LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
RI
RJ
FLAG
Status
Allowed
Emails
BALI DENPASAR 1
0870
RSU. KERTHA USADA
JL. CENDRAWASIH, NO.57, SINGARAJA
BPK.PUTU WILANTARI /SYLVIE MARKETING YULIASARI B.BUS
0362-26277/8|
0362-22741
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
2
1451
RSU. PARAMA SIDHI
JL. A.YANI NO.171A
BPK. DERMAWAN/ IBU SUCI
MARKETING
0362-29787, 32701,22426,| 0362-29787
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
marketing_balimedhospital@yah oo.com
DENPASAR 3
1047
RS. BALI MEDISTRA ( BALIMED )
JL. MAHENDRADATTA, NO.57X, DENPASAR
BPK KRISNA
Marketing
0361-484748, 0361482281,8450771, 8450772| 8450773,8450770
Y
Y
Y
ACTIVE
ALL COVERAGE
4
0864
KLINIK & APOTEK KF 34 DENPASAR
JL. DIPONEGORO NO.125, DENPASAR
BPK WISMAYA
KOORDINATOR
0361-225555/227811-12-|- 0361-223433
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
5
3455
APOTIK KIMIA FARMA NO.66 PATIMURA
JL. PATIMURA NO.59 DENPASAR
-
-
0361-234797|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
6
2599
KLINIK & APOTEK KF 82
JL. KARTIKA PLAZA, NO.67, KUTA-BALI
DRS. SANGKAN MULYANTO ,APT
-
0361 757196|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
7
2600
KLINIK & APOTEK KF 236
JL. DANAU BATUR RAYA, TM GRIYA, JIMBARAN
DRS. AJI PAMUNGKAS,APT
-
0361 8479785|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
8
1150
RSIA. PURI BUNDA
JL. GATOT SUBROTO VI, NO.19
IBU ONI / LIRA
MARKETING
0361-437999|
0361-433988
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/dek_onik@ yahoo.co.id
1245
RSU. SURYA HUSADHA UBUNG
JL. COKROAMINOTO, NO.356, DENPASAR
KARMILA DEWI
MARKETING
0361-425744|
0361-430557
Y
Y
Y
ACTIVE
ALL COVERAGE
-
10
1202
KLINIK MERDEKA MEDICAL CENTER (MMC)
MERDEKA VIII/2 TANJUNG BUNGKAKDENPASAR
11
1273
RS. SURYA HUSADHA
JL. PULAU SERANGAN,NO.7, DENPASAR KARMILA DEWI
9
12 13
14 15 16 17
1309 1146
1463 0220 0179 0140
-
-
0361-233790|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING
0361-233787|
0361-231177
Y
Y
Y
ACTIVE
ALL COVERAGE
marketingsuryahusadha@gmail. com;
JL. TANTULAR NO 6 RENON DENPASAR IBU LILIK SHANTINI MARKETING
0361- 247499/222588|
0361226051/226052
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RSU. BHAKTI RAHAYU DENPASAR
JL. GATOT SUBROTO II, NO.11
0361430270,430245,7420673|
0361-263371
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
KLINIK PENTA MEDIKA
JL. TEUKU UMAR BARATMARLBORO,NO.88
BALI ROYAL HOSPITAL ( BROS )
RS. PRIMA MEDIKA RSU. KASIH IBU DENPASAR
JL. PULAU SERANGAN, 9X
I KETUT SUSANA
BPK BAGUS
DR.SATRY WIBAWA DR.DIAN EKAWATI
MARKETING
CLINIC MANAGER MARKETING
JL. TEUKU UMAR, NO.120
IBU EKA
MARKETING
RS. MANUABA
JL. HOS. COKROAMINOTO, NO.28
BPK. GEDE / IBU LODE
KEUANGAN
0361-7446144/490709|
0361 - 490708
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]/billing RJ,RM-RG,RM-KM,RM-RB,PHAR @pentamedica.com
0361 - 236225/257445|
0361236203/262535
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] om
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/manua
[email protected] [email protected]
0361223036/3003030/08214680 0361-238690 6677| 03610361-426393| 285183/429447
18
0221
RS. PURI RAHARJA
JL. WR.SUPRATMAN, NO.14-19, DENPASAR
IBU.I NYOMAN
MARKETING
0361-222013|
0361-242537
Y
Y
Y
ACTIVE
ALL COVERAGE
19
0867
KIMIA FARMA HEALTHCARE DENPASAR
JL. DIPONEGORO NO.125, DENPASAR
IBU NI KADEK BAGIANI
KOORDINATOR
0361-255914-|-
0361-255914
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] / RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
0361-974573
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] [email protected]
GIANYAR 20
1761
RS. ARI CANTI GIANYAR
JL. RAYA MAS UBUD GIANYAR
DR. IKA / NGURAH
MARKETING
0361-974573|
21
3549
RSU. SANJIWANI GIANYAR
JL. CIUNG WANARA N0.2 GIANYAR
WAYAN
KASUBID UMUM
0361-943049|
22
4075
RSU. PREMAGANA
JL. HAYANG SANGSI NO.2 PERUM CHANDRA AYU, BANJAR TUBUH, BATU BULAN - SUKAWATI
AGUNG BRAHMA / KADEK
MARKETING
0361-296328/ 296389 / 082144049401|
0361-295246
Y
Y
Y
ACTIVE
ALL COVERAGE
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
marketing.rsbalimedkarangasem @gmail.com
-
KARANGASEM 23
2301
KLINIK PENTA MEDICA CANDIDASA
JL. RAYA MANGGIS NO. 88, KAB. KARANGASEM, BALI
BPK DEDI
-
0363-41909|
24
4252
RS. BALIMED KARANGASEM
JL. NENAS KECICANG BEBANDEM, KARANGASEM, BALI
CRISTIN CAROLINA (082236282821
-
(0363) 4301618|
KLUNGKUNG 25
1893
RS. BINTANG
JL. NGURAH RAI NO. 36 KLUNGKUNG IBU ARI BALI
MARKETING
0366-25241|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
KUTA 26
1492
KLINIK KASIH IBU
KOMPLEKS PERUM BUMI DALUNG PERMAI, BLOK C1-C4
IBU PUTRI/YANTI
MARKETING
0361-422150|
0361-422179
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
27
1138
RSU. KASIH IBU KEDONGANAN
JL. ULUWATU, NO.69A, KEDONGANAN
IBU FRISA
MARKETING
0361-703270|
0361-703329
Y
Y
Y
ACTIVE
ALL COVERAGE
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
1
frisa.andarina@kasihibuhospital. com
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
28
0875
KLINIK MANUABA
JL. RAYA KUTA - TUBAN
DR.FAJAR MANUABA KOORDINATOR
0361-754748|
0361-227228
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]/manua RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
29
1909
SILOAM HOSPITALS BALI
JL. SUNSET ROAD NO. 818, KUTA
IBU NETTY
Marketing
0361-779900|
0361-779933
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] om
RSU. SURYA HUSADHA NUSA DUA
JL. SILIGITA, BLOK 1, NO.14
KARMILA DEWI
MARKETING
0361-775827|
0361-771388
Y
Y
Y
ACTIVE
ALL COVERAGE
-
-
0361 778555|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
NUSA DUA 30
1359
31
2603
KLINIK & APOTEK KF 126
JL. BY PASS NGURAH RAI NO 890,NUSA DRS. AJI DUA SUTARMAJI,APT
32
0222
KLINIK PRIMA MEDIKA
JL. BY PASS NGURAH RAI, PERTOKOAN IBU LUH GEDE NIAGA, NO.81 DARWATI
KOORDINATOR
0361-770509|
0361-770509
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
KLINIK REMEDIUM CARE
JL. BY PASS NGURAH RAI NO.243
IBU DELLA
DIREKTUR
0361-288860|
0361-287970
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RS. WISMA PRASANTI
JL. YAH GANGGA NO. 9 TABANAN , BALI
BPK AGUNG MAYUN/ MARKETING/Direkt 0361-8043219/810555| DR. IGE RAY WIJAYA ur
0361-812454
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
2133
RSU. KASIH IBU TABANAN
JL. FLAMBOYAN NO. 9 ( KAMPUNG KODOK )
DR. BOANA
0361-3005758
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
3456
APOTIK & KLINIK KIMIA FARMA.102 TABANAN
JL. NGURAH RAI NO.74 A TABANAN
-
-
0361-810524|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
UBUD CLINIC
JL. TJAMPUHAN, NO.36, P.O.BOX 10, UBUD, GIANYAR
DR.I.WAYAN SUANDHI ARYANA/ AGUNG
KOORDINATOR
0361-974911|
0361-974910
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
IBU IRNA RAWATI
MARKETING
0717-4297825, 4297834|
0717-4297824
Y
Y
Y
ACTIVE
ALL COVERAGE
SANUR 34
1248
TABANAN 35 36 37
1714
MARKETING
0361-3005757|
UBUD 38
0224
BANGKA BELITUNG
BANGKA INDUK 39
2148
RS. ARSANI
JL. RAYA AIR KENANGA KEC. SUNGAI LIAT KAB. BANGKA BLITUNG
KLINIK UTAMA BELITUNG
JL. MERDEKA NO. 27 TANJUNGPANDAN IBU ETA BELITUNG
MARKETING
0719-25526|
71925600
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];rsk_
[email protected] [email protected]
[email protected]
BELITUNG 40
1928
PANGKAL PINANG 41
1443
RS. KHATOLIK BHAKTI WARA
JL. SUNGAI SELAN, KM.4, NO.180
BPK.OCTAVIANUS
Marketing
0717-422605|
0717-424314
42
1508
RS. MEDIKA STANNIA
JL. JEND.SUDIRMAN, NO.3, SUNGAI LIAT
IBU LIA/ BP BUDI/ IBU RIDA
ADMINISTRASI
0717-95837/93335|
0717-953335
Y
Y
Y
ACTIVE
ALL COVERAGE
43
0900
SUN CLINIC
EL-JOHN PLAZA, JL. SUKARNO HATTA, NO.208
DIAH
KOORDINATOR
0717-4297888-|-
0717-439488
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
44
1230
RS. BAKTI TIMAH PANGKAL PINANG
JL. BUKIT BARU NO.1 PANGKAL PINANG
BP HERI
MARKETING
0717-421091|
0717-424212
Y
Y
Y
ACTIVE
ALL COVERAGE
BANTEN
[email protected];
[email protected]
CILEGON 45
0995
KLINIK & APOTIK WARINGIN
JL. RAYA WARINGIN KURUNG SERDANG DR MONITA / DIANA koordinator SERANG
0254310609/085215480711-|-
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
46
1943
KLINIK MUTIARA BUNDA
JL. S.A TIRTAYASA NO. 86, CILEGON
-
0254-399968|
0254399989/376454
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
47
1815
KLINIK INSAN PRIMA
RUKO CILEGON CITY SQUARE BLOK I-8, DRG. LUSI CILEGON
Owner
0254-393 197|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
48
2780
KLINIK GRIYA SEHAT
PERUMAHAN GRIYA CILEGON BLOK D67 KEL.WARINGIN KURUNGI, DR.RETNO KEC.KRAMATWATU 42161
Pemilik/Finance
0254-388501|
0254-388501
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
49
4327
KLINIK ISNA MEDIKA
JL. RAYA MERAK KM.8 KESERANGAN KEL. RAWA ARUM KEC. GROGOL, CILEGON, BANTEN
-
-
0254-573756|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
50
0915
RS. KRAKATAU MEDIKA
JL. SEMANG RAYA - CILEGON
IBU YATI
MARKETING
0254-3963330254372123|0254-372123
0254391972/374010
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/ruhiyat@rskmd .com
BPK.RIFAI
MARKETING
0254399988/376888/399968-|-
0254-376454
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] d/@ymail.com
BPK MAKHBUD NAHDI
ADMINISTRASI
0254-391307-|-
0254-391307
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
51
0939
RSIA. MUTIARA BUNDA CILEGON
JL. SA TIRTAYASA RUKO MAISONETTE BLOK B 1-2 SIMPANG TIGA CILEGON
52
0121
KLINIK AMALIA
JL. S.A TIRTAYASA NO.7
-
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
2
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
53
0057
KLINIK ALFINA
RUKO PONDOK CILEGON INDAH, BLOK KK1, NO.7-8
BIDAN ATUL/ERNA
KEUANGAN
0254-383116|
0254-377377
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
54
0129
APOTIK LABORA FARMA
JL. ALUN-ALUN UTARA, NO.23
DR. BUI MIN / DR. MERRY CHANDRA
KEUANGAN
0254-391695|
0254-374278
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
55
2335
KLINIK EDI MEDIKA
RUKO EDI TOSERB. A, JL. RAYA MERAK 88 CILEGON, BANTEN 42431
IBU DIAN
KOORDINATOR
0254-383080|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
56
0951
KLINIK & APOTEK KF 140
JL. S.A. TIRTAYASA NO 12
DR AGUS CAHYANA
KOORDINATOR
0254-392278-|-
0254-399173
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
57
0985
RSIA. KURNIA CILEGON
JL. JOMBANG MASJID NO.4
IBU.TRI
MARKETING
0254-391161|-
0254396489,397023
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/
[email protected]
58
1254
RB & KLINIK AFINA
JL. RAMBUTAN 12, PAGEBANGAN CILEGON
IBU DESI
PENGELOLA
0254-392568|
0254-392568
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
59
1403
KLINIK KELUARGA PULO AMPEL
JL. SALIRA INDAH DS.SUMURANJA PULOAMPEL
DR. RACHMI
Pimpinan
0254-5751100 / 0254 572100|
0254-5751100
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
60
1536
KLINIK & APOTIK KOTA BAJA
JL. S.A. TIRTAYASA, NO.115
BPK.SYAHRIZAL/IBU KOORDINATOR OPI
0254-391822|
0254392346/391822
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
61
1298
KLINIK IKHLAS MEDIKA IV
PONDOK CILEGON INDAH ( PCI ) BLOK A 19/10 CILEGON
DR. TETI ENDRIANI
-
0254-7061935|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
62
0302
KLINIK ANANDA CILEGON
JL. R. SUPRAPTO KM.8
DR. MOCH. PROKOSO
KEUANGAN
0254-310609|
0254-310821
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
63
0320
KLINIK BONA MEDIKA
FESTIVAL RUKO, BLOK B10-11, BONAKARTA
DRG. ANE
MARKETING
0254-387684|
0254-386699
N
Y
Y
ACTIVE
ALL COVERAGE
0595
APOTIK & KLINIK PRIMA HUSADA CILEGON
RUKO CILEGON CITY SQUARE ( SAMPING GIANT-PCI) BLOK B3;5 E3;5
IBU IDA
MARKETING/KEUA NGAN
0254 - 399933/3998560254 0254-399928 - 391677|0254 - 391677
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
64
[email protected]
[email protected]
PANDEGLANG 65
1764
KLINIK ALFURQON
JL. RAYA LABUAN KM 2 TOROGONG MARGASANA - PANDEGLANG
IBU ELIS / DR FURQON
KEUANGAN / PEMILIK
0253-803777|
0253-501313
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
66
0997
KLINIK DIFFA
JL. RAYA LAB. UAN KM.12 CIPUTRI MENES
BPK DIDI/ HERRY
PEMILIK/ADMIN
0253-502161-|-
0253-502160
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RANGKASBITUNG 67
1084
RS. MISI LEBAK
JL. MULTATULI NO.41
IBU YENI
MARKETING
0252-201014-|-
0252-203390
Y
Y
Y
ACTIVE
ALL COVERAGE
68
0658
KLINIK SEHAT RABINZA
JL. HADIWINANGUN, PERTOKOAN RABINZA, BLOK B1-2
IBU MURTINI
KOORDINATOR
0252-280023|
0252-280023
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
69
3141
KLINIK DAN APOTEK MEDIKA
JL. AHMAD YANI RANCASEMA RANGKASBITUNG, BANTEN
DR. DIANA
-
0252-209975|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
SERANG 70
2413
KLINIK ANDRI MEDISTRA
JL. N. RAYA SERANG JAKARTA KM 8 CIRUAS, SERANG - BANTEN
DR. ANDRI
PEMILIK
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
71
2726
KLINIK & APOTEK KF 253
JL. YUSUF MARTADILAGA NO. 114 SERANG- BANTEN
-
-
0254-211447|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
72
2414
KLINIK JANNAH
JL. KH.ABDUL HADI NO.13 KEBUN JAHE DR JANNAH SERANG, KAB.BANTEN
-
0254-209321|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
73
3993
RS. KURNIA SERANG
-
0254-232648|
0254-8235050
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
74
3985
-
0254233317|
-
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
75
2392
KLINIK & APOTIK BONA SERANG
JL. RAYA SERANG - CILEGON RUKO LEGOK SUKMAJAYA NO. 5A1 SERANG
BPK HERI
-
0254-228005/ 287684|
0254-205906
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
76
2336
KLINIK TIARA DENTAL
JL. RAYA WARINGIN KURUNG, RUKO NUSA RESIDENCE KAV.R NO.19 DESA MARGATANI KEC. KRAMATWATU, SERANG
BPK AGUS
KOORDINATOR
0254-8482203|
0254-5751349
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
77
2608
KLINIK & APOTEK KF SERANG BARU
JL. AHMAD YANI NO. 57,SERANG
NURUL FAHMI HAYATI,S.FAR, APT
-
0254 211065|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
78
0984
KLINIK CIJAWA MEDIKA
JL. KH. A. FATAH HASAN NO.8
DR. L. P. PIRGAYANI KOORDINATOR
0254-204735 / 08128521336-|-
0254-204735
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
79
1126
KLINIK KRAKATAU MEDIKA SERANG
JL. TB SUWANDI, KAV KEMUNING NO. 1 IBU NINA LINGKAR SELATAN KEC SERANG
0254-204407|
0254-221397
N
Y
Y
ACTIVE
ALL COVERAGE
JL. RAYA CILEGON KM.8, DESA IBUTRI RAHMISIVA KRAMATWATU SERANG - BANTEN KOMP.PEJATEN MAS BLOK C/1 PEJATEN KLINIK & APOTEK MURASAKI MEDIKA DR.WARIH ANJANI KEC.WATU-BANTEN
PENANGGUNG JAWAB
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
3
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
1272
RS. SARI ASIH SERANG
82
1489
RS. HERMINA CIRUAS (D/H RS. CITRA MEDIKA CIRUAS
JL. GRIYA PURNAMA NO 99 TEGAL PADANG LEGOK, SERANG BANTEN 42162 JL. JEND.SUDIRMAN, NO.38, PENANCANGAN, CIPOCOK JL. RAYA SERANG KM.9 DS.RANJENG CIRUAS
IBU ENENG
Marketing
0254-281829|
0254-281845
Y
Y
Y
ACTIVE
ALL COVERAGE
83
0716
RSIA. BUDI ASIH
JL. K.H. SOHARI, NO.39
IBU HELMI APRIANTI/ BPK. ZULKIFLI
MARKETING
0254-212484|
0254-208583
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
84
0115
KLINIK SERANG MEDIKA
JL. RAYA SERANG CILEGON RUKO LEGOK SUKMAJAYA BLOK 5C NO.1
DR. SYAMSIR
KEUANGAN
0254-223992|
0254-223992
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
KOORDINATOR
0254-600933/605141/ 081905180805-|-
PENANGGUNGJAW 0254-207918-|AB
80 81
1414
RSIA. PURI GRACIA
BPK. HANS
MARKETING
0254-223333|
0254-223786;
Y
Y
Y
ACTIVE
ALL COVERAGE
BPK.AGUNG/BPK.SA MARKETING HRUL
0254-220022|
0254-220345
Y
Y
Y
ACTIVE
ALL COVERAGE
85
1004
KLINIK WISATA MEDIKA
JL. RAYA ANYER NO.9
DR SUTADI / IBU ENDANG
86
1008
KLINIK IKHLAS MEDIKA 1
KOMPLEK BUMI AGUNG PERMAI 1,NO. DI/6
DR. TETI ENDRIANI
87
1009
KLINIK IKHLAS MEDIKA 2
JL. RAYA SERANG - JAKARTA (DEPAN KAMPUS UNTIRTA)
88
0937
KLINIK MODERN MEDIKA CIKANDE
89
0941
KLINIK MODERN MEDIKA KRAGILAN
[email protected] [email protected]/aramda
[email protected] [email protected] m
0254-605141
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0254-281676
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
DR.TETI ENDRIANI / PENANGGUNGJAW 0254-284937-|BPK AHMAD AB /ADM
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JL. RAYA SERANG KM.68 RUKO B6 CIKANDE SERANG
IBU.ARINDA
KOORDINATOR
0254-400554-|-
0254-400556
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
JL. RAYA SERANG KM15 RUKO D9 KRAGILAN
IBU AIDA
KOORDINATOR
0254-281720-|-
0254-281720
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
TANGERANG GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
90
0872
RB & KLINIK MUTIARA OBBINI MEDIKA
JL. RAYA KRESEK NO.27, DS.MERAK, BALARAJA
BPK BAHTIAR
PENGELOLA
021- 59431110-|-
021-59430131
N
Y
Y
PARTIAL
91
1014
RB & KLINIK PERMATA - DR JAMILAH
JL. NUSA INDAH I, BLOK A7 NO.1, PERUM. CIBODAS
DR JAMILAH / IBU LINDA
PEMILIK KLINIK
021-5533314|
021-5533314
Y
Y
Y
PARTIAL
92
1020
RSIA. SELARAS CIKUPA
JL. RAYA SERANG KM.18,5 DS BOJONG, BPK ERICK CIKUPA
MARKETING
021-5969145/59401289|
021-59401277
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
021-5902229/5902232-|-
0215902223/5904951
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
021-7333430/ 33553359021021-7333441 7332758|021-7332758
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
93
1025
RS. ARIYA MEDIKA
JL. INDUSTRI RAYA 1, BLOK A, NO.1-6, IBU ANI JATAKE
94
0936
RS. SARI ASIH CILEDUG
JL. HOS COKROAMINOTO NO.38 CILEDUG
IBU INDRI/NOVISA
[email protected]/
[email protected] [email protected];
[email protected]
95
0942
RSIA. MURNI ASIH
JL. RAYA BOJONGNANGKA NO 86, MEDANG, PAGEDANGAN TANGERANG
IMANUEL AGANDA PURB. A
DIREKTUR
02136868757/5470263/542009 021-54204504 82/54636720215463755|021-5463755
96
1046
RSIA. PRATIWI
JL. RHM NOERADJI, NO.42, KARAWACI
DR YUNITA/ BP NANANG
MARKETING
021-5520692/71342783021021-5224139 43933978|021-43933978
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
97
1049
KLINIK SELARAS
JL. RAYA SERPONG BSD SEKTOR IV,RUKO E.NO.43-45 SERPONGTANGERANG
IBU YUNI
MARKETING/PENA GIHAN
021-5370311-|-
021-5377842
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
98
2337
KLINIK TUMBUR
JL. PAHLAWAN NO.4 SITUGINTUNG REMPOA CIPUTAT TIMUR
DRG. ELISABET SIBURIAN
-
0217492818|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
99
2347
RS. PERMATA PAMULANG
JL. RAYA SILIWANGI NO. 1A, PAMULANG TANGERANG
RIFIFI MAHESWARI
MARKETING
021-74704999/74709079|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
100
2609
KLINIK & APOTEK KF BERINGIN
WIDYOWATI ISTI JL. BERINGIN RAYA NO.45, KARAWACI, KUSUMADEWI,S.FA TANGERANG RM, APT
101
2469
KLINIK PRATAMA
JL. CIRARAB RAYA NO.61 KEC. LEGOK TANGERANG - BANTEN
102
1646
KLINIK JATI ELOK
KOMP. BUMI JATI ELOK BLOK A I NO 7, JL. RAYA LEGOK-PARUNG PANJANG KM. BP BUDI MULYONO 3,MALANGNENGAH, PAGEDANGAN, TANGERANG, BANTEN
103
2504
RS. HERMINA SERPONG
104
2774
RSIA. INSAN PERMATA
105
1168
RSU. BHAKTI ASIH
JL. RAYA PUSPITEK KM.8 NO.99, SERPONG, TANGERANG SELATAN JL. BHAYANGKARA 1 NO.68 KEL. PAKUJAYA, KEC. SERONG UTARA TANGERANG SELATAN JL. RADEN SALEH, NO.10, KARANG TENGAH
rspermatapamulangmarketing@ gmail.com
-
021 55763538|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
-
021- 54260359|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING
021-98496234|
021-5977529
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
-DR DIAN CANDRA
marketing
(021) 7588 4999|
021 - 75883704
Y
Y
Y
ACTIVE
ALL COVERAGE
serpong@herminahospitalgroup. com
PAK SOFYAN
-
021-53121344|
021-5396733
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
021-7305662/63/02132575495|
02173449491/730565 2
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
-
DRA. SUSI KURNIASIH / IBU SUSI
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
4
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
106
0971
RS. ISLAM ASSHOBIRIN
JL. RAYA SERPONG KM.11 PONDOK JAGUNG - SERPONG
107
1113
MEDIPRO CLINIC CITRA RAYA
JL. BOULEVARD PERUM CITRA RAYA, RUKO ETERNITY, BLOK KF 01 NO 8-10. KAWASAN MARDIGRAS
108
1116
RS. AWAL BROS TANGERANG (D/H RS. GLOBAL MEDIKA
109
1223
EKA HOSPITAL BSD
110
1082
KLINIK TIGA MANDIRI
111
1552
BUNDA DALIMA HOSPITAL
JL. MH.THAMRIN NO.3 KEBON NANAS CIKOKOL CENTRAL BUSINESS DISTRICT, LOT IX, BSD CITY JL. CABE RAYA NO 68D PONDOK CABE, TANGERANG SELATAN BUMI SERPONG DAMAI, SEKTOR XIV, BLOK J.11, NO.1
Contact Person
Division
Fax Number
RI
RJ
FLAG
Status
BALI 021-53843140215374293|021-5374293
0215374392/5374294
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
021-29003558/9|
021-29003556
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected] o.id
IBU PITRI/IBU MERY MARKETING
021-55780888/55781234|
021-55781545
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU. INEZ/ AJI
MARKETING
021-25655555|
021-25655544
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU SUSI
MARKETING
021-7426414/7426366-|-
021-7426414
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
BPK.ARI/ISTI
MARKETING
021-53154447/8/9|
021-5385062
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/psarhu
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] [email protected]
IBU NENENG
MARKETING
IBU ANDAR
MARKETING
Tel Number
IBU YANI
MARKETING
021-7407421/22|
0217496346/7407421
021-5961999|
021-5960699
Allowed
Emails
112
1564
RSB. PERMATA SARANA HUSADA
PAMULANG PERMAI, BLOK D3, NO.1-2, PAMULANG
113
1527
RSIA. TIARA
JL. RAYA SERANG, NO.1, KM.4.5, CIKUPA
JIHAD M
MARKETING MARKETING/PENA GIHAN
021-5953241|
021-5954473
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
021-53164795
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
114
1528
RB & KLINIK ILANUR
JL. RAYA SERANG, NO.1, BALARAJA
BPK MUSAFA / IBU MELA
115
1547
KLINIK AMIRA
GRIYA LOKA SEK 1.6 BLOK A1 NO.3 BSD, TANGERANG SELATAN
DR.WENNY / BPK INDRA
KOORDINATOR
021-5384219|
RSIA. CINTA KASIH
JL. CIPUTAT BARU RAYA NO.10 CIPUTAT
BPK GUNAWAN
kasir
021 - 74706020 / 7424639| 021 - 74707986
KLINIK KARTIKA
JL. WR SUPRATMAN NO.25 RENGAS DR DIAN/BP MARDI CIPUTAT TIMUR, TANGERANG SELATAN
MARKETING
021-7371987,73881646|
021-73692937
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
KOORDINATOR
021-55767587|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
116 117
1324 1366
[email protected]
118
1455
KLINIK PRADHANA
RUKO PANORAMA NIAGA NO.14-15 JURUMUDI BARU BENDA
119
1459
KLINIK KARUNIA SEHAT II
JL. PAHLAWAN SERIBU RAYA RUKO TOL DR.MERRY BOULEVARD BLOK B NO.18.BSD CITY
KOORDINATOR
021-53158045|
021-53158046
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RSIA. MUTIARA BUNDA TANGERANG
JL. DR. CIPTO MANGUNKUSUMO, NO.3, BPK. SAIFUL CILEDUG
MARKETING
021-7301365/73454951|
021-73454952
Y
Y
Y
ACTIVE
ALL COVERAGE
KLINIK MELIA MEDIKA
KOMP. RUKO DUTA GARDEN SQUARE BLOK C NO 2, TANGERANG
120 121
1467 1471
122
1575
MOM & CHILD CLINIC
JL. RAYA KELAPA DUA RUKO PDA KAV. 25-29 GADING SERPONG TANGERANG
123
1491
RS. HERMINA TANGERANG
JL. KS.TUBUN NO.10 PASAR BARU
124
1594
RSU. DINDA
125
1598
RS. KARANG TENGAH MEDIKA (GROUP YADIKA)
JL. GALUH NO.2 JATIUWUNG, TANGERANG JL. KARYAWAN IV, KARANG TENGAH TANGERANG
BPK. BURHANUDIN
[email protected]
-
021-51488219/54370568|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
DINI
MARKETING
021-54214848 / 083804104440|
021-54209393
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU RUTH
MARKETING
021-55772525|
021-5582705
Y
Y
Y
ACTIVE
ALL COVERAGE
tangerang@herminahospitalgrou p.com
IBU.IKO
MARKETING
021-55650577|
021-55652149
Y
Y
Y
ACTIVE
ALL COVERAGE
-
BPK DIDIN / BPK IRFAN
MARKETING
021-7336699/7335599|
021-7333598
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
021-7410808|
021-7424445
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
[email protected]
DR AULIA
126
1608
RS. SARI ASIH CIPUTAT
JL. OTISTA RAYA NO. 3 SASAK TINGGI IBU INDRI/ BPK CIPUTAT, TANGERANG SELATAN TRIONO
127
1340
RSIA. KELUARGA KITA
JL. RAYA PLP CURUG KM. 4 NO. 8, DS SUKABAKTI CURUG
IBU SISSI
MARKETING
021 - 59491011 / 021 5986572|
0215984991/5982788
Y
Y
Y
ACTIVE
ALL COVERAGE
128
1292
RS. MEDIKA BSD
JL. LETNAN SOETOPO KAV. KOM. III A NO 7, BSD TANGERANG
IBU VRINA
MARKETING
021 - 5372296|
021 - 5382296
Y
Y
Y
ACTIVE
ALL COVERAGE
129
1086
RSU. SARI ASIH SANGIANG
JL. RAYA MAUK.KM.3,5 SIMPANG TIGA SANGIANG
BIDAN PRETTY
KOORDINATOR
021-5582732-|-
021-55791307
Y
Y
Y
ACTIVE
ALL COVERAGE
0412
RS. PREMIER BINTARO (d/h RS.INTERNASIONAL BINTARO)
JL. MH THAMRIN NO.1, SEKTOR 7, BINTARO JAYA
021-745 5500/27625500|
021-748 64854/745 58
Y
Y
Y
ACTIVE
ALL COVERAGE
MARKETING
021-740 5317|
0217497624/7429156
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
130
BAPAK DANI
MARKETING
[email protected]/vrina_ardina@y ahoo.com
[email protected]/i
[email protected] [email protected]; pringgodani
131
0308
PAMULANG MEDICAL CENTER
JL. RAYA PAMULANG BLOK D II/2, PAMULANG
132
0610
RSIA. PUTRA DALIMA
GRIYA LOKA, SEKTOR 1.2, BLOK UA/26BP. ARI WIDODO 27, BUMI SERPONG DAMAI
MARKETING
021-5380375/53882790215388279 / 53741|0215388279 / 53741
021-5381220
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
133
0007
RS. UIN SYARIF HIDAYATULLAH
JL. IR. H. JUANDA, NO.95, CIPUTAT
MARKETING
021-7402718|
021-7493532
Y
Y
Y
ACTIVE
ALL COVERAGE
humas_rssyarifhidayatullah@yah oo.co.id
BPK. SOLICHIN
KEUANGAN
021-5921153 / 02159372781|
021-59308529
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
IBU DEWI
MARKETING
021-74563790217456386|021-7456386
021-7450819
Y
Y
Y
ACTIVE
ALL COVERAGE
134
0062
KLINIK SARANA MEDIKA BARU
JL. RAYA PERUMAHAN KOTA BUMI KP.TERITI DS.KARET.SEPATAN
135
0291
RS. ICHSAN MEDICAL CENTER (IMC)
JL. RAYA JOMBANG NO.56 BINTARO SEKTOR IX, TANGERANG
BPK. MEDIARTO
IBU FAIZ/IBU LIA
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
5
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 136
Code 0696
Hospital Name
Address
KLINIK DOKTER KELUARGA MAWAR
JL. KARET RAYA, BLOK 7/69, PERUMNAS TANGERANG KOMPLEK ISLAMIC VILLAGE, KELAPA DUA
137
0344
RS. QADR
138
0064
RB & KLINIK 24 JAM DIANA PERMATA JL. MH. THAMRIN, NO.87C MEDIKA
139 140
141
142
JL. CABE RAYA NO.17 PONDOK CABE PAMULANG
0337
RS. BHINEKA BAKTI HUSADA
0902
JL. SUMANTRI NO. 11 MEKAR MULYA RB & KLINIK BUNDA MULYA (H UPEN) PARUNG PANJANG
0912
0702
Contact Person
Division
Tel Number
Fax Number
BALI 021-5525633; 0215913616|021-5913616
TINA ,MARTINA DR BOY SINATRALUWIYA
ADMINISTRASI
BPK. EMONG
MARKETING
021-546 4466|
BPK. ARIEF RAMADHAN
KEUANGAN
021-5397314/ 53124105021- 0215395312|021-5395312 5394105/5312410
BPK. ERIK/LILA
MARKETING
021-7490018/7490829|
IBU UPEN/NURUL
PIMPINAN
RJ
FLAG
ACTIVE
ALL COVERAGE
[email protected]
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected] om
Y
ACTIVE
ALL COVERAGE
[email protected]
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected];
Y
021-547 0775
Y
Y
Y
Y
Y
Y Y
Emails
Y
Y
Y
Allowed
PARTIAL
N
021-5978058
Status
klinikGP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR .id;
021-5913616
021-7403535
021-5978058-|-
RI
Y
KLINIK KARUNIA SEHAT
RUKO CIKUPA BLOK B NO.21-23, DEPAN PERUM CITRA RAYA- CIKUPA
DR.MERRY
PENGELOLA
021-5963001-|-
021- 59408388
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
KLINIK MAHARANI
BOROBUDUR RAYA NO 152 PERUMNAS II BENCONGAN KELAPA DUA, TANGERANG
BPK TONI/BPK Wisnu
MARKETING
021-55654096; 5919953|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
143
0285
RS. MELATI
JL. MERDEKA, NO.92
IBU UNI
MARKETING
021-5523945/55776739|
02155769914/552002 8
144
0108
KLINIK PROVITA
JL. IR.H.JUANDA NO.125 CIPUTAT
IBU DWI
KOORDINATOR
021-749 2619|
021-744 0085
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
145
0091
MAYAPADA HOSPITAL (D/H RS. HONORIS)
JL. HONORIS RAYA, KAV.6, KOTA MODERN/KODYA DATI II
IBU ANI
MARKETING
021-5529035|
0215529465/5529036
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] om;any.setyo@mayapadah
021-5525214
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/mkt_rssac@y ahoo.co.id
[email protected];
[email protected]
146
0022
RS. SARI ASIH KARAWACI
JL. IMAM BONJOL NO.38
IBU INDRI
MARKETING
021-552 2794; 0215523239|021-5523239
147
0733
RS. OMNI ALAM SUTERA
JL. ALAM SUTERA BOULEVARD KAV.25 SERPONG - TANGERANG
BP.AMRI / YUSAK
MARKETING
021-5312 5555/85550711 021-5312 8666 353438|0711 - 353438
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] ;
IBU ZAHRA
-
021-5925876/5925889|
021-5925889
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU NENI
MARKETING
021-5900136|
021-5900056
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
BAPAK EKO
MARKETING
021-73719190217371818|021-7371818
021-7371333
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU TRIA
KOORDINATOR POLIGIGI
021-745 5500; 02127625500 ext 1680|-
021-748 64854/745 58
N
Y
Y
PARTIAL
DENTAL
[email protected]. id
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/hu
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
148
0833
RS. BUNDA SEJAHTERA
149
0844
RSIA. BUNDA SEJATI
150
0859
RS. AMINAH TANGERANG
151
0955
DENTAL PREMIER BINTARO ( D/H DENTAL INTERNASIONAL
JL. RAYA PURI AGUNG NO 3, KOTA BARU- PASAR KEMIS JL. PRABU SILIWANGI NO.11, JATIUWUNG JL. HOS COKROAMINOTO (CILEDUG RAYA) NO.4A KREO SELATANLARANGAN JL. MH THAMRIN NO.1, SEKTOR 7, BINTARO JAYA
152
0737
RS. USADA INSANI
JL. KH HASYIM ASHARI NO.24 CIPONDOH, TANGERANG
IBU. WIDA / VERNA
MARKETING
021-55752575/552127002155755665/5521272|021021-55754335 55755665/5521272
153
1619
RSIA. BUAH HATI PAMULANG
JL. RAYA SILIWANGI NO 189 PONDOK BENDA PAMULANG
IBU YUNITA
Marketing
021-7414488|
Marketing
(021) 7401347|
(021) 7491701
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
DIREKTUR
021 73450244, 7319025|
7310851 EXT.222
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
marketing
021-7470 3313|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
154
3791
RSB. CITRA ANANDA
JL. RE MARTADINATA NO. 30, CIPUTAT
IBU DEASY (081219704760)
155
2744
RSIA. AQIDAH
JL. RADEN FATAH NO.40 PARUNG SERAB, CILEDUG, TANGERANG
AHMAD YUSLI FARHAN
RSIA. VITALAYA
PERUMAHAN PONDOK BENDA INDAH JL. NUNU NURHAYATI SILIWANGI NO 1 PAMULANG
156
3047
JL. RUKO BARCELONA NO.23 PERUMAHAN PALEM SEMI KARAWACI TANGGERANG RUKO TAMAN PALMA JL. RAYA BOULEVARD BLOK G1 NO.25R CITRA RAYA-CIKUPA
157
3982
KLINIK & APOTEK KF PALEM SEMI
158
3983
KLINIK & APOTEK KF CITRA
159
0772
MEDIPRO CLINIC PASAR KEMIS
PERUM WISMA MAS, BLOK A1, NO.3031, PASAR KEMIS, KUTA JAYA
IBU DIANA
160
0021
SILOAM HOSPITALS LIPPO VILLAGE (KARAWACI)
JL. SILOAM NO.6, LIPPO KARAWACI 1600
ROOSMEINY KARTIKA PUTRI/DIH/LINA
161
3532
CLINIC ICON 8
JL. HORISON BROADWAY BLOK M2 NO. DR. JOHANES/ 3 BSD CITY , TANGERANG DR.MELANI
162
3978
KLINIK & APOTEK KF 447 CIRENDEU
JL. CIRENDEU RAYA NO.27C CIPUTAT
163
3979
KLINIK & APOTEK KF 267 BINTARO
JL. BINTARO UTAMA V BLOK EA 2 NO.35 BINTARO
164
1774
RS. DR. SUYOTO PUSREHAB KEMHAN JL. RC VETERAN NO. 178 BINTARO
CINDI PRASASTI
-
021-7420322
02129662588|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
02159409460|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
KOORDINATOR
021-59318964|
021-59318965
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- koord.pasarkemis@medicompri RJ,RM-RG,RM-KM,RM-RB,PHAR ma.co.id
MARKETING
021-546 0055/25668000|
0215460921/546008
Y
Y
Y
ACTIVE
ALL COVERAGE
OWNER
(021) 33438000/ 021 94588000|
(021) 68538820
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
ANANDA DESSI S.FARM.APT
-
021-7415997|
-021-7415997
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]/bmjay RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
DEWI EKASARI
-
021-7371018|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
021-73884000|
021-7342581, 7369156
Y
Y
Y
ACTIVE
ALL COVERAGE
TIKASARI
WULANSARI
Marketing
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
6
Roosmeiny.Kartika@siloamhospit als.com
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
RI
RJ
FLAG
Status
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
021-54220810
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]; nia@carolussummarecon.
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/neva
[email protected]
BALI
Allowed
Emails
165
3999
KLINIK PESONA LEGOK
JL. RAYA LEGOK KM 7 DESA CIJANTRA KEC. LEGOK, KARAWACI, TANGERANG, BANTEN
166
1682
RSU. ST CAROLUS SUMMARECON
JL. GADING GOLF BOULEVARD KAV. 08 GADING SERPONG
IBU KURNIA AGUSTIN/IBU MARLIANI
167
1637
RS. MULIA INSANI
JL. RAYA SERANG KM 16.8 CIKUPA TANGERANG
IBU EKA / IBU NEVA MARKETING
0215962790/5962998/5962996 021-5963099 |
168
1487
RS. MULYA
JL. KH.HASYIM ASHARI NO.18 SUDIMARA PINANG
IBU NINA
MARKETING
021-7322443|
0217310721/7322445
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/nina.mkt.
