Diet and Physical Activity Change or Usual Care in Improving Progression-Free Survival in Patients With Previously Treated Stage II, III, or IV Ovarian, Fallopian Tube, or Primary Peritoneal Cancer

Sponsor

Gynecologic Oncology Group (Other)

Overall Status

Unknown status

CT.gov ID

NCT00719303

Collaborator

National Cancer Institute (NCI) (NIH)

1,070

Enrollment

687

Locations

Arms

1.6

Patients Per Site

Study Details

Study Description

Brief Summary

This randomized phase III trial studies whether changes in diet and physical activity can increase the length of survival without the return of cancer (progression-free survival) compared with usual care in patients with previously treated stage II, III, or IV ovarian, fallopian tube, or primary peritoneal cancer. A healthy diet and physical activity program and counseling may help patients make healthier lifestyle choices. It is not yet known whether changes in diet and exercise may help increase progression-free survival in patients with previously treated cancer.

Condition or Disease	Intervention/Treatment	Phase
Fallopian Tube Clear Cell Adenocarcinoma Fallopian Tube Endometrioid Adenocarcinoma Fallopian Tube Mucinous Adenocarcinoma Fallopian Tube Serous Adenocarcinoma Fallopian Tube Transitional Cell Carcinoma Malignant Ovarian Brenner Tumor Ovarian Clear Cell Adenocarcinoma Ovarian Endometrioid Adenocarcinoma Ovarian Mucinous Adenocarcinoma Ovarian Seromucinous Carcinoma Ovarian Serous Adenocarcinoma Ovarian Transitional Cell Carcinoma Primary Peritoneal Serous Adenocarcinoma Stage IIA Fallopian Tube Cancer AJCC v6 and v7 Stage IIA Ovarian Cancer AJCC V6 and v7 Stage IIB Fallopian Tube Cancer AJCC v6 and v7 Stage IIB Ovarian Cancer AJCC v6 and v7 Stage IIC Fallopian Tube Cancer AJCC v6 and v7 Stage IIC Ovarian Cancer AJCC v6 and v7 Stage IIIA Fallopian Tube Cancer AJCC v7 Stage IIIA Ovarian Cancer AJCC v6 and v7 Stage IIIA Primary Peritoneal Cancer AJCC v7 Stage IIIB Fallopian Tube Cancer AJCC v7 Stage IIIB Ovarian Cancer AJCC v6 and v7 Stage IIIB Primary Peritoneal Cancer AJCC v7 Stage IIIC Fallopian Tube Cancer AJCC v7 Stage IIIC Ovarian Cancer AJCC v6 and v7 Stage IIIC Primary Peritoneal Cancer AJCC v7 Stage IV Fallopian Tube Cancer AJCC v6 and v7 Stage IV Ovarian Cancer AJCC v6 and v7 Stage IV Primary Peritoneal Cancer AJCC v7 Undifferentiated Fallopian Tube Carcinoma Undifferentiated Ovarian Carcinoma	Behavioral: Behavioral Dietary Intervention Behavioral: Compliance Monitoring Other: Counseling Other: Educational Intervention Behavioral: Exercise Intervention Other: Laboratory Biomarker Analysis Other: Quality-of-Life Assessment Other: Questionnaire Administration	Phase 3

Detailed Description

PRIMARY OBJECTIVES:

To determine if women who are disease-free after successfully completing primary and potential consolidation/maintenance, therapy for stage II-IV ovarian, fallopian tube or primary peritoneal cancer and who are randomized to a healthy lifestyle intervention, will have significantly increased progression-free survival compared to similar women who are randomized to a usual care comparison group.

SECONDARY OBJECTIVES:

To determine if women who are randomized to the study intervention will have improved general quality of life as measured by the General Health subscale of Research and Development (RAND) 36-Item Health Survey (RAND-36).
To determine if women who are randomized to the study intervention will have improved physical and bowel functioning as measured by the Physical Functioning subscale of RAND-36 and the Gastrointestinal Symptom Rating Scale (GSRS)-Irritable Bowel Syndrome (IBS), compared to women who are randomized to usual care.

TERTIARY OBJECTIVES:

To assess patient compliance with the healthy lifestyle intervention by analyzing biomarkers (e.g., total carotenoid) at baseline, 6, 12, and 24 months.
To explore the relationship between carotenoid exposure and progression free survival from ovarian cancer.
To examine patient compliance with the healthy lifestyle intervention and to assess which types of patients are more likely to be compliant with the healthy lifestyle intervention and whether progression-free survival is better among compliant individuals.
To explore the impact of the intervention on other aspects of quality of life such as pain, role limitations due to physical health and emotional problems, mental health, vitality, and social functioning as measured by the corresponding subscales of the RAND-36.
To explore the impact of the intervention on bowel functioning as measured with the GSRS-IBS subscales.
To assess the association between subjectively measured sleep duration/quality (using the Pittsburgh Sleep Quality Scale), anthropometric measurements, and self-reported dietary energy intake among women previously treated for stage II-IV ovarian or primary peritoneal cancer.
To assess and compare telomere length and rate of telomere shortening between ovarian cancer survivors randomized to lifestyle intervention versus standard of care.
To assess effects of the intervention on biomarkers of metabolic health as measured by changes in circulating insulin and related insulin resistance, lipids and inflammation.
To determine if the intervention effect on the biomarkers listed above is modified by baseline central adiposity.
To determine if the intervention effect on biomarkers listed above is mediated by change in central adiposity.
To evaluate changes in central adiposity using computerized tomography (CT) scan data from regularly scheduled, routine surveillance CT scans to determine if change in CT-specific visceral adiposity is associated with changes in biomarkers of metabolic deregulation and inflammation in a random subsample.

OUTLINE: Participants are randomized to 1 of 2 groups.

GROUP 1 (LIFESTYLE INTERVENTION): Participants receive a dietary intervention designed to promote increased levels of plasma carotenoids, control weight, and to ensure adequacy of micronutrient intake. Participants also undergo a physical activity intervention comprising a moderately low aerobic regimen to raise the usual activity level. Participants also undergo face-to-face counseling, receive educational materials and counseling focused on how to read food labels to estimate grams of fat per serving and serving size, and undergo telephone counseling by a lifestyle intervention counselor twice a week for 4 weeks, then weekly for 2 weeks, twice a month for 5 months, monthly for the subsequent 6 months, and then once every other month for 12 months. Participants complete daily fat gram and step diaries at least three times per week.

GROUP 2 (COMPARISON LIFESTYLE): Participants receive a study notebook containing general study-related information. Participants are not asked to record diet or physical activity but are provided a single sample diary in their study notebook. Participants receive telephone contact on a sliding scale similar to the intervention group, but at less frequent intervals (22 versus 33 calls over the course of the intervention).

After completion of study, participants are followed up every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

1070 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Prevention

Official Title:

Can Diet and Physical Activity Modulate Ovarian, Fallopian Tube and Primary Peritoneal Cancer Progression-Free Survival?

Actual Study Start Date :

Jun 18, 2012

Anticipated Primary Completion Date :

Dec 31, 2020

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Group I (lifestyle intervention) Participants receive a dietary intervention designed to promote increased levels of plasma carotenoids, control weight, and to ensure adequacy of micronutrient intake. Participants also undergo a physical activity intervention comprising a moderately low aerobic regimen to raise the usual activity level. Participants also undergo face-to-face counseling, receive educational materials and counseling focused on how to read food labels to estimate grams of fat per serving and serving size, and undergo telephone counseling by a lifestyle intervention counselor twice a week for 4 weeks, then weekly for 2 weeks, twice a month for 5 months, monthly for the subsequent 6 months, and then once every other month for 12 months. Participants complete daily fat gram and step diaries at least three times per week.	Behavioral: Behavioral Dietary Intervention Receive dietary intervention Behavioral: Compliance Monitoring Complete daily fat gram and step diaries Other: Counseling Undergo face-to-face and telephone counseling Other Names: Counseling Intervention Other: Educational Intervention Receive educational materials Other Names: Education for Intervention Intervention by Education Intervention through Education Intervention, Educational Behavioral: Exercise Intervention Undergo physical activity intervention Other: Laboratory Biomarker Analysis Correlative studies Other: Quality-of-Life Assessment Ancillary studies Other Names: Quality of Life Assessment Other: Questionnaire Administration Ancillary studies
Active Comparator: Group II (observation) Participants receive a study notebook containing general study-related information. Participants are not asked to record diet or physical activity but are provided a single sample diary in their study notebook. Participants receive telephone contact on a sliding scale similar to the intervention group, but at less frequent intervals (22 versus 33 calls over the course of the intervention).	Other: Laboratory Biomarker Analysis Correlative studies Other: Quality-of-Life Assessment Ancillary studies Other Names: Quality of Life Assessment Other: Questionnaire Administration Ancillary studies

Arm

Intervention/Treatment

Experimental: Group I (lifestyle intervention)

Participants receive a dietary intervention designed to promote increased levels of plasma carotenoids, control weight, and to ensure adequacy of micronutrient intake. Participants also undergo a physical activity intervention comprising a moderately low aerobic regimen to raise the usual activity level. Participants also undergo face-to-face counseling, receive educational materials and counseling focused on how to read food labels to estimate grams of fat per serving and serving size, and undergo telephone counseling by a lifestyle intervention counselor twice a week for 4 weeks, then weekly for 2 weeks, twice a month for 5 months, monthly for the subsequent 6 months, and then once every other month for 12 months. Participants complete daily fat gram and step diaries at least three times per week.

