Testing the Addition of a Type of Drug Called Immunotherapy to the Usual Chemotherapy Treatment for Non-small Cell Lung Cancer, ALCHEMIST Chemo-IO Study

• Sponsor: National Cancer Institute (NCI) (NIH)
• Overall Status: Recruiting
• CT.gov ID: NCT04267848
• Collaborator: (none)
• Enrollment: 1,210
• Locations: 1085
• Arms: 3
• Anticipated Duration (Months): 54.4
• Patients Per Site: 1.1
• Patients Per Site Per Month: 0

Study Details

Study Description

Brief Summary

This phase III ALCHEMIST trial tests the addition of pembrolizumab to usual chemotherapy for the treatment of stage IIA, IIB IIIA or IIIB non-small cell lung cancer that has been removed by surgery. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Chemotherapy drugs, such as cisplatin, pemetrexed, carboplatin, gemcitabine hydrochloride, and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving pembrolizumab with usual chemotherapy may help increase survival times in patients with stage IIA, IIB IIIA or IIIB non-small cell lung cancer.

Condition or Disease	Intervention/Treatment	Phase
Lung Non-Small Cell Carcinoma; Lung Non-Small Cell Squamous Carcinoma; Lung Non-Squamous Non-Small Cell Carcinoma; Stage II Lung Cancer AJCC v8; Stage IIA Lung Cancer AJCC v8; Stage IIB Lung Cancer AJCC v8; Stage IIIA Lung Cancer AJCC v8; Stage IIIB Lung Cancer AJCC v8	Drug: Carboplatin; Drug: Cisplatin; Drug: Gemcitabine Hydrochloride; Other: Observation; Drug: Paclitaxel; Biological: Pembrolizumab; Drug: Pemetrexed Disodium; Other: Quality-of-Life Assessment; Other: Questionnaire Administration	Phase 3

Detailed Description

PRIMARY OBJECTIVE:

1. To compare the disease free survival (DFS) between Arm B versus (vs) Arm C in patients with stage IIA-IIIB (T3-4N2) non-small cell lung cancer.

SECONDARY OBJECTIVES:

1. To compare the overall survival (OS) between the two treatment arms in patients with stage IIA-IIIB (T3-4N2) non-small cell lung cancer.

2. To compare the adverse event rates and drug discontinuation rates due to adverse events in patients with stage IIA-IIIB (T3-4N2) non-small cell lung cancer.

3. To compare the adverse event (AE) rates for Arms B and C with A (prior to Update #7) and estimate the DFS and OS in Arm A.

4. To compare the DFS and OS in patients with stage IIA-IIIB (T3-4N2) non-small cell lung cancer that receive at least 2 cycles of initial adjuvant chemotherapy.

QUALITY OF LIFE OBJECTIVES:

1. To compare patient-reported quality of life (QOL) one year after randomization as assessed by the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ)-Core (C)30 between patients randomized to receive adjuvant chemotherapy followed by pembrolizumab (Arm B), and those randomized to receive adjuvant chemotherapy + pembrolizumab concomitantly (Arm C).

2. To compare patient-reported QOL at completion of chemotherapy as assessed by the EORTC QLQ-C30 between patients randomized to receive adjuvant chemotherapy followed by pembrolizumab (Arm B) and those randomized to receive adjuvant chemotherapy + pembrolizumab concomitantly (Arm C).

3. To present longitudinal trajectories by arm of patient-reported dyspnea and coughing as assessed by the EORTC QLQ-Lung Cancer (LC13).

CORRELATIVE SCIENCE OBJECTIVES:

1. To compare the DFS and OS in the PD-L1 subgroup of patients with PD-L1 expression status (>= 1% vs < 1%).

2. To compare the DFS and OS by tumor mutational burden status (high vs. low) in patients with stage IIA-IIIB (T3-4N2) non-small cell lung cancer.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM A (CLOSED AS OF UPDATE #7):

INITIAL THERAPY: Patients receive 1 of 4 platinum doublet regimens* based on the treating physician's choice. Treatment repeats every 21 days for 4 cycles in the absence of disease progression or unacceptable toxicity.

CONTINUANCE THERAPY: Patients then undergo observation.

ARM B:

INITIAL THERAPY: Patients receive 1 of 4 platinum doublet regimens* based on the treating physician's choice. Treatment repeats every 21 days for 4 cycles in the absence of disease progression or unacceptable toxicity.

CONTINUANCE THERAPY: Patients then receive pembrolizumab intravenously (IV) over 25-40 minutes on day 1. Treatment repeats every 21 days for 17 cycles or every 6 weeks for 16 cycles (patients enrolled after 10/14/2020) in the absence of disease progression or unacceptable toxicity.

ARM C:

INITIAL THERAPY: Patients receive 1 of 4 platinum doublet regimens* based on the treating physician's choice and pembrolizumab IV over 25-40 minutes on day 1. Treatment repeats every 21 days for 4 cycles in the absence of disease progression or unacceptable toxicity.

CONTINUANCE THERAPY: Patients then receive pembrolizumab IV over 25-40 minutes on day 1. Treatment repeats every 21 days for 13 cycles or every 6 weeks for 12 cycles (patients enrolled after 10/14/2020) in the absence of disease progression or unacceptable toxicity.

*ACCEPTABLE REGIMENS: DOUBLET I: Patients receive cisplatin IV over 1-2 hours and pemetrexed IV over 10 minutes on day 1 of each cycle.

DOUBLET II: Patients receive carboplatin IV over 30 minutes and pemetrexed IV over 10 minutes on day 1 of each cycle.

DOUBLET III: Patients receive cisplatin IV over 1-2 hours on day 1 of each cycle and gemcitabine hydrochloride IV over 30 minutes on days 1 and 8 of each cycle.

DOUBLET IV: Patients receive carboplatin IV over 30 minutes and paclitaxel IV over 3 hours on day 1 of each cycle.

After completion of study treatment, patients are followed up at 6 weeks, then every 3 months for 2 years from randomization, every 6 months for years 2-4, and then annually for up to 10 years from randomization.

Study Design

• Study Type: Interventional
• Anticipated Enrollment: 1210 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: Integration of Immunotherapy Into Adjuvant Therapy for Resected NSCLC: ALCHEMIST Chemo-IO (ACCIO)
• Actual Study Start Date: Jun 3, 2020
• Anticipated Primary Completion Date: Dec 15, 2024
• Anticipated Study Completion Date: Dec 15, 2024

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Arm A (platinum doublet, observation) INITIAL THERAPY: Patients receive 1 of 4 platinum doublet regimens based on the treating physician's choice. Treatment repeats every 21 days for 4 cycles in the absence of disease progression or unacceptable toxicity. CONTINUANCE THERAPY: Patients then undergo observation. (CLOSED AS OF UPDATE #7)	Drug: Carboplatin; Given IV; Other Names: Blastocarb Carboplat Carboplatin Hexal Carboplatino Carboplatinum Carbosin Carbosol Carbotec CBDCA Displata Ercar JM-8 Nealorin Novoplatinum Paraplatin Paraplatin AQ Paraplatine Platinwas Ribocarbo ; Drug: Cisplatin; Given IV; Other Names: Abiplatin Blastolem Briplatin CDDP Cis-diammine-dichloroplatinum Cis-diamminedichloridoplatinum Cis-diamminedichloro Platinum (II) Cis-diamminedichloroplatinum Cis-dichloroammine Platinum (II) Cis-platinous Diamine Dichloride Cis-platinum Cis-platinum II Cis-platinum II Diamine Dichloride Cismaplat Cisplatina Cisplatinum Cisplatyl Citoplatino Citosin Cysplatyna DDP Lederplatin Metaplatin Neoplatin Peyrone's Chloride Peyrone's Salt Placis Plastistil Platamine Platiblastin Platiblastin-S Platinex Platinol Platinol- AQ Platinol-AQ Platinol-AQ VHA Plus Platinoxan Platinum Platinum Diamminodichloride Platiran Platistin Platosin ; Drug: Gemcitabine Hydrochloride; Given IV; Other Names: dFdCyd Difluorodeoxycytidine Hydrochloride FF 10832 FF-10832 FF10832 Gemcitabine HCI Gemzar LY-188011 LY188011 ; Other: Observation; Undergo observation; Other Names: Inspection Visual Inspection ; Drug: Paclitaxel; Given IV; Other Names: Anzatax Asotax Bristaxol Praxel Taxol Taxol Konzentrat ; Drug: Pemetrexed Disodium; Given IV; Other Names: Alimta Almita LY231514 N-[4-[2-(2-Amino-4,7-dihydro-4-oxo-1H-pyrrolo[2,3-d]pyrimidin-5-yl)ethyl]benzoyl]-L-glutamic Acid Disodium Salt ; Other: Quality-of-Life Assessment; Ancillary studies; Other Names: Quality of Life Assessment ; Other: Questionnaire Administration; Ancillary studies
Experimental: Arm B (platinum doublet, sequential pembrolizumab) INITIAL THERAPY: Patients receive 1 of 4 platinum doublet regimens based on the treating physician's choice. Treatment repeats every 21 days for 4 cycles in the absence of disease progression or unacceptable toxicity. CONTINUANCE THERAPY: Patients then receive pembrolizumab IV over 25-40 minutes on day 1. Treatment repeats every 21 days for 17 cycles or every 6 weeks for 16 cycles (patients enrolled after 10/14/2020) in the absence of disease progression or unacceptable toxicity.	Drug: Carboplatin; Given IV; Other Names: Blastocarb Carboplat Carboplatin Hexal Carboplatino Carboplatinum Carbosin Carbosol Carbotec CBDCA Displata Ercar JM-8 Nealorin Novoplatinum Paraplatin Paraplatin AQ Paraplatine Platinwas Ribocarbo ; Drug: Cisplatin; Given IV; Other Names: Abiplatin Blastolem Briplatin CDDP Cis-diammine-dichloroplatinum Cis-diamminedichloridoplatinum Cis-diamminedichloro Platinum (II) Cis-diamminedichloroplatinum Cis-dichloroammine Platinum (II) Cis-platinous Diamine Dichloride Cis-platinum Cis-platinum II Cis-platinum II Diamine Dichloride Cismaplat Cisplatina Cisplatinum Cisplatyl Citoplatino Citosin Cysplatyna DDP Lederplatin Metaplatin Neoplatin Peyrone's Chloride Peyrone's Salt Placis Plastistil Platamine Platiblastin Platiblastin-S Platinex Platinol Platinol- AQ Platinol-AQ Platinol-AQ VHA Plus Platinoxan Platinum Platinum Diamminodichloride Platiran Platistin Platosin ; Drug: Gemcitabine Hydrochloride; Given IV; Other Names: dFdCyd Difluorodeoxycytidine Hydrochloride FF 10832 FF-10832 FF10832 Gemcitabine HCI Gemzar LY-188011 LY188011 ; Drug: Paclitaxel; Given IV; Other Names: Anzatax Asotax Bristaxol Praxel Taxol Taxol Konzentrat ; Biological: Pembrolizumab; Given IV; Other Names: Keytruda Lambrolizumab MK-3475 SCH 900475 ; Drug: Pemetrexed Disodium; Given IV; Other Names: Alimta Almita LY231514 N-[4-[2-(2-Amino-4,7-dihydro-4-oxo-1H-pyrrolo[2,3-d]pyrimidin-5-yl)ethyl]benzoyl]-L-glutamic Acid Disodium Salt ; Other: Quality-of-Life Assessment; Ancillary studies; Other Names: Quality of Life Assessment ; Other: Questionnaire Administration; Ancillary studies
Experimental: Arm C (platinum doublet, combination pembrolizumab) INITIAL THERAPY: Patients receive 1 of 4 platinum doublet regimens based on the treating physician's choice and pembrolizumab IV over 25-40 minutes on day 1. Treatment repeats every 21 days for 4 cycles in the absence of disease progression or unacceptable toxicity. CONTINUANCE THERAPY: Patients then receive pembrolizumab IV over 25-40 minutes on day 1. Treatment repeats every 21 days for 13 cycles or every 6 weeks for 12 cycles (patients enrolled after 10/14/2020) in the absence of disease progression or unacceptable toxicity.	Drug: Carboplatin; Given IV; Other Names: Blastocarb Carboplat Carboplatin Hexal Carboplatino Carboplatinum Carbosin Carbosol Carbotec CBDCA Displata Ercar JM-8 Nealorin Novoplatinum Paraplatin Paraplatin AQ Paraplatine Platinwas Ribocarbo ; Drug: Cisplatin; Given IV; Other Names: Abiplatin Blastolem Briplatin CDDP Cis-diammine-dichloroplatinum Cis-diamminedichloridoplatinum Cis-diamminedichloro Platinum (II) Cis-diamminedichloroplatinum Cis-dichloroammine Platinum (II) Cis-platinous Diamine Dichloride Cis-platinum Cis-platinum II Cis-platinum II Diamine Dichloride Cismaplat Cisplatina Cisplatinum Cisplatyl Citoplatino Citosin Cysplatyna DDP Lederplatin Metaplatin Neoplatin Peyrone's Chloride Peyrone's Salt Placis Plastistil Platamine Platiblastin Platiblastin-S Platinex Platinol Platinol- AQ Platinol-AQ Platinol-AQ VHA Plus Platinoxan Platinum Platinum Diamminodichloride Platiran Platistin Platosin ; Drug: Gemcitabine Hydrochloride; Given IV; Other Names: dFdCyd Difluorodeoxycytidine Hydrochloride FF 10832 FF-10832 FF10832 Gemcitabine HCI Gemzar LY-188011 LY188011 ; Drug: Paclitaxel; Given IV; Other Names: Anzatax Asotax Bristaxol Praxel Taxol Taxol Konzentrat ; Biological: Pembrolizumab; Given IV; Other Names: Keytruda Lambrolizumab MK-3475 SCH 900475 ; Drug: Pemetrexed Disodium; Given IV; Other Names: Alimta Almita LY231514 N-[4-[2-(2-Amino-4,7-dihydro-4-oxo-1H-pyrrolo[2,3-d]pyrimidin-5-yl)ethyl]benzoyl]-L-glutamic Acid Disodium Salt ; Other: Quality-of-Life Assessment; Ancillary studies; Other Names: Quality of Life Assessment ; Other: Questionnaire Administration; Ancillary studies

Outcome Measures

Primary Outcome Measures

1. Disease free survival (DFS) [From randomization to the first of either disease recurrence or death from any cause, assessed up to 5 years after accrual completion]

   Will be estimated using the Kaplan-Meier method, where the stratified log-rank test (using the central PD-L1 result for the PD-L1 expression status) will be used to compare the distributions across the treatment arms. DFS rates at 1 year, 2 years, and 5 years will also be reported, along with 95% confidence intervals. Univariable and multivariable Cox models stratified by the stratification factors (using the central PD-L1 result for the PD-L1 expression status) used in the randomization will be assessed as well.

