Daftar Faskes Wilayah Bpjs Surabaya

8/15/2019 Daftar Faskes Wilayah Bpjs Surabaya

1/44

DAFTAR FASILITAS KESEHATAN BAGI PESERTA BPJS KE

KANTOR CABANG UTAMA SURABAYA

KOTA : SURABAYA

FASKES TINGKAT PERTAMA1 PUSKESMAS

No Nama Fasilitas Kesehatan Alamat

1 PUSKESMAS ASEMROWO Jl. Asem Raya No. 8

2 PUSKESMAS BENOWO Jl. Raya Benowo

PUSKESMAS JERUK Jl. Raya Men!anti Je"#$ No. 2%% A

& PUSKESMAS 'ON(AR Jl. Raya 'onta" No. 2)

*PUSKESMAS '+,A- KU'ON Jl. Raya Men!anti 'iah K#lon No. *

) PUSKESMAS PENE'E- Jl. Ma$am Peneleh No. *

% PUSKESMAS KE(ABAN/ Jl. (aman S#"ya No. 1

8 PUSKESMAS KE,UN/,ORO Jl. Kaliasin /!. Pom0a No. %81

PUSKESMAS ,R. SOE(OMO Jl. K#0an! Se!#ntin! ++ 322

14 PUSKESMAS (EMBOK ,UKU- Jl. Kali5#t#h No. 2)

11 PUSKESMAS /UN,+- Jl. Ma"!oai )8

12 PUSKESMAS (AMBAK REJO Jl. N!a!li$ No. 8%

1 PUSKESMAS S+MO'AWAN/ Jl. Simolawan! ++ Ba"at No. &*

1& PUSKESMAS PERAK (+MUR Jl. Ja$a"ta No.

1* PUSKESMAS PE/+R+AN Jl. Ka"an! (em5o$ No.

1) PUSKESMAS S+,O(OPO Jl. S#m5o /!.++ 3 )4

1% PUSKESMAS WONOKUSUMO Jl. Wono$#s#mo (n!h **

18 PUSKESMAS KENJERAN Jl. (am5a$ ,e"es No. 2

1 PUSKESMAS RAN/KA- Jl. Ran!$ah 6++ 3 &

24 PUSKESMAS PA7AR KE'+N/ Jl. Jolot#no Ba"# +++ 3 1)

21 PUSKESMAS /A,+N/ Jl. Ka0asa"i 'o" /!.++ 3No. 1

22 PUSKESMAS PU7AN/ SEWU Jl. P#an! Anom (im#" %2

2 PUSKESMAS MOJO Jl. Bha$ti -#saa /an! +++ No 14

2& PUSKESMAS KA'+RUN/KU( Jl. R#n!$#t P#s$esmas No.1

2* PUSKESMAS (EN//+'+S Jl. R#n!$#t Me9oyo Selatan +63P&8

2) PUSKESMAS MENUR Jl. Manya" Re9o + 3 No. *

PUSKESMAS K'AMP+S N/ASEM Jl A i : R h - $i N B


2/44

** PUSKESMAS PAK+S Jl. Ma$am Kem5an! K#nin! No.)

*) PUSKESMAS BAN;U UR+P Jl.Bany# U"i0 Ki#l )38

*% PUSKESMAS JA/+R Jl. Ben#l Me"isi +

*8 PUSKESMAS KE,URUS Jl. Raya Mast"i0 No. &)

*PUSKESMAS KREMBAN/AN SE'A(AN Jl. Pesa0en Selatan No. %4

)4 PUSKESMAS S+,O(OPO WE(AN Jl. Ran# No. 142

)1 PUSKESMAS /UNUN/ AN;AR Jl. /#n#n! Anya" (im#" %4

)2 PUSKESMAS W+;UN/ Jl. Men!anti Wiy#n! Pasa" No. 24

2 DOKTER UMUM PRAKTIK MANDIRI


1 ". Ai P"amono Jl. Kalianya" *1

2 ". Al5e"t#s -a"tanto Jl. ,a"mo No.2* S5y

". Anan! P"a9itno Jl. Raya J#"an! K#0in! 14 5enowo

& ". Ay# R#sti$awati Jl. N!a!el (i"to ++3%4

* ". ,ina Ma"iani Jl. K"#$ah Uta"a )&

) ". -ilman Si"e!a" Jl. Ke#n! owe$ no )

% ". -oei9anto Jl. Bany# U"i0 2%8

8 ". Ma#lia J#nia" Jl. (en!!ilis #ta"a +3

". M#hamma Noo" ,iansyah Jl. /#n#n! sa"i +++318% F

14 ". M#$i Enah Raha9# Jl. Manya" Ke"toai >RSU -a9i S#"a5aya?