[email protected]
169
1768
KLINIK SATELIT GSM TANGERANG
IBU RATNA
-
021-55748000|
021-4254816
N
Y
Y
PARTIAL
-
IBU HERA/ IBU DETA
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
MARKETING
021-74702525|
021-74700999
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] om
JL. KH. HASYIM ASHARI BABAKAN TANGERANG, RUKO MODERNLAND BLOK AR NO 19-20 JL. CIPUTAT RAYA, NO.2 KERTAMUKTI CIPUTAT JL. ARIA PUTRA NO 399 SERUA INDAH CIPUTAT - TANGERANG
DR. EDDY
OWNER
021-54220281|
MARKETING
021-54220811|
170
1659
RS. HERMINA CIPUTAT
171
1669
RSIA. BUAH HATI CIPUTAT
BP WIDI
MARKETING
021-74632222|
021-74638568
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
172
1670
CIPUTRA HOSPITAL
JL. CITRA RAYA BOULEVARD BLOK V 00/08 SEKTOR 3,4 KEC PANONGAN
IBU RISA HARTIYASARI / DR MONICA
MARKETING
021-59405555|
021-59405678
Y
Y
Y
ACTIVE
ALL COVERAGE
risa.hartiyasari@ciputrahospital. com
173
1812
SMILE N SHINE DENTAL CARE CENTER
ALAM SUTERA TOWN CENTER (ASTC) BLOK 10D NO 6 TANGERANG
DR. SUSANTY
Owner
021-96679191|
021-29008540
N
Y
Y
PARTIAL
DENTAL
[email protected]
174
1866
KLINIK SATELIT GSM BINTARO
RUKO ELANG RAYA KAV. 1 NO 10-11 JL. BINTARO JAYA SEKTOR IX
-
021-7450818|
021-7450642
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
175
1867
KLINIK SATELIT GSO CENGKARENG
BANDARA INTERNASIONAL SOEKARNO HATTA CENGKARENG, TANGERANG
DRG IVIE
-
021-5501801|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
176
1947
KLINIK & APOTEK KF 219
JL. IR H JUANDA NO 111 SITUGINTUNG, CIPUTAT
-
-
021-7401868|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR d
RS. KHUSUS BEDAH THT PROKLAMASI BSD
COMMERCIAL PARK CENTRAL BUSINESS OF DISTRICT BSD KAV.7 TANGERANG SELATAN
BP FREDI
-
021-29002929|
021-29002930
Y
Y
Y
ACTIVE
ALL COVERAGE
IBU WAHTYU FITRIA WATI
177
1810
178
1935
APOTIK FARMARIN IV BINTARO
BINTARO UTAMA SEKTOR 3 BLOK AM, BINTARO JAYA
179
1948
KLINIK & APOTEK KF 115
JL. PAMULANG PERMAI RAYA NO D2/1A TANGERANG
180
2081
RSIA. RP SOEROSO
JL. ARIA PUTRA NO. 9 KEDAUNG PAMULANG, TANGERANG SELATAN
[email protected]
021-7357077|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
-
021-7498708|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
YOSIE NOVERHA
MARKETING
021-7499199/ 7401376|
021-7400956
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU SULAS
Marketing
021-5854858|
021-7304150/0217320
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] [email protected];
[email protected]
181
1985
RS. MEDIKA LESTARI
JL. HOS COKROAMINOTO PERUM PONDOK LESTARI BLOK C.1 NO.1-2 CILEDUG
182
1555
RSIA. DHIA
JL. CENDRAWASIH NO.90, SAWAH LAMA CIPUTAT, TANGERANG SELATAN
BPK SYARIEF
MARKETING
021-7494550/ 70310242|
021-7494551
Y
Y
Y
ACTIVE
ALL COVERAGE
183
2128
KLINIK VIVA MEDIKA TANGERANG
RUKAN TEUNGKU UMAR BLOK A1/A2 KARAWACI TANGERANG
-
-
021-55772097/99|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
184
2130
KLINIK VIVA MEDIKA DIABETES CARE
JL. JALUR SUTRA TIMURKAV. A20 NO 19-20 KUNCIRAN PINANG TANGERANG
DR.RONI/ PUJI
koordinator
021-71343034|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected];ph RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
185
1949
KLINIK & APOTEK KF 78
JL. A YANI NO 135 TANGERANG
ARIA Y ARMOKO
-
021-5518433|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM8124484451 RJ,RM-RG,RM-KM,RM-RB,PHAR
186
1968
BETHSAIDA HOSPITAL
DISTRICT TIVOLLI NO. 1 PARAMOUNT SERPONG, JL. BOULEVARD GADING SERPONG, TANGERANG
DRG. FENDERIA L.S. MHA
021-29309999|
021-29305999
Y
Y
Y
ACTIVE
ALL COVERAGE
general.practise@bethsaidahospi tals.com
187
2360
RS. PERMATA IBU TANGERANG
JL. KH. MAS MANSYUR NO.2 KUNCIRAN IBU OVA TANGERANG (081316052411)
021-7334343/ 7300883|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Marketing
BENGKULU
BENGKULU 188
2108
APOTEK KIMIA FARMA 72 BENGKULU JL. SUPRAPTO NO. 48 BENGKULU
BPK TONI
-
0736-20601|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
189
0848
RS. TIARA SELLA
JL. S PARMAN NO. 61 PADANG JATI, BENGKULU
IBU ENSI
Marketing
0736-203500218221574|021-8221574
0736-20626
Y
Y
Y
ACTIVE
ALL COVERAGE
190
1551
RS. BHAYANGKARA BENGKULU
JL. VETERAN, NO.2
BPK. SANDY
MARKETING
0736-341086/21553|
0736-349050
Y
Y
Y
ACTIVE
ALL COVERAGE
JL. MAHONI, NO.10, PADANG JATI
BPK.AMIRUDIN / BPK.ALI
0736-21710-|-
0736342677/21954
Y
Y
Y
ACTIVE
ALL COVERAGE
191
1021
RS. RAFFLESIA BENGKULU
TATAUSAHA
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
7
[email protected] rsbhayangkarabengkulu@yahoo. com
[email protected];
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 192
Code 2109
Hospital Name APOTEK KIMIA FARMA 220 BENGKULU
Address JL. S. PARMAN BENGKULU
Contact Person IBU INTAN
Division -
Tel Number -|
Fax Number
BALI
-
RI
RJ
FLAG
Status
Allowed
Emails
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
DAERAH ISTIMEWA YOGJAKARTA BANTUL 193
1437
RS. PKU MUHAMMADIYAH BANTUL
JL. JEND. SUDIRMAN 124-126
JOGJA INTERNATIONAL HOSPITAL (JIH)
JL. RING ROAD UTARA NO.160 CONDONG CATUR SLEMAN JL. SOLO KM. 12,5 KALASAN, SLEMAN, YOGYAKARTA JL. WATES KM 5,5 GAMPING SLEMAN YOGYAKARTA
IBU MARISKA
WADIR KEUANGAN 0274-368587|
0274-368586
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
BPK AGUNG
MARKETING
0274-4463535/4463190|
- LIHAT REMAKS
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
MARKETING
(0274) 498000|
(0274) 498464
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
ADM
0274-6499704/6499706|
0274-6499727
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected] [email protected]
SLEMAN 194
1229
195
2974
RSI. YOGYAKARTA PDHI
196
1674
RS. PKU MUHAMMADIYAH UNIT II
YOGYAKARTA
ZULFA ADZKIA/ WAHYU BPK GATOT HERU SUGIARTO
197
2864
RS. AN NUR
JL. N.COLOMBO, NO. 14, YOGYAKARTA
BPK ARI
Humas
0274-585848/0274-514784| 0271-564110
Y
Y
Y
ACTIVE
ALL COVERAGE
198
2768
KIMIA FARMA 21
JL. MALIOBORO - YOGYA
NOVIARDI
KOORDINATOR
0274 514980|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
199
2170
APOTEK FARMARIN YOGYAKARTA
JL. P. MANGKUBUMI NO.73 YOGYAKARTA
WUNAWAR, S. FARM, APT
APOTEKER
0274-7822198|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR d
0274-586688/5622460274 - 0274586688|0274 -586688 563312,521251
Y
Y
Y
ACTIVE
ALL COVERAGE
0274 621791|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
-
200
0077
RS. BETHESDA YOGYAKARTA
JL. JEND.SUDIRMAN NO.70
IBU NUR SUKAWATI/IBU RINI HUMAS HAPSARI
201
2615
KLINIK & APOTEK KF 225
JL. GODEAN KM 5 NO. 23 MODINAN
TENTI HERAWATI.,S.F.,APT
202
2616
KIMIA FARMA 401
JL. SETURAN,C 3/B, JOGJA
DIAN SHINTARI RAHAYU, S.SI, APT
-
203
2617
KLINIK & APOTEK KF 275
JL. KALIURANG, JOGJA
DRA ERNA RAHAYU NINGHSIH APT
penanggung jawab 0274 885220|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
204
2618
KLINIK & APOTEK KF 70
JL. ADISUCIPTO 63A, JOGJAKARTA
DRA. ERNA RAHAYUNNINGSIH, MBA, APT
-
0274 489135|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
205
2619
KLINIK & APOTEK KF 316
JL. PALAGAN, JOGJA
PRIHASTUTI,S.FARM .,APT
0274 869944|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
206
1400
RSU. BETHESDA LEMPUYANGWANGI
JL. HAYAM WURUK NO.6
IBU ROSITA
MARKETING
0274-512257/588002|
0274-547253
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
RS. HAPPYLAND MEDICAL CENTER
JL. IPDA TUT HARS. ONO NO. 53, TIMOHO
BPK. HARMINTO/AJENG
MARKETING
0274-550060/58|
0274-550061
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] [email protected]
207
1286
0274 4332880|
[email protected]
208
0604
RS. LUDIRA HUSADA TAMA
JL. WIRATAMA NO.4 TEGALREJO 55244 IBU LUCIA EMIYATI
MARKETING
0274 6203330274620091|0274-620091
0274-589087
Y
Y
Y
ACTIVE
ALL COVERAGE
209
3297
LAB. CITO YOGYAKARTA
JL. ATMOSUKARTO NO. 4 KOTABARU YOGYAKARTA
Rukisti wuri
-
0274 563656|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
210
0747
RS. PANTI RAPIH
JL. CIK DITIRO, NO.30
IBU ELIZA KONDA
PPU
0274514014/514845/563333|
0274-564583
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0606
RS. PKU MUHAMMADIYAH YOGYAKARTA
JL. K.H. ACHMAD DAHLAN, NO.20
BPK. EKA/ IBU LELI
MARKETING
0274-512653-|-
0274-566129
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] /
[email protected]
211
DKI JAKARTA
JAKARTA BARAT 212
0782
KLINIK MHT ANGKE
JL. TUBAGUS ANGKE NO.27. TAMAN DUTA MAS BLOK D-9B NO.2-3
DR TIWI/IBU ATI
KOORDINATOR MARKETIN
021- 5675259/5679165|
021-5679165
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
DRS. I. NYOMAN SUKRA DARS. ANA, APT.
-
021 5349063|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
IBU YUNITA SARI
MARKETING
021-25695222/25695200|
021-25695265
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0215483145/5306 904/7
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
213
2640
KLINIK & APOTEK KF 254
JL. RAYA POS PENGUMBEN NO.11 JAKARTA BARAT
214
1479
RS. PONDOK INDAH PURI INDAH
JL. PURI INDAH RAYA BLOK S2, KEMBANGAN SELATAN
215
0018
RS. PELNI
JL. AIP II K.S. TUBUN, NO.92-94, PETAMBURAN
DR. SRI RACHMANI M.KES, MHKES
MARKETING
021-53069019/5349475/5460608/54848 09021-5484809|0215484809
216
0736
RSUD. CENGKARENG
JL. N. KAMAL RAYA, BUMI CENGKARENG BPK SIGIT EXT 730 INDAH, CENGKARENG TIMUR
MARKETING
021-54372874/5/6 / 54372882|
021-54374579
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
217
0390
RS. HERMINA DAAN MOGOT
MARKETING
021-5408989|
021-5449869
Y
Y
Y
ACTIVE
ALL COVERAGE
daanmogot@herminahospitalgro up.com
218
0952
RS. PATRIA IKKT
021-5308981-84-|-
021-5346387
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. KINTAMANI RAYA, NO.2, KAW. DAAN MOGOT BARU JL. CENDRAWASIH NO.1 KOMP DEPHAN/MABES TNI
IBU ANIS/BPK HENDRA
DR. BUN / IBU SARI MARKETING
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
8
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
219
1701
KLINIK DR. SANDER B (N/B KLINIK DAYA MEDIKA)
220
1945
KLINIK & APOTEK KF 96
221
0846
RS. JANTUNG HARAPAN KITA
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
JL. TOMANG TOL RAYA A1 NO 17-18 KEDOYA SELATAN, KEBON JERUK
MULJANTO/ERWIN
MARKETING
021 - 5812781/82|
021-5806065
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] / RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
JL. LET JEND S PARMAN KAV G/12, SLIPI, JAKARTA BARAT
Khaerul
-
021-5481140, 5321551|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JL. LETJEN S PARMAN KAV.87 SLIPI
IBU NETTY N. E. SIREGAR
PELAYANAN PELANGGAN
021-5684093 / 5684085|
021-5601816
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
222
0695
KLINIK KUSUMA I
JL. PETA SELATAN, NO.50
DR MEIDI
penanggung jawab 021-541 9747|
021-54360626
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
223
1158
RS. SUMBER WARAS
JL. KYAI TAPA - GROGOL
BPK. BAMBANG
MARKETING
021-5682011/5605800|
021-5605791
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/ sekretariat@rssumberwa
224
1102
RS. BHAKTI MULIA
JL. AIPDA K.S.TUBUN, NO.79
DR DEVI
Marketing
021-5481625-|-
021-5331544
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
225
1127
JESSLYN MEDICAL CENTER
PERUM.TAMAN SURYA III BLOK F/63 CENGKARENG
DR. AGUS
KOORDINATOR
021-54365638|
021-54365638
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
226
0643
RSB. GRHA KEDOYA
JL. PANJANG NO 26, KEDOYA UTARA
IBU TITIK RENGGO
-
021-56982222/29910999|
02129910987/569 82233
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/info@g rhakedoya.com
227
0381
RS. MHT CENGKARENG
JL. DAAN MOGOT, KM.17
DR.TIWI
MARKETING
021-54396298/6194581|
021-6194581
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
02153652856/530529 1
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
0215601816,5668285
Y
Y
Y
ACTIVE
ALL COVERAGE
sriendahsetyaningrum_rsabhk@ yahoo.com
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
021 - 530 5288, 534 KEUANGAN/MARKE IBU SRI SUWARNI 7411021 - 534 741|021 TING 534 741 021FAKHRUDDIN/SRIEN 5668284/5686404/5683053 Pemasaran DAH 021-566 8284|021-566 8284
228
0204
RS. MEDIKA PERMATA HIJAU
JL. RAYA KEBAYORAN LAMA, NO.64
229
0109
RSAB. HARAPAN KITA
JL. JEND S.PARMAN, KAV.87, SLIPI
230
0836
RS. ROYAL TARUMA
JL. DAAN MOGOT NO.34 GROGOL
DRG RATNA
231
0783
KLINIK MHT KALIDERES
JL. PETA SELATAN RAYA-KALIDERES INDAH I BLOK A NO.12
232
0101
SILOAM HOSPITALS KEBON JERUK
JL. RAYA PERJUANGAN, KAV.8, KEBON JERUK
IBU ORI/ LELI
PEMASARAN
021-56958338/56967788-|- 021-56958589 021- 5456027|
021- 5456027
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
IBU LIANA WIDJAJA/ MARKETING BPK. PUTRA
021- 256778880215300889|021-5300889
021-5321766
Y
Y
Y
ACTIVE
ALL COVERAGE
DR. ANGGRAINI PUSPITA
Marketing
021-29030041/42|
021-29030045
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
KOORDINATOR
liana.natawidjaja@siloamhospital s.com
233
3211
GETHEALTHY CLINIC
RUKAN SIXTH AVENUE J01 A NO. 2022, CITRA 6, KALIDERES, JAKARTA BARAT
234
2127
KLINIK VIVA MEDIKA TANJUNG DUREN
JL. TANJUNG DUREN RAYA BLOK A NO.38 JAKARTA BARAT
ANI
-
021-5640602/ 5641479|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
235
2294
RS. JAKARTA EYE CENTER KEDOYA
JL. TERUSAN ARJUNA UTARA NO. 1 KEDOYA, JAKARTA BARAT 11520
ANDHY SUYATNO
-
021-29221000|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
236
0771
KLINIK YADIKA TEGAL ALUR
JL. KAMAL RAYA BLOK A7 NO.7-11 TEGAL ALUR
DR SAPTAJI / IBU ETI
PENANGGUNG JAWAB/ HR
021-70605247 / 55351876| 021-55963484
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR d
JL. TEUKU CIK DITIRO NO.28, MENTENG
BPK.SAMUEL
MARKETING
(021) 3143215(021) 31922005|(021) 31922005
0213101313,3928588
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
021-3904422|
0213926934,3926931
Y
Y
Y
ACTIVE
ALL COVERAGE
marketingthamrinsalemba@gmai l.com
-
JAKARTA PUSAT 237
0790
RSIA. BUNDA JAKARTA
238
0398
RS. MH. THAMRIN INTERNASIONAL
JL. SALEMBA TENGAH, NO.26-28
Bpk.DJATMIKO / IBU.RITA
239
0705
KLINIK SWA INDOMEDIKA
JL. JEND SUDIRMAN KAV 1, GD BNI LANTAI BASEMENT 1
IBU TANTI
MARKETING
021-5728987|
021-5728990
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
240
0397
KLINIK BARUNA
JL. CIKINI RAYA, NO.60 R/S
DR.ASTRID
MARKETING
021-3141040-059|
021-3151065
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
241
0011
RS. MITRA KEMAYORAN
JL. LANDAS PACU TIMUR, KEMAYORAN IBU ESTI
MARKETING MANAGER
021-6545555/888|
021-6545959
Y
Y
Y
ACTIVE
ALL COVERAGE
BUNDA INTERNASIONAL CLINIC
JL. TEUKU CIK DITIRO NO.12, MENTENG
BPK HILMA/IBU FIKA
KEUANGAN/MARKE 021-3926393| TING
021-3926494
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING
021-38997777|
021-324663/ 3910277
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
021- 3503435/34834982|
021-34834982
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
021-57954537/38|
021-57954541
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
242
1477
243
0013
RS. PGI. CIKINI
JL. RADEN SALEH, NO.40
IBU RATNA/IBU IRENE
244
1590
RS. BEDAH THT PROF. NIZAR
JL. KESEHATAN NO.9
IBU HERA/IBU VITA
245
1577
KLINIK MIRACLE ( GD INDOFOOD )
INDOFOOD TOWER - PLAZA SUDIRMAN DR RITA/BPK ERIK LT 8, JL. JEND SUDIRMAN KAV 76-78
246
0953
RS. ISLAM JAKARTA (CEMPAKA PUTIH)
JL. CEMPAKA PUTIH TENGAH I/1
BPK BAMBANG/IBU MARKETING/AdmR 021-4250451/42801567021021-4206681 WIWIK/BPK SOBARI .Inap 42801567|021-42801567
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
9
marketing2.kmy@mitrakeluarga. com
[email protected]/rsijpu
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
RI
RJ
FLAG
Status
Allowed
021-3904601
Y
Y
Y
ACTIVE
ALL COVERAGE
Emails
247
1105
RS. JAKARTA EYE CENTER MENTENG
248
1709
KLINIK YAKES MANDIRI-WISMA MANDIRI
WISMA MANDIRI LT I, JL. MH THAMRIN BP SLAMET WIYOTO NO 5
021-39832805|
021-39832806
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
FHL DENTAL CLINIC
GEDUNG BRI II LT.15 SUITE 1509 JL. JEND SUDIRMAN NO 44-46
DRG KRISTIN RATNAWATI
-
021-57851127/ 57930552|
-
N
Y
Y
PARTIAL
DENTAL
[email protected]
MARKETING
021-3913336/3926689|
021-3926687
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
-
021-31922005|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
249
1700
DIAH / MAS ANDI
MARKETING CONSULT
BALI 021-2922100002131935600|021-31935600
JL. CIK DITIRO 46,MENTENG JAKARTA 10310
jec@jakarta_eye_center.com
250
1702
RS. KHUSUS BEDAH SS MEDIKA
JL. SALEMBA I NO 11 JAKARTA PUSAT
BPK IRVAN HELMI/ IBU DWI HESTI
251
1820
RSU. BUNDA JAKARTA
JL. TEUKU CIK DITIRO NO.21, MENTENG
BPK SUGIYANTO / IBU LINA MARLINA
Marketing
021- 3503003, 3842934,|
021-3810149, 3503412
IBU NOVA, NITA, FEBRIANA
Admin
021-3500004021376134|021-376134
0213441903/3859460
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
252
1914
RSUD. TARAKAN
JL. KIYAI CARINGIN NO 7, JAKARTA PUSAT
253
1019
RSPAD GATOT SUBROTO (P.DARMAWAN)
JL. ABDUL RACHMAN SALEH NO.24
254
0599
RS. KRAMAT 128
JL. KRAMAT RAYA, NO.128
BPK HERI/IBU WIWIK
MARKETING
255
1115
RSPAD GATOT SUBROTO (PAV.IKA)
JL. ABDUL RACHMAN SALEH NO.24
MARKETING
021-3504614|
GEDUNG BANK INDONESIA JL. KEBON SIRIH NO 82 DAN 84 GEDUNG KEBON SIRIH LT 1
BPK AHMAD & IBU SANTI
0213909814/3918287/3909514 021-3909125 |
021-29810000 / 29815268| 021-2311940
N
Y
Y
PARTIAL
IBU JUJU / HERMIN/ Marketing BPK AHMAD
021-3448929|
021-3448929
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. ABDUL RAHMAN SALEH NO.24
BPK AHMAD
MARKETING
021-3441008-|-
021-3859460
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. BUDI KEMULIAAN NO.25
IBU KIKI
MARKETING
021-3842828-|-
021-3501012
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. GEREJA THERESIA, NO. 22
IBU NINDI
MARKETING
021-3909725|
021-3909806
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1406
APOTIK FARMARIN I KEBON SIRIH
257
1197
RSPAD GATOT SUBROTO (NON. PAV) JL. ABDUL RACHMAN SALEH NO.24
258
1069
259
1078
RSPAD GATOT SUBROTO(P.IMAM SUJUDI) RSIA. BUDI KEMULIAAN
260
1358
RSIA. YPK - MANDIRI
021-3520643
GP,SP,OP,DENTAL,LAB,RM-RI,RM- apotikfarmarin_kebonsirih@yaho RJ,RM-RG,RM-KM,RM-RB,PHAR o.com
256
SHANTI INDAH PALUPI
KOORDINATOR
261
0084
RS. JAKARTA
JL. JEND. SUDIRMAN, KAV.49
BPK FAUZI
MARKETING
021-5732241/57418280215741828|021-5741828
021-5719870
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
262
0180
RSU. MENTENG MITRA AFIA
JL. KALI PASIR, NO.9
DR. NADIA
MARKETING
021-3154050/3909484|
021-3146309
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected];
KOORDINATOR
021-4204056/42119110214211911|021-4211911
021-4211913
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] [email protected];
[email protected]
263
0042
RS. PERTAMINA JAYA
JL. A. YANI NO.2
IBU. YAYAT/MONA
021-3144989|
021-31930866
Y
Y
Y
ACTIVE
ALL COVERAGE
021-3915487|
021-3146659
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
264
0135
RS. ABDI WALUYO
JL. H.O.S. COKROAMINOTO, NO.31-33
MARKETING / DR. MIGOT/IBU ENY KEUANGAN
265
0793
KLINIK YES CARE
JL. WAHID HASYIM NO. 31C
DRG ELDA
Direktur
JL. H. UNG E - 71/2 KEMAYORAN
DRG ATI SARASWATI/BPK APRI
KOORDINATOR/AD 021-4249519| M RJ
021- 4249519
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Marketing / Keuangan
021-4209725
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/tatilamb
[email protected]
266 267
0789 0029
KLINIK MHT SERDANG RSU. EVASARI
JL. RAWAMANGUN NO.47 - PRAMUKA
DR. DINA HANUM
021-4202851/52|
0210213900002/3906893/3144795 3900947/3152548 /3909783| 021- 57853911021021- 57853922 5727210|021- 5727210
268
0787
RS. KHUSUS THT-BEDAH PROKLAMASI
JL. PROKLAMASI NO.43
BPK MANSYUR
MARKETING
269
0802
SAHID SAHIRMAN MEMORIAL HOSPITAL
JL. JEND.SUDIRMAN, NO.86
IBU TATI
MARKETING KOORDINATOR
021-30003750|
270
1495
APOTEK & KLINIK KF INDOSAT
GD. INDOSAT LT.23 JL. MEDAN DRS. MARULY MERDEKA BARAT NO. 1 JAKARTA PUSAT MARPAUNG, APT
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
271
0788
RSPAD GATOT SUBROTO (PAV.KARTIKA)
JL. ABDUL RACHMAN SALEH NO.24
BPK AHMAD
MARKETING
021-384 0484, 3441008021- 021376134|021-376134 3859460,3501308
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
272
1026
RSIA. TAMBAK
JL. TAMBAK,NO.18 MANGGARAI
IBU. AYA/ FITRI
MARKETING
0212303444/087880676072|-
021-3902550
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
273
2637
KLINIK & APOTEK KF 2
JL. RAYA SENEN NO. 66
DRA. ASTRID DWIASTUTI, APT.
-
021 384-4788; 384-0742|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
274
2507
MITRASANA IHC KALBE CEMPAKA PUTIH
JL. LETJEN SUPRAPTO KAV 4 CEMPAKA INDAH PUTIH, JAKARTA PUSAT
-
021-42873888 EXT : 1451|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
275
3737
CHILDLAB
JL. KRAMAT RAYA NO. 53, JAKARTA 10450, INDONESIA
IMELDA NOVIANTI
-
(021) 31907979|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMImelda Novianti RJ,RM-RG,RM-KM,RM-RB,PHAR
276
4058
KLINIK YPK MANDIRI
GEDUNG GRAHA MANDIRI LT.1 LOBBY SELATAN,JL. IMAM BONJOL NO.61
IBU WENNY
KOORDINATOR
021 - 39838556|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
021-30003750
10
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
RI
RJ
FLAG
Status
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR m
BALI
Allowed
Emails
277
2733
KINAN MEDICAL CENTER
KOMPLEK RUKO RAWASARI MAS NO.B10 JL. PERCETAKAN NEGARA, CEMPAKA PUTIH JAKARTA PUSAT
278
2735
THOMSON SPECIALIST CENTER
JL. IMAM BONJOL NO.72, MENTENG JAKARTA PUSAT 10310
IBU GRATA A.PUSPANINGRUM
-
021-3910030|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
279
1633
KLINIK GARUDA SENTRA MEDIKA ( GSM )
JL. ANGKASA BLOK B.15 KAVLING 1, KEMAYORAN
BPK YOGO/ IBU RETNO
MARKETING
021-4241000|
021-4254816
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
280
2745
KYOAI MEDICAL SERVICES
WISMA KEIAI LT. 6 JL. JEND SUDIRMAN KAV 3-4 JAKARTA
BPK ERY
marketing
021-5734550|
021-5736790
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
281
2405
HENDRA HIDAYAT IMPLANT CENTER
SAHID SUDIRMAN RESIDENCE LT. 1 UNIT 1, JL. JEND. SUDIRMAN NO. 86 JAKARTA PUSAT
IBU RINI
MARKETING
021-52970102/104|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
282
1054
RS. HUSADA
JL. RAYA MANGGA BESAR 137-139, JAKARTA PUSAT BAG UTARA
IBU MEYLISA / IBU RINA/CATUR
MARKETING
021-62601080216490090|021-6490090
021-6497494
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
283
0600
RS. ST. CAROLUS
JL. SALEMBA RAYA, NO.41
DR. WELLEM H. T/DR. UTIE/FARIDA
Marketing/CO Klinik
021-3904441|
0213922831/3154183
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
284
2406
HENDRA HIDAYAT DENTAL CENTER (HHDC)
THAMRIN CITY - OFFICE SUITE FLOOR 3 UNIT 2, JL. KH. MAS MASYUR JAKARTA
DEBRA 08164830122
-
021-3199 7482|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
285
2636
KLINIK & APOTEK KF 1
JL. GARUDA NO.47, JAKPUS
MARULI MARPAUNG -
021 424-5572|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]/kimi RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
IBU NINA
(021) 766 4036|
(021) 766 3640
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR om
021-7262347|
021-7225844
N
Y
Y
ACTIVE
ALL COVERAGE
KISWORO
-
-|
JAKARTA SELATAN 3974
LAB. KLINIK CITO JAKARTA
4234
RAYS INTERNATIONAL DENTAL CLINIC
JL. RS. FATMAWATI NO. 27 A, RT.001 RW.006 KEL. GANDARIA SELATAN, CILANDAK, JAKSEL JL. BRAWIJAYA VIII NO. 2, JAKARTA SELATAN
288
3989
KLINIK & APOTEK KF NO. 55 KEBAYORAN
JL. KEBAYORAN LAMA NO. 34K JAKARTA SELATAN
WAHYU DWI
-
021-7226444/7203563|
021-7203563
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
289
0597
KLINIK JMC DHARMA BHAKTI
JL. CILANDAK KKO RAYA NO.45
IBU SRI WAHYUTI
MARKERTING
-
N
Y
Y
ACTIVE
ALL COVERAGE
APOTEK KF55 CINERE
PLN P3B JB KRUKUT-LIMO, CINERE 16514, KOTAK POS 159 CINERE JAKARTA SELATAN
021-781 9848 / 0217989123|
WAHYU DWI PURNOMO
-
021 7220292|
-
021-29912232|
286 287
290
2932
IBU ENDANG
KOORDINATOR
[email protected]
[email protected]
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
291
3540
FHL DENTAL CLINIC EPPIWALK OFFICE
EPPIWALK OFFICE SUITES LT. 6 UNIT B 629, JL. H.R. RASUNA SAID KEL. KARET DR. CHRISTIN KUNINGAN KEC. SETIABUDI
292
0854
RS. ZAHIRAH
JL. SIRSAK NO.21, JAGAKARSA
IBU ARINI INDAH
MARKETING
02178888723/7872210/788887 02121021-78888723|0217270013/7872210 78888723
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
293
0797
RS. MEDISTRA
JL. GATOT SUBROTO KAV.49
IBU YORA/ ELLI
MARKETING
021-5210200|
021-5210184/5
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
DRG. ESTHER
-
(021) 75909473|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
BP SUJIO
-
0212923-7071, 7110-6511| 021-29203541
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
ANNA
-
021-7355253|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
021-7995566,7992211|
02179198118/791 98733
Y
Y
Y
ACTIVE
ALL COVERAGE
294
2954
295
1712
296
2807
297 298
1488 2797
JL. KARANG TENGAH RAYA NO.60, KLINIK AJI WARAS KARANG TENGAH LEBAK BULUS, CILANDAK, JAKARTA SELATAN 12440 JL. KARANG TENGAH RAYA NO.8V KLINIK SUNFLOWER DENTAL & BONA INDAH BISNIS SENTER, LEBAK HEALTH CARE BULUS KLINIK PERTAMEDIKA PONDOK RANJI
JL. WR SUPRATMAN NO. 43 (KAMP UTAN) TANGERANG SELATAN
BPK BUDI / IBU ANI MARKETING
-
RS. ASRI
JL. DUREN TIGA RAYA, NO.20
KLINIK PERTAMEDIKA PHE
PHE TOWER LT. 2 JL. TB SIMATUPANG KAV. 99
TRES
021-29547300|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
021-29962888|
021-29962778
Y
Y
Y
ACTIVE
ALL COVERAGE
-
[email protected]
299
1066
MRCCC-SILOAM HOSPITALS SEMANGGI (D/H SPECIALIST C
JL. GARNISUN 2-3 KARET, SEMANGGI SETIABUDI (BELAKANG UNIV. ATMAJAYA ) JAK- SEL
YUNITA SULISTYOWATI/IBU Business & DEBORAH/AGUSTIN Marketing E
300
1752
LAB. KLINIK BIOTEST WIJAYA
JL. WIJAYA I NO 58, KEBAYORAN BARU, JAK-SEL
IBU NINA/YANTI
Marketing
021-7232445|
021-7268711
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected];biol RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
301
1936
APOTIK FARMARIN VI RASAMALA
WISMA PPBI JL. RASAMALA NO.2 PANCORAN
YANUILA DARYATI
-
021-8290073|
021-83794460
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
11
marketing.mrccc@siloamhospital s.com;mrccc.corpor
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 302
Code
Hospital Name
Address JL. KEMANG RAYA NO. 87 JAKARTA SELATAN
Contact Person
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
IT/GA
021-7194565|
-
N
Y
Y
PARTIAL
-
021-25554156|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
BPK AIRLANGGA
-
021-7820645/78830676|
021-7820645
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JL. AMPERA RAYA, NO.34,KEMANG
IBU LENI SUSILAWATI/TRI WULANDARI
MARKETING
02127545454/27545400/0216317288|021-6317288
021-78843548
Y
Y
Y
ACTIVE
ALL COVERAGE
marketing@kemangmedicalcare. com
SILOAM HOSPITALS SIMATUPANG
JL. RA KARTINI NO.8 CILANDAK JAKARTA SELATAN, 12430
ARIE ARIMBI
Marketing
021 2953 1900 EXT 22601|
021 759 16997
Y
Y
Y
ACTIVE
ALL COVERAGE
anastasia.hermawan@siloamhos pitals.com
KLINIK PERTAMEDIKA PATRA JASA
PATRA JASA OFFICE TOWER, JL. JEND. LILI GATOT SUBROTO KAV.32-34
-
021-5228026/ 5217318|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
SUNARDI
-
021-7243262/7243282|
021-72800985
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
KLINIK GLOBAL DOCTOR
303
2082
FX SUDIRMAN LT 5 (F5) KAV. 8A-8B, JL. BRAWIJAYA CLINIC @ FX SUDIRMAN JEND SUDIRMAN PINTU SATU SENAYAN SYUKRIAH JAKARTA
304
2033
KLINIK NAMIRA
JL. JATIPADANG RAYA NO. 62 PASAR MINGGU
305
0228
RSIA. KEMANG MEDICAL CARE
306
2174 2138
Tel Number
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
2086
307
Division
BP SUGANDI
308
2139
KLINIK PERTAMEDIKA SINABUNG
JL. SINABUNG II NO. 32 AF KEL. GUNUNG KEC. KEB. BARU JAKARTA SELATAN
309
0796
RS. METROPOLITAN MEDICAL CENTRE ( MMC )
JL. HR. RASUNA SAID, KAV. C21, KUNINGAN
DR.LITA CORNELIA/ Marketing IBU RATIH
021- 5203435/0811865958|
0215226070/5227060
Y
Y
Y
ACTIVE
ALL COVERAGE
310
2229
BRAWIJAYA CLINIC & LIFE STYLE @ OKTROI KEMANG
OKTROI PLAZA, MEDICAL MEZZANINE LT. 3 JL. KEMANG UTARA RAYA NO. 1 JAKARTA SELATAN
IBU RIKE
-
021 - 7197580/ 71792101|
021 - 71792074
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
311
2418
KLINIK DENTIST AND DENTINS
BPK FACRUL
-
0217210480|
--
N
Y
Y
PARTIAL
DENTAL
IBU RUSTINI/DRG ESTHER
Koordinator
(021) 78836308; 78835703| -
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
IBU SHINTHA
Marketing
021-29217777|
021-29216666
Y
Y
Y
ACTIVE
ALL COVERAGE
febrina.shintha@mayapadahospi tal.com
DRG ANGGRAENI
-
021-7806291|
021- 7806291
N
Y
Y
PARTIAL
DENTAL
-
312
2341
KLINIK AJI WARAS CILANDAK
313
2356
MAYAPADA HOSPITAL JAKARTA SELATAN (MHJS)
314
2379
DRG. ANGGRAENI
315 316 317
318
2641 0049 1089
1554
KLINIK & APOTEK KF 42
JL. ST. HASANUDDIN NO.1 KEBAYORAN BARU JAKARTA SELATAN
RS. PONDOK INDAH
JL. METRO DUTA, KAV. UE, PONDOK INDAH
RS. KHUSUS THT & BEDAH CIRANJANG H2E DENTAL CLINIC
319
1574
DE BLITZR DENTAL CARE II
320
1458
MULIA HEALTH AND DENTAL CARE (MHDC)
321
0799
RS. GANDARIA
322
0800
KLINIK TRIAZ PERSADA
323
JL. WOLTER MONGONSIDI NO.58 C JAKARTA SELATAN JL. CILANDAK KKO NO.45A, RAGUNAN, PASAR MINGGU, JAKARTA SELATAN 12550 JL. LEBAK BULUS I KAV. 29, JAKARTA SELATAN JL. PALAPA I NO. 4 KOMPLEK PERTANIAN PASAR MINGGU JAKARTA SELATAN 12520
JL. CIRANJANG NO.20-22 KEB.BARU MENARA KUNINGAN,JL. HR. RASUNA SAID BLOCK X-7 LT1. UNIT I, KUNINGAN WISMA ARGO MANUNGGAL LT. 1 JL. GATOT SUBROTO KAV. 22 JAKARTA SELATAN
DRS. I WAYAN BUDHI ARTHAWAN,APT
-
021 7220292|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
IBU DETTY
MARKETING
021-7657525|
021-7502324
Y
Y
Y
ACTIVE
ALL COVERAGE
benjamin.baldwinromanda@rspo ndokindah.co.id
IBU TIKA
MARKETING
0217243366/7208192/7208192 021-7264038 |021-7208192
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
DR. EFINDY
MARKETING
021-30040151/152|
021-30040152
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU HANI
Manager Pemasaran
021-2520124|
021-2522014
N
Y
Y
PARTIAL
DENTAL
021-5223838|
021-52901073
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING
021- 7250718/ 7203311|
021- 7222038
KOORDINATOR
021- 2505250|
MARKETING
021-8292672/83117220218311722|021-8311722
GEDUNG MENARA MULIA, SUITE LG, JL. DRG.MAEMUNAH ALI JEND.GATOT SUBROTO, KAV.9-11 JL. GANDARIA TENGAH II, NO.12-14, IBU FEMI DAN IBU KEBAYORAN BARU LIS GRAHA NIAGA TOWER LT.B1, JL. JEND. IBU NURHASAH SUDIRMAN NO.58 IBU RETNO, IBU CHRIS
0193
RSIA. BUDHI JAYA
324
0890
JL. KEBAGUSAN 1 NO. 8 JAKARTA KLINIK INTERMED HEALTH & BEAUTY SELATAN 12520
IBU LANI
325
1708
KLINIK YAKES MANDIRI-PLAZA MANDIRI
PLAZA MANDIRI LT. BASEMENT I, JL. JEND GATOT SUBROTO KAV 36-38
326
1872
KLINIK TRIHATI PLUS
327
1942
328 329
JL. DR. SAHARJO, NO.120
[email protected]/marketi
[email protected]
021-8301901
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
021-7823501|
021-7823502
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
BP SLAMET WIYONO -
021-5245351, 5245351|
021-5245351
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
RUKAN ROYAL PALACE BLOK A5, JL. PROF DR SOEPOMO SH NO 1
IBU. RIA
MARKETING
021-829 9119|
021-8299113
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]/marketin RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
KLINIK & APOTEK KF 47
JL. RADIO DALAM RAYA 1-5, JAKARTA SELATAN
-
-
021-7208735|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1944
KLINIK & APOTEK KF 152
JL. RAYA PASAR MINGGU KM 18 JAKARTA SELATAN
IBU ELISABETH
Marketing
0217943222|
021-7943223
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0842
BRAWIJAYA WOMEN & CHILDREN HOSPITAL
JL. TAMAN BRAWIJAYA NO.1 CIPETE UTARA
IBU WIWIN
MARKETING
021 - 7211337|
021 - 7211364
Y
Y
Y
ACTIVE
ALL COVERAGE
MARKETING
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
12
[email protected];
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 330
Code 0853
Hospital Name
Address
JL. CINERE RAYA BLOK F1 NO.1 RB & KLINIK PRIMA HUSADA CINERE CINERE JAKSEL
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
DR. DESMAN / IBU MAURI SARAGI
KOORDINATOR
021-7546263/7547382|
021-7540062
N
Y
Y
021-72895046
Status
Allowed
Emails
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
berkah_prima_husadatama@yah oo.co.id
331
0879
RSU. YADIKA CIPUTAT
JL. CIPUTAT RAYA, NO.5, KEBAYORAN LAMA
IBU.ERNA
MARKETING
021-7291074|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
332
0593
RS. SETIA MITRA
JL. RS. FATMAWATI, NO.80-82, CILANDAK
IBU TARI/PUJI
MARKETING
0210217656000/7651021/7654676 7656880/7656875 |
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
333
0999
RSU. MUHAMMADIYAH TAMAN PURING
JL. GANDARIA I NO.20 KEBAYORAN BARU
DRG. LUKMAN / IBU MARKETING CITRA
0210217229623/7250243/7208358 7234823/7210516 021-7208358|021-7208358
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
334
0957
KLINIK PETUKANGAN MEDICAL CENTRE
JL. CILEDUG RAYA NO.8A
BU. RITA
Sekretariat
021-7340906-|-
021-73889956
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] atau RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
IBU HAURA
Marketing
021-7270208-|-
021-7866057
Y
Y
Y
ACTIVE
ALL COVERAGE
IBU . JUWITA
MARKETING
021-83783535/83783636|
021-83785349
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
KOORDINATOR
021 - 83704414|
021 - 83793006
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
021-2700609-10|
-
Y
N
Y
ACTIVE
ALL COVERAGE
JL. JERUK RAYA NO 15 JAGAKARS. A, JAKARTA SELATAN GEDUNG BINA SENTRA, LT.DASAR, KOMP.BIDAKARA, KAV.71-73, PANCORAN
335
0972
RSIA. AULIA
336
1408
BIDAKARA MEDICAL CENTER (BIMC)
337
1412
APOTIK FARMARIN III BIDAKARA
GED. BINASENTRA KOMP. BIDAKARA JL. GATOT SOEBROTO KAV. 71 - 73 JAKARTA
ARI PRIHANTINI/IBU. SANTI
338
1424
RSB. ASIH
JL. PANGLIMA POLIM I NO.34 JAKARTA SELATAN 12160
IBU INDY/ IBU NING MARKETING DAN BANGUN HUMAS
KLINIK YADIKA PETUKANGAN
JL. DAMAI RAYA NO.1 PETUKANGAN SELATAN - JAKARTA SELATAN
DR.ROS INTAN
339
1076
[email protected]; marketing.rsiaaulia@gmail
[email protected]
PENANGGUNG JAWAB
021-7370881-|-
021-73887810
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]/rs RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
IBU NOVI/IBU SRI/IBU KIKI/ZR.UTIN
ADM RI
021-5256228/52038660215203866|021-5203866
0215265618/5224288
Y
Y
Y
ACTIVE
ALL COVERAGE
340
1083
RS. MATA AINI
JL. H.R.RASUNA SAID (KUNINGAN) JAKARTA
341
1546
KLINIK NDH (RAJA SERVICE)
JL. RADIO DALAM RAYA, NO.54A
DRG.NINA DELI
KOORDINATOR
021-7257244|
021-7257244
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
342
0112
SUDIRMAN MEDICAL CENTER
JL. KARET BELAKANG TIMUR NO. 17
IBU EKA
MARKETING
021-5203467/96277627|
021-5203468
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
343
0110
RS. TRIA DIPA
JL. RAYA PASAR MINGGU, NO.3A, PANCORAN
BPK. DEDE/ IBU WITA
MARKETING
021-7993058,7974071-73|
021-7974074
Y
Y
Y
ACTIVE
ALL COVERAGE
ADITYA MEDICAL CENTER
JL. ADITYAWARMAN I, NO.14, KEBAYORAN BARU
DR.OKKI/IBU YANTI/ITA
KEUANGAN/KOOR DINATOR
021-7228639|
021-7228922
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
IBU WITA/PUJI
MARKETING
0218294955,8305768/9,828 021-8305791 2795,83794207|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/ja
[email protected]
MARDALENA
Marketing
(021) 7219204/7219700|
(021) 7203540,
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];ros
[email protected]
MARKETING
021-57903905|
021-5274754
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING / PIUTANG
021- 794 1843|
021- 790 1050
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
021- 7972750|
0217970627/6
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
344
0034
345
0041
RS. AGUNG
JL. SULTAN AGUNG, NO.67, PASAR RUMPUT
346
0795
RS. PUSAT PERTAMINA
JL. KYAI MAJA 43, KEBAYORAN BARU
347
0199
MEDICARE CLINIC
348
0775
RSB. DUREN TIGA
MENARA KADIN INDONESIA, 27TH BPK. HERRY FLOOR, JL. H.R. RASUNA SAID, BLOK XSETIAWAN 5, KAV.2-3 JL. DUREN TIGA RAYA, NO.5, IBU TIKA / LIA PANCORAN
[email protected]
[email protected] ;
[email protected]
0794
RS. SIAGA RAYA
JL. PEJATEN BARAT KAV.4-8, PASAR MINGGU, JAKARTA SELATAN
350
0401
KLINIK SPESIALIS & APOTIK, RSB. ESTI
JL. BANGKA RAYA, NO.28-30, PELA MAMPANG
BPK TEVI GUNAWAN MARKETING
021-7194434-35|
021-71791917
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]/market RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
351
0892
KLINIK FAMILY DENTISTRY
JL. PANGLIMA POLIM II/2
DRG S.ADI WIRADIDJAJA
Koordinator
021-7267267-|-
021-7264365
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
349
IBU SHEILA
352
0395
RS. PRIKASIH
JL. RS. FATMAWATI, NO.74, PONDOK LAB. U - CILANDAK
BPK AANG
MARKETING
0217501192/7504669/7590117 021-7505148 4021 - 7504669|021 7504669
353
0400
MEDIKALOKA HEALTHCARE CENTER
JL. HR. RASUNA SAID, BI X-1, KUNINGAN
BPK.NINO
MARKETING
021-5261118|
021-5261119
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
354
0758
DE BLITZR DENTAL CARE
BELLEZZA SHOPPING ARCADE UNIT 230-231ARTERI PERMATA HIJAU,JL. LETJEND SOEPENO NO.34
IBU HANI/FIKA
KOORDINATOR
021-53664742|
53664743
N
Y
Y
PARTIAL
DENTAL
[email protected]
355
0003
RS. TEBET
JL. MT. HARYONO, NO.8, PANCORAN
IBU.YATI
MARKETING
021-8307540 / 829154|
021-8311760
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/m
[email protected]
JL. LAPANGAN TEMBAK NO.2A CIBUBUR
BPK. FAJAR DARS. ONO
KEUANGAN
0218708024/98111938/911193 021-87707503 8021-9111938|0219111938
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JAKARTA TIMUR 356
0024
KLINIK PRIMA HUSADA CIBUBUR
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
13
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
RI
RJ
FLAG
Status
Allowed
Emails
BALI 021-819 6260021-819 6041|021-819 6041
02185906901/851627 4
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
357
0258
KLINIK DEVITA
JL. JATINEGARA TIMUR NO.57 JATINEGARA
358
0292
KLINIK PONDOK GEDE AGUNG
JL. RAYA HANKAM, NO.58C-D, PONDOK IBU ANJANI GEDE
ADMINISTRASI
021-8464030|
021-8463803
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR om
JL. PULO MAS TIMUR K BLOK G-H-C/1
IBU. RAHAYU
HUMAS & MARKETING
021-4703333021-470 3333|021-470 3333
021-4723402
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Div. Marketing
(021) 8000693-95(021) 8000695|(021) 8000695
02180876175/800015 2
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];am
[email protected] [email protected];
[email protected]
359
0286
RS. KARTIKA PULO MAS
DR. RUDI SUPRAPTO KEUANGAN
360
0806
RS. HAJI JAKARTA
JL. RAYA PONDOK GEDE
NARIARTI HARDINI (DINI)
361
0805
RSU. UKI
JL. MAYJEN SOETOYO, CAWANG
IBU PENI
MARKETING
0210218092317,8010526,8092831, 8092445/8005595 8010523|
Y
Y
Y
ACTIVE
ALL COVERAGE
362
0807
KLINIK MHT TEGALAN
JL. TEGALAN NO. 30
DR INDAH
KOORDINATOR
021-8581344|
021-8581344
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RS. AU DR.ESNAWAN ANTARIKSA
JL. MERPATI NO.2 LANUD HALIM PERDANAKUSUMA
KAPT.BUDI SANTOSO
HUMAS
(021) 8007027|
(021) 8098 665
Y
Y
Y
ACTIVE
ALL COVERAGE
MARKETING
0218093602/80887175/74|021- 021-80887174 80887175
N
Y
Y
PARTIAL
021-80886224|
N
Y
Y
PARTIAL
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
363
0779
364
0382
RB & KLINIK 24 JAM MHT PONDOK GEDE D/H RS PONDOK G
JL. RAYA PONDOK GEDE, NO. 23-25, KRAMAT JATI
IBU HENNY
365
0652
RB & KLINIK AL - FAUZAN
JL. RAYA CONDET NO.13, BALEKAMBANG CONDET
BPK. FAIZ/ IBU PUR MARKETING TARTO/ RATNA
MARKETING/KEUA NGAN
BPK.TURYANTO
Humas
366
0749
RS. HARUM SISMA MEDIKA
JL. TARUM BARAT, KALIMALANG JAKTIM
367
0826
RB & KLINIK SEJAHTERA CIRACAS
JL. RAYA CIRACAS NO.7
368
2142
KLINIK PERTAMEDIKA RAWAMANGUN JL. MUNDU RAYA NO.1 JAKARTA TIMUR IRMA
369
1244
RS. MASMITRA
JL. KELURAHAN JATIMAKMUR, NO.40, PONDOK GEDE
370
2826
RS. COLUMBIA ASIA PULOMAS
371
3533
KLINIK MEDIKA PRAKARSA
372
0102
RS. ISLAM JAKARTA TIMUR (PONDOK JL. RAYA PONDOK KOPI KOPI)
021-8096968
021-8617212/3021021-8601030 8617213|021-8617213 02187717635/87712710/87712 021-87720232 711-|-
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected];
[email protected] [email protected]/yanee_
[email protected] [email protected]
-
021-4894150|
021-4894278
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
IBU WIWIT
MARKETING
021-84971766|
021-8483047
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
JL. KAYU PUTIH RAYA, PULOMAS JAKARTA TIMUR 13210
ALI SABRI (021) 29559411 ; (0812 3850 2054)
MARKETING
(021) 2945 9999|
(021) 2955 9477
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. RADEN INTEN II DUREN SAWIT, JAKARTA TIMUR
BAPAK BAIHAQI
MARKETING
(021) 86908103|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]/cs RJ,RM-RG,RM-KM,RM-RB,PHAR @medikaprakarsa.co.i
IBU ALIUS/ BPK ANGGORO
HUMAS/KEUANGA N
021-8630654/86104710218610471|021-8610471
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
021ADM PERUSAHAAN 8407886/8400535/8779333 021-87793332 2-|-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] om
-
021 861-5154|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
-
0818810414|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
021-8611101
373
1080
RS. KESDAM CIJANTUNG
JL. MAHONI NO.1, CIJANGTUNG II PASAR REBO JAKARTA TIMUR
BPK EGI
374
2643
KLINIK & APOTEK KF 49
JL. P. REVOLUSI 53, PD. BAMBU, JAKARTA TIMUR
ANISA IKA RAHMANIAH, S.FARM., APT.
