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AdMedika provider-082014-indonesia (Partner)

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HanwhaLife Aceh

Daftar Rumah Sakit Partner untuk Claim Yang pertama dan satu-satunya Asuransi Kesehatan TPA (Third Party Administrator) di Indonesia dengan teknologi online dan layanan pengolahan klaim dan administrasi yang komprehensif.

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PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed Bali Denpasar RS. MANUABA JL. HOS. COKROAMINOTO, NO.28 0361-426393| Y Y ALL COVERAGE Bali Denpasar RSU. KASIH IBU DENPASAR JL.TEUKU UMAR, NO.120 0361-223036/3003030| Y Y ALL COVERAGE Bali Denpasar RS. PRIMA MEDIKA JL. PULAU SERANGAN, 9X 0361 - 236225/257445| Y Y ALL COVERAGE Bali Denpasar RS. PURI RAHARJA JL. WR.SUPRATMAN, NO.14-19, DENPASAR 0361-222013| Y Y ALL COVERAGE Bali Denpasar KLINIK SIMPANG ENAM JL. TEUKU UMAR, NO.148, DENPASAR 0361-238412|0361-7443499 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Denpasar RS. DHARMA USADHA JL. P.B.SUDIRMAN, NO.50 0361-227560|0361-234824-2 Y Y ALL COVERAGE Bali Denpasar APOTEK KIMIA FARMA DENPASAR (NO 34) JL. DIPONEGORO NO.125, DENPASAR 0361-225555/227811-12|- N Y ALL COVERAGE Bali Denpasar KIMIA FARMA HEALTHCARE - DENPASAR JL. DIPONEGORO NO.125, DENPASAR 0361-255914|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Denpasar RS. BALI MEDISTRA ( BALIMED ) JL. MAHENDRADATTA, NO.57X, DENPASAR 0361-484748, 482281,8450771, 8450772| Y Y ALL COVERAGE Bali Denpasar KASIH IBU MEDICAL CENTER BELITON JL.BELITON NO.1 0361-227344|- N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Denpasar RSU. BHAKTI RAHAYU DENPASAR Jl.GATOT SUBROTO II, NO.11 0361- 430270,430245,7420673| Y Y ALL COVERAGE Bali Denpasar RSIA. PURI BUNDA JL. GATOT SUBROTO VI, NO.19 0361-437999| Y Y ALL COVERAGE Bali Denpasar KLINIK QUANTUM SARANA MEDIK JL. RAYA SESETAN, NO.20 0361-228835| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Denpasar RSU SURYA HUSADHA UBUNG JL.COKROAMINOTO, NO.356, DENPASAR 0361-425744| Y Y ALL COVERAGE Bali Denpasar RS.SURYA HUSADHA JL.PULAU SERANGAN,NO.7, DENPASAR 0361-233787| Y Y ALL COVERAGE Bali Denpasar BALI ROYAL HOSPITAL ( BROS ) JL TANTULAR NO 6 RENON DENPASAR 0361- 247499/222588| Y Y ALL COVERAGE Bali Denpasar KLINIK PENTA MEDIKA JL.TEUKU UMAR BARAT-MARLBORO,NO.88 0361-7446144/490709| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Gianyar RS. ARI CANTI GIANYAR JL RAYA MAS UBUD GIANYAR 0361-974573| Y Y ALL COVERAGE Bali Karangasem KLINIK PENTA MEDICA CANDIDASA Jl. Raya Manggis No. 88, Kab. Karangasem, Bali 0363-41909| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Klungkung RS. BINTANG JL. NGURAH RAI NO. 36 KLUNGKUNG - BALI 0366-25241| Y Y ALL COVERAGE Bali Kuta KLINIK MANUABA JL. RAYA KUTA - TUBAN 0361-754748| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Kuta RSU. KASIH IBU KEDONGANAN JL. ULUWATU, NO.69A, KEDONGANAN 0361-703270| Y Y ALL COVERAGE Bali Kuta RB. KASIH IBU DALUNG PERMAI KOMPLEKS PERUM BUMI DALUNG PERMAI, BLOK C1-C4 0361-422150| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Kuta SILOAM HOSPITALS BALI JL. SUNSET ROAD NO. 818, KUTA 0361-779900| Y Y ALL COVERAGE Bali Nusa Dua KLINIK PRIMA MEDIKA JL. BY PASS NGURAH RAI, PERTOKOAN NIAGA, NO.9 0361-770509| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Nusa Dua RSU SURYA HUSADHA NUSA DUA JL. SILIGITA, BLOK 1, NO.14 0361-775827| Y Y ALL COVERAGE Bali Sanur KLINIK REMEDIUM CARE JL. BY PASS NGURAH RAI NO.243 0361-288860| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Singaraja RSU. KERTHA USADA JL.CENDRAWASIH, NO.57, SINGARAJA 0362-26277/8| Y Y ALL COVERAGE Bali Singaraja RSU. PARAMA SIDHI JL. A.YANI NO.171A 0362-32701,22426, 29787| Y Y ALL COVERAGE Bali Tabanan RS WISMA PRASANTI JL. YAH GANGGA NO. 9 TABANAN , BALI 0361-8043219/810555| Y Y ALL COVERAGE Bali Tabanan RS KASIH IBU TABANAN JL. FLAMBOYAN NO. 9 ( KAMPUNG KODOK ) TABANAN 0361-3005757| Y Y ALL COVERAGE Bali Ubud UBUD CLINIC JL. TJAMPUHAN, NO.36, P.O.BOX 10, UBUD, GIANYAR 0361-974911| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Ubud KLINIK PRIMA MEDIKA NYUH KUNING JL.BANJAR NYUH KUNING,UBUD - DENPASAR 0361-972374| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bangka Belitung Bangka Induk RS. ARSANI JL. RAYA AIR KENANGA KEC. SUNGAI LIAT KAB. BANGKA INDUK 0717-4297825, 4297827| Y Y ALL COVERAGE Bangka Belitung Belitung KLINIK UTAMA BELITUNG JL MERDEKA No. 27 TANJUNGPANDAN BELITUNG 0719-25526| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bangka Belitung Pangkal Pinang SUN CLINIC EL-JOHN PLAZA, JL.SUKARNO HATTA, NO.208 0717-4297888|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bangka Belitung Pangkal Pinang RS. BAKTI TIMAH PANGKAL PINANG JL. BUKIT BARU NO.1 PANGKAL PINANG 0717-421091| Y Y ALL COVERAGE Bangka Belitung Pangkal Pinang RS. KHATOLIK BHAKTI WARA JL. SUNGAI SELAN, KM.4, NO.180 0717-422605| Y Y ALL COVERAGE Bangka Belitung Pangkal Pinang RS. MEDIKA STANNIA JL. JEND.SUDIRMAN, NO.3, SUNGAI LIAT 0717-95837/93335| Y Y ALL COVERAGE Bengkulu Bengkulu RS. TIARA SELLA JL. S PARMAN NO. 61 PADANG JATI, BENGKULU 0736-20350|021-8221574 Y N ALL COVERAGE Bengkulu Bengkulu RS. RAFLESIA JL. MAHONI, NO.10, PADANG JATI 0736-21710|- Y Y ALL COVERAGE Bengkulu Bengkulu RS. BHAYANGKARA BENGKULU JL. VETERAN, NO.2 0736-341086/21553| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. BETHESDA YOGYAKARTA JL. JEND.SUDIRMAN NO.70 0274-586688/562246|0274 - 586688 Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. LUDIRA HUSADA TAMA JL. WIRATAMA NO.4 TEGALREJO 55244 0274 620333|0274-620091 Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. PKU MUHAMMADIYAH YOGYAKARTA JL. K.H. ACHMAD DAHLAN, NO.20 0274-512653|- Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. PANTI RAPIH JL.CIK DITIRO, NO.30 0274- 514014/514845/563333| Y N ALL COVERAGE DI Yogjakarta Yogyakarta JOGJA INTERNATIONAL HOSPITAL (JIH) JL. RING ROAD UTARA NO.160 CONDONG CATUR SLEMAN 0274-4463535/4463190| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. MATA DR. YAP JL. TEUKU CIK DITIRO, NO.5 0274-562054| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS HAPPYLAND MEDICAL CENTER JL. IPDA TUT HARSONO NO. 53, TIMOHO 0274-550060/58| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RSU. BETHESDA LEMPUYANGWANGI JL.HAYAM WURUK NO.6 0274-512257/588002| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. PKU MUHAMMADIYAH BANTUL Jl. JEND. SUDIRMAN 124-126 0274-368587| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. PKU MUHAMMADIYAH UNIT II JL WATES KM 5,5 GAMPING SLEMAN YOGYAKARTA 0274-6499704/6499706| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta KIMIA FARMA 225 JL. Godean Km 5 No. 23 Modinan 0274 621791| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR DI Yogjakarta Yogyakarta KIMIA FARMA 401 Jl.Seturan,C 3/B, Jogja 0274 4332880| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR DI Yogjakarta Yogyakarta KIMIA FARMA 275 JL.Kaliurang, Jogja 0274 885220| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR DI Yogjakarta Yogyakarta KIMIA FARMA 70 Jl.Adisucipto 63A, Jogjakarta 0274 489135| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten)
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) DI Yogjakarta Yogyakarta KIMIA FARMA 316 Jl.Palagan, Jogja 0274 869944| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR DI Yogjakarta Yogyakarta RS.AN NUR JLN.COLOMBO, NO. 14, YOGYAKARTA -| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta PRODIA MANGKUBUMI YOGYAKARTA JL. PANGERAN MANGKUBUMI NO. 50 YOGYAKARTA 55232 0274-580675/515818| N Y GP DI Yogjakarta Yogyakarta PRODIA YOGYAKARTA JL. BINTARAN KULON NO. 28 YOGYAKARTA 55151 0274-373271/375273| N Y GP Gorontalo Gorontalo RSIA SITTI KHODIJAH GORONTALO JL. AHMAD YANI, NO.101 0435-821258/0435-821253| Y N ALL COVERAGE Gorontalo Gorontalo RSB & BEDAH BUNDA GORONTALO JL. HB.JASSIN, NO.269, KOTA GORONTALO 0435-830600/827573| Y Y ALL COVERAGE Jambi Jambi RS. ST.THERESIA JL. SUTOMO, NO.19 0741 - 23119 / 7553811| Y Y ALL COVERAGE Jambi Jambi SILOAM HOSPITALS JAMBI (d/h RS ASIA MEDIKA) JL. SOEKARNO - HATTA, PAALMERAH JAMBI 0741-5919000|- Y Y ALL COVERAGE Jambi Jambi RS ISLAM ARAFAH JL. EMPU GANDRING NO.1 KEBUN JERUK, JAMBI 0741-62711/667966/62177| Y Y ALL COVERAGE Jambi Jambi RS. ROYAL PRIMA JAMBI JL. RADEN WIJAYA RT 035 KEL. THEHOK 0741-41010| Y Y ALL COVERAGE Jambi Jambi RSU. BAITURRAHIM JAMBI JL. PROF. M. YAMIN SH NO. 30 LEBAK BANDUNG - JAMBI 0741-5911096/97/98| Y Y ALL COVERAGE Jambi Muara Bungo RS. SENTRAL MEDIKA MUARA BUNGO JL. RANGKAYO HITAM, CADIKA MUARA BUNGO, JAMBI 0747-22207| Y Y ALL COVERAGE Jawa Barat Bandung RSIA. HERMINA PASTEUR JL. DR. DJUNDJUNAN, NO.107, PASTEUR 022-6072525| Y Y ALL COVERAGE Jawa Barat Bandung RS. IMMANUEL BANDUNG JL. KOPPO, NO.161 022- 5201051/5201672/5224216|022-5224216 Y Y ALL COVERAGE Jawa Barat Bandung RS. MUHAMMADIYAH BANDUNG JL. KH. AHMAD DAHLAN NO.53 022- 7301062,7312167,7323549,7306935,7323548| Y Y ALL COVERAGE Jawa Barat Bandung RS. ADVENT BANDUNG JL. CIHAMPELAS, NO.161 022 -2034386-9| Y Y ALL COVERAGE Jawa Barat Bandung RS. SANTO BORROMEUS BANDUNG Jl. Ir. H. Juanda No. 100 Lebak Gede Coblong Bandung Jawa Barat, Indonesia 022-2552083/95|022- 2552003 Y N ALL COVERAGE Jawa Barat Bandung KLINIK AN-NUR JL. DR. SETIA BUDI NO.63 022-2031922|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KLINIK ASRI HUSADA I JL. BEKAMIN NO.18 022-7230425|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung RS BUNGSU JL. VETERAN, NO.6 022-4231550|- Y Y ALL COVERAGE Jawa Barat Bandung RS RAJAWALI JL. RAJAWALI NO.38 022-6031087, 6011913, 6079143,6051087|- Y Y ALL COVERAGE Jawa Barat Bandung RS. KHUSUS BEDAH HALMAHERA SIAGA JL.LL.RE MARTADINATA NO.28 022- 4206061/70858254/4216436|- Y Y ALL COVERAGE Jawa Barat Bandung RS. CAHYA KAWALUYAN JL. PARAHYANGAN KM.3 KAV.HOS PADALARANG 022-6803700| Y Y ALL COVERAGE Jawa Barat Bandung RS. AMC (Annisa Medical Center) JL. RAYA CILEUNYI RANCAEKEK 022- 7781630,70804777,70805777| Y Y ALL COVERAGE Jawa Barat Bandung RS. SANTO YUSUP JL CIKUTRA 7 BANDUNG 022-7208172,022-7217097, 022-7217103, 022-7231721| Y N H&S,MAT Jawa Barat Bandung SANTOSA BANDUNG INTERNASIONAL HOSPITAL Jl. KEBON JATI, NO.38 022-4248333| Y Y ALL COVERAGE Jawa Barat Bandung KLINIK ASRI HUSADA II JL. TITIRAN NO.16 022-2507293| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KIMIA FARMA 51 JL.IR. H. JUANDA NO.69 022-4203331| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung RS. MELINDA JL. PAJAJARAN, NO.46 022- 4222788,4222388,4209088,4266700| Y Y ALL COVERAGE Jawa Barat Bandung KLINIK UTAMA MONALISA JL. MOCH. RAMDHAN NO.32 BANDUNG 022-5211311| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung RS. HERMINA ARCAMANIK JL. AH.NASUTION, KM.7, NO.50, ARCAMANIK BANDUNG 022-87242525| Y Y ALL COVERAGE Jawa Barat Bandung RS IMC JL. RAYA CIAMREME NO 170-173 NGAMPRAH, PADALARANG, BANDUNG BARAT 022-6620923/6620965| Y Y ALL COVERAGE Jawa Barat Bandung RSIA LIMIJATI JL. LAKS L RE MARTADINATA 33-39 0224207770| Y Y ALL COVERAGE Jawa Barat Bandung KLINIK UTAMA AL-ISLAM JL. AWIBITUNG NO.29 CICADAS BANDUNG 40121 (022) 7208284| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KIMIA FARMA 12 JL.IR H JUANDA NO1 BANDUNG 022 4205421| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KIMIA FARMA 14 JL.CIAMPELAS 7, BANDUNG 022-4201596| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KIMIA FARMA 43 Jl.Buah Batu, Bandung 022 7305019| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KLINIK JAYA SENTOSA JL. SUNDA NO.75, BANDUNG 022 426 4258| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KLINIK JAYA ABADI ( Group JAYA SENTOSA) JL. BUAHBATU NO.245 , BANDUNG (022) 730 4273| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KLINIK & APOTIK K-24 JL. LASWI NO.1A,BANDUNG (022) 7821700/7215992| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung RSU PINDAD Jl.Jend.Gatot Subroto No.517 (Papanggungan) Bandung 40285 022- 7309807| Y Y ALL COVERAGE Jawa Barat Bandung RSKB. MELINDA II Jl. Cipto No 1 Rt 05/02, Kel. Pasirkaliki, Kec Cicendo, Kota Bandung. -| Y Y ALL COVERAGE Jawa Barat Ciamis RS. PERMATA BUNDA CIAMIS JL.MR.IWA KUSUMASOMANTRI NO.1 0265-771650/776745|0711- 356173 Y Y ALL COVERAGE Jawa Barat Cianjur KLINIK ASSALAM CIKALONG JL RAYA CIKALONG KULON NO. 61 A KAB. CIANJUR 0263-318222| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cianjur KLINIK PADJADJARAN SUKANAGARA JL. RAYA SUKANEGARA KM.45 SUKANEGARA - CIANJUR 0263-340189| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek KLINIK AQMA CIKAMPEK JL. STASIUN, NO.93 0264 - 310 524| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek RS. KARYA HUSADA JL. JEND. A.YANI, NO.98, CIKAMPEK-KARAWANG 0264-316188-89| Y Y ALL COVERAGE
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Barat Cikampek RS. SARASWATI JL. JEND. A.YANI, NO.92, DAWUAN, CIKAMPEK- KARAWANG 0264-311531/316101/ 311514/ 311527|0264-316391 Y Y ALL COVERAGE Jawa Barat Cikampek KLINIK KELUARGA GRAHA MEDIS JL. ACHMAD YANI NO. 51 0264-310101| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek KLINIK PUTRA MEDIKA ( Group Aqma Pusat ) JL. IR. H. JUANDA NO.14-19 Sukaseuri 0264-301652| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek RUMAH SAKIT IZZA d/h (RSU. AQMA CIKAMPEK) JL. Kp.CISELAN Ds.CIKAMPEK UTARA.KARAWANG 0264-319307/8386830-32| Y Y ALL COVERAGE Jawa Barat Cikampek KLINIK ANDINA CIKAMPEK JL.IR.H.JUANDA NO.17 0264-303759| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek KLINIK PURI ASIH CIKAMPEK JL.STASIUN NO.2 CIKAMPEK KOTA 0264-303558| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek RSU. PURI ASIH JATISARI JL. RAYA JATISARI NO.3 PASAR JATISARI 0264-361459/361466| Y Y ALL COVERAGE Jawa Barat Cikampek KLINIK BAKTI MEDIKA JL. AHMAD YANI NO.100, DAWUAN BARAT 0264-312371| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek KLINIK SEHAT JL. PAWARENGAN NO. 37, DESA DAWUAN TIMUR 0264-8385103| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek RSIA TITIAN BUNDA JL. IR. H. JUANDA NO.123 CIAKMPEK (0264) 8385999/8386222| Y Y ALL COVERAGE Jawa Barat Cikampek KLINIK & RB NAURAH MEDIKA JL. A. YANI NO.02 RT.03 RW. 06 DS. CIKAMPEK SELATAN, CIKAMPEK (0264) 8389999| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK BINA MEDIKA ( Group Karya Medika ) KP. KONGSI, CIKARANG 021-8900050|021-8900051 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. SENTRA MEDIKA CIKARANG JL. RAYA INDUSTRI PASIR GOMBONG JABABEKA, CIKARANG 021 8904160-64| Y Y ALL COVERAGE Jawa Barat Cikarang RS. ANNISA CIKARANG JL. CIKARANG BARU, NO.31, LEMAHABANG, CIKARANG UTARA 021- 8904165/8901962/8904503|021 - 8904503 Y Y ALL COVERAGE Jawa Barat Cikarang RS. BHAKTI HUSADA JL. RE. MARTADINATA 021-8900530/1|021-890 0531 Y Y ALL COVERAGE Jawa Barat Cikarang SILOAM HOSPITALS LIPPO CIKARANG JL. MH. THAMRIN, KAV.105, LIPPO CIKARANG 021-89901088/ 89901911| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK ANNISA II (CIKARANG) JL.CIBARUSAH RUKO POIN, NO.31 R 021-8976189| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK & RB. BUDI LUHUR JL.RAYA IMAM BONJOL, NO.74, RT.07/04, DESA SUKADANAU,CIKARANG BARAT 021- 88325186/88327226| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. PERMATA KELUARGA LIPPO CIKARANG d/h RS Harapan JL. MH.THAMRIN,KAV.129, LIPPO CIKARANG 021-8990 5588/ 8990 1927| Y Y ALL COVERAGE Jawa Barat Cikarang RS HOSANA MEDICA LIPPO JL. UTAMA BIIE NO 01 LIPPO CIKARANG 021-8972472| Y Y ALL COVERAGE Jawa Barat Cikarang RS. AMANDA CIKARANG SELATAN JL.RAYA SERANG NO.38 CIKARANG SELATAN 021-8971643|021-89110011 Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK & RB. HARAPAN SEHAT REGENCY JL. RAYA PERUM MEGA REGENCY, SERANG BARU- CIKARANG 021-29281838| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RSB. SETIA JL.RAYA SERANG - CIBARUSAH NO.41 BEKASI 021-8971240/70207424|- Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK BERKAT MELIMPAH JABABEKA (HOSANA MEDIKA II) JL. KAWASAN INDUSTRI I, JABABEKA B8, CIKARANG UTARA 021-8937941|021-8937942 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. ASRI MEDIKA JL. CITANDUY RAYA BLOK L II NO.1 CIKARANG UTARA 021-89142968, 89142969|- Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK & RB GRAHA BINA HUSADA JL. INDUSTRI SELATAN NO.1A, BLOK NN 3A, INDUSTRI JABABEKA II 021-89836243|- Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK RENNICHA PUTRA JL.RAYA CIKARANG CIBARUSAH NO 89 LIPPO CIKARANG 021-8971852|021-8971658 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RSB. MEKAR MULIA JL.KASUARI IV, SEKTOR MEKAR ALAM,PASIMAL - CIKARANG BARU 021-8936940/66|- Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK & RB CENTRAL MEDIKA JL. PILAR - SUKATANI, DS SUKARAYA NO 84, KARANG BAHAGIA 021- 89111103|- N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang CITRA ARDHITA MEDIFARMA CAPITOL BUSINESS PARK, BLOK B2, JL. NIAGA RAYA 021-89831945/7004236|021- 89831946 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK DUTA MEDIKA RUKO MEGAH SURYA, JL RAYA CIBARUSAH NO 16 E CIKARANG 021-89903553/021 - 89903533|0361-702667 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK HARAPAN SEHAT II RUKO TELAGA HARAPAN BLOK F NO.16, PERUMAHAN TELAGA HARAPAN, CIKARANG BARAT 021-8904519|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS HARAPAN KELUARGA (d/h RS.HARAPAN INTERNASIONAL) JL.KASUARI RAYA KAV.1A-1B, KOTA JABABEKA, CIKARANG BARU 021-89840745|- Y Y ALL COVERAGE Jawa Barat Cikarang RSIA. AMANDA CIKARANG UTARA JL.RAYA INDUSTRI NO.36,CIKARANG UTARA 021- 8900277 / 89110011|021-8900277 Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK KASIH ANUGERAH SERANG BARU (HOSANA MEDIKA C JL.RAYA SERANG-CIBARUSAH KP.BUNISARI RT.07/04 DS.SUKARAGAM SERANG BARU 021-89952605,89952612|021- 89952612 N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. MEDIROSSA JL.INDUSTRI TEGAL GEDE - CIKARANG SELATAN 021-89833216| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK SAPTA MITRA CIKARANG JL.RAYA CIKARANG - CIBARUSAH, NO.39A, SUKARESMI 021-8975369| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK CIKARANG MEDIKA JAYA Jl. YOS SUDARSO NO.27 CIKARANG 021-8900129| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. DR. SANDER B (D/H RS. HOSANA MEDICA PILAR) JL.K.H.DEWANTARA NO.33,DS KARANG ASIH,CIKARANG UTARA 021-89116176 / 77 / 78| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK & RB NIZA ASYIFA BERSAMA 1 PERUMAHAN TELAGA HARAPAN BLOK E1 NO.1 CIKARANG BARAT 021-89109638| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. RIDHOKA SALMA JL. IMAM BONJOL NO.7 GARDU SAWAH 021-89116527| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK & RB PERMATA BUNDA FUDHOLI JL.KH.FUDHOLY NO 11 KARANG ASIH, CIKARANG UTARA 021-8906080/7219862| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. MITRA KELUARGA CIKARANG JL.INDUSTRI RAYA, LEMAH ABANG 021-89840500/89840900| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK & RB ANNISA IV JL.RAYA CIBARUSAH NO.63 SERANG BARU 021-89954434| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Barat Cikarang KLINIK SUMBER WARAS JL. RAYA CIBARUSAH, KAMPUNG CIJAMBE, SUKADAMI, CIKARANG SELATAN 021-8970524| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RSIA.NURUL ANNISA JL. RAYA CIKARANG CIBARUSA NO 88 DS. SUKARESMI CIKARANG SELATAN, BEKASI 021-897 4854/55| Y Y H&S,GP,DENTAL,MAT Jawa Barat Cikarang KLINIK & RB PUTRA MEDIKA JLN. PERUM VILA MUTIARA, KAMPUNG KUKUN CIKARANG NO.115 RT.012/06 DS.CIANTAR 021-89677216| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang CMC CLINIC ( CIKARANG MEDICAL CENTER ) SHOPHOUSE BLOK A NO 14-15, 28-29 JL JABABEKA RAYA KAWASAN