Secondary Outcome Measures

1. Overall survival (OS) [From randomization to death from any cause, assessed up to 8 years after accrual completion]

   Will be estimated using the Kaplan-Meier method, where the stratified log-rank test (using the central PD-L1 result for the PD-L1 expression status) will be used to compare the distributions across the treatment arms. OS rates at 1 year, 2 years, and 5 years will also be reported, along with 95% confidence intervals. Univariable and multivariable Cox models stratified by the stratification factors (using the central PD-L1 result for the PD-L1 expression status) used in the randomization will be assessed as well.

2. Incidence of adverse events [Up to 10 years]

   The maximum grade for each type of adverse event will be summarized using Common Terminology Criteria for Adverse Events (CTCAE) version 5. The frequency and percentage of grade 3+ adverse events will be compared between the 2 experimental treatment arms and the control as well as between the two experimental arms. We will also compare the rate of drug discontinuation due to adverse events between the experimental treatment arms and control, and between the two experimental arms. Comparisons between arms will be made by using the Chi-square test. Analysis of the overall adverse event rates, as well as specific events of interest will involve Chi-square tests or Fisher's exact tests.

3. DFS between each experimental pembrolizumab plus standard of care arms vs. standard of care [From randomization to the first of either disease recurrence or death from any cause, assessed up to 5 years after accrual completion]

   Assessed by PD-L1 expression status (tumor proportion score >= 50% vs. tumor proportion score < 50%). Univariable and multivariable Cox models stratified by the stratification factors used in the randomization will be used as the primary analytical method, where all baseline covariates will be considered in the univariable models and subsequently in the multivariable models based on the criteria for selection for the multivariable models.

4. OS between each experimental pembrolizumab plus standard of care arms vs. standard of care [From randomization to death from any cause, assessed up to 8 years after accrual completion]

   Assessed by PD-L1 expression status. Univariable and multivariable Cox models stratified by the stratification factors used in the randomization will be used as the primary analytical method, where all baseline covariates will be considered in the univariable models and subsequently in the multivariable models based on the criteria for selection for the multivariable models.

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• Previously registered to A151216 (NCT02194738)

• Central and/or local testing of EGFR with no EGFR exon 19 deletion or EGFR L858 R mutation (applicable to non-squamous patients only)

• Central and/or local testing of ALK with no ALK rearrangement (failed testing is considered negative) (applicable to non-squamous patients only)

• Central and/or local testing of PD-L1 immunohistochemistry (IHC) using one of the following assays: DAKO 22C3, DAKO 28-8, EIL3N or SP263

• Note: Local testing results of EGFR and ALK by a local Clinical Laboratory Improvement Act (CLIA) certified laboratory is acceptable. The report must indicate the result as well as the CLIA number of the laboratory that performed the assay. Local result of PD-L1 by DAKO 22C3, Dako 28-8, EIL3N or SP263 are acceptable for enrollment on A081801. Patients with local results for EGFR, ALK and PD-L1 still need to be registered to A151216 and follow all the submissions requirements but do NOT need to wait for the results to proceed to A081801 registration

• Completely resected stage IIA, IIB IIIA or IIIB (T3-4N2) non-small cell lung cancer (NSCLC) (squamous or non-squamous) with negative margins (complete R0 resection). Patients will be staged according to the 8th edition of the American Joint Committee on Cancer (AJCC) Staging Manual, 2017

• Note: Patients with pathologic N2 disease, completely resected, are eligible. However, patients known to have N2 disease prior to surgery are not eligible; guidelines do not recommend up-front surgery for this population

• Complete recovery from surgery. Registration to A081801 must be 30-77 days following surgery

• No prior neoadjuvant or adjuvant therapy for current lung cancer diagnosis

• No prior allogeneic tissue/solid organ transplant

• No current pneumonitis or history of (non-infectious) pneumonitis that required steroids

• Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial

• Age >= 18 years

• Eastern Cooperative Oncology Group (ECOG) performance status (PS): 0-1

• No active auto-immune disease that has required systemic treatment within the last 2 years (e.g., disease-modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid release therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment

• Not pregnant and not nursing, because this study involves an agent that has known genotoxic, mutagenic and teratogenic effects. Therefore, for women of childbearing potential only, a negative pregnancy test done =< 7 days prior to registration is required

• No patients with a "currently active" second malignancy that is progressing or has required active treatment within the last 3 years. Participants with non-melanoma skin cancers or carcinoma in situ (e.g., breast carcinoma or cervical cancer in situ) that have undergone potentially curative therapy are eligible

• No hypersensitivity (>= grade 3) to pembrolizumab and/or any of its excipients

• No live vaccine within 30 days prior to registration. Examples of live vaccines include, but are not limited to, the following: measles, mumps, rubella, varicella/zoster (chicken pox), yellow fever, rabies, Bacillus Calmette-Guerin (BCG), and typhoid vaccine. Seasonal influenza vaccines for injection are generally killed virus vaccines and are allowed; however, intranasal influenza vaccines (e.g., FluMist) are live attenuated vaccines and are not allowed

• No known history of hepatitis B (defined as hepatitis B surface antigen [HBsAg] reactive) or known hepatitis C virus (defined as HCV ribonucleic acid [RNA] [qualitative] is detected) infection

• Absolute neutrophil count (ANC) >= 1,500/mm^3

• Platelet count >= 100,000/mm^3

• Hemoglobin >= 8 gm/dl

• Calculated (Calc.) creatinine clearance >= 45 mL/min

• Total bilirubin =< 1.5 x upper limit of normal (ULN)

• Aspartate aminotransferase (AST) / alanine aminotransferase (ALT) =< 2.5 x upper limit of normal (ULN)

Exclusion Criteria:

• Patients must NOT have uncontrolled intercurrent illness including, but not limited to, serious ongoing or active infection, symptomatic congestive heart failure, uncontrolled cardiac arrhythmia, unstable angina pectoris, that would limit compliance with study requirements

