Daftar Provider Aktif Per 150813

Provider BNI Life - AdmedikaDAFTAR PROVIDER AKTIF per 15 Agustus 2013Jaringan Admedika - BNI Life (Mapping)co_nm_providerco_provider_groupco_renewal_keco_alamatco_alamat_2co_nm_propinsico_nm_kotaco_telepon1co_telepon2co_fax1co_fax2typeco_emailstatuslingkupco_nm_contactco_user_inputco_user_updateco_bank_cabangco_atas_namaco_account_numberco_fasilitasco_no_kontrakco_begin_dateco_end_datekode_admedikaco_disc_globalkamar_svipkamar_vipkamar_ikamar_iikamar_iiivisit_svipvisit_vipvisit_ivisit_iivisit_iiico_begin_date_firsttgl_berlakutarifstatusRS IAIN Syarif Hidayatullah1Jl. Ir. H. Juanda No. 95CiputatBANTENTANGERANG SELATAN021-7402718021-7493532021-7413065Chugosyahid@yahoo.comT-Faiz Hasnah Hayati, SKMFatmawatiRS Syarif Hidayatullah0287922438RI_RJ_168.PKS.BL.DIR.09129/24/129/23/130007350000200000900002/20/012/1/13AktifRS Bhakti Yudha0Jl. Raya Sawangan No. 2ASawangan - DepokJAWA BARATDepok021-7520082021-7775862021-7520510CT-YaniMargonda DepokPT. Arthamas Investama Guna 0111970632RI_RJ_ADD.II.223.PKS.BL.DIR.05095/12/135/11/160009550000700000400000300000150000800007000060000500005/13/091/1/10AktifRS Mitra Keluarga Bekasi Barat0Jl. Jend Ahmad YaniBekasi BaratJAWA BARATBekasi021-8853333021-8842550Ahumas_rsmkb@mitrakeluarga.comTExecutiveIbu TitiBekasiPT. Proteindo Karyasehat1000199474RI_RJ_126D.PKS.BL.DIR.12111/17/111/16/1400101750000119500065000064000015000011/30/982/1/12AktifRS Mitra Keluarga Kemayoran0Jl. Landas Pacu Timur, Lapangan Tenis DanamonKemayoranDKI JakartaJakarta Pusat021-6545555021-6545959Ahumaskemayoran@mitrakeluarga.comT-Miranti K DewiPusatPT Karya Sukses Mandiri1015360018RI_RJ_003.PKS.BL.DIR.011312/1/1211/30/140011185000013250005750003500001400001/5/991/1/12AktifRS Premier Jatinegara (Mitra International)0Jl. Raya Jatinegara Timur 85-87Jakarta TimurDKI JakartaJakarta Timur021-2800888021-2800666021-2800755Arspremier.jatinegara@ramsayhealth.co.idT-dr. Handojo RahardjoCab WTC SudirmanPT Affinity Health Indonesia8207010061RI_RJ_013.PKS.BL.DIR.01111/17/111/16/14001251600000115000055000035000012000010/7/987/1/10AktifRS Karya Medika Group0Jl. Imam Bonjol No. 9 BCikarang BaratJAWA BARATBekasi021-8900190021-8903003021-89107753Bmarketing.rskm1@yahoo.comT-dr. Djuhari Suryasaputra, M.Kes.,CikarangRS Karya Medika I0260010003085RI_RJ_ADD.I.078.PKS.BL.DIR.02102/15/122/14/15001622/15/05AktifRS Sari Asih Karawaci2Jl.Imam Bonjol No.38KarawaciBANTENTangerang021-5522794021-5523339021-5525214Binfo@sariasih.comT-Ibu IndriBumi Serpong Damai TangerangPT.Sari Asih3030011610RI_RJ_ADD.I.164.PKS.BL.DIR.05105/17/135/16/16002212/14/05AktifKlinik Bunda Auni1Villa Nusa Indah Blok D5 No.19Bojong Kulur - Gunung PutriJAWA BARATBogor021-82420366021-82420366T-Drs. M. Ikhsanuddin Msi.,Pondok GedeNelil Mudarris6870358821RJ_ADD.I.080.PKS.BL.DIR.02102/15/122/14/1400322/15/10AktifRS Agung1Jl. Sultan Agung No.67ManggaraiDKI JakartaJakarta Selatan021-8294955021-83794207021-8305791CTExecutiveFifanni WulandariHR Rasuna SaidYayasan Kamal1240089001896RI_RJ_083_2/RSA/MKT/XI/200811/17/1111/17/13004166500056000032500024500010500011/17/084/1/11AktifRS Pertamina Jaya1Jl. Achmad Yani No. 2RawamangunDKI JakartaJakarta Pusat021-4204056021-4211911021-4211913021-42800108rspj@yahoo.co.idTExecutivedrg. Bramantio, Sp. OrthoAhmad YaniRumah Sakit Pertamina Jaya1200099081890RI_RJ_225G.PKS.BL.DIR.121212/1/1211/30/1400425500002750001200002/1/084/15/09AktifRS Jakarta Medical Center (JMC)2Jl. Buncit Raya No.15DKI JakartaJakarta Selatan021-7980888021-7940838rs_jmc@cbn.net.idTdr. Buyung