Kediri-faskes Bpjs Ok

DAFTAR FASILITAS KESEHATAN BAGI PESERTA BPJS K KANTOR CABANG UTAMA UTAMA KEDIRI KOTA KEDIRI FASKES TINGKAT PERTAMA 1

2

PUSKESMAS no Nama Fasilitas Kesehatan 1 PKM Kota Wilayah Utara

KD PPK 13 17 01 0 2

Alamat Jl. Sam at!lan"i 12# Ke$iri Jl. Ka%ten &en$ean '7# Ke$iri

2

PKM Kota Wilayah Selatan

1 31 70 10 1

3 + -

PKM (alo)erti PKM Mri*an PKM am%!re/o

1 31 7 01 03 1 31 70 2 01 1 31 70 2 02



PKM S!orame

7

PKM Pesantren 

1 31 70 3 01

Jl. Pol.mam Pol.mam (a*hri ;Ma!ni< No. 113# Ke$iri

' 

PKM Pesantren  PKM Pera)atan N"letih

13 17 03 02 13 17 03 03

Jl. en$ana 30# Ke$iri Jl. aya enton"# Pesantren Ke$iri

KD PPK 1317 13 17U0 U01+ 1+

Alamat Jl.P Jl.PK K (an" (an"sa sa No.2 No.27 7 A Ke$ir e$irii

D4K D4K&E &E UMU UMUM MP P AK& AK&K K MAN MAND D  no Nama Fasilitas Kesehatan 1 $r.5 $r.5i6 i6ii $a $a Ay!

Kel. (alo)erti# Ke*. Kota Jl. Mer,a,! 1# Ke$iri Jl. Dr. Sahar/o 7# Ke$iri Jl. 5eteran# 5eteran# Kel. S!orame# Ke*. Ke*. 1 31 70 2 03 Mo/oroto

2

$r.F $r.Fat athi hiya yah h ohma ohmah h

1317 13 17U0 U011-

Jl.Ma!ni  =1+7 ;(elaan" S. S. (a%tis# Ke$iri<

3

$r.hreslina

1317U01

Jl.>atot S!,roto S!,roto 11 Mri*an# Mo/oroto Mo/oroto Ke$iri

+

$r.D)i N!"erahini

1317U017

Jl.en$ana 7 Sin"one"aran Pesantren Pesantren Ke$iri

-

$r.artati &!na

1317U01'

 7 '  10

$r.D)i Winarni $r.J $r.Jo% o%ie ie $r. (am,an" D/atmio $r. SM. ari/anto $r. A$i S!ri/a

1317U01 1317 13 17U0 U020 20 1317U02+ 0210U00+ 0210U00-

11

$r. &e"ar Fa$eli Arrahma

0210U00

12

$r. a$y War$ana

0210U007

13

$r. &rismari/a$i

0210U00'

Jl. Dhoho No. '+ Setono "e$on" Ke$iri

1+

$r. 9iana)ati

0210U00

Per!m 5illa (!l!re/o (lo J801# (la,a# Kota Ke$iri

1-

$r. Si:era Amelita S ;JS&<

0210U02

Jl Ma Man""a -' -' Kaliom,o Ke$iri

Jl.K. Wahi$ Wahi$ asyim >an"  ( = 3+ A Ke$iri Jl.K!)a Utara No 2- Ke$iri Jl.S! l.S!%e %ers rsem emar ar 13 131 1 Ke$ir e$irii Jl. Wilis M!lia No. '810 Ke$iri Jl. Kyai Mo/o No.  Ke$iri Jl. Dr.S!tomo No. 11 Ke$iri Jl. Mer,a,! 1-' Mri*an# Mo/oroto# Mo/oroto# Ke$iri Jl. Dr. Dr. Sahar/o No. 0# am%!re/o 8 Ke$iri

3

+

1

$r. e enry M!lyono ;J ;JS&<

0210U027

J9 >a >atot S S! !,roto 7 7 Mo Mo/oroto Ke Ke$iri

17

$r. Amalia ;JS&<

0210U02'

J9 ayam W!r! 0 Ke$iri

1'

$r. ?oe etnanin"%!ri ;JS&<

0210U02

1

$r. A$i 9asono

0210U030

J9. $r Sahar/o 233 Po/o Mo/oroto Ke$iri

KD PPK 1317> 1317>00 001 1

Alamat Jl.U Jl.Uri% ri% S!mo S!moha har/ r/o o No. No. 1+ 1+1 1 Ke$iri e$iri Jl.P Jl.P> > Mri* Mri*an an No.No.- Mri* Mri*an an Ke$iri e$iri

D4K D4K&E &E >> >>= =K9 K9N NK K >> >> no Nama Fasilitas Kesehatan 1 $r". $r".S! S!he hert rt!t !tii Soe) Soe)ar arno no 2

$r". $r".? ? atna atna Fe,ria e,riant ntii

1317> 1317>00 002 2

3

$r". $r".Er Erma ma Eti Etia a

1317 13 17>0 >003 03

+

$r". &!t! Win$iyati

-

$r". in rahma)ati ;JS&<

0210>00-



$r". esna)ati ;JS&<

0210>00

K9NK P PA&AMA no Nama Fasilitas Kesehatan



7

Jl. Jl. Dr.S Dr.Sah ahar ar/o /o No 7- A Ke$ir e$irii Jl. Kom,es%ol Kom,es%ol D!ryat 17 ;Poli ;Poli >i"i S 0210>00+ (hyan"ara Ke$iri< J9 ayam W!r! 0 Ke$iri Jl (ri"/en Pol mam (a*hri (a*hri 127 Pesantren Ke$iri

KD PPK

Alamat

2

Klini Sam!$ra !sa$a K!s!ma Klini mam (on/ol

3

Klini Salsa,ila Me$ia

0210(007

Jl. Penan""!n"an No.'7 9ir,oyo Ke$iri

FASKES SKES &K. &K. M M9K &N no Nama Fasilitas Kesehatan 1 (P DK& Ke$iri

KD PPK 0210(00

Alamat Jl May/en S!n"ono ++ A Ke$iri

FAS ASKE KES S &K. &K. M9 M9K K P49 P49 no Nama Fasilitas Kesehatan 1 Polres Ke$iri Kota

KD PPK 0 21 00 10 +

Alamat Jl asan!$in 31833 Ke$iri

1

-

Jl (ri"/en Pol mam (a*hri (a*hri 23' Pesantren Ke$iri

Jl. san$ar M!$a No. 1-# Semam%ir# Ke*. Kota 0210(00- Jl mam (on/ol ' Ke$iri

0210(001

S. KE9AS D PA PA&AMA=UMA AMA=UMA (ESA9N=(A (ESA9N=(A9A 9A PEN>4(A PEN>4(A& &AN no Nama Fasilitas Kesehatan KD PPK

Alamat

J9. Ka%ten &en$ean 13 N"ron""o Ke$iri

1

(P Dhaha Me$ia ;JS&<

0210(00+

2

(P N!sa Me$ia Pesantren Pesantren (ar!

0210(002

Jl. Ma!ni 33+ Pesantren Ke$iri

3

(P N!sa Me$ia Merit/an

0210(003

Jl. Mer,a,! 12 A Mri*an Mo/oroto Ke$iri

FASKES TINGKAT LANJUTAN

1

UMA UMA SAK& SAK& UMUM UMUM PEME PEMEN& N&A= A=PEM PEME EN& N&A A DAE DAEA A no 1

2

3

+



SUD SUD >am, >am,ir iran an

UMA UMA  SA SAK K& M M9K &N &N no Nama Fasilitas Kesehatan 1 SU &N AD & 5

UMA UMA  SAK SAK& M M9K P49 P49  no Nama Fasilitas Kesehatan 1 S (hayan"ara Ke$iri

UMA UMA  SA SAK K& SWAS SWAS& &A no Nama Fasilitas Kesehatan 1

-

Nama Fasilitas Kesehatan

S atih ;JS&<

UMA SA SAK K& KUSUS no Nama Fasilitas Kesehatan 1 S K!sta

KD PPK

Alamat

1317 13 170 001 01

Jl.W Jl.Wah ahi$ i$ asy asyim im No. No.+ + Ke$ir e$irii

021000

Alamat Jl. May/en S!n"ono ++ Ke$iri

1317003

Alamat Jl.Kom,es Pol D!ryat 17 Ke$iri

Alamat Jl Penan""!n"an 32 9ir,oyo Mo/oroto 0210007 Ke$iri

021000-

Alamat Jl. 5eteran +' Ke$iri

K9NK U&AMA=(A9A U&AMA=(A9A KESEA KESEA& &AN MAS?AAK MAS?AAKA A&=PAK&K &=PAK&K D4K&E D4K&E SPESA9S SPESA9S no Nama Fasilitas Kesehatan Alamat 1 N9

FASKES PENUNJANG 1

AP4&EK no Nama Fasilitas Kesehatan 1

A%ot A% ote e >!n! >!n!n" n" A" A"!n !n" "

KD PPK 1317 13 17A0 A000-

Alamat Jl.W Jl.Wah ahi$ i$ asy asyim im No. No.7 7 Ke$ir e$irii

2

2

A%ote 9ir,oyo Farma

3

A%ote K 2+

+

A%ote Joyo,oyo

Jl. Ka%ten &en$ean 13 N"ron""o Ke$iri 0210A01 Jl. Erlan""a 3+ N"a$ire/o Ke$iri

-

A%ote Amanah lahi

0210A001

9A(4A&4UM no Nama Fasilitas Kesehatan

KD PPK

1

3

+

-

9a,oratori!m Ultra Me$ia

4P&K no Nama Fasilitas Kesehatan 1 4%ti nternasional 2 4%ti Sa!$ara 3 4%ti &/ian" + 4%ti ornea - 4%ti Man""a D!a

(DAN=PEAWA& no Nama Fasilitas Kesehatan 1 N9

FASKES PENUNJAN> 9ANN?A no Nama Fasilitas Kesehatan 1 PM Kota Ke$iri

0210A017

Jl. Penan""!n"an 0 Mo/oroto Ke$iri

0210A01'

Jl. >atot S!,roto 11 Mri*an Ke$iri

Alamat

0210900+

Jl. &e!! Umar + Ke$iri

KD PPK 13174001 13174002 13174003 13174000210400

Alamat Jl.P.S!$irman - Ke$iri Jl.Dhoho 1'- Ke$iri Jl.Dhoho 7- Ke$iri Jl.?os S!$arso 20 = 12 Ke$iri Kom%le Dhoho Pla@a D 1 Ke$iri

