PACES: S0820, Adenoma and Second Primary Prevention Trial

Sponsor

Southwest Oncology Group (Other)

Overall Status

Recruiting

CT.gov ID

NCT01349881

Collaborator

National Cancer Institute (NCI) (NIH), Cancer Prevention Pharmaceuticals, Inc. (Industry)

1,340

Enrollment

986

Locations

Arms

227.1

Anticipated Duration (Months)

1.4

Patients Per Site

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The investigators hypothesize that the combination of eflornithine and sulindac will be effective in reducing a three-year event rate of adenomas and second primary colorectal cancers in patients previously treated for Stages 0 through III colon or rectal cancer.

Condition or Disease	Intervention/Treatment	Phase
Colorectal Neoplasms	Drug: Eflornithine placebo & sulindac placebo Drug: eflornithine & sulindac placebo Drug: Eflornithine placebo & sulindac Drug: Eflornithine plus sulindac	Phase 3

Detailed Description

The purpose of this study is to assess whether the combination of eflornithine 500 mg and sulindac 150 mg (compared to corresponding placebos) has efficacy against colorectal lesions with respect to high-grade dysplasia, adenomas with villous features, adenomas 1 cm or greater, multiple adenomas, any adenomas >/= 0.3 cm, total advanced colorectal events, or total colorectal events.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

1340 participants

Allocation:

Randomized

Intervention Model:

Factorial Assignment

Masking:

Triple (Participant, Care Provider, Investigator)

Primary Purpose:

Prevention

Official Title:

A Double Blind Placebo-Controlled Trial of Eflornithine and Sulindac to Prevent Recurrence of High Risk Adenomas and Second Primary Colorectal Cancers in Patients With Stage 0-III Colon or Rectal Cancer, Phase III - Preventing Adenomas of the Colon With Eflornithine and Sulindac (PACES)

Actual Study Start Date :

Mar 1, 2013

Anticipated Primary Completion Date :

Feb 1, 2027

Anticipated Study Completion Date :

Feb 1, 2032

Arms and Interventions

Arm	Intervention/Treatment
Placebo Comparator: eflornithine placebo & sulindac placebo Eflornithine placebo 2 tablets, PO, daily for 3 years. Sulindac placebo, 1 tablet, PO, daily for 3 years.	Drug: Eflornithine placebo & sulindac placebo Eflornithine placebo 2 tablets PO daily for 3 years. Sulindac placebo 1 tablet PO daily for 3 years
Experimental: Eflornithine & sulindac placebo Eflornithine two 250 mg tablets PO daily for 3 years. Sulindac placebo one tablet PO daily for 3 years.	Drug: eflornithine & sulindac placebo Eflornithine two 250 mg tablets PO daily for 3 years. Sulindac placebo 1 tablet PO daily for 3 years.
Experimental: Eflornithine placebo & sulindac Eflornithine placebo 2 tablets PO daily for 3 years. Sulindac one 150 mg tablet PO daily for 3 years.	Drug: Eflornithine placebo & sulindac Eflornithine placebo 2 tablets PO daily for 3 years. Sulindac one 150 mg tablet PO daily for 3 years.
Experimental: Eflornithine plus sulindac Eflornithine two 250 mg tablets PO daily for 3 years. Sulindac one 150 mg tablet PO daily for 3 years.	Drug: Eflornithine plus sulindac Eflornithine two 250 mg tablets PO daily for 3 years. Sulindac one 150 mg tablet PO daily for 3 years.

Outcome Measures

Primary Outcome Measures

Event rate, defined as rate of high-risk adenoma or second primary colorectal cancer (CRC) [3 years after registration]
High risk adenoma is defined as either advanced adenoma (villous or tubulovillous histology, size >= 1 cm, or high grade dysplasia) or multiple adenomas (3 or more each > 0.3 cm). The primary analysis of the 3-year event rate will be performed using logistic regression, testing the main effect of treatment and adjusting for the baseline stratification factor. A two-arm binomial design without continuity correction will be used.

Secondary Outcome Measures

Total advanced colorectal event rate, defined as the number of patients with at least one high risk adenoma, second primary CRC, CRC recurrence, or metastasis [Up to 8 years]
The analysis will be performed using logistic regression, testing the main effect of treatment and adjusting for the baseline stratification factor. A time-to-event analysis will be conducted if there is no evidence of differential rates of on-study colonoscopies. To evaluate whether intervention effects are enduring, an analysis of post-treatment follow-up, examining colorectal event rates through year 8 will be performed.
Colon cancer recurrence [Up to 8 years]
Statistical assessments of association between the biomarker and the recurrence endpoints will be performed after converting the biomarker scores to ranks, which will facilitate detection of monotonic relationship(s).
High-grade dysplasia [Up to 8 years]
The analysis will be performed using logistic regression, testing the main effect of treatment and adjusting for the baseline stratification factor. A time-to-event analysis will be conducted if there is no evidence of differential rates of on-study colonoscopies. To evaluate whether intervention effects are enduring, an analysis of post-treatment follow-up, examining colorectal event rates through year 8 will be performed.
Adenomas with villous features, defined as villous histology (villous and tubulovillous adenomas) [Up to 8 years]
The analysis will be performed using logistic regression, testing the main effect of treatment and adjusting for the baseline stratification factor. A time-to-event analysis will be conducted if there is no evidence of differential rates of on-study colonoscopies. To evaluate whether intervention effects are enduring, an analysis of post-treatment follow-up, examining colorectal event rates through year 8 will be performed.
Adenomas >= 1 cm [Up to 8 years]
The analysis will be performed using logistic regression, testing the main effect of treatment and adjusting for the baseline stratification factor. A time-to-event analysis will be conducted if there is no evidence of differential rates of on-study colonoscopies. To evaluate whether intervention effects are enduring, an analysis of post-treatment follow-up, examining colorectal event rates through year 8 will be performed.
Multiple adenomas, defined as 3 or more adenomas all measuring > 0.3 cm [Up to 8 years]
The analysis will be performed using logistic regression, testing the main effect of treatment and adjusting for the baseline stratification factor. A time-to-event analysis will be conducted if there is no evidence of differential rates of on-study colonoscopies. To evaluate whether intervention effects are enduring, an analysis of post-treatment follow-up, examining colorectal event rates through year 8 will be performed.
The number of patients with development of any adenoma > 0.3 cm [Up to 8 years]
The analysis will be performed using logistic regression, testing the main effect of treatment and adjusting for the baseline stratification factor. A time-to-event analysis will be conducted if there is no evidence of differential rates of on-study colonoscopies. To evaluate whether intervention effects are enduring, an analysis of post-treatment follow-up, examining colorectal event rates through year 8 will be performed.
Total colorectal event rate, defined as the number of patients with at least one colorectal event (advanced colorectal event or adenoma > 0.3 cm) [Up to 8 years]
The analysis will be performed using logistic regression, testing the main effect of treatment and adjusting for the baseline stratification factor. A time-to-event analysis will be conducted if there is no evidence of differential rates of on-study colonoscopies. To evaluate whether intervention effects are enduring, an analysis of post-treatment follow-up, examining colorectal event rates through year 8 will be performed.
Time to first clinically apparent high-risk adenoma or second primary CRC [From date of registration to date at which high-risk adenoma or second primary CRC is detected, up to 8 years]
The analysis will be performed using logistic regression, testing the main effect of treatment and adjusting for the baseline stratification factor. A time-to-event analysis will be conducted if there is no evidence of differential rates of on-study colonoscopies. To evaluate whether intervention effects are enduring, an analysis of post-treatment follow-up, examining colorectal event rates through year 8 will be performed.
Toxicity [Up to 3 years]
Qualitative and quantitative assessment of toxicity, collected as CTCAE adverse events. Particular adverse events of interest include thrombotic cardiovascular and ototoxic events at or above a specified grade (e.g., Grade III or worse). All patients who receive any treatment will be included in the analysis of adverse events.
Baseline statin use [Up to 3 years]
The analysis of the interaction of statin use and the 3-year event rate will be performed using logistic regression.
Baseline meat consumption [Up to 3 years]
The analysis of the interaction of meat consumption and the 3-year event rate will be performed using logistic regression.
PK analysis [Up to 3 years]
SNPs with minor allele frequencies greater than 0.20 will be selected for SNP genotyping. The smallest set of SNPs that tag the common variation (frequency > 0.20) in all of the representative ethnic groups will be used. The genotype data, treatment characteristics and endpoints of interest will be analyzed using the pharmacogenetic-environment interaction approach described by Wacholder and colleagues.
Biomarker identification based on Integrated Comprehensive Droplet Digital Detection technology [Up to 3 years (though the timing of this isn't clear to me)]
The nature of the relationship between biomarker values identified by Integrated Comprehensive Droplet Digital Detection technology and the aggregate primary endpoint (high-risk adenoma or second primary CRC) will be assessed. Statistical assessments of association between the biomarker and the recurrence endpoints will be performed after converting the biomarker scores to ranks, which will facilitate detection of monotonic relationship(s).
Type of cancer at baseline: colorectal vs rectal [Up to 3 years]
The analysis of the interaction of cancer type and the 3-year event rate will be performed using logistic regression.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

History of Stage 0-III colon or rectal cancer with primary resection 1 year previously
Post-operative colonoscopy and CT scans of chest, abdomen & pelvis showing no evidence of disease
Must not have cardiovascular risk factors including unstable angina, history of myocardial infarction, or cerebrovascular accident, coronary artery bypass surgery, or NY Heart Assoc Class III or IV heart failure.
Patients must not have known uncontrolled hyperlipidemia (defined as LDL-C >/= 190 mg/dL or triglycerides >/= 500 mg/dL within the past 3 years or uncontrolled high blood pressure (systolic blood pressure > 150 mm Hg) within 28 days prior to registration
At least 30 days from completion of adjuvant chemo and RT.
Presence of gastroesophageal reflux disease acceptable if controlled with medications
Not receiving or planning to receive concomitant intravenous corticosteroids on a regular basis,nonsteroidal anti-inflammatory drugs (NSAIDs), nor anticoagulants on a regular predictable intermittent basis. NSAID use must not exceed 10 days per month; Maximum aspirin dose
100 mg per day or ≤ two 325 mg tablets per week. Inhaled steroids (i.e. for asthma or related conditions) are allowed.
Able to swallow oral medications
Laboratory: WBC ≥ 4.0 x 1000/mcL, platelets ≥ 100,000/mcL and hemoglobin > 11.0 g/dL. (A total WBC ≥ 3.1 x 1000/mcL is allowed for non-Hispanic black males and total WBC ≥ 3.4 x 1000/mcL for non-Hispanic black females. Serum bilirubin ≤ 2.0 mg/dL and AST (SGOT) or ALT(SGPT) ≤ 2 x IULN. Serum creatinine ≤ 1.5 x IULN
Zubrod PS 0-1, 18 years of age or older
Will not participate in any other clinical trial for the treatment or prevention of cancer unless off protocol treatment, on follow-up phase only
Offered opportunity to participate in blood specimen banking

Exclusion Criteria:

History of colon resection > 40 cm
Mid-low rectal cancer
Recurrent or metastatic disease
High cardiovascular risk; Uncontrolled hypertension
Planned radiation therapy or additional chemotherapy
Documented history of gastric/duodenal ulcer within last 12 months and/or current treatment or active symptoms of gastric/duodenal ulcer
Known history of familial adenomatous polyposis, hereditary nonpolyposis colorectal cancer, or inflammatory bowel disease
≥ 30 dB uncorrectable hearing loss for age of any of the five tested frequencies on prestudy audiogram
Known hypersensitivity to sulindac or excipient byproducts. Previous asthma, urticaria, or allergic-type reaction to aspirin or other NSAIDs
Significant medical or psychiatric condition that would preclude study completion (8 years)
No other prior malignancy except adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer for which the patient has been disease-free for > 5 years
Pregnant or nursing women. Women/men of reproductive potential must agree to use effective contraception