Sugastiono, DHSMMampangPT. Jakarta Medika0124773232RI_RJ_ADD.I.154.PKS.BL.DIR.05105/3/135/2/1600437750007250003000002500001000005/3/101/1/10AktifRSIA Hermina Pasteur1Jl. Dr. Djundjunan No. 107PasteurJAWA BARATBandung022-6072525022-6037815Cpasteur@herminahospitalgroup.comT-dr. Hasmoro, MHA, MMRASUNA SAIDPT. MEDIKALOKA PASTEUR0600000718RI_RJ_118/PKS-PL/DIR.07127/9/1212/31/15004410000008500004000002750001000002/16/001/1/13AktifKlinik Alfina0Jl. Raya Serang Ruko PCI Blok KK1 No.7-8BANTENCilegon0254-3831160254-377377alfinamedika@yahoo.comT-dr. Ernie JuanitaCilegonPT. Alfina Medika6520304060RJ_ADD.I.152.PKS.BL.DIR.04104/15/114/14/1400574/15/10AktifRS Karya Bhakti1Jl. Dr. Semeru No.120BogorJAWA BARATBogor0251-83122920251-83486030251-8371001CT-Ibu Ida DelianaBogorRS Karya Bhakti Bogor0003887237RI_RJ_025.PKS.BL.DIR.01131/4/131/3/150067100000048000025000080000550004500035000250002/11/008/1/12AktifRS Dewi Sri1Jl. Arif Rahman Hakim No.I AJAWA BARATKarawang0267-4014750267-4028550267-404010Crumahsakitku_dewisri@yahoo.comT-dr. Erda Ayu UmamiKarawangRumah Sakit Dewi Sri0001921758RI_RJ_054.PKS.BL.DIR.05115/4/115/3/14008370000035000016000011000010/26/991/1/11AktifRS Jakarta1Jl. Jend. Sudirman Kav. 49DKI JakartaJakarta Pusat021-5732241021-5710249Brs_jakarta@yahoo.comT-Ade Irma/ Fully AmaliaRS JakartaPT. Jakarta Sentra Medika Sejahtera1220004553460RI_RJ_ADD.I.535.PKS.BL.DIR.120912/1/1211/30/150084311500005750005250001500009/19/032/1/13AktifRS Kartini Mojokerto0Jl. Airlangga No.137MojosariJAWA TIMURMojokerto0321-5922610321-595569rs_kartini_mjk@yahoo.co.idT-Ibu Aryani/Bpk FredyMojosariRS Kartini1420007098089RI_RJ_ADD.I.091.PKS.BL.DIR.03103/1/132/28/1600883/1/10AktifRS Mayapada Hospital2Jl. Honoris Raya Kav. 6Kota ModernBANTENTangerang021-5529035021-55781888021-5529036Bmarketing2@mayapadahospital.comTExecutiveclemensia NovikaadminadminKi Asnawi TangerangPT. Sejahteraraya Anugrahraya170-3000-111-8RI_RJ_042.PKS.BL.DIR.031212/1/1111/30/13009115000001000000425000300000900007/10/083/1/13AktifRS Hermina Tangkuban Perahu1Jl. Tangkubanprahu No. 33MalangJAWA TIMURMalang0341-3250820341-354843Ctangkubanprahu@herminahospitalgroup.comT-dr. Hasmoro, MHA, MMRASUNA SAIDPT. MEDIKALOKA MALANG0600000948RI_RJ_118/PKS-PL/DIR.07127/9/1212/31/150094370000310000105000800002/16/001/1/10AktifKlinik Sudirman Medical Center1Jl. Jenderal Sudirman Kav.25DKI JakartaJakarta Selatan021-5203467021-5204120021-5203468T-dr. H. Abdul RadjakPlaza CIMB NiagaPT. Permata Birama Sakti4400100278006RJ_187.PKS.BL.DIR.06133/28/123/27/1501123/28/11AktifKlinik Serang Medika1Jl. Raya Serang Cilegon Ruko Legok Sukma Jaya Blok C5 No.1BANTENSerang0254-2239920254-223992rnovia@indosat.net.idT-Ibu Mujia ChasanahSerangRina Novia, dr.5410090190RJ_ADD.I.024.PKS.BL.DIR.01101/11/121/10/14011551/11/10AktifRS Oen Solo Baru1Kompleks Perumahan Solo BaruSukoharjo - SoloJAWA TENGAHSolo0271-6202200271-622555Brumahsakit@droensolobaru.comT-dr. Wibowo Sudajana, M.Kes.,Slamet RiyadiYKPK QQ RS Dr. Oen Solo Baru0151217256RI_RJ_044.PKS.BL.DIR.04114/11/114/10/14011867500039000026500010000027500200001000012/27/991/7/13AktifRSU Kasih Ibu Surakarta0Jl. Brigjen Slamet Riyadi No. 404JAWA TENGAHSurakarta0271-7144220271-7228370271-717722Crsukasihibu@yahoo.comT-dr. Hendro Adikuncoro / Ibu YovitaSolo/Slamet RiyadiYayasan Kasih Ibu4050100021000RI_RJ_470.PKS.BL.DIR.100910/9/1210/8/14011945000035000020000990006500010/9/121/1/09AktifRS Mediros2Jl. Perintis Kemerdekaan Kav. 149RawamangunDKI JakartaJakarta