11 ,". N#" -asanah Jl. ,onowati 6+31* R( 8 RW 1 S#"a5aya

12 ". N#"#l -iayah Jl. ("en!!an# no % Kel#"ahan 0e"a$ tim#"

1". Rah9oe P#"5anti Jl. Man#$an (ama B*

1& ". Roeslina -e"awati

1* ". Sa5i"#n AS Jl. Wisma Menan!!al +31*

1) ". Sat"io ,wi S#"yanto"o Jl. Paa"$elin! No.18

1% ". S9ams#l Awal ' Jl. ,ha"mawan!sa No. 12 >i lm A0oti$ P"omit"a?

18 ". Slamet Santoso Jl. Kenan!sa"i J3%

1 ". S"i -awati Jl. Bany# U"i0 22 S#"a5aya 3 Klini$ Bany##"i0

24 ". S#a"tanto Jl. (el#$ 5one Uta"a )

21 ". S#9a"i Jl. Kaliami 222 ". S#lantono Jl. Ke#n! Asem No.)4

Jl. Manya" Jaya B2) 3 R#$o 114 A0a"temen/#nawan!sa Men#" P#m0#n!an


3/44

14 BP JAMSOS(EK 14& J' BAN;U UR+P NO.44 SURABA;A

11 BP JAMSOS(EK 121 J'. RA;A PU(RO A/UN/ NO. *8 SURABA;A

12 BP JAMSOS(EK 122 J'. KENJERAN NO.18 SURABA;A

1 BP JAMSOS(EK J'. ASEMROWO KA'+ NO.1 SURABA;A

1&BP JAMSOS(EK &1 J'. N/A/'+K NO.&% SURABA;A

1* BP JAMSOS(EK % J' S+MOREJOSAR+ B NO *& SURABA;A

1) BP JAMSOS(EK 8& J' S+MO POMA-AN +++31& (AN,ES SURABA;A

1% BP JAMSOS(EK J'. PERAK (+MUR NO.*)& 3 7 SURABA;A

18 BP KEBAN/K+(AN J'.MANUKAN MA,;A NO.1&1 (AN,ES

1 BP NURAN+ JA;A % J'. KEN,AN/SAR+ +++324 SURABA;A

24 BP NURAN+ JA;A )) J' KU(+SAR+ SE'A(AN ++3& SURABA;A

21 BP NURAN+ JA;A 8

22 BP RAJAWA'+ J'. KREMBAN/AN BARA( NO.2) , SURABA;A

2BP UMUM C /+/+ P( KERE(A AP+ >PERSJ' +N,RAK+'A NO 2A

2& BP W+,;A MAN,+R+ 1

2* BP W+,;A MAN,+R+ +++ >11%?

2) BP. ANU/ERA- KAR;A ME,+KA J'. /UNUN/ SAR+ NO 1 - SURABA;A

2% BP. ,+NA;'A U(AMA 14* J'. RA;A B+B+S NO ) SURABA;A

28 BP. JAMSOS(EK 112 J'. ,+NO;O NO. 243 ++ SURABA;A

2 BP. JAMSOS(EK 1&

4BP. JAMSOS(EK ) J'. BRA(AN/ B+NAN/UN 6+3&% SURABA;A

1 BP. JAMSOS(EK &&

2 BP. JAMSOS(EK *

BP. JAMSOS(EK )* J'. /UBEN/ KER(AJA;A


4/44

1 BP /UNUN/ SAR+ J'. /O'F + NO. 1A SURABA;A

1& BP SA('+N'AM+' Jl. Pe"a$ Ba"at= S#"a5aya

1* SA(KES KOBAN/,+KA' Jl. Mo"o$"em5an!an S#"a5aya

1) BP PUS,+KMAR Jl. Mo"o$"em5an!an S#"a5aya

1%BP PUS,+KOPS'A Jl. Mo"o$"em5an!an S#"a5aya

18 BP PUS,+K,ASM+' Jl. Mo"o$"em5an!an S#"a5aya

1 RUMK+(A' ,R. +,R+S P. S+RE/AR Kom0le$s Koa"matim

24 Sat$es P#si$han#nas Jl. Wi"atno No. 1 S#"a5aya

21 Poli$lini$ 4*=4=4& S#"a5aya Uta"a Jl. Sisin!aman!a"a9a


5/44

2 RS M#9i Rahay# Jl. Raya Man#$an Wetan )8A S#"a5aya

RS B#na Jl. Raya Kanan!an No. 2 S#"a5aya

& RS+ Jem#"sa"i Jl. Jem#"sa"i *1*% S#"a5aya

* RS+ A. ;ani Jl. A. ;ani 2& S#"a5aya

) RS ,a"#s Syi:a Jl. Raya Benowo * S#"a5aya% RS Bha$ti Rahay# Jl. Ketintan! Maya + S#"a5aya

