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June 07 Carrier Codes - Montana Medicaid Provider Information

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Z44 PPO OKLAHOMA P O BOX 20040 OKLAHOMA CITY, OK 73156<br />

HE6 PRAIRIE ELK COLONY HUTTERIAN BRETHREN 1436 MT HWY 528 WOLFPOINT, MT 59201<br />

AF1 PREDENT BC/BS OF IL DT PROGRAM P O BOX 23059 BELLEVILLE, IL 62223<br />

883 PREFERRED CARE ATTN: CLAIMS 259 MONROE AVE ROCHESTER, NY 146<strong>07</strong> (716) 325-3113<br />

H10 PREFERRED CHOICES GALLAGHER BASSETT SERVICES P O BOX 9084 FARMINGTON HILLS, MI 48333<br />

840 PREFERRED HEALTH NETWORK P O BOX 60308 GMF LOS ANGELES, CA 90060-0308 (800) 334-5646<br />

S97 PREFERRED HEALTH SYSTEMS 8535 EAST 21ST ST NORTH WICHITA, KS 67206 (800) 660-8114<br />

X35 PREFERRED ONE ADMINISTRATIVE SERVICES P O BOX 59212 MINNEAPOLIS, MN 55459-0212 (763) 847-4488<br />

V49 PREFERRED ONE P O BOX 59212 MINNEAPOLIS, MN 55459 (800) 663-8081<br />

T39 PREFERRED PLU OF KANSAS P O BOX 49288 WICHITA, KS 67201 (316) 609-2391<br />

W15 PREMERA BC/BS OF ALASKA P O BOX 240609 ANCHORAGE, AK 99524 (866) 224-8550<br />

K85 PREMERA BLUE CROSS P O BOX 91059 SEATTLE, WA 98111-9159 (800) 345-6784 425-670-5900<br />

T20 PREMERA BLUE CROSS P O BOX 34299 SEATTLE, WA 98124 (800) 345-6784<br />

S17 PREMERA BLUE CROSS P O BOX 91059 SEATTLE, WA 98111 (800) 543-9438<br />

W33 PREMERA BLUE CROSS# P O BOX 91059 SEATTLE, WA 98111-9159 (800) 722-1471 DO NOT USE-USE K85<br />

R16 PREMIER P O BOX 1640 COLUMBIA, SC 29606 (800) 476-5150<br />

AI8 PREMIER ACCESS INS CO P O BOX 659010 SACRAMENTO, CA 95865-9010<br />

R42 PREMIER HEALTH PLANS P O BOX 4568 SPRINGFIELD, MO 65808-4568 (800) 836-0402<br />

G45 PREMIERE HEALTH CARE OF AZ 914 N SAN FRANCISCO FLAGSTAFF, AZ 86001 (800) 914-4474<br />

J25 PREMIUM STANDARD FARM HWY 65 N BOX 194 PRINCETON, MS 64673 (660) 748-4647<br />

861 PRESBYTERIAN HEALTH PLAN P O BOX 27489 ALBUQUERQUE, NM 87125 (505) 923-5700 505-923-6400<br />

M29 PRESBYTERIAN HEALTH PLAN 2501 BUENA VISTA SE STE 302 ALBUQUERQUE, NM 87106<br />

300 PRESCRIPTION CLAIMS INC# CAREMARK/ADVANCE RECAP CLAIMS P O BOX 686002 SAN ANTONIO, TX 78268 (602) 391-4600 DO NOT USE - USE 995<br />

995 PRESCRIPTION CLAIMS INC# CAREMARK/ADVANCE RECAP CLAIMS P O BOX 686002 SAN ANTONIO, TX 78268 (602) 391-4600<br />

V29 PRESCRIPTION SOLUTIONS P O BOX 6037 MAIL STOP LC <strong>07</strong>-290 CYPRESS, CA 90630-0037 (800)788-7871<br />

N02 PRIMARY HEALTH P O BOX 1020 PORTLAND, OR 972<strong>07</strong><br />

W94 PRIMARY HEALTH PLAN P O BOX 5679 BOISE, ID 83705-0679<br />

V21 PRIME THERAPEUTICS P O BOX 780 HARTFORD, CT 06142-<strong>07</strong>80<br />

AD7 PRIME VISION P O BOX 2239 CEDAR RAPIDS, IA 52406<br />

K41 PRINCETON CORPORATION 600 PRINCETON PARKWAY KENTLAND, IN 47951<br />

M56 PRINCIPAL P O BOX 4923 GRAND ISLAND, NE 68803 (800) 247-4695<br />

J73 PRINCIPAL 4021 SOUTH 7TH EAST SUITE 500 SALT LAKE CITY, UT 841<strong>07</strong> (800) 826-1490<br />