Timur021-4750042021-4897415021-4891937Crsmediros@cbn.net.idT-Sammy LainsamputtyadminadminRawamangunPT. International Indonesia Health Care0012969095RI_RJ_ADD.II.PKS.RS.626.BI.05085/26/135/25/160122800000500000600005/26/081/1/10AktifRSIA Melati Husada0Jl. Kawi No. 32,MalangJAWA TIMURMalang0341- 3252490341-341 3570341- 365094Crs_melatihusada@yahoo.comTExecutiveYati SupriyatiBasuki Rahmat MalangSuprapti0052343210RI_RJ_ADD.I.227.PKS.BL.DIR.05095/13/118/12/1401255/13/099/28/09AktifRSIA Hermina Bogor1Jl. RingRoad I - Kav 23,25,27 Perumahan Taman YasminCurug MekarJAWA BARATBogor0251-83825250251-8328252Bbogor@herminahospitalgroup.comT-dr. Hasmoro, MHA, MMRASUNA SAIDPT. MEDIKALOKA BOGOR0600000618RI_RJ_118/PKS-PL/DIR.07127/9/1212/31/150133962000775000400002500001000002/16/001/1/13AktifRSU Manuaba1Jl. Cokroaminoto No.28DenpasarBALIDenpasar0361-4263930361-4371430361-429447Cgedengurahbuana@yahoo.comT-Prof. dr. I.B. Gede Manuaba, Sp.OG(K)RenonDM Putri Manuaba0055218844RI_RJ_ADD.I.015.PKS.BL.DIR.01101/18/131/17/160140400000150000100000750001/18/101/1/10AktifRS Muhammadiyah Bandung1Jl. KH. Ahmad Dahlan No.53BandungJAWA BARATBandung022-7301062022-7312167022-7306458Casysyfa@indosat.net.idT-dr. H. Muripto, MARS.,Buah Batu BandungRS Muhammadiyah Bandung0800010000209RI_RJ_ADD.I.540.PKS.BL.DIR.120912/21/1212/20/15014575000080000500003500030000250002000012/21/096/1/12AktifRS Mardi Rahayu Kudus0Jl. AKBP R. Agil Kusumadya No.110KudusJAWA TENGAHKudus0291-4347070291-4347080291-434711Bmardirahayu@indo.net.idT-Ibu Martha/Ibu SuyatiKudusRS Mardi Rahayu Kudus040.01.06399.002RI_RJ_022.PKS.BL.DIR.02112/14/112/13/1401464500002800002400001000003500030000250002000012/15/992/26/11AktifKlinik Karya Medika IVKarya Medika Group0Jl. Raya Narogong Km.11Bantar GebangJAWA BARATBekasi021-8254629021-8254630T-Ibu SugirahBekasiYayasan Klinik Karya Medika IV0042004899001RJ_ADD.I.078.PKS.BL.DIR.02102/15/122/14/1501472/15/05AktifKlinik MULYA MEDIKA I0JL. RAYA JATI MULYA, NO.1, BEKASI TIMURJAWA BARATBekasi021-8203272021-82419781021-8203272runtung_bintoro@yahoo.co.idTMuhammad SyahrullahRuko Kalimas Bekasi TimurMuhammad Syarullah5780498503RJ_139.PKS.BL.DIR.05135/27/135/26/1501515/27/13AktifKlinik Karya Medika VKarya Medika Group0Ruko Harco Tehnik Blok A No.1JAWA BARATCikarang021-89832569T-Ibu YustinCikarang BekasiYayasan Karya Medika V0026053610002RJ_ADD.I.078.PKS.BL.DIR.02102/15/122/14/1501552/15/05AktifRS St. Elisabeth Semarang0Jl. Kawi No. 1SemarangJAWA TENGAHSemarang024-8310076024-8310035024-8413373024-8412392BT-Sr. M. Sylviani, osfPemuda SemarangRS. Elisabeth015-01-04097-00-5RI_RJ_028.PKS.BL.DIR.01131/1/1312/31/1401606500005000002600001100008/20/011/1/12AktifRS Mitra Keluarga Bekasi Timur1Jl. Pengasinan Rawa Semut MargahayuBekasi TimurJAWA BARATBekasi021-8817777021-8820707humas_rsmkbt@mitrakeluarga.comT-Retno/ LindaBekasiProteindo Karyasehat1000202475RI_RJ_126D.PKS.BL.DIR.12111/17/111/16/1401611750000119500065000036500015000011/30/981/1/13AktifRS Darmo0Jl. Raya Darmo No 90SurabayaJAWA TIMURSurabaya031-5676253031-5676256031-5620690Crsdarmo@sby.dnet.net.idTExecutiveLarasatiUrip SumoharjoRS Darmo0049831235RI_RJ_ADD.I.518.PKS.BL.DIR.051211/23/1111/22/1301637500004000003500001000001/2/0211/15/08AktifRSIA Hermina Bekasi (Group)0Jl. Kemakmuran No.39MargajayaJAWA BARATBekasi021-8842121021-88952275Bbekasi@herminahospitalgroup.comT-Dr. H. Hasmoro, MHA,MMRASUNA SAIDPT. MEDIKALOKA SEJAHTERA0600000318RI_RJ_118/PKS-PL/DIR.07127/9/1212/31/1501789620008100004250002550001100002/16/001/1/11AktifRS Umum Kasih Ibu Bali0Jl. Teuku Umar