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	University of Alabama at Birmingham Cancer Center	Birmingham	Alabama	United States	35233
2	Anchorage Associates in Radiation Medicine	Anchorage	Alaska	United States	98508
3	Alaska Breast Care and Surgery LLC	Anchorage	Alaska	United States	99508
4	Alaska Oncology and Hematology LLC	Anchorage	Alaska	United States	99508
5	Alaska Regional Hospital	Anchorage	Alaska	United States	99508
6	Alaska Women's Cancer Care	Anchorage	Alaska	United States	99508
7	Katmai Oncology Group	Anchorage	Alaska	United States	99508
8	Providence Alaska Medical Center	Anchorage	Alaska	United States	99508
9	Fairbanks Memorial Hospital	Fairbanks	Alaska	United States	99701
10	Banner MD Anderson Cancer Center	Gilbert	Arizona	United States	85234
11	Cancer Center at Saint Joseph's	Phoenix	Arizona	United States	85004
12	University of Arizona Cancer Center-Orange Grove Campus	Tucson	Arizona	United States	85704
13	Banner University Medical Center - Tucson	Tucson	Arizona	United States	85719
14	University of Arizona Cancer Center-North Campus	Tucson	Arizona	United States	85719
15	CHI Saint Vincent Cancer Center Hot Springs	Hot Springs	Arkansas	United States	71913
16	Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro	Jonesboro	Arkansas	United States	72401
17	University of Arkansas for Medical Sciences	Little Rock	Arkansas	United States	72205
18	Highlands Oncology Group	Rogers	Arkansas	United States	72758
19	Kaiser Permanente-Anaheim	Anaheim	California	United States	92806
20	Kaiser Permanente-Deer Valley Medical Center	Antioch	California	United States	94531
21	Mission Hope Medical Oncology - Arroyo Grande	Arroyo Grande	California	United States	93420
22	Sutter Auburn Faith Hospital	Auburn	California	United States	95602
23	Sutter Cancer Centers Radiation Oncology Services-Auburn	Auburn	California	United States	95603
24	Kaiser Permanente-Baldwin Park	Baldwin Park	California	United States	91706
25	Kaiser Permanente-Bellflower	Bellflower	California	United States	90706
26	Alta Bates Summit Medical Center-Herrick Campus	Berkeley	California	United States	94704
27	Providence Saint Joseph Medical Center/Disney Family Cancer Center	Burbank	California	United States	91505
28	Mills-Peninsula Medical Center	Burlingame	California	United States	94010
29	Sutter Cancer Centers Radiation Oncology Services-Cameron Park	Cameron Park	California	United States	95682
30	East Bay Radiation Oncology Center	Castro Valley	California	United States	94546
31	Eden Hospital Medical Center	Castro Valley	California	United States	94546
32	Valley Medical Oncology Consultants-Castro Valley	Castro Valley	California	United States	94546
33	Enloe Medical Center	Chico	California	United States	95926
34	University Oncology Associates	Clovis	California	United States	93611
35	UC Irvine Health Cancer Center-Newport	Costa Mesa	California	United States	92627
36	Sutter Davis Hospital	Davis	California	United States	95616
37	City of Hope Comprehensive Cancer Center	Duarte	California	United States	91010
38	Epic Care-Dublin	Dublin	California	United States	94568
39	Kaiser Permanente Dublin	Dublin	California	United States	94568
40	Bay Area Breast Surgeons Inc	Emeryville	California	United States	94608
41	Epic Care Partners in Cancer Care	Emeryville	California	United States	94608
42	Kaiser Permanente-Fontana	Fontana	California	United States	92335
43	Kaiser Permanente-Fremont	Fremont	California	United States	94538
44	Valley Medical Oncology Consultants-Fremont	Fremont	California	United States	94538
45	Kaiser Permanente-Fresno	Fresno	California	United States	93720
46	Kaiser Permanente - Harbor City	Harbor City	California	United States	90710
47	Kaiser Permanente-Irvine	Irvine	California	United States	92618
48	UC San Diego Moores Cancer Center	La Jolla	California	United States	92093
49	Loma Linda University Medical Center	Loma Linda	California	United States	92354
50	Veterans Affairs Loma Linda Healthcare System	Loma Linda	California	United States	92357
51	Kaiser Permanente Los Angeles Medical Center	Los Angeles	California	United States	90027
52	Los Angeles County-USC Medical Center	Los Angeles	California	United States	90033
53	USC / Norris Comprehensive Cancer Center	Los Angeles	California	United States	90033
54	Kaiser Permanente West Los Angeles	Los Angeles	California	United States	90034
55	Cedars Sinai Medical Center	Los Angeles	California	United States	90048
56	Contra Costa Regional Medical Center	Martinez	California	United States	94553-3156
57	Memorial Medical Center	Modesto	California	United States	95355
58	Kaiser Permanente-Modesto	Modesto	California	United States	95356
59	El Camino Hospital	Mountain View	California	United States	94040
60	Palo Alto Medical Foundation-Camino Division	Mountain View	California	United States	94040
61	Palo Alto Medical Foundation-Gynecologic Oncology	Mountain View	California	United States	94040
62	Sutter Cancer Research Consortium	Novato	California	United States	94945
63	Highland General Hospital	Oakland	California	United States	94602
64	Alta Bates Summit Medical Center - Summit Campus	Oakland	California	United States	94609
65	Bay Area Tumor Institute	Oakland	California	United States	94609
66	Hematology and Oncology Associates-Oakland	Oakland	California	United States	94609
67	Tom K Lee Inc	Oakland	California	United States	94609
68	Kaiser Permanente-Oakland	Oakland	California	United States	94611
69	Kaiser Permanente-Ontario	Ontario	California	United States	91761
70	Saint Joseph Hospital - Orange	Orange	California	United States	92868
71	UC Irvine Health/Chao Family Comprehensive Cancer Center	Orange	California	United States	92868
72	Palo Alto Medical Foundation Health Care	Palo Alto	California	United States	94301
73	Kaiser Permanente - Panorama City	Panorama City	California	United States	91402
74	Keck Medical Center of USC Pasadena	Pasadena	California	United States	91105
75	East Bay Medical Oncology Hematology Medical Associates Inc-Pleasant Hill	Pleasant Hill	California	United States	94523
76	Valley Medical Oncology Consultants	Pleasanton	California	United States	94588
77	Eisenhower Medical Center	Rancho Mirage	California	United States	92270
78	Kaiser Permanente-Redwood City	Redwood City	California	United States	94063
79	Kaiser Permanente-Richmond	Richmond	California	United States	94801
80	Kaiser Permanente-Riverside	Riverside	California	United States	92505
81	Kaiser Permanente-Roseville	Roseville	California	United States	95661
82	Sutter Cancer Centers Radiation Oncology Services-Roseville	Roseville	California	United States	95661
83	Sutter Roseville Medical Center	Roseville	California	United States	95661
84	Kaiser Permanente Downtown Commons	Sacramento	California	United States	95814
85	Sutter Medical Center Sacramento	Sacramento	California	United States	95816
86	Kaiser Permanente-South Sacramento	Sacramento	California	United States	95823
87	Kaiser Permanente - Sacramento	Sacramento	California	United States	95825
88	Kaiser Permanente-San Diego Mission	San Diego	California	United States	92108
89	Kaiser Permanente-San Diego Zion	San Diego	California	United States	92120
90	California Pacific Medical Center-Pacific Campus	San Francisco	California	United States	94115
91	Kaiser Permanente-San Francisco	San Francisco	California	United States	94115
92	Kaiser Permanente-Santa Teresa-San Jose	San Jose	California	United States	95119
93	Kaiser Permanente San Leandro	San Leandro	California	United States	94577
94	Pacific Central Coast Health Center-San Luis Obispo	San Luis Obispo	California	United States	93401
95	Kaiser Permanente-San Marcos	San Marcos	California	United States	92078
96	Doctors Medical Center- JC Robinson Regional Cancer Center	San Pablo	California	United States	94806
97	Kaiser Permanente-San Rafael	San Rafael	California	United States	94903
98	Kaiser San Rafael-Gallinas	San Rafael	California	United States	94903
99	Kaiser Permanente Medical Center - Santa Clara	Santa Clara	California	United States	95051
100	Palo Alto Medical Foundation-Santa Cruz	Santa Cruz	California	United States	95065
101	Mission Hope Medical Oncology - Santa Maria	Santa Maria	California	United States	93444
102	Kaiser Permanente-Santa Rosa	Santa Rosa	California	United States	95403
103	Sutter Pacific Medical Foundation	Santa Rosa	California	United States	95403
104	Kaiser Permanente-South San Francisco	South San Francisco	California	United States	94080
105	Kaiser Permanente-Stockton	Stockton	California	United States	95210
106	Palo Alto Medical Foundation-Sunnyvale	Sunnyvale	California	United States	94086
107	Sutter Cancer Centers Radiation Oncology Services-Vacaville	Vacaville	California	United States	95687
108	Kaiser Permanente Medical Center-Vacaville	Vacaville	California	United States	95688
109	Kaiser Permanente-Vallejo	Vallejo	California	United States	94589
110	Sutter Solano Medical Center/Cancer Center	Vallejo	California	United States	94589
111	Kaiser Permanente-Walnut Creek	Walnut Creek	California	United States	94596
112	Epic Care Cyberknife Center	Walnut Creek	California	United States	94597
113	Presbyterian Intercommunity Hospital	Whittier	California	United States	90602
114	Kaiser Permanente-Woodland Hills	Woodland Hills	California	United States	91367
115	Rocky Mountain Cancer Centers-Aurora	Aurora	Colorado	United States	80012
116	The Medical Center of Aurora	Aurora	Colorado	United States	80012
117	Rocky Mountain Regional VA Medical Center	Aurora	Colorado	United States	80045
118	University of Colorado Hospital	Aurora	Colorado	United States	80045
119	Boulder Community Hospital	Boulder	Colorado	United States	80301
120	Boulder Community Foothills Hospital	Boulder	Colorado	United States	80303
121	Rocky Mountain Cancer Centers-Boulder	Boulder	Colorado	United States	80304
122	Penrose-Saint Francis Healthcare	Colorado Springs	Colorado	United States	80907
123	Rocky Mountain Cancer Centers-Penrose	Colorado Springs	Colorado	United States	80907
124	UCHealth Memorial Hospital Central	Colorado Springs	Colorado	United States	80909
125	Porter Adventist Hospital	Denver	Colorado	United States	80210
126	Colorado Blood Cancer Institute	Denver	Colorado	United States	80218
127	Presbyterian - Saint Lukes Medical Center - Health One	Denver	Colorado	United States	80218
128	Rocky Mountain Cancer Centers-Midtown	Denver	Colorado	United States	80218
129	SCL Health Saint Joseph Hospital	Denver	Colorado	United States	80218
130	Rocky Mountain Cancer Centers-Rose	Denver	Colorado	United States	80220
131	Rose Medical Center	Denver	Colorado	United States	80220
132	Mercy Medical Center	Durango	Colorado	United States	81301
133	Southwest Oncology PC	Durango	Colorado	United States	81301
134	Mountain Blue Cancer Care Center - Swedish	Englewood	Colorado	United States	80113
135	Swedish Medical Center	Englewood	Colorado	United States	80113
136	Poudre Valley Hospital	Fort Collins	Colorado	United States	80524
137	Mountain Blue Cancer Care Center	Golden	Colorado	United States	80401
138	North Colorado Medical Center	Greeley	Colorado	United States	80631
139	Rocky Mountain Cancer Centers-Greenwood Village	Greenwood Village	Colorado	United States	80111
