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HCSRN key contacts

Advocate Aurora Research Institute

3075 Highland Parkway, Suite 600
Downers Grove, Illinois 60515

PHONE: 630.929.5614
Website: www.advocateaurorahealth.org/research/

Express/Courier Address
3075 Highland Parkway, Suite 600
Downers Grove, Illinois 60515

DUNS No.: 130185960 (WI)

PHS 398 Face Page Elements
Org type: Advocate Aurora Health = Nonprofit with 501C3 IRB Status
Dist/Cty: Illinois/Wisconsin
FWA No.: 00000414 (WI), 00000472 (IL)

HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
  • Amit Ancharya, BDS, MS, PhD, FAMIA
    • Vice Chief Science Officer, Advocate Health
    • President, Advocate Aurora
    • Advocate Aurora Research Institute
    • 3075 Highland Parkway, Suite 600 Downers Grove, Illinois 60515
    • Email: Amit.Acharya@aah.org
  • Governing Board Assistant
    • Susan Morg
    • Executive Assistant
    • Advocate Aurora Health
    • Phone: 630.929.6374
    • Email: Susan.Morg@aah.org
  • Dr. Jacob Bidwell
    • DIO & VP, Medical Education – WI
    • President, AUWMG
    • Advocate Aurora Health
    • Phone: 414.219.7713
    • Email: Jacob.Bidwell@aah.org
  • Sarah Long, DSC(C), MS, CRCP
    • Director, Office of Sponsored Research
    • Research Business Services
    • Advocate Aurora Health
    • Phone: 414.885.5053
    • Email: Sarah.Long@aah.org
Director, Admin Operations IRB Administrator Privacy Officer
  • Mercedes Robaina, EdD(c), MBA, MA, CRA
  • Michelle Maternowski
  • Peg Schmidt
    • Vice President, Chief Privacy Officer, Compliance and Integrity
    • Advocate Aurora Health
    • Phone: 414.299.1713
    • Email: Peg.Schmidt@aah.org
VDW Site Data Manager DUA Signatory Communications/Media Relations
  • Denise Angst, PhD, RN
    • Vice President, Academic Research and
    • Strategic Partnerships
    • Advocate Aurora Health
    • Phone: 630.399.1354
    • Email: Denise.Angst@aah.org
  • Back-up: Nina Garlie, PhD
  • Julie Walters, BS
    • Manager, Research Communications
    • Consumer Experience
    • Advocate Aurora Health
    • Phone: 414.841.2596
    • Email: Julie.Walters@aah.org

 

    Baylor Scott & White Research Institute

    3434 Live Oak
    Dallas, TX 75204

    Website: https://www.bswhealth.com/research/

    Express/Courier Address
    3434 Live Oak
    Dallas, TX 75204

    HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
    • Katherine Sanchez, PhD, LCSW
      • Director, Diversity and Inclusiveness in Research, Research Investigator 3
      • Baylor Scott and White Health System
      • Temple, TX 76502
      • Ph: 254-771-4880
      • Email: Katherine.Sanchez@bswhealth.org
    Director, Admin Operations IRB Administrator Privacy Officer
    • To be determined
    VDW Site Data Manager DUA Signatory Communications/Media Relations

     

      Division of Health Systems Science, UMass Chan Medical School

      55 N Lake Ave
      Worcester, MA 01655

      Ph: 508-856-3523
      Website: In development

      Express/Courier Address
      Division of Health Systems Science
      Department of Medicine
      UMass Chan Medical School
      University of Massachusetts

      DUNS No.: 60-384-7393
      Org type: State
      Dist/Cty: MA-002
      FWA No.: 0000 4009

      HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
      • Kathleen Mazor, EdD
        • Interim Division Chief of Health Systems Science
        • Department of Medicine, UMass Chan Medical School
        • Ph: 413 658-4454 (cell)
        • Email: Kathleen.mazor@umassmed.edu
      • Governing Board Assistant
      • Janice Lagacé
        • Associate Director, Sponsored Programs
        • University of Mass Medical School
        • 55 Lake Avenue North Worcester, MA 01655
        • Ph: 508-856-8980
        • Email: Janice.Lagace@umassmed.edu
      • Gary Sadusky
      Director, Admin Operations IRB Administrator Privacy Officer
      • Joann Wagner
      • Allison Blodgett, PhD, CIP
        • Director of IRB Operations
        • UMass Chan Medical School
        • 55 Lake Avenue North Worcester, MA 01655
        • Ph: 508-856-4271
        • Email: allison.blodgett@umassmed.edu
      • Joann Wagner (interim contact person)
      VDW Site Data Manager DUA Signatory Communications/Media Relations
      • Hassan Fouayzi
      • Meg Johnson, JD, CPI
        • University of Mass Medical School
        • 55 Lake Avenue North Worcester, MA 01655
        • Ph: 508-856-5152
        • Email: meg.johnson@umassmed.edu
      • Susan E.W. Spencer
        • Office of Communications
        • University of Mass Medical School
        • 55 Lake Avenue North Worcester, MA 01655
        • Ph: 774-570-0795 (Office cell)
        • Email: Susan.spencer1@umassmed.edu

       

        Essentia Institute of Rural Health

        502 East Second Street 6AV-2
        Duluth, MN, 55805

        Ph: 218-786-3940
        Fax: 218-727-8159
        Website: https://www.essentiahealth.org/education-research/

        Express/Courier Address
        Essentia Institute of Rural Health
        421 North 6th Avenue East – 2nd Fl
        Duluth, MN 55805

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        Essentia Institute of Rural Health
        DUNS No.: 96-185-2634
        Org type: Nonprofit 501(c)3
        Dist/Cty: MN-008/St. Louis
        FWA No.: 0000 0635

        HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
        • Stephen Waring, DVM, PhD
          • Principal Scientist
          • Essentia Institute of Rural Health Professor (Adjunct)
          • College of Pharmacy UMN-Duluth
          • Ph: 218-786-1280
          • Email: Stephen.waring@essentiahealth.org
        Director, Admin Operations IRB Administrator Privacy Officer
        VDW Site Data Manager DUA Signatory Communications/Media Relations

         

          Geisinger Research

          100 North Academy Ave.
          Danville, PA 17822-2201

          Ph: 570-214-7786
          Fax: 570-271-7498
          Website: https://www.geisinger.edu/research

          Express/Courier Address
          Geisinger
          100 North Academy Ave.
          Danville, PA 17822

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          Geisinger Clinic
          DUNS No.: 07-916-1360
          Org type: Nonprofit 501(c)3
          Dist/Cty: PA-009, Montour
          FWA No.: 0000 0063

          HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
          • Eric Wright, PharmD, MPH
            • System Director
            • Center for Pharmacy Innovation and Outcomes
            • Professor of Pharmacy
            • Dept of Health System Sciences
            • Geisinger College of Health Sciences
            • Ph: 570-714-6633
            • Email: ewright2@geisinger.edu
          • Governing Board Assistant
          • Christa Lese Martin, PhD, FACMG
            • Chief Scientific Officer; Professor and Director, Autism & Developmental Medicine Institute
            • Ph: 570-214-7786
            • Email: clmartin1@geisinger.edu
          Director, Admin Operations IRB Administrator Privacy Officer
          VDW Site Data Manager DUA Signatory Communications/Media Relations

           

            Harvard Pilgrim Health Care, Inc

            401 Park Drive, Suite 401 East
            Boston, MA 02215

            Ph: 617-867-4987
            Fax: 617-867-4276
            Website: www.populationmedicine.org

            Express/Courier Address
            Harvard Pilgrim Health Care Institute
            401 Park Drive, Suite 401 East
            Boston, MA 02215

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            Harvard Pilgrim Health Care, Inc.
            DUNS No.: 07-172-1088
            Org type: Private non-profit
            Dist/Cty: MA-004
            FWA No.: 0000 010

            HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
            Director, Admin Operations IRB Administrator Privacy Officer
            VDW Site Data Manager DUA Signatory Communications/Media Relations

             

              HealthPartners Institute

              8170 33rd Ave S, MS21112R
              Minneapolis, MN 55425

              Fax: 952-967-5022
              Website: www.healthpartnersinstitute.org

              Express/Courier Address
              HealthPartners Institute
              8170 33rd Ave S., MS21112R
              Bloomington, MN 55425