No. 120BALIDenpasar0361-2230360361-238690Cmarketing@kasihibu.co.idT-Ibu Ni Luh Putu SuarpiniDenpasarPT. Kasih Medikatama8015013679RI_RJ_AD.PKS.RS.348.BJ.060410/19/1110/18/14017920000011/8/991/1/09AktifRS Mitra Keluarga Kelapa Gading0Jl. Bukit Gading Raya Kav. 2Kelapa Gading PermaiDKI JakartaJakarta Utara021-45852700021-45852800021-45852727Akelapagading@mitrakeluarga.comTExecutivedr. Anny Alfianti / DelaKelapa GadingPT. Ekamita Arahtegar1016112018RI_RJ_ADD.I.103.PKS.BL.DIR.03103/1/132/20/16018616000001150000510000310000120000250000200000130000900008000011/5/021/1/10AktifKlinik Fajar MedikaKarya Medika Group0Ruko Kawasan Industri MM2100CibitungJAWA BARATBekasi021- 8981162021-8981162CT-Ibu Wati / Bpk OskarMega Mall CibitungFajar Medika4680100457006RJ_ADD.I.078.PKS.BL.DIR.02102/15/122/14/1501882/15/05AktifKlinik Aqma Purwakarta0Jl. Ibrahim Singadilaga No. 14JAWA BARATPurwakarta0264-200377T-dr. H Irfan Havson H.A, MARSCikampekYayasan Aqma0302-01-000349-30-5RJ_209.PKS.BL.DIR.111211/13/1211/12/13018911/13/12AktifRS Islam Bogor0Jl. Perdana Raya No. 22Kedung BadakJAWA BARATBogor0251-83168220251-8347139Crsib_91@yahoo.co.idT-Ibu Gina/Ibu DiahBogorRS. Islam Bogor3899128RI_RJ_ADD.I.174.PKS.BL.DIR.06125/24/125/23/1401905550000241500132250747501/15/076/6/09AktifRS PTP. Nusantara VIII Subang0Jl. Otto Iskandardinata No. 1SubangJAWA BARATSubang0260-411 6320260-4204060260-420 391rspn8@yahoo.co.idT-dr. H. Yep Ruchiat S. MH.KesSubangPT. Perkebunan Nusantara VIII (Persero)1320006144639RI_RJ_ADD.I.308.PKS.BL.DIR.06122/3/122/2/140191280000195000650002/3/098/1/08AktifRS Baptis Batu0Jl. Raya Tlekung No. 1Junrejo BatuJAWA TIMURBATU0341-5941610341-598911rsbaptisbatu@yahoo.comT-dr. Imanuel Eka TantaputraBatuRS Baptis Batu01931000594RI_RJ_ADD.I.048.PKS.BL.DIR.02102/1/131/31/160192500000150000600002/1/101/1/09AktifKlinik Medicare (PT Medika Selaras)3Menara Kadin Indonesia Lt. 27Jl. HR Rasuna Said Blok X-5 Kav 2-3 - KuninganDKI JakartaJakarta Selatan021-5274556021-5274754T-Ibu Nancy Nidyastutidukuh BawahPT. Medika Selaras01.651.04.569MCU_420.PKS.BL.DIR.09091/1/1212/31/1401997/25/05AktifRSU Islam Kustati0Jl. Kapten Mulyadi Bo.249JAWA TENGAHSurakarta0271-643013CT-dr. S. Budi Yuwono. Sp. B (K) TraumaSlamet RiyadiYayasan Kustati QQ keuangan28035512RI_RJ_ADD.I.059.PKS.BL.DIR.01102/8/132/7/160212275000650002/8/1011/10/10AktifRS Dr. Oen Surakarta0Jl. Brigjen Katamso No. 55SurakartaJAWA TENGAHSurakarta0271-6431390271-642026Binfo@droenska.comT-Junita Tandiyono, S. PSi / MuldiyantoSurakartaYayasan Kesehatan Panti Kosala2650100360004RI_RJ_ADD.I.515.PKS.BL.DIR.110911/23/1111/22/13021458/27/07AktifRS Prima Medika1Jl. Pulau Serangan No.9XBALIDenpasar0361-2362250361-2637660361-236203Crspm@indosat.net.idTdr. Endrawati Wibawa ManuabaGrand Sudirman DenpasarPT. Surya Prima Cipta6110145452RI_RJ_ADD.I.081.PKS.BL.DIR.02102/17/132/16/1602204000002/17/101/1/10AktifRSU Puri Raharja1Jl. WR. Supratman No.14-29DenpasarBALIDenpasar0361-2220130361-242537CT-dr. I Nyoman Sutedja, MPH.Renon DenpasarPT. Puri Raharja01000013437RI_RJ_ADD.I.071.PKS.BL.DIR.02102/1/131/31/160221275000150000900002/1/101/24/12AktifRSIA Kemang Medical Care1Jl. Ampera Raya No.34KemangDKI JakartaJakarta Selatan021-27545454021-78843548Ainfo@kemangmedicalcare.comT-Tri WulandariMelawai RayaPT. Sarana Mediktama Kemang019.426.0636RI_ADD.I.434.PKS.BL.DIR.09099/7/129/6/150228313500008000004250001500009/7/097/1/12AktifRS H. Darjad0Jl. Dahlia No. 4KALIMANTAN TIMURSamarinda0541-7326980541-732562Crshd_smd@yahoo.comT-Ibu Winne