Behavioral: Behavioral Dietary Intervention

Receive dietary intervention

Behavioral: Compliance Monitoring

Complete daily fat gram and step diaries

Other: Counseling

Undergo face-to-face and telephone counseling

Other Names:

Counseling Intervention

Other: Educational Intervention

Receive educational materials

Other Names:

Education for Intervention

Intervention by Education

Intervention through Education

Intervention, Educational

Behavioral: Exercise Intervention

Undergo physical activity intervention

Other: Laboratory Biomarker Analysis

Correlative studies

Other: Quality-of-Life Assessment

Ancillary studies

Other Names:

Quality of Life Assessment

Other: Questionnaire Administration

Ancillary studies

Active Comparator: Group II (observation)

Participants receive a study notebook containing general study-related information. Participants are not asked to record diet or physical activity but are provided a single sample diary in their study notebook. Participants receive telephone contact on a sliding scale similar to the intervention group, but at less frequent intervals (22 versus 33 calls over the course of the intervention).

Other: Laboratory Biomarker Analysis

Correlative studies

Other: Quality-of-Life Assessment

Ancillary studies

Other Names:

Quality of Life Assessment

Other: Questionnaire Administration

Ancillary studies

Outcome Measures

Primary Outcome Measures

Progression-free survival [From entry onto the protocol to the date of first clinical, biochemical, or radiological evidence of progression or death due to any cause, up to 9 years]
Will be assessed by a log-rank test stratified by stage of disease (II and III vs. IV) and consolidation therapy (yes or no).

Secondary Outcome Measures

Change in irritable bowel syndrome-specific symptoms measured using GSRS-IBS [Baseline to up to 24 months]
Linear mixed effects models for repeated measures will be fitted to general health subscale score, physical functioning subscale score of RAND-36, and to GSRS-IBS overall score respectively.
Change in self-reported quality of life measured using RAND-36 [Baseline to up to 24 months]
Linear mixed effects models for repeated measures will be fitted to general health subscale score, physical functioning subscale score of RAND-36, and to GSRS-IBS overall score respectively.

Other Outcome Measures

Change in sleep quality measured using Pittsburgh Sleep Quality Index [Baseline to 24 months]
Change in telomere length [Baseline to 24 months]
Changes in visceral adiposity using CT scan [Baseline to up to 14 months]
Changes in visceral adiposity will be associated with changes in biomarkers of metabolic deregulation and inflammation in a random subsample. The association between (continuous) change in visceral adipose and progression free survival will be quantified using Cox proportional hazards regression.
Mental health measured using RAND-36 and GSRS-IBS [Up to 24 months]
Will be examined in exploratory manner and summarized with descriptive statistics such as the mean score accompanied with standardized deviation for each group at each assessment time points. No hypotheses testing will be conducted.
Pain measured using RAND-36 and GSRS-IBS [Up to 24 months]
Will be examined in exploratory manner and summarized with descriptive statistics such as the mean score accompanied with standardized deviation for each group at each assessment time points. No hypotheses testing will be conducted.
Role limitations due to physical health and emotional problems measured using RAND-36 and GSRS-IBS [Up to 24 months]
Will be examined in exploratory manner and summarized with descriptive statistics such as the mean score accompanied with standardized deviation for each group at each assessment time points. No hypotheses testing will be conducted.
Social functioning measured using RAND-36 and GSRS-IBS [Up to 24 months]
Will be examined in exploratory manner and summarized with descriptive statistics such as the mean score accompanied with standardized deviation for each group at each assessment time points. No hypotheses testing will be conducted.
Total carotenoid level [Up to 24 months]
Will be used to estimate compliance to the dietary portion of the healthy lifestyle intervention.
Treatment compliance [Up to 9 years]
Vitality measured using RAND-36 and GSRS-IBS [Up to 24 months]
Will be examined in exploratory manner and summarized with descriptive statistics such as the mean score accompanied with standardized deviation for each group at each assessment time points. No hypotheses testing will be conducted.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

Female

Accepts Healthy Volunteers:

Inclusion Criteria:

Patients with a histological diagnosis of epithelial ovarian cancer, fallopian tube or primary peritoneal carcinoma, clinical stage II, III or IV at diagnosis
Patients with the following histologic epithelial cell types are eligible: serous adenocarcinoma, endometrioid adenocarcinoma, mucinous adenocarcinoma, undifferentiated carcinoma, clear cell adenocarcinoma, mixed epithelial carcinoma, transitional cell carcinoma, malignant Brenner?s tumor or adenocarcinoma not otherwise specified (N.O.S.); however, the histologic features of the tumor must be compatible with a primary M?llerian epithelial adenocarcinoma
Patients must have completed all primary chemotherapy and consolidation therapy (if administered) at least 6 weeks, and no more than 6 months and 2 weeks, prior to enrollment and must be in complete remission; consolidation therapy is defined as any chemotherapy or biological therapy used for a patient who has completed at least four courses of primary chemotherapy and had documented complete remission prior to initiation of such chemotherapy (chemo) or biological therapy
Patients must have achieved a documented complete response to treatment based on normal cancer antigen (CA)-125 (per the institution?s upper limit of normal) and computed tomography (CT) scan or magnetic resonance imaging (MRI) with contrast (i.e. there must be no clinical evidence of persistent or recurrent disease based on CA-125 and CT scan or MRI with contrast)
Patients must have a Gynecologic Oncology Group (GOG) performance grade of 0, 1, or 2
Patients must not be currently enrolled in an ongoing (participating for 6 months or longer) medically prescribed diet or physical activity regimen
Patients must have no other chronic disease that would preclude randomization into a lifestyle intervention trial; such diseases include recent myocardial infarction or unstable angina (in the previous 6 months), chronic hepatitis, rheumatoid disease, renal or hepatic disease/dysfunction and diabetics receiving insulin; or other clinical condition limiting ability to walk (recent leg fracture, significant osteoarthritis, related orthopedic conditions, degenerative neurological conditions, etc.)
Patients must not have a serious psychiatric illness (e.g. lifetime bipolar disorder, schizophrenia or other psychosis, serious personality disorder, severe major depressive disorder or recent suicide or psychiatric hospitalization) (previous 12 months), or a history of an eating disorder (anorexia nervosa or bulimia nervosa)
Patients must complete all pre-entry assessments
Patients must have signed an approved informed consent and authorization permitting release of personal health information
Patients must be willing to provide name and appropriate telephone contact information and be willing to be contacted periodically via telephone by The University of Arizona Cancer Center (AZCC) staff for completion of individualized lifestyle intervention coaching, completion of the Pittsburgh Sleep Quality Index, and for clarification of patient-completed responses if necessary; patient must be willing to have Arizona Food Frequency Questionnaire (AFFQ), Arizona Physical Activity Questionnaire (APAQ), baseline questionnaire, and personal contact information sent to AZCC

Exclusion Criteria:

Patients with GOG performance grade of 3 or 4
Patients may not have a history of other invasive malignancies within the last five years, with the exception of non-melanoma skin cancer or stage 1A endometrioid adenocarcinoma of the uterus
Patients diagnosed with chronic disease/illness precluding their participation (i.e., diabetics receiving insulin, myocardial infarction or unstable angina within previous 6 months, chronic hepatitis, rheumatoid disease, renal or hepatic disease/dysfunction)
Patients with a histological diagnosis of clinical stage I epithelial ovarian cancer, fallopian tube or primary peritoneal carcinoma
Patients who are currently undergoing treatment (primary or consolidation) for stage II, III or IV ovarian, fallopian tube or primary peritoneal cancer or who completed treatment less than six weeks ago
Patients with a life expectancy of less than one year
Patients with body mass index (BMI) < 20 kg/m^2
Vegan vegetarians
Patients enrolled in a weight loss program or who are taking weight loss medications or dietary supplements and are unwilling to discontinue
Patients who have participated in a marathon, triathlon, or other endurance-related physical activity within the previous 24 months
Patients who have had surgery for weight loss
Note: women will not be excluded if their baseline lifestyle assessment indicates a healthy eating and moderate physical activity with the exception of the exclusion criteria above