              PHS 398 Face Page Elements
              HealthPartners Institute
              DUNS No.: 02-919-1355
              Org type: Private non-profit with
              501c3 IRS Status
              Dist/Cty: MN003/Hennepin County
              FWA No.: 0000 0106

              HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
              Director, Admin Operations IRB Administrator Privacy Officer
              VDW Site Data Manager DUA Signatory Communications/Media Relations

               

                Henry Ford Health Systems

                Dept. of Public Health Sciences
                One Ford Place, Suite 3E
                Detroit, MI 48202

                Ph: 313-874-6360
                Website: www.henryford.com

                Express/Courier Address
                Henry Ford Health, Department of Public Health Sciences
                Attn: Lois Lamerato
                One Ford Place – 3E
                Detroit, MI 48202

                PHS 398 Face Page Elements
                Henry Ford Health System
                DUNS No.: 07-313-4603
                Org type: Non-profit with 501c3 IRS Status
                Dist/Cty: MI-013
                FWA No.: 0000 5846

                HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                • Christine Neslund-Dudas, PhD
                  • Associate Research Scientist, Henry Ford Health
                  • Co-Leader, Cancer Epidemiology Prevention and Control Program, Henry Ford Cancer Institute
                  • Ph: 313-874-5472
                  • Email: cdudas1@hfhs.org
                • Governing Board Assistant
                Director, Admin Operations IRB Administrator Privacy Officer
                • Veronica Gorden
                VDW Site Data Manager DUA Signatory Communications/Media Relations
                • Brenda Craig

                 

                  Kaiser Permanente Colorado

                  Institute for Health Research
                  PO Box 378066
                  Denver, CO 80237-8066

                  Fax: 303-636-2950
                  Website: http://kpco-ihr.org/

                  Express/Courier Address
                  Institute for Health Research
                  2550 S. Parker Rd., Suite 200
                  Denver, CO 80014

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                  Kaiser Foundation Research Institute, a Division of Kaiser Foundation Hospitals
                  DUNS No.: 15-082-9349 (KFRI)
                  Org type: Non-profit with 501c3 IRS Status
                  Dist/Cty: CO-006, Arapahoe (KPCO)
                  CA-009, Alameda (KFRI)
                  FWA No.: 0000 2344 (KFRI)

                  HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                  • Claudia Steiner, MD, MPH
                  • Trecia J. Leung
                  Director, Admin Operations IRB Administrator Privacy Officer
                  • Melissa Goff
                  VDW Site Data Manager DUA Signatory Communications/Media Relations
                  • Claudia Steiner, MD, MPH

                   

                    Kaiser Permanente Georgia

                    Kaiser Foundation Health Plan of Georgia, Inc.
                    Center for Research and Evaluation
                    1375 Peachtree St NE, Suite 380
                    Atlanta, GA 30309

                    Dept Email: Chrse-Finance-team@kp.org
                    Fax: 404-364-7316
                    Website: https://georgiaresearch.kaiserpermanente.org/

                    Express/Courier Address
                    Nine Piedmont Center
                    3495 Piedmont Rd NE
                    Atlanta, GA 30305

                    PHS 398 Face Page Elements
                    Center for Research and Evaluation
                    Kaiser Foundation Research Institute
                    DUNS No.: 15-082-9349 (KFRI)
                    UEI: P1RTMASB37B5

                    Org type: Non-profit with 501c3 IRS Status
                    Dist/Cty: 005/Fulton CA-013, Alameda (KFRI)
                    FWA No.: 0000 2344 (KFRI)

                    HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                    • Teaniese “Tina” Davis
                      • Investigator, Center for Research and Evaluation
                      • Kaiser Permanente Georgia
                      • Ph: 404-337-3646
                      • Email: Teaniese.L.Davis@kp.org
                    • Trecia J. Leung
                      • Executive Director, Kaiser Foundation Research Institute
                      • 1800 Harrison, 16th Floor Oakland, CA 94612
                      • Ph: 510-625-4724
                      • Email: Trecia.J.Leung@kp.org
                    Director, Admin Operations IRB Administrator Privacy Officer
                    VDW Site Data Manager DUA Signatory Communications/Media Relations

                     

                      Kaiser Permanente Hawaii

                      Center for Integrated Health Research
                      501 Alakawa Street, Suite 201
                      Honolulu, HI 96617-5700