140	Rocky Mountain Cancer Centers-Lakewood	Lakewood	Colorado	United States	80228
141	Saint Anthony Hospital	Lakewood	Colorado	United States	80228
142	Rocky Mountain Cancer Centers-Littleton	Littleton	Colorado	United States	80120
143	Littleton Adventist Hospital	Littleton	Colorado	United States	80122
144	Rocky Mountain Cancer Centers-Sky Ridge	Lone Tree	Colorado	United States	80124
145	Sky Ridge Medical Center	Lone Tree	Colorado	United States	80124
146	Longmont United Hospital	Longmont	Colorado	United States	80501
147	Rocky Mountain Cancer Centers-Longmont	Longmont	Colorado	United States	80501
148	McKee Medical Center	Loveland	Colorado	United States	80539
149	Parker Adventist Hospital	Parker	Colorado	United States	80138
150	Rocky Mountain Cancer Centers-Parker	Parker	Colorado	United States	80138
151	Saint Mary Corwin Medical Center	Pueblo	Colorado	United States	81004
152	Rocky Mountain Cancer Centers - Pueblo	Pueblo	Colorado	United States	81008
153	Rocky Mountain Cancer Centers-Thornton	Thornton	Colorado	United States	80260
154	SCL Health Lutheran Medical Center	Wheat Ridge	Colorado	United States	80033
155	Bridgeport Hospital	Bridgeport	Connecticut	United States	06610
156	Smilow Cancer Hospital-Derby Care Center	Derby	Connecticut	United States	06418
157	Smilow Cancer Hospital Care Center-Fairfield	Fairfield	Connecticut	United States	06824
158	Greenwich Hospital	Greenwich	Connecticut	United States	06830
159	Smilow Cancer Hospital Care Center at Greenwich	Greenwich	Connecticut	United States	06830
160	Smilow Cancer Hospital Care Center - Guiford	Guilford	Connecticut	United States	06437
161	Smilow Cancer Hospital Care Center at Saint Francis	Hartford	Connecticut	United States	06105
162	Middlesex Hospital	Middletown	Connecticut	United States	06457
163	Smilow Cancer Center/Yale-New Haven Hospital	New Haven	Connecticut	United States	06510
164	Yale University	New Haven	Connecticut	United States	06520
165	Yale-New Haven Hospital North Haven Medical Center	North Haven	Connecticut	United States	06473
166	Smilow Cancer Hospital-Orange Care Center	Orange	Connecticut	United States	06477
167	Stamford Hospital/Bennett Cancer Center	Stamford	Connecticut	United States	06904
168	Smilow Cancer Hospital-Torrington Care Center	Torrington	Connecticut	United States	06790
169	Smilow Cancer Hospital Care Center-Trumbull	Trumbull	Connecticut	United States	06611
170	Smilow Cancer Hospital-Waterbury Care Center	Waterbury	Connecticut	United States	06708
171	Smilow Cancer Hospital Care Center - Waterford	Waterford	Connecticut	United States	06385
172	Veterans Affairs Connecticut Healthcare System-West Haven Campus	West Haven	Connecticut	United States	06516
173	Beebe Medical Center	Lewes	Delaware	United States	19958
174	Christiana Gynecologic Oncology LLC	Newark	Delaware	United States	19713
175	Delaware Clinical and Laboratory Physicians PA	Newark	Delaware	United States	19713
176	Helen F Graham Cancer Center	Newark	Delaware	United States	19713
177	Medical Oncology Hematology Consultants PA	Newark	Delaware	United States	19713
178	Christiana Care Health System-Christiana Hospital	Newark	Delaware	United States	19718
179	Beebe Health Campus	Rehoboth Beach	Delaware	United States	19971
180	TidalHealth Nanticoke / Allen Cancer Center	Seaford	Delaware	United States	19973
181	Christiana Care Health System-Wilmington Hospital	Wilmington	Delaware	United States	19801
182	Kaiser Permanente-Capitol Hill Medical Center	Washington	District of Columbia	United States	20002
183	MedStar Georgetown University Hospital	Washington	District of Columbia	United States	20007
184	MedStar Washington Hospital Center	Washington	District of Columbia	United States	20010
185	University of Miami Miller School of Medicine-Sylvester Cancer Center	Miami	Florida	United States	33136
186	South Florida Baptist Hospital	Plant City	Florida	United States	33563
187	Saint Anthony's Hospital Cancer Care Center	Saint Petersburg	Florida	United States	33705
188	Moffitt Cancer Center	Tampa	Florida	United States	33612
189	Phoebe Putney Memorial Hospital	Albany	Georgia	United States	31701
190	Emory University Hospital Midtown	Atlanta	Georgia	United States	30308
191	Emory University Hospital/Winship Cancer Institute	Atlanta	Georgia	United States	30322
192	Emory Saint Joseph's Hospital	Atlanta	Georgia	United States	30342
193	John B Amos Cancer Center	Columbus	Georgia	United States	31904
194	Eisenhower Army Medical Center	Fort Gordon	Georgia	United States	30905-5650
195	Northeast Georgia Medical Center-Gainesville	Gainesville	Georgia	United States	30501
196	Lewis Cancer and Research Pavilion at Saint Joseph's/Candler	Savannah	Georgia	United States	31405
197	Pali Momi Medical Center	'Aiea	Hawaii	United States	96701
198	Hawaii Cancer Care Inc - Waterfront Plaza	Honolulu	Hawaii	United States	96813
199	Queen's Medical Center	Honolulu	Hawaii	United States	96813
200	Straub Clinic and Hospital	Honolulu	Hawaii	United States	96813
201	University of Hawaii Cancer Center	Honolulu	Hawaii	United States	96813
202	Hawaii Cancer Care Inc-Liliha	Honolulu	Hawaii	United States	96817
203	Queen's Cancer Center - Kuakini	Honolulu	Hawaii	United States	96817
204	The Cancer Center of Hawaii-Liliha	Honolulu	Hawaii	United States	96817
205	Kaiser Permanente Moanalua Medical Center	Honolulu	Hawaii	United States	96819
206	Kapiolani Medical Center for Women and Children	Honolulu	Hawaii	United States	96826
207	Tripler Army Medical Center	Honolulu	Hawaii	United States	96859
208	Castle Medical Center	Kailua	Hawaii	United States	96734
209	Wilcox Memorial Hospital and Kauai Medical Clinic	Lihue	Hawaii	United States	96766
210	Maui Memorial Medical Center	Wailuku	Hawaii	United States	96793
211	Pacific Cancer Institute of Maui	Wailuku	Hawaii	United States	96793
212	Saint Alphonsus Cancer Care Center-Boise	Boise	Idaho	United States	83706
213	Saint Luke's Cancer Institute - Boise	Boise	Idaho	United States	83712
214	Saint Alphonsus Cancer Care Center-Caldwell	Caldwell	Idaho	United States	83605
215	Kootenai Health - Coeur d'Alene	Coeur d'Alene	Idaho	United States	83814
216	Walter Knox Memorial Hospital	Emmett	Idaho	United States	83617
217	Saint Luke's Cancer Institute - Fruitland	Fruitland	Idaho	United States	83619
218	Saint Joseph Regional Medical Center	Lewiston	Idaho	United States	83501
219	Idaho Urologic Institute-Meridian	Meridian	Idaho	United States	83642
220	Saint Luke's Cancer Institute - Meridian	Meridian	Idaho	United States	83642
221	Saint Alphonsus Medical Center-Nampa	Nampa	Idaho	United States	83686
222	Saint Luke's Cancer Institute - Nampa	Nampa	Idaho	United States	83686
223	Kootenai Clinic Cancer Services - Post Falls	Post Falls	Idaho	United States	83854
224	Kootenai Cancer Clinic	Sandpoint	Idaho	United States	83864
225	Saint Luke's Cancer Institute - Twin Falls	Twin Falls	Idaho	United States	83301
226	Rush - Copley Medical Center	Aurora	Illinois	United States	60504
227	Mac Neal Hospital	Berwyn	Illinois	United States	60402
228	Saint Joseph Medical Center	Bloomington	Illinois	United States	61701
229	Illinois CancerCare-Bloomington	Bloomington	Illinois	United States	61704
230	Illinois CancerCare-Canton	Canton	Illinois	United States	61520
231	Memorial Hospital of Carbondale	Carbondale	Illinois	United States	62902
232	SIH Cancer Institute	Carterville	Illinois	United States	62918
233	Illinois CancerCare-Carthage	Carthage	Illinois	United States	62321
234	Centralia Oncology Clinic	Centralia	Illinois	United States	62801
235	Rush University Medical Center	Chicago	Illinois	United States	60612
236	Weiss Memorial Hospital	Chicago	Illinois	United States	60640
237	Presence Saint Joseph Hospital-Chicago	Chicago	Illinois	United States	60657
238	Carle on Vermilion	Danville	Illinois	United States	61832
239	Decatur Memorial Hospital	Decatur	Illinois	United States	62526
240	Carle Physician Group-Effingham	Effingham	Illinois	United States	62401
241	Crossroads Cancer Center	Effingham	Illinois	United States	62401
242	Illinois CancerCare-Eureka	Eureka	Illinois	United States	61530
243	Illinois CancerCare-Galesburg	Galesburg	Illinois	United States	61401
244	Western Illinois Cancer Treatment Center	Galesburg	Illinois	United States	61401
245	Northwestern Medicine Cancer Center Delnor	Geneva	Illinois	United States	60134
246	Ingalls Memorial Hospital	Harvey	Illinois	United States	60426
247	Edward Hines Jr VA Hospital	Hines	Illinois	United States	60141
248	Illinois CancerCare-Kewanee Clinic	Kewanee	Illinois	United States	61443
249	Illinois CancerCare-Macomb	Macomb	Illinois	United States	61455
250	Carle Physician Group-Mattoon/Charleston	Mattoon	Illinois	United States	61938
251	Loyola University Medical Center	Maywood	Illinois	United States	60153
252	Holy Family Medical Center	Monmouth	Illinois	United States	61462
253	Illinois CancerCare-Monmouth	Monmouth	Illinois	United States	61462
254	Good Samaritan Regional Health Center	Mount Vernon	Illinois	United States	62864
255	Carle Cancer Institute Normal	Normal	Illinois	United States	61761
256	Cancer Care Center of O'Fallon	O'Fallon	Illinois	United States	62269
257	Advocate Christ Medical Center	Oak Lawn	Illinois	United States	60453-2699
258	Illinois CancerCare-Ottawa Clinic	Ottawa	Illinois	United States	61350
259	Ottawa Regional Hospital and Healthcare Center	Ottawa	Illinois	United States	61350
260	Radiation Oncology of Northern Illinois	Ottawa	Illinois	United States	61350
261	Illinois CancerCare-Pekin	Pekin	Illinois	United States	61554
262	OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center	Pekin	Illinois	United States	61554
263	Proctor Hospital	Peoria	Illinois	United States	61614
264	Illinois CancerCare-Peoria	Peoria	Illinois	United States	61615
265	OSF Saint Francis Radiation Oncology at Peoria Cancer Center	Peoria	Illinois	United States	61615
266	Methodist Medical Center of Illinois	Peoria	Illinois	United States	61636
267	OSF Saint Francis Medical Center	Peoria	Illinois	United States	61637
268	Illinois CancerCare-Peru	Peru	Illinois	United States	61354
269	Illinois Valley Hospital	Peru	Illinois	United States	61354
270	Valley Radiation Oncology	Peru	Illinois	United States	61354
271	Illinois CancerCare-Princeton	Princeton	Illinois	United States	61356
272	West Suburban Medical Center	River Forest	Illinois	United States	60305
273	OSF Saint Anthony Medical Center	Rockford	Illinois	United States	61108
274	Central Illinois Hematology Oncology Center	Springfield	Illinois	United States	62702
275	Southern Illinois University School of Medicine	Springfield	Illinois	United States	62702
276	Springfield Clinic	Springfield	Illinois	United States	62702
277	Memorial Medical Center	Springfield	Illinois	United States	62781
278	Southwest Illinois Health Services LLP	Swansea	Illinois	United States	62226
279	Carle Cancer Center	Urbana	Illinois	United States	61801
280	The Carle Foundation Hospital	Urbana	Illinois	United States	61801
281	Northwestern Medicine Cancer Center Warrenville	Warrenville	Illinois	United States	60555
282	Rush-Copley Healthcare Center	Yorkville	Illinois	United States	60560