T56 PRINCIPAL 1 INTERNATIONAL PLAZA STE 140 PHILADELPHIA, PA 19113<br />

E91 PRINCIPAL FINANCIAL CLAIMS OMAHA REGIONAL CLAIMS CENTER 3300 117TH STREET OMAHA, NE 68154 (800) 447-4701<br />

E20 PRINCIPAL FINANCIAL GROUP 6160 SUMMIT DR STE 440 BROOKLYN CENTER, MN 55430 (612) 566-1211<br />

341 PRINCIPAL FINANCIAL GROUP 10210 N 25TH AVE STE 211 PHOENIX, AZ 85021 (800) 323-8722<br />

H83 PRINCIPAL FINANCIAL GROUP P O BOX 25953 OVERLAND PARK, KS 66225-5953 (800) 331-1660<br />

310 PRINCIPAL FINANCIAL GROUP P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800)247-4695<br />

<br />

800-523-5938<br />

T94 PRINCIPAL FINANCIAL GROUP P O BOX 14416 DES MOINES, IA 50306 (800)843-1371<br />

W92 PRINCIPAL FINANCIAL GROUP P O BOX 10310 DES MOINES, IA 50306-0310 (877) 273-0900<br />

M23 PRINCIPAL FINANCIAL GROUP DEPT 300 P O BOX 65<strong>07</strong>16 DALLAS, TX 75265-<strong>07</strong>16<br />

X79 PRINCIPAL FINANCIAL GROUP P O BOX 14513 DES MOINES, IA 50306-3513<br />

B13 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (719) 548-4000 DO NOT USE - USE 310<br />

A74 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 228-7398<br />

E40 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 247-4695 DO NOT USE - USE 310<br />

358 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 378-9580<br />

VERIF/MENTAL HEALTH/8-13-99-B<br />

DO NOT USE-USE 310<br />

B66 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 378-9580 DO NOT USE - USE 310<br />

H87 PRINCIPAL FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 665-4343<br />

Z19 PRINCIPAL FINANCIAL GRP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910<br />

M54 PRINCIPAL FINANCIAL# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 248-6566 DO NOT USE-USE 310<br />

P04 PRINCIPAL FINANCIAL# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 DO NOT USE-USE 310<br />

T73 PRINCIPAL LIFE MEDICARE CLAIMS CENTER P O BOX 10826 CLEARWATER, FL 33757-8826 (800) 447-4701<br />

K55 PRINCIPAL LIFE INSUR CO SPRINGFIELD SERV CENTER P O BOX 2592 SPRINGFIELD, MO 65801-2592 (800) 222-7259<br />

VERIFY/MENTAL HEALTH/8-13-99-B<br />

DOF<br />

A05 PRINCIPAL LIFE INSURANCE CO# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 522-1279 DO NOT USE - USE 310<br />

649 PRINCIPAL LIFE INSURANCE CO# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 533-5044 DO NOT USE - USE 310<br />

K64 PRINCIPAL LIFE INSURANCE CO# COLORADO SPRINGS SERV CENTER P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 843-1371 MS-POLICY-800-447-4701-DO NOT USE-USE #310<br />

M33 PRINCIPAL LIFE INSURANCE# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 DO NOT USE-USE 310<br />

841 PRINCIPAL MUTUAL INS# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 247-7729 DO NOT USE - USE 310<br />

988 PRINCIPAL MUTUAL INSURANCE# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 378-9580 DO NOT USE - USE 310<br />

M<strong>07</strong> PRINCIPAL MUTUAL LIFE P O BOX 3006 AMES, IA 50010 (800) 533-5044<br />

588 PRINCIPAL MUTUAL LIFE MEDICARE SERVICE CENTER P O BOX 10826 CLEARWATER, FL 33757-8826 (800) 533-5044 DO NOT USE - USE 310<br />

N38 PRINCIPAL MUTUAL LIFE P O BOX 2590 SPRINGFIELD, MO 65801<br />

301 PRINCIPAL MUTUAL LIFE INS P O BOX 10826 CLEARWATER, FL 33757 (800) 378-9580 MS POLICIES<br />

C32 PRINCIPAL MUTUAL LIFE INS CO P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 894-9576 800-535-7212<br />

405 PRINCIPAL MUTUAL LIFE INS CO# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (708) 978-5100 DO NOT USE -- USE 310<br />

017 PRINCIPAL MUTUAL LIFE INS CO# PRINCIPAL FINANCIAL GROUP P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 247-4695 DO NOT USE - USE 310<br />

442 PRINCIPAL MUTUAL LIFE INS# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 247-4695 DO NOT USE - USE 310<br />

482 PRINCIPAL MUTUAL LIFE INS# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 438-0421 DO NOT USE - USE 310<br />

797 PRINCIPAL MUTUAL LIFE# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 321-0123 DO NOT USE - USE 310<br />

C87 PRINCIPAL MUTUAL# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 443-9456 DO NOT USE - USE 310<br />

969 PRINCIPLE FINANCIAL CORP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910<br />

245 PRINCIPLE FINANCIAL GROUP# P O BOX 39710 COLORADO SPRINGS, CO 80949-3910 (800) 378-9580 DO NOT USE-USE 310<br />

DO NOT USE-MR<br />

F41 PRINCIPLE HEALTH CARE# OF NEB. INC. P O BOX 542025 OMAHA, NE 68154-8025 (800) 288-3343 E91<br />

746 PRINT SPECIALTIES & PAPER PROD JOINT EMPLOYER & UNION HWF P O BOX 19582 IRVINE, CA 92713<br />

363 PRINTING SPECIALTIES P O BOX 2640 PASADENA, CA 91102 (800) 525-1817<br />

357 PRINTING SPECIALTIES HEALTH & WELFARE TRUST FUND 4695 CHABOT DR, STE 2<strong>07</strong> PLEASANTON, CA 94588<br />

H41 PRIORITY HEALTH P O BOX 232 GRAND RAPIDS, MI 49501 (800) 446-5674

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