375
3980
KLINIK & APOTEK KF 48
JL. MATRAMAN RAYA NO 55 JAKARTA TIMUR
WAYAN SUTAKA
376
3981
KLINIK & APOTEK KF LAP.TEMBAK
JL. LAWU B1 NO.1 CIBUBUR LAPANGAN NASTIA HIDAYATI TEMBAK CIBUBUR
-
08128737346|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
377
3531
SUMATERA EYE CENTER JAKARTA
JL. PEMUDA NO. 36, RAWAMANGUN, JAKARTA TIMUR
CITRA KARINA PUSPITA LOKA
MARKETING
(021) 4714848|
(021) 4755703
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
378
1932
APOTEK KIMIA FARMA 193
JL. UTAN KAYU NO 105 P JAKARTA TIMUR
ROSMIDA KHOHAR
APOTEKER
021-8520808|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
379
1933
APOTIK FARMARIN II PENGGILINAN
PERUM TAMAN PULO INDAH BLOK I NO.7-8 PENGGILINGAN CAKUNG
IBU NILA/ SUPRI
-
021-4800688|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
380
2251
RS. ANTAM MEDIKA
JL. PEMUDA RAYA NO 1A PULOGADUNG IBU SRI AGUSTI JAKARTA TIMUR NINGSIH
marketing
021- 29378939/40/44|
021- 29385160
Y
Y
Y
ACTIVE
ALL COVERAGE
381
2141
KLINIK PERTAMEDIKA MEDAN SATRIA
JL. ARUN IX NO. 2 MEDAN SATRIA CAKUNG JAKARTA TIMUR 17132
KIKI SM
-
021-4604944|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR ;
[email protected]
382
2391
RS. JANTUNG JAKARTA
JL. MATRAMAN RAYA NO.23, JAKARTA TIMUR
SUCI TRIHANDAYANI
-
Y
Y
Y
ACTIVE
ALL COVERAGE
JL. PERSERIKATAN 7-8, RAWAMANGUN
RUMONDANG MARIA, S.FARM., APT.
02129361158/29361160/29360 2129361158 698|
-
021 471-8059|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
383
2620
KLINIK & APOTEK KF 4
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
021-8612721
-
14
[email protected]
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
384
2638
KLINIK & APOTEK KF 147
JL. DUREN SAWIT
DRS. ADI SUPRIYADI, APT.
385
1490
RSIA. BUNDA ALIYAH
JL. PAHLAWAN REVOLUSI NO.100 PONDOK BAMBU
IBU ENDANG/PAK SANDY
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
-
021 861-5458|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING
021-86602525|
021-86600712
Y
Y
Y
ACTIVE
ALL COVERAGE
marketing.rsiabundaaliyah@gma il.com
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
386
0060
RS. HARAPAN BUNDA
JL. RAYA BOGOR KM.22 NO.44
ITA/ENDAH
MARKETING
021-8400257|
0218412977/8778020 1
387
0888
RS. YADIKA PONDOK BAMBU
JL. PAHLAWAN REVOLUSI NO.47 PONDOK BAMBU - JAKARTA TIMUR
IBU TETTY
MARKETING
021-86157540218610756|021-8610756
021-8613332
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rs
[email protected]
388
0289
RS. OMNI MEDICAL CENTER
JL. PULO MAS BARAT VI, NO.20
BPK. AMRI
MARKETING
021-4723332,4722719|
0214718081,4708180
Y
Y
Y
ACTIVE
ALL COVERAGE
mktpulomas@omni_hospitals.co m;
389
0012
RS. PREMIER JATINEGARA ( RS MITRA INTERNASIONAL)
JL. RAYA JATINEGARA TIMUR, NO.85-87 IBU RENI/drg. widya MARKETING
021-2800666/2800888|021021-2800755 2800777
Y
Y
Y
ACTIVE
ALL COVERAGE
rspremier.jatinegara@ramsayhe alth.co.id;
390
1868
RSIA. AL-FAUZAN (JAKARTA ISLAMIC JL. PEDATI NO 3 RT 5 RW 7, KAMPUNG HOSPITAL) TENGAH KRAMAT JATI
IBU NIA
MARKETING
021-87780318|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
BPK RAMA/ BPK BERTO
MARKETING
(021) 8690 2950|
(021) 864 9886
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected] [email protected]
391
1843
RSIA. SAYYIDAH
JL. TAMAN MALAKA SELATAN NO. 6 PONDOK KELAPA, JAKARTA TIMUR
392
1012
KLINIK IBIN SINA
JL. PENDIDIKAN RAYA NO.33 DUREN SAWIT
IBU DEWI
MARKETING
86601611
N
Y
Y
ACTIVE
ALL COVERAGE
0944
RS. BHAYANGKARA TK.1 R.SAID SUKANTO (POLRI)
021- 866 03270, 866 1669021-86603270|02186603270
JL. RAYA KRAMAT JATI
IBU RATNA
MARKETING
021-8093288-|-
021-8094005
Y
Y
Y
ACTIVE
ALL COVERAGE
BAPAK DEDI
MARKETING
021-869063630215844330|021-5844330
021-86906363
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- marketing_saptamitraklinik@yah RJ,RM-RG,RM-KM,RM-RB,PHAR oo.co.id
021-4603916/460137102146822879|021-46822879
021-4608863
Y
Y
Y
ACTIVE
ALL COVERAGE
021-8190111
Y
Y
Y
ACTIVE
ALL COVERAGE
021-4707429/8
Y
Y
Y
ACTIVE
ALL COVERAGE
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected];tribudi63 RJ,RM-RG,RM-KM,RM-RB,PHAR @yahoo.co.id
393 394
0948
KLINIK SAPTA MITRA
JALAN TAMAN MALAKA UTARA BLOK A12, MALAKAJAYA
395
0099
RS. HARAPAN JAYAKARTA
JL. BEKASI TIMUR RAYA, NO.6 KM.18, PULO GADUNG
IBU LISA
MARKETING
396
0386
RSIA. HERMINA JATINEGARA
JL. RAYA JATINEGARA BARAT, NO.126
IBU DESY
MARKETING
RS. DHARMA NUGRAHA
JL. BALAI PUSTAKA BARU NO.19 RAWAMANGUN
RANI
ADM
BPK.ANGGA
MARKETING
021-8401677|
02187792558/840167 7
397
1001
021-81912230218504371|021-8504371 021-4707433-370214707437|021-4707437
[email protected];har
[email protected] jatinegara@herminahospitalgrou p.com
[email protected]/sap
[email protected]
398
1139
KLINIK TJAKRA
JL. RAYA BOGOR, KM.24, NO.35, SUSUKAN CIRACAS
399
1192
KLINIK & APOTEK PUTEWA
JL. NUSA INDAH RAYA BLOK 40 NO.17H
IBU LATIVA
ADM
021-8622207/70302043|
021-8622207
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
400
0962
KLINIK CONDET JAYA
JL. CONDET JAYA NO.18 BATU AMPAR
IBU SUSI/BAPAK WARNO
MARKETING
021-8090712|-
021-80881275
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
401
0990
RS. JANTUNG BINA WALUYA CARDIAC CENTER
JL. TB SIMATUPANG NO.71
IBU SIFA
MARKETING
021-87781605-0602187781606|021-87781606
021-8403869
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];ma
[email protected]
402
1110
RSIA. RESTI MULYA
JL. PAHLAWAN KOMARUDIN RAYA NO. 5 BPK. ABDILAH PENGGILINGAN CAKUNG
MARKETING
021-4803936-48021924803707|
021-48701488
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
403
1212
KLINIK BINA HUSADA BHAKTI
JL. PENGGILINGAN RAYA NO.1 RT.01/07 CAKUNG
BPK.WAWAN/IBU INDRI
MARKETING
021-46829425|
021-46829425
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR o.id
RSIA. RESTU KASIH
JL. RAYA BOGOR, KM.19, NO.3A, KRAMAT JATI
IBU OKTAVIA LINGGAR
PIMPINAN/KOORDI 021-8002166/8001177| NATOR
021-80882753
Y
Y
Y
ACTIVE
ALL COVERAGE
KLINIK YADIKA CIBUBUR
JL. LAPANGAN TEMBAK NO.9 PEKAYONIBU RINI CIBUBUR
MARKETING
021-8711515-|-
021-8711515
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
DR.EDDY
PEMILIK
021- 87798796|
021- 87798796
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
404 405
1217 1096
[email protected]
406
1258
KLINIK SUCI HUSADA
JL. SUCI NO.21 RT.08/06 SUSUKAN CIRACAS
407
1262
RS. RAWAMANGUN
JL. BALAI PUSTAKA RAYA, NO.29-31
BPK. RIZAL
MARKETING
021-4893531|
021-4710918
Y
Y
Y
ACTIVE
ALL COVERAGE
408
1538
KLINIK MITRASANA (DANKOS FARMA)
JL. RAWA GATEL, BLOK IIIS, KAV.3738, KAW.INDUSTRI PULO GADUNG
IBU HELDA
KOORDINATOR
4600158/4600157|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
409
1499
RB & KLINIK ANNISA CIRACAS
JL. CIRACAS NO.18
IBU BETRIDA /
KOORDINATOR
021-87720807|
021-87717636
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
MARKETING
0214750042/4897415/4893036 021-4891937 /4895817/47212370214893036|021-4893036
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/
[email protected]
410
0122
RS. MEDIROS
JL. PERINTIS KEMERDEKAAN, KAV.149
BPK UKAS/IBU TIA / BPK RAHMAN
[email protected]
JAKARTA UTARA
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
15
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
411
3998
KLINIK PESONA TANAH PASIR
JL. TANAH PASIR RUSUN PENJARINGAN BLOK MAWAR I A DR. EDDY KEL.PENJARINGAN,KEC.PENJARINGAN, JAKARTA UTARA
412
0170
RS. PLUIT
JL. RAYA PLUIT SELATAN, NO. 2
413
2143
KLINIK PERTAMEDIKA DELI
414
4079
RS. DUTA INDAH
415
416
1946
2412
APOTEK KIMIA FARMA 46
KLINIK BERSALIN LESTARI
Division
Tel Number
Fax Number
RI
RJ
FLAG
Status
BALI
Allowed
Emails
OWNER
02166675691/085101280470|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
IBU MIAN/BPK TAUFIK/DR.JOVITA
MARKETING
021-6685006; 021668507|021-668507
021-6684878
Y
Y
Y
ACTIVE
ALL COVERAGE
JL. DELI NO. 22 JAKARTA UTARA - 1628
SYAHRUL (081511520327)
-
021-43923390 / 3389|
021-4353461
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
JL. TELUK GONG RAYA NO 12
WISNU PRABOWO
-
(021) 666 7 6188|
(021) 6667 6190
Y
Y
Y
ACTIVE
ALL COVERAGE
JL. YOS SUDARS. O, JAKARTA UTARA JL. MANGGAR NO.141 KEL.LAGOA, KEC.KOJA TANJUNG PRIOK JAKARTA UTARA JL. PANTAI INDAH SELATAN 1, KOMPLEK ELANG LAUT BOULEVARD KAV.1 NO.1, PENJARINGAN - JAKARTA UTARA
humas_marketing@pluit/marketi
[email protected]
[email protected]
-
-
021-4393397|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
BAMBANG
-
021 43922950|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
-
-
021296333777/02129673737 DAN 29678062|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
mylla.nasution@rsiagrandfamily. com
IBU MYLLA NASUTION
417
2458
RSIA. GRAND FAMILY
418
2506
MITRASANA KELAPA GADING
JL. BOULEVARD TIMUR RAYA BLOK NB I NO 36 KELURAHAN PEGANGSAAN DUA, KELAPA GADING JAKARTA UTARA
-
021-36464908/4585455|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
419
1550
RS. PURI MEDIKA
JL. SUNGAI BAMBU RAYA, NO.5, TANJUNG PRIOK
MARKETING
021-43903355/43931975|
021-43903388
Y
Y
Y
ACTIVE
ALL COVERAGE
1677
KLINIK SOLA GRACIA MEDICAL CENTER
JL. SUNTER AGUNG UTARA BLOK A 17 D NO 1
DRG. BETTY
PEMILIK
021-6459530/6452041|
021-6459530; 6451274
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
VIVI/RATRI
-
021-6622611|
021-6628166
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
IBU NURUL
MARKETING
021-43935260|
021-43935375
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0216615563/6660725 4
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/
[email protected]
420
BPK SUBHAN/IBU DINA
421
1746
LAB. KLINIK BIOTEST PLUIT
JL. PLUIT SAKTI RAYA NO 25 JAKARTA UTARA
422
1644
KLINIK SYIFA MEDICAL CENTRE
JL. LONTAR LUAR NO.7 RT 004/04 TUGU UTARA KOJA
IBU RERE
MARKETING
021-6695066/66949900216694990|021-6694990
IBU RIZKA
MARKETING
021-43902350/43902351-|- 021-43902302
423
0876
RSIA. FAMILY
JL. PLUIT MAS I BLOK A NO.2A-5A, KOMPLEK PERUMAHAN PLUIT MAS, JAKARTA UTARA
424
1033
RS. PORT MEDICAL CENTER
JL. ENGGANO NO.10 TANJUNG PRIOK
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
425
0919
RS. PELABUHAN JAKARTA
JL. KRAMAT JAYA, TANJUNG PRIOK
DR.SELVI
MARKETING
021-4403026|021-4403026
0214403551/4406886
426
0392
RSIA. HERMINA PODOMORO
JL. DANAU AGUNG 2, BLOK E3, NO.2830, SUNTER AGUNG, PODOMORO
IBU KRISTIN/ENI
MARKETING
021-6404910/911|
021-6518720
Y
Y
Y
ACTIVE
ALL COVERAGE
podomoro@herminahospitalgrou p.com
427
0587
RS. SATYA NEGARA
JL. AGUNG UTARA RAYA, BLOK A, NO.1
DR. TONI 081399999870
Marketing
021-64715200021-68781314/6|021-687813-14/6
021-6877813
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/adh ytiadr.satyanegara@gma
428
1263
KLINIK SEMPER SISMA MEDIKA
JL. KESEMEK, NO.3-5, SEMPER BARAT, BPK. AHYAT CILINCING
Kep Adm & Keu
021- 4400902/4403101|
021-4403101
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
429
1269
RS. MULYASARI
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];rs.
[email protected]
ROYAL PROGRESS INT HOSPITAL
021- 6400261|
021-6519534
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
431
0186
RS. MITRA KELUARGA KELAPA GADING
DR. ANNY JL. BUKIT GADING RAYA KAV.2 KELAPA ALFIANTI/IBU GADING PERMAI MAYA/IBU DELLA
KABAG BID. PELAYANAN SALES KOORDINATOR
02143934369/8888
1422
JL. RAYA PLUMPANG SEMPER NO. 19 JAKARTA UTARA JL. DANAU SUNTER UTARA, SUNTER PARADISE I
021-43931111-4393666643939999|
430
MARKETING
021-45852700|
02145852727/458540 4
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];keua ngankg@mitrakeluarga.
432
0812
RS. ATMA JAYA
JL. PLUIT RAYA NO.2
IBU HAPPY
MARKETING
(021) 6606127|
(021) 6606122
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU YUNI/ BP PINTO MARKETING
021- 4301269|
021- 4301272
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU MARKETING/ASUR 021-5885066; 5885065| DESAK/NELLA/FITRI ANSI
0215880910/5881091
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU DINA/DRG. RENITA
02144832228,440078 2
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0435-821258/0435821253/0435-824410|
0435-824410
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
0741-35165/07415911096/97/98|
0741-5911099/97
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]. id; rsu_baiturrahim@y
433
0811
RS. SUKMUL
JL. TAWES NO.18 - 20, TANJUNG PRIOK
434
0396
RS. PANTAI INDAH KAPUK
JL. PANTAI INDAH UTARA 3, PANTAI INDAH KAPUK
435
0882
RS. ISLAM JAKARTA UTARA
JL. TIPAR CAKUNG NO.5 JAKARTA UTARA
DR. RIANA ZULFA IBU NEVI
MARKETING
021-4400781,44007780214400778|021-4400778
GORONTALO GORONTALO 436
1420
RSIA. SITTI KHODIJAH GORONTALO
JL. NANI WARTABONE NO. 101 d/h JL. AHMAD YANI
IBU NURHAYATI
JL. PROF. M. YAMIN SH NO. 30 LEBAK BANDUNG - JAMBI
IBU RINI PROVITA
MARKETING
JAMBI
JAMBI 437
2207
RSU. BAITURRAHIM JAMBI
Marketing
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
16
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
2047
RSIA. ANNISA JAMBI
JL. KABIA NO 04 RT 01 KEL. KEBUN HANDIL KEC JELUTUNG KOTA JAMBI
439
0894
SILOAM HOSPITALS JAMBI (D/H RS. ASIA MEDIKA)
JL. SOEKARNO - HATTA, PAALMERAH JAMBI
BP TUNGGUL PURB. A
440
2184
APOTEK KIMIA FARMA 208
JL. SOEMANTRI BROJONEGORO NO. 1
BPK. MURS. YID (APOTEKER
438
441
1641
RS. ISLAM ARAFAH
JL. EMPU GANDRING NO.1 KEBUN JERUK, JAMBI
442
0550
RS. ST.THERESIA
JL. SUTOMO, NO.19
MUARA BUNGO 443
1926
RS. SENTRAL MEDIKA MUARA BUNGO
M. SALEH
Division -
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
(0741) 445226|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
0741-5919000-|-
0741573271/573238
Y
Y
Y
ACTIVE
ALL COVERAGE
Tunggul.Purba@siloamhospitals. com
-
08877800501/08214638327 5|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
0741-62711/667966/62177| 0741-63444
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0741 - 23119 / 7553811|
0741-20832
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
0747-22207/22209|
0747-22209
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU DELLA/ IBU MARKETING ICHA IBU RENDA/BPK.YOHANE KEUANGAN S/IBU HERTI
JL. RANGKAYO HITAM, CADIKA MUARA UMI BUNGO, JAMBI
Tel Number
MARKETING
JAWA BARAT
BANDUNG 444
0761
RS. SANTO BORROMEUS BANDUNG
JL. IR. H. JUANDA NO. 100 LEBAK GEDE COBLONG BANDUNG JAWA BARAT, INDONESIA
IBU RIA/ ESKARINA/IBU DEVI MARKETING / IBU KARIN/ DWI TANIA
022 2552166/0222552083/950222552003|022-2552003
022-2504235
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
445
1125
RS. CAHYA KAWALUYAN
JL. PARAHYANGAN KM.3 KAV.HOS PADALARANG
IBU ERLINAWATI/ MERRY
MARKETING
022-6803700|
0226803711/6803730
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rlint
[email protected]
446
2950
RS. KB. MELINDA II
JL. CIPTO NO. 1 RT 05/02, KEL. PASIRKALI KEC. CICENDO, KOTA BANDUNG
BAPAK REMY
-
022-4267888/4233777|
022-4247888
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
447
3001
LAB. KLINIK BIOTEST NARIPAN
JL. NARIPAN NO. 41 BANDUNG
IBU YAYAH
MARKETING
(022) 4205544|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
448
1211
KLINIK ASRI HUSADA II
JL. TITIRAN NO.16
DR.YONO
PIMPINAN
022-2507293|
022-2507293
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
449
1169
RS. AMC (ANNISA MEDICAL CENTER) JL. RAYA CILEUNYI RANCAEKEK
IBU DARA / IBU DEWI
MARKETING
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/www.amc hospital.blue.orb.biz
450
1171
SANTOSA BANDUNG INTERNASIONAL JL. KEBON JATI, NO.38 HOSPITAL
MIRA/ANDRI/MIRZA MARKETING /
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
451
0958
KLINIK AN-NUR
JL. DR. SETIA BUDI NO.63
IBU YOSI
MARKETING
022-2031922-|-
0222031922/2042213
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
452
0959
KLINIK ASRI HUSADA I
JL. BEKAMIN NO.18
BPK.SURYADI
KOORDINATOR
022-7230425-87245792|-
022-2507293
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
453
1088
RS. RAJAWALI
JL. RAJAWALI NO.38
BPK. SOFYAN
ADMINISTRASI
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
454
1093
RS. KHUSUS BEDAH HALMAHERA SIAGA
JL. LL.RE MARTADINATA NO.28
BESTI YULIANA S.KM
Humas dan Marketing
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
455
0145
RS. MUHAMMADIYAH BANDUNG
JL. KH. AHMAD DAHLAN NO.53
BPK.WAWAN
MARKETING
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/ rsmuhammadiyahbandung53@y a
456
0886
RSUD. AL IHSAN
JL. KIASTRAMANGALA, BALEENDAH,
IBU HUMAS & DEUCE/BPK.SUTISN PEMASARAN A
0225940872/5941719/5941729 022-5941709 022-5941719|022-5941719
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
457
0877
KLINIK & APOTEK KIMIA FARMA 10
JL. BRAGA, NO.2-4-6
BPK.MURS. YID/ IBU SEKRETARIAT YULIANI
022-4233185-|-
022-4203565
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
458
1829
RSIA. LIMIJATI
JL. LAKS L RE MARTADINATA 33-39
IBU MEIKE
Marketing
0224207770|
0224-4260956
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU DIAH/ BPK HENDRO
MARKETING
022-7208172,022-7217097, 022-7202419 022-7217103, 0227231721|
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected] d
APOTEKER
022-7300660|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
ARI PRIHANTINI, S.SI, APT
APOTEKER
022-2500387|
022-2517116
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
IBU ANI / BP TANTO
MARKETING KABAG
022-6072525|
022-6037815
Y
Y
Y
ACTIVE
ALL COVERAGE
459
1170
RS. SANTO YUSUP
JL. CIKUTRA 7 BANDUNG
460
2166
APOTEK FARMARIN BANDUNG
JL. KH AHMAD DAHLAN (JL. BANTENG) DRA. SRI NO 62, BUAH BATU WULANDARI, APT
461
2167
APOTEK FARMARIN BANDUNG 2 TUBIS
462
0044
RSIA. HERMINA PASTEUR
JL. TUBAGUS ISMAIL NO.79 RT/RW 004/012 KEL.SEKELOA KEC. COBLONG BANDUNG JL. DR. DJUNDJUNAN, NO.107, PASTEUR
0220227781630,70804777,708057 70804777/778162 77| 9 022022-4248333| 4211086/8446859 8
022-6031087, 6011913, 022-6032077 6079143,6051087-|0224206061/70858254/421643 022-4236920 6-|0227301062,7312167,7323549, 022-7306458 7306935,7323548|
marketingpasteur@herminahospi talgroup.com
463
1568
KLINIK UTAMA MONALISA
JL. MOCH. RAMDHAN NO.32
IBU TINA
MARKETING
022-5211311|
022-5200162
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- monalisa.medical.centre@gmail. RJ,RM-RG,RM-KM,RM-RB,PHAR com
464
1087
RS.BUNGSU
JL. VETERAN, NO.6
IBU ELLY
MARKETING
022-4231550-|-
022-4231582
Y
Y
Y
ACTIVE
ALL COVERAGE
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
17
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
RI
RJ
FLAG
Status
Allowed
Emails
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected] [email protected];
[email protected]
465
0144
RS. IMMANUEL BANDUNG
JL. KOPPO, NO.161
IBU.NYOMAN
MARKETING
BALI 0225201051/5201672/5224216 022-5224219 022-5224216|022-5224216
466
1687
RS. IMC
JL. RAYA CIAMREME NO 170-173 NGAMPRAH, PADALARANG, BANDUNG BARAT
DR. ARI / BAPAK ASEP
MARKETING
022-6620923/6620965|
022 - 6620964
Y
Y
Y
ACTIVE
ALL COVERAGE
467
1265
APOTEK KIMIA FARMA SULAJANA (KF JL. SULAJANA NO. 24 51)
IBU YETHI/DRS. CHANDRA HARIBOWO,APT
KOORDINATOR
022-91512935|
022-4261088
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected];
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected];
[email protected]
468
1515
RS.MELINDA
JL. PAJAJARAN, NO.46
IBU RAISYA / INDAH MARKETING
469
3366
SANTOSA HOSPITAL BANDUNG KOPO
JL. K.H. WAHID HASYIM (KOPO), NO.461-463 BANDUNG
IBU DISTIA/DR. ANGGIE ARIANDHITA
Marketing
470
2734
RSU. PINDAD
JL. JEND. GATOT SUBROTO NO.517 (PAPANGGUNAN) BANDUNG 40285
ALLIN PERAMA
MARKETING
471
2730
KLINIK & APOTIK K-24
JL. LASWI NO.1A,BANDUNG
ASTI YUNIA (085861868000)
472
2704
KLINIK & APOTEK KF 43
JL. BUAH BATU, BANDUNG
DRS. MUHAMMAD HILMI,APT
473
2705
KLINIK & APOTEK KF 320
JL. CINUNUK NO.192, BANDUNG
TATI SUHARTATI CHARLES (02270988880) / LINE ROSTATI (0229264161 CHARLES (02270988880) / LINE ROSTATI (0229264161
0224222788,4222388,4209088, 022-4215700 4266700| 022022-54280333| 5402242/5428036 5 022-7322877/7309807|
022-7322468
Y
Y
Y
ACTIVE
ALL COVERAGE
(022) 7821700/7215992|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
-
022 7305019|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
-
022 7801875|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
-
022 426 4258|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
-
(022) 730 4273|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
474
2719
KLINIK JAYA SENTOSA
JL. SUNDA NO.75, BANDUNG
475
2720
KLINIK JAYA ABADI ( GROUP JAYA SENTOSA)
JL. BUAHBATU NO.245 , BANDUNG
476
0303
RS. ADVENT BANDUNG
JL. CIHAMPELAS, NO.161
BPK. YUDHI
MARKETING
022 -2034386-9/2034388|
0222043167/2041109
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
RINI HANDAYANI
MARKETING
022-87242525|
022-7271771
Y
Y
Y
ACTIVE
ALL COVERAGE
arcamanik@herminahospitalgrou p.com
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
477
1578
RS. HERMINA ARCAMANIK
JL. AH.NASUTION, KM.7, NO.50, ARCAMANIK BANDUNG
478
2625
KLINIK & APOTEK KF 12
JL. IR H JUANDA NO1 BANDUNG
BPK MULYADI
PENANGGUNG JAWAB
022 4205421|
479
2626
KLINIK & APOTEK KF 14
JL. CIAMPELAS 7, BANDUNG
ONO DARS. ONO
PENANGGUNG JAWAD
022-4201596|
480
2622
KLINIK UTAMA AL-ISLAM
JL. AWIBITUNG NO.29 CICADAS BANDUNG 40121
M. SAEFULLOH HASAN
-
(022) 7208284|
(022) 7276149
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
481
3588
KIMIA FARMA SINDANGLAYA
JL. AH.NASUTION NO.126 B
LEA OKTAVIANI
Apoteker
0227278664|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
482
3589
KIMIA FARMA 319 METRO
JL. VENUS RAYA NO 27
-
-
0227564623|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
483
3591
APOTEK KIMIA FARMA 381 KOPO
JL. KOPO CIRANGRANG NO.638
-
-
0225436596|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
484
3592
KIMIA FARMA SETIABUDI
JL. DR.SETIABUDHI NO 36, BANDUNG
HANI NOVIANI
-
0222038048|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
BANJAR BEKASI 485
1517
RSU. DR. ADAM TALIB
JL. TEUKU UMAR, NO.25, CIBITUNG
IBU. SULIS
Marketing
021-88332305/06|
021-88332308
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
486
1277
RB & KLINIK GUCI MEDIKA
JL. PRAMUKA NO.79 RAWA LUMBU
BP ARIF
MARKETING
021-82433158|
021-8221921
Y
Y
Y
PARTIAL
[email protected]
KLINIK YAKESTI BEKASI
JL. RAYA NAROGONG KM.7 NO.45 BOJONG MENTENG
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
BPK. ARIEF
MARKETING
-021 8253516|
-
N
Y
Y
ACTIVE
ALL COVERAGE
-
RSB. TAMAN HARAPAN BARU
JL. TAMAN HARAPAN BARU RAYA, BLOK IBU MERRY R-I,NO.20,PEJUANG MEDAN SATRIA
MARKETING
021-88871202|
021- 88871203
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RSIA. PUSPA HUSADA
JL. RAYA PONDOK TIMUR KM. 1, NO 27 JATIMULYA TAMBUN SELATAN-BEKASI
BPK. EDI SUTIKNO
MARKETING
021-82618978/82618979|
021-82618977
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RSU. KARTIKA HUSADA JATIASIH
JL. SWANTARA NO 72 JATI ASIH, BEKASI
IBU EMIL
-
021-82435585-82435587|
021-82435586
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
487 488
489 490
1293 1296
1304 1333
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
18
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 491
Code 1530
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
KLINIK SIERRA MITRA
JL. KH. M.TABRANI BLOK I NO. 1 A-1B, BPK. KRISNA MARGAMULIA, BEKASI UTARA
MARKETING
021-70266392/8868129|
021-8868129
N
Y
Y
DRG.RIMA/BPK. ASEP
MARKETING
021-8251919/8254748|
021-82609705
Y
Y
KOORDINATOR
021-89131010|
021-89131010
Y
Y
Status
Allowed
Emails
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
-
492
1541
RS. PERMATA BEKASI
JL. LEGENDA RAYA, NO. 9, MUSTIKA JAYA
493
1559
RB & KLINIK TIARA BUNDA
JL. RAYA PERJUANGAN NO. 1, PERTIGAAN TELUK PUCUNG
DR.LINDA
494
1122
RS. JATI SAMPURNA
JL. STUDIO ANTV KRANGGAN
DRG. IKHWAN PANE MARKETING
021-8451457|
021- 8455712
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
495
1576
RS TAMAN HARAPAN BARU (d/h praktek bersama dokter)
JL KALIABANG TENGAH RT 04/23 KEL. PEJUANG KEC. MEDAN SATRIA
IBU YESSI FRISELLA MARKETING
021-88981055|
021-88981055
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
496
1038
KLINIK HARAPAN SEHAT III
PERUMAHAN VILLA MUTIARA JAYA, BLOK MB 16/7, CIBITUNG
DR.ERNA
KOORDINATOR
021- 68295994/88393875-|- -
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
497
0947
RS. APRILIA MEDIKA
JL. RAYA SETU NO.99 DESA LUBANG BUAYA, KEC SETU BEKASI
BPK. AFNAN RIFAI
MARKETING
021 - 826115650215901312|021-5901312
021 - 82611565
Y
Y
Y
ACTIVE
ALL COVERAGE
0949
BP DR. SANDER B(D/H KLINIK HOSANA MEDICA CIBITUNG)
JL. TEUKU UMAR NO.19 CIBITUNG
DR PETER
KOORDINATOR
021-8833 8414-|-
021-8833 8413
N
Y
Y
ACTIVE
ALL COVERAGE
0950
KLINIK HOSANA MEDICA MANGUN JAYA (HOSANA MEDIKA IV
JL. MANGUN JAYA INDAH II BLOK G10 NO. 3 TAMBUN BEKASI 17510
DR HENY
KOORDINATOR
(021) 8832-0349-|-
(021) 8832-0349
N
Y
Y
ACTIVE
ALL COVERAGE
1051
RB & KLINIK ANGELIKA (RB. DEBORAH)
PERUMAHAN PONDOK TANAH MAS JL. BOSIH RAYA BLOK E15 NO.12-13 CIBITUNG
BIDAH DEBORAH
PEMILIK
021-88330750-|-
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
[email protected]
498 499
500
[email protected]
501
1053
RS. ST. ELISABETH - BEKASI
JL. RAYA NAROGONG NO.202 KEMANG PRATAMA
BPK. ANTON/IBU YUNI
MARKETING/KEU
02182430101/82432949/82400 021-82432083 186/822976702182432082|021-82432082
502
0622
RSU. MITRA MEDIKA
JL. DESA JATIWANGICIKEDOKAN/SEBELAH SELATAN KAWASAN MM 2100 KP KAMURANG RT 1/1 CIKEDOKAN, CIKARANG BARAT
BP.H. MINDA S
PEMILIK
021-8998 3741/71691709/98213879|
021-89983575
Y
Y
Y
ACTIVE
ALL COVERAGE
503
0588
KLINIK MELVIANA
JL. SAPARUA RAYA NO.239 - 240 PERUMNAS III BEKASI
IBU YULINDA
Marketing
021-8807610 / 88354744|
021-88341291
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
504
0036
RS. SENTOSA
JL. PAHLAWAN, NO.60 DUREN JAYA, BEKASI TIMUR
IBU SARI
MARKETING
021-880 6140|
021-881 4950
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] [email protected]
505
0324
RS. GRAHA JUANDA
JL. IR. H. JUANDA, NO.326
IBU PUJI
MARKETING
021- 8811832,8821004021021 - 88346880 8811832|021- 8811832
506
1140
RS. RAWA LUMBU
JL. DASA DARMA, NO.20-23, RAWA LUMBU
BAPAK AGUS
Marketing
021-82422511|
Y
Y
Y
ACTIVE
ALL COVERAGE
507
0974
KLINIK MITRA MEDIKA
JL. AGUS SALIM NO. 173
IBU SETYO
KOORDINATOR
021-8802886/ 021-8802886021-8802457 |-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
508
0982
RS. BUDI LESTARI
JL. KH.NOER ALIE, NO.2 DEPAN PERUMNAS II, KALIMALANG
IBU JULIA
MARKETING
021-8842336/88934860218893486|021-8893486
Y
Y
Y
ACTIVE
ALL COVERAGE
509
0987
Y
Y
PARTIAL
021-88328001/88392537-|- 88328002
Y
Y
Y
ACTIVE
ALL COVERAGE
MARKETING
021-82440368/7|
021-82440368
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
IBU DEWI
MARKETING
02188870606/88870909/88865 021-88975555 792-93|
Y
Y
Y
ACTIVE
ALL COVERAGE
IBU ANI
Koordinator
021-82612828 / 081212103703|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
IBU RIA
MARKETING
021-88336674-|-
BPK ROKIB/BPK HARIRI
KOORDINATOR
BPK.TEGUH
0988
RS. PERMATA BUNDA BEKASI
511
1120
KLINIK PURI NUSAPHALA
JL. CITRA INDAH A/14 PERUM PURI NUSAPALA JATI ASIH JL. RAYA HARAPAN INDAH KAW.SENTRA NIAGA NO.3-5 MEDAN SATRIA JL. PERUM BEKASI TIMUR REGENSI BLOK.H2 NO.12, KEL.CIMUNING, BEKASI TIMUR
[email protected] o.id
N
JL. TEUKU UMAR NO.33 CIBITUNG
510
021-8893487
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
RB & KLINIK HARAPAN SEHAT CIBITUNG
PERUM GRAMAPURI TAMANSARI C1/810 CIBITUNG
021-82432958
021-8901126
[email protected]/marketing_rspb@ya h
512
1123
RS. CITRA HARAPAN
513
1206
KLINIK SADRINA MEDIKA II
514
1207
KLINIK DIPONEGORO
JL. DIPONEGORO NO.26 TAMBUN
IBU VIVI
KOORDINATOR
021 - 8817062|
021-88346743
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
515
1216
RS. JUWITA
JL. M. HASIBUAN NO.78 - BEKASI
Ibu Nia
MARKETING
021 -8829590/1|
021-8829592
Y
Y
Y
ACTIVE
ALL COVERAGE
Koordinator
021- 88373158 / 02188328001/ 88392537|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING, CS
021-8458806-|-
021-84592146
Y
Y
Y
ACTIVE
ALL COVERAGE
516
1136
KLINIK PERMATA BUNDA BEKASI
JL. BOSIH RAYA RUKO KARTIKA WANASARI BLOK.C1/4 CIBITUNG
517
1090
RS. PERMATA CIBUBUR
JL. ALTERNATIF CIBUBUR - CILEUNGSI IBU NO.6A BEKASI MARLINA/RIYANI
BAPAK ROKIB
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
19
[email protected]
[email protected]
[email protected] m; rianicleopatra@yah
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address JL. NAROGONG SAKTI RAYA BLOK A 20 NO.1
518
1259
KLINIK WIJAYA KESUMA
519
0010
RS. MITRA KELUARGA BEKASI BARAT JL. JEND. A.YANI, BEKASI BARAT
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
IBU FARISYAH
KOORDINATOR
021 - 8210779|
021 - 8226455
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
IBU TITI
MARKETING
021-8853333|
0218842550/8855000
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0032
RB. BUNDA AUNI
VILLA NUSA INDAH, BLOK D5, NO.19
BPK.MUKLAS
KEUANGAN
02182402286/82420366/82403 021-82410136 873|
521
0147
RS KARYA MEDIKA BANTAR GEBANG(d/h KARYA MEDIKA IV)
JL. NAROGONG RAYA, KM.11, BANTAR GEBANG
BPK. ALLOSIUS
PELAYANAN PASIEN
021-8254629|021-8254630
021-8254629
Y
Y
Y
ACTIVE
ALL COVERAGE
522
0151
KLINIK MULYA MEDIKA (APOTIK MURNI)
JL. RAYA JATI MULYA, NO.1, BEKASI TIMUR
BPK. RUNTUNG
MARKETING
021-8203272|
021-8203272
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
523
0409
KLINIK DHARMA MEDIKA
JL. PEMUDA, NO.33, KRANJI
IBU BETTY
KEUANGAN
021-8855173,8866711|
021-8866711
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
524
0185
RS. BHAKTI KARTINI
JL. KARTINI, NO.11
IBU HILDA/ BPK FIRMAN
MARKETING
021-8801954/88348492|
021-8824228
Y
Y
Y
ACTIVE
ALL COVERAGE
DR FRISKA GULTOM/IBU DJES
KOORDINATOR
021-8814262|
021-8814262
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
520
[email protected];
[email protected]
525
0767
KLINIK MHT BEKASI
JL. H.M JOYO MARTONO NO.31B BEKASI TIMUR
526
0620
RS. KARYA MEDIKA II (D/H RSIA. )
JL. SULTAN HASANUDIN NO.63 TAMBUN
IBU. DEBBY / MERY
MARKETING
021-883 24366; 7093476602188361980|021-88361980
021-88327514
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
527
0766
RS. ANANDA BEKASI
JL. SULTAN AGUNG NO.17, MEDAN SATRIA BEKASI
BPK JOKO/BRAM
MARKETING
021-8854338|
021- 88950141
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
MARKETING
021-880 1775/ 880177/8819377021880177|021- 880177
02188342438/883 52506
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0218810055/8835090 8
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
528
0410
RS. BELLA
JL. IR. JUANDA, NO.141
IBU AMEL GRACE
529
0384
RS. MEKAR SARI
JL. MEKAR SARI, NO.1
DRG. AMI
MARKETING
021-8802641,88137870218813787|021-8813787
530
0250
KLINIK KARYA MEDIKA I
JL. IR H JUANDA NO.38 C
BPK HERMAN
KOORDINATOR
021-88012930218800381|021-8800381
021-8816137
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
531
0188
KLINIK FAJAR MEDIKA ( GROUP KARYA MEDIKA )
RUKO KAWASAN INDUSTRI MM2100, CIBITUNG
IBU INA
MARKETING
021-8981162|
021-8981162
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
532
0887
KLINIK MULYA MEDIKA II
JL. PERUMAHAN GRAMA PURI, BLOK D1, NO.5, CIBITUNG
BPK. HAKIM
KOORDINATOR
021-8836248|
021-88362481
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
533
0715
KLINIK MUTIARA I (CITRA HUSADA I)
PERUM METLAND JL. KALIMAYA 6 BLOK BPK. KEMAL / BPK. L2 / 1 BEKASI RONNY
/KEUANGAN
021-29487893|
021-88337919
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
534
0294
KLINIK KARYA MEDIKA III (APOTIK MEKAR ASRI)
JL. PERJUANGAN, NO.30C, TELUK BUYUNG
IBU EUIS
KOORDINATOR
021-8851152|
021-8851152
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
535
0819
RB & KLINIK PERMATA BUNDA SETU
PERUM GRAHA MUSTIKA MEDIA, BLOK A5, NO.15, SETU
IBU TIA
ADM
82611729 / 88328001|
82611729
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
IBU MAMI
MARKETING
[email protected]
536
0847
RS. ANNA
JL. PEKAYON RAYA NO.36, BEKASI SELATAN
021-82432211|
021-82419079
Y
Y
Y
ACTIVE
ALL COVERAGE
537
0873
APOTIK & KLINIK LEGENDA SEHAT
JL. ZAMRUD UTARA BLOK U16 NO.100 KOTA LEGENDA
BPK.BUDI JULIANTO KOORDINATOR
021-82600148|
021-82606179
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
538
2539
MITRASANA PONDOK TIMUR
PONDOK TIMUR INDAH BLOK G NO 1 PONDOK TIMURKEL JATIMULYA KEC TAMBUN SELATAN KAB BEKASI
-
-
36822510 / 08891259024|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
539
2461
KLINIK 24 JAM & RB. PERMATA BUNDA CIBITUNG
JL. RAYA WANAJAYA - CIBITUNG, BEKASI
IBU ZENDRI
-
021 - 88322064, 88323062| -
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
540
2545
MITRASANA TITIAN INDAH
JL. PERUM TITIAN INDAH BLOK I NO 9 RT 07 RW 10 KEL. KALIBARU KEC MEDAN SATRIA KOTA BEKASI
-
-
021-94178815|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
541
1816
RS. HARAPAN MULIA
JL. RAYA CIBARUSAH NO. 5 KB. KOPI, CIBARUSAH JAYA KAB. BEKASI
HENDRO L PRASETYO / LINDA
MARKETING
021-89952340|
021-89952460
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RB & KLINIK AMIRA CIKARANG
JL. RAYA BY PASS LEMAH ABANG, CIKARANG TIMUR
DR. DEDY
-
021-8914 2719|
021-89142719
N
Y
Y
PARTIAL
[email protected]
APOTIK FARMARIN VII BEKASI
JL. GURAME RAYA PERTOKOAN KAV.29 PERUMNAS KAV.29 PERUMNAS II KEL, KAYU RINGIN RAYA KEC BEKASI SELATAN.