INDUSTRI CIKARANG 021-8934371| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RB KHANZA MEDIKA PERUM KOTA SERANG BARU BLOK B 72 NO 25- 26, CIKARANG 021-91263025| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK BUNDA AULIA JL. HAJI RATIM NO. 143 DS JATIWANGI CIKARANG BARAT - BEKASI 021-8998 3742 / 2897 3209| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. MEDIROSSA 2 JL RAYA CIBARUSAH DESA SINDANGMULYA KEC. CIBARUSAH BEKASI 021-89955555| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK KEMALA MEDICAL CENTRE Jl. Tarum Barat 2, Ruko Grand Artha Niaga 2 Blok O2 No. 23 - 23A 021-29083377 - 29083376| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RSIA CIKARANG MEDIKA Jl. KH. Fudholi No. 78 Kampung Kaum Cikarang Utara, Bekasi 021-8902210| Y Y ALL COVERAGE Jawa Barat Cikarang RSIA GIZAR Jl. Vila Mutiara Cikarang, Ruko Pasadena Blok RA No. 3, 5, 6 Ciantra, Cikarang Selatan 021-89677240 / 89677204| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK BUDI ASIH CIKARANG Jl. Raya Serang - Cibarusah Rt 01/ rw 01 Serang kec.Cikarang Selatan,Bekasi 021 - 896 777 95| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK JB MEDICAL CENTER Shop House Permata Junction Blok B A-15 JABABEKA 1 CIKARANG 021-89846023/24| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. HOSANA MEDIKA CIKARANG BARU JL. ANGGREK I B2/2 RT.01/11 DS. MEKARMUKTI - CIKARANG (021) 89835223| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK 24 JAM & RB PERMATA BUNDA CIKARANG Ruko Grama Niaga H2 no. 15/15a, Karang Asih - Cikarang Utara 021 - 2928 2165, 021 - 2928 2166| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang MITRASANA PT Ruko Plaza Roxy Blok C No. 8 Jl. Kasuari Raya, Kota Hijau Jababeka, Cikarang Baru 021-89835394| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK APOTIK & OPTIK CIPTO BEKASI 2 Jl.Raya Sukatani No.3 Cikarang -| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK INSPIRA SABILA MAKMUR RUKO MELAWAI BLOK A NO. 12 TLH LIPPO CIKARAN -| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang MITRASANA MEGA REGENCY Ruko Kota Mega Regency Blok A 01 No. 10, Jl. Raya Cikarang - Cibarusah KM 10 70326665| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang MITRASANA TAMAN ASTER Ruko Taman Aster Kav. A3 No. 41 Telaga Asih Cikarang Barat 88333364| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK SUMBER SEHAT JL. KI FUDOLI RT.001/001 CIKARANG UTARA (021) 8900566, 68416442| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cimahi RS. MITRA KASIH JL. RAYA CIBABAT NO.341, CIMAHI 022- 6654852,6652774,6654397| Y Y ALL COVERAGE Jawa Barat Cimahi RS AVISENA JL. MELONGASIH NO. 170 CIJERAH - CIMAHI 022 - 6000830| Y Y ALL COVERAGE Jawa Barat Cimahi RSU. KASIH BUNDA JL. MAHAR MARTANEGARA NO.166 LEUWIGAJAH - CIMAHI 40521 022- 6614221/ 6630585| Y Y ALL COVERAGE Jawa Barat Cirebon RS. PELABUHAN CIREBON JL. SISINGAMANGARAJA, NO.45 0231-208948/208680 / 0231- 205657|0231-205657 Y Y ALL COVERAGE Jawa Barat Cirebon RS. PERTAMINA CIREBON JL. PATRA RAYA, KLAYAN 0231-224646-50|0231- 224646 Y Y ALL COVERAGE Jawa Barat Cirebon RS PUTERA BAHAGIA JL.CIREMAI RAYA NO.114 ,PERUMNAS 0231-207351, 485654|0231- 485654 Y Y ALL COVERAGE Jawa Barat Cirebon RS. SUMBER KASIH JL. SILIWANGI NO.135 0231-203815| Y Y ALL COVERAGE Jawa Barat Cirebon RS. MITRA PLUMBON JL.RAYA PLUMBON, KM.11 0231-324483/323100| Y Y ALL COVERAGE Jawa Barat Cirebon RS. KHUSUS JANTUNG HASNA MEDIKA Jl. Rd Gilap No.8 Palimanan Timur, Kabupaten Cirebon -| Y Y ALL COVERAGE Jawa Barat Garut BETHESDA MEDICAL CENTER GARUT JL. CIWALEN NO 43 GARUT 0262-242663,238735| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Garut KLINIK PADJAJARAN LELES JL RAYA LELES NO. 116 KAB. GARUT 0262-2458083| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS. DEWI SRI JL. ARIF RAHMAN HAKIM, NO.1 0267- 401475,402855,406445|0267- 402147 Y Y ALL COVERAGE Jawa Barat Karawang KLINIK GRAHA MEDIS JL. RAYA KOSAMBI, NO.23, DUREN KLARI, KARAWANG TIMUR 0267-435527| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK GEMPOL JL. RANGGAGEDE, NO.25 KARAWANG BARAT 0267-412117/8453903| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS. BAYUKARTA JL. KERTABUMI, NO.44 0267- 401817/401818/400351|0267- 801818 Y Y ALL COVERAGE Jawa Barat Karawang KLINIK MITRA SEHAT JL. KOSAMBI CURUG, NO.28, KLARI 0267-433930| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK YAKESTI JL. RAYA KLARI, Rt. 04 / 01, GINTUNGKERTA KLARI 0267-432416| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK PURWAMEDIKA JL. RAYA TAMELANG NO.53, KERAWANG 0267-433653| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK CITO KARAWANG JL. KERTABUMI, NO.29 0267-410173/415957| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS DELIMA ASIH SISMA MEDIKA JL.WIRASABA NO.54 JOHAR - KARAWANG 0267-403073|- Y Y ALL COVERAGE Jawa Barat Karawang KLINIK AULIA KARAWANG JL. PURWASARI KM 6, PURWASARI - KARAWANG 0264-8286755 0811 1889279|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS. CITRA SARI HUSADA (d/h Klinik Intan Barokah) JL. RAYA KOSAMBI-TELAGASARI, KM.3, KLARI, KARAWANG TIMUR 0267-437507/8617972| Y Y ALL COVERAGE
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Barat Karawang RSU. FIKRI MEDIKA JL.RAYA KOSAMBI- TELAGASARI, DS BLENDUNG , KLARI 0267-8615555/8615566 (Klinik):0267- 433636/435527|- Y Y ALL COVERAGE Jawa Barat Karawang RS. ISLAM KARAWANG JL. PANGKAL PERJUANGAN KM.2 0267-414520|0267-414524 Y Y ALL COVERAGE Jawa Barat Karawang KLINIK BINA MEDIKA KARAWANG JL. TELUK JAMBE NO 8, KARAWANG BARAT 0267-641968|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK MITRA GEMPOL JL.RAYA PROKLAMASI NO.89, DS KALANGSARI, RENGAS DENGKLOK 0267-483749|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK NAFILA MEDIKA JL. PRINGGODANI BLOK J-47 PERUMNAS TELUK JAMBE, KARAWANG BARAT 0267-8456419|- N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK PURI ASIH TELUKJAMBE DUSUN SUKAMULYA, DESA PINAYUNGAN, TELUK JAMBE 0267-646845|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS. CITO KARAWANG Jl. ARTERI TOL KARAWANG BARAT TELUK JAMBE 0267-414245 / 414264| Y Y ALL COVERAGE Jawa Barat Karawang KLINIK ANDINA KARAWANG JL.PANCAWATI, NO.5A, KLARI 0267-438568| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK PURI MEDIKA KOSAMBI JL.RAYA KOSAMBI NO.40 PASAR KOSAMBI 0267-431325| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RSIA. DR. DJOKO PRAMONO JL. PANATAYUDA 1, NO.35, KARAWANG BARAT 0267- 403009/418818/403744| Y Y ALL COVERAGE Jawa Barat Karawang DHARMA DENTAL CLINIC (DDC) JL. KERTABUMI NO 62 KARAWANG 0267-8453633| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK MITRA KONDANG UTAMA JL. PENGAIRAN CITRA KEBUN MAS KONDANG KARAWANG 0267-8616923| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK KEKAR JL. PROF. DR. H.SOETAMI 88 KARAWANG 0267 - 4023335| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK GRIYA MEDIKA Perum Griya Kondang Asri Blok T No. 01 Desa Kondang Jaya Kec. Klari - Karawang Timur 0267-8619999| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS. ROSELA JL. INTERCHANGE TOL KARAWANG BARAT NO.3 DS WADAS KEC. TELUK JAMBE (0267) 8637207/8637205| Y Y ALL COVERAGE Jawa Barat Karawang RSIA MITRA FAMILY-KARAWANG JL. RONGGOWALUYO RT.02/05 DESA SUKAHARJA KEC. TELUKJAMBE TIMUR, KARAWANG 0267 - 8458327 , 8458328, 8458329| Y Y ALL COVERAGE Jawa Barat Karawang PRODIA KARAWANG Jl. Kertabumi No. 67 A, Karawang 41311 0267- 403644| N Y ALL COVERAGE Jawa Barat Karawang RS. LIRA MEDIKA JL. SYECH QURO NO.14 LAMARAN, KARAWANG - JAWA BARAT (0267) 405 752| Y Y ALL COVERAGE Jawa Barat Kuningan RS. JUANDA KUNINGAN JL. Ir. H. JUANDA NO.207 KUNINGAN 0232-876433/875871| Y Y ALL COVERAGE Jawa Barat Purwakarta KLINIK AQMA PURWAKARTA JL. IBRAHIM SINGADILAGA, NO.14 0264-200377| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Purwakarta KLINIK MEDIKA SEHAT JL. IPIK GANDAMANAH SUKAMULYA 0264-8225017| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Purwakarta SILOAM HOSPITAL PURWAKARTA(d/h RS. EFARINA ETAHAM) JL. BUNGURSARI NO.1 PO.BOX 167 - Purwakarta 0264-219168 / 231273|0264- 231273 Y Y ALL COVERAGE Jawa Barat Purwakarta KLINIK KOPINDOSAT ( Klinik Puri Medika ) JL.RE MARTADINATA, NO.39 0264-202382|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Purwakarta RSIA. ASRI PURWAKARTA JL. VETERAN CIHIDEUNG NO.15 PURWAKARTA 0264-211680|- Y Y ALL COVERAGE Jawa Barat Purwakarta KLINIK AQMA PLERED JL.ANJUN NO.96 PLERED 0264-270830| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Purwakarta KLINIK MIRACLE GROUP KOMP. ANEKA JASA BLOK AII NO.9-10 KOTA BUKIT INDAH 0264-35166, 351377| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Purwakarta RS. AMIRA JL. IPIK GANDAMANAH RT.035 RW.003 MUNJUL JAYA 0264-8221191/92| Y Y ALL COVERAGE Jawa Barat Purwakarta RS MH THAMRIN PURWAKARTA JL. BUNGURSARI, NO.36 0264-822222/8222222| Y Y ALL COVERAGE Jawa Barat Purwakarta RS. BHAKTI HUSADA II PURWAKARTA JL. RAYA SADANG SUBANG, Kp. KIARA DUA, Ds. CIKUMPAY, Kec. CAMPAKA 0264-8225344/8225345| Y Y ALL COVERAGE Jawa Barat Subang RS. PERKEBUNAN NUSANTARA 8 SUBANG JL. OTISTA, NO.1 0260- 420406,411632,420306,420436|0260-411632/4 Y Y ALL COVERAGE Jawa Barat Subang KLINIK MITRA ABADI JL.KAPTEN HANAFIAH NO.3 RT. 98 RW. 27 KEL. KARANGANYAR, SUBANG 0260-418247| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Sukabumi RS ISLAM ASSYIFA JL. JEND. SUDIRMAN, NO. 27 0266- 222663/218672/241463/223742/223742|0266-21343 Y Y ALL COVERAGE Jawa Barat Sukabumi KLINIK & RB. PERMATA BUNDA JL. SILIWANGI, NO.64, PARUNG KUDA 0266-535086| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Sukabumi RS HERMINA SUKABUMI JL. RAYA SUKARAJA RT.003/03, SUKARAJA 0266-6252525/6249292| Y Y ALL COVERAGE Jawa Barat Sukabumi RS. KARTIKA MEDICAL CENTER JL. JEND. A.YANI, NO.18 0266-6250902/6250905| Y Y ALL COVERAGE Jawa Barat Sukabumi RS. BHAKTI MEDICARE JL. RAYA SILIWANGI, CICURUG 0266-731555| Y Y ALL COVERAGE Jawa Barat Sukabumi RS. KARTIKA CIBADAK JL. SILIWANGI NO.139, CIBADAK, SUKABUMI (0266) 7160071| Y Y ALL COVERAGE Jawa Barat Sumedang RS. PAKUWON SUMEDANG JL.RD.DEWI SARTIKA NO.17 SUMEDANG 45311 0261-210834/201132| Y Y ALL COVERAGE Jawa Barat Sumedang KLINIK PADJADJARAN JATINANGOR JL. RAYA BANDUNG-SUMEDANG KM 21 JATINANGOR 022-7797432 / 7781900| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Tasikmalaya RS. JASA KARTINI JL. OTTO ISKANDARDINATA NO 15 0265-331808/331641|0265- 3318641 Y Y ALL COVERAGE Jawa Barat Tasikmalaya RSI. HJ. SITI MUNIROH TASIKMALAYA JL. TAMAN SARI, GOBRAS, NO.208 0265-323868|0265-327630 Y Y ALL COVERAGE Jawa Barat Tasikmalaya RS TASIK MEDIKA CITRATAMA (TMC) JL. HZ MUSTOFA NO 310 TASIKMALAYA 0265-322333| Y Y ALL COVERAGE Jawa Barat Tasikmalaya RS. PERMATA BUNDA TASIKMALAYA JL. BRIGJEND HR. WASITA KUSUSMAH NO.1 TASIKMALAYA, JAWA BARAT 0265-345650| Y Y ALL COVERAGE Jawa Tengah Blora RS. PERMATA BLORA JL. REKSODIPUTRO, NO.57 BLORA 0296-531624| Y Y ALL COVERAGE Jawa Tengah Boyolali RS PKU AISYIYAH JL PASAR SAPI BARU SINGKIL 0276-322898/3293400| Y Y ALL COVERAGE Jawa Tengah Brebes RS BHAKTI ASIH BREBES JL. PANGERAN DIPONEGORO NO 125 PESANTUNAN, BREBES 0283-673481/671279| Y Y ALL COVERAGE Jawa Tengah Bumiayu RS. MUHAMMADIYAH SITI AMINAH JL. DIPONEGORO, BUMIAYU 0289-432209/430683| Y Y ALL COVERAGE Jawa Tengah Cepu RS. MUHAMMADIYAH CEPU JL. RONGOLAWE, NO.137 0296-421727| Y Y ALL COVERAGE
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Tengah Cilacap RS. ISLAM FATIMAH CILACAP JL. H JUANDA NO.20 0282-542396|- Y Y ALL COVERAGE Jawa Tengah Cilacap KLINIK DR TUTUK JL.PERINTIS KEMERDEKAAN 21 0282-545921|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Tengah Cilacap RSUD. CILACAP JLN GATOT SUBROTO CILACAP 0282-533010| Y Y ALL COVERAGE Jawa Tengah Demak RSU PELITA ANUGERAH JL. RAYA BANDUNG REJO KM 11.5 (SMG- PURWODADI) 024-6725555| Y Y ALL COVERAGE Jawa Tengah Gombong RS PALANG BIRU JL. KARTINI, NO.37 0287- 473221/471290/471762| Y Y ALL COVERAGE Jawa Tengah Jepara RS. GRAHA HUSADA JEPARA JL. M.H. THAMRIN, NO.14 0291 - 592067| Y N ALL COVERAGE Jawa Tengah Kebumen RS. PERMATA MEDIKA KEBUMEN JL INDRAKITA 17 KEBUMEN 0287-3870779| Y Y ALL COVERAGE Jawa Tengah Kendal RSI MUHAMMADIYAH KENDAL JL AR RAHMAH NO 17 WELERI 0294-641870/88| Y Y ALL COVERAGE Jawa Tengah Klaten RS. ISLAM KLATEN JL.RAYA SOLO KM.4 0272-322252|- Y Y ALL COVERAGE Jawa Tengah Klaten RS. CAKRA HUSADA KLATEN JL. MERBABU, NO.7 0272-321123-322386- 322394| Y Y ALL COVERAGE Jawa Tengah Klaten RSU. PKU MUHAMMADIYAH DELANGGU JL.DELANGGU UTARA, NO.19 0272-551051| Y Y ALL COVERAGE Jawa Tengah Kudus RS. MARDI RAHAYU KUDUS JL. AKBP.R. AGIL KUSUMADYA, NO.110 0291-434707- 12/435582/443581| Y Y ALL COVERAGE Jawa Tengah Kudus RS. ISLAM SUNAN JL. KUDUS PERMAI, NO.110 0291-432008| Y Y ALL COVERAGE Jawa Tengah Magelang RS. HARAPAN MAGELANG JL. P. SENOPATI, NO.11 0293-364033-35| Y Y ALL COVERAGE Jawa Tengah Magelang RS. LESTARI RAHARJA JL. MAYJEN SUTOPO NO.5 0293-362225| Y Y ALL COVERAGE Jawa Tengah Pati KELUARGA SEHAT HOSPITAL JL.P.SUDIRMAN NO.9 MARGOREJO 0295-386111| Y Y ALL COVERAGE Jawa Tengah Pati RS. MITRA BANGSA JL. KOL.SUGIYONO, NO.75 0295-382555| Y Y ALL COVERAGE Jawa Tengah Pekalongan RS. SITI KHODIJAH PEKALONGAN JL. BANDUNG, NO.39-47 0285- 422845,425138,423590,424919| Y Y ALL COVERAGE Jawa Tengah Pekalongan RS. BUDI RAHAYU PEKALONGAN JL. BARITO, NO.5 0285 - 423491/424340| Y Y ALL COVERAGE Jawa Tengah Pekalongan RSI PKU MUHAMMADIYAH PEKAJANGAN JL. RAYA AMBOKEMBANG NO 42-44, PEKALONGAN 0285-785133,0354-785367| Y Y ALL COVERAGE Jawa Tengah Pemalang RSU. SANTA MARIA PEMALANG JL. PEMUDA NO.24 0284 - 321251/321426| Y Y ALL COVERAGE Jawa Tengah Purbalingga RS. HARAPAN IBU PURBALINGGA JL. MAYJEND SOENGKONO NO. 1 PURBALINGGA 0281-892222/982277| Y Y ALL COVERAGE Jawa Tengah Purwodadi RS. PANTI RAHAYU JL. LETJEND. SUPRAPTO NO.6 0292 - 421087-422325| Y Y ALL COVERAGE Jawa Tengah Purwokerto RSU. BUNDA PURWOKERTO JL. PRAMUKA, NO.249 0281-635424|0281-632514 Y Y ALL COVERAGE Jawa Tengah Purwokerto RS. ST. ELISABETH - PURWOKERTO JL. DR ANGKA NO 40, PURWOKERTO 0281-627384|0281-635278 Y Y ALL COVERAGE Jawa Tengah Purwokerto RSU. ANANDA PURWOKERTO JL. PEMUDA, NO.30 0281-631435-636417| Y Y ALL COVERAGE Jawa Tengah Purworejo RS PKU MUHAMMADIYAH TUNAS MEDIKA PURWOREJO JL. BRIGJEND KATAMSO NO.144 A PURWOREJO 0275-325260| Y N ALL COVERAGE Jawa Tengah Purworejo RSIA. KASIH IBU PURWOREJO JL. MAYJEN SUTOYO NO. 19 PURWOREJO 0275-321253| Y N ALL COVERAGE Jawa Tengah Purworejo RS. PALANG BIRU KUTOARJO JL. MADITOMO 17, KUTOARJO-PURWOREJO 0275-641425| Y Y ALL COVERAGE Jawa Tengah Salatiga RS. PURI ASIH JL. JEND. SUDIRMAN NO.169 SALATIGA 0298-323209| Y Y ALL COVERAGE Jawa Tengah Salatiga RSU ANANDA SALATIGA JL. KI PENJAWI NO 5, SALATIGA 0298-314151| Y Y ALL COVERAGE Jawa Tengah Semarang RS. PANTI WILASA DR. CIPTO JL. DR. CIPTO, NO.50 024 - 3546040, 3557428| Y Y ALL COVERAGE Jawa Tengah Semarang RS. ROEMANI MUHAMMADIYAH JL. WONDRI, NO.22 024 - 8444623| Y Y ALL COVERAGE Jawa Tengah Semarang RS. ST. ELISABETH - SEMARANG JL. KAWI NO. 1 024-8310076/ 8310035| Y Y ALL COVERAGE Jawa Tengah Semarang RS ISLAM SULTAN AGUNG JL. KALIGAWE KM.4 024-6580019| Y Y ALL COVERAGE Jawa Tengah Semarang RSU HERMINA PANDANARAN SEMARANG JL. PANDANARAN NO.24 024-8411112/8442525| Y Y ALL COVERAGE Jawa Tengah Semarang RS. TELOGOREJO JL. KH. AHMAD DAHLAN 024 - 8446000/8448448|024- 8446000 Y Y ALL COVERAGE Jawa Tengah Semarang RS. PANTI WILASA CITARUM JL. CITARUM, NO. 98 024-3542224| Y Y ALL COVERAGE Jawa Tengah Semarang RS BANYUMANIK JL.BINA REMAJA NO.61 024-7471519|024-7462181 Y Y ALL COVERAGE Jawa Tengah Semarang RS. PERMATA MEDIKA JL. MR.MOCH. ICHSAN, NO.93-97, NGALIYAN 024- 7625005/7618800/7626571| Y Y ALL COVERAGE Jawa Tengah Semarang RS KEN SARAS JL SOEKARNO HATTA KM 029 024-6922269| Y Y ALL COVERAGE Jawa Tengah Semarang KLINIK PHC PEDURUNGAN JL. WOLTERMONGINSIDI NO 93 PEDURUNGAN, SEMARANG 024-6714465| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Tengah Semarang KLINIK SATMOKO JL. KELUD RAYA NO. 4 SEMARANG 50237 (024) 8314453| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Tengah Semarang RS. COLUMBIA ASIA SEMARANG JL. SILIWANGI NO. 143 SEMARANG (024) 762 9999/86462020| Y Y ALL COVERAGE Jawa Tengah Semarang RS. HERMINA BANYUMANIK JL. JENDRAL POLISI ANTON SOEDJARWO NO. 195 A, SEMARANG 50263 (024) 7648 8989| Y Y ALL COVERAGE Jawa Tengah Slawi RS ADELLA JL PROF MOH YAMIN NO. 77 SLAWI 0283-491154/491773| Y Y ALL COVERAGE Jawa Tengah Solo RS. DR. OEN SOLO BARU KOMP. PERUMUMAHAN SOLO BARU, GROGOL, SUKOHARJO 0271-620220| Y Y ALL COVERAGE Jawa Tengah Solo RSU. KASIH IBU SOLO JL. BRIGJEND SLAMET RIYADI NO.404 0271 - 714422| Y Y ALL COVERAGE Jawa Tengah Solo RS ISLAM KUSTATI JL. KAPTEN MULYADI NO.249 0271 - 643013| Y Y ALL COVERAGE Jawa Tengah Solo RS. DR. OEN SURAKARTA(KANDANG SAPI) JL. BRIGJEN KATAMSO NO.55, KANDANG SAPI 0271-643139| Y Y ALL COVERAGE Jawa Tengah Solo RS ISLAM SURAKARTA JL. A YANI PABELAN KARTASURA, SOLO 0271-710571|0271-725134 Y Y ALL COVERAGE Jawa Tengah Solo RS PKU MUHAMMADIYAH SOLO JL. RONGGOWARSITO NO130, SOLO 0271-714578| Y Y ALL COVERAGE Jawa Tengah Solo RS BRAYAT MINULYA Jl. Dr.SETIABUDI NO.106 SURAKARTA 0271-716646,710571,710170| Y Y ALL COVERAGE Jawa Tengah Solo KLINIK BUDI SEHAT JL.S.PARMAN, No.131, PASAR LEGI 0271-648026-661415| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Tengah Solo RS. PANTI WALUYO SURAKARTA JL.JEND.A.YANI NO.1 0271-712077| Y Y ALL COVERAGE Jawa Tengah Solo PRODIA SOLO Jl Ronggowarsito No. 143 Solo 57131 0271-646378| N Y GP Jawa Tengah Sragen RS SARILA HUSADA JL. VETERAN NO 41-43 SRAGEN 0271-891194/891538| Y Y ALL COVERAGE Jawa Tengah Tegal RS ISLAM HARAPAN ANDA JL.ABABIL NO.42 0283-358244| Y Y ALL COVERAGE Jawa Tengah Tegal RS. MITRA KELUARGA TEGAL JL. SIPELEM, NO.4, KEMANDUNGAN, TEGAL BARAT 0283-340399/340999| Y Y ALL COVERAGE Jawa Tengah Tegal RS. MITRA SIAGA TEGAL JL. Palaraya No. 54 Tegal 0283-353387/322550| Y Y ALL COVERAGE Jawa Tengah Temanggung RS. NGESTI WALUYO JL. PAHLAWAN-PARAKAN 0293-596008| Y Y ALL COVERAGE Jawa Timur Bangil RS ISLAM MASYITHOH JL. A. YANI, NO.6 0343-741018| Y Y ALL COVERAGE Jawa Timur Banyuwangi RS. AL-HUDA JL. DIPONEGORO, NO.65, GENTENG 0333- 842033/844682/845248/842118| Y Y ALL COVERAGE Jawa Timur Banyuwangi RS ISLAM FATIMAH BANYUWANGI JL. JEMBER, NO.25 0333-421451| Y Y ALL COVERAGE Jawa Timur Banyuwangi RS. YASMIN BANYUWANGI JL.LETKOL ISTIQLAL NO.80-84 0333-424671| Y Y ALL COVERAGE Jawa Timur Blitar RS KATOLIK BUDI RAHAYU BLITAR JL. A.YANI BLITAR 0342- 801066/802316/807802| Y Y ALL COVERAGE Jawa Timur Bojonegoro RS. AISYIYAH BOJONEGORO JL. HASHIM ASHAARI, NO.17 0353-881748/885978| Y Y ALL COVERAGE Jawa Timur Bojonegoro RS.PKU MUHAMMADIYAH KALITIDU JL.RAYA KALITIDU, NO.266, KALITIDU 0353-511731/512066|- Y Y ALL COVERAGE