283	Michiana Hematology Oncology PC-Crown Point	Crown Point	Indiana	United States	46307
284	Elkhart Clinic	Elkhart	Indiana	United States	46514-2098
285	Michiana Hematology Oncology PC-Elkhart	Elkhart	Indiana	United States	46514
286	Elkhart General Hospital	Elkhart	Indiana	United States	46515
287	Franciscan Health Indianapolis	Indianapolis	Indiana	United States	46237
288	Community Howard Regional Health	Kokomo	Indiana	United States	46904
289	IU Health La Porte Hospital	La Porte	Indiana	United States	46350
290	Premier Oncology Hematology Associates	Merrillville	Indiana	United States	46410
291	Franciscan Saint Anthony Health-Michigan City	Michigan City	Indiana	United States	46360
292	Woodland Cancer Care Center	Michigan City	Indiana	United States	46360
293	Memorial Regional Cancer Center Day Road	Mishawaka	Indiana	United States	46545
294	Michiana Hematology Oncology PC-Mishawaka	Mishawaka	Indiana	United States	46545
295	Saint Joseph Regional Medical Center-Mishawaka	Mishawaka	Indiana	United States	46545
296	Michiana Hematology Oncology PC-Plymouth	Plymouth	Indiana	United States	46563
297	Reid Health	Richmond	Indiana	United States	47374
298	Memorial Hospital of South Bend	South Bend	Indiana	United States	46601
299	Michiana Hematology Oncology PC-South Bend	South Bend	Indiana	United States	46601
300	Porter Memorial Hospital	Valparaiso	Indiana	United States	46383
301	Michiana Hematology Oncology PC-Westville	Westville	Indiana	United States	46391
302	University of Iowa Healthcare Cancer Services Quad Cities	Bettendorf	Iowa	United States	52722
303	Physicians' Clinic of Iowa PC	Cedar Rapids	Iowa	United States	52402
304	Mercy Hospital	Cedar Rapids	Iowa	United States	52403
305	Oncology Associates at Mercy Medical Center	Cedar Rapids	Iowa	United States	52403
306	Medical Oncology and Hematology Associates-West Des Moines	Clive	Iowa	United States	50325
307	Mercy Cancer Center-West Lakes	Clive	Iowa	United States	50325
308	Alegent Health Mercy Hospital	Council Bluffs	Iowa	United States	51503
309	Greater Regional Medical Center	Creston	Iowa	United States	50801
310	Iowa Methodist Medical Center	Des Moines	Iowa	United States	50309
311	Medical Oncology and Hematology Associates-Des Moines	Des Moines	Iowa	United States	50309
312	Medical Oncology and Hematology Associates-Laurel	Des Moines	Iowa	United States	50314
313	Mercy Medical Center - Des Moines	Des Moines	Iowa	United States	50314
314	Iowa Lutheran Hospital	Des Moines	Iowa	United States	50316
315	University of Iowa/Holden Comprehensive Cancer Center	Iowa City	Iowa	United States	52242
316	Mercy Medical Center - North Iowa	Mason City	Iowa	United States	50401
317	Siouxland Regional Cancer Center	Sioux City	Iowa	United States	51101
318	Mercy Medical Center-Sioux City	Sioux City	Iowa	United States	51102
319	Saint Luke's Regional Medical Center	Sioux City	Iowa	United States	51104
320	MercyOne Waterloo Medical Center	Waterloo	Iowa	United States	50702
321	Methodist West Hospital	West Des Moines	Iowa	United States	50266-7700
322	Mercy Medical Center-West Lakes	West Des Moines	Iowa	United States	50266
323	Cancer Center of Kansas - Chanute	Chanute	Kansas	United States	66720
324	Cancer Center of Kansas - Dodge City	Dodge City	Kansas	United States	67801
325	Cancer Center of Kansas - El Dorado	El Dorado	Kansas	United States	67042
326	Newman Regional Health	Emporia	Kansas	United States	66801
327	Cancer Center of Kansas - Fort Scott	Fort Scott	Kansas	United States	66701
328	Saint Catherine Hospital	Garden City	Kansas	United States	67846
329	Central Care Cancer Center - Great Bend	Great Bend	Kansas	United States	67530
330	Saint Rose Ambulatory and Surgery Center	Great Bend	Kansas	United States	67530
331	HaysMed University of Kansas Health System	Hays	Kansas	United States	67601
332	Hutchinson Regional Medical Center	Hutchinson	Kansas	United States	67502
333	Cancer Center of Kansas-Independence	Independence	Kansas	United States	67301
334	Providence Medical Center	Kansas City	Kansas	United States	66112
335	University of Kansas Cancer Center-West	Kansas City	Kansas	United States	66112
336	University of Kansas Cancer Center	Kansas City	Kansas	United States	66160
337	Cancer Center of Kansas-Kingman	Kingman	Kansas	United States	67068
338	Lawrence Memorial Hospital	Lawrence	Kansas	United States	66044
339	Kansas Institute of Medicine Cancer and Blood Center	Lenexa	Kansas	United States	66219
340	Minimally Invasive Surgery Hospital	Lenexa	Kansas	United States	66219
341	Cancer Center of Kansas-Liberal	Liberal	Kansas	United States	67905
342	Cancer Center of Kansas-Manhattan	Manhattan	Kansas	United States	66502
343	Cancer Center of Kansas - McPherson	McPherson	Kansas	United States	67460
344	Cancer Center of Kansas - Newton	Newton	Kansas	United States	67114
345	Olathe Health Cancer Center	Olathe	Kansas	United States	66061
346	Menorah Medical Center	Overland Park	Kansas	United States	66209
347	University of Kansas Cancer Center-Overland Park	Overland Park	Kansas	United States	66210
348	Saint Luke's South Hospital	Overland Park	Kansas	United States	66213
349	Cancer Center of Kansas - Parsons	Parsons	Kansas	United States	67357
350	Ascension Via Christi - Pittsburg	Pittsburg	Kansas	United States	66762
351	Cancer Center of Kansas - Pratt	Pratt	Kansas	United States	67124
352	Cancer Center of Kansas - Salina	Salina	Kansas	United States	67401
353	Salina Regional Health Center	Salina	Kansas	United States	67401
354	Cotton O'Neil Cancer Center / Stormont Vail Health	Topeka	Kansas	United States	66606
355	University of Kansas Health System Saint Francis Campus	Topeka	Kansas	United States	66606
356	Cancer Center of Kansas - Wellington	Wellington	Kansas	United States	67152
357	Associates In Womens Health	Wichita	Kansas	United States	67208
358	Cancer Center of Kansas-Wichita Medical Arts Tower	Wichita	Kansas	United States	67208
359	Ascension Via Christi Hospitals Wichita	Wichita	Kansas	United States	67214
360	Cancer Center of Kansas - Wichita	Wichita	Kansas	United States	67214
361	Cancer Center of Kansas - Winfield	Winfield	Kansas	United States	67156
362	Flaget Memorial Hospital	Bardstown	Kentucky	United States	40004
363	Commonwealth Cancer Center-Corbin	Corbin	Kentucky	United States	40701
364	Oncology Hematology Care Inc-Crestview	Crestview Hills	Kentucky	United States	41017
365	Saint Elizabeth Medical Center South	Edgewood	Kentucky	United States	41017
366	Saint Elizabeth Fort Thomas	Fort Thomas	Kentucky	United States	41075
367	Saint Joseph Radiation Oncology Resource Center	Lexington	Kentucky	United States	40504
368	Saint Joseph Hospital East	Lexington	Kentucky	United States	40509
369	University of Kentucky/Markey Cancer Center	Lexington	Kentucky	United States	40536
370	Saint Joseph London	London	Kentucky	United States	40741
371	Jewish Hospital	Louisville	Kentucky	United States	40202
372	Saints Mary and Elizabeth Hospital	Louisville	Kentucky	United States	40215
373	Jewish Hospital Medical Center Northeast	Louisville	Kentucky	United States	40245
374	Saint Claire Regional Medical Center	Morehead	Kentucky	United States	40351
375	Jewish Hospital Medical Center South	Shepherdsville	Kentucky	United States	40165
376	LSU Health Baton Rouge-North Clinic	Baton Rouge	Louisiana	United States	70805
377	Louisiana Hematology Oncology Associates LLC	Baton Rouge	Louisiana	United States	70809
378	Mary Bird Perkins Cancer Center	Baton Rouge	Louisiana	United States	70809
379	Ochsner Health Center-Summa	Baton Rouge	Louisiana	United States	70809
380	Our Lady of the Lake Physicians Group - Medical Oncology	Baton Rouge	Louisiana	United States	70809
381	Medical Center of Baton Rouge	Baton Rouge	Louisiana	United States	70816
382	Ochsner High Grove	Baton Rouge	Louisiana	United States	70836
383	Mary Bird Perkins Cancer Center - Houma	Houma	Louisiana	United States	70360
384	Lallie Kemp Regional Medical Center	Independence	Louisiana	United States	70443
385	Ochsner Medical Center Kenner	Kenner	Louisiana	United States	70065
386	East Jefferson General Hospital	Metairie	Louisiana	United States	70006
387	Ochsner LSU Health Monroe Medical Center	Monroe	Louisiana	United States	71202
388	Louisiana State University Health Science Center	New Orleans	Louisiana	United States	70112
389	University Medical Center New Orleans	New Orleans	Louisiana	United States	70112
390	Ochsner Medical Center Jefferson	New Orleans	Louisiana	United States	70121
391	LSU Health Sciences Center at Shreveport	Shreveport	Louisiana	United States	71103
392	Highland Clinic	Shreveport	Louisiana	United States	71105
393	Central Maine Medical Center	Lewiston	Maine	United States	04240
394	University of Maryland/Greenebaum Cancer Center	Baltimore	Maryland	United States	21201
395	Sinai Hospital of Baltimore	Baltimore	Maryland	United States	21215
396	Kaiser Permanente-Woodlawn Medical Center	Baltimore	Maryland	United States	21244
397	UM Upper Chesapeake Medical Center	Bel Air	Maryland	United States	21014
398	Western Maryland Regional Medical Center	Cumberland	Maryland	United States	21502
399	Christiana Care - Union Hospital	Elkton	Maryland	United States	21921
400	Kaiser Permanente-Gaithersburg Medical Center	Gaithersburg	Maryland	United States	20879
401	Kaiser Permanente - Largo Medical Center	Largo	Maryland	United States	20774
402	MedStar Montgomery Medical Center	Olney	Maryland	United States	20832
403	Beverly Hospital	Beverly	Massachusetts	United States	01915
404	Steward Saint Elizabeth's Medical Center	Brighton	Massachusetts	United States	02135
405	Addison Gilbert Hospital	Gloucester	Massachusetts	United States	01930
406	Boston Veteran's Affairs Medical Center	Jamaica Plain	Massachusetts	United States	02130
407	Mercy Medical Center	Springfield	Massachusetts	United States	01104
408	Bixby Medical Center	Adrian	Michigan	United States	49221
409	Hickman Cancer Center	Adrian	Michigan	United States	49221
410	Saint Joseph Mercy Hospital	Ann Arbor	Michigan	United States	48106
411	University of Michigan Comprehensive Cancer Center	Ann Arbor	Michigan	United States	48109
412	Bronson Battle Creek	Battle Creek	Michigan	United States	49017
413	McLaren Cancer Institute-Bay City	Bay City	Michigan	United States	48706
414	Spectrum Health Big Rapids Hospital	Big Rapids	Michigan	United States	49307
415	IHA Hematology Oncology Consultants-Brighton	Brighton	Michigan	United States	48114
416	Saint Joseph Mercy Brighton	Brighton	Michigan	United States	48114
417	IHA Hematology Oncology Consultants-Canton	Canton	Michigan	United States	48188
418	Saint Joseph Mercy Canton	Canton	Michigan	United States	48188
419	Caro Cancer Center	Caro	Michigan	United States	48723
420	IHA Hematology Oncology Consultants-Chelsea	Chelsea	Michigan	United States	48118
421	Saint Joseph Mercy Chelsea	Chelsea	Michigan	United States	48118
422	Hematology Oncology Consultants-Clarkston	Clarkston	Michigan	United States	48346
423	Newland Medical Associates-Clarkston	Clarkston	Michigan	United States	48346
424	Beaumont Hospital - Dearborn	Dearborn	Michigan	United States	48124
425	Wayne State University/Karmanos Cancer Institute	Detroit	Michigan	United States	48201
426	Ascension Saint John Hospital	Detroit	Michigan	United States	48236