KD PPK

KD PPK 1317001

Alamat

Alamat Jl Mayor (ismo no 1- Ke$iri

ESEHATAN

&ele%on 03-+8'3227 03-+8''231 03-+8'7+ 03-+877327+ 03-+8772331 03-+877'0+ 03-+8337=03-03-+8'0-03-+8-+3

&ele%on 03-+703+200= 0'-2-'2727+ 03-+8700-0'0 = 0'1133'+2= 0'12317'17'1 0'13310+'03 03-+870222= 0'1232+ 03-+877+711= 0'133--17++ 03-+8-0= 0'1331-7- 03-+87702+7= 0'12-'31' 0'133-7-3--3= 03-+87711' 03-+''+ = 0'123+13-1 03-+'--20= 0'123-120'23313'222 03-+772'= 0'1217+-'-= 0'77-2377-'3 03-+8'21+= 0'123+00-0'1232+33+1 = 0'''+-00'3'-173-''

03-+77220 0'-20+22723 0'133-2- 0'133--33--3

&ele%on 03-+8'2+= 0'133+702 03-+877-303= 0'133-027277= 0'133-110'0 03-+8772''-= 0'12322-2 03-+8'7+0+ = 0'133+-2320+ 0'13-71-10'1211'232

&ele%on 03-+-'= 0'1232+++ 0'77-+'+33' 0'12171-

&ele%on 0'22313'370

&ele%on 0'11331171

&ele%on 0'11331733 03-+--3' 03-+7711

P S

&ele%on 03-+877+++

&ele%on 03-+8'7'01

Nama 1. Setyo,!$i 2. Desy

&ele%on 0'133-72'-3+ 0'-33-3177

3. Dian

0'213+-17

P S Nama

$r" Wahy! Ellya Pro,o)ati

&ele%on 03-+8'+73

Nama

&ele%on

&ele%on 03-+870+12'= 0'1231101771

0'1233-0--+ 0'13-01+++

Nama

&ele%on

0'21+17-12-

P S Nama

$r. S!liyani S!)a$/i

&ele%on

&ele%on

P S

4%erator S atih

&ele%on 03-+8773'-

0'1233-1

P S

1. ma)ati 2. (ihar!l Alimah

0'12--''

&ele%on

Kelas S

&ele%on

0'13307077-0

03-+87710= 0'12330'00'0 03-+8'371= 0'133-1-7 03-+8'133+= 0'133-00 03-+8771'1= 0'-2233-2+'2=0'13310+'03

&ele%on 03-+'+ = 0'113312-2

&ele%on 03-+8'217 = 0'12-2201-2 03-+8'777 = 0'12-'07 03-+8'3332 = 0'133-1'''' 03-+8'1'13 = 0'12--+ 0'13322221

&ele%on

&ele%on 03-+8'072

P (PJS Nama

Kelas S &ele%on

eni Kartia)ati

0'113-107'

P (PJS Nama

&ele%on

Joys Karman

Nama

&ele%on

eni erliana

Nama

Kelas S &ele%on

D

0'113132+

P (PJS

Joys Karman

Kelas S &  = 

0'11323

P (PJS

Nama

Kelas S D

0'113132+

P (PJS

Joys Karman

(

&ele%on

0'113132+

Kelas S 

DAFTAR FASILITAS KESEHATAN BAGI PESERTA BPJS K KANTOR CABANG UTAMA KEDIRI KABUPATEN KEDIRI

FASKES TINGKAT PERTAMA 1

PUSKESMAS no Nama Fasilitas Kesehatan 1 PKM Mo/o 2 PKM N"a$i 3 PKM Semen +

KD PPK Alamat 131'1701 Jl. (es!i No.120# Ke*. Mo/o 131'1702 Jl. .N"a$i No.''# Ke*. Mo/o 131'1-01 Jl. Ar"o Wilis No.127# Ke*. Semen Jl. aya N"a$il!)ih No.'# Ke*. N"a$il!)ih

PKM N"a$il!)ih

131'0101

 7 '  10 11 12

PKM PKM PKM PKM PKM PKM PKM PKM

131'0102 131'0-01 131'0-02 131'0301 131'0302 131'0201 131'0202 131'001

13

PKM Plosolaten

131'1101 Jl. aya (ren""olo# Ke*. Plosolaten

1+

PKM Pran""an"

131'1102 Jl. aya Pare8Wates# Ke*. Plosolaten

1-

PKM >!rah

131'0'01 Jl. Ser!/i No.10. Ds.>!rah# Ke*. >!rah

1 17 1'

PKM A$an8A$an PKM P!n*! PKM Ke%!n"

131'0'02 Jl. aya A$an A$an# Ke*. >!rah 131'0701 Jl. Man""is Ds.P!n*!# Ke*. P!n*! 131'1001 Jl. arin/in" 23# Ke*. Ke%!n"

1

PKM Kelin"

131'1002

20

PKM Kan$an"an

Jl. aya Kan$an"an 3'+ Kelin"# Ke*. Ke%!n" 131'0+01 Jl. Malan" No.10# Ke*. Kan$an"an

21

PKM (en$o

131'102 Jl. S!arno8atta 27 (en$o# Ke*. Pare.

22

PKM Si$ore/o

131'103 Jl. M& aryono 23 Ds.Si$ore/o# Ke*. Pare

23 2+ 2-

PKM Pare PKM (a$as PKM K!n/an"

2

PKM Poh/ara

131'10+ Jl. Weliran" + Ds.Pare# Ke*. Pare 131'101 Ds. (a$as# Ke*. (a$as 131'2001 Ds. Ka%i# Ke*. K!n/an" Jl. aya Pa%ar8Pare Ds. P!h/ara# Ke*. 131'101 Plemahan

27

PKM P!r)oasri

131'1'01

2' 2

PKM S!m,er/o PKM Pa%ar

131'1'02 Ds. S!m,er/o# Ke*. P!r)osari 131'1201 Jl. aya Pa%ar -7# Ke*. Pa%ar

Wonore/o Kras Pelas Sam,i (la,a Wates Si$om!lyo N"an*ar

Ds. Wonore/o# Ke*. N"a$il!)ih Jl. Setya (ati 222# Ke*. Kras Ds. Pelas# Ke*. Kras Jl. aya Sam,i# Ke*. in"inre/o Jl. aya Ke$iri 30+# Ke*. Kan$at Jl. Ds. Wates# Ke*. Wates Ds. Si$om!lyo# Ke*. Wates Jl. Kel!$ Ds. Wates# Ke*. N"an*ar

Jl. aya Kertosono Ds. P!r)oasri# Ke*. P!r)osari

2

30 31 32

PKM Pa"! PKM (an"son"an PKM Kayen Ki$!l

131'1+01 Jl. S!%riya$i ' Ds.Pa"!# Ke*. Pa"! 131'1+02 Ds. (an"son"an# Ke*. Pa"! 01'0001 Ds. Kayen Ki$!l#Ke*. Kayen Ki$!l

33

PKM >am%en"

131'1301

3+ 33 37

PKM PKM PKM PKM

131'1302 131'002 131'001 131'2101

N"asem &iron >ro"ol &aroan

D4K&E UMUM PAK&K MAND no Nama Fasilitas Kesehatan 1 $r.aryanti

Jl. aya >am%en" 12+ # Ke*. >am%en"re/o Ds. N"asem# Ke*. N"asem Jl. aya &iron# Ke*. (anyaan Jl. aya Senore/o# Ke*. >ro"ol Ds. Ke$!n"sari# Ke*. &aroan

KD PPK Alamat 131'U002 Jl.S!arno ata 2 Ke$iri Jl.aya Ke$iri8(litar Ds.(la,a# Ke*.Kan$at Ka,.Ke$iri

2

$r.(!$i Setyono

131'U00+

3

$r.Sri Ari:ah

+

$r.D/atmio 9asono)e$i

131'U02 Jl.9et/en S!toyo No. 2 Pare Jl.Pem!$a No.1#Ds.Kree%# Ke* >!rah# 131'U030 Ke$iri

-

$r.U%i Mari/ati



$r.>A Darma)an

7

$r.Sri M!ntamah

'

$r.4etomo A$i%!tro



$r.(eny S!"ia%ranata ?.

Jl. Kan$an"an# Ds Kelin" e*. Ke%!n" Ke$iri 131'U03- SUD Pare Ka,.Ke$iri

10

$r.Wahi$

131'U03'

11

$r.Di$in S!$iana

131'U03 Jl.os. oroaminoto 32 Pare Ke$iri

12

$r.&!ti Mahanani UD

131'U0+1

13

$r en""ar era)ana

131'U0+2

!mah Dinas PKM Pran""an" Ds. Pran""an" Ke*. Plosolaten

1+

$r. Moh Ali Mashar

131'U0+3

Jl.Kartini No. +7# (o"o Plemahan Ka,.Ke$iri

1-

$r. Mar"ono

01'U012

Jl. aya Pa%ar No.1'# Ds. Pa%ar# Ke*. Pa%ar

1

$r. . &ri an$oyo

01'U013

Jl. Pahla)an 111# Ds.Keta)an"# Ke*.P!r)oasri

17

$r. (intoro)ati

Jl. Kelana 7# Dsn.s!m,ers!o# Ds. 01'U01+ &!n"l!r# Ke*.(a$as P4 (4 112# Pare +211

1'

$r. Pram!sinto

01'U001 Jl. Kel!$ 2- Wates# Ke$iri

1

$r. Ahma$ A:an$i

Jl.Kras 8 Sam,i Ds. (!t!h# Ke*. Kras Ka,. 01'U003 Ke$iri Jl. aya  Ds. Nya)an"an Ke*. Kras

20

$r. Sams!l a$i

01'U00

131'U031 Ds Menan" Ke*. Pa"! Ke$iri Jl. aya Maron (anyaan &.01 W.02# 131'U032 Ds.Maron# Ke*. (anyaan 131'U033 Jl. aya Wonoasri -7 e*. >ro"ol 131'U03+

Jl. aya 2- Ds.&a)an" rt 1 r) 0' e*.Wates

Jl aya N"a$il!)ih No.1 N"a$il!)ih Ke$iri

Jl. aya >am%en"re/o 13# e*.>am%en"re/o

3

Stan$ Pasar Pamenan"# Jl. Ar"o%!ro Nomor 87# Pare# Ka,!%aten Ke$iri

21

$r. hairina osari

01'U007

22

$r. hama K!rnia)an

01'U00'