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Timur Gresik RS. SEMEN GRESIK JL. RA. KARTINI, NO.280 GRESIK 031 - 3987840,3989478,3975847| Y Y ALL COVERAGE Jawa Timur Gresik RS. PETROKIMIA GRESIK JL. JEND. A.YANI NO.69 031- 3988877/3990994/3978658/3977666| Y Y ALL COVERAGE Jawa Timur Gresik RS. WATES HUSADA JL. RAYA WATES UTARA KEDUNGPRING, BALONGPANGGGANG - GRESIK (031) 7922351| Y Y ALL COVERAGE Jawa Timur Jember RS. PERKEBUNAN (PTPN) X JEMBER JL. BEDADUNG, NO.2 0331- 487104,485415,426873,485912,410748|0331-487226 Y Y ALL COVERAGE Jawa Timur Jember RS. BINA SEHAT JL. JAYANEGARA NO.7 0331- 422701/424304/421713| Y Y ALL COVERAGE Jawa Timur Jombang RS. DR. MOEDJITO DWIDJOSISWOJO JL. HAYAM WURUK, NO.9 JOMBANG 0321- 864308,6977788,855555| Y Y ALL COVERAGE Jawa Timur Jombang RS KRISTEN MOJOWARNO JL. MERDEKA NO.59, MOJOWARNO 0321-495093|- Y Y ALL COVERAGE Jawa Timur Jombang RS. AIRLANGGA JOMBANG JL. AIRLANGGA NO 50 C JELAKOMBO, JOMBANG 0321-861577| Y Y ALL COVERAGE Jawa Timur Kediri RS. HVA TOELOENGREDJO JL. A. YANI NO. 25 PARE 0354-391047,391145| Y Y ALL COVERAGE Jawa Timur Kediri RS BAPTIS KEDIRI JL. BRIDJEN POLLBH PRANOTO NO.1 0354-682170, 683578, 684172|- Y Y ALL COVERAGE Jawa Timur Kediri RS BHAYANGKARA KEDIRI JL. KOMBES POL DURYAT NO 17 0354-671100| Y Y ALL COVERAGE Jawa Timur Kediri RS. AURA SYIFA JL. JOYOBOYO NO.42 DLOPO 0354-671939| Y Y ALL COVERAGE Jawa Timur Kediri RS. MUHAMMADIYAH AHMAD DAHLAN KEDIRI JL. GATOT SUBROTO NO 84 KEDIRI 0354- 773115/776182/770182| Y Y ALL COVERAGE Jawa Timur Lamongan RS MUHAMMADIYAH LAMONGAN JL. JAKSA AGUNG SUPRAPTO 0322-322834| Y Y ALL COVERAGE Jawa Timur Lumajang RS. WIJAYA KUSUMA JL. A. YANI, NO.149 0334-891325| Y Y ALL COVERAGE Jawa Timur Madiun RS. SANTA CLARA JL. BILITON, NO.15 0351- 462688/452770/464571| Y Y ALL COVERAGE Jawa Timur Madura RS. LARASATI JL. MANDILARAS, NO.74, PAMEKASAN 0324-328305| Y Y ALL COVERAGE Jawa Timur Malang RSU HERMINA TANGKUBANPRAHU JL. TANGKUBAN PRAHU, NO.33 0341-325082 - 354844 - 354845/46|0341-354844/8 Y Y ALL COVERAGE Jawa Timur Malang RSIA. MELATI HUSADA JL. KAWI, NO.32 0341-336271|0341-341357 Y Y ALL COVERAGE Jawa Timur Malang RS. BAPTIS BATU JL. RAYA TLEKUNG NO.1 JUNREJO, BATU 0341-594161|0341-598192/5 Y Y ALL COVERAGE Jawa Timur Malang RS ISLAM AISYIYAH MALANG JL. SULAWESI, NO.16 0341-326773| Y Y ALL COVERAGE Jawa Timur Malang RS. PANTI NIRMALA JL. KEBALEN WETAN, NO.2-8 0341-362459| Y Y ALL COVERAGE Jawa Timur Malang RS. LAVALETTE JL. W.R. SUPRATMAN, NO.10 0341-470805/482612| Y Y ALL COVERAGE Jawa Timur Malang RS. PANTI WALUYA SAWAHAN JL. NUSAKAMBANGAN NO.5 0341-362017,366033,361507| Y Y ALL COVERAGE Jawa Timur Malang RS. ISLAM MALANG ( UNISMA ) JL. MAYJEND HARYONO NO. 139 0341-551356,580798,565448| Y Y ALL COVERAGE Jawa Timur Malang RS. MARSUDI WALUYO JL. RAYA MONDOROKO KM.9 SINGOSARI 0341-458974| Y Y ALL COVERAGE Jawa Timur Malang RS. WAVA HUSADA KEPANJEN JL. PANGLIMA SUDIRMAN NO.99A KEPANJEN 0341-393000| Y Y ALL COVERAGE Jawa Timur Malang RS. PERMATA BUNDA MALANG JL. SOEKARNO HATTA NO. 75, LOWOKWARU 0341-487487/407462| Y Y ALL COVERAGE Jawa Timur Malang RSIA GALERI CANDRA JL. BUNGA ANDONG NO.3 MALANG 65141 (0341) 478571| Y Y ALL COVERAGE Jawa Timur Mojokerto RS. KARTINI MOJOKERTO JL. ERLANGGA, NO.137, MOJOSARI 0321-592261| Y Y ALL COVERAGE Jawa Timur Mojokerto RS. REKSA WALUYA JL. MOJOPAHIT, NO.422 0321-322170/322171|0321- 322171/3937 Y Y ALL COVERAGE Jawa Timur Mojokerto RS. EMMA JL. RAYA IJEN WATES NO.67 0321-328737|- Y Y ALL COVERAGE Jawa Timur Mojokerto RS GATOEL MOJOKERTO JL. RADEN WIJAYA NO.56 0321-321681,322329,399772|- Y Y ALL COVERAGE Jawa Timur Mojokerto RS. SIDO WARAS JL. RAYA PASAR SAWAHAN KM. 10 BANGSAL KAB. MOJOKERTO 0321-598621| Y Y ALL COVERAGE Jawa Timur Mojokerto RS. MUTIARA HATI JL. RAYA KEMANTREN WETAN 49, GEDEG, MOJOKERTO (0321) 7223400, 363442| Y Y ALL COVERAGE Jawa Timur Nganjuk RSI. AISYIYAH NGANJUK JL. IMAM BONJOL NO. 20 NGANJUK 0358-324024| Y Y ALL COVERAGE Jawa Timur Pasuruan RS. PANCA DHARMA JL.RAYA NO.14A SUKOREJO 0343-612700, 611412| Y Y ALL COVERAGE Jawa Timur Pasuruan RS. MITRA SEHAT MEDIKA JL. BY PASS NO.6 PANDAAN 0343-636064| Y Y ALL COVERAGE Jawa Timur Ponorogo RSU. AISYIYAH PONOROGO JL. DR SUTOMO NO.18-24 0352-481784,461560,485093| Y Y ALL COVERAGE Jawa Timur Probolinggo RS. DHARMA HUSADA JL. SOEKARNO HATTA NO.10 0335-422176| Y N ALL COVERAGE Jawa Timur Probolinggo RSU. WONOLANGAN JL. RAYA DRINGU NO.118 0335-424007| Y Y ALL COVERAGE Jawa Timur Sidoarjo RS. DELTA SURYA JL. PAHLAWAN NO.9 031-8962531-8961271|031- 8961271 Y Y ALL COVERAGE Jawa Timur Sidoarjo RS ISLAM SITI HAJAR SIDOARJO JL. RADEN PATAH NO.70 031-8921233/8961570| Y Y ALL COVERAGE Jawa Timur Sidoarjo RS. SITI KHODIJAH SEPANJANG SIDOARJO JL. PAHLAWAN, NO.260, SEPANJANG 031- 7881130,7882123,7872081,60134373| Y Y ALL COVERAGE Jawa Timur Sidoarjo RS ANWAR MEDIKA JL. DUSUN SEMAWUT, RT.10/RW.04, KEC. BALONGBENDO / Jl. Raya By Pass Krian KM.33 031-8972052, 8974943|- Y Y ALL COVERAGE Jawa Timur Sidoarjo RS. MITRA KELUARGA WARU JL. RAYA LETJEN. S.PARMAN, NO.8 031-8543111/8542111|- Y Y ALL COVERAGE Jawa Timur Sidoarjo RSAB. SOERYA JL.RAYA KALIJATEN, NO.11-15, TAMAN SEPANJANG 031-7885011|- Y Y ALL COVERAGE Jawa Timur Sidoarjo KLINIK CITRA GADING MEDIKA JL.BRIGJEN KATAMSO BLOK A 408-409 REWIN WARU 031-8679727| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Sidoarjo KLINIK GRAHA MEDICA JL. BRIGJEN KATAMSO NO.7 WARU 031 - 8554910| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Sidoarjo KLINIK MEDIS GELORA PERUM TAMAN PINANG INDAH, BLOK B7, NO.3- 3A 031-8929139| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Sidoarjo RS. CITRA MEDIKA SIDOARJO JL.RAYA SURABAYA, KM.44, KRAMAT TUMENGGUNG 0321-361000| Y Y ALL COVERAGE Jawa Timur Sidoarjo KLINIK D DOTHE JL. MONGINSIDI NO.86-88 031-8921260, 70019201| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Sidoarjo KLINIK MEDIS PUSURA SIDOARJO JL. RAYA CANDI NO. 49 SIDOARJO 031-8966345| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Sidoarjo RSU. BUNDA SIDOARJO JL. KUNDI NO.70 KEPUH KIRIMAN, WARU SIDOARJO (031) 8668880| Y Y ALL COVERAGE Jawa Timur Surabaya SILOAM HOSPITALS SURABAYA JL. RAYA GUBENG NO. 70, SURABAYA 031-5031333/5031821| Y Y ALL COVERAGE Jawa Timur Surabaya RS. MITRA KELUARGA SURABAYA JL. SATELIT INDAH II, DARMO SATELIT 031-7345333| Y Y ALL COVERAGE Jawa Timur Surabaya RS. DARMO JL. RAYA DARMO, NO.90 031 - 567 6253/54/55/56| Y Y ALL COVERAGE Jawa Timur Surabaya RS. ST.VINCENTIUS A.PAULO (RS. RKZ) JL. DIPONEGORO NO.51 031- 5677562,5687846,5663895|031-5687846 Y Y ALL COVERAGE
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Timur Surabaya KLINIK MEDIS PUSURA 1 (YOS SUDARSO) JL. KOM ( L) YOS SUDARSO, 9A 031-5340604| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya KLINIK MEDIS PUSURA 2 (RUNGKUT) JL. RUNGKUT ASRI TENGAH NO.2 031- 8705210| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya KLINIK MEDIS PUSURA 3 (SUNGKONO) JL. MAYJEN, SUNGKONO, NO.64 031-5612120/22| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RS SPESIALIS HUSADA UTAMA JL. PROF DR MOESTOPO 31-35 031- 5017975/5018335|(021) 9100682 Y Y ALL COVERAGE Jawa Timur Surabaya RS. PREMIER SURABAYA (RS. SURABAYA INTERNASIONAL) JL. NGINDEN INTAN BARAT, BLOK B 031- 5993211|031-5993211 Y Y ALL COVERAGE Jawa Timur Surabaya RS. ADI HUSADA UNDAAN WETAN JL.UNDAAN WETAN NO40-44 SURABAYA 031-5321256|031-5318000 Y Y ALL COVERAGE Jawa Timur Surabaya RS PRIMASATYA HUSADA CITRA(D/H PELABUHAN SURABAYA) JL.PRAPAT KURUNG SELATAN NO.1 TANJUNG PERAK 031-3294801-3|- Y Y ALL COVERAGE Jawa Timur Surabaya KLINIK KEBRAON JL.GRIYA KEBRAON BLOK FA NO.37 031-7663816|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya KLINIK BENOWO PONDOK BENOWO INDAH, BLOK PP/22 031-70547492|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RS WILLIAM BOOTH JL. DIPONEGORO NO.34 031-5678917|- Y Y ALL COVERAGE Jawa Timur Surabaya RS ISLAM SURABAYA JL. JEND A YANI NO.2-4 031-8284505|- Y Y ALL COVERAGE Jawa Timur Surabaya KLINIK SENTRA MEDIKA SURABAYA JL.RAYA TENGGILIS, NO.91-93 031-8438777/8438333|031- 5018979 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RSIA. PUSURA TEGALSARI (Medis Pusura 4) JL. TEGAL SARI NO.59 031-5473462|- Y Y ALL COVERAGE Jawa Timur Surabaya BRAIN CLINIC JL. SULAWESI, NO.63 031-5018800/031-5038004| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RS. ADI HUSADA KAPASARI Jl. KAPASARI NO.97-101 031-3764555| Y Y ALL COVERAGE Jawa Timur Surabaya RS. AL IRSYAD SURABAYA JL. KH. MAS MANSYUR 210-214 031 - 3531223| Y Y ALL COVERAGE Jawa Timur Surabaya RS. BHAKTI RAHAYU SURABAYA JL.KETINTANG MADYA I/16 031- 8295922/8291799/8299217/23| Y Y ALL COVERAGE Jawa Timur Surabaya RS. BUNDA SURABAYA JL.RAYA KANDANGAN NO.23-24 BENOWO 031 - 7442220/7440077/7400694| Y Y ALL COVERAGE Jawa Timur Surabaya RS. ISLAM SURABAYA JEMURSARI JL. JEMURSARI NO.51-57 031 - 8471877/8471878/8471889| Y Y ALL COVERAGE Jawa Timur Surabaya RS. MATA UNDAAN JL.UNDAAN KULON, NO.19 031-5343806/531619| Y Y ALL COVERAGE Jawa Timur Surabaya RS. ONKOLOGI ARAYA GALAXI BUMI PERMAI BLOK A2/7 JL. ARIEF RAHMAN HAKIM 182 031-5914855| Y Y ALL COVERAGE Jawa Timur Surabaya RS. PUTRI ( RS KHUSUS OBSTETRI & GINEKOLOGI ) JL. ARIF RAHMAN HAKIM, NO.122 031-5999987| Y Y ALL COVERAGE Jawa Timur Surabaya KLINIK MEDIS PUSURA 5 (BALONGSARI) JL. BALONGSARI TAMA, BLOK B, NO.8-9 031-7416234| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RS. BEDAH SURABAYA JL. RAYA MANYAR NO 9 SURABAYA 031-5999369,5999339| Y Y ALL COVERAGE Jawa Timur Surabaya KLINIK JOYOBOYO PRIMA JL. JOYOBOYO 49-51 SURABAYA 031-5616780| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RS. WIYUNG SEJAHTERA JL. KARANGAN PDAM NO.1-3 WIYUNG SURABAYA (031) 7532653| Y Y ALL COVERAGE Jawa Timur Surabaya NATIONAL HOSPITAL BOULEVARD FAMILI SEL KAV 1 GRAHA FAMILI, SURABAYA 031-2975777| Y Y ALL COVERAGE Jawa Timur Surabaya RS. ROYAL SURABAYA JL. RUNGKUT INDUSTRI I/ 1 SURABAYA 031-8476111| Y Y ALL COVERAGE Jawa Timur Surabaya RS. MITRA KELUARGA KENJERAN JL. KENJERAN 506 SURABAYA 60114 (031) 99000880| Y Y ALL COVERAGE Jawa Timur Tuban RS. MEDIKA MULIA JL. MOJOPAHIT, NO.699 0356-322744/324618| Y Y ALL COVERAGE Jawa Timur Tuban RS. NAHDATUL ULAMA TUBAN JL. LETDA SUCIPTO NO 211 TUBAN 0356-328244/(0356) 328299| Y Y ALL COVERAGE Jawa Timur Tulung Agung RS. ISLAM ORPEHA JL. KH. R. ABDUL FATAH 0355-323186| Y Y ALL COVERAGE Kalimantan Barat Ketapang RS. FATIMA KETAPANG JL. JEND SUDIRMAN NO. 27 KETAPANG 0534-32814| Y Y ALL COVERAGE Kalimantan Barat Pontianak RS KHARITAS BHAKTI JL. SIAM, NO.153 PONTIANAK 0561-734373|- Y Y ALL COVERAGE Kalimantan Barat Pontianak RS. SANTO ANTONIUS JL.KH. WAHID HASYIM NO.249 0561-732101|- Y Y ALL COVERAGE Kalimantan Barat Pontianak RSIA ANUGERAH BUNDA KHATULISTIWA JL. AHMAD YANI NO. 5-7 0561-581818| Y Y ALL COVERAGE Kalimantan Barat Pontianak Apotek Kimia Farma 32 Pontianak Jl. Tanjung Pura no:419, Pontianak 0561-731658| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Barat Pontianak KIMIA FARMA Sungai Raya Jl.Sei Raya Dalam,Ruko B1, Pontianak 0567-737797| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Barat Pontianak RS. MITRA MEDIKA PONTIANAK JL. SULTAN ABDURRAHMAN NO.25, PONTIANAK, KALBAR (0561) 584888| Y Y ALL COVERAGE Kalimantan Barat Singkawang RS. SANTO VINCENTIUS SINGKAWANG JL. P. DIPONEGORO NO.5 0562-631008| Y Y ALL COVERAGE Kalimantan Barat Singkawang RSU HARAPAN BERSAMA Jln. P. Belitung No. 61) Singkawang 0562-631791| Y Y ALL COVERAGE Kalimantan Selatan Banjarmasin RS. SARI MULIA JL. PANGERAN ANTASARI NO. 139B 0511 - 3274447/3261491/3252570|0511-266960 Y Y ALL COVERAGE Kalimantan Selatan Banjarmasin RS. ISLAM BANJARMASIN JL. LET JEN S PARMAN GG.PURNAMA NO.1 BANJARMASIN 0511-3350332, 3354896, 3350335|0511-3350332/35 Y Y ALL COVERAGE Kalimantan Selatan Banjarmasin KLINIK SURYA MEDIKA SATUI (SMS) JL. PROPINSI NO 11, RT 17 SUNGAI DANAU SATUI 0512-2729192|0778-322122 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Selatan Banjarmasin KLINIK SPESIALIS SARI MULIA JL. PANGERAN ANTASARI NO. 139 B 0511-3254341/3266960| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Selatan Banjarmasin KLINIK ANNISA JL. P.H.M. NOOR NO 12 PEMBATAN TANJUNG, KAB TABALONG KALSEL 0526-2021121| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Selatan Banjarmasin RSIA. MUTIARA BUNDA MARTAPURA JL. TAISIR NO. 2, MARTAPURA, KALIMANTAN SELATAN O511- 4721901| Y Y ALL COVERAGE Kalimantan Selatan Banjarmasin RS PAHLAWAN MEDIKA CENTER JL. PAHLAWAN NO. 15 KANDANGAN KAB. HULU SUNGAI SELATAN 0517-23191| Y Y ALL COVERAGE
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Kalimantan Selatan Banjarmasin KLINIK MEDIKA BATULICIN JL. RAYA BATULICIN - SERONGGO KM. 1 SEI KECIL, BATULICIN, TANAH BAMBU - KALSEL 0518-71570| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Selatan Banjarmasin RS. PELITA INSANI JL. SEKUMPUL NO.66 MARTAPURA 70614, KALIMANTAN SELATAN (0511) 4722210, 4722220| Y Y ALL COVERAGE Kalimantan Tengah Palangkaraya RSUD. DR. DORIS SYLVANUS JL.TAMBUN BUNGAI NO.4 0536-3224217| Y Y ALL COVERAGE Kalimantan Tengah Palangkaraya RS ISLAM PKU MUHAMMADIYAH JL.RTA MILONO KM .2,5 MENTENG, JEKAN RAYA PALANGKARAYA, KALIMANTAN TENGAH 0536-3244801| Y Y ALL COVERAGE Kalimantan Timur Balikpapan RS. RESTU IBU JL. JEND. A. YANI, NO.12 0542-427342/3/4|0542- 427342 Y Y ALL COVERAGE Kalimantan Timur Balikpapan RS. PERTAMINA BALIKPAPAN JL. JEND SUDIRMAN NO.1 0542-734020/21| Y Y ALL COVERAGE Kalimantan Timur Balikpapan RSIA. PERMATA HATI BALIKPAPAN JL. IMAM BONJOL NO.1 0542-413932/413928| Y Y ALL COVERAGE Kalimantan Timur Balikpapan PANACEA CLINIC KOMP MAL FANTASI BLOK AB2 NO.18-20 BALIKPAPAN BARU 76114 0542-877898,7204046|0751- 444712/5 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan APOTIK KANIDA FARMA II JL. JEND. SUDIRMAN, NO. 23 0542-424309,0542 420496|0542-420496 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan RS. BALIKPAPAN BARU KOMP. BALIKPAPAN BARU Jl. MT.HARYONO Blok. A-A3 0542-877330| Y Y ALL COVERAGE Kalimantan Timur Balikpapan SILOAM HOSPITALS BALIKPAPAN (RS BALIKPAPAN HUSADA) JL. MT.HARYONO NO.9 RINGROAD, BALIKPAPAN - KALIMANTAN TIMUR 0542-7206508/09/12, 0542 - 8862 999| Y Y ALL COVERAGE Kalimantan Timur Balikpapan KLINIK MEDIKA UTAMA ( KMU SETIARA ) JL. MULAWARMAN NO. 24 RT 7 MANGGAR BARU BALIKPAPAN, KALIMANTAN TIMUR 0542-770846| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan KIMIA FARMA 293 Jl. A. Yani No.45 Karang Jati 0542 413090| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan KIMIA FARMA 68 JL. JEND.SUDIRMAN NO.2-3 PERTOKOAN KLANDASAN 0542 422691| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan KIMIA FARMA Sepinggan Jl.Marsma Iswahyudi NO. 72 0542 7310391| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan KIMIA FARMA 329 Jl.Soekarno Hatta km 5 / 86, Bpn 0542 860024| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Batu Kajang KUSUMA MEDICAL CENTER JL. NEGARA KM. 141 RT 09C BATU KAJANG, PASER KALTIM 0543-5230262| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Bontang RS. PUPUK KALTIM BONTANG Jl. OKSIGEN NO.1, KOMP.PUPUK KALTIM 0548-41118/41444| Y Y ALL COVERAGE Kalimantan Timur Bontang RS AMALIA BONTANG JL. R. SOEPRAPTO NO. 22 BONTANG BARU, KOTA BONTANG KALTIM 0548-25050| Y Y ALL COVERAGE Kalimantan Timur Bontang KLINIK RSPKT 1 JL. IMAM BONJOL BONTANG-KALTIM 0548-24800| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Kutai Kartanegara KLINIK MAJU SEJAHTERA JL.MOH. HATTA, HANDIL 3, MUARA JAWA 0541-691891|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Melak KLINIK SIAGA JL. PATIMURA, RT 29 NO 47 MELAK KUTAI BARAT, KALIMANTAN TIMUR 0545-41386| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Samarinda RS. H. DARJAD JL. DAHLIA, NO.4 0541-732698,734123,732609| Y Y ALL COVERAGE Kalimantan Timur Samarinda RS. DIRGAHAYU JL. GN. MERBABU, NO. 62 0541- 742161/748309/748310|0541- 748309/10/11 Y Y ALL COVERAGE Kalimantan Timur Samarinda KLINIK MELATI HUSADA JL. CIPTO MANGUN KUSUMO RT 12 NO 52 KEL SENGKOTEK LOA JUAN SAMARINDA 0541-26021| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Samarinda RSIA. THAHA BAKRIE JL. PANGERAN HIDAYATULLAH NO 11 SAMARINDA 0541-742191| Y Y ALL COVERAGE Kalimantan Timur Samarinda APOTEK KIMIA FARMA 105 jl. Dr. Sutomo No. 36-37 Samarinda -| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Samarinda APOTEK KIMIA FARMA 138 KARTIKA jl. KH Agus Salim No. 30 Samarinda 75121 0541-737447| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Samarinda RS. SAMARINDA MEDIKA CITRA JL. KADRIE OENING NO.81 RT.35 SAMARINDA 75124 (0541) 7273000| Y Y ALL COVERAGE Kalimantan Timur Samarinda RS. SIAGA RAMANIA JL. RAMANIA 3 ( JL. JEND. SOEPARTO) SAMARINDA, KALTIM 0541-739772| Y Y ALL COVERAGE Kalimantan Timur Samarinda KIMIA FARMA 114 Jl.P.Hidayatullah No.63, Samarinda 0541 742198| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Sangatta RS. PKT PRIMA SANGATTA (RS. PUPUK KALTIM ) JL.YOS SUDARSO I NO.1 SANGATTA - KALIMANTAN TIMUR 05495503889/22005/5523889/5525555/5501323| Y Y ALL COVERAGE Kalimantan Timur Sangatta RS MELOY SANGATTA Jl.Yos Sudarso II No.101 Sangatta - Kalimantan Timur 0549-2026258| Y N H&S,MAT Kalimantan Timur Sangatta RS. SOHC, SANGATTA JL. YOS SUDARSO IV, No. 1, TELUK LINGGA, SANGATTA-KALIMANTAN TIMUR 0549-23417| Y Y ALL COVERAGE Kalimantan Utara Tarakan RS PERTAMINA TARAKAN JL. MULAWARMAN NO. 14, TARAKAN 0551-31403/31665| Y Y ALL COVERAGE Kalimantan Utara Tarakan RUMKITAL ILYAS TARAKAN Jl. Martadinata No 29 0551-24320 / 21353| Y Y ALL COVERAGE Lampung Bandar Lampung RS. IMMANUEL WAY HALIM JL. SOEKARNO-HATTA, WAY HALIM 0721-704900,704630/628| Y Y ALL COVERAGE Lampung Bandar Lampung RS. ADVENT LAMPUNG JL. TEUKU UMAR, NO.48 0721-703459| Y Y ALL COVERAGE Lampung Bandar Lampung RS. YUKKUM MEDICAL CENTER JL. NEGARA NO 99, KM 67 YUKUM JAYA, LAMPUNG TENGAH 0725-25333| Y Y ALL COVERAGE Lampung Bandar Lampung RS. MITRA HUSADA PRINGSEWU JL. JEND A. YANI NO.14 PRINGSEWU, LAMPUNG 0729-23792|- Y Y ALL COVERAGE Lampung Bandar Lampung RS. BUMI WARAS JL.WOLTER MONGINSIDI, NO.235 0721- 254589/261122/257925/267855| Y Y ALL COVERAGE Lampung Bandar Lampung RS. MARDI WALUYO JL. JEND SUDIRMAN NO 156 KOTA METRO 34111 BD LAMPUNG 0725-42512/44980| Y Y ALL COVERAGE Lampung Bandar Lampung RS. GRAHA HUSADA LAMPUNG JL. GAJAH MADA, NO. 6 GH, TANJUNG AGUNG, BANDAR LAMPUNG 0721-240000| Y Y ALL COVERAGE Lampung Bandar Lampung RS. URIP SUMOHARJO JL.URIP SUMOHARJO NO.200 SUKARAME 0721-771322/23/24| Y Y ALL COVERAGE