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	University of Alabama at Birmingham Cancer Center	Birmingham	Alabama	United States	35233
2	Tennessee Valley Gynecologic Oncology	Huntsville	Alabama	United States	35805
3	Anchorage Associates in Radiation Medicine	Anchorage	Alaska	United States	98508
4	Alaska Breast Care and Surgery LLC	Anchorage	Alaska	United States	99508
5	Alaska Oncology and Hematology LLC	Anchorage	Alaska	United States	99508
6	Alaska Women's Cancer Care	Anchorage	Alaska	United States	99508
7	Anchorage Oncology Centre	Anchorage	Alaska	United States	99508
8	Katmai Oncology Group	Anchorage	Alaska	United States	99508
9	Providence Alaska Medical Center	Anchorage	Alaska	United States	99508
10	Fairbanks Memorial Hospital	Fairbanks	Alaska	United States	99701
11	University of Arizona Cancer Center at Saint Joseph's	Phoenix	Arizona	United States	85004
12	Gynecologic Oncology Group of Arizona	Phoenix	Arizona	United States	85012
13	Saint Joseph's Hospital and Medical Center	Phoenix	Arizona	United States	85013
14	University of Arizona Cancer Center-North Campus	Tucson	Arizona	United States	85719
15	The University of Arizona Medical Center-University Campus	Tucson	Arizona	United States	85724
16	CHI Saint Vincent Cancer Center Hot Springs	Hot Springs	Arkansas	United States	71913
17	University of Arkansas for Medical Sciences	Little Rock	Arkansas	United States	72205
18	Sutter Auburn Faith Hospital	Auburn	California	United States	95602
19	Sutter Cancer Centers Radiation Oncology Services-Auburn	Auburn	California	United States	95603
20	Alta Bates Summit Medical Center-Herrick Campus	Berkeley	California	United States	94704
21	Providence Saint Joseph Medical Center/Disney Family Cancer Center	Burbank	California	United States	91505
22	Mills-Peninsula Medical Center	Burlingame	California	United States	94010
23	Sutter Cancer Centers Radiation Oncology Services-Cameron Park	Cameron Park	California	United States	95682
24	Eden Hospital Medical Center	Castro Valley	California	United States	94546
25	John Muir Medical Center-Concord Campus	Concord	California	United States	94520
26	Sutter Davis Hospital	Davis	California	United States	95616
27	City of Hope Comprehensive Cancer Center	Duarte	California	United States	91010
28	Palo Alto Medical Foundation-Fremont	Fremont	California	United States	94538
29	Kaiser Permanente-Irvine	Irvine	California	United States	92618
30	UC San Diego Moores Cancer Center	La Jolla	California	United States	92093
31	Kaiser Permanente Los Angeles Medical Center	Los Angeles	California	United States	90027
32	Los Angeles County-USC Medical Center	Los Angeles	California	United States	90033
33	USC / Norris Comprehensive Cancer Center	Los Angeles	California	United States	90033
34	Cedars Sinai Medical Center	Los Angeles	California	United States	90048
35	UCLA / Jonsson Comprehensive Cancer Center	Los Angeles	California	United States	90095
36	Memorial Medical Center	Modesto	California	United States	95355
37	Palo Alto Medical Foundation-Camino Division	Mountain View	California	United States	94040
38	Palo Alto Medical Foundation-Gynecologic Oncology	Mountain View	California	United States	94040
39	Saint Joseph Hospital - Orange	Orange	California	United States	92868
40	Palo Alto Medical Foundation Health Care	Palo Alto	California	United States	94301
41	Sutter Cancer Centers Radiation Oncology Services-Roseville	Roseville	California	United States	95661
42	Sutter Roseville Medical Center	Roseville	California	United States	95661
43	Sutter Medical Center Sacramento	Sacramento	California	United States	95816
44	University of California Davis Comprehensive Cancer Center	Sacramento	California	United States	95817
45	University of California San Diego	San Diego	California	United States	92103
46	California Pacific Medical Center-Pacific Campus	San Francisco	California	United States	94115
47	Palo Alto Medical Foundation-Santa Cruz	Santa Cruz	California	United States	95065
48	Sutter Pacific Medical Foundation	Santa Rosa	California	United States	95403
49	Palo Alto Medical Foundation-Sunnyvale	Sunnyvale	California	United States	94086
50	Olive View-University of California Los Angeles Medical Center	Sylmar	California	United States	91342
51	Sutter Cancer Centers Radiation Oncology Services-Vacaville	Vacaville	California	United States	95687
52	Sutter Solano Medical Center/Cancer Center	Vallejo	California	United States	94589
53	John Muir Medical Center-Walnut Creek	Walnut Creek	California	United States	94598
54	Rocky Mountain Cancer Centers-Aurora	Aurora	Colorado	United States	80012
55	The Medical Center of Aurora	Aurora	Colorado	United States	80012
56	University of Colorado Hospital	Aurora	Colorado	United States	80045
57	Boulder Community Hospital	Boulder	Colorado	United States	80301
58	Rocky Mountain Cancer Centers-Boulder	Boulder	Colorado	United States	80304
59	Penrose-Saint Francis Healthcare	Colorado Springs	Colorado	United States	80907
60	Rocky Mountain Cancer Centers-Penrose	Colorado Springs	Colorado	United States	80907
61	Porter Adventist Hospital	Denver	Colorado	United States	80210
62	Colorado Blood Cancer Institute	Denver	Colorado	United States	80218
63	Presbyterian - Saint Lukes Medical Center - Health One	Denver	Colorado	United States	80218
64	Rocky Mountain Cancer Centers-Midtown	Denver	Colorado	United States	80218
65	SCL Health Saint Joseph Hospital	Denver	Colorado	United States	80218
66	Rocky Mountain Cancer Centers-Rose	Denver	Colorado	United States	80220
67	Rose Medical Center	Denver	Colorado	United States	80220
68	Colorado Cancer Research Program NCORP	Denver	Colorado	United States	80222
69	Mercy Medical Center	Durango	Colorado	United States	81301
70	Southwest Oncology PC	Durango	Colorado	United States	81301
71	Comprehensive Cancer Care and Research Institute of Colorado LLC	Englewood	Colorado	United States	80113
72	Swedish Medical Center	Englewood	Colorado	United States	80113
73	Poudre Valley Hospital	Fort Collins	Colorado	United States	80524
74	Mountain Blue Cancer Care Center	Golden	Colorado	United States	80401
75	North Colorado Medical Center	Greeley	Colorado	United States	80631
76	Rocky Mountain Cancer Centers-Greenwood Village	Greenwood Village	Colorado	United States	80111
77	Rocky Mountain Cancer Centers-Lakewood	Lakewood	Colorado	United States	80228
78	Saint Anthony Hospital	Lakewood	Colorado	United States	80228
79	Rocky Mountain Cancer Centers-Littleton	Littleton	Colorado	United States	80120
80	Littleton Adventist Hospital	Littleton	Colorado	United States	80122
81	Rocky Mountain Cancer Centers-Sky Ridge	Lone Tree	Colorado	United States	80124
82	Sky Ridge Medical Center	Lone Tree	Colorado	United States	80124
83	Longmont United Hospital	Longmont	Colorado	United States	80501
84	Rocky Mountain Cancer Centers-Longmont	Longmont	Colorado	United States	80501
85	McKee Medical Center	Loveland	Colorado	United States	80539
86	Parker Adventist Hospital	Parker	Colorado	United States	80138
87	Rocky Mountain Cancer Centers-Parker	Parker	Colorado	United States	80138
88	Saint Mary Corwin Medical Center	Pueblo	Colorado	United States	81004
89	Rocky Mountain Cancer Centers - Pueblo	Pueblo	Colorado	United States	81008
90	Rocky Mountain Cancer Centers-Thornton	Thornton	Colorado	United States	80260
91	SCL Health Lutheran Medical Center	Wheat Ridge	Colorado	United States	80033
92	Saint Vincent's Medical Center	Bridgeport	Connecticut	United States	06606
93	Danbury Hospital	Danbury	Connecticut	United States	06810
94	University of Connecticut	Farmington	Connecticut	United States	06030
95	Hartford Hospital	Hartford	Connecticut	United States	06102
96	Smilow Cancer Hospital Care Center at Saint Francis	Hartford	Connecticut	United States	06105
97	Middlesex Hospital	Middletown	Connecticut	United States	06457
98	The Hospital of Central Connecticut	New Britain	Connecticut	United States	06050
99	Yale University	New Haven	Connecticut	United States	06520
100	Beebe Medical Center	Lewes	Delaware	United States	19958
101	Christiana Gynecologic Oncology LLC	Newark	Delaware	United States	19713
102	Delaware Clinical and Laboratory Physicians PA	Newark	Delaware	United States	19713
103	Helen F Graham Cancer Center	Newark	Delaware	United States	19713
104	Medical Oncology Hematology Consultants PA	Newark	Delaware	United States	19713
105	Regional Hematology and Oncology PA	Newark	Delaware	United States	19713
106	Christiana Care Health System-Christiana Hospital	Newark	Delaware	United States	19718
107	Beebe Health Campus	Rehoboth Beach	Delaware	United States	19971
108	Nanticoke Memorial Hospital	Seaford	Delaware	United States	19973
109	Christiana Care Health System-Wilmington Hospital	Wilmington	Delaware	United States	19801
110	Florida Hospital Orlando	Orlando	Florida	United States	32803
111	UF Cancer Center at Orlando Health	Orlando	Florida	United States	32806
112	Sarasota Memorial Hospital	Sarasota	Florida	United States	34239
113	Piedmont Hospital	Atlanta	Georgia	United States	30309
114	Northside Hospital	Atlanta	Georgia	United States	30342