8 RS Ai"lan!!a Jl. M#lyo"e9o S#"a5aya

RS Wi9aya Jl. Raya Men!anti Wiy#n! 8 S#"a5aya

14 RS Royal Jl. R#n!$#t +n#st"i +31 S#"a5aya

11 RS+A P#"a Raha"9a J'. PU7AN/ A,+ N4. 12 1& SURABA;A

12 RS P-7 Jl. P"a0at K#"#n! Selatan 1 S#"a5aya

* RUMAH SAKIT KHUSUS


1 RSJ Men#" Jl. Men#" 12 S#"a5aya

2 RS BKMM Jl. /ay#n! Ke5onsa"i (im#" No. & S#"a5aya

RS Mata Unaan Jl. Unaan K#lon 1 S#"a5aya

) KLINIK UTAMA/BALAI KESEHATAN MASYARAKAT/PRAKTIK DOKTER SPESIALIS


1

N+-+' N+-+'

....st

FASKES PENUNJANG


6/44

) 8a, Klinik 2 6$ar Jl. '(arma)ang$a No. 2/ +ura,aya

% 8a, Klinik 6ptima Jl. "aya "ungkut Mapan &% +ura,aya

8 8a, Baktii %nali$a Jl. Joyo,oyo No. 50 +ura,aya

OPTIK


1 6ptik 'ua +atu Jl.


7/44

SEHATAN

(ele0on

545 122

40 5*3

52 1/0

52 2/4

53 3544

534 343534 4/25

534 5*/

5 /2*

534 3410

54 25

31 553*

%1 %&

*2 &2&%

%) )1%

%) %%*%1 %*%

82 214

%1 44)&

*4 214

%) %%)

*41 8*2%

* 22

8%4 4))8

8& 42&

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8/44

*) 28*

*)1 *22

8&1 )2)

%)) 2%

** 2*4)

%) %%%

8%4 %&%*

%* 288*

(ele0on

0/13310/*//*

0311050500

031415350

031504*/00/155053/3

031502/00/1332340/

0315*22/30/1130/02

031/43502

031/4*12*

031541*

0315*240000/1130

031352424

0/13310/*//*

031414044

0315*3*303

031/2*1/

0315023/4

0/133022*

0/1/301*22

0/1230*/44

03132*523*

0315*23//0/13305///510//1*02220/


9/44

48114*1&

48112124)4

481221*1

48122)

48114*1&

48112%%84

48112%%8448122)81))

48122)81))

48112124)4

48112124)4

48112124)4

481%4*8)4841*41)14

481%4*8)483418%21%11

481%4*8)48

41%%%48888

48112%%84

481*%%%444

41%188%

48121&2*21

48121&2*21

48121&2*21

48121&2*21

48114*)%

4811&24*

48122)

48122)


10/44

412&234811*1*4

4812&8)%)

481%41*%%2

4812&&22&8

4821&14%1%

4121*4%3481**22)1)

418248*348*)4)2%*

41**1%%

41%2%8)%8

(ele0on

41***14&

41*%21%34818&&*%

4121*

(ele0on

4811*1&44

418%*1341%4%8*&*

481**&&)*

481111%)8)


11/44

;031= 41///* ,

;031= 4400 7

;031= /41/ 7

;031= /2/4505 7

41%&4)2%&4&)4 7

4182))8=82*22 7

41*1)28 7

41%*248% 7

418&%)111 7

41*4188 7

;031= 32*4/0132*4/03 B

(ele0on Kelas RS

;031= 502135 7

;031= /2/350/ 7

41*1)1=*&84) 7

(ele0on Kelas RS

N+-+' N+-+'


12/44

0315033/0

031/2033

0315*2/3

(ele0on

;031= 3534/

;031= 534133*

;031= 5501259 55011

;031= 41151/

;031= 5030230

;031= 520/49 /4*31/

;031= 532042/9 5425

;031= 50423

;031= 531510

;031= 53211/1

;031= 5*4012

0311/24050

(ele0on

N+-+'