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Lampung Bandar Lampung KLINIK & APOTIK SENTAUSA JL. GAJAH MADA NO 8A TANJUNG KARANG, BANDAR LAMPUNG 0721-261339| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Lampung Bandar Lampung RS. NATAR MEDIKA (YADIKA GROUP) JL RAYA NATAR NO. 04 MUARA PUTIH, KEC NATAR LAMPUNG SELATAN 0721-92521/92519| Y Y ALL COVERAGE Lampung Bandar Lampung RS. HARAPAN BUNDA LAMPUNG JL. RAYA LINTAS SUMATERA NO.30 SEPUTIH JAYA LAMPUNG TENGAH 0725-26766| Y Y ALL COVERAGE Lampung Bandar Lampung RSIA MUTIARA PUTRI JL. HOS COKROAMINOTO NO 76 ENGGAL LAMPUNG 0721-252579/254999| Y Y ALL COVERAGE Lampung Bandar Lampung RS PERTAMINA BINTANG AMIN JL PRAMUKA NO 27, LAMPUNG 0721-273601| Y Y ALL COVERAGE Lampung Bandar Lampung RSIA. BUNDA AS-SYIFA JL. DR.SUSILO NO. 54 PAHOMAN TELUK BETUNG UTARA BANDAR LAMPUNG 0721- 240474/259259/256256| Y Y ALL COVERAGE Lampung Bandar Lampung RS ISLAM ASY-SYIFAA JL. NEGARA LINTAS SUMATERA KM.65 YUKUM JAYA - BANDAR JAYA, KEC. TERBANGGI BESAR, LAMPUNG TENGAH 34162 (0725) 25264| Y Y ALL COVERAGE Lampung Bandar Lampung LAB PRODIA PAHOMAN LAMPUNG JL. JEND. SUDIRMAN NO. 120 PAHOMAN LAMPUNG 0721-8016225| N Y ALL COVERAGE Maluku Ambon RS BHAKTI RAHAYU AMBON JL. BATU KERBAU, BELAKANG RRI 0911-342746| Y Y ALL COVERAGE Maluku Ambon RSUD Dr. M. HAULUSSY Ambon Jl. Dr.Kayadoe Kuda Mati, Ambon 0911-343002 / 344871| Y Y ALL COVERAGE Maluku Ambon RST TK.II DR.J.A. LATUMETEN JL.DR. TAMAELA N0. 2 AMBON 0911-353555| Y Y ALL COVERAGE Maluku Ambon RS SUMBER HIDUP Jl. Anthony Rhebok, Honipopu, Sirimau, Ambon, Maluku (0911) 352373, 351654| Y N H&S Maluku Utara Ternate RS. MEDIKA HARIFALM JL. ZAINAL ABIDINSYAH, NO.25, KOMPLEX POHON PALA 0921-3126087| Y N ALL COVERAGE Maluku Utara Ternate RS. DHARMA IBU JL. PAHLAWAN REVOLUSI, NO.5 0921-3121951| Y Y ALL COVERAGE Maluku Utara Ternate RSIA. ANANDA TERNATE JL. HASAN ESA NO. 235 0921-3121554| Y Y ALL COVERAGE Nad Banda Aceh RS. TEUNGKU FAKINAH JL. JEND. SUDIRMAN NO.27-29 0651-41454|- Y N ALL COVERAGE Nad Banda Aceh RS. PERMATA HATI JL. ISKANDAR MUDA NO 217 BANDA ACEH 0651-8057961| Y Y ALL COVERAGE Nad Banda Aceh KLINIK SPECIALIS CEMPAKA LIMA JL. TENGKU M. DAUD BEUREUEH NO 156 0651-33345| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Nad Banda Aceh RS. CEMPAKA AZ ZAHRA JL. POCUT BAREN NO 36-38-40 BANDA ACEH 0651-31066| Y Y ALL COVERAGE Nad Bireun RS TELAGA BUNDA BIERUN JL. PEUTUA BANTA NO 7, GP BIERUN 0644-324433| Y Y ALL COVERAGE Nad Lhokseumawe RS. SAKINAH JL. ANTARA NO 30, LHOKSEUMAWE 0645-45534/42158| Y Y ALL COVERAGE Nad Lhokseumawe RS. PMI LHOKSEUMAWE JL. SAMUDERA LHOKSEUMAWE 0645-43012/47339| Y Y ALL COVERAGE Nad Lhokseumawe KLINIK VINCA ROSEA Jl. Darussalam No. 36 - Lhokseumawe 0645-7011117 / 46725| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR NTB Mataram RSB. EXONERO JL. PEMUDA NO.16, DASAN AGUNG 0370-636454,644440| Y N GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR NTB Mataram RS. RISA SENTRA MEDIKA JL. PEJANGGIK, NO.115, CAKRANEGARA 0370-632117/625560| Y N ALL COVERAGE NTB Mataram RS. HARAPAN KELUARGA MATARAM JL. AHMAD YANI NO. 9 SELAGALAS, SANDUBAYA, MATARAM - LOMBOK (NTB) 0370- 670000,6177027,6177000| Y Y ALL COVERAGE NTB Mataram RS. BIOMEDIKA Jl. Bung Karno No. 143 Mataram 0370-645137| Y Y ALL COVERAGE NTB Mataram PERMATA HATI MATERNITY CLINIC JL.Majapahit No 8 MATARAM 0370-6668888| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR NTT Kupang KLINIK & APOTIK KARTINI JL.ELTARI I NO.2 0380-833010| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR NTT Kupang RSIA. DEDARI JL. RANTAI DAMAI 69 D TDM OEBUFU KUPANG- NTT 0380-8553914/8553914| Y Y ALL COVERAGE NTT Kupang RS. KARTINI KUPANG JL. FRANS SEDA NO.17,Kelurahan Tuak Daun Merah, KUPANG-85228 0380-80265111| Y Y ALL COVERAGE Papua Jayapura RS. TK.III MARTHEN INDEY JL.DIPONEGORO, NO.57 0967-532491| Y Y ALL COVERAGE Papua Jayapura RS. DIAN HARAPAN JL. TARUNA BHAKTI KEL YABANSAI DISTRIK HERANG - JAYAPURA 0967-572123/572325| Y Y ALL COVERAGE Papua Marauke RSUD. MERAUKE JL. SUKARJO WIRYOPRANOTO 0971-321125|- Y Y ALL COVERAGE Papua Marauke RS.BUNDA PENGHARAPAN JL. RAYA ANGKASA, KELAPA LIMA 0971-325906|- Y Y ALL COVERAGE Papua Timika KLINIK PURI HUSADA JL. BUDI UTOMO UJUNG, TIMIKA PAPUA (0901) 3126661| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Papua Barat Sorong RS. PERTAMINA SORONG Jl. AHMAD YANI NO. 13 0951-321362, 321581| Y Y ALL COVERAGE Riau Dumai KLINIK IGA DUMAI JL. SUTAN SYARIF KASIM NO.221, DUMAI - RIAU 085264881796| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Duri RSIA. MUTIA SARI JL. BATHIN BETUAH, NO.1-A, SIMPANG PADANG 0765-93635/92080| Y Y ALL COVERAGE Riau Duri RS. PERMATA HATI DURI JL. JEND SUDIRMAN NO.37 SIMPANG PADANG 0765- 598101/94902/596899/94668|0765-0765-596899 Y Y ALL COVERAGE Riau Duri KLINIK THURSINA JL. JEND SUDIRMAN NO.65 SIMPANG PADANG 0765-595573|0765-595573 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Duri RSU THURSINA JL. HANGTUAH NO.93 0765-597782|0765-595573 Y Y ALL COVERAGE Riau Indragiri Hilir RS INDRAGIRI JL. TRIMAS NO. 77 TEMBILAHAN INDRAGIRI HILIR - RIAU 0768-23555| Y Y ALL COVERAGE Riau Pangkalan Kerinci RS. EFARINA PANGKALAN KERINCI JL. LINTAS TIMUR NO 1, PANGKALAN KERINCI, KAB PELALAWAN 0761-494500/493980| Y Y ALL COVERAGE Riau Pekanbaru RS. SANTA MARIA PEKANBARU JL. A. YANI, NO.68 0761- 28800,20235,20166,22213| Y Y ALL COVERAGE Riau Pekanbaru RSIA. ERIA BUNDA JL. KH. AHMAD DAHLAN, NO.163 0761-23100/23600| Y Y ALL COVERAGE Riau Pekanbaru RS ISLAM IBNU SINA PEKANBARU JL. MELATI, NO.60 0761-24242/26011| Y Y ALL COVERAGE Riau Pekanbaru RS. PEKANBARU MEDICAL CENTER JL. LEMBAGA PEMASYARAKATAN NO.25,GOBAH 0761-848100/859510| Y Y ALL COVERAGE Riau Pekanbaru RSIA ZAINAB JL.RONGGOWARSITO I NO.1 0761-24000| Y Y ALL COVERAGE Riau Pekanbaru RS AWAL BROS PEKANBARU JL.JEND SUDIRMAN NO.117 0761-47333|- Y Y ALL COVERAGE Riau Pekanbaru RS. LANCANG KUNING JL. RONGGOWARSITO UJUNG, NO.5A 0761-859273/859274| Y Y ALL COVERAGE Riau Pekanbaru EKA HOSPITAL PEKANBARU JL. SOEKARNO HATTA, KM.6,5 0761-6989999| Y Y ALL COVERAGE Riau Pekanbaru RS KHUSUS BEDAH & KEBIDANAN SYAFIRA JL. JEND.SUDIRMAN NO.134 PEKANBARU 0761-856517,35360| Y Y ALL COVERAGE Riau Pekanbaru RSIA SARRAH JL. SOEKARNO HATTA NO. 107 PEKANBARU-RIAU 0761- 566795/7057844/587789| Y Y ALL COVERAGE Riau Pekanbaru RSIA BUDHI MULIA Jl.Soekarno Hatta No.226-228 Arengka, Pekanbaru 0761-3069900/8417200| Y Y ALL COVERAGE Riau Pekanbaru RS. AWAL BROS PANAM JL. HR. SOEBRANTAS RT. 01/RW. 03 NO 88 KEL. TUAH KARYA KEC. TAMPAN PANAM, PEKANBARU 0761-586 888| Y Y ALL COVERAGE Riau Pekanbaru RSB. ANNISA TANGKERANG Jln.Garuda No. 66 Taskurun Ujung Tangkerang Tengah Pekanbaru (0761) 848 652| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Riau Pekanbaru RSIA ANDINI JL. TUANKU TAMBUSAI NO.55, PEKANBARU (0761) 33612| Y Y ALL COVERAGE Riau Rokan Hilir KLINIK AGUNG Jalan Jend. Sudirman Km. 8, Bagan Batu - ROKAN HILIR - RIAU 0765-552459| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Rokan Hulu RS AWAL BROS UJUNG BATU JL. JEND. SUDIRMAN NO. 314 UJUNG BATU ROKAN HULU RIAU 0762-7363329| Y Y ALL COVERAGE Riau Kepulauan Batam RB BUDI ROSARI JL. MAHKOTA SIMPANG, NO.1, BENGKONG MAHKOTA 0778-427854| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam GENTA MEDICAL CENTER MUKA KUNING INDAH, BLOK F, NO.10 0778-361909| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam RS. AWAL BROS BATAM JL.GAJAH MADA KAV.1 BALOI 0778 - 431777| Y Y ALL COVERAGE Riau Kepulauan Batam RS. HARAPAN BUNDA BATAM JL. SERAYA NO.1 0778- 457333/456444/458808|0778 - 458808 Y Y ALL COVERAGE Riau Kepulauan Batam RS ST. ELISABETH - BATAM JL. ANGGREK BLOK II, BALOI 0778 - 457357|- Y Y ALL COVERAGE Riau Kepulauan Batam RSIA MUTIARA AINI JL BATU AJI II BLOK A NO 1 0778-332002| Y Y ALL COVERAGE Riau Kepulauan Batam YAHYA MEDICAL CENTER & APOTIK ZAHRUNI KOMPLEK RUKO SAGULUNG PERMAI BLOK B14- 15, SAGULUNG KOTA, BATAM (0778) 392748| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 413 Komp. Ruko Botania Garden Blok A 1 No. 1 C - Batam 0778 7431199| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 128 Komp. Pertokoan Wijaya Blok A No. 4 Sei Harapan - Batam 0778 323697| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 269 Jl.Jend Sudirman, Batam Centre, Batam 0778 461482| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 59 Jl.Imam Bonjol, No.1, Nagoya, Batam 0778 458560| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 137 Komp.Sagulung Mas Indah B3, Batam 0778 392146| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 224 Komp Muka Kuning Indah II B2.3, Batam 0778 363375| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam RS. GRAHA HERMINE KOMP. RUKO ASIH RAYA NO.9-15, BATU AJI (0778) 363318, 363127| Y Y ALL COVERAGE Riau Kepulauan Bintan BP & RB TIARA MEDIKA JL KAMPUNG HARAPAN RT 01/01 TELUK SASAH, TANJUNG UBAN 0771-484427| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Bintan KLINIK BERSALIN ERNES JL. PERMAISURI NO.8 TANJUNG UBAN 0771-483212| Y Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Bintan Utara RSUD TANJUNG UBAN JL. INDUN SURI SIMPANG BUSUNG NO.1 TANJUNG UBAN 29152 (0771) 482655/ 085263231270| Y Y ALL COVERAGE Riau Kepulauan Karimun RSB GRAHA RAP JL.R.USMAN, BATU LIPAI, TANJUNG BALAI 0777-325600,326097| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Karimun APOTIK JAYA SEHAT JL. AHMAD YANI, NO.20, BARAN SATU, MERAL, TANJUNG BALAI 0777-22487| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Karimun MEDIC CENTRE CLINIC JL. AHMAD YANI, KOMPLEK KARIMUN INDAH, BLOK B, NO.1, TANJUNG BALAI 0777- 325 561| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Karimun KLINIK SAYANG IBU JL. AHMAD YANI, NO.20, BARAN SATU, MERAL, TANJUNG BALAI 0777- 216 76| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Karimun RS. BAKTI TIMAH KARIMUN Jl. Canggai Putri Teluk Uma Kabupaten Karimun Provinsi Kepulauan Riau 29661 0777-7367085| Y Y ALL COVERAGE Riau Kepulauan Karimun APOTIK DEVI FARMA JL. AHMAD YANI, SEI PASIR, MERAL, TANJUNG BALAI 0777-21388| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Karimun RSUD. KARIMUN JL. SOEKARNO-HATTA, NO.1, TANJUNG BALAI (0777) 327 808| Y Y ALL COVERAGE Riau Kepulauan Karimun KLINIK FERTILITAS KIMIA FARMA JL. A.YANI NO A6-7, KOMPLEK KARIMUN CENTER, TANJUNG BALAI 0777-328193/326283| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Tanjung Pinang KIMIA FARMA 31 Jl.Bintan 656-658,Tg.Pinang 0771 22879, 21091| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar RS. STELLA MARIS JL.SOMBA OPU NO.273, PO.BOX 122 0411-871391/873346| Y Y ALL COVERAGE Sulawesi Selatan Makassar RS. HIKMAH JL.YOSEF LATUMAHINA NO.1 0411 - 872284,871403|0411- 871403 Y Y ALL COVERAGE Sulawesi Selatan Makassar RS AKADEMIS JAURY YUSUF PUTERA JL.GN BULUSARAUNG NO.57 A 0411-317343| Y Y ALL COVERAGE Sulawesi Selatan Makassar RATULANGI MEDICAL CENTRE JL.SAM RATULANGI NO.28 0411-878605/06/88| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar RS. GRESTELINA JL.LETJEN HERTASNING RAYA NO.51 0411-448855/448852| Y Y ALL COVERAGE Sulawesi Selatan Makassar RS. IBNU SINA YBW-UMI JL. URIP SUMOHARJO, KM.5, NO.264 0411-452917/452958| Y Y ALL COVERAGE Sulawesi Selatan Makassar RSIA. SITI KHADIJAH 1 MAKASSAR JL. KARTINI NO.15-17 MAKASSAR 0411-3624554/8614661| Y Y ALL COVERAGE Sulawesi Selatan Makassar RS. AWAL BROS MAKASSAR JL.JEND. URIP SUMOHARJO NO.43 MAKASSAR 0411-454567/452725| Y Y ALL COVERAGE Sulawesi Selatan Makassar SILOAM HOSPITALS MAKASSAR JL. METRO TANJUNG BUNGA KAV. 9 PANAMBUNGAN KEC. MARISSO - MAKASAR 0411-8117555/8117430| Y Y ALL COVERAGE Sulawesi Selatan Makassar KIMIA FARMA Hertasning Jl.Hertasning 0411- 442945| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar KIMIA FARMA 33 Jl.Ahmad Yani, No.17 - 19, Makassar 0411-3616722| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar KIMIA FARMA Pettarani Jl.Pettarani 18, Makassar 0411-857210 / 857215| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar KIMIA FARMA Daeng Tata Jl.Daeng Tata 69, Makassar 0811403255| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar KIMIA FARMA 250 Jl.DR.Ratulangi 59, Makassar 0411- 582895| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar KIMIA FARMA 38 Jl.Hasanuddin, No.46, Makassar 0411- 3617110| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar POLIKLINIK PERTAMINA MAKASSAR JL. GARUDA NO.1 MAKASAR 0411-871181| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Sulawesi Selatan Makassar LAB PRODIA MAKASSAR Jalan Sungai Saddang No.40 Makassar (0411) 872727| N Y GP Sulawesi Selatan Makassar LAB PRODIA MAKASSAR Jl. Boulevard Jl. Boulevard Ruko Ruby I No. 7-8, Panakkukang Mas, Makassar 90222 (Pusat GMC - PPS Panakkukang) (0411) 446666| N Y GP Sulawesi Selatan Palopo RS. AT MEDIKA JL. ANDI JEMMA, NO.09 0471-21596|- Y Y ALL COVERAGE Sulawesi Selatan Palopo RS BINTANG LAUT JL. K HM KASYIM NO. 5 PALOPO 0471-21302/21059| Y Y ALL COVERAGE Sulawesi Selatan Pare Pare RS. FATIMA PARE-PARE JL.ILHAMV KOTAK POS 12 0421-21847| Y Y ALL COVERAGE Sulawesi Tengah Palu RSU. WOODWARD (BALA KESELAMATAN) JL. LH. WOODWARD NO.1 0451 - 421769, 423744| Y Y ALL COVERAGE Sulawesi Tenggara Bau Bau RS. MURHUM Jl. Sultan Murhum No. 69 Kel. Wajo Kec. Murhum Sulteng Bau Bau 0402-2822650| Y Y ALL COVERAGE Sulawesi Tenggara Kendari RS. ST. ANNA JL. DR. MOH.HATTA, NO.65A 0401-3123092| Y Y ALL COVERAGE Sulawesi Utara Bitung RS BUDI MULIA JL. SAM RATULANGI, BLOK X/9A 0438-21332/21442| Y Y ALL COVERAGE Sulawesi Utara Manado RS PANCARAN KASIH JL.SAM RATULANGI XIII TITIWUNGEN 0431- 865800/857628/863237/868084|0431- 863237 Y Y ALL COVERAGE Sulawesi Utara Manado RS. ADVENT MANADO JL. 14 FEBRUARI, NO.1, TELING ATAS 0431-847950/858429| Y Y ALL COVERAGE Sulawesi Utara Manado SILOAM HOSPITALS MANADO JL. SAM RATULANGI NO 22 MANADO 0431- 8883180/8883131/8883911| Y Y ALL COVERAGE Sulawesi Utara Manado RSU TK III MANADO JL.14 FEBRUARI MANADO -| Y Y ALL COVERAGE Sumatera Barat Bukit Tinggi RS ISLAM IBNU SINA BUKIT TINGGI JL. BATANG AGAM, BELAKANG BALOK 0752 - 21185| Y Y ALL COVERAGE Sumatera Barat Bukit Tinggi RSU. MADINA JL. GURU HAMZAH NO.17 0752-21388| Y Y ALL COVERAGE Sumatera Barat Padang RS SELAGURI JL. A.YANI, NO.26 0751 -33010/21953| Y Y ALL COVERAGE Sumatera Barat Padang RSU BUNDA MEDICAL CENTER (RSU C-BMC) JL. PROKLAMASI NO.31-33-37 PADANG 0751- 23164/29536/21151/24750| Y Y ALL COVERAGE Sumatera Barat Padang RS. YOS SUDARSO JL. SITUJUH, NO.1 0751-33230/33231| Y Y ALL COVERAGE Sumatera Barat Padang RSI SITI RAHMAH PADANG JL. RAYA BY PASS KM 15 AIE PACAH, PADANG 0751-463059| Y Y ALL COVERAGE Sumatera Barat Padang RSIA CICIK JL. DR. SUTOMO NO.94 MARAPALAM PADANG 25125 (0751) 38846; 38866| Y Y ALL COVERAGE Sumatera Barat Padang RS MARNAINI ASRI JL. DR MOH. HATTA 0751-24575| Y Y ALL COVERAGE Sumatera Barat Padang RS MATA. PADANG EYE CENTER (PEC) Jl. Pemuda No. 53 Padang - Sumbar 0751-30094| Y Y ALL COVERAGE Sumatera Barat Padang SEMEN PADANG HOSPITAL JL. BY PASS KM 7 KEL. PISANG, KEC. PAUH PADANG - SUMBAR (0751) 202873, 4782999. 777888, 4782997| Y Y ALL COVERAGE Sumatera Barat Payakumbuh RSI IBNU SINA PAYAKUMBUH JL. PEMUDA NO 14 PAYAKUMBUH 0752-92222/90555| Y Y ALL COVERAGE Sumatera Selatan Batu Raja RS. SANTO ANTONIO JL. KOMISARIS UMAR NO. 33, BATURAJA 0735- 320395/322418/324700| Y Y ALL COVERAGE Sumatera Selatan Lubuk Linggau KLINIK SEKATA JL. YOS SUDARSO NO. 230 TABAH JEMEKEH, LUBUK LINGGAU 0733-321357| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sumatera Selatan Lubuk Linggau RS AR BUNDA LUBUK LINGGAU Jl. Garuda No 245 RT 03 Kel. Bandung Kiri, Kec. Linggau Barat 1 (0733) 324955/324963| Y Y ALL COVERAGE Sumatera Selatan Muara Enim RS PUSPA MUARA ENIM JL. AK GANI NO 102 MUARA ENIM 0734-451146| Y Y ALL COVERAGE Sumatera Selatan Palembang RS. PUSRI JL. MAYOR ZEN, Komplek Pusri No. 1 0711 -712222-712111| Y Y ALL COVERAGE Sumatera Selatan Palembang RS ISLAM SITI KHADIJAH PALEMBANG JL. DEMANG LEBAR DAUN, LORONG PAKJO 0711-356008| Y Y ALL COVERAGE Sumatera Selatan Palembang RS. MYRIA JL. KOL. H. BURLIAN KM. 7 NO 228 PALEMBANG 0711- 411610/412433/421914| Y Y ALL COVERAGE Sumatera Selatan Palembang RS. RK. CHARITAS JL. JEND. SUDIRMAN NO.1054 0711-350426/353375|0711- 353374/5 Y Y ALL COVERAGE Sumatera Selatan Palembang RS BUNDA PALEMBANG JL.DEMANG LEBAR DAUN, PALEMBANG 0711-312866,311866|0711- 311866 Y Y ALL COVERAGE Sumatera Selatan Palembang RS. HERMINA PALEMBANG JL. BASUKI RAHMAT NO.897 RT.011/003 KEL.20 ILIR II KEC.KEMUNING 0711-352525| Y Y ALL COVERAGE Sumatera Selatan Palembang RS PELABUHAN PALEMBANG JL MAYOR MEMET SASTRAWIRYA NO 1 BOOM BARU PALEMBANG 0711- 711843,712840,712916,719741| Y N ALL COVERAGE Sumatera Selatan Palembang SILOAM SRIWIJAYA PALEMBANG JL. POM IX KEL. LOROK PAKJO KEC. ILIR BARAT 1 PALEMBANG 0711- 5649090/5229100/5603911| Y Y ALL COVERAGE Sumatera Selatan Palembang POLIKLINIK KENTEN ( Group RS Pertamina Prabumulih) Jl. AKBP Cek Agus Komperta Kenten Timur No. 7. Kel. Duku Kec. Ilir Timur Palembang 0711-368768| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sumatera Selatan Palembang RS. PERTAMINA PLAJU PERTAMEDIKA JL. BERINGIN NO.1 KOMPLEK PERTAMINA PLAJU SUMATERA SELATAN 30268 (0711) 597401| Y Y ALL COVERAGE Sumatera Selatan Prabumulih RS. PERTAMINA PRABUMULIH JL. KESEHATAN, NO.100, KOMPLEK PERTAMINA PRABUMULIH 0713- 383333/382749/322069/382742/382731|(0713) 382731 Y Y ALL COVERAGE Sumatera Selatan Prabumulih RS. AR BUNDA PRABUMULIH JL. ANGKATAN 45, KEL GUNUNG IBUL PRABUMULIH TIMUR 0713-322954, 7003330| Y Y ALL COVERAGE Sumatera Selatan Prabumulih KLINIK PENDOPO ( Gr. Pertamina Prabum ) Jl. Cemara No. 86 Komperta Pendopo 0713-384202| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sumatera Utara Binjai RSU. ARTHA MEDICA JL. SAMANHUDI NO. 22 BINJAI 061-8827277| Y Y ALL COVERAGE Sumatera Utara Binjai RS LATERSIA JL. SOEKARNO HATTA, KM.18 NO.451, BINJAI 061-8829588/8829788| Y Y ALL COVERAGE Sumatera Utara Binjai RS. BIDADARI BINJAI Perintis kemerdekaan no. 174 A Kebun Lada Kota Binjai 061- 8830003| Y Y ALL COVERAGE Sumatera Utara Brastagi RS. EFARINA ETAHAM BRASTAGI JL.JAMIN GINTING, NO.1, DESA RAYA, 0628-323716/17| Y Y ALL COVERAGE Sumatera Utara Langkat RS PERTAMINA PANGKALAN BRANDAN JL.WAHIDIN NO.01 PANGKALAN BRANDAN LANGKAT-SUMUT 0620-322612,322455| Y Y ALL COVERAGE Sumatera Utara Lubuk Pakam RS. GRAND MEDISTRA LUBUK PAKAM JL. RAYA MEDAN-LUBUK PAKAM KM 25 NO. 66 061-7955114| Y Y ALL COVERAGE Sumatera Utara Medan RSU PERMATA BUNDA MEDAN JL. SISINGAMANGARAJA, NO.7 061-7362777| Y N ALL COVERAGE Sumatera Utara Medan RS MATERNA JL. TEUKU UMAR NO.11 061 -4514222| Y Y ALL COVERAGE Sumatera Utara Medan KLINIK SPESIALIS BUNDA JL. SISINGAMANGARAJA NO.17 061 -7321666| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sumatera Utara Medan RS. ADVENT MEDAN JL. GATOT SUBROTO, KM. 4 061 - 4524875/4574025| Y Y ALL COVERAGE Sumatera Utara Medan RS. COLUMBIA ASIA MEDAN (d/h GLENI MEDAN) JL. LISTRIK 2A Medan 20112 061-4566368| Y Y ALL COVERAGE Sumatera Utara Medan RS. SARI MUTIARA JL. KAPTEN MUSLIM, NO.79 061-8451812| Y Y ALL COVERAGE Sumatera Utara Medan MEDAN MEDICAL CENTRE JL.KOMPLEK MULTATULI INDAH BLOK BB NO.56- 57 061-4535522|061-4535104 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sumatera Utara Medan RS HERNA JL. MAJAPAHIT NO.118A, MEDAN 061 -451 0766|IBU HENI/DR LIMENTA Y Y ALL COVERAGE
PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Sumatera Utara Medan RS ISLAM MALAHAYATI JL.DIPENOGORO NO.2-4, MEDAN 061 - 4518766| Y Y ALL COVERAGE Sumatera Utara Medan RSU MARTHA FRISKA JL. KOL. YOS SUDARSO KM.6, NO.91, PULO BRAYAN 061-6610910| Y Y ALL COVERAGE Sumatera Utara Medan RS. ESTOMIHI JL. SISINGAMANGARAJA NO.235 MEDAN 061-7861771,7864656|061- 7864656 Y Y ALL COVERAGE Sumatera Utara Medan RS. NUR SAADAH JL. RAYA MEDAN-TANJUNG MORAWA KM.12 20362 061-7940089/061-7940088| Y Y ALL COVERAGE Sumatera Utara Medan RSU SARAH JL. BAJA RAYA NO. 10 PETISAH 061-4528044| Y Y ALL COVERAGE Sumatera Utara Medan RSIA STELLA MARIS MEDAN JL. SAMANHUDI NO.20 MEDAN 061-4158383| Y Y ALL COVERAGE Sumatera Utara Medan RS IMELDA PEKERJA INDONESIA JL. BILAL NO 24 PULO BRAYAN DARAT I MEDAN TIMUR 061-6610072-6631380| Y Y ALL COVERAGE Sumatera Utara Medan RS MARTHA FRISKA MULTATULI JL. MULTATULI KOMP. MULTATULI INDAH NO 1 MEDAN 061-4149666| Y Y ALL COVERAGE Sumatera Utara Medan RS BUNDA THAMRIN MEDAN JL. SEI BATANG HARI NO. 28/30 MEDAN SUNGGAL 061- 4553928,88813615,4557318,4557218,4553918| Y Y ALL COVERAGE Sumatera Utara Medan RS. MITRA SEJATI MEDAN JL. AH. NASUTION PANGKALAN MAHSYUR No.7, MEDAN 061-7875967/ 7881682| Y Y ALL COVERAGE Sumatera Utara Medan MURNI TEGUH MEMORIAL HOSPITAL JL. JAWA NO. 2 SIMPANG JL VETERAN 061-80501888/777| Y Y ALL COVERAGE Sumatera Utara Medan Sumatera Eye Center Jl. Iskandar No. 278 - 280, Medan 061-4510978| N Y ALL COVERAGE Sumatera Utara Medan RS. DELI JL. MERBABU NO.18-20, MEDAN (061) 4565229| Y Y ALL COVERAGE Sumatera Utara Medan LAB PRODIA JL. LETJEND S PARMAN MEDAN JL. LETJEND S PARMAN NO. 17/223 G LT LI 20153 061-4535731| N Y GP Sumatera Utara Medan LAB PRODIA JL ASIA MEDAN JL. ASIA NO. 115B MEDAN 061-7321260| N Y GP Sumatera Utara Pematang Siantar RS. VITA INSANI JL. MERDEKA, NO.329 0622-22520| Y Y ALL COVERAGE Sumatera Utara Pematang Siantar RS HORAS INSANI JL. MEDAN KM.2,5 PEMATANG SIANTAR 0622- 433444,433877,433666,433777|0622-433777 Y Y ALL COVERAGE Sumatera Utara Pematang Siantar LAB PRODIA PEMATANG SIANTAR JL. MERDEKA NO 37 PEMATANG SIANTAR 0622-22437| N Y GP Sumatera Utara Sibolga RS. METTA MEDIKA Jl. Sutoyo Siswoharjo no.34 Pasar Baru, Sibolga Kota 0631-25006/25007/25008| Y Y ALL COVERAGE

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AdMedika provider-082014-indonesia (Partner)