Jl. Joyo,oyo No. 0+# Ds. Pa$an"an# Ke*. Kayen Ki$!l

23

$r. Ahma$ Fanani

01'U00

Jl. aya e$iri 8 mo/o 23 A Dsn. Klo$ran# Ds. Si$om!lyo# Ke*.Semen

2+

$r. A"!s S!isno

01'U01-

Jl. P.K. (an"sa No. 02# Ds.Pelem Ke*.Pare

2-

$r. . ra$at Soer/ono

0'1U00-

2

$r. mroBat!s Soliah

01'U01

27

$r. ?oyo er! Prasetyo

01'U011 Jl. Ar"o)ilis t.03 ).0'# Semen Ke$iri

2'

$r. ahma$ Santoso ;JS&<

01'U0++

2

$r. A$i% K!s)oro ;JS&<

01'U0+- J9. Joyo,oyo 10 Pa"! Ka, Ke$iri

30

$r. ahma$ D)i M!l/anto ;JS&<

01'U0+ J9. Ke$iri 7 Wates Ka, Ke$iri

31

$r. Ernanti W!lan$ari ;JS&<

01'U0+7 J9. aya Kel!$ 2+7 Wates Ka, Ke$iri

32

$r. A N!"roho P!$/i 9

01'U0+' J9. Dr S!tomo - >!rah Ka, Ke$iri

D4K&E >>=K9NK >> no Nama Fasilitas Kesehatan

KD PPK

!m$in PKM Mo/o# Jl. aya Mo/o 1+-# e*. Mo/o Ke$iri Jl. S!rya Sam,i# Ds. in"inre/o Ke*. in"inre/o# Ka,.Ke$iri

J9. aya (ren""olo 20 Plosolaten Ka, Ke$iri

Alamat Jl.Sam%eyan No.3-# Ds. Pelem Pare8 Ke$iri

1

$r".&a!C Kria Santoso

131'>001

2

$r".S!,a"/o

3

$r".DPA P!s%a

131'>002 Jl.Dr.Wahi$in 33# >!rah Ke$iri Per!m PKM. >ro"ol# Jl. aya Ke$iri8 131'>00+ N"an/! 2 #Sonore/o Ke*.>ro"ol

+

$r".P!$/io Slamet

131'>00- Jl.aya N"a$il!)ih No.1--  N"a$il!)ih

-

$r".ery &/ahyono

131'>007

 7

$r". A"!s Ahma$i#S%.K>A $r". E$inin"tyas &/at!rini

01'>00 Jl. Kel!$ 2-# Ke*. Wates 01'>003 Jl. aya Pa%ar No. 2+# Ke$iri

'

$r". isa >i$asari

01'>00' Jl. aya Peto No. 3'3 Peto Ke*. Mo/o



$r". errina Firmantini

01'>00

10

$r". /. &ri ahay! Eni D.

01'>010 Jl. ?os S!$arso# No.1 &!l!n"re/o# Pare

11

$r". &ri A"!stin etnonin"tyas

01'>011 Jl. S!rya Sam,i# in"ire/o# Ka,.Ke$iri

12

$r". En$ah etno W ;JS&<

01'>012 J9. aya Kel!$ 2+7 Wates Ka, Ke$iri

Jl. aya a/a)ali No. 1+. Ds. &a)an"# Ke*. Wates

Dsn. Kren*en" t.17 ).0-# Ds.Kren*en" No.177# Ke*. Ke%!n"

+

13

$r". &iti D)i W!lan$ari ;JS&<

01'>013 J9. aya Pa"! 101 Pa"! Ka, Ke$iri

1+

$r". Anna Minarti ;JS&<

01'>01+ J9. aya  Nya)an"an Kras Ka, Ke$iri

K9NK PA&AMA no Nama Fasilitas Kesehatan 1 Klini Mitra !sa$a  ;JS&< 2

-



7

Klni S!rya Prima !sa$a ;JS&<

FASKES &K. M9K &N no Nama Fasilitas Kesehatan 1 N9

FASKES &K. M9K P49 no Nama Fasilitas Kesehatan 1 Polres Ke$iri

KD PPK Alamat 01'(001 J9. ?os S!$arso 37 Pare Ka, Ke$iri 01'(002 J9. aya K!n/an" 1 K!n/an" Ka, Ke$iri

KD PPK

Alamat

KD PPK Alamat 01'0002 Jl (hayan"ara ' Pare Ka, Ke$iri

S. KE9AS D PA&AMA=UMA (ESA9N=(A9A PEN>4(A&AN no Nama Fasilitas Kesehatan KD PPK

Alamat

Jl. aya N"a$ire/o Jam,ean Kras Ka, Ke$iri

1

(P N!sa Me$ia N"a$ire/o

01'(000

2

(P N!sa Me$ia S!m,erl!m,!

01'(003 Ds Mar"o!ri% N"an*ar Ka, Ke$iri

3

(P N!sa Me$ia Jen"ol

01'(00+ Ds Plosoi$!l Ke* Plosolaten Ka, Ke$iri

FASKES TINGKAT LANJUTAN 1

UMA SAK& UMUM PEMEN&A=PEMEN&A DAEA no Nama Fasilitas Kesehatan KD PPK Alamat 1 SUD Ka,. Ke$iri 131'001 Jl.P.K..(an"sa N0.1 Pare K$r

2

UMA SAK& M9K &N no Nama Fasilitas Kesehatan

KD PPK

Alamat

1

3

+

N9

UMA SAK& M9K P49 no Nama Fasilitas Kesehatan 1 N9

UMA SAK& SWAS&A no Nama Fasilitas Kesehatan 1 S Siti Kho$i/ah ;JS&<

KD PPK

Alamat

KD PPK Alamat 01'003 Jl $r S!tomo 322 >!rah Ka, Ke$iri

2

S 5A &oeloen"re$/o ;JS&<

01'00+ Jl A ?ani 2- Pare Ka, Ke$iri

3

S Ar"a !sa$a ;JS&<

01'00- Ds (ran""ahan N"a$il!)ih Ka, Ke$iri

+

S A!ra Syi:a

01'002 Jl Joyo,oyo +2 Dlo%o N"asem Ka, Ke$iri

-



UMA SAK& KUSUS no Nama Fasilitas Kesehatan 1 N9

KD PPK

Alamat

K9NK U&AMA=(A9A KESEA&AN MAS?AAKA&=PAK&K D4K&E SPESA9S no Nama Fasilitas Kesehatan KD PPK Alamat 1 N9

FASKES PENUNJANG 1

2

3

+

-

AP4&EK no Nama Fasilitas Kesehatan 1 A%ote Persa$a 

KD PPK Alamat 131'A001 Jl.Ahma$ ?ani No.1 Pare Ke$iri Jl. aya A. Kartini '' Kayenlor Plemahan Ka,. Ke$iri

2

A%ote Nen$ra Farma

01'A011

3

A%ote W!lan

01'A01- Jl. 9et/en S!toyo 2 Pare a,. Ke$iri

+

A%ote (alis Farma

01'A013 Jl. aya 2- &a)an" Wates Ka,. Ke$iri

-

A%ote rma M!lia

01'A01+

Jl. aya N"a$il!)ih 11' N"a$il!)ih Ka,. Ke$iri

KD PPK

Alamat

KD PPK

Alamat

9A(4A&4UM no Nama Fasilitas Kesehatan 1 N9

4P&K no


1

4%ti Prima$ona

131'4001 Jl.W. S!%ratman 7' Pare.Ka,.Ke$iri

2

4%ti Prima$ona 2

01'4002 Jl $r S!tomo 1 Pare Ka, Ke$iri


FASKES PENUNJAN> 9ANN?A no Nama Fasilitas Kesehatan 1

PM Ka, Ke$iri

KD PPK

Alamat

KD PPK

Alamat

131'001 Jl $r. Wahi$in S No 2 Pare Ka,. Ke$iri

ESEHATAN

&ele%on 03-+8+77-'+ 03-+8+1001 03-+877271 03-+8+732+ 03-+832 03-+8+72+ 8 8 03-+8+7'37 03-+8++2+3' 03-+8++31' 03-+8++227 03-+8++301 8 03-+8-+-2+3 8 03-+83+00 03-+83221' 03-+8327020 03-+832230 03-+83311+ 8 03-+8370 03-+83+2'2 03-+8-273 03-+83+113 03-+8-27'2' 8 03-+8-2723

03-+8-+-++3 03-+8-27-0 03-+8'02++ 03-+820' 03-+8773233 03-+877'+'

&ele%on 03-+8'72'-= 0'123+10301 03-+8+770-= 0'1232--133 03-+8312-1= 0'123+3'0+3 03-+8++-11= 0'12-'73 03-+8-+'000= 0'13112+0-0 03-+8772-'7= 0'12-0'37 0'12-71+ 0'-+-1'1717= 0'123-30'203-+83+1'-+= 0'123+33'03-+8++2-1= 0'13-0-002 03-+83-30+= 0'12-++30 03-+8+7+'7= 0'123+3703-+83370= 0'1---'20223 0'133-12'-7 0'123++0173= 03-+8-22+ 03-+-2101= 0'7'-'23011= 0'222-20++ 03-+83+'= 0'113311'+ 03-+8++2217= 0'1-7'2 0'133-'73= 0'-7323 03-+8 203'= 0'12-+10-

03-+311 = 0'133073''2 0'1232+37 03-+77+2 = 0'11331227 03-+8311= 03-+87'+'32= 0'133-+++-37 03-+8+70++= 0'123+0711 0'13--000 0'123-2-'27 0'113313 0'22310''''3 0'133-'+37 0'1--02'200 0'12-1+132

&ele%on 0'123+0+-0 03-+8-+--'= 0'13022020 0'133+2'-'1 03-+8+7271 03-+8+++3+-= 0'133-7112+ 03-+31'= 0'13-'---73 03-+-23-= B0'12307++1 03-++7'713 = 0'123+021-7 03-+833-0= 0'13-22211' 03-+831-+= 0'133-710722 03-+8702-7 = 0'12-13070'12307+

0'133-7-20'2131+'

