Name Phone #(s) address Days/Hours Voic

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1 Name of hospital(s) associated with your registry: Abbott Northwestern Hospital, Phillips Eye Institute Mailing address for the registry (for follow-up information): Registry Abbott Northwestern Hospital 800 E 28 th St. Mpls, MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Linda Valerius linda.valerius@allina.com M-W 6:30am Yes Send Secure -5:00pm CNS cases only Lorie Banker lorie.banker@allina.com M-F 9:00am Yes Send Secure -5:30pm Lymphoma/Hemat only Leann Osada leann.osada@allina.com M-F 6:00am Yes Send Secure -2:30pm All other primary sites Designated follow-up person: Yes Contact(s) for follow-up information: Name Phone # address Days/Hours Voic Mary Gearin mary.gearin@allina.com M-W 7:30am-5:00pm Yes Send Secure 1

2 Surrounding cities and/or clinics this facility is associated with: Mpls Virginia Piper Cancer Institute Eagan 55122/123 Westhealth, Plymouth Minnetonka 55343/305 Phillips Eye Institute Bloomington 55420/431/437 Neuroscience Institute Edina 55435/436/439 Richfield Plymouth 55441/442/446/447 Name of Medical Oncologist(s) that patients are most likely to be referred to: Chery Bailey (GYN Onc) Mpls. MN Oncology Stuart Bloom Mpls. MN Oncology Patrick Flynn Mpls. MN Oncology Thomas Flynn Mpls. MN Oncology Dean Gesme Mpls. MN Oncology Matthew Graczyk (Thoracic Oncology/Surgery) Mpls. MN Oncology Tim Larson Mpls. MN Oncology Joseph Leach Mpls. MN Oncology John Trusheim (Neuro-Oncology) ANW Neuro Science Institute Matthew Boente (GYN Onc) Edina, MN Oncology Catherine Casey (GYN Onc) Woodbury, MN Oncology Name of Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: David Monyak Mpls, ANW Patsa Sullivan Mpls. ANW Laura Willson Mpls. ANW 2

3 ACOS Accredited Yes Year data collection started: 1977 Number of analytic cases in 2010: 2594 Other information about this registry: ANW is contracted to abstract cases for Cuyuna and Riverwood hospitals. ANW will start abstracting cases for New Ulm in the Summer of

4 Name of hospital(s) associated with your registry: Childrens Hospital & Clinic of MN Mailing address for the registry (for follow-up information): Fax F/U Requests to Jo Lane Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Jo Lane :00am to 3:30pm Designated follow-up person: None Contact(s) for follow-up information: Same as abstracting information Other Information about this registry: Do not send F/U letters to Physicians They will send them to me. Cut the time short by faxing all requests or call. 1

5 Name of hospital(s) associated with your registry: Douglas County Hospital Mailing address for the registry (for follow-up information): th Ave E Alexandria, MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Mandy Myrum amyrum@dchospital.com M-F 7:00am-3:30pm Yes Yes Ext Designated follow-up person: Yes Contact(s) for follow-up information: Name Phone # address Days/Hours Voic Kathy Colgrove kcolgrove@ dchospital.com M-Th 8:00am-4:30pm Yes Yes Surrounding cities and/or clinics this facility is associated with: Sauk Centre Wheaton Starbuck Glenwood Osakis Villard Elbow Lake Miltona Evansville Morris Garfield Long Prairie Wadena Brandon West Union Henning Lowry Parkers Prairie Graceville Ashby

6 Name of Medical Oncologist(s) that patients are most likely to be referred to: Wade Swenson Fergus Falls Richard Peterson Minneapolis Clinic of Neurology Name of Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Eitan Medini Alexandria (CentraCare DCH) ACOS Accredited Yes Year data collection started: 2005 Number of analytic cases in 2010: 231 Other information about this registry: 2

7 Name of hospital(s) associated with your registry: Essentia Health St. Josephs Medical Center Mailing address for the registry (for follow-up information): 523 N 3 rd Street, Brainerd MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Amanda Hlad amanda.hlad@essentiahealth.org M-F 5am-1:30pm yes yes Designated follow-up person: None Contact(s) for follow-up information: Same as abstracting information Surrounding cities and/or clinics this facility is associated with: Essentia Health Baxter Clinic EH Pine River Clinic Deerwood Nisswa EH Brainerd Clinic Brainerd Fort Ripley EH Lakes Urology Clinic Baxter Little Falls EH Crosslake Clinic Aitkin Hackensack EH Hackensack Clinic Crosby Merrifield EH Pierz Clinic Crosslake Staples EH Pillager Clinic Ironton Motley 1