  • 1. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed Bali Denpasar RS. MANUABA JL. HOS. COKROAMINOTO, NO.28 0361-426393| Y Y ALL COVERAGE Bali Denpasar RSU. KASIH IBU DENPASAR JL.TEUKU UMAR, NO.120 0361-223036/3003030| Y Y ALL COVERAGE Bali Denpasar RS. PRIMA MEDIKA JL. PULAU SERANGAN, 9X 0361 - 236225/257445| Y Y ALL COVERAGE Bali Denpasar RS. PURI RAHARJA JL. WR.SUPRATMAN, NO.14-19, DENPASAR 0361-222013| Y Y ALL COVERAGE Bali Denpasar KLINIK SIMPANG ENAM JL. TEUKU UMAR, NO.148, DENPASAR 0361-238412|0361-7443499 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Denpasar RS. DHARMA USADHA JL. P.B.SUDIRMAN, NO.50 0361-227560|0361-234824-2 Y Y ALL COVERAGE Bali Denpasar APOTEK KIMIA FARMA DENPASAR (NO 34) JL. DIPONEGORO NO.125, DENPASAR 0361-225555/227811-12|- N Y ALL COVERAGE Bali Denpasar KIMIA FARMA HEALTHCARE - DENPASAR JL. DIPONEGORO NO.125, DENPASAR 0361-255914|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Denpasar RS. BALI MEDISTRA ( BALIMED ) JL. MAHENDRADATTA, NO.57X, DENPASAR 0361-484748, 482281,8450771, 8450772| Y Y ALL COVERAGE Bali Denpasar KASIH IBU MEDICAL CENTER BELITON JL.BELITON NO.1 0361-227344|- N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Denpasar RSU. BHAKTI RAHAYU DENPASAR Jl.GATOT SUBROTO II, NO.11 0361- 430270,430245,7420673| Y Y ALL COVERAGE Bali Denpasar RSIA. PURI BUNDA JL. GATOT SUBROTO VI, NO.19 0361-437999| Y Y ALL COVERAGE Bali Denpasar KLINIK QUANTUM SARANA MEDIK JL. RAYA SESETAN, NO.20 0361-228835| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Denpasar RSU SURYA HUSADHA UBUNG JL.COKROAMINOTO, NO.356, DENPASAR 0361-425744| Y Y ALL COVERAGE Bali Denpasar RS.SURYA HUSADHA JL.PULAU SERANGAN,NO.7, DENPASAR 0361-233787| Y Y ALL COVERAGE Bali Denpasar BALI ROYAL HOSPITAL ( BROS ) JL TANTULAR NO 6 RENON DENPASAR 0361- 247499/222588| Y Y ALL COVERAGE Bali Denpasar KLINIK PENTA MEDIKA JL.TEUKU UMAR BARAT-MARLBORO,NO.88 0361-7446144/490709| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Gianyar RS. ARI CANTI GIANYAR JL RAYA MAS UBUD GIANYAR 0361-974573| Y Y ALL COVERAGE Bali Karangasem KLINIK PENTA MEDICA CANDIDASA Jl. Raya Manggis No. 88, Kab. Karangasem, Bali 0363-41909| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Klungkung RS. BINTANG JL. NGURAH RAI NO. 36 KLUNGKUNG - BALI 0366-25241| Y Y ALL COVERAGE Bali Kuta KLINIK MANUABA JL. RAYA KUTA - TUBAN 0361-754748| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Kuta RSU. KASIH IBU KEDONGANAN JL. ULUWATU, NO.69A, KEDONGANAN 0361-703270| Y Y ALL COVERAGE Bali Kuta RB. KASIH IBU DALUNG PERMAI KOMPLEKS PERUM BUMI DALUNG PERMAI, BLOK C1-C4 0361-422150| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Kuta SILOAM HOSPITALS BALI JL. SUNSET ROAD NO. 818, KUTA 0361-779900| Y Y ALL COVERAGE Bali Nusa Dua KLINIK PRIMA MEDIKA JL. BY PASS NGURAH RAI, PERTOKOAN NIAGA, NO.9 0361-770509| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Nusa Dua RSU SURYA HUSADHA NUSA DUA JL. SILIGITA, BLOK 1, NO.14 0361-775827| Y Y ALL COVERAGE Bali Sanur KLINIK REMEDIUM CARE JL. BY PASS NGURAH RAI NO.243 0361-288860| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Singaraja RSU. KERTHA USADA JL.CENDRAWASIH, NO.57, SINGARAJA 0362-26277/8| Y Y ALL COVERAGE Bali Singaraja RSU. PARAMA SIDHI JL. A.YANI NO.171A 0362-32701,22426, 29787| Y Y ALL COVERAGE Bali Tabanan RS WISMA PRASANTI JL. YAH GANGGA NO. 9 TABANAN , BALI 0361-8043219/810555| Y Y ALL COVERAGE Bali Tabanan RS KASIH IBU TABANAN JL. FLAMBOYAN NO. 9 ( KAMPUNG KODOK ) TABANAN 0361-3005757| Y Y ALL COVERAGE Bali Ubud UBUD CLINIC JL. TJAMPUHAN, NO.36, P.O.BOX 10, UBUD, GIANYAR 0361-974911| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bali Ubud KLINIK PRIMA MEDIKA NYUH KUNING JL.BANJAR NYUH KUNING,UBUD - DENPASAR 0361-972374| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bangka Belitung Bangka Induk RS. ARSANI JL. RAYA AIR KENANGA KEC. SUNGAI LIAT KAB. BANGKA INDUK 0717-4297825, 4297827| Y Y ALL COVERAGE Bangka Belitung Belitung KLINIK UTAMA BELITUNG JL MERDEKA No. 27 TANJUNGPANDAN BELITUNG 0719-25526| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bangka Belitung Pangkal Pinang SUN CLINIC EL-JOHN PLAZA, JL.SUKARNO HATTA, NO.208 0717-4297888|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Bangka Belitung Pangkal Pinang RS. BAKTI TIMAH PANGKAL PINANG JL. BUKIT BARU NO.1 PANGKAL PINANG 0717-421091| Y Y ALL COVERAGE Bangka Belitung Pangkal Pinang RS. KHATOLIK BHAKTI WARA JL. SUNGAI SELAN, KM.4, NO.180 0717-422605| Y Y ALL COVERAGE Bangka Belitung Pangkal Pinang RS. MEDIKA STANNIA JL. JEND.SUDIRMAN, NO.3, SUNGAI LIAT 0717-95837/93335| Y Y ALL COVERAGE Bengkulu Bengkulu RS. TIARA SELLA JL. S PARMAN NO. 61 PADANG JATI, BENGKULU 0736-20350|021-8221574 Y N ALL COVERAGE Bengkulu Bengkulu RS. RAFLESIA JL. MAHONI, NO.10, PADANG JATI 0736-21710|- Y Y ALL COVERAGE Bengkulu Bengkulu RS. BHAYANGKARA BENGKULU JL. VETERAN, NO.2 0736-341086/21553| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. BETHESDA YOGYAKARTA JL. JEND.SUDIRMAN NO.70 0274-586688/562246|0274 - 586688 Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. LUDIRA HUSADA TAMA JL. WIRATAMA NO.4 TEGALREJO 55244 0274 620333|0274-620091 Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. PKU MUHAMMADIYAH YOGYAKARTA JL. K.H. ACHMAD DAHLAN, NO.20 0274-512653|- Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. PANTI RAPIH JL.CIK DITIRO, NO.30 0274- 514014/514845/563333| Y N ALL COVERAGE DI Yogjakarta Yogyakarta JOGJA INTERNATIONAL HOSPITAL (JIH) JL. RING ROAD UTARA NO.160 CONDONG CATUR SLEMAN 0274-4463535/4463190| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. MATA DR. YAP JL. TEUKU CIK DITIRO, NO.5 0274-562054| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS HAPPYLAND MEDICAL CENTER JL. IPDA TUT HARSONO NO. 53, TIMOHO 0274-550060/58| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RSU. BETHESDA LEMPUYANGWANGI JL.HAYAM WURUK NO.6 0274-512257/588002| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. PKU MUHAMMADIYAH BANTUL Jl. JEND. SUDIRMAN 124-126 0274-368587| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta RS. PKU MUHAMMADIYAH UNIT II JL WATES KM 5,5 GAMPING SLEMAN YOGYAKARTA 0274-6499704/6499706| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta KIMIA FARMA 225 JL. Godean Km 5 No. 23 Modinan 0274 621791| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR DI Yogjakarta Yogyakarta KIMIA FARMA 401 Jl.Seturan,C 3/B, Jogja 0274 4332880| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR DI Yogjakarta Yogyakarta KIMIA FARMA 275 JL.Kaliurang, Jogja 0274 885220| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR DI Yogjakarta Yogyakarta KIMIA FARMA 70 Jl.Adisucipto 63A, Jogjakarta 0274 489135| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten)
  • 2. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) DI Yogjakarta Yogyakarta KIMIA FARMA 316 Jl.Palagan, Jogja 0274 869944| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR DI Yogjakarta Yogyakarta RS.AN NUR JLN.COLOMBO, NO. 14, YOGYAKARTA -| Y Y ALL COVERAGE DI Yogjakarta Yogyakarta PRODIA MANGKUBUMI YOGYAKARTA JL. PANGERAN MANGKUBUMI NO. 50 YOGYAKARTA 55232 0274-580675/515818| N Y GP DI Yogjakarta Yogyakarta PRODIA YOGYAKARTA JL. BINTARAN KULON NO. 28 YOGYAKARTA 55151 0274-373271/375273| N Y GP Gorontalo Gorontalo RSIA SITTI KHODIJAH GORONTALO JL. AHMAD YANI, NO.101 0435-821258/0435-821253| Y N ALL COVERAGE Gorontalo Gorontalo RSB & BEDAH BUNDA GORONTALO JL. HB.JASSIN, NO.269, KOTA GORONTALO 0435-830600/827573| Y Y ALL COVERAGE Jambi Jambi RS. ST.THERESIA JL. SUTOMO, NO.19 0741 - 23119 / 7553811| Y Y ALL COVERAGE Jambi Jambi SILOAM HOSPITALS JAMBI (d/h RS ASIA MEDIKA) JL. SOEKARNO - HATTA, PAALMERAH JAMBI 0741-5919000|- Y Y ALL COVERAGE Jambi Jambi RS ISLAM ARAFAH JL. EMPU GANDRING NO.1 KEBUN JERUK, JAMBI 0741-62711/667966/62177| Y Y ALL COVERAGE Jambi Jambi RS. ROYAL PRIMA JAMBI JL. RADEN WIJAYA RT 035 KEL. THEHOK 0741-41010| Y Y ALL COVERAGE Jambi Jambi RSU. BAITURRAHIM JAMBI JL. PROF. M. YAMIN SH NO. 30 LEBAK BANDUNG - JAMBI 0741-5911096/97/98| Y Y ALL COVERAGE Jambi Muara Bungo RS. SENTRAL MEDIKA MUARA BUNGO JL. RANGKAYO HITAM, CADIKA MUARA BUNGO, JAMBI 0747-22207| Y Y ALL COVERAGE Jawa Barat Bandung RSIA. HERMINA PASTEUR JL. DR. DJUNDJUNAN, NO.107, PASTEUR 022-6072525| Y Y ALL COVERAGE Jawa Barat Bandung RS. IMMANUEL BANDUNG JL. KOPPO, NO.161 022- 5201051/5201672/5224216|022-5224216 Y Y ALL COVERAGE Jawa Barat Bandung RS. MUHAMMADIYAH BANDUNG JL. KH. AHMAD DAHLAN NO.53 022- 7301062,7312167,7323549,7306935,7323548| Y Y ALL COVERAGE Jawa Barat Bandung RS. ADVENT BANDUNG JL. CIHAMPELAS, NO.161 022 -2034386-9| Y Y ALL COVERAGE Jawa Barat Bandung RS. SANTO BORROMEUS BANDUNG Jl. Ir. H. Juanda No. 100 Lebak Gede Coblong Bandung Jawa Barat, Indonesia 022-2552083/95|022- 2552003 Y N ALL COVERAGE Jawa Barat Bandung KLINIK AN-NUR JL. DR. SETIA BUDI NO.63 022-2031922|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KLINIK ASRI HUSADA I JL. BEKAMIN NO.18 022-7230425|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung RS BUNGSU JL. VETERAN, NO.6 022-4231550|- Y Y ALL COVERAGE Jawa Barat Bandung RS RAJAWALI JL. RAJAWALI NO.38 022-6031087, 6011913, 6079143,6051087|- Y Y ALL COVERAGE Jawa Barat Bandung RS. KHUSUS BEDAH HALMAHERA SIAGA JL.LL.RE MARTADINATA NO.28 022- 4206061/70858254/4216436|- Y Y ALL COVERAGE Jawa Barat Bandung RS. CAHYA KAWALUYAN JL. PARAHYANGAN KM.3 KAV.HOS PADALARANG 022-6803700| Y Y ALL COVERAGE Jawa Barat Bandung RS. AMC (Annisa Medical Center) JL. RAYA CILEUNYI RANCAEKEK 022- 7781630,70804777,70805777| Y Y ALL COVERAGE Jawa Barat Bandung RS. SANTO YUSUP JL CIKUTRA 7 BANDUNG 022-7208172,022-7217097, 022-7217103, 022-7231721| Y N H&S,MAT Jawa Barat Bandung SANTOSA BANDUNG INTERNASIONAL HOSPITAL Jl. KEBON JATI, NO.38 022-4248333| Y Y ALL COVERAGE Jawa Barat Bandung KLINIK ASRI HUSADA II JL. TITIRAN NO.16 022-2507293| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KIMIA FARMA 51 JL.IR. H. JUANDA NO.69 022-4203331| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung RS. MELINDA JL. PAJAJARAN, NO.46 022- 4222788,4222388,4209088,4266700| Y Y ALL COVERAGE Jawa Barat Bandung KLINIK UTAMA MONALISA JL. MOCH. RAMDHAN NO.32 BANDUNG 022-5211311| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung RS. HERMINA ARCAMANIK JL. AH.NASUTION, KM.7, NO.50, ARCAMANIK BANDUNG 022-87242525| Y Y ALL COVERAGE Jawa Barat Bandung RS IMC JL. RAYA CIAMREME NO 170-173 NGAMPRAH, PADALARANG, BANDUNG BARAT 022-6620923/6620965| Y Y ALL COVERAGE Jawa Barat Bandung RSIA LIMIJATI JL. LAKS L RE MARTADINATA 33-39 0224207770| Y Y ALL COVERAGE Jawa Barat Bandung KLINIK UTAMA AL-ISLAM JL. AWIBITUNG NO.29 CICADAS BANDUNG 40121 (022) 7208284| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KIMIA FARMA 12 JL.IR H JUANDA NO1 BANDUNG 022 4205421| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KIMIA FARMA 14 JL.CIAMPELAS 7, BANDUNG 022-4201596| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KIMIA FARMA 43 Jl.Buah Batu, Bandung 022 7305019| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KLINIK JAYA SENTOSA JL. SUNDA NO.75, BANDUNG 022 426 4258| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KLINIK JAYA ABADI ( Group JAYA SENTOSA) JL. BUAHBATU NO.245 , BANDUNG (022) 730 4273| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung KLINIK & APOTIK K-24 JL. LASWI NO.1A,BANDUNG (022) 7821700/7215992| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Bandung RSU PINDAD Jl.Jend.Gatot Subroto No.517 (Papanggungan) Bandung 40285 022- 7309807| Y Y ALL COVERAGE Jawa Barat Bandung RSKB. MELINDA II Jl. Cipto No 1 Rt 05/02, Kel. Pasirkaliki, Kec Cicendo, Kota Bandung. -| Y Y ALL COVERAGE Jawa Barat Ciamis RS. PERMATA BUNDA CIAMIS JL.MR.IWA KUSUMASOMANTRI NO.1 0265-771650/776745|0711- 356173 Y Y ALL COVERAGE Jawa Barat Cianjur KLINIK ASSALAM CIKALONG JL RAYA CIKALONG KULON NO. 61 A KAB. CIANJUR 0263-318222| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cianjur KLINIK PADJADJARAN SUKANAGARA JL. RAYA SUKANEGARA KM.45 SUKANEGARA - CIANJUR 0263-340189| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek KLINIK AQMA CIKAMPEK JL. STASIUN, NO.93 0264 - 310 524| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek RS. KARYA HUSADA JL. JEND. A.YANI, NO.98, CIKAMPEK-KARAWANG 0264-316188-89| Y Y ALL COVERAGE
  • 3. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Barat Cikampek RS. SARASWATI JL. JEND. A.YANI, NO.92, DAWUAN, CIKAMPEK- KARAWANG 0264-311531/316101/ 311514/ 311527|0264-316391 Y Y ALL COVERAGE Jawa Barat Cikampek KLINIK KELUARGA GRAHA MEDIS JL. ACHMAD YANI NO. 51 0264-310101| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek KLINIK PUTRA MEDIKA ( Group Aqma Pusat ) JL. IR. H. JUANDA NO.14-19 Sukaseuri 0264-301652| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek RUMAH SAKIT IZZA d/h (RSU. AQMA CIKAMPEK) JL. Kp.CISELAN Ds.CIKAMPEK UTARA.KARAWANG 0264-319307/8386830-32| Y Y ALL COVERAGE Jawa Barat Cikampek KLINIK ANDINA CIKAMPEK JL.IR.H.JUANDA NO.17 0264-303759| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek KLINIK PURI ASIH CIKAMPEK JL.STASIUN NO.2 CIKAMPEK KOTA 0264-303558| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek RSU. PURI ASIH JATISARI JL. RAYA JATISARI NO.3 PASAR JATISARI 0264-361459/361466| Y Y ALL COVERAGE Jawa Barat Cikampek KLINIK BAKTI MEDIKA JL. AHMAD YANI NO.100, DAWUAN BARAT 0264-312371| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek KLINIK SEHAT JL. PAWARENGAN NO. 37, DESA DAWUAN TIMUR 0264-8385103| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikampek RSIA TITIAN BUNDA JL. IR. H. JUANDA NO.123 CIAKMPEK (0264) 8385999/8386222| Y Y ALL COVERAGE Jawa Barat Cikampek KLINIK & RB NAURAH MEDIKA JL. A. YANI NO.02 RT.03 RW. 06 DS. CIKAMPEK SELATAN, CIKAMPEK (0264) 8389999| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK BINA MEDIKA ( Group Karya Medika ) KP. KONGSI, CIKARANG 021-8900050|021-8900051 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. SENTRA MEDIKA CIKARANG JL. RAYA INDUSTRI PASIR GOMBONG JABABEKA, CIKARANG 021 8904160-64| Y Y ALL COVERAGE Jawa Barat Cikarang RS. ANNISA CIKARANG JL. CIKARANG BARU, NO.31, LEMAHABANG, CIKARANG UTARA 021- 8904165/8901962/8904503|021 - 8904503 Y Y ALL COVERAGE Jawa Barat Cikarang RS. BHAKTI HUSADA JL. RE. MARTADINATA 021-8900530/1|021-890 0531 Y Y ALL COVERAGE Jawa Barat Cikarang SILOAM HOSPITALS LIPPO CIKARANG JL. MH. THAMRIN, KAV.105, LIPPO CIKARANG 021-89901088/ 89901911| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK ANNISA II (CIKARANG) JL.CIBARUSAH RUKO POIN, NO.31 R 021-8976189| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK & RB. BUDI LUHUR JL.RAYA IMAM BONJOL, NO.74, RT.07/04, DESA SUKADANAU,CIKARANG BARAT 021- 88325186/88327226| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. PERMATA KELUARGA LIPPO CIKARANG d/h RS Harapan JL. MH.THAMRIN,KAV.129, LIPPO CIKARANG 021-8990 5588/ 8990 1927| Y Y ALL COVERAGE Jawa Barat Cikarang RS HOSANA MEDICA LIPPO JL. UTAMA BIIE NO 01 LIPPO CIKARANG 021-8972472| Y Y ALL COVERAGE Jawa Barat Cikarang RS. AMANDA CIKARANG SELATAN JL.RAYA SERANG NO.38 CIKARANG SELATAN 021-8971643|021-89110011 Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK & RB. HARAPAN SEHAT REGENCY JL. RAYA PERUM MEGA REGENCY, SERANG BARU- CIKARANG 021-29281838| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RSB. SETIA JL.RAYA SERANG - CIBARUSAH NO.41 BEKASI 021-8971240/70207424|- Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK BERKAT MELIMPAH JABABEKA (HOSANA MEDIKA II) JL. KAWASAN INDUSTRI I, JABABEKA B8, CIKARANG UTARA 021-8937941|021-8937942 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. ASRI MEDIKA JL. CITANDUY RAYA BLOK L II NO.1 CIKARANG UTARA 021-89142968, 89142969|- Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK & RB GRAHA BINA HUSADA JL. INDUSTRI SELATAN NO.1A, BLOK NN 3A, INDUSTRI JABABEKA II 021-89836243|- Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK RENNICHA PUTRA JL.RAYA CIKARANG CIBARUSAH NO 89 LIPPO CIKARANG 021-8971852|021-8971658 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RSB. MEKAR MULIA JL.KASUARI IV, SEKTOR MEKAR ALAM,PASIMAL - CIKARANG BARU 021-8936940/66|- Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK & RB CENTRAL MEDIKA JL. PILAR - SUKATANI, DS SUKARAYA NO 84, KARANG BAHAGIA 021- 89111103|- N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang CITRA ARDHITA MEDIFARMA CAPITOL BUSINESS PARK, BLOK B2, JL. NIAGA RAYA 021-89831945/7004236|021- 89831946 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK DUTA MEDIKA RUKO MEGAH SURYA, JL RAYA CIBARUSAH NO 16 E CIKARANG 021-89903553/021 - 89903533|0361-702667 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK HARAPAN SEHAT II RUKO TELAGA HARAPAN BLOK F NO.16, PERUMAHAN TELAGA HARAPAN, CIKARANG BARAT 021-8904519|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS HARAPAN KELUARGA (d/h RS.HARAPAN INTERNASIONAL) JL.KASUARI RAYA KAV.1A-1B, KOTA JABABEKA, CIKARANG BARU 021-89840745|- Y Y ALL COVERAGE Jawa Barat Cikarang RSIA. AMANDA CIKARANG UTARA JL.RAYA INDUSTRI NO.36,CIKARANG UTARA 021- 8900277 / 89110011|021-8900277 Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK KASIH ANUGERAH SERANG BARU (HOSANA MEDIKA C JL.RAYA SERANG-CIBARUSAH KP.BUNISARI RT.07/04 DS.SUKARAGAM SERANG BARU 021-89952605,89952612|021- 89952612 N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. MEDIROSSA JL.INDUSTRI TEGAL GEDE - CIKARANG SELATAN 021-89833216| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK SAPTA MITRA CIKARANG JL.RAYA CIKARANG - CIBARUSAH, NO.39A, SUKARESMI 021-8975369| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK CIKARANG MEDIKA JAYA Jl. YOS SUDARSO NO.27 CIKARANG 021-8900129| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. DR. SANDER B (D/H RS. HOSANA MEDICA PILAR) JL.K.H.DEWANTARA NO.33,DS KARANG ASIH,CIKARANG UTARA 021-89116176 / 77 / 78| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK & RB NIZA ASYIFA BERSAMA 1 PERUMAHAN TELAGA HARAPAN BLOK E1 NO.1 CIKARANG BARAT 021-89109638| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. RIDHOKA SALMA JL. IMAM BONJOL NO.7 GARDU SAWAH 021-89116527| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK & RB PERMATA BUNDA FUDHOLI JL.KH.FUDHOLY NO 11 KARANG ASIH, CIKARANG UTARA 021-8906080/7219862| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. MITRA KELUARGA CIKARANG JL.INDUSTRI RAYA, LEMAH ABANG 021-89840500/89840900| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK & RB ANNISA IV JL.RAYA CIBARUSAH NO.63 SERANG BARU 021-89954434| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR