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Anchorage Associates in Radiation Medicine	Anchorage	Alaska	United States	98508
2	Anchorage Radiation Therapy Center	Anchorage	Alaska	United States	99504
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 Women's Cancer Care	Anchorage	Alaska	United States	99508
6	Anchorage Oncology Centre	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	Kingman Regional Medical Center	Kingman	Arizona	United States	86401
12	Cancer Center at Saint Joseph's	Phoenix	Arizona	United States	85004
13	Banner Boswell Medical Center	Sun City	Arizona	United States	85351
14	Banner University Medical Center - Tucson	Tucson	Arizona	United States	85719
15	University of Arizona Cancer Center-North Campus	Tucson	Arizona	United States	85719
16	Mercy Hospital Fort Smith	Fort Smith	Arkansas	United States	72903
17	CHI Saint Vincent Cancer Center Hot Springs	Hot Springs	Arkansas	United States	71913
18	NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro	Jonesboro	Arkansas	United States	72401
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	PCR Oncology	Arroyo Grande	California	United States	93420
23	Sutter Auburn Faith Hospital	Auburn	California	United States	95602
24	Sutter Cancer Centers Radiation Oncology Services-Auburn	Auburn	California	United States	95603
25	Kaiser Permanente-Baldwin Park	Baldwin Park	California	United States	91706
26	Kaiser Permanente-Bellflower	Bellflower	California	United States	90706
27	Alta Bates Summit Medical Center-Herrick Campus	Berkeley	California	United States	94704
28	Providence Saint Joseph Medical Center/Disney Family Cancer Center	Burbank	California	United States	91505
29	Mills-Peninsula Medical Center	Burlingame	California	United States	94010
30	Sutter Cancer Centers Radiation Oncology Services-Cameron Park	Cameron Park	California	United States	95682
31	Eden Hospital Medical Center	Castro Valley	California	United States	94546
32	John Muir Medical Center-Concord Campus	Concord	California	United States	94520
33	Sutter Davis Hospital	Davis	California	United States	95616
34	City of Hope Comprehensive Cancer Center	Duarte	California	United States	91010
35	Epic Care-Dublin	Dublin	California	United States	94568
36	Kaiser Permanente Dublin	Dublin	California	United States	94568
37	Bay Area Breast Surgeons Inc	Emeryville	California	United States	94608
38	Epic Care Partners in Cancer Care	Emeryville	California	United States	94608
39	Kaiser Permanente-Fontana	Fontana	California	United States	92335
40	Kaiser Permanente-Fremont	Fremont	California	United States	94538
41	Palo Alto Medical Foundation-Fremont	Fremont	California	United States	94538
42	Kaiser Permanente-Fresno	Fresno	California	United States	93720
43	Kaiser Permanente - Harbor City	Harbor City	California	United States	90710
44	Kaiser Permanente-Irvine	Irvine	California	United States	92618
45	UC San Diego Moores Cancer Center	La Jolla	California	United States	92093
46	Loma Linda University Medical Center	Loma Linda	California	United States	92354
47	Tibor Rubin VA Medical Center	Long Beach	California	United States	90822
48	Kaiser Permanente Los Angeles Medical Center	Los Angeles	California	United States	90027
49	Kaiser Permanente West Los Angeles	Los Angeles	California	United States	90034
50	Contra Costa Regional Medical Center	Martinez	California	United States	94553-3156
51	Fremont - Rideout Cancer Center	Marysville	California	United States	95901
52	Memorial Medical Center	Modesto	California	United States	95355
53	Kaiser Permanente-Modesto	Modesto	California	United States	95356
54	Palo Alto Medical Foundation-Camino Division	Mountain View	California	United States	94040
55	Palo Alto Medical Foundation-Gynecologic Oncology	Mountain View	California	United States	94040
56	Alta Bates Summit Medical Center - Summit Campus	Oakland	California	United States	94609
57	Bay Area Tumor Institute	Oakland	California	United States	94609
58	Kaiser Permanente Oakland-Broadway	Oakland	California	United States	94611
59	Kaiser Permanente-Oakland	Oakland	California	United States	94611
60	Kaiser Permanente-Ontario	Ontario	California	United States	91761
61	Saint Joseph Hospital - Orange	Orange	California	United States	92868
62	Palo Alto Medical Foundation Health Care	Palo Alto	California	United States	94301
63	Kaiser Permanente - Panorama City	Panorama City	California	United States	91402
64	Kaiser Permanente-Rancho Cordova Cancer Center	Rancho Cordova	California	United States	95670
65	Eisenhower Medical Center	Rancho Mirage	California	United States	92270
66	Kaiser Permanente- Marshall Medical Offices	Redwood City	California	United States	94063
67	Kaiser Permanente-Redwood City	Redwood City	California	United States	94063
68	Kaiser Permanente-Richmond	Richmond	California	United States	94801
69	Kaiser Permanente-Riverside	Riverside	California	United States	92505
70	Rohnert Park Cancer Center	Rohnert Park	California	United States	94928
71	Kaiser Permanente-Roseville	Roseville	California	United States	95661
72	Sutter Cancer Centers Radiation Oncology Services-Roseville	Roseville	California	United States	95661
73	Sutter Roseville Medical Center	Roseville	California	United States	95661
74	The Permanente Medical Group-Roseville Radiation Oncology	Roseville	California	United States	95678
75	Kaiser Permanente Downtown Commons	Sacramento	California	United States	95814
76	Sutter Medical Center Sacramento	Sacramento	California	United States	95816
77	University of California Davis Comprehensive Cancer Center	Sacramento	California	United States	95817
78	Kaiser Permanente-South Sacramento	Sacramento	California	United States	95823
79	South Sacramento Cancer Center	Sacramento	California	United States	95823
80	Saint Helena Hospital	Saint Helena	California	United States	94574
81	Kaiser Permanente-San Diego Zion	San Diego	California	United States	92120
82	California Pacific Medical Center-Pacific Campus	San Francisco	California	United States	94115
83	Kaiser Permanente-San Francisco	San Francisco	California	United States	94115
84	Kaiser Permanente-Santa Teresa-San Jose	San Jose	California	United States	95119
85	Kaiser Permanente San Leandro	San Leandro	California	United States	94577
86	Pacific Central Coast Health Center-San Luis Obispo	San Luis Obispo	California	United States	93401
87	Kaiser Permanente-San Marcos	San Marcos	California	United States	92078
88	Mills Health Center	San Mateo	California	United States	94401
89	Kaiser San Rafael-Gallinas	San Rafael	California	United States	94903
90	Kaiser Permanente Medical Center - Santa Clara	Santa Clara	California	United States	95051
91	Dominican Santa Cruz Hospital	Santa Cruz	California	United States	95065
92	Palo Alto Medical Foundation-Santa Cruz	Santa Cruz	California	United States	95065
93	Mission Hope Medical Oncology - Santa Maria	Santa Maria	California	United States	93444
94	Kaiser Permanente-Santa Rosa	Santa Rosa	California	United States	95403
95	Sutter Pacific Medical Foundation	Santa Rosa	California	United States	95403
96	City of Hope South Pasadena	South Pasadena	California	United States	91030
97	Kaiser Permanente Cancer Treatment Center	South San Francisco	California	United States	94080
98	Kaiser Permanente-South San Francisco	South San Francisco	California	United States	94080
99	Kaiser Permanente-Stockton	Stockton	California	United States	95210
100	Palo Alto Medical Foundation-Sunnyvale	Sunnyvale	California	United States	94086
101	Gene Upshaw Memorial Tahoe Forest Cancer Center	Truckee	California	United States	96161
102	City of Hope Upland	Upland	California	United States	91786
103	Northbay Cancer Center	Vacaville	California	United States	95687
104	Sutter Cancer Centers Radiation Oncology Services-Vacaville	Vacaville	California	United States	95687
105	Kaiser Permanente Medical Center-Vacaville	Vacaville	California	United States	95688
106	Kaiser Permanente-Vallejo	Vallejo	California	United States	94589
107	Sutter Solano Medical Center/Cancer Center	Vallejo	California	United States	94589
108	Kaiser Permanente-Walnut Creek	Walnut Creek	California	United States	94596
109	Epic Care Cyberknife Center	Walnut Creek	California	United States	94597
110	John Muir Medical Center-Walnut Creek	Walnut Creek	California	United States	94598
111	Presbyterian Intercommunity Hospital	Whittier	California	United States	90602
112	Kaiser Permanente-Woodland Hills	Woodland Hills	California	United States	91367
113	Rocky Mountain Cancer Centers-Aurora	Aurora	Colorado	United States	80012
114	The Medical Center of Aurora	Aurora	Colorado	United States	80012
115	University of Colorado Hospital	Aurora	Colorado	United States	80045
116	Boulder Community Hospital	Boulder	Colorado	United States	80301
117	Boulder Community Foothills Hospital	Boulder	Colorado	United States	80303
118	Rocky Mountain Cancer Centers-Boulder	Boulder	Colorado	United States	80304
119	Rocky Mountain Cancer Centers - Centennial	Centennial	Colorado	United States	80112
120	Penrose-Saint Francis Healthcare	Colorado Springs	Colorado	United States	80907
121	Rocky Mountain Cancer Centers-Penrose	Colorado Springs	Colorado	United States	80907
122	UCHealth Memorial Hospital Central	Colorado Springs	Colorado	United States	80909
123	Memorial Hospital North	Colorado Springs	Colorado	United States	80920
124	Cancer Center of Colorado at Sloan's Lake	Denver	Colorado	United States	80204
125	National Jewish Health-Main Campus	Denver	Colorado	United States	80206
126	The Women's Imaging Center	Denver	Colorado	United States	80209
127	Porter Adventist Hospital	Denver	Colorado	United States	80210
128	Colorado Blood Cancer Institute	Denver	Colorado	United States	80218
129	Presbyterian - Saint Lukes Medical Center - Health One	Denver	Colorado	United States	80218
130	Rocky Mountain Cancer Centers-Midtown	Denver	Colorado	United States	80218
131	SCL Health Saint Joseph Hospital	Denver	Colorado	United States	80218
132	Rocky Mountain Cancer Centers-Rose	Denver	Colorado	United States	80220
133	Rose Medical Center	Denver	Colorado	United States	80220
134	Western Surgical Care	Denver	Colorado	United States	80220
135	Mercy Medical Center	Durango	Colorado	United States	81301
136	Southwest Oncology PC	Durango	Colorado	United States	81301
137	Mountain Blue Cancer Care Center - Swedish	Englewood	Colorado	United States	80113
138	Rocky Mountain Cancer Centers - Swedish	Englewood	Colorado	United States	80113
139	Swedish Medical Center	Englewood	Colorado	United States	80113
140	The Melanoma and Skin Cancer Institute	Englewood	Colorado	United States	80113
141	Poudre Valley Hospital	Fort Collins	Colorado	United States	80524
142	Cancer Care and Hematology-Fort Collins	Fort Collins	Colorado	United States	80528
143	National Jewish Health-Western Hematology Oncology	Golden	Colorado	United States	80401
144	Saint Mary's Hospital and Regional Medical Center	Grand Junction	Colorado	United States	81501
145	North Colorado Medical Center	Greeley	Colorado	United States	80631
146	UCHealth Greeley Hospital	Greeley	Colorado	United States	80631
147	Good Samaritan Medical Center	Lafayette	Colorado	United States	80026
148	Rocky Mountain Cancer Centers-Lakewood	Lakewood	Colorado	United States	80228
149	Saint Anthony Hospital	Lakewood	Colorado	United States	80228
150	Rocky Mountain Cancer Centers-Littleton	Littleton	Colorado	United States	80120
151	Littleton Adventist Hospital	Littleton	Colorado	United States	80122
152	Rocky Mountain Cancer Centers-Sky Ridge	Lone Tree	Colorado	United States	80124
153	Sky Ridge Medical Center	Lone Tree	Colorado	United States	80124
154	Longmont United Hospital	Longmont	Colorado	United States	80501
155	Rocky Mountain Cancer Centers-Longmont	Longmont	Colorado	United States	80501
156	Medical Center of the Rockies	Loveland	Colorado	United States	80538
157	McKee Medical Center	Loveland	Colorado	United States	80539
158	Parker Adventist Hospital	Parker	Colorado	United States	80138
159	Saint Mary Corwin Medical Center	Pueblo	Colorado	United States	81004
160	National Jewish Health-Northern Hematology Oncology	Thornton	Colorado	United States	80260
161	Rocky Mountain Cancer Centers-Thornton	Thornton	Colorado	United States	80260
162	Smilow Cancer Hospital-Derby Care Center	Derby	Connecticut	United States	06418
163	Smilow Cancer Hospital Care Center-Fairfield	Fairfield	Connecticut	United States	06824
164	Smilow Cancer Hospital Care Center at Greenwich	Greenwich	Connecticut	United States	06830
165	Smilow Cancer Hospital Care Center - Guiford	Guilford	Connecticut	United States	06437
166	Smilow Cancer Hospital Care Center at Saint Francis	Hartford	Connecticut	United States	06105
167	Smilow Cancer Center/Yale-New Haven Hospital	New Haven	Connecticut	United States	06510
168	Yale University	New Haven	Connecticut	United States	06520
169	Yale-New Haven Hospital North Haven Medical Center	North Haven	Connecticut	United States	06473
170	Smilow Cancer Hospital-Orange Care Center	Orange	Connecticut	United States	06477
171	Stamford Hospital/Bennett Cancer Center	Stamford	Connecticut	United States	06904
172	Smilow Cancer Hospital-Torrington Care Center	Torrington	Connecticut	United States	06790
173	Smilow Cancer Hospital Care Center-Trumbull	Trumbull	Connecticut	United States	06611
174	Smilow Cancer Hospital-Waterbury Care Center	Waterbury	Connecticut	United States	06708
175	Smilow Cancer Hospital Care Center - Waterford	Waterford	Connecticut	United States	06385
176	Veterans Affairs Connecticut Healthcare System-West Haven Campus	West Haven	Connecticut	United States	06516
177	Beebe South Coastal Health Campus	Frankford	Delaware	United States	19945
178	Beebe Medical Center	Lewes	Delaware	United States	19958
179	Delaware Clinical and Laboratory Physicians PA	Newark	Delaware	United States	19713
180	Helen F Graham Cancer Center	Newark	Delaware	United States	19713
181	Medical Oncology Hematology Consultants PA	Newark	Delaware	United States	19713
182	Christiana Care Health System-Christiana Hospital	Newark	Delaware	United States	19718
183	Beebe Health Campus	Rehoboth Beach	Delaware	United States	19971
184	TidalHealth Nanticoke / Allen Cancer Center	Seaford	Delaware	United States	19973
185	Christiana Care Health System-Wilmington Hospital	Wilmington	Delaware	United States	19801
186	Kaiser Permanente-Capitol Hill Medical Center	Washington	District of Columbia	United States	20002
