Minnesota

                                      Leech Lake EMS & Transportation                                                      Cass Lake

                                      Minneapolis VA Medical Center                                                         Minneapolis

                                      St. Cloud VA Medical Center                                                               St. Cloud

Montana

                                      Northern Cheyenne Ambulance Service                                                Lame Deer

                                      VA Outpatient Clinic/Nursing Home                                                        Miles City

Nebraska

                                      Box Butte General Hospital                                                                               Alliance

                                      Ponderosa Villa                                                                              Crawford

North Dakota

                                      Fargo VA Medical/Reg Office Center                                                          Fargo

South Dakota

                                      Aberdeen Area Youth Regional Treatment                                                           Aberdeen

                                      Center

                                      Bennett County Health Care Center                                                               Martin South

                                      Black Hills Surgery Center , LLP                                                           Rapid CIty

                                      Box Elder CCC                                                                                Box Elder

                                      Butte County Ambulance                                                              Belle Fourche

                                      Colonial Manor of Custer                                                                        Custer

                                      Custer Ambulance Service                                                                     Custer

                                      Ellsworth Air Force Base Clinic                                                            Ellsworth

                                      Fountain Springs Health Care                                                              Rapid CIty

                                      Hot Springs Ambulance Service                                                        Hot Springs

                                      Sioux Falls VA Medical/Regional Office                                                 Sioux Falls

                                      Spearfish Emergency Ambulance                                                         Spearfish

                                      VA Black Hills Health Care System                                                      Hot Springs

                                      VA Black Hills Health Care System                                                      Fort Meade

Wyoming

                                      Bonnie Blue Jacket Nursing Home                                                              Basin

                                      Campbell County Memorial Hospital                                                           Gillette

                                      Castle Rock Convalescent Center                                                      Green River

                                      Crook County Medical Services District                                                  Sundance

                                      Emissary Pharmacy and Infusion                                                             Casper

                                      FE Warren Air Force Base Hospital                                                      Cheyenne

                                      Goshen Care Center                                                                        Torrington

                                      Johnson County Health Care Center                                                         Buffalo

                                      Life Care Center of Casper                                                                    Casper

                                      New Horizons Care Center                                                                      Lovell

                                      Shepherd of the Valley Care Center                                                         Casper

                                      Sublette County Rural Health Care District                                               Pine Dale

                                      Valley View Rehabilitation                                                                   Saratoga

                                      Veterans Home of Wyoming                                                                   Buffalo

                                      West view Healthcare Center                                                               Sheridan

                                      Wyoming Life Resource Center                                                               Lander

                                      Wyoming Pioneer Home                                                                  Thermopolis

                                      Wyoming Retirement Center                                                                     Basin