MeylyaneMulawarmanPT. Medical EtamRSHD1480003187492RI_RJ_ADD.I.089.PKS.BL.DIR.05126/1/135/31/1502305/30/07AktifRS Delta Surya0Jl. Pahlawan No.9SidoarjoJAWA TIMURSidoarjo031-8962531031-8961271031-8961281031-8963120Crsdeltasurya@yahoo.co.idT-dr. H. Hariono, MARS.,SidoarjoYayasan Delta Surya1410002038255RI_RJ_059.PKS.BL.DIR.03134/11/134/10/1402496000004500003000007500035000350003000025000200003/14/011/1/10AktifKlinik Yayasan Karya MedikaKarya Medika Group0Jl. Ir. H. Juanda No. 38CJAWA BARATBekasi021 - 8801293021-8800381021 8816137CT-Bpk HermanBekasiYayasan Karya Medika0010003384002RJ_ADD.I.078.PKS.BL.DIR.02102/15/122/14/1502502/15/05AktifRS Jasa Kartini0Jl. Sarianingrat No. 2TasikmalayaJAWA BARATTasikmalaya0265-3318080265-3316410265-327630CT-dr. H. Dudun AbdullahTasikmalayaYayasan Karsa Abdi Husada25458009RI_RJ_ADD.I.041.PKS.BL.DR.01101/18/131/17/16025310/23/03AktifRS BAYUKARTA1Jl. Kertabumi No 4KarawangJAWA BARATKarawang0267-4027310267-4018170267-404 472marketing.rsbk@gmail.comTdr. Bina Miguna, MM, BA-TKarawangBRS GK PASUNDAN, YAYASAN132-00-9902482-1RI_RJ_ADD.I.109E.PKS.BL.DIR.06126/18/136/18/140255100000400006/18/124/1/13AktifKlinik & RB Bina MedikaKarya Medika Group0Jl. Kp. Kongsi CikarangJAWA BARATCikarang021-8900050021-8900051T-dr. Djuhari SuryasaputraCikarangYayasan Bina Medika0026053561002RJ_ADD.I.078.PKS.BL.DIR.02102/15/122/14/1502632/15/05AktifRS Hermina Depok1Jl. Siliwangi No. 50Pancoran MasJAWA BARATDepok021-77202525021-7763309Bdepok@herminahospitalgroup.comT-dr. Hasmoro, MHA, MMRASUNA SAIDPT. MEDIKALOKA HUSADA0600000418RI_RJ_118/PKS-PL/DIR.07127/9/1212/31/1502659620008100004250002550001100002/16/001/1/13AktifRS Mitra Kasih Asyadira Universitas Padjajaran0Jl. Jend. H. Amir Machmud No.341CimahiJAWA BARATBandung022-6654852022-6652774022-6654875CTExecutiveIbu Deswa / dr. Irfan / Ibu InaCimahiRS Mitra Kasih0023652712RI_RJ_ADD.I.093.PKS.BL.DIR.03103/1/132/28/16026880000024000015500085000600003000020000100009/29/001/1/09AktifRS Islam Siti Hajar Sidoarjo0Jl. Raden Patah No. 70-72SidoarjoJAWA TIMURSidoarjo031-8921233031-8961570031-8944990031-8944438T-dr. Mohammad Ridho A, M. KesSidoarjoBPM NU Siti Hajar0045207447RI_RJ_ADD.I.097.PKS.BL.DIR.05126/1/135/31/14027180000300006/1/123/1/13AktifRS Omni Medical Center (RS Ongko Mulyo)1Jl. Pulo Mas Barat VI No.20Jakarta TimurDKI JakartaJakarta Timur021-4723332021-4718081BT-dr. Yulia/Ibu ReniPulomasPT. 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Juanda No.141JAWA BARATBekasi021-8801775021-880177021-88342438Cmarketing@rsbella.comT-Bpk Deni SaputraBekasiPT. Bella Medika5780244234RI_RJ_109F.PKS.BL.DIR.06126/18/126/17/14041099500075000040000021000011000012/6/001/1/10AktifRS Azra0Jl. Raya Pajajaran No.219BogorJAWA BARATBogor0251-83184560251-703490251-3317730251-324093BTExecutiveAndri HendrianaBogorPT. Artha Sabena Putra0953015151RI_024/RS-AZRA/X/2008-S10/20/0811/19/13041140000035000010000010/20/088/16/10AktifRS Bunda Medical Center (RS. Restu Ibu Padang)1Jl. Proklamasi No.37SUMATERA BARATPadang0751-231640751-295360751-23200Crsubmc@yahoo.comT-Ibu DeasySyariah PadangPT. Bunda Minang Citra0092645271RI_RJ_MCU_136.PKS.BL.DIR.07128/20/128/19/14042365000012/29/991/1/10AktifRSU Palang Merah Indonesia (PMI)0Jl. Raya Padjajaran No. 80 Po Box 59BogorJAWA BARATBogor0251-83240800251-3240800251-83829360251-324709Brspmibogor@yahoo.comTExecutivedr. H. 