187	MedStar Georgetown University Hospital	Washington	District of Columbia	United States	20007
188	MedStar Washington Hospital Center	Washington	District of Columbia	United States	20010
189	Mount Sinai Comprehensive Cancer Center at Aventura	Aventura	Florida	United States	33180
190	Holy Cross Hospital	Fort Lauderdale	Florida	United States	33308
191	Regional Cancer Center-Lee Memorial Health System	Fort Myers	Florida	United States	33905
192	Memorial Regional Hospital/Joe DiMaggio Children's Hospital	Hollywood	Florida	United States	33021
193	Baptist MD Anderson Cancer Center	Jacksonville	Florida	United States	32207
194	Mount Sinai Medical Center	Miami Beach	Florida	United States	33140
195	Orlando Health Cancer Institute	Orlando	Florida	United States	32806
196	Memorial Hospital West	Pembroke Pines	Florida	United States	33028
197	Moffitt Cancer Center-International Plaza	Tampa	Florida	United States	33607
198	Moffitt Cancer Center - McKinley Campus	Tampa	Florida	United States	33612
199	Moffitt Cancer Center	Tampa	Florida	United States	33612
200	Northside Hospital	Atlanta	Georgia	United States	30342
201	Northeast Georgia Medical Center Braselton	Braselton	Georgia	United States	30517
202	Northside Hospital - Duluth	Duluth	Georgia	United States	30096
203	Northeast Georgia Medical Center-Gainesville	Gainesville	Georgia	United States	30501
204	Northside Hospital - Gwinnett	Lawrenceville	Georgia	United States	30046
205	Lewis Cancer and Research Pavilion at Saint Joseph's/Candler	Savannah	Georgia	United States	31405
206	Suburban Hematology Oncology Associates - Snellville	Snellville	Georgia	United States	30078
207	Hawaii Cancer Care - Savio	'Aiea	Hawaii	United States	96701
208	Pali Momi Medical Center	'Aiea	Hawaii	United States	96701
209	Queen's Cancer Center - Pearlridge	'Aiea	Hawaii	United States	96701
210	The Cancer Center of Hawaii-Pali Momi	'Aiea	Hawaii	United States	96701
211	The Queen's Medical Center - West Oahu	'Ewa Beach	Hawaii	United States	96706
212	Hawaii Cancer Care Inc - Waterfront Plaza	Honolulu	Hawaii	United States	96813
213	Island Urology	Honolulu	Hawaii	United States	96813
214	Queen's Cancer Cenrer - POB I	Honolulu	Hawaii	United States	96813
215	Queen's Medical Center	Honolulu	Hawaii	United States	96813
216	Straub Clinic and Hospital	Honolulu	Hawaii	United States	96813
217	University of Hawaii Cancer Center	Honolulu	Hawaii	United States	96813
218	Hawaii Cancer Care Inc-Liliha	Honolulu	Hawaii	United States	96817
219	Hawaii Diagnostic Radiology Services LLC	Honolulu	Hawaii	United States	96817
220	Kuakini Medical Center	Honolulu	Hawaii	United States	96817
221	Queen's Cancer Center - Kuakini	Honolulu	Hawaii	United States	96817
222	The Cancer Center of Hawaii-Liliha	Honolulu	Hawaii	United States	96817
223	Kaiser Permanente Moanalua Medical Center	Honolulu	Hawaii	United States	96819
224	Kapiolani Medical Center for Women and Children	Honolulu	Hawaii	United States	96826
225	Straub Medical Center - Kahului Clinic	Kahului	Hawaii	United States	96732
226	Castle Medical Center	Kailua	Hawaii	United States	96734
227	Wilcox Memorial Hospital and Kauai Medical Clinic	Lihue	Hawaii	United States	96766
228	Saint Alphonsus Cancer Care Center-Boise	Boise	Idaho	United States	83706
229	Saint Luke's Cancer Institute - Boise	Boise	Idaho	United States	83712
230	Saint Alphonsus Cancer Care Center-Caldwell	Caldwell	Idaho	United States	83605
231	Kootenai Health - Coeur d'Alene	Coeur d'Alene	Idaho	United States	83814
232	Walter Knox Memorial Hospital	Emmett	Idaho	United States	83617
233	Saint Luke's Cancer Institute - Fruitland	Fruitland	Idaho	United States	83619
234	Idaho Urologic Institute-Meridian	Meridian	Idaho	United States	83642
235	Saint Luke's Cancer Institute - Meridian	Meridian	Idaho	United States	83642
236	Saint Alphonsus Medical Center-Nampa	Nampa	Idaho	United States	83686
237	Saint Luke's Cancer Institute - Nampa	Nampa	Idaho	United States	83686
238	Kootenai Clinic Cancer Services - Post Falls	Post Falls	Idaho	United States	83854
239	Kootenai Cancer Clinic	Sandpoint	Idaho	United States	83864
240	Saint Luke's Cancer Institute - Twin Falls	Twin Falls	Idaho	United States	83301
241	Saint Anthony's Health	Alton	Illinois	United States	62002
242	Rush - Copley Medical Center	Aurora	Illinois	United States	60504
243	Illinois CancerCare-Bloomington	Bloomington	Illinois	United States	61704
244	Illinois CancerCare-Canton	Canton	Illinois	United States	61520
245	Memorial Hospital of Carbondale	Carbondale	Illinois	United States	62902
246	SIH Cancer Institute	Carterville	Illinois	United States	62918
247	Illinois CancerCare-Carthage	Carthage	Illinois	United States	62321
248	Centralia Oncology Clinic	Centralia	Illinois	United States	62801
249	Northwestern University	Chicago	Illinois	United States	60611
250	John H Stroger Jr Hospital of Cook County	Chicago	Illinois	United States	60612
251	University of Illinois	Chicago	Illinois	United States	60612
252	University of Chicago Comprehensive Cancer Center	Chicago	Illinois	United States	60637
253	Advocate Illinois Masonic Medical Center	Chicago	Illinois	United States	60657
254	Carle on Vermilion	Danville	Illinois	United States	61832
255	Cancer Care Specialists of Illinois - Decatur	Decatur	Illinois	United States	62526
256	Decatur Memorial Hospital	Decatur	Illinois	United States	62526
257	Illinois CancerCare-Dixon	Dixon	Illinois	United States	61021
258	Carle Physician Group-Effingham	Effingham	Illinois	United States	62401
259	Crossroads Cancer Center	Effingham	Illinois	United States	62401
260	Illinois CancerCare-Eureka	Eureka	Illinois	United States	61530
261	NorthShore University HealthSystem-Evanston Hospital	Evanston	Illinois	United States	60201
262	Illinois CancerCare-Galesburg	Galesburg	Illinois	United States	61401
263	Western Illinois Cancer Treatment Center	Galesburg	Illinois	United States	61401
264	NorthShore University HealthSystem-Glenbrook Hospital	Glenview	Illinois	United States	60026
265	NorthShore University HealthSystem-Highland Park Hospital	Highland Park	Illinois	United States	60035
266	Edward Hines Jr VA Hospital	Hines	Illinois	United States	60141
267	Duly Health and Care Joliet	Joliet	Illinois	United States	60435
268	Illinois CancerCare-Kewanee Clinic	Kewanee	Illinois	United States	61443
269	Illinois CancerCare-Macomb	Macomb	Illinois	United States	61455
270	Carle Physician Group-Mattoon/Charleston	Mattoon	Illinois	United States	61938
271	Loyola University Medical Center	Maywood	Illinois	United States	60153
272	Trinity Medical Center	Moline	Illinois	United States	61265
273	Good Samaritan Regional Health Center	Mount Vernon	Illinois	United States	62864
274	UC Comprehensive Cancer Center at Silver Cross	New Lenox	Illinois	United States	60451
275	Cancer Care Center of O'Fallon	O'Fallon	Illinois	United States	62269
276	University of Chicago Medicine-Orland Park	Orland Park	Illinois	United States	60462
277	Illinois CancerCare-Ottawa Clinic	Ottawa	Illinois	United States	61350
278	Illinois CancerCare-Pekin	Pekin	Illinois	United States	61554
279	OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center	Pekin	Illinois	United States	61554
280	Illinois CancerCare-Peoria	Peoria	Illinois	United States	61615
281	OSF Saint Francis Radiation Oncology at Peoria Cancer Center	Peoria	Illinois	United States	61615
282	Methodist Medical Center of Illinois	Peoria	Illinois	United States	61636
283	OSF Saint Francis Medical Center	Peoria	Illinois	United States	61637
284	Illinois CancerCare-Peru	Peru	Illinois	United States	61354
285	Valley Radiation Oncology	Peru	Illinois	United States	61354
286	Illinois CancerCare-Princeton	Princeton	Illinois	United States	61356
287	SwedishAmerican Regional Cancer Center/ACT	Rockford	Illinois	United States	61114
288	Genesis Cancer Center - Silvis	Silvis	Illinois	United States	61282
289	Southern Illinois University School of Medicine	Springfield	Illinois	United States	62702
290	Springfield Clinic	Springfield	Illinois	United States	62702
291	Memorial Medical Center	Springfield	Illinois	United States	62781
292	Southwest Illinois Health Services LLP	Swansea	Illinois	United States	62226
293	Carle Cancer Center	Urbana	Illinois	United States	61801
294	The Carle Foundation Hospital	Urbana	Illinois	United States	61801
295	Illinois CancerCare - Washington	Washington	Illinois	United States	61571
296	Rush-Copley Healthcare Center	Yorkville	Illinois	United States	60560
297	Northwest Cancer Center - Main Campus	Crown Point	Indiana	United States	46307
298	Northwest Oncology LLC	Dyer	Indiana	United States	46311
299	Parkview Regional Medical Center	Fort Wayne	Indiana	United States	46845
300	Northwest Cancer Center - Hobart	Hobart	Indiana	United States	46342
301	Saint Mary Medical Center	Hobart	Indiana	United States	46342
302	Franciscan Health Indianapolis	Indianapolis	Indiana	United States	46237
303	Saint Catherine Hospital	Indianapolis	Indiana	United States	46312
304	Franciscan Saint Elizabeth Health - Lafayette East	Lafayette	Indiana	United States	47905
305	Woodland Cancer Care Center	Michigan City	Indiana	United States	46360
306	Franciscan Health Mooresville	Mooresville	Indiana	United States	46158
307	The Community Hospital	Munster	Indiana	United States	46321
308	Women's Diagnostic Center - Munster	Munster	Indiana	United States	46321
309	Baptist Health Floyd	New Albany	Indiana	United States	47150
310	Reid Health	Richmond	Indiana	United States	47374
311	Memorial Hospital of South Bend	South Bend	Indiana	United States	46601
312	Union Hospital	Terre Haute	Indiana	United States	47804
313	Northwest Cancer Center - Valparaiso	Valparaiso	Indiana	United States	46383
314	Mary Greeley Medical Center	Ames	Iowa	United States	50010
315	McFarland Clinic PC - Ames	Ames	Iowa	United States	50010
316	McFarland Clinic PC-Boone	Boone	Iowa	United States	50036
317	Saint Anthony Regional Hospital	Carroll	Iowa	United States	51401
318	Physicians' Clinic of Iowa PC	Cedar Rapids	Iowa	United States	52402
319	Mercy Hospital	Cedar Rapids	Iowa	United States	52403
320	Oncology Associates at Mercy Medical Center	Cedar Rapids	Iowa	United States	52403
321	Medical Oncology and Hematology Associates-West Des Moines	Clive	Iowa	United States	50325
322	Mercy Cancer Center-West Lakes	Clive	Iowa	United States	50325
323	Alegent Health Mercy Hospital	Council Bluffs	Iowa	United States	51503
324	Greater Regional Medical Center	Creston	Iowa	United States	50801
325	Genesis Medical Center - East Campus	Davenport	Iowa	United States	52803
326	Genesis Cancer Care Institute	Davenport	Iowa	United States	52804
327	Iowa Cancer Specialists	Davenport	Iowa	United States	52807
328	Iowa Methodist Medical Center	Des Moines	Iowa	United States	50309
329	Medical Oncology and Hematology Associates-Des Moines	Des Moines	Iowa	United States	50309
330	Broadlawns Medical Center	Des Moines	Iowa	United States	50314
331	Medical Oncology and Hematology Associates-Laurel	Des Moines	Iowa	United States	50314
332	Mercy Medical Center - Des Moines	Des Moines	Iowa	United States	50314
333	Iowa Lutheran Hospital	Des Moines	Iowa	United States	50316
334	McFarland Clinic PC-Trinity Cancer Center	Fort Dodge	Iowa	United States	50501
335	Trinity Regional Medical Center	Fort Dodge	Iowa	United States	50501
336	McFarland Clinic PC-Jefferson	Jefferson	Iowa	United States	50129
337	McFarland Clinic PC-Marshalltown	Marshalltown	Iowa	United States	50158
338	Siouxland Regional Cancer Center	Sioux City	Iowa	United States	51101
339	Methodist West Hospital	West Des Moines	Iowa	United States	50266-7700
340	Mercy Medical Center-West Lakes	West Des Moines	Iowa	United States	50266
341	Cancer Center of Kansas - Chanute	Chanute	Kansas	United States	66720
342	Cancer Center of Kansas - Dodge City	Dodge City	Kansas	United States	67801
343	Cancer Center of Kansas - El Dorado	El Dorado	Kansas	United States	67042
344	Central Care Cancer Center - Garden City	Garden City	Kansas	United States	67846
345	Central Care Cancer Center - Great Bend	Great Bend	Kansas	United States	67530
346	HaysMed University of Kansas Health System	Hays	Kansas	United States	67601
347	Cancer Center of Kansas-Independence	Independence	Kansas	United States	67301
348	University of Kansas Cancer Center	Kansas City	Kansas	United States	66160
349	Cancer Center of Kansas-Kingman	Kingman	Kansas	United States	67068
350	Lawrence Memorial Hospital	Lawrence	Kansas	United States	66044
351	Cancer Center of Kansas-Liberal	Liberal	Kansas	United States	67905
352	Cancer Center of Kansas-Manhattan	Manhattan	Kansas	United States	66502
353	Cancer Center of Kansas - McPherson	McPherson	Kansas	United States	67460
354	Cancer Center of Kansas - Newton	Newton	Kansas	United States	67114
355	Olathe Health Cancer Center	Olathe	Kansas	United States	66061
356	University of Kansas Cancer Center-Overland Park	Overland Park	Kansas	United States	66210
357	Saint Luke's South Hospital	Overland Park	Kansas	United States	66213
358	Cancer Center of Kansas - Parsons	Parsons	Kansas	United States	67357
359	Ascension Via Christi - Pittsburg	Pittsburg	Kansas	United States	66762
360	Cancer Center of Kansas - Pratt	Pratt	Kansas	United States	67124
361	Cancer Center of Kansas - Salina	Salina	Kansas	United States	67401
362	Salina Regional Health Center	Salina	Kansas	United States	67401
363	Cotton O'Neil Cancer Center / Stormont Vail Health	Topeka	Kansas	United States	66606
364	University of Kansas Health System Saint Francis Campus	Topeka	Kansas	United States	66606
365	Cancer Center of Kansas - Wellington	Wellington	Kansas	United States	67152
366	University of Kansas Hospital-Westwood Cancer Center	Westwood	Kansas	United States	66205
367	Cancer Center of Kansas-Wichita Medical Arts Tower	Wichita	Kansas	United States	67208
368	Ascension Via Christi Hospitals Wichita	Wichita	Kansas	United States	67214
369	Cancer Center of Kansas - Wichita	Wichita	Kansas	United States	67214
370	Cancer Center of Kansas - Winfield	Winfield	Kansas	United States	67156
371	Flaget Memorial Hospital	Bardstown	Kentucky	United States	40004
372	Baptist Health Corbin	Corbin	Kentucky	United States	40701
373	Commonwealth Cancer Center-Corbin	Corbin	Kentucky	United States	40701
374	Saint Elizabeth Healthcare Edgewood	Edgewood	Kentucky	United States	41017
375	Baptist Health Hardin	Elizabethtown	Kentucky	United States	42701
376	Saint Elizabeth Fort Thomas	Fort Thomas	Kentucky	United States	41075
377	Baptist Health Lexington	Lexington	Kentucky	United States	40503