8 Medical Oncologist(s) that patients are most likely to be referred to: Aby Philip Brainerd Laura Joque Brainerd Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Walter Roberts Brainerd RT Center ACOS Accredited YES Year data collection started: 1996 Number of analytic cases in 2010: 474 2

9 Name of hospital(s) associated with your registry: Essentia Health East: St. Mary s Medical Center-Duluth, Miller Dwan Medical Center, Duluth, SMDC Medical Center, Duluth Clinic, St. Mary s Hospital of Superior, Mailing address for the registry (for follow-up information): 400 E 3 rd St. Mail-drop 1S2E50, Duluth, MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Judy Connolly M-F 5am-2pm Yes Yes Essentialhealth.org Judy Johnson Judya.johnson@ M-F 6am-2:30pm Yes Yes Essentiahealth.org Jacki Waldriff- M-F 7am-3:30pm Yes Yes Johnson Designated follow-up person: No Contact(s) for follow-up information: Same as abstracting information 1

10 Surrounding cities and/or clinics this facility is associated with: Duluth Clinic-Hibbing Gateway Clinic Mooselake Grand Itasca Medical Center Duluth Clinic-Ashland WI Cloquet Community Hospital Duluth Clinic Aurora Duluth Clinic Int Falls Duluth Clinic Virginia Duluth Clinic Deer River Duluth Clinic Ely Duluth Clinic Hayward WI Duluth Clinic Babbitt Duluth Clinic Spooner WI Duluth Clinic Sandstone Duluth Clinic Lakewalk Clinic Name of Medical Oncologist(s) that patients are most likely to be referred to: Jonathan Sande Duluth Dan Nikcevich Duluth Brett Friday Duluth Lloyd Ketchum Duluth Steve Kuross Duluth Mark Johnson Duluth Joe Levine Duluth Name of Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: David McNaney Duluth Ken Dornfeld Duluth Troy Adolfson Duluth 2

11 ACOS Accredited YES Year data collection started: 1997 Number of analytic cases in 2010: 1532 Other information about this registry: All three full-time registrars work 100% from home. It is best to contact us via or leave a voic . We have limited fax capabilities. 3

12 Name of hospital(s) associated with your registry: Essentia Health Mailing address for the registry (for follow-up information): 1702 S university Drive, Fargo, ND Attn: Cancer Registry Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Tammy Wayne M,T,TH,TF essentiahealth.org 8:15am-4:45pm. Ann Shamdas ann.shamdas@ M-W 8:00am-4:00pm essentiahealth.org Joell Letzring joell.letzring@ M-Th 7:30am-4:00pm essentiahealth.org Designated follow-up person: Yes Contact(s) for follow-up information: Name Phone # address Days/Hours Voic Janet Kub janet.kub@essetiahealth.org M,Th,F 8:30am-4:00pm 1

13 Surrounding cities and/or clinics this facility is associated with: Park Rapids Walker St. Marys Detroit Lakes Clinic & Hospital Fosston Valley City, ND Mahnomen Wahpetoni, ND Moorhead Jamestown, ND Menahga Lisbon, ND Graceville Casselton, ND Walker Hankinson, ND Name of Medical Oncologist(s) that patients are most likely to be referred to: Mahendra Gupta Fargo, ND Sanjay Vinjamaram Fargo, ND Name of Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Mark Cooper Fargo, ND ACOS Accredited Yes Year data collection started: 2001 Number of analytic cases in 2010: 687 2

14 Other information about this registry: 3

15 Name of hospital(s) associated with your registry: Fairview Range Mailing address for the registry (for follow-up information): 750 E 34 th St. Hibbing, MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Tammy Adams tninnem1@ M-F 8am-4:30pm yes yes Ninnemann range.fairview.org hours vary Designated follow-up person: None Contact(s) for follow-up information: Same as abstracting contact. Surrounding cities and/or clinics this facility is associated with. Chisholm Biwabik Floodwood Virginia Aurora Meadowlands Grand Rapids Ely Deer River Buhl Tower Togo Eveleth Babbitt Bigfork Gilbert Orr 55771/772 Cotton Mt Iron International Falls Cook Hibbing