427	Great Lakes Cancer Management Specialists-Doctors Park	East China Township	Michigan	United States	48054
428	Green Bay Oncology - Escanaba	Escanaba	Michigan	United States	49829
429	Weisberg Cancer Treatment Center	Farmington Hills	Michigan	United States	48334
430	Beaumont Hospital - Farmington Hills	Farmington Hills	Michigan	United States	48336
431	Genesee Cancer and Blood Disease Treatment Center	Flint	Michigan	United States	48503
432	Genesee Hematology Oncology PC	Flint	Michigan	United States	48503
433	Genesys Hurley Cancer Institute	Flint	Michigan	United States	48503
434	Hurley Medical Center	Flint	Michigan	United States	48503
435	McLaren Cancer Institute-Flint	Flint	Michigan	United States	48532
436	Singh and Arora Hematology Oncology PC	Flint	Michigan	United States	48532
437	Mercy Health Saint Mary's	Grand Rapids	Michigan	United States	49503
438	Spectrum Health at Butterworth Campus	Grand Rapids	Michigan	United States	49503
439	Academic Hematology Oncology Specialists	Grosse Pointe Woods	Michigan	United States	48236
440	Great Lakes Cancer Management Specialists-Van Elslander Cancer Center	Grosse Pointe Woods	Michigan	United States	48236
441	Michigan Breast Specialists-Grosse Pointe Woods	Grosse Pointe Woods	Michigan	United States	48236
442	Green Bay Oncology - Iron Mountain	Iron Mountain	Michigan	United States	49801
443	Allegiance Health	Jackson	Michigan	United States	49201
444	Bronson Methodist Hospital	Kalamazoo	Michigan	United States	49007
445	West Michigan Cancer Center	Kalamazoo	Michigan	United States	49007
446	Borgess Medical Center	Kalamazoo	Michigan	United States	49048
447	McLaren-Greater Lansing	Lansing	Michigan	United States	48910
448	Sparrow Hospital	Lansing	Michigan	United States	48912
449	McLaren Cancer Institute-Lapeer Region	Lapeer	Michigan	United States	48446
450	Hope Cancer Clinic	Livonia	Michigan	United States	48154
451	Saint Mary Mercy Hospital	Livonia	Michigan	United States	48154
452	Great Lakes Cancer Management Specialists-Macomb Medical Campus	Macomb	Michigan	United States	48044
453	Michigan Breast Specialists-Macomb Township	Macomb	Michigan	United States	48044
454	Saint Mary's Oncology/Hematology Associates of Marlette	Marlette	Michigan	United States	48453
455	Mercy Memorial Hospital	Monroe	Michigan	United States	48162
456	Toledo Clinic Cancer Centers-Monroe	Monroe	Michigan	United States	48162
457	McLaren Cancer Institute-Macomb	Mount Clemens	Michigan	United States	48043
458	McLaren Cancer Institute-Central Michigan	Mount Pleasant	Michigan	United States	48858
459	Mercy Health Mercy Campus	Muskegon	Michigan	United States	49444
460	Lakeland Hospital Niles	Niles	Michigan	United States	49120
461	McLaren Cancer Institute-Northern Michigan	Petoskey	Michigan	United States	49770
462	21st Century Oncology-Pontiac	Pontiac	Michigan	United States	48341
463	Hope Cancer Center	Pontiac	Michigan	United States	48341
464	Newland Medical Associates-Pontiac	Pontiac	Michigan	United States	48341
465	Saint Joseph Mercy Oakland	Pontiac	Michigan	United States	48341
466	Lake Huron Medical Center	Port Huron	Michigan	United States	48060
467	Spectrum Health Reed City Hospital	Reed City	Michigan	United States	49677
468	Great Lakes Cancer Management Specialists-Rochester Hills	Rochester Hills	Michigan	United States	48309
469	William Beaumont Hospital-Royal Oak	Royal Oak	Michigan	United States	48073
470	Ascension Saint Mary's Hospital	Saginaw	Michigan	United States	48601
471	Oncology Hematology Associates of Saginaw Valley PC	Saginaw	Michigan	United States	48604
472	Lakeland Medical Center Saint Joseph	Saint Joseph	Michigan	United States	49085
473	Marie Yeager Cancer Center	Saint Joseph	Michigan	United States	49085
474	Ascension Providence Hospitals - Southfield	Southfield	Michigan	United States	48075
475	Bhadresh Nayak MD PC-Sterling Heights	Sterling Heights	Michigan	United States	48312
476	Ascension Saint Joseph Hospital	Tawas City	Michigan	United States	48764
477	Munson Medical Center	Traverse City	Michigan	United States	49684
478	William Beaumont Hospital - Troy	Troy	Michigan	United States	48085
479	Advanced Breast Care Center PLLC	Warren	Michigan	United States	48088
480	Great Lakes Cancer Management Specialists-Macomb Professional Building	Warren	Michigan	United States	48093
481	Macomb Hematology Oncology PC	Warren	Michigan	United States	48093
482	Michigan Breast Specialists-Warren	Warren	Michigan	United States	48093
483	Saint John Macomb-Oakland Hospital	Warren	Michigan	United States	48093
484	Saint Mary's Oncology/Hematology Associates of West Branch	West Branch	Michigan	United States	48661
485	Metro Health Hospital	Wyoming	Michigan	United States	49519
486	Huron Gastroenterology PC	Ypsilanti	Michigan	United States	48106
487	IHA Hematology Oncology Consultants-Ann Arbor	Ypsilanti	Michigan	United States	48197
488	Riverwood Healthcare Center	Aitkin	Minnesota	United States	56431
489	Sanford Joe Lueken Cancer Center	Bemidji	Minnesota	United States	56601
490	Essentia Health Saint Joseph's Medical Center	Brainerd	Minnesota	United States	56401
491	Fairview Ridges Hospital	Burnsville	Minnesota	United States	55337
492	Mercy Hospital	Coon Rapids	Minnesota	United States	55433
493	Essentia Health - Deer River Clinic	Deer River	Minnesota	United States	56636
494	Essentia Health Cancer Center	Duluth	Minnesota	United States	55805
495	Essentia Health Saint Mary's Medical Center	Duluth	Minnesota	United States	55805
496	Miller-Dwan Hospital	Duluth	Minnesota	United States	55805
497	Fairview Southdale Hospital	Edina	Minnesota	United States	55435
498	Lake Region Healthcare Corporation-Cancer Care	Fergus Falls	Minnesota	United States	56537
499	Unity Hospital	Fridley	Minnesota	United States	55432
500	Essentia Health Hibbing Clinic	Hibbing	Minnesota	United States	55746
501	Hutchinson Area Health Care	Hutchinson	Minnesota	United States	55350
502	Fairview Clinics and Surgery Center Maple Grove	Maple Grove	Minnesota	United States	55369
503	Minnesota Oncology Hematology PA-Maplewood	Maplewood	Minnesota	United States	55109
504	Saint John's Hospital - Healtheast	Maplewood	Minnesota	United States	55109
505	Abbott-Northwestern Hospital	Minneapolis	Minnesota	United States	55407
506	Hennepin County Medical Center	Minneapolis	Minnesota	United States	55415
507	Health Partners Inc	Minneapolis	Minnesota	United States	55454
508	New Ulm Medical Center	New Ulm	Minnesota	United States	56073
509	North Memorial Medical Health Center	Robbinsdale	Minnesota	United States	55422
510	Mayo Clinic in Rochester	Rochester	Minnesota	United States	55905
511	Coborn Cancer Center at Saint Cloud Hospital	Saint Cloud	Minnesota	United States	56303
512	Saint Cloud Hospital	Saint Cloud	Minnesota	United States	56303
513	Park Nicollet Clinic - Saint Louis Park	Saint Louis Park	Minnesota	United States	55416
514	Regions Hospital	Saint Paul	Minnesota	United States	55101
515	United Hospital	Saint Paul	Minnesota	United States	55102
516	Essentia Health Sandstone	Sandstone	Minnesota	United States	55072
517	Saint Francis Regional Medical Center	Shakopee	Minnesota	United States	55379
518	Lakeview Hospital	Stillwater	Minnesota	United States	55082
519	Essentia Health Virginia Clinic	Virginia	Minnesota	United States	55792
520	Ridgeview Medical Center	Waconia	Minnesota	United States	55387
521	Rice Memorial Hospital	Willmar	Minnesota	United States	56201
522	Minnesota Oncology Hematology PA-Woodbury	Woodbury	Minnesota	United States	55125
523	Fairview Lakes Medical Center	Wyoming	Minnesota	United States	55092
524	The West Clinic - Corinth	Corinth	Mississippi	United States	38834
525	Baptist Cancer Center-Grenada	Grenada	Mississippi	United States	38901
526	University of Mississippi Medical Center	Jackson	Mississippi	United States	39216
527	Baptist Memorial Hospital and Cancer Center-Union County	New Albany	Mississippi	United States	38652
528	Baptist Memorial Hospital and Cancer Center-Oxford	Oxford	Mississippi	United States	38655
529	Singing River Hospital	Pascagoula	Mississippi	United States	39581
530	The West Clinic - Southaven	Southaven	Mississippi	United States	38671
531	Baptist Memorial Hospital and Cancer Center-Desoto	Southhaven	Mississippi	United States	38671
532	Parkland Health Center-Bonne Terre	Bonne Terre	Missouri	United States	63628
533	Saint Francis Medical Center	Cape Girardeau	Missouri	United States	63703
534	Southeast Cancer Center	Cape Girardeau	Missouri	United States	63703
535	Centerpoint Medical Center LLC	Independence	Missouri	United States	64057
536	Capital Region Southwest Campus	Jefferson City	Missouri	United States	65109
537	Freeman Health System	Joplin	Missouri	United States	64804
538	Truman Medical Centers	Kansas City	Missouri	United States	64108
539	Saint Luke's Hospital of Kansas City	Kansas City	Missouri	United States	64111
540	North Kansas City Hospital	Kansas City	Missouri	United States	64116
541	Heartland Hematology and Oncology Associates Incorporated	Kansas City	Missouri	United States	64118
542	Kansas City Veterans Affairs Medical Center	Kansas City	Missouri	United States	64128
543	The University of Kansas Cancer Center-South	Kansas City	Missouri	United States	64131
544	Research Medical Center	Kansas City	Missouri	United States	64132
545	University of Kansas Cancer Center - North	Kansas City	Missouri	United States	64154
546	University of Kansas Cancer Center - Lee's Summit	Lee's Summit	Missouri	United States	64064
547	Saint Luke's East - Lee's Summit	Lee's Summit	Missouri	United States	64086
548	Liberty Radiation Oncology Center	Liberty	Missouri	United States	64068
549	Heartland Regional Medical Center	Saint Joseph	Missouri	United States	64506
550	Saint Joseph Oncology Inc	Saint Joseph	Missouri	United States	64507
551	Veteran's Affairs Medical Center - Saint Louis	Saint Louis	Missouri	United States	63125
552	Mercy Hospital South	Saint Louis	Missouri	United States	63128
553	Missouri Baptist Medical Center	Saint Louis	Missouri	United States	63131
554	Siteman Cancer Center at Christian Hospital	Saint Louis	Missouri	United States	63136
555	Sainte Genevieve County Memorial Hospital	Sainte Genevieve	Missouri	United States	63670
556	Mercy Hospital Springfield	Springfield	Missouri	United States	65804
557	CoxHealth South Hospital	Springfield	Missouri	United States	65807
558	Missouri Baptist Sullivan Hospital	Sullivan	Missouri	United States	63080
559	Missouri Baptist Outpatient Center-Sunset Hills	Sunset Hills	Missouri	United States	63127
560	Community Hospital of Anaconda	Anaconda	Montana	United States	59711
561	Billings Clinic Cancer Center	Billings	Montana	United States	59101
562	Saint Vincent Healthcare	Billings	Montana	United States	59101
563	Saint Vincent Frontier Cancer Center	Billings	Montana	United States	59102
564	Bozeman Deaconess Hospital	Bozeman	Montana	United States	59715
565	Saint James Community Hospital and Cancer Treatment Center	Butte	Montana	United States	59701
566	Benefis Healthcare- Sletten Cancer Institute	Great Falls	Montana	United States	59405
567	Great Falls Clinic	Great Falls	Montana	United States	59405
568	Saint Peter's Community Hospital	Helena	Montana	United States	59601