                      Ph: 808-432-5195
                      Fax: 808-432-5121

                      Express/Courier Address
                      501 Alakawa Street, Suite 201
                      Honolulu, HI 96817-5700

                      PHS 398 Face Page Elements
                      Kaiser Permanente Hawaii
                      DUNS No.: 15-082-9349 (KFRI)
                      Org type: Non-profit with 501c3 IRS Status
                      Dist/Cty: HI-001, Honolulu CA-013, Alameda (KFRI)
                      FWA No.: 0000 2344 (KFRI)

                      HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                      • Stacey Honda, MD, PhD
                        • Medical Director
                        • Center for Integrated Healthcare Research
                        • Kaiser Permanente, Hawaii
                        • Ph: 808-432-8801
                        • Email: stacey.honda@kp.org
                      • Trecia Leung
                        • Executive Director
                        • Kaiser Foundation Research Inst.
                        • 1800 Harrison Street, 16th Floor Oakland, CA 95612-3433
                        • Email: trecia.j.leung@kp.org
                      Director, Admin Operations IRB Administrator Privacy Officer
                      • Daria Diaz, MSHS
                        • IRB Administrator
                        • 393 E. Walnut Street, 4th Floor Pasadena, CA 91188
                        • Phone: (686)405-5972
                        • Email: Daria.x.Diaz@kp.org
                      • Alina Harris
                      VDW Site Data Manager DUA Signatory Communications/Media Relations

                       

                        Kaiser Permanente Mid-Atlantic States

                        Mid-Atlantic Permanente Research Institute
                        2101 East Jefferson St., 3 East
                        Rockville, MD 20852

                        Ph: 301-816-5685
                        Fax: 855-524-3244
                        Website: http://mapri.kaiserpermanente.org/

                        Express/Courier Address
                        2101 East Jefferson St., 3 East Research
                        Rockville, MD 20852

                        PHS 398 Face Page Elements
                        Mid-Atlantic Permanente Medical Group
                        DUNS No.: 15-082-9349 (KFRI)
                        Org type: Non-profit with 501c3 IRS Status
                        Dist/Cty: MD-008 CA-009, Alameda (KFRI)
                        FWA No.: 0000 2344 (KFRI)

                        HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                        • Michael A. Horberg, MD MAS
                          • Associate Medical Director, Kaiser Permanente Mid-Atlantic
                          • Permanente Medical Group Executive Director, Mid-Atlantic Permanente Research Institute
                          • Ph: 301-816-6302
                          • Email: Michael.Horberg@kp.org
                        • Governing Board Assistant
                        • Michael A. Horberg, MD MAS
                          • Associate Medical Director, Kaiser Permanente Mid-Atlantic
                          • Permanente Medical Group Executive Director, Mid-Atlantic Permanente Research Institute
                          • Ph: 301-816-6302
                          • Email: Michael.Horberg@kp.org
                        • Executive Assistant
                        • Chanika M. Nelson, MPA
                        Director, Admin Operations IRB Administrator Privacy Officer
                        • Chanika M. Nelson, MPA
                        • Chanika M. Nelson, MPA
                        VDW Site Data Manager DUA Signatory Communications/Media Relations
                        • Chanika M. Nelson, MPA

                         

                          Kaiser Permanente Northern California

                          Division of Research
                          2000 Broadway
                          Oakland, CA 94612-2304

                          Ph: 510-891-3400
                          Fax: 510-891-3403
                          Website: https://divisionofresearch.kaiserpermanente.org/

                          Express/Courier Address
                          Kaiser Permanente, Northern California: Division of Research
                          2000 Broadway
                          Oakland, CA 94612-2304

                          PHS 398 Face Page Elements
                          Kaiser Foundation Hospitals
                          Kaiser Permanente Northern California
                          Kaiser Foundation Research Institute
                          1800 Harrison Street, 16th Floor
                          Oakland; Alameda County; 94612-3433
                          UEI No: P1RTMASB37B5
                          Org type: Non-profit with 501c3 IRS Status
                          Congressional District / City: CA-013, Oakland (KFRI)
                          FWA No.: 00002344 (KFRI)