16 Medical Oncologist(s) that patients are most likely to be referred to: Anastas Provatas Hibbing Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Paul Lindholm Hibbing ACOS Accredited: YES Community Cancer Program Year data collection started: 2001 Number of analytic cases in 2010: 204 2

17 Name of hospital(s) associated with your registry: North Memorial Mailing address for the registry (for follow-up information): 3435 West Broadway, Robbinsdale, MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Jen Watkins M-F 7am-3pm yes yes northmemorial.com LeeAnn Olson M-F 7:30am-3:30pm yes yes memorial.com Designated follow-up person: Yes Contact(s) for follow-up information: Name Phone #(s) address Days/Hours Voic Jennifer Mersereau T-F 6am-2pm yes yes northmemorial.com 1

18 Surrounding cities and/or clinics this facility is associated with: Brooklyn Center Phys Maple Grove Maple Grove Urgent Care Brookly Park Family Minnetonka Phys Roseville Urgent Care Camden Maple Grove Northeast Family Phys Eagan Urgent Care Camden Mpls Occupational Medicine Osseo Clinic Camden Plymouth Plymouth Internal Med Rogers Clinic Elk River St. Anthony Village Monticello Clinic Golden Valley Fam Shoreview Buffalo Clinic Name of Medical Oncologist(s) that patients are most likely to be referred to: Dr. Harold Londer Robbinsdale Dr. Thirunavu Robbinsdale Dr. Heller Robbinsdale Dr. Weitz Hospitalist Robbinsdale Dr. Mehrotra Robbinsdale Dr. Thomas Robbinsdale Name of Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Dr. Kurt Nisi Robbinsdale Dr. John Kosiak Robbinsdale 2

19 ACOS Accredited YES Year data collection started: 1979 Number of analytic cases in 2010:

20 Name of hospital(s) associated with your registry: Park Nicollet Methodist Hospital Frauenshua Cancer Center Mailing address for the registry (for follow-up information): 3931 Louisiana Ave Suite 1460 St. Louis Park, MN_55428 Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Rene Warhol M-F 8am-4:30pm Yes parknicollet.com Rita Debrobander M-W 6:30am-4:00pm Yes parknicollet.com Susan O Connell Susan.Oconnell@ M-F Yes Parknicollet.com Susan Koering Susan.Koering@ M-F 7:00am-4:00pm Yes parknicollet.com Designated follow-up person: Yes Contact(s) for follow-up information: Name Phone # address Days/Hours Voic Peggy Doran doranp@parknicollet.com Tues/Wed: 7:30-4:00 Yes Thurs 6:30-4:00 Fri: 6:30-11:30 am 1

21 Surrounding cities and/or clinics this facility is associated with: Minnetonka Long Lake Brooklyn Park Chanhassen Wayzata Chaska Mpls/LindenHuis Excelsior St. Louis Park 55416/426 Hopkins Golden Valley Eden Prairie 55344/316/347 Edina 55439/424/435/436 Minnetonka Plymouth 55441/442/446/447 Bloomington 55437/438 New Hope/Crystal 55427/428 Name of Medical Oncologist(s) that patients are most likely to be referred to: Suresh H Devineni Frauenshuh Cancer Center Mark Gavin Frauenshuh Cancer Center Kendra Kubiak Frauenshuh Cancer Center Brenda Larson Frauenshuh Cancer Center Rachel Lerner Frauenshuh Cancer Center Lorre Ochs Frauenshuh Cancer Center Melissa Sherman Frauenshuh Cancer Center Michaela Tsai Frauenshuh Cancer Center Mark Wilkowske Frauenshuh Cancer Center Cathleen Chen Frauenshuh Cancer Center 2

22 Name of Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Robert Haselow Methodist Wane Spears Methodist Michael Haley Methodist ACOS Accredited YES Year data collection started: 1974 Number of analytic cases in 2010: 1992 Other information about this registry: CoC Approved Attained Outstanding Achievement Award 2008 & 2011 Staffed with 4.5 FTE s 3

23 Name of hospital(s) associated with your registry: Regions, Hudson, St. Croix Falls, Westfields, Osceola, Baldwin, Amery Mailing address for the registry (for follow-up information): 640 Jackson St. St. Paul, MN MS 11101G Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Sue Braaten M-F 5:00am-1:30pm Yes Preferred healthpartners.com (Fridays done 11:00am) Designated follow-up person: No Contact(s) for follow-up information: Name Phone # address Days/Hours Voic Amy Walz amy.m.walz@ M-F 6:30am-3:00pm Yes Preferred Healthpartners.com Surrounding cities and/or clinics this facility is associated with: All HP Clinics Riverway Clinics Anoka/Coon Rapids Stillwater New Richmond WI Hudson WI North Suburban Family Physicians Clinics Roseville/Shoreview/Lino Lakes St. Croix Falls WI Baldwin WI Osceola WI Amery WI 1