115	Augusta University Medical Center	Augusta	Georgia	United States	30912
116	John B Amos Cancer Center	Columbus	Georgia	United States	31904
117	Northside Hospital-Forsyth	Cumming	Georgia	United States	30041
118	Dekalb Medical Center	Decatur	Georgia	United States	30033
119	Northeast Georgia Medical Center-Gainesville	Gainesville	Georgia	United States	30501
120	Central Georgia Gynecologic Oncology	Macon	Georgia	United States	31201
121	Memorial University Medical Center	Savannah	Georgia	United States	31404
122	Lewis Cancer and Research Pavilion at Saint Joseph's/Candler	Savannah	Georgia	United States	31405
123	Hawaii Cancer Care Inc-POB II	Honolulu	Hawaii	United States	96813
124	Queen's Medical Center	Honolulu	Hawaii	United States	96813
125	University of Hawaii Cancer Center	Honolulu	Hawaii	United States	96813
126	Kapiolani Medical Center for Women and Children	Honolulu	Hawaii	United States	96826
127	Saint Alphonsus Cancer Care Center-Boise	Boise	Idaho	United States	83706
128	Saint Luke's Mountain States Tumor Institute	Boise	Idaho	United States	83712
129	Saint Alphonsus Cancer Care Center-Caldwell	Caldwell	Idaho	United States	83605
130	Kootenai Medical Center	Coeur d'Alene	Idaho	United States	83814
131	Walter Knox Memorial Hospital	Emmett	Idaho	United States	83617
132	Saint Luke's Mountain States Tumor Institute - Fruitland	Fruitland	Idaho	United States	83619
133	Idaho Urologic Institute-Meridian	Meridian	Idaho	United States	83642
134	Saint Luke's Mountain States Tumor Institute - Meridian	Meridian	Idaho	United States	83642
135	Saint Alphonsus Medical Center-Nampa	Nampa	Idaho	United States	83686
136	Saint Luke's Mountain States Tumor Institute - Nampa	Nampa	Idaho	United States	83686
137	Kootenai Cancer Center	Post Falls	Idaho	United States	83854
138	Kootenai Cancer Clinic	Sandpoint	Idaho	United States	83864
139	Saint Luke's Mountain States Tumor Institute-Twin Falls	Twin Falls	Idaho	United States	83301
140	Rush - Copley Medical Center	Aurora	Illinois	United States	60504
141	Saint Joseph Medical Center	Bloomington	Illinois	United States	61701
142	Illinois CancerCare-Bloomington	Bloomington	Illinois	United States	61704
143	Illinois CancerCare-Canton	Canton	Illinois	United States	61520
144	Memorial Hospital of Carbondale	Carbondale	Illinois	United States	62902
145	Illinois CancerCare-Carthage	Carthage	Illinois	United States	62321
146	Centralia Oncology Clinic	Centralia	Illinois	United States	62801
147	Northwestern University	Chicago	Illinois	United States	60611
148	Rush University Medical Center	Chicago	Illinois	United States	60612
149	University of Chicago Comprehensive Cancer Center	Chicago	Illinois	United States	60637
150	Carle on Vermilion	Danville	Illinois	United States	61832
151	Cancer Care Specialists of Central Illinois	Decatur	Illinois	United States	62526
152	Decatur Memorial Hospital	Decatur	Illinois	United States	62526
153	Carle Physician Group-Effingham	Effingham	Illinois	United States	62401
154	Crossroads Cancer Center	Effingham	Illinois	United States	62401
155	Illinois CancerCare-Eureka	Eureka	Illinois	United States	61530
156	Illinois CancerCare-Galesburg	Galesburg	Illinois	United States	61401
157	Western Illinois Cancer Treatment Center	Galesburg	Illinois	United States	61401
158	Northwestern Medicine Cancer Center Delnor	Geneva	Illinois	United States	60134
159	Sudarshan K Sharma MD Limted-Gynecologic Oncology	Hinsdale	Illinois	United States	60521
160	Illinois CancerCare-Kewanee Clinic	Kewanee	Illinois	United States	61443
161	Illinois CancerCare-Macomb	Macomb	Illinois	United States	61455
162	Carle Physician Group-Mattoon/Charleston	Mattoon	Illinois	United States	61938
163	Good Samaritan Regional Health Center	Mount Vernon	Illinois	United States	62864
164	UC Comprehensive Cancer Center at Silver Cross	New Lenox	Illinois	United States	60451
165	Advocate Christ Medical Center	Oak Lawn	Illinois	United States	60453-2699
166	Illinois CancerCare-Ottawa Clinic	Ottawa	Illinois	United States	61350
167	Radiation Oncology of Northern Illinois	Ottawa	Illinois	United States	61350
168	Illinois CancerCare-Pekin	Pekin	Illinois	United States	61554
169	OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center	Pekin	Illinois	United States	61554
170	Methodist Medical Center of Illinois	Peoria	Illinois	United States	61603
171	Illinois CancerCare-Peoria	Peoria	Illinois	United States	61615
172	OSF Saint Francis Radiation Oncology at Peoria Cancer Center	Peoria	Illinois	United States	61615
173	OSF Saint Francis Medical Center	Peoria	Illinois	United States	61637
174	Illinois CancerCare-Peru	Peru	Illinois	United States	61354
175	Valley Radiation Oncology	Peru	Illinois	United States	61354
176	Illinois CancerCare-Princeton	Princeton	Illinois	United States	61356
177	Central Illinois Hematology Oncology Center	Springfield	Illinois	United States	62702
178	Southern Illinois University School of Medicine	Springfield	Illinois	United States	62702
179	Springfield Clinic	Springfield	Illinois	United States	62702
180	Memorial Medical Center	Springfield	Illinois	United States	62781
181	Cancer Care Specialists of Illinois-Swansea	Swansea	Illinois	United States	62226
182	Carle Cancer Center	Urbana	Illinois	United States	61801
183	The Carle Foundation Hospital	Urbana	Illinois	United States	61801
184	Northwestern Medicine Cancer Center Warrenville	Warrenville	Illinois	United States	60555
185	Rush-Copley Healthcare Center	Yorkville	Illinois	United States	60560
186	Michiana Hematology Oncology PC-Crown Point	Crown Point	Indiana	United States	46307
187	Elkhart Clinic	Elkhart	Indiana	United States	46514-2098
188	Michiana Hematology Oncology PC-Elkhart	Elkhart	Indiana	United States	46514
189	Elkhart General Hospital	Elkhart	Indiana	United States	46515
190	Indiana University/Melvin and Bren Simon Cancer Center	Indianapolis	Indiana	United States	46202
191	Saint Vincent Hospital and Health Care Center	Indianapolis	Indiana	United States	46260
192	Community Howard Regional Health	Kokomo	Indiana	United States	46904
193	IU Health La Porte Hospital	La Porte	Indiana	United States	46350
194	Michiana Hematology Oncology PC-Mishawaka	Mishawaka	Indiana	United States	46545
195	Saint Joseph Regional Medical Center-Mishawaka	Mishawaka	Indiana	United States	46545
196	Michiana Hematology Oncology PC-Plymouth	Plymouth	Indiana	United States	46563
197	Memorial Hospital of South Bend	South Bend	Indiana	United States	46601
198	Michiana Hematology Oncology PC-South Bend	South Bend	Indiana	United States	46601
199	South Bend Clinic	South Bend	Indiana	United States	46617
200	Northern Indiana Cancer Research Consortium	South Bend	Indiana	United States	46628
201	Michiana Hematology Oncology PC-Westville	Westville	Indiana	United States	46391
202	Medical Oncology and Hematology Associates-West Des Moines	Clive	Iowa	United States	50325
203	Mercy Cancer Center-West Lakes	Clive	Iowa	United States	50325
204	Alegent Health Mercy Hospital	Council Bluffs	Iowa	United States	51503
205	Greater Regional Medical Center	Creston	Iowa	United States	50801
206	Medical Oncology and Hematology Associates-Laurel	Des Moines	Iowa	United States	50314
207	Mercy Medical Center - Des Moines	Des Moines	Iowa	United States	50314
208	Mercy Medical Center-West Lakes	West Des Moines	Iowa	United States	50266
209	Cancer Center of Kansas - Chanute	Chanute	Kansas	United States	66720
210	Cancer Center of Kansas - Dodge City	Dodge City	Kansas	United States	67801
211	Cancer Center of Kansas - El Dorado	El Dorado	Kansas	United States	67042
212	Cancer Center of Kansas - Fort Scott	Fort Scott	Kansas	United States	66701
213	Cancer Center of Kansas-Independence	Independence	Kansas	United States	67301
214	Providence Medical Center	Kansas City	Kansas	United States	66112
215	University of Kansas Cancer Center	Kansas City	Kansas	United States	66160
216	Cancer Center of Kansas-Kingman	Kingman	Kansas	United States	67068
217	Lawrence Memorial Hospital	Lawrence	Kansas	United States	66044
218	Kansas Institute of Medicine Cancer and Blood Center	Lenexa	Kansas	United States	66219
219	Minimally Invasive Surgery Hospital	Lenexa	Kansas	United States	66219
220	Cancer Center of Kansas-Liberal	Liberal	Kansas	United States	67905
221	Cancer Center of Kansas-Manhattan	Manhattan	Kansas	United States	66502
222	Cancer Center of Kansas - McPherson	McPherson	Kansas	United States	67460
223	Cancer Center of Kansas - Newton	Newton	Kansas	United States	67114
224	Menorah Medical Center	Overland Park	Kansas	United States	66209
225	Saint Luke's South Hospital	Overland Park	Kansas	United States	66213
226	Cancer Center of Kansas - Parsons	Parsons	Kansas	United States	67357
227	Kansas City NCI Community Oncology Research Program	Prairie Village	Kansas	United States	66208
228	Cancer Center of Kansas - Pratt	Pratt	Kansas	United States	67124
229	Cancer Center of Kansas - Salina	Salina	Kansas	United States	67401
230	Cancer Center of Kansas - Wellington	Wellington	Kansas	United States	67152
231	Associates In Womens Health	Wichita	Kansas	United States	67208
