA INSANI RS HORAS INSANI

Address JL. SISINGAMANGARAJA NO.17 JL.MAJAPAHIT NO.118A, MEDAN JL.KOMPLEK MULTATULI INDAH BLOK BB NO.56-57 JL. SISINGAMANGARAJA, NO.7 JL. KAPTEN MUSLIM, NO.79 JL. TEUKU UMAR, NO.11 JL.WAHIDIN JL WAHIDIN NO.323 NO 323 JL.SISINGAMANGARAJA NO.235 MEDAN JL. BAJA RAYA NO. 10 PETISAH JL. A.YANI, NO.26 JL. PROKLAMASI NO.37 JL.KHATIB SULAIMAN, NO.2 JL. SITUJUH, NO.1 JL.JEND.SUDIRMAN NO.25 JL.ANGKATAN 45, PRABUMULIH JL.KESEHATAN, NO.100, KOMPLEK PERTAMINA PRABUMULIH JL.DEMANG LEBAR DAUN, PALEMBANG JL. DEMANG LEBAR DAUN, LORONG PAKJO JL. MAYOR ZEN JL. JEND. SUDIRMAN NO.1054 JL. MERDEKA, NO.329 JL.MEDAN KM2,5 PEMATANG SIANTAR

Status ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE

Coverage ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE COVERAGE

Total Active Terminal 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1

PADANG

PALEMBANG

PEMATANG SIANTAR
ALL COVERAGE ALL COVERAGE