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Hasanudin No. 63TambunJAWA BARATBekasi021 - 88324366021-88327514021 - 88327514CT-Ibu DewiBekasi Grand WisataRS Karya Medika II156-00-333.3331-3RI_RJ_ADD.I.078.PKS.BL.DIR.02102/15/122/14/1506202/15/05AktifRSU Sari Mutiara0Jl. Kapten Muslim No.79SUMATERA UTARAMedan061-8451812061-8452134Csarimutiara.hospital@yahoo.co.idT-hisar.situmeang@yahoo.comJl. Pulau PinangRSU Sari Mutiara Medan50050911234RI_RJ_ADD.I.016.PKS.BL.DIR.07121/18/121/17/1406265600000500000295000200000150000900007000055000001/18/107/1/10AktifRS Sari Mulya0Jl. P Antasari 139BanjaramasinKALIMANTAN SELATANBanjarmasin0511-32744470511-2525700511-3257889Crs_sarimulia@yahoo.co.idTExecutiveBpk. Syamsul/Bpk ApriLambung MangkuratYayasan Indah0310098502837RI_RJ_ADD.I.508.PKS.BL.DIR.110911/9/1111/8/140631269000075000080000175000900002/13/017/1/09AktifRS Pertamina Balikpapan1Jl. 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Raya Condet No.18CondetDKI JakartaJakarta Timur021-8090712021-80881275021-80881275CT-Ibu AnnaDewi SartikaAsdikiyatun273-178-8962RJ_ADD.I.524.PKS.BL.DIR.120912/1/1111/30/140962512/1/09AktifRS Islam Asshobirin0Jl. Raya Serpong Km.11Pondok JagungBANTENTangerang021-5384314021-5374392rsi.asshobirin@gmail.comT-dr. H. Rasyid Dwi NugrohoKC. BSD City TangerangRS Islam Asshobirin3030003110RI_RJ_190F.PKS.BL.DIR.10129/8/129/7/150971420000160000720009/8/096/1/12AktifRS Baptis Kediri1Jl. Brigjen Pol IBH Pranto No. 1 7KediriJAWA TIMURKEDIRI0354-6821700354-6841720354-681173Crsbaptiskediri@yahoo.comT-Thomas Suhardjito, S.ThKediriRumah Sakit Baptis Kediri0052063174RI_RJ_028J.PKS.BL.DIR.01132/8/132/7/1609776600006500001850007/17/061/1/12AktifRS Islam Surabaya A. Yani0Jl. Jend. A. Yani 2-4JAWA TIMURSurabaya031-8284504031-8284505031-8284486rsiayani@yahoo.co.idT-drg. Kukuh K.MMayjen Sungkono SurabayaRS Islam Surabaya1410033111170RI_RJ_218E.PKS.BL.DIR.111212/7/1212/6/15098060000035000022500010000010000080000750005000012/7/095/1/12AktifKlinik Cijawa Medika0Jl. KH. Fatah Hasan No.8BANTENSerang0254-2047350254-204735T-dr. Luh Putu PirgayaniSerangdr. Luh Putu Pirgayani2451025696RJ_ADD.I.097.PKS.BL.DIR.03103/1/122/28/15098453/1/10AktifRSIA Kurnia1Jl. Jombang Masjid No.4BANTENCilegon0254-3911610254-397023Crsia_kurnia@yahoo.co.idT-Ibu LiaCilegonPT. Kurnia Sejahtera0002312225RI_RJ_ADD.I.303.PKS.BL.DIR.06096/22/116/21/1409852.5350000200000120000850006/22/091/1/12AktifKlinik Harapan Sehat I Group0Jl. Teuku Umar No. 33Depan Pasar Induk CibitungJAWA BARATBekasi021-88336674T-Bpk Dayat / Mba DwiCikarangPT. 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Ahmad Djojosugito, dr. SpOTPT. PosindoYayasan Pengabdian RS Halmahera0002715188RI_RJ_ADD.II.031.PKS.BL.DIR.05115/14/135/14/1510935/26/11AktifRS Teungku Fakinah0Jl. Jendral Sudirman No. 27-29Banda AcehDAERAH ISTIMEWA ACEHBANDA ACEH0651-414540651-427540651-494540651-47646teungkufakinah_hospital@yahoo.co.idT-Banda AcehYayasan Teungku Fakinah Rumah Sakit3636888887RI_RJ_018D.PKS.BL.DIR.01121/30/121/29/1411004500003500003250002500001/30/126/1/12AktifRS Bhakti Mulia1Jl. AIPDA KS. Tubun No. 79DKI JakartaJakarta Barat021-5481625021-5481262021-5331544Crs.bhaktimulia@yahoo.co.idT-Rama PrasetyaSenayanRS. Bahakti Mulia0004455308RI_RJ_ADD.I.0117.PKS.BL.DIR.12116/24/136/23/15110229350004250002250001750008000050000400003500030000250006/24/093/1/13AktifRSIA Trimitra0Jl. 