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June 07 Carrier Codes - Montana Medicaid Provider Information

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HD6 FORTY MILE COLONY DRAWER A LODGE GRASS, MT 59050 (406) 839-2981<br />

Y27 FOUNDATION BENEFITS ADMIN 6300 BRIDGEPOINT PKWY BLDG 3 STE 400 AUSTIN, TX 78730 (866) 868-9449<br />

E78 FOUNDATION HEALTH 3000 DATA DRIVE RANCHERO CORDOVA, CA 95670 (800) 543-7589<br />

G76 FOUNDATION HEALTH P O BOX 255700 SACRAMENTO, CA 95865 (800) 824-1894 MR-DO NOT USE<br />

G67 FOUNDATION HEALTH PLAN 3400 DATA DR RANCHO CORDOVA, CA 95670 (800) 249-1894<br />

G94 FOUNTAIN HEAD ADMINISTRATORS# P O BOX 382617 BIRMINGHAM, AL 35238-2617 (800) 277-0126 MR-DO NOT USE<br />

S36 FOX VALLEY LABORERS WLF FUND P O BOX 619 GENEVA, IL 60134-0619<br />

K51 FOX-EVERETT INC P O BOX 23096 JACKSON, MS 39225-3096 (800) 351-4902 ABOVE IS ALSO FAXBACK #<br />

P01 FRA INSURANCE PLAN P O BOX 10340 DES MOINES, IA 50306-0340 (800) 424-1120<br />

P98 FREEDOM LIFE INS CO. OF AMERICA 110 W 7TH ST STE 300 FORT WORTH, TX 76102 (800) 387-9027<br />

Z37 FREEDON CLAIMS MANAGEMENT P O BOX 1365 GREAT BEND, KS 67530<br />

E65 FRINGE BENEFIT SERVICE 7000 N BROADWAY STE 106 DENVER, CO 80221<br />

W44 FULL SERVICE BEVERAGE HEALTHCARE PLAN 15 N ROBINSON STE 1200 OKLAHOMA CITY, OK 73125 (800) 471-2652<br />

S93 FUNDAMENTAL CARE 2036 EAST CAMELBACK RD PHOENIX, AZ 85016 (800) 308-5946 phone # not active and no listing for insurance company<br />

R36 FUNDAMENTAL CARE 2670 UNION AVE STE 200 MEMPHIS, TN 38112-4416<br />

A91 G A B BUSINESS SERVICE INC P O BOX 2<strong>07</strong>39 BILLINGS, MT 59104-<strong>07</strong>39 (406) 652-0411 DO NOT USE-MR<br />