(ele0on


13/44


14/44

2 PUSKESMAS JABON J'. ,UKUSAR+ NO. 2= JABON= S+,OARJO

2& PUSKESMAS BA'ON/BEN,O J'. SE,UR+ NO.2= BA'ON/BEN,O= S,A

2* PUSKESMAS WONOA;U J'. RA;A WONOA;U= S+,OARJO

2) PUSKESMAS (AR+K Jl. KEMUN+N/= (AR+K= S+,OARJO



1 ,". A5illah Se!a: Alhaa Jl. Jatisa"i Pe"mai 6 Blo$ 1 No 1 Wa"#

2 ". Ahien S#5i9anto Jl. Raya Jemi"ahan ,s. Jemi"ahan $e. Ja5on

". A!#s Ewie Jl. Weli"an! B38 Ke0#h Ki"iman Wa"#

& ,". Atiyah Ma"@#$i Jl. Pe0ele!i +nah no. % Wa"#

* ,". ,anny N#!"oho Jl. Pem5an!#nan %8 Keta0an! (an!!#lan!in Sioa"9o

) ,". Esti -anayani Jl. Ry 7ani 218 Sioa"9o% ,". -. ,on So:yan Jl. (e#$# Uma" & Sioa"9o

8 ,". -. Wi9ono Jl. M.-. (ham"in No. 11 Sioa"9o

,". -a"iaty Masloman Jl. Jawa 2%2 Wa#n!asih B##"an

14 ". -e"man (heoo"#s

11 ". Jenny S#$amto Jl. Mo9o0ahit no 8 sioa"9o

12 ,". 'oe$i Rahay# -ien"anin!sih Jl. Kali9aten 144 (aman

1 ,". Ma#lana M Fathi" Jl. M ;amin 2*& K"ian

1&,". Moh. A"i: Solah#in Jl. Mon!insii 2 Sioa"9o

1* ". Rita K#s#ma Jl. Rat# Ay# No.% Wa!e S,A

1) ,". S#i0to Jl. Ra9awali No. 5et"o Seati

1% ,". S#!en! M#ali: Jl. Pe"#m /"aha As"i Blo$ E3% S#$oono

18 ,". (amat Ei S#santo

1 ". ("i Ratih A!#stina Jl. Raya Kemant"en

24 ,". Wioo (9ah9ono Ke#n! Wono$e"to P"am5on

Jl. Pono$ M#tia"a N 12 A Sioa"9o. C Jl. Nan!$a 11%S"#ni/ean!an

Jl. R#$o P#"i S#"ya Jalan Pa"is Blo$ A2 No. /ean!an


15/44

DOKTER GIGI/KLINIK GIGI

no Nama Fasilitas Kesehatan Alamat

1 ,"!. J. Aiti S#"ti$anti= S0 Pe"io Jl. Ka"tini no 2%3A0oti$ Mo0ah

2 ,"!. ,iah N#"ani Wi9ayanti Jl. B"i!9en Katamso *A Wa"# Sioa"9o

,"!. Asmi$ah Jl. Kali9aten 144 (aman

& ,"!. Fa#@i Basalamah

* ,"!. Wayan Wi"atni Jl. Pono$ M#tia"a BM2 Sioa"9o

) ,"!. A!#s S#!ianto"o Jl. Ma9a0ahit 4 3 A0ote$ Nasa Fa"ma Sioa"9o

% ,"!. 'esta"i Wah9#nin! Utami Jl. Raya Kemant"en(#lan!an Sioa"9o

8 ,"!. Wi5awanti Jl. M.-. (ham"in No. 11 Sioa"9o

"!. -9. Sila Rahmi. MM Jl. Pe"#m Se$a"an!an +nah AA %

14 "!. Wa"ah Jl. ,". Soetomo No. 4 Sioa"9o

11 ,"!. Amalia K#"niawati Jl. Rat# Ay# & Wa!e Sioa"9o

12 ,"!. Wini S#santi Jl. Setia B#i No. * K"ian Sioa"9o1 ,"!. EGa ;#anita Jl. S#ltan A!#n! No. 24 Sioa"9o