569	Kalispell Regional Medical Center	Kalispell	Montana	United States	59901
570	Montana Cancer Specialists	Missoula	Montana	United States	59802
571	Saint Patrick Hospital - Community Hospital	Missoula	Montana	United States	59802
572	Community Medical Hospital	Missoula	Montana	United States	59804
573	CHI Health Saint Francis	Grand Island	Nebraska	United States	68803
574	Heartland Hematology and Oncology	Kearney	Nebraska	United States	68845
575	CHI Health Good Samaritan	Kearney	Nebraska	United States	68847
576	Nebraska Hematology and Oncology	Lincoln	Nebraska	United States	68506
577	Nebraska Cancer Research Center	Lincoln	Nebraska	United States	68510
578	Saint Elizabeth Regional Medical Center	Lincoln	Nebraska	United States	68510
579	Faith Regional Health Services Carson Cancer Center	Norfolk	Nebraska	United States	68701
580	Great Plains Health Callahan Cancer Center	North Platte	Nebraska	United States	69101
581	Missouri Valley Cancer Consortium	Omaha	Nebraska	United States	68106
582	Alegent Health Immanuel Medical Center	Omaha	Nebraska	United States	68122
583	Hematology and Oncology Consultants PC	Omaha	Nebraska	United States	68122
584	Alegent Health Bergan Mercy Medical Center	Omaha	Nebraska	United States	68124
585	Nebraska Cancer Specialists - Omaha	Omaha	Nebraska	United States	68124
586	Alegent Health Lakeside Hospital	Omaha	Nebraska	United States	68130
587	Oncology Hematology West PC	Omaha	Nebraska	United States	68130
588	Urology Cancer Center PC	Omaha	Nebraska	United States	68130
589	Creighton University Medical Center	Omaha	Nebraska	United States	68131
590	Midlands Community Hospital	Papillion	Nebraska	United States	68046
591	Regional West Medical Center Cancer Center	Scottsbluff	Nebraska	United States	69361
592	Cancer and Blood Specialists-Henderson	Henderson	Nevada	United States	89052
593	Comprehensive Cancer Centers of Nevada - Henderson	Henderson	Nevada	United States	89052
594	Comprehensive Cancer Centers of Nevada-Horizon Ridge	Henderson	Nevada	United States	89052
595	Las Vegas Cancer Center-Henderson	Henderson	Nevada	United States	89052
596	OptumCare Cancer Care at Seven Hills	Henderson	Nevada	United States	89052
597	21st Century Oncology-Henderson	Henderson	Nevada	United States	89074
598	Comprehensive Cancer Centers of Nevada-Southeast Henderson	Henderson	Nevada	United States	89074
599	OptumCare Cancer Care at Charleston	Las Vegas	Nevada	United States	89102
600	University Medical Center of Southern Nevada	Las Vegas	Nevada	United States	89102
601	Cancer and Blood Specialists-Shadow	Las Vegas	Nevada	United States	89106
602	Radiation Oncology Centers of Nevada Central	Las Vegas	Nevada	United States	89106
603	21st Century Oncology	Las Vegas	Nevada	United States	89109
604	HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway	Las Vegas	Nevada	United States	89109
605	HealthCare Partners Medical Group Oncology/Hematology-San Martin	Las Vegas	Nevada	United States	89113
606	Radiation Oncology Centers of Nevada Southeast	Las Vegas	Nevada	United States	89119
607	Cancer Therapy and Integrative Medicine	Las Vegas	Nevada	United States	89121
608	21st Century Oncology-Vegas Tenaya	Las Vegas	Nevada	United States	89128
609	Cancer and Blood Specialists-Tenaya	Las Vegas	Nevada	United States	89128
610	Comprehensive Cancer Centers of Nevada - Northwest	Las Vegas	Nevada	United States	89128
611	HealthCare Partners Medical Group Oncology/Hematology-Tenaya	Las Vegas	Nevada	United States	89128
612	OptumCare Cancer Care at MountainView	Las Vegas	Nevada	United States	89128
613	Comprehensive Cancer Centers of Nevada-Summerlin	Las Vegas	Nevada	United States	89144
614	Las Vegas Cancer Center-Medical Center	Las Vegas	Nevada	United States	89148-2405
615	21st Century Oncology-Fort Apache	Las Vegas	Nevada	United States	89148
616	Comprehensive Cancer Centers of Nevada	Las Vegas	Nevada	United States	89148
617	OptumCare Cancer Care at Fort Apache	Las Vegas	Nevada	United States	89148
618	HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills	Las Vegas	Nevada	United States	89149
619	Comprehensive Cancer Centers of Nevada - Central Valley	Las Vegas	Nevada	United States	89169
620	New Hampshire Oncology Hematology PA-Concord	Concord	New Hampshire	United States	03301
621	Exeter Hospital	Exeter	New Hampshire	United States	03833
622	LRGHealthcare-Lakes Region General Hospital	Laconia	New Hampshire	United States	03246
623	Solinsky Center for Cancer Care	Manchester	New Hampshire	United States	03103
624	Cooper Hospital University Medical Center	Camden	New Jersey	United States	08103
625	Morristown Medical Center	Morristown	New Jersey	United States	07960
626	Virtua Memorial	Mount Holly	New Jersey	United States	08060
627	Inspira Medical Center Mullica Hill	Mullica Hill	New Jersey	United States	08062
628	Chilton Medical Center	Pompton	New Jersey	United States	07444
629	Overlook Hospital	Summit	New Jersey	United States	07902
630	Community Medical Center	Toms River	New Jersey	United States	08755
631	Inspira Medical Center Vineland	Vineland	New Jersey	United States	08360
632	Virtua Voorhees	Voorhees	New Jersey	United States	08043
633	Lovelace Medical Center-Saint Joseph Square	Albuquerque	New Mexico	United States	87102
634	University of New Mexico Cancer Center	Albuquerque	New Mexico	United States	87102
635	New Mexico Oncology Hematology Consultants	Albuquerque	New Mexico	United States	87109
636	Presbyterian Kaseman Hospital	Albuquerque	New Mexico	United States	87110
637	Presbyterian Rust Medical Center/Jorgensen Cancer Center	Rio Rancho	New Mexico	United States	87124
638	Christus Saint Vincent Regional Cancer Center	Santa Fe	New Mexico	United States	87505
639	Hematology Oncology Associates of Central New York-Auburn	Auburn	New York	United States	13021
640	Hematology Oncology Associates of Central New York-East Syracuse	East Syracuse	New York	United States	13057
641	Arnot Ogden Medical Center/Falck Cancer Center	Elmira	New York	United States	14905
642	Glens Falls Hospital	Glens Falls	New York	United States	12801
643	Northwell Health/Center for Advanced Medicine	Lake Success	New York	United States	11042
644	Hematology Oncology Associates of Central New York-Liverpool	Liverpool	New York	United States	13088
645	Laura and Isaac Perlmutter Cancer Center at NYU Langone	New York	New York	United States	10016
646	NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center	New York	New York	United States	10032
647	University of Rochester	Rochester	New York	United States	14642
648	Hematology Oncology Associates of Central New York-Rome	Rome	New York	United States	13440
649	Stony Brook University Medical Center	Stony Brook	New York	United States	11794
650	Hematology Oncology Associates of Central New York-Onondaga Hill	Syracuse	New York	United States	13215
651	Dickstein Cancer Treatment Center	White Plains	New York	United States	10601
652	Gaston Hematology and Oncology Associates-Belmont	Belmont	North Carolina	United States	28012
653	Novant Health Presbyterian Medical Center	Charlotte	North Carolina	United States	28204
654	Novant Health Carolina Surgical - Randolph	Charlotte	North Carolina	United States	28207
655	Oncology Specialists of Charlotte	Charlotte	North Carolina	United States	28207
656	Southern Oncology Specialists-Charlotte	Charlotte	North Carolina	United States	28262
657	Southeastern Medical Oncology Center-Clinton	Clinton	North Carolina	United States	28328
658	CaroMont Regional Medical Center	Gastonia	North Carolina	United States	28054
659	Gaston Hematology and Oncology Associates	Gastonia	North Carolina	United States	28054
660	Southeastern Medical Oncology Center-Goldsboro	Goldsboro	North Carolina	United States	27534
661	Wayne Memorial Hospital	Goldsboro	North Carolina	United States	27534
662	Hendersonville Hematology and Oncology at Pardee	Hendersonville	North Carolina	United States	28791
663	Margaret R Pardee Memorial Hospital	Hendersonville	North Carolina	United States	28791
664	AdventHealth Hendersonville	Hendersonville	North Carolina	United States	28792
665	Novant Health Cancer Institute - Huntersville	Huntersville	North Carolina	United States	28078
666	Southern Oncology Specialists-Huntersville	Huntersville	North Carolina	United States	28078
667	Southeastern Medical Oncology Center-Jacksonville	Jacksonville	North Carolina	United States	28546
668	Matthews Radiation Oncology Center	Matthews	North Carolina	United States	28105
669	Novant Health Cancer Specialists-Matthews	Matthews	North Carolina	United States	28105
670	Novant Health Cancer Institute - Mooresville	Mooresville	North Carolina	United States	28117
671	Nash General Hospital	Rocky Mount	North Carolina	United States	27804
672	Cleveland Hematology and Oncology Associates PC	Shelby	North Carolina	United States	28150
673	Sanford Bismarck Medical Center	Bismarck	North Dakota	United States	58501
674	Essentia Health Cancer Center-South University Clinic	Fargo	North Dakota	United States	58103
675	Sanford Broadway Medical Center	Fargo	North Dakota	United States	58122
676	Sanford Clinic North-Fargo	Fargo	North Dakota	United States	58122
677	Sanford Roger Maris Cancer Center	Fargo	North Dakota	United States	58122
678	Altru Cancer Center	Grand Forks	North Dakota	United States	58201
679	Trinity Cancer Care Center	Minot	North Dakota	United States	58701
680	Cleveland Clinic Cancer Center Beachwood	Beachwood	Ohio	United States	44122
681	UHHS-Chagrin Highlands Medical Center	Beachwood	Ohio	United States	44122
682	Indu and Raj Soin Medical Center	Beavercreek	Ohio	United States	45431
683	Strecker Cancer Center-Belpre	Belpre	Ohio	United States	45714
684	Toledo Clinic Cancer Centers-Bowling Green	Bowling Green	Ohio	United States	43402
685	Cleveland Clinic Mercy Hospital	Canton	Ohio	United States	44708
686	Aultman Health Foundation	Canton	Ohio	United States	44710
687	Dayton Physicians LLC-Miami Valley South	Centerville	Ohio	United States	45459
688	Miami Valley Hospital South	Centerville	Ohio	United States	45459
689	Geauga Hospital	Chardon	Ohio	United States	44024
690	Adena Regional Medical Center	Chillicothe	Ohio	United States	45601
691	Oncology Hematology Care Inc-Eden Park	Cincinnati	Ohio	United States	45202
692	Oncology Hematology Care Inc-Mercy West	Cincinnati	Ohio	United States	45211
693	The Christ Hospital	Cincinnati	Ohio	United States	45219
694	Good Samaritan Hospital - Cincinnati	Cincinnati	Ohio	United States	45220
695	Oncology Hematology Care Inc-Anderson	Cincinnati	Ohio	United States	45230
696	Oncology Hematology Care Inc-Kenwood	Cincinnati	Ohio	United States	45236
697	Bethesda North Hospital	Cincinnati	Ohio	United States	45242
698	Oncology Hematology Care Inc-Blue Ash	Cincinnati	Ohio	United States	45242
699	TriHealth Cancer Institute-Westside	Cincinnati	Ohio	United States	45247
700	TriHealth Cancer Institute-Anderson	Cincinnati	Ohio	United States	45255
701	Case Western Reserve University	Cleveland	Ohio	United States	44106
702	Cleveland Clinic Cancer Center/Fairview Hospital	Cleveland	Ohio	United States	44111
703	Cleveland Clinic Foundation	Cleveland	Ohio	United States	44195