378	Saint Joseph Radiation Oncology Resource Center	Lexington	Kentucky	United States	40504
379	Saint Joseph Hospital East	Lexington	Kentucky	United States	40509
380	University of Kentucky/Markey Cancer Center	Lexington	Kentucky	United States	40536
381	Saint Joseph London	London	Kentucky	United States	40741
382	Jewish Hospital	Louisville	Kentucky	United States	40202
383	Baptist Health Louisville	Louisville	Kentucky	United States	40207
384	Saints Mary and Elizabeth Hospital	Louisville	Kentucky	United States	40215
385	UofL Health Medical Center Northeast	Louisville	Kentucky	United States	40245
386	Baptist Health Madisonville/Merle Mahr Cancer Center	Madisonville	Kentucky	United States	42431
387	Baptist Health Paducah	Paducah	Kentucky	United States	42003
388	Jewish Hospital Medical Center South	Shepherdsville	Kentucky	United States	40165
389	Christus Saint Frances Cabrini Hospital	Alexandria	Louisiana	United States	71301
390	LSU Health Baton Rouge-North Clinic	Baton Rouge	Louisiana	United States	70805
391	Louisiana Hematology Oncology Associates LLC	Baton Rouge	Louisiana	United States	70809
392	Mary Bird Perkins Cancer Center	Baton Rouge	Louisiana	United States	70809
393	Our Lady of the Lake Physicians Group - Medical Oncology	Baton Rouge	Louisiana	United States	70809
394	Medical Center of Baton Rouge	Baton Rouge	Louisiana	United States	70816
395	Ochsner High Grove	Baton Rouge	Louisiana	United States	70836
396	Northshore Oncology Associates-Covington	Covington	Louisiana	United States	70433
397	Ochsner Hematology Oncology North Shore - Covington (West Region)	Covington	Louisiana	United States	70433
398	Terrebonne General Medical Center	Houma	Louisiana	United States	70360
399	Ochsner Medical Center Kenner	Kenner	Louisiana	United States	70065
400	Louisiana State University Health Science Center	New Orleans	Louisiana	United States	70112
401	University Medical Center New Orleans	New Orleans	Louisiana	United States	70112
402	Ochsner Medical Center Jefferson	New Orleans	Louisiana	United States	70121
403	CHRISTUS Highland Medical Center	Shreveport	Louisiana	United States	71105
404	Ochsner Hematology Oncology North Shore - Slidell (East Region)	Slidell	Louisiana	United States	70458
405	Saint Tammany Hospital Service District #2 / Slidell Memorial Hospital	Slidell	Louisiana	United States	70458
406	Harold Alfond Center for Cancer Care	Augusta	Maine	United States	04330
407	Eastern Maine Medical Center	Bangor	Maine	United States	04401
408	Waldo County General Hospital	Belfast	Maine	United States	04915
409	MaineHealth/SMHC Cancer Care and Blood Disorders-Biddeford	Biddeford	Maine	United States	04005
410	Lafayette Family Cancer Center-EMMC	Brewer	Maine	United States	04412
411	Stephens Memorial Hospital	Norway	Maine	United States	04268
412	Penobscot Bay Medical Center	Rockport	Maine	United States	04856
413	MaineHealth/SMHC Cancer Care and Blood Disorders-Sanford	Sanford	Maine	United States	04073
414	Maine Medical Partners - South Portland	South Portland	Maine	United States	04106
415	Anne Arundel Medical Center	Annapolis	Maryland	United States	21401
416	University of Maryland/Greenebaum Cancer Center	Baltimore	Maryland	United States	21201
417	Greater Baltimore Medical Center	Baltimore	Maryland	United States	21204
418	Sinai Hospital of Baltimore	Baltimore	Maryland	United States	21215
419	Kaiser Permanente-Woodlawn Medical Center	Baltimore	Maryland	United States	21244
420	Johns Hopkins University/Sidney Kimmel Cancer Center	Baltimore	Maryland	United States	21287
421	UM Upper Chesapeake Medical Center	Bel Air	Maryland	United States	21014
422	Western Maryland Regional Medical Center	Cumberland	Maryland	United States	21502
423	Kaiser Permanente-Gaithersburg Medical Center	Gaithersburg	Maryland	United States	20879
424	UM Baltimore Washington Medical Center/Tate Cancer Center	Glen Burnie	Maryland	United States	21061
425	Kaiser Permanente - Kensington Medical Center	Kensington	Maryland	United States	20895
426	Kaiser Permanente - Largo Medical Center	Largo	Maryland	United States	20774
427	TidalHealth Richard A Henson Cancer Institute	Ocean Pines	Maryland	United States	21811
428	Northwest Hospital Center	Randallstown	Maryland	United States	21133
429	TidalHealth Peninsula Regional	Salisbury	Maryland	United States	21801
430	William E Kahlert Regional Cancer Center/Sinai Hospital	Westminster	Maryland	United States	21157
431	Beverly Hospital	Beverly	Massachusetts	United States	01915
432	Boston Medical Center	Boston	Massachusetts	United States	02118
433	Beth Israel Deaconess Medical Center	Boston	Massachusetts	United States	02215
434	Dana-Farber Cancer Institute	Boston	Massachusetts	United States	02215
435	Steward Saint Elizabeth's Medical Center	Brighton	Massachusetts	United States	02135
436	Lahey Hospital and Medical Center	Burlington	Massachusetts	United States	01805
437	Addison Gilbert Hospital	Gloucester	Massachusetts	United States	01930
438	Dana-Farber/Brigham and Women's Cancer Center at Milford Regional	Milford	Massachusetts	United States	01757
439	Lahey Medical Center-Peabody	Peabody	Massachusetts	United States	01960
440	Berkshire Medical Center - Cancer Center	Pittsfield	Massachusetts	United States	01201
441	Dana-Farber/Brigham and Women's Cancer Center at South Shore	South Weymouth	Massachusetts	United States	02190
442	Mercy Medical Center	Springfield	Massachusetts	United States	01104
443	Winchester Hospital	Winchester	Massachusetts	United States	01890
444	UMass Memorial Medical Center - University Campus	Worcester	Massachusetts	United States	01655
445	Hickman Cancer Center	Adrian	Michigan	United States	49221
446	MyMichigan Medical Center Gratiot	Alma	Michigan	United States	48801
447	MyMichigan Medical Center Alpena	Alpena	Michigan	United States	49707
448	Saint Joseph Mercy Hospital	Ann Arbor	Michigan	United States	48106
449	Bronson Battle Creek	Battle Creek	Michigan	United States	49017
450	Saint Joseph Mercy Brighton	Brighton	Michigan	United States	48114
451	Trinity Health IHA Medical Group Hematology Oncology - Brighton	Brighton	Michigan	United States	48114
452	Henry Ford Cancer Institute-Downriver	Brownstown	Michigan	United States	48183
453	Saint Joseph Mercy Canton	Canton	Michigan	United States	48188
454	Trinity Health IHA Medical Group Hematology Oncology - Canton	Canton	Michigan	United States	48188
455	Caro Cancer Center	Caro	Michigan	United States	48723
456	Saint Joseph Mercy Chelsea	Chelsea	Michigan	United States	48118
457	Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital	Chelsea	Michigan	United States	48118
458	Hematology Oncology Consultants-Clarkston	Clarkston	Michigan	United States	48346
459	Newland Medical Associates-Clarkston	Clarkston	Michigan	United States	48346
460	Henry Ford Macomb Hospital-Clinton Township	Clinton Township	Michigan	United States	48038
461	Beaumont Hospital - Dearborn	Dearborn	Michigan	United States	48124
462	Henry Ford Medical Center-Fairlane	Dearborn	Michigan	United States	48126
463	Henry Ford Hospital	Detroit	Michigan	United States	48202
464	Ascension Saint John Hospital	Detroit	Michigan	United States	48236
465	Great Lakes Cancer Management Specialists-Doctors Park	East China Township	Michigan	United States	48054
466	Beaumont Hospital - Farmington Hills	Farmington Hills	Michigan	United States	48336
467	Genesee Cancer and Blood Disease Treatment Center	Flint	Michigan	United States	48503
468	Genesee Hematology Oncology PC	Flint	Michigan	United States	48503
469	Genesys Hurley Cancer Institute	Flint	Michigan	United States	48503
470	Hurley Medical Center	Flint	Michigan	United States	48503
471	MyMichigan Medical Center Gladwin	Gladwin	Michigan	United States	48624
472	Helen DeVos Children's Hospital at Spectrum Health	Grand Rapids	Michigan	United States	49503
473	Mercy Health Saint Mary's	Grand Rapids	Michigan	United States	49503
474	Spectrum Health at Butterworth Campus	Grand Rapids	Michigan	United States	49503
475	Academic Hematology Oncology Specialists	Grosse Pointe Woods	Michigan	United States	48236
476	Great Lakes Cancer Management Specialists-Van Elslander Cancer Center	Grosse Pointe Woods	Michigan	United States	48236
477	Michigan Breast Specialists-Grosse Pointe Woods	Grosse Pointe Woods	Michigan	United States	48236
478	Allegiance Health	Jackson	Michigan	United States	49201
479	Bronson Methodist Hospital	Kalamazoo	Michigan	United States	49007
480	West Michigan Cancer Center	Kalamazoo	Michigan	United States	49007
481	Ascension Borgess Cancer Center	Kalamazoo	Michigan	United States	49009
482	Borgess Medical Center	Kalamazoo	Michigan	United States	49048
483	Sparrow Hospital	Lansing	Michigan	United States	48912
484	Hope Cancer Clinic	Livonia	Michigan	United States	48154
485	Trinity Health Saint Mary Mercy Livonia Hospital	Livonia	Michigan	United States	48154
486	Great Lakes Cancer Management Specialists-Macomb Medical Campus	Macomb	Michigan	United States	48044
487	Michigan Breast Specialists-Macomb Township	Macomb	Michigan	United States	48044
488	Saint Mary's Oncology/Hematology Associates of Marlette	Marlette	Michigan	United States	48453
489	MyMichigan Medical Center Midland	Midland	Michigan	United States	48670
490	Toledo Clinic Cancer Centers-Monroe	Monroe	Michigan	United States	48162
491	Mercy Health Mercy Campus	Muskegon	Michigan	United States	49444
492	Lakeland Hospital Niles	Niles	Michigan	United States	49120
493	Cancer and Hematology Centers of Western Michigan - Norton Shores	Norton Shores	Michigan	United States	49444
494	Ascension Providence Hospitals - Novi	Novi	Michigan	United States	48374
495	Henry Ford Medical Center-Columbus	Novi	Michigan	United States	48377
496	21st Century Oncology-Pontiac	Pontiac	Michigan	United States	48341
497	Hope Cancer Center	Pontiac	Michigan	United States	48341
498	Newland Medical Associates-Pontiac	Pontiac	Michigan	United States	48341
499	Saint Joseph Mercy Oakland	Pontiac	Michigan	United States	48341
500	Spectrum Health Reed City Hospital	Reed City	Michigan	United States	49677
501	Great Lakes Cancer Management Specialists-Rochester Hills	Rochester Hills	Michigan	United States	48309
502	Oakland Colon Rectal Associates	Royal Oak	Michigan	United States	48067
503	Cancer Care Associates PC	Royal Oak	Michigan	United States	48073
504	Comprehensive Medical Center PLLC	Royal Oak	Michigan	United States	48073
505	Hematology Oncology Consultants PC	Royal Oak	Michigan	United States	48073
506	Oakland Medical Group	Royal Oak	Michigan	United States	48073
507	William Beaumont Hospital-Royal Oak	Royal Oak	Michigan	United States	48073
508	Ascension Saint Mary's Hospital	Saginaw	Michigan	United States	48601
509	Oncology Hematology Associates of Saginaw Valley PC	Saginaw	Michigan	United States	48604
510	Lakeland Medical Center Saint Joseph	Saint Joseph	Michigan	United States	49085
511	Marie Yeager Cancer Center	Saint Joseph	Michigan	United States	49085
512	Henry Ford Macomb Health Center - Shelby Township	Shelby	Michigan	United States	48315
513	Ascension Providence Hospitals - Southfield	Southfield	Michigan	United States	48075
514	Bhadresh Nayak MD PC-Sterling Heights	Sterling Heights	Michigan	United States	48312
515	Premier Hematology Oncology Care	Sterling Heights	Michigan	United States	48312
516	Ascension Saint Joseph Hospital	Tawas City	Michigan	United States	48764
517	Munson Medical Center	Traverse City	Michigan	United States	49684
518	Michigan Institute of Urology-Town Center	Troy	Michigan	United States	48084
519	William Beaumont Hospital - Troy	Troy	Michigan	United States	48085
520	Hematology Oncology Consultants PC-Troy	Troy	Michigan	United States	48098
521	Advanced Breast Care Center PLLC	Warren	Michigan	United States	48088
522	Great Lakes Cancer Management Specialists-Macomb Professional Building	Warren	Michigan	United States	48093
523	Macomb Hematology Oncology PC	Warren	Michigan	United States	48093
524	Michigan Breast Specialists-Warren	Warren	Michigan	United States	48093
525	Saint John Macomb-Oakland Hospital	Warren	Michigan	United States	48093
526	Henry Ford West Bloomfield Hospital	West Bloomfield	Michigan	United States	48322
527	Saint Mary's Oncology/Hematology Associates of West Branch	West Branch	Michigan	United States	48661
528	Metro Health Hospital	Wyoming	Michigan	United States	49519
529	Huron Gastroenterology PC	Ypsilanti	Michigan	United States	48106
530	Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus	Ypsilanti	Michigan	United States	48197
531	Riverwood Healthcare Center	Aitkin	Minnesota	United States	56431
532	Sanford Joe Lueken Cancer Center	Bemidji	Minnesota	United States	56601
533	Essentia Health Saint Joseph's Medical Center	Brainerd	Minnesota	United States	56401
534	Fairview Ridges Hospital	Burnsville	Minnesota	United States	55337
535	Minnesota Oncology - Burnsville	Burnsville	Minnesota	United States	55337
536	Cambridge Medical Center	Cambridge	Minnesota	United States	55008
537	Mercy Hospital	Coon Rapids	Minnesota	United States	55433
538	Essentia Health - Deer River Clinic	Deer River	Minnesota	United States	56636
539	Essentia Health Saint Mary's - Detroit Lakes Clinic	Detroit Lakes	Minnesota	United States	56501
540	Essentia Health Cancer Center	Duluth	Minnesota	United States	55805
541	Essentia Health Saint Mary's Medical Center	Duluth	Minnesota	United States	55805
542	Miller-Dwan Hospital	Duluth	Minnesota	United States	55805
543	Fairview Southdale Hospital	Edina	Minnesota	United States	55435
544	Lake Region Healthcare Corporation-Cancer Care	Fergus Falls	Minnesota	United States	56537
545	Essentia Health - Fosston	Fosston	Minnesota	United States	56542
546	Unity Hospital	Fridley	Minnesota	United States	55432
547	Essentia Health Hibbing Clinic	Hibbing	Minnesota	United States	55746
548	Fairview Clinics and Surgery Center Maple Grove	Maple Grove	Minnesota	United States	55369
549	Minnesota Oncology Hematology PA-Maplewood	Maplewood	Minnesota	United States	55109
550	Saint John's Hospital - Healtheast	Maplewood	Minnesota	United States	55109
551	Abbott-Northwestern Hospital	Minneapolis	Minnesota	United States	55407
552	Hennepin County Medical Center	Minneapolis	Minnesota	United States	55415
553	Minneapolis VA Medical Center	Minneapolis	Minnesota	United States	55417
554	Health Partners Inc	Minneapolis	Minnesota	United States	55454
555	Monticello Cancer Center	Monticello	Minnesota	United States	55362
556	New Ulm Medical Center	New Ulm	Minnesota	United States	56073