&ele%on 0'133000001 0'133-37-

&ele%on

&ele%on 0'13-7'-3-

&ele%on 03-++7700

&ele%on

Kelas S (

03-+83171' P S 

$r (inti atna K

0'123+013

P (PJS  S!"iyanti

0'113++-+31

&ele%on

Kelas S

&ele%on

Kelas S

&ele%on 0'133320+23 P S 

Kelas S D

$r. atna Wilian (! Wi/i S!laimah

0'133320+230 0'-73-7-07

P (PJS  Wahy! Kho$ariati

0'123+-70'2

0'12320+1-+ P S 

1. N!ni era)atie# S.Ke%.Ners 2. S!silanin"sih# S.P$ P (PJS  Wahy! Kho$ariati



0'1231032'-

0'123+-70'2

03-++737



P S 

1. En$ah Winarni 2. ?enny Wi$iya S

0'123+1733 0'13-2'+2

P (PJS  S!"iyanti

0'113++-+31

03-+713

D

P S 

Kh!sn!r oC (! Nana P (PJS  &antri N!r ayati

0'-73-+301 0'-23------

0'1133'301

&ele%on

Kelas S

&ele%on

Kelas S

&ele%on 03-+831003= 0'133+1+-'+1 03-+87301= 0'123+1-3 03-+312-1= B0'123+00'7' 03-+87'10+-+= 0'13-0-002 03-+8+777''= 0'11302+-'

&ele%on

&ele%on 03-+8317'' = 0'13317122 03-+3023= 0'13-7-7-7

&ele%on

&ele%on 03-+831'2

DAFTAR FASILITAS KESEHATAN BAGI PESERTA BPJS KE KANTOR CABANG UTAMA KEDIRI KABUPATEN NGANJUK


2

PUSKESMAS no Nama Fasilitas Kesehatan 1 PKM (a"or 2 PKM (aron

KD PPK Alamat 1310301 Jl. aya Ma$i!n No.100# Ke*. (a"or 1311301 Jl. aya (aron No.12+# Ke*. (aron

3

PKM (er,e

1311'01 Jl. Menteri S!%eno No.13-# Ke*. (er,e

+

PKM >on$an"

131001 Jl. Pahla)an No. 0# Ke*. >on$an"

-

PKM Jatialen

131001 Jl. aya Jatialen No.21# Ke*. Jatialen



PKM Kertosono

1311101 Jl. An!so%ati No.+# Ke*. Ketosono

7

PKM 9en"on"

1310'01 Jl. im,a M!lya No.13# Ke*. 9en"on"

' 

PKM 9o*eret PKM N"an/!

1311701 Jl. aya Ke$iri No.'# Ke*. 9o*eret 1310101 Jl. M!si  No. 3# Ke*. N"an/!

10

PKM N"etos

1312001 Jl. Pan"lima S!$irman No.-# Ke*. N"etos

11

PKM N"l!y!

1310701 Jl. Ma/. S!n"ono No.27# Ke*. N"!l!y!

12 13 1+ 11 17

PKM PKM PKM PKM PKM PKM

1311+01 131101 1311001 1311-01 1310-01 131101

1'

PKM S!omoro

1

PKM &an/!n" Anom

Jl. aya N"an/! S!ra,aya Km.-# Ke*. 1310+01 S!omoro 1311201 Jl. A ?ani No. 2-# Ke*. &an/!n"anom

20

PKM Wilan"an

1310201 Jl. aya Ma$i!n No.+0# Ke*. Wilan"an

N"ron"ot Pa*e Patianro)o Pram,on e/oso Sa)ahan

D4K&E UMUM PAK&K MAND no Nama Fasilitas Kesehatan

KD PPK

Jl. Dr.S!tomo No. 1# Ke*. N"ron""ot Jl. N"iran" 8 (er,e No.2# Ke*. Pa*e Jl. aya N"e%!n"# Ke*. Patianro)o Jl. aya San""rahan# Ke*. Pram,on Jl. PU e/oso# Ke*. e/oso Jl. Se$!$o# Ke*. Sa)ahan

Alamat

1

$r. Kristina S!listyo)ati

01'U00

Jl. Dr. Soetomo 3' War!/ayen" e*. &an/!n"anom

2

$r. Nerry inani

01'U017

Jl. Mastri% 1 Ds. Wer!n"oto e*. N"an/!

3

$r. &ien Fari$a ?ani

01'U00-

Jl. aya (o/one"oro Ds. &alan" & 07=02 Ke*. e/oso

+ 3

+



KD PPK

Jl. aya Ke$iri & 03=01 erme Pa*e N"an/!

Alamat

1

$r". onny hen n$ra NK ;JS&<

01'>003 Jl. A ?ani 271 & 03=10 Payaman N"an/!

2

$r". Pritha K!nti Nali (roto

01'>00+

K9NK PA&AMA no Nama Fasilitas Kesehatan

Jl aya Ma$i!n & 01=0- Selore/o (a"or N"an/!

Alamat Jl aya Ma$i!n & 01=0- Selore/o (a"or Klini ShaCra N!%riyanto ;JS&< 01'(00N"an/!

FASKES &K. M9K &N no Nama Fasilitas Kesehatan 1 Poses 0-.10.0 N"an/!

KD PPK

KD PPK Alamat 01'0001 Jl Pan"lima S!$irman 1- N"an/!

FASKES &K. M9K P49 no Nama Fasilitas Kesehatan 1

7

01'U01


1

-

$r. E$i P!r)anto ;JS&<

Polres N"an/!

KD PPK 01'0003

Alamat Jl >atot S!,roto 11 in"inanom N"an/!

S. KE9AS D PA&AMA=UMA (ESA9N=(A9A PEN>4(A&AN no Nama Fasilitas Kesehatan KD PPK Alamat 1 (P Mitra !sa$a  ;JS&< 01'(003 Jl mam (on/ol 2 Kertosono N"an/! Jl (romo 5=3 & 01=01 &an/!n"re/o 9o*eret 2 (P Mitra !sa$a  ;JS&< 01'(00+ N"an/! 3

(P N!sa Me$ia 9estari

01'(002 Jl aya P> 9estari Patianro)o N"an/!


UMA SAK& UMUM PEMEN&A=PEMEN&A DAEA no Nama Fasilitas Kesehatan KD PPK Alamat 1 SUD N"an/! 131001 Jl.Dr.S!tomo 2 N"an/!

2

2

3

UMA SAK& M9K &N no Nama Fasilitas Kesehatan 1 N9

UMA SAK& M9K P49 no Nama Fasilitas Kesehatan 1

+

-



SUD Kertosono

S.(hayan"ara Moesta$/a, N"an/!

UMA SAK& SWAS&A no Nama Fasilitas Kesehatan 1 S Aisyiyah


131002 Jl. S!%riya$i 2 Kertosono#N"

KD PPK

Alamat

KD PPK

Alamat

131003 Jl.A,$!l ahman Saleh No.-

KD PPK Alamat 01'00+ Jl mam (on/ol 20 Payaman N"an/!

KD PPK

Alamat


FASKES PENUNJANG 1

2

3

+

-

AP4&EK no Nama Fasilitas Kesehatan 1 A%ote N"an/! 2 A%ote Kertosono

KD PPK Alamat 131A001 Jl.Dr.S!tomo.73 N"an/! 131A002 Jl.S!%riya$i 0 Kertosono N"an/!

3

A%oti A,iel Pan""!n"

01'A00 J. ?os S!$arso 1 Payaman N"an/!

+

A%oti N!rlita Farma

01'A007


KD PPK

4P&K no 1 2 3 +

Nama Fasilitas Kesehatan 4%ti a%i 4%ti K!rnia Jaya 4%ti Sa!$ara 4%ti Prima$ona



PM Ka, N"an/!

KD PPK 01'4001 131400+ 01'40001'400

Jl. (o/one"oro + &alan" Ke*. e/oso N"an/!

Alamat

Alamat Jl.A.?ani 1- N"an/! Jl.A.?ani 122 Kertosono#N"an/! Jl. A. ?ani 127 Payaman N"an/! Jl. A. ?ani 223 ( Payaman N"an/!

KD PPK

Alamat

KD PPK

Alamat

131001 Jl May/en$ S!n"ono No. 10 N"an/!

SEHATAN

&ele%on 03-'832-'1 03-'8772-+0 03-'832++ 03-'811+32 03-'8-11030 03-'8--3'- 03-'8--3-31 03-'832217 03-'83231+ 03-'832'011 03-'811737 03-'87727 03-'8322+0 03-'8---1 03-'872027 03-'811'0' 03-'832'011 03-'832+111 03-'8772'00 03-'83200

&ele%on 0'133-73+3 0'123137++' 0'12-113'

0'1333373

&ele%on 0'1'-''3'0 0'-7++-3-00

&ele%on 0'21+1-31+1

&ele%on 03-'7'-23

&ele%on 0'21+1-''+

&ele%on 0'133000001 0'133-2'000 03-'--2+'

&ele%on

Kelas S (

03-'82111' P S 

En$an" S!ratmi P (PJS 

0'-2300++2

9isa Se%tiana

0'1131+7

03-'8--111' P S 



1. 4%erator SUD Kertosono

03-'--2-7-

P (PJS  A,$i N!"raha

0'1133'31

&ele%on

Kelas S

&ele%on

Kelas S

03-'8321'

&K 5 = D

P S 

S!harlin

0'123-23'7+

P (PJS  9isa Se%tiana

0'1131+7

&ele%on

Kelas S D

03-'32+02+ P S 

4%erator S Aisyiyah

0'12-22--2-2

P (PJS  9isa Se%tiana

0'1131+7

&ele%on

Kelas S

&ele%on

Kelas S

&ele%on 03-'83212-7= 0'13-700-33 03-'8--1+= 0'12310'+-+' 03-'32'''1 = 0'-20++1'37= 0'2131+' 0'2'3+-0317= B0'123-'-'7''

&ele%on

&ele%on 03-'8321223 = 0'13322731 03-'8--+111 = 0'1233007' 03-'832122= 0'213'0+++ 03-'83270'+= 0'13-1122

&ele%on

&ele%on 03-'832+2

DAFTAR FASILITAS KESEHATAN BAGI PESERTA BPJS K KANTOR CABANG UTAMA KEDIRI KABUPATEN TULUNGAGUNG


PUSKESMAS no Nama Fasilitas Kesehatan

KD PPK

Alamat

1

PKM (es!i

1311301

Jl Niyama Ds.&an""!l)elahan# Ke*. (es!i

2

PKM (esole

1311302

Jl aya Po%oh Ds. (esole# Ke* (es!i

3

PKM (an$!n"

1311201 Jl P. S!$irman No. 1'

+

PKM Pael

1311101 Jl Em%! Sen$o No.-+ Ke*. Pael

-

PKM (an"!nJaya

01'+0001

Jl. aya (an"!n/aya Ds. (an"!n/aya# Ke*. Pael



PKM am%!r$arat

1311001

Jl Kani"oro No.13 Ds. am%!r$arat# Ke*. am%!r$arat

7

PKM &an""!n" >!n!n"

Jl aya &an""!n""!n!n" Ds. 1311+01 &an""!n" >!n!n"# Ke*. &an""!n" >!n!n"

'

PKM Kali$a)ir

1310'01

Jl Melati Ds. Kali$a)ir# Ke*. Kali$a)ir



PKM &!n"""an"ri

1310'02

Jl a$en Fattah DS. &!n""an"ri# Ke*. Kali$a)ir

10

PKM P!*an"la,an

131001

Jl Saran" An"in No 1 Ds. P!*an"la,an# Ke*. P!*an"la,an

11

PKM e/otan"an

131001

Jl Dhoho Ds. e/otan"an# Ke*. e/otan"an

12

PKM (an/are/o

131002 Ds. (an/are/o# Ke*. e/otan"an

13

PKM N"!n!t

1310-01

1+

PKM (aleseno

1310-02 Ds. (aleseno# Ke*. N"!n!t

1-

PKM S!m,er"em%ol

Jl aya S!m,er"em%ol Ds. 1310702 S!m,er$a$i# Ke*. S!m,er >em%ol

1

PKM (en$il)!n"!