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Jaksa Agung Suprapto No.76JAWA TIMURLAMONGAN0322-3228340322-314048Crsm_lamongan@yahoo.comT-Bpk ZuhdiGresikDrs. Taufik Y44523485RI_RJ_ADD.II.421.PKS.BL.DIR.061212/1/1111/30/131199200000650005500045000300002500012/1/091/1/10AktifRS Adi Husada Kapasari0Jl. Kapasari 97 101SurabayaJAWA TIMURSurabaya031-3764555031-3764000031-3764666Brsahkap@indosat.net.idTExecutivedr. Danny/Bpk ArifKapasariRumah Sakit Adi Husada Kapasari5650045671RI_ADD.I.009.PKS.BL.DIR.01101/4/131/4/1512015500004000001500001000005/3/071/1/09AktifKlinik Sehat Sejahtera I0Jl. Nusantara No. 2 Perumnas 3JAWA BARATBekasi021-88349427021-88349427klinikharapansehat@gmail.comT-Hayati WidodoSetia MekarKLINIK SEHAT SEJAHTERA0014301300000148RJ_ADD.II.106.PKS.BL.DIR.03103/1/132/20/1612032/28/08AktifKlinik Sehat Sejahtera IISehat Sejahtera I0Perumahan Permata Regency Bekasi Blok F1 No. 85Kel. Wanasari CibitungJAWA BARATBekasi021-88367194021-88367194T-Ibu PujiSetia MekarKlinik Sehat Sejahtera0014301300000148RJ_ADD.II.106.PKS.BL.DIR.03103/1/132/20/1612042/28/08AktifKlinik Sadrina Medika ISehat Sejahtera I0Perum Mutiara Gading Timur Blok A7 No.5Mustika jayaJAWA BARATBekasi021-82613888021-82612965T-Hayati WidodoKalimasHayati Widodo5780260451RJ_ADD.II.106.PKS.BL.DIR.03103/1/132/20/1612052/28/08AktifKlinik Sadrina Medika IISehat Sejahtera I0Perum Bekasi Timur Regency Blok h2 No.12CimuningJAWA BARATBekasi021-82612828021-82612965T-Hayati WidodoKalimasHayati Widodo5780260451RJ_ADD.II.106.PKS.BL.DIR.03103/1/132/20/1612062/28/08AktifKlinik DIPONEGORO0Jl. DIPONEGORO No.26 TambunJAWA BARATBekasi021-8817062021-88346743klinik24jam.diponegoro@gmail.comT-dr. Endang Wahyuningsih, MMAhmad Yani - Tangerang dr. Endang Wahyuningsih1550002160177RJ_161.PKS.BL.DIR.06136/10/136/9/1512076/10/13AktifKlinik Medic Centre0Jl. Sei Lakam, komp. Karimun Blok B No. 1Tanjung Balai KarimunRIAUTANJUNG BALAI KARIMUN0777-3255610777-325561medic_Centre@ymail.comT-dr. Rosdianan SpS. MKesTIKATIKATanjung Balai Karimun8070 370 931WillemRJ_ADD.I.113A.PKS.BL.DIR.07127/2/137/1/1512087/2/12AktifKlinik Asri Husada II (JPKM KOPJASMED)0Jl Titiran No.16BandungJAWA BARATBandung022-2507293022-2507293jpk.kopjasmed@yahoo.comT-dr. H. Yono SudiyonoMartadinataYono Sudiyono H. dr.,1310001074980RJ_ADD.II.505.PKS.BL.DIR.110911/2/1211/1/14121157/1/05AktifRS PUPUK KALTIM0Jl. Oxygen No. 1, Komplek Pupuk Kaltim, BontangKALIMANTAN TIMURBontang0548-411180548-41555TNurul FathoniLhoktuanRumah Sakit Pupuk Kaltim148-0011057638RI_RJ_039A.PKS.BL.DIR.02132/1/131/31/1512142/1/13AktifRS Juwita0Jl. M. Hasibuan No.78JAWA BARATBekasi021-8829590021-8829591021-8829592Cjuwita_hospital@yahoo.comT-Ibu Nia KurniatiIr Juanda BekasiPT. 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Wolter Monginsidi No.235LampungLAMPUNGBandar Lampung0721-2545890721-2545890721-257926Crs_bumiwaras@yahoo.comTExecutiveFirda RisantiLampungPT. Andal Waras1001943126RI_RJ_ADD.I.187.PKS.BL.DIR.06106/1/125/31/14122875000020000015000060000900004000035000300003/1/067/1/09AktifRS Bakti Timah Pangkalpinang1Jl. Bukit Baru Pangkal PinangPangka PinangBANGKA BELITUNGPANGKALPINANG0717-4210910717-4330260717-424212Cadm_rsbt@yahoo.comT-dr. Adi Sucipto, SpBPangkal PinangRS Bakti Timah Pangkal Pinang0080849324RI_RJ_190B.PKS.BL.DIR.101210/22/1210/21/141230650000310000200000135000650005500050000450003/1/014/1/11AktifRSU Aqma Cikampek (sekarang menjadi RS IZZA)0Jl. Kp. Ciselang Ds. Cikampek UtaraCikampek - KarawangJAWA BARATKarawang0264-3193070264-83868300264-8386832rs_aqma@yahoo.comTdr. H. Toto Sutopo, M.Kes.,CikampekPT. AQMARINA PUTRA RIZKY1320004862919RI_RJ_037.PKS.BL.DIR.03113/28/113/27/1412394500004000002500001750001250003/28/116/1/12AktifRS Palang Biru Gombong0Jl. Kartini No.37GombongJAWA TENGAHKEBUMEN0287-4712900287-473221CTExecutiveAgnes HernaGombongSr. Mikaela