232	Cancer Center of Kansas-Wichita Medical Arts Tower	Wichita	Kansas	United States	67208
233	Cancer Center of Kansas - Wichita	Wichita	Kansas	United States	67214
234	Via Christi Regional Medical Center	Wichita	Kansas	United States	67214
235	Wichita NCI Community Oncology Research Program	Wichita	Kansas	United States	67214
236	Cancer Center of Kansas - Winfield	Winfield	Kansas	United States	67156
237	Flaget Memorial Hospital	Bardstown	Kentucky	United States	40004
238	Commonwealth Cancer Center-Corbin	Corbin	Kentucky	United States	40701
239	Saint Elizabeth Medical Center South	Edgewood	Kentucky	United States	41017
240	Saint Joseph Radiation Oncology Resource Center	Lexington	Kentucky	United States	40504
241	Saint Joseph Hospital East	Lexington	Kentucky	United States	40509
242	University of Kentucky/Markey Cancer Center	Lexington	Kentucky	United States	40536
243	Saint Joseph London	London	Kentucky	United States	40741
244	Jewish Hospital	Louisville	Kentucky	United States	40202
245	Norton Hospital Pavilion and Medical Campus	Louisville	Kentucky	United States	40202
246	Norton Suburban Hospital and Medical Campus	Louisville	Kentucky	United States	40207
247	Saints Mary and Elizabeth Hospital	Louisville	Kentucky	United States	40215
248	Jewish Hospital Medical Center Northeast	Louisville	Kentucky	United States	40245
249	Jewish Hospital Medical Center South	Shepherdsville	Kentucky	United States	40165
250	Hematology/Oncology Clinic LLP	Baton Rouge	Louisiana	United States	70809
251	Woman's Hospital	Baton Rouge	Louisiana	United States	70817
252	Tulane University Health Sciences Center	New Orleans	Louisiana	United States	70112
253	Maine Medical Center-Bramhall Campus	Portland	Maine	United States	04102
254	Maine Medical Center- Scarborough Campus	Scarborough	Maine	United States	04074
255	Greater Baltimore Medical Center	Baltimore	Maryland	United States	21204
256	Walter Reed National Military Medical Center	Bethesda	Maryland	United States	20889-5600
257	Tufts Medical Center	Boston	Massachusetts	United States	02111
258	Lahey Hospital and Medical Center	Burlington	Massachusetts	United States	01805
259	University of Massachusetts Memorial Health Care	Worcester	Massachusetts	United States	01605
260	Michigan Cancer Research Consortium NCORP	Ann Arbor	Michigan	United States	48106
261	Saint Joseph Mercy Hospital	Ann Arbor	Michigan	United States	48106
262	University of Michigan Comprehensive Cancer Center	Ann Arbor	Michigan	United States	48109
263	Bronson Battle Creek	Battle Creek	Michigan	United States	49017
264	Spectrum Health Big Rapids Hospital	Big Rapids	Michigan	United States	49307
265	IHA Hematology Oncology Consultants-Brighton	Brighton	Michigan	United States	48114
266	Saint Joseph Mercy Brighton	Brighton	Michigan	United States	48114
267	IHA Hematology Oncology Consultants-Canton	Canton	Michigan	United States	48188
268	Saint Joseph Mercy Canton	Canton	Michigan	United States	48188
269	Caro Cancer Center	Caro	Michigan	United States	48723
270	IHA Hematology Oncology Consultants-Chelsea	Chelsea	Michigan	United States	48118
271	Saint Joseph Mercy Chelsea	Chelsea	Michigan	United States	48118
272	Hematology Oncology Consultants-Clarkston	Clarkston	Michigan	United States	48346
273	Newland Medical Associates-Clarkston	Clarkston	Michigan	United States	48346
274	Beaumont Hospital-Dearborn	Dearborn	Michigan	United States	48124
275	Wayne State University/Karmanos Cancer Institute	Detroit	Michigan	United States	48201
276	Saint John Hospital and Medical Center	Detroit	Michigan	United States	48236
277	Great Lakes Cancer Management Specialists-Doctors Park	East China Township	Michigan	United States	48054
278	Weisberg Cancer Treatment Center	Farmington Hills	Michigan	United States	48334
279	Genesee Cancer and Blood Disease Treatment Center	Flint	Michigan	United States	48503
280	Genesee Hematology Oncology PC	Flint	Michigan	United States	48503
281	Genesys Hurley Cancer Institute	Flint	Michigan	United States	48503
282	Hurley Medical Center	Flint	Michigan	United States	48503
283	Cancer Research Consortium of West Michigan NCORP	Grand Rapids	Michigan	United States	49503
284	Mercy Health Saint Mary's	Grand Rapids	Michigan	United States	49503
285	Spectrum Health at Butterworth Campus	Grand Rapids	Michigan	United States	49503
286	Great Lakes Cancer Management Specialists-Van Elslander Cancer Center	Grosse Pointe Woods	Michigan	United States	48236
287	Lymphoma Clinic of Michigan	Grosse Pointe Woods	Michigan	United States	48236
288	Michigan Breast Specialists-Grosse Pointe Woods	Grosse Pointe Woods	Michigan	United States	48236
289	Allegiance Health	Jackson	Michigan	United States	49201
290	Borgess Medical Center	Kalamazoo	Michigan	United States	49001
291	Bronson Methodist Hospital	Kalamazoo	Michigan	United States	49007
292	West Michigan Cancer Center	Kalamazoo	Michigan	United States	49007
293	Sparrow Hospital	Lansing	Michigan	United States	48912
294	Hope Cancer Clinic	Livonia	Michigan	United States	48154
295	Saint Mary Mercy Hospital	Livonia	Michigan	United States	48154
296	Great Lakes Cancer Management Specialists-Macomb Medical Campus	Macomb	Michigan	United States	48044
297	Michigan Breast Specialists-Macomb Township	Macomb	Michigan	United States	48044
298	Saint Mary's Oncology/Hematology Associates of Marlette	Marlette	Michigan	United States	48453
299	Mercy Health Mercy Campus	Muskegon	Michigan	United States	49444
300	Lakeland Community Hospital	Niles	Michigan	United States	49120
301	21st Century Oncology-Pontiac	Pontiac	Michigan	United States	48341
302	Hope Cancer Center	Pontiac	Michigan	United States	48341
303	Newland Medical Associates-Pontiac	Pontiac	Michigan	United States	48341
304	Saint Joseph Mercy Oakland	Pontiac	Michigan	United States	48341
305	Lake Huron Medical Center	Port Huron	Michigan	United States	48060
306	Spectrum Health Reed City Hospital	Reed City	Michigan	United States	49677
307	Great Lakes Cancer Management Specialists-Rochester Hills	Rochester Hills	Michigan	United States	48309
308	William Beaumont Hospital-Royal Oak	Royal Oak	Michigan	United States	48073
309	Saint Mary's of Michigan	Saginaw	Michigan	United States	48601
310	Oncology Hematology Associates of Saginaw Valley PC	Saginaw	Michigan	United States	48604
311	Lakeland Hospital	Saint Joseph	Michigan	United States	49085
312	Marie Yeager Cancer Center	Saint Joseph	Michigan	United States	49085
313	Bhadresh Nayak MD PC-Sterling Heights	Sterling Heights	Michigan	United States	48312
314	Saint Joseph Health System-Tawas City	Tawas City	Michigan	United States	48764
315	Munson Medical Center	Traverse City	Michigan	United States	49684
316	William Beaumont Hospital - Troy	Troy	Michigan	United States	48098
317	Advanced Breast Care Center PLLC	Warren	Michigan	United States	48088
318	Bhadresh Nayak MD PC-Warren	Warren	Michigan	United States	48093
319	Great Lakes Cancer Management Specialists-Macomb Professional Building	Warren	Michigan	United States	48093
320	Macomb Hematology Oncology PC	Warren	Michigan	United States	48093
321	Michigan Breast Specialists-Warren	Warren	Michigan	United States	48093
322	Saint John Macomb-Oakland Hospital	Warren	Michigan	United States	48093
323	Saint Mary's Oncology/Hematology Associates of West Branch	West Branch	Michigan	United States	48661
324	Metro Health Hospital	Wyoming	Michigan	United States	49519
325	Huron Gastroenterology PC	Ypsilanti	Michigan	United States	48106
326	IHA Hematology Oncology Consultants-Ann Arbor	Ypsilanti	Michigan	United States	48197
327	Sanford Clinic North-Bemidgi	Bemidji	Minnesota	United States	56601
328	Fairview Ridges Hospital	Burnsville	Minnesota	United States	55337
329	Mercy Hospital	Coon Rapids	Minnesota	United States	55433
330	Fairview-Southdale Hospital	Edina	Minnesota	United States	55435
331	Unity Hospital	Fridley	Minnesota	United States	55432
332	Hutchinson Area Health Care	Hutchinson	Minnesota	United States	55350
333	Fairview Maple Grove Medical Center	Maple Grove	Minnesota	United States	55369
334	Minnesota Oncology Hematology PA-Maplewood	Maplewood	Minnesota	United States	55109
335	Saint John's Hospital - Healtheast	Maplewood	Minnesota	United States	55109
336	Abbott-Northwestern Hospital	Minneapolis	Minnesota	United States	55407
337	Hennepin County Medical Center	Minneapolis	Minnesota	United States	55415
338	Health Partners Inc	Minneapolis	Minnesota	United States	55454
339	New Ulm Medical Center	New Ulm	Minnesota	United States	56073
340	North Memorial Medical Health Center	Robbinsdale	Minnesota	United States	55422
341	Metro Minnesota Community Oncology Research Consortium	Saint Louis Park	Minnesota	United States	55416
342	Park Nicollet Clinic - Saint Louis Park	Saint Louis Park	Minnesota	United States	55416
343	Park Nicollet Frauenshuh Cancer Center	Saint Louis Park	Minnesota	United States	55426
344	Regions Hospital	Saint Paul	Minnesota	United States	55101
345	United Hospital	Saint Paul	Minnesota	United States	55102
346	Saint Francis Regional Medical Center	Shakopee	Minnesota	United States	55379