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
HIKMAH APRILIANI
-
02188968419|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
542
543
1830
1937
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
20
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
544
1924
KLINIK MANDIRI
PERUM VILLA MUTIARA CIKARANG BLOK R 26-27 CIKARANG SELATAN
545
2057
KLINIK BATARA SATU MEDIKA
546
2091
547
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
PEMILIK
021-897 4883|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
JL. KH. NOER ALI NO. 10 KP. IRIAN RT. ASEP KUSTARA 03/04 TELUK PUCUNG, BEKASI UTARA
-
021-89133229|
021-82589090
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
KLINIK SITI ZAHROH
PERUMAHAN GRAND RESIDENT RR 100 SETU - BEKASI
BPK ERI
PEMILIK
021-8261.8362|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
2036
RB & KLINIK DR IQBAL TAUFAN
VILA MUTIARA CIKARANG 2 BLOK B1 NO. 27, DESA SUKASEJATI CIKARANG SELATAN, BEKASI
IBU NANIK
KOORDINATOR
021-89902361|
021-89902361
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
548
1971
RB. WIJAYANTI
JL. PERUM GRIYA BEKASI PERMAI BLOK IBU MOMO H6 NO 17, TELAJUNG-CIKARANG BARAT
PEMILIK
021-29371856/97958619|
021-82602243
N
Y
Y
ACTIVE
ALL COVERAGE
-
549
1951
KLINIK & APOTEK KF 387
JL. JATIWARINGIN NO 5 PONDOK GEDE SHINTA YULIZRA BEKASI
-
021-8461980|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
550
1965
KLINIK KU
JL. DR. RATNA JATI ASIH BEKASI
-
021-84901303|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
551
1584
KLINIK RIBU MEDIKA
JL. RAWA JULANG DESA MEKARWANGI IBU ROSTARIA KEC. CIKARANG BARAT, BEKASI BANGUN
KOORDINATOR
021-91303916/89983577|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
552
0063
RS. MULTAZAM MEDIKA
JL. PERUMAHAN JATIMULYA NO.1 TAMBUN SELATAN, BEKASI 17510
MARKETING
021-8215101/82151020218215102|021-8215102
021-82416678
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
021-8265 1212|
021-825 2963
Y
Y
Y
ACTIVE
ALL COVERAGE
grandwisata@herminahospitalgr oup.com
021-8900190-1 & 8903003021-89107753 4|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
021-88333535|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
553
1553
RS. HERMINA GRAND WISATA
554
0016
RS. KARYA MEDIKA CIBITUNG
555
1588
RB. ASYIFA HUSADA MEDICAL CENTER
556
1595
IBU.IIN IRA KARTIKA
DR. SARI RAHADJENG
IBU IRMA
JL. FESTIVAL BOULEVARD BLOK JA NO. BPK.SUNGKONO MARKETING I, GRAND WISATA, IBU JL. RAYA IMAM BONJOL, NO.9B, TITIN/FERYANA/IND MARKETING CIKARANG BARAT, CIBITUNG AH PERUM. BEKASI REGENCY I BLOK K I ERWAN JAUHARY MARKETING NO. 1, CIBITUNG
021-88332152
KLINIK VNV MEDIESTETI
KOMPLEK PEMDA BLOK C JATI ASIH BEKASI
BP SOFYAN
Marketing
021-82435767|
021-82435767
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
IBU ELA KUSMIATI/BPK. ALIM
MARKETING
021 - 88882211|
021 - 88973042
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
557
1334
RS. ANNA MEDIKA
JL. RAYA PERJUANGAN NO 45, HARAPAN BARU, BEKASI UTARA
558
1350
RS. MITRA KELUARGA CIBUBUR
JL. ALTERNATIF TRANSYOGI, CIBUBUR IBU RINA
MARKETING
021-84311771/84311777|
021-84311661
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
559
1586
RSIA. SRITINA
JL. IMAM BONJOL NO.80A BEKASI
IBU INDAH
MARKETING
021-8900579-89106317|
021-89106633
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
560
1640
RS. JATI RAHAYU
JL. RAYA HANKAM NO 17 PONDOK MELATI BEKASI
IBU SHINTA
MARKETING
0218462566,8462565,8497257 021-84992723 8|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
561
1769
KLINIK SATELIT GSM BEKASI
BEKASI SQUARE NO 65-66 JL. AHMAD YANI PEKAYON JAYA BEKASI SELATAN
BPK AGUNG
-
021-82425408|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
562
1771
RS. KARTIKA HUSADA SETU
JL. BURANGKENG RT 01/06 DESA BURANGKENG SETU BEKASI
IBU ANDRI ICHSANTI
MARKETING
021-82610003/4|
021- 82610005
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU LITA
Marketing
021-89131111|
021-89132039
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
563
1807
RS. TIARA BEKASI
JL. RAYA BABELAN NO. 63 KEL. KEBALEN KEC. BABELAN KAB. BEKASI
564
1486
RS. AWAL BROS BEKASI (D/H RS. GLOBAL AWAL BROS )
JL. KH.NOER ALI KAV.17-18 KALIMALANG
BPK YADI/IBU MIMI
MARKETING
021-8868888/88855333|
02188855222/888 55210
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
565
1261
RS. HOSANA MEDICA BEKASI
JL. PRAMUKA NO.12 RAWA LUMBU
BP YOSEP
DIREKTUR
021-8221570/73|
0218224604/8221574
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];hos anamedicabekasi1@gmail
566
1417
RSIA. RINOVA INTAN
JL. RAYA SEROJA NO.101
BPK.LUHUT
KOORDINATOR
021-8849401|
021-8848739
Y
Y
Y
ACTIVE
ALL COVERAGE
-
567
1203
KLINIK SEHAT SEJAHTERA I
JL. RAYA NUSANTARA NO.2 PERUMNAS IBU.JANAH/HAYATI III BEKASI TIMUR WIDIODO
Koordinator
021-88349427|
88349427
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
568
1204
KLINIK SEHAT SEJAHTERA II
PERUM REGENSI - BEKASI TIMUR
IBU.PUJI/HAYATI WIDODO
Koordinator
021-88367194|
88349427
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
569
1062
RS. CIBITUNG MEDIKA
JL. RAYA H.BOSIH NO.117 DS.WANASARI,CIBITUNG-BEKASI
RUSTOMY FADILLAH / ENNIKE Marketing MARYATININGRUM
021-88323444/88393181-|-
02188323449/883 72866
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
570
1989
RSIA. KARUNIA KASIH (KARUNIA BUNDA)
IBU GRACE
Marketing
021-8461970|
021- 8460991
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
571
3367
KLINIK CENTRAL MEDIKA2
DR. LIA
--
021-89100879|
021-89100877
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
572
0178
RS. HERMINA BEKASI
021-8842121/30|
021- 88952275
Y
Y
Y
ACTIVE
ALL COVERAGE
JL. RAYA JATI WARINGIN NO. 133 PONDOK GEDE KOTA BEKASI JL. KH. FUDHOLI (KEBON KPI) DESA KARANG ASIH, KEC. CIKARANG UTARA KAB. BEKASI JL. KEMAKMURAN, NO.39, MARGAJAYA
DR.CHEYRA/IBU.CH MARKETING RISTINE
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
21
[email protected] m
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
573
3382
KHARISMA MEDICAL CENTER
JL. CAMAN RAYA NO.54 BEKASI
IBU TIARA
MARKETING
021-84991671|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- marketing@kharismamedicalcent RJ,RM-RG,RM-KM,RM-RB,PHAR er.co.id
574
2528
MITRASANA ALAMANDA REGENCY
"JL. KAMPUNG RAWA KALONG RT 01/ RW 03 KARANG SATRIA BLOK N 01 NO 43 TAMBUN UTARA, BEKASI
ELI NURHAYATI
-
70874627/ 08891258883|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
575
2534
MITRASANA KRANJI
JL. FAJAR NIAGA D1 NO 73 KEL JAKA SAMPURNA KEC BEKASI BARAT
IBU DEVI
koordinator
88951275|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
576
2613
KLINIK & APOTIK MAHADINA MEDIKA JL. KH. BOSIH NO.9 CIBITUNG
EEN
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMumar.bakrun.bakrun85@gmail RJ,RM-RG,RM-KM,RM-RB,PHAR
577
2508
MITRASANA TAMAN HARAPAN BARU
-
-
88870793 / 08891259038|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
578
2802
KLINIK PERTAMEDIKA BEKASI
HENDRI (081806762901)
-
021-88962946|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
579
2803
KLINIK PERTAMEDIKA JATIWARINGIN JL. SANGATTA NO. 1 JATIWARINGIN ASRI PONDOK GEDE 17411
SRI ENDRA (081317520046)
-
021-84990644|
021-84970944
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
580
2402
KLINIK & RB CAHAYA MEDIKA (Group Jl. Rawa Julang RT. 02/01, Desa Ganda HARAPAN SEHAT CI) Mekar Kec. Cikrang Barat ¿ Bekasi
DR. ERNA
-
(021) 8998 4009|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
581
2689
KLINIK & APOTEK KF 367
NUR FADILLAH,S FARM., APT.
582
0161
583
0891
JL. TAMAN HARAPAN BARU BLOK E7 NO 9, PEJUANG, MEDAN SATRIA, BEKASI BARAT RUKO KALIMALANG SQUARE BLOK J NO. 17, JL. KALIMALANG RAYA BEKASI BARAT
JL. JATIMEKAR NO. 33 JATIASIH
JL. PENGASINAN RAWA SEMUT RS. MITRA KELUARGA BEKASI TIMUR MARGAHAYU, BEKASI TIMUR JL. GARDENIA RAYA SELATAN BLOK RS. HERMINA GALAXY BA1 NO.11
021 8473403|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
MARKETING
021-8817777/89999222|
8820707/8999928 6
BPK.DEFNI MANSUR MARKETING
021-8222525/82417777|
021-82414087
Y
Y
Y
ACTIVE
ALL COVERAGE
IBU LINDA/ HARTI
-
[email protected] om
[email protected] m
584
2433
KLINIK TAMAN FIRDAUS MEDIKA
PERUM TAMAN FIRDAUS RESIDENCE BLOK A 06 NO.17 CIBARUSA BEKASI
BPK ERIK/ BP RICO
-
021 - 89950047|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
585
2611
KLINIK AMELIA
VILA MUTIARA GADING 2 KOMPLEK RUKO ROXY BLOK DD.10 NO.1 KARANG DR. IDA ROHAYANI SATRIA BEKASI
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
586
2560
MITRASANA MOCHTAR TABRANI
JL. KH MUCHTAR TABRANI RT 003 RW 03 KEL. PERWIRA KEC. BEKASI UTARA KOTA BEKASI
-
36822504/ 08891259008|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
587
2594
MITRASANA BUMI CIKARANG MAKMUR
BUMI CIKARANG MAKMUR BLOK F 10 NO. 6 KEL. SUKADAMI, KEC. CIKARANG IBU RATMI SELATAN, KAB. BEKASI
Koordinator
021-36164232/ 02134618046|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
588
2512
MITRASANA KAMPUNG CEREWED
-
88343753|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
589
2514
MITRASANA PESONA KHAYANGAN
IBU ELVANA (STORE MANAGER)
77822980|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
590
2515
MITRASANA KALIABANG
INA MASTUHA
-
021-88974206|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
591
2518
MITRASANA MUTIARA GADING TIMUR
RUKO MUTIARA GADING TIMUR 2 BLOK R 02-23 KELURAHAN MUSTIKA JAYA NURHASANAH KECAMATAN BANTAR GEBANG BEKASI
-
085100771573|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
592
2520
MITRASANA UJUNG HARAPAN
"KAMPUNG UJUNG HARAPAN RT 02/ RW 15 KEL. BAHAGIA KEC. BABELAN KAB. IVANA BEKASI
-
021-29258727/ 70874627|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
593
2521
MITRASANA BUMI SANI PERMAI
"JL. BUMI SANI PERMAI RT 02 RW 011 KAMPUNG BULU KEL SETUIA MEKAR KEC TAMBUN SELATAN BEKASI
-
71347468|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
594
2523
MITRASANA HARAPAN BARU 2
"PERUM HARAPAN BARU II D8-02 RT 03 AFAL MASANI RW 02 KOTA BARU BEKASI BARAT
-
88950943|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
595
2525
MITRASANA SAKURA REGENCY
"JL. WIBAWA MUKTI 2 KOMP. SAKURA REGENCY BLOK KM 8 ¿ 12 JATIASIH BEKASI
MIRA
-
021-82441692|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
596
2527
MITRASANA KOTA SERANG BARU
"JL. PERUM KOTA SERANG BARU BLOK A/47 NO 5 KEL SUKARAGAM, KEC SERANG BARU KAB BEKASI
-
-
36502354|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
RUKO LIBERS. A GARDEN NO. 23 JL. KARANG SATRIA(SEBELAH PERUM KAMPUNG CEREWED), DUREN JAYA BEKASI TIMUR RUKO PESONA KHAYANGAN BLOK B NO.6 , JL. M. YUSUF, KEL. MEKARJAYA, KEC. SUKMAJAYA "RUKO FITRA JAYA, JL. KALIABANG RT 01/06 NO. 7 KEL PERWIRA KEC BEKASI UTARA
TIKA
-
TINI
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
22
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
RI
RJ
FLAG
Status
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
BALI
Allowed
Emails
597
2531
MITRASANA GRAND WISATA
RUKO CELEBRATION BOULEVARD BLOK AA9 NO.12 PERUMAHAN GRAND WISATA KEL. LAMBANG SARI KEC. TAMBUN BEKASI
598
2533
MITRASANA PEKAYON JAYA
RUKO PENINSULA JL. PULO RIBUNG RT 01 NO. 1D KEL. PEKAYON JAYA KEC. RANI BEKASI SELATAN BEKASI SELATAN
-
82429641|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
599
2535
MITRASANA PEJUANG HARAPAN BARU
JL. PEJUANG 04 BLOK B/ 234 RT 13 RW SUSI 11 PEJUANG MEDAN SATRIA
-
021-70813640|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
600
2509
MITRASANA PONDOK UNGU PERMAI
PONDOK UNGU PERMAI AC 1 NO 20A & 20B RT 003 RW 009, BAHAGIA, BABELAN - BEKASI
INDRI RAHMAWATI
-
021-88882300|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
601
2511
MITRASANA DUKUH ZAMRUD
JL. ZAMRUD UTARA RUKO BLOK S.1 NO. 18 KOTA LEGENDA,BEKASI TIMUR
-
-
08891258897/ 82602911|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
-
-
36771573/ 08891259006|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
602
2513
MITRASANA MEGA REGENCY 2
603
0735
RS. KARTIKA HUSADA TAMBUN
604
0843
KLINIK DHARMA BHAKTI
605
1558
KLINIK ASYIFA HUSADA
"JL. PERUM MEGA REGENCY BLOK D3 NO 5 KEL SUKARAGAM KEC SERANG BARU KAB BEKASI JL. MANGUN JAYA RAYA KP.RUKEM RT.003/013, DESA MANGUN JAYA, TAMBUN - BEKASI JL. RAYA BOSIH BLOK A4 NO.23 PONDOK TANAH MAS, CIBITUNG BEKASI
-
71209133 / 08891258904|
SRI WARDININGSIH/FIT MARKETING RI/ANJAR
021-88338346, 88327281021-9172736|021- 021-88322529 9172736
BPK SUDIARTO
HUMAS
021-8831441-|-
0218831441/8830246
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
PERUM. VILLA MUTIARA JAYA BLOK N. 78 /11-12, WANAJAYA, CIBITUNG
ERWAN JAUHARY
KOORDINATOR
021-88338235|
021-88338235
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] / RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
[email protected]
BOGOR 606
3000
RSUD. KOTA BOGOR
JL. DR. SUMERU NO. 120 MENTENG, BOGOR BARAT 16111
IBU RINA/BPK YANI/ MIA
0251-8312292|
0251-8371001
Y
Y
Y
ACTIVE
ALL COVERAGE
607
2517
MITRASANA VILLA NUSA INDAH
PERUM VILLA NUSA INDAH BLOK F2 NO. 15 DESA BOJONG KULUR KEC. GUNUNG PUTRI KAB. BOGOR
-
-
82429508|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
608
2955
RS. PERMATA JONGGOL
MARKETING
021-8993 1222|
021- 8993 1836
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
609
3990
RSIA. BUNDA SURYATNI
MARKETING
(0251) 754 3892|
(0251) 754 3892
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
610
2393
RSIA. UMMI
MARKETING
0251-8341600|
0251-8341606
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
611
3420
RS. MULIA PAJAJARAN
DIREKTUR
0251-8379898|
0251-8378800
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
JL. RAYA JONGGOL NO.1 A RT.008 IBU ARUM RW.03, SUKAMANAH, JONGGOL, BOGOR JL. KH. SOLEH ISKANDAR NO. 21, Nuna Nur Mina CIBADAK, TANAH SAREAL, BOGOR 16161 JL. EMPANG II NO.2 BOGOR RT.004/002 BAPAK DEDE BOGOR SELATAN IBU EFI/ DR JL. RAYA PAJAJARAN NO. 98, BOGOR RADIANTI
[email protected];
[email protected]
612
2979
LAB. KLINIK KIMIA FARMA BOGOR
JL. IR. H. JUANDA NO. 30, BOGOR
IBU YUNI
KOORDINATOR
0251 - 8319030|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
613
3330
LAB. KIMIA FARMA 50
JL. MERDEKA NO. 24 BOGOR
IBU UMI
-
0251-271708|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
614
1235
KLINIK & APOTEK KF 7 BOGOR
JL. IR. H JUANDA NO. 30
TUTI EKAWATI
-
0251-8363473 / 8319030 (Lab)|
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
615
2772
KLINIK SHIFA MEDIKA
-
(021) 8760357|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
616
2759
RS. KARYA BHAKTI PRATIWI
MARKETING
(0251) 8626868|
(0251) 8626969
Y
Y
Y
ACTIVE
ALL COVERAGE
617
2718
KLINIK PELITA SEHAT CIOMAS
JL. RAYA TAMAN PAGELARAN BLOK C1 NO.5, PADASUKA, CIOMAS, BOGOR
DR. JUNAIDY (08129922058)
OWNER
(0251) 7522167|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
618
2788
RSIA. ASSALAM
JL. RAYA BOGOR KM 46, NANGGEWER MEKAR, CIBINONG, BOGOR
IBU KHOLIS
-
(021) 8753724|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
JL. MAYOR OKING 112 C, CIBINONG
ROSA TADIANTI PUTRI, S.FARM., APT
619
2703
KIMIA FARMA 362
DR. RIANA JL. BRANTA MULIA RT.002/07 KARANG ROCHMAWATI ASEM TIMUR, CITEUREUP - BOGOR (081319980958) JL. RAYA DRAMAGA KM. 7, DRAMAGA, BP NURWANDY BOGOR
-
021 87914400|
-
[email protected] o.id
[email protected]
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
620
0992
RS. BOGOR MEDICAL CENTER
JL. PAJAJARAN INDAH V/97 BOGOR
DRH.SITTI NUR MARKETING ARAFAH, IBU LISNA
02518307900/8390435/8346002 02518313987/8353419 /83797430251346002|0251-346002
621
2809
KLINIK PERTAMEDIKA BOGOR
JL. PANDAWA BLOK A-1 NO 14-15 BANTAR JATI II BUMI INDAH PRASTA I
IIN (081386613335) -
0251-8363994|
0251-8363993
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
622
3709
RS. VANIA
JL. SILIWANGI NO.11 SUKASARI BOGOR TIMUR
SKOLASTIKA SENDY MARKETING
0251-8380601/8380605|
0251-8380612
Y
Y
Y
ACTIVE
ALL COVERAGE
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
23
[email protected];
[email protected]
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 623
Code 2172
Hospital Name
Address
JL. RAYA GALUGA NO. 120 KLINIK BHAKTI RAHAYU LEUWILIANG CIBUNGBULANG, BOGOR
Contact Person BPK YUYU RAHAYU
JL. RAYA DRAMAGA KM. 7.3 BP. YOGI MARGAJAYA BOGOR JL. KH ABDULLAH BIN NUH RT. 005/ DR. WENI RW. 01 KEL. SINDANG BARNAG, KEC. PUSPASARI BOGOR BARAT JL. MH THAMRIN KAV 57 SENTUL CITY - dr. Bertie BOGOR 16810 riyestavani IBU FITRI/ BPK JL. RAYA TAJUR NO 75A - BOGOR SURYAKERTA
Division
Tel Number
Fax Number
BALI
-
0251-8648201|
-
MARKETING
0251- 8308900; 081319310610|
-
(0251) 8624629|
MARKETING
RI
RJ
FLAG
Status
Allowed
Emails
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
ACTIVE
ALL COVERAGE
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
ACTIVE
ALL COVERAGE
bertie.riyestavani@pertamedikas entul.co.id
[email protected]
N
Y
Y
0251- 862577
Y
Y
-
N
Y
021-29672990/29672977|
-
Y
624
2191
RS. MEDIKA DRAMAGA
625
2441
KLINIK NADYA MH THAMRIN
626
2388
RS. PERTAMEDIKA SENTUL CITY
627
2456
RSIA. JULIANA
Marketing
0251 - 8339593|
0251-8339591
Y
Y
Y
ACTIVE
ALL COVERAGE
628
2624
IZI CLINIC
JL. ACHMAD ADNAWIJAYA NO.115
YUZHI FADILAH ARS. Y, S.FARM
Clinic Manager
(0251) 8356621|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- willyRJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
629
0468
RS. PMI BOGOR
JL. RAYA PAJAJARAN, NO.80
IBU CITRA/ YUDHA
MARKETING
0251-8324080-|-
02518382936/8324709
Y
Y
Y
ACTIVE
ALL COVERAGE
630
1831
KLINIK PELITA SEHAT CIBINONG
JL. MAYOR OKING NO 510 (SAMPING SEKOLAH MARDI WALUYA)
IBU YASIKA/ RIRIN
MARKETING
021-70230178|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
631
1832
KLINIK PELITA SEHAT BANGBARUNG
JL. ACHMAD SOBANA/ BANGBARUNG 77 BOGOR
-
-
0251-8362525|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
632
1833
KLINIK PELITA SEHAT TAMAN KENARI
RUKO PERUMAHAN TAMAN KENARI BLOK E3 NO 4, TANAH BARU BOGOR
-
-
0251-8664767|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
633
1823
JL. KSR DADI KUSMAYADI RUKO KLINIK SALSABILA MEDICAL CENTRE LAMPU MERAH CIKARET NO. 70 CIBINONG-BOGOR
IBU SHELLY
-
021-87905768|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
634
1913
KLINIK PURI MEDIKA
JL. RAYA CIKARET NO. 12 CIBINONG, BOGOR
-
--
021-87903120|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
635
2116
RS. HERMINA MEKARSARI
JL. RAYA CILEUNGSI - JONGGOL KM 1 KABUPATEN BOGOR 16820
DRG. EROS SYAH WORONGAN, MARS.
021-29232525|
021-2923770
Y
Y
Y
ACTIVE
ALL COVERAGE
mekarsari@herminahospitalgrou p.com
636
0720
RSIA. CITRA INSANI
JL. RAYA PARUNG NO.242, DR. FERDINAND Y H MARKETING LEBAKWANGI PEMAGARS. ARI, PARUNG S BOGOR
0251 8611507/86177270251611507|0251-611507
0251 - 8617493
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] .id
637
1952
KLINIK & APOTEK KF 50
JL. MERDEKA NO 24 BOGOR
DRS. HENDI WIJAYA, APT
0251-8384247 / 8321525|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
638
1385
RS. SENTRA MEDIKA CIBINONG
JL. MAYOR OKING JAYA ATMAJA NO.9 CIBINONG
IBU DEVI IBU DEA / IBU TRI ANA MARKETING DARMAWANTI
021-87909999/87911212|
021-87909377
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] om
639
0755
RS. BINA HUSADA CIBINONG
JL. MAYOR O KING NO.101, CIBINONG DR.YUNI BOGOR
MARKETING
021-8758441; 87911000021021-8752463 8753422-|021- 8753422-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m;
[email protected]
640
1583
KLINIK TLAJUNG
JL. MERCEDES BENZ NO. 79 GUNUNG PUTRI BOGOR
DR. SUMARNI
-
021-8675604|
021-8675604
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
641
1679
RSIA. ANNISA CITEUREUP
JL. KARANGGAN NO 02 PUSPASARI CITEUREUP - BOGOR
DR. DENI/BPK HENDRY
MARKETING
021-8756780; 8752628|
021-8752628
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
642
1680
RSIA. SENTOSA
JL. RAYA KEMANG NO 18 BOGOR
BPK JAYNUDIN
MARKETING
0251-7541900|
0251-7541900
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/biancak
[email protected]
643
1673
RB. PELITA SEHAT POMAD
JL. RAYA CIBULUH RUKO NO 9 SIMPANG POMAD KEC BOGOR UTARA
IBU LINA
Marketing
0251-8652628; 02518658811|
0251-8658811
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
0218230426/82499885/966840 021-8231829 76|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
PARTIAL
644
GRIYA KENARI MAS BLOK B2 CILEUNGSI
[email protected]/rspmi_k
[email protected]
1662
RSIA. KENARI GRAHA MEDIKA
645
1419
RB & KLINIK CITAMA KEDUNG WARINGIN GRAVERI
JL. BOJONG GEDE-BOGOR
IBU DARNI / MANDA KOORDINATOR
021-87983434|
646
1297
RB & KLINIK INSANI
JL. PAHLAWAN NO.73B CITEUREUP
IBU SRI
KEUANGAN
021.70247742/ 87942723|
021-87942570
Y
Y
Y
PARTIAL
RS. CITAMA
JL. RAYA PABUARAN NO. 52 BOJONGGEDE-BOGOR
IBU MANDA / IBU TRI
MARKETING
021-87985555|
021-87986666
Y
Y
Y
ACTIVE
ALL COVERAGE
KLINIK DR.BETTY
JL. RAYA NAROGONG, PERUMAHAN PT.SEMEN CIBINONG, CILEUNGSI
IBU HANNA/Shinta
KOORDINATOR
021-82493032|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RB & KLINIK TRIMITRA
JL. RAYA GUNUNG PUTRI KM 117, GUNUNG PUTRI
IBU EVA
MARKETING
021-8672005|
-
Y
Y
Y
PARTIAL
RSIA. HERMINA BOGOR
JL. RING ROAD-1, KAV.23,25,27, PERUM. TMN. YASMIN
DRG. RETNO/ IBU. ROLLI
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
MARKETING
0251-8382525|
0251-8328252
Y
Y
Y
ACTIVE
ALL COVERAGE
647 648
649 650
1353 1533
1484 0133
IBU KINING
-
[email protected]
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
24
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
[email protected] [email protected]
[email protected] m
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 651
Code 0932
Hospital Name KLINIK MHT CIPAYUNG
Address
Contact Person
Division
JL. RAYA PUNCAK CIPAYUNG
BPK NUGRAHA/ BPK ADM/ marketing ANDRE MARKETING
652
1103
RS. TRIMITRA CIBINONG
JL. RAYA CIBINONG KM.43
IBU WIDI/ BPK.MASOED
653
1134
RB. KLINIK HARAPAN IBU
JL. RAYA CIKABON NO.108 PARUNG PANJANG
IBU UBUN NINGSIH / LIA
PIMPINAN
654
1251
KLINIK INSANI CIBINONG
JL. MAYOR OKING, NO.58A, CIRIUNG, CIBINONG
IBU SRI
KEUANGAN
655
0290
RS. MARY CILEUNGSI HIJAU
JL. RAYA NAROGONG, KM.21, CILEUNGSI
656
0411
RS. AZRA
657
0706
658
0389
659 660
Fax Number
BALI
0251-8256172-|-
0251-8257648
021-8763055-56021021-8758038 8765993|021-8765993 021-54260635 / 089664392582/0896421489 021-54260635 75|
RI
RJ
FLAG
Status
Allowed
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
021-8757567|
021-8757567
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
BAPAK ARIF/TEGUH MARKETING WARDOYO
021-82492222|
021-82493902
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. RAYA PAJAJARAN, NO.219
RUSLI / PUTRI MAKARTI
MARKETING
0251-8318456-|-
02518331773/8324093
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
POLIKLINIK CIBULUH
JL. KEDUNG HALANG TALANG, NO.148
IBU IYAN ROHYANI
MARKETING
0251-8661947|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RS. MH THAMRIN CILEUNGSI
JL. RAYA NAROGONG, KM.16, LIMUS NUNGGAL, CILEUNGSI
BPK JANI / IBU RATNA
MARKETING
021-8235052 / 8249133202182491332|021-82491332
021-82491331
Y
Y
Y
ACTIVE
ALL COVERAGE
IBU. GINA / IBU.DIAH
MARKETING
0251 - 8316822, 834713|
0251 -8347139
Y
Y
Y
ACTIVE
ALL COVERAGE
DEBORA
HUMAS dan MARKETING
(0251) 8652391|
0251-8661 605
Y
Y
Y
ACTIVE
ALL COVERAGE
0190
RS. ISLAM BOGOR
0835
RS. FAMILY MEDICAL CENTRE BOGOR
RS. PERMATA BUNDA CIAMIS
JL. MR.IWA KUSUMASOMANTRI NO.1
IBU HJ NANI WARNIDAH
MARKETING
0265-771650/7767450711356173|0711-356173
0265-777658
Y
Y
Y
ACTIVE
ALL COVERAGE
1104
Emails
N
JL. PERDANA RAYA NO.22, BUDI AGUNG - KEDUNG BADAK JL. RAYA BOGOR KM.51 CIMANDALASUKARAJA
CIAMIS 661
Tel Number
[email protected];
[email protected];rsislambog
[email protected] [email protected];debora0110@y ahoo.com,
[email protected]
CIANJUR 662
2123
KLINIK PADJADJARAN SUKANAGARA
JL. RAYA SUKANEGARA KM.45 SUKANEGARA - CIANJUR
IBU RIRIN
KOORDINATOR
0263-340189/ 085794056664|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
663
2121
KLINIK ASSALAM CIKALONG
JL. RAYA CIKALONG KULON NO. 61 A KAB. CIANJUR
BPK RAGA
KOORDINATOR
0263-318222 / 081290995603|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
664
4107
RS. DR.HAFIZ
JL. PRAMUKA NO. 15 SUKAMULYA, KARANG TENGAH, CIANJUR
IBU LESSY YANI RUSLAN
-
0263-2910000|
(0263) 2910010
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU ELLA
MARKETING
0264-361459/361466|
0264-8375276
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
BPK. ANDRI /BPK. ALI
KOORDINATOR
0264-319307/8386830-32|
0264-8386829
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
CIKAMPEK JL. RAYA JATISARI NO.3 PASAR JATISARI RUMAH SAKIT IZZA D/H (RSU. AQMA JL. KP.CISELAN DS.CIKAMPEK CIKAMPEK) UTARA.KARAWANG
665
1409
666
1239
667
2445
RS. TITIAN BUNDA
JL. IR. H. JUANDA NO.123 CIKAMPEK
RIZAL S. NASUTION Marketing
(0264) 8385999/8386222|
(0261) 8388936
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
668
2472
RB & KLINIK NAURAH MEDIKA
JL. A. YANI NO.02 RT.03 RW. 06 DS. CIKAMPEK SELATAN, CIKAMPEK
IBU YUNI
-
(0264) 8389999|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
669
1749
NAGASARI
JL. JEND A. YANI NO 177 CIKAMPEK
IBU IIS
-
0264-316203|
0264-316203
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
670
1172
KLINIK PUTRA MEDIKA ( GROUP AQMA PUSAT )
JL. IR. H. JUANDA NO.14-19 SUKASEURI
BPK AGUS / DHENI/DR.HJ ISWADI
KOORDINATOR
0264-301652 / 8387129|
0264-8387129
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0264312834/301626
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0264-311531
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RSU. PURI ASIH JATISARI
671
0375
RS. KARYA HUSADA
JL. JEND. A.YANI, NO.98, CIKAMPEKKARAWANG
IBU YUYUN/FITRI
MARKETING
0264-316188-89|
672
0540
RS. SARASWATI
JL. JEND. A.YANI, NO.92, DAWUAN, CIKAMPEK-KARAWANG
IBU. AGNES/ANI
MARKETING
0264-311531/316101/ 311514/ 3115270264316391|0264-316391
673
1497
KLINIK SEHAT
JL. PAWARENGAN NO. 37, DESA DAWUAN TIMUR
BPK.FAUZI
MARKETING
0264-8385103|
0264-8385103
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR m
674
1302
KLINIK PURI ASIH CIKAMPEK
JL. STASIUN NO.2 CIKAMPEK KOTA
IBU ELLA
KOORDINATOR
0264-303558|
0264-303558
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
675
1300
KLINIK ANDINA CIKAMPEK
JL. IR.H.JUANDA NO.17
DR.PUR ANA AISTU
KOORDINATOR
0264-303759|
0264-8387680
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
676
0908
KLINIK KELUARGA GRAHA MEDIS
JL. ACHMAD YANI NO. 51
BPK. CIPTO/DR.DIAH
KOORDINATOR
0264-310101|
0264-310101
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
677
0093
KLINIK AQMA CIKAMPEK
JL. STASIUN, NO.93
BPK.AGUS
MARKETING
0264 - 310 524|
0264 - 319307
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
CIKARANG
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
25
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 678
Code
Hospital Name
Address JL. RAYA SERANG NO.38 CIKARANG SELATAN
Contact Person
Division
DR.SULASTRI / IBU. MARKETING DIAN
FLAG
Status
Allowed
Emails
Y
Y
ACTIVE
ALL COVERAGE
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
021-8971240/70207424-|-
021-8975249
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
DIREKTUR
021-89677215; 02189677628|
021-89677216
N
Y
Y
PARTIAL
ADM
021-89109638|
021-89109638
Y
Y
Y
PARTIAL
021-89116527|
021-89116528
Y
Y
Y
ACTIVE
ALL COVERAGE
679
0660
680
0845
RS. SETIA
681
1567
RB & KLINIK PUTRA MEDIKA
682
1287
RB & KLINIK NIZA ASYIFA BERSAMA 1
PERUMAHAN TELAGA HARAPAN BLOK E1 NO.1 CIKARANG BARAT
683
1308
RS. RIDHOKA SALMA
JL. IMAM BONJOL NO.7 GARDU SAWAH IBU ENDAH KEMALA MARKETING
1494
RJ
Y
RS. PERMATA KELUARGA LIPPO CIKARANG d/h RS Harapan
684
RI
02189901860/899 021-8990 5588/ 8990 1927| 01902
RS. AMANDA CIKARANG SELATAN
IBU ENDANG
Fax Number
[email protected]/dr_la
[email protected]
0738
JL. MH.THAMRIN,KAV.129, LIPPO Wulan / Ryan CIKARANG JL. RAYA SERANG - CIBARUSAH NO.41 BPK.DEDEN BEKASI JL. N. PERUM VILA MUTIARA, KAMPUNG DR MULYANA KUKUN CIKARANG NO.115 RT.012/06 DS.CIANTAR
Tel Number
BALI 021-897164302189110011|021-89110011
MARKETING kerjasama asuransi
021-8970808
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
[email protected] humasmarketingridhokasalma@ ymail.com
RB & KLINIK ANNISA IV
JL. RAYA CIBARUSAH NO.63 SERANG BARU
IBU INDRI
ADMINISTRASI
021-89954434|
021-89954434
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
IBU.NOVI
MARKETING
021-897 4854/55|
021 - 8971122
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
DR. WIDYA RETNO W/ IBU MARIA
MARKETING
021-89840500/89840900|
021-89845489
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] om
0218903350/8911382 7
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
021-8900570
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
685
1523
RSIA. NURUL ANNISA
JL. RAYA CIKARANG CIBARUSA NO 88 DS. SUKARESMI CIKARANG SELATAN, BEKASI
686
1462
RS. MITRA KELUARGA CIKARANG
JL. INDUSTRI RAYA, LEMAH ABANG
0218904165/8901962/8904503 021 - 8904503|021 8904503 021-8900530/1021-890 0531|021-890 0531
-
687
0306
RS. ANNISA CIKARANG
JL. CIKARANG BARU, NO.31, LEMAHABANG, CIKARANG UTARA
dr. resti
MARKETING
688
0385
RS. BHAKTI HUSADA
JL. RE. MARTADINATA
IBU ADITYA
MARKETING MARKETING
021-8904519-|-
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
bpk Ervan
MARKETING
021-89840745|-
021-89835839
Y
Y
Y
ACTIVE
ALL COVERAGE
DRG.SHINTA/DR ISKANDAR
PELAYANAN PASIEN
021-89379410218937942|021-8937942
0218937942,8983305 5
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rsia
[email protected]
689
1034
KLINIK HARAPAN SEHAT II
RUKO TELAGA HARAPAN BLOK F NO.16, DR. ERNA PERUMAHAN TELAGA HARAPAN, CIKARANG BARAT
690
1041
RS HARAPAN KELUARGA (d/h RS.HARAPAN INTERNASIONAL)
JL.KASUARI RAYA KAV.1A-1B, KOTA JABABEKA, CIKARANG BARU
691
0850
KLINIK BERKAT MELIMPAH JABABEKA JL. KAWASAN INDUSTRI I, JABABEKA (HOSANA MEDIKA II) B8, CIKARANG UTARA
692
1050
RSIA. AMANDA CIKARANG UTARA
JL. RAYA INDUSTRI NO.36,CIKARANG UTARA
DR. SULASTRI
MARKETING
693
0913
RS. ASRI MEDIKA
JL. CITANDUY RAYA BLOK L II NO.1 CIKARANG UTARA
IBU WULAN
MARKETING
KLINIK RENNICHA PUTRA
JL. RAYA CIKARANG CIBARUSAH NO 89 BPK TARMUDJI LIPPO CIKARANG
694
0929
021- 8900277 / 89110011021-8900277|021- 021-89110011 8900277 02189143860/891 021-89142968, 89142969-|43036
[email protected];
[email protected];
MARKETING
021-89718520218971658|021-8971658
021-8971852
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
DR YENNI
KOORDINATOR
021-8936940/66-|-
021-89830523
Y
Y
Y
ACTIVE
ALL COVERAGE
rsb.mekarmuliacikarang@yahoo. com
TEJA, ISKANDAR
MARKETING
021- 89111103-|-
021-89119714
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
695
0960
RSB. MEKAR MULIA
JL. KASUARI IV, SEKTOR MEKAR ALAM,PASIMAL - CIKARANG BARU
696
0966
RB & KLINIK CENTRAL MEDIKA
JL. PILAR - SUKATANI, DS SUKARAYA NO 84, KARANG BAHAGIA
697
0967
CITRA ARDHITA MEDIFARMA
CAPITOL BUSINESS PARK, BLOK B2, JL. MARKETING/ IBU LISTI/ SUTOMO NIAGA RAYA Direktur
021-89831945/7004236021- 02189831946/898 89831946|021-89831946 33385
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
698
1119
KLINIK SAPTA MITRA CIKARANG
JL. RAYA CIKARANG - CIBARUSAH, NO.39A, SUKARESMI
BPK.ROBY
CLINIC MANAGER
021-8975369|
021-8975369
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
699
1218
KLINIK CIKARANG MEDIKA JAYA
JL. YOS SUDARS. O NO.27 CIKARANG
BPK.WIJAYA / NOVI
Pemilik/ Marketing 021-8900129|
021-8901318
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
700
0263
RB & KLINIK YAYASAN BINA MEDIKA
KP. KONGSI, CIKARANG
IBU SULASTRI
PELAYANAN PASIEN
021-89000500218900051|021-8900051
021-8900051
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
021- 29636900|
02189900022/897247 0
Y
Y
Y
ACTIVE
ALL COVERAGE
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
701
0391
SILOAM HOSPITALS LIPPO CIKARANG
JL. MH. THAMRIN, KAV.105, LIPPO CIKARANG
DR.SISKA/IBU RESTI/VICKY P
MARKETING
021-8976189|
-
0406
KLINIK ANNISA II (CIKARANG)
JL. CIBARUSAH RUKO POIN, NO.31 R
BPK DADANG
PELAYANAN PASIEN
703
2454
RS. HOSANA MEDIKA CIKARANG BARU
JL. ANGGREK I B2/2 RT.01/11 DS. MEKARMUKTI - CIKARANG
IBU ERNA
MARKETING
(021) 89835223|
704
2510
MITRASANA TAMAN ASTER
RUKO TAMAN ASTER KAV. A3 NO. 41 TELAGA ASIH CIKARANG BARAT
-
-
88333364|
705
2462
KLINIK 24 JAM & RB. PERMATA BUNDA CIKARANG
RUKO GRAMA NIAGA H2 NO. 15/15A, KARANG ASIH - CIKARANG UTARA
IBU ZENDRI
-
021 - 2928 2165, 021 2928 2166|
702
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
26
[email protected]
N
Y
Y
021-89830442
Y
Y
Y
ACTIVE
ALL COVERAGE
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
706
2464
MITRASANA PT
RUKO PLAZA ROXY BLOK C NO. 8 JL. KASUARI RAYA, KOTA HIJAU JABABEKA, IBU ENDAH CIKARANG BARU
707
1824
KLINIK BUNDA AULIA
JL. HAJI RATIM NO. 143 DS JATIWANGI BP. RAMA/ YOLANDA Marketing CIKARANG BARAT - BEKASI
708
0275
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
021-89835394|
-
N
Y
Y
PARTIAL
021-8998 3742 / 2897 3209|
021-8998 3742
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING
021 8904160-64 / EXT 225/081297102702|
0218904159,8911111 2
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
[email protected]
-
RS. SENTRA MEDIKA CIKARANG
JL. RAYA INDUSTRI PASIR GOMBONG JABABEKA, CIKARANG
Marketing
021 - 896 777 95|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
IBU HENI
Emails
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
709
2061
RS. BUDI ASIH CIKARANG
JL. RAYA SERANG - CIBARUSAH RT 01/ BPK. CITRA RW 01 SERANG KEC.CIKARANG SELATAN,BEKASI
710
2087
KLINIK JB MEDICAL CENTER
SHOP HOUSE PERMATA JUNCTION BLOK B A-15 JABABEKA 1 CIKARANG
ICUK SUGIARTO
MARKETING
021-89846023/24|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RSIA. CIKARANG MEDIKA
JL. KH. FUHDOLI NO.78 KAMPUNG KAUM CIKARANG UTARA, BEKASI
BPK WAWAN
-
021-8902210|
021-82607637
Y
Y
Y
ACTIVE
ALL COVERAGE
KLINIK & APOTEK KEMALA
JL. TARUM BARAT 2, RUKO GRAND ARTHA NIAGA 2 BLOK O2 NO. 23 - 23A
711 712
2034 1962
JL. RAYA IMAM BONJOL, NO.74, RT.07/04, DESA SUKADANAU,CIKARANG BARAT SHOPHOUSE BLOK A NO 14-15, 28-29 JL. JABABEKA RAYA KAWASAN INDUSTRI CIKARANG PERUM KOTA SERANG BARU BLOK B 72 NO 25-26, CIKARANG JL. RAYA CIBARUSAH DESA SINDANGMULYA KEC. CIBARUSAH BEKASI
[email protected]
DENI ABDURAHMAN Marketing
021-29083377 - 29083376| 021-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
BPK EKO
KOORDINATOR
021- 88327226/88320116|
021-88327226
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected];
[email protected]
IBU TIRA/BP BUDI
MARKETING
021-8934371|
021-8934035
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/tirrad
[email protected]
DARWIS
-
021-91263025|
021-89953117
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
BPK OMAN
Marketing
021-89955555|
021-89952355
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] om
BPK.RUWIK
-
021-8910080|
-
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
021-89116176 / 77 / 78|
021-89116179
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
KOORDINATOR
02189952605,8995261202189952612|021-89952612
021-89951205
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
BPK. KUJANG-IBU DEWI
MARKETING
021-89833216|
021-8934979
Y
Y
Y
ACTIVE
ALL COVERAGE
IBU NOVIANTI
MANAGER KLINIK
021-8970524|
021-8970524
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR d
-
-
70326665|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
(021) 8900566, 68416442|
(021) 8900566
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR d
713
0574
RB & KLINIK BUDI LUHUR
714
1719
CMC CLINIC ( CIKARANG MEDICAL CENTER )
715
1795
RB. KHANZA MEDIKA
716
1842
RS. MEDIROSSA 2
717
1415
RB & KLINIK PERMATA BUNDA FUDHOLI
718
1234
RS. DR. SANDER B (D/H RS. HOSANA JL. K.H.DEWANTARA NO.33,DS KARANG ODZIARMAN SE, IBU HRD MEDICA PILAR) ASIH,CIKARANG UTARA UNTARI, BPK RIFKI
719
1064
KLINIK KASIH ANUGERAH SERANG BARU (HOSANA MEDIKA C
720
1067
RS. MEDIROSSA
721
1514
KLINIK SUMBER WARAS
722
2505
MITRASANA MEGA REGENCY
723
2742
KLINIK SUMBER SEHAT
JL. KI FUDOLI RT.001/001 CIKARANG UTARA
IBU NOVI
724
0916
RB & KLINIK GRAHA BINA HUSADA
JL. INDUSTRI SELATAN NO.1A, BLOK NN 3A, INDUSTRI JABABEKA II
BAPAK BUDI
Koordinator
021-89836243-|-
021-89836244
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
725
2496
KLINIK INSPIRA SABILA MAKMUR
RUKO MELAWAI BLOK A NO. 12 TLH LIPPO CIKARAN
BPK ROCKY/ DR. MASRULLOH
-
085100990164|
2189903336
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR m
726
3992
KLINIK CENTRAL MEDIKA 3
JL. RAYA RENGAS BANDUNG NO.20 001/003,KARANG SAMBUNG,KEDUNG WARINGIN,BEKASI
BP. RISKANDAR
MARKETING
021-89142220|
021-89142221
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
727
2975
KLINIK PUTRA MEDIKA 3
JL. PERUM KOTA SERANG BARU, KP. GEBANG DS. SUKARAGAM KEC. SERANG BARU, BEKASI
DR. MULYANA PANIJA
OWNER
(021) 89950333|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
728
2058
RSIA. GIZAR
JL. VILA MUTIARA CIKARANG, RUKO PASADENA BLOK RA NO. 3, 5, 6 CIANTRA, CIKARANG SELATAN
TRIANA SINTAWATI, SP
021-89677240 / 89677204| 021-89677239
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
729
0709
RS. HOSANA MEDICA LIPPO
JL. UTAMA BIIE NO 01 LIPPO CIKARANG
IBU DELIMA/IBU DEWI
MARKETING
021-8972472|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
CIMAHI
JL. KH.FUDHOLY NO 11 KARANG ASIH, CIKARANG UTARA
JL. RAYA SERANG-CIBARUSAH IBU YATRI/ DR. KP.BUNISARI RT.07/04 DS.SUKARAGAM THERESIA SERANG BARU JL. INDUSTRI TEGAL GEDE - CIKARANG SELATAN JL. RAYA CIBARUSAH, KAMPUNG CIJAMBE, SUKADAMI, CIKARANG SELATAN RUKO KOTA MEGA REGENCY BLOK A 01 NO. 10, JL. RAYA CIKARANG CIBARUSAH KM 10
021-89900769
[email protected]
[email protected]
730
0268
RS. MITRA KASIH
JL. RAYA CIBABAT NO.341, CIMAHI
DR. RIZKI
MARKETING
0220226654852,6652774,6654397| 6654875/6642349
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
731
2221
RS. AVISENA
JL. MELONGASIH NO. 170 CIJERAH CIMAHI
BP HENDAR
-
022 - 6000830|
022-6000830
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/Rsavisena@ gmail.com
RSU. KASIH BUNDA
JL. MAHAR MARTANEGARA NO.166 LEUWIGAJAH - CIMAHI 40521
IBU DWI SUPRIATINI
MARKETING
022- 6614221/ 6630585|
022- 6630583
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
732
2467
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
27
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Status
Allowed
Emails
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING
0231-343405; 343645|
0231-342224
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
02310231-342112 341079,3300888,341079-|-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0231-482121
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
08179416709|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0231-234670
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
JL. PARUJAKAN NO.12 , CIREBON
734
2378
RS. KHUSUS JANTUNG HASNA MEDIKA
JL. RD GILAP NO. 8 PALIMANAN TIMUR, PAK UKON KABUPATEN CIREBON
735
1029
RS. SUMBER WARAS CIWARINGIN
JL. URIP SUMOHARJO, NO.5, CIWARINGIN
YUDITH MAROLITHA -
RSIA. CAHAYA BUNDA
JL. RAYA PERJUANGAN NO.8 KESAMBI CIREBON
DADI YUDI
HUMAS
0231-8333388 / 99|
YULIA SOPI KUSDIANI, S.SI, APT
-
2180
FLAG
-
KIMIA FARMA 40
737
RJ
0231-208954|
2690
3882
RI
-
733
736
Fax Number
BALI
CIREBON
APOTEK FARMARIN CIREBON
JL. KESAMBI RAYA NO. 92 A
DRS. ALFIAN, APT.