704	Ohio State University Comprehensive Cancer Center	Columbus	Ohio	United States	43210
705	Mount Carmel East Hospital	Columbus	Ohio	United States	43213
706	Columbus Oncology and Hematology Associates Inc	Columbus	Ohio	United States	43214
707	Riverside Methodist Hospital	Columbus	Ohio	United States	43214
708	Grant Medical Center	Columbus	Ohio	United States	43215
709	The Mark H Zangmeister Center	Columbus	Ohio	United States	43219
710	Mount Carmel Health Center West	Columbus	Ohio	United States	43222
711	Doctors Hospital	Columbus	Ohio	United States	43228
712	Grandview Hospital	Dayton	Ohio	United States	45405
713	Good Samaritan Hospital - Dayton	Dayton	Ohio	United States	45406
714	Miami Valley Hospital	Dayton	Ohio	United States	45409
715	Dayton Physician LLC-Miami Valley Hospital North	Dayton	Ohio	United States	45415
716	Miami Valley Hospital North	Dayton	Ohio	United States	45415
717	Delaware Health Center-Grady Cancer Center	Delaware	Ohio	United States	43015
718	Delaware Radiation Oncology	Delaware	Ohio	United States	43015
719	Grady Memorial Hospital	Delaware	Ohio	United States	43015
720	Dublin Methodist Hospital	Dublin	Ohio	United States	43016
721	Hematology Oncology Center Incorporated	Elyria	Ohio	United States	44035
722	Mercy Cancer Center-Elyria	Elyria	Ohio	United States	44035
723	Oncology Hematology Care Inc-Healthplex	Fairfield	Ohio	United States	45014
724	Armes Family Cancer Center	Findlay	Ohio	United States	45840
725	Blanchard Valley Hospital	Findlay	Ohio	United States	45840
726	Orion Cancer Care	Findlay	Ohio	United States	45840
727	Atrium Medical Center-Middletown Regional Hospital	Franklin	Ohio	United States	45005-1066
728	Dayton Physicians LLC-Atrium	Franklin	Ohio	United States	45005
729	Central Ohio Breast and Endocrine Surgery	Gahanna	Ohio	United States	43230
730	Dayton Physicians LLC-Wayne	Greenville	Ohio	United States	45331
731	Wayne Hospital	Greenville	Ohio	United States	45331
732	Mount Carmel Grove City Hospital	Grove City	Ohio	United States	43123
733	Cleveland Clinic Cancer Center Independence	Independence	Ohio	United States	44131
734	Greater Dayton Cancer Center	Kettering	Ohio	United States	45409
735	First Dayton Cancer Care	Kettering	Ohio	United States	45420
736	Kettering Medical Center	Kettering	Ohio	United States	45429
737	Fairfield Medical Center	Lancaster	Ohio	United States	43130
738	Lancaster Radiation Oncology	Lancaster	Ohio	United States	43130
739	Saint Rita's Medical Center	Lima	Ohio	United States	45801
740	Lima Memorial Hospital	Lima	Ohio	United States	45804
741	OhioHealth Mansfield Hospital	Mansfield	Ohio	United States	44903
742	Cleveland Clinic Cancer Center Mansfield	Mansfield	Ohio	United States	44906
743	Marietta Memorial Hospital	Marietta	Ohio	United States	45750
744	OhioHealth Marion General Hospital	Marion	Ohio	United States	43302
745	Toledo Clinic Cancer Centers-Maumee	Maumee	Ohio	United States	43537
746	Toledo Radiation Oncology at Northwest Ohio Onocolgy Center	Maumee	Ohio	United States	43537
747	Hillcrest Hospital Cancer Center	Mayfield Heights	Ohio	United States	44124
748	UH Seidman Cancer Center at Lake Health Mentor Campus	Mentor	Ohio	United States	44060
749	UH Seidman Cancer Center at Southwest General Hospital	Middleburg Heights	Ohio	United States	44130
750	Dayton Physicians LLC-Signal Point	Middletown	Ohio	United States	45042
751	Knox Community Hospital	Mount Vernon	Ohio	United States	43050
752	Licking Memorial Hospital	Newark	Ohio	United States	43055
753	Newark Radiation Oncology	Newark	Ohio	United States	43055
754	Saint Charles Hospital	Oregon	Ohio	United States	43616
755	Toledo Clinic Cancer Centers-Oregon	Oregon	Ohio	United States	43616
756	University Hospitals Parma Medical Center	Parma	Ohio	United States	44129
757	Mercy Health Perrysburg Cancer Center	Perrysburg	Ohio	United States	43551
758	Southern Ohio Medical Center	Portsmouth	Ohio	United States	45662
759	North Coast Cancer Care	Sandusky	Ohio	United States	44870
760	UH Seidman Cancer Center at Firelands Regional Medical Center	Sandusky	Ohio	United States	44870
761	Dayton Physicians LLC-Wilson	Sidney	Ohio	United States	45365
762	Springfield Regional Cancer Center	Springfield	Ohio	United States	45504
763	Springfield Regional Medical Center	Springfield	Ohio	United States	45505
764	Cleveland Clinic Cancer Center Strongsville	Strongsville	Ohio	United States	44136
765	ProMedica Flower Hospital	Sylvania	Ohio	United States	43560
766	Mercy Hospital of Tiffin	Tiffin	Ohio	United States	44883
767	ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital	Toledo	Ohio	United States	43606
768	Saint Vincent Mercy Medical Center	Toledo	Ohio	United States	43608
769	University of Toledo	Toledo	Ohio	United States	43614
770	Toledo Community Hospital Oncology Program CCOP	Toledo	Ohio	United States	43617
771	Mercy Health - Saint Anne Hospital	Toledo	Ohio	United States	43623
772	Toledo Clinic Cancer Centers-Toledo	Toledo	Ohio	United States	43623
773	Dayton Physicians LLC-Upper Valley	Troy	Ohio	United States	45373
774	Upper Valley Medical Center	Troy	Ohio	United States	45373
775	University Hospitals Sharon Health Center	Wadsworth	Ohio	United States	44281
776	South Pointe Hospital	Warrensville Heights	Ohio	United States	44122
777	Fulton County Health Center	Wauseon	Ohio	United States	43567
778	Saint Ann's Hospital	Westerville	Ohio	United States	43081
779	UH Seidman Cancer Center at Saint John Medical Center	Westlake	Ohio	United States	44145
780	UHHS-Westlake Medical Center	Westlake	Ohio	United States	44145
781	Cleveland Clinic Wooster Family Health and Surgery Center	Wooster	Ohio	United States	44691
782	Wright-Patterson Medical Center	Wright-Patterson Air Force Base	Ohio	United States	45433
783	Greene Memorial Hospital	Xenia	Ohio	United States	45385
784	Genesis Healthcare System Cancer Care Center	Zanesville	Ohio	United States	43701
785	Cancer Centers of Southwest Oklahoma Research	Lawton	Oklahoma	United States	73505
786	University of Oklahoma Health Sciences Center	Oklahoma City	Oklahoma	United States	73104
787	Mercy Hospital Oklahoma City	Oklahoma City	Oklahoma	United States	73120
788	Saint Alphonsus Medical Center-Baker City	Baker City	Oregon	United States	97814
789	Saint Charles Health System	Bend	Oregon	United States	97701
790	Clackamas Radiation Oncology Center	Clackamas	Oregon	United States	97015
791	Providence Cancer Institute Clackamas Clinic	Clackamas	Oregon	United States	97015
792	Bay Area Hospital	Coos Bay	Oregon	United States	97420
793	Providence Newberg Medical Center	Newberg	Oregon	United States	97132
794	Saint Alphonsus Medical Center-Ontario	Ontario	Oregon	United States	97914
795	Providence Willamette Falls Medical Center	Oregon City	Oregon	United States	97045
796	Providence Portland Medical Center	Portland	Oregon	United States	97213
797	Providence Saint Vincent Medical Center	Portland	Oregon	United States	97225
798	Kaiser Permanente Northwest	Portland	Oregon	United States	97227
799	Jefferson Abington Hospital	Abington	Pennsylvania	United States	19001
800	Lehigh Valley Hospital-Cedar Crest	Allentown	Pennsylvania	United States	18103
801	Lehigh Valley Hospital - Muhlenberg	Bethlehem	Pennsylvania	United States	18017
802	Bryn Mawr Hospital	Bryn Mawr	Pennsylvania	United States	19010
803	Main Line Health Center-Collegeville	Collegeville	Pennsylvania	United States	19426
804	Geisinger Medical Center	Danville	Pennsylvania	United States	17822
805	Pocono Medical Center	East Stroudsburg	Pennsylvania	United States	18301
806	Easton Hospital	Easton	Pennsylvania	United States	18042
807	Main Line Health Center-Exton	Exton	Pennsylvania	United States	19341
808	Geisinger Medical Center-Cancer Center Hazleton	Hazleton	Pennsylvania	United States	18201
809	Lehigh Valley Hospital-Hazleton	Hazleton	Pennsylvania	United States	18201
810	Geisinger Medical Oncology-Lewisburg	Lewisburg	Pennsylvania	United States	17837
811	Lewistown Hospital	Lewistown	Pennsylvania	United States	17044
812	Riddle Memorial Hospital	Media	Pennsylvania	United States	19063
813	Paoli Memorial Hospital	Paoli	Pennsylvania	United States	19301
814	Phoenixville Hospital	Phoenixville	Pennsylvania	United States	19460
815	Geisinger Cancer Services-Pottsville	Pottsville	Pennsylvania	United States	17901
816	Community Medical Center	Scranton	Pennsylvania	United States	18510
817	Geisinger Medical Oncology-Selinsgrove	Selinsgrove	Pennsylvania	United States	17870
818	Geisinger Medical Group	State College	Pennsylvania	United States	16801
819	Chester County Hospital	West Chester	Pennsylvania	United States	19380
820	Reading Hospital	West Reading	Pennsylvania	United States	19611
821	Geisinger Wyoming Valley/Henry Cancer Center	Wilkes-Barre	Pennsylvania	United States	18711
822	Asplundh Cancer Pavilion	Willow Grove	Pennsylvania	United States	19090
823	Lankenau Medical Center	Wynnewood	Pennsylvania	United States	19096
824	AnMed Health Cancer Center	Anderson	South Carolina	United States	29621
825	Beaufort Memorial Hospital	Beaufort	South Carolina	United States	29902
826	Saint Joseph's/Candler - Bluffton Campus	Bluffton	South Carolina	United States	29910
827	Prisma Health Cancer Institute - Spartanburg	Boiling Springs	South Carolina	United States	29316
828	Roper Hospital	Charleston	South Carolina	United States	29401
829	Charleston Oncology - Roper	Charleston	South Carolina	United States	29403
830	Lowcountry Hematology Oncology PA-North Charleston	Charleston	South Carolina	United States	29406
831	Bon Secours Saint Francis Hospital	Charleston	South Carolina	United States	29414
832	Charleston Oncology - Saint Francis	Charleston	South Carolina	United States	29414
833	Lowcountry Hematology Oncology PA-West Ashley	Charleston	South Carolina	United States	29414
834	Prisma Health Cancer Institute - Easley	Easley	South Carolina	United States	29640
835	Gibbs Cancer Center-Gaffney	Gaffney	South Carolina	United States	29341
836	Greenville Health System Cancer Institute-Andrews	Greenville	South Carolina	United States	29601
837	Saint Francis Hospital	Greenville	South Carolina	United States	29601
838	Prisma Health Cancer Institute - Butternut	Greenville	South Carolina	United States	29605
839	Prisma Health Cancer Institute - Faris	Greenville	South Carolina	United States	29605
840	Prisma Health Greenville Memorial Hospital	Greenville	South Carolina	United States	29605
841	Prisma Health Cancer Institute - Eastside	Greenville	South Carolina	United States	29615
842	Self Regional Healthcare	Greenwood	South Carolina	United States	29646
843	Prisma Health Cancer Institute - Greer	Greer	South Carolina	United States	29650
844	Gibbs Cancer Center-Pelham	Greer	South Carolina	United States	29651
845	South Carolina Cancer Specialists PC	Hilton Head Island	South Carolina	United States	29926-3827
846	Lowcountry Hematology Oncology PA-Mount Pleasant	Mount Pleasant	South Carolina	United States	29464
847	Prisma Health Cancer Institute - Seneca	Seneca	South Carolina	United States	29672
848	Spartanburg Medical Center	Spartanburg	South Carolina	United States	29303
849	MGC Hematology Oncology-Union	Union	South Carolina	United States	29379
850	Sanford Cancer Center Oncology Clinic	Sioux Falls	South Dakota	United States	57104