557	Essentia Health - Park Rapids	Park Rapids	Minnesota	United States	56470
558	Fairview Northland Medical Center	Princeton	Minnesota	United States	55371
559	North Memorial Medical Health Center	Robbinsdale	Minnesota	United States	55422
560	Mayo Clinic in Rochester	Rochester	Minnesota	United States	55905
561	Coborn Cancer Center at Saint Cloud Hospital	Saint Cloud	Minnesota	United States	56303
562	Park Nicollet Clinic - Saint Louis Park	Saint Louis Park	Minnesota	United States	55416
563	Regions Hospital	Saint Paul	Minnesota	United States	55101
564	United Hospital	Saint Paul	Minnesota	United States	55102
565	Essentia Health Sandstone	Sandstone	Minnesota	United States	55072
566	Saint Francis Regional Medical Center	Shakopee	Minnesota	United States	55379
567	Lakeview Hospital	Stillwater	Minnesota	United States	55082
568	Sanford Thief River Falls Medical Center	Thief River Falls	Minnesota	United States	56701
569	Essentia Health Virginia Clinic	Virginia	Minnesota	United States	55792
570	Ridgeview Medical Center	Waconia	Minnesota	United States	55387
571	Rice Memorial Hospital	Willmar	Minnesota	United States	56201
572	Minnesota Oncology Hematology PA-Woodbury	Woodbury	Minnesota	United States	55125
573	Sanford Cancer Center Worthington	Worthington	Minnesota	United States	56187
574	Fairview Lakes Medical Center	Wyoming	Minnesota	United States	55092
575	Baptist Memorial Hospital and Cancer Center-Golden Triangle	Columbus	Mississippi	United States	39705
576	Baptist Cancer Center-Grenada	Grenada	Mississippi	United States	38901
577	Gulfport Memorial Hospital	Gulfport	Mississippi	United States	39502
578	Hattiesburg Clinic - Hematology/Oncology Clinic	Hattiesburg	Mississippi	United States	39401
579	Forrest General Hospital / Cancer Center	Hattiesburg	Mississippi	United States	39404
580	University of Mississippi Medical Center	Jackson	Mississippi	United States	39216
581	Baptist Memorial Hospital and Cancer Center-Union County	New Albany	Mississippi	United States	38652
582	Baptist Memorial Hospital and Cancer Center-Oxford	Oxford	Mississippi	United States	38655
583	Baptist Memorial Hospital and Cancer Center-Desoto	Southhaven	Mississippi	United States	38671
584	Saint Louis Cancer and Breast Institute-Ballwin	Ballwin	Missouri	United States	63011
585	Central Care Cancer Center - Bolivar	Bolivar	Missouri	United States	65613
586	Cox Cancer Center Branson	Branson	Missouri	United States	65616
587	Saint Francis Medical Center	Cape Girardeau	Missouri	United States	63703
588	Southeast Cancer Center	Cape Girardeau	Missouri	United States	63703
589	University of Missouri - Ellis Fischel	Columbia	Missouri	United States	65212
590	Siteman Cancer Center at West County Hospital	Creve Coeur	Missouri	United States	63141
591	Parkland Health Center - Farmington	Farmington	Missouri	United States	63640
592	Capital Region Southwest Campus	Jefferson City	Missouri	United States	65109
593	Freeman Health System	Joplin	Missouri	United States	64804
594	Mercy Hospital Joplin	Joplin	Missouri	United States	64804
595	Truman Medical Centers	Kansas City	Missouri	United States	64108
596	Saint Luke's Hospital of Kansas City	Kansas City	Missouri	United States	64111
597	University of Kansas Cancer Center - North	Kansas City	Missouri	United States	64154
598	University of Kansas Cancer Center - Lee's Summit	Lee's Summit	Missouri	United States	64064
599	Saint Luke's East - Lee's Summit	Lee's Summit	Missouri	United States	64086
600	University of Kansas Cancer Center at North Kansas City Hospital	North Kansas City	Missouri	United States	64116
601	Delbert Day Cancer Institute at PCRMC	Rolla	Missouri	United States	65401
602	Mercy Clinic-Rolla-Cancer and Hematology	Rolla	Missouri	United States	65401
603	Heartland Regional Medical Center	Saint Joseph	Missouri	United States	64506
604	Saint Louis Cancer and Breast Institute-South City	Saint Louis	Missouri	United States	63109
605	Washington University School of Medicine	Saint Louis	Missouri	United States	63110
606	Veteran's Affairs Medical Center - Saint Louis	Saint Louis	Missouri	United States	63125
607	Mercy Hospital South	Saint Louis	Missouri	United States	63128
608	Siteman Cancer Center-South County	Saint Louis	Missouri	United States	63129
609	Missouri Baptist Medical Center	Saint Louis	Missouri	United States	63131
610	Siteman Cancer Center at Christian Hospital	Saint Louis	Missouri	United States	63136
611	Mercy Hospital Saint Louis	Saint Louis	Missouri	United States	63141
612	Siteman Cancer Center at Saint Peters Hospital	Saint Peters	Missouri	United States	63376
613	Sainte Genevieve County Memorial Hospital	Sainte Genevieve	Missouri	United States	63670
614	Mercy Hospital Springfield	Springfield	Missouri	United States	65804
615	CoxHealth South Hospital	Springfield	Missouri	United States	65807
616	Missouri Baptist Sullivan Hospital	Sullivan	Missouri	United States	63080
617	Missouri Baptist Outpatient Center-Sunset Hills	Sunset Hills	Missouri	United States	63127
618	Mercy Hospital Washington	Washington	Missouri	United States	63090
619	Community Hospital of Anaconda	Anaconda	Montana	United States	59711
620	Billings Clinic Cancer Center	Billings	Montana	United States	59101
621	Saint Vincent Healthcare	Billings	Montana	United States	59101
622	Saint Vincent Frontier Cancer Center	Billings	Montana	United States	59102
623	Bozeman Deaconess Hospital	Bozeman	Montana	United States	59715
624	Saint James Community Hospital and Cancer Treatment Center	Butte	Montana	United States	59701
625	Benefis Healthcare- Sletten Cancer Institute	Great Falls	Montana	United States	59405
626	Great Falls Clinic	Great Falls	Montana	United States	59405
627	Kalispell Regional Medical Center	Kalispell	Montana	United States	59901
628	Saint Patrick Hospital - Community Hospital	Missoula	Montana	United States	59802
629	Community Medical Hospital	Missoula	Montana	United States	59804
630	Nebraska Medicine-Bellevue	Bellevue	Nebraska	United States	68123
631	CHI Health Saint Francis	Grand Island	Nebraska	United States	68803
632	CHI Health Good Samaritan	Kearney	Nebraska	United States	68847
633	Saint Elizabeth Regional Medical Center	Lincoln	Nebraska	United States	68510
634	Cancer Partners of Nebraska - Pine Lake	Lincoln	Nebraska	United States	68516
635	Southeast Nebraska Cancer Center - 68th Street Place	Lincoln	Nebraska	United States	68516
636	Nebraska Methodist Hospital	Omaha	Nebraska	United States	68114
637	Nebraska Medicine-Village Pointe	Omaha	Nebraska	United States	68118
638	Alegent Health Immanuel Medical Center	Omaha	Nebraska	United States	68122
639	Alegent Health Bergan Mercy Medical Center	Omaha	Nebraska	United States	68124
640	Alegent Health Lakeside Hospital	Omaha	Nebraska	United States	68130
641	Creighton University Medical Center	Omaha	Nebraska	United States	68131
642	University of Nebraska Medical Center	Omaha	Nebraska	United States	68198
643	Midlands Community Hospital	Papillion	Nebraska	United States	68046
644	Carson Tahoe Regional Medical Center	Carson City	Nevada	United States	89703
645	Cancer and Blood Specialists-Henderson	Henderson	Nevada	United States	89052
646	Comprehensive Cancer Centers of Nevada - Henderson	Henderson	Nevada	United States	89052
647	Comprehensive Cancer Centers of Nevada-Horizon Ridge	Henderson	Nevada	United States	89052
648	Las Vegas Cancer Center-Henderson	Henderson	Nevada	United States	89052
649	OptumCare Cancer Care at Seven Hills	Henderson	Nevada	United States	89052
650	Comprehensive Cancer Centers of Nevada-Southeast Henderson	Henderson	Nevada	United States	89074
651	GenesisCare USA - Henderson	Henderson	Nevada	United States	89074
652	Las Vegas Urology - Green Valley	Henderson	Nevada	United States	89074
653	Las Vegas Urology - Pebble	Henderson	Nevada	United States	89074
654	Urology Specialists of Nevada - Green Valley	Henderson	Nevada	United States	89074
655	Las Vegas Urology - Pecos	Las Vegas	Nevada	United States	89074
656	Desert West Surgery	Las Vegas	Nevada	United States	89102
657	OptumCare Cancer Care at Charleston	Las Vegas	Nevada	United States	89102
658	University Medical Center of Southern Nevada	Las Vegas	Nevada	United States	89102
659	Hope Cancer Care of Nevada	Las Vegas	Nevada	United States	89103
660	Cancer and Blood Specialists-Shadow	Las Vegas	Nevada	United States	89106
661	Radiation Oncology Centers of Nevada Central	Las Vegas	Nevada	United States	89106
662	Urology Specialists of Nevada - Central	Las Vegas	Nevada	United States	89106
663	GenesisCare USA - Las Vegas	Las Vegas	Nevada	United States	89109
664	HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway	Las Vegas	Nevada	United States	89109
665	Sunrise Hospital and Medical Center	Las Vegas	Nevada	United States	89109
666	HealthCare Partners Medical Group Oncology/Hematology-San Martin	Las Vegas	Nevada	United States	89113
667	Las Vegas Prostate Cancer Center	Las Vegas	Nevada	United States	89113
668	Las Vegas Urology - Sunset	Las Vegas	Nevada	United States	89113
669	Urology Specialists of Nevada - Southwest	Las Vegas	Nevada	United States	89113
670	Radiation Oncology Centers of Nevada Southeast	Las Vegas	Nevada	United States	89119
671	Ann M Wierman MD LTD	Las Vegas	Nevada	United States	89128
672	Cancer and Blood Specialists-Tenaya	Las Vegas	Nevada	United States	89128
673	Comprehensive Cancer Centers of Nevada - Northwest	Las Vegas	Nevada	United States	89128
674	GenesisCare USA - Vegas Tenaya	Las Vegas	Nevada	United States	89128
675	HealthCare Partners Medical Group Oncology/Hematology-Tenaya	Las Vegas	Nevada	United States	89128
676	Las Vegas Urology - Cathedral Rock	Las Vegas	Nevada	United States	89128
677	Las Vegas Urology - Smoke Ranch	Las Vegas	Nevada	United States	89128
678	OptumCare Cancer Care at MountainView	Las Vegas	Nevada	United States	89128
679	Urology Specialists of Nevada - Northwest	Las Vegas	Nevada	United States	89128
680	Alliance for Childhood Diseases/Cure 4 the Kids Foundation	Las Vegas	Nevada	United States	89135
681	Comprehensive Cancer Centers of Nevada - Town Center	Las Vegas	Nevada	United States	89144
682	Comprehensive Cancer Centers of Nevada-Summerlin	Las Vegas	Nevada	United States	89144
683	Summerlin Hospital Medical Center	Las Vegas	Nevada	United States	89144
684	Las Vegas Cancer Center-Medical Center	Las Vegas	Nevada	United States	89148-2405
685	Comprehensive Cancer Centers of Nevada	Las Vegas	Nevada	United States	89148
686	GenesisCare USA - Fort Apache	Las Vegas	Nevada	United States	89148
687	OptumCare Cancer Care at Fort Apache	Las Vegas	Nevada	United States	89148
688	HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills	Las Vegas	Nevada	United States	89149
689	Comprehensive Cancer Centers of Nevada - Central Valley	Las Vegas	Nevada	United States	89169
690	University Cancer Center	Las Vegas	Nevada	United States	89169
691	Hope Cancer Care of Nevada-Pahrump	Pahrump	Nevada	United States	89048
692	Renown Regional Medical Center	Reno	Nevada	United States	89502
693	Saint Mary's Regional Medical Center	Reno	Nevada	United States	89503
694	Radiation Oncology Associates	Reno	Nevada	United States	89509
695	New Hampshire Oncology Hematology PA-Concord	Concord	New Hampshire	United States	03301
696	The Dana-Farber Cancer Institute at Londonderry	Londonderry	New Hampshire	United States	03053
697	Elliot Hospital	Manchester	New Hampshire	United States	03103
698	Solinsky Center for Cancer Care	Manchester	New Hampshire	United States	03103
699	Cooper Hospital University Medical Center	Camden	New Jersey	United States	08103
700	Virtua Samson Cancer Center	Moorestown	New Jersey	United States	08057
701	Virtua Memorial	Mount Holly	New Jersey	United States	08060
702	The Valley Hospital-Luckow Pavilion	Paramus	New Jersey	United States	07652
703	Neurosurgeons of New Jersey-Ridgewood	Ridgewood	New Jersey	United States	07450
704	Valley Hospital	Ridgewood	New Jersey	United States	07450
705	Virtua Voorhees	Voorhees	New Jersey	United States	08043
706	Valley Health System-Hematology/Oncology	Westwood	New Jersey	United States	07675
707	Lovelace Medical Center-Saint Joseph Square	Albuquerque	New Mexico	United States	87102
708	University of New Mexico Cancer Center	Albuquerque	New Mexico	United States	87102
709	Presbyterian Kaseman Hospital	Albuquerque	New Mexico	United States	87110
710	Presbyterian Rust Medical Center/Jorgensen Cancer Center	Rio Rancho	New Mexico	United States	87124
711	Hematology Oncology Associates of Central New York-Auburn	Auburn	New York	United States	13021
712	Northwell Health Imbert Cancer Center	Bay Shore	New York	United States	11706
713	Montefiore Medical Center-Einstein Campus	Bronx	New York	United States	10461
714	Montefiore Medical Center-Weiler Hospital	Bronx	New York	United States	10461
715	Montefiore Medical Center - Moses Campus	Bronx	New York	United States	10467
716	James J Peters VA Medical Center	Bronx	New York	United States	10468
717	Maimonides Medical Center	Brooklyn	New York	United States	11219
718	Roswell Park Cancer Institute	Buffalo	New York	United States	14263
719	Mary Imogene Bassett Hospital	Cooperstown	New York	United States	13326
720	Cancer Institute at Saint Francis Hospital	East Hills	New York	United States	11548
721	Hematology Oncology Associates of Central New York-East Syracuse	East Syracuse	New York	United States	13057
722	Glens Falls Hospital	Glens Falls	New York	United States	12801
723	Northwell Health/Center for Advanced Medicine	Lake Success	New York	United States	11042
724	Nyack Hospital	Nyack	New York	United States	10960
725	Upstate Cancer Center at Oneida	Oneida	New York	United States	13421
726	Rochester General Hospital	Rochester	New York	United States	14621
727	University of Rochester	Rochester	New York	United States	14642
728	Phelps Memorial Hospital Center	Sleepy Hollow	New York	United States	10591
729	Stony Brook University Medical Center	Stony Brook	New York	United States	11794
730	State University of New York Upstate Medical University	Syracuse	New York	United States	13210
731	Hematology Oncology Associates of Central New York-Onondaga Hill	Syracuse	New York	United States	13215
732	Good Samaritan Hospital Medical Center	West Islip	New York	United States	11795
733	Dickstein Cancer Treatment Center	White Plains	New York	United States	10601
734	Randolph Hospital	Asheboro	North Carolina	United States	27203
735	Cone Health Cancer Center at Alamance Regional	Burlington	North Carolina	United States	27215