24 Name of Medical Oncologist(s) that patients are most likely to be referred to: /Facility Randy Hurley Regions / Riverside / Hastings / Baldwin Jeff Jaffe Regions Dan Schneider Riverside/St. Croix Falls Bal Jahagirdar Regions / Lakeview (Stillwater) Colleen Morton Regions / Riverside Dan Anderson Regions / Osceola / Amery Kurt Demel Regions / Riverside / St. Croix Falls Steve McCormack Regions / Westfields Gretchen Ibele Riverside / Hudson Gary Shapiro Regions / Westfields Brian Rank Regions / Westfields / Riverside Name of Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: /Facility Mark Bisignani Regions Janel Cox Regions Clayton Chen Westfields / New Richmond ACOS Accredited Yes Year data collection started: 1984 Number of analytic cases in 2010: 1141 and 196 non-analytic total 1337 (COC 3 and cases only seen at the Riverside Oncology Clinic) 2

25 Other information about this registry: Beginning with June 2011, our registry is responsible for abstracting Hudson, Westfields(New Richmond), Amery, Baldwin, Osceola & St. Croix Falls. We have access through Epic to Hudson & Westfields and will soon have remote access to St. Croix Falls. Amery, Baldwin, Osceola are still in process of converting to an EMR. We should have access to Amery mid summer of The majority of time we work from home so is probably the best mode of communication. 3

26 Name of hospital(s) associated with your registry: Rice Memorial Hospital Mailing address for the registry (for follow-up information): 301 Becker Ave SW, Willmar, MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Jennifer Nelson M-Th 6am-4:30pm Yes Encrypt Candace School M-F 8am-4:30pm Yes Encrypt Meesters rice.willmar.mn.us Designated follow-up person: None Contact(s) for follow-up information: Same as abstracting contacts. Surrounding cities and/or clinics this facility is associated with. New London Redwood Falls Benson Spicer Lake Lillian Pennock Atwater Olivia Raymond Kandiyohi Kerkhoven Clara City Grove City Murdock Maynard Litchfield Sunburg Granite Falls Blomkest DeGraff Montevideo

27 Medical Oncologist(s) that patients are most likely to be referred to: J. Michael Ryan M.D. Willmar Louay Hanna M.D. Willmar Teri Larson, NP Willmar Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Jwong Ling, M.D. Willmar ACOS Accredited: YES Year data collection started: 1986 Number of analytic cases in 2010: 458 2

28 Name of hospital(s) associated with your registry: Ridgeview Medical Center Mailing address for the registry (for follow-up information): 500 S Maple St. Waconia MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Kim Gums kimberly.gums@ M-Th 7:30am-4pm yes yes X6318 ridgeviewmedical.org Designated follow-up person: None Contact(s) for follow-up information: Same as abstracting contact. Surrounding cities and/or clinics this facility is associated with. Cologne Mayer New Germany St. Bonifacius Waconia Carver Chanhassen Chaska Excelsior Victoria Delano Maple Plain Mound Spring Park Watertown Howard Lake Lester Prairie Montrose Silver Lake Waverly Winsted Arlington Green Isle Hamburg Norwood Plato Young America

29 Medical Oncologist(s) that patients are most likely to be referred to: Martin Blumenreich Waconia Steven Rousey Waconia Gail Bender Waconia & Queen of Peace Jocelin Huang Waconia Kamran Darabi Waconia & Chaska Birendra Kumar Waconia & Chaska Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Paul Sperduto Waconia ACOS Accredited: YES Year data collection started: 1996 Number of analytic cases in 2012: 451 2