738
0293
RS. PELABUHAN CIREBON
JL. SISINGAMANGARAJA, NO.45
IBU YENNY
MARKETING
0231-208948/208680 / 0231-2056570231205657|0231-205657
739
1091
RS. PUTERA BAHAGIA
JL. CIREMAI RAYA NO.114 ,PERUMNAS
IBU NINIK RIZKY
HUMAS
0231-207351, 4856540231- 0231485654|0231-485654 486356/482328
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rspb_
[email protected]
740
1174
RS. SUMBER KASIH
JL. SILIWANGI NO.135
IBU IKAH/ BPK. AGUS
MARKETING
0231-203815|
0231-210040
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
PEMASARAN
0231-324483/323100|
0231322355/322066
741
1316
RS. MITRA PLUMBON
JL. RAYA PLUMBON, KM.11
IBU SHINTA NORA
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
742
0602
RS. PERTAMINA CIREBON
JL. PATRA RAYA, KLAYAN
IBU DHARLIANTI/BPK.M. MARKETING NUR
0231-224646; 25121730231- 0231-224795; 224646|0231-224646 209328
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
DEPOK 743
0107
RS. SIMPANGAN DEPOK
JL. RAYA BOGOR, KM.36, SIDAMUKTI SUKMAJAYA, CIMANGGIS - DEPOK
ENDANG ARTININGSIH
MARKETING
021-8741549|
744
3329
KLINIK AL-ZAMZAM
JL. ABDUL GANI NO. 53, CILODONG, DEPOK
IBU NOVI
MARKETING
(021) 77841431; 87904855| (021) 87904855
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING
021-77210700|
021-77212155
Y
Y
Y
ACTIVE
ALL COVERAGE
marketingdepok@mitrakeluarga. com
MARKETING
021-8444444,84598954-|-
021-84598952
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
021-7778899-|-
021-7778998
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] [email protected] .id
745
1485
RS. MITRA KELUARGA DEPOK
746
1085
RS. MEILIA
747
1098
RS. GRHA PERMATA IBU
748
749 750 751 752
0009
0777 0776 0470 0346
RSU. BHAKTI YUDHA
RSIA. TUMBUH KEMBANG RS. PURI CINERE RS. SENTRA MEDIKA DEPOK RS. TUGU IBU
DR. NENDYA JL. MARGONDA RAYA, PANCORAN MAS LIBRIYANI/IBU DEPOK AYU/MALA JL. ALTERNATIF CIBUBUR KM.1 IBU RISKA CIMANGGIS DEPOK
021-8741574
JL. KH. M. USMAN 168,KUKUSAN BEJI
IBU IRA/IBU TITA/DR DEWI
JL. RAYA SAWANGAN-DEPOK
DRG.WIEN PRATIWI/ IBU YANI
MARKETING
021-7520082|
0217775862/7762880
JL. RAYA BOGOR, KM.31, NO.23, CIMANGGIS
BPK. TAUFIQ ISKANDAR/ BPK.AGUS
MARKETING
021-8701873-740218712300|021-8712300
021-8701872
Y
Y
Y
ACTIVE
ALL COVERAGE
BPK RONALD
MARKETING
021-7545488|
021-7545486
Y
Y
Y
ACTIVE
ALL COVERAGE
MARKETING
021-874 3790|
Y
Y
Y
ACTIVE
ALL COVERAGE
MARKETING
021-8710870/0218718634/33|0218718634/33
0218743230/8774 1666 021-8708266
Y
Y
Y
ACTIVE
ALL COVERAGE
JL. MARIBAYA BLOK F2, NO.10, PURI CINERE - DEPOK JL. RAYA BOGOR KM.33 CISALAK DEPOK
IBU SEFTYA WILDA/DEVI/RIA
JL. RAYA BOGOR, KM.29, CIMANGGIS - DRG.MEGA / DEPOK IBU.EKA
[email protected]/ronalsima
[email protected] [email protected] [email protected]
753
2630
KLINIK & APOTEK KF 202
JL. KEJAYAAN BLOK IX NO. 2, DEPOK
DRS. GUNAWAN RACHMAT BUANA APT
754
2627
KLINIK & APOTEK KF 352
JL.
APRIYANDI
755
2628
KLINIK & APOTEK KF 394
JL. SILIWANGI NO.35, DEPOK
756
2460
KLINIK UTAMA TUGU SAWANGAN
JL. RAYA MUCHTAR NO. 20 RT.002/007 IR. ASNIM SAWANGAN - DEPOK 16511 SJAKRANI, MBA
DIRUT
0251-8613433/02129420173|
0251-8613433
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
757
2090
KLINIK QITA
JL. SEDAP MALAM RAYA NO. 5 KOMP. PERTANIAN DEPOK, CITAYAM
-
-
021-87989096|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
758
2078
APOTIK FARMARIN V DEPOK
RUKO SALADIN SQUARE C27 JL. MARGONDA RAYA DEPOK
NABILA
-
021-29402214|
021-29402214
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
759
1950
KLINIK & APOTEK KF 143
JL. MARGONDA DEPOK
HASTUTI ASSAURI
-
021-7522997|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
760
1056
RS. BUNDA MARGONDA
JL. MARGONDA RAYA NO.28 PONDOK CINA-DEPOK 16424
LELI
AR
021-78890551-|-
021-78889958
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
RB & KLINIK CITAMA CIPAYUNG
JL. RAYA CIPAYUNG NO.27 PANCORAN MAS DEPOK
Koordinator
021-87989203/5-02187982268|
02187986666/828 2869
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
761
1318
MARGONDA RAYA, DEPOK
-
0217704044|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
-
02178884611|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
SYAHRI APRIYANTO S.FARM, APT
02177214567|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMkf.siliwangi@yahoocom RJ,RM-RG,RM-KM,RM-RB,PHAR
BP JEN
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
28
Y
Y
Y
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 762
Code 1615
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
RSIA. ASY SYIFA MEDICAL CENTER
JL. CINERE DEPOK NO 9 RANGKAPAN JAYA BARU PANCORAN MAS, DEPOK
IBU IKA / IBU ENO
MARKETING
021-77883905/77885454|
021-77885454
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/
[email protected]
IBU OPPY
MARKETING
021-77202525|
021-7763309
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
763
0265
RS. HERMINA DEPOK
JL. RAYA SILIWANGI, NO.50, PANCORAN MAS
764
1776
KLINIK UTAMA RAWAT INAP NAURA MEDIKA
JL. KEMAKMURAN RAYA NO 37 DEPOK II
IBU LIZA
marketing
021-77827515|
021-77824756
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- marketing_nauramedika@yahoo. RJ,RM-RG,RM-KM,RM-RB,PHAR com
765
1266
RB & KLINIK EL RAPHA
JL. RAYA BOGOR KM 30 CIMANGGIS DEPOK
IBU PAULINA / IBU YUSTIN
Pemilik
021-8715082|
021-8715082
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
MARKETING
021-77826267/ 77826276|
021-77833796
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/
[email protected]
MARKETING
021021-29678000 29671000/5000/7000/8000|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m;
[email protected].
MARKETING
021-29669000|
021-29668897
Y
Y
Y
ACTIVE
ALL COVERAGE
PUBLIC RELATIONS
021-7545499-|-
021-7536965
Y
Y
Y
ACTIVE
ALL COVERAGE
-
021-7535022|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
021-77219364
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
766
1194
RS. HASANAH GRAHA AFIAH
JL. RADEN SALEH NO.42 DEPOK
IBU IRS. YA/RENDY ADITYA
767
2760
RS. CITRA MEDIKA DEPOK
JL. RAYA KALI MULIA NO. 68 KOTA KEMBANG, CILODONG, DEPOK
IBU ROSI/IBU ROBIATUL
768 769
2722
RS. PERMATA DEPOK
1094
RS. KHUSUS JANTUNG DIAGRAM DEPOK
JL. RAYA MUCHTAR NO. 22 SAWANGAN LINA DEPOK IBU ELIS / IBU JL. MARIBAYA NO.1 PURI CINERE WITTY
[email protected] m; Elisabeth.Paramita@siloamhospit als.com
770
2806
KLINIK PERTAMEDIKA CINERE
JL. CINERE RAYA NO. 11B
DINI (08161352467)
771
2808
KLINIK PERTAMEDIKA DEPOK ( MARGONDA)
JL. MARGONDA RAYA NO. 270, DEPOK
YANI (081807285373)
-
021-77219363|
772
4007
KLINIK UTAMA RAWAT INAP LIMO MEDICARE
JL. MERUYUNG RAYA NO. 70, PANCORAN MAS, DEPOK
IBU K. ICHA DIAN
-
(021) 77888674; 77888675| (021) 77888675
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
773
2131
KLINIK VIVA MEDIKA DEPOK
JL. RA KARTINI NO. 47C/D
-
-
021-29097508/09|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
774
2478
KLINIK PRATAMA DEPOK DUA
JL. H.M. YUSUF RAYA RUKAN DEPOK DUA NO.11
-IBU RIA
Markeing
(021) 29441366|
-021-29441367
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]/ RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
775
2629
KIMIA FARMA BEJI
JL. RAYA NUSANTARA - DEPOK
NITYA BRILIANTY, S.SI, APT
-
02177207404|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
776
1007
RS. HARAPAN DEPOK
JL. PEMUDA NO.10
IBU DESI
PIMPINAN
0217520009,7773817,7720000 021-7765883 5-|-
JL. RAYA LELES NO. 116 KAB. GARUT
BAPAK AGUS
-
0262-2458083|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
Koordinator
0262-242663,238735|
0262-242663
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR o.id
GARUT
[email protected]
777
2120
KLINIK PADJAJARAN LELES
778
1627
BETHESDA MEDICAL CENTER GARUT JL. CIWALEN NO 43 GARUT
BPK ENDY
779
2699
KLINIK & APOTEK KF 377
JL. CIMANUK NO. 11A, GARUT
IKHSAN ANUARI AKDANI,S.FARM,APT .
0262 233237|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
780
2994
LAB. KIMIA FARMA GARUT
JL. CIMANUK 11A PAMINGGIR
JUANDA
-
(0262) 540077|
(0262) 540077
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Pimpinan
0264-8286755 0811 1889279-|-
0264-8286756
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0267-403073-|-
0267-405598
Y
Y
Y
ACTIVE
ALL COVERAGE
marketing.rsda@sismame/delim
[email protected]
0267-8615577/88
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0267-413277
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
INDRAMAYU KARAWANG 781
0899
KLINIK AULIA KARAWANG
JL. PURWASARI KM 6, PURWASARI KARAWANG
IBU SUSI SUCIATI,SKM
782
0869
RS. DELIMA ASIH SISMA MEDIKA
JL. WIRASABA NO.54 JOHAR KARAWANG
BPK.SAEFULOH,IRM MARKETING A
783
1022
RSU. FIKRI MEDIKA
JL. RAYA KOSAMBI- TELAGASARI, DS BLENDUNG , KLARI
IBU YULI
MARKETING
784
1023
RS. ISLAM KARAWANG
JL. PANGKAL PERJUANGAN KM.2
BPK TEDY
MARKETING
785
1310
KLINIK ANDINA KARAWANG
JL. PANCAWATI, NO.5A, KLARI
0267-438568|
0267-438406
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
KOORDINATOR
0267-431325 / 8616519|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING
0267403009/418818/403744|
0267-411744
Y
Y
Y
ACTIVE
ALL COVERAGE
DR.PUR ANA AISTUR KOORDINATOR
786
1311
KLINIK PURI ASIH KOSAMBI
JL. KOSAMBI NO.08. KP. PUNDONG RT 02/ RW 03 DS. BELENDUNGKECAMATAN IBU ELLA KLARI
787
1314
RSIA. DR. DJOKO PRAMONO
JL. PANATAYUDA 1, NO.35, KARAWANG IBU RIMA BARAT
0267-8615555/8615566 (KLINIK):0267433636/435527-|0267-414520, 0267 414524, 4145210267414524|0267-414524
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
29
[email protected]/cus tomerservice@rs
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
788
0197
KLINIK GEMPOL
JL. RANGGAGEDE, NO.25 KARAWANG BARAT
789
1027
KLINIK BINA MEDIKA KARAWANG
JL. TELUK JAMBE NO 8, KARAWANG BARAT
BPK. SUDIARTO / MAMAN/ WAHYU
PENGELOLA
0267-8453903/ 412117 / 08121918055-|-
0267 - 641968
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
790
1035
KLINIK MITRA GEMPOL
JL. PROKLAMASI NO. 15 KW 8 RT 003 RW. 005 KEL. TUNGGAKJATI KEC KARAWANG BARAT KAB. KARAWANG,
BPK.SUGIARTO
PIMPINAN
0267- 8451114-|-
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
791
1133
RS. CITO KARAWANG
JL. ARTERI TOL KARAWANG BARAT TELUK JAMBE
BPK.SAMUEL/ IBU METI
Marketing
0267-414245 / 414264|
0267-414306
Y
Y
Y
ACTIVE
ALL COVERAGE
KLINIK GRAHA MEDIS
JL. RAYA KOSAMBI, NO.23, DUREN KLARI, KARAWANG TIMUR
DR.DIAH PERMATA
KEUANGAN
0267-435527|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
BPK ARIF
KEUANGAN
0267-432416|
0267-432416
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
792
0095
IBU MARNI
KOORDINATOR
0267-412117/8453903|
0267-412117
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
793
0690
KLINIK YAKESTI
JL. RAYA KLARI, RT. 04 / 01, GINTUNGKERTA KLARI
794
0691
KLINIK PURWAMEDIKA
JL. RAYA TAMELANG NO.53, KERAWANG
BPK. SUGIARTO
KEUANGAN
0267-433653|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
795
0689
KLINIK MITRA SEHAT
JL. KOSAMBI CURUG, NO.28, KLARI
DR. SUGENG / BPK. SAPAR
KEUANGAN
0267-433930|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
796
0704
KLINIK CITO KARAWANG
JL. KERTABUMI, NO.29
BPK NURS. ALIM
manager
0267-410173/415957|
0267-415957
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
797
1835
KLINIK GRIYA MEDIKA
PERUM GRIYA KONDANG ASRI BLOK T NO. 01 DESA KONDANG JAYA KEC. KLARI - KARAWANG TIMUR
RIAL
-
0267-8619999|
0267-8615309
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
798
1572
DHARMA DENTAL CLINIC (DDC)
JL. KERTABUMI NO 62 KARAWANG
BPK KURNIAWAN GOZALI
KOORDINATOR
0267-8453633|
0267-403962
N
Y
Y
PARTIAL
DENTAL
nia_maryani@dharmadentalclinic .com
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
[email protected]
799
0083
RS. DEWI SRI
JL. ARIF RAHMAN HAKIM, NO.1
IBU MIRA/IBU SRI
MARKETING
0267401475,402855,406445026 0267-404010 7-402147|0267-402147
800
0255
RS. BAYUKARTA
JL. KERTABUMI, NO.44
Ibu.DWI/Bpk.Indra/ MARKETING Bpk.Sandhy
0267401817/401818/400351026 0267-404472 7-801818|0267-801818
Y
Y
Y
ACTIVE
ALL COVERAGE
801
1635
KLINIK MITRA KONDANG UTAMA
JL. PENGAIRAN CITRA KEBUN MAS KONDANG KARAWANG
DR. HUDI
-
0267-8616923|
0267-8450001
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
IBU ELI
KOORDINATOR
0267-8456419-|-
0267-8456419
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
802
1058
KLINIK NAFILA MEDIKA
JL. PRINGGODANI BLOK J-47 PERUMNAS TELUK JAMBE, KARAWANG BARAT
803
1059
KLINIK PURI ASIH TELUKJAMBE
DUSUN SUKAMULYA, DESA PINAYUNGAN, TELUK JAMBE
IBU ELLA
KOORDINATOR
0267-646845-|-
0267-646845
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- klinikpuriasih.telukjambe@gmail. RJ,RM-RG,RM-KM,RM-RB,PHAR com
804
3369
APOTIK KIMIA FARMA 343
JL. KERTABUMI NO 12A KARAWANG JAWA BARAT
IBU DEFI
-
0267-8453321|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
DIAN SANTOSO ( 081316245604)
MARKETING
(0267) 8637207/8637205|
0267 8367205
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU AYU
MARKETING
0267 - 8458327 , 8458328, 8458329|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] .id;
IBU SENY (HRD)
MARKETING
0267-437507/8617972|
0267-438681
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
WAHYUANA (0878 8020 8001)
-
(0267) 8452555 / 405 752|
(0267) 405 752
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
805
2731
RS. ROSELA
806
2741
RSIA. MITRA FAMILY-KARAWANG
1006
RS. CITRA SARI HUSADA (D/H KLINIK INTAN BAROKAH)
807 808
809
2823
2993
RS. LIRA MEDIKA
JL. INTERCHANGE TOL KARAWANG BARAT NO.3 DS WADAS KEC. TELUK JAMBE JL. RONGGOWALUYO RT.02/05 DESA SUKAHARJA KEC. TELUKJAMBE TIMUR, KARAWANG JL. RAYA KOSAMBI-TELAGASARI, KM.3, KLARI, KARAWANG TIMUR JL. SYECH QURO NO.14 LAMARAN, KARAWANG - JAWA BARAT
KLINIK & APOTEK KF 79 KARAWANG
JL. DEWI SARTIKA II NO.30 KARAWANG RIFAI TANJUNG
BM
0267-405748|
0267-405748
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]/kimiafa RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
RS. SEKAR KAMULYAN
JL. RUMAH SAKIT NO 28, CIGUGUR KUNINGAN
BPK IRMAN
MARKETING
0232-873206|
0232-875516
Y
Y
Y
ACTIVE
ALL COVERAGE
JL. IR. H. JUANDA NO.207 KUNINGAN
BP KUSNANTO
0232-876433/875871|
0232876433/875871
Y
Y
Y
ACTIVE
ALL COVERAGE
KUNINGAN 810 811
1704 1345
RS. JUANDA KUNINGAN
Marketing
MAJALENGKA PURWAKARTA
[email protected] m
[email protected];kusnanto_
[email protected]
812
0189
KLINIK AQMA PURWAKARTA
JL. IBRAHIM SINGADILAGA, NO.14
BPK.HUMAIDI/IWAN PELAYANAN /HAMBALI PASIEN
0264-200377|
0264-200377
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
813
1057
RSIA. ASRI PURWAKARTA
JL. VETERAN CIHIDEUNG NO.15 PURWAKARTA
BPK DIAN / IBU ANDINA
0264-211680-|-
0264-219047
Y
Y
Y
ACTIVE
ALL COVERAGE
MARKETING
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
30
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person DR ANANDA ULLI/ MELLY
Division
Tel Number
Fax Number
RI
RJ
FLAG
Status
Allowed
MARKETING
0264BALI 8628900/8628911|0264231273
0264-212674
Y
Y
Y
ACTIVE
ALL COVERAGE
Emails
814
1043
SILOAM HOSPITAL PURWAKARTA(d/h JL. BUNGURSARI NO.1 PO.BOX 167 RS. EFARINA ETAHAM) Purwakarta
[email protected] om
815
1175
KLINIK AQMA PLERED
JL. ANJUN NO.96 PLERED
BPK AGUS/ BAPAK DIDIN
MARKETING
0264-270830|
0264-270830
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
816
0759
KLINIK MEDIKA SEHAT
JL. IPIK GANDAMANAH SUKAMULYA
BP AKHMAD JANAN
MARKETING
0264-8225017|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
817
1620
RS. BHAKTI HUSADA II PURWAKARTA
JL. RAYA SADANG SUBANG, KP. KIARA YATI DUA, DS. CIKUMPAY, KEC. CAMPAKA
MARKETING
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/ayi
[email protected]
818
1526
RS. AMIRA
JL. IPIK GANDAMANAH RT.035 RW.003 IBU LIYA MUNJUL JAYA
MARKETING PAK YUSUF
02648225344/8225345/0813733 0264-8225255 60783| 0264-8221191/92|
0264-8221193/95
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
819
1718
RS. KHUSUS BEDAH RAMA HADI
JL. RAYA SADANG - SUBANG , DS CIWANGI BUNGUR SARI PURWAKARTA
DIAN ISMIATI
Marketing
0264 - 202136 / 202164|
0264-8225679
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
820
4054
KLINIK ANAK MASITHOH
KP.KRAJAN RT. 01/01 MARACANG, BABAKAN CIKAO
IBU DEVI NOPIYANTI
Marketing
(0264) 8220544|
(0264) 8623240
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR .id
821
2698
KLINIK & APOTEK KF PURWAKARTA
FIKRI JL. VETERAN NO 152 KEL NAGRI KALER SHALMANTYAS,S.FA PURWAKARTA ( DEPAN INSPECTORAT ) RM,APT
0264 8227437|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- apotek.kimiafarmapurwakarta@ RJ,RM-RG,RM-KM,RM-RB,PHAR gmail.om
822
1545
RS. MH THAMRIN PURWAKARTA
JL. BUNGURSARI, NO.36
IBU.SUSI/BPK KIKI
MARKETING
0264-8222222|
0264-8222223
Y
Y
Y
ACTIVE
ALL COVERAGE
823
1315
KLINIK MIRACLE GROUP
KOMP. ANEKA JASA BLOK AII NO.9-10 KOTA BUKIT INDAH
BPK. NANO
KOORDINATOR
0264-35166, 351377|
0264-351355
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
BPK. IWAN TRISTIANTO
MARKETING
0260420406,411632,420306,420 0260-420391 4360260-411632/4|0260411632/4
Y
Y
Y
ACTIVE
ALL COVERAGE
-
0260-418247|
0260-418237
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
SUBANG 824
0191
RS. PERKEBUNAN NUSANTARA 8 SUBANG
JL. OTISTA, NO.1, SUBANG
825
2752
KLINIK MITRA ABADI
JL. KAPTEN HANAFIAH NO.3 RT. 98 RW. IBU NOVAZA 27 KEL. KARANGANYAR, SUBANG
[email protected];amn.rspn8 @gmail.com
SUKABUMI 826
0227
KLINIK & RB. PERMATA BUNDA
JL. SILIWANGI, NO.64, PARUNG KUDA
IBU DR WAYANG / AFI
KOORDINATOR/ humas
0266-535086|
0266-535086
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
827
1506
RS. KARTIKA MEDICAL CENTER
JL. JEND. A.YANI, NO.18
DR.DIAN
MARKETING
0266-6250902/6250905|
0266-6250901
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
0266222663/218672/241463/22 3742/223742026621343|0266-21343
0266 - 213433
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];pemasa
[email protected]
MARKETING
(0266) 7160071|
(0266) 535586
Y
Y
Y
ACTIVE
ALL COVERAGE
828
0056
RS. ISLAM ASSYIFA
829
2892
RS. KARTIKA CIBADAK
830
0832
RS. HERMINA SUKABUMI
831
1107
832
1507
JL. JEND. SUDIRMAN, NO. 27
MUTIARA FARIZA
JL. SILIWANGI NO.139, CIBADAK, SUKABUMI JL. RAYA SUKARAJA RT.003/03, SUKARAJA
IBU LILIANA/ IBU HILDA IBU DEWI PUJIASTUTI
HUMAS
0266-6252525/6249292|
0266-235020
Y
Y
Y
ACTIVE
ALL COVERAGE
RS. BETHA MEDIKA
JL. RAYA CISAAT NO.595 SUKABUMI
HANDRI/MERI
MARKETING
0266-216422,224128-|-
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. BHAKTI MEDICARE
JL. RAYA SILIWANGI, CICURUG
IBU MIA / PAK RAHAYU
MARKETING
0266-731555|
0266-731899
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
BPK. ACEP
HUMAS & PEMASARAN
0261210834/2797773/201132|
0261-210834
Y
Y
Y
ACTIVE
ALL COVERAGE
rumahsakitumumpakuwon@yah oo.com
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
SUMEDANG
[email protected] d sukabumi@herminahospitalgrou p.com
833
1128
RS. PAKUWON SUMEDANG
JL. RD.DEWI SARTIKA NO.17 SUMEDANG 45311
834
2122
KLINIK PADJADJARAN JATINANGOR
JL. RAYA BANDUNG-SUMEDANG KM 21 DR. PANGESTU JATINANGOR WIDODO
-
022-7797432 / 7781900|
RSI. HJ. SITI MUNIROH TASIKMALAYA
JL. TAMAN SARI, GOBRAS, NO.208
HUMAS & MARKETING
0265-323868,327630|02650265-327630 327630
APOTEK KIMIA FARMA 404
JL. R.A MARTADINATA NO. 87 TASIKMALAYA
BPK YADI
APOTEKER
0265-340515|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
KLINIK & APOTEK KF 195
JL. SUTISNA SENJAYA NO. 191 TASIKMALAYA
IBU VITA
-
0265-311225|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
TASIKMALAYA 835
836
0256
2106
837
2096
838
1625
839
2773
840
2390
RS. TASIK MEDIKA CITRATAMA (TMC) RSB. SAYANG BUNDA
BPK. ASEP SYAMSUL
JL. HZ MUSTOFA NO 310 TASIKMALAYA IBU EKA
JL. N. SUKALAYA I NO.22 JL. IR. H. JUANDA NO. 1 (SIMPANG RS. PRASETYA BUNDA TASIKMALAYA JATI)
[email protected]
MARKETING
0265-322333|
0265-326767
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
IBU EUIS
humas
0265330841|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
-
BPK RANGGA
HUMAS
0265320100/0265344477|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
31
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
841
2466
RS. PERMATA BUNDA TASIKMALAYA
JL. BRIGJEND HR. WASITA KUSUSMAH IBU ELIS NO.1 TASIKMALAYA, JAWA BARAT
MARKETING
0265-345650|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
842
3203
RSIA. UMMI TASIKMALAYA
JL. PASEH NO.10 - TASIKMALAYA
IBU YANTI
HUMAS
0265-329126|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
843
0253
RS. JASA KARTINI
JL. OTTO ISKANDARDINATA NO 15
IBU HENNY/ BPK RIA
MARKETING
0265-331808/33164102653318641|0265-3318641
0265331808/331114
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/p3ja
[email protected]
JAWA TENGAH BANYUMAS 844
RSU. WIRADADI HUSADA
JL. MENTERI SUPENO NO. 25 SOKARAJA IBU RINI BANYUMAS
KEUANGAN
02816846225/02816846371 |
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. QOLBU INSAN MULYA (QIM)
JL. URIP SUMOHARDJO SAMBONGBATANG, JAWA TENGAH
RINI
-
0285-4495222|
0285-4495224
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1661
RS. PKU AISYIYAH BOYOLALI
JL. PASAR SAPI BARU SINGKIL
IBU CHRISTINA
MARKETING
0276-322898/3293400|
0726-3293400
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
2292
RS. BHAKTI ASIH BREBES
JL. PANGERAN DIPONEGORO NO 125 PESANTUNAN, BREBES
BPK SARTONO
MARKETING
0283-673481/671279|
0283-671391
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
RS. DERA AS-SYIFA
JL. MERDEKA NO. 191, BANJARHARJO, BREBES
BP.YONO (MKT) 087789061666
-
(0283) 889588|
(0283) 889583
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/marke
[email protected]
RS. MUHAMMADIYAH SITI AMINAH
JL. DIPONEGORO, BUMIAYU
BPK HARS. ONO
-
0289-432209/430683|
0289-430683
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. MUHAMMADIYAH CEPU
JL. RONGOLAWE, NO.137
BPK.ZAINAL/SYAM
HUMAS
0296-421727|
0296424678/4245 69
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RSUD. CILACAP
JL. JEND GATOT SUBROTO NO. 28 CILACAP
IBU ATIAH
-
0282-533010|
0282-520755
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
3171
BATANG 845
3360
BOYOLALI 846
BREBES 847 848
4057
BUMIAYU 849
1889
CEPU 850
1438
CILACAP 851
2866
852
1005
KLINIK DR TUTUK
JL. PERINTIS KEMERDEKAAN 21
Uun Rahayu
koordinator
0282-545921-|-
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
853
2696
KLINIK & APOTEK KF 89
JL. GATOT SUBROTO NO.59, CILACAP
MITHA NOVETIANA,SF,APT
-
0282 535293|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
RS. APRILLIA
JL. JEND GATOT SUBROTO NO.95 CILACAP
ENY WIDIASTUTI
-
0282-536307|
0282-521144
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
854
4165
855
0975
RS. ISLAM FATIMAH CILACAP
JL. H JUANDA NO.20
IBU ASTUTI
MARKETING
0282-542396|-
0282541065/5452151
856
3526
KLINIK PRATAMA KIMIA FARMA CILACAP
JL. GATOT SUBROTIO NO. 59 CILACAP
IBU MITHA NOVETIANA
-
0282-535293|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
[email protected]
JL. KARTINI, NO.37
IBU ANNA. S
MARKETING
0287-471290/471762|
0287473221/471762
Y
Y
Y
ACTIVE
ALL COVERAGE
IBU PUDJI ASTUTI, SE AK
[email protected] m
Mgr Keuangan
0287-471780|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
BP. ISMAIL
-
GOMBONG 857
1243
RS. PALANG BIRU
858
3327
RS. PKU MUHAMMADIYAH GOMBONG JL. YOS SUDARS. O NO.461,GOMBONG
JEPARA 859
3959
RSI. SULTAN HADLIRIN JEPARA
JL. RAYA JEPARA BANGSRI KM 3 KUWASEN, JEPARA
(0291) 591507|
(0291) 4295554
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
860
1224
RS. GRAHA HUSADA JEPARA
JL. M.H. THAMRIN, NO.14
BPK.HIRMAWAN/EVI KP.SEKRETARIAT ENDRAWATI
0291 - 592067|
0291-597806
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
RSI. MUHAMMADIYAH KENDAL
JL. AR RAHMAH NO 17 WELERI
IBU WIWIN
MARKETING
0294-641870 / 0294643756|
0294-644150
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. ISLAM KLATEN
JL. RAYA SOLO KM.4
DR. BERLIANTY
MARKETING
0272-322252|-
0272-332422
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/as uransi_rsik@yahoo.