  • 4. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Barat Cikarang KLINIK SUMBER WARAS JL. RAYA CIBARUSAH, KAMPUNG CIJAMBE, SUKADAMI, CIKARANG SELATAN 021-8970524| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RSIA.NURUL ANNISA JL. RAYA CIKARANG CIBARUSA NO 88 DS. SUKARESMI CIKARANG SELATAN, BEKASI 021-897 4854/55| Y Y H&S,GP,DENTAL,MAT Jawa Barat Cikarang KLINIK & RB PUTRA MEDIKA JLN. PERUM VILA MUTIARA, KAMPUNG KUKUN CIKARANG NO.115 RT.012/06 DS.CIANTAR 021-89677216| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang CMC CLINIC ( CIKARANG MEDICAL CENTER ) SHOPHOUSE BLOK A NO 14-15, 28-29 JL JABABEKA RAYA KAWASAN INDUSTRI CIKARANG 021-8934371| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RB KHANZA MEDIKA PERUM KOTA SERANG BARU BLOK B 72 NO 25- 26, CIKARANG 021-91263025| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK BUNDA AULIA JL. HAJI RATIM NO. 143 DS JATIWANGI CIKARANG BARAT - BEKASI 021-8998 3742 / 2897 3209| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. MEDIROSSA 2 JL RAYA CIBARUSAH DESA SINDANGMULYA KEC. CIBARUSAH BEKASI 021-89955555| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK KEMALA MEDICAL CENTRE Jl. Tarum Barat 2, Ruko Grand Artha Niaga 2 Blok O2 No. 23 - 23A 021-29083377 - 29083376| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RSIA CIKARANG MEDIKA Jl. KH. Fudholi No. 78 Kampung Kaum Cikarang Utara, Bekasi 021-8902210| Y Y ALL COVERAGE Jawa Barat Cikarang RSIA GIZAR Jl. Vila Mutiara Cikarang, Ruko Pasadena Blok RA No. 3, 5, 6 Ciantra, Cikarang Selatan 021-89677240 / 89677204| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK BUDI ASIH CIKARANG Jl. Raya Serang - Cibarusah Rt 01/ rw 01 Serang kec.Cikarang Selatan,Bekasi 021 - 896 777 95| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK JB MEDICAL CENTER Shop House Permata Junction Blok B A-15 JABABEKA 1 CIKARANG 021-89846023/24| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang RS. HOSANA MEDIKA CIKARANG BARU JL. ANGGREK I B2/2 RT.01/11 DS. MEKARMUKTI - CIKARANG (021) 89835223| Y Y ALL COVERAGE Jawa Barat Cikarang KLINIK 24 JAM & RB PERMATA BUNDA CIKARANG Ruko Grama Niaga H2 no. 15/15a, Karang Asih - Cikarang Utara 021 - 2928 2165, 021 - 2928 2166| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang MITRASANA PT Ruko Plaza Roxy Blok C No. 8 Jl. Kasuari Raya, Kota Hijau Jababeka, Cikarang Baru 021-89835394| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK APOTIK & OPTIK CIPTO BEKASI 2 Jl.Raya Sukatani No.3 Cikarang -| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK INSPIRA SABILA MAKMUR RUKO MELAWAI BLOK A NO. 12 TLH LIPPO CIKARAN -| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang MITRASANA MEGA REGENCY Ruko Kota Mega Regency Blok A 01 No. 10, Jl. Raya Cikarang - Cibarusah KM 10 70326665| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang MITRASANA TAMAN ASTER Ruko Taman Aster Kav. A3 No. 41 Telaga Asih Cikarang Barat 88333364| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cikarang KLINIK SUMBER SEHAT JL. KI FUDOLI RT.001/001 CIKARANG UTARA (021) 8900566, 68416442| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Cimahi RS. MITRA KASIH JL. RAYA CIBABAT NO.341, CIMAHI 022- 6654852,6652774,6654397| Y Y ALL COVERAGE Jawa Barat Cimahi RS AVISENA JL. MELONGASIH NO. 170 CIJERAH - CIMAHI 022 - 6000830| Y Y ALL COVERAGE Jawa Barat Cimahi RSU. KASIH BUNDA JL. MAHAR MARTANEGARA NO.166 LEUWIGAJAH - CIMAHI 40521 022- 6614221/ 6630585| Y Y ALL COVERAGE Jawa Barat Cirebon RS. PELABUHAN CIREBON JL. SISINGAMANGARAJA, NO.45 0231-208948/208680 / 0231- 205657|0231-205657 Y Y ALL COVERAGE Jawa Barat Cirebon RS. PERTAMINA CIREBON JL. PATRA RAYA, KLAYAN 0231-224646-50|0231- 224646 Y Y ALL COVERAGE Jawa Barat Cirebon RS PUTERA BAHAGIA JL.CIREMAI RAYA NO.114 ,PERUMNAS 0231-207351, 485654|0231- 485654 Y Y ALL COVERAGE Jawa Barat Cirebon RS. SUMBER KASIH JL. SILIWANGI NO.135 0231-203815| Y Y ALL COVERAGE Jawa Barat Cirebon RS. MITRA PLUMBON JL.RAYA PLUMBON, KM.11 0231-324483/323100| Y Y ALL COVERAGE Jawa Barat Cirebon RS. KHUSUS JANTUNG HASNA MEDIKA Jl. Rd Gilap No.8 Palimanan Timur, Kabupaten Cirebon -| Y Y ALL COVERAGE Jawa Barat Garut BETHESDA MEDICAL CENTER GARUT JL. CIWALEN NO 43 GARUT 0262-242663,238735| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Garut KLINIK PADJAJARAN LELES JL RAYA LELES NO. 116 KAB. GARUT 0262-2458083| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS. DEWI SRI JL. ARIF RAHMAN HAKIM, NO.1 0267- 401475,402855,406445|0267- 402147 Y Y ALL COVERAGE Jawa Barat Karawang KLINIK GRAHA MEDIS JL. RAYA KOSAMBI, NO.23, DUREN KLARI, KARAWANG TIMUR 0267-435527| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK GEMPOL JL. RANGGAGEDE, NO.25 KARAWANG BARAT 0267-412117/8453903| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS. BAYUKARTA JL. KERTABUMI, NO.44 0267- 401817/401818/400351|0267- 801818 Y Y ALL COVERAGE Jawa Barat Karawang KLINIK MITRA SEHAT JL. KOSAMBI CURUG, NO.28, KLARI 0267-433930| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK YAKESTI JL. RAYA KLARI, Rt. 04 / 01, GINTUNGKERTA KLARI 0267-432416| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK PURWAMEDIKA JL. RAYA TAMELANG NO.53, KERAWANG 0267-433653| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK CITO KARAWANG JL. KERTABUMI, NO.29 0267-410173/415957| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS DELIMA ASIH SISMA MEDIKA JL.WIRASABA NO.54 JOHAR - KARAWANG 0267-403073|- Y Y ALL COVERAGE Jawa Barat Karawang KLINIK AULIA KARAWANG JL. PURWASARI KM 6, PURWASARI - KARAWANG 0264-8286755 0811 1889279|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS. CITRA SARI HUSADA (d/h Klinik Intan Barokah) JL. RAYA KOSAMBI-TELAGASARI, KM.3, KLARI, KARAWANG TIMUR 0267-437507/8617972| Y Y ALL COVERAGE
  • 5. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Barat Karawang RSU. FIKRI MEDIKA JL.RAYA KOSAMBI- TELAGASARI, DS BLENDUNG , KLARI 0267-8615555/8615566 (Klinik):0267- 433636/435527|- Y Y ALL COVERAGE Jawa Barat Karawang RS. ISLAM KARAWANG JL. PANGKAL PERJUANGAN KM.2 0267-414520|0267-414524 Y Y ALL COVERAGE Jawa Barat Karawang KLINIK BINA MEDIKA KARAWANG JL. TELUK JAMBE NO 8, KARAWANG BARAT 0267-641968|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK MITRA GEMPOL JL.RAYA PROKLAMASI NO.89, DS KALANGSARI, RENGAS DENGKLOK 0267-483749|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK NAFILA MEDIKA JL. PRINGGODANI BLOK J-47 PERUMNAS TELUK JAMBE, KARAWANG BARAT 0267-8456419|- N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK PURI ASIH TELUKJAMBE DUSUN SUKAMULYA, DESA PINAYUNGAN, TELUK JAMBE 0267-646845|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS. CITO KARAWANG Jl. ARTERI TOL KARAWANG BARAT TELUK JAMBE 0267-414245 / 414264| Y Y ALL COVERAGE Jawa Barat Karawang KLINIK ANDINA KARAWANG JL.PANCAWATI, NO.5A, KLARI 0267-438568| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK PURI MEDIKA KOSAMBI JL.RAYA KOSAMBI NO.40 PASAR KOSAMBI 0267-431325| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RSIA. DR. DJOKO PRAMONO JL. PANATAYUDA 1, NO.35, KARAWANG BARAT 0267- 403009/418818/403744| Y Y ALL COVERAGE Jawa Barat Karawang DHARMA DENTAL CLINIC (DDC) JL. KERTABUMI NO 62 KARAWANG 0267-8453633| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK MITRA KONDANG UTAMA JL. PENGAIRAN CITRA KEBUN MAS KONDANG KARAWANG 0267-8616923| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK KEKAR JL. PROF. DR. H.SOETAMI 88 KARAWANG 0267 - 4023335| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang KLINIK GRIYA MEDIKA Perum Griya Kondang Asri Blok T No. 01 Desa Kondang Jaya Kec. Klari - Karawang Timur 0267-8619999| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Karawang RS. ROSELA JL. INTERCHANGE TOL KARAWANG BARAT NO.3 DS WADAS KEC. TELUK JAMBE (0267) 8637207/8637205| Y Y ALL COVERAGE Jawa Barat Karawang RSIA MITRA FAMILY-KARAWANG JL. RONGGOWALUYO RT.02/05 DESA SUKAHARJA KEC. TELUKJAMBE TIMUR, KARAWANG 0267 - 8458327 , 8458328, 8458329| Y Y ALL COVERAGE Jawa Barat Karawang PRODIA KARAWANG Jl. Kertabumi No. 67 A, Karawang 41311 0267- 403644| N Y ALL COVERAGE Jawa Barat Karawang RS. LIRA MEDIKA JL. SYECH QURO NO.14 LAMARAN, KARAWANG - JAWA BARAT (0267) 405 752| Y Y ALL COVERAGE Jawa Barat Kuningan RS. JUANDA KUNINGAN JL. Ir. H. JUANDA NO.207 KUNINGAN 0232-876433/875871| Y Y ALL COVERAGE Jawa Barat Purwakarta KLINIK AQMA PURWAKARTA JL. IBRAHIM SINGADILAGA, NO.14 0264-200377| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Purwakarta KLINIK MEDIKA SEHAT JL. IPIK GANDAMANAH SUKAMULYA 0264-8225017| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Purwakarta SILOAM HOSPITAL PURWAKARTA(d/h RS. EFARINA ETAHAM) JL. BUNGURSARI NO.1 PO.BOX 167 - Purwakarta 0264-219168 / 231273|0264- 231273 Y Y ALL COVERAGE Jawa Barat Purwakarta KLINIK KOPINDOSAT ( Klinik Puri Medika ) JL.RE MARTADINATA, NO.39 0264-202382|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Purwakarta RSIA. ASRI PURWAKARTA JL. VETERAN CIHIDEUNG NO.15 PURWAKARTA 0264-211680|- Y Y ALL COVERAGE Jawa Barat Purwakarta KLINIK AQMA PLERED JL.ANJUN NO.96 PLERED 0264-270830| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Purwakarta KLINIK MIRACLE GROUP KOMP. ANEKA JASA BLOK AII NO.9-10 KOTA BUKIT INDAH 0264-35166, 351377| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Purwakarta RS. AMIRA JL. IPIK GANDAMANAH RT.035 RW.003 MUNJUL JAYA 0264-8221191/92| Y Y ALL COVERAGE Jawa Barat Purwakarta RS MH THAMRIN PURWAKARTA JL. BUNGURSARI, NO.36 0264-822222/8222222| Y Y ALL COVERAGE Jawa Barat Purwakarta RS. BHAKTI HUSADA II PURWAKARTA JL. RAYA SADANG SUBANG, Kp. KIARA DUA, Ds. CIKUMPAY, Kec. CAMPAKA 0264-8225344/8225345| Y Y ALL COVERAGE Jawa Barat Subang RS. PERKEBUNAN NUSANTARA 8 SUBANG JL. OTISTA, NO.1 0260- 420406,411632,420306,420436|0260-411632/4 Y Y ALL COVERAGE Jawa Barat Subang KLINIK MITRA ABADI JL.KAPTEN HANAFIAH NO.3 RT. 98 RW. 27 KEL. KARANGANYAR, SUBANG 0260-418247| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Sukabumi RS ISLAM ASSYIFA JL. JEND. SUDIRMAN, NO. 27 0266- 222663/218672/241463/223742/223742|0266-21343 Y Y ALL COVERAGE Jawa Barat Sukabumi KLINIK & RB. PERMATA BUNDA JL. SILIWANGI, NO.64, PARUNG KUDA 0266-535086| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Sukabumi RS HERMINA SUKABUMI JL. RAYA SUKARAJA RT.003/03, SUKARAJA 0266-6252525/6249292| Y Y ALL COVERAGE Jawa Barat Sukabumi RS. KARTIKA MEDICAL CENTER JL. JEND. A.YANI, NO.18 0266-6250902/6250905| Y Y ALL COVERAGE Jawa Barat Sukabumi RS. BHAKTI MEDICARE JL. RAYA SILIWANGI, CICURUG 0266-731555| Y Y ALL COVERAGE Jawa Barat Sukabumi RS. KARTIKA CIBADAK JL. SILIWANGI NO.139, CIBADAK, SUKABUMI (0266) 7160071| Y Y ALL COVERAGE Jawa Barat Sumedang RS. PAKUWON SUMEDANG JL.RD.DEWI SARTIKA NO.17 SUMEDANG 45311 0261-210834/201132| Y Y ALL COVERAGE Jawa Barat Sumedang KLINIK PADJADJARAN JATINANGOR JL. RAYA BANDUNG-SUMEDANG KM 21 JATINANGOR 022-7797432 / 7781900| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Barat Tasikmalaya RS. JASA KARTINI JL. OTTO ISKANDARDINATA NO 15 0265-331808/331641|0265- 3318641 Y Y ALL COVERAGE Jawa Barat Tasikmalaya RSI. HJ. SITI MUNIROH TASIKMALAYA JL. TAMAN SARI, GOBRAS, NO.208 0265-323868|0265-327630 Y Y ALL COVERAGE Jawa Barat Tasikmalaya RS TASIK MEDIKA CITRATAMA (TMC) JL. HZ MUSTOFA NO 310 TASIKMALAYA 0265-322333| Y Y ALL COVERAGE Jawa Barat Tasikmalaya RS. PERMATA BUNDA TASIKMALAYA JL. BRIGJEND HR. WASITA KUSUSMAH NO.1 TASIKMALAYA, JAWA BARAT 0265-345650| Y Y ALL COVERAGE Jawa Tengah Blora RS. PERMATA BLORA JL. REKSODIPUTRO, NO.57 BLORA 0296-531624| Y Y ALL COVERAGE Jawa Tengah Boyolali RS PKU AISYIYAH JL PASAR SAPI BARU SINGKIL 0276-322898/3293400| Y Y ALL COVERAGE Jawa Tengah Brebes RS BHAKTI ASIH BREBES JL. PANGERAN DIPONEGORO NO 125 PESANTUNAN, BREBES 0283-673481/671279| Y Y ALL COVERAGE Jawa Tengah Bumiayu RS. MUHAMMADIYAH SITI AMINAH JL. DIPONEGORO, BUMIAYU 0289-432209/430683| Y Y ALL COVERAGE Jawa Tengah Cepu RS. MUHAMMADIYAH CEPU JL. RONGOLAWE, NO.137 0296-421727| Y Y ALL COVERAGE
  • 6. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Tengah Cilacap RS. ISLAM FATIMAH CILACAP JL. H JUANDA NO.20 0282-542396|- Y Y ALL COVERAGE Jawa Tengah Cilacap KLINIK DR TUTUK JL.PERINTIS KEMERDEKAAN 21 0282-545921|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Tengah Cilacap RSUD. CILACAP JLN GATOT SUBROTO CILACAP 0282-533010| Y Y ALL COVERAGE Jawa Tengah Demak RSU PELITA ANUGERAH JL. RAYA BANDUNG REJO KM 11.5 (SMG- PURWODADI) 024-6725555| Y Y ALL COVERAGE Jawa Tengah Gombong RS PALANG BIRU JL. KARTINI, NO.37 0287- 473221/471290/471762| Y Y ALL COVERAGE Jawa Tengah Jepara RS. GRAHA HUSADA JEPARA JL. M.H. THAMRIN, NO.14 0291 - 592067| Y N ALL COVERAGE Jawa Tengah Kebumen RS. PERMATA MEDIKA KEBUMEN JL INDRAKITA 17 KEBUMEN 0287-3870779| Y Y ALL COVERAGE Jawa Tengah Kendal RSI MUHAMMADIYAH KENDAL JL AR RAHMAH NO 17 WELERI 0294-641870/88| Y Y ALL COVERAGE Jawa Tengah Klaten RS. ISLAM KLATEN JL.RAYA SOLO KM.4 0272-322252|- Y Y ALL COVERAGE Jawa Tengah Klaten RS. CAKRA HUSADA KLATEN JL. MERBABU, NO.7 0272-321123-322386- 322394| Y Y ALL COVERAGE Jawa Tengah Klaten RSU. PKU MUHAMMADIYAH DELANGGU JL.DELANGGU UTARA, NO.19 0272-551051| Y Y ALL COVERAGE Jawa Tengah Kudus RS. MARDI RAHAYU KUDUS JL. AKBP.R. AGIL KUSUMADYA, NO.110 0291-434707- 12/435582/443581| Y Y ALL COVERAGE Jawa Tengah Kudus RS. ISLAM SUNAN JL. KUDUS PERMAI, NO.110 0291-432008| Y Y ALL COVERAGE Jawa Tengah Magelang RS. HARAPAN MAGELANG JL. P. SENOPATI, NO.11 0293-364033-35| Y Y ALL COVERAGE Jawa Tengah Magelang RS. LESTARI RAHARJA JL. MAYJEN SUTOPO NO.5 0293-362225| Y Y ALL COVERAGE Jawa Tengah Pati KELUARGA SEHAT HOSPITAL JL.P.SUDIRMAN NO.9 MARGOREJO 0295-386111| Y Y ALL COVERAGE Jawa Tengah Pati RS. MITRA BANGSA JL. KOL.SUGIYONO, NO.75 0295-382555| Y Y ALL COVERAGE Jawa Tengah Pekalongan RS. SITI KHODIJAH PEKALONGAN JL. BANDUNG, NO.39-47 0285- 422845,425138,423590,424919| Y Y ALL COVERAGE Jawa Tengah Pekalongan RS. BUDI RAHAYU PEKALONGAN JL. BARITO, NO.5 0285 - 423491/424340| Y Y ALL COVERAGE Jawa Tengah Pekalongan RSI PKU MUHAMMADIYAH PEKAJANGAN JL. RAYA AMBOKEMBANG NO 42-44, PEKALONGAN 0285-785133,0354-785367| Y Y ALL COVERAGE Jawa Tengah Pemalang RSU. SANTA MARIA PEMALANG JL. PEMUDA NO.24 0284 - 321251/321426| Y Y ALL COVERAGE Jawa Tengah Purbalingga RS. HARAPAN IBU PURBALINGGA JL. MAYJEND SOENGKONO NO. 1 PURBALINGGA 0281-892222/982277| Y Y ALL COVERAGE Jawa Tengah Purwodadi RS. PANTI RAHAYU JL. LETJEND. SUPRAPTO NO.6 0292 - 421087-422325| Y Y ALL COVERAGE Jawa Tengah Purwokerto RSU. BUNDA PURWOKERTO JL. PRAMUKA, NO.249 0281-635424|0281-632514 Y Y ALL COVERAGE Jawa Tengah Purwokerto RS. ST. ELISABETH - PURWOKERTO JL. DR ANGKA NO 40, PURWOKERTO 0281-627384|0281-635278 Y Y ALL COVERAGE Jawa Tengah Purwokerto RSU. ANANDA PURWOKERTO JL. PEMUDA, NO.30 0281-631435-636417| Y Y ALL COVERAGE Jawa Tengah Purworejo RS PKU MUHAMMADIYAH TUNAS MEDIKA PURWOREJO JL. BRIGJEND KATAMSO NO.144 A PURWOREJO 0275-325260| Y N ALL COVERAGE Jawa Tengah Purworejo RSIA. KASIH IBU PURWOREJO JL. MAYJEN SUTOYO NO. 19 PURWOREJO 0275-321253| Y N ALL COVERAGE Jawa Tengah Purworejo RS. PALANG BIRU KUTOARJO JL. MADITOMO 17, KUTOARJO-PURWOREJO 0275-641425| Y Y ALL COVERAGE Jawa Tengah Salatiga RS. PURI ASIH JL. JEND. SUDIRMAN NO.169 SALATIGA 0298-323209| Y Y ALL COVERAGE Jawa Tengah Salatiga RSU ANANDA SALATIGA JL. KI PENJAWI NO 5, SALATIGA 0298-314151| Y Y ALL COVERAGE Jawa Tengah Semarang RS. PANTI WILASA DR. CIPTO JL. DR. CIPTO, NO.50 024 - 3546040, 3557428| Y Y ALL COVERAGE Jawa Tengah Semarang RS. ROEMANI MUHAMMADIYAH JL. WONDRI, NO.22 024 - 8444623| Y Y ALL COVERAGE Jawa Tengah Semarang RS. ST. ELISABETH - SEMARANG JL. KAWI NO. 1 024-8310076/ 8310035| Y Y ALL COVERAGE Jawa Tengah Semarang RS ISLAM SULTAN AGUNG JL. KALIGAWE KM.4 024-6580019| Y Y ALL COVERAGE Jawa Tengah Semarang RSU HERMINA PANDANARAN SEMARANG JL. PANDANARAN NO.24 024-8411112/8442525| Y Y ALL COVERAGE Jawa Tengah Semarang RS. TELOGOREJO JL. KH. AHMAD DAHLAN 024 - 8446000/8448448|024- 8446000 Y Y ALL COVERAGE Jawa Tengah Semarang RS. PANTI WILASA CITARUM JL. CITARUM, NO. 98 024-3542224| Y Y ALL COVERAGE Jawa Tengah Semarang RS BANYUMANIK JL.BINA REMAJA NO.61 024-7471519|024-7462181 Y Y ALL COVERAGE Jawa Tengah Semarang RS. PERMATA MEDIKA JL. MR.MOCH. ICHSAN, NO.93-97, NGALIYAN 024- 7625005/7618800/7626571| Y Y ALL COVERAGE Jawa Tengah Semarang RS KEN SARAS JL SOEKARNO HATTA KM 029 024-6922269| Y Y ALL COVERAGE Jawa Tengah Semarang KLINIK PHC PEDURUNGAN JL. WOLTERMONGINSIDI NO 93 PEDURUNGAN, SEMARANG 024-6714465| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Tengah Semarang KLINIK SATMOKO JL. KELUD RAYA NO. 4 SEMARANG 50237 (024) 8314453| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Tengah Semarang RS. COLUMBIA ASIA SEMARANG JL. SILIWANGI NO. 143 SEMARANG (024) 762 9999/86462020| Y Y ALL COVERAGE Jawa Tengah Semarang RS. HERMINA BANYUMANIK JL. JENDRAL POLISI ANTON SOEDJARWO NO. 195 A, SEMARANG 50263 (024) 7648 8989| Y Y ALL COVERAGE Jawa Tengah Slawi RS ADELLA JL PROF MOH YAMIN NO. 77 SLAWI 0283-491154/491773| Y Y ALL COVERAGE Jawa Tengah Solo RS. DR. OEN SOLO BARU KOMP. PERUMUMAHAN SOLO BARU, GROGOL, SUKOHARJO 0271-620220| Y Y ALL COVERAGE Jawa Tengah Solo RSU. KASIH IBU SOLO JL. BRIGJEND SLAMET RIYADI NO.404 0271 - 714422| Y Y ALL COVERAGE Jawa Tengah Solo RS ISLAM KUSTATI JL. KAPTEN MULYADI NO.249 0271 - 643013| Y Y ALL COVERAGE Jawa Tengah Solo RS. DR. OEN SURAKARTA(KANDANG SAPI) JL. BRIGJEN KATAMSO NO.55, KANDANG SAPI 0271-643139| Y Y ALL COVERAGE Jawa Tengah Solo RS ISLAM SURAKARTA JL. A YANI PABELAN KARTASURA, SOLO 0271-710571|0271-725134 Y Y ALL COVERAGE Jawa Tengah Solo RS PKU MUHAMMADIYAH SOLO JL. RONGGOWARSITO NO130, SOLO 0271-714578| Y Y ALL COVERAGE Jawa Tengah Solo RS BRAYAT MINULYA Jl. Dr.SETIABUDI NO.106 SURAKARTA 0271-716646,710571,710170| Y Y ALL COVERAGE Jawa Tengah Solo KLINIK BUDI SEHAT JL.S.PARMAN, No.131, PASAR LEGI 0271-648026-661415| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Tengah Solo RS. PANTI WALUYO SURAKARTA JL.JEND.A.YANI NO.1 0271-712077| Y Y ALL COVERAGE Jawa Tengah Solo PRODIA SOLO Jl Ronggowarsito No. 143 Solo 57131 0271-646378| N Y GP Jawa Tengah Sragen RS SARILA HUSADA JL. VETERAN NO 41-43 SRAGEN 0271-891194/891538| Y Y ALL COVERAGE Jawa Tengah Tegal RS ISLAM HARAPAN ANDA JL.ABABIL NO.42 0283-358244| Y Y ALL COVERAGE Jawa Tengah Tegal RS. MITRA KELUARGA TEGAL JL. SIPELEM, NO.4, KEMANDUNGAN, TEGAL BARAT 0283-340399/340999| Y Y ALL COVERAGE Jawa Tengah Tegal RS. MITRA SIAGA TEGAL JL. Palaraya No. 54 Tegal 0283-353387/322550| Y Y ALL COVERAGE Jawa Tengah Temanggung RS. NGESTI WALUYO JL. PAHLAWAN-PARAKAN 0293-596008| Y Y ALL COVERAGE Jawa Timur Bangil RS ISLAM MASYITHOH JL. A. YANI, NO.6 0343-741018| Y Y ALL COVERAGE Jawa Timur Banyuwangi RS. AL-HUDA JL. DIPONEGORO, NO.65, GENTENG 0333- 842033/844682/845248/842118| Y Y ALL COVERAGE Jawa Timur Banyuwangi RS ISLAM FATIMAH BANYUWANGI JL. JEMBER, NO.25 0333-421451| Y Y ALL COVERAGE Jawa Timur Banyuwangi RS. YASMIN BANYUWANGI JL.LETKOL ISTIQLAL NO.80-84 0333-424671| Y Y ALL COVERAGE Jawa Timur Blitar RS KATOLIK BUDI RAHAYU BLITAR JL. A.YANI BLITAR 0342- 801066/802316/807802| Y Y ALL COVERAGE Jawa Timur Bojonegoro RS. AISYIYAH BOJONEGORO JL. HASHIM ASHAARI, NO.17 0353-881748/885978| Y Y ALL COVERAGE Jawa Timur Bojonegoro RS.PKU MUHAMMADIYAH KALITIDU JL.RAYA KALITIDU, NO.266, KALITIDU 0353-511731/512066|- Y Y ALL COVERAGE