& KLINIK PRATAMA


1 Klini$ Alita Mei$a Jalan Raya Swal#h Bal#n! Beno Sioa"9o

2 Klini$ As Sha:a Jl. 'et9en S#toyo 11 Meaen! Wa"#

Klini$ As Syi:a Jl. Bhayan!$a"i *& J#wet $enon!o 0o"on! Sioa"9o

& Klini$ 7it"a Mei$a Jl. Raya Wonoay# No. 11 Sioa"9o

* Klini$ -#tama Pha"ma Jl. /a9ah maa No. * Sio$#m0#l Sioa"9o

) Klini$ Meis D/elo"aD Jl. (aman Pinan! +nah B% No. A Sioa"9o

% Klini$ Meis D-a"moniD Jl.Raya Kl#an No. 1% (an!!#lan!in

8 Klini$ N#"ani Jl. Raya Ke5ona!#n! &8 S#$oono Sioa"9o

Klini$ Rahman Rahim ++ Jl. ("oso5o Utama A31 (aman Sioa"9o

14 Klini$ Sehati

Jl. Raya P"am5on no. 2 P"am5on >e0an BR+P"am5on?

Jl. R#$o /"aha (i"ta No. %= Pe"#mahan /"aha (i"ta=Wa"# Sioa"9o


16/44

11 BP SA(R+A -USA,A >BP &? J'. RA;A BU,URAN % BU,URAN

12 BP SA(R+A -USA,A >BP 2? J'. RA;A N/ABAN ) (AN//U'AN/+N

1 BP. JAMSOS(EK 144 J'. RAJAWA'+ NO.1) BE(RO SE,A(+ S+,OARJO+

1& BP. JAMSOS(EK 1)

1* BP. JAMSOS(EK 1% J'. KOMBES PO'. M. ,UR;A( NO.1 S+,OARJO

1) BP. JAMSOS(EK 24

1% BP. JAMSOS(EK &8 J'. RA;A /E'AM 2& /E'AM 7AN,+

18 BP. JAMSOS(EK *% J'. 'E(JEN SU(O;O & BUN/URAS+- ME,AEN/ WARU

1 BP. JAMSOS(EK )4 J'. MERBABU B'OK A NO. * KEPU-K+R+MAN WARU

24 BP. JAMSOS(EK )1 KOMP'EKS SEPANJAN/ (OWN -OUSE 71

21 BP. JAMSOS(EK )2 J'. RA;A KR+AN NO.&28 RUKO KR+AN+N,O A

22 BP. JAMSOS(EK ) J' K- -ASAN BAJUR+ % (AMBAKREJO WARU

2 BP. JAMSOS(EK %*

2& BP. JAMSOS(EK J'. RA;A K'E(EK (AMAN NO.& K'E(EK (AMAN

2* BP. JAMSOS(EK & KE(+MAN/ NO 14 WONOA;U

2) JEREM; ME,+7A' SER6+7E

2% K'+N+K ANU/ERA- KAR;A ME,+KA J' RUKO PERUM PUR+ +N,A- RK4 S+,OARJO

28 K'+N+K 7+(RA /A,+N/ ME,+KA J' BR+/JEN, KA(AMSO A &48&4 REWW+N

2 K'+N+K ,R NANN; KA(+'+

4 K'+N+K -+,A;A- WARU +6 RUKO /RA-A (+R(A RA;A + NO 28 WARU

1 K'+N+K ME,+S ME'A(+ J' RA;A +MAM BONJO' NO 14% KR+AN

2 K'+N+K PR+MA ME,+KA J' RA;A /E,AN/AN NO &, S+,OARJO

K'+N+K RA-A;U J'. BER+N/+N +N,A- + NO.) (ROSOBO S+,OARJO

& K'+N+K SUR;A /+R+ JA;A +

* K'+N+K (ARR+HA J'. /ARU,A NO.&) SE,A(+ S+,OARJO

) K'+N+K W+E(A RE'ASA ME,+KA

J'. R;.7OKROAM+NO(O RUKO ME/A- RA;A B'OK B N2 KEMASANAN KR+AN

J' RA;A SURABA;AMOJOKER(O KM && KRAMA( (EMEN//UN/ (AR+K

J'. RA;A KENON/O (U'AN/AN >,EPAN P(. (E'KOM (U'AN/AN ?