KENDAL 861
1666
KLATEN 862
0754
863
1441
RS. CAKRA HUSADA KLATEN
JL. MERB. ABU, NO.7
-
0272-321123-322386322394|
0272-329029
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
864
1519
RSU. PKU MUHAMMADIYAH DELANGGU
BPK.A.A.GEDE ARMAYA
JL. DELANGGU UTARA, NO.19
IBU DINAYAH
MARKETING
0272-551051|
0272-554041
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU VIVI
-
0291-4251979|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
0291-43470712/435582/443581|
0291438398,434711
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/mardir
[email protected]
0293-364036-37
Y
Y
Y
ACTIVE
ALL COVERAGE
0293362649/311512
[email protected] ;
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
KUDUS 865
3259
LAB. CITO (JL. AKBP AGIL KUSUMADYA NO. 7 )
JL. AKBP AGIL KUSUMADYA NO. 7
866
0146
RS. MARDI RAHAYU KUDUS
JL. AKBP.R. AGIL KUSUMADYA, NO.110 IBU.DIAN / YATI
MARKETING
MAGELANG 867
0335
RS. HARAPAN MAGELANG
JL. P. SENOPATI, NO.11
IBU DESY / IBU LILI
MARKETING/CUST. 0293-364033-35| SERS
868
1132
RS. LESTARI RAHARJA
JL. MAYJEN SUTOPO NO.5
BPK.JUPRI
SEKRETARIAT
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
0293-362225|
32
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 869
Code 3286
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
LAB. CITO MAGELANG
JL. TENTARA PELAJAR NO 126 MAGELANG
BPK DONI EKO NURMAWAN
-
0293 363763|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
PATI 870
1299
KELUARGA SEHAT HOSPITAL
JL. P.SUDIRMAN NO.9 MARGOREJO
IBU NURI DHARS. ANTI
MARKETING
0295-386111|
0295-384422
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
871
1534
RS. MITRA BANGSA
JL. KOL.SUGIYONO, NO.75
BPK. LILIK/IBU YANI MARKETING
0295-382555|
0295-4191994
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected] [email protected]/rssk_pkl @telkom.net
PEKALONGAN 872
0120
RS. SITI KHODIJAH PEKALONGAN
JL. BANDUNG, NO.39-47
DR. IRVINA
MARKETING
0285422845,425138,423590,424 0285-425138 919|
Y
Y
Y
ACTIVE
ALL COVERAGE
873
3227
LAB. CITO PEKALONGAN
JL. K.H. MANSYUR NO.33 PEKALONGAN
YENI ERI KRISNAWATI
KEPALA CABANG
0285-422458|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
874
2694
KLINIK & APOTEK KF 16
JL. IMAM BONJOL, NO.16 A, PEKALONGAN
DRS. ANIS SALIM, APT
-
0285 421402|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
875
3186
RSIA. ANUGERAH PEKALONGAN
JL. PERINTIS KEMERDEKAAN NO. 3, KRAMAT SARI, PEKALONGAN 51118
LULUK
Marketing
0285-431491|
(0285) 431903
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
876
1220
RS. BUDI RAHAYU PEKALONGAN
JL. BARITO, NO.5 PEKALONGAN
IBU. ENI
MARKETING/KEUA NGAN
0285 - 423491/424340|
0285-423002
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
PEMALANG 877
4093
RS. PRIMA MEDIKA PEMALANG
JL. SLAMET RIYADI NO. 321 MULYOHARJO, PEMALANG
IBU ROSI AMINAH
MARKETING
021-5396737|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
878
1219
RSU. SANTA MARIA PEMALANG
JL. PEMUDA NO.24
IBU JEMI PUJI ASTUTI
MARKETING
0284 - 321251/321426|
0284 - 322335
Y
Y
Y
ACTIVE
ALL COVERAGE
marketing_santamariapml@yaho o.co.id
JL. MAYJEND SOENGKONO NO. 1
BPK HARI
MARKETING
0281-892222/982277|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. LETJEND. SUPRAPTO NO.6
BPK.SARYOTO (YOYOK)
MARKETING
0292 - 421087-422325|
0292421370/425095
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];kilo
[email protected]
JL. JATIWINANGUN, NO.16 PURWOKERTO
DR EMAN/ BPK NANA
HUMAS
0281-636555|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
TATA USAHA
(0281) 640005
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0281-632514
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
PURBALINGGA 879
1888
RSU. HARAPAN IBU PURBALINGGA
PURWODADI 880
1226
RS. PANTI RAHAYU
PURWOKERTO 881
1448
RSIA. BUNDA ARIF PURWOKERTO
0281627384/632833/623117/62 58570281-635278|0281635278 0281-6354240281632514|0281-632514
882
0825
RS. ST. ELISABETH - PURWOKERTO
JL. DR ANGKA NO 40, PURWOKERTO
IBU SEPTI/DR.ASTHER PRIMANDARI
883
0201
RSU. BUNDA PURWOKERTO
JL. PRAMUKA, NO.249
UUT / DR.TATI
MARKETING
884
2095
KLINIK & APOTEK KF FAJAR SEHAT
JL. R.A WIRIATMAJA NO. 37 PURWOKERTO
IBU ANTON WIYANTI
-
0281-637247|
0281-640760
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
885
2094
APOTEK KIMIA FARMA 133 PURWOKERTO
JL. JEND. SUDIRMAN TIMUR NO. 435 PURWOKERTO
BPK. AGUS
Apoteker
0281-638546|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
886
1447
RSU. ANANDA PURWOKERTO
JL. PEMUDA, NO.30
IBU DESI/YOKE
MARKETING
0281-631435-636417|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/yoke@rs ananda.co.id
1351
RS. ORTHOPAEDI PURWOKERTO
JL. SOEPARDJO ROESTAM NO. 99 PURWOKERTO
0281640226/632146
887
BPK HERU
-
0281-6844166|
0281-6844188
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
888
3131
LAB. CITO PURWOKERTO
JL. PRAMUKA 798 RT 7/1 PURWOKERTO BPK SINGGIH
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
0298322898/311466
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];rs_purias
[email protected]
0298-325350|
-
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
-
024-76914353|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected];gc RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR cito_setiabudi@yahoo
MARKETING
0281-637362; 637538|
0281-637583
N
IBU MIA
SEKERTARIAT
0275-641425|
-
BPK ARIF MUSTAWAN
MARKETING
0275-325260|
0275-324211
IBU NURUL/IBU TRI HANDAYANI
MARKETING
0298-323209/0298-312049|
PAK MULYADI
-
PAK MULYADI
PURWOREJO 889
1908
RS. PALANG BIRU KUTOARJO
890
1131
RS. PKU MUHAMMADIYAH PURWOREJO
SALATIGA 891
1145
RS. PURI ASIH
892
3350
APOTEK KIMIA FARMA SALATIGA
SEMARANG
JL. MADITOMO 17, KUTOARJOPURWOREJO JL. BRIGJEND KATAMSO NO.144 A PURWOREJO JL. JEND. SUDIRMAN NO.169 SALATIGA JL. BRIGJEN SUDIARTO NO. 30 SALATIGA
893
3349
APOTEK KIMIA FARMA 203 UNGARAN JL. DIPENOGORO 212 UNGARAN
894
3245
LAB. CITO (JL. INDRAPRASTA NO. 81 JL. INDRAPRASTA NO. 81 A SEMARANG BP RIZKY A)
-
024-3556853|
895
3246
LAB. CITO ( JL. SETIABUDI )
-
024-7461645|
JL. SETIABUDI SEMARANG
BPK HERY
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
33
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
Allowed
Emails
N
Y
Y
PARTIAL
WIWIN YUWINDARI, APOTEKER S.SI, APT
024-8450558|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0247625005/7618800/7626571 024-7621733 |
Y
Y
Y
ACTIVE
ALL COVERAGE
024 6716235|
--
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
024 3520763|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
024-8413373
JL. DR. CIPTO 14A SEMARANG
IBU ROSALIA
897
2168
APOTEK FARMARIN SEMARANG
JL. KALIGARANG NO. 2D
-
898
1450
RS. PERMATA MEDIKA
JL. MR.MOCH. ICHSAN, NO.93-97, NGALIYAN
IBU BUDI/IBU ERNI WIDYANINGRUM
899
2692
KIMIA FARMA 178
JL. BRIG.SUDIARTO,462 E (MAJAPAHIT LAMA)
DESI RAHMAWATI, S.FARM, APT
900
2693
KLINIK & APOTEK KF 71
JL. DR.SOETOMO NO.3 , SEMARANG
HERU SUDOMO, S.FAR, APT
-
IBU TARI/EKA
MARKETING/HUMA 024-8310076/ 8310035| S
JL. KAWI NO. 1
Status
-
LAB. CITO ( JL. DR. CIPTO )
RS. ST. ELISABETH - SEMARANG
FLAG
024-3515374|
3247
0160
RJ
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
896
901
RI
HUMAS & MARKETING
[email protected];widyani
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
902
0377
RS. TELOGOREJO
JL. KH. AHMAD DAHLAN
IBU ANI
MARKETING
024 - 8446000/8448448024024 - 8449660 8446000|024-8446000
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
903
1663
RS. KEN SARAS
JL. SOEKARNO HATTA KM 029
MARKETING
024-6922269|
0298-522706
Y
Y
Y
ACTIVE
ALL COVERAGE
904
0053
RS. ROEMANI MUHAMMADIYAH
JL. WONDRI, NO.22
IBU CACA BPK. AGUNG JATMIKO
CS / PENAGIHAN
024 - 8444623|
024-8415752
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] [email protected]/rs
[email protected]
905
0379
RS. PANTI WILASA CITARUM
JL. CITARUM, NO. 98
DRG.CRISWIDYATI / MARKETING BPK.KIKI
024-3542224 / 024081228345674 ( BPK KIKI )| 3561514,3542063
Y
Y
Y
ACTIVE
ALL COVERAGE
906
0050
RS. PANTI WILASA DR. CIPTO
JL. DR. CIPTO, NO.50
BPK. BAYU
MARKETING
024 - 3546040, 3557428|
024-3546042
Y
Y
Y
ACTIVE
ALL COVERAGE
907
0299
RSU. HERMINA PANDANARAN SEMARANG
JL. PANDANARAN NO.24
IBU ENO
HUMAS & MARKETING
024-8411112/8442525|
024-8450818
Y
Y
Y
ACTIVE
ALL COVERAGE
908
0182
RS. ISLAM SULTAN AGUNG
JL. KALIGAWE KM.4
IBU. SRI WAHYUNI
MARKETING
024-6580019|
024-6581928
Y
Y
Y
ACTIVE
ALL COVERAGE
909
0901
RS. BANYUMANIK
JL. BINA REMAJA NO.61
BPK SOBIRIN
MARKETING
024-74715190247462181|024-7462181
024-7462181
Y
Y
Y
ACTIVE
ALL COVERAGE
910
3260
KIMIA FARMA 19 (JL. SULTAN AGUNG)
JL. SULTAN AGUNG KOMPL. PERTOKOAN R A/15 SEMARANG
RICKY FABIANO AMRI
-
024-8315248|
024-8315795
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
911
3261
KIMIA FARMA 153 (JL. JATI RAYA BANYUMANIK)
JL. JATI RAYA BANYUMANIK, SEMARANG
LINTANG ANTYANING / DITHA DWIKE
024-7464268|
024-7464268
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] / RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
912
3262
KIMIA FARMA 259 (JL. FATMAWATI)
JL. FATMAWATI NO. 42, SEMARANG
SHINTA DEWI
Penanggungjawab
024-76928544|
024-76928544
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
913
3264
KIMIA FARMA 271 MEDITAMA (JL. AHMAD)
JL. KH. AHMAD DAHLAN NO. 9, KEL. BENDUNGAN, KEC. GAJAHMUNGKUR
MEGA RESTU
-
024-8455323|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
914
3265
KLINIK & APOTEK 324 (JL. RAYA NGALIAN)
JL. RAYA NGALIYAN , KEL. TAMBAK AJI, DAVID ARISANDI KEC.NGALIYAN SEMARANG ATMADJI
-
024-7612049|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
915
3267
JL. TLOGOSARI RAYA NO. 1 KAV. 2, KIMIA FARMA 374 (JL. TELOGO SARI) KEL. TLOGOSARI KULON, KEC. PEDURUNGAN, SEMARANG
INTAN IRDA MELATI -
024-6709192|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
916
3215
RS. WILLIAM BOOTH SEMARANG
JL. S. PARMAN NO. 5 SEMARANG
IBU AGNES
MARKETING
024-8411800|
Y
Y
Y
ACTIVE
ALL COVERAGE
917
2246
APOTEK KIMIA FARMA 17
JL. TENTARA PELAJAR NO. 16 A, SEMARANG
BP RUSTIONO
-
024-8447245|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
918
2238
KLINIK & APOTEK KF 18
JL. PEMUDA NO. 135 SEMARANG
BPK RUSTINO
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
919
2822
RS. COLUMBIA ASIA SEMARANG
JL. SILIWANGI NO. 143 SEMARANG
INDAH W.G (081901616318)
0243545101/3541510/3518913 |
Marketing
(024) 762 9999/86462020|
Y
Y
Y
ACTIVE
ALL COVERAGE
920
3217
JL. NGESREP TIMUR 5/36 KLINIK KITA TEMBALANG (DR MOEZ) BANYUMANIK, SEMARANG
921
3218
KLINIK KITA KALIPANCUR (DR MOEZ)
(024) 7667 4228
marketing.pantiwilasa.citarum@ gmail.com
[email protected]. net.id pandanaran@herminahospitalgro up.com
[email protected];rsisula @indosat.net.id
[email protected]
[email protected]
[email protected] m
NURYATI
-
085640398938|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
JL. ABDULRAHMAN SALEH KAV. 783 KALIPANCUR, SEMARANG
DESITA
-
085641869731|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
IBU DINDA/ IBU TARI
MARKETING
(024) 7648 8989|
(024) 7647 9080
Y
Y
Y
ACTIVE
ALL COVERAGE
922
2969
RS. HERMINA BANYUMANIK
JL. JENDRAL POLISI ANTON SOEDJARWO NO. 195 A, SEMARANG 50263
923
3230
KLINIK KITA KEDUNGMUNDU (DR MOEZ)
JL. KEDUNGMUNDU RUKO GRAHA WAHID NO. 7, SEMARANG
-
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
924
3231
KLINIK KITA IBNU SIENA PUSPONJOLO (DR MOEZ)
JL. PUSPONJOLO TENGAH RAYA NO. 65, SEMARANG
-
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
925
3232
KLINIK KITA IBNU SIENA NGALIYAN (DR MOEZ)
JL. PROF HAMKA RUKO SEGITIGA EMAS B 7, SEMARANG
-
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
34
banyumanik@herminahospitalgr oup.com
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 926
Code 3233
Hospital Name
Address
Contact Person
Division
Tel Number
JL. JATI KALANGAN RUKO PURI DELTA KLINIK KITA CANGKIRAN (DR MOEZ) ASRI, SEMARANG
-
-
-|
RS. ADELLA
JL. PROF MOH YAMIN NO. 77 SLAWI
IBU NINA/LESTI
MARKETING
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
0283-491154/491773|
0283-491354
Y
Y
Y
ACTIVE
ALL COVERAGE
SLAWI 927
1665
[email protected]
SOLO 928
2181
APOTEK FARMARIN SOLO
JL. GREMET NO.3 RT 007/11 MANAHAN
FITRIA WULANDARI, S.SI, APT
085727427423|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
929
0118
RS. DR. OEN SOLO BARU
KOMP. PERUMAHAN SOLO BARU, GROGOL, SUKOHARJO
IBU LILA/ IBU ANI /BPK MULYADI
MARKETING
0271-620220|
0271622555/660935
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m/
[email protected]
930
1483
RS. PANTI WALUYO SURAKARTA
JL. JEND.A.YANI NO.1
IBU ADELIA
MARKETING
0271-712077|
0271-729125
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];rspa
[email protected]
931
0119
RSU. KASIH IBU SURAKARTA
JL. BRIGJEND SLAMET RIYADI NO.404
DRG. HARIANI/IBU YOVITA
MARKETING
0271 - 714422|
0271-722837
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rsuk
[email protected]
IBU.JAZARIA/BPK TOTO
INFORMASI/SEKRE 0271 - 643013| TARIA
0271-634823
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
DR. SUSILOWATI
MARKETING
0271-643139|
0271-642026
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
BPK.KHOLID/ IBU FATAH
MARKETING
0271-7105710271725134|0271-725134
0271-710572
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];info@rsisy arsis.com
932
0212
RS. ISLAM KUSTATI
JL. KAPTEN MULYADI NO.249
933
0214
RS. DR. OEN SURAKARTA(KANDANG SAPI)
934
0745
RS. ISLAM SURAKARTA
JL. BRIGJEN KATAMSO NO.55, KANDANG SAPI JL. A YANI PABELAN KARTASURA, SOLO
935
0746
RS. PKU MUHAMMADIYAH SOLO
JL. RONGGOWARSI. TO NO130, SOLO
IBU BETTY
HUMAS
0271-714578|
0271-717012
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
936
1179
RS. BRAYAT MINULYA
JL. DR.SETIABUDI NO.106 SURAKARTA
IBU GITA / RIA
Marketing
0271716646,710571,710170|
0271727309/712181
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
937
3280
LAB. KLINIK KIMIA FARMA SURAKARTA
JL. ADISUCIPTO NO. 70 SURAKARTA
-
-
0271-727886|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
938
3279
LAB. CITO SOLO
JL. YOSODIPURO NO.64 SURAKARTA
ANDREAS DWI
-
0271-2500055|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
939
1180
KLINIK BUDI SEHAT
JL. S.PARMAN, NO.131, PASAR LEGI
IBU PRASETYANINGSIH
MARKETING
0271-648026-661415|
0271643265/661366
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] / RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
940
2907
RS. HERMINA SOLO
JL. KOL SUTARTO NO. 16 JEBRES SOLO DRG DYAH
MARKETING
0271-638989|
271
Y
Y
Y
ACTIVE
ALL COVERAGE
941
3354
APOTEK KIMIA FARMA YOSODIPURO
JL. NO.111B, SOLO
-
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
SRAGEN 945
1660
RS. SARILA HUSADA
JL. VETERAN NO 41-43 SRAGEN
BP TULUS
PERSONALIA
0271-891538|
Y
Y
Y
ACTIVE
ALL COVERAGE
946
3353
APOTEK KIMIA FARMA SRAGEN
JL. SUKOWATI NO.440A, SRAGEN
-
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
-
SUKOHARJO 947
3355
APOTEK KIMIA FARMA SUKOHARJO
JL. VETERAN NO.11 SUKOHARJO
-
-
0271-590411|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
948
1178
RS. NIRMALA SURI
JL. RAYA SOLO KM 9 SUKOHARJO
BP. ARIFIN
MARKETING
0271-592192|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] [email protected]
TEGAL 949
3359
RSIA. PALARAYA
JL. PALARAYA NO. 11 A TEGAL
BAPAK PRANATA
--
0283-356009|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
950
2093
APOTEK KIMIA FARMA 97 TEGAL
JL. MAYJEN SUTOYO NO. 44 TEGAL
BPK TEGUH
-
0283-354733/355765|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
951
0753
RS. ISLAM HARAPAN ANDA
JL. ABABIL NO.42
IBU. NURUL
MARKETING
0283-358244|
0283-351263
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/nurul@h arapananda.com
952
1540
RS. MITRA KELUARGA TEGAL
JL. SIPELEM, NO.4, KEMANDUNGAN, TEGAL BARAT
DR.SERLY/IBU TINA MARKETING
0283-340399/340999|
0283-340902
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] /
[email protected]
953
3220
LAB. CITO TEGAL
JL. GAJAH MADA NO. 79 TEGAL
SILVIA AYU
-
0283 353402|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
954
1873
RS. MITRA SIAGA TEGAL
JL. PALARAYA NO. 54 TEGAL
TRI NURCAHYO
KA. HUMAS
0283-353387/322550|
0283-351518
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. PAHLAWAN-PARAKAN
BPK.KRISYATNO/BP K.WISTOMO
HUMAS MARKETING
0293-596008|
0293-596410
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. A. YANI, NO.6
IBU ERMA ZUBAEDAH
0343-742425
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
TEMANGGUNG 955
1144
RS. NGESTI WALUYO
WONOGIRI WONOSOBO
JAWA TIMUR
BANGIL 956
0700
RS. ISLAM MASYITHOH
BANGKALAN
MARKETING
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
0343-741018|
35
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
957
3841
APOTEK KIMIA FARMA TRUNOJOYO 419
958
3840
APOTEK KIMIA FARMA 163
959
3595
RS. LUKAS
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
JL. TRUNOJOYO NO.75A BANGKALAN
DIAN LARASATI.S.FARM
-
0313095459|
313095459
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JL. JOKOTOLE NO.5 BANGKALAN
LAKSMI KUSUMASTUTI
-
0313091016|
313091016
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JL. KH.MOH.KHOLIL 36A
DR.ARTO 085235779518;
MARKETING
031-3095148|
-
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]; artok_wijayanto@yahoo
AGUS BAIDLAWI
-
0333-632965|
0333-632965
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
PUTRI TRIANASARI
MARKETING
0333-631149|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
BANYUWANGI RS. NAHDLATUL ULAMA BANYUWANGI RSIA. PKU MUHAMMADIYAH ROGOJAMPI
JL. RAYA MANGIR NO. 09 KEC. ROGOJAMPI KAB. BANYUWANGI JL. PANGERAN DIPONEGORO NO. 20, ROGOJAMPI
0726
RS. ISLAM FATIMAH BANYUWANGI
JL. JEMBER, NO.25
FANI / BPK.AINUR RAFIQ
personalia/MARKET 0333-421451| ING
0333423204/417929
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected],iqbwi@ya hoo.com
963
1429
RS. YASMIN BANYUWANGI
JL. LETKOL ISTIQLAL NO.80-84
BP. AGUS
HUMAS
0333-424671|
-0333-418219
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
964
0724
RS. AL-HUDA
JL. DIPONEGORO, NO.65, GENTENG
IBU LISA/IBU PRIMA MARKETING
0333842033/844682/845248/84 2118|
0333-842036/38
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. KATOLIK BUDI RAHAYU BLITAR
JL. JEND. A.YANI NO. 18 BLITAR
BP.YOSEP/IBU RITA/IBU KALISTA
MARKETING
0342801066/802316/807802|
0342806509/804284
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. UMUM AMINAH BLITAR
JL. VETERAN NO. 39, KEPANJEN, KIDUL IBU EMI BLITAR 66111
MARKETING
0342-816304/816305|
0342-816527
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
Y
Y
Y
ACTIVE
ALL COVERAGE
960
4065
961
4130
962
BLITAR 965 966
0269 3807
BOJONEGORO 967
1032
RS. PKU MUHAMMADIYAH KALITIDU
JL. RAYA KALITIDU, NO.266, KALITIDU
NURHADI
MARKETING
0353-511731/512066-|-
968
0731
RS. AISYIYAH BOJONEGORO
JL. HASHIM ASHAARI, NO.17
IBU INDAH
MARKETING
0353-881748/885978|
0353511678/512066 0353-885978
3892
RS. MITRA MEDIKA BONDOWOSO
JL. HOS COKROAMINOTO 98, BONDOWOSO
IFAN RIZKY
marketing
0332-423800; 421981|
0332 429601
Y
Y
Y
ACTIVE
ALL COVERAGE
customerservice@rsmitramedika .com
RSUD. IBNU SINA KAB. GRESIK
JL. DR. WAHIDIN SH NO.243B, GRESIK -DR. SRI RAHAYU
Humas
RS. FATHMA MEDIKA GRESIK
JL. PENDOPO NO. 45, SEMBAYAT, MANYAR, GRESIK
BONDOWOSO 969
GRESIK 970 971
3648 4235
rsmuhammadiyahkalitidu@gmail .com
[email protected]
031-3951239|
-
Y
N
Y
ACTIVE
ALL COVERAGE
rsudibnusina.marketing@yahoo. com
IBU DESI RAHMAT/PAK SETYO
(031) 394 3500|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
972
4053
RS. PETROKIMIA GRESIK DRIYOREJO JL. RAYA LEGUNDI KM 5
NEVIA
-
031-8986701, 8981779, 8981778|
031-8986700
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
973
0596
RS. SEMEN GRESIK
JL. RA. KARTINI, NO.280 GRESIK
IBU. IRIA
MARKETING
031 031-3987842 3987840,3989478,3975847|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rss
[email protected]
974
1923
RS. PETROKIMIA GRESIK GRHA HUSADA
JL. PADI NO. 3 KOMPLEK PT PETROKIMIA GRESIK
BPK REZA
-
031031-3972623 3984465,3973400,3793401|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
PUJIHARTO (031)77109257
-
(031) 7922351|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
-
0313984783|
313984783
975
2610
RS. WATES HUSADA
JL. RAYA WATES UTARA KEDUNGPRING, BALONGPANGGGANG GRESIK
976
3842
APOTEK KIMIA FARMA 164
JL. R.A KARTINI NO.150-152
ADNAN AZHARY
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RS. PETROKIMIA GRESIK
JL. JEND. A.YANI NO.69
IBU MEKA/DR.RETNO/IB MARKETING U SITI
0310313988877/3990994/3978658 3980008/3981232 /3977666|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rspg2004 @yahoo.co.id
RS. BINA SEHAT
JL. JAYANEGARA NO.7
BP. NICO
0331422701/424304/421713|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
977
1427
JEMBER 978
979 980
1428
HUMAS
0331-428390
2076
KLINIK & APOTEK KF 62 JEMBER
JL. GAJAH MADA 171 JEMBER
AYU
APOTEKER
0331-489020|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1685
RSU. KALIWATES PT PERKEBUNAN NUSANTARA XII
JL. DIAH PITALOKA NO 1 JEMBER
BP MAHMUD HUDA
Marketing
0331-3137525/483567|
0331-489100
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] rs_citrahusada@ya
981
0725
RS. PERKEBUNAN (PTPN) X JEMBER
JL. BEDADUNG, NO.2 JEMBER
BPK. FEBRI/ IBU SANTI
MARKETING
982
3530
RS. CITRA HUSADA
JL. TERATAI NO.22 JEMBER
IBU RATIH
MARKETING
0331487104,485415,426873,485 0331-485912 912,4107480331487226|0331-487226 (0331) 486200| (0331) 427088
983
2077
APOTEK KIMIA FARMA 241 JEMBER
JL. PANGLIMA SUDIRMAN NO. 46 JEMBER
HIMAWAN
-
0331-489885|
RSIA. MUSLIMAT JOMBANG
JL. URIP SUMOHARJO NO 34 JOMBANG
IBU RJ EKA RAHMANDA /BPK RISHI
HUMAS&MARKETIN 0321G 872200/877600/869434|
Y
Y
Y
ACTIVE
ALL COVERAGE
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
0321-854991
Y
Y
Y
ACTIVE
ALL COVERAGE
JOMBANG 984
1849
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
36
[email protected] [email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No 985
Code 0810
Hospital Name
Address
RS. DR. MOEDJITO DWIDJOSISWOJO JL. HAYAM WURUK, NO.9 JOMBANG
Contact Person
Division
IBU ERI/ QORI RAMEAN
MARKETING
Tel Number
Fax Number
BALI 0321864308,6977788,855555|
RI
RJ
FLAG
Status
Allowed
Emails
0321-877276
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/hospit
[email protected]
986
1880
RS. AIRLANGGA JOMBANG
JL. AIRLANGGA NO 50 C JELAKOMBO, JOMBANG
IBU DEVI
MARKETING
0321-861577|
0321-862194
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
987
0978
RS. KRISTEN MOJOWARNO
JL. MERDEKA NO.59, MOJOWARNO
IBU EVI
MARKETING
0321-495093-|-
0321492200/495440
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
RS. PELENGKAP MEDICAL CENTER
JL. JUANDA NO. 03 JOMBANG
BPK KUSWOYO/ IBU MARKETING CINTYA
0321-877945 / 869826|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
988
1966
KEDIRI 989
1998
KLINIK & APOTEK KF 75 KEDIRI
JL. JAKSA AGUNG SUPRAPTO NO. 25 KEDIRI
FAIZ
APOTEKER
0354-773384/ 694913|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
990
1599
RS. MUHAMMADIYAH AHMAD DAHLAN KEDIRI
JL. GATOT SUBROTO NO 84 KEDIRI
IBU SITI NASYATUL AISIAH
PEMASARAN
0354773115/776182/770182|
0354776318/773736
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
991
0977
RS. BAPTIS KEDIRI
JL. BRIDJEN POLLBH PRANOTO NO.1
MARKETING
0354-682170, 683578, 684172-|-
0354-681173
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
992
0248
RS. HVA TOELOENGREDJO
JL. A. YANI NO. 25 PARE
MARKETING
0354-391047,391145|
0354-392883
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rstoel_it@ya hoo.co.id
993
2075
APOTEK KIMIA FARMA 151 KEDIRI
JL. STASIUN NO. 47 KEDIRI
TULUS
APOTEKER
0354-694913|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
WAHYU WASITO WIBOWO DRG MENIS/YANNEKE/W AHYU JAYADI
994
1430
RS. AURA SYIFA
JL. JOYOBOYO NO.42 DLOPO
DR. BENY CAHYO/ IBU YULI
MARKETING
0354-671939|
0354696033/641939
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
995
1182
RS. BHAYANGKARA KEDIRI
JL. KOMBES POL DURYAT NO 17
IBU EMI
MARKETING
0354-671100|
0354-683830
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
996
3828
APOTEK KIMIA FARMA SMAN II PARE
JL. PAHLAWAN KUSUMA BANGSA 28 PARE
BP. WAHYU
APOTEKER
0354-390006|
0354-390006
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RS. MUHAMMADIYAH LAMONGAN
JL. JAKSA AGUNG SUPRAPTO
IBU NOVI/BPK.ZUHDI
MARKETING
0322-322834|
0322-314048
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. WIJAYA KUSUMA
JL. A. YANI, NO.149, LUMAJANG
IBU SENJA/ERNA
SEKRETARIAT/KEU 0334-891325| ANGAN
0334-888844
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] [email protected]
LAMONGAN 997
1199
LUMAJANG 998
1247
MADIUN 999
RS. SITI AISYAH
JL. MAYJEN SUNGKONO, NO.38
SUNARTO
Marketing
0351-464822/451843|
0351-464009
Y
Y
Y
ACTIVE
ALL COVERAGE
1000 3425
1183
KLINIK & APOTEK KF 76
JL. JAWA NO.14
BPK.BAMBANG
PENANGGUNG JAWAB
035-453381|
0351-453381
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1001 0722
RS. SANTA CLARA
JL. BILITON, NO.15
SUSTER YOSSIE
HUMAS
0351462688/452770/464571|
0351455780/466509
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/pantib
[email protected]
RS. LARASATI
JL. MANDILARAS, NO.74, PAMEKASAN
IBU LISA
MARKETING/PEL.M 0324-328305| EDIS
0324-322080
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. PANTI WALUYA SAWAHAN
JL. NUSAKAMBANGAN NO.5
IBU RUSMAWATI
HUMAS & MARKETING
0341362017,366033,361507|
0341-354068
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
0341365094/341357
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MADURA 1002 0113
MALANG 1003 0815 1004 0125
RSIA. MELATI HUSADA
JL. KAWI, NO.32
IBU YATI
MARKETING
0341-336271/3413570341341357|0341-341357
MARKETING
0341-470805/482612|
0341-470804
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
-
0341 56166|
0341 561627
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];marketingrs
[email protected] [email protected]
1005 0708
RS. LAVALETTE
JL. W.R. SUPRATMAN, NO.10
IBU NUNU WARDANI/ WINA
1006 4172
RSU UNIVERSITAS MUHAMMADIYAH MALANG
JL. TLOGOMAS NO. 45 MALANG
LIDYA
1007 3611
RSI. MADINAH KASEMBON
JL. RAYA SUKOSARI NO. 32 KASEMBON DR MALANG TAUFIKURRAHMAN
-
0354-326688/ 393000|
0354-328144
Y
Y
Y
ACTIVE
ALL COVERAGE
1008 3620
APOTIK KIMIA FARMA 77
JL. SUKARJO WIRYOPRANOTO 2K MALANG
-
0341-365298|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0341-5941610341598192/5|0341-598192/5
0341-598911
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
(0341) 364756|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
rsb.mardiwaloeja.rampal@gmail. com
0341-2996333|
0341-2993773
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1009 0192
RS. BAPTIS BATU
JL. RAYA TLEKUNG NO.1 JUNREJO, BATU
1010 3437
RSB. MARDI WALOEJA RAMPAL
JL. WR. SUPRATMAN NO.01 MALANG
1011 2967
PERSADA HOSPITAL
JL. PANJI SUROSO ARAYA BUSINESS CENTER KAV.II-IV MALANG
1012 3814
KIMIA FARMA 453 SUTOYO MALANG
JL. LETJEN SUTOYO NO. 107 MALANG
Muamar
DRG. SILVIA HUMAS & DINA/IBU WIDYA/FRANSISKA/ MARKETING WIWIN INDRA DWI MISKAWATI BPK DIKA/ YOGA
-
-
-
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
0341478382|
-
37
N
Y
Y
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
1013 3815
KIMIA FARMA NO.245 BATU
JL. DIPONEGORO NO. 93 BATU MALANG
1014 3816
KIMIA FARMA NO. 210 MALANG
JL. TUMENGGUNG SURYO NO. 25 MALANG
Contact Person
Division
Tel Number
Fax Number
BALI
-
-
-|
-
-
0341423930|
RI
RJ
FLAG
Status
Allowed
Emails
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
-
N
Y
Y
PARTIAL
GP,SP,OP,MAT,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
1015 3817
KIMIA FARMA NO. 187 MALANG
JL. M.T. HARYONO NO. 110 MALANG
-
-
0341553283|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1016 3818
KIMIA FARMA NO. 150 MALANG
JL. SELAT SUNDA 1 D NO. 25 MALANG
-
-
0341713091|
-
N
Y
Y
PARTIAL
GP,SP,OP,MAT,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1017 3820
KIMIA FARMA NO. 36 MALANG
JL. IJEN NO. 88 MALANG
ANDY ISWANTORO
-
0341359677|
341359678
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1018 2048
RS. PRIMA HUSADA MALANG
JL. BANJARARUM SELATAN NO. 3, MONDOROKO SINGOSARI-MALANG
MADE DEWA SANTIKA
MANAGER OPERASIONAL
0341-458679|
0341-441874
Y
Y
Y
ACTIVE
ALL COVERAGE
1019 2171
APOTEK FARMARIN MALANG
JL. W. R.SUPRATMAN C2 KAV.9 MALANG
YUDI PURNOMO, S. SI, APT
APOTEKER
0341-334163/4|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1020 2274
KLINIK & APOTEK KF 53
JL. KAWI NO.22 A MALANG
ANDY ISWANTONO
-
0341 362 301/ 364 056|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RSIA. GALERI CANDRA
JL. BUNGA ANDONG NO.3 MALANG 65141
IRMAWATI (081 3335 20478)
-
(0341) 478571|
(0341) 478571
Y
Y
Y
ACTIVE
ALL COVERAGE
1021 2790
[email protected]
[email protected]
[email protected]
1022 2680
KIMIA FARMA 116
JL. LA SUCIPTO /148,MALANG
RATNO SETIAWAN S FARM
0341-489539|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1023 2789
RSIA. PURI MALANG
JL. TAMAN SLAMET NO.20 MALANG
SETIAWATI/IFA
UMUM
0341-325329|
(0341) 342322
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1024 4089
RS. ISLAM GONDANGLEGI
JL. HAYAM WURUK NO 66, GONDANGLEGI
WIDI
MARKETING
0341 - 879047|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1025 1326
RS. WAVA HUSADA KEPANJEN
JL. PANGLIMA SUDIRMAN NO.99A KEPANJEN
IBU YAYUK
MARKETING
0341-393000|
0341-398398
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];rs
[email protected]
1026 1561
RS. PERMATA BUNDA MALANG
JL. SOEKARNO HATTA NO. 75, LOWOKWARU
IBU ICHA
MARKETING
0341-487487/407462|
0341-474242
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1027 0609
RS. PANTI NIRMALA
JL. KEBALEN WETAN, NO.2-8
IBU ITA/ DR. CECILLIA
MARKETING
0341-362459|
0341-327930
Y
Y
Y
ACTIVE
ALL COVERAGE
1028 1325
RS. MARSUDI WALUYO
JL. RAYA MONDOROKO KM.9 SINGOSARI
DR. ANITA
MARKETING
0341-458974|
0341-451579
Y
Y
Y
ACTIVE
ALL COVERAGE
1029 1252
RS. ISLAM MALANG ( UNISMA )
JL. MAYJEND HARYONO NO. 139
IBU.IKA
MARKETING
0341551356,580798,565448|
0341-551257
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1030 0252
RS. ISLAM AISYIYAH MALANG
JL. SULAWESI, NO.16
IBU HANNI
MARKETING
0341-326773|
0341-368883
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1031 1978
RS. MUTIARA BUNDA MALANG
JL. CIUJUNG NO 19, MALANG JAWA TIMUR
Kuswadji
MARKETING
(0341) 400403; 400722|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
1032 1327
RSIA. HUSADA BUNDA
JL. PAHLAWAN TRIP NO. 2, ORO-ORO DOWO
IBU FITRI YUNI LESTARI
Humas/Marketing
(0341) 569634; 566972;569799; 580169|
0341580169/569799
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1033 0094
RSU. HERMINA TANGKUBANPRAHU
JL. TANGKUBAN PRAHU, NO.33
IBU ENDROWATI/ IBU JUNIOR INDRIYANI S.