ADM31871096RI_ADD.I.060.PKS.BL.DIR.02102/8/132/7/16124312500080000600002/8/101/1/10AktifRSIA Masmitra0Jl.Kelurahan Jatimakmur No.40Pondok GedeJAWA BARATBekasi021-84971766021-84999026021-8483047Crsiamasmitra@yahoo.comT-Dr. Musana, SpKJJatiwaringinPT.Dharmakarya Indoperkasa1560000137978RI_RJ_ADD.I.097.PKS.BL.DIR.03093/10/123/9/1512446500005000002500002000001000003/10/091/1/10AktifRSU Surya Husadha UbungSurya Husadha0Jl. Cokroaminoto No.356BALIDenpasar0361-4257440361-430557BT-I.A.Dwi WulandariJl. Dewi Sartika No.1 DenpasarPT. Surya Husadha0701300002918RI_RJ_ADD.I.092.PKS.BL.DIR.03103/1/132/29/1612453/1/10AktifRS Wijaya Kusuma Lumajang0Jl. Ahmad Yani No. 149LumajangJAWA TIMURLumajang0334-8913250334-8817910334-888844CT-adminadminLumajangErna Widiastuti1250523251RI_RJ_ADD.II.016.PKS.BL.DIR.01091/5/131/4/1412472000001100008000050000500003500030000250001/5/098/1/09AktifKlinik & RB Insani CibinongInsani Bogor0Jl. Mayor Oking Jayaatmaja No. 58 ACiriungJAWA BARATBogor021-8757567Dklinik.insani@gmail.comT-adminadminCiteureup - BogorPT. Insani Berkah Makmur2810001688RJ_063.PKS.BL.DIR.04123/12/123/11/1412513/12/09AktifKlinik & RB El-Rapha1Jl. Raya Bogor Km.31 No.5CimanggisJAWA BARATDepok021-98129928021-8715082021-8715082T-dr. HandojoSummit MasPT. Sarana Medis Utama2145257339RI_RJ_ADD.I.049.PKS.BL.DIR.05124/11/124/10/1412664/11/11AktifRS Mulyasari2Jl. Raya Plumpang Semper No.19DKI JakartaJakarta Utara021-4393111021-4393666021-43934369rs.mulyasari@gmail.comT-dr. Abdullah Akhmad, MARS.,Tanjung PriokPT. Mulyasari Medical0403020101RI_RJ_ADD.II.067.PKS.BL.DIR.06115/7/135/6/16126956/14/11AktifRS Sari Asih Serang0Jl. Jend. Sudirman No.38Cipocok PenancanganBANTENSerang0254-2200220254-220345CT-Dicky R. PamungkasCiledug TangerangPT. SARI ASIH ARIA CEMERLANG100001000009925RI_RJ_ADD.I.164.PKS.BL.DIR.05105/17/135/16/161272575000300000135000750005/17/103/1/11AktifRS Surya Husadha1Jl. Pulau Serangan No.7BALIDenpasar0361-2337870361-238906marketingsuryahusadha@gmail.comT-Ibu Dewi KarmilaJl. Dewi Sartika No.1 DenpasarPT. Surya Husadha0701300002918RI_RJ_ADD.I.092.PKS.BL.DIR.03103/1/132/29/1612735180003530002760002000001100003/1/101/1/10AktifRS Santo Antonio Baturaja0Jl. Komisaris Umar No. 33BaturajaSUMATERA SELATANBATURAJA0735-3203950735-3244180735-320201rsantonio_bta@yahoo.comT-Andreas Hendra HidayatBaturajaRS ST. Antonio1120006779347RI_RJ_ADD.II.072.PKS.BL.DIR.06116/22/136/21/141284350000275000125000600006/22/111/15/12AktifRS Happy Land Medical Center1Jl. Ipda Tut Harsono No.53TimohoDAERAH ISTIMEWA YOGYAKARTAYogyakarta0274-550060mkthlmc@yahoo.comT-dr. Sigit Riyarto, MKes.,Sudirman YogyakartaTripillar Medisjaya, PT.1370002277958RI_RJ_173.PKS.BL.DIR.05102/25/122/24/1412864500002/25/081/1/10AktifKlinik Yakesti BekasiYakesti Group0Jl. Raya Narogong Km.9 No.45, Bojong MentengRawa LumbuJAWA BARATBekasi021-82553516CT-Muhammad Safii MaarifKemang Pratama BekasiCV. Yakesti Artha Mandiri5680669882RJ_ADD.II.512.PKS.BL.DIR.110911/16/1111/15/1412939/10/07AktifKlinik & RB Insani Bogor1Jl. Pahlawan No. 73 BCiteureupJAWA BARATBogor021-87942570021-70247742021-87942570klinik.insani@gmail.comT-AbiadminadminCiteureup - BogorPT. Insani Berkah Makmur2810001688RJ_063.PKS.BL.DIR.04123/12/123/11/14129753/12/09AktifKlinik Ikhlas Medika IVIkhlas Medika I0Komplek PCI (Pondok Cilegon Indah) Blok A19/10BANTENCilegon0254-7061935T-dr. Teti EndrianiCilegonPT. Ikhlas Medika0190037251RJ_ADD.II.151.PKS.BL.DIR.04104/15/124/14/1512984/15/10AktifRSIA Puspa Husada0Jl. 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