1310701

17

PKM (oyolan"!

1310201

Jl aya N"!n!t No.1 &!l!n" A"!n"

Desa (en$il)!n"! # Ke*. S!m,er >em%ol Jl aya (oyolan"! Ds. (oyolan"!# Ke*. (oyolan"!

2

1'

PKM (e/i

13 1 02 02

Jl Mastri% Ds. (e/i# Ke*. Ke*. (oyolan"!

1

PKM &!l!n" A"!n"

1 31 0 10 1

Jl P. P. Di%one"oro No.+2 No.+2 # &!l!n" &!l!n" A"!n"

20

PKM Sem,!n"

13 1 01 02

Jl Moh. atta No.3 No.3 Kel. Kel. Sem,!n"# Ke*. &!l!n" A"!n"

21

PKM Ke$!n")ar!

13 1 0 30 1

Jl Pahla)an Pahla)an  No 0- Ke*. Ke$!n")ar!

22

PKM Simo

13 1 03 02

23

PKM N"antr!

1310+01 Jl aya N"antr! # &!l!n" A"!n"

2+

PKM P!*!n"

1 31  0+ 02

Jl aya P!*!n" P!*!n" Ds. P!*!n"# Ke*. N"antr!

2-

PKM Karan" e/o

1 31 1 ' 01

Jl Dahlia No.13 Ds. Karan"re/o# Ke*. Karan"re/o

2

PKM Ka!man

131101 Jl Ar"oyoo 2 &!l!n" A"!n"

27

PKM >on$an"

1311-01 Jl aya >on$an" # Ke*. >on$an"

2'

PKM &i!$an

01 '+ 00 02

Jl aya &i!$an &i!$an Ds. &i!$an# &i!$an# Ke*. Ke*. >on$an"

2

PKM Pa"er Wo/o

13 1 17 01

Jl aya Pa"er)o/o Pa"er)o/o Ds. M!lyosari# Ke*. Pa"er)o/o

30

PKM Sen$an"

13 1 1 01

31

PKM Dono

0 1' +0 00 3

D4K D4K&E &E UMU UMUM MP P AK& AK&K K MAN MAND D  no Nama Fasilitas Kesehatan

KD PPK

roen$ini No.1- Ds. Simo# Ke*. Ke$!n")ar!

Desa Sen$an" Ds. Sen$an"# Ke*. Sen$an" Jl. aya aya Dono Ds. Dono# Ke*. Ke*. Sen$an"

Alamat

1

$r. ?!nie Si)i astina

SA &risna Me$ia 01'+U001 Jl. Pahla)an No. No. 21 &!l!n"a"!n"

2

$r. (ahr!$in (!$i Santosa

01'+U002

Jl. A"!s Salim No.  &!l!n"a"!n" &!l!n"a"!n"

3

$r. Nanin" Wahy! Fe,riani

01'+U003

Jl. S!%riya$i No. 3' &!l!n"a"!n" &!l!n"a"!n" 21'

+

$r. A"!s S!%ra%to

Dsn. Jatisari t 0- ) 02# Ds. 01'+U00- (!ntaran 1- # Ke*. e/otan"an# e/otan"an# &l. A"!n"

-

$r. ta Fari*a

01'+U032

Ds. >on$an"# Ke*. >on$an"# &!l!n"a"!n" &!l!n"a"!n"



$r. Ninin" Fa/ar)ati Sahara

01'+U00+

Jl. Mayor S!/a$i No.12# No.12# &!l!n"a"!n" &!l!n"a"!n"

7

$r. Dina NoCtria ahay!

01'+U00 Ds. (an"!n/aya e*. Pael

'

!m$in PKM (e/i# Ke*. (oyolan"!. &!l!n"a"!n"

$r. D)i er!)iyono

01'+U007

$r. Emi An$ar!mi

Jl. Jam,! -3# Ds. Ke%!h Ke%!h t.02 01'+U00' ).01# Ke*. (oyolan"!# &!l!n"a"!n" &!l!n"a"!n"

10

$r. Sri Peni An$ayani

01'+U00

11

$r. 5emi M!/iati

01'+U010 !m$in PKM S!m,er"em%ol#

12

$r. Kasil ohma$

01'+U012

13

$r. rna)an

!m$in PKM Ke$!n")ar!# Jl. 01'+U01- Pahl)an =-# Ds. e/oa"!n" e*. Ke$!n")ar!# &!l!n"a"!n"

1+

$r. >r >ra*ia Mir Mira an$a An An$ra)inn inna

01'+U01

Per!m K!rnia Asri Ka68-# Jl. aya N"!/an"# &!l!n"a"!n"

1-

$r. Aris Setia)an

01'+U017

!m$in PKM e/otan"an# Jl. Doho No.1 e/otan"an

1

$r. A*hma$ Ar$ianto

01'+U02

Ds. (oyolan"! t.01 ).01# Ke*. (oyolan"!# &!l!n"a"!n"

17

$r. Mans!r SaCBi

01'+U01'

!m$in PKM (an/are/o Ds. (an/are/o# Ke*. e/otan"an

1'

$r. Fari$a W. Ariany

!m$in PKM (an$!n"# Jl. 01'+U01 P.S!$irman# Ke*. (an$!n"# &!l!n"a"!n" &!l!n"a"!n"

1

$r. Ana era)ati

01'+U020

20

$r. Nani A@i@ah

!m$in PKM Ka!man Jl. 01'+U021 Soearno atta No.2# Ds. (olore/o# Ke*.Ka!man

21

$r. S!)anti Sis)antoro

01'+U022

22

$r. No6i E:ri$ayanti

01'+U031

!m$in PKM Karan"re/o# Jl. Dahlia No. 13# &!l!n"a"!n"

23

$r. (am,an" P!r)anto/o

01'+U023

Ds. Karan"tal!n# Ke*. Kali$a)ir# Ka,. &!l!n"a &!l!n"a"!n" "!n"

2+

$r. ?ay! (!$i ahay!

01'+U02+

Ds. &!n""an" &!n""an"ri ri t01 t 01 ).07# Ke*. Kali$a)ir# &!l!n"a"!n"

2-

$r. Un!s ali,y

01'+U02 Jl. Kani"oro# Ke*. am%!r$arat

2

$r. Dony Wahy! (atisis)oyo

01'+U027

27

$r. er! N!r ahyono

01'+U030



!m$in PKM (en$il)!n"!# Ke*. S!m,er"em%ol

Jl.Dem! 7# e*.N"!n!t# e*.N"!n!t# &!l!n"a"!n" &!l!n"a"!n"

!m$in P!s. (es!i# Jl. Neyama# Ke*. (es!i# &!l!n"a"!n"

Jl. Semer! Ke*. Ke*. Ka!man# &!l!n"a"!n" &!l!n"a"!n"

Jl. Saran"an An"in No. No. 01# P!ser# Ke*. P!*an"la,an !mah Dinas P!s. &an""!n" >!n!n"# 1+ &!l!n"a"!n"

2' 2

3

+

-

01'+U02'

A,! Mar$ah

Jl aya >ra"alan >ra"alan 11 & & 0-=02 01'+U033 &an/!n"sari &an/!n"sari (oyolan"! &!l!n"a"!n" &!l!n"a"!n"

D4K D4K&E > >>=K9NK > >> no Nama Fasilitas Kesehatan

Alamat

1

$r". Satrio Krestiono M.

Jl. aya aya Kali$a)ir # Ds. Pan/ere/o Pan/ere/o 01'+>00 t.0+ ).0'# Ke*. e/otan"an ;(arat Pasar (an/are/o<

2

$r". >!na)an

01'+>007 !m$in P!s. am%!r$arat

3

$r". A"!s Setyono

01'+>00'

Jl. Wilis 3# Ds.Si$ore/o# Ds.Si$ore/o# Ke*.Ka!man

+

$r". ermiyati

01'+>002

Per!m Wisma n$ah A8 32#&!l!n"a"!n"

-

$r". M&. A)anto

01'+>003

Jl. Mayor S!/a$i No. No. 11# t!l!n"a"!n"



$r". ar$i)i$/ayanto Dra/at Sin$!

01'+>00+

Jl. Dem! No. 0'# t.01 t.01 ).01 ).01 9.0+ Ke*. N"!n!t

7

$r". A"!s Dar)ito

01'+>00- !m$in PKM (es!i# Ke*. (es!i

'

$r". Siti Maiyah

01'+>001 Jl. A. ?ani +- &.A"!n"


KD PPK

Alamat

1

Klini &amanan ;JS&<

01'+(001 J9. S!%riya$i 210 &!l!n"a"!n"

2

Klini Kha@anah Me$ia

01'+(002

3

Klini (ale Me$ia

01'+(003

+

Klini &ri8M Me$ia

01'+(00+

FASKES &K &K. M M9K &N &N no Nama Fasilitas Kesehatan 1



!m$in PKM Pa"er)o/o# Jl. aya M!lyosari# Pa"er)o/o

$r. An$i ria)an

Poses 0-.10.0-

FASKES &K &K. M M9K P P4 49

KD PPK 0 1' +0 0 0+

Jl. Dr. Dr. Wahi$in Wahi$in S!$iro !so$o 2 (# &!l!n"a" &!l!n"a"!n" !n" Ds. (alesono t 01=01 Ke*. N"!n!t# &!l!n"a"!n" Jl. &r!no/oyo &r!no/oyo -' N"!/an" e*. e*. Ke$!n")ar!