RUKO SUR;A +N(+ PERMA(A JUAN,A B'OK B124 J'RA;A JUAN,A SE,A(+ S+,OARJO

J'. 'APAN/AN NO 1 SUKO,ONO >,EPAN PERUMPERMA(A SUKO,ONO? S+,OARJO

RE/EN7; WA,UN/ASR+ B'OK A NO % WARUS+,OARJO

KOMP RUKO 7EN(RA' SUARE B'OK B NO 8/E,AN/AN


17/44


18/44

% RS. KELAS D PRATAMA/RUMAH BERSALIN/BALAI PENGOBATAN


1 RS+A K+RANA J' RA;A N/E'OM 8% SEPANJAN/

2 RSB PR+MA -USA,A

FASKES TINGKAT LANJUTAN

1 RUMAH SAKIT UMUM PEMERINTAH/PEMERINTAH DAERAH


1 RSU,. S+,OARJO J'. MOJOPA-+( NO.&22 S+,OARJO

2 RUMAH SAKIT MILIK TNI


1 R#m$it5an Sioa"9o Jl. ,". Soetomo No. 2 Sioa"9o

RUMAH SAKIT MILIK POLRI

No Nama Fasilitas Kesehatan Alamat1 RS. BA-A;AN/KARA PUS,+K /ASUM PORON/ J'. RA;A PORON/ NO. 1 S+,OARJO

& RUMAH SAKIT SWASTA


1 RS ANWAR ME,+KA J' SEMAWU( BA'ON/BEN,O

2 RS MA(A FA(MA J' RA;A KA'+JA(EN NO &4 SEPANJAN/ (AMAN

J'. 'E(JEN SUPRAP(O NO. KEPU- K+R+MAN WARU

S+,OARJO


19/44

RUMA- SAK+( UMUM A'+S'AM -M MAWAR,+ J'. K;A+ MOJO NO 12A JERUK /AMP+N/ KR+AN

& RS+ S+(+ -AJAR J' RA,EN PA(A- %4%2 S+,OARJO

* RS 7+(RA ME,+KA J' RA;A SURABA;A MOJOKER(O KM &&

) RS Siti Khoi9ah Jl. Pahlawan 2)4 Sioa"9o

* RUMAH SAKIT KHUSUS


1

2 N+-+' N+-+'

) KLINIK UTAMA/BALAI KESEHATAN MASYARAKAT/PRAKTIK DOKTER SPESIALIS

No Nama Fasilitas Kesehatan Alamat1

N+-+' N+-+'

....st

FASKES PENUNJANG

1 APOTEK


1 %potek "ejeki Jl. Ka(uripan


20/44

2 %potik %$ +(a:a Jl. 8etjen +utoyo No. 11 Medaeng aru +idoarjo

& %potik #ndra Jl. "uko -ondok Mutiara N129 +idoarjo

* Apotik Gelora -erum aman -inang #nda( Blok. BNo. 33% +idoarjo

) Apotik Harmoni Jl. "aya Kludan No. 1 " 42 anggulangin +idoarjo

% Apotik SEHAT JAYA Jl. Raya Porong No. 156 Porong Sidoarjo

2 LABORATORIUM


1 8a,.Klinik Utama %$ +(a:a Jl. 8etjen +utoyo no 11 aru +idoarjo

2 8a,.Klinik '@'6H! Jl.Mongi$idi no // +idokumpul +idoarjo

8a,.Jenggolo 'iagno$ti Jl.Jenggolo 5/% +idoarjo

OPTIK


1 6ptik +a(a,at Jl.


21/44

....st

* FASKES PENUNJANG LAINNYA


1

N+-+' N+-+'

....st


22/44

(ele0on

/*21*5

/*2125

/*501

/*4*4

/*3*3

0343/530/*

//5043

//54215

/34

/530043

/5332

/01553/

/*232

0343/52031

//51542

//1201

/43

/*1452

//312

/*1244

/*040/

/*435


23/44

0343/55*0

/*521

/**20

/*0415

(ele0on

031 02/1/55

0/533*//1*

0/1*3/0111/3

031/540*1/0/533**244

031/*2*340/53243/*

0/12353031 /05125

0/1/32303

0/113/5/

0310**/44

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mailto:[email protected]:[email protected]


29/44

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30/44

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31/44

DAFTAR FASILITAS KESEHATAN BAGI PESERTA BPJS KESEHAT

KANTOR CABANG UTAMA SURABAYA

KABUPATEN : GRESIK

FASKES TINGKAT PERTAMA1 PUSKESMAS


1 P#s$. Nelayan Jl. /#5. S#"yo no. Ke. /"esi$

2 P#s$. +n#st"i Jl. A"i: Rahman -a$im Ke. /"esi$

P#s$. Ke5omas Jl. S#nan /i"i +++ no. 1 Ke. Ke5omas

& P#s$. /enin! Jl. 6ete"an no. 1%* A Ke. Ke5omas

*P#s$. Manya" Jl. Raya Manya" no. 1 Ke.Manya"

) P#s$. Sem5ayat Jl. Peno0o no. 1 Ke. Manya"