                          HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                          • Trecia J. Leung
                            • Executive Director
                            • Kaiser Foundation Hospitals
                            • Kaiser Foundation Research Institute
                            • 1800 Harrison, 16th Floor Oakland, CA 94612-3433
                            • Ph: 510-625-3869
                            • Email: Trecia.J.Leung@kp.org
                          • Tom Dang MBA MSE
                          Director, Admin Operations IRB Administrator Privacy Officer
                          • Tom Dang MBA MSE
                          • Tamiko Eto, MS CIP
                          VDW Site Data Manager DUA Signatory Communications/Media Relations
                          • Tom Dang MBA MSE
                          • Jon Weiner

                           

                            Kaiser Permanente Northwest

                            Kaiser Permanente Center for Health Research
                            3800 North Interstate Avenue
                            Portland, OR 97227-1110

                            Fax: 503-335-2424
                            Website: www.kpchr.org

                            Express/Courier Address
                            Kaiser Permanente Center for Health Research
                            3800 North Interstate Avenue
                            Portland, OR 97227-1110

                            PHS 398 Face Page Elements
                            Center for Health Research NW/Kaiser Foundation Research Institute
                            DUNS No.: 15-082-9349 (KFRI)
                            Org type: Non-profit with 501c3 IRS Status
                            Dist/Cty: OR-003, Multnomah (CHR NW) CA-013, Alameda (KFRI)
                            FWA No.: 0000 2344 (KFRI)

                            HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                            • To be determined
                            Director, Admin Operations IRB Administrator Privacy Officer
                            VDW Site Data Manager DUA Signatory Communications/Media Relations

                             

                              Kaiser Permanente Southern California

                              Southern California Medical Group
                              Department of Research and Evaluation
                              100 S Los Robles, 2nd Floor
                              Pasadena, CA 91101

                              Ph: 626-564-3455
                              Fax: 626-564-3430
                              Website: www.kp-scalresearch.org

                              Express/Courier Address
                              Department of Research and Evaluation
                              100 South Robles, 2nd Floor
                              Pasadena, CA 91101

                              PHS 398 Face Page Elements
                              KP Department of Research and Evaluation
                              DUNS No.: 15-082-9349 (KFRI)
                              Org type: Non-profit with 501c3 IRS Status
                              Dist/Cty: CA-009, Alameda (KFRI)
                              FWA No.: 0000 2344 (KFRI)

                              HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                              • Kristi Reynolds, PhD, MPH, FAHA
                                • Director, Epidemiologic Research
                                • Kaiser Permanente Southern California
                                • Ph: 626-564- 5103
                                • Email: Kristi.Reynolds@kp.org
                              • Governing Board Assistant
                              • Kim Kaiser
                                • Regional Quality Administrator
                                • 393 East Walnut Street Pasadena, CA 91122
                                • Ph: 626-405-5622
                                • Email: kim.e.kaiser@kp.org
                              Director, Admin Operations IRB Administrator Privacy Officer
                              • Alina Harris
                                • Privacy & Security Officer for Southern California and Hawaii
                                • Ph: 626-831-8308
                                • Email: Alina.Harris@kp.org
                              VDW Site Data Manager DUA Signatory Communications/Media Relations
                              • Kim Kaiser
                                • Regional Quality Administrator
                                • 393 East Walnut Street Pasadena, CA 91122
                                • Ph: 626-405-5622
                                • Email: kim.e.kaiser@kp.org

                               

                                Kaiser Permanente Washington

                                Kaiser Permanente Washington Health Research Institute
                                1730 Minor Ave, Suite 1600
                                Seattle, WA 98101-1466

                                Ph: 206-287-2900
                                Fax: 206-287-2871
                                Website: https://kpwashingtonresearch.org

                                Express/Courier Address
                                Same as above

                                PHS 398 Face Page Elements
                                KP Department of Research and Evaluation
                                DUNS No.: 15-082-9349 (KFRI)
                                Org type: Non-profit with 501c3 IRS Status
                                Dist/Cty: CA-009, Alameda (KFRI)
                                FWA No.: 0000 2344 (KFRI)

                                HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                                • Rita Mangione-Smith, MD, MPH
                                  • Vice-President Research and Healthcare Innovation, Kaiser Permanente Washington
                                  • Executive Director, KPWHRI
                                  • Ph: 206-287-2536
                                  • Email: Rita.M.MangioneSmith@kp.org
                                • Governing Board Assistant
                                • William Smith
                                Director, Admin Operations IRB Administrator Privacy Officer
                                • To be determined
                                VDW Site Data Manager DUA Signatory Communications/Media Relations
                                • William Smith