Alamat Jl Pan"eran Pan"eran Antasari 1Kam%!n"$alem&!l!n"a"!n"

no 1

7

Nama Fasilitas Kesehatan Polres &!l!n"a"!n"

KD PPK Alamat 01'+000- Jl A ?ani  &!l!n"a"!n"

S. KE9AS D PA&AMA=UMA (ESA9N=(A9A PEN>4(A&AN no Nama Fasilitas Kesehatan 1

(P N!sa Me$ia Mo/o%an""oon"

01'+(000

Alamat

P> Mo$/o%an""!n" Ds Si$ore/o Ka!man &!l!n"a"!n"


UMA SAK& UMUM PEMEN&A=PEMEN&A DAEA no Nama Fasilitas Kesehatan KD PPK 1

2

3

SUD $r. sa &!l!n"a"!n"


UMA SAK& M9K P49 no Nama Fasilitas Kesehatan 1

S (hayan"ara &!l!n"a"!n"

Alamat

131001 Jl.Dr.W.S!$iro !so$o &.A"!n"

KD PPK

Alamat

KD PPK

Alamat

01'+00+

Jl.  >!sti N"!rah ai 27 ,a"o &!l!n"a"!n"

+

-



UMA SAK& SWAS&A no Nama Fasilitas Kesehatan

KD PPK

Alamat

1

SU 4r%eha

01'+002

Jl. K. A,$!l Fatah (atan"saren Ka!man

2

S M!ham$iyah (an$!n" ;JS&<

01'+00-

Jl Pan"lima S!$irman +2 (an"$!n" &!l!n"a"!n"

3

S Ma$inah ;JS&<

01'+00

Jl Jati)ayan" 9K 2 N"!n!t &!l!n"a"!n"

+

S Era Me$ia

01'+003

Jl aya P!losari 13 & 01=0+ P!losari N"!n!t &!l!n"a"!n"


KD PPK

Alamat


FASKES PENUNJANG 1

AP4&EK no Nama Fasilitas Kesehatan

KD PPK

Alamat

2

3

+

-

1

A%ote Si$o Waras

131A00+ Jl.Dr.W.S!$iro !so$o 27 &.A"!n"

2

A%ote &ri M Farma

01'+A00

3

A%ote >!n!n" A"!n"

01'+A007 Jl. A. ?ani &im!r - &. A"!n"

+

A%ote Ma$inah (rilliant

01'+A00'


4P&K no


Jl. &r!no/oyo N"!/an" Ke$!n")ar! &. A"!n"

Jl. aya (en$il)!n"! '' S!m,er"em%ol &. A"!n"

KD PPK

Alamat

KD PPK

Alamat

1

4%ti (erin"in

1314001 Jl.P.Di%one"oro 1'1 &!l!n"a"!n"

2

4%ti A. Kasoem

1314002 Jl.A.?ani (arat ' &!l!n"a"!n"

3

4%ti Star

1314003

Jl.(as!i ahma$ 3 &!l!n"a"!n"

+

4%ti Prima$ona

131400+

Jl.?os S!$arso  &amanan&!l!n"a"!n"

-

4%ti 9ensa

131400-

Jl. Pan"lima S!$irman +- > Ke%atihan &!l!n"a"!n"



4%ti n$ra

01'+400

Jl (as!i ahma$ 37 Kenayan &!l!n"a"!n"

7

4%ti Annisa

01'+4007

Jl asyim Ashari + Ka!man &!l!n"a"!n"



PM Ka, &!l!n"a"!n"

KD PPK

Alamat

KD PPK

Alamat

131001 Jl Pahla)an No. 1 &!l!n"a"!n"

SEHATAN

&ele%on 03--8-31-' 03--8-3103--8-3202 03--8-317+2 8 03--8-3112

03--8-1023 03--8-117 03--8-127+ 03--877102103--83--1 03--83220 03--83-33 03--8-12703--8320+11 033-832'-+1 03--832-1'0

03--832210 03--83221' 03--832+'12 03--832''1 03--8320-+0 03--8327212 03--832'3+ 03--832''10 03--8322'-+ 03--832+0+ 8 03--8+11020 03--8+31027 8

&ele%on 0'12327310 03--322-0 = 0'12-'30+ 03--32+72 = 0'13+31'0= 0'133--72-0' 03--71++-+ = 0'123+'320 0'122'03717= 0'12173+1 0'1-'0''2= 0'112-0202 0'-'-+72+-0

0'123-7'77 0'12-2230 0'12171'2+7 0'133-+32007 0'133-'1-33-

03--877002= 0'123+3137

03--32'++1 = 0'1'-01-1= 0'133-'-200 0'12-10-+ 0'12-3'0-0'123171 0'133-7012 03--'7002 = 0'12132'-+= 0'133-+-20'21+3'11' 03--832371+ = 0'123+02-+ 0'1231-+++= 0'13-771731 0'-23-020= 0'1--30 0'123+170+ 0'133-7--2 0'1-+3+-+ 0'1231-+++

0'12+2-230'1232007

&ele%on 0'11302-302

03--8-31'72= 0'133-7-7 0'1--010'0+ 03--3220 = 0'13303017'' 0'12-++11+ 0'1--31+310 0'13+1-2-'' 03--3222'+ = 0'133+-302

&ele%on 0'233-+320 03--832'-+ = 0'12--' 03---127 03--337311

&ele%on 03--32'-3+

&ele%on

&ele%on 0'13313171

&ele%on

Kelas S

03--83220

(

P S 

S!iat!n# SKM En$ah N!raini#SE# M.si Dra. Dyah Wahy!nin"sih S!ryanto# S.Ke%#Ners S!/ianto# S.Ke%#Ners Sri W!rinin"sih# S.St.Ars

0'123+2720 0'1331'0-''0 0'133-7-'7 0'12-1110'123+2'00 0'123+0032'1

P (PJS 

Eana satriani

0'123+27''

&ele%on

Kelas S

&ele%on

Kelas S

03--8331+

5= D

P S 

1. Setianin"sih 2. Di$i P!/i Winaro

0'12-++0+0 0'12-0+'

P (PJS  Eana satriani

0'123+27''

&ele%on

Kelas S

03--83231'



P S 

Dian Pan"esti# AMK# SKM

0'133+772

P (PJS 

atna Diniari

0'133-+0-10

03---3270

D

P S 

D)i ismiati

0'-+-'+13'3

P (PJS 

Eana satriani

0'123+27''

0'123+7''+

D

P S 

Eny P!r)ati# S.KM

0'-230011+

P (PJS 

atna Diniari

0'133-+0-10

03--3'70

D

P S 

1. Nasron

0'133-70222 0'-+-7+-0-'

P (PJS 

Eana satriani

0'123+27''

&ele%on

Kelas S

&ele%on

Kelas S

&ele%on

03--83223= 0'133071'3'' 0'12-1037' 03--8321++1= 0'1232'-1 0'13-33+7

&ele%on

&ele%on 03--8321+ = 0'123207+70 03--8322+2 = 0'12-773 03--8321'3 = 0'1331'2020' 03--832+237 = 0'133-72+23 03--832'32 = 0'133--''-' 03--33-07'= 0'113311'2 03--3271= 0'2302117+32

&ele%on

&ele%on 03--8321-++

DAFTAR FASILITAS KESEHATAN B KANTOR CABANG KABUPATEN T


PUSKESMAS no Nama Fasilitas Kesehatan

KD PPK

1

PKM &ren""ale

131-0101

2

PKM e/o)inan"!n

131-0102

3

PKM (en$!n"an

131-0201

+

PKM Po"alan

131-0301

-

PKM N"!lan K!lon

131-0302



PKM D!renan

131-0+01

7

PKM (ar!har/o

131-0+02

'

PKM Karan"an

131-0-01



PKM S!r!h

131-0-02

10

PKM &!"!

131-001

11

PKM P!*an"ana

131-002

12 13

PKM P!le PKM Kam%a

131-0701 131-0'01

1+

PKM >an$!sari

131-001

1-

PKM Karan" Anyar

131-002

1

PKM Wat!limo

131-1001

17

PKM Sla)e

131-1002

1'

PKM Pan""!l

131-1101

1 20 21

PKM (o$a" PKM Don"o PKM Pan$ean

131-1102 131-1201 131-1202

22

2

3

+

-


131-1301

KD PPK

1

$r.Sar$/ono (asoro# Msi.

131-U001

2

$r. $a oslena

01'3U002

3

$r. atna S!listyo)ati

01'3U00+

+

$r. M!rti !iyan$ari

01'3U007

D4K&E >>=K9NK >> no Nama Fasilitas Kesehatan 1 $r". Girom

KD PPK 131->001


KD PPK

1

Klini Aisyiyah

01'3(002

2

Klini S M!slimat NU

01'3(001

3

Klini A(A !sa$a ;JS&<

01'3(003

FASKES &K. M9K &N no Nama Fasilitas Kesehatan 1



PKM M!n/!n"an

Poses 0-.10.0+ &ren""ale


Polres &ren""ale

KD PPK 01'3000

KD PPK 01'30010

7

S. KE9AS D PA&AMA=UMA (ESA9N=(A9A PEN>4 no Nama Fasilitas Kesehatan KD PPK 1 N9


UMA SAK& UMUM PEMEN&A=PEMEN&A DAEA no Nama Fasilitas Kesehatan KD PPK 1

2

3

+

SUD $r. Soe$omo

131-001


KD PPK


KD PPK

UMA SAK& SWAS&A no Nama Fasilitas Kesehatan 1

S (!$i Asih

KD PPK 01'3002

-




KD PPK

K9NK U&AMA=(A9A KESEA&AN MAS?AAKA&=PAK&K no Nama Fasilitas Kesehatan KD PPK 1 N9

FASKES PENUNJANG 1

2

3

+

-

AP4&EK no Nama Fasilitas Kesehatan 1 A%ote Dharma$a


4P&K no


KD PPK 131-A003

KD PPK

KD PPK

1

4%ti Sinar

01'34001

2

4%ti S!rya n$ah

01'3400+

3

4%ti Annisa

01'3400-

+

4%ti S!,an"