30 Name of hospital(s) associated with your registry: Saint Cloud Hospital, Coborn Cancer Center Mailing address for the registry (for follow-up information): 1900 CentraCare Cir Ste 1600 Saint Cloud, MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Brianne Hoffarth ext M-F yes yes Janet Sather ext M-F yes yes Melissa Shankey ext M-F yes yes Samuel Welle ext M-F yes yes Designated follow-up person: Brianne Hoffarth Contact(s) for follow-up information: Brianne, Janet, Melissa Same as abstracting information: Brianne, Janet, Melissa Surrounding cities and/or clinics this facility is associated with: Oncologists do outreach and most info is available from the Registry but cases are not abstracted. Outreach sites: Melrose, Sauk Centre, Mora, Little Falls, Long Prairie, Paynesville, Glenwood 1

31 Medical Oncologist(s) that patients are most likely to be referred to: Hani Al-Khatib Saint Cloud Dahlia Elkadi Saint Cloud Mark Hauge Saint Cloud Donald Jurgens Saint Cloud Girum Lemma Saint Cloud Nicholas Reuter Saint Cloud Hilary Ufearo Saint Cloud Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Barbi Kaplan-Frankel Saint Cloud Andre Mitchell Saint Cloud Eitan Medini Alexandria (we collect these cases) Nelson Adamson Monticello (do not collect these cases) ACOS Accredited: Yes Year data collection started: 1994 Number of analytic cases in 2010:

32 Name of hospital(s) associated with your registry: St. Cloud VA Mailing address for the registry (for follow-up information): 4801 Veterans Dr., St. Cloud, MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Holly Zabinski X6116 M-F 7:30am-4pm NO yes Designated follow-up person: None Contact(s) for follow-up information: Same as abstracting contact. Surrounding cities and/or clinics this facility is associated with. Outreach Clinics Alexandria Community Based Outpatient Clinic Brainerd Community Based Outpatient Clinic Montevideo Community Based Outpatient Clinic Medical Oncologist(s) that patients are most likely to be referred to: St. Cloud Hospital Mpls, VA 1

33 Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: St. Cloud Hosptial Mpls, VA ACOS Accredited: No Year data collection started: 2001 Other Information: If we are unable to provide care either here or at a different VA within 30 days, we pay for the veteran to receive care where he/she chooses. 2

34 Name of hospital(s) associated with your registry: St. Francis Regional Medical Center Mailing address for the registry (for follow-up information): 1475 St. Francis Ave Shakopee, MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Janice Anastasi M-W 5:45am-4:15pm Yes Encrypt allina.com Designated follow-up person: None Contact(s) for follow-up information: Same as abstracting information Surrounding cities and/or clinics this facility is associated with. Shakopee Chaska Chanhassan Prior Lake Savage Belle Plaine New Prague Jordan LeSueur Lakeville Eden Prairie 55344,346,347 Bloomington 55420,431,438 Montgomery Carver Norwood Young America Apple Valley

35 Medical Oncologist(s) that patients are most likely to be referred to: Lorre Ochs St. Frances, Shakopee PNC MD Suresh Devineni St. Francis, Shakopee PNC MD Barbara Bowers St. Francis, Shakopee at facility 2-1/2 days/month Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Linda Wilmarth Shakopee (MRO) ACOS Accredited: Yes (community cancer program CCP) Year data collection started: 1989 Number of analytic cases in 2010: 211 Other Information about this registry: Small community hospital quality care close to home! 2

36 Name of hospital(s) associated with your registry: St. Lukes Mailing address for the registry (for follow-up information): Cancer Registry St. Luke s 915 E 1 st St, Duluth MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Karen Abrahamson kabrahamson@slhduluth.com M-F 6am-2:30pm yes yes Designated follow-up person: None Contact(s) for follow-up information: Same as abstracting information Surrounding cities and/or clinics this facility is associated with: Cloquet Grand Marais Moose Lake Duluth Grand Rapids Carlton Two Harbors Hibbing Superior, WI Virginia

37 Name of Medical Oncologist(s) that patients are most likely to be referred to: Jay Baker MD Duluth Andrea Katz MD Duluth Tanya Repka MD Duluth Name of Radiation Oncologist(s) and/or facilities that patients at your facility are most likely to be referred to: Steve Bonin MD Duluth ACOS Accredited: YES Year data collection started: 1989 Number of analytic cases in 2010: 600 2

38 Name of hospital(s) associated with your registry: U of M Medical Center-Fairview, Fairview Riverside Hospital Mailing address for the registry (for follow-up information): 2450 Riverside Ave Room F117 Mpls, MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Teresina Bedi T-F 8am-3:30pm Yes Tami Cieslieski M-F 7am-3:00pm Yes Shari Kile (w) skile1@fairview.org M-Th 5:30am-3:15pm Yes Yes (h) Jim Essler (mgr) jessler1@fairview.org M-F Yes Yes Designated follow-up person: Yes Contact(s) for follow-up information: Teresina Bedi information above 1