  • 7. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Timur Gresik RS. SEMEN GRESIK JL. RA. KARTINI, NO.280 GRESIK 031 - 3987840,3989478,3975847| Y Y ALL COVERAGE Jawa Timur Gresik RS. PETROKIMIA GRESIK JL. JEND. A.YANI NO.69 031- 3988877/3990994/3978658/3977666| Y Y ALL COVERAGE Jawa Timur Gresik RS. WATES HUSADA JL. RAYA WATES UTARA KEDUNGPRING, BALONGPANGGGANG - GRESIK (031) 7922351| Y Y ALL COVERAGE Jawa Timur Jember RS. PERKEBUNAN (PTPN) X JEMBER JL. BEDADUNG, NO.2 0331- 487104,485415,426873,485912,410748|0331-487226 Y Y ALL COVERAGE Jawa Timur Jember RS. BINA SEHAT JL. JAYANEGARA NO.7 0331- 422701/424304/421713| Y Y ALL COVERAGE Jawa Timur Jombang RS. DR. MOEDJITO DWIDJOSISWOJO JL. HAYAM WURUK, NO.9 JOMBANG 0321- 864308,6977788,855555| Y Y ALL COVERAGE Jawa Timur Jombang RS KRISTEN MOJOWARNO JL. MERDEKA NO.59, MOJOWARNO 0321-495093|- Y Y ALL COVERAGE Jawa Timur Jombang RS. AIRLANGGA JOMBANG JL. AIRLANGGA NO 50 C JELAKOMBO, JOMBANG 0321-861577| Y Y ALL COVERAGE Jawa Timur Kediri RS. HVA TOELOENGREDJO JL. A. YANI NO. 25 PARE 0354-391047,391145| Y Y ALL COVERAGE Jawa Timur Kediri RS BAPTIS KEDIRI JL. BRIDJEN POLLBH PRANOTO NO.1 0354-682170, 683578, 684172|- Y Y ALL COVERAGE Jawa Timur Kediri RS BHAYANGKARA KEDIRI JL. KOMBES POL DURYAT NO 17 0354-671100| Y Y ALL COVERAGE Jawa Timur Kediri RS. AURA SYIFA JL. JOYOBOYO NO.42 DLOPO 0354-671939| Y Y ALL COVERAGE Jawa Timur Kediri RS. MUHAMMADIYAH AHMAD DAHLAN KEDIRI JL. GATOT SUBROTO NO 84 KEDIRI 0354- 773115/776182/770182| Y Y ALL COVERAGE Jawa Timur Lamongan RS MUHAMMADIYAH LAMONGAN JL. JAKSA AGUNG SUPRAPTO 0322-322834| Y Y ALL COVERAGE Jawa Timur Lumajang RS. WIJAYA KUSUMA JL. A. YANI, NO.149 0334-891325| Y Y ALL COVERAGE Jawa Timur Madiun RS. SANTA CLARA JL. BILITON, NO.15 0351- 462688/452770/464571| Y Y ALL COVERAGE Jawa Timur Madura RS. LARASATI JL. MANDILARAS, NO.74, PAMEKASAN 0324-328305| Y Y ALL COVERAGE Jawa Timur Malang RSU HERMINA TANGKUBANPRAHU JL. TANGKUBAN PRAHU, NO.33 0341-325082 - 354844 - 354845/46|0341-354844/8 Y Y ALL COVERAGE Jawa Timur Malang RSIA. MELATI HUSADA JL. KAWI, NO.32 0341-336271|0341-341357 Y Y ALL COVERAGE Jawa Timur Malang RS. BAPTIS BATU JL. RAYA TLEKUNG NO.1 JUNREJO, BATU 0341-594161|0341-598192/5 Y Y ALL COVERAGE Jawa Timur Malang RS ISLAM AISYIYAH MALANG JL. SULAWESI, NO.16 0341-326773| Y Y ALL COVERAGE Jawa Timur Malang RS. PANTI NIRMALA JL. KEBALEN WETAN, NO.2-8 0341-362459| Y Y ALL COVERAGE Jawa Timur Malang RS. LAVALETTE JL. W.R. SUPRATMAN, NO.10 0341-470805/482612| Y Y ALL COVERAGE Jawa Timur Malang RS. PANTI WALUYA SAWAHAN JL. NUSAKAMBANGAN NO.5 0341-362017,366033,361507| Y Y ALL COVERAGE Jawa Timur Malang RS. ISLAM MALANG ( UNISMA ) JL. MAYJEND HARYONO NO. 139 0341-551356,580798,565448| Y Y ALL COVERAGE Jawa Timur Malang RS. MARSUDI WALUYO JL. RAYA MONDOROKO KM.9 SINGOSARI 0341-458974| Y Y ALL COVERAGE Jawa Timur Malang RS. WAVA HUSADA KEPANJEN JL. PANGLIMA SUDIRMAN NO.99A KEPANJEN 0341-393000| Y Y ALL COVERAGE Jawa Timur Malang RS. PERMATA BUNDA MALANG JL. SOEKARNO HATTA NO. 75, LOWOKWARU 0341-487487/407462| Y Y ALL COVERAGE Jawa Timur Malang RSIA GALERI CANDRA JL. BUNGA ANDONG NO.3 MALANG 65141 (0341) 478571| Y Y ALL COVERAGE Jawa Timur Mojokerto RS. KARTINI MOJOKERTO JL. ERLANGGA, NO.137, MOJOSARI 0321-592261| Y Y ALL COVERAGE Jawa Timur Mojokerto RS. REKSA WALUYA JL. MOJOPAHIT, NO.422 0321-322170/322171|0321- 322171/3937 Y Y ALL COVERAGE Jawa Timur Mojokerto RS. EMMA JL. RAYA IJEN WATES NO.67 0321-328737|- Y Y ALL COVERAGE Jawa Timur Mojokerto RS GATOEL MOJOKERTO JL. RADEN WIJAYA NO.56 0321-321681,322329,399772|- Y Y ALL COVERAGE Jawa Timur Mojokerto RS. SIDO WARAS JL. RAYA PASAR SAWAHAN KM. 10 BANGSAL KAB. MOJOKERTO 0321-598621| Y Y ALL COVERAGE Jawa Timur Mojokerto RS. MUTIARA HATI JL. RAYA KEMANTREN WETAN 49, GEDEG, MOJOKERTO (0321) 7223400, 363442| Y Y ALL COVERAGE Jawa Timur Nganjuk RSI. AISYIYAH NGANJUK JL. IMAM BONJOL NO. 20 NGANJUK 0358-324024| Y Y ALL COVERAGE Jawa Timur Pasuruan RS. PANCA DHARMA JL.RAYA NO.14A SUKOREJO 0343-612700, 611412| Y Y ALL COVERAGE Jawa Timur Pasuruan RS. MITRA SEHAT MEDIKA JL. BY PASS NO.6 PANDAAN 0343-636064| Y Y ALL COVERAGE Jawa Timur Ponorogo RSU. AISYIYAH PONOROGO JL. DR SUTOMO NO.18-24 0352-481784,461560,485093| Y Y ALL COVERAGE Jawa Timur Probolinggo RS. DHARMA HUSADA JL. SOEKARNO HATTA NO.10 0335-422176| Y N ALL COVERAGE Jawa Timur Probolinggo RSU. WONOLANGAN JL. RAYA DRINGU NO.118 0335-424007| Y Y ALL COVERAGE Jawa Timur Sidoarjo RS. DELTA SURYA JL. PAHLAWAN NO.9 031-8962531-8961271|031- 8961271 Y Y ALL COVERAGE Jawa Timur Sidoarjo RS ISLAM SITI HAJAR SIDOARJO JL. RADEN PATAH NO.70 031-8921233/8961570| Y Y ALL COVERAGE Jawa Timur Sidoarjo RS. SITI KHODIJAH SEPANJANG SIDOARJO JL. PAHLAWAN, NO.260, SEPANJANG 031- 7881130,7882123,7872081,60134373| Y Y ALL COVERAGE Jawa Timur Sidoarjo RS ANWAR MEDIKA JL. DUSUN SEMAWUT, RT.10/RW.04, KEC. BALONGBENDO / Jl. Raya By Pass Krian KM.33 031-8972052, 8974943|- Y Y ALL COVERAGE Jawa Timur Sidoarjo RS. MITRA KELUARGA WARU JL. RAYA LETJEN. S.PARMAN, NO.8 031-8543111/8542111|- Y Y ALL COVERAGE Jawa Timur Sidoarjo RSAB. SOERYA JL.RAYA KALIJATEN, NO.11-15, TAMAN SEPANJANG 031-7885011|- Y Y ALL COVERAGE Jawa Timur Sidoarjo KLINIK CITRA GADING MEDIKA JL.BRIGJEN KATAMSO BLOK A 408-409 REWIN WARU 031-8679727| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Sidoarjo KLINIK GRAHA MEDICA JL. BRIGJEN KATAMSO NO.7 WARU 031 - 8554910| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Sidoarjo KLINIK MEDIS GELORA PERUM TAMAN PINANG INDAH, BLOK B7, NO.3- 3A 031-8929139| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Sidoarjo RS. CITRA MEDIKA SIDOARJO JL.RAYA SURABAYA, KM.44, KRAMAT TUMENGGUNG 0321-361000| Y Y ALL COVERAGE Jawa Timur Sidoarjo KLINIK D DOTHE JL. MONGINSIDI NO.86-88 031-8921260, 70019201| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Sidoarjo KLINIK MEDIS PUSURA SIDOARJO JL. RAYA CANDI NO. 49 SIDOARJO 031-8966345| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Sidoarjo RSU. BUNDA SIDOARJO JL. KUNDI NO.70 KEPUH KIRIMAN, WARU SIDOARJO (031) 8668880| Y Y ALL COVERAGE Jawa Timur Surabaya SILOAM HOSPITALS SURABAYA JL. RAYA GUBENG NO. 70, SURABAYA 031-5031333/5031821| Y Y ALL COVERAGE Jawa Timur Surabaya RS. MITRA KELUARGA SURABAYA JL. SATELIT INDAH II, DARMO SATELIT 031-7345333| Y Y ALL COVERAGE Jawa Timur Surabaya RS. DARMO JL. RAYA DARMO, NO.90 031 - 567 6253/54/55/56| Y Y ALL COVERAGE Jawa Timur Surabaya RS. ST.VINCENTIUS A.PAULO (RS. RKZ) JL. DIPONEGORO NO.51 031- 5677562,5687846,5663895|031-5687846 Y Y ALL COVERAGE
  • 8. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Jawa Timur Surabaya KLINIK MEDIS PUSURA 1 (YOS SUDARSO) JL. KOM ( L) YOS SUDARSO, 9A 031-5340604| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya KLINIK MEDIS PUSURA 2 (RUNGKUT) JL. RUNGKUT ASRI TENGAH NO.2 031- 8705210| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya KLINIK MEDIS PUSURA 3 (SUNGKONO) JL. MAYJEN, SUNGKONO, NO.64 031-5612120/22| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RS SPESIALIS HUSADA UTAMA JL. PROF DR MOESTOPO 31-35 031- 5017975/5018335|(021) 9100682 Y Y ALL COVERAGE Jawa Timur Surabaya RS. PREMIER SURABAYA (RS. SURABAYA INTERNASIONAL) JL. NGINDEN INTAN BARAT, BLOK B 031- 5993211|031-5993211 Y Y ALL COVERAGE Jawa Timur Surabaya RS. ADI HUSADA UNDAAN WETAN JL.UNDAAN WETAN NO40-44 SURABAYA 031-5321256|031-5318000 Y Y ALL COVERAGE Jawa Timur Surabaya RS PRIMASATYA HUSADA CITRA(D/H PELABUHAN SURABAYA) JL.PRAPAT KURUNG SELATAN NO.1 TANJUNG PERAK 031-3294801-3|- Y Y ALL COVERAGE Jawa Timur Surabaya KLINIK KEBRAON JL.GRIYA KEBRAON BLOK FA NO.37 031-7663816|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya KLINIK BENOWO PONDOK BENOWO INDAH, BLOK PP/22 031-70547492|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RS WILLIAM BOOTH JL. DIPONEGORO NO.34 031-5678917|- Y Y ALL COVERAGE Jawa Timur Surabaya RS ISLAM SURABAYA JL. JEND A YANI NO.2-4 031-8284505|- Y Y ALL COVERAGE Jawa Timur Surabaya KLINIK SENTRA MEDIKA SURABAYA JL.RAYA TENGGILIS, NO.91-93 031-8438777/8438333|031- 5018979 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RSIA. PUSURA TEGALSARI (Medis Pusura 4) JL. TEGAL SARI NO.59 031-5473462|- Y Y ALL COVERAGE Jawa Timur Surabaya BRAIN CLINIC JL. SULAWESI, NO.63 031-5018800/031-5038004| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RS. ADI HUSADA KAPASARI Jl. KAPASARI NO.97-101 031-3764555| Y Y ALL COVERAGE Jawa Timur Surabaya RS. AL IRSYAD SURABAYA JL. KH. MAS MANSYUR 210-214 031 - 3531223| Y Y ALL COVERAGE Jawa Timur Surabaya RS. BHAKTI RAHAYU SURABAYA JL.KETINTANG MADYA I/16 031- 8295922/8291799/8299217/23| Y Y ALL COVERAGE Jawa Timur Surabaya RS. BUNDA SURABAYA JL.RAYA KANDANGAN NO.23-24 BENOWO 031 - 7442220/7440077/7400694| Y Y ALL COVERAGE Jawa Timur Surabaya RS. ISLAM SURABAYA JEMURSARI JL. JEMURSARI NO.51-57 031 - 8471877/8471878/8471889| Y Y ALL COVERAGE Jawa Timur Surabaya RS. MATA UNDAAN JL.UNDAAN KULON, NO.19 031-5343806/531619| Y Y ALL COVERAGE Jawa Timur Surabaya RS. ONKOLOGI ARAYA GALAXI BUMI PERMAI BLOK A2/7 JL. ARIEF RAHMAN HAKIM 182 031-5914855| Y Y ALL COVERAGE Jawa Timur Surabaya RS. PUTRI ( RS KHUSUS OBSTETRI & GINEKOLOGI ) JL. ARIF RAHMAN HAKIM, NO.122 031-5999987| Y Y ALL COVERAGE Jawa Timur Surabaya KLINIK MEDIS PUSURA 5 (BALONGSARI) JL. BALONGSARI TAMA, BLOK B, NO.8-9 031-7416234| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RS. BEDAH SURABAYA JL. RAYA MANYAR NO 9 SURABAYA 031-5999369,5999339| Y Y ALL COVERAGE Jawa Timur Surabaya KLINIK JOYOBOYO PRIMA JL. JOYOBOYO 49-51 SURABAYA 031-5616780| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Jawa Timur Surabaya RS. WIYUNG SEJAHTERA JL. KARANGAN PDAM NO.1-3 WIYUNG SURABAYA (031) 7532653| Y Y ALL COVERAGE Jawa Timur Surabaya NATIONAL HOSPITAL BOULEVARD FAMILI SEL KAV 1 GRAHA FAMILI, SURABAYA 031-2975777| Y Y ALL COVERAGE Jawa Timur Surabaya RS. ROYAL SURABAYA JL. RUNGKUT INDUSTRI I/ 1 SURABAYA 031-8476111| Y Y ALL COVERAGE Jawa Timur Surabaya RS. MITRA KELUARGA KENJERAN JL. KENJERAN 506 SURABAYA 60114 (031) 99000880| Y Y ALL COVERAGE Jawa Timur Tuban RS. MEDIKA MULIA JL. MOJOPAHIT, NO.699 0356-322744/324618| Y Y ALL COVERAGE Jawa Timur Tuban RS. NAHDATUL ULAMA TUBAN JL. LETDA SUCIPTO NO 211 TUBAN 0356-328244/(0356) 328299| Y Y ALL COVERAGE Jawa Timur Tulung Agung RS. ISLAM ORPEHA JL. KH. R. ABDUL FATAH 0355-323186| Y Y ALL COVERAGE Kalimantan Barat Ketapang RS. FATIMA KETAPANG JL. JEND SUDIRMAN NO. 27 KETAPANG 0534-32814| Y Y ALL COVERAGE Kalimantan Barat Pontianak RS KHARITAS BHAKTI JL. SIAM, NO.153 PONTIANAK 0561-734373|- Y Y ALL COVERAGE Kalimantan Barat Pontianak RS. SANTO ANTONIUS JL.KH. WAHID HASYIM NO.249 0561-732101|- Y Y ALL COVERAGE Kalimantan Barat Pontianak RSIA ANUGERAH BUNDA KHATULISTIWA JL. AHMAD YANI NO. 5-7 0561-581818| Y Y ALL COVERAGE Kalimantan Barat Pontianak Apotek Kimia Farma 32 Pontianak Jl. Tanjung Pura no:419, Pontianak 0561-731658| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Barat Pontianak KIMIA FARMA Sungai Raya Jl.Sei Raya Dalam,Ruko B1, Pontianak 0567-737797| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Barat Pontianak RS. MITRA MEDIKA PONTIANAK JL. SULTAN ABDURRAHMAN NO.25, PONTIANAK, KALBAR (0561) 584888| Y Y ALL COVERAGE Kalimantan Barat Singkawang RS. SANTO VINCENTIUS SINGKAWANG JL. P. DIPONEGORO NO.5 0562-631008| Y Y ALL COVERAGE Kalimantan Barat Singkawang RSU HARAPAN BERSAMA Jln. P. Belitung No. 61) Singkawang 0562-631791| Y Y ALL COVERAGE Kalimantan Selatan Banjarmasin RS. SARI MULIA JL. PANGERAN ANTASARI NO. 139B 0511 - 3274447/3261491/3252570|0511-266960 Y Y ALL COVERAGE Kalimantan Selatan Banjarmasin RS. ISLAM BANJARMASIN JL. LET JEN S PARMAN GG.PURNAMA NO.1 BANJARMASIN 0511-3350332, 3354896, 3350335|0511-3350332/35 Y Y ALL COVERAGE Kalimantan Selatan Banjarmasin KLINIK SURYA MEDIKA SATUI (SMS) JL. PROPINSI NO 11, RT 17 SUNGAI DANAU SATUI 0512-2729192|0778-322122 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Selatan Banjarmasin KLINIK SPESIALIS SARI MULIA JL. PANGERAN ANTASARI NO. 139 B 0511-3254341/3266960| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Selatan Banjarmasin KLINIK ANNISA JL. P.H.M. NOOR NO 12 PEMBATAN TANJUNG, KAB TABALONG KALSEL 0526-2021121| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Selatan Banjarmasin RSIA. MUTIARA BUNDA MARTAPURA JL. TAISIR NO. 2, MARTAPURA, KALIMANTAN SELATAN O511- 4721901| Y Y ALL COVERAGE Kalimantan Selatan Banjarmasin RS PAHLAWAN MEDIKA CENTER JL. PAHLAWAN NO. 15 KANDANGAN KAB. HULU SUNGAI SELATAN 0517-23191| Y Y ALL COVERAGE
  • 9. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Kalimantan Selatan Banjarmasin KLINIK MEDIKA BATULICIN JL. RAYA BATULICIN - SERONGGO KM. 1 SEI KECIL, BATULICIN, TANAH BAMBU - KALSEL 0518-71570| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Selatan Banjarmasin RS. PELITA INSANI JL. SEKUMPUL NO.66 MARTAPURA 70614, KALIMANTAN SELATAN (0511) 4722210, 4722220| Y Y ALL COVERAGE Kalimantan Tengah Palangkaraya RSUD. DR. DORIS SYLVANUS JL.TAMBUN BUNGAI NO.4 0536-3224217| Y Y ALL COVERAGE Kalimantan Tengah Palangkaraya RS ISLAM PKU MUHAMMADIYAH JL.RTA MILONO KM .2,5 MENTENG, JEKAN RAYA PALANGKARAYA, KALIMANTAN TENGAH 0536-3244801| Y Y ALL COVERAGE Kalimantan Timur Balikpapan RS. RESTU IBU JL. JEND. A. YANI, NO.12 0542-427342/3/4|0542- 427342 Y Y ALL COVERAGE Kalimantan Timur Balikpapan RS. PERTAMINA BALIKPAPAN JL. JEND SUDIRMAN NO.1 0542-734020/21| Y Y ALL COVERAGE Kalimantan Timur Balikpapan RSIA. PERMATA HATI BALIKPAPAN JL. IMAM BONJOL NO.1 0542-413932/413928| Y Y ALL COVERAGE Kalimantan Timur Balikpapan PANACEA CLINIC KOMP MAL FANTASI BLOK AB2 NO.18-20 BALIKPAPAN BARU 76114 0542-877898,7204046|0751- 444712/5 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan APOTIK KANIDA FARMA II JL. JEND. SUDIRMAN, NO. 23 0542-424309,0542 420496|0542-420496 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan RS. BALIKPAPAN BARU KOMP. BALIKPAPAN BARU Jl. MT.HARYONO Blok. A-A3 0542-877330| Y Y ALL COVERAGE Kalimantan Timur Balikpapan SILOAM HOSPITALS BALIKPAPAN (RS BALIKPAPAN HUSADA) JL. MT.HARYONO NO.9 RINGROAD, BALIKPAPAN - KALIMANTAN TIMUR 0542-7206508/09/12, 0542 - 8862 999| Y Y ALL COVERAGE Kalimantan Timur Balikpapan KLINIK MEDIKA UTAMA ( KMU SETIARA ) JL. MULAWARMAN NO. 24 RT 7 MANGGAR BARU BALIKPAPAN, KALIMANTAN TIMUR 0542-770846| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan KIMIA FARMA 293 Jl. A. Yani No.45 Karang Jati 0542 413090| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan KIMIA FARMA 68 JL. JEND.SUDIRMAN NO.2-3 PERTOKOAN KLANDASAN 0542 422691| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan KIMIA FARMA Sepinggan Jl.Marsma Iswahyudi NO. 72 0542 7310391| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Balikpapan KIMIA FARMA 329 Jl.Soekarno Hatta km 5 / 86, Bpn 0542 860024| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Batu Kajang KUSUMA MEDICAL CENTER JL. NEGARA KM. 141 RT 09C BATU KAJANG, PASER KALTIM 0543-5230262| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Bontang RS. PUPUK KALTIM BONTANG Jl. OKSIGEN NO.1, KOMP.PUPUK KALTIM 0548-41118/41444| Y Y ALL COVERAGE Kalimantan Timur Bontang RS AMALIA BONTANG JL. R. SOEPRAPTO NO. 22 BONTANG BARU, KOTA BONTANG KALTIM 0548-25050| Y Y ALL COVERAGE Kalimantan Timur Bontang KLINIK RSPKT 1 JL. IMAM BONJOL BONTANG-KALTIM 0548-24800| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Kutai Kartanegara KLINIK MAJU SEJAHTERA JL.MOH. HATTA, HANDIL 3, MUARA JAWA 0541-691891|- N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Melak KLINIK SIAGA JL. PATIMURA, RT 29 NO 47 MELAK KUTAI BARAT, KALIMANTAN TIMUR 0545-41386| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Samarinda RS. H. DARJAD JL. DAHLIA, NO.4 0541-732698,734123,732609| Y Y ALL COVERAGE Kalimantan Timur Samarinda RS. DIRGAHAYU JL. GN. MERBABU, NO. 62 0541- 742161/748309/748310|0541- 748309/10/11 Y Y ALL COVERAGE Kalimantan Timur Samarinda KLINIK MELATI HUSADA JL. CIPTO MANGUN KUSUMO RT 12 NO 52 KEL SENGKOTEK LOA JUAN SAMARINDA 0541-26021| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Samarinda RSIA. THAHA BAKRIE JL. PANGERAN HIDAYATULLAH NO 11 SAMARINDA 0541-742191| Y Y ALL COVERAGE Kalimantan Timur Samarinda APOTEK KIMIA FARMA 105 jl. Dr. Sutomo No. 36-37 Samarinda -| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Samarinda APOTEK KIMIA FARMA 138 KARTIKA jl. KH Agus Salim No. 30 Samarinda 75121 0541-737447| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Samarinda RS. SAMARINDA MEDIKA CITRA JL. KADRIE OENING NO.81 RT.35 SAMARINDA 75124 (0541) 7273000| Y Y ALL COVERAGE Kalimantan Timur Samarinda RS. SIAGA RAMANIA JL. RAMANIA 3 ( JL. JEND. SOEPARTO) SAMARINDA, KALTIM 0541-739772| Y Y ALL COVERAGE Kalimantan Timur Samarinda KIMIA FARMA 114 Jl.P.Hidayatullah No.63, Samarinda 0541 742198| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Kalimantan Timur Sangatta RS. PKT PRIMA SANGATTA (RS. PUPUK KALTIM ) JL.YOS SUDARSO I NO.1 SANGATTA - KALIMANTAN TIMUR 05495503889/22005/5523889/5525555/5501323| Y Y ALL COVERAGE Kalimantan Timur Sangatta RS MELOY SANGATTA Jl.Yos Sudarso II No.101 Sangatta - Kalimantan Timur 0549-2026258| Y N H&S,MAT Kalimantan Timur Sangatta RS. SOHC, SANGATTA JL. YOS SUDARSO IV, No. 1, TELUK LINGGA, SANGATTA-KALIMANTAN TIMUR 0549-23417| Y Y ALL COVERAGE Kalimantan Utara Tarakan RS PERTAMINA TARAKAN JL. MULAWARMAN NO. 14, TARAKAN 0551-31403/31665| Y Y ALL COVERAGE Kalimantan Utara Tarakan RUMKITAL ILYAS TARAKAN Jl. Martadinata No 29 0551-24320 / 21353| Y Y ALL COVERAGE Lampung Bandar Lampung RS. IMMANUEL WAY HALIM JL. SOEKARNO-HATTA, WAY HALIM 0721-704900,704630/628| Y Y ALL COVERAGE Lampung Bandar Lampung RS. ADVENT LAMPUNG JL. TEUKU UMAR, NO.48 0721-703459| Y Y ALL COVERAGE Lampung Bandar Lampung RS. YUKKUM MEDICAL CENTER JL. NEGARA NO 99, KM 67 YUKUM JAYA, LAMPUNG TENGAH 0725-25333| Y Y ALL COVERAGE Lampung Bandar Lampung RS. MITRA HUSADA PRINGSEWU JL. JEND A. YANI NO.14 PRINGSEWU, LAMPUNG 0729-23792|- Y Y ALL COVERAGE Lampung Bandar Lampung RS. BUMI WARAS JL.WOLTER MONGINSIDI, NO.235 0721- 254589/261122/257925/267855| Y Y ALL COVERAGE Lampung Bandar Lampung RS. MARDI WALUYO JL. JEND SUDIRMAN NO 156 KOTA METRO 34111 BD LAMPUNG 0725-42512/44980| Y Y ALL COVERAGE Lampung Bandar Lampung RS. GRAHA HUSADA LAMPUNG JL. GAJAH MADA, NO. 6 GH, TANJUNG AGUNG, BANDAR LAMPUNG 0721-240000| Y Y ALL COVERAGE Lampung Bandar Lampung RS. URIP SUMOHARJO JL.URIP SUMOHARJO NO.200 SUKARAME 0721-771322/23/24| Y Y ALL COVERAGE