347	Lakeview Hospital	Stillwater	Minnesota	United States	55082
348	Ridgeview Medical Center	Waconia	Minnesota	United States	55387
349	Rice Memorial Hospital	Willmar	Minnesota	United States	56201
350	Minnesota Oncology Hematology PA-Woodbury	Woodbury	Minnesota	United States	55125
351	Fairview Lakes Medical Center	Wyoming	Minnesota	United States	55092
352	Saint Dominic-Jackson Memorial Hospital	Jackson	Mississippi	United States	39216
353	Central Care Cancer Center-Carrie J Babb Cancer Center	Bolivar	Missouri	United States	65613
354	Parkland Health Center-Bonne Terre	Bonne Terre	Missouri	United States	63628
355	Saint Francis Medical Center	Cape Girardeau	Missouri	United States	63703
356	Southeast Cancer Center	Cape Girardeau	Missouri	United States	63703
357	Centerpoint Medical Center LLC	Independence	Missouri	United States	64057
358	Capital Region Medical Center-Goldschmidt Cancer Center	Jefferson City	Missouri	United States	65109
359	Saint Luke's Hospital of Kansas City	Kansas City	Missouri	United States	64111
360	Heartland Hematology and Oncology Associates Incorporated	Kansas City	Missouri	United States	64118
361	Research Medical Center	Kansas City	Missouri	United States	64132
362	Saint Luke's East - Lee's Summit	Lee's Summit	Missouri	United States	64086
363	Liberty Radiation Oncology Center	Liberty	Missouri	United States	64068
364	Delbert Day Cancer Institute at PCRMC	Rolla	Missouri	United States	65401
365	Mercy Clinic-Rolla-Cancer and Hematology	Rolla	Missouri	United States	65401
366	Heartland Regional Medical Center	Saint Joseph	Missouri	United States	64507
367	Saint Joseph Oncology Inc	Saint Joseph	Missouri	United States	64507
368	Barnes-Jewish Hospital	Saint Louis	Missouri	United States	63110
369	Washington University School of Medicine	Saint Louis	Missouri	United States	63110
370	Missouri Baptist Medical Center	Saint Louis	Missouri	United States	63131
371	Sainte Genevieve County Memorial Hospital	Sainte Genevieve	Missouri	United States	63670
372	Cancer Research for the Ozarks NCORP	Springfield	Missouri	United States	65804
373	Mercy Hospital Springfield	Springfield	Missouri	United States	65804
374	CoxHealth South Hospital	Springfield	Missouri	United States	65807
375	Missouri Baptist Sullivan Hospital	Sullivan	Missouri	United States	63080
376	Missouri Baptist Outpatient Center-Sunset Hills	Sunset Hills	Missouri	United States	63127
377	Community Hospital of Anaconda	Anaconda	Montana	United States	59711
378	Billings Clinic Cancer Center	Billings	Montana	United States	59101
379	Saint Vincent Healthcare	Billings	Montana	United States	59101
380	Montana Cancer Consortium NCORP	Billings	Montana	United States	59102
381	Bozeman Deaconess Hospital	Bozeman	Montana	United States	59715
382	Saint James Community Hospital and Cancer Treatment Center	Butte	Montana	United States	59701
383	Benefis Healthcare- Sletten Cancer Institute	Great Falls	Montana	United States	59405
384	Great Falls Clinic	Great Falls	Montana	United States	59405
385	Saint Peter's Community Hospital	Helena	Montana	United States	59601
386	Kalispell Regional Medical Center	Kalispell	Montana	United States	59901
387	Saint Patrick Hospital - Community Hospital	Missoula	Montana	United States	59802
388	Community Medical Hospital	Missoula	Montana	United States	59804
389	CHI Health Saint Francis	Grand Island	Nebraska	United States	68803
390	Heartland Hematology and Oncology	Kearney	Nebraska	United States	68845
391	CHI Health Good Samaritan	Kearney	Nebraska	United States	68847
392	Saint Elizabeth Regional Medical Center	Lincoln	Nebraska	United States	68510
393	Nebraska Methodist Hospital	Omaha	Nebraska	United States	68114
394	Alegent Health Immanuel Medical Center	Omaha	Nebraska	United States	68122
395	Hematology and Oncology Consultants PC	Omaha	Nebraska	United States	68122
396	Alegent Health Bergan Mercy Medical Center	Omaha	Nebraska	United States	68124
397	Alegent Health Lakeside Hospital	Omaha	Nebraska	United States	68130
398	Creighton University Medical Center	Omaha	Nebraska	United States	68131
399	Midlands Community Hospital	Papillion	Nebraska	United States	68046
400	Women's Cancer Center of Nevada	Las Vegas	Nevada	United States	89169
401	Center of Hope at Renown Medical Center	Reno	Nevada	United States	89502
402	Renown Regional Medical Center	Reno	Nevada	United States	89502
403	Wentworth-Douglass Hospital	Dover	New Hampshire	United States	03820
404	Dartmouth Hitchcock Medical Center	Lebanon	New Hampshire	United States	03756
405	Norris Cotton Cancer Center-Manchester	Manchester	New Hampshire	United States	03102
406	Norris Cotton Cancer Center-Nashua	Nashua	New Hampshire	United States	03063
407	Ocean Medical Center	Brick	New Jersey	United States	08724
408	Cooper Hospital University Medical Center	Camden	New Jersey	United States	08103
409	Hackensack University Medical Center	Hackensack	New Jersey	United States	07601
410	Morristown Medical Center	Morristown	New Jersey	United States	07960
411	Virtua Memorial	Mount Holly	New Jersey	United States	08060
412	Jersey Shore Medical Center	Neptune	New Jersey	United States	07753
413	Rutgers Cancer Institute of New Jersey	New Brunswick	New Jersey	United States	08903
414	Riverview Medical Center/Booker Cancer Center	Red Bank	New Jersey	United States	07701
415	Overlook Hospital	Summit	New Jersey	United States	07902
416	MD Anderson Cancer Center at Cooper-Voorhees	Voorhees	New Jersey	United States	08043
417	Virtua Voorhees	Voorhees	New Jersey	United States	08043
418	University of New Mexico Cancer Center	Albuquerque	New Mexico	United States	87102
419	Southwest Gynecologic Oncology Associates Inc	Albuquerque	New Mexico	United States	87106
420	Women's Cancer Care Associates LLC	Albany	New York	United States	12208
421	Montefiore Medical Center-Einstein Campus	Bronx	New York	United States	10461
422	Montefiore Medical Center-Weiler Hospital	Bronx	New York	United States	10461
423	Montefiore Medical Center - Moses Campus	Bronx	New York	United States	10467-2490
424	Queens Hospital Center	Jamaica	New York	United States	11432
425	North Shore University Hospital	Manhasset	New York	United States	11030
426	NYU Winthrop Hospital	Mineola	New York	United States	11501
427	Long Island Jewish Medical Center	New Hyde Park	New York	United States	11040
428	Northwell Health/Center for Advanced Medicine	New Hyde Park	New York	United States	11040
429	Lenox Hill Hospital	New York	New York	United States	10021
430	Stony Brook University Medical Center	Stony Brook	New York	United States	11794
431	State University of New York Upstate Medical University	Syracuse	New York	United States	13210
432	Westchester Medical Center	Valhalla	New York	United States	10595
433	Randolph Hospital	Asheboro	North Carolina	United States	27203
434	Hope Women's Cancer Centers-Asheville	Asheville	North Carolina	United States	28816
435	Cone Health Cancer Center at Alamance Regional	Burlington	North Carolina	United States	27215
436	UNC Lineberger Comprehensive Cancer Center	Chapel Hill	North Carolina	United States	27599
437	Carolinas Medical Center/Levine Cancer Institute	Charlotte	North Carolina	United States	28203
438	Novant Health Presbyterian Medical Center	Charlotte	North Carolina	United States	28204
439	Oncology Specialists of Charlotte	Charlotte	North Carolina	United States	28207
440	Southern Oncology Specialists-Charlotte	Charlotte	North Carolina	United States	28262
441	Carolinas HealthCare System NorthEast	Concord	North Carolina	United States	28025
442	Duke University Medical Center	Durham	North Carolina	United States	27710
443	Cone Health Cancer Center	Greensboro	North Carolina	United States	27403
444	Lake Norman Hematology Oncology Specialists-Huntersville	Huntersville	North Carolina	United States	28078
445	Presbyterian Hospital Huntersville	Huntersville	North Carolina	United States	28078
446	Southern Oncology Specialists-Huntersville	Huntersville	North Carolina	United States	28078
447	Novant Health Oncology Specialists-Kernersville	Kernersville	North Carolina	United States	27284
448	Novant Health Cancer Specialists-Matthews	Matthews	North Carolina	United States	28105
449	Cone Heath Cancer Center at Mebane	Mebane	North Carolina	United States	27302
450	Lake Norman Hematology Oncology Specialists-Mooresville	Mooresville	North Carolina	United States	28117
451	Novant Health Oncology Specialists-Mount Airy	Mount Airy	North Carolina	United States	27030
452	FirstHealth of the Carolinas-Moore Regional Hospital	Pinehurst	North Carolina	United States	28374
453	Annie Penn Memorial Hospital	Reidsville	North Carolina	United States	27320
454	Novant Health Oncology Specialists-Statesville	Statesville	North Carolina	United States	28625
455	Novant Health Oncology Specialists-Davidson County	Thomasville	North Carolina	United States	27360
456	Novant Health Oncology Specialists-Wilkesboro	Wilkesboro	North Carolina	United States	28659
457	New Hanover Regional Medical Center/Zimmer Cancer Center	Wilmington	North Carolina	United States	28401
458	Novant Health Forsyth Medical Center	Winston-Salem	North Carolina	United States	27103