01'3400


FASKES PENUNJAN> 9ANN?A no Nama Fasilitas Kesehatan 1 PM Ka, &ren""ale

KD PPK

KD PPK 131-001

GI PESERTA BPJS KESEHATAN UTAMA KEDIRI ENGGALEK

Alamat Jl. Soearno atta >". am,!tan No.11# &ren""ale Jl. Kan/en" Jimat# Ds. S!osari# Ke*. &ren""ale

&ele%on 03--872137 03--8721'2

Jl. aya S!m!r!%# Ke*. (en$!n"an 03--872+ Jl. aya N"etal# Ke*. Po"alan

03--872-2

Jl. Sri)!lan# N"!lan!lon# Ke*.Po"alan

03--8733'-

t.02 ).01# Ken$alre/o# D!renana Ds. (ar!har/o# Ke*. D!renan Jl. aya Karan"an8Pan"!l. Ke*. Karan"an Kl. o!te Jen$ral Soe$irman# Ke*.S!r!h

03--8'713 03--8'730 03--872++ 03--8733+3

Jl. aya Ponoro"o 8 &ren""ale Km8 03--8723-0 7# &ren""ale Jl. aya Ponoro"o 8 &ren""ale Km8 12# &ren""ale Jl. aya P!le# Ke*.P!le Jl. aya Kam%a8M!n/!n"an Jl. aya >an$!sari8am%a# Ke*. >an$!sari Jl. aya Karan"anyar#Ke*. >an$!sari Jl. aya Pri"i# Ke*. Wat!limo Jl. aya Pri"i t.10 ).01# Ke*. Wat!limo Jl.Pan".S!$irman# Ds. Wono*oyo# Ke*. Pan""!l Ds. (o$a"# Ke*. Pan""!l Jl. aya Don"o# Ke*. Don"o Jl. aya &ren""ale 8 Pan""!l

'1'033'3003--87110003--8310' 03--8'1111' 03--8'112++ 03--8--1107 03--8--120 03--8-1021 03--8-1012 03--8110-+ 0'123+13'

Ds. M!n/!n"an# Ke*. M!n/!n"an

Alamat

03--81007

&ele%on

Jl. Ahma$ ?ani No. 21 A. &ren""ale

03--871+0' = 0'12-'-+33= 0'12-31-+

Ds. N"lon"sor t. 0. ).02# Ke*. &!"!

0'-2333'2-3

Ds. Wonoanti t.2+ ).0 Ke*. >an$!sari

03--'117+3= 0'1'0330+-33=0'130''1+

Jl. &im!r War!n"asem rt 12=0+ 0'1130031-2 Pan""!n"sari D!renan &ren""ale

Alamat Jl. K. A"!s Salim No. 0

Alamat

&ele%on 0'133+7+-2-3

&ele%on

Ds. (en$ore/o Ke*. Po"alan &ren""ale

0'123202-0= 0'-2-''11

Jl. Pan"lima S!$irman 2# t.0' ).03# Kel N"antr!# Ke*. &ren""ale

0'-23-'+0= 0'123+3+111

Jl aya Karan"an KM 7 Karan"an &ren""ale

0'1232''''

Alamat Jl A"!s Salim  S!m,er"e$on" &ren""ale

&ele%on 0'-2-7'-1=03--7 3''7

Alamat Jl Pan"lima S!$irman 2+ &ren""ale

&ele%on 0'13-30'300

A&AN Alamat

&ele%on

Alamat

&ele%on

 Jl.Dr.Soetomo no.1 &ren""ale

Kelas S

03--87111'



P S 

!sti

0'-237333'

P (PJS  Wiharta$i

0'11302''+0

Alamat

&ele%on

Kelas S

Alamat

&ele%on

Kelas S

&ele%on

Kelas S

Alamat Jl May/en S!n"ono '0 &amanan &ren""ale

03--7+0

D

P S 

1.(as!i# AMK 2. elmi

0'12331'- 0'12-21-+12

P (PJS  9iana hoir!l Mala

0'12-202707

Alamat

&ele%on

Kelas S

D4K&E SPESA9S Alamat

&ele%on

Kelas S

Alamat Jl.Dr.Soetomo 1 &ren""ale

&ele%on 03--87111'

Alamat

&ele%on

Alamat

&ele%on

Jl. .A. Kartini No.01 = Kom%le Pasar Pon No.1 &ren""ale

0'12-3172 = 0'133-+7+2+

Jl. Soearno atta 17 Kel!tan &ren""ale

03--87+11= 0'133-727

Jl. Soearno atta 121 Kel!tan & 0+=02 &ren""ale

03--872273= 0'233+1-2+00

Jl. Pan"lima S!$irman 17 &ren""ale

03--73+2

Alamat

Alamat Jl Dr. S!tomo No. 1 &ren""ale

&ele%on

&ele%on 03--873'1

DAFTAR FASILITAS KESEHATAN BAGI PESERTA BPJS KESEHAT KANTOR CABANG UTAMA KEDIRI KOTA BLITAR


2

3

PUSKESMAS no Nama Fasilitas Kesehatan 1 PKM Sana)etan 2

UP&D KESEA&AN KE. SUK4EJ4

13130201 Jl. emara No. 13# (litar

3

PKM (en$o

13130301 Jl. Seray!# (litar


KD PPK

Alamat

1

$r. !sein A,$!l a*hman

1313U002 Jl.mam (on/ol No. '1 (litar

2

$r. N"esti Utomo

1313U003

3

$r. 9!l!s Prasetyo a$i

1313U00 Jl. Kali,rantas No. 7# Kota (litar

+

$r. Dharma Setia)an

0211U00- Jl. &an/!n" No. 117 Kota (litar

-

$r. M!hamma$ M!*hlis

0211U01- S Sy!ha$a a/i Jl. 9eso 12 (litar



$r. Ani Wi$iarti A.

0211U007

7

$r. >alih Dhinin Wi/iarti

0211U00

'

$r. Umroat!n ilaliyah ;JS&<

0211U01 J9. Kali)at! 1+ S!ore/o (litar



$r. Wasin"ah ;JS&<

0211U017

D4K&E >>=K9NK >> no Nama Fasilitas Kesehatan 1

+

KD PPK Alamat 13130101 Jl. S!matra 7# (litar

$r". Sil6ia De)i K!s!ma)ati

K9NK PA&AMA no Nama Fasilitas Kesehatan 1 Klini Amanah

KD PPK

>riya Kenari Asri ( 1-81# Ds >e$o"# Sanan)etan# (litar

(P Mitra Sehat# Jl. emara No. # Kota (litar Jl. ili)!n" 2++# &an""!n"# Kota (litar Per!m P!ri Kenari Asri E81 Sanan)etan (litar

Alamat

Per!m Dimoro Asri A( 7 0211>002 Jl. Kali,rantas Ka!man Ke%an/en Ki$!l Kota (litar

KD PPK Alamat 0211(000 J9. Nias + (litar

-



FASKES &K. M9K &N no Nama Fasilitas Kesehatan 1 Poses 0-.0.03 (litar


7

Polres (litar Kota

KD PPK Alamat 01'-0003 Jl Mer$ea 12 S!ore/o (litar

KD PPK

Alamat Jl Pan"lima S!$irman 17 Ke%an/en 02100102 i$!l (litar

S. KE9AS D PA&AMA=UMA (ESA9N=(A9A PEN>4(A&AN no Nama Fasilitas Kesehatan KD PPK 1 N9

Alamat


UMA SAK& UMUM PEMEN&A=PEMEN&A DAEA no Nama Fasilitas Kesehatan KD PPK Alamat 1 SD Mar$i Wal!yo 1313001 Jl. Kalimantan 113# Kota (litar

2


KD PPK

Alamat


KD PPK

Alamat

3

+

UMA SAK& SWAS&A no Nama Fasilitas Kesehatan 1 S Aminah

KD PPK Alamat 021100+ Jl 5eteran 3 (litar

-




KD PPK

Alamat


FASKES PENUNJANG 1

2

3

+

-

AP4&EK no


KD PPK

Alamat

1

A%ote (litar

1313A001 Jl. Ser!ni no. +3 (litar

2

A%ote P!n$en Sehat

0211A00 Jl. &an/!n" -3 S!ore/o (litar


4P&K no


KD PPK

Alamat

KD PPK

Alamat

1

4%ti n$ra

13134001 Jl.Mer$ea 127 (litar

2

4%ti Al Kas!m

13134002 Jl.Semer! '- (litar

3

4%ti !!n

13134003 Jl.An""re 3 (litar


FASKES PENUNJAN> 9ANN?A no Nama Fasilitas Kesehatan

KD PPK

Alamat

KD PPK

Alamat

1

PM Ko$ya (litar

1313001 Jl Jen$ral S!$irman No. 3 Kota (litar

N

&ele%on 03+28'01-'1 03+28'01771 03+28'0207

&ele%on 03+28'00700= 0'12-20- 03+28'0+11= 0'12-'++' 03+28'1-''7= 0'1231-7'-0'1---3322= 0'12-20-'0 0'1231+237+ 03+28'0-= 0'133-'02233 03+28'1-++-= 0'12301 0'1130+7 0'12-223+0

&ele%on 0'113-127

&ele%on 0'1330-133

&ele%on 0'113+7

&ele%on 0'1330107'

&ele%on

&ele%on 03+28'0111' P S 

Kelas S (

$r M!*hlis

0'1231+237+

P (PJS  Sri Utami

0'11302''23

&ele%on

Kelas S

&ele%on

Kelas S

&ele%on 03+2'130+ P S 

Kelas S

$r Prima en$i

0'113-01 0'-+0'2000

P (PJS  Sri Utami

0'11302''23

&ele%on

Kelas S

&ele%on

Kelas S

&ele%on 03+28'0123= 0'123307+0'' 03+28'03'2+= 0'123-17'7

&ele%on

&ele%on 03+28'03-07 = 0'113311'2 03+28'00+ = 0'12-271'-0 03+28'0202 = 0'-23+130

&ele%on

&ele%on

03+28'0--7

DAFTAR FASILITAS KESEHATAN BAGI PESERTA BPJS KESEH KANTOR CABANG UTAMA KEDIRI KABUPATEN BLITAR


2

PUSKESMAS no Nama Fasilitas Kesehatan 1 PKM >ar!m 2 PKM Kani"oro 3 PKM Sanan!lon + PKM N"le"o PKM Sren"at  PKM Pon""o 7 PKM (a*em ' PKM U$ana)!  PKM Wono$a$i 10 PKM Ka$eman"an 11 PKM (a!n" 12 PKM S!to/ayan 13 PKM Wonotirto