MARKETING
0341-325082 - 354844 354845/460341354844/8|0341-354844/8
0341-354843
Y
Y
Y
ACTIVE
ALL COVERAGE
tangkubanprahu@herminahospit algroup.com
[email protected];rahmaemai
[email protected] [email protected] om
MOJOKERTO 1034 0785
RS. EMMA
JL. RAYA IJEN WATES NO.67
IBU NUR CHOLIPAH
MARKETING
0321-328737-|-
0321-334021
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] /
[email protected]
1035 0088
RS. KARTINI MOJOKERTO
JL. ERLANGGA, NO.137, MOJOSARI
BPK. AGUS
MARKETING
0321-592261|
0321-595569
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1036 2818
RS. MUTIARA HATI
JL. RAYA KEMANTREN WETAN 49, TERUSAN,GEDEG, MOJOKERTO
FATWA AMALIA
MARKETING
(0321) 7223400, 363442|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rsmuti
[email protected]
1037 0928
RS. GATOEL MOJOKERTO
JL. RADEN WIJAYA NO.56
ZUROTUL AINI
MARKETING
0321321681,322329,399772-|-
0321-321684
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1038 1980
RS. SIDO WARAS
JL. RAYA PASAR SAWAHAN KM. 10 BANGSAL KAB. MOJOKERTO
IBU EVI
MARKETING
0321-598621|
0321-598624
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1039 3825
RSI. SAKINAH
JL. RA BASUNI NO.12 MOJOKERTO
IBU ALFU LAYLA
MARKETING
0321-321922|
0321-329670
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1040 1997
RS. ISLAM HASANAH MUHAMMADIYAH
JL. HOS. COKROAMINOTO NO.26 - 28, MAGERS. ARI,MOJOKERTO, JAWA TIMUR 61313
IBU YATI
-
0321-321635|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0321-322511
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
351747666
Y
Y
Y
ACTIVE
ALL COVERAGE
marketing.rsiattinhusada@gmail. com
1041 0164
RS. REKSA WALUYA
JL. MOJOPAHIT, NO.422
IBU ESTER/ DR. KRISTANTO
MARKETING
0321-322170/3221710321322171/3937|0321322171/3937
RS. AT-TIN HUSADA
JL. RAYA NGAWI-SOLO KM 4
BAPAK NOVI
MANAGER MARKETING
0351747888|
NGAWI 1042 3872
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
38
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
1043 3811
Tel Number
Fax Number
RI
RJ
FLAG
Status
Allowed
Emails
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
BALI
PACITAN PAMEKASAN APOTEK KIMIA FARMA 274
JL. DIPONEGORO No 4, PAMEKASAN
SAFITRI YULIANTI
-
0324611332|
KIMIA FARMA 165
JL. WAHIDIN SUDIRO HUSODO NO 59 PASURUAN
SYAIFUL A
-
0343-426342|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JL. DR SUTOMO NO.18-24
DR. ENTI / IBU YUNIKA
SEKRETARIAT
0352481784,461560,485093|
0352-484218
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
JL. RAYA SURABAYA SITUBONDO KM 135, KEL SUMBEREJO, KEC PAITON
BPK RIDWAN
Marketing
0335 773444|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
HUMAS & MARKETING
PASURUAN 1044 3626
PONOROGO 1045 0823
RSU. AISYIYAH PONOROGO
PROBOLINGGO 1046 4081
RS. RIZANI
1047 0309
RS. DHARMA HUSADA
JL. SOEKARNO HATTA NO.10
BPK. KOKO
0335-422176|
0335-422698
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
1048 1330
RSU. WONOLANGAN
JL. RAYA DRINGU NO.118
DR.H.PRIYATNO/BP. MARKETING AFIT
0335-424007|
0335-431937
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1049 3839
APOTEK KIMIA FARMA 119
PERUM DELTASARI BLOK AN NO 11
SRI SUPADMI.S.SI
-
0318556411|
318556411
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1050 3847
APOTEK KIMIA FARMA 261
JL. MAJAPAHIT NO.35 SIDOARJO
VALIANDRI PUSPANDINI
-
0318956674|
318956674
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1051 0545
RS. SITI KHODIJAH SEPANJANG SIDOARJO
JL. PAHLAWAN, NO.260, SEPANJANG
IBU HANUM
KEUANGAN
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1052 1108
RSAB. SOERYA
JL. RAYA KALIJATEN, NO.11-15, TAMAN BPK.KURNIA SEPANJANG WITJAKSONO
0317881130,7882123,7872081, 031-7876066 60134373|
MARKETING
031-7885011-|-
031-7873633
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1053 3845
APOTEK KIMIA FARMA 180
JL. PAHLAWAN NO.10 SIDOARJO
DRA.DIAN NURMAWATI
-
0318947116|
318947116
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1054 3857
APOTEK KIMIA FARMA KAHURIPAN
JL. KAHURIPAN NO.57 SIDOARJO
MARIA AYU S.FARM
-
03151517736|
3151517736
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- kimiafarma.kahuripan57@gmail. RJ,RM-RG,RM-KM,RM-RB,PHAR com
1055 2273
KLINIK & APOTEK KF 124
JL. RAYA SEDATI GEDE NO. 59 SIDOARJO
AGUS CAHYANA
-
031 867 5751|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1056 2755
RSU. BUNDA SIDOARJO
JL. KUNDI NO.70 KEPUH KIRIMAN, WARU SIDOARJO
IBU TUTI
Marketing
(031) 8668880|
(031) 8688218
Y
Y
Y
ACTIVE
ALL COVERAGE
1057 1336
KLINIK CITRA GADING MEDIKA
JL. BRIGJEN KATAMSO BLOK A 408-409 BPK. SUWAJI REWIN WARU
KOORDINATOR
031-8679727|
031-8683181
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR om
1058 1339
KLINIK GRAHA MEDICA
JL. BRIGJEN KATAMSO NO.7 WARU
IBU SULIS
HUMAS
031 - 8554910|
031-8554911
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1059 1342
KLINIK MEDIS GELORA
PERUM TAMAN PINANG INDAH, BLOK B7, NO.3-3A
IBU IMA
MARKETING
031-8929139|
031-8929123
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]/ptgelo RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
1060 0249
RS. DELTA SURYA
JL. PAHLAWAN NO.9
IBU YANNI
MARKETING
031-8962531-89612710318961271|031-8961271
0318961281/8944977
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/
[email protected]
1061 0927
RS. ANWAR MEDIKA
JL. DUSUN SEMAWUT, RT.10/RW.04, KEC. BALONGBENDO / JL. RAYA BY PASS KRIAN KM.33
IBU IKOT/WANTI
MARKETING
031-8972052, 8974943-|-
031-8988313
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/an
[email protected]
1062 0271
RS. ISLAM SITI HAJAR SIDOARJO
JL. RADEN PATAH NO.70
BPK REZA
MARKETING
031-8921233/8961570|
0318944438/8944990
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1063 1040
RS. MITRA KELUARGA WARU
JL. RAYA LETJEN. S.PARMAN, NO.8
IBU ELIS
MARKETING
031-8543111/8542111-|-
031-8534333
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/elis.mi
[email protected]
RS. ELIZABETH PTP NUSANTARA XI
JL. WR SUPRATMAN 2A SITUBONDO
DWI AGUS
MARKETING
0338-671174|
0338-678061
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1065 0917
RS. WILLIAM BOOTH SURABAYA
JL. DIPONEGORO NO.34
IBU PAULIN
PELAYANAN ASURANSI
031-5678917-|-
0315624868,5671380
Y
Y
Y
ACTIVE
ALL COVERAGE
rs.williamboothsurabaya@yahoo. co.id
1066 1163
BRAIN CLINIC
JL. SULAWESI, NO.63
DRG.MELANY
-
031-5018800/031-5038004| -
N
Y
Y
ACTIVE
ALL COVERAGE
-
1067 0980
RS. ISLAM SURABAYA
JL. JEND A YANI NO.2-4
IBU LOVA/BPK BUDI MARKETING
031-8284505-|-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
SIDOARJO
SITUBONDO 1064 3096
[email protected]
SURABAYA
1068 3837
APOTEK KIMIA FARMA 52
JL. DUKUH KUPANG NO.54
DRS. SURYADI,APT
-
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
031-8291805
0315671773|
315665755
39
N
Y
Y
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
1069 3843
APOTEK KIMIA FARMA 166
JL. A.YANI 228 SURABAYA
DRA.RENY BESYANITA
1070 3844
APOTEK KIMIA FARMA 175
JL. KARANG MENJANGAN NO.9 SURABAYA
AYU IRAWATI
-
0315991991|
315991991
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1071 3846
APOTEK KIMIA FARMA 243
JL. RAYA ARJUNO NO.151 SURABAYA
SARI RAKHMAWATI
-
0315345031|
315459789
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1072 0809
RS. SPESIALIS HUSADA UTAMA
JL. PROF DR MOESTOPO 31-35
IBU TATIK DYAH WULANDARI
MARKETING
0315017975/5018335(021) 9100682|(021) 9100682
031-5018337
Y
Y
Y
ACTIVE
ALL COVERAGE
1073 3848
APOTEK KIMIA FARMA 304
JL. PERAK TIMUR NO.166 SURABAYA
IRMA NURYANTIE
-
0313550007|
313550007
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1074 3850
APOTEK KIMIA FARMA 407
JL. MULYOSARI NO.288 SURABAYA
HANS ALARKIE
-
0315937994|
315937994
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- onestophealtcaremulyasari@gma RJ,RM-RG,RM-KM,RM-RB,PHAR il.com
1075 2001
RS. WIYUNG SEJAHTERA
IBU SURIYAH
MARKETING
(031) 7532653|
(031) 7533726
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1076 0830
RS. ADI HUSADA UNDAAN WETAN
DR.ANANG PITOYO
KOORDINATOR MARKETIN
031-53212560315318000|031-5318000
031- 5321081
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] om
JL. KARANGAN PDAM NO.1-3 WIYUNG SURABAYA JL. UNDAAN WETAN NO40-44 SURABAYA
-
0318291785|
318291785
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected];
[email protected]
1077 2272
APOTEK KIMIA FARMA 35
JL. NGAGEL JAYA SELATAN NO. 107 SURABAYA 60258
1078 2212
APOTEK FARMARIN SURABAYA
JL. JEMUR ANDAYANI II/1, SURABAYA
SETIA.N, S.FARM, APT
-
031-8418190|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RS. KENDANG SARI SURABAYA
JL. RAYA KENDANGSARI NO.38 SURABAYA
IBU DINI
marketing
031-8436200/8437200|
031-8494484
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1080 2315
NATIONAL HOSPITAL SURABAYA
BOULEVARD FAMILI SEL KAV 1 GRAHA FAMILI, SURABAYA
IBU.LULU / IBU.MEI Divisi Marketing MUNAWAH
031-2975777|
031-297799
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1081 2476
RS. ROYAL SURABAYA
JL. RUNGKUT INDUSTRI I/ 1 SURABAYA SANDRA RAHESTI
-
031-8476111|
031-8476211
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1082 2785
RS. ORTHOPEDI DAN TRAUMATOLOGY
JL. EMERALD MANSION TX 10 CITRALAND, SURABAYA
DR. KARINA DARMANTO
MARKETING
(031) 57431299|
(031) 57431255
Y
Y
Y
ACTIVE
ALL COVERAGE
1083 2786
RS. PURA RAHARJA
JL. PUNCANG ADI 12-14 SURABAYA
IBU ERNA RISMA
-
Y
Y
Y
ACTIVE
ALL COVERAGE
1084 1362
RS. BHAKTI RAHAYU SURABAYA
JL. KETINTANG MADYA I/16
IBU ASMANI
MARKETING
Y
Y
Y
ACTIVE
ALL COVERAGE
-
1085 1363
RS. BUNDA SURABAYA
JL. RAYA KANDANGAN NO.23-24 BENOWO
BPK.AFIT
MARKETING
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1086 1365
RS. MATA UNDAAN
JL. UNDAAN KULON, NO.19
BPK ARNOLD
Marketing
031-5343806/531619|
031-5317503
Y
Y
Y
ACTIVE
ALL COVERAGE
marketing.rsmataundaan@gmail .com
1087 1453
RS. ONKOLOGI
ARAYA GALAXI BUMI PERMAI BLOK A2/7 JL. ARIEF RAHMAN HAKIM 182
BP. BUDIONO
MARKETING
031-5914855|
031-5914860
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1088 1454
RSIA. PUTRI ( RS. KHUSUS OBSTETRI & GINEKOLOGI )
JL. ARIF RAHMAN HAKIM, NO.122
IBU SEKRETARIS LESTARI/BPK.HARRY DIREKTUR
031-5999987|
031-5997215
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1089 1201
RS. ADI HUSADA KAPASARI
JL. KAPASARI NO.97-101
DR.DANI, IBU PIPIN MARKETING
031-3764555|
031-3764666
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1090 1690
RS. BEDAH SURABAYA
JL. RAYA MANYAR NO 9 SURABAYA
IBU DWIKA/ TIAS
MARKETING
031-5999369,5999339|
031-5995284
Y
Y
Y
ACTIVE
ALL COVERAGE
rumahsakitbedahsurabaya@gma il.com
MARKETING
031 8471877/8471878/8471889 031-8437784 |
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/faridar
[email protected]
MARKETING
031-7345333|
031-7345955
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] /
[email protected]
MARKETING
031 - 567 6253/54/55/56|
031-5620690
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected] [email protected];
[email protected]
1079 2217
AGUS CAHYANA
-
031 504 1276, 504 9098|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
BPK DICKY, IBU FARIDA
1091 1364
RS. ISLAM SURABAYA JEMURSARI
JL. JEMURSARI NO.51-57
1092 0136
RS. MITRA KELUARGA SURABAYA
JL. SATELIT INDAH II, DARMO SATELIT IBU SELLY
1093 0163
RS. DARMO
JL. RAYA DARMO, NO.90
IBU LARASATI/ BP MITRA
(031) 5019898/ 5022151/ 5024591| 0318295922/8291799/8299217 031-8293839 /23| 031 7442220/7440077/7400694 031 - 7442133 |
[email protected] om
[email protected];
[email protected]
1094 0544
RS. ST.VINCENTIUS A.PAULO (RS. RKZ)
JL. DIPONEGORO NO.51
IBU VIDYA
MARKETING
0310315677562,5687846,5663895 5674748/5651057 031-5687846|031-5687846
1095 0895
RS. PRIMASATYA HUSADA CITRA ( PHC )
JL. PRAPAT KURUNG SELATAN NO.1 TANJUNG PERAK
BPK.NORWENDO
MARKETING
031-3294801-3-|-
031-3294804
Y
Y
Y
ACTIVE
ALL COVERAGE
1096 0896
KLINIK KEBRAON
JL. GRIYA KEBRAON BLOK FA NO.37
BPK HARI SANTOSO PENGELOLA
031-7663816-|-
031-7663816
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1097 0897
KLINIK BENOWO
PONDOK BENOWO INDAH, BLOK PP/22
DR. SHELLA
KOORDINATOR
031-70547492-|-
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1098 0081
SILOAM HOSPITALS SURABAYA
JL. RAYA GUBENG NO. 70, SURABAYA
IBU ADI/ IBU YUNI
MARKETING
031-5031333/5031821|
0315031533/5039313
Y
Y
Y
ACTIVE
ALL COVERAGE
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
40
[email protected] m
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
RI
RJ
FLAG
Status
DEWI MUNAWAROH Marketing
(031) 99000880|
(031) 99000885
Y
Y
Y
ACTIVE
ALL COVERAGE
WIRA KUSUMA.S.FARM
-
0318709962|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RUKO TAMAN GAPURO B.2, G-WALK SURABAYA
FENITASARII.S.FAR M
-
0317411121|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
APOTEK KIMIA FARMA WIYUNG
RUKO TPI BLOK A 17 RAYA MEGANTI SURABAYA
DERRY SUSANTI.S.FARM
-
0317668267|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1103 3855
APOTEK KIMIA FARMA CILIWUNG
JL. CILIWUNG NO.76 SURABAYA
TINJUNG DESMARANTI
-
0315633156|
315633156
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1104 3856
APOTEK KIMIA FARMA KLAMPIS
JL. KLAMPIS JAYA BLOK A NO.30 SURABAYA
KURNIA PUSPITA NINGRUM
-
0315926293|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1105 3858
APOTEK KIMIA FARMA RUNGKUT
JL. RUNGKUT MADYA NO.97 SURABAYA
KHOLIFATUS SADIYAH.S.FARM
-
0318721059|
318721059
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1106 3197
RS. SURABAYA MEDICAL SERVICE
JL. KAPUAS NO. 2 SURABAYA
BPK ANANG
-
031-5686161|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
LAB. KLINIK BIOTEST SURABAYA
JL. RA. KARTINI NO.78, SURABAYA, JAWA TIMUR
IBU RICI (08122316492)
MARKETING
(031) 5673498|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JL. FLORES NO. 12 SURABAYA
RESTI / RATNA
031- 5022044|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
JL. NGINDEN INTAN BARAT, BLOK B
BPK WIDODO/ IBU IRA
Markting / Keuangan MARKETING
031- 5993211|031-5993211 031- 5993214
Y
Y
Y
ACTIVE
ALL COVERAGE
Y
Y
Y
ACTIVE
ALL COVERAGE
1099 2925
RS. MITRA KELUARGA KENJERAN
1100 3851
APOTEK KIMIA FARMA 432 PANDUGO JL. PANDUGO MERR NO.2 SURABAYA
1101 3852
APOTEK KIMIA FARMA G-WALK
1102 3853
1107 3002 1108 3390 1109 0829
RSIA. LOMBOK DUA DUA ( JL. FLORES) RS. PREMIER SURABAYA (RS. SURABAYA INTERNASIONAL)
JL. KENJERAN 506 SURABAYA 60114
Contact Person
Division
Tel Number
Fax Number
BALI
Allowed
Emails
[email protected] m
[email protected]
[email protected] rspremier.surabaya@ramsayheal th.co.id
[email protected];
[email protected]
1110 4209
RS. WIJAYA SURABAYA
JL. MENGANTI 398 WIYUNG SURABAYA
PAK BOBBY
-
031-7523087/031-7523282|
1111 3831
APOTEK KIMIA FARMA 22
JL. BRATANG GEDE NO.100 A Surabaya
DRS. HERU SUMEHORO
-
0315016713|
315016713
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1112 3832
APOTEK KIMIA FARMA 23
JL. KENDANGSARI BLOK J NO.7
DRS. ARI WAHYUDI
-
0318414215|
318419345
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1113 3833
APOTEK KIMIA FARMA 24
JL. DHARMAWANGSA NO.24
DRS. AKHMAD YANI,APT
-
0315032775|
315037664
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1114 3834
APOTEK KIMIA FARMA 25
JL. RAYA DARMO NO.2-4
ACHMAD MUJIANTORO
-
0315677777|
315666454
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1115 3835
APOTEK KIMIA FARMA 26
JL. DIPONEGORO NO.94
DRS. NONO SUMARNO
-
0315677007|
315664420
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1116 3836
APOTEK KIMIA FARMA 45
JL. RAYA DARMO NO.94
DRS. HERI SUMANTO
-
0315676301|
315678819
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RS. MEDIKA MULIA TUBAN
JL. MOJOPAHIT, NO.699 TUBAN
BPK.EKO
MARKETING
0356-322744/324618|
0356-322666
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. LETDA SUCIPTO NO 211 TUBAN
IBU MARTIANAWATI,M.K MARKETING ES
0356-328244/(0356) 328299|
(0356) 712072
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. KH. R. ABDUL FATAH JL. RAYA PULOSARI, NGUNUT, TULUNGAGUNG, JAWA TIMUR
IBU WIDI IBU VICA DESTRIANA
KASI- PERAWAT
0355-323186| 0355-398706/396566/ 08155199111|
0355-327691
Y
Y
Y
ACTIVE
ALL COVERAGE
0355-398706
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] [email protected]/d_que
[email protected]
JL. I GUSTI NGURAH RAI NO. 10 TULUNGAGUNG
BP. PUJI SANTOSO
SPV PELAYANAN
0355-322308|
0355-322308
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
TUBAN 1117 1198 1118 2002
RS. NAHDATUL ULAMA TUBAN
TULUNG AGUNG 1118 0813
RS. ISLAM ORPEHA
1119 3826
RS. ERA MEDIKA
1120 3708
APOTEK KIMIA FARMA 392
MARKETING
KALIMANTAN BARAT KETAPANG 1121 1800
RS. FATIMA KETAPANG
JL. JEND SUDIRMAN NO. 27 KETAPANG DR INDAH
-
0534-32814|
0534-31649
Y
Y
Y
ACTIVE
ALL COVERAGE
-
-
(0561) 584888|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Marketing
0561-732101-|-
0561742242/733623
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
0561-581818|
0561-584100
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]:
[email protected]
MARKETING
0561-734373-|-
0561-768969
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0567-737797|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
PONTIANAK 1122 2729
RS. MITRA MEDIKA PONTIANAK
JL. SULTAN ABDURRAHMAN NO.25, PONTIANAK, KALBAR
IRMINA (081345274813) IBU LENA/ BP VIEDNO
1123 1106
RS. SANTO ANTONIUS
JL. KH. WAHID HASYIM NO.249
1124 1431
RSIA. ANUGERAH BUNDA KHATULISTIWA
JL. AHMAD YANI NO. 5-7
NOVI INDRAWAN, IBU YUNI,
1125 1036
RS. KHARITAS BHAKTI
JL. SIAM, NO.153 PONTIANAK
IBU AFI
1126 2679
KIMIA FARMA SEI RAYA
JL. SEI RAYA DALAM,RUKO B1, PONTIANAK
DRS. NISAMUDDIN, APT
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
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LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
1127 2253
KLINIK & APOTEK KF 32 PONTIANAK
JL. TANJUNG PURA NO. 419, PONTIANAK
BPK TIGOR
-
0561-731658|
0591-735802
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1128 2254
APOTEK KIMIA FARMA 371 PONTIANAK
JL. AHMAD YANI NO. 5, PONTIANAK
BP FALAH
-
0561-713988|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1129 2255
KIMIA FARMA 333 PONTIANAK
JL. WAHID HASYIM NO. 60, PONTIANAK
IBU METI
-
0561-768140|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
-
0562-631791|
0562-633359
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0562-631008|
0562-633881
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
SINGKAWANG 1130 2621
RSU. HARAPAN BERSAMA
JL. N. P. BELITUNG NO. 61) SINGKAWANG
1131 1368
RS. SANTO VINCENTIUS SINGKAWANG
JL. P. DIPONEGORO NO.5
IBU SUSI/IBU AYU/IBU WIWIN IBU MAEMUNAH/KRISTI N/DR. MELDA
MARKETING
KALIMANTAN SELATAN
BANJARMASIN 1132 2237
KIMIA FARMA 188
JL. LETJEN S. PARMAN NO. 42 BANJARMASIN
IBU MARLINI
-
0511-3354020|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1133 2235
KLINIK & APOTEK KF NO.61
JL. VETERAN NO. 51 BANJARMASIN
BPK BAHRUDIN
APOTEKER
0511-3250682/3252779|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1134 2236
APOTEK KIMIA FARMA 217
JL. A. YANI KM 2 NO. 136 BANJARMASIN
BPK. HIDAYAT
APOTEKER
0511-3252250/3251369|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1135 0763
RS. SUAKA INSAN
JL. H.ZAHRI ZAMZAM NO.60
IBU HUMAS/TATAUSAH 0511-3356280/81| HILDA/SUS.FLORDE A RISA
0511- 55122
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1136 0631
RS. SARI MULIA
JL. PANGERAN ANTASARI NO. 139B
IBU ADIT/BPK.APRI
MARKETING
0511 3274447/3261491/3252570 0511 - 3257889 0511-266960|0511-266960
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
1137 0849
RS. ISLAM BANJARMASIN
JL. LET JEN S PARMAN GG.PURNAMA NO.1 BANJARMASIN
IBU NURUL/ BPK GUSTI
HUMAS
0511-3350332, 3354896, 3350335|0511-3350332/35
0511-3351690
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1138 1758
JL. PANGERAN ANTASARI NO. 139 B
BP APRI
KEUANGAN
05113254341/3266960/3252570 0511-3266960 |
JL. PAHLAWAN NO. 15 KANDANGAN KAB. HULU SUNGAI SELATAN
IBU FUJI
MARKETING
0517-23191|
0517-23678
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RSIA. MUTIARA BUNDA MARTAPURA
JL. TAISIR NO. 2, MARTAPURA
ANDRI TRI CAHYONO
MARKETING
O511- 4721901|
0511- 4720664
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. PELITA INSANI
JL. SEKUMPUL NO.66 MARTAPURA 70614, KALIMANTAN SELATAN
INDRA ATMAJA
MARKETING
(0511) 4722210, 4722220|
(0511) 4722230
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. PERTAMINA TANJUNG
JL. GAS, KOMPERTA MURUNG PUDAK TANJUNG, KALIMANTAN SELATAN 71571
IBU RITA/ DR RAHMAWATI
Wadir
(0526) 2022550/2023068|
(0526) 2027678
Y
Y
Y
ACTIVE
ALL COVERAGE
-
KLINIK SPESIALIS SARI MULIA
KANDANGAN 1139 1799
RS. PAHLAWAN MEDIKA CENTER
MARTAPURA 1140 1797 1141 2721
TABALONG 1142 2707
TANAH BUMBU 1143 1011
KLINIK SURYA MEDIKA SATUI (SMS)
JL. PROPINSI NO 11, RT 17 SUNGAI DANAU SATUI
DR ZAINAL
DIRETUR
0512-61717|0778-322122
0512-61312
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR o.id
1144 3996
KLINIK SIMPANG TANAH BUMBU
JL. GAWE SABUMI RT 08 NO. 083, DESA BERSU. JUD,KEC. SIMPANG EMPAT, KAB. TANAH BUMBU, KALIMANTAN SELATAN 72200
DR DINA
-
(081258339911 / 081953230699)|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1145 2471
KLINIK MEDIKA BATULICIN
JL. RAYA BATULICIN - SERONGGO KM. 1 SEI KECIL, BATULICIN, TANAH BAMBU - KALSEL
-
-
0518-71570|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
KALIMANTAN TENGAH PALANGKARAYA 1146 2889
RS. ISLAM PKU MUHAMMADIYAH PALANGKARAYA
JL. RTA MILONO KM .2,5 MENTENG, JEKAN RAYA PALANGKARAYA
1147 1377
RSUD DR. DORIS SYLVANUS
JL. TAMBUN BUNGAI NO.4
PANGKALAN BUN 1148 3529
KLINIK KESUMA
JL. ISKANDAR NO. 12 A, PANGKALAN BUN, KALIMANTAN TENGAH
ALFIAN FADILLAH/SRI ROKAYAH IBU RUSBINI / IBU INA UDIATI
OSCAR VIYARISA
MARKETING
0536-3244801/3239444|
5363244802
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Marketing
0536-3224217|
0536-3229194
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
(0532) 23935|
(0532) 23935
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
42
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
1149 4085
Tel Number
Fax Number
RI
RJ
FLAG
Status
Allowed
Emails
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
BALI
SAMPIT KLINIK SARI MEDIKA SAMPIT
JL. P.ANATASARI NO 5 SAMPIT
DR. YULIA / IBU MIRNA
053125288|
-
KALIMANTAN TIMUR BALIKPAPAN 1150 1520
APOTEK KIMIA FARMA 56
JL. A.YANI, NO.95
BPK. SUBEKTI
-
0542-424187,7031852|
0542-731560
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1151 3459
SUMATERA EYE CENTRE BALIKPAPAN
RUKO SENTRA EROPA BLOK AA 2B NO.16 BALIKPAPAN BARU
BP.ULLISYS
koordinator
(0542) 876732/876941|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- smec_balikpapan@smecRJ,RM-RG,RM-KM,RM-RB,PHAR group.com/
[email protected]
1152 0686
PANACEA CLINIC
KOMP MAL FANTASI BLOK AB2 NO.1820 BALIKPAPAN BARU 76114
IBU Maya
KOORDINATOR
0542-877898,72040460751- 0542444712/5|0751-444712/5 877641/7031819
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]. RJ,RM-RG,RM-KM,RM-RB,PHAR id
1153 0692
APOTIK KANIDA FARMA II
JL. JEND. SUDIRMAN, NO. 239
IBU RINI
MARKETING
0542-424309,0542 420496|0542-420496
0542-424031
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1154 0633
RS. PERTAMINA BALIKPAPAN
JL. JEND SUDIRMAN NO.1
IBU REISA DELSIA
MARKETING
0542-7517485/734020/21|
0542-7517493
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];custom
[email protected]
1155 1213
RS. BALIKPAPAN BARU
KOMP. BALIKPAPAN BARU JL. MT.HARYONO BLOK. A-A3
IBU GANIS/BPK.YANTO
SEKRETARIS
0542-877330|
0542-877331
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
1156 0672
RSIA. PERMATA HATI BALIKPAPAN
JL. IMAM BONJOL NO.1
IBU NENENG/IBU HAPSARI
KEUANGAN
0542-413932/413928|
0542 - 413928
Y
Y
Y
ACTIVE
ALL COVERAGE
1157 0632
RS. RESTU IBU
JL. JEND. A. YANI, NO.12
BP RURY
MARKETING
0542-427342/3/40542427342|0542-427342
0542441494/417290
Y
Y
Y
ACTIVE
ALL COVERAGE
1158 2635
KLINIK & APOTEK KF 329
JL. SOEKARNO HATTA KM 5 / 86, BPN
ERMANSYAH SIREGAR.S.SI.,APT
-
0542 860024|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1159 2634
KLINIK & APOTEK KF SEPINGGAN
JL. MARS. MA ISWAHYUDI NO. 72
APRILYANI KUSUMAWATI,S.FAR M.,APT
0542 7310391|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1160 2633
KLINIK & APOTEK KF 68
JL. JEND.SUDIRMAN NO.2-3 PERTOKOAN KLANDASAN
ANGGA TRI SAPTA.S.FARM.,APT
0542 422691|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0542 413090|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected] [email protected];
[email protected]
1161 2632
KLINIK & APOTEK KF 293
JL. A. YANI NO.45 KARANG JATI
AANG ROYYANA.S.FARM.,A PT
1162 1457
KLINIK & APOTEK KF 136 BALIKPAPAN
JL. MT. HARYONO NO. 72
BPK.WINASTANTO
KOORDINATOR
0542-763962|
0542-761629
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1163 1374
SILOAM HOSPITALS BALIKPAPAN (RS JL. MT.HARYONO NO.9 RINGROAD, BALIKPAPAN HUSADA) BALIKPAPAN - KALIMANTAN TIMUR
DR.BAYU A/ISWANDI K
MARKETING
0542 - 8862 999|
0542-7206517
Y
Y
Y
ACTIVE
ALL COVERAGE
1164 2073
KLINIK MEDIKA UTAMA ( KMU SETIARA )
JL. MULAWARMAN NO. 24 RT 7 MANGGAR BARU BALIKPAPAN, KALIMANTAN TIMUR
CAHYA AYU
-
0542-770846|
0542-770847
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
1165 2118
RS. AMALIA BONTANG
JL. R. SOEPRAPTO NO. 22 BONTANG BARU, KOTA BONTANG KALTIM
BPK CHA
HRD
0548-25050|
0548-23275
Y
Y
Y
ACTIVE
ALL COVERAGE
1166 2474
KLINIK RS. PKT 1
JL. IMAM BONJOL BONTANG-KALTIM
-
-
0548-24800|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
RS. PUPUK KALTIM BONTANG
JL. OKSIGEN NO.1, KOMP.PUPUK KALTIM
BPK.SAHARUDIN
MARKETING
0548-41118/41444|
0548-41555
Y
Y
Y
ACTIVE
ALL COVERAGE
JL. MOH. HATTA, HANDIL 3, MUARA JAWA
IBU INDRI/ ELIN
MANAGER KLINIK
0541-691891/ 081333001836-|-
0541-691892
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JL. P.M.NOOR SAMARINDA
ERISKA
-
0541-220286|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
-
Y
Y
Y
PARTIAL
smec_samarinda@smecGP,SP,OP,DENTAL,LAB,RM-RI,RMgroup.com/
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR m
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
[email protected]
BONTANG
1167 1214
KUTAI KARTANEGARA 1168 1074
KLINIK MAJU SEJAHTERA
[email protected]
[email protected]
[email protected]/suko_rs@yah oo.co.id
SAMARINDA 1169 3813
KLINIK & APOTEK KF 385 (PPO)
1170 3460
SUMATERA EYE CENTRE SAMARINDA JL. A. YANI NO. 6 A-B SAMARINDA
BP.BOY ANDRIAN
Koordinator
(0541) 200257, 200258|
1171 0636
RS. DIRGAHAYU
IBU MARDALENA/ IBU VERO
KEPALA HUMAS
0541742161/748309/748310054 05411-748309/10/11|0541748308/744636 748309/10/11
1172 1794
RSIA. THAHA BAKRIE
MARKETING
0541-742191|
0541-200075
Y
Y
Y
ACTIVE
ALL COVERAGE
1173 1656
KLINIK MELATI HUSADA
PEMILIK
0541-260721|
0541-241752
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
JL. GN. MERB. ABU, NO. 62
JL. PANGERAN HIDAYATULLAH NO 11 IBU FANI SAMARINDA JL. CIPTO MANGUN KUSUMO RT 12 NO DR HALIDA 52 KEL SENGKOTEK LOA JUAN SAMARINDA
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
43
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
Allowed
Emails
Y
PARTIAL
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0541-749131
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0541 742198|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
(0541) 7273000|
(0541) 7272888
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0541732698,734123,732609|
0541-732562
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/prima@rspkt .com
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
[email protected];zu
[email protected]
APOTEKER
-|
1175 2105
KLINIK & APOTEK KF 138 KARTIKA
JL. KH AGUS SALIM NO. 30 SAMARINDA 75121
APOTEKER
0541-737447|
1176 0635
RS. ISLAM SAMARINDA
MARKETING
0541 - 741510/731857|
0541 - 731856
1177 2473
RS. SIAGA RAMANIA
Penagihan
0541-739772|
1178 2631
KIMIA FARMA 114
JL. P.HIDAYATULLAH NO.63, SAMARINDA
DRS. FAHARUDDIN, APT
1179 2453
RS. SAMARINDA MEDIKA CITRA
JL. KADRIE OENING NO.81 RT.35 SAMARINDA 75124
ELMI YANTI
1180 0230
RS. H. DARJAD
JL. DAHLIA, NO.4
BPK HUDI/IBU LULU MARKETING
1181 1376
RS. PKT PRIMA SANGATTA (RS. PUPUK KALTIM )
1182 3579
RS. PERTAMEDIKA AULIA SANGATTA
1183 1556
RS. MELOY SANGATTA
JL. YOS SUDARS. O I NO.1 SANGATTA BPK RAHMAT KALIMANTAN TIMUR JL. KARYA ETAM RT. 14 NO. 79, VICA WIJAYANTI SANGATTA 75611 JL. YOS SUDARS. O II NO.101 BPK HARYUDI SANGATTA - KALIMANTAN TIMUR
SANGATTA
Status
Y
JL. DR. SUTOMO NO 36-37 SAMARINDA SUTARNO
MARKETING
FLAG
N
KLINIK & APOTEK KF 105
BPK. AHMAD ANDI RIVAI
RJ
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1174 2104
JL. GURAMI, NO.18 IBU JURIANTI JL. RAMANIA 3 ( JL. JEND. SOEPARTO) BAPAK PION SAMARINDA, KALTIM
RI
SDM
054924555|
MARKETING
(0549) 2029456|
-
0549-2026258|
-
0549-24524; 25927 (0549) 2029404/20294 0549-24222
KALIMANTAN UTARA
TARAKAN 1182 1972
RUMKITAL ILYAS TARAKAN
JL. MARTADINATA NO 29
-
1183 1529
RS. PERTAMINA TARAKAN
JL. MULAWARMAN NO. 14, TARAKAN
IBU HASNA
MARKETING DAN HUMAS
0551-24320 / 21353|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
0551-31403/31665|
0551-33310
Y
Y
Y
ACTIVE
ALL COVERAGE
0721-703459|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rs_im
[email protected]
LAMPUNG
BANDAR LAMPUNG 1184 0487
RS. ADVENT LAMPUNG
JL. TEUKU UMAR, NO.48 KEDATON BANDAR LAMPUNG
1185 0486
RS. IMMANUEL WAY HALIM
JL. SOEKARNO-HATTA, WAY HALIM
IBU NOVI/IBU RINA
Pelayanan Asuransi 0721-704900,704630/628|
1186 1092
RS. MITRA HUSADA PRINGSEWU
JL. JEND A. YANI NO.14 PRINGSEWU, LAMPUNG
IBU SRI HARTATI / IBU SERI
MARKETING EXT 101
0729-23792-|-
0729-23836
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1187 1378
RS. URIP SUMOHARJO
JL. URIP SUMOHARJO NO.200 SUKARAME
IBU IDA/BP.BAMBANG
PELAYANAN ASURANSI
0721-771322/23/24|
0721771321/707990
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1188 1313
RS. MARDI WALUYO
JL. JEND SUDIRMAN NO 156 KOTA METRO 34111 BD LAMPUNG
BPK. YANTO
Marketing
0725-42512/44980|
0725-7850499
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1189 1228
RS. BUMI WARAS
JL. WOLTER MONGINSIDI, NO.235
DR. ARIEF/ IBU HESTI
Marketing
0721254589/261122/257925/26 7855|
0721-257926
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
1190 1692
RS. HARAPAN BUNDA LAMPUNG
JL. RAYA LINTAS SUMATERA NO.30 SEPUTIH JAYA LAMPUNG TENGAH
IBU ARI
MARKETING
0725-26766|
0725-25091
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/aridaniasri @rshb-lampung.co.id
1191 1693
RSIA. MUTIARA PUTRI
BPK LUTFI
MARKETING
0721-252579/254999|
0721-254282
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1192 1699
RSB. ANUGERAH MEDIKA
BPK.GANJAR
-
0721-240488/262310|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
1193 1632
JL. RAYA NATAR NO. 04 MUARA PUTIH, RS. NATAR MEDIKA (YADIKA GROUP) AYU WANDIRA KEC NATAR LAMPUNG SELATAN
MARKETING
0721-92521/92519|
0721-92519
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
1194 1871
RS. PERTAMINA BINTANG AMIN
JL. PRAMUKA NO 27, LAMPUNG
BP FITER ROMILADO- -
0721-273601|
0721-273597
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1195 1352
RS. GRAHA HUSADA LAMPUNG
JL. GAJAH MADA, NO. 6 GH, TANJUNG AGUNG, BANDAR LAMPUNG
IBU SHANTY S.
HUMAS
0721-240000|
0721263181/268417
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1196 1970
RSIA. BUNDA AS-SYIFA
JL. DR.SUSILO NO. 54 PAHOMAN TELUK BAPAK ERI BETUNG UTARA BANDAR LAMPUNG
MARKETING
0721240474/259259/256256|
0721-266800
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/wildi
[email protected]
1197 2110
KLINIK & APOTEK KF 131 BANDAR LAMPUNG
JL. KARTINI NO. 44-45 BANDAR LAMPUNG
-
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1198 2112
KLINIK & APOTEK KF 327 BANDAR LAMPUNG
JL. JEND. SUDIRMAN NO. 88 BANDAR LAMPUNG
Pak Yacub
Apoteker
0721- 5600608|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1199 2176
RSIA. RESTU BUNDA
JL. K.H. HASYIM ASHARI NO. 73, TELUK IBU ANNA BETUNG SELATAN - BANDAR LAMPUNG
MARKETING
0721-484158/484185|
0721-482832
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RSIA. PURI BETIK HATI
JL. PAJAJARAN NO.109, JAGABAYA, BANDAR LAMPUNG, LAMPUNG
BPK.ADHI WIJAYA
-
0721-787799|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. ISLAM ASY-SYIFAA
JL. NEGARA LINTAS SUMATERA KM.65 YUKUM JAYA - BANDAR JAYA, KEC. TERB. ANGGI BESAR, LAMPUNG TENGAH 34162
BAPAK BOWO
-
(0725) 25264|
(0752) 527476
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1200 2465
1201 2767
JL. HOS COKROAMINOTO NO 76 ENGGAL LAMPUNG JL. KAPTEN ACHMAD IBRAHIM NO. 21/23 ENGGAL
BPK OTOT
MARKETING
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
44
0721786349/770717 0721704807/784897
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
1202 0762
Hospital Name RS. YUKKUM MEDICAL CENTER
LAMPUNG SELATAN 1203 3170
KLINIK DUA PUTRI JAYA
RI
RJ
FLAG
Status
JL. NEGARA NO 99, KM 67 YUKUM JAYA, LAMPUNG TENGAH
Address
IBU NUR JUAMI
Contact Person
MARKETING
Division
0725-25333|
Tel Number
0725 - 25989
Fax Number
Y
Y
Y
ACTIVE
ALL COVERAGE
JL. IR. SUTAMI KM.30 DESA MALANG SARI, TANJUNG SARI-LAMPUNNG SELATAN
IBU PUTRI
PIMPINAN
085366797190|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0911-353555|
0911-354763
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0911-342746|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
-
BALI
Allowed
Emails
[email protected]
MALUKU
AMBON 1204 2911
RS. T TK.II DR.J.A. LATUMETEN
JL. DR. TAMAELA N0. 2 AMBON
KAPTEN AANG
Bag. Pengembangan
1205 1439
RS. BHAKTI RAHAYU AMBON
JL. BATU KERB. AU, BELAKANG RRI
WELFRA ANDRIE
MARKETING
1206 2265
APOTEK KIMIA FARMA PEL.26 AMBON,MALUKU
JL. DR. KAYADOE, KEL. KUDAMATI, AMBON-MALUKU(DI DALAM RS. HALAUSSY)
BPK LUKAS
-
0911-351677|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
RS. SUMBER HIDUP
JL. ANTHONY RHEBOK, HONIPOPU, SIRIMAU, AMBON, MALUKU
GRACE
Marketing
(0911) 352373, 351654|
0911-352401
Y
N
Y
ACTIVE
ALL COVERAGE
0921-3121037/3123076|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1207 2912
[email protected]
MALUKU UTARA TERNATE 1208 2260
KLINIK & APOTEK KF 168 TAKOMA TERNATE
JL. HASAN ESA 151 TERNATE, MALUKU BP TRI KURNIAWAN BM UTARA
1209 2012
RS. ISLAM TERNATE
JL. PEMUDA NO. 131 KEL.TOBELEU
RS. MEDIKA HARIFALM
JL. ZAINAL ABIDINSYAH, NO.25, KOMPLEX POHON PALA
1210 1503
IBU TUTI/IBU RUGAYA
TATA USAHA/HUMAS
0921-3121623|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
-
ADMINISTRASI
0921-3126087|
0921-3126198
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
NAD
BANDA ACEH 1211 1789
KLINIK SPECIALIS CEMPAKA LIMA
JL. TENGKU M. DAUD BEUREUEH NO 156
PAK JEFRI
Personalia
0651-33345 / 08126922264|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1212 2187
APOTEK KIMIA FARMA LAMPRIET
JL. TEUKU DAUD BEUREUEH NO. 167171
BPK. INDRA PERMANA
PIC
0651-637008|
0651-635 669
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1213 2186
APOTEK KIMIA FARMA 37
JL. DIPONOGORO NO 8
BPK. INDRA PERMANA
-
0651-21559|
0651-635 669
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
1214 1790
RS. CEMPAKA AZ ZAHRA
JL. POCUT BAREN NO 36-38-40 BANDA BPK KAMAL ZIZA/ ACEH IBU LIA
MARETING
0651-31066|
0651-25281
Y
Y
Y
ACTIVE
ALL COVERAGE
1215 3958
APOTEK & KLINIK KIMIA FARMA 397 SIGLI
[email protected]
JL. PERDAGANGAN NO.1 SIGLI - ACEH
M.BAGUS ANDREAS T
MARKETING
065321536|
65321536
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RS. TEUNGKU FAKINAH
JL. JEND. SUDIRMAN NO.27-29
BPK.TONI ZEIN / IBU ASIH
TATA USAHA
0651-41454 / 081377028888-|-
0651-47646/49454
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. TELAGA BUNDA BIERUN
JL. PEUTUA BANTA NO 7, GP BIERUN
BPK NURDIN / DR NILA ETITA
MARKETING/ DIREKTUR
0644-324433|
0644-324433
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1218 2667
KLINIK & APOTEK KF 81
JL. TM.ZEIN NO.1E ,LANGSA,ACEHTIMUR
SRI RIZKI MAULIZA S.SI. APT.
farmacy
0641-21020|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1219 2711
RS. CUT MEUTIA
JL. GARUDA NO. 1 KEL. KEBON BARU LANGSA ACEH
IBU SUSI
-
(0641) 426285|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
1216 1100
BIREUN 1217 1694
LANGSA
LHOKSEUMAWE
[email protected]
1220 1975
KLINIK VINCA ROSEA
JL. DARUSSALAM NO. 36 LHOKSEUMAWE
BAPAK AZHARI
-
0645-7011117 / 46725|
0645-630218
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1221 1892
RS. SAKINAH LHOKSEUMAWE
JL. ANTARA NO 30, LHOKSEUMAWE
BPK PADLI/ IBU IDA/ BPK HERI
MARKETING
0645-45534/42158|
-
Y
N
Y
ACTIVE
ALL COVERAGE
APOTEK KIMIA FARMA 60
JL. MERDEKA NO. 47 B -C LHOKSEUMAWE BANDA ACEH
IBU SINTA (APOTEKER)
-
0645-41152|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JL. BERINGIN JAYA SAMPING MESJID AGUNG, MEULABOH, ACEH BARAT
ROSI NURUL SAPUAN
MARKETING
(0655) 7551974; 085277358711|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
1222 2119
[email protected]
MEULABOH 1223 3686
RS. SWASTA MONTELLA
[email protected]
NTB BIMA 1224 3506
KIMIA FARMA NO. 263 BIMA
JL. SOEKARNO - HATTA NO. 3 BIMA
BP TAUFIK
-
0374-42910|
JL. KH AHMAD DAHLAN NO 7. KEC SELONG KOTA SELONG
BAPAK DODDY
-
0376-22693/21004/|
LOMBOK TIMUR 1225 1894
RS. ISLAM NAMIRA SELONG
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
-
45
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
KIMIA FARMA NO. 55 SELONG
JL. M. YAMIN NO. 77 SELONG LOMBOK TIMUR
1227 1957
RSIA. PERMATA HATI MATARAM
JL. MAJAPAHIT NO 8
1228 1958
RB. TRESNA
JL. BUNG KARNO NO.28
Ibu Aam Rizky Amalia DEWANTORO
1229 2257
KLINIK & APOTEK KF NO 134
JL. PEJANGGIK NO. 48 MATARAM
RSI. SITI HAJAR MATARAM
JL. CATUR WARGA NO. 6 MATARAM
1231 1645
RS. HARAPAN KELUARGA MATARAM
JL. AHMAD YANI NO. 9 SELAGALAS, SANDUBAYA, MATARAM - LOMBOK (NTB)
1232 1124
RSB. EXONERO
JL. PEMUDA NO.16, DASAN AGUNG
1226 3503
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0370-632999
Y
Y
Y
ACTIVE
ALL COVERAGE
-
N
Y
Y
ACTIVE
ALL COVERAGE
0370-638502|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
-
0370-623498|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];rsi_sitihaj
[email protected]
SULMAN HIDAYAT
MARKETING
0370670000,6177027,6177000|
0370-673666
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] d
IBU LUSI
MARKETING
0370-636454,644440|
0370647023/636454
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
-
-
-|
Marketing
0370-631999|
MARKETING
0370-637965/630478|
-
-
IBU HJ ERNI/ IBU NINING
-
MATARAM
1230 1956
permatahatimaternityclinic@yah oo.co.id
[email protected]
1233 3507
KIMIA FARMA CATUR WARGA
JL. CATUR WARGA NO. 17 MATARAM
-
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1234 3505
KIMIA FARMA NO. 234 MATARAM
JL. SELAPARANG NO. 53 MATARAM
-
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1235 3504
KIMIA FARMA NO. 231 MATARAM
JL. SALEH SUNGKAR NO. 33 AMPENAN
-
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1236 1827
RS. BIOMEDIKA
JL. BUNG KARNO NO 143 MATARAM
IBU GITHA
MARKETING
0370-645137|
0370-645138
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1237 1539
RS. RISA SENTRA MEDIKA
JL. PEJANGGIK, NO.115, CAKRANEGARA
IBU IKA
MARKETING
0370-632117/625560/|
0370-625559
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1238 2258
KLINIK & APOTEK KF NO. 189
JL. SRIWIJAYA NO. 295 MATARAM
-
-
0370-633211|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
KIMIA FARMA NO. 303 SUMBAWA
JL. CENDRAWASIH SUMBAWA BESAR
-
-
0371 - 24029|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
SUMBAWA 1239 3482
NTT ENDE 1240 3500
KIMIA FARMA KELIMUTU ENDE
JALAN KELIMUTU ENDE
GLOCESDO TOGAR HASIHOLAN TAMBA
-
(0381)-2627456|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RS. WIRASAKTI
JL. MOH. HATTA KUPANG
I NYOMAN DESEL ARIANTA
-
(0380)-821131 / 0380824735|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. KARTINI KUPANG
JL. FRANS SEDA NO.17,KELURAHAN TUAK DAUN MERAH, KUPANG-85228
IBU SEPVIAN
MARKETING
0380-80265111|
(0380) 831270
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
KUPANG 1241 3464 1242 2972
0380-833010|
0380-820660
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING
0380-8553914/826774|
0380830041/8553914
Y
Y
Y
ACTIVE
ALL COVERAGE
BPK. ANTON
Apoteker
0380830944/820541/831296|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR om;
[email protected]
JL. HEREWILA NO. 38 KUPANG
SULFIANTO
-
0380- 827270|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
KLINIK & APOTEK KF LALAMENTIK
JL. WJ.LALAMENTIK,95 D-E, KUPANG
MARYANTO YOSEPH. S.FARM, APT
0380-840362|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1248 3975
SILOAM HOSPITALS KUPANG
JL. RW MONGINSIDI RT. 014 RW. 004 FATUTULI
MARKETING
0380-8530900/8530911|
0380-8530933
Y
Y
Y
ACTIVE
ALL COVERAGE
veronica.hanny@siloamhospitals. com
1249 2240
RS. ST CAROLUS BORROMEUS
-
0380 - 8030530|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
[email protected]
1243 1380
KLINIK & APOTIK KARTINI
JL. ELTARI I NO.2
DR.IKE
1244 1647
RSIA. DEDARI
JL. RANTAI DAMAI 69 D TDM OEBUFU KUPANG-NTT
BPK DEVA KETUT WIRYA
1245 2242
KLINIK & APOTEK KF 135 KUPANG
JL. M. HATTA 46 KUPANG
1246 2245
KLINIK & APOTEK KF 101 KUPANG
1247 2666
SIKKA
DR. VERONIKA HANNY, MARS. DR. HERLY JL. HR. KOROH KM. 08 BELLO KUPANG SOEDARMADJI
PENGELOLA
[email protected]
PAPUA
JAYAPURA 1250 1384
RS. TK.II MARTHEN INDEY
JL. DIPONEGORO, NO.57
KAPTEN GEDE SATRIA W
LAB
0967537735/5763479/532491|
0967-537735
Y
Y
Y
ACTIVE
ALL COVERAGE
1251 4203
LAB. KLINIK CITO
JL. ARGAPURA NO. 11 E, JAYAPURA
BPK MUHADI
KOORDINATOR
0967-522080 / 085244202002|
0967-522082
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
46
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
1252 2189
APOTEK KIMIA FARMA 194 JAYAPURA JL. AHMAD YANI NO. 29
BP. PERDANA
PENANGGUNG JAWAB
0967-533 322|
0967-533 322
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1253 2188
KLINIK & APOTEK KF 172 JAYAPURA
JL. AHMAD YANI NO. 67,JAYAPURA
CHRISTINA BAY
AST. APOTEKER
0967-534921/533 322|
0967-534921
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1254 1469
RS. DIAN HARAPAN
JL. TARUNA BHAKTI KEL YABANSAI DISTRIK HERANG - JAYAPURA
IBU JASINTA ANASTASIA, AMD
Kabag Sekretariat
0967-572325|
0967573362/573979
Y
Y
Y
ACTIVE
ALL COVERAGE
rumahsakitdianharapan@yahoo. com
1255 0904
RSUD. MERAUKE
JL. SUKARJO WIRYOPRANOTO
IBU YERMINA
KEPALA TU
0971-321125|-
0971321124/325906
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m/
[email protected]
1256 1045
RS. BUNDA PENGHARAPAN
JL. KELAPA LIMA ANGKASA NO. 1
SR.CLARA
MARKETING
0971-325906|-
0971-323596
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1257 4213
LAB. KLINIK CITO MERAUKE
JL. RAYA MANDALA 293, MERAUKE PAPUA
YUSUF PAREBONG
-
0971-325367|
0971-325368
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
1258 2716
RS. KASIH HERLINA
JL. A. YANI NO. 37 TIMIKA PAPUA 99910
Ibu Herlina
Direktur
(0901) 321433/321443|
(0901) 324310
Y
Y
Y
ACTIVE
ALL COVERAGE
1259 2732
KLINIK PURI HUSADA
JL. BUDI UTOMO UJUNG, TIMIKA PAPUA
BAPAK PARDI
Owner
(0901) 3126661/081240760444|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected];
MERAUKE
TIMIKA
[email protected]
PAPUA BARAT SORONG 1260 1716
RS. TNI AL DR R. OETOJO SORONG
JL. AHMAD YANI, KLADEMAK III C, SORONG
IBU NUR
-
0951-321946 / 0951323823|
0951-323823
Y
Y
Y
ACTIVE
ALL COVERAGE
1261 1475
RS. PERTAMINA SORONG
JL. AHMAD YANI NO. 13
IBU FEBI
MARKETING
0951-321362, 321581|
0951-326110
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] ;
[email protected] [email protected];
[email protected]
1262 1468
RS. MUTIARA SORONG
JL. MALEO, NO. 2-A, SORONG.