459	Novant Health Oncology Specialists	Winston-Salem	North Carolina	United States	27103
460	Winston-Salem Health Care	Winston-Salem	North Carolina	United States	27103
461	Sanford Bismarck Medical Center	Bismarck	North Dakota	United States	58501
462	Roger Maris Cancer Center	Fargo	North Dakota	United States	58122
463	Sanford Broadway Medical Center	Fargo	North Dakota	United States	58122
464	Sanford Clinic North-Fargo	Fargo	North Dakota	United States	58122
465	Strecker Cancer Center-Belpre	Belpre	Ohio	United States	45714
466	Aultman Health Foundation	Canton	Ohio	United States	44710
467	Adena Regional Medical Center	Chillicothe	Ohio	United States	45601
468	Good Samaritan Hospital - Cincinnati	Cincinnati	Ohio	United States	45220
469	Bethesda North Hospital	Cincinnati	Ohio	United States	45242
470	TriHealth Cancer Institute-Westside	Cincinnati	Ohio	United States	45247
471	TriHealth Cancer Institute-Anderson	Cincinnati	Ohio	United States	45255
472	Case Western Reserve University	Cleveland	Ohio	United States	44106
473	MetroHealth Medical Center	Cleveland	Ohio	United States	44109
474	Cleveland Clinic Cancer Center/Fairview Hospital	Cleveland	Ohio	United States	44111
475	Cleveland Clinic Foundation	Cleveland	Ohio	United States	44195
476	Ohio State University Comprehensive Cancer Center	Columbus	Ohio	United States	43210
477	Mount Carmel East Hospital	Columbus	Ohio	United States	43213
478	Columbus Oncology and Hematology Associates Inc	Columbus	Ohio	United States	43214
479	Riverside Methodist Hospital	Columbus	Ohio	United States	43214
480	Grant Medical Center	Columbus	Ohio	United States	43215
481	The Mark H Zangmeister Center	Columbus	Ohio	United States	43219
482	Mount Carmel Health Center West	Columbus	Ohio	United States	43222
483	Doctors Hospital	Columbus	Ohio	United States	43228
484	Delaware Health Center-Grady Cancer Center	Delaware	Ohio	United States	43015
485	Delaware Radiation Oncology	Delaware	Ohio	United States	43015
486	Grady Memorial Hospital	Delaware	Ohio	United States	43015
487	Fairfield Medical Center	Lancaster	Ohio	United States	43130
488	OhioHealth Mansfield Hospital	Mansfield	Ohio	United States	44903
489	Marietta Memorial Hospital	Marietta	Ohio	United States	45750
490	OhioHealth Marion General Hospital	Marion	Ohio	United States	43302
491	Hillcrest Hospital Cancer Center	Mayfield Heights	Ohio	United States	44124
492	Lake University Ireland Cancer Center	Mentor	Ohio	United States	44060
493	Knox Community Hospital	Mount Vernon	Ohio	United States	43050
494	Licking Memorial Hospital	Newark	Ohio	United States	43055
495	Newark Radiation Oncology	Newark	Ohio	United States	43055
496	Southern Ohio Medical Center	Portsmouth	Ohio	United States	45662
497	Flower Hospital	Sylvania	Ohio	United States	43560
498	University of Toledo	Toledo	Ohio	United States	43614
499	Saint Ann's Hospital	Westerville	Ohio	United States	43081
500	Genesis Healthcare System Cancer Care Center	Zanesville	Ohio	United States	43701
501	University of Oklahoma Health Sciences Center	Oklahoma City	Oklahoma	United States	73104
502	Oklahoma Cancer Specialists and Research Institute-Tulsa	Tulsa	Oklahoma	United States	74146
503	Saint Alphonsus Medical Center-Baker City	Baker City	Oregon	United States	97814
504	Saint Charles Health System	Bend	Oregon	United States	97701
505	Clackamas Radiation Oncology Center	Clackamas	Oregon	United States	97015
506	Providence Oncology and Hematology Care Southeast	Clackamas	Oregon	United States	97015
507	Bay Area Hospital	Coos Bay	Oregon	United States	97420
508	Providence Newberg Medical Center	Newberg	Oregon	United States	97132
509	Saint Alphonsus Medical Center-Ontario	Ontario	Oregon	United States	97914
510	Providence Willamette Falls Medical Center	Oregon City	Oregon	United States	97045
511	Providence Portland Medical Center	Portland	Oregon	United States	97213
512	Providence Saint Vincent Medical Center	Portland	Oregon	United States	97225
513	Abington Memorial Hospital	Abington	Pennsylvania	United States	19001
514	Lehigh Valley Hospital-Cedar Crest	Allentown	Pennsylvania	United States	18103
515	Saint Luke's University Hospital-Bethlehem Campus	Bethlehem	Pennsylvania	United States	18015
516	Lehigh Valley Hospital - Muhlenberg	Bethlehem	Pennsylvania	United States	18017
517	Geisinger Medical Center	Danville	Pennsylvania	United States	17822
518	Adams Cancer Center	Gettysburg	Pennsylvania	United States	17325
519	Geisinger Medical Center-Cancer Center Hazleton	Hazleton	Pennsylvania	United States	18201
520	Forbes Hospital	Monroeville	Pennsylvania	United States	15146
521	Allegheny Valley Hospital	Natrona Heights	Pennsylvania	United States	15065
522	University of Pennsylvania/Abramson Cancer Center	Philadelphia	Pennsylvania	United States	19104
523	Pennsylvania Hospital	Philadelphia	Pennsylvania	United States	19107
524	West Penn Hospital	Pittsburgh	Pennsylvania	United States	15224
525	University of Pittsburgh Cancer Institute (UPCI)	Pittsburgh	Pennsylvania	United States	15232
526	Community Medical Center	Scranton	Pennsylvania	United States	18510
527	Geisinger Medical Group	State College	Pennsylvania	United States	16801
528	Chester County Hospital	West Chester	Pennsylvania	United States	19380
529	Wexford Health and Wellness Pavilion	Wexford	Pennsylvania	United States	15090
530	Geisinger Wyoming Valley/Henry Cancer Center	Wilkes-Barre	Pennsylvania	United States	18711
531	WellSpan Health-York Hospital	York	Pennsylvania	United States	17403
532	Women and Infants Hospital	Providence	Rhode Island	United States	02905
533	Medical University of South Carolina	Charleston	South Carolina	United States	29425
534	Greenville Health System Cancer Institute-Easley	Easley	South Carolina	United States	29640
535	Gibbs Cancer Center-Gaffney	Gaffney	South Carolina	United States	29341
536	Greenville Health System Cancer Institute-Butternut	Greenville	South Carolina	United States	29605
537	Greenville Health System Cancer Institute-Faris	Greenville	South Carolina	United States	29605
538	Greenville Health System Cancer Institute-Eastside	Greenville	South Carolina	United States	29615
539	Self Regional Healthcare	Greenwood	South Carolina	United States	29646
540	Greenville Health System Cancer Institute-Greer	Greer	South Carolina	United States	29650
541	Gibbs Cancer Center-Pelham	Greer	South Carolina	United States	29651
542	Greenville Health System Cancer Institute-Seneca	Seneca	South Carolina	United States	29672
543	Spartanburg Medical Center	Spartanburg	South Carolina	United States	29303
544	Greenville Health System Cancer Institute-Spartanburg	Spartanburg	South Carolina	United States	29307
545	Sanford Cancer Center Oncology Clinic	Sioux Falls	South Dakota	United States	57104
546	Sanford USD Medical Center - Sioux Falls	Sioux Falls	South Dakota	United States	57117-5134
547	Chattanooga's Program in Women's Oncology	Chattanooga	Tennessee	United States	37403
548	Memorial Hospital	Chattanooga	Tennessee	United States	37404
549	Pulmonary Medicine Center of Chattanooga-Hixson	Hixson	Tennessee	United States	37343
550	University of Tennessee - Knoxville	Knoxville	Tennessee	United States	37920
551	Saint Thomas Midtown Hospital	Nashville	Tennessee	United States	37236
552	Memorial GYN Plus	Ooltewah	Tennessee	United States	37363
553	Saint Joseph Regional Cancer Center	Bryan	Texas	United States	77802
554	Parkland Memorial Hospital	Dallas	Texas	United States	75235
555	UT Southwestern/Simmons Cancer Center-Dallas	Dallas	Texas	United States	75390
556	Brooke Army Medical Center	Fort Sam Houston	Texas	United States	78234
557	Baylor All Saints Medical Center at Fort Worth	Fort Worth	Texas	United States	76104
558	Lyndon Baines Johnson General Hospital	Houston	Texas	United States	77026-1967
559	M D Anderson Cancer Center	Houston	Texas	United States	77030
560	Memorial Hermann Texas Medical Center	Houston	Texas	United States	77030
561	The Methodist Hospital System	Houston	Texas	United States	77030
562	Methodist Willowbrook Hospital	Houston	Texas	United States	77070
563	Houston Methodist Sugar Land Hospital	Sugar Land	Texas	United States	77479
564	American Fork Hospital / Huntsman Intermountain Cancer Center	American Fork	Utah	United States	84003
565	Sandra L Maxwell Cancer Center	Cedar City	Utah	United States	84720
566	Farmington Health Center	Farmington	Utah	United States	84025
567	Logan Regional Hospital	Logan	Utah	United States	84321
568	Intermountain Medical Center	Murray	Utah	United States	84107
569	McKay-Dee Hospital Center	Ogden	Utah	United States	84403
570	Utah Valley Regional Medical Center	Provo	Utah	United States	84604
571	Dixie Medical Center Regional Cancer Center	Saint George	Utah	United States	84770
572	Utah Cancer Specialists-Salt Lake City	Salt Lake City	Utah	United States	84106
573	Huntsman Cancer Institute/University of Utah	Salt Lake City	Utah	United States	84112
574	LDS Hospital	Salt Lake City	Utah	United States	84143
575	South Jordan Health Center	South Jordan	Utah	United States	84009