KD PPK 131+0101 131+0201 131+0301 131+0+01 131+0-01 131+001 131+002 131+0701 131+0702 131+0'01 131+001 131+1001 131+1002

Alamat Jl. aya >ar!m# (litar Jl. aya Kani"oro# (litar Ds. Sanan!lon# Ke*. Sanan!lon Jl. Penataran# (litar Jl. aya Sren"at# (litar Ds. Pon""o# Ke* Pon""o Ds. (a*em# Ke*. Pon""o Ds. U$ana)!# Ke*. U$ana)! Ds. Wono$a$i# Ke*. Wono$a$i Jl. &ris!la# (litar Ds. (a!n"# Ke*. (a!n" Ds. S!to/ayan# Ke*. S!to/ayan Ds. Wonotirto# Ke*. Wonotirto

1+

PKM Mar"om!lyo

131+1101 Ds. Mar"om!lyo# Ke*. Pan""!n"re/o

11 17 1' 1 20 21 22 23 2+

PKM PKM PKM PKM PKM PKM PKM PKM PKM PKM

131+1201 131+1301 131+1+01 131+1+02 131+1-01 131+101 131+102 131+1701 131+1702 131+1'01

(inan"!n Wates Wlin"i Selo%!ro Doo Kesam,en (oro >an$!sari Sl!m,!n" &al!n


KD PPK

Jl. S. S!%ria$i 1# (litar Ds. Wates# Ke*. Wates Ds. Wlin"i# Ke*. Wlin"i Ds. Selo%!ro# Ke*. Selo%!tro Ds. Doo# Ke*. Doo Ds. Kesam,en# Ke*. Kesam,en Ds. (oro# Ke*. Selore/o Jl. aya Ka)i -# (litar Ds. Sl!m,!n"# Ke*. >an$!sari Ds. &al!n# Ke*. &al!n

Alamat Jl.S!%aryono (arat No.7 (a/an" Ke*.&al!n (litar

1

$r. Whenny A%rillia Pram!sinta

0'1-U001

2

$r. Eny Prasetyo)ati

01'-U02+

3

$r. Deny hristianto

Jl. aya S!m,er$iren# Ds. 01'-U002 S!m,er$iren t.02 ).02# Ke*. >ar!m# Ka,. (litar

+

$r. A$i ahyo >!na)an

01'-U00+

!m$in PKM (oro Jl. Mer$ea 1 Ds. (oro Ke*. Selore/o

Jl. aya &lo"o 11# Ds. Kani"oro e*.Kani"oro# Ka,. (litar

-

$r. S!tino

01'-U00-

Jl. aya Penataran No. 10# N"le"o# Ka,. (litar



$r. M!/iast!ti

01'-U00

Jl. An""re No. 3# Ds. Sren"at e*. Sren"at# Ka,. (litar

7

$r. /. 9ili En$ah Winarni

01'-U00'

Jl. aya Pol!han# t.03 ).0-# Ds.Ka)e$!san# Ke*.Pon""o

'

$r.an$ri Wiyanto

Jl. aya Ke$iri U$ana)! No.11 01'-U00 Dsn.Mantenan#Ds.S!ore/o# Ke*. U$ana)!



$r. Sas Al)aC

01'-U010

Jl. aya Piatan t.0- ).02# Ke*. Wono$a$i

$r. Mi:tah!l !$a

01'-U011

Jl. &ris!la t.01 ).01# Ds.S!r!h)a$an"# Ke*.Ka$eman"an

11

$r. (oe$i Soe"iono

Jl. aya Utara 3 9in" (!l! Ds. 01'-U013 Kali%an" ;De%an Polse 9o$oyo< e*. S!to/ayan

12

$r. a$i Warsono

01'-U01+

13

$r. Aris Syamsiat!n NisaB

01'-U01-

1+

$r. Anis (itriarno

01'-U01

1-

$r. Sri S!r/antini

01'-U017 Jl. aya Kesam,en 171# Kesam,en

1

$r. M!him Mat!laliyah

01'-U01'

17

$r. ?!$i Winara

01'-U021

Jl. aya Pa"er)o/o ' Ds. Kesam,en e*.Kesam,en

1'

$r. Fitria S!sira)ati

01'-U022

Dsn.Sear$an"an t.02 ).0# Ds. Pa%!n"an# Ke*.Kani"oro

1

$r.SoCana Anis Sahara

01'-U020

(P Klini SoCa Me$ia Ds. Jatiten"ah Ke*. Selo%!ro

20

$r. &!t!t Wahy!nin"!mi  ;JS&< 01'-U02' J9. aya &o"o"an Sren"at Ka, (litar

10

3


KD PPK

9in"!n"an Wonore/o t.0+ ).03# Ds. Kali%an"# Ke*. S!to/ayan Jl. (romo 9in". >!ri$# t.02 ).02#Ds. (a,a$an#Ke*. Wlin"i (P. Dharma !sa$a# Jl.Uri% S!mohar/o 1 A# Wlin"i

Ds. S!ose)!# t.01 ).07# Ke*. >an$!sari

Alamat

1

$r". De)i Utami J!lianti

01'->001

Ds. >a%ran" t.02 ).01# Ke*. Kani"oro

2

$r". En$an" etno)ati

01'->002

Ds. Plosoaran"# t.01 ).0+# Ke*. Sanan!lon

3

$r". Mi"it en""o)ati

01'->003

Jl. &ris!la# Ds. S!r!h)a$an" t.01 ).01# Ke*. Ka$eman"an

+

$r". E6i Dian Kartiasari

01'->00-

-

$r". &ri AsC aCah

01'->00+ Jl. aya Selore/o No.3# Ke*. Selore/o



$r". Desi N!r Ariana

01'->00

K9NK PA&AMA no Nama Fasilitas Kesehatan 1 2

-



7

9in". Men!r t.0+ ).01# Kel. Ka)eron# Ke*. &al!n

+

Klini $r aliya Klini &era !sa$a

FASKES &K. M9K &N no Nama Fasilitas Kesehatan 1 N9

FASKES &K. M9K P49 no Nama Fasilitas Kesehatan 1 Polres (litar

Ds. S!ore/o t.02 ).01# Ke*.S!to/ayan# Ka,.(litar

KD PPK

Alamat Ds.Sloro & 03=01# Ke*. >ar!m# Ka,. 01'-(002 (litar 01'-(003

Ds. N"em,!l t.3 ).3# Ke*. (inan"!n Ka, (litar

KD PPK

Alamat

KD PPK Alamat 01'-000- Jl S!matra + Sanan)etan (litar

S. KE9AS D PA&AMA=UMA (ESA9N=(A9A PEN>4(A&AN no Nama Fasilitas Kesehatan KD PPK 1

(P( An NisaaB

01'-(001

Alamat

Jl. >a/ah Ma$a No. --# Kel.Wlin"i t. 01 ).0+# Ke*. Wlin"i# Ka,. (litar


UMA SAK& UMUM PEMEN&A=PEMEN&A DAEA no Nama Fasilitas Kesehatan KD PPK Alamat 1 SUD N"!$i Wal!yo 131+001 Jl.Dr.S!*i%to no.- Wlin"i#(litar

2

3

+

-




KD PPK

Alamat


KD PPK

Alamat

KD PPK

Alamat

UMA SAK& SWAS&A no Nama Fasilitas Kesehatan 1

S An Nissa

01'-003 Jl S!%aryono tim!r 1 tal!n Ka, (litar

2

S A!lia

01'-00+

3

S Anan$a

01'-00- Jl Mastri% 1+ Sren"at Ka, (litar


KD PPK

Jl aya Utara 3 Kem,an" Ar!m S!to/ayan Ka, (litar

Alamat


FASKES PENUNJANG

1

2

3

AP4&EK no Nama Fasilitas Kesehatan

-

Alamat

1

A%ote Dr. sman"il 

131+A002 Jl. Dr. S!*i%to  Wlin"i Ka,.(litar

2

A%ote Dharma Asih

01'-A003


4P&K no 1

+

KD PPK


4%ti Ar!m


FASKES PENUNJAN> 9ANN?A no Nama Fasilitas Kesehatan 1 PM Ka, (litar

Jl. Uri% S!mohar/o1 A (er! Wlin"i Ka,. (litar

KD PPK

Alamat

KD PPK

Alamat

131+4002 Jl.A. ?ani 2' (er! Wlin"i Ka,.(litar

KD PPK

Alamat

KD PPK Alamat 131+001 Jl Ahma$ ?ani No.  Ka, (litar

TAN

&ele%on 03+28-10'1 03+28++12+7 03+28'0-- 03+28-100' 03+28--111' 03+28--120 03+28--1'+0 03+28--1+1' 03+28--1+7 03+28'0113 03+28'027 03+28++1012 03+28'0+32 03+28'0+32 03+283-100 03+283-10' 03+2811++ 03+28-3'1 03+28211' 03+28331-33 03+28770'271 03+28201 03+28201 03+281032

&ele%on 0'121-0271 03+28332+7= 0'133+3233 03+2877721+0 = 0'1233-1203 0'123310'1'

03+28-12-0 = 0'133''''0 0'133+7-07 03+28--20'7= 0'13337+++1+ 0'13-207'2 0'12331113 0'133+33377

03+28++17-0 = 0'1---72737 03+28++17' = 0'12-2+3011 0'133+121-3 03+28212 = 0'133++'+'11 0'170-0+''0 0'133333311' 03+28307 = 0'12332+2++= 0'1233-1272 03+28'02+1 = 0'12-2+727++ 0'12-2327+0'1217201-2

&ele%on 0'123310+-3 0'133--701 0'12-2+2370

0'1233-1'7 0'13-70-3-1 0'133+'13-

&ele%on 03+2+-+22 03+28'31'= 0'1332-3+-

&ele%on

&ele%on 03+2'03'0

&ele%on 03+28307 = 0'12332+2++

&ele%on 03+28100 P S 

Kelas S (

$r Ani Wi$iarti

0'133--701

P (PJS  Emy Wi$ayani

0'1----77

&ele%on

Kelas S

&ele%on

Kelas S

&ele%on

Kelas S

03+22

D

P S 

Erna

0'222---++7

P (PJS  Emy Wi$ayani

0'1----77

03+2+++1'

D

P S 

Wil$an

0'-7+72----

P (PJS  SoCa Prati)i

0'1133'31-

03+2--3+72 P S 

D

Win$arti

0'-++'+0

P (PJS  S!$arma$/i

0'113-22-'-

&ele%on

Kelas S

&ele%on

Kelas S

Kediri-faskes Bpjs Ok

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