R32 G E GROUP ADMINISTRATORS P O BOX 3005 AGAWAN, MA 01001 (888) 255-8961<br />

E46 G E PENSIONERS MEDICAL# CLAIMS CENTER P O BOX 6125 UTICA, NY 13504 (800) 848-8406 DO NOT USE - USE D06<br />

X42 G H I 441 9TH AVE NEW YORK, NY 10001 (212) 501-5000<br />

H66 G I C INS CO 9100 IH 10-WEST SAN ANTONIO, TX 78230<br />

491 GAB BUSINESS SERVICES INC P O BOX 41<strong>07</strong> MISSOULA, MT 59806 (406) 549-4121<br />

373 GAB BUSINESS SERVICES INC EMPLOYEE BENEFITS SERVICES P O BOX 29427 ATLANTA, GA 30359<br />

C93 GALES MCDONALD P O BOX 105885 ATLANTA, GA 30348-5885<br />

P06 GALLAGHER & ASSOCIATES P O BOX 14997 JACKSON, MS 39236-4997 (800) 866-4142<br />

C10 GALLAGHER BASSETT BERRY BEARING CO P O BOX 8004 ITASCA, IL 60143-8004 (800) 323-1726<br />

215 GALLAGHER BASSETT P O BOX 3011 ARLINGTON HEIGHTS, IL 60006 MR-UNABLE TO FORWARD 8/01/00<br />

G28 GALLAGHER BENEFIT ADMINISTRATOR P O BOX 34297 SAN ANTONIO, TX 78265 (800) 221-4582<br />

X22 GALLAGHER BENEFIT ADMINISTRATOR P O BOX 655413 SAN ANTONIO, TX 78265 (877) 782-5825<br />

T17 GALLAGHER BENEFITS 10010 SAN PEDRO STE 400 SAN ANTONIO, TX 78216 (210) 828-2683<br />

F16 GALLAGHER WOODSMALL# 2345 GRAND AVENUE KANSAS CITY, MO 64108 (800) 934-8923 DO NOT USE - USE 686<br />

203 GARDEN STATE LIFE INSURANCE CO HALLMARK ADMINISTRATIORS GEICO PLAZA WASHINGTON, DC 20<strong>07</strong>6<br />

A79 GATES CLINIC ATTN: CLAIMS P O BOX 5887 DENVER, CO 80217 (303) 698-7362<br />

S60 GE GROUP ADMINISTRATORS P O BOX 150809 ARLINGTON, TX 76015 (800) 397-6241<br />

V85 GEHA CONNECTION DENTAL PLUS P O BOX 400 INDEPENDENCE, MO 64051-0400 (800)793-9335<br />

592 GEHA INSURANCE P O BOX 4665 INDEPENDENCE, MO 64051 (800) 437-2617 816-257-5500<br />

614 GEHA# P O BOX 4665 INDEPENDENCE, MO 64051 (800) 437-2617 DO NOT USE - USE 592<br />

K45 GEHA# P O BOX 4665 INDEPENDENCE, MO 64051-4665 (816) 257-5500 DO NOT USE-USE 592<br />

X50 GEISINGER HEALTH PLAN 100 N ACADEMY AVE DANVILLE, PA 17811-3029<br />

AB4 GEM ADMINISTRATORS VALUE BENEFITS OF AMERICA 15575 N 79TH #100 SCOTTSDALE, AZ 85254<br />

257 GEM INSURANCE COMPANY 930 N FINANCE CENTER DR TUCSON, AZ 85710-1342 (801) 521-7164<br />

G25 GENERAL AMERICAN P O BOX 834102 RICHARDSON, TX 75083-4102 (800) 341-3234 MR-DO NOT USE<br />

C01 GENERAL AMERICAN 1111 BAYHILL DR, SUITE 390 SAN BRUNO, CA 94066 (800) 548-7788<br />

F36 GENERAL AMERICAN O'BRIAN BOUCKS & ASSOCIATES P O BOX 6826 LEAWOOD, KS 66206 (913) 381-3444<br />

C92 GENERAL AMERICAN BENEFITS GREAT WEST LIFE 1000 GREAT WEST DRIVE KENNETT, MO 63857-3749 (800) 648-0370<br />

056 GENERAL AMERICAN LIFE 719 TEACO RD STE B KENNETT, MO 63857-3725 (314) 525-3542 FAX 314-525-8509<br />

S48 GENERAL ELECTRIC-QDRO GMCSO ADMINISTRATION P O BOX 8088 PRINCETON, NJ 08543-8088 (609) 734-9600<br />

E67 GENERAL MILLS RESTAURANTS HEALTH CLAIMS SERVICES P O BOX 59054 MINNEAPOLIS,MN 55459 (800) 446-8182<br />

J74 GENERAL PARTS INC P O BOX 10247 SCOTTSDALE, AZ 85271 (888) 664-4722<br />

R52 GENIE PREFERRED PLAN P O BOX 900932 SEATTLE, WA 98109 (877) 614-8408<br />

Z57 GENWORTH FINANCIAL GROUP DENTAL BENEFITS P O BOX 1477 GREENFIELD, MA 01302-1477<br />

Y03 GERBER LIFE INSURANCE P O BOX 7005 PARKERSBURG, WV 26102 (800) 628-0011<br />

C61 GERBER LIFE INSURANCE 204 WEST MAIN FREMONT, MI 49412 (800) 628-0560<br />

P28 GHP GROUP HEALTH PLAN P O BOX 7374 LONDON, KY 4<strong>07</strong>42-7374 (800) 755-3901<br />