851	Avera Cancer Institute	Sioux Falls	South Dakota	United States	57105
852	Sanford USD Medical Center - Sioux Falls	Sioux Falls	South Dakota	United States	57117-5134
853	Memorial Hospital	Chattanooga	Tennessee	United States	37404
854	Baptist Memorial Hospital and Cancer Center-Collierville	Collierville	Tennessee	United States	38017
855	The West Clinic - Wolf River	Germantown	Tennessee	United States	38138
856	Pulmonary Medicine Center of Chattanooga-Hixson	Hixson	Tennessee	United States	37343
857	University of Tennessee - Knoxville	Knoxville	Tennessee	United States	37920
858	The West Clinic - Mid-Town	Memphis	Tennessee	United States	38104
859	Baptist Memorial Hospital and Cancer Center-Memphis	Memphis	Tennessee	United States	38120
860	University of Tennessee Health Science Center	Memphis	Tennessee	United States	38163
861	Meharry Medical College	Nashville	Tennessee	United States	37208
862	Vanderbilt University/Ingram Cancer Center	Nashville	Tennessee	United States	37232
863	Memorial GYN Plus	Ooltewah	Tennessee	United States	37363
864	Hendrick Medical Center	Abilene	Texas	United States	79601
865	Saint Joseph Regional Cancer Center	Bryan	Texas	United States	77802
866	Parkland Memorial Hospital	Dallas	Texas	United States	75235
867	Baylor University Medical Center	Dallas	Texas	United States	75246
868	UT Southwestern/Simmons Cancer Center-Dallas	Dallas	Texas	United States	75390
869	Brooke Army Medical Center	Fort Sam Houston	Texas	United States	78234
870	M D Anderson Cancer Center	Houston	Texas	United States	77030
871	Covenant Medical Center-Lakeside	Lubbock	Texas	United States	79410
872	Audie L Murphy VA Hospital	San Antonio	Texas	United States	78229
873	Cancer Therapy and Research Center at The UT Health Science Center at San Antonio	San Antonio	Texas	United States	78229
874	University Hospital	San Antonio	Texas	United States	78229
875	University of Texas Health Science Center at San Antonio	San Antonio	Texas	United States	78229
876	Scott and White Memorial Hospital	Temple	Texas	United States	76508
877	Central Vermont Medical Center/National Life Cancer Treatment	Berlin	Vermont	United States	05602
878	University of Vermont Medical Center	Burlington	Vermont	United States	05401
879	University of Vermont and State Agricultural College	Burlington	Vermont	United States	05405
880	White River Junction Veteran Administration Medical Center	White River Junction	Vermont	United States	05009
881	Kaiser Permanente-Burke Medical Center	Burke	Virginia	United States	22015
882	Fredericksburg Oncology Inc	Fredericksburg	Virginia	United States	22401
883	Sovah Health Martinsville	Martinsville	Virginia	United States	24115
884	Kaiser Permanente Tysons Corner Medical Center	McLean	Virginia	United States	22102
885	Providence Regional Cancer System-Aberdeen	Aberdeen	Washington	United States	98520
886	Cancer Care Center at Island Hospital	Anacortes	Washington	United States	98221
887	MultiCare Auburn Medical Center	Auburn	Washington	United States	98001
888	Virginia Mason Bainbridge Island Medical Center	Bainbridge Island	Washington	United States	98110
889	Overlake Medical Center	Bellevue	Washington	United States	98004
890	PeaceHealth Saint Joseph Medical Center	Bellingham	Washington	United States	98225
891	Harrison HealthPartners Hematology and Oncology-Bremerton	Bremerton	Washington	United States	98310
892	Harrison Medical Center	Bremerton	Washington	United States	98310
893	Highline Medical Center-Main Campus	Burien	Washington	United States	98166
894	Providence Regional Cancer System-Centralia	Centralia	Washington	United States	98531
895	Swedish Cancer Institute-Edmonds	Edmonds	Washington	United States	98026
896	Saint Elizabeth Hospital	Enumclaw	Washington	United States	98022
897	Providence Regional Cancer Partnership	Everett	Washington	United States	98201
898	Virginia Mason Federal Way Medical Center	Federal Way	Washington	United States	98002
899	Saint Francis Hospital	Federal Way	Washington	United States	98003
900	Tacoma/Valley Radiation Oncology Centers-Gig Harbor	Gig Harbor	Washington	United States	98332
901	MultiCare Gig Harbor Medical Park	Gig Harbor	Washington	United States	98335
902	Swedish Cancer Institute-Issaquah	Issaquah	Washington	United States	98029
903	Kadlec Clinic Hematology and Oncology	Kennewick	Washington	United States	99336
904	Northwest Cancer Clinic	Kennewick	Washington	United States	99336
905	Seattle Cancer Care Alliance at EvergreenHealth	Kirkland	Washington	United States	98034
906	Providence Regional Cancer System-Lacey	Lacey	Washington	United States	98503
907	Saint Clare Hospital	Lakewood	Washington	United States	98499
908	PeaceHealth Saint John Medical Center	Longview	Washington	United States	98632
909	Virginia Mason Lynnwood Medical Center	Lynnwood	Washington	United States	98036
910	Skagit Valley Hospital	Mount Vernon	Washington	United States	98274
911	Providence - Saint Peter Hospital	Olympia	Washington	United States	98506-5166
912	Capital Medical Center	Olympia	Washington	United States	98507
913	Jefferson Healthcare	Port Townsend	Washington	United States	98368
914	Harrison HealthPartners Hematology and Oncology-Poulsbo	Poulsbo	Washington	United States	98370
915	Peninsula Cancer Center	Poulsbo	Washington	United States	98370
916	MultiCare Good Samaritan Hospital	Puyallup	Washington	United States	98372
917	Tacoma/Valley Radiation Oncology Centers-Puyallup	Puyallup	Washington	United States	98372
918	Valley Medical Center	Renton	Washington	United States	98055
919	Virginia Mason Medical Center	Seattle	Washington	United States	98101
920	Harborview Medical Center	Seattle	Washington	United States	98104
921	Minor and James Medical PLLC	Seattle	Washington	United States	98104
922	Pacific Gynecology Specialists	Seattle	Washington	United States	98104
923	Pacific Medical Center-First Hill	Seattle	Washington	United States	98104
924	Swedish Medical Center-Ballard Campus	Seattle	Washington	United States	98107
925	Fred Hutchinson Cancer Research Center	Seattle	Washington	United States	98109
926	Kaiser Permanente Washington	Seattle	Washington	United States	98112
927	Swedish Medical Center-First Hill	Seattle	Washington	United States	98122-4307
928	University of Washington Medical Center - Montlake	Seattle	Washington	United States	98195
929	PeaceHealth United General Medical Center	Sedro-Woolley	Washington	United States	98284
930	Providence Regional Cancer System-Shelton	Shelton	Washington	United States	98584
931	MultiCare Deaconess Cancer and Blood Specialty Center - Valley	Spokane Valley	Washington	United States	99216
932	Cancer Care Northwest - Spokane South	Spokane	Washington	United States	99202
933	MultiCare Deaconess Cancer and Blood Specialty Center - Downtown	Spokane	Washington	United States	99204
934	Evergreen Hematology and Oncology PS	Spokane	Washington	United States	99218
935	MultiCare Deaconess Cancer and Blood Specialty Center - North	Spokane	Washington	United States	99218
936	Rockwood Clinic	Spokane	Washington	United States	99220
937	Tacoma/Valley Radiation Oncology Centers-Jackson Hall	Tacoma	Washington	United States	97405
938	Franciscan Research Center-Northwest Medical Plaza	Tacoma	Washington	United States	98405
939	MultiCare Allenmore Hospital	Tacoma	Washington	United States	98405
940	MultiCare Tacoma General Hospital	Tacoma	Washington	United States	98405
941	Northwest Medical Specialties PLLC	Tacoma	Washington	United States	98405
942	Saint Joseph Medical Center	Tacoma	Washington	United States	98405
943	Tacoma/Valley Radiation Oncology Centers-Saint Joe's	Tacoma	Washington	United States	98405
944	PeaceHealth Southwest Medical Center	Vancouver	Washington	United States	98664
945	Providence Saint Mary Regional Cancer Center	Walla Walla	Washington	United States	99362
946	Wenatchee Valley Hospital and Clinics	Wenatchee	Washington	United States	98801
947	North Star Lodge Cancer Center at Yakima Valley Memorial Hospital	Yakima	Washington	United States	98902
948	Providence Regional Cancer System-Yelm	Yelm	Washington	United States	98597
949	Saint Mary's Medical Center	Huntington	West Virginia	United States	25702
950	Princeton Community Hospital	Princeton	West Virginia	United States	24740
951	Langlade Hospital and Cancer Center	Antigo	Wisconsin	United States	54409
952	Duluth Clinic Ashland	Ashland	Wisconsin	United States	54806
953	Marshfield Clinic-Chippewa Center	Chippewa Falls	Wisconsin	United States	54729
954	Marshfield Clinic Cancer Center at Sacred Heart	Eau Claire	Wisconsin	United States	54701
955	Marshfield Medical Center-EC Cancer Center	Eau Claire	Wisconsin	United States	54701
956	Green Bay Oncology at Saint Vincent Hospital	Green Bay	Wisconsin	United States	54301-3526
957	Bellin Memorial Hospital	Green Bay	Wisconsin	United States	54301
958	Saint Vincent Hospital Cancer Center Green Bay	Green Bay	Wisconsin	United States	54301
959	Green Bay Oncology Limited at Saint Mary's Hospital	Green Bay	Wisconsin	United States	54303
960	Saint Vincent Hospital Cancer Center at Saint Mary's	Green Bay	Wisconsin	United States	54303
961	Gundersen Lutheran Medical Center	La Crosse	Wisconsin	United States	54601
962	Holy Family Memorial Hospital	Manitowoc	Wisconsin	United States	54221
963	Bay Area Medical Center	Marinette	Wisconsin	United States	54143
964	Saint Vincent Hospital Cancer Center at Marinette	Marinette	Wisconsin	United States	54143
965	Marshfield Medical Center-Marshfield	Marshfield	Wisconsin	United States	54449
966	Aspirus Medford Hospital	Medford	Wisconsin	United States	54451
967	Marshfield Clinic-Minocqua Center	Minocqua	Wisconsin	United States	54548
968	Cancer Center of Western Wisconsin	New Richmond	Wisconsin	United States	54017
969	Saint Vincent Hospital Cancer Center at Oconto Falls	Oconto Falls	Wisconsin	United States	54154
970	Ascension Saint Mary's Hospital	Rhinelander	Wisconsin	United States	54501
971	Marshfield Medical Center-Rice Lake	Rice Lake	Wisconsin	United States	54868
972	HSHS Saint Nicholas Hospital	Sheboygan	Wisconsin	United States	53081
973	Ascension Saint Michael's Hospital	Stevens Point	Wisconsin	United States	54481
974	Marshfield Clinic Stevens Point Center	Stevens Point	Wisconsin	United States	54482
975	Saint Vincent Hospital Cancer Center at Sturgeon Bay	Sturgeon Bay	Wisconsin	United States	54235-1495
976	Green Bay Oncology - Sturgeon Bay	Sturgeon Bay	Wisconsin	United States	54235
977	Aspirus Regional Cancer Center	Wausau	Wisconsin	United States	54401
978	Marshfield Clinic-Wausau Center	Wausau	Wisconsin	United States	54401
979	Marshfield Medical Center - Weston	Weston	Wisconsin	United States	54476
980	Aspirus Cancer Care - Wisconsin Rapids	Wisconsin Rapids	Wisconsin	United States	54494
981	Marshfield Clinic - Wisconsin Rapids Center	Wisconsin Rapids	Wisconsin	United States	54494
982	Rocky Mountain Oncology	Casper	Wyoming	United States	82609
983	Cheyenne Regional Medical Center-West	Cheyenne	Wyoming	United States	82001
984	Big Horn Basin Cancer Center	Cody	Wyoming	United States	82414
985	Billings Clinic-Cody	Cody	Wyoming	United States	82414
986	Welch Cancer Center	Sheridan	Wyoming	United States	82801