  • 10. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Lampung Bandar Lampung KLINIK & APOTIK SENTAUSA JL. GAJAH MADA NO 8A TANJUNG KARANG, BANDAR LAMPUNG 0721-261339| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Lampung Bandar Lampung RS. NATAR MEDIKA (YADIKA GROUP) JL RAYA NATAR NO. 04 MUARA PUTIH, KEC NATAR LAMPUNG SELATAN 0721-92521/92519| Y Y ALL COVERAGE Lampung Bandar Lampung RS. HARAPAN BUNDA LAMPUNG JL. RAYA LINTAS SUMATERA NO.30 SEPUTIH JAYA LAMPUNG TENGAH 0725-26766| Y Y ALL COVERAGE Lampung Bandar Lampung RSIA MUTIARA PUTRI JL. HOS COKROAMINOTO NO 76 ENGGAL LAMPUNG 0721-252579/254999| Y Y ALL COVERAGE Lampung Bandar Lampung RS PERTAMINA BINTANG AMIN JL PRAMUKA NO 27, LAMPUNG 0721-273601| Y Y ALL COVERAGE Lampung Bandar Lampung RSIA. BUNDA AS-SYIFA JL. DR.SUSILO NO. 54 PAHOMAN TELUK BETUNG UTARA BANDAR LAMPUNG 0721- 240474/259259/256256| Y Y ALL COVERAGE Lampung Bandar Lampung RS ISLAM ASY-SYIFAA JL. NEGARA LINTAS SUMATERA KM.65 YUKUM JAYA - BANDAR JAYA, KEC. TERBANGGI BESAR, LAMPUNG TENGAH 34162 (0725) 25264| Y Y ALL COVERAGE Lampung Bandar Lampung LAB PRODIA PAHOMAN LAMPUNG JL. JEND. SUDIRMAN NO. 120 PAHOMAN LAMPUNG 0721-8016225| N Y ALL COVERAGE Maluku Ambon RS BHAKTI RAHAYU AMBON JL. BATU KERBAU, BELAKANG RRI 0911-342746| Y Y ALL COVERAGE Maluku Ambon RSUD Dr. M. HAULUSSY Ambon Jl. Dr.Kayadoe Kuda Mati, Ambon 0911-343002 / 344871| Y Y ALL COVERAGE Maluku Ambon RST TK.II DR.J.A. LATUMETEN JL.DR. TAMAELA N0. 2 AMBON 0911-353555| Y Y ALL COVERAGE Maluku Ambon RS SUMBER HIDUP Jl. Anthony Rhebok, Honipopu, Sirimau, Ambon, Maluku (0911) 352373, 351654| Y N H&S Maluku Utara Ternate RS. MEDIKA HARIFALM JL. ZAINAL ABIDINSYAH, NO.25, KOMPLEX POHON PALA 0921-3126087| Y N ALL COVERAGE Maluku Utara Ternate RS. DHARMA IBU JL. PAHLAWAN REVOLUSI, NO.5 0921-3121951| Y Y ALL COVERAGE Maluku Utara Ternate RSIA. ANANDA TERNATE JL. HASAN ESA NO. 235 0921-3121554| Y Y ALL COVERAGE Nad Banda Aceh RS. TEUNGKU FAKINAH JL. JEND. SUDIRMAN NO.27-29 0651-41454|- Y N ALL COVERAGE Nad Banda Aceh RS. PERMATA HATI JL. ISKANDAR MUDA NO 217 BANDA ACEH 0651-8057961| Y Y ALL COVERAGE Nad Banda Aceh KLINIK SPECIALIS CEMPAKA LIMA JL. TENGKU M. DAUD BEUREUEH NO 156 0651-33345| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Nad Banda Aceh RS. CEMPAKA AZ ZAHRA JL. POCUT BAREN NO 36-38-40 BANDA ACEH 0651-31066| Y Y ALL COVERAGE Nad Bireun RS TELAGA BUNDA BIERUN JL. PEUTUA BANTA NO 7, GP BIERUN 0644-324433| Y Y ALL COVERAGE Nad Lhokseumawe RS. SAKINAH JL. ANTARA NO 30, LHOKSEUMAWE 0645-45534/42158| Y Y ALL COVERAGE Nad Lhokseumawe RS. PMI LHOKSEUMAWE JL. SAMUDERA LHOKSEUMAWE 0645-43012/47339| Y Y ALL COVERAGE Nad Lhokseumawe KLINIK VINCA ROSEA Jl. Darussalam No. 36 - Lhokseumawe 0645-7011117 / 46725| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR NTB Mataram RSB. EXONERO JL. PEMUDA NO.16, DASAN AGUNG 0370-636454,644440| Y N GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR NTB Mataram RS. RISA SENTRA MEDIKA JL. PEJANGGIK, NO.115, CAKRANEGARA 0370-632117/625560| Y N ALL COVERAGE NTB Mataram RS. HARAPAN KELUARGA MATARAM JL. AHMAD YANI NO. 9 SELAGALAS, SANDUBAYA, MATARAM - LOMBOK (NTB) 0370- 670000,6177027,6177000| Y Y ALL COVERAGE NTB Mataram RS. BIOMEDIKA Jl. Bung Karno No. 143 Mataram 0370-645137| Y Y ALL COVERAGE NTB Mataram PERMATA HATI MATERNITY CLINIC JL.Majapahit No 8 MATARAM 0370-6668888| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR NTT Kupang KLINIK & APOTIK KARTINI JL.ELTARI I NO.2 0380-833010| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR NTT Kupang RSIA. DEDARI JL. RANTAI DAMAI 69 D TDM OEBUFU KUPANG- NTT 0380-8553914/8553914| Y Y ALL COVERAGE NTT Kupang RS. KARTINI KUPANG JL. FRANS SEDA NO.17,Kelurahan Tuak Daun Merah, KUPANG-85228 0380-80265111| Y Y ALL COVERAGE Papua Jayapura RS. TK.III MARTHEN INDEY JL.DIPONEGORO, NO.57 0967-532491| Y Y ALL COVERAGE Papua Jayapura RS. DIAN HARAPAN JL. TARUNA BHAKTI KEL YABANSAI DISTRIK HERANG - JAYAPURA 0967-572123/572325| Y Y ALL COVERAGE Papua Marauke RSUD. MERAUKE JL. SUKARJO WIRYOPRANOTO 0971-321125|- Y Y ALL COVERAGE Papua Marauke RS.BUNDA PENGHARAPAN JL. RAYA ANGKASA, KELAPA LIMA 0971-325906|- Y Y ALL COVERAGE Papua Timika KLINIK PURI HUSADA JL. BUDI UTOMO UJUNG, TIMIKA PAPUA (0901) 3126661| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Papua Barat Sorong RS. PERTAMINA SORONG Jl. AHMAD YANI NO. 13 0951-321362, 321581| Y Y ALL COVERAGE Riau Dumai KLINIK IGA DUMAI JL. SUTAN SYARIF KASIM NO.221, DUMAI - RIAU 085264881796| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Duri RSIA. MUTIA SARI JL. BATHIN BETUAH, NO.1-A, SIMPANG PADANG 0765-93635/92080| Y Y ALL COVERAGE Riau Duri RS. PERMATA HATI DURI JL. JEND SUDIRMAN NO.37 SIMPANG PADANG 0765- 598101/94902/596899/94668|0765-0765-596899 Y Y ALL COVERAGE Riau Duri KLINIK THURSINA JL. JEND SUDIRMAN NO.65 SIMPANG PADANG 0765-595573|0765-595573 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Duri RSU THURSINA JL. HANGTUAH NO.93 0765-597782|0765-595573 Y Y ALL COVERAGE Riau Indragiri Hilir RS INDRAGIRI JL. TRIMAS NO. 77 TEMBILAHAN INDRAGIRI HILIR - RIAU 0768-23555| Y Y ALL COVERAGE Riau Pangkalan Kerinci RS. EFARINA PANGKALAN KERINCI JL. LINTAS TIMUR NO 1, PANGKALAN KERINCI, KAB PELALAWAN 0761-494500/493980| Y Y ALL COVERAGE Riau Pekanbaru RS. SANTA MARIA PEKANBARU JL. A. YANI, NO.68 0761- 28800,20235,20166,22213| Y Y ALL COVERAGE Riau Pekanbaru RSIA. ERIA BUNDA JL. KH. AHMAD DAHLAN, NO.163 0761-23100/23600| Y Y ALL COVERAGE Riau Pekanbaru RS ISLAM IBNU SINA PEKANBARU JL. MELATI, NO.60 0761-24242/26011| Y Y ALL COVERAGE Riau Pekanbaru RS. PEKANBARU MEDICAL CENTER JL. LEMBAGA PEMASYARAKATAN NO.25,GOBAH 0761-848100/859510| Y Y ALL COVERAGE Riau Pekanbaru RSIA ZAINAB JL.RONGGOWARSITO I NO.1 0761-24000| Y Y ALL COVERAGE Riau Pekanbaru RS AWAL BROS PEKANBARU JL.JEND SUDIRMAN NO.117 0761-47333|- Y Y ALL COVERAGE Riau Pekanbaru RS. LANCANG KUNING JL. RONGGOWARSITO UJUNG, NO.5A 0761-859273/859274| Y Y ALL COVERAGE Riau Pekanbaru EKA HOSPITAL PEKANBARU JL. SOEKARNO HATTA, KM.6,5 0761-6989999| Y Y ALL COVERAGE Riau Pekanbaru RS KHUSUS BEDAH & KEBIDANAN SYAFIRA JL. JEND.SUDIRMAN NO.134 PEKANBARU 0761-856517,35360| Y Y ALL COVERAGE Riau Pekanbaru RSIA SARRAH JL. SOEKARNO HATTA NO. 107 PEKANBARU-RIAU 0761- 566795/7057844/587789| Y Y ALL COVERAGE Riau Pekanbaru RSIA BUDHI MULIA Jl.Soekarno Hatta No.226-228 Arengka, Pekanbaru 0761-3069900/8417200| Y Y ALL COVERAGE Riau Pekanbaru RS. AWAL BROS PANAM JL. HR. SOEBRANTAS RT. 01/RW. 03 NO 88 KEL. TUAH KARYA KEC. TAMPAN PANAM, PEKANBARU 0761-586 888| Y Y ALL COVERAGE Riau Pekanbaru RSB. ANNISA TANGKERANG Jln.Garuda No. 66 Taskurun Ujung Tangkerang Tengah Pekanbaru (0761) 848 652| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR
  • 11. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Riau Pekanbaru RSIA ANDINI JL. TUANKU TAMBUSAI NO.55, PEKANBARU (0761) 33612| Y Y ALL COVERAGE Riau Rokan Hilir KLINIK AGUNG Jalan Jend. Sudirman Km. 8, Bagan Batu - ROKAN HILIR - RIAU 0765-552459| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Rokan Hulu RS AWAL BROS UJUNG BATU JL. JEND. SUDIRMAN NO. 314 UJUNG BATU ROKAN HULU RIAU 0762-7363329| Y Y ALL COVERAGE Riau Kepulauan Batam RB BUDI ROSARI JL. MAHKOTA SIMPANG, NO.1, BENGKONG MAHKOTA 0778-427854| N Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam GENTA MEDICAL CENTER MUKA KUNING INDAH, BLOK F, NO.10 0778-361909| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam RS. AWAL BROS BATAM JL.GAJAH MADA KAV.1 BALOI 0778 - 431777| Y Y ALL COVERAGE Riau Kepulauan Batam RS. HARAPAN BUNDA BATAM JL. SERAYA NO.1 0778- 457333/456444/458808|0778 - 458808 Y Y ALL COVERAGE Riau Kepulauan Batam RS ST. ELISABETH - BATAM JL. ANGGREK BLOK II, BALOI 0778 - 457357|- Y Y ALL COVERAGE Riau Kepulauan Batam RSIA MUTIARA AINI JL BATU AJI II BLOK A NO 1 0778-332002| Y Y ALL COVERAGE Riau Kepulauan Batam YAHYA MEDICAL CENTER & APOTIK ZAHRUNI KOMPLEK RUKO SAGULUNG PERMAI BLOK B14- 15, SAGULUNG KOTA, BATAM (0778) 392748| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 413 Komp. Ruko Botania Garden Blok A 1 No. 1 C - Batam 0778 7431199| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 128 Komp. Pertokoan Wijaya Blok A No. 4 Sei Harapan - Batam 0778 323697| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 269 Jl.Jend Sudirman, Batam Centre, Batam 0778 461482| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 59 Jl.Imam Bonjol, No.1, Nagoya, Batam 0778 458560| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 137 Komp.Sagulung Mas Indah B3, Batam 0778 392146| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam KIMIA FARMA 224 Komp Muka Kuning Indah II B2.3, Batam 0778 363375| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Batam RS. GRAHA HERMINE KOMP. RUKO ASIH RAYA NO.9-15, BATU AJI (0778) 363318, 363127| Y Y ALL COVERAGE Riau Kepulauan Bintan BP & RB TIARA MEDIKA JL KAMPUNG HARAPAN RT 01/01 TELUK SASAH, TANJUNG UBAN 0771-484427| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Bintan KLINIK BERSALIN ERNES JL. PERMAISURI NO.8 TANJUNG UBAN 0771-483212| Y Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Bintan Utara RSUD TANJUNG UBAN JL. INDUN SURI SIMPANG BUSUNG NO.1 TANJUNG UBAN 29152 (0771) 482655/ 085263231270| Y Y ALL COVERAGE Riau Kepulauan Karimun RSB GRAHA RAP JL.R.USMAN, BATU LIPAI, TANJUNG BALAI 0777-325600,326097| Y Y GP,SP,OP,DENTAL,MAT,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Karimun APOTIK JAYA SEHAT JL. AHMAD YANI, NO.20, BARAN SATU, MERAL, TANJUNG BALAI 0777-22487| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Karimun MEDIC CENTRE CLINIC JL. AHMAD YANI, KOMPLEK KARIMUN INDAH, BLOK B, NO.1, TANJUNG BALAI 0777- 325 561| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Karimun KLINIK SAYANG IBU JL. AHMAD YANI, NO.20, BARAN SATU, MERAL, TANJUNG BALAI 0777- 216 76| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Karimun RS. BAKTI TIMAH KARIMUN Jl. Canggai Putri Teluk Uma Kabupaten Karimun Provinsi Kepulauan Riau 29661 0777-7367085| Y Y ALL COVERAGE Riau Kepulauan Karimun APOTIK DEVI FARMA JL. AHMAD YANI, SEI PASIR, MERAL, TANJUNG BALAI 0777-21388| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Karimun RSUD. KARIMUN JL. SOEKARNO-HATTA, NO.1, TANJUNG BALAI (0777) 327 808| Y Y ALL COVERAGE Riau Kepulauan Karimun KLINIK FERTILITAS KIMIA FARMA JL. A.YANI NO A6-7, KOMPLEK KARIMUN CENTER, TANJUNG BALAI 0777-328193/326283| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Riau Kepulauan Tanjung Pinang KIMIA FARMA 31 Jl.Bintan 656-658,Tg.Pinang 0771 22879, 21091| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar RS. STELLA MARIS JL.SOMBA OPU NO.273, PO.BOX 122 0411-871391/873346| Y Y ALL COVERAGE Sulawesi Selatan Makassar RS. HIKMAH JL.YOSEF LATUMAHINA NO.1 0411 - 872284,871403|0411- 871403 Y Y ALL COVERAGE Sulawesi Selatan Makassar RS AKADEMIS JAURY YUSUF PUTERA JL.GN BULUSARAUNG NO.57 A 0411-317343| Y Y ALL COVERAGE Sulawesi Selatan Makassar RATULANGI MEDICAL CENTRE JL.SAM RATULANGI NO.28 0411-878605/06/88| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar RS. GRESTELINA JL.LETJEN HERTASNING RAYA NO.51 0411-448855/448852| Y Y ALL COVERAGE Sulawesi Selatan Makassar RS. IBNU SINA YBW-UMI JL. URIP SUMOHARJO, KM.5, NO.264 0411-452917/452958| Y Y ALL COVERAGE Sulawesi Selatan Makassar RSIA. SITI KHADIJAH 1 MAKASSAR JL. KARTINI NO.15-17 MAKASSAR 0411-3624554/8614661| Y Y ALL COVERAGE Sulawesi Selatan Makassar RS. AWAL BROS MAKASSAR JL.JEND. URIP SUMOHARJO NO.43 MAKASSAR 0411-454567/452725| Y Y ALL COVERAGE Sulawesi Selatan Makassar SILOAM HOSPITALS MAKASSAR JL. METRO TANJUNG BUNGA KAV. 9 PANAMBUNGAN KEC. MARISSO - MAKASAR 0411-8117555/8117430| Y Y ALL COVERAGE Sulawesi Selatan Makassar KIMIA FARMA Hertasning Jl.Hertasning 0411- 442945| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar KIMIA FARMA 33 Jl.Ahmad Yani, No.17 - 19, Makassar 0411-3616722| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar KIMIA FARMA Pettarani Jl.Pettarani 18, Makassar 0411-857210 / 857215| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar KIMIA FARMA Daeng Tata Jl.Daeng Tata 69, Makassar 0811403255| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar KIMIA FARMA 250 Jl.DR.Ratulangi 59, Makassar 0411- 582895| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar KIMIA FARMA 38 Jl.Hasanuddin, No.46, Makassar 0411- 3617110| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sulawesi Selatan Makassar POLIKLINIK PERTAMINA MAKASSAR JL. GARUDA NO.1 MAKASAR 0411-871181| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR
  • 12. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Sulawesi Selatan Makassar LAB PRODIA MAKASSAR Jalan Sungai Saddang No.40 Makassar (0411) 872727| N Y GP Sulawesi Selatan Makassar LAB PRODIA MAKASSAR Jl. Boulevard Jl. Boulevard Ruko Ruby I No. 7-8, Panakkukang Mas, Makassar 90222 (Pusat GMC - PPS Panakkukang) (0411) 446666| N Y GP Sulawesi Selatan Palopo RS. AT MEDIKA JL. ANDI JEMMA, NO.09 0471-21596|- Y Y ALL COVERAGE Sulawesi Selatan Palopo RS BINTANG LAUT JL. K HM KASYIM NO. 5 PALOPO 0471-21302/21059| Y Y ALL COVERAGE Sulawesi Selatan Pare Pare RS. FATIMA PARE-PARE JL.ILHAMV KOTAK POS 12 0421-21847| Y Y ALL COVERAGE Sulawesi Tengah Palu RSU. WOODWARD (BALA KESELAMATAN) JL. LH. WOODWARD NO.1 0451 - 421769, 423744| Y Y ALL COVERAGE Sulawesi Tenggara Bau Bau RS. MURHUM Jl. Sultan Murhum No. 69 Kel. Wajo Kec. Murhum Sulteng Bau Bau 0402-2822650| Y Y ALL COVERAGE Sulawesi Tenggara Kendari RS. ST. ANNA JL. DR. MOH.HATTA, NO.65A 0401-3123092| Y Y ALL COVERAGE Sulawesi Utara Bitung RS BUDI MULIA JL. SAM RATULANGI, BLOK X/9A 0438-21332/21442| Y Y ALL COVERAGE Sulawesi Utara Manado RS PANCARAN KASIH JL.SAM RATULANGI XIII TITIWUNGEN 0431- 865800/857628/863237/868084|0431- 863237 Y Y ALL COVERAGE Sulawesi Utara Manado RS. ADVENT MANADO JL. 14 FEBRUARI, NO.1, TELING ATAS 0431-847950/858429| Y Y ALL COVERAGE Sulawesi Utara Manado SILOAM HOSPITALS MANADO JL. SAM RATULANGI NO 22 MANADO 0431- 8883180/8883131/8883911| Y Y ALL COVERAGE Sulawesi Utara Manado RSU TK III MANADO JL.14 FEBRUARI MANADO -| Y Y ALL COVERAGE Sumatera Barat Bukit Tinggi RS ISLAM IBNU SINA BUKIT TINGGI JL. BATANG AGAM, BELAKANG BALOK 0752 - 21185| Y Y ALL COVERAGE Sumatera Barat Bukit Tinggi RSU. MADINA JL. GURU HAMZAH NO.17 0752-21388| Y Y ALL COVERAGE Sumatera Barat Padang RS SELAGURI JL. A.YANI, NO.26 0751 -33010/21953| Y Y ALL COVERAGE Sumatera Barat Padang RSU BUNDA MEDICAL CENTER (RSU C-BMC) JL. PROKLAMASI NO.31-33-37 PADANG 0751- 23164/29536/21151/24750| Y Y ALL COVERAGE Sumatera Barat Padang RS. YOS SUDARSO JL. SITUJUH, NO.1 0751-33230/33231| Y Y ALL COVERAGE Sumatera Barat Padang RSI SITI RAHMAH PADANG JL. RAYA BY PASS KM 15 AIE PACAH, PADANG 0751-463059| Y Y ALL COVERAGE Sumatera Barat Padang RSIA CICIK JL. DR. SUTOMO NO.94 MARAPALAM PADANG 25125 (0751) 38846; 38866| Y Y ALL COVERAGE Sumatera Barat Padang RS MARNAINI ASRI JL. DR MOH. HATTA 0751-24575| Y Y ALL COVERAGE Sumatera Barat Padang RS MATA. PADANG EYE CENTER (PEC) Jl. Pemuda No. 53 Padang - Sumbar 0751-30094| Y Y ALL COVERAGE Sumatera Barat Padang SEMEN PADANG HOSPITAL JL. BY PASS KM 7 KEL. PISANG, KEC. PAUH PADANG - SUMBAR (0751) 202873, 4782999. 777888, 4782997| Y Y ALL COVERAGE Sumatera Barat Payakumbuh RSI IBNU SINA PAYAKUMBUH JL. PEMUDA NO 14 PAYAKUMBUH 0752-92222/90555| Y Y ALL COVERAGE Sumatera Selatan Batu Raja RS. SANTO ANTONIO JL. KOMISARIS UMAR NO. 33, BATURAJA 0735- 320395/322418/324700| Y Y ALL COVERAGE Sumatera Selatan Lubuk Linggau KLINIK SEKATA JL. YOS SUDARSO NO. 230 TABAH JEMEKEH, LUBUK LINGGAU 0733-321357| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sumatera Selatan Lubuk Linggau RS AR BUNDA LUBUK LINGGAU Jl. Garuda No 245 RT 03 Kel. Bandung Kiri, Kec. Linggau Barat 1 (0733) 324955/324963| Y Y ALL COVERAGE Sumatera Selatan Muara Enim RS PUSPA MUARA ENIM JL. AK GANI NO 102 MUARA ENIM 0734-451146| Y Y ALL COVERAGE Sumatera Selatan Palembang RS. PUSRI JL. MAYOR ZEN, Komplek Pusri No. 1 0711 -712222-712111| Y Y ALL COVERAGE Sumatera Selatan Palembang RS ISLAM SITI KHADIJAH PALEMBANG JL. DEMANG LEBAR DAUN, LORONG PAKJO 0711-356008| Y Y ALL COVERAGE Sumatera Selatan Palembang RS. MYRIA JL. KOL. H. BURLIAN KM. 7 NO 228 PALEMBANG 0711- 411610/412433/421914| Y Y ALL COVERAGE Sumatera Selatan Palembang RS. RK. CHARITAS JL. JEND. SUDIRMAN NO.1054 0711-350426/353375|0711- 353374/5 Y Y ALL COVERAGE Sumatera Selatan Palembang RS BUNDA PALEMBANG JL.DEMANG LEBAR DAUN, PALEMBANG 0711-312866,311866|0711- 311866 Y Y ALL COVERAGE Sumatera Selatan Palembang RS. HERMINA PALEMBANG JL. BASUKI RAHMAT NO.897 RT.011/003 KEL.20 ILIR II KEC.KEMUNING 0711-352525| Y Y ALL COVERAGE Sumatera Selatan Palembang RS PELABUHAN PALEMBANG JL MAYOR MEMET SASTRAWIRYA NO 1 BOOM BARU PALEMBANG 0711- 711843,712840,712916,719741| Y N ALL COVERAGE Sumatera Selatan Palembang SILOAM SRIWIJAYA PALEMBANG JL. POM IX KEL. LOROK PAKJO KEC. ILIR BARAT 1 PALEMBANG 0711- 5649090/5229100/5603911| Y Y ALL COVERAGE Sumatera Selatan Palembang POLIKLINIK KENTEN ( Group RS Pertamina Prabumulih) Jl. AKBP Cek Agus Komperta Kenten Timur No. 7. Kel. Duku Kec. Ilir Timur Palembang 0711-368768| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sumatera Selatan Palembang RS. PERTAMINA PLAJU PERTAMEDIKA JL. BERINGIN NO.1 KOMPLEK PERTAMINA PLAJU SUMATERA SELATAN 30268 (0711) 597401| Y Y ALL COVERAGE Sumatera Selatan Prabumulih RS. PERTAMINA PRABUMULIH JL. KESEHATAN, NO.100, KOMPLEK PERTAMINA PRABUMULIH 0713- 383333/382749/322069/382742/382731|(0713) 382731 Y Y ALL COVERAGE Sumatera Selatan Prabumulih RS. AR BUNDA PRABUMULIH JL. ANGKATAN 45, KEL GUNUNG IBUL PRABUMULIH TIMUR 0713-322954, 7003330| Y Y ALL COVERAGE Sumatera Selatan Prabumulih KLINIK PENDOPO ( Gr. Pertamina Prabum ) Jl. Cemara No. 86 Komperta Pendopo 0713-384202| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sumatera Utara Binjai RSU. ARTHA MEDICA JL. SAMANHUDI NO. 22 BINJAI 061-8827277| Y Y ALL COVERAGE Sumatera Utara Binjai RS LATERSIA JL. SOEKARNO HATTA, KM.18 NO.451, BINJAI 061-8829588/8829788| Y Y ALL COVERAGE Sumatera Utara Binjai RS. BIDADARI BINJAI Perintis kemerdekaan no. 174 A Kebun Lada Kota Binjai 061- 8830003| Y Y ALL COVERAGE Sumatera Utara Brastagi RS. EFARINA ETAHAM BRASTAGI JL.JAMIN GINTING, NO.1, DESA RAYA, 0628-323716/17| Y Y ALL COVERAGE Sumatera Utara Langkat RS PERTAMINA PANGKALAN BRANDAN JL.WAHIDIN NO.01 PANGKALAN BRANDAN LANGKAT-SUMUT 0620-322612,322455| Y Y ALL COVERAGE Sumatera Utara Lubuk Pakam RS. GRAND MEDISTRA LUBUK PAKAM JL. RAYA MEDAN-LUBUK PAKAM KM 25 NO. 66 061-7955114| Y Y ALL COVERAGE Sumatera Utara Medan RSU PERMATA BUNDA MEDAN JL. SISINGAMANGARAJA, NO.7 061-7362777| Y N ALL COVERAGE Sumatera Utara Medan RS MATERNA JL. TEUKU UMAR NO.11 061 -4514222| Y Y ALL COVERAGE Sumatera Utara Medan KLINIK SPESIALIS BUNDA JL. SISINGAMANGARAJA NO.17 061 -7321666| N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sumatera Utara Medan RS. ADVENT MEDAN JL. GATOT SUBROTO, KM. 4 061 - 4524875/4574025| Y Y ALL COVERAGE Sumatera Utara Medan RS. COLUMBIA ASIA MEDAN (d/h GLENI MEDAN) JL. LISTRIK 2A Medan 20112 061-4566368| Y Y ALL COVERAGE Sumatera Utara Medan RS. SARI MUTIARA JL. KAPTEN MUSLIM, NO.79 061-8451812| Y Y ALL COVERAGE Sumatera Utara Medan MEDAN MEDICAL CENTRE JL.KOMPLEK MULTATULI INDAH BLOK BB NO.56- 57 061-4535522|061-4535104 N Y GP,SP,OP,DENTAL,LAB,RM- RI,RM-RJ,RM-RG,RM-KM,RM- RB,PHAR Sumatera Utara Medan RS HERNA JL. MAJAPAHIT NO.118A, MEDAN 061 -451 0766|IBU HENI/DR LIMENTA Y Y ALL COVERAGE
  • 13. PROVINSI KAB/KOTA Provider Name Address Tel Number RI RJ Allowed AdMedika National Provider Network Updated : August 2014 Indonesia (Excluding Jabodetabek & Banten) Sumatera Utara Medan RS ISLAM MALAHAYATI JL.DIPENOGORO NO.2-4, MEDAN 061 - 4518766| Y Y ALL COVERAGE Sumatera Utara Medan RSU MARTHA FRISKA JL. KOL. YOS SUDARSO KM.6, NO.91, PULO BRAYAN 061-6610910| Y Y ALL COVERAGE Sumatera Utara Medan RS. ESTOMIHI JL. SISINGAMANGARAJA NO.235 MEDAN 061-7861771,7864656|061- 7864656 Y Y ALL COVERAGE Sumatera Utara Medan RS. NUR SAADAH JL. RAYA MEDAN-TANJUNG MORAWA KM.12 20362 061-7940089/061-7940088| Y Y ALL COVERAGE Sumatera Utara Medan RSU SARAH JL. BAJA RAYA NO. 10 PETISAH 061-4528044| Y Y ALL COVERAGE Sumatera Utara Medan RSIA STELLA MARIS MEDAN JL. SAMANHUDI NO.20 MEDAN 061-4158383| Y Y ALL COVERAGE Sumatera Utara Medan RS IMELDA PEKERJA INDONESIA JL. BILAL NO 24 PULO BRAYAN DARAT I MEDAN TIMUR 061-6610072-6631380| Y Y ALL COVERAGE Sumatera Utara Medan RS MARTHA FRISKA MULTATULI JL. MULTATULI KOMP. MULTATULI INDAH NO 1 MEDAN 061-4149666| Y Y ALL COVERAGE Sumatera Utara Medan RS BUNDA THAMRIN MEDAN JL. SEI BATANG HARI NO. 28/30 MEDAN SUNGGAL 061- 4553928,88813615,4557318,4557218,4553918| Y Y ALL COVERAGE Sumatera Utara Medan RS. MITRA SEJATI MEDAN JL. AH. NASUTION PANGKALAN MAHSYUR No.7, MEDAN 061-7875967/ 7881682| Y Y ALL COVERAGE Sumatera Utara Medan MURNI TEGUH MEMORIAL HOSPITAL JL. JAWA NO. 2 SIMPANG JL VETERAN 061-80501888/777| Y Y ALL COVERAGE Sumatera Utara Medan Sumatera Eye Center Jl. Iskandar No. 278 - 280, Medan 061-4510978| N Y ALL COVERAGE Sumatera Utara Medan RS. DELI JL. MERBABU NO.18-20, MEDAN (061) 4565229| Y Y ALL COVERAGE Sumatera Utara Medan LAB PRODIA JL. LETJEND S PARMAN MEDAN JL. LETJEND S PARMAN NO. 17/223 G LT LI 20153 061-4535731| N Y GP Sumatera Utara Medan LAB PRODIA JL ASIA MEDAN JL. ASIA NO. 115B MEDAN 061-7321260| N Y GP Sumatera Utara Pematang Siantar RS. VITA INSANI JL. MERDEKA, NO.329 0622-22520| Y Y ALL COVERAGE Sumatera Utara Pematang Siantar RS HORAS INSANI JL. MEDAN KM.2,5 PEMATANG SIANTAR 0622- 433444,433877,433666,433777|0622-433777 Y Y ALL COVERAGE Sumatera Utara Pematang Siantar LAB PRODIA PEMATANG SIANTAR JL. MERDEKA NO 37 PEMATANG SIANTAR 0622-22437| N Y GP Sumatera Utara Sibolga RS. METTA MEDIKA Jl. Sutoyo Siswoharjo no.34 Pasar Baru, Sibolga Kota 0631-25006/25007/25008| Y Y ALL COVERAGE