% P#s$. S#$om#lyo Jl. Kalimantan no. 12& /KB Ke.Manya"

8 P#s$. ,aa0 K#nin! ,esa ,aa0 K#nin! Ke. 7e"me

P#s$. Balon! Pan!!an! Jl. Raya Ke#n! P"in! no. 8 Ke. Balon! P

14 P#s$. ,a0et ,esa ,a0et Ke. Balon! P

11 P#s$. Metat# Jl. Raya Metat# no. 2 Ke. Ben9en!

12 P#s$. Men!anti Jl. Raya Men!anti no. 22* Ke. Men!anti

1 P#s$. Ke0atihan Jl. Raya Ke0atihan no. 1*1 Ke. Men!anti

1& P#s$. Keamean Jl. Raya Keamean no. 1 Ke. Keamean

1* P#s$. Slem0it Jl. Raya Slem0it Ke. Keamean

1) P#s$. Ka"an! Anon! Jl. Raya K".Anon! no. ) Ke. ,"iyo"e9o

1% P#s$. ,#$#n Jl. Raya ,#$#n Ke. ,#$#n

18 P#s$. Ben9en! Jl. Raya Nyanyat B#l#"e9o no. 2 Ke.Ben9en!

1 P#s$. W"in!in Anom Jl. Ke. W".Anom no.111 Ke.W".Anom

24 P#s$. Siay# Jl. Kan9en! Pan!e"an no. 1Ke.Siay#

21 P#s$. Panen! Jl. Raya Panen! no. *8 Ke. Panen!

22 P#s$. Menta"as Jl. Raya Menta"as no. )2 Ke. ,#$#n


32/44

2 P#s$. U9#n! Pan!$ah Jl. Sita"a no. 1& Ke. U9.Pan!$ah

2& P#s$. Se$a0#$ Jl. Raya Se$a0#$ no. 1*Ke.U9.Pan!$ah

2* P#s$. (am5a$ Jl. Raya (am5a$ (im#" no. &Ke.(am5a$

2) P#s$. Alon Alon Jl. Pahlawan no. 1 Ke. /"esi$

2% P#s$. ,##$ Sam0eyan Jl. Raya ,##$ Sam0eyan Ke.,##$ S

28 P#s$. 7e"me Jl. Raya 7e"me no. *2 Ke. 7e"me

2 P#s$. ,"iyo"e9o Jl. Raya ,"iyo"e9o no. Ke. ,"iyo"e9o

4 P#s$. Kesam5en K#lon ,esa Kesam5en K#lon Ke.W".Anom

1 P#s$. B#n!ah Jl. Raya B#n!ah no. 1* Ke. B#n!ah

2 P#s$. San!$a0#"a Jl. Penii$an no. 2 Ke. San!$a0#"a



1 ". Me"iast#ti Jl. Rem5an! +32 /KB /"esi$

2 ". Roesmani Jl. Pem5an!#nan 2 Pe"#m Pon!ahan

". -a"ita Kas#n Jl. P"o$lamasi *8

& ". -eny Jasanin!sih Jl. Ban!$a )/KB s ;osowilan!#n Manya" /"esi$

* ". S#e!en! Wioo Jl. ,##$ Sam0ean 12

3 DOKTER GIGI/KLINIK GIGI


1 "!. Uli Sasi Ana"i Jl. Rem5an! +32 /KB

2"!. R". S#aiah Jl. RA Ka"tini +63%

4 KLINIK PRATAMA


1 K'+N+K KAM+'A SEMBA;A( J'. PEN,OPO NO.4 ,S.SEMBA;A( KE7. MAN;AR

2 BA'A+ PEN/OBA(AN A' MUBAROK J'. RA;A 'EBAN+WARAS KM.2= WR.ANOM=/RES+K

BP JAMSOS(EK 12& J' RA KAR(+N+ // +632 /RES+K


33/44

& BP A' -+S;AM ,SN MAN,O R( 41 RW 4* ,S.PAN,U 7ERME /RES+K

* BP JAMSOS(EK /KB J'. RA;A BA'+KPAPAN NO.) /KB MAN;AR /RES+K

) BP PAN/'+MA SU,+RMAN J' PAN/'+MA SU,+RMAN NO 12 /RES+K

% BP SUR;A /+R+ JA;A 7ERME J'. 7ERME K+,U' NO.1&& /RES+K

8 BP. JAMSOS(EK 11&

BP. JAMSOS(EK 11* J'. MA;JEN SUN/KONO NO.1% KEBOMAS

14 BP. JAMSOS(EK 11) ,S. SAM+R R(.413RW.41 NO.81,U,UKSAMPE;AN

11 BP. JAMSOS(EK & J'. RA;A BAMBE NO.% ,R+;OREJO

12 BP. JAMSOS(EK 8 J'. RA;A BOBO- NO.8% MEN/AN(+ /RES+K