BPK. M. FARID SOAMANGON
-
0951327433/324593/332061|
0951-327433
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0765-438008
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
RIAU DUMAI 1263 1621
KLINIK RAWAT INAP & BERSALIN PADU SERASI
JL. JEND. SUDIRMAN NO. 188 DUMAI, RIAU
YULIANI
-
0765-438189 / 438289|
1264 2766
KLINIK IGA DUMAI
JL. SUTAN SYARIF KASIM NO.221, DUMAI - RIAU
DR. GABY
-
0765-4397481/ 085264881796|
RSIA. MUTIA SARI
JL. BATHIN BETUAH, NO.1-A, SIMPANG BPK YAHYA PADANG
MARKETING
0765-93635/92080|
0765597972/55979
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0765-595799
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
DURI 1265 0624
1266 0921
RS. PERMATA HATI DURI
JL. JEND SUDIRMAN NO.37 SIMPANG PADANG
IBU INEL/ ROSSA/ RINCE
MARKETING
0765-94902/95799, GIGI913670765-0765596899|0765-0765-596899
1267 0922
KLINIK THURSINA
JL. JEND SUDIRMAN NO.65 SIMPANG PADANG
IBU ELMA
MARKETING
0765-5955730765595573|0765-595573
0765-595573
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1268 0930
RSU. THURSINA
JL. HANGTUAH NO.93
IBU ELMA
MARKETING
0765-5977820765595573|0765-595573
0765-597773
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];belmanj
[email protected]
JL. TRIMAS NO. 77 TEMBILAHAN INDRAGIRI HILIR - RIAU
BPK. ARS. YAD
Marketing
0768-23555|
0768-21539
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. LINTAS TIMUR NO 1, PANGKALAN KERINCI, KAB PELALAWAN
IBU ERVINA
-
0761-494500/493980|
0761- 493981
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
INDRAGIRI HILIR 1269 2302
RS. INDRAGIRI
PANGKALAN KERINCI 1270 1369
RS. EFARINA PANGKALAN KERINCI
PEKANBARU 1271 1535
EKA HOSPITAL PEKANBARU
JL. SOEKARNO HATTA, KM.6,5
BPK. AANNUR/IBU ITA
MARKETING
0761-6989999|
0761-6989944
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
1272 0920
RS. AWAL BROS PEKANBARU
JL. JEND SUDIRMAN NO.117
BP RONI ISWANDI
MARKETING
0761-47333-|-
0761-47222
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/marketi
[email protected]
1273 2101
APOTEK KIMIA FARMA 229
JL. SUDIRMAN 724 PEKANBARU
MACHALI
APOTEKER
0761 29186|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1274 2102
KLINIK & APOTEK KF 93 PEKANBARU
JL. JEND. SUDIRMAN NO 175 PEKANBARU
AMINULHAM
-
0761-32796|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1275 1596
RS. KHUSUS BEDAH & KEBIDANAN SYAFIRA
JL. JEND.SUDIRMAN NO.134 PEKANBARU
IBU.TITIN
MARKETING
0761-856517,35360|
0761-41887
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/babbynikicio@ymail. com
1276 1444
RS. LANCANG KUNING
JL. RONGGOWARSI. TO UJUNG, NO.5A
IBU JUMI / IBU NIA
MARKETING
0761-859273/859274|
0761-34672
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1277 0841
RSIA. ZAINAB
JL. RONGGOWARSI. TO I NO.1
BPK. JANUAR
MARKETING
0761-24000|
0761-859448
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
47
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
RI
RJ
FLAG
Status
0761-24242/26011|
0761-35698
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
DR. ZUL INDRA/IBU MARKETING FEBRI/BPK ADRIAN
0761-848100/859510|
0761-859510
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. A. YANI, NO.68
IBU KANTI / FRANSISKA
HUMAS
07610761-26071 28800,20235,20166,22213|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/fransisika@ yahoo.com
JL. TUANKU TAMBUSAI NO.55, PEKANBARU
DR WILMI / LINA
-
(0761) 33612|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected];
1278 0664
RS. ISLAM IBNU SINA PEKANBARU
JL. MELATI, NO.60
ZACKY FAISAL/ IBU FARAH
1279 0791
RS. PEKANBARU MEDICAL CENTER
JL. LEMBAGA PEMASYARAKATAN NO.25,GOBAH
1280 0625
RS. SANTA MARIA PEKANBARU
1281 2926
RSIA. ANDINI
Division HUMAS
Tel Number
Fax Number
BALI
(0761) 33649
Allowed
Emails
MARKETING
0761-35464|
0761-839114
Y
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JL. ARIFIN AHMAD NO. 58 PEKANBARU IBU ENI
PIC
0761-565686|
0761-565786
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM- smec_pekanbaru@smecRJ,RM-RG,RM-KM,RM-RB,PHAR group.com
PRAKTEK DRG. TENSY A. T
JL. AHMAD YANI 111C ( APOTEK PANGEAN ) PEKANBARU
BAPAK BENNY
-
081365910510 ; 081364223894|
-
N
Y
Y
PARTIAL
DENTAL
[email protected];
[email protected];
1285 0663
RSIA. ERIA BUNDA
JL. KH. AHMAD DAHLAN, NO.163
KEUANGAN
0761-23100/23600|
0761-47235
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RSIA. BUDHI MULIA
JL.SOEKARNO HATTA NO.226-228 ARENGKA, PEKANBARU
IBU TETTI ROZA/EFA
1286 2409
ISMAIDA
MARKETING
0761-3069900/8417200|
0761-8417255
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
1287 2590
RSB. ANNISA TANGKERANG
JL. GARUDA NO. 66 TASKURUN UNJUNG RIO TANGKERANG TENGAH, PEKANBARU
-
(0761) 848 652|
(0761) 848 652
Y
Y
Y
ACTIVE
ALL COVERAGE
marketingrsbersalinannisa@gmai l.com
1288 2468
RS. AWAL BROS PANAM
JL. HR. SOEBRANTAS RT. 01/RW. 03 NO 88 KEL. TUAH KARYA KEC. TAMPAN PANAM, PEKANBARU
DR CACA
BUSSNISE DEV
0761-586 888|
0761 586111
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JALAN JEND. SUDIRMAN KM. 8, BAGAN BATU - ROKAN HILIR - RIAU
-
-
0765-552459|
0765-552459
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
JL. JEND. SUDIRMAN NO. 314 UJUNG BATU ROKAN HULU RIAU
ELISA
marketing
0762-7363329|
0762-7363334
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1282 4134
RS. PROF.DR.TABRANI
JL.JEND. SUDIRMAN NO. 410
1283 2837
KLINIK MATA SUMATERA EYE CENTER PEKANBARU
1284 3003
ROKAN HILIR 1289 2199
KLINIK AGUNG
IBU AYU
ROKAN HULU 1290 1878
RS. AWAL BROS UJUNG BATU
RIAU KEPULAUAN
BATAM 1291 0584
RS. AWAL BROS BATAM
1292 0484
RB. BUDI ROSARI
1293 1010
RS. ST. ELISABETH - BATAM
JL. ANGGREK BLOK II, BALOI
1294 0485
GENTA MEDICAL CENTER
MUKA KUNING INDAH, BLOK F, NO.10
1295 0764
RS. HARAPAN BUNDA BATAM
1296 2448
MARKETING
0778 - 431777|
0778-430777
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
KEUANGAN
0778-427854|
0778-432833
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
KEUANGAN/MARKE 0778 - 457357-|TING
0778457710/422473
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU LINDA
PELAYANAN PASIEN
0778-361909|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
JL. SERAYA NO.1
IBU NORA / ARISTON
MARKETING
0778457333/456444/458808077 0778-456800 8 - 458808|0778 - 458808
Y
Y
Y
ACTIVE
ALL COVERAGE
YAHYA MEDICAL CENTER & APOTIK ZAHRUNI
KOMPLEK RUKO SAGULUNG PERMAI BLOK B14-15, SAGULUNG KOTA, BATAM
HAMDANI
HRD
(0778) 392748|
(0778) 392749
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1297 2479
KLINIK & APOTEK KF 413
KOMP. RUKO BOTANIA GARDEN BLOK A DARMA, S.FARM 1 NO. 1 C - BATAM
Kepala Apotik
0778 7431199|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1298 2480
KLINIK & APOTEK KF 128
KOMP. PERTOKOAN WIJAYA BLOK A NO. ROSMIDA KHOHAR, 4 SEI HARAPAN - BATAM S.SI
-
0778 323697|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1299 2482
KLINIK & APOTEK KF 269
JL. JEND SUDIRMAN, BATAM CENTRE, BATAM
DRS. HERMANTA TARIGAN
-
0778 461482|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1300 2484
KLINIK & APOTEK KF 59
JL. IMAM BONJOL, NO.1, NAGOYA, BATAM
DRS. I KOMANG KARTIKA YASA
-
0778 458560|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1301 2486
KLINIK & APOTEK KF 137
-
0778 392146|
-
N
Y
Y
PARTIAL
H&S,MAT
-
RS. GRAHA HERMINE
KOMP.SAGULUNG MAS INDAH B3, BATAM KOMP. RUKO ASIH RAYA NO.9-15, BATU AJI
B. AGUNG WIDI N, S.SI
1302 2503
FITRI
-
(0778) 363318, 363127|
(0778) 363164
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
KOMP MUKA KUNING INDAH II B2.3, BATAM
ADHLIN YULSYAR, S.FARM
-
0778 363375|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
PANBIL MALL BLOK A NO. 5
DRA. ITA TAURIESTANINGTYA S, Apt
0778-371149|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1303 2487
1304 4150
BINTAN
KLINIK & APOTEK KF 224
KLINIK & APOTEK KF NO. 230
JL. GAJAH MADA KAV.1 BALOI JL. MAHKOTA SIMPANG, NO.1, BENGKONG MAHKOTA
IBU MARIA BPK WIRA / IBU NENENG IBU PURNAMA/ IBU MARIA
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
48
[email protected]/n
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0777-323857
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0777- 222 52
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR m
Y
Y
Y
ACTIVE
ALL COVERAGE
0771-484427|
0771-484427
Y
Y
Y
JL. PERMAISURI NO.8 TANJUNG UBAN
ACOUNTING
0771-483212|
0771-482738
Y
Y
RSUD. TANJUNG UBAN
JL. INDUN SURI SIMPANG BUSUNG NO.1 TANJUNG UBAN 29152
RANTI/ BPK IYAN GUMILANG
HUMAS
(0771) 482655/ 082324421982|
-
Y
1308 1271
RS. BAKTI TIMAH KARIMUN
JL. CANGGAI PUTRI TELUK UMA KABUPATEN KARIMUN PROVINSI KEPULAUAN RIAU 29661
IBU SERLY
MARKETING
0777-7367085|
0777-7333251
1309 1291
APOTIK DEVI FARMA
JL. AHMAD YANI, SEI PASIR, MERAL, TANJUNG BALAI
BPK.RACHMADI
PEMILIK
0777-21388|
0777368974/21388
PEMILIK
0777-325600,326097|
PEMILIK
0777- 216 76|
0771 22879, 21091|
1306 1241
KLINIK BERSALIN ERNES
BINTAN UTARA 1307 2457
Emails
[email protected]
PEMILIK/ ADM
DR.ODRI AGNES/ IBU INDRA
RB. & BP TIARA MEDIKA
Allowed
PARTIAL
DR.ERIKA KAMIL/ IBU OJI
1305 1240
Status
GP,SP,OP,DENTAL,MAT,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
JL. KAMPUNG HARAPAN RT 01/01 TELUK SASAH, TANJUNG UBAN
KARIMUN
1310 0874
RSB. GRAHA RAP
1311 1237
KLINIK SAYANG IBU
TANJUNG PINANG 1312 2483
JL. R.USMAN, BATU LIPAI, TANJUNG DR.RIDWAN A. BALAI JL. AHMAD YANI, NO.20, BARAN SATU, DR.AWANG LIM / MERAL, TANJUNG BALAI IBU ELI
KLINIK & APOTEK KF 31
JL. BINTAN 656-658,TG.PINANG
M. TRI KURNIAWAN, S.SI
RSUD. MAMUJU
JL. RE. MARTADINATA MAMUJU SULBAR
DR. H. HARMAN HABA
Direktur
KLINIK & APOTEK KF HERTASNING
JL. HERTASNING NO 11 - MAKASSAR
DRS. ROY MUSTAKIM, APT.
-
RS. AWAL BROS MAKASSAR
JL. JEND. URIP SUMOHARJO NO.43 MAKASSAR
IBU. INDAH SARI MAHMUD
SULAWESI BARAT MAMUJU 1313 4087
0426-21107|
-
[email protected]
SULAWESI SELATAN
MAKASSAR 1314 2657 1315 1630
0411- 442945|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
MARKETING
0411-454567/452725|
0411459288/455123
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1316 0644
RS. HIKMAH
JL. YOSEF LATUMAHINA NO.1
IBU HERLINA
MARKETING
0411 - 872284,8714030411- 0411 871403|0411-871403 870964,871403
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1317 1393
RSIA. SITI KHADIJAH 1 MAKASSAR
JL. KARTINI NO.15-17 MAKASSAR
IBU FITRI/ MUBARAQ
Marketing
0411-3624554/8614661|
0411-3627119
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0411-425397
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
[email protected]
1318 1390
RS. IBNU SINA YBW-UMI
JL. URIP SUMOHARJO, KM.5, NO.264
DR.DAHLIAH
PELAYANA MEDIS
0411452958/5781595/452917|
MARKETING
0411-448855/448852|
0411-448854
Y
Y
Y
ACTIVE
ALL COVERAGE
MARKETING
0411-878605/06/88|
0411-878587
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]; RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
1319 1389
RS. GRESTELINA
JL. LETJEN HERTASNING RAYA NO.51
DR. BENHARD KATUUK, IBU LILIK
1320 1388
RATULANGI MEDICAL CENTRE
JL. SAM RATULANGI NO.28
IBU YURIKE
1321 2717
KLINIK & APOTEK KF 38
JL. HASANUDDIN, NO.46, MAKASSAR
DRS. YUNI ASMAN, APT.
0411- 3617110|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1322 2661
KLINIK & APOTEK KF 250
JL. DR.RATULANGI 59, MAKASSAR
DRS. FAEDAL B., APT.
-
0411- 582895|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1323 2660
KLINIK & APOTEK KF DAENG TATA
JL. DAENG TATA 69, MAKASSAR
DRS. ROY MUSTAKIM, APT.
-
0811403255|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1324 2659
KLINIK & APOTEK KF PETTARANI
JL. PETTARANI 18, MAKASSAR
DRS. ROY MUSTAKIM, APT.
-
0411-857210 / 857215|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1325 2658
KLINIK & APOTEK KF 33
JL. AHMAD YANI, NO.17 - 19, MAKASSAR
DRS. ROY MUSTAKIM, APT.
-
0411-3616722|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1326 0641
RS. STELLA MARIS MAKASSAR
JL. SOMBA OPU NO.273, PO.BOX 122
IBU CHRISTINA/IBU KERJASAMA DEVI
0411-871391/873346|
0411 - 859545
Y
Y
Y
ACTIVE
ALL COVERAGE
1327 2178
APOTEK FARMARIN MAKASSAR
JL. SAMRATULANGI NO. 51 D MAKASSAR
DRS. DAUD MANDI, APT
0411-877551/ 0811414971| -
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1328 1847
SILOAM HOSPITALS MAKASSAR
1329 3085
RS. UNIVERSITAS HASANUDDIN
1330 3065
RSB. SENTOSA MAKASSAR
JL. METRO TANJUNG BUNGA KAV. 9 PANAMBUNGAN KEC. MARISSO MAKASAR JL. PERINTIS KEMERDEKAAN KM.11 MAKASSAR 90245 JL. JEND. SUDIRMAN 52,
[email protected]; marketing@rsstellamari
PUTRI AMELIA
0411BUSDEV MANAGER 8117555/8117430/5290000 0411-8117911 /3662900|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
IBU MIRNA
-
0411 - 591331|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU FRIESYE (081342580333)
marketing
0411-3612720|
(0411) 3619711
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
49
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
Contact Person
Division
Tel Number
Fax Number
BALI
RI
RJ
FLAG
Status
Allowed
Emails
KLINIK & APOTEK KF 199 ERLINA
JL. URIP SUMOHARJO NO. 32 MAKASSAR
-
-
0411 449 936|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1332 0914
RS. AT MEDIKA
JL. ANDI JEMMA, NO.09
AMRULLAH
-
0471-21596-|-
0471-23008
Y
Y
Y
ACTIVE
ALL COVERAGE
1333 2107
RS. BINTANG LAUT
JL. K HM KASYIM NO. 5 PALOPO
IBU TANTI
MARKETING
0471-21302/21059|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
RS. FATIMA PARE-PARE
JL. ILHAMV KOTAK POS 12
IBU IDA / IBU MERRY
MARKETING
0421-21847|
0421-21328
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
[email protected];
[email protected]
1331 2291
PALOPO
PARE PARE 1334 1394
SENGKANG
[email protected] [email protected] d
SULAWESI TENGAH
PALU 1335 0639
RSU. WOODWARD (BALA KESELAMATAN)
JL. LH. WOODWARD NO.1
BPK.FREDIK
MARKETING
0451 - 421769, 423744|
0451 - 423744
Y
Y
Y
ACTIVE
ALL COVERAGE
1336 2288
KLINIK & APOTEK KF 390 PALU
JL. SETIABUDI NO. 65 D PALU SULTENG
-
-
-|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1337 2287
APOTEK KIMIA FARMA 449 TATURA
JL. WOLTER MONGINSIDI NO. 145 PALU, SULTENG
BP MUSLIM
-
0451-429832|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Y
Y
Y
ACTIVE
ALL COVERAGE
-
[email protected]
SULAWESI TENGGARA BAU BAU RS. MURHUM
JL. SULTAN MURHUM NO. 69 KEL. WAJO KEC. MURHUM SULTENG, BAU BAU
BP H FUAZI
1339 1537
RS. ST. ANNA
JL. DR. MOH.HATTA, NO.65A
1340 2286
KLINIK & APOTEK KF 288
JL. A. YANI NO. 84 KENDARI
1341 2285
APOTEK KIMIA FARMA 104
JL. MOH. HATTA NO. 77 KENDARI 93124
1338 2300
KENDARI
-
0402-2822650|
0402-2823919
BPK.MATIUS MARDI KEUANGAN
0401-3123092|
0401-3124872
Y
Y
Y
ACTIVE
ALL COVERAGE
Firdaus
-
0401 319 6186|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
Darlin
-
0401 3127182|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
SULAWESI UTARA KOTAMOBAGU MANADO 1342 1798
SILOAM HOSPITALS MANADO
JL. SAM RATULANGI NO 22 MANADO
BP. SELFIANUS / IBU FRANSIEN
MARKETING
04318883180/8883131/8883911 0431-8883133 |
Y
Y
Y
ACTIVE
ALL COVERAGE
selfianus.runtu@siloamhospitals. com
1343 2805
RSIA. KASIH IBU MANADO
KOMPLEKS BAHU MALL BLOCK. C NO. 23) JL. N. WOLTER MONGINSIDI NO. 1
ibu Jane
marketing
0431 834780/834667|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1344 2230
KLINIK & APOTEK KF NO. 74
JL. SAM RATULANGI NO.31 MANADO 93117
BPK RIDWAN
-
0431-864012|
0431-850838
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1345 2232
KLINIK & APOTEK KF WENANG 309
JL. LIMIMUNT NO. 12 A KEL. TIKALA KUMARAKA, KEC. WENANG, MANADO
BPK RUDI AVIANSYAH
-
0431-867163/840087|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1346 2231
APOTEK KIMIA FARMA MALALAYANG
KP. REL NO. 5 RS. VP MALALAYANG
BPK DUDI ABDULRAHMAN
-
0431-838278|
0431-838277
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
1347 1502
RS. ADVENT MANADO
JL. 14 FEBRUARI, NO.1, TELING ATAS
BP MODI MAMAHID
MARKETING
0431-847950/858429|
0431-850012
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0431 834721
SUMATERA BARAT BUKIT TINGGI 1348 2114
KLINIK & APOTEK KF 146 BUKIT TINGGI
JL. JEND. SUDIRMAN NO 14 BUKIT TINGGI
-
-
-|
-
N
Y
Y
PARTIAL
H&S,GP,SP,OP,DENTAL,LAB,RMRI,RM-RJ,RM-RG,RM-KM,RMRB,PHAR
-
1349 1398
RSU. MADINA
JL. GURU HAMZAH NO.17
BPK.JOHN HENDRI
Medical Record
0752-21388 EXT 228|
0752-626677
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1350 0687
RS. ISLAM IBNU SINA BUKIT TINGGI JL. BATANG AGAM, BELAKANG BALOK
IBU DEWI
MARKETING
0752 - 21185|
0752-34009
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
BPK. FARDINA
MARKETING
(0751) 38846; 38866|
(0751) 841286
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU HELEN
MARKETING
0751-33230/33231|
0751-31811
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
MARKETING
07510751-23200 23164/29536/21151/24750|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
(0751) 4782990
Y
Y
Y
ACTIVE
ALL COVERAGE
0751-840051
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
0751-463531
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
PADANG JL. DR. SUTOMO NO.94 MARAPALAM PADANG 25125 JL. SITUJUH, NO.1
1351 1569
RSIA. CICIK
1352 0616
RS. YOS SUDARSO
1353 0423
RSU. BUNDA MEDICAL CENTER (RSU. JL. PROKLAMASI NO.31-33-37 PADANG BPK ADRIAN C-BMC)
1354 2714
SEMEN PADANG HOSPITAL
1355 0304
RS. SELAGURI
1356 1320
RSI. SITI RAHMAH PADANG
JL. BY PASS KM 7 KEL. PISANG, KEC. PAUH PADANG - SUMBAR JL. A.YANI, NO.26 JL. RAYA BY PASS KM 15 AIE PACAH, PADANG
DR. MISS BERLYANTI IBU FAYNEM IBU YORI
MARKETING
(0751) 777888, 4782999., 4782997| 0751 -33010/21953|
-Marketing
0751-463059|
-
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
50
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
RI
RJ
FLAG
Status
1357 2369
Code
RS. MATA PADANG EYE CENTER (PEC)
Hospital Name
JL. PEMUDA NO. 53 PADANG - SUMBAR SDR. SILVIA
Address
Contact Person -
Division
0751-30094|
Tel Number -
Fax Number
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1358 4070
RSIA. ANNISA PADANG
JL. PEMUDA NO. 18, PADANG
IBU MAI ZURYATI
MARKETING
(0751) 31906|
(0751) 31905
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1359 4051
RSIA. SITI HAWA
JL. PARAK GADANG RAYA NO.35
IBU ENDANG
Marketing
0751-841251|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1360 2060
KLINIK & APOTEK KF 94 PADANG
JL. PROKLAMASI N. 24 PADANG
RONI
KA-HUMAS
0751-891195|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1361 2113
KLINIK & APOTEK KF 238 PADANG
JL. PATIMURA NO 18 PADANG
AHMAD SYAHRONI
-
0751-23620|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
JL. JEND. SUDIRMAN PAYAKUMBUH
JUNIARTI
apoteker
-|
KF_
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RM-
[email protected]: RJ,RM-RG,RM-KM,RM-RB,PHAR
[email protected]
BALI
Allowed
Emails
PAYAKUMBUH 1362 2115
KLINIK & APOTEK KF 372 PAYAKUMBUH
TEBING TINGGI
SUMATERA SELATAN
BATU RAJA 1363 1284
RS. SANTO ANTONIO
JL. KOMISARIS UMAR NO. 33, BATURAJA
SR. M. SKOLASTIKA HUMAS
0735320395/322418/324700|
0735-320201
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. MEDAN NO.17 LUBUK PAKAM SUMUT
MELKY TAMPUBOLON
MARKETING
(061) 7951339|
(061) 7951344
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
(0733) 324955/324963|
(0733) 321892
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
DELI SERDANG 1364 3994
RS. SARI MUTIARA LUBUK PAKAM
LUBUK LINGGAU 1365 2715
RS. AR BUNDA LUBUK LINGGAU
JL. GARUDA NO 245 RT 03 KEL. BANDUNG KIRI, KEC. LINGGAU BARAT 1
-
-
1366 1869
KLINIK SEKATA
JL. YOS SUDARS. O NO. 230 TABAH JEMEKEH, LUBUK LINGGAU
DR CHRISTANTO BEKTI PRASETYO
Koordinator dokter 0733-321357|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
penanggung jawab -|
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,RMRJ,RM-RG,RM-KM,RM-RB,PHAR
PALEMBANG 1367 2839
POLIKLINIK PERTAMINA PALEMBANG
JL. JEND. AHMAD YANI NO. 1247. 1 PALEMBANG
DR. MAHARANI
1368 0817
RS. RK. CHARITAS
JL. JEND. SUDIRMAN NO.1054
BPK.AGUSMAN/ZR.E MI/JUANDI JAYA MARKETING KOSIM
0711-350426/3533750711353374/5|0711-353374/5
0711362205/377088
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
1369 0803
RS. MYRIA
JL. KOL. H. BURLIAN KM. 7 NO 228 PALEMBANG
CHRISTIN
MARKETING
0711411610/412433/421914|
0711-414052
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
1370 0885
RSIA. YK. MADIRA
JL. JEND SUDIRMAN NO.1051 C-D PALEMBANG
IBU SUKMA
MARKETING
0711-364954,362766, 374802, 3747850711356173|0711-356173
(0711) 356173
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1371 0627
RS. PUSRI
JL. MAYOR ZEN, KOMPLEK PUSRI NO. 1 BPK ROSMAN
MARKETING
0711 -712222-712111|
0711-712071
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rumkit@ pusri.co.id
1372 0688
RS. ISLAM SITI KHADIJAH PALEMBANG
JL. DEMANG LEBAR DAUN, LORONG PAKJO
0711-356008|
0711-311884
Y
Y
Y
ACTIVE
ALL COVERAGE
rsisitikhadijahpalembang@yahoo .co.id
1373 0883
RS. BUNDA PALEMBANG
JL. DEMANG LEBAR DAUN, PALEMBANG TEGUH / ERNITA
WADIR / MARKETING
0711-312866,3118660711311866|0711-311866
0711-355553
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. HERMINA PALEMBANG
JL. BASUKI RAHMAT NO.897 RT.011/003 KEL.20 ILIR II KEC.KEMUNING
MARKETING
0711-352525|
0711-366945
Y
Y
Y
ACTIVE
ALL COVERAGE
palembang@herminahospitalgru op.com
MARKETING
0711711843,712840,712916,719 0711-717100 741|
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected];rsp
[email protected]
0711-5229100|
0711-5649100
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] om
(0711) 597401|
(0711) 542388
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
sriwijayaeyecentre.hospital@yah oo.com
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1374 1622
1375 1642
RS. PELABUHAN PALEMBANG
1376 1884
SILOAM SRIWIJAYA PALEMBANG
1377 2787 1378 3965
IBU NALA RESMINI / HUMAS BPK ARIS
DR. EVA
JL. MAYOR MEMET SASTRAWIRYA NO 1 IBU SELVY/ BP BOOM BARU PALEMBANG HAMID
JL. POM IX KEL. LOROK PAKJO KEC. IBU DEBBY / HANNY MARKETING ILIR BARAT 1 PALEMBANG JL. BERINGIN NO.1 KOMPLEK RS. PERTAMINA PLAJU PERTAMEDIKA PERTAMINA PLAJU SUMATERA SELATAN BPK AMAL 30268 JL. JEND.SUDIRMAN KM. 4,5 NO.502 RS. SRIWIJAYA EYE CENTER IBU NITA MARKETING KEL. 20 ILIR, KEC. IT I
(0711) 5611976/419680|
KLINIK & APOTEK KF 209
JL. ISKANDAR MUDA NO. 222
BPK. UNDIANTO (BM PALEMBANG)
1380 2423
RSIA. AZZAHRA
JL. BRIGJEN HASAN KASIM NO.1-2 BUKIT SANGKAL PALEMBANG
IBU.KIKI
MARKETING
0711-822723|
1381 2394
KIMIA FARMA 239 PALEMBANG
JL. MP. MANGKUNEGARA, PALEMBANG
BPK. AMIR
-
0711 - 823503|
JL. ANGKATAN 45, KEL GUNUNG IBUL PRABUMULIH TIMUR
IBU MARTINI
MARKETING
0713-322954, 7003330|
1379 2185
0711354717/0711362245|
-
N
Y
Y
0711-826044
Y
Y
Y
ACTIVE
ALL COVERAGE
-
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
0713325980/322954
Y
Y
Y
ACTIVE
ALL COVERAGE
-
PRABUMULIH 1382 1449
RS. AR BUNDA PRABUMULIH
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
51
[email protected]/h
[email protected]
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
RI
RJ
FLAG
Status
1383 3953
Code
RS. FADHILAH
Hospital Name
JL. JENDRAL SUDIRMAN NO. 01 PATIH GALUNG PRABUMULIH
Address
IBU PUJI RAMADIN
Contact Person -
Division
(0713) 3300032|
Tel Number
(0713) 3300032
Fax Number
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1384 0824
RS. PERTAMINA PRABUMULIH
JL. KESEHATAN, NO.100, KOMPLEK PERTAMINA PRABUMULIH
IBU SULASMI/ AYU
MARKETING
0713383333/382749/322069/38 2742/382731(0713) 382731|(0713) 382731
0713321903/325181
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. SETIO HUSODO
JL. S. M. RAJA N0 67 KISARAN, ASAHAN SUMATERA UTARA
BALI
Allowed
Emails
SUMATERA UTARA ASAHAN 1385 2351
BINJAI
PERINTIS KEMERDEKAAN NO 174 A KEBUN LADA KOTA BIJAI JL. SOEKARNO HATTA, KM.18 NO.451, BINJAI
BPK. AMIN
-
0623-44999|
0623-43394
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU RINI
-
061- 8830003|
061 - 8826004
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU ENDANG
MARKETING
061-8829588/8829788|
061-8822565
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1386 1811
RS. BIDADARI BINJAI
1387 1652
RS. LATERSIA
1388 1624
RSU. ARTHA MEDICA
JL. SAMANHUDI NO. 22 BINJAI
SRI HARNI MUKTI
-
061-8827277|
061-8830757
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] ;
[email protected].
RS. EFARINA ETAHAM BRASTAGI
JL. JAMIN GINTING, NO.1, DESA RAYA,
BPK.YAHYA SEMBIRING/IBU ELFINA
MARKETING
0628-323716/17|
0628-213718
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. HIDAYAH DELI TUA
JL. MEDAN DELI TUA KM 8,5 NO.55
DEVI
MARKETING
061 - 7032835|
-
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. PERTAMINA PANGKALAN BRANDAN
JL. WAHIDIN NO.01 PANGKALAN BRANDAN LANGKAT-SUMUT
IBU TETI
PEMASARAN
0620-322612,322455|
0620-323392
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
RS. GRAND MEDISTRA LUBUK PAKAM
JL. RAYA MEDAN-LUBUK PAKAM KM 25 BPK LUKMAN NO. 66
HUMAS MARKETING
061-7955114|
061-7950114
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1393 2754
RS. DELI
JL. MERBABU NO.18-20, MEDAN
-
(061) 4565229|
(061) 4552361
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
RS. ROYAL PRIMA MEDAN
JL. AYAHANDA NO. 68 A, MEDAN SUMATERA UTARA
IBU TINA / DR. EKA PUTRA
1394 3957
IBU NOVI/ROMA
MARKETING
(061) 8881 3182; 8881 3183|
(061) 8001 3181
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1395 0416
RS. MATERNA
JL. TEUKU UMAR NO.11
IBU BUNI / IBU UUT MARKETING
061 -4514222|
061-4155392
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1396 0773
RSU. PROF.DR.BOLONI
JL. W. MONGINSIDI NO. 11 MEDAN
JUWITA/ROULINA
(061) 4512687; 4556879; 4154637|
(061) 4154621
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1397 0590
RS. COLUMBIA ASIA MEDAN (D/H GLENI MEDAN)
JL. LISTRIK 2A MEDAN 20112
IBU IDHA HIDAYATI MARKETING
061-4566368|
0614566585/4515453
Y
Y
Y
ACTIVE
ALL COVERAGE
marketing.medan@columbiaasia .com
1398 0523
RS. ADVENT MEDAN
JL. GATOT SUBROTO, KM. 4
BP ANDRI TOMPUL
061 - 4524875/4574025|
061-4154839
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
061 -7321666|
061-7344786
N
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/apriyenn
[email protected]
0614144737/4522010/4144240 061 - 4143168 |
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
061-6610910|
061-6612005
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
BRASTAGI 1389 1542
DELI SERDANG 1390 4088
KISARAN LANGKAT 1391 1653
LUBUK PAKAM 1392 2023
MEDAN
MARKETING/KEU
MARKETING
1399 0418
KLINIK SPESIALIS BUNDA
JL. SISINGAMANGARAJA NO.17
IBU DELI NAFRI/IBU MARKETING LISMAINI
1400 0925
RS. ST ELISABETH - MEDAN
JL. H. MISBAH NO.7, MEDAN
JUNIAR SINAGA
1401 0742
RSU. MARTHA FRISKA
JL. KOL. YOS SUDARS. O KM.6, NO.91, IBU VERONIKA/ PULO BRAYAN MAYA/ ERLIANA
CUSTOMER SERVICE
1402 1193
RSU. SARAH
JL. BAJA RAYA NO. 10 PETISAH
IBU YANTI
MARKETING
061-4528044|
061-4529454
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected];
[email protected]
1403 1061
RS. ESTOMIHI
JL. SISINGAMANGARAJA NO.235 MEDAN
IBU ELIS
MARKETING
061-7861771,78646560617864656|061-7864656
061-7866660
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1404 0741
RS. ISLAM MALAHAYATI
JL. DIPENOGORO NO.2-4, MEDAN
IBU ADE
Marketing
061 - 4518766|
061-4519474
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1405 0740
RS. HERNA
JL. MAJAPAHIT NO.118A, MEDAN
IBU HERLINA
MARKETING
061 -451 0766|IBU HENI/DR 061-415 3955 LIMENTA
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1406 1592
RSIA. STELLA MARIS MEDAN
JL. SAMANHUDI NO.20 MEDAN
IBU HALINA
Bag. Finance
061-4158383|
061-4157088
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1407 0322
RSU. PERMATA BUNDA MEDAN
JL. SISINGAMANGARAJA, NO.7
IBU FAUZIAH / ADIST / RANI
MARKETING
061-7362777 / 7360120 / 7367980 EXT. 141|
061-7320222
Y
N
Y
ACTIVE
ALL COVERAGE
[email protected]
1408 0626
RS. SARI MUTIARA
JL. KAPTEN MUSLIM, NO.79
IBU KIKI
MARKETING
061-8451812|
061-8452134
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1409 1649
RS. IMELDA PEKERJA INDONESIA
JL. BILAL NO 24 PULO BRAYAN DARAT I MEDAN TIMUR
IBU MARIA
MARKETING
061-6610072-6631380|
061-6618457
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1410 1651
RS. BUNDA THAMRIN MEDAN
JL. SEI BATANG HARI NO. 28/30 MEDAN SUNGGAL
Bpk HERLINSON / IBU KIKI
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
1411 3779
RS. SILOAM DHIRGA SURYA
Y
Y
Y
ACTIVE
ALL COVERAGE
effendy.pangestu@siloamhospita ls.com
1412 4091
RSU. SUNDARI
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
JL. IMAM BONJOL NO. 6, KEL. PETISAH EFFENDY/CHARLES - MEDAN 20112 AMIN IBU RINI JL. TB SIMATUPANG NO 31 MEDAN KURNIAWATI
SEKERTARIS
MARKETING MARKETING
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
0614553928,88813615,455731 061-4558218 8,4557218,4553918| (061) 8888 1900 EXT. (061) 8888 1933 22601| 061-8452536-|-
061-8452536
52
14/08/2015
LIST PROVIDER INDEMNITY UPDATE PER 31 JULI 2015 KHUSUS PT. BANK MANDIRI (PERSERO) Tbk, PT MAYORA Tbk, dan TELADAN PRIMA GROUP No
Code
Hospital Name
Address
1413 1650
RS. MARTHA FRISKA MULTATULI
JL. MULTATULI KOMP. MULTATULI INDAH NO 1 MEDAN
1414 4092
RSIA. SRI RATU
JL. NIBUNG RAYA NO 204-212 MEDAN
RS. MADANI MEDAN
JL. A.R. HAKIM NO. 168, KEL. SUKA RAMAI I, KEC. MEDAN AREA, KOTA MEDAN
1415 4001
RI
RJ
FLAG
Status
IBU DAI
Contact Person
MARKETING
Division
061-4154761
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU EKA BERNADETA
061-4149666 / BALI 08286103148|
Tel Number
Fax Number
Allowed
Emails
HRD
061-4521074|
061-4539236
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IRNA PRATIWI
MARKETING
061-7345911, 061 7361357|
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
IBU SUSAN NOVRINI/BAPAK SUEP
-
061-7875967/ 7881682|
061-7850261
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]; susan.novrini@gmail.
OMPON
marketing
061-80501888/777|
061 - 80501800
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] m
RS. MITRA SEJATI MEDAN
JL. AH. NASUTION PANGKALAN MAHSYUR NO.7, MEDAN
1417 2053
MURNI TEGUH MEMORIAL HOSPITAL
JL. JAWA NO. 2 SIMPANG JL. VETERAN
1418 2182
KLINIK & APOTEK KF 27
JL. PALANG MERAH NO. 32
DRSB. ISMA PANDIA,APT
APOTEKER
061-4576023|
061-451551
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1419 2297
KLINIK GRAND MADANI
JL. SETIA BUDI KOMP. SETIABUDI POINT BLOK E 12-13, MEDAN
IBU DEWI
APOTEKER
061-8222345|
061-8222929
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
1420 2179
APOTEK FARMARIN MEDAN
JL. GATOT SUBROTO NO. 14 KM 4,2 MEDAN PETISAN
IBU. RATIH/SRI
-
061- 4528454|
061- 4528464
N
Y
Y
ACTIVE
ALL COVERAGE
1416 2028
[email protected]
1421 2183
KLINIK & APOTEK KF 39
JL. GATOT SOEBROTO NO 37 A/C
RICKY U MARPAUNG,S.FARM, APOTEKER APT
1422 2395
SUMATERA EYE CENTER
JL. ISKANDAR NO. 278 - 280, MEDAN
BPK. FAJARUDDIN NASUTION
-
061-4525058 ; 4518222|
061-4510978
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected] d
[email protected];rsvi @vita-insani.co.id
061-4529909|
061-4532717
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
PEMATANG SIANTAR 1423 0719
RS. VITA INSANI
JL. MERDEKA, NO.329
IBU SUSAN
MARKETING
0622-22520|
0622-24521/29133
Y
Y
Y
ACTIVE
ALL COVERAGE
1424 2208
KIMIA FARMA SOETOMO
JL. SUTOMO NO.63 PEMATANG SIANTAR
BPK IDRIS
-
0622-22447|
0622-25527
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RS. HARAPAN PEMATANG SIANTAR
JL. FAREL PASARIBU NO : 21 PEMATANG SIANTAR, SUMATERA UTARA
NESLI M PURB. A
Marketing
0622-21162, 21612|
0622-435301
1425 2984
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]
Y
Y
Y
ACTIVE
ALL COVERAGE
[email protected]/rshi @indo.net.id
1426 0924
RS. HORAS INSANI
JL. MEDAN KM.2,5 PEMATANG SIANTAR
IBU.CHRISTINA/JUL MARKETING TRI/SUZANNA
0622433444,433877,433666,433 0622-21384 7770622-433777|0622433777
1427 2209
KIMIA FARMA KARTINI
JL. KARTINI NO. 19 PEMATANG SIANTAR
IBU SABRINA
APOTEKER
0622-22448|
0622-25527
N
Y
Y
PARTIAL
GP,SP,OP,DENTAL,LAB,RM-RI,
[email protected] RJ,RM-RG,RM-KM,RM-RB,PHAR
RS. METTA MEDIKA
JL. SUTOYO SISWOHARJO NO.34 PASAR BARU, SIBOLGA KOTA
YULIANA M.SIHOTANG DR. BENNY, DR
-
0631-25006/25007/25008|
0631-25006
Y
Y
Y
ACTIVE
ALL COVERAGE
SIBOLGA 1428 2249
LIST PROVIDER INDEMNITY MANDIRI INHEALTH (BANK MANDIRI-MAYORA DAN TELADAN ) - 31 JULI 2015-final revise
53
[email protected] om
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