736	Wake Forest University at Clemmons	Clemmons	North Carolina	United States	27012
737	Duke University Medical Center	Durham	North Carolina	United States	27710
738	CaroMont Regional Medical Center	Gastonia	North Carolina	United States	28054
739	Cone Health Cancer Center	Greensboro	North Carolina	United States	27403
740	Margaret R Pardee Memorial Hospital	Hendersonville	North Carolina	United States	28791
741	Cone Heath Cancer Center at Mebane	Mebane	North Carolina	United States	27302
742	FirstHealth of the Carolinas-Moore Regional Hospital	Pinehurst	North Carolina	United States	28374
743	Duke Raleigh Hospital	Raleigh	North Carolina	United States	27609
744	Annie Penn Memorial Hospital	Reidsville	North Carolina	United States	27320
745	Wake Forest Baptist Health - Hematology Oncology - Statesville	Statesville	North Carolina	United States	28677
746	Wake Forest University Health Sciences	Winston-Salem	North Carolina	United States	27157
747	Sanford Bismarck Medical Center	Bismarck	North Dakota	United States	58501
748	Essentia Health Cancer Center-South University Clinic	Fargo	North Dakota	United States	58103
749	Sanford South University Medical Center	Fargo	North Dakota	United States	58103
750	Southpointe-Sanford Medical Center Fargo	Fargo	North Dakota	United States	58103
751	Sanford Medical Center Fargo	Fargo	North Dakota	United States	58104
752	Sanford Broadway Medical Center	Fargo	North Dakota	United States	58122
753	Sanford Roger Maris Cancer Center	Fargo	North Dakota	United States	58122
754	Essentia Health - Jamestown Clinic	Jamestown	North Dakota	United States	58401
755	Cleveland Clinic Akron General	Akron	Ohio	United States	44307
756	Aultman Alliance Community Hospital	Alliance	Ohio	United States	44601
757	Indu and Raj Soin Medical Center	Beavercreek	Ohio	United States	45431
758	Strecker Cancer Center-Belpre	Belpre	Ohio	United States	45714
759	Saint Elizabeth Boardman Hospital	Boardman	Ohio	United States	44512
760	Aultman Health Foundation	Canton	Ohio	United States	44710
761	Dayton Physicians LLC-Miami Valley South	Centerville	Ohio	United States	45459
762	Miami Valley Hospital South	Centerville	Ohio	United States	45459
763	Adena Regional Medical Center	Chillicothe	Ohio	United States	45601
764	Good Samaritan Hospital - Cincinnati	Cincinnati	Ohio	United States	45220
765	Oncology Hematology Care Inc-Kenwood	Cincinnati	Ohio	United States	45236
766	Bethesda North Hospital	Cincinnati	Ohio	United States	45242
767	TriHealth Cancer Institute-Westside	Cincinnati	Ohio	United States	45247
768	TriHealth Cancer Institute-Anderson	Cincinnati	Ohio	United States	45255
769	MetroHealth Medical Center	Cleveland	Ohio	United States	44109
770	Cleveland Clinic Cancer Center/Fairview Hospital	Cleveland	Ohio	United States	44111
771	Cleveland Clinic Foundation	Cleveland	Ohio	United States	44195
772	Mount Carmel East Hospital	Columbus	Ohio	United States	43213
773	Columbus Oncology and Hematology Associates Inc	Columbus	Ohio	United States	43214
774	Riverside Methodist Hospital	Columbus	Ohio	United States	43214
775	Grant Medical Center	Columbus	Ohio	United States	43215
776	The Mark H Zangmeister Center	Columbus	Ohio	United States	43219
777	Mount Carmel Health Center West	Columbus	Ohio	United States	43222
778	Doctors Hospital	Columbus	Ohio	United States	43228
779	Miami Valley Hospital	Dayton	Ohio	United States	45409
780	Dayton Physician LLC-Miami Valley Hospital North	Dayton	Ohio	United States	45415
781	Miami Valley Hospital North	Dayton	Ohio	United States	45415
782	Delaware Health Center-Grady Cancer Center	Delaware	Ohio	United States	43015
783	Grady Memorial Hospital	Delaware	Ohio	United States	43015
784	Dublin Methodist Hospital	Dublin	Ohio	United States	43016
785	Armes Family Cancer Center	Findlay	Ohio	United States	45840
786	Blanchard Valley Hospital	Findlay	Ohio	United States	45840
787	Orion Cancer Care	Findlay	Ohio	United States	45840
788	Atrium Medical Center-Middletown Regional Hospital	Franklin	Ohio	United States	45005-1066
789	Dayton Physicians LLC-Atrium	Franklin	Ohio	United States	45005
790	Central Ohio Breast and Endocrine Surgery	Gahanna	Ohio	United States	43230
791	Dayton Physicians LLC-Wayne	Greenville	Ohio	United States	45331
792	Wayne Hospital	Greenville	Ohio	United States	45331
793	Mount Carmel Grove City Hospital	Grove City	Ohio	United States	43123
794	Greater Dayton Cancer Center	Kettering	Ohio	United States	45409
795	First Dayton Cancer Care	Kettering	Ohio	United States	45420
796	Kettering Medical Center	Kettering	Ohio	United States	45429
797	Fairfield Medical Center	Lancaster	Ohio	United States	43130
798	Saint Rita's Medical Center	Lima	Ohio	United States	45801
799	OhioHealth Mansfield Hospital	Mansfield	Ohio	United States	44903
800	Cleveland Clinic Cancer Center Mansfield	Mansfield	Ohio	United States	44906
801	Marietta Memorial Hospital	Marietta	Ohio	United States	45750
802	OhioHealth Marion General Hospital	Marion	Ohio	United States	43302
803	Hillcrest Hospital Cancer Center	Mayfield Heights	Ohio	United States	44124
804	Knox Community Hospital	Mount Vernon	Ohio	United States	43050
805	Licking Memorial Hospital	Newark	Ohio	United States	43055
806	Newark Radiation Oncology	Newark	Ohio	United States	43055
807	Mercy Health Perrysburg Cancer Center	Perrysburg	Ohio	United States	43551
808	Southern Ohio Medical Center	Portsmouth	Ohio	United States	45662
809	North Coast Cancer Care	Sandusky	Ohio	United States	44870
810	Springfield Regional Cancer Center	Springfield	Ohio	United States	45504
811	Springfield Regional Medical Center	Springfield	Ohio	United States	45505
812	Trinity's Tony Teramana Cancer Center	Steubenville	Ohio	United States	43952
813	ProMedica Flower Hospital	Sylvania	Ohio	United States	43560
814	Saint Vincent Mercy Medical Center	Toledo	Ohio	United States	43608
815	University of Toledo	Toledo	Ohio	United States	43614
816	Mercy Health - Saint Anne Hospital	Toledo	Ohio	United States	43623
817	Toledo Clinic Cancer Centers-Toledo	Toledo	Ohio	United States	43623
818	Dayton Physicians LLC-Upper Valley	Troy	Ohio	United States	45373
819	Upper Valley Medical Center	Troy	Ohio	United States	45373
820	South Pointe Hospital	Warrensville Heights	Ohio	United States	44122
821	Saint Joseph Warren Hospital	Warren	Ohio	United States	44484
822	Saint Ann's Hospital	Westerville	Ohio	United States	43081
823	Cleveland Clinic Wooster Family Health and Surgery Center	Wooster	Ohio	United States	44691
824	Wright-Patterson Medical Center	Wright-Patterson Air Force Base	Ohio	United States	45433
825	Saint Elizabeth Youngstown Hospital	Youngstown	Ohio	United States	44501
826	Genesis Healthcare System Cancer Care Center	Zanesville	Ohio	United States	43701
827	Cancer Centers of Southwest Oklahoma Research	Lawton	Oklahoma	United States	73505
828	University of Oklahoma Health Sciences Center	Oklahoma City	Oklahoma	United States	73104
829	Integris Southwest Medical Center	Oklahoma City	Oklahoma	United States	73109
830	Mercy Hospital Oklahoma City	Oklahoma City	Oklahoma	United States	73120
831	Integris Cancer Institute of Oklahoma	Oklahoma City	Oklahoma	United States	73142
832	Saint Alphonsus Medical Center-Baker City	Baker City	Oregon	United States	97814
833	Saint Charles Health System	Bend	Oregon	United States	97701
834	Clackamas Radiation Oncology Center	Clackamas	Oregon	United States	97015
835	Providence Cancer Institute Clackamas Clinic	Clackamas	Oregon	United States	97015
836	Bay Area Hospital	Coos Bay	Oregon	United States	97420
837	Good Samaritan Hospital	Corvallis	Oregon	United States	97330
838	Three Rivers Community Hospital	Grants Pass	Oregon	United States	97527
839	Rogue Valley Medical Center	Medford	Oregon	United States	97504
840	Providence Newberg Medical Center	Newberg	Oregon	United States	97132
841	Saint Alphonsus Medical Center-Ontario	Ontario	Oregon	United States	97914
842	Providence Portland Medical Center	Portland	Oregon	United States	97213
843	Providence Saint Vincent Medical Center	Portland	Oregon	United States	97225
844	Kaiser Permanente Northwest	Portland	Oregon	United States	97227
845	Saint Charles Health System-Redmond	Redmond	Oregon	United States	97756
846	Lehigh Valley Hospital-Cedar Crest	Allentown	Pennsylvania	United States	18103
847	UPMC Altoona	Altoona	Pennsylvania	United States	16601
848	UPMC-Heritage Valley Health System Beaver	Beaver	Pennsylvania	United States	15009
849	Lehigh Valley Hospital - Muhlenberg	Bethlehem	Pennsylvania	United States	18017
850	Bryn Mawr Hospital	Bryn Mawr	Pennsylvania	United States	19010
851	UPMC Camp Hill	Camp Hill	Pennsylvania	United States	17011
852	Carlisle Regional Cancer Center	Carlisle	Pennsylvania	United States	17015
853	Christiana Care Health System-Concord Health Center	Chadds Ford	Pennsylvania	United States	19317
854	Chambersburg Hospital	Chambersburg	Pennsylvania	United States	17201
855	WellSpan Medical Oncology and Hematology	Chambersburg	Pennsylvania	United States	17201
856	Geisinger Medical Center	Danville	Pennsylvania	United States	17822
857	Doylestown Hospital	Doylestown	Pennsylvania	United States	18901
858	Fox Chase Cancer Center - East Norriton Hospital Outpatient Center	East Norriton	Pennsylvania	United States	19401
859	Pocono Medical Center	East Stroudsburg	Pennsylvania	United States	18301
860	Ephrata Cancer Center	Ephrata	Pennsylvania	United States	17522
861	Ephrata Community Hospital	Ephrata	Pennsylvania	United States	17522
862	UPMC Hillman Cancer Center Erie	Erie	Pennsylvania	United States	16505
863	UPMC Cancer Center at UPMC Horizon	Farrell	Pennsylvania	United States	16121
864	Adams Cancer Center	Gettysburg	Pennsylvania	United States	17325
865	UPMC Cancer Centers - Arnold Palmer Pavilion	Greensburg	Pennsylvania	United States	15601
866	Oncology Hematology Associates	Greenville	Pennsylvania	United States	16125
867	Cherry Tree Cancer Center	Hanover	Pennsylvania	United States	17331
868	UPMC Pinnacle Cancer Center/Community Osteopathic Campus	Harrisburg	Pennsylvania	United States	17109
869	Geisinger Medical Center-Cancer Center Hazleton	Hazleton	Pennsylvania	United States	18201
870	Lehigh Valley Hospital-Hazleton	Hazleton	Pennsylvania	United States	18201
871	IRMC Cancer Center	Indiana	Pennsylvania	United States	15701
872	UPMC-Johnstown/John P. Murtha Regional Cancer Center	Johnstown	Pennsylvania	United States	15901
873	Sechler Family Cancer Center	Lebanon	Pennsylvania	United States	17042
874	Geisinger Medical Oncology-Lewisburg	Lewisburg	Pennsylvania	United States	17837
875	Lewistown Hospital	Lewistown	Pennsylvania	United States	17044
876	UPMC Cancer Center at UPMC McKeesport	McKeesport	Pennsylvania	United States	15132
877	UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion	Mechanicsburg	Pennsylvania	United States	17050
878	Riddle Memorial Hospital	Media	Pennsylvania	United States	19063
879	UPMC Hillman Cancer Center - Monroeville	Monroeville	Pennsylvania	United States	15146
880	UPMC-Coraopolis/Heritage Valley Radiation Oncology	Moon	Pennsylvania	United States	15108
881	UPMC Hillman Cancer Center - Part of Frick Hospital	Mount Pleasant	Pennsylvania	United States	15666
882	Arnold Palmer Cancer Center Medical Oncology Norwin	N. Huntingdon	Pennsylvania	United States	15642
883	UPMC Hillman Cancer Center - New Castle	New Castle	Pennsylvania	United States	16105
884	Paoli Memorial Hospital	Paoli	Pennsylvania	United States	19301
885	Thomas Jefferson University Hospital	Philadelphia	Pennsylvania	United States	19107
886	Fox Chase Cancer Center	Philadelphia	Pennsylvania	United States	19111
887	Temple University Hospital	Philadelphia	Pennsylvania	United States	19140
888	UPMC-Saint Margaret	Pittsburgh	Pennsylvania	United States	15215
889	UPMC-Mercy Hospital	Pittsburgh	Pennsylvania	United States	15219
890	University of Pittsburgh Cancer Institute (UPCI)	Pittsburgh	Pennsylvania	United States	15232
891	UPMC-Shadyside Hospital	Pittsburgh	Pennsylvania	United States	15232
892	UPMC-Passavant Hospital	Pittsburgh	Pennsylvania	United States	15237
893	UPMC-Saint Clair Hospital Cancer Center	Pittsburgh	Pennsylvania	United States	15243
894	Pottstown Hospital	Pottstown	Pennsylvania	United States	19464
895	Geisinger Cancer Services-Pottsville	Pottsville	Pennsylvania	United States	17901
896	Community Medical Center	Scranton	Pennsylvania	United States	18510
897	Geisinger Medical Oncology-Selinsgrove	Selinsgrove	Pennsylvania	United States	17870
898	UPMC Cancer Center at UPMC Northwest	Seneca	Pennsylvania	United States	16346
899	Geisinger Medical Group	State College	Pennsylvania	United States	16801
900	UPMC Cancer Center-Uniontown	Uniontown	Pennsylvania	United States	15401
901	UPMC Cancer Center-Washington	Washington	Pennsylvania	United States	15301
902	UPMC West Mifflin-Cancer Center Jefferson	West Mifflin	Pennsylvania	United States	15122
903	Reading Hospital	West Reading	Pennsylvania	United States	19611
904	Geisinger Wyoming Valley/Henry Cancer Center	Wilkes-Barre	Pennsylvania	United States	18711
905	UPMC Susquehanna	Williamsport	Pennsylvania	United States	17701
906	Divine Providence Hospital	Williamsport	Pennsylvania	United States	17754
907	Lankenau Medical Center	Wynnewood	Pennsylvania	United States	19096
908	Cancer Care Associates of York	York	Pennsylvania	United States	17403
909	WellSpan Health-York Cancer Center	York	Pennsylvania	United States	17403
910	WellSpan Health-York Hospital	York	Pennsylvania	United States	17403
911	UPMC Memorial	York	Pennsylvania	United States	17408
912	Saint Joseph's/Candler - Bluffton Campus	Bluffton	South Carolina	United States	29910
913	Prisma Health Cancer Institute - Spartanburg	Boiling Springs	South Carolina	United States	29316
914	Roper Hospital	Charleston	South Carolina	United States	29401
915	Lowcountry Hematology Oncology PA-North Charleston	Charleston	South Carolina	United States	29406
916	Bon Secours Saint Francis Hospital	Charleston	South Carolina	United States	29414
917	Lowcountry Hematology Oncology PA-West Ashley	Charleston	South Carolina	United States	29414
918	Medical University of South Carolina	Charleston	South Carolina	United States	29425
919	Prisma Health Cancer Institute - Easley	Easley	South Carolina	United States	29640
920	Gibbs Cancer Center-Gaffney	Gaffney	South Carolina	United States	29341
921	Saint Francis Hospital	Greenville	South Carolina	United States	29601
922	Prisma Health Cancer Institute - Butternut	Greenville	South Carolina	United States	29605