                                 

                                  Marshfield Clinic Research Institute

                                  1000 N Oak Avenue
                                  Marshfield, WI 54449-5703

                                  Ph: 715-387-5241
                                  Fax: 715-389-3131
                                  Website: http://marshfieldresearch.org/

                                  Express/Courier Address
                                  Same as above

                                  PHS 398 Face Page Elements
                                  Marshfield Clinic Research Institute
                                  DUNS No.: 07-477-6030 MCRI
                                  Org type: Non-profit Research
                                  Dist/Cty: WI-007
                                  FWA No.: 0000 0873

                                  HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                                  • Jennifer K. Meece, PhD
                                  Director, Admin Operations IRB Administrator Privacy Officer
                                  VDW Site Data Manager DUA Signatory Communications/Media Relations

                                   

                                    SLU and SSMHealth

                                    Advanced HEAlth Data (AHEAD) Institute
                                    Salus Center, 4th Floor
                                    3545 Lafayette Ave.
                                    St. Louis, MO 63104

                                    Phone: 314-977-9300
                                    Fax: 314-977-1101
                                    Website:
                                    https://www.ssmhealth.com/
                                    https://www.slu.edu/research/researchinstitute/big-ideas/ahead/index.php

                                    Express/Courier Address 
                                    Salus Center, 4th Floor
                                    3545 Lafayette Ave.
                                    St. Louis, MO 63104

                                    PHS 398 Face Page Elements
                                    DUNS No.: 050220722
                                    Org type: Institute of Higher Education
                                    Dist/Cty: MO-001
                                    FWA No.: FWA00005304

                                    HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                                    • Leslie Hinyard, PhD, MSW
                                      • Executive Director, Advanced HEAlth Data (AHEAD)
                                        Institute
                                      • Saint Louis University School of Medicine
                                      • 3545 Lafayette Ave. Salus Center, 4th floor St. Louis, MO 63109
                                      • Ph: (314) 977-9743
                                      • Email: leslie.hinyard@health.slu.ed
                                    • Governing Board Assistant
                                    • Matt Renaud
                                    • Director of Grant Operations
                                    • 3700 West Pine Mall Fusz Hall, Room 251 St. Louis, MO 63108-3306
                                    • Ph: 314-977-7742
                                    • Email: grants@slu.edu
                                    Director, Admin Operations IRB Administrator Privacy Officer
                                    VDW Site Data Manager DUA Signatory Communications/Media Relations
                                    • To be determined
                                    • Carrie Bebermeyer

                                     

                                      Sutter Health Research

                                      795 El Camino Real, Ames Bldg.
                                      Palo Alto, CA 94301

                                      Ph: 650-361-8120
                                      Fax: 650-329-9114

                                      2121 North California Blvd, suite 310
                                      Walnut Creek, CA 94596

                                      Ph: 925-287-4011
                                      Fax: 925-287-4080
                                      Website: www.sutterhealth.org/research/

                                      West Express/Courier Address
                                      PAMF Research Institute
                                      795 El Camino Real, Ames Bldg.
                                      Palo Alto, CA 94301

                                      PHS 398 Face Page Elements
                                      Palo Alto Medical Foundation for Health Care, Research and Education
                                      DUNS No.: 62-227-6137
                                      Org type: Private n.f.p 501c3 IRS status
                                      Dist/Cty: CA-18
                                      FWA No.: 0000 0089

                                      East Express/Courier Address
                                      Sutter Health RDD
                                      2121 North California Blvd Suite 310
                                      Walnut Creek, CA 94596

                                      PHS 398 Face Page Elements
                                      DUNS No.: 07-188-2724
                                      Org type: Private n.f.p 501c3 IRS status
                                      Dist/Cty: CA-011
                                      FWA No.: 0000 0921

                                      HCSRN Governing Board Member Institutional Official Director, Research Admin & GCA
                                      Director, Admin Operations IRB Administrator Privacy Officer
                                      VDW Site Data Manager DUA Signatory Communications/Media Relations