576	University of Vermont Medical Center	Burlington	Vermont	United States	05401
577	University of Virginia Cancer Center	Charlottesville	Virginia	United States	22908
578	Naval Medical Center - Portsmouth	Portsmouth	Virginia	United States	23708-2197
579	Henrico Doctor's Hospital	Richmond	Virginia	United States	23229
580	Virginia Gynecologic Oncology	Richmond	Virginia	United States	23229
581	Virginia Commonwealth University/Massey Cancer Center	Richmond	Virginia	United States	23298
582	Carilion Clinic Gynecological Oncology	Roanoke	Virginia	United States	24016
583	Providence Regional Cancer System-Aberdeen	Aberdeen	Washington	United States	98520
584	MultiCare Auburn Medical Center	Auburn	Washington	United States	98001
585	Virginia Mason Bainbridge Island Medical Center	Bainbridge Island	Washington	United States	98110
586	Overlake Hospital Medical Center	Bellevue	Washington	United States	98004
587	PeaceHealth Saint Joseph Medical Center	Bellingham	Washington	United States	98225
588	Harrison HealthPartners Hematology and Oncology-Bremerton	Bremerton	Washington	United States	98310
589	Harrison Medical Center	Bremerton	Washington	United States	98310
590	Highline Medical Center-Main Campus	Burien	Washington	United States	98166
591	Providence Regional Cancer System-Centralia	Centralia	Washington	United States	98531
592	Swedish Medical Center-Edmonds	Edmonds	Washington	United States	98026
593	Saint Elizabeth Hospital	Enumclaw	Washington	United States	98022
594	Providence Regional Cancer Partnership	Everett	Washington	United States	98201
595	Virginia Mason Federal Way Medical Center	Federal Way	Washington	United States	98002
596	Saint Francis Hospital	Federal Way	Washington	United States	98003
597	Tacoma/Valley Radiation Oncology Centers-Gig Harbor	Gig Harbor	Washington	United States	98332
598	MultiCare Gig Harbor Medical Park	Gig Harbor	Washington	United States	98335
599	Swedish Cancer Institute-Issaquah	Issaquah	Washington	United States	98029
600	Kadlec Clinic Hematology and Oncology	Kennewick	Washington	United States	99336
601	Northwest Cancer Clinic	Kennewick	Washington	United States	99336
602	Providence Regional Cancer System-Lacey	Lacey	Washington	United States	98503
603	Saint Clare Hospital	Lakewood	Washington	United States	98499
604	PeaceHealth Saint John Medical Center	Longview	Washington	United States	98632
605	Virginia Mason Lynnwood Medical Center	Lynnwood	Washington	United States	98036
606	Skagit Valley Hospital Regional Cancer Care Center	Mount Vernon	Washington	United States	98273
607	Skagit Valley Hospital	Mount Vernon	Washington	United States	98274
608	Jefferson Healthcare	Port Townsend	Washington	United States	98368
609	Harrison HealthPartners Hematology and Oncology-Poulsbo	Poulsbo	Washington	United States	98370
610	Peninsula Cancer Center	Poulsbo	Washington	United States	98370
611	MultiCare Good Samaritan Hospital	Puyallup	Washington	United States	98372
612	Tacoma/Valley Radiation Oncology Centers-Puyallup	Puyallup	Washington	United States	98372
613	Virginia Mason Medical Center	Seattle	Washington	United States	98101
614	Pacific Gynecology Specialists	Seattle	Washington	United States	98104
615	Swedish Medical Center-Ballard Campus	Seattle	Washington	United States	98107
616	Fred Hutchinson Cancer Research Center	Seattle	Washington	United States	98109
617	Seattle Cancer Care Alliance	Seattle	Washington	United States	98109
618	Kaiser Permanente Washington	Seattle	Washington	United States	98112
619	Swedish Medical Center-First Hill	Seattle	Washington	United States	98122-4307
620	Swedish Medical Center-Cherry Hill	Seattle	Washington	United States	98122-5711
621	Northwest Hospital	Seattle	Washington	United States	98133
622	Women's Cancer Center of Seattle	Seattle	Washington	United States	98133
623	University of Washington Medical Center	Seattle	Washington	United States	98195
624	Providence Regional Cancer System-Shelton	Shelton	Washington	United States	98584
625	Rockwood Clinic Cancer Treatment Center-Valley	Spokane Valley	Washington	United States	99216
626	Rockwood Cancer Treatment Center-DHEC-Downtown	Spokane	Washington	United States	99204
627	Spokane Valley Cancer Center-Mayfair	Spokane	Washington	United States	99208
628	Spokane Valley Cancer Center-Mission	Spokane	Washington	United States	99216
629	Rockwood North Cancer Treatment Center	Spokane	Washington	United States	99218
630	Tacoma/Valley Radiation Oncology Centers-Jackson Hall	Tacoma	Washington	United States	97405
631	Franciscan Research Center-Northwest Medical Plaza	Tacoma	Washington	United States	98405
632	MultiCare Tacoma General Hospital	Tacoma	Washington	United States	98405
633	Northwest Medical Specialties PLLC	Tacoma	Washington	United States	98405
634	Northwest NCI Community Oncology Research Program	Tacoma	Washington	United States	98405
635	Tacoma/Valley Radiation Oncology Centers-Saint Joe's	Tacoma	Washington	United States	98405
636	PeaceHealth Southwest Medical Center	Vancouver	Washington	United States	98664
637	Providence Saint Mary Regional Cancer Center	Walla Walla	Washington	United States	99362
638	Wenatchee Valley Hospital and Clinics	Wenatchee	Washington	United States	98801
639	Providence Regional Cancer System-Yelm	Yelm	Washington	United States	98597
640	Monongalia Hospital	Morgantown	West Virginia	United States	26505
641	Aurora Cancer Care-Southern Lakes VLCC	Burlington	Wisconsin	United States	53105
642	Marshfield Clinic-Chippewa Center	Chippewa Falls	Wisconsin	United States	54729
643	Marshfield Clinic Cancer Center - Eau Claire	Eau Claire	Wisconsin	United States	54701
644	Marshfield Clinic Cancer Center at Sacred Heart	Eau Claire	Wisconsin	United States	54701
645	Aurora Health Center-Fond du Lac	Fond Du Lac	Wisconsin	United States	54937
646	Aurora Health Care Germantown Health Center	Germantown	Wisconsin	United States	53022
647	Aurora Cancer Care-Grafton	Grafton	Wisconsin	United States	53024
648	Green Bay Oncology at Saint Vincent Hospital	Green Bay	Wisconsin	United States	54301-3526
649	Saint Vincent Hospital Cancer Center Green Bay	Green Bay	Wisconsin	United States	54301
650	Green Bay Oncology Limited at Saint Mary's Hospital	Green Bay	Wisconsin	United States	54303
651	Saint Vincent Hospital Cancer Center at Saint Mary's	Green Bay	Wisconsin	United States	54303
652	Aurora BayCare Medical Center	Green Bay	Wisconsin	United States	54311
653	Aurora Cancer Care-Kenosha South	Kenosha	Wisconsin	United States	53142
654	Gundersen Lutheran Medical Center	La Crosse	Wisconsin	United States	54601
655	Marshfield Clinic - Ladysmith Center	Ladysmith	Wisconsin	United States	54848
656	University of Wisconsin Hospital and Clinics	Madison	Wisconsin	United States	53792
657	Holy Family Memorial Hospital	Manitowoc	Wisconsin	United States	54221
658	Aurora Bay Area Medical Group-Marinette	Marinette	Wisconsin	United States	54143
659	Bay Area Medical Center	Marinette	Wisconsin	United States	54143
660	Vince Lombardi Cancer Clinic-Marinette	Marinette	Wisconsin	United States	54143
661	Marshfield Clinic	Marshfield	Wisconsin	United States	54449
662	Aurora Cancer Care-Milwaukee	Milwaukee	Wisconsin	United States	53209
663	Aurora Saint Luke's Medical Center	Milwaukee	Wisconsin	United States	53215
664	Froedtert and the Medical College of Wisconsin	Milwaukee	Wisconsin	United States	53226
665	Aurora Sinai Medical Center	Milwaukee	Wisconsin	United States	53233
666	Marshfield Clinic-Minocqua Center	Minocqua	Wisconsin	United States	54548
667	Cancer Center of Western Wisconsin	New Richmond	Wisconsin	United States	54017
668	Vince Lombardi Cancer Clinic - Oshkosh	Oshkosh	Wisconsin	United States	54904
669	Aurora Cancer Care-Racine	Racine	Wisconsin	United States	53406
670	Ascension Saint Mary's Hospital	Rhinelander	Wisconsin	United States	54501
671	Marshfield Clinic-Rice Lake Center	Rice Lake	Wisconsin	United States	54868
672	Vince Lombardi Cancer Clinic-Sheboygan	Sheboygan	Wisconsin	United States	53081
673	Ascension Saint Michael's Hospital	Stevens Point	Wisconsin	United States	54481
674	Marshfield Clinic Stevens Point Center	Stevens Point	Wisconsin	United States	54482
675	Aurora Medical Center in Summit	Summit	Wisconsin	United States	53066
676	Vince Lombardi Cancer Clinic-Two Rivers	Two Rivers	Wisconsin	United States	54241
677	Aurora Cancer Care-Waukesha	Waukesha	Wisconsin	United States	53188
678	Marshfield Clinic-Wausau Center	Wausau	Wisconsin	United States	54401
679	Aurora Cancer Care-Milwaukee West	Wauwatosa	Wisconsin	United States	53226
680	Aurora West Allis Medical Center	West Allis	Wisconsin	United States	53227
681	Marshfield Clinic - Weston Center	Weston	Wisconsin	United States	54476
682	Marshfield Clinic - Wisconsin Rapids Center	Wisconsin Rapids	Wisconsin	United States	54494
683	Rocky Mountain Oncology	Casper	Wyoming	United States	82609
684	Cheyenne Regional Medical Center-West	Cheyenne	Wyoming	United States	82001
685	Big Horn Basin Cancer Center	Cody	Wyoming	United States	82414
686	Billings Clinic-Cody	Cody	Wyoming	United States	82414
687	Welch Cancer Center	Sheridan	Wyoming	United States	82801