HD7 GILDFORD COLONY P O BOX 149 GILDFORD, MT 59525 (406) 376-3105<br />

T87 GILSBAR INC P O BOX 2947 COVINGTON, LA 70434 (800)215-9041<br />

HA8 GLACIER COLONY P O BOX 2209 CUT BANK, MT 59427 (406) 336-2622<br />

H32 GLACIER ELECTRIC CO-OP INC P O BOX 2090 CUT BANK, MT 59427<br />

S49 GLACIER INSURANCE ADMIN 1903 N FINE AVE #103 FRESNO, CA 93727-1510 (800) 232-3363 MR-DO NOT USE<br />

K11 GLAZIERS/GLASSWORKERS HEALTH WELFARE PENSION ADMIN P O BOX C-34203 SEATTLE, WA 98124 (800) 732-1121<br />

HA9 GLENDALE COLONY P O BOX 350 DEL BONITA STAR RT CUT BANK, MT 59427 (406) 336-2634<br />

008 GLOBE LIFE & ACCIDENT INS CO P O BOX 26400 OKLAHOMA CITY, OK 73126 (405) 270-1410 VERIFY/MENTAL HEALTH/8-13-99-B (800-654-5433)<br />

209 GLOBE LIFE & ACCIDENT INS CO# GLOBE LIFE CENTER OKLAHOMA CITY, OK 73184 (405) 270-1410 DO NOT USE - USE 008<br />

899 GMI PRUDENTIAL GENERAL MILLS P O BOX 111 GREAT FALLS, MT 59403<br />

W42 GMS INC P O BOX 24708 OMAHA, NE 68124 (800) 223-5508<br />

AL1 GNA DENTAL PRO GNA HEALTHCARE SERVICE CENTER P O BOX 188037 CHATTANOOGA, TN 37422-8037<br />

V09 GOLD NET P O BOX 64812 ST PAUL, MN 55164 PRIME THERAPEUTICS<br />

G34 GOLDEN DALE ALUMINUM EMPLOYEE HEALTH PLAN P O BOX 2726 PORTLAND, OR 97208 (503) 727-2368<br />

612 GOLDEN RULE INS CO 7440 WOODLAND INDIANAPOLIS, IN 46278-1719 (317) 297-4189<br />

A20 GOLDEN RULE INSURANCE CO# HOME OFFICE 712 11TH STREET LAWRENCEVILLE, IL 62439-2395 (317) 297-4189 DO NOT USE - USE 612<br />

HB0 GOLDEN VALLEY COLONY RR1 RYEGATE, MT 59<strong>07</strong>4 (406) 568-2210<br />

887 GOOD HEALTH PLAN OF OR 1235 NE 47TH AVE, STE 220 P O BOX 3125 PORTLAND, OR 97208 (800) 878-4445<br />

F35 GOOD SAMARITAN PROGRAM P O BOX 279 BEECH GROVE, IN 461<strong>07</strong> (317) 894-2000<br />

J70 GOODYEAR TIRE/RUBBER CO MEDICAL BENEFITS DEPT 609 AKRON, OH 44309-0677 (800) 334-9395<br />

043 GOVERNMENT EMPLOYEES INS GEICO PLAZA WASHINGTON, DC 20<strong>07</strong>6<br />

M48 GRAPHIC ARTS BENEFIT CORP 7 W TOWER 1333 N ST N W WASHINGTON, DC 20005<br />

088 GRAYS HARBOR MEDICAL BUREAU# 421 W STATE ST ABERDEEN, WA 98520 (206) 942-3471 DO NOT USE-MR<br />

065 GREAT AMERICAN INSURANCE CO P O BOX 719 HARTFORD, CT 06142 (800) 531-9010<br />

S42 GREAT PLAINS CO INC 303 CENTRE POINTE DR STE 990 ROSEVILLE, MN 55113 (651) 635-9217<br />

217 GREAT SOUTHERN LIFE INS P O BOX 1972 HOUSTON, TX 77001 MR 7/25/00<br />

664 GREAT TERRITORY SALVATION ARMY# CONCEPT ADMIN INC P O BOX 7090 SACRAMENTO, CA 95826 DO NOT USE-MR<br />

A82 GREAT WEST P O BOX 19529 IRVINE, CA 92713 (800) 523-8683

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