1 BP. WR+N/+NANOM /RES+K J'. R;.SUMBER RAME ,S./ROMPO' R(3W 131 /RES+K

1& 7+P(A ME,+KA SOE(OMO J'. ,R SOE(OMO 1& /RES+K

1* K'+N+K 7+P(A ME,+KA KE,AN;AN/ PERUM /K/A A14 KE,AN;AN/

1) K'+N+K -+,A;A- MAN;AR

1% K'+N+K KE'UAR/A BA-A/+A J'. RA;A WR+N/+NANOM KM .) WR+N/+NANOM

18 K'+N+K KR+SNA 2

1 K'+N+K ME,AN/ KAMU'AN ,USUN 'ARAN/AN R( 413RW 4& KR+K+'AN ,R+;OREJ

24 K'+N+K M+(RA ME,+KA J'. RA;A 7AN/K+R NO.1) KM 21 ,R+;OREJO

21 K'+N+K NA;AKA -USA,A 1* ,S. KR+K+'AN NO.2* ,R+;OREJO

22 K'+N+K NA;AKA -USA,A 2& J'. R.A. KAR(+N+ 2)37 /,.KAR(+N+ /RES+K

2 PRAK(EK ,R.KE'UAR/A MEN/AN(+ PERUM S+WA'AN +N,A- 77 2* KEPA(+-AN MEN/AN(

2& PR+MA ME,+KA %8 J'. RA;A 'E/UN,+ )& WR+N/+NANOM

2* RA-M+E 7'+N+7 7ERME BENJEN/ J'. RA;A /URAN/AN;AR NO. 2 7ERME /RES+K

5 FASKES TK.I MILIK TNI


J'. RA;A ,R+;OREJO NO.11 ,S. KARAN/'O-

,R+;OREJO

PERUM MAN;AR RA;A RESOR( B'OK B23NO.2MAN;AR /RES+K

J'.SAF+R NO.1 PON,OK PERMA(A SU7+=MAN;AR/RES+K


34/44

1 BK ,R+;OREJO ,"iyo"e9o= /"esi$

2 POSKES 4*=14=11 /RES+K /"esi$

FASKES TK.I MILIK POLRI

no Nama Fasilitas Kesehatan Alamat1 PO'RES /RES+K J'. BASUK+ RA7-MA, 22

! RS. KELAS D PRATAMA/RUMAH BERSALIN/BALAI PENGOBATAN


N+-+' N+-+'

FASKES TINGKAT LANJUTAN

1 RUMAH SAKIT UMUM PEMERINTAH/PEMERINTAH DAERAH


1 RSU, +5n# Sina Jl. ,". Wahiin S#i"oh#soo /"esi$

2 RUMAH SAKIT MILIK TNINo Nama Fasilitas Kesehatan Alamat

1 N+-+' N+-+'

3 RUMAH SAKIT MILIK POLRI



35/44

1 N+-+' N+-+'

4 RUMAH SAKIT SWASTA


1 RSU ,enisa Jl. ,". Wahiin S#i"oh#soo %) /"esi$

2 RS. PE(ROK+M+A /RES+K J'. JEN,ERA' A-MA, ;AN+ ) /RES+K

RS MU-AMMA,+;A- /RES+K J'.K-. K-O'+' NO.88 /RES+K

& RS SEMEN /RES+K J'.RA. KAR(+N+ 284 /RES+K

* RS /R-A -USA,A J'. PA,+= /RES+K

) RS PE(ROK+M+A ,R+;OREJO J'. ,R+;OREJO= /RES+K

5 RUMAH SAKIT KHUSUS


1

2 N+-+' N+-+'

KLINIK UTAMA/BALAI KESEHATAN MASYARAKAT/PRAKTIK DOKTER SPESIALIS


1

N+-+' N+-+'

....st


36/44

FASKES PENUNJANG

1 APOTEK


1 %potek Mida &arma ### Jl. Kartini 4*

2 LABORATORIUMNo Nama Fasilitas Kesehatan Alamat

1 8a,.


37/44


1

N+-+' N+-+'

....st


38/44

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031**1220

031*1130

031**1403

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031*11*3

031*115*

0313*4*22*

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39/44

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44/44

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