39 Medical Oncologist(s) and/or facilities that patients are most likely to be referred to: Ark Pupek Mpls Keith Skubitz Mpls Edward Cheng Mpls Gary Grammens Mpls Edward Greeno Mpls Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Kathryn Dusenberry Mpls Marge Reynolds Mpls ACOS accredited No Year data collection started: 1993 Other information about this registry: State Representative is Lynda Diedrich Can get information for FVU-Maple Grove Medical Center, FVU Lakes Wyoming and FV Red Wing 2

40 Name of hospital(s) associated with your registry: Unity & Mercy Hospitals (also collect Cambridge Medical Center) Mailing address for the registry (for follow-up information): 550 Osborne Rd, Fridley, MN Contact(s) for abstracting information: Name Phone #(s) address Days/Hours Voic Jane Siekkinen M-F 8:00am-4:30pm Diane Ling M-F 8:00am-4:30pm Michele Czapski M-Th 6:00am-2:30pm allina.com Designated follow-up person: Yes Contact(s) for follow-up information: Name Phone # address Days/Hours Voic Gwen Sandmon gwen.sandmon@allina.com M-Th 5:30am-2:30pm Surrounding cities and/or clinics this facility is associated with: Andover Coon Rapids 55433/448 Mounds View Anoka Elk River New Brighton Big Lake Fridley Ramsey Blaine Ham Lake St. Francis Brooklyn Park 55443/444 Isanti Shoreview Cambridge Maple Grove Spring Lk Park Champlin Minneapolis 55418/419 1

41 Name of Medical Oncologist(s) that patients are most likely to be referred to: Thomas Amatruda MN Oncology Fridley David King MN Oncology Fridley Jade Anderson MN Oncology Fridley Stephen Mann MN Oncology Fridley Uzma Ali MN Oncology Fridley Noel Laudi MN Oncology Coon Rapids Gauri Nagargoje MN Oncology Coon Rapids Astrid Garino MN Oncology Coon Rapids Joseph Cardamone MN Oncology Coon Rapids Rajini Katipamula-Malisetti MN Oncology Coon Rapids Name of Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: Jeff Herman Fridley MROPA Ross Dickson Coon Rapids - MROPA ACOS Accredited Yes Year data collection started: 1981 Number of analytic cases in 2010:

42 Other information about this registry: The Allina Oncology Clinical Service Line has created one multi-hospital database for our tumor registry. All Allina facilities staff are able to know if a patient has been accessioned at any Allina hospital. 3

43 Name of hospital(s) associated with your registry: Minneapolis VA Health Care System (MVAHCS) Mailing address for the registry (for follow-up information): One Veterans Drive, Cancer Registry 17B1, Minneapolis, MN Contact(s) for abstracting information Name Phone #(s) address Days/Hours Voic Patricia Albrecht Not Allowed M-F 9:15am-5:45pm Yes Not Allowed Designated follow-up person: Yes Contact(s) for follow-up information: Name Phone #(s) address Days/Hours Voic Connie Stately Not Allowed M-F 7am-3:30pm NO-prefer Not Allowed US Mail Surrounding cities and/or clinics this facility is associated with: (CBOC s=community based outreach clinics) NOTE: We serve Veteran s throughout MN, Western WI, Eastern N&S Dakota, and sometimes Northern Iowa. Hibbing CBOC Rochester CBOC Bismark, ND Chippewa Valley WI CBOC Mankato Satellite Clinic Grafton ND Maplewood CBOC Hayward WI VA Clinic Minot ND NW Metro CBOC Ramsey MN Twin Ports Clinic Superior WI Pierre SD Trimont CBOC St. James CBOC Rice Lake CBOC

44 Radiation Oncologist(s) and/or facilities that patients are most likely to be referred to: U of M Fairview Mpls SMDC Duluth St. Lukes Duluth Mayo Clinic Rochester ACOS accredited Yes Year data collection started: 1961 Number of analytic cases in 2010: 1017 Other information about this registry: We have a strict release of information policy. Please do not send s that contain any patient identifiers. Follow-up date of last contact requests should be sent via U.S. mail. 1 st Course of treatment requests can be completed if we have documentation that a patient is shared with the requesting facility. 2