| # | Nama Rumah Sakit | Kode Rumah Sakit | Jenis Rumah Sakit | |||
|---|---|---|---|---|---|---|
| 1 | RSIA SEPATAN MULIA | 3603189 | RSIA | |||
| 2 | RSU Setia Budi | 1508002 | RSU | |||
| 3 | RS MEDIKA UTAMA | 3505043 | RSU | |||
| 4 | RS Siti Miriam | 3507100S | ||||
| 5 | Rumah Sakit Jiwa Naimata | 5371059 | RSU | |||
| 6 | UPT RS NYITDAH | 5102047 | RSU | |||
| 7 | UPT RS NYITDAH | 5102047 | RSU | |||
| 8 | RSIA PERMATA PERTIWI | 3201250 | RSIA | |||
| 9 | RS Citra Medika Lamongan | 3524048 | RSK | |||
| 10 | RSIA Paramount | 7371428 | RSIA | |||