923	Prisma Health Cancer Institute - Faris	Greenville	South Carolina	United States	29605
924	Saint Francis Cancer Center	Greenville	South Carolina	United States	29607
925	Prisma Health Cancer Institute - Eastside	Greenville	South Carolina	United States	29615
926	Prisma Health Cancer Institute - Greer	Greer	South Carolina	United States	29650
927	Gibbs Cancer Center-Pelham	Greer	South Carolina	United States	29651
928	South Carolina Cancer Specialists PC	Hilton Head Island	South Carolina	United States	29926-3827
929	Lowcountry Hematology Oncology PA-Mount Pleasant	Mount Pleasant	South Carolina	United States	29464
930	Prisma Health Cancer Institute - Seneca	Seneca	South Carolina	United States	29672
931	Spartanburg Medical Center	Spartanburg	South Carolina	United States	29303
932	MGC Hematology Oncology-Union	Union	South Carolina	United States	29379
933	Lexington Medical Center	West Columbia	South Carolina	United States	29169
934	Sanford Cancer Center Oncology Clinic	Sioux Falls	South Dakota	United States	57104
935	Sanford USD Medical Center - Sioux Falls	Sioux Falls	South Dakota	United States	57117-5134
936	Bristol Regional Medical Center	Bristol	Tennessee	United States	37620
937	Ballad Health Cancer Care - Kingsport	Kingsport	Tennessee	United States	37660
938	Wellmont Holston Valley Hospital and Medical Center	Kingsport	Tennessee	United States	37660
939	University of Tennessee - Knoxville	Knoxville	Tennessee	United States	37920
940	Baptist Memorial Hospital and Cancer Center-Memphis	Memphis	Tennessee	United States	38120
941	Hendrick Medical Center	Abilene	Texas	United States	79601
942	The Don and Sybil Harrington Cancer Center	Amarillo	Texas	United States	79106
943	Dell Seton Medical Center at The University of Texas	Austin	Texas	United States	78701
944	Houston Methodist San Jacinto Hospital	Baytown	Texas	United States	77521
945	Saint Joseph Regional Cancer Center	Bryan	Texas	United States	77802
946	Parkland Memorial Hospital	Dallas	Texas	United States	75235
947	UT Southwestern/Simmons Cancer Center-Dallas	Dallas	Texas	United States	75390
948	UT Southwestern/Simmons Cancer Center-Fort Worth	Fort Worth	Texas	United States	76104
949	Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center	Houston	Texas	United States	77030
950	Ben Taub General Hospital	Houston	Texas	United States	77030
951	Houston Methodist Hospital	Houston	Texas	United States	77030
952	Methodist Willowbrook Hospital	Houston	Texas	United States	77070
953	Houston Methodist West Hospital	Houston	Texas	United States	77094
954	Houston Methodist Saint John Hospital	Nassau Bay	Texas	United States	77058
955	UT Southwestern Clinical Center at Richardson/Plano	Richardson	Texas	United States	75080
956	Houston Methodist Sugar Land Hospital	Sugar Land	Texas	United States	77479
957	Houston Methodist The Woodlands Hospital	The Woodlands	Texas	United States	77385
958	Wellmont Medical Associates-Bristol	Bristol	Virginia	United States	24201
959	Kaiser Permanente-Burke Medical Center	Burke	Virginia	United States	22015
960	University of Virginia Cancer Center	Charlottesville	Virginia	United States	22908
961	Augusta Health Center for Cancer and Blood Disorders	Fishersville	Virginia	United States	22939
962	Centra Lynchburg Hematology-Oncology Clinic Inc	Lynchburg	Virginia	United States	24501
963	Sovah Health Martinsville	Martinsville	Virginia	United States	24115
964	Kaiser Permanente Tysons Corner Medical Center	McLean	Virginia	United States	22102
965	Bon Secours Memorial Regional Medical Center	Mechanicsville	Virginia	United States	23116
966	Bon Secours Westchester Emergency Center	Midlothian	Virginia	United States	23113
967	Bon Secours Saint Francis Medical Center	Midlothian	Virginia	United States	23114
968	Bon Secours DePaul Medical Center	Norfolk	Virginia	United States	23505
969	Southwest VA Regional Cancer Center	Norton	Virginia	United States	24273
970	Bon Secours Maryview Medical Center	Portsmouth	Virginia	United States	23707
971	Bon Secours Saint Mary's Hospital	Richmond	Virginia	United States	23226
972	Virginia Cancer Institute	Richmond	Virginia	United States	23229
973	Bon Secours Cancer Institute at Reynolds Crossing	Richmond	Virginia	United States	23230
974	VCU Massey Cancer Center at Stony Point	Richmond	Virginia	United States	23235
975	Virginia Commonwealth University/Massey Cancer Center	Richmond	Virginia	United States	23298
976	VCU Community Memorial Health Center	South Hill	Virginia	United States	23970
977	Bon Secours Health Center at Harbour View	Suffolk	Virginia	United States	23435
978	Providence Regional Cancer System-Aberdeen	Aberdeen	Washington	United States	98520
979	MultiCare Auburn Medical Center	Auburn	Washington	United States	98001
980	Overlake Medical Center	Bellevue	Washington	United States	98004
981	PeaceHealth Saint Joseph Medical Center	Bellingham	Washington	United States	98225
982	Harrison HealthPartners Hematology and Oncology-Bremerton	Bremerton	Washington	United States	98310
983	Harrison Medical Center	Bremerton	Washington	United States	98310
984	Highline Medical Center-Main Campus	Burien	Washington	United States	98166
985	Providence Regional Cancer System-Centralia	Centralia	Washington	United States	98531
986	Swedish Cancer Institute-Edmonds	Edmonds	Washington	United States	98026
987	Saint Elizabeth Hospital	Enumclaw	Washington	United States	98022
988	Providence Regional Cancer Partnership	Everett	Washington	United States	98201
989	Saint Francis Hospital	Federal Way	Washington	United States	98003
990	MultiCare Gig Harbor Medical Park	Gig Harbor	Washington	United States	98335
991	Swedish Cancer Institute-Issaquah	Issaquah	Washington	United States	98029
992	Kadlec Clinic Hematology and Oncology	Kennewick	Washington	United States	99336
993	Providence Regional Cancer System-Lacey	Lacey	Washington	United States	98503
994	Saint Clare Hospital	Lakewood	Washington	United States	98499
995	PeaceHealth Saint John Medical Center	Longview	Washington	United States	98632
996	Jefferson Healthcare	Port Townsend	Washington	United States	98368
997	Harrison HealthPartners Hematology and Oncology-Poulsbo	Poulsbo	Washington	United States	98370
998	MultiCare Good Samaritan Hospital	Puyallup	Washington	United States	98372
999	Valley Medical Center	Renton	Washington	United States	98055
1000	Pacific Gynecology Specialists	Seattle	Washington	United States	98104
1001	Swedish Medical Center-Ballard Campus	Seattle	Washington	United States	98107
1002	Swedish Medical Center-First Hill	Seattle	Washington	United States	98122-4307
1003	Swedish Medical Center-Cherry Hill	Seattle	Washington	United States	98122-5711
1004	PeaceHealth United General Medical Center	Sedro-Woolley	Washington	United States	98284
1005	Providence Regional Cancer System-Shelton	Shelton	Washington	United States	98584
1006	MultiCare Deaconess Cancer and Blood Specialty Center - Downtown	Spokane	Washington	United States	99204
1007	MultiCare Deaconess Cancer and Blood Specialty Center - North	Spokane	Washington	United States	99218
1008	Franciscan Research Center-Northwest Medical Plaza	Tacoma	Washington	United States	98405
1009	MultiCare Tacoma General Hospital	Tacoma	Washington	United States	98405
1010	Northwest Medical Specialties PLLC	Tacoma	Washington	United States	98405
1011	PeaceHealth Southwest Medical Center	Vancouver	Washington	United States	98664
1012	Providence Saint Mary Regional Cancer Center	Walla Walla	Washington	United States	99362
1013	North Star Lodge Cancer Center at Yakima Valley Memorial Hospital	Yakima	Washington	United States	98902
1014	Providence Regional Cancer System-Yelm	Yelm	Washington	United States	98597
1015	United Hospital Center	Bridgeport	West Virginia	United States	26330
1016	West Virginia University Charleston Division	Charleston	West Virginia	United States	25304
1017	Edwards Comprehensive Cancer Center	Huntington	West Virginia	United States	25701
1018	WVUH-Berkely Medical Center	Martinsburg	West Virginia	United States	25401
1019	West Virginia University Healthcare	Morgantown	West Virginia	United States	26506
1020	Camden Clark Medical Center	Parkersburg	West Virginia	United States	26101
1021	Langlade Hospital and Cancer Center	Antigo	Wisconsin	United States	54409
1022	ThedaCare Regional Cancer Center	Appleton	Wisconsin	United States	54911
1023	Ascension Saint Elizabeth Hospital	Appleton	Wisconsin	United States	54915
1024	Duluth Clinic Ashland	Ashland	Wisconsin	United States	54806
1025	Northwest Wisconsin Cancer Center	Ashland	Wisconsin	United States	54806
1026	Ascension Southeast Wisconsin Hospital - Elmbrook Campus	Brookfield	Wisconsin	United States	53045
1027	Aurora Cancer Care-Southern Lakes VLCC	Burlington	Wisconsin	United States	53105
1028	Ascension Calumet Hospital	Chilton	Wisconsin	United States	53014
1029	Marshfield Clinic-Chippewa Center	Chippewa Falls	Wisconsin	United States	54729
1030	Aurora Saint Luke's South Shore	Cudahy	Wisconsin	United States	53110
1031	HSHS Sacred Heart Hospital	Eau Claire	Wisconsin	United States	54701
1032	Marshfield Medical Center-EC Cancer Center	Eau Claire	Wisconsin	United States	54701
1033	Saint Agnes Hospital/Agnesian Cancer Center	Fond Du Lac	Wisconsin	United States	54935
1034	Ascension Saint Francis - Reiman Cancer Center	Franklin	Wisconsin	United States	53132
1035	Aurora Health Care Germantown Health Center	Germantown	Wisconsin	United States	53022
1036	Aurora Cancer Care-Grafton	Grafton	Wisconsin	United States	53024
1037	Bellin Memorial Hospital	Green Bay	Wisconsin	United States	54301
1038	Saint Vincent Hospital Cancer Center Green Bay	Green Bay	Wisconsin	United States	54301
1039	Saint Vincent Hospital Cancer Center at Saint Mary's	Green Bay	Wisconsin	United States	54303
1040	Aurora BayCare Medical Center	Green Bay	Wisconsin	United States	54311
1041	Aurora Cancer Care-Kenosha South	Kenosha	Wisconsin	United States	53142
1042	Gundersen Lutheran Medical Center	La Crosse	Wisconsin	United States	54601
1043	Marshfield Clinic - Ladysmith Center	Ladysmith	Wisconsin	United States	54848
1044	William S Middleton VA Medical Center	Madison	Wisconsin	United States	53705
1045	University of Wisconsin Carbone Cancer Center	Madison	Wisconsin	United States	53792
1046	Aurora Bay Area Medical Group-Marinette	Marinette	Wisconsin	United States	54143
1047	Marshfield Medical Center-Marshfield	Marshfield	Wisconsin	United States	54449
1048	Aspirus Medford Hospital	Medford	Wisconsin	United States	54451
1049	Ascension Columbia Saint Mary's Hospital Ozaukee	Mequon	Wisconsin	United States	53097
1050	Aurora Cancer Care-Milwaukee	Milwaukee	Wisconsin	United States	53209
1051	Ascension Columbia Saint Mary's Hospital - Milwaukee	Milwaukee	Wisconsin	United States	53211
1052	Aurora Saint Luke's Medical Center	Milwaukee	Wisconsin	United States	53215
1053	Medical College of Wisconsin	Milwaukee	Wisconsin	United States	53226
1054	Aurora Sinai Medical Center	Milwaukee	Wisconsin	United States	53233
1055	Marshfield Clinic-Minocqua Center	Minocqua	Wisconsin	United States	54548
1056	ProHealth D N Greenwald Center	Mukwonago	Wisconsin	United States	53149
1057	Cancer Center of Western Wisconsin	New Richmond	Wisconsin	United States	54017
1058	ProHealth Oconomowoc Memorial Hospital	Oconomowoc	Wisconsin	United States	53066
1059	Saint Vincent Hospital Cancer Center at Oconto Falls	Oconto Falls	Wisconsin	United States	54154
1060	Ascension Mercy Hospital	Oshkosh	Wisconsin	United States	54904
1061	Vince Lombardi Cancer Clinic - Oshkosh	Oshkosh	Wisconsin	United States	54904
1062	Ascension All Saints Hospital	Racine	Wisconsin	United States	53405
1063	Aurora Cancer Care-Racine	Racine	Wisconsin	United States	53406
1064	Ascension Saint Mary's Hospital	Rhinelander	Wisconsin	United States	54501
1065	Marshfield Medical Center-Rice Lake	Rice Lake	Wisconsin	United States	54868
1066	Vince Lombardi Cancer Clinic-Sheboygan	Sheboygan	Wisconsin	United States	53081
1067	Ascension Saint Michael's Hospital	Stevens Point	Wisconsin	United States	54481
1068	Marshfield Medical Center-River Region at Stevens Point	Stevens Point	Wisconsin	United States	54482
1069	Saint Vincent Hospital Cancer Center at Sturgeon Bay	Sturgeon Bay	Wisconsin	United States	54235-1495
1070	Aurora Medical Center in Summit	Summit	Wisconsin	United States	53066
1071	Vince Lombardi Cancer Clinic-Two Rivers	Two Rivers	Wisconsin	United States	54241
1072	ProHealth Waukesha Memorial Hospital	Waukesha	Wisconsin	United States	53188
1073	UW Cancer Center at ProHealth Care	Waukesha	Wisconsin	United States	53188
1074	Aspirus Regional Cancer Center	Wausau	Wisconsin	United States	54401
1075	Marshfield Clinic-Wausau Center	Wausau	Wisconsin	United States	54401
1076	Ascension Medical Group Southeast Wisconsin - Mayfair Road	Wauwatosa	Wisconsin	United States	53226
1077	Aurora Cancer Care-Milwaukee West	Wauwatosa	Wisconsin	United States	53226
1078	Aurora West Allis Medical Center	West Allis	Wisconsin	United States	53227
1079	Marshfield Medical Center - Weston	Weston	Wisconsin	United States	54476
1080	Aspirus Cancer Care - Wisconsin Rapids	Wisconsin Rapids	Wisconsin	United States	54494
1081	Marshfield Clinic - Wisconsin Rapids Center	Wisconsin Rapids	Wisconsin	United States	54494
1082	Cheyenne Regional Medical Center-West	Cheyenne	Wyoming	United States	82001
1083	Billings Clinic-Cody	Cody	Wyoming	United States	82414
1084	Welch Cancer Center	Sheridan	Wyoming	United States	82801
1085	FHP Health Center-Guam	Tamuning		Guam	96913

Sponsors and Collaborators

• National Cancer Institute (NCI)

Investigators

• Principal Investigator: Jacob M Sands, Alliance for Clinical Trials in Oncology

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: National Cancer Institute (NCI)
• ClinicalTrials.gov Identifier: NCT04267848
• Other Study ID Numbers: NCI-2020-00751; NCI-2020-00751; A081801; A081801; U10CA180821
• First Posted: Feb 13, 2020
• Last Update Posted: Aug 25, 2022
• Last Verified: Mar 1, 2022

• Individual Participant Data (IPD) Sharing Statement: Yes
• Plan to Share IPD: Yes
• Studies a U.S. FDA-regulated Drug Product: Yes
• Studies a U.S. FDA-regulated Device Product: No
• Additional relevant MeSH terms: Carcinoma; Lung Neoplasms; Carcinoma, Non-Small-Cell Lung; Carcinoma, Squamous Cell; Gemcitabine; Paclitaxel; Cisplatin; Carboplatin; Pembrolizumab; Pemetrexed; Albumin-Bound Paclitaxel

Study Results

No Results Posted as of Aug 25, 2022